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Home My WebLink About20200660.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - GREELEY FIRE DEPARTMENT 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 Greeley Fire Department for a Tier I Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier 1 Emergency Medical Services 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 Greeley Fire Department for a Tier I Emergency Medical Services 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 24th day of February, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dettA44) W JCtp•i1 Weld County Clerk to the Board ounty Attorney Date of signature: 03/©IF/2-0 era ---1.c4_______ Mike Freeman, Chair Steve I\4freno, Pro-Tem Kevin D. Ross cc.: HUCTG), 0Ern cRR), GPO 03/06/20 2020-0660 HL0052 Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: February 20, 2020 SUBJECT: 2020 Application for Ambulance Service Licenses Enclosed for the Board's review is a new ambulance license application for Greeley Fire Department pursuant to Weld County Code Chapter 7, Emergency Medical Services. The Weld County Emergency Medical Trauma Service (EMTS) Council reviewed the application for the ambulance service provider on January 15, 2020, and approved the application. Based on the delegated responsibility of the Health Department, we have reviewed the application and have deemed the ambulance service listed below to have met all applicable licensure application requirements found in Chapter 7. As such, I am recommending the following ambulance service provider for licensure: Tier I Greeley Fire Department City of Greeley 1155 — 10th Avenue Greeley, CO 80631 2020-0660 HLOOsa K .J. } Trr^ P ELD U = LIC .^acr N V 7, , CF. EALTH isesacaut a`rGW Y Shsv:Y.� SKdwtSi'd�S�i'XLYii.:o.'x:fubri!€l`BygPk?On .�,YenVa4. SVA az•tr`5N j kEicL • li tcansa :va.--rcararor� �x..� cmrr�•sti na^n' ^'. `. ski i "+ cit .5;?:-:7an,' NT OF License Operate Ambulance Service GREECE Name of Service ENUE, GREELEY, ENT EELEFIRE •.RTC j. ANT" Name of Owner IS LICENSED UNTIL DECEMBER 31, 202'1, PERATE AN AMBULANCE SERVICE IN WELD CUNTY @N ACCORDANCE WITH EXISTING WEL! 1 C :_fUNITY RULES AND REGULATINSo FEB 2 4 L020 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. 14-S` affififfilliNiaralaarasSayps I5: tl F, »'! WaS*Y "YfYis h\'{y,� 4xxx.P,FSdtN rited". at Or ildGewassaysza,.. $i '74:4 gb Gi9x�siV may. tlighrreafaign•t` t: �..'rOJ.M<.Seti Kv l«`� h15q.�`Yf. '.. -- Mar t H§+ uexa�ar,�l. Mfl..(S`a$n t="4.44 HRS:F rL.5=, Ti PEA T�r of L MtM., #i E Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Greeley Fire Department 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: Greeley Fire has a contract agreement with Banner Health Paramedic Services. Response times should be excellent with ambulances now at most Greeley stations. It is my understanding Greeley Fire has operational control of the ambulances assigned to the City of Greeley. FINDING #2: Greeley Fire is part of the county wide mutual aid system which will allow for a mutual aid response form a Greeley ambulance to other parts of the county if needed. FINDING #3: Greeley Fire will contribute to an efficient, effective and coordinated emergency medical response to the City of Greeley and to Weld County during mutual aid responses. FINDING #4: Greeley Fire Department having an additional transport capable unit in the system is a noble plan to support a busy system. The unit will aid in the overall Departments mission of providing great service to the citizens and guest of the city. Recommended Level of Service: (Tier 1') Tier 2 Tier 3 Recommended Service Area: GFD has supplied a map indicating their current service area. The voting members fully unconditional support this as the defined service area. Other EMTS Council recommendations or comments: _ The EMTS Council voting membership unanimously voted to recommend Greeley Fire Department for a Tier I Ambulance License. Recommendation By: __Lance Homann_EMTS Chair Date: _1/15/2020 A le.bob 80i o .6b63c) AMBULANCE SERVICE LICENSE APPLICATION Date of Application: 1 / 1 12 O 2.o Name of Ambulance Service: G4-EELE y e.re lA R r MENT Owner: Name: C.l`t'/ of G¢EE LE y JEEt.')' Fie.E LSE 'MF ui Address: 1155 (O"kb• twENu.E. ,GizEkt..2Yi Co =631 Phone Number: 9'7O Sb 9SbO Operations Manager: Name: 3-"erfE SraiNt4 A1rk#1rt--) Address: %%65" to x'" kg ieN w„E, 1 cRectt-M eZ 204S I Phone Number: Email: 'S F' 5.ANA4.4ANI@Cs.6V COM Medical Director: Name: Address: 1155NfvN KE: 1 GR„EELEy t (_L SC4.3 I Phone Number: 1'20.4 Z.Z. — q Si ') Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the oinpany of having more than a 10% ownership interest (if applicable): NJ IA What area of Weld County will be served by this company? Please attach a map indicating the ervice area. CITY OF c REELE'i 4 'N reKN %ILLS faIR.-f� .e rr VA (AAP P _ How many ambulances do you operate? 1 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: 's 5r rnop. t Street Number: t 5 %O;'r 4l :Il..t.Ae. , City: Ggk&E y Location #2: Street Number: State:' Phone: gsb Ism) 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: EYes ❑ 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: ji'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:le Tier I ❑ Tier II O Tier III 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. 6c et) ure o pplicant Title SUBSCRIBED AND AFFIRMED BEFORE ME THIS 2 DAY 3'ou' , 20 ZA , IN THE COUNTY OF A) e.A c1/4 , STATE OF COLORADO. ate JANICE L PEREKRESTENKO NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20064032815 MY COMMISSION EXPIRES AUG 18, 2022 nci claft I . eedittiZwiltb Signature of Notary My Commission expires: g / ( 8 / go *Please make additional copies as necessary. City of Greeley January 1, 2019 611tEiLlip Greeley Fire Department is part of the Weld County Mutual Aid Contract that allows mutual Aid from all Weld County Fire Departments and Special Districts. Greeley Fire has specific EMS Mutual Aid and contract agreements with Banner Health. Respectfully, Jeff Stranahan Interim Battalion Chief of Training Greeley Fire Department • 1155 10th Avenue, Greeley, CO 80631 . (970) 350-9500 A City Achieving Community Excellence 392 Greelcv Fire Department Legend hn;S ttr,ns • IIv4rant W.Itct Coto <iscclCy Fare t)titrul K 41on n ANA, N F.rckc.p..mc2U1r.-Nara mad hue: II 11 _'3I'• Greeley Response _ Area US tjwy-G*t'Bus • I .1 r.r s -•_ - t} State Hwy 392 i 1 • O'St 'Respc,ise Area 3 ��:: tliri .t101ff. �. icon:! r. ► �IIU11SUCter/ ge`-..•a1 aTa nsa , !11 r•� .D /1 • so r I 3,7th St 8 _ti o St STanon :1 Pc SA 37th St • State Hwy 392 rep, .4 I L Response Area • • State Hwy 392 .•reimana.sp__a-• v I R Hello