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HomeMy WebLinkAboutAgenda - 08-04-1997 - 8d w k 1 Orange County Board of Commissioners Meeting Date: August 4, 1997 Action Agenda Item No —a Subject: Vehicle Extrication Franchise Application Department: Emergency Management Public Hearing Yes No XX Attachment(s): Information Contact: Nick Waters Applications Extension Number: 3030 Telephone Number: Hillsborough 732-8181 Chapel Hill 968-4501 Mebane 227-2031 Durham 688-7331 Purpose: To consider franchise requests in accordance with the County Franchise Ordinance from North Chatham, Hillsborough, Mebane, Caldwell, Orange Grove, Eno, Cedar Grove, and Efland Fire Departments. Background: As part of the Rescue Service Needs Assessment conducted by County staff, representatives of the two rescue squads, various fire departments, and the EMS Medical Director, it was determined that vehicle extrication(the removal of injured parties that may be trapped inside the wrecked vehicle) should be provided initially by the fire departments with backup from the two county rescue squads. The fire departments currently respond to all wrecks which require extrication. Their purpose has been a fire prevention function. During the needs assessment, it was pointed out that since fire departments are geographically distributed throughout the County, in most cases their arrival on the scene is much earlier than either of the two rescue squads. The fire departments now provide patient care through their first responder program and by allowing them to perform extrication, the patients potentially could be freed from the wreckage with emergency treatment being provided by the time rescue and EMS services arrive on the scene. In cases of severely traumatized patients that are entrapped or pinned in the vehicles, this service should have a positive affect on patient outcome. The concept of fire departments providing vehicle extrication has been reviewed, discussed and is supported by the EMS Advisory Council, and the two volunteer rescue squads. EMS staff have reviewed the applications for franchises and find that all the franchise requirements of the ordinance have been satisfied. Recommendation: The Manager recommends the Board approve the franchises for rescue service (vehicle extrication) to be provided by North Chatham, Hillsborough, Mebane, Orange Grove, Caldwell, Eno, Cedar Grove, and Efland Fire Departments. APPLICATION _ FOR --- -— �, AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCH2SE----------------------- ORANGE COUNTY, NORTH CAROLINA Date of Application: Z -/4- ql I. APPLICANT: A. Name of Applicant: A1,1, k � a+kam 4b1• Frc ideogo,fivNef f B. Address :Street: LL n1Grr') S Dark City/State: P J HSboro.. A'• C Zip „Z ?-31 2- C. Telephone No . at Base of Operations: --3.3(YL% D. Name of Owner/Contact Person: Irat-k- 1 n#Qasbet E. Address:Street: SC'"rne AS Pbove " City/State: Zip F. Telephone No. : 13 G. *Trade Name: H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RESCUE SERVICES [ J First Responder [ ] D-Level C>ej Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water H. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2 . Resume' of training and experience of the applicant in rescue and transportation and care of patients . 3 . A financial statement as it pertains to operations in Orange County. 4 . A copy of Organization's By-Laws (if applicable) . 5 . A copy of Organization's Standard Operating Procedures . 6 . A current roster of members to include name, address, and social security number. 3 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: _ I . APPLICANT: A. Name of Applicant: B. Address :Street: ash City/State: , _��/`Z� � .%Y��', Zip_ , C. Telephone No . at Base of Operations: D. Name of Owner/Contact Person: E. Address:Street: City/State: , /Y �,- Zip F. Telephone No. - Y - ��v Z G. *Trade Name: H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RESCUE SERVICES [ J First Responder [ ] D-Level � Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water H. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2 . Resume' of training and experience of the applicant in rescue and transportation and care of patients . 3 . A financial statement as it pertains to operations in Orange County. 4 . A copy of Organization's By-Laws (if applicable) . 5 . A copy of Organization's Standard Operating Procedures . 6 . A current roster of members to include name, address, and social security number. 4 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: 8-16-96 I . APPLICANT: A. Name of Applicant: Mebane Fire Department B. Address :Street: 101-103 W. Washington Street PO Box 314 City/State: Mebane, NC Zip 27302 C. Telephone No. at Base of Operations:Non Emerg. 919-563-5718 D. Name of Owner/Contact Person: Chief Jimmy Jobe E. Address:Street: 106 E. Washington Street City/State: Mebane NC Zip 27302 F. Telephone No. : 919-563-5901 City Hall - 919-563-2051 Home G. *Trade Name: Mebane Fire - Rescue H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RESCUE SERVICES [ ] First Responder [ ] D-Level [x ] Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] water H. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2 . Resume' of training and experience of the applicant in rescue and transportation and care of patients . 3 . A financial statement as it pertains to operations in Orange County. 4 . A copy of Organization's By-Laws (if applicable) . 5 . A copy of Organization's Standard Operating Procedures . 6 . A current roster of members to include name, address, and social security number. a 5 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: I . APPLICANT: A. Name of Applicant: C,4Gd 17e.prt' B. Address :Street: 700 G-v�ss hc\ City/State: Ryo,;,e- i'nv y t- A/ C_ Zip 27-1-7 Z C. Telephone No. at Base of Operations: -73-a- 3 ­4 D. Name of Owner/Contact Person: E. Address:Street: 5-1 OF LJA(_kers' F-4rm Rcc City/State: H`r LCS�a r�� �1, )1/ Zip ,-2 7,�-? F. Telephone No. :- 7-7 a- u 03 It G. *Trade Name: 0AJ_S u:,-.U H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RES;B SERVICES [ ] First Responder [ J D-Level ( PI xtrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water H. ATTACHMENTS REQUIRED: v2! Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2 . Resume' of training and experience of the applicant in rescue and transportation and care of patients . A financial statement as it pertains to operations in Orange County. A A copy of Organization's By=Laws (if applicable) . �! A copy of Organization's Standard Operating Procedures . A current roster of members to include name, address, and social security number. a � FE9 2 "'^? APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA APPLICANT: Date of Application: I . A. Name of Applicant: DfLX} �6f= ('�✓F J� 1 il?r-5 UEP1, B. Address :Street: lyfUy ��fP/a �✓Ec �Poyr 2-1, City/State: rk�S "d v X 41 e, zip ,� �2 W C. Telephone No, at Base of Operations: _ ll D. Name of Owner/Contact Person: l d 17'4 f E. Address :Street:— 31/ ell o l City/State: /� �� /����, zip-2 7�2 7� F. Telephone No. /���/�'� f/y - S C3'�s=0G &Vla A Y/f- 17 G. *Trade Name: H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RES SERVICES [ J First Responder [ J D-Level [Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ J P-Level [ ] Confined Space [ ] Trench [ ] Water H. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2 . Resume' of training and experience of the applicant in rescue and transportation and care of patients. 3 . A financial statement as it pertains to operations in Orange County. 4 . A copy of Organization's By-Laws (if applicable) . 5 . A copy of Organization's Standard Operating Procedures . 6 . A current roster of members to include name, address, and social security number. s 7 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: 1,/ A.r I . APPLICANT: A. Name of Applicant: )iv0 �"��rZ /-' 144-yh.LI Snr�rc�� B. Address :Street:- C( U•.S. y zip City/State: �/ ._fj /�r� ,C-. C. Telephone No. at Base of operazi.ors = .3 �-3 �y G 7 D. Name of Owner/Contact Person: Gh rri E. Address:Street: 3`f 0 City/State: !.'L/ ni►1 /V• (L zip :Z 7 '705 F. Telephone No. :—rr L7/ y '3 F..3 - ' "d G. *Trade Name: r,,,rg AsA7,1- H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for) : BLS: ALS: RESCUE SERVICES [ ] First Responder [ ] D-Level Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water H. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. QResume' of training and experience of the applicant in rescue and transportation and care of patients . 3 . A financial statement as it pertains to operations in Orange County. 4 . A copy of Organization's By-Laws (if applicable) . S . A copy of Organization's Standard Operating Procedures . 6 . A current roster of members to include name, address, and social security number. 8 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: ,dune 16. 1997 I. APPLICANT: A. Name of Applicant: Cedar Grove Fire Department B. Address:Street: Cedar Grove and Penecost Roads City/State: Cedar Grove NC Zip: 27231 C. Telephone No. at Base of Operations: 919-563-1555 D. Name of Owner/Contact Person: Chan McDade. Chief E. Address:Street: 840 McDade Store Road City/State: Hillsborough Zip: 27278 F. Telephone No.: 919-732-9229 G. *Trade Name: H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for): BLS: ALS: RESCUE SERVICES [ ] First Responder [ ] D-Level [xx ] Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water I. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2. Resume' of training and experience of the applicant in rescue and transportation and care of patients. 3. A financial statement as it pertains to operations in Orange County. 4. A copy of Organization's By-Laws (if applicable). 5. A copy of Organization's Standard Operating Procedures. 6. A current roster of members to include name, address, and social security number. r i A 9 APPLICATION FOR AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE ORANGE COUNTY, NORTH CAROLINA Date of Application: June 16, 1997 I. APPLICANT: A. Name of Applicant: Efland Fire Department B. Address:Street: Highway 70 East City/State: Efland. NC Zip: 27243 C. Telephone No. at Base of Operations: D. Name of Owner/Contact Person: Raymond Wilson, Chief E. Address:Street: 503 Mt. Willing Road City/State: Efland. NC Zip: 27243 F. Telephone No.: 919-732-7959 G. *Trade Name: H. Category of Franchise Applied For (A separate application must be completed for each category of service applied for): BLS: ALS: RESCUE SERVICES [ ] First Responder [ ] D-Level [xx ] Extrication [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle [ ] Convalescent Transport [ ] P-Level [ ] Confined Space [ ] Trench [ ] Water I. ATTACHMENTS REQUIRED: 1. Certified copy of Articles of Incorporation Charter or *Assumed Name Certificate. 2. Resume' of training and experience of the applicant in rescue and transportation and care of patients. 3. A financial statement as it pertains to operations in Orange County. 4. A copy of Organization's By-Laws (if applicable). 5. A copy of Organization's Standard Operating Procedures. 6. A current roster of members to include name, address, and social security number.