Loading...
HomeMy WebLinkAbout931021.tiff RESOLUTION RE: APPROVE 1993 EMS PLAN UPDATE AND AUTHORIZE CHAIRMAN TO SIGN SUBSIDY PAYMENT DISTRIBUTION FORM 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, Section 23-3.5-605, C.R.S. , references monies in the Colorado State Emergency Medical Services account to be appropriated to counties for planning and coordination of emergency medical services so long as a county satisfies certain criteria set forth in that statute, and WHEREAS, the Board, by Resolution on the 25th day of September, 1991, adopted the Weld County Emergency Medical Services Plan, in full accordance and as set forth in said statute, and WHEREAS, the Board has been presented with a 1993 Emergency Medical Services Plan Update and Subsidy Payment Distribution Form, with the terms and conditions being as stated in said update, and WHEREAS, the Board deems it advisable to approve said update, a copy of which is attached hereto and incorporated herein by reference, as recommended by the Director of the Weld County Ambulance Service. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the 1993 Emergency Medical Services Plan Update be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said Subsidy Payment Distribution Form. 931021 4 NC CO AM$$1? EMS PLAN - 1993 UPDATE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of September, A.D. , 1993. // BOARD OF COUNTY COMMISSIONERS ATTEST: U/a/i WELD COUNTY, COLORADO �vh Weld County Clerk to the Board � �mec✓ Constance L. Harbert, Chairman BY: 't�/y Deputy Cler c to the W. �Webster, Pr it / APPROVED AS TO FORM: C - George Bax er aunty Attorn y' Dale K. Hall 'Barbara J. Kirkme er A 931021 �t ,� WELD COUNTY AMBULANCE SERVICE WI 1 PHONE(303)353-5700 9 (303)356-4000 C.9, 1121 M STREET 6 GREELEY,COLORADO 80631 COLORADO September 29 , 1993 Arleen Way, Grants Manager EMS Division Colorado Department of Health 4300 Cherry Creek Drive South Denver, CO 80222-1530 RE: 1993 Weld County EMS Plan Update Dear Arleen: Enclosed is Weld County's 1993 EMS Plan update . Attached to the update is the signed payment request form from our County Commissioners. Page 15 provides the "required narrative" reflecting how the subsidy funds ($13,254. 83) were used to upgrade EMS in Weld County. As you know, all of the money is used to provide the state-mandated physician advisor services for EMT-Bs- The cost in Weld County was $15,000 for 1993, so all state funds were applied to that expense . I was elected by our county EMS Council to replace Dr . Randy Gordon, M.D- as Weld County's contact person. That change is reflected on page one. If you have any question or need additional information, please don't hesitate to call me. Sincerely, ary M. McCabe, Director ld County Ambulance Service • 931021 1993 NAME OF COUNTY WELD CONTACT PERSON - the person responsible for submitting this application (this person should be able to answer all questions pertinent to the content and development of your county report and plan). Name Gary McCabe Address 1121 M Street Greeley , CO 80631 Phone (lin )353-5700 X3204 Other Phone numbers: County Commissioners Office ( 303 ) 356-4000 X4200 County Administrator Office ( 303 ) 356-4000 X4218 1 931021 SECTION I - LICENSING AND INSPECTION • 1 .1 COUNTY RESOLUTION, LAWS OR ORDINANCES In your first report you provided us with a copy of your county resolution, laws, and ordinances dealing with the inspection and licensure of ambulances. Please answer the following questions regarding your current regulations governing ambulance services. Have your regulations been updated after October 1 , 19917, _Yes x No. If yes, you must submit an undated coov with this document. When was your county resolution last updated? 9-24-90 The State EMS Council Recommends a review of your resolution once a year. 1 .2 AGENCY DESIGNATED AS BEING RESPONSIBLE FOR LICENSING AND INSPECTION AGENCY OR GOVERNMENT ENTITY WELD COUNTY HEALTH DEPARTMENT CONTACT PERSON John Pickle TITLE Director ADDRESS 1517 16th Ave Ct PHONE 303-353-0585 Greeley , CO 80631 1 .3 INSPECTION AND LICENSING - PROCESS 1 . How often do you license ambulance services? Annually x Semi-Annually 2. How often do you physically inspect ambulances? Annually x Semi-Annually 3. Are the policies and procedures for licensure of ambulances included in your county resolution? Yes x No 4. In your inspection of ambulances, do you verify that the vehicle equipment conforms with the minimum essential equipment list contained within the Colorado Board of Health Rules? Yes x No If not explain: 2 931021 5. Do all of the licensed ambulance services within your county comply with the statewide data collection program through the State EMS Division? Yes x No If the answer is no, please explain why, 1 .4 AMBULANCE AGENCIES LICENSED AND INSPECTED List here or attach a list of the licensed ambulance services. This list must include the Agency Name, Agency Director, Address and Phone number of the agency, and the number of ambulances licensed for each agency. 1 . Weld County Ambulance Service Gary McCabe , Director 1121 M Street Greeley , CO 80631 ( 303) 353-5700 x3204 Ambulances licensed : 8 2 . Platte Valley Fire Protection District Jess Bond , Chief 211 1st Street , Box 448 Kersey , CO 80644 (303 ) 353-3890 Ambulances Licensed : 1 3 . Tri -Area Ambulance Service Ed Garbarino , Supervisor 350 4th Street , Box 708 Frederick , CO 80530 ( 303 ) 833-2825 Ambulances licensed : 2 4 . Haley Ambulance , Inc . Mark E . Chauncey , General Manager 1517 Tennyson Street Denver , CO 80204 ( 303 ) 893-6804 Ambulances Licensed : 4 3 931921 INTRODUCTION COUNTY PLAN SECTION OF THE REPORT The law enabling the County Subsidy program has an added component this year which requires that all plans submitted must include a description of the existing system, deficiencies or improvements, and goals and objectives. You will see that the format we are providing for submission of your plan emphasizes this new component. In October of 1991 you provided us with an original plan. This year we are asking that you provide us with summary information from that plan and updates and/or changes. If your original plan did not address the components listed on the following pages, the new information must be provided. Please fill in all categories. Do not reference page and paragraph numbers from your original document - provide summaries or restate the information where requested. The format we are requiring is available on Word Perfect word processing program 5. 1 and will be provided for your use upon request. To receive a copy of this format on disk you must send a formatted disk to the EMS Division (the address is listed on the first page of this booklet). If you do not have a Word Perfect program feel free to computerize the following format in your word processing program, use this form, or retype it if necessary. We would be interested in information about who had input on your plan but do not require that you provide it. The following EMS representatives were active in the development of this report and plan - please mark all that apply County Health Department x Physician Advisors x County Wide EMS Council x EMS Provider Agencies: Ambulance Agencies Fire Departments Search & Rescue Providers Clinics or Hospitals x Dispatcher Communications x 4 9: 1021. SECTION II - PLAN 2.1 .A EXISTING SYSTEM DESCRIPTION - COMMUNICATIONS Restate or extract from your original plan the description of your current system. If there have been changes or if this component of EMS was not addressed in your original plan, please include the following: 1) How does a citizen accesses EMS in your county, i.e. 911 or other methods; 2) dispatch procedures used in your county; 3) communications for medical control. All of Weld County is served by the enhanced version of 911 . This service is available to anyone who has a telephone . 911 Calls are routed to one of two dispatch centers : Greeley (Weld County Regional Dispatch) and/or Fort Lupton . Currently , neither dispatch center has Emergency Medical Dispatch ( END) capabilities . EMS calls are paged to the appropriate agency , and response modes are left to the reponders ' discretion . Communications for medical control is done via UHF. Med Channel 4 and by telephone or cellulars . 2.1 .6 IDENTIFY AREAS NEEDING IMPROVEMENT - COMMUNICATIONS Identify the changes or improvements you plan to make within your current communications system. If none, please state "NONE", and move on to the next component. Emergency Medical Dispatch (END) is not currently provided . The huge size ( 4 ,004 square miles ) of the county and topography sometimes create radio propagation problems . Four party telephone lines in rural areas negates imaging of addresses on E-911 system . 5 931021 2.1 .C Please restate or extract from your original plan the goals and objectives and place them here. COMMUNICATIONS GOAL #1 - Emergency Medical Dispatch ( EMD) has been a stated goal for the past two years . See previous plans . Cost and liability issues have been debated . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this communications goal. Objective A for Goal - (narrative) Acquire and review current literature concerning EMD . Deadline : 12-31-93 Objective B for Goal #1 - (narrative) Survey current EM services in region . Deadline : 2=1 -94 • OBJECTIVE C for GOAL #1 Obtain quotations/ estimates and presentations from EMD vendors . Dadline : 4-1 -94 OBJECTIVE D for GOAL #1 Study funding needs and resources . Present findings to Weld County Commissioners and Weld County Regional Communications Center advis - ory board . Deadline : 6-1-94 Estimate the time it will take to accomplish this goal one year Estimate of cost of this Goal to County or Community $ 100 , 000 • Estimate of cost of this Goal to County Subsidy funding $ U Reproduce this page if additional space is necessary. 6 931021 r 2.1 .C Please restate or extract from your original plan the goals and objectives and place them here. COMMUNICATIONS GOAL #Z - Improve EMS radio service throughout the county . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this communications goal. Objective A for Goal #2 - (narrative) Encourage users to promptly report all propagation problems . Deadline : Immediately Objective B for Goal #L - (narrative) Contract with vendor to study propagation patterns . Deadline : one year OBJECTIVE C for GOAL #2 Research possibilities of satellite ( low orbit) system . Deadline : one year OBJECTIVE D for GOAL # 2 Research possibilities of acquiring additional operations radio frequencies . Deadline : six months Estimate the time it will take to accomplish this goal ongoing Estimate of cost of this Goal to County or Community $ 10 . 000 for study Estimate of cost of this Goal to County. Subsidy funding $ 0 Reproduce this page if additional space is neonate/. 6 931021 2.1 .C Please restate or extract from your original plan the goals and objectives and place them here. COMMUNICATIONS GOAL # 3 - Previous plans have addressed the personnel needs within the Weld/ Greeley dispatch center. The recent merger between the City of Greeley and the Weld County Dispatch systems was also a goal in previous plans . Adequacy of staffing will be measured under the new merger . Particular attention will be paid to EMS needs . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this communications goal. Objective A for Goal # - (narrative) Objective B for Goal #_ - (narrative) Estimate the time it will take to accomplish this goal Estimate of cost of this Goal to County or Community $ Estimate of cost of this Goal to County Subsidy funding $ Reproduce this page if additiond apace is necessary. 6 931021 2 . 2 .A EXISTING SYSTEM DESCRIPTION- TRANSPORTATION There have been no major changes in our original plan . 1 . There are two ALS ground ambulances ; one BLS ground ambulance ; one ALS helicopter service . There are 23 fire departments pro- viding BLS first responder service . 2 . The three ambulance services have a total of 11 transport ve- hicles , all of which are in good to excellent condition . The fire departments have a total of 18 fire/rescue vehicles in good condition and capable of transport . 3 . Weld County Ambulance Service is ultimately responsible for all 4 ,004 square miles of Weld County. TriArea services 71 square miles in the southwest corner of the county. Platte Valley Fire provides BLS services fot its district . Airlife 911 serves the entire county . 4. Written and verbal mutual aid agreements have been in place for many years . A standardized form was adopted in 1990 . A copy is in the appendix . 5 . Weld County has an Office of Emergency Management (OEM) co- ordinator and an emergency medical services advisory board . 2 . 2 . B IDENTIFY ANY AREAS NEEDING IMPROVEMENT- TRANSPORTATION Transport times and the efficient use of personnel and resources continue to be areas needing improvement . The size of Weld County (4004 square miles ! ) and present demogra- phics preclude equidistant placement of ambulances . Ground trans- port may exceed one hour in the more rural , sparsely populated areas . 7 931021 2.2.C Please restate or extract from your original plan the goals and objectives and place them here. TRANSPORTATION GOAL # l - To have at least BLS transport capability in each corner of the county . This has been achieved . Fire department rescue units and mutual aid agreements accomplishes this goal . TRANSPORTATION GOAL # 2- Set protocols for use of AIRLIFE within Weld County . This goal has also been achieved . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this transportation goal. Objective A for Goal # - (narrative) Objective 8 for Goal #_ - (narrative) Estimate the time it will take to accomplish this goal Done Estimate of cost of this Goal to County or Community $ Estimate of cost of this Goal to County Subsidy funding $ Reproduce this pace if additional space is necessary. • 931021 • 2.2.C Please restate or extract from your original plan the goals and objectives and place them here. TRANSPORTATION GOAL # 3 - New for 1993 Develop countywide BLS transport service to accommodate law enforcement needs and to release ALS units to more emergent ALS needs . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this transportation goal. Objective A for Goal #3 - (narrative) Present goal to Weld County Ambulance Service and Weld County Sheriffs Office for consideration . Objective B for Goal #j - (narrative) Develop action plan , including cost estimates and funding sources . • Estimate the time it will take to accomplish this goal 6 months Estimate of cost of this Goal to County or Community $60 ,000 Estimate of cost of this Goal to County Subsidy funding S 0 Reproduce this page if additional space is necessary. 8 A • 931021 • 2.2.C Please restate or extract from your original plan the goals and objectives and place them here. TRANSPORTATION GOAL #L - New for 1993 ' Emergency Medical Dispatch ( END) : Countywide Rationale : 1 . More cost effective use of emergency personnel and resources (vehicles and equipment) 2 . Reduction of exposures to hazardous materials and pathogens . 3 . Reduction of number of emergency responses . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this transportation goal. Objective A for Goal # 4 - (narrative) Determine costs and funding sources • Objective B for Goal # 4 - (narrative) Study liability issues : pro/con OBJECTIVE C FOR GOAL #4- Present findings and make recommendations to County Commissioners . Estimate the time it will take to accomplish this goal one year Estimate of cost of this Goal to County or Community $ 100 ,000 Estimate of cost of this Goal to County Subsidy funding $ 0 • Reproduce this page if additional space is necessary. 8 901021 • 2.3.A EXISTING SYSTEM DESCRIPTION - TREATMENT Restate or extract from your original plan the description of your current system. If there have been changes or if this component of EMS was not addressed in your original plan, please include the following: 1 ) treatment protocols; 2) destination policies; 3) medical control; 4) quality assurance; 5) manpower; 6) training; and 7) mass casualty There have been no major changes in the Weld County EMS system in 1993 except for the following : 1 . A new set of BLS treatment protocols was developed and distrib- uted to participating fire departments . A copy is enclosed in the appendix . 2 . A physician advisor was hired for the EMT-Bs serving in the participating fire departments . An EMS coordinator was hired to assist the physician advisor . 3 . A quality assurance program was developed for the EMTBs . A copy is enclosed in th appendix . 4 . AIMS Community College developed a regionalized CME program that will be introduced this fall . All of our treatment goals have been met except providing a physician advisor for all EMS providers in Weld County . 2.33 IDENTIFY ANY AREAS NEEDING IMPROVEMENT TREATMENT Identify the changes or improvements you plan to make within your current treatment system. If none, please state "NONE", and move on to the next component. Better deployment and utilization of EMS responders , vehicles , and equipment . 9 931021 • 2.3.C Please restate or extract from your original plan the goals and objectives and place them here. TREATMENT GOAL # 2 - New for 1993 Purchase an ; adequate supply of short spine boards for all EMS re- sponders . These would be used for pediatric patients and also for situations where longs spine boards cannot be utilized . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this treatment goal. Objective A for Goal # 2 - (narrative) Determine type and number needed via survey . Objective B for Goal # 2 - (narrative) Determine costs and funding sources Estimate the time it will take to accomplish this goal 6 months Estimate of cost of this Goal to County or Community $ 12 ,000 Estimate of cost of this Goal to County Subsidy funding $ 0 Reproduce this page if additional space is necessary. 1 A • 921021 • 2.3.C Please restate or extract from your original plan the goals and objectives and place them here. TREATMENT GOAL # 1 - New for 1993 • To provide the quickest , safest , and most efficient EMS response and treatment to the citizens and visitors to Weld County , Colorado . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this treatment goal. Objective A for Goal # 1 - (narrative) Begin an objective , statistical review of the current dispatching system beginning October 1 , 1993 . Objective B for Goal #1 - (narrative) Surveys of similar dispatch systems beginning October 1 , 1993 OBJECTIVE C FOR GOAL #1 A comparison and study of the types , costs , and efficiencies of existing EMD programs . OBJECTIVE D FOR GOAL #1 A composite of the results of objectives A , B , C will be reviewed by the Weld County EMS Council , and their findings and recommend- ations will be presented to the Weld County Commissioners by June 1 , 1994 . Estimate the time it will take to accomplish this goal seven months Estimate of cost of this Goal to County or Community S Study will cost p Estimate of cost of this Goal to County Subsidy funding S 0 Reproduce this pope if additional space is necessary. 10 331021 2.4.A EXISTING SYSTEM DESCRIPTION - DOCUMENTATION • Restate or extract from your original plan the description of your current system. If there have been changes or if this component of EMS was not addressed in your original plan, please include the following: 1 ) Address any prehospital care reporting system that your county may have other than the statewide data collection system provided by the state; and 2) identify any medical quality control measures your county may have in place to evaluate and improve medical care The need for a countywide standardized trip sheet and QA program has been addressed in previous plans . A standardized form and QA plan was developed in 1993 . Most BLS providers have adopted them . The ALS transporting agencies utilize both the statewide data col - lection system and their own internal systems . The same is true of their QA programs . 2.4.B IDENTIFY ANY AREAS NEEDING IMPROVEMENT - DOCUMENTATION Identify the changes or improvements you plan to make within your current documentation system. If none, please state "NONE", and move on to the next component. Not all BLS agencies are participating in the countywide tripsheet and QA programs . The current manual documentation system is labor intensive and , consequently , very time consuming to write , collect , QA , and develop statistical data . Utilization o'f advanced electronic technology needs to be initiated . Feasibility studies should commense as soon as possible . 11 931021 2.4.C Please restate or extract from your original plan the goals and objectives and place them here. DOCUMENTATION GOAL #j - The goal of developing a standardized trip report form has been met . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this documentation goal. Objective A for Goal # 1 - (narrative) Completed Objective B for Goal # 2 - (narrative) Completed Estimate the time it will take to accomplish this goal Estimate of cost of this Goal to County or Community $ Estimate of cost of this Goal to County Subsidy funding $ Reproduce this page if additional space is necessary. 12 931021 2.5.A EXISTING SYSTEM DESCRIPTION - OPTIONAL COMPONENT Physician Advisorship/ EMS Cordinator/ EMS Council State any component of your EMS system that has not already been identified and describe what is in place in your county at this time. The goals of hiring a physician advisor for EMT-Bs , hiring an EMS coordinator , and forming a permanent EMS Advisory Council have all been completed . Physician Advisorship 2.5.8 IDENTIFY ANY AREAS NEEDING IMPROVEMENT - Identify the changes or improvements you plan to make within your current system in the above stated area. Currently , Weld County has a separate physician advisor for EMT-Bs who are members of the participating fire departments and agencies contracted . Each of the transporting ambulance agencies have their own physician advisors . AIMS Community College has a physician advisor for their students currntly enrolled and taking classes . Paramedics and EMT- Is who are members of the participating fire departments and agencies contracted do not have physician advisorship . 13A 931021 2.5.C Please restate or extract from your original plan the goals and objectives and place them here. Physician Advisorshi&0 AL # 1 - 1993 Investigate alternatives to providing physician advisorship to all EMS providers in Weld County . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this goal. Objective A for Goal # 1 - (narrative) Review programs of other counties and systems . Objective B for Goal #1 - (narrative) Set meeting with current advisors and seek their input . OBJECTIVE C FOR GOAL #1 Make recommendations to County Commissioners • • Estimate the time it will take to accomplish this goal one year • Estimate of cost of this Goal to County or Community $ o T_or study Estimate of cost of this Goal to County Subsidy funding $ O Reproduce this page if additional space is necessary. 14A 331021 2.5.A EXISTING SYSTEM DESCRIPTION - OPTIONAL COMPONENT Education and Training State any component of your EMS system that has not already been identified and describe what is in place in your county at this time. Education and Training Providers : 1 . AIMS Community College : provides most of the prehospital EMS training and education , including CME . 2 . Weld County Ambulance : provides monthly CME and M&M to employ- ees and members of fire departments . 3 . North Colorado Medical Center : offers in-services and in -house training . Public Education is provided by AIMS , American Red Cross , EMS providers , and NCMC . CPR , First Responder , EMT-B , First Aid , and Public School PR programs are presented on a regular basis . 2.5.8 IDENTIFY ANY AREAS NEEDING IMPROVEMENT - Identify the changes or improvements you plan to make within your current system in the above stated area. Goal : Provide EMS training to all EMS personnel in an affordable and convenient manner . Link CME with QA. Train more instructors for CME and other educational programs Increase public education as to how EMS works in the communities , costs , and needs . 13B 921021 2.5.C Please restate or extract from your original plan the goals and objectives and place them here. Education/ training GOAL # Provide EMS training to to all prehospital EMS providers in an afford- able and convenient manner. Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this goal. Objective A for Goal /CI - (narrative) Evaluate current program changes presented by AIMS Community College . Objective B for Goal #1 - (narrative) Seek input from users on survey basis . Estimate the time it will take to accomplish this goal one year Estimate of cost of this Goal to County or Community Sr:: 6 .000 Estimate of cost of this Goal to County Subsidy funding SO Reproduce this peps if additional space is necessary. 14B 331021 2.5.C Please restate or extract from your original plan the goals and objectives and place them here. Education/ training GOAL # 2 - Link CME with QA • Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this goal. Objective A for Goal #2 - (narrative) AIMS CME coordinator and Weld EMS coordinator in close communi - cations . Objective B for Goal #1 - (narrative) Training of needed instructors at AIMS - OBJECTIVE C FOR GOAL #2- Seek funding • Estimate the time it will take to accomplish this goal one Year • Estimate of cost of this Goal to County or Community $ 5O ,non Estimate of cost of this Goal to County Subsidy funding $ O Reproduce this page if additional space is necessary. 14c • • 9 '1021 2.5.C Please restate or extract from your original plan the goals and objectives and place them here. Education/ training GOAL # 3- Increase public education on EMS EMS needs constant public exposure through P . R . and education . Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this goal. Objective A for Goal # 3- (narrative) Seek funding for CPR training in public schools , especially at the high school levels . Objective B for Goal #_3- (narrative) Continue and increase P . R . programs by EMS providers to public schools, civic clubs , senior citizens groups , etc . OBJECTIVE C FOR GOAL #3- Develop brochure/ handout as information piece about Weld EMS . One year Estimate the time it will take to accomplish this goal . Estimate of cost of this Goal to County or Community $4 ,000 Estimate of cost of this Goal to County Subsidy funding $ 0 Reproduce this page it additional space is necessary. 14 D 931021 SECTION III . - FINANCIAL 3.1 REPORT ON COUNTY SUBSIDY FUNDING Please list below any funds from 1991 that were encumbered at the time you submitted your plan in October of 1991 but not expended Date Payee Purpose Amount 12 -31-91 Jerry Wones Temporary EMS Coordinator $6 ,431 . 51 Please list below the expenditures of State provided EMS funds ($13,044.44) for calendar year January 1 , 1992 through December 31 , 1992. You must fill in this section even if you delegated the responsibility for expenditure of the funds the State sees the County as the responsible party. (All funds may not be expended at the time this report is filed, so please show where the unexpended funds will be spent and mark those unexpended funds with an "*") Date Payee Purpose Amount 10-15-92 North Colorado Emergency Physicians Physician Advisor for EMT-Bs $15 ,000 10- 15-92 Lyle Achziger Weld EMS Coordinator 1 ,481 . 93 Expenditures of State provided EMS funds ( $13 ,254 . 83 ) for calendar year January 1 , 1993 through December 31 , 1993 . 1 -31 -93 North Colorado Emergency Physicians Physician advisor for EMT-Bs $13 , 254 . 83 + ($15 ,000) 15 COUNTY SUBSIDY PAYMENT DISTRIBUTION FORM COLORADO EMERGENCY MEDICAL SERVICES SUBSIDY PROGRAM FOR COUNTIES In accordance with the provision of CRS 25-3.5-605, the undersigned hereby requests an EMS county subsidy distribution payment for the improvement and expansion of prehospital EMS. It is understood that payment is contingent upon approval of the statutatory reporting requirements by the State Advisory Council on EMS. Payment To: Weld County Board of County Commissinnprs Name of Board of County Commissioners (payee) 915 10th Street Address Greeley , CO 80631 (City) (State) (Zip) Authorizing County O a1 " SIGNATURE: inli'� 2/x../(/-- DATE: 09429/93 /0 041/9.3 Printed Name: Constance L . Harbert Title: Chairman SIGN AND RETURN THIS FORM ALONG WITH ALL REPORTING DOCUMENTATION For use only by Department of Health Emergency Medical Services Division Amount: $ Approved By: Date: EMS Director Fund Agency gig Apar Code Func Qj GQL 409 FAA 8300 FLWT 5120 • 16 B31021 MUTUAL AID AGREEMENT Date of this Agreement: , 19 Agencies to this Agreement: WELD COUNTY AMBULANCE SERVICE by and through the Board of County Commissioners of Weld County , Colorado, and These agencies maintain paid and/or volunteer emergency service personnel and equipment. It is to the mutual benefit of each agency to assist the other. As a result both agencies agree as follows: 1. To respond to requests for assistance whenever possible, provided that it shall be entirely within the discretion of the management of the requested agency as to whether and/or what personnel and equipment will be sent. 2. Signing this agreement does not create an employment relationship between the agencies. The equipment and personnel responding shall be the responsibility of the individual agencies. Each agency waives- all claims against the other agency for compensation . for any loss or damage to equipment and/or vehicles or for personal injury or death sustained by personnel which occurs as a result of the performance of this agreement. 3. Each agency agrees that the equipment, actions, methods and practices of its personnel shall conform to the ap- plicable requirements of Colorado law and to acceptable methods and practices of emergency response services. 4. This agreement may be supplemented with various exhibits setting forth specific areas of response, protocol , communications, and other procedural matters . These supplements must be adapted , signed , and dated by both agencies. 5. This agreement shall supersede and replace any and all agreements, contracts, and written and/or oral under- standings in existence prior to the execution of this agreement. 6 . No alteration of the terms of this agreement shall be valid unless made in writing and signed by the authori- zed representatives of the parties to this agreement . 7. Nothing in this agreement shall be construed to create a cause of action and/or civil liability remedy in any person not a party to this agreement. This agreement 531021 •..r exists for the sole benefit of the parties to the agree ment. The agreement shall not be construed to create a duty by either party to any third party where no such duty otherwise existed . B . This agreement shall take effect upon execution by auth orized representatives to each party . This agreement shall remain in effect until such time as either agency gives sixty (60) days advanced written notice to the other agency of its intention to terminate or amend. IN WITNESS WHEREOF, the parties above named have executed this agreement on day of , A.D. , 1990. Board of County Commissioners, Weld County, Colorado by : , Chairman by: ATTEST: Weld County Clerk And Recorder and Clerk to the Board By : Deputy County Clerk• • 331021. Hello