§ 50-34. Initial Application for Certificates.

(a)

Every Application for a Certificate shall be in writing, signed and sworn to as follows: if a corporation, the form shall be signed and sworn to by the president or vice president and attested to by the corporate secretary; if a partnership, the form shall be signed and sworn to by a general partner. Every Application shall be filed with the Florida Department of Health in Sarasota County (DOH-Sarasota).

(b)

The Application shall be on a form provided by DOH-Sarasota and shall contain the following:

(1)

Sufficient information to identify the Applicant: full legal name of the Applicant, business telephone numbers and business addresses of all officers, registered agents, directors and/or partners. Post office box addresses will not be accepted.

(2)

The approximate number of EMTSV that are proposed to be fully equipped and operational each day.

(3)

The year, model, type, condition, passenger capacity, color, markings and mileage of each EMTSV to be used by the Applicant in accordance with F.S. § 401.35(2)(d).

(4)

The trade name under which the Applicant intends to operate.

(5)

The Applicant's operational management plan to provide EMTS for Sarasota County, including, but not limited to, provisions for vehicle maintenance, systems for handling complaints and accidents, communication systems, quality assurance programs, medical protocols, local medical direction and accessibility to field personnel and dispatching contingencies in the event of power or telephone outage.

(6)

A detailed report of Applicant's present and prior EMTS activities, including any prior names under which Applicant or Applicant's officers may have operated.

(7)

A record of all crimes, excluding traffic, to which the officers, directors or partners of the Applicant or any person employed by the Applicant who may have patient contact have pled nolo contendere, pled guilty, or of which such person has been found guilty or convicted, whether or not adjudication has been withheld, within five years preceding the date of the Application.

(8)

A background and fingerprint check and drug testing of any person employed by the Applicant who may have patient contact. Drug testing shall be done by a reputable company licensed to perform such testing.

(9)

Two credit references, including at least one bank where the Applicant maintains an active account and a current report of the Applicant's credit worthiness.

(10)

Affirmative statement under oath that Applicant shall conform to and abide by the provisions of this Ordinance, all other applicable Sarasota County Ordinances and applicable laws of the State of Florida including F.S. ch. 401, and the Florida Administrative Code, Chapter 64J-1 and 64J-2.

(11)

The location and description of the headquarters of the Applicant and each substation from which the EMTS will operate.

(12)

A sworn statement signed by the president or general partner of Applicant that all the information provided in and attached to the Application is true and correct.

(c)

Each new Applicant must have a minimum of two Emergency Medical Transportation Services Vehicles ready to put into service upon issuance of the Certificate.

(Ord. 2010-022, § 1, 3-23-2010; Ord. No. 2016-091, § 3, 1-24-2017)