HomeMy WebLinkAbout20223254.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER II AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - AMBULNZ CO, 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 Ambulnz CO, 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 Ambulnz CO, 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 21st day of November, A.D., 2022.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dia.& � .,JeL:‘,k,
Weld County Clerk to the Board
BY:
APP
N U'
Deputy Clerk to the Boar
County orney
Date of signature: 11 /23/12 -
Scott K. James, Chair
Mi - re= an, Pro -T
Perry L. Bu
Lori Saine
no
cc: HL.('r•G/60, OE -t(RR)
12/12/22.
2022-3254
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.IE
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 10th Ave.
Greeley, CO
Southeast Weld Fire
Protection District
95 W. Broadway Ave.
Keenesburg, CO
Tier III
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
2022-3254
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WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER II
AMBtJLNZ CO, LLC
Name of Service
2140 SOUTH HOLLY STREET, DENVER, CO 80222
Address
AMBULNZ CO, LLC
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.
MD'! 2 1 2Q22
CHAIR. BbARU Ut- WELD COUNTY COMMISSIONERS hA i E
NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE
Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not provide for Primary Care, as defined in
Section 7-1-30 of the Weld County Code.
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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: Ambulnz
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 II service. Tier II agencies perform
interfacility transports, allowing designated 911 emergency transport units to remain in service within their
area. The citizens and guests of Weld County benefit from the service performed by Ambulnz.
FINDING #2:
The EMTS Council Voting members did not identify any negative findings relating to the service performed by
the applicant. Ambulnz does not perform 911 response within the County nor directly coordinate with other
transport agencies and provides a service vital to the system.
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 II
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 Ambulnz for a Tier II Weld County
Ambulance License.
Recommendation By:
Date: 11 / 41 2 Z
Page 1 of 1
Weld County
Department of Public Health and Environment
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: 10/20/2022
Name of Ambulance Service: Ambulnz CO, LLC
Owner:
Name: Ambulnz CO, LLC
Address: 35 W 35th St New York, NY 10001
Phone Number: 212-273-9770
Operations Manager:
Name: Royce Davis
Address: 2140 S Holly St, Denver, CO 80222
Phone Number: 612-946-8965
Email: rdavis@docgo.com
Medical Director:
Name: Dr. Angela Wright
Address: 2140 S Holly St, Denver, CO 80222
Phone Number: 720-848-6777
Name and address of each stockholder of partner owning 10% or more of the outstanding stock
of the company of having more than a 10% ownership interest (if applicable):
What area of Weld County will be served by this company? Please attach a map indicating
the service area.
See attached
Page 1
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6410
weldhealth.org
Company Information & Ownership
Company Name: Ambulnz CO, LLC
2420 E. Pikes Peak Avenue, Suite 1001 Colorado Springs, CO 80909
866-255-7671
Ownership
50% Ambulnz Holdings, LLC
50% University of Colorado Health
Owner Information: Ambulnz Holdings, LLC
35 West 35th Street, 5th Floor New York, NY 10001
212-273-9774
Owner Information: University of Colorado Health
12401 E. 17th Avenue Mail Stop F415, Aurora, CO 80045
720-848-0000
National Responsible Individual: Stan Vashovsky
35 West 35th Street, 5th Floor New York, NY 10001
212-273-9774
Authorized Contact Personnel: Candice Moncayo, CO Director of Operations
2140 S Holly St 2nd Floor, Denver, CO. 80222
720-354-6833
Management: Ambulnz Holdings, LLC
How many ambulances do you operate? 22
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: 2140 S Holly St
City: Denver
Location #2:
Street Number: 2420 E Pikes Peak Ave Suite 1001
State: Colorado Phone: 612-946-8965
City: Colorado Springs
State: Colorado
Phone: 612-946-8965
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:
grYes ❑ 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:
rZiYes ❑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 III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter.
Level of Service Requested: Tier I O Tier II Tier III
Page 2
Locations:
Business Office / Main Location:
2420 East Pikes Peak Ave. Suite 1001 Colorado Spring, CO 80909
Business Office/ Secondary Location:
2140 S. Holly St. Denver, CO 80222
Vehicle Locations:
2420 East Pikes Peak Ave. Suite 1001 Colorado Spring, CO 80909
16990 Village Center Dr. East, Parker, CO 80134
9475 S. University Blvd. Highlands Ranch, CO 80126
2140 S. Holly St. Denver, CO 80222
11820 Destination Dr. Broomfield, CO 80021
913 E. Myrtle St Fort Collins, CO 80524
Operations, Locations, Service area, Personnel & Ambulances
Service Area:
Moffat
Routt
Rio Blanco Grand
Garfield Eagle
Jackson
Mesa
Delta
Montrose
San Miguel
Dolores
Montezuma
O
San
Juan
La
Plata
Pitkin
Gunnison
rimer
Clear
Creek
Park
cow
Ider
Weld
organ
•
ogan
Adams
►as
n r
Ibert
El
' a S
Fremont
shington
coin
Sedgwick
Phillips
Yuma
Kit
Carson
Cheyenne
Saguache
Custer
Rio
Grande
Archuleta
Conejos
Pueblo
Huerfano
Costilla
Crowley
Otero
Kiowa
Bent
Las Animas
Prowers
Baca
Arnbulnz currently operates in the following counties:
• Adams
• Arapahoe
• Broomfield
• Denver
Douglas
• Elbert
• El Paso
• Jefferson
• Larimer
•
I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING
APPLICATION AND THE INFORMATION PROVIDED IN 'T'HIS APPLICATION IS TRUE
TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO WILLFUL
MISREPRESENTATION OR FALSIFICATION.
IN ADDITION, I CERTIFY TI IAT 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.
Signature cfApp is
y�C4aa�o4 k.a-.5 I0/TI
Title Date
SUBSCRIBED AND AFFIRMED BEFORE ME THIS 21°°
DAY OF (),.4A , , 2(1 2 z , IN THE COUNTY OF
Pe4 v e. , STATE OF COLORADO.
Signature of Notary
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