The agenda includes an agreement between the City of Ithaca and Mobile Medical Response, Inc. (MMR) granting MMR use of the Ithaca Rescue Station at 130 W. Center Street as a satellite ambulance station.The agreement establishes responsibilities for insurance, utilities, housekeeping, access, and a non-smoking facility and requires MMR to pay the City 5,100 annually in semiannual installments. The term of the agreement is five years, commencing July 1, 2021, with automatic continuation unless terminated with 90 days’ notice, and the June 16, 2026 agenda refers to an "MMR Contract Renewal," suggesting council review or extension. While the core facility-use arrangement is in place, vendors serving EMS and fire stations—such as building systems, communications, medical equipment, and facility upgrades—can view this as an anchor tenant relationship that may prompt facility improvements, technology upgrades, or new services over the remaining term and at renewal points.

City covers utilities, trash, snow removal, and basic supplies; MMR provides medical monitoring to fire/rescue personnel when available and may install shoreline electrical connection at its expense.