3B Public Hearing 2008 0707 - Laserfiche WebLink

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J ~ (13) A statement that the applicant understands and will comply with the COUNTY's Staffing, and Equipment and Supply Specifications pollcies regarding equipment carried in each ambulance, including AEps; (14) A list of the actual number of ambulances and for each: the make and model, year, the vehicle identification number (VIN), State vehicle license number and proof of current Department of Motor Vehicle regiskratlon, and proof of California Highway Patrol Ambulance Inspection Report and Ambulance Identification Certificate; (IS) A statement that the applicant understands and will comply with the ambulance inspection process, Including the required fees. (16) A statement that the applicant has or will have sufficient personnel adequately trained and available to deliver ambulance service of good quality at all times, including copies of their certificatlonsllicenses; (17) A statement of the applicant's training and orientation programs for EMT-1s and/or paramedics, and dispatch®rs; (18) A description of the number and type, frequency and private line codes of the vehicle's radios, and if used, phone numbers of the vehicle's cellular phones; (19) A description of the company's program for maintenance of the vehicles; (20) A d®scriptian and photo/image of the company's logo and color scheme to be used to designate the ambulances of the applicant; (21) The number of ambulances to be deployed on each shift; (22) A description of the locations from which ambulance services will be offered, noting the Hours of operation and phone numbers; (23) Evidence of insurance coverage compliance under section 6.114.130; (24) A Certificate of Consent to Self Insure issued by the California State Director of Industrial Relations, or a Certificate of Workman's Compensation Insurance; (25) A Quality Management program as specified In section 6.114.410; (26) A Disaster Response Plan as specified in section 6.114.460; (27') All service charges and rates to be charged, showing compliance with any maximum charges established by the County; (zg) The application fee for a Certificate of Operation as set forth in the COUNTY'S Administration Manual; (2g) In a separate payment, the Ambulance Inspection fee for each ambulance to be inspected as set forth In the GOUNTY's Administration Manual. This fee may be returned If the PERMITTEE does not meet the basic requirements of section 8.114.080 (C) and ambulances are not Inspected. (30) If applying for a CCT Certificate of Operation, copies of all paperwork for interfacility transport as identified in the COUNTY'S GCT and Administrative pollcies. 10