Any non-emergency ambulance service desiring to provide such service in the city must complete a written application accompanied by the appropriate non-refundable application fee. The application shall be signed and sworn to by an appropriate authorized representative of the applicant and filed with the Fire Chief. The application shall be in a form prescribed by the Fire Chief and shall contain as a minimum the following information:
(1) the lawful name of the person, firm, partnership, corporation, or other entity owning and operating the service;
(2) the address and phone number of the applicant's central place of business;
(3) the address or addresses within the city from which the service will operate, and a phone number for each such location;
(4) the assumed name, if any, under which the applicant proposes to do business, accompanied by a certified copy of a Certificate of Assumed Name as required by state law;
(5) if the applicant is an individual, the name and home address of the applicant;
(6) if the applicant is a partnership or association, the name and address of each partner or associate;
(7) if the applicant is a corporation, the name and address of the corporation and the names and addresses of all officers and directors of such corporation and the address of the registered agent for service;
(8) the number of vehicles the applicant desires to operate and the model, year, size, design, mileage and color scheme of each such vehicle;
(9) verification of Texas Department of State Health Services inspection and certification as ambulances of all vehicles proposed to be used within the city;
(10) verification of certification by the Texas Department of State Health Services for all personnel to be performing patient care or transportation within the city;
(11) information regarding any applicant or employee engaged in any capacity by any applicant, and who will be engaged actively in the service to be provided within the city, who has been convicted of any felony or misdemeanor (other than minor traffic violations not subjecting the individual to cancellation of driver's license or insurance) under the laws of this state, the United States, or elsewhere. The applicant shall provide any information regarding such offenses to the Fire Chief, to include date and nature of the offense and the disposition of the case;
(12) information regarding any claims or judgments which remain outstanding and unsatisfied against the applicant for damages resulting from the negligent operation of an ambulance or care given in association therewith;
(13) a detailed description of the experience of the applicant in rendering ambulance service elsewhere, including the extent of time such service has been rendered, each city in which such service has been rendered, and in what capacity (whether private or public) such service has been rendered;
(14) a letter from a duly authorized agent of the applicant's insurance carrier, stating that the insurance required of each applicant under this article is available to the applicant and that such coverage is or will be provided prior to the issuance of the license described herein;
(15) the fee schedule the applicant proposes to charge for the services to be rendered;
(16) any other information the Fire Chief reasonably determines is necessary to the issuance of a license;
(17) payment of a non-refundable application fee in an amount set by resolution of the City Council, payable at the time the application is filed with the Fire Chief.
(Ord. No. 2841, § 2, 9-9-99; Ord. No. 3053, § 4, 8-9-01; Ord. No. 3525, § 10, 6-14-07)