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2017-11-09
I Calhoun County Commissioners' Court — November 91 2017 REGULAR 2017 TERM 0 NOVEMBER 09, 2017 BE IT REMEMBERED THAT ON NOVEMBER 09, 2017, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. CALL TO ORDER This meeting was called ao oidec at 10"K 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer David Hall Vern Lyssy Clyde Syma Kenneth Finster Anna Goodman Catherine Blevins County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner Hall Pledge to US Flag & Texas Flag — Commissioner Finster & Lyssy Page 1 of 33 I Calhoun County Commissioners' Court—November 9, 2017 4. HEAR REPORT (AGENDA ITEM NO.4) From Memorial Medical Center, Jason Anglin spoke on this matter. Page 2 of 33 Memorial Medical Center - Port Lavaca, Texas CEO Report October 19, 2017 Financial Results: In September, we had a Net Loss of $114,076 increasing 2017 YTD to a loss of $151,539. September results was significantly influenced by Hurricane Harvey as early Septembervolume was impacted and we had some large expenses related to Harvey including $124,000 for Helium & repairs to MRI. Harvey Recovery Updates our insurance adjuster has been on site for a review and based on communication received we expect them to come back for further review. We are also working with an accountant from the insurance on our business interruption coverage and claim. In addition to insurance we are working with FEMA and FEMA has met with us on site. We expect to have weekly phone calls / meetings with FEMA over the next several weeks and they will be scheduling inspections in the near future. The thought with FEMA is perhaps we can get some funding to cover some expenses that may not be covered thru insurances (insurance deductible, other?). We are looking at FEMA grants for things that can help mitigate future damages (such as added generator power). Added generator power can help prevent some of the large expenses such as the expense related to the MRI for the Helium loss. Supplemental Programs updates and IGT's Nursing Home Program (QIPP). I have received IGT notification for November. We will be making our 2nd IGT for the QIPP program on November 3`d. This IGT will be $1,008,279. our expected benefit for the first year of the QIPP program after return of our IGT's is just under $1.8 Million. Uniform Hospital Rate Increase Program (UHRIPh It appears that the UHRIP program is progressing and the service delivery area (SDA) Nueces that we are assigned to is getting setup to participate in the program starting March 1'i 2018. 1 anticipate receiving IGT notification for MMC to IGT November 3rd for the program. At this juncture the following area hospitals in the Nueces area will be participating Citizens Medical Center Corpus Christi Medical Center DeTar Hospital Navarro Driscoll Children's Hospital CHRISTUS Spohn Hospital - Beeville CHRISTUS Spohn Hospital - Alice Christus Spohn Hospital - Kleberg Refugio County Memorial Hospital District Karnes County Hospital District Memorial Medical Center CHRISTUS Spohn Hospital - Corpus Christi South Texas Surgical Hospital Care Regional Medical Center (North Bay General Hospital) PAM Specialty Hospital of Victoria - North / Warm Springs Specialty Hospital of Victoria PAM Specialty Hospital of Corpus Christi - South PAM Specialty Victoria - South Corpus Christi Rehab Dubuis Hospital of Corpus Christi PAM Rehab Hospital of Victoria / Warm Springs Rehab Hospital The Uniform Hospital Rate Increase Program (UHRIP), Disproportionate Share Hospital (DSH) and Uncompensated Care (UC) supplemental programs are inter related. At this point in time I only have draft numbers from HHSC. Based on those numbers it appears that MMC's annual benefit is $200-$400k. Imaging Updates: Mammography We have received FDA approval for the 3D component and we are now seeing patients. CAT scanner Replacing the CAT scanner is under way. We have a Mobile CT on site to maintain service until completion of the install of the new machine. Here is a timeline of recent and anticipated milestones. Thursday, October 12th — Mobile CT Arrival — Placed outside by Central Supply Monday, October 16th — DE install and pick up of Toshiba Scanner—Completed Tuesday, October 171h — October 22nd — Electrical and preparation work — 99% Completed —work began yesterday afternoon after CT was taken out of room Thursday October 19/Friday October 20 — Floors to be cleaned, buffed and waxed Monday October 23`d— 27th— Mechanical Install of GE CT Monday October 30' — November 3'd—Calibrations Monday November 6th—Staff training begin Physician Recruitment As you know we currently have John Self actively recruiting for a Pediatrician. No updates to report with that search. I received notice from Dr. Lincoln that she has decided to move close to family and will be leaving Port Lavaca at the end of the year. In September, at Memorial Medical Clinic we saw over 400 new patients in our clinic. With these developments I have added Physician recruitment to the Board Agenda. Information on Board Items: Physician recruitment At this juncture, I would like to engage recruiter(s) to do an active search for a family practice physician(s). We have a need to add an additional family practice physician to the community and too replace Dr. Lincoln. In addition to engaging recruiter(s) for an active search, I recommend that we work with multiple contingency firms in searching for physicians. We have used multiple firms in physician recruitment in the recent past (Gamma, Alpha, Author Marshall, and Merit Hawkins and are currently using John G. Self for Pediatric recruitment.) Please find an attached proposal from TACORE Medical Inc. TACORE Medical was recommended to me by a healthcare consultant that we have worked with in the past. John G. Self is also sending a proposal. With our current needs and with Dr. Lincoln leaving the community I believe the need to find a Physician is urgent. With that in mind I like the idea of engaging both TACORE Medical and John G. Self. Ultimately, we need two providers and I'm thinking that will increase our ability to find a provider sooner. Dietary service Agreement Over the last several months we have been talking to multiple companies regarding our Dietary department. We have on the agenda to discuss proposals we have received regarding the service. Closed Session: We have closed session posted for Legal and Product Lines. R spectfully, Jason A lin, CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: September 2017 Overview: Our bottom line for September was a loss of $114,076 decreasing our YTD to a loss of $151,539. September results was significantly influenced by Hurricane Harvey as early September volume was impacted and we had some large expenses $184,708 related to Harvey including $124,000 for Helium & repairs to MRI. Under the property insurance we do have business interruption coverage. We are actively working with the insurance carrier on the claim. Ultimately, I anticipate some reimbursement that will help lower the loss. Statistics: With effects from Harvey, Surgery had a very low volume with 62 cases. Comparatively, we had 98 cases in July a pre Harvey month. Average daily census was up 9.6% to 10.47 from 9.55 in August. ER volume was up .2% With 700 visits, in comparison to 698 in August. Hospital outpatient visits were up 2% with 1,681 visits. Memorial Medical Clinic volume was up 25.5% to 1,981 visits. Imaging Procedures increased to 1,237 in September from August's 1,152, an increase of 85 procedures or 7.4%. Laboratory procedures decreased for September to 27,108 compared to August's 28,389, a decrease of 4.5%. The number of babies born at Memorial Medical Center in September was 6 down from 10 in August. Balance Sheet Highlights: ASSETS Bank Accounts Cash and Investment balances ended the month at $4,161,242, of which $875,481 is Cantex money. This leaves the hospital with $1,968,765 in the Operating account, $816,594 in the Private Waiver account, and the $500,000 CD. At the end of September, we had 44.9 days of cash expenses on hand in hospital funds. Accounts Receivable Patient Accounts Receivable balances were $9,979,636 for the hospital and $553,515 for the clinic. Accounts Receivable — Other The balance in Other A/R decreased to $2,736,646. Accounts Receivable Nursing Home The Cantex nursing homes ended August with $4,882,717 in receivables. Accounts Receivable Est 3rd Party Paver Settlements Our books reflect a net due from third party payers of $814,729. This consist of $401,928 for 2016 Cost report with $167,603 based on 2016 filed cost report plus $234,325 that Novitas requested MMC pay and MMC paid on the 2016 cost report. We also have $414,396 which is an estimated amount due from Medicare for 2017 based on our monthly mini -cost report. There is also a couple of small 3rd party payable accounts totaling $1,596 in the totals. Based on our 2016 Cost report filing we anticipated receiving a payment of $167,603. Thus, I was very surprised when we received a letter from Novitas requesting payment of $234,325. We tried to work with Novitas to resolve the differences, but sent in payment of $234,325 before the deadline to avoid possible penalties. Since then in October Novitas paid MMC $462,387 for 2016 cost report which is more than what we originally expected plus the additional payment made by MMC. At this point BKD is reviewing the revised payments. For 2017, volume continues to be lower than during our last cost reporting period driving the receivable. LIABILITIES Accounts Payable The balance in payments due to vendors at the end of the month was $907,914 down from $1,107,640 in August. Due to Cantex The balance due to Cantex increased to $5,758,466. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,098,393 up from 1,073,476 in August. Accrued Intergovernmental Transfers IGT liability is down to $845,190 at the end of September. Accrued PaVable — Est. 3rd Party Payer The hospital changed to a receivable in February, so there is no balance in this account. Leases PaVable The hospital has $321,480 in capital leases which $45,736 is due in 2017. This will increase in October as the Mammography Machine will be added. Long Term Debt Net of Current: This consist of $2,803,027 in Pension liability and $275,744.43 in long term portion of leases. Current Ratio The ratio between our current assets and current liabilities is 1.8 at the end of August. This is lower than our benchmark of 2.3 Income Statement: Gross patient revenue for hospital and clinic was $4,664,299 which is a decrease of $107,899 from August. Revenue Deductions were at 57.6% compared to 66.6% in August. Revenue deductions were lower in August due to uncompensated care payments received. Total expenses were up from August by $338,946. This was driven by • Disaster related expenses of $184,708, highlighted by $124,000 for MRI Helium & repairs. • Salary expense was down by $26,013 due to lower overtime expense. • Benefits and PR Taxes cost were up $115,524 (higher employee health claims) • Professional Fees were up by $50,554 • Purchased Services were up by $51,691 • Supplies were down $25,482 • Insurance was down $4,834 • Utilities were down $6,621 • Other Expenses were up by $184,229 ( disaster related expenses recorded here) • Depreciation was down by $102. O m t0 N 1� T N N N O N W Ol Ill N, � m N v m o m m N m m O V1 N CO r 1A a T G O v m o m m N m m E V1 N CO 1A N M t0 l0 C m N M l0 S a' N o w u v T v � V1 N CO v n S N O in • dl E > ` v � � o r n � m co n •+ L v N w m ry ry m N N N m a V1 N CO S N L LL o w rm ti m rnv:tilro L N N N C � T N p N C v 75 U Y m U i T N,n -p _ GO 2 -p "G O N O C w O L L S ca _ i -1- �000000a0000ao o H N F- 0 e M O N W O O d' N ul m N N ul o C m M w 0 m io a m m o m � 0o I0� W N H m l d' d' N Ir-1 N F0� vMi v`ii � m om m N m O N N m m m m s o m m m w m n <t m m m o m ti m m io m m E E m - d • � � u1 � M N M U T S Q N U � N d' ul n m N W O tp N m r 1� ti ✓1 U V N M tl N tflr 1 e-1 jp p m O' N m N N l�0 imft Owl W m l�0 dm' O ,N N I� m m m O lO V) D U 1p W 00 d� 00 fY1 G EN W N h GO M m a o a m o o m .-+ w m m o a m n m io 0o co i m N m m m in m 1� m r N m m tp d' N m t0 m m N W O OJ l-1 N O Il C31 m N N W m m m N d' dm n N c m t O i m ml m c -i o' W m m LL m m m 3 I� r N O1 d' tlt N ul U1 N O O m r N E m U y N N J V N � N > O 'j U Q K F- m r p m= Q d m❑ O Cy o d d d a o 0 d � � � � z z �❑ D 0 z 0 6 U F-' -2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 O o O O O O o o O o o O U - d • � � u1 � M N M U T S N U � N d' ul n m N W O tp m r 1� ti ✓1 U V N M tl N tflr 1 e-1 jp p O' N tIl N d' d' vt r1 N Q E � Cv E G EN W N h GO M m a o 3 m o o m .-+ w m m o a . g N m m N 2E dm n N c m t O i m ml m c -i o' W m m LL m m m 3 I� r N O1 d' tlt N ul U1 N O O m r N E m U y N N J V N � N > O 'j U Q K F- m r p m= Q d m❑ O Cy o d d d a o 0 d � � � � z z �❑ D 0 z 0 6 U F-' -2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 O o O O O O o o O o o O -3- N N N O m ut O N� N l Wi�fl vWl W m 1� r p W W m O 1� W ci N A KI O � OD Lll N tet' c-1 m W Ol n rf N O M N to G U � i+ M i i � i � i N •M-1 cNi G � ci ci ci W O m U 00 0 0 0 0 0 0 0 0 Q o p O p O p O O 0 0 0 0 0L6 0 0 0 0 0 0 0 0 0 ' O O p p O 0 0 0 0 N tD lD L6 L6� L6 L6 L6 0 Zf fl. W W h Mv & r- Ill' N' M H m O N m W N W W o W W m o r io m ++ W in d' O N N v m m M v v M M M N N N N O UI X W J U E N O N W m m m W m c-1 W N N N N O UI U m W N O c -I m m ' N tD m W 10 d' m O i+ N m W m t0 m i0 d' m tlt lD N c -I' W O f0 J � J O c -I m W tll p W vm m m .-+ vl ti m M m m a O > E m uU O > M W m N N O N y N N M N 1p �? d� W M tNp W 7 W W W lD Ul -M '^ h 3 W 7 N u1 t0' N LL C m W' O N pN M m chi -t N m m m d' N .-I t!1 N dam' d' M m N N N � Z � of nl d' d' (Y1 c� lfl d' M Ul tp W W W d' m W m W ' 1 N u Lf W d' W to m O O I� 00 n1 I- d� V cl G ,0 w N m N Yl N c -Z N' 00 N ci M tll M p .-i vl m d' o v ti N N m N m =' m 3a N V V M M O p v Q M w N m m v a m W m io o m ti m m ri rj c -i c -i R UE t+IN N ti N rl' n'l N' rj W � W m W to n M i0 ti h 7 M W O M d' M ci ch W d' O n'1 N O rl w e d' m' m ili m vi Lr vi 0 lyj m 'y a W m lfl a N m O a C m M N W O m> a W M m d' ni �^ M � U U U U U F - LL -3- New Patient Clinic Visits Existing Patient Clinic Visits Al OtherVisils Total RHC & Surgery Clinic Visits Specialty Clinic Visits Hospital OR Procedures Total Visits & Procedures No Shaws No Show % Professional Fees Specialty Clinic Revenue Patient Revenue Estimated Medicare Settlement Meaningful Use Rent Revenue 313 337 329 317 • 319 289 283 259 401 1,580 2,847 14,840 356 1,855 1,979 1,672 1,769 1,662 1,720 1,627 1,498 1,333 1,441 7,070 928 31,244 2,009 2,098 1,979 21039 1,916 1,781 1,592 1,981 426 17,687 4,171 2,211 521 2,292 465 476 581 451 472 519 401 360 40 35 380 71,862 43 60 42 30 41 2,552 48 2,483 41 2,223 2,012 2,442 22,238 2,780 2,800 2,545 2,721 2,460 5,506 4,100 4,939 6,308 5,596 178 200 207 187 182 155 164 1995 1,69 206 182 7% 8% 9% 9% 8% 9% 8% 9% 455 136 97 109 136,090 114,529 35,248 76,518 75,388 95,79 356 106,090 98,194 71,694 108,332 77,434 84,380 71 478 644,085 579,377 398,285 485,026 389,141 455,657 315 537) (11,866) (12,391) (11,688) (12,043) (11,316) (23,106) (12 663) (153,884) (96,484) (45,883) (102.541) (351,995) (312,064) 258 278 478,336 410,507 340,714 370,442 25,829 120 467 56C 567 1,067 848 1,045 1,781 679 1,390 1of ss 191 IE 707,527 88,441 811,311 101,414 W93,246611,656 (131,283) (16,410) 567 8,579 1,072 Total Net Revenue ---•--- 71,721 54,486 62,287 59,222 64,745 623,559 77,945 Salaries - Regular 78,242 71,170 62,553 79,133 3,573 2,565 2,224 1,441 7,070 928 31,244 3,906 Salaries - Overtime 4,638 3,165 5,483 5,639 7,547 5,180 8,122 8,139 8,134 8,289 5,685 55,973 710,715 6,989 88,839 Salaries -PTO (686) 79,818 95,740 87,886 82,408 64,850 71,862 74,580 71,359 Total Salaries 82,214 4,927 5,238 5,812 4'902 47,328 5,506 4,100 4,939 6,308 5,596 23,013 2,877 Benefits - FICA 23,013 34 966 121 Benefits- State Unemployment44 455 136 97 112 53 19 i6 5,448 52,847 606 Benefits- Federal Unemployment 6,216 4,602 5,450 7,095 6,285 5,540 5,899 6,312 7 9 1 2,353 Benefits - Retirement 12,060 4,993 13,804 18,407 11,831 11. 12,139516 1 1 25 793 8,434 1,054 Insurance -Hospitalization 768 159 1,431 1,686 953 1,003 546 299 4,279 535 Insurance- Other 422 155 815 768 702 574 24,353 19,656 19,291 235595 ,691 29,461 Insurance - workers comp 25,427 14,145 26,537 57,389 25,479 23,474 Total Benefits 145,274 107,827 88,324 96,215 94,236 90,649 946,407 118,301 Total Salaries, Wages, and Benefits 107,641 93,9fi4 122,277 98,946 12,368 14,227 19,958 6,779 9,664 8,777 7,221 14,959 3,449 134 13,913 144 5,326 666 Supplies - General 321 844 729 365 1,335 598 855 125 Supplies - Office 25 365 46 Supplies - Forms - 37 64 23 52 95 - 73 82 - - - Freight 10,065 10,301 7,842 15,867 3,678 14,057 704,762 13,095 14,561 20,884 7,508 Total Supplies 159,773 185,629 116,82 132,224 160,294 1,449,902 181,238 Pro Fees - Physicians 187,155 176,803 163,73fi 22,644 133,827 21,322 23,534 24,234 18,820 31,300 22,332 186,134 1,636,036 23,267 204,505 Purchased Services- Non- hysician 32,627 24,962 201,565 186,379 155,150 183,307 209,863 133,841 763,524 782,626 Total Purchased Services 219,782 139 105 2,160 270 373 340 307 274 241 207 173 846 846 6,363 795 Interest Expense -."--- �„_-- _367 692 692 69^ 692r 05371 3,884 2,621 1354 15193 1899 Total Other Practice Expenses ^•• '•-- Leases & Rental 8 995 995 927 995 9,997 1,250 75 1,054 1,054 2,049 1,054 E uiPmam leasing - other 91 875 1,054 7,054 2,049 1,054 995 995 927 995 9,997 1,250 Total Rent and Leases Net operating Income r """ -- Depreciation (16,000) (16,000) (16,000) (16,000) (16,000) (16,000) (16,0D0) (16,000) (16,000) (144,000) (78,0OOJ - - _ 187,155 23,394 IGT Expense _ _.. ,. �a�tas - - _ - - - _ - 187,155 23,394 New Patient Clinic vlsss Existing Patient Clinic Vat" All Other Visits Total Clinic Visits Hospital OR Procedures Total Vass & Procedures No Shows/Missed Appointments No Show % Seismic. - Regular Salaries -Overtime Salades - PTO Total Salades Benefits - FICA Benefits - Federal Unemployment Benefits -Retirement Group Health Otherlicamence Workers' Comp Total Benefits Total Salaries, Wages, and Benefits Supplies - General Supplies - Office Freight Total Supplies Pro Fees- Physicians Interest Expense Subscriptions Education Total 011ier Practice Expenses Leases & Rental Total Rent and Leases Depreciation Net Revi n leMsit Breakeven Visits w10 Community Benefit Breakeven Visits wl Community Benefit 313 337 329 317 319 289 283 259 401 2,847 350 1,979 1.672 1,769 1,662 1,720 1,627 1,498 1,333 1,580 14,840 1,855 2,292 2,009 2,698 1979 2,039 1,916 1,781 1 592 1981, 17,687 2,211 43 60 42 30 41 48 41 40 35 380 48 2,336 2,069 2140 2.009 2081), 1,964 1622 1,632 2,016 18,067 2,258 182 178 200 207 187 182 155 164 195 1.650 206 7% 8% 9% 9% 8% sYo 8% s% s°/a sYo 30100041 232613 401,905 306,654 291,343 300,176 236,318 275,483 258315 272200 2574407 327801 706 707,527 30100044 114,109 13fi,090 114,529 35,248 76,518 11111fi1 r23 1061 (12,944) (22,392) (131,283) (16,41C 40000041 74,029 67,164 77,645 75,089 64,842 50,335 56,922 55,027 59,934 580,986 72,623 40005041 4,638 3,765 5,639 %573 2,565 1,361 1,370 7,014 915 3%231 3,779 40010041 (1,317) 5,285 7,143 4,676 61317 7,859 7,540 7,869 5,262 50,637 6,330 73,725 59,546 65.831 69.910 66,112 661,854 82.732 77,351 75.815 90,427 83.338 40015041 5,110 3,774 4 579 5,942 5,251 4,477 4,674 5,461 4,5344 44.924 5,5A 110E 40025041 419 126 102 172 53 19 16 44 40040041 5,785 4,249 5.061 6,699 5,887 5,020 5,471 5,899 5,050 49,121 6,14( Allocated 11,206 4,730 13,038 17,454 10,584 10,478 11,120 6,244 6,966 91,821 11,47E 694 151 1,352 7,598 852 921 47^ 11955 734 7,829 97t A91 551 3,969 49E ,961 88,792 115,328 138,885 96,981 80,987 88,284 88 333 84,011 882,563 110,32( 100 40220041 13,720 19,638 6,262 9,356 8,368 6,503 14,565 2,425 13,428 94,266 11,78: 40225041 284 806 690 364 1,294 596 682 72 144 4.933 354 6b 40215041 13 82 - 25 64 23 52 95 - 14,018 20,526 6,952 9,745 9,851 7,122 15,299 2,592 13,573 99,678 12,461 mcnnne4 187,155 176,603 i63,736 133,827 159,773 185,629 150,666999 132750 768,282 14 53,953 186,74 40507041 40500041 373 340 307 274 241 207 173 139 105 2,160 27 367 692 692 692 692 692 846 846 280 635 380 130 2 571 32 - 926 190 30 ___46 6,363 79 .,ane ve>t 1.354 15,793 7,89 596 692692 1325 692 633 633 592 633 6,488 81 596 692 692 1,325 692 633 633 592 633 6,488 81 (16,000) (16,000) (16,000) (16,000) (16,000) (16,000) (16,000) (16,000) (16,000) (144,000) (10C 97.03 231.17 194.51 167.32 166.19 1,274 1,513 1,733 1,649 1,329 1,274 1 513 1,733 1,649 -5- 35.26 110.29 325.28 146.87 160.44 7,885 2,309 704 1.826 7,686 2,389 704 1.826 14,464 826 - 290 44U 1.,•-14,929 22.444 - 104 owns 74.9]6 50,505 99.567 61,610 57,857 47,028 46,009 629,7614 26.251 24,6B30 70)20 .�� oa _._. "1 -.1 111487) 1474.4571 (59,307 Revenue Total Miscellaneous Revenue ae1 362 724 362 362 362 fi0,295 36,018 345,433 43,179 Leeses 8 Rental 45,843 45,501 41,782 41,269 50,004 44,169 19,4481 335 362 3,510 439 Total Net Revenue 219 362 362 724 362 362 5,371 4,155 4,813 41,013 5,322 Total Rent one Leases 4,213 4p0] 4,909 4,044 6,876 4, 151 127 Salaries- Re9ular 24,866 24,433 29,658 873 (t2 658) 420 423 5,276 660 Salaries - Ovedime 651 197 404 503 1005 280 594 4,6]0 5,247 48,861 6,108 Salaries - PTO 18,340 4,203 5,313 4,547 8,683 5304 8030 Total Salaries 4,863 365 351 339 3,297 412 IGT Expense 395 326 360 366 345 450 Benefits - FICA _ _ _ - - - 42 5 Benefits -State Unemployment 37 10 (4) _ - - - - 398 3726 466 Benefits- Federal Unemployment 431 353 390 396 397 520 428 413 558 53 7604 875 Benefits - Retirement 854 263 766 952 1 747 933 1,019 417 Group Health 75 6 79 87 100 82 43 70 (19) 44 310 39 Otherlmrence 25 8 45 40 74 47 46 1,233 1,391 64,982 1,873 W.,aar'[omP t 817 968 1 635 7,842 2,183 2,033 1,900 Total Benefits 7,336 ],930 5903 6,638 63,844 ],980 Total Salaries, Wages, antl Benefits 6,680 5,171 6,948 6,389 10,846 549 320 517 308 409 718 395 1624 484 4392 Supplies - General 5 07 39 1 46 2 i]3 62 _ Supplies - Off'. 36 36 - - - - 1 Supplies - Forms - _ _ _ 12 - - - - t2 Freight , �a� 488 5.084 636 Fees - 362 724 362 362 362 335 362 3,510 439 Leeses 8 Rental 279 362 362 335 362 3,510 439 E ui mentleasin -other#1 219 362 362 724 362 362 Total Rent one Leases 24,866 24,433 29,658 26,416 (t2 658) 35,874 21,535 204,619 25577 Total Ex enses 27,503 26,991 24,421 74,483 140,814 17 602 18,340 18,510 16,916 16,836 24347 17751 8790) NetOperating lnwma IGT Expense Communil Benefits Cantdbu8on _ _ _ - - - NetNon-0pemfln9 Income - 15.9 In 14836 20,347 1]751 U.7i Ln 24,421 44.483 140,814 17,662 Contribution Margin 18,340 18,510 900 800 700 600 500 400 300 200 100 0 2017 We 4,000 - 3,500 521 477 468 3,000 228] 214, X149 '1—I 2,500 2,000 h.IS 17.431 1,500 1,000 2,701 2,828 2,343 500 — 5.00 0 2015 YTO 2016YID 2017 YTD 3..98 4.00'. D Medical/Surgical/ICU ®Obstetrics 11Swing Bed 4 2.301 _ 2221 Average Daily Census 1.00 14.00 L „1 12.00 2015 YID 2016 YTD 2017 We a Medical/Surgical/ICU gObstetrics U Swing Bed Average Length of Stay .17.78i h.IS 17.431 7.00 6.00 5.00 _._, 19.001 F3.84 3..98 4.00'. 2.331 4 2.301 _ 2221 3.00 2.00 1.00 0.00 -......20 is WD m 2016M 2017 YID m Medical/Surgical/ICU m0bsWHt , n Swing Bed -7- Memorial Medical Center Operating Statistics 13 -Month Trends outpatient Statistical Trends 2,500 2,102 2,091 1,982 1,962 2,029 2,015 1,933 1,919 1920, 1,829 1,fi48 1,681 �v..._ ... .. .. 2.000 ..810. -944--'-945 -- 718 ---758 698-- 70D 1,000 743 '-"684 -_635_ --720 -777 - 673_- - _-,�.m- n __--_.��.--1. - 500 -- _ �v 465 4]6 581 951 472 519 901 360 426 518 510 q66 2 445 - -- 17 Sep -16 0,1 -16 Nov -16 De 16 Jan -17 F b 1] Mar -1] Apr -1] May -1] lun-ll Jul -1] Au9-1 ep =Outpatient Visits Room Visits =} speaaky Oinic Visits Total Surgery & Endoscopy i zoo -- -- "- -. -- Sos___ 3a __-- 132 --92 109 _ 113 _ 81- - 80 ----SS 69 "--'-85 - 62 83- 0 Sep -16 Oct 16 N.,-16 3e116 lan-17 F61] Mar -17 Apr lJ M y ll Jun -17 101 ll Aug -1] s p ll , Radiology Procedures 2,000 ----155T -1,4661 1,4]0 1,433 1960 1,907 1231 1,152 1,237 1,000 1,650'--"1,516 1,464 iSDD -._ Sep -16 Oci 16 Nov -16 D1116 Jan -P Feb 1] Mar ll Apr IJ M y 17 lun-17 J.1-17 Pu9-1 ep ', Total Laboratory Procedures 40,000 - -_--- 37,158 _-32,7]9 -30,836 3392]. 30,293-1,262 ---31;08--'28389 21,108 20,000 32,504_. 28,929--29,586 31,389 -' 0 _e -" - ' Sep -16 Oct -16 Nov -16 D 16 lan-1] Feb -17 Ma 17 Apr -ll May 17 lun-1] 3.1-17 Aug -1 ep ., Rehab Services Procedures ----- 2,000 - __ .. __-2,750 1,945 2153 1,926 - 2,120 1,851_ .,2001_., 1,276 1,218 ". 1.861 1,511 _ __. _ _ - _ 0 --- 136] -1;32q- _-17 Sep -16 O,,16 Nov -36 Dec -16 Jan -1J Feb -1] M r 17 Apr -1] May 1] Jun -17 J11-17 Aug -17 Sep o m.+aom a vrymi��em OF m� Vml N I� W m N b b O N N } N N m n N N b W b N O O u b N O N [I N m ti M ObiV fN�t 0 0 ti O I\ n N m m b O Lri ry T m_ V N V h m N m b N V V VI N M N H uml N N d' N OO O N T N N N N 6 N OWWmOM oOl tib MmMON MVNON^`�N V�1 OI `{ 'i b ul a. � o n o O T 4 N N O Ol M b N N m N en1 of d' „ m T M 6 rtml rt4It i b O N N b ti� N M N N N ✓m) ual N m n m V O N N N V O ul b N O N D] N M r emi n n Po NV ym� m o .+ m rvN c M 1� M OI O N a n W N b M N d' N N O rl 1� b V V b N0 VI N m N O OM1 r m O N N `-1 N N Q M N W T O T N b O m N h Ol O ei a s V�1 1p M M M`1 N n T h N W On p N M N O O Om m N a H d' r N N ry O N d r1 Qpp� O O„ q W N N N N N N~ N M N N � y N N N N 1� Ol o N b~ N `I N N N N T O O C d i� V f0 r Ol N d' N O V M h N R R 4 N h h N M V NVI C m OO e4 N N M ry N R p b R `tet' omoo y m� M.+oo �a o.-�m L"mv.ai ylo M M M Ol O Lri N N M a T n ONl OM1 n O d' N rtbi B O N N N O O N M m ~ N fi N V V N If eNi M N N ti N N eai M Y u b T O tp N O ot0 N Oy1� V1 O V OJ LL T O O V b 0 NM N T V �i tO O (oO b N h ei a-i N T rtNl N 1p n d' V b si V1 O V M N m O O b N V 'i VI N m N N N N 'i V V N r N Ol rtl ei M N 7 2 �O ~ m N N O O N O O1 n N N M y N m N O V N N 1� O � b �p N O h lO h t� N N N M O M N M O N m lO N T N m h 1� O N tb/1 N MM O N O �N `"� m N •i N T ti V N h b mO `� � � O] OI ? N N N h h rtl mN O O ei rl h VI N 'i '1 e{ d' O O N ti V N N ti M C E 2 u W W O N Q O a O 6 S .'�- o E°o otl a U u u a u R —= co o iOa o o z v'� 0' w w 5 rw�o- ¢ ao�.3ir r Memorial Medical Center YTD YTD YTD OVER 9/30/2017 (UNDER) %OF Statistical Comparison 09/30/15 09/30/16 09/30/17 9/30/2016 CHANGE (9 months) (9 months) (9 months) 841 895 718 (177) -19.8% Total Admissions 705 562 449 (113 ) -20.1% ER Admissions 3,450 3,514 2,960 (554) -15.8% Total Patient Days AVERAGE DAILY CENSUS 10.36 8.58 (1.78) -17.1% Medical/Surgical/ICU 9.8 0.78 0.55 (0.24) -30.4% Obstetrics 0.844 1.91 1.73 1.71 (0.01) -0.8/ Swing Bed 12.64 12.87 10.84 (2.03) -15.8% Total AVG Daily Census 3.67 3.80 0.14 3.7% Total AVG LOS - Acute Care 3.78 369 437 366 (71) -16.2% Observation -Patients 325 226 (99) -30.5% Observation - Patients from ER 0 66 (18) -21.4% Newborns - Births 95 84 8,548 16,631 17,656 1,025 6.2% MM Clinic Visits 857 0 (857) -100.0% Surgical Clinic Visits 357 16,684 18,561 17,134 (1,427) -7.7% Outpatient Visits 7,688 6,719 6,623 (96) -1.4% Emergency Room Visits 4,208 4,671 4,171 (500) -10.7% c Specialty Clinic Visits 889 983 748 (235) -23.9% Total Surgery Endoscopy 249,683 281,327 280,749 (578) -0.2% Total Laboratory Procedures 7,257 6,462 6,037 (425) -6.6% Radiology Procedures 0 1,130 1, 129 (1) -0.1% Radiology OP - Clinic 116 132 16 13.8% Bone Density 109 143 169 110 (59) -34.9% Nuclear Medicine 1,885 1,779 1,376 (403) -22.7% Ultrasound 0 422 396 (26) -6.2% Ultrasound - Clinic 2,015 2,325 1,988 (337) -14.5% CT Scans 849 991 795 (196) -19.8% MRI 565 707 345 (362) -51.2% Mammograms 12,823 14,101 12,308 (1,793) -12.70 Total Radiology Procedures Respiratory Therapy Procedures 8,556 7,129 6,190 (939) (30) -13.2% -47.6% 52 63 33 Stress Test 2,865 2,858 2,201 (657) -23.0°0 EKG Exams 0 4 4 #DIV/01 EEG Exams 20 51 128 105 (23) -18.0% Sleep Studies 11,544 10,178 8,533 (1,645) -16.2% Total Respiratory 14,874 15,823 17,240 1,417 9.0% Rehab Services Procedures 2,043 939 (1,104) -54.0% Occupational Therapy Total 275 726 203 38.8% Speech Therapy Total 52 523 3,240 1,532 (1,708) -52.7% Behavioral Health Patient Encounters 0 442 424 2355.6% Cardiac Rehab Procedures 0 112,557 18 109,920 92,284 (17,636) -16.0% Pharmacy Total 101,968 43,011 26,969 (16,042) -37.3% Dietary Total 177,710 114,133 98,533 (15,600) -13.7% Pounds of Linen mo ro+mN ao o mynm momN�n°1 ^�a�o umi,�o�mrvT mT rb.. an ry `O Vn.a o m .moi m ei �^ m e°i N N W m V b w fi .ao m „rmmN^r ni�nmmtio .n m n N h m a m b n c � a ym •Nay' �o �°' mry-i n wN„m mm C N q° n..c. mry Ndym e E O o _ nm m arvry '� umi v i:m b ro ry M n a ' r a n E V an b my m T o d 2 — s ¢ a rc °� w � w v m x o o a d o o z a Q a m=_— z moa -`� �sxo� az"vzo3�"�g3 Q 6 6 Q O t9 Z 2 T Ca N N N ti y N N N N N N N —11— r° n 0 o Q Z O r J n T O N v a m c n c r T a .mi N a � d U W r < T b N S mo ro+mN ao o mynm momN�n°1 ^�a�o umi,�o�mrvT mT rb.. an ry `O Vn.a o m .moi m ei �^ m e°i N N W m V b w fi .ao m „rmmN^r ni�nmmtio .n m n N h m a m b n c � a ym •Nay' �o �°' mry-i n wN„m mm C N q° n..c. mry Ndym e E O o _ nm m arvry '� umi v i:m b ro ry M n a ' r a n E V an b my m T o d 2 — s ¢ a rc °� w � w v m x o o a d o o z a Q a m=_— z moa -`� �sxo� az"vzo3�"�g3 Q 6 6 Q O t9 Z 2 T Ca N N N ti y N N N N N N N —11— r° n 0 o Q Z Memorial Medical Center Payer Mix Memorial Medical Center As of September 30, 2017 12 Month Trend 60.0 40.0 30.0 20.0 10.0 0.0 a o 'o v v z � =Commercial Private HMO/PPO & Workers Comp Medicare Medicaid . -,—Blue Cross —12— b N O N m� M m b n M Q uMt N N m n n O O N t0 b V n Ol O m O ei O b� M n O rl m m o b bONNO N N m M n m b b rt01 � r n n M M v m 0 m m$Mry m r � Nrv:� m e M m N O mob N Ob1 O O Yml �� N V n n N N t0 b N 'n+. V YI m a o N m aIn n ml+Min� L'iv rvM a �, r N 0 n M V N b Ifl O N M nvl � m YI M N n$ O V � d' OJ b N N N M` N N N h O N V al O N m N m m N a ni m:ieo n e mmpaN ao N N Op N' b b O N NN N N r T n V b O V� r Q � � OI (fl b m m l0 O N m Y1 O N N p N N N n N m W V T W N n b N VOI O W O IIq n r m Vnl N b v N o' .ti .i .i m 'd ri `bO m e m M N b V y T VI IR N N m O N m N W Q n M b b M M \ M m mN M N N N N O mNI"n^ �ti�m�' o ry m N mpnm � e m 000mom N N N O� O O M N V W V n N O Obl O o O rtl N N O V rl IT m V O IO N d n b b m O O M O N O T O N W N V M L' O lnO_ n y O N O q n W r NM c m W y N N O N N N V N I N O O V M N m M Imll N n N V I/N� rj t0 N N m Vf N M O N N m W N m O O O at ^ InYI c n O M O N M N iMII m m, OOl O N VN O N M MO b W N N O � N e mv o a ti m.�+uninv M Op ri rmi m minro Mmne `n N m N VI Ol Mrl N V m N N O N N o O1 mm a m n N vmo rni I(1 O N W O N v m o e N n O b m O N V 1/ml b m m O N m N ul m O N n OOi tMO Vl n N N OI N b M ry N a N N ✓ � n N N^ d N O T N d' N C O m b m Ol O N Ol N m N N W m Qrvi Omt O N ay N N N Imi1 IMII O Onl r '{ 9 M N n n pNj W N N C E o Ei 5 Ci U E� o °w' .v .0o a -13- � o r 0 N m Po N� am b M rl I� O N 1(OI O M o N a al O O N O p M N b t{ Na{ N .6N O: m m m o v oo Ip �' p1 N m- m N N N N O OI T eni n N - N N W a� yaj m M m M N p p m b p b N (r1 m \ N O N m N O N N N v r N o M o mee lap a M, M N VMM1 W' O O r W N '' N Lq 1� N N N O M m N o N o o m o m mo m M ��" N ry aY N b N VNI w ti l Ont b V O O N r a: O- y ti n M O� N N N y n N VI M� N O \ N N m N N Yl O t0 ei N ri m b a may J N N N N O V 'y� pat• n o lmp T d' M a m r O N M N a. tp O '-I m VI M N Ip m m N N N N ti m O N n M N r a N O O O N O m n n .oti o N oin rcio o m yah o�m I: N N Q N N rl ei E � v � } a n w a a A �o Yi Et ti E m a °Ow ow, v bm •:6 p �" `o v= o zz5z i= -14- Memorial Medical Center Income Statement - Combined For the Month Ended September 30, 2017 Revenue -15- Year to Date Current Period Actual This Budget This Actual YTD Budget YTD Last Year YTD Month Month Last Year 9,505,181 12,021,826 12,203,774 927,534 1,335,758 1,508,924 Inpatient Revenues 24,937,029 27,251,497 28,287,526 2,340,924 3, 027,944 3,139,598 Outpatient Revenues 14,105,888 15,071,478 16,125,606 1,395,840 1,674,609 1,862,135 ER Revenues 29,465,496 30,605,400 31,419,516 3,270,532 3,400,600 3,768,203 Resident Revenues 7,934,831 9,438,911 10,278,861 Total Patient Revenue 78,013,594 84,950,201 88,036,422 Revenue Deductions Contractuals 25,259,015 28,037,782 31,755,933 2,440,922 3,115,309 3,491,184 Charit Y 1,192,883 11377,521 1,092,986 207,856 153,058 142,289 Indigent Care 599,173 482,358 382,643 85,043 53,595 94,264 _ Overhead DSH - (2,392,691) (1,544,793) (2,131,021) (381,966) (171,644) (54,200) Bad Debt 5,449,361 51534,123 5,856,706 336,092 614,903 742,620 4,416,157 Total Revenue Deductions 30,107,740 33,886,991 36,957,248 2,687,947 3,765,221 5,246,884 5,673,690 5,862,704 Net Patient Revenue 47,905,853 51,063,210 51,079,174 184,690 56,466 72,337 Other O erating Revenue P 741,790 508,195 460,897 5,43 1,574 5,730,156 5,935,041 Total operating Revenue P g 48,647,644 51,571,405 51,540,071 Operating Expenses Year to Date Current Period Actual This Budget This Actual YTD Budget YTD Last Year YTD Month Month Last Year Salaries & Wages 7,379,305 8,448,430 7,787,426 789,750 938,714 853,569 Employee Benefits & PR Taxes 2,128,348 2,734,290 2,508,241 278,619 303,810 273,463 Professional Fees 3,436,550 3,583,280 3,211,630 362,015 398,142 387,914 Purchased Services 2,598,055 2,870,967 2,804,606 286,759 318,996 340,498 Supplies 2,119,752 2,383,298 2,389,063 160,745 264,811 268,334 35,328 65,555 52,772 5,268 7,284 5,712 Insuurr ance Utilities 438,096 485,250 399,403 43,080 53,917 45,353 920,267 699,369 684,326 268,851 77,708 71,813 other Expenses er p Fee 29,465,496 30,605,400 31,419,516 3,270,532 3,400,600 3,768,203 Nursing Home 48,521,195 51,875,840 51,256,982 5,465,620 5,763,982 6,014,859 Total Operating Expenses 2,195,088 62,576 79,406 Depreciation 721,445 563,185 812,580 79,667 6,094,265 TotalExenses 49,242,640 52,439,025 52,069,561 51545,287 5,826,558 (96,402) (159,224) Net Operating Income / (Loss) (594,997) (867,620) (529,490) (113,713) Non Operating Income / (Exp) 934 1,110 1,179 104 35 Investment Income 4,910 ( 17,194 ) 32,104 ( ) (27,968 (1,542) (3,567) (2,687) Interest Expense 23,888 500 _ 2,654 - Contributions and Grants _ (2,916,439) (2,417,125) - (324,049) (277,301) 396,144 IGT Expense Service Contributione by 455,741 4,166, 342 3,453,037 - 462,927 - _ 1,758,924 - 182,147 VI Nursing Homme MPAP 443,457 1,242,620 2,768,477 (363)138,069 298,339 Total Non -Operating Revenue 139,114 Total Net income/(Loss) (151,539) 375,000 2,238,987 (114,076) 41,667 -15- Memorial Medical Center Income Statement by Operating Unit For the Month Ended September 30, 2017 Current Period 2,265,747 175,176 - 2,440,922 207,856 - - 207,856 85,043 - - 85,043 (381,966) - - (381,966) 336,092 2,512,772 175,176 - 2,687,947 1,743,684 232,668 3,270,532 5,246,884 90,398 94,292 - 184,690 1,834,082 326,960 3,270,532 5,431,574 Current Period Nursing Hospital Clinics Homes Combined 718,391 71,359 - 789,750 259,329 19,291 - 278,619 201,721 160,294 - 362,015 264,428 22,332 - 286,759 146,689 14,057 - 160,745 5,268 - - 5,268 43,080 - - 43,080 266,501 2,349 - 268,851 3,270,532 3,270,532 1,905,407 289,681 3,270,532 5,465,620 63,667 16,000 - 79,667 1,969,074 305,681 3,270,532 5,545,287 (134,992) 21,279 - (113,713) 1,179 - - 1,179 (1,542) - - (1,542) (363) - - (363) (135,355) 21,279 - (114,076) Revenue Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Nursing 4,093,246 Hospital Clinics Homes Combined 927,534 - - 927,534 1,933,081 407,843 - 2,340,924 1,395,840 - - 1,395,840 - - 3,270,532 3,270,532 4,256,456 407,843 3,270,532 7,934,831 2,265,747 175,176 - 2,440,922 207,856 - - 207,856 85,043 - - 85,043 (381,966) - - (381,966) 336,092 2,512,772 175,176 - 2,687,947 1,743,684 232,668 3,270,532 5,246,884 90,398 94,292 - 184,690 1,834,082 326,960 3,270,532 5,431,574 Current Period Nursing Hospital Clinics Homes Combined 718,391 71,359 - 789,750 259,329 19,291 - 278,619 201,721 160,294 - 362,015 264,428 22,332 - 286,759 146,689 14,057 - 160,745 5,268 - - 5,268 43,080 - - 43,080 266,501 2,349 - 268,851 3,270,532 3,270,532 1,905,407 289,681 3,270,532 5,465,620 63,667 16,000 - 79,667 1,969,074 305,681 3,270,532 5,545,287 (134,992) 21,279 - (113,713) 1,179 - - 1,179 (1,542) - - (1,542) (363) - - (363) (135,355) 21,279 - (114,076) Revenue Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Total Patient Revenue Year to Date 4,093,246 29,465,496 Nursing Revenue Deductions Hospital Clinics Hames Combined 9,505,181 - - 9,505,181 20,843,783 4,093,246 - 24,937,029 14,105,8B8 - - 14,105,888 _ - 29,465,496 29,465,496 Total Patient Revenue 44,454,852 4,093,246 29,465,496 78,013,594 Revenue Deductions 23,958,446 1,300,569 - 25,259,015 Contractuals Combined 6,668,589 - 1,192,883 Charity 1,192,8B3 235,691 _ 599,173 Indigent Care 599,173 - - (2,392,691) DSH (2,392,691) 2,598,055 2,014,989 51449,361 Bad Debt 5,449,361 28,807,172 1,300,569 ' 30,107,740 Total Revenue Deductions 438,096 - - 438,096 Net Patient Revenue 15,647,680 2,792,677 29,465,496 47,905,853 Other Operating Revenue 351,369 390,422 - 741,790 Total Operating Revenue 15,999,049 3,183,099 29,465,496 48,647,644 E77_0 perating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation Total Expenses 16,920,749 2,856,395 29,465,496 49,242,640 Net Operating Income/(Loss) (921,700) 326,703 - (594,997) Nan Opereting Income / (Ezp) Investment Income Interest Expense Contributions and Grants IGT Expense Service Contribution by SOSET Nursing Home MPNP Total Non -Operating Revenue Total Net Income / (Loss) -16- 4,910 - - 4,910 (17,194) - - (17,194) 268,586 Year to Date 256,302 187,155 - 443,457 Nursing 513,858 Hospital Clinics Homes Combined 6,668,589 710,715 - 7,379,305 1,892,657 235,691 - 2,128,348 1,986,647 1,449,902 - 3,436,550 2,411,921 186,134 - 2,598,055 2,014,989 104,762 - 2,119,752 - 35,328 - - 35,328 438,096 - - 438,096 895,077 25,190 - 920,267 _ 29,465,496 29,465,496 16,343,304 2,712,395 29,465,496 48,521,195 577,445 144,000 - 721,445 Total Expenses 16,920,749 2,856,395 29,465,496 49,242,640 Net Operating Income/(Loss) (921,700) 326,703 - (594,997) Nan Opereting Income / (Ezp) Investment Income Interest Expense Contributions and Grants IGT Expense Service Contribution by SOSET Nursing Home MPNP Total Non -Operating Revenue Total Net Income / (Loss) -16- 4,910 - - 4,910 (17,194) - - (17,194) 268,586 187,155 - 455,741 256,302 187,155 - 443,457 (665,398) 513,858 - (151,539) Memorial Medical Center Capital Acquisitions For the Month Ended September 30, 2017 Month Description Building Equipment Total 01/17 Sub Total January 02/17 Dell Power Edge R350 Server & Windows 2012 Physio Control Lifepak 20e Patient Monitor (4) BVI 9400 Bladder Scan & BVI 9x00 Mobile Care Sub Total February 03/17 Computers - March 2017 Clinic Furniture - Final Invoice from Staples PACS - Travel for Evident employee to setup PACS Sub Total March 04/17 Hopkins TI Telescope Lab Interface upgrades Sub Total April 05/17 Computers - May 2017 Lab Interface Upgrade Sub Total May 06/17 N/A Sub Total June 07/17 MD Reports - GI Lab Documentation Software Computers - July 2017 Sub Total July 08/17 computers -August 2017 Sub Total August 09/17 N/A Sub Total September Total _ 9,269 9,269 - 15,230 15,230 _ 10,135 10,135 _ 34,63434,634 6,498 _ 6,460 6,460 _ 16,103 16,103 _ 1,232 1,232 _ '231.79523,79S _ 9,897 9,897 _ 21,165 21,165 _ 31,062 31,062 772 772 _ 2,000 2,000 _ 2,772 2,772 _ 12,250 12,250 _ 7,160 7,160 _ 19,410 19,410 _ 6,498 6,498 _ 6,498 6,498 $ _ $ 118,170 $ 118,170 g ;! n ) —le— Physician Revenue Trend Memorial Medical Center As of September 2017 September 2017 2017 YTD PRIOR YEAR TD Memorial Medical Center Clinic $ 557,484 $ 5,388,058 $ 4,515,703 011005 William Crowley $ 380,341 $ 3,267,349 $ 3,843,799 019000 Ric Arroyo -Diaz $ 133,204 $ 1,683,391 $ 2,441,181 022000 Peter Rojas $ 694,015 $ 1,964,296 009293 Serina Danielson $ $ _ 177'484 $ 1,489,064 $ 1,203,193 000966 Thao Truong $ 145 $ 940,216 041743 Angela Dobbins $ _ _ $ 116,232 $ 405,322 005966 Carol Andrus $ $ 61,870 $ 545,707 $ 383,960 058001 CourtThurlkill $ 61,666 $ 712,207 $ 584,183 002099 Traci Shefcik $ 98'977 $ 724,706 $ 041574 Frank Hinds $ 47 $ 192,059 $ 041596 Mercedes Schultz $ ,952 4,633 $ 11,002 $ 000000 Michael Pfeil _ $ 207,078 $ 4,023 009294 John Durst $ $ 1,523,610 $ 15,031,014 $ 16,285,875 33% 31% 29% Hospitalist72733 $ 519,795 $ 5,8, $ 6,450,245 130006 Hospitalist $ 519,795 $ 5,872,733 $ 6,450,245 11% 12% 11% Port Lavaca Clinic $ 287,358 $ 2,817,071 $ 3,509,813 050001 John Wright $ 138,256 $ 1,597,725 $ 2,071,278 013001 Leigh Anne Falcon $ 116,174 $ 1,396,359 $ 1,678,544 008800 Nirtas Kwi Timu $ 155,383 $ 1,552,424 $ 2,109,871 001500 Jewel Lincoln $ 29 777 $ 303,706 $ 353,395 320001 Shanna Odonnell $ 20 899 $ 175,742 $ 173,419 012000 Jeannine Griffin $ 747,840 $ 7,843,027 $ 9,950,284 16% 160% 17% Specialty Clinic $ 72'389 $ 474,732 $ 305,109 013000 Don Paul Bunnell $ 58,543 $ 753,319 $ 656,290 012100 Donald Breech $ 57,250 $ 698,536 $ 750,418 000404 Aya Ad _ $ 92,633 $ 164,447 070002 Richard Steinberg $ $ 4,366 $ 42,926 $ 65,382 525225 Azhar Malik MD $ 837 $ 900000 Dakshesh Parikh $ $ _ $ 56,291 057006 A Qadri $ $ 192,548 $ 2,062,982 $ 1,997,936 4% 4% 4% -19- Physician Revenue Trend Memorial Medical Center As of September 2017 September 2017 2017 YTD PRIOR YEAR TD Coastal Medical Clinic $ 8,406 $ 496,081 $ 727 750 011000 Tim McFarland $ 96, 014 $ 218,944 000806 William McFarland $ $ 8,406 $ 592,095 $ 946,694 0% 1% 2% Independent $ 8,803 $ 204,800 $ 1,547,983 006000 M S Lin _ $ _ $ 20,257 004000 G A Williams $ $ 32,293 $ 315,323 $ 529,957 310001 Michelle Cummins $ 1,144 $ 28,417 $ 27,079 330000 Nhi Le MD $ 42,240 $ 548,540 $ 2,125,276 1% 1% 4% Other Medical Staff $ 236,561 $ 214,881 065002 George Boozalis $ $ 236,561 $ 214,881 $ 0% 0% 0% Total E/R Physicians $ 1,266,702 $ 12,896,375 $ 14,565,162 $ 1,266,702 $ 12,896,375 $ 14,565,162 27% 26/0 26% ,342 $ 3,610,439 $ 4,368,480 Other Ordering Physicians $ 377 $ 377,342 $ 3,610,439 $ 4,368,480 8% 7% 8% Totals $ 4,678,490 $ 48,693,765 $ 56,904,833 -20- Memorial Medical Center Hospital Accounts Receivable Quality Indicators Accounts Receivable by Payor i IJ,LOOOW __ - OR -16 Nov -I6 Oec-16 laml] Fe W7 W.7 Apro M.5V 1-17 lul-lJ Aug ]J Sepl] ®Metliwre Metll[aitl of Blue [mii �Comme[[ial ®Privalx Pay _' Medicare Aging< 60 Days SII Blue Cross <90 Days eeX e6x �% e!X w% enX 9oY s9n eex ae% 9sY. 9t% - -- SV.On 0]%8]% 80% CO.O% i i 41.tl% 06Y - 86% I gO,pX - 86.0:5 W -M, 8 .0 IO.OF - 6 b +,y 'i A +o + ' aq ea4 4 �q 41 ' q �9 �s4 y4 v1 ea o� ? oau r ss 3 + za I '_.. �_. + `� ee `6._ Medicaid Aging <90 Days Commercial <90 Days 91% 8%' 97% 959' 89:5 IW.41' �% M95 es96 1WAX%, 98y - 04% azX _J9MJ9% ]g%.. 74Y ]6% 81X .. j ••^ 980;5 ]9Y J]% JB% a9.oX m.o% SOOK 20 a OA% 0 10 1y +p`y F ,51'1 QR1 4011 aa1 '\ 11 W, Z+1 04 o� l� 4 �C} PQ•h X01 A,f1 j:i rC'4 ��1 o+ off' av1 `' � -21- Memorial Medical Center Clinic Accounts Receivable Quality Indicators Accounts Receivable by Payor .-I6 .1. Dec -]6 Medicare <60 Days 1W% 99.4% 96.o6 - - _. 88.35. JD]% 40. 348% 40 Uh 34.W6 o% a Medicaid <90 Days 78.3% I].]% �� 6]5% 6915v 6].3% 636% 652% ]1 D6 6Y 5% 70.04 50 % 4vQA 2D.D% lags � 0.0Ye Blue Cross < 90 Days 13].9% 1192X 9].1% ID154: 99.4% 70 ]0.0:6 6DA% A% 41 0.0 40.RF 23.2% a0,0i6 - 110% zaux f00% D o -X Commercial <90 Days 109.]5. 493.5% 96A% 9J.tl16 ]D.D% M 3D.D% ]D.a% pm: 1 l Memorial Medical Center Accounts Receivable Agings L:\Users\pavillafuerte\AppOata\local\Microsoft\Windows\Temporary Internet Files\COntertOutip2\MLUTGCP\AR Monthly Analysis Board Packet - September 2017 Commercial 913 0 1211 10 _ 100,148 1,847,566 _ in.er90 Dan /under 60 nays %undergo Days 981 8 0 30 316 6190 122,834 38,046 159,193 1,940,372 15.5% 23.0% 64.9% 77.0% Nov -16 BCBS 95,305 36,339 16,430 4, 176 10,459 32,]05 724,376 6.5% B.8% 86.2% 89.4% 91.2 ^ 91.4% OU -16 528,961 480,790 137,719 13,697 18,179 12,453 3,]03 25,252 691,]94 6.0% 8.6% 90.5% 94.5% Nov -16 Dec -16 538,502 96,38] 28,@3 12,369 886 7,620 1],4]6 701,263 3.7% 5 5% 8 2% 874% 91.8% Jan -17 320,493 84,311 20,250 14,357 5,700 2,621 15,461 463,205 5.1% 10.6% 82 4% 89 4% Feb -17 269,307 46,555 27,028 9,863 15,810 51545 9,349 383,456 8.0% 8.6% 14.5% 82.4% 85.5% Mar -17 247,112 75,139 12,01 22, 972 1,057 8,981 23,522 390,939 12.99% 12.5% 83.9% 87.5% Apr -17 194,701 66,632 1,211 6,873 2,935 11057 28,239 311,648 10.3% 11. 14 2% 80.5% 85.8% May -17 242,58080 26,109 107,740 10,6]9 1,381 2,735 32,665 334,083 122% 8.8% 87. 92 2% lun-1] 246,545 88,190 20, 152 7,449 1,480 1,545 19,7]9 38],14] 5.9% 8.5%5% 10.3% 87.44%% 89.7% JW -17 208,352 47,463 6,757 5,350 3,303 383 21,144 292,]52 10.0% 13.0% 86.4% 87.0'% Aug -17 164,226 16,122 25,208 5,946 1,896 3, 303 19,9]5 236,175 12.3% 84.6% 87.7% Sep -17 223,860 51,453 10,158 9,197 2,583 3,249 30,060 325,56011.0% 42.1% 56.2% 25.5% 41.8 422% L:\Users\pavillafuerte\AppOata\local\Microsoft\Windows\Temporary Internet Files\COntertOutip2\MLUTGCP\AR Monthly Analysis Board Packet - September 2017 Commercial 121,564 48,342 85,093 100,148 1,847,566 122%° 21.5% 63.6% 78.5 Oct -16 662,906 512,952 275,262 122,834 38,046 159,193 1,940,372 15.5% 23.0% 64.9% 77.0% Nov -16 880,653 3]8,323 234,98 126,350 96,494 1,647,983 15.5% 21.8% 662% 702% Dec -16 272,735 317,472 198,039 104,827 98,905 59,512 9.5% 16.6% 73.3% 83.4% Jab -1] 998,533 2]4,362 315,439 123,255 28, 246 44,186 92,9]7 1,73],006 9,0% 12 4% 79 1% 8].6% Feb -1] 1,353,]28 303,202 152, 302 62,901 45,609 24,581 95,421 1,842,239 11.0% 16.4% 74.6% 83.6% Mar -17 844,930 425,021 153,692 91,705 30,928 32,904 123,0]0 1,]@,229 12.% 17.7% 62.6% 82.3% Apr -17 245,420 490,323 268,383 97,507 74,921 21,913 130,255 1,828,722 12.99% 21.3% 62. 70'4% May -17 263,519 358,044 178,198 138,315 67,083 20,153 126,604 1,651,916 12.8% 17.6% 23.44% % 82.4% Jun -17 800,121 397,650 376,569 72,169 92,604 39,049 68,539 1,606,701 122% 16.8% 73.3% 83.3% Ju1-17 774,569 388,804 158,306 62,600 48,270 29,143 74,750 1,586,443 20.8% 67.4% 79.2% 17 674,104 448,688 193,443 154,611 47, 357 29,752 113,532 1,659,488 11.5% 15.7% 23.7% 69.4% 76.3% Sob Sep -17 721,865 339,070 195,300 131,925 103,031 30,556 125,411 1,64],158 Private Pay 622,746 689,948 452,323 264,999 095,2]3 4,304,085 42.1% 56.2% 25.5% 41.8 422% Od-16 416,613 681,483 622,146 594,512 443,348 303,462 1,129,621 1, 365 43.9% 57.8% 27'6% 91.0% Nov -16 398,866 781,250 ]02,3]5 604,999 512,285 237,215 1,195,043 4,229, 4, 319,155 45.0% 59.0% 24.6% 47.1% Dec -16 390,481 722,251 579,835 291,172 268,113 849,216 3,]55,152 37.5% 52.9% 29.1% JaR-17 378,651 715,855 672,310 369,992 227,392 993,137 3,785,762 42.0% 57.0% 25.1% 43.0% Feb -17 212,825 735,778 680,269 566,369 184,089 733,800 3,222,806 34.6% 40'6% 31.3% 51.2% Mar -17 20],429 818,142 650,915 465,110 213,260 712,929 3,113,408 33.8% 46. 30.3% 53.4% Apr -17 234,173 ]28,613 ]32,890 405,244 228,16 130,51 36.8% 51.0%0% 31.4% 49.0'% May -17 405,278 825,708 693,512 558,308 322,621 175,216 948,319 3,928,962 32.4% 46.6%33.8% 53.4% Jun -32 582,314 834,839 821,554 593,404 284, 165 206,586 81,625 4,190,48] 45.4% 36.6% 54.6% Jrl-17 684,536 912,087 783,243 520,376 379,11 184,131 895,053 4,359,133 33.5% 48.1% 32.4% 51.9% Aug -17 574,739 882,335 14,001 516,522 391,238 245,816 945,931 4, 490,582 35.3% 36.3% 53.3% 28.2% 967% Sep -17 449,686 851,394 854,568 ]91,]41 528,961 202,966 947,493 4,632,810 A11 Ivsured 486,719 286,461 214,644 129, 054 290,393 10.3% 14.9% 78.2% 85.1 87.1% Oct -16 3,431,896 1,313,429 190,038 184,432 112,793 275,031 5,158,546 5,909,482 9.7% 12.9% 78.1% Nov -16 3,436,808 1,176,420 533,959 330,768 99,904 186,897 5, 835,157 7.2% 12.0% 77.0% 88.0% Dec -16 3,662,989 830,81 641,088 282,704 85,329 210,443 6,249,126 7.7%88 14.1% 79.0% 85.9% Jan -17 4,182,549 754,096 428,610 402,794 185,305 7.4% 11.1% 82. 9% Peb-17 3,784,935 98], 509 376,299 214,834 196,026 55,533 175,367 5,790,503 7. 11.3% 79.66%% 88.7% M.,17 3,566,410 1,089,047 528,920 239,384 89,618 99,309 239,424 5,846,611 7.8%8% 12.7% 76.8% 872% Apr -17 3,362,631 1,158,504 611,060 293,040 162,359 51,]96 245,200 5,884,595 2.2% 11.7% 80.7% 883%6 MaY'17 3,25],8]8 886,181 392,409 233,555 109,945 54,255 203,911 5,138,130 L:\Users\pavillafuerte\AppOata\local\Microsoft\Windows\Temporary Internet Files\COntertOutip2\MLUTGCP\AR Monthly Analysis Board Packet - September 2017 Memorial Medical Center Accounts Receivable Agings C:\Users\pavillafuerte\APpData\Local\Mlcresoft\Windows\Temporary Internet Files\ContentoutT.2Ni rUUTGCP\AR Monthly Analysls Soard Packet, September 2017 183-365 a Total Gross % Over 120 Days % OW, Dys 96 Under 60 Days % Under 90 Days Aging 0-3d 31-60 63-90 91-120 121-350 151-180 Total 3,854,510 1,994,912 1,189,765 976,409 667,367 399,053 1,385,616 10,462,631 23.4% 32.7% 31.1% 55.9% 56.9% 67.3%- 68.3% OU -16 Nov -16 3,835,6)4 1,958,1]0 3,336,)05 )84,610 62],]80 416,255 1,404,652 10,183,841 24.3% 23.3% 32.7% 547% 68.0% pec -16 4,003,416 1, 553,058 1,348,463 887,202 643,052 33],119 1,381,941 10,159,312 18.9% 28.]% 60.3% 71.3% Jan -17 4,361,199 1,469,951 1,100,920 962,629 4)6,477 353,442 1,059,659 30,004,218 2 2.2% 59.7% 70.2% Feb -17 3,997,759 1,723,281 1,056,568 781,203 366,018 282,925 1,168,505 9,516,264 177.1% 244.6% 62.3% ]5.2% Marl] 3,]13,839 1,90],190 1,3]9,335 604, 554 29],87] 283,398 9]3,224 9,119,417 .0% 16.9% 24.6% 60.5% 75.4% Apr -1] 3,596,810 1,887,116 1,343,950 698,284 391,335 182,383 958,124 9, 058,003 20.0% 28d% 59.3% ]1.3Y. May -17 3,664,157 1,711,890 1,065,916 791,862 432,566 229,461 1,151,230 9,067,092 18.4% 26.3% 61.2% 73.7% Jun -17 3,969,048 1,754,014 1,170,853 ]93,100 949,30) 26], 135 1,008,115 9,356,5]2 188% 25.6% 62.7% 74'4% Jul -17 4,046,347 1,934,970 1,108,644 650,999 470,901 2]3,2]5 1,048,009 9,533,146 19.5% 21.9% 58. 72.1% Aug -17 3,439,030 2,230,658 1,350,173 824,841 4]], 805 299,293 1,123,3]] 9,765,436 21.3% 31.8% 54.55%% 68.2% Sep -17 3,416,932 1,831,638 1,338,123 1,019,649 658,678 261,460 1,156,121 9,145,201 Medicare 491,433 105,217 73,643 38,547 12,589 2,580,]54 5.0% ].8°h 88.3% 85.8% 92.2 93.4% Oct -16 Nov -16 1,782,451 1,459,637 353,735 161,088 40,925 42,752 6, 075 98,866 48,866 2,113,0]1 2.9% 2.6% 6.6% 7.2% 84.1% 92.8% Oec-16 1,975,525 278,929 232,496 115,941 29,173 26,952 22,244 2• 681,255 6.6% 11.5% 83.8% 88.5% Jan -17 2,386,450 265,860 149,700 155,427 119,244 38,280 52,815 3,187,836 5.8% 8.6% 869% 91'4% Feb -17 1,862,872 374,963 116,022 71,331 89,561 131984 46,738 2,575,471 3.6% 6. 86.2% 94.0% Mar -17 2,106,406 436,774 230,248 69, 511 20,0]8 25,536 60,966 2,950,519 4.3% 9.22%% 83.% 90.8% Aprv17 1,976,211 411,695 228,098 143,929 66,892 11,845 46,197 2, 946,861 3.3% 5.9% 88.94% 94.1% May -17 1,872,077 421,809 148,604 66,904 34,471 27,215 24,922 2,596,009 3.0% 5.0% 09.8% 95.0% Jun -1J 1,901,4]4 3]5,06] 131,562 51,]09 9, 333 15,186 51,010 2,535,341 3.7% 5.7% 90.0%94.3% Ju1-17 1,959,529 438,310 135,172 52,310 34,540 7,949 54,922 2,643,393 3.7% 6.G% 88.0% 94.0% Aug -17 1,565,207 548,410 143,762 55,181 29,749 17,895 40,975 2,401,780 3.3% 4.8% 87.5% 95.2% Sep -1] 1,655,132 426 426,033 182,399 35,906 5,783 19,655 53,933 2,378 292 Medicaid 463,578 213,740 69,899 24,823 123,579 30,214 60,01] 1, 005,850 232% 25.7% 10.1% 6Z3% 79.2% 74.3 89.9% Oct -16 Nov -16 615,528 306,644 124,202 4.165 393 6,H� 64,969 41,720 1,164,240 9.2% 7.2% 13.4% 63.9% 86.6% Doo -16 3)6,22] 138,023 182,531 49,566 1, 5,820 50,684 129 304,656 861,0]9 9.5% 22.2% 68.1% 71.8% 1an-17 4]1,0]3 109,557 83,221 109,745 32,115 240 49, 988,836 8.1% 15.3% 67.0% 84.7% Feb -17 499,028 262,788 ]5,997 70,139 95,052 11, 423 23,859 802,924 12.0% 18.9% 69.6% 81.1% Mar -17 366,982 152,054 132,363 55,197 32,554 31,887 31,866 797,364 9.2% 18.7% 72 3% 85.2% Apr -17 446,305 129,854 103,367 44,736 17,612 16,982 36,509 156,121 5.1% 8.7% 82.]% 91.3% May -17 379,502 80,220 47,061 17,661 1,005 4, 153 19,739 636,896 9.3% 11.2% 85.5% 88.8% Jun -17 436,594 108,262 21,015 13,369 51,724 4,769 1,162 651,426 1.4% 3. 90.2% 91.0% Jul -17 419,361 168,247 49,566 10,362 5,081 1,669 2,140 9]],911 1.3% 4.7%7% 83.5% 95.3% Aug -17 460,814 355,303 115,759 32,474 7,570 21521 2,963 2,324 761,383 3.4% 10.7% 76.7% 09.3% 5ep-17 426,389 157,688 95,749 55,878 18,320 5,034 C:\Users\pavillafuerte\APpData\Local\Mlcresoft\Windows\Temporary Internet Files\ContentoutT.2Ni rUUTGCP\AR Monthly Analysls Soard Packet, September 2017 Memorial Medical Clinics Accounts Receivable Agings C.\Users\pavillafuerte\AppOata\Local\Microsoft\Windows\Temporary Internet Files\C ntent.Outl.25 UTGCP\AR Monthly Analysis Board Packe, September 2017 Total 66,109 65,267 63,901 96,782 256,528 819,397 94.8% 52.7% 39.2% 38.1% 47.3% 43.9% Oci-I6 229,794 91,365 8, 616 30,591 351,596 ]]2,02] 50.6% 56.1% 48.3% Nov -16 221,125 72,735 45,069 42,296 732 (4,732) 360,831 791,494 49.6% 51.7% 417% Oec-36 231,945 98,009 52,240 21,981 31,714 27, 580 314,021 690,468 52.9% 593Y. 32.4°/. 405% Jan -17 179,845 45,939 57,264 45,917 21,902 292,038 776,148 42.9% 49 8% 45.7% 50.2% Feb -SJ 269,462 85,013 35,006 53,331 19,610 21,687 711,273 46.4% 50.9% 42.% 49.1% Mar -17 l] 175,914 125,935 47,390 31,997 37,612 18,716 2]3,]09 696,755 51.8% 34.33% 48.2% Apr -17 145,546 93,733 96,893 37,133 28,917 26,811 267,720 49.4% 59.4% 32.8% 40.6% May -17 175,689 51,363 53,860 69,057 10,]]9 12,250 319,039 692,052 50.9% 55]% 39.9% 44.3% 204,495 59,325 28,792 31,725 50,641 17,575 268,259 660,818 35.8% 39.5% 53.% 60.5% Jun -15 Jul 188,913 5],816 36,85] 28,]34 8, 625 29,129 142,000 502,0]4 31.8% 365% 55.66% 63.3% -17 243,288 83,211 49,994 29,131 14,703 8,905 162,924 587,105 28.0% 33.0% 60.1% 67.0% Aug -12 251,781 60,841 3],9]3 28,154 15,095 13,523 126,132 553,448 Sep -ll Medicare 854 5,770 6,049 24,462 51.8% 59'89" 4J.EY 99.9% Oct -16 5,501 3,022 1,320 1,947 (8,473) 71,965 83,982 58.3% 50.1% 69.1% Nov -16 MOV 34,331 5,791 1,738 (6,845) (14,531) (5,069) (17,296) 58,749 117,100 31.1%30.9y. 67.0% 113.7% -16 ]2,724 5,]52 2,396 (156) (365) (3,056) 18,179 -17.0% -13.7% 103,7% Jan -17 15,840 1,015 1,820 599 324 374 (3,594) 42,828 1 199.4% Feb -17 42,441 1,388 1,009 1,100 309 30 (528) 24,]44 -0.3% 0.6% 99.4% Mar -17 23,433 1,151 - 225 433 5,592 30,076 20.7% 20.8% 76.8% 79.2% Apr -IJ 16,50] 6, 599 720 65 488 105 (377) 31,594 117,824 28.7% 33.]% 56.0% 66.3% May -1] 56,671 9,259 12,170 5,862 2,646 30 (171) 22,948 . . 96.2V 98,7% Jun -17 1],406 4,659 582 (74) 515 52,157 71% 77% Jul -17 30,481 6,143 6,327 299 (530) 9,516 56,255 16.4% 22.7% 69.8% 77.3% Aug -17 42,603 (31362) 4,250 3,536 - ( 20) 8 9]42 91,393 1.3% 5.0% 88.3% 95.0% 6eP'12 ]8,6]4 2,048 6,124 3,316 436 - 596 Medicaid14.6% 6,064 1,098 6,024 90,527 28.4% 56.3% 71.6% 6].5% W-16 34,553 16,425 13,351 12,511 9,748 21,351 166,911 25.4% 32 5% 58.6% Nov -36 ]1,602 26,1¢5 14, 945 11,744 11,3]6 29,892 166,403 2¢ 8% 30.9% 53.8% 69.1% pec -16 40,821 49,]38 25,879 10,229 8,188 3,678 66,121 26.5% 32.4% 36.2% 67.3% Jan -17 16,626 ],325 20,563 9,089 3, 625 2,624 6,218 90.881 15.6% 36.4% 55.1% 63.6% Feb -17 33,792 16,271 9,698 17,132 3,292 9,980 ],185 83,2]5 26.6% 34.8% 48.3% 65.2% Mar -17 15,5¢3 24,656 14,061 2, 046 13,156 1,628 1,628 64, 7p6 35.6% 40.8% 32.8% 59.2% Apr -1] 15,411 4,112 15,472 2,06¢ 7,585 10,130 6,631 104,346 45.0% 60]% 32.4% 39.3% 29,694 9,108 4,185 15,492 (341) (1,957) 50,166 24.0% 28.8% 67.6% 71.2% May -1] 14,432 2,459 3,319 ],103 1,228 8,261 69, 052 21.4% 74.7% 78.3% Jun -17 32,250 1,653 1,540 321 1,232 6,658 45,010 181%° 61.3% 77.7% Jet 17 16,96] 6 16, 40 1,638 1, 068 296 7,512 46,962 18.9% 22.3% 51.7% 61.5% Aug -17 14,853 13,914 7,701 1,262 528 7,584 34, 630 27.1% 38.5% Sep -17 13,962 3,929 3,406 3,958 C.\Users\pavillafuerte\AppOata\Local\Microsoft\Windows\Temporary Internet Files\C ntent.Outl.25 UTGCP\AR Monthly Analysis Board Packe, September 2017 Memorial Medical Clinics Accounts Receivable Agings Commercial 5,509 2],556 126594 , 33.4% D 1/ 0 S o n y 1/ U d 60 D y / n d 90 D y Aging 0 0 31 6190 91 t2 1211 90,424 236,973 47.1% 55.1% 37.6% 44.9% Nov -16 BCBS 24,191 17,303 17,364 566 1, 509 4,]54 19,812 34.5% 45.7% 51.8% 54.3 Oct -16 7,397 2,859 498 2,230 15,]]0 (],128) 60,209 110,686 50.2% 53.6% 42.1% 46.4% Nov -16 41,245 5,308 4,833 3,215 3,005 9,645 49,041 123,948 43.6% 37.1% 51.8% 54.3% Dec -16 56,657 7,502 3,117 3,088 2,614 1,929 (11,195) 12,699 -38.6% -3].9% 37.9% 122.5% 13].9% Jan -17 15,036 526 1,947 90 (181) 6,476 (5,372) 17,981 '36.6% -19.2% 134.5% 19].1% Feb -17 6,660 15,105 (326) 2,308 - (394) (1,286) 20,006 6.0% -9J% 493.5% Marv17 2,789 4,112 12,515 (733) 2,488 120 (21,296) 29,831 32.0% 77.2% 9.2% 22.2% Apr -17 2,554 199 3. 859 13,683 2,549 647 6,340 90,498 ]9.4% 38.4% 9.3% 11.8% MaY'17 5,405 2,973 2,279 $019 8,845 8, 153 54,823 (1,9]2) 24,653 31.5% 4 1% 63.3% 69.6% Jun -17 20,029 (4,508) 1,641 (268) (24) 9,755 (1,756) 14,911 3.5% 15.2%% 15.5% 81.9% 84.8% Jul -17 11,144 986 512 828 (268) 3,465 2,381 21,396 2.5% 3.6% 199.4% 199A% Aug -17 20,935 660 121 438 882 932 (1,6391 - 38310 2.6% 0.6% Sep -17 37,143 934 - (751) - 989 212, 346 558,002 52.3% 60.2% 33.5% 11.7% 39.8 15.3% Commercial 5,509 2],556 126594 , 33.4% 3].0% 50.7% 63. OU -16 46,735 14,437 15,528 9,380 9, 250 90,424 236,973 47.1% 55.1% 37.6% 44.9% Nov -16 64,96] 24,191 17,303 17,364 11,626 11,098 2. 57.1% 36.6% 42.9% 62,292 20,590 14,206 11,200 15,]]0 10,621 91,482 226168 . 32.6% 6% 36.1% 50.6%63.9% Doo -16 6,706 13,671 3,579 5,265 9,645 18,586 102,734 37.1% 59.3% 62.9% Rm-17 45,282 122 4,215 16,080 3,342 8,519 13,977 112,884 229% 85.6% 89.6% Feb -17 53,630 13, 4,785 2,228 5,522 3,111 1,]49 120,8]8 10.7% 78.2% 109.5% Mar17 61,118 42,355 5,173 (2,768) 3,190 (13,490) 81,418 6.6% -16.5% -9J% 493.5% Apr -17 26,405 37,256 25,653 16,131 (7,987) (2,8]91 (21,296) 4,074 -]89.5% -393.5% 17].9% 84.% May -17 5,066 2,181 12,858 16,527 353 (555) 183,925 8.9% 15.3% 78.0% 7 Jun -17 111,604 31,936 11,222 12,838 3,687 (457) 147,532 4 1% lul-17 104,116 29,081 6,553 4,327 224 126 (1,269) 182,1]] 0.3% 91.3% 95.9% Aug -17 126,645 39,727 8,364 6,807 1,778 2,381 181,989 2.5% 3.6% 89.8% 96.4% Sep -17 124,179 39,183 12,093 2,047 1,173 932 Private Pay 43,999 96,666 32,895 212, 346 558,002 52.3% 60.2% 33.5% 11.7% 39.8 15.3% Oct -16 135,558 51,623 34,913 (2,860) 25,34fi 10],64] 1]3,4]4 . 13.2% Nov -16 8,980 11,294 6,251 16,81] (3,663) 131,667 155,8]5 88 7% 88.3% 86.8% 8.9% Dec -16 (549) 14,447 6,643 (2,881) 10,211 4,148 303,467 490,736 65.3% 73.0% 23.1% 27.0'% Jan -17 83,062 30,364 19,264 37,560 12,870 10,462 2]],256 5 511,573 58.]% 62. 33.6% 38.0% -1] 132,939 39,126 22,413 56,711 12,667 13,827 266,590 462,371 64.1% 69.1% 1%Feb 27.4% 30.9% Mar -17 73,030 53,651 16,030 23,231 16,012 262,647 490,725 60.4% 63]% 25.9% 36.3% Apr -17 89,668 42,568 50,889 16,350 2,063 12,740 375,311 508% 65.1% 29.8% 34.9% May -17 78,853 32,843 19,367 23,572 7 7,613 9,310 203,753 360,240 82.1% 86.4% 10.0% 13.6% lun-17 23,206 12,806 12,888 35, 913 26,526 6,209 262,695 242,965 65.1% 69.9% 21.1% 30.1% Jul 25,206 24,966 21,813 11,]40 8,878 11,629 149,233 66.1% 25.2% 33.9% -17 38,252 32,91 29,509 16,]12 30, 9]5 9,022 148,373 280,314 66.9% 76.4% ]6.4% 15.7% 23.6% Aug -ll 17,824 14,747 16,351 19,582 12,173 11,0]8 115,3]2 20],126 Sep -1] All Immred 16,733 13,087 44,383 261, 395 28.7% 36.8% 51.2% 63.2% 52.2% Oct -16 94,186 39,742 31,196 21,268 5,245 243,949 598,553 478% 45.7% Nov -16 212,145 61,440 38,818 25, 11,476 (1,069) 229,164 635,619 39.3% 43.1% 49.]% 56.9% Doe -16 232,494 83,562 45,598 24,368368 21,503 10,554 199,]32 21.5% 25.3% 55.3% 74.3% Jan -17 94,783 38, 000 8,357 9,032 23,432 264,5]5 12.5% 26.3% 68.4% 73.7% 136,523 45,5]4 45,88] 12,595 36,620 6,943 11,224 34,783 13.5% 13.3% 70.4% 83.0•A Feb -17 102,884 52,289 31,360 8,765 27,600 889 4.072 7,119 248,902 13.1% 23.3% 54.4% 767% Marl? Apr -1] 60,878 51,165 46,009 20,984 ],854 14, 5,073 206,030 lnterne[Files\ContentOuiloale q\LUTGCP\AR Monthly AnalY sis Board Packet - September 2017 c:\Users\paviliafuerte\AppDa[a\Local\Microsoft\Windows\Temporary 0 RUN DATE:10/18/17 MEMORIAL 142DICAL CENTER TIM6:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK--CHECK------------------------------------------ CODE ---__-__-_---_--__-_---__-----_---- CODE NUMBER DATE 9101MT PAYER A/P 000945 09/11/17 6,342.59 MCKESSON A/P 000946 09/18/17 2,308.03 MCKESSON A/P * 000947 09/25/17 4,471.36 MCKESSON A/P * 165231 09/19/17 2,566.21CR RS CLARK & ASSOCIATES, INC A/P * 165946 09/19/17 771.61CR RS CLARK & ASSOCIATES, INC A/P * 166691 09/19/17 910.44CR RS CLARK & ASSOCIATES, INC A/P * 168335 09/19/17 79.000R BABETTE BETHANY A/P * 168421 09/19/17 27,54CR POWER HARDWARE A/P * 168608 09/19/17 398.65CR UNIFORM ADVANTAGE A/P * 168630 09/19/17 175.I8CR PHYSICIAN SALES & SERVICE A/P * 168718 09/19/17 281.09CR RE CLARK & ASSOCIATES, INC A/P * 168737 09/19/17 280.000R BASLE FIRE & SAFETY INC A/P * 169035 09/19/17 199.30CR DSHS CENTRAL LAB MC2004 A/P * 169738 09/19/17 58.98CR PLATINUM CODE A/P * 169998 09/19/17 67.00CR HAYES ELECTRIC SERVICE A/P * 170292 09/19/17 8.56CR A/P * 170359 09/19/17 2,367.85CR WAGEWORKS A/P * 171723 09/19/17 36,OOCR THE UNIFORM CONNECTION A/P * 172376 09/13/17 2,388,274.39 NEC OPERATING PROSPERITY ACC A/P 172599 09/05/17 507.32 BERRI HART A/P 172600 09/05/17 1,147.50 PABLO GARZA A/P 172601 09/05/17 2,410.00 AGGIE INSPECTOR GROUP LLC A/P 172602 09/05/17 483.89 SHIRLEY KARNEI A/P 172603 09/06/17 187.80 PHILIPS HEALTHCARE A/P 172604 09/06/17 2,025.61 US FOOD SERVICE A/P 172605 09/06/17 8,333.33 HITACHI MEDICAL SYSTEMS A/P 172606 09/06/17 1,343.50 CENTURION MEDICAL PRODUCTS A/P 172607 09/06/17 866.97 DEWITT POTH & SON A/P 172608 09/06/17 230.42 PRECISION DYNAMICS CORP (PDC) A/P 172609 09/06/17 29,425.00 WOUND CARE SPECIALISTS A/P 172610 09/06/17 47,267.25 DEE, LLP A/P 172611 09/06/17 114,527,64 DISCOVERY MEDICAL NETWORK INC A/P 172612 09/06/17 2,177.00 WAGEWORKS A/P 172613 09/06/17 36,870.76 DTIC EMPLOYEE BENEFIT PLAN A/P 172614 09/06/17 312.22 GENESIS DIAGNOSTICS A/P 172615 09/06/17 6,452.64 BANK OF THE WEST A/P 172616 09/06/17 60,00 MEMORIAL MEDICAL CLINIC A/P 172617 09/06/17 1,465.00 M G TRUST A/P 172618 09/06/17 2,115.15 REVCYCLB+, INC. A/P 172619 09/06/17 1,116.00 SHIFTHOUND (ABILITY NETWORK) A/P 172620 09/06/17 75.00 FIRST CLEARING A/P 172621 09/06/17 874.45 AIRESPRING INC A/P 172622 09/06/17 931.00 TRIZETTO PROVIDER SOLUTIONS A/P 172623 09/06/17 5,872.00 FUSION MEDICAL STAFFING, LLC A/P 172624 09/06/17 756.64 MARLIN BUSINESS BANK A/P 172625 09/06/17 1,616.05 THE US CONSULTING GROUP A/P 172626 09/06/17 15.00 NAZARIO HERNANDEZ A/P 172627 09/06/17 280.66 IRON MOUNTAIN A/P 172628 09/06/17 8.76 DOROTHY BOWUZ A/P 172629 09/06/17 654.00 GREAT BASIN SCIENTIFIC, INC -27- PACE 1 GLCKREG RUN DATB:10/18/17 MEMORIAL MEDICAL CENTER TIME:16:41 CHECK REGISTER 09/01/17 THEW 09/30/17 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE __------ --------------------------------------------___--__-__-__- A/P 172630 09/06/17 10.00 JOSE G QUEZADA A/P 172631 09/06/17 40,062.50 EMERGENCY STAFFING SOLUTIONS A/P 172632 09/06/17 610.00 DOWELL PEST CONTROL A/P 172633 09/06/17 11,761.74 ALLSTATE A/P 172634 09/06/17 55.08 CYRACOM LLC A/P 172635 09/06/17 54.30 C R BARD INC A/P 112636 09/06/17 250.00 CITY OF PORT LAVACA A/P 172637 09/06/17 548.00 FDA-MQSA PROGRAM A/P 172638 09/06/17 535.50 FISHER HEALTHCARE A/P 172639 09/06/17 116.59 GETINGE USA A/P 112640 09/06/17 193.65 GULF COAST PAPER COMPANY A/P 172641 09/06/17 160.00 HOSPIRA WORLDWIDE, INC A/P 172642 09/06/17 5,180.29 INTEGRATED MEDICAL SYSTEMS A/P 172643 09/06/17 84.00 J & J HEALTH CARE SYSTEMS, INC A/P 172644 09/06/17 3,466.43 MCKESSON MEDICAL SURGICAL INC A/P 172645 09/06/17 1,454.97 NBDLINE INDUSTRIES INC A/P 172646 09/06/17 1,430.80 BAYER HEALTHCARE A/P 172647 09/06/17 760.93 MERRY X-RAY/SOURCEONE HEALTHCA A/P 172648 09/06/17 3,750,00 NUTRITION OPTIONS A/P 172649 09/06/17 202.09 ORTHO CLINICAL DIAGNOSTICS A/P 172650 09/06/17 .00 VOIDED A/P 17265I 09/06/17 2,878.59 OWENS & MINOR A/P 172652 09/06/17 237.00 RECEIVABLE MANAGBMBNT, INC A/P 172653 09/06/17 268.45 SHERWIN WILLIAMS A/P 172654 09/06/17 154.79 SMILE MAKERS A/P 172655 09/06/17 35.21 UNIFIRST HOLDINGS A/P 172656 09/06/17 2,550.66 UNIFIRST HOLDINGS INC A/P 172657 09/06/17 98.11 ELITECH GROUP INC (WESCOR) A/P 172658 09/06/17 136.88 GRAINGER A/P 172659 09/06/17 378.51 MED IMPACT (REB) A/P 172660 09/06/17 23,592.00 ITA RESOURCES INC A/P 3 172661 09/06/17 1,867.61 CHARLES SAMARA A/P 172663 09/15/17 32,129.81 ASHFORD GARDENS A/P 172664 09/15/17 20.00 BARTON RICHARD A/P 172665 09/15/17 16.00 BLAKE BOYD C A/P 172666 09/15/17 176.94 BUEHRING DENNIS RAY A/P 172667 09/15/17 632.36 CALHOUN COUNTY INDIGENT A/P 172668 09/15/17 2,943.67 CALHOUN COUNTY INDIGENT A/P 172669 09/15/17 1,254,66 CALHOUN COUNTY INDIGENT A/P 172670 09/15/17 453.12 CALHOUN COUNTY INDIGENT A/P 172671 09/15/17 453,12 CALHOUN COUNTY INDIGENT A/P 112672 09/15/17 59.44 DEPARTMENT OF VA A/P 172673 09/15/17 4,046.60 DEPARTMENT OF VA A/P 172674 09/15/17 1,111.39 ESS A/P 172675 09/15/17 1,016.00 FRONTIER LOGISTICS A/P 172676 09/15/17 51.39 A/P 172677 09/15/17 80.77 A/P 172670 09/15/17 47.29 A/P 172679 09/15/17 21.45 A/P 172680 09/15/17 19.98 A/P 172681 09/15/11 144.68 WC PAGE 2 GLCKREG RUN DAT8;10(18(17 MEMORIAL MPAGE 3E➢ICAC CENTER GLCKRBG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09(30/17 BANK--CHECK-------- CODENUMBER DATE - ---------------- ------------------------------- AMOUNT PAYEE A/P 172682 09/15/17 A/P 172683 09/15/17 A/P 112684 09/15/17 A/P 172685 09/15/17 A/P 172686 09/15/17 A/P 172687 09(15/17 A/P 112688 09/15/17 A/P 172689 09/15(17 A/P 172690 09/15/17 A/P 172691 09/15/17 A/P 172692 09/15/17 A/P 172693 09/15/17 A/P 172694 09/15/17 A/P 172695 09/15/17 A/P 172696 09/15/17 A/P 172697 09/15/17 A/P 172698 09/15/17 A/P 172699 09/15/17 A/P 172700 09/15/17 A/P 172701 09/15/17 A/P 172702 09/15/17 A/P 172703 09/15/17 A/P 172704 09/15/17 A/P 172705 09/15/17 A/P 172706 09/15/17 A/P 172707 09/15/17 A/P 172708 09(15/17 A/P 172709 09/15/17 A/P 172710 09/15/17 A/P 172711 09/15/17 A/P 172712 09/15/17 A/P 112713 09/15/17 A/P 172714 09/15/17 A/P 172715 09/15/17 A/P 172716 09/15/17 A/P 172717 09/15/17 A/P 172718 09/15/17 A/P 172719 09/15/17 A/P 172720 09/15/17 A/P 172721 09/15/17 A/P 172722 09/15/17 A/P 172723 09/15/17 A/P 172724 09/15/17 A/P 172725 09/15/17 A/P 172726 09/15/17 A/P 172727 09/15/17 A/P 172728 09/15/17 A/P 172729 09/15/17 A/P 112730 09/15/17 A/P 172731 09/15/17 A/P 172732 09/15/17 164.40 9,916.20 GOLDEN CREEK BEALTHCAR 71.21 15.29 217.80 71.34 87.56 99.10 140.66 45.27 686.00 53.54 11.50 42.91 22.30 1,477.00 3,021.15 444.18 8,954.08 40.65 2,085.84 385.86 .00 .00 .00 1,400.00 369.96 2,993.44 795.00 739.15 117.00 93.27 1,133.08 4,814.45 572.32 35,837.13 284.80 1,198.30 247.53 333.82 330.04 466.89 700.00 621.50 253.04 8,562.94 51.76 3,099.74 1,134.67 5,756.70 410.00 SOLERA WEST HOUSTON SWIDERSKI CONNIE THE BROADMOOR AT CREEK THOMAS LORI ANN WILLIAM CROWLEY ACCLARENT, INC. _ VOIDED VOIDED ACE HARDWARE 15521 ACUTE CARE INC ADAM BESIO AIRGAS USA, LLC - CENTRAL DIV ALCOR LABORATORIES, INC. ALPHA TBC SYSTEMS INC A14BRISOURCEBERGEN DRUG CORP AQUA BEVERAGE COMPANY ARGON MEDICAL DEVICES BAXTER HEALTHCARE BAYER HEALTHCARE BECKMAN COULTER INC SHE MACHINE & PUMP REPAIR, LLC BIRCH COMMUNICATIONS BRIGGS HEALTHCARE BUCKEYE CLEANING CENTER C R BARD INC CABLE ONE CALHOUN COUNTY INDIGENT ACCOUN CARDINAL HEALTH 414, INC. CARROT TOP INDUSTRIES INC CDW GOVERNMENT, INC. CENTRRPOINT ENERGY CENTURION MEDICAL PRODUCTS CITY OF PORT LAVACA CLINICAL PATHOLOGY COOK MEDICAL INCORPORATED -29- RUN DATE:10/18/17 MEMORIAL MEDICAL CENTER TIMB:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK --CHECK____________________________________________________ CODE NUMBER DATE A140UNT PAYEE _________________________________-___-___-__-___--_--___-______-___ A/P 172733 09/15/17 173.00 CORPUS CHRISTI STAMP WORKS INC A/P 172734 09/15/17 255.75 COVER ONE A/P 172135 09/15/17 60.85 CUSTOM MEDICAL SPECIALTIES A/P 172736 09/15/17 448.00 CYGNUS MEDICAL LLC A/P 172737 09/15/17 949.00 CYRACOM LLC A/P 172738 09/15/17 6,311.33 DELTA HEALTHCARE PROVIDERS A/P 172139 09/15/17 902.22 DEWITT POTH & SON A/P 172740 09/15/17 50,311.25 DIAMOND HEALTHCARE CORP A/P 172741 09/15/17 235.75 OLE PAPER & PACKAGING A/P 172742 09/15/17 23.37 DOROTHY BONUZ A/P 172743 09/15/17 41.00 DOWNTOWN CLEANERS A/P 172744 09/15/17 199.30 DEES CENTRAL LAB MC2004 A/P 172745 09/15/17 83.50 DYNATRONICS CORPORATION A/P 172746 09/15/17 85,000.00 EMERGENCY STAFFING SOLUTIONS A/P 172747 09/15/17 153.99 EBBE USA INC SURGICAL SYSTEMS A/P 172748 09/15/17 36,790.82 EVIDENT A/P 172749 09/15/17 954.00 EVWUA WATER TECHNOLOGIES LLC A/P 172750 09/15/17 495.00 FASTHEALTH CORPORATION A/P 172751 09/15/17 119.50 FEDERAL EXPRESS CORP. A/P 172752 09/15/17 10,297.60 FISHER HEALTHCARE A/P 172753 09/15/17 530.00 FORT BEND SERVICES, INC A/P 172754 09/15/17 50,42 FRONTIER A/P 172755 09/15/17 3,136.00 FUSION MEDICAL STAFFING, LLC A/P 172756 09/15/17 4,750.45 GARDNER & WHITE, INC. A/P 172757 09/15/17 3,236.62 GB HEALTHCARE A/P 172758 09/15/17 860.92 GE HEALTHCARE IITS USA CORP A/P 172759 09/15/17 1,243.77 GIMOSMITHKLINE PHARMACUETICAL A/P 172760 09/15/17 28.80 GRAINGER A/P 172761 09/15/17 833.51 GULF COAST PAPER COMPANY A/P 172762 09/15/17 340.00 HEALTHCARE CODING & CONSULTING A/P 172763 09/15/17 11.25 HOSPIRA WORLDWIDE, INC A/P 172764 09/15/17 170.00 INTOXIMETERS INC A/P 172765 09/15/17 977.89 J & J HEALTH CARE SYSTEMS, INC A/P 172766 09/15/17 284.33 JACKSON & COKER LOCUM TONERS, A/P 172767 09/15/17 488.26 JOHNSTONE SUPPLY A/P 172768 09/15/17 106.78 JULIE NGUYEN A/P 112769 09/15/17 196.60 LABCORP OF AMERICA HOLDINGS A/P 172770 09/15/17 400.00 LAMAR COMPANIES A/P 172771 09/15/17 18.00 LANGUAGE LINE SERVICES A/P 172772 09/15/17 469.90 MARKETLAB, INC A/P 172173 09/15/17 .00 VOIDED A/P 172774 09/15/17 2,440.05 14CKESSON MEDICAL SURGICAL INC A/P 172775 09/15/17 .00 VOIDED A/P 172776 09/15/17 2,178.92 RULING INDUSTRIES INC A/P 172777 09/15/17 54.00 MEGADYNE MEDICAL A/P 172778 09/15/17 1,515.44 MERRY X-RAY/SOURCHONE HEALTHCA A/P 172779 09/15/17 258.52 METLIFE A/P 172780 09/15/17 194.96 MICHAEL CHAVANA A/P 172781 09/15/17 284.52 MICROTEK MEDICAL INC A/P 172782 09/15/17 908,00 MILLENNIUM SURGICAL CORP A/P 172783 09/15/17 80.60 MMC AUXILIARY GIFT SHOP _3O_ PAGE 4 GLCKREG MEMORIAL MEDICAL CENTER PAGE 5 RUN DATB:10/18/17 TIP1E:16:41 CHECK REGISTER GLCKREG 09/01/17 THIN 09/30/17 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE -------------------_-__--__--_---___--___-__-__---------_--_--__--_-_ A/P 172784 09/15/17 48,941.54 MMC EMPLOYEE BENEFIT PLAN A/P 172785 09/15/17 .00 VOIDED A/P 172786 09/15/17 .00 VOIDED A/P 172787 09/15/11 .00 VOIDED A/P 172788 09/15/17 24,646.96 MORRIS & DICKSON CO, LLC A/P 172789 09/15/17 32,00 NATUS MEDICAL INC A/P 172790 09/15/17 234,325.00 NOVITAS SOLUTIONS - PART A A/P 112791 09/15/17 61,74 OFFICE DEPOT A/P 172792 09/15/17 52.93 ORIENTAL TRADING CO INC A/P 172793 09/15/17 2,218.51 GRIND CLINICAL DIAGNOSTICS A/P 172794 09/15/17 .00 VOIDED A/P 172795 09/15/17 .00 VOIDED A/P 172796 09/15/17 .00 VOIDED A/P 172797 09/15/17 .00 VOIDED A/P 172798 09/15/17 .00 VOIDED A/P 172799 09/15/17 16,561.85 OWENS & MINOR A/P 172800 09/15/17 127.50 PABLO GARZA A/P 172801 09/15/17 8,811.03 PAETEC (WINDSTREAM) A/P 172802 09/15/17 165.00 PALACIOS BEACON A/P 172803 09/15/17 2,000.00 PARA A/P 172804 09/15/17 404.64 PH04EDIUM SERVICES LLC A/P 172805 09/15/17 2,627.00 PHILIPS HEALTHCARE A/P 172806 09/15/17 811.60 POLYMEDCO INC. A/P 172807 09/15/17 800.50 PORT LAVACA WAVE A/P 172808 09/15/17 619.18 PRECISION DYNAMICS CORP (PDC) A/P 172809 09/15/17 97.00 PSYCHEMEDICS CORPORATION A/P 172810 09/15/17 3,130.88 QIAGBN INC A/P 172811 09/15/17 3,292.00 RADSOURCE A/P 172812 09/15/17 13.76 RECEIVABLE MANAGEMENT, INC A/P 172813 09/15/17 3,247.00 ROBERTS, ROBERTS & ODEFEY, LLP A/P 172814 09/15/17 235.00 RX WASTE SYSTEMS LLC A/P 172815 09/15/17 194.50 SARA RUBIO A/P 172816 09/15/17 736.50 SETON IDENTIFICATION PRODUCTS A/P 172817 09/15/17 282.37 SHIRLEY KARNEI A/P 172818 09/15/17 1,350.66 SIEMENS FINANCIAL SERVICES A/P 172819 09/15/17 796.31 SMITH & NEPHEW A/P 17282C 09/15/17 300.44 SMITHS MEDICAL ASD INC A/P 172821 09/15/17 6,932.26 SOUTH TEXAS BLOOD & TISSUE CEN A/P 172822 09/15/17 385.00 STANFORD VACUUM SERVICE A/P 172823 09/15/17 1,935.39 STERICYCLE, INC A/P 172824 09/15/17 361.31 STRYKER SALES CORP A/P 172825 09/15/17 184.30 STRYKER SUSTAINABILITY Alp 172826 09/15/17 495.00 T -SYSTEM, INC A/P 172827 09/15/17 3,690.52 TEXAS ADVANTAGE COMMIT Y BANK A/P 172828 09/15/17 6,312.00 TEXAS HOSPITAL ASSOCIATION A/P 172829 09/15/17 5,897.00 TEXAS TECH UNIVERSITY HEALTH A/P 172830 09/15/17 553.86 THE VICTORIA ADVOCATE A/P 172831 09/15/17 9,000.00 TOSHIBA AMERICA MEDICAL SYST, A/P 172832 09/15/17 32,464.12 TXU ENERGY A/P 172833 09/15/17 105.63 UNIFIRST HOLDINGS A/P 172834 09/15/17 ,00 VOIDED -31- RUN DATS:10/18/17 MEMORIAL MEDICAL CENTER PAGE 6GLCKRBG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK--MCK ---------------------------------------------------- CODE NUI4BER DATE AP40UNT PAYEE --- ----------------------------_-_---__-__-_.--_--__--_--_--__-_---_--___--_ A/P 172835 09/15/17 6,568.28 UNIFIRST HOLDINGS INC A/P 172836 09/15/17 53.98 UNIFORM ADVANTAGE A/P 172837 09/15/17 585.94 UPS A/P 172838 09/15/17 223.40 VERIZON WIRELESS A/P 172839 09/15/17 16,556.56 VICTORIA ANESTHESIOLOGY A/P 172840 09/15/17 510.00 VICTORIA RADIOWORKS, LTD A/P 172841 09/15/17 1,028.86 WALNUT C0MMUNITY A/P 172842 09/15/17 4,322,98 WERFEN USA LLC A/P 172843 09/15/17 3,679.00 WEST COAST MEDICAL RESOURCES A/P 172844 09/15/17 341.08 WEST INTERACTIVE SERVICES CORP A/P 172845 09/15/17 15,125.00 WOUND CARE SPECIALISTS A/P 172846 09/15/17 .00 VOIDED A/P 172847 09/15/17 .00 VOIDED A/P 172848 09/15/17 858.05 ACE HARDWARE 15521 A/P 172849 09/19/17 79.00 DANETTS BETHANY A/P 172850 09/19/17 8.56 MISTY RECTOR A/P 172851 09/19/17 27.54 POWER HARDWARE A/P 172852 09/19/17 2,367.85 WAGEWORKS A/P 172853 09/20/17 883.92 JOSEPH REDMON A/P 172854 09/22/17 532.09 MEDI14PACT HEALTHCARE SYS, INC. A/P 172655 09/28/17 340.98 4IMPRINT A/P 172856 09/28/17 .00 VOIDED A/P 172857 09/28/17 826.03 ACS HARDWARE 15521 A/P 172858 09/28/17 636.00 ALCON LABORATORIES, INC. A/P 172859 09/28/17 58.50 AMBRISOURCEBERGEN DRUG CORP A/P 172860 09/28/17 20.34 AQUA BEVERAGE CO14PANY A/P 172861 09/28/17 629.50 BAXTER HEALTHCARE A/P 172862 09/28/17 22,893.23 BECKMAN COULTER INC A/P 172863 09/28/17 886.88 BECTON, DICKINSON & CO (BD) A/P 172864 09/28/17 550.28 HHB MACHINE & PUMP REPAIR, LLC A/P 172865 09/28/17 2,351.70 BKD, LLP A/P 172866 09/28/17 141.06 CALHOUN COUNTY A/P 172867 09/28/17 250.00 CALHOUN SPORTS MEDICINE A/P 172868 09/28/17 1,080.46 CARDINAL HEALTH 414, INC. A/P 172869 09/28/17 192.59 CAREFUSION 211, INC A/P 172870 09/28/17 600.32 CENTURION MEDICAL PRODUCTS A/P 172871 09/28/17 160,00 CHRIS KOVAREK A/P 172872 09/28/17 6,866.04 CITY OF PORT LAVACA A/P 172873 09/28/17 1,515,00 CLIA LABORATORY PROGRAM A/P 172874 09/28/17 6,353.11 CLINICAL PATHOLOGY A/P 172875 09/28/17 1,323.00 COKER GROUP HOLDINGS, LLC A/P 172876 09/28/17 2,020.70 COMBINED INSURANCE CO A/P 172877 09/28/17 636.37 CONNED CORPORATION A/P 172878 09/28/17 746.19 COMM LINVATEC A/P 172879 09/28/17 664.80 COOK MEDICAL INCORPORATED A/P 172880 09/28/17 1,377.84 COOPER SURGICAL INC A/P 172881 09/28/17 6,501.53 COVIDIEN A/P 172082 09/28/17 7,682.67 CSI LEASING INC A/P 172883 09/28/17 600.40 CULLIGAN OF VICTORIA A/P 172884 09/28/17 392.05 CUST014 MEDICAL SPECIALTIES A/P 172685 09/28/17 700.00 D HARRIS CONSULTING LLC -32- RUN DATE:10/18/17 MEMORIAL MEDICAL CENTER PAGE 7GLCKREG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK --CHECK__________________________________________________ CODE NUMBER DATE AMOUNT PAYEE A/P 172886 09/28/17 1,500.00 DATA INNOVATIONS LLC A/P 172887 09/28/17 3,765.32 DELTA HEALTHCARE PROVIDERS A/P 172888 09/28/17 215.84 DEWITT TOTE & SON A/P 172889 09/28/17 50,811.25 DIAMOND HEALTHCARE CORP A/P 172890 09/28/17 1,392.00 DIESEL OIL CO INC A/P 172891 09/28/17 1,815.00 DIGITAL INOVATION, INC. A/P 172892 09/28/17 115,078.69 DISCOVERY MEDICAL NETWORK INC A/P 172893 09/28/17 610.00 DOWELL PEST CONTROL A/P 172894 09/28/17 174.40 DOWNTOWN CLEANERS A/P 172895 09/28/17 27.45 EMERGENCY 14EDICAL PRODUCTS A/P 172896 09/28/17 71.98 EPIPHANY ARCHANGEL A/P 172897 09/28/17 262.14 ERIN CLEVENGER A/P 172898 09/28/17 996.98 EVIDENT A/P 172899 09/28/17 27.72 FASTBNAL COMPANY A/P 172900 09/28/17 165.26 FEDERAL EXPRESS CORP. A/P 172901 09/28/11 406.48 FFF ENTERPRISES A/P 172902 09/28/17 495.28 FIRESTONE OF PORT LAVACA A/P 172903 09/28/11 150.00 FIRST CLEARING A/P 172904 09/28/17 .00 VOIDED A/P 172905 09/28/17 5,038,29 FISHER HEALTHCARE A/P 172906 09/28/17 8,400.00 FUSION MEDICAL STAFFING, LLC A/P 172907 09/28/17 3,236.62 GE HEALTHCARE A/P 172908 09/28/17 1,923.16 GRAINGER A/P 172909 09/28/17 25.00 GULF COAST DELIVERY A/P 172910 09/28/17 952.72 GULF COAST PAPER COMPANY A/P 172911 09/28/17 971.00 HEALTHCARE CODING & CONSULTING A/P 172912 09/28/17 3,137.91 HEALTHSTREAM, INC. A/P 172913 09/28/17 1,111.00 INDUSTRIAL COMMUNICATIONS A/P 172914 09/28/17 2,275.00 INFINITI COMMUNICATIONS TECHNO A/P 172915 09/28/17 09.50 INTERSTATE ALL BATTERY CENTER A/P 172916 09/28/17 302.50 INTOXIMETERS INC A/P 172917 09/28/17 3,768.59 J & J HEALTH CARE SYSTEMS, INC A/P 172918 09/28/17 22,472.58 JACKSON & COKER LOCUM TENENS, A/P 172919 09/28/17 441.83 JOHNSTONE SUPPLY A/P 172920 09/28/17 1,242.50 LABCORP OF AMERICA HOLDINGS A/P 172921 09/28/17 710.31 LANDAUER INC A/P 172922 09/28/17 25.20 LANGUAGE LINE SERVICES A/P 172923 09/28/17 169.94 LAWSON PRODUCTS A/P 172924 09/28/17 2,600.00 LIFESOURCE EDUCATIONAL SRV LLC A/P 172925 09/28/17 121.08 LOWE'S HOME CENTERS INC A/P 172926 09/28/17 1,191.88 LUMINANT ENERGY COMPANY LLC A/P 172927 09/28/17 2,880.00 M G TRUST A/P 172928 09/28/17 1,981.52 MARKRTLAB, INC A/P 172929 09/28/17 238.95 MARTIN PRINTING CO A/P 172930 09/28/11 1,597.87 MEDICAL DATA SYSTEMS, INC. A/P 172931 09/28/17 106.73 MELSTAN, INC. A/P 172932 09/28/17 300.00 MEMORIAL MEDICAL CLINIC A/P 172933 09/28/17 1,911.18 MERCK SHARP & DOHME CORP A/P 172934 09/28/17 164.54 RMC AUXILIARY GIFT SHOP A/P 172935 09/28/17 52,491.31 NMC EMPLOYEE BENEFIT PLAN A/P 172936 09/28/17 134.68 MMC VOLUNTEERS -33- RUN DATE:10/18/17 MEMORIAL MPAGE 8EDICAL CENTER GLCKRBG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK --CHECK__________________________________________________ CODE NUMBER DATE AMOUNT PAYEE A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P 172937 09/28/17 172938 09/28/17 172939 09/28/17 172940 09/28/17 172941 09/28/11 112942 09/28/17 172943 09/28/17 172944 09/28/17 172945 09/28/17 172946 09/28/17 172947 09/28/17 172948 09/28/17 172949 09/28/17 172950 09/28/17 172951 09/28/17 172952 09/28/17 172953 09/28/17 172954 09/28/17 172955 09/28/17 172956 09/28/17 172957 09/28/17 172958 09/28/17 172959 09/28/17 172960 09/28/17 172961 09/26/17 172962 09/28/17 172963 09/28/17 172964 09/28/17 172965 09/28/17 172966 09/20/17 172967 09/28/17 172968 09/28/17 172969 09/28/17 172970 09/28/17 172971 09/28/17 172972 09/28/17 172973 09/28/17 112974 09/28/17 172975 09/28/17 172976 09/28/17 172977 09/28/17 172978 09/28/17 172979 09/26/17 172980 09/28/17 172981 09/28/17 172982 09/28/17 172983 09/28/17 172984 09/28/17 172985 09/28/17 172986 09/28/17 172987 09/28/17 .00 VOIDED 00 VOIDED .00 VOIDED VOIDED .00 11,944.74 423.50 1,500.00 298.28 747.57 2,531.32 655.00 4,000.00 247.84 389.34 11,001.20 74.88 5,125.00 87.50 80.00 2,921.65 3,488.45 240.00 1,928.60 1,822.47 30.33 565.00 558,00 714.89 1,367.99 1,625.00 155.00 351,63 5,167.22 572.86 18,930.23 1,075.62 2,720.00 3,094.00 182.00 232.87 4.97 9,000.00 1,500.19 70.42 .00 4,785.66 1,365.42 232.45 12,494.84 340.00 967.17 MORRIS & DICKSON CO, LLC NOVA BIOMEDICAL NUTRITION OPTIONS OFFICE DEPOT GRIND CLINICAL DIAGNOSTICS OWENS & MINOR PABLO GARZA PARA PERFORMANCE HEALTH PRARMEDIUM SERVICES LLC PORT LAVACA RETAIL GROUP LLC POWER HARDWARE PREMIER SLEEP DISORDERS CENTER PSYCHEMEDICS CORPORATION RACHEL MUNOZ RANDY'S FLOOR COMPANY REGINA JOHNSON REVISTA de VICTORIA REXEL SANOFI PASTEUR INC SARA RUBIO SHERWIN WILLIAMS SHIFTHOUND (ABILITY NETWORK) SHIRLEY KARNEI SIEMENS FINANCIAL SERVICES SIGN AD, LTD. SIMPLER, INC. BMITHS MEDICAL ASD INC SOUTH TEXAS BLOOD & TISSUE CEN STAPLES ADVANTAGE STUDER GROUP SYSCO FOOD SERVICES OF TELCOR TEXAS MUTUAL INSURANCE CO THE TRIBUNE THE US CONSULTING GROUP TODD SAVOY TOSHIBA AMERICA 14EDICAL SYST. TRIZETTO PROVIDER SOLUTIONS UNIFIRST HOLDINGS VOIDED UNIFIRST HOLDINGS INC UNIFORM ADVANTAGE UPS US FOOD SERVICE VARSITY SPORTS UNLIMITED VICTORIA ADVOCATE -34- PAGE 9 RUN DATE:10/18/17 MEMORIAL MEDICAL CENTER GLCKREG TI2:16:41 CHECK 09/01/17 REGISTER THRU09/30/17 BANK --CHECK____-__-______________________________________-___ CODE NUMBER DATE AMOUNT PAYEE __ --- ------------------------------------------------------------ A/P 172988 09/28/17 510.00 VICTORIA RADIOWORKS, LTD A/P 172989 09/28/17 2,163.62 WAGEWORKS A/P 172990 09/28/17 2,138.62 WAGEWORKS A/P 172991 09/28/17 2,496.00 WALLER,LANSDBN, DORTCH & DAVIS A/P 172992 09/28/17 424.20 WATERMARK GRAPHICS INC A/P 172993 09/28/17 392.14 WEST INTERACTIVE SERVICES CORP A/P 172994 09/28/17 485,49 NIS TRIWEST VAPC3 A/P 172995 09/29/17 449.68 MED IMPACT (HEB) TOTALS: 4,171,097.28 -35- PAGE 10 RUN DATE:10/18/17 MEMORIAL MEDICAL CENTER GLCKREG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 DANK --CHECK_________________________________________________ CODE NUMBER DATE AMOUNT PAYEE ICP 012000 09/12/17 69.01 COMMUNITY PATHOLOGY ASSOCIATES ICP 012001 09/12/17 534.90 PORT LAVACA CLINIC ASSOC, PA ICP 012002 09/12/17 170.01 REGIONAL EMPLOYEE ASSISTANCE ICP 012003 09/12/17 659.49 VICTORIA ANESTHESIOLOGY, LLP ICP 012004 09/12/17 233.62 VICTORIA EYE CENTER ICP 012005 09/12/17 47,696.67 MEMORIAL MEDICAL CENTER ICP 012006 09/12/17 435.43 SINGLETON ASSOCIATES PA ICP 012007 09/12/17 3,826.43 MEMORIAL MEDICAL CLINIC ICP 012000 09/12/17 186.92 ADD SPORTS MEDICINE CLINIC ICP 012009 09/12/17 47.85 RICHARD ARROYO-DIAZ TOTALS: 53,880.33 -36- M116MORIAL 149DICAL CENTER PAGE 11 RUN DATE:10/11/17 GLCKREG TID1E;16:41 ISTER 09/01/17GTHRU 09/30/17 BANK--CHECK----------------- CODE -_--__-_--_-_-CODE NUMBER DATE AMOUNT PAYEE P/R 000944 09/06/17 2,142.72 MCKESSON TOTALS: 2,142.72 -37- RUN ➢AT8:10/18/17 MEMORIAL MEDICAL CBNTBR PAGE 12GLCI(REG TIME:16:41 CHECK REGISTER 09/01/17 THRU 09/30/17 BANK --CHECK____________________________________________________ CODE NUMBER DATE AP4011NT PAYEE _______________________________________________________________________ PR- ' 060000 09/21/17 14.55CR PAY -P.09/01/17 09/14/17 PR- 062000 09/07/17 5,788.79 PAY-P.08/1B/17 08/31/17 PR- 062001 09/07/17 1,129.94 PAY -P.08/18/17 08/31/17 PR- 062002 09/07/17 398.20 PAY -P.08/18/17 08/31/17 PR- 062003 09/07/17 806.23 PAY -P.08/18/17 08/31/17 PR- 062004 09/07/17 648.96 PAY -P.00/18/17 08/31/17 PR- 062005 09/07/17 1,014.67 PAY -P.08/18/17 08/31/17 PR- 062006 09/07/17 380.69 PAY -4,08/18/17 00/31/17 PR- 062007 09/07/17 461,99 PAY -P.08/18/17 08/31/17 PR- 062008 09/07/17 387.14 PAY -4.08/18/17 08/31/17 PR- 062009 09/21/17 1,917,61 PAY -4.09/01/17 09/14/17 PR- 062010 09/21/17 909.30 PAY -P,09/01/17 09/14/17 PR- 062011 09/21/17 696.39 PAY-P.09/O1/17 09/14/17 PR- 062012 09/21/17 70.19 PAY -P.09101/17 09/14/17 PR- t 062013 09/21/17 5,341.06 PAY -P.09/01/17 09/14/17 PR- 999999 09/07/17 492,210.09 TOTALS: 512,214.70 sm -39- PAGE 1 MEMORIAL MEDICAL CENTER RUN DATE: 10/18/17 DEFAULT FORMAT FROM D2025 TIME: 17:00 PRTitle PRDeptName PRTOtGross -------------------------------------------------------------------- ,00 REGISTERED NURSE EMERGENCY ROOM 5373.35 DEPARTMENTAL ASSIST MAINTENANCE 2496.00 ASST PURCHASE BUYER CENTRAL SUPPLY 2172.79 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2355.32 PURCHASING SUPSRVISR SUPPLY CENTRAL SU 5975.20 IP/EH/RM NURSE INFECTION PREVENTION 5366.98 REGISTER80 NURSE MED/SURG 452.25 ENVIRONMENTAL SERVICES 2010.45 BE AIDS 792.00 REGISTERED NURSE SURGERY 6569.20 MANAGER-SURGERY-OPC SURGERY 5606.21 REGISTBRBD NURSE MED/SURG 6042,55 LICENSED VOCATIONAL OBSTETRICS 3955.23 LICENSED VOCATIONAL EMERGENCY ROOM 5055.39 REGISTERED NURSE MED/SURG 2566.29 REGISTERED NURSE OBSTETRICS OBS REGISTERED NURSE EMERGENCY ROOM 5539.80 DIRECTOR OF INPT SVC MED/SURG 15952.32 6255,00 REGISTERED NURSE OBSTETRICS LICENSED VOCATIONAL MED/SURG 2689.85 ADMINIST ASSISTANT ADMINISTRATION 3497.80 ICU 4393.55 REGISTERED NURSE 3458.65 PRE -ADMISSION NURSE SURGERY REGISTERED NURSE MEMORIAL MEDICAL CLINIC 4240.11 LICENSED VOCATIONAL SURGERY 3873.83 5184.12 RADIOLOGICAL TECH DIAGNOSTIC IMAGING MEDICAL LAB TECH LABORATORY LABOR 366.75 7696.33 LAB DIRECTOR LABORATORY 2966.48 LAB ASSISTANT LABORATORY 3993.24 MEDICAL LAB TECH LABORATORY 4299.35 MEDICAL TECHNOLOGIST LABORATORY 812,31 REGISTERED NURSE EMERGENCY ROOM 1507.75 REGISTBRBD NURSE MBD/SURG HBALTH INFORMATION MANAGEMENT 1995,84 TRANSCRIPTIONIST -RIC 8053.82 RBGISTBRSD NURSE OBSTETRICS OBS 3783.48 REGISTERED NORSE OBSTETRICS 3776.47 REGISTERED NURSE OBSTETRICS 4645.68 ADMINISTRATION -CLINICAL SERVIC CLINICAL IT SPCLST 657.32 REGISTSAED NURSE OBSTETRICS 1045.01 REGISTERED NURSE OBSTETRICS 4316.44 REGISTERED NURSE OBSTETRICS OBS 14956.81 CNO-DIRECTOR OF QA QUALITY ASSURANCE 3146.26 REGISTERED NURSE SURGERY SUR 4053.36 REGISTERED NURSE MED/SURG 254.75 LICENSED VOCATIONAL MED/SURG 12196.06 PRACT ADMINISTRATOR MEMORIAL MEDICAL CLINIC ICU 1574.50 REGISTERED NURSE 1951.13 MEDICAL LAB TECH LABORATORY 7538 NORSE P1U+CTIONfiR MEMORIAL MEDICAL CLINIC .40 REGISTERED NURSE MED/SURG ,00 259.25 CERTIFIED NURSE AIDS MED/SURG 4024 77 CASE MANAGER/UR/DP UTILIZATION REVIEN ICU 3503.19 REGISTERED NURSE 5248.24 REGISTERED NURSE MBD/SURG -39- PAGE 1 PAGE 2 RUN DATE: 10/18/17 MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB025 TIME: 11:00 -40- PRDeptName PRTotGross PRTitle ___________________________________ -------------------------------------- CERTIFIED NURSE AIDS MED/SURG .00 6269.29 REGISTERED NURSE MED/SURG 3125.37 REGISTERED NURSE OBSTETRICS 1375.45 CERTIFIED NURSE AIDE MED/SURG 2059.50 REGISTERED NURSE MED/SURG 3176,00 REGISTERED NURSE MBD/SURG 1427.06 CERTIFIED NURSE AIDS MED / SURG 3624.27 REGISTERED NURSE MSD/SURG 1961.65 LICENSED VOCATIONAL MBD/SURG 1246.25 REGISTERED NURSE MED/SURG 4934.15 REGISTERED NURSE MBD/SURG 4406.67 REGISTERED NORSE ICU 3752.94 REGISTERED NURSE EMERGENCY ROOM 1619.80 CERTIFIED NURSE AIDE MED/SURG 4449.06 OP/QA NURSE SPECIALTY CLINIC 4638.95 REGISTERED NURSE ICU 424.63 REGISTERED NURSE EMERGENCY ROOM 210.38 LICENSED VOCATIONAL MSD/SURG 3880.48 REGISTERED NURSE MBD/SURG 3706,65 REGISTBRBD NURSE MSD/SURG 3732.71 REGISTERED NURSE MED/SURG 2559.13 LICENSED VOCATIONAL MED/SURG 7799.15 NURSE PRACTITIONER EMERGENCY ROOM 833.00 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1436.37 CERTIFIE➢ NORSE AIDE MBD/SURG 2108.29 CERTIFIED NURSE AIDE ME➢/SURG MEMORIAL MEDICAL CLINIC 2543.05 NURSE SUPERVISOR 1519.79 CERTIFIED NURSE AIDE MED/SURG MEMORIAL MEDICAL CLINIC 7538.40 NURSE PRACTIONER 442.65 RBGISTERSD NURSE ICU 3099.19 REGISTERED NURSE ICU 1903.59 REGISTERED NURSE ICU 3934.59 REGISTERED NURSE ICU 5686,29 REGISTERED NURSE ICU 419.25 REGISTERED NORSE ICU 5049.81 REGISTERED NURSE ICU 3447.62 RN -OR SCRUB NURSE SURGERY 4012.44 REGISTERED NURSB SURGERY 2608,57 0 R TECH SURGERY 4430.16 REGISTERED NURSE SURGERY 4911.61 RN -PERIOPERATIVE SURGERY 1777.01 CENTRAL STERILE TECH SURGERY 744.27 CENTRAL SUPPLY TECH CENTRAL SUPPLY 7738.7D 7 REGISTERED NURSE EMERGENCY ROOM 12782.54 EMERGENCY ROOM DIRECTOR EMERGENCY ROOM 119.88 REGISTERED NURSE 111.31 REGISTERED NURSE EMERGENCY ROOM 410.50 REGISTERED NURSE EMERGENCY ROOM 899.26 REGISTERED NURSE EMERGENCY ROOM 551.50 RBGISTERSD NURSE EMERGENCY ROOM 410.94 REGISTERED NURSE EMERGENCY ROOM 1486,26 REGISTERED NURSE EMERGENCY ROOM 5691.00 REGISTERED NURSE EMERGENCY ROOM 420.44 REGISTERED NURSE EMERGENCY ROOM 4016.21 REGISTERED NURSE EMERGENCY ROOM -40- RUN DATE: 10/18/17 MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DE025 TIME: 17:00 PRTitle PRDeptName PRTotGxosS -----------------------------------------------------------------CY REGISTERED NURSE EMERGENCY ROOM 3903.17 REGISTERED NURSE EMERGENCY ROOM 410.94 REGISTERED NURSE EMERGENCY ROOM EMER 1480.66 MT GEN TECH SUPERVSR LABORATORY 9013.92 MEDICAL LAB TECH ORY LABORATORY 402.75 LAB ASSISTANT LABORATORY 1394.38 REGISTERED NURSE MED/SURG 4961.98 MEDICAL LAB TECH LABORATORY 3497.60 TECHNICAL SUPERVISOR MMC CLINIC - LABORATORY 3213.86 LABORATORY ASSISTANT LABORATORY803.63 622.47 LAB ASSISTANT LABORATORY MEDICAL TECHNOLOGIST LABORATORY 3117.38 LAB ASSISTANT LABORATORY 2356.06 LABORATORY ASSISTANT LABORATORY1133.31 .00 LAB ASSISTANT LABORATORY MEDICAL TECHNOLOGIST LABORATORY 728.50 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1725.00 MEDICAL LAB TECH ORY LABORATORY 3135.90 MEDICAL LAB TECH LABORATORY 3877.98 CERTIFIED NURSE AIDS MBD/SURD .00 REGISTERED NURSE EMERGENCY ROOM 3875.32 RADIOLOGICAL TECH DIAGNOSTIC IMAGING DIAGNO 256.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4818.28 RECBPTfSECRETARY STIC IMAGING DIAGNOSTIC 1934.65 RADIOLOGY SUPERVISOR DIAGNOSTIC IMAGING 5347.84 RADIOLOGY TECH MMC CLINIC - DIAGNOSTIC IMAGIN 4292.72 RADIOLOGY TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1233.32 RADIOLOGICAL TECH TIC IMAGING DIAGNOSTIC 4892.38 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING DIAGN 3652.74 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 NUCLEAR MSD TECH DIAGNOSTIC IMAGING 6860.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3086.14 RADIOLOGY TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING ,00 RADIOLOGICAL TECH TIC IMAGING DIAGNOSTIC 540.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4097.58 LVN-CHG -CHART AUDITR PHARMACY 2842.75 ,00 REGIST PHARMACY TECH PHARMACY 4697.16 2775.42 REG PHARMACY TECH PHARMACY 1531.75 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC 1187.34 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 3049.35 LICENSED VOCATIONAL 2425.89 RECEPTIONIST CLINIC FS 2106.75 INSURANCE CLERK CLINIC FS 1782.48 RECEPTIONIST CLINIC FS 1686.59 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2071.56 INSURANCE CLERK CLINIC FS 2981.93 RECEPTIONIST CLINIC FS 2010.63 RECEPTIONIST CLINIC FS 1927.83 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1971.33 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1733.75 -41- PAGE 3 -42- MEMORIAL MEDICAL CENTER PAGE 4 RUN DATE: 10/18/17 DEFAULT FORMAT FROM DB025 TIME: 17:00 PRTitle PRDeptName PRTotGross MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1693.33 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC 2657.03 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 606.28 INSURANCE CLERK CLINIC FS 2152.51 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC .00 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1621.50 OCCUPATIONAL THERAPY OCCUPATION AL THERAPY 5006.00 PT ASSISTANT PHYSICAL THERAPY 4023.18 PT ASSISTANT PHYSICAL THERAPY 4287.38 DIRECTOR REHAB SERVC PHYSICAL THERAPY 11164.62 OFFICE COORDINATOR THERAPY PHYSICAL T 2044.25 TEAM LEAD PTA PHYSICAL THERAPY 4410.00 REGISTERED NURSE OBSTETRICS 4358.00 PT TECH PHYSICAL THERAPY 1665.32 BEHAV. HEALTH THERA BEHAVIORAL HEALTH .00 HEALTH INFORMATION MANAGEMENT 1291.98 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 3083.85 CODING SPECIALIST HEALTH INFORMATION MANAGEMENT 1838.33 HIM SPECIALIST MEMORIAL MEDICAL CLINIC 1650.42 MEDICAL ASSISTANT 00 TECHNICIAN CARDIAC REHAB HUNTER PHARMACY GROG CONTRACT EMPLOYEES .00 FOOD SERVICE STAFF DIETARY 2085.25 FOOD SERVICE STAFF DIETARY 2015.00 RECEPTIONIST -PBX CLINIC FS 1526.71 FOOD SERVICE STAFF DIETARY .00 1983.42 FOOD SERVICE STAFF DIETARY 4027.28 DIRECTOR OF DIETARY DIETARY 1752.00 FLOOR TECH / EVS ENVIRONMENTAL SERVICES SECURITY OFFICER SECURITY 275.20 BIO -MBD TECHNICIAN BIO MEDICAL ENGINEERING 716.25 BIO -MED TECHNICIAN CAL ENGINEERING BIO MEDICAL 4463.81 MAINTENANCE 12193.93 DIRECTOR 3593.51 SECURITY SUPERVISOR SECURITY ENVIRONMENTAL SERVICES 2049.96 ES AIDE ENVIRONMENTAL SERVICES 1897.83 FLOOR TECHNICIAN 6094.50 ES AIDE MAINTENANCE ENVIRONMENTAL SERVICES 1424.27 EVS AIDE DIETARY 2018.75 FOOD SERVICE STAFF ENVIRONMENTAL SERVICES 1576.36 ES AIDE MED/SURG - 3060.82 LICENSED VOCAT NURSE 2343.41 E.S. TEAM LEADER ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES 971.50 ES AIDE ENVIRONMENTAL SERVICES 1808.65 SS AIDS ENVIRONMENTAL SERVICES 1832.35 ES AIDS ENVIRONMENTAL SERVICES 1499.73 EVS AIDE ENVIRONMENTAL SERVICES 2076.11 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1553.90 ES AIDE ENVIRONMENTAL SERVICES 1394.97 EVS AIDE 1120.35 OR AIDS SURGERY 2087.80 SECURITY OFFICER SECURITY 7744.65626.40 PLANT OPS SPECIALIST AfAINTENANCE SECURITY OFFICER SECURITY 2988.36 FIN CNSLR-COORDINATR INDIGENT CARE PROGRAM SELF PAY CLERK PATIENT FINANCIAL SERVICES 1886.65 OFFICE MANAGER CLINIC FS 2311.90 -42- RUN DATE: 10/18/17 FiEMORIAL MEDICAL CENTER PAGE 5 TIME: 17:00 DEFAULT FORMAT FROM DB025 PRTitle REGISTRATION CLERK BILLING CLERK REGISTRATION CLERK REGISTRATION CLERK REGISTRATION CLERK CASHIER -SWITCHBOARD INSUR COORDINATOR MEDICARE COORDINATOR REGISTRATION CLERK RECEPTIONIST TEAM LEADER PFS DIRECTOR REGISTERED NURSE A -P / PAYROLL CLERK REGISTRATION CLERK REGISTRATION CLERK SECURITY OFFICER FINANCIAL COUNSELOR REGISTRATION CLERK DIRECTOR OF HIM MEDICAID COORDINATOR REGISTRATION CLERK TRAUMA COORDINATOR DIRECTOR REGISTRATION CLERK I.T. DIRECTOR IT SYSTEM ANALYST IT SYSTEM ANALYST A -P / PAYROLL CLERK REGISTERED NURSE CONTROLLER ACCOUNTANT ASSIST ADMINISTRATOR C.E.O. ADMIN ASST TO AA-CNO SPECIAL PROJECTS MGR Grand totals Total lines = 255 PRDeptName PFS - REGISTRATION PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES CLINIC FS PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES EMERGENCY ROOM ACCOUNTING PFS - REGISTRATION PFS - REGISTRATION SECURITY INDIGENT CARE PROGRAM PFS - REGISTRATION HEALTH INFORMATION MANAGEMENT PATIENT FINANCIAL SERVICES PFS - REGISTRATION ADMINISTRATION -CLINICAL SERVIC DIAGNOSTIC IMAGING PER - REGISTRATION INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY ACCOUNTING EMERGENCY ROOM ACCOUNTING ACCOUNTING ADMINISTRATION ADMINISTRATION ADMINISTRATION -CLINICAL SERVIC ADMINISTRATION PRTotGross ------------- 1891.49 .00 1620.71 1938.00 1445.63 1657,34 1812.60 1898,47 167.91 2138.16 2562.97 3556.20 .00 1560.00 1995.68 903.49 2148.59 2562.75 2988,51 3845,00 1954.50 487.92 9725.71 7699.62 2564.44 5699.68 4504.83 285.00 1595.97 3457.25 4621.00 3711.19 9137.00 18003.92 2562,36 2982.21 762847.37 -43- ©ies Source Totals Report Issued 10/20/17 Calhoun Indigent Health Care Batch Dates 1010112017through 10/01/2017 For Vendor: All Vendors Source Description _ Amount Billed Amount Paid 01 Physician Services 14,588.39 2,718.37 01-2 Physician Services -Anesthesia 1.716.00 361.03 02 Prescription Drugs 540.57 348.57 O8 Rural Health Clinics 4,015.00 3,247.26 13 Mmc- Inpatient Hospital 42,773.04 17,707.91 14 Mmc- Hospital Outpatient 66,563.58 19,458.26 15 Mmc - Er Bills 19,244.50 6,158.24 Expenditures 149,513.40 50,071.96 Reimb/Adjustments -72.32 -72.32 Grand Total 149,441.08 49,999.64 Copays <-740.00> Expenses 4,166.67 Total 54,166.31 Calhoun County Indigent Care Patient Caseload 2017 Monthly Avg 7 5 5 69 1 December 2016 Active 60 -45- Approved Denied Removed Active Pending January 11 1 4 67 4 February 5 3 9 63 0 March 6 2 5 64 2 April 6 16 8 62 0 May 5 8 3 64 0 June 10 3 6 68 0 July 13 5 4 77 1 August 3 4 4 76 3 September 6 5 2 80 2 October November December YTD Monthly Avg 7 5 5 69 1 December 2016 Active 60 -45- Calhoun County Commissioners' Court — November 9, 2017 S. AWARD BIDS FOR FUEL (AGENDA ITEM NO. 5) To be delivered for the period November 16, 2017 through December 15, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 APES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 3 of 33 AGENDA ITEM THURSDAY, NOVEMBER 9, 2017 Consider and take necessary action to award bid for Bulk Fuel to be Delivered for the period beginning November 16, 2017 and ending December 15, 2017. z H -n C m r C r m r G m m 0 CAL COUNTY, TEXAS BID SHEET - BIDDER DIESEL OIL CO INC SAM DIEBEL PO BOX 71 PORT LAVACA TX 77070 BID ITEM FUEL -BULK DELIVERED PERIOB FROM: NOVEMBER 16, 2017 PERIOD T0: DECEMBER 15, 2017 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL JPFEIFER, CALHOUNCOUNTYJUDGE, 211 SANNST, 3RD FLOOR, STE 301, PORT IAVACA, TX 77P7P BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED B/D-FUEL-BULKDEL/VERED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.00 AM, THURSDAY, NOVEMBER 2, 2017 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, NOVEMBER P, 2017 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER, THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN BID /TEM: FUEL -BULK DELIVERED DEPARTMENT: VARIOUS DELIVERY FOB COUNTY FUEL TANKS DEST/NAT/ON VARIOUS ----------------------------------------------- spEctricATIONS: DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE GALLON A spEcycATioms: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department :n the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT GALLON DATE OF DR I _I - - ) r� ADTHORMSICNAM AND TITLE:__, PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECHTCATIONS: UNIT PRICE 2' I_ Calhoun County Commissioners' Court—November 9, 2017 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO, 6) On contract with A&A Constructors, Incorporated for Replacing Windows in the Ag building at the Calhoun County Fairgrounds and authorize County Judge to sign all necessary documents. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syron, Commissioner Pet 3 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 4 of 33 DOCUMENT NO. 00500 THIS AGREEMENT is dated as year 2017, by and btween CALHOUN COUNTY (hereinafter chOctober er alledOWNER)andA& A CONSTRUCTORS, INC. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORK: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: REPLACE WINDOWS IN AG BUILDING AT CALHOUN COUNTY FAIRGROUNDS, PORT LAVACA, TEXAS .02 ENGINEER: The Project has been designed by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 90 Calendar Days after the date when the Contract Times commence to run. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. 1. Any day(s) in which rainfall occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site. 00500-1 AGREEMENT BETWEEN OWNER AND CONTRACTOR Replace Wind. iv M Buildivg at Calhovv Count'• Fairgoun ' eNo 5531 005) 2. Any day(s) following the above described "rain day(s)" in which the condition of the construction site, in the opinion of OWNER's representative, is not conducive to providing CONTRACTOR with a safe working environment at the site. OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days". Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. C. Liquidated Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03.a above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that, as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER FIVE HUNDRED DOLLARS ($500.00) for each day that expires after the time specified in paragraph .03.a. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR agrees to waive as against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty; (2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. 00500-2 AGREET1ENr BE1'N'EEN OWNER AND CONTRACTOR AePlaa Nindows in Ag Building s� Calhoun Courcy Faisgounds, Port Lavaca, T)[ (File No. 5310005) .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contract Documents in current funds as per CONTRACTOR's proposal which forms a part ofthis contract. fn no vent lof any dulyamounts payable pursuant to authorized change orders is or contract Contract exceedd $148,500.00, plus theamount amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division 1 - General Requirements, Section 01025 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recormnended by ENGINEER and as provided below. All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. 1. Progress payments will be in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER shall determine, or OWNER may withhold in accordance with Paragraph 14.02.13.5 of the General Conditions. A. 90% of the Work completed (with the balance being retainage) B. 90% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14.02.A.1 of the General Conditions). 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs. All requests for material payment shall be accompanied by CONTRACTOR's paid invoice for the material in accordance with Article 14.02.A.I of the General Conditions. 00500-3 AGREEMENT BETWEEN OWNER AND CONTRACTOR Repine Fvindo inA&Building g' Calhoun County F`ngounds,FPon Lavaca, (ile No. 5310005)05) b. Final Payment Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph. .06 CONTRACTOR's REPRESENTATIONS: In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: a. CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data." b. CONTRACTOR has visited the site and become familiar with and is satisfied a to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. C. CONTRACTOR is familiar with and is satisfied t performan e o all federal, sand ftate and local g Laws and Regulations that may affect cost, progress, of the Work. d. CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional 00500-4 AG�REE7ENT BETWEEN TOWNER AND CONTRACTOR (FileNn 5310005) examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. e. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. f. CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. g. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terns and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The Contract Documents which comprise the entire Agreement between OWNER and CONTRACTOR are attached to this Agreement, made a part hereof and consists of the following: a. This Agreement. b. Exhibits to this Agreement. C. CONTRACTOR's Proposal. d. Performance, Payment and other Bonds. e. Notice of Award. f. Notice to Proceed. g. General Conditions. h. General Conditions of Submitting Sealed Bids to Calhoun County, Texas. Supplementary Conditions. j. Technical Specifications. 00500-5 AGREEMENT BETWEEN OR'NER AND CONTRACTOR Repleu \Yodmvs in Ag 6ulding at CalAoun Covvty Fairgrow�, cNv. 5310.00 Im k. 1. in. Drawings numbered & titled for the different areas of work as indicated below: SHEET NO. DATE DESCRIPTION C0.0 TITLE SHEET A1.0 08/14/17 WINDOW LOCATION PLAN & NOTES ALL 08/14/17 EXTERIOR WALL ELEVATIONS & DETAILS AL2 08/14/17 WINDOW / WALL SECTIONS &DETAILS A1.3 08/14/17 WINDOW / WALL SECTIONS & DETAILS A1.4 08/14/17 COLUMN DETAILS Addendum numbers None to None inclusive The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 8. The Contract Documents may only be altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. MISCELLANEOUS: a. Terms used in this Agreement which are defined in Article I of the General Conditions will have the meanings indicated in the General Conditions. b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. c. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. d. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. 00500-6 AGREEMENT BETWEEN OWNER AND CONTRACTOR Replace tVindows in Ag Building at Calhuun Courcy Pairgrwn Mean Lavaca, T): (File No. 5310005) IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. OWNER: CALHOUN COUNTY CONTRACTOR: A & A CONSTRUCTORS, INC. BY: BYAichaaelJ-Pfeii � *rIudge �` N -'k MAYA � Aj ' VA - ATTEST: f %a` A f J 1VV ATTEST: p 4401 North Mail' ADDRESS: 211 S. Ann, Suite 301 ADDRESVictoria, Texas 77904 Port Lavaca, Texas 77979 PHONE: (361) 553-4600 PHONE: (361) 575-7070 FAX: (361) 553-4444 FAX: (361) 575-7685 END OF DOCUMENT 00500-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR Replan KSndowa in At Building e� Cxlhovn County Fairgroun (File No 5310,005) PROPOSAL A s A constructors, Incorporated hereinafter called "BIDDER", (Legal Film Name) is submitting this Proposal for Furnishing and Perfonning the Work specified herein as REPLACE NVINDOWS IN AG BUILDING AT CALHOUN COUNTY FAIRGROUNDS, PORT LAVACA, TEXAS This PROPOSAL is Submitted to the CALHOUN COUNTY, hereinafter called "OWNER'. 1, Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Calendar Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum. Number and Date): Addendum No.: D n Date Received: b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. G. BIDDER is familiar and satisfied with all federal_, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. 00300-1 d, BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e, BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data vvli the Contract Documents. L BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for Arnishing and performing the Work for which this BID is submitted. g, This BID is GENUM and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDERno submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5 BIDDER agrees to complete the Work in accordance with the Contract Documents. hat the amounts are to be own in both figures, and in cBIDDER ecase disdges crepancy, cy, the amount in ordsshall govern. wards and b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.11 of the General Conditions. e. BIDDER agrees to farnish all necessary labor, superintendence, plant, machinery; equipment, tools, materials, insurance, service's and all other requirements deemed necessary to complete the items of Work indicated an the following pages far the specific dollar amounts stated. 00300-2 BASE BID BID BID DESCRIPTION OF ITEM WITH UNIT ITEM QTY. UNTT PRICE WRITTEN IN WORDS BD AMOUNT 1. 1 LS For obtaining the services of an asbestos abatement contractor for the removal and disposal of approximately 53 windows and approximately 400 S.F. transite sheeting containing asbestos in accordance with NESHAP rules, plans and specifications for a h inp sum price of CLEVG,u SAA) !S) x 9 t -f vI j p c Dollars and Cents. $ DD, 2. 1 LS Furnishing materials, labor and equipment for the installation of 12 new windows in new wall section (100 L.F.) on the east side of the Agriculture Building in accordance per plans and specifications for a lump sum prim e of �pSZ7 / A ou S4 pi z and $eco 3. 1 LS Furnishing materials, labor and equipment for the installation of new walls (2 ea. 20 L.F.) with 2 windows each on the north side (front) of the Agriculture Building in accordance per plans and specifications for a lump sum price of and ents. $3� 4. 1 LS Furnishing materials, labor and equipment for the installation of new wall section (27 L.F.) with 3 windows on the south side of the Agriculture Building in accordance per plans and specifications for a lump sum rice of ='u Ac2il-fAtv-LD 1571'!5;1'14 Dollars and Cents. Z e 00300-3 m«_=ewe_a°e-e—e--R-_e_-=a«e««------eaom_=°e-««-°wive--==-==_a=_°eves-----Ave_=°ace. BIB BID DESCRIPTION OF ITEM N ITII UNIT ITEM QTY, UNIT PRICE NTVRITTEN IN -WORDS BID AMOUNT j, 1 LS Furnishing materials, labor and equipment for the installation of new wall section (16 L.F.) with 2 windows on the west side of the Agriculture Building in accordance per plans and specifications for a lump sum pr' of =U e v0 k Aiv'D S j X r, ✓?J Dollars and Cents. 6. 1 LS Furnishing materials, labor and equipment for the installation of new wall section (approximately 43 L.P.), no windows, on the west side of the Auditorium in accordance per plans and specification/ for a 1Wnp sum price of )".-i o/ /2-e LJ Dollars and !��C> — Cents. $�• �� 7. 1 LS Furnishing materials, labor and equipment for plugging bolt holes in 9 columns in accordance per plans and specifications for a lump sum price of I wo /YundrztDollars and %o Cents. $�� 00 9. 1 LS Furnishing materials, labor and equipment for installation of 5 new columns, painting columns and cutting of existing ceiling tiles or furnishing new tiles in accordanoc per plans and specifications for a lump sum price of 5�,Z� t&ert 14SArv0 Dhi 1/u�7cIQ2Ci—_Dollars and % 0 – " Cents. 07 /00. 00-- 003004 Total Amount Bid, being Items 1 thru 8 above, is: .fJ/,) e t--RJta—�L�1�7 LiotiS aw on -- - --- ------- Cents $ TOTAL CALENDAR DAYS: L D +F+m-�i-...................... I I I ! ++++-H ++-H-++rrrT , i +++-H-i-F+-f'+...J-j ...... 6. BIDDER agrees that the Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within �Q_ CALENDAR DAYS after the date when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. 7. The following documents are attached to and made a condition of this BID: a. Required Bid Security in the form of 5% Bid Bond b. A tabulation of Subcontractors, Suppliers and other persons and organizations required to be identified in the BID. C. Document No. 00415 - CONTRACTOR's Corporate Resolution. d. Document No, 00416 - Noncollusion Affidavit e. Document No. 00420 - Bidders Qualification Statement. 00-00-5 8. Communications about this BID shall be directed to BIDDEP!s address indicated below. SUBWTTED this 17th day of October ,2017, Attesting Signature: —7 -- Name: Matt Alvarez Legal Firm Name: A & A Constructors, Incorporated Business Address: 4401 North Main; Victoria, TX 77904 Phone Number: (361) 575-7070 Facsimile Number: (361) 575-7685 E-IvlailAddre.ss:balvarez@aaconstructors.com State of Incorporation, if applicable: Texas State Contractor License No.: END OF DO CMENT 00300-6 A10 Bid 110t) a CONTRAC'1'0h: (Name, legal sialms and afklvess) A & A Constructors, Inc. 4401 N. Main St. Victoria, TX 77904-4002 OWNER: (A'ame, legal stalms• fillet address) Calhoun County 211 S. Ann St., Port Lavaca, TX SURETY; (Name, legal staltrs rrnd prhlerpal place of business) FCCI Insurance Company 6300 University Parkway Sarasota, Florida 34240 GOND AMOUNT: $ five percent (5%) of bid amount PROJECT: (Name, levalla)r 01, address, rnut Prnjec( mrmlber, {fa»7) Replace Windows in Ag Building at Calhoun Co. Fair Grounds Port Lavaca, Texas The Contractor and Surety are bound to the Onmer in the anlouut set far h above, far the payment of which the Contractor and Surety bind d1e111selvos, their heirs, executors, administrators, successors curd assig"s,jointty and severally, as provided herehr. The cotditto's of this Baud are such that if the Omier accepts the bid of the Contractor whhin the little specl fieri in file bid documents, or within such time period as may be Agreed to by the Owner and Contractor, and lire Contractor either (1) enters into a COntract with tiro Oumer In accordance with the terms of such bici, find gives such bond or bonds as may, be specified in file bidding or Contract Docuntenis, lvith a staetyadn'itled In the jurisdiction of the Project and otherwise acceptable to the Owner, for the %11111131 perfaille"oe of such Conti act and for the prompt payment of labor and material ftunlshed in the prosecution thereof; or (2) pays to the Owner the dI erence, not to exceed the elnonnt of this Bond, between the amount speoihed a' sold bid and such larger funount for NvIdeh the Owner may hl good fault contract with another party to perforin tiro work covered by said bid, tile" this obligeldon shall be null and void otherwise to renudn in full farce and effect, The Surety hereby waives any notice of an ngrcenlent hetWccn the Owner and Contractor to extend the time in which the Ownm er ay accept the bid, \Vaiver of notice by the Surety shall 1101 apply to any extension exceeding sixty (60) days i" ilia aggregate beyond the little for acceptance of bids specified in the bid documents, and file Olwter and Contractor shall obfahl the Surety's consent for an extension beyond sixty (60) clays. If this Bond is issued in connection Will' it sutxontractar's bid to a Contractor, the term Contractor in this Bond shalt be deemed to be, Subcontractor and the term Owner shah ba deemed to be Contractor. When this Bald has been ffirnislle(I to comply will, a shdnfory or ocher legal requirement in the location of the Project, any provision In this Bond conflicting with sIld statutory 01' legal requirement shall be (teemed deleted herefro'1 and provisions coufornung fo such statutory or other legal requireuleat shall be deemed Incorporated herein, \Vhel so furnished, the intent Is that this Bond shill be construed is a statutory bond and not as a connlon lav bard, ADDITIONS AND DULHTIONS: The author of 11119 doctrnlent has added Inforinallon needod for Its compietlOn.'iho author rally also have, revised the text of flat, oiglnal AIA standard form. An Additions and Deletions Report that notes added Inforalallon as well as revisions to fhe aareford form text Is available from the author and should be revievied. A vertical line in the loft inarpin of this decumonl indlautos where the author has added necessary information and whero the aulhor has added to or deiolod train lila original AIA text. This document Ins lnlportent legal consegtlonce 1, Consultation whit an attorney is re aauraged with rasped to its coalpletion or 111041110011011. Any singular reference to Contractor, Surely, owner or other party $hall be considered plural where apPllcable. natat AIA Documonl A810'P-2010. C0 Yd0I I©iDa3. 1070 and 2010 by Tho NnodwnInslitule of Archlterle. Won do Al tl. VdAmontIN , rDa P01 Doc fIt, hilt• la protootod by U•S, Copyright Lavr mrd lnlornallonai Troatloo, unaulhori 011rodoctlon ordloldbullon or this AlA"Documon4 or any portion of it, Ilia loolnt In soveto olvil oil dotniIt at Pon R10% and VV{1166 prO80Cltied to tho tatodroven ozloni possihlo Ullltor NolflYl. This doclfnloat Wes PfCdVC.ed by Y (10 iD22667a) ! AU+aorMrero nine: 6: on 04126!2010 undor Urdcr NOA02GDA66%4_t which n>:plros on 07(06!2013, n,M Ia mol or rose o• Uoof Notes: 171} October, 2017 Signal and scaled (Ids c ay of (A'itxe.rs) Bi-ooke Henderson, Account Technician A & A Constructors, Inc (C , a• n.r t'rinriJl<tO (Sari!) td) Alvarez; F dent FCCI Insurance Company (TrtR+) Paul D. Gilcrease, Attomey-in-Fact AIA Document A310'a - 2010. CopyAghtl91005,1070 end 2010 by'rho Amodoan Instltulo oi.Archge6lo, NI lights reselved. WARNING: This AIA"' Uecumonl [ntL Is pro(octod by U'S' 00pydpht I.ner and hltamolideAt TroaUos, ul aulhodcod reproduction or distillation of this Ale Doowaoat, or my poalon of it, � nmy result In severe 0101 and oHalf flat penalties, And Wlll be la,040ltled (d 1110 ma%hnan1 oSlenl po6slUlo trader III Iew,'fills doGanlonttva& produced W AIA aoi,,oro at o8:46:44 on 04128;2013 andar Ord6r No.062694657 L -I which orplre5 on 0710512013, and Is not (or tesala, (181922G67P) Usor ltotm INSURANCE ® GROUP re than a policy. A piomise. GENERAL POWER OF ATTORNEY 10-000604441 Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of 'the State of Florida (the_ "Corporation") does make, constitute and appoint: John M Rindt; Paul D Gilcrease Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed'in,all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed ju , n,der this authority shall exceed the sum of (not to exceed $7,500,000): $7,500,000.00 This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That resolution also authorized any further action by the officers of the Company necessary to effect such transaction. Tne signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached. In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Seal to be hereunto affixed, this 25TH day of September 2016. p gJpRNCFL.O :Attest: _. IYlvr 4oFeoh4rF�9 Craig.j hn n, President ,<s' SEAf. K Thom .Koval Esq., EVP, Chie Officer, FOCI nsur ce Company 17„ Gov ment Affairs and Corporate Secretary FCCI Insurance Company 'State of Florida County of Sarasota Before me this day personally appeared Craig Johnson, who is personally known to me and who executed the foregoing document for the purposes expressed therein I'f. Atkne Alonw My commission expires: 9/25/2020 ** "emsF°' �'^'�Myc«;mdnwnEs%oWis+w Notary Public State of Florida County of Sarasota Before me this day personally appeared Thomas A. Koval, Esq., who is personally known to me and who executed the foregoing document for the purposes expressed therein. Mime A{, My commission expires: 9/25/2020 + * t*pm'Sw norm w..rny cowmllrxpns•ocnsan Notary Public CERTIFICATE 1, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 24, 2011 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. Dated this_ lath day of October — 2017 Thoma . Koval, Esq., EVP, i, I Legal Officer, Gov r hent Affairs and Colpora;ee ary 1-1014A-3592-14AA4, 8116 c' s OoeuGzrd fr4546 contains a securntpaw.09 rapr true Lucl;q.•onnC YrAef nzr itn c mn corn-reac u e L: rcnaii r,, i. ua] pn l ne ✓r t goer _ _ - I Performance Bond Bond #4401502 Any singular reference to Contractor, Surety, Owner or other party shah be considered plural where applicable. CONTRACTOR (Name and Address): SURETY (Name and Address of Principal Place A& A Constructors, Inc. of Business): PO Box 465 Victoria, TX 77902 FCCI Insurance Company OWNER (Name and Address): 6300 University Parkway . Calhoun County Sarasota, Florida 34240 211 S. Ann, Suite 301 Port Lavaca, TX 77979 CONTRACT Date: October 26, 2017 Amount: $148,500.00 (one hundred forty eight thousand five hundred dollars 00/100s) Description (Name and Location); Replace Windows in Ag Building at Calhoun County Fairgrounds, Port Lavaca, TX BOND Date (Not earlier than Contract Date): October 27, 2017 Amount; $148,500.00 (one hundred forty eight thousand five hundred dollars 00/100s) Modifications to this Bond Form: Surety and Contractor, intending to be legally bound hereby, subject to the terms printed on We reverse side hereof, do each cause this Performance Bond to be duly executed on its behalf by its authorized officer, agent or representative. r CONTRACTOR AS PRINCIPAL. SURETY Company: i'� �(Co Seal) Cogl% : (Corp.Seat) A & A Ct+�[ofs, Inc. �. FCCI insurance Comp Signature: _ Signature: Nam e:Name and Title: Paul D Gilcrease, Attorney -in, -Fact, ob Alvarez; Pre >.de (Attach Power of Attorney) (Space is provided below for signatures of additional parties, if required.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corp. Seal) Company: (Corp. Seat) Signature: Signature: Name and Title. Karoo and Title: ESCDC No. 1910-28-A (1996 Edition) OYOWly prepared dough ate jolm eHons of the Sumty Assooladoe of America, Bngtneom Joint Contact Payments Committee, tho Assoelated General Contractors of Ameri a, and the American laWmte of Ardtlomis. 00610-1 ..... . I. The CONTRACTOR and the Surety, iolndy, and sevemay, hind gamely", their pliability, Inwfole or in part, without iurther nada rite OWNeRshalihe endued to helm, executors, admindsuatam, rucc"svm and assigns to db Owner for the enreraanyremedy available loth*0WNBR. pOVIOAD a11e0 of 1110 Contract, which Is fraorpoaded humin by ufemnu, 2. If the CONTRACTOR poromas the Control, Wt Surety, and the CONTRACTOR FAVO ra 01080on under this Bond, except in perticipam In conferuices as provided in paragmphM. 3. If them Is no OWNER Default, diesurety'a obllgaaon under this Bond shall arise after: 3.1, The OWNER has Unlace the CON'TRACTUR and the Surelyat the aerialists deodbed in paragraph 10 ludow.,thetdnOWNER comidermg declaring a CONTRACTOR Def alt and has requested and attempted in will One CONTRACTOR and the Screw to be held net I ater assn fifteen days after realpt of such rode, to dimuu methods of performing the Contract. If the OWNER, die CCNTRACTOR and the Surety all". the CTOR hall be altowed a time to putamr the Comsat, lumau harm sgeemeat shall Actwalve the OeWNEW, right, if any, subsequentry an dachre a CONTRACTOR Detaull; and 3.2, The OWNER has deotarod a CONTRACTOR Default ane Wttnally srmhand the CONTRACTOR's right to complete the Conu,,I. Such CONTRACTORDefeat shalinot bedeclmaaeuliudun twenpdays ager the CONTRACTOR and the Surely Lave received nada as provided In paragraph 3.1; and 3.3, The OWNBRItmagreed repay VIORalanotal. ConlraUYaam: 3.3.1. T1roSure4yinacrorda,rrowidrlhctumaofdm Commcl; 332 Aathermn"mrselcctmpurstaMlopangmph4.3wpufomdte Convect. 4. When the OWNER has satisfied the condldom of paragraph 3, the Surely shaft promptly end Area Surety's expanto take one orate following actions: 4.1. Arrangefor der CONTRACTOR, with eomem of fat OWNER, to pastor and complete thoConvacl; or 4.2. Undertake to pmrmm and Complete the Convactacelf, through its ageou or vtmugh Indepandent commo on,, m 4.3. Obtain bids or negotiated proposals from qualiled onvacmm aeeepmble to On OWNER Por a Domant tar performance and completion or ate Contract, arrange Fm a convam to be prepared for exuution by the OWNER and decanuactor ule ce with the OWNER's oonarmena, to be soured with perfomurxeard pkwmnt Mae M=ttd bya qualified surety equlvalem to die Bands Issued on the Conaria, and pay m die OWNER the amouu of damages a described In paragraph 61, ,weess of am Balance of We Connect Price Incurred by the OWNER resulting from the CONTRACTOR Default; or 4.4. Waiveits right to putorm and complete, arrange for completion, arubuin a now connector end with reasonable promptness under rhe ehcumsunar; 4.4.1 Aarr inventgadon, determine the Amount for which it may be liable to the OWNER and, as soh as pmaticable after ale amount is determined, tender paymem dremfor to the OWNER; or 4.4.2 Irony liability in whole or in part and Hoary the OWNBR citing reamns therefor. 5. If the Surety des not proceed As provided In paragraph 4 with remember, prompiaea, the Surely shall be domed loge In defaulton this Bond fifteen days after receipt of an Mdhlonal warren notice from me OWNER to the Surely demanding that the Surety Whom Its dbligaaons under this Bond, and the OWNER shall be entitled to MfO— "Y remedy available to th, OWN13R, u amSuretyproceeds as providedin pamgmph 4.4, and daOWNFA mflum the paymon tendered orthe Surety res denied 6, Ager ate OWNER An terminated the CONTRACTOR's right to complete the Contract, and If die Surety glass On act under paragraph 4.1, 4.2, or 4.3 above, than the rapamlblibles of the Sump to the OWNER shag rat begmarer rhea dime of the CONTRACrOR utMar the Canlmel, and the mayomlbilldes of the OWNER to the 8map$hall tette greater thandaaes Drubs OWNERuoder the Contract. Toalfmltor the Aiwum of this Bond, but subject to comm lrment by ft OWNER of the Balance or iia Contract Pace to mWgalien of costs and damages on this Cannot, the Surety is Obligated wilheutduplicaaon for: 6.1. The responslbillaw of rhe CONTRACTOR for Mastodon of defective Work and completion of the ComMott 6.2. Additional Legal, design profcumland and delay costs resulting from the CONTRACTIOR'sDefault, mA,cauldng from he actions or fail,, to act of OSurely miler paragraph 4; and 6:3. Liquidated damages, or if no liquidated damages are spa lhd in the Contract, actual damages caused by delayed performance or non• performance of the OONTRACTOR. 7. The Surely shall not be liable m die OWNER a offers far obligations of ere CONTRACTOR that are umelatcd to aft Comma, and the Balance of the CommN Primehall mal Introduced! or set often areoumofany mob unrelated abliggarm. No right ofacdon shag accmson "Bond to any person or gale Qatar than the OWNER or Its holm, executors, adminesmtam, w suecucou. g. The 3urep hereby waive noes of any changq Including Chang" of Ilme, a era Contractor to related subcontraev, purchase cream uvl Ofl a[ oblit atom. 9. Any proceeding, legal arequiuble, under the DOW may he fmtlimcd In any court Of ampeunt judsdicdon In the location In which die Work or part of the Work is lmtedAnd shall be lmdmvdWithin two yeam after CONTRACTOR Default or within NO Years after am CONTRACTOR ceased working or within, No yeam after the Surety relhsesor tale to pe tern its abligadons under cots Bond, whichovercom, But. If Tho provisions of this paragraph am Vold or prohibited by law, the minimum period of analadon avelable to "And" as a defame in the Jurisdiction of the suit shall be applicable. 10. Nails m the Sumy, the OWNER or the CONTRACTOR shall be mailed or delivered m theaddress shownon the dgnamm page, !i, when this BOM Iva sun furnished to amply with a smmtoryor aha legal raquirementln the louden whero the Contract was bepmfarmea, any provblonin tie, Bored congkang with add smmtoryor I0941 regWmmentsbali be damcd daleted here from and provlelons ronFmmrng to such stammry or other legal requirement shall be doomed incorporated theta. The Intent Is that the Bond shall be amuued as a summry bond and Mtn A common law fond. 12, Definitions. 12.I Balance olthaContmclPda: The total Mout payabieby du OWNER to the CONTRACTOR under the Contract aft" all properadjusmrenv have been made, Including ollomM, in die CONTRACTOR of asp amaunu roalvel or On be realved by the OWNER In settlement of rmumrve or aiherClaims for denuga to which the CONTRACTOR is notified, reduced by all valid and proper payments made in or on befall of the CONTRACTORundar au: Contras. 12.2. Comas: The agreement between the OWNER and the CONTRACTOR Identified on the signature page, Including alt Contract Documents and Chang" therein. 12,3. CONTRACTOR Default; Failure OftheCONTRACPOR, whkhbes neither been remedied nor waived, to perform or ca"he to comply with the terms ofthe Contact. 12,4, oWN8lt DehWc: Pallum a[dieOWNBR, whlchhasralther6wa rwnedhd rarwaived,topaytha COMRACTOROmquhedbydvo Commotarce perform and eomideu D, comply with the oases lerna theater. (POR INFORMATION ONLY --Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Engineer or other party): HUB International, 201 E. Main, Suite 800 (79901), PO Box 981021, EI Paso, TX 79998-1021; Ph: (915) 206-6023 / Fax: (866) 399-3972 00610.2 Payment Bond Bond 1!4401502 shall be considered lural where a licable- Any singular reference to Contractor, Surety, Owner or other party P PP CONTRACTOR (Name, and Address): SURETY (Name and Address of Principal Place A &A Constructors, Inc. of Business): PO Box 465 FCCI Insurance Company Victoria, TX 77902 6300 University Parkway OWNER (Name and Address): Sarasota, Florida 34240 Calhoun County 211 S. Ann, Suite 301 CONTRACI'TX 77979 Date: October 26, 2017 Amount: $148,500.00 (one hundred forty eight thousand five hundred dollars 00/100s) Description (Name and Location): Replace Windows in Ag Building at Calhoun County Fairgrounds, Port Lavaca, TX BOND Date (Not earlier than Contract Date): October 27, 2017 Amount: $148,500.00 (one hundred forty eight thousand five hundred dollars 00/100s) Modifications to this Bond Form: Surety and Contractor, intending to be legally bound botchy, subject to the teams printed on the reverse side hereof, do Cachbaitse`thfs Payment Bond to be duty executed on its behalf by its authorized officer, agent, or representative. CONTRACTOR AS PRINCIPAL SURETY Company: (Corp. Seal) Company: tCorp:; §eat) A&ACon r e> fFCCllnsurance„ p-� Lea , / / Signature: Signature: r Nme and'fitle: Pau . Gilcrease, AtLtorneyi�rFactT Nme Bob Alv 6e—z; President (Attach Power of Attorney) (Space is provided below for signatures ofaddition p es, if required,) CONTRACTOR AS PRINCIPAL SURETY Company: (Corp. Seal) Company: (Corp. Seat) Signature! Name and Title: Name a itTide: BICDC No. 1910-28-B (1996 Edition) Originally prepared durough tiseloint offorn of the Surety Association of America, Engineers Joint Contract Documents Cnavnittee, the Assoclsred General CentraCW of'America, the American InstiMa of Arobilects, the American Subcontractors Association, and the Associated Spwialty Contractors. 00620-1 1. Tho CONTRACroR aM the Surety, joinUY and sevarally, bind UronleelYea, Iheh heirs, inowlars, administrators, succesmts and atsigm to the OWNER topay for labor, mated2le and equlpmeMfumishad foruse in doperformmcoofthe Conlan, which Is Incorporated heroin by refaeence. 2. With respect to the OWNER, this obligation :hail be null and void if the CONTRACTOR: 2.1. promptly makes payment, dircolly, or indirectly, for All sums it,, Claimants, and 2.2. Defend$, indemaifres and holds harmless the OWNER from all alainu, demands, Iters or sults by arty person or entity who furnished Wort materials or equipment for ass In the pe ant mea of the Contract, provided Use OWNER has promptly mulled the CONTRACTOR and the Surely (al the addresses described in paragraph 12) of any claims, damands, Hom or suits And tendered defense of such ciame, domande, liens or suits to Use CANTRACfORand she Surely, and provided there is AD OWNER Default, 3. With respect to Ciaimants, this obllgallon shalt be null And Vold if the CONTRACTOR promptly makespaymont, dlrectiy, or Indite ily, for all sums due. 4. The Surely sb& have no obligation to Claimants under this Band rail: 4.1. Galmmts Who are employed by or have a dimer contract with the CONTRACTOR have glum notice to the Surety (at the aUdmsses described In paragraph 12) Sud sent a copy, or notice thereof, to the OWNER, smting that a claim is being made under this Bond and, with substantial accuracy, the amount critic claim. 4.2. Claimants who do not have a dircet contractivkh Ne CONTRACTOR: 1. Mayo fumishrd written notice m the CONTRACTOR and sent s copy, or notice thereof, to the OWNER, whhin 90 days cater having last performed labor or line furnished materials or onulpment Included In the claim sorting, with substantial accuracy, the amount of the claim and the time of the parry to whom the materials were furnished or supplied arfor whom the labor was done orpmformed; and 2. Have either received a' rejection In whole or in part from due CONTRACTOR, or not raeeived within 30 days of Pombbing she above notice my communication from the CONTRACTOR by which the CONTRACTOR had indicated the claim will be paid directly or Indirectly; and 3. Not having been paid within the above 30 days, have sent a written notiecto the Surety and sent atopy, ortotke (limof, to due OWNER, smdng that actaim is being mode under this Bond and cncioslng a copy of the previous written notice famished to lheCONTRACTOR. S. It a notice requited by paragraph 4 is given by the OWNER to the CONTRACTOR or to the Surety, that is suffoientcomplimmo. 6. When the Claimant has satisfied the Wndillons ofpamampb 4. the Sunty$halt promptly and at the Surely': expanse take the following actions; 6.1. Send an answer to the Claimant, wits a copy m the OWNER, within 45 Jays afterztecil tofine claim, stanngthis mounts that a re undisputed and the buts for challenging Any ammmis drat are disputed. fs,2, pay orutangefor payment ofagyundisputedAmounts, 7. The Su cly's total obligadoa malt not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by the Surety. S. Ammtntaowcelby theOWNBR to the CONTRACTOR under me Contract shall be used for theperfotmeoce of the Contract and to sallsdy claims, if Any, under any perio mescezurid, By the CONTRACTOR Auditing and the OWNER accepting rah Bond, they agree stmt all Ponds eamed by the CONTRACTOR 13 the petfortrunce of the Contract are dedicated to sa0sly Obligation; of the CONTRACTORmid the So" under this Bond, subject W the OWNER'S priority to use the funds for the completion of the Work. 9. Tho gwroly shall notim liable mthe OWNER, Claimants orothcra for obligations of go CONTRACTOR that an translated an the Contract, The OWNER shall ort be liable forpsymontofaay coats arexpenses ofany Claimant under this Bond, and shall have under this Bond no obligations to states payments to, give notices on behalf, of, cralherwlso have obligations to Claimants under this Road. 16. The SLnty hereby valves nada of any change, including changes of time, to the Contract or to rolated Subcontracts, purohue orders and other obligations. ti, No soil orsalfonshall be commenced by a Claimant under this Bond other than dnacoun ofcanpekn[JuUsdtabon in the location in which the Wmkor pmeof the Work to located or after the expiration of ono year from the date (1) on which the Claimant gave the notice acquired by pamgmph 4.1 or paragraph 4.2.3, or (2) on wblch the lost labor or servle , was performed by anyone or dm last materials or egoipment were funilshed by anyone under the Construction Contract, whichever or (1)or (2j Rn[oauro. iQhapmvisiomofthlspamgmphamvoldorpmhibltedby law, the minimum period of 11mRation available m mmdes as a defense In the Jurisdiction of die mit shall be applicable. 12, Notice to the Surely, the OWNER or the CONTRACTOR shad[ be malted or deldvomdlothosddresmehownonlheaignatumpage. Actual raeoptofmtl=by Surety, the OWNRR or the CONTRACTOR, however aaompdshed, shall be suf<clent oomplimtce nor the dam received m theaddross shown onthe signature page. 13. When this Band bin been furnished to comply with asmmtory or other legal requimmem in the location when the Contract was to be In rformtod, any provision in this Dead cnntgcntng with said i m story or logo] requirement shell be deemed deleted heraBon and provisions conforming to such smmtory or other legal requirement that be deemed incorporated hooln. The intent is, that this Dord shall be contuited as a statutory Bond and not As: a common law bond. 14. Upon requeatofmy person or ontlty appcuing to beapokndaF 6eaeRclary of the Bond, the CONTRACTOR shall promptly l mish a copy Of Vita Bond err shall permlta copy (o be mado, 15. DEFINITIONS 15.1. Claimant: An Individual or entity having a dhoot contract with the CONTRACTOR or wim a Subcontractor of the CONTRACTOR 0 tumish labor, materials or equipment for use in the performance of the Contract. The Intent of gds Bond shall bete include without limitation in the torms "later, materials or equipment' thin pan of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the Contract, mobikcmral and onglaoxing services roVlrod for performance of me Wonkof the CONTRACTOR and the CONTRACTOR's Subcontractors. and all other items for which a meohonlds Ilan may be needed In she jurisdiction where the labor, matermis or equfpmont came Pomished. 15.2. Contract; The agreement between the OWNER and the CONTRACTOR identified on the signature page. Including all Contract Dceumeats and chang"Ptho oto. 15.3. OWNER Default, Failure of the OWNER, which has neither been remedied nor waived, to pay the CONTRACTOR as required by dw Contract or to perform and eompleo or comply with the other (arms thereof. I(FOR INPORMATION ONLY --Name, Address and Tolephone) AOENCY or BROKER: OWNER'S REPRESENTATIVE (Enlaser or other party) HUB International, 201 E. Main, Suite 800 (79901), PO Box 981021, EI Paso, TX 79998-1021; Ph: (915) 206-60231 Fax: (866) 399-3972 00620-2 IMPORTANT NOTICE To obtain information or make a complaint: You may call FCCI Insurance Group's (FCCI)` toll-free telephone number for information or to make a complaint at: 1-800-226-3224 You may also write to FCCI Insurance Group Compliance Department E-mail at: StateComolaints(o)fcci-grouo com You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: hftp://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact FCC[ Insurance Group first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the policy. *The FCCI Insurance Group includes the following insurance carriers: Brierfield Insurance Company, FCCI Advantage Insurance Company, FCCI Commercial Insurance Company, FCCI Insurance Company, Monroe Guaranty Insurance Company, and National Trust Insurance Company. 1 -IL -TX -21690 -NTP 07-15 Copyright 2015 FCCI Insurance Group. Insured Copy Page 1 of 1 FCCIGRUt GhOUP More than a policy. Apromise. GENERAL POWER OF ATTORNEY Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of the State of Florida (the "Corporation") does make, constitute and appoint: John M Rindt; Paul D Gilcrease Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed Under this authority shall exceed the sum of (not to exceed $7,500,000): $7,500,000.00 The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when rso affixed and in the future with regard to any, bond, undertaking or contract of surety to which it is attached. In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Seal to be hereunto affixed, this 25TH day of Se tember 2016. Attest: Crai hn n, President ��°epP4�'Fy�i: Thom . Koval Esq., EVP, Chie al,Officer, SEAL Gov ment Affairs and Corporate Secretary LL K', FCCI nsur ce Company FCCI Insurance Company State of Florida County of Sarasota State of Florida County of Sarasota Before me this day personally appeared Thomas A. Koval, Esq., who is personally known to me and who GAcqulau 111c.IVIcy My c( expires: 9/25/2020 Notary Public CERTIFICATE he undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the �_..., .'ower of Attorney remains in full force and has not been revoked; and furthermore that the February 24, 2011 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. Dated this Tt 11014A�92NA048116 O icer,' etaly 2017 A&ACDNS-02 MNAJERA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 1013112017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the poltcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER License ff 4682 Hub International Insurance Services SuiteE Main SUlfe BOO AONMTACT CA (AHO.NNu, EXt): (915) 206.6023 jalc, Nq):(S66) 389-3972 E-MAIL tex.elpasoinfo@hubinternational.com ADDRESS' P l: INSURER G AFFORDING COVERAGE NAIC A EI Paso, TX 79901 INSURER A:AMCOInsurance Company 19100 11/0112018 INSURED INSURER B:ColonialCounty Mutual Insurance 29262 INSURER c:Texas Mutual Insurance Company 22945 A&A Constructors Inc. INSURER D, PO Box 465 Victoria, TX 77902 INSURER E: INSURER F: BCOMBINED - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE lNSD SSU 0 POLICY NUMBER MM/DOY JIMEFF YY UMRS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GLA030084330484 1110112017 11/0112018 EACH OCCURRENCE $ 1,000,000 DAMAGET (FaRocur ante $ 100'000 MED EXP (Any one arson 10'000 PERSONAL &ADV INJURY 1'000'000 GENLAGGREGATE LIMIT APPLIES PER: POLICY I X] LOC OTHER: GENERALAGGREGATE 2'000'000 PRODUCTS -COMPIOPAGG 2,000,000 BCOMBINED - AUTOMOBILE LIABIUTY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-0WNED AUTOS ONLY AUTOS ONLY BATX3008430484 1110112017 1110112018 SINGLE LIMIT 1/000000 E BODILY INJURY Perperson) INJURY Per accident) $ BODILY Pe0a�R,1;t 10AGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED ftETEMION$ C WORKERS COMPENSATION ANDEMPLOYERS'LIABIUW ANY PROPRIETOR/PARTNERIEXECUTIVE YIN ppF�FICERMIEMBER EXCLUDED? (mantlatory in NH) f yes, describe antler "Yes DESCRIPTION OFOPERATIONS below NIA SBP0001162845 1110112017 11/0112018 X SER E OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1'000'000 1,000x000 E.L. DISEASE. POLICY UMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schetlule, may be aaached if more space is required) The General Liability and Automobile policies includes a blanket automatic additional insured endorsement or policy terms that provide additional insured status to the certificate holder only when there is a written contract between the named Insured and the certificate holder that requires such status subject to policy terms and conditions. Project: Replace Windows in AG Building @Calhoun County Fairgrounds, Port Lavaca, Texas The blanket additional Insured extends coverage to Calhoun County and G&W Engineers per written contract. r:FRTIFlr.ATF 1401 DER CANCELLATION ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Calhoun County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 211 S. Ann, Suite 301 Port Lavaca, TX 77979 AUTHORIZED REPRESENTATIVE Z_21/<� ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A&ACDNS-02 OATEtMM'I DOIYYYY) ,acoRO CERTIFICATE OF LIABILITY INSURANCE 11101/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOW. THIS CERTIFICATEFOF NTIVELY SURANCOE DOES NIOTLY ANCONST TUTEXAECONTRACT BETWEEN ND OR ALTER THE COVERAGE SSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ES) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on rhie c.r ificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER —'--"--" '--- Hub International Insurance Services 201 E Main Suite 800 EI Paso, TX 79901 INSURED A&A Constructors Inc. PO Box 465 Victoria, TX 77902 A11 MBER• COVERAGES CERTIFICATE NUMBER: ISSUED TO THE INSURE """"E - ABO FOR D IS TO CERTIFY THAT THE POLICIES BEEN TERMNCE STED OR CONDIT ONW IAOF ANY CONTRACTOR OTHER DOVE CUMENT WITH RESPECT TOLW ICH THIS TERMS, ITHIS NDICATED. NOTWITHSTANDING ANY REQUUIIREMENTT,, OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE CERTIFICATE MAY BE ISSUED POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID EXCLUSIONS AND CONDITIONS OF SUCH E P. EIIMS uMITs INSR TYPE OF INSURANCE ADDLSUBR INSD MD POLICY NUMBER MM11 DIYVYY MMIDD 1,000,000 LTR A X COMMERCIAL GENERAL LIABILITY $ DAMAGECH TO DAMAGETO RENTED 100,000 CLAIMS -MADE ❑X OCCUR GLA030084330464 11101/2017 1110112018 P EMESES Ea cu nen $ 10,000 MED EXP An one arson $ 1'000'000 PERSONAL&ADV INJURY $ 2,000,000 GENERALAGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2'000,DD0 POLICY jECT LOC OTHER: COMBINED SINGLE LIMIT 1,000,000 d I B AUTOMOBILE LIABILITY BATX3006430484 1110112017 11101!2018 BODILY INJURY Per arson BODILYRITN�J/URY Per accident $ X ANY AUTO OWNED SCHEDULED ROPP.ER l AMAGE $ AUTOS ONLY AUTOS HIRED NON-0wNED AUTOS ONLY AUTOS ONLY z,DDD,000 B X UMBRELLA LIAR X OCCUR ACP3008430464 1110112017 1110112018 EACH AGGREGCURRENCEATE $ 2,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 X PER OTH- E C WORKERS COMPENSATION YIN AND EMPLOYERS'LIABIUTY SBP0001162845 1110112017 1110112018 1,000,000 E.L. EACH ACCIDENT $ E.L DISEASE -EA EMPLOYE 1,000,000 ANV PROPRIETOR(PARTNEWEXECUTIVE ❑ FFICERMIEMBER FxUUDED? Mandatory in NH) NIA 1,000,000 If yes, describe under E.L DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO t01, Additional Remarks Schedule, maybe aaachetl it more space Is requlredj blanket automatic additional Insured endorsement or policy terms that provide additional insured The General Liability and Automobile policies includes a contract between the named insured and the certificate holder that requires such status subject to status to the certificate holder only when there is a written policy terms and conditions. Replace Windows in AG Building @Calhoun County Fairgrounds, Port Lava, Texas Project: rAMCFI I GTIr1N _ :ttk I R -16A 1 C nvr--" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN G&W Engineers ACCORDANCE WITH THE POLICY PROVISIONS. 205 W. Live Oak Port Lavaca, TX 77979 AUTHORIZED REPRESENTATIVE ,,524 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF INTERESTED PARTIES _I Complete Nos. 1- 4 and 6 if there are Interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. A & A Constructors, Incorporated Victoria, TX United States being filed. County of Calhoun FORM 1295 loll OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: Date Filed: Acknowledged: 3 Provide the of the servo es, number use other by the prperty governmental entity ntprovided r stateUnder agency conra to tack or Identify the contract, and provide a descr good t. 5310.005 Replace windows in AG Building @ Calhoun County Fairgrounds; Port Lavaca, Texas Nature of Intel 4 Name of Interested Party Party. AFFIDAVIT LESLIE SWANNER ^: Notary Public, State of Texas q3 ` My commission Expires January 08, 2018 ED City, State, country (place of business) I swear, or affirm, under penalty of perjury, that the above disclosure is true and correcL AFFIX NOTARY STAMP I SEAL ABOVE o -t day of Swom to and subscribed before me, by the said this the ` \ , Oc 20�_, to certify which, witness my hand and seat of office. • �.e� DKV-��� Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath by Texas CERTIFICATE OF INTERESTED PARTIES Complete Nos, 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. A & A Constructors, incorporated Victoria, TX United States _ ,,;,,,,,n„ fnrm is or being filed. County of Calhoun a FORM 1285 Soft OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-269486 Date Filed: 10/06/2017 Acknowledged: agency to [rack or identify the contract, and provide a 3 Provide the identification number used by the governmental entity or state description of the services, goods, or other property to be provided under the contract. 5310.005 Replace windows in AS Building @ Calhoun County Fairgrounds; Port Lavaca, Texas Nature of inter City, state, Country (place of business) (check applica 4 Name of Interested Party Int. Controlling _ s Check only if there is NO Interested Party. 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said 20 , to certify which, witness my hand and seal of office. Signature of Forms provided by Texas Ethics Commission Signature of authorized agent of contracting business entity this the day of Printed name of officer administering oath Title of officer administering oath I Calhoun County Commissioners' Court—November 9, 2017 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) On specifications and contract and authorize County Auditor to advertise for bids on Inmate Food Services for the period beginning January 1, 2018 and ending December 31, 2019 with the option to renew yearly upon Commissioners' Court approval. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Peggy Hall spoke on this matter. Page 5 of 33 Agenda Item for Commissioners' Court — Thursday, November 9, 2017 Consider and take necessary action to approve specifications and contract and authorize the County Auditor to advertise for bids on Inmate Food Services for the period beginning January 1, 2018 and ending December 31, 2018 with the option to renew yearly upon Commissioners' Court approval. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. CALHOUN COUNTY ADULT DETENTION CENTER Request For Bid INMATE FOOD SERVICES For the period January 1, 2018 thru December 31, 2018 royal With the option to renew yearly upon Commissioners' Court app SPECIFICATIONS Commissioners' Court of Calhoun County, Port Lavaca, Texas is requesting bids to provide food services to the Calhoun County Adult Detention Center, located at 302 West Live Oak in Port Lavaca, Texas. Bid Due Date: Tuesday, December 12, 2017 Award Date: Thursday, December 21, 2017 Contract Term: January 1, 2018 thru December 31, 2018 Commissioners' Court approval With the option to renew yearly, up Each yearly renewal must be approved by Commissioners' Court prior to the end date of the contract. In order to adhere to a higher standard of business ethics of the Calhoun Countdor's u bind ask that all vendors refrain from mentioning any and all competitors in any p Failure to refrain from this policy will result in vendor's bid being deemed non-responsive. Any differences in the actual product bid from the Grocery Bid Pricing List should be noted on the grocery bid list. All charges must be included in the bid price. No other charges may be added unless noted as an exception on the bid form. Exceptions may void the bid. All bid prices must be good for the entire bid period. Bids submitted in any other form cannot and will not be considered. Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the jail to make and provide all meals. Page i of 2 Deliveries will be made between Monday and friday between the hours of 7:00 AM to 10:00 AM and 1:00 PM to 4:00 PM in order not to disrupt the jail kitchen in preparing meals. Should an ordered item(s) not arrive as ordered, wrong item(s) is delivered, or item(s) is delivered damaged, provider will deliver the correct or substitute item(s) within 24 hours from the date the missing or damaged item(s) was supposed to be delivered. No extra charges will be allowed to be billed to correct the error or damaged item(s) Liquid items will be delivered in plastic crates to prevent damages when stacked. A sales representative from the provider shall contact the Jail Administrator or Jail Kitchen Officer at least monthly, in person, to discuss any issues or new products offered. All products on the bid list are speculative products and should not be considered as firm products to be purchased during the term of the agreement. If you cannot supply a product, make note on the bid list in the cost column next to that item. If you wish to suggest alternate/comparable or less costly products, please do so on separate sheets and attach it to the back of the bid list noting the appropriate line number on your suggestion with pack size and cost. Products and services not listed on bid may be available at a free to discounted cost on items used in kitchen, such as dispensers for coffee, chemicals, etc. Order processing will be made available by fax and / or website. All bids received will be considered final, no changes accepted. By acceptance of this agreement vendor agrees to notify the Sheriff or Jail Administrator of any solicitations from employees of Calhoun County for services not officially associated with jail operations. Vendors are prohibited from offering, giving, selling, supplying, or conveying in any way or form, products for personal use to employees of Calhoun County. Samples may be provided to the jail for use within the facility for evaluation purposes. Requests for information regarding the facility or technical questions, please contact Michelle Velasquez, Jail Administrator, or Rachel Martinez, Assistant Jail Administrator, Calhoun County Adult Detention Center, 302 W Live Oak, Port Lavaca, TX 77979, 361-553-4481 or 361-553-4482; mich uP velasouez@calhouncotx.org; rachet martinez@calhouncotx.org Requests for information regarding bid packages should be directed to: Peggy Hall, Assistant Auditor, Calhoun County Courthouse Annex il, 202 S Ann St, Ste B, Port Lavaca TX 77979, 361-553-4610, peggy.hall@calhouncotx.org. Page 2 of 2 implementation of House Bill 1295 Certificate of Interested Parties (Form 1295): In 2015, the Texas Legislature adopted House Bill 1295, which added section 22 not 2.90nter he Government Code. The law states that a governmental entity or state agency may certain contracts with a ntasiness l entity or�statety lagency at the tess the ime the bus Wes entity iss entity submits thets a disclosure of e signed parties to 9 The law applies only to a contract of a contract to the governmental entity or state agency. governmental entity or state agency that either (1) requires an acthas a value oftat least $1nmillion- The ili on. T the entity re agency before t I es to contract c contract entered ntoay be signed ron or after January 1, 2016. The disclosure requirement app' The Texas Ethics Commission was required to adopt rules necessary to implement that law, of interested parties form, and post a copy of the form the commission's prescribe the disclosuredoped the Crtficate of n (Form website. The The comm'ssonaalsotadoptedrulies (Chapter 46) to implemen the law.IThe) on October commission 5, 2015. does not have any additional authority to enforce or interpret House B!II 129 . Filing Process: The commission has available on its website a filing application that must be used to file Form 1295. T T business entity must use the application to enter the required information on Form 1295 and print a copy of the Of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy form and the governmentalt tbody or stat o agency with which the business entity filing the form noarized. The ntity is ent ri g into the filed with 9 contract. mmission, using The governmental the receipt must notify the co of the filedeForm 1295 wi ncy h he certification of filing il ngtnot latehe r than the filing0 h applicareceives the tion on will day after the date the goN Form 1295t o s website wi hin sbody or state agnceven business Fdays after receiving notice from post the completed the governmental entity or state agency. Additional information: HB 1295 Certificate of Interested Parties (Form 1295) " )nly. DO NOT This is rsale 295 MUST BE FILED ELECTRONICALLY P peer copies) and PDF lpiescoSAMPLE fthis FORM. For sample form are not accepted! Chapter 46, Ethics Commission Rules (new rule 46.4, regarding changes to contracts, is in effect as of January 1, 2017) Last Revision: November], 2017 CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. or state agency that is a party which the form is being filed. FORM 1295 OFFICE USEONLY Provide the identification number used by the governmental or other properly to state be provid agency under the to track r identify the contract, and provide a description of the services, goods, .Y °Nat6le of Interest (check applicable) City, State, Country 7, Name of Interested Party (place of business) rt �' �. Controlling Intermediary Check only if there is NO Interested Party. 11 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of allthodzeci agent of contracOng business entity AFFIX NOTARY STAMP / SEAL ABOVE this the day Sworn to and subscribed before me, bythe said s J 2p , to certify which, witness my hand and seal of office. 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You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre-bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Rid Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3`d Floor, Room 301, Port Lavaca, Texas, Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governi�r In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's performance. Vendor shall procure and maintain, with respect to the subject matter of thisbid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: aive any and all rights whatsoever with regard to Vendor and vendor's insurance carrier w subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds: If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all federal excise taxes and state and local (county and city sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricin : Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any items) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis o lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the solleju 3 e in ch osal or tract An award is final onlyduponformalnexecut execution by the Calhoun County. Calh un County commissioners' oners' Court In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid Proposand/or Contract obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Deliver : All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated int e specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default i the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the any and all goods seran nevices ued to within the proper amount of time, and/or to properly perform County's satisfaction and/or to meet all other obligations and requirements. Bids, Calhoun contracts may be terminated without cause upon thirty (30) days written proposals and/or notice to either party unless otherwise specified. The vendor or Calhoun County P s e 4 of therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bili 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity' includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal nttps l/www ethics state tx us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this l'st during the term of the County Auditor. False certification at on orr failure and/or contract, vendor shall notify ilure tonotifymay result n termination Calhounof the bid, proposal and/or contract for default, invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM, Tuesday, the week before the Commissioners' Court meeting. Commissioners' Court meets the 2nd and 4th Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option df the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Majeure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes, and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharge unciation of the claim or right unless the waiver or in whole or in part by a waiver or ren renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, ounty, or shall be financially interested, directly or proposal and/or contract with the C indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a throughout the certificate of insurance showing the following insurance coverage to be in force term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: oeggv hall@calhouncotx.org Page 9 of 9 Calhoun County Commissioners' Court —November 9, 2017 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On specifications and authorize the County Auditor to advertise for bids for Insecticides for Mosquito Control for the period beginning January 1, 2018 and ending December 31, 2018. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Peggy Hall spoke on this matter Page 6 of 33 Agenda Item for Commissioners' Court — Thursday, November 9, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Insecticides for Mosquito Control for the period beginning January 1, 2018 and ending December 31, 2018 Bids will be due Tuesday, December 12 and considered for award on Thursday, December 21, 2017. SPECIFICATIONS FOR INSECTICIDES FOR MOSQUITO CONTROL 1. The County of Calhoun is requesting sealed bids for Insecticides for Mosquito Control as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area — Precinct Barn or Jobsites Precinct #2, Six Mile Area — Precinct Barn or Jobsites Precinct #3, Olivia Area — Precinct Barn or Jobsites Precinct #4-P, Port O'Connor Area — Precinct Barn or Jobsites Precinct #4-S, Seadrift Area — Precinct Barn or Jobsites 2. The bid shall be in effect for a period of TWELVE (12) Months beginning January 1, 2018 and ending December 31, 2018, 3. Bid Items: • Mineral Oil • Malathion Active Ingredients: Malathion 96.5%; Other 3.5% • 30-30 ULV Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30%; Other 40% • 20-20 Active Ingredients: Permethrin 20.6%; Piperonyl Butoxide 20.6%; Other 58.8% • 4-4 ULV Active Ingredients: Permethrin 4%; Piperonyl Butoxide 4%; Other 92% • 4-8 Active Ingredients: Permethrin 3.98°/x; Piperonyl Butoxide 8.48%; Other 87.54% • Deltagard or Equivalent Deltamethrin 2%; Other 98% • ULV Mosquito Master 412 or Equivalent Chlorpyrifos 12%; Permethrin 4%; Other 84% • 1.5 ULV Chlorpyrifos 19.36%; Other 80.64% • Altosid 30 Day Briquets or Equivalent (S) Methoprene 8.62%; Other 91.38% • Altosid XR Extended Residual Briquets or Equivalent (S) Methoprene 2.1 %; Other 97.9% • Fourstar Sustained Release 45/90/180 Day Microbial Briquets or Equivalent Bacillus sphaericus 6%; Bacillus thuringiensis subspecies israelensisl %; Other 93% • Summit BTI Briquets or Equivalent Bacillus thuringiensis subspecies israelensis serotype H-14 10.31%; Other 89.69% • Sustain MBG Biological Larvicide or Equivalent Bacillus thuringiensis subspecies iraelensis serotype H-14 5.71 %; Other 94.29% Page I of 2 4. One (1) copy of the Material Safety Data Sheet listing the active ingredients and safety instructions MusT be included for each insecticide. (Example: Bids turned in for Mineral Oil and Malathion —you would Return the Original of the Invitation To Bid Form AND 1 copy of the Material Safety Data Sheet for Mineral Oil AND 1 copy of the Material Safety Data Sheet for Malathion) 5. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by Calhoun County, all costs incurred for such tests shall be paid for by the bidder. 6. Delivery shall be FOB Destination to Jobsite. All charges must be included in bid price. No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. Exceptions may disqualify the bid. 7. NO PERSON has the authority to verbally alter these specifications. Any changes to Specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. 8. All disputes or protests will be held in Calhoun County, Texas. 9. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) 10. Information to be returned by the time and date due: 1. Invitation To Bid Form (Pages 1, 2, 3 & 4) 2. A Completed Form 1295 See General Conditions, page 5, Certificate of Interested Parties — Form 1295. #3 on Form 1295: 2018.01-12 Insecticides for Mosquito Control 3. One (1) Copy of the Material Safety Data Sheet for each insecticide bid on 4. Vendor/Order Information Form * Please Do Not Fold any of the above information. * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — Insecticides for Mosquito Control" * If you send your bids by UPS, FEDEX, etc., the outside of this envelope must be clearly marked: "Sealed Bid — Insecticides for Mosquito Control" Page 2 of 2 Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295): In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The law applies only to a contract of a governmental entity or state agency that either (1) requires an action or vote by the governing body of the entity or agency before the contract may be signed or (2) has a value of at least $1 million. The disclosure requirement applies to a contract entered into on or after January 1, 2016. The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission's website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commission also adopted rules (Chapter 46) to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295. Filing Process: The commission has available on its website a filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission's filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the governing body or state agency receives the Form 1295. The commission will post the completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Additional Information: HB 1295 Certificate of Interested Parties (Form 1295)** **This is a sample form for illustration purposes only. DO NOT FILL OUT THIS SAMPLE Paper copies and PDF copies of this FORM. Form 1295 MUST BE FILED ELECTRONICALLY! sample form are not accepted! Chapter 46, Ethics Commission Rules (new rule 46.4, regarding changes to contracts, is in effect as of January 1, 2017) Last Revision: November], 2017 CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2 Name of governmental entity or state agency that is a party to the which the form is being filed. FORM 1295 OFFICE USE ONLY 3 Provide the Identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 4 Name of interested Party c City, state, Country 4'/,'� (place of business) 11 c of Interest (check applicable) Controlling I Intermediary Check only if there is No Interested Party. AFFIDAVIT 1 swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE this sworn to and subscribed before me, oy the saw of , 20 , to certify which, witness my hand and seal of office. day Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Form provided by Texas Ethics Commission ADD ADDITIONAL PAGES AS NECESSARY www.ethics.state.tx.us Revised 4/8/2016 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2018 thru DECEMBER 31, 2018 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 1 Copy of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form Mineral Oil Price Per Unit/Gallon 50 Gallon Drum /per 50 Gallon Drum ( per Gallon) 55 Gallon Drum /per 55 Gallon Drum ( per Gallon) 275 Gallon Tote /per 275 Gallon Tote ( per Gallon) Malathion Active Ingredients: Malathion 96.5%; Other 3.5% Price Per Unit/Gallon 55 Gallon Drum 4 or more 55 Gallon Drums 260 Gallon Tote 4 or more 260 Gallon Totes 30-30 ULV Price Per Unit/Gallon 2 x 2.5 Gallon Case 5 Gallon Pail 30 Gallon Drum 55 Gallon Drum 275 Gallon Tote /per 55 Gallon Drum ( per Gallon) /per 55 Gallon Drum ( per Gallon) /per 260 Gallon Tote ( per Gallon) /oer 260 Gallon Tote ( per Gallon) /per Case - 2x 2.5 Gallon ( per Gallon) /per 5 Gallon Pail /per 30 Gallon Drum /per 55 Gallon Drum /per 275 Gallon Tote 31-66 ULV Active Ingredients: Permethrin 31.28%; Piperonyl outoxide 66%; Other 2.72% Price Per Unit/Gallon 30 Gallon Drum 4 X 1 Gallon Case 2 x 2.5 Gallon Case 30 Gallon Drum /per Case - 4x1 Gallon ( per Gallon) ( per Gallon) ( per Gallon) ( per Gallon) ( per Gallon) ( per Gallon) /per Case - 2 x 2.5 Gallon ( per Gallon) Page 1 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2018 thru DECEMBER 31, 2018 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 1 Copy of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form , List Insecticide Name 20-20 Active Ingredients: Permethrin 20.6%; Piperonyl Butoxide 20.6%; Other 58.8% Price Per Unit/Gallon 2 x 2.5 Gallon Case /per Case - 2x 2.5 Gallon ( per Gallon) �— List Insecticide Name 4-4 U LV Active Ingredients: Permethrin 47b; Piperonyl Butoxide 4%; Other 92% Price Per Unit/Gallon 2 x 2.5 Gallon Case /per Case - 2 x 2.5 Gallon ( per Gallon) 30 Gallon Drum /per 30 Gallon Drum ( per Gallon) 55 Gallon Drum /per 55 Gallon Drum ( per Gallon) 275 Gallon Tote /per 275 Gallon Tote ( per Gallon) 4-8 Active Ingredients: Permethrin 3.98%; Piperonyl Butoxide 8.48%; Other 87.54% Price Per Unit/Gallon , List Insecticide Name 2 x 2.5 Gallon Case /per 2 x 2.5 Gallon Case ( per Gallon) 5 Gallon Pail /per 5 Gallon Pail ( per Gallon) 30 Gallon Tote /per 30 Gallon Tote ( per Gallon) 55 Gallon Drum /per 55 Gallon Drum ( per Gallon) 275 Gallon Tote /per 275 Gallon Tote ( per Gallon) List Insecticide Equivalent Deltagard OR Equivalent Active Ingredients: Deltamethrm 2%; Other 98% Price Per Unit/Gallon 2 x 2.5 Gallon Case 30 Gallon Drum ULV Mosquito Master 412 OR Equivalent Price Per Unit/Gallon 55 Gallon Drum /per Case - 2 x 2.5 Gallons ( per Gallon) /per 30 Gallon Drum ( per Gallon) t-- List Insecticide Equivalent /per 55 Gallon Drum ( per Gallon) Page 2 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2018 thru DECEMBER 31, 2018 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 1 Copy of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form 1.5 ULV List Insecticide Name Active Ingredients: Chlorpyrifos 19.36%; Other 80.64% Price Per Unit/Gallon 2 x 2.5 Gallon Case /per Case - 2 x 2.5 Gallons ( per Gallon) 30 Gallon Drum /per 30 Gallon Drum ( per Gallon) 55 Gallon Drum /per 55 Gallon Drum ( per Gallon) Altosid 30 Day Briquets OR Equivalent Price Per Case 400 Per Case Altosid XR Extended Residual Price Per Case 220 Per Case Fourstar Sustained Release Price Per Case Summit BTI Price Per Case 45 Day ----- 200 Per Case 90 Day ----- 200 Per Case 180 Dav -----200 Per Case W 100 Per Case � List Insecticide Name /per case OR Equivalent F List Insecticide Name /percase Microbial Briquets OR Equivalent List Insecticide Name /percase /percase /percase nt , List Insecticide Name /per case Page 3 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2018 thru DECEMBER 31, 2018 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 1 Copy of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form Sustain MBG Biological Larvicide OR Equivalent � List Insecticide Name Active Ingredients: Bacillus thuringiensis subspecies iraelensis serotype H-14 5.71%; Other 94.29% Price Per Bag 40 Ib Bag /per bag ► A request for a bid item does not guarantee that the bid item will be ordered by Calhoun County during the bid period. ► All charges must be included in bid price. ► No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. Exceptions may disqualify the bid. LIST ANY EXCEPTIONS TO THE GIVEN BID SPECIFICATIONS: The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid package and fully understands and hasfollowed all s ecifications and general conditions. Company Name: Address: Authorized Signature & Title: Type Name & Title of Authorized Signature: Date of Bid: Remember to include with your bid: Form 1295 (see page 5 of the General Conditions) 1 Copy of the Material Safety Data Sheet for each item bid on Vendor/Order Information Form Page 4 of 4 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre-bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds• If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections• Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testin : Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer, The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment• The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination• Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment• Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM, Tuesday, the week before the Commissioners' Court meeting. Commissioners' Court meets the 2"d and 4th Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. in the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Majeure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver• No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: peggy-hall@calhouncotx.org Page 9 of 9 { Calhoun County Commissioners, Court—November 9, 2017 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) On Health Services Agreement between the Calhoun County Adult Detention Center and SHP in the amount of $130,494.00 annually ($10,874.50 per month) and authorize County Judge to sign. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Michelle Vasquez spoke on this matter. Page 7 of 33 Agenda Item for Commissioners' Court — Thursday, November 9, 2017 Consider and take necessary action on Health Services Agreement between the Calhoun County Adult Detention Center and SHP in the amount of $130,494.00 annually ($10,874.50 per month) and authorize the County Judge to sign. Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Contract Period January 1, 2018 through December 31, 2018 Southern Health Partners Your Partner In Affordable Inmate Healthcare September 27, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP continues to be a proud partner with Calhoun County and the Sheriffs Office in providing for the delivery of inmate health services. Our Health Services Agreement is coming up soon for renewal, and I am writing this letter to acknowledge a change in pricing terms for the 2018 period. Remember there have been a couple years in the contract history when we were able to let go without an inflationary increase. Over time, however, many of our operating expenses have continued to go up, including those related to insurance, administration and travel, plus we must allow for higher fixed costs for items such as employee benefits and nurse wages. With nurse wage rates having risen considerably, and also taking into account the aspect of nurse shortages, offering competitive local area pay is essential to attracting and keeping well-qualified nurses working for us in corrections. We want to assure the County of our commitment to provide an exemplary program of care. The pricing outlined below includes a 3% annual adjustment for the 2018 period. Keep in mind this is less than CPI increase. This will give us a new per diem and base contract amount as follows: Contract period: January 1, 2018, through December 31, 2018 Base annualized fee: $130,494.00 ($10,874.50 per month) Per diem greater than 80: $1.58 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) As always, you are welcome to give me a call with any questions. I'll be happy to assist. You can reach me direct in our NC/SC Regional Office at 803-802-1492. 1 will ask you to please keep this letter on file and return a signed copy to me by on or before October 31, 2017. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen hamiiton(opsouthernheaithpartners.com). Except as noted above, or as may be modified or amended by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. We took forward to continued business with an excellent customer. Sincerely, SOUT�H{ERNJ IEALTH PARTNERS, INC. CALHOUN COUNTY, TX C', _ �N BY: Carmen Hamilton Contracts Manager /cph 12/2/2016 COPY Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Beginning January 1, 2017 and ending December 31, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: We, at SHP, are proud to be working in partnership with the Sheriffs Office as the on-site provider of inmate medical care. The Health Services Agreement is coming up soon to rollover in January, and we look forward to beginning a new year of services. SHP remains committed to providing a cost-efficient quality program. Remember for the past two years, with approval for increasing the nurse staffing plan, we let the contract go without an annual price increase for renewal. For the new period beginning in January, however, we will need an adjustment to help us keep up with the costs of doing business and providing medical services, which continue to rise each year. We must allow for higher fixed costs for items such as employee wages and benefits, plus many of our other operating costs have increased over time, including those related to insurance, administration and travel. We have planned on a 2% inflationary increase for the 2017 contract year. This is a difference of $207.02 more per month on the base rate. Please look for the monthly billings to adjust accordingly, effective January 1, 2017. The new per diem and base contract amount are noted below for your records. Contract period: January 1, 2017, through December 31, 2017 Base annualized fee: $126,693.24 ($10,557.77 per month) Per diem greater than 80: $1.53 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, should you have any questions or wish to discuss the contract, feel free to give me a call. 1 can be reached directly in our NC/SC Regional Office at 803-802-1492. I'll be happy to assist with anything you may need. Otherwise, please keep, this letter for your file and return a signed copy to me at your earliest convenience. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen hamiltonnc southernhealthoartners com). Except as modified above, or as may be further amended or modified by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect, Thank you in advance. Calhoun County is a valued customer. We hope to have the privilege of doing business together for many years to come. S' cer y, CALHOUN COUNTY, TX Carmen Hamilton p ay Contracts Manaqer Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Amendment #2 To Health Services Agreement Amendment # 2 -- Beginning January 1, 2016 and ending December 31, 2016 Southern Health Partners Your Partner In Affordable Inmate Healthcare October 8, 2015 Rachel Martinez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak Port Lavaca, TX 77979 Re: Health Services Agreement Dear Rachel: This letter serves to acknowledge SHP's request for a change in the contract staffing provided under the Health Services Agreement. We are asking for the County's support in adjusting the base price to account for an increase in the contract stamng plan at the facility to a new average schedule of thirty hours each week (covering weekdays). Again, It is our full expectation that, going forward, a full-time status 30 -hour a week position will be essential to keeping a consistent staff member in place at the facility and improving the overall stability of the program. We are requesting an increase in base contract compensation to account for the additional nursing hours. The cost we initially offered to incorporate 10 hours into the regular staffing plan, bringing the MTA position up from 20 hours to a new average of 30 hours per week, was $19,326.00 annualized. We have now agreed to reduce this amount by $3,000.00 to $16,326.00 ($1,360:50 per month) with approval of the enclosed Amendment making the rate adjustment effective January 1, 2016. The change will increase the County's annualized contract price to the new amount of $124,209.00 ($10,350.75 per month). Please review the Amendment at your earliest opportunity and contact me if you have any questions. Notice the Amendment includes several other sections with recent updates we have made in our standard contract language. We would like to take the opportunity while amending the contract to incorporate these updates. As a part of our offer, with the County's approval of the Amendment, we will agree to continue under the same terms and pricing for another year, under the increased staffing plan, without an overall annual or inflationary price increase for the 2016 renewal period. You'll find this covered in Section No. 7.3. Please be advised, however, without the approved change for the staffing Increase, SHP will need at a minimum a 10% fee increase for 2016 to help us with operating costs over this next contract year. Otherwise, we would need to discuss the contract options with the County further, and make a determination whether it will be feasible to continue services. 'Ale hope to avoid such a circumstance and want to continue working with the County to provide a quality, afficlent program of care for the inmates. Please do feel free to give me a call with any questions or concerns. I can be reached directly in our NCISC Regional Office at 803-802-1492. Thank you in advance. We appreciate your time and assistance. S' cerely, t Cdrmemilton Contracts Manager AMENDMENT#2 TO HEALTH SERVICES AGREEMENT This AMENDMENT #2 to Health Services Agreement dated November 19, 2013. between Calhoun County. Texas (hereinafter referred to as "County"), and Southern Health Partners. Inc„ dlb/a SHP Vista Health Management, Inc., a Delaviff& Corporation, (hereinafter referred to as "SHP"), with services commencing on January 1, 261#, is entered into as of this v day of O¢oter , 2015. WITNESSETH: 'WHEREAS. County and SHP desire to amend the Health Services Agreement dated November 19. 2013, between. County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 2.1 is hereby replaced in its entirety by the following: 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that, effective January 1, 2016, the amount of base contract compensation to SHP shall be adjusted to account for an increase in the on-site nurse staffing plan at the facility, to a new average schedule of thirty hours per week (covering weekdays). Section 4.1 is hereby replaced in its entirety by the following: 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County will take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. it is expressly understood by County and SHP that the provision of security and safety for the SHP personnel Is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion, to the extent that Y. in'SHP`s sole discretion, the safety and security of SHP personnel are compromised, SHP may exercise its right to immediately terminate services, in accordance with the provisions of Section No. 6.2(b) of this Agreement. Section 6.1 is hereby replaced in its entirety by the following: 2016 6.1 Term. This Agreement shall commence on January 1, c�. The term of this Agreement shall end on December 31, 2016. and', shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to tenhinate at the end of the period. Section 6.2 is hereby replaced in its entirety by the following: 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: (a) Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. (b) Termination for Cause. SHP shall have the right to terminate this Agreement at any time for Cause, which may be effected immediately after establishing the facts warranting the termination, and without any further obligation to County, by giving written notice and a statement of reasons to County in the event: (f) the safety and security of SHP personnel is determined by SHP, in its sole discretion, to be compromised, either as a direct. or indirect. result of County's failure to provide adequate security services, the provision of which is a continuing precondition of SHP's obligation to perform work under this Agreement, or (if) County fails to compensate SHP for charges or fees due, either in whole. or in part, under this Agreement, according to the terms and provisions as stated herein. Cause shall not, however,. include any actions or circumstances constituting Cause under (f) or (ii) above if County cures such actions or circumstances within a specified period following delivery of written notice by SHP setting forth the actions or circumstances constituting Cause, during which period SHP may permit County, solely by express agreement. time to provide sufficient remedy to SHP's satisfaction. In all cases, this Agreement may be terminated immediately by SHP, without notice, if, in SHP's sole discretion, such immediate termination of services is necessary to preserve the safety and well-being of SHP personnel- Upon ersonnel Upon such a termination for Cause, County acknowledges that, SHP shall be entitled to all compensation fees and charges due for services rendered hereunder, without penalty or liability to SHP, up through and including the last day of services, and further that, County shall be obligated to compensate SHP accordingly for such services rendered up through and including the last day of services, consistent with the terms and provisions of this Agreement. If any costs relating to the period subsequent to such termination date have been paid by County in the case of (1) above, SHP shall promptly refund to County any such prepayment. (c) Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. (d) Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement. County shall be entitled to immediately terminate this Agreement, without penally or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. Section 7.1 is hereby replaced in its entirety by the following: 7.1 Base Compensation. Effective January 1, 2016, County will compensate SHP based on the twelve-month annualized price of $124,209.00 during the term of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement based on the twelve-month annualized price of $124,209.00 will be in the amount of $10,350.75 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month. compensation to SHP will be prorated accordingly for the shortened month. Section 7.3 is hereby re-inserted and replaced in its entirety by the following: 7.3 Future Years' Compensation. The amount of compensation (i.e.. annual base price and per diem rate as defined in Sections 7.1 and 72, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2016. to account for additional nursing hours incorporated as a part of the on-site staffing plan, and that, for the twelve-month renewal period effective January 1. 2016, titre parties have agreed to continue the terms of this Agreement, under the increased staffing plan of an average of 30 hours each week, at the same price as stated in Section No. 7.1, without any further overall annual or inflationary price Increase on the base contract compensation or per diem rate. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1, 2017. or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF,'the parties have executed this Agreement In their official capacities with legal authority to do so. ATTEST: 6e:Josre 4A(AP4o^r DC?WTP NNr{ c,000mau, ¢Aa4*U r Wor,TI CtrX. Date: r o f r of x o rs CA.LHOUN COUNTY, TX BY: 9 r� Date: SOUTHERN HEALTH PARTNERS. INC. dlbfa SHP VISTA HEALTH MANAGEMENT, INC. 4 Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Amendment #1 To Health Services Agreement Amendment # 1 -- Beginning January 1, 2015 and ending December 31, 2015 O.PT1OIq A AMENDMENTri TO HEALTH SERVICES AGREEMENT This AMENDMENT fl to Health Services Agreement dated November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware Corporation, (hereinafter referred to as "SHP"), vAth services commencing on January 1, 2014, is entered into as of this _ day of , 2014• WITNESSETH: WHEREAS, County and SHP desire to amend the Heattin Services Agreement dated -November J9, 2013, between County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, [tie parties hereto agree as follows: Section 2.1 is hereby replaced In its entirety by the following: 2.1 Staffing. SHP shalt provide medical and support personnel reasonably necessary for the rendedrig of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that, effective January 1, 2015, the on-site nurse staffing plan will increase to a new average schedule of twenty hours per week (covering weekdays). Section 6.1 is hereby replaced in its entirety by the following: 6.1 Term. This Agreement shall commence on January 1, 2014. The term of this Agreement shall end on December 31, 2015, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. Section 7.1 is hereby replaced in its entirety by the following: 7.1 Base Comoensation. Effective January 1, 2015, County Will compensate SHP based on the twelve-month annualized price of $io7,883-00 during the term of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement based on the hvelve-month annualized price of $107,883.00 will be in the amount of $8,090.25 each, SHP will bill County approximately thirty days prior to the month in which services are to be rendered. in ilch unty agrees to pay SHP prior eventot this Agreement should t commence or of onta hservices rr date other h e rendered. In o er ethe first o tile last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. Section 7.3 is hereby re -Inserted and replaced in its entirety by the following: 7.3 Future Years' Compensation. The amount of compensation (i.e., annual base price and per diem rate as defined in Sections 711 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year, with the exception of the first renewal period effective January 1, 2015, through December 31, 2015, for which there shall be no overall renewal percentage increase on the contract. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2015, coinciding with an increase in the number of nurse staffing hours provided by SHP, to the new twelve-month annualized amount of $107,883.00. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1, 20% or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. ATTEST: s IW�ii Y• Date:t�1DS �dl CALHOUN COUNTY, TX BY: Michael J. Pfeifer ^r,rjhoin (,mintJudge — Dale: 4) SOUTHERN HEALTH PARTNERS, INC. VI A HEALTH MA AGEMENT, INC. ,:Yr Jeffr A aso , Chief Executive Officer Date: Id 17 6.Y Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Beginning January 1, 2014 and ending December 31, 2014 HEALTH SERVICES AGREEMENT THIS AGREEMENT between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware corporation, (hereinafter referred to as "SHP"), is entered into as of the _ day of _, 201_. Services under this Agreement shall commence on seeernbecJa4o ArY 1 ,-4�0 /c.( 2813, and shall continue through Dom, in accoldance with Section 6.1. OPac►+bac3li 26 r`f �" 1"�-��" � � � 13 WITNESSETH: WHEREAS, County is charged by law with the responsibility for obtaining and providing reasonably necessary medical care for inmates or detainees of the Calhoun County Adult Detention Center facility (hereinafter called "Jail") and, WHEREAS, County and Sheriff desire to provide for health care to inmates in accordance with applicable law; and, WHEREAS, the County, which provides funding as approved by the Calhoun County Commissioners' Court for the Jail, desires to enter into this Agreement with SHP to promote this objective; and, WHEREAS, SHP is in the business of providing correctional health care services under contract and desires to provide such services for County under the express terms and conditions hereof. NOW THEREFORE, in consideration of the mutual covenants and promises hereinafter made, the parties hereto agree as follows: ARTICLE I: HEALTHCARE SERVICES. 1.1 General Engagement. County hereby contracts with SHP to provide for the delivery of all medical, dental and mental health services to inmates of Jail. This care is to be delivered to individuals under the custody and control of County at the Jail, and SHP enters into this Agreement according to the terms and provisions hereof. 1.2 Scope of General Services. The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said inmate into the Jail. The health care services provided by SHP shall be for all persons committed to the custody of the Jail, except those identified in Section 1.7. SHP shall provide and/or arrange for all professional medical, dental, mental health and related health care and administrative services for the inmates, regularly scheduled sick call, nursing care, regular physician care, medical specialty services, emergency medical care, emergency ambulance services when medically necessary, medical records management, pharmacy services management, administrative support services, and other services, all as more specifically described herein. z SHP shall be financially responsible for the costs of all physician and nurse staffing, over-the-counter medications, medical supplies, on-site clinical lab procedures, medical hazardous waste disposal, office supplies, forms, folders, files,. travel expenses, publications, administrative services and nursing time to train officers in the Jail on various medical matters.. SHP's financial responsibility for the costs of all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail will be limited by an annual cost pool described in Section 1.5 of this Agreement. Costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail in excess of the annual cost pool limit shall be the financial responsibility of the County, or shall not otherwise be the financial responsibility of SHP. 1.3 Specialty Services. In addition to providing the general services described above, SHP by and through its licensed health care providers shall arrange and/or provide to inmates at the Jail specialty medical services to the extent such are determined to be medically necessary by SHP. In the event non -emergency specialty care is required and cannot be rendered at the Jail, SHP shall make arrangements with County for the transportation of the inmates in accordance with Section 1.9 of this Agreement. 1.4 Emergency Services. SHP shall arrange and/or provide emergency medical care, as medically necessary, to inmates through arrangements to be made by SHP. 1.5 Limitations On Costs - Cost Pool. SHP shall, at its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services for inmates rendered outside of the Jail will be limited by a pool established in the amount of $30,000.00 in the aggregate for all inmates in each year (defined as a twelve-month contract period) of this Agreement. If the costs of all care as described in this Section 1.5 exceed the amount of $30,000.00 in any year, SHP will either pay for the additional services and submit invoices supporting the. payments to the County along with an SHP invoice for one hundred percent (100%) of the costs in excess of $30,000.00 or, in the alternative, will refer all additional qualifying invoices to County for payment directly to the provider of care. for all invoices payable to SHP as reimbursement for pool excess costs, such amounts.shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool amount will be prorated for any contract period of less or more than twelve months. 3 If the costs of all care as described in this Section 1.5 are less than $30,000.00 in any year (defined as a twelve-month contract period), SHP will repay to County eighty percent (80%) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the end of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the new contract period begins and prior to issuing any such refund to County for unused cost pool funds. Specifically, the cost pool cut-off will be mid-February based on a contract period schedule ending in mid-December each year. SHP will continue to process cost pool payments applicable to the prior contract period through mid-February and apply those amounts toward the prior year's cost pool limit. Any additional cost pool charges received subsequent to the cut-off date which are applicable to the prior contract period will either be rolled over into the pool for the current contract period or be referred to County for payment directly to the provider of care. The intent of this Section 1.6 is to define SHP's maximum financial liability and limitation of costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. 1.6 Injuries Incurred Prior to Incarceration• Pregnancy. SHP shall not be financially responsible for the cost of any medical treatment or health care services provided to any inmate prior to the inmate's formal booking and commitment into the Jail. Furthermore, SHP shall not be financially responsible for the cost of medical treatment or health care services provided outside the Jail to medically stabilize any inmate presented at booking with a life threatening injury or illness or in immediate need of.emergency medical care. Once an inmate has been medically stabilized and committed to the Jail, SHP will, commencing at that point, then become responsible for providing and/or arranging for all medical treatment and health care services regardless of the nature of the illness or injury or whether or not the illness or injury occurred prior or subsequent to the individual's incarceration at the Jail. An inmate shall be considered medically stabilized when the patient's medical condition no longer requires immediate emergency medical care or outside hospitalization so that the inmate can reasonably.be housed inside the Jail. SHP's financial responsibility for such medical treatment and health care services shall be in accordance with, and as limited by, Sections 1.2 and 1.5.of this Agreement. It is expressly understood that SHP shall not be responsible for medical costs associated with the medical care of any infants born'to inmates. SHP shall provide 4 and/or arrange for health-care services to inmates up to, through, and after the birth process, but health care services provided to an infant following birth, other than those services that may be delivered in the Jail prior to transport to a hospital, shall not be the financial responsibility of SHP. In any event, SHP shall not be responsible for the costs associated with performing or furnishing of abortions of any kind. 1.7 Inmates Outside the Facilities. The health care services contracted in the Agreement are intended only for those inmates in the actual physical custody of the Jail and for inmates held under guard in outside hospitals or other medical facilities who remain in official custody of the Jail. Inmates held under guard in outside hospitals or other medical facilities are to be included in the Jail's daily population count. No other person(s), including those who are in any outside hospital who are not under guard, shall be the financial responsibility of SHP, nor shall such person(s) be included in the daily population count. Inmates on any sort of temporary release or escape, including, but not limited to inmates temporarily released for the purpose of attending funerals or other family emergencies, inmates on escape status, inmates on pass, parole or supervised custody who do not sleep in the Jail at night, shall not be included in the daily population count, and shall not be the responsibility of SHP with respect to the payment or the furnishing of their health care services. The costs of medical services rendered to inmates who become ill or who are injured while on such temporary release or work -release shall not then become the financial responsibility of SHP after their return to the Jail. This relates solely to the costs associated with treatment of a particular illness or injury incurred by an inmate while on such temporary release. In all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on-site at the Jail to the extent such care can be reasonably provided on-site, or SHP shall assist with arrangements to obtain outside medical care as necessary. The costs of medical services associated with a particular illness or injury incurred by an. inmate while on temporary release or work -release may be the personal responsibility of the inmate, or covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses. In the absence of adequate insurance coverage, such costs may, at the election of the County, be applied toward the annual cost pool described in Section 1.5, but shall not otherwise be the financial responsibility of SHP. Persons in the physical custody of other police or other penal jurisdictions at the request of County, by Court order or otherwise, are likewise excluded from the Jail's population count and shall not be the responsibility of SHP for the furnishing or payment of health care services. 5 1.8 Elective Medical Care. SHP shall not be responsible for providing elective medical care to inmates, unless expressly contracted for by the County. For purposes of this Agreement, "elective medical care" means medical. care which, if not provided, would not, in the opinion of SHP's Medical Director, cause the inmate's health to deteriorate or cause definite harm to the inmate's well-being. Any referral of inmates for elective medical care must be reviewed by County prior to provision of such services. 1.9 Transportation Services. To the extent any inmate requires off-site non- emergency health care treatment including, but not limited to, hospitalization care and specialty services, for which care and services SHP is obligated to arrange under this Agreement, County shall, upon prior request by SHP, its agents, employees or contractors, provide transportation as seasonably available provided that such transportation is scheduled in advance. When medically necessary, SHP shall arrange all emergency ambulance transportation of inmates in accordance with Section 1.4 of this Agreement. ARTICLE II: PERSONNEL. 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by'this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. 2.2 Licensure Certification and Registration of Personnel. All personnel provided or made available by SHP to render services hereunder shall be licensed, certified or registered, as appropriate, in their respective areas of expertise as required by applicable Texas law. 2.3 County's Satisfaction with Health Care Personnel. If County becomes dissatisfied with any health care personnel provided by SHP hereunder, or by any independent contractor, subcontractors or assignee, SHP, in recognition of the sensitive nature of correctional services, shall, following receipt of written notice from County of the grounds for such dissatisfaction and in consideration of the reasons therefor, exercise its best efforts to resolve the problem. If the problem is not resolved satisfactorily to County, SHP shall remove or•shall cause any independent contractor, subcontractor, or assignee to remove the individual about whom County has expressed dissatisfaction. Should removal of an individual become necessary, SHP will be allowed reasonable time, prior to removal, to find an acceptable replacement, without penalty or any prejudice to the interests of SHP. 6 2.4Use of Inmates in the Provision of Health Care Services. Inmates shall not be employed or otherwise engaged by either SHP or County in the direct rendering of any health care services. 2.5 Subcontracting and Delegation. in order to discharge its obligations hereunder, SHP shall engage certain health care professionals as independent contractors rather than as employees. County consents to such subcontracting or delegation. As the relationship between SHP and these health care professionals will be that of independent contractor, SHP shall not be considered or deemed to be engaged in the practice of medicine or other professions practiced by these professionals., SHP shall not exercise control over the manner or means by which these independent contractors perform their professional medical duties. However, SHP shall exercise administrative supervision over such, professionals necessary to insure the strict fulfillment of the obligations contained in this Agreement. ' For each agent and subcontractor, including all medical professionals, physicians, dentists and nurses performing duties as agents or independent contractors of SHP under this Agreement, SHP shall provide County proof, if requested, that there is in effect a professional liability or medical malpractice insurance policy, as the case may be, in an amount of at least one million dollars ($1,000,000.00) coverage per occurrence and five million dollars ($5,000,000.00) aggregate. 2.6 Discrimination. During the performance of this Agreement, SHP, its employees, agents, subcontractors, and assignees agree as follows: a. None will discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin, except where religion, sex or national origin is a bona fide occupational qualification reasonably necessary to the normal operation of the contractor. b. In all solicitations or advertisements for employees, each will state that it is an equal opportunity employer. c. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting the requirements of this section. ARTICLE III REPORTS AND RECORDS 3.1 Medical Records. SHP shall cause and require to be maintained a complete and accurate medical record for each inmate who has received health care services. Each medical record will be maintained in accordance with applicable laws and County's policies and procedures. The medical records shall be. kept separate from the inmate's confinement record. A complete legible copy of the applicable medical record shall be available, at all times, to County as custodian of the person of the patient. Medical records shall be kept confidential. Subject to applicable law regarding confidentiality of such records, SHP shall comply with Texas law and County's policy with regard to access by inmates and Jail staff to medical records. No information contained in the medical records shall be released by SHP except as provided by County's policy, by a court order, or otherwise in accordance with the applicable law. SHP shall, at its own cost, provide all medical records, forms, jackets, and other materials necessary to maintain the medical records. At the termination of this Agreement, all medical records shall be delivered to and remain with County. However, County shall provide SHP with reasonable ongoing access to all medical records even after the termination of this Agreement for the purposes of defending litigation. 3.2 Regular Reports by SHP to County. SHP shall provide to County, on a date and in a form mutually acceptable to SHP and County, monthly statistical reports relating to services rendered under this Agreement. 3.3 Inmate Information. Subject to the applicable Texas law, in order to assist SHP in providing the best possible health care services to inmates, County shall provide SHP with information pertaining to inmates that SHP and County mutually identify as reasonable and necessary for SHP to adequately perform its obligations hereunder. 3.4 SHP Records Available to County with Limitations on Disclosure. SHP shall .make available to County, at County's request, records, documents and other papers relating to the direct delivery of .health care services to inmates hereunder. County understands that written operating policies and procedures employed by SHP in the performance of its obligations hereunder are proprietary in nature and shall remain the property of SHP and shall not be disclosed without written consent. Information concerning such may not, at any time, be used, distributed, copied or otherwise utilized by County, except in connection with the delivery of health care services hereunder, or as permitted or required by law, unless such disclosure is approved in advance writing by SHP. Proprietary information developed by SHP shall remain the property of SHP. 3.5 County Records Available to SHP with Limitations on Disclosure. During the term of this Agreement and for a reasonable time thereafter, County shall provide SHP, at SHP's request, County's records relating to the provision of health care services to inmates as may be reasonably requested by SHP or as are pertinent to the investigation or defense of any claim related to SHP's conduct. Consistent with applicable law, County shall make available to SHP such inmate medical records as are maintained by County, hospitals and other outside health care providers involved in the care or treatment of inmates (to the extent County has any control over those records) as SHP may reasonably request. Any such information provided by County to SHP that County considers confidential shall be kept confidential by SHP and shall not, except as may be required by law, be distributed to any third party without the prior written approval of County. ARTICLE IV: SECURITY 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County shall take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. It is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion. 4.2 Loss of Equipment and Supplies. County shall not be liable for loss of or damage to equipment and supplies of SHP, its agents, employees or subcontractors unless such loss or damage was caused by the negligence of County or its employees. 4.3 Security During Transportation Off -Site. County shall provide prompt and timely security as medically necessary and appropriate in connection with the transportation of any inmate between the Jail and any other location for off-site services as contemplated herein. ARTICLE V: OFFICE SPACE EQUIPMENT INVENTORY AND SUPPLIES 5.1 General. County agrees to provide SHP with reasonable and adequate office and medical space, facilities, equipment, local telephone and telephone line and utilities and County will provide necessary maintenance and housekeeping of the office space and facilities. 5.2 Delivery of Possession. County will provide to SHP, beginning on the date of commencement of this Agreement, possession and control of all County medical and office equipment and supplies in place at the Jail's health care unit. At the termination of this or any subsequent Agreement, SHP will return to County's possession and control all supplies, medical and office equipment, in working order, reasonable wear and tear excepted, which were in place at the Jail's health care unit prior to the commencement of services under this Agreement. 9 5.3 Maintenance and Replenishment of Equipment. Except for the equipment . and instruments owned by County at the inception of this Agreement, any equipment or instruments required by SHP during the term of this Agreement shall be purchased by SHP at its own cost. At the end of this Agreement, or upon termination, County shall be entitled to purchase SHP's equipment and instruments at an amount determined by a mutually agreed depreciation schedule. 5.4 General Maintenance Services. County agrees that it is proper for SHP to provide each and every inmate receiving health care services the same services and facilities available to, and/or provided to, other inmates at the Jail. ARTICLE VI: TERM AND TERMINATION OF AGREEN—:14.�� 3. The 6.1 Term. This Agreement shall commence on initial term of this Agreement shall end on December 15, 2014, and shall be automatically extended for additional one-year terms, su ject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: a. Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. b. Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. C. Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement, County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. 6.3 Responsibility for Inmate Health Care. Upon termination of this Agreement, all responsibility for providing health care services to all inmates, including inmates receiving health care services at sites outside the Jail, shall be transferred from SHP to County. to ARTICLE VII. COMPENSATION. 7.1 Base Compensation. County will pay to SHP the annualized price of $98,220.00 during the initial term of this Agreement, payable in monthly installments. Monthly installments during the initial term of this Agreement will be in the amount of $8,185.00 each. SHP will bill County approximately thirty days prior tothemonth in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. 7.2 Increases in Inmate Population. County and SHP agree that the annual base price is calculated based upon an average daily inmate population of up to 80. If the average daily inmate population exceeds 80 inmates for any given month, the compensation payable to SHP by County shall be increased by a per diem rate of $1.50 for each inmate over 80. The average daily inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, if any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. In all cases where adjustments become necessary, the invoice adjustment will be made on the invoice for a subsequent month's services. For example, if there is an average population for any given month of 85 inmates, resulting in an excess of five (5) inmates, then SHP shall receive additional compensation of five (5) times the per diem rate times the number of days in that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, short-term changes in the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any additional fixed costs, such as new fixed staffing positions that might prove necessary if the inmate population grows significantly and if the population increase is sustained. In such cases, SHP reserves the right to negotiate for an increase to its staffing complement and its contract price in order to continue to provide' services to the increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Jail Administrator, Sheriff and other involved County officials, and following appropriate notification to County. �� 7.3 Fut Years' Com enation. T unt of corn en�atiotr (i.e., annual base price and per diem .as deftrre in Sections 7.1 and 7.2, respectively) to SHP shall increase at th begi Hing o e ct ear. The amount of compensation shall increase -by two percent (2%) for the renewal penod-effactivdDecember 16, 2014, 1 and by two percent (2%) for the reneWa� ' effective December 16, 2015. SHP shall provide written otice to Co of the amount of compensation increase requested for renewal p�erib ective on or after December 16, 2016, or shall otherwise negotiate mutuall gre a terms with County prior to the beginning of each annual renewal period 7.4 Inmates From Other Jurisdictions. Medical care rendered within the Jail to inmates from jurisdictions outside Calhoun County, and housed in the Jail pursuant to. written contracts between County and such other jurisdictions will be the responsibility of SHP, but as limited by Section 1.7. Medical care that cannot be rendered within the Jail will be arranged by SHP, but SHP shall have no financial responsibility for such services to those inmates. 7.5 Responsibility For Work Release Inmates. SHP and County agree that SHP will be responsible for providing on-site medical services as reasonable and appropriate to County inmates assigned to work release and/or release for community service work for government or nonprofit agencies upon an inmate's presentation to SHP medical staff at the Jail. Notwithstanding any other provisions of this Agreement to the contrary, SHP and County agree that County inmates assigned to work release, including work for County agencies, are themselves personally responsible for the costs of any medical services performed by providers other than SHP, when the illness or injury is caused by and results directly or indirectly from the work being performed, or when such illness or injury is treated while the inmate is on work release. The costs of medical services associated with a particular illness or injury incurred by an inmate while on work -release may be covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses but shall not otherwise be the financial responsibility of SHP. In all cases; SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on-site at the Jail, including any inmate injured or infirmed while on work release or release for community service, to the extent such care can be reasonably provided on-site, or SHP shall assist with arrangements to obtain outside medical care as necessary. ARTICLE Vill: LIABILITY AND RISK MANAGEMENT. 8.1 Insurance. At all times during this Agreement, SHP shall maintain professional liability insurance covering SHP for its work at County, its employees and its officers in the minimum amount of at least one million dollars ($1,000,000.00) per occurrence and five million dollars ($5,000,000.00) in the aggregate. SHP shall provide County with a Certificate of Insurance evidencing such coverage and shall have County named as an additional insured. In the event of any expiration, termination or modification of coverage, SHP will notify County in writing. 12 8.2 Lawsuits Against County. In the event that any lawsuit (whether frivolous or otherwise) is filed against County, its elected officials, employees and agents based on or containing any allegations concerning SHP's medical care of inmates and the performance of SHP's employees, agents, subcontractors or assignees, the parties agree that SHP, its employees, agents, subcontractors, assignees or independent contractors, as the case may be, may be joined as parties defendant in any such lawsuit and shall be responsible for their own defense and any judgments rendered against them in a court of law. Nothing herein shall prohibit any of the parties to this Agreement from joining the remaining parties hereto as defendants in lawsuits filed by third parties. 8.3 Hold Harmless. SHP agrees to indemnify and hold harmless the County, its agents and employees from and against any and all claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the aforementioned program of health care services provided by SHP. This duty to indemnify shall include all attorneys' fees and litigation costs and expenses of any kind whatsoever. County or Sheriff shall promptly notify SHP of any incident, claim, or lawsuit of which County or Sheriff becomes aware and shall fully cooperate in the defense of such claim, but SHP shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shall this agreement to indemnify be construed to require SHP to indemnify the County, its agents and/or employees from the County's, its agents' and/or employees' own negligence and/or their own actions or inactions. SHP shall not be responsible for any claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the operation of the facility and the negligence and/or action or inaction of the Sheriff; County or their employees or agents. SHP shall promptly notify the County of any incident, claim, or lawsuit of which SHP becomes aware and shall fully cooperate in the defense of such claim, but the County shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shall this agreement be construed to require the County to indemnify SHP, its agents and/or employees from SHP's, its agents' and/or employees' own negligence and/or their own actions or inactions. ARTICLE IX: MISCELLANEOUS. 9.1 Independent Contractor Status. The parties acknowledge that SHP is an independent contractor engaged to provide medical care to inmates at the Jail under the direction of SHP management. Nothing in this Agreement is intended nor shall be construed to create an agency relationship, an employer/employee relationship, or a joint venture relationship between the parties. 13 9.2 _Assignment and Subcontracting. SHP shall not assign this Agreement to any other corporation without the express written consent of County which consent shall not be unreasonably withheld. Any such assignment or subcontract shall include the obligations contained in this Agreement.. Any assignment or subcontract shall not relieve SHP of its independent obligation to provide the services and be bound by the requirements of this Agreement. 9.3 Notice. Unless otherwise provided herein, all notices or other communications required or permitted to be given under this Agreement shall be in writing and shall be deemed to have been duly given.if delivered personally in hand or sent by certified mail, return receipt requested, postage prepaid, and addressed to the appropriate party(s) at the following address or to any other person at any other address as may be designated in writing by the parties: a. County: Calhoun County Commissioners' Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 b. SHP: Southern Health Partners, Inc. 2030 Hamilton Place Boulevard, Suite 140 Chattanooga, Tennessee 37421 Attn: President Notices shall be effective upon receipt regardless of the form used. 9.4 Governing Law and Disputes. This Agreement and the rights and obligations of the parties hereto shall be governed by, and construed according to, the laws of the State of Texas, except as specifically noted. Disputes between the Parties shall, first, be formally mediated by a,third party.or entity agreeable to the Parties, in which case the Parties shall engage in good faith attempts to resolve any such dispute with the Mediator before any claim or suit arising out of this Agreement may be filed in a court of competent jurisdiction. 9.5 Entire Agreement. This Agreement constitutes the entire agreement of the parties and is intended as a complete and exclusive statement of the promises, representations, negotiations, discussions and agreements that have been made in connection with the subject matter hereof. No modifications or amendment to this Agreement shall be binding upon the parties unless the same is in writing and signed by the respective parties hereto. All prior negotiations, agreements and understandings with respect to the subject matter of this Agreement are superseded hereby. 14 9.6 Amendment. This Agreement may be amended or revised only in writing and signed by all parties. 9.7 Waiver of Breach. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as, or be construed to be, a waiver of any subsequent breach of the same or other provision hereof. 9.8 Other Contracts and Third -Party Beneficiaries. The parties acknowledge that SHP is neither bound by nor aware of any other existing contracts to which County is a party and which relate to the providing of medical care to inmates at the Jail. The parties agree that they have not entered into this Agreement for the benefit of any third person or persons, and it is their express intention that the Agreement is intended to be for their respective benefit only and not for the benefit of others who might otherwise be deemed to constitute third -party beneficiaries hereof. 9.9 Severability. In the event any provision of this Agreement is held to be unenforceable for any reason, the unenforceability thereof shall not affect the remainder of the Agreement which shall remain in full force and effect and enforceable in accordance with its terms. 9.10 Liaison. The Calhoun County Sheriff or his designee shall serve as the liaison with SHP. 9.11 Cooperation. On and after the date of this Agreement, each party shall, at the request of the other, make, execute and deliver or obtain and deliver all instruments and documents and shall do or cause to be done all such other things which either party may reasonably require to effectuate the provisions and intentions of this Agreement. 9.12 Time of Essence. Time is and shall be of the essence of this Agreement. 9.13 Authority. The parties signing this Agreement hereby state that they have the authority to bind the entity on whose behalf they are signing. 9.14 Binding Effect. This Agreement shall be binding upon the parties hereto, their heirs, administrators, executors, successors and assigns. 9.15 Cumulative Powers. Except as expressly limited by the terms of this Agreement, all rights, powers and privileges conferred hereunder shall be cumulative and not restrictive of those provided at law on in equity. 15 IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. ATTEST: Date: //—/ CALHOUN COUNTY, TX BY: 'M G/,9o/ �.• �tr�'r Date: SOUTHERN HEALTH PARTNERS, INC. d/b/a SHP VISTA HEALTH MANAGEMENT, INC. BY: Jeff . Rieasons, Chief Executive Officer Date: / f 3 Southern Health Partners Your Partner In Affordable Inmate Healthcare. September 27, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP continues to be a proud partner with Calhoun County and the Sheriffs Office in providing for the delivery of inmate health services. Our Health Services Agreement is coming up soon for renewal, and I am writing this letter to acknowledge a change in pricing terms for the 2018 period. Remember there have been a couple years in the contract history when we were able to let go without an inflationary increase. Over time, however, many of our operating expenses have continued to go up, including those related to insurance, administration and travel, plus we must allow for higher fixed costs for items such as employee benefits and nurse wages. With nurse wage rates having risen considerably, and also taking into account the aspect of nurse shortages, offering competitive local area pay is essential to attracting and keeping well-qualified nurses working for us in corrections. We want to assure the County of our commitment to provide an exemplary program of care. The pricing outlined below includes a 3% annual adjustment for the 2018 period. Keep in mind this is less than CPI increase. This will give us a new per diem and base contract amount as follows: Contract period: January 1, 2018, through December 31, 2018 Base annualized fee: $130,494.00 ($10,874.50 per month) Per diem greater than 80: $1.58 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) As always, you are welcome to give me a call with any questions. I'll be happy to assist. You can reach me direct in our NC/SC Regional Office at 803-802-1492. 1 will ask you to please keep this letter on file and return a signed copy to me by on or before October 31, 2017. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen.hamiltonBsouthernhealthpartners.com). Except as noted above, or as may be modified or amended by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. We look forward to continued business with an excellent customer. Sincerely, SOUTHERN -HEALTH PARTNERS, INC. c Carmen Hamilton Contracts Manager CALHOUN COUNTY, TX BY: vL CERTIFICATE OF INTERESTED PARTIES FORM 1295 Complete Nos. 1 - 4 and 6 if there are interested parties. of 1 Complete Nos. 1, 2, 3, 5, and 6 it there are no interested parties. OFFICE USE ONLY 1 Name of business entity filing form, and the city, state and country of (he business entity's Of business. tCAION OF FILING place CertificateE Southern Health Partners 2017-280217 Chattanooga, TN United States 2 Name o governments entity or state agency that is a party to the contract for which the for in is being tiled. 11/06/201ate .7 Calhoun County, TX Date Acknowledged: I Provide the Identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017.123153 Inmate Medical Care Name of Interested Party I City.State, Country (place of business) 7 M�: Nir��g?� I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. o � TENNESSEE •: � / t// NOTARY � � s�t PUBLIG �1yy Signa atilt ri it ag it of contracting business entity AFFIX N�fy���a\trY,vc _S�,Itr��mtrc�a�pp.1�_Qa�Sn. Sworn to and subscr�b'dribeldre me, uy rhe said LOCI , iP h"I l-� mis die 20--1 �� --_ - l - p =, to cavity which, witness my hand and seal of aftiog] 1r day of oath IX.uS Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.333/ CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos, 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-280217 Date Filed: 11/06/2017 Date Acknowledged: 11/15/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Southern Health Partners Chattanooga, TN United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, TX 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017-123153 Inmate Medical Care 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.333/ I Calhoun County Commissioners' Court —November 9, 2017 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On specifications and authorize the County Auditor to advertise for bids for Asphalts, Oils and Emulsions for the period beginning January 1, 2018 and ending June 30, 2018. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Peggy Hall spoke on this matter. Page 8 of 33 Agenda Item for Commissioners' Court — Thursday, November 9, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Asphalts, Oils and Emulsions for the period beginning January 1, 2018 and ending June 30, 2018. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. SPECIFICATIONS FOR ASPHALTS, OILS AND EMULSIONS The County of Calhoun is requesting sealed bids for Asphalts, Oils and Emulsions as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area — Stockpile or Jobsites Precinct #2, Six Mile Area — Stockpile or Jobsites Precinct #3, Olivia Area — Stockpile or Jobsites Precinct #4-P, Port O'Connor Area — Stockpile or Jobsites Precinct #4-S, Seadrift Area — Stockpile or Jobsites The request for a bid on a material does not guarantee that Calhoun County will purchase this material during the bid period. Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most advantageous to Calhoun County. Calhoun County Commissioners have the right to reject at any time any material that is undesirable for either road or jobsite location. 131�71�;jr The bid shall be in effect for a period of Six (6) Months beginning January 1, 2018 and ending June 30, 2018. BID MATERIALS •Primer Oil •Item 300, Asphalts, Oils and Emulsions: [AC -51 •Item 300, Asphalts, Oils and Emulsions:(RC250) Temperature must be no lower than 130° •Item 300, Type CRS -2, Emulsified Asphalt (Cationic Rapid Setting) Temperature must be no lower than 150° and no higher than 180° •Item 300, Type CRS -21), Emulsified Asphalt (Cationic Rapid Setting) Temperature must be no lower than 1500 and no higher than 180° Materials shall meet or exceed "Texas Department of Transportation Current Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges" for each listed material. Pump and hoses are to be furnished by vendor at no extra charge or shall be included in the bid. All charges must be included in bid price or clearly stated on bid form. Additional charges listed separately, if any, will increase the amount of the bid. Demurrage charges stated separately from the bid price of the material will increase the amount of the bid price listed for the material. Page 1 of 3 ,.Delivery shall be FOB Destination to designated delivery site. No other charges, including freight, may be added to the bid price when invoiced unless these charges were noted on the bid form and awarded as such. Specifications are not being met if materials are not delivered at the required temperatures. Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended that all information submitted by the vendor on the bid forms be typed. Exceptions taken to the specifications and listed on the vendor's bid will void the bid. The award of a bid will be voided if specifications are not followed. The bid would then be awarded to the vendor which submitted the next lowest bid that met specifications. Calhoun County Commissioners have the right to stop hauling and or delivery of product or products at any time due to weather, road conditions or machinery breakdowns. No penalties or charges will be billed to Calhoun County if hauling and or delivery of product(s) is stopped due to weather, road conditions or machinery breakdowns. When required, all materials ordered will be delivered to the site designated and within 24 hours from time of order. In the event the vendor is unable to deliver the materials ordered within 24 hours from time of order, the County reserves the right to re -order the said material from the vendor which submitted the next lowest bid that met specifications and can deliver within 24 hours from time of order. All materials not conforming to the requirements of these specifications will be rejected and shall be removed immediately from the delivery site by the vendor and at the vendor's cost. Material description per bid specifications, awarded bid price per gallon and demurrage or other charge, if any were included in award, must appear on all invoices in order to be considered for payment. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. County representatives may sample materials from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by the County, all costs incurred for such tests shall be paid for by the vendor. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. All disputes or protests will be held in Calhoun County, Texas. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) Page 2 of 3 'Information to be returned by the time and date due: 1. Invitation To Bid Form 2. A Completed Form 1295 See General Conditions, page 5, Certificate of Interested Parties — Form 1295. #3 Form 1295: 2018.01-06 Asphalts, Oils & Emulsions 3. Vendor/Order Information Form * Please Do Not Fold any of the above information. * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid —Asphalts, Oils & Emulsions" * If you send your bids by UPS, FEDEX, etc., the outside of this envelope must be clearly marked: "Sealed Bid —Asphalts, Oils & Emulsions" Page 3 of 3 Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295): In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The law applies only to a contract of a governmental entity or state agency that either (1) requires an action or vote by the governing body of the entity or agency before the contract may be signed or (2) has a value of at least $1 million. The disclosure requirement applies to a contract entered into on or after January 1, 2016. The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission's website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commission also adopted rules (Chapter 46) to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295. Filing Process: The commission has available on its website a filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission's filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the governing body or state agency receives the Form 1295. The commission will post the completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Additional Information: HB 1295 Certificate of Interested Parties (Form 1295)** **This is a sample form for illustration purposes only. DO NOT FILL OUT THIS SAMPLE FORM. Form 1295 MUST BE FILED ELECTRONICALLY! Paper copies and PDF copies of this sample form are not accepted! Chapter 46, Ethics Commission Rules (new rule 46.4, regarding changes to contracts, is in effect as of January 1, 2017) Last Revision: November 1, 2017 Form provided by Texas Ethics Commission www.ethics.state.tcus Revised 4/8/2016 CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 7 Name of business entity filing form, and the city, state -and country of the business entity's place of business. 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. 3 Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 4 S Nature of Interest (check applicable) Name of Interested Party City, State, Country (place of business) a Controlling Intermediary a'�.�.• a.-rp o,. p�q¢� Is ` j i9 5 Check only if there is NO Interested Party. 6 AFFIDAvrr I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of . 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission www.ethics.state.tcus Revised 4/8/2016 § 2 kCL k § j cr 0 0 § C, /� (° (� ( ! ; ( � ( k ! ! \ \ {[ }, "m (� }� (0 § 2 kCL k § j cr CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid, Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre-bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., P Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds: If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes• Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections• Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards• Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery' All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84`h Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance• Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM, Tuesday, the week before the Commissioners' Court meeting. Commissioners' Court meets the 2nd and 4`h Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Maieure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver• No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids Proposals and/or Contracts• No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance• Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: peggy.hall@calhouncotx ora Page 9 of 9 I Calhoun County Commissioners, Court—November 9, 2017 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On specifications and authorize the County Auditor to advertise for bids for Road Materials for the period beginning January 1, 2018 and ending June 30, 2018. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Peggy Hall spoke on this matter Page 9 of 33 Agenda Item for Commissioners' Court — Thursday, November 9, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Road Materials for the period beginning January 1, 2018 and ending June 30, 2018. Bids will be due Tuesday, December 12, 2017 and considered for award on Thursday, December 21, 2017. SPECIFICATIONS FOR ROAD MATERIALS The County of Calhoun is requesting sealed bids for Road Materials as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area - Stockpile or Jobsites Precinct #2, Six Mile Area - Stockpile or Jobsites Precinct #3, Olivia Area - Stockpile or Jobsites Precinct #4-P, Port O'Connor Area - Stockpile or Jobsites Precinct #4-S, Seadrift Area - Stockpile or Jobsites The request for a bid on a material does not guarantee that Calhoun County will purchase this material during the bid period. Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most advantageous to Calhoun County. Calhoun County Commissioners have the right to reject, at any time, any material that is undesirable for either road or stockpile/jobsite location. BID TERM The bid shall be in effect for a period of Six (6) Months beginning January 1, 2018 and ending June 30, 2018. :00u_ ` • PE 5 Aggregate • Item 247, Limestone -3/4 Inch to Dust • Item 249, Type A Limestone, Grade 3 [1 % Inch] • Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) • Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source out of Uvalde * • Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source out of Uvalde * • Item 330, Type D (Pre -Mix Limestone) • Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement Materials shall meet or exceed "Texas Department of Transportation Current Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges for each listed material. Delivery shall be FOB Destination to designated stockpile or jobsite. Page 1 of 3 All charges must be included in bid price or clearly stated on bid form. Additional charges listed separately, if any, will increase the amount of the bid. No other charges, including freight, may be added to the bid price when invoiced unless these charges were noted on the bid form and awarded as such. Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended that all information submitted by the vendor on the bid forms be typed. Exceptions taken to the specifications and listed on the vendor's bid will void the bid. The award of a bid will be voided if specifications are not followed. The bid would then be awarded to the vendor which submitted the next lowest bid that met specifications. Calhoun County Commissioners have the right to stop hauling and or delivery of product or products at any time due to weather, road conditions or machinery breakdowns. No penalties or charges will be billed to Calhoun County if hauling and or delivery of product(s) is stopped due to weather, road conditions or machinery breakdowns. When required, all materials ordered will be delivered to the site designated and within 24 hours from time of order. In the event the vendor is unable to deliver the materials ordered with 24 hours from time of order, Calhoun County reserves the right to re -order the said material from the vendor which submitted the next lowest bid that met specifications and can deliver within 24 hours from time of order. All materials not conforming to the requirements of these specifications will be rejected and shall be removed immediately from the delivery site by the vendor and at the vendor's cost. Material description per bid specifications and awarded bid price per ton and other charge, if any other charge was included in award, must appear on all invoices in order to be considered for payment. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. Calhoun County representatives may sample materials from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by Calhoun County, all costs incurred for such tests shall be paid for by the vendor. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. All disputes or protests will be held in Calhoun County, Texas. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) Page 2 of 3 'Information to be returned by the time and date due: 1. Invitation To Bid Form 2. A Completed Form 1295 See General Conditions, page 5, Certificate of Interested Parties — Form 1295. #3 on Form 1295: 2018.01-06 Road Materials 3. Vendor/Order Information Form * Please Do Not Fold any of the above information. * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — Road Materials" * If you send your bids by UPS, FEDEX, etc., the outside of this envelope must be clearly marked: "Sealed Bid — Road Materials" Page 3 of 3 Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295): In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The law applies only to a contract of a governmental entity or state agency that either (1) requires an action or vote by the governing body of the entity or agency before the contract may be signed or (2) has a value of at least $1 million. The disclosure requirement applies to a contract entered into on or after January 1, 2016. The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission's website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commission also adopted rules (Chapter 46) to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295. Filing Process: The commission has available on its website a filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form and have the form notarized. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract. The governmental entity or state agency must notify the commission, using the commission's filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the governing body or state agency receives the Form 1295. The commission will post the completed Form 1295 to its website within seven business days after receiving notice from the governmental entity or state agency. Additional Information: 71'1-AP4'b" Certificate of Interested Parties (Form 1295)** *"This is a sample form for illustration purposes only. DO NOT FILL OUT THIS SAMPLE FORM. Form 1295 MUST BE FILED ELECTRONICALLY! Paper copies and PDF copies of this sample form are not accepted! Chapter 46, Ethics Commission Rules (new rule 46.4, regarding changes to contracts, is in effect as of January 1, 2017) Last Revision: November 1, 2017 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2 Name of governmental entity or state agency that Is a party to the contract for which the form Is being filed. 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 4 Name of Interested Party City, State, Country 4 _ (place of business),,-`-' N_atbra of Interest (check applicable) = Controlling Intermediary a 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath r� ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/8/2016 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2018 thru June 30, 2018 Bids Due: 10:00 AM, TUESDAY, December 12, 2017 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS Remember - Bid Price Must Include Freight PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE - Not responsible for errors if not legible Bid Item Precinct 1 - Fairgrounds Area - Stockpile or Jobsites PESAggregate per Ton; Minimum Load Item 247, Limestone -3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source out of Uvalde * per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source out of Uvalde * per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and hasfollowed all Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Remember to Include with your bid: Form 1295 and Vendor/Order Form PAGE 1 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2018 thru June 30, 2018 Bids Due: 10:00 AM, TUESDAY, December 12, 2017 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS Remember - Bid Price Must Include Freight PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE - Not responsible for errors is not legible Bid Item Precinct 2 -Six Mile Area -Stockpile or Jobsites PE 5 Aggregate per Ton; Minimum Load Item 247, Limestone-3/4Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individualhas read the entire Invitation to Bid Package and fuHy understands and has followed all specifications and general conditions. Authorized Signature & Title: Type Name & Title of Authorized Signature Date of Bid: Notes: Remember to include with your bid: Form 1295 and Vendor/Order Form PAGE 2 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2018 thru June 30, 2018 Bids Due: 10:00 AM, TUESDAY, December 12, 2017 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS Remember - Bid Price Must Include Freight PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE - Not responsible for errors if not legible Bid Item Precinct 3 - Olivia Area - Stockpile or Jobsites PE 5Aggregate per Ton; Minimum Load Item 247, Limestone -3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions . Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Remember to Include with your bid: Form 1295 and Vendor/Order Form PAGE 3 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2018 thru June 30, 2018 Bids Due: 10:00 AM, TUESDAY, December 12, 2017 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS Remember - Bid Price Must Include Freight PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE - Not responsible for errors if not legible Bid Item Precinct 4-P - Port O'Connor Area -Stockpile or Jobsites PE 5Aggregate per Ton; Minimum Load Item 247, Limestone -3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Sid Package and fully understands and has followed all s ecifications and general conditions. Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Remember to Include with your bid: Form 1295 and Vendor/Order Form PAGE 4 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2018 thru June 30, 2018 Bids Due: 10:00 AM, TUESDAY, December 12, 2017 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS Remember - Bid Price Must Include Freight PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE - Not responsible for errors if not legible Bid Item Precinct 4-S - Seadrift Area - Stockpile or Jobsites PE 5Aggregate per Ton; Minimum Load Item 247, Limestone -3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4, LRA (Limestone Rock Asphalt), * Material Source Out of Uvalde * per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions. Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Remember to Include with your bid: Form 1295 and Vendor/Order Form PAGE 5 of 5 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid, Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre-bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3`d Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds• If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes• Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment• The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84`h Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment• Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM, Tuesday, the week before the Commissioners' Court meeting. Commissioners' Court meets the 2nd and 4`h Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Maieure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 5 Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: peggv.hall@calhouncotx.org Page 9 of 9 I Calhoun County Commissioners' Court —November 9, 2017 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On a Request for Variance (Personnel) between Olivia -Port Alto Volunteer Fire Department and the Texas Department of State Health Services concerning volunteer EMS staffing and authorize County Judge to sign letter to TDSHS Region 8. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 10 of 33 Susan Riley From: Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins<Dustin.Jenkins@calhouncotx.org> Sent: Monday, October 30, 2017 4:48 PM To: Susan Riley; Judge Michael Pfeifer Cc: Dustin Jenkins Subject: Olivia -Port Alto Vol. Fire Dept Variance Request Attachments: Olivia -Port Alto Variance Request_Letter.pdf Dear Judge Pfeifer, It is time again for Olivia -Port Alto Volunteer Fire Department to renew their variance with the state in order to continue transporting patients in their ambulance. In order for this to happen, as we discussed earlier today, we will need a letter from you, written to Mr. Jeffrey Duncan with TDSHS - Region 8. I have scanned and attached a letter that you provided for the variance renewal last year, for your reference. We will not need this letter to include Port O'Conner Volunteer Fire Department, as they are not pursuing a variance this year. Please let me know if there is anything you need or if you have any questions regarding this matter. Thank you, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 5,<af.TE °F,,Fy MICHAEL J. PFEIFER Calhoun County Judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org November 2, 2017 Mr. Jeffrey Duncan TDSHS - Region 8 7430 Louis Pasteur Drive San Antonio, Texas 78229-4507 Re: Variance Request for Olivia -Port Alto Volunteer Fire Department To operate as EMS Transport Providers Dear Mr. Duncan, This letter is to notify your office that I am aware that Olivia -Port Alto Volunteer Fire Department is currently suffering staffing shortages. They are making efforts to recruit new volunteers and possibly get them interested in attending EMS classes. I am also writing to ask that you strongly give consideration to approving their variance request to operate as EMS Transport Providers. They also provide mutual aid to Calhoun County EMS and serve as additional transport resources when needed. I am available to answer any questions you may have in regard to this matter. Sincerely, i Michael J. Pfeifer Calhoun County Judge MJP/sr www.calhouncotx.org I Calhoun County Commissioners' Court—November 9, 2017 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On Request from the Calhoun County Fair Association to use the Calhoun County Fair Barn at no charge on January 13, 2018 at no fee to host Women's Wine Night. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Erin Smith spoke on this matter. David Hall spoke on this matter. Page 11 of 33 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer, (361)552-9242 Fax(361)553-8734 Please place the following Item on the Commissioners' Court Agenda for November 9th, 2017. • Consider and take action allowing the Calhoun County Fair Association to host Women's Wing night on January 131h, 2018 in the Calhoun County Fair Barn. (see attached) David E, DEH/apt David Hall From: erin@ptlavaca.com -- Erin Smith <erin@ptlavaca,com> Sent: Tuesday, October 31, 2017 10:47 AM To: david,hall@calhouncotx.org Subject: Women's Wine Night 2018 Attachments: 2018 CCFA WWN Table Reservation,docx Hello Mr. Hall! I'm writing you on behalf of the Calhoun County Fair Association where I am a Board Director. One of my obligations is to coordinate the women's wine night, formerly known as the ladies luncheon. The original date was 10/13/17 but with Harvey and damages to the Bauer Community Center, we reset for January 13th, 2018, The Bauer was due to be fixed and open for our event. I found out 10/19 at the CCF auction that the Bauer will now be closed until March 1, 2018, This means I must move our event to a location that is large enough and out of the weather in case we encounter dropped temps or rain. We do not pay for the use of the Bauer Community Center, we set up and clean up. Our exchange is for the City/Chamber's use of our commercial building for the duration of the fair week each year. I'd like permission to hold this event in the Fair Barn, I'd like all fees waived and also permission for us to have wine. We will not be providing the wine, it is BYOW, I'd say 95% of everyone in attendance is over 21 (there are a few vendors assistants or employees that are under 21). There will be 400-450 local women in attendance. There will be no parking anywhere outside of the main parking such as along the pavilion, at the Ag building, etc. There will be no reason to for anyone to cross any street. I do not have security lined out because this has always been a daytime event but since we increased it from 100 women to such an enormous amount, we need more time for everyone to enjoy it. I can arrange security if required. I've attached what someone interested in buying a table would see. In order to get raffle items collected, tickets printed to start selling, not interfere with everyone's holidays, and everything etched in stone to make our event a success, I have to have a solid answer pretty fast! Please let me know if there is anything else I need to fill you in on. Mrs. Erin Smith Internet Supervisor Port Lavaca Auto Group 361553.4510 / Direct 361.220.2102 / Cell 2ol8 'Women's `Wine Might Saturday January 13"' 2018 Thank you for your interest in purchasing a table for this year's CCFA Women's Wine Night! The event is Saturday January 13th from 6-9, doors will open at 5, The table seats 8 and is $200. Checks are to be made payable to the Calhoun County Fair Association. It is BYOW. Please send the attached form back by 11/20/17 to guarantee your reservation. We will collect remaining payments Friday 12/1/17. The theme is We've changed some things this year to liven it up! Each business to purchase a table is asked to design their own centerpiece and 8 place cards for their guests, anything to go with the theme. There is no right way, just have fun with itl We will pick 3 winning tables for 13t, 2nd, and 3rd place who will receive prizesl The centerpiece and place cards are to be dropped off Friday 1/12 between 8;30-1 or Saturday from 8-10 A.M. The meal will be catered by Josie's, POC! We will have a photo spot set up as well with a photographer! A huge raffle with a ton of goodies! Of course we have a hit of a fashion line up in store with some of the latest trends! We will have 20+ vendors with all sorts of items to set off 2018, Spring, or just because you deserve something for you! Thank you in advance for supporting this event and the CCFA Scholarship Fund. Please reach me with any further questions, Erin Smith erin@ptCavaca.com 361-220-2102 I Calhoun County Commissioners' Court —November 9, 2017 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) On 2018 Retiree Medical Program Renewal with United Healthcare. Plan to become effective January 1, 2018. Retiree plan is at no cost to, Calhoun County. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 12 of 33 From: Sent: To: Subject: Attachments: Susan- Wednes a , November 01otx.org -- Rhonda Kokena <rh----------------- Susan unootx.org> Wednesday, November 01, 2017 10:28 AM Riley AGENDA ITEM doco2688720171101102648.pdf Please place on the next agenda. To Approve and Accept 2018 Retiree Medical Program renewal with United Healthcare. 2018. The retiree plan is at no cost to the County. RHON®A S, KOKENA Cagy T1-ea$4A..1va, 0"4' C°u n,IcJ A ,11 202 S. AK4- s*, S"il e A Pori- La—a,, TpxzLy 77979 (3 61553-461 9 office (361)553-461¢ � Plan to become effective January 1, R, (tOiCe_ United Healthcare Medicare Supplement TexasAssociarion ofCounriu R"i"`M`�`�P-9— 2018 Renewal Notice and Benefit Confirmation Calhoun County Medical Group # 4439 Anniversary Date: 1/1/2018 Rx Group # 4415 Return to TAC by: lt'2 7 aNtt c« Please complete and initial each section. Signature on the following page is required to confirm your renewal. Renewal rate is effective from 1/1/2018 —12/31/2018. Current Plan: Plan F Current Monthly Rate: $ 244.71 ❑'new and keep current plan. Rate effective 1/1/2018: 268.48 LL Renew and change p e to Ian r �, pp 4 6 _. Rate effective 1/1/2018: d Initial here to accept 2018 Retiree Medicare Supplement plan and rate Current Plan: Rx Option 1 Current Monthly Rate: $ 222.85 Ll Renew and keep current Rx option. Rate effective 1/1/2018: 265.73 ❑ Renew and change to Rx Option Rate effective 1/1/2018: — Initial here to accept 2018 Retiree Prescription Drug Plan and rate Direct Bill: Retiree pays 100% of premium and will be billed directly by Unit Healthcare each month. Initial here to accept Billing Method County Choice Silver UHC Renewal — Plan Year 2018 CountyChoice Silver UnitedHealthcare Member Contact Designations CCS Contracting Authority: As specified in the Interlocal Participation Agreement, each Member hereby designates and appoints a Contracting Authority of department head rank or above and agrees that TAC HEBP shall not be required to contact or provide notices to any other person. Further, any notice to, or agreement by, a Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member. Each Member reserves the right to change its Contracting Authority from time to time by giving written notice to TAC HEBP. Please complete each section below: Name: Title: Address: Phone: Fax: Email: t<C CCS Primary Contact - Main contact for daily matters regarding retiree health benefits: Name: Title: Address: Phone: Fax: Email: Ct t r Pci aa + F�( R�JJ 'i Signature of COUMy fudie o/Contracting Authority ---/le(i 1, v) a -L I . ) Please PRINT Name and Title County Choice Silver UHC Renewal — Plan Year 2018 /' 1�7 Date V Silver FlChcxice.. ilve - Choice,. Texas Association of Counties Retiree Medical Program UnitedHealthearl Retiree Medicare Supplement Plans through UnitedHealthcare Effective 111/18 -12/31118 55 Prescription Drug Plans (Medicare Part D) Plan Monthly Rate Additional Out -of -Pocket Coverage in Gap Plan Plan Year Deductible Maximum Cost Sharing Information 2018 per Individual per Individual All Tiers Plan F $268.48 None N/A Plan pays 100% of Medicare -eligible expenses Rx Option 2 $103.58 $5/25/60/33% $10/501120/33% including Part A and B deductibles. Rx Option 2A $91.70 $10/30/65/33% $20160/130133% Plan pays 100% of Medicare -eligible expenses Plan F-1 $249.71 None N/A including Part A deductible and 50% of Part B deductible. Plan pays 50% of Medicare -eligible expenses Plan K $159.84 N/A $4,620 including Part A and B deductibles until member reaches maximum OOP, then plan pays 100%. Plan pays 0% of Medicare -eligible expenses and Plan K-1 $149.11 $2,000 N/A Medicare deductibles until member reaches $2,000 deductible, then plan pays 100%. 55 Prescription Drug Plans (Medicare Part D) Plan 2018 Rate Retail Copays (up to 30 day supply) Mail Order Copays (up to so day supply) Coverage in Gap Rx Option 1 $265.73 $5/26/60133% $101501120/33% All Tiers Rx Option 1A $250.87 $10/30165/33% $20/60/130/33% Rx Option 2 $103.58 $5/25/60/33% $10/501120/33% Rx Option 2A $91.70 $10/30/65/33% $20160/130133% Tier 1 Generics Only Rx Copay Tiers: Tier 1: Preferred Generic Tier 3: Non -preferred Brand Name* Tier 2: Preferred Brand Name* Tier 4: Specialty Drugs * plus some non -preferred Generics �sao° "kxTEXAS ASSOCIATION Of COUNTIES ` *HEALTH AND EMPLOYEE BENEFITS POOL V �COVNa P.O. Box 2131 - Auscia, T as 78768-2131 • (512) 478-8753 • (800) 456-5974 • (512) 481-8481 Pax •awn Rev. 9175117 �J s '= 8a oU V 0 d 4 -.0 14 t� w a 2 0 V d H 0 bD N a IMM x,� a :: w '.� ° m h � d � ^fl a �� m :� .� v m .� w .:' m 0 ao 0 N d .� V '� n ti O N w � .i N C � O o a. .n O �o a' x � � tt � � V � U � � 0 A v F � z �' mSM 6•' o0wa 01 V I Calhoun County Commissioners' Court —November 9, 2017 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) To enter District Court Order Appointing Cynthia L. Mueller County Auditor into the Official Court Records. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Eenneth Finster, Commissioner Pet 4 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 13 of 33 COUNTY OF CALHOUN STATE OF TEXAS ORDER APPOINTING CYNTHIA L. MUELLER COUNTY AUDITOR We, Jack Marr, Kemper Stephen Williams and Robert E. Bell, Judges of the 24th, 135t11, and 267" Judicial District Courts respectively of Calhoun County, Texas, and having jurisdiction in the County of Calhoun, State of Texas, which said County has a population of more than 10,000 inhabitants according to the last preceding Federal Census, this day having considered the appointment of an Auditor of Accounts and Finances for said County for a term of Two Years, beginning November 1, 2017 and ending October 31, 2019, do after consideration appoint Cynthia L. Mueller County Auditor in and for Calhoun County, Texas for the said term and until her successor shall have been appointed and qualified. IT IS ORDERED that said Cynthia L. Mueller shall before entering upon her duties, execute a good and sufficient bond as provided by taw. IT IS FURTHER ORDERED that this appointment shall be recorded in the Minutes of the District Courts of Calhoun County, Texas; and the clerk is directed to certify the same to the Commissioners' Court of Calhoun County for observance. �+ SIGNED AND APPROVED on this the 7 day f October, A.D., 2017. ck Marr, Judge, 24`h District *ee hen Williams, Judge, 135th District AbeCB11, Judge, 267" Distri Ct t1i 117 (lt STATE OF TEXAS : �e C `!�I r�''" FILED COUNTY OF CALHOUN Z- 1 � ATIL/SO'CLOCK_LM ti CERTIFIED TO BE A TRUE AND CORRECT COi3Y i/A ,. OF THEEN! ORIGINAL IN MY CUSTODY � Y "/ G4VEN U MY HA D P.NCS SEAL OF Ok1Ci' .✓^ { OATE_j� _ Iia.__.. AD, 2CAZ', n ANNA KABELA NNAKAet A -' DISTRICT CLERK. CALHOUN COUNTY, TEMS DISTRICT CLERK OF CALHWN COUNTY tEkA? C'T e ' C3 �" 4r_ BY DEPUTY Sy DEPUTY I Calhoun County Commissioners' Court —November 9, 2017 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) On Interlocal Cooperation Contract, GLO Contract No. 14-104-000-7994 Amendment No. 2 for bilge services and authorize Commissioner Finster to sign. (MP) Kenneth FYnster spoke on this matter. PASS Page 14 of 33 I Calhoun County Commissioners' Court —November 9, 2017 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) To cast ballots by Resolution in the election for the Board of Directors for the Calhoun County Appraisal District. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Vern Lyssy appointed. Page 15 of 33 CALHOUN COUNTY APPRAISAL DISTRICT 426 West Main Street * P.O. Box 49 Port Lavaca, Texas 77979 Appraisal: (361) 552-8808 Collections: (361) 552-4560 Fax: (361) 552-4787 Website: www.calhouncad.org October 24, 2017 Honorable Michael Pfeifer, County Judge Calhoun County 211 S. Ann St. Port Lavaca, TX 77979 Dear Judge Pfeifer: Board of Directors William Swope, Chairman William Bauer, Vice Chairman Jessie Rodriguez, Secretary Vern Lyssy, Board Member Kevin Hill, Board Member Chief Aaoraiser Jesse W. Hubbell It is now time to vote in the election of the board of directors for the Calhoun County Appraisal District. I have enclosed the official ballot which includes the name of your jurisdiction, total number of votes that may be cast by your jurisdiction and the list of all candidates. You may cast all votes for one candidate or distribute any amount of your votes among the candidates as you see please. In order to assure election to the board a candidate must receive a minimum of 834 votes. Please note the following requirements: Votes must be cast by written resolution. (Sample form enclosed) A copy of the official resolution must accompany the completed ballot. Official ballot and resolution must be returned to the chief appraiser December 14, 2017. Before December 31, 2017, I will count the votes and declare the five (5) candidates receiving the largest cumulative vote totals as elected to the board. I will then submit the results to the governing body of each taxing unit in the appraisal district and to the candidates. Voting may begin at any time, but I must receive the official results no later than Thursday, December 14, 2017. Please let me know should you have any questions. Respectfully �f Jase W. Hubbell Chief Appraiser JWH/med Enclosures cc: Mr. David Hall Mr. Vern Lyssy Mr. Clyde Syma Calhoun Co. Commissioner -Pct. 1 Calhoun Co. Commissioner -Pct. 2 Calhoun Co. Commissioner -Pct 3 211 S Ann 5812 FM 1090 109 Timberline Port Lavaca, TX 77979 Port Lavaca, Texas 77979 Port Lavaca, TX 77979 Mr. Kenneth Finster Calhoun Co. Commissioner -Pct. 4 P.O. Box 177 Seadrift, TX 77983 A RESOLUTION OF CALHOUN COUNTY VOTING IN THE ELECTION OF MEMBERS TO THE BOARD OF DIRECTORS FOR THE CALHOUN COUNTY APPRAISAL DISTRICT 2018-2019 RESOLUTION No. WHEREAS, this is election year for the Board of Directors of the Calhoun County Appraisal District; and WHEREAS, the Board of Directors consists of five members who serve two- year terms, beginning January 1, 2018 through December 31, 2019; and WHEREAS, CALHOUN COUNTY is a voting unit entitled to vote for up to five candidates from a ballot submitted by the Calhoun County Appraisal District, if so desired. NOW THEREFORE, BE IT RESOLVED BY THE PRESIDING BODY OF THIS VOTING UNIT, THAT: The number of votes cast for the candidate(s), as exhibited in the attached ballot, be submitted by the CALHOUN COUNTY COMMISSIONERS COURT to the Calhoun County Appraisal District. PASSED AND APPROVED by the CALHOUN COUNTY COMMISSIONERS COURT this 9 day of November , 2017. Ioil Presiding Office ATTEST: 11SS1Q/V `c0 :C 'Sij nature and Title f ro OFFICIAL BALLOT FOR THE ELECTION OF THE BOARD OF DIRECTORS FOR THE CALHOUN COUNTY APPRAISAL DISTRICT 2018-2019 TERM VOTING UNIT TOTAL VOTES AVAILABLE CALHOUN COUNTY 1,263 CANDIDATES VOTES CAST Bauer, Bill Jr. Hill, Kevin L ssy, Vern 1263 Rodriguez,lessie Schustereit, Bill Swope, Bill TOTAL: 1263 I Calhoun County Commissioners' Court — November 9, 2017 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18) On request to put a seized vehicle, 2003 Toyota Highlander VIN JTEGF21A130090744 into the Calhoun County Sheriff's Office Fleet. See Judgement Order from District Court attached. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 16 of 33 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: TRANSFER ITEM TO SHERIFF'S FLEET DATE: NOVEMBER 9, 2017 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 9, 2017 Consider and take necessary action to put 2003 TOYOTA HIGHLANDER VIN# JTEGF21A130090744into Calhoun County Sheriff's Office Fleet. It was a seized vehicle. Judgment Order from District Court is attached. Sincerely, Bobbie Vickery Calhoun County Sheriff t0 N0.16-12-2907 THE STATE OF TEXAS § IN THE DISTRICT COURT Plaintiff, § V. § 24TH JUDICIAL DISTRICT ONE 2003 TOYOTA HIGHLANDER § VIN# JTEGF21A130090744, § DEFENDANT § CALHOUN COUNTY, TEXAS DEFAULT JUDGMENT BE IT REMEMBERED that on the Z JW day ofG„a�J;t, 2017, came on to be heard the above entitled and numbered cause wherein The State of Texas as Plaintiff alleged that it had seized ONE 2003 TOYOTA HIGHLANDER, VIN # JTEGF21AI30090744, in the Original Notice of Seizure and Intended Forfeiture filed herein. Plaintiff, The State of Texas, appeared by and through SHANNON E. SALYER, Assistant Criminal District Attorney for Calhoun County, Texas. It appears that citation and certified copy of Plaintiff's Original Notice of Seizure and Intended Forfeiture was served personally on Narciso Dominguez, in whose possession said property was found. The return of said citation having been on file for more than ten (10) days, the said Narciso Dominguez came not in person or through counsel and wholly made default. Citation was also served by certified mail, on Patricia Ann Miracle, the registered owner of the vehicle. The return of said citation having been on file for more than ten (10) days, the said Patricia Ann Miracle came not in person or through counsel and wholly made default. Plaintiff, The State of Texas, presented its petition as prima facia evidence that the said property involved herein was ONE 2003 TOYOTA HIGHLANDER, VIN # JTEGF21AI30090744. The Court, after duly considering the evidence and the law involved herein, is of the opinion that said property is contraband as defined in the Texas Code of Criminal Procedure, Article 59.01(2), in that said property, ONE 2003 TOYOTA HIGHLANDER, VIN # JTEGF21AI30090744, was used in the commission of a felony under Chapter 481 of the Texas Health and Safety Code, to -wit: Manufacture/Delivery of a Controlled Substance. FILED A7M'CLOCK.&M OCT 2 3 2017 ANNA nABELA UIS I'tC.ERf, U NTY,TEXAS SY DEPUTY IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED by the Court that said property as identified in said Original Notice of Seizure and Intended Forfeiture on file herein be and is hereby found to be liable to forfeiture under said statute. THEREFORE, said property, ONE 2003 TOYOTA HIGHLANDER, VIN # JTEGF21A130090744, is hereby forfeited to the Calhoun County Criminal District Attorney's Office as provided in Chapter 59 of the Texas Code of Criminal Procedure in accordance with its Local Agreement with the Calhoun County Sheriff's Office. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that costs shall be assessed against the party incurring same. IT IS FURTHER ORDERED that Plaintiff shall have all writs of execution and other process necessary to enforce this judgment. All relief not expressly granted herein is denied. SIGNED this a320 day of 2017 E PRESIDING APPROVED AS TO FORM: ,,—�SKANNON E. SALYER, Assistant Criminal District Attorney for Calhoun County, Texas P.O. Box 1001 Port Lavaca, Texas 77979 (361)553-4422 State Bar No. 17549700 Calhoun County Commissioners' Court—November 9, 2017 19. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 19) On additional insurance proceeds from VFIS for damages associated with Hurricane Harvey to a 2000 Chevy Ambulance in the Port O'Connor VFD in the amount of $1,819.92. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 17 of 33 Susan Riley From: candice.villarreal@calhouncotx.org-- Candice Villarreal<candice.viilarreal@calhouncotx.org> Sent: Thursday, November 02, 2017 9:22 AM To: susan.riley@calhouncotx.org; Michael Pfeifer; David Hall; Clyde Syma; Kenneth Finster Cc: cindy.mueller@calhouncotx.org; April Townsend Subject: Agenda Item - Additional Insurance Proceeds - VFIS Attachments: VFIS Additional Insurance Proceeds.pdf Susan, Please add the following agenda item for the next Commissioners Court. • Consider and take necessary action on additional insurance proceeds from VFIS for damages associated with Hurricane Harvey to a 2000 Chevy Ambulance in the Port O'Connor VFD in the amount of $1,819.92. Thank you, Candice Villarreal Calhoun County Auditors Office Phone., (361)553-4612 Fax: (361) 553-4614 candice. villarreal @calhouncotx.org PAYMENT IS BEING ISSUED FOR: SUPPLEMENT ON REPAIR OF 2000 CHECK NUMBER: 0000468922 CHEVY, VIN: 5074, PER ENCLOSED CLAIM NUMBER: TXCM217090362-00001 APPRAISAL. PAYMENT AMOUNT: V"l,819.92 Payment on behalf of AAIC Any person who knowingly presents a Mise or fraudulent claim tot the payment of a loss Is guilty of a crime and subject to criminal prosecution and civil penalties. GJOY VFIS Please detach voucher and deposit check promptly. FORSTER ROBERT FORSTER Estimate FORSTER ASSOCIATES LLC Est #785, ID #5114772 ASSOCIATES LLC PO BOX 926 EAST LYME, CT 06333 Business Phone: 1-800.675.0441 RFORSTERJR@ATLANTIC B B.N ET Ins. Agent: Date Inspected 09/21/17 Claim Representative Steve Sipe / Phone: 1-800-233-1957 / claims@glatfellers.com / Fax: 717-747-7051 Other Info: Claim Number: TXCM217090362-00001 / Loss Date: 8/28/2017 Repair DRAIN MIXED FUEL FROM VEHICLE FUEL TANK, DISPOSE OF FUEL, REFILL Repair DRAIN MIXED FUEL FROM GENERATOR FUEL TANK, DISPOSE OF FUEL, REFILL Replace VEHICLE FUEL FILTER Replace GENERATOR FUEL FILTER Repair PERFORM DIAGNOSTICS ON FUEL SYSTEM AND ADVISE 4 $100.00 1 1.0 Body hrs. a7 $45.00 1 0.5 Body hrs. $25.00 1 0.5 Body hrs. 1.0 Body hrs. Other TOW TO Sublet Repair FLUSH FUEL TANKS 3.2 Body hrs. Repair FLUSH FUEL LINES 2.0 Body hrs. Repair FLUSH INJECTORS 1.6 Body hrs. Replace TANK TO TANK d3i $120.92 1 0.6 Body hrs. TRANSFER PUMP Other LABOR RATE $382.50 1 ADJUSTMENT Powered By f Page 1 of 2 10/24/2017 4:52:14 PM FORSTER ASSOCIATES EAST LYME, CT 06333 Business Phone: 1-800-675-0441 RFORSTERJR@ATLANTIC BS.NET Totals ROBERT FORSTER FORSTER ASSOCIATES LLC LLC PO BOX 926 Estimate Est #765, ID #5114772 Powered By -WT Page 2 of 2 10/24/2017 4:52:14 PM Ong Body Labor 6.5 $95.00 $617.50 0 Ong Other Pans $495.00 Ong Total $1,112.50 $0.00 S1 Body Labor 7.4 $95.00 $703.00 81 Mechanical Lab(2.8 $95.00 $266.00 o S1 Other Parts $503.42 S1 Sublet $347.50 S1 "rata( $1,819.92 so.0o j Final Other Pans $998.42 Final Body Labor 13.9 $95.00 $1,320.50 Final Mechanical Labdr $95.00 $266.00 Final Sublet $347.50 Nontaxable Amount $2,932.42 Grand Total $2 932.42 I Net Total $2,932.42 Estimate Est #765, ID #5114772 Powered By -WT Page 2 of 2 10/24/2017 4:52:14 PM Calhoun County Commissioners' Court — November 9, 2017 20. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 20) On request to allow a 2002 416 D Caterpillar Backhoe, SN BPP03270, Asset number 21-0186 in the office of Commissioner Precinct #1 to be used for trade. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 18 of 33 David E. Fall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for November 9th, 2017. • Consider and take action on allowing 2002 416 D Caterpillar Backhoe serial number BFP03270 asset number 21-0186 to be used for trade. David E. Hall DEH/apt I Calhoun County Commissioners' Court —November 9, 2017 21. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 21) L Calhoun Tax Assessor/Collector—Sept 17 ii. County Treasurer — Aug 17, July 17 iii. County Sheriff — Oct 17 iv. District Clerk vii. County Auditor viii. Floodplain Administration— Oct 17 ix. Extension Service - 2017 x. Adult Detention Center SHP Medical RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 19 of 33 Z O O O O M O O N O O N O 0D N NN� V' N O 11 M 0) r N N r DD N N N 11 N'V' O Cl) r 00 (O r W It 00 N W It '� N, N I O 01 M O Ifi Nv f0 O N Ci O O OO t` O W W M O O N f0M 1- frO 'V N O O N M N N N M N r K N r r N m W ❑ VA fR H9 40 t% f!J VA 41} 6,1 M fA fR E9, N3 EH 617 fy VT 601 fR <A (A iR U} H> V> EA O M O N N O 0) v LO u> O 11 o to r r O Z o o n ' O Cl) OD a. 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U C C O (i (p d C C C C C a U C N C C N N O y O O O O O O O O O a) U U Cl) O U U" UOO (L y ) U -0 :6 ro 7 m c n c c a a m m m m ca a Y m o 0 m N 4. a 0.. E, w D m °d O Q Q O.. Q. O.. C Q. d LL. 4. y O. N O.. r a S C w a R c@ m S M O .d. 01 �- c — C— T 7 X > 3 d N y 0 0 G O > V! m i w O U a a U a w s O w N H Z w 2 W N 7 m U 0 Q 0 0 - CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: AUGUST2017 BEGINNING ENDING FUND FUNDBALANCE RECEIPTS DISBURSEMENTS FUNOBALANCE OPERATING FUNDS: GENERAL S 25,191,496.20 S 1,067,943.51 S 2,289,391.04 S 23,970,048.67 AIRPORT MAINTENANCE 30,217.39 102.01 4,011.42 26,307.98 APPELLATE JUDICIAL SYSTEM 1,219.14 151.29 - 1,370.43 COASTAL PROTECTION FUND 42,318.87 2.81 - 42,321.68 COUNTY AND DIST COURT TECH FUND 4,325.27 35.69 - 4,360.96 COUNTY CHILD ABUSE PREVENTION FUND 547.89 4.10 - 551.99 COUNTY CHILD WELFARE BOARD FUND 3,876.25 96.26 - 3,972.51 COURTHOUSE SECURITY 264,205.90 1,068.52 - 265,274.42 COURT INITIATED GUARDIANSHIP FUND 6,189.19 140.41 - 6,329.60 DIST CLK RECORD PRESERVATION FUND 18,967.95 323.59 - 19,291.54 CO CLK RECORDS ARCHIVE FUND 170,164.28 3,911.29 - 174,075.57 DONATIONS 78,893.97 978.42 3,239.53 76,632.86 DRUG/DWI COURT PROGRAM FUND -LOCAL 14,461.03 108.30 0.48 14,568.85 JUVENILE CASE MANAGER FUND 9,719.84 0.76 294.02 9,426.58 FAMILY PROTECTION FUND 8,805.07 120.58 - 8,925.65 JUVENILE DELINQUENCY PREVENTION FUND 8,626.03 0.57 - 8,626.60 GRANTS 491,357.80 0.95 15,626.56 475,732.19 JUSTICE COURT TECHNOLOGY 75,462.55 616.61 176.56 75,902.60 JUSTICE COURT BUILDING SECURITY FUND 577.53 153.18 - 730.71 LATERAL ROAD PRECINCT Nl 4,325.34 0.29 - 4,325.63 LATERAL ROAD PRECINCT 92 4,325.35 0.29 - 4,325.64 LATERAL ROAD PRECINCT k3 4,325.34 0.29 - 4,325.63 LATERAL ROAD PRECINCT N4 4,325.35 0.29 - 4,325.64 JUROR DONATIONS -HUMANE SOCIETY 1,206.00 60.00 - 1,266.00 PRETRIAL SERVICES FUND 74,610.84 4.95 - 74,615.79 LAW LIBRARY 201,122.63 1,036.83 815.00 201,344.46 LAW ENE OFFICERS STD. EDUG (LEOSE) 34,110.58 2.26 - 34,112.84 POC COMMUNITY CENTER 60,911.78 2,154.04 4,087.42 58,978.40 RECORDS MANAGEMENT -DISTRICT CLERK 4,308.90 114.49 - 4,423.39 RECORDS MANAGEMENT -COUNTY CLERK 94,329.50 3,955.63 - 98,285.13 RECORDS MGMT & PRESERVATION 13,519.12 378.84 - 13,897.96 ROAD&BRIDGE GENERAL 1,504,993.02 22,239.90 - 1,527,232.92 ROAD& BRIDGE FUND PRECINCT 44 - - - - SHERIFF FORFEITED PROPERTY - - - - B 6MILEPIEROATRAMPINSUR/MAINT 46,164..06 06 3 - 46,167.12 CAPITAL PROJ- PCT I OCEAN DR. IMPRrrCDBG - - - - CAPITALPROJ-RB INFRASTRUCTURE 35,247.81 51,850.00 30,680.00 56,417.81 CAPITAL PROJ- COUNTY ENERGY TRZNI 330,336.72 40,571.54 - 370,908.26 CAPITAL PROD- AIRPORT RUNWAY IMPROV 78,472.13 - 78,472.13 CAPITAL PROJ-EMS SUBSTATION 199,622.53 - 50,60724 149,015.29 CAPITAL PROD -GREEN LAKE PARK 7,757.37 - 133.31 7,624.06 CAPITAL PRO]- HATERIUS PARKBOAT RAMP 21,064.00 - - 21,064.00 CAPITAL PROJ-ODYSSEY CASEMGMTSOFTW 370,675.53 - - 370,675.53 CAPITAL PROJ -PORT ALTO PURL BEACH -STORM 250,911.54 - 16,214.03 234,697.51 CAPITAL PROJ - IMPROVEMENTS -LITTLE LEAGUE P 474,553.92 7,052.00 7,052.36 474,553.56 CAPITAL PROD- PORT O'CONNOR LIBRARY 15,000.00 16,292.00 31,242.34 49.66 CAPITAL PROJ - MMC LOANS 1,449,335.00 2,550,665.00 - 4,000,000.00 CAPITAL PROD- NURSING HOME UPI, PROGRAM L - - - - CAPITALPROJ- MMC BUSINESS IMPROVEMENT L - - - - ARREST FEES 393.83 523.95 - 917.78 BAIL BOND FEES (HB 1940) 30.00 1,215.00 - 1,245.00 CONSOLIDATED COURT COSTS (NEW) 30.00 6,924.39 - 6,954.39 DNA TESTING FUND 250.00 9.60 - 259.60 DRUG COURT PROGRAM FUND -STATE 0.32 107.32 10764 S 31,707,690.66 S 3,780,920.81 S 2,453,571.31 S 33,035,040.16 SUBTOTALS i.;J 'J tr,ii Page 1 of 3 COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2017 BEGINNING ENDING FUND FUNDRAJANCE RECEIPTS DISBURSEMENTS FUNDBALANCE OPERATING FUNDS -BALANCE FORWARD $ 31,707,690.66 $ 3,780,920.81 $ 2,453,571.31 S 33,035,040.16 ELECTION SERVICES CONTRACT 72,820.36 18,466.41 14,854.64 76,432.13 ELECTRONIC FILING FEE FUND 0.00 1,229.29 - 1,229.29 EMS TRAUMA FUND 126.57 228.75 - 355.32 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 24.30 262.00 - 286.30 JUDICIAL FUND (ST. COURT COSTS) 0.00 116.21 - 116.21 JUDICIAL SALARIES FUND 0.02 2,267.03 - 2,267.05 JUROR DONATION -TX CRIME VICTIMS FUND 304.00 - - 304.00 JUVENILE PROBATION RESTITUTION 410.00 113.00 - 523.00 LAW ENFORCEMENT BLOCK GRANT 0.00 - - 0.00 LIBRARY GIFT AND MEMORIAL 54,564.92 28.62 - 54,593.54 MISCELLANEOUS CLEARING 88,162.59 581.00 79,197.21 9,546.38 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATE CIVIL FEE FUND 0.00 1,960.72 - 1,960.72 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 7.17 - 7.17 JURY REIMBURSEMENT FEE 0.00 642.11 - 642.11 SUBTITLE C FUND 7.77 1,675.63 - 1,683.40 SUPP OF CRIM INDIGENT DEFENSE 0.00 319.46 - 319.46 TIME PAYMENTS 0.05 1,528.41 - 1,528.46 TRAFFIC LAW FAILURE TO APPEAR 0.00 1,144.57 - 1,144.57 UNCLAIMED PROPERTY 7,579.25 4.39 - 7,583.64 TRUANCY PREVENTION AND DIVERSION FUND 25.19 279.35 - 304.54 BOOT CAMP/JJAEP 147.43 - - 147.43 JUVENILE PROBATION 158,214.58 170.50 56,182.25 102,202.83 SUBTOTALS S 32,099,925.00 S 3,811,945.43 S 2,603,805.41 S 33,308,065.02 TAXES IN ESCROW 0.00 0.00 0.00 S 32,099,925.00 S 3,811,945.43 $ 2,603,805.41 S 33,308,065.02 TOTAL OPERATING FUNDS OTHER FUNDS D A FORFEITED PROPERTY FUND 38,928.25 37,932.73 38,463.56 38,397.42 SHERIFF NARCOTIC FORFEITURES 17,619.31 4.83 653.17 16,970.97 CERT OF OB-CRTHSE REF SERIES 2010 476,228.33 2,264.47 450,835.34 27,657.46 CERT OF OB-CRTHOUSE I&S SERIES 2012 651,351.94 2,967.83 616,060.34 38,259.43 OCEAN DRIVE IMPROVEMENTS 1.00 - 1.00 0.00 CAL. CO. FEES & FINES 89,081.63 69,572.21 96,754.51 61,899.33 S -1,273.210.46 S 112 742.07 S 1 202 767.92 S 183,184.61; TOTAL OTHER CO. FUNDS MEMORIAL MEDICAL CENTER OPERATING 2,732,592.99 8,401,105.40 8,670,512.25 S 2,463,186.14 INDIGENT HEALTHCARE 2,151.94 1,591.79 35.34 3,708.39 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 816,593.67 312.10 - 816,905.77 CLINIC CONSTRUCTION SERIES 2014 100.00 0.04 - 100.04 NH ASFORD 117,167.48 598,384.83 369,581.44 345,970.87 NHBROADMOOR 92,758.50 1,507,572.18 549,638.90 1,050,691.78 NH CRESCENT 96,749.22 428,533.75 419,203.37 106,079.60 NH FORT BEND 48,370.24 442,845.43 217,160.76 274,054.91 NH SOLERA 600,248.67 992,858.79 929,998.08 663,109.38 NH GOLDEN CREEK 100.00 0.03 35.34 64.69 TOTAL MEMORIAL MEDICAL CENTER FUNDS S 4,511,894,35 $ 12,373,204.34 $ 11,156,165.48 S 5,728,933.21 DRAINAGE DISTRICTS NO.6 27,506.56 $ 27,516.72 S 27,541.90 $ 27,481.38 NO.8 108,761.00 702.16 136.67 109,326.49 NO. 10 -MAINTENANCE 131,750.56 131,851.76 131,879.44 131,722.88 NO. 11-MAINTENANCE/OPERATING '225,269.46 2,198.75 18,338.74 209,129.47 NO. II -RESERVE 129,909.90 49.64 32.52 129,927.02 S 623,197.48 $ 162,319.03 S 177,929.27 S 607,587.24 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCID #1 OPERATING ACCOUNT S 415,297.19 42.91 15,710.83 $ 399,629.27 PAYROLLTAX S 507.84 1,000.00 110.80 S 1,397.04 TOTAL WCID FUNDS S 415,805.03 1,042.91 15,821.63 S 401,026.31 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING $ 196,299.10 S 3,385.57 S 54,698.74 S 144,985.93 CALHOUN COUNTY FROST BANK S 2,158.87 S $ 5.00 S 2,153.87 TOTAL MMC, DR. DIST., NAV. DIST, WCID & FRO S 5,749,354.83 $ 12,539,951.85 S 11,404,620.12 S 6,884,686.56 S 39,122,490.29 $ 16,464,639.35 S 15,211,193.45 $ 40,375,936.19 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTHOF: AUGUST2017 BANK RECONCILIATION LESS: CE'RT.OFDEP/ FUND OUTSTNDUDEP/ PLUS: CHECKS BANK FUND BALANCE OTHERITEMS OUTSTANDING BALANCE OPERATING" S 33,308,065.02 $ 27,625,728.19 S 435,658.57 S 6,117,995.40 OTHER D A FORFEITED PROPERTY FUND 38,397.42 - - 38,397.42 SHERIFF NARCOTIC FORFEITURES 16,970.97 - 109.49 17,080.46 CERT OF OB-CRTHSE REF SERIES 2010 27,657.46 787.77 - 26,869.69 CERT OF OB-CRTHOUSE I&S SERIES 2012 38,259.43 1,028.17 - 37,231.26 OCEAN DRIVE IMPROVEMENTS -CAP PROJ 0.00 - - 0.00 CAL. CO FEES & FINES 61,899.33 15,013.98 16,842.22 63,727.57 MEMORIAL MEDICAL CENTER OPERATING 2,463,186.14 500,000.00 51,984.38 2,015,170.52 INDIGENT HEALTHCARE 3,708.39 - 808.99 4,517.38 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 816,905.77 - - 816,905.77 CLINIC CONSTRUCTION SERIES 2014 100.04 - - 100.04 NH ASHFORD 345,970.87 - - 345,970.87 NHBROADMOOR 1,050,691.78 - - 1,050,691.78 NH CRESCENT 106,079.60 - - 106,079.60 NHFORTBEND 274,054.91 - - 274,054.91 NH SOLERA 663,109.38 - - 663,109.38 NH GOLDEN CREEK 64.69 64.69 DRAINAGE DISTRICT: NO.6 27,481.38 - - 27,481.38 NO.8 109,326.49 - - 109,326.49 NO. 10 MAINTENANCE 131,722.88 - - 131,722.88 NO. Il MAINTENANCEIOPERATING 209,129.47 18.01 - 209,111.46 NO. Il RESERVE 129,927.02 129,927.02 CALHOUN COUNTY WCID 01 OPERATING ACCOUNT 399,629.27 - - 399,629.27 PAYROLLTAX 1,397.04 - - 1,397.04 CALHOUN COUNTY PORT AUTHORITY MAINTENANCRIOPERATING.... 144,985.93 - - 144,985.93 CALHOUN COUNTY FROSTBANK 2,153.87 - - 2,153.87 TOTALS S 40375936.19 1S 28142576.12 1S 505403.65 S 12738763.72 + CDs -OPERATING. FUND $27,500,000.00 $ CD's- MMC OPERATING FUND -.$500,000.00 THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA '•" THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be current and up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are corr` ct to all m ies that have be n Ieceived by the C unty Treasurer as of the date of this report. �� � i� RHONDAS.KOKENA COUNTY TREASURER Page 3 of 3 CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: JULY 2017 BEGINNING ENDING FUND FUNDBALANCE RECEIPTS DISBURSEMENTS FUNDBALANCE OPERATING FUNDS: GENERAL S 26,000,957.55 S 1,304,975.52 S 2,114,436.87 S 25,191,496.20 AIRPORT MAINTENANCE S 32,235.63 5.07 2,023.31 30,217.39 APPELLATE JUDICIAL SYSTEM $ 1,064.67 154.47 - 1,219.14 COASTAL PROTECTION FUND $ 42,312.22 6.65 - 42,318.87 COUNTY AND DIST COURT TECH FUND $ 4,284.25 41.02 - 4,325.27 COUNTY CHILD ABUSE PREVENTION FUND $ 541.91 5.98 - 547.89 COUNTY CHILD WELFARE BOARD FUND S 3,719.67 156.58 - 3,876.25 COURTHOUSE SECURITY $ 263,002.77 1,203.13 - 264,205.90 COURT INITIATED GUARDIANSHIP FUND $ 6,108.23 80.96 - 6,189.19 DIST CLK RECORD PRESERVATION FUND $ 18,525.23 442.72 - 18,967.95 CO CLIC RECORDS ARCHIVE FUND $ 165,934.17 4,230.11 - 170,164.28 DONATIONS $ 79,487.32 621.24 1,214.59 78,893.97 DRUGIDWI COURT PROGRAM FUND-LOCAL $ 14,355.50 105.53 - 14,461.03 JUVENILE CASE MANAGER FUND $ 9,718.26 1.58 - 9,719.84 FAMILY PROTECTION FUND S 8,698.70 106.37 - 8,805.07 JUVENILE DELINQUENCY PREVENTION FUND S 8,624.67 1.36 - 8,626.03 GRANTS S 408,624.94 102,944.64 20,211.78 491,357.80 JUSTICE COURT TECHNOLOGY S 74,910.04 552.51 - 75,462.55 JUSTICE COURT BUILDING SECURITY FUND $ 442.27 135.26 - 577.53 LATERAL ROAD PRECINCT 91 S 4,324.66 0.68 - 4,325.34 LATERAL ROAD PRECINCT H2 S 4,324.67 0.68 4,325.35 LATERAL ROAD PRECINCT H3 $ 4,324.66 0.68 4,325.34 LATERAL ROAD PRECINCT M4 $ 4,324.67 0.68 4,325.35 JUROR DONATIONS-HUMANE SOCIETY $ 1,126.00 80.00 - 1,206.00 PRETRIAL SERVICES FUND $ 74,299.15 311.69 - 74,610.84 LAW LIBRARY $ 200,825.92 1,111.71 815.00 201,122.63 LAW ENF OFFICERS STD. EDUC. (LEOSE) S 35,724.77 5.62 1,619.81 34,110.58 POC COMMUNITY CENTER S 61,288.03 2,209.64 2,585.89 60,911.78 RECORDS MANAGEMENT-DISTRICT CLERK $ 4,130.09 178.81 - 4,308.90 RECORDS MANAGEMENT-COUNTY CLERK $ 98,983.20 4,621.30 9,275.00 94,329.50 RECORDS MGMT & PRESERVATION $ 13,016.06 503.06 - 13,519.12 ROAD & BRIDGE GENERAL S 1,481,910.92 23,082.10 - 1,504,993.02 ROAD& BRIDGE FUND PRECINCT 94 $ - - - - SHERIFF FORFEITED PROPERTY $ - - - - WILE PIER/BOAT RAMP INSURIMAINT S 46,156.80 7.26 - 46,164.06 CAPITAL PROD- PCTI OCEAN DR. IMPRH'CDBG $ 132,249.53 - 132,249.53 - CAPITAL PROJ -RB INFRASTRUCTURE S 35,24281 - - 35,247.81 CAPITAL PROD - COUNTY ENERGY TRZ%1 S 330,336.72 - - 330,336.72 CAPITAL PROJ- AIRPORT RUNWAY IMPROV S 78,472.13 - - 78,472.13 CAPITAL PROJ -EMS SUBSTATION S 227,520.48 50,000.00 77,897.95 199,622.53 CAPITAL PROD -GREEN LAKE PARK $ 7,757.37 - - 7,757.37 CAPITAL PROD- HATERIUS PARK/BOAT RAMP S 21,064.00 - - 21,064.00 CAPITAL PROD- ODYSSEY CASE MGMT SOFTWAR S 480,254.73 - 109,579.20 370,675.53 CAPITAL PROJ -PORT ALTO PURL REACH-STORM S 253,984.78 - 3,073.24 250,911.54 CAP PROD- IMPROVEMENT PROJECTS S 466,680.06 10,464.00 2,590.14 474,553.92 CAPITAL PROJ- PORT UCONNOR LIBRARY S - 15,000.00 - 15,000.00 CAPITAL PROJ-MMC LOANS S 4,000,000.00 - 2,550,665.00 1,449,335.00 CAPITAL PRO]- NURSING HOME UPI, PROGRAM I S - - CAPITAL PROJ- MMC BUSINESS IMPROVEMENT 1 S - - ARREST FEES $ 738.85 264.06 609.08 393.83 BAIL BOND FEES(HB 1940) S 2,355.00 1,185.00 3,510.00 30.00 CONSOLIDATED COURT COSTS (NEW) $ 15,360.63 6,439.45 21,770.08 30.00 DNA TESTING FUND $ 269.62 13.39 33.01 250.00 DRUG COURT PROGRAM FUND -STATE$ 531.42 103.26 634.36 0.32 SUBTOTALS $ 35,231,130.73 S 1,531353.77 S 5,054,793.84 $31,707,690.66 Page 1 of 3 COUNTY TREASURER'S REPORT MONTH OF: JULY2017 BEGINNING ENDING FUND FUNDBALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUNDS -BALANCE FORWARD S 35,231,130.73 $ 1,531,353.77 S 5,054,793.84 S 31,707,690.66 ELECTION SERVICES CONTRACT 72,809.10 11.26 - 72,820.36 ELECTRONIC FILING FEE FUND 3,535.39 1,395.50 4,930.89 0.00 EMS TRAUMA FUND 683.36 226.42 783.21 126.57 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 704.30 198.00 878.00 24.30 JUDICIAL FUND (ST. COURT COSTS) 411.80 124.39 536,19 0.00 JUDICIAL SALARIES FUND 6,088.60 2,722.87 8,811.45 0.02 JUROR DONATION -TX CRIME VICTIMS FUND 376.00 32.00 104.00 304.00 JUVENILE PROBATION RESTITUTION 310.00 100,00 - 410.00 LAW ENFORCEMENT BLOCK GRANT 0.00 - - 0.00 LIBRARY GIFT AND MEMORIAL 54,431.35 133.57 - 54,564.92 MISCELLANEOUS CLEARING 11,475.11 79,063.33 2,375.85 88,162.59 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATE CIVIL FEE FUND 5,933.96 2,988.81 8,922.77 0.00 CIVIL JUSTICE DATA REPOSITORY FUND 17.19 7.64 24.83 0.00 JURY REIMBURSEMENT FEE 1,272.64 585.40 1,858.04 0.00 SUBTITLE C FUND 4,023.58 1,672.21 5,688.02 7.77 SUPP OF CRIM INDIGENT DEFENSE 629.14 290.49 919.63 0.00 TIME PAYMENTS 3,238.21 1,155.97 4,394.13 0.05 TRAFFIC LAW FAILURE TO APPEAR 2,316.23 792.59 3,108.82 0.00 UNCLAIMED PROPERTY 7,578.06 1.19 - 7,579.25 TRUANCY PREVENTION AND DIVERSION FUND 493.50 250.83 719.14 25.19 BOOT CAMPDJAEP 147.43 - - 147.43 JUVENILE PROBATION 176,384.63 41,054.00 59,224.05 158,214.58 S 35,593,837.62 S 1,664,160.24 $ 5,158,072.86 S 32,099,925.00 SURTOTALS TAXES IN ESCROW 0.00 0.00 0.00 0.00 S 35,593,837.62 S 1,664,160.24 S 5,158,072,86 S 32,699,925.00 TOTAL OPERATING FUNDS OTHER FUNDS D A FORFEITED PROPERTY FUND 39,428.22 1,000.03 1,500.00 38,928.25 SHERIFF NARCOTIC FORFEITURES 18,255.97 13,255.97 13,892.63 17,619.31 CERT OF OB-CRTHSE REF SERIES 2010 474,557.10 477,899.56 476,228.33 476,228.33 CERT OF OB-CRTHOUSE I&S SERIES 2012 649,160.75 653,543.13 651,351.94 651,351.94 OCEAN DRIVE IMPROVEMENTS 1.00 1.00 CAL. CO. FEES & FINES 8.93 154,956.20 155,509.50 89,081.63 S 1,2791'.603347.97 S 1 300 654.89 S i 298 482.40 S 1 273 210.46 TOTAL OTHER CO. FUNDS MEMORIAL MEDICAL CENTER OPERATING 2,791,730.63 4,924,695.46 4,983,833.10 S 2,732,592.99 INDIGENT HEALTHCARE 4,585.40 95,604.68 98,038.14 2,151.94 REFUND IMPREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 816,593.67 816,593.67 816,593.67 816,593.67 CLINIC CONSTRUCTION SERIES 2014 95.00 105.00 100,00 100.00 NH ASHFORD 102,998.45 479,645.47 465,476.44 117,167.48 NH BROADMOOR 27,985.58 726,456.59 661,683.67 92,758.50 NH CRESCENT 20,507.43 455,896.26 379,654.47 96,749.22 NHFORTBEND 47,283.40 240,874.59 239,787.75 48,370.24 NO SOLERA 36,394.98 808,519.86 244,666.17 600,248.67 NH GOLDEN CREEK 100.00 100.00 100.00 100.00 S 3,853,336.18 S 8,548,491.58 S 7,889,933.41 S 4,511,894.35 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGE DISTRICTS NO.6 27,483.52 27,529.60 27,506.56 S 27,506.56 NO. 8 108,728.62 108,793.38 108,761.00 108,761.00 NO. 10 -MAINTENANCE 131,633.99 131,867.13 131,750.56 131,750.56 NO. 11-MAINTENANCE(OPERATING 232,855.55 202,974.60 210,560.69 225,269.46 NO. I I -RESERVE 129,909.90 129,909.90 129,909.90 129,909.90 S 630,611.58 S 601,074.61 S 608,488.71 S 623,197.48 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCID 91 OPERATING ACCOUNT S 438,380.07 197.96 23,280.84 S 415,297.19 PAYROLLTAX $ 618.64 0.00 110.80 S 507.84 $ 438,998.71 197.96 23,391.64 S 415,805.03 TOTAL WCID FUNDS CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING S 156,146.58 S 49,339.67 S 9,187.15 S 196,299.10 CALHOUN COUNTY FROST BANK S 2,163.87 S S 5.00 $ 2,158.87 TOTAL MMC, DR. DIST., NAV. DIST, WCID &FRO S 5,080,638.28 S 9,199,103,82 S 81531,005.91 S 5,749,354.83 S 41,945,513.87 S 12,163,918.95 S 14,987,561.17 S 39,122,490.29 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTH OF: JULY 2017 BANKRECONCILIATION LESS: CERT.OFDEPI FUND OUTSTNDGDEPI PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING" $ 32,099,925.00 27,500,000.06 298,916.74 $ 4,898,841.68 OTHER D A FORFEITED PROPERTY FUND 38,928.25 - - 38,928.25 SHERIFF NARCOTIC FORFEITURES 17,619.31 13,255.97 13,466.07 17,829.41 CERT OF OB-CRTHSE REF SERIES 20 10 476,228.33 - 476,228.33 952,456.66 CERT OF OB-CRTHOUSE I&S SERIES 2012 651,351.94 - 651,351.94 1,302,703.88 OCEAN DRIVE IMPROVEMENTS -CAP PROD L00 1.00 CAL. CO FEES & FINES 89,081.63 17,788.05 72,342.32 143,635.90 MEMORIAL MEDICAL CENTER OPERATING$ 2,732,592.99 - 58,797.09 2,791,390.08 INDIGENT HEALTHCARE 2,151.94 - 54,869.08 57,021.02 REFUND IMPREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 816,593.67 - 816,593.67 1,633,187.34 CLINIC CONSTRUCTION SERIES 2014 100.00 - I00.00 20000 NH ASHFORD 117,167.48 - - 117,167.48 NH BROADMOOR 92,758.50 - 100.00 92,858.50 NH CRESCENT 96,749.22 - 100.00 96,849.22 NH FORT BEND 48,370.24 - 100.00 48,470.24 NH SOLERA 600,248.67 - 100.00 600,348.67 NH GOLDEN CREEK 100.00 - 100.00 200.00 DRAINAGE DISTRICT: NO.6 27,506.56 - 27,506.56 55,013.12 NO.8 108,761.00 - 108,761.00 217,522.00 NO. 10 MAINTENANCE 131,750.56 - 131,750.56 263,501.12 NO. 11 MAINTENANCE(OPERATING 225,269.46 - 200,000.00 425,269.46 NO. 11 RESERVE 129,909.90 - 129,909.90 259,819.80 CALHOUN COUNTY WCID 41 OPERATING ACCOUNT 415,297.19 - - 415,297.19 PAYROLLTAX 507.84 - - 507.84 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE(OPERATING •ar 196,299.10 - - 196,299.10 CALHOUN COUNTY FROST BANK 2,158.87 - - 2,158.87 TOTALS Is 39122 490.29 $ 27 531 044.08 IS 3.041.093.26 1 $ 14 632 539.47 ' CDs -OPERATING FUND $27,500,000.00 $. CD's- MMC OPERATING FUND -$500,000.00 rrr. THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA rrr' THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK -AUSTIN, TEXAS Court costs and fees collected and reported may not be curre It up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are c�rect to all m nies that have been received by the County Treasurer as of the date of this report. —91,11 ONDA S. KOKENA COUNTY TREASURER Page 3 of 3 CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: JULY 2017 BEGINNING ENDING FUND FUNDBAEANCE RECEIPTS DISBURSEMENTS FUNDBALANCE OPERATING FUNDS: GENERAL S 26,000,957.55 $ 1,304,975.52 S 2,114,436.87 S 25,191,496.20 AIRPORT MAINTENANCE S 32,235.63 5.07 2,023.31 30,217.39 APPELLATE JUDICIAL SYSTEM S 1,064.67 154.47 - 4219.14 COASTAL PROTECTION FUND S 42,312.22 6.65 - 42,318.87 COUNTY AND DIST COURT TECH FUND S 4,284.25 41.02 - 4,325.27 COUNTY CHILD ABUSE PREVENTION FUND S 541.91 5.98 - 547.89 COUNTY CHILD WELFARE BOARD FUND S 3,719.67 156.58 - 3,876.25 COURTHOUSE SECURITY S 263,002.77 4203.13 - 264,205.90 COURT INITIATED GUARDIANSHIP FUND $ 6,108.23 80.96 - 6,189.19 DIST CLK RECORD PRESERVATION FUND S 18,525.23 442.72 - 18,967.95 CO CLK RECORDS ARCHIVE FUND S 165,934.17 4,230.11 - 170,164.28 DONATIONS $ 79,487.32 621.24 1,214.59 78,893.97 DRUG/DWI COURT PROGRAM FUND -LOCAL S .14,355.50 105.53 - 14,461.03 JUVENILE CASE MANAGER FUND $ 9,718.26 1.58 - 9,719.84 FAMILY PROTECTION FUND S 8,698.70 106.37 - 8,805.07 JUVENILE DELINQUENCY PREVENTION FUND S 8,624.67- 1.36 - 8,626.03 GRANTS S 408,624.94 102,944.64 20,211.78 491,357.80 JUSTICE COURT TECHNOLOGY $ 74,910.04 552.51 - 75,462.55 JUSTICE COURT BUILDING SECURITY FUND S 442.27 135.26 - 577.53 LATERAL ROAD PRECINCT #I S 4,324.66 0.68 - 4,325.34 LATERAL ROAD PRECINCT #2 S 4,324.67 0.68 4,325.35 LATERAL ROAD PRECINCT 93 S 4,324.66 0.68 4,325.34 LATERAL ROAD PRECINCT 94 $ 4,324.67 0.68 4,325.35 JUROR DONATIONS -HUMANE SOCIETY $ 1,126.00 80.00 - 1,206.00 PRETRIAL SERVICES FUND $ 74,299.15 311.69 - 74,610.84 LAW LIBRARY S 200,825.92 1,111.71 815.00 201,122.63 LAW ENF OFFICERS STD. EDUC. (LEOSE) S 35,724.77 5.62 1,619.81 34,110.58 POC COMMUNITY CENTER S 61,288.03 2,209.64 2,585.89 60,911.78 RECORDS MANAGEMENT -DISTRICT CLERK S 4,130.09 178.81 - 4,308.90 RECORDS MANAGEMENT -COUNTY CLERK S 98,983.20 4,621.30 9,275.00 94,329.50 RECORDS MGMT & PRESERVATION 5 13,016.06 503.06 - 13,519.12 ROAD & BRIDGE GENERAL S 1,481,910.92 23,082.10 - 1,504,993.02 ROAD & BRIDGE FUND PRECINCT 94 $ - - - - SHERIFF FORFEITED PROPERTY $ - - - - 6MILEPIER/BOAT RAMP INSURIMAINT S 46,156.80 7.26 - 46,164.06 CAPITAL PROJ- PCT I OCEAN DR. IMPRlfCDBG $ 132,249.53 - 132,249.53 - CAPITAL PROD -RB INFRASTRUCTURE S 35,247.81 - - 35,247.81 CAPITAL PROD- COUNTY ENERGY TRZ#1 S 330,336.72 - - 330,336.72 CAPITAL PROD- AIRPORT RUNWAY IMPROV S 78,472.13 - - 78,472.13 CAPITAL PROJ-EMS SUBSTATION $ 227,520.48 50,000.00 77,897.95 199,622.53 CAPITAL PROJ-GREEN LAKE PARK S 7,757.37 - - 7,757.37 CAPITAL PROJ- HATERIUS PARK/BOAT RAMP S 21,064.00 - - 21,064.00 CAPITAL PROJ- ODYSSEY CASE MGMT SOFTWAR S 480,254.73 - 109,579.20 370,675.53 CAPITAL PROJ-PORT ALTO PURL BEACH -STORM S 253,984.78 - 3,073.24 250,911.54 CAP PROJ - IMPROVEMENT PROJECTS $ 466,680.06 10,464.00 2,590.14 474,553.92 CAPITAL PROD- PORT O'CONNOR LIBRARY S - 15,000.00 - 15,000.00 CAPITAL PROD -MMC LOANS S 4,000,000.00 - 2,550,665.00 1,449,335.00 CAPITAL PROD - NURSING HOME UPI, PROGRAM L S - - CAPITAL FEW - MMC BUSINESS IMPROVEMENT L S - - ARREST FEES $ 738.85 264.06 609.08 393.83 BAIL BOND FEES (HB 1940) $ 2,355.00 1,185.00 3,510.00 30.00 CONSOLIDATED COURT COSTS (NEW) $ 15,360.63 6,439.45 21,770.08 30.00 DNA TESTING FUND $ 269.62 13.39 33.01 250.00 DRUG COURT PROGRAM FUND -STATE S 531.42 103.26 634.36 0.32 S 35,231,130.73 S 1,531,353.77 S 5,054,793.84 $ 31,707,690.66 SUBTOTALS r 8 1't OCT 262017 UALH Pagel of3 COUNTY TRE, ASURPR'S RE' PORT MONTH OF: JULY 2017 BEGINNING ENDING FUND FUNDRALANCE RECEIPTS DISBURSEMENTS FUNDBALANCE OPERATING FUNDS -BALANCE FORWARD S 35,231,130.73 S 1,531,353.77 S 5,054,793.84 S 31,707,690.66 ELECTION SERVICES CONTRACT 72,809.10 11.26 - 72,820.36 ELECTRONIC FILING FEE FUND 3,535.39 1,395.50 4,930.89 0.00 EMSTRAUMAFUND 683.36 226.42 783.21 126.57 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 704.30 198.00 878.00 24.30 JUDICIAL FUND (ST. COURT COSTS) 411.80 124.39 536.19 0.00 JUDICIAL SALARIES FUND 6,088.60 2,722.87 8,811.45 0.02 JUROR DONATION -TX CRIME VICTIMS FUND 376.00 32.00 104.00 304.00 JUVENILE PROBATION RESTITUTION 310.00 100.00 - 410.00 LAW ENFORCEMENT BLOCK GRANT 0.00 - - 0.00 LIBRARY GIFT AND MEMORIAL 54,431.35 133.57 - 54,564.92 MISCELLANEOUS CLEARING 11,475.11 79,063.33 2,375.85 88,162.59 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATECIVILFEEFUND 5,933.96 2,988.81 8,922.77 0.00 CIVIL JUSTICE DATA REPOSITORY FUND 17.19 7.64 24.83 0.00 JURY REIMBURSEMENT FEE 1,272.64 585.40 1,858.04 0.00 SUBTITLE C FUND 4,023.58 1,672.21 5,688.02 7.77 SUPP OF CRIM INDIGENT DEFENSE 629.14 290.49 919.63 0.00 TIME PAYMENTS 3,238.21 1,155.97 4,394.13 0.05 TRAFFIC LAW FAILURE TO APPEAR 2,316.23 792.59 3,108.82 0.00 UNCLAIMED PROPERTY 7,578.06 1.19 - 7,579.25 TRUANCY PREVENTION AND DIVERSION FUND 493.50 250.83 719.14 25.19 BOOT CAMP/JJAEP 147.43 - - 147.43 JUVENILE PROBATION 176,384.63 41,054.00 59,224.05 158,214.58 S 35,593,837.62 S 1,664,160.24 S 5,158,072.86 $ 32,099,925.00 SUBTOTALS TAXES IN ESCROW 0.00 0.00 0.00 0.00 TOTAL OPERATING FUNDS $ 35,593,837.62 S 1,664,160.24 S 5,158,072.86 S 32,099,925.00 OTHERFUNDS D A FORFEITED PROPERTY FUND 39,428.22 1,000.03 1,500.00 38,928.25 SHERIFF NARCOTIC FORFEITURES 18,255.97 13,255.97 13,892.63 17,619.31 CERT OF OB-CRTHSE REF SERIES 2010 474,557.10 477,899.56 476,228.33 476,228.33 CERT OF OB-CRTHOUSE I&S SERIES 2012 649,160.75 653,543.13 651,351.94 651,351.94 OCEAN DRIVE IMPROVEMENTS 1.00 1.00 CAL. CO. FEES & FINES 89,634.93 154,956.20 155,509.50 89,081.63 S 1 271 037.97 S 1 300 654.89 S I. 298 482.40 S 1.273.210.46 TOTAL OTHER CO. FUNDS MEMORIAL MEDICAL CENTER OPERATING 2,791,730.63 4,924,695.46 4,983,833.10 S 2,732,592.99 INDIGENT HEALTHCARE 4,585.40 95,604.68 98,038.14 2,151.94 REFUND IMPREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 816,593.67 816,593.67 816,593.67 816,593.67 CLINIC CONSTRUCTION SERIFS 2014 95.00 105.00 100.00 100.00 NH ASHFORD 102,998.45 479,645.47 465,376.44 117,267.48 NH BROADMOOR 27,985,58 726,456.59 661,683.67 92,758.50 NH CRESCENT 20,507.43 455,896.26 379,654.47 96,749.22 NH FORT BEND 47,283.40 240,874.59 239,787.75 48,370.24 NH SOLERA 36,394.98 808,519.86 244,666.17 600,248.67 NH GOLDEN CREEK 100.00 100.00 100.00 100.00 S 3,853,336.18 S 8,548,491.58 S 7,889,833.41 S 4,511994,35 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGE DISTRICTS NO.6 27,483.52 27,529.60 27,506.56 $ 27,506.56 NO. 8 108,728.62 108,793.38 108,761.00 108,761.00 NO. 10 -MAINTENANCE 131,633.99 131,86713 131,750.56 131,750.56 NO. 11-MAINTENANCEIOPERATING 232,855.55 202,974.60 210,560.69 225,269.46 NO. I l -RESERVE 129,909.90 129,909.90 129,909.90 129,909.90 S 630,611.58 S 601,074.61 S 608,488.71 S 623,197.48 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY WCID #1 OPERATING ACCOUNT S 438,380.07 197.96 23,280.84 S 415,297.19 PAYROLLTAX S 618.64 OAO 110.80 S 507.84 S 438,998.71 197.96 23,391.64 S 415,805.03 TOTAL WCID FUNDS CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 8 156,146.58 S 49,339.67 $ 9,187.15 $ 196,299.10 CALHOUN COUNTY FROST BANK $ 2,163.87 5 $ 5.00 $ 2,158.87 TOTAL MMC, DR. DIST., NAV. DIST, WCID & FRO S 5,080,638.28 S 9,199,103.82 S 8,530,905.91 S 5,749,454.83 S 41,945,513.87 S 12,163,918.95 S 14,987,461.17 S 39,122,590.29 TOTALALLFUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTH OF: JULY2017 BANK RECONCILIATION LESS: CERT.OFDEPI FUND OUTSTNDODEP/ PLUS. CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDJNU BALANCE OPERATING* S 32,099,925.00 27,500,OOD.06 298,916.74 S 4,898,841.68 OTHER D A FORFEITED PROPERTY FUND 38,928.25 - - 38,928.25 SHERIFF NARCOTIC FORFEITURES 17,619.31 13,255.97 13,466.07 17,829.41 CERT OF OB-CRTHSE REF SERIES 2010 476,228.33 - 476,228.33 952,456.66 CERT OF OB-CRTHOUSE I&S SERIES 2012 651,351.94 - 651,351.94 1,302,703.88 OCEAN DRIVE IMPROVEMENTS -CAP PROJ 1.00 1.00 CAL. CO FEES & FINES 89,081.63 17,788.05 72,342.32 143,635.90 MEMORIAL MEDICAL CENTER OPERATING$ 2,732,592.99 - 58,797.09 2,791,390.08 INDIGENT HEALTHCARE 2,151.94 - 54,869.08 57,021.02 REFUND IMPREST ACCOUNT 5,061.64 5,061.64 PRIVATE WAIVER CLEARING FUND 816,593.67 - 816,593.67 1,633,187.34 CLINIC CONSTRUCTION SERIES 2014 100.00 - 100.00 200.00 NO ASHFORD 117,267.48 - - 117,267.48 NH BROADMOOR 92,758.50 - 100.00 92,858.50 NH CRESCENT 96,749.22 - 100.00 96,849.22 NO FORT BEND 48,370.24 - 100.00 48,470.24 NH SOLERA 600,248.67 - 100.00 600,348.67 NH GOLDEN CREEK 100.00 - 100.00 200.00 DRAINAGE DISTRICT: NO.6 27,506.56 - 27,506.56 55,013.12 NO. 8 108,761.00 - 108,761.00 217,522.00 NO. 10 MAINTENANCE 131,750.56 - 131,750.56 263,501.12 NO. 11 MAINTENANCEOPERATING 225,269.46 - 20D,000.00 425,269.46 NO. I l RESERVE 129,909.90 - 129,909.90 259,819.80 CALHOUN COUNTY WCID RI OPERATING ACCOUNT 415,297.19 - - 415,297.19 PAYROLLTAX 507.84 - - 507.84 CALHOUN COUNTY PORT AUTHORITY MAINTENANCEOPERATING**** 196,299.10 - - 196,299.10 CALHOUN COUNTY FROST BANK 2,158.87 - - 2,158.87 TOTALS Is 39122 590.29 1 S 27 531 044.08 1 S 3,041 09J.26 S 14 632 639.47 CDs -OPERATING FUND $27,500,000.00 $ 'CD's- MMC. OPERATING FUND -$500,000.00 **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK -PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE -PORT LAVACA **** THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be c�crenpmoni -date due to non-compliance by other county offices. I hereby certify that the current balances are col\rect tt t have be yrdby the County Treasurer as of the date of this report. #�% RHONDA S. KOKENA COUNTY TREASURER Page 3 of 3 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION DISC GLCOUE CYVL CRIMINAL '.. OFFICIALPUSUC' RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 100044020 $ 209.54 $ 209,64 BEER LICENSE IWO 42030 $ 5.00 $ $.00 COUNTY CLERK FEES 100044030 $ 456.00 $ 335.24 $ 7,485.60 $ 382.00 $ 0,658.04 CCLJUAYFEE LOWA4140 $ - JURYFEE 100044140 $ - $ - ELECTRONIC FILING FEES FOR &FILINGS 100044058 $ 42.00 $ - $ - $ 48.00 $ 90.00 JUDGE'S EDUCATION FEE 300044160 $ - $ 25.00 $ 25.00 JUDGE'S ORDER/SIGNATURE 100044180 $ 2.00 $ - $ 40.00 $ 42,00 SHERIFF'S FEES 100044190 $ - $ 271.84 $ - $ 160.00 $ 421.64 VISUAL RECORDER FEE 100044250 $ 60.74 $ 50.70 COURT REFPORTER FEE 1000.44270 $ 135.00 $ 75.00 $ 210.00 RESTITUTION DUE TO OTHERS 100049020 $ - ATTORNEY FEES -COURT APPOINTED IM -49030 $ 100.40 $ 100.49 APPELLATE FUND (FACT FEE 262OA4030 $ 55.00 $ 25.00 $ 80.00 TECHNOLOGYFUND 266344030 $ 33.62 $ 33.62 COURTHOUSE SECURITY FEE 267OA4030 $ 55.00 $ 26.16 $ 331.00 $ 30,00 $ 441.16 COURT INITIATED GUARDIANSHIP FEE 267244030 $ 100.00 $ 100.00 COURT RECORD PRESERVATION FUND 267344030 $ 110.OD $ 60.60 $ 100.00 RECORDS ARCHIVE FEE 267SA4030 $ 3,230.00 $ 3,230.00 DRUG& ALCOHOL COURT PROGRAM 2698-04030005 $ 94.14 $ 44.14 JUVENILE USE MANAGER FUND 2699-04033 $ - $ - FAMILY PROTECTION FUND 2706-04030 $ 45.00 $ 46,00 PRE-TRIAL DIVERSON AGREEMENT 272944034 $ - $ - LAW LIBARYFEE 2731A4030 $ 316.00 $ 175.00 $ 490.00 RECORDSMANAGEMENT FEE - CO CLK 273SA4380 $ 20.93 $ 3,230.00 $ 3,260.43 RECORDS MANGEMENT 2739-10899,44030 $ 55,00 $ 108.67 $ - $ 30.00 $ 273.57 GONDFORFEITURE 2740MI45050 $ - $ - FINES -COUNTY COURT 274045040 $ 2,149.27 $ 2,149.27 STATE POLICE OFFICER FEES 702020740 $ 2.20 $ 2.28 CONSOLIDATED COURT CORS 7070-10899 $ - $ - CONSOUDATE0COURT COSTS -COUNTY 707040610 $ 69.57 $ 69.57 CONSOLIDATED COURT COSTS -STATE 7070.20740 $ 033.34 $ 033.34 JUDICIAL AND COURT PERSONNEL TRAINING -CO 7502-20610 $ 2.60 $ - $ - $ 2,60 $ 6.OD JUDICIAL AND COURT PERSONNEL TRAINING - ST 750240740 $ 22.60 $ - $ - $ 22.50 $ 45.00 DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390.20610.999 $ 18.02 $ 18.82 DRUG & ALCOHOL COURT PROGRAM -STATE 739020740999 $ 75.32 $ 75.32 STATE ELECTRONIC HUNG FEE 74D3.999-22887 $ 300.00 $ 160.00 $ 450.00 STATE ELECTRONIC FILING FEE CR 7403.999.22990 $ 41.92 $ 41.92 EMSTRAUMA 7405-999.20740 $ 130.75 $ 13B.76 CIVIL INDIGENT FEE -COUNTY 748020610 $ 5.60 $ 2,60 $ 8.00 CIVIL INDIGENT FEE - STATE 7480-20740 $ 104.60 $ 47.60 $ 152.00 JUDICIAL FUND COURT COSTS 7495-20740 $ 125.71 $ 125.71 JUDICIAL SALARY FUND -COUNTY 7505-20610 $ 5.05 $ 5.05 JUDICIAL SALARY FUND -STATE 7505-20740 $ 45.25 $ 45.25 JUDICIAL SALARY FUND 7505-20740005 $ 378.00 $ - $ 210.00 $ 508.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884 $ 3.00 $ 3.00 COURT COST APPEAL OF TRAFFIC REG(JP APPEAL) 7538-22OBS $ - $ - JUVENILE CRIME & DELINQUENCY FUND 7538-22086 $ - GRID I -STATE 7855-20780 $ 80.40 $ 60.40 INFORMAL MARRIAGES -STATE 7855-20782 $ - $ - JUDICIALFEE 7855-20786 $ 380.00 $ 200.00 $ 560.00 FORMAL MARRIAGES -STATE 7855-20788 $ 450.00 $ 450.00 NONDISCLOSURE FEE 7855.999-20790 $ - $ - TCU OSE COURT COST 7856-999.20740 $ 0.36 $ D.36 JURY REIMBURSEMENT FEE 7057-10699 $ - $ - JURY REIMBURSEMENT FEE -COUNTY 7857-20610 $ 3,34 $ 3.34 JURY REIMBURSEMENT FEE 4TATE 7657-20740 $ 30.19 $ 30.18 STATE TRAFFIC FINE -COUNTY 7860-20610 $ 1.50 $ 1.50 STATE TRAFFIC FINE - STATE 786020740 $ 28.60 $ 20.60 INDIGENT DEFENSE FEE, COUNTY 7065-20610 $ 1.00 $ 1.06 INDIGENT DEFENSE FEE - STATE 7865.20740 $ 16.00 $ 15.08 TIMEPAVMENT 7865.10899 $ - $ - TIME PAYMENT -COUNTY 795020610 $ 104.74 $ 104.74 TIME PAYMENT -STATE 795020740 $ 104,74 $ 104.74 BAIL JUMPING AND FAILURE TO APPEAR -COUNTY 797020610 $ - BAILIUMPINGAND FAILURE TOAPPEAR -STATE 797020740 $ - DUE PORT LAVAU PD .19990.99991 $ .13.21: - $ . '13.21 DUE SEADRIFT PD '. .`9990.99992 $ :1.31'. $.. 1.11 DUETO POINT COMFORT PD -9990.99993 $ $ DUE TO TEXAS PARKS & WILDLIFE -.999099994 $ 170,271 $ :. 176.27 DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 79990.99995 $<. OUETOTABC -- '9990.99990 $: DUE TO OPERATING/NSF CHARGES/DUE TO OTHERS " Is : Is $ (8.00) - $ 8100) $ 2443.00 $ 5,119.40 $ 14,794.00 $ 1765.00 24121.40 TOTAL FUNDS COLLECTED $ 24,121.40 - FUNDS HELD INESCROW. $ (22.00) AMOUNT DUE TO TREASURER: 23438.810 TOTALRECEIPTS:'.$ 24;049A0': AMOUNT DUE TO OTHERS: $ 162.70 0F2 U.W.REPpfli91140NpIL'MUpiTOR AND TREASURER gEPgqi6QBR.03017 TREASURER REPORTS ppFMn CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION SEPTEMBER 2017 "BALANCE MOVED TO NEW P76SPrRITY ACGDUNT"' "-BAI..ANCE MOVED TO NEW PROSPEHITVACCOUNT" CERTIMMIE6 OF DEPOSITS HELD IN TROST-IOC BANK CUB Date Issued Balance Purchases/ WltbdraWals 3. Balance 1273PH% ? IRlareat z 00130H7 74025 11/19/2000 $ 1,04064 $ 1,840.64 49406 113072013 $ 19691.19 $ 40.24 $ 19740.43 60762 111612016 $ 0,402.02 $ 19.03 $ 0,420.06 60100 1/1672016 $ 9,402.02 $ 10.03 $ 9,420.05 60004 1/16/2016 $ 9,402.02 $ 10.03 $ 9,420.85 60863 2/212016 $ 3.600.76 $ 0.76 $ 3,517.60 60871 2/2/2015 $ 3500.75 $ 0.75 $ 3,617.50 51134 5/20/2015 E $ $ $ TOTAL$: $ 66,761.20 $ 123.23 $ $ 56,084.52 �hG'- Submllled bv: Anna M Goodman. County Clerk Dale 20F2 UW.REPORTSWONOWWWOITOR MOWEASURER REPORT8MI7.093017 TRE RER REPORTS "1mn4 0.00 0.00 879.72 0.00 1.30 0.00 0.00 0.00 0.00 0.00 73.36 0.00 0.00 0.00 44.04 0.00 35.06 0.00 Woo 53.43 `0.00 0.00 0.00 0.00 0.00 49.32 0.00 343.72 0.00 88.00 34.36 126.40 39.29 457.63 733.40 39.60 124,90 0.00 180.00 0.00 0.00 0.00 36,00 129,77 375.00 0.00 60.00 0.00 10.00 600.00. 0.00 2,613.10 0.00 45.00 0.00 0.00 0.00 0.00 0.00 0.00 from PAGE OF HILL COUNTRY SOFTWARE MO. REPORT PAGE OF HILL COUNTRY SOFMARE MO. REPORT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS Page 1 of 2 11/1/2017 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2017 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 2,619.85 CR 1000-001-44190 SHERIFF'S FEES 472.54 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 39.60 CHILD SAFETY 0.00 TRAFFIC 34.36 ADMINISTRATIVE FEES 134.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 208.86 CR 1000-001-44010 CONSTABLE FEES -SERVICE 975.00 CR 1000-001-44061 JP FILING FEES 180.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 733.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,189.65 CR 2670-001-44061 COURTHOUSE SECURITY FUND $66.00 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $22.00 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $88.00 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $35.06 STATE ARREST FEES DPS FEES 87.84 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 87.84 CR 7070-999-20610 CCC -GENERAL FUND 87.97 CR 7070-999-20740 CCC -STATE 791.75 DR 7070-999-10010 879.72 CR 7860-999-20610 STF/SUBC-GENERAL FUND 17.19 CR 7860-999-20740 STF/SUBC-STATE 326.53 DR 7860-999-10010 343.72 CR 7950-999-20610 TP -GENERAL FUND 63.20 CR 7950-999-20740 TP -STATE 63.20 DR 7950-999-10010 926.40 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 11/1/2017 COURT NAME: JUSTICE OF PEACE NO. 1 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: MONTH OF REPORT: OCTOBER OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS YEAR OF REPORT: 2017 PARKS & WILDLIFE FINES 38.25 CR 7865-999-20610 0.00 CRIM-SUPP OF IND LEG SVCS -GEN FUND 4.40 CR 7865-999-20740 TOTAL COLLECTED -ALL FUNDS CRIM-SUPP OF IND LEG SVCS -STATE 39.64 $7,348.40 REVISED 03/04/16 DR 7865-999-10010 $0.00 44.04 CR 7970-999-20610 TL/FTA-GENERAL FUND 24.45 CR 7970-999-20740 TUFTA-STATE 48.91 DR 7970-999-10010 73.36 CR 7505-999-20610 JPAY - GENERAL FUND 12.98 CR 7505-999-20740 JPAY - STATE 116.79 DR 7505-999-10010 129.77 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 8.80 CR 7857-999-20740 JURY REIMB. FUND- STATE 79.20 DR 7857-999-10010 88.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.13 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 1.17 DR 7856-999-10010 1.30 CR 7502-999-20610 JUD/CRT PERSONNEL TRAINING FUND- GEN FUN[ 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 39.29 DR 7998-999-10010 39.29 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 60.00 DR 7403-999-22889 60.00 TOTAL (Distrib Req to OperAcct) $7,310.15 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 38.25 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $38.25 TOTAL COLLECTED -ALL FUNDS $7,348.40 LESS: TOTAL TREASUER'S RECEIPTS $7,348.40 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 43040 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7541-999-20759-999 JP1 Monthly Collections - Distribution $7,310.15 OCTOBER 2017 V# 967 TOTAL 7,310.15 0.00 0.00 1,796.64 179.65 0.00 3.51 0.00 0.00 0.00 0.00 0.00 223.67 60.00 0.00 0.00 69.82 0.00 - 80.00 0.00 0.00 179.65 79.16 0.00 0.00 0.00 6.09 117.93 0.00 732.23 0.00 179.65 73.22 305.61 85.25 740.36 1,496.95 49.50 84.90 0.00 180.00 0.00 <`0.00 36.00 269.56 450.00 0.00 0.00 10.00 0.00 450.00 594.00 `. 5,226.80 0.00 `.183.00. 0.00 0.00 ' 0.00 0.00 '. 0.00 0.00 In On RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT RECO RD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT D.R. REQUESTING DISBURSEMENT D. R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT from ACTUAL TreaSurefS MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS Page 1 of 2 11/1/2017 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2017 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 5,848.25 CR 1000-001-44190 SHERIFF'S FEES 839.05 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 49.50 CHILD SAFETY 0.00 TRAFFIC 73.22 ADMINISTRATIVE FEES 94.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 217.62 CR 1000-001-44010 CONSTABLE FEES -SERVICE 900.00 CR 1000-001-44062 JP FILING FEES 180.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,496.95 TOTAL FINES, ADMIN. FEES & DUE TO STATE $9,481.87 CR 2670-001-44062 COURTHOUSE SECURITY FUND $134.74 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $44.91 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $179.65 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $80.00 STATE ARREST FEES DPS FEES 103.27 P&W FEES 1.22 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 104.49 CR 7070-999-20610 CCC -GENERAL FUND 179.68 CR 7070-999-20740 CCC -STATE 1,617.16 DR 7070-999-10010 1,796.84 CR 7860-999-20610 STF/SUBC-GENERAL FUND 36.61 CR 7860-999-20740 STF/SUBC-STATE 695.62 DR 7860-999-10010 732.23 CR 7950-999-20610 TP -GENERAL FUND 152.81 CR 7950-999-20740 TP -STATE 152.80 DR 7950-999-10010 305.61 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 11/1/2017 COURT NAME: JUSTICE OF PEACE NO. 2 0.00 REFUND OF OVERPAYMENT' 0.00 MONTH OF REPORT: 0 CASH BONDS 0.00 PARKS & WILDLIFE FINES YEAR OF REPORT: 2017 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 8.98 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 80.84 DR 7865-999-10010 89.82 CR 7970-999-20610 TL/FTA-GENERAL FUND 74.56 CR 7970-999-20740 TL/FTA-STATE 149.11 DR 7970-999-10010 223.67 CR 7505-999-20610 JPAY - GENERAL FUND 26.96 CR 7505-999-20740 JPAY - STATE 242.60 DR 7505-999-10010 269.56 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 17.97 CR 7857-999-20740 JURY REIMB. FUND- STATE 161.68 DR 7857-999-10010 179.65 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.35 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 3.16 DR 7856-999-10010 3.51 CR 7502-999-20610 JUD/CRT PERSONNEL TRAINING FUND -GEN FUN 0.00 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 CR 7998-999-20740 TRUANCY PREY/DIV FUND - STATE 85.25 DR 7998-999-10010 85.25 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 60.00 DR 7403-999-10010 60.00 TOTAL (Distrib Req to OperAcct) $13,807.80 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT' 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 155.55 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $155.55 TOTAL COLLECTED -ALL FUNDS $13,963.35 LESS: TOTAL TREASUER'S RECEIPTS $13,963.35 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 43041 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Calvin Anderle Justice of the Peace, Pct. 2 ACCOUNT NUMBER DESCRIPTION AMOUNT 7542-999-20759-999 JP2 Monthly Collections - Distribution $13,807.80 0 2017 V# 967 Signature of Official Date TOTAL 13,807.80 11-01-17;21:16 ;From:Calhoun County Pot, 5 To:5534444 Calhoun County Justice Court, Pct 5 Judge Nancy Pomykal 508 West Main P O Box 454 Pork O'Connor, Texas 77982 Phone (361) 983-2351 Fax (361) 983-2461 11/01/17 FACSIMILE TRANSMITTAL ;3619832461 # 1/ 8 To: THE HON. MIKE PFEIFER AND COMMISSIONERS COURT Fax: 361-553-4444 PAGES TO FOLLOW 8 INCLUDING THIS COVER SHEET From: JUDGE NANCY POMYKAL Subiect• MONTHLY REPORT OF COLLECTIONS FOR THE MONTH OF OCTOBER 2017 Comments: Faxing the report of callections of October 2017. Please Clive me a call if you have any questions. Thank you, faldipe p The information contained in the facsimile message is confidential, intended only for the use of the individual or entity named. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver said message to the intended recipient, you are hereby notified that any dissemination, distribution, copying or the taking of any action in reliance on the contents of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone and return the original message to us at the above address via the U. S. Postal Service. 11-01-17;21:16 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 2/ 8 Money Diatribution Report: 37620$ 1603-01n2 10-25.2017 JSF 4.00 CCC 40.00 CBS 3.00 LAF 5,00 WRNT 5040 CLINTON, ANNAULA MORALES TIME 25.00 IF 4.00 DISC 30.06 JCSF 1.00 JPAY 6.00 Company Check IDF 2.00 TPDF 2.00 FINE 238.00 CSRV 123.00 62lOQ 1.60, .. . tt; I ... * : .. : i i 0143. ...... .. .. . CLINTON ANNADEDA !4qRA, ES '-TIME Q..O apAx tolo: 376207 1603-0140 10-25-2017 JSr 4.00 cc(; 4D.00 CHS 3�00 LAP 5�00 WRNT 50.00 CLINTON, ANNADPLA MORALES TIME 25.00 TF 4.00 Dpsa 30.00 JCSF 1.06 JPAY 9.00 company check iIPF 2.00 MVP 0.10 TPDF 2,00 FINE 217.90 CSRV 117.00 sr -:,d. 00 ` i HbFFKAN;,!:VMl2S' ATT HUNTER Tj5p, bO 376209 1707-OSSI 10-26-2017 JSP 4l00 CCC 40.00 CHS 3.00 PWAF 5.00 TIME 25.00 CLIFTON, JOHN MICHAEL TF 4,00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2100 Cash 153.00 274211 1707-0612 10-30-2017 ISP PLEASANTS, WALTER CLEMENT JCSF Cash I-- ...... .. .. ... 376213 1706-0632 10-10-2017 is ZUNIGA, ISABELLA MARIA TF 4.00 CCC 40.00 CBS 3.00 PWAF 5.00 Tr 4,OD 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWP 100.00 0.50 CCC 8.98 C149 0.67 SAP 1.12 TIME 22.03 0.90 JC0v 0.22 JPAY 1.35 IDF 0.45 MVP 0.03 0.45 FINE 7 . ...... ...... 507.00 245.00 167.00 ! 2t JCSFUbG�,: ALL)& R60 0 0P I: Ced 3: ti : car 5: 376215 1706-0504 10-30-2017 isr 4.00 CCC 40.00 OHS 3.00 PWAF 5.00 TIME 25.00 200,00 V2NWA.9, MARISOL LYNNE TF 4.00 JCSF 1,00 JPAY 5.00 IDF 2.00 TPDF 2100 Credit Card ,FINS 108.00 U 1:PCC: r i: ..4 0 Oil: �::::b S`�O .: 1: 1 1-*, �,*,O I .i�: q�. 52V*.:, qt� 02.7 SF,:::; k. . %�. , 1 a � I - ::1710. 066. :t P:A : ... .:, AP, .... . '. , . .t . , §..: �3 ..2. ,J 11-01-2017 Page 1 CALHOUN CO. Y.P. 5, OCTOBER 2017 REPORT Recei2h Caune/Defendane Codco'llAmountu Total 376193 1610-0353 10-02-2017 FINE 75.00 CSRV 02.50 157.50 DELAND, WaZABET11 ....... . ... .. % 3L* -CCC 4 =AUT11 ..... .. MRi: ;10 0 4 MNO: 376195 16OG-0197 10.02-2017 JSP 0.01 TFC 0.02 We 0.20 cgs 0.02 LAP 0.02 2,00 VASQUEZ, DAMIAN E WANT 0.25 TIME 1.11 IF 0.02 JPAY 0.03 Xor 0.01 Cash SUBC 0.15 TPDF 0.01 OMNC O.D2 OMND 0 MNO :,,.2067:0 W7 j.: O -Z .... ..... -0�..:03.:-� 0,.94 18-00 % 1 :t72 `T, :Y; 1. &O. -V PINK %`Itl 376197 2705.0462 10-03-2017 JSF 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TIME 25.00 195.00 BOWEN, THAO X. IF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 Personal Check Pwr 1.03,00 ..... . ... ...... .. ......... . 2. .. .. ... ...... a 2 376199 1709.0650 1D-04-2017 JS? 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 128.00 DARILEK, COY HUNTER JCSF 1.00 JPAY 6.00 TDF 2,00 TPDP 2.00 WS F 53100 Cash YCM)p S.00 ... .. CHS.:,: . ... ...... .. 31 0 Olt I A.: TWAF . .. ... .. 1:15 .0.01 ...... TF ,'SPARKS.�-JOS A.!C .... ... .::..:JCSF;:;: F: ;I, 64.0... ..TOF 0.0; TODF 0 l:.Mcney. .. ... .. . . . 3741201 1708-0930 10-23.2017 JSF 1l02 CCC 10,15 CBS 0.76 SAF 1.27 TIME 25.00 90.00 PINEDA, ALYSSA RENEE TF 1.01 JCSF 0.25 JPAY 1.52 IDF 0.51 TPDF 0.51 Money ordex.- FINE 0.00 q 376203 1710-0960 10-24-2017 JSF ...... 4,00 .. . ..... .. CCC 40.00 CHS 3.00 LAP 5.00 Tr 4.00 170.00 ALMSDA, DANIEL JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 90.00 Credit Card JCMr 5100 .... .. .... 37620$ 1603-01n2 10-25.2017 JSF 4.00 CCC 40.00 CBS 3.00 LAF 5,00 WRNT 5040 CLINTON, ANNAULA MORALES TIME 25.00 IF 4.00 DISC 30.06 JCSF 1.00 JPAY 6.00 Company Check IDF 2.00 TPDF 2.00 FINE 238.00 CSRV 123.00 62lOQ 1.60, .. . tt; I ... * : .. : i i 0143. ...... .. .. . CLINTON ANNADEDA !4qRA, ES '-TIME Q..O apAx tolo: 376207 1603-0140 10-25-2017 JSr 4.00 cc(; 4D.00 CHS 3�00 LAP 5�00 WRNT 50.00 CLINTON, ANNADPLA MORALES TIME 25.00 TF 4.00 Dpsa 30.00 JCSF 1.06 JPAY 9.00 company check iIPF 2.00 MVP 0.10 TPDF 2,00 FINE 217.90 CSRV 117.00 sr -:,d. 00 ` i HbFFKAN;,!:VMl2S' ATT HUNTER Tj5p, bO 376209 1707-OSSI 10-26-2017 JSP 4l00 CCC 40.00 CHS 3.00 PWAF 5.00 TIME 25.00 CLIFTON, JOHN MICHAEL TF 4,00 JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2100 Cash 153.00 274211 1707-0612 10-30-2017 ISP PLEASANTS, WALTER CLEMENT JCSF Cash I-- ...... .. .. ... 376213 1706-0632 10-10-2017 is ZUNIGA, ISABELLA MARIA TF 4.00 CCC 40.00 CBS 3.00 PWAF 5.00 Tr 4,OD 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWP 100.00 0.50 CCC 8.98 C149 0.67 SAP 1.12 TIME 22.03 0.90 JC0v 0.22 JPAY 1.35 IDF 0.45 MVP 0.03 0.45 FINE 7 . ...... ...... 507.00 245.00 167.00 ! 2t JCSFUbG�,: ALL)& R60 0 0P I: Ced 3: ti : car 5: 376215 1706-0504 10-30-2017 isr 4.00 CCC 40.00 OHS 3.00 PWAF 5.00 TIME 25.00 200,00 V2NWA.9, MARISOL LYNNE TF 4.00 JCSF 1,00 JPAY 5.00 IDF 2.00 TPDF 2100 Credit Card ,FINS 108.00 U 1:PCC: r i: ..4 0 Oil: �::::b S`�O .: 1: 1 1-*, �,*,O I .i�: q�. 52V*.:, qt� 02.7 SF,:::; k. . %�. , 1 a � I - ::1710. 066. :t P:A : ... .:, AP, .... . '. , . .t . , §..: �3 ..2. ,J 11-01-2017 Page 1 11-01-17;21:16 ;From:Calhc)un CountY Pct. 5 To:5534444 ;3619832461 # 3/ 8 Money DjutribUtion Report: 121-01-2017 Page 2 CALHOUN CO. J.P. S. OCTOBER 2017 UHVORW T .. t I I SPAY::: T., 1g, ....... t V,6 37M7 1705.0467 10-31-2017 17$F 4,00 CCC 40.00 CHS 3.00 LAF 5.00 TIME 25.00 .00 92 TRUMANN, SUMMER RENE TF 4.00 JCSF 1.00 apAy 6.00 IDF 2.00 TPDF 2.00 80tvic ;:.:. Comm.: :-�: 11 . - ;; ::::, 1 '*..!':::'��;.� "'4�; ' ;: :.1101 ::: :: : :Z: ::� i::� .: 06in :0 121-01-2017 Page 2 11-01-17;21:16 ;From:Calhoun County Pot. 5 To:5534444 ;3619832461 # 4/ 8 Money nietribution Report CALHOUN CO. J.P. 5, OCTOBER 2017 REPORT Type Code Description Count Rotained Disburood Money -Totals The Hallowing totals ropresent - Cash and Chocko Collected COST CCC CONSOLIDATED COURT COSTS 17 45,40 408.63 454.03 COST CHS COURTHOUSE SECURITY 16 34.05 0,00 34.05 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 3 29.70 60.30 90.00 COST IAF INDIGENT DEFENSE FUND 1G 2.27 20.43 22.70 COST JCSF JUSTICE COURT SECURITY FUND 15 11.34 0.00 11.34 COST JPAY JUDGE PAY RAISE FEE 17 6.81 61.30 68.11 COST JSP JUROR SERVICE FUND 17 4.54 40.09 45.43 COST LAP SHERIFF'S FEE 6 19.20 0.00 19.20 COST MVP MOVING VIOLATION FEE 2 0.01 0,12 0.13 COST OMNC DPS OMNI FEE - COUNTY 4 7.36 0.00 7.36 COST OMND DPS OMNI FEE - DPS 4 0.00 36.82 36.82 COST OMNO DPS OMNI FEE - OMNIBASE 4 0.00 11,05 11.05 COST PWAF TEXAS PARKS & WILDLIFE 7 28.00 7.00 35.00 COST DAF DPS 3 2.03 0.51 2,54 COST SUBC SUB TITLE C 3 0.41 0.00 0.41 COST TF TECHNOLOGY FUND 16 45.39 0.00 45.39 COST TFC TFC 2 0.04 0.00 0.04 COST TIME TIME PAYMENT FEE 12 111.77 111.77 223.54 COST TPDF TRUANCY PREVENTION & DIVERSION POND 16 0.00 22,70 22.70 COST WRNT WARRANT FEE 6 192.06 0.00 192,06 FEES CSRV COLLECTION SERVICES FEE 5 465.00 0.00 465.00 FEES OFF DEFERRED FEE 1 133.00 0.00 133,00 FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00 FEES JCMF JUVENILE CASE MANAGER FEE 3 15.00 0.00 15.00 FINE FINE FINE - 9 804.60 0.00 884.60 FINE PWF PARKS & WILDLIFE FINE 4 60.05 390.15 459.00 FINE WSF WATER SAFETY FINE 2 - 15.90 90.10 106,00 Mangy Totals 20 2,142.73 1,261.77 31404,50 The Hollowing totals represent - TranaHera Collected - - COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTROUSE SECURITY 0 0.00 0.00 0.00 COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST SPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSP JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0,00 COST MVP MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST OMNC DPS OMNI FEE - COUNTY 0 0.00 0.00 0.00 COST OMNO APS OMNI FEE - APS 0 0.00 0,00 0.00 COST OMNO OPS OMNI FEE - OMNIEASE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0,00 0.00 COST SAF DPS 0 0.00 0.00 0.00 COST SUBC SUE TITLE C 0 0.00 0.00 0.00 COST IF TECHNOLOGY FUND 0 0.00 0,00 0.00 COST TFC TPC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0,00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DFF DEFERRED FEE 0 0.00 0.00 0,00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 - 0.00 0.00 PINE FINE FINE 0 0.00 0.00 0.00 FINE POPPARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 TranaHer Totela 0 0.00 0.00 0.00 The Hollowing totals roprosont - Jail Credit and Community Scr kc COST CCC CONSOLIDATED COURT COSTS 2 8.00 72.00 80,00 COST CHS COURTHOUSE SECURITY 2 6.00 0.00 G100 COST DPSC DPS FAILURE TO APPEAR 10MN1 FEES 0 0.00 0.00 0,00 COST IDF INDIGENT DEFENSE FUND 2 0.40 3.60 4.00 01-2017 Page 3 11-01-17;21:16 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 5/ 8 Monty Distribution Roport Credit Totals The following totsln repreoent - Credit Card Paymants COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEB - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST IF TECHNOLOGY FUND COST TPC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DFP DEFERRED FEE FD•ES EXRF EXPIRATION RENEWAL FEE FEES JCMF JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE PINE FINE WSF WATER SAFETY FINE Credit Card Totals The fo13.0win9 totalo reyrtDeut - Combined Monty COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST SPAY JUDGE PAY RAISE FEE COST JSP JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - CPS 2 61,40 122,60 CALHOVN CO. J.P. 5, OCTOBER 2017 REPORT 144.00 Type Code DoocriDtien Count Retained Diob road Money -T t 1D COST JCSP JUSTICE COURT SECURITY FUND 2 2.00 0.00 2.00 COST JPAY JUDGE PAY RAISE FEE 2 1.20 10.80 12.00 COST JSP JUROR SERVICE FUND 2 0.80 7.20 0.00 COST LAP SHERIFF'S FEE 2 10.00 0.00 10.00 COST MVF MOVING VIOLATION FED• 0 0.00 0.00 0.00 COST 014NC DPS OMNI PUB - COUNTY 0 0.00 0.00 0.00 COST OMND DPS OMNI FEE - DPS 0 0.00 0.00 0.00 COST OMNO PPS OMNI FEE - OMNIBASE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 0 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 2 0.00 0100 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 2 25.00 25.00 50.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 2 0.00 4.00 4.00 COST WENT WARRANT FEE 0 0.00 0.60 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PWP PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE. 0 0.00 0.00 0.00 Credit Totals The following totsln repreoent - Credit Card Paymants COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEB - COUNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST IF TECHNOLOGY FUND COST TPC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DFP DEFERRED FEE FD•ES EXRF EXPIRATION RENEWAL FEE FEES JCMF JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE PINE FINE WSF WATER SAFETY FINE Credit Card Totals The fo13.0win9 totalo reyrtDeut - Combined Monty COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST SPAY JUDGE PAY RAISE FEE COST JSP JUROR SERVICE FUND COST LAF SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC DPS OMNI FEE - COUNTY COST OMND DPS OMNI FEE - CPS 2 61,40 122,60 184.00 4 16.00 144.00 160.00 4 12.00 0.00 12.00 0 O.DO 0.00 0.00 4 0.80 7.20 8.00 4 4.00 0.00 4.00 4 2.40 21.60 24,00 4 1.60 14.40 16.00 2 10.00 0.00 10.00 0 0.00 O.OD 0.00 0 0.00 O.OD 0.00 0 0.00 0.00 0,00 0 0.00 0.00 0.00 2 8.00 2.00 10.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 4 16.00 0.00 16.00 0 0.00 0.00 0.00 1 12.50 12.50 25.00 4 0.00 6.D0 0.00 0 0.00 0.00 0.00 0 D.00 0.00 0.00 0 0.00 O.OD 0.00 0 0.00 0.00 0.00 2 10.00 0.00 10.00 2 206.00 0.00 206.00 2 30.15 170.86 201.00 0 0.00 0.00 0,00 4 329.45 380.55 710.00 21 61.40 552.63 614.03 20 46.05 0.00 46.OS 3 29.70 60.30 90.00 20 3.07 27.63 30.70 19 SS.34 0.00 1$.34 21 9.21 82.90 92.11 21 6.14 55.29 61.43 8 29.20 0.00 29.20 2 0101 0.12 0.13 4 7.36 0.00 7.36 4 0.00 36.82 36.82 -2017 Page 11-01-17;21:16 ;From:Calhoun County Pct. 5 To:5534444 ;3619832461 # 6/ 8 Nonny Diatribution Report The following totals represent - Combined money and Crodite COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST FDP INDIGENT DEFENSE FUND COST JCSP JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC UPS OMNI FEE - COUNTY COST OMNI) DPS OMNI FEB - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC BUD TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPUF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DFF DEFERRED FEE FEES EXRF EXPIRATION RENEWAL FEE FEES JCMB JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE PINE FINE WSF WATER SAFETY FINE Report Totals 23 69.40 624.0 CALHOUN CO. J.P. 5, OCTOBER 2017 REPORT 0.00 Type code Deaeri Cion Count Retained Disbursed Moncy-Totalo COST OMNO DPS OMNI FEE - OMNYBASE 4 0.00 11.05 11.05 COST FWAF TEXAS PARKS & WILDLIFE 9 36.00 9.00 45.00 COST SAF DPS 3 2.03 0.51 2.54 COST SUBC SUE TITLE C 3 0.41 0.00 0.41 COST TF TECHNOLOGY FUND 20 61.39 0.00 61.39 COST TFC TFC 2 0.04 0.00 0.04 COST TIME TIME PAYMENT FEC 13 124.27 124.27 240.54 COST TPUF TRUANCY PREVE14TYON & DIVERSION FUND 20 0.00 30.70 30.70 COST WRNT WARRANT FEE 6 192.06 0.00 192.06 FEES CSRV COLLECTION SERVICES FEE 5 465.00 0.00 465.00 FEES OFF DEFERRED FEE 1 133.00 0.00 133.00 FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00 FEES JCMF JUVENILE CASE MANAGER FEE 5 25.00 0.00 25.00 FINE FINE FINE 11 1,090.60 0.00 11090.60 FINE PWF PARKS & WILDLIFE FINE 6 99.00 561.00 (;60.00 FINE WSF WATER SAFETY FINE 2 15.90 90.10 106.00 money Totals 24 2,472.10 1,642.32 4,114.50 The following totals represent - Combined money and Crodite COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST FDP INDIGENT DEFENSE FUND COST JCSP JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVF MOVING VIOLATION FEE COST OMNC UPS OMNI FEE - COUNTY COST OMNI) DPS OMNI FEB - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST PWAP TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC BUD TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPUF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DFF DEFERRED FEE FEES EXRF EXPIRATION RENEWAL FEE FEES JCMB JUVENILE CASE MANAGER FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE PINE FINE WSF WATER SAFETY FINE Report Totals 23 69.40 624.0 694.03 22 52.05 0.00 $2.05 3 29.70 60.30 90.00 22 3.47 31.23 34.70 21 17.34 0.00 17.34 23 10.41 93.70 104.11 23 G.94 62.49 69.43 10 39.20 0.00 39.20 2 0.01 0.12 0.13 4 7.36 0.00 7.36 4 0.00 36.82 36.82 4 0.00 11.05 11.05 9 36.00 9.00 45.00 3 2.03 0.51 2.54 3 0,41 0.06 0.41 22 G9.39 0.00 69.39 2 0.04 0.00 0.04 15 149.27 149.27 290.54 22 0.00 34.70 34.70 6 192.06 0.00 192.06 5 465.00 0.00 465.00 1 133.00 0.00 133.00 1 20.00 0.00 20.00 5 25.00 0.00 25.00 11 1,090.60 0.00 1,090.60 G 99.00 561.00 660.00 2 15.90 90.10 106.00 26 2,533.58 1,764.92 4,298.50 Page 11-01-17;21:16 ;From:Calhoun County Pct, 5 To:5534444 ;3619832461 # 7/ 8 Money Distributiou Rtport Page CALBOOR CO. J.P. S, OCTOBER 2017 REPOET Date Payment Type Pines Court costa pees Bonds RostiDnaion Other Total 00-00-0000 Cash & Checks Collected 0.00 67,00 133.00 0.00 0,00 0,00 200.00 Jail Credica & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfaxs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 67.00 133.00 0.00 0.00 0.00 200.00 09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0,00 0,00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all C011eCtiens 0.06 0.00 0.00 0.00 0.00 0.00 0.00 09-01.1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Cradits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Tranafers 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Checks Collected 0.00 0.60 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of All Collections 040 0.00 0.00 0.00 0,00 O.DO 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0100 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Total of all Collections 0100 0,00 0.00 0.00 0.00 0.00 0.00 09-01.2003 Cash & Checka C011actod O.DD 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credito a Comm Service 0,OD 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01.01-2004 Cash & Checks Colloctod 1,449.60 1,254.90 500.00 0.00 0.00 0.00 3,204.50 Jail credits & Comm Service 0.00 194.00 0.00 0.00 0.00 0.00 194.00 Credit Cards & Transfers 407.00 293.00 10.00 0.00 0100 0.00 710.00 Total of all Collections 11056.60 1,731.90 510.00 0.00 0.00 0.00 4,096.50 TOTALS Cash & Checks Collected 1,449.60 11321.90 633.00 0.00 0.00 0.00 3,404.50 Jail Credits & Comm Service 0.00 184.00 0.00 0.00 0.00 0.00 104.00 Credit Cards & Transfers 407.00 293.00 10.00 0.00 0.00 0,00 710.00 Total of all Collections 1,356.60 11790.90 643.00 0.00 0.00 0.00 41290.50 Page 11-01-17;21:16 ;From:Calhoun County Pot. 5 To;5534444 ;3619832461 # 8/ 8 Money Diutribution Report CALHOUN CO. J.P. 5, OCTOBER 2017 REPORT Deaeriptioa Count Collected Retained Disbursed State of Texas Ouarteriy Reporting Totals State Comptroller Cost and Fees Report Section 1: Report for Offenaes Committed 01-01-04 Forward 23 614.44 61.81 552.63 09-01-01 - 12.31.03 0 0.00 0.00 0.00 05-31-99 - 00-31-01 0 0.00 0.00 0.00 09-01-97 - 08-30-99 0 0.00 0.00 0.00 0941-91 - 08-31-97 0 0.00 0.00 0.00 Bail Bend Foe 0 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.00 0.00 DNA Testing Foo - Comm Supvn 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0,00 BMS Trauma Fund (ENS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursomonc Foo 21 61.43 6.14 55.29 Indigent Defense Fund 20 30.70 3,07 27.63 Moving violation Fees 2 0,13 0.01 0.12 State Traffic tine 0 0,00 0.00 0.00 Section 11: As Applicable Peace Officer Peen 12 47.54 38.03 9.51 Failure to Appear/Pay Fees 7 12G.82 29,70 97.12 Judicial Fund - Const County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier Weight violations 0 0.00 0.00 0.00 Time Payment Fees 13 240.54 124.27 124.27 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support Foo 21 92.11 9.21 02.90 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total 119 1,221.71 272.24 945.47 State Comptroller Civil Fees Report CF: Hirth Certificate Fees 0 0.00 0.00 0.60 Cr: Marriage Liconao Fees 0 0.00 0.00 0.00 CF: Declaration OC Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Foes 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Sndig Filing Fees 0 0.00 0.00 0.00 CF: Stat Prob Court Indig Filing Paco 0 0.00 0.00 0.00 CF: Stat Prob Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court JUdio Filing Fees 0 0.00 0.00 0.00 CF: Cnst enty Court Sndig Filing Peen 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judic Filing Fenn 0 0.00 0,00 0.00 OF; Dist Court Divorce & Family Law 0 0.00 0,00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0,00 0.00 CP, Dist Court indig Legal Services 0 0.00 0.00 0.00 Cr! Judicial Support Fee 0 0.00 0.00 0.00 CF: Judicial & Court Pers. Training Fee 0 0.00 0.00 0.00 Report Sub Total 0 0.00 0.00 0.00 Total Duo For This Period 119 1,221.71 272,24 949.47 TNG STATE OF TEXAS Defore ma, the undersigned authority, this day County of Calhoun County porsooally appeared Nancy POmykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above e'�foregoin sport is true and correct. Witness my hand this J `�= d+y5"of l� � .h A� ,,. • duadice oL l4o as ca, Pxobin i?o 5 Calhoun Count Texas Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: mary.orta@calhouncotx.org October 2017 Development Permits New Homes -0 Renovations -0 Mobile Homes -1 Boat Barns/Storage Buildings/Garages-1 Commercial Buildings -1 Total Fees Collected: $180.00 ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 506 Selected major activities since last report- October 2017 Oct 4: Site visit turf weeds- Port O'Connor. Oct 10: Assisted Matagorda County agent with major show validations. Oct 10: Held Livestock Judging practice. Oct 13: Picked up donated eggs from Holmes Foods, Inc.- Gonzales. Oct 17-21: This year at the Calhoun County Fair the new attraction was the Agriculture Discovery Zone. It was the idea of Katherine Sutherland and was constructed by Eric Taylor and I where the school art projects used to be. The goal of the ag discovery zone is to teach children the importance of agriculture and remind their parents where their food and clothing comes from. It featured interactive and informative "booths'. On the left side of the building was booths that highlighted the importance of the four major crops in Calhoun County (corn, cotton, grain sorghum and soybeans) cattle, the Texas A&M Forest Service and information about Texas A&M AgriLife Extension and 4-H. Youth and adults could feel all the different crops, cattle cubes and sweet feed. Moreman Gin donated some unginned cotton, ginned cotton and seeds with linters so everyone could see the ginning process as well. On the right side of the building were gardening facts, information about pollinators, flip up questions, the United States of Agriculture Facts and the commodity carnival. There were even caterpillars and butterflies. Butterflies were actually hatching as well! But the overwhelming crowd favorite was the incubator and the live baby chicks. Youth and adults could seethe eggs hatching before their eyes. After the baby chicks were dry and strong they were moved to the coop where people could watch them eat and drink. Broilers and laying hens were in the coops next to the chicks to show what they would look like when the chicles grew up. Tractor Supply donated two incubators and Holmes Foods, Inc. from Gonzales donated the eggs. I stuck around the zone the first night and got to hear a lot of the complements on the Ag discovery zone. Parents and youth alike were amazed at all the work myself and my coworker, Eric Taylor had put in. I could hear a lot of "I didn't know that' and "Look how cool this is". I'm pretty sure we accomplished our goal to spread agriculture literacy. But the best moment was when I was taking pictures of the school tours that came to the fair and met a little girl and her mom watching the chicks hatch at the Ag discovery zone. The baby chicks fascinated the little girl. Her mom explained to me that she had some learning disabilities and had never gotten this close to any animal before (dogs and cats included). I asked if she would like to touch one of the baby chicks. After a few tries and some squeals of delight the little girl finally stuck one finger out and touched the baby chick. Her mom profusely thanked me for being so patient and letting her touch the baby chick. Eric and I will be adding on to the Ag discovery zone and will make it even better for next year! Oct 18: Calhoun County Fair Livestock show. Oct 19-20: Helped with Calhoun County Fair school tours. Oct 19: Livestock Show Auction. Oct 20: Helped Livestock Judging Contest at Calhoun County Fair. Oct 20: Took pictures at Spectacular show for Special needs youth, and Young exhibitors show for clover kids. Oct 21: Took pictures at Farm Bureau pig scramble. Oct 22: Fair Clean up. Oct 25-26: Assisted with registration at Victoria Farm and Ranch Show. Direct Contacts: Phone:20 E-mail/Letters: 250 Office: 25 Site:3 Major events for next month - November 2017 Nov 10: 2018 Program Planning Due - Geri L Kline Calhoun Name County County Extension Agent- Agriculture & Natural Resources October 2017 Title Date (Month -Year) Texas AgriLife Extension Service - The Texas A&M University System - College Station, Texas ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled: 1,223.7 Selected major activities since last report October 2-11: Traveling on vacation to give presentation at the Apostleship of the Sea's World Congress in Taiwan after being invited by the Vatican to speak about best management strategies in the Gulf of Mexico fisheries. I chose to talk about the work that Texas Sea Grant does with the shrimp fishery, including TEDs, BRDs, cambered doors, and high-density webbing. And then how our normal role of outreach/research changes with a disaster like Harvey. I highlighted some of my post-Harvey efforts to support my fishermen. Over 250 people registered for this conference from over 50 countries. I would estimate close to 200 people attended my presentation. October 12: Attended an exploratory meeting for creating a Lavaca Bay Foundation was held in Port Lavaca. October 16: Volunteered to attend FEMA training at TDEM Joint Field Office in Austin. I carpooled with Bill Balboa from Bay City. Became part of a financial technical assistance team that can be deployed thru a STAR request by interested jurisdictions. October 17-21: created and maintained educational booth for the Calhoun County Fair with hurricane resource materials. Booth received a Grand Champion ribbon. October 18: Rockport fishery visits and delivering materials to Aransas Extension office. Also attended Long Term Recovery meeting. Coordinated with National Marine Fisheries (NMFS) on damage assessments. October 19: Worked with Calhoun County jurisdictions on debris survey for Rebuild Texas when requested by AgriLife to do so. October 24: Attended and participated in the FEMA scoping meeting for Port Lavaca. October 25: Attended FEMA scoping meeting for Calhoun County. October 25: Helped conduct Oyster Industry meeting for new regulations with TPWD and safety guidelines with DSHS. Approximately 110 fishermen attended the meeting. SBA was also there with information on disaster loans. Ongoing Hurricane Harvey Recovery Effort areas — • Meetings, phone calls, and entails with partners, collaborators, and colleagues • Seafood processing facilities • Solutions for shore erosion, salt tolerant plants • Supporting marine industry in Aransas county • Supporting marine industry in Calhoun County • Boat removal operations with GLO and USCG • NMFS damage assessment work for fisheries • On call for deployment as part of a financial technical assistance team. Direct Contacts by: Office: 3 E-mail/Letters: 580 Site: 325 Newsletters: 1095 Phone: 250 Major events for next month — November 2017 November 2: Carancahua Bay Water Quality Meeting, Lolita November 6-8: Junior Marine Exploration Camp at Lighthouse Beach — Canceled due to storm damage November 10: county holiday —Veterans' Day November 15: Texas Statewide Area Committee Meeting, Houston November 23-24: county holidays — Thanksgiving November 28: Gulf of Mexico Shellfish Initiative Meeting, Texas City November 29: Gulf of Mexico Shellfish Initiative Meeting, Port Lavaca November 30: Gulf of Mexico Shellfish Initiative Meeting, Corpus Christi Rhonda Cummins Name CEA - CMR Title Calhoun County October 2017 Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Sea Grant Metrics • Number of Events: o Number of People at Events: 120 • Number of Presentations: 1 o Number of People at Presentations: 200 • Number of K-12 Educational Activities: 0 o Number of Youth: 0 o Number of Educators: 0 • Number of Certificates Issued: ( • Number of Volunteer Hours: 13 • Number of Volunteers: 7 ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 258 Selected major activities since last report- October 2017 Oct 2: 4-H council members decorated windows of Extension Office for National 4-H week. Oct 3' Attended Rebuild Texas meeting Oct 3: Met with science teachers at HJM elementary to discuss doing programs with 5" grade classes Oct 4: Clipped goat for 4-H family Oct 6: Took Livestock Judging team to Waller County Fair. Oct 10; Assisted Matagorda County agent with major show validations Oct 10: Held Livestock Judging practice. Oct 13: Clipped 3 goats for 4-H families Oct 14: Clipped 2 Iambs for 4-H families Oct 14: helped 4-H family weigh show pigs. Oct 17-21: Geri Kline and Myself had an agricultural educational exhibit at Calhoun County Fair. Exhibit included hatching chicks, butterflies, Texas Forestry Service, Texas Youth Livestock Ambassadors, and information on crops grown in the county. Oct 17-21: 4-H had a food booth at Calhoun County Fair as fundraiser Oct 18: Calhoun County Fair Livestock show. Oct 19-20: Helped with Calhoun County Fair school tours. Oct 19: Livestock Show Auction Oct 20: Held Livestock Judging Contest at Calhoun County Fair. Calhoun 4-H had 5 full teams competing. Oct 20: Held Spectacular show for Special needs youth, and Young exhibitors show for clover kids. Oct 21: Helped with Farm Bureau pig scramble. Oct 22: Fair Clean up Oct 23: Attended Healthy South Texas Program planning meeting in Edna Oct 24: Taught 5" grade science classes at HJM Elementary about water erosion using the "stream Trailer" Oct 25-26: Assisted with Victoria Farm and Ranch show path to plate program. Oct 27: validated major show Iambs and breeding goats. Oct 30:Validated major show pigs and heifers Direct Contacts: Phone:67 E-mail/Letters:412 Office:9 Site:7 Major events for next month — November 2017 Nov: food challenge, livestock judging, and Beef quiz bowl practice Nov 3: gardening at POC Elemei Nov 6: intercostal 4-H meeting Nov 8: Junior livestock meeting Nov 9: Lakeside 4-H meeting Nov 16-18:District 11 crossroads Eric Taylor Name County Extension Agent — 4-H & Youth Development Title Calhoun County July 2017 Date (Month -Year) Texas AgriLife Extension Service • The Texas A&M University System - College Station, Texas I Calhoun County Commissioners' Court—November 9, 2017 22. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 22) To accept donations to Calhoun County NO ACTION Page 20 of 33 I Calhoun County Commissioners' Court — November 9, 2017 23. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 23) On an anonymous donation of K9 unit accessories with a value of $3,632.00. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 21 of 33 CALHOUN COUNTY, 'TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MII{E PFEIFER, COUNTY JUDGE SUBJECT: DONATION DATE: NOVEMBER 9, 2017 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 9, 2017 ® Consider and take necessary action to accept a of a K9 unit accessories donated anonymously. See attached sheet with specific information. Sincerely, Bobbie Vickery Calhoun County Sheriff CAP FLEET U P F I T T E R S CAP Fleet Upfitters, LLC 4715 S General Bruce Drive Temple, TX 76502 Phone: 254-773-1959 Joe Hildebrand joe@capfleetupfitters.com JAMES TOLAR Notes K9 UNIT ACCESORIES, UNKNOWN MNFG OF C.S. K9 UNIT AT THIS TIME Quote Date 10/26/2017 Quote # CAPQ31744 2010 Chevrolet Tahoe HP -5020 1 K9 HOT -N -POP PRO TEMPERATURE ALARM & DOOR $ 1,266.95 $ 1,266.95 OPENING SYSTEM INCLUDES HORN ACTIVATION, SIREN ACTIVATION, LIGHT ACTIVATION, DUAL WINDOW DROP AND ONE DOOR POP REMOTE WITH HOLSTER H-NKLBK-P 1 1 1 NO K9 LEFT BEHIND 1 $ 67.501 $ HAP-ESFS-K I 1 I ENGINE STALL SENSOR 1 $ 76.001 $ 76.001 1 ACE he First SU ERCTCHDOG ( $ 879.001 $ 879.00 NOTES: SUPERCEDES AWD-7010 AceWatchDogTm Server Service is $168.00 Per Year and This quote is good for 30 days from date of quote. Subtotal $ 3,632.00 Tax $ 0.00 Grand $ 3,632.00 I hereby authorize the install work therein set forth to be done by CAP Fleet Upfifters, together with the furnishing by CAP Fleet Upfitters of the necessary parts and other material for such Install and agree that CAP Fleet Upfifters is not responsible for any delays caused by unavailability or delayed availability of parts or material forany reason; that CAP Fleet Upfitters neither assumes or authorizes any other person to assume for CAP Fleet Upfifters any liability in connection with such install; that CAP Fleet Upfifters shall not be responsible for loss or damage to the above vehicle, or articles left therein; in case of fire, theft, any Act of God, or other cause beyond CAP Fleet Upfifters control; that CAP Fleet Upfitters employees may operate the above vehicle on streets, highways, or elsewhere for the purpose of testing and/or inspecting such vehicle. WWW.CAPFLEETUPFITTERS.COM Page 1 Calhoun County Commissioners' Court — November 9, 2017 24. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 24) To accept a donation in the amount of $100 from Valerie McGee and deposit into the Sheriff's Department motivation account. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 22 of 33 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: DONATION DATE: NOVEMBER 9, 2017 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 9, 2017 • Consider and take necessary action to accept a donation in the amount of $100.00 from Valerie McGee and deposit into the motivation account 679. Sincerely, Bobbie Vickery Calhoun County Sheriff CA- Calhoun County Commissioners' Court —November 9, 2017 25. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 25) On the matter of declaring certain items of County property as surplus/salvage. NO ACTION Page 23 of 33 Calhoun County Commissioners' Court —November 9, 2017 26. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 26) On the matter of declaring certain items of County property as surplus/salvage and authorize them to be auctioned. Proceeds to be placed back into the Sheriff's Office account. (See list) (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 24 of 33 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: TRANSFER VEHICLES FROM FLEET TO SURPLUS SALVAGE DATE: NOVEMBER 9, 2017 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 9, 2017 • Consider and take necessary action to put the following vehicles on surplus salvage list: • 2009 Ford Crown Victoria VIN# 2FAHP71V9X113525 2012 Chevrolet Tahoe VIN# 2GNLC2E06CR191827 • 2010 FORD CROWN VICTORIA VIN # 2FABP7BV8AX110129 • 2009 DODGE RAM 1500 VIN #1D3HB18P19S761598 2004 DODGE RAM VIN # 1D7111318N94S726632 These vehicles will be going to auction and sold. Proceeds will go back into the Sheriff's Office account. Sincerely, Bobbie Vickery Calhoun County Sheriff Calhoun County Commissioners' Court—November 9, 2017 27. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 27) To declare 3 office chars in the Sheriff's Office as waste and authorize disposal of same. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 25 of 33 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: E OFFICE CHAIRS DATE: NOVEMBER 9, 2017 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 9, 2017 • Consider and take necessary action to accept 3 office chairs as4urpius Sincerely, Bobbie Vickery Calhoun County Sheriff Calhoun County Commissioners' Court —November 9, 2017 28. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 28) To remove Runway Lighting Inventory #539-0032 from the Airport's fixed asset inventory. It is no longer at the Airport. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 26 of 33 Vern Lyssy Calhoun County Commissioner, Precinct #2 S,��TE OF TF 5812 FM 1090. Port Lavaca, TX 77979 ; OTyK QTY OE CP November 1, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM (361) 552-9656 Fax (361) 553-6664 Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for November 9, 2017 Consider and take necessary to remove Runway Lighting Inv# 539-0032 from the Airport's fixed asset inventory, it is no longer there. Sincerely, Vern Lyssy Commissioner, Pct. 2 VL/lj I Calhoun County Commissioners' Court —November 9, 2017 29. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 29) On matter of transferring certain items of County Property from one County Department to another County Department. (See list) NO ACTION Page 27 of 33 I Calhoun County Commissioners' Court —November 9, 2017 30. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 30) To transfer a 30 Yard HD Roll -Off Box, SN 020321315, Asset #5050033 from the Waste Management Fixed Assets to the Road & Bridge, Precinct #1 Fixed Asset Inventory. (See list) (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet I AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 28 of 33 W CALHOUN COUNTY PRECINCT 1 201 W. Austin, Port Lavaca — Texas 77979 — Office (361) 552.9242 -- Fax (361) 553-8734 David E. Hall, Commissioner, Pd.1— Mobile (361) 220-1751 Email: david.hall@calhouncotx.org October 17, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court Agenda for October 26, 2017. • Consider and take the necessary action to transfer inventory from the Waste Management fixed assets to the Road & Bridge, Precinct 1 fixed asset inventory (See attached list). Sincerely, Cou y C mmissioner David E`. Hall DEH/apt Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: pTQJc 4 �9LlSl"lC/ILIRsx Agl-movayr Serial No. Transfer I Calhoun County Commissioners' Court—November 9, 2017 31. APPROVAL OF PAYROLL (AGENDA ITEM NO. 31) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 29 of 33 CALHOUN COUNTY PAYROLL 2017 MONTH/OCTOBER Payroll through 10-06-2017 $ 267,281.64 Payroll through 10-20-2017 $ 259,508.18 Payroll dated 10-31-2017 5,248.57 APPROVED TOTAL PAYROLL $ 532,038.39 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify ie a e is true and corr to the be¢t of my knowledge November 3, 2017. A UP '.'.,' G ads 14J 0 fIflIVIi SIONE S COUR T CALHOUN COUNTY TREASURER ACCEPTED AND APPROVED THIS THE '�� DAY OF 1\)t� )23�IW , 2017 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. B Calhoun County Commissioners' Court —November 9, 2017 32. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 32) On any necessary budget adjustments. 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APPROVAL OF BILLS (AGENDA ITEM NO. 33) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 31 of 33 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- November 9, 2017 PAYABLES AND PAYROLL 9/5/2017 Payroll 253,962.57 9/5/2017 Payroll by Check 7,316.93 9/7/2017 Payroll by Check 3,767.68 9/5/2017 Weekly Payables 507.32 9/5/2017 Weekly Payables 1,147.50 9/5/2017 Weekly Payables 2,410.00 9/5/2017 Weekly Payables 483.89 9/5/2017 Weekly Payables 342,915.37 9/6/2017 McKesson Drugs 2,142.72 9/6/2017 Med Impact 378.57 9/6/2017 Weekly Payables 23,592.00 9/7/2017 Payroll Liabilities 101,907.22 9/11/2017 McKesson Drugs 6,342.59 9/14/2017 Ashford Garden NH 32,129.81 9/14/2017 Gold Creek Health Care 9,916.20 9/14/2017 Miscellaneous Refunds 10,636.16 9/14/2017 Patient Refunds 7,689.25 9/14/2017 Solera West NH 3,021.15 9/14/2017 The Broadmoor NH 8,954.08 9/14/2017 Weekly Payables 831,609.05 9/15/2017 TDCRS 113,755.62 9/19/2017 McKesson Drugs 2,308.03 9/19/2017 Payroll 238,247.52 9/19/2017 Payroll by Check 3,508.75 9/20/2017 Patient Refunds 883.92 9/20/2017 Payroll by Check 70.19 9/21/2017 Credit Card Invoice 1,037.89 9/21/2017 Payroll by Check 5,341.06 9/21/2017 Payroll Liabilities 86,710.55 9/21/2017 Payroll Liabilities 2,207.69 9/22/2017 Med Impact 532.09 9/25/2017 McKesson Drugs 4,471.36 9/27/2017 Weekly Payables 496,321.92 9/29/2017 Med Impact 449.68 9/30/2017 Monthly Electronic Transfers for Payroll Expenses(not incl above) 641.43 9/30/2017 Monthly Electronic Transfers for Operating Expenses 6,570.88 Total Payables and Payroll $ 2,613,888.641 INTER -GOVERNMENT TRANSFERS Inter -Government Transfers for September 2017 - 2017 Final Pn 662,212.85 IGT DSRIP Audit Cost Total Inter -Government Transfers $ 662,212.85 INTRA -ACCOUNT TRANSFERS Total Intra -Account Transfers $ SUBTOTAL MEMORIAL MEDICAL CENTER DISBURSEMENTS $ 3;276,101.49 INDIGENT HEALTHCARE FUND EXPENSES $ 31,731.82;` NURSING HOME UPL EXPENSES FOR September 2017: $ 4,705,224.22, IGT September 2017 MPAP;NH Program $ MMC Construction $ From IBC Bank to Prosperity Bank Date Check# Name Amount 9/14/2017 172376 MMC Operating Account 2,388,274.39 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- November 9 2017 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES 34,042.08 SUBTOTAL 4,166.67 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Subtotal 38,208.75 Co -pays adjustments for September 2017 (740.00) 15.736.931 445.77 Adu Sports Medicine Clinic 215.80 Richard Arroyo -Diaz 804.78 William J. Crowley D.O. HEB Pharmacy (Medimpact) Pharmacy Reimbursement 281.67 28,286.50 MMCenter (In-patient $4,500.001 Out-patient $18,491.58 f ER $5,294.92) 2,166.43 Memorial Medical Clinic 599.45 Port Lavaca Clinic 485.37 Regional Employee Assistance 392.69 Singleton Associates, PA 157.65 Victoria Anesthesiology Assoc 151.56 Victoria Eye Center 54.41 Victoria Heart & Vascular Center 34,042.08 SUBTOTAL 4,166.67 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Subtotal 38,208.75 Co -pays adjustments for September 2017 (740.00) 15.736.931 November 9, 2017 2017 APPROVAL IAT- 2017 BUDGET 27 COMMISSIONERS COURT MEETING OE 11/09/17 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 26 $218,338.83 FICA P/R $ 45,229.50 MEDICARE P/R $ 10,762.86 FWH P/R $ 37,991.92 AFLAC P/R $ 3,793.89 COMBINED INSURANCE C/O PEOPLES UNITED BANK P/R $ 2,024.84 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,940.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,354.40 PRINCIPAL FINANCIAL GROUP P/R $ 2,021.83 RELIANCE STANDARD LIFE P/R $ 4,285.10 TRUSTMARK P/R $ 2,974.28 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 332.62 AT&T MOBILITY A/P $ 3,107.45 CABLE ONE A/P $ 112.70 CAHOUN COUNTY GENERAL FUND A/P $ 5,071.65 CENTERPOINT ENERGY A/P $ 84.80 CITY OF POINT COMFORT A/P $ 118.21 CITY OF PORT LAVACA A/P $ 409.84 CITY OF SEADRIFT A/P $ 187.59 FRONTIER COMMUNICATIONS AT $ 1,347.17 GBRA A/P $ 228.25 JACKSON ELECTRIC COOP, INC. AT $ 459.08 PORT O'CONNER IMPROVEMENT A/P $ 389.30 REPUBLIC SERVICES #847 A/P $ 1,418.58 SPRINT A/P $ 36.19 STATE COMPTROLLER A/P $ 46,574.38 TEXAS WAVENET WIRELESS AT $ 244.97 VICTORIA ELECTRIC CO-OP A/P $ 2,778.50 VULCAN CONST. MATERIALS AT $ 40,021.47 WASTE MANAGEMENT A/P $ 699.32 WEX BANK A/P $ 117.49 TOTAL VENDOR DISBURSEMENTS: $ 435,457.99 COUNTYCALHOUN /'. TOTAL TRANSFERS BETWEEN. FUNDS: $ 31,722.01 TOTAL AMOUNT FOR APPROVAL: $ 467,180.00 Calhoun County Commissioners' Court — November 9, 2017 34. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 34) On single source, emergency and public welfare purchases and bills. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 32 of 33 N I o m o N WO � N a W V O M r M N N q v3 N Fa Hu a Fw Eo Ow F ou u o 0 ¢z a �� �� oa �a �� o� v o v o 0 u� o� ¢�U ¢ ¢ ¢ w w oO o0 O10.i oO o0 00 00 A o� rN j. rj, rNad O� whz ww„ y y H FQUO a xoo (+ W o _ N T Q z o w O N i r 0 0 0 0 o x a a 0 0 ¢ a 0 0 0 o H W c °4 Q a aW�w�W�w� °� a a a a >U >, wa uu& m w 0 0 0 U1 0 a a 5 w W a w 0 o N o 0 o a OEOO w OW w m W 0.B� o U � W V V W W W q w W w a a a a a a a a a a a a a 00 00 U 0o rn m rn o P Q F N w V U ¢ Q Q N Q y v w [- Qtl F F� N F p Vl �� iry>� Hw � UN ✓O �� � �CJ �� [j`�I�]!U � �`(���JyJ+ d U �� �O] C U� ✓��7 d� O W O w F Wm W co W Uva P7o�n arnFUUrii W N OdU Ud o ti v o o m q z m rn a U w N N N y p W a H a¢ !Wy o 0 0 o cul ¢ H o � x w °� d o F 0 H P o Wz a a a u o x o z o 0 U x ¢ ¢ o o o wo o 8 m b a O O O O O O ti O N O O r h h M h h h V I w o � 0 o N O W W zW W W W d v� 6 W6W 6 6 4qp�00 00 O O O O O d Q C N Q ro H N Y Az J I O h U U U3 c7 Q W U V o N N O N �O O 0 IWC o ti �i) D W U Q c7 fmp Nr a cW7N w �N WWWa �"" �O 0 No U z a O U O o W vi V xis Uo o U � O O 0a U U O M Q• � M b v W w 3 CW7 0 N 0 N q� F� d N o H oro 3° Ow 0 0 � 0 0 h 0 0 r � w O WU. 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PUBLIC DISCUSSION OF COUNTY MATTERS COURT ADJOURNED: 10:47 AM Page 33 of 33