| Name: | EXCLUSIVE AMBULETTE SERVICE, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 11 Jan 1993 (32 years ago) |
| Entity Number: | 1693220 |
| ZIP code: | 11691 |
| County: | Richmond |
| Place of Formation: | New York |
| Address: | 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5S3H0 | Obsolete | Non-Manufacturer | 2009-10-27 | 2024-03-03 | 2021-11-15 | No data | |||||||||||||||
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| POC | WARREN SCOTT |
| Phone | +1 718-296-2400 |
| Fax | +1 718-296-8169 |
| Address | 440 BEACH 21ST ST, FAR ROCKAWAY, NY, 11691 3612, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| SUSAN EDELMAN | DOS Process Agent | 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691 |
| Name | Role | Address |
|---|---|---|
| SUSAN EDELMAN | Chief Executive Officer | 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-10-04 | 2024-11-06 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2024-05-20 | 2024-10-04 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2024-05-09 | 2024-05-20 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2024-01-23 | 2024-05-09 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-11-07 | 2024-01-23 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-07-19 | 2023-11-07 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-06-20 | 2023-07-19 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-03-15 | 2023-06-20 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-09-19 | 2023-03-15 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-07-09 | 2022-09-19 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190103060469 | 2019-01-03 | BIENNIAL STATEMENT | 2019-01-01 |
| 150202006972 | 2015-02-02 | BIENNIAL STATEMENT | 2015-01-01 |
| 110203003083 | 2011-02-03 | BIENNIAL STATEMENT | 2011-01-01 |
| 090112002727 | 2009-01-12 | BIENNIAL STATEMENT | 2009-01-01 |
| 070312002867 | 2007-03-12 | BIENNIAL STATEMENT | 2007-01-01 |
| 050214002187 | 2005-02-14 | BIENNIAL STATEMENT | 2005-01-01 |
| 030103002344 | 2003-01-03 | BIENNIAL STATEMENT | 2003-01-01 |
| 010124002369 | 2001-01-24 | BIENNIAL STATEMENT | 2001-01-01 |
| 990902000419 | 1999-09-02 | COURT ORDER | 1999-09-02 |
| 950724000334 | 1995-07-24 | CERTIFICATE OF DISSOLUTION | 1995-07-24 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DCA | AWARD | VA243P0884 | 2010-04-01 | 2010-06-30 | 2010-06-30 | |||||||||||||||||||||
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| Title | AMBULETTE SERVICE |
| NAICS Code | 485991: SPECIAL NEEDS TRANSPORTATION |
| Product and Service Codes | V225: AMBULANCE SERVICE |
Recipient Details
| Recipient | EXCLUSIVE AMBULETTE SERVICE, INC. |
| UEI | ZDVFKMJ1XAG3 |
| Legacy DUNS | 839029113 |
| Recipient Address | UNITED STATES, 440 BEACH 21ST ST, FAR ROCKAWAY, 116913612 |
| Unique Award Key | CONT_AWD_VA243P1131_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | INTERIM CONTRACT FOR AMBULETTE SERVICES FOR NY HARBOR 4/1/11 - 9/30/11 |
| NAICS Code | 485991: SPECIAL NEEDS TRANSPORTATION |
| Product and Service Codes | V225: AMBULANCE SERVICE |
Recipient Details
| Recipient | EXCLUSIVE AMBULETTE SERVICE, INC. |
| UEI | ZDVFKMJ1XAG3 |
| Legacy DUNS | 839029113 |
| Recipient Address | UNITED STATES, 440 BEACH 21ST ST, FAR ROCKAWAY, 116913612 |
| Unique Award Key | CONT_AWD_VA24312C0139_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | AMBULETTE SERVICES - 6 MONTHS |
| NAICS Code | 621910: AMBULANCE SERVICES |
| Product and Service Codes | V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE |
Recipient Details
| Recipient | EXCLUSIVE AMBULETTE SERVICE, INC. |
| UEI | ZDVFKMJ1XAG3 |
| Legacy DUNS | 839029113 |
| Recipient Address | UNITED STATES, 440 BEACH 21ST ST, FAR ROCKAWAY, 116913612 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1934838600 | 2021-03-13 | 0202 | PPS | 440 Beach 21st St, Far Rockaway, NY, 11691-3612 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5444677207 | 2020-04-27 | 0202 | PPP | 440 BEACH 21ST ST, FAR ROCKAWAY, NY, 11691 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3352964 | Intrastate Non-Hazmat | 2024-06-25 | 319059 | 2023 | 15 | 17 | Priv. Pass. (Business) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Safety Measurement System - Passenger Transportation
| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance Percentile | Less than 5 driver inspections |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance Percentile | Less than 5 vehicle inspections |
| Controlled Substances and Alcohol BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance Percentile | 0% |
| Unsafe Driving BASIC Roadside Performance Percentile | 0% |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Driver Fitness BASIC Roadside Performance Over Threshold Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator | No |
| Driver Fitness BASIC Indicator | No |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Unsafe Driving BASIC Roadside Performance Over Threshold Indicator | No |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Vehicle Maintenance BASIC Indicator | No |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Controlled Substances and Alcohol BASIC Indicator | No |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Unsafe Driving Overall BASIC Indicator | No |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Crashes
| Unique state report number for the incident | NY4023856600 |
| Sequence number for each vehicle involved in a crash | 2 |
| The date a incident occurred | 2024-03-11 |
| State abbreviation | NY |
| Total number of fatalities reported in the crash | 0 |
| Total number of injuries reported in the crash | 1 |
| The vehicle involved in the accident was towed from the scene | N |
| Hazardous materials were released during the accident | N |
| Description of the trafficway | Two-Way Trafficway Divided Unprotected Median |
| Description of the access control | Partial Access Control |
| Description of the road surface condition | Dry |
| Description of the weather condition | No Adverse Conditions |
| Description of the light condition | Daylight |
| Vehicle Identification number (VIN) | 1FDFE4FN7RDD02828 |
| Vehicle license number | 25258BT |
| Vehicle license state | NY |
| The severity weight that is assigned to the incident | 2 |
| The time weight that is assigned to the incident | 2 |
| Sequence number | 1 |
Date of last update: 15 Mar 2025
Sources: New York Secretary of State
