§ 21-30. Applications.

The application for a ambulance operator's license shall be on a form prescribed by the Webster Parish Communications District Board and shall be sworn to and subscribed before a notary public and shall include at least the following:

(1)

The name, business address and telephone number of the operator and owner of the ambulance service.

(2)

The name under which the applicant will operate.

(3)

A list of the names and addresses of all officers, directors, and shareholders if incorporated. If the organization is an unincorporated association, a list of the names and addresses of all members. If the organization is a limited liability company, a list of the names and addresses of all members and managers.

(4)

A description of each vehicle to be used, including the make, model, year of the vehicle, mileage, motor and chassis number, passenger capacity size and gross weight of each vehicle, state or federal aviation or marine registration number where applicable, its uniform vehicle color scheme, insignia and name monogram distinct from other licensed operators, and other distinguishing characteristics to be used to designate the applicant's vehicles.

(5)

The location and description of the place or places from which the ambulance service will operate.

a.

Address of each such location, number of units housed at each location, and distinct unit ID numbers for all units housed at each location.

b.

A statement reasonably describing the geographic area or areas to be served by each such location.

(6)

Whether or not the applicant or anyone employed in any capacity on any ambulance has been convicted anywhere under the laws of this State, of the United States, or other applicable laws, of the offense of murder, aggravated battery, aggravated rape, aggravated burglary, simple burglary, aggravated kidnapping, armed robbery, simple robbery, pandering, prostitution, soliciting for prostitutes, contributing to the delinquency of a juvenile or indecent behavior with a juvenile.

(7)

Whether or not the applicant has any claims or judgments against him for damages resulting from the negligent operation of an ambulance.

(8)

Whether or not the applicant contemplates a membership program and, if so, the proposed content of and fees to be charged under that program.

(9)

The experience that the applicant has had in rendering such service and the period of time that he has rendered it in this parish, or any other location.

(10)

A letter attached to the application form from a duly authorized agent of applicant's insurance carrier, stating that the insurance required by this article is available to applicant and that such coverage is or will be provided prior to the issuance by the Webster Parish Communications District Board of the operator's license.

(11)

Payment of a nonrefundable fifty dollar ($50.00) application fee, which shall be applied to the operator's license fee upon approval of the applicant.

(12)

Such other information as the Webster Parish Communications District Board deems reasonable and necessary.

(13)

Names, social security numbers, addresses and licenses of attendants who will serve on applicant's vehicles.

(Ord. No. 984, § 1, 4-1-2008)