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File #: A 25-267    Name: Advanced Life Support and Basic Life Support Ambulance Services
Type: BoS Agreement Status: Scheduled AM
File created: 6/11/2025 In control: Board of Supervisors
On agenda: 7/8/2025 Final action:
Title: Approve and authorize the Director of Health Services or designee to execute the Agreement for Advanced Life Support and Basic Life Support Ambulance Services, Interfacility and Critical Care Transport, Standby, and Communication Services for the Exclusive Operating Area for the County of Monterey between the County of Monterey and American Medical Response West for the period from the date the Agreement is signed by all parties through January 31, 2032.
Attachments: 1. Board Report, 2. Agreement
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Title
Approve and authorize the Director of Health Services or designee to execute the Agreement for Advanced Life Support and Basic Life Support Ambulance Services, Interfacility and Critical Care Transport, Standby, and Communication Services for the Exclusive Operating Area for the County of Monterey between the County of Monterey and American Medical Response West for the period from the date the Agreement is signed by all parties through January 31, 2032.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health Services or designee to execute the Agreement for Advanced Life Support and Basic Life Support Ambulance Services, Interfacility and Critical Care Transport, and Standby Services for the Exclusive Operating Area for the County of Monterey between the County of Monterey and American Medical Response West for the period from the date the Agreement is signed by all parties through January 31, 2032.

SUMMARY/DISCUSSION:
The Emergency Medical Services (EMS) Agency is a Bureau within the County of Monterey Health Department and is designated by the Board of Supervisors as the lead agency that oversees the delivery of emergency medical services within the County of Monterey. The role of the County of Monterey EMS Agency is defined by California statue to plan, implement, and evaluate the EMS System. One component of the EMS Agency’s responsibilities is the establishment of the County of Monterey Exclusive Operating Area (EOA) and contracting for the provision of ambulance services within the EOA.

The current agreement for ambulance services will expire on January 31, 2026. To maintain the EOA, the EMS Agency must periodically conduct a competitive request for proposals (RFP) process for the right to provide ambulance services within the EOA. The RFP process is regulated by not only the County of Monterey’s Contracts and Purchasing Department and Office of County Counsel, but also by the State...

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