Request for Proposal for Emergency Medical Services for Cook County, Georgia

The Cook County Board of Commissioners in Georgia has issued a Request for Proposal for the provision of Emergency Medical Services within Cook County. The selected contractor must maintain a physical base of operations within the county and provide 24/7/365 coverage with at least three fully staffed ambulances and a quick response vehicle. Each ambulance crew must include at least one paramedic and one EMT to provide Advanced Life Support. The contractor is responsible for all operational costs, including staffing, equipment, and insurance, and must possess direct communication capabilities with the 911 Dispatch Center. Additionally, the contractor must manage all billing and collection functions and participate in a public service announcement campaign to inform residents of the service. This is a performance-based contract with an initial one-year term and provisions for automatic one-year renewals. Performance evaluations will occur quarterly during the first year and annually thereafter. The contract allows for termination by either party with 180 days' notice, though the County retains a unilateral right to terminate without cause. Proposals are due by December 11, 2026, and must include detailed company history, operational policies, insurance coverage, and a comprehensive rate schedule for services and medications. The Board of Commissioners will award the contract based on the best overall solution, with an intended award date of January 19, 2027.