RFP - LIMITED LICENSE GROUND AMBULANCE INTERFACILITY TRANSPORT SERVICES

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.

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:
• General Liability: **$1,000,000** per occurrence
• General Annual Aggregate: **$4,000,000**
• 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.

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

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.