City of Excelsior Springs, MO
Clay County
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Table of Contents
Table of Contents

Section 640.010 Definitions.

[R.O. 2012 §640.010; Ord. No. 92-2-4 §1, 2-18-1992]
When used in this Chapter, the following words shall have the meanings set out below, unless indicated otherwise:
AMBULANCE
Any privately or publicly owned vehicle or craft that is specially designed, constructed or modified, staffed or equipped for, and is intended or used, maintained or operated for the transportation of persons who are sick, injured, wounded or otherwise incapacitated or helpless, or who require the presence of medical equipment being used on such individuals, but the term does not include any motor vehicle specially designed, constructed or converted for the regular transportation of persons who are disabled, handicapped, normally using a wheelchair, or otherwise not acutely ill, or emergency vehicles used within airports.
AMBULANCE SERVICE
A person or entity that provides emergency or non-emergency ambulance transportation and services, or both, in compliance with Sections 190.001 to 190.245, RSMo., and the rules promulgated by the department pursuant to Sections 190.001 to 190.245, RSMo.
ATTENDANT
Any individual who is responsible for the care of a patient within an ambulance vehicle.
CITY
Shall mean Excelsior Springs, Missouri
DIRECTOR
The Director of emergency medical services of Excelsior Springs, Missouri.
DRIVER
Any individual who operates or attempts to operate an ambulance vehicle on the streets, alleys, or other public thoroughfare within the limits of the City of Excelsior Springs, Missouri.
PATIENT
An individual who is sick, injured, wounded, diseased, or otherwise incapacitated or helpless, or dead, excluding deceased individuals being transported from or between private or public institutions, homes or cemeteries, and individuals declared dead prior to the time an ambulance is called for assistance.
PERSON
As used in these definitions and elsewhere in Sections 190.001 to 190.245, RSMo., any individual, firm, partnership, copartnership, joint venture, association, cooperative organization, corporation, municipal or private, and whether organized for profit or not, state, county, political subdivision, state department, commission, board, bureau or fraternal organization, estate, public trust, business or common law trust, receiver, assignee for the benefit of creditors, trustee or trustee in bankruptcy, or any other service user or provider.
POLICE
Duly authorized members of the Police Department of the City of Excelsior Springs, Missouri.

Section 640.020 License Required.

[R.O. 2012 §640.020; Ord. No. 92-2-4 §2, 2-18-1992]
No person, either as owner, agent, or otherwise, shall furnish, operate, maintain, advertise or otherwise engage in or profess to engage in the business of an ambulance service, within the City, unless he/she holds a currently valid license for ambulance service issued by the City, pursuant to this Chapter and by the State of Missouri Bureau of Emergency Medical Services.

Section 640.030 Exceptions.

[R.O. 2012 §640.030; Ord. No. 92-2-4 §3, 2-18-1992]
A. 
Licenses shall not be required for ambulance services which are:
1. 
Owned and operated by an agency of the United States Government or by the City of Excelsior Springs, Missouri.
2. 
Rendering requested assistance to ambulances currently licensed in cases of disaster or major emergency too great for local resources; or in response to the provisions of written community mutual aid agreements.
3. 
Operated from a location or headquarters outside the City and transporting patients who are picked up outside the limits of the City to locations within the City, or through the City to other locations.

Section 640.040 Application for License.

[R.O. 2012 §640.040; Ord. No. 92-2-4 §4, 2-18-1992]
A. 
Application for a license hereunder shall be made on such forms as may be provided by the director and shall contain the following information:
1. 
Name and address of the applicant and the trade name under which business will be conducted; if a corporation, the name, date, and place of incorporation, address of principle officers, and the registered agent for the corporation; if a partnership, association, or other business entity, the names of the partners or other persons comprising the association or business entity and the business and residence address of each partner or other person involved in the business and the operation;
2. 
The number of vehicles to be operated or controlled by the applicant and a description of each vehicle;
3. 
Name and address of each employee and statement of qualifications of each such employee as an employee as an ambulance driver or attendant;
4. 
Copy of current ambulance license issued by the Missouri State Bureau of Emergency Medical Services of its successor.

Section 640.050 License Requirements.

[R.O. 2012 §640.050; Ord. No. 92-2-4 §5, 2-18-1992]
There shall be at all times at least two (2) Missouri State Emergency Medical Service licensed personnel on each ambulance licensed and operated under this Chapter.

Section 640.060 License Fee — Duration — Renewal.

[R.O. 2012 §640.060; Ord. No. 92-2-4 §6, 2-18-1992; Ord. No. 14-07-05 §33, 7-21-2014]
No license shall be issued, renewed, or continued in operation unless the applicant or the holder has paid a license fee as specified in the Schedule of Fees, Title I, Appendix A. Any license issued under this Chapter shall be for a period of one (1) year from the date of issuance or renewal. Said license fee shall be in addition to any other license fee or charge established by any business and occupational license ordinance of the City applicable to said holder or the vehicle or vehicles under his operation or control.

Section 640.070 Duty of the Director.

[R.O. 2012 §640.070; Ord. No. 92-2-4 §7, 2-18-1992]
A. 
Under the provision of this Chapter the Director is hereby empowered and directed to:
1. 
Accept applications for licenses issued pursuant to this Chapter, and to cause such investigation as he/she deems necessary to be made of the applicant and/or his/her proposed operations.
2. 
Issue the appropriate license hereunder, each to be valid for a period of one (1) year unless earlier suspended, revoked or terminated when he/she finds:
a. 
The public convenience and necessity require the proposed ambulance service;
b. 
Each ambulance, its required equipment designated in the application have been certified as provided for herein;
c. 
The applicant is a responsible and proper person to conduct or work in such a service;
d. 
All the requirements of this Chapter and of the pertinent Missouri Bureau of Emergency Medical Services regulations, and all other applicable laws and ordinances have been met.
3. 
Initiate proceedings for revocation of any license issued pursuant to this Chapter through the appropriate agency of the State of Missouri or by public hearing before the City Council. If the license issued under this Chapter is revoked by City, upon recommendation of the Director, the aggrieved party may appeal the decision of the City Council of the Circuit Court of Clay County, Missouri. Such appeal should be filed within thirty (30) days after revocation of said license.

Section 640.080 Revocation of License.

[R.O. 2012 §640.080; Ord. No. 92-2-4 §8, 2-18-1992]
The Director may and is hereby authorized to suspend or revoke a license issued hereunder for failure of a licensee to comply with and to maintain compliance with this Chapter and all other ordinances of the city or for failure of licensee to comply with and maintain compliance with regulations promulgated hereunder or under any other applicable laws, rules, regulations, including without limitation, Section 190.100 through 190.195, RSMo. Should the licensee fail to comply with the requirements of this Chapter or other ordinances of the City with the Statutes, rules and regulations of the State Bureau of Emergency Medical Services of the State of Missouri, the Director may issue on behalf of the City or may initiate proceedings with the State Bureau of Emergency Medical Services with respect to suspension or revocation of any license issued hereunder. Within thirty (30) days after notice of intention to suspend or revoke under the ordinances of the City, the licensee shall be afforded a hearing before the City Council after reasonable notice, and the City Council shall, within ten (10) days after the conclusion of such hearing, issue a written notice to licensee of its findings and action in the matter. The decision of the City Council shall be promptly transmitted to licensee. Suspension or revocation of any license pursuant to action of the State of Missouri, Bureau of Emergency Medical Service, shall be process as provided by State Statute.

Section 640.090 Records.

[R.O. 2012 §640.090; Ord. No. 92-2-4 §9, 2-18-1992]
A. 
Each licensee of an ambulance hereunder shall maintain accurate records concerning the transportation of each patient within the City as follows:
1. 
Daily log of each and every ambulance run accepted, with consecutive entries of calendar date, time of day, patient identification, patient destinations, general classification of emergency, and other such data as the Director may prescribe by regulation.
2. 
Trip ticket for each ambulance run containing the information required in Subsection (1) above and such other entries as the ambulance service may desire or the Director may required by regulation. The Director may establish a standard trip ticket form and require timely submission to this office of duplicate copies by each licensee.
3. 
Records will be retained by the legally responsible owner or operator for three (3) years, readily available for inspection as may be ordered by the Director, notwithstanding transfer, sale or discontinuance of the ambulance service or business.

Section 640.100 Obedience to Traffic Laws, Ordinances and Regulations.

[R.O. 2012 §640.100; Ord. No. 92-2-4 §10, 2-18-1992]
A. 
The driver of an ambulance, when responding to an emergency call or while transporting a patient, may exercise the privileges set forth in this Section, but subject to the conditions herein stated, and only when licensed attendant has reasonable grounds to believe that an emergency in fact exists requiring the exercise of such privileges.
B. 
Subject to the provisions of Subsection (A) hereof, the driver of an ambulance may:
1. 
Park or stand, irrespective of the otherwise applicable provisions of law, ordinances or regulations;
2. 
Proceed past a red or stop signal or stop sign, but only after slowing down as may be necessary for safe operation;
3. 
Exceed the maximum speed limits permitted by law, ordinance, or regulation so long as he/she does not endanger life or property; and
4. 
Disregard laws, ordinances or regulations governing direction or movement or turning in specified directions;
5. 
The exemptions herein granted shall apply only when such ambulance is making use of audible and visual signals meeting the requirements of law, ordinance and regulation;
6. 
The foregoing shall not relieve the driver of an ambulance from the duty to drive with regard for safety of all persons, nor shall such provisions protect the driver from the consequences of his/her disregard for the safety of others.

Section 640.110 Penalties for Violation.

[R.O. 2012 §640.110; Ord. No. 92-2-4 §11, 2-18-1992; Ord. No. 93-7-3 §II, 7-6-1993]
A. 
It shall be deemed to be unlawful to:
1. 
Perform duties as an ambulance driver, attendant (EMT or Paramedic), or dispatcher without a current permit issued by the Director of Emergency Medical Services for the City of Excelsior Springs Missouri.
2. 
Permit a person to work as an ambulance driver, attendant or dispatcher without a current permit issued by the Director of Emergency Medical Services for the City of Excelsior Springs, Missouri.
3. 
Use or cause to be used any ambulance service other than that established by this Chapter, unless exempted by the Director of Emergency Medical Service for the City of Excelsior Springs, Missouri.
4. 
Provide ambulance services, emergency or transfer, within the City limits unless authorized by or exempted by the provisions of this Chapter.
5. 
Knowingly give false information to induce the dispatch of an ambulance.