Sec. 4-6.303.   Ambulance service permit: Required information.
   (a)   Any entity (either as an owner, agent or otherwise) who wishes to furnish, operate, conduct, maintain, or otherwise engage in, or offer, or profess to engage in providing ambulance service in the County shall have a valid ambulance service provider permit in accordance with the LEMSA system plan and EMS policies, procedures, and guidelines.
   (b)   Permit requirements shall apply to providers of air and ground ambulances, including BLS, ALS, IFT and CCT vehicles with the following exceptions:
      (1)   No permit is required of an ambulance service provider engaged in the transport of patients where the transport is initiated outside county boundaries for transport into the County.
      (2)   No permit is required of an ambulance service provider responding to a request from the EMS administrator or designee to calls arising from a declared multi-casualty incident (MCI) or declared disaster.
      (3)   No permit is required for specialized teams including, but not limited to: neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) teams that are permitted by another EMS agency and that pick up patients within the County for transportation to an acute care, tertiary, or quaternary care hospital located outside of the County, unless also responding to other services within the 9-1-1 system or inter-facility calls.
   (c)   Non-transport ALS. Any person, either as owner, agency, or otherwise, or any agency, who wishes to furnish, operate, conduct, maintain, or otherwise engage in, offer, or profess to engage in, or offer ALS non-transport services within the County, shall have a current valid non-transport ALS provider contract in accordance with the LEMSA's EMS system plan and EMS protocols, policies, and guidelines.
   (d)   An application for an initial ambulance Certificate of Operation shall be accompanied by payment of an application fee and an ambulance inspection fee. These fees are established by resolution of the Board of Supervisors, are listed in the Yolo County EMS Agency Fee Schedule and shall not exceed the reasonable cost of administering and enforcing this chapter. If the fees are not paid within thirty (30) days of permit issuance, the provider's permit will be considered suspended and the provider shall not provide the related service(s) within the County until the fees are paid in full. If the fees are not paid within ninety (90) days, the permit will be considered expired and a new application must be submitted to the LEMSA. Failed ambulance inspections will require a new inspection fee prior to the re-inspection of that ambulance. Exceptions to this section may be granted by the LEMSA. (§ 1, Ord. 1515, eff. December 19, 2019)