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(a) It is the responsibility of each zone provider to arrange ambulance coverage: (Ord. 1755, § 1, 10/07/1986; Ord. 2439, § 1, 10/12/2010)

(1) When the demand for ambulances exceeds the availability or is needed to maintain minimum staffing requirements. (Ord. 1755, § 1, 10/7/1986)

(2) Instances applicable include, but are not limited to, multiple simultaneous requests, a Mass Casualty Incident at two or more scenes, or equipment failure. If, for any reason, a provider cannot dispatch a unit within 15 minutes of receipt of a call, the provider shall arrange for response by the closest available unit and inform the requesting party of the delay. (Ord. 1755, § 1, 10/7/1986; Ord. 2439, § 1, 10/12/2010)

(b) Each zone provider shall have on file a current letter of agreement subject to County approval with the adjacent zone provider(s) that specifies the commitment to assist upon request. Copies of the agreement shall be sent to the Health Officer and North Coast Emergency Medical Services. (Ord. 1755, § 1, 10/7/1986; Ord. 2439, § 1, 10/12/2010)

(c) All ambulance requests will be directed to the zone provider in which the activity is occurring. If the respective zone ambulance demand request is greater than zone ambulance availability, said provider, based upon the mutual-aid agreement, shall request assistance from the adjacent zone provider(s). Assistance by the adjacent zone provider shall take into consideration the activity level of the assisting zone provider. (Ord. 1755, § 1, 10/7/1986; Ord. 2364, § 5, 6/20/2006; Ord. 2439, § 1, 10/12/2010)

(d) Failure to provide assistance when requested may be reported by the requesting zone provider in writing within three days of the incident to North Coast Emergency Medical Services and the Health Officer. (Ord. 1755, § 1, 10/7/1986; Ord. 2439, § 1, 10/12/2010)

(e) The Health Officer and North Coast Emergency Medical Services shall be notified any time the mutual aid agreement is modified, renewed, or canceled. (Ord. 1755, § 1, 10/7/1986; Ord. 2439, § 1, 10/12/2010)