1-26-52RFQ Medical Direction.pdf

City of McKinney, RFQ Number- 26-52RFQ

REQUEST FOR QUALIFICATIONS (“RFQ”) FOR

MCKINNEY FIRE DEPARTMENT MEDICAL DIRECTION

FOR

THE CITY OF MCKINNEY, TEXAS

RFQ No. 26-52RFQ

ISSUED

FRIDAY, FEBRUARY 27, 2026

Submittals will be accepted electronically on the City’s electronic procurement portal, Bonfire, or by mail or hand delivery no later than

2:00 p.m. CST, Thursday, March 26, 2026, to:

City of McKinney Attn: Procurement Services

401 E. Virginia Street McKinney, Texas 75069

City of McKinney, Texas – RFQ No. 26-52RFQ Page 2 of 24

TABLE OF CONTENTS

LEGAL NOTICE

SECTION 1 - NOTICE TO RESPONDENTS

1.1 REQUEST FOR QUALIFICATIONS (RFQ) NOTICE:

1.2 SUBMITTAL FORMAT:

1.3 SUBMITTAL DEADLINE:

1.4 PLACE FOR SUBMISSION:

1.5 INQUIRIES AND INTERPRETATIONS:

1.6 PUBLIC INFORMATION:

1.7 RESPONDENT'S ACCEPTANCE OF EVALUATION METHODOLOGY:

1.8 RESPONDENT'S COMMITMENT:

1.9 RESPONDENTS ELIGIBILITY:

1.10 KEY EVENTS SCHEDULE:

1.12 INSURANCE REQUIREMENTS:

SECTION 2 - INTRODUCTION

2.1 BACKGROUND AND SPECIAL CONCERNS:

2.2 SELECTION CRITERIA:

2.3 STATUTORY REQUIREMENTS FOR A PROFESSIONAL SERVICES

CONTRACT UNDER CHAPTER 2254 – PROFESSIONAL AND CONSULTING

SERVICES OF THE TEXAS GOVERNMENT CODE AND CITY REQUIREMENTS: 14

2.4 SELECTION PROCESS:

2.5 SCOPE OF WORK:

SECTION 3 - SUBMITTAL REQUIREMENTS

3.1 GENERAL INSTRUCTIONS:

3.2 PREPARATION AND SUBMITTAL INSTRUCTIONS:

3.3 PRICING:

3.4 SUBMITTAL CHECKLIST:

SECTION 4 – RESPONSE LETTER TO RFQ NO. 26-52RFQ

SECTION 5 - REFERENCES

SECTION 6 - CERTIFICATE OF INTERESTED PARTIES (FORM 1295)

City of McKinney, Texas – RFQ No. 26-52RFQ Page 3 of 24

LEGAL NOTICE

City of McKinney, Texas

Advertisement for Submittals

The City of McKinney is accepting statements of qualifications from qualified physicians or medical groups who can demonstrate the resources, experience, and credentials necessary to provide comprehensive Medical Direction services for the McKinney Fire Department.

These on-call professional services will support emergency medical services (EMS) operations, including but not limited to clinical oversight, protocol development, quality improvement, training support, and medical consultation. Documents related to this request may be obtained through the City’s electronic procurement system at https://mckinneytexas.bonfirehub.com/

The opening of Submittals broadcast via video conference meeting hosted inside City Hall at the address below. Each Respondent’s name will be read aloud shortly after the specified time for delivery. Respondents are strongly encouraged to attend virtually versus in-person by following the meeting details outlined in Bonfire.

Submittal Deliveries: It is the Respondent’s obligation to timely submit their response to this Advertisement for Proposals. The City encourages all submittals be submitted electronically on the City’s electronic procurement portal. However, the City will also accept paper submittals, if received on or before the due date and time listed below. The City of McKinney cannot guarantee that the electronic procurement portal will be fully operational and capable of always receiving and processing submittals prior to the closing date and time. Similarly, the city of McKinney cannot guarantee, due to internal mail delivery procedures, that any submittal sent priority mail will be picked up from the post office by city mail employees and delivered to Procurement Services by the closing date and time. It is recommended that submittal deliveries be made either in person or via an alternate delivery method ensuring delivery to the physical address. Respondent shall bear full responsibility for ensuring the submittal is delivered to the specified location by the due date and time. Late submittals will be rejected as non-responsive. All hard copy submittals must be clearly addressed to Procurement Services and include the submittal name and number on the outside of the envelope/package.

RFQ NAME: McKinney Fire Department Medical Direction

RFQ NUMBER: 26-52RFQ

DUE DATE/TIME: 2:00 p.m., March 26, 2026

MAIL OR DELIVER TO: City of McKinney Procurement Services 401 E. Virginia Street McKinney, Texas 75069

The City reserves the right to reject any and all submittals and to waive any informality in submittals received, deemed to be in the best interest of the City. No officer or employee of the City of McKinney shall have a financial interest, direct or indirect, in any contract with the City of McKinney.

https://mckinneytexas.bonfirehub.com/

City of McKinney, Texas – RFQ No. 26-52RFQ Page 4 of 24

In accordance with the Americans with Disabilities Act, it is the policy of the City of McKinney to offer its public programs, services and meetings in a manner that is readily accessible to everyone, including individuals with disabilities. If you are a person with a disability and require information or materials in an appropriate alternative format; or if you require any other accommodation, please contact the ADA Coordinator at least 48 hours in advance of the event. contact-adacompliance@mckinneytexas.org.

First Publication: February 27, 2026 Second Publication: March 6, 2026 mailto:contact-adacompliance@mckinneytexas.org

City of McKinney, Texas – RFQ No. 26-52RFQ Page 5 of 24

SECTION 1 - NOTICE TO RESPONDENTS

1.1 REQUEST FOR QUALIFICATIONS (RFQ) NOTICE:

RESPONDENTS ARE CAUTIONED TO READ THE INFORMATION CONTAINED

IN THIS RFQ CAREFULLY AND TO SUBMIT A COMPLETE RESPONSE TO ALL

REQUIREMENTS AND QUESTIONS AS DIRECTED.

1.2 SUBMITTAL FORMAT:

Responses must comply with the submittal requirements set out in this RFQ.

1.3 SUBMITTAL DEADLINE:

The City will accept responses to this RFQ until the date and time listed in Section 1.10, after which time all responses timely received will be publicly opened, and the names of the Respondents read aloud. Responses received after the submittal deadline will not be considered.

1.4 PLACE FOR SUBMISSION:

Responses are encouraged to be submitted electronically on the City’s electronic procurement portal, Bonfire. First-time users should consider submitting their SOQ early to ensure receipt. Hard copy submissions will also be accepted at City of McKinney, City Hall by mail or hand delivery and shall be marked as follows:

McKinney Fire Department Medical Direction

Attn: Procurement Services 401 E. Virginia Street

McKinney, Texas 75069

It is the responsibility of each Respondent to ensure responses are submitted in a timely manner. The City is not responsible for delays in mail delivery or failure of couriers to deliver responses prior to the expiration of the submission deadline. The City shall not be obligated to reimburse any expenses incurred by any Respondents in preparing their response.

1.5 INQUIRIES AND INTERPRETATIONS:

Responses to inquiries which directly affect an interpretation or change to this RFQ shall be issued in writing by addendum and made available to all parties recorded by the City as having received a copy of the RFQ. All questions related to this RFQ must be submitted via the “Public Q&A” section related to this project, on the City of McKinney’s electronic procurement portal by the time and date listed in Section 1.10.

All such addenda issued by the City prior to the last date that submittals are required to be received shall be considered part of the RFQ, and the Respondent shall be required to consider and acknowledge receipt of such in its response. Firms receiving this RFQ other than directly from the City are responsible for notifying the City that they are in receipt of a submittal package and are to provide a name and address in

City of McKinney, Texas – RFQ No. 26-52RFQ Page 6 of 24 the event an addendum is issued. It is the obligation of the Respondent to make sure that it has received all addenda prior to submission of its response.

Only those responses to inquiries, which are made by formal written addenda, shall be binding. Oral and other interpretations or clarifications will be without legal effect and shall not be binding on the City. The Respondent must acknowledge receipt of all addenda in its response.

1.6 PUBLIC INFORMATION:

The City considers all information, documentation, and other materials requested to be submitted in response to this solicitation to be of a non-confidential and / or non-proprietary nature and therefore shall be subject to public disclosure under the Texas Public Information Act (Texas Government Code, Chapter 552.001, et seq.) after a contract is awarded.

Respondents are hereby notified that the City strictly adheres to all statutes, court decisions, and opinions of the Texas Attorney General with respect to disclosure of public information.

1.7 RESPONDENT'S ACCEPTANCE OF EVALUATION METHODOLOGY:

WAIVER OF CLAIMS: Each Respondent by submission of a response to this RFQ waives any claims it has or may have against the City and the City’s Representative(s) in this process and their respective employees, officers and elected officials, members, directors and partners, agents and representatives regarding the administration of the RFQ process, the RFQ evaluation, and the critique and selection of qualified Respondents. Submission of a qualifications statement indicates the Offeror’s and Respondent’s acceptance of the evaluation technique set out in this Request. In this regard, Respondent acknowledges that the selection process and evaluations of responses submitted constitute public information under Texas law and Respondent waives any claim it has or may have regarding any information contained in or derived from such evaluations

1.8 RESPONDENT'S COMMITMENT:

Respondent understands and agrees that the City has the ability to terminate its selection process at any time, and to reject any and all responses, or any and all submittals, and that the City has made no representation, written or oral, that it will award a contract for these project(s). Furthermore, Respondent recognizes and understands that any cost incurred by the Respondent which arises from Respondent’s submittal of a response to this RFQ, or any subsequent submittal to the City’s future RFQ for Professional Services, if applicable, shall be the sole responsibility of Respondent.

1.9 RESPONDENTS ELIGIBILITY:

City of McKinney, Texas – RFQ No. 26-52RFQ Page 7 of 24

Only individual firms or formal joint ventures may respond to this RFQ. Two firms may not respond jointly unless they have formed a joint venture. (This does not preclude a Respondent from having sub-consultants.)

Any firms obligated by law to register with the Texas Secretary of State must include their filing number on the Response Letter. Responses from entities that are required to register and maintain an active right to transact business in Texas but fail to provide a filing number or lack an active right to transact business, may be deemed non-responsive and subsequently rejected.

1.10 KEY EVENTS SCHEDULE:

The tentative timeline established by the City for its selection process is:

Issue RFQ: Friday, February 27, 2026 Interpretation Deadline: 2:00 PM CST, Thursday, March 12, 2026 RFQ Deadline: 2:00 PM CST, Thursday, March 26, 2026

This timeline is subject to change by City.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 8 of 24

1.12 INSURANCE REQUIREMENTS:

The successful Respondent will be required to obtain the following insurance:

A. Before commencing work, the FIRM shall, at its own expense, procure, pay for and maintain the following insurance written by companies approved by the state of Texas and acceptable to the City. The firm shall furnish to the City of McKinney Procurement Services Manager certificates of insurance executed by the insurer or its authorized agent stating coverage, limits, expiration dates, and compliance with all applicable required provisions. Certificates shall reference the project/contract number and be addressed as follows:

McKinney Fire Department Medical Direction City of McKinney – Procurement Services

P.O. BOX 517

McKinney, Texas 75070 or email to: procurement@mckinneytexas.org

1) Commercial General Liability insurance, including, but not limited to

Premises/Operations, Personal & Advertising Injury, Products/Completed Operations, Independent Contractors and Contractual Liability, with minimum limits of $1,000,000 per-occurrence and $2,000,000 general aggregate. Coverage must be written on an occurrence form. The General Aggregate shall apply on a per project basis.

2) Workers’ Compensation insurance with Texas statutory limits; and

Employers’ Liability coverage with minimum limits for bodily injury: a) by accident, $500,000 each accident, b) by disease, $500,000 per employee with a per policy aggregate of $500,000.

3) Business Automobile Liability insurance covering owned, hired and non-owned vehicles, with a minimum combined single limit of $1,000,000.

4) Professional Liability Insurance to provide coverage against any claim which the CONSULTANT becomes legally obligated to pay as damages arising out of the performance of professional services caused by error, omission or negligent act with minimum limits of $1,000,000 each occurrence and $2,000,000 aggregate.

NOTE: If the insurance is written on claims-made form, coverage shall be continuous (by renewal or extended reporting period) for not less than thirty-six (36) months following completion of the contract and acceptance by the City of McKinney.

B. With reference to the foregoing required insurance, the FIRM shall endorse applicable insurance policies as follows:

mailto:procurement@mckinneytexas.org

City of McKinney, Texas – RFQ No. 26-52RFQ Page 9 of 24

1) A waiver of subrogation in favor of City of McKinney, its officials, employees, and officers shall be contained in the Workers’ Compensation insurance policy.

2) The City of McKinney, its officials, employees, and officers shall be covered as additional insureds on the Commercial General Liability and Business Automobile Liability policies.

3) Polices of insurance shall not be cancelled non-renewed, terminated, or materially changed unless and until thirty (30) days’ notice has been given.

C. Insurance limits can be met with a combination of primary and excess/umbrella coverage.

A. All insurance shall be purchased from insurance companies that meet a financial rating of A-VI or better as assigned by the A.M. BEST Company or equivalent.

B. The FIRM shall require any contractors, sub-contractors, and other persons doing business with or for the FIRM related to work to maintain at least the insurance as required, or their liability shall be covered by the FIRM.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 10 of 24

SECTION 2 - INTRODUCTION

2.1 BACKGROUND AND SPECIAL CONCERNS:

A. The City of McKinney, Texas (City) is seeking Statements of Qualifications (SOQ) from qualified physicians or medical groups who can demonstrate the resources, experience, and professional credentials necessary to provide comprehensive Emergency Medical Services (EMS) Medical Direction for the McKinney Fire Department.

The McKinney Fire Department (MFD) is a full-service, career fire and emergency medical services (EMS) agency providing comprehensive emergency response to the City of McKinney, Texas, and its extraterritorial jurisdiction through an integrated, fire-based EMS delivery model. MFD operates ten (10) strategically located fire stations staffed by approximately 248 certified firefighters, EMTs, and paramedics, ensuring consistent and timely emergency response to a rapidly growing and diverse community.

MFD responds to approximately 22,000 calls for service annually, with nearly 15,000 medical incidents each year, demonstrating that EMS services represent the primary operational focus of the department. Advanced life support services are provided by paramedic-staffed units operating under established medical direction and evidence-based clinical protocols, supporting high-quality prehospital care, favorable patient outcomes, and system reliability.

The department maintains strong professional relationships with multiple healthcare and public safety organizations, including regional hospitals, medical vendors, and nationally recognized professional associations such as the American Heart Association. In addition, MFD operates a Mobile Integrated Health Team that proactively engages the community and is staffed by a nurse practitioner and a firefighter/paramedic, further enhancing continuity of care, community health outcomes, and system efficiency.

EMS Medical Direction

Services under this category shall include the provision of Emergency Medical Services (EMS) Medical Direction for the McKinney Fire Department in accordance with applicable federal, state, and local laws, regulations, and standards, including the Texas Administrative Code and Texas Health and Safety Code. The Medical Director shall provide medical oversight and clinical accountability for EMS operations. Scope of services may include, but is not limited to: development, implementation, review, and approval of patient care protocols and treatment guidelines; quality assurance and quality improvement activities; review of patient care reports; participation in EMS training and continuing education; medical consultation and guidance to EMS personnel; involvement in system planning, policy development, and performance improvement initiatives; participation in case reviews, committees, and meetings; coordination with local, regional, and state EMS agencies; and other services necessary to ensure compliance and support the delivery of safe, effective, and medically appropriate prehospital care.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 11 of 24

B. Each physician or firm is responsible for ensuring the SOQ is responsive. Please comply with the instructions in Section 3 – Submittal Requirements. Only physicians or firms with relevant EMS Medical Direction experience should submit.

The SOQ must include the following:

• A proposed project team (including an organizational chart and team member qualifications/experience) containing the names and associated contact information of the prime provider and any sub-provider’s key personnel proposed for the team and their contract responsibilities/role(s).

Team sub-categories/tasks provided in the organizational chart are to be developed by each respondent and should cover all major work categories/tasks applicable to the services to be provided. Team member experience should be provided, at a minimum, for all major team task leads and include their home office location, key qualifications/certifications, and brief resume overview specific to the services being requested. All proposed team individuals must be currently employed by either the physician or firm. Any subsequent changes to key members of the project team after selection must be approved in writing by the City prior to any further contracts being awarded.

• Provide information showing the team’s experience with medical direction within the past five (5) years, including the experience of related projects.

For each experience listed, clearly describe the task and roles of the team and the work they performed.

• Provide contact information for at least three (3) professional references from public-sector agencies for similar projects. Reference information must include the contact’s name, organization, title, phone number, and email address, and must be submitted using the supplemental reference form. References may include additional project references in the Statement of Qualifications (SOQ).

• All other content provided is solely the responsibility of the respondent. It is the responsibility of the respondent to be sure that the response provides sufficient detail and clarity to evaluate the respondent’s ability to perform the professional Medical Direction services requested.

2.2 SELECTION CRITERIA:

A. All SOQs submitted will be evaluated by the Selection Committee. All responses will be reviewed for completeness and may be considered as non-responsive if they fail to provide the requested information or adhere to the guidelines outlined in this RFQ. All responses must provide sufficient detail to evaluate the respondent’s ability to perform the professional services requested. The review of the SOQ will be based on the following selection criteria and grouped into point factors.

Scale: 100 points; 125 points with interviews (if desired).

City of McKinney, Texas – RFQ No. 26-52RFQ Page 12 of 24

MEDICAL DIRECTION TEAM AND ORGANIZATIONAL STRUCTURE (15

POINTS)

Respondents shall demonstrate their ability to provide a qualified, adequately staffed Medical Direction team. At a minimum, SOQs shall include:

• Identification of the proposed Medical Director, Assistant Medical

Director(s), QA/QI personnel, Nurse Practitioner(s) (if applicable), and administrative/support staff.

• Description of the organizational structure, lines of authority, and coverage model, including on-call and consult availability.

• An organizational chart clearly identifying all proposed team members, their roles, reporting relationships, and level of involvement with MFD.

• Description of minimum qualifications, licenses, certifications, and relevant experience of the Medical Director and key personnel, with emphasis on fire-based EMS systems.

• Description of professional liability and insurance coverage applicable to Medical Direction services, including coverage related to paramedics, dispatch, and Nurse Practitioner activities, if applicable.

RELEVANT EXPERIENCE AND PAST PERFORMANCE (15 POINTS)

Respondents shall demonstrate experience providing Medical Direction services to EMS agencies of comparable scope and complexity. Evaluation will consider:

• Experience providing Medical Direction to fire-based EMS systems.

• Experience with agencies of similar size, call volume, staffing, and service delivery model.

• Demonstrated outcomes, system improvements, or performance enhancements attributable to the respondent’s Medical Direction services.

• For each representative engagement, respondents shall provide:

o Agency name and location o Scope of services provided o Role of the respondent and key personnel o Duration of services and current or completion status o Applicable system metrics (e.g., call volume, unit count)

The City reserves the right to verify experience and past performance through reference checks.

SERVICE DELIVERY APPROACH AND OPERATIONAL METHODOLOGY

(40 POINTS)

Respondents shall describe their proposed approach to providing Medical Direction services to MFD. Responses shall, at a minimum, address the following:

Continuing Education (CE)

• Description of the respondent’s CE philosophy and delivery methodology.

• Use of blended learning models, including in-person and online delivery.

• Emphasis on hands-on training for new skills and concepts.

• Availability of station-level, small-group, or shift-based training.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 13 of 24

• Ability to integrate CE with QA/QI findings and protocol updates.

• Ability to allow MFD personnel to deliver or supplement CE under Medical

Direction.

Protocol Development and Access

• Protocol development based on the EMS department or physician group and ability to customize for operational needs

• Proposed protocol format(s) (flowchart-based, narrative, or hybrid).

• Ability to develop, maintain, and update protocols in multiple formats.

• Availability of electronic or application-based access to protocols.

• Description of evidence-based development, review, and update processes.

Availability and Field Engagement

• Description of availability standards for medical consults.

• Approach to ride-outs and field engagement, including station-level interaction.

• Participation expectations in training and operational activities.

SERVICE QUALITY, INNOVATION, AND ADDED VALUE (15 POINTS)

Respondents shall describe their ability to provide value beyond baseline Medical Direction services. Evaluation will consider:

• Experience implementing or supporting innovative practices, including but not limited to telemedicine, point-of-care ultrasound, data analytics, Mobile Integrated Health (MIH), and community health initiatives.

• Ability to propose, implement, and evaluate innovations tailored to MFD.

• Experience collaborating with hospitals, public health agencies, and partner organizations.

• QA/QI philosophy emphasizing timely, actionable, and educational feedback, including recognition of high-quality care.

• Description of QA/QI framework, reporting cadence, and performance metrics tracked (e.g., ROSC, STEMI identification accuracy, pain management effectiveness).

• Experience supporting dispatch-specific protocols and Emergency Medical Dispatch (EMD) systems.

• Innovative processes, tools, and/or ideas which could provide value to the

MFD

NURSE PRACTITIONER SERVICES/MOBILE INTEGRATED HEALTH

PROGRAM (15 POINTS)

Respondents shall describe:

• Ability to provide Nurse Practitioner (NP) support under Medical Direction.

• Experience with Fire Department based Mobile Integrated Health programs

• Experience with community education programs and community involvement.

INTERVIEW (IF DESIRED) (25 POINTS)

City of McKinney, Texas – RFQ No. 26-52RFQ Page 14 of 24

• Proposed project team presentation

• Interaction with physicians or firm

• Communication skills

• Response to interview questions

The top ranked firms may be asked to meet with the City and make oral presentations. However, the City may make a selection directly from the written submittals due to the time sensitivity of the projects. The City reserves the right without prejudice to reject any or all submittals.

2.3 STATUTORY REQUIREMENTS FOR A PROFESSIONAL SERVICES CONTRACT

UNDER CHAPTER 2254 – PROFESSIONAL AND CONSULTING SERVICES OF

THE TEXAS GOVERNMENT CODE AND CITY REQUIREMENTS:

A. The City is accepting qualifications for a professional medicine services contract, pursuant to Section 2254 et seq. of the Texas Government Code, in accordance with the terms, conditions, and requirements set forth in this RFQ.

B. The City of McKinney requires ethical behavior and compliance with the law from all individuals and companies with whom it does business.

2.4 SELECTION PROCESS:

A. Selection Process:

1. The City has prepared this RFQ and will evaluate each respondent's experience, technical competence, capability to perform, past performance of the respondent's team and members of the team, and other appropriate factors submitted by the team or firm. Cost-related or price-related evaluation factors will not be used. Each respondent must certify to the City that each physician that is a member of its team was selected based on demonstrated competence and qualifications in the manner provided by Section 2254.004, Government Code. The City shall review written responses and rank Respondents on demonstrated competence, qualifications, and responsiveness to the RFQ.

2. CONTRACTS – One contract will be awarded for the medical direction services identified in the RFQ over a five (5) year period following the submittal date. Firms will be expected to execute the City’s standard professional services contract and to comply with the requirements outlined therein.

3. The City may request additional information regarding demonstrated competence and qualifications, the feasibility of implementing these project(s) as proposed, the ability of the respondent to meet schedules, or other factors as appropriate.

B. The successful Respondents will enter into a Professional Services Contract with the City.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 15 of 24

C. Upon execution of the Contract, the Firm must show ability to provide the City required insurance outlined in Section 1.12.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 16 of 24

2.5 SCOPE OF WORK:

A. Project Scope, Schedule: Information about scope and schedule follows:

1. General Scope of Services

Following selection, the selected respondent (Medical Direction Provider) shall provide comprehensive Medical Direction services to the McKinney Fire Department (MFD) as directed by the Fire Chief or their designated representative.

Services shall include, but are not limited to, medical oversight, protocol development, quality assurance/quality improvement (QA/QI), continuing education, field engagement, and clinical consultation in support of MFD EMS operations.

2. Coordination and Meetings

As required, the Medical Direction Provider shall:

• Meet with City and MFD staff to review service expectations, operational needs, and priorities.

• Establish Medical Direction standards, communication protocols, and reporting requirements.

• Become familiar with MFD operations, system concerns, performance goals, and stakeholder expectations.

Meetings may include leadership staff, EMS administration, training personnel, QA/QI staff, and other stakeholders as directed by the City.

3. Scope of Work Tasks

The following tasks are assumed necessary to fulfill the Medical Direction services under this RFQ. The City reserves the right to modify or expand tasks as operational needs require.

a) Medical Oversight and Clinical Support

• Provide continuous Medical Direction and clinical oversight for MFD EMS personnel.

• Establish and maintain standards for medical consult availability.

• Provide guidance related to clinical decision-making, scope of practice, and patient care issues.

b) Protocol Development and Maintenance

• Develop, review, update, and maintain evidence-based EMS protocols tailored to MFD operations.

• Provide protocols in agreed-upon formats (flowchart-based, narrative, or hybrid).

• Ensure protocols comply with all applicable local, state, and federal regulations.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 17 of 24

• Maintain electronic and/or application-based access to current protocols.

c) Quality Assurance / Quality Improvement (QA/QI)

• Establish and maintain a structured QA/QI program.

• Conduct regular case reviews and performance evaluations.

• Provide timely, actionable, and educational feedback to EMS personnel.

• Track and report agreed-upon performance metrics (e.g., ROSC, STEMI identification accuracy, pain management effectiveness).

• Recognize and document high-quality care and exemplary performance.

d) Continuing Education and Training

• Develop and deliver a blended continuing education program, including in-person and online instruction.

• Provide hands-on training for new skills and concepts.

• Support station-level, small-group, or shift-based training as needed.

• Integrate CE with QA/QI findings, protocol changes, and system needs.

• Allow MFD personnel to deliver or supplement CE under Medical

Direction, as approved.

e) Field Engagement and Ride-Outs

• Participate in “ride-outs” focused on provider engagement, education, and relationship-building.

• Conduct station-level teaching and discussion during ride-outs, as appropriate.

• Assign Medical Directors to stations rather than individual vehicles, with rotation throughout the year.

f) Innovation, Community Health, and MIH Support

• Support and advise on innovations such as point-of-care ultrasound, data analytics, and Mobile Integrated Health (MIH).

• Collaborate with MFD on community health initiatives and outreach efforts.

• Coordinate with hospitals, public health agencies, partner organizations, and high call volume facilities.

g) Dispatch Integration

• Provide Medical Direction support for dispatch-related protocols and Emergency Medical Dispatch (EMD) systems.

• Coordinate Medical Direction activities with dispatch operations, as applicable.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 18 of 24

h) Nurse Practitioner Services/Mobile Integrated Health Services

• Ability to provide Nurse Practitioner (NP) support under Medical Direction, including license and insurance coverage

• Provide guidance, support, and engagement with the Fire Department based Mobile Integrated Health programs

• Provide guidance, support and engagement with community education programs and community involvement.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 19 of 24

SECTION 3 - SUBMITTAL REQUIREMENTS

3.1 GENERAL INSTRUCTIONS:

A. Respondents should carefully read the information contained herein and submit a complete response to all requirements and questions, as directed.

B. Responses and any other information submitted by Respondents in response to this RFQ shall become the property of the City.

C. The City will not provide compensation to Respondents for any expenses incurred by the Respondent(s) for submittal preparation or for any demonstrations that may be made, unless otherwise expressly stated or required by law. Respondents submit qualifications and other submittal information in response to this RFQ at their own risk and expense.

D. Responses which are incomplete or qualified with conditional clauses, or alterations, or items not called for in the RFQ documents, or irregularities of any kind, are subject to disqualification by the City, at its option. The City reserves the right to waive any irregularity or informality in a response or submittal.

E. Each response should be prepared simply and economically, providing a straightforward, concise description of the Respondent’s ability to meet the requirements of this RFQ. Emphasis should be on completeness, clarity of content, responsiveness to the requirements, and an understanding of the City's needs.

F. The City makes no guarantee that an award will be made as a result of this

RFQ or any subsequent RFQ, and reserves the right to accept or reject any or all submittals, waive any formalities, irregularities, or minor technical inconsistencies, or delete any item / requirements from this RFQ or contract when deemed to be in the City's best interest. Representations made within the submittal will be binding on responding firms.

G. Failure to comply with the requirements contained in this RFQ may result in a finding that the Respondent is not qualified and is ineligible to submit a submittal in response to any subsequent RFQ.

H. Only individual firms or formal joint ventures may apply. Two firms may not apply jointly unless they have formed a joint venture. Any associates will be disqualified. (This does not preclude a Respondent from having sub-consultants.)

3.2 PREPARATION AND SUBMITTAL INSTRUCTIONS:

A. Respondents must complete, sign and return the attached Response Letter to

RFQ as part of their submittal. Respondent’s company official(s) authorized to execute such submittals on behalf of Respondent must sign submittals. Failure to sign and return these forms will subject your submittal to disqualification.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 20 of 24

B. Page Limits, Size, Binders and Dividers:

Submittals are limited to twenty (20) pages. Pages printed front and back will constitute two (2) pages with each page numbered consecutively. Any submittal exceeding the 20-page limit may be disqualified.

Covers, a one-page maximum cover letter, table of contents, and dividers will not count against the page limit, provided no additional information is included on these pages.

Resumes will count against the page limit.

Supplemental forms (Response Letter and Reference Page) requested in this RFQ will not count towards the page limit and should be included in an appendix or attachment.

All pages must be 8-1/2” x 11” and must use a 12-point font size in Arial font style (or similar standard font type).

C. Pagination:

All pages of the submittal should be numbered sequentially in Arabic numerals (1, 2, 3, etc.). Attachments should be numbered or referenced separately.

D. Number of Copies:

The City encourages all responses to be submitted electronically on the City’s electronic procurement portal, Bonfire, however hard copy submissions will also be accepted as outlined in Section 3.2.E.

Respondents submitting electronically shall provide one (1) pdf file with all documents requested in this RFQ.

Respondents submitting hard copy shall provide one (1) original, so labeled, and one (1) electronic PDF copy (USB) of all documents requested in this RFQ.

E. Hard Copy Submission:

The SOQ shall be manually signed in ink by a person having the authority to submit the firm’s information and qualifications.

The materials submitted must be enclosed in a sealed envelope (or box or container); the following information must be clearly visible on the outside: the submittal deadline; the RFQ number; Name, telephone number, and the return address of the Respondent.

Late submittals properly identified will be returned to Respondent unopened.

Late submittals will not be considered under any circumstances.

City of McKinney, Texas – RFQ No. 26-52RFQ Page 21 of 24

Telephone (PHONE) submittals are not acceptable when in response to the

RFQ.

Facsimile (FAX) submittals are not acceptable when in response to this RFQ.

Internet (E-mail) submittals are not acceptable when in response to this RFQ.

3.3 PRICING:

Submittals shall not include proposal of fees, pricing, or other compensation.

Pricing will be solicited from firms qualified by the City at a later time.

3.4 SUBMITTAL CHECKLIST:

Respondents are instructed to complete, sign, and return the following documents as a part of their submittal. Failure to return these documents may subject your submittal to disqualification.

• Respondent’s Responses to Requested Information

• Signed and Completed Response Letter to RFQ (Section 4)

• Reference page (Section 5)

City of McKinney, Texas – RFQ No. 26-52RFQ Page 22 of 24

SECTION 4 – RESPONSE LETTER TO RFQ NO. 26-52RFQ

Tracey Epps, NIGP-CPP, CPPO Procurement Services Manager 401 E. Virginia Street McKinney, Texas 75069

Mrs. Epps, This response is being submitted by the undersigned, on behalf of the Respondent

The person signing this response on behalf of the Respondent represents to the City that:

1) The information provided herein is true, complete and accurate to the best of the knowledge and belief of the undersigned; and

1) Respondent has received the Addenda to this RFQ, specifically,

• Addenda numbered ______ and dated ________________.

3) Respondent’s Texas Secretary of State Filing

Number_____________________________

Executed this ______ day of _________________________, 2026

RESPONDENT:

By:

Name:

Title :

Email : ______________________________

City of McKinney, Texas – RFQ No. 26-52RFQ Page 23 of 24

SECTION 5 - REFERENCES

List at least three (3) companies or governmental agencies (preferably a municipality) where the same or similar products and/or services as contained in this specification package were recently provided.

COMPANY NAME

Contact Person Title

Address PO Box City

State Zip e-mail

Phone Number Fax Number

City of McKinney, Texas – RFQ No. 26-52RFQ Page 24 of 24

SECTION 6 - CERTIFICATE OF INTERESTED PARTIES (FORM 1295)

(Required by Awarded Vendor(s) Only)

In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The disclosure requirement applies to a contract entered on or after January 1, 2016.

Filing Process:

The commission has made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the City of McKinney.

The City of McKinney must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. The commission will post the completed Form 1295 to its website within seven business days after receiving notice from the City of McKinney.

Form Availability:

Certificate of Interested Parties Form is available from the Texas Ethics Commission website at the following address:

https://www.ethics.state.tx.us/filinginfo/1295/

For questions regarding and assistance in filling out this form, please contact the Texas Ethics Commission at 512-463-5800.

http://www.legis.state.tx.us/tlodocs/84R/billtext/html/HB01295F.htm https://www.ethics.state.tx.us/filinginfo/1295/