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Home My WebLink About20194896.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES 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 Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I 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 North Metro Fire Rescue District 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 27th day of November, A.D., 2019. BOARD OF COUNTY COMMISSIONERS W D COUNTY, CO •RADO ATTEST: dim.%)•.aC,CtD•� Weld County Clerk to the Board BY: /V Deputy Clerk to the Board APP -e ED arbara Kirkmeyer, hair Mike Freeman, Pro-Tem EXCUSED Sean P Conway Count A ttorney Steve Moreno Date of signature: O11 K. James c -o- H�.CrnwITG), O£-M(RR) 1/I`t/20 2019-4896 H L0051 Memorandum TO: Barbara Kirkmeyer, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 21, 2019 SUBJECT: 2020 Applications for Ambulance Service Licenses Enclosed for the Board's review are thirteen 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 the application for each ambulance service provider on November 20, 2019, and approved all thirteen applications. Changes from last year include adding North Metro Fire Rescue District and Platteville-Gilcrest Fire Protection District as new ambulance services. 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 found in Chapter 7. As such, I am recommending the following ambulance service providers for licensure: Tier I Frederick & Firestone Fire Protection District 8426 Kosmerl Place Frederick, Colorado Front Range Fire Rescue 101 South Irene Avenue Milliken, Colorado Mountain View Fire Protection District 3561 Stagecoach Road, Unit 200 Longmont, Colorado Banner Health/NCMC Paramedic Service 1801 - 16th Street Greeley, Colorado Poudre Valley EMS 3509 South Mason Fort Collins, Colorado Tier I Continued Southeast Weld Fire Protection District 65 East Gandy Avenue Keenesburg, Colorado Thompson Valley EMS 4480 Clydesdale Parkway Loveland, Colorado Windsor Severance Fire Protection District 100 North 7th Street Windsor, Colorado Platte Valley Ambulance Service EMS 1600 Prairie Center Parkway Brighton, Colorado Platteville-Gilcrest Fire Protection District 303 Main Street Platteville, Colorado Tier I Continued North Metro Fire Rescue District 101 Spader Way Broomfield, Colorado Tier II American Medical Response of Colorado 3800 Pearl Street Boulder, Colorado Tier III Stadium Medical 695 Canosa Court Denver, Colorado 2019-4896 l%/`er7 I -I L©O5 1 O JJI JIJni irmrm r WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I NORTH METRO FIRE RESCUE DISTRICT Name of Service 101 SPADER WAY, BROOMFIELD, COLORADO 80020 Address NORTH METRO FIRE RESCUE DISTRICT Ndrrie of Owner IS LICENSED UNTIL DECEMBER 31, 2020, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. r • NOV 27 2019 CHAIR, BOARD OF WELD COU TY COMMISSIONER: 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. 0 O roroxoroxmroroxonomrotoxotmretowrswroxoxomram 0 Recommendation of the Weld County Emergency Medical/Trauma Service Council for: North Metro Fire Rescue 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: The EMTS Council voting members have reviewed NMFR's application for Tier I Ambulance License. The Council unanimously agrees that NMFR is continually striving to contribute to an efficient, effective, and coordinate response to those within their defined Weld, Broomfield, and Adams County service areas as well as assisting as necessary to their neighbors. The area of Weld County were NMFR services is relatively small although they are willing to assist other agencies as necessary. NMFR has established mutual aid agreements with MVFPD, BFPD, TFD, WFD, ACFPD, FHFD, RMFD, LFD, SACFPD. The Council has not been made aware of any complaints into the level of service that NMFR is providing to the citizens and guest of their response and mutual aid areas. The quality of service is meeting the needs of their service area. NMFR communicates effectively with their neighboring agencies when responding to calls that may be on the borders of their district. NMFR has a representative at all EMTS Council meetings. Recommended Level of Service: (Tier 11 Tier 2 Tier 3 Recommended Service Area: _The service area indicated within NMFR Tier I application, indicates NMFR will be providing service to their defined service area within Weld County. The EMTS Council finds in favor of this service area. Other EMTS Council recommendations or comments: The EMTS Council voting membership unanimously voted to recommend NMFR for a Tier I Ambulance License. Recommendation By: _Lance Homann e Date: ill 119 EMTS Council Chair WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org AMBULANCE SERVICE LICENSE APPLICATION \Of Name of Ambulance Service: kicALT‘k i1/4-keT+12-0 ��QL �ttS[t-� ,15liZt�► Date of Application: Owner: Name: NItD A. ek, tE_F Address: 1 © P& :Q OA; &frtict t(--7 ( c i 1:x7' Phone Number: Operations Manager: Name: '3 a Address: to l Phone Number: Email: JDS 9 1 L62- ernl� f 6apE R t,)'A 6.2alvtP C 3c 3 - LI-`t`t1t3 Lic oPt-6.i1ut‘• S Jr�f 41--6 ct: `i,'j *-r12?5at",i)lZt4 Medical Director: Name: ?e` i t LL.,"-tAA M . l:• Address: Phone Number: 314 /AN IiG'S t AJ F LAI( ci,A D ti) <-‘• v 22_c=6 341-`i1 1 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 service area. Health Administration Vital Records Tele: 970.304-6410 Fax: 970-304-6412 Public Health & Clinical Services Tele: 970-304-6420 Fax: 970-304-6416 Environmental Health Services Tele; 970-304-6415 Fax: 970-304-6411 Communication, Education & Planning Tele: 970-304-6470 Fax: 970-304-6452 Emergency Preparedness & Response Tele: 970-304-6470 Fax: 970-304-6452 Public Health Page 1 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: SEE isoTT AGE ED 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: Yes ❑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: Ayes ❑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: ! Tier I ❑ Tier II O Tier HI 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. / Eivk 241 Signs u o� Title mate SUBSCRIBED AN AFFIRMED BEFQRE ME THIS DAY #OG , 20 ( , IN THE COUNTY OF i'aoeA-(!e , STATE OF COLORADO. HEATHER W BROWN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19974012875 MY COMMISSION EXPIRES 07118/2021 L \ ` Signature of Notary My Commission expires: �--, 16 / 202( *Please make additional copies as necessary. North Metro Fire Rescue District Ambulances I I Station 61 1275W Midway Blvd Broomfield CO 00020 , Station 82 ;10550 Huron St Northglenn CO 80234 Station 83 10941 Imre Or Northglenn CO 80233 Station 84 13515 Lowell Blvd Broomfield CO x80020 Station 65 9900 W 120 Ave i Broomfield CO 80020 Station 66 1750 W 160th Ave Broomtlekt CO 80020 Station 87 13875 S 98th Street Broomfield CO 80020 Station 68 1008 WON 11 Ede CO 80602 Medic 61 M12 - 2015 Ford Plate N OJY-233 1F0XE4FS8FDA24978 Medic 62 MB - 2011 Ford Plate N ORU-065 1FDXE4FS88BDB09054 Medic 63 M13 2015 Ford Plate $ OJY-234 IFDXE4FSXFDA24979 Medic 64 M10 - 2012 Ford Plate N ORU-067 1FOXE4FS5DDA19430 Baraltric Ambulance M3 - 2000 Ford Plate N ORU-063 1FDXE45F5YHB85479 Medic 66 M14 - 2019 Ford AEV Plate N TEMP 1FDXE4FS8KOC36113 eserve Ambulance M7 - 2011 Ford Plate N ORU-064 1FDXE4FS1B0AS1266 Reserve Ambulance Ml 1 - 2015 Ford Plate 0 099-VOE 1FDXE4FS8FDA00051 arth P etro Fire escue Distric forth Metre Ear,;} Rescue Training Center Denver Metro Area Departments 10/23/19, 11:16 AM City and County of Broomfield, Bureau of Land Ma.., �xwag9'2t NJr'Xvy�5T,ae,X4'%+�?l'!=`ga'e,.,:a'. tw ty.Mn:m.w.ec ' kO2t',.'.`:...<..rfl*$ Axr 2'M.Pix'cw.ii http://nmfrd,maps.arcgis.com/apps/Embed/index.htmt?webmap=e0ebf79d...rue&previewtmage=false&scale=true&disabte_scroti=true&theme=tight Page 1 of 1 Name Address City State Zip Code Telephone Fax Number Email { 1 Adams County Communications 7321 Birch St. Commerce City CO CO 80022 303-289-2235 303-227-8700 Jrevnq$dstbadcem911.orq Broomfield Police Communications Center 7 DesCombes Dr. Broomfield 80020 303-438-8400 acorragio1broomfleld,olg Wed 11/6./2015 4:05 PF\i Dm Daugherty, Marc <MDaug'erty©northmetrofire.erg- RE: NMFRD Application To Casey Vogt Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Casey - That is my fault. We absolutely have mutual aid contracts; I forgot to send them to you. Here are the districts: - Brighton Fire Protection District - Mountain View Fire Rescue Protection District - Thornton Fire Department - Westminster Fire Department - Adams County Fire Protection District - Federal Heights Fire Department - Rocky Mountain Fire District - Lafayette Fire Department - South Adams County Fire Department I apologize for any inconvenience. Mark Daugherty North Metro Fire Rescue District EMS Lieutenant 303-349-7686 Hello