Chapter 5.10
AMBULANCES*

Sections:

5.10.010    Definitions.

5.10.020    Certificate – Required – Exemptions.

5.10.030    Certificate – Application required – Contents.

5.10.040    Repealed.

5.10.050    Certificate – Granting by city council when – Public hearing.

5.10.060    Investigation – Criteria – Report required.

5.10.070    Certificate – Grounds for denial.

5.10.080    Ambulance – Mechanical requirements – Inspection required.

5.10.090    Ambulance – Equipment required.

5.10.100    Ambulance – Name of company to be displayed how.

5.10.110    –

5.10.170    Repealed.

5.10.180    Certificate – Nontransferability.

5.10.190    Ambulance – Sale or transfer – Issuance of new certificate when.

5.10.200    Ambulance – Destruction – Issuance of new certificate when.

5.10.210    Report of changes affecting certification required when.

5.10.220    Certificate – Surrender following suspension or revocation.

5.10.230    License tax.

5.10.240    Ambulance – Inspection required.

5.10.250    Insurance requirements.

5.10.260    Certificate – Issuance prerequisites.

5.10.270    Certificate – Suspension and revocation – Authority.

5.10.280    Certificate – Suspension and revocation – Hearing.

5.10.290    Certificate – Suspension and revocation – Disposition following hearing.

5.10.300    Certificate – Reissuance after revocation.

5.10.310    Emergency services – Intent and purpose.

5.10.320    Emergency services – Regulations and limitations.

5.10.330    Emergency services – Selection of operator – Procedure.

5.10.340    Emergency services – Rate schedules to be filed.

5.10.350    Violation – Penalty.

*    For statutory provisions concerning ambulance licenses and permits, see Veh. Code § 2500, et seq.; for provisions concerning municipal ambulance contracts, see Gov. Code § 38794; for provisions concerning community ambulance service districts, see Gov. Code § 61600.

5.10.010 Definitions.

For the purpose of this chapter, unless otherwise expressly stated, the following words and phrases shall have the meanings respectively ascribed to them by this section:

A. “Ambulance” means any privately owned vehicle used for the transportation of wounded, injured or sick persons, on a for-hire basis, which is operated on or over the streets of the city;

B. “Ambulance driver” means any person in charge of or operating any ambulance, as herein defined, either as agent, employee, or otherwise of owner; as owner; or under the direction of the owner as herein defined;

C. “Ambulance owner” means any person, firm or corporation having use or control of any ambulance as herein defined, whether as owner, lessee or otherwise;

D. “Certificate” means a certificate of public convenience and necessity;

E. “Street” means any place commonly used for the purpose of public travel within the city. (Ord. 886 § 1, 1964; prior code § 31.50).

5.10.020 Certificate – Required – Exemptions.

No person shall engage in the business of operating an ambulance or ambulances for profit on a for-hire basis within the city without first having obtained a certificate of public convenience and necessity from the council of the city; provided, however, that ambulances conveying emergency medical transportation teams for the handling of urgent special medical cases shall be exempt from the said requirement. Such ambulances which are necessary for the handling of such cases shall be manned by a team including a medical doctor. It shall be required that any such ambulance providing a medical team shall advise the police department prior to their operation in the city that such a unit is entering the city and properly identify it so that there will be no stopping of such vehicles by units of the police department. Such an ambulance service shall be subject to a business license tax as provided in this title. (Ord. 2408 § 1, 1990; Ord. 1374 § 1, 1971; Ord. 886 § 1, 1964; prior code § 31.51).

5.10.030 Certificate – Application required – Contents.

All persons applying to the city council for a certificate for the operation of one or more ambulances shall file with the council a sworn application therefor on forms provided by the council and containing information as follows:

A. The name of the applicant and trade name, if any, under which he intends to conduct his business; and if the applicant be a partnership, the name of each member thereof, whether a limited or general partner, and the name under which the partnership business is to be conducted; and if the applicant be a corporation, the name of the corporation and the name of each of its officers, directors and stockholders;

B. The business address and residence address of the applicant; and if the applicant be a partnership, the business address of the partnership and the residence address of each partner thereof, whether he be a limited or general partner; and if the applicant be a corporation, the address of the corporation and the residence address of each one of its officers, directors and stockholders;

C. The number of ambulances actually owned and/or leased, and the number of ambulances actually operated by such applicant on the date of application, if any;

D. A description of each such ambulance, including the make, model, year of manufacture, and license number by the state of California;

E. The location or station address of each such ambulance;

F. A photograph of each such ambulance, the photograph having dimensions of at least eight inches by 10 inches and showing a lengthwise view of such ambulance;

G. A description of the proposed color scheme, insignia, trade style and/or any other distinguishing characteristics of the proposed ambulance design;

H. Such other information as the council may, in its discretion, require. (Ord. 886 § 1, 1964; prior code § 31.51.1).

5.10.040 Certificate – Investigation fee required.

Repealed by Ord. 2506 § 1, 1992. (Ord. 2408 § 1, 1990; Ord. 886 § 1, 1964; prior code § 31.51.2).

5.10.050 Certificate – Granting by city council when – Public hearing.

No certificate shall be granted until the city council shall declare by resolution that the public convenience and necessity require the proposed ambulance service.

In determining whether the public convenience and necessity require the operation of an ambulance or ambulances for which an application is made, the council shall hold such public hearings as may be necessary to determine that fact. (Ord. 886 § 1, 1964; prior code § 31.51.3).

5.10.060 Investigation – Criteria – Report required.

Before any application is acted upon, the chief administrative officer shall cause an investigation to be made and shall report his findings in writing to the council on the following:

A. The demand of the public for ambulance service or additional ambulance service;

B. The adequacy of existing ambulance service;

C. The financial responsibility and experience of the applicant;

D. The compliance or noncompliance of the applicant with the provisions of CVMC 5.10.080 through 5.10.100;

E. Such other relevant facts as the city council may deem advisable or necessary. (Ord. 886 § 1, 1964; prior code § 31.51.4).

5.10.070 Certificate – Grounds for denial.

The following shall be prima facie grounds for denial of a certificate, as required by CVMC 5.10.020:

A. The applicant or one of the partners, if the applicant be a partnership, or one or more of the officers of the corporation, if the business be a corporation, or one or more of the directors or of the stockholders, if the policy of such corporation will be directed, controlled or managed by any stockholder or stockholders, has been convicted of a felony or crime involving moral turpitude in this state or in any other state or jurisdiction, unless at least two years shall have elapsed since his discharge from a penal institution or probation or concluded parole, during which period of time his record shows there is no evidence of the probable commission of other felonies or crimes involving moral turpitude;

B. The applicant or one of the partners, if the applicant be a partnership, or one or more of the officers, directors or stockholders of the corporation, if the business be a corporation, has an existing proprietary interest in an ambulance business for which a certificate of public convenience and necessity, as described in CVMC 5.10.020, has been issued or applied for;

C. The ambulance or ambulances for which such certificate is applicable appear to be unsafe, inadequate or improperly equipped as required herein;

D. The existing ambulance service, available to the public within the city, is adequate to meet the public demand for such service;

E. The applicant is unable to establish a degree of financial responsibility required herein;

F. The applicant is unable to demonstrate the extent of experience in the operation of ambulances required herein;

G. The applicant has failed to otherwise comply with all the requirements of this chapter pertaining to ambulances prior to the commencement of operation of the proposed service. (Ord. 886 § 1, 1964; prior code § 31.51.5).

5.10.080 Ambulance – Mechanical requirements – Inspection required.

Each ambulance to be operated under a certificate of public convenience and necessity as described herein shall be safe, adequate and mechanically sound. Such condition shall be evidenced by a report of inspection satisfactorily passed in all respects for said ambulance, issued by an inspection station duly authorized for such purpose by the state of California. For the purposes of this section, such inspection must have been made within 30 days of the application referred to in CVMC 5.10.020. For the purposes of this section, no ambulance shall be considered safe, adequate or mechanically sound which is older than 10 years, counting the year of chassis manufacture as the first year. The body of each such ambulance shall be so designed and constructed as to accommodate the driver and an attendant in the front or the driver’s compartment, and accommodation for at least two stretcher patients and an attendant in the rear or passenger compartment, with such additional space provided as is required for the necessary equipment as set forth in this chapter. (Ord. 886 § 1, 1964; prior code § 31.52).

5.10.090 Ambulance – Equipment required.

No certificate shall be issued unless and until the chief of police or his designated officer or agent has determined upon personal inspection that each one of the ambulances to be operated under the certificate contains all of the following equipment:

A. Emergency lighting, siren and other equipment authorized and prescribed by the California Vehicle Code for such ambulance;

B. Resuscitator unit and inhalator with airways, masks and resuscitubes in both adult and child sizes; aspirators adequate for use on both adults and children;

C. One blanket for each stretcher, and one spare blanket;

D. Emesis basin;

E. Heaters for all compartments;

F. Fire extinguisher (CO-2 or dry chemical);

G. Flashlight and flares;

H. First-aid kit;

I. One set of leather restraints (wrist and feet), and two sets of cloth restraints (wrist and feet);

J. Splints, including two Thomas half-ring, three small arm and at least three leg splints;

K. Safety belts for driver and attendant and for all stretchers;

L. Three complete sets of linen;

M. Equipment for the administration of oxygen for a minimum period of 45 minutes, with masks, nasal inhalators and regulators for both children and adults;

N. Spare wheel and tire, jack and lug wrench;

O. All authorized and prescribed equipment required for vehicles of such class by the California Vehicle Code;

P. A rate schedule for services posted, in a conspicuous place in each ambulance. (Ord. 886 § 1, 1964; prior code § 31.52.1).

5.10.100 Ambulance – Name of company to be displayed how.

Each ambulance shall have painted, in a conspicuous place on the rear panel of such ambulance, the following:

A. The company’s name as it appears on the certificate, painted in not less than one and one-half-inch letters;

B. The certificate number, in not less than one-half-inch letters. (Ord. 886 § 1, 1964; prior code § 31.52.2).

5.10.110 Driver’s license – Required for driver and attendants.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53).

5.10.120 Driver’s license – Application.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.1).

5.10.130 Driver’s license – Grounds for denial.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.2).

5.10.140 Driver’s license – Issuance – Period of validity.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.3).

5.10.150 Driver’s license – Grounds for suspension, revocation or nonrenewal.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.4).

5.10.160 Training to be kept current.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.5).

5.10.170 Personnel required for operation.

Repealed by Ord. 2506 § 2, 1992. (Ord. 886 § 1, 1964; prior code § 31.53.6).

5.10.180 Certificate – Nontransferability.

Each certificate issued pursuant to CVMC 5.10.020 through 5.10.070 shall be separate and distinct from all others and shall not be transferable from the person, firm or corporation to whom issued to any other person, firm or corporation. (Ord. 886 § 1, 1964; prior code § 31.54).

5.10.190 Ambulance – Sale or transfer – Issuance of new certificate when.

Whenever an owner sells or transfers title to, or assigns the lease of or subleases, an ambulance or ambulances, and within 30 days after such sale, transfer, assignment or sublease, purchases or leases another ambulance or a like number of other ambulances, then said owner shall, as a matter of right, upon written application to the chief administrative officer within 30 days of such purchase or lease, be issued a new certificate for the operation of no greater number of ambulances than those operated prior to the sale, transfer, assignment or sublease; and provided, said owner has complied with all the provisions of this chapter relating to ambulances. (Ord. 886 § 1, 1964; prior code § 31.54.1).

5.10.200 Ambulance – Destruction – Issuance of new certificate when.

Any owner whose ambulance or ambulances have been destroyed, voluntarily or otherwise, shall as a matter of right, upon written application to the chief administrative officer within 30 days after such destruction, and upon satisfactory evidence presented therewith of such destruction, be issued a new certificate for the operation of no greater number of ambulances than those operated prior to the destruction of any ambulance or ambulances; provided, said owner has complied with all the provisions of this chapter relating to ambulances. (Ord. 886 § 1, 1964; prior code § 31.54.2).

5.10.210 Report of changes affecting certification required when.

Every owner shall report any change in the information required by CVMC 5.10.020 through 5.10.070 to the city manager within five days after the change has occurred. (Ord. 2408 § 1, 1990; Ord. 886 § 1, 1964; prior code § 31.54.3).

5.10.220 Certificate – Surrender following suspension or revocation.

Whenever a certificate has been suspended or revoked by the city council, the owner of the ambulance or ambulances for which such certificate was issued shall forthwith surrender such certificate to the city manager, and the operation of such ambulance or ambulances shall cease. (Ord. 2408 § 1, 1990; Ord. 886 § 1, 1964; prior code § 31.54.4).

5.10.230 License tax.

Every person engaged in the occupation of driving or serving as attendant of any ambulance shall pay a license tax as presently designated, or as may in the future be amended, in Section 5.10.230 of the master tax schedule in CVMC 5.07.030. (Ord. 2408 § 1, 1990; Ord. 886 § 1, 1964; prior code § 31.55).

5.10.240 Ambulance – Inspection required.

The chief of police of the city or any officer designated by him is authorized and empowered to inspect any ambulance for the purpose of ascertaining whether the provisions of CVMC 5.10.080 through 5.10.100 are being observed and complied with. No person shall obstruct or interfere with any such inspection. (Ord. 886 § 1, 1964; prior code § 31.55.1).

5.10.250 Insurance requirements.

No person shall own, operate or direct the operation of any ambulance unless there shall be filed with the city clerk a policy of insurance executed and delivered by a company authorized to carry on an insurance business in the state of California, by the terms of which said insurance company assumes responsibility for death or injuries to persons or damage to property caused by the operation of said ambulance in the following amounts:

A. Property damage in any one accident: $50,000;

B. Death or injury to any one person in any one accident: $100,000;

C. Death or injury to any two or more persons in any one accident: $300,000. (Ord. 886 § 1, 1964; prior code § 31.55.2).

5.10.260 Certificate – Issuance prerequisites.

No certificate shall be issued for the operation of any ambulance or ambulances, as required in this chapter, unless and until the ambulance owner concerned shall have fully complied with all the applicable provisions and requirements thereof relative to the ambulances. (Ord. 886 § 1, 1964; prior code § 31.56).

5.10.270 Certificate – Suspension and revocation – Authority.

The city council shall have the power to suspend any certificate upon receipt of information indicating that the ambulance owner concerned is not complying fully with all the applicable provisions of this chapter relative to ambulances. (Ord. 886 § 1, 1964; prior code § 31.56.1).

5.10.280 Certificate – Suspension and revocation – Hearing.

Whenever the city council shall suspend the certificate for an ambulance or ambulances, as provided in this chapter, the owner of said ambulance or ambulances shall have a right to a hearing before the council to determine whether such suspension shall be continued or terminated. (Ord. 886 § 1, 1964; prior code § 31.56.2).

5.10.290 Certificate – Suspension and revocation – Disposition following hearing.

Upon the conclusion of such hearing, the council may, based upon its findings, terminate such suspension and restore the certificate or continue such suspension for a time certain and so specified, or in the alternative, may revoke such certificate. (Ord. 886 § 1, 1964; prior code § 31.56.3).

5.10.300 Certificate – Reissuance after revocation.

No application for the issuance of a certificate by an owner whose certificate has been previously revoked shall be accepted until the expiration of one year from the date of such revocation. (Ord. 886 § 1, 1964; prior code § 31.56.4).

5.10.310 Emergency services – Intent and purpose.

It is the intent of CVMC 5.10.310 through 5.10.340 to prescribe the basic regulations for the operation of ambulances called by the city in emergency situations for the care and transportation of persons needing emergency handling. It is the purpose of the council in enacting this legislation to provide a fair and impartial means of selecting a private ambulance operator to engage in said emergency care and transportation, in the interests of the public as well as the interests of efficient police operation for the handling of the victims. (Ord. 1022 § 2, 1966; prior code § 31.57).

5.10.320 Emergency services – Regulations and limitations.

The city council shall, from time to time, by resolution, adopt policies for the selection and designation of one ambulance operator to provide services in emergency police-originated calls. Any and all ambulance operators not so selected and designated pursuant to the policies of the city council are hereby prohibited from engaging in such emergency work; provided, however, that the patient involved in an emergency situation may designate any ambulance service to be called, if said service is operating within the city pursuant to the permits required by this chapter. (Ord. 1022 § 2, 1966; prior code § 31.57.1).

5.10.330 Emergency services – Selection of operator – Procedure.

The city council, pursuant to the policies and procedures to be adopted by resolution, shall select one operator to undertake police-originated emergency requests. Said ambulance service shall be selected by the city council and a contract awarded based upon bids to be submitted by all eligible ambulance companies. Bid specifications shall be contained in said policy resolution. (Ord. 1022 § 2, 1966; prior code § 31.57.2).

5.10.340 Emergency services – Rate schedules to be filed.

The company so designated pursuant to the terms of CVMC 5.10.310 through 5.10.340 and to the resolution of the city council shall submit a rate schedule in conjunction with the bid, and said rate schedule shall be strictly adhered to and shall be maintained in the office of the city clerk and shall not be changed or modified during the term of the contract without the approval of the city council. Said rates may not exceed the rates prevailing in the county of San Diego. In addition, all companies operating under a certificate of convenience and necessity in the city shall file their rate schedules in the office of the city clerk. (Ord. 1022 § 2, 1966; prior code § 31.57.3).

5.10.350 Violation – Penalty.

It is unlawful to intentionally fail to comply with any of the requirements established by this chapter pertaining to ambulances. (Ord. 2506 § 1, 1992; Ord. 886 § 1, 1964; prior code § 31.58).