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7 <br /> - C. A list of radio frequencies the applicant is authorized to operate on, and a copy of the FCC license(s) in <br /> the name of the person providing the service. 14 <br /> Section 1111 <br /> 7. A description of the applicant's capability to provide twenty-four hour coverage,seven days per week for , <br /> the district covered by the franchise applied for.0 Sermon Vill <br /> 8. An accurate estimate of the minimum and maximum times for a response to calls within the district <br /> covered by the franchise applied. 14 Section IX f <br /> 5 <br /> g. A written plan detailing how the applicant will furnish credentialed personnel and a current roster of all <br /> credentialed personnel with a list of their credentials. N Section X <br /> 10. A copy of the applicant's written operational protocols for the management of equipment, supplies,and <br /> medications.fo Section SCI <br /> 11. Copy of or g anization by-laws(if applicable). Section X11 <br /> � <br /> 12. Copy of organization standard operating procedures. Section X111 <br /> ° = 13. Roster of all members and employees, including name,address, and NCDL number. section X1V <br /> 14. Proposed fee schedule for service in Orange County. Section XV <br /> ,tea=` I' <br /> a= CERTIFICATIONS <br /> I certify on behalf of the named franchise applicant the following(please initial): <br /> JDW <br /> r 1. That the information contained within and any attachments provided is true and correct and <br /> to the best of my knowledge; <br /> •�r <br /> =` JDw 2. That the franchise applicant is compliance with North Carolina General Statutes '131 E Article <br /> 7 pp com p <br /> 1 <br /> =f :: <br /> JDW 3. That the applicant shall provide notices to Grange County Emergency Services of any <br /> changes to the information provided in this Application within five (5) days of any changes <br /> Yw'==_ and/or any relinquishment of the franchise; <br /> mow: <br /> JDW <br /> '=== 4. That I am the duly authorized agent of the Board and have been authorized to submit this <br /> application and certification to the Grange County;and <br /> JDW 5. That an information found to be false or misleading may be rounds for termination of the <br /> Y 9 Y g <br /> franchise and the franchise agreement. <br /> March 19,2010 <br /> u#horizing Signature/Title: � a#e: <br /> ti <br /> H <br /> .s <br /> 3' <br /> S <br /> .].:,%'i.•::;.....'.',.,,. _ Vii.; <br /> {." �[:'::•.it:..±,'. <br /> i•' ••r: •ir r r <br /> 4• <br /> - <br /> .'Y :is <br /> 1.:. <br /> y.rY.•y• <br /> 1. - 'Y <br /> ` .y <br /> r <br /> AL <br /> � .K <br />