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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD <br /> (Attachment 3) <br /> Agency Service Provision Attestation <br /> Department attests that our Agency will provide at least one <br /> (certification level) on each first due apparatus to ensure consistent service is <br /> available to all areas covered by our Agency. <br /> I. Please attach a description of your Department's capability to provide twenty-four hour <br /> coverage, seven days per week at the requested EMS service level. <br /> ll. Agency Approval <br /> Department Chief: <br /> (Signature) (Date) <br /> (Printed Name) <br /> FOR OCES USE ONLY <br /> Received by: Date: <br /> Approved by Orange County EMS Training Officer: Date: <br />