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P8 - Fire EMS RFP and AP Triton Contract

Paso Robles City Council
September 16, 2025

Document
P8 - Fire EMS RFP and AP Triton Contract
Meeting
September 16, 2025
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Paso Robles City Council
Original file
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San Luis Obispo County EMS Partnership
Competitive Bidding
SLO County Purchasing Rules
• Any services $100,001 or greater requires a Request for Proposal CA Emergency Medical Services Authority
• Explicitly explains that under CA H&S §1797.224 requires a competitive process held at periodic intervals
Collaborative Approach to Ambulance Service Delivery
 Unified System Oversight – One coordinated framework where all cities and Fire Chiefs work toward common service goals
 Financial Reinvestment – Ensures revenues stay local and are reinvested  Improved Accountability – Increases transparency, oversight, and community input  Flexibility and Innovation – Adaptive services to meet emerging community needs  Regional Resilience – Shared resources improve system preparedness and response to disasters, large-scale emergencies, or surges in call volume

MISSION
A regional commitment to providing equitable
prehospital Emergency Medical Services through
transparency, accountability, and fiscal sustainability Competitive Bidding
First time in County’s history to conduct competitive process ambulance services Reason to go out to competitive bids:
 Compliance with state law
 Ensure accountability and transparency
 Opportunity for improved services
 Promotes competition for competitive rates
 Drive higher clinical standards
 Encourage innovative service models
 Meet changing community needs
What is the EMS Alliance Model?
 A public-private partnership framework for delivering emergency medical services (EMS).
 Fire department serves as the lead agency coordinating ambulance services.  Combines the strengths of a public agency to subcontract with a private ambulance provider under one coordinated system.
 Ensures all revenue exceeding operational cost is reinvested into EMS system enhancements.

Benefits of the Alliance Model
 Innovative EMS delivery model with oversight provided by the seven city managers.
 Enhance service delivery with greater local involvement and oversight.  Foster regional cooperation by uniting the cities, community service districts, county, and fire agencies in a shared vision for EMS improvement.  Support proactive and preventative programs addressing mental health, substance abuse, and services for unhoused community members.  Revenue reinvested back into the EMS system to improve public health outcomes.

Recommendation
 Approve participation in the County RFP process and authorize the city manager to execute an agreement with AP Triton for consultant services.

Revolutionizing the EMS System

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