County advances draft EMS RFP to modernize ambulance system, adds clinical performance focus

Aug 19, 2026

Nick Clay and Dr. Nicole Darcy told the committee the draft RFP re-centers contracts on clinical performance (not just response time), proposes six modernized response zones, and faces a state approval timeline that could add months to procurement; supervisors pressed for clearer subcontracting rules with fire agencies.

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Nick Clay, director of the county EMS Agency, updated the committee on the draft ambulance RFP and system redesign, saying staff paused to address stakeholder concerns and that response-time monitoring has resumed and is being posted online. The draft RFP would add clinical performance measures to contractual requirements, expand data transparency and create additional remedies beyond liquidated damages to enforce provider performance.

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