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Home My WebLink About20232087.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER II AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - METRO ONE AMBULANCE, LLC WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County Department of Public Health and Environment and the Weld County Emergency Medical/Trauma Services Council have reviewed the application of Metro One Ambulance, LLC, for a Tier II Ambulance Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier II Ambulance Service License, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of Metro One Ambulance, LLC, for a Tier II Ambulance Service License, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 24th day of July, A.D., 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: di:et/4mi 4k ;4 Weld County Clerk to the Board BY: OCazfilk kitA LAY) C_K.. Deputy Clerk to the Board APP' ." ED AS hty • ttorney Date of signature: 1/3i )Z-023 Mik eman, Chair erry L. Bu;¢k, Pro -Tern ri Saine . Ross ,00;4111Z. a7-1-1/4 CC : 1-I L,OEMCRR) cnf/t7/23 2023-2087 HL0056 Memorandum TO: Board of County Commissioners FROM: Jason Chessher Department of Public Health & Environment Mike Freeman, Chair DATE: July 20, 2023 SUBJECT: 2023 Applications for Ambulance Service Licenses Enclosed for the Board's review is an application for ambulance service licensing, pursuant to Weld County Code, Chapter 7, Emergency Medical Services, for Metro One Ambulance, LLC. Metro One Ambulance is requesting a Tier II license to cover transportations services in Weld County. The Weld County Emergency Medical Trauma Service (EMTS) Council reviewed and approved their application on July 17, 2023. Based on the delegated responsibility of the Department, we have reviewed this application and have deemed this ambulance service to have met all applicable licensure application requirements as per Chapter 7. As such, I am recommending Metro One Ambulance for Tier II licensure. 2023-2087 7/24 0 LCU(o „:14444.44A44444.4A444AAA__ WELD COUNTY DEPARTMENT OF r -1 r PUBLIC HEALTH & ENVIRONMENT -4 "I .li License to Operate TIER Ambulance Service r NI METROr ONE AMBULANCE r 6005 DELMONICO DRIVE SUITE 200, COLORADO SPRINGS, CO 80919 NI ." IS LICENSED UNTIL DECEMBER 31, 2024, TO OPERATE AN AMBULANCE SERVICE r .1" IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. r i rNi�y4 f i "I i _��6� f ::�Pr rial..c, O'�- _ are....1„_____ old a3 CHAIR. BOARD WELD COUNTY COMMISSIONERS Iiitt 1 OF HATE t/ 1 I<N .r�r Nill .NII Tier defined II: Licensure authorizing in Section 7-1-30 of the for transports Weld NOT of County Code. TRANSFERRABLE patient(s) to and / from licensed POST IN A CONSPICUOUS medical facilities. This PLACE licensure does not provide for Primary Care, as WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Metro One Ambulance As required in Section 7-2-100.B.5., the EMTS Council should review the application to assess as to whether the ambulance service will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County. Please include any findings related to response time, coordination with other ambulance services, location, service area, etc. that are the basis for the Council's recommendation: FINDING #1: The Weld County EMTS Council voting members have reviewed the application submitted by Metro One Ambulance. The application is complete and meets the requirements set forth by Weld County. FINDING #2: The addition of a Tier II agency will aid in keeping dedicated 911 resources available for emergency response. Metro One will be able to have a positive impact on the system as a whole and contribute to an effective, efficient and coordinate system serving the citizens and guest of Weld County. FINDING #3: Metro One is new to Weld County and we have no knowledge of their service delivery or any deficiencies. FINDING #4: Recommended Level of Service: L—JTier 1 tr crier 2 LJ'Tier 3 Recommended Service Area: Metro One has indicated serving all of Weld County. The EMTS Council approves y this service area. Other EMTS Council recommendations or comments: No additional Comments. The EMTS Council voting membership unanimously recommends Metro One to be approved for a Tier II license by the Weld County Board of County Commissioners. Recommendation By: Matt Concialdi, EMTS Council Chair Date: 7/19/2023 D�t1 �� 1'if sit WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www weldhealth org AMBULANCE SERVICE LICENSE APPLICATION Date of Application 05/17/2023 Name of Ambulance Set vice Metro One Ambulance LLC Owner Name Gregory Harriman Address 6005 Delmonico Dr Ste 200, Colorado Springs, CO 80919 Phone Number 720 323 5985 Operations Manager Name John (Trey) Mock Address 3055 Blazing LN, Highlands Phone Number 720 766 9573 Email !mock@metrolems corn Medical Director Name Dr Matthew Angelidis Address 1400 E Boulder, Colorado Springs, CO 80909 Phone Number 301 938 9744 Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the company of having mote than a 10% owne►ship interest (if applicable) What area of Weld County will be served by this company? Please attach a map indicating the service area Weld County Health Administration Public Health 8 Environmental Health Communication Emergency Preparedness Vital Records Clinical Services Services Education S. Planning R Response re. 970 304 6410 ieie 970-304-6420 Tele 970 304 6415 iele 970 304 6470 Tele 470 304 6470 Fax 970-304 6412 Fax 970 3046416 Fax 970 304 6411 Fax 970 304 6452 Fax 470 304-6452 Page I PahhcHealth How many ambulances do you opetatet 4 Location and desci iption of the place(s) fiom which this ambulance service will operate If there ale mote than two locations, attach a separate sheet with the above infoimation Location #1 6005 Delmonico Dr Ste 200 Street Number City Colorado Springs State CO Location #2 Sheet Number 200 Plaza Dr Ste 250 Phone 719 359 8550 City Highlands Ranch State CO Phone 719 359 8550 As iequued in Section 7-3-30 of the Weld County Code Ordinance and Chapter 4 Section 6 of the CDPHE Emergency Medical and Trauma Cate System regulations, as of the date of the application, are you in compliance with the minimum data collection and reporting of ti anspoi tation and/ot treatment of patients iii Yes ❑No As requited in Section 7-3-40 of the Weld County Code and Chapter 3 Section 3 of the CDPHE Emergency Medical Services regulations, as of the date of the application, ate you in compliance with the iepoitntg iequuements of the agency profile i Yes ❑ No Please read carefully Sec 7-2-10 License for Ambulance Service No person shall provide or operate an ambulance service publicly of privately in the County unless that prison holds a valid license to do so issued by the Board of County Commissioners, except as provided in Section 7-2-80 below The fee for said license shall be set by sepal ate ordinance The license shall issue only in the following tieis of service Tier I Licensute authorizing for Primary Cate, as defined in Section 7-1-30 of this Chapter Tier II Licensute authorizing tot transports of patients that originate in Weld County fiom licensed medical facilities This Iicensuie does not provide lot ptunaiy care as defined in Section 7-1-30 of this Chaptet Tier III Licensute authorizing for Standby Service, as defined in Section 7-1-30 of this Chaptet Level of Service Requested- Tier I © Tier II Tier III Page 2 I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION. IN ADDITION, I CERTIFY THAT I HAVE READ AND UNDERSTAND THE PROVISIONS AND REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7, INCLUDING, BUT NOT LIMITED TO, SECTION 7-8-10, WHICH ENCOURAGES ALL LICENSED AGENCIES PROVIDING EMS RESPONSE IN WELD COUNTY TO MAKE A GOOD FAITH EFFORT TO EXECUTE WRITTEN MUTUAL AID AGREEMENTS WITH ALL OTHER EMS PROVIDERS LOCATED WITHIN OR BORDERING ON THEIR AREAS OF RESPONSE. DETERMINATION THAT AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED BASED ON FALSE INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. grtature of App Title Z 3 Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS Z� DAY OF MIN.A6. , 203, IN THE COUNTY OF PA So , STATE OF COLORADO. AMY L SUTHERLAf0 Y Lou Notary Public State of Colorado Notary ID* 20064018344 My Commission Expires 05-25-2025 L. 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