exhibit a - los angeles · 2014-08-27 · 06/18/14 ceeiati 06/21/14 $2,795.77 mtu70000802-01...

EXHIBIT A

MERCY

AMBULANCE SERVICE

Wednesday, June 18, 14 .

Dr. Samuel StrattonHealthcare Agency of Orange CountyHealth Disaster Management Division405 W. Fifth St., Suite 301 ASanta Ana, CA 92701

Dear Mr. Stratton,

6/isht/Amexet Kihmaitic b.4%ifinikirAgEr 26(,6-

40-141-nalOsJoheii-vidoul

gn•

JUidel'11`-)

AO/ erf""A, if)

Today, I am writing to formally notify the Healthcare Agency of Orange County of the sale ofAssociated Ambulance, Inc. •DBA Mercy Ambulance (ME). Over the course of the past fewmonths I have been in communication with both John Telmos and Luanne Underwood inregards to the Stock Purchase of ME and our position of the acquisition of Mercy by a thirdparty.

Over the past years In our family's ownership of Mercy we have seen significant changeS in bothlocal EMS and our companies success. Recently, we have decided it was time for change asiknaand I have different avenues in which we would like to pursue in business; which will not acrd 571.4us the time and ability to properly manage and oversee ME in the direction that we wish.

ixv•

As EMS EMS staff has been notified, we formally entered Into escrow on May. 5,2014 with Mr 1-n DcaSouheil Jawad CEO of Junction Ventures, Inc. forthe complete stock and asset sale of ME.Nur =c)decision to collaborate and sell our interest of ME to Mr. Jawed came with much thought 63c1deliberation: After our due diligence, both Dana and I felt that Mr. Jawad with his backgnivid rn(1.4in EMS and associations in healthcare could take ME to its next level of success.

As, the 100% transition of ownership has yet been completed, we will see the complete closureon August r2014 if everything goes as planned as both Dana and will resign from our positionsof Mercy. Today, it is Jr understanding that Mercy's management team will assist Mr. Jawed inthe operations and daily oversight of ME's operations. Mr Jawad has been with Mercy and anactive participant in the direction of Mercy since May 5,. 2014. I personally feel that we willprovide ME with great direction and success in the forthcoming years.

ii Page

.1

Page 2. 0'2

1 -

Should you or your staff need to contact either Mr. Jawad or myself, I can be contacted anytime

at 714-580-7326, should you need to communicate with Mr. Jawad directly, he can he reached

at 858-699-8153 or P.O. Box 2144 Downey, Ca 90242-2144

Sincerely,

Robert R•RisherCEO

cc: Dana Rishercc;.,Mirk Law Attn: Sasan Mirkarimi

525 B. Street Suite 1500

San Diego, Ca 92101

(619)352-0610

!i•

21Page

EXHIBIT B

IPFS CORPORA DN(IPFS)

1001 WINSTEAD DRIVESUITE 500

CARY, NC 27513(800)858-4326 - FAX: (919)234-2760

REFER TO THISACCOUNT NO. IN ALLCORRESPONDENCE

ACCOUNT NUMBER

CAO-236961

1'0 THE INSURED: MA, NC & NY INSUREDS - SEE PAGE 2You are notified that the policies listed below are cancelled for non-payment of an installment in accordance with the

conditions and terms of the Premium finance Agreement which incorporates a power of attorney. This cancellation is effectiveon the date indicated below, at the hour indicated in the policy as the effective time.Funds received in this office on or after the cancellation date specified below will be credited to your account. The tender of

such funds and their acceptance by IPFS does not constitute reinstatement of the account or of the scheduled policies. Youhave a statutory duty to replace your automobile liability insurance on or before the cancellation date. Not applicable in VA.

If the return premiums from the insurance company are less than the unpaid balance of your account, you will be required to pay thedifference to IPFS. You will hear from us as soon as we receive all return premiums if there is any remaining balance due.TO THE PRODUCER:The original of this NOTICE has been sent to the insured. Cancellation will occur on the date indicated unless payment is

received prior to that date.

-- 01 000803 72106 H 2 A 151111'11111111111111111111111111111111111111111111111111111111111

INSUREDASSOCIATED AMBULANCE INCMERCY AMBULANCE7700 IMPERIAL HWY STE DDOWNEY, CA 90242-3470

AGENTCINDY ELBERT INSURANCE SERVICES15182 N 75TH AVENUE SUITE 100PEORIA, AZ 85381

SCHEDULE OF POLICIES

19:$0(iiillg7331VG.:POOWPEPliT60.0%0P-r.9rr.

06/18/14

CEEIATI

06/21/14

$2,795.77

MTU70000802-01 02/01/14 MARKEL INSURANCE CO

Continued on Schedule A

UMBRLA 12 $7,355.00

TO THE INSURER:The policies listed above are HEREBY CANCELLED by IPFS on behalf of the insured in accordance with the authority given us by the

insured to cancel the policies upon default in his payment to IPFS. The above insured and the producer(s) listed herein have been notified byordinary mail of this cancellation.The gross unearned premium (including unearned commission) is to be forwarded to IPFS, at the address shown above, promptly for

credit to the insured's account.Make online payments or view account information at www.ipfs.com.

Please use access code 698JPVCB to register (first time users).

METHOD OF COMPUTING UNEARNED PREMIUMS TO BE PAID TO IPFS:The gross unearned premium computed on a pro rata basis.

RA OMPLET A14 RETURNDATE OF CANCELLATION AMOUNT OF REFUND DATE REFUND WILL BE SENT

CANCEL (03/101 Coovrioht 2010 IPFS Corporation

IPFS CORPORA' ON(IPFS)

SCHEDULE A

INSUREDASSOCIATED AMBULANCE INCMERCY AMBULANCE7700 IMPERIAL HWY STE DDOWNEY, CA 90242-3470

REFER TO THISACCOUNT NO. IN ALLCORRESPONDENCE

ACCOUNT NUMBER

CAO-236961

AGENTCINDY ELBERT INSURANCE SERVICES15182 N 75TH AVENUE SUITE 100PEORIA, AZ 85381

SCHEDULE OF POLICIES

MTA70000802-01 02/01/14 MARKEL INSURANCE CO CAUTO 12 $55,337.00

MTK70000802-01 02/01/14 MARKEL INSURANCE CO PKG 12 $14,173.00

CANCEL (03/10) Copyright 2010 IPFS Corporation

EXHIBIT C

"

CITY OF LOS ANGELESYcAt.,F--‘6,-,'NK

Jon Kirk Mukrl,GENERAL MANAGER

ERIC GARCETTIMAYOR

May 29, 2014

CERTIFIED MAIL & FAX

Dana Risher, Manager andRobert Williams, Risk ManagerAssociated Ambulance, Inc.dba: Mercy Ambulance7700 Imperial Highway, Suite DDowney, CA 90242

Dear Mrs. Risher:

DEPARTMENT OF TRANSPORTATION100 S. Main St., 10th FloorLos Angeles, CA 90012

(213) 972-8470FAX (213) 972-8410

TAXICAB & FRANCHISE REGULATIONS(213)928.9600

FAX (866) 316-8169

NOTICE TO CEASE OPERATION - FAILURE TO MAINTAIN A POLICY OFAUTOMOBILE LIABILITY INSURANCE

Your Automobile Liability Certificate issued on April 2, 2014 by MARKEL INSURANCECOMPANY was cancelled effective May 19, 2014.

EFFECTIVE IIVIMEDIATELY, MERCY AMBULANCE IS HEREBY ORDERED. TO CEASEOPERATION OF ALL PUBLIC TRANSPORTATION SERVICES IN THE CITY OF LOSANGELES.

You will not be permitted to resume operation of ALL public transportation vehicles Under anyname associated with Associated Ambulance Inc.; Mercy Ambulance Services, Inc., and orMercy Ambulance until the City Administrative Officer (CAO), Risk Management has approveda policy of automobile liability insurance, bond or a program of self-insurance for your companywhich meets the requirements of the Los Angeles Municipal Code. If MERCY AMBULANCE isfound operating in the City of Los Angeles in violation of this suspension, the Department willrecommend to the Board of Transportation Commissioners that your permit(s) be revoked.

LAMC Section 71.08 states in part:

'The following shall constitute grounds for denial, revocation, suspension or cancellation of anydriver, attendant, or vehicle permit for which this article makes a provision.'(Amended by Ord. 165,491 Eff, 3/19/90)(B) Violation Of any rule or regulation of the Board, any section of the Los Angeles MunicipalCode, the Los Angeles Administrative Code or other ordinances 'of the City, any rule orregulation of the Department relating to the operation of a vehicle in Section 71.00 and for whicha permit is required under this article.

ATTACHMENT 2

AM Pal All 1211API CWAilrMT noorgrri IMITV — A PFIPhil. 6-rhir-- A r-rinm Gn,lpl MY-PP

ASSOCIATED AMBULANCE, INC. Page 2DBA: MERCY AMBULANCE

Due to lack of insurance, you are now suspended from operating in the City of Los Angeles. Ifyou desire to resume operations at this time, you must submit a valid Automobile LiabilityCertificate (for an admitted carrier) with renewal of insurance for approval by the CAO, RiskManagement prior to June 30, 2014, or the Department will take action which may lead to arecommendation to the Board of Transpcirtation Commissioners that your permits be revoked.

Please provide your insurance company with the enclosed guidelines and forms, and have themEll out and return two Automobile Liability Certificates if you wish to continue operating.

However, if the reason for the lapse in insurance coverage is that you have decided todiscontinue operating the permitted vehicle(s) for a temporary period of time, you must submitthe decals to the Department for decal removal. Resumption of operation of the vehicles wouldthen require reinstating an automobile liability insurance policy and re-decaling at a cost of$45.00 for each vehicle. Resumption of operation and re-decaling must take place no later thanthe date scheduled for an annual inspection or the Department will consider yoga• authority foroperating the vehicles expired.

Should you have any questions regarding this matter, please call Tracy Williams, Non-TaxiBonds and Insurance at (213) 972-8439; Fax number is (866) 316-8169.

. Sincerely,

FARHAD ZALTASH, P.L.Transportation EngineerLos Angeles Department of TransportationFranchise and Regulations

End osures

1,14.097.tclw.expired

cc: Patricia Barker, Senior Transportation InvestigatorJohn Colvin, Transportation Investigator

EXHIBIT D

i.

CITY OF LOS ANGELES• CALIFORNIA

'Jon Kirk Mukel •GENERAL MANAGER

.•• ,

ERIC GARCETT1MAYOR

June 4, 2014.

REGULAR MAIL & FAX

ASSOCIATED AMBULANCE, INCDba Mercy Ambulance7700 Imperial Hwy "ID"Downey, California 90242

NOTICE TO CEASE UNLAWFUL TRANSPORTATION OPERATIONS

DEPARTMENT OF TRANSPORTATION100 South Main Street, 100 FloorLos Angeles, California 90012

(213) 972-8470FAX (213) 972-8410

TAXICAB & FRANCHISE REGULATIONS(213)928-9800

FAX (866)316-8169

P7X

On June 4, 2014, at approximately 1:53 p.m, two unrestricted permitted private ambulances,California license 50866F1, VIN: 1FDSS3EL7CDA11416 and California license 50814F1, VIN:1FDSS3ELXCDA54888, registered to and operated by your company was observed droppingoff patients from 4929,Van Nuys Blvd, Sherman Oaks, California, in the City of Los Angeles.

Ambulances used for patient transportation within the City of Los Angeles are required to bepermitted by the Department of Transportation. At the time of this incident AssociatedAmbulance, Inc. d.b.a. Mercy Ambulance (Mercy) was under an LADOT mandated notice tocease all transportation operations due to a failure of the company to maintain required autoliability insurance. • YOU AND YOUR COMPANY ARE HEREBY DIRECTED TOIMMEDIATELY CEASE AND DESIST from using unpermitted vehicles to pick up passengerswithin the City of Los Angeles until you have obtained the proper vehicle permit as required bySection 71.02(a) of the Los Angeles Municipal Code.

Due to the seriousness of this incident, the Department is requiring Mercy to submit, tothe Department, driver's logs for the dates of May 19, 2014 through June 4, 2014. Thosedocuments must be submitted to a Department Investigator no later than Tuesday, June17, 2014.

This is due notice to cease and desist from picking up passengers in the City of Los Angeleswithout proper permits. Failure to comply with this notice is a misdemeanor offense and subjectto criminal prosecution of both the driver of the vehicle and the owner(s) of the company. Boththe drivers and the owners may be subject to arrest and/or being assessed a .monetary penaltypursuant to the Board of Transportation Ccimmissioners' Board Order No. 580.

Please contact Senior Transportation Investigator Patricia Barker at (213)972-5998 for anyquestions you may have regarding this cease and desist order.

Si y,

eat— kkerSenior TranSportation InvestigatorFranchise and Taxicab Bureau, Enforcement and Inspection Division

LE14-104.pabc: LADOT ATTACHMENT 3

AN FOIJAI FMPI OYMENT OPPORTIMITY— AFFIRMATIVP Al rinN FMPI nyi?

EXHIBIT E

, l 6ACCPRE) CERTIFICATE OF LIABILITY INSURANCE44...---"

DATE (MM/DD/WW)

06/05/2014THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to theterms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

PRODUCER

Ives Insurance Services, IncFAX2850 WOMBLE ROAD

SUITE 103

SAN DIEGO CA 92106

ACTNAME MICHELLE LEIGH TARTRENAME

Exty 6192245337 (A/C, No):ill/STI,,,,

-MAR , „ADDRESS: micneneeivesins.com

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : Lloyds Syndicate 122862382

INSURED Associated Ambulance, Inc DBA: Mercy Ambulance

7700 Imperial Hwy Ste D

Downey CA 90242

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED 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 REDUCED BY PAID CLAIMS.

INSRLTR TYPE OF INSURANCE

ADDLINSR

SUBRWVD POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

GENERAL

X

LIABILITY

COMMERCIAL GENERAL LIABILITYY

--- PREMISES

EACH OCCURRENCE $1,000,000oAmAGE TORENTED

(Ea occurrence) $100,000MED EXP (Any one person) $5,000CLAIMS-MADE X OCCUR

ASS0285 05/19/2014 05/192015 PERSONAL & ADV INJURY

GENERAL AGGREGATE

$1,000,000

$2,000,000

A

PRODUCTS - COMP/OP AGG $2,000,000GEN'L AGGREGATE

POLICY

LIMIT APPLIES-

J PRO ECT

PER:

LOC $

A 1

AUTOMOBILE

\./

/\X

LIABILITY

ANY AUTO ALL OWNED

AUTOS

HIRED AUTOS X

SCHEDULED AUTOS

NON-OWNEDAUTOS

Y— C

(EaO accideMBINED

t) INGLE LIMIT

$1,000,000

BODILY INJURY (Per person) $

BODILY INJURY (Per accident) $CAS0097106 05/19/2014 05/19/2015

PROPERTY DAMAGE(Per accident) $

un/um $1,000,000

7UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-MADEri1--- EACH OCCURRENCE $

AGGREGATE $

$DED I RETENTION $

WORKERS OMPENSATION AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICE/MEMBER EXCLUDED?(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below

Y / N

—N / A

WC STATU-TORY LIMITS

OTH-ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

E.L. DISEASE - POLICY LIMIT

A Professional Liability

Y1,000,000/2,000,000

ASS0285 05/19/2014 05/19/2015

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

Ambulance Company

CERTIFICATE HOLDER CANCELLATION

City of Los Angeles and all of its Agencies, Boards and Departments

200 North Main Street

City Hall East, Suite 1240

Los Angeles CA 90012

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

MICHELLE LEIGH TARTRE

© 1988-2010 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)

1152013

Addendum

Named Additional Insured and Additional InformationCity of Los AngelesDepartment of Transportation100 S Main Street 1st Floor

EXHIBIT F

Jon Kirk Mu kriGENERAL MANAGER

,:;ITY OF LOS ANGELESCAL I F-414.-R-i'0A--D

ERIC GARCETTIMAYOR


(213) 972-8970FAX (213) 972-8410

TAXICAB & FRANCHISE REGULATIONS(213)928.9600

FAX (866) 316-8169

June 5, 2014 P7D

REGULAR MAIL & FAX •

Attn: Dana Risher, Managerand Robert Williams, Risk ManagerAssociated Ambulance, Inc.dba: Mercy Ambulance7700 Imperial. Hwy, Suite DDowney, CA 90242

Dear Mrs. Risher and Mr. Williams:

AUTHORIZATION TO RESUME TRANSPORTATION SERVICE

Your Automobile Liability Certificate for Policy No. CAS0097106 issued by .Llyods Syndicate,was approved by the City Administrative Officer, Risk Management, on June 5, 2014, TheNotice-to Cease Operations.issued to you on May 29,, 2014, is therefore withdrawn.

EFFECTIVE IMMEDIATELY, MERCY AMBULANCE IS AUTHORIZED TORESUME OPERATION OF ALL PREVIOUSLY APPROVED TRANSPORTATIONSERVICES IN THE. CITY OF LOS ANGELES

Should you have any questions regarding this matter, please call Tracy Williams, Non-TaxiInsurance & Bonds at (213) 972-8439; Fax number is (866) 316-8169.

Sincerely,

FARFIAD ZALTASI-1, P.C.Transportation EngineerLos Angeles Department of TransportationFranchise and Regulations

LI14.105,tdw.resurne

cc: Patricia Barker, Senior Transportation InvestigatorJohn ColVin, Transportation Investigator

ATTACHMENT 4

EXHIBIT G

CITY OF.LOS ANGELES •• , DEPARTMENT OF TRANSPORTATION

REOEST FOR NEARING BEFORE THE BOARD OF TRANSPORTATION COMMISSJONERS

Driver's D.O.T. PermitNumber:

Naive (Print): A7 .e /Of'

Street Address:

Hearing Notice No.: •

Telephone No.: E Mail:

As-provided in Section 71.09 of the Los Angeles Mimicipal Code, f hereby request a hearing before the Board of Transportation Commissioners onthe matter of:

Driver/Attenilartf.PerMit — DENIAL

Driver/Attendant Permit.— DENIAL — Falsification of Application

. Driver Permit Application — DENIAL — Cheating on Taxicab Driver Test

Driver/Attenda.nt Permit CANCELLATION

Driver/Attendant Permit — REVOCATION

Driver/Attendant Permit •— SUSPENSION

Vehicle Permit DENIAL

.../ . Vehicle Permit 1,ENs )

For the Ibflowing violation(s)/reasons(s):

viotaZ,,;(75

I protest the 1)(T:10:lent's action hecauc::

I understand that:

I: I will be informed of the date, time and pince orthc hearing at the address I have given above..

2. My failure 16 appearior the hearing is a waiver of my rights to a hehring and action may be taken without my being present.

3.I may have an attorney )resent at the hearing at my own expense.

-I. It is my responsibility to submit to the Department any letters of Commendation, Rehabilitation; awards, and/or letters attesting to my GoodCharacter. l further understand that it is not the responsibility of the Department to solicit these documents on my behalf. I also understandThat I may presentwitnesses to testify before the Board in support.of my cause. •

•f understand that it is my-responsibility to submit to the Department, upon demand, any Tees that may he charged by outside agencies for copies ofArrest reports and/or other legal documents relevant to this appeal. I further understand that this appeal can not be proctssk.d until such paymenthas been submitted to this Department for forwarding to the-outside atzency...4____:_*-- •

ATTACHMENT 5zc7ate: •

•• 5' /

INFORMATION ABOUT YOUR HEARING

PLEASE READ. INITIAL EACH. BOX'AND SIGN AND DATE AT THE BOTTOM

initial.

-

I.•

Approximately 7-10 days before the date of your hearing, the Commission Executive Assistant will mail apacket to your address of record. The padket will contain a copy of your appeal and a notice advising youof the exact date, time and location where your appeal will be conducted. YOU MUST BE ON TIM.. You must be present in order to present your appeal, FAILURE TO .APPEAR AT THE.TIME.AND..DATE.SCHEDU.LED WAIVES YOUR RIGHT TO BE HEARD BEFORE THE BOARD. THEBOARD HAS A RIGHT TO TAKE ACTION ON YOUR APPEAL EVEN IF YOU ARE NOTPRESENT. LAIVIC SeCtion 71.09(d)

...(4 ,r___,,,2,,.Ita

. .--Once you arrive in the hearing room, you will notice an "ON AIR" sign on the wall. Commission meetingsare conducted live over radio air waves. While this sign in on, all business before the Comm isSion can be. heard by persons listening over the radio, BECAUSE APPEALS ARE CONSIDERED TO BE 'CONFIDENTIAL IN NATURE, NO APPEAL WILL BE HEARD WHILE THE "ON AIR" SIGN IS ON.Please conduct yourself and your converSations with others in a respectful manner..

n.( ., I

3.

.

. .Appeals are heard alter all other Commission business has been conducted and the Commission goes into"Executive Session." Appeals are only heard in "Executive Session." Once the meeting is declared to"Tie in "Executive SessiOn" the "ON AIR" sign is turned off'. Excluding the Commission members, theCommission Executive Assistant, the City Attorney, and the Senior Investigator presenting your appeal allothers not associated with your appeal Will he excused from the room and asked to wait in the hallway,ineludirtgall other appellants. If you are asked to exit until it is time to hear your appeal, please exit thedoor BUT do not leave the immediate area. You will be called back in when it is time to hear your appeal.

/. „,--------recommendationnitiat

4.

5.

. .

You are encouraged to, bring with you any persons who can attest to your good character. Letters ofwill also be accepted at the time your appeal is actually before the Board. tryout: •supporters with to be heard, each will be given( (line to address the Board, With very few exceptions, thetime they may speak wilLbe limited to 2:00 minutes. This ensures that all who wish to be heard ma/speak.

. .r.l'he Board has the final say reaarcling your appeal and all decisions are final. The Board is'in no way

,—

In( a—obligated to decide in your Favor. If the Board decides against you, do not attempt to argue back or go overthe issues again. In extreme cases, where additional extenuating evidence is discovered alter a hearing isheld (he Board may rehearyour appeal. However, such cases are very rare, a ild• it is al the completediscretion of the Board whether or not to rehear your appeal. Requests to rehear an appeal must be made inwriting and tiled with the Executive Commission Assistant. Please understand that the Board has no legalobligation to rehear your case, if it decides that your request has no merit. LAMC Section 71.09.1

11-'-e---i/-

.0 Lai •

6. ••It the Board finds in your favor and grants your appeal, theDepartment will process and issue •you a new permit at no charge. The Commission EXecutive Assistant will send you a letter confirming that. — " — — ". -yout appeal 1WS, gi anted. Do not attempt to submit your application before receiving this' etter. You mustbe employed by a company permitted to operate in the City of Los Angeles BEFORE submitting new_yourapplication. Once you receive the letter, you will be required to file a new application and:submit all newre aired documentation.

.WEC le aitte

EXHIBIT H

BOARD OF TRANSPORTATIONCOMMISSIONERS

ERIC EISENBERGPRESIDENT

NICOLE CHASEVICE PRESIDENT

JOHN LYRUDY ESPINOZATAFARAI BAYNEGLENDA Y. SILVA

CRIS LIBAN

JASMIN SAN LUISACTING COMMISSION EXECUTIVE ASSISTANT

CITY OF LOS ANGELESCALIFORNIA

ERIC GARCETTIMAYOR

DEPARTMENT OF TRANSPORTATION

100 S. MAIN STREET, 10th FLOORLOS ANGELES, CA 90012

BOARD OF TRANSPORTATION COMMISSIONERSSPECIAL MEETING

AGENDA

Tuesday, August 5, 201410:00AM

Room 1070, City Hall200 North Spring Street, Los Angeles

Note: The meeting is audio taped.

JON KIRK MUKRIGENERAL MANAGER

Every person wishing to address the Commission must complete a speaker'srequest form at the meeting and submit it to the Commission Executive Assistantprior to the Board's consideration of the matter.

ADMINISTRATIVE ITEMS

1. Welcome2. Roll Call3. Approval of Minutes — July 10, 20144. Communications5. Commission Business6. General Manager's Report

PUBLIC FORUM

ACTION ITEM

7. Appeal of Associated Ambulance, Inc., dba Mercy Ambulance of theDepartment's July 1, 2014 Assessment of Monetary Penalties for MultipleViolations of the Los Angeles Municipal Code and Board Order 580

EXECUTIVE SESSION

8. Appeal of Kevin Alexander Servellon, Concerning the Department's February 20,2014 Cancellation of His New Private Ambulance Driver Permit, Pursuant toBoard Order 600, Rule D2 — No Company Sponsor

Board of TransportationCommissioners Agenda - 2 - August 5, 2014

9. Appeal of Daniel Gerardo Infantozzi, Concerning the Department's December16, 2013 Denial of His Application for a New Private Ambulance Driver Permit,Pursuant to Board Order 600, Rule D2 — No Company Sponsor

10.Appeal of Jose Jesus Barajas, Concerning the Department's November 20,2013, Denial of His Application for a New Non-Ambulatory Passenger VehicleDriver Permit, Pursuant to Board Order 600, Rule D1 — No Company Sponsor

ADJOURNMENT - PURSUANT TO GOVERNMENT CODE SECTION 54956.7Agenda will be posted on the bulletin board located on the 1st floor of City Hall East (Main Street Lobby) at least 72hours prior to a Meeting; agenda can be downloaded from the Department of Transportation Websitehttp://ladot.lacity.org * Members of the public are invited to address the Board of Transportation Commissioners on

any item on the agenda prior to action by the Board on that specific item. Members of the public will be given anopportunity to address non-agenda items within this Board's jurisdiction. A total of 10 minutes will be allotted,subject to time limits on individual items, as the President deems appropriate.

Written material supporting agenda items can be reviewed prior to each Board meeting at the commission office,100 S. Main Street, Tenth floor, Los Angeles, 90012, between the hours of 8:00 a.m. and 4 p.m.

Finalization of Commission Actions: In accordance with City Charter, actions that are subject to Section 245 shallbecome final at the expiration of the next five meeting days of the Los Angeles City Council during which the Council

has convened in regular session and that if Council asserts jurisdiction during this five meeting day period theCouncil has 21 calendar days thereafter In which to act on the matter.

Matters pending will be carried for a maximum of six months, after which time they will be deemed withdrawn andrescheduled when a new staff report is received.

As a covered entity under Title II of the Americans with Disabilities Act, the City of Los Angeles does not discriminateon the basis of disability, and upon request, we will provide reasonable accommodation to ensure equal access to itsprograms, services, and activities. To ensure availability, you are advised to make your request at least 72 hoursprior to a meeting you wish to attend. For additional information, please contact Jasmin San Luis, ActingCommission Executive Assistant, at (213) 972-8448 or TTY call (213) 580-1177.

BOARD REPORTCITY OF LOS ANGELES


Date: August 5, 2014

To: Board of Transportation Commissioners

From: Jon Kirk Mukri, General Manager

Subject:

ITEM#7

APPEAL OF ASSOCIATED AMBULANCE, INC., DBA MERCYAMBULANCE OF THE DEPARTMENT'S JULY 1, 2014 ASSESSMENTOF MONETARY PENALTIES FOR MULTIPLE VIOLATIONS OF THELOS ANGELES MUNICIPAL CODE AND BOARD ORDER 580

RECOMMENDATIONS

That your Board:

FIND that from May 19 through June 4, 2014, Associated Ambulance, Inc., d.b.a.Mercy Ambulance (Mercy) illegally operated permitted and unpermitted PrivateAmbulances for a total of 594 verified violations while under a Departmentmandated suspension and was appropriately assessed a monetary penalty of$324,300.00 by the Department pursuant to Board Order 580;

b. FIND that Mercy failed to comply with the rules and regulations contained in theLos Angles Municipal Code; Board Order 257 and Board Order 580, Rule 1 (etal), by authorizing permitted and unpermitted drivers, attendants and vehicles topick up and drop off patients within the City while under a Department mandatedsuspension;

c. DENY Mercy's appeal and uphold the Departments July 1, 2014, administrativehearing findings and subsequent assessment of monetary penalties totaling$324,300.

d. DIRECT Mercy to submit payment of the assessed Monetary Penalty orsurrender the company's five (5) unrestricted Private Ambulance decals to theDepartment by 3:00 p.m., on August 8, 2014.

INITIATED BY

The Department initiated this report in view of Mercy's failure to abide by the rules andregulations of the City of Los Angeles and the Department of Transportation andMercy's repeated illegal transportation operations from May 19 through June 4, 2014,while the company was aware that it was under a Department mandated suspension.

Board of Transportation Commissioners -2- August 5, 2014

Discussion

Company History

On July 25, 2002, Mercy Ambulance, (Company Code 1189.0) under the ownership ofCraig Esterly, was granted authorization to operate one unrestricted Private Ambulanceby the Board of Transportation Commissioners. The company was invalidated onDecember 5, 2007, for failure to pay the required annual Vehicle Permit Renewal fee asrequired on its one (1) permitted vehicle. During the time period that the company wasauthorized to operate there were three (3) incidents in which the company was foundguilty of violating Los Angeles Municipal Code § 71.03(b) — unpermitted driver; 71.04 —unpermitted attendant and 71.10 — operating while under a period of suspension.

On August 11, 2011, Mercy Ambulance Service, Inc., (Company Code 1456.0) withCraig Esterly as President and CEO was granted authorization to operate twounrestricted Private Ambulances by the Board of Transportation Commissioners.During the time that the company was active under this Company Code it was foundguilty of violating Los Angeles Municipal Code § 71.02(a) unpermitted vehicle,71.03(b) — unpermitted driver, 71.04 — unpermitted attendant and 71.14 — failure tosubmit proof of required automobile liability insurance twice. Mercy remained activeunder Company Code 1456.0 until its reassignment on February 13, 2014.

Mercy Ambulance Service, Inc. under Company Code 1456.0 was acquired byAssociated Ambulance, Inc., DBA Mercy Ambulance due to a Sale of All Assets. OnMay 14, 2013, the Department received a request for the reassignment of the twopermitted ambulances under Company Code 1456.0 and approval for three (3)additional Private Ambulances by Associated Ambulance, Inc., DBA Mercy Ambulance.

On February 13, 2014, the Board of Transportation Commissioners granted the newcompany, under Company Code 1527.0, authorization to operate the two PrivateAmbulances transferred from Company Code 1456.0 and also granted three (3)additional Private Ambulances for a total of five (5) unrestricted Private Ambulanceauthorities. (Attachments 1A & 1B)

The company was required to render payment for an open violation that occurred whenan unpermitted Mercy ambulance was found picking up passengers from 2310 AlcazarStreet in the City of Los Angeles. This violation was determined to have occurred afterthe date of sale to Associated Ambulance, and was therefore deemed to have beenacquired along with the assets and permits when the company was sold to AssociatedAmbulance, Inc. That fine ($500.00) was paid on February 25, 2014. Under the newCompany Code, Mercy had 120 days to comply with the City's requirements forinsurance, permitted drivers and attendants, facility inspection and vehicle inspectionsof 5 private ambulances. The deadline to accomplish this was June 25, 2014. Due toseveral paperwork and procedural problems and delays, the first vehicles were notinspected and placed into service until June 12, 2014. The company currently has five(5) permitted Private Ambulances in service.


Documented Violations

May 29, 2014

On May 28, 2014, the Department's Bonds and Insurance clerk received an informalNotice that Mercy's Automobile Liability Insurance policy had been cancelled by MarkelInsurance Company on May 19, 2014, for non-payment. The Department's RiskManagement office confirmed that the official date of cancellation on the policy was May19, 2014. Failure to maintain the required insurance is a violation of § 71.14 of the LosAngeles Municipal Code.

A "Notice to Cease Operations for failure to maintain a Policy of Liability Insurance" asrequired by § 71.14 of the Los Angeles Municipal Code was issued to the company.(Attachment # 2) The notice was mailed and faxed successfully to the company. Sucha notice means that the company shall not operate at all within the City of Los Angelesuntil such time as the deficiency that dictated the issuance of the Notice to CeaseOperations has been remedied and a Notice to. Resume Operations is issued to thecompany.

June 4, 2014

At approximately 1:43 p.m., a staff Investigator observed an unrestricted permittedPrivate Ambulance owned and operated by Mercy Ambulance drop off a patient atSherman Oaks Hospital located at 4929 Van Nuys Blvd, Sherman Oaks, California91423:

Unit No.; 616, License No.: 50814F1, VIN: 1FDSS3ELXCDA54888Driver: Hung, Christopher F.Attendant: Reyes, Jessica

He observed a second permitted unit drop off a patient at the same location atapproximately 2:22 p.m.:

Unit No.: 614, License No.: 50666F1, VIN: 1FDSS3EL7CDA11416Driver: Aguado, Victor HugoAttendant: Erickson, Nicolas Robert

A check of Department records indicated that in addition to the company-widesuspension, both vehicles were still permitted under the old Mercy AmbulanceCompany Code of 1456.0, and were therefore not authorized to operate within the Cityof Los Angeles.

The Investigator, after approaching and identifying himself, allowed the patients to betaken back into the facility, then arrested the drivers and attendants of bothambulances* *NOTE: During the impounding process a third Mercy ambulance was observed picking up a patient andleaving the area. Because the Investigator was already dealing with two impounds, no effort was made tointerfere with this vehicle.


After issuing a "Notice to Appear" to the drivers and attendants of each vehicle, theInvestigator released them and impounded both ambulances. A 30-day hold wasplaced on both vehicles. Notification of the impounds were sent to the company at itsaddress of record, 7700 Imperial Highway, Suite "D", Downey, California 90242, thesame day. Additionally, Hearing Notice 60914 and a Notice to Cease UnlawfulTransportation Operations" (Attachment #3) was issued to the company for the allegedviolations of § 71,10 of the Los Angeles Municipal Code — Operating while undersuspension. The Administrative Hearing was scheduled for 2:00 p.m., on July 1, 2014.

On June 5, 2014, a current Certificate of Liability Insurance and a Warranty AgainstClaims in Absence of Insurance were submitted, by Associated Ambulance, Inc., DbaMercy Ambulance to the Department's Risk Management Office. After verifying theveracity of the documents through Risk Management a Notice to Resume Operationswas issued to the company. (Attachment # 4)

On June 10, 2014, staff notified Mr. Robert Williams, Risk Manager for the companythat as part of the on-going investigation, the company needed to submitDriver/Dispatch Logs and Patient Care Reports (PCRs) for the time period of May 19,through June 4, 2014 for Units No.: 614 and 616 (the units that were impounded).Those documents were received, via e-mail later the same day and staff began theexamination of those documents.

Examination of these documents indicated the extensive use of not only the twovehicles that were impounded on June 4th, but, at least six (6) other unpermitted privateambulances (Units No.: 601, 611, 612, 660, 661 and 664) to pick up and drop offpatients to various locations within the City of Los Angeles during the time period thatthe company was under the mandated suspension. The initial monetary assessment forall violations found was $310,700.00.

While examining the documents staff realized that there were large date, document, andtime gaps in the documents submitted on June 10th. On June 19, 2014 a request foradditional, specific documents was e-mailed to Mr. Williams. Staff repeated the requeston June 20th with a more complete listing of the missing documentation. The additionaldocumentation was not submitted by the company.

July 1, 2014 Administrative Hearing

Mr. Robert Williams attended the hearing as the company representative. Also inattendance was Souheil Jawad who presented himself as the new owner, in process, ofacquiring the company. He stated that he is the current owner of Extreme CareAmbulance, Inc. a company based in San Diego and he is in the process of acquiringthe Mercy's stock. Mr. Jawad was allowed to attend the hearing, but had no input in theresults of the hearing as he was not a recognized owner. Department InvestigatorsShawn Martin, Dale Horton. and Senior Investigator Barker also attended the hearing.

During the hearing, Mr. Williams indicated that most, if not all, communications hadbeen routed to Mr. Risher's office and Mr. Risher had not disseminated information from


the Department to the company's staff, which was why he and Mr. Blake Cadogan, theOperations Manager were unaware of the Notice to Cease Operations or of any emails,including the e-mails specifically addressed to him and/or Mr. Cadogan from June 20ththat went unanswered.

Mr. Williams was advised of the excessive amount of violations found in the paperworksubmitted on June 10th, and the amount of the fine that would be assessed was$310,700.00, in addition to an additional fine of $500.00 for failure to submit theadditional documentation asked for in the June 20th e-mail. Mr. Williams stated that hewould submit the additional information as soon as he got back to the office and that asthe company representative he wanted to appeal the proposed fine. He also indicatedthat any call for service originating from the County of Los Angeles would not have aPCR. He did not extend an explanation for the other missing documentation.

The hearing concluded when Mr. Williams filed an official "Request For Hearing Beforethe Board of Transportation Commissioners." (Attachment # 5)

The requested additional documents were submitted, via e-mail to the Department lateron July 1st. Staff immediately examined these documents and found that of the datesand documents requested:

• Four (4) PCRs were submitted from calls that appeared to have originated fromCounty of Los Angeles medical facilities within the City.

• Twenty-six documents appeared to be screen shots from their CAD (ComputerAssisted Dispatch) program. These documents gave limited information at best.

• There were still documents listed on the e-mail which were not submitted.

Examination of the second set indicated that further violations had occurred in additionto the original paperwork submitted. It was the determination of staff to consider everypick up and drop off as separate violations due to the fact that the company wascognizant of the Notice to Cease Operations and continued to operate. The final countof violations and monetary penalty assessments are: (See Attachment # 6)

May 2014Total Runs 70 (140)

71.02(a) 22(44)7103(b) 2 (4)71.04 5(10)71.10 67 (134)71.14 39(78)

B/O 257(4) 24(48)

June 2014Total Runs 39(78)

71.02(a) 7(14)71.03(b) 0 (0)71.04 • 1(2)71.10 39(78)71.14 39(78)

B/O 257(4) 24(48)Numbers in parenthesis represent the total as calculated by incident instead of by day.


Grand Totals for both months:Runs: 109

71.02(a) 29 (58) $28,500$57,000

71.03(b) 2 (4) $1,250$2,500

71.04 6 (12)$4,000$8,000

71.10 106 (212) $52,700$105,400

71.14 106 (212) $52,700$105, 400

B/0 257(4) 48 (96)$23,000$46,000

Total Monetary Penalty by date:Total Monetary Penalty by incident:

RECOMMENDATION

$162,150.00$324,300.00

It is the recommendation of staff that due to the extensive number of violations and thecompany's non-compliance with a Department mandated Notice to Cease Operationsby continuing to operate a Private Ambulance service within the City of Los Angelesduring the suspension period and the company's flagrant disregard for the rules,regulations and ordinances put forth by the City of Los Angeles, that the company bepermanently revoked, effective immediately without collecting the imposed MonetaryPenalty of $324,300.00 and that the Board direct the Department that it may not acceptany future permit applications from Associated Ambulance, Inc.; Mercy Ambulance orMercy Ambulance Service, Inc. or its principals operating under any other companyname.

It should be brought to the Board's attention that Mr. Robert Williams, the company'sRisk Manager, has put forth to the Department, a proposal that in order for the companyto continue operating, it be allowed to pay the assessed penalty in payments, with theduration and amount of the payments to be determined by the Board.

Los Angeles Municipal Code § 71.05(d) states:

"Any money due to the Department of Transportation by any applicant for avehicle permit, including money owed for outstanding parking tickets or other finesassessed by the Department, must first be paid, or the matter otherwise resolved to thesatisfaction of the Department, prior to the issuance of such permit."


Appellant's Statement

Mr. Robert Williams did not submit a statement.

Applicable Regulations

Vehicle permits are addressed in LAMC Section 71.02(a) which states, in part:

"No person or corporation shall drive, operate, or use, whether as owner, lessor,lessee

or otherwise, any of the vehicles defined in Section 71.00 to pick up or attempt to pickup passengers within the limits of the City of Los Angeles, or allow or permit to beoperated, driven, or used, whether as owner, lessor, lessee, or otherwise, any of thevehicles defined in Section 71.00 to pick up or attempt to pick up passengers within thelimits of the City of Los Angeles, unless a written vehicle permit for the operation of suchspecifically defined vehicles has been obtained from the Board . ."

Driver permits are addressed in LAMC Section 71.03(b) which states, in part:

"No person shall drive a non-ambulatory passenger vehicle as defined in Section71.00 without first having obtained a non-ambulatory passenger vehicle driver permitfrom the Board."

Attendant permits are addressed in LAMC Section 71.04, which states:"No person shall act as an ambulance attendant in a private ambulance unless

such person holds an ambulance attendant permit or an ambulance driver permit issuedby the Board."

Operating a company during a suspension period is address in LAMC Section 71.10:

"From the time of the revocation or during the suspension of any permit, noperson whose permit is suspended or revoked shall drive, operate or be in charge ofany of the vehicles defined in Section 71.00, or permit the vehicles on which the permithas been suspended or revoked to engage in the several classes of businessmentioned in Section 71.00 or allow any such vehicle to stand while awaitingemployment at a location designated in such suspended or revoked permit until a newpermit has been procured or until the period of suspension shall have expired."

Insurance requirements are addressed in LAMC Section 71.14, which states, in part:

"(a) Before any vehicle permit or franchise is issued for any vehicle mentioned inSection 71.00, the operator of the vehicle shall file with the Department, and shallthereafter keep in full force and effect a policy of insurance in such form and amountsas the Board in consultation with the City Administrative Officer's Risk ManagementSection may from time to time require but not less than the appropriate sums specified. .. Such insurance shall be written by an insurance company authorized to do businessin the State of California, insuring the operator against' liability for any loss or damagethat may result to any persons or property from the operation of such vehicle."


Board Order 580 (1) indicates how a monetary penalty shall be applied, it states, in part:

MONETARY PENALTIES

1. VEHICLE PERMITTEES Penalty per violation:

Violation

b. Authorizing a person without a validdriver's permit issued by theDepartmentto pick up or attempt to pick uppassengers in the City:

d. Authorizing an individual to act as anattendant without a valid permit issuedby the Department:

h. Failure to submit requested financialandstatistical/operational reports whenrequired:

Submitting required or requesteddocumentation that is inaccurate,misleading, or incomplete:

I. Failure to maintain City requiredinsurance on file with the Department,lapse of insurance coverage even ifthe coverage documentation andpolicy are later adjusted to fullcoverage duration, or late submissionof insurance documentation to theDepartment.

o. Failure to comply with any other ruleor regulation contained in any BoardOrder and successor regulations:

TM D/PABB14-055.pab

First Second Third or more

$500 $750 $1,000

$500 $750 $1,000

$300 $400 $500

$300 $400 $500

$300 $400 $500

$300 $400 $500


GEORGE E. MOSSPRESIDENT

STEPHANIE M. RODRIGUEZVICE PRESIDENT

JOHN LYERIC R. EISENBERG

NICOLE CHASERUDY ESPINOZA

JASMIN SAN LUISACTING COMMISSION EXECUTIVE ASSISTANT

February 20, 2014


ERIC GARCETTIMAYOR

Robert RisherChief Executive OfficerAssociated Ambulance, Inc. dba Mercy Ambulance7700 Imperial Highway, Suite DDowney, CA 90242


100 S. MAIN STREET, 10" FLOORLOS ANGELES, CA 90012


Subject: Recommend the Approval of the Reassignment of Two UnrestrictedPrivate Ambulance Vehicle Permits from Mercy Ambulance Service,Inc., to Associated Ambulance Inc., dba Mercy Ambulance Due to aSale of Alt Assets

Recommend the Approval of the Application of AssociatedAmbulance Inc., dba Mercy Ambulance for Three AdditionalUnrestricted Private Ambulance Vehicle Permits

At its regular meeting of February 13, 2014, the Board of TransportationCommissioners considered the evidence presented at a public hearing and approvedthe reassignment of two unrestricted private ambulance vehicle permits from MercyAmbulance Service, Inc., and the application of Associated Ambulance Inc., dba MercyAmbulance for three additional unrestricted private ambulance vehicle permits.

Please disregard continuance letter dated February 13, 2014 previously sent to you.

A stamped copy of the Board's action is enclosed for your information. As a conditionof approval, you must place the vehicle(s) into service within 120 days of approval orsuch authority shall become invalid. Please complete the following steps, in order, priorto placing your company's vehicle(s) into service:

1. To obtain approval of your insurance, please have your insurance broker oragent access Track4LA at http://track4la.lacity.org and follow the instructions toregister and submit the appropriate proof of insurance on your behalf. If youhave any questions regarding insurance, please contact Tracy Williams at (213)972-8439.

ATTACHMENT IA

Robert Risher - 2 - February 20, 2014

2. A copy of the Application for Vehicle Permit form is enclosed. A completed copyof the form should be submitted for each vehicle to be placed into service. Also,please submit a signature authorization letter on your company's letterhead. Asample is enclosed for your information.

3. Once vehicle insurance has been approved, please send any new drivers and/orattendants to the Department to acquire a permit as well. If you have anyquestions regarding driver and/or attendant permits, please call (213) 928-9732.

4. Once all drivers and/or attendants haVe been permitted, your company vehicle(s)must be inspected and decaled prior to being placed into service, if you haveany questions regarding vehicle specifications or inspections, please contact.PatBarker at (213) 972-5998.

Please submit all documents to the Department of Transportation, 100 SouthMain Street, 1st Floor, Los Angeles, CA 90012.

A copy of Board Order 580 (monetary penalties for violations by any vehicle, driver andattendant permittee) is also enclosed for your information.

If you need further assistance, please contact Eldwin Lum, Franchise RegulationDivision, at (213) 928-9617.

Sincerely,

an LuisActi g ommission Executive Assistant

Enclosures

c: Patricia BarkerEldwin LumTracy Williams



Date: Febniary 13, 2014

To: • Boai-d of Transportation Cornmissioners

From: Jon Kirk Mukri, GeneralDepartment of Transpo

ITEM

# 1 0

P7X

Subject: RECOMMEND THE APPROVAL OF THE REASSIGNMENT OF TWOUNRESTRICTED PRIVATE AMBULANCE VEHICLE PERMITS FROMMERCY AMBULANCE SERVICE, INC. TO ASSOCIATEDAMBULANCE INC. DBA MERCY AMBULANCE DUE TO A SALE OFALL ASSETS

RECOMMEND THE APPROVAL OF THE APPLICATION OFASSOCIATED AMBULANCE INC. DBA MERCY AMBULANCE FORTHREE ADDITONAL UNRESTRICTED PRIVATE AMBULANCEVEHICLE PERMITS

RECOMMENDATIONS

That your Board:

a. Find that, based upon current evidence of patients in need of transportation, publicconvenience and necessity requires the operation of five unrestricted Private AmbulanceVehicles by Associated Ambulance Inc. dba Mercy Ambulance.

Grant five unrestricted Private Ambulance Vehicle permits to Associated AmbulanceInc. dba Mercy Ambulance contingent upon:

1. The applicant filing with the Department in such form as the Department requiresand thereafter keeping in full force and effect a policy of automobile liabilityinsurance acceptable to the City Attorney and the City Risk Manager;

2 ThedriVerS and attendants obtaining the required City permits;

3. The applicant obtaining commercial or exempt registration for the vehicles;

4. The vehicles passing Department inspection;

5. The applicant complying with all Board rules and regulations. and City ordinancespertaining to the operation of Private Ambulance Vehicles;

ATTACHMENT 1B

Board of. Transportation Commissioners • -2- February 13, 2014

6. The applicant submitting a current BusinessTax Registration Certificate (BTRC)with the applicant's correct name and address prior to decaling the vehicles;

7. The applicant charging only those rates for Private Ambulance Vehicle service setforth in Board Order No. 601 (Ordinance No. 182,385) and successor regulations;

&. The vehicles being placed into service within 120 days after Board approval orsuch authority shall become invalid. Upon written request and for a valid reason,the Department may grant an extension of time to this condition.

c. Place Associated Ambulance Inc. dba Mercy Ambulance on a six-month probationaryperiod where any violation of the Board rules and regulations and City ordinances willbe brought before the Board immediately for consideration of disciplinary action,

d. Revoke two unrestricted Private Ambulance Vehicles previously granted to MercyAmbulance Service, Inc.

INITIATED BY

On May 14, 2013 the Department received a request for the reassignment of two unrestrictedPrivate Ambulance Vehicle permits and three additional unrestricted Private Ambulance Vehiclepermits from Robert Risher, Chief Executive Officer, of Associated Ambulance Inc. dba MercyAmbulance, 7700 Imperial Highway Suite D, Downey, CA, 90242 (Attachment 1). Additionaldocuments needed to complete the application including the application fee were received onAugust 7, 2014.

DISCUSSION

Associated Ambulance Inc. dba Mercy Ambulance is not currently authorized by the Board ofTransportation Commissioners (Board) to operate any type of vehicle for hire in the City of LosAngeles. On August 11, 2011, the Board authorized Mercy Ambulance Service, Inc., to operatetwo unrestricted Private Ambulance Vehicles.

On October 26, 2011, Associated Ambulance Inc. filed Articles of Incorporation with theCalifornia Secretary of State establishing the company (Attachment 2). On January 28, 2013,Associated. Ambulance Inc. filed a Statement of Information with the California Secretary ofState naming Robert Risher as the Chief Executive Officer and Chief Financial Officer and DanaRisher as the' Secretary of Associated Ambulance Inc. (Attachment 3). 'On July 11, 2012Associated Ambulance Inc. filed a Fictitious Business Name Statement with the Los AngelesCounty Clerk's office to do business as Mercy Ambulance (Attachment 4)..

Board of Transportation Commissioners -3- February 13, 2014

Public Convenience and Necessity

The application of Associated Ambulance Inc. dba Mercy Ambulance was. evaluated againstSection 2 of the Guidelines for Establishing Public Convenience and Necessity for Applicantswith no Unrestricted Private Ambulance Vehicle Permits as approved by the Board on August11, 2005 (Attachment 5).

a. Experience — The applicant submitted the resume of Associated Ambulance Inc. dbaMercy Ambulance's Director of Operations, Dana Risher. Staff confirmed that Ms.Risher has sufficient experience and her responsibilities include overseeing managementstaff, overseeing patient care compliance, recruiting and training of employees.Associated Ambulance Inc. dba Mercy Ambulance is currently licensed to operate in the'County of Los Angeles.

b. Background Check — The owners and manager of Associated Ambulance Inc. dba MercyAmbulance submitted to Department of Justice Criminal Background check and werefound not to have any disqualifying criminal history.

c. Financial Capability — The applicant submitted financial documentation demonstratingsufficient liquid assets to support the request for five private ambulance vehicle permits.The applicant also submitted the DMV registrations for five private ambulance vehiclesthat are ready to be placed into service within 120 days.

d. Reason for Requesting Permits — Associated Ambulance Inc. dba Mercy Ambulance hadpurchased all assets and Licenses of Mercy Ambulance Service, Inc. and requests thereassignment of the permits. Associated Ambulance Inc. dba Mercy Ambulance iscurrently licensed to operate in the County of Los Angles and has not been 'able toprovide service to some of their clients in the City of Los Angeles.

e. Public Benefit — The applicant states that the public would benefit from AssociatedAmbulance Inc. dba Mercy Ambulance's prompt and professional service.

f. Impact on Existing Transportation Providers - The applicant anticipates no negativeimpact on existing Private Ambulance service providers as the demand for ambulanceservice is increasing rapidly.

g. Business Plan - The applicant has prOvided a business plan including Driver/EMTtraining, staffing of operations, dispatching procedures, compliance programs for stateand federal regulations and a break even type analysis.

Board of Transportation Commissioners -4- February 13, 2014

On November 15, 2013, Mercy Ambulance, Inc. was cited for operating illegally in the City ofLos Angeles. On December 3, 2013, the company appeared for their administrative hearing andwas found to be in violation of the Los Angeles Municipal Code Sections 71.02 and 71.03(a) foroperating without a valid vehicle permit and ambulance driver's permit respectively. Thecompany was assessed a monetary penalty of $600.00.

Should the Board grant the reassignment of two unrestricted Private Ambulance Vehicle permitsand three additional unrestricted Private Ambulance Vehicle permits to Associated AmbulanceInc, dba Mercy Ambulance, the company would be permitted to operate five unrestricted PrivateAmbulance Vehicles in the City of Los Angeles.

B14-009.FaelAttachments -

AMBULANCE SERVICE

Tuesday, May 14, 2013

Board of Transportation CommissionersCity of Los AngelesDepartment of Transportation100 South Main Street, 10th FloorLos Angeles, CA 90012

SUBJECT:. REASSIGNMENT OF AMBULANCE PERMITS

Gentleperson's:

r—m

CD

On behalf of Associated Ambulance, Inc. DBA Mercy Ambulance (ME), I am submitting a requestfor five (5) Private Ambulance Vehicle Permits to service our Government Contract with theCounty of Los Angeles and to provide service to existing Managed Care Organizations contractedwith ME.

Recently, Associated Ambulance Inc has entered into an escrow period for the acquisition on theassets and licenses of Mercy Ambulance Service, Inc. a Los Angeles City permitted provider. Thisapplication and cover letter is submitted for the board's approval of the reassignment of permitsand issuance of additional new permits under the new firm Associated Ambulance; Inc. DBA MercyAmbulance and die for the termination of licensure and permits under the old entity MercyAmbulance Service, Inc. who will no longer be a licensed company once the transfer of sale iscomplete.

The supporting material enclosed with the application documents the history of ME and illustratesthe request for the reassignment of permits and request for additional permits to serve, our clients isa reasonable petition. We need this issue to be brought before the Board at your earliestconvenience due to the transfer of bulk sale pending upon completion of the reassignment ofpermits to the new entity and request staff's support of our request.

Herewith please find enclosed each item requested in the City of Los Angeles Application Packagefor Ambulance Perrnits for LA County Contracts.

I am available to respond to any questions from the, commissioners and staff to review or clarify anyof the material enclosed with.

7700 Imperial Highway Suite .D Doyvney CA 90242 ".562..250.3300www.mercyamb.com ATTACHMENT • 1

• "r7 A ,•-• \

; .

: We sincerely want to continue to be of service to the citizens of the City of Los Angeles and as youknow that in this environment of health care reform 'and managed care our services are greatlyneeded and our petition is reasonable.

Sincerely,.

Robert RisherCEOAssociated AmbIllance, Inc.DBA Mercy Ambulance

Enclosure (1)

PRIVATE AND CONFIDENTIAL

7700 li-npeilal Highway Suite D CioWn0y, CA 90242 562.250.8300www.rnercyarnEcom

3 230814

ARTTCLES OP' INCORPORAVON •

OF:

. .• Assoomted Ambulance toe.

ENDORSED. FILEDIt1 The Office of the. Secretary of staleof the Stale of Celifomin

OCT.211 20UT. •

The name of this corporation is Assuciaied bUl. nee Inc.

The purpose of the corporation is to engage in any lawful net car, activity for wfah a corporation mAy beorganized under the GENERAL CORPORATION LAW of California other than the banking •business, the trust company business or the practice of a profession permitted to be incorporated by thk1California Corporations Code.

The n3ms and address in the state of California of this emporation's initial agent for servioe'of process

Name. Pablo. B. OrtizStreet Address 271114 Main Street Suite 4502

• City . Sarfia Arra ca. 92705

This corporation is authorized to issue only ono class of shores of stock, whieh shall be designated"common stock", The total numbor of shares it is authorized to issue is One Hundred 'now:arid(100,000) shares;

V.

The liability of the directors of corporation ror mc.metary•damages shall be cliin'rn;itc.d to the 411iF5textent permissible under (.;alifornia Law.

DATED: Octobor 21, 2011.Pablo E. ( /1114•

**klocc:uporator

ATTACHMENT 2

IT2/1td:i.k51..3 'I.14/ b /

lea,. State of California- - .v .17.3,..... Secretary of State

. Statement of Information(Domestic Stock end Agricultural CooperatIve Corporations)

FEES (Filing and Disclosure): $28.00. If amendment, see instructions.

IMPORTANT - READ INSTRUCTIONS BEFORE COMPLETING THIS FORM

, CORPORATE NAME

034230a4

ASSOCIATED AMBULANCE INC,

E-Q53108

FILEDIn the office of the Secretary ofState of the State of California

Jan -, 28 2013This SparX For FIIIr) Uaa 01ily

Due Date:.

,oprpmwrimon.y•

Z.soMplete Addresses for the Following (Do not abbreviate the name of the city, Items 2 end 3 cannot be P.O,

13Oxes,)

STATE ZIP CODE

2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY

7700 IMPERIAL HIGHWAY SUITE D DOWNEY CA 90242

3. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY CITY

7700 IMPERIAL HIGHWAY SUITE ID DOWNEY. CA 90242 .

officers.

STATE ZIP COW

4, MAILING ADDRESS OF THE CORPORATION, IF DIFFERENT THAN ITEM 2 . CITY STATE ZIP CODE

A comparableMamma VIM.Inn

Names and Complete Addresses of the Following Officers (The corporation must list these three

title for the vroolfio officor,may be added; however, th2222112121L.fies on this form must not be altered.)

4, CHIEF EXECUTIVE OFFICER/ . ADDRESS CITY STATE ZIP CODE

ROBERT R RISHER 4191 DAVIS CUP DRIVE HUNTINGTON BEACH, CA 92849

—

G. SECRETARY ADDRESS CITY STATE ZIP CDC;

• •

DANA RISHER 4191 DAWS CUP DRIVE HUNTINGTON BEACH, CA 9.264E .

7, CHIEF FINANCIAL OFFICER! ADDRESS CITY STATE ZIP CODE

ROBERT RISHER 4191 DAVIS CUP DRIVE HUNTINGTON BEACH CA 92649 .,—.

Names and Complete Addresses of All Directors, Including Directors Who Are Also Office

rs (The corporation

must have at least one director. Attach additional pages, If necessary.)

8, NAME-- ADDRESS CITY STATE ZIP DOPE

D, NAME ADDRESS CITY STATE ZIP CODE

10. NAME ADDRESS CITY STATE ZIP CODE

.....------........-------

11. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS,IF ANY: 0

.VOWS

Agent for Service of Process {ti the agent is an individual, the agent must reside in California an

d item 13 must be completed

with a California street address (a P.O,Box address is not acceptable), If the agent is an

other corporation, the agent must have on file with

the California Secretary of State a certificate pursuant to California Corporations Code se

ction 1505 end Item 13 must be left blank.)

12. NAME OF AGENT FoFt SERVICE OF PROCESS

ROBERT R RISHER

13. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL

CITY STATE ZIP CODE

7700 IMPERIAL HIGHWAY SUITE D DOWNEY, CA 90242

.....—,„ .......,

Type of Business

14. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION

-TRANSPORTATION ° - . . —...."

,—....-- ..................,

15, BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SE

CRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION

CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT,

01/28/2013 ,L ROBERT R RISHER CEO

DATE. TYPE OR PRINT-NAME OF PERSON COMPLETING ma FORM TITL 510NAtl RE

APPROVED RY SECRETARY OF STATE •............-

51.20D C (Rev 10(201C)

tr)

YOLIRRETURN.MAILING ADDRESS

NAME ASSOCIATED AMBULANCE INC

ADDRESS 4191 DAVIS CUP DRIVE

HUNTINGTON BEACHSTATE: CA ZIP CODE 9449

2012140320

111111111111111111111111111111111111111111ItIII 111111111 1111FILED

Jul 11 2012Dean C Logan. Registrar-Recorder!Counix ClerkElecironicefly signed by ANTONIO RUSALCAVA

FICTITIOUS BUSINESS NAME STATEMENTTYPE OF FILING AND FILING FEE (Check one), 526.00 ;r0f1 ORiGiriAL FILING 'WI:I ONE SLSSNESS A.4.E. ON 57ATEMENDAmercoo 626.66 ((HA`e''.S=SIN FACtS FROM F ILItiCi • REOIJIRES Pr F., S26 SO CI-cot:CIES IN 'tlitf: ;ACTS FROM 0P.k-ANAL INGS

ss so zoornof,Ai. siNsss rJ.4 Al F IL cc ON SAME. VTATEM.E.I.a. DO1Nr6 SLISINr.S$ Al THE: SAME LOCH 11004 66.130 Ff./Ft EA.Ck AOLII r.watER 66 OF CODE. C./.1‘iS itThe following person(s) is (are) doing business as:Pry AMBULANCE

7700 If.IFERIAL HIGHWAY SUITE D

2PG70 FlcN Duo Simrii.654temes;.

DOWNEYskeet a sti,ess pi porK-ipa: placz Ut SuollIESS

CA 90242 LOS ANGELES mtplipg ay.178,1 0114.0/4fit

State , Zp

1: ;! Ti;Prtt..0. CON

ASSOCIATED 'AMBULANCE INC,

COLfi•rry

F oar Name/Colo/1.1C4191 DAVIS CUF DRIVE

"'REGISTERED OWNERS)'

2 Full NameiCorp/LLC

Res;dence Address Residence AddressHLINTINGTON BEACH CA 92549

City Stale ZipCA City.

Stale ZipCoiporslhon or LLC • Print Stale ci IricoFporation,Organization If Corporation or LLC - Pant State of Incorporapon/Oiganization

F »I, N me4CorteL LC F ;Ai NarnerCorpr'LLC

Rea dente Address Residence Addr.e.ss

Stale ZipCity

Slate Zipc;' I. LC - P1 rt State of inr...orpotationiOrganization

If Corporation or LLC • Print Stale of IncorporationtOrganizationIF MORE THAN FOUR REGISTRANTS, ATTACH ADDITIONAL SHEET SHOWING OWNER INFORMATION

—"THIS BUSINESS IS CONDUCTED BY: (Check one)O an Individual ID General Partnership Da Limited Partnership Da Limited Liability CompanyanUnincOrporated Association other than a Partnership , Da Corporation Oa Trust Eleopariners

Husband and Wife ElJoint Venture oState or Local Registered Domestic Partners Ea Limited Liability Painershir:The date registrant started to transact business under the fictitious business name or names listed above N/A.

Onor, ka Str,C,A you navVfL6Iories is.:Foci ti31I declare- that all information in this statement is true and correct,(A registrant who declares as true information which he or she knows to be false is guilty of a crime./•EGtSikri,NTiSc'eORPiLLCNAME (PRINT) ASSOCIATED AMBULANCE INC

GEDTITLE .T-..-:E-GISTP,ANT SIGNATURE

IF CORP OR LLC, PRINT NAME Robert Rishercorporation, also print corporate title of officer. It LLC, also print title of officer or manager.1.iis statement as flied ',vim Ins County Clef% of LOS ANGELES on Ins dale indicated by the riled stamp on the upper right corneri../TICE • IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920. A FICTITIOUS NI AtvIg STATEME.NT GENERALLY EXPIRES AT THE END OF Fld'e. YEARS FPOM 1HE

E OH WHICH IT WAS FILED IN THE OFFICE OF THE COUNTY CLERK, EXCEPT AS PROVIDED IN SUBDIVISION .(b) OF SECTION 17920. WHERE IT EXPIRES 40 DAYS

'TER ANT CHANGE ft/ THE FACTS SE FORTH IN THE STATEMENT PURSUANT TO SECTION 17e13 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A

i::,z T EKED OWNER A NEW FICTITIOUS BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION!LNG OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE IKE USE IN THIS STATE OF A FICTITIOUS BUSINESS NAME IN VIOLAT pt.; OF THE RIGH T S

:Of HER UNDER FEDERAL STATE, OR COMMON LAW (SEE SECTION 14-11 ET SEQ . BUSINESS AND PROFESSIONS CODE)RE.0 CEFt Tr( .THA T THIS COPY IS A CORRECT COPY OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICEL.sil:AN C, LOGAN. COS ANGELES.-COUNTY CLERK BY: .ANTONIO RLIBALCAVA P 0 BOX 1208. NORWALK. CA 90651•12013 PH (582) 452-2177 WEB ADDRESS LA'.10TE. NET

71.ki

Oepitny

GUIDELINES FOR ESTABLISHING PUBLIC CONVENIENCE AND.NECESSITY FOR PRIVATE AMBULANCE VEHICLE PERMITS

APPROVED BY THE BOARD ON AUGUST 11, 2005

The applicant for Private Ambulance Vehicle Permits shall have the burden of proof toestablish by clear and convincing evidence that public convenience and necessity requiresthe operation of additional private ambulances. .In addition to the information required bySection 71.13 of the Los Angeles Municipal Code, such evidence should include, but notbe limited to, the following:

1. Applicants Who Presently Hold Unrestricted Private Ambulance Vehicle Permits

a. Background Check - The appliCant must submit to a Department of JusticeCriminal Background Check for all majority owners, management officialsand supervisors at the time of application. Any majority owners, managementofficials and supervisors with criminal history listed in Board Order No. 600shall be disqualified.

For all permitted companies, should any change in owners, managementofficials, or supervisors occur, they must be fingerprinted by the Departmentwithin 30 days of the change or the Department shall revoke the company'spermits. If a company does not replace a majority owner, managementofficial or supervisor when the Department of Justice reports any criminalhistory in violation of the above Board Orders, the Department shall revokethe company's permits.

Revised BOTC October 6, 2005

b. Financial Capability- The applicant must provide proof of financial ability toacquire, equip and place the requested vehicles into service within 120 days:

The applicant must submit proof of ownership of the vehicle(s) (DMVregistration) to 'be permitted, or submit evidence of $20,000 in liquidassets (bank statement) for each vehicle, with a tentative lease agreement,purchase agreement or vehicle conversion order which shows the deliverydate for each vehicle.

c. A statement explaining the reason for requesting additional permits.

d, A description of how the public will benefit from the additiOnal vehicles.

e. A description of the impact of the proposed service on existing transportationproviders.

ATTACHMENT 5(; ,FAeEs)

2. Applicants with No Unrestricted Private Ambulance Vehicle Permits

a. Experience — The applicant must be able to submit proof that they or their,full-time manager have at least one (1) year of experience operating a privateambulance transportation service in California,

b. Background Check - The .applicant must submit to a Department of JusticeCriminal Background Check for all majority owners, management officialsand supervisors at the time of application, Any majority owners, managementofficials and supervisors with criminal history listed inBoard Order No. 600shall be disqualified. .

For all permitted companies, should any change in owners, managementofficials, or supervisors occur, they must be fingerprinted by the Departmentwithin 30 days of the change or the Department shall revoke the company'spermits. If a company does not replace a majority owner, managementofficial or supervisor when the Department of Justice reports any criminalhistory in violation of the above Board Orders, the Department shall revoke'the company's permits.

Revised BOTC October 6, 2005

c'. Financial Capability - The applicant must provide proof of financial ability to 'acquire, equip and place the requested vehicles into service within 120 days:

The applicant must have a current balance sheet (bank statement)showing evidence of at least $60,000 in liquid assets; and,

The applicant must submit proof of ownership of the vehicle(s) (DMVregistration) to be permitted, or submit evidence of an additional $20,000in liquid assets (bank statement) for each vehicle with a tentative leaseagreement, purchase agreement or vehicle conversion order which showsthe delivery date for each vehicle.

d. A statement explaining the reason for requesting permits.

e. A description of how the public will benefit from the proposed. service.

f. A description of the impact of the proposed service on existing transportationproviders.

g. A business plan including current and pro forma profit and loss statements,depreciation scheddle and current balance sheet. The depreciation scheduleshould include a list of vehicles currently owned as well as a list of vehicles tobe permitted. Data should be submitted showing the estimated average cost ofoperating one trip and the number of trips per day a vehicle must run to beprofitable; the costs per trip should be itemized. Break-even type formulasshould be used to show the economic feasibility of the 'proposed operation.

3. EXCEPTION — Private Ambulance Vehicle Permits to Service GovernmentContracts

. .

AppliCants that submit a signed contract with a public agency or an agencyauthorized to make such contracts for the expenditure of public funds for privateambulance transportation need not submit the above data. However, vehiclesauthorized for such service shall be granted only restricted permits, can serve onlythe clients of the agency under the terms of the contract, and shall be permittedonly for the duration of the contract. No charges shall be paid to the grantee for,this service other than that paid by the public agency.

Jon Kirk Mukrl,GENERAL MANAGER

/CITY OF LOS ANGELES

ERIC GARCETTIMAYOR


(213) 972-8470FAX (213) 972-8410

TAXICAB & FRANCHISE REGULATIONS(213) 928-9600

FAX (866) 316-8169

May 29, 2014 P7D

CERTIFIED MAIL &FAX

Dana Risher, Manager andRobert Williams, Risk ManagerAssociated Ambulance, Inc.dba: Mercy Ambulance7700 Imperial Highway, Suite DDowney, CA 90242

Dear Mrs. Risher:

NOTICE TO CEASE OPERATION - FAILURE TO MAINTAIN A POLICY OFAUTOMOBILE LIABILITY INSURANCE

Your Automobile Liability Certificate.issued on April 2, 2014 by MARKEL INSURANCECOMPANY was cancelled elective May 19, 2014.

EFFECTIVE IMMEDIATELY, MERCY AMBULANCE IS HEREBY ORDERED. TO CEASEOPERATION OF ALL PUBLIC TRANSPORTATION SERVICES IN THE CITY OF LOSANGELES.

You will not be permitted to resume operation of ALL public transportation vehicles Under anyname associated with Associated Ambulance Inc,; Mercy Ambulance Services, Inc,, and orMercy Ambulance until the City Administrative Officer (CAO), Risk Management has approveda policy of automobile liability insurance, bond or a program of self-insurance for your companywhich meets the requirements of the Los Angeles Municipal Code. If MERCY AMBULANCE isfound operating in the City of Los Angeles in violation of this: suspension, the Department willrecommend to the Board of Transportation Commissioners that your permit(s) be revoked,

LAMC Secti.on 71.08 states in part:

'The following shall constitute grounds for denial, revocation, suspension or cancellation of anydriver, attendant, or vehicle permit for which this article makes a provision.'(Amended by Ord. 165,491 Eff. 3/19/90)(B) Violation of any rule or regulation of the Board, any section of the Los Angeles MunicipalCode, the Los Angeles Administrative Code or other ordinances of the City, any rule orregulation of the Department relating to the operation of a vehicle in Section 71.00 and for whicha permit is required under this article. ATTACHMENT 2

PnlIA1 PNAPI nvivirtd-r nPPriPTI — A FEIPA;14-111/P A r-rinm iaVFP

ASSOCIATED AMBULANCE, INC.. Page 2DBA: MERCY AMBULANCE

Due to lack of insurance, you are now suspended from operating in the City of Los Angeles. Ifyou desire to resume operations at this time, you must submit a valid Automobile LiabilityCertificate (for an admitted carrier) with renewal of insurance for approval by the CAO, RiskManagement prior to June 30, 2014, or the Department will take action which may lead to arecommendation to the Board of Transportation Commissioners that your permits-be revoked.

Please provide your insurance company with the enclosed guidelines and forms, and have themfill out and return two Automobile Liability Certificates if you wish to continue operating.

However, if the reason for the lapse in insurance coverage is that you have decided todiscontinue operating the permitted vehicle(s) for a temporary period of time, you must submitthe decals to the Department for decal removal. Resumption of operation of the vehicles wouldthen require reinstating an automobile liability insurance policy and re-decaling at a cost of$45.00 for each vehicle. Resumption of operation and re-decaling must take place no later thanthe date scheduled for an annual inspection or the Department will consider your authority foroperating the vehicles expired.

Should you have any questions regarding this matter, please call Tracy Williams, Non-TaxiBonds and Insurance at (213) 972-8439; Fax number is (866) 316-8169.

. Sincerely,

\jkA, pFARHAD ZALTASH, P.E.Transportation EngineerLos Angeles Department of TransportationFranchise and Regulations

Enclosures

LI4.097.tdw.expired

cc: Patricia Barker, Senior Transportation InvestigatorJohn Colvin, Transportation Investigator


'Jon Kirk yukr1GENERAL mANAGEk

ERIC GARCETTIMAYOR

June 4, 2014.

REGULAR MAIL & FAX

ASSOCIATED AMBULANCE, INCDba Mercy Ambulance7700 Imperial Hwy "ID"Downey, California 90242

DEPARTMENT OF TRANSPORTATION109 South Maln Street, 10th FloorLos Angeles, California 90012

(213) 972-8470FAX (213) 972-8410


FAX (866)316-8169 ,

P7X

NOTICE TO CEASE UNLAWFUL TRANSPORTATION OPERATIONS

On June 4, 2014, at approximately 1:53 p.m, two unrestricted permitted private ambulances,California license 50666F1, VIN: 1FDSS3EL7CDA11416 and California license 50814F1, VIN:1FDSS3ELXCDA54888, registered to and operated by your company was observed droppingoff patients from 4929.Van Nuys Blvd, Sherman Oaks, California, in the City of Los Angeles.

Ambulances used for patient transportation within the City of Los Angeles are required to bepermitted by the Department of Transportation. At the time of this incident AssociatedAmbulance, Inc. d.b.a. Mercy Ambulance (Mercy) was under an LADOT mandated notice tocease all transportation operations due to a failure of the company to maintain required autoliability insurance. • YOU AND YOUR COMPANY ARE HEREBY DIRECTED TOIMMEDIATELY CEASE AND DESIST from using unpermitted vehicles to pick up passengerswithin the City of Los Angeles until you have obtained the proper vehicle permit as required bySection 71.02(a) of the Los Angeles Municipal Code.

Due to the seriousness of this incident, the Department is requiring Mercy to submit, tothe Department, driver's logs for the dates of May 19, 2014 through June 4, 2014. Thosedocuments must be submitted to a Department Investigator no later than Tuesday, June17, 2014.

This is due notice to cease and desist from picking up passengers in the City of. Los Angeleswithout proper permits. Failure to comply with this notice is a misdemeanor offense and subjectto criminal prosecution of both the driver of the vehicle and the owner(s) of the company. Boththe drivers and the owners may be subject to arrest and/or being assessed a .monetary penaltypursuant to the Board of Transportation COmmissioners' Board Order No. 580.

Please contact Senior Transportation Investigator Patricia Barker at (213)972-5998 for anyquestions you may have regarding this cease and desist order.

S

re 5eker •Senior TranSportation InvestigatorFranchise and Taxicab Bureau, Enforcement and Inspection Division

LE14-104.pabc: LADOT ATTACHMENT 3

AN FOI FMP1 OYMENT OPPORTi 1NITY — AFFIRMATIVF ArTIC)1\1 FLAP! 111!Pfa

Jon Kirk Mu kriGENERAL MANAGER

.AITY OF LOS ANGELES r( )

ERIC GARCETTIMAYOR

e4 6,3v


(213) 972-8970FAX (213) 972-8410

TAXICAB & FRANCHISE REGULATIONS(213) 928-9600

FAX (866) 316-8169

June 5, 2014 P7D

REGULAR MAIL & FAX •

Attn: Dana Risher, Managerand Robert Williams, Risk ManagerAssociated Ambulance, Inc.dba: Mercy Ambulance7700 Imperial. Hwy, Suite DDowney, CA 90242

Dear Mrs. Risher and Mr. Williams:

AUTHORIZATION TO RESUME TRANSPORTATION SERVICE

Your Automobile Liability Certificate for Policy No. CAS0097106 issued by Llyods Syndicate,was approved by the City Administrative Officer, Risk Management, on June 5, 2014, TheNotice.to Cease Operations.issued to you on May 29, 2014, is therefore, withdrawn.

EFFECTIVE IMMEDIATELY, MERCY AMBULANCE IS AUTHORIZED TORESUME OPERATION OF ALL PREVIOUSLY APPROVED TRANSPORTATIONSERVICES IN THE CITY OF LOS ANGELES

Should you have any questions regarding this matter, please call Tracy Williams, Non-TaxiInsurance & Bonds at (213) 972-8439; Fax number is (866) 316-8169.

Sincerely,

FART-TAD ZALTASH,Transportation EngineerLos Angeles Department of TransportationFranchise and Regulations

LI14.105,tdw.resurne

cc: Patricia Barker, Senior Transportation InvestigatorJohn Colvin, Transportation Investigator ATTACHMENT 4

CITY OF...LOS ANGEL,EsS• . DEPA.RTMENT OF TRANSPORTATION

REQDEST FOR HEARING BEFORE THE BOARD OF TRANSPORTATION COMMISSIONERS

Driver's D.O.T. Pennit'Number: • Hearing Notice No.: •

Nerve (Print): .• AIA, (11a. a<my 4:11&/(X/7eZ. Street Address:

Telephone No.: • • Wail:

As.provided in Section 71.09 of the Los Angeles Mimicipal Code, f hereby request a hearing before the Board of Transportation Commissioners onthe matter of:

• DriVer/Attenilan t'Pernilt — DENIAL

. Driver/Attendant Permit— DENIAL — Falsification of Application

. Driver Permit Application — DENIAL-- Cheating on Taxicab Driver Test

Driver/Attendant Permit — CANCELLATION

Driver/Attendant Permit REVOCATION

Driver/Attendant Permit'- SUSPENSION

Vehicle Permit DENIAL

Vehicle Permit SUSPENSIO/ •

oeeLer „„, olFor the roflowing violation(s)/t•easons(s):

I protest the Department's action hccauzie::

understand that:

1 will be informed of the date, time and place ofbc hearing at the address I have given above.'

2, My failure to appear for the hearing is a waiver 01' my rights to a

hearing

and action may be taken without My being present, .4"

3. I may have an attorney' Present at the hearing at my own expenses-

1. It is My responsibility to submit to the Department (10,A:tiers of Commendation, Rehabilitations awards, and/or letters attesting to my Good -Character. '1 further understand that it is not the responsibility of the Department to solicit these documents on my behalf. I also understandThat I may present witnessesto testily before the Board in supporter my cause. _4„,_.,-- •

I understand that it is my responsibility to submit to the Department, upon demand, 'fees that may be charged by outside agencies for copies orArrest reports and/or other legal documents relevant to this appeal. I further understand that this appeal can not be proctss,,d until such paymenthas been submitted to this Department' for forwarding to the•outside agency. • •

•ATTACHMENT 5Date: .‘47

,

;ignecl:

INFORMATION ABOUT YOUR HEARING.PLEASE READ. INITIAL, EACH BOX-AND SIGN AND DATE AT THE BOTTOM.

1, • .Approximately 7-10 days before the date of your hearing, the Commission Executive Assistant will mail apacket to your address of record. The padket will contain a copy of your appeal and a notice advising youof the exact date, time and location where your appeal will be conducted. YOU MUST BE ON TIME.

• You must be present in order to present your appeal. FAILURE TO.APPEAR AT THELTIME.AND..DATE.SCHEDULED WAIVES YOUR RIGHT TO BE HEARD BEFORE THE BOARD. THEBOARD HAS A RIGHT TO TAKE ACTION ON YOUR APPEAL EVEN IF YOU ARE NOTPRESENT. LAIVIC Section 71.09(d)

Initial.

-

t i la.• -Once you arrive in the hearing rOom, you will notice an "ON AIR" sign on the wall. Commission meetingsare conducted live over radio air waves. While this sign in on, all business before the CommisSion can be

CONFIDENTIAL IN NATURE, NO APPEAL WILL BE HEARD WHILE THE "ON AIR" SIGN IS ON.please conductyourself andyour conversations with others in ti respectful manner,

i AREdi

the

C 0 CNcSi 1DE missionR E D TmOenBlhEer: the

Appeals are heard alter all other Commission business has been conducted and the Commission goes into"Executive Session." Appeals are only heard in "Executive Session." Once the meeting is declared to

sifiElCisAttUirSneEdAoPf:

Excluding

tohyee,r,ctle

Ail'." signCommission Executive Assistant, the City Attorney, and the Senior Investigator presenting your appeal allothers not associated with your appeal Will he excused from the room and. asked to wait in the hallway,ineluding.all other appellants. If you are asked to exit until it is time to hear your appeal, please exit thedoor BUT do not leave the immediate area. You will be called back in when it is time to hear your appeal.

___

la 71----

3.

____ ._..ih5eiii.j:d,,bEyxeprtiovnessleisstseirli,g,

:

---f------I utial

4.. .

You are encouraged to bring with you any persons who can attest to your good character. Letters ofle .seommendation will also be accepted at the time your appeal is actually before the Board. If your.supporters with to be heard, each will be given Mile to address [he Board. With very few exceptions, thetime they nay speak ‘vill.be limited to 2:00 minutes. This ensures that all who wish to he heard ma s)calc

......lni l,l

5. The Boa rd has the filial say regarding Mir Appeal and all decisions are final. The Board is to no wayobligated to decide in )/our favor. If the I3nard decides against you, do not attempt to argue back or go overthe issues again. In extreme cases, where additional extenuating evidence is discovered alter a hearing isheld (he Board may rehear your appeal. However, such cases are very rare, and• it is at the completediscretion of the Board whether or not to rehear your appeal. Requests to rehear an appeal must be made inwriting and tiled with the Executive Commission Assistant, Please understand that the Board Ilas no legalobligation to rehear your case, if it decides that your request has no merit. LAMC Section 71.09.1

/ __14:-...r--In ual

6. If the Board finds in your favor and grants your appeal, the'Department will process.and issue •you a new permit at no charge. The Commission Executive Assistant will send you a letter confirming, thatyour appeal was. granted. Do not attempt to submit your application before receiving this' etter. You mustbe empioved by a company permitted to operate in the City of Los Angeles BEFORE submitting your newapplication. Once you receive the letter, you will be required to file a new application and submit all newreg!Liled documentation.

z /V

7-Date

/•i

Asso

ciat

ed Ambulance, Inc. Dba Mercy Ambulance

Company Code 1527.0

Revi

sed 07/10/2014

May 2014

Red type denotes vio

lati

onDATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/1

9/14

701

1614

From:

No violations found

To:

14041

616

1From:

No vio

lati

ons found

To:

05/2

0/14

14011

616To:

From:

No records submitted for Uni

t614. No vio

lati

ons fo

und

05/2

1/14

1401 1

616

(4999)

From:

1200 N. State St., L. A. 90012

7 71 1. .0 024(a)

71.10

71.14

Unpe

rmit

ted dr

iver

(Campbell)

Unpe

rmit

ted at

tend

. (Fa

rquh

ar)

Unit # 1404 on Tra

nspo

rt Log

.To:

223 S. Central Ave

., L. A. 90012

05/2

2/14

612

1401

(5009)

From:

2051. Marengo St.

, L. A. 90012

71.02(a)

71.10

71.14

Unpermitted ve

hicl

eNo Transport Log sub

mitt

ed.

Shift no

t li

sted

on Dispatch Lo

g.To:

2221 Lin

coln

Pk. L A. 90031

05/2

3/14

701

1616

(5017)

From:

1200 N. State St. L

. A. 90012

71.10

71.14

To:

450 Bauchet St. IRC L.A

. 90012

2401

616

(5013)

From:

450 Bauchet St. IRC L.A

. 90012

71. 10

71.14

B/0 257(4)

No PCR submitted for this ru

n.Information taken fr

om Transport

Log.

To:

L.A.

County USC Med. Center

05/24/14

1401

1614

(5023)

From:

2051 Marengo St.

, L.

A. 90012

71.10

71.14

To:

4619 Rosemead Blvd, Rosemead

05/2

5/14

14011

616

(5028)

From:

Downey Reg

iona

l Med. Cen

ter

71.10

71.14

B/0 257(4)

Ille

gal dr

op off

No Tra

nspo

rt Log or PCRs for

Shift #701 or Un

it 614; Dis

p. Log

indicates the unit worked that

day.

To:

158 W. 78th St.

, L. A. 90003

05/26/1471.10

701 1

6161

(5033)

From:

2829 S. Grand Ave

., L. A. 90007

71,0

2(a)

71.14

PCR sub

mitt

ed on 07/01/14

PCR ind

icat

es Uni

t #615 — an

unpermitted ve

hicl

eTo:

1200 N. State St L A. 90012

* As lis

ted-

on the

Dispatch Log, PCR=Patient Care Report

/ The number lis

ted on the

Dispatch Log is different from the

Transport Logs and

/or the PCRs submitted by the company.

Run # in small re

d print wi

thin

parenthesis.

MercyAmb1527.01nv.061314

Page 1

Asso

ciat


Company Code 1527.0

Revised 07

/10/

2014

May 2014

Red type denotes violation

DATE

SHIFT*

UNIT

*ADDRESSES

- VIOLATION

COMMENTS

05/26/14

1404'

6141

(5036)

From:

1200 N. State St., L. A. 90012

71.0

471

.10

71.14

Unpe

rmit

ted Attendant

To:

221 Lin

coln

Par

k Av

e., L. A. 90031

05/27/14

701

616

(502!)

From:

1226 Foothill BI

. Sylmar 91342

71.1

071_14

To:

451 S. Brand B

I., San Fer

n. 91240

,,,,

14‘., I

614

(5041)

From:

451 S. Brand BI.

, San Fern. 91240

71.0

3(b)

71.1

071.14

Unpermitted driver (Campbell)

To:

12260 Foothill BI

., Sylmar 91342

05/28/14

701

614

( (-

)A-)

'5)

From:450 Bauchet St., IRC, L.A. 90012

71.10

71.14

Per R. Wil

liam

s-County Cal

l-No

PCR available

To:

L.A. County USC Med. Ctr

90012

2401

6121

(5040)

From:

L.A. County USC Med. Ctr 90012

71.02(a)

71.1

071.14

Unpe

rmit

ted ve

hicl

ePer R. Wil

liam

s-County Call -No

PCR available

To:

26901 Wes

tern

Ave

., Lomita 90717

To:

4955 Van Nuys BL,

Sh. Oaks 91403

05/29/14

05301

6141

(5102)

From:

12260 Foothill BI

., Sh. Oaks 91342

71.10

71,1

4

Transp. Log lists the shift as 601

Dispatch log notes tha

t Unit 601

will

ide

ntif

y as Unit 614

To:

4955 Van Nuys BI.

, Sh. Oaks 91342

i0530

-iFrom:

6141

(5107)

12260 Foothill BI

., Sh. Oaks 91342

71.1

071

.14

Transp. Log lists the shift as 601

Dispatch log notes that Un

it 601

will ide

ntif

y as Uni

t 614

To:

4955 Van Nuys 61., Sh. Oaks 91403

0530

601

1(5104)

From:

12260 Foothill BI

., Sh. Oaks 91342

71. 10

71.14

Transp. Log lis

ts the shift as 601

Dispatch log not

es tha

t Un

it 601

will ide

ntif

y as Uni

t 614

To:

4955 Van Nuys B1

Sh. Oaks 91403

.3

0530

601

1(5110R)

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.10

71.14

Transp. Log lis

ts the shift as 601

Dispatch log not

es tha

t Unit 601

will

iden

tify

as Uni

t 614

To:

12260 Foo

thil

l B1 Sh. Oaks 91342

701

611

(5105 \

' '

From:

12260 Foothill BI

., Sh. Oaks 91342

71.02(a)

71.10

71.14

B/0 257(4)

No PCR submitted

Unpermitted ve

hicl

eTo

:451 S. Brand BI.

, San Fer

n. 91340

*As lis

ted on the

Dispatch Log, PCR=Patient Care Report

'The number listed on the Dis

patc

h Log is different from the Transport Logs and/or th

e PCRs sub

mitt

ed by the company.

Run # in

sma

ll red

pri

nt within pa

rent

hesi

s

MercyAmb1527.0Inv.061314

Page 2

Associated Ambulance, Inc. Dba Mercy Ambulance

Company Code 1527.0

Revised 07/10/2014

May 2014

Red typ

e denotes violation

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/29/14

701

11(51603R)

From:

4955 Van Nuys BI., San Fer

. 91403

71.02(a)

71.10

71.14

B/0 257(4) .

Unpermitted vehicle

"PCR submitted lis

ts Unit # as

616 not 611

To:

12660 Foothill BI., Sylmar 91342

701

i611

-(5104R)

From:

4955 Van Nuys BI. San Fern. 91403

71.02(a)

71.10

71.14

Unpermitted ve

hicl

ePCR lists Unit # as 616 not 611

To:


731

16

(5119)

16

From:


71.10

71.14

Dispatch Log notation: Un

it 731

will

ide

ntif

y as 616. PCR lis

tsShift as 0530

:4955 Van Nuys BI. San Fern. 91403

-", a 1

is) t

616(5120)PCR

From:


71.10

71.14

submitted 07/01/14

To:'14850 Roscoe Blvd Pan. CJ

91402

173 '

616

(5103)

From:


71.10

71.14

B/0 257(4)

PCR submitted 07/01/14.

Disp

atch

Log notation: .Unit 731

iwillidentify as 616." PCR lists

Shift as 0530

To:

4955 Van Nuys BI. .San Fern. 91403

1731

-616

(5102R)

From:


71.10

71.14

PCR identifies Un

it & Shi

ft as

616/530.

To:


1401

660

(5108)

From:


71.0

2(a)

71.10

71.14

B/O 257(4)

No PCR submitted.

To:

14600 Roscoe BI Pan Cty 91402

1401

0(5 6 111)614..

From:


71.02(a)

71.10

71.14

PCR submitted lis

ts the Uni

t as

Notation on Dispatch Log

indicates that Uni

t 660 worked.

To:


1401

6601

(5117)

From:

451 S. Brand BI., San Fer

n. 91340

71.02(a)

71.10

71.14

Illegal drop off only

PCR identifies Un

it as 614.

To:

12260 Foothill BI Sylmar 91342

*As listed on the Dispatch Log, PCR=Patient Care Report.

1 The number listed on the Dispatch Log is different from the Transport Logs and/or the PCRs submitted by the company.

Run # in

sma

ll red

pri

nt within pa

rent

hesi

s.

MercyAmb1527.0Inv:061314

Page

3

Associated Ambulance, Inc

. Dba Mercy Ambulance

Company Code 1527.0

Revi

sed 07

/10/

2014

May 2014

Red type denotes a vio

lati

on.

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/29/14

2401

614

(51f1Q)

-

From:

450 Bauchet St.

, IRC L.A

. 90012

71.1

071.14

B/0 257(4)

.

PCR sub

mitt

ed on 07/01/14.

To:

2031 Marengo St. L.A

. 90012

05/30/14

0615

(M231.)

From:

11500 Brookshire, Downey 90242

71.0

2(a)

71.10

-71.14

B/0 257(4)

Unpe

rmit

ted ve

hicl

eIl

lega

l dr

op off

PCR submitted 07/01/14

Shift not li

sted

on Dispatch Log

To:

11822 S. Bel

have

n St. L.

A. 90059

ni

10u I

Unkn

(5128)

From:


71.10

71.14

B/0 257(4)

No PCR sub

mitt

edShift not li

sted

on Dispatch Log

To:.

14624 W. Sherman Way, V.N. 91405

1001

Unkn

(5136)

From:

12260 Foothill BI

., Sylmar 91342

71.10

71.14

3/0 257(4)

Screen sho

t on

ly. No PCR

submitted

Shift not li

sted

on Dispatch Log

To:

14624 W. Sherman Way, 91405

,10u 4 i

Unkn

(5134

From:


71.10

71.14

BOO 257(4)

Screen shot on

ly No PCR

subm

itte

dShift not li

sted

on Dispatch Log

To:

12260 Foothill 81

., Sylmar 91342

1001

Unkn

(5148R)

From:


71.10

71.14

13/0 257(4)

No PCR submitted

Shift not li

sted

on Dispatch Log

To:

12260 Foothill 31., Sylmar 91342

1101

616

(5131)

From:

12260 Foothill

B1.,

Sylmar 91342

,71.10

71.14

Log

Shift nhotft

list

edd

.ofn

Dispatch

p Rand

c

TUrna

ltis nspol rt

iLeognt

uedonly on

To:

4955 Van Nuys 31.

Sh Oaks 91403

1101

616

(5148)

From:


71.10

71.14

Shif

t not li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Tran

spor

t Log onl

yTo:

4955 Van Nuys BI. Sh Oaks 91403

1101

616

igl qR1

--

From:

4955 Van Nuys Bl. Sh Oaks 91403

71.10

71.14

Shift not li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Tran

spor

t Log only

To:

12260 Foothill

BI.,

Sylmar 91342

*As lis

ted on the

Dispatch Log. PCR=Patent Care Rep

ort.

The number listed on the

Dis

patc

h Log is different from the

Transport Logs and/or the PCRs sub

mitt

ed by the company.

Run # in

sma

ll red

pri

nt within pa

rent

hesi

s.

MercyAmb1527.0inv.061314

Page 4



Company Code 1527.0

May 201

4

Revised 07/10/2014

Red type

denotes a violation.

DATE

SHIFT*

UNIT

*ADDRESSES

VIOLATION

COMMENTS

05/30/14

1201

614

(5129)

From:.

12260 Foothill BI

., Sylmar 91342

71.10

71.14

Shif

t no

t li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Transport Log only

To:

4955 Van Nuys BI., Sh. Oaks 91402

1201

614(5155)Unit/Shift

From:


71.10

71.14

Shif

t not li

sted

on Dispatch Log

iden

tifi

ed on PCR and

Tran

spor

t Log only

To:

4955 Van Nuys BI.

, Sh. Oaks 91402

•1201

614

(5135)

From:

4955 Van Nuys BI.

, Sh. Oaks 91402

71.10

71.14

Shif

t not li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Transport Log only.

To:

12260 Foothill BI

., Sylmar 91342

1201

614

(5137)

From:

4955 Van Nuys BI.

, Sh. Oaks 91402

71.10

71.14

Shift no

t li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Transport Log only

-To:

12260 Foothill BI

., Sylmar 91342

•

1201

614

(5144)

71 '10

From:


71.14

Shift no

t li

sted

on Dispatch Log

Unit

/Shi

ft ide

ntif

ied on PCR and

Tran

spor

t Log onl

yTo:


1401

612

(5158)

From:

1983 Marengo St. L. A. 90033

71.02(a)

71.03(b)

71.10

71.14

B/O 257(4)

Unpe

rmit

ted ve

hicl

eUn

perm

itte

d dr

iver

(Campbell).

Unpe

rmit

ted at

tend

ant (Ce

ja)

Ille

gal pi

ck up onl

yNo PCR sub

mitt

ed

To:

Monr

ovia

Cony. Hospital

„,,,,

zAtu i

612(5143)71.10

From:

Downey Reg

iona

l Med Ctr.

71.02(a)

71.04

71.14

B/O 257(4)

Unpe

rmit

ted ve

hicl

eUnpermitted at

tend

ant (Bu

ckal

ew)

No PCR sub

mitt

edTo:.

11822 s. Belhaven St.

, L. A. 90059

*As listed on the

Dis

patc

h Log, PCR=Patient Care Rep

ort.

1 The number lis

ted on the

Dis

patc

h Lo

g is dif

fere

nt from the Transport Logs and/or th

e PCRs submitted by th

e company.

Run # in

small

red

pri

nt within parenthesis.

MercyAmbl 527.0Inv.061314

Page 5

May 2014



Company Code 1527.0

Revised 07/10/2014


lati

on.

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/3

1/14

701

614

(5133)

‘-- '

From:

12260 Foothill BI

., Sylmar 91342

71.10

71.14

To:

4955 Van Nuys BL,

Sh. Oaks 91403

701

61(517

2)

From:

12260 Foothill BI

., Sylmar 91342

71.10

71.14

B/0 257(4)

Na PCR sub

mitt

edTo:


701

614

f i

5173'

From:

12260 Foothill BI

., Sylmar 91342

71.10

71.14

To:

4955 Van Nuy

s. BI., Sh. Oaks 91403

701

614

I 1

5174'

From:

4955 Van Nuys BL,

Sh. Oaks 91403

71.10

71.14

To:

12260 Foothill BL, Sylmar 91342

701

614

(17R1

‘-..

..-'

From:

12260 Foothill B1., Sylmar 91342

71.10

71.14

No PCR submitted

To:


701

614

/591

17

‘-

- -'

From:


71.10

71.14

•To:

4955 Van Nuys B1., Sh. Oaks 91403

701

614

(5165)

From:

12260 Foothill

131., Sylmar 91342

71.1

071.14

To:


701

614

(5-1

893

From:


71.10

71.14

No PCR submitted

To:

12260 Foothill BL

, Sylmar 91342

701

614

(5191)

From:


71.10

71.14

To:

12260 Foothill BI

., Sylmar 91342

801

6601

ffi1

701

`- " " -'

From:

12260 Foothill BI

., Sylmar 91342

71.02(a)

71.10

71.14

B/0 257(4)

Screen shOt on

ly, No PCR

submitted. Per Dispatch Log

Unit 660 ran this ca

ll.

To:

_.

4955 Van Nuys BL,

Sh. Oaks 91403

ni

8'

16601

(5175)

From:


71.0

2(a)

71.10

71.14

B/0 257(4)

Screen shot on

ly, No PCR


Unit

660 ran this call.

Unpe

rmit

ted vehicle

To:

—12260 Foothill Bl. Sylmar 91342

,

*As listed on the Dis

patc

h Log, PCR=Patient Car

e Report.

1 The number listed on the Dispatch Lo

g is

dif

fere

nt fro

m the Transport Logs and/or th

e PCRs submitted by the company.

Run # in

small red print wit

hin pa

rent

hesis.


Page 6


Company Code 1527.0

May 2014

Revi

sed 07

/10/

2014

Red typ

e denotes a violation.

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/3

1/14

801

660

1(5181)

From:


71.0

2(a)

71.10

71.14

B/0 257(4)

Screen sho

t only, No PCR


Unit 660 ran this ca

ll.

Unpe

rmit

ted ve

hicl

e

To:


801

6601

(5190) -

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.02(a)

71.10

71.14

B/O 257(4)

Screen shot on

ly, No PCR


Unit 660 ran

this call.

Unpermitted ve

hicl

e

To:

12260 Foothill B1

., Sylmar 91342

801,

6601

(5196)

From:

4955 Van Nuys B1.

, Sh. Oaks 91403

71.0

2(a)

71.10

71.14

B/O 257(4)

Screen shot only, No PCR


Unit

660 ran this ca

ll.

Unpe

rmit

ted ve

hicl

e

To:


801

6601

(9165R)

From:


71.02(a)

71.10

71.14

B/O 257(4)

No PCR submitted. Per

Disp

atch

Log Unit 660 ran this

call

.Unpermitted ve

hicl

e

To:


901

616

(5198)

- —

From:


71.1

0 _

.7114

B/0 257(4)

Screen sho

t only No PCR

'submitted.

To:

4955 Van Nuys BI.

, Sh. Oaks 91403

901

616

i 5171 )

‘...

. '

From:


71.10

71.14

To:


901

616

(5180)

From:

12260 Foothill B1

., Sylmar 91342

71,10

71.14

B/O 257(4)

Screen sho

t only, No PCR

subm

itte

dTo:

14600 Roscoe BI.

, Pan. City 91402

*As listed on the

Dispatch Log, PCR=Patient Care Report.

'The number lis

ted on the

Dispatch Log is different from the Tr

ansp

ort Logs and/or th

e PCRs sub

mitt

ed by the company.

Run # in

small red print wit

hin parenthesis.


Page 7

May 2014


Company Code 1527.0

Revised 07/10/2014

Red typ

e denotes a vio

lati

on.

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

05/31114

901

616

(5166)

From:-


71.10

71.14

To:


901

616

(5185)

From:

12260 Foo

thil

l BI., Sylmar 91342

71.10

71.14

B/O 257(4)

Screen shot on

ly. No -PCR

submitted.

To:

4955 Van Nuys IR, Sh. Oaks 91403

901

616

(5186)

From:


71.10

71.14

To:

12260 Foothill BI

., Sylmar 91342

14011

1 612)

(5183

From:


71.0

2(a)

71.10

71.14

Transport Log identifies this shift

as 1404. PCR identifies the unit

as No.: 616, PCR nar

rati

vestates i

t is Unit 901.

Unpe

rmit

ted vehicle

To:

451 S. Brand BI.

, San Fern. 91340

11401'

6121

(5166R)

From:


71.1

071.

02(a

)

71.14

Transport Log identifies this shift

as 1404. PCR identifies the unit

as No.: 616.

Unpermitted ve

hicl

e

To:

12260 Foo

thil

l BI., Sylmar 91342

14011

1612'

(5194)

.From:

Fres

eniu

s451 S. Brand BI.

, San Fer

n. 91340

71.10

71.14

Tran

spor

t Log identifies this shift

as 1404. PCR identifies th

e unit

as No.

: 616.

Illegal drop off

onl

y.To:


2401

6 (516621 )

From:


71.0

2(a)

71.04

71.10

71.14

B/O 257(4)

Screen shot on

ly. No PCR

submitted. U

npermitted

atte

ndan

t (Buckalew), per

Dispatch Log.

The other PCRs (a

ll trips out

side

Los Angeles) included with

Tran

spor

t Log indicate the Sh

ift

No.: as 615. Thi

s shift no

t li

sted

on Dispatch Log.

To:


*As lis

ted on the Dispatch Log, PCR=Patient Care Report.

1 The number listed on the

Dis

patc

h Log is different from the Transport Logs and

/or the PCRs submitted by the company.

Run # in

sma

ll red

print within parenthesis.

MercyAmb1527.0lnv.061314

Page 8

Asso

ciat

ed Ambulance, Inc


Company Code 1527.0

Revi

sed 07/10/2014

Month

Total

Runs

Total

Violations

Number of vi

olat

ion by cat

egor

y71.02(a)

71.0

3(b)

71.04

71.1

071

.14

B/O 257(4)

May

72(144)

191(382)

18(36)_

2(4)

5(10)

69(138)

69(138)

28(56)

Grand Tot

al in Penalties:

$17,250.00

_$1

,250

.00

$4,2

50.0

0$34,200.00

$34,200.00,

$13,

700.

00Grand Totals

if doubled:

$34,500.00

$2,5

00.0

0,

$8,5

00.0

0$68,400.00

$68,

400.

00$2

7,40

0.00

Numbers in pa

rent

hesi

s represent the totals if the fines were calculated by incident instead of

by day

.

NOTE: On July 1, 2014, af

ter attending the Ad

mini

stra

tive

Hearing, Mr. Ro

bert

Williams su

bmit

ted mo

st, but not all, of the

documents that were supposed to have been submitted by June 24, 2014. Aft

er examination of the additional

docu

ment

atio

n, the number and type of violations fo

und were adjusted up or down as nec

essa

ry. New violations

were imported to

the tab

le in gr

een ty

pe.

If PCRs were submitted on 07/01/14 that had not been submitted in the

original req

uest

, a violation for

Board Ord

er 257(4) was removed. The new totals of

violations and mon

etar

ype

nalt

ies are as fol

lows

:

Revised

violation co

unt — Mav 2014:

Month

Tota

lRuns

Total

Violations

Number of violation by category

71.02(a)

71.0

3(b)

71.0

471

.10

71.1

4B/0 257

(4)

May

70(140)

188(376)

22(44)

2(4)

5(10)

67(134)

67(134)

24(4

8)Grand Total in Pe

nalt

ies:

$21,250.00

$1,2

50.0

0$3

,000

.00

$33,200.00

$33,200.00

$11,

700.

00Grand Tot

als

if doubled:

$42,500.00

$2,5

00.0

0$6

,000

.00

$66,400.00

$66,

400.

00$2

3,40

0.00

Numbers in pa

rent

hesi

s represent th

e to

tals

if the fines were cal

cula

ted by inc

iden

t instead of by day

.

MercyAmbl527.01nv.061314

Page 9


Company Code 1527.0

June 2014

Revised 07/10/2014

Red typ

e denotes a violation.

DATE

SHIFT*

UNIT

*ADDRESSES

VIOLATION

COMMENTS

06/01/14

701

614

From:

Unknown

71.10

71.14

13/0 257(4)

No tra

nspo

rt Log submitted

No PCRs submitted

Disp

atch

Log ind

icat

es unit

worked

To:

Unknown

,4

24u i

661

(5202)

From:

2829 S. Grand Ave

., L. A. 90007

71.02(a)

71.1

071.14

B/0 257(4)

No Transport Log submitted

Unpe

rmit

ted ve

hicl

e (Per PCR)

To:

1200 N. State St., L. A. 90033

06/0

2/14

701

6161

M1 "7

1----

From:

12260 Foo

thil

l B1

., Sylmar 91342

71.10

71.14

PCR indicates Unit No.: 614.

To:

18855 Victory BI., Reseda 91335

r u ,

I .

6161

(5224)

From:

12260 Foo

thil

l B1., Sylmar 91342

71.10

71.14

PCR indicates Uni

t No.: 614

To:


n7u ,

i6161

(5210)

From:

4955 Van Nuys 61., Sh. Oaks 91403

71.10

71.14 •

PCR indicates Uni

t No.: 614

To:

12260 Foo

thil

l BI., Sylmar 91342

-,..

I t.

1 1

6161

(5216)

From:

12260 Foo

thil

l B1., Sylmar 91342

71.10

71.14

PCR indicates Uni

t No.: 614

To: -

4955 Van Nuys B1.

, Sh. Oaks 91403

1030

6601

(5217)

From:

12260 Foo

thil

l BI., Sylmar 91342

71.02(a)

71.10

71.14

B/0 257(4) •

Unpe

rmit

ted ve

hicl

eNo Transport Log submitted

To:


1, n, I U I

61

(5204 4)

From:

12260 Foo

thil

l BI

., Sylmar, 91342

71.10

71.14

B/O 257(4)

No Transport Log

Shif

t & Uni

t not li

sted

on

Dispatch Log

To:

4955 Van Nuys BI.

, Sh. Oaks 91403

1101

614

(5207)

From:

12260 Foo

thil

l B1

., Sylmar, 91342

71.10 -

71.14

B/O 257(4)

No Transport Log

Shif

t & Unit not li

sted

on

Dispatch Log

To:

4955 Van Nuys BI.

, Sh. Oaks 91403

11014

614

(5211)

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.10

71.14

B/0 257(4)

No Transport Log

Shif

t & Uni

t not li

sted

on

Dispatch Log

To:

12260 Foothill BI

., Sylmar, 91342

*As listed on the

Dispatch Log, PCR=Patient Care Report.

The number listed on the

Dispatch Log is di

ffer

ent from th

e Transport Logs and/or th

e PCRs submitted by the company.

Run # in

small red print wit

hin parenthesis.


Page 10



Company Code 1527.0

Revised 07

/10/

2014

June 2014

Red type denotes a violation.

DATE

SHIFT*

UNIT*

ADDRESSES

VIOLATION

COMMENTS

06/02/14110171.14

614

(5215)

From:

12260 Foothill BI

., Sylmar 91342

71.10

B/O 257(4)

No Transport Log

Shif

t & Unit not li

sted

on

Disp

atch

Log

To:


n

1101

614

(5220)

From:


71.1

0.71.14

B/0 257(4)

No Transport Log

Shift & Unit no

t li

sted

on

Dispatch Log

To:

12260 Foothill BI. Sylmar 91342

110,

1614

(5221)

From:

4955 Van Nuys 13I

., Sh. Oaks 91403

71.10

71.14

B/O 257(4)

No Transport Log

Shif

t & Unit no

t li

sted

on

Dispatch Log

To:


i14

011

660

1(71,

— —

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.02(a)

71.10

71.14

B/

0.25

7(4)

Unpe

rmit

ted ve

hicl

eScreen sho

t on

ly, No PCR

subm

itte

d.To:

12260 Foothill BI

., Sylmar 91342

.

14011

6601

(5221)

From:


71.0

2(a)

71.10

71.14

B/0 257(4)

Unpermitted ve

hicl

eScreen shot only,No PCR

submitted.

To:

12260 Foothill BI

., Sylmar 91342

16601

(5229) -

From:

12260 Foothill BI

., Sylmar 91342

71.02(a)

71.10

71.14

B/O 257(4)

Unpermitted ve

hicl

eScreen shot only, no PCR

1401

submitted

To:


06/0

3/14

06301

6161

(522

8)From:

12260 Foothill

131., Sylmar 91.

342

71.10

71.14

Shift li

sted

as 601 on Transport

Log;

as 0630 on PCR.

To:.4955Van Nuys BI., Sh. Oaks 91403

06301

616

1(5230)

From:

12260 Foo

thil

l BI., Sylmar 91342

71.10

71.14

Shif

t li

sted

as 601 on Tra

nspo

rtLo

g; as 0630 on PCR.

To:


06301

6161

(5235)

From:

12260 Foothill

131., Sylmar 91342

71.10

71.14

PCR sub

mitt

ed on 07/

01/1

4Shift li

sted

as 601 on Transport

Log;

as 0630 on PCR

To:

4955 Van Nuys 131

., Sh. Oaks 91403

*As listed on the

Dis

patc

h Log, PCR=Patient Care Report.

1The number lis

ted on the

Dis

patc

h Log is different from the

Transport Logs and/or the PCRs sub

mitt

ed by the company.

Run It in

small red

print within parenthesis.


Page 11


Company Code 1527.0

June 2014

Revised 07/10/2014

Red type denotes a violation.

DATE

SHIFT*

UNIT

*ADDRESSES

VIOLATION

COMMENTS

06/03/14

06301

616

1(5236)

From:


71.10

71.14

Shift li

sted

as 601 on Transport

Log;

as 0630 on PCR.

To:


06301

6161

From:

12260 Foothill BI

., Sylmar 91342

71.10

71.14

Shif

t li

sted

as 601 on Tra

nspo

rtLo

g; as 0630 on PCR.

To:

4955 Van Nuys BI.

, Sh. Oaks 91403

,,,t.J

it.

),D

6601

(5231)

From:


71. 10

71.14

Dispatch Log lists Uni

t No.: 660

for Shift No.: 0930 and Uni

t No.:

71.02(a)

614 going out

at 1000 hrs, PCR

lists. Uni

t No.: 614 but the

narr

ativ

e lists Un

it No.: 931.

PCR submitted on 07/01/14.

T :

12260 Foothill 81., Sylmar 91342

n6601

09301

(5232)

From:


71.10

71.14

Shif

t li

sted

as 601 on Transport

Log;

as 0630 on PCR and 0930

on Dispatch Lo

g. Dispatch Log

shows Unit No

.: 660, whi

ch is

unpermitted, but PCR shows Unit

No.:

614 whi

ch is permitted.

To:

4955 Van Nuys BI,

Sh. Oaks 91403

0930

1,6601

(5251)

From:


71.10

71.14

Shif

t li

sted

as 601 on Transport

Log; as 0630 on PCR and 0930

on Dispatch Lo

g. Dispatch Log

shows Unit No

.: 660, whi

ch is


No.:

614 whi

ch is. permitted.

To:

4955 Van Nuys BI., Sh. Oaks 91403 -

n1

093u(5242)

6601 '

From:

4955 Van Nuys Bl.

Sh. Oaks 91403

71.10

71.14

Shif

t li

sted

as 601 on Transport

Log;

as 0630 on PCR and 0930

on Dispatch Lo

g. Dispatch Log

shows Uni

t No.: 660, whi

ch is


No.: 614 whi

ch is permitted.

To:

12260 Foothill BI

., Sylmar 91342

*As lis

ted on the

Dis

patc

h Log, PCR=Patient Care Report

1 The number listed on the

Dispatch Log is different from the Transport Logs and

/or the PCRs sub

mitt

ed by the company.

Run # in

small red

print within pa

rent

hesi

s.

MercyAmbl 527

.01n

v.06

1314

Page 12


Company Code 1527.0

June 2014

Revi

sed 07/10/2014

Red type denotes a vi

olat

ion.

DATE

SHIFT*

UNIT*

.

ADDRESSES

VIOLATION

COMMENTS

06/0

3/14

09301

6601

(5244)

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.10

71.14

Shif

t li

sted

as 601 on Tra

nspo

rtLog; as 0630 on PCR and 0930

on Dispatch Log. Dis

patc

h Log

shows Uni

t No.: 660, whi

ch is


No.: 614 whi

ch is pe

rmit

ted.

To:

12260 Foothill BL

, Sylmar 91342

IOL.,

6141

(5233)

From:

12260 Foothill BI

., Sylmar 91342

71.10

71 14

'

B/O 257(4)

Screen shot on

ly, no PCR

submitted. Transport Log lists

Shift as 1001

- T :

4955 Van Nuys B1.

, Sh. Oaks 91403

10001

71.14

6141

(5234)

From:


71.10

B/0 257(4)

Screen shot only, no PCR

submitted. Tra

nspo

rt Log lis

tsSh

ift as 1001

TO:

12260 Foothill B1

., Sylmar 91342

10001

6141

(5 237)

From:

12260 Foothill Bl

., Sylmar 91342

71.10

71.14

B/0 257(4)



Shift as 1001

:14600 Roscoe 131

:, Pan. City 91402

10001

71.14

6141

(5239)

From:


71.10

13/0 257(4)

Screen shot onl

y, no PCR


Shift as 1001

T :


,,,,-,,,

i kit

/VI

6141

0240)

From:

12260 Foothill B1., Sylmar 9134271. 10

71.14

B/O 257(4)

Illegal pi

ck up onl

y.Screen shot only, no PCR

submitted. Transport Log lis

tsSh

ift as 1001

To:

451 S. Brand Blv

d San Fern. 91340

-1000

6141

(5243)

From:

4955 Van Nuys BI.

, Sh. Oaks 91403

71.10

71.14

B/0 257(4)


•submitted: Tra

nspo

rt Log lists

submi

Shift as 1001

T :

12260 Foo

thil

l Bi

., Sylmar 91342

1000 1

6141

(5245)

From:

-14600 Roscoe B1.

, Pan. City 91402

71.10

71.14

B/O 257(4)



Shift as 1001

To:

12260 Foothill BI

., Sylmar 91342

*As lis

ted on the Dis

patc

h Log, PCR=Patient Care Rep

ort.

'The number listed on the

Dispatch Log is different f

rom th

e Transport Logs and

/or the PCRs sub

mitt

ed by the company.

Run # in

small red

print wit

hin parenthesis.


Page 13


Company Code 1527.0

June 2014

Revised 07/10/2014


lati

on.

DATE

SHIFT*

UNIT

*ADDRESSES

VIOLATION

COMMENTS

06103/14

1000

1i

6 14(5252)71.14

From•'

4955 Van Nuys BI.,Sh. Oaks 91403

71.10

B/0 257(4)



tsShift as 1001

To:

12260 Foothill BI

., Sylmar 91342

,, nnn

itJuu 1

6141

(5250)

From:

4955 Van Nuys B1., Sh_ Oaks 91403

71.10

71.14

B/0 257(4)



tsSh

ift as 1001

To:

12260 Foothill BI

, Sylmar 91342

14001

MI)

From:

451 S. Brand BI.

San Fern. 91340

71.02(a)

71.10

71.14

B/O 257(4)

Ille

gal drop off only

Unpermitted Driver (Campbell)

Unpermitted ve

hicl

eScreen shot only, no PCR

subm

itte

d

To:

12260 Foothill BL, Sylmar 91342

24001

Urik

n1.

(5227)

From:.12260 Foothill BI

., Sylmar 91342

71041

71.10

71.14

B/O 257(4)

Unpe

rmit

ted At

tnd (Galvan)1

Transport Log lists shift as 2401


subm

itte

dTo:


0610

4/14

07001

614

(5256)

From:

12260 Foothill BI

., Sylmar 91342

- 71.10

71.14

.To:

. 4955 Van Nuys Bl.

Sh. Oaks 91403

10301

616

(5257)

From:

122600 Foo

thil

l BI

., Sylmar 91342

71.10

71.14

PCR submitted on 7/1

/14

To:

4955 Van Nuys BI.

, Sh. Oaks 91403

*As lis

ted on the

Dispatch Log, PCR=Patient Care Rep

ort.

1 The number listed on the Dispatch Log is different from the Transport Logs and/or th

e PCRs sub

mitt

ed by the company.

Run # in

sma

ll red

pri

nt within pa

rent

hesi

s.

MercyAm b15

27.0

Inv.

061314

Page 14

Asso

ciat


Company Code 1527.0

Orig

inal

assessment

Revi

sed 07/10/2014

Month

Total

Runs

Tota

lViolations

Number of violation by category_

71.02(a)

71.03(b)

71.04

71.10

71.14

B/O 257(4)

June

37 71)

98(196)

2 4)

00

35(70).

35(70)

23(46)

$11,500.00

Grand Tot

al in Penalties:

$2,000.00

$0.00

_$0.00

$17,500.00

$17,500.00

1 Grand Totals

if doubled:

$4,000.00

$0.00

$0.00

$35,000.00

$35,000.00

$23,000.00

Numbers in parenthesis represent the totals if the fines were cal

cula

ted by incident instead of by day

.

NOTE: On July 1, 2014, after attending the Adm

inis

trat

ive He

arin

g, Mr. Rob

ert Williams submitted most, but not al

l, of the

documents that were supposed to have been submitted by June 24, 2014. Aft

er exa

mina

tion

of th

e ad

diti

onal

documentation, the

number and typ

e of violations found were adjusted up or down as nec

essa

ry. New violations

were imported to the table in green type.

If PCRs were sub

mitt

ed on 07/

01/1

4 that had not

been sub

mitt

ed in the

original req

uest

, a violation for Board Order 257(4) was removed. The new totals of violations and monetary

penalties are as fol

lows

:

Revised

viol

atio

n count — June 2014:

Month

Tota

lRuns

Total

Violations

Number of violation by category

71.02(a)

71.03(b)

71.04

71.10

71.14

B/O 257(4

39(78)

109(218)

7(14)

0(0)

1(2)

39(78)

39(78)

24 48)

Grand Tot

al in Penalties:

$7,000.00

$0.00

$1,000.00

$19,500.00

$19,500.00

$12,000.00

Grand Totals

if doubled:

$14,000.00

$0.00

$2,000.00

$39,000.00

$39,000.00

$24,000.00


Page 15


Company Code 1527.0

Fina

lize

d Results:

Revised 07

/10/

2014

Month

Total

Rtza .

._...1:1,...2a(2L2:L(2E12L.

. _ZLr2zL._

.yLIali2rls_i

70(140)

Number of Violations by Category

Total

187(

374)

22(44)

2(4)

5(10)

67(134)

67(134)

24(48)

May

2014

June

2014

39(7

8)7(14)

0(0)

--

1(2)

39(78)

39(78)

24(48)

110(220)

Grand

Tota

ls:

109(218)

29(58)

2(4)

6(12)

106(212)

106(212)

48(96)

297(594)

Monetary

Penalties:

$28,

500.

00(57,000.00)

$1,250.00

($2,

500.

00)

$4,000.00

8,000.00)

$52,700.00

($105,400.00

$52,700.00

($105,400.00)

$23,

000.

00($46,000.00)

Grand Tot

als:

$162

,150

.00

($324,300.00)

ed type numbers in parenthesis represent the totals as calculated by incident instead of by day

.

Tentative ov

eral

l Monetary Pen

alty

: $3

24,3

00.0

0

GENERAL NOTES:

NOTE #1: Many of the Tr

ansp

ort Logs and Pat

ient

Care Rep

orts

did

not

match up with the in

form

atio

n li

sted

on the

Disp

atch

Logs when i

t came to Shif

t numbers, Unit numbers and Driver/Attendant information.

NOTE #2: Ass

ocia

ted Ambulance, Inc

. Dba Mercy Ambulance (Mercy) was pla

ced on a company-wi

de sus

pens

ion

(LI1

4.09

7.td

w.ex

pire

d) on May 29, 2014 for failure to maintain a pol

icy of

automobile

liab

ilit

y insurance as req

uire

d by Los

Angeles Municipal Code 71.14. A company-wi

de sus

pens

ion means that the company may not

pic

k up or dr

op off wit

hin

the City of Los Angeles until the

company is in compliance and the sus

pens

ion

is lif

ted.

The sus

pens

ion ag

ains

t Mercy

was not lif

ted until June 5, 2014 when authorization to resume ser

vice

s (L

I14.

105.

tdw.

resu

me) was sen

t to

the company.

NOTE #3: During the Ad

mini

stra

tive

Hearing sch

edul

ed for

Mercy on June 17, 2014, the que

stio

n was asked reg

ardi

nghow the company rec

ords

the

ir Shi

ft numbers vs Uni

t numbers on the paperwork sub

mitt

ed by the

company on June 10,

2014. I

t was observed by Staff that the de

sign

atio

ns were ver

y in

cons

iste

nt and confusing. Mr

. Blake Cadogan,

Supe

rvis

or for the company, st

ated

tha

t fo

r th

at version of the CAD (Computer Aid

ed Dis

patc

h) pro

gram

installed in th

eir

Disp

atch

Cen

ter,

MercyAmbl 527.01nv.061314

Page

16

Asso

ciat

ed Ambulance, Inc


Company Code 1527.0

Revised 07/10/2014

there were only so many spaces to put Un

it designations. The Shi

ft numbers lis

ted on the Dispatch Log were the actual

times the ambulances started the

ir respective shifts, and the Uni

t number was what the ambulance crew used as the

ircall-in designation and tha

t the Unit number shown on the Tra

nspo

rt Logs were the Uni

t designations (i

.e., 660 sta

rtin

gth

eir shift at 0630 hrs.). This does not exp

lain

why there are more "Unit numbers" on the Transport Logs than there are on

the Dispatch Logs or why the Unit/Shift numbers do not match either the Dispatch Logs or the Transport Logs. (Example:

the June 3, 2014 Dispatch Log shows Unit # 616 beginning its Shi

ft at 0630; the Transport Log shows it

as Uni

t #601, and

on the PCR the crew lis

ts the "Unit No.

/Shi

ft No." as 616

/631

)

NOTE #4: On June 20, 2014, st

aff s

ent an e-m

ail to

Mr. Robert Williams requesting ad

diti

onal

documentation that was

not submitted wi

th the original request on June 10, 2014. The documentation needed to be submitted by June 24, 2014.

Neither Ro

bert

Wil

liam

s, nor

any representative fr

om Mercy submitted the requested documents. On June 25, 2014, an

addition fin

e of $500.00 was added to the overall penalty fo

r violation of Board Order 257

(4) —failure to submit requested

documentation.

ADDITIONAL INFORMATION

July

1, 2014 Adm

inis

trat

ive Hearing

Mr. Ro

bert

Williams attended as the representative fo

r Mercy Ambulance. Als

o in attendance was Sou

heil

Jawad who is

the owner of "Xtreme Care Ambulance, Inc.", a company bas

ed out of San Diego, Ca

lifo

rnia

. He is apparently in the

process of acquiring the sto

ck options of Mercy Ambulance, but

had no input for thi

s hearing because he is not of

fici

ally

recognized as a representative fo

r Me

rcy.

Per Mr. Wil

liam

s, Robert Ri

sher

is no longer op

erat

ing the company.

Investigators Shawn Mar

tin and Dale Horton and Senior Investigator Barker were also in

attendance.

Mr. Williams was advised of the excessive amount of violations and the proposed Monetary Penalty assessment of

$310

,700

.00.

He stated th

at he is appealing the amount and he wants to pr

opos

e a payment plan to

the Board, who are

the only ones tha

t can approve such a pla

n. Add

itio

nall

y, Mr. Williams was advised tha

t an additional $500.00 was

assessed because the company failed to submit missing documentation requested by Senior Investigator Bar

ker on June

20t

h. Those documents were delivered, vi

a e-mail, later that aft

erno

on.

The add

itio

nal documents will be examined and i

f any additional penalties are as

sess

ed, will be added to the company's

appe

al.


Page 17

Associated Ambulance, Inc. Dba Mercy AmbulanceCompany Code 1527.0

Revised 07/10/2014ADDRESSES

Listed below are the addresses involving the alleged violations: Addresses in blue ink arelocated within the City of Los Angeles.

Los Angeles County USC Hospital1200 N. State StreetLos Angeles, California 90033

Los Angeles County USC Hospital2051 Marengo St.Los Angeles, California 90033

Downey Regional Medical Center11500 Brookshire AveDowney, California 91241

H. Claude Hudson ComprehensiveHealth Center2829 S. Grand Ave.Los Angeles, California 90007

Keiro Convalescent2221 Lincoln Park AvenueLos Angeles, California 90031

San Fernando Post (Sub?) AcuteHospital12260 Foothill BlvdSylmar, California 91342

Sherman Oaks Kidney Center4955 Van Nuys Blvd.,Sherman Oaks, California 91403

Kidney Center of Sherman Oaks4955 Van Nuys BlvdSherman Oaks, California 91403

11822 S. Belhaven St.Los Angeles, California 90059

223 S. Central AveLos Angeles, California 90012

Men's Central JailInmate Reception Center450 Bauchet StreetLos Angeles, California 90012

Behavioral Health Clinic4619 Rosemead BlvdRosemead, California 91710

158 W. 78th StreetLos Angeles, California 90003

Los Angeles County USC Hospital1200 N. State StreetLos Angeles, California 90033

Fresenius Medical of San Fernando451 S. Brand BlvdSan Fernando, California 91240

Mission Community Hospital14850 Roscoe BlvdPanorama City, California 91402

U.S. Renal Care of Van Nuys4955 Van Nuys BlvdSherman Oaks, California 91403

Los Angeles Jewish Homes18855 Victory BlvdReseda, California 91335

MercyAmb1527.0Inv.061314 Page 18


Revised 07/10/2014

Sherman Oaks Hospital4929 Van Nuys BlvdSherman Oaks, California 91423

Applicable Regulations

Cedar Sinai Hospital8700 W. Beverly BlvdLos Angeles, California 90048

Vehicle permits are addressed in LAMC Section 71.02(a) which states, in part:

"No person or corporation shall drive, operate, or use, whether as owner, lessor, lesseeor otherwise, any of the vehicles defined in Section 71.00 to pick up or attempt to pick uppassengers within the limits of the City of Los Angeles, or allow or permit to be operated,driven, or used, whether as owner, lessor, lessee, or otherwise, any of the vehicles defined inSection 71.00, to pick up or attempt to pick up passengers within the limits of the City of LosAngeles, unless a written vehicle permit for the operation of such specifically defined vehicleshas been obtained from the Board . . ."

Driver permits are addressed in LAMC Section 71.03(b) which states, in part:

"No person shall drive a non-ambulatory passenger vehicle as defined in Section 71.00without first having obtained a non-ambulatory passenger vehicle driver permit from theBoard."

Attendant permits are addressed in LAMC Section 71.04, which states:

"No person shall act as an ambulance attendant in a private ambulance unlesssuch person holds an ambulance attendant permit or an ambulance driver permit issuedby the Board."

Operating a company during a suspension period is address in LAMC Section 71.10:

"From the time of the revocation or during the suspension of any permit, no personwhose permit is suspended or revoked shall drive, operate or be in charge of any of thevehicles defined in Section 71.00, or permit the vehicles on which the permit has beensuspended or revoked to engage in the several classes of business mentioned in Section71.00 or allow any such vehicle to stand while awaiting employment at a location designated insuch suspended or revoked permit until a new permit has been procured or until the period ofsuspension shall have expired."

Insurance requirements are addressed in LAMC Section 71.14, which states, in part:

"(a) Before any vehicle permit or franchise is issued for any vehicle mentioned inSection 71.00, the operator of the vehicle shall file with the Department, and shall thereafterkeep in full force and effect a policy of insurance in such form and amounts as the Board inconsultation with the City Administrative Officer's Risk Management Section may from time to



Revised 07/10/2014time require but not less than the appropriate sums specified. . . Such insurance shall bewritten by an insurance company authorized to do business in the State of California, insuringthe operator against liability for any loss or damage that may result to any persons or propertyfrom the operation of such vehicle."

Board Order 580 (1) indicates how a monetary penalty shall be applied, it states, in part:

MONETARY PENALTIES

1. VEHICLE PERMITTEES

Violation

b. Authorizing a person without a validdriver's permit issued by theDepartmentto pick up or attempt to pick uppassengers in the City:

d. Authorizing an individual to act asan attendant without a valid permitissued by the Department:

h. Failure to submit requestedfinancial andstatistical/operational reports whenrequired:

Submitting required or requesteddocumentation that is inaccurate,misleading, or incomplete:

Failure to maintain City requiredinsurance on file with theDepartment, lapse of insurancecoverage even if the coveragedocumentation and policy are lateradjusted to full coverage duration,or late submission of insurancedocumentation to the Department.

o. Failure to comply with any otherrule or regulation contained in anyBoard Order and successor

FirstPenalty per violation:

Second Third ormore

$500 $750 $1,000

$500 $750 $1,000

$300 $400 $500

$300 $400 $500

$300 $400 $500

$300 $400 $500


EXHIBIT I

Aug 07 2014 2:35PM Er-LE VI II VIII t MUE (5,-) 665 - 2410 p.1

Jon Kirk MukriGENERAL MANAGER


ERIC GARCETTIMAYOR

August 7, 2014

REGULAR MAIL & FAX

Associated Ambulance, Inc.Dba Mercy Ambulance7700 Imperial Highway, Suite DDowney, California, 90242Attn: Robert Risher, CEO

NOTICE TO CEASE TRANSPORTATION OP

on Ai.Igum 5, 2014, at its'SpeCialMeetrng of the Board of Tran(BOTC) the BOTC denied your company's appeal of the DepaMonetary Penalty of $324,300.00 and REVOKED AssociatedAmbulance's (Mercy) five (5) unrestricted Private Ambulance v

Ambulances used for patient transportation within the City ofto be permitted by the Department of Transportation. As ofnot possess the appropriate City-issued vehicle permits requups within the City. YOU AND YOUR COMPANY ARE HERCEASE AND DESIST from engaging in any Auto for Hire traincluding private ambulance services within the City of Los A

This is due notice to cease and desist from picking up passengAngeles without proper permits. Failure to comply with this notioffense and subject to criminal prosecution of both the driver ofof the company. Both the drivers and the owners may be subjassessed a monetary penalty pursuant to the Board of TranspoBoard Order No. 580.

Please contact Senior Transportation Investigator Patricia Barkquestions you may have regarding this cease and desist order.

Sin

cia BarkerSenior Transportation InvestigatorFranchise and Taxicab BureauEnforcement and Inspection Division

LE24-144.pab

c: LADOT

DEPARTMENT OF TRANSPORTATION100 South Main Street, 10th FloorLos Angeles, California 90012

(213) 972-8470FAX (213) 972-8410


FAX (866)316-8169

P7X

RATIONS

portation Commissionersment's assessment of abulance, Inc. d.b.a. Mercy

hicle authorities.

Los Angeles are requiredugust 5, 2014 Mercy doesred to initiate patient pickBY DIRECTED TOsportation service,geles.

rs in the City of Lose is a misdemeanorthe vehicle and the owner(s)t to arrest and/or beingation Commissioners'

r at (213)972-5998 for any

EXHIBIT J


ERIC R. EISENBERGPREEIUNT

NICOLE CMASEVICE PRESIDENT

JOHN LYRIJOY ESPINOZATAFARAI BAYNEGLENDA Y. SILVA

CRIS LIBAN

JASMIN SAN LUISACTING cOMMIEGIoN EXEGUTIVt ASSISTANT

August 5, 2014


Robert-RisherChief Executive OfficerAssociated Ambulance, Inc.,dba Mercy Ambulance7700 imperial Highway, Suite DDowney, CA 90242

ERIC GARCETTIMAYOR

DEPARTMENT OF TRANSPORTATIO

100 5. MAIN 8TREET, FLOGRLOS ANGELES, CA 90012

JON KIRK MUKRIGENERAL mANACER

Subject: Denial Appeal of Associated Ambulance, Inc., dba Mercy AmbulanceAt its Special meeting of August 5, 2014, the Board of Transportation Commissionersconsidered the evidence presented at a public hearing and voted to deny your appealof the Department's assessment of monetary penalties for multiple violations of the LosAngeles Municipal Code and Board Order 580.

A stamped copy of the Board's action is enclosed for your information.If you need further assistance, please contact Mr. Farhad Zaltash, TransportationEngineer at (213) 972-8441.

Sin ly,

Jas Sa LuisActi g Commission Executive Assistant

Enclosure

c; Patricia BarkerPdwin LumTracy Williams

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYERVWVVV,LAEIT*ORGLADOT

• T777:=7.7.Z.77. :1=7.

1

WARD REPORTCITY OF LOS ANGELES

DEPARTMENT OF TRANSPORTATIONtiDate: August 5, 2014



ITEM#7

Subject: APPEAL OF ASSOCIATED AMBULANCE,-INC., DBA MERCYAMBULANCE OF THE DEPARTMENTS JULY 1, 2014 ASSESSMENTOF MONETARY PENALTIES FOR MULTIPLE VIOLATIONS OF THE• LOS ANGELES MUNICIPAL CODE AND BOARD ORDER 580RECOMMENDATIONS

That your Board:

a. FIND that from May 19 through June 4, 2014, Associated Ambulance, Inc., d.b.a.Mercy Ambulance (Mercy) illegally operated permitted and unpermitted PrivateAmbulances for a total of 594 verified violations while under a Departmentmandated suspension and was appropriately assessed a monetary penalty of$324,300.00 by, the Department pursuant to Board Order 580;b. FIND that Mercy failed to comply with the rules and regulations contained in the.Los Angles Municipal Code; Board Order 257 and Board Order 580, Rule 1 (etal), by authorizing permitted,and unpermitted drivers, attendants and vehicles topick up and drop off patients within the City while under a Department mandatedsuspension;


d. DIRECT Mercy to submit payment of the assessed Monetary Penalty orsurrender the company's five'(5) unrestricted Private Ambulance decals to theDepartment by 3:00 p.m., on August 8, 2014,

INITIATED' BY

The Department initiated this report in view of Mercy's failure to abide by the rules andregulations of the City of Los Angeles and the Department of Transportation andMercy's repeated illegal transportation operations from May 19 through June 4, 2014,while the company was aware that itwas under a Department mandated suspension.

EXHIBIT K

M R MICHELMAN & ROBINSON, LLPATTORNEYS AT LAW

DAMARIS L. MEDINA

[email protected]

Via Fax and Certified Mail

Jasmin San LuisActing Commission Executive AssistantBoard of Transportation CommissionersDepartment of Transportation100 S. Main Street 10th FloorLos Angeles, CA 90012

Los Angeles Office

15760 Ventura Boulevard, 5th Floor

Encino, CA 91436

P818.783.5530 F 818.783.5507 www.mrlIp.com

August 8, 2014.

Re: Denial of Appeal of Associated Ambulance, Inc., dba Mercy Ambulance

Dear Ms. San Luis:

Our client Associated Ambulance, Inc., dba Mercy Ambulance ("Mercy"), is in receipt of

your correspondence of August 5, 2014, (received today at 12:00p.m. by UPS - next day air)

enclosing a stamped copy of the Board of Transportation Commissioners' Action regarding the

above referenced matter.

This letter shall confirm that pursuant to the enclosed stamped copy of the Board's Action

of August 5, 2014, Mercy was ready to submit payment of $324,000.00 by 3:00 p.m. today, in

order to avoid surrendering the company's five (5) unrestricted Private ambulance decals to the

Department, and avoid a suspension and/or revocation of its five unrestricted Private ambulance

vehicle authorities. Mercy attempted to make payment and was unable to since it found that the

offices were in fact closed prior to 2:30 p.m. Mercy, therefore intends on making payment in full

on Monday, August 11, 2014 to avoid a suspension of its operations in the city of Los Angeles. A

copy of Mercy's check, dated August 8, 2014, is also enclosed for your records.

Mercy's payment, and anything contained herein, shall in no way act as a waiver of

Mercy's review and/or appeal rights with the Los Angeles City Council (or any other such appeal

and/or review rights) in connection with the Department's July 1, 2014 assessment of monetary

penalties for multiple violations of the Los Angeles Municipal Code and Board Order 580, and/or

any subsequent decisions made by the Board on appeal.

Should you have any questions, please do not hesitate to contact our office.

Very truly yours,

MICHELMAN & ROBINSON, LLP

DAMARIS L. MEDINADM:sbEnclosures

367655 Los Angeles_ _I _____Orarige_County. _I Sacramento I San Francisco I New York

ti

HOARD OF TRANSPORTATION• COMMISSIONERS

ERIC R. EISENBERGPREEIDIevr

NICOLE CHASEME PRESIDENT

JOHN LYRUDY ESPINOZATAFARA1 BAYNEGLENDA Y. SILVA

CRIS LIBAN

JASMIN SAN LUISADtINs DOMMIESIDN Dm-WIVE AssIsTANT

August 5, 2014


Robert RisherChief Executive OfficerAssociated Ambulance, Inc.,dba Mercy Ambulance7700 Imperial Highway, Suite DDowney, CA 90242

ERIC GARCETEIMAYOR

DEPARTMENT OFIRANSPORTATIO100 S. MAIN SYREET, 1011 FLOoR

LOS ANGELES, CA 50012

JON KIRK MUKRIGENERAL mANAGER

Subject: Denial Appeal of As,sociated Ambulance, Inc., dba Mercy AmbulanceAt its Special meeting of August 5, 2014, the Board of Transportation Commissionersconsidered the evidence presented at a public hearing and voted to deny your appealof the Department's assessment of monetary penalties for multiple violations of the LosAngeles Municipal Code and Board Order 580.

A stamped copy of the Board's action is enclosed for your information.If you need further assistance, pleAse contact Mr. Farhad Zaltash, TransportationEngineer at (213) 972-8441.

ior

Alb


Enclosure

c: Patricia BarkerEdwin LumTracy Williams

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER imAMILA=Tirzn.-AroT

ITEM#7


DEPARTMENT OF TRANSPORTATIONDate: August 6, 2014


From: • Jon Kirk Mukri, General Manager

Subject: APPEAL OF ASSOCIATED AMBULANCE, INC., DBA MERCYAMBULANCE OF THE DEPARTMENT'S JULY 1, 2.014 ASSESSMENTOF MONETARY PENALTIES FOR MULTIPLE VIOLATIONS OF THE• LOS ANGELES MUNICIPAL CODE AND BOARD ORDER 580RECOMMENDATIONS

That your Board:

FIND that from May 19 through June 4, 2014, Associated Ambulance, Inc., d.b.a.Mercy Ambulance (Mercy) illegally operated permitted and unpermitted PrivateAmbulances for a total of 594 verified violations while under a Departmentmandated suspension and was appropriately assessed a monetary penalty of$324,300.00 by the Department pursuant to Board Order 580;

b. FIND that Mercy failed to comply with the rules and regulations contained in the.Los Angles Municipal Code; Board Order 257 and Board Order 680, Rule 1 (etal), by authorizing permitted and unpermitted drivers, attendants and vehicles topick up and drop off patients within the City while under a Department mandatedsuspension;


d. DIRECT Mercy to submit payment of the assessed Monetary. Penalty orsurrender the company's five(5) unrestricted Private Ambulance decals to theDepartment by 3:00 p.m., on August 8, 2014,

INITIATED BY

The Department initiated this report in view of Mercy's failure to abide by the rules andregulations of the City of Los Angeles and the Department of Transportation andMercy's repeated illegal transportation operations from May 19 through June 4, 2014,while the company was aware that itwas under a Department mandated suspension.

7

..Z 1 LT, 2 5 (P7' r3FACEOF THIS DOCUMENT HAS A COLORED BACKGROUND WHITE PAPER A D ORIGINAL

DOCOMERSEmriyAOMMO

Weil& Fargo510 Washington St.

San Diego, CA. 92103

11-4288/1210

121,042E18 1:506790736

M R MICHELMAN & ROBINSON, LLPATTORNEYS AT LAW

DAMARIS L. MEDINA

[email protected]

Via Fax and Certified Mail

Mr. Farhad ZaltashTransportation EngineerDepartment of Transportation100 S. Main Street 10th FloorLos Angeles, CA 90012

Los Angeles Office

15760 Ventura Boulevard, 5th Floor

Encino, CA 91436

P818.783.5530 F 818.783.5507 www.mrlIp.com

August 8, 2014.

Re: Denial of Appeal of Associated Ambulance, Inc., dba Mercy Ambulance

Dear Mr. Zaltash:

Our client Associated Ambulance, Inc., dba Mercy Ambulance ("Mercy"), is in receipt ofyour correspondence of August 5, 2014, (received today at 12:00p.m. by UPS - next day air)enclosing a stamped copy of the Board of Transportation Commissioners' Action regarding theabove referenced matter.

This letter shall confirm that pursuant to the enclosed stamped copy of the Board's Actionof August 5, 2014, Mercy was ready to submit payment of $324,000.00 by 3:00 p.m. today, inorder to avoid surrendering the company's five (5) unrestricted Private ambulance decals to theDepartment, and avoid a suspension and/or revocation of its five unrestricted Private ambulancevehicle authorities. Mercy attempted to make payment and was unable to since it found that theoffices were in fact closed prior to 2:30 p.m. Mercy, therefore intends on making payment in fullon Monday, August 11, 2014 to avoid a suspension of its operations in the city of Los Angeles. Acopy of Mercy's check, dated August 8, 2014, is also enclosed for your records.

Mercy's payment, and anything contained herein, shall in no way act as a waiver ofMercy's review and/or appeal rights with the Los Angeles City Council (or any other such appealand/or review rights) in connection with the Department's July 1, 2014 assessment of monetarypenalties for multiple violations of the Los Angeles Municipal Code and Board Order 580, and/orany subsequent decisions made by the Board on appeal.

Should you have any questions, please do not hesitate to contact our office.

Very truly yours,

MICHELMAN & ROB SON, LLP

DAMARIS L. MEDINDM:sbEnclosures

368114 Ins Angeles I Orange County I Sacramento .4_ San_Erancicce_w_Yosk

BOARD OF TRANSPORTATION• COMMISSIONERS

ERIC R. EiSENBERGPusiblavr

NIOOLS CHASEVICE PRESIDENT

JOHN LYRUDY ESPINOZATAFARAI BAYNEGLENDA Y. SILVA

CRIS LIMN

JASMIN SAN LUISACTIN0 COMMIOSION EXKVTIVE As:SWAMI

August 5, 2014

. CITY OF LOS ANGELESCALIFORNIA

Robert-RisherChief Executive OfficerAssociated Ambulance, Inc.,dba Mercy Ambulance7700 Imperial Highway, Suite DDowney, CA 90242

ERIC GARCETHMAYOR

DEPARTMENT OF TRANSPORTATIO

10o S. MAIN STREET, 10E FLOORLOS ANGELES, CA 0052


Subject: Denial Appeal of Associated Ambulance, Inc., dba Mercy AmbulanceAt its Special meeting of August 5, 2014, the Board of Transportation Commissionersconsidered the evidence presented at a public hearing and voted to deny your appealof the Department's assessment of monetary penalties for multiple violations of the LosAngeles Municipal Code and Board Order 580.

A stamped copy of the Board's action is enclosed for your information.If you need further assistance, please contact Mr. Farhad Zaltash, TransportationEngineer at (213) 972-8441.

Sin - - ly,


Enclosure

c: Patricia BarkerRiwin LumTracy Williams

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYERVW1AIVIACTIY:ORaii:Ann

ITEM#7


DEPARTMENT., OF TRANSPORTATIONDate: August 5, 2014

To: • Board of Transportation Commissioners


Subject: APPEAL OF ASSOCIATED AMBULANCE, INC., DBA MERCYAMBULANCE OF THE DEPARTMENTS JULY 1, 2014 ASSESSMENTOF MONETARY PENALTIES FOR MULTIPLE VIOLATIONS OF THE• LOS ANGELES MUNICIPAL CODE AND BOARD ORDER 580RECOMMENDATIONS

That your Board:

a. FIND that from May 19 through June 4, 2014, Associated Ambulance, Inc., d.b.a.Mercy Ambulance (Mercy) illegally operated permitted and unpermitted PrivateAmbulances for a total of 594 verified violations while under a Departmentmandated suspension and was appropriately assessed a monetary penalty of$324,300.00 by the Department pursuant to Board Order 580;b. FIND that Mercy failed to comply with the rules and regulations contained in the.Los Angles Municipal Code; Board Order 257 and Board Order 580, Rule 1 (etal), by authorizing permitted and unpermitted drivers, attendants and vehicles to .pick up and drop off patients within the City while under a Department mandatedsuspension;


d. DIRECT Mercy to submit payment of the assessed Monetary Penalty orsurrender the company's five-(5) unrestricted Private Ambulance decals to theDepartment by 3:00 p.m., on August 8, 2014,

INITIATED BY

The Department initiated this report in view of Mercy's failure to abide by the rules andregulations of the City of Los Angeles and the Department of Transportation andMercy's repeated illegal transportation operations from May 19 through June 4, 2014,while the company was aware that it-swas under a Department mandated suspension.

rHE 1-ACE. OF THIS DOCUMENT HAS A COLONE ACKGRDUNDONWHIIEPAPERANDORIGINW, 01)01$10 ENT sawn ;Aca

. - .

Wells Fargo510 Washington St.

San Diogo, CA. 92103

11-4288/1210

P.SIGNATUIR

447.

exhibit a - los angeles · 2014-08-27 · 06/18/14 ceeiati 06/21/14 $2,795.77 mtu70000802-01...

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