HomeMy WebLinkAbout2010-074 License - Ambulance Operators
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CITY OF ASHLAND
APPLICATION FOR AMBULANCE OPERATOR LICENSE
AMC Ch. 6. 6.40
2010
Applicant's Name: CITY OF ASHLAND
Trade Name, if any: ASHLAND FIRE & RESCUE
Address: 455 Siskiyou Boulevard
Ashland OR 97520
Telephone number: (541) 482-2770
Ambulance descriptions Manufacturer Vin# License #
1. 1992 FORD LIFELINE 1 FDKE30M7PHA05945 EXEMPT
2. 1998 FORD LIFELINE 1 FDXE40F2XHA00469 . EXEMPT
3. 1996 FORD LIFELINE 1FDKE30F8THA48282 EXEMPT
4. 2002 FORD LIFELINE 1FDXF47F63EA10341 EXEMPT
5. 2006 FORD LIFELINE 1FDXF47P06ED06467 EXEMPT
6. 2008 FORD LIFELINE 1FDXF47R48ED90832 EXEMPT
[J Attach information showing that every proposed driver, attendant and driver-
attendant is qualified as required in Ashland Municipal Code Chapter 6.40 and as
required by the laws of the State of Oregon.
[J Enclose with the application, the initial license fee of $300 plus $100 per ambulance.
[J Enclose a performance bond in the amount of $500,000.
[J Enclose an insurance policy meeting the requirements of AMC 96.40.110.7. Attach
additional pages as necessary. Explain any box not checked.
Submit your application and required enclosures to Barbara Christensen, City Recorder,
City Hall, 20 East Main Street, Ashland, Oregon 97520.
I certify that each ambulance listed above is adequate and safe for the purposes for
which it is to be used and that it is equipped as required by Ashland Municipal Code
Chapter 6.40 and the laws of the State of Oregon.
Signature:
Print name: Greg I. Case
Title: Division Chief
Date: 05-08-2009
H:lAmbulanee lielCily Lieensing\2010 lie.app\2010 lie renewaL doe
April 10, 2009
\
CITY OF
ASHLAND
'.
Memo
DATE: 3-24-2010
TO: Cindy Hanks
CC: Barbara Christensen, City Recorder
FROM: Greg 1. Case, Fire Dept - Division. Chief
RE: Renewal of City of Ashland Ambulance Operator License Fee .
Cindy,
It is time once again for our ambulance renewal and a check must accompany our Ambulance license
renewal. Could you do an inter-departmental transfer or Check for the Ambulance Licensing Fees From
the EMS account # 1l0.07.13.00.604160 to the City of AsWand accounts receivable. It needs to be
included in the renewal Application for Ambulance Operators License that includes the required
certifications and documentation required by the AMC 6.40. the Chief has sent the Memo to Martha and
a Council Communication requesting ambulance license renewal and is not yet scheduled for a council
meeting. As in the past the fees and bond have just been charged to our budget -let me know if this is
still correct.
Should you need any other information please let me know and 1 will get it to you as soon as possible.
Thank you!
Ashland Fire & Rescue
455 S~kiyou Blvd.
Ashland, Oregon 97520
WWW..ashland.or.us
Tel: 541482.2770
Fax: 541488-5318
TTY: 800-735.2900
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