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Finance and Management Services <br /> www.santa-ana.org/finance <br /> Item # 12 <br /> City of Santa Ana <br /> 20 Civic Center Plaza, Santa Ana, CA 92701 <br /> Staff Report <br /> March 3, 2026 <br /> TOPIC: Standards of Coverage / Emergency Medical Services Study <br /> AGENDA TITLE <br /> Agreement with PWW Advisory Group, LLC for Consultant Services to Conduct a <br /> Citywide Standards of Coverage / Emergency Medical Services Study (Specification No. <br /> 25-136) (General Fund) <br /> RECOMMENDED ACTION <br /> Authorize the City Manager to execute an agreement with PWW Advisory Group, LLC to <br /> conduct a Standards of Coverage / Emergency Medical Services Study in an amount not <br /> to exceed $154,983 for a term beginning March 3, 2026 and expiring March 2, 2027, with <br /> provisions for one 1-year extension (Agreement No. A-2026-XXX). <br /> GOVERNMENT CODE &84308 APPLIES: Yes <br /> DISCUSSION <br /> In 2012, the City of Santa Ana dissolved its municipal fire department, and began <br /> delivering fire suppression and Emergency Medical Services (EMS) through external <br /> contracts. Since this transition, the City has navigated significant complexities in <br /> managing its contracts with the Orange County Fire Authority (OCFA) and Falck Mobile <br /> Health, Inc. (Falck). <br /> Concerns regarding the EMS program have been voiced in the past; and during the FY <br /> 25-26 budget cycle, the City Council funded an additional ambulance unit. While the City <br /> expected this to improve response-time performance, it did not resolve the underlying <br /> challenges of contractual oversight. Recognizing a lack of in-house subject-matter <br /> expertise, staff issued Contractual Oversight Outsource for Emergency Medical Services <br /> (EMS) RFP 25-106 on August 21, 2025 for professional assistance. However, this RFP <br /> was later canceled for two reasons: proposals received were not what was requested, <br /> and staff determined it would be best to start with a comprehensive review of the City's <br /> entire EMS structure. <br /> Prior to the initial RFP, the City discovered its ambulance contract was unclear regarding <br /> response-time calculations, leading to disagreements between ambulance and fire on <br /> how response-time performance is measured. Additionally, the emergency dispatch <br /> City Council 12 — 1 3/3/2026 <br />