HomeMy WebLinkAbout20183842.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES 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
Service Council have reviewed the application of the Southeast Weld 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 Southeast Weld 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 3rd day of December, A.D., 2018.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddrAvo ;ti
Weld County Clerk to the Board
BY:
APP
Deputy CIk to the Boar
ounty Attorney
Date of signature: 1161/19
Ste
Moreno, Chair
rbara Kirkmeyer, 'r•-Tem
Sean P. Conway
lie A. Cozad
EXCUSED
Mike Freeman
CC.NLLKJ)TCC,0EM/ PO
I/3t/ic
2018-3842
HL0050
Memorandum
TO: Steve Moreno, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: November 27, 2018
SUBJECT: 2019 Applications for Ambulance Service
Licenses
Enclosed for the Board's review are eleven 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 15, 2018, and approved all 11 applications.
Changes from last year include adding American Medical Response of Colorado as a new ambulance service and
removing Colorado Motocross Medics because they have stopped operating in Weld County.
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/Northern Colorado
Medical Center
Paramedic Service
1801 - 16th Street
Greeley, Colorado
TIER I — Cont'd
Poudre Valley EMS
3509 South Mason
Fort Collins, Colorado
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
TIER I — Cont'd
Platte Valley Ambulance
Service EMS
1600 Prairie Center Parkway
Brighton, Colorado
TIER II
American Medical Response
of Colorado
3800 Pearl Street
Boulder, Colorado
TIER III
Stadium Medical
695 Canosa Court
Denver, Colorado
2018-3842
taf3
HLOO$O
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FORIPINWIS10.11-011-01011SIMINMINFEINFOP
•
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
SOUTHEAST WELD FIRE PROTECTION
Name of Service
65 EAST GANDY AVENUE, KEENESBURG, COLORADO 80643
Address _
SOUTHEAST WELD FIRE PROTECTION
Name of Owner
IS LICENSED UNTIL DECEMBER 31, 2019, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE
WITH EXISTING WELD COUNTY RULES AND REGULATIONS.
DEC 0 3 O'
h,i► L
CHAIR, BOARD OF WELD COUNTY COMMISSIONERS 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.
P [El [El P fEJ[E] [El P [E]
O
Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: Southeast Weld Fire Protection District
efficient,
Recommendation
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:
Findings
We believe SE Weld to be qualified, and well trained. WE have no issues with this application.
Southeast Weld Fire provides EMS services in cooperation with Platte Valley Ambulance.
Several mutual aid agreements are in place. I have heard no complaints related to the service
provided and the service provided appears to meet the needs of the community in an efficient
and effective manner.
Southeast Weld provides excellent service.
Limited interaction with SE Weld, no issues and they provide an effective and efficient service
In review of SEWFPD application we find that their service meets the necessary requirements. They have
a service that provides an efficient, effective, and coordinate response to the resident of their response
area. Additionally, they are willing to assist neighboring agencies when requested. I would like to
mention that SEWFPD was award the Ambulance Service of the year. Strong work by all of SEWFPD
members and leadership.
South East Weld Fire continues to provide timely response to their response area and works
collaboratively to provide mutual aid resources when they are requested by neighboring
districts.
Meets the efficient, effective, and coordinated expectation.
Recommended Level of Service: 0
Recommended Service Area: The EMTS Council recommends the service area as noted in Southeast Weld
Fire Protection District license application.
Other EMTS Council recommendations or comments: The EMTS Council finds that Southeast Weld Fire
Protection District's application meets all requirements and believe that their service deliver meets
effective and coordinated service delivery.
By: _Lance Homann �-- Date: II' Is" -14
EMTS Council Chair
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application:
Name of Ambulance Service:
Owner:
'4 e4 574 A4/47:4" e ree5'c .‘0.
Name: ____542 Sie ? r��I' f lC %e sc u E
Address: 9sr 1*st_. /,3•z v/ai.ocy A /fix ( 66
Phone Number: 363— 73-2" V:Po564 it3
k
Operations Manager:
Name: g.r a ,(
Address: s •r_ 6odc
Phone Number: SR.., .cs 4:4a -e
Email: 7 i � s����r7''e
Medical Director: ��
Name: 'A- cC )'TCc fro e
Address: "at, ^ -/e !
Phone Number: X03 -- Ole
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. �,/ ��/�
Sa)104,S74- Aide/
Page 2
S'e4e /
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: r1 et5re i State: Phone: . 3- 7 5 2-- 5/.0� 3
Location #2:
Street Number: 9./ y 74,
City: Aeo.ef ,.� State: Co Phone: 303 — 2 3 —'' 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:
-s ENO
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:
I14( -es ENO
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 L: 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: 9g --Tier 1 ❑ Tier II ❑ Tier III
Page 3
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.
ignyatFe of Applicant
fra-e a,74 e/c--/2„e
Title Date
SUBSCRIBED AND AFFIRMED BEFORE ME THIS c/
DAY 3eplIfk,Wir20 OF
THE COUNTY O
Usla, STATE OF COLORADO.
IRENE M BURKE-HYBERG
Notary Public — State of Colorado
Notary ID 20174003247
My Commission Expires Jan 20, 2021
`auakr-
SignaturehiaW
My Commission expires: _ CI / tY / g I
*Please make additional copies as necessary.
Page 7
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9/4/2018
To Whom It May Concern:
Southeast Weld Fire District has mutual aid agreements with Platte Valley Ambulance Service, Frederick -
Firestone Fire District, Bennett Fire District, Strasburg Fire District and Morgan County Ambulance. In
addition, we have a mutual aid agreement "verbally" with Banner Paramedic Service and Weld County
Regional Communications Center.
Sincerely,
mach
Fire Chief
Southeast Weld Fire District
303-732-4203
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