Contra Costa County Municipal Code Ch. 48-6 Ambulance Service Agreements

(a) The county shall contract, on a competitive basis, for provision of the county's 9-1-1 EMS and ambulance service in each exclusive operating area, with allowance for back-up service by other ambulance service providers as deemed necessary by the permit officer.

(b) In awarding these contracts, the county shall consider the comparative value of competing proposals, including consideration of:

(1) The quality of service to be provided;

(2) The level of service to be provided;

(3) The rates charged for services to be provided; and

(4) The cost, if any, to the county.

(5) Employment retention requirements for the employees of the incumbent ambulance service.

(6) Demonstrated experience serving similar populations and geographic areas.

(7) Diversity and equity efforts addressing the unique needs of vulnerable and underserved populations of the service area.

(8) Financial requirements, including requiring a private ambulance service provider to show proof of insurance and bonding.

(9) A description of the ambulance service provider's public information and education activities and community involvement.

(c) Fire protection districts that provide ambulance or rescue services under the authority of Health and Safety Code section 13862 may compete for, and be awarded, an ambulance service contract.

(d) A fire protection district in the county that is not required to competitively bid for a 9-1-1 EMS and ambulance service contract in an exclusive operating area is not required to obtain a certificate of operation but must otherwise comply with this ordinance.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

If, pursuant to Section 48-6.002, no proposals acceptable to the county are received for an exclusive operating area, the health officer will designate, in writing, one or more of the ambulance service providers holding a certificate of operation to provide emergency ambulance services, without necessity of an emergency certificate of operation. From the date of this written designation until a regular ambulance service agreement is executed for the affected area(s), providing emergency ambulance service shall be an express condition of the certificate of operation. Any unreasonable or unjustified refusal of an emergency call is grounds for suspension or revocation of the certificate of operation.

(Ord. No. 2022-21, §§ II, III, 6-21-22).