To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Approve RFP for Exclusive Emergency Ambulance Services in ERAs I, II, and V
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE the Draft Request for Proposals (RFP) for Exclusive Emergency Ambulance Service in Contra Costa County Emergency Response Areas (ERAs) I, II, and V; and
DIRECT the Emergency Medical Services (EMS) Agency, to finalize the RFP for submission to the California Emergency Medical Services Authority (EMSA).
FISCAL IMPACT:
There is no fiscal impact for this action. This item is requesting review and approval of the draft RFP only.
BACKGROUND:
Contra Costa County Emergency Medical Services Agency, designated by the Board of Supervisors as the Contra Costa County Local Emergency Medical Services Agency (LEMSA), is obligated to manage exclusive emergency ambulance procurement process as prescribed by CA statute. The RFP for emergency ambulance is informed by the EMS system evaluation conducted by FITCH and reported to the Board of Supervisors as part of a 3-phase project including:
1. Evaluation of the current EMS system and present a final report to the Contra Costa County Board of Supervisors.
2. Produce an RFP informed by phase I, and manage a competitive procurement process utilizing Contra Costa County Public Works RFP process for emergency ambulance service in ERAs I, II, and V.
3. Assist in the establishment of an agreement with the selected bidder and the county of Contra Costa.
Additionally, the RFP after review and approval by County Counsel has gone through a four (4) week public comment period and all comments have been responded to with applicable edits made to the RFP document.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the procurement process will halt without approval of the Board to submit to EMSA.