§ 22-59. Same—Application; contents.

(a)

Any person desiring to receive certification as a service provider shall submit application to the director on such forms as may be required by the director. The application shall contain the following information:

(1)

The applicant's name, business address, principal place of business, and the name under which the applicant intends to do business in the county. If the applicant is a corporation, the name and address of any person owning more than ten percent of the applicant's previously issued stock. If the applicant is doing business other than as a corporation, the name and address of all persons possessing an equity or ownership interest in the business;

(2)

A statement of the applicant's operating experience in providing emergency medical services;

(3)

A list of all persons engaged in the applicant's operations within the county including the current certification status of all EMT personnel, paramedics, and medical first responders.

(4)

Financial records showing the applicant's financial status for the current year and two preceding years;

(5)

A description of the applicant's training program, including training requirements for new employees, continuing education requirements, and employee performance evaluation programs.

(6)

A description, including street address, of the facilities or structures used by the applicant in the county in connection with its anticipated services, and the geographic area in which the applicant would operate if such area is less than the total area of the county.

(7)

A copy of each form of official permission required by the department, including licenses, permits, and certificates.

(8)

Such other information as required by the director.

(b)

In addition to the information required by the provisions of subsection (a) of this section, applicants seeking certification to provide ambulance services shall provide the following information:

(1)

A description of each ambulance to be used, including the make, model, year of manufacture, and any vehicle identification numbers;

(2)

In the case of ground ambulances, the engine, chassis numbers, and the current mileage of each vehicle to be used;

(3)

In the case of air ambulances, the number of flight and operating hours of each vehicle to be used, the Federal Aviation Administration certificates, licenses or registrations for each vehicle, and the license numbers and status for each employee who will pilot the vehicles engaged in patient transportation.

(4)

Such other information as required by the director.

(c)

The director shall review all documentation required for an emergency services provider certificate. An emergency services provider certificate shall be issued if:

(1)

The applicant meets the department standards and standards set out in this chapter.

(2)

Financial disclosures show that the applicant has sufficient liquid assets to sustain the operation during start-up period of at least six months.

(3)

The number, kind, and type of equipment owned and proposed to be used or operate is adequate and will meet the standard of care for the county.

(4)

No owner or employee of the service provider has committed a crime involving moral turpitude within the last ten years.

(Ord. No. O-10-8-101, § 1, 9-27-10)