§ 5.5-3. Application for permit.

(a)

An application for an ambulance operator permit shall be filed with the permit officer on such form as may be prescribed by that officer, and the applicant shall furnish all the following proof and information with the application:

(1)

The name and address of:

a.

The applicant, including the names and addresses of all partners, if a partnership, and of all officers, if a corporation; and

b.

The names and the addresses of the managing agent or managing personnel of the business if not included in a.

(2)

Whether any person named in (1) has been convicted of a felony or a misdemeanor other than a traffic offense within the past ten (10) years and, if so, when and where and under what circumstances.

(3)

Whether any person named in (1) holds or has held a permit for operation of an ambulance service from any other governmental agency or department or is engaged or has been engaged anywhere else in the business of providing ambulance service.

(4)

That the applicant has been issued a permit by the Texas Department of Health, pursuant to article 4590b of the Texas Civil Statutes, for each ambulance which the applicant proposes to operate.

(5)

The number of ambulances which the applicant proposes to operate and the make, model, motor number, current state license number, and registered owner of each ambulance owned by or in the possession of the applicant.

(6)

A list of all two-way radios to be used in ambulance service, their call numbers, and the vehicle (identified by motor number) to which each radio has been assigned.

(7)

The location and description of the place or places from which the applicant intends to operate ambulances.

(8)

The names of all attendants and drivers presently employed by the applicant and, respectively, their EMT registration numbers and Texas state chauffeurs license numbers.

(9)

A certificate of insurance proving that there is in effect the insurance as required by section 5.5-5.

(10)

The trade or assumed name, if any, under which the applicant intends to do business if same name is different from the applicant.

(11)

Such further information as the permit officer may deem necessary.

(b)

Reserved.

(Ord. of 12-2-80, § 3; Ord. No. 92-215, § 1, 12-7-92)