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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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20203761.tiff
RESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - FRONT RANGE FIRE RESCUE 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 Front Range Fire Rescue 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 Front Range Fire Rescue 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:(,,1 �', •..�CJ�o%� Mike Freeman, Chair Weld County Clerk to the Board Attorney Date of signature: 12/23/2.O Steve)ploreno, Pro-Tem Kevin D. Ross CC:NI.(TC>/&V), op-qa.) of/oS/1.I 2020-3761 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 2020-3761 HLOOS WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I FRONT RANGE FIRE RESCUE Name of Service 101 SOUTH IRENE AVENUE, MILILIKEN, COLORADO 80534 Address FRONT FLANGE FIRE FESCUE 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 DATE NOT TRANSFERRABLE f POST IN A CONSPICUOUS PLACE Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. MEIMMANNWAMMMMMIAMMMakileid 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: Front Range Fire Rescue As required in Section 7-2-100.8.5., 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: Front Range Fire Rescue provides EMS Transport service through an operator's agreement with the UCH -EMS to the citizens and guests of the Towns of Johnstown, Milliken, and unincorporated areas of Weld County. FRFR has several mutual aid agreements with other transport and Fire Based EMS agencies to ensure timely delivery of services. FINDING #2: The EMTS Council have is not aware of any service delivery deficiencies with FRFR. FRFR strives for timely delivery service to all areas they service. FINDING #3: The EMTS Council believes that FRFR strives to provide an efficient, effective, and coordinated response within its service area and is are very willing to assist their neighbors when requested. FINDING #4: This year has had unique challenges. The EMTS Council has only met once in person, and other meetings have been conducted virtually. FRFR has attended the EMTS Council meeting and has been very active in the Council throughout the year. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for Front Range Fire Rescue 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 Front Range Fire Rescue. 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 AMBULANCE SERVICE LICENSE APPLICATION Date of Application: 10/15/2020 Name of Ambulance Service: Owner: Name: Front Range Fire Rescue Fire Protection Distirct Front Range Fire Rescue Fire Protection District Address: PO Box 130, 101 S. Irene Avenue, Milliken, CO 80543 Phone Number: 970-587-4464 Operations Manager: Name: Mike West, Fire Chief Address: PO Box 130, 101 S. Irene Avenue, Milliken, CO 80543 Phone Number: 970-587-4464 Email: mwest@frfr.co Medical Director: Name: Dr. Darren Tremblay Address: 1024 S. Lemay Avenue, Fort Collins, CO 80524 Phone Number: 970-495-8006 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): N/A What area of Weld County will be served by this company? Please attach a map indicating the service area. See attached map. Health Administration Vital Records tele: 970-304-6410 Fax; 970.304.6412 Public Health i Clinical Services Tole: 970.304-6420 Fox: 970.304.6416 Environmental Health Communication, Emergency Preparedness Services Education I Planning i Response Tele; 970.304.6415 Fele: 970.304-6470 Tole; 970-304-6470 Fax: 970.304-6411 Fox; 970-304.6432 Fox: 970-304-6452 PubllcHeelth Page 1 How many ambulances do you operate? 3 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: 100 Telep Avenue City: Johnstown State: CO Phone: 970-587-4477 Location #2: Street Number: 101 S. Irene Avenue City: Milliken State: CO Phone: 970-587-4464 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 V 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 FIND 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 Ej Tier II © Tier III Page 2 I HEREBY CERTIFY THAT 1 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 REVO ATION AND POSSIBLE CRIMINAL PROSECUTION. G c Fire Chief la1JNe of Applicant Tille /0/..//2.4.2-0 Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS '2I =r DAY OF Oc#obr,'c.. , 20 O , IN THE COUNTY OF Waad , STATE OF COLORADO. S-s. 5414441#rvl r�---• ignature vof Notary My Commission expires: /-- / •P / •aO. I CYNTHIA A. HEESEMANN Notary Public State of Colorado Notary ID #20174052865 My Commission Expires 12-29.2021 Page 7 Front Range Fire Rescue Fire Protection District CRO4SROADS N e.EPLeakin Hui 4tgi. 64 4(4 `tr0P off. � �. eels 62 62 . EASTMAN PARK L,I! �t KODAK t i (60 60 60 „6.0)3 M M LiktfRONNIAGE flettier;:4_ flOR 56 §, RIVER RA CH r • U I Q WCR 48 N 1818 50 52.25 M 52-�-52 Pitr3 tri 14 c 50 R N�' B _.-� NER 60 _;5Q.' CARLSON 46 WCR 46 N 56 56 56 (2 44 60 Aig i G r I- • r- 56 56. Nkt k. 52, 4 7TH 48,5 t 3RD 2ND 2N0 )%PouoRE ?S1 • -0 11�H a) ,444 21ST iE 21T1-1 .6666 N N ti N 64.564.5 417 N N 46.5x046,5,fr w ! • 40 WCR 40 34 WCR 34 I s 3 a Z r 46 46< S VyCR 44 k 1O 4 44 N C • X40.5 s -. 1g 40r I . 0)' N 64 64 C, 0 4TH )..=) () I. 4. A \) r f 'vs• rout- 1r 6?‘ ! F ATH & 2ND 3RD l 04 6TH 22D � n1.I it \-• 2.4TH ' 24TH c o • � � �• . 25TH 2 28TH '\ 28TH 2 : ti z) "'1'r ti lips \ 30TH IbTHI/ i•C..)1 34Thi-12 >- Ws\ N r 0'ps 371M �� y v = 0_ CL M co a. \9Th?9T8 .H Vc� 13TH o `� a16 �H� ' $ it 18TH �.,►�s.«,��a? cr i *1 $ 49TH _ y GOWa1 , KANAN1kA\ a 1t04:4 . Si Station 1 Station 2 Station 3 FRONT RANGE FIRE RESCUE PO Box 130, Milliken, CO 80543 970-587-4464/ Fax:970-587-0324 Courage * Compassion A- Professionalism Serving John stown, Milliken and Weld County for more than 100 years 09/30/2020 To whom it may concern, Front Range Fire Rescue Fire Protection District has mutual aid or automatic aid agreements with: Loveland Fire Rescue Authority Thompson Valley EMS Windsor Severance Fire Rescue Banner Health Paramedic Services Berthoud Fire Protection District Weld County Fire Intergovernmental Agreement for Mutual Aid Respectfully, Chief Mike West
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