Application for a franchise to operate ground ambulances, convalescent ambulances, a medical responder or other pre-hospital emergency medical services organization in the county shall be made by the provider upon the forms as may be prepared or prescribed by the county and shall contain:
(A) The name and address of the provider and the owner of any apparatus;
(B) The trade or other fictitious names, if any, under which the applicant does business, along with a certified copy of an assumed name certificate stating the name or articles of incorporation;
(C) A resume of the training and experience of all personnel associated with the applicant in the care of patients;
(D) A full description of the type and level of service to be provided including the location of the place or places from which it is intended to operate, the manner in which the public will be able to obtain assistance and how apparatus will be dispatched;
(E) An audited financial statement of the applicant as the same pertains to the operations in the county, the financial statement to be in the form and in the detail as may be required by the county;
(F) A description of the applicant's capability to provide 24-hour emergency and non-emergency coverage, seven days per week for the district covered by the franchise applied for, and an accurate estimate of the minimum and maximum times for a response to calls within the district; and
(G) Any information the county shall deem reasonably necessary for a fair determination of the capability of the applicant to provide pre-hospital services in the county in accordance with the requirements of state laws and the provisions of the regulation.
(Ord. passed 10-6-2003; Ord. passed 3-21-2022)