Medical Transport 1112 Tariff - Nta.nv.gov

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Original Title PageN.T.A. No. 1No supplement to this tariff will be issuedexcept for the purpose of canceling the tariffunless specifically authorized by the Authority.Additions to, changes in and eliminations fromthis tariff will be in loose-leaf fonn.MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCCPCN 1112TARIFFNO.1namingRATES, RULES AND REGULATIONSGOVERNING THE TRANSPORTATION OF INDIVIDUALSSEEKING NON-EMERGENCY MEDICAL SERVICEbetweenPOINTS AND PLACES WITHIN CLARK, LINCOLNAND NYE COUNTIES, NEVADA.Issued:Issued by:MEDICAL TRANSPORT COMPANY,LLC dba MTC OPERATED BYMEDICAL TRANSPORT LV, A SERIESOF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadHenderson, NV 89014Effective:ACCEPTEDMAR ,10 2021

Original Page lN.T.A. No. lMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCChecking Sheet For TariffUpon receipt of new or revised pages, a check mark must be placed opposite the ACorrectionNumber::: (shown below) corresponding to number shown in lower left-hand comer of the new orchanged page. If correction numbers are properly checked as received, check marks will appear inconsecutive order without omission. However, if check marks indicate that a new or revised pagehas not yet been received, request should at once be made to the issuing carrier for a copy of thenew or revised page.Correctioµ 627282930Explanation of Abbreviations and Other Reference Marksdba . doing business asN . NewNV . NevadaC . change, neither increaseNo . Numbernor reductionNos . NumbersI . IncreaseNTA . Nevada Transportation Authority R . . ReductionCPCN 1112Irregular route transportation by motor vehicle of wheelchair patients, convalescents, infirm andhandicapped people requiring special transportation and elderly individuals requiring specialtransportation in non-emergency service: Between points and places within Clark, Lincoln andNye Counties, Nevada.Issued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadArr PTEDHenderson, NV 89014HAR 10 2021

Original Page 2N.T.A. No.1MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICAL TRANSPORTLV, A SERIES OF MEDICAL TRANSPORT USA, LLCRule No.RULES AND REGULATIONSGENERAL APPLICATIONThese rules, regulations and rates are to be used by MEDICAL TRANSPORTCOMPANY, LLC dbaMTC OPERATED BY MEDICAL TRANSPORT LV, A SERIESOF MEDICAL TRANSPORT USA, LLC in the operation of service for which MEDICAiTRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICAL TRANSPORTLV, A SERIES OF MEDICAL TRANSPORT USA, LLC is certified.5METHOD OF COMPUTING TIME10Time is to be computed by standard wristwatch or clock.AGREEMENTSWITHPERMANENTCUSTOMERSa. No contracts to provide service will be entered into. However, agreements toprovide service in accordance with the Tariff on file may be made.b. Customers shall pay for services at the time they are rendered or in accordancewith Nevada Administrative Code ("NAC") 706.200, relating to settlement ofaccounts.c. Any statements sent shall be on the letterhead of Medical Transport Company,LLC dba MTC Operated by Medical Transport USA, LLC Series A MedicalTransport LV15HOURS OF BUSINESS20The carrier will provide service twenty-four (24) hours per day, seven (7) days a weekIssued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadACCEPTEDHenderson. NV 89014MAR 10 2021

Original Page 3N.T.A.No. lMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCRule No.RULES AND REGULATIONSAVAILABILITY OFTARIFFS25Copies of this tariff shall be available in each office where orders for service are taken anin each vehicle used to provide services.EQUIPMENT REQUIREMENTS FOR NON-AMBULATORY TRANSPORTMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC shall equip allnon-emergency vehicles to be used for carriage of non-ambulatory individuals with thefollowing:30Vehicles used shall be specially designed to accommodate and carry the following:1. Stretcher2. Wheelchair3. Clean LinenIssued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED y MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadACCEPTEDHenderson. NV 89014MAR 10 NDOWS\INETCACHE\CONTENl'.OUTLOOK\LIJAZVCCIMTC TAIUFF DBA-FIXED.DOC

Original Page 4N.T.A. No. IMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCRule No.RULES AND REGULATIONSANIMALS OR PETSDogs or cats or other animals will n t be carried in vehicles with passengers with theexception of dogs with blind persons (seeing-eye dogs).4045FIREARMSPassengers will not be permitted to board vehicles while canying firearms. ,50TIME SCHEDULE FOR SERVICEThis company shall endeavor its best efforts to arrive and depart at prior agreed upontimes to-and-from points of pickup and delivery within its service area. However, thiscompany will not be liable for delay caused by accident, breakdown, bad conditions ofroads, or other causes beyond its control, and it does not guarantee arrival at or departurefrom any point at a specified time.CLAIMSA claim by a shipper or consignor against a common or contract motor carrier for lostor damaged freight or baggage must be submitted to the carrier within 7 days after theloss or damage is discovered.55Within 14 days after receipt of the claim, the carrier shall:(a) Compensate the shipper or consignor; or(b) Deliver to the shipper or consignor a written denial of the claim.A denial of a claim may be appealed by the shipper or consignor to the Authority.Issued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadHenderson, NV 89014ACCEPTEDMAR 10 2021

Original Page 5N.T.A. No. 1MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCRule No.RULES AND REGULATIONSRIGHTS RESERVEDThis company reserves the right to refuse transportation to any and all personshaving in their possession explosives or inflammable material or articles orsubstances of an objectionable nature; or who are under the influence of liquoror drugs, or whose conduct or behavior is objectionable to either passengers orprospective passengers.b. This company reserves full control and discretion as to seating of and the right tochange such seating at anytime during the trip.c. This company reserves the right, whenever operation requires, to transferpassengers from one vehicle to another enroute.d. Immediate transportation is not guaranteed but is subject to limitations ofavailable equipment and personnel. Should there be for this reason, insufficientservice, then this company reserves the right to send passengers at next earliestpossible opportunity.a60COMPLIANCE WITH LOCAL LAWMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC shall complywith all local laws, rules, and regulations within the area of service.65Issued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadACCEPTEDHenderson. NV 89014MAR 10 2021.,. Tru,ponadoa.,Lu Vera , Neuda

Original Page 6N.T.A. No. IMEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC.Rule No.RULES AND REGULATIONSSERVICE ZONES75The proposed service area (Clark County) shall be divided into four (4) zones:Issued:Zone 1Las VegasAll areas within the incorporated limits of Las Vegas, North Las Vegasand the unincorporated areas of Las Vegas.Zone2HendersonAll areas within the incorporated limits of HendersonZone3Boulder CityAll areas within the incorporated limits of Boulder CityZone4All Other AreasAll areas in the counties of Clark, Lincoln and Nye outside ofthe above zonesEffective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadHenderson, NV 89014A:CCEPTEDMAR 10 A.fIXED.DOC

Page7CPCN 1112.3MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCRule No.RULES AND REGULATIONSRATES FOR MULTIPLE PASSENGERSIfmore than one ( 1) non-ambulatory passenger requiring special transportation istransported in the vehicle at the same time, then the rate charged each passenger shall bethe regular applicable rate, as stated above.85There shall be no charge for passengers not requiring special transportation whoaccompany a passenger requiring special transportation.WAIT TIMEWait time is an additional charge based on amount oftime. Wait time begins uponarrival to drop off (appointment or facility). There is a minimum of 30 minutes for waittime and any wait time under 30 minutes will be charged the 30-minute wait time price.90Issued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadHenderson, NV 89014ACCEPTEDMAR 19 2021Ne'fl4a TruaportUioD A11dlomyLa&V ' DBA,FIXED.DOC,Neuda

Page 8CPCN 1112.3MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLCSTANDARD RATES COST PER CALL ONE-WAYZONE 1-Las Vegas, N . Las Vegas, andunincorporated areas of Las VegasAmbulatoryWheelchairStretcherZONE 2 - HendersonAmbulatory 45.00Wheelchair 80.00Stretcher 125.00Ambulatory 45.00Wheelchair 80.00Stretcher 125.00ZONE 3 - Boulder CityZONE 4 - All Other Areas 45.00 80.00 125.00Ambulatory 80.00plus 3.78/mileWheelchair 160.00plus 3.78/mileS160.00Stretcherplus 3.78/mileWheelchair 20.00Stretcher 40.00Stairs and Bariatric 300lbs -500lbswill be charged an additionalWait time will be an additional charge per 30 minutes per person {see Rule 90)Ambulatory, Wheelchair or Stretcher: 25.00 per 30 minutes or fraction thereofIssued:Effective:Issued by:MEDICAL TRANSPORT COMPANY, LLC dba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC187 N. Gibson RoadACCEPTEDHenderson, NV 89014MAR 10 2021

Original Page 9N.T.A.No.1MEDICAL TRANSPORT COMPANY. LLC dba MTCOPERATED BY MEDICAL TRANSPORT LV. ASERIES OF MEDICAL TRANSPORT USA. LLCCPCN 11123% TAX Pursuant to SECTION 51 ofABl 75The following rules apply to carriers who provide passenger transportation. excludingauport transport service:·Pursuant to Nevada Legislative Senate Bill No. 376Sec. 36. Section 51 of Assembly Bill No.175 of this session is hereby amended to read asfollows: Sec. 51. I. Except as otherwise provided in subsection 2 and in addition to anyother fee or assessment imposed pursuant to this chapter, an excise tax is herebyimposed on the connection. whether by dispatch or other means, made by a commonmotor carrier ofa passenger to a person or operator willing to transport the passengerat the rate of 3 percent of the total fare charged for the transportation. which mustinclude, without limitation, all fees, surcharges, technology fees, conveniencecharges for the use of a credit or debit card and any other amount that is part of thefare. The Department ofTaxation shall charge and collect from each common motorcarrier ofpassengers the excise tax imposed by this subsection.2. The provisions ofsubsection I do not apply to an airport transfer service.3. (Intentionally omitted)4. A3 used in this section, "airport transfer service" means the transportation ofpassengers and their baggage in the same vehicle, except by taxicab, for a per capitacharge between auports or between an auport and points and places in this State.The term does not include charter services by bus, charter services by limousine,scenic tours or special services.NOTE l: The passenger transportation recovery charge must be passed along to all customers.NOTE 2: The 3% passenger transportation recovery charge must be shown separately from thetotal fare as defined above.Issued:Issued By:August 24, 2015MEDICAL TRANSPORT COMPANY, LLCdba MTC OPERATED BY MEDICALTRANSPORT LV, A SERIES OF MEDICALTRANSPORT USA, LLC187 N. Gibson RoadHenderson, NV 89014Effective:ACCEPTEDMAR 10 2021

CPCN 1112MEDICAL TRANSPORT COMPANY, LLC dba MTCOperated by MEDICAL TRANSPORT LV, a Series of MEDICAL TRANSPORT USA, LLCCOVID-19SAFETY PROTOCOLAt all times commercial transportation carriers are required to ensure the safety of their passengers.In response to COVID-19, MTC has taken extra steps to ensure the protection and safety of ourdrives and passengers. These steps are based on CDC guidelines for commercial motor carriers, inconjunction with Nevada OSHA guidance and recommendations for best practices published by theNevada Transportation Authority. In order to provide these extra safety measures a COVID-19Safety Fee will be imposed ONLY ON COVID-19 POSITIVE trips.(1) 35.00 per trip for all zonesACCEPTEDAPR OB 2021NevadaTransportation AuthorityLas Ve as, NevadaISSUED:ACCEPTED""!N r fl«., 1'VlFEB 2 6 20211&PX f-f 7/R)f.,,Nevada'Tiansportatio'ii' .Aii'tllofflyLas VUH, NnadaEFFECTIVE:ISSUED BY:MEDICAL TRANSPORT COMPANY, LLC dba MTCOperated by MEDICAL TRANSPORT LV, a Series of Medical Transport USA, LLC187 N. Gibson RoadHenderson, NV 89014

LLC dba MTC Operated by Medical Transport USA, LLC Series A Medical Transport L V HOURS OF BUSINESS 20 The carrier will provide service twenty-four (24) hours per day, seven (7) days a week . Issued: Effective: Issued by: MEDICAL TRANSPORT COMP ANY, LLC dba MTC OPERATED BY MEDICAL TRANSPORT LV, A SERIES OF MEDICAL TRANSPORT USA, LLC

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