The California Ambulance Association has filed a complaint with Alameda's Board of Supervisors regarding the proposed formation of a business partnership between Alameda County Fire Department and a private ambulance company. CAA's concern is that the partnership or "alliance" would position ACFD to participate in an upcoming competitive bidding process for an exclusive ambulance operating zone to be conducted by the EMS Agency, and would prohibit the private partner from submitting its own proposal for the exclusive service separately. Since the Supervisors also sit as the Board of Directors for the dependent fire district formed in 1993, CAA contends there is an inherent conflict of interest in this matter for the elected officials. CAA further believes this action will effectively preempt the upcoming RFP process. The CAA also protested a similar parallel process that occurred in Contra Costa County in 2015.