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(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 />II.Agency Approval <br />Department Chief: ________________________________ ________________ <br /> (Signature) (Date) <br /> ________________________________ <br /> (Printed Name) <br />FOR OCES USE ONLY <br />Received by: ______________________________________ Date: ___________________________ <br />Approved by Orange County EMS Training Officer: _________________________Date:_________________ <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD