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PROPOSAL TO PROVIDE FIRE/EMS EMERGENCY TRANSPORTATION & RELATED SERVICES <br />CITY OF SANTA ANA <br />Second Tier Service <br />In the unlikely event that Care's dedicated ambulances and Care's fleet of 143 other <br />ambulances were unavailable for an emergency response in the City of Santa Ana, Care <br />Ambulance has entered into several "Mutual Aid" agreements with separate qualified <br />ambulance service providers doing business in Orange County to provide backup ambulance <br />services. In addition, we maintain a "Master Mutual Aid" agreement with five (5) other licensed <br />Orange County ambulance services, each capable of responding to a request for Second Tier <br />Services. For further details about Care's mutual -aid capabilities, please refer to Item 6: Mutual <br />Aid Providers. Since the beginning of this contract in 2012, Care Ambulance has never used the <br />services of any back-up provider in Santa Ana. We have covered over 130,000 requests for <br />service, without using any services from any other ambulance provider. <br />Response Time Commitment <br />The most critical measure of an emergency ambulance service's performance is its response <br />times. While clinical performance is essential, it is not commonly understood by the public or as <br />easily measured as response times. The key question for most patients and the public is: How <br />long does it take to get an ambulance after making the call for help? It is for that reason that <br />Care agrees to be held to a higher standard. <br />Care Ambulance Service commits to the following response time standards, which exceed the <br />requirements of the RFP: <br />Code 3 — Care Ambulance agrees that all Code 3, red lights and siren, responses shall not <br />exceed nine (9) minutes and fifty-nine (59) seconds, ninety-three (93%) of the time, <br />reported on a quarterly basis. <br />Code 2— Care Ambulance agrees that all Code 2, expeditious response without red lights <br />and siren, responses shall not exceed fourteen (14) minutes and fifty-nine (59) seconds, <br />ninety-three (93%) of the time, reported on a quarterly basis. <br />These response -time standards are extremely stringent and concrete. These are not promises <br />that cannot be fulfilled. Unlike, other bidders, these are response -time standards that Care <br />Ambulance achieves today. We provide this level of exceptional service today in Santa Ana, and <br />we will continue do it in the future for the City of Santa Ana. <br />To date in the City of Santa Ana, Care Ambulance Service maintains greater than a 97% <br />response -time compliance standard and has never failed to meet our 9-1-1 emergency <br />contracted response -time obligations, nor been penalized for any sub -standard system <br />performance. Care Ambulance is very confident in our abilities to deliver timely ambulance <br />services and readily agrees to the response time requirements and penalties specified. <br />RFP # 18-059 — CARE AMBULANCE SERVICE 7 <br />