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Home My WebLink About20203764.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - NORTH METRO FIRE RESCUE 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 North Metro Fire Rescue 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 North Metro Fire Rescue 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: di:ad& Weld County Clerk to the Board BY: APP Deputy Clerk to the Board Coun Attorney Date of signature: 12/23/2 Kevin D. Ross Mike Freeman, Chair Steve/Moreno, Pro-Tem Cc: HL(TG/6J), oEM(RR) oI /og/2\ 2020-3764 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 I /1 co x - 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 2020-3764 f -I LOOS a MrEprIprJrara WELD COUNTY DEPARTMENT OF PUBLIC HEt.*LTH & ENVIRONMENT License to Operate Ambulance Service TIE I NORTH METRO FIRE RESCUE DISTRICT Name of Service 101 SPADER WAY, BROOMFIELD, COLORADO 80020 Address NORTH METRO FIRE RESCU t 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. J , CHAIR, BOARD OF WELD COUNTY COMMISSIONERS NOT TRANSFERRABLE / PO5 I IN A CONSPICUOUS PLACE Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. ra rap Fara prap [-apron° a LEE- WO [JCL � €% " 6 0 Na CuMeabt r DATE s -U. --- G 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: North Metro Fire Rescue 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: North Metro Fire Rescue provide EMS Transport services in Weld, Adams, and Broomfield Counties. They work well with neighboring agencies and provide mutual aid EMS response when requested. FINDING #2: The EMTS Council have not received any negative comments regarding NMFR's response times or level of care they provide to the citizens and guests of it response area. FINDING #3: NMFR stives to deliver a service that is efficient, effective, and coordinated within their district and are always available to assist their neighbors when the need arises. FINDING #4: This year has had unique challenges. The EMTS Council has only met once in person and other meeting have been conduted virtually. NMFR has attended meeting when available. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for NMFR 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 North Metro Fire Rescue. 9,7' 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: 101 VA I z-'° Name of Ambulance Service: P Q.D Ctek.. aEi/Ji E Otsrei -T Owner: Name: 1i)k& (Zp rws - Fitts c wwEF Address: VA 60tmle[.. elt_cortiteLbi C 0 X0'2..0 Phone Number: 303 - t-IS2= 1f fa Operations Manager: Name: 1 eSP fliY 666 — o0e.,t zflt Oklef- Address: \El 5PP' L Lr1AY SetioA L r(p Phone Number: 30,1 - 957,-99lo Email: 3 5Y &ea> Medical Director: Name:V•PEL SELL t'1EAti I M77 Address: .?3t 1 Vr4N C{p2a4N E leix40415> t c �a NA '72.D- - Lt16t Phone Number: 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): What area of Weld County will be served by this company? Please attach a map indicating the s crvicc area. Health Adminlshatlan Vital Records tole: 970-304-6410 Fax: 970.304-6412 Public Health & Clinical Servkes tole: 910304.6420 Fax: 9/0-304-6416 Environmental Health Services fele: 970.304.6415 Fox: 970-304-641 I CammunIc Hon, Education L Planning Tele: 970.304-6470 Fox: 970.304-6452 Emergency heparedness L Response fele: 910-304.6470 Fox: 9704044452 Public Reath Page I How many ambulances do you operate? 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: 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: kYes ❑ 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: EYes ❑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 is Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier 11: 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: t"( Tier 1 0 Tier 11 0 Tier HI Page 2 North Metro Fire Rescue District Ambulances ILOG N Station 61 1275 W Midway Blvd Broomfield CO 80020 Station 62 10550 Huron St Northglenn CO 80234 Station 83 10941 Irma Dr Northglann CO 80233 Station 84 13515 Lowell Blvd Broomfield CO 80020 Station 65 9900 W 120 Ave Broomfield CO 80020 Station 66 1750 W 160th Ave Broomfield CO 8020 Station 67 13876 S 06th Street Broomfield CO 80020 Station08 1008 WCR 11 Erie CO 80602 Pr;nary Ambulance Medic 61 M12 - 2015 Ford Plate # QJY-233 1FDXE4FSBFDA24978 Medic 62 MS - 2011 Ford Plate # ORU-065 IFDXE4FS688D809054 Medic 63 M13 - 2015 Ford Plate # QJY-234 1 FDXE4 FSXFDA24979 Medic 64 M10 - 2012 Ford Plate # ORU-067 1FDXE4FS5DDA19430 Baraitric Ambulance M3 - 2000 Ford Plate # 0RU-063 1FDXE45F5YHB85479 Medic 66 M14 - 2019 Ford AEV Plate # BHJL90 1FDXE4F58KDC36113 teserve Ambutaence Reserve Ambulance M7 - 2011 Ford Plate # 0RU-064 1FDXE4FS1BDA61266 Reserve Ambulance M11 - 2015 Ford Plate # 099-VQE 1FDXE4FS8FDA00051 1 II IERLL3Y CERTIFY THAT I AM AUTI IORI1_ED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION PROVIDED IN TI IIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION. IN ADDITION, I CERTIFY TI IAT 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. CAITIYNN MCCOLLUM NOTARY PUBLIC STAY% OF COLORADO NOTAPY ID 20204030743 MY COMM4SIOM EXPIRES SII/02,1024 EMS f eo P-Dt V A TOQ- i'3) 917-ip Title Dace SUBSCRIBED AND AFFIRMED BEFORE ME THIS I`I DAY OF 0-k&QC.r , 20 1 , IN THE COUNTY OF tett(tatk I Signature of Notary , STATE OF COLORADO. My Commission expires: Oa / O /,....Daalk Page 7 Denver Metro Area Departments 0 5 m vV 13ilh.Av? R:xr� n^i9111vt 1Krtinty RR7Ad-t k ifi�r=�llCrv.Nx.:�. and County of Broomfield, Bureau of Land Ma... 10/23/19, 11:16 AM http://nmfrd.maps.arcgis.com/apps/Embed/index.html?webmap=e0ebf79d...rue&previewlmage=false&scale=true&disable_ scroll=true&theme=light Page 1 of 1 North Metro Fire Rescue District — Mutual Aid Agencies 2020 Adams County Fire Protection District Brighton Fire Protection District Federal Heights Fire Department Lafayette Fire Department - Louisville Fire Protection District Mountain View Fire Rescue Protection District - Rocky Mountain Fire District South Adams County Fire Department Thornton Fire Department Westminster Fire Department Hello