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Home My WebLink About20213310.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - PLATTE VALLEY AMBULANCE 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 Platte Valley Ambulance 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 Platte Valley Ambulance 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 6th day of December, A.D., 2021. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Vdet,,A) ,11Q;4 Weld County Clerk to the Board BY: AP County Attorney Date of signature: 12/I' -f/2( Stevehloreno, Chair Lori S CC: HLCT6/GV), OERCRR) 12/20/2( 2021-3310 HL0053 Memorandum TO: Steve Moreno, Chair Board of County Commissioners FROM: Mark A. Lawley, Executive Director Department of Public Health & Environment DATE: November 29, 2021 SUBJECT: 2022 Applications for Ambulance Service Licenses Enclosed for the Board's review are sixteen applications for ambulance service licenses, pursuant to the 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 17, 2021, and approved all sixteen applications. 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 Tier II Banner Health/NCMC Paramedic Service 1801 16th St. Greeley, CO Platte Valley Ambulance Service 1750 E. Egbert St. Brighton, CO Ambulnz CO, LLC 7100 E. Belleview Ave., Ste. 112 Greenwood Village, CO Frederick Firestone Fire Protection District 8426 Kosmerl Pl. Frederick, CO Platteville Gilcrest Fire Protection District 202 Main St. Platteville, CO American Medical Response of Colorado 3800 Pearl St. Boulder, CO Front Range Fire Rescue 101 S. Irene Ave. Milliken, CO Southeast Weld Fire Protection District 95 W. Broadway Ave. Keenesburg, CO Tier III Greeley Fire Department 10th Ave. Greeley, CO Thompson Valley EMS 4480 Clydesdale Pkwy. Loveland, CO Stadium Medical, Inc. 695 Canosa a.1155 Denver, CO North Metro Fire Rescue District 101 Spader Way Broomfield, CO UCHealth EMS 1024 S. Lemay Ave. Fort Collins, CO Mile High Ambulance Service 3251 N. Stagecoach Rd. Englewood, CO Mountain View Fire Protection District 3561 Stagecoach Rd., Unit 200 Longmont, CO Windsor Severance Fire Protection District 100 N. 7th St. Windsor, CO l2/(1Q 0 0 PRRPRIDIDPFaisa WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I PLATTE VALLEY AMBULANCE SERVICE Name of Service 1750 EAST EGBERT STREET, BRIGHTON, COLORADO 80601 Address PLATTE VALLEY MEDICAL CENTER Name of Owner IS LICENSED UNTIL DECEMBER 31, 2022, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. tie DEC 0 6 2021 CHAIR, 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 1863 G o U N PIiIiJ �a �a �a P Fa ra P MEIV0MPIPION al el al 0 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: Platte Valley Ambulance Service As required in Section 7-2-100.B.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 are the basis for the Council's recommendation: FINDING #1: Platte Valley Ambulance Service (PVAS) provides Advanced Life Support treatment and transport ambulances to the citizens and guests of Weld and Adams County. They have a strong working relationship with neighboring agencies and will provide service to them when requested. FINDING #2: PVAS ensures that the service contributes to an efficient, effective, and coordinated emergency medical response to the citizens and guests of the response area. PVAS will provide support to the neighboring agencies when called upon to do so. FINDING #3: PVAS has a strong working relationship with the surrounding agencies and will respond when requested to assist agencies outside of their district. FINDING #4: The Weld County EMTS Council has not been made aware of any negative or problematic concerns with service delivery to the citizens and guests of Weld County. Recommended Level of Service: (nTier 1 Tier 2 11Tier3 Recommended Service Area: In reviewing the service area map submitted by PVAS, the EMTS Council has no concerns and supports the service area indicated. Other EMTS Council recommendations or comments: The EMTS Council voting members recommend that the Weld County Department of Health and Environment and the Board of County Commissioner approve Platte Valley Ambulance Service for a Tier I license. Recommendation By: Jeff ranb>Kan EMTS Council Chair Date: 11/17/2021 Health Administration Vital Records Tele:970-304-6410 Fax: 970-304-6412 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue Greeley, CO 80631 www.weldhealth.org Public Health ti Clinical Services Tele: 970304-6420 Fax: 970-304-6416 © Public Health Environmental Communication, Emergency Preparedness Heath Services Education & Planning & Response Tele: 970-304-6415 Tele: 970-304-6470 Tele: 970-304-6420 Fax: 970-304-6411 Fax: 970-304-6452 Fax: 970304-6469 Our vision: Together with the communities we serve, we are working to make Weld County the healthiest place to live, learn, work, and play. AMBULANCE SERVICE LICENSE APPLICATION Date of Application: Thursday, October 28, 2021 Name of Ambulance Service: Owner: Platte Valley Ambulance Service Name: Platte Valley Medical Center Address: 1600 Prairie Center Parkway, Brighton, CO 80601 Phone Number: (303) 498-1600 Operations Manager: Name: Carl A. Craigle, Jr. NR -Paramedic (Chief Paramedic) Address: 1750 E. Egbert Street, Brighton, CO 80601 Phone Number: (720) 685-8439 Email: carl.craiglejr@sclhealth.org Medical Director: Name: Candace Harrod, MD Address: 1600 Prairie Center Parkway, Brighton, CO 80601 Phone Number: (303 ) 498-1600 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): Platte Valley Ambulance Service is a department of Platte Valley have no 5 to kholder? Attached is a curr nt list of the bgard of directors What area of Weld County will e be served by this company? Please attach a map indicating the service area. Towns of Lochbuie and Wattenburg. We also provide mutual -aid coverage for the communities of Ft. Lupton, Keensburg, Prospect Valley and Roggen. Occasionally asked to provide coverage for the town of Platteville. How many ambulances do you operate? Six, three of which are normally on duty and three in reserve. Page 2 PLATTE VALLEY MEDICAL CENTER 2021 BOARD OF DIRECTORS Jeff Bernard Steve Brizendine, MD Chief of Staff Pradeep Dhar, MD Michael Dolan Shawn Dufford, MD Bob Feis, Chair Richard Gonzales John Hicks, President Tajquah Hudson Faye Hummel, PhD Past Chair Troy Stoehr of France & iro rporate "'Secretary Ann King White Michelle Leblanc -Gross G:1Admin AMAIN \BOARD\DIRECTOR\2021121 CHART w VPs.doc Patricia Murray Jeff Sippel, MD Heidi Storz Bruce Walker, MD Shawn Wiant, Vice Chair Dr.,..Prakash Karki Chief Medical Officer 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: 1750 E. Egbert Street City: Brighton Location #2: State: CO Phone: (303) 981-8740 Street Number: PVAS Station #2, on Platte Valley Medical Center Campus City: Brighton State: CO Phone: (303 ) 498-1820 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: 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: El Tier I O Tier II O Tier III Page 3 Platte Valley Ambulance Service Locations (Oct. 1, 2019) Amb. 55 15959 Havana St. (Brighton Fire Stn. 55) Amb. 52 124 S. 40th Ave. (Brighton Fire Stn. 52) Amb. 51 425 S. Main St. (Brighton Fire Stn. 51) Amb 2825 310 Lilac Dr. Lochbuie (Hudson Fire Stn. 3) EMS 53 1750 E. Egbert St. (ALS captain in fly car) 7 days/24 hrs. 7 days/24 hrs. 7 days/24 hrs. 7 days/24 hrs. 7 days/24 hrs. 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. Signature o ""plicant tl Title PF) Lit Date 1, SUBSCRIBED AND AFFIRMED BEFORE ME THIS 2. $ 441 DAY Oc+a bete , 20 2 �, IN THE COUNTY OF MarenS , STATE OF COLORADO. CHRISTINA SANDOVAL NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20204020134 DIY COMMISSION EXPIRES 0610912024 Signature of Notary My Commission expires: O (o / o / 2.04 Page 7 t Cant. sy.p . t 1; t 117 rr • A 'a'' a. M•. 116 rel.....a -,alt,. wP 1 r wreervivmjIesi 144 731 . t roe • r --a,. 14.tt. • ` I •..•r .al -1 I 126 1 i� 121 1ti1-- re" terns* • 127: r . 129 . ..•. •.e 155 131 } 132 134 °I t I sal at - •..- •11 135 I T V 327 t 130 ,1 137 r two ors "; '139 tlttl its 003 102 .1 a. . .A Brighton, CO. 911 RESPONSE ZONES Platte Valley Ambulance, Aug. 2012 1 r tfort •nt 7 "ntti I f� k e i II ma sne 1 i t ea its I Ir., ••r 1 to J 139 4 1 141 a a s iffises Sit :a t .r r... Y1 I 4 1, ......_,.......____7 tats as r . • • , roes roe . a owe Platte Valley Ambulance Service Brighton Fire Rescue Department June 25 2012 Hello