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3. Comply with all lawful directives of the €-A,& Emergency Services Director and medical director, <br />including any medical protocols and training directives not preempted by the state. <br />4. Provide continuous and uninterrupted service within the service area. <br />5. Maintain the number of vehicles which shall be a number determined by the €MS Emergency <br />Services Director and the medical director considering the population and geographical distance <br />of the service area, but in any event shall not be less than one fully staffed operating vehicle. <br />6. Ensure that its vehicles are driven in a safe and lawful manner at all times. <br />7. Use its lights and sirens only for properly authorized events and in compliance with state law <br />and local law enforcement policy. <br />8. Keep posted at all business locations a copy of the certificate including the approved rate <br />schedule. The certificate holder may adjust the rate schedule up to ten (10) percent a year <br />without board approval, however, the adjusted rate must be maintained for one year and the <br />€M2 Emergency Services Director must be notified in writing of the rate change. Rate <br />increases in excess of ten (10) percent must be reviewed and approved by the board of county <br />commissioners with the approved rate being maintained for one year by the certificate holder. <br />9. Operate in compliance with all federal, state and local laws, rules, and regulations. <br />10. Provide copies of vehicle run sheets and radio logs to the ELMS Emergency Services Director <br />upon request, to the extent permitted by the public records law. <br />Section 304.09. - Inspections. <br />The EMS Emergency Services Director, or his designee, shall inspect each service prior to, and as a <br />continuing part of, the certificate process. This inspection shall determine the continuing compliance of <br />this chapter and state law and rule and regulations by the certificate holder as a condition of certificate <br />issuance. <br />Inspections shall be conducted periodically and may be conducted with or without notice to the <br />certificate holder at.reasonable times and whenever such inspection is deemed necessary by the € 14% <br />Emergency Services Director. Inspections shall be conducted without impeding patient care. <br />If, during the course of an inspection, a situation is found which, in the determination of the EMS <br />Emergency Services Director, will jeopardize the safety or welfare of the service personnel or patient <br />care, the EMS Emergency Services Director may exercise the powers necessary to ensure the certificate <br />holder's compliance with the chapter. <br />Section 304.11. - Renewal. <br />The certificates may be renewed routinely by the board on application by the certificate holder. <br />However if the board has reason to believe that the public health, safety, and welfare requires it, a public <br />hearing may be ordered by the board to consider not renewing any certificate. Before any such action can <br />occur, the board must first comply with the notice and hearing provisions of section 304.08. <br />Application for renewal of existing certificates of public convenience and necessity shall be made by <br />written request to the EMS Emergency Services Director. This request shall be filed no more than ninety <br />(90) days prior to the expiration date of the provider certificate of public convenience and necessity. <br />Section 304.12. - Revocation, alteration or suspension. <br />Generally. Every certificate issued under this division shall be subject to revocation, alteration or <br />suspension by the board where it shall appear that the certificate holder has not complied with the <br />requirements of the certificate and the public interest so required. <br />93 <br />