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16E 1
MEMORANDUM
Date: April 20, 2018
To: Dan Summers, Director of Emergency Services
Bureau of Emergency Services & Emergency Management
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: COPCN w/Seminole Tribe Annual Renewal
Attached for your records is the original of the document as referenced above, (Item
#16E1) adopted by the Board of County Commissioners on Tuesday, April 10, 2018.
If you have any questions, please feel free to call me at 252-7240.
Thank you.
Attachment
16E 1
COLLIER COUNTY FLORIDA
Class "1" and Class "2" COPCN
Name of Service: Seminole Tribe of Florida
Name of Owner: Seminole Tribe of Florida
Principle Address of Service: 6300 Stirling Road
Hollywood, FL 33024
Business Telephone: (954) 966-6300
Description of Service: Class "1" Emergency Medical Transport; Class "2" Intra-facility
and out-of-county transport for tribal members.
Number of Ambulances: (2) Two, (1) One Fire Engine 1250 GMP Pumper, and (1) One
Fire/EMS Supervisory Vehicle.
See attachment"A" for description of vehicles.
This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above
named Ambulance Service to operate intra-facility and out of county transports for a fee
or charge for the following area(s): Seminole Tribe of Florida Fire Rescue Department
boundaries for one year from the date executed hereon, except that this permit may be
revoked by the Board of County Commissioners of Collier County at any time the service
named herein shall fail to comply with any local, state or federal laws or regulation
application to the provisions of Emergency Medical Services.
•
Issued and approved this I041°' day of � � , 2018
ATTEST: BOARD • ' CO TY CC:), IONERS
DWIGHT E. BROOK,CLERK COLLI• ' C• 4 Y F /
A` t a5`t0 Gh81 'Coput, er Andrew Solis, Chairman
nature Only.
Approved as to form and legality:
Jenfr A. Belped'
Assistant County A• ey 1 p 1Q
16E
1/
xh� b, f /i"A
YIN LIST FOR SEMINOLE TRIBE OF FLORIDA FIRE RESCUE
(3) The number and brief description of the ambulances or other vehicles the applicant
will have available.
• Two (2) Medical Rescue Units (Ambulances)
— Rescue 38 -Class 1&2 ALS Transport and Inter-Facility(FL-ALS Permit# 19849)
— Rescue 238 Class 1&2 ALS Transport and Inter-Facility (FL-ALS Permit# 14456)
• One (1)Fire Engine 1250 GPn1 Pumper
— Engine 38: Class 3 ALS Non-Transport (FL-ALS Permit#15633)
• One (1) Fire/EMS Supervisory Vehicle
— Battalion 38: Supervisor, Exempt [Rescue Services (Non-ALS)w/ Paramedic)]
Note:Only permanently assigned vehicles listed above.STFR has additional spare Fire/EMS vehicles used for
temporary maintenance, back-fill or special events permitted in accordance with Florida Statutes 401 and
FDOH Regulations 64-E.
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