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Approval of Fire/EMS Emergency Ambulance Transportation & Related Services Agreement with CARE Ambulance Service, Inc. December 18, 2018 Page 2 CARE Ambulance Service, Inc. (2012 - 2018 Agreement) The current agreement with CARE, entered into pursuant to a competitive Request for Proposals (RFP) selection process, commenced on September 20, 2012 and covered an initial three (3) year period ending September 20, 2015. The City in concurrence with OCFA, exercised its option to extend the original agreement twice for additional one (1) year terms, respectively on September 3, 2015 (A-2012-196-01) and again on August 11, 2016 (A-2012-196-02). The agreement was further extended in concurrence with OCFA on September 5, 2017 for an additional period commencing September 20, 2017 and ending June 30, 2018 (A-2012-196-03) with the option for a final additional six (6) month term ending December 31, 2018. To accommodate a thorough and deliberate RFP process in association with OCFA, this final extension option was exercised in concurrence with OCFA on May 29, 2018. Subsequently, on August 21, 2018, Mayor and City Council authorized staff to issue Requests for Proposals (No. #18-059) for Emergency Ambulance Transportation and Related Services. Since its founding in 1969, CARE has become the oldest and largest provider of emergency ambulance transportation services in Orange County. Currently, CARE operates five 24 hour units and two peak hour units on a daily basis in the City of Santa Ana. Throughout the term of its contract CARE has continued to meet or exceed key performance measures such as: . • Maintained 97% response time compliance standard • All -back up calls for service handled by CARE vehicle's • Have never used Mutual Aid providers • Vehicles maintain computer aided dispatch (CAD) to CAD connection with OCFA Request for Proposals # 18-059: Fire/EMS Emergency Ambulance Transportation and Related Services (RFP). Given the significance of emergency ambulance transportation services, in order to ensure that the City receives proposals from qualified and experienced 9-1-1 providers, RFP No. #18-059 set high standards with respect to provider experience, operational systems, vehicle maintenance/records, personnel training/records, and patient care/transport system design but also allowed providers the opportunity to submit complimentary proposals with additional innovative services and potential cost -savings. The following descriptions are the key components of the RFP: 1. Scope: Provide sufficient number of ambulances to respond to 100% of the 9-1-1 call volume within response time requirements. 2. Experience Requirements: Must have recent and comparable 9-1-1 transport experience to 80% of 2017 call volume. 3. Response Requirements: Bidder must strictly adhere to the following minimum requirement response times at a quarterly compliance rate of ninety percent (90%) in each Code 2 and Code 3 Categories, which are reported separately: a. Code 2 — Response times must not exceed fourteen (14) minutes, fifty-nine (59) seconds. Code 3 — Response times mwZ-51pq)_Zceed nine (9) minutes, fifty-nine (59) seconds. v L