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Home My WebLink About20213319.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 6th day of December, A.D., 2021. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dgedte/t) JCl�LD:tok Steve ; oreno Chair Weld County Clerk to the Board mes, Pro, BY: / V /l7\ -- Deputy Clerk to the Board APPR County ' ttorney Date of signature: Perry L. P k EXCUSED Lori Saine Ce: Nl.(T6/Gv))OEK(RR) to /2O%2 2021-3319 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 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 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 1/JOU WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER III MILE HIGH AMBULANCE, LLC Name of Service 3251 S. ZUNI ST., ENGLEWOOD, CO 80110 Address ARMADA MANAGEMENT, LLC f GLOBAL MANAGEMENT AND CONSULTING, LLC 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. r La':.. f: n CHAIR, BOARD OF WELD COUNTY COMMISSIONERS DATE NOT TRANSFERRABLE / POST IN A CrONSPICCUUUS FLACE Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-3- of The Weld County Code. oUN 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 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: Mile High Ambulance provides standby services for events within Weld County. Mile High's service allows Weld County units to remain available within the county for a 911 response. FINDING #2: Upon review of Mile High'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: Mile High Ambulance 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: []Tier 1 []Tier 2 []Tier 3 Recommended Service Area: Mile High has 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 Mile High Ambulance for a Tier Ill license. Recommendation By: Jeff !ra r .' an 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: 10/22/2021 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 Administration Vital Records Tele: 970304=6410 Fax: 970.304.6412 Public Health i Clinical Services Perim: 970304.6420 Fax: 970.304.6416 Environmental Health Services Tele: 970.304-6415 Fax: 970=304.6411 Communication, Education & Planning Telex: 970.304.6470 1 --ax: 970.304.6452 Emergency Preparedness & Response Telel970.304.6470 Fax: 970.304,6452 Public Health 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 DNo 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: D Tier I O 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. Ofb 11/L11.4%.�/ 2r )0/2t f Zcrz� gnature pplfcant Title Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS Z I S." DAY OF Dc-t0bir , 20 2 I , IN THE COUNTY OF ailpQ, , STATE OF COLORADO. tf TARA MULVEY Notary Public State of Colorado Notary ID # 201740063My COI f . My Commission Expires 02-22-2025 fission expires: 02. / 22 / 202.' Page 7 calcmaps.com Radius: 702.56 m1 0.70 km 10.44 mi 12305 ft Circle Area: 1550650 m21 1.55 km' 1 0.60 m'2 116691057 ft2 • • 1, L S I s 9 • 1 I media S1 /gins • . LInl Vrab» Tut Dick Hello