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<br /> <br /> <br />~_ <br />~:: <br />~~ , <br />6. A fist 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. QJ Section VII <br />7. A description of the applicants capability to provide twenty-four hour coverage, seven days per week far <br />the district covered by the franchise applied for. ~ Section V[II <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. ~ Section IX <br />9_ A written pfan detailing how the applicant will furnish credentiafed personnel and a current roster of all <br />credentialed personnel with a list of their credentials. ~ Section X <br />10. A copy of the applicant's written operational protocols for the management of equipment, supplies, and <br />medications. ~ Section XI <br />11. Copy of organization by-laws {if applicable). ~ Section XII <br />12. Copy of organization standard operating procedures. [~] Section Xlll <br />13. Roster of alt members and employees, including name, address, and NCDL number. ~ section X1V <br />14. Proposed fee schedule for service in Orange County. 0 Section Xy <br />CERTIFICATIONS <br />I certify on behalf of the named franchise applicant the following {please initial}: <br />JE}W 1. That the information contained within and any attachments provided is true and correct and <br />to the best of my knowledge; <br />JDW 2. That the franchise applicant is compliance with North Carolina General Statutes 131 E, Article <br />7; <br />JDW 3. That the applicant shall provide notices to Orange County Emergency Services of any <br />changes to the information provided in this App#ication within five (5) days of any changes <br />andlor any relinquishmen# of the franchise; <br />JDW 4. That I am the duty authorized agent of the Board and have been authorized to submit this <br />application and certification to the Orange County; and <br />JDW 5. That any information found to be false or misleading may be grounds for termination of the <br />franchise and the franchise agreement. <br /> <br />7 <br />• March 19, 2010 <br />:- .Authorizing Signature/Title: e~ ~ ate: <br />