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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20202946.tiff
RESOLUTION RE: APPROVE APPLICATION FOR TIER III EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - GLOBAL MANAGEMENT AND CONSULTING, LLC, AND ARMADA MANAGEMENT, LLC, DBA 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 (EMTS) have reviewed the Application of Global Management and Consulting, LLC, and Armada Management, LLC, dba Mile High Ambulance, LLC, for a Tier III Emergency Medical Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said application, 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 Global Management and Consulting, LLC, and Armada Management, LLC, dba Mile High Ambulance, LLC, for a Tier III Emergency Medical 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 application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of September, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddethio Weld County Clerk to the Board BY: Deputy Clerk to the Board APP' e ED AS TO F unty '' orney Date of signature: O9/39/2O Mike Freeman, Chair Stev Moreno'ro-Tem ames Kevin D. Ross cc:H-Om- r6),oEM(RR) O/O2/O 2020-2946 HL0052 Memorandum TO: Chair, Board of County Commissioners FROM: Mark A. Lawley, Deputy Director, Department of Public Health & Environment DATE: September 16, 2020 SUBJECT: Ambulance Service License Application for Mile High Ambulance Enclosed for the Board's review is the application for ambulance service license, pursuant to Chapter 7 (Emergency Medical Services) of the Weld County Code (WCC), from Mile High Ambulance. The Weld County Emergency Medical/Trauma Service (EMTS) Council reviewed the application on September 16, 2020. The Council recommended that Mile High Ambulance Service receive a Tier 111 license, as requested. The Department has also reviewed the application and has deemed that Mile High Ambulance has met all applicable licensure requirements, as per WCC Chapter 7. As such, 1 am recommending licensure. 2020-2946 ©� �2s HLO©�2 of MIsIrIra 0 0 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER 111 MILE HIGH AMBULANCE Name of Service 8451 BRIGHTON ROAD, COMMERCE CITY, COLORADO 80022 GLOBAL MANAGEMENT & CONSULTING LLC ARMADA MANAGEMENT LLC Name of Owner IS LICENSED UNTIL DECEMBER 31, 2021, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. r em%4L- SEP 2 3 2020 CHAIR. BOARD OF WELD COUNTY COMMISSIONERS DATE j J NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of the Weld County Code. rotoworolotowarairotagnewrourowromme Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Mile High Ambulance 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 is the basis for the Council's recommendation: FINDING #1: The Weld County EMTS Council reviewed the application for Tier 3 licensure from Mile High Ambulance. Leadership from Mile High Ambulance indicated they would be licensing two ambulances with the intentions of providing standby coverage at special events on request in Weld County. FINDING #2: All attendees at the EMTS Council Meeting agreed that approving the Tier 3 Ambulance License to Mile High Ambulance would contributes to the efficient, effective, and coordinated emergency response to the residents of Weld County. FINDING #3: The leadership of Mile High Ambulance attended the EMTS Council Meeting and indicated they have operated outside of Weld County for 9+ years. They're in good standing the region and will be a good partner in Weld County. FINDING #4: The Weld County EMTS Council unanimously recommends a Tier 3 license approval from the Weld County Commissioners for Mile High Ambulance, LLC. Recommended Level of Service: Tier 1 Tier 2 Tier 3D Recommended Service Area: Weld County as indicated on the map submitted with the application. Other EMTS Council recommendations or comments: Recommendatio Date: AMBULANCE SERVICE LICENSE APPLICATION Date of Application: 6.1 0 Name of Ambulance Service: Mile High Ambulance, LLC Owner: G tvb...l # G +7.1.5./14-;•-,0 , LG.� Name: A�Ma� /�'1�...ay., Ivo ,- y2 I s G2e.r' ;A��, Dom. rl:�.,i�s rg• cv $or2la Address: /.7 (7 4-/7 s� �.,..j_ ,. - sa.. cn 1c. Phone Number: 7j p . 3 44-1—/C9 Operations Manager: Name: Peter Reschenberg Address: 8451 Brighton Road Commerce City, CO 80022 Phone Number: 720-584-0773 Email: Peter@MIIeHighAmbulance.com Medical Director: Name: Dr. JP Brewer Address: 980 Twisted Pine Rd Golden, CO 80401 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): SO% _JCL �y'4�., .�,.+ ��s���: ny '12/if 9-./'f'.A1Ld . �r�ncL, g I?�O s"c 04%•1 - /'1c n s je.,- 41z 27 a s1-7 a 7 . Avr'r'. , What area of Weld County will be served by this company? Please attach a map indicating the service area. See attached map (4E per covive fioyi w/ to ovl 7'(22f2o) How many ambulances do you operate? 2 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: 8451 Brighton Road City: Commerce City State: CO Phone: 303-564-6636 Location #2: Street Number: 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 ❑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 O Tier II ❑ Tier III 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. gnature of Applicant Title 7 ' ozd Date SUBSCRIBED 4ND AFFIRMED BEFORE ME THIS I Sq- DAY TU UU , 20 26 , IN THE COUNTY OF 0,4111.5J , STATE OF COLORADO. TARA MULVEY Notary Public State of Colorado Notary ID #20174006366 My Commission Expires 02-09-2021 My Commission expires: 02- I Oy 12 2I *Please make additional copies as necessary. 6 nu lW1 /lt+nt-3 3 Z tp v Fit 1431 9 Use 4c114 Water yfunatvin Facility 8 :.a.aCC aa4 'r: Se t I Le AQ 1st Pew, 6Vf'!cy Em SI 3 e 17! IT.. Paw/ a UI ID ILt St • t c r -4. • Gadosq Ran Pt i-v Car Ave Firestone El Stwit %4v.y Frederick coil mdAirett j4 • _. t_. Dar ono r tote 'VI $' .1 r'? m Weld County l.: .• as Mile High Ambulance Requested Service Area for Weld County I L 't IZ a In! Gou.wjad 1t 1:; E1 ED I have attached the following documents to this application: A list of all emergency medical service providers who may be called upon to respond to an emergency with the ambulance service. This list shall include the following information on each person: 1. Complete name and date of birth 2. The highest level of certification, licensure or training attained. 3. A copy of current EMT -B, EMT -I or EMT -P certificate issued by the Colorado Department of Public Health and Environment; nurse licensure or an Advanced First Aid card from the American Red Cross; or a First Responder course completion certificate issued by a Division -recognized training center or training group. A current copy of EMT or Paramedic protocols adopted by the ambulance service in accordance with standards approved by the ambulance service's medical director. i1 A current copy of the ambulance service's training standards in accordance with the requirements approved by the ambulance service's medical director. All training must be through a state -certified emergency medical services training center. A list of ambulance agencies, fire departments, special districts and other EMS providers with which the applicant has mutual aid agreements, or: NI At this time our agency does not have mutual aid agreements with other ambulance agencies, fire departments, special districts or EMS providers. V A current copy of the ambulance service's pharmacological agents and delivery devices per medical director protocol.
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