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Home My WebLink About20213317.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER II AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - AMERICAN MEDICAL RESPONSE OF COLORADO 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 American Medical Response of Colorado for a Tier II Ambulance Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier II 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 American Medical Response of Colorado for a Tier II 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: dit,f,„„)0�� Weld County Clerk to the Board BY: APP ounty -•rney Date of signature: N Steve ,! oreno, Chair Sco Lori Saine CC: HL(T6/Gv),OEM(RR) 12/Z -o/2. I 2021-3317 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 Fre 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.1<— 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 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 IVOlo 14L0033 VO3 '00 rowrororomrowsmrotstoxemromramrotonsrotoap WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER 11 AMERICAN MEDICAL RESPONSE OF COLORADO Name of Service 3800 PEARL STREET, BOULDER, COLORADO 80301 Address GLOBAL MEDICAL RESPONSE 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. J EEC, 0 6 202.1 CHAIR, BOARD OF WELD COUNTY COMMISSIONERS DATE NOT TRANSFERRABLE / POS IN A CONSPICUOUS PLACE ti a 1861 ac'e Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not provide for Primary Care, as defined in Section 7-1-30 of the Weld County Code. leMIDEMPIRRIPMEINIP [El Praia ra Fa [E]ft][Elf � eT�7�Jrsto O O O WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1553 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Recommendation of the Weld County Emergency Medical/Trauma Service Council for: American Medical Response of Colorado As required in Section 7-2-100.8.5., 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: American Medical Response of Colorado provides interfacility transportation of patients from facilities within Weld County to facilities within and outside of Weld County. The service provided allows for Weld County units to remain available within the county for a 911 response. FINDING #2: Upon review of AMR's license application, we find that the service contributes to an efficient, effective, and coordinated service for the citizens and guests of Weld County. FINDING #3: AMR has all necessary State of Colorado Mutual Aid Channels to communicate with agencies in the event of a significant event in Weld County. FINDING #4: The Weld County EMTS Council has not been made aware of any negative or problems with service delivery to the citizens and guests of Weld County. Recommended Level of Service: riTier 1 nTier 2 nTier 3 Recommended Service Area AMR provided a service area map within the license application. Upon review, there are no concerns with the service area. 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 AMR for a Tier II license. Recommendation By: Jeff St an. : n EMTS Council Chair Date: 11/17/2021 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: to (2,O (21 Name of Ambulance Service: rrie i�cc -, .4ed�c�� +[ p 6+- CcL,ovad) Owner: Name: -icb 4-4e !iccz- Address: (a31p3 Ste!Lex'S C --.trees fix-. (ter\ i_sapcd, VC.1 tacit. Phone Number:7,p3 _ — 12O C1J 1 Operations Manager: Name: Cr'Nwst-c v U.) ► 11 a.rY1 S Address: Shoo Ptr v _t C.O k Phone Number: 2_C• - (D -DD 1 Email: & wt tcp ,ir %Al C ciLirr‘s.C3CSri ,r1 * Medical Director: Name: Selar.nam caNr\dCli Address: y i4"A. tJ. '"I 1st et,� 1 _tv.Cx t C� Phone Number:"1 2O. 4%," p - 945}' 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): C- r -k 1 Me —s Wcc -1 x - sue. Ft�Ir 14 t 1e�31r�3 S. F t L V's %re.i r) C orc-La- 1 f tt r1t• ,c cc V.:11ria _, cc, BGII What area of Weld County will be served by this company? Please attach a map indicating the service area. 1;5:umneie t. 411 e s t 1,-4a c -ttac tci Health Administration Vital Records Tele: 970-304-6410 Fax: 970-304-6412 Public Health & Clinical Services Tele:9/0 304-6420 Fax: 970-304-6416 Environmental Health Communication, Services Education & Planning Tele:970-304-6415 Tele: 970-304-6470 Fax 970-304-6411 Fax: 970-304-6452 Emergency Preparedness a Response Teie: 970-304-6470 Fax: 470-3C4-6452 PublicHealth Page 1 How many ambulances do you operate? 3 Location and description of the place(s) from which this ambulance service will operate. If there arc more than two locations, attach a separate sheet with the above information. Location #1: Street Number: 3 Pear -l. Location #2: Street Number: State: CD Phone: „j` o 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: Ell 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: Licersure 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 ix] 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 REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. Title vvt aize- //CJ/ 7/o'i/ Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS -7+3' DAY OF OM Ola? - , 20 I , IN THE COUNTY OF , ST9E OF COLORADO. 4 NOTARY PUBLIC - STATE OF COLORADO 1 NOTARY ID 20164029964 MY COMMISSION EXPIRES SEP 29, 2024 Signatur ry fission expires: CA / /,D0.0.9 Page 7 Map of Service Area - Working as a Tier II licensed ambulance Provider we will transport patients for Banner Health From their facilities. The Map below shows the locations of the Banner Hospitals. • aw 411rs yr trinmail) S r X92) 'eland • a npion * Kellrn O) • ILaverance '• Windnor • i•Mt Si et sib (3,O Eaton Lucerne 85) s•d Gr eY 8S Garden City Evans La Salle ... i t Hello