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Home My WebLink About20223252.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - THOMPSON VALLEY EMERGENCY MEDICAL SERVICE 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 Thompson Valley Emergency Medical Service 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 Thompson Valley Emergency Medical Service 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: i);(, Weld County Clerk to the Board Attorney Date of signature: 11 /23 /2 Scbtt K. James, Chair teve Moreno Lori Saine CC'. FiLCT0'IGY), OFYI(RR , 12/' /?.2 2022-3252 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 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. 4, 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 2022-3252 11 /21 Lo05LI AAAAAAAAA A AAAAAAAAAAAAAAAAA A NA A AA AAAAAAAAA WELD COUNTY DEPARTMENT OF PUBLIC HEALTH 84 ENVIRONMENT License to Operate Ambulance Service TIER I THOMPSON VALLEY EMERGENCY MEDICAL SERVICE Name of Service 4480 CLYDESDALE PARKWAY, LOVELAND, COLORADO 80538 Address THOMPSON VALLEY HEALTH SERVICES 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. CHAT, 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. T V V V V V VIII 11 TV V N:13 2 1 ...a:. 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: Thompson Valley EMS (TVEMS) 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. TVEMS provides 911 treatment and response to the citizens and guests of its response district. Most of their district is within Larimer County; however, they cover a portion of Southwestern Weld County that is part of the Berthoud Fire Protection District. Whenever requested by neighbor agencies for assistance, they respond and assist when the system is overwhelmed. FINDING #2: The members of the TVEMS 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 TVEMS, for a Tier I Weld County Ambulance License. Recommendation By: Matt Concialdi, EMTS Council Chair Date: ////677 Page 1 of 1 Weld County Department of Public Health and Environment AMBULANCE SERVICE LICENSE APPLICATION Date of Application: \O \ & D I r' O a Name of Ambulance Service: 1 N U i cs P o p V i\lrL_LH E Pi -NS Owner: NamemH O n1 PSo .v/ A LLE ( Ht kt_T }-1 SERV I c.6 D l 6 i R ►CT Address!-H4bo C,L1 be -E ? K1u3V LOV ELF N D 5,Scg Phone Number:cl — Co 1,3'(DB a S Operations Manager: Name: S PkVc\ R\c Address:q 1 O Gl_�, CJ c S �� Rk0 Phone NumberCA4 O- ((0 3 - ( a Email:, R0 I N"SOv? Q-1) m Medical Director: Name:oT O \ Address: 5 ((:)0L0 W 1 (-1-1).J GIS COO T C :0 LL1 NSQ-4) Phone NumberROry'S\'U-1- LCNCEI.►a. 5) k � 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): NR P 1. 1J -1-1)M b Lom Op)h s T - ►l o c� ct� L 1 1 Kx What area of Weld County will be served by this company? Please attach a map indicating the service area. -Lb Q. -O o N i"► Lv t r N (b �t''NN�. Cry t- DG� I l? 1-1 I C XOO K1Oc\c 5 c °a �� TV 1 N d R -1 D ,iota t)S T h Wn) �_`cLE 7hsi 5-1�-1S Page 1 1555 N. 17th Avenue Greeley, CO 80631 Phone: (9701 304-6410 weldhealth.org PublicHealth n tk 6c K,Ue-) How many ambulances do you operate? } a 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: 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: RIYes El 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: 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 ❑ Tier II ❑ Tier III Page 2 Thompson Valley EMS Location #1: 2100 N. Boise Ave. Loveland, CO 80538 970-669-7256 Location #2: 380 N. Wilson Ave Loveland, CO 80537 970-776-8474 Location #3: 740 N. 2nd St. Berthoud, CO 80513 970-344-7158 Location #4: 2750 N. Taft Ave. Loveland, CO 80537 970-775-7351 Location #5 (Headquarters): 4480 Clydesdale Parkway Loveland, CO 80538 970-663-6025 Location #6: 4645 Sunview Dr. Loveland, CO 80538 970-685-4808 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 INFOR - TION CONSTITUTES GROUNDS FOR LICENSE REVOCATION A D SLE CRIMINAL PROSECUTION. Signal tre of Applicant C4;4 -C Title 6o -u -Z22._ Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS DAY OF O LTC 01L , 2011"), , IN THE COUNTY OF L_ 4a AZtn\ C (Z , STATE OF COLORADO. Signature of Nota My Commission expires: ci - /? / 0 0� Page 7 Hello