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Home My WebLink About20223246.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - MOUNTAIN VIEW FIRE PROTECTION 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 Mountain View Fire Protection 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 Mountain View Fire Protection 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 WELD COUNTY, COLORADO ATTEST: dia.%) G. �CLto•� Weld County Clerk to the Board BY: APP Attorney Date of signature: I 1 /23/22 Scot�� tt K.,JJames, Chair M' - Fre man, Pro-Te, erry L. B Moreno Lori Saine Cc l-IL('fu/Gv), OE*-t(2R.) a/12 /.2 2022-3246 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 PI. Frederick, CO PVHC dba UCHealth Lifeline 2450 S. Peoria St., 3rd 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 2022-3246 NL0054 AAAAAAAAAAA AAAA .AMN A AAAAAAAAA AAAAAAAA tYN: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT • License to Operate Ambulance Service TIERI MOUNTAIN VIEW FIRE PROTECTION DISTRICT Name of Service 3561 NORTH STAGECOACH ROAD, LONGMONT, COLORADO 80504 Address MOUNTAIN VIEW FIRE PROTECTION 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. CHA WWnV! 2 1 lflfl') BOARD OF WELD COUNTY COMMISSIONERS 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. DATE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldheaIth.org Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Mountain View Fire Protection District (MVFPD) As required in Section 7-2-100.3.5., 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. MVFPD 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. FINDING #2: The members of the MVFPD 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 I 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 MVFPD for a Tier I Weld County Ambulance License. Recommendation B Matt ConcialdtTMTS Council Chair Page 1 of 1 Date: /(//‘ Weld County Department of Public Health and Environment AMBULANCE SERVICE LICENSE APPLICATION Date of Application: /0 — �1- .) 0 as Name of Ambulance Service: Owner: Name: Mnwe.l�v;U�`e.a F`r� �n��• ©S\-r.+� Address: 3%1A N _ S !- ,r ��,�.,�-� (0 25O oc/ Phone Number: 307 770 - n 710 Operations Manager: Name:, Address: �.p P Phone Number: 3 n'3 _ 9b)- 3 l LL? Email: Pd p1,,,,4 504 a 114,1E -ph r cy Meuical Director: Name: ^ d 0 v, .mss, t\k, a Address: -35 S iterac+.LL Lov,j,yt, ,4, (0 . 8c15aY Phone Number: 3o?- 77.1- O71 cv goco / Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the pany of having more than a 10% ownership interest (if applicable): miff What area of Weld County will be served by this company? Please attach a map indicating the service area. S&L—, t\- t Page 1 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6410 weldhealth.org PublicHealth How many ambulances do you operate? 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: City: State: Phone: Location #2: Street Number: N i 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: E 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: t2<s- 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: iM Tier I ❑ Tier II ❑ Tier III Page 2 MOUNTAIN VIEW FIRE RESCUE 3561 North Stagecoach Road, Unit 200, Longmont Colorado 80504 (303) 772-0710 — FAX (303) 651-7702 Mountain View Fire Sation's List Station # 1 10939 CR 5 Longmont, CO 80504 VStation # 2 7700 Baseline Rd. Boulder, CO 80303 Station # 3 /Station Ave. Mead, CO 80542 Station # 4 V8500 Niwot Rd. N iwot, CO 80544 VStation # 5 2701 S. Indiana Superior, CO 80027 /Station # 6 V 50 Bonanza Dr. Erie, CO 80516 /Station # 7 161 Perry Lane Dacono, CO 80514 Station # 8 400 Bonanza Dr. Erie, CO 80516 V 5�Ce� ON 5 ., Station # 9 4390 Eldorado Springs Dr. Boulder, CO 80301 Station # 10 5748 Flagstaff Road Boulder, CO 80302 Headquarters administration building 3651 N. Stagecoach Road Longmont, CO 80504 Maintenance Facility 5322 Weld County Road 7 Erie, CO 80516 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. k;,;" Sig arum ofApplicant Title ID ad- anaa. Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS e b DAY OF 061-1349/ r , 2028 , IN THE COUNTY OF ii)t 1 C/ , STATE OF COLORADO. Lq'nihth9 0( c_ Signature of Notary CYNTHIA L WItILE Commi; NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104009878 MY COMMISSION EXPIRES MARCH 25, 2026 ion expires: 3 / <969 / QYaC.v Page 7 •-I 4410 • • rr� • at - _ f- 7. inty: sake ta- - •••• • •• • na• 4- are p gyp. '1 • • rtift Station 10 Fire Annex • • r me c,. r.rl- i . r.•• f ► 044 Irk 11 Nte 1 1 044.0•14•4 rear a44.14allia...44-, r-- .1 .tea ^ ^ - • .••f • —Oa w: loam 1 L — reset.. rib -a • se..rV• ` • -4 • ►—• Station 9 • 4 A -• - - 4 - sM '. p. Sta►tiT. o r4 1 I ! .-. • 1 lee* • . . ,rut-fe, - r 1 Atte .-Star;on Is 1 4* • fly _Station 3 Station 14 1 414 4w; � _ _ ---r•Mainienances_ : . , � Station 7 -4f4$ r -i4 --- - • ��111 iliac i 1 .44. Station 2 - . . • i Station 6'-tt 11 ate- Jti ` - i 1 r 444 f riStation 8.. • e 4 t Legend Mpunp.n ycw_Fw'it_St3h0•ts - • Street .Certefnes Fire Response_ Areas law a _ac , 0 OS 1 Miles 3 4 <!) ulhr-i vclue -- ALIAS MOUNTAIN VIEW FIRE RESCUE 3561 North Stagecoach Road, Unit 200, Longmont Colorado 80504 (303) 772-0710 - FAX (303) 651-7702 October 14, 2022 To Whom It May Concern: Below is a list of the mutual aid agencies Mountain View Fire Protection District has signed with surrounding agencies. Mutual aid Agencies: • Frederick/Firestone Fire- Fire/Ambulance • Longmont Fire- Fire/ambulance • Berthoud Fire- Fire • Front Range Fire- Fire/ambulance • Platteville Gilcrest Fire- Fire/ambulance • Fort Lupton Fire- Fire • North Metro Fire- Fire/ambulance • Lafayette Fire- Fire/ambulance • Boulder Rural Fire- Fire/ambulance • Louisville Fire- Fire/ambulance • Boulder Fire Rescue Mountain View Fire Protection District will respond mutual aid with all fire agencies in both Weld and Boulder Counties if requested. Sincerely, J Paul Johnson Division Chief, EMS Hello