AMR does not have a CON for Renssealer County. The only agencies that hold county-wide CONs are Troy Ambulance Service (dba Empire) and Mohawk, and the only other commercial ambulances with a CON in the county are Capital District and Doctor's Ambulance, which are one and the same. Where did you get your information? This is correct, mostly. I don't believe the CONs for Alamo (and Sloper) are still valid as you must surrender your CONs after a month long period of inactivity. Alamo does not have any ambulances, and therefore cannot do any calls, so they must have surrendered the CON.