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No Certificate or permit shall be issued, nor shall such certificate or permit be valid after issuance, nor shall any ambulance be operated unless there is at all times in full force and effect to provide adequate protection against liability for damages which may be or have been imposed for each negligent operation of each such ambulance, its driver or attendant, a liability insurance policy or policies approved by the Director and issued by an insurance company authorized to do business in the State of California. Satisfactory evidence that the liability insurance required by this section is at all times in full force and effect shall be furnished to the Director by each operator required to provide such insurance. Said evidence of insurance shall be in the form of the Standard Insurance Certificate (Accord Form) and shall contain the statement that the exchange or company issuing said Certificates shall provide the Director with 30 days written notice of cancellation, nonrenewal or reductions of limits of liability coverage. Operators of ambulance services shall maintain insurance in amounts at least as follows:
(1) Automobile liability insurance in the form of comprehensive automobile liability.
(a) $500,000 on account of bodily injuries or death of one person;
(b) $1,000,000 for any occurrence on account of bodily injuries to or death of more than one person;
(c) $500,000 for any one accident on account of damages to or destruction of property of others.
(2) In lieu of the separate limits stated in (1), the Certificate and permit holder may provide a policy or policies in, at least, the following amount:
(a) $1,000,000 for Combined Single Limit of Liability for each occurrence for bodily injury and/or damage to property of others.
(3) General Liability in the form of Broad Form Comprehensive General Liability Insurance.
(a) $500,000 for any occurrence on account of bodily injuries or death;
(b) $500,000 for any one occurrence on account of damages to or destruction of property of others.
(4) In lieu of the separate limits stated in (3), the Certificate and permit holder may provide a policy or policies in, at least, the following amount:
(a) $500,000 for Combined Single Limit of Liability for each occurrence for bodily injury and/or property damage, which shall include bodily injury to one or more persons and/or damage to property of others.
(5) Professional Liability in the form of Ambulance Attendants Errors and Omissions Liability Insurance.
(a) $500,000 on account of bodily injuries or death of one person;
(b) $500,000 for any occurrence on account of bodily injuries to or death of more than one person.
(Added by Ord. 258-86, App. 6/30/86)
(a) Each operator shall utilize a dispatcher whose sole or primary function shall be to receive and dispatch all calls for ambulance or routine medical transport vehicle service.
(b) Each operator shall maintain an operational and manned office from which an ambulance or ambulances or routine medical transport vehicle or vehicles shall be based on a continuous 24 hour per day basis.
(a) The operator of every ambulance or routine medical transport vehicle service shall adopt a color scheme and, after approval thereof by the Director, shall apply such color scheme to each ambulance or routine medical transport vehicle authorized by a permit. The Director shall not approve or allow adoption or application of any color scheme which imitates or conflicts with any other color scheme, authorized by this Article, in such manner as is misleading and would tend to deceive the public.
No sign, letter, color, appliance or thing of decorative or distinguishing nature shall be attached or applied to any ambulance or routine medical transport vehicle other than such as have been approved by the Director in the color scheme authorized for each such ambulance.
(b) Notwithstanding Section 910(a) and in lieu thereof, an operator may adopt a color scheme consistent with specifications recommended by the National Highway Traffic Safety Administration of the United States Department of Transportation, as contained in Federal Specification Number KKK-A-1822, published January 2, 1974. At such time as the color scheme recommended in Specification Number KKK-A-1822 becomes mandatory for ambulances operated in the State of California, the requirements of Section 910(a) shall become inoperative.
(a) All operations shall be required to comply with such reasonable rules and regulations regarding ambulance or routine medical transport vehicle equipment and maintenance, equipment safety, and sanitary conditions as the Director shall prescribe.
(b) Each operator shall provide a security area not on the public streets of City for purposes of maintaining all ambulances when not in service.
(c) In addition to the requirements of this Article, an operator shall comply with all State and Federal requirements pertaining to the operation of an ambulance or routine medical transport vehicle service.
(d) Every ambulance or routine medical transport vehicle and office from which it is operated shall be inspected by the Director once annually or more often as shall be determined by the Director, to insure compliance with equipment, equipment safety, sanitary, and other rules and regulations relating to ambulance service operations.
(e) Each ambulance or routine medical transport vehicle providing service shall be manned and operated at all times by a qualified driver and attendant.
(f) Each operator, driver, and attendant shall be required to prohibit and constrain the smoking of tobacco products within the confines of any ambulance or routine medical transport vehicle while engaged in the transport of a patient passenger.
(g) Each operator shall provide annually to the Director an equipment inventory, proof of state licensure, and such other information as the Director may reasonably require relating to ambulance or routine medical transport vehicle service operations.
A person employed as an ambulance or routine medical transport vehicle driver shall possess a current valid ambulance driver's license issued by the Department of Motor Vehicles.
Effective six months from the date of enactment of this ordinance, all persons employed as an ambulance driver shall have successfully completed an EMT-1A course accredited by the State of California Department of Health.
On the effective date of this ordinance, persons employed as ambulance attendants shall have successfully completed an EMT-1A course accredited by the State Department of Health; and persons employed as routine medical transport vehicle attendants shall have successfully completed a course of training equivalent to the advanced course in first aid given by the American Red Cross.
Effective 18 months from the date of enactment of this ordinance, all persons employed as ambulance attendants must qualify as mobile intensive care paramedics certified by the Director; and persons employed as routine medical transport vehicle attendants shall have successfully completed an EMT-1A course accredited by the State Department of Health.
(b) Termination of employment of any driver or attendant shall require written notification by an operator to the Department and local California Highway Patrol office within 48 hours.
(c) The Director shall maintain records of data required to be submitted by this Article.
(a) Certificate of Participation Required. No Receiving Hospital or STEMI Center shall receive patients through Ambulance Service Providers without obtaining a Certificate of Participation from the EMS Agency. Any person seeking to obtain a Certificate of Participation must apply on forms provided by the Director, submit all necessary information, pay all applicable fees under San Francisco business and Professions Code Section 249.8, and allow inspections required by the EMS Agency. Failure to obtain a Certificate of Participation shall preclude a person from receiving patients through an Ambulance Service Provider.
(b) Penalties. Following notice and a hearing, the Director may impose fines up to $1,000 per violation, per day, for each day a violation is committed or permitted to continue, or revoke or suspend a Certificate of Participation if the Director finds that any person violated this Article, regulations issued by the Director under this Article, or any applicable local, State or Federal laws.
(Added by Ord. 154-09, File No. 090702, App. 7/15/2009)
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