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Home My WebLink About20194887.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES 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 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 Front Range Fire Rescue Fire Protection 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 WELD COUNTY, COLeRADO ATTEST: ditiltiojdo%e1 Weld County Clerk to the Board BY: Deputy Clerk to the Board ED ounty £ ttorney Date of signature: 1'2-AVII arbara Kirkmeyer, hair t K. James Steve Moreno cc-% i-1l.(mw I -Z-C,), ()etc, C fk ►/t0/2O 2019-4887 HL0051 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 �`1. 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 It/ al 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 2019-4887 I-1 L.005 I o 1O1O11O1MBIENEEIVI LLD] Erni G Ei G El IR Of ki G la' Ms lal kil [2' 21. G 0 O al all Endlallel ffiliMf�JN(MMIMfD 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, MILLIKEN, COLORADO 80534 Address FRONT RANGE FIRE RESCUE Name 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. NOV 2 7 2019 IR. BOARD OF WELD RUNTY COMMISS •NERS 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. O rourourawaramouronsirarotorammotarawrota P i� Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Front Range Fire Rescue 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: The EMTS Council voting members have reviewed FRFR's application for Tier I Ambulance License. The Council unanimously agrees that FRFR is continually striving to contribute to an efficient, effective, and coordinate response to those within their defined service area as well as assisting as necessary to their neighbors. WSFR and FRFR work closely to ensure all needs are being met by both districts. PVH-UCH EMS has put a 3rd Ambulance in service to take care of interfacility transfers which has keep FRFR units in service for 911 calls. FRFR has established mutual aid agreements with PGFPD, TVEMS, Banner, PVH EMS, & WSFR. FRFR is willing to assist any agency that request assistance with EMS Transport. The Council has not been made aware of any complaints into the level of service that FRFR 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. FRFR communicates effectively with their neighboring agencies when responding to calls that may be on the borders of their district. FRFR is always willing to support the needs of their neighbors. FRFR has a representative at all EMTS Council meeting and has a Deputy Chief on the Executive Board of the Council. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: _ The service area indicated within FRFR Tier I application, indicates FRFR will be providing service to their defined service area. 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 FRFR for a Tier I Ambulance License. Recommendation By: Lance Homann 4 ��--- - EMTS Council Chair Date: 1t / a' t' `1 AMBULANCE SERVICE LICENSE APPLICATION Date of Application 10/3/2019 Name of Ambulance Service Front Range Fire Rescue Fire Protection District Owner Name Front Range Fire Rescue Fire Protection District Address 101 S Irene Ave Milliken, CO 80534 Phone Number 970-587-4464 Operations Manager Name Bernie Covillo, Operation Chief Address 101 S Irene Ave Milliken, CO 80534 Phone Number 970-587-4464 Email bcovillo@frfr co Medical Director Name Dr Darren Tremblay Address 1024 S Lemay Ave 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 company9 Please attach a map indicating the service area. See map attached 1 How many ambulances do you operate9 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 Ave City Johnstown State. CO Phone 970-587-4477 Location #2 Street Number 101 S Irene Ave City Milliken State CO _ Phone 970-587-4477 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 El Yes ON 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 ❑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 hcensure 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 0 Tier II 0 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. L, gnature of Appli ant Title V 'Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS a8" DAY ©tlo beer- , 20 19 , IN THE COUNTY OF W G i () , STATE OF COLORADO. CYNTHIA A. HEESEMANN Notary Public State of Colorado Notary ID # 201 74052865 My Commission Expires 12-29-2021 1 q tArtku. 4,11-422-r Signature of Notary My Commission expires: /)- / 3i / .2O21 • *Please make additional copies as necessary. Front Range Fire Rescue Fire Protection District ♦ Station 1 - ♦ Station 2 Station 3 FRONT RANGE FIRE RESCUE PO Box 130, Milliken, CO 80543 970-587-4464/ Fax:970-587-0324 Courage Ar Compassion Ar Professionalism Serving Johnstown, Milliken and Weld County for more than 100 years 09/30/2019 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, Operations Chief Bernie Covillo Hello