Orange County NC Website
9 <br />the County of Orange in accordance with the requirements of state laws and the <br />provisions of this regulations. <br />SECTION IV. APPLICATION FOR MEDICAL OR FIRST RESPONDEI+k______ _________----- Deleted: s <br />4.1 Application for a franchise to operate as medical or first responders in the County of~~~----- Formatted: Indent: Left: o°, <br />Orange shall be made by the provider upon such forms as may be prepared or prescribed Hanging: o.s^ <br />by the County and shall include, but not be limited to the fotlowin Formatted: Gullets and Numbering <br />~---------------- -------------- ------- Deleted: contain <br />a. The name and address of the provider and the owner of the service. <br />b. The trade or other fictitious names, if any, under which the applicant does <br />business, along with a certified copy of an assumed name certificate stating such <br />name or articles of incorporation stating such name. <br />c. A resume of the training and experience of the applicant in the treatment and care <br />of patients. <br />d. A full description of the type and level of service to be provided including the <br />location of the place or places from which it is intended to operate, the manner in <br />which the public will be able to obtain assistance and how the vehicle will be <br />dispatched. A financial statement of the applicant as the same pertains to the <br />operations in the County of Orange, said financial statements to be in such forms <br />an in such detail as may be required by the County. A current financial statement <br />provided by a fire department, volunteer or otherwise, operating within the <br />County which has been provided to the County as part of the County budget <br />process shall satisfy this financial statement requirement. <br />e. A list of radio frequencies the applicant is authorized to operate on, and a copy of <br />the FCC license(s) in the name of the person providing the service, unless <br />included as part of a fire department radio system. <br />f. A copy of the written plan detailing how the applicalrt will furnish credentialed-------- Formatted: Bullets and Numbering <br />personnel and a current roster of atl credentialed personnel with a list of their <br />credentials. <br />g. A copy of the applicant's written operational protocols for the management of~------ Formatted: Bullets and Numbering <br />equipment, supplies and medications. <br />h. A description of the applicant's capability to provide coverage for. the- district•------- Formatted: Bullets and Numbering <br />covered by the franchise applied for, and an accurate estimate of the minimum <br />and maximum times for a response to calls within such district. <br />i. Any information the County shall deem reasonably necessary for a fair------ Formatted: Bullets and Numbering <br />determination of the capability of the applicant to provide medical or first <br />Page 7 of 18 <br />