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Finance and Management Services <br />www.santa-ana.org/finance <br />Item # 12 <br />City of Santa Ana <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br />Staff Report <br />March 3, 2026 <br />TOPIC: Standards of Coverage / Emergency Medical Services Study <br />AGENDA TITLE <br />Agreement with PWW Advisory Group, LLC for Consultant Services to Conduct a <br />Citywide Standards of Coverage / Emergency Medical Services Study (Specification No. <br />25-136) (General Fund) <br />RECOMMENDED ACTION <br />Authorize the City Manager to execute an agreement with PWW Advisory Group, LLC to <br />conduct a Standards of Coverage / Emergency Medical Services Study in an amount not <br />to exceed $154,983 for a term beginning March 3, 2026 and expiring March 2, 2027, with <br />provisions for one 1-year extension (Agreement No. A-2026-XXX). <br />GOVERNMENT CODE §84308 APPLIES: Yes <br />DISCUSSION <br />In 2012, the City of Santa Ana dissolved its municipal fire department, and began <br />delivering fire suppression and Emergency Medical Services (EMS) through external <br />contracts. Since this transition, the City has navigated significant complexities in <br />managing its contracts with the Orange County Fire Authority (OCFA) and Falck Mobile <br />Health, Inc. (Falck). <br />Concerns regarding the EMS program have been voiced in the past; and during the FY <br />25-26 budget cycle, the City Council funded an additional ambulance unit. While the City <br />expected this to improve response -time performance, it did not resolve the underlying <br />challenges of contractual oversight. Recognizing a lack of in-house subject -matter <br />expertise, staff issued Contractual Oversight Outsource for Emergency Medical Services <br />(EMS) RFP 25-106 on August 21, 2025 for professional assistance. However, this RFP <br />was later canceled for two reasons: proposals received were not what was requested, <br />and staff determined it would be best to start with a comprehensive review of the City's <br />entire EMS structure. <br />Prior to the initial RFP, the City discovered its ambulance contract was unclear regarding <br />response -time calculations, leading to disagreements between ambulance and fire on <br />how response -time performance is measured. Additionally, the emergency dispatch <br />