HomeMy WebLinkAbout20213311.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - PLATTEVILLE-GILCREST 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 Platteville-Gilcrest 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 Platteville-Gilcrest 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: ditifii0 `;•�
Weld County Clerk to the Board
Countttorney
Date of signature: I2.
Steve Moreno, Chair
cc '. H t.(r6/60,OEF'l(RR)
I2/2.o/21
2021-3311
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
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
H (,UU53
O
rolonstouronotawrourstonommorawronstona
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
PLATTEVILLE-GILCREST FIRE PROTECTION DISTRICT
Name of Service
202 MAIN STREET, PLATTEVILLE, COLORADO 80651
Address
PLATTEVILLE-GILCREST 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.
(
`r
r
CI (AIR, BOARD or WELD COUNTY COMMISSIONERS
DATE
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.
il ffRJI ffJ JI iI ftiI9i1ffiI _ II1e
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: Platteville Gilcrest 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: Platteville-Gilcrest Fire Protection District (PGFPD) 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: PGFPD ensures that the service contributes to an efficient, effective, and coordinated emergency medical
response to the citizens and guests of the response area. PGFPD will provide support to the neighboring
agencies when called upon to do so.
FINDING #3: PGFPD has a strong working relationship with the surrounding agencies and has formal agreements with
Mountain View FPD, Front Range Fire Rescue, LaSalle FPD, Frederick Firestone FPD, UC Health — EMS,
Banner Health Paramedic service, and the Weld County Fire Agencies Mutual Aid Agreement. In addition,
they 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: []Tier 1 []Tier 2 []Tier 3
Recommended Service Area: In reviewing the service area map submitted by PGFPD, 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 Platteville — Gilcrest Fire Protection District for a Tier I license.
Recommendation By:
han 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: 10/06/2021
Name of Ambulance Service:
Owner:
Platteville Gilcrest Fire Protection District
Name: Platteville Gilcrest Fire Protection District
Address: PO Box 407/202 Main Street, Platteville, CO 80651
Phone Number: 970-785-2232
Operations Manager:
Name: Matt Concialdi
Address: PO Box 407/202 Main Street, Platteville, CO 80651
Phone Number: 970-785-2232
Email: mconcialdi(cpctfpd.orq
Medical Director:
Name: Kristen Knowles
Address: 3228 N Clay Street, Denver CO 80211
Phone Number: 970-389-0495
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):
NA
What area of Weld County will be served by this company? Please attach a map indicating
the service area.
Platteville and Gilcrest - South Central Weld County -144 square miles
Health Administration
Vital Records
Tele:970-304-6410
Fox: 970.304-6412
Public Health &
Clinical Services
Tele: 770-304-6420
Fox: 970.304.6416
Environmental Health Communication,
Services Education I, Planning
Tele:970-304.6415 Tele: 970-304-6470
Fox: 970-304-6411 Fax: 970-304.6452
Emergency Preparedness
& Response
Tele: 970-304.6470
Fox: 970-304.6452
PirblicRealth
Page I
How many ambulances do you operate? 4
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: 202 Main Street
City: Platteville
Location #2:
Street Number: 14679 Co Rd 42
City: Gilcrest
State: CO
State: CO
Phone: 80651
Phone: 80651
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:
Y✓ Yes alo
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:
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: U Tier I
Tier II n Tier III
Page 2
T 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-I0, 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 PQ.SSIBLE CRIMINAL PROSECUTION.
Signature
PP
scant
bks C1)cF
Title
SUBSCRIBED AND AFFIRMED BEFORE ME THIS eo ft--/
DAY OF 00-0 bek. , 20 L I , IN THE COUNTY OF
, STATE OF COLORADO.
P6ithypi(ck
Signature ofotary
My Commission expires: 4 / i / C)
VANESSA KOOPMANS WADER
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164012698
Page 7
GR•46
Johnstown
n
Y
4 _
GR-4 ,—
GR
R 1.
OR -4
Milliken
z
r
' rig! GPLMFL
GR 16-t
GRa2
-'
PLMFA\
PLMVA
--",Ot """'''''''HWY. n6
�D
/ /
it
PLFRL
PLFRA
Platteville
fl
_z
\--r‘
'CR4
FR2A
i
.� . / ,/
i%
/
Evans
1
r
OR -44
' //
PLLFF
Ler
T
PLFFA 7
7.4
'-(,R t[
kin
4
Firestone
P^4
z
C.
Gilcresr
t,
L.
teR-t6---;%.) _
3R-45
�W4R
GR-46
V
ft
PLFFR
, . 4
Y
R -ad
L
t4
R3q
Nw
PLL
•,
R-.!1
R-32
2
3
i.
.;R ti
l
R5.
/
N
N
Pt
GN'9
(,R-, 4
'3R-26
R -3R _
4
4
6R„22
PLATTEVILLE - GILCREST FIRE DISTRICT
(RESPONSE AREAS)
..;a Road FR2A • Front Range Primary into Oiend North of River Platte.,,e-.,acrest Auto AA
minty Rom FR2O - Front Range Primary Into DnInd nl Nat'l of River PlaRe e.CdcA est Evans Auto M
Highway PL Plattewpe-Gapest Only No Auto Aid
$5 LAKES and RIVERS , PLFFA - Fredenck Freston Auto And
Plaee.,le - Gdcest Fin Protection Oistnd n PLFFR - Fndnd Firestone Front Range La Seto Auto AM
PLFFA- Front Range Auto Aid
PLFRI - Front Range La Salle Auto A4
PLL • La Sale Auto Aid
PLLFF Fredenck Firestone La Salle Auto Aid
PLMFA • Front Range. Mountain View Auto Aid
PLMFL • Front Range La Sale Mountain View Auto Aid
PLANA • Manton View Auto Aid
,{,R-443
Hudson
—GR-76—
vt
4
Platteville-Gilcrest Fire Protection District
P.O. Box 407
303 Main Street
Platteville, CO 80651
970.785.2232 • FAX 970.785.0139
The Platteville-Gilcrest Fire Protection District is apart of the Weld County Mutual Aid
Contract and currently has specific EMS Mutual -Aid and contract agreements with the
following agencies:
• Mountain View Fire Protection District
• Frederick Firestone Fire Protection District
• LaSalle Fire Protection District
• Front Range Fire Rescue
• UC Health
• Banner Health
Respectfully,
'111de C.oai
Matt Concialdi
EMS Division Chief
Hello