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Home My WebLink About20133447.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - MILLIKEN FIRE PROTECTION DISTRICT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County Department of Public Health and Environment and the Weld County Emergency Medical/Trauma Service Council have reviewed the application of the Milliken Fire Protection District for a Tier I Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I Emergency Medical Services License, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of the Milliken Fire Protection District for a Tier I Emergency Medical Services License be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that approval of the License is conditional upon execution of appropriate Mutual Aid Agreements. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of December, A.D., 2013. ATTEST: Weld County Clerk to the Board BY. APP ounty Attorney arbara Kirkmeyer DEC 3 1 2013 Date of signature: BOARD OF COUNTY COMMISSIONERS WELD CPUNp7L9$ O,nD O i Jl William F. Garcia, C it acher D`ouglasadem , ro-Tem an P. Conway ke Freeman 6vtit t� I 1p V.'.(Kw�n,TuIYh) 2013-3447 HL0042 Memorandum TO: Board of County Commissio FROM: Dr. Mark Wallace A DATE: December 4, 2013 SUBJECT: Milliken Fire Protection District 2014 Application for Ambulance Service License Milliken Fire Protection District, located at 101 South Irene Avenue, Milliken, Colorado, has applied for an Ambulance Service license pursuant to Chapter 7, of the Weld County Code (WCC). Chapter 7 pertains to Emergency Medical Services. The Department has reviewed this application and has deemed the ambulance service to have met all applicable licensure application requirements found in Chapter 7. As such, I am recommending for licensure. The Weld County Emergency Medical/Trauma Service (EM/TS) Council reviewed this application on November 20, 2013. The Council recommended (see attached) that Milliken Fire Protection District receive a Tier I license. 2013-3447 License to Operate Ambulance Service 0 E z cn 0 co 0 O 0 U z w x F D r O U a H U) 0 z 0 U F cc a z m 3 I all f w U cc Q 0 O >- U Q H Z O U 0 -J W V) Z O Z LLI Q U J ccW W cc V) W Z Z Q W D m � 2 cc • F_ a D Lu H 0 c W O H Z '71"I N o X N W en ?) w w U w 0 J H Z D 0 W V1 Z W U NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 Public Health Web: htte://www.co.weld.co.us/Departments/HealthEnvironment/iindex.html Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele: 970.304.6410 Tele: 970.304.6420 Tele: 970.304.6415 Tete: 970.304.6470 Tele: 970.304.6420 Fax: 970.304.6412 Fax: 970.304.6416 Fax: 970.304.6411 Fax: 970.304.6452 Fax: 970.304.8469 Our vision: Together with the communities we serve, we are working to make Weld County the healthiest piece to live, learn, work and pay. October 25, 2013 Barry Schaefer Chair Weld County Emergency Medical/Trauma Service Council Via email: bcchaefer@plattevalleyfre.org SUBJECT: 2014 Milliken Fire Protection District EMS Application NOTICE OF EMERGENCY MEDICAL SERVICES LICENSE APPLICATION TO THE WELD COUNTY EMERGENCY MEDICAL/TRAU1VIA SERVICE COUNCIL The Weld County Department of Public Health and Environment has received and is in process of reviewing an Emergency Medical Service License Application from Milliken Fire Protection District EMS. Attached to this document are the Ambulance Service License Application, and Maps of its proposed Service Area. On behalf of the Board of County Commissioners, the Department is requesting the Emergency Medical/Traurna Service Council review the attached documents in accordance with Section 7-2-100.B.5. of the Weld County Code (enumerated below). The Department will forward your recommendation to the Commissioners. Below are the most applicable portions of the code: Weld County Code, 7-2-100.B.5 The recommendation of the Weld County Emergency MedicaI/Trauma Service (EM/TS) Council as to whether or not the issuance of the license will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County. The EM/TS Council shall also provide: a. Recommended Service Area. b. Recommended Tier of License. Weld County Code, 7-2-10. No person shall provide or operate an ambulance service publicly or privately in the County unless that person holds a valid license to do so issued by the Board of County Commissioners, except as provided in Section 7-2-80 below. The fee for said license shall be set by separate ordinance. The license shall issue only in the following tiers of service: Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not provide for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. A. The Board of County Commissioners reserves the right to amend these rules and regulations and any other individual conditions of licensing as applied to any particular license, as needed in keeping with its legislative function and in order to implement the policy of the State of Colorado that the regulation and control of ambulance licenses is in the exclusive purview of the boards of county commissioners. Persons or firms seeking application and approval of any ambulance license under this Chapter acknowledge that Weld County may contract with specific ambulance service provider(s) which will serve the emergency ambulance need of Weld County and participating municipalities. Please forward the Councils recommendation to the Department including minutes of the EMS Council meeting pertaining to this application. Please do not hesitate to call me should you have any questions. Sincerely, O32L-Ka-t-&,€fi- Shana Vogel Environmental Health Specialist Environmental Health Services Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Milliken Fire Protection District EMS As required in Section 7-2-100.B.5., the EMTS Council should review whether the ambulance service will contribute to an efficient, effective, response to residents of the County? Please include any findings related other ambulance services, location, service area, etc. that is the basis FINDING #1: I t the application to assess as to and coordinated emergency medical to response time, coordination with for the Council's recommendation: , Pee— e 4r- ` revec-J lice -e,( e.÷.71- 2ssi ora nti.e"-• FINDING #2: PCUMLA 2)le (Ce WARM- Pn0 FINDING #3: FINDING #4: Tier 3 Recommended Level of Service: Tier 1 ` Tier 2 Recommended Service Area: u s r& -C bt a 401 i C 4 1or- Other EMTS Council recommendations or comments: Date: /Via) 3- Recommendation By:� Page 2 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue Greeley, CO 80631 Public Health Web: www.weldhealth.orq Health Administration Public Health A Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education A Planning & Response Tole: 970.304.6410 Tele: 970304.6420 Tele' 670304.6415 Tele: 970.304.6470 Tele: 970.304.6420 Far 9703046012 Far 970.304.6416 Fez 970.304.6411 Far 970.3046452 Fez 970.304.6469 Our vision: Together KO thecommunities we serve, we are working fo make Weld County the heaWest place to hve, team, wax and play AMBULANCE SERVICE LICENSE RENEWAL APPLICATION �y1 Date of application: /8 " //— /3 Name of Ambulance Service: MY/ ken fir( Pth/ic7ion7 f,�Sfri6't� Owner: Name: in>//i%tl'n Ph? /33f1L7iai Ui&iY)cf Address: /O/ Smelt j;; -tome/ AM/Cm , to S(,5 y3 99v -' Sfl- yyeg Phone Number: Operations Manager: Name: Peon Pcernr-,Fire Mara 4/ Address: /0/p5ott-/A )2tn`,le/ /17i// xm, Co 8o'Y3 Phone Number: `770 '09 ''M47 drrrflPr& /Hi/4ienA rc(cu.e, earn Pursuant to Section 7-2-150 of Weld County Code Ordinance, any change of ownership requires a new application for ambulance service license. (For Office Use Only) Date Received, / / Documents Checked: Remarks: Approved Recommended (Y/N): Date Referred to B.O.C.C.: / / Licensing Agent Page 3 Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the company of having more than a 10% ownership interest (if applicable): What area of Weld County will be served by this company? Please attach a map indicating the service area. See A1(&ch,eor Mpc How many ambulances do you operate? /0)14ken / Ye GAY/ 0rGtfe / atilt/on?. Location and description of the place(s) from which this ambulance service will operate. If there are more than two locations, attach a separate sheet with the above information. Location # I: Street Number: /0/ Sou'�t ,Ze'ene City: /i7///,'k/n State: eo Phone: q91904t/'4t/ Location #2: Street Number: City: State: Phone: Medical Director: Name: David Fu, Saud MD Mailing Address: Phone Number. _ Please read carefully : /pay ,Saunt ternary,Ff (c;///n5/Co &tag o - y4s 10!04 7-2-170 Annual renewal. All licenses and permits shall be renewed annually, shall expire on December 31 of the year issued, and shall not be renewed until the application has been approved by the Department. All applications for renewal of licenses and permits shall be made not later than sixty (60) days prior to the date of expiration. The Department shall notify, by certified mail, return receipt requested, each licensee of the renewal requirements of this section within ninety (90) days prior to the date of expiration (Weld County Code Ordinance 2007-8) 7-2-180 Change of Medical Director An ambulance service must report any change of medical director, including name, address and telephone number, to the Director within fifteen (15) calendar days of such change. (Weld County Code Ordinance 2007-8) Page 5 I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION. IN ADDITION, I CERTIFY THAT I HAVE READ AND UNDERSTAND THE PROVISIONS AND REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7, INCLUDING, BUT NOT LIMITED TO, SECTION 7-8-10, WHICH ENCOURAGES ALL LICENSED AGENCIES PROVIDING EMS RESPONSE IN WELD COUNTY TO MAKE A GOOD FAITH EFFORT TO EXECUTE WRITTEN MUTUAL AID AGREEMENTS WITH ALL OTHER EMS PROVIDERS LOCATED WITHIN OR BORDERING ON THEIR AREAS OF RESPONSE. DETERMINATION THAT AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED BASED ON FALSE INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTI L_`tai ti�1 l Lir." a rdNlr74r /8 ..,) / /3 Signature of Applicant Title Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS '2..q DAY(yA, r , 2013 , IN THE COUNTY OF (A/01 A , STATE OF COLORADO. SETH THOMAS PARKER NOTARY PUBLIC STATE OF COLORADO NOTARY ID 201 34058807 MY COMMISSION EXPIRES SEPT. 17, 2017 Signature of Notary My Commission expires: CP) / [ Z / /7 Milliken Fire Protection District District Boundaries May 2010 MOMCn'�WAIITIMWMIWI. 1.'•: ■1 flit 11 i a - •1 =- Vi 1~ �i 7 1 L�( 1 �� A. ni 16"iagitkiti It . Alitle.,::_. :: .. IR; MI .11:;'!11;'111110407Igm-Ilk.,- nit ;� -,v rim 6111.11 ns a .11\911.. ''0, _ ficaNit.t,ii...„ ,. sai ...ii rallgii:1-.J110 ' It. 1? __ NM Oar .r IIIIIPM•1111 -.1 III , a.. ., ri:::;;:livaikis tniSill Ikt*t &IS!'ntil air ` , . or�� Fer,„,,, linlari-9lInitot al , Ilital, 1111 ht.," also IlAtitka linetilirirdi P?ffi ...: ran $I !Iv y_04 Mine . ., t bas -. ,As siLLatim MIMI it a IE\ "reit 6.I. ligillreil �ill • �i�°is.':��'� 1 '�1�1ii int titI11:!. 1fl?MflS11 I1111 ¶ii4Mii 111 `eilifermilli J ,111111111 1;� ii l li%_ u_a 1111 1 ,• a,� , , 11111 Windsor -Severance Fire Rescue i moo AUr IMMO ..__I. OR Q _aMm w IOW I 1 f= � s i;t►l `� 11/4 _ • • t. ;F X I\ 1 .•t 1 i LI 1f; f ti _ r — I .A ..• .� • 4uo. rssticrarro.1wmue,/ - t . I -- i t ' to_. ,._,.;._._... air \.Jl do _ i "'1""cau�w.rr ; 1ti1 • - •t 1s.It µI,r1 fiiltlFE�-� r z• i EMS MUTUAL AID AGREEMENT This agreement, made and entered into this 18°' day of April 2013, by and between Poudre Valley Hospital EMS and Windsor -Severance Fire Protection District, Johnstown Fire Protection District & the Milliken Fire Protection District WITNESS THAT: WHEREAS, the agencies hereto maintain paid and/or volunteer emergency medical services, together with personnel and equipment therefore; and WHEREAS, it is, and will continue to be, to the mutual benefit of each of the agencies to assist the other when necessary in providing additional emergency medical equipment and personnel for the purpose of delivering pre -hospital patient care within the boundaries of the other agency, and in turn to receive such assistance and NOW, THEREFORE, in consideration of the premises and the mutual covenants, performances and agreements hereinafter set forth, it is mutually understood and agreed between agencies as follows: 1 DEFINITIONS: 1.1 The agency responding to a request within the boundaries of the other agency is designated as the "answering agency". 12 The agency requesting aid under this agreement is designated as the "requesting agency". 1.3 "Director" or "Chief' means the person responsible for the respective ambulance service/company or his/her designated and authorized representative. 2 MUTUAL AID ASSISTANCE: 2.1 Each of the agencies Agree to respond to the requests for assistance within the boundaries of the other agency upon request of the requesting director at any and all times, provided that it shall be entirely within the discretion of the director of the answering agency as to what personnel and equipment shall answer such call and whether or not, in any event, such call may be answered consistently with the safety and protection of the citizens and property of said answering agency. 1 2.2 Each of the agencies agree to answer calls of the other agency subject to the approval of each call by the Director/Chief of the answering agencies set forth in paragraph 2.1 above, without charge to the other agency, and with the express understanding that a. EMS personnel and equipment of said answering agency shall be subject only to the liability, worlanan's compensation, and/or other insurance of the answering agency. The equipment and employees of the answering agency shall at all times be under the supervision and control of the Director/Chief of said agency, or his/her designated assistant. b. The answering agency shall at all times remain under its own Treatment Protocols. c. The answering agency may bill, collect, and retain all receipts, if any are received, from the patient or patients that are attended to and transported by the answering agency. 3 ADDITIONAL PROVISIONS: 3.1 Any request for aid hereunder should include a statement of the amount and type of equipment and personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched, however, the amount and type of equipment and number of personnel to be furnished shall be determined by a representative of the answering agency. 3.2 In the event that the request is to respond to a specific call at which the requesting agency is present, the answering agency shall report to the person -in -charge of the requesting agency at the location to which the equipment and personnel is dispatched and shall coordinate all activities with that official. The resources or facilities that are assigned shall be under the immediate supervision of the designated person of the answering agency. This person shall coordinate all efforts with the requesting person -in -charge. 3.3 For "stand by" requests, an answering agency will be released by the requesting agency when the services of the answering agency are no longer required or when the answering agency is needed within the area for which it normally provides emergency medical care or other emergency public services. 3.4 The equipment and personnel of each of the agencies while engaged in performing any mutual aid service activity or undertaking under the provisions of this agreement, shall have and retain all rights, privileges and immunity of and be deemed to be engaged in the service and employment of such agency, notwithstanding that such mutual aid service is being performed in the response area of the requesting agency or for and on behalf of the other agency. 3.5 If at any time the answering agency responds to a mutual aid call where the 2 requesting agency is not at the scene, the answering agency will follow its own Standard Operating Procedures and not those of the requesting agency.. 3.6 Each agency waives all claims against the other agency for compensation for any loss of or damage to equipment and for any loss, damage, personal injury or death sustained by EMS personnel, which occurs as a consequence of the performance of this agreement Nothing herein shall be construed as a waiver of any immunity, defense, or limitation afforded to Thompson Valley Health Services District under the Colorado Governmental Immunity Act. 3.7 This agreement shall become effective upon the approval and signature by the authorized representatives of the agencies hereto and shall continue until such time as either agency gives sixty-day advance written notice to the other agency of its intentions to terminate this agreement. 3.8 This agreement may be supplemented with various exhibits to be alphabetically designated in chronological order of adoption and signed by the respective agencies. These exhibits may set forth specific areas of first response, additional protocol, and other communications and procedural matters. 3.9 As Operator, the PVH EMS Director's signature appears on mutual aid agreement and Exhibit A as an indication of their understanding and acceptance this agreement IN WITNESS WHEREOF, the duly authorized representatives of the respective agencies hereto have signed these presents of the dates respectively indicated. Poudre Valley Hospital EMS Director Date Windsor -Severance Fire Protection Distil Fi Poudre Valley Hospital EMS At Mat, Director Date ohnstown Protection District 111rv�� Fire Chief 1-ki91x3 Date Milliken Pro /ion District Fire Chief Lk11 t16 Date 3 EXHIBIT A EMS MUTUAL AID AGREEMENT In addition to the provisions set forth in the attached mutual aid agreement, the following provisions are understood and agreed upon. 4.0 The first agency to arrive on scene may cancel any or all other agencies, if the other agencies' services are not required. 4.1 Each agency agrees to establish a common radio frequency and agrees to monitor this frequency when responding in aid of the other. This will commonly be 800 MHz Mutual Aid 1, but may be on another channel as assigned by dispatch. 4.2 In addition to provision 3.5, each agency agrees that patient destinations will be determined by nearest hospital, patient choice, destination protocols, or on-line medical control whichever is appropriate. 4.3 In addition to provision 3.5, it is understood that the first ambulance agency to arrive shall take charge of and coordinate patient care. Each agency also agrees to coordinate its efforts with the first arriving fire, ambulance, and law enforcement agency. Poudre Valley Hospital PoudreValleyHospital EMS ,q EMS Director Date Director it//e"/3 Date Johnstown Fits Protection District Fire Chief '** i4413 Date 4 Milliken Fire Protection District Fire lief Date EMS MUTUAL AID AGREEMENT This agreement, made and entered into this 18th day of April 2013, by and between Thompson Valley EMS and Windsor -Severance Fire Protection District. Johnstown Fire Protection District & the Milliken Fire Protection District WITNESS THAT: WHEREAS, the agencies hereto maintain paid and/or volunteer emergency medical services, together with personnel and equipment therefore; and WHEREAS, it is, and will continue to be, to the mutual benefit of each of the agencies to assist the other when necessary in providing additional emergency medical equipment and personnel for the purpose of delivering pre -hospital patient care within the boundaries of the other agency, and in turn to receive such assistance and NOW, THEREFORE, in consideration of the premises and the mutual covenants, performances and agreements hereinafter set forth, it is mutually understood and agreed between agencies as follows: 1 DEFINITIONS: 1.1 The agency responding to a request within the boundaries of the other agency is designated as the "answering agency". 12 The agency requesting aid under this agreement is designated as the "requesting agency". 1.3 "Director" or "Chief" means the person responsible for the respective ambulance service/company or his/her designated and authorized representative. 2 MUTUAL AID ASSISTANCE: 2.1 Each of the agencies agree to respond to the requests for assistance within the boundaries of the other agency upon request of the requesting director at any and all times, provided that it shall be entirely within the discretion of the director of the answering agency as to what personnel and equipment shall answer such tall and whether or not, in any event, such call may be answered consistently with the safety and protection of the citizens and property of said answering agency. 1 2.2 Each of the agencies agree to answer calls of the other agency subject to the approval of each call by the Director/Chief of the answering agencies set forth in paragraph 2.1 above, without charge to the other agency, and with the express understanding that a. EMS personnel and equipment of said answering agency shall be subject only to the liability, workman's compensation, and/or other insurance of the answering agency. The equipment and employees of the answering agency shall at all times be under the supervision and control of the Director/Chief of said agency, or his/her designated assistant. b. The answering agency shall at all times remain under its own Treatment Protocols. c. The answering agency may bill, collect, and retain all receipts, if any ate received, from the patient or patients that are attended to and transported by the answering agency. 3 ADDITIONAL PROVISIONS: 3.1 Any request for aid hereunder should include a statement of the amount and type of equipment and personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched, however, the amount and type of equipment and number of personnel to be furnished shall be determined by a representative of the answering agency. 3.2 In the event that the request is to respond to a specific call at which the requesting agency is present, the answering agency shall report to the person -in -charge of the requesting agency at the location to which the equipment and personnel is dispatched and shall coordinate all activities with that official. The resources or facilities that are assigned shall be under the immediate supervision of the designated person of the answering agency. This person shall coordinate all efforts with the requesting person -in -charge. 3.3 For "stand by" requests, an answering agency will be released by the requesting agency when the services of the answering agency are no longer required or when the answering agency is needed within the area for which it normally provides emergency medical care or other emergency public services. 14 The equipment and personnel of each of the agencies while engaged in performing any mutual aid service activity or undertaking under the provisions of this agreement, shall have and retain all rights, privileges and immunity of and be deemed to be engaged in the service and employment of such agency, notwithstanding that such mutual aid service is being performed in the response area of the requesting agency or for and on behalf of the other agency. 3.5 If at any time the answering agency responds to a mutual aid call where the 2 requesting agency is not at the scene, the answering agency will follow its own Standard Operating Procedures and not those of the requesting agency.. 3.6 Each agency waives all claims against the other agency for compensation for any loss of or damage to equipment and for any loss, damage, personal injury or death sustained by EMS personnel, which occurs as a consequence of the performance of this agreement. Nothing herein shall be construed as a waiver of any immunity, defense, or limitation afforded to Thompson Valley Health Services District under the Colorado Governmental Immunity Act 3.7 This agreement shall become effective upon the approval and signature by the authorized representatives of the agencies hereto and shall continue until such time as either agency gives sixty-day advance written notice to the other agency of its intentions to terminate this agreement. 3.8 This agreement may be supplemented with various exhibits to be alphabetically designated in chronological order of adoption and signed by the respective agencies. These exhibits may set forth specific areas of first response, additional protocol, and other communications and procedural matters. 3.9 As Operator, the PVH EMS Director's signature appears on mutual aid agreement and Exhibit A as an indication of their understanding and acceptance this agreement IN WITNESS WHEREOF, the duly authorized representatives of the respective agencies hereto have signed these presents of the dates respectively indicated. Thompson Valley Health Services District, d/b/a Thompson Valley Chief u— al —i3 Date Poudre Valley Hospital EMS 227 Director 417087/ 3 Date Milliken F' Protection District EXHIBIT A EMS MUTUAL AID AGREEMENT In addition to the provisions set forth in the attached mutual aid agreement, the following provisions are understood and agreed upon. 4.0 The first agency to arrive on scene may cancel any or all other agencies, if the other agencies' services are not required. 4.1 Each agency agrees to establish a common radio frequency and agrees to monitor this frequency when responding in aid of the other. This will commonly be 800 MHz Mutual Aid 1, but may be on another channel as assigned by dispatch. 4.2 In addition to provision 3.5, each agency agrees that patient destinations will be determined by nearest hospital, patient choice, destination protocols, or on-line medical control whichever is appropriate. 4.3 In addition to provision 3.5, it is understood that the fast ambulance agency to arrive shall take charge of and coordinate patient care. Fact agency also agrees to coordinate its efforts with the first arriving fire, ambulance, and law enforcement agency. D Windsor -Severance Fire Protecti, - I istrict Poudre Valley Hospital EMS Director Sis3 Date Johnstown Milliken Fire Pmtec jjgn District Fire Protection District Fire Chief Date T3 4 n, _ Fire Chief lei is Date Hello