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WEST, Defendant and Respondent. Clark County adopted the EMS Ordinance, which prohibited a person or entity from providing ambulance service for emergency and nonemergency transport of ambulance patients within the District unless under contract to do so with the district. WASHINGTON COUNTY, Ore. (KOIN) For the first time in 25 years, Metro West is out as Washington Countys ambulance provider after the countys commissioners voted Tuesday to end their decades-long relationship to sign a contract with American Medical Response. It appears that "non-mandated" means "transports other than those that begin and end at VA facilities". According to the deposition of Michael Beaulieu, Metro West declines transports automatically when the transport originates in Clark County, unless the transport is pursuant to the VA contract. In addition, under the terms of the contract, American Medical Response is entitled to every ambulance call originating in the District regardless whether the request comes through CRESA or not, or whether it is an emergency transport or not. [1] In addition to daily emergency AMR has operated eight ambulance vehicles while ALS has run four.{/div}. 2. Metro West said it used the funds to re-hire employees that had been laid off and resume non-emergency operations statewide. Further, Metro West contends that it cannot obtain Clark County certification because Clark County has taken the position that Metro West's personnel may not perform services provided under the VA contract. 58, 66, 71, 72, and 74. The record shows that the EMS Ordinance is not a per se violation of the Commerce Clause. But Robert McDonald, the operations manager for American Medical Response, disagrees with Willeys sentiment, saying their contracts vary in each county they operate in. Its like squeezing blood out of a turnip, said Kelso. The only thing the public should notice with this arrangement is improved service and more crews on the street, Woodcock and Shawn Baird, Metro Wests vice president for rural services, said. The Lund Report National Computers,Inc., was incorporated in Nebraska, has its, main office in Kansas, and does business in Missouri. Oregons Department of Consumer and Business Services, which regulates debt collectors in the state, issued recommendations in April to help people affected by the coronavirus outbreak. WebMetro West Ambulance is an ambulance company based in the U.S. state of Oregon with ambulances and wheelie vans along the Oregon Coast .