Attachment_3_-_Contractor_Report_Card.pdf

This is a Contractor Report Card attachment for a Request for Proposals (RFP) issued by Tuolumne County's Health and Human Services Agency, Emergency Medical Services (EMS) Agency, for the operation of the Tuolumne County Ambulance Service (TCAS). The County seeks a qualified organization to provide personnel and management for ground ambulance services across 2,235 square miles serving 55,620 residents and handling approximately 8,200 annual calls. The service requires operating five 24/7 Advanced Life Support (ALS) ambulances, two 12/7 ALS ambulances, and one 10/7 Basic Life Support (BLS) ambulance, totaling 55,167 unit hours annually. A mandatory Letter of Intent is due January 19, 2026, with a pre-bidders conference scheduled for January 5, 2026. Proposal submissions are due February 13, 2026, optional interviews are scheduled for February 23, 2026, and contract award is anticipated for February 27, 2026. The contract term is five years with the option for mutual extension up to an additional five years, and either party may terminate with one year's written notice.

Proposers must demonstrate five years of experience managing ALS ambulance services for populations exceeding 40,000 and must maintain at least 51% full-time field staff. The County will provide ambulances, EMS equipment, disposable supplies, ambulance stations, 911 dispatch, office space, IT infrastructure, insurance, billing services, and communication equipment at no cost to the contractor. The incumbent contractor currently employs approximately 60 full-time and part-time paramedics and EMTs. The County will compensate the contractor monthly based on actual unit hours deployed, with compensation determined by the detailed cost proposal submitted by bidders. Specific employment restrictions apply: CalPERS retirees cannot participate if their proposed work is similar to previous employment, and current County employees must separate from employment prior to contract award. The proposal evaluation criteria include credentials (17%), incumbent workforce (10%), training programs (6%), response times (5%), fiscal strength (4%), billing integration (5%), system status (10%), EMS stakeholder integration (15%), system commitment (13%), and clinical quality (15%).