1. Response Time Exemptions. The city will consider that “unusual circumstances” beyond the ambulance company’s reasonable control can induce response times that exceed the aforementioned standards. These “unusual circumstances” include only unusually severe weather conditions, disasters, or unusual periods of very high demand upon the system due to mass-casualty situations or where the ambulance minimum requirements within the city are already unavailable because of referrals from the city’s fire department. For determination of compliance the decision of the fire chief will be final.

1. Sirens and emergency vehicle lamps which conform with the rules and regulations issued under RCW Title 46, which shall be used only in conformity with said regulations and applicable municipal ordinances;

2. A two-way radio communication system capable of providing communication between the vehicles and hospital emergency rooms, public ambulance company units, public dispatching agency and the licensee’s headquarters. The licensee’s dispatch headquarters shall be staffed on a twenty-four-hour basis, with a telephone dispatcher and a radio dispatcher qualified to process any and all calls. The telephone operator and the radio operator may be the same person; and

3. Medical equipment as prescribed by the medical director.