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Agenda 10/09/2018 Item #16E 110/09/2018 EXECUTIVE SUMMARY Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Ambitrans Medical Transport, Inc. to provide Class 2 Advanced Life Support (ALS) inter- facility transport ambulance service for a period of one year. OBJECTIVE: To provide Advanced Life Support inter-facility transport services in Collier County by a private provider. CONSIDERATIONS: A COPCN may be renewed routinely by the Board as provided by Section 50-60 of the Collier County Code of Laws and Ordinances governing medical transportation services. Ambitrans inter-facility transport was originally granted a Certificate of Public Convenience and Necessity on October 25, 2011. The certificate requires annual renewal and the current COPCN exp ires on October 24, 2018. Staff reviewed and deems Ambitrans’ renewal application as complete and recommends that the COPCN be renewed for one year. A Class 2 operator provides post-hospital inter-facility medical transfer services, both within and outside the County. Section 50-60 of the Code of Laws and Ordinances provides: Each certificate holder shall file within 90 days of expiration, an application for renewal of his certificate. Renewals shall be based upon the same standards, as the granting of the original certificate along with such other factors as may be relevant. The renewal application shall be accompanied by a $250.00 renewal fee. The renewal certificate may be approved routinely by the board, upon advice of the administrator, or the board ma y hold a hearing on same. These requirements have been met and the administrator recommends renewal. The Emergency Medical Authority reviewed the application on August 8, 2018 and unanimously recommended that the Certificate be renewed. FISCAL IMPACT: There is no fiscal impact to the Board for the granting of this certificate. The Board is requested to accept and recognize as revenue in Fund (490) the $250.00 application fee with the corresponding application. GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board must find that the standards set forth in Section 50-57 of the Code of Laws and Ordinances have been satisfied based on competent evidence as follows: (1) That there is a public necessity for the service. In making such determination, the Board of County Commissioners shall consider, as a minimum, the following factors: a. The extent to which the proposed service is needed to improve the overall emergency medical services (EMS) capabilities of the County. b. The effect of the proposed service on existing services with respect to quality of service and cost of service. c. The effect of the proposed service on the overall cost of EMS service in the county. d. The effect of the proposed service on existing hospitals and other health care facilities. e. The effect of the proposed service on personnel of existing services and the availability of sufficient qualified personnel in the local area to adequately staff all existing services. 16.E.1 Packet Pg. 785 10/09/2018 (2) That the applicant has sufficient knowledge and experience to properly operate the proposed service. (3) That, if applicable, there is an adequate revenue base for the proposed service. (4) That the proposed service will have sufficient personnel and equipment to adequately cover the proposed service area. This item is approved as to form and legality and requires a majority vote for approval. -JAB RECOMMENDATION: To renew and issue a Class 2 Certificate of Public Convenience and Necessity to Ambitrans Medical Transport, Inc., for a period of one year expiring on October 24, 2019. Prepared by: Dan E. Summers, Director, Bureau of Emergency Services ATTACHMENT(S) 1. 2018-19 Ambitrans CoPCN Application (PDF) 2. Certificate signed (PDF) 3. Ambitrans Permit 2018 CAO Stamped (PDF) 4. VIN List Final CoPCN Ambitrans-4 (PDF) 16.E.1 Packet Pg. 786 10/09/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.1 Doc ID: 6516 Item Summary: Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Ambitrans Medical Transport, Inc. to provide Class 2 Advanced Life Support (ALS) inter-facility transport ambulance service for a period of one year. Meeting Date: 10/09/2018 Prepared by: Title: Executive Secretary – Emergency Management Name: Kathy Heinrichsberg 08/23/2018 3:39 PM Submitted by: Title: Division Director - Bureau of Emer Svc – Emergency Management Name: Daniel Summers 08/23/2018 3:39 PM Approved By: Review: Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 08/23/2018 3:55 PM Emergency Management Daniel Summers Additional Reviewer Completed 08/23/2018 5:06 PM Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 08/27/2018 12:06 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 08/27/2018 2:44 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 09/24/2018 10:10 AM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 09/24/2018 2:57 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 09/25/2018 11:34 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/26/2018 10:47 AM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 09/30/2018 11:50 AM Board of County Commissioners MaryJo Brock Meeting Pending 10/09/2018 9:00 AM 16.E.1 Packet Pg. 787 AMBITRANS MEDICAL TRANSPORT, INC. RECBIVED iul 0 2 2018 EMERGENCY MANAGEMENT 201 B COPCN Renewal Application Collier County, Florida Ambitrans Medical Transport, Inc., submits its 2018 Application for Renewal of its Certificate of Public Convenience and Necessity in and for Collier County, Florida. 16.E.1.a Packet Pg. 788 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County C0PCN Renewal Application Sec. 50-55 Procedure for obtaining certificate. An applicant for a certiftcate shall obtain forms from the department to be completed and returned to the division administrator. Each application shall contain: (1) The nome, age and address of the owner of the ambulance or ALS provider, or if the owner is a corporation, then of the directors of the corporation and of all of the stockholders holding more than 25 percent of the outstanding shares. For governmental units, this information shall be supplied for members of the governing body. Coruorate Offi cers /Directors Michael J. Grant, 68,4351, Pinnacle Street, Charlotte Harbor, FL 33980 Lorraine B. Grant, 63,4351, Pinnacle Street, Charlotte Harbor, FL 33980 50o/o 50o/o Alan J. Skavroneck,53,4351 Pinnacle Street, Charlotte Harbor, FL 33980 0o/o Vanessa Grant Oliver,37, +357 Pinnacle Street, Charlotte Harbor, FL 33980 0o/o (2) The boundaries ofthe territory desired to be served. Collier County, Florida (3) The number and brief description of the ambulances or other vehicles the applicantwill have available. Ambitrans currently has thirty-five [35) licensed ambulances available to its fleet, These units are permitted with the Florida Department of Health - Bureau of EMS as Advanced Life Support and Basic Life Support vehicles. Through the use of the company's computer aided dispatch software, Zoll Data RescueNet Dispatch-Billing'", management is able to staff according to anticipated demand. Staffing levels and patterns are determined using historical data and other internal statistics. Vehicles are posted in accordance with direction from our communications center personnel to specified areas to aid in proper deployment and call response. In the event of any unforeseen daily call volume, Ambitrans has the ability to schedule additional labor and resources to meet continued on-going market demand. A spreadsheet listing each ambulance in our fleet is attached hereto as Exhibit "A." 16.E.1.a Packet Pg. 789 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application @) The address of the intended headquarters and ony substations. Ambitrans corporate office is located at: 4351 Pinnacle Street, Port Charlotte, FL 33980 Our Collier County substation is located at: 2157 Pine Ridge Road, Naples, FL 34109 (former NCH ambulance station) Our auxiliary substation to backup the Collier County operation is located at: 935 N.E. 7th Terrace, Cape Coral, FL 33909 ,_qI -r-I ;_ 16.E.1.a Packet Pg. 790 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (5) The training and experience of the applicant. Ambitrans Medical Transport, Inc. was incorporated in 1983 to provide Paratransit services to the residents of Charlotte County. In 1988, ownership of the company transferred to its current principals. In 1995, Ambitrans commenced its ambulance operations. Today, Ambitrans operates in Charlotte, Collier, Lee, Sarasota and Manatee counties. Ambitrans is committed to maintaining compliance with all federal, state and local laws and regulations. We are compliant with Florida Statute 401 and Florida Administrative Code 64f in accordance with standards set forth by the Bureau of EMS and Department of Health. Our state license is valid through June 19, 20L9. A copy of our state license is attached hereto as Exhibit "B." Ambitrans is a licensed Medicare and Medicaid provider and we have contracts in place with many national third-party payors, which enable us to serve all citizens of Collier County. Further, we employ a national law firm specializing in Medicare issues related to the ambulance industry to ensure we remain compliant with all federal laws, rules and regulations relating to Medicare, as well as in an-house General Counsel to ensure our facility contracts and daily operations conform with all federal, state and local regulations. The management team at Ambitrans collectively has over 250 years of experience in the EMS industry. Our Training and Quality Assurance Department reviews patient care reports for quality assurance and adherence to our medical protocols and standards of care. Our education team is also responsible for our in-house training, which includes CPR, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Emergency Vehicles Operators Course and on-going continuing education units needed for bi-annual certification renewal. Our in-house billing department is knowledgeable and responsive and available Monday through Friday to answer any questions our customers may have. 16.E.1.a Packet Pg. 791 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application Our personnel and managers have diverse experiences that take them well outside of Southwest Florida. Michael Grant, our President and CEO, recently won re-election to the Florida House of Representatives, District 75. Our Chief Operating Officer, Alan Skavroneck, serves as the immediate Past-President for the Florida Ambulance Association and recently completed his term as State Surgeon General appointee to the Emergency Medical Services Advisory Council. Governor Rick Scott appointed and the Florida Senate confirmed Vanessa Oliver, our General Counsel, as a consumer member of the State Board of Funeral, Cemetery and Consumer Services. Dr. Daniel V. O'Leary serves as our medical director of record as mandated under Florida Statute 401.265. This is in addition to his normal day-to-day duties as an emergency room physician at Bayfront Hospital in Port Charlotte as well as serving as the Medical Director for Charlotte County Fire and EMS and Medical Director for EMT and Paramedic programs at Charlotte Technical College. (6) The name and addresses of three Collier County residents who will act as references for the applicanl Patricia Davis 212 Napa Ridge Road East Naples, FL 34L19 Former State Representntive Matt Hudson 3301 East Tamiami Trail Naples, FL 34tLz Former State Senator Garrett Richter 2320 Harrier Run Naples, FL 34105 16.E.1.a Packet Pg. 792 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (7) A schedule of rates which the service intends to charge. A0428 Basic Life Support Base Rate A0429 Basic Life Support Base Rate A0426 Advanced Life Support Base Rate AO427 Advanced Life Support Base Rate A0433 Advanced Life Support Base Rate - Level 2 $725.00 AO434 Specialty Care Transport Base Rate $900.00 AO425 Per Loaded Mile $10.00 A0999 Oxygen $4s.00 40999 Drugs $10.00 - $2s.00 IV Supplies $20.00 - $2s,00 Code Service Description Rate $395.00 $42s.00 $395.00 $500.00 16.E.1.a Packet Pg. 793 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (B) Such other pertinent information as the administrator may require. No additional information was requested by the administrator at the time of submission. However, for your convenience, Ambitrans has attached hereto a copy of its Certificate of Insurance as Exhibit "C" and its Certificate of Worker's Compensation Insurance as Exhibit "D." (9) An application or renewal fee of $250.00. (Exception Collier County EMS). Ambitrans' check in the amount of $250.00 is enclosed with this Renewal Application. (10) Financial data including assets and liabilities of the operator. A schedule of all debts encumbering any equipment shall be included. Ambitrans' financial data is attached hereto as Exhibit "8." 16.E.1.a Packet Pg. 794 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application Schedule of Exhibits Exhibit "A"List of Ambulances in Fleet Exhibit "B"State License Exhibit "C"Certificate of Insurance Exhibit "D"Certificate of Worker's Compensation Insurance Exhibit "E"Financial Data 16.E.1.a Packet Pg. 795 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Name 1FDSS3ESODDA41561 1FDS53ESODD441561 1FDS53ES1BDB278O1 1FDSS3ES1BDB278O1 1FDSS3ES3BDA26145 1FDSS3 ES3BDA26145 1FDSS3 E53CDA1837 1 1FDSS3 ES3CDA1837 1 1FDS53E54BDA26L37 1FDS53E54BDA26137 1FDS53ES54DA25626 1FDS53ES5ADA25626 1FDS53ES5CDAL8372 1FDSS3ES5CDA18372 1FDSS3ES6ADA31208 1FDSS3 ESSADA3 1208 1FDSS3ES6BDA26138 1FDSS3ES6BDA26138 1FDSS3 ES6BDB3682O 1FDSS3ES5BDB3682O 1FDSS3 ES7BDB27799 1FDSS3ES7BDB27]99 1FDS53ES7BDB278O4 1FDS53ES7BDB278O4 1FDS53ES7DDBO6017 1FDSS3ES7DD806017 1FDSS3ES8DDBO2265 1FDSS3ES8DDBO2266 1FDSS3ESgEDA22265 1FDSS3E59EDA22265 LFDWE35F92HA44797 1FDWE3FD7ADA2O886 1FDWE3FS1ADA32547 1FDWE3FS3ADA32551 1FDWE3F53ADA32551 1FDWE3FS4 ADA62447 1FDWE3FS4 ADA62447 1FDWE3FS5ADA20885 1FDWE3FS5ADA20885 1FDWE3FS5ADA5915O 1FDWE3FS5BDAO1957 1FDWE3FS6BDAO1957 1FDWE3FS6BDA87O27 1F DWE3FS6BDA87O27 1FDWE3FS7ADA20886 1FDWE3FS7ADA69148 Ambitrans Medical Transport, lnc. Profession vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHtcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHtcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMITS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTT (ALS) Relationship PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT License 20888 4956 77027 52L2 20881 4355 20885 4832 20882 4175 20879 4677 20886 4954 20880 4678 20884 4475 20887 4955 20883 4777 L7026 5213 20928 52t4 20889 4776 20890 4823 4133 5t2t 18534 2089s 4822 20891 5119 20892 5120 18536 20496 52LL 20896 4821 20893 18535 Effective Date 8/24/2017 2/1812OL6 12/8l2O1L 8/24/2OL7 8/24/2017 2/24/2Ot1. 8/24/2OL7 4/81201s 8/24/20L7 7 /3L/2O1.4 8/24/2017 8/Ll2Ot3 8/24120L7 2/L81201,6 812412017 8lL/2013 8/2412017 3/2e12012 8/24/2017 2/L812075 8124/2017 7 /31/2Ot4 12/8/lOLL 8/24/20L7 8/3L/2Ot7 8124/2017 8/24/2017 7 /3L/20L4 8/24120L7 3/LO/201,5 L2/19/2007 3/8/20t7 7l3tl2OL4 8124120L7 3/LO/201,5 8/24/2017 318120L7 8/2412017 3/8/20L7 7 /31/201.4 3/8/20L7 8/24/20L7 8/2412017 3/101201.s 8/24/2017 7 /31./20L4 16.E.1.a Packet Pg. 796 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) 1FDWE3 FS7ADA69148 1FDWE3 FS7BDA91166 1FDWE3F57BDA9]-166 1FDWE3FS88DAO1958 1FDWE3F588DAO1.958 1FDWE3 F58BDAO9607 1FDWE3F58BDAO9607 1FDWE3FS9ADA34661 1F DWE3FS9ADA34661 1FDWE3FSXADA32546 1FDWE3FSXADA32546 1.FDWEFS1ADA32547 lFDWR3FSXBDAOg603 lFDWR3FSXBDAOg608 1FDXE4FS2BDB29932 1FDXE4FS2BDB29932 1FDXE4FS3BDB2994L 1FDXE4F53BDB2994L 1FDXE4F53BDB35786 1FDXE4F53BDB35786 1FDXE4F54BDB35781 1FDXE4FS4BDB35781 1FDXE4FS5CDA9O604 1FDXE4FS6CDA9O604 1FDXE4F58BDB35783 1FDXE4F58BDB35783 1FDXE4FSgEDA75257 Ambitrans Medical Transport, lnc. vEHrcLE PERMITS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMIT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) vEHrcLE PERMTTS (BLS) vEHrcLE PERMTT (ALS) PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT PERMIT 52t6 1889s 52t7 2L048 5368 18895 5218 79943 5224 20894 5037 5215 19338 5219 19699 5220 19758 5222 L97s9 5223 19757 522t 19955 5225 L9957 5226 18361 8/24/20L7 3/LO/20Ls 8l24l2OL7 LO/2s/2017 10/2s/2017 3/LO/2}ts 8/2412017 6/6l2OL6 8124/2017 8/24/20t7 8/2s/20L6 8/24/20L7 8/24/2}ts 8124/2017 LlL9l2OL5 8124/2017 2/18/201.6 8/24/2Ot7 2/18/20L6 8/24/2017 2/t8l2Ot6 8/24120L7 6/20/201.6 8/24/20t7 6/20/20t6 8/2412017 s/5/2014 16.E.1.a Packet Pg. 797 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) EdIL I .- ILt'EILItt<t- I o=l()cdI ';(, tLtI o:-I (,: | .eEt>9FlouEl!= E o\tl> a P t-rll;*s El Et#sf 3l E\t=\ot sOI T, ..t ;zlEOl Ealeral €lYl o -lsrl ;f+l _xl grrl 3rdl :ll E<l fr,UI ,E -!Enl E -l3l =tl EIal EItrl \ \ \solal<ldl<lal .dl r.r I r.f I-l,lsl^ila r.l1.r'ril crl =-lcJltJqrl =lJI 3lJ EJI-lFIolJIdl <l 5l 3 oz FIz z tr F az F N F J Q I riFz tr E!ru=8;op C6()(.)tro-()o>+r 95 -v6t U.,tt N.- t- Looo= : =;F i i;I L Ets;g i =r EEinuial 3E;E fi I El !!s -A I t at 'zL^rv J .l d gggh-t ur >l trl ta= orr-E ? 211 =l '=zed9; E EIs;l r=EE l=fi ; =Eil==,ii eDY, Ir >r Er iE=h?tu = al *l -=='tfi il =l EI i=:ou- o =l =l E!-=-g = =l zl Ec;-at o I el €;> t E +l c;il J = - lzm E' 3'= tsLL; o,c)6 -o-ao caE '2 L/ 6-a -A-- '=(n)a _G9'- .()JEce 0')E(J o(!si-c< 16.E.1.a Packet Pg. 798 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Client#: 16583 GRANTMED2 ACORD,,CERTIFIGATE OF LIABILITY INSURANCE 9ATE (Mm/9o/YYrr) 6t29t2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSUtNG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bouchard lnsurance (SAR) 5310 Clark Road, Suite 1 Sarasota, FL 34233 941 922-0245 fiXfiil'' Bouchard lnsuranceM_@ 83ffi8.., C LCerts@Bouchardlnsurancecom ,*rr*."1r1 or.o*r-^o "or=** ---T ---^a * ,nsrn=* o INSURED Grant Medical Transportation, lnc. 4351 Pinnacle Street Charlotte Harbor, FL 33980 INSURER B !!!!EEB c INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIMS. NsR ITRI TYPE OF INSURAI{CE LIMITS A x I COMMERCIAL GENERAL LIABILITY_t_I l"*,r.-roo. I xlo".r* -I Professional Liabt-r_ {'L AGGREGATE LIMIT APPLIES PER: I l----l PRo-lpolrcvl JEcr I lloct- I OTHER: MAPK08386902 MAPK08386902 17101t20't8 17t01t2018 07 lO1 12019 EAcH occuRRENcE s 1,000,000 OAMAGE TO RENTEO , PREMISES (Ea @rene) MEO EXP (Any ss peEm) 07tO1t2}1d".".*o**" GENERAL AGGREGATE PRODUCTS . COMP/OP AGG $ 100,000 I s 5,00Q s 1.000.000 GEI s3.000.000 x s3.000.000 $ A AU' x TOMOBILE LIABILITY I I ANYAUTOIOWNED IV ISCHEDULEOIAUToSoNLY l,\ lluroslsrneo I-J NoH-owneo I AUToS oNLY L]^l ruros otu-v MAPK08386902 t7t0'U2018 o z/o r /2 o 1 g[E!u"$'.?,i "o "j' "L , BODILY INJURY (Per p€rson) , BODILY INJURY (Per a@ident) i PROPERTY DAMAGE(Per a@ident) c1.000.000 $ S A x UMBRELLALTAB i X occuR ExcEss LraB l...- "*,ra-roo,o., -{*rr=*r.*o MAUM08509602 t7t01t2018 07 lO1l201g EAcH occuRRENCE AGGREGATE s2.000.000 $2,000,000 $ WORKERS COMPENSATION ANO EMPLOYERS' LtABtLtTY Y / N ANY PROPRIETORyPARTNER/EXECUTIVE T---- oFF|CER/MEMBER EXCLUOED? L ](Mandatory ln NH) lf yes, describe under DESCRIPTION OF OPERATIONS below -'^ll PER I IOTH.STATUTE I IER E,L, EACH ACCIDENT E.L. DISEASE. EA EMPLOYEE E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD '101, Addltlonal Remarks Schedule, may be attachod it morc space is required)** Supplemental Name ** First Supplemental Name applies to all policies - Grant Medical Transportation, lnc. Policy# MAPK08386902 - : Ambulance Management Services, LLC Policy# MAPK08386902 - : Ambitrans Medical Transport, lnc. Policy# MAPK08386902 - : Venice Ambulance Service, lnc. (See Attached Descriptions) TE HOLDER @ 1988-2015 ACORD CORPORATION. Ail The ACORD name and logo are registered marks of ACORD KELHO FOR INFORMATION PURPOSES ONLY SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION OATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) ,l of 2 #s884941tM88472'l rights reserved. 16.E.1.a Packet Pg. 799 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) DESCRIPTIONS (Gontinued from Page 1) Policy# MAUM08509602 - : Ambulance Management Services, LLC Policy# MAUM08509602 - : Ambitrans Medical Transport, lnc. Policy# MAUM08509602 - : Venice Ambulance Service, lnc. SAGITTA 2s.3 (2016/03) 2 of 2 #s884941tM884721 16.E.1.a Packet Pg. 800 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) @ias"net Employers fnsurance Company" A Member of Great American lnsurance Group A Stock lnsurer. P.O. Box 988. Lakeland, FL 33802-0988 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATTON PAGE Carrier code 31267 Item 1. lnsured Name Ambitrans Medical Transport, lnc. and Maitins 4351 Pinnacle St Address Punta Gorda, FL 33980-2902 Other workplaces not shown above: SEE EXTENSION OF INFORMATION PAGE ITEM 1 Policynumber 830-38697 RrsK rD 097488436 - lndividual X Corporation _ Partnership _ Subchapter,,S,, _ Other FEIN 65-0571 130 Item 2. Policy period From 12127117 to ',12127118 p:01 a.m. standard time atthe address of the insured as stated herein. Item 3. Coverage A. Workers Compensation lnsurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: Florida B. Employers Liability lnsurance: Part Two of the policy applies to work in each state listed in ltem 3 A The limits of our liability under Part Two are: Bodily lnjury by Accident $ 1,OOO,OOO each accident Bodily lnjury by Disease $ 1,000,000 each employee Bodily lnjury by Disease $ 1,OOO,O0O poticy timit C Other States lnsurance: Part Three of the policy applies to the states, if any, listed here: Alabama Arkansas Georgia lndiana Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee Texas D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE ITEM 3.D Item 4. Premium The premiumforthis policywill bedetermined byour Manualsof Rules, Classifications, Rates and Rating Plans.All information required below is subject to verification and change by audit. Total Estimated Annual premium $ - MinimumPremirrs I Expenseconstant $ I Classifications Code No. Premium Basis: Total Estimated Annual Remuneralion Rate Per $100 of Remuneration Estimated Annual Premium SEE EXTENSION OF INFORMATION PAGE ITEM 4 countersionedbv <--Date 1Ologl17 25 Roger Bouchard lnsurance, lnc. crs Date Prepared:1OlO9l'17 WC 00 o0 01 A (05/88) lncluds copyright material ol the Natonalcouncrt on compensation lnsurance. used pi1h ils perm.sron. O 1987 Nationat Council on ComDensation lnsurance 16.E.1.a Packet Pg. 801 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) BnmN W. CRoSLAND, CPA, PL CgRrlrIeo Punuc AccouxrINc & CoNSULTING 201 W. M.rnroN AvENrrE, SrrrE 1204 Ptrrir.r Conoa, FL 33950 Puoxr: 9t1.629.1197 FACSIMI,E: 941.205.5279 KRrsrr L. Scorr SHAWN M. CooLEY, CPA AMERICAN INSTITTjTE OF CERTIFIED PUBLIc A(CoUNTANTS FLoRIDA lNsTlTtrTE Or CERTTFTED PrJBI-rc AccouNrANTs MEDICAL G RoUP MANAGEMENI AssocIATIoN CoMMUNtTy AssocrATroNs lNsTtTLrrE INDEPENDENT ACCOUNTANTS' COMPILATION REPORT To the Board of Directors Ambitrans Medical Transport, Inc. Charlotte Harbor. Florida We have compiled the accompanying statement of assets and liabilities of the ambulance transportation operations of Ambitrans Medical Transport, Inc. and subsidiaries as of April 30.2018. This financial statement has been prepared on the income basis of accounting utilized by the Company for federal income tax reporting purposes. We have not audited or reviewed the accompanying financial statement and, accordingly, do not express an opinion or provide any assurance about whether the financial statement is in accordance with the income tax basis of accounting. Management is responsible for the preparation and fair presentation of the financial statement in accordance with the income tax basis of accounting and for designing, implementing, and maintaining intemal control relevant to the preparation and fair presentation of the financial statement. Our responsibility is to conduct the compilation in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. The objective of a compilation is to assist management in presenting financial information in the form of a financial statement without undertaking to obtain or provide any assurance that there are no material modifications that should be made to the financial statement. The accompanying statement was prepared for the purpose of presenting the assets and liabilities of the ambulance transportation operations of Ambitrans Medical Transport, lnc. and subsidiaries, and is not intended to be a complete presentation of Ambitrans Medical Transport, Inc. and subsidiaries consolidated assets and liabilities. Accordingly, this report and related financial statement is restricted for use only by known third parties with knowledge of these restrictions and should not be used for any other purpose. E4hr?d Ooo/*rz, U.<, PL June 22,2018 Punta Gorda, Florida EXCELLENCE SI\CE I98{ 16.E.1.a Packet Pg. 802 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) Ambitrans Medical Transport, lnc. and Subsidiaries Statement of Assets and Liabilities of the Ambulance Transportation Operations lncome Tax Basis of Accounting April 30, 2018 (Unaudited) Assets Current Assets: Cash available for ambulance transportation operations Propertv and Equipment: Office equipment and computers Machinery and equipment Med ical transportation vehicles Less accu mulated depreciation Property and Equipment, net Total Assets 988,000 185,338 389,'148 1,806,328 2,380,814 (2,374,405\ 6,409 $ 994,409 Liabilities Current Liabilities: Accrued profit sharing Other liabilities Notes payable to banks Lonq Term Liabilities: Notes payable to banks Less current portion above $ 211,556 37,500 352,341 601,397 352,341 (352,341) 601,397Total liabilities Net Assets Over Liabilities, income tax basis Read lndependent Accountants' Compilation Report 393,012 16.E.1.a Packet Pg. 803 Attachment: 2018-19 Ambitrans CoPCN Application (6516 : Ambitrans Annual Renewal) 16.E.1.b Packet Pg. 804 Attachment: Certificate signed (6516 : Ambitrans Annual Renewal) 16.E.1.c Packet Pg. 805 Attachment: Ambitrans Permit 2018 CAO Stamped (6516 : Ambitrans Annual Renewal) 16.E.1.d Packet Pg. 806 Attachment: VIN List Final CoPCN Ambitrans-4 (6516 : Ambitrans Annual Renewal) 16.E.1.d Packet Pg. 807 Attachment: VIN List Final CoPCN Ambitrans-4 (6516 : Ambitrans Annual Renewal)