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Home My WebLink About20223257.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER III AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - MILE HIGH 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 Mile High Ambulance, LLC, for a Tier III Ambulance Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier III 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 Mile High Ambulance, LLC, for a Tier III 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 WELQ COUNTY, COLORADO ATTEST: C/); Scot K. James, Chair Weld County Clerk to the Board County Attorney Date of signature: 11/23 /2-2. teve Moreno 25-144%)`• Lori Saine cc (T6/6 V)/ OEM. CAR) l2/tit/�:t 2022-3257 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 1 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., 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 2022-3257 11121 HLUT-J-I RAW AAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAA AAA A A WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER III MILE HIGH AMBULANCE, LLC Name of Service 3251 SOUTH ZUNI STREET, ENGLEWOOD, CO 80110 Address ARMADA MANAGEMENT f GLOBAL MANAGEMENT AND CONSULTING 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. NOV 2 1 2022 CHAIWBOARD OF WELD COUNTY COMMISSIONERS NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE 0 Tier III. Licensure authorizing for Standby Service, as defined in Section 7-1-3- 3- of The Weld County Code. L ATATATATKKKK KATA'A!A!' DATE vvv vv vvvvvv V 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: Mile High Ambulance (MHA) 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: Mile High Ambulance provides EMS Standby service for various events throughout the County. Their primary standby is at Colorado National Speedway. 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 III service. Tier 111 service providers allow 911 response agencies to remain available for calls for service within their jurisdiction. FINDING #2: The members of the MHA 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 III 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 MHA for a Tier III Weld County Ambulance License. Recommendation By: _ Matt Conci S Council Chair Page 1 of 1 Date: l////d/ZZ 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: 10/20/2022 Name of Ambulance Service: Mile High Ambulance, LLC Owner: Name: Leo Abrashevich and Igor Balaban Address: 3251 S. Zuni St Englewood, CO 80110 Phone Number: 720-394-1684 Operations Manager: Name: Peter Reschenberg Address: 3251 S Zuni St. Englewood, CO 80110 Phone Number: 720-584-0773 Email: Peter@milehighambulance.com Medical Director: Name: Dr. JP Brewer Address: 4567 E. 9th Ave Denver, CO 80220 Phone Number: 740-707-2755 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): Armada Management (Leo Abrashevich) 50% 22047 E Rowland Ave Aurora, CO 80016 Global Management and Consulting (Igor Balaban) 4218 Greenfinch Dr. Highlands Ranch, CO 80126 What area of Weld County will be served by this company? Please attach a map indicating the service area. Dacono, CO (Colorado National Speedway) Health AdmInblralton 9ublle Health a inuMenment.l Noalth Cemmunloallon, /meraeney Freperodnn. %/Nal Records CIInIoal Services ..meet Woollen a Planning lte�penie T.Ie:9703046410 Tele, 9703046420 Tele: 9703046418 Trle: 970.304.6470 Tole: 970.304.6470 Fax: 970.304.6412 Fax: 970.304.6416 Fax, 970.3046411 Fax: 9703046462 Fax: 970.304.6452 Pttb110 Page 1 How many ambulances do you operate? 10 (1 in Weld County) 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: 3251 S Zuni St City: Englewood State: Colorado Location #2: Street Number: Phone: 303-564-6636 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: ® 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: Yes ❑No Please read carefully: See. 7-2-10 License for Ambulance Service. No person shall -provide or operate aft 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 ❑ 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 REVOCATIO AND POSSIBLE CRIMINAL PROSECUTION. PPrrc LEONID A Signature of otary PUBLIC B STATE OF COLORADO NOTARY ID tal(746457filon expirec'� i / f c z S— W COMMISSION EXPIRES NOV. 7, 2025 '4.4...Ai1L /v/Z.C./e . SUBSCRIBED AND AFFIRMED BEFORE ME THIS_ 2.6 DAY OF (JC o ,20 Z Z , IN THE COUNTY OF DeA,, I STATE OF COLORADO. Page 7 calcmaps.com Radius: 702.56 m1 0.70 km 1 0.44 m11 23U5 ft Circle Area: 1550650 m21 1.55 km2 1 0.60 m12 I 16691 Q57 ft2 S Hir y;war i2 (`l ti • • i Puritan .4Itru iy S! / • r • • • / • • 1 1 • • • • Alma III oaf • $ t r I qi 1 • • • I Wish • 1 1 1 / "1 1 1 l / 1 1 / f l 4.1 • 7 11} a ti, 1 4") 0v y if Saint VS► } / / Rib rit rt . •,'ls�ti t¢jc��≥ DiminP High • .frneti Hello