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Home My WebLink About20242920.tiffRESOLUTION RE: APPROVE 2024 MULTIMODAL TRANSPORTATION AND MITIGATION OPTIONS FUND (MMOF) CALL FOR PROJECTS APPLICATION FOR ON -DEMAND TRANSIT PROGRAM, AND AUTHORIZE DEPARTMENT OF PUBLIC WORKS TO SUBMIT ELECTRONICALLY - NORTH FRONT RANGE METROPOLITAN PLANNING ORGANIZATION (NFRMPO) 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, the Board has been presented with a 2024 Multimodal Transportation and Mitigation Funds (MMOF) Call for Projects Application for the On -Demand Transit Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the North Front Range Metropolitan Planning Organization (NFRMPO), commencing September 1, 2025, and ending August 31, 2028, with further terms and conditions being as stated in said grant application, and WHEREAS, after review, the Board deems it advisable to approve said grant application, 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 2024 Multimodal Transportation and Mitigation Funds (MMOF) Call for Projects Application for the On -Demand Transit Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the North Front Range Metropolitan Planning Organization (NFRMPO), be, and hereby, is approved. BE IT FURTHER RESOLVED by the Board that Evan Pinkham, Department of Planning Services, be, and hereby is, authorized to electronically submit said grant application. cc :p i(Ctl/D)-1/DD/5B/EP), AGT(GP/CO) II/H/2'i 2024-2920 EG0082 2024 MULTIMODAL TRANSPORTATION AND MITIGATION OPTIONS FUND (MMOF) CALL FOR PROJECTS APPLICATION FOR ON -DEMAND TRANSIT PROGRAM - NORTH FRONT RANGE METROPOLITAN PLANNING ORGANIZATION (NFRMPO) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of November, A.D., 2024. BOARD OF COUNTY COMMISSIONERS WELD COUNTT G•�tUO� ATTEST: cd��A^ � C� , .-/-4:14 Weld County Clerk to the Board Deputy Clerk to the Board AP' ' eVED AS Colunty A ney Date of signature: '114 17-4 (� �J (AYE) Ross, Chair erry Lck, Pro-Tem (AYE) (AYE) reeman (AYE) James (NAY) ori.Saine 2024-2920 EG0082 Co Ova C'I ID11 83Z Perry L. Buck, Pro -Tern Mike Freeman Scott K. James Kevin D. Ross , Chair Lori Seine BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Weld County NFRMPO MMOF Grant Application - On -Demand Transit Services DEPARTMENT: Public Works DATE: 10/23/24 PERSON REQUESTING: Evan Pinkham Brief description of the problem/issue: Staff is requesting to apply for grant funding in the North Front Range MPO MMOF FY 2024-2028 call for projects. Our program application is to extend funding our on -demand transit services through August 31, 2028. With this program, Weld County residents in the NFRMPO boundary can get no cost (to the rider) on -demand transportation services, Weld County currently contracts with Via Mobility on this partnership project. We have local match IGAs for service with Johnstown, Milliken, and LaSalle and intend to continue this program partnership and add Timnath, Windsor, and Eaton with this application request. The communities will submit commitment letters that will be included with the application. Participating communities have shared that they wish to continue the service because it is a cost-effective way to assist their residents in need since they do not have fixed route transit services. Each partner community contributes a local match based on their population. What options exist for the Board? 1. Allow staff to apply for MMOF funding for fiscal years 2025-2028. 2. End the program when current funding is expended (August 2025). Consequences: If we chose to end the program, people that utilize the service will need to find other forms of transportation. Impacts: We have reached out to partner communities, and they would like to continue the program. Costs (Current Fiscal Year /Ongoing or Subsequent Fiscal Years): Weld County's 25% local match cost is broken down by year below: 2025 (911-12/31) - $2,619.53 2026 - $8,754.74 2027 - $9,280.02 2028 (1/1-8/31) - $10,722.00 The total program cost for service from 9/1/25-8/31/28 is $795,240 for one bus. Expected costs/ local match requirements are attached to this pass -around. Recommendation: Staff's recommendation is to continue the service and apply for funding in the NFR MPO MMOF call for projects. Support Recommendation Schedule Place In BOCC Mende. Work Session Other/Comments: V� 2024-2920 II/y4 UC-,00gZ 2024 NFRMPO Multimodal (MMOF) Transportation Call for Projects and Application Mitigations Options Fund growl MetropOlten Planning Organization Applicant Information Project Sponsor Agency: Weld County Agency Contact: Evan Pinkham Telephone: 970-400-3727 Email Address: epinkham@weld.gov Mailing Address: I 1111 H Street City: Greeley State: CO Zip Code: 80632 Additional Financial Sponsors (if applicable): LaSalle, Johnstown, Milliken, Timnath, Windsor, and Eaton Project Description Project Name (60 -character limit): Weld County On -demand Transit Program Jurisdiction(s): Johnstown, Milliken, LaSalle, Windsor, Eaton, Timnath, Weld Project Limits (to and from): Unincorporated portion of Weld County in the NFRMPO boundary, including the towns of Johnstown, Milliken, LaSalle, Timnath, Windsor, and Eaton Project Length (miles): n/a Is this part of an ongoing project? If so, please describe: His application is to continue Weld County's on -demand transit program in the NFRMPO region. This application will extend the program, and add additional communities in to the program. Project Type (select all that apply): Quantifiable new fixed -route Management project project Mitigation -route transit enabled projects multimodal Category GHG A: Reducing Projects transit (TDM) program by new technology travel) Non -Quantifiable cost Multimodal Modeling tools Category B: or Non-GHG Reducing Projects cost for on -demand transit for on -demand transit cost for existing fixed -route transit transportation study ❑ Operating cost for Capital cost for fixed Transportation Demand Multimodal mobility Bicycle and pedestrian Greenhouse Gas (reduces VMT or increases p Operating ❑ ❑ Capital ❑ ❑ Operating ❑ ❑ ❑ ❑ ❑ Project Scope Brief description of project scope: (what work will be done; do NOT include The program application is for Weld County to contract on -demand transit program for individuals the service area), and individuals residing in Johnstown, Milliken, LaSalle, Windsor, and Eaton to transit provider, who will operate one bus at 50 hours a week (40 hours of service time). If granted promote the program to the community in order to increase ridership. This program will continue area. We are requesting a match rate reduction to 25%, which is what was granted to Weld County why that are schedule fare MMOF the program when it will be done) 60+ and/or disabled individuals. The program will allow for unincorporated Weld County residents (in free transportation to get to local/regional destinations. Weld County will manage the on -demand funding, the program will operate from 9/1/2025-8/31/2028. Weld County and the project partners will that we are currently operating in Weld County, and will add additional jurisdictions to the service we applied for this funding in the FY22 call for projects. Project Justification Address project's impact on the scoring criteria related to strategic connections, multimodal improvements, network connectivity, community benefits, and/or transportation equity: This program has had a large impact on the communities that we serve; allowing for elderly and disabled residents to get to the destinations that they need in fully accessible buses. If we are successful in obtaining additional grant funds for this program through this call for projects, we will be able to continue service, with an expanded number of communities participating in the NFRMPO region. Residents that are unable to drive must rely on the help of friends and family to get them to the destinations that they are needing to go to. This can create a burden for caregivers, and increase the possibility of missed appointments for a vulnerable population. A relatively high percent of the population within the service boundary is living with a disability, which underscores the need for transportation assistance in the region. This on -demand transit program has numerous community benefits including giving a large portion of the population the ability to remain independent. This service will continue to provide individuals a safe and reliable transportation option to get them to the services that they need including medical, shopping, education, and recreation. Providing this option for transportation gives residents the ability to easily schedule essential, and life enhancing trips that allows them to engage more with the community. As adults age and increasingly rely on options other than driving themselves to their destination, transportation can be a limiting factor for achieving desirable societal and health outcomes. Without this transportation option, many individuals may feel more secluded from their community, and less able to engage in activities. There are economic benefits to this program as well. The program provides the opportunity for riders to go shopping, get to their place of employment, and among other things, go to medical appointments. Giving these residents a more reliable form of transportation will help them engage more with their community, which is a great benefit for the community. This on -demand transit program helps to improve air quality in the NFRMPO region as well due to ride sharing, which helps to reduce VMT regionally. MMOF Goals The MMOF is for projects that contribute to a complete and integrated multimodal system. Does this project: Benefit seniors (60+) by making aging in place more feasible for them? Yes Benefits residents of rural accessible and flexible and disproportionately public transportation impacted communities by providing them with services? more Yes Provide enhanced mobility for persons with disabilities? Yes Provide safe routes to school for children? No Increase access to and/or usage of transit or multi -use facilities? 'es Reduce emissions of air pollutants, including hazardous air pollutants and greenhouse gases, that contribute to adverse environmental effects, including but not limited to climate change and adverse human health effects? '' es Page 1 of 3 Integration with Local and Regional Planning Documents NFRMPO Planning Documents Which, if any, 2050 RTP or 2021 Active Transportation Plan (ATP) corridor(s) is(are) impacted by the project? The on -demand transit program will utilize several regionally significant roadway corridors to provide service to the community. These corridors will not be impacted directly as a result of this program. If applicable, how does the project fit with the impacted corridor's vision as described in the 2050 RTP or 2021 ATP ? There are no specific corridors in the 2045 RTP or the 2021 ATP that will be directly impacted as a result of this program. NFRMPO Performance Measures The project must impact at least one 2050 RTP performance measure. Check the Performance Measure(s) impacted by the project. ❑ PM 1: Highway Safety O PM 3: System Performance El Regional Performance Measures ❑ Transit Asset Management 0 Transit Safety Integration with Other Plans List any other planning documents (i.e. local, regional, or state) that identify the project: The Johnstown Transportation Plan has several references to the need for more transit options, especially for older citizens. The Windsor Transportation Plan describes the need for on -demand transit services for the community. The Timnath Transportation Plan talks about the need for transit options in the community. Weld County has several goals in the 2045 Weld County Transportation Plan regarding the need for a variety of transit options including on -demand transit programs. Intelligent Transportation System (ITS) If this project is ITS, is the ITS Equipment identified in the Region 4 ITS Architecture Plan and Region 4 ITS Strategic Implementation Plan? n/a Partnerships Partnership contributions of at least 2% of the total project cost are worth 5 points in the scoring criteria. If other agencies or organizations are partnering with you on this project, describe each agency's role, list the monetary value of their contribution, and identify the status of any agreements (e.g. ROW donations or easements): Johnstown, Milliken, LaSalle, Windsor, Timnath, and Eaton will provide local match for the program. Environmental Considerations Which type of clearance (Categorical Exclusion, Environmental Assessment, or Environmental Impact Statement) is anticipated and what is the status of the environmental clearance? No environmental clearances are anticipated with this on -demand transit program. Page 2 of 3 Funding Source and Phase FY 2024 by Year FY 2025 FY 2026 FY 2027 FY 2028 Total MMOF Request MMOF $ 57,000 $ 190,500 $ 201,930 $ 118,231 $ 567,661 Matching Funds Weld County $ 2,620 $ 8,755 $ 9,280 $ 1,967 $ 22,622 (50% unless otherwise specified) Participating Communities $ 16,380 $ 54,745 $ 58,030 $ 12,302 i $ 141,457 Weld and Participating Co^im $ 63,500 S 63,500 Overmatch and/or $ 0 Other Funding $ 0 50 Total Project Cost $ 795,240 Phase(s) Initiated: Choose from Design, ENV, ROW, CON, Study, Service, Equip. Purchase, Other Select Service Service Service Service N/A Requested reduced match Match Rate: ❑ ❑ ❑ ❑ ❑ � rate (additional Check applies which Garden City Evans Greeley Loveland 0% 25% 25% Larimer County 25% 25% Standard documentation required) 50%, 25�ro Contingencies: Partial Awards, Funding Alternatives, and Scalability If a partial award Partial award determine what is acceptable, would level likely what not of funding is the be acceptable would minimum be to acceptable the amount project of MMOF team. to still funding If be able the this is a to operate project consideration, the would accept? we would program. need to meet with project partners to If the project receives a partial award, unsecured funding is unsuccessful, and/or if a match relief request is denied, identify if/how the project could proceed (e.g. extent if the of scope match reduction, relief source(s) request of alternative is denied, funding, timeline an increased adjustments, local match etc.): would be required by the participating communities. Please check one statement below: ❑Project application is for FY2024 funds and can meet the obligation deadline of v Project can only accept FY2025, FY2026, FY2027 or FY2028 State December If funding: the No completed additional 31, 2026 project and operational expenditure will generate deadline the need and/or of December 31, 2028. Operations for operational and/or maintenance maintenance costs Anticipated and will Project Funds. Maintenance funds, be required Milestone identify the estimated outside Dates of annual the cost and project the total status and cost source of of service. Month -Year Advertisement Date or Notice to Proceed 9/1/25 Project Completion 8/31/28 Attachments Required for all projects: Required for some projects: v Project location map ❑ CDOT letter of support, evidence of CDOT Consultation v Equity Analysis Worksheet ❑ Applicant's project prioritization Detailed cost estimate per unit and by phase v Match relief request with evidence of extraordinary need ❑ Letter of support from mayor/town administrator* ❑ GHG Emissions Analysis f Sustainable Funding Plan (Transit Service Projects only) Optional: v Additional letters of support *A resolution of support from the local government Submit council/board final applications may be submitted with in attachments lieu of a letter if preferred to planning@nfrmpo.org by the project sponsor. by 5:00 PM on November 15, 2024. Page 3 of 3 DEPARTMENT OF PUBLIC WORKS 1111 H Street Greeley, Colorado 80631 Website: www.weldgov.com Email: epinkhamweldgov.com Phone: (970) 400-3750 Fax: (970) 304-6497 October 25, 2024 RE: FY 2024-2028 MMOF Call for Projects — On -demand Transit Program Local Match Reduction Dear North Front Range MPO Chair, Weld County is formally requesting a reduction to the local match requirement for MMOF funding as determined by the Colorado Transportation Commission and stated in the MMOF Program Overview. Weld County is looking to contract transportation service to continue to deliver a much -needed mobility program to Johnstown, Milliken, LaSalle, Eaton, Timnath, Windsor. as well as unincorporated Weld County residents in the North Front Range MPO region. The program will continue our existing on -demand transit program and will serve our 60+ community as well as individuals living with a disability with transportation to a variety of regional destinations at no cost to the rider. This much needed program will promote a complete and integrated multimodal system in the North Front Range MPO region. The program meets several of the funding goals of MMOF including: • Benefits seniors by making aging in place more feasible. • Benefits residents of rural and disproportionately impacted communities by providing them with more access and flexible public transportation services. • Provides enhanced mobility for persons with disabilities. • Reduces emissions of air pollutants and greenhouse gases. Weld County is proposing a lowered local match amount due to budget constraints from our participating communities for this program. According to the MMOF Program Overview, Weld County is required to match MMOF funding at 50%. We are requesting this amount be reduced to 25% to align with Larimer and Morgan Counties. Weld County and our partnering communities look forward to providing this service to our residents. Thank you for your consideration of reducing Weld County's MMOF local match from 50% to 25% to be able to contract this very important transportation service. Sincerely, Evan Pinkham, MPA Transportation Planner Weld County Public Works Operating Cost 2025 (9/1/25-12/31/25) Item Hourly Cost Hrs. in 2025 (9/1/25-12/31/25) Cost Operating Costs (1 Bus) S 95.00 800 $ 76,000.00 (-) MMOF Grant Funds S 57,000.00 2025 local Match $ 19,000.00 2026 Item Hourly Cost Hrs. per Year (50hrs/week 50.8 weeks/year) Cost Operating Costs (1 Bus) $ 10000 2540 $ 254.00000 (-) MMOF Grant Funds $ 190,500.00 2026 local Match $ 63,500.00 2027 Item Hourly Cost Hn. per Year (50hrs/week 50.8 weeks/year) Cost Operating Costs (1 Bus) S 106.00 2540 $ 269,240.00 (-) MMOF Grant Funds S 201,930.00 2027 Local Match $ 67,310,00 2028(1/1/28-8/31/28) Item Hourly Cost Hrs. in 2028 (1/1/28-8/31/28) Cost Operating Costs (1 Bus) S 112.00 1750 $ 196,000.00 (-) MMOF Grant Funds $ 118,231 00 2028 local Match $ 77,769.00 9/1/25-8/31/28 Item Cost Operating Costs (1 Bus) 2025 Operating Cost $ 76,000 00 2026 Operating Cost $ 254,000.00 2027 Operating Cost $ 269,240.00 2028 Operating Cost $ 196,000.00 (-) MMOF Grant Funds $ 567,661.00 Total Local Match S 227,579.00 Local Match Town Population Local Match Percent Local Match 2025 (9/1-12/31) Local Match 2026 local Match 2027 Local Match 2028 (1/1-8/31) Johnstown 20225 19% $ 3,623.80 $ 12,111.12 $ 12,837.79 $ 14,832.59 LaSalle 2282 2% $ 408.88 $ 1,366.51 $ 1,448.50 $ 1,673.57 Milliken 9291 9% $ 1,664.71 5 5,563.63 $ 5,897.45 $ 6,813.83 Timnath 11074 10% $ 1,984.18 $ 6,631.33 $ 7,029.20 $ 8,121.44 Windsor 42722 40% $ 7,654.68 S 25,582.76 S 27,117.73 $ 31,331.43 Eaton 5828 5% S 1,044.23 $ 3,489.92 S 3,699.31 $ 4,274.13 Weld 14620 14% $ 2,619.53 $ 8,754.74 $ 9,280.02 $ 10,722.00 Total 106042 100% $ 19,000.00 5 63,500.00 $ 67.310.00 S 77,769.00 Schedule Project Implementation Schedule Activity Date Draft Application Submittal 10/25/2024 Final Application Submittal 11/15/2024 Public Outreach Continually Program Start Date 9/1/2025 Program End Date 8/31/2028 ME Weld County On -demand Transit Service Boundary Service Area NFR Boundary N Sustainable Funding Plan MMOF funding and local match from Weld County and the participating communities will sustain the program for September 2025 through August 2028 For September 2028 and beyond Weld County will work with additional municipalities in the NFR region to increase the service area for the program New partner municipalities will be able to provide their residents with the service, and will contribute funding to the program Weld County will seek additional funding through FTA 5310, and future MMOF calls for projects Additional funding sources may become available in the future'as well Ultimately, Weld County and the partner communities will continue service and fund the program as long as it is meeting the needs of the community, and as funding allows tor cn%IWuxm 111.%1 ANtS October 10, 2024 North Front Range Metropolitan Planning Organization 419 Canyon Ave Suite 300 Fort Collins, CO 80521 RE: 2024 MMOF Call for Projects - On Demand Transit Program Dear North Front Range MPO Chair, 450 S. Parish Avenue Johnstown, CO 80534 970.587.4664 JohnstownCO.gov It is with great excitement, that on behalf of the Town of Johnstown, we are providing this letter of support for Weld County's MMOF application to better serve our community and with the On Demand Transit Program. As part of this application and our collaborative spirit, the Town of Johnstown and Weld County will partner and contract with Via Mobility to deliver a much - needed mobility program to our respective service areas. This collaboration, focused on service, will help meet the needs of our 60+ community and also meet the needs of individuals with disabilities to a variety of regional destinations at no cost to the riders. Johnstown and its residents have already experienced a significant benefit and improved quality of life from this program. Extending the program will continue to serve a need that is otherwise absent and not available. The Town of Johnstown is committed to supporting this project financially, as it makes the community and the region better, and more importantly meets the transportation needs of our 60+ generation. I would ask for your strong consideration in our joint application for MMOF funding and we are happy to answer questions that you may have pertaining to the application. Regards, LtVer Matt LeCerf Town Manage cc: Johnstown Mayor and Town Councilmembers Evan Pinkham, Transportation Planner, Weld County The Community that Cares lZtm 44a Slat esestad. 7 128 N. SECOND ST. LASALLE, CO 80645 (970) 284-6931 FAX (970) 284-6983 October 9, 2024 Evan Pinkham, MPA Transportation Planner, Weld County Public Works 1111 H Street Greeley, CO 80631 RE: Letter of Support for MMOF funding of on -demand transit Dear Mr. Pinkham TOWN HALL The Town of LaSalle Board of Trustees at their meeting of October 9, 2024 by motion approved supportig the Weld County application to CDOT through the North Front Range MPO for MMOF funding to continue the Via Mobility on demand transportation service in our area, and to provide this letter of support. LaSalle has little in the way of medical services, grocery store or shopping for essential services within the Town. Seniors and other disadvantaged residents without personal transportation are forced to find rides with other individuals to get to Greeley and other communities along the Hwy 85 corridor to cover their basic needs. LaSalle's participation in the MMOF grant from September 2023, through the present has proved to be a very helpfpul resource for some of our residents and the Town Board believes the continuation of this on demand transit service to be extremely important. The Town fully supports your application for MMOF funding, and subject to annual appropriations, the Town of LaSalle will commit to cover the Town's proportional share of the local match in from September 2025 through Auugust 2028, if you are successful in acquiring the MMOF funding. Sincerely, La Lore en, Operatons Director llorentzen@lasalletown.com 970-284-6931 October 23, 2024 Evan Pinkham, MPA Transportation Planner Weld County Planning Services 1402 N. 17th Avenue Greeley, CO 80631 REGARDING: Via Mobility Program & MMOF Grant Application Dear Mr. Pinkham, On behalf of the Town of Milliken Board of Trustees I am submitting this Letter of Support for the Multimodal Transportation and Mitigation Options Fund (MMOF) grant application that Weld County is submitting for the Via Mobility public transit project. The Board of Trustees and I firmly believe that this program will benefit our senior residents ages 60 and up, as well as individuals with disabilities. This service will be free of charge to the rider, making it a great benefit for our community. Our community recently began participation in the Via Mobility program in August 2024. The Via Mobility program is an asset and a needed resource to rural communities in the area. Milliken would be among the towns that would proportionately share in the expense of this service. The Town of Milliken supports this program and highly recommends that the MMOF grant funding is approved. Sincerely, Elizabe Austin Mayor of Milliken Town Hall • 1101 Broad St., Drawer 290 • Milliken, CO 80543 • (970) 587-4331 • Fax: (970) 587-2678 "T" lc NA N. AT Fal ESTABLISHPII 1 8 8 2 October 7, 2024 Dear CDOT Scoring and Selection Panel, As Mayor of the Town of Timnath, I am writing on behalf of the Town to support the Multimodal Transportation and Mitigation Options Fund (MMOF) application currently in the submission process for the Via Mobility project by Weld County. The economics of running a standalone program would be challenging for a community such as ours. Considering our limited resources, a collaborative effort funding by grants like this one will create viable opportunities to benefit our citizens. This is a true regional effort to help Weld County and its small communities to provide needed services for those who are overlooked all too often. I look forward to this this project becoming an asset to the region. I encourage CDOT to approve the grant application submitted for the Via Mobility Project. Please do not hesitate to contact me with any questions. Sincerely, Robert Axmacher Mayor Phone: (970) 224-3211 www.timnath.org 4750 Signal Tree Drive, Timnath, CO 80547 Contract Form Entity Information Entity Name* NORTH FRONT RANGE MPO Entity ID* @00017932 Contract Name* NFRMPO 2024 MMOF APPLICATION - ON -DEMAND TRANSIT SERVICES Contract Status CTB REVIEW O New Entity? Contract ID 8832 Contract Lead* EPINKHAM Contract Lead Email epinkham@weld.gov Parent Contract ID Requires Board Approval YES Department Project # Contract Description* APPLICATION FOR FUNDING IN THE NFRMPO 2024 MMOF CALL FOR PROJECTS. REQUEST IS FOR FUNDING AN ON -DEMAND TRANSIT SERVICE. Contract Description 2 Contract Type" Department GRANT PUBLIC WORKS Amount* $795,240.00 Renewable * NO Automatic Renewal Grant YES IGA Department Email CM- PublicWorks@weld.gov Department Head Email CM-PublicWorks- DeptHead@weld.gov County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV Grant Deadline Date 11/15/2024 Requested BOCC Agenda Due Date Date* 11/02/2024 11/06/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? NO If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 10/01/2025 Termination Notice Period Contact Information Committed Delivery Date Expiration Date* 10/14/2026 Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel .CURTIS HALL CHERYL PATTELLI BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 10/30/2024 10/30/2024 10/30/2024 Final Approval BOCC Approved Tyler Ref # AG 110424 BOCC Signed Date Originator EPINKHAM BOCC Agenda Date 11/04/2024 From: Evan Pinkham To: Planning Cc: Cheryl Powell; Matt LeCerf; Lam Lorentzen; Eric Lucas; Justin Stone; Greg Brinck; Scott James; Elizabeth Relford; Curtis Hall Subject: NFRMPO FY24-28 MMOF Cat for Projects - Weld County MMOF Application Date: Friday, November 15, 2024 8:32:35 AM Attachments: 2024 MMOF Application - Weld County w. attachments 11-15-24.odf Good morning, Please see the attached final application for submittal in the FY24-28 NFRMPO MMOF Call for Projects. Thank you, Evan Evan Pinkham, MPA Transportation Planner Weld County Public Works 1111 H Street I Greeley Direct: (9701400-3727 eoinkhamlotweld.gov Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2024 NFRMPO Multimodal (MMOF) Transportation Call and for Projects Application pp Mitigations Options Fund re Metropolitan Planning � Organization Applicant Information Project Sponsor Agency: Agency Contact: Telephone: Email Address: Weld County Evan Pinkham 970-400-3727 epinkham@weld.gov Mailing Address: City: State: Zip Code: 1111 H Street Greeley CO 80632 Additional Financial Sponsors (if applicable): LaSalle, Johnstown, Milliken, Timnath, Windsor, and Eaton Project Description Project Name (60 -character limit): Jurisdiction(s): Weld County On -demand Transit Program Johnstown, Milliken, LaSalle, Windsor, Eaton, Timnath, Weld Project Limits (to and from): Project Length (miles): Unincorporated portion of Weld County in the NFRMPO boundary, including the towns of Johnstown, Milliken, LaSalle, Timnath, Windsor, and Eaton n/a Is this part of an ongoing project? If so, please describe: This application is to continue Weld County's on demand transit program in the NFRMPO region. This application will extend the program, and add additional communities in to the program. Project Type (select all that apply): Category A: Category B: Quantifiable GHG Reducing Projects Non -Quantifiable or Non-GHG Reducing Projects new fixed -route transit cost for on -demand transit • Operating cost for i Operating -route transit cost for on -demand transit ❑ Capital cost for fixed ❑ Capital Transportation Demand Management (TDM) program cost for existing fixed -route transit ❑ ❑ Operating project enabled by new technology transportation study ❑ Multimodal mobility ❑ Multimodal project Modeling tools ❑ Bicycle and pedestrian ❑ Greenhouse Gas Mitigation projects ❑ (reduces VMT or increases multimodal travel) Project Scope Brief description of project scope: (what work will be done; do NOT include why it will be done) The program application is for Weld County to contract on -demand transit program for individuals that are 60+ and/or disabled individuals. The program will allow for unincorporated Weld County residents (in the service area), and individuals residing in Johnstown, Milliken, LaSalle, Windsor, and Eaton to schedule fare free transportation to get to local/regional destinations. Weld County will manage the on demand transit provider, who will operate one bus at 50 hours a week (40 hours of service time). If granted MMOF funding, the program will operate from 9/1/2025-8/31/2028. Weld County and the project partners will promote the program to the community in order to !ncrease ridership. This program will continue the program that we are currently operating in Weld County, and will add additional jurisdictions to the service area. We are requesting a match rate reduction to 25%, which is what was granted to Weld County when we applied for this funding in the FY22 call for projects. Project Justification Address project's impact on the scoring criteria related to strategic connections, multimodal improvements, network connectivity, community benefits, and/or transportation equity: This program has had a large impact on the communities that we serve; allowing for elderly and disabled residents to get to the destinations that they need in fully accessible buses. If we are successful in obtaining additional grant funds for this program through this call for projects, we will be able to continue service, with an expanded number of communities participating in the NFRMPO region. Residents that are unable to drive must rely on the help of friends and family to get them to the destinations that they are needing to go to. This can create a burden for caregivers, and increase the possibility of missed appointments for a vulnerable population. A relatively high percent of the population within the service boundary is living with a disability, which underscores the need for transportation assistance in the region. This on demand transit program has numerous ccmmunity benefits including giving a large portion of the population the ability to remain independent. This service will continue to provide individuals a safe and reliable transportation option to get them to the services that they need including medical, shopping, education, and recreation. Providing this option for transportation gives residents the ability to easily schedule essential, and life enhancing trips that allows them to engage more with the community. As adults age and increasingly rely on options other than driving themselves to their destination, transportation can be a limiting factor for achieving desirable societal and health outcomes. Without this transportation option, many individuals may feel more secluded from their community, and less able to engage in activities. There are economic benefits to this program as well. The program provides the opportunity for riders to go shopping, get to their place of employment, and among other things, go to medical appointments. Giving these residents a more reliable form of transportation will help them engage more with their community, which is a great benefit for the community. This on -demand transit program helps to improve air quality in the NFRMPO region as well due to ride sharing, which helps to reduce VMT regionally. MMOF Goals The MMOF is for projects that contribute to a complete and integrated multimodal system. Does this project: Benefit seniors (60+) by making aging in place more feasible for them? Y , Benefits residents of rural and disproportionately impacted communities by providing them with more ; ..., accessible and flexible public transportation services? Provide enhanced mobility for persons with disabilities? ' e, Provide safe routes to school for children? No Increase access to and/or usage of transit or multi -use facilities? ,,,, Reduce emissions of air pollutants, including hazardous air pollutants and greenhouse gases, that contribute to adverse environmental effects, including but not limited to climate change and adverse human health effects? Page 1 of 3 Integratiori. with L"ocal:and'Regional Plann ttg Documents, Which, if any, 2050 RTP or 2021 Active Transportation Plan (ATP) corndor(s) is(are) impacted by the project? The on -demand transit program will utilize several regionally significant roadway corridors to provide service to the community These corridors will not be impacted directly as a result of this program If applicable, how does the project fit with the impacted corridors vision as described in the 2050 RTP or 2021 ATP ? There are no specific corridors in the 2045 RTP or the 2021 ATP that will be directly impacted as a result of this program _ .. � r^�- _. 'V � � ._ y _ _ .mot. ,.r .. _ � ��cr-•. i = "-- -L .. . jf �,� � . � ~ I} t• It � {)(j;, �' � , f �.i w The project must impact at least one 2050 RTP performance measure Check the Performance Measure(s) impacted by the project ❑ PM 1 Highway Safety 0 PM 3 System Performance El Regional Performance Measures ❑ Transit Asset Management O Transit Safety - Uri n w.itM flier ans _ , Lot any other planning documents De local, regional, or state) that identify the project The Johnstown Transportation Plan has several references to the need for more transit options, especially for older citizens The Windsor Transportation Plan describes the need for on -demand transit services for the community The Timnath Transportation Plan talks about the need for transit options in the community Weld County has several goals in the 2045 Weld County Transportation Plan regarding the need for a variety of transit options including on -demand transit programs '.n - ...r` seC i L ` '� ' ' c s 1^ Jq• +� y i ,,4 �',� eL . .w �.. .,._,... F. .. � 1 . .� .. . T- _ ._. .. .- „1ti..�a� J.i.. La �—_. 1.ti1_ _lfvlT•n . _ rya 5, .. ,� �` "7`{ , f If this project is ITS, is the ITS Equipment identified in the Region 4 ITS Architecture Plan and Region 4 ITS Strategic Implementation Plan? n/a -• J _ T RaitrierSliips - . , ..., . _ Partnership contributions of at least 2% of the total project cost are worth 5 points m the scoring criteria If other agencies or organizations are partnering with you on this project, describe each agency's role, hst the monetary value of their contribution, and identify the status of any agreements (e g ROW donations or easements) Johnstown, Milliken, LaSalle, Windsor, Timnath, and Eaton will provide local match for the program in addition to the local match that Weld County is providing - virdomental Consi'der'ations ; Which type of clearance (Categorical Exclusion, Environmental Assessment, or Environmental Impact Statement) is anticipated and what is the status of the environmental clearance? No environmental clearances are anticipated with this on -demand transit program Page 2 of 3 Funding and Phase by Year Source FY 2024 FY 2025 FY 2026 FY 2027 FY 2028 Total MMOF Request MMOF $ 57,000 $ 190,500 $ 201,930 $ 118,231 $ 567,661 (50% unless Matching otherwise Funds specified) Weld County $ 2,620 $ 8,755 $ 9,280 $ 1,967 $ 22,622 Participating Communities $ 16,380 $ 54,745 $ 58,030 $ 12,302 $ 141,457 Overmatch Other Funding and/or Weld and Partwpating Commu- $ 63,500 $ 63,500 $ 0 $ 0 $0 Total Project Cost $ 795,240 Phase(s) Initiated: Choose from Design, ENV, ROW, CON, Study, Service, Equip. Purchase, Other Select Service Service Service Service e N/A Requested reduced match Match Rate: � ❑ ❑ a � � rate (additional Check applies which Garden City Evans Greeley Loveland Larimer County Standard 0% 25% 25% 25% 25% documentation required) 50% 25% Contingencies: Partial Awards, Funding Alternatives, and Scalability If Partial determine a partial award award what is would level acceptable, likely of not funding what be is acceptable would the minimum be to acceptable the amount of MMOF project to still team. be able funding If this the project is a consideration, to operate the would accept? we would program. need to meet with project partners to If the project receives a partial award, unsecured funding is unsuccessful, and/or if a match relief request is denied, identify if/how the project could proceed (e.g. extent of scope reduction, source(s) of alternative funding, timeline adjustments, etc.): If the match relief request is denied, an increased local match would be required by the participating communities. Please check one statement below: ❑Project application is for FY2024 funds and can meet the obligation deadline of i Project can only accept FY2025, FY2026, FY2027 or FY2028 State December If funding: the No completed additional 31, 2026 project and operational expenditure will generate deadline the need and/or of December 31, 2028. Operations for operational and/or maintenance maintenance costs Anticipated Project and will Funds. Maintenance funds, be required Milestone identify outside Dates the estimated of annual the cost and the project total status and cost source of Month of service. -Year Advertisement Date or Notice to Proceed 9/1/25 Project Completion 8/31/28 Attachments Required for all projects: Required for some projects: ✓ Project location map • CDOT concurrence, evidence of CDOT Consultation I Equity Analysis Worksheet ❑ Applicant's project prioritization ✓ Detailed cost estimate per unit and by phase ✓ Match relief request with evidence of extraordinary need O Letter of support from mayor/town administrator* ❑ GHG Emissions Analysis i Sustainable Funding Plan (Transit Service Projects only) Optional: ✓ Additional letters of support *A resolution of support from the local government council/board may be submitted in lieu of a letter if preferred by the project sponsor. Submit final applications with attachments to planning@nfrmpo.org by 5:00 PM on November 15, 2024. Page 3 of 3 Weld County On -demand Transit Service Boundary Service Area NFR Boundary N 2024 NFRMPO Multimodal (MMOF) Equity Transportation Analysis and Worksheet Mitigations Options Fund ' , - !`t . Metropolitan Planning Organization Project Information Project Sponsor Weld County Project Name Weld County On -demand Transit Program Project located 1/4 mile from NFRMPO Equity Index Area Yes Anticipated Project Burdens Short Construction Term ) � (Post Long Construction) Term Bodily impairment, infirmity, illness, or death No No Air, noise, and water pollution and soil contamination No No Destruction aesthetic and values, services or disruption or availability of man-made of public or natural and private resources, facilities No No Adverse impacts on community cohesion or economic vitality No No Noise and vibration No No Increased traffic congestion, isolation, exclusion, or separation No No Anticipated Burdens (including additional anticipated burdens) No burdens are anticipated with this on -demand transit program. Anticipated Project Benefits Decrease in travel time Yes Improved air quality Yes Expanded access to employment opportunities Yes Improved transportation access to (walking transit options and bicycling) and alternative modes of Yes Anticipated Benefits (including additional anticipated benefits) The remain improved on -demand independent. with this project Individuals program has numerous due have to ride community greater share access opportunities, benefits to employment including which opportunities will giving reduce a large VMTs portion with within this of the the service. region population Air as quality decrease the will ability be travel to time. Outreach/Public Involvement Outreach communities many media newsletter NFRMPO funding local posts to to boundary that continue recreation, residents regarding are has occurring a utilized the large of senior, the unincorporated service program, distribution on the and a continuous service. due community to as in the well Weld Weld Weld success basis. as County centers. a County County. write We of and the and have up We Many in program. have our our presented our individuals partners participating done County information several are Roots within seeking social the at Operating Cost 2025 (9/1/25-12/31/25) item Hourly Cost Hrs. in 2025 (9/1/25-12/31/25) Cost Operating Costs (1 Bus) $ 95.00 800 $ 16,000.00 (-) MMOF Grant Funds $ 57,000.00 2025 Local Match $ 19,000.00 2026 Item Hourly Cost Hrs. per Year (50hrs/week 50.8 weeks/year) Cost Operating Costs (1 Bus) $ 100.00 2540 $ 254,000.00 (-) MMOF Grant Funds $ 190,500.00 2026 Local Match $ 63,500.00 2027 Item Hourly Cost Hrs. per Year (50hrs/week 50.8 weeks/year) Cost Operating Costs (1 Bus) $ 106.00 2540 $ 269,240.00 .(-) MMOF Grant Funds $ 201,930.00 2027 Local Match $ 67,310.00 2028 (1/1/28-8/31/28) Item Hourly Cost Hrs. in 2028 (1/1/21-8/31/28) Cost Operating Costs (1 Bus) $ 112.00 1750 $ 196,000.00 (-) MMOF Grant Funds $ 118,231.00 2028 Local Match $ 77,769.00 9/1/25-8/31/21 Kam Cost Operating Costs (1 Bus) 2025 Operating Cost $ 76,000.00 2026 Operating Cost $ 254,000.00 2027 Operating Cost $ 269,240.00 2028 Operating Cost $ 196,000.00 (-) MMOF Grant Funds $ 567,661.00 Total Local Match $ 227,579.00 Local Match Town Population Local Match Percent Local Match 2025 (9/1-12/31) Local Match 2026 Local Match 2027 Local Match 2028 (1/1-8/31) Johnstown 20225 19% $ 3,623.80 $ 12,111.12 $ 12,837.79 $ 14,832.59 LaSalle 2282 2% $ 408.88 $ 1,366.51 $ 1,448.50 $ 1,673.57 Milliken 9291 9% $ _ 1,664.71 $ 5,563.63 $ 5,897.45 $ 6,813.83 Timnath 11074 10% $ 1,984.18 5 6,631.33 $ 7,029.20 $ 8,121.44 Windsor 42722 40% $ 7,654.68 $ 25,582.76 $ 27,117.73 $ 31,331.43 Eaton 5828 5% $ 1,044.23 $ 3,489.92 $ 3,699.31 $ 4,274.13 Weld 14620 14% $ 2,619.53 $ 8,754.74 $ 9,280.02 $ 10,722.00 Total 106042 100% $ 19,000.00 $ 63,500.00 $ 67,310.00 $ 77,769.00 Schedule Project Implementation Schedule Activity Date Draft Application Submittal 10/25/2024 Final Application Submittal 11/15/2024 Public Outreach Continually Program Start Date 9/1/2025 Program End Date 8/31/2028 RESOLUTION RE. APPROVE 2024 MULTIMODAL TRANSPORTATION AND MITIGATION OPTIONS FUND (MMOF) CALL FOR PROJECTS APPLICATION FOR ON -DEMAND TRANSIT PROGRAM, AND AUTHORIZE DEPARTMENT OF PUBLIC WORKS TO SUBMIT ELECTRONICALLY - NORTH FRONT RANGE METROPOLITAN PLANNING ORGANIZATION (NFRMPO) 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, the Board has been presented with a 2024 Multimodal Transportation and Mitigation Funds (MMOF) Call for Projects Application for the On -Demand Transit Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the North Front Range Metropolitan Planning Organization (NFRMPO), commencing September 1, 2025, and ending August 31, 2028, with further terms and conditions being as stated in said grant application, and WHEREAS, after review, the Board deems it advisable to approve said grant application, 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 2024 Multimodal Transportation and Mitigation Funds (MMOF) Call for Projects Application for the On -Demand Transit Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the North Front Range Metropolitan Planning Organization (NFRMPO), be, and hereby, is approved BE IT FURTHER RESOLVED by the Board that Evan Pinkham, Department of Planning Services, be, and hereby is, authorized to electronically submit said grant application cc • po (cti lip l,bp/513 /EP), acT(cP/cD) II/NI/2't 2024-2920 EG0082 2024 MULTIMODAL TRANSPORTATION AND MITIGATION OPTIONS FUND (MMOF) CALL FOR PROJECTS APPLICATION FOR ON -DEMAND TRANSIT PROGRAM - NORTH FRONT RANGE METROPOLITAN PLANNING ORGANIZATION (NFRMPO) PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 4th day of November, A D , 2024 ATTEST V,..42,4,A) w .1,44;4 Weld County Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY Ross, Chair .Jatti-ni 11.1u,6,1 Ferry L tick, Pro-Tem Deputy Clerk to the Board �"+� reeman APVEDAS Co ny A • ney Date of signature 1 � I `Z4 2024-2920 EG0082 THE TOWN OF E AT 0 N North Front Range Metropolitan Planning Organization 419 Canyon Ave Suite 300 Fort Collins, CO 80521 November 15, 2024 Re: Weld County Via Mobility MMOF Grant Application The Town of Eaton is excited to join Weld County and other Weld County municipalities in this year's MMOF grant application. Transportation options for our community members who are 60+ and/or individuals with disabilities are limited and the Eaton Board of Trustees is committed to ensuring all generational needs are met. Weld County's successful partnership with Via Mobility for on demand transit is one the Town of Eaton is eager to join. This collaborative effort will bring necessary service options to the Town of Eaton without being administratively or financially burdensome to the Town. It is with my great pleasure to provide this letter of support and financial partnership in this effort. Sincerely, Scot f Moser Mayor 223 1st St, Eaton, CO 80615 eatonco.org • IDECOMMU.NIR gH.0 c M s October 10, 2024 North Front Range Metropolitan Planning Organization 419 Canyon Ave Suite 300 Fort Collins, CO 80521 RE: 2024 MMOF Call for Projects - On Demand Transit Program Dear North Front Range MPO Chair, 450 S. Parish Avenue Johnstown, CO 80534 970.587.4664 JohnstownCO.gov It is with great excitement, that on behalf of the ri'own of Johnstown, we are providing this letter of support for Weld County's MMOF application to better serve our community and with the On Demand Transit Program. As part of this application and our collaborative spirit, the Town of Johnstown and Weld County will partner and contract with Via Mobility to deliver a much - needed mobility program to our respective service areas. This collaboration, focused on service, will help meet the needs of our 60+ community and also meet the needs of individuals with disabilities to a variety of regional destinations at no cost to the riders. Johnstown and its residents have already experienced a significant benefit and improved quality of life from this program. Extending the program will continue to serve a need that is otherwise absent and not available. The Town of Johnstown is committed to supporting this project financially, as it makes the community and the region better, and more importantly meets the transportation needs of our 60+ generation. I would ask for your strong consideration in our joint application for MMOF funding and we are happy to answer questions that you may have pertaining to the application. Regards, Matt LeCerf Town Manage cc: Johnstown Mayor and Town Councilmembers Evan Pinkham, Transportation Planner, Weld County The Community that Cares rust 4-da Sae, esitnady 128 N. SECOND ST. LASALLE, CO 80645 (970) 284-6931 FAX (970) 284-6983 October 9, 2024 Evan Pinkham, MPA Transportation Planner, Weld County Public Works 1111 H Street Greeley, CO 80631 RE: Letter of Support for MMOF funding of on -demand transit Dear Mr. Pinkham TOWN HALL The Town of LaSalle Board of Trustees at their meeting of October 9, 2024 by motion approved supportig the Weld County application to CDOT through the North Front Range MPO for MMOF funding to continue the Via Mobility on demand transportation service in our area, and to provide this letter of support. LaSalle has little in the way of medical services, grocery store or shopping for essential services within the Town. Seniors and other disadvantaged residents without personal transportation are forced to find rides with other individuals to get to Greeley and other communities along the Hwy 85 corridor to cover their basic needs. LaSalle's participation in the MMOF grant from September 2023, through the present has proved to be a very helpfpul resource for some of our residents and the Town Board believes the continuation of this on demand transit service to be extremely important. The Town fully supports your application for MMOF funding, and subject to annual appropriations, the Town of LaSalle will commit to cover the Town's proportional share of the local match in from September 2025 through Auugust 2028, if you are successful in acquiring the MMOF funding. Sincerely, Lan Lore en, Operatons Director llorentzen@lasalletown.com 970-284-6931 October 23, 2024 Evan Pinkham, MPA Transportation Planner Weld County Planning Services 1402 N. 17th Avenue Greeley, CO 80631 REGARDING: Via Mobility Program & MMOF Grant Application Dear Mr. Pinkham, On behalf of the Town of Milliken Board of Trustees I am submitting this letter of Support for the Multimodal Transportation and Mitigation Options Fund (MMOF) grant application that Weld County is submitting for the Via Mobility public transit project. The Board of Trustees and I firmly believe that this program will benefit our senior residents ages 60 and up, as well as individuals with disabilities. This service will be free of charge to the rider, making it a great benefit for our community. Our community recently began participation in the Via Mobility program in August 2024. The Via Mobility program is an asset and a needed resource to rural communities in the area. Milliken would be among the towns that would proportionately share in the expense of this service. The Town of Milliken supports this program and highly recommends that the MMOF grant funding is approved. Sincerely, Elizabeth Austin Mayor of Milliken k' -- Town Hall • 1101 Broad St., Drawer 290 • Milliken, CO 80543 • (970) 587-4331 • Fax: (970) 587-2678 C L fdt/->2 TININATH VSTABL.ISHPD 1882 October 7, 2024 Dear CDOT Scoring and Selection Panel, As Mayor of the Town of Timnath, I am writing on behalf of the Town to support the Multimodal Transportation and Mitigation Options Fund (MMOF) application currently in the submission process for the Via Mobility project by Weld County. The economics of running a standalone program would be challenging for a community such as ours. Considering our limited resources, a collaborative effort funding by grants like this one will create viable opportunities to benefit our citizens. This is a true regional effort to help Weld County and its small communities to provide needed services for those who are overlooked all too often. I look forward to this this project becoming an asset to the region. I encourage CDOT to approve the grant application submitted for the Via Mobility Project. Please do not hesitate to contact inc with any questions. Sincerely, Robert Axmacher Mayor Phone: (970) 224-3211 www.timnath.org 4750 Signal Tree Drive, Timnath, CO 80547 WINDSOR COLORADO Date: October 28, 2024 To: North Front Range Metropolitan Planning Organization 419 Canyon Avenue Suite 300 Fort Collins, CO 80521 Re: 2024 MMOF Call for Projects — On Demand Transit Program Dear North Front Range MPO Chair, I am writing to express the Town of Windsor's support for Weld County's MMOF application to better serve our community and collaborate with other communities in our respective service areas to provide On Demand Transit through a contract with Via Mobility. This collaboration, focused on service of our 60+ community and those with disabilities to a variety of regional destinations at no cost to the riders will be a significant enhancement in service and will impact countless individuals in our service area. I would ask for your strong consideration in our joint application for MMOF funding as Windsor and other communities in our region are eager to enhance service for so many in need. Sincerely, act ie Cline Mayor DEPARTMENT OF PUBLIC WORKS 1111 H Street Greeley, Colorado 80631 Website: www.weldaov.com Email: epinkham@weldgov.com Phone: (970) 400-3750 Fax: (970) 304-6497 October 25, 2024 RE: FY 2024-2028 MMOF Call for Projects — On -demand Transit Program Local Match Reduction Dear North Front Range MPO Chair, Weld County is formally requesting a reduction to the local match requirement for MMOF funding as determined by the Colorado Transportation Commission and stated in the MMOF Program Overview. Weld County is looking to contract transportation service to continue to deliver a much -needed mobility program to Johnstown, Milliken, LaSalle, Eaton, Timnath, Windsor, as well as unincorporated Weld County residents in the North Front Range MPO region. The program will continue our existing on -demand transit program and will serve our 60+ community as well as individuals living with a disability with transportation to a variety of regional destinations at no cost to the rider. This much needed program will promote a complete and integrated multimodal system in the North Front Range MPO region. The program meets several of the funding goals of MMOF including: • Benefits seniors by making aging in place more feasible. • Benefits residents of rural and disproportionately impacted communities by providing them with more access and flexible public transportation services. • Provides enhanced mobility for persons with disabilities. • Reduces emissions of air pollutants and greenhouse gases. Weld County is proposing a lowered local match amount due to budget constraints from our participating communities for this program. According to the MMOF Program Overview, Weld County is required to match MMOF funding at 50%. We are requesting this amount be reduced to 25% to align with Larimer and Morgan Counties. Weld County and our partnering communities look forward to providing this service to our residents. Thank you for your consideration of reducing Weld County's MMOF local match from 50% to 25% to be able to contract this very important transportation service. Sincerely, Evan Pinkham, MPA Transportation Planner Weld County Public Works Sustainable Funding Plan MMOF funding and local match from Weld County and the participating communities will sustain the program for September 2025 through August 2028. For September 2028 and beyond Weld County will work with additional municipalities in the NFR region to increase the service area for the program. New partner municipalities will be able to provide their residents with the service, and will contribute funding to the program. Weld County will seek additional funding through FTA 5310, and future MMOF calls for projects. Additional funding sources may become available in the future as well. Ultimately, Weld County and the partner communities will continue service and fund the program as long as it is meeting the needs of the community, and as funding allows. Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIA Mobility for Life Date range: 08/01/2023 - 08/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 40. Operational days: 15. Selected weekdays: All. Bums Jeryl (10837) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Fund Skyline Center For Health: 2555 E Weld NFR 08/04/23 comp normal 1002 N 4th St Johnstown (North Front 13th St Loveland Range) Skyline Center For Health: 2555 Weld - NFR 08/04/23 comp normal E 13th St Loveland 1002 N 4th St Johnstown (North Front Range) Skyline Center For Health: 2555 E Weld - NFR 08/15/23 comp normal 1002 N 4th St Johnstown 13th St Loveland (North Front 08/15/23 comp normal Skyline Center For Health: 2555 1002 N 4th St Johnstown E 13th St Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 08/11/23 comp normal 27 N Estes Ave Johnstown 08/11/23 comp normal Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 08/16/23 comp normal 27 N Estes Ave Johnstown Tax Service Center Dept of 08/16/23 comp normal Revenue: 3030 S College Ave Fort Collins 08/16/23 comp normal 08/29/23 comp normal 27 N Estes Ave Johnstown 08/29/23 comp 9/5/23, 2:40 PM H&R Block: 1425 N Denver Ave Loveland Drop-off Location Range) Weld - NFR (North Front Range) Medicaid number: No Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 27 N Estes Ave Johnstown Tax Service Center Dept of Revenue: 3030 S College Ave Fort Collins H&R Block: 1425 N Denver Ave Loveland 27 N Estes Ave Johnstown Employment: 1839 Thrive Dr Windsor normal Eployment: 417 Boxwood Dr 27 N Estes Ave Johnstown Winmdsor Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical Medical 11.80 11.67 31.77 11.30 11.17 32.68 14.30 11.67 54.57 10.70 11.17 27.37 Total trips: 8 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Grocery Grocery Personal Personal Personal Employment Employment 11.90 11.92 36.90 12.70 11.90 48.25 25.60 22.90 69.88 12.70 11.48 87.85 12.20 11.56 36.07 10.90 14.48 43.53 13.70 11.99 44.32 Page 1 of 4 Range) Target - 1725 Rocky Mountain Weld - NFR 08/31/23 comp normal 27 N Estes Ave Johnstown Ave: 1725 Rocky Mountain Ave (North Front Employment Loveland Range) Mengrone Susan (10864) Date Status Provider Pick-up Location ion Drop-off Location 11.20 9.60 51.10 Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Banner Health Center Urolo Weld - NFR gy' 08/22/23 comp normal 202 N Greeley Ave Johnstown (North Front Medical 4700 Lady Moon Dr Fort Collins Range) Banner Health Center Urology:Weld NFR 08/22/23 comp normal202 N Greeley Ave Johnstown (North Front Medical 4700 Lady Moon Dr Fort Collins Range) Miller Undo (11022) Date Status Provider Pick-up Location 08/29/23 comp normal 202 N Greeley Ave Johnstown 08/29/23 comp normal Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Time Shared Direct 17.90 18.22 28.73 18.60 17.81 30.67 Medicaid number: no Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Medical Ctr of Rockies: 2500 Weld - NFR Rocky Mtn Ave Loveland (North Front Medical 10.80 10.15 57.00 Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Medical 10.00 10.35 20.58 Range) Parsons Helen (10878) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Johnstown Family Dentistry: 39 S Weld - NFR 08/15/23 comp normal 319 Windgate Ct Johnstown Parish Ave Johnstown (North Front Dental 2 1.50 1.52 23.45 Range) Johnstown Family Dentistry: 39 S Weld - NFR 08/15/23 comp normal parish Ave Johnstown 319 Windgate Ct Johnstown (North Front Dental 2 1.70 1.52 19.95 Range) Tracy Nancy (11045) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time 08/31/23 comp normal 325 3rd Ave Lasalle 9/5/23, 2:40 PM Kaiser Permanente: 2429 35th Weld - NFR Ave Greeley (North Front Medical Shared Direct 5.80 5.61 41.75 Page 2 of 4 08/31/23 comp normal Kaiser Permanente: 2429 35th 325 3rd Ave Lasalle Ave Greeley Wind Quintin (48304) Date Status Provider Pick-up Location 08/09/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/09/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/10/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/10/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/14/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/14/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/16/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/16/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/17/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/17/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/21/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/21/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/23/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/23/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/24/23 comp normal 294 Holden Ln Johnstown Drop-off Location Range) Weld - NFR (North Front Medical Range) Medicaid number: Yes Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado 5.40 5.51 36.43 Total trips: 20 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Cam Adult Day Respite Care Adult Day 12.70 12.66 27.18 14.40 12.53 37.68 12.80 12.66 40.18 12.50 12.53 27.17 12.66 12.66 36.42 12.53 12.53 27.23 18.10 12.66 51.78 13.50 12.53 31.05 13.20 12.66 31.73 12.53 12.53 33.10 12.70 12.66 30.35 13.70 12.53 27.83 13.00 12.66 33.55 13.70 12.53 30.12 12.60 12.66 26.40 9/5/23, 2:40 PM Page 3 of 4 Easterseals Northern Colorado 08/24/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/30/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/30/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/31/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/31/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 13.20 12.53 29.30 13.00 12.66 28.47 13.80 12.53 27.27 13.80 12.66 35.50 11.90 12.53 31.33 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 9/5/23, 2:40 PM Page 4 of 4 7 40 497.02 474.10 24.44 42 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Y/N Mobility for Life Date range: 09/01/2023 - 09/30/2023. Trip's statuses to select: comp. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 51. Operational days: 16. Selected weekdays: All. Bums Jeryl (10857) Medicaid number: No Total trips: 6 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 09/01/23 comp normal 1002 N 4th St Johnstown 09/01/23 comp normal 09/20/23 comp normal 1002 N 4th St Johnstown 09/20/23 comp normal 09/21/23 comp normal 1002 N 4th St Johnstown 09/21/23 comp normal Banner Health Clinic: 1900 N Boise Ave Loveland Foot and Ankle Center: 1931 65th Ave Greeley 2695 Rocky Mountain Ave Loveland Glass Mandy (49190) Date Status Provider Pick-up Location 09/07/23 comp normal 27 N Estes Ave Johnstown 09/07/23 comp normal 460 Mesa Dr Loveland Banner Health Clinic: 1900 N Boise Ave Loveland Weld - NFR (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Foot and Ankle Center: 1931 65th Weld - NFR Ave Greeley (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) 2695 Rocky Mountain Ave Loveland Drop-off Location Medical Medical Medical Medical Medical Medical Medicaid number: No Fund Purpose Trips 4366 N Monroe Ave Loveland 27 N Estes Ave Johnstown 09/11/23 comp normal 27 N Estes Ave Johnstown 3714 Logan Dr Loveland Sylvia's Corner to Corner 09/11/23 comp normal Janitorial LLC F102: 3775 W 25th 27 N Estes Ave Johnstown St Greeley 09/12/23 comp normal 27 N Estes Ave Johnstown 10/3/23, 11:38 AM King Soopers: 1520 Main St Windsor Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Employment Employment Employment Employment Employment 13.00 12.35 32.00 11.80 12.20 34.83 12.50 13.75 28.83 0.40 13.73 2.47 10.90 10.09 46.75 10.10 10.22 19.08 Sha Total trips: 15 Distance Actual Time red Direct 15.80 14.87 49.77 16.00 15.21 44.08 9.80 15.49 77.03 13.40 13.77 27.25 11.60 17.26 45.83 Page 1 of 4 09/14/23 comp normal 27 N Estes Ave Johnstown 09/19/23 comp normal 27 N Estes Ave Johnstown 09/21/23 comp normal 27 N Estes Ave Johnstown 09/21/23 comp normal 3714 Logan Dr Loveland 09/22/23 comp normal 09/26/23 comp normal 27 N Estes Ave Johnstown 09/27/23 comp normal 27 N Estes Ave Johnstown 09/27/23 comp normal 3714 Logan Dr Loveland 09/29/23 comp normal 27 N Estes Ave Johnstown 09/29/23 comp normal 1789 Hydrangea Dr Windsor 6116 E County Road 52 Fort Collins Date Status Provider Pick-up Location 09/07/23 comp normal 202 N Greeley Ave Johnstown Cheeks International Academy of 09/07/23 comp normal Beauty Culture: 5010 Granite St Loveland 09/12/23 comp normal 202 N Greeley Ave Johnstown 09/12/23 comp normal Banner Health Clinic: 1900 N Boise Ave Loveland 09/26/23 comp normal 202 N Greeley Ave Johnstown 09/26/23 comp normal 10/3/23, 11:38 AM Riverbend Health and Greeley Park N Ride: 28085 Co Rd 21 Greeley 634 Gore Range Dr Severance 4366 N Monroe Ave Loveland 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 3714 Logan Dr Loveland 1375 W 8th St Loveland 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 27 N Estes Ave Johnstown Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 7.40 7.94 36.88 Employment 26.70 24.90 84.68 Employment 16.90 14.87 52.65 Employment 15.80 15.35 60.75 Personal 23.40 26.30 44.15 Employment 16.20 15.49 39.83 Employment 14.90 14.95 37.03 Employment 15.50 15.35 37.38 Personal 9.70 9.60 46.10 Personal 13.50 14.44 33.18 Medicaid number: No Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Cheeks International Academy of Beauty Culture: 5010 Granite St Loveland 202 N Greeley Ave Johnstown Banner Health Clinic: 1900 N Boise Ave Loveland 202 N Greeley Ave Johnstown Riverbend Health and Rehabilitation Center: 821 Duffield Ct Loveland 202 N Greeley Ave Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Personal Personal Medical Medical Medical 15.80 15.92 41.12 18.70 15.81 62.13 12.70 12.44 33.23 12.20 12.29 24.10 15.10 14.71 39.60 Medical 15.70 14.55 36.48 Page 2 of 4 Rehabilitation Center: 821 Duffield Ct Loveland Miller Patricia (11165) Date Status Provider Pick-up Location 09/28/23 comp normal 09/28/23 comp normal Tracy Nancy (11045) 09/01/23 comp 09/01/23 comp 09/19/23 comp 09/19/23 comp Provider 1201 N Park Ave Johnstown Kaiser - Loveland: 4901 Thompson Pkwy Loveland normal 325 3rd Ave Lasalle normal Skyline Center For Health: 2555 325 3rd Ave Lasalle E 13th St Loveland normal 325 3rd Ave Lasalle normal Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 325 3rd Ave Lasalle Center: 1801 16th St Greeley 09/06/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/06/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/07/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/07/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/3/23, 11:38 AM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Medicaid number: No Drop-off Location Kaiser - Loveland: 4901 Thompson Pkwy Loveland Total trips: 2 Fund Purpose Trips Distance Actual Time Weld - NFR (North Front Medical Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Medical Range) ation Medicaid number: No Fund Skyline Center For Health: 2555 E Weld - NFR 13th St Loveland (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Purpose Trips Shared Direct 12.60 10.00 47.33 8.60 11.72 66.12 Total trips: 4 Distance Actual Time Shared Direct Medical 2 29.00 21.93 88.65 Medical 2 21.60 21.54 68.15 Medical 2 6.40 5.69 39.73 Medical 2 5.60 5.68 39.53 Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 15.50 12.66 13.30 12.53 31.87 17.80 12.66 39.60 12.20 12.53 28.43 Page 3 of 4 39.60 09/18/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/18/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/20/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/20/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/21/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/21/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/25/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/25/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/26/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/26/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/27/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/27/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/28/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/28/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 13.10 12.66 28.73 12.70 12.53 28.40 13.00 12.66 25.22 13.80 12.53 28.48 12.50 12.66 20.68 12.70 12.53 29.75 13.00 12.66 29.97 13.80 12.53 27.08 15.90 12.66 32.98 13.40 12.53 47.27 12.70 12.66 29.00 13.80 12.53 27.60 12.70 12.66 28.42 12.70 12.53 24.90 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 10/3/23, 11:38 AM Page 4 of 4 6 51 703.90 697.12 33.58 55 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobility Ior Life Date range: 10/01/2023 - 10/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 105. Operational days: 21. Selected weekdays: All. Burns Jeryi (10857) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Tlme 10/26/23 comp normal 10/26/23 comp normal 1002 N 4th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 10/03/23 comp normal 10/03/23 cancel normal 10/03/23 comp normal 10/04/23 cancel normal 10/05/23 comp normal 10/05/23 comp normal 10/06/23 comp normal 10/09/23 cancel normal 10/10/23 comp normal 11/1/23, 11:37 AM 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 1505 W Prospect Rd Loveland 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 1002 N 4th St Johnstown Drop-off Location Weld - NFR (North Front Medical Range) Weld - NFR (North Front Medical Range) Medicaid number: No Fund Purpose Trips Distance Actual Tlme Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Front Range Clinic: 1308 Vivian St Longmont 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 27 N Estes Ave Johnstown 2047 Birdie Way Milliken Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Shared Direct 10.06 10.06 36.30 10.26 10.26 25.93 Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Total trips: 24 Shared Direct Employment 10.60 9.60 Medical 0.00 23.58 Employment 25.50 25.20 84.32 Employment 0.00 9.60 Employment 9.60 9.60 24.78 Employment 15.80 9.43 49.28 Employment 5.10 4.52 45.00 Employment 0.00 9.60 Employment 13.20 9.60 41.83 Page 1 of 8 60.42 10/11/23 comp normal 27 N Estes Ave Johnstown 10/12/23 comp normal 27 N Estes Ave Johnstown 10/13/23 comp normal 27 N Estes Ave Johnstown 10/13/23 noshow normal 606 Cherryridge Dr Windsor 10/17/23 comp normal 27 N Estes Ave Johnstown 10/17/23 comp normal 10/18/23 comp normal 27 N Estes Ave Johnstown 10/19/23 cancel normal 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain 10/19/23 cancel normal Ave: 1725 Rocky Mountain Ave Loveland 10/24/23 comp normal 27 N Estes Ave Johnstown 10/24/23 noshow normal 2047 Birdie Wy Milliken 10/25/23 comp normal 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain 10/25/23 comp normal Ave: 1725 Rocky Mountain Ave Loveland 10/27/23 noshow normal 27 N Estes Ave Johnstown 10/31/23 comp normal 27 N Estes Ave Johnstown Hall Lora (11136) Date Status Provider Pick-up Location 10/11/23 comp normal 11/1/23, 11:37 AM Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 2223 Nicholas Dr Johnstown Loveland 634 Gore Range Dr Severance Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 27 N Estes Ave Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 27 N Estes Ave Johnstown 2047 Birdie Wy Milliken 27 N Estes Ave Johnstown 5491 Trade Wind Dr Windsor 27 N Estes Ave Johnstown Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland King Soopers - 1520 Main St: 1520 Main St Windsor Drop -oft Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 13.40 24.90 34.80 Employment 9.60 9.60 26.45 Employment 14.00 9.60 41.03 Employment 0.00 12.57 Grocery 13.70 11.92 52.97 Grocery 12.30 11.90 50.52 Employment 9.60 9.60 25.10 Employment 0.00 9.60 Employment 0.00 9.43 Employment 3.20 4.52 18.18 Employment 0.00 4.52 Employment 16.50 15.10 37.22 Employment 10.60 9.43 24.23 Employment 0.00 9.60 Employment 13.10 17.26 33.43 Medicaid number: Q37584O Mountain Vista Medical Center: Weld - NFR Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Medical 14.50 14.34 38.22 Page 2 of 8 Mengrone Susan (10864) Date Status Provider Pick-up Location 10/04/23 comp normal 202 N Greeley Ave Johnstown RIA Endovascular Northern 10/04/23 comp normal Colorado: 1220 W Ash St Windsor 10/05/23 comp normal 202 N Greeley Ave Johnstown 10/05/23 comp normal 10/10/23 comp normal 10/10/23 comp normal 10/12/23 comp normal 10/12/23 comp normal Banner Health Clinic: 1900 N Boise Ave Loveland 202 N Greeley Ave Johnstown Riverbend Health and Rehabilitation Center: 821 Duffield Ct Loveland 202 N Greeley Ave Johnstown Banner McKee Medical Center: 2000 N Boise Ave Loveland Miller Patricia (11165) Date Status Provider Pick-up Location 10/02/23 comp normal 10/02/23 comp normal 10/19/23 comp normal 10/19/23 comp normal 10/23/23 comp normal 11/1/23, 11:37 AM 1201 N Park Ave Johnstown Skyline Center For Health: 2555 E 13th St Loveland 1201 N Park Ave Johnstown Kaiser - Loveland: 4901 Thompson Pkwy Loveland 1201 N Park Ave Johnstown RIA Endovascular Northern Weld - NFR Colorado: 1220 W Ash St Windsor (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Riverbend Health and Weld - NFR Rehabilitation Center: 821 (North Front Duffield Ct Loveland Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) 5890 W 13th St Greeley Drop-off Location (North Front Range) Medicaid number: No Fund Banner Health Clinic: 1900 N Boise Ave Loveland Banner McKee Medical Center: 2000 N Boise Ave Loveland Kaiser - Loveland: 4901 Thompson Pkwy Loveland Drop-off Location Medicaid number: No Total trips: 8 Purpose Trips Distance Actual Time Shared Direct Medical 14.50 17.43 44.10 Medical 29.80 17.62 70.33 Medical 12.50 12.44 29.78 Medical 12.20 12.29 27.23 Medical 15.20 14.71 41.40 Medical 14.40 14.55 41.33 Medical 12.50 12.49 39.05 Medical 13.80 12.45 43.60 Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Skyline Center For Health: 2555E Weld NFR 13th St Loveland (North Front Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Range) Weld - NFR (North Front Banner Health Clinic - Ste 130: 2555 E 13th St Loveland Medical 11.90 11.31 48.63 Medical 11.20 10.81 27.42 Medical 8.50 10.00 31.12 Medical 8.90 11.72 36.78 Medical 16.70 11.68 53.75 Page 3 of 8 10/23/23 comp normal Banner Health Clinic Ste 130: 1201 N Park Ave Johnstown 2555 E 13th St Loveland Rooseveft.6eorge (11270) Date Status Provider Pick-up Location 10/23/23 comp normal 306 Estate Dr Johnstown 10/23/23 comp normal 10/24/23 comp normal 306 Estate Dr Johnstown 10/24/23 comp normal 10/25/23 comp normal 306 Estate Dr Johnstown 10/25/23 comp 10/26/23 comp normal 306 Estate Dr Johnstown 10/26/23 comp normal 10/27/23 comp normal 306 Estate Dr Johnstown 10/27/23 comp normal 10/30/23 comp normal 306 Estate Dr Johnstown 10/30/23 cancel normal 10/30/23 comp normal 10/31/23 comp normal 306 Estate Dr Johnstown 10/31/23 comp normal 11/1/23, 11:37 AM Medical Pavilion: 340 Exempla Cir Lafayette Medical Pavilion: 340 Exempla Medical Pavilion: 340 Exempla 306 Estate Dr Johnstown Cir Lafayette Medical Pavilion: 340 Exempla Lafayette Medical Pavilion: 340 Exempla Cir Lafayette 306 Estate Dr Johnstown Medical Pavilion: 340 Exempla Lafayette Medical Pavilion: 340 Exempla 306 Estate Dr Johnstown Cir Lafayette Medical Pavilion: 340 Exempla 306 Estate Dr Johnstown Cir Lafayette Medical Pavilion: 340 Exempla Lafayette 306 Estate Dr Johnstown normal Medical Pavilion: 340 Exempla 306 Estate Dr Johnstown Cir Lafayette Medical Pavilion: 340 Exempla 306 Estate Dr Johnstown Cir Lafayette Drop-off Location Range) Weld - NFR (North Front Range) Medicaid number: No, Fund Medical Pavilion: 340 Exempla Cir Weld - NFR (North Front Lafayette Range) Weld - NFR (North Front Range) Medical Pavilion: 340 Exempla Cir Weld - NFR Lafayette (North Front Range) Weld - NFR 306 Estate Dr Johnstown (North Front Range) Medical Pavilion: 340 Exempla Cir Weld - NFR Lafayette (North Front Range) Weld - NFR (North Front Range) Medical Pavilion: 340 Exempla Cir Weld - NFR Lafayette (North Front Range) Weld - NFR (North Front Range) Weld - NFR Cir (North Front Range) Weld - NFR (North Front Range) Cir Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Cir Weld - NFR (North Front Range) Weld - NFR Medical 11.00 12.03 24.40 Total trips: 15 Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical 34.90 34.65 53.63 0.00 34.96 3.20 45.80 34.65 96.57 35.70 34.96 60.28 36.00 34.65 61.50 36.00 34.96 51.10 34.65 34.65 39.83 33.30 34.96 40.42 34.40 34.65 39.13 35.20 34.96 39.62 31.60 34.65 56.75 34.96 34.96 35.00 34.96 48.78 55.40 34.65 73.30 35.10 34.96 50.95 Page 4 of 8 Cir Lafayette Siedenbur0 Elizabeth (11100) Date Status Provider Pick-up Location 10/18/23 comp normal 10/18/23 comp normal Tracy Nancy (11045) Date Status Provid 10/19/23 comp normal 10/19/23 comp normal 10/24/23 comp normal 325 3rd Ave Lasalle 10/24/23 comp normal 913 N 4th St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Pici 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley Drop-off Location (North Front Range) Medicaid number: No Fund Johnstown Senior Center: 101 Charlotte St Johnstown 913 N 4th St Johnstown Drop-off Location Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front Resources(Servic Range) e'Connections Weld - NFR Senior (North Front Resources(Servic Range) elConnections Medicaid number: No Fund Purpose Trips Distance Actual Time CardioVascular Institute: 1800 15th St Greeley 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley CardioVascular Institute: 1800 325 3rd Ave Lasalle 15th St Greeley 10/11/23 comp normal 8331 E Co Rd 16 Johnstown 10/11/23 comp normal 10/12/23 noshow normal 8331 E Co Rd 16 Johnstown 10/18/23 comp normal 8331 E Co Rd 16 Johnstown 11/1/23, 11:37 AM Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E Co Rd 16 Johnstown Independent Financial: 935 Cleveland Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown 1.30 0.81 17.17 0.00 0.81 0.15 Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medical Medical Medical Medical Total trips: 4 Shared Direct 6.40 5.50 27.92 6.10 5.53 49.10 6.10 5.50 38.50 5.60 5.53 30.57 Total trips: 11 Purpose Trips Distance Meal (Senior) Meal (Senior) Personal Meal (Senior) Shared Direct 4.90 4.56 4.56 4.56 15.92 0.00 9.60 5.10 4.56 33.52 Page 5of8 Actual Time 19.05 10/18/23 comp normal 10/24/23 comp normal 8331 E CO Rd 16 Johnstown 10/24/23 comp normal 10/25/23 comp normal 10/25/23 comp normal Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 10/31/23 comp normal 8331 E CO Rd 16 Johnstown Sams Club - 1200 E Eisenhower 10/31/23 comp normal Blvd: 1200 E Eisenhower Blvd loveland Wind Quintin (48304) Date Status Provider Pick-up Location 10/03/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/03/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/04/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/04/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/05/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/05/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/09/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/09/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/10/23 comp normal 294 Holden Ln Johnstown 11/1/23, 11:37 AM Johnstown Senior Center: 101 8331 E Co Rd 16 Johnstown Charlotte St Johnstown Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Sams Club - 1200 E Eisenhower Blvd: 1200 E Eisenhower Blvd loveland 8331 E CO Rd 16 Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: Yes Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Meal (Senior) 4.60 4.56 34.52 Grocery 9.20 9.47 25.90 Grocery 9.40 9.42 29.42 Meal (Senior) 4.70 4.56 24.53 Meal (Senior) 7.80 4.56 20.63 Grocery 8.80 8.76 30.38 Grocery 8.30 8.21 21.95 Fund Purpose Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Trips Total trips: 32 Distance Actual Time Shared Direct 13.00 12.66 31.53 13.10 12.53 24.65 13.00 12.66 27.48 12.20 12.53 26.03 17.50 12.66 47.72 12.80 12.53 30.77 15.50 12.66 32.43 11.80 12.53 25.27 16.00 12.66 35.10 Page 6 of 8 Easterseals Northern Colorado 10/10/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/11/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/11/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/12/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/12/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/16/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/16/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/17/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/17/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/18/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/18/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/19/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/19/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/24/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/24/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/25/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/25/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/26/23 comp normal 294 Holden Ln Johnstown 10/26/23 comp normal 11/1/23, 11:37 AM Easterseals Northern Colorado Program (Wings): 1327 W 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 13.80 12.53 51.25 14.20 12.66 33.52 12.53 12.53 42.22 14.10 12.66 56.07 12.20 12.53 22.58 12.50 12.66 29.15 15.40 12.53 31.65 12.50 12.66 24.07 15.40 12.53 31.30 17.80 12.66 47.27 14.70 12.53 33.48 14.00 12.66 37.72 14.00 12.53 30.42 16.20 12.66 45.35 25.90 12.53 60.83 25.10 12.66 51.35 14.10 12.53 31.98 14.00 12.66 30.00 12.53 12.53 25.85 Page 7 of 8 Eisenhower Blvd Loveland 10/30/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/30/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/31/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/31/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 16.60 12.66 39.10 12.50 12.53 22.67 16.20 12.66 39.13 12.50 12.53 23.83 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 10 105 1473.29 1518.24 59.42 105 11/1/23, 11:37 AM Page 8 of 8 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN' Mobility for L. Date range: 11/01/2023 - 11/30/2023. Trip's statuses to select: comp, noshow. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 109. Operational days: 20. Selected weekdays: All. Adeler Stephen (11345) Date Status Provider Pick-up Location 11/03/23 comp normal 11/03/23 comp normal 11/09/23 comp normal 11/09/23 comp normal 11/10/23 comp normal 148 Darlington Lane Johnstown 11/10/23 comp normal 11/14/23 comp normal 11/14/23 comp normal 11/21/23 comp normal 148 Darlington Lane Johnstown Walgreens - 205 E Eisenhower 11/21/23 comp normal Blvd: 205 E Eisenhower Blvd Loveland 11/22/23 comp normal 148 Darlington Lane Johnstown 11/22/23 comp normal 11/28/23 comp normal 11/28/23 comp normal 12/4/23, 10:37 AM Medicaid number: no Drop-off Location 148 Darlington Lane Johnstown Hays Market: 201 Johnstown Center Dr John Hays Market: 201 Johnstown Center Dr John 148 Darlington Lane Johnstown 148 Darlington Lane Johnstown Hays Market: 201 Johnstown Center Dr John Hays Market: 201 Johnstown Center Dr John Walgreens: 205 E Eisenhower Blvd Loveland 148 Darlington Lane Johnstown Walgreens: 205 E Eisenhower Blvd Loveland 148 Darlington Lane Johnstown 148 Darlington Lane Johnstown Hays Market: 201 Johnstown Center Dr John Hays Market: 201 Johnstown Center Dr John Colorado Legal Services: 912 8th Ave Greeley 148 Darlington Lane Johnstown Walgreens - 205 E Eisenhower Blvd: 205 E Eisenhower Blvd Loveland 148 Darlington Lane Johnstown Colorado Legal Services: 912 8th Ave Greeley 148 Darlington Lane Johnstown Walgreens - 205 E Eisenhower 148 Darlington Lane Johnstown Blvd: 205 E Eisenhower Blvd Loveland Walgreens - 205 E Eisenhower 148 Darlington Lane Johnstown Total trips: 14 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Pharmacy Range) Weld - NFR (North Front Pharmacy Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Pharmacy Range) Weld - NFR Pharmacy 1.30 2.36 6.27 1.40 2.36 11.75 1.40 2.36 10.42 1.50 2.36 7.55 12.50 12.55 22.28 0.00 12.48 0.12 1.30 2.36 5.92 1.40 2.36 10.47 12.80 12.55 26.90 12.90 12.48 27.58 30.50 17.61 68.55 18.50 17.70 42.93 8.40 12.55 21.10 0.00 12.48 0.22 Page 1 of 9 Blvd: 205 E Eisenhower Blvd Loveland Gfeiler Elizabeth (11318) Date Status Provider P1 k -up Location 11/01/23 comp normal 920 N 7th St Johnstown 11/01/23 comp normal Glass Mandy (48190) Date Status Provider UCHealth Greeley Hospital: 6767 920 N 7th St Johnstown W 29th St Greeley Pick-up Location 11/01/23 comp normal 27 N Estes Ave Johnstown 11/02/23 comp normal 11/03/23 comp normal 27 N Estes Ave Johnstown 11/07/23 comp normal 27 N Estes Ave Johnstown 11/09/23 comp normal 27 N Estes Ave Johnstown 11/09/23 noshow normal 11/14/23 comp normal 27 N Estes Ave Johnstown 11/16/23 comp normal 27 N Estes Ave Johnstown 11/16/23 comp normal 11/17/23 comp normal 27 N Estes Ave Johnstown 11/21/23 noshow normal 27 N Estes Ave Johnstown 12/4/23, 10:37 AM King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Drop-off Location Drop-off Location (North Front Range) Medicaid number: no Fund Total trips: 2 Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld NFR W 29th St Greeley (North Front Medical Range) Weld - NFR (North Front Medical Range) Medicaid number: No Fund King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Purpose Trips Employment Personal Employment Employment Employment Employment Education Employment Employment Employment Employment 12.00 11.91 43.28 13.60 11.91 37.10 Total trips: 15 Distance Actual Time Shared 14.00 15.50 12.90 12.70 12.60 0.00 12.60 12.60 12.50 11.70 0.00 Direct 17.26 35.65 17.44 61.67 17.26 40.87 17.26 41.73 17.26 42.70 17.44 17.26 43.77 17.26 41.37 17.44 45.63 17.26 51.83 17.26 Page 2 of 9 11/22/23 comp 11/28/23 comp 11/29/23 comp 11/30/23 comp normal 27 N Estes Ave Johnstown normal 27 N Estes Ave Johnstown normal 27 N Estes Ave Johnstown normal 27 N Estes Ave Johnstown Mengrone Susan (10864) Date Status Provider Pick-up Location 11/07/23 comp normal 11/07/23 comp normal 11/30/23 comp normal 11/30/23 comp normal 202 N Greeley Ave Johnstown 250 W 65th St Loveland 202 N Greeley Ave Johnstown Walmart - 250 W 65th St: 250 65th St Loveland Miller Patricia (11165) Date Status Provider Pick-up Location 11/08/23 comp normal 1201 N Park Ave Johnstown 11/08/23 comp normal 11/20/23 comp normal 1201 N Park Ave Johnstown Skyline Center For Health: 2555 1201 N Park Ave Johnstown E 13th St Loveland W 202 N Greeley Ave Johnstown Drop-off Location King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Weld - NFR 250 W 65th St Loveland (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Walmart - 250 W 65th St: 250 W Weld - NFR 65th St Loveland (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Skyline Center For Health: 2555 E Weld - NFR 13th St Loveland (North Front Range) Weld - NFR (North Front Range) Skyline Center For Health: 2555 E Weld - NFR 13th St Loveland (North Front Range) Employment Employment Employment Employment 12.50 17.26 29.60 12.60 17.26 37.07 20.70 17.26 70.47 28.94 17.26 55.23 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Grocery Grocery Grocery Grocery 16.70 16.98 33.87 16.80 16.71 43.57 16.77 16.77 38.42 22.20 16.62 61.47 Total trips: 3 Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical 11.20 11.31 45.72 10.60 10.81 28.33 11.60 11.31 45.62 12/4/23, 10:37 AM Page 3 of 9 Parker Glenda (11274) Date Status Provider Pick-up Location 11/07/23 comp normal 202 N Greeley Ave Johnstown 11/07/23 comp normal 250 W 65th St Loveland 11/30/23 comp normal 202 N Greeley Ave Johnstown 11/30/23 comp normal Walmart 250 W 65th St: 250 W 202 N Greeley Ave Johnstown 65th St Loveland Drop-off Location Medicaid number: no Roosevelt George (11270) Date Status Provider Pick-up Location 11/01/23 comp normal 306 Estate Dr Johnstown 11/01/23 comp normal 11/02/23 comp normal 306 Estate Dr Johnstown 11/02/23 comp normal 11/03/23 comp normal 306 Estate Dr Johnstown 11/03/23 comp normal Medical Pavilion: 340 Exempla Cir Lafayette Medical Pavilion: 340 Exempla Cir Lafayette Medical Pavilion: 340 Exempla Cir Lafayette Scheneman Jeanie (11426) Date Status Provider Pick-up Location 11/21/23 comp 11/21/23 comp 12/4/23, 10:37 AM Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR 250 W 65th St Loveland (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Walmart - 250 W 65th St: 250 W Weld - NFR 65th St Loveland (North Front Range) Weld - NFR (North Front Range) Drop-off Location Medicaid number: No Grocery 16.70 16.98 33.87 Grocery 16.80 16.71 43.57 Grocery 16.77 16.77 38.42 Grocery 22.20 16.62 61.47 Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Medical Pavilion: 340 Exempla Cir Weld -NFR Lafayette (North Front Range) Weld - NFR 306 Estate Dr Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 306 Estate Dr Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 306 Estate Dr Johnstown (North Front Range) Medical Pavilion: 340 Exempla Cir Lafayette Medical Pavilion: 340 Exempla Cir Lafayette Drop-off Location Medical 0.00 34.65 0.32 Medical 31.70 34.96 42.90 Medical 45.70 34.65 79.30 Medical 2.50 34.96 6.77 Medical 34.30 34.65 38.82 Medical 0.00 34.96 0.15 Medicaid number: No Total trips 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: Weld - NFR normal 3235 Carlson Blvd Johnstown 1325 N Denver Ave Loveland (North Front Range) normal Walmart - 1325 N Denver Ave: 3235 Carlson Blvd Johnstown Weld - NFR Personal 10.10 10.10 28.38 Personal 14.58 10.08 43.08 Page 4 of 9 1325 N Denver Ave Loveland Siedenburg Elizabeth (11100) Date Status Provider Pick-up Location 11/01/23 comp normal 11/01/23 comp normal 11/08/23 comp normal 913 N 4th St Johnstown 11/08/23 comp normal 913 N 4th St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Studwell Brain (11043) Date Status Provider Pick-up Location 11/17/23 comp normal 202 N Greeley Ave Johnstown 11/17/23 comp normal 11/08/23 comp normal 11/08/23 comp normal 11/27/23 comp normal 11/27/23 comp normal 12/4/23, 10:37 AM Drop-off Location (North Front Range) Medicaid number: No Fund Johnstown Senior Center: 101 Charlotte St Johnstown 913 N 4th St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 913 N 4th St Johnstown Drop-off Location Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front ResourcesIServic 1.10 0.81 16.40 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 0.00 0.81 0.32 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 1.10 0.81 17.00 Range) e'Connections Weld - NFR Senior (North Front Resources(Servic 3.10 0.81 12.70 Range) elConnections Medicaid number: no Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct InnovAge Colorado Pace - 1303 E Weld - NFR 11th St: 1303E 11th St Loveland (North Front Therapy 2 12.60 12.70 45.52 Range) InnovAge Colorado Pace - 1303 E Weld - NFR 11th St: 1303 E 11th St Loveland 202 N Greeley Ave Johnstown (North Front Therapy 2 12.00 12.46 43.20 Range) 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley CardioVascular Institute: 1800 325 3rd Ave Lasalle 15th St Greeley Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medical Medical Medical Medical 2 6.40 5.50 28.35 2 6.00 5.53 32.52 6.40 5.50 34.08 5.60 5.53 18.92 Page 5 of 9 Weans John (48251) Medicaidnumber: No Date Status Provider Pick-up Location 11/01/23 comp normal 8331 E CO Rd 16 Johnstown 11/01/23 comp normal 11/07/23 comp normal 8331 E CO Rd 16 Johnstown 11/07/23 comp normal 11/08/23 comp normal 8331 E CO Rd 16 Johnstown 11/08/23 comp normal 11/13/23 comp normal 8331 E CO Rd 16 Johnstown 11/15/23 comp normal 8331 E CO Rd 16 Johnstown 11/15/23 comp normal 11/21/23 comp normal 8331 E CO Rd 16 Johnstown 11/21/23 comp normal 11/28/23 comp normal 8331 E CO Rd 16 Johnstown 11/28/23 comp normal 11/29/23 comp normal 8331 E CO Rd 16 Johnstown 11/29/23 comp normal 11/30/23 comp normal 8331 E CO Rd 16 Johnstown 12/4/23, 10:37 AM Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Barber Shop: 5 S Parish Ave Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Total trips 17 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Meal (Senior) Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) Range) Weld - NFR (North Front Personal Range) Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front Resources)Servic Range) e'Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) elConnections Weld - NFR Senior 8331E CO Rd 16 Johnstown (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front Resources)Servic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic Range) elConnections Weld Johnstown Breeze: 8 1/2 S Parish NFR Ave Johnstown (North Front Personal Range) Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 4.60 4.56 16.47 0.00 4.56 0.18 4.60 4.56 18.82 4.60 4.56 11.98 5.00 4.56 32.98 6.80 4.56 37.75 4.70 4.56 41.72 4.60 4.56 17.08 5.30 4.56 17.63 4.70 4.56 30.68 6.11 4.56 21.50 4.70 4.56 20.20 4.50 4.56 13.67 4.50 4.56 20.62 4.60 4.56 14.90 4.50 4.61 16.93 Page 6 of 9 11/30/23 comp normal Wind Quintin (48304) Johnstown Breeze: 8 1/2 S Parish Ave Johnstown Date Status Provider Pick-up Location 11/01/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/01/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/02/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/02/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/06/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/06/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/07/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/07/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/08/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/08/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/09/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/09/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/13/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/13/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/14/23 comp normal 294 Holden Ln Johnstown 12/4/23, 10:37 AM Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal Range) Drop-off Location Medicaid number: Yes Fund Purpose Trips Distance Actual Time Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 4.61 4.61 28.47 Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Total trips: 32 Shared Direct 25.30 12.66 15.80 12.53 36.43 16.50 12.66 39.12 12.50 12.53 32.25 12.50 12.66 31.33 12.30 12.53 25.82 12.50 12.66 27.02 15.40 12.53 30.98 14.30 12.66 29.58 14.10 12.53 32.87 12.50 12.66 28.02 14.10 12.53 36.23 12.70 12.66 26.42 12.50 12.53 24.80 12.50 12.66 25.92 Page 7 of 9 47.30 Easterseals Northern Colorado 11/14/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/15/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/15/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/16/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/16/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/20/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/20/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/21/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/21/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/27/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/27/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/28/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/28/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/29/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/29/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/30/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 11/30/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.60 12.53 29.88 13.40 12.66 43.42 14.10 12.53 29.75 12.70 12.66 29.08 12.80 12.53 26.73 14.00 12.66 31.35 15.40 12.53 34.53 12.40 12.66 18.95 18.57 12.53 58.67 12.70 12.66 34.12 15.40 12.53 34.85 12.60 12.66 25.62 15.50 12.53 39.67 14.30 12.66 38.72 14.10 12.53 30.62 17.06 12.66 46.72 17.30 12.53 39.92 12/4/23, 10:37 AM Page 8 of 9 Total clients: 13 Total trips: 109 The sum of shared distances (completed): 1231.71 The sum of direct distances: 1335.54 The sum of trip actual times in hours: 55.52 Total client trips + rider trips: 113 Adder Stephen (11345) Date Status Provider Pick-up Location 12/04/23 comp normal 12/04/23 comp normal 12/04/23 cancel normal 12/05/23 comp normal 12/05/23 comp normal 12/06/23 comp normal 12/06/23 comp normal 12/07/23 comp normal 12/07/23 comp normal 12/12/23 comp normal 12/12/23 comp normal 12/13/23 comp normal 12/13/23 comp normal 12/14/23 comp normal Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Y/N Mobility for L. Date range: 12/01/2023 - 12/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 103. Operational days: 19. Selected weekdays: All. Medicaid number: no Total trips: 23 Fund Purpose Trips Distance Actual Time Shared Direct Drop-off Location 148 Darlington Lane Johnstown 1275 Eagle Dr Loveland 1275 Eagle Dr Loveland 1275 Eagle Dr Loveland 148 Darlington Lane Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 148 Darlington Lane Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 148 Darlington Ln Johnstown The UPS Store - 1437 N Denver Ave: 1437 N Denver Ave Loveland 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown Weld - NFR (North Front Range) Weld - NFR 148 Darlington Lane Johnstown (North Front Range) Weld - NFR 148 Darlington Lane Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Lane Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown 148 Darlington Lane Johnstown Hays Market: 201 Johnstown Center Dr Johnstown Grocery Grocery Grocery Grocery Grocery Therapy Range) Weld - NFR (North Front Therapy Range) Weld - NFR (North Front Grocery Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Grocery Range) The UPS Store - 1437 N Denver Weld - NFR Ave: 1437 N Denver Ave (North Front Personal Loveland Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Personal Range) Hays Market: 201 Johnstown Weld - NFR Grocery Hays Market: 201 Johnstown Center Dr Johnstown 15.70 11.73 32.92 11.90 11.67 25.48 11.67 11.67 1.40 2.36 7.52 1.40 2.36 6.12 1.40 1.37 9.12 2.40 1.37 25.37 4.90 2.36 14.78 0.00 2.36 0.43 1.30 2.36 5.90 4.70 2.36 13.68 11.50 11.07 24.58 11.40 10.91 22.50 1.50 2.36 8.43 1/2/24, 2:19 PM Page 1 of 8 12/14/23 comp 12/20/23 comp 12/20/23 comp 12/21/23 comp 12/21/23 comp 12/27/23 comp 12/27/23 comp 12/28/23 comp 12/28/23 comp normal normal 148 Darlington Ln Johnstown normal normal 148 Darlington Ln Johnstown normal normal 148 Darlington Ln Johnstown normal normal 148 Darlington Ln Johnstown Rocky Mountain Physical Therapy normal - 111 W South 1st St - Ste A: Hays Market: 201 Johnstown Center Dr Johnstown 222 Johnstown Center Dr Johnstown Hays Market: 201 Johnstown Center Dr Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 222 Johnstown Center Dr Johnstown Center Dr Johnstown (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Hays Market: 201 Johnstown Center Dr Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 111 W South 1st St Johnstown Range) Burns Jeryl (10857) Date Status Provider Pick-up Location 12/22/23 comp normal 1002 N 4th St Johnstown Glass Mandy (48190) Date Status Provider Pick-up Location 12/01/23 comp 12/05/23 noshow 12/06/23 comp 1/2/24, 2:19 PM normal 27 N Estes Ave Johnstown normal 27 N Estes Ave Johnstown normal 27 N Estes Ave Johnstown Drop-off Location Medicaid number: No Fund Weld - NFR Foot & Ankle Center - 1931 65th Ave: 1931 65th Ave Greeley (North Front Range) Drop-off Location Medicaid number: No Fund King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Employment Employment Employment Grocery 0.00 2.36 5.93 Medical 1.30 1.31 8.13 Medical 0.00 1.30 0.12 Grocery 1.50 2.36 8.53 Grocery 0.00 2.36 7.75 Grocery 1.30 2.36 5.60 Grocery 1.70 2.36 10.73 Therapy 1.40 1.37 7.90 Therapy 1.30 1.37 5.73 Total trips: 1 Purpose Trips Distance Actual Time Shared Direct Medical 13.40 13.75 29.93 Total trips: 23 Purpose Trips Distance Actual Time Shared Direct 12.60 17.26 24.75 0.00 17.26 28.50 17.26 56.53 Page 2 of 8 12/06/23 comp normal 12/07/23 comp normal 27 N Estes Ave Johnstown 12/07/23 comp normal 12/08/23 cancel normal 27 N Estes Ave Johnstown 12/12/23 comp normal 27 N Estes Ave Johnstown 12/13/23 cancel normal 12/14/23 comp normal 27 N Estes Ave Johnstown 12/14/23 noshow normal 12/14/23 comp normal 12/15/23 cancel normal 27 N Estes Ave Johnstown 12/19/23 comp normal 27 N Estes Ave Johnstown 12/20/23 comp normal 27 N Estes Ave Johnstown 12/20/23 comp normal 12/21/23 comp normal 27 N Estes Ave Johnstown 12/21/23 cancel normal 12/22/23 comp normal 12/27/23 comp normal 12/27/23 cancel normal King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 12.60 17.44 32.60 Employment 26.60 17.26 69.00 Employment 13.10 17.44 32.77 Employment 0.00 17.26 Employment 12.70 17.26 44.52 Employment 0.00 17.44 Employment 12.60 17.26 27.78 Employment 0.00 17.44 Employment 17.44 17.44 37.88 Employment 0.00 17.26 Employment 11.60 17.26 44.87 Employment 12.50 17.26 33.60 Employment 12.60 17.44 37.53 Employment 12.60 17.26 33.18 Employment 0.00 17.44 Employment 17.30 17.26 40.77 Employment 12.60 17.26 31.98 Employment 0.00 17.44 1/2/24, 2:19 PM Page 3 of 8 12/28/23 cancel normal 27 N Estes Ave Johnstown 12/29/23 noshow normal 27 N Estes Ave Johnstown Date Status Provider Pick-up Location 12/20/23 comp normal 202 N Greeley Ave Johnstown 12/20/23 comp normal King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Drop-off Location Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Medicaid number: N Fund Banner McKee Medical Center: 2000 N Boise Ave Loveland Banner McKee Medical Center 202 N Greeley Ave Johnstown 2000 N Boise Ave Loveland Scheneman Jeanie (11426) Date Status Provider Pick-up Location 12/07/23 comp normal 3235 Carlson Blvd Johnstown 12/07/23 comp normal 12/14/23 comp normal 3235 Carlson Blvd Johnstown 12/14/23 comp normal Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Greeley Senior Activity Center - 1010 6th St: 1010 6th St Greeley Studweil Brian (11043) Date Status Provider Pick-up Location 12/04/23 noshow normal 202 N Greeley Ave Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) 0.00 17.26 0.00 17.26 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Medical 12.30 12.49 34.62 Medical 15.70 12.45 40.62 Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland (North Front Range) Weld - NFR 3235 Carlson Blvd Johnstown (North Front Range) Greeley Senior Activity Center - Weld - NFR 1010 6th St: 1010 6th St Greeley (North Front Range) Weld - NFR 3235 Carlson Blvd Johnstown (North Front Range) Drop-off Location Medicaid number: no Fund InnovAge Colorado Pace - 1303 E Weld - NFR 11th St: 1303 E 11th St Loveland (North Front Range) Time Shared Direct Grocery 10.80 10.10 30.22 Grocery 11.80 10.08 33.10 Recreational 20.00 19.12 43.75 Recreational 32.42 19.02 93.73 Total trips: 1 Purpose Trips Distance Actual Time Shared Direct Medical 0.00 12.70 1/2/24, 2:19 PM Page 4 of 8 Weins John (48251) Date Status Provider Pick-up Location 12/04/23 comp normal 8331 E CO Rd 16 Johnstown 12/04/23 comp normal 12/05/23 comp normal 8331 E CO Rd 16 Johnstown 12/05/23 comp normal 12/06/23 comp normal 8331 E CO Rd 16 Johnstown 12/06/23 comp normal 12/06/23 comp normal 12/07/23 comp normal 8331 E CO Rd 16 Johnstown 12/07/23 comp normal 12/12/23 comp normal 8331 E CO Rd 16 Johnstown 12/12/23 comp normal 12/13/23 comp normal 8331 E CO Rd 16 Johnstown 12/13/23 comp normal 12/18/23 comp normal 8331 E CO Rd 16 Johnstown 12/18/23 comp normal 12/20/23 comp normal 8331 E CO Rd 16 Johnstown 1/2/24, 2:19 PM Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5 2154 W Eisenhower Blvd Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Historical Society - 701 Charlotte St: 701 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Independent Financial: 935 N Cleveland Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Medicaid number: No Fund Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5: 2154 W Eisenhower Blvd Loveland Total trips: 21 Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Personal 11.10 11.11 27.72 Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal 15.50 10.74 33.58 Range) Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Historical Society - 701 Charlotte St: 701 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Independent Financial: 935 N Cleveland Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Weld - NFR Senior (North Front Resources IServic 4.70 4.56 17.82 Range) el Connections Weld - NFR Senior (North Front Resources)Servic 0.00 4.56 0.27 Range) e)Connections Weld - NFR (North Front Personal 4.10 4.23 14.27 Range) Weld - NFR Senior (North Front Resources)Servic 0.40 0.43 14.70 Range) e)Connections Weld - NFR Senior (North Front Resources)Servic 4.60 4.56 16.78 Range) e'Connections Weld - NFR (North Front Personal 10.10 9.63 29.75 Range) Weld - NFR (North Front Personal 8.80 9.24 18.42 Range) Weld - NFR Senior (North Front Resources)Servic 4.50 4.56 13.88 Range) e)Connectlons Weld - NFR Senior (North Front Resources)Servic 4.50 4.56 15.35 Range) e'Connections Weld - NFR Senior (North Front ResourceslServic 0.00 4.56 5.20 Range) e)Connections Weld - NFR Senior (North Front Resources)Servic 4.50 4.56 26.85 Range) e)Connections Weld - NFR Senior (North Front Resources)Servic 4.60 4.56 13.92 Range) e)Connections Weld - NFR Senior (North Front Resources)Servic 4.70 4.56 11.58 Range) e)Connections Weld - NFR (North Front Meal (Senior) 4.80 4.56 16.47 Range) Page 5 of 8 12/20/23 comp normal 12/27/23 comp normal 8331 E CO Rd 16 Johnstown 12/27/23 comp normal 12/29/23 comp normal 8331 E CO Rd 16 Johnstown 12/29/23 comp normal Wind Quintin (48304) Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Date Status Provider Pick-up Location 12/04/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/04/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/05/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/05/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/06/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/06/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/07/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/07/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/11/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/11/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/12/23 comp normal 294 Holden Ln Johnstown 1/2/24, 2:19 PM Johnstown Senior Center: 101 8331 E CO Rd 16 Johnstown Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Location Weld - NFR (North Front Meal (Senior) 4.60 4.56 30.35 Range) Weld - NFR Senior (North Front ResourcesIServic 4.50 4.56 10.72 Range) elConnections Weld - NFR Senior (North Front Resources IServic 4.70 4.56 21.98 Range) e I Connections Weld - NFR Senior (North Front ResourcesIServic 7.40 4.56 18.78 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 6.10 4.56 16.28 Range) e I Connections Medicaid number: Yes Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Total trips: Fund Purpose Trips Distance Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 28 Actual Time 15.80 12.66 32.77 12.70 12.53 26.02 18.20 12.66 44.68 14.10 12.53 42.43 16.90 12.66 39.65 14.10 12.53 31.47 26.60 12.66 52.40 12.40 12.53 27.33 12.70 12.66 32.02 15.50 12.53 38.82 12.80 12.66 28.60 Page 6 of 8 Easterseals Northern Colorado 12/12/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/13/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/13/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/14/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/14/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/18/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/18/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/19/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/19/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/20/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/20/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/21/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/21/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/27/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/27/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 12/28/23 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 12/28/23 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Cam Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 15.50 12.53 34.80 14.30 12.66 34.92 14.00 12.53 29.77 12.80 12.66 31.52 14.00 12.53 25.43 13.30 12.66 31.28 12.70 12.53 24.37 14.40 12.66 29.88 15.40 12.53 33.60 14.40 12.66 38.52 16.40 12.53 45.58 12.50 12.66 25.87 14.10 12.53 36.35 13.30 12.66 32.52 16.00 12.53 50.37 12.80 12.66 29.00 12.50 12.53 37.82 1/2/24, 2:19 PM Page 7 of 8 Total clients: 8 Total trips: 103 The sum of shared distances (completed): 934.16 The sum of direct distances: 1068.03 The sum of trip actual times in hours: 40.89 Total client trips + rider trips: 103 Client Trip by Funding Source VIN Mobility for Life Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Date range: 01/01/2024 - 01/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 125. Operational days: 21. Selected weekdays: All. Medicaid number: No Total trips: 33 Fund Purpose Trips Distance Actual Time Shared Direct Adder Stephen (11345) Date Status Provider Pick-up Location 01/03/24 comp normal 01/03/24 comp normal 01/05/24 comp normal 148 Darlington Ln Johnstown 01/05/24 comp normal 01/08/24 comp normal 148 Darlington Ln Johnstown 01/08/24 comp normal 01/10/24 comp normal 01/10/24 comp normal 01/11/24 comp normal 148 Darlington Ln Johnstown 01/11/24 comp normal 01/12/24 comp normal 148 Darlington Ln Johnstown 01/12/24 comp normal 01/18/24 noshow normal 148 Darlington Ln Johnstown 01/19/24 comp normal 148 Darlington Ln Johnstown 2/7/24, 12:26 PM 148 Darlington Ln Johnstown King Soopers - 253 E 29th St: 253 E 29th St Loveland Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 148 Darlington Ln Johnstown Walgreens - 205 E Eisenhower Blvd: 205 E Eisenhower Blvd Loveland Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Memorial Library - 400 S Parish Ave: 400 S Parish Ave Johnstown Drop-off Location King Soopers - 253 E 29th St: 253 E 29th St Loveland Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Walgreens - 205 E Eisenhower Weld - NFR Blvd: 205 E Eisenhower Blvd (North Front Loveland Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Memorial Library - 400 S Parish Weld NFR Ave: 400 S Parish Ave Johnstown (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Rocky Mountain Physical Therapy Weld - NFR Grocery Grocery Therapy Therapy Therapy Therapy Pharmacy Pharmacy Therapy Therapy Education Education Therapy Therapy 14.40 13.49 40.88 21.90 13.34 72.92 1.40 1.37 13.52 1.50 1.37 7.55 1.40 1.37 8.30 1.50 1.37 9.77 15.00 12.55 51.05 12.20 12.48 19.42 1.40 1.37 6.60 1.40 1.37 7.25 1.90 1.63 11.33 1.60 1.61 19.00 0.00 1.37 1.50 1.37 7.33 Page 1 of 9 01/19/24 comp normal 01/22/24 comp normal 01/22/24 comp normal 01/23/24 comp normal 01/23/24 comp normal 01/24/24 comp normal 01/24/24 comp normal 01/25/24 comp normal 01/25/24 comp normal 01/26/24 comp normal 01/26/24 comp normal 01/29/24 comp normal 01/29/24 cancel normal 01/29/24 comp normal 01/30/24 comp normal 01/30/24 comp normal 01/31/24 comp normal 01/31/24 noshow normal 2/7/24, 12:26 PM Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 148 Darlington Ln Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 148 Darlington Ln Johnstown The Counseling Center at West Greeley: 7251 W 20th St Greeley 148 Darlington Ln Johnstown Embassy Suites by Hilton - 4705 Clydesdale Pkwy: 4705 Clydesdale Pkwy Loveland 148 Darlington Ln Johnstown Human Services - Weld County: 315 N 11th St Greeley 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 148 Darlington Ln Johnstown Navigation Center: 870 28th St Greeley Navigation Center: 870 28th St Greeley 148 Darlington Ln Johnstown 222 Johnstown Center Dr Johnstown 148 Darlington Ln Johnstown Greeley City Hall: 1000 10th St Greeley The Counseling Center at West Greeley: 7251 W 20th St Greeley - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Embassy Suites by Hilton - 4705 Weld - NFR Clydesdale Pkwy: 4705 (North Front Clydesdale Pkwy Loveland Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 148 Darlington Ln Johnstown (North Front Range) Human Services - Weld County: 315 N 11th St Greeley Hays Market: 201 Johnstown Center Dr Johnstown Navigation Center: 870 28th St Greeley 222 Johnstown Center Dr Johnstown Greeley City Hall: 1000 10th St Greeley Therapy Therapy Therapy Therapy Therapy Personal Personal Personal Personal Grocery Grocery Personal Personal Personal Medical Medical Personal Personal 1.40 1.37 9.13 1.80 1.37 11.32 1.40 1.37 7.32 12.10 13.04 21.45 11.50 13.03 19.45 10.70 10.64 21.77 10.90 10.86 26.27 19.10 18.38 43.05 19.30 18.18 37.73 1.30 2.36 4.85 1.50 2.36 8.72 17.60 16.35 31.92 16.34 16.34 20.30 16.34 55.37 1.31 1.31 5.58 1.20 1.30 7.25 18.00 17.34 33.23 0.00 17.48 101.53 Page 2of9 01/31/24 comp normal Burns Jeryl (10857) Date Human Services Weld County: 148 Darlington Ln Johnstown 315 N 11th St Greeley Pick- up Location 01/03/24 noshow normal 1002 N 4th St Johnstown 01/04/24 comp normal 1002 N 4th St Johnstown 01/04/24 comp Drop-off Location Weld - NFR (North Front Range) Medicaid number: No Fund Purpose Family Physicians of Greeley: 473 Weld - NFR Castle Pines Ave Johnstown (North Front Range) Family Physicians of Greeley: 473 Weld - NFR Castle Pines Ave Johnstown (North Front Range) Family Physicians of Greeley: Weld - NFR normal 473 Castle Pines Ave Johnstown 1002 N 4th St Johnstown (North Front Range) Diug Patricia (11394) Date Status Provider Pick-up Location 01/03/24 comp normal 1005 N 2nd St Johnstown UCHealth Urgent Care - 4846 01/03/24 comp normal Larimer Pkwy: 4846 Larimer Pkwy, Johnstown 01/16/24 comp normal 1005 N 2nd St Johnstown UCHealth Family Medicine - 01/16/24 comp normal Orchards - Ste 202: 221 E 29th St Loveland 01/19/24 comp normal 1005 N 2nd St Johnstown UCHealth Family Medicine - 01/19/24 comp normal Orchards - Ste 202: 221 E 29th St Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 01/02/24 comp normal 27 N Estes Ave Johnstown 2/7/24, 12:26 PM Drop-off Location Medicaid number: No Fund UCHealth Urgent Care - 4846 Larimer Pkwy: 4846 Larimer Pkwy, Johnstown 1005 N 2nd St Johnstown UCHealth Family Medicine - Orchards - Ste 202: 221 E 29th St Loveland 1005 N 2nd St Johnstown UCHealth Family Medicine - Orchards - Ste 202: 221 E 29th St Loveland 1005 N 2nd St Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Personal Medical Medical Medical Purpose Medical Medical Medical Medical Medical Medical Medicaid number: No Fund Purpose King Soopers - 1520 Main St: 1520 Main St Windsor 20.30 18.18 42.03 Total trips: 3 Trips Distance Actual Time Shared Direct 0.00 1.39 1.39 1.39 13.43 1.70 1.38 12.15 Total trips: 6 Trips Distance Actual Time Shared Direct 9.90 9.60 49.00 8.30 10.16 39.92 14.90 14.39 39.47 14.40 14.25 46.62 14.00 14.39 43.17 14.25 14.25 43.02 Total trips: 22 Trips Distance Actual Time Shared Direct Weld - NFR (North Front Employment 11.60 17.26 29.53 Page 3 of 9 01/03/24 comp normal 01/03/24 cancel normal 01/04/24 comp normal 01/05/24 comp normal 01/09/24 comp normal 01/09/24 comp normal 01/11/24 comp normal 01/11/24 comp normal 01/12/24 comp normal 01/16/24 cancel normal 01/17/24 comp normal 01/17/24 comp normal 01/18/24 noshow normal 01/19/24 cancel normal 01/23/24 comp normal 01/24/24 comp normal 01/25/24 comp normal 01/25/24 comp normal 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Range) Weld - NFR (North Front Range) Weld - NFR 27 N Estes Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR 27 N Estes Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 27 N Estes Ave Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR 27 N Estes Ave Johnstown (North Front Range) King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 1748 Clear Creek Ct Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Employment 26.60 17.26 60.32 Employment 0.00 17.44 Employment 14.20 17.26 43.75 Employment 11.70 17.26 39.88 Employment 17.80 17.26 46.95 Employment 13.20 17.44 76.88 Employment 18.10 17.26 44.28 Employment 13.20 17.44 32.22 Employment 11.60 17.26 44.95 Employment 0.00 17.26 Employment 12.50 17.26 35.58 Employment 12.60 17.44 34.65 Employment 0.00 8.91 Employment 0.00 17.26 Employment 18.10 17.26 48.28 Employment 12.70 17.26 33.17 Employment 29.60 17.26 69.25 Employment 11.70 17.44 29.17 2/7/24, 12:26 PM Page 4 of 9 01/26/24 comp normal 27 N Estes Ave Johnstown 01/31/24 comp normal 27 N Estes Ave Johnstown 01/31/24 comp normal King Soopers - 1520 Main St: 1520 Main St Windsor Kretschmer Cody (11486) Date Status Provider Pick-up Location 01/02/24 comp normal 01/16/24 comp normal 01/22/24 comp normal 01/23/24 comp normal 01/29/24 comp normal 01/30/24 comp normal Mangrove Susan (10864) Date Status Provider 01/08/24 comp normal 01/08/24 comp normal King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown Drop-off Location Weld - NFR (North Front Employment 11.60 17.26 45.55 Range) Weld - NFR (North Front Employment 12.60 17.26 32.43 Range) Weld - NFR (North Front Employment 12.60 17.44 28.50 Range) Medicaid number: 0053908 King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Pick-up Location 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Drop-off Location Total trips: 6 Fund Purpose Trips Distance Actual Time Weld - NFR (North Front Employment Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Medicaid number: No Walmart - 1325 N Denver Ave: Fund Shared Direct 6.90 6.94 15.37 6.90 6.94 15.75 7.00 6.94 17.32 6.80 6.94 16.47 6.80 6.94 15.87 6.94 6.94 27.18 Total trips: 2 Purpose Trips Distance Actual Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Time Shared Direct 11.60 11.88 32.20 11.40 11.86 32.95 2/7/24, 12:26 PM Page 5 of 9 Miller Patrida (11165) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Skyline Center For Health: 2555E Weld - NFR 01/03/24 comp normal 1201 N Park Ave Johnstown 13th St Loveland (North Front Medical 11.90 11.31 44.33 Range) Skyline Center For Health: 2555 Weld - NFR 01/03/24 comp normal E 13th St Loveland 1201 N Park Ave Johnstown (North Front Medical 11.40 10.81 28.42 Range) Parker Glenda (11274) Date Status Provider Pick-up Location Drop-off Location 01/08/24 comp normal 202 N Greeley Ave Johnstown 01/08/24 comp normal Medicaid number: no Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Grocery 11.60 11.88 32.20 Range) Weld - NFR (North Front Grocery 11.40 11.86 32.95 Range) Ryterski Laurone (11251) Medicaid number: no Total trips: 3 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct A Step Ahead Foot & Ankle Weld - NFR 01/29/24 comp normal 3425 Holden Ln Johnstown Center: 3880 N Grant Ave Ste (North Front Medical 13.10 13.29 29.03 140 Loveland Range) A Step Ahead Foot & Ankle Weld - NFR 01/29/24 comp normal Center: 3880 N Grant Ave Ste 3425 Holden Ln Johnstown (North Front Medical 15.60 13.15 35.80 140 Loveland Range) A Step Ahead Foot & Ankle Weld - NFR 01/29/24 cancel normal Center: 3880 N Grant Ave Ste 3425 Holden Ln Johnstown (North Front Medical 15.52 13.15 140 Loveland Range) Weins John (48251) Medicaid number: No Total trips: 16 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Johnstown Senior Center: 101 Weld NFR Senior 01/03/24 comp normal 8331 E CO Rd 16 Johnstown Charlotte St Johnstown (North Front ResourcesiServic Range) elConnections Johnstown Senior Center: 101 Weld NFR Senior 01/03/24 comp normal Charlotte St Johnstown 8331 E CO Rd 16 Johnstown (North Front ResourceslServic 2/7/24, 12:26 PM Shared Direct 4.60 4.56 15.68 4.90 4.56 41.45 Page 6 of 9 01/09/24 comp normal 8331 E CO Rd 16 Johnstown 01/09/24 comp normal 01/10/24 comp normal 8331 E CO Rd 16 Johnstown 01/10/24 comp normal 01/16/24 comp normal 8331 E CO Rd 16 Johnstown 01/16/24 comp normal 01/17/24 comp normal 8331 E CO Rd 16 Johnstown 01/17/24 comp normal 01/23/24 comp normal 8331 E CO Rd 16 Johnstown 01/23/24 comp normal 01/29/24 comp normal 8331 E CO Rd 16 Johnstown 01/29/24 comp normal 01/31/24 comp normal 8331 E CO Rd 16 Johnstown 01/31/24 comp normal Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Wind Quintin (48304) Date Status Provider Pick-up Location 01/02/24 comp normal 294 Holden Ln Johnstown 01/02/24 comp normal 2/7/24, 12:26 PM Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Location Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 15.90 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 6.20 4.56 25.47 Range) elConnections Weld - NFR (North Front Meal (Senior) 4.60 4.56 20.52 Range) Weld - NFR (North Front Meal (Senior) 13.70 4.56 39.50 Range) Weld - NFR Senior (North Front ResourcesIServic 5.90 4.56 16.67 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 17.35 Range) elConnections Weld - NFR (North Front Meal (Senior) 4.60 4.56 25.65 Range) Weld - NFR (North Front Meal (Senior) 5.20 4.56 20.20 Range) Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 27.47 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 11.65 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 16.08 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 12.40 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.50 4.56 27.03 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.90 4.56 18.03 Range) e I Connections Medicaid number: Yes Total trips: 30 Fund Purpose Trips Distance Actual Time Shared Direct Easterseals Northern Colorado Weld - NFR Adult Day Program (Wings): 1327 W (North Front Respite Care Eisenhower Blvd Loveland Range) Easterseals Northern Colorado 294 Holden Ln Johnstown Weld - NFR Adult Day 12.10 12.66 31.27 12.70 12.53 24.35 Page 7 of 9 Program (Wings): 1327 W Eisenhower Blvd Loveland 01/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/04/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/04/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/09/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/09/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/10/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/11/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/17/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/17/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/18/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/18/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 2/7/24, 12:26 PM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care AdultCa Day Respitere Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care AdultCa Day Respitere Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.60 12.66 27.32 21.20 12.53 68.67 17.00 12.66 36.20 12.30 12.53 25.87 28.90 12.66 50.65 18.40 12.53 41.28 14.30 12.66 40.15 14.10 12.53 38.25 29.50 12.66 48.12 18.80 12.53 45.28 15.80 12.66 39.93 14.70 12.53 110.88 12.70 12.66 26.25 14.10 12.53 33.10 12.70 12.66 31.65 13.60 12.53 42.57 29.40 12.66 51.52 20.00 12.53 49.00 Page 8 of 9 01/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/30/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/30/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 01/31/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 01/31/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 14.30 12.66 37.32 14.20 12.53 35.82 12.50 12.66 25.82 12.80 12.53 27.50 13.30 12.66 29.35 13.10 12.53 29.23 12.66 12.66 36.08 12.53 12.53 32.88 29.20 12.66 77.95 14.30 12.53 40.43 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 11 125 1317.48 1318.95 63.11 125 2/7/24, 12:26 PM Page 9 of 9 Adder Stephen (11345) Date Status Provider Pick-up Location 02/01/24 comp normal 02/01/24 comp normal 02/02/24 comp normal 02/02/24 comp normal 02/05/24 comp normal 02/05/24 comp normal 02/06/24 comp normal 02/06/24 comp normal 02/07/24 comp normal 02/07/24 comp normal 02/08/24 comp normal 02/08/24 comp normal 148 Darlington Ln Johnstown Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Human Services - Weld County: 315 N 11th St Greeley 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for Life Date range: 02/01/2024 - 02/29/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 149. Operational days: 21. Selected weekdays: All. Medicaid number: No Total trips: 12 Fund Purpose Trips Distance Actual Time Shared Direct 17.90 17.94 37.60 18.20 18.03 36.23 18.80 18.38 41.03 24.20 18.18 74.32 1.30 2.36 9.05 0.00 2.36 0.18 7.00 6.35 19.57 19.30 18.03 38.67 18.00 17.94 30.22 35.80 18.03 76.08 40.50 17.94 87.10 18.00 18.03 37.67 Drop-off Location Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Human Services - Weld County: 315 N 11th St Greeley 148 Darlington Ln Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 148 Darlington Ln Johnstown The Counseling Center at West Frontier House: 1407 8th Ave Greeley: 7251 W 20th St Greeley Greeley Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Frontier House: 1407 8th Ave Greeley 148 Darlington Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Personal Personal Personal Personal Grocery Grocery Personal Personal Personal Personal Personal Personal 3/5/24, 2:18 PM Page 1 of 11 Burns Jeryi (10857) Date Status Provider Pick-up Location 02/01/24 comp normal 02/01/24 comp normal 02/20/24 comp normal 02/22/24 comp normal 02/22/24 comp normal 1002 N 4th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 1002 N 4th St Johnstown 1002 N 4th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Campos Ines (11766) Date Status Provider Pick-up Location 02/27/24 comp normal 270 Holden Ln Johnstown First United Methodist Church - 02/27/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland 02/29/24 comp normal 270 Holden Ln Johnstown First United Methodist Church - 02/29/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 02/01/24 comp normal 27 N Estes Ave Johnstown Drop-off Location Medicaid number: No Fund Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Weld - NFR (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Front Range Dermatology - 1825 Weld - NFR E 18th St: 1825 E 18th St (North Front Loveland Range) Medical Ctr of Rockies: 2500 Weld - NFR Rocky Mtn Ave Loveland (North Front Range) Orthopedic Center of The Weld - NFR Rockies: 3470 E 15th St Loveland (North Front Range) Medicaid number: Non Drop-off Location First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Drop-off Location Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund King Soopers - 1520 Main St: 1520 Main St Windsor Weld - NFR (North Front Range) Weld - NFR 02/01/24 comp normal King Soopers 1520 Main St: 27 N Estes Ave Johnstown 1520 Main St Windsor (North Front Range) 02/02/24 comp normal 27 N Estes Ave Johnstown King Soopers - 1520 Main St: Weld - NFR 3/5/24, 2:18 PM Purpose Medical Medical Medical Medical Medical e Purpose Education Education Education Education Purpose Employment Employment Employment Total trips S Trips Distance Actual Time Shared Direct Trips Distance Shared Direct 14.70 12.22 10.30 10.06 33.60 9.50 10.26 30.47 12.00 12.03 34.03 10.30 10.06 35.12 2.30 2.60 12.97 Total trips: 4 Actual Time 76.55 10.80 12.07 29.37 11.40 12.22 18.78 12.50 12.07 29.53 Total trips: 20 Trips Distance Actual Time Shared Direct 18.20 17.26 46.37 11.60 17.44 34.42 12.70 17.26 36.88 Page 2 of 11 02/06/24 comp normal 02/07/24 comp normal 02/07/24 comp normal 02/08/24 cancel normal 02/09/24 comp normal 02/12/24 noshow normal 02/13/24 cancel normal 02/15/24 cancel normal 02/20/24 cancel normal 02/21/24 cancel normal 02/22/24 cancel normal 02/23/24 comp normal 02/23/24 comp normal 02/27/24 comp normal 02/28/24 comp normal 02/28/24 comp normal 02/29/24 comp normal 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor Sally Beauty Supply - 1609 Fall River Dr: 1609 Fall River Dr Loveland King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 12.70 17.26 38.15 Employment 12.60 17.26 24.65 Employment 12.60 17.44 29.98 Employment 0.00 17.26 Employment 12.50 17.26 36.82 Personal 0.00 10.06 Employment 0.00 17.26 Employment 0.00 17.26 Employment 0.00 17.26 Employment 0.00 17.26 Employment 0.00 17.26 Employment 11.60 17.26 35.33 Employment 11.70 17.44 46.30 Employment 11.50 17.26 39.55 Employment 12.80 17.26 34.45 Employment 12.60 17.44 30.68 Employment 29.60 17.26 72.48 3/5/24, 2:18 PM Page 3 of 11 Grill James (11675).;; Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Sunrise Family Dental - 1006 A Weld - NFR 02/05/24 comp normal 404 Garfield Ave Nunn (North Front Dental 19.70 19.43 26.43 St: 1006 A St Greeley Range) 02/05/24 comp normal Sunrise Adelante Clinic - 1010 A 404 Garfield Ave Nunn Weld - NFR St: 1010 A St Greeley (North Front Medical 19.70 19.43 53.08 Range) Guzman Neven (11491) Date Status Provider 02/19/24 cancel normal Kretschmer Cody (11486) Pick-up Location Drop-off Location Medicaid number: no Total trips: 1 Fund Purpose Trips Distance Actual Time Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland 5236 Ravenswood Ln Johnstown (North Front Employment Range) Shared Direct 0.00 4.65 Medicaid number: 60539O8 Total trips: 7 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 02/05/24 comp normal 02/06/24 comp normal 02/13/24 comp normal 02/19/24 comp normal 02/20/24 cancel normal 02/26/24 comp normal 02/27/24 comp normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Weld - NFR (North Front Employment 6.90 6.94 16.82 Range) Weld - NFR (North Front Employment 7.50 6.94 16.92 Range) Weld - NFR (North Front Employment 7.60 6.94 19.37 Range) Weld - NFR (North Front Employment 6.90 6.94 17.30 Range) Weld - NFR (North Front Employment 0.00 6.94 Range) Weld - NFR (North Front Employment 13.90 6.94 39.27 Range) Weld - NFR (North Front Employment 7.60 6.94 17.55 Range) 3/5/24, 2:18 PM Page 4 of 11 Maher Vicki .(11621) ©ste s Provider Pick-up 02/02/24 comp 02/02/24 comp normal on rop-Off Location Medicaid number: No Fund rpose Welch Eye Center: 1616 15th St Weld NFR normal 313 Sycamore Ave Johnstown Greeley (North Front Vision Range) Welch Eye Center: 1616 15th St Weld - NFR Greeley 313 Sycamore Ave Johnstown (North Front Vision Range) Mangrove Susan (10864) Date Status Provider Pick-up Location 02/21/24 comp normal 02/21/24 comp normal 02/26/24 comp normal 202 N Greeley Ave Johnstown 02/26/24 comp normal 202 N Greeley Ave Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Greeley Hearing Centers: 7251 20th St Greeley Miller Patricia (11155) Date Status Provider Pick-up Location 02/07/24 comp 02/07/24 comp 02/07/24 cancel 02/20/24 comp 02/20/24 comp 3/5/24, 2:18 PM normal 1201 N Park Ave Johnstown Banner Health Clinic - 2555 E normal 13th St - Ste 130: 2555 E 13th St Loveland Banner Health Clinic - 2555 E normal 13th St - Ste 130: 2555 E 13th St Loveland normal 1201 N Park Ave Johnstown Drop-off Location Medicaid number: No Fund Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland (North Front Range) Weld - NFR 202 N Greeley Ave Johnstown (North Front Range) Greeley Hearing Centers: 7251 W Weld NFR 20th St Greeley (North Front Range) Weld - NFR W 202 N Greeley Ave Johnstown (North Front Range) Johnstown Nails & Spa - 257 normal Johnstown Center Dr #111: 257 Johnstown Center Dr Johnstown Drop-off Location Medicaid number: No Fund Banner Health Clinic - 2555 E Weld - NFR 13th St - Ste 130: 2555 E 13th St (North Front Loveland Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Range) Johnstown Nails & Spa - 257 Weld - NFR Johnstown Center Dr #111: 257 (North Front Johnstown Center Dr Johnstown Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Range) Ps Total trips: 2 Distance Actual Time Shared Direct 30.40 19.15 66.97 20.50 19.12 40.32 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Grocery Grocery Medical Medical 2 2 Purpose Trips Medical Medical Medical Personal Personal 13.70 11.88 33.10 13.00 11.86 24.45 20.10 11.84 54.75 22.20 11.99 61.03 Total trips: 5 Distance Actual Time Shared Direct 11.50 11.68 39.18 11.50 12.03 28.80 12.28 12.03 1.00 0.95 22.17 1.10 0.95 20.47 Page 5of11 Navarro Sanchez Jose (11710) Data Status Provider Pick-up Location 02/12/24 cancel normal Richie Marianne (11515) Date Status Provider Pick-up Location 02/02/24 comp normal 02/02/24 comp normal 02/05/24 comp normal 02/05/24 comp normal 02/09/24 comp normal 02/09/24 comp normal 02/12/24 comp normal 02/12/24 comp normal 02/13/24 comp normal 02/13/24 comp normal 02/16/24 comp normal 02/16/24 comp normal 02/21/24 comp normal 3/5/24, 2:18 PM 19920 Co Rd 52 La Salle 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Medicaid number: No Drop-off Location Fund Weld - NFR 1212 9th St Greeley (North Front Range) Drop-off Location Total trips: 1 Purpose Trips Distance Actual Time Shared Direct Dialysis 0.00 5.88 Medicaid number: no Total trips: 16 Fund Purpose Trips ` Distance Actual Time Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR 705 Country Acres Dr Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 705 Country Acres Dr Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Employment Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Shared Direct Employment 17.10 17.00 Employment 11.50 17.38 25.17 Employment 17.10 17.00 27.78 Employment 14.10 17.38 36.87 Employment 17.00 17.00 26.08 Employment 12.80 17.38 29.20 Employment 11.70 17.00 31.20 Employment 18.30 17.38 45.63 Employment 11.70 17.00 27.35 Employment 11.60 17.38 24.27 Employment 11.70 17.00 26.32 Employment 11.70 17.38 27.58 14.50 17.00 46.92 Page 6 of 11 29.87 02/23/24 comp 02/26/24 comp 02/28/24 comp Main St Windsor normal 705 Country Acres Dr Johnstown Safew- 1535 Main St: 1535 Main St ay Windsor normal 705 Country Acres Dr Johnstown Safew- 1535 Main St: 1535 Main St ay Windsor normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Tracy Nancy (11045) Date Status Provider Pick-up Location 02/01/24 comp normal 02/01/24 comp normal 02/28/24 comp normal 325 3rd Ave Lasalle 02/28/24 comp normal 02/28/24 cancel normal Weans John (48251) Date Status Provider Plck-up. Location 02/06/24 comp normal 02/06/24 comp normal 02/07/24 comp normal 02/07/24 comp normal 02/08/24 comp normal 3/5/24, 2:18 PM 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley 8331 E CO Rd 16 Johnstown Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund CardioVascular Institute: 1800 15th St Greeley 325 3rd Ave Lasalle CardioVascular Institute: 1800 15th St Greeley CardioVascular Institute: 1800 325 3rd Ave Lasalle 15th St Greeley CardioVascular Institute: 1800 325 3rd Ave Lasalle 15th St Greeley Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 8331 E CO Rd 16 Johnstown Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Employment Employment Employment 16.60 17.00 50.60 16.30 17.00 49.28 11.70 17.00 31.42 Total trips: 5 Purpose Trips Distance Actual Time Medical Medical Medical Medical Medical Fund Purpose Shared Direct 6.10 5.50 25.37 6.00 5.53 36.13 2 6.00 5.50 30.33 2 6.50 5.53 41.77 2 5.53 5.53 Total trips: 15 Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front ResourcesIServic 7.40 4.56 19.58 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 13.77 Range) elConnections Weld - NFR Senior (North Front Resources(Servic 1 4.60 4.56 15.42 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic 1 4.50 4.56 16.10 Range) elConnections Jackson Hewitt Tax Service - 184 Weld - NFR E 29th St: 184 E 29th St (North Front Personal 13.50 10.20 33.23 Page 7 of 11 02/08/24 comp normal 02/08/24 comp normal 02/13/24 comp normal 02/13/24 comp normal 02/14/24 comp normal 02/14/24 comp normal 02/21/24 comp normal 02/21/24 comp normal 02/28/24 comp normal 02/28/24 comp normal Jackson Hewitt Tax Service - 184 E 29th St: 184 E 29th St Loveland Independent Financial: 935 N Cleveland Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown West Debra (11718) Date Status Provider Pick-up Location 02/15/24 comp 02/15/24 comp 02/16/24 comp 02/16/24 comp 02/19/24 comp 02/19/24 comp 3/5/24, 2:18 PM normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy normal Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Barber Shop: 5 S Parish Ave Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Location Independent Financial: 935 N Cleveland Ave Loveland Loveland Range) Weld - NFR (North Front Personal 4.60 1.58 45.62 Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal 11.60 9.24 24.60 Range) Weld - NFR Senior (North Front ResourceslServic 4.60 4.56 15.53 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.50 4.56 11.75 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 0.00 4.56 19.67 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 6.80 4.56 36.98 Range) elConnections Weld - NFR (North Front Personal 4.90 4.56 19.80 Range) Weld - NFR Senior (North Front ResourcesIServic 4.30 4.56 20.12 Range) elConnections Weld - NFR Senior (North Front ResourceslServic 4.70 4.56 19.77 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 9.10 4.56 31.85 Range) e(Connections Medicaid number: No Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Total trips: 16 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Therapy Therapy Therapy Therapy Therapy Therapy 2.80 2.49 11.98 2.50 2.49 23.77 2.80 2.49 14.05 2.50 2.49 13.25 2.90 2.49 12.37 2.70 2.49 13.13 Page 8 of 11 02/20/24 comp normal 02/20/24 comp normal 02/23/24 comp normal 02/23/24 comp normal 02/26/24 comp normal 02/26/24 comp normal 02/27/24 comp normal 02/27/24 comp normal 02/29/24 comp normal 02/29/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Wind Quintin (48304) Date Status Provider ' Pick-up Location 02/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/05/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/05/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/06/24 comp normal 294 Holden Ln Johnstown 02/06/24 comp normal Easterseals Northern Colorado 3/5/24, 2:18 PM (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Drop-off Location Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy 2.80 2.49 13.42 2.40 2.49 10.77 2.60 2.49 11.80 2.40 2.49 10.30 2.80 2.49 13.12 2.50 2.49 11.37 2.60 2.49 8.75 2.40 2.49 7.50 2.80 2.49 12.13 2.70 2.49 7.95 Medicaid number: Yes Total trips: 34 Fund Purpose Trips Distance Actual Time Shared Direct Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day 29.40 12.66 48.18 14.30 12.53 30.18 12.70 12.66 32.10 25.80 12.53 59.80 6.20 12.66 31.08 12.40 12.53 24.40 Page 9 of 11 Program (Wings): 1327 W Eisenhower Blvd Loveland 02/07/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/07/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/08/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/08/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/12/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/12/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/13/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/13/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/14/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/14/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/15/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/15/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/19/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/19/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/20/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/20/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/21/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/21/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 3/5/24, 2:18 PM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care ay RespiteAdultDCare Adult Day Respite Care 26.60 12.66 56.73 14.30 12.53 36.87 14.90 12.66 35.37 15.60 12.53 48.12 12.80 12.66 25.77 29.90 12.53 64.52 12.70 12.66 32.78 12.50 12.53 24.77 12.80 12.66 37.45 14.10 12.53 32.03 14.30 12.66 31.55 18.60 12.53 47.18 12.80 12.66 29.12 15.20 12.53 28.20 12.90 12.66 32.57 17.90 12.53 41.73 12.70 12.66 37.02 14.50 12.53 27.87 Page 10 of 11 02/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/26/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/26/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/27/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/27/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/28/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/28/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 02/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 02/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day I Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.80 12.66 29.43 14.10 12.53 29.52 12.70 12.66 33.77 14.40 12.53 31.92 12.70 12.66 35.68 17.70 12.53 39.87 12.70 12.66 33.28 14.40 12.53 24.90 12.50 12.66 20.85 12.40 12.53 23.50 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 16 149 1634.50 1673.01 71.65 154 3/5/24, 2:18 PM Page 11 of 11 Burns Jeryi (10857) Date Status Provider Pick-up Location 03/29/24 comp normal 1002 N 4th St Johnstown 03/29/24 comp normal Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Campos Ines (11766) Date Status Provider Pick-up Location 03/04/24 comp normal 03/04/24 comp normal 03/05/24 comp normal 270 Holden Ln Johnstown 03/05/24 comp normal 03/08/24 comp normal 03/08/24 comp normal 03/12/24 comp normal 03/12/24 comp normal 03/18/24 comp normal 4/2/24, 9:56 AM 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Panera Bread - 1550 Fall River Dr: 1550 Fall River Dr Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for Life Date range: 03/01/2024 - 03/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 119. Operational days: 20. Selected weekdays: All. Medicaid number: No Total trips: 2 Drop-off Location Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Fund Purpose Weld - NFR (North Front Medical Range) Weld - NFR 1002 N 4th St Johnstown (North Front Medical Range) Drop-off Location Medicaid number: None Fund Purpose House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Panera Bread - 1550 Fall River Dr: 1550 Fall River Dr Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Personal Personal Education Education Personal Personal Education Education Grocery Trips Distance Actual Time Shared Direct 10.20 10.06 29.48 9.50 10.26 27.77 Total trips: 14 Trips Distance Actual Time Shared Direct 10.00 10.73 22.18 3.30 10.51 7.30 14.10 12.22 45.57 10.70 12.07 19.65 7.80 7.85 17.28 7.90 8.14 16.67 14.10 12.22 32.55 10.70 12.07 20.23 10.60 10.04 23.68 Page 1 of 10 03/18/24 comp normal 03/25/24 comp normal 03/25/24 comp normal 03/26/24 comp normal 03/26/24 comp normal Cheese Peter (11750) Date Stetu 03/06/24 comp normal 03/06/24 comp normal 03/27/24 comp normal 03/27/24 comp normal Walmart - 1325 N Denver Ave: 270 Holden Ln Johnstown 1325 N Denver Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 148 Buckeye Ave Johnstown Skyline Center For Health: 2555 E 13th St Loveland 148 Buckeye Ave Johnstown Skyline Center For Health: 2555 E 13th St Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 03/01/24 comp normal 27 N Estes Ave Johnstown 03/01/24 comp normal 03/07/24 comp normal 27 N Estes Ave Johnstown 03/07/24 comp normal 4/2/24, 9:56 AM King Soopers - 1520 Main St: 1520 Main St Windsor King Soopers - 1520 Main St: 1520 Main St Windsor House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Grocery Education Education Personal Personal Medicaid number: H7O2OO497 Fund Purpose Skyline Center For Health: 2555 E Weld - NFR (North Front 13th St Loveland Range) Weld - NFR 148 Buckeye Ave Johnstown (North Front Range) Skyline Center For Health: 2555 E Weld NFR 13th St Loveland (North Front Range) Weld - NFR 148 Buckeye Ave Johnstown (North Front Range) King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown King Soopers - 1520 Main St: 1520 Main St Windsor 27 N Estes Ave Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Medical Medical Medical Medical Purpose Employment Employment Employment Employment 10.10 10.04 29.73 10.00 10.73 22.95 10.40 10.51 20.70 10.80 12.22 26.33 11.00 12.07 19.52 Total trips: 4 Distance Actual Time Shared Direct 10.60 10.09 38.98 11.10 9.59 31.60 14.80 10.09 51.78 12.50 9.59 26.02 Total trips: 16 Actual Time Shared Direct 11.60 17.26 41.73 11.70 17.44 38.65 12.60 17.26 30.25 11.70 17.44 43.73 Page 2 of 10 Range) Weld - NFR 03/08/24 cancel normal 27 N Estes Ave Johnstown 6116 E County Rd 52 Ft Collins (North Front Employment Range) Weld - NFR 03/12/24 cancel normal 27 N Estes Ave Johnstown 934 9th Ave Greeley (North Front Personal Range) Weld - NFR 03/13/24 comp normal 27 N Estes Ave Johnstown 1609 Fall River Dr Loveland (North Front Personal Range) Weld - NFR 03/13/24 comp normal 1609 Fall River Dr Loveland 1325 Denver Ave Loveland (North Front Grocery Range) Weld - NFR 03/13/24 comp normal 1325 Denver Ave Loveland 1609 Fall River Dr Loveland (North Front Grocery Range) Weld - NFR 03/13/24 comp normal 1325 Denver Ave Loveland 27 N Estes Ave Johnstown (North Front Personal Range) House Of Neighborly Service: Weld - NFR 03/20/24 comp normal 27 N Estes Ave Johnstown (North Front Personal 1511E 11th St Loveland Range) House Of Neighborly Service: Weld - NFR 03/20/24 comp normal 1511E 11th St Loveland 27 N Estes Ave Johnstown (North Front Personal Range) Weld - NFR 03/21/24 comp normal 27 N Estes Ave Johnstown 375 W 37th St Loveland (North Front Personal Range) Weld - NFR 03/21/24 comp normal 375 W 37th St Loveland 27 N Estes Ave Johnstown (North Front Personal Range) Buc-ee's - 5201 Nugget Rd: 5201 Weld NFR 03/22/24 comp normal Nugget Rd Berthoud 27 N Estes Ave Johnstown (North Front Personal Range) Weld - NFR 03/28/24 cancel normal 27 N Estes Ave Johnstown Old Town Library - 201 Peterson (North Front Personal St: 201 Peterson St Ft Collins Range) II(retschmer Cody (11486) Date Status Provider Pick-up Location Drop-off Location 03/04/24 comp normal 03/05/24 comp normal 03/11/24 comp normal 03/18/24 comp normal 4/2/24, 9:56 AM Medicaid number: 6053908 King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley Fund Purpose Trips Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR Employment 0.00 26.10 0.00 17.55 11.60 9.68 46.12 2.30 2.25 12.52 12.50 2.14 65.17 0.00 11.53 0.13 12.60 12.60 37.97 12.30 12.37 29.20 15.50 15.12 50.52 14.90 14.98 48.83 4.40 3.96 17.98 0.00 24.88 Total trips: 7 Distance Actual Time Shared Direct 7.00 6.94 19.05 7.50 6.94 17.53 6.50 6.94 16.72 6.80 6.94 14.97 Page 3 of 10 03/19/24 comp normal 03/25/24 comp normal 03/26/24 comp normal Maher Vicki (11621) Date 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley (North Front Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Medicaid number: No Fund Purpose Welch Eye Center: 1616 15th St Weld NFR 03/20/24 comp normal 313 Sycamore Ave Johnstown Greeley (North Front Vision Range) Welch Eye Center: 1616 15th St Weld NFR Greeley 313 Sycamore Ave Johnstown (North Front Vision Range) 03/20/24 comp normal Merest' cai Kathleen (11786) Date Status Provider Pick-up Location 03/07/24 comp normal 301 N 1st St Johnstown 03/07/24 comp normal UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins Mengrove Susan (10864) Date Status Provider Pick-up Location. 03/18/24 comp normal 202 N Greeley Ave Johnstown 03/18/24 comp normal Drop-off Location Medicaid number: No Fund UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins 301 N 1st St Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Buc-ee's - 5201 Nugget Rd: 5201 Weld - NFR Nugget Rd Berthoud (North Front Range) Buc-ee's - 5201 Nugget Rd: 5201 Weld - NFR Nugget Rd Berthoud 202 N Greeley Ave Johnstown (North Front Range) Trips 6.50 6.94 16.23 7.50 6.94 15.08 7.60 6.94 15.22 Total trips: 2 Distance Actual Time Shared 19.80 20.00 Direct 19.15 40.38 19.12 42.58 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Medical Medical 20.30 18.00 35.10 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Grocery Grocery 19.70 18.01 29.02 4.00 3.92 21.73 4.50 3.92 17.63 4/2/24, 9:56 AM Page 4 of 10 Miller Linda (11022) Medicaid number: no Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Urgent Care - 4846 Weld - NFR 03/26/24 comp normal 202 N Greeley Ave Johnstown Larimer Pkwy: 4846 Larimer (North Front Medical 8.30 9.78 20.52 Pkwy Johnstown Range) UCHealth Urgent Care - 4846 Weld - NFR 03/26/24 comp normal Larimer Pkwy: 4846 Larimer 202 N Greeley Ave Johnstown (North Front Medical 19.90 10.34 46.18 Pkwy Johnstown Range) Mille Patricia (11165) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Dietance Actual Time Shared Direct Kaiser Loveland - 4901 Thompson Weld - NFR 03/22/24 comp normal 1201 N Park Ave Johnstown Pkwy: 4901 Thompson Pkwy (North Front Medical 11.00 10.00 44.55 Loveland Range) Kaiser Loveland - 4901 Weld - NFR 03/22/24 comp normal Thompson Pkwy: 4901 1201 N Park Ave Johnstown (North Front Medical 8.60 9.56 52.02 Thompson Pkwy Loveland Range) Parker Glenda (11274) Date Status Provider Pick-up Location 03/18/24 comp normal 202 N Greeley Ave Johnstown 03/18/24 comp normal Medicaid number: no Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Buc-ee's - 5201 Nugget Rd: 5201 Weld NFR Nugget Rd Berthoud (North Front Grocery 4.00 3.92 21.73 Range) Buc-ee's - 5201 Nugget Rd: 5201 Weld - NFR Nugget Rd Berthoud 202 N Greeley Ave Johnstown (North Front Grocery 4.50 3.92 17.63 Range) Richie Marianne (11515) Medicaid number: no Total trips: 8 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Tripe Distance Actual Time Shared Direct Weld - NFR Safeway 1535 Main St: 1535 03/01/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 12.80 17.00 27.67 Range) Safeway - 1535 Main St: 1535 Weld - NFR 03/04/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 12.60 17.00 26.38 Range) Safeway 1535 Main St: 1535 Weld - NFR 03/15/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 17.00 17.00 23.80 4/2/24, 9:56 AM Page 5 of 10 03/18/24 comp 03/22/24 comp 03/26/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 normal 705 Country Acres Dr Johnstown Main St Windsor normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Scheneman Jeanie (11426) Date Status Provider Pick-up Location 03/22/24 comp normal 3235 Carlson Blvd Johnstown 03/22/24 comp normal Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Employment 11.80 17.00 29.02 Employment 12.00 17.00 26.28 Employment 29.00 17.00 58.48 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland (North Front Personal Range) Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland 3235 Carlson Blvd Johnstown (North Front Personal Range) Weins John (48251) Date Status Provider Pick-up Location 03/01/24 comp normal 03/01/24 comp normal 03/05/24 comp normal 03/05/24 comp normal 03/06/24 comp normal 03/06/24 comp normal 03/13/24 comp normal 03/13/24 comp normal 4/2/24, 9:56 AM 8331 E CO Rd 16 Johnstown Independent Financial: 935 N Cleveland Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Medicaid number: No Fund Independent Financial: 935 N Cleveland Ave Loveland 9.60 10.10 31.27 9.80 10.08 37.47 Total trips: 14 Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Personal 9.10 9.63 23.35 Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal 8.60 9.24 22.17 Range) Weld - NFR Senior (North Front Resources(Servic 0.00 4.56 0.15 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic 0.00 4.56 0.13 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 18.37 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 4.60 4.56 22.98 Range) e'Connections Weld - NFR Senior (North Front Resources(Servic 4.60 4.56 14.57 Range) e(Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 4.50 4.56 11.68 Page 6 of 10 03/20/24 comp normal 8331 E CO Rd 16 Johnstown 03/20/24 comp normal 03/21/24 comp normal 8331 E CO Rd 16 Johnstown 03/21/24 comp normal 03/27/24 comp normal 8331 E CO Rd 16 Johnstown 03/27/24 comp normal Johnstown Senior Center: 101 Charlotte St Johnstown Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown West Debra (11718) Date Status Provider Pick-up Location 03/08/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 03/08/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 03/11/24 comp normal 139 Silverbell Dr Johnstown 03/11/24 comp normal 03/15/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 03/15/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 03/19/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 03/19/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 03/22/24 comp normal 139 Silverbell Dr Johnstown 4/2/24, 9:56 AM DUPLICATE - DO NOT USE - Orthopaedic & Spine Center of the Rockies: 3470 E 15th St Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) elConnections Weld - NFR (North Front Grocery Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Grocery Range) Weld - NFR Senior (North Front Resources IServic Range) e'Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) e)Connections Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland Drop-off Location Medicaid number: No 4.70 4.56 17.68 4.60 4.56 20.53 9.10 9.47 31.67 9.10 9.42 28.78 4.50 4.56 14.78 4.60 4.56 20.32 Total trips: 12 Fund Purpose Trips Distance Actual Time Shared Direct Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Weld - NFR (North Front Range) DUPLICATE - DO NOT USE - Orthopaedic & Spine Center of the Rockies: 3470E 15th St Loveland Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Therapy Therapy Medical Medical Therapy Therapy Therapy Therapy Therapy 2.60 2.49 9.73 2.40 2.49 7.72 8.90 9.02 21.32 8.90 8.98 23.10 2.60 2.49 12.50 2.60 2.49 11.38 2.70 2.49 13.10 2.40 2.49 10.23 2.80 2.49 13.38 Page 7 of 10 03/22/24 comp 03/29/24 comp 03/29/24 comp Rocky Mountain Physical Therapy Weld - NFR normal - 111 W South 1st St - Ste A: 139 Silverbell Dr Johnstown (North Front 111 W South 1st St Johnstown Range) Rocky Mountain Physical Therapy Weld - NFR normal 139 Silverbell Dr Johnstown - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Rocky Mountain Physical Therapy Weld - NFR normal - 111 W South 1st St - Ste A: 139 Silverbell Dr Johnstown (North Front 111 W South 1st St Johnstown Range) Wind Qulntin (48304) Date Status Provider Pick-up Location 03/04/24 comp normal 294 Holden Ln Johnstown 03/05/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/05/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/06/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/06/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/07/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/07/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/11/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/12/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/12/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/13/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/13/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 4/2/24, 9:56 AM Drop-off Location Medicaid number: Yes Fund Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Therapy Therapy Therapy Purpose. Trips Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 2.40 2.49 12.87 2.90 2.49 12.57 2.40 2.49 8.93 Total trips: 30 Distance Actual Time Shared Direct 12.70 12.66 12.50 35.02 12.66 28.12 12.50 12.53 23.83 13.30 12.66 30.55 12.60 12.53 45.42 29.20 12.66 73.13 28.50 12.53 49.12 12.30 12.66 35.73 12.30 12.53 27.65 12.50 12.66 28.93 12.20 12.53 23.57 13.30 12.66 34.13 13.20 12.53 34.83 Page 8 of 10 03/18/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/18/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/19/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/19/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/20/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/20/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/21/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/21/24 cancel normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado 03/21/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/26/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/26/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/27/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/27/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 03/28/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 03/28/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.70 12.66 33.07 13.50 12.53 36.58 12.70 12.66 34.48 12.40 12.53 22.03 12.70 12.66 34.42 15.40 12.53 31.60 12.80 12.66 28.98 0.00 12.53 12.40 12.53 25.67 12.60 12.66 32.00 12.70 12.53 26.83 12.80 12.66 36.67 25.90 12.53 50.82 12.70 12.66 32.85 15.50 12.53 38.83 13.00 12.66 25.97 12.40 12.53 23.87 4/2/24, 9:56 AM Page 9 of 10 Total clients: 16 Total trips: 119 The sum of shared distances (completed): 1188.00 The sum of direct distances: 1238.17 The sum of trip actual times in hours: 52.43 Total client trips + rider trips: 119 Burns Jeryl (10857) Date Status Provider Pick-up Location 04/25/24 comp normal 04/25/24 comp normal Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. V/a Mobility for Life Date range: 04/01/2024 - 04/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 139. Operational days: 21. Selected weekdays: All. Medicaid number: No Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Family Physician West Office - Weld - NFR 1002 N 4th St Johnstown 6801 W 20th St: 6801 W 20th St (North Front Greeley Range) Family Physician West Office - Weld - NFR 6801 W 20th St: 6801 W 20th St 1002 N 4th St Johnstown (North Front Greeley Range) Campos Ines (11766) Date Status Provider Pick-up Location 04/01/24 comp normal 270 Holden Ln Johnstown 04/01/24 comp normal House Of Neighborly Service: 1511 E 11th St Loveland 04/02/24 comp normal 270 Holden Ln Johnstown First United Methodist Church - 04/02/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland 04/04/24 comp normal 270 Holden Ln Johnstown First United Methodist Church - 04/04/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland 04/08/24 cancel normal 270 Holden Ln Johnstown 04/11/24 comp normal 270 Holden Ln Johnstown 04/11/24 comp normal 5/2/24, 3:40 PM First United Methodist Church - 533 Grant Ave: 533 Grant Ave Drop-off Location Medical Medical Medicaid number: None Fund Purpose House Of Neighborly Service: 1511 E 11th St Loveland Weld - NFR (North Front Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front House Of Neighborly Service: 1511E 11th St Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Education Education Education Education Personal Personal Personal Personal Personal 13.29 13.29 26.67 13.28 13.28 36.30 Total trips: 23 Trips Distance Actual Time Shared Direct 10.00 10.73 19.53 10.40 10.51 20.97 12.00 12.22 29.58 11.00 12.07 24.35 11.40 12.22 24.62 11.50 12.07 22.32 0.00 10.73 14.10 12.22 38.25 2.20 2.81 11.63 Page 1 of 10 04/11/24 comp normal 04/18/24 comp normal 04/18/24 comp normal 04/18/24 comp normal 04/22/24 comp normal 04/22/24 comp normal 04/23/24 comp normal 04/23/24 comp normal 04/25/24 comp normal 04/25/24 comp normal 04/29/24 comp normal 04/29/24 comp normal 04/30/24 comp normal 04/30/24 comp normal Dlug Patricia (11394), Date Status Provider` Loveland Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 04/01/24 comp normal 1005 N 2nd St Johnstown 04/01/24 comp normal 5/2/24, 3:40 PM UCHealth Family Medicine - Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Target - 1725 Rocky Mountain Weld - NFR Ave: 1725 Rocky Mountain Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Range) House Of Neighborly Service: 1511 E 11th St Loveland House Of Neighborly Service: 1511 E 11th St Loveland Personal 12.20 10.04 29.15 Personal Grocery 2 5.00 5.01 18.10 Grocery 2 8.80 7.57 22.35 Personal 10.30 10.73 24.82 Personal 16.00 10.51 36.95 Personal 14.60 12.22 34.38 Personal 10.70 12.07 26.77 Personal 11.50 12.22 28.83 Personal Personal 10.70 10.73 23.52 Personal 10.90 10.51 27.28 Personal 10.80 12.22 22.67 Personal 11.40 12.22 23.87 0.00 12.07 0.30 10.70 12.07 23.38 Medicaid number: No Total trips: 6 UCHealth Family Medicine- Weld - NFR Orchards: 221E 29th St Loveland (North Front Range) 1005 N 2nd St Johnstown Weld - NFR Medical Medical Shared Direct 14.20 14.39 15.50 Actual Time 43.08 14.25 46.77 Page 2 of 10 Orchards: 221 E 29th St Loveland 04/03/24 comp normal 1005 N 2nd St Johnstown UCHealth Family Medicine - 04/03/24 comp normal Orchards: 221 E 29th St Loveland 04/05/24 comp normal 1005 N 2nd St Johnstown 04/05/24 comp normal UCHealth ER - 6906 W 10th St: 6906 W 10th St Greeley Espinoza Ophelia (11850) Date Status Provider Pick-up Location 04/17/24 comp 04/17/24 comp (North Front Range) UCHealth Family Medicine- Weld - NFR Orchards: 221E 29th St Loveland (North Front Range) Weld - NFR 1005 N 2nd St Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 1005 N 2nd St Johnstown (North Front Range) UCHealth ER - 6906 W 10th St: 6906 W 10th St Greeley Drop-off Location Medical Medical Therapy Therapy 15.70 14.04 57.92 18.40 13.90 56.98 12.60 12.68 35.25 12.40 12.76 38.22 Medicaid number: no Totaltrips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Eye Center of Northern Colorado:• Weld - NFR normal 111 S Harding Ave Johnstown (North front Vision 1701 61st Ave Greeley Range) Eye Center of Northern Colorado: Weld - NFR 111 S Harding Ave Johnstown (North Front Vision normal 1701 61st Ave Greeley Range) Glass Mandy (48190) Date Status Provider Pick-up Location 04/04/24 cancel normal 27 N Estes Ave Johnstown 04/05/24 comp normal 27 N Estes Ave Johnstown 04/05/24 comp normal 04/08/24 noshow normal 04/11/24 comp normal 27 N Estes Ave Johnstown 04/11/24 comp normal 04/12/24 comp normal 27 N Estes Ave Johnstown 5/2/24, 3:40 PM House Of Neighborly Service: 1511 E 11th St Loveland Buc-ee's - 5201 Nugget Rd: 5201 27 N Estes Ave Johnstown Nugget Rd Berthoud Buc-ee's - 5201 Nugget Rd: 5201 Old Town Library - 201 Peterson Nugget Rd Berthoud St: 201 Peterson St Ft Collins House Of Neighborly Service: 1511 E 11th St Loveland 27 N Estes Ave Johnstown Our Lady of Peace Catholic Church: 1311 3rd St Greeley Medicaid number: No Drop-off Location House Of Neighborly Service: 1511E 11th St Loveland Fund Weld - NFR (North Front Range) Buc-ee's - 5201 Nugget Rd: 5201 Weld - NFR Nugget Rd Berthoud (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Purpose Personal Employment Employment Employment Personal Personal Personal Trips 34.10 12.92 65.72 13.10 13.07 24.50 Total trips: 11 Distance Actual Time Shared Direct 0.00 12.60 4.30 3.96 22.93 4.30 3.96 9.27 0.00 21.51 12.90 12.60 42.43 18.90 12.37 61.20 18.30 18.15 49.45 Page 3 of 10 04/12/24 comp normal Church: 1311 3rd St Greeley 04/16/24 cancel normal 27 N Estes Ave Johnstown 04/17/24 cancel normal 27 N Estes Ave Johnstown 04/30/24 noshow normal 27 N Estes Ave Johnstown Our Lady of Peace Catholic 27 N Estes Ave Johnstown House Of Neighborly Service: 1511 E 11th St Loveland House Of Neighborly Service: 1511 E 11th St Loveland King Soopers - 253 E 29th St: 253 E 29th St Loveland Kretschmer Cody (11488) Date Status Provider Pick-up Location Drop-off Location 04/01/24 comp normal 04/08/24 comp normal 04/09/24 comp normal 04/15/24 comp normal 04/16/24 comp normal 04/22/24 comp normal 04/29/24 comp normal 04/30/24 comp normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Grocery Range) Medicaid number: 6053908' 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Mangrove Susan (10864) Date Status Provider Pick-up Location Drop-off Location 33.70 18.29 96.72 0.00 12.60 0.00 12.60 0.00 14.45 Total trips: 8 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: Fund Employment 7.60 6.94 22.12 Employment 7.50 6.94 23.33 Employment 7.50 6.94 15.93 Employment 7.00 6.94 19.38 Employment 6.90 6.94 14.97 Employment 7.50 6.94 16.38 Employment 6.90 6.94 20.13 Employment 6.90 6.94 16.37 Purpose Weld - NFR 04/18/24 comp normal 202 N Greeley Ave Johnstown 420 Michigan Ave Berthoud (North Front Personal 5/2/24, 3:40 PM Trips Total trips: 4 Distance Actual Time Shared Direct 11.30 11.23 24.07 Page 4 of 10 04/18/24 comp normal 420 Michigan Ave Berthoud 202 N Greeley Ave Johnstown Riverbend Health and 04/22/24 comp normal 202 N Greeley Ave Johnstown Rehabilitation Center: 821 Duffield Ct Loveland Riverbend Health and 04/22/24 comp normal Rehabilitation Center: 821 202 N Greeley Ave Johnstown Duffield Ct Loveland Miller Patricia (11165) Date Status Provider Pick-up Location 04/09/24 comp normal 1201 N Park Ave Johnstown Kaiser Loveland - 4901 04/09/24 comp normal Thompson Pkwy: 4901 Thompson Pkwy Loveland Richie Marianne (11515) Date Status Provider Pick-up Location 04/01/24 comp normal 04/02/24 comp normal 04/09/24 comp normal 04/12/24 comp normal 04/19/24 comp normal 04/22/24 comp normal 04/30/24 comp normal 04/30/24 comp normal 5/2/24, 3:40 PM 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Personal Therapy Therapy 11.40 11.21 21.58 15.90 14.71 46.67 15.10 14.55 34.15 Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Kaiser Loveland - 4901 Thompson Weld - NFR Pkwy: 4901 Thompson Pkwy (North Front Medical Loveland Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Medical Range) Drop-off Location Medicaid number: no Fund Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor 705 Country Acres Dr Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front 8.80 8.56 45.37 20.40 9.56 63.10 Total trips:, 8 Purpose Trips Distance Actual Time Shared Direct Employment Employment Employment Employment Employment Employment Employment Employment 11.70 17.00 28.68 11.50 17.00 23.90 23.10 17.00 51.45 17.10 17.00 25.32 17.00 17.00 27.02 11.70 17.00 27.45 13.70 17.00 34.20 11.60 17.38 27.07 Page 5 of 10 Range) Scheneman Jeanie (11426) Date Status Provider Pick-up Location 04/10/24 comp normal 04/10/24 comp normal 04/29/24 comp normal 3235 Carlson Blvd Johnstown 04/29/24 comp normal Walmart - 1325 N Denver Ave: 3235 Carlson Blvd Johnstown 2695 Rocky Mountain Ave Loveland 1325 N Denver Ave Loveland Weins John (48251) Date Status Provider Pick-up Location 04/02/24 comp normal 8331 E CO Rd 16 Johnstown 04/02/24 comp normal 04/03/24 comp normal 8331 E CO Rd 16 Johnstown 04/03/24 comp normal 04/09/24 comp normal 8331 E CO Rd 16 Johnstown 04/09/24 comp normal 04/09/24 comp normal 04/10/24 comp normal 8331 E CO Rd 16 Johnstown 04/10/24 comp normal 5/2/24, 3:40 PM Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Jackson Hewitt Tax Service - 184 E 29th St: 184 E 29th St Loveland Independent Financial: 935 N Cleveland Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Medicaid number: No Fund 2695 Rocky Mountain Ave Loveland 3235 Carlson Blvd Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 3235 Carlson Blvd Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Purpose Medical Medical Grocery Grocery Trips Total trips: 4 Distance Actual Time Shared Direct 8.90 8.41 28.12 21.30 8.53 89.10 9.80 10.10 22.35 14.20 10.08 63.40 Total trips: 16 Purpose Trips Distance Actual Weld - NFR Senior (North Front Resources(Servic Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) Range) Jackson Hewitt Tax Service - 184 Weld - NFR E 29th St: 184 E 29th St (North Front Personal Loveland Range) Weld - NFR (North Front Personal Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal Range) Weld - NFR Senior (North Front Resources(Servic Range) elConnections Weld - NFR Senior 8331E CO Rd 16 Johnstown (North Front Resources(Servic Independent Financial: 935 N Cleveland Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Shared Direct 4.70 4.56 Time 33.50 28.50 4.56 51.92 4.70 4.56 19.45 4.50 4.56 18.53 11.70 10.20 48.32 1.40 1.58 11.48 33.80 9.24 77.53 4.60 4.56 16.85 4.60 4.56 16.02 Page 6 of 10 04/15/24 comp normal 8331 E CO Rd 16 Johnstown 04/15/24 comp normal 04/17/24 comp normal 8331 E CO Rd 16 Johnstown 04/17/24 comp normal 04/23/24 comp normal 8331 E CO Rd 16 Johnstown 04/23/24 comp normal 04/24/24 comp normal 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown West Debra (11718) Date Status Provider Pick-up Location 04/02/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 04/02/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/05/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 04/05/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/08/24 comp normal 139 Silverbell Dr Johnstown 04/09/24 cancel normal 139 Silverbell Dr Johnstown 04/09/24 comp normal 139 Silverbell Dr Johnstown Orthopedic and spine center of 04/09/24 comp normal the rockies: 3470 E 15th St Loveland 04/11/24 comp normal 139 Silverbell Dr Johnstown 5/2/24, 3:40 PM Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 5.40 4.56 Range) elConnections Weld - NFR Senior (North Front Resources IServic 4.60 4.56 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 9.20 4.56 Range) elConnections Weld - NFR Senior (North Front Resources(Servic 4.60 4.56 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 Range) elConnections Medicaid number: No Total trips: 17 Fund Purpose Trips Distance Actual Time Shared Direct 13.90 22.58 15.07 20.77 15.28 11.75 17.07 Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR DUPLICATE - DO NOT USE: 3470 E 15th St Loveland (North Front Range) Orthopedic and spine center of Weld - NFR the rockies: 3470 E 15th St (North Front Loveland Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR Therapy Therapy Therapy Therapy Therapy Medical Medical Medical Therapy 2.60 2.49 11.28 2.70 2.49 10.03 2.90 2.49 16.25 2.90 2.49 31.67 2.90 2.49 12.93 0.00 9.02 8.90 8.96 21.55 8.90 8.95 25.28 2.80 2.49 13.70 Page 7 of 10 Rocky Mountain Physical Therapy 04/11/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/16/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 04/16/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/19/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 04/19/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/23/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 04/23/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 04/30/24 cancel normal 139 Silverbell Dr Johnstown Wind Quintin (48304) Date Status Provider Pick-up Location 04/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/02/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/02/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/04/24 comp normal 294 Holden Ln Johnstown 04/04/24 comp normal Easterseals Northern Colorado 5/2/24, 3:40 PM - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: Yes Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Therapy 2.50 2.49 20.95 Therapy 4.10 2.49 23.22 Therapy 2.70 2.49 14.87 Therapy 3.00 2.49 13.75 Therapy 2.50 2.49 15.58 Therapy 2.60 2.49 13.18 Therapy 2.40 2.49 12.27 Therapy 0.00 2.49 Fund Purpose Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Total trips: 36 Trips Distance Actual Time Shared Direct 12.60 12.66 26.27 17.70 12.53 53.07 12.60 12.66 24.67 14.50 12.53 29.87 12.70 12.66 31.30 13.10 12.53 34.07 13.30 12.66 25.32 12.50 12.53 25.05 Page 8 of 10 Program (Wings): 1327 W Eisenhower Blvd Loveland 04/08/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/08/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/09/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/09/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/10/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/11/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/15/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/15/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/16/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/16/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/17/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/17/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/18/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/18/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 5/2/24, 3:40 PM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.80 12.66 27.15 12.40 12.53 24.02 13.10 12.66 28.17 0.10 12.53 2.68 13.30 12.66 35.63 13.40 12.53 29.22 12.50 12.66 28.58 19.80 12.53 66.48 12.80 12.66 28.63 15.10 12.53 31.17 13.80 12.66 32.97 14.00 12.53 36.82 12.50 12.66 23.85 13.20 12.53 34.97 12.90 12.66 27.90 13.10 12.53 34.42 12.70 12.66 28.45 13.90 12.53 34.35 Page 9 of 10 04/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 04/30/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 04/30/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.90 12.66 33.22 14.40 12.53 28.98 13.30 12.66 36.73 14.40 12.53 29.87 12.66 12.66 28.20 12.53 12.53 35.72 13.20 12.66 28.62 12.90 12.53 41.00 13.10 12.66 33.28 12.40 12.53 23.07 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 13 139 1456.16 1417.79 64.48 141 5/2/24, 3:40 PM Page 10 of 10 Client Trip by Funding Source YINI; Mobility for Life Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Date range: 05/01/2024 - 05/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 135. Operational days: 22. Selected weekdays: All. Medicaid number: No Total trips: 10 Burns Jeryi (10857) Date Status Provider Pick-up Location 05/06/24 comp normal 05/06/24 comp normal 05/10/24 comp normal 05/10/24 cancel normal 05/13/24 comp normal 05/13/24 comp normal 05/15/24 comp normal 05/15/24 comp normal 05/29/24 comp normal 05/29/24 comp normal 1002 N 4th St Johnstown Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor 1002 N 4th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 1002 N 4th St Johnstown The Hub Salon and Barbershop: 904 Broad St Milliken 1002 N 4th St Johnstown Windsor Audiology - 8201 Spinnaker Bay Dr 0: 8201 Spinnaker Bay Dr E Windsor 1002 N 4th St Johnstown Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor Campos Ines (11766) Date Status Provider Pick-up Location 05/06/24 comp normal 270 Holden Ln Johnstown 6/6/24, 9:07 AM Drop-off Location Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor 1002 N 4th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 1002 N 4th St Johnstown The Flub Salon and Barbershop: 904 Broad St Milliken 1002 N 4th St Johnstown Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor 1002 N 4th St Johnstown Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor 1002 N 4th St Johnstown Drop-off Location Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical Medical Personal Personal Medical Medical Medical Medical 13.50 14.96 34.67 21.40 15.16 64.78 10.30 10.06 28.12 0.00 10.26 4.60 3.60 36.08 1.10 3.60 6.40 13.10 14.96 35.73 14.60 15.16 46.80 13.50 14.96 41.95 13.20 15.16 33.05 Medicaid number: None Total trips: 15 House Of Neighborly Service: 1511E 11th St Loveland Fund Purpose Weld - NFR (North Front Personal Trips Distance Actual Time Shared Direct 12.20 10.73 42.48 Page 1 of 10 05/06/24 comp normal 05/07/24 comp normal 270 Holden Ln Johnstown 05/07/24 comp normal 05/10/24 comp normal 270 Holden Ln Johnstown 05/10/24 comp normal 05/13/24 comp normal 270 Holden Ln Johnstown 05/13/24 comp normal 05/14/24 comp normal 270 Holden Ln Johnstown 05/14/24 comp normal 05/20/24 comp normal 270 Holden Ln Johnstown 05/20/24 comp normal 05/21/24 cancel normal 270 Holden Ln Johnstown 05/21/24 comp normal 270 Holden Ln Johnstown 05/21/24 comp normal Glass Mandy (48190); Date Status Provider Pick-up Location House Of Neighborly Service: 1511 E 11th St Loveland Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland 05/10/24 cancel normal 27 N Estes Ave Johnstown 05/23/24 comp normal 27 N Estes Ave Johnstown 6/6/24, 9:07 AM 270 Holden Ln Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 270 Holden Ln Johnstown Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland Dollar Tree - 1695 Rocky Mountain Ave Ste 410: 1695 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Grocery Grocery Grocery Personal Personal Personal Personal Personal Personal Personal Personal Personal Personal Personal 10.20 10.51 31.42 9.70 10.04 37.93 10.00 10.04 17.97 7.80 7.78 18.62 7.90 7.62 17.62 0.00 10.73 0.50 10.51 10.51 26.00 7.70 7.78 14.15 7.10 7.62 16.75 9.80 10.73 27.93 10.20 10.51 24.95 0.00 7.78 7.70 7.78 18.05 7.80 7.62 25.20 Medicaid number: No Total trips:, 5 Purpose Trips Distance Actual Time Buc-ee's: 5201 Nugget Rd Weld - NFR Johnstown (North Front Employment Range) Weld County Justice: 901 10th Weld - NFR Personal Shared Direct 0.00 3.96 17.10 17.48 38.67 Page 2 of 10 05/23/24 comp normal 05/23/24 comp normal 05/30/24 cancel normal 27 N Estes Ave Johnstown ave Greeley Weld County Justice: 901 10th House Of Neighborly Service: ave Greeley 1511 E 11th St Loveland House Of Neighborly Service: 1511 E 11th St Loveland Kretschmer Cody (11486) Date Status Provider Pick-up Location 05/06/24 comp normal 05/13/24 comp normal 05/14/24 comp normal 05/20/24 comp normal 05/21/24 comp normal 05/28/24 comp normal Maul. Paityn (12038) Date Status Provider Pick-up Location 05/23/24 comp normal 05/23/24 comp normal 05/23/24 comp normal 05/24/24 noshow normal 6/6/24, 9:07 AM King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley 27 N Estes Ave Johnstown Weld County Justice: 901 10th ave Greeley House Of Neighborly Service: 1511 E 11th St Loveland 27 N Estes Ave Johnstown 27 N Estes Ave Johnstown Front Range Clinic - 1640 Topaz Dr: 1640 Topaz Dr Loveland Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Personal Personal Medical 2 0.00 12.18 20.20 19.78 37.88 12.10 12.37 31.53 Medicaid number: GO539O8 Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 18.60 6.94 65.42 Employment 7.00 6.94 16.98 Employment 7.50 6.94 17.23 Employment 7.70 6.94 17.63 Employment 7.00 6.94 18.65 Employment 7.10 6.94 16.90 Medicaid number: None Weld County Justice: 901 10th ave Greeley House Of Neighborly Service: 1511 E 11th St Loveland 27 N Estes Ave Johnstown Front Range Clinic: 1308 Vivian St Longmont Total trips: 4 Fund Purpose Trips Distance Actual Time Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Personal Personal Personal Therapy Shared Direct 17.10 17.48 38.67 20.20 19.78 37.88 12.10 12.37 31.53 0.00 21.69 Page 3 of 10 Range) Mangrove Susan (10864) Date Status Provider Pick-up Location 05/09/24 comp normal 202 N Greeley Ave Johnstown 05/09/24 comp normal Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland Navarro Sanchez Jose (11710) Date Status Provider Pick-up Location 05/10/24 comp normal 05/10/24 comp normal 05/13/24 comp normal 05/13/24 comp normal 05/15/24 comp normal 05/15/24 comp normal 05/17/24 comp normal 05/17/24 comp normal 05/20/24 comp normal 05/20/24 comp normal 05/21/24 comp normal 6/6/24, 9:07 AM 19920 Co Rd 52 La Salle Drop-off Location Weld - NFR (North Front Grocery 20.70 11.88 52.88 Range) Weld - NFR (North Front Grocery 11.50 11.86 34.50 Range) Medicaid number: No Fund Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Weld - NFR Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Weld - NFR Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Eye Care Center - 1400 Dry Weld - NFR 19920 Co Rd 52 La Salle Creek Dr: 1400 Dry Creek Dr (North Front 19920 Co Rd 52 La Salle Total trips: 20 Purpose Trips Distance Actual Time Shared Direct Dialysis 48.80 5.94 69.32 Dialysis 7.60 6.00 18.90 Dialysis 7.70 5.94 25.55 Dialysis 6.00 6.00 21.00 Dialysis 6.10 5.94 17.95 Dialysis 10.60 6.00 60.12 Dialysis 6.10 5.94 17.68 Dialysis 6.10 6.00 14.73 Dialysis 6.00 5.94 16.45 Dialysis 6.10 6.00 14.67 Vision 35.20 34.31 59.93 Page 4 of 10 Eye Care Center - 1400 Dry 05/21/24 comp normal Creek Dr: 1400 Dry Creek Dr Longmont 05/22/24 comp normal 19920 Co Rd 52 La Salle 05/22/24 comp normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 05/24/24 comp normal 19920 Co Rd 52 La Salle 05/24/24 comp normal 05/29/24 comp normal 19920 Co Rd 52 La Salle 05/29/24 comp normal 05/31/24 comp normal 19920 Co Rd 52 La Salle 05/31/24 comp normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Longmont Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Weld Fresenius Kidney Care - 1212 9th NFR (North Front St: 1212 9th St Greeley Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Weld - NFR (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Weld Fresenius Kidney Care - 1212 9th NFR (North Front St: 1212 9th St Greeley Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Richie Marianne (11515) Date Status Provider Pick-up Location Drop-off Location 05/03/24 noshow 05/10/24 comp 05/14/24 comp 05/15/24 comp 05/23/24 comp 05/29/24 comp 05/31/24 comp 6/6/24, 9:07 AM Vision Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis 49.50 34.41 80.90 6.00 5.94 14.82 6.10 6.00 14.80 6.10 5.94 15.97 6.20 6.00 16.03 6.10 5.94 19.62 7.20 6.00 31.35 7.00 5.94 18.13 7.20 6.00 18.62 Medicaid number: no Total trips: 8 Fund Purpose Trips Distance Actual Time Shared Direct normal 705 Country Acres Dr Johnstown Safew- 1535 Maln St: 1535 Main St ay Windsor normal 705 Country Acres Dr Johnstown Safew- 1535 Main St: 1535 Main St ay Windsor normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor normal 705 Country Acres Dr Johnstown Safew- 1535 Main St: 1535 Main St ay Windsor normal 705 Country Acres Dr Johnstown Safeway - 1 Main St Winds535orMain St: 1535 normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Employment 0.00 17.00 Employment 12.70 17.00 25.22 Employment 12.00 17.00 31.50 Employment 12.50 17.00 33.17 Employment 29.30 17.00 63.95 Employment 29.50 17.00 57.88 Employment 11.70 17.00 27.78 Page 5 of 10 05/31/24 comp normal Safeway - 1535 Main St: 1535 Main St Windsor Weins John (48251) Date Status Provider Pick-up Location 05/01/24 comp normal 05/01/24 comp normal 05/07/24 comp normal 05/07/24 comp normal 05/08/24 comp normal 05/08/24 comp normal 05/14/24 comp normal 05/14/24 comp normal 05/15/24 comp normal 05/15/24 comp normal 05/22/24 comp normal 05/22/24 comp normal 05/24/24 comp normal 05/24/24 comp normal 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 05/28/24 comp normal 8331 E CO Rd 16 Johnstown Main St Windsor (North Front Range) Weld - NFR 705 Country Acres Dr Johnstown (North Front Employment 11.60 17.38 31.33 Range) Drop-off Location Medicaid number: No Fund Johnstown Senior Center: 101 Charlotte St Johnstown Total trips: 18 Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front ResourcesiServic 4.60 4.56 16.18 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 4.50 4.56 17.80 Range) e'Connections Weld - NFR Senior (North Front ResourcesiServic 0.00 4.56 4.67 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic 25.01 4.56 61.18 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 7.40 4.56 15.98 Range) elConnections Weld - NFR Senior 8331E CO Rd 16 Johnstown (North Front ResourcesIServic 4.50 4.56 10.40 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 13.82 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 27.40 4.56 59.35 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 16.87 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic 4.60 4.56 13.60 Range) elConnections Weld - NFR (North Front Meal (Senior) 4.60 4.56 14.90 Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) 4.50 4.56 12.03 Range) Weld - NFR Senior (North Front ResourcesiServic 1 7.50 7.38 26.62 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic 11.50 7.38 28.88 Range) elConnections Johnstown Barber Shop: 5 S Weld - NFR Personal 4.70 4.56 16.08 Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 6/6/24, 9:07 AM Page 6 of 10 05/28/24 comp normal 05/29/24 comp normal 05/29/24 comp normal Cassidy's Sports Grill: 15 S Parish Ave Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown West Debra (11718) Date Status Provider Pick-up Location 05/07/24 comp normal 05/07/24 comp normal 05/10/24 comp normal 05/10/24 comp normal 05/14/24 cancel normal 05/14/24 cancel normal 05/16/24 comp normal 05/16/24 comp normal 05/17/24 comp normal 05/17/24 comp normal 05/21/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown 05/24/24 comp normal 139 Silverbell Dr Johnstown 05/24/24 comp normal Rocky Mountain Physical Therapy 6/6/24, 9:07 AM Parish Ave Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Personal 4.70 4.59 15.68 Meal (Senior) 4.00 4.56 13.38 Meal (Senior) 4.50 4.56 12.50 Total trips: 13 Fund Purpose Trips Distance Actual Time Shared Direct Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Therapy Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Therapy Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Therapy Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Therapy Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Therapy Range) Orthopedic and spine center of Weld - NFR the rockies: 3470 E 15th St (North Front Medical Loveland Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) 139 Silverbell Dr Johnstown Weld - NFR Therapy 2.49 2.49 12.12 2.49 2.49 22.02 2.80 2.49 11.45 2.50 2.49 10.28 0.00 2.49 0.00 2.49 2.80 2.49 11.55 2.40 2.49 9.20 2.90 2.49 12.38 3.10 2.49 14.32 10.20 9.00 30.98 2.50 2.49 11.93 2.40 2.49 8.18 Page 7 of 10 - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Wind Quintin (48304) Date Status Provider Pick-up Location 05/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/02/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/02/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/06/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/06/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/07/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/07/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/08/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/08/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/09/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/09/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/13/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/13/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/14/24 comp normal 294 Holden Ln Johnstown 05/14/24 comp normal Easterseals Northern Colorado 6/6/24, 9:07 AM Drop-off Location (North Front Range) Medicaid number: Yes Fund Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Total trips: 34 Purpose Trips Distance Actual Time Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adultay D Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Shared Direct 13.40 12.66 34.07 12.40 12.53 23.42 12.50 12.66 22.75 13.60 12.53 28.72 2.20 12.66 5.57 12.50 12.53 24.90 12.66 12.66 56.95 13.18 12.53 38.48 12.70 12.66 28.77 12.30 12.53 29.12 13.30 12.66 25.62 12.80 12.53 32.40 0.00 12.66 3.62 12.60 12.53 25.88 13.20 12.66 29.35 12.50 12.53 21.28 Page 8 of 10 Program (Wings): 1327 W Eisenhower Blvd Loveland 05/15/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/15/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/16/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/16/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/20/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/20/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/21/24 cancel normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/21/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/28/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/28/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 05/30/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 05/30/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 6/6/24, 9:07 AM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 13.30 12.66 30.25 13.60 12.53 35.03 12.80 12.66 28.93 12.50 12.53 29.03 12.30 12.66 28.08 10.30 12.53 18.88 0.00 12.66 12.40 12.53 29.90 13.30 12.66 30.95 12.50 12.53 30.37 13.30 12.66 32.60 26.20 12.53 63.02 12.80 12.66 25.55 12.50 12.53 24.53 17.70 12.66 48.38 12.50 12.53 22.68 12.90 12.66 27.82 13.10 12.53 27.22 Page 9 of 10 Total clients: 11 Total trips: 135 The sum of shared distances (completed): 1362.44 The sum of direct distances: 1325.55 The sum of trip actual times in hours: 57.16 Total client trips + rider trips: 136 6/6/24, 9:07 AM Page 10 of 10 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. V/N Mobility for L. Date range: 06/01/2024 - 06/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 154. Operational days: 20. Selected weekdays: All. Burns Jeryi (10857) Date Status Provider Pick-up Location 06/10/24 comp normal 1002 N 4th St Johnstown Windsor Audiology - 8201 06/10/24 comp normal Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor 06/20/24 comp normal 1002 N 4th St Johnstown Orthopedic and spine center of 06/20/24 comp normal the rockies: 3470 E 15th St Loveland 06/26/24 comp normal 1002 N 4th St Johnstown 06/26/24 comp normal UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins 1002 N 4th St Johnstown Cortez Ramiro Manuel (12225) Date Status Provider Pick-up Location 06/07/24 comp normal 06/07/24 comp normal 06/26/24 comp normal 06/26/24 comp normal 7/2/24, 11:32 AM 217 Goodner Ave La Salle Riverside Library and Cultural Center - 3700 Golden St: 3700 Golden St Evans Rodeway Inn Greeley - 3015 8th Ave: 3015 8th Ave Evans Sams Club - 3247 23rd Ave: 3247 23rd Ave Evans Drop-off Location Medicaid number: No Drop-off Location Windsor Audiology - 8201 Spinnaker Bay Dr E: 8201 Spinnaker Bay Dr E Windsor Fund Weld - NFR (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Orthopedic and spine center of Weld - NFR the rockies: 3470 E 15th St (North Front Loveland Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) UCHealth Poudre Valley Hospital: Weld - NFR 1024 S Lemay Ave Ft Collins (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Riverside Library and Cultural Center - 3700 Golden St: 3700 Golden St Evans 217 Goodner Ave La Salle Sams Club - 3247 23rd Ave: 3247 23rd Ave Evans Rodeway Inn Greeley - 3015 8th Ave: 3015 8th Ave Evans Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Purpose Medical Medical Medical Medical Medical Medical Purpose Education Education Employment Employment Trips Total trips: 6 Distance Actual Time Shared Direct 15.80 14.96 36.93 13.20 15.16 28.68 10.70 10.71 30.33 10.20 10.66 29.88 23.10 22.99 46.97 23.90 23.95 50.42 Total trips: 4 Trips Distance Actual Time Shared Direct 3.00 2.79 9.67 3.10 2.81 10.12 1.80 1.76 9.77 2.10 1.78 12.63 Page 1 of 12 06/17/24 cancel normal 1005 N 2nd St Johnstown Espinoza ()phella (11850) Date Status Provider Pick-up Location 06/21/24 comp normal 111 S Harding Ave Johnstown 06/21/24 comp normal Stellar Elizabeth (11318) Date Status Provider 06/04/24 comp normal 06/04/24 comp normal 06/05/24 comp normal 06/05/24 comp normal 06/07/24 noshow normal 06/13/24 comp normal 06/13/24 comp normal 06/25/24 noshow normal 7/2/24, 11:32 AM Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland p Locati 920 N 7th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 920 N 7th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 920 N 7th St Johnstown 920 N 7th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Drop-off Location Total trips: 1 Purpose Trips Distance Actual Time Shared Direct. Weld - NFR (North Front Medical 0.00 9.97 Range) Medicaid number: no Fund Purpose Trips Distance Actual Time Shared Direct Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Total trips: 2 Weld - NFR (North Front Medical 9.90 9.91 27.33 Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Medical 9.80 10.10 18.98 Range) Drop-off Location Medicaid number: no Fund Purpose Trips Distance Actual Time Shared Direct Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 920 N 7th St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 920 N 7th St Johnstown Family Physicians of Greeley Cottonwood Office: 2420 W 16th St Greeley Family Physicians of Greeley Cottonwood Office: 2420 W 16th St Greeley Family Physicians of Greeley Cottonwood Office: 2420 W 16th 920 N 7th St Johnstown St Greeley The Nephrology Clinic - 3351 Eastbrook Dr: 3351 Eastbrook Dr 920 N 7th St Johnstown Ft Collins Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Total trips: 8 Medical 11.80 10.39 28.80 Medical 9.70 10.59 29.37 Medical 11.00 10.39 30.43 Medical 10.60 10.59 30.15 Medical 0.00 16.45 Medical 17.10 16.45 46.92 Medical 34.60 17.41 73.33 Medical 0.00 20.87 Page 2 of 12 Glen Mandy (48190) Date Status Provider Pick-up Location 06/06/24 comp normal 27 N Estes Ave Johnstown 06/06/24 comp normal 06/06/24 comp normal 06/07/24 noshow normal 27 N Estes Ave Johnstown 06/27/24 comp normal 27 N Estes Ave Johnstown 06/27/24 comp normal Front Range Clinic: 1308 Vivian St Longmont Walmart - 2514 Main St: 2514 Main St Longmont Drop-off Location Medicaid number: Fund Front Range Clinic: 1308 Vivian St Longmont Walmart - 2514 Main St: 2514 Main St Longmont 27 N Estes Ave Johnstown 918 10th St Greeley Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 27 N Estes Ave Johnstown 1325 N Denver Ave Loveland Kretschmer Cody (11486) Date Status Provider Pick-up Location 06/03/24 comp 06/04/24 comp 06/10/24 comp 06/11/24 comp 06/18/24 comp 06/24/24 comp 06/25/24 comp 7/2/24, 11:32 AM normal normal normal normal normal normal normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Drop-off Location No Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Medical 23.70 21.69 36.82 Grocery 0.00 2.87 0.47 Grocery 15.60 19.27 37.78 Personal 0.00 17.47 Grocery 12.60 11.92 31.73 Grocery 12.50 11.90 36.72 Medicaid number: 6053909 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Fund Purpose Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment Employment Employment Employment Employment Employment Employment Total trips: 7 Trips Distance Actual Time Shared Direct 6.90 6.94 17.62 7.30 6.94 24.07 7.50 6.94 22.65 6.90 6.94 16.67 27.10 6.94 57.27 7.50 6.94 19.38 6.90 6.94 17.42 Page 3 of 12 Lightner Alexis (12057) Date Status Provider Pick-up Location 06/07/24 comp normal 903 N 3rd St Johnstown Marostica Kathleen (11786) Date Status Provider Pick-up Location 06/12/24 comp normal 301 N 1st St Johnstown UCHealth Surgical Clinic - 2121 06/12/24 comp normal Harmony Rd: 2121 E Harmony Rd Ft Collins 06/26/24 comp normal 301 N 1st St Johnstown 06/26/24 comp normal Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Mangrove Susan (10864) Date Status Provider Pick-up, Location 06/06/24 cancel 06/07/24 comp 06/07/24 comp 06/11/24 noshow normal normal normal normal 202 N Greeley Ave Johnstown 202 N Greeley Ave Johnstown Dollar Tree - 700 Main St: 700 202 N Greeley Ave Johnstown Main St Windsor 202 N Greeley Ave Johnstown Medicaid number: No Drop-off Location Loaf N Jug - Berthoud: 67 Gateway Cir Berthoud Drop-off Location Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Employment Range) Medicaid number: No Fund UCHealth Surgical Clinic - 2121 E Harmony Rd: 2121 E Harmony Rd Ft Collins E 301 N 1st St Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland 301 N 1st St Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Dollar Tree - 700 Main St: 700 Main St Windsor Dollar Tree - 700 Main St: 700 Main St Windsor Home Depot - 1100 Nickel Dr: 1100 Nickel Dr Loveland Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) 4.70 3.97 28.90 Total trips: 4 Purpose Trips Distance Actual Time Medical Medical Medical Medical Shared 48.20 21.00 12.10 11.30 Direct 19.93 95.58 19.55 47.82 10.45 46.37 10.65 26.83 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Personal Personal Personal Personal 0.00 18.06 13.60 18.06 45.10 10.70 18.31 20.23 0.00 12.65 7/2/24, 11:32 AM Page 4 of 12 Miller Patrida (11165) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Fund Banner Health Clinic - 2555 E Weld - NFR 06/10/24 comp normal 1201 N Park Ave Johnstown 13th St - Ste 130: 2555 E 13th St (North Front Loveland Range) Banner Health Clinic - 2555 E Weld - NFR 06/10/24 comp normal 13th St - Ste 130: 2555 E 13th 1201 N Park Ave Johnstown (North Front St Loveland Range) Navarro Sanchez Jose (11710) Date Status Provider Pick-up Location 06/03/24 comp normal 06/03/24 comp normal 06/05/24 comp normal 06/05/24 comp normal 06/07/24 comp normal 06/07/24 comp normal 06/10/24 comp normal 06/12/24 comp normal 06/12/24 comp normal 06/14/24 comp normal 06/14/24 comp normal 06/17/24 comp normal 7/2/24, 11:32 AM 19920 Co Rd 52 La Salle Drop-off Location Medicaid number: No Fund Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) 19920 Co Rd 52 La Salle 19920 Co Rd 52 La Salle 19920 Co Rd 52 La Salle 19920 Co Rd 52 La Salle Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Medical 21.90 11.68 63.97 Medical 11.70 12.03 26.70 Total trips: 23 Purpose Trips Distance Actual Time Shared Direct Dialysis 6.10 5.94 18.77 Dialysis 7.10 6.00 22.47 Dialysis 6.00 5.94 19.45 Dialysis 6.20 6.00 16.58 Dialysis 6.10 5.94 15.60 Dialysis 6.00 6.00 13.80 Dialysis 6.30 5.94 18.23 Dialysis 8.20 5.94 21.43 Dialysis 6.10 6.00 19.77 Dialysis 7.10 5.94 30.78 Dialysis 4.50 6.00 16.15 Dialysis 6.00 5.94 15.63 Page 5 of 12 Fresenius Kidney Care - 1212 9th Weld NFR 06/17/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/19/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/19/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/21/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/21/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/24/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/24/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/26/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/26/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/28/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 06/28/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Richie Marianne (11515) Date Status Provider Pick-up Location Drop-off Location Medicaid number: no Fund 06/04/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 06/04/24 comp normal Safeway 1535 Main St: 1535 705 Country Acres Dr Johnstown Main St Windsor 06/07/24 comp normal 705 Country Acres Dr Johnstown Safeway -1535 Main St: 1535 Main St Windsor 06/07/24 comp normal Safeway 1535 Main St: 1535 705 Country Acres Dr Johnstown Main St Windsor 06/12/24 cancel normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 7/2/24, 11:32 AM Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis 7.20 6.00 20.88 6.10 5.94 13.10 6.00 6.00 14.42 6.10 5.94 15.53 7.20 6.00 42.00 4.40 5.94 11.25 6.10 6.00 16.55 6.10 5.94 15.12 6.10 6.00 14.68 6.00 5.94 17.57 6.10 6.00 14.47 Total trips: 10 Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) 28.40 17.00 64.05 29.20 17.38 66.63 11.60 17.00 35.53 11.60 17.38 35.20 0.00 17.00 Page 6 of 12 Safeway 1535 Main St: 1535 Weld - NFR 06/18/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 17.00 17.00 36.82 Range) Safeway 1535 Main St: 1535 Weld - NFR 06/19/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 17.50 17.00 37.97 Range) Safeway 1535 Main St: 1535 Weld - NFR 06/21/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 11.80 17.00 26.33 Range) Safeway - 1535 Main St: 1535 Weld - NFR 06/26/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 12.70 17.00 32.22 Range) Safeway 1535 Main St: 1535 Weld - NFR 06/27/24 comp normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 28.30 17.00 48.58 Range) Scheneman Jeanie (11426) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: Weld - NFR 06/17/24 comp normal 3235 Carlson Blvd Johnstown 1325 N Denver Ave Loveland (North Front Grocery 9.60 10.10 30.07 Range) Walmart - 1325 N Denver Ave: Weld - NFR 06/17/24 comp normal 1325 N Denver Ave Loveland 3235 Carlson Blvd Johnstown (North Front Grocery 9.80 10.08 22.22 Range) Sealer William (12285) Date Status Provider Pick-up Location 06/28/24 comp normal Center Of Rock Creek: 4880 Ziegler Rd Ft Collins Medicaid number: No Total trips: 1 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR 307 Medinah Ave Johnstown (North Front Medical 19.10 18.72 43.02 Range) Weins John (48251) Medicaid number: No Total trips: 29 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Johnstown Senior Center: 101 Weld NFR Senior 06/04/24 comp normal 8331 E CO Rd 16 Johnstown Charlotte St Johnstown (North Front ResourceslServic 4.60 4.56 22.58 Range) e'Connections Johnstown Senior Center: 101 Weld - NFR Senior 06/04/24 comp normal Charlotte St Johnstown 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic 4.50 4.56 11.40 Range) elConnections Johnstown Senior Center: 101 Weld - NFR Senior 06/04/24 noshow normal Charlotte St Johnstown 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic 0.00 4.56 16.33 7/2/24, 11:32 AM Page 7 of 12 06/05/24 comp normal 8331 E CO Rd 16 Johnstown 06/05/24 comp normal 06/07/24 comp normal 8331 E CO Rd 16 Johnstown 06/07/24 comp normal 06/10/24 comp normal 8331 E CO Rd 16 Johnstown 06/10/24 comp normal 06/11/24 comp normal 8331 E CO Rd 16 Johnstown 06/11/24 comp normal 06/12/24 comp normal 8331 E CO Rd 16 Johnstown 06/12/24 comp normal 06/14/24 comp normal 8331 E CO Rd 16 Johnstown 06/14/24 comp normal 06/17/24 comp normal 8331 E CO Rd 16 Johnstown 06/17/24 comp normal 06/18/24 comp normal 8331 E CO Rd 16 Johnstown 06/18/24 comp normal 06/19/24 comp normal 8331 E CO Rd 16 Johnstown 06/19/24 comp normal 7/2/24, 11:32 AM Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Better Business Bureau - 8020 CO RD 5: 8020 S CO RD 5 Ft Collins Independent Financial - 935 Cleveland Ave: 935 Cleveland Ave Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Better Business Bureau - 8020 S CO RD 5: 8020 S CO RD 5 Ft Collins S 8331 E CO Rd 16 Johnstown Independent Financial - 935 Cleveland Ave: 935 Cleveland Ave Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Range) elConnections Weld - NFR (North Front Meal (Senior) 4.60 4.56 12.95 Range) Weld - NFR (North Front Meal (Senior) 4.50 4.56 13.33 Range) Weld - NFR Senior (North Front Resources IServic 7.50 7.38 30.43 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 7.50 7.38 22.45 Range) elConnections Weld - NFR (North Front Meal (Senior) 7.50 7.38 14.20 Range) Weld - NFR (North Front Meal (Senior) 18.20 7.38 55.02 Range) Weld - NFR Senior (North Front Resources IServic 4.60 4.56 12.55 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 4.60 4.56 15.90 Range) elConnections Weld - NFR Senior (North Front Resources IServic 4.60 4.56 13.65 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 5.30 4.56 24.70 Range) elConnections Weld - NFR Senior (North Front Resources IServic 7.90 7.38 25.68 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 7.50 7.38 19.03 Range) elConnections Weld - NFR (North Front Personal 45.40 10.67 79.28 Range) Weld - NFR (North Front Personal 10.70 10.66 29.68 Range) Weld - NFR (North Front Personal 10.10 9.60 23.85 Range) Weld - NFR (North Front Personal 8.90 9.36 22.00 Range) Weld - NFR (North Front Meal (Senior) 4.60 4.56 11.72 Range) Weld - NFR (North Front Meal (Senior) 5.00 4.56 33.82 Range) Page 8 of 12 06/21/24 comp normal 8331 E CO Rd 16 Johnstown 06/21/24 comp normal 06/24/24 comp normal 8331 E CO Rd 16 Johnstown 06/24/24 comp normal 06/26/24 comp normal 8331 E CO Rd 16 Johnstown 06/26/24 comp normal 06/28/24 comp normal 8331 E CO Rd 16 Johnstown 06/28/24 comp normal Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Town Hall: 450 S Parrish Ave Johnstown West Debra (11718) Date Status Provider Pick-up Location 06/04/24 comp normal 139 Silverbell Dr Johnstown 06/11/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 06/11/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 06/14/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 06/14/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 06/18/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 06/18/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 06/21/24 comp normal 139 Silverbell Dr Johnstown 7/2/24, 11:32 AM Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Drop-off Location Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Weld - NFR Senior (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front Resources(Servic Range) elConnections Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR (North Front Personal Range) 9.10 7.38 34.70 15.20 7.38 60.77 7.60 7.38 20.58 7.40 7.38 21.92 4.60 4.56 25.43 0.00 4.56 2.95 7.50 7.38 17.95 5.20 5.04 16.38 Medicaid number: No Total trips: 13 Fund Purpose Trips ,; Distance Actual Time Shared Direct Therapy 2.60 2.49 12.20 Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Therapy 2.60 2.49 16.77 Therapy 2.40 2.49 9.07 Therapy 10.20 2.49 28.80 Therapy 2.40 2.49 9.58 Therapy 2.60 2.49 12.55 Therapy 2.50 2.49 9.90 Therapy 2.60 2.49 13.17 Page 9 of 12 Rocky Mountain Physical Therapy 06/21/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 06/25/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 06/25/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 06/28/24 comp normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy 06/28/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Wind Quintin (48304) Date Status Provider Pick-up Location 06/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/04/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/04/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/05/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/05/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/06/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/06/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/10/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/11/24 comp normal 294 Holden Ln Johnstown 7/2/24, 11:32 AM Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Medicaid number: Yes Drop-off Location Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Therapy Therapy Therapy Therapy Therapy 2.40 2.49 8.83 2.60 2.49 8.73 2.60 2.49 11.03 3.10 2.49 13.22 2.40 2.49 9.17 Total trips: 31 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.70 12.66 27.48 12.60 12.53 27.50 16.80 12.66 35.23 12.90 12.53 32.85 14.10 12.66 31.52 14.50 12.53 30.13 12.50 12.66 24.75 18.00 12.53 40.00 25.10 12.66 46.88 13.00 12.53 35.87 16.90 12.66 44.90 Page 10 of 12 Easterseals Northern Colorado 06/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/12/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/12/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/13/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/13/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/17/24 comp normal 294 Holden Ln Johnstown 06/18/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/18/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/19/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/19/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/20/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/20/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/26/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 06/26/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 06/27/24 comp normal 294 Holden Ln Johnstown 7/2/24, 11:32 AM 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care ite Adult Day RespCare Adult Day Respite Cam Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.40 12.53 26.03 13.00 12.66 26.18 12.60 12.53 30.83 13.80 12.66 31.72 12.50 12.53 32.07 12.90 12.66 23.70 12.60 12.66 27.23 12.53 12.53 29.17 13.30 12.66 26.68 12.30 12.53 29.17 13.50 12.66 27.92 17.40 12.53 73.70 12.60 12.66 26.60 12.60 12.53 28.12 12.70 12.66 31.93 12.53 12.53 40.75 15.30 12.66 44.03 34.90 12.53 70.47 13.30 12.66 29.93 Page 11 of 12 Eisenhower Blvd Loveland Range) Easterseals Northern Colorado Weld - NFR Adult Day 06/27/24 comp normal Program (Wings): 1327 W 294 Holden Ln Johnstown (North Front Respite Care Eisenhower Blvd Loveland Range) 7/2/24, 11:32 AM 13.10 12.53 37.73 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 18 154 1591.46 1495.34 68.65 154 Page 12 of 12 Burns Jaryl (10857) Date Status Provider Pick-up Location 07/10/24 comp normal 1002 N 4th St Johnstown 07/10/24 comp normal 07/24/24 comp normal 1002 N 4th St Johnstown 07/24/24 comp normal UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins Campos Ines (11766) Date Status Provider Pick-up Location 07/05/24 comp normal 270 Holden Ln Johnstown 07/05/24 comp normal 07/05/24 comp normal 07/08/24 comp normal 270 Holden Ln Johnstown 07/08/24 comp normal 07/08/24 comp normal 07/12/24 comp normal 270 Holden Ln Johnstown 8/1/24, 12:47 PM Hobby Lobby: 4923 Thompson Pkwy Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland Marshalls - 1641 Fall River Dr: 1641 Fall River Dr Loveland Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for. Date range: 07/01/2024 - 07/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 144. Operational days: 22. Selected weekdays: All. Medicaid number: No Total trips: 4 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Poudre Valley Hospital: Weld - NFR 1024 S Lemay Ave Ft Collins (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) UCHealth Poudre Valley Hospital: Weld - NFR 1024 S Lemay Ave Ft Collins (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Medicaid number: None Drop-off Location Hobby Lobby: 4923 Thompson Pkwy Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland Marshalls - 1641 Fall River Dr: 1641 Fall River Dr Loveland 270 Holden Ln Johnstown Marshalls - 1641 Fall River Dr: 1641 Fall River Dr Loveland Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Medical 23.40 22.99 44.28 Medical 23.50 23.95 43.12 Medical 24.50 22.99 42.80 Medical 23.10 23.95 38.27 Total trips: 12 Purpose Trips Distance Actual Time Shared Direct Personal 2 8.20 7.62 26.45 Grocery 2 4.10 3.92 25.75 Grocery 2 8.40 10.04 21.63 Personal 9.80 10.73 23.43 Personal 3.20 3.11 14.63 Personal 21.40 7.96 76.17 Personal 8.30 7.95 21.60 Page 1 of 11 07/12/24 comp normal Marshalls 1641 Fall River Dr: 270 Holden Ln Johnstown 1641 Fall River Dr Loveland 07/24/24 comp normal 270 Holden Ln Johnstown Panera Bread - 1550 Fall River Dr: 1550 Fall River Dr Loveland 07/24/24 comp normal Panera Bread 1550 Fall River 270 Holden Ln Johnstown Dr: 1550 Fall River Dr Loveland 07/26/24 comp normal 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 07/26/24 comp normal Loveland Public Library: 300 N 270 Holden Ln Johnstown Adams Ave Loveland Ericksen Matthew (12304) Date Status Provider 07/17/24 comp normal 227 5th Ave La Salle Espinoza Ophelia (11850) Date Status Provider Pick-up Location 07/16/24 comp 07/16/24 noshow 07/16/24 comp normal 111 S Harding Ave Johnstown Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR (North Front Education Range) Weld - NFR (North Front Education Range) 8.10 7.96 15.87 11.50 7.85 29.83 8.40 8.14 26.95 10.30 10.09 23.92 11.40 10.05 32.25 Medicaid number: None Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR Hubbard Family Dental: 2918 W (North Front Medical 10th St Greeley Range) Drop-off Location 7.70 6.98 32.22 Medicaid number: no Total trips: 3 Fund Purpose Trips Distance Actual Time Shared Direct Weld Eye Center of Northern Colorado: NFR (North Front Vision 1701 61st Ave Greeley Range) Eye Center of Northern Colorado: Weld - NFR normal 1701 61st Ave Greeley 111 S Harding Ave Johnstown (North Front Vision Range) Eye Center of Northern Colorado: Weld - NFR normal 1701 61st Ave Greeley 111 S Harding Ave Johnstown (North Front Vision Range) Glass Mandy (48190) Date Status Provider Pick-up Location Drop-off Location 07/18/24 comp normal 27 N Estes Ave Johnstown 8/1/24, 12:47 PM Medicaid number: Na Fund Purpose Great Clips - 7008 W 10th Ave: Weld - NFR 7008 W 10th Ave Greeley (North Front Personal Range) Trips 13.00 12.92 27.87 0.00 13.07 12.80 13.07 23.97 Total trips: 3 Distance Actual Time Shared Direct 11.70 12.34 35.60 Page 2 of 11 07/18/24 comp normal 07/18/24 comp normal Great Clips - 7008 W 10th Ave: Walmart - 920 47th Ave: 920 Weld - NFR 7008 W 10th Ave Greeley 47th Ave Greeley (North Front Grocery Range) Walmart - 920 47th Ave: 920 Weld - NFR 47th Ave Greeley 27 N Estes Ave Johnstown (North Front Grocery Range) kretschmer Cody (11486) Date Status Provider Pick-up Location Drop-off Location 07/01/24 comp normal 07/02/24 comp normal 07/08/24 comp normal 07/09/24 comp normal 07/15/24 comp normal 07/16/24 comp normal 07/22/24 comp normal 07/23/24 comp normal 07/29/24 comp normal 07/30/24 comp normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley 2.40 2.25 11.97 14.30 14.42 38.10 Medicaid number: G053908 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.00 6.94 16.77 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 6.90 6.94 17.88 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.10 6.94 16.52 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.50 6.94 17.00 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 6.90 6.94 17.40 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 8.40 6.94 31.32 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.00 6.94 18.92 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 14.00 6.94 45.97 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.50 6.94 30.55 Range) Weld - NFR 4304 Mesa Verde Dr Greeley (North Front Employment 7.60 6.94 49.43 Range) Mangrove Susan (10864) Date Status Provider Pick-up Location Drop-off Location 07/08/24 comp 07/08/24 comp 8/1/24, 12:47 PM Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Sprouts - 1440 N Lincoln Ave: Weld - NFR normal 202 N Greeley Ave Johnstown 1440 N Lincoln Ave Loveland (North Front Grocery 2 12.90 13.40 30.02 Range) normal Sprouts - 1440 N Lincoln Ave: 202 N Greeley Ave Johnstown Weld - NFR Grocery 2 18.20 13.56 48.58 Page 3 of 11 1440 N Lincoln Ave Loveland 07/09/24 comp normal 202 N Greeley Ave Johnstown 07/09/24 comp normal Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland Miller Patricia (11165) Date Status Provider Pick-up Location Drop-off Location 07/25/24 comp normal 1201 N Park Ave Johnstown Kaiser Loveland - 4901 07/25/24 comp normal Thompson Pkwy: 4901 Thompson Pkwy Loveland Navarro Sanchez Jose (11710) Date Status Provider Pick-up Location 07/01/24 comp normal 07/01/24 comp normal 07/05/24 comp normal 07/05/24 comp normal 07/08/24 comp normal 07/08/24 comp normal 07/10/24 comp normal 07/10/24 comp normal 07/12/24 comp normal 8/1/24, 12:47 PM 19920 Co Rd 52 La Salle (North Front Range) Weld - NFR (North Front Grocery Range) Weld - NFR (North Front Grocery Range) Medicaid number: No Fund Purpose Trips Distance Actual Time Kaiser Loveland - 4901 Thompson Weld - NFR Pkwy: 4901 Thompson Pkwy (North Front Medical Loveland Range) Weld - NFR 1201 N Park Ave Johnstown (North Front Medical 8.60 9.56 31.35 Range) Shared Direct 8.60 8.56 30.87 Drop-off Location Medicaid number: No Fund Fresenius Kidney Care - 1212 9th Weld NFR (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Range) Weld - NFR Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Range) Weld - NFR Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front St: 1212 9th St Greeley 12.50 11.88 29.53 11.40 11.86 33.62 Total trips: 2 Total trips: 19 Purpose Trips Distance Actual Time Shared Direct Dialysis 6.00 5.94 15.22 Dialysis 7.50 6.00 29.20 Dialysis 7.00 5.94 23.12 Dialysis 7.80 6.00 30.77 Dialysis 7.10 5.94 18.67 Dialysis 6.10 6.00 13.65 Dialysis 6.10 5.94 16.18 Dialysis 6.90 6.00 16.48 Dialysis 6.10 5.94 21.13 Page 4 of 11 07/12/24 comp normal Fresenius Kidney Care 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 07/15/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 07/15/24 comp normal Fresenius Kidney Care 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 07/17/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 07/17/24 comp normal Fresenius Kidney Care 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 07/19/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 07/19/24 comp normal Fresenius Kidney Care 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 07/22/24 cancel normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 07/26/24 cancel normal 19920 Co Rd 52 La Salle Fresenius Kidney Care 1212 9th St: 1212 9th St Greeley 07/29/24 cancel normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fanner Curgis (12445) Date Status Provider Pick-up Location Drop-off Location Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Medical Ctr of Rockies: 2500 Weld - NFR 07/18/24 comp normal 3294 Ballentine Blvd Johnstown Rocky Mtn Ave Loveland (North Front Range) Medical Ctr of Rockies: 2500 Weld - NFR 07/18/24 comp normal Rocky Mtn Ave Loveland 3294 Ballentine Blvd Johnstown (North Front Range) Weld - NFR 07/25/24 comp normal 3294 Ballentine Blvd Johnstown 2555 E 13th St Loveland (North Front Range) Weld - NFR 07/25/24 comp normal 2555 E 13th St Loveland 3294 Ballentine Blvd Johnstown (North Front Range) Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis 6.10 6.00 14.12 6.10 5.94 16.90 7.16 6.00 32.20 6.10 5.94 15.38 10.10 6.00 24.47 6.10 5.94 15.48 7.90 6.00 21.22 0.00 5.94 0.00 5.94 0.00 5.94 Total trips: 4 Purpose Trips Distance Actual Time Medical Medical Medical Medical Shared Direct 8.20 8.20 33.43 9.20 8.38 44.32 10.00 9.60 39.23 11.00 9.40 31.53 8/1/24, 12:47 PM Page 5 of 11 Richte Marianne (11515) Date" Status Provider Pick 07/02/24 comp normal 705 Country Acres Dr Johnstown 07/03/24 comp normal 705 Country Acres Dr Johnstown 07/05/24 comp normal 705 Country Acres Dr Johnstown 07/05/24 comp normal 705 Country Acres Dr Johnstown 07/05/24 cancel normal 705 Country Acres Dr Johnstown 07/09/24 comp normal 705 Country Acres Dr Johnstown 07/10/24 comp normal 705 Country Acres Dr Johnstown 07/12/24 comp normal 705 Country Acres Dr Johnstown 07/16/24 comp normal 705 Country Acres Dr Johnstown 07/17/24 comp normal 705 Country Acres Dr Johnstown 07/24/24 comp normal 705 Country Acres Dr Johnstown 07/26/24 comp normal 705 Country Acres Dr Johnstown 07/31/24 comp normal 705 Country Acres Dr Johnstown Date 07/22/24 comp 8/1/24, 12:47 PM (11426) Provider Pick-up Location normal 3235 Carlson Blvd Johnstown Drop-off Los; Medicaid number: no Fund Purpose Trips Safew- 1535 Main St: 1535 Main St ay Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Weld - NFR (North Front Employment Range) Total trips: 13 Distance Actual Time Shared Direct 17.50 17.00 34.48 11.70 17.00 27.73 11.90 17.00 28.38 0.00 17.00 0.20 17.00 17.00 12.20 17.00 33.90 29.10 17.00 72.35 11.90 17.00 40.93 16.80 17.00 59.28 28.60 17.00 63.12 12.70 17.00 31.28 12.30 17.00 27.70 12.10 17.00 33.83 Medicaid number: No Total trips:' 2 Fund Purpose Trips Distance Actual Time UCHealth Neurology Clinic - Weld - NFR Loveland: 2695 Rocky Mountain (North Front Medical Ave Loveland Range) Shared Direct 8.60 8.68 39.77 Page 6 of 11 07/22/24 comp normal Weins John (48251) Date Status Provider Pick-up Location 07/01/24 comp normal 8331 E CO Rd 16 Johnstown 07/01/24 comp normal 07/02/24 comp normal 8331 E CO Rd 16 Johnstown 07/02/24 comp normal 07/03/24 comp normal 07/03/24 comp normal 07/08/24 comp normal 07/08/24 comp normal 07/10/24 comp normal 8331 E CO Rd 16 Johnstown 07/10/24 comp normal 07/12/24 comp normal 8331 E CO Rd 16 Johnstown 07/12/24 comp normal 07/15/24 comp normal 8331 E CO Rd 16 Johnstown 07/15/24 comp normal 07/16/24 comp normal 8331 E CO Rd 16 Johnstown 8/1/24, 12:47 PM UCHealth Neurology Clinic - Loveland: 2695 Rocky Mountain 3235 Carlson Blvd Johnstown Ave Loveland Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5: 2154 W Eisenhower Blvd Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic 3.90 10.74 10.07 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.90 4.56 21.37 Range) e(Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 4.60 4.56 13.78 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 7.50 7.38 32.62 Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 7.50 7.38 15.50 Range) elConnections Weld - NFR Senior (North Front Resources(Servic 7.38 7.38 15.03 Range) e(Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources IServic 7.38 7.38 18.78 Range) e(Connections High Hops Brewery - 6461 HWY Weld - NFR Personal 9.20 12.77 36.93 Drop-off Location Weld - NFR (North Front Medical 8.40 8.36 20.68 Range) Medicaid number: No Total trips: 29 Fund Purpose Trips Distance Actual; Time Shared Direct Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5: 2154 W Eisenhower Blvd Loveland Johnstown Senior Center: 101 Charlotte St Johnstown Weld - NFR Senior (North Front Resources(Servic 10.10 7.38 32.87 Range) e(Connections Weld - NFR Senior (North Front Resources(Servic 7.50 7.38 20.82 Range) elConnections Weld - NFR Senior (North Front Resources(Servic 4.60 4.56 14.98 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.90 4.56 18.02 Range) e'Connections Weld - NFR (North Front Meal (Senior) 4.60 4.56 15.75 Range) Weld - NFR (North Front Meal (Senior) 4.60 4.56 14.47 Range) Weld - NFR Senior (North Front Resources(Servic 10.90 11.11 25.27 Range) e(Connections Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Page 7 of 11 07/16/24 comp normal 07/17/24 comp normal 8331 E CO Rd 16 Johnstown 07/17/24 comp normal 07/19/24 comp normal 8331 E CO Rd 16 Johnstown 07/19/24 comp normal 07/22/24 comp normal 8331 E CO Rd 16 Johnstown 07/22/24 comp normal 07/23/24 comp normal 8331 E CO Rd 16 Johnstown 07/23/24 noshow normal 07/23/24 comp normal 07/24/24 comp normal 8331 E CO Rd 16 Johnstown 07/24/24 comp normal 07/31/24 comp normal 8331 E CO Rd 16 Johnstown 07/31/24 comp normal West Debra (11718) Date Status Provider High Hops Brewery - 6461 HWY 392: 6461 WHY 392 Windsor Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Pick-up Location 392: 6461 WHY 392 Windsor 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Locatioi (North Front Range) Weld - NFR (North Front Personal Range) Weld - NFR Senior (North Front Resources)Servic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) elConnections Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR Senior (North Front ResourcesiServic Range) elConnections Weld - NFR Senior (North Front Resources IServic Range) e)Connections Weld - NFR Senior (North Front ResourcesiServic Range) e)Connections Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) e)Connections Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) e)Connections Medicaid number: No Fund Purpose Trips Rocky Mountain Physical Therapy Weld - NFR 07/02/24 comp normal 139 Silverbell Dr Johnstown - 111 W South 1st St - Ste A: 111 (North Front Therapy W South 1st St Johnstown Range) 07/02/24 comp normal Rocky Mountain Physical Therapy 139 Silverbell Dr Johnstown Weld - NFR Therapy 8/1/24, 12:47 PM 10.90 12.62 38.52 4.60 4.56 18.40 7.40 4.56 19.55 7.50 7.38 20.60 6.10 7.38 24.88 7.50 7.38 20.65 7.50 7.38 17.93 4.60 4.56 23.78 0.00 4.56 4.60 4.56 12.27 4.60 4.56 16.05 8.10 4.56 30.85 4.60 4.56 14.42 4.50 4.56 21.97 Total trips:: 6 Distance Actual Time Shared Direct 8.20 2.49 28.50 2.70 2.49 8.45 Page 8of11 07/09/24 comp 07/09/24 comp 07/16/24 comp 07/16/24 comp - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown normal 139 Silverbell Dr Johnstown Rocky Mountain Physical Therapy normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown normal 139 Silverbell Dr Johnstown Orthopaedic & Spine Center of normal the Rockies - Loveland: 3470 E 15th St Loveland Wind Quintin (48304) Date Status Provider Pick-up Location 07/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/02/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/02/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/10/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/11/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/15/24 comp normal 294 Holden Ln Johnstown 07/15/24 comp normal Easterseals Northern Colorado 8/1/24, 12:47 PM (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Orthopaedic & Spine Center of Weld - NFR the Rockies - Loveland: 3470 E (North Front 15th St Loveland Range) Weld - NFR 139 Silverbell Dr Johnstown (North Front Range) Drop-off Location Therapy Therapy Therapy Therapy Medicaid number: Yes Fund Purpose Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I Respite Care Adult Day I 2.80 2.49 12.02 2.80 2.49 10.00 9.10 9.02 20.78 8.90 8.98 17.03 Total trips: 32 Trips Distance Actual Time Shared Direct 13.00 12.66 26.98 13.10 12.53 29.15 13.50 12.66 28.58 12.60 12.53 32.77 13.30 12.66 29.03 12.40 12.53 32.98 13.00 12.66 25.62 26.30 12.53 65.32 12.60 12.66 25.67 12.40 12.53 26.08 13.30 12.66 27.97 12.53 12.53 27.78 Page 9 of 11 Program (Wings): 1327 W Eisenhower Blvd Loveland 07/16/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/16/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/17/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/17/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/18/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/18/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 07/30/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 07/30/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 8/1/24, 12:47 PM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult D Respite ay Care 13.10 12.66 28.87 12.80 12.53 24.40 13.00 12.66 25.53 30.30 12.53 58.63 13.30 12.66 28.45 12.60 12.53 27.08 12.80 12.66 25.68 13.80 12.53 30.43 12.50 12.66 24.13 14.00 12.53 33.60 13.30 12.66 30.45 12.80 12.53 24.57 12.10 12.66 25.70 16.60 12.53 52.28 12.50 12.66 23.85 12.60 12.53 28.77 12.50 12.66 25.63 12.60 12.53 38.40 Page 10 of 11 Easterseals Northern Colorado Weld - NFR Adult Day 07/31/24 comp normal 294 Holden Ln Johnstown Program (Wings): 1327 W (North Front Respite Care Eisenhower Blvd Loveland Range) Easterseals Northern Colorado Weld - NFR Adult Day 07/31/24 comp normal Program (Wings): 1327 W 294 Holden Ln Johnstown (North Front Respite Care Eisenhower Blvd Loveland Range) 8/1/24, 12:47 PM 12.90 12.66 33.00 12.20 12.53 30.22 Total clients: 15 Total trips: 144 The sum of shared distances (completed): 1426.85 The sum of direct distances: 1409.97 The sum of trip actual times in hours: 63.49 Total client trips + rider trips: 149 Page 11 of 11 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for Life Date range: 08/01/2024 - 08/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 152. Operational days: 22. Selected weekdays: All. Archambauit Laura (12538) Date Status Provider Pick-up Location Medicaid number: No Total trips: 4 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Kaiser Loveland - 4901 Thompson Weld - NFR 08/20/24 comp normal 1912 Cherry Ln Johnstown Pkwy: 4901 Thompson Pkwy (North Front Medical Loveland Range) Kaiser Loveland - 4901 Weld - NFR 08/20/24 comp normal Thompson Pkwy: 4901 1912 Cherry Ln Johnstown (North Front Medical Thompson Pkwy Loveland Range) Kaiser Loveland - 4901 Thompson Weld - NFR 08/30/24 comp normal 1912 Cherry Ln Johnstown Pkwy: 4901 Thompson Pkwy (North Front Pharmacy Loveland Range) Kaiser Loveland - 4901 Weld - NFR 08/30/24 comp normal Thompson Pkwy: 4901 1912 Cherry Ln Johnstown (North Front Pharmacy Thompson Pkwy Loveland Range) Bonnell Kaliaunna (48883) Date Status Provider Pick-up Location 08/28/24 comp normal 101 S Kathleen Ave Milliken 08/28/24 comp normal Burns Jeryi(10857) Hays Market: 201 Johnstown Center Dr Johnstown Medicaid number: no Drop-off Location Hays Market: 201 Johnstown Center Dr Johnstown Fund 8.80 8.93 21.65 0.00 9.93 0.13 9.60 8.93 35.33 8.80 9.93 30.57 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Grocery Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Grocery Range) 3.00 5.22 15.83 2.60 5.22 10.87 Medicaid number: No Total trips: 6 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time 08/01/24 comp normal 1002 N 4th St Johnstown 08/01/24 comp normal 9/4/24, 11:39 AM Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Weld - NFR (North Front Medical Range) Weld - NFR 1002 N 4th St Johnstown (North Front Medical Range) Shared Direct 10.50 10.06 29.97 14.30 10.26 32.45 Page 1 of 11 08/07/24 comp normal 1002 N 4th St Johnstown 08/07/24 comp normal 08/15/24 comp normal 1002 N 4th St Johnstown 08/15/24 comp normal UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland Campos Ines (11166} Date Status Provider Pick-up Location 08/07/24 comp normal 08/07/24 comp normal 08/08/24 comp normal 08/08/24 comp normal 08/13/24 comp normal 08/13/24 comp normal 08/15/24 comp normal 08/15/24 comp normal 08/21/24 comp normal 08/21/24 comp normal 08/23/24 comp normal 08/23/24 comp normal 9/4/24, 11:39 AM 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown 2480 Chama Ct Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Medical Ctr of Rockies: 2500 Rocky Mtn Ave Loveland UCHealth Poudre Valley Hospital. Weld NFR (North Front 1024 S Lemay Ave Ft Collins Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) Medicaidnumber: None Drop-off Location Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown 2480 Chama Ct Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland Loveland Public Library: 300 N 270 Holden Ln Johnstown Adams Ave Loveland Medical Medical Medical Medical Fund Purpose Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Education Education Personal Personal Therapy Therapy Education Education Education Education Education Education Trips 24.10 22.99 51.18 23.10 23.95 39.72 9.90 10.06 36.23 9.80 10.26 31.42 Total trips: 21 Distance Actual Time Shared Direct 15.80 10.09 52.65 10.60 10.05 25.12 14.50 13.54 35.32 12.80 13.40 36.77 15.40 15.18 22.67 16.60 15.67 26.72 15.50 10.09 42.08 9.90 10.05 25.62 16.20 10.09 51.53 10.30 10.05 22.60 10.20 10.09 22.72 10.30 10.05 22.02 Page 2 of 11 08/26/24 comp normal 08/26/24 comp normal 08/27/24 comp normal 08/27/24 comp normal 08/29/24 comp normal 08/29/24 comp normal 08/30/24 comp normal 08/30/24 comp normal 08/30/24 comp normal 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland Crawford Malang (12527) Date Status Provider Pick-up Location 08/27/24 comp normal 2361 Stage Coach Dr Milliken Espinoza Opheiia (11850) Date Status Provider Pickup Location 08/16/24 comp normal 08/16/24 comp normal 08/27/24 comp normal 08/27/24 comp normal 9/4/24, 11:39 AM 111 S Harding Ave Johnstown Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland 111 S Harding Ave Johnstown Eye Center of Northern Colorado: Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland Target - 1725 Rocky Mountain Ave: 1725 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Education Education Education Education Therapy Therapy Education Personal Personal 14.30 10.09 38.90 10.05 10.05 26.12 15.41 10.09 45.37 10.05 10.05 47.37 21.40 15.18 53.23 27.30 15.67 57.60 13.30 10.09 36.60 4.70 4.66 18.73 29.10 7.57 52.25 Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Anderson Farms: 6728 Co Rd 3 Weld - NFR 1/4 Erie (North Front Employment Range) Drop-off Location 28.50 28.22 45.28 Medicaid number: no Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Medical Center of the Rockies: Weld - NFR 2500 Rocky Mountain Ave (North Front Medical Loveland Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Medical Range) Eye Center of Northern Colorado: Weld NFR 1701 61st Ave Greeley (North Front Medical Range) 111 S Harding Ave Johnstown Weld - NFR Medical 9.90 9.91 20.63 9.80 10.10 27.43 13.20 12.92 27.80 12.80 13.07 29.20 Page 3 of 11 1701 61st Ave Greeley 08/30/24 comp normal 111 S Harding Ave Johnstown 08/30/24 comp normal Glass Mandy (48190) Date Status Provider Major Medical: 4025 Saint Cloud 111 S Harding Ave Johnstown Dr Loveland Pick-up Location 08/29/24 comp normal 27 N Estes Ave Johnstown 08/29/24 comp normal Kretschmer Cody (11486) Drop-off Location (North Front Range) Weld - NFR Major Medical: 4025 Saint Cloud Dr Loveland (North Front Medical 11.10 10.87 22.28 Range) Weld - NFR (North Front Range) Medicaid number: No Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 27 N Estes Ave Johnstown 1325 N Denver Ave Loveland Date Status Provider Pick-up Location 08/05/24 comp normal 08/06/24 comp normal 08/12/24 comp normal 08/13/24 comp normal 08/19/24 comp normal 08/20/24 comp normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Marostica Kathleen (11786) Date Status Provider Pick-up Location 9/4/24, 11:39 AM Drop-off Location Fund Medical 11.30 11.14 19.18 Total trips: 2 Purpose Trips, Distance Actual Time Shared Direct Weld - NFR (North Front Grocery 11.60 11.92 32.50 Range) Weld - NFR (North Front Grocery 23.00 11.90 60.82 Range) Medicaid number: 0053908 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Drop-off Location Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Employment Employment Employment Employment Employment Employment Purpose Trips 7.50 6.94 17.75 7.80 6.94 29.35 7.50 6.94 18.05 18.90 6.94 45.12 7.50 6.94 18.80 7.50 6.94 17.82 Total trips: 4 Distance Actual Time Shared Direct Page 4 of 11 08/16/24 comp normal 301 N 1st St Johnstown 08/16/24 comp normal 08/27/24 comp normal 301 N 1st St Johnstown 08/27/24 comp normal UCHealth Heart & Vascular: 2121 Weld NFR E Harmony Rd Ft Collins (North Front Range) Weld - NFR UCHealth Heart & Vascular: 2121 301 N 1st St Johnstown (North Front E Harmony Rd Ft Collins Range) UCHealth Greeley Hospital: 6767 Weld - NFR W 29th St Greeley (North Front Range) Weld - NFR UCHealth Greeley Hospital: 6767 301 N 1st St Johnstown (North Front W 29th St Greeley Range) Miller Unda (11022) Date Status Provider Pick-up Location Drop-off Location Medical Medical Medical Medical 21.70 19.93 57.75 19.40 19.56 29.20 10.70 11.12 20.62 10.60 11.12 21.78 Medicaid number: no Total trips: 5 Fund Purpose Trips Distance Actual Time UCHealth Greeley Hospital: 6767 Weld - NFR 08/21/24 comp normal 202 N Greeley Ave Johnstown (North Front W 29th St Greeley Range) DUPLICATE - UCHealth Greeley Weld - NFR 08/21/24 comp normal Hospital: 6767 W 29th St 202 N Greeley Ave Johnstown (North Front Greeley Range) Centers for Gastroenterology:Weld NFR 08/22/24 cancel normal 202 N Greeley Ave Johnstown(North Front 8225 W 20th St Greeley Range) UCHealth Greeley Hospital: 6767 Weld - NFR 08/28/24 comp normal 202 N Greeley Ave Johnstown (North Front W 29th St Greeley Range) UCHealth Greeley Hospital: 6767 Weld NFR 08/28/24 comp normal W 29th St Greeley 202 N Greeley Ave Johnstown (North Front Range) Navarro Sanchez Jose (11710) Date Status Provider Pick-up Location Drop-off Location 08/09/24 comp normal 19920 Co Rd 52 La Salle Medicaid number: No Medical Medical Medical Medical Medical Shared Direct 17.80 11.52 53.02 11.00 11.59 23.68 0.00 11.03 10.90 11.52 23.32 11.80 11.52 22.25 Total trips: 20 Fund Purpose Trips Distance Actual Time Direct Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/09/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/12/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Weld - NFR (North Front Range) 08/15/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th Weld - NFR Dialysis 08/12/24 comp normal Fresenius Kidney Care 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 9/4/24, 11:39 AM Dialysis Dialysis Dialysis Dialysis Shared 6.10 5.94 16.08 10.50 6.00 23.82 6.00 5.94 17.08 6.10 6.00 15.95 7.00 5.94 19.13 Page 5 of 11 St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/15/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) 08/16/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/16/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/19/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/19/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Eye Care Center - 1400 Dry Weld - NFR 08/20/24 comp normal 19920 Co Rd 52 La Salle Creek Dr: 1400 Dry Creek Dr (North Front Longmont Range) Eye Care Center - 1400 Dry Weld - NFR 08/20/24 comp normal Creek Dr: 1400 Dry Creek Dr 19920 Co Rd 52 La Salle (North Front Longmont Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/21/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/21/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/26/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/26/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/28/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/28/24 cancel normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/30/24 comp normal 19920 Co Rd 52 La Salle (North Front St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 08/30/24 cancel normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Range) Richie Marianne (11515) Date Status Provider Pick-up Location 08/07/24 comp 9/4/24, 11:39 AM Drop-off Location Medicaid number: no Fund normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Dialysis Dialysis Dialysis Dialysis Dialysis Vision Vision Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Purpose Weld - NFR Employment Trips 6.10 6.00 15.05 9.50 5.94 19.22 7.10 6.00 21.33 6.10 5.94 15.38 6.10 6.00 21.87 34.90 34.31 60.60 35.00 34.41 54.20 6.00 5.94 13.63 6.10 6.00 16.28 6.00 5.94 18.03 6.10 6.00 16.45 6.10 5.94 16.73 0.00 6.00 6.00 5.94 16.08 0.00 6.00 Total trips: 9 Distance Actual Time Shared Direct 12.70 17.00 29.67 Page 6 of 11 Main St Windsor 08/09/24 comp normal Safeway 1535 Main St: 1535 705 Country Acres Dr Johnstown Main St Windsor 08/13/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 08/14/24 comp normal 705 Country Acres Dr Johnstown Safeway 1535 Main St: 1535 Main St Windsor 08/16/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 08/20/24 comp normal 705 Country Acres Dr Johnstown Safeway 1535 Main St: 1535 Main St Windsor 08/21/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 08/27/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor 08/28/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Sealer Wiiilam (12285) Date Status Provider Pick-up Location 08/08/24 comp normal 307 Medinah Ave Johnstown 08/08/24 comp normal Drop-off Location (North Front Range) Weld - NFR (North Front Employment 11.60 17.38 25.43 Range) Weld - NFR (North Front Employment 14.90 17.00 40.25 Range) Weld - NFR (North Front Employment 12.70 17.00 28.18 Range) Weld - NFR (North Front Employment 12.70 17.00 30.25 Range) Weld - NFR (North Front Employment 11.70 17.00 27.57 Range) Weld - NFR (North Front Employment 12.70 17.00 28.48 Range) Weld - NFR (North Front Employment 28.60 17.00 58.33 Range) Weld - NFR (North Front Employment 12.70 17.00 26.12 Range) Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Banner Health Care: 222 Weld - NFR Johnstown Center Dr Johnstown (North Front Medical 1 0.20 0.10 19.87 Range) Banner Health Care: 222 Weld - NFR Johnstown Center Dr Johnstown 307 Medinah Ave Johnstown (North Front Medical 0.40 0.10 20.43 Range) Weins John (48251) Date Status Provider Pick-up Location 08/02/24 comp normal 8331 E CO Rd 16 Johnstown 08/02/24 comp 08/05/24 comp 9/4/24, 11:39 AM Drop-off Location Medicaid number: No Fund Milliken Senior Center: 1101 Broad St Milliken Total trips: 29 Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Meal (Senior) 7.50 7.38 23.07 Range) Milliken Senior Center: 1101 Weld - NFR normal Broad St Milliken 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) 7.50 7.38 18.03 Range) Disabled Resource Services - Weld - NFR normal 8331 E CO Rd 16 Johnstown 2154 W Eisenhower Blvd - Ste 5: (North Front Personal 11.10 11.11 25.60 Page 7 of 11 08/05/24 comp normal 08/06/24 comp normal 08/07/24 comp normal 08/07/24 comp normal 08/08/24 comp normal 08/08/24 comp normal 08/09/24 comp normal 8331 E CO Rd 16 Johnstown 08/09/24 comp normal 08/13/24 comp normal 8331 E CO Rd 16 Johnstown 08/13/24 comp normal 08/14/24 comp normal 8331 E CO Rd 16 Johnstown 08/14/24 comp normal 08/16/24 comp normal 8331 E CO Rd 16 Johnstown 08/16/24 comp normal 08/20/24 comp normal 8331 E CO Rd 16 Johnstown 08/20/24 comp normal 08/21/24 comp normal 8331 E CO Rd 16 Johnstown 08/21/24 comp normal 9/4/24, 11:39 AM Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 2154 W Eisenhower Blvd Loveland 8331 E CO Rd 16 Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Independent Financial - 935 Cleveland Ave: 935 Cleveland Ave Loveland Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Odell Brewing Company: 800 Lincoln Ave Ft Collins Johnstown Senior Center: 101 Charlotte St Johnstown 2154 W Eisenhower Blvd Loveland 5: 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Independent Financial - 935 Cleveland Ave: 935 Cleveland Ave Loveland 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Odell Brewing Company: 800 E Lincoln Ave Ft Collins E 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Range) Weld - NFR (North Front Personal Range) Weld - NFR Senior (North Front ResourcesiServic Range) e(Connections Weld - NFR Senior (North Front Resources IServic Range) e(Connections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front ResourcesiServic Range) e(Connections Weld - NFR Senior (North Front Resources IServic Range) e(Connections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR (North Front Personal Range) Weld - NFR (North Front Personal Range) Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 15.40 10.74 60.77 4.70 4.56 16.50 4.70 4.56 17.98 4.60 4.56 11.63 8.80 9.60 22.55 13.00 9.36 43.25 7.60 7.38 18.43 7.60 7.38 24.32 4.60 4.56 11.70 4.60 4.56 13.77 4.60 4.56 15.55 4.60 4.56 17.28 8.30 7.38 24.72 7.50 7.38 17.55 20.70 20.87 37.30 22.10 20.48 44.65 4.70 4.56 16.48 4.60 4.56 25.48 Page 8 of 11 08/22/24 comp normal 8331 E CO Rd 16 Johnstown 08/22/24 comp normal 08/23/24 comp normal 08/23/24 comp normal 08/28/24 comp normal 08/28/24 comp normal 08/30/24 comp normal 08/30/24 comp normal West Debra (11718) Date Status Provider Pick-up Location 08/19/24 noshow normal 139 Silverbell Dr Johnstown Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 08/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/05/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/05/24 comp normal Program (Wings): 1327 W 9/4/24, 11:39 AM Sprouts - 1440 N Lincoln Ave: 1440 N Lincoln Ave Loveland 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Drop-off Location Range) elConnections Weld - NFR (North Front Grocery 12.10 9.47 38.32 Range) Weld - NFR (North Front Grocery 9.00 9.42 26.40 Range) Weld - NFR Senior (North Front ResourcesIServic 7.50 7.38 21.63 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 7.60 7.38 21.12 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 4.60 4.56 17.30 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.56 12.28 Range) elConnections Weld - NFR Senior (North Front Resources IServic 7.50 7.38 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections edicaid number: No Fund Purpose Medical Center of the Rockies: Weld - NFR 2500 Rocky Mountain Ave (North Front Medical Loveland Range) Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 7.50 7.38 23.23 22.83 Total trips: 1 Trips Distance Actual Time Shared Direct 0.00 8.35 12.50 12.66 23.78 0.00 12.53 0.12 12.50 12.66 24.13 14.30 12.53 38.28 Page 9 of 11 Eisenhower Blvd Loveland 08/06/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/06/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/07/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/07/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/08/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/08/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/12/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/12/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/13/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/13/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/14/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/14/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/15/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/15/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/19/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/19/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/20/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/20/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.50 12.66 26.40 13.20 12.53 26.12 0.00 12.66 0.13 10.60 12.53 22.67 12.50 12.66 23.82 13.80 12.53 37.72 13.80 12.66 27.38 13.00 12.53 30.05 12.50 12.66 22.82 12.90 12.53 27.85 13.00 12.66 26.55 13.00 12.53 31.75 12.50 12.66 34.07 13.00 12.53 30.40 12.90 12.66 25.28 13.00 12.53 26.98 12.70 12.66 23.80 13.00 12.53 26.17 9/4/24, 11:39 AM Page 10 of 11 08/21/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/21/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/26/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/26/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/27/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/27/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/28/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/28/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 08/29/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 08/29/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adultay D Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.90 12.66 40.20 13.10 12.53 27.40 12.50 12.66 27.77 13.10 12.53 26.88 12.50 12.66 26.97 13.00 12.53 33.10 12.66 12.66 29.55 25.90 12.53 52.95 13.00 12.66 28.87 13.10 12.53 27.35 12.50 12.66 24.32 13.10 12.53 27.82 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 16 152 1701.47 1639.49 68.86 152 9/4/24, 11:39 AM Page 11 of 11 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobility for Life Date range: 09/01/2024 - 09/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 215. Operational days: 20. Selected weekdays: All. Archambauit Laura (12538) Date Status Provider Pick-up Location 09/19/24 comp normal 09/19/24 comp normal 09/24/24 comp normal 09/24/24 comp normal 1912 Cherry Ln Johnstown Kaiser Loveland - 4901 Thompson Pkwy: 4901 Thompson Pkwy Loveland 1912 Cherry Ln Johnstown Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart - 1325 N Denver Ave: 1912 Cherry Ln Johnstown 1325 N Denver Ave Loveland BonneII Kaliaunna (48883) Date Status Provider Pick-up Location 09/04/24 comp normal 09/04/24 comp normal 09/10/24 comp normal 09/10/24 comp normal 09/12/24 comp normal 09/12/24 comp normal 09/13/24 comp normal 10/1/24, 5:10 PM 101 S Kathleen Ave Milliken Banner McKee Medical Center: 2000 N Boise Ave Loveland 101 S Kathleen Ave Milliken Banner McKee Medical Center - Endocrinology Ste A: 702 W Drake Rd Ft Collins 101 S Kathleen Ave Milliken Weld County Courthouse: 901 9th Ave Greeley 101 S Kathleen Ave Milliken Drop-off Location Drop-off Location Medicaid number: No Fund Kaiser Loveland - 4901 Thompson Weld - NFR Pkwy: 4901 Thompson Pkwy (North Front Loveland Range) Weld - NFR 1912 Cherry Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: no Banner McKee Medical Center: 2000 N Boise Ave Loveland Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Pharmacy 8.70 8.93 26.75 Pharmacy 9.10 9.93 36.27 Grocery 12.10 11.80 38.73 Grocery 11.60 11.78 40.52 Total trips: 20 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Banner McKee Medical Center - Weld - NFR Endocrinology Ste A: 702 W (North Front Drake Rd Ft Collins Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Weld Weld County Courthouse: 901 9th N Ave Greeley (North Front (North - NFR Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Weld - NFR (North Front 1275 Eagle Dr Loveland Medical 21.00 15.24 54.85 Medical 15.50 15.20 36.57 Medical 26.70 26.53 48.60 Medical 26.60 26.62 48.00 Personal 15.50 15.55 33.18 Personal 14.80 15.55 31.85 Grocery 2 16.10 15.11 36.93 Page 1 of 15 09/13/24 comp normal 09/16/24 comp normal 09/16/24 comp normal 09/17/24 comp normal 09/17/24 comp normal 09/19/24 comp normal 09/19/24 comp normal 09/24/24 comp normal 09/24/24 comp normal 09/27/24 comp normal 09/27/24 comp normal 09/30/24 comp normal 09/30/24 comp normal 1275 Eagle Dr Loveland 101 S Kathleen Ave Milliken Banner Health Care: 222 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken Banner Health Care: 222 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken 910 9th Ave Greeley 101 S Kathleen Ave Milliken Banner Health Care: 222 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken US Bank - 4949 Larimer PKWY: 4949 Larimer PKWY Johnstown 101 S Kathleen Ave Milliken Weld County Courthouse: 901 9th Ave Greeley Burns Jeryl (10857) Date Status Provider Pick-up Location 09/04/24 comp normal 1002 N 4th St Johnstown 09/04/24 comp normal 09/12/24 comp 10/1/24, 5:10 PM Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Banner Health Care: 222 Weld - NFR Johnstown Center Dr Johnstown (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Banner Health Care: 222 Weld - NFR Johnstown Center Dr Johnstown (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Weld - NFR 910 9th Ave Greeley (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Banner Health Care: 222 Weld - NFR Johnstown Center Dr Johnstown (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) US Bank - 4949 Larimer PKWY: Weld - NFR 4949 Larimer PKWY Johnstown (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Weld County Courthouse: 901 9th Weld NFR Ave Greeley (North Front Range) Weld - NFR 101 S Kathleen Ave Milliken (North Front Range) Drop-off Location Medicaid number: No Grocery 2 18.50 15.06 51.13 Medical 4 2.80 2.74 9.68 Medical 4 2.80 2.73 14.05 Medical 2 2.80 2.74 17.85 Medical 2 2.80 2.73 11.83 Personal 2 15.90 15.55 35.28 Personal 2 15.80 15.72 35.98 Medical 2 2.80 2.74 15.27 Medical 2 2.80 2.73 9.22 Personal 2 12.90 12.65 30.30 Personal 2 11.60 12.94 25.33 Personal 2 15.70 15.55 42.13 Personal 2 15.90 15.55 30.52 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins (North Front Medical 24.80 22.99 58.58 Range) UCHealth Poudre Valley Hospital: Weld - NFR 1024 S Lemay Ave Ft Collins 1002 N 4th St Johnstown (North Front Range) normal 1002 N 4th St Johnstown UCHealth Medical Center of the Weld - NFR Medical 30.10 23.95 58.68 Medical 10.30 10.06 32.85 Page 2 of 15 UCHealth Medical Center of the 09/12/24 comp normal Rockies: 2500 Rocky Mountain Ave Loveland 09/18/24 comp normal 1002 N 4th St Johnstown 09/18/24 comp normal UCHealth Poudre Valley Hospital: 4 S Lemay Ave Ft Collins 09/24/24 comp normal 1002 N 4th St Johnstown UCHealth Neurology Clinic - 09/24/24 comp normal Loveland: 2695 Rocky Mountain Ave Loveland 09/30/24 comp normal 1002 N 4th St Johnstown 09/30/24 comp normal UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins Cain Marjory (12340) Date Status Provider Pick-up Location 09/23/24 comp 09/23/24 comp 09/25/24 comp 09/27/24 comp 09/27/24 comp 09/30/24 comp 09/30/24 comp normal norma I normal normal normal norma I normal 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley Rockies: 2500 Rocky Mountain Ave Loveland 1002 N 4th St Johnstown UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins 1002 N 4th St Johnstown UCHealth Neurology Clinic - Loveland: 2695 Rocky Mountain Ave Loveland 1002 N 4th St Johnstown UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins 1002 N 4th St Johnstown Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: no Fund Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medical Medical Medical Medical Medical Medical Medical Purpose Medical Medical Medical Medical Medical Medical Medical 10.30 10.26 26.95 23.40 22.99 40.47 2.00 23.95 36.50 10.60 10.36 26.63 9.80 10.05 47.30 31.00 22.99 72.43 24.00 23.95 47.10 Total trips: 7 Trips Distance Actual Time Shared Direct 20.20 20.32 56.42 21.30 20.42 45.83 2 16.70 20.32 63.35 25.20 20.32 56.43 22.70 20.42 58.15 20.10 20.32 53.77 45.20 20.42 141.95 10/1/24, 5:10 PM Page 3 of 15 Campos IneS (11766) Date Status Provider Pick-up Location 09/05/24 comp normal 270 Holden Ln Johnstown 09/05/24 comp normal 09/05/24 comp normal 270 Holden Ln Johnstown 09/05/24 comp normal 09/06/24 comp normal 270 Holden Ln Johnstown 09/06/24 comp normal 09/09/24 comp normal 270 Holden Ln Johnstown 09/09/24 comp normal 09/09/24 comp normal 270 Holden Ln Johnstown 09/09/24 comp normal 09/10/24 comp normal 270 Holden Ln Johnstown 09/10/24 comp normal 09/12/24 comp normal 270 Holden Ln Johnstown 09/12/24 comp normal 09/13/24 comp normal 270 Holden Ln Johnstown 09/13/24 comp normal 09/16/24 comp normal 270 Holden Ln Johnstown 10/1/24, 5:10 PM Colorado In Motion - 1555 Main St: 1555 Main St Windsor Walgreens - 2614 S College Ave: 2614 S College Ave Ft Collins Loveland Public Library: 300 N Adams Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland Colorado In Motion - 1555 Main St: 1555 Main St Windsor First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Loveland Public Library: 300 N Adams Ave Loveland Colorado In Motion - 1555 Main Weld NFR St: 1555 Main St Windsor (North Front Therapy Range) Weld - NFR 270 Holden Ln Johnstown (North Front Therapy Range) Weld - NFR (North Front Pharmacy Range) Weld - NFR 270 Holden Ln Johnstown (North Front Pharmacy Range) Weld - NFR (North Front Education Range) Weld - NFR 270 Holden Ln Johnstown (North Front Education Range) Weld - NFR (North Front Education Range) Weld - NFR 270 Holden Ln Johnstown (North Front Education Range) Weld - NFR (North Front Therapy Range) Weld - NFR 270 Holden Ln Johnstown (North Front Therapy Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Personal Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Personal Range) First United Methodist Church - Weld - NFR 533 Grant Ave: 533 Grant Ave (North Front Personal Loveland Range) Weld - NFR 270 Holden Ln Johnstown (North Front Personal Range) Weld - NFR (North Front Education Range) Weld - NFR 270 Holden Ln Johnstown (North Front Education Range) Weld - NFR Senior (North Front ResourcesIServic Loveland Public Library: 300 N Adams Ave Loveland rop-off Location Medicaid number: None Total trips: 35 Fund Purpose Trips Distance Actual Time Walgreens - 2614 S College Ave: 2614 S College Ave Ft Collins House Of Neighborly Service: 1511 E 11th St Loveland Loveland Public Library: 300 N Adams Ave Loveland Colorado In Motion - 1555 Main St: 1555 Main St Windsor House Of Neighborly Service: 1511 E 11th St Loveland Shared Direct 13.40 15.18 32.43 11.90 15.67 28.12 21.50 21.20 34.58 23.20 21.24 42.93 12.10 10.09 26.67 10.30 10.05 22.63 11.90 10.73 36.63 9.60 10.51 23.02 13.40 15.18 28.78 13.10 15.67 34.23 14.10 12.22 47.82 11.50 12.07 50.88 10.80 12.22 25.73 11.60 12.07 26.40 10.20 10.09 20.92 10.10 10.05 21.45 14.80 10.73 40.27 Page 4 of 15 09/16/24 comp normal 09/16/24 comp normal 09/17/24 comp normal 09/17/24 comp normal 09/19/24 comp normal 09/19/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 09/23/24 comp normal 09/23/24 comp normal 09/23/24 comp normal 09/23/24 comp normal 09/24/24 comp normal 09/24/24 comp normal 09/30/24 comp normal 09/30/24 comp normal 09/30/24 comp normal 09/30/24 comp normal 10/1/24, 5:10 PM House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor Colorado In Motion - 1555 Main 270 Holden Ln Johnstown St: 1555 Main St Windsor Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 12.70 10.51 41.22 Range) e'Connections Weld - NFR (North Front Therapy 12.80 15.18 27.75 Range) Weld - NFR (North Front Education 10.80 12.22 25.62 Range) Weld - NFR (North Front Education 12.07 12.07 32.70 Range) Weld - NFR (North Front Education 17.20 12.22 53.73 Range) Weld - NFR (North Front Education 10.80 12.07 22.63 Range) Weld - NFR (North Front Education 20.80 10.09 50.27 Range) Weld - NFR (North Front Education 10.30 10.05 28.85 Range) Weld - NFR Senior (North Front ResourcesiServic 9.70 10.73 25.63 Range) elConnections Weld - NFR Senior (North Front Resources IServic 12.50 10.51 28.63 Range) elConnections Weld - NFR (North Front Therapy 13.40 15.18 25.72 Range) Weld - NFR (North Front Therapy 29.00 15.67 77.78 Range) Weld - NFR (North Front Education 20.80 12.22 52.02 Range) Weld - NFR (North Front Education 10.70 12.07 22.08 Range) Weld - NFR (North Front Personal 10.70 10.73 34.32 Range) Weld - NFR (North Front Personal 9.80 10.51 23.47 Range) Weld - NFR (North Front Therapy 15.60 15.18 32.72 Range) Weld - NFR (North Front Therapy 31.80 15.67 75.00 Range) Page 5 of 15 Crawford Malaria (12527) Date Status Provider Pick-up Location 09/13/24 comp 09/26/24 comp 09/27/24 comp normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken Diug Patricia (11394) Date Stains P rvid Pick loon 09/03/24 comp normal 1005 N 2nd St Johnstown UCHealth Family Medicine - 09/03/24 comp normal Orchards: 221 E 29th St Loveland Espinoza Ophelia (11850) Date Status Provider Pick-up Location 09/03/24 comp normal 09/03/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 10/1/24, 5:10 PM 111 S Harding Ave Johnstown Eye Center of Northern Colorado: 1701 61st Ave Greeley 111 S Harding Ave Johnstown Eye Center of Northern Colorado: 1701 61st Ave Greeley Drop-off Location Medicaid number: No Fund Purpose Trips Ziggies Coffee - 400 Main St: 400 Weld NFR (North Front Main St Longmont Range) Anderson Farms: 6728 CO Rd 3 Weld - NFR 1/4 Erie (North Front Range) Weld Anderson Farms: 6728 CO Rd 3 NFR (North Front 1/4 Erie Range) rop-off Location Medicaid number: No Fund UCHealth Family Medicine- Weld - NFR Orchards: 221 E 29th St Loveland (North Front Range) Weld - NFR 1005 N 2nd St Johnstown (North Front Medical Range) Recreational Employment Employment Purpose Drop-off Location Medical Trips Total trips: 3 Distance Actual Time Shared Direct 26.50 26.44 47.25 28.40 28.22 46.67 30.90 28.22 57.10 Total trips: 2 Distance Actual Time Shared Direct 14.20 14.04 42.27 13.90 13.90 44.57 Medicaid number: no Total trips: 4 Fund Purpose Trips Distance Actual Time Eye Center of Northern Colorado: Weld - NFR 1701 61st Ave Greeley (North Front Vision Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Vision Range) Eye Center of Northern Colorado: Weld - NFR 1701 61st Ave Greeley (North Front Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Vision Range) Shared Direct 12.70 12.92 28.50 17.60 13.07 45.12 Vision 24.10 12.92 53.22 15.90 13.07 27.30 Page 6 of 15 Hanscher Sane (12660) Date Status Provider Pick-up Location 09/10/24 comp normal 09/10/24 comp normal 09/11/24 cancel normal 09/12/24 comp normal 09/12/24 comp normal 09/24/24 comp normal 09/24/24 comp normal 09/25/24 comp normal 09/25/24 comp normal 09/30/24 comp normal 09/30/24 comp normal 20518 Nolina Ct Johnstown Skyline Center For Health: 2555 E 13th St Loveland 20518 Nolina Ct Johnstown 20518 Nolina Ct Johnstown Milliken Senior Center: 1101 Broad St Milliken 20518 Nolina Ct Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 20518 Nolina Ct Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 20518 Nolina Ct Johnstown Banner McKee Medical Center: 2000 N Boise Ave Loveland Johnson Tami (12678) Date Status Provider Pick-up Location Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 20518 Nolina Ct Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 20518 Nolina Ct Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 20518 Nolina Ct Johnstown Banner McKee Medical Center: 2000 N Boise Ave Loveland Drop-off Location Medicaid number: no Fund Skyline Center For Health: 2555 E Weld - NFR (North Front 13th St Loveland Range) Weld - NFR 20518 Nolina Ct Johnstown (North Front Medical Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR (North Front Meal (Senior) Range) Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) e'Connections Weld - NFR (North Front Medical Range) Weld - NFR 20518 Nolina Ct Johnstown (North Front Medical Range) Total trips: 11 Purpose Trips Distance Actual Time Shared Direct Drop-off Location Medicaid number: no Fund 09/13/24 comp normal 4360 Thompson Pkwy Johnstown Milliken Senior Center: 1101 Broad St Milliken 09/13/24 noshow normal 09/16/24 comp normal 4360 Thompson Pkwy Johnstown Wellspring herapeutics: 20 S Parish Ave Johnstown 10/1/24, 5:10 PM Milliken Senior Center: 1101 Broad St Milliken Medical 11.90 11.99 22.77 18.70 11.50 49.40 0.00 5.81 8.50 8.42 16.75 8.60 8.42 24.83 5.70 5.81 13.42 12.60 5.83 26.33 5.70 5.83 12.55 5.80 5.83 28.25 12.50 12.72 23.28 15.60 12.69 49.98 Total trips: 16 Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior 4360 Thompson Pkwy Johnstown (North Front ResourcesIServic Range) e'Connections Weld - NFR (North Front Personal Range) 14.20 13.45 38.70 0.00 12.94 18.60 10.78 41.35 Page 7 of 15 09/16/24 comp normal 09/16/24 comp normal 09/16/24 comp normal 09/18/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 09/23/24 comp normal 09/23/24 comp normal 09/25/24 comp normal 09/27/24 comp normal 09/27/24 comp normal 09/30/24 comp normal 09/30/24 comp normal Wellspring Therapeutics: 20 S Parish Ave Johnstown 4360 Thompson Pkwy Johnstown Chilson Recreation Center: 700 E 4th St Loveland 4360 Thompson Pkwy Johnstown 4360 Thompson Pkwy Johnstown Milliken Senior Center: 1101 Broad St Milliken 4360 Thompson Pkwy Johnstown Chilson Recreation Center: 700 E 4th St Loveland 4360 Thompson Pkwy Johnstown Chilson Recreation Center: 700 E 4th St Loveland 4360 Thompson Pkwy Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 4360 Thompson Pkwy Johnstown Chilson Recreation Center: 700 E 4th St Loveland 4360 Thompson Pkwy Johnstown 4360 Thompson Pkwy Johnstown 101 E Charlotte St Johnstown 4360 Thompson Pkwy Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken 4360 Thompson Pkwy Johnstown 4360 Thompson Pkwy Johnstown Chilson Recreation Center: 700 E 4th St Loveland Chilson Recreation Center 700E 4360 Thompson Pkwy Johnstown 4th St Loveland Kretschmer Cody (11486) Date Status Provider Pick-up Location 09/03/24 comp normal 09/09/24 comp normal 09/10/24 comp normal 10/1/24, 5:10 PM Drop-off Location Weld - NFR (North Front Medical Range) Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR Senior (North Front Resources(Servic Range) elConnections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR Senior (North Front Resources(Servic Range) e(Connections Weld - NFR (North Front Recreational Range) Weld - NFR (North Front Recreational Range) Weld - NFR Senior (North Front ResourceslServic Range) e I Connections Weld - NFR Senior (North Front Resources(Servic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) e I Connections Weld - NFR Senior (North Front ResourcesIServic Range) e(Connections Weld - NFR Senior (North Front ResourceslServic Range) elConnections Medicaid number: 6053908 Fund Purpose King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment Employment Employment 10.00 10.28 30.10 17.50 6.18 39.82 6.20 6.11 17.57 8.10 10.83 19.82 14.60 13.45 38.15 13.10 12.94 29.18 5.90 6.18 17.17 6.20 6.11 18.42 2 8.10 10.83 22.18 2 13.20 13.45 34.67 2 12.80 12.94 25.28 2 6.40 6.18 26.47 2 10.00 6.11 32.00 Total trips: 8 Trips Distance Actual Time 8.60 6.94 28.58 7.60 6.94 19.90 7.50 6.94 19.78 Page 8 of 15 Shared Direct 09/16/24 comp normal 09/17/24 comp normal 09/23/24 comp normal 09/24/24 comp normal 09/30/24 comp normal King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Lash Nancy (12672) Date Status Provider Pick-up Location 09/12/24 comp normal 19 N Idaho Ave Johnstown 09/12/24 comp normal 09/23/24 comp normal 19 N Idaho Ave Johnstown 09/23/24 comp normal 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No UCHealth Family Medicine 19 N Idaho Ave Johnstown Greeley: 6767 W 29th St Greeley Spring Creek Dental: 2001 S Shields St Ft Collins Mangrove Susan (10864) Date Status Provider Pick-up Location 09/09/24 comp normal 202 N Greeley Ave Johnstown Walmart 1325 N Denver Ave: 202 N Greeley Ave Johnstown 1325 N Denver Ave Loveland 09/09/24 comp normal Employment 7.00 6.94 28.43 Employment 7.50 6.94 15.60 Employment 12.20 6.94 36.98 Employment 7.80 6.94 28.92 Employment 7.50 6.94 17.07 Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Family Medicine - Weld - NFR rth Greeley: 6767 W 29th St Greeley (N Range) nt Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR 19 N Idaho Ave Johnstown (North Front Range) Spring Creek Dental: 2001 S Shields St Ft Collins Drop-off Location Medicaid number: No Fund Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medical Medical Dental Dental 11.00 11.55 23.07 11.20 11.55 23.98 25.00 24.47 41.42 24.80 25.01 44.68 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Grocery 12.20 11.88 45.77 Grocery 13.40 11.86 35.77 10/1/24, 5:10 PM Page 9 of 15 Navarro Sanchez Jose (11710) Medicaid number: No Total trips: 26 Date Statue Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Fresenius Kidney Care - 1212 9th Weld NFR 09/04/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.00 5.94 15.63 Range) 09/04/24 comp normal Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle Weld - NFR St: 1212 9th St Greeley (North Front Dialysis 6.10 6.00 16.70 Range) Fresenius Kidney Care - 1212 9th Weld NFR 09/06/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.40 5.94 14.52 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/06/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 4.10 6.00 14.77 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/09/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.10 5.94 15.55 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/09/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 6.40 6.00 19.70 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/11/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.20 5.94 16.12 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/11/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 7.20 6.00 18.45 Range) Fresenius Kidney Care - 1212 9th Weld NFR 09/13/24 comp normal 19920 Co Rd 52 La Salle (North Front Dialysis 6.10 5.94 20.53 St: 1212 9th St Greeley Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/13/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 6.10 6.00 16.02 Range) Fresenius Kidney Care - 1212 9th Weld NFR 09/16/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.00 5.94 18.77 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/16/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 6.10 6.00 15.70 Range) Fresenius Kidney Care - 1212 9th Weld NFR 09/18/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.30 5.94 22.07 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/18/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 6.80 6.00 18.55 Range) Fresenius Kidney Care - 1212 9th Weld NFR 09/20/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 14.30 5.94 41.30 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/20/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front Dialysis 0.00 6.00 9.38 Range) Fresenius Kidney Care - 1212 9th Weld - NFR 09/23/24 comp normal 19920 Co Rd 52 La Salle St: 1212 9th St Greeley (North Front Dialysis 6.20 5.94 17.87 10/1/24, 5:10 PM Page 10 of 15 09/24/24 comp 09/24/24 comp 09/24/24 cancel 09/25/24 comp 09/25/24 comp 09/27/24 comp 09/27/24 comp 09/30/24 comp 09/30/24 comp normal 19920 Co Rd 52 La Salle Eye Care Center - 1400 Dry normal Creek Dr: 1400 Dry Creek Dr Longmont Eye Care Center - 1400 Dry normal Creek Dr: 1400 Dry Creek Dr Longmont normal 19920 Co Rd 52 La Salle normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley normal 19920 Co Rd 52 La Salle normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley normal 19920 Co Rd 52 La Salle normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Parker Glenda (11274) Date Status Provider Pick-up Location 09/09/24 comp normal 202 N Greeley Ave Johnstown 09/09/24 comp normal Range) Eye Care Center - 1400 Dry Weld - NFR Creek Dr: 1400 Dry Creek Dr (North Front Longmont Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Drop-off Location Medicaid number: no Vision 35.40 34.31 60.78 Vision 46.10 34.41 84.32 Vision 0.00 34.41 Dialysis 6.10 5.94 19.58 Dialysis 6.30 6.00 17.28 Dialysis 7.20 5.94 19.07 Dialysis 6.20 6.00 16.30 Dialysis 6.10 5.94 17.40 Dialysis 7.40 6.00 18.45 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland (North Front Grocery 12.20 11.88 45.77 Range) Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland 202 N Greeley Ave Johnstown (North Front Grocery 13.40 11.86 35.77 Range) Richie Marianne (11515) Date Status Provider Pick-up Location 09/05/24 comp normal 09/11/24 comp normal 10/1/24, 5:10 PM Drop-off Location Medicaid number: no Fund Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Safeway - 1535 Main St: 1535 Weld - NFR 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment Rane) Safeway - 1535 Main St: 1535 Weld - NFR 705 Country Acres Dr Johnstown Main St Windsor (North Front Employment 12.70 17.00 28.18 32.80 17.00 66.22 Page 11 of 15 09/13/24 cancel normal 09/17/24 comp 09/18/24 comp 09/27/24 comp Safeway - 1535 Main St: 1535 Main St Windsor normal 705 Country Acres Dr Johnstown normal 705 Country Acres Dr Johnstown normal 705 Country Acres Dr Johnstown Speaker Anthony (12725) Date Status Provider Pick-up Location 09/23/24 cancel normal 3240 47th Ave Greeley 09/30/24 comp normal 3240 47th Ave Greeley 09/30/24 comp normal 705 Country Acres Dr Johnstown Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Safeway - 1535 Main St: 1535 Main St Windsor Drop-off Location 1939 61st Ave Greeley Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Employment 0.00 17.38 Employment 12.70 17.00 29.58 Employment 29.10 17.00 60.07 Employment 11.70 17.00 28.67 Medicaid number: None High Plains Library - 1939 61st Ave: 1939 61st Ave Greeley High Plains Library - 1939 61st 3240 47th Ave Greeley Ave: 1939 61st Ave Greeley Weins John (48251) Date Status Provider Pick-up Location 09/03/24 comp normal 09/03/24 comp normal 09/04/24 comp normal 09/04/24 comp normal 09/06/24 comp normal 09/06/24 comp normal 10/1/24, 5:10 PM 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken Drop-off Location Total trips: 3 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Personal Personal Personal 0.00 2.75 4.10 2.92 15.58 3.00 2.93 11.82 Total trips: 24 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front ResourcesIServic 4.70 4.56 16.02 Range) elConnections Weld - NFR Senior (North Front Resources)Servic 4.60 4.56 17.15 Range) elConnections Weld - NFR Senior (North Front Resources)Servic 4.60 4.56 14.62 Range) e)Connections Weld - NFR Senior (North Front ResourcesIServic 4.50 4.56 11.25 Range) elConnections Weld - NFR Senior (North Front ResourceslServic 7.60 7.38 21.30 Range) e)Connections Weld - NFR Senior (North Front Resources)Servic 7.50 7.38 27.10 Page 12 of 15 Range) e'Connections 09/09/24 comp normal 09/09/24 comp normal 09/11/24 comp normal 09/11/24 comp normal 09/13/24 comp normal 09/13/24 comp normal 09/18/24 comp normal 09/18/24 comp normal 09/19/24 comp normal 09/19/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 09/24/24 comp normal 09/24/24 comp normal 09/25/24 comp normal 09/25/24 comp normal 09/27/24 comp normal 09/27/24 comp normal 10/1/24, 5:10 PM 8331 E CO Rd 16 Johnstown Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5: 2154 W Eisenhower Blvd Loveland 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown McCreery House - 746 N Washington Ave: 746 N Washington Ave Loveland 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal Range) Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front Resources IServic Range) elConnections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesiServic Range) elConnections Weld - NFR (North Front Meal (Senior) Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) Range) McCreery House - 746 N Weld - NFR Washington Ave: 746 N (North Front Personal Washington Ave Loveland Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Personal Range) Weld - NFR Senior (North Front ResourcesIServic Range) e'Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front Resources)Servic Range) e)Connections Weld - NFR Senior (North Front Resources IServic Range) e'Connections Weld - NFR Senior 8331 E CO Rd 16 Johnstown (North Front ResourcesIServic Range) e)Connections Weld - NFR (North Front Personal Range) Weld - NFR 8331 E CO Rd 16 Johnstown (North Front Meal (Senior) Range) Weld - NFR Senior (North Front Resources IServic Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic Johnstown Senior Center: 101 Charlotte St Johnstown Disabled Resource Services - 2154 W Eisenhower Blvd - Ste 5: 2154 W Eisenhower Blvd Loveland Weld - NFR (North Front Personal Range) Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Barber Shop: 5 S Parish Ave Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown 13.00 11.11 28.37 12.10 10.74 27.57 4.60 4.56 13.80 4.60 4.56 19.68 7.70 7.38 20.48 7.80 7.38 32.65 4.60 4.56 14.17 4.60 4.56 18.23 8.40 9.51 21.50 10.30 9.13 35.98 7.50 7.38 19.48 9.50 7.38 27.02 4.60 4.56 10.38 5.10 4.53 13.65 4.60 4.56 16.83 4.60 4.53 12.93 7.50 7.38 21.35 14.70 7.38 40.95 Page 13 of 15 Range) elConnections Wind QuintIn (48304) Date Status Provider Pick-up- Location 09/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/04/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/04/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/05/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/05/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/09/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/09/24 cancel normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/10/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/11/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/11/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/12/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/12/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/18/24 comp normal 294 Holden Ln Johnstown 09/18/24 comp normal 10/1/24, 5:10 PM Easterseals Northern Colorado Medicaid number: Yes Drop-off Location Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Fund Purpose Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR Adult Day Respite Care Adult Day I Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Total trips: 28 Trips Distance Actual Time Shared Direct 13.50 12.66 27.53 17.00 12.53 58.77 23.00 12.66 53.98 13.00 12.53 28.25 13.00 12.66 26.88 12.30 12.53 25.10 16.00 12.66 44.85 0.00 12.53 12.60 12.66 30.73 15.40 12.53 67.27 14.20 12.66 24.87 26.20 12.53 54.70 12.60 12.66 25.13 14.20 12.53 41.38 16.90 12.66 37.23 13.00 12.53 31.72 Page 14 of 15 Program (Wings): 1327 W Eisenhower Blvd Loveland 09/19/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/19/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/25/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/25/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/26/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/26/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 09/30/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 09/30/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.50 12.66 24.30 12.92 12.53 32.87 12.30 12.66 32.48 14.40 12.53 36.87 12.90 12.66 34.70 12.70 12.53 34.33 13.50 12.66 27.52 12.20 12.53 26.25 12.50 12.66 23.63 12.20 12.53 26.00 12.70 12.66 28.58 13.10 12.53 23.62 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 19 215 2676.49 2513.84 112.11 239 10/1/24, 5:10 PM Page 15 of 15 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Y/N Mobility for Life Date range: 10/01/2024 - 10/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - NFR (North Front Range). Trip purposes: all. Provider types: Normal. Total trips: 252. Operational days: 23. Selected weekdays: All. Archambauit Laura (12538) Medicaid number: No Date Status Provider Pick-up Location Drop-off Location Fund Purpose Wells Fargo - 1412 Hahns Peak Weld - NFR 10/09/24 comp normal 1912 Cherry Ln Johnstown Dr: 1412 Hahns Peak Dr Loveland (North Front Personal Range) Wells Fargo - 1412 Hahns Peak Weld - NFR 10/09/24 comp normal Dr: 1412 Hahns Peak Dr 1912 Cherry Ln Johnstown (North Front Personal Loveland Range) Bonnell Kallaunna (48883) Date Status Provider Plck-up Location 10/01/24 comp normal 10/01/24 comp normal 10/01/24 comp normal 10/01/24 comp normal 10/03/24 comp normal 10/03/24 comp normal 10/04/24 comp normal 10/04/24 comp normal 10/09/24 comp normal 11/5/24, 11:13 AM 101 S Kathleen Ave Milliken 5400 W 11th St Greeley 101 S Kathleen Ave Milliken Banner Health Care: 222 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken Precision Family Eyecare - 16 N Parish Ave: 16 N Parish Ave Johnstown 101 S Kathleen Ave Milliken King Soopers - 6922 W 10th St: 6922 W 10th St Greeley 101 S Kathleen Ave Milliken Drop-off Location Medicaid number: no Fund 5400 W 11th St Greeley 101 S Kathleen Ave Milliken Banner Health Care: 222 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken Precision Family Eyecare - 16 N Parish Ave: 16 N Parish Ave Johnstown 101 S Kathleen Ave Milliken King Soopers - 6922 W 10th St: 6922 W 10th St Greeley 101 S Kathleen Ave Milliken Hays Market: 201 Johnstown Center Dr Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Total trips: 2 Trips Distance Actual Time Shared Direct 10.00 9.95 42.32 9.80 9.89 42.37 Total trips: 20 Purpose Trips Distance Actual Time Shared Direct Personal 2 11.80 11.43 27.45 Personal 2 15.00 11.51 37.40 Medical 3 3.30 2.74 14.53 Medical 3 2.70 2.73 10.82 Personal 3 2.80 2.68 14.98 Personal 3 3.00 2.68 21.15 Grocery 2 10.40 10.29 23.25 Grocery 2 10.50 10.39 23.83 Grocery 3 3.00 5.22 12.08 Page 1 of 18 10/09/24 comp normal Hays Market: 201 Johnstown Center Dr Johnstown 10/11/24 comp normal 101 S Kathleen Ave Milliken Fort collins Museum Of 10/11/24 comp normal Discovery: 408 Mason Ct Fort Collins 10/14/24 comp normal 101 S Kathleen Ave Milliken 10/14/24 comp normal Greeley Mall: 2050 Greeley Mall Greeley 10/17/24 comp normal 101 S Kathleen Ave Milliken Island Grove Event Center - 421 10/17/24 comp normal N 15th Ave: 421 N 15th Ave Greeley 10/22/24 comp normal 101 S Kathleen Ave Milliken 10/22/24 comp normal 10/25/24 comp normal 101 S Kathleen Ave Milliken 10/25/24 comp normal 910 9th Ave Greeley Hays Market: 201 Johnstown Center Dr Johnstown Bums Jeryl (10857) Date Status Provider Pick-up Location 10/16/24 comp normal 1002 N 4th St Johnstown 10/24/24 comp normal 1002 N 4th St Johnstown 10/24/24 comp normal 10/30/24 comp normal 1002 N 4th St Johnstown 10/30/24 comp normal 11/5/24, 11:13 AM Family Physicians of Greeley: 473 Castle Pines Ave Johnstown UCHealth Poudre Valley Hospital: 101 S Kathleen Ave Milliken Range) Weld - NFR (North Front Range) Fort collins Museum Of Discovery: Weld - NFR 408 Mason Ct Fort Collins (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) 101 S Kathleen Ave Milliken Greeley Mall: 2050 Greeley Mall Greeley 101 S Kathleen Ave Milliken Island Grove Event Center - 421 N 15th Ave: 421 N 15th Ave Greeley 101 S Kathleen Ave Milliken Hays Market: 201 Johnstown Center Dr Johnstown 101 S Kathleen Ave Milliken 910 9th Ave Greeley 101 S Kathleen Ave Milliken Drop-off Location UCHealth Poudre Valley Hospital: Weld - NFR 1024 S Lemay Ave Ft Collins (North Front Range) Family Physicians of Greeley: 473 Weld - NFR Castle Pines Ave Johnstown (North Front Range) Weld - NFR 1002 N 4th St Johnstown (North Front Range) UCHealth Poudre Valley Hospital: Weld NFR 1024 S Lemay Ave Ft Collins (North Front Range) Weld - NFR 1002 N 4th St Johnstown Medicaid number: No Grocery 3 11.90 5.22 32.05 Personal 4 29.00 28.28 48.63 Personal 4 28.70 28.08 50.17 Personal 4 13.30 11.55 31.35 Personal 4 12.80 11.56 48.35 Personal 2 17.00 16.09 37.35 Personal 2 16.20 16.09 33.08 Pharmacy 2 3.00 5.22 17.62 Pharmacy 2 2.60 5.22 9.27 Personal 2 15.60 15.55 31.60 Personal 2 16.10 15.72 52.32 Total trips: 5 Fund Purpose Trips Distance Actual Time Shared Direct Medical 25.40 22.99 54.38 Medical 1.30 1.39 15.00 Medical 1.40 1.38 17.65 Medical 23.40 22.99 38.18 Medical 23.10 23.95 42.60 Page 2 of 18 1024 S Lemay Ave Ft Collins Cain Marjory (12340) Date Status Provider Pick-up Location 10/02/24 comp 10/02/24 comp 10/04/24 comp 10/04/24 comp 10/22/24 noshow 10/23/24 comp normal normal normal normal normal normal 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Family Physicians of Greeley Cottonwood Office: 2420 W 16th St Greeley Campos Ines (11766) Date Status Provider Pick-up Location 10/01/24 comp normal 270 Holden Ln Johnstown 10/01/24 comp normal Hays Market: 201 Johnstown Center Dr Johnstown First United Methodist Church - 10/01/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland 10/03/24 comp normal 270 Holden Ln Johnstown First United Methodist Church - 10/03/24 comp normal 533 Grant Ave: 533 Grant Ave Loveland 10/04/24 comp normal 270 Holden Ln Johnstown 10/04/24 comp normal 11/5/24, 11:13 AM Loveland Public Library: 300 N Adams Ave Loveland (North Front Range) Medicaid number: no Drop-off Location Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Banner North Colorado Medical Center: 1801 16th St Greeley 19390 Weld County Rd 17 Johnstown Drop-off Location Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: None Hays Market: 201 Johnstown Center Dr Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Medical 25.30 20.32 61.82 Medical 24.10 20.42 52.83 Medical 36.10 20.32 81.18 Medical 25.50 20.42 61.45 Medical 0.00 20.32 Medical 23.60 19.96 61.87 Total trips: 38 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Pharmacy 2.70 3.78 6.80 Education 12.20 9.98 23.10 Personal 12.50 12.07 28.68 Personal 12.30 12.22 26.75 Personal 11.50 12.07 25.78 Education 13.30 10.09 42.13 Education 10.30 10.05 24.18 Page 3 of 18 10/07/24 comp normal 270 Holden Ln Johnstown 10/07/24 comp normal 10/07/24 comp normal 10/07/24 comp normal 10/08/24 comp normal 270 Holden Ln Johnstown 10/08/24 comp normal 10/10/24 comp normal 270 Holden Ln Johnstown 10/10/24 comp normal 10/14/24 comp normal 270 Holden Ln Johnstown 10/14/24 comp normal 10/14/24 comp normal 270 Holden Ln Johnstown 10/15/24 comp normal 270 Holden Ln Johnstown 10/15/24 comp normal 10/17/24 comp normal 270 Holden Ln Johnstown 10/17/24 comp normal 10/21/24 comp normal 270 Holden Ln Johnstown 10/21/24 comp normal 10/21/24 comp normal 270 Holden Ln Johnstown 11/5/24, 11:13 AM House Of Neighborly Service: 1511 E 11th St Loveland Loveland Public Library: 300 N Adams Ave Loveland Colorado In Motion - 1555 Main St: 1555 Main St Windsor First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Walgreens - 2614 S College Ave: 2614 S College Ave Ft Collins First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Dollar Tree - 1695 Rocky Mountain Ave - Ste 410: 1695 Rocky Mountain Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland House Of Neighborly Service: 1511 E 11th St Loveland Loveland Public Library: 300 N Adams Ave Loveland Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Walgreens - 2614 S College Ave: 2614 S College Ave Ft Collins 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor Loveland Public Library: 300 N Adams Ave Loveland 270 Holden Ln Johnstown Dollar Tree - 1695 Rocky Mountain Ave - Ste 410: 1695 Rocky Mountain Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511 E 11th St Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor Range) Weld - NFR Senior (North Front Resources IServic 9.30 10.73 37.93 Range) elConnections Weld - NFR (North Front Education 2.10 1.26 16.73 Range) Weld - NFR (North Front Education 16.80 13.43 47.25 Range) Weld - NFR (North Front Therapy 13.10 15.67 30.83 Range) Weld - NFR (North Front Personal 11.70 12.22 26.17 Range) Weld - NFR (North Front Personal 10.70 12.07 23.95 Range) Weld - NFR (North Front Personal 12.20 12.22 28.43 Range) Weld - NFR (North Front Personal 10.70 12.07 19.43 Range) Weld - NFR (North Front Medical 21.30 21.20 40.25 Range) Weld - NFR (North Front Medical 20.80 21.24 31.98 Range) Weld - NFR (North Front Therapy 13.40 15.18 28.23 Range) Weld - NFR (North Front Education 15.40 10.09 36.55 Range) Weld - NFR (North Front Education 10.90 12.07 31.53 Range) Weld - NFR (North Front Personal 8.00 7.78 17.18 Range) Weld - NFR (North Front Personal 9.60 7.62 32.67 Range) Weld - NFR Senior (North Front ResourcesIServic 10.90 10.73 32.65 Range) elConnections Weld - NFR Senior (North Front Resources IServic 9.70 10.51 22.30 Range) elConnections Weld - NFR (North Front Therapy 15.10 15.18 19.85 Range) Page 4 of 18 10/22/24 comp 10/22/24 comp 10/24/24 comp 10/24/24 comp 10/28/24 comp 10/28/24 comp 10/28/24 comp 10/28/24 comp 10/29/24 comp 10/29/24 comp 10/30/24 cancel 10/31/24 comp 10/31/24 comp normal 270 Holden Ln Johnstown normal normal 270 Holden Ln Johnstown normal normal 270 Holden Ln Johnstown normal normal 270 Holden Ln Johnstown normal normal 270 Holden Ln Johnstown normal normal 270 Holden Ln Johnstown normal 270 Holden Ln Johnstown normal Loveland Public Library: 300 N Adams Ave Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland House Of Neighborly Service: 1511 E 11th St Loveland Colorado In Motion - 1555 Main St: 1555 Main St Windsor First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland Coleman Kevin (12853) Date Status Provider Pick-up Location First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown House Of Neighborly Service: 1511E 11th St Loveland 270 Holden Ln Johnstown Colorado In Motion - 1555 Main St: 1555 Main St Windsor 270 Holden Ln Johnstown First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Dollar Tree - 1695 Rocky Mountain Ave - Ste 410: 1695 Rocky Mountain Ave Loveland First United Methodist Church - 533 Grant Ave: 533 Grant Ave Loveland 270 Holden Ln Johnstown Drop-off Location Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund Personal 10.70 12.22 24.53 Personal 9.50 10.05 20.03 Personal 10.70 12.22 24.77 Personal 10.70 12.07 24.50 Personal 10.50 10.73 30.30 Personal 10.70 10.51 34.73 Recreational 27.60 15.18 59.77 Recreational 27.00 15.67 66.07 Personal 11.40 12.22 25.60 Personal 10.10 12.07 21.30 Personal 0.00 7.78 Education 0.00 12.22 5.58 Education 14.60 12.07 39.45 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Family Physicians of Greeley: 473 Weld - NFR 10/30/24 comp normal 20064 Cactus Dr Johnstown Castle Pines Ave Johnstown (North Front Medical Range) Family Physicians of Greeley: Weld - NFR 10/30/24 comp normal 473 Castle Pines Ave Johnstown 20064 Cactus Dr Johnstown (North Front Medical Range) 6.70 6.16 44.72 5.50 6.15 39.15 11/5/24, 11:13 AM Page 5 of 18 Crawford Malang (12527) Date Status Provider Pick-up Location 10/03/24 comp 10/04/24 cancel 10/04/24 comp 10/10/24 comp 10/11/24 comp 10/17/24 comp 10/18/24 comp 10/24/24 comp 10/25/24 comp 10/31/24 comp normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken normal 2361 Stage Coach Dr Milliken Drop-off Location Medicaid number: No Fund Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Anderson Farms: 6728 CO Rd 3 1/4 Erie Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Diug Patricia (11394) Medicaid number: No Date Status Provider Pick-up Location 10/03/24 comp normal 10/03/24 comp normal 10/16/24 comp normal 10/16/24 comp normal 11/5/24, 11:13 AM 1005 N 2nd St Johnstown Hays Market: 201 Johnstown Center Dr Johnstown 1005 N 2nd St Johnstown UCHealth Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland Drop-off Location Hays Market: 201 Johnstown Center Dr Johnstown 1005 N 2nd St Johnstown UCHealth Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland 1005 N 2nd St Johnstown Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Total trips: 10 Purpose Trips Distance Actual Time Shared Direct Employment 28.80 28.22 62.72 Employment 39.40 28.22 Employment 39.41 28.22 44.53 Employment 57.50 28.22 129.10 Employment 30.50 28.22 58.82 Employment 30.80 28.22 46.37 Employment 28.40 28.22 48.75 Employment 28.40 28.22 41.87 Employment 28.40 28.22 52.62 Employment 28.40 28.22 54.23 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Grocery Grocery Medical Medical 1.40 2.69 18.53 0.90 2.69 15.85 10.30 9.97 38.45 10.00 10.17 31.72 Page 6 of 18 Espinosa Ophelia (11850) Date Status Provider Pick-up Location 10/03/24 comp normal 10/03/24 comp normal 10/07/24 comp normal 10/07/24 comp normal 10/11/24 comp normal 10/11/24 comp normal 111 S Harding Ave Johnstown UCHealth Family Medicine - Greeley: 6767 W 29th St Greeley 111 S Harding Ave Johnstown Eye Center of Northern Colorado: 1701 61st Ave Greeley 111 S Harding Ave Johnstown UCHealth Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland Glass Mandy (48190) Date Status Provider Pick-up Location 10/15/24 comp normal 27 N Estes Ave Johnstown 10/15/24 comp normal 2033 N Boise Ave Loveland 10/15/24 comp normal Drop-off Location Medicaid number: no Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Family Medicine - Weld - NFR Greeley: 6767 W 29th St Greeley (North Front Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Range) Eye Center of Northern Colorado: Weld - NFR 1701 61st Ave Greeley (North Front Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Range) UCHealth Medical Center of the Weld - NFR Rockies: 2500 Rocky Mountain (North Front Ave Loveland Range) Weld - NFR 111 S Harding Ave Johnstown (North Front Range) Medicaid number: No Drop-off Location 2033 N Boise Ave Loveland Walmart - 1325 N Denver Ave: 1325 N Denver Ave Loveland Walmart 1325 N Denver Ave: 27 N Estes Ave Johnstown 1325 N Denver Ave Loveland HanscherJane(12660) Date Status Provider Pick up Location 10/01/24 comp normal 10/02/24 comp normal 11/5/24, 11:13 AM Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Medical Medical Vision Vision Medical Medical 12.60 11.40 25.17 13.90 11.39 41.20 12.80 12.92 27.03 13.00 13.07 28.18 9.90 9.91 23.90 9.80 10.10 18.92 Total trips: 3 Fund Purpose Trips Distance Actual Time Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Pharmacy Grocery Grocery Shared Direct 13.20 12.49 37.70 2.10 1.23 25.55 11.40 11.90 58.02 Medicaid number: no Total trips: 5 Fund Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior 20518 Nolina Ct Johnstown (North Front Resources)Servic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 20518 Nolina Ct Johnstown 11.80 5.83 35.52 5.80 5.83 18.70 Page 7 of 18 10/04/24 comp normal 20518 Nolina Ct Johnstown 10/08/24 comp normal 20518 Nolina Ct Johnstown Banner Health Clinic - 2555 E 10/08/24 comp normal 13th St - Ste 130: 2555 E 13th St Loveland Hyde April (12790) Date Status Provider Pick-up Location Range) e'Connections Milliken Senior Center: 1101 Weld - NFR Senior Broad St Milliken (North Front Resources IServic Range) e'Connections Banner Health Clinic - 2555 E Weld - NFR 13th St - Ste 130: 2555 E 13th St (North Front Medical Loveland Range) Johnstown Senior Center: 101 Weld - NFR Senior Charlotte St Johnstown (North Front Resources(Servic Range) elConnections Drop-off Location Medicaid number: No Fund 8.60 8.42 22.78 16.70 12.36 43.57 11.60 12.84 24.25 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct UCHealth Neurology Clinic - Weld - NFR 10/23/24 comp normal 33020 Lincoln Ave Lucerne Loveland: 2695 Rocky Mountain (North Front Medical Ave Loveland Range) UCHealth Neurology Clinic - Weld - NFR 10/23/24 comp normal Loveland: 2695 Rocky Mountain 33020 Lincoln Ave Lucerne (North Front Medical Ave Loveland Range) Johnson Tami (12678) Date Status Provider Pick-up Location 10/02/24 comp normal 4360 Thompson Pkwy Johnstown 10/04/24 comp normal 4360 Thompson Pkwy Johnstown 10/04/24 comp normal Milliken Senior Center: 1101 Broad St Milliken 10/07/24 comp normal 4360 Thompson Pkwy Johnstown 10/07/24 comp normal Chilson Recreation Center: 700 E 4th St Loveland 10/09/24 comp normal 4360 Thompson Pkwy Johnstown 10/11/24 comp normal 4360 Thompson Pkwy Johnstown 10/11/24 comp normal 11/5/24, 11:13 AM Milliken Senior Center: 1101 Broad St Milliken Drop-off Location Medicaid number: no Fund Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 20.20 20.17 40.15 21.92 21.92 54.73 Total trips: 21 Purpose Trips Distance Actual Time Shared Direct Weld - NFR Senior (North Front Resources)Servic 2 8.20 10.85 21.18 Range) e)Connections Weld - NFR Senior (North Front Resources IServic 2 11.00 13.45 27.45 Range) e'Connections Weld - NFR Senior 4360 Thompson Pkwy Johnstown (North Front ResourcesIServic 2 13.10 12.94 24.72 Range) e)Connections Weld - NFR Senior Chilson Recreation Center: 700E 4th St Loveland (North Front ResourcesIServic 2 6.40 6.18 20.62 Range) elConnections Weld - NFR Senior 4360 Thompson Pkwy Johnstown (North Front Resources)Servic 2 14.40 6.11 40.32 Range) elConnections Weld - NFR Senior 101 E Charlotte St Johnstown (North Front Resources)Servic 2 8.10 10.83 21.50 Range) elConnections Weld - NFR Senior (North Front Resources)Servic 2 11.20 13.45 24.22 Range) elConnections Weld - NFR Senior 4360 Thompson Pkwy Johnstown (North Front Resources(Servic 2 13.10 12.94 24.78 Milliken Senior Center: 1101 Broad St Milliken Page 8 of 18 Range) e'Connections Chilson Recreation Center: 700E Weld NFR Senior 10/14/24 comp normal 4360 Thompson Pkwy Johnstown 4th St Loveland (North Front Resources IServic 2 9.40 6.18 20.88 Range) elConnections Weld - NFR Senior Chilson Recreation Center: 700E 10/14/24 comp normal 4th St Loveland 4360 Thompson Pkwy Johnstown (North Front ResourcesIServic 2 6.20 6.11 20.03 Range) elConnections Weld - NFR Senior 10/16/24 comp normal 4360 Thompson Pkwy Johnstown 101 E Charlotte St Johnstown (North Front Resources IServic 2 8.30 10.83 19.23 Range) elConnections Milliken Senior Center: 1101 Weld - NFR Senior 10/18/24 comp normal 4360 Thompson Pkwy Johnstown Broad St Milliken (North Front ResourcesIServic 2 11.10 13.45 23.93 Range) elConnections Milliken Senior Center: 1101 Weld NFR Senior 10/18/24 comp normal Broad St Milliken 4360 Thompson Pkwy Johnstown (North Front Re sourcesIServic 2 13.20 12.94 30.63 Range) elConnections Weld - NFR Senior Chilson Recreation Center: 700E 10/21/24 comp normal 4360 Thompson Pkwy Johnstown 4th St Loveland (North Front Resources IServic 2 81.80 6.18 23.83 Range) eiConnections Weld NFR Senior Chilson Recreation Center: 700E 10/21/24 comp normal 4th St Loveland 4360 Thompson Pkwy Johnstown (North Front Resources IServic 2 8.30 6.11 21.80 Range) eiConnections Milliken Senior Center: 1101 Weld - NFR Senior 10/25/24 comp normal 4360 Thompson Pkwy Johnstown Broad St Milliken (North Front ResourcesIServic 2 13.40 13.45 33.23 Range) elConnections Milliken Senior Center: 1101 Weld NFR Senior 10/25/24 cancel normal Broad St Milliken 4360 Thompson Pkwy Johnstown (North Front ResourceslServic 2 12.94 12.94 Range) elConnections Milliken Senior Center: 1101 Weld NFR Senior 10/25/24 comp normal Broad St Milliken 4360 Thompson Pkwy Johnstown (North Front ResourcesiServic 2 13.00 12.94 41.73 Range) elConnections Chilson Recreation Center: 700E Weld NFR Senior 10/28/24 comp normal 4360 Thompson Pkwy Johnstown 4th St Loveland (North Front ResourcesiServic 2 6.40 6.18 25.13 Range) e'Connections Chilson Recreation Center: 700E Weld NFR Senior 10/28/24 comp normal 4th St Loveland 4360 Thompson Pkwy Johnstown (North Front ResourcesIServic 2 6.20 6.11 18.18 Range) elConnections Weld - NFR Senior 10/30/24 comp normal 4360 Thompson Pkwy Johnstown 101 E Charlotte St Johnstown (North Front Resources IServic 2 8.20 10.83 18.88 Range) e'Connections Kretschmer Cody (11486) Date Status Provider Pick-up Location Drop-off Location Medicaid number: G053908 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct 10/01/24 comp normal King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley 10/01/24 cancel normal King Soopers 6922 W 10th St: 4304 Mesa Verde Dr Greeley 6922 W 10th St Greeley 10/07/24 comp normal King Soopers - 6922 W 10th St: 4304 Mesa Verde Dr Greeley 11/5/24, 11:13 AM Weld - NFR (North Front Employment 8.10 6.94 28.37 Range) Weld - NFR (North Front Employment 8.32 6.94 Range) Weld - NFR Employment 7.40 6.94 17.93 Page 9 of 18 10/08/24 comp normal 10/14/24 comp normal 10/15/24 comp normal 10/21/24 comp normal 10/22/24 comp normal 10/28/24 comp normal 10/29/24 comp normal 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley King Soopers - 6922 W 10th St: 6922 W 10th St Greeley Mangrove Susan (10864) Date Status Provider Pick-up Location 10/01/24 comp normal 202 N Greeley Ave Johnstown 10/01/24 comp normal 10/04/24 comp normal 202 N Greeley Ave Johnstown 10/04/24 comp normal VCA Milliken Animal Hospital: 1004 Broad St Milliken VCA Milliken Animal Hospital: 1004 Broad St Milliken Navarro Sanchez Jose (11710) Date Status Provider Pick-up Location 10/02/24 comp normal 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th Weld - NFR 10/02/24 comp normal St: 1212 9th St Greeley 19920 Co Rd 52 La Salle (North Front 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley 4304 Mesa Verde Dr Greeley Drop-off Location (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No VCA Milliken Animal Hospital: 1004 Broad St Milliken 202 N Greeley Ave Johnstown VCA Milliken Animal Hospital: 1004 Broad St Milliken 202 N Greeley Ave Johnstown Drop-off Location Employment 7.60 6.94 41.23 Employment 7.50 6.94 17.67 Employment 7.50 6.94 18.80 Employment 7.60 6.94 18.90 Employment 7.50 6.94 22.38 Employment 7.10 6.94 20.23 Employment 7.50 6.94 18.92 Total trips: 4 Fund Purpose Trips Distance Actual Time Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Medicaid number: No Fund 11/5/24, 11:13 AM Weld - NFR Fresenius Kidney Care - 1212 9th (North Front St: 1212 9th St Greeley Range) Personal Personal Personal Personal Purpose Dialysis Dialysis Shared Direct 3.60 3.39 17.02 3.50 3.39 10.17 3.60 3.39 14.15 3.60 3.39 16.62 Total trips: 28 Trips Distance Actual Time Shared Direct 6.20 5.94 16.28 2.30 6.00 5.17 Page 10 of 18 10/04/24 comp normal 10/04/24 comp normal 10/07/24 comp normal 10/07/24 comp normal 10/09/24 comp normal 10/09/24 comp normal 10/11/24 comp normal 10/11/24 comp normal 10/14/24 comp normal 10/14/24 comp normal 10/16/24 comp normal 10/16/24 comp normal 10/18/24 comp normal 10/18/24 comp normal 10/21/24 comp normal 10/21/24 comp normal 10/23/24 comp normal 10/23/24 comp normal 11/5/24, 11:13 AM 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 19920 Co Rd 52 La Salle Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis Dialysis 6.20 5.94 19.02 6.20 6.00 16.80 6.10 5.94 17.92 6.00 6.00 15.23 6.10 5.94 14.82 6.00 6.00 14.83 6.30 5.94 23.38 6.10 6.00 16.37 6.00 5.94 14.58 6.30 6.00 46.72 6.00 5.94 16.15 6.10 6.00 16.67 6.10 5.94 14.95 6.20 6.00 15.92 6.10 5.94 15.92 6.10 6.00 18.23 5.94 5.94 15.57 7.40 6.00 17.33 Page 11 of 18 10/25/24 comp normal 19920 Co Rd 52 La Salle 10/25/24 cancel normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley 10/28/24 comp normal 19920 Co Rd 52 La Salle 10/28/24 comp normal Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Weld - NFR (North Front Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Eye Care Center - 1400 Dry Weld - NFR Creek Dr: 1400 Dry Creek Dr (North Front Longmont Range) Weld - NFR 19920 Co Rd 52 La Salle (North Front Range) Fresenius Kidney Care - 1212 9th Weld - NFR St: 1212 9th St Greeley (North Front Range) Weld - NFR (North Front Range) Fresenius Kidney Care - 1212 9th St: 1212 9th St Greeley Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley 10/29/24 comp normal 19920 Co Rd 52 La Salle Eye Care Center - 1400 Dry 10/29/24 comp normal Creek Dr: 1400 Dry Creek Dr Longmont 10/30/24 comp normal 19920 Co Rd 52 La Salle 10/30/24 comp normal Fresenius Kidney Care - 1212 9th 19920 Co Rd 52 La Salle St: 1212 9th St Greeley Oldham Renee (12769) Date Status Provider Pick-up Location 10/17/24 comp normal 1845 Laurus Ln Johnstown UCHealth Neurology Clinic - 10/17/24 cancel normal Loveland: 2695 Rocky Mountain 1845 Laurus Ln Johnstown Ave Loveland Richle Marianne (11515) Date Status Provider Pick-up Location 10/16/24 comp 10/23/24 comp 10/23/24 comp 11/5/24, 11:13 AM Drop-off Location Safeway - 1535 Main St: 1535 Weld NFR normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Range) Safeway - 1535 Main St: 1535 Weld - NFR normal 705 Country Acres Dr Johnstown Main St Windsor (North Front Range) Weld - NFR Safeway - 1535 Main St: 1535 705 Country Acres Dr Johnstown (North Front Main St Windsor normal Range) Drop-off Location Medicaid number: No Dialysis 6.20 5.94 16.40 Dialysis 0.00 6.00 Dialysis 6.00 5.94 19.33 Dialysis 6.50 6.00 24.92 Vision 34.90 34.31 54.52 Vision 49.50 34.41 86.60 Dialysis 6.10 5.94 14.53 Dialysis 13.90 6.00 30.85 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Neurology Clinic - Weld - NFR Loveland: 2695 Rocky Mountain (North Front Ave Loveland Range) Weld - NFR Medical 10.20 9.79 41.15 (North Front Medical 0.00 9.47 Range) Medicaid number: no Total trips: 3 Fund Purpose Trips Distance Actual Time Shared Direct Employment 12.10 17.00 34.93 Employment 29.37 17.00 66.43 Employment 18.08 17.38 31.92 Page 12 of 18 Scheneman Jeanie (11426) Date Status Provider Pick-up Location 10/04/24 comp normal 3235 Carlson Blvd Johnstown 10/04/24 comp normal Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland (North Front Personal Range) Walmart - 1325 N Denver Ave: Weld - NFR 1325 N Denver Ave Loveland 3235 Carlson Blvd Johnstown (North Front Personal Range) Smith Jacqueline (12677) Date Status Provider Pick-up Location Rocky Mountain Physical Therapy 10/14/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 10/15/24 comp normal 2539 Siskin Wy Johnstown Rocky Mountain Physical Therapy 10/15/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown 10/17/24 comp normal 2539 Siskin Wy Johnstown Rocky Mountain Physical Therapy 10/17/24 comp normal - 111 W South 1st St - Ste A: 111 W South 1st St Johnstown Speaker Anthony (12725) Date Status Provider Pick-up Location 10/21/24 comp normal 10/21/24 comp normal 10/28/24 comp normal 10/28/24 comp normal 11/5/24, 11:13 AM 3240 47th Ave Greeley Drop-off Location Medicaid number: no Fund Weld - NFR 2539 Siskin Wy Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 2539 Siskin Wy Johnstown (North Front Range) Rocky Mountain Physical Therapy Weld - NFR - 111 W South 1st St - Ste A: 111 (North Front W South 1st St Johnstown Range) Weld - NFR 2539 Siskin Wy Johnstown (North Front Range) Drop-off Location 10.00 10.10 24.35 40.10 10.08 82.08 Total trips: 5 Purpose Trips Distance Actual Time Shared Direct Therapy Therapy Therapy Therapy Therapy 2.10 1.89 14.97 2.00 1.89 13.73 2.00 1.89 11.97 2.20 1.89 12.03 2.00 1.89 13.17 Medicaid number: None Total trips: 4 High Plains Library - 1939 61st Ave: 1939 61st Ave Greeley High Plains Library - 1939 61st 3240 47th Ave Greeley Ave: 1939 61st Ave Greeley 3240 47th Ave Greeley High Plains Library - 1939 61st Ave: 1939 61st Ave Greeley High Plains Library - 1939 61st Ave: 1939 61st Ave Greeley 3240 47th Ave Greeley Fund Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Purpose Trips Distance Actual Time Shared Direct Education Education Education Education 3.00 2.92 11.38 4.80 2.93 17.43 15.40 2.92 10.08 2.90 2.93 15.92 Page 13 of 18 Range) Thomas Susan (12684) Date Status Provider Pick-up Location 10/31/24 comp normal 234 S Tamera Ave Milliken UCHealth Family Medicine - 10/31/24 comp normal Greeley: 6767 W 29th St Greeley 234 S Tamera Ave Milliken Wagner Kayden (12737) Date Status Provider Pick-up Location 10/04/24 comp 10/04/24 comp 10/09/24 comp 10/17/24 comp Drop-off Location Drop-off Location Medicaid number: no Fund UCHealth Family Medicine - Weld - NFR Greeley: 6767 W 29th St Greeley (North Front Range) Weld - NFR (North Front Range) Purpose Medical Medical Medicaid number: 6158327 Fund Purpose Family Walk In Clinic 2928 W Weld - NFR normal 968 W Union Ave La Salle 10th st: 2928 W 10th st greeley (North Front Range) Family Walk In Clinic 2928 W Weld - NFR normal 10th st: 2928 W 10th st greeley 968 W Union Ave La Salle (North Front Range) Weld - NFR normal 968 W Union Ave La Salle Linc Library: 510 8th Ave Greeley (North Front Range) Weld - NFR normal 968 W Union Ave La Salle Linc Library: 510 8th Ave Greeley (North Front Range) Weins John (48251) Date Status Provider Pick-up Location 10/01/24 comp normal 8331 E CO Rd 16 Johnstown 10/01/24 comp normal 10/02/24 comp normal 8331 E CO Rd 16 Johnstown 10/02/24 comp normal 11/5/24, 11:13 AM Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Drop-off Location Medical Medical Personal Education Total trips: 2 Trips Distance Actual Time Shared Direct 10.50 9.20 19.63 9.50 9.20 21.03 Total trips: 4 Trips Distance Actual Time Shared Direct 7.90 8.42 22.85 8.10 8.29 24.95 6.90 6.71 19.28 7.70 6.71 23.67 Medicaid number: No Total trips: 27 Fund Purpose Trips Distance Actual Time Shared Direct Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Weld - NFR (North Front Meal (Senior) 4.60 4.53 15.58 Range) Weld - NFR Senior (North Front ResourcesiServic 5.30 4.53 19.28 Range) elConnections Weld - NFR Senior (North Front Resources IServic 4.60 4.53 13.82 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.53 13.65 Range) elConnections Page 14 of 18 10/04/24 comp normal 8331 E CO Rd 16 Johnstown 10/04/24 comp normal 10/09/24 comp normal 8331 E CO Rd 16 Johnstown 10/09/24 comp normal 10/11/24 comp normal 8331 E CO Rd 16 Johnstown 10/11/24 comp normal 10/14/24 comp normal 8331 E CO Rd 16 Johnstown 10/14/24 comp normal 10/16/24 comp normal 8331 E CO Rd 16 Johnstown 10/16/24 comp normal 10/18/24 comp normal 8331 E CO Rd 16 Johnstown 10/18/24 comp normal 10/21/24 comp normal 8331 E CO Rd 16 Johnstown 10/21/24 comp normal 10/22/24 comp normal 8331 E CO Rd 16 Johnstown 10/22/24 comp normal 10/23/24 comp normal 8331 E CO Rd 16 Johnstown 10/23/24 comp normal 10/25/24 comp normal 8331 E CO Rd 16 Johnstown 11/5/24, 11:13 AM Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken Weld - NFR Senior (North Front Resources IServic 7.60 7.38 22.58 Range) elConnections Weld - NFR Senior (North Front Resources)Servic 14.70 7.38 43.52 Range) e(Connections Weld - NFR Senior (North Front ResourcesIServic 4.60 4.53 17.38 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 5.10 4.53 28.03 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 0.00 7.38 2.42 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 7.50 7.38 15.82 Range) e(Connections Weld - NFR Senior (North Front ResourcesiServic 7.50 4.53 22.97 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 27.70 7.38 56.50 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.00 4.53 13.02 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 4.90 4.53 28.68 Range) elConnections Weld - NFR (North Front Meal (Senior) 7.70 7.38 26.13 Range) Weld - NFR (North Front Meal (Senior) 9.60 7.38 25.87 Range) Weld - NFR Senior (North Front Resources IServic 7.70 7.38 27.35 Range) elConnections Weld - NFR Senior (North Front ResourcesiServic 10.30 7.38 30.65 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 4.90 4.53 17.45 Range) elConnections Weld - NFR Senior (North Front ResourcesIServic 16.00 4.53 13.53 Range) e'Connections Weld - NFR Senior (North Front ResourcesIServic 4.53 4.53 15.62 Range) e'Connections Weld - NFR Senior (North Front Resources(Servic 4.50 4.53 10.87 Range) e(Connections Weld - NFR Senior (North Front ResourcesIServic 7.50 7.38 20.72 Page 15 of 18 10/25/24 comp normal 10/28/24 comp normal 10/30/24 comp normal 10/30/24 comp normal Milliken Senior Center: 1101 Broad St Milliken 8331 E CO Rd 16 Johnstown 8331 E CO Rd 16 Johnstown Johnstown Senior Center: 101 Charlotte St Johnstown Wind Quintln (48304) Date Status Provider Pick-up Location 10/01/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/01/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/02/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/02/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/03/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/03/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/07/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/07/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/08/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/08/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/09/24 comp normal 294 Holden Ln Johnstown 10/09/24 comp normal Easterseals Northern Colorado 8331 E CO Rd 16 Johnstown Milliken Senior Center: 1101 Broad St Milliken Johnstown Senior Center: 101 Charlotte St Johnstown 8331 E CO Rd 16 Johnstown Drop-off Location Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Weld - NFR Senior (North Front ResourcesIServic Range) elConnections Medicaid number: Yes Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Fund Purpose • Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Medical Range) Weld - NFR Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day 9.50 7.38 23.18 9.20 7.38 32.43 4.60 4.53 15.18 4.60 4.53 18.03 Total trips: 37 Trips Distance Actual Time Shared Direct 12.50 12.66 21.85 15.20 12.53 40.65 13.00 12.66 26.03 15.60 12.53 38.33 12.50 12.66 25.80 14.30 12.53 36.18 12.50 12.66 40.57 28.20 12.53 59.68 11.50 12.66 26.40 12.50 12.53 33.75 12.50 12.66 25.38 12.80 12.53 40.23 11/5/24, 11:13 AM Page 16 of 18 Program (Wings): 1327 W Eisenhower Blvd Loveland 10/10/24 comp normal 270 Holden Ln Johnstown Easterseals Northern Colorado 10/10/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/14/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/14/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/15/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/15/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/16/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/16/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/17/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/17/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/21/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/21/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/22/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/22/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/23/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/23/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 10/24/24 comp normal 294 Holden Ln Johnstown Easterseals Northern Colorado 10/24/24 comp normal Program (Wings): 1327 W Eisenhower Blvd Loveland 11/5/24, 11:13 AM Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care At a RespitedulDCare Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.50 12.65 20.75 0.00 12.53 0.12 12.50 12.66 23.12 13.10 12.53 34.67 12.50 12.66 28.38 13.30 12.53 39.83 12.50 12.66 30.80 18.70 12.53 57.45 12.60 12.66 23.12 13.50 12.53 31.30 17.40 12.66 42.77 11.90 12.53 25.25 12.60 12.66 26.68 11.80 12.53 26.38 12.66 12.66 26.58 29.87 12.53 54.23 12.80 12.66 24.27 11.80 12.53 35.87 Page 17 of 18 10/28/24 comp normal 294 Holden Ln Johnstown 10/28/24 comp normal 10/29/24 comp normal 10/30/24 comp normal 294 Holden Ln Johnstown 10/30/24 comp normal 10/31/24 comp normal 294 Holden Ln Johnstown 10/31/24 comp normal Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Easterseals Northern Colorado Program (Wings): 1327 W Eisenhower Blvd Loveland 294 Holden Ln Johnstown Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Weld - NFR (North Front Range) Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care Adult Day Respite Care 12.60 12.66 34.57 29.70 12.53 64.85 12.50 12.53 33.37 12.50 12.66 22.57 12.40 12.53 27.03 12.50 12.66 27.30 14.60 12.53 39.05 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 25 252 2966.48 2681.75 119.70 307 11/5/24, 11:13 AM Page 18 of 18 Client Trip by Funding Source Y/N Mobility for Life Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Date range: 08/01/2023 - 08/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 13. Operational days: 11. Selected weekdays: All. Lutes James (10912) Medicaid number: no Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld - UFR 08/15/23 comp normal 7420 County Road 49 Hudson (Upper Front Medical 2 29.80 29.80 56.05 W 29th St Greeley Range) UCHealth Greeley Hospital: 6767 Weld - UFR 08/15/23 comp normal W 29th St Greeley 7420 County Road 49 Hudson (Upper Front Medical 2 30.10 29.77 44.12 Range) Salazar Yrineo (10908) Medicaid number: No Total trips: 9 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 08/18/23 comp normal 08/21/23 comp normal 08/22/23 comp normal 08/23/23 comp normal 08/24/23 comp normal 08/28/23 comp normal 08/29/23 comp normal 08/30/23 comp normal 08/31/23 comp normal 9/5/23, 2:42 PM Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Weld - UFR (Upper Front Employment 16.10 15.37 31.63 Range) Weld - UFR (Upper Front Employment 15.50 15.37 33.18 Range) Weld - UFR (Upper Front Employment 15.37 15.37 30.65 Range) Weld - UFR (Upper Front Employment 15.30 15.37 31.27 Range) Weld - UFR (Upper Front Employment 15.30 15.37 30.38 Range) Weld - UFR (Upper Front Employment 15.30 15.37 26.42 Range) Weld - UFR (Upper Front Employment 15.30 15.37 29.22 Range) Weld - UFR (Upper Front Employment 15.30 15.37 37.53 Range) Weld - UFR (Upper Front Employment 15.30 15.37 28.23 Page 1 of 2 Range) Schoneman Norine (48654) Date Status Provider Pick-up Location Drop-off Location 08/17/23 comp normal 1103 Division St Platteville 08/17/23 comp normal Eagle Vision: 2080 Main St Longmont Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Eagle Vision: 2080 Main St Weld UFR Longmont (Upper Front Vision Range) Weld - UFR 1103 Division St Platteville (Upper Front Vision Range) 15.60 15.38 25.17 15.40 15.36 26.18 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 3 13 229.67 228.64 7.17 15 9/5/23, 2:42 PM Page 2 of 2 Granger Mary (10913) Date Status Provider Pick-up Location Drop -oft Location Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobll/ry for Uk Date range: 09/01/2023 - 09/30/2023. Trip's statuses to select: comp. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 20. Operational days: 16. Selected weekdays: All. Medicaid number: no Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Orthopedic & Spine Center of the Weld - UFR 09/22/23 comp normal 7420 County Road 49 Hudson Rockies: 1900 16th St F3 Greeley (Upper Front Range) Orthopedic & Spine Center of the Weld - UFR 09/22/23 comp normal Rockies: 1900 16th St F3 Greeley 7420 County Road 49 Hudson (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld -UFR 09/26/23 comp normal 7420 County Road 49 Hudson W 29th St Greeley (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld - UFR 09/26/23 comp normal W 29th St Greeley 7420 County Road 49 Hudson (Upper Front Range) Salazar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 09/01/23 comp normal 09/05/23 comp normal 09/07/23 comp normal 09/08/23 comp normal 09/12/23 comp normal 09/13/23 comp normal 09/14/23 comp normal 10/3/23, 11:37 AM Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medical Medical Medical Medical 27.50 26.47 64.50 28.10 26.47 97.28 29.80 29.80 36.28 31.10 29.77 41.47 Medicaid number: No Total trips: 15 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 15.30 15.37 26.93 Range) Weld - UFR (Upper Front Employment 15.20 15.37 32.17 Range) Weld - UFR (Upper Front Employment 15.30 15.37 24.03 Range) Weld - UFR (Upper Front Employment 15.20 15.37 36.12 Range) Weld - UFR (Upper Front Employment 15.30 15.37 27.22 Range) Weld - UFR (Upper Front Employment 16.80 15.37 34.08 Range) Weld - UFR (Upper Front Employment 15.20 15.37 24.75 Page 1 of 2 09/15/23 comp normal 09/19/23 comp normal 09/20/23 comp normal 09/21/23 comp normal 09/22/23 comp normal 09/26/23 comp normal 09/27/23 comp normal 09/28/23 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville VanDop Robert (11179) Date Status Provider Pick-up Location Drop-off Location 09/29/23 comp normal 110 A St Ault Range) Weld - UFR (Upper Front Employment 0.00 15.37 0.45 Range) Weld - UFR (Upper Front Employment 15.90 15.37 28.52 Range) Weld - UFR (Upper Front Employment 16.40 15.37 29.10 Range) Weld - UFR (Upper Front Employment 15.30 15.37 25.13 Range) Weld - UFR (Upper Front Employment 15.40 15.37 26.90 Range) Weld - UFR (Upper Front Employment 15.20 15.37 27.15 Range) Weld - UFR (Upper Front Employment 15.40 15.37 28.97 Range) Weld - UFR (Upper Front Employment 15.20 15.37 26.70 Range) Medicaid number: No Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Americas Best Value Inn & Weld - UFR Suites: 4333 E Mulberry St Fort (Upper Front Personal Collins Range) 14.20 14.08 32.03 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 10/3/23, 11:37 AM Page 2 of 2 3 20 347.80 357.14 11.16 20 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. ( a MobiUty for L. Date range: 10/01/2023 - 10/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Brill June (11126) Date Status Provider Pick-up Location 10/17/23 comp normal 4621 Grand Canyon Dr Greeley 10/17/23 comp normal 10/18/23 noshow normal 10/20/23 comp normal 4621 Grand Canyon Dr Greeley 10/20/23 comp normal 10/23/23 comp normal 4621 Grand Canyon Dr Greeley 10/23/23 comp normal 10/24/23 cancel normal 10/25/23 comp normal 4621 Grand Canyon Dr Greeley 10/25/23 comp normal 10/27/23 comp normal 4621 Grand Canyon Dr Greeley 10/27/23 comp normal 10/30/23 comp normal 10/30/23 comp normal 11/1/23, 11:38 AM Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Orthopedic & Spine Center of the Rockies - Greeley -Ste F3: 1900 16th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: Weld - UFR (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Medical Range) Weld - UFR (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR (Upper Front Therapy Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Therapy Range) Weld - UFR (Upper Front Therapy Range) Weld - UFR Therapy Drop-off Location Provider types: Normal. Total trips: 54. Operational days: 21. Selected weekdays: All. Medicaid number: no Total trips: 14 Fund Purpose Trips Distance Actual Time Shared Direct Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley 8.40 5.95 44.42 5.30 5.95 22.60 0.00 4.78 4.90 4.62 24.25 4.60 4.78 29.80 4.70 4.62 21.00 8.90 4.78 84.85 0.00 7.52 6.90 4.62 24.68 10.20 4.78 75.60 4.60 4.62 19.70 4.60 4.78 31.90 4.60 4.62 24.97 4.90 4.78 21.80 Page 1 of 5 4617 W 20th St Greeley Cochran Doris (53918) Date Status Provider Pick-up Location Drop-off Location (Upper Front Range) Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR 10/04/23 comp normal 459 Stevens Cir Platteville 421 15th St Greeley (Upper Front Personal Range) Weld - UFR 10/04/23 comp normal 421 15th St Greeley 459 Stevens Cir Platteville (Upper Front Personal Range) Walmart - 2514 Main St: 2514 Weld UFR 10/13/23 comp normal 459 Stevens Cir Platteville Main St Longmont (Upper Front Grocery Range) Walmart - 2514 Main St: 2514 Weld - UFR 10/13/23 comp normal Main St Longmont 459 Stevens Cir Platteville (Upper Front Grocery Range) Epp'. Allison (11206) Date Status Provider Pick-up Location Drop-off Location 20.80 17.49 49.02 15.30 17.48 26.25 16.40 16.32 30.30 16.70 16.36 31.65 Medicaid number: no Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR 10/17/23 comp normal 350 N Cedar St Keenesburg 126 E Bridge St Brighton (Upper Front Personal Range) Papa Johns Pizza Ste -B: 126 W Weld - UFR 10/17/23 comp normal Bridge St Brighton 350 N Cedar St Keenesburg (Upper Front Personal Range) Chipotle Mexican Grill: 2046 Weld - UFR 10/26/23 comp normal 350 N Cedar St Keenesburg (Upper Front Personal Prairie Center Pkwy Brighton Range) Chipotle Mexican Grill: 2046 Weld - UFR 10/26/23 comp normal prairie Center Pkwy Brighton 350 N Cedar St Keenesburg (Upper Front Personal Range) Gasiorowski Emma (49254) Date Status Provider Pick-up Location Drop-off Location 21.20 21.52 47.98 20.50 22.00 30.77 18.90 19.00 23.08 18.90 18.90 23.00 Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Platte Valley Medical Plaza: 1600 Weld - UFR 10/13/23 comp normal 1109 Lantern Dr Fort Lupton (Upper Front Medical Prairie Center Pkwy Brighton Range) Platte Valley Medical Plaza: 1600 Weld - UFR 10/13/23 comp normal prairie Center Pkwy Brighton 1109 Lantern Dr Fort Lupton (Upper Front Medical Range) 11/1/23, 11:38 AM 13.00 12.70 27.95 13.00 12.32 31.50 Page 2 of 5 Granger Mary (10913) Date Status Provider Pick-up Location 10/27/23 comp normal 7420 County Rd 49 Hudson 10/27/23 comp normal St Michael's Town Square: 6500 7420 County Rd 49 Hudson W 29th St Greeley Mireles Mary (11162) Date Status Provider Pick-up Location 10/03/23 comp 10/03/23 comp 10/09/23 comp 10/09/23 comp 10/16/23 comp 10/16/23 comp normal 302 S Mckinley Ave Fort Lupton Platte Valley Medical Center: normal 1610 Prairie Center Pkwy Brighton normal 302 S Mckinley Ave Fort Lupton Platte Valley Medical Center: normal 1610 Prairie Center Pkwy Brighton normal 302 S Mckinley Ave Fort Lupton normal Platte Valley Pharmacy: 1606 Prairie Center Pkwy Brighton Reymann Shirley (48466) Data Status Provider Pick-up Location 10/16/23 comp normal 1222 Vine St Gilcrest 10/16/23 comp normal Drop-off Location Drop-off Location Medicaid number: no Fund St Michael's Town Square: 6500 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Platte Valley Medical Center: 1610 Prairie Center Pkwy Brighton 302 S Mckinley Ave Fort Lupton Platte Valley Medical Center: 1610 Prairie Center Pkwy Brighton 302 S Mckinley Ave Fort Lupton Platte Valley Pharmacy: 1606 Prairie Center Pkwy Brighton 302 S Mckinley Ave Fort Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Medical 29.80 29.63 41.85 Medical 29.90 29.61 37.73 Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Medical 0.20 11.62 11.15 Medical 10.50 11.18 26.65 Medical 11.90 11.62 38.72 Medical 10.40 11.18 38.85 Medical 11.90 11.65 32.92 Medical 12.00 11.16 32.67 Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld UFR W 29th St Greeley (Upper Front Medical 10.10 10.20 24.33 Range) UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley 1222 Vine St Gilcrest (Upper Front Medical 10.70 10.21 31.22 Range) 11/1/23, 11:38 AM Page 3 of 5 Salazar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 10/02/23 comp normal 10/03/23 comp normal 10/04/23 comp normal 10/05/23 comp normal 10/06/23 comp normal 10/10/23 comp normal 10/11/23 comp normal 10/12/23 comp normal 10/18/23 comp normal 10/20/23 comp normal 10/23/23 comp normal 10/24/23 comp normal 10/25/23 comp normal 10/27/23 comp normal 10/30/23 comp normal 10/31/23 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medicaid number: No Total trips: 16 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 0.00 15.37 0.40 Range) Weld - UFR (Upper Front Employment 19.70 15.37 42.87 Range) Weld - UFR (Upper Front Employment 16.60 15.37 33.20 Range) Weld - UFR (Upper Front Employment 18.40 15.37 37.65 Range) Weld - UFR (Upper Front Employment 15.37 15.37 26.92 Range) Weld - UFR (Upper Front Employment 15.50 15.37 34.23 Range) Weld - UFR (Upper Front Employment 15.30 15.37 31.87 Range) Weld - UFR (Upper Front Employment 15.40 15.37 26.52 Range) Weld - UFR (Upper Front Employment 15.20 15.37 25.80 Range) Weld - UFR (Upper Front Employment 16.90 15.37 38.93 Range) Weld - UFR (Upper Front Employment 15.20 15.37 29.75 Range) Weld - UFR (Upper Front Employment 15.20 15.37 29.90 Range) Weld - UFR (Upper Front Employment 15.30 15.37 42.97 Range) Weld - UFR (Upper Front Employment 15.40 15.37 31.25 Range) Weld - UFR (Upper Front Employment 15.20 15.37 30.98 Range) Weld - UFR (Upper Front Employment 15.20 15.37 29.57 Range) 11/1/23, 11:38 AM Page 4 of 5 VanDop Robert (11179) Date Status Provider Pick-up Location Medicaid number: No Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Weld County CSU Extension: 525 Weld - UFR 10/20/23 comp normal 110 A St Ault N 15th Ave Greeley (Upper Front Personal 10.90 10.87 21.57 Range) Weld County CSU Extension: 525 Weld - UFR 10/20/23 comp normal N 15th Ave Greeley 110 A St Ault (Upper Front Personal 11.20 10.90 45.12 Range) Warne Chelsea (11299) Medicaid number: yes P655O29 Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical Weld - UFR 10/31/23 comp normal 510 12th St Gilcrest Center: 1801 16th St Greeley (Upper Front Medical 11.60 11.73 42.93 Range) Banner North Colorado Medical Weld - UFR 10/31/23 comp normal Center: 1801 16th St Greeley 510 12th St Gilcrest (Upper Front Medical 12.40 11.72 44.13 Range) Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 11/1/23, 11:38 AM Page 5 of 5 10 54 670.67 684.49 28.50 54 Client Trip by Funding Source YIN Mobility for Life Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Date range: 11/01/2023 - 11/30/2023. Trip's statuses to select: comp, noshow. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 57. Operational days: 17. Selected weekdays: All. Bauer Katherine (11377) Date Status Provider Pick-up Location 11/10/23 comp normal 22517 County Rd 76 Eaton Blea Jake (10852) Date Status Provider Pick-up Location 11/02/23 comp normal 11/02/23 comp normal 11/06/23 comp normal 11/06/23 comp normal 11/28/23 comp normal 11/28/23 comp normal 11/30/23 comp normal 11/30/23 comp normal 214 Birch Ave Ault UCHealth Greeley Hospital: 6767 W 29th St Greeley 214 Birch Ave Ault Walmart Supercenter: 920 47th Ave Greeley 214 Birch Ave Ault UCHealth Greeley Hospital: 6767 W 29th St Greeley 214 Birch Ave Ault UCHealth Greeley Hospital: 6767 214 Birch Ave Ault W 29th St Greeley UCHealth Greeley Hospital: 6767 W 29th St Greeley Walmart Supercenter: 920 47th Ave Greeley Drop-off Location Medicaid number: no Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Foot & Ankle Center - 1931 65th Weld UFR Ave: 1931 65th Ave Greeley (Upper Front Range) Medicaid number: No Drop-off Location UCHealth Greeley Hospital: 6767 W 29th St Greeley Medical 17.50 18.56 58.62 Total trips: 8 Fund Purpose Trips Distance Actual Time Weld - UFR (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Shared Direct Medical 16.30 19.34 34.58 Medical 15.90 19.43 29.50 Grocery 14.10 15.46 21.07 Grocery 15.10 15.55 26.05 Medical 15.90 19.34 29.53 Medical 16.10 19.43 29.95 Medical 15.90 19.34 29.20 Medical 15.90 19.43 31.88 12/4/23, 10:38 AM Page 1 of 5 Brill June (1,1126) Date Status Provider Pick-up Location 11/01/23 comp normal 4621 Grand Canyon Dr Greeley 11/01/23 comp normal 11/01/23 comp normal 11/03/23 comp normal 4621 Grand Canyon Dr Greeley 11/03/23 comp normal 11/06/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 11/06/23 comp normal 11/08/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 11/08/23 comp normal 11/10/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 11/10/23 comp normal 11/13/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 11/13/23 comp normal Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 11/14/23 comp normal 4621 Grand Canyon Dr Greeley Orthopedic & Spine Center of the 11/14/23 comp normal Rockies - Greeley -Ste F3: 1900 16th St Greeley 11/17/23 comp normal 4621 Grand Canyon Dr Greeley 11/17/23 comp normal 12/4/23, 10:38 AM Select Physical Therapy - Ste A: 4617 W 20th St Greeley Weld - UFR (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Select Physical Therapy Ste A: Weld - UFR 4617W 20th St Greeley (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Orthopedic & Spine Center of the Weld - UFR Rockies - Greeley -Ste F3: 1900 (Upper Front 16th St Greeley Range) Weld - UFR 4621 Grand Canyon Dr Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Select Physical Therapy - Ste A: 4617 W 20th St Greeley Drop-off Location Medicaid number: no Fund Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Total trips: 25 Purpose Trips Distance Actual Time Shared Direct Therapy Medical Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Therapy Medical Medical Therapy Therapy 4.50 4.62 29.38 4.80 4.78 19.20 10.60 4.78 75.55 4.60 4.62 16.85 4.40 4.78 22.03 7.20 4.62 29.52 4.60 4.78 25.90 4.80 4.62 17.08 5.40 4.78 21.78 4.60 4.62 21.92 4.60 4.78 23.93 4.60 4.62 18.03 4.60 4.78 30.48 5.40 7.62 30.97 5.70 7.52 22.85 4.60 4.62 17.93 8.80 4.78 41.73 Page 2 of 5 11/20/23 comp 11/20/23 comp normal 11/21/23 comp normal 4621 Grand Canyon Dr Greeley Orthopedic & Spine Center of the 11/21/23 comp normal Rockies - Greeley -Ste F3: 1900 16th St Greeley 11/22/23 comp normal 4621 Grand Canyon Dr Greeley 11/22/23 comp normal 11/29/23 comp normal 4621 Grand Canyon Dr Greeley 11/29/23 comp normal normal 4621 Grand Canyon Dr Greeley Select Physical Therapy Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Orthopedic & Spine Center of the Rockies - Greeley -Ste F3: 1900 16th St Greeley 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Select Physical Therapy - Ste A: 4617 W 20th St Greeley Select Physical Therapy Ste A: 4621 Grand Canyon Dr Greeley 4617 W 20th St Greeley Cochran Doris (53918) Date Status Provider Pick-up Location 11/15/23 comp normal 459 Stevens Cir Platteville 11/15/23 comp normal Walmart - 2514 Main St: 2514 459 Stevens Cir Platteville Main St Longmont Granger Mary (10913) Date Status Provider Pick-up Location 11/21/23 comp normal 7420 County Rd 49 Hudson 11/21/23 comp normal All Ears Hearing: 5626 W 19th St 7420 County Rd 49 Hudson Greeley Drop-off Location Drop-off Location Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Walmart - 2514 Main St: 2514 Weld - UFR Main St Longmont (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund All Ears Hearing: 5626 W 19th St Weld - UFR Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Therapy Therapy Medical Medical Therapy Therapy Therapy Therapy Purpose Grocery Grocery Purpose Medical Medical 4.60 4.62 20.28 4.60 4.78 16.53 5.40 7.62 19.70 5.20 5.34 16.83 6.70 4.62 24.82 5.40 4.78 25.92 4.60 4.62 17.28 4.60 4.78 18.35 Total trips: 2 Trips Distance Actual Time Shared Direct 16.40 16.32 30.80 16.80 16.36 37.48 Total trips: 2 Trips Distance Actual Time Shared Direct 29.80 29.77 40.47 54.10 29.78 76.47 12/4/23, 10:38 AM Page 3 of 5 Salagar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 11/01/23 comp normal 11/02/23 comp normal 11/03/23 comp normal 11/06/23 comp normal 11/08/23 comp normal 11/10/23 comp normal 11/13/23 comp normal 11/14/23 comp normal 11/15/23 comp normal 11/16/23 comp normal 11/17/23 comp normal 11/28/23 comp normal 11/29/23 comp normal 11/30/23 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville VanDop Robert (11179) Date Status Provider Pick-up Location Drop-off Location 12/4/23, 10:38 AM Medicaid number: No Total trips: 14 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 15.30 15.37 29.67 Range) Weld - UFR (Upper Front Employment 15.40 15.37 26.75 Range) Weld - UFR (Upper Front Employment 15.30 15.37 25.78 Range) Weld - UFR (Upper Front Employment 10.00 15.37 38.38 Range) Weld - UFR (Upper Front Employment 15.20 15.37 30.30 Range) Weld - UFR (Upper Front Employment 15.50 15.37 26.42 Range) Weld - UFR (Upper Front Employment 15.20 15.37 23.63 Range) Weld - UFR (Upper Front Employment 15.20 15.37 29.12 Range) Weld - UFR (Upper Front Employment 15.20 15.37 26.30 Range) Weld - UFR (Upper Front Employment 15.30 15.37 28.82 Range) Weld - UFR (Upper Front Employment 15.30 15.37 25.57 Range) Weld - UFR (Upper Front Employment 15.50 15.37 26.38 Range) Weld - UFR (Upper Front Employment 15.20 15.37 30.35 Range) Weld - UFR (Upper Front Employment 15.37 15.37 32.45 Range) Medicaid number: No Fund Total trips: 1 Purpose Trips Distance Actual Time Shared Direct Page 4 of 5 11/16/23 comp normal 110 A St Ault UC Health - 2121 E Harmony: Weld - UFR 2121 E Harmony Ft Collins (Upper Front Medical Range) 20.30 22.56 35.03 Warne Chelsea (11299) Medicaid number: yes P655029 Total trips: 4 Date Status Provider Pickup Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 11/03/23 comp normal 510 12th St Gilcrest Center: 1801 16th St Greeley 11/03/23 comp normal Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley Banner North Colorado Medical Banner North Colorado Medical 11/17/23 comp normal 510 12th St Gilcrest Center: 1801 16th St Greeley 11/17/23 comp normal Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley 12/4/23, 10:38 AM Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical 12.80 11.73 115.27 11.60 11.72 45.72 15.50 11.73 53.30 11.70 11.72 38.27 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 5 of 5 8 57 675.57 669.63 29.80 57 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for UM Date range: 12/01/2023 - 12/31/2023. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Blea Jake (10852) Date Status Provider Pick-up Location Drop-off Location Walmart Supercenter - 3101 S 12/05/23 comp normal 214 Birch Ave Ault 23rd Ave: 3101 S 23rd Ave Greeley Walmart Supercenter - 3101 S 12/05/23 comp normal 23rd Ave: 3101 S 23rd Ave 214 Birch Ave Ault Greeley Brill June (11126) Date Status Provider Pick-up Location 12/06/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - 4617 W 12/06/23 comp normal 20th St - Ste A: 4617 W 20th St Greeley 12/13/23 comp normal 4621 Grand Canyon Dr Greeley Select Physical Therapy - 4617 W 12/13/23 comp normal 20th St - Ste A: 4617 W 20th St Drop-off Location Provider types: Normal. Total trips: 30. Operational days: 13. Selected weekdays: All. Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Grocery 17.10 15.82 32.55 Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Select Physical Therapy - 4617 W 20th St - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Select Physical Therapy - 4617 W 20th St - Ste A: 4617 W 20th St Greeley 4621 Grand Canyon Dr Greeley Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Greeley Range) Christensen Kasey (11500) Date Status Provider Pick-up Location Tommy's Barbers & Blades: 12/15/23 comp normal 13782 E I-25 Frontage Rd Longmont Drop-off Location Grocery 16.60 15.88 28.73 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Therapy 4.50 4.62 15.33 Therapy 5.40 4.78 18.35 Therapy 4.60 4.62 13.75 Therapy 5.40 4.78 20.10 Medicaid number: Y357027 Platteville Senior Center: 508 Reynolds Ave Platteville Fund Purpose Total trips: 1 Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 9.40 9.51 41.22 Range) 1/2/24, 2:20 PM Page 1 of 4 Cochran Doris (53918) Medicaid number: No Total trips: 3 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 2514 Main St: 2514 Weld - UFR 12/07/23 noshow normal 459 Stevens Cir Platteville Main St Longmont (Upper Front Grocery 0.00 16.32 Range) Walmart - 2514 Main St: 2514 Weld - UFR 12/08/23 comp normal 459 Stevens Cir Platteville Main St Longmont (Upper Front Grocery 16.40 16.32 24.13 Range) Walmart - 2514 Main St: 2514 Weld - UFR 12/08/23 comp normal Main St Longmont 459 Stevens Cir Platteville (Upper Front Grocery 16.90 16.36 38.97 Range) Eppie Allison (11206) Medicaid number: no Total trips: 1 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR 12/18/23 comp normal 350 N Cedar St Keenesburg 6616 W 10th St Greeley (Upper Front Personal 35.70 36.29 53.88 Range) Johnston Mark (11520) Medicaid number: no Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Weld County Sheriff Records #3: Weld UFR 12/22/23 comp normal 409 2nd St Pierce 1551 N 17th Ave Greeley (Upper Front Personal 14.10 15.72 23.80 Range) Weld County Sheriff Records #3: Weld - UFR 12/22/23 comp normal 1551 N 17th Ave Greeley 409 2nd St Pierce (Upper Front Personal 14.00 15.75 22.70 Range) Mirelez Mary (11162) Medicaid number: no Total trips: 4 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Platte Valley Medical Center: Weld - UFR 12/13/23 comp normal 302 S Mckinley Ave Ft Lupton 1610 Prairie Center Pkwy (Upper Front Medical 10.60 11.62 31.48 Brighton Range) Platte Valley Medical Center: Weld - UFR 12/13/23 comp normal 1610 Prairie Center Pkwy 302 S Mckinley Ave Ft Lupton (Upper Front Medical 11.50 11.18 29.77 Brighton Range) Cancer Center Of Colorado - 1606 Weld - UFR 12/26/23 comp normal 302 S Mckinley Ave Ft Lupton Prairie Center Pkwy - Ste 270: (Upper Front Medical 14.10 11.74 41.62 1/2/24, 2:20 PM Page 2 of 4 1606 Prairie Center Pkwy Brighton Range) Cancer Center Of Colorado - Weld - UFR 12/26/23 comp normal 1606 Prairie Center Pkwy - Ste 302 S Mckinley Ave Ft Lupton 270: 1606 Prairie Center Pkwy (Upper Front Medical 11.70 11.33 25.60 Brighton Range) Salazar Yrineo (10908) Medicaid number: No Total trips: 8 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Frederick High School: 5690 Weld - UFR 12/01/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 13.40 15.37 28.68 Range) Frederick High School: 5690 Weld - UFR 12/04/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.20 15.37 24.67 Range) Frederick High School: 5690 Weld - UFR 12/05/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.30 15.37 24.85 Range) Frederick High School: 5690 Weld - UFR 12/06/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.37 15.37 43.15 Range) Frederick High School: 5690 Weld - UFR 12/07/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.30 15.37 29.08 Range) Frederick High School: 5690 Weld - UFR 12/08/23 noshow normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 0.00 15.37 Range) Frederick High School: 5690 Weld - UFR 12/15/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.37 15.37 28.33 Range) Frederick High School: 5690 Weld - UFR 12/20/23 comp normal Tipple Pkwy Frederick 304 Disc Ln Platteville (Upper Front Employment 15.20 15.37 39.00 Range) VanDop Robert (11179) Medicaid number: No Total trips: 1 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Fort Collins Dental Group and Weld - UFR 12/28/23 comp normal Orthodontics: 2310 E Harmony 110 A St Ault (Upper Front Medical 19.90 21.21 36.05 Rd Ft Collins Range) 1/2/24, 2:20 PM Page 3 of 4 Warne Chelsea (11299). Date Status Provider Pick-up Location 12/01/23 comp normal 510 12th St Gilcrest 12/01/23 comp normal 12/15/23 comp normal 510 12th St Gilcrest 12/15/23 comp normal 1/2/24, 2:20 PM Banner North Colorado Medical Center: 1801 16th St Greeley Drop -of Location Medicaid number: P655O29 Fund Purpose Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Total trips: 4 Trips Distance Actual Time Shared Direct 11.50 11.73 34.97 12.10 11.72 41.02 11.60 11.73 39.25 12.60 11.72 47.45 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 4 of 4 10 30 380.84 413.71 14.64 30 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. 16i4 Mobility for L. Date range: 01/01/2024 - 01/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Cochran Doris (53918) Date Status Provider Pick-up Location Drop-off Location Provider types: Normal. Total trips: 37. Operational days: 18. Selected weekdays: All. Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct King Soopers - 6110 Firestone Weld - UFR 01/11/24 comp normal 459 Stevens Cir Platteville Blvd: 6110 Firestone Blvd (Upper Front Grocery 11.20 10.82 26.72 Firestone Range) King Soopers - 6110 Firestone Weld - UFR 01/11/24 comp normal Blvd: 6110 Firestone Blvd 459 Stevens Cir Platteville (Upper Front Grocery 12.30 11.06 24.68 Firestone Range) Epple Allison (11206) Medicaid number: no Total trips: 5 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR 01/03/24 comp normal 350 N Cedar St Keenesburg 6616 W 10th St Greeley (Upper Front Personal 35.90 36.29 48.33 Range) Weld - UFR 01/08/24 comp normal 350 N Cedar St Keenesburg 6616 W 10th St Greeley (Upper Front Personal 35.50 36.29 49.17 Range) Twin Rivers Apts: 6616 W 10th a Weld - UFR 01/17/24 comp normal 350 N Cedar St Keenesburg (Upper Front Personal 35.90 36.29 48.20 Greeley Range) Twin Rivers Apts: 6616 W 10th St Weld - UFR 01/19/24 cancel normal 350 N Cedar St Keenesburg Greeley (Upper Front Personal 0.00 36.29 Range) Weld County Human Service: 315 Weld - UFR 01/23/24 cancel normal 350 N Cedar St Keenesburg N 11th Ave Greeley (Upper Front Personal 0.00 32.67 Range) Granger Mary (10913) Medicaid number: no Total trips: 4 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Westlake Lodge Health and Weld - UFR 01/26/24 comp normal 7420 Co Rd 49 Hudson Rehabilitation -1637 29th Ave PI: (Upper Front Personal 28.40 27.82 89.58 1637 29th Ave PI Greeley Range) 2/7/24, 12:27 PM Page 1 of 4 Westlake Lodge Health and 01/26/24 comp normal Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson 1637 29th Ave PI Greeley 01/30/24 comp normal 7420 Co Rd 49 Hudson Silouettes Salon: 88 Main St Keenesburg 01/30/24 comp normal Silouettes Salon: 88 Main St 7420 Co Rd 49 Hudson Keenesburg Johnston Mark (11520) Date Status Provider Pick-up Location Drop-off Location Weld - UFR (Upper Front Personal Range) Weld - UFR (Upper Front Personal Range) Weld - UFR (Upper Front Personal Range) 28.00 27.83 33.22 7.10 5.07 27.30 5.07 5.07 14.68 Medicaid number: no Total trips: 3 Fund Purpose Trips Distance Actual Time Shared Direct CATS LLC - 2619 W 11th Street Weld - UFR 01/02/24 cancel normal Rd: 2619 W 11th Street Rd Independent Financial - 1130 8th (Upper Front Greeley Ave: 1130 8th Ave Greeley Range) Independent Financial - 1130 8th Weld - UFR 01/02/24 cancel normal Ave: 1130 8th Ave Greeley 409 2nd St Pierce (Upper Front Range) 01/24/24 cancel normal Banner North Colorado Medical 409 2nd St Pierce Weld - UFR Center: 1801 16th St Greeley (Upper Front Range) Mireiez Mary (11162) Date Status Provider Pick-up Location Drop-off Location Medicaid number: no Fund Personal Personal Medical 0.00 2.00 0.00 17.03 16.86 16.86 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Platte Valley Medical Center: Weld - UFR 01/19/24 comp normal 302 S Mckinley Ave Ft Lupton 1610 Prairie Center Pkwy (Upper Front Medical 66.20 11.62 102.03 Brighton Range) Platte Valley Medical Center: Weld - UFR 01/19/24 comp normal 1610 Prairie Center Pkwy 302 S Mckinley Ave Ft Lupton (Upper Front Medical 11.80 11.18 30.88 Brighton Range) Salazar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 01/09/24 comp normal 01/10/24 comp normal 01/11/24 comp normal 2/7/24, 12:27 PM Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medicaid number: No Total trips: 9 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment 15.20 15.37 46.02 15.20 15.37 25.93 15.40 15.37 24.42 Page 2 of 4 01/12/24 comp normal 01/23/24 comp normal 01/25/24 comp normal 01/26/24 comp normal 01/29/24 comp normal 01/31/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick VanDop Robert (11179) Date Status Provider Pick-up Location 01/03/24 comp normal 01/04/24 cancel normal 01/04/24 comp normal 01/05/24 comp normal 01/05/24 comp normal 01/09/24 comp normal 01/09/24 comp normal 01/11/24 comp normal 01/19/24 comp normal 01/30/24 comp normal 2/7/24, 12:27 PM Culver's: 918 S Lemay Ave Ft Collins UCHealth Poudre Valley Hospital: 110 A St Ault 1024 S Lemay Ave Ft Collins UCHealth Poudre Valley Hospital: 110 A St Ault 1024 S Lemay Ave Ft Collins 110 A St Ault UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins 110 A St Ault Safeway: 731 S Lemay Ave Ft Collins 110 A St Ault 110 A St Ault 110 A St Ault UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins 110 A St Ault UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Drop-off Location Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Employment Employment Employment Employment Employment Employment 15.20 15.37 33.67 15.20 15.37 42.02 15.20 15.37 27.05 15.30 15.37 34.97 15.20 15.37 44.80 14.10 15.37 36.32 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR 110 A St Ault (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 110 A St Ault (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Downtown Transit Center: 250 N Weld - UFR UCHealth Poudre Valley Hospital: 1024 S Lemay Ave Ft Collins Downtown Transit Center: 250 N Mason St Ft Collins Personal Medical Medical Medical Medical Medical Medical Medical Personal Personal 17.50 17.43 30.83 17.36 17.36 17.36 17.36 29.48 18.10 17.40 52.57 17.90 17.36 31.43 18.10 22.56 34.85 16.10 17.41 46.85 18.00 17.40 27.42 18.70 18.43 70.45 18.60 18.43 38.23 Page 3 of 4 Mason St Ft Collins Warne Chelsea (11299) Date Status Provider Pick-up Location Drop-off Location (Upper Front Range) Medicaid number: P655029 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical Weld - UFR 01/12/24 comp normal 510 12th St Gilcrest Center: 1801 16th St Greeley (Upper Front Medical Range) Banner North Colorado Medical Weld - UFR 01/12/24 comp normal Center: 1801 16th St Greeley 510 12th St Gilcrest (Upper Front Medical Range) 2/7/24, 12:27 PM 11.50 11.73 57.30 10.30 11.72 31.75 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 4 of 4 8 37 595.53 667.11 21.02 37 Bias Jake (10852) Date Status Provider Pick-up Location 02/08/24 comp normal 214 Birch Ave Ault 02/08/24 comp normal 02/23/24 comp normal 214 Birch Ave Ault 02/23/24 comp normal Walmart - 3101 S 23rd Ave: 3101 S 23rd Ave Greeley Cochran Doris (53918) Date Status Provider Pick-up Location 02/12/24 comp normal 02/12/24 comp normal 459 Stevens Cir Platteville Walmart - 2514 Main St: 2514 Main St Longmont 02/28/24 comp normal 459 Stevens Cir Platteville Open and affordable Dental - 02/28/24 comp normal 4275 city centre Rd: 4275 City centre Rd Firestone Eppie Allison (11206) Date Status Provider Pick-up Location 3/5/24, 2:19 PM UCHealth Greeley Hospital: 6767 214 Birch Ave Ault W 29th St Greeley Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIA• Mobility for We Date range: 02/01/2024 - 02/29/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 44. Operational days: 16. Selected weekdays: All. Medicaid number: No Total trips: 4 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Walmart - 3101 S 23rd Ave: 3101 Weld - UFR S 23rd Ave Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Drop-off Location Medicaid number: No Fund Walmart - 2514 Main St: 2514 Main St Longmont 459 Stevens Cir Platteville Open and affordable Dental - 4275 city centre Rd: 4275 City centre Rd Firestone 459 Stevens Cir Platteville Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Medical 15.80 19.34 29.57 Medical 15.90 19.43 28.05 Pharmacy 15.90 15.82 30.87 Pharmacy 37.60 15.88 86.97 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Personal 16.40 16.32 37.53 Personal 16.90 16.36 35.67 Dental 14.40 13.48 37.95 Dental 14.10 13.22 30.10 Purpose Trips Total trips: 6 Distance Actual Time Shared Direct Page 1 of 4 02/07/24 comp normal 02/07/24 comp normal 02/14/24 comp normal 02/26/24 comp normal 02/26/24 comp normal 02/29/24 comp normal 350 N Cedar St Keenesburg King Soopers - 100 N 50th Ave: 100 N 50th Ave Brighton Twin Rivers Apts: 6616 W 10th St Greeley Keene Clinic - 190 Main St: 190 Main St Keenesburg Culvers - 3502 W 29th St: 3502 W 29th St Greeley Twin Rivers Apts: 6616 W 10th St Greeley Granger Mary (10913) Date Status Provider Pick-up Location 02/02/24 comp 02/02/24 comp 02/02/24 comp 02/16/24 comp 02/16/24 comp 02/23/24 comp normal 7420 Co Rd 49 Hudson 02/23/24 comp normal 7420 Co Rd 49 Hudson Orthopedic & Spine Center of the normal Rockies - 1900 16th St - Ste F3: 1900 16th St Greeley Westlake Lodge Health and normal Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley normal 7420 Co Rd 49 Hudson Westlake Lodge Health and normal Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley King Soopers - 100 N 50th Ave: 100 N 50th Ave Brighton Weld - UFR (Upper Front Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Banner Health Clinic: 1800 15th Weld - UFR St Greeley (Upper Front Range) Twin Rivers Apts: 6616 W 10th St Weld - UFR (Upper Front Greeley Range) Twin Rivers Apts: 6616 W 10th St Weld UFR Greeley (Upper Front Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Drop-off Location Medicaid number: no Fund Orthopedic & Spine Center of the Rockies - 1900 16th St - Ste F3: 1900 16th St Greeley Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley 7420 Co Rd 49 Hudson Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley 7420 Co Rd 49 Hudson Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley Westlake Lodge Health and normal Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson 1637 29th Ave PI Greeley Mirelez Mary (11162) Date Status Provider Pick-up Location 02/20/24 comp normal 302 S Mckinley Ave Ft Lupton 3/5/24, 2:19 PM Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Grocery Grocery Personal Medical Personal Personal 16.40 16.66 17.90 16.80 17.05 22.10 4.90 4.49 15.13 36.70 36.52 48.68 5.40 5.03 17.35 35.10 36.35 47.00 Total trips: 7 Purpose Trips Distance Actual Time Shared Direct Medical Personal Personal Personal Personal Personal Personal 26.80 26.85 35.38 1.20 1.06 11.60 29.00 27.83 37.47 28.00 27.82 40.63 28.00 27.83 37.17 27.80 27.82 39.57 28.00 27.83 35.10 Medicaid number: no Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Platte Valley Pharmacy: 1606 Weld - UFR Pharmacy 11.90 11.65 36.85 Page 2 of 4 02/20/24 comp normal Platte Valley Pharmacy: 1606 Prairie Center Pkwy Brighton Prairie Center Pkwy Brighton (Upper Front Range) Weld - UFR 302 S Mckinley Ave Ft Lupton (Upper Front Pharmacy 11.80 11.16 64.98 Range) Salazar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 02/14/24 noshow normal 02/15/24 comp normal 02/22/24 comp normal 02/23/24 comp normal 02/27/24 comp normal 02/28/24 comp normal 02/29/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High Sch: 5690 Tipple Pkwy Frederick ool Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medicaid number: No Total trips: 7 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 0.00 15.37 Range) Weld - UFR (Upper Front Employment 15.20 15.37 28.93 Range) Weld - UFR (Upper Front Employment 15.30 15.37 32.98 Range) Weld - UFR (Upper Front Employment 15.30 15.37 26.10 Range) Weld - UFR (Upper Front Employment 15.30 15.37 25.83 Range) Weld - UFR (Upper Front Employment 18.90 15.37 39.53 Range) Weld - UFR (Upper Front Employment 31.60 15.37 62.10 Range) VanDop Robert (11179) Medicaid number: No Total trips: 6 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld - UFR 02/14/24 comp normal W 29th St Greeley 110 A St Ault (Upper Front Medical 15.90 19.13 62.85 Range) Colorado State University College Weld - UFR 02/21/24 comp normal 110 A St Ault - 301 University Ave: 301 (Upper Front Personal 19.20 18.81 48.45 University Ave Ft Collins Range) UC Health - 2121E Harmony: Weld - UFR 02/22/24 comp normal 110 A St Ault 2121 E Harmony Ft Collins (Upper Front Medical 20.30 22.56 42.03 Range) Weld County Human Service: 315 Weld - UFR 02/23/24 comp normal 110 A St Ault N 11th Ave Greeley (Upper Front Personal 10.80 10.61 22.48 Range) Weld - UFR Weld Food Bank: 1108 H St 02/23/24 comp normal Greeley 110 A St Ault (Upper Front Personal 10.60 10.20 41.00 3/5/24, 2:19 PM Page 3 of 4 02/23/24 cancel normal Weld County Human Service: 315 N 11th Ave Greeley Warne Chelsea (11299) Date Status Provider Pick-up Location 02/02/24 comp normal 02/09/24 comp normal 02/09/24 comp normal 02/22/24 comp normal 02/22/24 comp normal 110 A St Ault Drop-off Location Range) Weld - UFR (Upper Front Personal 20.18 10.61 Range) Medicaid number: P655029 Banner North Colorado Medical 3803 Dry Gulch Rd Evans Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gulch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley Watkins Amy (11696) Date Status Provider Pick-up Location 02/22/24 comp 02/22/24 comp 02/29/24 cancel 3/5/24, 2:19 PM Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gulch Rd Evans Drop-off Location Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund United Way of Weld County: 814 Weld UFR normal 250 Woodward Ave Keenesburg (Upper - Front 9th St Greeley Range) United Way of Weld County: 814 Weld - UFR 9th St Greeley 250 Woodward Ave Keenesburg (Upper Front Range) United Way of Weld County: 814 Weld - UFR normal 250 Woodward Ave Keenesburg 9th St Greeley (Upper Front Range) normal Total trips: 5 Trips Distance Actual Time Shared Direct Medical 4.50 4.18 39.45 Medical 11.50 11.73 24.32 Medical 12.00 11.72 25.60 Medical 4.20 4.22 34.48 Medical 4.80 4.18 31.60 Total trips: 3 Purpose Trips Distance Actual Time Shared Direct Therapy 3 30.90 31.57 41.73 Therapy 3 31.00 31.56 42.28 Therapy 3 0.00 31.57 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 4 of 4 9 44 742.10 766.04 24.92 50 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobility for Life Date range: 03/01/2024 - 03/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 61. Operational days: 19. Selected weekdays: All. Bias Jake (10852) Date Status Provider Pick-up Location 03/07/24 comp normal 03/07/24 comp normal 03/18/24 comp normal 03/18/24 comp normal 214 Birch Ave Ault Walmart - 3101 S 23rd Ave: 3101 S 23rd Ave Greeley 214 Birch Ave Ault Walmart - 3101 S 23rd Ave: 3103 S 23rd Ave Greeley Bove Denise (11834) Date Status Provider Pick-up Location 03/19/24 comp normal 407 Grand Ave Platteville Orthopedic & Spine CenterOf 03/19/24 comp normal Rockies: 1610 Dry Creek Dr Longmont 03/22/24 comp normal 407 Grand Ave Platteville 03/22/24 comp normal Drop-off Location Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 3101 S 23rd Ave: 3101 Weld - UFR S 23rd Ave Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Walmart - 3101 S 23rd Ave: 3103 Weld - UFR S 23rd Ave Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Medicaid number: no Drop-off Location Orthopedic & Spine CenterOf the Rockies: 1610 Dry Creek Dr Longmont the 407 Grand Ave Platteville Walmart - 2514 Main St: 2514 Main St Longmont Walmart - 2514 Main St: 2514 Main St Longmont 407 Grand Ave Platteville Orthopedic & Spine CenterOf the 03/26/24 comp normal 407 Grand Ave Platteville Rockies: 1610 Dry Creek Dr Longmont Orthopedic & Spine CenterOf the 03/26/24 comp normal Rockies: 1610 Dry Creek Dr 407 Grand Ave Platteville Longmont 03/27/24 comp normal 407 Grand Ave Platteville 4/2/24, 9:57 AM Vision 16.50 15.82 27.57 Vision 16.30 15.88 38.42 Vision 15.00 15.82 33.45 Vision 10.50 15.88 19.87 Total trips: 9 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Walmart - 2285 E Ken Pratt Blvd: Weld - UFR 2285 E Ken Pratt Blvd Longmont (Upper Front Therapy 25.00 21.15 41.83 Therapy 24.20 21.44 53.45 Grocery 17.90 15.48 32.72 Grocery 17.80 15.51 31.80 Therapy 40.10 21.15 130.73 Therapy 37.60 21.44 59.38 Grocery 20.60 16.24 37.73 Page 1 of 5 03/27/24 comp normal 03/27/24 cancel normal Walmart - 2285 E Ken Pratt Blvd: 407 Grand Ave Platteville 2285 E Ken Pratt Blvd Longmont Walmart - 2285 E Ken Pratt Blvd: 407 Grand Ave Platteville 2285 E Ken Pratt Blvd Longmont Cochran Doris (53918) Date Status Provider Pick-up Location 03/20/24 noshow normal 459 Stevens Cir Platteville Epple Allison (11206) Date Status Provider Pick-up Location 03/08/24 comp normal 350 N Cedar St Keenesburg 03/19/24 comp normal Twin Rivers Apts: 6616 W 10th 2000 70th Ave Greeley St Greeley Granger Mary (10913) Date Status Provider Pick-up Location Drop-off Location Drop-off Location Range) Weld - UFR (Upper Front Grocery 21.30 16.00 56.95 Range) Weld - UFR (Upper Front Grocery 24.39 16.00 Range) Medicaid number: No Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Open and affordable Dental - Weld - UFR 4275 city centre Rd: 4275 City (Upper Front Dental 0.00 13.48 centre Rd Firestone Range) Drop-off Location Medicaid number: no Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR St Michael's Town Square: 6500 (Upper Front W 29th St Greeley Range) Weld - UFR (Upper Front Range) Medicaid number: no Personal 34.70 34.87 51.42 Medical 2.40 1.96 11.88 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct Westlake Lodge Health and Weld - UFR 03/01/24 comp normal 7420 Co Rd 49 Hudson Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Westlake Lodge Health and Weld - UFR 03/01/24 comp normal Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson (Upper Front 1637 29th Ave PI Greeley Range) Westlake Lodge Health and Weld - UFR 03/08/24 comp normal 7420 Co Rd 49 Hudson Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Westlake Lodge Health and Weld - UFR 03/08/24 comp normal Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson (Upper Front 1637 29th Ave PI Greeley Range) UCHealth Greeley Hospital: 6767 Weld - UFR 03/15/24 comp normal 7420 Co Rd 49 Hudson (Upper Front W29th St Greeley Range) 4/2/24, 9:57 AM Personal 29.20 27.82 44.35 Personal 28.00 27.83 36.78 Personal 34.30 27.82 61.67 Personal 28.00 27.83 34.92 Medical 29.90 30.13 42.82 Page 2 of 5 03/15/24 comp normal UCHealth Greeley Hospital: 6767 W 29th St Greeley Westlake Lodge Health and 03/15/24 comp normal Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley 03/29/24 comp normal 7420 Co Rd 49 Hudson 03/29/24 comp normal All Ears Hearing: 5626 W 19th St Greeley Westlake Lodge Health and 03/29/24 comp normal Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley Montoya Lucy (11840) Date Status Provider Pick-up Location 03/28/24 comp normal 13400 County Rd 32 Platteville 03/28/24 comp normal 03/28/24 cancel normal Eye Care Center - 2555 E 13th St: 2555 E 13th St Loveland Eye Care Center - 2555 E 13th St: 2555 E 13th St Loveland Salazar Yrineo (10908) Date Status Provider Pick-up Location 03/01/24 comp normal 03/08/24 comp normal 03/11/24 comp normal 03/12/24 comp normal 03/13/24 comp normal 03/25/24 comp normal 4/2/24, 9:57 AM Frederick High School: 5690 Tipple Pkwy Frederick Frederick High Sc5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Westlake Lodge Health and Weld - UFR Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Weld - UFR 7420 Co Rd 49 Hudson (Upper Front Range) All Ears Hearing: 5626 W 19th St Weld UFR Greeley (Upper Front Range) Westlake Lodge Health and Weld - UFR Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Weld - UFR 7420 Co Rd 49 Hudson (Upper Front Range) Medicaid number: No Drop-off Location Eye Care Center - 2555 E 13th St: 2555 E 13th St Loveland 13400 County Rd 32 Platteville 13400 County Rd 32 Platteville Drop-off Location 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Personal Personal Medical Personal Personal Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR Vision Vision Vision Purpose Employment Employment Employment Employment Employment Employment 4.90 4.62 21.13 28.00 27.83 37.57 30.50 30.10 40.50 5.10 2.84 31.18 68.30 27.83 115.55 Total trips: 3 Trips Distance Actual Time Shared Direct 25.70 27.05 55.40 26.60 26.91 59.12 26.91 26.91 59.12 Total trips: 10 Trips Distance Actual Time Shared Direct 15.20 15.37 26.12 15.20 15.37 26.95 15.30 15.37 32.07 15.20 15.37 25.22 15.20 15.37 27.72 15.20 15.37 34.52 Page 3 of 5 03/26/24 comp normal 03/27/24 comp normal 03/28/24 comp normal 03/29/24 comp normal Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick VanDop Robert (11179) Date Status Provider Pick-up Location 03/05/24 comp normal 03/05/24 comp normal 03/06/24 comp normal 03/07/24 noshow normal 03/08/24 noshow normal 03/12/24 comp normal 03/12/24 comp normal 03/19/24 comp normal 03/21/24 comp normal 03/21/24 noshow normal 03/21/24 comp normal 03/22/24 comp normal 4/2/24, 9:57 AM UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins Salud Family Health Centers - 1635 Blue Spruce Dr: 1635 Blue Spruce Dr Ft Collins 110AStAult 110AStAult Downtown Transit Center: 250 N Mason St Ft Collins 110AStAult Safeway - 731 S Lemay Ave: 731 110 A St Ault S Lemay Ave Ft Collins UCHealth Greeley Hospital: 6767 110 A St Ault W 29th St Greeley 110AStAult LINC Library - 501 8th Ave: 501 110 A St Ault 8th Ave Greeley LINO Library - 501 8th Ave: 501 110 A St Ault 8th Ave Greeley 110 A St Ault 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Drop-off Location (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Employment 15.50 15.37 40.87 Employment 17.30 15.37 38.07 Employment 16.30 15.37 31.93 Employment 15.20 15.37 27.67 Total trips: 15 Fund Purpose Trips Distance Actual Time Shared Direct Salud Family Health Centers - Weld - UFR 1635 Blue Spruce Dr: 1635 Blue (Upper Front Spruce Dr Ft Collins Range) Weld - UFR 110 A St Ault (Upper Front Range) Weld County Human Service: 315 Weld UFR N 11th Ave Greeley (Upper Front Personal 10.70 10.61 27.63 Range) Downtown Transit Center: 250 N Weld - UFR Mason St Ft Collins (Upper front Personal 0.00 18.43 Range) Weld - UFR 110 A St Ault (Upper Front Personal 0.00 18.43 Range) UC Health - 2121E Harmony: Weld - UFR 2121 E Harmony Ft Collins (Upper Front Medical 20.80 22.56 51.03 Range) Weld - UFR (Upper Front Medical 17.60 17.41 37.20 Range) Weld - UFR (Upper Front Medical 16.30 19.13 77.93 Range) Weld County Human Service: 315 Weld -UFR N 11th Ave Greeley (Upper Front Personal 11.10 10.61 20.83 Range) Weld - UFR (Upper Front Education 0.00 11.33 Range) Weld - UFR (Upper Front Education 15.50 11.33 31.48 Range) Weld Food Bank: 1108 H St Weld - UFR Grocery 10.20 10.17 21.45 Medical 8.00 9.36 28.63 Medical 20.10 19.89 56.20 Page 4 of 5 03/22/24 comp normal 03/27/24 comp normal 03/27/24 comp normal Weld Food Bank: 1108 H St Greeley 110 A St Ault Greeley 110AStAult UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins Safeway - 731 S Lemay Ave: 731 110 A St Ault S Lemay Ave Ft Collins Warne Chelsea (11299) Date Status Provider Pick-up Location 03/07/24 comp normal 03/07/24 comp normal 03/13/24 cancel normal 3803 Dry Gulch Rd Evans 03/21/24 comp normal 03/21/24 comp normal 03/28/24 comp normal 03/28/24 comp normal 4/2/24, 9:57 AM 3803 Dry Gulch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gultch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley Drop-off Location (Upper Front Range) Weld - UFR (Upper Front Grocery 10.10 10.20 22.63 Range) Weld - UFR (Upper Front Medical 20.30 22.56 38.68 Range) Weld - UFR (Upper Front Grocery 17.80 17.41 45.27 Range) Medicaid number: P655029 Total trips: 7 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR Banner North Colorado Medical Center: 1801 16th St Greeley (Upper Front Range) Weld - UFR 3803 Dry Gulch Rd Evans (Upper Front Range) Sunset Memorial Cemetery: 3400 Weld - UFR W 28th St Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 510 12th St Gilcrest (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 3803 Dry Gultch Rd Evans (Upper Front Range) Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Medical 5.20 4.22 27.08 Medical 4.00 4.18 22.08 Personal 0.00 1.26 Medical 11.50 11.73 45.72 Medical 11.90 11.72 39.37 Medical 4.20 4.22 28.75 Medical 3.90 4.18 29.07 Total clients: 9 Total trips: 61 The sum of shared distances (completed): 1013.20 The sum of direct distances: 1018.28 The sum of trip actual times in hours: 37.16 Total client trips + rider trips: 61 Page 5 of 5 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobility for Life Date range: 04/01/2024 - 04/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 56. Operational days: 21. Selected weekdays: All. Blea Jake (10852) Date Status Provider Pick-up Location 04/04/24 comp normal 214 Birch Ave Ault 04/04/24 comp normal Walmart - 3101 S 23rd Ave: 3103 S 23rd Ave Greeley Diesman Chris (11530) Date Status Provider Pick-up Location 04/02/24 comp normal 04/02/24 comp normal 04/05/24 comp normal 04/05/24 comp normal 04/09/24 comp normal 04/09/24 comp normal 04/12/24 comp normal 04/12/24 comp normal 04/15/24 comp normal 5/2/24, 3:40 PM 400 2nd St Ft Lupton Orthopaedic & Spine Center of the Rockies - Lafayette - Ste 200: 300 Exempla Cir Lafayette Housing authority of Fort Lupton: 400 2nd St Ft Lupton Platte Valley Medical Center: 1610 Prairie Center Pkwy Brighton 400 2nd St Ft Lupton Walmart - 60 W Bromley Ln: 60 W Bromley Ln Brighton 400 2nd St Ft Lupton Orthopedic & Spine CenterOf the Rockies: 1610 Dry Creek Dr Longmont 400 2nd St Ft Lupton Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 3101 S 23rd Ave: 3103 Weld - UFR S 23rd Ave Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Drop-off Location Medicaid number: no Fund Orthopaedic & Spine Center of Weld - UFR the Rockies - Lafayette - Ste 200: (Upper Front 300 Exempla Cir Lafayette Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Platte Valley Medical Center: Weld - UFR 1610 Prairie Center Pkwy (Upper Front Brighton Range) Weld - UFR Housing authority of Fort Lupton: (Upper Front 400 2nd St Ft Lupton Range) Walmart - 60 W Bromley Ln: 60 Weld - UFR W Bromley Ln Brighton (Upper Front Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Orthopedic & Spine CenterOf the Weld - UFR Rockies: 1610 Dry Creek Dr (Upper Front Longmont Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Corner Stone Orthopedics - 3 Weld - UFR Superior Dr: 3 Superior Dr (Upper Front Grocery 16.50 15.82 31.27 Grocery 16.60 15.88 29.18 Total trips: 14 Purpose Trips Distance Actual Time Shared Direct Medical 24.60 23.32 54.87 Medical 24.50 23.53 47.60 Medical 11.70 11.48 28.40 Medical 11.70 11.04 36.83 Grocery 11.20 8.27 40.35 Grocery 15.40 7.99 45.05 Medical 21.50 21.50 46.92 Medical 34.70 21.77 85.38 Medical 29.80 28.35 86.33 Page 1 of 5 Corner Stone Orthopedics - 3 04/15/24 comp normal Superior Dr: 3 Superior Dr Superior 04/24/24 comp normal Housing authority of Fort Lupton: 400 2nd St Ft Lupton Orthopedic & Spine CenterOf the 04/24/24 comp normal Rockies: 1610 Dry Creek Dr Longmont 04/26/24 comp normal 400 2nd St Ft Lupton 04/26/24 comp normal Walmart - 60 W Bromley Ln: 60 400 2nd St Ft Lupton W Bromley Ln Brighton Epple Allison (11206) Date Status Provider Pick-up Location 04/01/24 comp 04/30/24 comp 04/30/24 comp 04/30/24 cancel normal normal normal normal 350 N Cedar St Keenesburg 350 N Cedar St Keenesburg 5150 W 20th St Greeley 5150 W 20th St Greeley Fuller Pamela (11519) Date Status Provider Pick-up Location 04/24/24 comp normal 803 5th St Kersey 04/24/24 comp normal 04/26/24 comp normal 803 5th St Kersey 04/26/24 comp normal 5/2/24, 3:40 PM Mountain Vista Medical Center: 5890 W 13th St Greeley Drop-off Location Superior Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Orthopedic & Spine CenterOf the Weld - UFR Rockies: 1610 Dry Creek Dr (Upper Front Longmont Range) Housing authority of Fort Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Walmart - 60 W Bromley Ln: 60 Weld - UFR W Bromley Ln Brighton (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Medical Medical Medical Grocery Grocery 27.90 28.23 63.42 21.50 21.51 48.05 61.10 21.78 124.57 8.30 8.27 83.62 8.50 7.99 81.25 Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Twin Rivers Apts: 6616 W 10th St Weld - UoR (Upper Front Greeley Range) Weld - UFR 5150 W 20th St Greeley (Upper Front Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Drop-off Location Medicaid number: no Fund Mountain Vista Medical Center: 5890 W 13th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Personal Dental Dental Dental 35.50 36.29 46.07 34.60 34.83 45.30 33.60 35.00 39.05 35.00 35.00 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical Medical 15.00 14.12 57.93 14.90 14.24 49.57 10.20 9.98 51.65 10.20 9.96 53.97 Page 2 of 5 Range) Gasiorowsid Emma (49254) Date Status Provider Pick-up Location 04/03/24 comp normal 04/03/24 comp normal 04/09/24 comp normal 04/09/24 comp normal 1109 Lantern Dr Ft Lupton Eye Care Center - 1400 Dry Creek Dr: 1400 Dry Creek Dr Longmont 1109 Lantern Dr Ft Lupton Platte Valley Pharmacy: 1606 Prairie Center Pkwy Brighton Granger Mary (10913) Date Status Provider Pick-up Location 04/12/24 comp normal 04/12/24 comp normal 04/12/24 comp normal 04/16/24 nos how normal 04/19/24 comp normal 04/19/24 comp normal 04/24/24 comp normal 04/24/24 comp normal 7420 Co Rd 49 Hudson All Ears Hearing: 5626 W 19th St Greeley Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley 7420 Co Rd 49 Hudson 7420 Co Rd 49 Hudson Drop-off Location Medicaid number: No Fund Eye Care Center - 1400 Dry Creek Dr: 1400 Dry Creek Dr Longmont 1109 Lantern Dr Ft Lupton Platte Valley Pharmacy: 1606 Prairie Center Pkwy Brighton 1109 Lantern Dr Ft Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no All Ears Hearing: 5626 W 19th St Greeley Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley 7420 Co Rd 49 Hudson Walmart - 60 W Bromley Ln: 60 W Bromley Ln Brighton Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 1637 29th Ave PI Greeley Westlake Lodge Health and Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson 1637 29th Ave PI Greeley 7420 Co Rd 49 Hudson 304 S Grace Ave Milliken 304 S Grace Ave Milliken 7420 Co Rd 49 Hudson Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Purpose Vision Vision Medical Medical Fund Purpose Medical Personal Personal Grocery Medical Medical Personal Personal Total trips: 4 Trips Distance Actual Time Shared Direct 29.20 22.71 49.13 23.00 22.76 51.30 13.30 12.73 35.30 13.30 12.29 39.78 Total trips: 8 Trips Distance Actual Time Shared Direct 30.50 30.10 46.55 2.80 2.84 12.00 22.10 27.83 75.85 0.00 15.95 28.30 27.82 47.65 28.00 27.83 41.15 32.00 29.26 44.87 29.10 29.24 40.15 5/2/24, 3:40 PM Page 3 of 5 Salazar Yrineo (10908). Date Statue Provider Pick-up Location 04/03/24 comp normal 04/04/24 comp normal 04/05/24 comp normal 04/08/24 comp normal 04/09/24 comp normal 04/10/24 comp normal 04/11/24 comp normal 04/16/24 comp normal 04/17/24 comp normal 04/18/24 comp normal 04/19/24 comp normal 04/23/24 comp normal 04/24/24 comp normal 04/25/24 comp normal 04/29/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High Schoriol: 5690 Tipple Pkwy Fredeck Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Drop-off Location 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medicaid number: No Fund Total trips: 15 Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) 15.20 15.37 30.57 16.30 15.37 31.33 15.20 15.37 26.02 15.20 15.37 32.75 15.20 15.37 32.47 15.30 15.37 36.52 16.30 15.37 34.60 15.60 15.37 53.77 15.80 15.37 37.37 15.50 15.37 25.88 15.20 15.37 32.60 57.30 15.37 93.82 49.80 15.37 102.75 16.30 15.37 32.47 15.30 15.37 106.02 5/2/24, 3:40 PM Page 4 of 5 VanDop Robert (11179) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Fund 04/03/24 comp normal 110 A St Ault Safeway 1426 E Harmony Rd: 1426 E Harmony Rd Ft Collins 04/03/24 comp normal Costco - 4705 Weitzel St: 4705 110 A St Ault Weitzel St Timnath 04/10/24 comp normal 110 A St Ault UC Health 2121 E Harmony: 2121 E Harmony Ft Collins Warne Chelsea (11299) Date Status Provider Pick-up Location Drop-off Location 04/10/24 comp normal 3803 Dry Gultch Rd Evans 04/10/24 comp normal 5/2/24, 3:40 PM Total trips: 3 Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Grocery Range) Weld - UFR (Upper Front Grocery Range) Weld - UFR (Upper Front Medical Range) 21.10 21.48 40.93 17.80 18.24 51.58 20.10 22.56 40.32 Medicaid number: P655O29 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical Weld - UFR Center: 1801 16th St Greeley (Upper Front Medical Range) Banner North Colorado Medical Weld - UFR Center: 1801 16th St Greeley 3803 Dry Gultch Rd Evans (Upper Front Medical Range) 4.20 4.22 30.42 6.50 4.18 41.83 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times In hours: Total client trips + rider trips: 9 56 1130.30 1028.74 44.57 56 Page 5 of 5 Armendariz Loya Roberto (12080) Date Status Provider Pick-up Location 05/28/24 comp normal 05/28/24 comp normal 05/31/24 comp normal 05/31/24 comp normal Blee Jake (10852) Date Status Provider 05/09/24 comp normal 05/09/24 comp normal 05/13/24 comp normal 05/13/24 comp normal 1108 Vasquez Blvd Platteville UCHealth Longs Peak Hospital: 1750 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville Martin McDermott: 327 Park Ave Ft Lupton Pick-up Location 214 Birch Ave Ault UCHealth Greeley Hospital: 6767 W 29th St Greeley 214 Birch Ave Ault Walmart - 3101 S 23rd Ave: 3103 S 23rd Ave Greeley Davis Patricia (12069) Date Status Provider Pick-up Location 6/6/24, 9:08 AM Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. ICI a Mobility for Life Date range: 05/01/2024 - 05/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 71. Operational days: 22. Selected weekdays: All. Medicaid number: No Total trips: 4 Drop-off Location UCHealth Longs Peak Hospital: 1750 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville Martin McDermott: 327 Park Ave Ft Lupton 1108 Vasquez Blvd Platteville Drop-off Location Fund Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Weld - UFR Walmart - 3101 S 23rd Ave: 3103 S 23rd Ave Greeley (Upper Front Range) Weld - UFR 214 Birch Ave Ault (Upper Front Range) Drop-off Location Medicaid number: No Fund Purpose Medical Medical Medical Medical Purpose Medical Medical Grocery Grocery Purpose Trips Distance Actual Time Shared Direct 2 15.50 16.05 46.13 2 16.30 16.08 35.25 2 8.90 8.99 33.32 2 10.00 8.96 56.90 Total trips: 4 Trips Distance Actual Time Shared Direct Trips 16.00 19.34 28.33 16.10 19.43 41.57 22.10 15.82 43.40 16.70 15.88 27.42 Total trips: 6 Distance Actual Time Shared Direct Page 1 of 7 05/16/24 comp normal 240 S Denver Ave Ft Lupton First National Bank - 1600 E 05/16/24 comp normal Bridge St: 1600 E Bridge St Brighton 05/22/24 comp normal 240 S Denver Ave Ft Lupton 05/22/24 comp normal Magic Nails & Spa: 96 N 50th Ave Brighton 05/23/24 comp normal 240 S Denver Ave Ft Lupton 05/23/24 comp normal Safeway - 1300 Dexter St: 1300 Dexter St Ft Lupton Dlesman Chris (11530) Date Status Provider Pick-up Location 05/09/24 comp 05/09/24 comp normal 05/14/24 comp normal 400 2nd St Ft Lupton 05/14/24 comp 05/20/24 comp 05/20/24 comp 05/24/24 cancel 05/31/24 comp normal 05/31/24 comp normal 400 2nd St Ft Lupton Brighton Colorado Urology: 1610 Prairie Center Parkway Brighton Eye Care Center - 1400 Dry normal Creek Dr: 1400 Dry Creek Dr Longmont normal 400 2nd St Ft Lupton Colorado Urology - 500 W 144th normal Ave: 500 W 144th Ave Westminster normal 400 2nd St Ft Lupton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton UCHealth Carbon Valley Medical normal Center: 5965 Firestone Blvd Firestone First National Bank - 1600 E Bridge St: 1600 E Bridge St Brighton 240 S Denver Ave Ft Lupton Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld Magic Nails & Spa: 96 N 50th Ave UFR Brighton (upper Front Range) Weld - UFR (Upper Front Range) Safeway - 1300 Dexter St: 1300 Weld UFR Dexter St Ft Lupton (Upper Front Range) Weld - UFR (Upper Front Range) 240 S Denver Ave Ft Lupton 240 S Denver Ave Ft Lupton Drop-off Location Medicaid number: No Fund Brighton Colorado Urology: 1610 Prairie Center Parkway Brighton Weld - UFR (Upper Front Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Eye Care Center - 1400 Dry Weld - UFR Creek Dr: 1400 Dry Creek Dr (Upper Front Longmont Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Colorado Urology - 500 W 144th Weld - UFR Ave: 500 W 144th Ave (Upper Front Westminster Range) Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Orthopaedic & Spine Center of Weld - UFR the Rockies - Lafayette - Ste 200: (Upper Front 300 Exempla Cir Lafayette Range) UCHealth Carbon Valley Medical Weld - UFR Center: 5965 Firestone Blvd (Upper Front Firestone Range) Housing Authority of Ft Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Personal 6.80 8.39 22.05 Personal 7.40 8.17 19.25 Personal 9.80 11.15 28.43 Personal 10.80 10.58 35.30 Pharmacy 0.70 0.66 7.45 Pharmacy 0.80 0.63 7.60 Total trips: 9 Purpose Trips Distance Actual Time Shared Direct Medical 11.70 11.68 34.07 Medical 11.50 11.27 28.90 Vision 22.00 21.47 56.15 Vision 21.50 21.47 48.02 Medical 19.20 18.51 45.25 Medical 19.40 18.51 42.17 Medical 0.00 23.32 Medical 12.70 12.75 36.07 Medical 13.00 12.79 33.92 6/6/24, 9:08 AM Page 2 of 7 Eppie Allison (11206) Date Status Provider Pick-up Location 05/10/24 comp normal 05/20/24 comp normal 05/21/24 comp normal 05/21/24 comp normal 05/30/24 comp normal 05/30/24 comp normal 350 N Cedar St Keenesburg 350 N Cedar St Keenesburg Twin Rivers Apts: 6616 W 10th St Greeley Centers for Gastroenterology: 8225 W 20th St Greeley Twin Rivers Apts: 6616 W 10th St Greeley St Michael's Town Square: 6500 W 29th St Greeley Fuller Pamela (11519) Date Status Provider Pick-up Location 05/01/24 comp normal 05/01/24 comp normal 05/02/24 comp normal 05/02/24 comp normal 05/15/24 comp normal 05/15/24 comp normal 05/28/24 comp normal 05/28/24 comp normal 6/6/24, 9:08 AM 803 5th St Kersey Summit View Medical Commons: 2001 70th Ave Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley 803 5th St Kersey Drop-off Location Medicaid number: no Fund Twin Rivers Apts: 6616 W 10th St Greeley Twin Rivers Apts: 6616 W 10th St Greeley Centers for Gastroenterology: 8225 W 20th St Greeley Twin Rivers Apts: 6616 W 10th St Greeley St Michael's Town Square: 6500 W 29th St Greeley Twin Rivers Apts: 6616 W 10th St Greeley Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Summit View Medical Commons: 2001 70th Ave Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Personal 35.30 36.29 48.77 Personal 36.40 36.29 60.52 Medical 2.70 2.59 9.42 Medical 2.40 2.58 6.18 Medical 3.40 2.99 11.02 Personal 2.99 2.99 12.18 Total trips: 8 Purpose Trips Distance Actual Time Shared Direct Medical 13.50 14.22 66.37 Medical 14.70 14.21 59.80 Medical 11.00 9.98 54.35 Medical 10.20 9.96 24.47 Medical 11.60 11.06 61.37 Medical 2.40 2.17 40.15 Medical 10.30 9.98 58.27 Medical 10.40 9.96 43.95 Page 3of7 Gardner Beverly (11957) Date Status Provider Pick-up Location 05/03/24 comp 05/03/24 comp 05/03/24 comp 05/17/24 comp 05/17/24 noshow normal 731 Grand Ave Platteville Salud Family Health Centers - normal 1115 2nd St: 1115 2nd St Ft Lupton Safeway - 1300 Dexter St: 1300 Dexter St Ft Lupton normal normal 731 Grand Ave Platteville Platte Valley Medical Plaza 2: normal 1610 Prairie Center Pkwy Brighton Granger Mary (10913) Date Status Provider Pick-up Location 05/02/24 cancel normal 7420 Co Rd 49 Hudson 05/10/24 comp normal 7420 Co Rd 49 Hudson 05/10/24 comp normal 05/10/24 comp Medicaid number: no Drop-off Location Salud Family Health Centers - 1115 2nd St: 1115 2nd St Ft Lupton Safeway - 1300 Dexter St: 1300 Dexter St Ft Lupton 731 Grand Ave Platteville Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 731 Grand Ave Platteville Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Westlake Lodge Health and Weld - UFR Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) All Ears Hearing: 5626 W 19th St Weld UFR Greeley (Upper Front Range) All Ears Hearing: 5626 W 19th St Westlake Lodge Health and Weld - UFR Greeley Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Westlake Lodge Health and Weld - UFR normal Rehabilitation -1637 29th Ave PI: 7420 Co Rd 49 Hudson (Upper Front 1637 29th Ave PI Greeley Range) Montoya Leticia (48367) Date Status Provider Pick=up Location 05/08/24 comp normal 410 Marion Ave Platteville 05/08/24 comp 6/6/24, 9:08 AM Drop-off Location Fund Purpose Pharmacy Grocery Grocery Medical Medical Purpose Personal Medical Medical Medical Personal Personal Medicaid number: None Fund Purpose Mead Veterinary Medical Center: Weld - UFR 13784 Pacific Cir Mead (Upper Front Range) Mead Veterinary Medical Center: Weld - UFR normal 13784 Pacific Cir Mead 410 Marion Ave Platteville (Upper Front Total trips: 5 Trips Distance Actual Time Shared Direct 10.80 10.36 28.20 0.40 0.42 5.53 15.90 10.67 94.92 21.60 21.27 49.60 0.00 20.91 Total trips: 4 Trips Distance Actual Time Shared Direct 0.00 27.82 5.30 30.10 19.53 5.30 2.84 21.32 28.00 27.83 34.68 Total trips: 2 Trips Distance Actual Time Shared Direct 8.90 9.01 18.05 9.30 9.01 34.93 Page 4 of 7 Range) Moreno Hurtado Diego (11980) Date Status Provider Pick-up Location 05/03/24 comp 05/03/24 comp 05/03/24 comp 05/03/24 comp Drop-off Location Medicaid number: 0799805 Fund Purpose St Williams Catholic Church - Weld - UFR normal 738 Pacific Ave Ft Lupton 1025 Fulton Ave: 1025 Fulton (Upper Front Ave Ft Lupton Range) St Williams Catholic Church - Hillside Cemetery - 13750 Weld Weld - UFR normal 1025 Fulton Ave: 1025 Fulton Co Rd 12: 13750 Weld County Rd (Upper Front Ave Ft Lupton 12 Ft Lupton Range) Hillside Cemetery - 13750 Weld St Williams Catholic Church - Weld - UFR normal Co Rd 12: 13750 Weld County Rd 1025 Fulton Ave: 1025 Fulton (Upper Front 12 Ft Lupton Ave Ft Lupton Range) St Williams Catholic Church - Weld - UFR normal 1025 Fulton Ave: 1025 Fulton 738 Pacific Ave Ft Lupton (Upper Front Ave Ft Lupton Range) Nielsen Patricia (11985) Date Status Provider Pick-up Location 05/02/24 noshow normal 165 Cedar St Hudson SalazarYrineo (10908) Date Status Provider Pick-up Location 05/02/24 comp normal 05/03/24 comp normal 05/06/24 comp normal 05/07/24 comp normal 05/08/24 comp normal 6/6/24, 9:08 AM Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Drop-off Location Personal Personal Personal Personal Total trips: 4 Trips Distance Actual Time Shared Direct 2 0.70 2 2.30 2 2.60 2 1.00 0.62 17.78 2.22 50.95 2.22 12.78 0.62 34.72 Medicaid number: no Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 60 W Bromley Ln: 60 Weld - UFR W Bromley Ln Brighton (Upper Front Grocery Range) Drop-off Location 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medicaid number: No 0.00 13.87 Total trips: 11 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Employment Employment Employment Employment Employment 16.30 15.37 30.20 15.20 15.37 27.50 15.50 15.37 32.88 15.50 15.37 30.73 15.40 15.37 29.05 Page 5 of 7 05/09/24 comp normal 05/10/24 comp normal 05/16/24 comp normal 05/17/24 comp normal 05/22/24 comp normal 05/23/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Ware Chelsea (11299) Date Status Provider Pick-up Location 05/01/24 comp normal 510 12th St Gilcrest 05/01/24 comp normal 05/08/24 nos how normal 05/15/24 comp normal 05/15/24 comp normal 05/29/24 comp normal 05/29/24 comp normal Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gulch Rd Evans 3803 Dry Gulch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Employment Employment Employment Employment Employment Employment Medicaid number: P655029 Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gulch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Medical Medical Medical 16.30 15.37 31.35 18.60 15.37 34.38 16.30 15.37 33.17 16.10 15.37 35.30 15.60 15.37 40.67 16.30 15.37 38.38 Total trips: 7 Trips Distance Actual Time Shared Direct 11.50 11.73 44.33 12.30 11.72 38.33 0.00 4.22 4.20 4.22 50.47 4.20 4.18 22.22 11.90 11.73 56.43 13.70 11.72 43.10 6/6/24, 9:08 AM Page 6 of 7 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 13 71 803.19 895.55 39.25 79 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. 14; Mobility for Life Date range: 06/01/2024 - 06/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 59. Operational days: 16. Selected weekdays: All. Armendariz Loya Roberto (12080) Medicaid number: No Total trips: 7 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Longs Peak Hospital: Weld - UFR 06/17/24 comp normal 1108 Vasquez Blvd Platteville 1750 E Ken Pratt Blvd Longmont (Upper Front Medical 2 15.60 16.05 44.47 Range) UCHealth Longs Peak Hospital: Weld - UFR 06/17/24 comp normal 1750 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville (Upper Front Medical 2 25.10 16.08 53.08 Range) UCHealth Longs Peak Hospital: Weld - UFR 06/17/24 cancel normal 1750 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville (Upper Front Medical 2 50.69 16.08 Range) Mountain Vista Medical Center: Weld - UFR 06/25/24 comp normal 1108 Vasquez Blvd Platteville 5890 W 13th St Greeley (Upper Front Medical 2 16.60 16.19 47.55 Range) Mountain Vista Medical Center: Weld UFR 06/25/24 comp normal 5890 W 13th St Greeley 1108 Vasquez Blvd Platteville (Upper Front Medical 2 16.00 16.10 32.43 Range) UCHealth Longs Peak Hospital: Weld - UFR 06/27/24 comp normal 1108 Vasquez Blvd Platteville 1750 E Ken Pratt Blvd Longmont (Upper Front Medical 2 51.10 16.05 90.65 Range) UCHealth Longs Peak Hospital: Weld - UFR 06/27/24 comp normal 1750 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville (Upper Front Medical 2 19.60 16.08 43.28 Range) Wee Jake (10852) Medicaid number: No Total trips: 7 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Walmart - 920 47th Ave: 920 Weld - UFR 06/04/24 comp normal 214 Birch Ave Ault 47th Ave Greeley (Upper Front Grocery 14.50 15.46 27.12 Range) Weld - UFR 06/04/24 comp normal Walmart 920 47th Ave: 920 214 Birch Ave Ault 47th Ave Greeley (Upper Front Grocery 14.60 15.55 27.90 Range) UCHealth Greeley Hospital: 6767 Weld - UFR 06/05/24 comp normal 214 Birch Ave Ault W 29th St Greeley (Upper Front Medical 15.90 19.34 28.43 Range) UCHealth Greeley Hospital: 6767 Weld - UFR 06/05/24 comp normal W 29th St Greeley 214 Birch Ave Ault (Upper Front Medical 15.00 19.43 35.70 7/2/24, 11:33 AM Page 1 of 6 06/13/24 comp normal 214 Birch Ave Ault 06/13/24 comp 06/13/24 cancel Walmart - 920 47th Ave: 920 47th Ave Greeley normal Walmart - 920 47th Ave: 920 214 Birch Ave Ault 47th Ave Greeley normal Walmart - 920 47th Ave: 920 214 Birch Ave Ault 47th Ave Greeley Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Grocery Grocery Grocery Buliington Amy (12317) Medicaid number: P549459 Date Status Provider Pick-up Location 06/27/24 comp normal 265 Ponderosa PI Ft Lupton 06/27/24 comp normal Weld County Public Defender: 822 7th St Greeley Davis Patricia (12069) Date Status Provider Pick-up Location 06/10/24 comp normal 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center 06/10/24 comp normal Pkwy: 2171 Prairie Center Pkwy Brighton 06/18/24 noshow normal 240 S Denver Ave Ft Lupton 06/21/24 comp normal 240 S Denver Ave Ft Lupton 06/21/24 comp Drop-off Location Weld County Public Defender: 822 7th St Greeley 265 Ponderosa PI Ft Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton Target - 2171 Prairie Center normal Pkwy: 2171 Prairie Center Pkwy 240 S Denver Ave Ft Lupton Brighton De Assis Silva Daniels (12270) Date Status Provider Pick-up Location 7/2/24, 11:33 AM Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund 14.20 15.46 25.83 16.60 15.55 44.48 16.72 15.55 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct 28.80 27.07 69.43 28.10 27.19 47.33 Personal Personal Purpose Personal Personal Grocery Personal Personal Purpose Total trips: 5 Trips Distance Actual Time Shared Direct Trips 17.60 11.76 40.17 33.10 11.55 63.30 0.00 11.76 13.60 11.76 34.50 12.00 11.55 28.57 Total trips: 10 Distance Actual Time Shored Direct Page 2 of 6 06/13/24 comp normal 06/13/24 comp normal 06/20/24 comp normal 06/20/24 comp normal 06/24/24 comp normal 06/24/24 comp normal 06/27/24 comp normal 06/27/24 comp normal 06/28/24 comp normal 06/28/24 comp normal 1216 Moore Dr Gilcrest UCHealth Greeley Hospital: 6767 W 29th St Greeley 1216 Moore Dr Gilcrest DUPLICATE - UCHealth Greeley Hospital: 6767 W 29th St Greeley 1216 Moore Dr Gilcrest DUPLICATE - UCHealth Greeley Hospital: 6767 W 29th St Greeley 1216 Moore Dr Gilcrest UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins 1216 Moore Dr Gilcrest UCHealth Greeley Hospital: 6767 W 29th St Greeley Diesman Chris (11530) Date Status Provider Pidc-up Location 06/03/24 comp normal 06/03/24 comp normal 06/20/24 comp normal 06/20/24 comp normal Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Orthopaedic & Spine Center of the Rockies - Lafayette - Ste 200: 300 Exempla Cir Lafayette 400 2nd St Ft Lupton Banner Health Clinic: 2010 16th St Greeley UCHealth Greeley Hospital: 6767 W 29th St Greeley UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR 1216 Moore Dr Gilcrest (Upper Front Range) DUPLICATE - UCHealth Greeley Weld - UFR Hospital: 6767 W 29th St Greeley (Upper Front Range) Weld - UFR 1216 Moore Dr Gilcrest (Upper Front Range) DUPLICATE - UCHealth Greeley Weld - UFR Hospital: 6767 W 29th St Greeley (Upper Front Range) Weld - UFR 1216 Moore Dr Gilcrest (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 1216 Moore Dr Gilcrest (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 1216 Moore Dr Gilcrest (Upper Front Range) UC Health - 2121 E Harmony: 2121 E Harmony Ft Collins Drop-off Location Medicaid number: No Fund Orthopaedic & Spine Center of the Rockies - Lafayette - Ste 200: 300 Exempla Cir Lafayette Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Banner Health Clinic: 2010 16th St Greeley Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Medical Medical Medical Medical Medical Medical 10.50 10.46 20.93 10.47 10.47 21.68 12.20 11.18 22.33 10.90 10.54 31.97 18.20 11.18 32.35 8.90 10.54 20.28 32.50 29.94 73.27 49.30 29.54 110.32 10.50 10.46 29.22 10.80 10.47 37.65 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical Medical Medical Medical 21.50 23.34 48.15 23.60 23.54 44.00 27.30 26.81 48.38 27.20 26.85 56.73 7/2/24, 11:33 AM Page 3 of 6 Epple Allison (11206) Date Status Provider Pick- ua Location Drop-off Location Medicaid number: no Fund Twin Rivers Apts: 6616 W 10th Thompson Advanced Dentistry - Weld - UFR 06/17/24 cancel normal St Greeley 5150 W 20th St: 5150 W 20th St (Upper Front Greeley Range) Fuller Pamela (11519) Date Status Provider Pick-up Location 06/04/24 comp normal 803 5th St Kersey 06/04/24 comp normal 06/14/24 comp normal 803 5th St Kersey 06/14/24 comp normal 06/17/24 comp normal 803 5th St Kersey 06/17/24 comp normal Summit View Medical Commons 2001 70th Ave Greeley Ascent Family Dental - Ste B: 3535 W 12th St Greeley Drop-off Location Medicaid number: no Fund Summit View Medical Commons: 2001 70th Ave Greeley 803 5th St Kersey Ascent Family Dental - Ste B: 3535 W 12th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley Gardner Beverly (11957) Date Status Provider Pick-up Location 06/06/24 comp normal 06/06/24 comp normal 06/13/24 comp normal 06/13/24 comp normal 7/2/24, 11:33 AM 731 Grand Ave Platteville Pain Specialists of Brighton: 435 731 Grand Ave Platteville S 4th Ave Brighton 731 Grand Ave Platteville Banner North Colorado Medical 731 Grand Ave Platteville Center: 1801 16th St Greeley Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Pain Specialists of Brighton: 435 Weld - UFR S 4th Ave Brighton (Upper Front Range) Weld - UFR (Upper Front Range) Banner North Colorado Medical Weld - UFR Center: 1801 16th St Greeley (U Raer Front Range) Weld - UFR (Upper Front Range) Total trips: 1 Purpose Trips Distance Actual Time Shared Direct Dental 0.00 2.04 Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Medical 13.30 14.22 66.85 Medical 14.10 14.21 46.25 Dental 13.40 12.22 77.18 Dental 12.10 12.12 40.58 Medical 10.00 9.98 52.92 Medical 10.50 9.96 47.98 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical 17.80 17.62 40.12 Medical 18.90 17.47 31.85 Medical 19.00 17.71 41.32 Medical 22.93 17.62 88.43 Page 4 of 6 Gasiorowski Emma (49254) Date Status Provider Pick-up Location 06/10/24 comp normal 1109 Lantern Dr Ft Lupton 06/10/24 comp normal Heart and Vein Center: 805 E 144th Ave Thornton Meyer James (12265) Date Status Provider Pick-up Location 06/11/24 comp normal 328 S Park Ave Ft Lupton 06/11/24 comp normal 06/18/24 comp normal 328 S Park Ave Ft Lupton 06/18/24 comp normal 06/27/24 comp normal 328 S Park Ave Ft Lupton 06/27/24 comp normal Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton Drop-off Location Medicaid number: No Fund Heart and Vein Center: 805 E 144th Ave Thornton 1109 Lantern Dr Ft Lupton Drop-off Location Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Medicaid number: No Fund Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton 328 S Park Ave Ft Lupton Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton 328 S Park Ave Ft Lupton Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton Martin Mc Dermott Family 328 S Park Ave Ft Lupton Practice: 327 Park Ave Ft Lupton Skew Cheryl (11895) Date Status Provider Pick-up Location 06/05/24 comp normal 214 Birch Ave Ault 06/05/24 comp normal 06/13/24 cancel normal 7/2/24, 11:33 AM Lincare - 4812 Mcmurry Ave: 4812 Mcmurry Ave Ft Collins Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 2 Purpose Trips Distance Actual Time Shared Direct 31.40 18.24 61.82 19.10 18.30 44.78 Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Medical 0.30 0.50 22.38 Medical 0.60 0.50 15.48 Medical 0.50 0.50 24.53 Medical 0.50 0.50 19.47 Medical 0.40 0.50 9.97 Medical 0.50 0.50 24.10 Medicaid number: U281O19 Drop-off Location Lincare -4812 Mcmurry Ave: 4812 McmurryAve Ft Collins 214 Birch Ave Ault Banner Health Clinic - 2410 W 214 Birch Ave Ault 16th St: 2410 W 16th St Greeley Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Total trips: 3 Trips Distance Actual Time Shared Direct Medical 21.80 21.48 42.15 Medical 20.80 21.29 37.82 Medical 0.00 13.94 Page 5 of 6 Range) Warne Chelsea (11299) Medicaid number: P655O29 Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Family Physicians of Greeley Weld - UFR 06/13/24 comp normal 3803 Dry Gulch Rd Evans Cottonwood Office: 2420 W 16th (Upper Front Medical 3.70 3.60 30.75 St Greeley Range) Banner North Colorado Medical Weld - UFR 06/17/24 comp normal 3803 Dry Gulch Rd Evans Center 1801 16th St Greeley (Upper Front Medical 4.30 4.22 29.82 Range) 7/2/24, 11:33 AM Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 6 of 6 13 59 897.80 836.17 37.97 66 Amended. Loya Roberto (12080) Date Status Provider Pick-up Location 07/11/24 comp normal 1108 Vasquez Blvd Platteville 07/11/24 comp normal 07/31/24 comp normal 1108 Vasquez Blvd Platteville 07/31/24 comp normal UCHealth Longs Peak Hospital: 1750 E Ken Pratt Blvd Longmont Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. VIN Mobility Mr Life Date range: 07/01/2024 - 07/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 46. Operational days: 14. Selected weekdays: All. Medicaid number: No Total trips: 4 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Longs Peak Hospital: Weld - UFR (U 1750 E Ken Pratt Blvd Longmont pper Front Range) Weld - UFR 1108 Vasquez Blvd Platteville (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Martin Mc Dermott Family Practice: 327 Park Ave Ft Lupton Martin Mc Dermott Family 1108 Vasquez Blvd Platteville Practice: 327 Park Ave Ft Lupton Bien Jake (10852) Date Status Provider Pick-up Location 07/08/24 comp normal 214 Birch Ave Ault 07/08/24 comp normal Walmart - 920 47th Ave: 920 47th Ave Greeley Bullinyton Amy (12317) Date Status Provider Pick-up Location 07/11/24 comp normal 265 Ponderosa PI Ft Lupton 07/23/24 comp normal Weld County Courthouse: 901 9th Ave Greeley Drop-off Location Medicaid number: No Walmart - 920 47th Ave: 920 47th Ave Greeley 214 Birch Ave Ault Drop-off Location Medical 2 15.70 16.05 58.80 Medical 2 16.40 16.08 40.43 Medical 2 8.90 8.99 20.52 Medical 2 9.00 8.96 31.07 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Grocery 14.80 15.46 30.62 Grocery 12.70 15.55 31.48 Medicaid number: P549459 Total trips: 3 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Longs Peak Hospital: Weld - UFR 1750 E Ken Pratt Blvd Longmont (Upper Front Range) Weld - UFR 265 Ponderosa PI Ft Lupton (Upper Front Range) Medical 19.80 19.74 42.43 Personal 32.30 27.04 66.23 8/1/24, 12:49 PM Page 1 of 5 07/24/24 comp normal UCHealth Longmont Clinic: 1925 Best Buy - 210 Ken Pratt Blvd: Weld - UFR Mountain View Ave Longmont 210 Ken Pratt Blvd Longmont (Upper Front Medical Range) Davis Patricia (12069) Date Status Provider Pick-up Location 07/19/24 comp normal 07/19/24 comp normal 07/25/24 comp normal 07/25/24 comp normal 07/26/24 noshow normal 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton 240 S Denver Ave Ft Lupton First National Bank - 1600 E Bridge St: 1600E Bridge St Brighton 240 S Denver Ave Ft Lupton Diesman Chris (11530) Date Status Provider Pick-up Location 07/24/24 comp 07/24/24 comp 07/25/24 comp 07/25/24 comp normal Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Eye Care Center - 1400 Dry normal Creek Dr: 1400 Dry Creek Dr Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton normal normal Brighton Colorado Urology: 1610 Prairie Center Parkway Brighton Elwell James (12358) Data Status Provider Pick-up Location 07/03/24 comp normal 1401 9th St Ft Lupton 8/1/24, 12:49 PM Drop-off Location Medicaid number: No Fund Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton 240 S Denver Ave Ft Lupton First National Bank - 1600 E Bridge St: 1600 E Bridge St Brighton 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center Pkwy: 2171 Prairie Center Pkwy Brighton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Eye Care Center - 1400 Dry Creek Dr: 1400 Dry Creek Dr Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Brighton Colorado Urology: 1610 Prairie Center Parkway Brighton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: None 4.50 3.33 32.18 Total trips: 5 Purpose Trips Distance Actual Time Shared Direct Personal Personal Personal Personal Personal 10.60 11.76 37.40 13.00 11.55 34.75 7.20 8.39 18.05 8.30 8.17 16.87 0.00 11.76 Total trips: 4 Purpose Tripe Distance Actual Time Shared Direct Medical Medical Medical Medical Fund Purpose Walmart - 60 W Bromley Ln: 60 Weld - UFR W Bromley Ln Brighton (Upper Front Grocery 21.90 21.49 43.77 21.90 21.49 52.63 11.70 11.69 30.72 11.50 11.29 26.23 Total trips: 4 Trips Distance Actual Time Shared Direct 9.30 9.27 24.20 Page 2 of 5 Range) Walmart - 60 W Bromley Ln: 60 Weld - UFR 07/03/24 comp normal W Bromley Ln Brighton 1401 9th St Ft Lupton (Upper Front Range) Wells Fargo - 15 S Main St: 15 S Weld - UFR 07/16/24 comp normal 1401 9th St Ft Lupton Main St Brighton (Upper Front Range) Weld - UFR WeIIs Fargo - 15 S Main St: 15 S 07/16/24 comp normal Main St Brighton 1401 9th St Ft Lupton (Upper Front Range) Grocery 9.40 8.99 24.58 Personal 8.10 8.13 33.43 Personal 7.70 7.90 28.17 Epple Allison (11206) Medicaid number: no Total trips: 1 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Twin Rivers Apts: 6616 W 10th Mountain Vista Medical Center: Weld - UFR 07/01/24 cancel normal (Upper Front Medical 0.00 0.84 St Greeley 5890 W 13th St Greeley Range) Flowers Theresa (12064) Date Status Provider Pick-up Location Drop-off Location 07/15/24 comp normal 165 Washington Ave Nunn 07/15/24 comp normal Eye Care Associates: 702 W Drake Rd Ft Collins Medicaid number: No Fund Eye Care Associates: 702 W Weld - UFR Drake Rd Ft Collins (Upper Front Range) Weld - UFR 165 Washington Ave Nunn (Upper Front Range) Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Vision 32.20 27.17 58.60 Vision 27.10 27.39 59.60 Fuller Pamela (11519) Medicaid number: no Total trips: 6 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Summit View Medical Commons: Weld - UFR 07/10/24 comp normal 803 5th St Kersey 2001 70th Ave Greeley (Upper Front Medical 15.00 14.22 70.15 Range) Summit View Medical Commons: Weld - UFR 07/10/24 comp normal 2001 70th Ave Greeley 803 5th St Kersey (Upper Front Medical 14.30 14.21 66.20 Range) Banner North Colorado Medical Weld - UFR 07/15/24 comp normal 803 5th St Kersey Center: 1801 16th St Greeley (Upper Front Medical 9.98 9.98 115.35 Range) Weld - UFR 07/15/24 comp normal Banner North Colorado Medical 803 5th St Kersey (Upper Front Medical 15.28 9.96 47.12 Center: 1801 16th St Greeley Range) 8/1/24, 12:49 PM Page 3 of 5 Verizon - 4650 Centerplace Dr: Weld - UFR 07/25/24 comp normal 803 5th St Kersey 4650 Centerplace Dr Greeley (Upper Front Personal 11.90 11.51 112.38 Range) Verizon - 4650 Centerplace Dr: Weld - UFR 07/25/24 comp normal 4650 Centerplace Dr Greeley 803 5th St Kersey (Upper Front Personal 11.50 11.55 47.23 Range) Holridge Karen (12403) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Gray Cara Assisted Living: 195 Fort Lupton Dental Group: 229 Weld - UFR 07/25/24 comp normal (Upper Front Dental 2 17.30 16.94 31.38 Gandy Ave Keenesburg Denver Ave Ft Lupton Range) Fort Lupton Dental Group: 229 Gray Cara Assisted Living: 195 Weld - UFR 07/25/24 comp normal (Upper Front Dental 2 26.90 16.91 61.43 Denver Ave Ft Lupton Gandy Ave Keenesburg Range) Landgren Sandra (12313) Medicaid number: no Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Kaiser Brighton: 859 S 4th Ave Weld - UFR 07/16/24 comp normal 319 Thomas Ave Keenesburg Brighton (Upper Front Medical 20.80 21.13 37.25 Range) Kaiser Brighton: 859 S 4th Ave Weld - UFR 07/16/24 comp normal Brighton 319 Thomas Ave Keenesburg (Upper Front Medical 21.40 21.06 32.05 Range) Mirelez Mary (11162) Medicaid number: No Total trips: 2 Date Status Provider Pick-up. Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Intermountain Health Platte Weld - UFR 07/24/24 comp normal 302 S Mckinley Ave Ft Lupton Valley Hospital 1600 Prairie (Upper Front Medical 11.80 11.73 38.43 Center Pkwy: 1600 Prairie Center Range) Pkwy Brighton Intermountain Health Platte Weld - UFR 07/24/24 cancel normal Valley Hospital - 1600 Prairie 302 S Mckinley Ave Ft Lupton (Upper Front Medical 0.00 11.31 Pkwy Brighton Range) 8/1/24, 12:49 PM Page 4 of 5 Reymann Shirley (48466) Date Status Provider Pick-up Location 07/01/24 comp normal 1222 Vine St Gilcrest 07/01/24 comp normal 07/19/24 comp normal 1222 Vine St Gilcrest 07/19/24 comp normal 07/31/24 comp normal 1222 Vine St Gilcrest 07/31/24 comp normal UCHealth Greeley Hospital: 6767 W 29th St Greeley UCHealth Longs Peak Hospital: 1750 E Ken Pratt Blvd Longmont UCHealth Greeley Hospital: 6767 1222 Vine St Gilcrest W 29th St Greeley Warne Chelsea (11299) Date Status Provider Pick-up Location 07/08/24 comp normal 3803 Dry Gultch Rd Evans 07/08/24 comp normal 07/29/24 noshow normal 3803 Dry Gulch Rd Evans 8/1/24, 12:49 PM Banner North Colorado Medical Center: 1801 16th St Greeley Drop-off Location Drop-off Location Medicaid number: No Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld UFR W 29th St Greeley (Upper Front Range) Weld - UFR 1222 Vine St Gilcrest (Upper Front Range) UCHealth Longs Peak Hospital: Weld - UFR 1750 E Ken Pratt Blvd Longmont (Upper Front Range) Weld - UFR 1222 Vine St Gilcrest (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Medical 10.10 10.20 32.88 Medical 10.40 10.21 25.62 Medical 0.00 22.45 83.87 Medical 22.70 22.48 49.28 Medical 10.40 10.20 28.62 Medical 11.00 10.21 25.48 Medicaid number: P655029 Banner North Colorado Medical Center: 1801 16th St Greeley 3803 Dry Gultch Rd Evans Banner North Colorado Medical Center: 1801 16th St Greeley Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 3 Trips Distance Actual Time Shared Direct Medical 4.20 4.22 31.55 Medical 5.30 4.18 27.85 Medical 0.00 4.22 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: Page 5 of 5 14 46 584.26 607.36 30.11 52 Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility tor Lilo Date range: 08/01/2024 - 08/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Allen Steve (12497) Date Status Provider Pick-up Location 08/01/24 comp normal 08/01/24 comp normal 08/21/24 comp normal 08/21/24 comp normal Drop-off Location Provider types: Normal. Total trips: 86. Operational days: 21. Selected weekdays: All. Medicaid number: no Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Intermountain Health Clinic - Weld - UFR 2107 Trading Post St Fort Lupton 1450 Dexter St: 1450 Dexter St (Upper Front Ft Lupton Range) Intermountain Health Clinic - Weld - UFR 1450 Dexter St: 1450 Dexter St 2107 Trading Post St Fort Lupton (Upper Front Ft Lupton Range) Weld - UFR 2107 Trading Post St Ft Lupton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Housing Authority of Ft Lupton: 2107 Trading Post St Ft Lupton 400 2nd St Ft Lupton Armendariz Loya Roberto (12080) Date Status Provider Pick-up Location 08/06/24 comp normal 08/06/24 comp normal 08/06/24 cancel normal 08/07/24 comp normal 08/07/24 comp normal 08/21/24 comp normal 08/21/24 comp normal 9/4/24, 11:40 AM 1108 Vasquez Blvd Platteville Summit View Medical Commons: 2001 70th Ave Greeley Summit View Medical Commons: 2001 70th Ave Greeley 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Drop-off Location (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Summit View Medical Commons: 2001 70th Ave Greeley 1108 Vasquez Blvd Platteville 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Medical Medical Personal Personal Purpose Medical Medical Medical Medical Medical Medical Medical 1.90 3.13 13.42 0.00 3.23 12.90 2.20 2.73 21.80 2.40 2.73 37.33 Total trips: 9 Trips Distance Actual Time Shared Direct 2 15.80 15.56 50.97 2 20.90 15.49 65.95 2 20.31 15.49 2 15.50 16.01 36.00 2 16.00 16.04 53.58 2 15.40 16.01 31.12 2 15.80 16.04 37.97 Page 1 of 8 Longmont Range) UCHealth Longs Peak Medical Weld - UFR 08/22/24 comp normal 1108 Vasquez Blvd Platteville Centerl: 1760 E Ken Pratt Blvd (Upper Front Longmont Range) UCHealth Longs Peak Medical Weld - UFR 08/22/24 comp normal Centerl: 1760 E Ken Pratt Blvd 1108 Vasquez Blvd Platteville (Upper Front Longmont Range) Nee Jake (10852) Date Status Provider Pick-up Location 08/06/24 comp normal 214 Birch Ave Ault 08/06/24 comp normal Walmart - 920 47th Ave: 920 47th Ave Greeley Builington Amy (12317) Date Status Provider Pick-up Location 08/12/24 comp normal 08/12/24 comp normal 08/13/24 comp normal 08/13/24 comp normal 08/19/24 comp normal 08/19/24 comp normal 08/27/24 noshow normal 265 Ponderosa PI Ft Lupton 1390 N 17th Ave Greeley 265 Ponderosa PI Ft Lupton Weld County Public Defender: 822 7th St Greeley 265 Ponderosa PI Ft Lupton Geo Reentry Service - 810 9th St: 810 9th St Greeley 265 Ponderosa PI Ft Lupton Medicaid number: No Drop-off Location Walmart - 920 47th Ave: 920 47th Ave Greeley 214 Birch Ave Ault Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical 2 10.30 16.01 25.42 Medical 2 15.80 16.04 34.50 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Grocery 14.80 15.46 34.35 Grocery 14.40 15.55 29.73 Medicaid number: P549459 1390 N 17th Ave Greeley 265 Ponderosa PI Ft Lupton Weld County Public Defender: 822 7th St Greeley 265 Ponderosa PI Ft Lupton Geo Reentry Service - 810 9th St: 810 9th St Greeley 265 Ponderosa PI Ft Lupton Bridge Street Veterinary Clinic - 1245 E Bridge St: 1245 E Bridge St Brighton Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 7 Fund Purpose Trips Distance Actual Time Shared Direct Personal 32.50 29.10 78.93 Personal 48.50 29.14 160.38 Personal 27.10 27.07 63.92 Personal 41.30 27.19 90.33 Personal 30.70 26.93 60.45 Personal 29.20 27.08 83.48 Personal 0.00 9.04 9/4/24, 11:40 AM Page 2 of 8 Clark Joanne (12581) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Garden Care Senior Living: 1102 UCHealth Longmont Clinic: 1925 Weld - UFR 08/26/24 comp normal (Upper Front 4th St Ft Lupton Mountain View Ave Longmont Range) UCHealth Longmont Clinic: 1925 Garden Care Senior Living: 1102 Weld - UFR 08/26/24 comp normal (Upper Front Mountain View Ave Longmont 4th St Ft Lupton Range) Davis Patricia (12069) Date Status Provider Pick-up Location Drop-off Location Shared Direct Medical 2 24.80 23.64 62.43 Medical 2 24.00 23.72 53.17 Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Target - 2171 Prairie Center Weld - UFR 08/08/24 comp normal 240 S Denver Ave Ft Lupton Pkwy: 2171 Prairie Center Pkwy (Upper Front Grocery Brighton Range) Target - 2171 Prairie Center Weld - UFR 08/08/24 comp normal Pkwy: 2171 Prairie Center Pkwy 240 S Denver Ave Ft Lupton (Upper Front Grocery Brighton Range) Dietitian Chris (11530) Date Status Provider Pick-up Location 08/01/24 comp normal 400 2nd St Fort Lupton 08/01/24 comp normal 08/21/24 comp normal 08/21/24 comp normal 08/28/24 comp normal 08/28/24 comp normal UCHealth Longmont Clinic: 1925 Mountain View Ave Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton UCHealth Longmont Clinic: 1925 Mountain View Ave Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton St Anthony North Health Campus: 14300 Orchard Pkwy Westminster Medicaid number: No Drop-off Location UCHealth Longmont Clinic: 1925 Mountain View Ave Longmont 12.80 11.76 32.55 15.40 11.55 81.32 Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR 400 2nd St Fort Lupton (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) St Anthony North Health Campus: Weld UFR 14300 Orchard Pkwy Westminster (Upper Front Range) Housing Authority of Ft Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) UCHealth Longmont Clinic: 1925 Mountain View Ave Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Medical Medical Medical Medical Medical Medical 23.10 23.05 55.17 24.10 23.13 52.47 24.10 23.07 55.82 24.00 23.15 53.07 18.60 19.00 36.77 18.80 18.83 39.15 9/4/24, 11:40 AM Page 3 of 8 Elwell James (12358) Date Status Provider Pick-up Location 08/08/24 comp normal 08/08/24 comp normal 08/12/24 comp normal 08/12/24 comp normal 1401 9th St Ft Lupton Walmart - 60 W Bromley Ln: 60 W Bromley Ln Brighton 1401 9th St Ft Lupton Medicaid number: None Drop-off Location Walmart - 60 W Bromley Ln: 60 W Bromley Ln Brighton 1401 9th St Ft Lupton Walmart - 60 W Bromley Ln: 60 W Bromley Ln Brighton Walmart - 60 W Bromley Ln: 60 1401 9th St Ft Lupton W Bromley Ln Brighton Eppie Allison (11206) Date Status Provider Pick-up Location 08/22/24 comp normal 350 N Cedar St Keenesburg 08/22/24 comp normal 08/26/24 comp normal 350 N Cedar St Keenesburg 08/26/24 comp normal Twin Rivers Apts: 6616 W 10th St Greeley Wild Animal Sanctuary: 2999 County Rd 53 Keenesburg Fuller Pamela (11519), Date Status Provider Pick-up Location 08/05/24 comp normal 803 5th St Kersey 08/05/24 comp normal 08/12/24 comp normal 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley Drop-off Location Total trips: 4 Fund Purpose Trips Distance Actual Time Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Twin Rivers Apts: 6616 W 10th St Weld UoR (Upper Front Greeley Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 350 N Cedar St Keenesburg (Upper Front Range) Wild Animal Sanctuary: 2999 County Rd 53 Keenesburg Medicaid number: no Drop-off Location Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 08/12/24 comp normal Banner North Colorado Medical 803 5th St Kersey 9/4/24, 11:40 AM Grocery Grocery Grocery Grocery Shared Direct 9.30 9.27 22.67 9.40 8.99 23.68 9.30 9.27 20.20 11.40 8.99 43.87 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Personal Personal Personal Personal 35.30 36.29 43.80 35.60 36.35 65.10 11.80 9.17 24.53 9.17 9.17 24.63 Total trips: 10 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Weld - UFR Medical 109.60 9.98 59.42 10.40 9.96 61.45 10.90 9.98 71.50 11.40 9.96 62.37 Page 4 of 8 08/19/24 comp 08/19/24 comp 08/26/24 comp 08/26/24 comp 08/30/24 comp 08/30/24 comp Center: 1801 16th St Greeley normal 803 5th St Kersey normal normal 803 5th St Kersey normal normal 803 5th St Kersey normal Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Summit View Medical Commons: 2001 70th Ave Greeley Summit View Medical Commons: 803 5th St Kersey 2001 70th Ave Greeley Granger Mary (10913) Date Status Provider Pick-up Location 08/19/24 cancel normal 7420 CO Rd 49 Hudson Hoidridge Karen (12403) Date Status Provider Pick-up Location 08/27/24 noshow normal 08/29/24 noshow normal 08/14/24 comp normal 08/14/24 comp normal 9/4/24, 11:40 AM Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Gray Cara Assisted Living: 195 Gandy Ave Keenesburg UCHealth Greeley Hospital: 6767 W 29th St Greeley Drop-off Location (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Medical Medical Medical Medical Medical Medical 11.80 9.98 81.10 10.80 9.96 36.83 2.40 9.98 80.43 9.96 9.96 0.22 14.50 14.22 60.00 14.40 14.21 60.07 Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Medical Range) Drop-off Location Medicaid number: No Fund Weld UCHealth Greeley Hospital: 6767 UFR (Upper Front W 29th St Greeley Range) Banner North Colorado Medical Weld - UFR Center: 1801 16th St Greeley (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Range) Gray Cara Assisted Living: 195 Weld - UFR Gandy Ave Keenesburg (Upper Front Range) 0.00 30.13 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical 0.00 35.19 Medical 0.00 32.00 Medical 2 34.20 35.19 49.73 Medical 2 34.30 35.16 49.92 Page 5 of 8 Mirelez Mary (11162) Date Status Provider Pick-up Location 08/08/24 comp 08/08/24 noshow 08/23/24 comp normal 302 S Mckinley Ave Ft Lupton Drop-off Location Intermountain Health Platte Weld UFR Valley Hospital - 1600 Prairie (Upper Front Center Pkwy: 1600 Prairie Center Range) Pkwy Brighton Intermountain Health Platte normal Valley Hospital - 1600 Prairie 302 S Mckinley Ave Ft Lupton Center Pkwy: 1600 Prairie Center Pkwy Brighton Platte Valley Medical Plaza 1: normal 302 S Mckinley Ave Ft Lupton 1606 Prairie Center Pkwy Brighton Platte Valley Medical Plaza 1: 08/23/24 comp normal 1606 Prairie Center Pkwy Brighton Puttz Georgene (12606) Date Status Provider Pick-up Location 08/29/24 comp normal 08/29/24 comp normal 08/30/24 comp normal 08/30/24 comp normal Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Colorado Urology - 2030 Mountain View Ave - Ste 420: 2030 Mountain View Ave Longmont Reymann Shirley (48466) Date Status Provider Pickup,Location 08/13/24 comp normal 1222 Vine St Gilcrest 08/13/24 comp 9/4/24, 11:40 AM normal UCHealth Greeley Hospital: 6767 1222 Vine St Gilcrest W 29th St Greeley 302 S Mckinley Ave Ft Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Fund Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Colorado Urology - 2030 Mountain View Ave - Ste 420: 2030 Mountain View Ave Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Medical 12.10 11.73 30.70 Medical 0.00 11.31 Medical 11.90 11.65 35.62 Medical 11.50 11.16 26.82 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Medical 11.70 11.49 28.30 Medical 11.50 11.04 30.98 Medical 2 24.00 23.15 61.00 Medical 2 28.10 23.23 65.05 Total trips: 5 Fund Purpose Trips Distance Actual Time Shared Direct UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front Medical 12.30 10.20 36.53 Range) Weld - UFR (Upper Front Medical 32.20 10.21 87.15 Range) Page 6 of 8 UCHealth Greeley Hospital: 6767 Weld - UFR 08/13/24 cancel normal W 29th St Greeley 1222 Vine St Gilcrest (Upper Front Range) UCHealth Greeley Hospital: 6767 Weld - UFR 08/28/24 comp normal 1222 Vine St Gilcrest (Upper Front W 29th St Greeley Range) UCHealth Greeley Hospital: 6767 Weld - UFR 08/28/24 comp normal W 29th St Greeley 1222 Vine St Gilcrest (Upper Front Range) Salazar Yrineo (10908) Date Status Provider Pick-up Location 08/09/24 comp normal 08/13/24 comp normal 08/14/24 comp normal 08/15/24 comp normal 08/19/24 comp normal 08/20/24 comp normal 08/21/24 comp normal 08/22/24 comp normal 08/27/24 comp normal 08/28/24 comp normal 08/29/24 comp normal 08/30/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederik cHigh Sch: 5690 Tipple Pkwy Frederickool Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Drop-off Location 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Medical Medical Medical 0.00 10.21 10.40 10.20 25.42 51.80 10.21 114.33 Medicaid number: No Total trips: 12 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) Weld - UFR (Upper Front Employment Range) 15.40 15.37 48.13 15.20 15.37 39.77 15.20 15.37 30.72 16.00 15.37 30.12 15.20 15.37 35.23 15.20 15.37 28.77 15.20 15.37 28.95 16.30 15.37 34.33 15.37 15.37 34.22 15.30 15.37 36.22 15.50 15.37 38.60 15.40 15.37 29.42 9/4/24, 11:40 AM Page 7of8 Skees Cheryl (11895) Date Status Provider Pick-up Location Drop-off Location Medicaid number: 0251019 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Banner Health - 1813 Cheyenne Weld - UFR 08/26/24 comp normal 214 Birch Ave Ault Ave: 1813 Cheyenne Ave (Upper Front Medical Loveland Range) Banner Health - 1813 Cheyenne Weld - UFR 08/26/24 comp normal Ave: 1813 Cheyenne Ave 214 Birch Ave Ault (Upper Front Medical Loveland Range) Warne Chelsea (11299) Date Status Provider Pick-up Location Drop-off Location 08/16/24 comp normal 510 12th St Gilcrest Center: 1801 16th St Greeley 08/16/24 comp normal Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley 30.10 29.48 43.57 43.10 29.50 91.95 Medicaid number: P655029 Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical 08/30/24 comp normal 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 08/30/24 comp normal Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley 9/4/24, 11:40 AM Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) 18.90 11.73 63.72 13.70 11.72 41.98 11.50 12.10 11.73 35.12 11.72 45.42 Total clients: 18 Total trips: 86 The sum of shared distances (completed): 1518.30 The sum of direct distances: 1421.44 The sum of trip actual times in hours: 62.73 Total client trips + rider trips: 101 Page 8 of 8 Allen Steve (12497) Date Status Provider Pick-up Location 09/13/24 comp 09/27/24 comp 09/27/24 comp Client Trip by Funding Source Mobility /or Life Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. Date range: 09/01/2024 - 09/30/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 83. Operational days: 20. Selected weekdays: All. Medicaid number: No Total trips: 3 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Housing Authorityof Ft Lupton: Weld - UFR normal 2107 Trading Post St Ft Lupton 400 2nd St Ft Lupton (Upper Front Personal 2.40 2.73 24.15 Range) Safeway - 1300 Dexter St: 1300 Weld - UFR normal 2107 Trading Post St Ft Lupton Dexter St Ft Lupton (Upper Front Grocery 1.90 3.15 8.05 Range) Safeway - 1300 Dexter St: 1300 Weld - UFR normal Dexter St Ft Lupton 2107 Trading Post St Ft Lupton (Upper Front Grocery 2.80 3.12 12.82 Range) Armendariz Loya Roberto (12080) Date Status Provider Pick-up Location 09/04/24 comp normal 09/04/24 comp normal 09/17/24 comp normal 09/17/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville Gunter Hall: 1828 10th Ave Greeley 1108 Vasquez Blvd Platteville Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley Medicaid number: No Drop-off Location UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville Gunter Hall: 1828 10th Ave Greeley 1108 Vasquez Blvd Platteville Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley 1108 Vasquez Blvd Platteville Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical 2 15.50 16.01 39.92 Medical 2 15.80 16.04 33.43 Medical 2 16.70 16.63 42.10 Medical 2 16.90 16.52 41.98 Medical 2 40.90 18.34 85.82 Medical 2 29.50 18.24 54.65 10/1/24, 5:15 PM Page 1 of 8 Bien Jake (10852) Date Status Provider Pick-up Location 09/12/24 comp normal 09/12/24 noshow normal 214 Birch Ave Ault UCHealth Family Medicine - 214 Birch Ave Ault Greeley: 6767 W 29th St Greeley Bray Alex (11919) Date Status Provider Pick-up Location 09/16/24 comp 09/16/24 comp 09/27/24 comp normal 300 Salisbury Ave Platteville normal 1900 59th Ave Greeley normal 300 Salisbury Ave Platteville Builington Amy (12317) Date Status Provider Pick-up Location 09/03/24 comp normal 09/03/24 comp normal 09/04/24 comp normal 09/04/24 comp normal 09/19/24 comp normal 10/1/24, 5:15 PM 265 Ponderosa PI Ft Lupton Weld County Social Services: 2950 9th St Ft Lupton 265 Ponderosa PI Ft Lupton Geo Reentry Service - 810 9th St: 810 9th St Greeley 265 Ponderosa PI Ft Lupton Drop-off Location Drop -oft Location Medicaid number: No Fund Total trips: 2 Purpose Trips Distance Actual UCHealth Family Medicine - Weld - UFR Greeley: 6767 W 29th St Greeley (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Medicaid number: Y355473 Fund Purpose Weld - UFR 1900 59th Ave Greeley (Upper Front Range) Weld - UFR 300 Salisbury Ave Platteville (Upper Front Range) Greeley Mall: 2050 Greeley Mall Weld UFR Greeley (Upper Front Range) Drop-off Location Volunteer Volunteer Personal Medicaid number: P549459 Weld County Social Services: 2950 9th St Ft Lupton Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR 265 Ponderosa PI Ft Lupton (Upper Front Range) Geo Reentry Service - 810 9th St: Weld - UFR 810 9th St Greeley (Upper Front Range) Weld - UFR 265 Ponderosa PI Ft Lupton (Upper Front Range) Quest Diagnostics - 100 E 120th Weld - UFR Ave - F 130: 100 E 120th Ave (Upper Front Northglenn Range) Personal Personal Personal Personal Personal Time Shared Direct 15.90 19.34 27.27 0.00 19.43 Total trips: 3 Trips Distance Actual Time Shared Direct 28.40 15.45 58.47 15.70 15.44 46.25 18.10 16.49 32.88 Total trips: 5 Trips Distance Actual Time Shared Direct 1.70 1.19 17.57 1.60 1.19 7.72 30.40 26.93 64.58 46.50 27.08 123.27 20.40 22.83 37.20 Page 2 of 8 Calaway-Cynde (12694), Date Status Provider Pick-up Location 09/20/24 comp normal 111 Division St Platteville 09/20/24 comp normal Weld County Social Services: 2950 9th St Ft Lupton 09/25/24 comp normal 111 Division Blvd Platteville 09/25/24 comp normal 9036 Sandpiper Frederick Corazon Leine (12689) Date Status Provider Pick-up Location 09/19/24 comp normal 14197 Co Rd 38 Platteville King Soopers - 6110 Firestone 09/19/24 comp normal Blvd: 6110 Firestone Blvd Firestone Davis Patricia (12069) Date Status Provider Pick-up Location 09/05/24 comp normal 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center 09/05/24 comp normal Pkwy: 2171 Prairie Center Pkwy Brighton 09/10/24 comp normal 240 S Denver Ave Ft Lupton Target - 2171 Prairie Center 09/10/24 comp normal Pkwy: 2171 Prairie Center Pkwy Brighton 09/24/24 comp normal 240 S Denver Ave Ft Lupton 09/24/24 comp normal Target - 2171 Prairie Center 10/1/24, 5:15 PM Drop-off Location Medicaid number: no Fund Weld County Social Services: 2950 9th St Ft Lupton 111 Division St Platteville 9036 Sandpiper Frederick 111 Division Blvd Platteville Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Personal Personal Personal Personal Medicaid number: 1366576 Fund Purpose King Soopers - 6110 Firestone Blvd: 6110 Firestone Blvd Firestone 14197 Co Rd 38 Platteville Drop-off Location Weld - UFR (Upper Front Grocery Range) Weld - UFR (Upper Front Grocery Range) Medicaid number: No Fund 14.90 12.12 37.28 11.60 12.09 18.62 14.10 13.06 29.22 12.90 13.06 30.05 Total trips: 2 Trips Distance Actual Time Shared Direct 14.40 14.15 29.02 14.30 14.38 40.65 Total trips: 6 Purpose Trips Distance Actual Time Shared Direct Target - 2171 Prairie Center Weld - UFR Pkwy: 2171 Prairie Center Pkwy (Upper Front Grocery Brighton Range) Weld - UFR 240 S Denver Ave Ft Lupton (Upper Front Grocery Range) Target - 2171 Prairie Center Weld - UFR Pkwy: 2171 Prairie Center Pkwy (Upper Front Grocery Brighton Range) Weld - UFR 240 S Denver Ave Ft Lupton (Upper Front Grocery Range) Target - 2171 Prairie Center Weld - UFR Pkwy: 2171 Prairie Center Pkwy (Upper Front Grocery Brighton Range) 240 S Denver Ave Ft Lupton Weld - UFR Grocery 12.50 11.76 27.40 13.00 11.55 31.05 12.90 11.76 32.20 15.90 11.55 30.65 15.50 11.76 31.00 16.60 11.55 35.28 Page 3 of 8 Pkwy: 2171 Prairie Center Pkwy Brighton (Upper Front Range) Ellis Charles (12688) Medicaid number: No Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct King Soopers - 6110 Firestone Weld - UFR 09/19/24 comp normal 14197 Co Rd 38 Platteville Blvd: 6110 Firestone Blvd (Upper Front Grocery 14.40 14.15 29.02 Firestone Range) King Soopers - 6110 Firestone Weld - UFR 09/19/24 comp normal Blvd: 6110 Firestone Blvd 14197 Co Rd 38 Platteville (Upper Front Grocery 14.30 14.38 40.65 Firestone Range) Elwell James (12358) Medicaid number: None Total trips: 3 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Platte Valley Medical Plaza 2: Weld - UFR 09/20/24 comp normal 1401 9th St Ft Lupton 1610 Prairie Center Pkwy (Upper Front Medical 12.80 12.47 28.10 Brighton Range) Platte Valley Medical Plaza 2: Walmart - 60 W Bromley Ln: 60 Weld - UFR 09/20/24 comp normal 1610 Prairie Center Pkwy W Bromley Ln Brighton (Upper Front Medical 3.70 3.34 13.87 BrightonRange) Walmart - 60 W Bromley Ln: 60 Weld - UFR 09/20/24 comp normal yy Bromley Ln Brighton 1401 9th St Ft Lupton (Upper Front Grocery 10.00 8.99 25.77 Range) Epple Allison (11206) Date Status Provider Pick-up Location 09/11/24 comp normal 350 N Cedar St Keenesburg Medicaid number: No Total trips: 1 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Twin Rivers Apts: 6616 W 10th St Weld UFR Greeley (Upper Front Personal 30.80 36.29 42.57 Range) Fuller Pamela (11519) Medicaid number: no Total trips: 11 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical Weld - UFR 09/04/24 comp normal 803 5th St Kersey Center: 1801 16th St Greeley (Upper Front Medical 10.40 9.98 55.78 Range) 09/04/24 comp normal Banner North Colorado Medical 803 5th St Kersey Weld - UFR Medical 11.40 9.96 57.97 10/1/24, 5:15 PM Page 4 of 8 09/09/24 comp 09/09/24 comp 09/11/24 comp 09/11/24 comp 09/16/24 comp 09/16/24 comp 09/30/24 comp 09/30/24 comp 09/30/24 cancel Center: 1801 16th St Greeley normal 803 5th St Kersey normal normal 803 5th St Kersey normal normal 803 5th St Kersey normal normal 803 5th St Kersey normal normal Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley 803 5th St Kersey Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley Garcia Anita (12745) Date Status Provider Pick-up Location 09/27/24 cancel normal 1108 Vasquez Blvd Platteville Granger Mary (10913) Date Status Provider Pick-up Location 09/03/24 comp 09/03/24 comp 09/09/24 comp 10/1/24, 5:15 PM Drop-off Location America's Best 4759 W 29th st - Weld - UFR STE C: 4759 W 29th st greely (Upper Range) Fnt Drop-off Location Medicaid number: no Fund Westlake Lodge Health and Weld - UFR normal 7420 CO Rd 49 Hudson Rehabilitation -1637 29th Ave PI: (Upper Front 1637 29th Ave PI Greeley Range) Westlake Lodge Health and Weld - UFR normal Rehabilitation -1637 29th Ave PI: 7420 CO Rd 49 Hudson (Upper Front 1637 29th Ave PI Greeley Range) normal 7420 CO Rd 49 Hudson UCHealth Greeley Hospital: 6767 Weld - UFR W 29th St Greeley (Upper Front (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Medical Medical Medical Medical Medical Medicaid number: Q495883 1.60 9.98 60.83 10.60 9.96 63.30 15.40 9.98 60.05 14.70 9.96 66.23 10.40 9.98 55.27 10.70 9.96 58.73 10.20 9.98 53.35 15.20 9.96 46.23 15.28 9.96 Total trips: 1 Fund Purpose Trips Distance Actual Time Shared Direct Vision 2 0.00 15.60 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Personal Personal Medical 27.80 27.82 43.18 28.00 27.83 35.75 34.60 30.13 68.68 Page 5 of 8 09/09/24 comp normal UCHealth Greeley Hospital: 6767 7420 CO Rd 49 Hudson W 29th St Greeley Holdridge Karen (12403) Date Status Provider Pick-up Location 09/11/24 comp normal 09/11/24 comp normal 09/20/24 comp normal 09/20/24 comp normal Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Banner North Colorado Medical Center: 1801 16th St Greeley Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Welch Eye Center: 1616 15th St Greeley Meyer James (12265) Date Status Provider Pick-up Location 09/19/24 comp normal 328 S Park Ave Ft Lupton 09/19/24 comp normal Martin Mc Dermott Family 328 S Park Ave Ft Lupton Practice: 327 Park Ave Ft Lupton Reymann Shirley (48466) Date Status Provider Pick-up Location 09/10/24 comp normal 1222 Vine St Gilcrest 09/10/24 comp normal 09/19/24 comp normal 1222 Vine St Gilcrest Luker Dental - 1829 56th Ave: 1829 56th Ave Greeley Drop-off Location Drop-off Location Range) Weld - UFR (Upper Front Medical 48.60 30.10 82.78 Range) Medicaid number: No Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Banner North Colorado Medical Weld - UFR Center: 1801 16th St Greeley (Upper Front Range) Gray Cara Assisted Living: 195 Weld - UFR Gandy Ave Keenesburg (Upper Front Range) Welch Eye Center: 1616 15th St Weld - UFR Greeley (Upper Front Range) Weld - UFR (Upper Front Range) Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Drop-off Location Medicaid number: No Medical 2 40.80 32.00 106.32 Medical 2 31.60 31.99 54.12 Vision 57.40 31.81 103.43 Vision 31.20 31.83 50.20 Total trips: 2 Fund Purpose Trips Distance Actual Martin Mc Dermott Family Weld - UFR Practice: 327 Park Ave Ft Lupton (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Luker Dental - 1829 56th Ave: 1829 56th Ave Greeley 1222 Vine St Gilcrest UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont Fund Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Time Shared Direct Medical 0.60 0.50 32.52 Medical 0.70 0.50 38.60 Total trips: 4 Purpose Trips Distance Actual Time Shared Direct Dental 11.60 14.09 32.07 Dental 11.70 14.06 26.72 Medical 22.50 22.41 50.25 10/1/24, 5:15 PM Page 6 of 8 UCHealth Longs Peak Medical 09/19/24 comp normal Centerl: 1760 E Ken Pratt Blvd 1222 Vine St Gilcrest Longmont Salazar Yrineo (10908) Date Status Provider Pick-up Location Drop-off Location 09/03/24 comp normal 09/05/24 comp normal 09/06/24 comp normal 09/10/24 comp normal 09/11/24 comp normal 09/12/24 comp normal 09/13/24 comp normal 09/17/24 comp normal 09/18/24 comp normal 09/19/24 comp normal 09/23/24 comp normal 09/24/24 comp normal 09/26/24 comp normal 09/27/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High Sch5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Weld - UFR (Upper Front Medical Range) 24.00 22.44 45.28 Medicaid number: No Total trips: 14 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Employment 15.30 15.37 43.70 Range) Weld - UFR (Upper Front Employment 15.30 15.37 26.17 Range) Weld - UFR (Upper Front Employment 15.20 15.37 28.13 Range) Weld - UFR (Upper Front Employment 16.10 15.37 35.05 Range) Weld - UFR (Upper Front Employment 15.20 15.37 25.92 Range) Weld - UFR (Upper Front Employment 15.30 15.37 24.38 Range) Weld - UFR (Upper Front Employment 15.30 15.37 37.12 Range) Weld - UFR (Upper Front Employment 34.00 15.37 88.77 Range) Weld - UFR (Upper Front Employment 15.20 15.37 24.57 Range) Weld - UFR (Upper Front Employment 27.50 15.37 95.15 Range) Weld - UFR (Upper Front Employment 15.20 15.37 26.28 Range) Weld - UFR (Upper Front Employment 15.20 15.37 22.85 Range) Weld - UFR (Upper Front Employment 24.00 15.37 45.92 Range) Weld - UFR (Upper Front Employment 25.60 15.37 53.70 Range) 10/1/24, 5:15 PM Page 7 of 8 Watkins Amy (11696) Date Status Provider Pick-up Location Drop-off Location Medicaid number: no Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct King Soopers - 100 N 50th Ave: Weld - UFR 09/11/24 comp normal 250 Woodward Ave Keenesburg 100 N 50th Ave Brighton (Upper Front Range) King Soopers - 100 N 50th Ave: Weld - UFR 100 N 50th Ave Brighton 250 Woodward Ave Keenesburg (Upper Front Range) 09/11/24 comp normal Wise Trudy (11979) Date Status Provider Pick-up Location 09/17/24 comp normal 09/17/24 comp normal 09/20/24 comp normal 09/20/24 comp normal 10/1/24, 5:15 PM 7217 Richard St Ft Lupton UC Health Internal Medicine: 1925 Mountain View Ave Longmont 7217 Richard St Ft Lupton UCHealth Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland Medicaid number. no Drop-off Location UC Health Internal Medicine: 1925 Mountain View Ave Longmont 7217 Richard St Ft Lupton UCHealth Medical Center of the Rockies: 2500 Rocky Mountain Ave Loveland 7217 Richard St Ft Lupton Grocery 4 16.80 16.85 24.72 Grocery 4 16.90 17.06 26.67 Total trips: 4 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical 26.70 23.96 59.17 31.00 23.94 84.58 33.90 33.57 66.72 57.40 33.80 127.83 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 20 83 1504.50 1321.69 60.43 98 Page 8 of 8 Allen Steve (12497) Date Status Provider Pick-up Location 10/03/24 comp normal 10/03/24 comp normal Client Trip by Funding Source Shared distance is based on reported mileage. Direct distance is estimated driving distance from PU to DO. YIN Mobility for Life Date range: 10/01/2024 - 10/31/2024. Trip's statuses to select: comp, noshow, cancel. Funding sources: Weld - UFR (Upper Front Range). Trip purposes: all. Provider types: Normal. Total trips: 136. Operational days: 23. Selected weekdays: All. Medicaid number: No Total trips: 2 Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Safeway - 1300 Dexter St: 1300 Weld UFR 2107 Trading Post St Ft Lupton Dexter St Ft Lupton (Upper Front Grocery Range) Safeway - 1300 Dexter St: 1300 Weld - UFR Dexter St Ft Lupton 2107 Trading Post St Ft Lupton (Upper Front Grocery Range) Armendarla Loya Roberto (12080) Date Status Provider Pick-up Location 10/03/24 comp normal 10/03/24 comp normal 10/14/24 cancel normal 10/15/24 comp normal 10/15/24 comp normal 10/16/24 comp normal 10/16/24 comp normal 10/24/24 comp normal 10/24/24 comp normal 11/5/24, 11:14 AM 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 1108 Vasquez Blvd Platteville 1108 Vasquez Blvd Platteville Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley 1108 Vasquez Blvd Platteville Summit View Medical Commons: 2001 70th Ave Greeley 1108 Vasquez Blvd Platteville UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Drop-off Location Medicaid number: No Fund Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley Banner Urgent Care - 2015 35th Ave: 2015 35th Ave Greeley UCHealth Longs Peak Medical Weld - UFR Centerl: 1760 E Ken Pratt Blvd (Upper Front Longmont Range) Weld - UFR 1108 Vasquez Blvd Platteville (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 1108 Vasquez Blvd Platteville (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 1108 Vasquez Blvd Platteville (Upper Front Range) UCHealth Longs Peak Medical Weld - UFR Centerl: 1760 E Ken Pratt Blvd (Upper Front Longmont Range) Weld - UFR (Upper Front Summit View Medical Commons: 2001 70th Ave Greeley 1108 Vasquez Blvd Platteville 2.00 3.15 28.30 0.00 3.12 0.30 Total trips: 9 Purpose Trips Distance Actual Time Shared Direct Medical 2 15.50 16.01 39.32 Medical 2 16.10 16.04 42.15 Medical 2 0.00 18.34 Medical 2 17.90 18.34 46.02 Medical 2 18.40 18.24 39.28 Medical 2 16.90 15.56 33.38 Medical 2 26.40 15.49 79.17 Medical 2 15.60 16.01 50.45 Medical 2 18.00 16.04 44.63 Page 1 of 12 Longmont Bailey John (12697) Date Status Provider Pick-up Location 10/03/24 comp normal 970 S Fulton Ave Ft Lupton 10/03/24 comp normal Safeway - 1300 Dexter St: 1300 Dexter St Ft Lupton 10/07/24 comp normal 970 S Fulton Ave Ft Lupton Banner Health Clinic - 1900 N 10/07/24 comp normal Boise Ave: 1900 N Boise Ave Loveland 10/10/24 comp normal 970 S Fulton Ave Ft Lupton 10/10/24 comp normal King Soopers - 100 N 50th Ave: 100 N 50th Ave Brighton Bauer Katherine (11377) Date Status Provider Pick-up Location 10/01/24 comp normal 22517 County Rd 76 Eaton 10/29/24 comp normal 22517 County Rd 76 Eaton Bench Lydia (12780) Date Status Provider Pick-up Location Range) Medicaid number: No Drop-off Location Safeway - 1300 Dexter St: 1300 Dexter St Ft Lupton 970 S Fulton Ave Ft Lupton Banner Health Clinic - 1900 N Boise Ave: 1900 N Boise Ave Loveland 970 S Fulton Ave Ft Lupton King Soopers - 100 N 50th Ave: 100 N 50th Ave Brighton 970 S Fulton Ave Ft Lupton Drop-off Location Total trips: 6 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: no Grocery 5.30 1.77 41.40 Grocery 1.80 1.74 32.55 Medical 35.90 35.76 50.08 Medical 66.10 35.72 130.55 Grocery 9.80 10.24 20.23 Grocery 8.80 9.73 16.53 Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Foot & Ankle Center - 1931 65th Weld - UFR Ave: 1931 65th Ave Greeley (Upper Front Range) Banner Health Clinic: 5890 W Weld - UFR 13th St Greeley (Upper Front Range) Drop-off Location Medicaid number: No Fund Navigation Center: 870 28th St Weld - UFR 10/08/24 noshow normal 60 S Grand Ave Ft Lupton Greeley (Upper Front Range) Weld County Social Services: Weld - UFR 10/17/24 comp normal K C Motel: 201 1St St Ft Lupton (Upper Front 2850 9th St Ft Lupton Range) 11/5/24, 11:14 AM Medical 17.30 18.56 46.20 Medical 16.30 17.17 57.28 Total trips: 5 Purpose Trips Distance Actual Time Shared Direct Personal 0.00 24.75 Personal 3.10 2.49 26.28 Page 2 of 12 Weld County Social Services: Weld - UFR 10/17/24 comp normal 2950 9th St Ft Lupton K C Motel: 201 1St St Ft Lupton (Upper Front Personal Range) Weld County Social Services: Weld - UFR 10/24/24 comp normal K C Motel: 201 1St St Ft Lupton 2950 9th St Ft Lupton (Upper Front Personal Range) Weld County Social Services: Weld - UFR 10/24/24 noshow normal 2950 9th St Ft Lupton K C Motel: 201 1St St Ft Lupton (Upper Front Personal Range) 3.00 2.49 15.12 4.30 2.49 24.93 0.00 2.49 Blea Jake (10852) Medicaid number: No Total trips: 3 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct Family Physician West Office - Weld - UFR 10/09/24 comp normal 214 Birch Ave Ault 6801 W 20th St: 6801 W 20th St (Upper Front Medical 15.10 18.20 25.88 Greeley Range) Family Physician West Office - Weld - UFR 10/09/24 comp normal 6801 W 20th St: 6801 W 20th St 214 Birch Ave Ault (Upper Front Medical 14.00 18.26 34.53 Greeley Range) UCHealth Family Medicine - Weld - UFR 10/10/24 comp normal 214 Birch Ave Ault Greeley: 6767 W 29th St Greeley (Upper Front Medical 16.40 19.34 34.33 Range) Bray Alex (11919) Medicaid number: Y355473 Total trips: 1 Date Statue Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 10/08/24 comp normal 300 Salisbury Ave Platteville NEED NAME OF BUSINESS: 1900 Weld - UFR 59th Ave Greeley (Upper Front Volunteer Range) 21.70 15.45 40.03 Buiiington Amy (12317) Medicaid number: P549459 Total trips: 2 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual 10/08/24 comp normal 10/08/24 comp normal Time Shared Direct Weld - UFR Fort Lupton Food & Clothing Eco Cycle: 6400 Arapahoe Rd (Upper Front Personal 53.60 26.33 95.45 Bank: 421 Denver Ave Ft Lupton Boulder Range) Eco Cycle: 6400 Arapahoe Rd Front Range Community College: Weld UFR Boulder 2121 Miller Dr Longmont (Upper Front Education 13.90 11.52 47.70 Range) 11/5/24, 11:14 AM Page 3 of 12 Clark Joanne (12581) Date Status Provider Pick-up Location 10/10/24 comp normal 10/10/24 comp normal Drop-off Location Medicaid number: No Fund Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Community Physicians Pavillion Weld - UFR Garden Care Senior Living: 1102 300 Exempla Cir Lafayette CO (Upper Front Medical 2 25.20 23.73 53.83 4th St Ft Lupton 80026 USA: 300 Exempla Cir Range) Lafayette Community Physicians Pavillion Weld - UFR 300 Exempla Cir Lafayette CO Garden Care Senior Living: 1102 (Upper Front Medical 2 7.20 23.94 15.78 80026 USA: 300 Exempla Cir 4th St Ft Lupton Range) Lafayette Davis Patricia (12069) Date Status Provider Pick-up Location Drop-off Location Medicaid number: No Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Target - 2171 Prairie Center Weld - UFR 10/03/24 comp normal 240 S Denver Ave Ft Lupton Pkwy: 2171 Prairie Center Pkwy (Upper Front Personal Brighton Range) Target - 2171 Prairie Center Weld - UFR 10/03/24 comp normal Pkwy: 2171 Prairie Center Pkwy 240 S Denver Ave Ft Lupton (Upper Front Personal Brighton Range) Diesman Chris (11530) Date Status Provider Pick-up Location. 10/02/24 comp normal 10/02/24 comp normal 10/04/24 comp normal 10/04/24 comp normal 10/04/24 cancel normal 10/04/24 cancel normal 10/10/24 comp normal 11/5/24, 11:14 AM Drop-off Location Medicaid number: No 12.50 11.76 28.43 13.60 11.55 51.53 Total trips: 12 Fund Purpose Trips Distance Actual Time Shared Direct Housing Authority of Ft Lupton: Platte Valley Medical Plaza 1: Weld - UFR 400 2nd St Ft Lupton 1606 Prairie Center Pkwy (Upper Front Brighton Range) Platte Valley Medical Plaza 1: 1606 Prairie Center Pkwy Brighton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Orthopedic & Spine CenterOf the Rockies: 1610 Dry Creek Dr Longmont Orthopedic & Spine CenterOf the Rockies: 1610 Dry Creek Dr Longmont Orthopedic & Spine CenterOf the Rockies: 1610 Dry Creek Dr Longmont Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Housing Authority of Ft Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Orthopedic & Spine CenterOf the Weld - UFR Rockies: 1610 Dry Creek Dr (Upper Front Longmont Range) Housing Authority of Ft Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Housing Authority of Ft Lupton: Weld - UFR 400 2nd St Ft Lupton (Upper Front Range) Weld - UFR Housing Authority of Ft Lupton: (Upper Front 400 2nd St Ft Lupton Range) Front Range Ortho: 4943 Weld - UFR Highway 52 Dacono (Upper Front Medical Medical Medical Medical Medical Medical Medical 11.70 11.51 35.12 11.50 11.02 24.90 21.50 21.52 49.17 23.33 21.78 43.13 23.32 21.78 23.32 21.78 9.20 8.18 28.48 Page 4 of 12 10/10/24 comp normal 10/11/24 comp normal Front Range Ortho: 4943 Highway 52 Dacono Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Platte Valley Medical Plaza 2: 10/11/24 comp normal 1610 Prairie Center Pkwy Brighton 10/23/24 comp normal Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Emergency And Urgent Care 10/23/24 comp normal Indian Peaks @ Fredricks: 4943 State Hwy 52 Dacono Elwell James (12358), Date Status Provider Pick-up Location 10/24/24 comp normal 1401 9th St Ft Lupton 10/24/24 comp normal 10/24/24 comp normal Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Emergency And Urgent Care Indian Peaks @ Fredricks: 4943 State Hwy 52 Dacono Housing Authority of Ft Lupton: 400 2nd St Ft Lupton Drop-off Location Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: None Medical 9.60 8.18 27.50 Medical 13.70 11.49 40.70 Medical 11.40 11.04 28.90 Medical 8.70 8.44 28.58 Medical 8.50 8.44 31.55 Total trips: 3 Fund Purpose Trips - Distance Actual Time Pain Specialists of Brighton: 435 Weld - UFR S 4th Ave Brighton (Upper Front Range) Pain Specialists of Brighton: 435 Walmart - 60 W Bromley Ln: 60 Weld - UFR S 4th Ave Brighton W Bromley Ln Brighton (Upper Front Range) Walmart - 60 W Bromley Ln: 60 Weld - UFR W Bromley Ln Brighton 1401 9th St Ft Lupton (Upper Front Range) Everett Jerilyn (12714) Date Status Provider Pick-up Location Denver Oral & Maxillofacial 10/23/24 noshow normal Surgery - 4700 E Bromley LN: 4700 E Bromley LN Brighton Fuller Pamela (11 Date Status Provider Pick-up Location 10/03/24 comp normal 803 5th St Kersey 11/5/24, 11:14 AM Drop-off Location Medicaid number: None Medical Grocery Grocery Fund Purpose Aladdin Assisted Living: 15 Ash St Weld UFR Keenesburg (Upper Front Dental Range) Drop-off Location Medicaid number; no Fund Shared Direct 12.90 8.82 33.83 1.00 0.85 5.78 9.40 8.99 21.88 Total trips: 1 Trips Distance Actual Time Shared Direct 0.00 17.44 Total trips: 22 Purpose Trips Distance Actual Time Shared Direct Weld - UFR Summit View Medical Commons: 2001 70th Ave Greeley (Upper Front Medical Range) 15.60 14.22 71.10 Page 5of12 10/03/24 comp normal 10/07/24 comp normal 803 5th St Kersey 10/07/24 comp normal 10/11/24 comp normal 803 5th St Kersey 10/11/24 comp normal 10/14/24 comp normal 803 5th St Kersey 10/14/24 comp normal 10/16/24 comp normal 803 5th St Kersey 10/16/24 comp normal 10/18/24 comp normal 803 5th St Kersey 10/18/24 comp normal 10/21/24 comp normal 803 5th St Kersey 10/21/24 comp normal 10/22/24 comp normal 803 5th St Kersey 10/22/24 comp normal 10/24/24 comp normal 803 5th St Kersey 10/24/24 comp normal 1517 16th Avenue Ct Greeley 10/28/24 comp normal 803 5th St Kersey Summit View Medical Commons: 2001 70th Ave Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 11/5/24, 11:14 AM Banner MD Anderson Cancer Center At Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Foot & Ankle Center - 1931 65th Ave: 1931 65th Ave Greeley Ascent Family Dental - Ste B: 3535 W 12th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley FNBO - 1701 23rd Ave: 1701 23rd Ave Greeley Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Banner MD Anderson Cancer Banner North Colorado Medical Center: 1801 16th St Greeley Weld - UFR Center At Banner North Colorado Medical Center: 1801 16th St (Upper Front Greeley Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR 803 5th St Kersey (Upper Front Range) Banner Physical Therapy Rehab Weld - UFR pper Center: 1517 16th Ave Ct Greeley (U Range) Front Weld - UFR 803 5th St Kersey (Upper Front Range) Weld - UFR (Upper Front Range) Banner North Colorado Medical Center: 1801 16th St Greeley Foot & Ankle Center - 1931 65th Ave: 1931 65th Ave Greeley Ascent Family Dental - Ste B: 3535 W 12th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley FNBO - 1701 23rd Ave: 1701 23rd Ave Greeley Banner North Colorado Medical Center: 1801 16th St Greeley Medical 15.10 14.21 65.12 Medical 10.20 9.98 31.70 Medical 10.30 9.96 53.82 Medical 16.00 9.89 92.42 Medical 10.40 9.83 47.75 Medical 10.10 9.98 50.97 Medical 10.40 9.96 58.22 Medical 13.90 13.86 50.27 Medical 30.50 13.86 84.87 Dental 2.80 12.22 69.37 Dental 12.30 12.12 61.28 Medical 11.30 9.98 58.72 Medical 10.60 9.96 51.92 Personal 1.40 10.41 57.70 Personal 10.50 10.32 43.08 Therapy 10.40 9.76 62.92 Therapy 10.10 9.76 28.12 Medical 17.90 9.98 101.08 Page 6 of 12 10/28/24 comp normal 10/29/24 comp normal 803 5th St Kersey 10/29/24 comp normal Banner North Colorado Medical 803 5th St Kersey Center: 1801 16th St Greeley CardioVascular Institute: 1800 15th St Greeley CardioVascular Institute: 1800 803 5th St Kersey 15th St Greeley Gasiorowald Emma (49254) Date Status Provider Pick-up Location 10/08/24 comp normal 1109 Lantern Dr Ft Lupton Platte Valley Medical Plaza 1: 10/08/24 comp normal 1606 Prairie Center Pkwy Brighton 10/23/24 comp normal 1109 Lantern Dr Ft Lupton 10/24/24 comp normal 1109 Lantern Dr Ft Lupton Platte Valley Medical Plaza 2: 10/24/24 comp normal 1610 Prairie Center Pkwy Brighton Granger Mary (10913) Date Status Provider Pick-up Location 10/25/24 comp normal 7420 CO Rd 49 Hudson 10/25/24 comp normal Orthopaedic & Spin Center: 1926 7420 CO Rd 49 Hudson 61st Ave Greeley 10/30/24 comp normal 7420 CO Rd 49 Hudson Drop-off Location Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Platte Valley Medical Plaza 1: 1606 Prairie Center Pkwy Brighton 1109 Lantern Dr Ft Lupton Ft Lupton Recreation: 203 S Harrison Ave Ft Lupton Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 1109 Lantern Dr Ft Lupton Drop-off Location Medical Medical Medical 10.80 9.96 66.98 1.10 9.79 60.75 10.30 9.82 36.87 Total trips: 5 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Weld - UFR Senior (Upper Front ResourcesIServic Range) elConnections Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Medicaid number: no Fund Orthopaedic & Spin Center: 1926 Weld - UFR 61st Ave Greeley (Upper Front Range) Weld - UFR (Upper Front Range) UCHealth Family Medicine - Weld - UFR Greeley: 6767 W 29th St Greeley (Upper Front Range) UCHealth Family Medicine - Weld - UFR 10/30/24 comp normal 7420 CO Rd 49 Hudson Greeley: 6767 W 29th St Greeley (Upper FrontRange) Purpose Medical Medical Medical Medical 12.90 12.73 32.62 12.90 12.29 22.90 1.30 1.22 7.60 21.20 12.70 32.48 7.50 12.32 13.38 Total trips: 4 Trips Distance Actual Time Shared Direct 31.50 30.32 48.17 33.20 30.51 47.58 33.10 30.13 39.75 33.10 30.10 42.93 11/5/24, 11:14 AM Page 7 of 12 Halisted Maxine (12731) Date Status Provider Pick-up Location 10/07/24 comp normal 731 Grand Ave Platteville 10/07/24 comp normal 10/10/24 comp normal 731 Grand Ave Platteville 10/10/24 comp normal 10/15/24 comp normal 731 Grand Ave Platteville 10/15/24 comp normal 10/16/24 comp normal 10/16/24 comp normal 10/17/24 comp normal 731 Grand Ave Platteville 10/17/24 comp normal Drop-off Location Medicaid number: No Fund Intermountain Health Platte Weld - UFR Valley Hospital - 1600 Prairie (Upper Front Center Pkwy: 1600 Prairie Center Range) Pkwy Brighton Intermountain Health Platte Weld UFR Valley Hospital 1600 Prairie 731 Grand Ave Platteville (Upper Front Center Pkwy: 1600 Prairie Center Pkwy Brighton Range) Intermountain Health Platte Weld - UFR Valley Hospital - 1600 Prairie (Upper Front Center Pkwy: 1600 Prairie Center Range) Pkwy Brighton Intermountain Health Platte Valley Hospital - 1600 Prairie 731 Grand Ave Platteville Center Pkwy: 1600 Prairie Center Pkwy Brighton Weld - UFR (Upper Front Range) Intermountain Health Platte Weld - UFR Valley Hospital - 1600 Prairie Center Pkwy: 1600 Prairie Center (Upper Front Pkwy Brighton Range) Intermountain Health Platte Valley Hospital - 1600 Prairie Weld - UFR Center Pkwy: 1600 Prairie Center 731 Grand Ave Platteville (Upper Front Pkwy Brighton Range) Walgreens - 5962 Firestone Blvd: Weld - UFR 731 Grand Ave Platteville (Upper Front 5962 Firestone Blvd Firestone Range) Walgreens - 5962 Firestone Blvd: Weld - UFR 5962 Firestone Blvd Firestone 731 Grand Ave Platteville (Upper Front Range) Intermountain Health Platte Valley Hospital - 1600 Prairie Weld - UFR Center Pkwy: 1600 Prairie Center (Upper Front Pkwy Brighton Range) Intermountain Health Platte Valley Hospital - 1600 Prairie 731 Grand Ave Platteville Center Pkwy: 1600 Prairie Center Pkwy Brighton Holdridge Karen (12403) Date Status Provider Pick-up Location 10/02/24 comp normal 10/02/24 comp normal 11/5/24, 11:14 AM Drop-off Location Weld - UFR (Upper Front Range) Medicaid number: No Fund Gray Cara Assisted Living: 195 Banner North Colorado Medical Weld - UFR Gandy Ave Keenesburg Center: 1801 16th St Greeley (Upper Front Range) Banner North Colorado Medical Gray Cara Assisted Living: 195 Weld - UFR Center: 1801 16th St Greeley Gandy Ave Keenesburg (Upper Front Total trips: 10 Purpose Trips Distance Actual Time Shared Direct Therapy 21.50 21.37 38.65 Therapy 35.70 21.03 69.92 Medical 25.10 21.37 54.97 Medical 21.50 21.03 35.17 Medical 0.00 21.37 0.30 Medical 21.50 21.03 34.35 Pharmacy 10.80 10.68 20.45 Pharmacy 10.90 10.62 21.73 Therapy 27.10 21.37 62.83 Therapy 22.20 21.03 41.20 Total trips: 7 Purpose Trips Distance Actual Medical 2 Medical 2 Time Shared Direct 31.10 32.00 72.67 31.90 31.99 61.22 Page 8 of 12 10/02/24 cancel normal 10/29/24 comp normal 10/29/24 comp normal 10/30/24 comp normal 10/30/24 comp normal Banner North Colorado Medical Center: 1801 16th St Greeley Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Banner North Colorado Medical Center: 1801 16th St Greeley Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Banner North Colorado Medical Center: 1801 16th St Greeley Meyer James (12265) Date Status Provider Pick-up Location 10/28/24 comp normal 328 S Park Ave Ft Lupton Platte Valley Medical Plaza 2: 10/28/24 comp normal 1610 Prairie Center Pkwy Brighton Patterson Debbie (12811) Date Status Provider Pick-up Location 10/17/24 comp normal 1125 Main St Hudson 10/17/24 cancel normal Ft Lupton Recreation: 203 S Harrison Ave Ft Lupton Romero Regina (12607) Date Status Provider Pick-up Location 10/10/24 comp normal 9735 Co Rd 21 Ft Lupton 11/5/24, 11:14 AM Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Banner North Colorado Medical Center: 1801 16th St Greeley Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Banner North Colorado Medical Center: 1801 16th St Greeley Gray Cara Assisted Living: 195 Gandy Ave Keenesburg Drop-off Location Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medicaid number: No Fund Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 328 S Park Ave Ft Lupton Drop-off Location Medical 2 31.99 31.99 Medical 2 27.30 32.00 103.13 Medical 2 32.50 31.99 60.32 Medical 2 32.70 32.00 63.63 Medical 2 31.50 31.99 48.03 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Medicaid number: S199116 Ft Lupton Recreation: 203 S Harrison Ave Ft Lupton 1125 Main St Hudson Drop-off Location 13.10 11.71 42.13 11.90 11.27 39.45 Total trips: 2 Fund Purpose Trips Distance Actual Time Weld - UFR (Upper Front Recreational Range) Weld - UFR (Upper Front Recreational Range) Medicaid number: No Fund Shared Direct 9.20 9.32 13.77 0.00 9.27 Total trips: 2 Purpose Trips Distance Actual Time Shared Direct Orthopedic & Spine CenterOf the Weld - UFR Rockies: 1610 Dry Creek Dr (Upper Front Medical Longmont Range) 16.70 16.48 59.20 Page 9 of 12 Orthopedic & Spine CenterOf the 10/10/24 comp normal Rockies: 1610 Dry Creek Dr 9735 Co Rd 21 Ft Lupton Longmont Weld - UFR (Upper Front Medical Range) 17.20 16.75 47.52 Salazar Yrineo (10908) Medicaid number: No Total trips: 14 Date Status Provider Pick-up Location Drop-off Location Fund Purpose Trips Distance Actual Time Shared Direct 10/01/24 comp normal 10/02/24 comp normal 10/07/24 comp normal 10/08/24 comp normal 10/09/24 comp normal 10/15/24 comp normal 10/16/24 comp normal 10/17/24 comp normal 10/21/24 comp normal 10/22/24 comp normal 10/24/24 comp normal 10/29/24 comp normal 10/30/24 comp normal 10/31/24 comp normal Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High Sch: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick Frederick High School: 5690 Tipple Pkwy Frederick 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville 304 Disc Ln Platteville Weld - UFR (Upper Front Employment 15.20 15.37 40.08 Range) Weld - UFR (Upper Front Employment 49.70 15.37 93.13 Range) Weld - UFR (Upper Front Employment 15.20 15.37 26.07 Range) Weld - UFR (Upper Front Employment 15.50 15.37 35.47 Range) Weld - UFR (Upper Front Employment 15.30 15.37 37.32 Range) Weld - UFR (Upper Front Employment 15.50 15.37 28.72 Range) Weld - UFR (Upper Front Employment 17.20 15.37 40.28 Range) Weld - UFR (Upper Front Employment 16.90 15.37 33.95 Range) Weld - UFR (Upper Front Employment 11.20 15.37 45.70 Range) Weld - UFR (Upper Front Employment 15.60 15.37 40.90 Range) Weld - UFR (Upper Front Employment 15.40 15.37 38.88 Range) Weld - UFR (Upper Front Employment 15.30 15.37 44.40 Range) Weld - UFR (Upper Front Employment 16.40 15.37 39.92 Range) Weld - UFR (Upper Front Employment 16.40 15.37 36.12 Range) 11/5/24, 11:14 AM Page 10 of 12 Tij.Nna Tamisha (12736) Date Status Provider Pick-up Location Drop-off Location Medicaid number: Yes Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Lil' Buckaroo's Petting Zoo: 4738 Weld - UFR 10/23/24 comp normal 1105 Mountview Ave Ft Lupton Co Rd 5 Erie (Upper Front Employment 2 20.00 13.80 58.27 Range) Lil' Buckaroo's Petting Zoo: 4738 Weld - UFR 10/23/24 comp normal Co Rd 5 Erie 1105 Mountview Ave Ft Lupton (Upper Front Employment 2 14.30 13.80 26.58 Range) Vattera Jose (12733) Date Status Provider Pick-up Location 10/25/24 comp normal 240 S Denver Ave Ft Lupton Platte Valley Medical Plaza 2: 10/25/24 comp normal 1610 Prairie Center Pkwy Brighton Warren Chelsea (11299) Date Status Provider Pick-up Location 10/10/24 comp normal 10/10/24 comp normal 10/14/24 noshow normal 10/16/24 comp normal 10/16/24 comp normal 10/25/24 comp normal 10/25/24 comp normal 11/5/24, 11:14 AM 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Drop-off Location Medicaid number: None Total trips: 2 Fund Purpose Trips Distance Actual Time Shared Direct Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 240 S Denver Ave Ft Lupton Drop-off Location Weld - UFR (Upper Front Medical Range) Weld - UFR (Upper Front Medical Range) Medicaid number: P655O29 Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley 510 12th St Gilcrest Banner North Colorado Medical Center: 1801 16th St Greeley Banner North Colorado Medical 510 12th St Gilcrest Center: 1801 16th St Greeley Fund Purpose Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Medical Medical Medical 12.10 11.70 25.52 11.20 11.26 112.52 Total trips: 7 Trips Distance Actual Time Shared Direct 11.50 11.73 28.45 11.70 11.72 45.22 0.00 11.72 11.50 11.73 30.62 18.30 11.72 78.95 11.50 11.73 40.38 11.80 11.72 44.48 Page 11 of 12 Wise Trudy (11979) Date Status Provider Pick-up Location 10/17/24 comp normal 10/17/24 comp normal 10/23/24 comp normal 10/23/24 comp normal 10/23/24 cancel normal 10/28/24 comp normal 10/28/24 comp normal 11/5/24, 11:14 AM 7217 Richard St Ft Lupton Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 7217 Richard St Ft Lupton UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 7217 Richard St Ft Lupton Boulder Valley ENT: 90 Health Park Dr Louisville Medicaid number: no Drop-off Location Platte Valley Medical Plaza 2: 1610 Prairie Center Pkwy Brighton 7217 Richard St Ft Lupton UCHealth Longs Peak Medical Centerl: 1760 E Ken Pratt Blvd Longmont 7217 Richard St Ft Lupton 7217 Richard St Ft Lupton Boulder Valley ENT: 90 Health Park Dr Louisville 7217 Richard St Ft Lupton Total trips: 7 Fund Purpose Trips Distance Actual Time Shared Direct Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Weld - UFR (Upper Front Range) Medical Medical Medical Medical Medical Medical Medical 20.40 15.35 23.52 15.40 14.92 27.02 25.10 19.45 60.23 22.90 19.45 43.67 19.45 19.45 30.40 30.42 48.33 31.40 30.48 52.55 Total clients: Total trips: The sum of shared distances (completed): The sum of direct distances: The sum of trip actual times in hours: Total client trips + rider trips: 26 136 2084.53 2102.22 93.36 156 Page 12 of 12 Hello