Citygate completed a project to implement a phased process designed to establish a blueprint for improving the County of San Diego’s regional fire protection and emergency medical system. The study assessed levels of service, identified future needs, provided options for a regional governance structure, and developed cost-feasible proposals to improve the region’s ability to respond to natural or manmade disaster, including wildfires, earthquakes, terrorism, and other multiple-hazard events; bolster day-to-day operations for local agencies; and enhance the delivery of fire and emergency medical services in the County. The study exceeded the County’s expectations and was very well received by the elected officials and stakeholders in May 2010. The County has since retained Citygate to provide ad hoc assistance with implementation of the study’s recommendations. More information on this study, including links to watch the final presentation, listen to a related radio interview with Stewart Gary, view study documents, and read local news articles, is available here: https://citygateassociates.com/Fire_San_Diego_County_Study.html. The Board of Supervisors voted 5–0 to adopt Citygate’s recommendations, and the County is now in the process of implementing the recommendations.