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1. Response time exemptions. The City will consider that "unusual <br /> circumstances" beyond the ambulance company's reasonable <br /> control can induce response times that exceed the aforementioned <br /> standards. These "unusual circumstances" include only unusually <br /> severe weather conditions, disasters, or unusual periods of very <br /> high demand upon the system due to mass-casualty situations or <br /> where the ambulance minimum requirements within the City are <br /> already unavailable because of referrals from the City's Fire <br /> Department. For determination of compliance the decision of the <br /> Fire Chief will be final. <br /> C. Each ambulance shall be equipped to meet the minimum requirements <br /> prescribed by the Secretary and Medical Director and shall also include the following: <br /> 1. Sirens and emergency vehicle lamps which conform with the rules <br /> and regulations issued under Chapter 46 RCW, which shall be <br /> used only in conformity with said regulations and applicable <br /> municipal ordinances; <br /> 2. A two-way radio communication system capable of providing <br /> communication between the vehicles and hospital emergency <br /> rooms, public ambulance company units, public dispatching <br /> agency and the licensee's headquarters. The licensee's dispatch <br /> headquarters shall be staffed on a twenty-four (24) hour basis, with <br /> a telephone dispatcher and a radio dispatcher qualified to process <br /> any and all calls. The telephone operator and the radio operator <br /> may be the same person; and <br /> 3. Medical equipment as prescribed by the Medical Director. <br /> D. Each ambulance and its equipment shall be maintained in a sanitary <br /> manner and in good operating condition. <br /> SECTION 6: Standards for Ambulance License - Liability Insurance. <br /> A. The License Director shall not approve any license for ambulance <br /> service nor shall any ambulance be operated in the City unless, there is at all times in <br /> force an insurance policy which insures the owner of such ambulance, and his/her <br /> employees and agents against all claims for personal injury, death and property <br /> damage arising out of or in connection with the performance of activities associated <br /> with the operation of the ambulance company. Such policies of insurance shall be <br /> endorsed to name the City as an additional insured. The ambulance company shall <br /> also indemnify, defend and hold the City harmless from any causes of action arising <br /> from the operation of the ambulance company. The minimum scope and limits of <br /> coverage shall be set by the License Director as recommended by the City Attorney. <br /> jmc/ems/cntrcts/ambince 5 <br />