Article XVI — FORMS

SECTION:

4-16.05: Municipal Airport Forms

4-16.05: MUNICIPAL AIRPORT FORMS:

City Of Porterville

MUNICIPAL AIRPORT

General Information Form

Name/Company Name:

Address:

Phone Number:

Emergency Contact:

Phone Number:

Brief Description Of Airport Business:

Insurance Co.:

Description Of Aircraft:

Hangar Lease Lot Number:

PORTERVILLE MUNICIPAL AIRPORT

AIRCRAFT PARKING AND TIE-DOWN AGREEMENT

(MONTHLY BASIS)

NAME

ADDRESS

AIRCRAFT REGISTRATION NUMBER

OWNER OF AIRCRAFT IF OTHER THAN ABOVE

AIRCRAFT DESCRIPTION: COLOR NO. OF ENGINES

MANUFACTURER MODEL

YEAR GROSS WEIGHT

INSURANCE POLICY

The Undersigned:

1. Understands this agreement extends the right to park and/or tie-down one aircraft in a designated space at the Porterville

Municipal Airport and conveys no other right or interest.

2. Agrees to pay monthly parking and tie-down fees as specified in this agreement.

3. Understands that the monthly fees are $ for single engine aircraft and $ for twin engine aircraft at the time of the

signing of this agreement and that the City Council of the City of Porterville may, at any time, adjust the fees at their discretion.

4. Understands that he/she will be billed each month in advance for parking/tie-down fees and that all fees unpaid after one month

of the billing date will be charged interest at a rate of one percent (1%) per month on any unpaid balance.

5. Agrees to comply with all codes, ordinances and rules of operation applicable to Porterville Municipal Airport.

6. Agrees to indemnify, defend and save harmless the City, its agents, officers, and employees, and each of them, from any and all

losses, costs, expenses, claims, liabilities, actions, or damages, including liability for injuries to person or persons, or damage to property of third persons, arising out of or in any way connected with the above described aircraft.

7. Agrees, in the event the City has to resort to legal action to enforce payment under this agreement, to pay all court costs

including reasonable attorney fees, of such action.

8. Agrees that the fees due under this agreement shall be due on the day of , and the first of each calendar

month thereafter.

AIRCRAFT OWNER/AGENT:

SIGNATURE

DATE

APPROVED FOR PORTERVILLE MUNICIPAL AIRPORT:

SIGNATURE TITLE

DATE

NOTICE OF VIOLATION

CITY OF PORTERVILLE - MUNICIPAL AIRPORT

Name

Address

Phone ( )

VIOLATION

Your actions have been found to conflict with Article of the Rules and Regulations for the Porterville Municipal Airport. You are hereby formally ordered to cease any and all actions conflicting with the established Rules and Regulations.

Airport users who feel they have a compelling, legitimate reason to dispute a violation notice or a notice to cease may follow the Appeals Procedure set forth in Article XIII of the Rules and Regulations for the Porterville Municipal Airport.

Noncompliance with an official NOTICE OF VIOLATION may result in termination of lease agreement or the loss of Airport privileges.

Signed Date

Designated City Officer Date

City of Porterville

REPORT OF AIRCRAFT ACCIDENT

1. DATE OF ACCIDENT TIME A.M. P.M.

(Month) (Date)

2. Location of Accident

3. Operator (Pilot)

(Name) (Telephone Number)

(Number and Street, Apartment No., etc.)

(City, State, Zip Code)

4. Owner (if different)

(Name) (Telephone Number)

(Number and Street, Apartment No., etc.)

(City, State, Zip Code)

5. Type of Aircraft

(Manufacturer) (Model) (Identification No.)

6. Total Number of Persons on Board Aircraft

7. (Name, Address, Extent of Injuries to Occupants and/or Persons on the ground. Use additional sheets if number exceeds space.)

Non-
Crew Passenger Fatal Serious Minor None
Occupant

8. Damage to Property (Other than that of Owner, Operator or Passenger, or in their care, custody or control). Describe fully, and

give best estimate of dollar cost. Use additional sheets if necessary.

9. Was a Report made to Any of the Following Agencies:

Federal Aviation Administration Yes No National Transportation Safety Board Yes No Law Enforcement Agency Yes No If such a report was made, to whom and at what address:

10. Was there, at the time of the accident, an Aircraft Liability Policy?

Yes No

or Bond? Yes No or any other form of Liability Protections covering the aircraft operation?

Yes No

or have you registered with the Department of Aeronautics as a Self-Insurer?

Yes No

11. If answer to 10 was Yes, furnish the following data on Insurer or Bonding firm which issued your Policy or Bond to cover liability

for damages or injury to others:

Complete name and address of Company

Policy Number Period of Coverage

(from) (to)

Policy issued to

(named individual or firm)

12. Report made by (print)

(Name)

(Number and Street)

(City, State, Zip Code)

(Telephone Number)

(Signature)

REMARKS or Additional Information:

Pilot Certificate Number

Ratings Total Flying Time

Weather/Visibility Conditions at time of accident:

Official Capacity, or relationship to the Operator or Owner

CITY OF PORTERVILLE

MUNICIPAL AIRPORT

After-Hours Tie-Down Fees

Name

Address

Phone Number ( )

Description of Aircraft

Manufacturer

Model/Year

No. of Engines

Aircraft Number

Overnight Tie-Down Fees:

$2/night (single engine)

$2.50/night (twin engine)

I agree to comply with all codes, ordinances and rules of operation applicable to Porterville Municipal Airport.

I agree not to hold the City and its employees liable for any losses, costs, expenses, claims, liabilities, actions, or damages in any way connected with the above described aircraft.

(Ord. 1652 § B, 4-20-2004)

CHAPTER 4A

AMBULANCES

SECTION:

4A-1: Ambulance Operation Within City Limits

4A-2: Certificate Of Public Convenience For Ambulance Required

4A-3: Application For Certificate

4A-5: Investigation

4A-6: Notice Of Decision

4A-8: Suspension Or Revocation Of Certificate

4A-9: Disposition And Issuance Of Certificate After Revocation

4A-11: Surrender Of Certificate

4A-14: Liability Insurance

4A-15: Ambulance Rates

4A-16: Ambulance And Records Inspection

4A-16.1: Ambulance Call Rotation

4A-17: Complaint Procedure

4A-18: Violation And Penalties

4A-1: AMBULANCE OPERATION WITHIN CITY LIMITS:

A. Ambulance operation in the city applies only to those ambulance companies who routinely do business within the city, except those ambulance companies who deliver patients to their homes or medical facilities within the city from points outside the city.

B. This chapter does not pertain to those ambulance services who may be called to assist with transportation from medical facilities in emergency situations. (Ord. 1537 § B17, 8-6-1996)

4A-2: CERTIFICATE OF PUBLIC CONVENIENCE FOR AMBULANCE REQUIRED:

A. No person shall engage in the business of operating an ambulance or ambulances for profit on a for hire basis within the city without first obtaining a certificate of public convenience, as hereinafter provided, from the fire chief, and this certificate shall be in addition to any business license required by this code. This chapter shall not apply in the event of a "disaster" as defined by section 9-2 of this code.

B. A certificate of public convenience is not needed when an ambulance company licensed by the state is contracted to handle special events only. A "special event" is defined as a sporting event, entertainment event or any other activity where an ambulance may be needed. This chapter does not waive the necessity of any ambulance company handling special events within the city from obtaining a city business license. (Ord. 1537 § B17, 8-6-1996)

4A-3: APPLICATION FOR CERTIFICATE:

Any person desiring to obtain a certificate of public convenience shall make application therefor on forms available from the office of the fire chief. Each application shall be accompanied by a policy of insurance in the amount provided for by this chapter. The application shall include the following:

A. A copy of the ambulance license issued by the California highway patrol.

B. The number of ambulances actually owned and/or leased, and the number of ambulances actually operated by such applicant on the date of application, if any.

C. A description of each ambulance, including the make, model, year of manufacture, engine and serial numbers, state motor vehicle license number, and the number of the emergency vehicle permit issued by the California highway patrol.

D. The business address and a description of the premises at and from which it is proposed to maintain such ambulances.

E. A description of the proposed color scheme, insignia, trade style and any other distinguishing characteristics of the proposed ambulance design.

F. Submittal of two (2) colored photographs of each ambulance in operation or additional ambulance henceforth, and that one colored photograph expose the rear left of the ambulance and one expose the right front of the ambulance.

G. An application fee shall be submitted with each application. The application fee shall be in addition to any business license fee which the applicant shall be required to pay. The amount of said application fee shall be fixed by resolution of the city council. (Ord. 1537 § B17, 8-6-1996)

4A-5: INVESTIGATION:

Before any application is acted upon, the fire chief shall cause an investigation to determine if the applicants, the drivers and the attendants are properly licensed by the California highway patrol. (Ord. 1537 § B17, 8-6-1996)

4A-6: NOTICE OF DECISION:

The fire chief shall give the applicant written notice of decision to grant or deny a certificate of public convenience and shall state the reasons for the decision within thirty (30) days. (Ord. 1537 § B17, 8-6-1996)

4A-8: SUSPENSION OR REVOCATION OF CERTIFICATE:

A. A certificate of public convenience may be revoked pursuant to subsection B of this section on the following grounds:

1. The certificate holder, knowingly and after written notice from the fire chief, fails to operate his business in accordance to the

provisions of this chapter and any and all state and federal laws applicable to the ambulance business.

2. The ambulance license is suspended or revoked or disciplinary action is taken against said license holder by the California

highway patrol.

3. The certificate holder shall abandon its operation of the ambulance business for a period of thirty (30) days.

Acts of God and other acts beyond the control of the certificate holder which cause abandonment or limitation of service shall not be considered an abandonment within the meaning of this chapter.

B. No suspension or revocation shall be made effective until a hearing has been held by the fire chief, unless the fire chief finds there is a threat to the general public by continued operation of such licensee, in which case suspension shall be immediate. The certificate holder shall have not less than ten (10) days' notice of the hearing by registered mail or personal service.

C. No person who has had their ambulance license revoked pursuant to this chapter shall be eligible to reapply before the expiration of one year from the date of revocation. (Ord. 1537 § B17, 8-6-1996)

4A-9: DISPOSITION AND ISSUANCE OF CERTIFICATE AFTER REVOCATION:

Upon the conclusion of a hearing pursuant to subsection 4A-8B of this chapter, the fire chief may, based upon his findings, terminate such suspension and restore the certificate, or continue such suspension for a time so specified, or in the alternative revoke such certificate. (Ord. 1537 § B17, 8-6-1996)

4A-11: SURRENDER OF CERTIFICATE:

Whenever a certificate has been suspended or revoked, the owner of the ambulance for which such certificate was issued shall forthwith surrender such certificate to the fire chief, and the operation of such ambulance shall cease. (Ord. 1537 § B17, 8-6-1996)

4A-14: LIABILITY INSURANCE:

No certificate of public convenience shall be issued unless there is on file with the city an insurance policy approved by the city's insurance carrier or insurance administrator, whereby the owner and the driver of each of the vehicles described in said certificate are insured against liability or damage to property and for injury to or death of any person resulting from the ownership, operation or other uses thereof. Said policy shall be in a sum of not less than two hundred fifty thousand dollars ($250,000.00) for personal injury or death of any one person in any single accident and five hundred thousand dollars ($500,000.00) for personal injury or death of more than one person in any single accident, and the limits on each such vehicle shall be not less than one hundred thousand dollars ($100,000.00) for damage to or destruction of property in any single accident. The insurance policy shall contain an endorsement providing that the city is named as an additional insured party and that said policy of insurance will not be canceled until notice in writing shall have been given to the city of Porterville, addressed to the city clerk, 291 North Main Street, Porterville, CA 98257, at least thirty (30) days prior to the cancellation becoming effective. The insurance policy must be issued by a solvent and responsible company authorized to do business in the state. Said policy shall further provide that there shall be a continuing liability thereon, notwithstanding any recovery on said policy. If, at any time, said insurance policy shall be canceled by the company issuing the same, or the authority of said company to do business in the state shall be revoked, the certificate holder shall replace said policy with another policy approved as above prior to the expiration date of cancellation of said policy. (Ord. 1537 § B17, 8-6-1996)

4A-15: AMBULANCE RATES:

Any holder of a certificate of public convenience pursuant hereto shall, before commencing service in the city, file with the fire chief and with the city clerk a schedule of rates for ambulance services provided. Further, any change in rates by any certificate holder shall not be effective until a period of thirty (30) days after such notice had been filed. (Ord. 1537 § B17, 8-6-1996)

4A-16: AMBULANCE AND RECORDS INSPECTION:

The fire chief or his authorized representative may inspect ambulances used for emergency services under this chapter, the personnel records of the drivers and attendants, and any records pertaining to the operation of ambulances, including, but not limited to, preventative maintenance and records of calls. (Ord. 1537 § B17, 8-6-1996)

4A-16.1: AMBULANCE CALL ROTATION:

The fire chief or his authorized representative may assign the number of places in the normal rotation of calls for ambulance service from the city's communication service based upon the number of staffed ambulances maintained by the ambulance company. This decision may be reviewed on a month to month basis and, in making his decisions, the fire chief or his representative shall consider any outages of service that are beyond an amount reasonable for maintenance of the vehicles. (Ord. 1537 § B17, 8-6-1996)

4A-17: COMPLAINT PROCEDURE:

Any person who is dissatisfied with or has a complaint with any ambulance company holding a certificate should make that complaint

known to the fire chief, who shall notify the city council. (Ord. 1537 § B17, 8-6-1996)

4A-18: VIOLATION AND PENALTIES:

A violation of any provision of this chapter shall constitute an infraction. (Ord. 1537 § B17, 8-6-1996)