Specifications include, but are not limited to: The County of San Diego, Emergency Medical Services (EMS) branch of Public Health Services is responsible for the administration and provision of emergency medical services countywide. Contractor shall provide all management, personnel, facilities, equipment, materials, fuel and supplies necessary to operate emergency ambulance services at the 9-1-1 Advanced Life Support (ALS) level for twenty-four (24) hours per day, seven (7) days per week for the communities of Julian, Santa Ysabel and surrounding areas hereinafter referred to as the Julian Service Area (JSA) as defined in this request for proposals, and provide mutual aid to adjacent areas as needed. Additionally, Contractor shall provide billing services, interface with fire department first responders and provide community education services. Contractor shall participate in service area quality assurance activities and regional quality improvement processes. The target population for this service includes all persons requiring emergency paramedic ambulance transport services within Julian Service Area.