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Home My WebLink About20203763.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 16th day of December, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: datictio< .ideD;ok Weld County Clerk to the Board Coun ttorney Date of signature: 1)-W/2-.0 Mike Freeman, Chair Stevq/Moreno, Pro-Tem GE. HL(r6/GV) oEMOM) O1/01(/2,1 2020-3763 HL0052 Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark A. Lawley, Executive Director Department of Public Health & Environment DATE: December 11, 2020 SUBJECT: 2021 Applications for Ambulance Service Licenses Enclosed for the Board's review are fifteen 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 18, 2020, and approved all fifteen applications. Changes from 2020 include the addition of Ambulnz CO, LLC as a new Tier II ambulance service. Mile High Ambulance Service was previously approved in September 2020 for licensure through 2021. 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 Banner Health/NCMC Paramedic Service 1801 16th Street Greeley, CO Frederick Firestone Fire Protection District 8426 Kosmerl Place Frederick, CO Front Range Fire Rescue 101 South Irene Avenue Milliken, CO Greeley Fire Department 1155 10th Avenue Greeley, CO Mountain View Fire Protection District 3561 Stagecoach Road, Unit 200 Longmont, CO Tier I (continued) North Metro Fire Rescue District 101 Spader Way Broomfield, CO Platte Valley Ambulance Service 1750 East Egbert Street Brighton, CO Platteville Gilcrest Fire Protection District 202 Main Street Platteville, CO Poudre Valley Hospital EMS 3509 South Mason Fort Collins, CO Southeast Weld Fire Protection District 65 East Gandy Avenue Keenesburg, CO Tier I (continued) Thompson Valley EMS 4480 Clydesdale Parkway Loveland, CO Windsor Severance Fire Protection District 100 North 7th Street Windsor, CO Tier II Ambulnz CO, LLC 7100 East Belleview Ave., Ste. 112 Greenwood Village, CO American Medical Response of Colorado 3800 Pearl Street Boulder, CO Tier III Stadium Medical, Inc. 695 Canosa Court Denver, CO 2020-3763 H LOO5b7 p P MJFOJPIMJMFMPJIEIFEIPJEIOI el al al [31 WELT I"OUNT Pu B LIC H - .= LT De RTMENT OF ENVIRONMEjjT License to Operate Ambulance Service TIE ' I MOUNTAIN VIEW FIRE PROTECTION DISTRICT �1�I�Ir�J�J Name of Service 3561 NORTH STAGECOACH ROAD, LONGMONT, COLORADO 80504 Address MOUNTAIN VIEW FIRE PROTECTION DISTRICT 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. DEC 1 6 2020 CHAIR, BOARD OF 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. •verew 'yam.^ 1. 8`'a jer-"et^ iaIaJ10 l al el Di al cJ d e1 I J �1�Jf� 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: Moutain View Fire Protection District 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 is the basis for the Council's recommendation: FINDING #1: Mountain View FPD operates a 911 EMS Transport service that covers several towns within Weld County and the unincorporated of the County. MVFPD partners with their neighboring agencies to provide mutual aid response to contribute to a successful operation. Mountain View also operates within Boulder County, although MVFPD ensures all citizens and guests timely service. FINDING #2: The Council is not aware of any service delivery deficiencies related to timely response and the level of care they provide. MVFPD strives to provide excellent service. FINDING #3: The EMTS believes that MVFPD provides a service level that contributes to an efficient, effective, and coordinated response to its service area. MVFPD is willing to assist its neighboring agencies when requested. FINDING #4: This year has had unique challenges. The EMTS Council has only met once in person and other meeting have been conduted virtually. MVFPD has attend EMTS Council meeting through out the year. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for MVFPD and foresees no concerns. Other EMTS Council recommendations or comments: The EMTS Council recommends that the Weld County Board of County Commissioner grant a Tier I Ambulance License to Moutain View Fire Protection District. Recommendation By: Date: _11/18/2020_ Jeff Stranahan EMTS Council Chair Page 1 of 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org PAic (nutria AMBULANCE SERVICE LICENSE APPLICATION Date of Application: Name of Ambulance Service: Owner: /'4o vry 7Pe-r rJ l/! $.J f t t 1-o igc- l caJ Obi ret4ei Name: Mevv rnl VAto •7 clv„! Tx rcr Address: ,7514/ 3.171e6 Cc 4cht /0 Phone Number: 30 3 - 772 -07/0 Operations Manager: Name: A rr1/ ^'G cow$ rua.J' / Ca bs'oSo1/ Address: 35-1, / S 77?64eo,t-ci Loia6' Cb Sr451 / Phone Number: 363- 772- 0 7 io (r ) 7Zp . 211- 3 336 Cc ) Email: 1la74, m v bpd . t) Medical Director: Name: DA, 4-o4m4 12 -vs Address: 356/ At Sl/l`Ce CO,a c,f/ Phone Number: 3v3 --77z -o7/ O Qo L o tiG o�.sl CCo $Gz� 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): 4/14 What area of Weld County will be served by this company? Please attach a map indicating the service area. Health Administration Vital Records Tele:970-304-6410 Fax: 970-304-6412 Public Health & Clinical Services Tele:970.304-6420 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 & Response Tele:970.304-6470 Fax: 970-304-6452 Pub1iCHea1th Page 1 How many ambulances do you operate? 6 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: iffil-Ccie0 City: State: Phone: 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: LJYes ❑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: DIYes ❑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: LJ Tier I ❑ Tier II ❑ Tier III Page 2 List of Current ambulances and locations Ambulance Vin 1FDXE4FS5JDC13144 3C7WRNCL7GG332710 1FDXE4F4JDC06959 3C7WRNCLOGG332709 1FDX4FS4EDB06897 R1 1FDXF47P25EB76481 R2 Call sign 2221 2224 2226 2227 Unit Location St 1, 10939 CR 5, Longmont CO 80504 ST4, 8500 Niwot RD, Niwot CO 80503 St6, 50 Bonanza dr, Erie, CO 80516 ST7, 161 PERRY LN, DACONO, CO 80514 Fleet, 5322 Weld CR 7, Erie, CO 80516 STS, 10911 Dobbins Run, Lafayett, CO 80026 Year Make 2018 Ford, F-450 2016 Dodge 550 2019 E450 2016 Dodge 550 2014 E-350 2005 F450 Patient Capacity 2 2 2 2 2 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. Signature of l ppliearfl 4Ss.s la CLt (0 /712O Title Date SUBSCRIBED /AND AFFIRMED BEFORE ME THIS 14± DAY OF a 1L D h P V , 20 40 , IN THE COUNTY OF f1L:Ll, of , STATE OF COLORADO. arthat, X.:10 I 6-4 Signature of Notary My Commission expires: _ / 5 / :.YNTHlA L W1BLE Notary Public grate of Colorado y 1rJ# 20104009e8.73 • •r•rrassion Expires 03-25-2022 I Page 7 r1 'I t 1 '1 t SIM • .. �._ ' g. afield • 9.. I Mountain View Fire Protection District (Fire Response Zones) C vile cat -1 Zone Codes Mv. • yen "�.. saw •, ecru Y. X- vets "-No 0•ewr•1 Owe eta saw men r } M' • v. ;. ( -• • CAS -r. 000 ; otos 4,, VA. 4 ale _ W» Mil t One sat M.N Mils t- WS. V!e MAd M.a: MOUNTAIN VIEW FIRE RESCUE 3561 N. Stagecoach Road • Longmont, CO 80504 (303) 772-0710 • FAX (303) 651-7702 www.mvfpd.org October 7, 2020 To Whom It May Concern: Below is a listing of the mutual aid agreements Mountain View Fire Protection District has with surrounding agencies. Mutual Aid Agencies • Frederick/Firestone Fire — Fire/Ambulance • Longmont Fire — Fire/Ambulance (AMR) • Berthoud Fire — Fire • Front Range Fire — Fire • Platteville Fire — Fire • Fort Lupton Fire - Fire • North Metro — Fire/Ambulance • Lafayette Fire — Fire/Ambulance • Boulder Rural Fire — Fire • Louisville Fire — Fire/Ambulance Mountain View Fire Protection District has mutual aid will all fire agencies in both Weld and Boulder County. Keith Long Assistant Chief Station #1 10939 CR 5 Longmont, CO 80504 Station #3 441 3rd Ave Mead, CO 80542 Station #4 8500 Niwot Road Niwot, CO 80544 Station #5 10911 Dobbins Run Lafayette, CO 80026 Station #6 50 9onanza Dr Erie, CO 805'6 Station #7 161 Perry Lane Dacono, CO 80514 Station #8 400 Bonanza Dr Erie, CO 80516 Station #10 9119E County Line Rd Longmont, CO 80501 Hello