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ORDINANCE NO. 77-C
IN THE MATTER OF THE REPEAL AND RE-ENACTMENT WITH AMENDMENTS OF
ORDINANCE NO. 77-B, AMBULANCE SERVICES RULES AND REGULATIONS
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF WELD
COUNTY, COLORADO:
WHEREAS, the Board of County Commissioners of the County of
Weld, Colorado, pursuant to Colorado Statute and the Weld County
Home Rule Charter, is vested with the authority of administering
the affairs of Weld County, Colorado, and
WHEREAS, pursuant to the recently modified Colorado Emergency
Medical Services Act Rules and pursuant to the recommendation of
the Department of Health, the Board of County Commissioners of
N• O Weld County, Colorado, deems it advisable to amend the Ambulance
. Services Rules and Regulations Ordinance to include the role of
rigthe Emergency Medical Technician, Intermediate (EMT-I) , and to
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ca otherwise update the general wording to coincide with that of the
O current Emergency Medical Services Acts , C.R.S. , 25-3 .5-101 , et
o seq. , as amended, and
.n.W WHEREAS, said Act requires that the Board of County
2 Commissioners of each county adopt certain standards, requirements
o and procedures for providing emergency medical services within
w each county, and
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N ta WHEREAS, said Act authorizes the Board of County
I-1 Commissioners of each county to license and regulate ambulances,
w and ambulance services, and
WHEREAS, the Board of County Commissioners of the County of
`^ z Weld deems it in the best interest of the citizens of said County
N H
-.'"z4 to adopt the following Ordinance.
ONE
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NOW, THEREFORE, BE IT ORDAINED by the Board of County
dr • Commissioners of Weld County, Colorado, that Ordinance No. 77-B
N w previously enacted be, and hereby is, repealed and re-enacted with
N z amendments as follows:
N
o Section 1 - Purpose
a 1 . 1 The purpose of these Rules and Regulations is to set
forth the requirements for the planning and
N O1 implementing of high quality emergency medical services
N N to all citizens of Weld County. It is the intent of
the Board of County Commissioners that the emergency
m w medical service in Weld County will consist of at least
transportation, treatment, communications, training and
901471
PAGE 2
RE: AMBULANCE SERVICES RULES AND REGULATIONS
documentation systems designed to prevent premature
mortality and to reduce the morbidity that may arise
from critical injuries, exposure to poisonous
substances, and illnesses.
1 . 2 - Delegation
The Board of Weld County Commissioners designates and
c4)• v delegates to the Director and the Director' s designees
o the authority to manage the Ambulance Services Rules
ry p and Regulations . Under the direction of the Board,
o inspections, licenses , permits, applications, and other
a functions necessary to implement these Rules and
o w Regulations shall be the responsibility of the Director
0 3 and the Director' s designees.
om
w The Director shall be authorized to promulgate and
a
o enforce such rules and regulations for the operation
w and licensing of ambulance services in Weld County as
w x the Director deems necessary to provide for quality
N emergency medical services and to insure compliance
with Colorado law and any resolution adopted by the
-Ix
a Board.
W
mu Section 2 - Definitions
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N H 2 .1 The following definitions shall apply in the
rn H interpretation and enforcement of these Rules and
o a Regulations:
w
t-- w 2. 1-1 "Advanced Life Support Ambulance" means an ambulance
w which, in addition to meeting the basic requirements
N z for equipment, has on board the equipment and
N 4 medications required by the Physician Advisor' s
o N protocol, and which operates with advanced life support
z w personnel.
n o 2 . 1-2 "Advanced Life Support Personnel" means a minimum of
r w one state certified Emergency Medical Technician-
H Paramedic/EMT-P or Emergency Medical Technician-
m w Intermediate/EMT-I or registered nurse with advanced
cardiac life support certification, or a physician with
advanced cardiac life support certification, and a
driver with a valid Colorado Driver' s License and
current Colorado state certified Emergency Medical
Technician-Basic/EMT-B certification.
PAGE 3
RE: AMBULANCE SERVICES RULES AND REGULATIONS
2 . 1-3 "Ambulance" means any privately or publicly owned land
vehicle especially constructed or modified and
equipped, intended to be used and maintained or
operated by an ambulance service for the transportation
upon the streets and highways in this County, of
individuals who are sick, injured, or otherwise
incapacitated or helpless .
2 . 1-4 "Ambulance Driver" means any person authorized to drive
an ambulance, which is a land vehicle, in this County
as provided in these Rules and Regulations.
2. 1-5 "Ambulance Service" means the furnishing, operating,
rn conducting, maintaining, advertising, or otherwise
N � engaging in or professing to be engaged in the
transportation of patients by ambulance. Taken in
' o U context, it also means the person so engaged or
professing to be engaged. The person so engaged and
4 the vehicles used for the emergency transportation of
0 3 persons injured at a mine are excluded from this
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definition when the personnel utilized in the operation
n w of said vehicles are subject to the mandatory safety
2 standards of the Federal Mine Safety and Health
o Administration, or its successor agency.
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W
N a 2. 1-6 "Ambulance Service License" shall mean a nonexclusive
" authorization issued by the Board of County
-, x Commissioners to operate an ambulance service, publicly
a or privately within Weld County; the license shall
o v issue only to Ambulance Services whose primary base of
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operation is located in Weld County.
Lz
."% w 2 . 1-7 "Ambulance Vehicle Permit" shall mean the authorization
o En issued by the Department with respect to an ambulance
a used or to be used to provide ambulance service in Weld
-sr w County.
N 54
co 2 . 1—8 "Applicant" shall mean that person who is an initial
N z applicant or an applicant for renewal for an ambulance
o service license, or ambulance vehicle permit.
N
a 2. 1-9 "Basic Life Support Ambulance" means an ambulance that
meets the requirements for equipment as established by
the Board and is manned by at least one Emergency
nw
N N Medical Technician-Basic/EMT-B currently certified by
the State of Colorado, and a driver that as a minimum
ww
PAGE 4
RE: AMBULANCE SERVICES RULES AND REGULATIONS
has a current American Red Cross Advanced First Aid
Card, a Cardiopulmonary Resuscitation Card, or the
equivalent of both as established by the State Advisory
Council on Emergency Medical Services, and a valid
Colorado Driver' s License.
2 . 1-10 "Board" shall mean the Board of County Commissioners of
Weld County.
2 . 1-11 "County" shall mean Weld County, Colorado.
2. 1-12 "Current E.M.S. Act" shall mean the Emergency Medical
rn O Services Act, C.R.S. , 25-3.5-101 et seq. , as amended.
N U
. 2. 1-13 "Department" shall mean the Weld County Health
mr O U Department.
A 2 . 1-14 "Director" shall mean the Medical Director of Weld
c County Health Department.
o w 2 . 1-15 "Emergency" means any actual or self-perceived event
a which threatens life, limb, or well-being of an
0 individual in such a manner that a need for immediate
o
medical care is created.
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no 2. 1-16 "Emergency Medical Technician (EMT) " means an
x individual who holds a valid Emergency Medical
a Technician certificate issued by the Colorado
o a Department of Health.
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2. 1-16a "Emergency Medical Technician-Basic (EMT-B) " means an
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� Cl) individual who has been duly certified by the Emergency
O H o Medical Services Division of the Colorado Department of
a
w Health, and who is authorized to provide basic
emergency medical care in accordance with the acts
c, w allowed by the Colorado State Board of Medical
N• Z
Examiners and the rules of the Colorado Board of
N Z Health.
N ot
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>4 2 . 1-16b "Emergency Medical Technician-Intermediate (EMT-I) "
zmeans an individual who has been duly certified by the
Emergency Medical Services Division of the Colorado
Ng) Department of Health, and who is authorized to provide
N N emergency medical care in accordance with the acts
~ ~ allowed by the Colorado State Board of Medical
P w Examiners and the Colorado Board of Health.
PAGE 5
RE: AMBULANCE SERVICES RULES AND REGULATIONS
2. 1-16c "Paramedic" means an individual who has been duly
certified by the Emergency Medical Services Division of
the Colorado Department of Health and who is authorized
to provide advanced emergency medical care in
accordance with the acts allowed by the Colorado State
Board of Medical Examiners and the rules of the
Colorado Board of Health.
2 . 1-16d "Emergency Medical Technician Certificate (EMT-B,
EMT-I , Paramedic) " shall mean the certificate issued by
the Colorado Department of Health as provided in the
C.R.S . Emergency Medical Services Act.
M o 2 . 1-17 "Emergency Standby Service" is a service provided by
o contract or on a voluntary basis to provide emergency
medical services at special events including athletic
u' O and competitive events which may pose a potential
ca hazard for injury or death and require immediate
o w emergency medical care.
o
o x 2 . 1-18 "First Responder" shall mean an individual who has
'rw successfully completed the First Responder
o Certification Program administered by the Division of
o Fire Safety pursuant to Section 24-33 .5-1201 , et seg. ,
z C.R.S. , and the applicable regulations o£ the Colorado
Lo
N State Department of Public Safety.
r a 2 . 1-19 "Patient" means any individual who is sick, injured, or
w otherwise incapacitated or helpless .
o I-7
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2 . 1-20 "Physician Advisor" means a physician (M.D. or D.O. )
Z
N H licensed by the State of Colorado who establishes
m E written protocols for medical acts performed by
o a emergency medical services personnel and who is
w specifically designated and responsible to assure the
n w competency of the performance o£ those acts by such
N personnel within Weld County, in accordance with the
esi ro z applicable rules of the Colorado State Board of Medical
N Examiners and Colorado Department of Health.
0
c� a 2. 1-21 "Rescue Unit" means any organized group chartered by
a this State as a corporation not for profit or otherwise
existing as a non-profit organization whose purpose is
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r- co the search for and the rescue of lost or injured
persons and includes, but is not limited to, such
groups as search and rescue, mountain rescue, ski
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PAGE 6
RE: AMBULANCE SERVICES RULES AND REGULATIONS
patrols (either volunteer or professional) , law
enforcement posses, civil defense units, or other
organizations of governmental designation responsible
for search and rescue.
Section 3 - Requirements for Licensure of Ambulance Services and
Ambulance Vehicle Permits
3. 1 No person, partnership or corporation, shall provide or
operate an ambulance service publicly or privately in
Weld County unless that person holds a valid license to
do so issued by the Department, except as provided in
subsection 3 . 7 of this section. The fee for said
m o license shall be set by separate Ordinance.
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3. 2 In addition to the license required by Section 3. 1 for
v an ambulance service, the Department shall issue a
A permit for each ambulance used. Said Ambulance Vehicle
a Permit shall be issued upon a finding that the
0 3 applicant' s vehicle and equipment comply with the
c requirements of these Rules and Regulations and the
a w current E.M.S. Act. The Ambulance vehicle permit fee
shall be set by separate Ordinance.
O
w 3 .3 The Ambulance Service License and Ambulance Vehicle
N Permit shall expire on December 31 of the year issued.
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ei 3 . 4 Each ambulance service licensed in Weld County shall
w have a physician advisor. The Physician Advisor shall
o a be notified in writing by the Department of any
°�v violation of this Ordinance by any ambulance service or
^ z H individual licensee.
N
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o a 3. 5 Advanced Life Support Ambulances. When an ambulance
w service operates , or charges, as a paramedic or
w advanced life support ambulance service, the manning
N w must comply with the definition of Advanced Life
N Z Support Ambulance.
CI A 3. 6 Basic Life Support Ambulance. Any ambulance manned and
o operating as a Basic Life Support Ambulance Service,
shall in no way advertise, display or claim to be an
aAdvanced Life Support Ambulance Service unless they are
licensed as such.
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N N 3.7 Exclusions. The provisions of this Section 3 shall not
apply to the following:
07 44
PAGE 7
RE: AMBULANCE SERVICES RULES AND REGULATIONS
3 .7-1 The exceptional emergency use of a privately or
publicly owned vehicle, including search and rescue
unit vehicles, or aircraft not ordinarily used in the
formal act of transporting patients.
3 .7-2 A vehicle rendering services as an ambulance in case of
a major catastrophe or emergency when ambulances with
permits based in the localities of the catastrophe or
emergency are insufficient to render the services
required.
3 .7-3 Ambulances based outside the State of Colorado or Weld
Ncoi County which are transporting a patient in Weld County
o and which are licensed by another state or by another
O Colorado county.
U
A 3.7-4 Vehicles used or designated for the scheduled
o w transportation of convalescent patients, handicapped
0 3 individuals, or persons who would not be expected to
o w require skilled treatment or care while in the vehicle.
A
a 3 .7-5 Vehicles used solely for the transportation of
O
U intoxicated persons or persons incapacitated by alcohol
a as defined in current C.R.S. , 25-1-302 as amended, but
“ os who are not otherwise disabled or seriously injured and
who would not be expected to require skilled treatment
ti x
x or care while in the vehicle.
w
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� 3. 7-6 Any person or entity operating or purporting to operate
N z vehicles for the uses specified in Section 3 .7-4 and
w 3 .7-5, above, shall complete an application for exempt
O ei status to be reviewed and approved by the Director.
o w The application shall contain, but not be limited to,
4;N ,5 the following information:
r. W
N W
ao (A) The name, address and telephone number of the
N z person or entity operating the vehicles purported
oN to be used in the transportation described in
Section 3.7-4 and 3 .7-5.
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(B) The name and address and current telephone number
r. n of the person who will be in charge of the
N N operation of the transportation described in
Section 3 .7-4 and Section 3 .7-5 .
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PAGE 8
RE: AMBULANCE SERVICES RULES AND REGULATIONS
(C) The location and description of the place or places
from which the vehicles to be used in accordance
with Section 3 .7-4 and 3 . 7-5 will operate.
(D) The area to be served by the transportation
vehicles.
(E) A notarized statement by the person operating the
vehicles or the person in charge of operating the
vehicles declaring the purpose of the
transportation conducted by that person or entity
and the reasons by which the person or entity is
en o
N v entitled to an exemption from the ambulance
o licensing requirements of this Ordinance.
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U (F) Such other information as the Director may require
A to make a fair determination on the application for
0 3 exempt status.
n w 3 .7-7 The Director shall review the completed application and
aq shall forthwith either approve or deny the request for
p exempt status. The Director shall set forth in writing
o his reasons for denying any request for exempt status.
‘1, a Any person or entity having been denied a request for
exempt status may appeal such denial to the Board in
accordance with the procedures set forth below in
~ z Section 3. 13 Application - Denial Appeal.
w
o �7
ci 3 .8 Application - Requirements. Every applicant for an
Z Ambulance Service License or an Ambulance Vehicle
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H
Permit shall complete and submit to the Department an
E' application and supporting documents for approval.
o cn
ra Said application for approval shall contain but not be
limited to the following information:
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3 . 8-1 The name, address and telephone number of the owner of
cN et< the ambulance service.
N Z
o 3 . 8-2 The name and address and current telephone number of
w the person who will be in charge of the operation of
x the ambulance service.
� u;)
N N 3 .8-3 The description of the ambulance (s) , including the
'" make, model, year of manufacture, current Colorado
w w state license number, motor vehicle chassis number,
length of time the vehicle has been in service.
PAGE 9
RE: AMBULANCE SERVICES RULES AND REGULATIONS
3. 8-4 The location and description of the place or places
from which the ambulance service will operate.
3. 8-5 The name, address and telephone number of the required
advisory physician to the ambulance service.
3. 8-6 The area to be served by the ambulance service.
3.8-7 A list of all emergency personnel who may be called
upon to respond to an emergency with the ambulance
service. This list shall include the following
information on each person:
a) complete name, address, and date of birth.
M 0 b) the highest level of certification, licensure or
N training attained.
0
rn 0 c) a copy of a current Colorado Department of Health
EMT-B, EMT-I or Paramedic certificate; or an
a Advanced First Aid card from the American Red
c w Cross; or a First Responder Course completion
certificate; or a Cardiopulmonary Resuscitation
W
card issued by the American Heart Association or
a the American Red Cross.
0
w d) proof of a valid Colorado Driver' s License.
wx
N
.. ta e) a statement of criminal complaint or convictions
x including Class I and II traffic violations within
w the previous twelve (12) months.
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C..) 3.8-8 Proof of insurance, as required, below, in Section 4.4
Ln z of this Ordinance 77-C.
N H
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3.8-9 A current copy of EMT or Paramedic Protocols adopted by
x the ambulance service in accordance with standards
sra approved by the ambulance service' s Physician Advisor.
r- w
N 6a
N z 3 . 8-9 A current copy of the ambulance service' s training
N z standards in accordance with the requirements approved
No by the ambulance service' s Physician Advisor.
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a i 3 . 8-11 Such other information as the Department may require to
make a fair determination.
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r- Lc)
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PAGE 10
RE: AMBULANCE SERVICES RULES AND REGULATIONS
3 . 9 Application - Approval. After receipt of an original
application for an Ambulance Service License or an
Ambulance Vehicle Permit, or a renewal thereof, the
Department shall review the application and the
applicant' s record and provide for an inspection of
equipment and vehicle (s) to determine compliance with
this ordinance. The Director shall issue a license to
the applicant to provide ambulance service and a permit
for each ambulance used upon a finding that:
(A) The ambulance service staff, vehicles, equipment,
and location comply with the requirements of this
Ordinance, and
Ncoi (B) The ambulance service' s drivers, emergency medical
technicians, and paramedics are certified in
0 o accordance with the rules pertaining to emergency
v medical services of the Colorado Department of
ca Health, and
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(C) The applicant has complied in all respects with the
n w requirements of this Ordinance.
O
p 3. 10 Obtaining or attempting to obtain any license or permit
✓ hereunder by fraudulent means or misrepresentation
L a shall be grounds for denial, suspension, or revocation
of such license or permit.
~ a 3 .11 If a vehicle is replaced or an additional vehicle or
o a vehicles are added to a service' s fleet, an application
O1C_) for a vehicle permit shall be filed with the Department
Ln z within 30 days of receipt of the new vehicle or
w vehicles. The completed application shall include a
O1H description of the vehicle (s) that were replaced. Upon
o a receipt of a new vehicle permit application the
c p Department shall inspect the new vehicle and issue the
new vehicle permit, if appropriate.
N w
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NeNT z 3. 12 In addition to the inspection required at the time of
N application, the Department may also visit or contact
o �+ all ambulance services at one other time during the
w year at which time an inspection may or may not be
x performed. The inspections of the ambulances and
N- CO related equipment shall cover but not be limited to the
N N following items: condition of the vehicle, safety and
warning systems, Minimum Required Equipment for
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PAGE 11
RE: AMBULANCE SERVICES RULES AND REGULATIONS
Colorado Ambulances (as per current E.M.S. Act, CRS ,
25-3.5-101 , et seq. ) . Each service shall provide
evidence of an adequate on going vehicle safety and
maintenance program. This shall be a log which shows
the dates of the service and list of service (s)
performed. The Department may modify this regulation
or adopt additional requirements with the consent of
the Board.
3 . 13 Application - Denial Appeal. Any person or entity
having been denied a license by the Director may appeal
such denial to the Board. The request for a hearing on
such denial must be in writing and shall be filed with
rn N o the Clerk to the Board no later than thirty (30) days
o after the date of notification by the Director to the
-4 applicant of such denial. The request for a hearing
ti v shall specify the grounds of the appeal.
O
o w 3. 14 Any change of ownership shall require a new application
0 3 and license, with payment of the same license fee as is
o a required for an original application. Any sale or
a W exchange of stock of fifty percent (508) or more of the
total outstanding stock of a corporation shall be
w deemed a change of ownership for purposes of this
,o a Ordinance. Any change of ownership or any change of
N stock ownership of ten percent (108) or more shall be
+ ta reported in writing to the Director.
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a
o a 3 . 15 No license or permit issued by the Director shall be
o c.) sold, assigned, or otherwise transferred.
� z
N H 3. 16 All licenses and permits shall be renewed annually,
rn H shall expire on December 31 of the year issued, and
o a shall not be renewed until the application has been
44.
a approved by the Department. All applications
r-- w for renewal of licenses and permits shall be made not
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later than sixty (60) days prior to the date of
N z expiration. The Department shall notify, by certified
N mail, return receipt requested, each licensee of the
o >4 renewal requirements of this section, within ninety
w (90) days prior to the date of expiration.
a
r. rn Section 4 - Requirements for the Operation of Ambulances
N. 1/4O
� N+ 4. 1 Ambulance Crew Members - Training. No patient shall be
mw transported in an ambulance within the county unless
PAGE 12
RE: AMBULANCE SERVICES RULES AND REGULATIONS
there is available in the patient compartment, a
Colorado State-certified EMT-Basic or higher level
trained person. This requirement is subject to waiver
by the Board. Ambulances responding to a call without
a State-Certified EMT-Basic or higher level trained
person on Board the ambulance shall immediately, upon
acknowledgment of the call, notify Weld County
Communications Dispatch that the ambulance is
responding without such person on board. Without
delay, Weld County Communications Dispatch shall
contact and dispatch back-up ambulance service coverage
el with qualified personnel on board to respond to the
CN'v call.
0
N,�
,. The ambulance driver shall meet the requirements of
0 25-3. 5-202, C.R.S. , as amended. In unusual emergency
o w conditions when no driver meeting these requirements is
o available, this requirement may be waived by the Board.
c x A current First Responder Card is considered to be
t w equivalent to the requirements for the ambulance driver
a requirements.
0
a4 .2 Documentation. Each ambulance service shall prepare
N and transmit copies of uniform and standardized records
- o concerning the transportation and treatment of patients
x as required by the Director. Such records shall
w include all information determined to be essential by
v the Colorado Department of Health for maintenance of
adequate minimum records on the patient' s medical
N H condition and medical care provided by the ambulance
F service. All County licensed ambulance services shall
o m utilize the statewide emergency medical services
w uniform prehospital care reporting system operated by
V' W the Colorado Department of Health, EMS Division. All
N w records shall be preserved by the ambulance service for
N z a period of at least three (3) years.
N 2
o 4 . 3 Ambulance Crew Members - Criminal Record. Unless
v a waived by the Board, no person shall be employed by an
a ambulance service as an ambulance crew member who has
been convicted of a felony, misdemeanor, Class I, or
C-• Class II traffic offense within the previous twelve
N N (12) months from the date of application.
.-i i
w 4 .4 Insurance - No ambulance shall operate in Weld County
unless it is covered by insurance as set forth in this
PAGE 13
RE: AMBULANCE SERVICES RULES AND REGULATIONS
paragraph. Each ambulance service shall maintain
insurance coverage for each and every ambulance owned,
operated or leased by the ambulance service, providing
coverage for injury to or death of persons in accidents
resulting from any cause for which the owner of the
said vehicle should be liable on account of any
liability imposed on him by law, regardless of whether
the ambulance was being driven by the owner, his agent
or lessee, or any other person, and coverage as against
damage to the property of another, including personal
property, under like circumstances, in the following
amounts:
en
o v a. Statutory Worker' s Compensation Insurance:
� i MU• � b. Public Liability and Property Damage Bodily
0 Injury:
w
0 3 Each person $500 ,000
o a Each accident $500 ,000
.1)-54
O Property Damage:
U
a Each accident $500 ,000
N
La
ti Professional Liability Coverage:
� x
w Each person $500 ,000
cr U Each accident $1 , 000,000
En Z
N H Proof of insurance shall be filed with the Department,
m H along with the application for an ambulance service
o a license as required in these regulations. Every
insurance policy required shall contain a provision for
continuing liability thereunder to the full amount
N1*+ thereof, notwithstanding any recovery thereon, that the
N z liability of the insured shall not be affected by the
N z insolvency or bankruptcy of the insured, and that until
o `�
� a policy is revoked, the insurance company will not be
C.) P4 relieved from liability on account of nonpayment of
a premiums, failure to renew license at the end of the
year, or any act or omission of the named insured. At
� any time said insurance is required to be renewed proof
CV N of renewal shall be provided to the Department. The
motor vehicle insurance shall be a complying policy as
m 5
defined in Section 10-4-703 , C.R.S. , as amended.
PAGE 14
RE: AMBULANCE SERVICES RULES AND REGULATIONS
A certificate of insurance, with the Board named on the
certificate holders ' copy, shall indicate the vehicles
covered by the policy, type of insurance, (vehicle and
professional liability, etc. ) , policy number (s) , policy
effective date, policy expiration date, amount of
coverage, and contain a provision that thirty (30) days
prior written notice of any cancellation or termination
or revocation of said insurance policy shall be given
M O to the Department.
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Any changes in the status of vehicles listed on the
v certificate of insurance during the licensing cycle,
shall be noted on a new certificate of insurance and
ca a forwarded to the Department within thirty (30) days of
0 3 the changes.
o w Notification of any changes in insurance shall be made
a in writing within thirty (30) days of such changes to
Uthe Department by the licensee, to be followed with a
w certificate of insurance as outlined in previous
Y a paragraphs . The Director may require additional proof
of insurance at any time needed in order to promote
health, safety, and welfare of residents of the County.
o a 4. 5 Ambulance Specification. Ground vehicles obtained,
a U licensed and placed in use as ambulances, shall at the
Ln z minimum, meet the guidelines as established by the
H
State Advisory Council. Variances of the
°` H above-mentioned specifications may be granted at the
a discretion of the Director. All ambulances shall have
erg the name of the ambulance service clearly visible on
n W said vehicles.
N W
CO
N z 4 . 6 Ambulance Equipment. Each ambulance shall contain the
o < following equipment which shall be maintained in good
U a working order:
w
x a. Emergency lighting and audible warning equipment
� N which complies with Colorado State law for
N N emergency vehicles.
r-1 N
PI w b. Safe tires and in addition, adequate snow tires or
chains when weather conditions demand.
c. In the case of ambulances serving the County, a
capability of two-way radio communication with
PAGE 15
RE: AMBULANCE SERVICES RULES AND REGULATIONS
their dispatcher and with one or more emergency
facilities.
d. Safety belts for both the ambulance driver and
other attending personnel. Safety belts shall be
utilized by all persons in the forward compartment.
Attending personnel shall utilize seat belts when
feasible. Safety belts or other safety restraining
devices shall be available for patients being
transported. Such devices shall be utilized when
rn o
N v feasible.
0
o e. A functioning fire extinguisher with current annual
inspection of the all purpose dry chemical type,
4 ABC, and of the size as specified on the Equipment
0o 3 List for the County.
o w f. The minimal required equipment shall be that listed
z in the list established by the State Advisory
o Council on emergency medical services and approved
o by the State Board of Health. The Director may add
e a to this list at his direction as other needs or new
a methodology becomes known.
ti
4.7-1 Transport - Medical Facility. All ambulances shall
o a deliver patients to the most appropriate medical
a v facility as determined by the Physician Advisor or the
n z Physician Advisor' s designee.
N H
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o 4 . 7-2 Approved Locations - Abandonment. No licensed
x ambulance service shall operate from locations other
c p than those approved by the Director nor shall such
Ncwv licensed ambulance service abandon approved locations
without prior approval of the Director.
N 7
N ,7,
` < 4 . 8 An ambulance service operating in the County must
o N comply with all County and municipal zoning and other
zregulations .
N n Section 5 - Qualifications of Emergency Medical Technicians
N N
5. 1 No person shall practice as an Emergency Medical
m w Technician for any Ambulance Service subject to the
licensing requirements of this Ordinance unless that
person holds a valid Emergency Medical Technician
license from the State of Colorado.
PAGE 16
RE: AMBULANCE SERVICES RULES AND REGULATIONS
5. 2 Each Emergency Medical Service shall provide the
Department with a list of its Emergency Medical
Technicians as per section 3 . 8-7.
5.3 Before the State certification of an EMT, EMT-B, EMT-I
or Paramedic expires, the ambulance service shall
provide the department with a written statement showing
the name of the EMT, EMT-B, EMT-I or Paramedic, the
date the certificate was issued, the date of
expiration, and the certificate number of the new State
certificate. Failure to comply with this Section
en N OO disqualifies an EMT, EMT-B, EMT-I or Paramedic from
o practice in any Weld County ambulance service.
coo
5.4 EMT'S or Paramedics contracting or employed by groups
o and organizations for public events and not affiliated
o w with a licensed ambulance service based in the County
o shall, upon request, be able to demonstrate compliance
o x with rules and regulations as promulgated by Weld
'}2 County, State of Colorado, and State Board of Medical
o Examiners .
U
.oa 5.5 Emergency Standby Services. Emergency Medical
Technicians or Paramedics contracting or employed by
no
groups or organizations for public events to provide
a emergency medical care in the County must have
o a sufficient supplies and equipment to effect care on the
o+ U EMT-B level to persons requiring that care. The
Ln Z following is the minimum equipment or service required
w for provided emergency standby services:
rnE
o a A. Oropharyngeal Airways in adult, child, and infant
d sizes.
✓ w
c w B. Assorted dressings (Sterile - large and small) .
N Z
N ,Z
N 4 C. Soft roller bandages .
0
N
U D. Tape.
w
a
✓ a E. Extremity immobilizing devices.
rr
N N
H F. Triangular bandages.
ww
G. Shears capable of cutting clothing or bandages
including heavy leather or canvas.
PAGE 17
RE: AMBULANCE SERVICES RULES AND REGULATIONS
H. Blood pressure manometer, cuff, and stethoscope.
I . Cervical collar and/or sandbags.
J. Oral suction device.
K. Portable oxygen and pocket mask and administration
equipment.
L. Backboard and straps.
N U
M. Direct communication access to a dispatch facility
r o for requesting advance life support care.
� U
a Section 6 - Unlawful Practices
ow
o S The following practices shall be unlawful and shall be
w grounds for a suspension or revocation of a license:
a
0 6. 1 Willful and deliberate failure to respond to any call.
U
W
I74 6 . 2 Willful and deliberate failure to transport a patient
.. o when required.
r, x
x 6 .3 Administering unnecessary treatment or supplies to a
o a patient for the purpose of increasing the patient' s
cs v bill.
Ln z
�
H
6 .4 Administration of any substance considered a drip or
o Ca intravenous fluid unless under the protocol
x and/or order of the Physician Advisor.
w
No
ro w 6.5 Charging for treatment or supplies not actually
cco z provided to a patient.
N
o 6 . 6 Requiring and/or allowing any employee of an ambulance
service to be on continuous duty for any one period in
excess of forty-eight (48) hours, except in cases of
extreme emergency.
N un
N N 6 .7 Except as otherwise provided in this Ordinance, failure
to deliver a patient to the most appropriate medical
w w facility as determined by the physician advisor or his
designee.
PAGE 18
RE: AMBULANCE SERVICES RULES AND REGULATIONS
6. 8 Conduct which constitutes a significant threat to the
health or safety of the individuals receiving emergency
care from a licensed ambulance service or services. In
any revocation proceeding, evidence of the conviction
for any traffic violation is admissible in overall
consideration, evaluation and determination and
disposition of such revocation hearing.
M 0 6 .9 Noncompliance with any rule or regulation promulgated
N by the Colorado State Board of Medical Examiners for
the duties and responsibilities or Emergency Medical
O O Technicians, Paramedics, or Physician Advisors.
A 6. 10 Conduct by any person or entity in violation of the
o triage authority delegated to the Weld County Ambulance
Service as set forth in Section 8 . 2.
o a
h w
9a Section 7 -- Suspension or Revocation of License or Permit;
0 Conditional Permits
w
w x 7.1 Temporary Suspension. Upon a determination by the
.. 0 Director that any person has violated or failed to
comply with any provisions of this Ordinance, the
w Director may temporarily suspend, for a period not to
exceed thirty (30) days, any license or permit issued
cm v
pursuant to this Ordinance. The licensee or permit
• z holder shall receive written notice of such temporary
w suspension. The temporary suspension shall be
o u) effective upon the date of mailing the written notice
w by certified mail, return receipt requested, to the
� w licensee or permit holder, or on the date of service of
N w the notice upon the licensee or permit holder pursuant
N z to the Colorado Rules of Civil Procedure. A hearing on
N Z the temporary suspension shall be held before the Board
o not later than ten (10) days after the effective date
0 a of the temporary suspension. The written notice of
a temporary suspension shall include notice of the time
and place of such hearing. Prior to such hearing, the
w Director may reinstate the license or permit upon a
N N finding that the licensee has come into compliance with
r-I N
the provisions of this ordinance.
mw
7. 2 All hearings before the Board of County Commissioners
shall be public and every vote and official act of the
Board of County Commissioners shall be public . The
Board of County Commissioners may require an ambulance
PAGE 19
RE: AMBULANCE SERVICES RULES AND REGULATIONS
service company which is the subject of a hearing, to
make available such books and records as are desired
and requested by the Board of County Commissioners.
All testimony at the hearings shall be under oath and
shall be electronically recorded. If a stenographic
shorthand reporter is desired by any party, such
reporter shall be permitted at the requesting party' s
rn N o expense. The Board of County Commissioners shall make
0 other rules and regulations for the conduct of the
hearing as are deemed necessary in its discretion.
CrN o
HU
O 7 . 3 The hearing before the Board of County Commissioners
w shall be conducted in two (2) phases.
o
o �
o x A. During Phase I of the hearing, the Board of County
n w Commissioners shall determine whether, by a
z preponderance of the evidence presented in the
public hearing, any one or more of the following
w has occurred:
N
(1) Violation (s) of any provision of this
Ordinance.
w
m v (2) Violation (s) of any law of the State of
Colorado, or Ordinance or regulation of any
Ln
N H municipality in the County. Evidence of any
H violation may be considered, regardless of any
o v� conviction thereof.
rz
w
w (3) Commission of any practices set forth in
N 54 Section 6 .
0
N � If the Board does not find that any of the above
o acts has occurred, the Board shall conclude the
hearing and shall reinstate the license or permit
for the remainder of its term. If the Board finds
that one or more of the above acts has occurred,
the public hearing shall progress to Phase II .
N N
H
B. During Phase II of the public hearing, the Board
w
shall consider whether to suspend or revoke
permanently the license or permit. The Board may
suspend any license or permit issued pursuant to
this Ordinance for any portion of or for the
remainder of its life. At the end of such period,
the person whose license or permit was suspended,
PAGE 20
RE: AMBULANCE SERVICES RULES AND REGULATIONS
may apply for a new license or permit as in the
case of an original application. Upon a finding by
the Board that the licensee or permit holder has
committed, within two (2) consecutive calendar
years, two violations or on two separate occasions
has failed to comply with any provision of this
Ordinance, the Board may permanently revoke such
license or permit. The Board' s decision to suspend
or to revoke permanently the license or permit
shall be based upon whether evidence of the
rn o following factors mitigates or aggravates the
N (J effects of the acts found by the Board during Phase
I of the public hearing:
OO
NU
A (A) The seriousness of the act in terms of affront
4 to the public.
ow
O3
0 a (B) Corrective actions taken by the license
n w holder.
A
GL
o (C) Prior violations and offenses and the
o
a effectiveness of prior corrective action.
e
N
�+ (D) Prior violations and offenses by the licensee
x or permit holder.
a
w
0 (E) The violation, offense, or occurrence as a
GI a
v repeated course of conduct or as a single
N H z event.
N
W
O El
(0 (F) The likelihood of recurrence.
a
�+ m (G) All circumstances surrounding the violation,
N w offense, or occurrence.
0
N
N Z (H) willfulness of violation(s) , offense (s) , of
o Kg
occurrence (s) .
r
w
x (I) The length of time the license or permit has
been held by the licensee or permit holder
co being disciplined.
N N
N
(.7) Previous sanctions imposed against the
g w
licensee.
PAGE 21
RE: AMBULANCE SERVICES RULES AND REGULATIONS
(K) Other factors making the situation unique to
the license or permit holder subject to
discipline.
7. 4 It shall be the duty of the Director to notify local
law enforcement authorities , fire departments,
hospitals and the physician advisor(s) of revocation or
suspension of any ambulance service license or vehicle
permit.
Section 8 - Countywide Emergency Service
No 8 . 1 So long as the Weld County Ambulance Service is in
o existence and is duly licensed pursuant to this
o
Ordinance, the Weld County Ambulance Service may
N provide emergency service to all areas of Weld County
ca and to those other areas specifically set forth in the
w Weld County Ambulance Service application and license.
o
03
o x 8 . 2 Weld County Ambulance Service shall have triage
h w authority in Weld County where Weld County Ambulance
0 Service and any other ambulance service have responded
o to calls for emergency assistance.
N 8 . 3 Weld County Communications dispatch may dispatch Weld
� La County Ambulance Service to respond to a call within
a another ambulance service' s service area under the
w terms and conditions set forth in Section 4 . 1 .
o �l
rnU
z
SECTION 9 - No Third Party Beneficiary Enforcement
ul
N H
rn H Nothing in this Ordinance shall be construed to create
o a cause of action and/or civil liability remedy in any
person. This Ordinance shall not be construed to
444
N w create a duty to any third party where no such duty
N w otherwise existed. It is the express intention of the
N Z Board that any third party receiving services or
(-4 benefits under this Ordinance shall be deemed an
o incidental beneficiary only.
>+
� a
a Section 10 - Savings Clause
� 10 . 1 The repeal of Ordinance 77-B and its reenactment as
N N Ordinance 77-C shall not have the effect to release,
N '-I
extinguish, alter, modify, or change in whole or in
w
part any penalty, forfeiture, or liability, either
PAGE 22
RE: AMBULANCE SERVICES RULES AND REGULATIONS
civil or criminal, which shall have been incurred under
Ordinance 77-B. Ordinance 77-B shall be treated and
held as remaining in force for the purpose of
sustaining any and all proper actions , suits,
proceedings and prosecutions , criminal as well as
civil, for the enforcement of such penalty, forfeiture,
or liability, as well as for the purpose of sustaining
any judgment, decree or order which can or may be
rendered, entered or made in such actions, suits,
proceedings, or prosecutions , imposing, inflicting or
declaring such penalty, forfeiture or liability.
10 . 2 All licenses in existence under Ordinance 77-B, at the
en o
N U time that said Ordinance was repealed and reenacted as
this Ordinance 77-C, shall continue in validity for
N o their term as provided under Ordinance 77-B. Such
existing licenses shall be subject, however, to the
o terms and requirements of this Ordinance 77-C without
0 41 3 the need for a new application or inspection pursuant
• to this Ordinance 77-C.
oa
aw
a Section 11 - Safety Clause
o
The Board of County Commissioners of Weld County hereby
z finds, determines and declares that this Ordinance is
necessary for the health, safety and welfare of the
tia
citizens of Weld County, Colorado.
a
o a Section 12 - Severability Clause
rnU
Ln Z If any section, subsection, paragraph, sentence,
�
I-4
clause, or phrase of this Ordinance is for any reason
o
EA held or decided to be invalid or unconstitutional such
a decision shall not affect the validity of the remaining
a portion. The Board of County Commissioners hereby
N w declares that it would have passed this Ordinance and
w each and every section, subsection, paragraph,
nNiz sentence, clause, and phrase thereof, irrespective of
`" the fact that any one or more sections, subsections,
a paragraphs , sentences, clauses or phrases might be
w declared to be unconstitutional and invalid.
a
✓ o
c• m
N N
N rl
W W
PAGE 23
RE: AMBULANCE SERVICES RULES AND REGULATIONS
BE IT FURTHER ORDAINED by the Board of County Commissioners
of Weld County, Colorado, that this Ordinance No. 77-C shall
become effective October 3 , 1990 , after its final public notice,
in accordance with Section 3-14 (2) of the Weld County Home Rule
Charter.
The above and foregoing Ordinance No. 77-C was, on motion
duly made and seconded, adopted by the following vote on the 24th
day of September, 1990 .
I / 7 BOAR OF COUNTY COMMISSIONERS
� J
ATTEST: a72!.° WEL UNTY� �v �v uwv' �%.' , COLORADO
Weld County Clerlft t4 the Board 1
ene R. Bran ner, Chairman
� Geo e K nned Pro-Tem
`B�L'�� flT1t?,��cc�-cc v, �t c�ic-FRS g Y.
Cleputy ekes* to he Board �
APPROVED A O FORM: ns ance L. Harbert
C. C.W. K
County Attorney
Go c
First Reading: August 22 , 1990
Published: August 30 , 1990, in the New News
Second Reading: September 10 , 1990
Published: September 13 , 1990 , in the New News
Final Reading: September 24 , 1990
Published: September 27, 1990 , in the New News
Effective: October 3 , 1990
B 1277 REC 02228274 09/25/90 11 : 26 X0.00 23/023
F 1281 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
STATE OF COLORADO )
)s. s.
COUNTY OF WELD )
David B. Reynolds, being duly sworn ,
says that he is publisher of
The New News , a weekly newspaper
published in Keenesburg in said County
and State ; that said newspaper has a
general circulation in said County The New Neva Page 1
and has been continously and ORDINANCE NO.77-C
uninterruptedly published therein , IN THE MATTER of
THE
during a period of at least REPEAL oR ANcE
fifty-two consecutive weeks prior to NO. B, AMBULANCRZri.Es AND
the first publication of the annexed � �p s�
notice; that said newspaper is a MITRE
COKI.0 ONERg OF WEIR
�M�ICA1,pRADO:
newspaper within the meaning of the the Board ot
of the CountyCGurl
act of the General Assembly of theweld, p ed
State of Colorado, entitled "An Act C,olorado
C,om
to regulate the printing of legal �Weld
notices and advertisements, " and '°°d to the
amendments thereto ; that the notice tt e�ct
of which the annexed is a printed Rules e'°drecanmanda pursuant to he
copy taken from said newspaper , was Nttr ��'otwetd
published in said newspaper , and in to 'ameod�
the regular and entire issue of atilgultoeand
every number thereof , Tec�hhn►cian.�tnter �
't.v(r1 Q'T1`r W c K to
i t}e,a epee
decide withgtliat and at Th. cw.rent
o. k for Acts'
EmaS M�etdl�Services m4 as
C.RS.
weeks; that said notice eland
me' said Act moires
was so published in said newspaper that the Board of
proper and not in any supplement aregd*Commissioners �o each c <
thereof , and that the first �� emergency
aervi Rittvn each coun&Yn
publication of said notice as LEAs; said qty
aforesaid , was on the the Budd
d county to
'�'���° �,the°erne
day of , 19 , Commie�o�era Of �tntere of �
Weld deems ttcainTe:y to of the dlikserts_Lf doot the toil
nd the last on the )- .-7 day of o , n Wejd
County
� o that Ordinance
I..WOOD •
�� �
Subscribed and sworn to before
me this �,O. day of erail t-- ,
197 .
trri-n, ,4`' 44-,--.4.------)
-7 ka%JH.r ipplil ilyr.:!ter. ftr..,y-, r.:.7,..4.1,n
w
medlnl riaA 6 Ur In•d er �„� r D;[/.l (B) mm�ebe ina i�ee..
be at•EWme ",},,�° Cr gyp• a
m B otB - . i ,; ;.'`a" ,w elliergalg000 k ef(Ele,or medical acts by
as cassxtlen ana
ttyh�e a�num wmm
' d sa A� i', r " "°` • E)such. with Section 3.7474 and
was on orntin Wind Comte, in r Thealias W be served byto
.
and kr
A
S � K
]],,�� vehlaAneorialion
F . as
. or Vs enticed to an
' K » ` brittle not requirements of tlde
• Y °"..I Suat'other information as
Crpere•[Cn& the may n to make
n the
. . .b k � - and
s Peet, �7tim� reviet4
a Y ^.shell mean iii i•
tar approve or the writing ins reastals for
Aq, C•. ' ' kpersok inZwredussi to as
Mara
as camqall s. " ssr�yvlr been denNa ep request
„ flora ly `�moleTY
reruinoldesaa ee�m
22 w. deny y d Meta 4�+�Y' toexcept • set
in Section 3.13 Application
be wt VIM for an
gliS or an
a fn
r
d •r 'addition to the leshall
IJte are�e-" nl 8•c o 1Lr] tW' We. Dme . an..
a � .. +we Ilreaga • ,_., t[ria t_
Prikati
Os
•a. 1
fees• ( r s : w the ownr sa
tea xr,,_,
_ e
eVta�. . �ti MI d t•+... d
ysdieal u
te/BaaT—h Techmaier I, Ysea d dmske,
time the
r a atet� 17�„ sp,, Rea l d
�i ",� shall 9a mkt v•fate '
•drivaei• TMa. •�^�+ ': ass _ y ',q�°Is°•tlat
theamtator Ant
Ambu4oce , •' erica air
a6b 'Ths�
o
Llge
or rvce.. Ies tor amhuiasce •r�iee. Sys am6Waa'cene trued n9natal tirooki
:.
M i•. Board ateiyit�•a mbe comok ltn a.&7 w��d
it
ern � sera tilg a[�Aaie. �heyW�e .
4.11
ar aY•t•iau rr pai and lnuaude thDeenas:
• r „ V astMrltathi d m pe(e�Ahdnmretwares,.ea
ie t:.' + (>virads W a• artlRntlm, Mnl d:
_,. d r traldq.
provide SI
Y a iaBena aela u It
o
therwise , ( 7•� a kaneM First..Mint
'
) esni
IR ask ) rm < IOrFalw • aram Act. act the
person SO b-,M � ".is a � A v r�r �ArxLt7m the American
vie il�F r eels. a . mai�sr ii'•ei • ' d-.
at a ne wbm when - � � e License. '.: d crimhul
aM
ore hd pose arswev.�as W
In the _ ��a 6 q .
Health Aded tlon, of b a.l- .Sfatr _ r Wad rrmep�idd�� b�daw h� Section 4.4 of
streeterer a.ld "� or
tb8 0rdiunce 7`FC.
214 " la W� r a.Nzeme A :steed EMT or
3Flea put upM to -0 � �Wimed or ervke. -gFvred SaVes •.� k C.RB., tie echMubd ,
V4
d d' haod ,aDPsd. t
'ethos" base d operation is �' �tiny �or mowed •o.1 in thredllate e
Lip �bWentareCIFILle authorization
' . . r vi7hede. V tim d Idaa(ca as in.R�who , 14�01 ras,�r,ias het
mt he"eest not
d°thet Wiayyta ;eSoje�d
=rat or care ln the
ve3.74 Aoy --Was alit°p a7rIN 9a�.7�aWhptim 'f
ter to be reviewed�
"ailleatabut to, me following
nee the a�on°m
oar ling, ytheed vehicles
9.7.1 yjb described in SSectlm
�o.0 ?�.t „F.rl's r
t�.dyp�� �° t�rG °°d ua' M, are
and
ambulancenet
•• �A 'aunties �. tteheheis 9:Yid °' requestbased ,R '
m �oy�y
the patint ) d le dumber °ery4aand EttestLas ted
amud Ca oIliel ag °rN_ agrat Phylician Advisorr•1�d�• Cdoredo4tr °C�'amount
° �y� a.
3.µ °A crreat .d, requirement bdud� '"waiver .W5a aq aio e :E 8b Enpegp�cy .or boa or
=in==ents ti _- hl�r My°t 'EMT or pip ppy8 u the Bepe�ra<ym•entcd9, _� r ^r 1fpink
ys onotiee ede QE the�rrac of `t an
a�•� shallthe U. the lq ryst
Such other irate �as Enra the' "ambitions.nt of the , °no [y t3'c notified on
of
make• d_ �9u, 'e "'Mil
m too
thrwtr,�bt(3h) ensithrgitingtnnuant
r as Asogga W p Notl[fctlen d aqv changes
of • innn �)atade�tn. AltwaJs be
the 9uviee ewuay6gJe ymweleEt, otlhcea�eeee.m ra�•�s, dreleing° (Sulk-drialurance SS gruArato u of l• onaxul p tii�":adds. ape. t)�g�
when no r�d• °�'�1t9. irnm^bgid°i.
b :. _ these requirements needed in
of reetdmb b°nda8
a�vice -+.. ,,. ett,and welfare of
.,atm6a�ooe aes�Woe.* ' ties. era is
s me8°f ContY:
ervyl�qGgoultrobtratiliceread. or. 0Threee:"eel
trelfgeaelejetehre aneheacegtein nee astataiulanoe eta manometer,
Celled collar- sad/or
minnentrEds
tthhee �
penal
amddanes aretlon Ae grans
p ta�'ileowtien.a�°ffie tNreetor.
l cs .Yaa�..^ .. �esr�.vice clarb .na
ddl deand -�"„"�` d�Equipmeat a a ::
oxygen anises=
D•��1�� may. wchpk�h�a�1YyY me
" " •'.-•. rt � betafded is good wr®f d-bnlawful Prattles
cordder: `'a 1 �i
hlaYindgt r aab a[ - wwertineway atei `.. L°sntevendoehett for.� tt •. .
r ee tlaa hcroe r tl�� and n 4tiere to Weer
3,e1 a-: tePLeed! a Pe
r e. In °"
emu
are toe - s, leet, 0�[a��e�tayM1espp••gpttirg
their r °n°h'�yy� pVrtt , ti ■.
asw danced ( f m° Ment6erale he Qre �[ar hdt r a Ad
ayn�d�.may! A �a�id une�des�a �d�r°t��aar
a• a1iWltfe by aH - "� r 'eod/r r�r-. d ttre
that were. ...the- - Advleor.
Bet tka UM, Mu. teat when Whet/ � WeeidMlatrear i
belts or g
sail ae da •prim. eel Regflaf�%azi or
a .In addition to the -th•d e aoa�, � FoFLF ab
of an am
EFIST of
apt
ha
at. time °d a�oeee t
theat this! a(`tir "sod a
itt er a°, po -aervka each
and site as on tin Equipment ene,....A the r a faces' g
..end rola bUl not be rares on oR r to or. pwryr o(�tVy Utt[r . emtInielate BerB ex :
eE table m of the is
rtateliteald-libililwimeletellsergjabIThe ° etace actress a a Au at
uso Oa ndand
FA•cdt,r bt.. _as r revxatim
Eaaru to ha rower,4 and +y � grt WaLtldt estes
�,
Snows the I
eifett♦ d to t 7cli N ocadon heating. a�Wy' .
Wir py tpe 9r t� 4
D•r�a•' 9p�toff Wohr's d tM�rr.the HhlA�t�ean Sta
Cetera,
fr.
an1 Property
�► �4n $aohimdlM.- qg9 u. r in
win ipe to a ealiVCAParki0 *kelpie.
Board no Coverage: AYgI�approved 1•eWms
of.,� I'rradl 6e ty
91ed 4, MS -serail
=� approval -i the inhi License r Permit;
er .hearing with
the - ad win
Vo _g °��° on by f groama d me u °paraW�g wNh °ti Cna.. �d to icdpam-ahyy -vwlta Director
a eh•nge of ionnare entog and. emer ens erarbMhunce, the
am reVre�'�w{amnn • a. era gertlaa 3 - d may
arttemprarll9
tee U*la= ai
ragtdlbapa��a cry' the (uti gay - WS lag) �dm,not Y
rini � med ass off a et the anon C nets _ lib-� punia°nt
p fa' N °rPruE9 d°tlla •;u. 6 d =ft shill receive written
aces$.. upp�
AnY ep� ban 0 accam *�
ownr�lo.or amy tan Pcheep d0'e�d)�d � dathY ed mithhtleel,"ll�+.�e
mcs Shell be t'°prted hlIwritiug d m0°u°rgillA
n me ddeeE
to 3.13 mi o Ic a m.namit issued �At�y��Z named.. tger nemtryfror
ca°yga�r uPed the
aaserReshall �AD�ncem'by the -mile_ nl� r�iW1Il" to the 3' as EMT, gAwv.a°!nag end
is 2,end SAM not a meB°�we'eweeed u n �.� a ...'w to Vega
Mr tbe
ha !}� ii dat�hae t�m�helgee
until the tbn hoe 'hen 4. . *oft
de= wrltin tn�otelts et
iTat ee�ns for°Pam al � . E he yr. ' eel.
es oretta. shall(� tlmwas
, tl
date e:nte• mnthe�. d�
roe are er�llcnrat a n•: ", oI thY d°
the tehtheintller days
P°b° .. . +!gu4e and°evrrX?etc
Cottoned an tap 11
agora keit gap u 19
� _ ?mi�) of r (e).
y�aryde �f�wJu
CamroWaews
ar t ea■tln■e
• -however
r■9CeomYdo aa� at
• far a �netis
al Miter il - of rsi
andfor em■eo.
pf the
44 41,410414 = , ty
a. peeroe d M °dam
r
br a �inaaod■r■. � �
a)daily Malta
t eta d °° •
...
not find '
aill
M '. �� -. ■ ode
orb vee a a y, �. -t :miss■�it s. H yh "�19 v"Of t'1�
'ipw,ff Si the e
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•
a fa' p the Remiss
re
« >i ve the. iDart
at TO FbRY:
i/w�//te■ otter, - ?LISTS
a At • ""`; -bare'iNi
7f,B. Beading:"Eataohr if,illit tar' POSS 1 13. Mk al
tra to
■R9 7;; as mg
s 1.Vat\
. ar at
a. or ti i
. or
taYa>tnn bf ni rt -B at
rence
dart
pbfEf' pp -'m_. . -. --
reran
.. te,
surrounding the viola mfl fi ae,
Koccurrenee6. _._._ _. -
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