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Home My WebLink About20213308.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - MOUNTAIN VIEW 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 Mountain View 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 Mountain View 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: dieddAj JC.14D;t1 Weld County Clerk to the Board Count Attorney Date of signature: Stev Moreno, Chair Sc t CC: Nt-CTG/Gv), OEK( ) 12/20 /21 2021-3308 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 1Z/OL9 iL0O5B '-6 rerowromorstonsimmormournontomaratourfflp O WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I MOUNTAIN VIEW FIRE PROTECTION DISTRICT Name of Service 3561 NORTH STAGECOACH ROAD, LONGMONT, COLORADO 80504 Address MOUNTAIN VIEW 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 J NOT TRANSFERRABLE / POS IN A CONSPICUOUS PLACE Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. ra Fa Fa ra Fa PPialsarotolistarairatEMOIMIMMEIP O �1 O 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: Mountain View Fire Rescue 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 are the basis for the Council's recommendation: FINDING #1: Mountain View Fire Protection Districts (MVFPD) 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: MVFPD ensures that the service contributes to an efficient, effective, and coordinated emergency medical response to the citizens and guests of the response area. MVFPD will provide support to the neighboring agencies when called upon to do so. FINDING #3: MVFPD has a strong working relationship with the surrounding agencies and has formal agreements with FFFPD, Longmont Fire Department, Berthoud Fire, FRFR, PGFPD, Fort Lupton, NMFR, Lafayette Fire, Boulder Rural, and Louisville. In addition, MVFPD has executed the Weld County Fire Agencies Mutual Aid agreement, and they will informally help out any agency that requests their assistance. 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 FlTier3 Recommended Service Area: In reviewing the service area map submitted by MVFPD, 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 Mountain View Fire Protection District for a Tier I license. Recommendation By: nahan 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: I � -- Ali- ,2*) Name of Ambulance Service: Owner: 11\okkM k-4.,`, Ai V:e F re -beet,‘4a,.. SVrs.c4- Name: M �„,rJ V ew F7 re 0,11 U -1,-:c1�- Address: 354,1 J. Sk+Alttzoa. ✓ .. R8POD Lasrr� -k ""- -t Phone Number: _3©3- 7702 -0 710 Operations Manager: i hN Name: _ � 1 ©eGN 20SO4/ Address: 3561 fit- 5- .eGa 1,„ 1--eyty :<04 ', () gas(' 4 Phone Number: 303- 9o?- 3'2 Ys fej 303~ 7?a.- a710 (D) Email: p..1oL*use At /U,11rph• vV Medical Director: (� Name: N)a.nM R . ff Address: 3 5bl N . S- toad.. Q.� 1-�, e t, (L) SO'( Phone Number: 303 -- 77; - 071'0 Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the comptnny of having more than a 10% ownership interest (if applicable): NI What area of Weld County will be served by this company? Please attach a map indicating the service area. ser �f,La Health Administration Vital Records Tele: 910-304-6410 Fax: 970-304-6412 Public Health 8 Clinical Services Tele: 970-304-5420 Fax: 970-304-6416 Environmental Health Communication, Services Education & Planning Tele: 970-304-6415 Tele: 970-304-6470 fax: 970-304-6411 Fax: 970-304-5452 Emergency Preparedness & Response Tele: 970-304-6470 Fez: 970-304-6452 Public Health Page 1 How many ambulances do you operate? 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: /1/4)/ii 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 onand/or treatment of patients: [21 -(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: LYJ Y es ❑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: 3.. Tier I ❑ Tier II ❑ Tier III Page 2 MOUNTAIN VIEW FIRE RESCUE 3561 North Stagecoach Road, Unit 200, Longmont Colorado 80504 (303) 772-0710 - FAX (303) 651-7702 Mountain View Fire Sation's List Station # 1 10939 CR 5 Longmont, CO 80504 Station # 2 7700 Baseline Rd. Boulder, CO 80303 Station # 3 441 3rd Ave. Mead, CO 80542 Station # 4 8500 Niwot Rd. Niwot, CO 80544 Station # 5 2701 S. Indiana Superior, CO 80027 Station # 6 50 Bonanza Dr. Erie, CO 80516 Station # 7 161 Perry Lane Dacono, CO 80514 Station # 8 400 Bonanza Dr. Erie, CO 80516 Station # 9 4390 Eldorado Springs Dr. Boulder, CO 80301 Station # 10 5748 Flagstaff Road Boulder, CO 80302 Headquarters administration building 3651 N. Stagecoach Road Longmont, CO 80504 Maintenance Facility 5322 Weld County Road 7 Erie, CO 80516 www.mvfpd.org 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. 1 DETERMINATION THAT AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED BASED ON FALSE INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. ig ure of Applicant >r`ci1 G1,:er 4WIS, Title /t,".21- Req Date SUBSCRIBED AND AFFIRMED BEFORE ME TIIIS S.1 - DAY OF , 20 at , IN THE COUNTY OF Vitt Si ature of Notary , STATE OF COLORADO. My Commission expires: / / 7 / 24 CHERYL S LARSON Notary Public State of Colorado Notary ID # 19914017547 My Cgnagiissinn Esairnr t11 14 7 Page 7 -'Station 10 Fire Annex Station 9 ArSICLICCiPe Station 12 • .Station 6 Station 3 .St ation 1.4 44*T1 Miles 0 03 1 2 3 4 mnistration Legend 1 Mountair_Vrew_Rre_Stalans Street_Centerlines Fire Response Areas --al are :aiues ALIAS ./1u 1I IT• 1.1 . nru. r- one MOUNTAIN VIEW FIRE RESCUE 3561 North Stagecoach Road, Unit 200, Longmont Colorado 80504 (303) 772-0710 - FAX (303) 651-7702 October 14, 2021 To Whom It May Concern: Below is a list of the mutual aid agencies Mountain View Fire Protection District has signed with surrounding agencies. Mutual aid Agencies: • Frederick/Firestone Fire- Fire/Ambulance • Longmont Fire- Fire/ambulance • Berthoud Fire- Fire • Front Range Fire- Fire • Platteville Gilcrest Fire- Fire • Fort Lupton Fire- Fire • North Metro Fire- Fire/ambulance • Lafayette Fire- Fire/ambulance • Boulder Rural Fire- Fire/ambulance • Louisville Fire- Fire/ambulance Mountain View Fire Protection District will respond mutual aid with all fire agencies in both Weld and Boulder Counties if requested. Sincerely, Paul Johnson Division Chief, EMS www.mvfpd.org Hello