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Home My WebLink About20223247.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - NORTH METRO FIRE RESCUE DISTRICT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County Department of Public Health and Environment and the Weld County Emergency Medical/Trauma Services Council have reviewed the application of the North Metro Fire Rescue District for a Tier I Ambulance Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I 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 the North Metro Fire Rescue District for a Tier I 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 21st day of November, A.D., 2022. BOARD OF COUNTY COMMISSIONERS WE COUNTY, COLORADO ATTEST: daVidAj Scott K. James, Chair Weld County Clerk to the Board Count ttorney Date of signature: I 12-3/22. CC .NL(T6/44,oErt(aa) 12/12./2.2 2022-3247 HL0054 Memorandum TO: FROM: Scott James, Chair Board of County Commissioners Gene O'Hara, Interim Director Department of Public Health & Environment DATE: November 17, 2022 SUBJECT: 2023 Applications for Ambulance Service Licenses Enclosed for the Board's review are 15 applications for ambulance service licensing, pursuant to Weld County Code, Chapter 7, Emergency Medical Services, from the ambulance service providers listed below. The Weld County Emergency Medical Trauma Service (EMTS) Council reviewed each application on November 16, 2022 and approved all 15 applications. Changes from 2022 include the removal of Windsor -Severance Fire Protection District and Front Range Fire Rescue. The areas previously covered by these two ambulance services will now be covered by UCHealth EMS. Additions include PVHC dba UCHealth Lifeline, which will provide only critical care response, and Brighton Fire Rescue District, whose application was previously submitted and approved in August 2022 for licensure through 2023. Based on the delegated responsibility of the Department, we have reviewed the applications and have deemed all ambulance services listed below to have met all applicable licensure application requirements as per Chapter 7. As such, I am recommending the following ambulance service providers for licensure: Tier I Tier I (cont.) Tier II Banner Health Paramedic Service / AMR 1801 16th St. Greeley, CO Platteville Gilcrest Fire Protection District 202 Main St. Platteville, CO Ambulnz CO, LLC 2140 S. Holly St. Denver, CO Frederick Firestone Fire Protection District 8426 Kosmerl PL Frederick, CO PVHC dba UCHealth Lifeline 2450 S. Peoria St., 3`d Floor Aurora, CO 80014 American Medical Response of Colorado 3800 Pearl St. Boulder, CO Greeley Fire Department 1155 10"' Ave. Greeley, CO Southeast Weld Fire Protection District 95 W. Broadway Ave. Keenesburg, CO Tier in Mountain View Fire Protection District 3561 Stagecoach Rd. Longmont, CO Thompson Valley EMS 4480 Clydesdale Pkwy. Loveland, CO Stadium Medical, Inc. 695 Canosa Ct. Denver, CO North Metro Fire Rescue District 101 Spader Way Broomfield, CO UCHealth EMS 3509 S. Mason St. Fort Collins, CO Mile High Ambulance Service 3251 S. Zuni St. Englewood, CO Platte Valley Ambulance Service 1750 E. Egbert St. Brighton, CO 2022-3247 ll/L1 WAWNIYAVVAVA_AnAVAWWAWSAWATATAVNAVAWVNJIFNAWVAnAVAVAYA r WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I NORTH METRO FIRE RESCUE DISTRICT Name of Service 101 SPADER WAY, BROOMFIELD, COLORADO 80020 Address NORTH METRO FIRE RESCUE DISTRICT Name of Owner IS LICENSED UNTIL DECEMBER 31, 2023, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. 'O'I 2 1 "11 isri s CHAIN, AND OF WELD COUNTY COMMISSIONERS DATE NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. ktAVAVAVAAWACKKKKKKKKKKKAVAIKAVKAVAVKKKKKKAVKKKKAV'AVAIAVKAVATKKAVKAIATKAt 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: North Metro Fire Rescue(NMFR) As required in Section 7-2-100.6.5., 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 is the basis for the Council's recommendation: FINDING #1: The EMTS Council Voting members have reviewed the above -noted agency and find that they contribute to an efficient, effective, and coordinated emergency response as a Tier I service. NMFR provides a 911 response to treatment and transport to the citizens and guests of their district. The department supports its neighboring agencies when the system becomes overwhelmed with service requests. Most of its response area is within Adams and Broomfield counties, with a small area in Weld County. NMFR is willing and able to assist requests for assistance within Weld County. FINDING #2: The members of the NMFR are dedicated to delivering excellent and timely service. The EMTS Council Voting members did not identify any negative findings relating to the service performed by the applicant. FINDING #3: In the overall review, the EMTS Council membership does not find any matter that would prohibit a recommendation to the Weld County Board of County Commissioner. Recommended Level of Service: TIER Recommended Service Area: The service area indicated within the applicant's application packet is acceptable to the Council. Other EMTS Council recommendations or comments: The EMTS Council membership unanimously votes to recommend NMFR for a Tier I Weld County Ambulance License. Recommendation By: Matt Concialdi,`i31GITS Council Chair Page 1 of 1 Date: /1/2‘ %? Weld County Department of Public Health and Environment AMBULANCE SERVICE LICENSE APPLICATION Date of Application: September 21, 2022 Name of Ambulance Service: North Metro Fire Rescue District Owner: Name: Dave Ramos, Fire Chief Address: 101 Spader Way Broomfield CO 80020 Phone Number: 303-452-9910 Operations Manager: Name: Mark Daugherty, EMS Chief Address: 101 Spader Way Broomfield CO 80020 Phone Number: 303-452-9910 Email: mdaugherty@northmetrofire.org Medical Director: Name: Jason Roosa, M.D. Address: 101 Spader Way Broomfield CO 80020 Phone Number: 303-452-9910 Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the company of having more than a 10% ownership interest (if applicable): What area of Weld County will be served by this company? Please attach a map indicating the service area. Map Attached Page 1 1555 N. 17th Avenue ss ,5,, Greeley, CO 80631 L ' r Phone: (970) 304-6410 weldhealth.org How many ambulances do you operate? 8 Location and description of the place(s) from which this ambulance service will operate. If there are more than two locations, attach a separate sheet with the above information. Location #1: Street Number: See attached City: State: Phone: Location #2: Street Number: City: State: Phone: As required in Section 7-3-30 of the Weld County Code Ordinance and Chapter 4 Section 6 of the CDPHE Emergency Medical and Trauma Care System regulations, as of the date of the application, are you in compliance with the minimum data collection and reporting of transportation and/or treatment of patients: 0 Yes ❑ No As required 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, are you in compliance with the reporting requirements of the agency profile: 0 Yes ❑ No Please read carefully: Sec. 7-2-10 License for Ambulance Service. No person shall provide or operate an ambulance service publicly or privately in the County unless that person holds a valid license to do so issued by the Board of County Commissioners, except as provided in Section 7-2-80 below. The fee for said license shall be set by separate ordinance. The license shall issue only in the following tiers of service: Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier II: Licensure authorizing for transports of patients that originate in Weld County from licensed medical facilities. This licensure does not provide for primary care, as defined in Section 7-1-30 of this Chapter. Tier HI: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. Level of Service Requested: 0 Tier I El Tier II ❑ Tier III Page 2 North Metro Fire Rescue District Ambulances LOCATION Primary Ambuianeek tiesav0 AmI IA00oe Stational Medic 81 M12 - 1275 W Mldwey .5 Fad Blvd Broomfield Plate N OJY•233 CO 80020 1 FOXE4FSBFOA24978 Station 82 Medic 62 MB 10550 Huron St 201 I Ford Northgienn CO Plate 1 ORII-065 60234 IFOXE4FS88B0B09054 Station 63 Medic 63 M13 - 10941 Irma Or 2915 Ford Northglenn CO Plate a OJY-234 80233 IFOXE4FSXFOA24979 Station 84 Mack 64 M10 - 13515 Lowell Blvd 2012 Fad Broomfield CO Plate 1 ORU•067 80020 IFOXE4FSSOOA19430 Station 85 Baraifric Ambulance M3 - 9900 W 120Avo 2000 Ford Broomfield CO Plate rt ORU-063 80020 1F OXE45F5YH885479 Station 66 Medic 66 M 14 1750 W 160th Avo 2019 Ford AEv Broomfield CO Plate 1 BHJL90 80020 IFOX E4F FIKOC36113 -Stall= 67 13875 S 98th Sinai Broomfield CO 60020 Station 88 1008 WCR 11 Erie CO 80602 Reserve Ambulance MT 2011 Ford Plate a ORU-064 1FOXE4F51BOA61266 Reserve bulance M9 • 20Am11 Ford Pate a ORU•066 IFOXE4FSXBO809055 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. ' OPlire EMS Ckkk6F Title 9 2t Z.Ot-Oat - SUBSCRIBED AND AFFIRMED BEFORE ME THIS c2/ DAY OF 344-P.I'►1bpi/ , 20 RA_ , IN THE COUNTY OF trnOVA.elt, STATE OF COLORADO. Q 1, Signature of Notary My Commission expires: 03 / /' /R0,26 ROSA UUA PRIMES NOTARY PUBLIC • STATE OF COLORADO Nobly ID #20124020619 My Cammtsstan W. 3/1812026 Page 7 Scanned with CamScanner i r fr $ 1 I 1 I !I ., 1 ;' I 4 C via ‘P. 4• 117 CI b lad � PI reIVII i 1 liito.', m mi ut A ti' %t I I t I I County Road r .._3 ;y re , , City and County of Broomfield, Bureau of Land Ma. 43 G i Cr) rat :i http://nmfrd.maps.arcg's.com/appsjErnbed/index.htmi?webmap-eOebf79d...ruetkpreviewlmage-faiseascale-=true&disable_.scrolkttrue&tnerne-light 412 A A z VAYhM1 Rd S i Meade Rd eavmpasAlqpiele. ye. re nameRC C z W Vacarn♦Rl • Rate Loaliv IN 4,S• ♦ V Vf Q Swishy colon e w 14 pylon Rd i WaQlthrty/ W loow Ave IMMO Lao Sbird S Stork • • 1 G.m Ave TM ft1 7 W02ndA into a l wn O C - 1Y 111* Ave Westminster f 4 IIIIMIPP f rE 1211+ Ave, a w a E. 1206 Ae An 1010 Rlrt+ E 1030 Ave m omton Daman P14,411 ° V t,g C. E of North Metro Fire Rescue District — Mutual Aid Agencies 2022 - Adams County Fire Protection District - Brighton Fire Protection District - Federal Heights Fire Department - Lafayette Fire Department - Louisville Fire Protection District - Mountain View Fire Rescue Protection District - South Adams County Fire Department - Thornton Fire Department - Westminster Fire Department Hello