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Board awards exclusive ambulance services contract to AMR after RFP
Summary
Monterey County approved a new exclusive operating area contract for ambulance services with American Medical Response following a competitive RFP and state review; the agreement includes new operational, clinical and equity-focused provisions and a transition period before operations begin Feb. 1, 2026.
Monterey County supervisors voted unanimously July 8 to award the county's exclusive operating area (EOA) contract for advanced life support and basic life support ambulance services to American Medical Response (AMR).
The agreement, recommended by county EMS staff after a statewide-approved RFP, establishes a transition period once the contract is executed and an operational start date of Feb. 1, 2026. The contract includes service areas for 9-1-1 response, interfacility transport and critical care transport, plus dispatch responsibilities.
County EMS presenters said the RFP aimed to preserve an EOA to maintain consistent service levels across Monterey County. The panel reviewed two responsive proposals and…
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