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Home My WebLink About20153883.tiff RESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - FRONT RANGE FIRE RESCUE 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 Front Range Fire Rescue 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 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 14th day of December, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,/_ OLORADO ATTEST: dime& w a�,4 arbara Kirkme er, Chair Weld County Clerk to the •*��, �� EXCUSED Mike Freeman Pro-Tem BY: :eputy CI rk to the � � Ato Sean P. Conway APPRO A RM: Julie A. Co ad ttorney EXCUSED Steve Moreno Date of signature: y/i-/--// 66 : Fi-L; 2015-3883 HL0047 1$61 Memorandum r ✓ TO: Barbara Kirkmeyer, Chair O_� NTY Board of County Commissioners FROM: Mark E. Wallace, MD, MPH, Executive Director Department of Public Health & Environment DATE: November 23, 2015 SUBJECT: 2016 Applications for Ambulance Service License Enclosed for the Board's review are eleven applications for ambulance service licenses pursuant to Chapter 7 of the Weld County Code (WCC) from the ambulance service providers listed below. Chapter 7 pertains to Emergency Medical Services. The Weld County Emergency Medical/Trauma Service (EM/TS) Council reviewed the application for each ambulance service on November 18, 2015. The Council recommended that each service receive a license based on their tier level. The Department has reviewed the applications and has deemed all ambulance services listed below to have met all applicable licensure application requirements found in Chapter 7. As such, I am recommending licensure for the following ambulance service providers. Tier I Tier I continued Tier I continued Frederick—Firestone Fire Poudre Valley EMS Platte Valley Ambulance Protection District 3509 South Mason Service EMS 8426 Kosmerl Place Fort Collins, Colorado 1600 Prairie Center Parkway Frederick, Colorado Brighton, Colorado Front Range Fire Rescue Southeast Weld Fire 101 South Irene Avenue Protection District Milliken, Colorado 65 East Gandy Avenue Keenesburg, Colorado Tier III Mountain View Fire Thompson Valley EMS Colorado Motocross Medics Protection District 4480 Clydesdale Parkway 729 Remington Street 3561 Stagecoach Road, Unit 200 Loveland, Colorado Fort Collins, Colorado Longmont, Colorado Banner Health/Northern Windsor Severance Fire Stadium Medical Colorado Medical Center Protection District 695 Canosa Court Paramedic Service 100 North 7th Street Denver, Colorado 1801 16th Street Windsor, Colorado Greeley, Colorado .c EL I�M I I L IENIE IEMINI LEMINI E"S_ u . a _ .,.... 24 me LU "A M 0 „. . E. V "S. E_ z E. N. Z N M LLJil O ,-.4 3.- Clq "0-. 110 M iM ; g IAI M ° Wei CO Z o W N z z W W LLI IX 5O cn n, no cIE n V a N N p U ai Il.i Hi N O W a 3.. N W T. u° W v Z � Z is gN 0 �, "g A0 U I+. W W J a o it m ru 5- 80 <g at 1-, r2 ii I 2 M T wW.„„ ° zW1� z Z M Q O Z W O1.4t J al g_ Z le-1 m o ,� a WKA. 0 p3_ , im D I- 3 a W W M. N u Q) Z - 3- Z Z ° � _U W v (IJ O "„j J �" Q' Ctor X O a) '(w W N W U Z . cn ra S W � � °2 3. °X P ' 0. H a o U o W rim 2 1 cl_ imme V 0 •13_ o W 0 cc m to E. ille J N 1= i O +J 3. lu as mg. 1-3 , VI Z 3. lie 0 — * 3- 3.- ~ PE P 1861 ,,r DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT1555 N 179Avenue Greeley, CO 80631 { PublicHlthJWeb +.ttttr,.AIWCo.weld co us/Departments/HealthEnvironment/index html •:- M,a.lh Admmistrlton Public Health S Cllnlcal Environmental Health Communication. Emergency Preparedness Vla Reords Services Services Education&Planning t Response ' f�: Telo 9703046420 Tele 9703046415 Tete 7703046470 Tele 9703046420 Fax 9703046416 Far 9703046411 Fax 9703046452 Far 9703046469 1 Cn i •o' rage:lel kith the commun'ties we serve we arc working to make Weld Courtly the health.esplace to live,learn Mork and play ovember 5. 2015 avid Bressler Weld County Emergency Medical/Tratima Service Council Via email: i>;t‘c.l3ressleru batiliencct!i?h cow SUBJECT: 2016 Front Range Fire Rescue EMS Application NOTICE OF EMERGENCY MEDICAL SERVICES LICENSE APPLICATION TO THE WELD COUNTY EMERGENCY MEDICAL/TRAUMA SERVICE COUNCIL The Weld County Department of Public Health and Environment has received and is in process of reviewing an Emergency Medical Service License Application from Front Range Fire Rescue. Attached to this document are the Ambulance Service License Application,and Maps of its proposed Service Area. On behalf of the Board of County Commissioners, the Department is requesting the Emergency Medical/Trauma Service Council review the attached documents in accordance with Section 7-2-100.B.5. of the Weld County Code (enumerated below). The Department will forward your recommendation to the Commissioners. Below are the most applicable portions of the code: Weld County Code,7-2-100.B.5 The recommendation of the Weld County Emergency Medical/Frauma Service (EM/TS) Council as to whether or not the issuance of the license will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County.The EMITS Council shall also provide: a. Recommended Service Area. b. Recommended Tier of License. Weld County Code,7-2-10. No person shall provide of 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-SO of this Chapter. Tier Ill: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. A. The Board of County Commissioners reserves the right to amend these rules and regulations and any other individual conditions of licensing as applied to any particular license,as needed in keeping with its legislative function and in order to implement the policy of the State of Colorado that the regulation and control of ambulance licenses is in the exclusive purview of the boards of county commissioners. Persons or hints seeking application and approval of any ambulance license under this Chapter acknowledge that Weld County' may contract with specific ambulance service provider(s) which will serve the emergence ambulance need of Weld County and participating municipalities. Please forward the Councils recommendation to the Department including minutes of the EMS Council meeting pertaining to this application. Please do not hesitate to call me should you have any questions. Sincerely, bij &I111k)A Rachel Scanlan Environmental Health Specialist Environmental Health Services Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Front Range Fire Rescue As required in Section 7-2-100.11.5., 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 w ith other ambulance services, location,service area,etc. that is the basis for the Council's recommendation: FINDING #1: No findings were presented or received at the time(lithe review. FINDING #2: There have been no issues reported to the FM FS Council concerning the service provided to the citizens and visitors to the Weld Counh_Service area. FINDING #3: FINDING #4: Recommended Level of Service: Tier 1 Tier 2 Tier 3 • Recommended Service Area: As listed on the application, Other EMTS Council recommendations or comments: Recommend approval of a Tier 1 license as requested for the service area listed on application. Recommendation By: :�.._.c�- Date: 11-18-2015 Page 2 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (+7) h"--4,11104.;,, I 1i r , _ 4 1555 North 17th Avenue r, j Greeley, CO 80631 © ® Public Health www.weldhealth.org Health Adminishotion Public Health& Environmental Health Communication, Emergency Preparedness Vital Records Clinical Services Services Education&Planning &Response Tele:970-304-6410 Tele:970-304-6420 Tele:970-304-6415 Tele:970-304-6470 Tele:970-304-6420 Fax: 970-304-6412 Fax: 970-304-6416 Fax: 970-304-6411 Fax: 970-304-6452 Fax: 970-304-6469 Ow vision:Together with the communities we serve,we are working to make Weld County the healthiest place to live,learn,work,and play AMBULANCE SERVICE LICENSE APPLICATION Date of application: 10/28/2015_ Name of Ambulance Service: Front Range Fire Rescue Authority Owner: Name: _ Front Range Fire Rescue Authority Address: 101 S Irene Avenue Milliken CO 80543 Phone Number: 970-587-4464 Operations Manager: Name: Chief Bernie Covillo Address: 101 S_ Irene Avenue_Milliken, Phone Number: 970-587-4464 Email: bcovillo@frfr.co Pursuant to Section 7-2-150 of Weld County Code Ordinance,any change of ownership requires a new application for ambulance service license. (For Office Use Only) Date Received: / / Documents Checked: Remarks: Date Referred to EMTC: / / Approved Recommended(Y/N): Date Referred to B.O.C.C.: / / Licensing Agent w - ,e Page 3 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. Map attatched How many ambulances do you operate? 2 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: 970-587-4464 Location#2: Street Number: 101 S. Irene Avenue City: Milliken State: CO Phone: 970-587-4464 Medical Director: Name: Dr. Darren E. Tremblay, DO Mailing Address: 1024 S Lemay Av .n i . Fort C ollins, CO 80524 Phone Number: 970-495-7000 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 ompliance with the minimum data collection and reporting of transportation and/or treatment of patients: i 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: i(' No Level of Service Requested(circle one or more): 1I Tier II Tier III Please read carefully: 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. 7-2-170 Annual Renewal All licenses and permits shall be renewed annually,shall expire on December 31 of the year issued,and shall not be renewed until the application has been approved by the Department. All applications for renewal of licenses and permits shall be made not later than sixty(60)days prior to the date of expiration. The Department shall notify,by certified mail,return receipt requested,each licensee of the renewal requirements of this section within ninety(90)days prior to the date of expiration(Weld County Code Ordinance 2007-8) 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,1 CERTIFY THAT I HAVE READ AND UNDERSTAND THE PROVISIONS AND REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7,INCLUDING, BUT NOT LIMITED TO, SECTION 74-10,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 PROSECUTIO Signature of App i a t Title Dat SUBSCRIB D6ND AFFIRMED BEFORE ME THIS 2W" DAY ()(.\DO L r ,20 1') ,IN THE COUNTY OF _\1‘1 4.\(-1% _ ,STATE OF COLORADO. JESSICA IBARRA-VALDIVIA HUIZAR1RtL, Ll .l l�� ti NOTARY PUBLIC Signature of Notary STATE OF COLORADO NOTARY ID 20114037324 My Commission expires: Oti ! / MY COMMISSION!EXPIRES JUNE 17,2019 Page 7 T. N US i i IL" LI: * ...... ,'• • r � t • it lb SIN II4 • � � t ♦tie ' i r\rimiR •� sm r I • _ . . .w: sw R w IN*ES♦I•a pia e ••• e - as .an .a r ....•. a arias P v ' r - I r . 4 • ♦ _ r F t, f I lillt 0 a a� t . , p,;., . ; , • , P C) LU . . Pe It ii : - 4 i ! 1 4 a �r . tt� • U. O • ,•� f r " Y H 11 -.- .:4-).:. - ?...... lidt's ... ...... . ..; i . .., a . : .:,:',.,,,.0:-.4:. -.4 a.a, I , i • V . CI F , �� Fr -- . - I; _ _ 1 Usl . ..1 W. 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IP All als, R ..ley L ri I �� * 4; ' , EMS MUTUAL AID AGREEMENT This agreement,made and entered into this 18th day of April 2013,by and between Poudre Valley Hospital EMS and Windsor-Severance Fire Protection District, Johnstown Fire Protection District& the Milliken Fire Protection District WITNESS THAT: WHEREAS, the agencies hereto maintain paid and/or volunteer emergency medical services,together with personnel and equipment therefore;and WHEREAS, it is, and will continue to be, to the mutual benefit of each of the agencies to assist the other when necessary in providing additional emergency medical equipment and personnel for the purpose of delivering pre-hospital patient care within the boundaries of the other agency,and in turn to receive such assistance and NOW, THEREFORE, in consideration of the premises and the mutual covenants, performances and agreements hereinafter set forth, it is mutually understood and agreed between agencies as follows: 1 DEFINITIONS: 1.1 The agency responding to a request within the boundaries of the other agency is designated as the"answering agency". 1.2 The agency requesting aid under this agreement is designated as the "requesting agency". 1.3 "Director" or "Chief' means the person responsible for the respective ambulance service/company or his/her designated and authorized representative. 2 MUTUAL AID ASSISTANCE: 2.1 Each of the agencies agree to respond to the requests for assistance within the boundaries of the other agency upon request of the requesting director at any and all times, provided that it shall be entirely within the discretion of the director of the answering agency as to what personnel and equipment shall answer such call and whether or not,in any event, such call may be answered consistently with the safety and protection of the citizens and property of said answering agency. 1 2.2 Each of the agencies agree to answer calls of the other agency subject to the approval of each call by the Director/Chief of the answering agencies set forth in paragraph 2.1 above, without charge to the other agency, and with the express understanding that a. EMS personnel and equipment of said answering agency shall be subject only to the liability, workman's compensation, and/or other insurance of the answering agency. The equipment and employees of the answering agency shall at all times be under the supervision and control of the Director/Chief of said agency, or his/her designated assistant. b. The answering agency shall at all times remain under its own Treatment Protocols. c. The answering agency may bill,collect, and retain all receipts,if any are received, from the patient or patients that are attended to and transported by the answering agency. 3 ADDITIONAL PROVISIONS: 3.1 Any request for aid hereunder should include a statement of the amount and type of equipment and personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched, however, the amount and type of equipment and number of personnel to be furnished shall be determined by a representative of the answering agency. 3.2 In the event that the request is to respond to a specific call at which the requesting agency is present, the answering agency shall report to the person-in-charge of the requesting agency at the location to which the equipment and personnel is dispatched and shall coordinate all activities with that official. The resources or facilities that are assigned shall be under the immediate supervision of the designated person of the answering agency. This person shall coordinate all efforts with the requesting person-in-charge. 3.3 For "stand by" requests, an answering agency will be released by the requesting agency when the services of the answering agency are no longer required or when the answering agency is needed within the area for which it normally provides emergency medical care or other emergency public services. 3.4 The equipment and personnel of each of the agencies while engaged in performing any mutual aid service activity or undertaking under the provisions of this agreement, shall have and retain all rights, privileges and immunity of and be deemed to be engaged in the service and employment of such agency, notwithstanding that such mutual aid service is being performed in the response area of the requesting agency or for and on behalf of the other agency. 3.5 If at any time the answering agency responds to a mutual aid call where the 2 requesting agency is not at the scene, the answering agency will follow its own Standard Operating Procedures and not those of the requesting agency.. 3.6 Each agency waives all claims against the other agency for compensation for any loss of or damage to equipment and for any loss, damage, personal injury or death sustained by EMS personnel, which occurs as a consequence of the performance of this agreement. Nothing herein shall be construed as a waiver of any immunity, defense, or limitation afforded to Thompson Valley Health Services District under the Colorado Governmental Immunity Act. 3.7 This agreement shall become effective upon the approval and signature by the authorized representatives of the agencies hereto and shall continue until such time as either agency gives sixty-day advance written notice to the other agency of its intentions to terminate this agreement. 3.8 This agreement may be supplemented with various exhibits to be alphabetically designated in chronological order of adoption and signed by the respective agencies. These exhibits may set forth specific areas of first response, additional protocol,and other communications and procedural matters. 3.9 As Operator, the PVH EMS Director's signature appears on mutual aid agreement and Exhibit A as an indication of their understanding and acceptance this agreement. IN WITNESS WHEREOF, the duly authorized representatives of the respective agencies hereto have signed these presents of the dates respectively indicated. Poudre Valley Hospital Poudre Valley Hospital EMS /]�� EMS \ 54— Director Director 8/3 Date Date Windsor-Severance ohnstown Milliken Fire Prot n Distric . Protection District Pro Lion District Fire Chie Fire Chief Fire Chief 1-k1i211i3 It1l3 e Date Date 3 EXHIBIT A EMS MUTUAL AID AGREEMENT In addition to the provisions set forth in the attached mutual aid greement,the following provisions are understood and agreed upon. 4.0 The first agency to arrive on scene may cancel any or all other agencies, if the other agencies'services are not required. 4.1 Each agency agrees to establish a common radio frequency and agrees to monitor this frequency when responding in aid of the other. This will commonly be 800 MHz Mutual Aid 1,but may be on another channel as assigned by dispatch. 4.2 In addition to provision 3.5,each agency agrees that patient destinations will be determined by nearest hospital, patient choice, destination protocols, or on-line medical control whichever is appropriate. 4.3 In addition to provision 3.5, it is understood that the first ambulance agency to arrive shall take charge of and coordinate patient care. Each agency also agrees to coordinate its efforts with the first arriving fire,ambulance,and law enforcement agency. Poudre Valley Hospital Poudre Valley Hospital EMS f I/�j EMS � (�- � .itu-�-0//ter...•-^ . Director Director iVie-�3 ,he.//3 Date Date Windsor-Severance Johnstown Milliken Fire Prote 'on District F Protection District Fire Protection District Fire Chief Fire Chief Fire C 'ef D Date Date 4 EMS MUTUAL AID AGREEMENT This agreement,made and entered into this 18th day of April 2013,by and between Thompson Valley EMS and Windsor-Severance Fire Protection District, Johnstown Fire Protection District & the Milliken Fire Protection District WITNESS THAT: WHEREAS, the agencies hereto maintain paid and/or volunteer emergency medical services,together with personnel and equipment therefore;and WHEREAS, it is, and will continue to be, to the mutual benefit of each of the agencies to assist the other when necessary in providing additional emergency medical equipment and personnel for the purpose of delivering pre-hospital patient care within the boundaries of the other agency,and in turn to receive such assistance and NOW, THEREFORE, in consideration of the premises and the mutual covenants, performances and agreements hereinafter set forth, it is mutually understood and agreed between agencies as follows: 1 DEFINITIONS: 1.1 The agency responding to a request within the boundaries of the other agency is designated as the"answering agency". 1.2 The agency requesting aid under this agreement is designated as the "requesting agency". 1.3 "Director" or "Chief' means the person responsible for the respective ambulance service/company or his/her designated and authorized representative. 2 MUTUAL AID ASSISTANCE: 2.1 Each of the agencies agree to respond to the requests for assistance within the boundaries of the other agency upon request of the requesting director at any and all times, provided that it shall be entirely within the discretion of the director of the answering agency as to what personnel and equipment shall answer such call and whether or not, in any event, such call may be answered consistently with the safety and protection of the citizens and property of said answering agency. 1 2.2 Each of the agencies agree to answer calls of the other agency subject to the approval of each call by the Director/Chief of the answering agencies set forth in paragraph 2.1 above, without charge to the other agency, and with the express understanding that a. EMS personnel and equipment of said answering agency shall be subject only to the liability, workman's compensation, and/or other insurance of the answering agency. The equipment and employees of the answering agency shall at all times be under the supervision and control of the Director/Chief of said agency, or his/her designated assistant. b. The answering agency shall at all times remain under its own Treatment Protocols. c. The answering agency may bill, collect,and retain all receipts,if any are received, from the patient or patients that are attended to and transported by the answering agency. 3 ADDITIONAL PROVISIONS: 3.1 Any request for aid hereunder should include a statement of the amount and type of equipment and personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched, however, the amount and type of equipment and number of personnel to be furnished shall be determined by a representative of the answering agency. 3.2 In the event that the request is to respond to a specific call at which the requesting agency is present, the answering agency shall report to the person-in-charge of the requesting agency at the location to which the equipment and personnel is dispatched and shall coordinate all activities with that official. The resources or facilities that are assigned shall be under the immediate supervision of the designated person of the answering agency. This person shall coordinate all efforts with the requesting person-in-charge. 3.3 For "stand by" requests, an answering agency will be released by the requesting agency when the services of the answering agency are no longer required or when the answering agency is needed within the area for which it normally provides emergency medical care or other emergency public services. 3.4 The equipment and personnel of each of the agencies while engaged in performing any mutual aid service activity or undertaking under the provisions of this agreement, shall have and retain all rights, privileges and immunity of and be deemed to be engaged in the service and employment of such agency, notwithstanding that such mutual aid service is being performed in the response area of the requesting agency or for and on behalf of the other agency. 3.5 If at any time the answering agency responds to a mutual aid call where the 2 requesting agency is not at the scene, the answering agency will follow its own Standard Operating Procedures and not those of the requesting agency.. 3.6 Each agency waives all claims against the other agency for compensation for any loss of or damage to equipment and for any loss, damage, personal injury or death sustained by EMS personnel, which occurs as a consequence of the performance of this agreement. Nothing herein shall be construed as a waiver of any immunity, defense, or limitation afforded to Thompson Valley Health Services District under the Colorado Governmental Immunity Act. 3.7 This agreement shall become effective upon the approval and signature by the authorized representatives of the agencies hereto and shall continue until such time as either agency gives sixty-day advance written notice to the other agency of its intentions to terminate this agreement. 3.8 This agreement may be supplemented with various exhibits to be alphabetically designated in chronological order of adoption and signed by the respective agencies. These exhibits may set forth specific areas of first response,additional protocol, and other communications and procedural matters. 3.9 As Operator, the PVH EMS Director's signature appears on mutual aid agreement and Exhibit A as an indication of their understanding and acceptance this agreement. IN WITNESS WHEREOF, the duly authorized representatives of the respective agencies hereto have signed these presents of the dates respectively indicated. Thompson Valley Health Services District,d/b/a Poudre Valley Hospital Thompson Valley S EMS Chief Director 4- 4//sli 3 Date Date Windsor-Severance Johnstown Milliken Fire Prot• ion Dis '�� ' Protection District F' Protection District vr--- Fire Chi Fire Chief Fire C 'ef l U D..,/7 Illf5113 L\ is 13 ate Date Date 3 EXHIBIT A EMS MUTUAL AID AGREEMENT In addition to the provisions set forth in the attached mutual aid agreement,the following provisions are understood and agreed upon. 4.0 The first agency to arrive on scene may cancel any or all other agencies, if the other agencies'services are not required. 4.1 Each agency agrees to establish a common radio frequency and agrees to monitor this frequency when responding in aid of the other. This will commonly be 800 MHz Mutual Aid 1,but may be on another channel as assigned by dispatch. 4.2 In addition to provision 3.5,each agency agrees that patient destinations will be determined by nearest hospital, patient choice, destination protocols, or on-line medical control whichever is appropriate. 4.3 In addition to provision 3.5, it is understood that the first ambulance agency to arrive shall take charge of and coordinate patient care. Each agency also agrees to coordinate its efforts with the first arriving fire,ambulance,and law enforcement agency. Tho on Valley MS Poudre Valley Hospital EMS Chief - Director Date Date Windsor-Severance Johnstown Milliken Fire Protecti District Fire Protec 'on District Fire Protect District Pr-••-• Fire C i Fire Chief Fire Chief �/7 0 4 18 13 t+1101 ).3 te Date Date 4 Hello