2026_RFP_Emergency_Medical_Services_Scope_of_Work.pdf

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SCOPE OF WORK/REQUIREMENTS FOR BIDDERS/RESPONDENTS FOR

EMERGENCY MEDICAL SERVICES WITH

MOBILE INTENSIVE CARE AMBULANCE SERVICE

I. INTRODUCTION

Intent and Purpose

The CITY OF EDINBURG seeks proposals from qualified providers for 9-1-1 Emergency Medical Services with Mobile Intensive Care Ambulance Service.

In summary, the purpose of the proposal process is to determine from the proposals received which provider can best ensure that properly trained and certified personnel will provide timely emergency medical care to patients at the scene of their illness or injury, and then transport the patient to an appropriate treatment facility in the shortest practicable time utilizing safe and clean vehicles and provide the most reliable, safe and effective services to those served.

Conditions of Proposal

1. Proposals must be received no later than January 6, 2026 until 3:00 p.m. at the City of Edinburg City Secretary’s Office.

Hand-deliver RFP’s: 415 W. University Drive, Edinburg, TX 78541-City Secretary (1st Fl.)

If using Land Courier (i.e., FedEx, UPS): 415 W. University Drive, Edinburg, TX 78541 Mail RFP’s: P.O. Box 1079, Edinburg, TX 78540-1079

Electronic Filing: https://procurement.opengov.com/portal/cityofedinburg

If submitting a hardcopy envelope must be clearly marked: RFP No. 2026-****

2. Hardcopy and electronic filing of your proposal must be submitted and clearly indicate the proposer name and the title: Bidders/Respondents for Emergency Medical Services with Mobile Intensive Care Ambulance Service.

As part of the proposal each bidder/respondent must submit:

A. Supplemental Information Form, with attachments as necessary B. Rate Structures and Billing and Collection Procedures C. Proposal Form D. Certificates of Insurance

3. The successful proposer agrees to provide service within the CITY OF EDINBURG at a reasonable cost to the City of Edinburg.

4. The successful proposer shall comply with all applicable Federal, State and Local laws and regulations and warrant that they are familiar with all laws, regulations or ordinances that may be applicable and shall ensure that all their employees continue to maintain such familiarity and compliance.

https://procurement.opengov.com/portal/cityofedinburg

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5. All words, signatures and figures submitted on the proposal shall be in ink. Proposals that are conditional, obscure or contain additions not called for, erasures, alterations, or irregularities may be rejected as informal. More than one proposal from the same bidder/respondent will not be considered. Proposals from all those submitting will remain sealed and confidential up to the opening date and time. Proposals may be corrected, revised or supplemented (e.g., should materials, attachments referenced be missing) up to the time of opening of proposals).

6. The CITY OF EDINBURG reserves the right to reject any or all proposals, in whole or in part, as it determines to be in the best interests of the CITY OF EDINBURG.

MINIMUM PROPOSAL REQUIREMENTS

The contract for Ambulance Service for the CITY OF EDINBURG will be awarded to the most advantageous proposer within sixty (60) to ninety (90) business days of the proposal opening.

Minimum Evaluation Criteria shall include (Weighted Criteria to be provided at a later date):

1. Currently licensed by the TEXAS DEPARTMENT OF STATE HEALTH SERVICES to operate an ambulance service providing services at the Paramedic Level pursuant to Texas Administrative Code 157.11.

2. Minimum of five (5) years corporate experience in the operation of an ambulance service without any license suspension, revocation, or refusal to renew by Texas Department of State Health Services Administrative Code 157.16.

3. Minimum of two (2) years corporate experience without any bankruptcy proceedings of filings.

4. Minimum of two (2) years of experience providing first line 9-1-1 EMS service to at least one (1) other comparable community, including size and population, within Texas, said service to include ALS and MICU response.

5. Ability to provide three (3) positive references for each of the following categories:

A. Vendor B. Hospital Official (Excluding Medical Director) C. Bank Official

II. OPERATIONAL REQUIREMENTS

The provider under Contract to the CITY OF EDINBURG shall hold a valid license issued by the Texas Department of State health Services for operation of a Mobile Intensive Care (MICU) Ambulance Service providing services at the Paramedic Level pursuant to Texas Administrative Code 157.11 and shall maintain said license status for the entire term of the Contract and any renewal(s) thereof. Basic Life Support and Advanced Life Support shall mean that level of services as defined in the Texas Administrative Code 157.11 and any and all local requirements set forth in these specifications, or as otherwise agreed to by the provider.

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CHANGES IN LAWS AND REGULATIONS

The ambulance service shall at all times keep itself fully informed of and meet any applicable federal, state and municipal laws, ordinances, rules and regulations including, but not limited to Texas Administrative Code 157.11, 157.16. If any clause of the contract conflicts with such law, that clause shall be void insofar as it is inconsistent with said law.

HOURS OF COVERAGE

All dedicated MICU Units operating in the CITY OF EDINBURG shall be fully staffed twenty-four (24) hours daily, seven (7) days weekly. Such coverage shall be for emergency coverage only.

VEHICLES

The Provider shall provide the CITY OF EDINBURG with a minimum of six (6) MICU units (24) hours per day, strategically placed within the limits of the CITY OF EDINBURG. These units shall be dedicated to 9-1-1 MICU transport servicing those persons within the CITY OF EDINBURG. The units dedicated to the CITY OF EDINBURG shall not be used in the county area and all units dedicated to the CITY must have the city logo on both sides of the ambulance to meet fire department approval. The CITY OF EDINBURG shall have final say in determining where units will be placed.

The company providing service must demonstrate how backup will be provided when the need for additional units becomes necessary. This will address move up requirements to include time limits for travel when dedicated units have been committed. When the secondary dedicated unit is dispatched, the provider shall immediately dispatch the closest available unit to Edinburg to provide backup coverage. Backup must arrive within the city limits within, ten (10) minutes of the sixth (6) dedicated unit having been dispatched.

All vehicles shall be approved ambulances pursuant to Federal KKK-A-1822 for models prior to Jan. 1, 2013 and must comply with the new National Fire Protection Agency (NFPA) 1917 Standard for Automotive Ambulances. It applies to new ambulances contracted for purchase on or after Jan. 1, 2013.

All vehicles shall be no more than three (3) years old, and the vehicles and their maintenance logs shall be readily available for inspection at the provider's Edinburg place of business without prior notice. All vehicles shall have equipment and supplies as required by Texas Administrative Code

157.11. All vehicles must meet state motor vehicle inspection standards at all times.

BASING OF VEHICLES

The basing of the ambulance shall be undertaken by The Provider at minimum at three strategic locations at the city's discretion before the start of the contract period. The vehicles to be used in the performance of said contract shall be housed within the CITY OF EDINBURG in a location agreeable to the CITY OF EDINBURG, and in compliance with all applicable laws, ordinances or regulations.

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PERSONNEL

All personnel employed by the Provider to staff the ambulances shall be certified in the appropriate level commensurate with their responsibilities; i.e., Emergency Medical Technicians (EMT's) and Paramedics as defined by Texas Administrative Code 157.33 (certifications).

The provider shall furnish the CITY OF EDINBURG a contract execution and henceforth quarterly with a roster of currently employed personnel which shall include the following information on each employee: name, date of certification, license, and registry numbers. The CITY OF EDINBURG shall retain the right to verify these with Texas Department of State Health Services.

All persons assigned to work in the CITY OF EDINBURG must provide a completed background check prior to assignment to determine the person's suitability and character. The result of this check shall be reviewed by a CITY OF EDINBURG representative, so designated by the City Manager, who will give final authorization for the individual to be assigned to the CITY OF EDINBURG EMS system. This check shall also be performed a semi-annual and/or random basis.

All personnel who are or may be involved with the above referenced ambulance services within the City of Edinburg shall sign releases/waivers or authorizations permitting the City or its agents to inquire into and obtain complete federal or state criminal history or employment, background, information and data and provide such information to those persons designated by the City Manager.

The CITY OF EDINBURG Fire and Police Departments designees or the Emergency Management Coordinator of the City of Edinburg can approve or disapprove a person for work in the EMS Service for the City of Edinburg. The above agencies can request that a person be removed from the City of Edinburg with or without cause from the EMS Service, within their complete and unfettered discretion without liability, consequence or ramification to the City of Edinburg or its officers or employees, ultimate ambulance service provider or its agents or employees and for which proposer agrees to hold harmless and indemnify the City and its officers, agents and employees.

Employees must be assigned permanently to the EMS Units in the City of Edinburg. Each unit must have a minimum of one - (1) paramedic with one (1) year experience responding to EMS calls.

The company shall assure stability of personnel on the dedicated units so as to maximize their knowledge of the CITY OF EDINBURG streets and locations.

All personnel responding to EMS calls in Edinburg shall maintain a professional appearance to include a neat uniform and good grooming. They shall conduct themselves in a professional manner at all times, and shall show appropriate courtesy and respect towards all people they come in contact with. Any employee of the provider who demonstrates a consistent poor attitude or pattern of personal conflict with anyone while on duty in Edinburg shall be immediately reassigned to another location by the provider, at the written request of the Awarding Authority or the Chief of Police, Fire Chief or Emergency Management Coordinator.

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ROUTINE OPERATING PROCEDURES

As part of regular operations, the provider shall make a daily check of road conditions and construction by a call to the 9-1-1 Dispatch Center.

The provider shall furnish the CITY OF EDINBURG, annually and as revisions are made, upon request, with a copy of its written policies and procedures, including, but not limited to, the following:

1. Certification and recertification of attendants (and all training records)

2. Back up services

3. Communications

4. Stocking of supplies

5. Use of lights and warning signals

6. Staffing

7. Conduct

8. Mechanical failure

9. Inspection authorities

10. Non-discrimination hiring policy

11. Current financial reports

A copy of the policies and procedures shall be submitted to the CITY OF EDINBURG with the proposal. The City of Edinburg, through its 9-1-1 Dispatch Center, will notify and initiate dispatch of EMS ambulance units assigned to Edinburg by the provider, for all Emergency “9-1-1” calls received by such 9-1-1 Dispatch Center.

The provider must maintain its ability to communicate with the CITY OF EDINBURG 9-1-1 Dispatch Center by telephone and two-way radio, both at its principal place of business and the site where its vehicles are garaged in the CITY OF EDINBURG. The provider must maintain two-way radios in the ambulance so as to be able to communicate with the City of Edinburg 9-1-1 Dispatch Center, Fire and Police personnel. It shall be the responsibility of the provider to take any steps and procedures necessary to ensure optimum speed and efficiency in response between its personnel and equipment in the coordination of information/dispatches with the Edinburg 9-1- 1 Dispatch Center.

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While vehicles shall be so equipped with two-way radio communications as mentioned above in fixed mobile units, additionally each unit shall be equipped with one (1) portable radio to communicate with the 9-1-1 Dispatch Center when personnel are not in the vehicle. All backup units shall be equipped with some means of communication with the Edinburg 9-1-1 Dispatch Center.

The provider shall furnish each unit assigned to the CITY OF EDINBURG with cellular phone communications and make the number available to the CITY OF EDINBURG 9-1-1 Emergency Dispatch Center.

RESPONSE TO CALLS

The provider shall respond immediately to all calls for service by the CITY OF EDINBURG 9-1- 1 Dispatch Center. All units assigned to the CITY OF EDINBURG shall not respond outside the CITY OF EDINBURG except as requested by the CITY OF EDINBURG Fire/Police 9-1-1 Dispatch Center personnel. The provider shall respond to all calls for emergency medical service and arrive at such scene or emergency within eight (8) minutes or less, of dispatch for ninety percent (90%) of the calls.

MEDICAL OPERATING PROCEDURES

The provider must describe in detail Medical Quality Assurance Programs. Such programs must meet the approval of the Emergency Medical Director of their representing agency. The provider shall execute a medical control agreement with the Edinburg Fire Department for BLS affiliation of First Responder Services.

DISPATCHING

The CITY OF EDINBURG has designated the Edinburg Police Department 9-1-1 Dispatch Center as the agency responsible for dispatching ambulances for emergency medical assistance and the transportation of the sick and injured.

TRANSPORT OF ALL PATIENTS AFTER DISPATCH

Providers are reminded of the requirements set forth in the regulations as to the transport of patients:

“No ambulance service or agent thereof shall refuse, in the case of critical illness or injury, to dispatch an available ambulance, to prove life-support at the scene, or to transport a patient to an appropriate place of treatment within its regular operating area”. This requirement shall be strictly enforced and reviewed during the term of the contract with the provider.

The provider shall transport within or without the CITY OF EDINBURG, contagious and infectious disease cases, as directed by the Texas Department of State Health Services or other designated CITY OF EDINBURG or State authority.

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Patients shall be transported to an appropriate medical facility or such other hospital as may be designated by the patient, patient’s condition, supervising physician in the hospital emergency room, doctor’s office and clinic in accordance with the accepted practice.

Once patients are delivered to the hospital and the responsibility for their medical care is fully assumed by the emergency room staff, all provider personnel/units transporting patients from Edinburg shall return to their assigned location as soon as possible. There shall be no unnecessary loitering in hospitals or anywhere else outside the boundaries of the City of Edinburg by staff of any of the dedicated units.

RECORD KEEPING

All record keeping shall be maintained in accordance with all state and federal regulations relating to the provision of Emergency Ambulance Service.

All such records shall be made available for inspection by the Police Chief, Fire Chief and Emergency Management Coordinator or a designated representative from the CITY OF EDINBURG upon request. In addition, the provider shall supply to the above the following information through written communications upon request:

1. Requests for service

2. Source of request for service

3. Number of patients transported

4. Response Times

5. Demographics of the patient population

6. The Provider shall furnish a fee schedule.

The Provider shall provide all additional reports as requested by the CITY OF EDINBURG or its representative agencies.

PERIODIC REVIEWS OF PROVIDERS PERFORMANCE

1. Performance Review: Managers and supervisors assigned by the provider to Edinburg shall be required to attend periodic performance review sessions held by the Police Chief, Fire Chief, Emergency Management Coordinator and/or designated City representative. The review sessions will be held at least twice per year for the following purposes:

A) To ensure the providers continued compliance with the provisions of the Agreement B) To review response times C) To review paramedic skill performance D) To address and resolve specific issues/ problems; and E) To generally coordinate EMS operations in the City of Edinburg

The provider shall provide the City with a quarterly written performance report by the second week of October, January, April and July of each year during the term of this agreement. Each quarterly performance report shall include, but not necessarily be limited to the following information:

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• Listing of all EMS calls responded to in Edinburg showing - location of call, nature of call, total response time, total on-scene time and all other information deemed necessary by the City of Edinburg.

• Explanation for all calls with a “response” time greater than eight (8) minutes.

• Personnel roster listing names, dates of initial certification and dates of hire for all full and part-time paramedics working regular shifts in Edinburg (should also highlight any new personnel added since the last report).

The departments shall develop, approved by the City, any reporting formats deemed necessary to collect and record information relative to the performance. The provider shall respond to the CITY OF EDINBURG Police Chief, Fire Chief or City designee Ambulance Evaluation Committee within fifteen (15) days of any reporting period (calendar month) as to the system’s response time and those calls exceeding eight (8) minutes. In the event that the provider does not achieve a ninety percent (90%) threshold of less than eight (8) minute responses, a detailed corrective action plan shall be submitted to the designated City representative. Failure of the provider to correct inadequate response times shall allow the CITY OF EDINBURG to seek alternative EMS services and shall constitute a material breach of the provider’s agreement with the CITY OF EDINBURG.

ADVERTISING AND PUBLIC INFORMATION

The provider shall at its own expense, prior to the start of service, place an advertisement in The Monitor for a period of one (1) week to include the following information:

1. Full name of the provider

2. Mailing address

3. A statement to include the following:

a. The telephone number for emergency calls

b. The local telephone number (s) to be used for non-emergency calls or business calls to the provider.

FACILITIES, SERVICES, RESOURCES, ECONOMIC OPPORTUNITIES AND

STRATEGIES MADE AVAILABLE TO THE CITY OF EDINBURG AND COMMUNITY

OUTREACH PROGRAMS

1. The provider shall respond to all Fire or Police emergencies as directed 9-1-1 Dispatch personnel and shall remain on scene until released by the incident commander.

2. The provider shall provide a dedicated ambulance for all CITY OF EDINBURG sponsored functions, such as celebrations, City of Edinburg picnics, parades and other events determined by the CITY OF EDINBURG, etc.

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3. The provider shall assist in EMS Training for Fire, Police and 9-1-1 Dispatchers.

4. The provider shall re-supply expendable medical supplies to all City of Edinburg Fire and Police units used by the First Responder Organization in the course of assisting in providing emergency services.

5. The provider shall accept all medical waste generated at the EMS scene as well as accept medical waste collected by CITY OF EDINBURG employees who may act as first responders to an EMS emergency and any other training.

6. The provider shall participate in the CITY OF EDINBURG Emergency Operations

Planning Committee.

7. The provider agrees to pay the City of Edinburg five ($5.00) dollars per 9-1-1 Emergency Medical Call, this money shall be utilized to provide emergency medical training to firefighters and police officers and also, to purchase necessary medical equipment. Payments will be made every six (6) months.

8. Please identify any economic opportunities and strategies as related to investments in the City of Edinburg in establishing facilities, main headquarters, sub-stations in the city, either provider only or provider/city partnerships including but not limited to city owned property.

Ill. FINANCIAL OPERATIONS

The provider further agrees to furnish on demand to the CITY OF EDINBURG a full schedule of its charges for emergency ambulance services and to keep said charges in place for a one (1) year period. Additionally, the provider agrees to furnish a thirty (30) day notice to the CITY OF EDINBURG of a pending rate change.

The provider agrees to assume the duty and obligation to take all notification, approval, administrative, filing, billing, etc. steps requested or required by any third-party payers/insurers of those individuals who have received the EMS services and transportation from the providers’ ambulance(s) and personnel. The provider warrants and agrees, that the rates and billings it seeks to receive payment for shall not exceed such rates as identified in the City of Edinburg Ambulance Ordinance No. 2012-3546.

The provider agrees that emergency services shall be provided without respect to the ability to pay.

The provider agrees that it shall give, appropriate consideration to modification of charges on an individual basis, for those persons identified by the CITY OF EDINBURG, as demonstrably unable to pay the full charges billed to the patient.

Charge for services shall not be made by any patient for the cost of providing service at those times where the provider transports no patient. This would include the following examples: calls where the provider is requested to stand-by as a precautionary measure, where the patient refuses services, or for any other reason as may occur during the term of the contract.

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PAYMENTS BY PATIENTS FOR SPECIFIC SERVICES

The provider shall be responsible for billing patients or his or her third-party provider. The CITY OF EDINBURG shall not be responsible for any unpaid bills or balances.

In no event shall the CITY OF EDINBURG be responsible for any charges, which the provider is for any reason unable to collect for the emergency services provided under the provider’ contract with the CITY OF EDINBURG.

IV. CONTRACT REQUIREMENTS Inclusion of Proposal into Contract

All items included in this RFP (Request for Proposals) specifications shall become part of the provider’s contract with the CITY OF EDINBURG for ambulance service, and be considered to be included within and a part of the provider’ initial proposal and offer to provide such ambulance services.

TERM OF CONTRACT

The term of the contract shall be for a period of five (5) years and may be renewed annually thereafter with mutual consent.

PERFORMANCE BOND

Performance bond in the amount of one hundred thousand dollars ($100,000) shall be issued to the CITY OF EDINBURG within thirty (30) days of the execution of the contract as security for the faithful performance of the contract. This shall include, but is not limited to, damages which will be incurred by the CITY OF EDINBURG in the event of the failure to meet a term or condition of the contract. Also, it shall act as a security for payment of all persons performing labor and furnishing materials and equipment in connection with this contract. The bond shall be executed yearly and shall be obtained from a surety authorized to do business in the State of Texas and acceptable to the CITY OF EDINBURG. Failure to provide the above bonds within thirty (30) days of the execution of the contract shall make the contract voidable at the option of the CITY OF EDINBURG. (The City of Edinburg shall also have the option to accept and hold, at its discretion, unencumbered, unconditional, unrestricted cash sums in lieu of surety company bond secure/ensure the above performance and payments by the provider).

TERMINATION OF CONTRACT NOTICE

Either the provider or the CITY OF EDINBURG may terminate the contract by giving thirty (30) days’ notice, in writing, delivered by certified mail. The CITY OF EDINBURG reserves the right to terminate the contract for unsatisfactory services rendered, lack of cooperation, or other just cause by giving thirty (30) days’ notice in writing delivered by certified mail to the provider and to hold the provider liable and responsible for all damages caused to the CITY OF EDINBURG.

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SEVERABILITY

If any section, paragraph, term or provision of the contract is determined illegal, invalid or unconstitutional by any court of competent jurisdiction thereof, such determination shall have no effect on any other section, paragraph, term or provision of the contract, all of which shall remain in full force and effect for the term of the contract or any renewal thereof.

NON-EXCLUSIVITY

Nothing in the contract shall be interpreted as preventing any request for backup emergency ambulance service for non-emergency ambulance service from being made to any provider.

INSURANCE

As stated on instructions to Respondents, Paragraph 44, Entitled Insurance Requirements, Pages 14 - 17.

HOLD HARMLESS CLAUSE

Should the need arise at the time of the City's assistance to a response for a uniformed member of the Fire Department to drive the ambulance while the provider’s personnel are attending to a patient then, if requested, a Fire Department member may, at the direction of the provider operate the ambulance to assist in the transportation of the patient to a medical facility. Accordingly, the provider shall carry a Commercial Auto Policy with additional insured coverage with additional insured endorsement naming the City as an additional insured party.

The provider agrees to hold harmless the CITY OF EDINBURG from any and all lawsuits or litigation which may arise at any time from the operation of its motor vehicles or the conduct of its employees while under contract to the CITY OF EDINBURG, and also agrees to indemnify the CITY OFEDINBURG from liability imposed upon it as a result of any of its activities hereunder.

The provider shall be solely responsible for assuming liability of its personnel and of the patients carried in its vehicles while under contract with the CITY OF EDINBURG. The provider’s obligations shall be secured by producing the full line insurance coverage (e.g. Motor Vehicle, General Liability, Hazardous Operations, Worker’s Comp., Professional Liability, etc.) -occurrence type, no “Claims Made” – in minimum amounts of $500,000/person, $1,000,000/occurrence with excess/umbrella coverage of $3,000,000 with properly licensed insurance company naming the City of Edinburg as additional insured and having waiver of subrogation similar waiver as against the City of Edinburg or its officers or employees (See also requirements outlined in section “Insurance”). [See 8.8 in the Agreement].

NOTIFICATION OF CHANGE IN LICENSE STATUS

The provider shall immediately notify the CITY OF EDINBURG if at any time during the term of the contract the provider’s license to operate an ambulance service is modified, suspended or revoked or been refused renewal by Texas Department of State Health Services. This requirement for notification shall include the issuance of a provisional license pursuant to Texas Administrative

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Code 157.111 The Provider shall forward to the CITY OF EDINBURG all copies of the correspondence received relative to the above matters, should they occur during the term of the contract. Any such action outlined above, (or application or proceeding to affect such, may, at the option of the City, be considered, just cause for immediate termination hereunder. Said notification and copies of all such correspondence shall be provided to the Fire Chief, Police Chief or City designee.

TRANSFER OF LICENSE/ ASSIGNMENT OF CONTRACT

The provider’s contract with the CITY OF EDINBURG shall not be transferred or assigned, including transfer or assignments through bankruptcy or insolvency proceedings, without the prior written consent of the Edinburg City Council. The provider shall submit to the CITY OF EDINBURG purchasing agent, for his review on the matter of a proposed transfer, a copy of the written approval received from the State of Texas Department of Public Health for such a transfer issued pursuant to regulations.

WORK STOPPAGE; RIGHTS OF THE CITY OF EDINBURG

In the event the provider suffers a work stoppage as a result of a strike, job action, or other industrial relations dispute interfering with the emergency ambulance service, the CITY OF EDINBURG shall be given the free and exclusive use of the ambulances assigned to the CITY OF EDINBURG to maintain emergency ambulance services as it sees fit. If such occasion(s) arise those City of Edinburg personnel utilizing said vehicles and acting as substitute personnel of the provider shall be considered the employees of the provider for purposes of assuring coverage continues with minimal interruptions.

This paragraph shall not be considered or otherwise used to attempt to limit, restrict or impair rights or benefits of any City employee under the provision of any law, meet and confer, bargaining agreement, contract or ordinance.

V. GENERAL REQUIREMENTS CONFIDENTIALITY

All services provided pursuant to the contract are confidential, and information and reports regarding such service shall not be disclosed in whole or in part to any person or organization other than duly authorized representatives of the CITY OF EDINBURG without prior written authorization of the Mayor or designee of the CITY OF EDINBURG. The ambulance service shall take all necessary steps to ensure that no member of its staff discloses any such information, except as herein permitted.

DISCRIMINATION PROHIBITED

The ambulance service, in compliance with set local, state and federal laws, agrees not to discriminate on the grounds of race, color, religion, national origin, age or sex in any aspect of the provision of ambulance service or in employment practices.