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Some organizations, like hospitals and nursing homes, are required to identify transportation resources available to them if they have to evacuate. Please identify any agreements (written or verbal) that you have already with such organizations. For Schools, it is presumed you are obligated to evacuate your own school buildings and you do not need to list them. However, if you have agreements with private schools in your district or if you have an agreement with your neighboring district, please indicate that here.,
If we needed to call you for an emergency, what would be your hourly rate? If you believe you would not invoice us, please indicate the actual rate regardless. You can check mark the Donation question below. (We track in-kind donation amounts and even if you did not intend on billing us, knowing an estimated cost of service helps us).
If we needed to call you for an emergency, what would be your rate by mile?
If we needed to call you for an emergency, check the above box if you likely would not invoice us for the cost, but rather record it as an in-kind donation.
(ie must stay within x miles of base, or list municipalities you would stay within, or indicate county-wide.)
Check ALL that apply:
NOTE: There is a Handicapped designation and one without handicapped capability. For assets that can accommodate handicaps such as wheel chair or cot, use the handicapped option in the list. For those that cannot accommodate a single handicapped person, use the options in the list that do not have handicapped in the name. The number in parenthesis is the estimated passenger range for that vehicle. In an emergency, we would overshoot the need, so being 5 to 10 passengers off on large vehicle would not be a big issue. It would impact us more for smaller capacity vehicles like small busses and vans.)
What is a short title for the type of vehicle?
What does this resource do that is different from others that were listed?
How many people does it hold in total?
How many drivers are normally available during day time, week day hours for each month below?
At the slowest time, if we called and asked for the number of drivers you indicated above, how long would it take for you to have them in a vehicle and ready to depart? Make sure to include the unit of time (ie 45 MINUTES, 1 HOUR, etc.)
How many drivers are normally available during night and weekends to be called in?
Indicate the number of vehicles you have of each categories.
Describe other type including capacity and the numbers you have in inventory.
Indicate the number of vehicles you have of each categories. After the number of vehicles in inventory, indicate the number of handicapped passengers at most it can hold in one trip. After the number of handicapped people are calculated, please provide the number of non-handicapped people that would fit if handicapped people were in the maximum number of spaces allowed by design. Finally, Indicate the number of non-handicap people that could fit after those who were handicapped boarded. (ie. a 10 person van with one handicap spot, where the handicap spot consumes a space for 2 seats may be reported as having space for 1 handicap person with 7 Non-Handicap spaces remaining).
Thank you very much for the time it took you to complete this survey. We appreciate it very much.
We intend on putting all of this information together into a contact directory that may be used by service providers to help coordinate activates during an emergency. Do we have your permission to share your main contact information and inventory with other transportation providers?
What email should the directory be sent to when it is done?
This field is not part of the form submission.
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