Application for a franchise to operate ambulances in the county shall be made upon the forms as may be prepared or prescribed by the county and shall contain:
(A) The name and address of the applicant and of the owner of the ambulance(s) along with the location and description where the ambulance(s) will be housed;
(B) Copy of North Carolina articles of incorporation/organization, the trade or other fictitious names, if any, under which the applicant does business, along with a copy of the filed assumed name certificate;
(C) A resume of the training and experience of the applicant in the transportation and care of patients, a roster of employees, position of each employee, and licenses and certifications of each employee;
(D) A copy of State EMS Provider License, Permit and most recent State EMS annual inspection for each ambulance owned and operated by the applicant;
(E) The location and description of the place from which it is intended to operate;
(F) Financial statement of the applicant as the same pertains to the operations in the county;
(G) A description of the applicant's capability to provide 24-hour coverage 7 days per week;
(H) A copy of IRS tax exempt status letter (i.e. 501(c)(3)), if any;
(I) Federal Employer Identification Number (FEIN); and
(J) Any information the county shall deem reasonably necessary for a fair determination of the capability of the applicant to provide ambulance service in the county in accordance with the requirements of the state and the provisions of this section.
(Ord. 35, passed 3-14-2005; Am. Ord. passed 12-7-2020)