Specifications include, but are not limited to: provide emergency medical services (EMS) consulting services to evaluate the provision of emergency and non-emergency ground ambulance service in exclusive operating areas (EOAs) served under the existing contract with American Medical Response (AMR). This process will include, but is not limited to interactive industry-stakeholder outreach and meetings, Board of Supervisors (Board) workshops, EMS data gathering, processing and analysis, to ultimately provide a recommendation for system-wide improvements in areas that promote improved service parameters, fee structure, and performance-based outcomes. This process will also include an evaluation of how various EMS partners and providers work together in order to make recommendations that best complement the county EMS system