1-RFP - LIMITED LICENSE GROUND AMBULANCE INTERFACILITY TRANSPORT SERVICES 2026.pdf

26-308 - REQUEST FOR PROPOSALS

Limited License Ground Ambulance Interfacility Transport Services for St. George City, UT

St. George Fire Department and St. George Consolidated Communications Center

City of St. George, UT

BACKGROUND AND PURPOSE

The City of St. George, UT (“City”) is seeking proposals from qualified entities to provide

Limited Emergency Ambulance Ground Transport Services, specifically between the Saint

George Regional Airport (SGU) to the Saint George Regional Hospital, as well as return transportation when clinically and operationally appropriate. The purpose of this RFP is to secure timely and safe patient transfers between facilities.

The current provider of these services is Intermountain Health Flight and Ambulance

Services. The current provider is eligible and invited to submit a proposal. However, the City invites and will give full and fair consideration to proposals from all qualified providers.

Issuance of this RFP does not indicate any predetermined outcome. The City is required, however, to honor the statutory first right of the incumbent 911 provider in the City boundaries should that provider submit a proposal, as is required under Utah SB 215.

COST, QUALITY, AND ACCESS GOALS

• Cost Goals

• Operate the ambulance in a manner that is financially sustainable for both the City and the provider.

• Maximize use of available state/federal funding, grants, and partnerships.

• Ensure patient billing is accurate, transparent, and consistent with applicable regulatory and payer requirements.

• Minimize unnecessary costs and while ensuring continued efficiency and sustainability.

• Quality Goals

• Employ well-trained, licensed, and certified personnel.

• Maintain compliance with Utah BEMS requirements and applicable policies, procedures, and clinical standards.

• Maintain appropriate clinical equipment, medications, monitoring capabilities, and other resources necessary.

• Track and report key performance metrics (response times, patient outcomes, etc.)

• Ensure patient safety through proper protocols, continuing education, and risk management.

• Access Goals

• Maintain sufficient vehicles, equipment, and staff to service the route.

• Ensure equitable response and travel times between facilities.

SCOPE OF SERVICES

The selected provider(s) will be expected to:

• Provide EMS coverage in the designated zone(s) in alignment with St. George City’s

Cost, Quality, and Access goals.

• Maintain or contract trained and certified EMS personnel in compliance with state and federal requirements.

• Ensure timely response times and adequate staffing levels.

• Operate and maintain necessary equipment, vehicles, and facilities.

• Coordinate with local hospitals, fire departments, dispatch services, and emergency management agencies.

• Maintain at all times adequate insurance, in which St. George City is listed as an additional insured.

• For private insurers, the City expects at a minimum:

o General Liability: $1,000,000 per occurrence o General Annual Aggregate: $4,000,000 o Workers Compensation: Utah statutory limits

PROPOSAL REQUIREMENTS

Proposals must include, at a minimum:

1. Organizational structure.

2. Proof of licensure and certification to provide EMS services in Utah.

3. Proposed staffing plan and qualifications of key personnel.

4. Experience providing EMS services in rural areas, particularly in Utah.

5. Proposed budget and fee schedule with a clear explanation of cost structure.

6. Explanation of how the firm will meet St. George City’s Cost, Quality, and Access Goals.

7. Explanation of what equipment and facilities the firm will provide.

8. Identify billing practices and procedures.

EVALUATION CRITERIA

Proposals will be evaluated on the following criteria:

• Qualifications and experience of firm (30 points)

• Ability to provide adequate staffing and resources (30 points)

• Cost-effectiveness and financial sustainability (20 points)

• Commitment to Quality goals (10 points)

• Commitment to Access goals (10 points)

St. George City intends to award this Proposal to the Contractor that most closely meets the criteria established in the RFP. The award is contingent upon a contract being signed.

St. George City reserves the right to cancel or withdraw the RFP; reject any or all proposals or any part thereof; and disregard non-conforming, non-responsive, unbalanced or conditional proposals, to negotiate with any qualified proposer and to re-advertise if it is in the best interest of the City to do so and in compliance with the City Code.

TIMELINE

• RFP Release Date: 10/30/2026

• Proposal Submission Deadline: 1200 hours on 11/09/2026

• (no proposals will be accepted after this date)

• Anticipated Award Date: 11/19/2026

• Contract Start Date: 12/01/2026

Proposers will agree to indemnify, defend, and hold harmless St. George City, its elected officials, officers, agents, employees, and volunteers from all damages, costs or expenses in law or equity, including attorney’s fees, that may at any time arise or be set up because of damages to property, bodily injury, or personal injury received by reason of or in the course of providing goods or services to St. George City, which may be occasioned by any willful, negligent, or wrongful act or omission of that contracting party, any of its employees, or any subcontractors.

TERM AND ENGAGEMENT STRUCTURE

The City anticipates entering into an initial agreement for a period to be specified in the final contract documents, with options for renewal contingent upon satisfactory performance and the ongoing operational needs of the St. George Fire Department and the St. George Consolidated

Communications Center. The selected firm may be engaged as an independent contractor or through a practice group arrangement, subject to the contracting requirements, insurance standards, and procurement policies of the City. All services shall be performed in compliance with applicable provisions of Utah law and any requirements established by the City's risk management program.