HomeMy WebLinkAbout20213312.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - SOUTHEAST WELD 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 Southeast Weld 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 Southeast Weld 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 6th day of December, A.D., 2021.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddrAtA) ' ufe ,0•t,k.
Weld County Clerk to the Board
Deputy Clerk to the Board
APP VED A OR
'CtS Attorney
Date of signature:
Steve oreno, Chair
Cc: HL Cie/6V), OE -t (RR)
12/2O /21
2021-3312
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:
Ter I
Tier I
Tier II
Banner Health/NCMC
Paramedic Service
180116th 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 PI.
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 -.K,
95 W. Broadway Ave.
Keenesburg, CO
Tier III
Greeley Fire Department
1155 10th Ave.
Greeley, 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
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
12/OW
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WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
SOUTHEAST WELD FIRE PROTECTION DISTRICT
Name of Service
95 WEST BROADWAY AVENUE, KEENESBURG, COLORADO 80643
Address
SOUTHEAST WELD FIRE PROTECTION DISTRICT
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.
CHAIR, BOARD OF WELD COUNTY COMMISSIONERS
DATE
NOT TRANSFERRABLE / POS I IN A CONSPICUOUS PLACE
Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code.
7
UN
romiedrommra P RI P
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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: Southeast Weld FPD
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: Southeast Weld Fire Protection District (SEWFPD) provides Advanced Life Support treatment and
transport ambulances to the citizens and guests of Weld County. They have a strong working relationship
with neighboring agencies and will provide service to them when requested.
FINDING #2: SEWFPD ensures that the service contributes to an efficient, effective, and coordinated emergency
medical response to the citizens and guests of the response area. SEWFPD will provide support to the
neighboring agencies when called upon to do so.
FINDING #3: SEWFPD has a strong working relationship with the surrounding agencies and has formal agreements
with Platte Valley Ambulance Service, Bennett FPD, Strasburg FPD, Morgan County Ambulance, verbal
with Banner Health Paramedic service, and the Weld County Fire Agencies Mutual Aid Agreement. In
addition, they wil 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: [Tier 1 [Tier 2 [Tier 3
Recommended Service Area: In reviewing the service area map submitted by SEWFPD, 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 Southeast Weld Fire Protection District for a Tier I license.
Recommendation By:
Jeff S ran . an EMTS Council Chair
Date:
11/17/2021
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: 91, /go a-1
Name of Ambulance Service: So &Lave& ST Wk// fire '6;46' c, -1 —
Owner:
Name: SOk,lvcvs/ We /6/ it -Pr c i5/c/-
Address: %S LtL 5rr><,.c/way Ave • A # (ii d. Co
Phone Number: 303- 7 3a - V?o 3
Operations Manager:
Name: / o m geti ca/i
Address:
Stt v►m a e.. s 41,
Phone Number:
5 a.., w. a C,. Litt
164 /11
Email: 4-6 e4ch e S we_/J c I re . O(' y
Medical Director: // /
Name: 6Gt h W -4 e ,44 i e, c/yy , M. [3 ,
Address: /4�/G7) j02t/i, e Cen /cs Privy 13r,''6,4A Cd goot /
Phone Number: '0 3 , vys - J c
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.
SD F Uti/
Page 2
How many ambulances do you operate?
y
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: lr F Opp 4e,
City: ��tn�s�r r ,•t/ State: 'CO Phone: 303 -730 - Y' 3
Location #2:
Street Number: y9/0 i/ 7?
City: &env5,I IL.r
State: (0 Phone: '503 - 7 3? - V.2.1)3
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:
Er -Y es ❑ 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:
Wes ❑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 3
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.
ature of Applicant
e'rG eke 9/1/4o
Title Date
SUBSCRIBED AND AFFIRMED BEFORE ME THIS ..C
DAY,,se,O,,.�/ , 20 02 1 , IN THE COUNTY OF
t el , STATE OF COLORADO.
IRENE M BURKE-HYBERG
Notary Public
State of Colorado
Notary ID ft 20174003247
My Commission Expires 01-20-2025
4.1
Signature of Notary
My Commission expires: Q / / J'() / of a:25
*Please make additional copies as necessary.
Page 7
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SOUTHEAST WELD AMBULANCE
EMS DISPATCH ZONES
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9/1/2021
To Whom It May Concern:
Southeast Weld Fire District has mutual aid agreements with Platte Valley Ambulance Service, Bennett
Fire District, Strasburg Fire District and Morgan County Ambulance. In addition, we have a mutual aid
agreement with all Weld County Fire Districts and "verbally" with Banner Paramedic Service and Weld
County Regional Communications Center.
Sincerely,
}6m Beach
Fire Chief
Southeast Weld Fire District
303-732-4203
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