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The mayor may enter into an agreement with one or more primary ambulance companies. Such agreement may include, but is not limited to, requirements for provision of services, licensing, certifications, liability insurance, activity reporting, fee scheduling and compensation to the city. Such agreement may provide the terms and conditions under which the city will exclusively use the services of one primary ambulance company and exclusively refer patients and other persons to one primary ambulance company.

A. When agreements exist with more than one primary ambulance company, it shall be at the discretion of the fire chief, subject to the terms and conditions of such agreements, to determine whether and to what extent the city will request ambulance service from any primary ambulance company or will refer patients or other persons to any primary ambulance company. Options available for the fire chief’s consideration include, but are not limited to, requesting ambulance service based on a rotational basis, based on the closest unit, or based on an automatic vehicle locating system implemented in the public dispatch center by the ambulance companies with the approval of the fire department. The fire chief is authorized to establish procedures and guidelines for implementing the designated approach for emergency medical service transport.

B. Notwithstanding any provision herein, the fire department shall have the discretion of requesting a specific agency or company when it is deemed to be in the best interests of the patient or the city. (Ord. 3206-10 § 2, 2010; Ord. 2308-98 § 15, 1998.)