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HomeMy WebLinkAbout234 - Regulating Ambulance ServicesORDINANCE NO. 234 AN ORDINANCE OF THE CITY OF COSTA MESA REGULATING AMBULANCE SERVICES WITHIN SAID CITY. The City Council of the City of Costa Mesa does hereby ordain as follows: SECTION 1. DEFINITIONS. (a) "Private Ambulance" - The term "Private Ambulance" shall mean every ambulance used for the purpose of serving the public and operated by any person other than a governmental agency. (b) "Owner" shall mean any and every person, whether individual or corpo- rate, who owns or controls any private ambulance. (c) "Driver" includes every person in charge of, driving or operating any motor propelled vehicle mentioned in this section, either as agent, employee, or otherwise. SECTION 2. CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. No owner shall operate any private ambulance owned or controlled by such owner in the business of transporting ill or injured patients, or shall in any other way carry passengers or patients unless such owner has previously obtained a Certi- ficate of Public Convenience and Necessity to do so as provided for in this Ordin- ance. Nothing contained in this Ordinance shall be deemed, expressly or impliedly, to limit the City of Costa Mesa to the granting of an exclusive franchise to any single owner, operator or operators. SECTION 3. APPLICATION FOR OWNER'S CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. Any owner desiring to obtain the Certificate of Public Convenience and Necessity required by this Ordinance shall make application therefor to the City Council, by filing the same with the City Clerk. Each application shall be accompanied by a. policy of insurance in the amount provided for by this Ordinance, as well as the Certificate of Public Convenience and Necessity fee provided for by this Ordinance. The application shall be in writing and shall, among other things set forth the following: (a) The name, age, business and residence address of the applicant, - 1 - if a natural person; or if corporation, its name, date and place of incorporation, address of its principal place of business, and the names of its principal officers, together with their respective residence addresses, or if a partnership, association or unincorporated company, the names of the partners, or of the persons comprising such association or company, and the business and residence of each partner or person. (b) A description of each ambulance or other vehicle used by the applicant and which vehicles the applicant proposed to use, together with the numbers and State motor vehicle license number thereon. A left front quarter and right rear quarter picture of each ambulance and the number of the Emergency Vehicle Permit issued by the California Highway Patrol. (c) The schedule of rates of fare proposed to be charged for carrying the patients which applicant proposes to transport. (d) The applicant shall furnish any and all additional information as the Council may require. SECTION 4. GRANTING CERTIFICATE OF PUTBLIC CONVENIENCE AND NECESSITY. Upon receipt by the City Clerk of any application referred to in the pre- vious Section, the Chief of Police shall immediately conduct an investigation of the applicant and on the basis of his investigation, shall, within thirty (30) days of the receipt of said application, recommend to the Council approval or rejection of the application. The Council may thereafter grant the application for a Certificate of Public Convenience and Necessity if it shall find: (a) That the requisite policies of insurance as required by this Ordin- ance have been furnished and the same is in the form required and further, that the surety thereon is approved by the City Attorney. (b) That each private ambulance described therein is adequate and safe for the purpose for which it is to be used, and that it is equipped as required herein and by the requirements of the California Vehicle Code and California High- way Patrol. (c) That the applicant is of good moral character, and has complied with all of the terms and conditions of this Ordinance. (d) That the public convenience or necessity require the operation of such private ambulance service or business within the confines of the City of Costa - 2 - Mesa.. (e) That the proposed schedule of rates to be charged are fair and reason- able. The granting of such Certificate of Public Convenience and Necessity shall con§ "" ` the approval of the City Council of the proposed schedule of rates. SECTION 5. CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. A Certificate of Public Convenience and Necessity shall be required for every person applying under this Ordinance. The fee for a Certificate of Public Convenience and Necessity shall be in addition to any business license which permit- tee shall be required to pay. No Certificate of Public Convenience and Necessity shall be issued or continued in operation until and unless the applicant has paid to the Director of Finance of the City of Costa Mesa a fee of $25.00 for each ambulance per year. Said fee of $25.00 for each ambulance per year shall be transferrable in any one year in the event of a trade-in of the ambulance in vehicle involved. SECTION 6. OWNER'S CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY AND LICENSE NOT TRANSFERRABLE. No license or Certificate of Public Convenience and Necessity granted by the Council pursuant to the provisions of this Ordinance may be transferred to another. SECTION 7. CHANGE OF RATES: PROCEDURE. When a private ambulan6e service operator desires to change the schedule of rates, he shall give the City Council thirty (30) days written notice of his intention so to do. Said notice shall be accompanied by the proposed new rate schedule. Said proposed rate schedule shall not be effective for any purpose until the City Council shall have made its finding that said rates proposed to be charged are fair and reason- able. The City Council shall act upon said notice of intent at its next regular meeting after receipt thereof. SECTION 8. CHANGE OF RATES. PROHIBITED WITHOUT CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. No owner or driver of any private ambulance service licensed under this Ordinance shall charge any rate within the City limits of Costa Mesa different from the schedule of rates on file and approved by the Council. SECTION 9. LIABILITY INSURANCE. No owner's Certificate of Public Convenience and Necessity shall be issued or continued in operation unless there is in full force and effect a policy of insurance in such form as the City Attorney may deem proper, whereby the owner and the driver of - 3 - each of the vehicles described in said Certificate of Public Convenience and Necessity are insured against liability for damage to property and for injury to or death of any person as a result of the ownership, operation or other use thereof, the minimum liability limits upon each such vehicle being not less than One Hundred Thousand Dollars ($100,000.00) on account of personal injury to or death of any one person in any one accident and Three Hundred Thousand Dollars ($300,000.00) on account of personal injuries to or death of two or more persons in any one accident, and the minimum liability limits upon each such vehicle being not less than Twenty-five Thousand Dollars ($25,000.00) for damage to or destruc- tion of property in any one accident. Such policy of insurance shall contain an endorsement providing that said policy will not be cancelled until notice in writing shall have been given to the City of Costa Mesa, addressed in care of the City Finance Director, City Hall, Costa Mesa, California, at least thirty (30) days immediately prior to the time such cancellation shall became effective. SECTION 10. LICENSE REQUIRED. Every owner operating a private ambulance service in this City shall in addition to obtaining the foregoing Certificate of Public Convenience and Neces- sity, obtain a business license therefore and shall pay to the City the business license fee provided for by Ordinance of the City. SECTION 11. DRIVER: QUALIFICATIONS. No persons shall operate or drive any private ambulance within the City or shall assist in the operation of an ambulance unless such person: (a) Is over the age of Twenty (20) years, provided, however, that any one eighteen (18) years of age or over may assist in the operation of an ambulance. (b) Is of good moral character and has never been convicted of a felony. (c) Possesses a valid Chauffeur's License issued by the Department of Motor Vehicles of the State of California. (d) Has been finger printed, investigated and approved by the Police Department prior to employment by the owner of the private ambulance service as a driver. SECTION 12. REPLACING VEHICLE. In the event that any vehicle is replaced by the owner of the private - 4 - ambulance business, said owner shall immediately inform the City of the manufacturer's name, the year, the model, the engine and serial numbers, and State Motor Vehicle License number of the new vehicle, and of any vehicle having been replaced by such vehicle. SECTION 13. REVOCATION OF OWNER'S CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. MANNER OF. Any Certificate of Public Convenience and Necessity granted pursuant to the provisions of this Ordinance may be revoked by the Council for violation of the pro- visions of this Ordinance or of any other Ordinance of the City or of any law of the State, or for the existence of any stated facts which would have been a good reason the denying such Certificate of Public Convenience and Necessity when applied for, whether these stated facts existed at the time that the application was made for such Cert-ificate of Public Convenience and Necessity or not. No Certificate of Public Convenience and Necessity shall be revoked except in the following manner; (a) The Council shall fix a time and place for the hearing of the issue on the revocation of the Certificate of Public Convenience and Necessity and shall cause the City Clerk to serve the permittee with notice of the time and place of hearing, together with a statement of the charges which are the basis for the hear- ing, at least ten (10) days prior to the time fixed for said hearing. (b) The City Clerk may serve the aforementioned notice of statement upon the permittee personally or upon said permittee by delivering the same by registered United States Mail, postage prepaid, to permittee at address given in his application for Certificate of Public Convenience and Necessity. (c) The hearing shall be public and the permittee shall have the right to produce witnesses on his own behalf and to be represented by counsel. (d) The finding and decision of the Council upon such hearing shall be final and conclusive. SECTION 14. RENEWAL OF OWNER'S CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. In the event that the Certificate of Public Convenience and Necessity of any person has been revoked by the Council, such person shall not be granted a new Certificate of Public Convenience and Necessity for a period of six months after the date of such revocation. - 5 - SECTION 15. RULES AND REGULATIONS APPLICABLE TO AMBULANCE EQUIPMENT AND OPERATIONS. a. Ambulance service shall be provided on a 24 -hour -per -day, 7 -day -per - week basis, except as otherwise approved by the City Council. b. All ambulance equipment shall be modern and capable of providing a satisfactory emergency ambulance service. c. The ambulance body shall have rear loading facilities with the patient's compartment separated from the driver's compartment by a suitable partition. The patient's compartment shall contain two or more exits. d. Every ambulance shall have a fan and a heater outlet in the patient's compartment. e. Every ambulance shall be equippped with emergency red lights mounted in front, and siren as authorized and required for emergency vehicles by the Vehicle Code of the State of California. f. Every ambulance shall be identified. in such a manner as shall clearly indicate that the vehicle is used for ambulance purposes. g. The ambulance operator's business name shall be displayed on the am- bulance on each side and at the rear. The names at each side shall be visible from the exterior. The name at the rear shall be permanently attached to the exterior of the ambulance. All lettering shall be not less than 12 inches in height and of not less than , inch stroke. h. No additional indentification other than specified in items f and g shall be used, unless the identification is first approved by the Council. i. Every ambulance must pass inspection as to mechanical condition and safety features. J. Every ambulance shall be maintained in first-class mechanical con- dition and shall be subject to inspection at any time. k. Every ambulance shall have its brakes and lights tested every three months at an official brake and light inspection station. All adjustments and repairs found necessary shall be made before the ambulance is again placed in service. Brake and light inspection certificates shall be submitted to the Chief of Police for checking. 1. No ambulance that has been substantially damaged shall be again placed in service until it has been reinspected. m. Every ambulance must be equipped with 6 -ply rayon tires with adequate tread or tires of equal or better blow-out protection. n. Retreaded, recapped or regrooved tires shall not be used on front wheels. o. Ambulance upholstery must be kept in good condition. p. Storage facilities for linens must be enclosed. q. Every ambulance must be equipped with a fire extinguisher of at least 217 pounds capacity charged with either dry powder or carbon dioxide. r. Every ambulance shall carry at least the following equipment: 1. One gurney or 4 -wheel cot with adjustable head position, and equipped with safety belt. 2. Six complete sets of linen. 3. One pillow and one blanket for each cot and stretcher. 4. Two towels. 5. A sufficient supply of oxygen, together with oxygen masks and regu- lators, for the administration of oxygen to two patients at the same time for not less then 30 minutes. At least a portion of the oxygen supply shall be portable. 6. Two soft restraints. 7. A resuscitative device, either mechanical or manual, which will deliver an adequate and effective amount of oxygen under intermit- tent positive pressure to adults or children. Included with this device shall be anesthesia airways in large, medium, and small sizes. 8. Suction apparatus with suitable attachments for aspiration of the nose and throat. The suction apparatus may be an attachment of the resuscitative device, but must be able to be used without other than momentary interference with its resuscitative action. s. Every ambulance shall be adequately equipped with a medicine cabinet con- taining first aid equipment. Additional supplies shall include leg and arm splints, emesis basin and a waterproof sheet. t. Every ambulance must be maintained in a clean and sanitary condition. u. Bed linens must be changed as soon as practicable after discharge of a patient. v. No ambulance shall be used as a hearse. - 7 - w. Every ambulance shall be designed and equipped to transport at least two stretcher patients at one time. x. Only one order shall be filled on each private ambulance trip. y. Every call for ambulance service shall be answered promptly. Patients shall be loaded and transported without being subjected to unreasonable delays. z. In emergency cases, an operator shall not delay in dispatching equipment, in giving first aid, or in providing transportation for patients. SECTION 16. RULES AND REGULATIONS APPLICABLE TO PRIVATE AMBULANCE DRIVERS AND ATTENDANTS. a. An attendant, in addition to the driver, must accompany every ambulance on each call. b. Every ambulance driver and attendant shall have completed a course in First Aid at least equivalent to the American Red Cross First Aid Standard Course, and shall possess a current certificate or other evidence showing the completion of such course, except that a reasonable training period for new employees prior to receipt of certificate will be permitted, provided that on each call during such training period either the driver or the attendant must be fully trained and possess the required certificate. c. Within six months prior to employment and annually thereafter, every F► ambulance driver and attendant shall be examined by a physician certicated by the State of California. No ambulance driver or attendant shall be employed or continue in his employment unless the examining physician certifies that he is not affected with any disease or physical defect which would in any way interfere with his full, complete and safe operation of an ambulance and handling of patients. d. Ambulance drivers shall limit the use of siren to response to emergency calls and transportation of emergency cases. e. All ambulance drivers or attendants shall have specified periods of duty and shall not be employed or used in any other capacities during such period of duty in any pursuit or activity which interferes or tends to interfere with their availability for ambulance service. f. Ambulance drivers shall drive with due regard for the safety of all persons using the highways. g. Ambulance drivers and attendants shall be courteous at all times. patients. h. Ambulance drivers and attendants shall not smoke while transporting i. Ambulance drivers and attendants, while on duty, shall not use, sell or be in possession of alcoholic beverages. j. Ambulance drivers and attendants shall not use, sell or be in posse- ssion of narcotics. k. Ambulance drivers and attendants shall wear clean uniforms when handling and transporting patients. 1. Uniforms worn by ambulance drivers and attendants shall be marked in such a manner as shall clearly identify the ambulance operator's business name. m. Ambulance drivers and attendants shall receive sufficient training so as to be able to readily locate any street address within the City of Costa Mesa. n. Ambulance drivers shall use the most direct, expeditious route on all trips, unless otherwise specifically instructed by the patient, physician or other responsible party. o. Ambulance drivers and attendants shall not collect, demand, receive, or arrange for any compensation in an amount greater or less than the amount computed at approved rates. p. Ambulance management and assigned personnel are jointly responsible for seeing that the above -rules and regulations are complied with. Lack of compliance will be considered good and sufficient grounds for revocation of certificate and permit. SECTION 17. PENALTY. Any firm, person or corporation violating any of the provisions of this Ordinance shall be deemed guilty of a misdemeanor, and upon conviction thereof shall be punished by imprisonment in the City or County jail for a period of not more than six months or by a fine of not more than Five Hundred Dollars ($500.00)1 or by both such fine and imprisonment. SECTION 18. URGENCY. This Ordinance is hereby declared to be an urgency ordinance necessary for the immediate preservation of public health and safety. The facts constituting the urgency are as follows: The City of Costa Mesa is without any provisions for the regulating of am- bulance drivers and attendants as to their qualifications and ability to handle - 9 - patients and without any laws insuring safe equipment to insure the safety of patients using an ambulance. The City of Costa Mesa has ambulance services operating within it and it is therefore necessary that this Ordinance take effect immediately in order to protect public health and safety in the matters above set forth. SECTION 19. ENACTMENT. This Ordinance shall take effect immediately and within fifteen (15) days from and after its passage shall be published, together with the names of the members of the City Council voting for and against the same, in the GLOBE -HERALD and PILOT, a newspaper of general circulation, printed and published in the City of Costa Mesa. PASSED AND ADOPTED, this 18th day of May, 1959• Ma of the City of Costa -Mesa ATTEST: City Clerk of The City of Costa Mesa STATE OF CALIFORNIA 3 COUNTY OF ORANGE SS. CITY OF COSTA MESA ) I, A. C. SWARTZ, City Clerk of the City of Costa Mesa and ex - officio Clerk of the City Council, do hereby certify that the above and foregoing Ordinance No. 234 was introduced at a regular meeting of the City Council of the City of Costa. Mesa held on the 4th day of May, 1959, and considered section by section, and thereafter passed and adopted as a whole as an urgency Ordinance at a regular meeting of said City Council held on the 18th day of May, 1959, by the following roll -call vote: AYES: COUNCILMEN�4 NOES: COUNCILMEN - h C h ABSENT: COUNCIIMEN - i r,' :7L.- IN WITNESS WHEREOF, I have hereunto set my hand and affixed the Seal of the City of Costa Mesa, this 19th day of May, 1959• City Clerk and ex-offic Clerk of the City Council of the City of Costa Mesa - 10 - ORDINANCE NO. 234 AN ORDINANCE OF THE CITY OF COSTA MESA REGULATING AM- BULANCE SERVICES WITHIN SAID CITY. The City Council of the City of Costa Mesa does hereby ordain as follows: SECTION 1. DEFINITIONS. (a) "Private Ambulance" — The term "Private Ambulance" shall mean every ambulance used for the purpose of serving the public and operated by any p e r s o n other than a govern- mental agency. (b) "Owner" shall mean any and every person, whether individual or corporate, who owns or controls any private ambulance. (c) "Driver" includes every person In charge of, driving or operating any motor propelled vehicle mentioned in this section, either as agent, employee, or otherwise. S E C T 10 N 2. CERTIFICATE OF PUBLIC CONVENIENCE AND NE- CESSITY. No owner shall operate any private ambulance owned or controlled by such owner in the business of trans- porting ill or injured patients, or shall in any other way carry passengers or patients unless such owner has pre- viously obtained a Certificate of Pub- lic Convenience and Necessity to do so as provided for in this Ordinance. Nothing contained in this Ordinance shall be deemed, expressly or im- pliedly, to limit the City of Costa Mesa to the granting of an exclusive franchise to any single, owner operator or operators. SECTION 3. APPLICATION FOR OWNER'S CERTIFICATE OF PUB- LIC CONVENIENCE AND NECES. SITY. Any owner desiring to obtain the Certificate of Public Convenience and Necessity required by this Ordinance shall make application therefor to the City Council, by filing the same with the City Clerk. Each application shall be accompanied by a policy of insur- ance in the amount provided for by this Ordinance, as well as the Certifi- cate of Public Convenience and Neces- sity fee provided for by this Ordinance. The application shall be in writing and shall, among other things set forth the following: (a) The name, age, business and res- idence address of the applicant, if a natural person; or if corporation, Its name, date and place of incorpora- tion, address of its principal place of business, and the names of its princi- pal officers, together with their re- spective residence addresses, or if a partnership, association or unincorp- orated company, the names of the partners, or of the persons compris- ing such association or company, and the business and residence of each partner or person. (b) A description of each ambu. lance or other vehicle used by the applicant and which vehicles the ap- plicant proposed to use, together with the numbers and State motor vehicle license number thereon. A left front quarter and right rear quarter pic- ture of each ambulance and the num. ber of the Emergency Vehicle Per- mit issued by the California Highway Patrol. (c) The schedule of rates of fare proposed to be charged for carrying the patients which applicant proposes to transport. (d) The applicant shall furnish any and all additional information as the Council may require. SECTION 4. GRANTING CERTIFI- CATE OF PUBLIC CONVENIENCE AND NECESSITY. Upon receipt by the City Clerk of any application referred to in the pre- vious Section, the Chief of Police shall Immediately conduct an investigation of the applicant and on the basis of his investigation, shall, within thir. ty (30) days of the receipt of said ap- plication, recommend to the Council approval or rejection of the applica- tion. The Council may thereafter grant the application for a Certificate of Public Convenience and Necessity if It shall find: (a) That the requisite policies of insurance as required by this Ordin. ance have been furnished and the same is in the form required and further, that the surety thereon Is ap- proved by the City Attorney. (b) That each private ambulance described therein is adequate and safe for the purpose for which it is to be used. and that it is equipped as re- quired herein and by the requirements of the California Vehicle Code and California Highway Patrol. (c) That the applicant is of good moral character, and has complied with all of the terms and conditions of this Ordinance. (d) That the public convenience or necessityrequire the operation of such private ambulance service or bus. iness within the confines of the City of Costa Mesa. (e) That the proposed schedule of rates tobe charged are fair and rea- sonahle. The granting of such Certifi. cate of Public Convenience and Ne. cessity shall constitute the approval of the City Council of the proposed schedule of rates. SECTION 5. CERTIFICATE OF PUBLIC CONVENIENCE AND NE- CESSITY. A Certificate of Public Convenience and Necessity shall be required for every person applying under this Ord. inance. The fee for a Certificate of Public Convenience and Necessity shall be in addition to any business li. cense which permittee shall be re- quired to pay. No Certificate of Pub. lic Convenience and Necessity shall be Issued or continued In operation un- til and unless the applicant has paid to the Director of Finance of the City of Costa Mesa a fee of $25.00 for each SECTIONS. CHANGE OF RATES. PROHIBITED WITHOUT CERTIFI- CATE OF PUBLIC CONVENIENCE AND NECESSITY. No owner or driver of any private ambulance service licensed under this Ordinance shall charge any rate with- in the City limits of Costa Mesa dif- ferent from the schedule of rates bn file and approved by the Council. SECTION 9. LIABILITY INSUR. ANCE. No owners Certificate of Public Con- venience and Necessity shall be is- sued or continued in operation unless there is in full force and effect a Policy of insurance in such form as the City Attorney may deem proper, whereby the owner and the driver of each of the vehicles described in said Certificate of Public Convenience and Necessity are insured against liability for damage to property and for injury to or death of any person as a result of the ownership, operation or other use thereof, the minimum liability limits upon each such vehicle being not less than One Hundred Thousand Dol- lars ($100,000.00) on account of personal Injury to or death of any one person In any one accident and Three Hun. dred Thousand Dollars ($300,000.00) on account of personal injuries to or death of two or more persons in any one accident, and the minimum liabil. ity limits upon each such vehicle being not less than Twenty-five Thousand Dollars ($25,000.00) for damage to or de- struction of property in any one acci- dent. Such policy of insurance shall contain an endorsement providing that said policy will not be cancelled un- til notice in writing shall have been given to the City of Costa Mesa, ad- dressed in care of the City Finance Director, City Hall, Costa Mesa, Cali- fornia, at least thirty (30) days imme- diately prior to the time such can- cellation shall become effective. SECTION 10. LICENSE REQUIRED. Every owner operating a private ambulance service in this City shall in addition to obtaining the foregoing Certificate of Public Convenience and Necessity, obtain a business li- cense therefore and shall pay to the City the business license fee provided for by Ordinance of the City. SECTION 11. DRIVER: QUALIFI- CATIONS. No persons shall operate or drive any private ambulance within the City or shall assist in the operation of an ambulance unless such person: (a) Is over the age of Twenty (20) years, provided, however, that any one eighteen (18) years of age or over may assist in the operation of an ambulance. (b) Is of good moral character and has never been convicted of a felony. (c) Possesses a valid Chauffeur's License issued by the Department of Motor Vehicles of the State of Cali- fornia. (d) Has been finger printed, investi. gated and approved by the Police De- partment prior to employment by the owner of the private ambulance sere. ice as a driver. SECTION 12. REPLACING VEHICLE In the event that any vehicle is re- placed by the owner of the private ambulance business, said owner shall immediately inform the City of the manufacturer's name, the year, the model. the engine and serial num- bers, and State Motor Vehicle License number of the new vehicle, and of any vehicle having been replaced by such vehicle. SECTION 13. REVOCATION OF OWNER'S CERTIFICATE OF PUB. LIC CONVENIENCE AND NECES- SITY. MANNER OF. Any Certificate of Public Conven- ience and Necessity granted pursuant to the provisions of this Ordinance may be revoked by the Council for violation of the provisions of this Ordinance or of any other Ordinance of the City or of any law of the State, or for the existence of any stated facts which would have been a good reason for denying such Certifi- cate of Public Convenience and Ne- cessity when applied for, whether these stated facts existed at the time that the application was made for such Certificate of Public Convenience and Necessity or not. No Certificate of Public Conven- ience and Necessity shall be revoked except in the following manner: (a) The Council shall fix a time and place for the hearing of the issue on the revocation of the Certificate of Public Convenience and Necessity and shall cause the City Clerk to serve the permittee with notice of the time and place of hearing, together with a statement of the charges which are the basis for the hearing, at least ten (10) days prior to the time fixed for said hearing. (b) The City Clerk may serve the aforementioned notice of statement upon the permittee personally or upon said permittee by delivering the same by registered United States Mail, post- age prepaid, to permittee at address given in his application for Certifi- cate of Public Convenience and Neces- slty. (c) The hearing shall be public and the permittee shall have the right to produce witnesses on his own behalf and to be represented by counsel. (d) The finding and decision of the Council upon such hearing shall be final and conclusive. SECTION 14. RENEWAL OF OWN. ER'S CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY. In the event that the Certificate of Public Convenience and Necessity of any person has been revoked by the Council, such person shall not be granted a new Certificate of Public Convenience and Necessity for a peri. od of six months after the date of such revocation. SECTION 15. RULES AND REGU- LATIONS APPLICABLE TO AMBU- LANCE EQUIPMENT AND OPERA - ambulance on each side and at the rear. The names at each side shall be visible from the exterior. The name at the rear shall be permanently attached to the exterior of the ambulance. All lettering shall be not less than 1% inches in height and of not less than 'A Inch stroke. h. No additional indentification other than specified in items f and g shall be used, unless the identification is first approved by the Council. I. Every ambulance must pass in- spection as to mechanical condition and safety features. J. Every ambulance shall be main- tained in first-class mechanical con- dition and shall be subject to Inspec. tion at any time. k. Every ambulance shall have its brakes and lights tested every three months at an official brake and light Inspection station. All adjustments and repairs found necessary shall be made before the ambulance is again placed in service. Brake and light inspection certificates shall be submitted to the Chief of Police for checking. I. No ambulance that has been sub. stantially damaged shall be again Placed in service until it has been re- inspected. In. Every ambulance must be equipped with 6 -ply rayon tires with adequate tread or tires of equal or better blow-out protection. n. Retreaded, recapped or regrooved tires shall not be used on front wheels. o. Ambulance upholstery must be kept in good condition. P. Storage facilities for linens must be enclosed. q. Every ambulance must be equipped with a fire extinguisher of at least 2% pounds capacity charged with either dry powder or carbon dioxide. r. Every ambulance shall carry at least the following equipment: 1. One gurney or 4 -wheel cot with adjustable h e a d position, a n d equipped with safety belt. 2. Six complete sets of linen. 3. One pillow and one blanket for each cot and stretcher. 4. Two towels. 5. A sufficient supply of oxygen, t o g e t h e r with oxygen masks and regulators. for the administra. tion of oxygen to two patients at the same time for not less than 30 minutes. At least a portion of the oxygen supply shall be portable. 6. Two soft restraints. 7. A resuscitative device, either mechanical or manual, which will deliver an adequate and effective amount of oxygen under Intermit- tent positive pressure to adults or children. Included with this device shall be anesthesia airways in large, medium, and small sizes. 8. Suction apparatus with suitable attachments for aspiration of the nose and throat. The suction appara- tus may be an attachment of the re- suscitative device, but must be able to be used without other than mo. mentary Interference with its resus. citative action. B. Every ambulance shall be ade. quately equipped with a medicine cab. inet containing first aid equipment. Additional supplies shall include leg and arm splints, emesis basin and a waterproof sheet. I. Every ambulance must be main- tained in a clean and sanitary condi. tion. u. Bed linens must be changed as soon as practicable after discharge of a patient. v. No ambulance shall be used as a hearse. w. Every ambulance shall be de. signed and equipped to transport at least two stretcher patients at one time. x. Only one order shall be filled on each private ambulance trip. Y. Every call for ambulance service shall be answered promptly. Patients shall be loaded and transported with- out being subjected�to unreasonable delays. \ Z, In emergency cases, an operator shall not delay in dispatching equip. ment, in giving first aid, or in pro. viding transportation for patients. SECTION 16. RULES AND REGU. LATIONS APPLICABLE TO PRI. VATE AMBULANCE DRIVERS AND ATTENDANTS. a. An attendant, in addition to the driver, must accompany every ambu. lance on each call. b. Every ambulance driver and at. tendant shall have completed a course In First Aid at least equivalent to the American Red Cross First Aid Stand- ard Course, and shall possess a cur. rent certificate or other evidence show- ing the completion for such course, ex. cept that a reasonable training period for new employees prior to receipt of certificate will be permitted, provided that on each call during such training Period either the driver or the attend. ant must be fully trained and possess the required certificate. C. Within six months prior to em. PI oyment and annually thereafter, every ambulance driver and attendant shall be examined by a physician certi- ficated by the State of California. No ambulance driver or attendant shall be employed or continue in his em. ployment unless the examining physi- cian certifies that he is not affected with any disease or physical defect which would In any way interfere with his full, complete and safe operation of an ambulance and handling of pa. tients. d. Ambulance drivers shall limit the use of siren to response to emergency calls and transportation of emergency cases. e. All ambulance drivers or attend. ants shall have specified periods of duty and shall not be employed or used in any other capacities during such period of duty in any pursuit or activity which interferes or tends to interfere with their availability for trips, unless otherwise specifically In. structed by the patient, physician or other responsible party. o. Ambulance drivers and attend- ants shall not collect, demand, receive, or arrange for any compensation in an amount greater or less than the amount computed at approved rates. p. Ambulance management and as- signed personnel are jointly responsi. bole for seeing that the above rules and regulations are complied with. Lack of compliance will be considered good and sufficient grounds for revo- cation of certificate and permit. SECTION 17. PENALTY. Any firm, person or corporation vio- lating any of the provisions of this Ordinance shall be deemed guilty of a misdemeanor. and upon conviction thereof *hall be punished by Imprison. ment in the City or County Jan for a Period of not more than six months or by a fine of not more than Five Hundred Dollars ($500.00), or by both such fine and imprisonment. SECTION 18. URGENCY. This Ordinance is hereby declared to be an urgency ordinance necessary for the immediate preservation of public health and safety. The facts constituting the urgency are as fol. lows: The City of Costa Mesa is without any provisions for the regulating of ambulance drivers and attendants as to their qualifications and ability to handle patients and without any laws insuring safe equipment to insure the safety of patients using an ambulance. The City of Costa Mesa has ambu- lance services operating within it and it is therefore necessary that this Ordinance take effect immediately in order to protect public health and safety in the matters above set forth. SECTION 19. ENACTMENT. This Ordinance shall take effect im- mediately and within fifteen (15) days from and after its passage shall be Published, together with the names of the members of the City Council voting for and against the same, in the GLOBE -HERALD and PILOT, a newspaper of general circulation, Printed and published in the City of Costa Mesa. PASSED AND ADOPTED, this 18th day of May, 1959. JOHN W. SMITH Mayor of the, City of Costa Mesa ATTEST: A. C. SWARTZ City Clerk of the City of Costa Mesa STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS. CITY OF COSTA MESA ) I, A. C. SWARTZ, City Clerk of the City of Costa Mesa and ex -officio Clerk of the City Council, do hereby certify that the above and foregoing Ordinance No. 234 was introduced at a regular meeting of the City Council of the City of Costa Mesa held on the 4th day of May, 1959, and con. sidered Section by Section and there. after passed and adopted as a whole as an Urgency Ordinance at a regular meeting of said City Council held on the 18th day of May, 1959, by the fol- lowing roll -call vote: AYES: COUNCILMEN — Rea B. Smith, Meyers, Pinkley, J. Smith. NOES: COUNCILMEN — None. ABSENT: COUNCILMEN — None IN WITNESS WHEREOF, I have hereunto set my hand and affixed the Seal of the City of Costa Mesa, this 19th day of May. 1959. A. C. SWARTZ City Clerk and ex - officio Clerk of the City Council of the City of Costa Mesa. Published Globe Herald and Pilot May 22, 1959, Costa Mesa, Calif. M-46 for each ambulance per year shall be transferrable In any one year In the event of a trade in of the ambulance or vehicle involved. ER'S CERTXFX. CATE SECTION PUBL CN CONVENIENCE AND NECESSITY AND LICENSE NOT TRANSFERRABLE. Convenience e and Neceor ssity grantedbythe Council Pursuant to the provisions of this Ordinance may be transferred to another. SECTION 7. CHANGE OF RATES: PROCEDURE. When a private ambulance service operator desires to change the sched- ule of rates, he shall give the City Council thirty (30) days written notice Of his intention so to do. Said notice shall be accompanied by the proposed new rate schedule. Said proposed rate schedule Shall not be effective for any Purpose until the City Council shall have made its finding that said rates Proposed to be charged are fair and reasonable. The City Council shall act upon said notice of intent at its next regular meeting after receipt thereof. a. Ambulance service shall be pro. vided on a 24 -hour -per -day, 7 -day -per - week basis, except as otherwise ap- p b.VeA11b by equipthe Cl y ment shall be modern and capable of providing a satisfactory emergency ambulance service. c. The ambulance body shall have rear loading facilities with the pa- tient's compartment separated from the driver's compartment by asuit- able partition. The patient's compart- ment shall contain two or more exits. d. Every ambulances hall have a fan and a heater outlet In the pa- tient's compartment. l be equipped with al emergency red lights mounted in front, and siren as author- ized and required for emergency ve- hicles by the Vehicle Code of the State of California. I. Every ambulance shall be identi- fied in such a manner as shall clearly Indicate that the vehicle is used for ambulance purposes. g• The ambulance operator's busi- ness name shall be displayed on the f. Ambulance drivers shall drive with due regard for the safety of all persons using the highways, 9- Ambulance drivers and attendants shall be courteous at all times. h. Ambulance drivers and attend- ants shall not smoke while transport. Ing patients, e drivers ants. while loncduty. shall not use. sell or be In possession of alcoholic bev- erages. J. Ambulance drivers and attend- ants shall not use, sell or be in pos- session of narcotics. Ambulance drivers a is hallwear clean uniformsat whe handling and transporting patients. I. driversiforms worn by and attendants shall a ebmaark ed in such a manner as shall clearly Identify the ambulance operator's bus- iness name. m. ance ivers and attend. ants hallulreceive rsufficient training so as to be able to readily locate any street address within the City of Costa Mesa. n. Ambulance drivers shall use the Most direct, expeditious route on all