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(a <br />City of Santa Ana <br />TABLE OF CONTENTS (CONTINUED) <br />4.3.6 QUARTERLY RESPONSE TIME REPORT - FORMAT ................................................. 41 <br />4.3.7 EXEMPTIONS TO RESPONSE TIME REQUIREMENTS ............................................... <br />41 <br />A. HIGH CALL VOLUME........................................................................................ <br />41 <br />B. DISASTERS.................................................................................................... <br />41 <br />C. MULTIPLE AMBULANCE RESPONSE.................................................................. <br />41 <br />D. RESPONSE UP/DOWNGRADE........................................................................... <br />41 <br />E. RETURN OF OCFA PERSONNEL........................................................................ <br />42 <br />4.3.8 PROCEDURES TO REQUEST RESPONSE TIME EXEMPTION ..................................... <br />42 <br />4.3.9 USE OF ALTERNATIVE METHODS TO MEET RESPONSE TIME REQUIREMENTS .......... <br />43 <br />4.3.10 DISCIPLINARY ACTIONS FOR FAILURE TO MEET RESPONSE TIME REQUIREMENTS <br />AND PERFORMANCE DEFICIENCY........................................................................ <br />44 <br />A. MEET AND CONFER......................................................................................... <br />44 <br />B.PENALTIES..................................................................................................... <br />44 <br />C. CORRECTIVE ACTION PLAN............................................................................. <br />46 <br />D.TIMELY PERFORMANCE REQUIRED................................................................... <br />47 <br />E. WAIVER......................................................................................................... <br />48 <br />4.3.11 EMERGENCY ON -SCENE PROCEDURES................................................................ <br />48 <br />4.3.12 DISASTER ASSISTANCE...................................................................................... <br />49 <br />4.3.13 STANDARD OF PERFORMANCE........................................................................... <br />50 <br />4.3.14 GENERAL PROVISIONS....................................................................................... <br />51 <br />A. RETURN OF OCFA PERSONNEL...................................................................... <br />51 <br />B. 9-1-1 CALLS FOR SERVICE/REFERRAL........................................................... <br />51 <br />C. PERFORMANCE............................................................................................ <br />52 <br />D. CONFLICT OF INTEREST................................................................................. <br />52 <br />E. COMPLAINTS................................................................................................ <br />52 <br />F. HIPAA BUSINESS ASSOCIATE ASSURANCES.................................................... <br />53 <br />G. MEDICARE/MEDT-CAL PARTICIPATION............................................................. <br />55 <br />4.3.15 EXTERNAL MEDICAL QUALITY CONTROL.............................................................. <br />55 <br />4.3.16 INTERNAL MEDICAL QUALITY CONTROL............................................................... <br />56 <br />5. PERSONNEL........................................................................................................................57 <br />5.1 PERSONNEL REQUIREMENTS............................................................................................... <br />57 <br />5.2 CONTROL........................................................................................................................... <br />61 <br />6. SUPPLIES, EQUIPMENT AND VEHICLES......................................................................... <br />62 <br />6.1 STANDARDS......................................................................................................... <br />62 <br />6.1.1 STANDARD INVENTORY......................................................................................... <br />62 <br />6.1.2 REQUIRED EQUIPMENT.......................................................................................... <br />62 <br />6.1.3 PERSONAL SAFETY EQUIPMENT............................................................................. <br />63 <br />7. A. SUBMISSION OUTLINE <br />BID PROPOSAL SUBMISSION FORMS & CHECKLIST................................................................. 65 <br />TITLE PAGE/COVER SHEET................................................................................................... 66 <br />TABLEOF CONTENTS........................................................................................................... 67 <br />B. DESCRIPTION OF REQUIRED ITEMS <br />1 <br />COVER LETTER............................................................................................................. <br />68 <br />2 <br />GENERAL OVERALL DESCRIPTION OF PLAN TO PROVIDE 9-1-1 EMERGENCY <br />TRANSPORTATION SERVICE IN CITY............................................................................... <br />70 <br />3 <br />OVERALL OPERATIONAL SYSTEM................................................................................... <br />71 <br />4 <br />DRIVERTRAINING.......................................................................................................... <br />72 <br />