AMBULANCES

North Las Vegas Municipal Code tit. 8, ch. 8.08

in effect

North Las Vegas Municipal Code § 8.08.010 Definitions.

8.08.010 - Definitions. For the purposes of this chapter, the following terms, phrases, words, and abbreviations shall have the meanings given herein, unless otherwise expressly stated. When not inconsistent with the context, words used in the present tense include the future tense; words in the plural number include the singular number, and words in the singular number include the plural number; and the masculine gender includes the feminine gender. The words "shall" and "will" are mandatory; and the word "may" is permissive. Unless otherwise expressly stated, words not defined herein shall be given their common and ordinary meaning. A. "Advanced Life Support, Level 1" or "ALS1" and "Advanced Life Support, Level 2," or "ALS2" have the same meanings as the definitions of those terms in the Code of Federal Regulations, 42 C.F.R. 414.605, as may be amended. B. "Air Ambulance" means an aircraft specially designed, constructed, modified or equipped to be used for the transportation of injured or sick persons. The definition of Air Ambulance does not include any commercial aircraft carrying passengers on regularly scheduled flights. C. "Ambulance" means a motor vehicle which is specially designed, constructed, equipped and staffed to provide basic, intermediate or advanced care for one or more: (1) sick or injured persons; or (2) persons whose medical condition may require special observation during transportation. For the purposes of this chapter, vehicles used for non-medically supervised patient transfer service and special event medical service are specifically excluded from this definition. D. "Ambulance Service" means emergency medical care and transport and/or non-emergency medical care and transport to include inter-facility ambulance transport service provided to patients utilizing an ambulance and appropriately licensed personnel. This definition excludes vehicles used for non-medically supervised patient transfer service, air ambulance service or special event medical service. E. "Applicant" means a person who submits a completed application for a franchise as set forth in this chapter. F. "Application" means all written documentation, statements, representations and warranties provided to the City by an Applicant, in accordance with this chapter, to be relied upon by the City Council in making its determination of whether to grant or withhold a franchise. G. "Automatic Vehicle Locator" or "AVL" means the automated system used to track or determine the physical location of vehicles through a Global Positioning System (GPS), on a computerized mapping system that is integrated with the Combined Communications Center. H. "AVL/GPS Data Reports" means Global Positioning System (GPS) data that a franchisee may use to report it was at scene thereby providing a means to calculate an official response time. I. "Basic Life Support" or "BLS" has the same meaning as the definition of that term in the Code of Federal Regulations, 42 C.F.R. 414.605, as may be amended. J. "CAD" or "Computer Aided Dispatch" means the system utilizing computer technology which dispatches emergency vehicles to both emergency and non-emergency calls. K. "City" means the City of North Las Vegas, Nevada. L. "County" means Clark County, a political subdivision of the State of Nevada. M. "City Council" means the governing body of the City. N. "City Manager" means the person appointed by the City Council to perform such administrative functions of the City Government as may be required by the City Council. O. "Code" means the North Las Vegas Municipal Code, as amended from time to time. P. "Combined Communications Center" means the office referred to as the "fire alarm office" or "FAO" in the Health District Regulations which is administered by the City of Las Vegas through an interlocal agreement among the City, the City of Las Vegas, and Clark County, or the successor to that office. Q. "Critical Care Transport" (CCT) or "Specialty Care Transport" (SCT) both have the same meaning as the definition of the term "specialty care transport" in the Code of Federal Regulations, 42 C.F.R. 414.605, as may be amended. R. "Emergency" has the same meaning as that term is defined in the Health District Regulations, as may be amended. S. "Emergency Medical Care" means medical care given to a patient in an emergency situation before the patient arrives at a hospital or other medical facility until responsibility for the patient is assumed by the medical staff at such facility. T. "Emergency Medical Service" or "EMS" means a system comprised of a chain of services linked together to provide emergency medical care for the patient at the scene, during transport, and upon entry at a hospital or other medical facility. U. "Emergency Response" has the same meaning as the definition of that term in the Code of Federal Regulations, 42 C.F.R. 414.605, as may be amended. V. "EMS Priority Dispatch" means the system of protocols used by emergency medical dispatchers (EMDs) to give lifesaving instructions regarding a patient, using a priority card or computer software program, to a caller who has requested EMS, which categorizes the patient into one of five levels of dispatch categories using alphabetical letters A, B, C, D or E. W. "Fire Chief" means the director of the City's fire department or their designee. X. "Fire Department" means the City of North Las Vegas Fire Department providing ALS level service to patients as the first responder to an emergency medical scene. Y. "Franchise" means the authorization granted to a person by the City Council to Ambulance Service within the rights-of-way, highways, streets, roads and alleys in specified areas of the City. The terms and conditions of such authorization will be described in a franchise agreement specific to such purpose. Z. "Franchise Agreement" means the written agreement entered into between the City and a franchisee evidencing the City's authorization for a franchisee to provide Ambulance Service and describing the terms and conditions of the Franchise. AA. "Franchise Service Area" or "Service Area" means the geographic area of the City, including any sub-zones thereof, specified in a Franchise Agreement wherein a franchisee is authorized and required to provide Ambulance Service. BB. "Franchisee" means a person to whom an Ambulance Service Franchise is granted by the City Council pursuant to this chapter. CC. "Health District" means the Southern Nevada Health District, its officers and authorized agents. DD. "Health District Regulations" means the applicable EMS regulations adopted by the Southern Nevada Health District, as amended from time to time. EE. "Health Officer" means the Health Officer of the Health District. FF. "Inter-Facility Ambulance Transport Service" means the transport of a patient by ambulance that originates and terminates at previously designated care facilities or other locations. GG. "Manager of Business License" means the manager of the City's business license division. HH. "Maximum Ambulance Service Rate" means the maximum amount that a Franchisee may bill a patient or other payer for the level of Ambulance Service provided to the patient, as established in this chapter, including all ancillary services and supplies used in providing Ambulance Service. II. "Mobile Data Terminal" or "MDT" means a computerized device used in emergency vehicles to communicate with a central dispatch office. JJ. "Mutual Aid" means aid provided by the Fire Department in response to a request by a Franchisee through the Combined Communications Center to provide Ambulance Service in the Franchisee's authorized Service Area. KK. "Non-Emergency Ambulance Service" means prearranged non-911 Ambulance Service provided to patients with non-life-threatening conditions that does not require the use of lights and sirens, including without limitation non-emergency Ambulance Service requested at special events and other non-911 dispatched Ambulance Service requests that would be categorized as non-emergency transfers or level 33-A calls (as that term is approved and endorsed by the Health District) when processed through EMS Priority Dispatch protocol. LL. "Non-Medically Supervised Patient Transfer Service" means the transportation of a person that does not require any medical supervision, observation or care while en route, as permitted by the State of Nevada Transportation Services Authority. MM. "Person" means any individual, partnership, firm, joint stock company, corporation, association, trust, estate, or other legal entity. NN. "Request for Proposal (RFP) process" means the process by which a Franchisee obtains a Franchise from the City when a new Franchise is required under this chapter or when the City Council has determined that a new Franchise will serve the public convenience. OO. "Response Time" means the time period measured from the time of receipt by a Franchisee of electronically transferred information from the Combined Communications Center dispatch facility (including patient location, EMS Priority Dispatch code, and call-back number) to the time when the ambulance dispatched to the incident arrives and reports that it is "on scene" or when the dispatched ambulance en route to an incident is canceled by the Combined Communications Center dispatch. PP. "Rights-of-Way" means property dedicated to, granted to, held by or prescriptively used by the City for public street purposes. QQ. "Service Category" means the type or level of Ambulance Service that is specified in a Franchise granted pursuant to this chapter. RR. "Seven-Digit Request for Emergency Service" means any telephone request for emergency Ambulance Service that is received directly by a Franchisee from any source, including from representatives of law enforcement agencies, which are required to be electronically transferred immediately to the Combined Communications Center system. SS. "Special Event" includes, but is not limited to, sporting events, competitive races, athletic activities, block parties, grand openings, fireworks displays, live musical events, community celebrations, and other similar types of entertainment which are not offered on a continuous basis, whether or not a fee is charged for admission, entrance or other participation. TT. "Special Event Medical Service" or "SEMS" means the providing of medical care to the participants and members of the public in attendance at a Special Event pursuant to a contractual arrangement between a special event medical service provider or a Franchisee and the Special Event owner, operator, promoter, organizer, or any other persons authorized to enter into such contractual arrangements on behalf of the Special Event. UU. "Special Event Medical Service Provider" or "SEMS Provider" means a person who has obtained a special event medical service provider business license pursuant to Title 5 of this Code and special purpose Ambulance Service permits required pursuant to Health District Regulations. VV. "Special Event Vehicle" means a special purpose vehicle permitted by Health District Regulations which may be used only to provide standby medical coverage at any predesignated Special Event. Except as otherwise provided in this chapter, the term does not include a vehicle which provides Ambulance Service over City Rights-of-Way. WW. "Sub-Zone" means a portion of a Franchise Service Area as defined in a Franchise Agreement. XX. "Transfer of Ownership or Control" means: 1. Any transaction in which: (i) any ownership or other right, title, or interest of more than five percent (5%) in a Franchisee or its Ambulance Service is transferred, sold, assigned, leased, sublet, or mortgaged, directly or indirectly, voluntarily or involuntarily, in whole or in part; or (ii) there is any change or transfer of control of a Franchise or Ambulance Service; or (iii) the rights and/or obligations held by a Franchisee under its Franchise are transferred, directly or indirectly, to another party; or (iv) any change or substitution occurs in the managing general partners of a Franchisee, where applicable; or (v) a Franchisee, or its corporate parents at any level, enter into any transaction that materially increases the debt that is to be borne by the Franchisee, directly or indirectly, in a manner that will adversely affect users of the Ambulance Service. 2. A refutable presumption that a transfer of control has occurred shall arise upon the acquisition or accumulation of five percent (5%) or more of the ownership of an entity by any Non-Medically Supervised Patient Transfer Service or group of persons acting in concert, none of whom already own or control fifty percent (50%) or more of such right or control, singularly or collectively. 3. A Franchisee is responsible for ensuring that the intent of this chapter regarding transfers is carried out. If for any reason an event occurs that would require the City's approval of a transfer pursuant to this chapter, whether or not such event is directly or indirectly within the Franchisee's control, such event shall constitute a transfer for purposes of this chapter and any applicable law. YY. "Transponder" means an electronic device affixed to an Ambulance that activates the private access gates located within the Franchise Service Area. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.020 Purpose.

8.08.020 - Purpose. The purpose of this chapter is to govern the franchising and/or regulation of Ambulance Service and Special Event Medical Service in the City. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.030 Business License Required.

8.08.030 - Business License Required. Each Franchisee and Special Event Medical Service Provider must hold a valid business license specific to that purpose issued by the Manager of Business License, after application and compliance with all applicable requirements of Title 5 of this Code. Business license fees shall be paid pursuant to Title 5 of this Code. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.040 Franchise Required.

8.08.040 - Franchise Required. Except as provided herein: A. It is unlawful for any person to provide Ambulance Service (whether emergency Ambulance Service or non-emergency Ambulance Service) in the City without first obtaining and thereafter maintaining a Franchise and paying the Franchise fee as required by this chapter. B. A Franchise granted under this chapter may be exclusive for any Service Area as set forth in a Franchise Agreement. C. A Franchise shall not be required for any out-of-jurisdiction Ambulance Service provider who is licensed, franchised and properly permitted by the jurisdiction in which the service originated providing emergency cross-jurisdictional Ambulance Service which originated outside the unincorporated city. D. The City reserves the right to provide Ambulance Service through its own employees, pursuant to a contract with a third-party service provider, or by awarding an ambulance Franchise Agreement. E. A Franchise shall not be required for any Ambulance Service that is requested for Mutual Aid as approved through the Fire Department or as outlined in the applicable Franchise Agreement. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.050 Special Event Medical Service (SEMS).

8.08.050 - Special Event Medical Service (SEMS). A. A Franchisee shall not be required to provide Special Event Medical Service. B. A Franchisee may provide Special Event Medical Service and may use its Ambulances to transport patients from the location of a Special Event whether or not the event is located in the Franchisee's authorized Service Area, in accordance with the Service Category authorized in its Franchise Agreement. C. Within the City, a SEMS Provider whose Special Event Vehicle is staffed and equipped pursuant to Health District Regulations may transport a patient from a Special Event it has been contracted to serve only if the condition of a patient is so severe that the patient requires immediate Ambulance Service (e.g., penetrating trauma, acute myocardial infarction, evolving cerebral vascular accident, difficult airway management, etc.) provided that such transport is approved by the Health District and the Fire Department as described in subsection (C)(3) of this section, and the SEMS Provider complies with the following requirements: 1. The SEMS Provider shall keep current and on file with the Manager of Business License proof of insurance pursuant to Section 8.08.170 of this chapter. 2. Prior to transport or while en route, the SEMS Provider shall contact the medical facility to which the transport is being made, if known, and the Combined Communications Center to provide an alert of the SEMS Provider's intent to transport and to obtain the name of the medical facility to which the patient should be transported. 3. Within seventy-two (72) hours of the transport, the SEMS Provider shall submit a written report of the patient transport to the Fire Department and to the Health District, pursuant to Health District Regulations. 4. If the SEMS Provider is transporting the patient to a location suitable for transferring the patient to an Ambulance or Air Ambulance, prior to transport the SEMS Provider shall contact the Combined Communications Center to request that an Ambulance or Air Ambulance be dispatched to the transfer location. 5. If the SEMS Provider is near a medical facility and it is a medical benefit to the patient to transport to that facility, prior to transport the SEMS Provider shall contact the Combined Communications Center to ensure that the medical facility to which the transport is being made is available and appropriate; if the facility is not available or is determined to be inappropriate after contacting the Combined Communications Center, the SEMS Provider shall arrange for transport pursuant to subsection (C)(4) of this section. 6. The SEMS Provider shall file a semi-annual written report, in conjunction with its business license renewal application pursuant to Title 5 of this Code, with the Manager of Business License, in a form approved by the Manager of Business License, describing its patient transports during the past business license period. 7. If requested to do so by the City, a SEMS Provider shall make its staff and equipment available to aid and assist the City in the event of wide-scale emergency or disaster and, if requested, shall cooperate with and participate in an emergency planning program conducted or sponsored by the City's office of emergency management. 8. Failure of a SEMS Provider to comply with the provisions of this chapter and applicable sections of Title 5 of this Code may result in business license penalties, including revocation of the SEMS Provider's business license. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.060 Fire Department Exemption.

8.08.060 - Fire Department Exemption. Nothing contained in this chapter shall apply to or prevent the Fire Department from furnishing Ambulance Service with City Council approval or to persons furnishing volunteer Ambulance Service with City Council approval; provided, however, in no event shall such Ambulance Service or Fire Department violate the provisions of a Franchise Agreement for Ambulance Service entered into pursuant to this chapter. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.070 Number and Service Category of Franchises May Be Restricted.

8.08.070 - Number and Service Category of Franchises May Be Restricted. After having conducted a public hearing specific to such purpose, the City Council may, in its sole discretion, specify by resolution a fixed number of Franchises, including Franchise Service Categories, to be granted within the City. If the City Council has not specified by resolution a fixed number of Ambulance Service Franchises to be granted within the City, then prior to accepting a new application for a Franchise the City Council shall first conduct a public hearing and, in its sole discretion, make a determination on whether a new Franchise will serve the public convenience and necessity. The City Council shall not grant an additional Franchise in a Service Area in which an exclusive Franchise has been granted unless and until the Franchise Agreement for such exclusive Franchise has expired or been terminated in accordance with its terms. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.080 Franchise Fees.

8.08.080 - Franchise Fees. The Franchise fee shall be the amount set forth in a Franchise Agreement which has been determined necessary to partially reimburse the City for costs incurred in dispatch processing, providing and/or arranging for services, administering the Franchise Agreement, and such other service as permitted by applicable law. Franchise fees shall be paid according to the provisions of the Franchise Agreement, and shall be accompanied by such supporting documentation as the Fire Chief or their designee deems necessary. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.090 Application for Franchise.

8.08.090 - Application for Franchise. A. Whenever the number of Franchisees within the City is less than the maximum number established by the City Council pursuant to this chapter, or if the City Council has not established a maximum number of such Franchisees but has determined that a new Ambulance Service Franchise will serve the public convenience and necessity, a person may apply for a new Franchise by submitting an application to the City Manager or their designee in accordance with the requirements and terms of the formal Request for Proposal (RFP) process. B. The Application shall be in writing and shall include the following: 1. For a sole proprietor: a. The name and business and residence addresses of the Applicant. 2. For a corporation: a. The corporate name, date and place of incorporation, address of its principal place of business, and identification of the ownership and control of the applicant, including: (i) The names and addresses of the ten (10) largest holders of an ownership interest in the applicant and affiliates of the applicant; (ii) All persons with five percent or more ownership interest in the applicant and its affiliates; (iii) The persons who control the applicant and its affiliates, all officers and directors of the applicant and its affiliates; and (iv) Any other business affiliation and ownership interest of each named person. b. A copy of the articles of incorporation and all effective amendments certified by the appropriate officer of the state of incorporation. c. A certificate of good standing from the Nevada Secretary of State. 3. For a partnership or association: a. The names of the owners, partners or the persons comprising the association of the company; b. The names and percentage of ownership of each owner, partner or person; c. The business and residence addresses of each owner, partner or person; and d. If the applicant is operating under a fictitious firm name, a copy of the certificate filed pursuant to NRS 602. 4. For a limited-liability company: a. The limited liability company name, date and place of organization, the address of the principal place of business and the ownership and control of the limited liability company, including: (i) Whether the limited liability is managed by member(s) or manager(s), (ii) A list of the managers, members, officers and persons who may otherwise control the operations of the limited liability company, and (iii) A list of any businesses in which any of the persons listed in item 4(ii) have a five percent or more ownership interest. b. A copy of the articles of organization. 5. A statement with such references as may be acceptable to the City Manager or their designee describing the qualifications and experience of the Applicant and the personnel who will manage the Franchise; all geographic areas and/or all other jurisdictions currently or previously provided Ambulance Service by the Applicant; performance standards achieved; and levels of service provided. This section shall not be deemed as precluding an Application from a new business entity, provided that the principals in such entity are able to demonstrate that the new entity can satisfy the requirements for a Franchise set forth in this chapter; 6. A letter of intent from an insurance carrier stating that, if a Franchise is granted, an insurance policy will be issued in the amount and under the conditions stated in this chapter or as otherwise stated under the applicable Franchise Agreement; 7. A letter of commitment from a qualified institution acceptable to the City Manager or their designee stating that, if a Franchise is granted, performance security in the kind and amount stated in this chapter will be issued securing the Applicant's performance under the Franchise Agreement; 8. A written description of the AVL system and the CAD system or other system the Applicant intends to utilize. The AVL system and the computer aided dispatch system must be based within the City and be compatible with the CAD system used by the Combined Communications Center; 9. A written description of the communication system and dispatch procedures the Applicant intends to utilize, including a copy of the Applicant's Application to the Federal Communication Commission for an appropriate license; 10. The color scheme, logo and uniform design proposed to be used to designate the Ambulance(s) and personnel of the Applicant, which shall not be the same as or confusingly similar to the color schemes or designs of the Fire Department or other Ambulance Service providers operating in the City; 11. A description of the Applicant's proposed operating procedures related to training, staffing, billing, collections, customer relations and maintenance of records; 12. Information as required by the City Manager or their designee for evaluation of the Applicant's financial ability to provide Ambulance Service, including, but not limited to: a. A statement outlining the extent to which the Applicant has been in the Ambulance Service business before filing the Application; and b. Documented financial information as the City Manager or their designee may require. C. A Franchisee may request renewal of its Franchise within twelve (12) months prior to the Franchise expiration date. The City Manager may waive or add any Application requirements for renewal of a Franchise. A Franchisee shall cooperate with the City in any renewal proceeding and shall provide such information as the City shall reasonably request in such a renewal proceeding. D. The City Council, in its sole discretion, may solicit bids for Franchises and establish such requirements for bids as it deems appropriate, the requirements for Application stated herein notwithstanding. Bids received shall be reviewed and investigated by the City Manager or their designee, who shall report their findings to the City Council. After receiving the City Manager's report, the City Council may grant a Franchise, not grant a Franchise or take any other action it may deem appropriate. E. All of the costs incurred by the City in processing an Application for an Ambulance Service Franchise shall be borne by the Applicant. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.100 Franchise Approval.

8.08.100 - Franchise Approval. A. When the City Manager or their designee determines that an Application for a Franchise is complete and in accordance with the formal Request for Proposal (RFP) process, and upon payment by the applicant of a nonrefundable fifteen thousand dollar ($15,000.00) Application fee, the City Manager or their designee shall review the Application and report their findings to the City Council. The Applicant shall reimburse the City for any or all actual costs of such review in excess of the Application fee. B. The City Manager may also recommend approval of a new Franchise for a Franchisee based on such Franchisee's compliance with the terms and conditions of an existing Franchise Agreement without the requirement of additional Application materials or fees. C. The City Council, in its sole discretion, may approve or reject any Application, grant or deny any Franchise, or request further investigation or review or direct other actions. D. Notwithstanding, any Franchise approval shall be conditioned upon the new Franchisee securing Ambulance Service accreditation within twelve (12) months of any provisional Franchise. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.110 Franchise Agreement.

8.08.110 - Franchise Agreement. A. As a condition of the issuance of a Franchise, each Applicant or existing Franchisee shall execute a Franchise Agreement in such form as may be approved by the City Council. The Franchisee shall be subject to all requirements of the City ordinances, rules, regulations and specifications, as they may be amended from time to time, insofar as the regulations and specifications are not in violation of any state or federal laws or regulations. The City reserves every right and power to exercise any requirements included in any chapter of the code, and the Franchisee, by its acceptance of the Franchise, agrees to be bound thereby and comply with any action or requirements of the code, as amended. B. A Franchise may grant exclusive permission to the Franchisee, pursuant to the provisions of this chapter, to provide Ambulance Service for the Service Category so authorized, at the level of service and in the Service Areas specifically described in the Franchise Agreement, according to the terms and conditions contained in the Franchise Agreement. C. In addition, the following provisions shall apply: 1. The Franchise Agreement shall incorporate and be subject to the provisions of this chapter, as it may be amended from time to time, all of which shall be binding upon the Franchisee and its approved successors, transferees of ownership or control, and assignees, and in no event shall this chapter be considered a contract between the City and the Franchisee such that the City would be prohibited from amending any provision hereof. Notwithstanding the above, without the prior written consent of an existing Franchisee, to be granted in its sole discretion, no amendment to this chapter or the code shall be enacted that would alter the terms of an existing Franchise Agreement prior to the expiration or termination of such Franchise Agreement in accordance with its terms. 2. All documents provided by the Applicant as part of the completed Application and all statements, representations, warranties and promises made therein by the Applicant and relied upon by the City in granting the Franchise shall be binding upon the Franchisee. 3. A Franchise shall be revocable in accordance with the provisions of this chapter if the Franchisee fails, for reasons other than force majeure, to provide Ambulance Service within the period of time specified in the Franchise Agreement. 4. A Franchise Agreement shall set forth its term. 5. No privilege or exemption shall be inferred from the granting of any Franchise unless it is specifically mentioned in this chapter or in the Franchise Agreement. 6. The granting of a Franchise pursuant to this chapter shall not impart to the Franchisee any vested ownership right or ownership interest in any Right-of-Way or City property, notwithstanding the right to use City Rights-of-Way or City property to provide its Ambulance service. 7. The Franchisee shall at all times during the term of the Franchise Agreement be subject to all lawful exercise of the police power by the City, including any and all ordinances, rules or regulations which the City has adopted or may adopt, which apply to the public generally. Subject to the provisions of this section, any conflict between the provisions of this chapter and any other present or future lawful exercise of City police powers shall be resolved in favor of the City police powers. 8. The Franchise shall be conditional to the Franchisee's compliance with all applicable local, state, and federal laws and regulations. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.120 Ambulance Service Rates.

8.08.120 - Ambulance Service Rates. A. Ambulance Service rates charged by a Franchisee shall be subject to the following: 1. When there are transports involving two patients, the mileage charge shall be equally divided between the patients. 2. A Franchisee shall not charge a patient, a third-party payer or the police or fire department for wait time as a result of any transport. 3. A Franchisee may discount any Ambulance Service rate to the degree allowed by federal, state and local laws from the maximum Ambulance Service rates, provided that no cost shifting shall occur. 4. A Franchisee shall not use capitated rates nor charge a uniform average per capita rate for any group of persons to whom it provides Ambulance Service. 5. A Franchisee may lease Ambulance units to third-party payers at a discounted rate for non-emergent transports. B. Ambulance Service rates shall be adjusted as follows: 1. Rates will increase by four percent (4%) on the effective date of this chapter. Rates shall increase by four percent (4%) each year thereafter on February 1, or as otherwise specified under the applicable Franchise Agreement. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.130 Public Information.

8.08.130 - Public Information. A. Except as provided below, information provided by a Franchisee to the City for purposes of determining compliance with the requirements of this chapter and the Franchise Agreement shall be considered public records. B. Any information provided to the City which constitutes "protected health information" as that term is applied in the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and regulations thereunder, shall be considered confidential. Such confidential information shall not be released by the City to the public unless the person to whom the information applies has first agreed in writing in a format which complies with HIPAA requirements to the release of the information. To the extent permitted by HIPAA and other applicable law, reports containing confidential information and information deemed to be public may be released if such confidential information is first redacted. C. Upon the City's request and within the time period required by the City, a Franchisee shall provide any such redacted reports that may be required for release by the City. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.140 Transfers of Ownership or Control.

8.08.140 - Transfers of Ownership or Control. A. City Approval Required. 1. A Franchise shall be a privilege that is in the public trust and personal to the Franchisee. A Franchisee's obligations under its Franchise involve personal services whose performance involves personal credit, trust, and confidence in the Franchisee. 2. No transfer of ownership or control shall occur unless prior written request for approval is made by the Franchisee to the City, and the City Council's prior written consent is obtained, pursuant to this chapter and the Franchise Agreement, and only then upon such terms and conditions as the City Council deems necessary and proper. Any such transfer of ownership or control without the prior written consent of the City Council shall be considered to impair the City's assurance of due performance. The granting of approval for a transfer of ownership or control in one instance shall not be deemed as granting approval of any subsequent transfer of ownership or control. B. Approval Does Not Constitute Waiver. Approval by the City Council of a transfer of ownership or control does not constitute a waiver or release of any of the rights of the City under this chapter or a Franchise Agreement, whether arising before or after the date of the transfer of ownership or control. C. Request for Transfer. 1. A Franchisee shall promptly notify the City Manager or their designee of any proposed transfer of ownership or control. 2. Prior to any transfer of ownership or control, the Franchisee shall submit to the City Manager or their designee a written request for approval of the transfer of ownership or control. Such request shall provide complete information on the proposed transaction, including details on the legal, financial, technical, and other qualifications of the transferee, and any other information as determined necessary by the City Manager or their designee. 3. For the purposes of determining whether the City will consent to a transfer of ownership or control, the City or its agents may inquire into all qualifications of the prospective transferee and such other matters as the City may deem necessary to determine whether the transfer of ownership or control is in the public interest and should be approved, denied, or conditioned. The Franchisee and any prospective transferee shall assist the City in any such inquiry, and if they fail to do so, the request for transfer of ownership or control may be denied. 4. Any transfer of ownership or control without the City Council's prior approval shall be ineffective, and shall be grounds for revocation of the Franchise, at the City Council's sole discretion, and for any other remedies available under the Franchise Agreement or applicable law. 5. A Franchisee shall be fully liable under its Franchise Agreement for any transfer of ownership or control that is in violation of the terms of its Franchise Agreement and/or this chapter and caused in whole or in part by any other entity or entities, including, but not limited to, any parent entities or affiliated entities, as if such transfer of ownership or control had been caused by the Franchisee itself. D. Determination by the City Council. The City Council, in its sole discretion, may approve or deny a transfer of ownership or control of a Franchise. As part of its determination the City Council may approve a transfer subject to such conditions as the City Council may deem necessary. In addition, the following conditions shall apply to any approval of transfer of ownership or control of a Franchise: 1. The City reserves the right to review, inter alia, the purchase price of any transfer of ownership or control of a Franchise or Ambulance Service operation, and to take any necessary steps, including denial of the transfer of ownership or control, to ensure that any negotiated sale value which the City deems unreasonable will not adversely affect rates charged by the Ambulance Service Franchisee. 2. Any mortgage, pledge or lease shall be subject to and subordinate to the rights of the City under the Franchise Agreement, this chapter, and other applicable law. E. Transferee's Agreement. No application for a transfer of ownership or control shall be approved unless the transferee agrees in writing that it will abide by and accept all terms of the Franchise Agreement, any other agreements between the City and Franchisee, and this chapter, and that it will assume the obligations, liabilities, and responsibility for all acts and omissions, known and unknown, of the previous Franchisee under its Franchise Agreement, other agreements between the City and Franchisee and this chapter for all purposes, including renewal, unless the City Council, in its sole discretion, expressly waives this requirement in whole or in part. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.150 Revocation of Franchise.

8.08.150 - Revocation of Franchise. A. The City Council may revoke a Franchise if it finds that: 1. The Franchisee has failed to meet any of the performance standards of this chapter, or as provided under the applicable Franchise Agreement; 2. The Franchisee was obtained by fraud or misrepresentation; 3. The Franchisee has failed to operate its Ambulance Service business in accordance with all applicable laws and regulations and the Franchise Agreement; or 4. The Franchisee otherwise failed to meet any of the provisions of any state, local or federal law or regulation. B. The City Council may revoke a Franchise upon twelve (12) hours' notice to a Franchisee in the event that any failure of the Franchisee which constitutes a significant and immediate threat to public health and safety is not cured to the satisfaction of the City Council within such time. C. Except as provided in subsection B of this section, prior to revoking a Franchise, the City Manager, after consulting with the Fire Chief, shall first provide written notice to the Franchisee stating the City's intent to revoke the Franchise and the nature of the deficiency warranting revocation. The Franchisee shall have twenty (20) calendar days from receipt of notice to cure such deficiency to the satisfaction of the City Manager. If such deficiency is not so cured, the City may issue a notice of revocation stating any deficiencies and the effective date of the revocation with such revocation to be heard at a properly noticed City Council meeting. D. In an emergency, as defined in NRS 241.020, the City Council may revoke a Franchise without prior notification. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.160 Security for Performance.

8.08.160 - Security for Performance. A. To ensure that Ambulance Service remains uninterrupted in the event of premature termination of a Franchise for any reason, and to ensure that all fees, fines, penalties or other amounts owed to the City are paid, a Franchisee shall provide and maintain, as a condition of the Franchise, and prior to providing any Ambulance Service in the City, security in the form of cash, a performance bond (in a form approved by the City Manager) an irrevocable pledge of certificate of deposit, or an irrevocable letter of credit. Such security shall be in the amount required under the applicable Franchise Agreement. Further, as a condition of the issuance of an Ambulance Service Franchise, the City Council shall require an executed agreement for the lease of a Franchisee's Ambulances, as described in this chapter and under the applicable Franchise Agreement, which allows the City or its designee to continue providing Ambulance Service. B. If performance bonds are used to satisfy these security requirements, they shall be in accordance with the following: 1. All bonds shall, in addition to all other costs, provide for payment of reasonable attorneys' fees. 2. All bonds shall be issued by a surety company authorized to do business in the State of Nevada, and which is listed in the most current version of the U.S. Department of the Treasury Fiscal Service Department Circular 570; companies holding certificates of authority as acceptable sureties on federal bonds and as acceptable reinsuring companies. 3. The Franchisee shall require the attorney-of-fact who executes the bonds on behalf of the surety to affix thereto a certified and current copy of the power of attorney. 4. All bonds prepared by a licensed non-resident agent must be countersigned by a resident agent per Nevada Revised Statutes, Section 680A.300. C. In the event a Franchisee is found in default under the provisions in this chapter, the Franchisee shall make available to the City or its designee the use of all Ambulance vehicles and medical equipment, and any other equipment necessary to support continuation of Ambulance Service at the time of the breach in order to maintain the public health and safety in the City's jurisdiction, under the following provisions: 1. As a condition of its Franchise and prior to providing any Ambulance Service with the City, a Franchisee will enter into an agreement with the City to provide for the interim lease of the Ambulance vehicles and any necessary equipment and/or facilities in a manner to ensure uninterrupted service. 2. The compensation to a Franchisee for lease of the Ambulance vehicles and any necessary equipment and/or facilities shall not exceed the Franchisee's actual cost to provide the equipment. 3. The lease of Ambulance vehicles and any necessary equipment and/or facilities shall not exceed the time necessary for the City to provide for alternative Ambulance Service and that service to begin. 4. The City shall deduct any damages incurred as a result of a Franchisee's non-compliance with the terms of this Code that result in the Franchisee's default against the amount payable to the Franchisee for the temporary lease of the Franchisee's Ambulance vehicles and any necessary equipment and/or facilities. 5. A Franchisee who operates any leased Ambulances or Ambulances encumbered with liens shall have stipulated in any lease or lien agreements that, in the event of a Franchisee default, such ambulances shall not be repossessed but shall be made available to the City for its use, provided the City continues to make lease or lien payments. 6. In the event of premature termination of a Franchise for any reason, any existing agreement to provide for the interim lease of the Ambulance vehicles and any necessary equipment and/or facilities and any other agreements between the Franchisee and the City shall remain in full force and effect and shall survive termination of the Franchise unless those agreements are specifically terminated by the City. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.170 Liability Insurance.

8.08.170 - Liability Insurance. A. As a condition of the Franchise and prior to transport of any patient, the Franchisee shall file with the City Manager or their designee and thereafter maintain liability insurance in such form as approved by the City attorney insuring the Franchisee against all risk arising from the provision of Ambulance Service in the amounts required under the applicable Franchise Agreement. B. Prior to transporting any patient pursuant to Section 8.08.050, a Special Event Medical Service provider shall have on file with the Manager of Business License proof of liability insurance in such form as approved by the City attorney insuring the SEMS Provider against all risk arising from the provision of emergency transport for not less than two million dollars ($2,000,000.00) per occurrence for bodily injury or death and two million dollars ($2,000,000.00) per occurrence for loss or damage to property, or as otherwise required under the appliable Franchise Agreement. C. All policies of insurance required under this section shall be issued by insurance companies licensed to do business in the state of Nevada in accordance with applicable sections of Nevada Revised Statutes Title 57, from carriers having a rating from the A.M. Best Company of no less than A-VIII. Proof of coverage shall be evidenced by submitting an insurance certificate, or certificates, to the City Manager or their designee, which names the City as an additional insured and indicates that the City will be notified no less than thirty (30) days prior to alteration, cancellation, termination or nonrenewal of coverage. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.180 Indemnification.

8.08.180 - Indemnification. A. A Franchisee, as a condition of the grant of a Franchise Agreement pursuant to this chapter, and in consideration thereof, shall protect, indemnify, and hold the City harmless against all claims for breach of contract or for damages to persons or property by reason of the operation of its Franchise business, or any way arising out of performance under its Franchise, directly, or indirectly, when or to the extent injury is caused, or alleged to have been caused, wholly or in part, by any act, omission, negligence, or misconduct of the Franchisee or any of its contractors, subcontractors, officers, agents, or employees, or by any person for whose act, omission, negligence, or misconduct, the Franchisee is by law responsible. B. This section is not intended to create liability for the benefit of third parties but is solely for the benefit of the Franchisee and the City. In the event any claim is made against the City whether private or brought by or on behalf of the government that falls under this indemnity provision and a Court of competent jurisdiction should adjudge, by final decree, that the City is liable therefor, a Franchisee shall indemnify and hold the City harmless of and from any such liability, including any court costs, expenses, and reasonable attorney fees incurred by the City in defense thereof and incurred at any stage. Upon commencement of any suit, proceeding at law or in equity against the City relating to or covering any matter covered by this indemnity, wherein a Franchisee has agreed by accepting a Franchise, to indemnify and hold the City harmless, or to pay said settlement, final judgment and costs, as the case may be, the City shall give a Franchisee immediate notice of such suit or proceeding; whereupon a Franchisee shall provide a defense to any such suit or suits, including any appellate proceedings brought in connection therewith, and pay as aforesaid, any settlement, costs, civil monetary penalties or judgments that may be rendered against the City by reason of such damage suit. C. Upon failure of a Franchisee to comply with the "defense of suit" provisions of its Franchise Agreement, after reasonable notice to it by the City, the City shall have the right to defend the same and in addition to being reimbursed for any settlement or judgment that may be rendered against the City, together with all costs incurred therein, the Franchisee shall reimburse the City reasonable attorney fees, including those employed by the City in such case or cases, as well as all expenses incurred by the City by reason of undertaking the defense of such suit or suits, whether such suit or suits are successfully defended, settled, comprised, or frilly adjudicated against the City. In the event the City is compelled to undertake the defense of any such suit by reason of the Franchisee's failure to perform as here and above provided, the City shall have the full right and authority to make or enter into any settlement or compromise of such adjudication as the City Council shall deem in the best interest of the City, this without the prior approval or consent of the Franchisee with respect to the terms of such compromise or settlement. (Ord. No. 3268, § 1, 2-4-2026)

North Las Vegas Municipal Code § 8.08.190 Severability.

8.08.190 - Severability. In the event any provision of this chapter shall be deemed to be unlawful, such provision shall be deemed stricken and the remaining provisions of this chapter shall remain in full force and effect. (Ord. No. 3268, § 1, 2-4-2026)

Source: City of North Las Vegas, Nevada, Municipal Code and City Charter (Municode Library, library.municode.com)URL: https://library.municode.com/nv/north_las_vegas/codes/code_of_ordinances?nodeId=TIT8HESA_CH8.08AMFetched: 11/1/2026