HomeMy WebLinkAbout20203768.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - SOUTHEAST WELD 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 Southeast Weld 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 Southeast Weld 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: dithAd;�
Weld County Clerk to the Board
BY:
APP
ttorney
Date of signature: 12/23/9.
Mike Freeman, Chair
S K. James
Kevin D. Ross
Steve)tloreno, Pro -Tern
CC: HL(TG/6V),OEM(RR)
of log /21
2020-3768
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
X- 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
2020-3768
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WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
SOUTH T WELD FIDE PRoTcTIoN
Name of Service
65 EAST GANDY AVENUE, KEENESBURG, COLORADO 80643
Address
SOUTHEAST WELD FIRE PROTECTION
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.
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.
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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: Southeast Weld Fire Protection District
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: Southeast Weld FPD operates a Fire Based EMS Transport service for its District and also
supports Hudson Fire Protection District with service. SEWFPD has decreased the response time to benefit
the citizens and guests of both Fire Districts.
FINDING #2: The EMTS Council has not been aware of any deficiencies related to the level of service and
response times.
FINDING #3: SEWFPD strives to deliver excellent service to the citizens and guests of both Districts. The
service they provide is efficient, effective, and coordinated, not only in its response areas but also their
willingness to assist neighbors.
FINDING #4: 2020 has brought significant challenges to the EMTS Council. SEWFPD is an active participant in
the EMTS Council and attends meetings as well as participates in the R&I discussions.
Recommended Level of Service:
Tier 2 Tier 3
Recommended Service Area:
The EMTS Council has reviewed the service area for Southeast Weld FPD 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 Southeast Weld Fire Protection District.
Recommendation By: Date: _11/18/2020_
Jeff Stranahan EMTS Chair
Page 1 of 1
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application:
Name of Ambulance Service:
Owner:
Name: Address: Q
S ,._�� /�( c)ri C/L/ ✓ r' , _ 41i r g
Phone Number: PQ 3 73 - '06 3
So cL a.a r 71- weiciri r r r S
Operations Manager:
Name:
Address:
>� c:
Phone Number: c 41/4 o e
Email: IL" hf<t.�..�
Medical Director:
Name:
Address:
Phone Number: 3e) 3 `/9 ' /6, 0-1->
Name and address of each stockholder of partner owning 10% or more of the outstanding stock
of the co parry of having more than a 10% ownership interest (if applicable):
1...) ,
What area of Weld County will be served by this company? Please attach a map indicating
the service aea.
4e,. s / I4i€ /d
Page 2
3'0 g3
[[ow many ambulances do you operate? 7 _
Location and description of the place(s) from which this ambulance service will operate. If there
arc more than two locations, attach a separate sheet with the above information.
Location #1:
Street Number: _) rc
City:
Location #2:
Street N umber: _
City:
seS
ue
State:
State:
Phone: '?o`3 --7'3:t—'/
Phone: , 3.? _ L/'••)C'3
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
s ❑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, arc 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.
'Pier 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 111: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter.
Level of Service Requested: 54- Tier I ❑ Tier 11 ❑ Tier III
Page 3
I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT" DIE FORGOING APPLICATION ANT) THE
INFORMATION PROVIDED IN THIS APPLICATION IS TRUE TO TIIE BEST OF MY KNOWLEDGE AND
BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION.
IN ADDITION, I CER'T'IFY THAT I IIAVE READ AND IINDERSTAND THE PROVISIONS AND
REQUIREMENTS OF WELD COUNTY CODE CI IAPTER 7, INCLUDING, BUT NOT LIMITED TO,
SECTION 7-R-10, WIBICI-I 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.
Title
SUBSCRIBED AND AFFIRMED BEFORE ME THIS , SI'
DAY . _-�_, 20__20 , IN TIIE COUNTY OF
, STATE OF COLORADO.
IRENE M BURKE-HYBERG I d4Q,yt1 llitiC' 4Ny
Notary Public - State of Colorado I Signature of Diary
1 Notary ID 20174003247 I
1 My Commission Expires Jan 20, 2021 I
My Commission expires: 0/ /090 /A)a I
*Please make additional copies as necessary.
Page 7
SOUTHEAST WELD AMBULANCE
EMS DISPATCH ZONES
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9/1/2020
To Whom It May Concern:
Southeast Weld Fire District has mutual aid agreements with Platte Valley Ambulance Service, Bennett
Fire District, Strasburg Fire District and Morgan County Ambulance. In addition, we have a mutual aid
agreement with all Weld County Fire Districts and "verbally" with Banner Paramedic Service and Weld
County Regional Communications Center.
Tom Beach
Fire Chief
Southeast Weld Fire District
303-732-4203
Hello