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Home My WebLink About20203766.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 16th day of December, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ditAilti i.tp:ok. Mike Freeman, Chair Weld County Clerk to the Board ou A ttorney Date of signature: I2-Ig-3/2� arbara Kirkmeye Kevin D. Ross cc :H L.(Te/GV, og. t• -t (RR) oI/©1S/21 2020-3766 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 (a,tco 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 2020-3766 H Lo O5 Ji::.:v+iK».:ai�n`Xis�vuu,:•Ki'uY.'�Yt� Etc WELD COUNTY DEPARTMENT OF PUBLIC HEALTH 8t ENVIRONMENT License to Operate Ambulance Service TIER I PLATFEVILLEGILMCREST FIRS PROTECTION DISTRICT Name of Service 202 MAIN STREET, PLATTEVILLE, CLORA 0 80651 Address PLATTEVILLEIGILCREST 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. k fewm .. fl 6 h U CHAIR, BOARD OF WELD COUNTY COMMISSIONERS 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. DATE p:j at al Di d eJ ui al 1861 ,�.. CQU -re - 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 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: Platteville Gilcrest has been in operations as a fire -based EMS Transport agency for just about a year. PGFPD works well with its neighbors and is willing to assist when requested. PGFPD has strived to deliver excellent service and to be a strong partner to its mutual aid agencies. FINDING #2: The EMTS Council is not aware of any deficiencies in timely response or delivering care to the citizens and guests of their response area. FINDING #3:The EMTS Council believes that PGFPD provides a service level that contributes to an efficient, effective, and coordinated response to its service area. PGFPD is willing to assist its neighboring agencies when they are requested. FINDING #4: PGFPD has been active in attending the EMTS Council meetings even though most of the sessions have been virtual. They have also been engaged in the R&l portion of the group. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for PGFPD 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 Licensne to Platteville Gilcrest Fire Protection. Recommendation By: Date: _11/18/2020_ Jeff Stranahan EMTS Chair Page 1 of 1 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: 10/30/2020 Name of Ambulance Service: Platteville Gilcrest Fire Protection District Owner: 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(cDpgfpd.ora 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 Fax: 970-304-6412 Public Health R Clinical Services Tele: 970-304-6420 Fax: 970-304-6416 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, EducaRon S. Planning Tele: 970-304-6470 Fax: 970-304-6452 Emergency Preparedness L Response Tele: 970-304-6470 Fax: 970-304-6452 PublicHealth Page 1 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 State: CO Phone: 80651 City: Gilcrest State: CO 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: es 50 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 repo 'ng requirements of the agency profile: es allo 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 defmed in Section 7-1-30 of this Chapter. Tier III: Licensure authorizing for Standby Service, as defmed in Section 7-1-30 of this Chapter. Level of Service Requested: ' Tier I i l Tier II I I 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. CMS C/174 % /cc /2o Signature a PP want Title Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS c) DAY OF 0C -J _ , 20 DO , IN THE COUNTY OF , STATE OF COLORADO. Signature of ' otary My Commission expires: - / / / C >'-1 iAWE5SA KOOPMANS WADER NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164012698 MY COMMISSION EXPIRES 4-1-2024 Page 7 ' N. -?."MM,. I^ - . \w•-� ......,..,-...1 .v _.I,I 4. —y.e: �.• .. �•Y.....�� 4•rt )••• ...1.....y........ ' r-.14�=1... ..�_1vr..-AY . ./ 1 / } s �.!•♦ r✓r1•r1 . A..1'•T1..• '. vat„, ^. PLATTEVILLE - GILCREST FIRE DISTRICT (RESPONSE AREAS) 1 PIFIl-PM II/iesla kt AS Ft • LA OS AS AS n Ri$ . P nlie. F1r.. e ♦ l.e. Ad. AM anMW* F .wt Iro. 1bwY. Vs, as. A4 1W I IRS F . Fred Mrs u- - Swiss Ye A.b Aid I 1 FR we -thus yap was AM P1atteviI1eGilcrest 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, Matt Concialdi EMS Division Chief Hello