Loading...
2018-03-21 CC MINUTESCalhoun County Commissioners' Court— March 21, 2014 CAL H[OUN COUNTY CO MISSION ERS' C®URT REGULAR 2018 TERM 0 MARCH 21, 2018 BE IT REMEMBERED THAT ON MARCH 21, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Clyde Syma Commissioner, Precinct #3 Kenneth Finster Commissioner, Precinct #4 - ABSENT Anna Goodman County Clerk Catherine Sullivan Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Clyde Syma\Vern Lyssy Page 1 of 18 Calhoun County Commissioners' Court- March 21, 2018 4. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 4) To approve specifications and authorize the County Auditor and Freese and Nichols to advertise for the Port Alto North Beach Shoreline Restoration, Texas General Land Office Cycle 9, CEPRA Project No. 1624. A mandatory pre-bid conference will be held on Tuesday, April 10, 2018 at 10:00 A.M. Meeting will be at Calhoun County Precinct #3, 24627 State Highway 172, Olivia, Texas. Bids will be due by 2:00 P.M. Thursday. Bids will be due by 2:00 P.M. Thursday, April 26, 2018 and considered for award on Wednesday, May 9, 2018. (MP) A representative with Freese and Nichols spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 2 of 18 Agenda Item for Commissioners' Court — Wednesday, March 21, 2018 Consider and take necessary action to approve specifications and authorize the County Auditor and Freese and Nichols to advertise for the Port Alto North Beach Shoreline Restoration, Texas General Land Office Cycle 9, CEPRA Project No. 1624. A mandatory pre-bid conference will be held on Tuesday, April 10, 2018 at 10:00 AM. Meeting will begin at Calhoun County Precinct 3, 24627 State Highway 172, Olivia, Texas. Bids will be due by 2:00 PM, Thursday, April 26, 2018 and considered for award on Wednesday, May 9, 2018. C a N A m C O N G) Gi CL m r 0 o m M s O) Z x a F f'1 (D + 0 A O ON 3 (D '+ N rt rt s ,. N y. n 0 s '"' s rt ora '..m °' m Z o m '6 o O N F7 (D (D X n 00 O rt :rt N 00 n NO v V < m UI W W p N V 00 A V 0' G7 o Ln c p O Z 3 Z t0 VN (n 000 O N V V L: O in N O O O O O O O O O O cc O) Z x F (D T A ° o (D m ,. y. 0 0 s '"' s ora '..m °' m o m '6 o Ln F7 (D (D X n O rt :rt N •C n NO v N v < m UI O 0' G7 Z 3 Z * :.: e3T L: N Z N W (D :3 N 0 ti 00 V N V W O n O In V O `tn O O O In W W O 0 0 3 0 0 O 00 a 0 0 0 0 0 0 0 0 0 0 iA v 3 O O = 3 O O C Q O O O O 3 00 K to to F n V (eft N O A W V a O O (D 00n 0 0 �+ a n W s A N 00 H S in 00 O C to Qs A -+ m N -j 3 o u 3 N 'o 0 00t `a 000110 TABLE OF CONTENTS 'Division / Section Title Division 00 Procurement and Contracting Requirements 00 01 10 Table of Contents 00 01 15 List of Drawing Sheets 001116 Invitation to Bid 00 21 13 Instructions to Bidders 00 52 23 Agreement .00 61 13.13 Performance Bond Form 00 61 13.16 Payment Bond Form 00 72 00 Calhoun County, Texas— General Conditions 00 91 13 Addenda Division 01 General Requirements 010000 Special Conditions 013100 Project Schedule 013300 Submittals 014000 Quality Control 014216 Definitions and Standards 014219 Codes, Standards and Specifications 017111 Grades, Lines and Levels 017113 Mobilization and Demobilization 017419 Construction Waste Management Division 31 Earthwork 311100 Clearing and Grubbing 312300 Excavation and Fill Division 33 Utilities 334000 Storm Drainage(SWPPP) Division 35 Waterway and Marine Construction 35 20 23Dredging END SECTION Table of Contents 00 0110 -1 TGLO Cycle 9 CEPRA Project No. 1624—Port Alto North Beach Shoreline Restoration CMV -03/31/17 3/1/2018 00 01 15 LIST OF DRAWING SHEETS Sheet No. Title G-1 GENERAL NOTES G-2 PROJECT LOCATION G-3 SITE LAYOUT G-4 CONTOUR MAP C-1 SITE PLAN C-2 CROSS SECTIONS --- END OF SHEETS END OF SECTION List of Drawing Sheets 00 0115 -1 TGLO Cvcle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV —10/01/12 3/1/2018 001116 INVITATION TO BID Calhoun County is soliciting Bids for the construction of the following Project: Port Alto North Beach Shoreline Restoration Texas General Land Office Cycle 9, CEPRA No. 1624 Sealed Lump Sum bids addressed to Calhoun County will be received until 2:00 PM on Thursday, April 26, 2018, for furnishing necessary materials, equipment, superintendence and labor for TGLO Cycle 9, CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration, Owner, Calhoun County, Texas. Bids will be received at the Calhoun County Judge's office: 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, Texas, or may be mailed to: Michael Pfeifer Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The bids will be publicly opened and read at said office at the time set forth. The right is reserved by the County, as its interest may require, to accept or to reject any or all bids, and to waive any informality in the bids received. The Contract Documents, including the Plans and Specifications, are on file and may be examined at the Auditor's office in Calhoun County or via email to cris.weber@freese.com. Electronic copies will be provided and a $75 fee will be required for printed copies. Documents may be received by request to: Proiect Manager: Cris Weber, P.E. 10431 Morado Cir., Suite 300 Austin, TX 78759 There will be a MANDATORY PRE-BID CONFERENCE held on Tuesday, April 10, 2018, at 10:00 AM at Calhoun County Precinct No. 3, 24627 State Highway 172, Olivia, TX 77979. The meeting will begin with a project discussion, then proceed to visit the job site. Attendance at the pre-bid meeting bV all prospective bidders is required and is a prerequisite to providing a bonafide bid Final questions regarding this protect are due by 2.00 PM Wednesday April 11 2018 to the Project Manager. Answers to final questions, if any, will be answered in the form of an addenda which will be approved by Commissioners' Court on Wednesday, April 18, 2018 and sent to those attending the mandatory pre-bid conference. No other questions can be answered after the approval of the addenda. Bidders must submit a cashier's check, certified check, or acceptable bidder's bond with their Bid as a guarantee that the Bidder will enter into a contract for the Project with the Owner within 15 days of Notice of Award of the Contract. The security must be payable to Owner in the amount of 5 percent of the Bid submitted. Contractor must execute the Contract, bonds and certificates of insurance on the forms provided in the Contract Documents and must accompany each bid at the time it is submitted. Performance and Payment Bonds are required. Contractors for this Project must pay no less than the prevailing wage rates for the area established by the Owner and included in the Contract Documents. The Owner reserves the right to adopt the most advantageous interpretation of the Bids submitted in the case of ambiguity or lack of clearness in stating bid prices, to reject any or all Bids, and/or waive formalities. Bids may not be withdrawn within 90 days from date on which bids are opened. END OF SECTION INVITATION TO BID 00,1116-1 TGLO Cycle 9 CEPRA Proiect No. 1624 — Port Alto North Beach Shoreline Restoration CMV —10/01/12 311/2018 00 21 13 INSTRUCTIONS TO BIDDERS 1.00 GENERAL 1.01 DEFINEDTERMS A. Terms used in these Instructions to Bidders have the meanings assigned to them in the General Conditions. 1.02 QUALIFICATIONS OF BIDDERS A. Owner may conduct investigations as considered necessary to establish the responsibility, qualifications and financial ability of the bidders, proposed subcontractors and other persons and organizations to do the Work in accordance with the Contract Documents, to Owner's satisfaction, and within the prescribed time. Owner may reject the Bid of any Bidder who does not meet any such evaluation to Owner's satisfaction. 1.03 EXAMINATION OF CONTRACT DOCUMENTS AND SITE A. Examine Contract Documents, make observations and investigations, correlate knowledge and observations with the requirements of the Contract Documents and considerthese in preparation of a Bid for the Project. 1. Read the Contract Documents and related technical data and reports thoroughly. Use a complete set of Contract Documents in preparing Bids. Assume responsibility for errors or misinterpretations resulting from the use of partial or incomplete Contract Documents. 2. Visit the Site to become familiar with general, local and site conditions that may affect cost, progress or performance of the Work in any manner. 3. Become familiar with federal, state and local laws, ordinances, rules and regulations affecting cost, progress or performance of the Work. B. Surveys and investigation reports of subsurface or latent physical conditions at the Site, or conditions or situations affecting the design of the Project used by the Engineer in preparing the Contract Documents are referenced in the Supplementary Conditions. . 1. These reports are available for information only and neither the Owner nor Engineer guarantees their accuracy or that any opinions expressed in the report are correct. 2. Make additional surveys and investigations as necessary to determine the bid price for performance of the Work in compliance with the terms of the Contract Documents before submitting a Bid. 3. Cost for these investigations is to be paid by the Bidders. C. Acknowledge sole responsibility for Site safety, including trench excavation and confined space entry safety, by the submission of a Bid for this Project. D. Attend the pre-bid conference. Bids will not be accepted from Bidders who do not attend the conference. E. The submission of a Bid is incontrovertible representation by the Bidder that he has complied with every requirement of this Section. Instructions to Bidders 00 2113 -1 TGLO Cycle 9 LEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 STOZ T £ 9T/LO/TO—AM uolleiolsag aullaio4S g3ea9 q;ioN o;lV vod—bZ9T'ON Pa old VHd37 6 DIDA3 0191 Z - £T TZ 00 siappla o; suoilinilsul iagwnu epuappV agl aplsaq Oulu8ls Aq wiol plq agl uo epuappV Ile to ldlaoai o2palmogoV •3 ainjeuBis aql molaq UMOW digsiaulied agllo ssaippe IMIDO agl mops pue iaulied aql to ally agl alliM •ainleuOis aql molaq aweu aql lulid •iaulied a Aq pau2is aq of an swioj •aweu dlgsiaulied aq; w sdlgsiaulied Aq splg alnoax3 a ainleuBls aql molaq umogs aq pegs uoileiodiooul to alels pue ssaippe aleaodaoo N.J. 'Ols of Allaoglne to a3uapina Aq pawodw000e iaolllo aleaodioo iaglo ao luaplsaad-oolA a io luapisaid agl Aq aweu aleaodaoo aql ul suolleiodioo Aq splg alnoax3 •D •wano.9 pegs Allluenb palels aql Aq paildlllnw pale3lpul aolid pun ogl'umogs lunowe popualxa aql pue paleolpul aoud llun aql uaamlaq lollluoo e to aseo aql ul •lollluoo a to aseo w aouapaoaad aslel spioM sleiawnu io/pue spiom ul palels aq isnw wiol aql uo wall goea to aolid plq aql jui ul palaldwoo aq isnw swiol plg •g 'p!a gllm adolanua paleas awes agl ul pagsluanl aq of elep leluawalddns apnjoul •plg loeiluoo goea iol sluawn3oa loeiluoD aql gllnn papinad swiol piq aql uo splq;!wgnS 'V waoj ala so'i •luawa@JgV agl ul glaol las aae saSewep palepinbil iol suoisinoad 'V S3EJVWVa a3lValnoll LO'T •luawaai2V aql ui glaol las ale sawn loealuo0 iol suoislnoid 'V S31AII11WHINOJ 901 •paloafai We splg ao apew sl pieme loeiluOO aql Uagm pion awo3aq lllm sagpmas pig •luawliedaa Ainseail •S•n 'sluno33V to neoing llelS lipnV aglAq aalsl;laa leiapaj agl ul pagsllgnd se „spuog leiapaj uo algeldao3V saluedwo3' Alai ns,, to lsll luaain3 aql ui paweu Alains e Aq uallumaapun puog s,iapplg panoidde uV 'Z iaumO aql of algeAed apew M3ag3 s,ialgseo io palllliaD 'T :aae sallpnoas plq olgeldaoaV •g •l3eiluo� agl papieme lI sluawn3oo l3eiluoD agl ul papnpul swiol aql uo spuog luawAed pue aouewaoliad a alnoaxe pue loeiluoD a olid ialua Aµdwoid pim iapplq aql legl aalueaeng e se plq lelol wnwixew aql to lunowe agl to luaoiad S to lunowe aql ul Allinoas plq e llwgnS 'V AlmnDiS ala SO'T •epuappe agllo Jenoidde aglialle paiamsue aq ue3 suollsanb aaglo oN •aouaaaluo3 plq-aid Aiolepuew aql Oulpualle asogl of luas pue sloZ'ST I!idV - 'AepsaupaM uo linos ,siauojssjwwoD Aq panoidde aq Illm golgm epuappe ue to wiol aql ul paaamsue aq Illm'Aue ll 'suollsanb leull of siamsuV •ia eueW 13a of aq; o; 8TOZ TT Ili V epsaupaM Wd OO:Z Aq anp ale lie of slgl Nulpm2loi suopsanD leulj Tuillim ul aaaul8u3 aql of sluawnooa loeiluoD aql to lualui io Numeaw aql lnoge suollsanb pe llwgnS 'V SNOI1V13'ddN31Nl b0'1 1.09 SUBMISSION OF BIDS A. Submit Bids at the time and place indicated in the Invitation for Bids. Submit Bids in a sealed envelope, marked with the Project title and name and address of the Bidder. Include the bid security and other required documents in the envelope. 1.10 MODIFICATION AND WITHDRAWAL OF BIDS A. Modify or withdraw Bids by submitting an appropriate document executed in the manner that a Bid must be executed. Deliver the modification or withdrawal to the place where Bids are to be submitted at anytime prior to the opening of Bids. 1.11 OPENING OF BIDS A. Bids will be opened as indicated in the Invitation for Bids. B. All Bids shall remain open for the period of time set forth in the Invitation for Bids, but Owner may, in his sole discretion, release any Bid and return the bid security prior to that date. 1.12 AWARD OF CONTRACT A. Owner may reject Bids, waive formalities, or disregard nonconforming, conditional Bids or counter proposals. B. Owner may consider the following in evaluating the Bids and awarding the Contract: 1. Contractor's qualifications and ability to demonstrate current capability to complete the Project in conformance with the requirements of the Contract Documents. 2. Compliance of the Bids with requirements of the Contract Documents. 3. Alternates and unit prices if requested in the bid forms. 4. The amount bid. S. Proposed date of completion and the ability to meet intermediate Milestones that may have been established for the Project. C. It is the Owner's intent to award the contract for the base bid and the alternate bids provided the total amount bid for the base and alternates are within the Owner's budget and award of the alternate bid appears to provide the best value to the Owner. The Owner at their discretion may choose to award the contract only for the base bid amount. The Contract will be awarded to the Bidder whose evaluation by Owner indicates that the award will provide best value to the Owner if a contract is to be awarded. D. Each Bidder agrees to waive any claim it has or may have against the Owner, the Engineer, and their respective employees, arising out of or in connection with the administration, evaluation, or recommendation of any Bid. 1.13 EXECUTION OF CONTRACT A. The Successful Bidder must execute the formal Contract Agreement and required bonds on the forms prepared and submitted by the Owner within 15 days after the Notice of Award. Instructions to Bidders00 2113 - 3 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 B. The Successful Bidder must also complete and submit a Certificate of Interested Parties (Form 1295) to the Owner as required by Texas Government Code Chapter 2252 with the formal Contract Agreement. C. A Notice to Proceed authorizing the Contractor to commence work will be issued after the Contract Documents have been executed. 1.14 WAGE RATES A. Contractor must pay no less than the general prevailing rates for the Project location as determined in accordance with statutory requirements. The minimum rates for various labor classifications as established by the Owner are included in the Contract Documents. 1.15 BONDS A. Performance and Payment bonds are required for this Project and shall be provided in accordance with the General Conditions. 1.16 SALES TAXES A. The Owner qualifies as an exempt agency as defined by the statutes of the State of Texas. Owner's purchasing department will issue exemption certificates. Comply with all statutes and rulings of the State Comptroller. 1.17 BID PROPOSAL A. Bids are to be submitted for the following Items: 1.18 ALTERNATE BID ITEMS A. The following are alternate bid items and may be added to or deleted from the Contract by the Owner. The Work includes furnishing all materials, tools, equipment, transportation, services and all labor and superintendence for the construction as indicated in the Contract Documents. Additive Alternate 1 Instructions to Bidders 002113-4 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 Estimated Extended Item No. Description Unit Quantity Unit Price Amount 013540-1 Install Silt Fence LF 1,250 $ $ 013540-2 Remove Silt Fence LF 1,250 $ $ Removal and Cy 5,000 $ $ 312300-1 Placement Base Bid Subtotal $ Mob/Demob (10% LS 1 $ $ 017013-1 max) Base Bid Grand Total $ 1.18 ALTERNATE BID ITEMS A. The following are alternate bid items and may be added to or deleted from the Contract by the Owner. The Work includes furnishing all materials, tools, equipment, transportation, services and all labor and superintendence for the construction as indicated in the Contract Documents. Additive Alternate 1 Instructions to Bidders 002113-4 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 Item No. Description Unit Estimated Quantity Unit Price IExtended Amount 312300-1A Flow Exchange Pipeline CY 500 $ $ 312300-2A 40' Corrugated Pipe EA 2 $ $ Add Alt I Subtotal $ 017013-1A I Mob/Demob(10%max) LS 1 $ $ Add Alt 1 Grand Total $ END OF SECTION Instructions to Bidders 002113-5 TGLO Cycle 9 CEPRA Project No. 1624— Port Alta North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 00 52 23 AGREEMENT This Agreement is between Calhoun County ("Owner") and ("Contractor"). Owner and Contractor, in consideration of the mutual covenants set forth herein, agree as follows: ARTICLE 1: WORK 1.01 Contractor shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: A. Emergency shoreline beach nourishment project for excavation/dredging and placement of sediment on the north face of Port Alto. ARTICLE 2: THE PROJECT 2.01 The Project for which the Work under the Contract Documents may be the whole or only a part is generally described as follows: Calhoun County Port Alto North Beach Shoreline Restoration Texas General Land Office Cycle 9, LEPRA No. 1624 ARTICLE 3: ENGINEER 3.01 The Project has been designed by: Freese and Nichols, Inc. 10431 Morado Circle, Suite 300 Austin, Texas 78759 ARTICLE4: CONTRACTTIMES 4.01 Time of the Essence: All time limits for Milestones, if any, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract. 4.02 Dates for Substantial Completion and Final Payment: A. The Work is required to be substantially completed within 90 calendar days after the date of the Notice of Award. 4.03 Liquidated Damages: Contractor and Owner recognize that time is of the essence and that Owner will suffer financial loss if the Work is not completed within the times specified in Paragraph 4.02. The parties also recognize the delays, expense, and difficulties involved in proving in a legal or arbitration preceding the actual loss suffered by Owner if the Work is not completed on time. After Substantial Completion, if Contractor shall neglect, refuse, or fail to Fomplete the remaining Work within the Contract Time or any proper extension thereof granted by Owner, Contractor shall pay Owner $500.00 for each day that expires after the time specified Agreement 00 52 23 -1 TGLO Cycle 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CMV -07/09/14 3/1/2018 in Paragraph 4.02 for completion and readiness for final payment until the Work is completed and ready for final payment. The Owner will be the sole judge as to whether the Work has been completed within the allotted time. Assessment of liquidated damages by the Owner shall not constitute a waiver of the Owner's right to sue and collect additional damages which Owner may sustain by the failure of the Contractor to perform in accordance with the terms of its Contract. ARTICLE 5: CONTRACT PRICE 5.01 Owner shall pay Contractor for completion of the Work in accordance with the Contract Documents for the unit prices shown below. All work shall be installed unit prices and include all work effort and appurtenances for project completion. Base Bid Additive Alternate 1 Item No. Description Unit Estimated ^Unit Price Extended i Item No. Description Unit Quantity Unit Price Amount 013540-1 Install Silt Fence LF 1,250 $ $ 013540-2 Remove Silt Fence LF 1,250 $ $ Is I Removal and Cy 5,000 $ $ 312300-1 1 placement Base Bid Subtotal $ Mob/Demob (10% LS 1 $ $ 017013-1 max) Base Bid Grand Total $ Additive Alternate 1 Item No. Description Unit Estimated:''- QuantityAmount ^Unit Price " Extended 312300-1A Flow Exchange Pipeline Cy 500 $ $ 312300-2A 40' Corrugated Pipe EA 2 $ $ Add Alt 1 Subtotal $ 017013-1A , I Mob/Demob (10% max) LS 1 Is I $ Add Alt 1 Grand Total I $ ARTICLE 6: PAYMENT PROCEDURES 6.01 Submittal and Processing of Payments: Contractor shall submit Applications for Payment in accordance with General Conditions. Applications for Payment will be processed by Engineer and recommendation for payment will be provided to the Owner. 6.02 Progress Payments; Retainage: Agreement 005223-2 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CMV — 07/09/14 3/1/2018 A. Owner shall make progress payments on the basis of Contractor's Applications for Payment on or about the first day of each month during performance of the Work. All such payments will be measured by the number of units of Work completed at the Unit Price. B. Progress payments will be made in an amount equal to 90 percent of the total earned value to date for completed Work and properly stored materials. The remaining 10 percent of the total earned value to date will be held as retainage. C. Payment will be less the aggregate of payments previously made and less such amounts as Engineer may determine or Owner may withhold, including but not limited to liquidate damages. In addition to the amount retained above, the Owner may retain additional amounts as set forth elsewhere in the Contract Documents. 6.03 Final Payment: Upon final completion and acceptance of the Work, Owner shall pay the remainder of the Contract Price as recommended by Engineer. ARTICLE 7: INTEREST 7.01 No interest payments will be paid to the Contractor on amounts withheld as retainage. ARTICLE 8: CONTRACTOR'S REPRESENTATIONS 8.01 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 and the other related data identified in the Bid Documents. B. Contractor has visited the Site and become familiar with and is satisfied as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. Contractor is familiar with and is satisfied as to all federal, state, and local Laws and Regulations that may affect cost, progress, and performance of the Work. D. Contractor has obtained and carefully studied all additional or supplementary examinations, investigations, explorations, tests, studies, and data concerning conditions including surface, subsurface, and Underground Facilities at or contiguous to the Site which may affect cost, progress, or performance of the Work or which relate to any aspect of the means, methods, techniques, sequences, and procedures of construction to be employed by Contractor, including any specific means, methods, techniques, sequences, and procedures of construction expressly required by the Bid Documents, and safety precautions and programs incident thereto or assumes responsibility for doing so. E. Contractor does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the performance of the Work at the Contract Price, within the Contract Times, and in accordance with the other terms and conditions of the Contract Documents. F. Contractor is aware of the general nature of Work to be performed by Owner and others at the Site that relates to the Work as indicated in the Contract Documents. Agreement 005223-3 TGLO Cycle 9 CEPRA Proiect No 1624— Port Alto North Beach Shoreline Restoration CMV -07/09/14 3/1/2018 G. 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. H. 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. I. The Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performance and furnishing of the Work. ARTICLE 9: CONTRACT DOCUMENTS 9.01 Contents A. The Contract Documents consist of the following: 1. Specifications, forms and documents listed in Section 00 0110 "Table of Contents" except as specifically excluded in Paragraph C. 2. Drawings as listed in the Section 00 0115 "List of Drawings" and / or on the List of Drawings in the Drawings themselves. 3. All Addenda. 4. Exhibits to this Agreement (enumerated as follows): a. Contractor's Bid. b. Documentation submitted by Contractor, including Request For Information responses by Engineer B. The following are also Contract Documents which may be delivered or issued on or after the Effective Date of the Agreement and are not attached hereto: 1. Notice to Proceed. 2. Written Amendment(s). 3. Change Order(s). 4. Field Order(s). 5. Work Change Directive(s). 6. Engineers Written Interpretation (s). ARTICLE 10: MISCELLANEOUS 10.01 Terms: Terms used in this Agreement will have the meanings stated in the General Conditions. 10.02 Assignment of Contract: No assignment by a party hereto of any rights under or interests in the Contract 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 Agreement _ 00 52 23 - 4 TGLO Cvcle 9. CEPRA Project No. 1624—PortAito North Beach Shoreline Restoration CMV -07/09/14 3/1/2018 any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 10.03 Successors and Assigns: 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. 10.04 Severability: 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. 10.05 Contractor's Certifications: Contractor certifies that it has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for or in executing the Contract. For the purposes of this Paragraph 10.05: A. "Corrupt practice" means the offering, giving, receiving, or soliciting of anything of value likely to influence the action of a public official in the bidding process or in the Contract execution. B. "Fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process or the execution of the Contract to the detriment of Owner, (b) to establish Bid or Contract prices at artificial non-competitive levels, or (c) to deprive Owner of the benefits of free and open competition. C. "Collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, a purpose of which is to establish bid prices at artificial, non-competitive levels. D. "Coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. 10.06 Venue: Venue shall lie exclusively in Calhoun County, Texas for any legal action. Agreement 005223-5 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV— 07/09/14 3/1/201 00 61 13.13 PERFORMANCE BOND FORM Contractor as Principal Surety Name: Name: Mailing address (principal place of business): Mailing address (principal place of business): Physical address(principal place of business): Owner Name: Mailing address (principal place of business): Surety is a corporation organized and existing under the laws of the state of: By submitting this bond, Surety affirms their authority to do business in the State of Texas and their license to execute bonds in the State of Texas. Contract Project name and location: Telephone (main number): Telephone (for notice of claim): Effective Date of the Agreement: Local Agent for Surety Contract Price: Name: Address: Telephone: Bond The address of the surety company to which any notice Date of Bond (Date of Bond cannot be earlier than Effective Date of claim should be sent may be obtained from the of Agreement) Texas Department of Insurance by calling the Bond Amount: following toll-free telephone number: 1-800-252-3439 Surety and Contractor, intending to be legally bound and obligated to Owner do each cause this Performance Bond to be duly executed on its behalf by its authorized officer, agent or representative. The Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns, jointly and severally to this bond. The condition of this obligation is such that if the Contractor as Principal faithfully performs the Work required by the Contract then this obligation shall be null and void; otherwise the obligation is to remain in full force and effect. Provisions of the bond shall be pursuant to the terms and provisions of Chapter 2253 of the Texas Government Code as amended and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at length herein. Venue shall lie exclusively in County, Texas for any legal action. Contractor as Principal Surety Signature: Signature: Name and Name and Title: Title: (Attach Power of Attorney) END OF SECTION Performance Bond Form 00 6113.13 -1 TGLO Cucle 9 CEPRA Project No 1624 - Port Alto North Beach Shoreline Restoration CMV -10/01/12 3/1/2018 00 6113.16 PAYMENT BOND FORM Contractor as Principal Surety Name: Name: Mailing address (principal place of business): Mailing address (principal place of business): Physical address(principal place of business): Owner Name: Mailing address (principal place of business): Surety is a corporation organized and existing under the laws of the state of: By submitting this bond, Surety affirms their authority to do business in the State of Texas and their license to execute bonds in the State of Texas. Contract Project name and location: Telephone (main number): Telephone (for notice of claim): Effective Date of the Agreement: Local Agent for Surety Contract Price: Name: Address: Telephone: Bond The address of the surety company to which any notice Date of Bond (Date of Bond cannot be earlier than Effective Date. of claim should be sent may be obtained from the of Agreement) Texas Department of Insurance by calling the Bond Amount: following toll-free telephone number., 1-800-252-3439 Surety and Contractor, intending to be legally bound and obligated to Owner do each cause this Payment Bond to be duly executed on Its behalf by its authorized officer, agent or representative. The Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns, jointly and severally to this bond. The condition of this obligation is such that if the Contractor as Principal pays all claimants providing labor or materials to him or to a subcontractor in the prosecution of the Work required by the Contract then this obligation shall be null and void; otherwise the obligation is to remain in full force and effect. Provisions of the bond shall be pursuant to the terms and provisions of Chapter 2253 of the Texas Government Code as amended and all liabilities on this bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at length herein. Venue shall lie exclusively in County. Texas for any legal action. Contractor as Principal Surety Signature: Signature: Name and Name and Title: Title: (Attach Power of Attorney) END OF SECTION Payment Bond Form 00 6113.16 -1 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CMV -10/01/12 3/1/2018 00 72 00 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., 31d Floor, Suite 301, Port Lavaca, Texas. 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 Page 1 of 9 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, Suite 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 were opened are 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 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 Page 2 of 9 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 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. Page 3 of 9 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 are 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. 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 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 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. Page 4 of 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. Senate Bill 255 adopted by the 85th Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf_info_forml295.htm. 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. 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. An authorized agent of the business entity must sign the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. 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 Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. 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 Page 5 of 9 of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. 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 by the deadline time and date set forth by the Treasurer's office. 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. 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 Page 7 of 9 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. If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Page 8 of 9 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 AUDITOR Cindy Mueller, Calhoun County Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B, Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.ors Page 9 of 9 The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other proposer or bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. Furthermore, this company, corporation, firm, partnership, or individual affirms that they have read the entire bid package and fully understands and has followed and will follow all specifications and general conditions. SUBMITTED this day of 12018 Authorized Signature: Name: Title: Business Name: Address: Phone Number: Fax Number: E -Mail Address: NOTE: Form 1295 must be included with your bid. Failure to submit Form 1295 with your bid will result in your bid being disqualified for not meeting specifications. (See page 5 of the General Conditions) REPLYTO ATTENRON OR Evaluation Branch DEPARTMENT OF THE ARMY GALVESTON DISTRICT, CORPS OF ENGINEERS P. O. BOX 1229 GALVESTON, TEXAS 77553-1229 DATE SUBJECT: Permit No. SWG-2012-00493; Amendment and Extension Commissioner Clyde Syma 24627 State Highway 172 Port Lavaca, Texas 77979 Dear Commissioner Clyde Syma This is in reference to your 20 October 2017 request, submitted on your behalf by Thomas Dixon of Freese and Nichols, Inc., to amend Department of the Army (DA) Permit SWG-2012-00493. The amendment will consist of a) the dredging of approximately 5,000 cubic yards of sediment from two adjacent boat channels, b) the placement of 5,000 cubic yards of maintenance materials on the eastern side of the adjacent 0.24 acres of the McGee Beach marsh complex, and c) the repetition of the two previous activities at a rate of approximately 2,500 cubic yards as needed in order to prevent and address issues like shoreline erosion. The project site is located in Carancahua Bay, at County Road 307, in Port Alto, Calhoun County, Texas. The project can be located on the U.S.G.S. quadrangle map titled: Olivia, Texas. DA Permit SWG-2012-00493 was issued on 05 March 2013 and authorized the placement of 46,384 cubic yards of fill material below the high tide line (HTL), into approximately 2.18 acres of Carancahua Bay, during the construction of a shoreline restoration project. The project also consisted of placing 40,000 cubic yards of clean sand from Fordyce Materials, Murphy Plant in Nursery, Texas, 2,659 cubic yards of rock for a groin, and 3,725 cubic yards of rocktriprap for a breakwater into Carancahua Bay. Your amendment request is approved, pursuant to Section 10 of the Rivers and Harbors Act of 1899 and Section 404 of the Clean Water Act. All work is to be performed in accordance with the enclosed plans in 4 sheets. The original permit conditions remain in full force and effect, with the exception of the time limit for completion. The time limit for completing the.work authorized ends on December 31, 2023. If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least one month before the above date is reached. The original permit's special conditions are still required for these amendments and modifications to the authorized project. The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions -2 - caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby,'without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. If you have any question regarding this amendment, or the appeals process, please contact Quentin Stubbs at the letterhead address or by telephone at 409-766-3936. Please notify the Chief of the Compliance Branch, in the Galveston District Regulatory Division, in writing at the letterhead address, upon completion of the authorized project. FOR THE DISTRICT COMMANDER: Kristi N. McMillan Leader, Central Evaluation Unit Enclosures Copies Furnished: Thomas Dixon, Freese and Nichols, Inc. Eighth Coast Guard District, New Orleans, LA National Oceanic and Atmospheric Administration (NOAA), National Ocean Service (NOS), Coast & Geodetic Survey, Silver Spring, MD Texas Commission on Environmental Quality. Texas General Land Office 010000 SPECIAL CONDITIONS 1.00 GENERAL A. In general, Freese and Nichols, Inc. will act as Engineer. Engineer shall consult with and advise Calhoun County (Owner) and act as Owners representative. All of Owner's instructions to the Contractor will be issued through the Engineer. The Engineer may direct the Contractor to maintain gauges, ranges, location marks, lighted buoys and limit marks in proper order and position, but the presence of the Engineer shall not relieve the Contractor of responsibility for the proper execution of the work in accordance with the specifications. The Engineer shall not supervise, direct or have control over Contractor(s) work nor shall Engineer have authority over or responsibility for the means, methods, techniques, sequences or procedures of construction selected by Contractor, for safety precautions and programs incident to the work of Contractor or for any failure of Contractor to comply with laws, rules, regulations, ordinances, codes or orders applicable to Contractor furnishing and performing the work. 1.01 RELATED DOCUMENTS A. Drawings and general provisions of Contract, including General Conditions, Instructions to Bidders, and Technical Specification sections apply to work of this section. 1.02 DESCRIPTION OF WORK A. Refer to SECTION 0110 00, SUMMARY OF WORK. 1.03 EXAMINATION OF SITE A. Bidders should visit the site and be thoroughly familiar with job conditions prior to submitting a bid. Failure to give proper consideration to these conditions when preparing bids will not constitute grounds for additional compensation. 1.04 INTENT OF THE CONTRACT DOCUMENTS A. The intent of the Contract Documents is to include all of the work for the contract price and within the contract time. Contract Documents are to be considered as cooperative. All work not specified and/or not shown on the drawings but which is necessary for the completion and/or functioning and operation of the project, shall be understood and implied as part of the contract to be performed by the Contractor for the,contract price. Such work shall be executed by the Contractor in the same manner and with the same character of material as other portions of the contract without extra compensation. B. It is the intention of the Contract Documents to call for finished work, tested, and ready for operation. C. Any apparatus, material or work described in the Contract Documents and any incidental accessories necessary to make the work complete in all respects and ready for operation (even though not particularly specified) shall be furnished, delivered, and installed by the Contractor without additional expense to the Owner. D. Minor details not usually shown or specified but necessary for proper installation and operation are included in the work just as if herein specified or shown. Special Conditions _ 010000-1 TGLO Cycle 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CKW —03/07/16 3/1/2018 E. The agreement and each of the Contract Documents are complementary; and they shall be interpreted so that what is called for by one shall be as binding as if called for by all. Should the Contractor observe conflicts in or omission from the Contract Documents, Contractor shall bring them to the Engineer's attention for decision, inclusion, and revision as soon as possible after originally observed. Regardless, such work shall be performed and furnished by the Contractor in accordance with accepted construction industry practices. In the event of duplications or conflicts in the Contract Documents' after the contract has been executed, the greater quality and/or the most expensive method of work, materials, and equipment shall be construed as the requirement, with a credit for all costs saved accruing to the Owner in the event the least expensive method of work is directed. A duplication of work is not intended by the contract documents and any duplications specified shall not become a basis for extra cost to the Owner. Technical specifications shall take precedence over conflicting drawings. Explanatory notes on the drawings shall take precedence over conflicting drawn-out indications. Large-scale details will take precedence over small-scale drawings and figured dimensions to scale measurements. Where figures are lacking, scale measurements may be followed, but in all cases the measurements are to be checked from the work in place. Should variations be found, they must be referred to the Engineer for instructions prior to proceeding with the work. In the event of conflict between the Special Conditions and the General Conditions, the following priority order shall apply in resolving such conflicts: Special Conditions, then Uniform General Conditions. F. The drawings consist of all project drawings and any drawings issued by addenda. In all cases, measured dimensions taken at the site shall take precedence over scale dimensions. 1.05 ADDENDA A. Any addenda issued in writing by the Owner/Engineer during the period of bidding shall be included in the bid and Bidder's receipt of addenda shall be acknowledged in the Contractor's Bid form. Such addenda shall become a part of the contract and shall modify the Contract Documents accordingly. Oral changes in the work made during the time of bidding will not be binding. 1.06 PERMITS AND LAWS A. The Contractor shall comply with all federal, state, and municipal laws, rules regulations, and ordinances applicable to the work of this contract, and shall obtain and pay for all permits required in connection with the execution of the work. The Owner shall be furnished with certified copies of these permits if the Owner so requests. Refer to Section 0135 43 - Protection of Environment of the Technical Specifications. B. If such laws, rules, regulations or ordinances conflict with the Contract Documents, then such laws, rules, regulations, or ordinances shall govern instead of the Contract Documents, except in such cases where the Contract Documents exceed them in quality of materials or labor, then the Contract Documents shall be followed. 1.07 INSURANCE REQUIREMENTS A. Insurance requirements are independent of all other obligations of the Contractor pursuant to these Contract Documents and apply whether or not required by any provision of the contract documents. Contractor shall cease work immediately upon the expiration of any Special Conditions 010000-2 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CKW —03/07/16 3/1/2018 insurance coverage required by the Contract Documents. Contractor shall provide the following additional insurance coverage: 1. U.S. Longshore and Harbor Workers' Insurance —Statutory amount in compliance with the United States Longshore and Harbor Workers' Act if required. 2. Maritime Employers Liability Insurance —Any employees who may fall under the Death on High Seas Act, Jones Act, or any other federal or state acts relating to maritime employment must be covered by Maritime Employers Liability Insurance of not less than $500,000.00. Such coverage will include but not be limited to transportation, wages, maintenance and cure, as well as any other liabilities arising under such maritime employment. B. All insurance must be written by an insurer licensed to conduct business in the State of Texas, unless otherwise permitted by Owner. The Contractor shall, at his own expense, purchase, maintain and keep in force insurance that will protect against injury and/or damages which may arise out of or result from operations under this Contract, whether the operations be himself or by any Subcontractor or by anyone directly or indirectly employed by any of them, or by anyone for whose acts any of them may be liable of the following types and limits (No insurance policy or certificate of insurance required below shall contain any aggregate policy year limit unless a specific dollar amount [or specific formula for determining a specific dollar amount] aggregate policy year limit is expressly provided in the specification below which covers the particular insurance policy or certificate of insurance). C. Standard Worker's Compensation Insurance (with waiver of subrogation in favor of Calhoun County, its officers, agents and employees). (City and Contract and all persons providing services shall comply with the workers compensation insurance requirements of Section 406.096 of the Texas Labor Code and 28 TAC Section 110.110, a copy of which is hereby incorporated by reference). D. Commercial General Liability occurrence type insurance. No. "XCU" Restriction shall be applicable. Products/completed operations coverage must be included, and Calhoun County, Freese and Nichols, Inc., its officers, agents, and employees must be named as an additional Insured. 1. Bodily Injury $500,000 single limit per occurrence or $500,000 each person/$500,000 per occurrence for contracts of $100,000 or less, or, 2. Bodily Injury $1,000,000 single limit per occurrence of $1,000,000 each person/$1,000,000 per occurrence for contracts in excess of $100,000; and, 3. Property Damage $100,000 per occurrence regardless of Contract amount; and, 4. Minimum aggregate policy year limit of $1,000,000 of contracts of $100,000 or less; or, S. Minimum aggregate policy year limit of $2,000,000 for contracts in excess of $100,000. Comprehensive Automobile Liability (Including owned, non -owned, and hired vehicles coverage). 1. Minimum combined single limit of $500,000 per occurrence for bodily injury and property damage. 2. If individual limits are provided, minimum limits are $300,000 per person, $500,000 per occurrence for bodily injury and $100,000 per occurrence for property damage Special Conditions 010000-3 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 E. Contractual Liability Insurance covering the indemnity provision of this Contract in the same amount and coverage provided for Commercial General Liability Policy, specifically referring to this Contract by date, job number, and location. F. Contractor shall cause Contractor's insurance company or insurance agent to fill in all information required (including names of insurance agency, Contractor and insurance companies, and policy numbers, effective dates and expiration dates) and to date and sign and do all other things necessary to complete and make into a valid certificate of insurance. G. The Certificate of Insurance form attached to and made a part of the Information to Bidders, and pertaining to the above Insurance Requirements; and before commencing any of the work and within the time otherwise specified. Contractor shall file said completed Form with the Owner. None of the provisions in said Form shall be altered or modified in any respect except as herein expressly authorized. H. Said Certificate of Insurance Form contains a provision that coverage's afforded under the policy will not be altered, modified or cancelled unless at least thirty (30) days prior written notice has been given to the Owner. Contractor shall also file with the Owner valid Certificate(s) of Insurance on like form from or for all Subcontractors and showing the Subcontractor(s) as the Insured. Said completed Certificate of Insurance Form(s) shall in any event be filed with Owner not more than ten (10) days after execution of this Contract. 1.08 PERFORMANCE AND PAYMENT BONDS A. All performance and payment bonds be executed by sureties which are licensed to do business in the State of Texas and which are included in the list of companies in the current U. S. Department of the Treasury Circular 570, "Companies holding Certificates of Authority as Acceptable Sureties on Federal Bonds and Acceptable Reinsuring Companies," Sections 9304 through 9308 of Title 31 of the U. S. Code Annotated. 1.09 QUALITY ASSURANCE A. The Owner and Engineer will periodically observe the construction progress, procedures, and materials of the Contractor. The Contractor shall offer full cooperation to facilitate these observation activities, and shall be responsive to questions regarding methods, equipment, materials, and intentions in pursuing the work or any particular thereof. Such observation by the Owner and/or Engineer is for the express purpose of verifying compliance by the Contractor with the Contract Documents and shall not be construed as construction supervision nor indication of approval of the manner or location in which the work is being performed as being a safe practice or place. The safety of the workers on the site is the responsibility of the Contractor. By entering the site, the Contractor and its employees relieve the Owner and Engineer of any responsibility for their safety and accept complete responsibility for any unsafe acts or procedures which may cause them harm. B. If the Owner or Engineer rejects work and/or materials incorporated into the work, Contractor shall bear all expenses associated with testing to prove compliance with the Contract Documents, including but not limited to engineering expenses associated with such testing. Any and all such expenses that are paid directly by Owner will be deducted or withheld from subsequent payment(s) to the Contractor. Special Conditions 010000-4 TGLO Cvcle 9, CEPRA Project. No. 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/01/16 3/1/2018 1.10 PROGRESS PAYMENTS A. Refer to General Conditions of the Technical Specifications. 1.11 CONTRACT COMPLETION A. Contract Period: 1. This contract must be completed within the specified number of days commencing on the date cited in the Notice to Proceed letter. The Contractor's Bid form for this project has been written to reflect this completion requirement. 2. Unless specifically stated as "working day," the term "day" or "calendar day" shall mean every day of the calendar year. Along with the work progress schedule, the Contractor shall submit his schedule for normal working days. 3. Claims for extension of time shall be made in accordance with the provisions of General Conditions. B. Liquidated Damages: 1. The Owner has determined that the completion of the work in this contract is critical to the proper operation of the facility, and the Contractor's failure to complete the work within such time will cause damage to the Owner. Since exact damages are difficult to determine or forecast, the SUM OF $500 PER CALENDAR DAY is hereby established by the parties as a reasonable estimate of just compensation to the Owner for the failure of the Contractor to complete the work by the time set forth in the contract or authorized extension thereto. Said sum will be deducted from the money due or to become due to the Contractor, not as a penalty but as liquidated damages from added expense, including administrative and inspection costs, for each and every calendar day the work or any portion thereof remains incomplete after the expiration of the time limit set in the contract or authorized extension. Charges for liquidated damages will begin accumulating on the first calendar day following the final contract completion date and continue until the date of final acceptance as established by the Owner. C. Final acceptance will not be issued until all punch list items have been completed. 1.12 CONTRACT CLOSE-OUT A. Notification: 1. The Contractor shall provide the Owner and Engineer 10 DAYS WRITTEN NOTICE requesting final inspection. B. Final Submittals: 1. At the time of the Contractor's request for final inspection, Contractor shall provide to Owner the following material which the Contractor shall have accumulated and retained during the course of the project: a. One set of all project submittals and all equipment and material warranties/guarantees as provided by all appropriate suppliers or manufacturers. Special Conditions 010000-5 TGLO Cycle 9 CEPRA Project No 1624 — Port Alta North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 b. One set of "record drawings" showing all revisions to the original Contract Documents. Drawings shall also show routing of underground outside utilities and conduits with actual dimensions from buildings or other known landmarks. c. Any and all other documents, keys, manuals, etc. required by the SPECIFICATIONS. d. Clean-up: At completion of the job, the Contractor shall remove all waste products, dust, dirt, debris, packaging, trash, fingerprints, grease containers, and other deleterious materials and marks from the site. Refer to individual specification sections for special cleaning required by that section. Contractor is expected to leave the project in spotless, "like new" condition. e. Final Payment: The Contractor's final payment requisition shall include Consent of Surety Company to Final Payment form and, Contractor's Final Payment Affidavit. 1.13 STANDBYTIME PROVISIONS A. At anytime during the contract performance period, the Owner may terminate the contract for unforeseen causes. However, in lieu of terminating the contract, the Owner may opt to issue a temporary stop work order and activate standby time provisions. B. If activated, standby time will be paid to the Contractor based on actual rental rates of equipment and labor rates of personnel on site during that time. C. The Owner reserves the right to activate, or not to activate, standby time provisions, as it deems appropriate. Activation must be in the form of a change order to the contract. 1.14 HOLD HARMLESS AND INDEMNIFICATION A. The Owner and/or Engineer shall not be liable or responsible for and the Contractor shall indemnify and hold harmless the Owner and Engineer from and against any and all claims and damages of every kinclJor injury to or death of any person or persons and from damage to or loss of property arising out of or attributed, directly or indirectly, to the Contractor. This indemnity and hold harmless provision shall not be limited by the specification of insurance coverage required to be maintained by the Contractor. Contractor further agrees to obtain in writing from his contractors, subcontractors, and consultants, the same indemnity and agreement to hold harmless as stated above. Contractor shall procure contractual liability insurance covering contractor's obligations set forth in this paragraph. 1.15 DISPUTES A. Any dispute concerning a question of fact arising under this contract, not disposed of by agreement, shall be resolved in accordance with the dispute resolution process set forth in Chapter 2260, Government Code, V.T.C.A. 2.00 PRODUCTS 2.01 CONSTRUCTION MATERIALS A. Materials: Special Conditions 010000-6 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 1. All materials shall be new and of the quality specified. Materials shall be free from defects. Where manufacturer's names are mentioned in the specifications, it has been done in order to establish a standard of quality and construction, not to preclude the use of equal or superior materials or products of other manufacturers. However, substitutions must have Engineer's prior approval. Unless otherwise indicated in the specifications or drawings, equipment and material shall be installed in accordance with the manufacturer's recommendations and shall include such tests as manufacturer recommends. B. Storage and Protection of Materials: 1. All materials shall be suitably stored to be protected from damage. Watertight storage facilities of suitable size with floors raised above the ground shall be provided for all materials subject to damage from exposure to the weather. Other materials shall be stored on blocks off the ground. Materials shall be stored to permit easy access for inspection and identification. Any material which has deteriorated, become damaged or otherwise unfit for use shall not be used in the work (as judged by Engineer). Upon completion of all work, or when directed, the Contractor shall remove storage facilities from the site. 3.00 EXECUTION 3.01 CONSTRUCTION SITE AND 10B CONDITIONS A. Supervision: 1. The Contractor's Superintendent shall be on site at all times that work is in progress. The Contractor shall not allow any unsafe or unsanitary conditions to develop as a result of Contractor's operations. B. Site Maintenance: 1. The Contractor shall not allow trash or debris to accumulate on the site. At the end of the contract, Contractor shall clean the entire area of any litter resulting from Contractor's operations. The Contractor shall maintain the premises as clean and presentable as good construction practices will allow at all times. C. Utilities: 1. Water and electrical power will not be furnished by the Owner. Any temporary connections or appurtenances shall be provided by the Contractor at no cost to the Owner and removed from the premises at the conclusion of the contract. D. Employee Records: 1. The Contractor and each subcontractor shall keep, or cause to be kept, on the jobsite an accurate record showing names and occupations of all laborers, workmen, and mechanics employed by Contractor in connection with the project and the sum per hour paid in dollars and cents. The Owner shall be allowed to inspect such records pursuant to V.T.C.A., Gov. Code, Section 2258.024. E. Temporary Toilets: Special Conditions 010000-7 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 1. The Contractor shall provide and maintain in neat, sanitary condition toilets and other necessary accommodations for employees' use to comply with the regulations of the State Department of Health or other jurisdictions. F. Fire Protection: 1. The Contractor shall take stringent precautions against fire. Open fires are not allowed unless approved in writing by Owner. 3.02 OCCUPATIONAL SAFETY AND HEALTH STANDARDS A. The work and the Contractor's operational activities shall comply with the applicable provisions of the U. S. Department of Labor, Occupational Safety and Health Administration's safety and health regulations -for construction and with applicable Occupational Safety and Health Standards. 3.03 PROTECTION OF PUBLIC A. The Contractor shall be responsible for public safety at the construction site. All temporary fencing, barricades, warning lights, signs, and flagmen shall be provided and maintained by Contractor as needed. The Contractor shall maintain security of the construction site. 3.04 SITE PHYSICAL DATA A. Information furnished below is for the Contractor's review. However, it is expressly understood that the Owner and Engineer are not responsible for any interpretation or conclusion drawn there from by the Contractor. The Owner and Engineer also are not responsible for any lack of information herein pertaining to physical conditions at the site. The Contractor shall make every effort possible to familiarize himself with and research the conditions to be expected at the site. B. Tidal Conditions: 1. Under ordinary conditions, the tidal range is about 1.09 ft. However, the height of tide is largely dependent on the force, direction, and duration of the wind, and other atmospheric conditions experienced during adverse weather. C. Marine Conditions: 1. In addition to tidal fluctuations and current velocities mentioned herein, the water at the project site may at times be rough as a result of vessel traffic. Again, the contractor should familiarize himself with the extreme conditions that might be expected throughout the duration of this project. In addition, hurricanes along the coast typically occur during the period of lune to November. D. Current: 1. Tidal currents, wind waves, and vessel wakes may at times exist in and adjacent to the project site. Special Conditions 010000-8 TGLO Cycle 9 CEPRA Project No 1624 — Port Alta North Beach Shoreline Restoration _ CKW — 03/07/16 3/1/2018 3.05 PROTECTION OF SITE A. The Contractor is notified that construction will occur adjacent to active public recreational facilities, private property, and environmentally sensitive areas. The Contractor is hereby notified that adverse working conditions may exist, and the necessary allowances and precautions shall be made to avoid damaging public and private property and vegetation of adjacent property. Unauthorized damage to any existing roadways, utilities, building facilities, structures, or plant life shall be repaired by the Contractor at no expense to the Owner. B. Utility locations have not been field verified. It shall be the Contractor's responsibility to verify the condition of existing utilities and locations thereof prior to bidding. C. The Contractor shall protect all vegetation adjacent to the construction site. If Contractor's work will require removal or destruction of vegetation, the Contractor shall obtain approval of Owner prior to removal. The Contractor shall be held liable for removal of vegetation without Owner's prior approval. D. The drawings show the locations of all known surface structures pertinent to the work. The locations of surface and subsurface features shown on the drawings are not exact. In the case of underground or underwater obstructions such as existing water, sewer, storm sewer, gas, electrical lines, piling, debris, or partial structures that are not shown on the drawings, their location is not guaranteed. E. The Owner assumes no responsibility for failure to show any or all these structures on the drawings or to show them in their exact location. Failure to show these in the Contract Documents will not be considered sufficient basis for claims for additional compensation for extra work in any manner whatsoever, unless the obstruction encountered is such as to necessitate substantial changes in the lines or grades, or requires the building of special work for which no provision is made. F. It is assumed that as elsewhere provided the Contractor has thoroughly inspected the site, is informed as to the correct location of surface structures, has included the cost of such incidental work in the price bid, and has considered and allowed for all foreseeable incidental work due to variable subsurface conditions, whether such conditions and such work are fully and properly described on the drawings or not. Minor changes and variations of the work specified and shown on the drawings shall be expected by the Contractor and allowed for as incidental to the satisfactory completion of a whole and functioning work or improvement. 3.06 MISPLACED MATERIAL A. Should the Contractor, during the progress of the construction, lose, dump, throw overboard, sink, or misplace any material, plant, machinery or appliance, which in the opinion of the Engineer may be dangerous to or obstruct navigation, the Contractor shall recover and remove the same with the utmost dispatch. The Contractor shall give immediate notice, with description and location of such obstructions, until the same are removed. B. Should the Contractor refuse, neglect or delay compliance with the above requirements, such obstructions may be removed by the Owner, and the cost of such removal may be deducted from any money due or to become due to the Contractor, or may be recovered Special Conditions 010000-9 TGLO Cvcle 9, CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 under his bond. The liability of the Contractor for the removal of a vessel wrecked or sunk without fault or negligence shall be limited to that provided in Sections 15, 19, and 20 of the Rivers and Harbors Act of March 3, 1899 (33 U.S.0 410 et seq). 3.07 LAYOUT OF WORK AND SURVEYS A. The Contractor, at Contractor's expense and using electronic surveying equipment, shall be responsible for establishing base lines, and bench marks if applicable, and staking structure layout for the limits of the project. The Contractor shall also be responsible for all measurements that may be required for the execution of the work to the location and limit marks prescribed in the specifications or on the drawings. It is Contractor's responsibility to maintain and preserve all stakes and other marks if such marks are destroyed by Contractor through Contractor's negligence prior to their authorized removal. B. The Contractor shall establish a Tide Staff referenced to the project datum, visible from the dredge area, to reference tidal corrections during dredge operations. The Tidal reference maker shall be approved by the Engineer prior to commencement of dredge operations. The tidal reference marker shall be maintained throughout dredge operations. 3.08 ARCHEOLOGICAL MONITORING A. The Antiquities Code of Texas, established by Article 6145-9 of Vernon's Texas Civil Statutes, applies to this project. Violation's of the Code are subject to penalties as provided by the Code. Copies of the Code may be obtained from the Texas Antiquities Committee, P. 0. Box 12276, Austin, Texas. 3.09 UNDERGROUND OBSTACLES A. Pipelines and/or other existing underground installations and structures in the vicinity of the work may be present. The Contractor shall make every effort to locate all underground obstacles and/or pipelines by prospecting in advance of all trench excavation. Any damage to pipelines, including any resulting environmental contamination, caused by the construction activities shall be repaired/cleaned-up by the Contractor. Any delay or extra cost to the Contractor shall not constitute a claim for extra work, additional payment, or damages. 3.10 CUTTING AND PATCHING A. Where indicated in the Contract Documents, this project requires cutting into existing construction for the performance of the work and requires subsequent fitting and patching to restore the existing work to original condition. B. Utilities: 1. Contractor shall not cut or patch utilities until all necessary approvals and coordination requirements are accomplished. 2. Before cutting services that are to remain permanently or temporarily in service, Contractor shall provide bypass system as necessary to maintain service. 3. After bypass and cutting, Contractor shall cap, valve or plug and tightly seal remaining portion of service piping or conduit to prevent entrance of moisture and foreign matter. Special Conditions 010000-10 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CKW —03/07/16 3/1/2018 C. Structural Work: 1. Contractor shall not cut or patch structural work in a manner that would result in a reduction of load -carrying capacity or of load -deflection ratio. D. Removing and Replacing Pavement: 1. Unless otherwise directed by the Engineer, the Contractor shall saw cut to remove pavement. The Contractor shall not cut or patch pavement in a manner that would result in a reduction of load -carrying capacity. The Contractor shall replace all pavements, driveways, sidewalks, and curb and gutters with like or better pavement sections. E. Inspection: 1. Before cutting, Contractor shall examine items to be cut and patched and the conditions under which the work is to be performed. If unsafe or otherwise unsatisfactory conditions are encountered, Contractor shall take corrective action before proceeding with the work. 2. Contractor shall meet at the work site with all trades involved in cutting and patching. Contractor shall review areas of potential interference and conflict between the various trades and shall coordinate layout of the work and resolve potential conflicts before proceeding with the work. 3.11 RECORD DRAWINGS A. The Contractor shall maintain on a separate set of the Contract. Documents, a record of all changes made during construction. The Contractor shall be responsible for keeping these records and neatly noting with colored pencil or ink all changes. Progress payments will not be made to the Contractor unless such records are maintained. B. Record Drawings shall be turned over to the Owner/Engineer at the completion of the project. Final payment will not be made until "Record Drawings" have been received and accepted by the Owner/Engineer. 4.00 MEASUREMENT AND PAYMENT A. No separate measurement or payment will be made for the Work in this Section; all the costs of such Work shall. be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Special Conditions 01 00 00 -11 TGLO Cycle 9 LEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CKW — 03/07/16 3/1/2018 013100 PROJECT SCHEDULE 1.00 GENERAL 1.01 DESCRIPTION A. Scope: 1. This section covers the construction project schedule requirements, submittals of project schedule, and required completion date. 1.02 PROJECT SCHEDULE A. The Work shall be substantially completed WITHIN 90 DAYS from Notice to Proceed unless otherwise directed by the Engineer. 1.03 CONSTRUCTION SCHEDULE A. WITHIN FIVE DAYS after issuance of the Notice to Proceed, the Contractor shall submit, for review by the Engineer, a Construction schedule. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT A. No separate measurement or payment will be made for the Work in this Section; all the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Project Schedule 013100-1 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 013300 SUBMITTALS 1.00 GENERAL 1.01 SUBMITTAL PROCEDURES A. Materials furnished by the Contractor shall not be incorporated into construction before review by Engineer, except as specified herein. B. Materials shall be submitted for review in the manner specified herein and under the applicable specific technical provisions. The methods of review may include submission of samples, shop drawings (including stock prints), catalogs (including cuts and descriptive literature), schedules, certificates, or field inspection. All materials for which no specific method of review is specified shall be subject to field inspection and review. C. The Contractor shall certify on all submittals that the material being proposed conforms to Contract requirements. The Contractor shall present all materials for each specification section at the same time as one submittal, titled with project title and contract number. Incomplete submittals and submittals with inadequate data will be rejected. D. The following detailed instructions include various methods of material review that shall be followed in submitting requests for review. Review will be made by returning one copy appropriately stamped and signed. Items returned stamped "Conforms to Design Concept" or "Conforms to Design Concept With Revisions As Noted" shall be considered as adequate to incorporate into the construction. Should the Contractor desire the return of more than one copy, photocopy reproductions or ammonia prints will be returned in the additional number desired, up to three copies. E. Review time: All requests for material review shall be submitted in sufficient time so as not to delay the progress of the work, allowing five days after receipt by the Engineer for review. F. Mailing address: Unless specified elsewhere, all requests for materials review shall be forwarded in duplicate to: Attn: Cris Weber, PE Freese and Nichols, Inc 10431 Morado Circle, Suite 300 Austin, TX 78759 Fax (512) 617-3101 cris.weber@freese.com G. Requests shall be accompanied by a transmittal letter from the Contractor stating that the items of material submitted are the Contractor's selection for construction under the Contract and requesting review. Additionally, the Contractor shall forward to the Engineer one copy of the transmittal letter and one copy of the submittal data. 1.02 PROPOSED PRODUCTS LIST A. In those instances where the specific technical provisions cite a brand name product, submittal of the material for review is not required unless required by the specific technical Submittals 0133 00 -1 TGLO Cycle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 provisions. However, the Contractor shall advise the Engineer in writing (with a copy to the mailing address shown herein) that the specified brand name product will be used. B. Materials which are specified by reference to an industry standard or specification which is also stamped or otherwise shown on the material itself and is readily identified in the field, do not require submittal of the material for review. 1.03 PRODUCT DATA A. Brand name(s): Equivalent items are not acceptable unless specifically authorized in the Specifications by use of the term "or equal". Should the Contractor propose an "equal" when "or equal" is specified, the Contractor shall include with the submittal, sufficient technical documentation to readily demonstrate the material proposed is, in fact, equal to the brand name(s) specified. Submittals will be rejected if the Contractor fails to submit such documentation or such documentation fails to demonstrate the equality of the item. 1.04 MANUFACTURER INSTALLATION INSTRUCTIONS A. When specified in individual specification sections, submit printed instructions for delivery, storage, assembly, installation, adjusting, and finishing, to the Engineer in quantities specified for product data. B. Indicate special procedures, perimeter conditions requiring special attention, and special environmental criteria required for application or installation. 1.05 MANUFACTURER CERTIFICATES A. Submit four copies of certificates covering conformity to requirements of referenced Specifications or standard test results as follows: B. Certificates of conformity to referenced Specifications shall consist of a statement on the manufacturer's letterhead that the materials listed conform to the requirements of the referenced Specifications referred to by number. C. Certificates of standard test results shall consist of statements on the test laboratory's letterhead of the tests made and the tests results. The tests shall have been performed within one year of submittal of the reports for approval. Test reports shall be accompanied by certificates from the manufacturer certifying that the material and equipment proposed to be supplied is of the same type, quality, manufacture and make as that tested. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. Submittals 013300-2 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 4.00 MEASUREMENT AND PAYMENT A. No separate measurement or payment will be made for the Work in this Section; all the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Submittals 013300-3 TGLO Cycle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 013543 PROTECTION OF ENVIRONMENT 1.00 GENERAL A. This section addresses the prevention of pollution and other environmental damage as the result of construction operations under this contract and for those measures set forth in the Contract Documents. For the purpose of this specification, pollution and other environmental damage are defined as the presence of chemical, physical, or biological elements or agents which adversely affect human health or welfare; unfavorably alter ecological balances of importance to human life; affect other species of importance to man; or degrade the utility of the environment for aesthetic, cultural, and/or historical purposes. The control of pollution and damage requires consideration of air, water, land and the marine environment and includes management of construction activities, visual aesthetics, noise, solid waste, radiant energy, and radioactive materials, as well as other pollutants. The Contractor shall fulfill these specifications at the Contractor's expense. 1.02 SCOPE A. This section covers all work necessary to comply with the requirements of the Owner and Contractor furnished permits and all applicable Federal, State, and local laws governing this Work and for implementing, installing, and maintaining all required Best Management Practices (BMPs). 1.03 DESCRIPTION OF WORK A. In order to comply with the requirements of this Section and the Owner and Contractor furnished construction permits, the Contractor shall: Develop and submit a Contractors Erosion and Sedimentation Control Plan (CESCP). The CESCP shall, at a minimum include and address the following: a. Description of BMP's and Drawings b. Installation, Maintenance, and Inspection Procedures c. BMP Removal B. The Contractor shall develop and submit a copy of the CESCP to the Engineer for review WITHIN 10 DAYS prior to the start of any onsite construction activities. The CESCP shall be submitted in accordance with Section 0133 00 - SUBMITTALS. 2.00 PRODUCTS A. The Contractor is responsible for the selection and adequacy of all materials and equipment used for compliance with the Owner and Contractor supplied permits. Protection of Environment 0135 43 -1 TGLO Cycle 9 CEPRA Proiect No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 3.00 EXECUTION 3.01 GENERAL A. All debris or deleterious material resulting from construction shall be removed from the work area and prevented from entering waters of the State. All work operations shall be conducted in a manner that causes little or no adverse environmental impact to adjacent areas. If at any time, as a result of project activities, water quality problems develop (including equipment leaks or spills), operations shall cease and the Owner shall be contacted immediately. 3.02 PROTECTION OF ENVIRONMENTAL RESOURCES A. The environmental resources within the project boundaries and those affected outside the limits of permanent work under this contract shall be protected during the entire period of this contract. The Contractor shall confine all activities to areas defined by the drawings and specifications. Environmental protection shall be as stated in the following subparagraphs. 3.03 PROTECTION OF LAND RESOURCES A. Prior to the beginning of any construction, the Engineer shall identify all land resources to be preserved within the Contractor's work area The Contractor shall not remove, cut, deface, injure, or destroy land resources including vegetation, trees, shrubs, vines, grasses, top soil, and land forms without direct written permission from Engineer. No ropes, cables, or guys shall be fastened to or attached to any trees for anchorage unless specifically authorized. Where such special emergency use is allowed, the Contractor shall provide effective protection for land and vegetation resources at all times as defined in the following paragraphs. 1. Work Area Limits a. Isolated areas (if any) within the work area which are to be saved and protected shall also be identified by the Engineer and marked or fenced by the Contractor. All monuments and markers shall be protected before construction operations commence. Where construction operations are to be conducted during darkness, the marks shall be visible. The Contractor shall convey to all subcontractors and personnel the purpose of marking and/or protection for all necessary objects. b. Trees, shrubs, vines, grasses, land forms, and other landscape features within the work area to be preserved shall be identified by the Engineer, and clearly delineated by the Contractor, by marking, fencing, or wrapping with boards, or any other techniques approved by the Engineer. Unless otherwise approved by the Engineer, no trees, shrubs, vines, grasses or other vegetation will be harmed or destroyed by the Contractor for any purpose. 2. Retardation and Control of Runoff a. Runoff from the construction site shall be controlled by construction of diversion ditches, benches and berms to retard and divert runoff to protected drainage courses, and any measures required by area wide plans approved under paragraph 208 of the Clean Water Act. Dikes will be constructed using material available in the Protection of Environment 013543-2 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 dredge material placement site, as shown on the Contract Drawings, and maintained in continuous repair. b. No runoff, as a result of placement of dredge material, shall be allowed to overtop any existing roadway or overflow onto adjacent properties. If necessary, the Contractor will mechanically pump runoff from the placement site to maintain acceptable environmental conditions. 3. Temporary Excavations a. Embankments for the work area shall be controlled to protect adjacent areas from despoilment. 4. Disposal of Chemical Waste a. Chemical waste shall be stored in corrosion resistant containers, removed from the work area and disposed of in accordance with Federal, State, and Local regulations. The Contractor shall perform all maintenance of equipment, including but not limited to refueling, filter changes, and replacement of hydraulic lines in a manner so as not to contaminate soils, ground or surface waters, or any other natural resources. 5. Disposal of Discarded Materials a. Discarded materials other than those which can be included in the solid waste category will be handled by the Contractor as directed by the Engineer or County. 3.04 PROTECTION OF WATER RESOURCES A. The Contractor shall keep construction activities under surveillance, management and control to avoid pollution of surface and ground waters. Special management techniques as set out below shall be implemented to control water pollution by the listed construction activities, which are included in this contract. As soon as possible the contractor shall clear all waterways of temporary embankments, temporary bridges, matting, falsework, debris, or other obstructions placed during construction operations that are not part of the finished work. The Contractor is responsible for maintaining area drainage during construction. Water shall not be allowed to pond on any roadway surface, and Project Work shall not impede runoff from adjacent properties. Comply with all applicable Federal, State, and local Permits. 3.05 PROTECTION OF FISH AND WILDLIFE RESOURCES A. The Contractor shall keep construction activities under surveillance, management, and control to minimize interference with, disturbance to and damage of fish and wildlife. Species that require specific attention along with measures for their protection will be listed by the Contractor prior to beginning of construction operations. 3.06 PROTECTION OF AIR RESOURCES. A. The Contractor shall keep construction activities under surveillance, management, and control to minimize pollution of air resources. All activities, equipment, processes, and work operated or performed by the Contractor in accomplishing the specified construction shall Protection of Environment 013543-3 TGLO Cvcle 9. CEPRA Project No. 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 be in strict accordance with the applicable air pollution standards of the State of Texas and all Federal emission and performance laws and standards. 3.07 PROTECTION OF SOUND INTRUSIONS A. The Contractor shall keep construction activities under surveillance, and control to minimize damage to the environment by noise. If booster pumps are used on the project, the Contractor shall provide adequate muffler systems and erect a sound barrier to deflect noise in the waterward direction and away from buildings. 3.08 DISPENSING OF FUEL A. Secondary containment, which is capable of holding 110% of the tank contents, must be provided by the Contractor for each fuel storage tank. Fuel dispensers shall have a 4 -foot square, 16 -gauge metal pan with borders banded up and welded at corners right below the bibb. Edges of the pans shall be 8 -inch minimum in depth to ascertain that no contamination of the ground takes place. Pans shall be cleaned by an approved method immediately after every dispensing of fuel and wastes disposed of offsite in an approved area. Should any spilling of fuel occur, the Contractor shall immediately contain the spill and contact the appropriate local authorities. The Contractor will be solely responsible for any fines, penalties or other legal activities related to fuel spills. 3.09 STORAGE OF LUBRICANTS A. All lubricants and other potential liquid pollutants shall be stored in sealed, non -corrosive containers. Individual containers shall be stored in metal pans with borders banded up and welded at the corners right below the bibb. Pans shall be deep enough to prevent contamination of the ground. Pans shallbe kept clean of all spillage or leakage. 3.10 CONSTRUCTION DEBRIS A. The Contractor shall collect and properly dispose of all trash and construction debris in accordance with all local and state solid waste management regulations and practices. No construction waste material shall be buried on the Project Site. The Contractor shall store all waste materials in approved metal dumpsters, or other containers approved by the Engineer. Solid wastes (including clearing debris) shall be placed in containers which are emptied on a regular schedule. The Contractor will empty containers when three-quarters full or as required by local and state regulation, and the contents hauled away for proper disposal. No construction waste material shall be buried within the Project limits. All handling and disposal shall be conducted to prevent contamination. No steel, cables, wire, pipe, drums OR ANY OTHER DEBRIS shall be permitted to be disposed overboard into the waters controlled by Owner or the Sabine -Neches Waterway. If such debris is found, the debris shall be removed by the Contractor at his own cost, or the cost of removal deducted from the Contractor's final payment. 3.11 EQUIPMENT MAINTENANCE A. The Contractor's equipment used in excavation and filling operations shall be inspected, cleaned, and maintained to prevent loss of petroleum products. Protection of Environment 013543-4 TGLO Cvcle 9, CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/201 3.12 EROSION AND SEDIMENT CONTROL A. Burn -off: 1. Burn -off of ground cover is not permitted. B. Erosion Protection: 1. Earthwork brought to final grade shall be immediately finished. Protect side and back slopes upon completion of rough grading. Plan and conduct earthwork to minimize the duration of exposure of unprotected soils. All areas disturbed that are to remain dormant for LONGER THAN 21 CALENDAR DAYS shall be temporarily stabilized with fast germinating temporary seed or shall be protected by mulch. Temporary stabilization shall be in place WITHIN 14 DAYS of last disturbance. Adequate seeding and vegetative cover shall be maintained. A ground cover density of 70% or greater must be maintained. The contractor shall re -seed, water, and fertilize as necessary to maintain ground cover. Use the following methods to prevent erosion, control sedimentation, and prevent waterborne soil from entering surface waters and ditches for all areas of excavation, clearing and grubbing, and earth fill. C. Mechanical Control: 1. Divert runoff by constructing ditches or berms, and then filter runoff using filter fabric dams, sandbag berms, or other methods approved by the Engineer. 3.13 SEDIMENT CONTROL A. Prior to project initiation, the upland project construction areas must be isolated from water bodies by the use of BMPs to confine sediment. BMPs used for sedimentation control shall include at least one of the following: 1. Silt Fencing 2. Straw Bale Dikes 3. Diversion Dikes B. As construction progresses and unexpected seasonal conditions dictate, more sedimentation control facilities may be required to ensure sufficient siltation control is maintained. Therefore, during the course of the project, the Contractor shall review the in- place sedimentation control systems and provide additional facilities and structures as required to protect adjacent wetlands and waters. 4.00 MEASUREMENT AND PAYMENT 4.01 EXCAVATION AND GRADING A. Measurement: 1. No measurement for excavation and grading work of this section will be made. B. Payment: 1. Payment for excavation work of this Section will be made at the lump sum (LS) price for Bid Item No. 312300-1, Excavation and Grading, in the Schedule of Quantities and Prices. This price includes the excavation of native material to the lines and grades Protection of Environment 013543-5 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 shown on the drawings and disposal at the designated disposal site. This price includes the excavation and grading of approximately 5,000 cubic yards of native material to the lines and grades shown on the drawings. END OF SECTION Protection of Environment 013543-6 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01107/16 3/1/2018 014000 QUALITY CONTROL 1.00 GENERAL 1.01 QUALITY CONTROL A. The Contractor will establish and maintain quality control for all work performed and all Products supplied to assure compliance with the Specifications. B. The Contractor will maintain written records of his quality control tests, inspections, surveys or other measures. The Contractor will maintain written records of corrective action required and taken to assure these Specifications are followed. C. The Contractor shall perform surveys during construction as the work progresses to verify the lines, grades, and thicknesses of the installed materials. The results of the surveys shall be submitted to the Engineer for review. D. All work performed shall be in conformity with the lines, grades, slopes, cross sections, and dimensions shown in the Plans. If the Plans, Special Provisions, or these Specifications state specific tolerances, the work shall be performed within those limits. The Contractor shall not. deviate from the approved Plans and Working Drawings unless the Engineer approves in writing. E. At the Owner's request the Contractor will provide copies of any quality control records requested. 1.02 CONSTRUCTION SURVEYS A. Surveys performed during construction shall be done at no additional expense to the Owner. B. The Contractor shall perform all construction surveys of excavated areas, using electronic surveying equipment, required to layout and set any construction stakes and marks which are needed to establish the lines, grade, slopes, and cross sections. A baseline offset from the work area shall be established at a location that shall not be disturbed by construction activities and located close to the work so that it provides alignment and location reference. The Engineer shall be allowed to review the surveys prior to the start of materials placement. C. The electronic surveying method must be approved, in writing, by the Engineer, prior to beginning placement of Products on the Project. D. Surveys will be of sufficient frequency and accuracy during construction so that the Engineer can determine that existing materials are being removed and the new Products are being placed on the structure within the tolerances of the Specifications. E. The results of all construction surveys shall be submitted to the Engineer in a timely manner for review. The data shall be submitted to the Engineer on an electronic media (IBM compatible, ASCII format) in delimited files of timestamp (year, month, day, hour, min), casting, northing, and elevation (x,y.z), where elevation is indicated as negative for depths recorded below NAVD88 Datum 0.0 elevation. In addition, the data file shall list the project name, surveyor's name, area surveyed, date of survey, and the vertical (NAVD88) and horizontal (NAD83 Texas State Plane South Central — Feet) datums. Quality Control 0140 00 -1 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration .CMV -01/07/16 3/1/2018 F. The submitted survey data provided to the engineer shall be actual location data, collected during the survey operations. Decimated and/or interpolated survey data may also be submitted at the Contractors expense. A layout of the proposed survey plan shall be submitted to the Engineer prior to commencement of survey operations. G. The location of each cross section profile surveyed shall be referenced to the stationing shown on the project site plan. The Contractor shall plot the cross sections and profiles on a scale agreeable to both the Contractor and the Engineer, and submit hard copies to the Engineer for review. H. ALL CONSTRUCTION SURVEY DATA SUBMITTED TO THE ENGINEER SHALL BE REFERENCED TO THE NAVD88 VERTICAL DATUM - FEET AND NAD83 TEXAS STATE PLANE SOUTH CENTRAL — FEET HORIZONTAL DATUM. All bathymetric and topographic construction surveys shall be performed to the nearest 0.10 foot at the survey points and at all lines and breaks. The survey equipment specifications and the surveyor's statement of qualifications shall be submitted to the Engineer for approval. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT A. Measurement: 1. No separate measurement will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. B. Payment: 1. No separate payment will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Quality Control 014000-2 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 014216 DEFINITIONS AND STANDARDS 1.00 GENERAL 1.01 SUMMARY A. This section specifies requirements for compliance with governing regulations, codes, and standards. B. Requirements include obtaining permits, licenses, inspections, releases and similar documentation, as well as payments, statements and similar requirements associated with regulations, codes, and standards. 1.02 DEFINITIONS A. Definitions contained in this section are not necessarily complete but are general to the extent that they are not defined more explicitly elsewhere in the contract documents. B. "Indicated" refers to graphic representations, notes or schedules on the drawings, or other paragraphs or schedules in specifications, and similar requirements in Contract Documents. C. Terms such as "shown", "noted", and "specified" are used, it is to help locate the reference; no limitation on location is intended except as specifically noted. D. Terms such as "directed", "requested", "authorized", "selected", "approved", "required", and "permitted" mean "directed by the Engineer", "requested by the Engineer", and similar phrases. However, no implied meaning shall be interpreted to extend the Engineer's responsibility into the Contractor's area of construction supervision. E. The term "approved", where used in conjunction with the Engineer's action on the Contractor's submittals, applications, and requests, is limited to the responsibilities and duties of the Engineer stated in the Uniform General Conditions and Special Conditions. Such approval shall not release the Contractor from responsibility to fulfill contract document requirements unless otherwise provided in the contract documents. F. "Engineer' refers to Freese and Nichols, Inc. G. "Owner' refers to Calhoun County H. The term "Regulations" includes laws, statutes, ordinances, and lawful orders issued by authorities having jurisdiction, as well as rules. I. The term "Conventions" are agreements within the construction industry that control performance of the Work, whether they are lawfully imposed by authorities having jurisdiction or not. J. The term "furnish" is used to mean "supply. and deliver to the project site, ready for unloading, unpacking, assembly, installation, and similar operations". K. The term "install" is used to describe operations at project site including the actual "unloading, unpacking, assembly, erection, placing, anchoring, applying, working to dimension, finishing, curing, protecting, cleaning and similar operations". L. The term "provide" means "to furnish and install, complete and ready for the intended use". Definitions and Standards 0142 16 -1 TGLO Cycle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2013 M. An "installer" is an entity engaged by the Contractor, either as an employee, subcontractor, or sub -subcontractor, for performance of a particular construction activity, including . installation, erection, application and similar operations. Installers are required to be experienced in the operations they are engaged to perform. N. A "Project site" is the space available to the Contractor for performance of the work, either exclusively or in conjunction with others performing other construction as part of the project. The extent of the project site is shown on the drawings. 0. A "testing laboratory" is an independent entity engaged to perform specific inspections or tests, either at the project site or elsewhere, and to report on and, if required, interpret results of those inspections or tests. 1.03 INDUSTRY STANDARDS A. Applicability of Standards: 1. Except where contract documents include more stringent requirements, applicable construction industry standards have the same force and effect as if bound or copied directly into contract documents. Such standards are made a part of the contract documents by reference. Individual sections indicate which codes and standards apply to that section. The Contractor shall purchase and maintain available at the project site one copy of all specified standards, codes, documents or reports that have been referenced in the contract documents. 2. Referenced standards take precedence over standards that are not referenced but recognized in the construction industry as standard practice. B. Publication Dates: 1. Where compliance with an industry standard is required, comply with standard in effect as of data of contract documents. C. Conflicting Requirements: 1. Where compliance with two or more standards is specified, and they establish different or conflicting requirements for minimum quantities or quality levels, the most stringent requirement will be enforced unless the Contract Documents indicate otherwise. Refer requirements that are different but apparently equal and uncertainties as to which quality level is more stringent to the Engineer for a decision before proceeding. 2. In every instance the quantity or quality level shown or specified shall be the minimum to be provided or performed. The actual installation may comply exactly, within specified tolerances, with the minimum quantity or quality specified, or it may exceed that minimum within reasonable limits. In complying with these requirements, indicated numeric values are minimum or maximum values as noted or appropriate for the context of the requirements. Refer instances of uncertainty to the Engineer for decision before proceeding. D. Copies of Standards: 1. Each entity engaged in construction on the project is required to be familiar with industry standards applicable to that entity's construction activity. E. Abbreviations and Names: Definitions and Standards 014216-2 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 1. Trade association names and titles of general standards are frequently abbreviated. Where acronyms or abbreviations are used in the specifications or other Contract Documents they mean the recognized name of the trade association, standards generating organization, authority having jurisdiction or other entity applicable to the context of the text provision. F. Industry Standards: 1. In addition to Federal, state and local ordinances, the latest edition of industry standards shall apply as referred to in the drawings and Specifications SECTION 0142 19. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT A. No separate measurement or payment will be made for the Work in this Section. All the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Definitions and Standards 014216-3 TGLO Cycle 9 LEPRA Project No 1624— Port Alto North Beach Shoreline Restoration - CMV -01/07/16 3/1/2018 014219 CODES, STANDARDS, AND SPECIFICATIONS 1.00 GENERAL A. The standards under which the work is to be performed or tested are specified throughout the contract documents. Where such standards are specified, it shall be understood that the latest revision or edition at time of award shall apply. B. In referring to standards the following abbreviations have been used: Name Abbreviation American Association of State Highway & Transportation AASHTO Officials 444 North Capitol Washington, DC 20001 American Concrete Institute ACI Box 19150, Redford Station Detroit, MI 48219 American Institute of Steel Construction AISC 1221 Avenue of the Americas New York, NY 10020 American Institute of Timber Construction AITC 333 W Hampden Avenue Englewood, CO 80110 American Iron and Steel Institute AISI 1000 -16th Street NW Washington, D.C. 20036 American National Standards Institute ANSI 1430 Broadway New York, NY 10018 American Petroleum Institute API 2100 "L" Street NW Washington, D.C. 20037 American Plywood Association APA P.O. Box 11700 Tacoma, WA 98411 American Public Works Association APWA Codes, Standards, and Specifications 014219-1 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 Name Abbreviation American Society for Testing and Materials ASTM 1916 Race Street Philadelphia, PA 19103 American Society of Civil Engineers ASCE 345 East 47th Street New York, NY 10017 American Society of Heating, Refrigerating, and ASHRAE Air Conditioning Engineers American Society of Mechanical Engineers ASME 345 East 47th Street New York, NY 10017 American Water Works Association AWWA 6666 West Quincy Avenue Denver, CO 80235 Architectural Woodwork Institute AWI American Welding Society AWS 2501 NW 7th Street Miami, FL 33125 American Wood Preservers Association AWPA Associated General Contractors of America AGC 1957 East Street NW Washington, D.C. 20006 Concrete Plant Manufacturers Bureau CPMB 900 Spring Street Silver Springs, MD Concrete Reinforcing Steel Institute CRSI 933 Plum Grove Road Schaumburg, IL 60195 Federal Specification Board U.S. Fed. Spec. c/o Superintendent of Documents Mil. Spec. Codes, Standards, and Specifications 014219-2 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 Name Abbreviation American Society for Testing and Materials ASTM 1916 Race Street Philadelphia, PA 19103 American Society of Civil Engineers ASCE 345 East 47th Street New York, NY 10017 American Society of Heating, Refrigerating, and ASHRAE Air Conditioning Engineers American Society of Mechanical Engineers ASME 345 East 47th Street New York, NY 10017 American Water Works Association AWWA 6666 West Quincy Avenue Denver, CO 80235 Architectural Woodwork Institute AWI American Welding Society AWS 2501 NW 7th Street Miami, FL 33125 American Wood Preservers Association AWPA Associated General Contractors of America AGC 1957 East Street NW Washington, D.C. 20006 Concrete Plant Manufacturers Bureau CPMB 900 Spring Street. Silver Springs, MD Concrete Reinforcing Steel Institute CRSI 933 Plum Grove Road Schaumburg, IL 60195 Federal Specification Board U.S. Fed. Spec. c/o Superintendent of Documents Mil. Spec. Codes, Standards, and Specifications 014219-2 TGLO CVcle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 Name Abbreviation National Forest Products Association NFPA 1619 Massachusetts Avenue NW Washington, D.C. 20036 Occupational Safety and Health Administration US OSHA Department of Labor Governmental Printing Office Washington, D.C. 20402 Society of Automotive Engineers SAE 485 Lexington Avenue New York, NY 10017 Steel Structures Painting Council SSPC 4400 Fifth Avenue Pittsburgh, PA 15213 Texas Department of Transportation TXDOT 7901 North IH -35 Austin, Texas 78761-5426 Underwriters Laboratories UL 333 Pfingsten Road Northbrook, IL 60062 Uniform Building Code UBC Uniform Mechanical Code UMC Uniform Plumbing Code UPC Western Wood Products Association WWPA 1500 Yeon Bldg. Portland, OR 97204 C. Additional abbreviations will be defined as they appear in the specifications. 2.00 PRODUCTS A. Not applicable. Codes, Standards, and Specifications 014219-4 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT A. No separate measurement or payment will be made for the Work in this Section. All the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Codes, Standards, and Specifications 014219-5 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 017111 GRADES, LINES, AND LEVELS 1.00 GENERAL 1.01 CONSTRUCTION SURVEY A. General: 1. Survey control points have not been established at the site. Contractor shall establish virtual monuments sufficient for survey quality standards. Any monuments not referenced by the Drawings that are disturbed by construction operations shall be reset by the Contractor in accordance with recognized engineering and surveying practice. Property corners, fences or any other indications of property lines shall be referenced by the Contractor prior to construction and reset after completion of construction in accordance with recognized engineering and surveying practice. 2. The Contractor shall establish a Tide Staff referenced to the project datum, visible from the dredge area, to reference tidal corrections during dredge operations. The Tidal reference maker shall be approved by the Engineer prior to commencement of dredge operations. The tidal reference marker shall be maintained throughout dredge operations. B. Checking: 1. All working control established by the Contractor may be checked by the Engineer or Owner. Prior to establishing the working control, the Contractor shall provide, at the Engineer's request, sufficient copies of an illustration of the working control relative to pertinent construction. When the Contractor has established the working control, the Engineer shall be notified for a SURVEY CHECK 24 HOURS BEFORE any construction Work is started. All checking by the Engineer will be independent. The responsibility for correctness and adequacy of control shall be borne solely by.the Contractor. All original field notes, computations and other records taken by the Contractor for the purpose of quantity and conformance survey shall be furnished promptly to the Engineer. Quantity surveys, unless waived in each specific case, shall be made with the Engineer present. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT A. No separate measurement of payment will be made for the Work in this Section; all the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Grades, Lines, and Levels 017111-1 TGLO Cvcle 9, CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/112018 017113 MOBILIZATION AND DEMOBILIZATION 1.00 GENERAL 1.01 MOBILIZATION A. This section covers the mobilization of personnel, equipment, temporary security fencing, lay down mats, materials and supplies, and their transport to the job site. Also included is setting up the Contractor's complete construction plant, field office, and other construction facilities, as required for the Contractor's operation, all in adequate time for satisfactory performance of all Work under the Contract. 1.02 DEMOBILIZATION A. Demobilization shall include the removal of all construction plant, equipment and accessories, materials, supplies, appurtenances, construction debris and the like from the job site upon completion of the Work. 1.03 PERMITS A. USACE SWG-2012-00493 has been obtained for the project. The Contractor shall obtain, and pay for, all required building and other County construction permits and comply with applicable laws and regulations regarding mobilization, transport of equipment and materials, personnel and supplies, and the construction and maintenance of temporary facilities including but not limited to: structures, storage sites, laydown areas, and construction utilities. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION A. Not applicable. 4.00 MEASUREMENT AND PAYMENT 4.01 MEASUREMENT A. No measurement for Work of this Section will be made. 4.02 PAYMENT A. Payment for Mobilization and Demobilization Work of this Section will be made at the lump sum (LS) price for Bid Item No. 017013-1, Mobilization and Demobilization, in the Schedule of Quantities and Prices, which SHALL NOT EXCEED 10% of the Bid Subtotal. Payment for mobilization will be made with the first progress payment and will`be equal to 90% of the amount bid for Bid Item No.. 017013-1. Mobilization and Demobilization 017113-1 TGLO Cycle 9 LEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 B. The remaining 10% will be paid with the final project payment and will be proportional to the amount of the Contractor Use Areas that have been cleaned and restored to their original condition in a total amount of 10% of the amount bid. END OF SECTION Mobilization and Demobilization 017113-2 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/112018 017419 CONSTRUCTION WASTE MANAGEMENT 1.00 GENERAL 1.01 DESCRIPTION A. This section includes administrative and procedural requirements for the following: 1. Salvaging nonhazardous demolition and construction waste. 2. Recycling nonhazardous demolition and construction waste. 3. Disposing of nonhazardous demolition and construction waste. 1.02. DEFINITIONS A. Construction Waste: 1. Building and site improvement materials and other solid waste resulting from construction, remodeling, renovation, or repair operations. Construction waste includes packaging. B. Demolition Waste: 1. Building and site improvement materials resulting from demolition or selective demolition operations. C. Disposal: 1. Removal off-site of demolition and construction waste and subsequent sale, recycling, reuse, or deposit in landfill or incinerator acceptable to authorities having jurisdiction. 1.03 SUBMITTALS A. Landfill and Incinerator Disposal Records: 1. Indicate receipt and acceptance of waste by landfills and incinerator facilities licensed to accept them. Include manifests, weight tickets, receipts, and invoices. 1.04 WASTE MANAGEMENT PLAN A. General: 1. Develop plan consisting of waste identification and waste reduction work plan. Include separate sections in plan for demolition and construction waste. Indicate quantities by weight or volume, but use same units of measure throughout waste management plan. B. Waste Identification: 1.. Indicate anticipated types and quantities of demolition, site -clearing, and construction waste generated by the Work. Include estimated quantities and assumptions for estimates. C. Waste Reduction Work Plan: . 1. List each type of waste and whether it will be salvaged, recycled, or disposed of in landfill or incinerator. Include points of waste generation, total quantity of each type of Construction Waste Management 017419-1 TGLO CVcIe 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 waste, quantity for each means of recovery, and handling and transportation procedures. 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION 3.01 IMPLEMENTATION A. Training: 1. Train workers, subcontractors, and suppliers on proper waste management procedures, as appropriate for the Work occurring at Project site. B. Site Access and Temporary Controls: 1. Conduct waste management operations to ensure minimum interference with roads, streets, walks, walkways, and other adjacent occupied and used facilities. 3.02 DISPOSAL OF WASTE A. General: 1. Except for items or materials to be salvaged, recycled, or otherwise reused, remove waste materials from Project site and legally dispose of them in a landfill or incinerator acceptable to authorities having jurisdiction. 2. Except as otherwise specified, do not allow waste materials that are to be disposed of to accumulate on-site 3. Remove and transport debris in a manner that will prevent spillage on adjacent surfaces and areas. B. Burning: 1. Do not burn waste materials. C. Disposal: 1. Transport waste materials off Owner's property and legally dispose of them. 4.00 MEASUREMENT AND PAYMENT A. Not applicable. END OF SECTION Construction Waste Management 017419-2 TGLO Cycle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 311100 CLEARING AND GRUBBING 1.00 GENERAL 1.01 DESCRIPTION A. This section refers to the required work necessary to clear and grub the Work site. All deleterious material encountered during construction shall be removed and disposed of appropriately, as specified herein. B. Clearing and Grubbing: 1. Clearing includes, but is not limited to, removing and disposing of all trees, stumps, brush, rubbish, driftwood, organic topsoil, buried items, concrete, and other debris of every description in the work areas, except those objects shown on the Drawings or designated by the Owner to remain. C. Related Work Specified Elsewhere: 1. Protection of Environment—SECTION 013543 2. Excavation and Fill —SECTION 3123 00 2.00 PRODUCTS Not applicable. 3.00 EXECUTION 3.01 GENERAL CLEARING A. The site shall be cleared to the excavation and fill limits as shown on the Drawings. All areas which are to be excavated, or on which fill is to be placed shall be cleared by removing and disposing the items listed previously in this paragraph. All trees, piles, brush, stumps, snags, and other debris firmly embedded in the ground shall be cut off at the natural ground surface. Clearing outside the limits designated on the Drawings is not permitted. 3.02 ADDITIONAL CLEARING A. The Contractor will be permitted, at their expense, to clear the minimum additional areas within a distance of which are required to permit efficient operation of the equipment. Any additional clearing shall be performed only after receipt of written approval to do so. 3.03 GRUBBING A. Grubbing shall be performed across the full width of the proposed construction location. The footprint of the proposed structure shall also be grubbed prior to the start of installation of materials. All roots and projections over 1 % inches in diameter, and all steel rebar or other steel projections shall be removed to a depth of two feet below the bottom of the designated grade so not to puncture the geotextile filter fabric. Clearing and Grubbing .311100-1 TGLO Cycle 9 LEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 . 3.04 DISPOSAL OF MATERIALS A. Waste materials from the clearing and grubbing operations shall be disposed of in a legal manner. Materials shall be disposed of as soon as practicable after clearing and grubbing. Disposal of material by floating downstream will not be permitted and no buoyant spoil from clearing operations shall be left within the floodplain. Burning of material may be permitted only with the approval of the governing authorities. 4.00 MEASUREMENT AND PAYMENT 4.01 CLEARING AND GRUBBING A. Measurement: 1. No separate measurement will be made for the Work in this Section; all the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. B. Payment: 1. No separate payment will be made for the Work in this Section; all the costs of such Work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Clearing and Grubbing 311100-2 TGLO Cycle 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 312300 EXCAVATION AND FILL 1.00 GENERAL A. The Contractor should be aware that it is possible for material of differing characteristics to be present in the placement area. All excavation shall be performed within the horizontal and vertical limits of the Drawings. 1.02 DESCRIPTION A. Scope: 1. This section covers excavation and grading of the dredge material placement area. The work includes excavating, moving, placement, and compaction of excavated materials in the designated areas. B. Related Work Specified Elsewhere: 1. Quality Control —SECTION 0140 00 2. Protection of Environment —SECTION 0135 43 1.03 REFERENCES A. The publications list below forma part of this specification to the extent referenced: the publications are referred to in the text by the basic designation only. 1. American Society for Testing and Materials a. ASTM D1557-07, Standard Test Method for Laboratory Compaction Characteristics of Soil Using Modified Effort 2.00 PRODUCTS A. Not applicable. 3.00 EXECUTION 3.01 GENERAL A. The Contractor shall make themselves aware of all existing conditions at the Project Site and familiarize themselves with the requirements for excavation and fill as shown in the Drawings. The Contractor may use any control deemed necessary for the layout of work. B. No excavation or fill activities shall occur outside of the designated placement area boundaries. 3.02 EXCAVATION AND GRADING A. As shown on the Drawings and described in these specifications, the placement area will be excavated and filled using only the material available on site. Excavation should be limited to the lines and grades shown on the drawings. Excavation and Fill 3123 00 -1 TGLO Cvcle 9. CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 B. Areas to be excavated shall have all deleterious material removed prior to the start of excavation activities. The deleterious material shall be disposed of off-site in a legal manner by the Contractor, at no additional expense to the Owner. C. The central placement area will have a flat, planar slope, with no low -spots, and a maximum 1% grade from high to low elevations. D. The Contractor shall locate, identify, and protect existing utilities from damage during construction activities. The Contractor shall pre -mark all areas where excavation and grading operations are to occur and shall call "Dial Dig" (1-800-424-5555) and the Engineer 48 HOURS PRIOR to the start of construction activities. E. The Contractor is responsible for the design and adequacy of all temporary excavation slopes. The Contractor shall comply with all applicable regulations governing temporary excavation slopes, including Occupational Safety and Health Administration (OSHA). 3.03 GENERAL FILL PLACEMENT A. Ensure that areas to be filled are free from debris and water. B. Do not fill over ponded surface water or existing subgrade surfaces which are yielding, disturbed, or softened. C. Placement of fill shall be suspended when: 1. Weather or tidal conditions will not allow the proper placement of fill material. 2. Climatic conditions will not allow proper placement and compaction of fill. a. These "stoppage" conditions will be agreed upon by Contractor, Engineer, and Contractor, prior to commencement of construction. D. Fill areas to grades, contours, levels, and elevations describe in the Contract Documents. 3.04 STAKING A. The Contractor shall furnish, at his own expense, such stakes, templates, platforms, equipment, tools and material, and all labor as may be required in laying out any part of the work from the survey monuments, control data and elevations provided by the Engineer. It shall be the responsibility of the Contractor to maintain and preserve all monuments, stakes and other marks unless and until authorized to remove them, and if such marks are destroyed by the Contractor or through Contractor negligence, prior to their authorized removal, they may be replaced by the Engineer at his discretion, and the expense of replacement will be deducted from any amounts due or to become due the Contractor. All marking stakes (including grade stakes) placed by the Contractor must be completely removed upon completion of the project unless otherwise specifically accepted in writing by the Engineer. 4.00 MEASUREMENT AND PAYMENT 4.01 EXCAVATION AND GRADING A. Measurement: 1. No measurement for excavation and grading work of this section will be made. Excavation and Fill 312300-2 TGLO Cycle 9 CEPRA Project No 1624 — Port Alto North Beach Shoreline Restoration CMV — 01/07/16 3/1/2018 B. Payment: 1. Payment for excavation work of this Section will be made at the lump sum (LS) price for Bid Item No. 312300-1, Excavation and Grading, in the Schedule of Quantities and Prices. This price includes the excavation of native material to the lines and grades shown on the drawings and disposal at the designated disposal site. This price includes the excavation and grading of approximately 5,000 cubic yards of native material to the lines and grades shown on the drawings. END OF SECTION Excavation and Fill 312300-3 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 314000 STORM DRAINAGE 1.00 GENERAL 1.01 SCOPE A. This section covers drainage requirements for dredged material placement area. The work covers effluent runoff from dredged material placement under operational and emergency conditions. The intent of this section is to provide appropriate drainage control following state, local, and federal guidelines. B. This section includes gravity -flow, non -pressure storm drainage, dewatering of dredge material, and mechanically pumped water from the material placement site. 1.02 DESCRIPTION OF WORK A. All storm runoff and dredged material effluent will be contained within the project boundaries defined in the Contract Documents. All runoff will be contained within existing, or shall be mechanically pumped, such that the free -surface of all runoff remains below the shoulder elevation of the roadway. 1.03 REFERENCES A. The publications listed below forma part of this specification to the extent referenced. The publications are referred to in the text by the basic designation only. 1. American Society for Testing and Materials (ASTM): a. ASTM C478-08, Standard Specification for Precast Reinforced Concrete Manhole Section b._ ASTM C990-06, Standard Specification for Joints for Concrete Pipe, Manholes, and Precast Box Sections Using Preformed Flexible Joint Sealants c. ASTM C1173-06, Standard Specification for Flexible Transition Couplings for Underground Piping Systems d. ASTM D2321-05, Standard Practice for Underground Installation of Thermoplastic Pipe for Sewers and Other Gravity -Flow Applications e. ASTM D3034-06, Standard Specification for Type PSM Poly (Vinyl Chloride) (PVC) Sewer Pipe and Fittings f. ASTM D5926-04, Standard Specification for Poly (Vinyl Chloride) (PVC) Gaskets for Drain, Waste, and Vent (DWV), Sewer, Sanitary, and Storm Plumbing Systems g. ASTM F477-07, Standard Specification for Elastomeric Seals (Gaskets) for Joining Plastic Pipe h. ASTM F1417-92(2005), Standard Test Method for Installation Acceptance of Plastic Gravity Sewer Lines Using Low -Pressure Air L ASTM F1668-08, Standard Guide for Construction Procedures for Buried Plastic Pipe Storm Drainage 33 40 00 -1 TGLO Cycle 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 2.00 EXECUTION 2.01 EMERGENCY CONDITIONS A. It shall be the Contractor's responsibility to maintain satisfactory control of dredged material such that under any emergency conditions during the placement activities, all effluent will remain within the defined project boundaries, and shall not cross any project boundaries or overtop the existing roadway. 3.00 MEASUREMENT AND PAYMENT 3.01 BEACH PLACEMENT A. Measurement: 1. No separate measurement will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. B. Payment: 1. No separate payment will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Storm Drainage 334000-2 TGLO Cycle 9 CEPRA Project No 1624— Port Alta North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 35 20 23 DREDGING 1.00 GENERAL A. The work covered by this Section consists of furnishing all labor, materials, plant and equipment, and performing all operations required for removal of the material from the dredge areas as indicated, placing the material within the limits specified placement area herein and shown on the Contract Drawings, and conducting pre- and post -dredging and placement surveys. All work shall be performed and conform to the Federal and State permits issued for the project, as well as United States Coast Guard (USCG) regulations. 1.02 REFERENCES A. The following references forma part of this specification to the extent referenced. The publications are referred to in the text by basic designation only. Geotechnical information for dredge area is available from the Engineer upon request. 1. AMERICAN SOCIETY FOR TESTING AND MATERIALS (ASTM) a. ASTM D 422 (1998) Test Method for Particle -Size Analysis of Soil 2. US ARMY CORPS OF ENGINEERS, ENGINEERING MANUALS (USACE, EM) a. EM 1110-2-1003 (2002) Hydrographic Surveying 3. US ARMY CORPS OF ENGINEERS, ENGINEERING CIRCULARS (USACE, EC) a. EC 1130-2-210 (1998) Hydrographic Surveying 1.03 DESCRIPTION A. Scope: 1. This section covers Dredging & Placement of dredged materials to all lines and grades indicated in the Design Plan Set. The work includes dredging and placing dredged materials. B. Over Depth Dredging: 1. Dredging shall not take place outside allowable cut areas within the dredge area limits as shown on the Drawings. Dredging shall meet the full dredge depth, with allowable tolerance, as indicated in the Contract Drawings. 2. The Contractor will be required to compensate the Owner for any costs, fines or other expenses related to permit violations resulting from Contractor negligence in complying with permits for the project. Compensation will be in the form of a deduction in payments due to the Contractor from the Owner, or may be recovered from the Contractor's bond. C. Transport of Dredged Materials: 1. For hydraulically placed sediment, the proposed location(s) of the dredge pipeline shall be submitted and approved by the Engineer priorto placement of the pipeline. The Contractor shall maintain a tight discharge pipeline at all times. The joints shall be so constructed as to preclude spillage and leakage. Leaks shall be promptly repaired and Dredging 352023-1 TGLO Cycle 9 CEPRA Project No 1624—Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 the dredge shall be shut down until complete repair has been made to the satisfaction of the Engineer. The Contractor will transport the Engineer to the leak repair site for visual inspection if so requested by the Engineer. Failure to repair leaks or change the method of operation which is resulting in significant leakage will result in suspension of dredging operations and require prompt repair or change of operation to prevent leakage as a prerequisite to the resumption of dredging. Significant leakage shall be such that it exceeds turbidity and water quality standards or results in loss of material as may be considered significant by the Engineer. D. Work Area: 1. The construction and placement area limits available to the Contractor for accomplishing the work are shown on the Drawings. Construction access location is also shown in the drawings. The Contractor shall accomplish the work in such a manner so as to minimize disruption to traffic. Contractor shall maintain traffic access along all existing roadways, by providing temporary ramps over any hoses, pipes, or other equipment used for placement of dredge material or effluent runoff control. 2. The Contractor will be permitted to exclude the public for safety purposes from the work areas in the immediate vicinity of the fill placement and grading operations. 3. All storage areas shall be kept neat and orderly, and in a manner supporting the public safety. 4. The Contractor shall provide and maintain barricades, warning signals, and a flag person as required by local, State or Federal regulations or as directed by the Engineer at the discharge site to ensure public safety. If the Contractor is not able to keep and maintain the public at a safe distance from construction activity, the Contractor is to notify the Engineer or Owner and request assistance in controlling public access to the active construction site. 5. Access from the road to the work area will be provided by Contractor. All access to placement area will be constructed and maintained by Contractor. The Contractor shall allow for adequate drainage for all runoff from dredge placement area. E. Damages 1. Any damages to private or public property resulting from the Contractor's operations shall be repaired by the Contractor at the Contractor's expense. The Engineer and Owner shall determine if repairs are required and the owner of the damaged property will determine if the property has been repaired to its previous condition, before the Contractor receives approval of repairs and receives final payment. F. Permits 1. The Contractor shall comply with all requirements under the terms and conditions set out in all permits applicable to the work. Specifically, the Contractor will familiarize himself with specific conditions contained in the U.S. Army Corps of Engineers (USACE) permits and other requirements for State approvals for the project. Any other licenses, easements or approvals required, including, but not limited to those which may be required by Owner shall be secured and paid for by the Contractor. 2. The Engineer will notify the Contractor and the Owner of any observed noncompliance with the aforementioned Federal, State, or local laws or regulations, or permits The Dredging 352023-2 TGLO Cvcle 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 Owner will determine what action will be taken and such response will be transmitted to the Contractor by the Engineer which may include stopping construction of the project until the Contractor complies with the permit requirements. Nevertheless, it remains the sole responsibility of the Contractor to comply with all applicable Federal, State or Local laws or regulations, and permits. It will also be the Contractor's responsibility to advise all subcontractors to comply with all applicable laws, regulations, and permit requirements. 1.04 WEATHER CONDITIONS A. The project area may be affected by tropical storms and hurricanes primarily from June through November, and by windy and/or rainy weather, including severe electrical storms, during any time of the year. The Contractor shall be responsible for obtaining information concerning rain, wind and wave conditions that could influence dredging and placement operations prior to making a bid. It is also the Contractor's responsibility to use this information to employ the appropriate equipment, methods, and sequencing of all work. A list of publications containing climatological and meteorological observations and data for the project area is provided. Other publications may be available in addition to the following: 1. Local Climatological Data -Monthly Summary: Published by the National Oceanic and Atmospheric Administration (NOAA), Asheville, NC. Subscription price and ordering information available from the National Climatic Data Center, Federal Building, Asheville, NC 22801. This publication gives hourly wind speed and direction observations. The Annual Summary gives a summary of the observations for the period ofrecord. 2. Summary of Synoptic Meteorological Observations: North American Coastal Marine Areas Atlantic and Gulf Coasts. Produced by Naval Weather Service, U.S. Department of Commerce. Distributed by National Technical Information Service, U.S. Department of Commerce. 3. Wave hindcast data is available from "Wave Information Studies of U.S. Coastlines, Gulf of Mexico, Hindcast Wave Information" produced by the U.S. Army Corps of Engineers, Waterways Experiment Station, Coastal and Hydraulics Laboratory. The data is posted at http://frf.usace.army.mil/wis/. 4. Measured wave data is available online at the NOAA Satellite and Information Service. The data is collected by the National Buoy Data Center and posted by the National Oceanic and Atmospheric Administration. http://www.nodc.noaa.gov/BUOY/begm.htmi 1.05 OBSTRUCTION TO NAVIGATION A. The Contractor will be required to operate in compliance with pertinent U.S. Coast Guard regulations and to conduct the work in such a manner as to minimize any obstruction to navigation. If the Contractor's plant so obstructs any navigation channel as to make navigation difficult or endanger the passage of vessels, said plant shall be promptly moved on the approach of any vessel to such an extent as may be necessary to afford a practicable passage. Upon completion of the work, the Contractor shall promptly remove his plant, Dredging 352023-3 TGLO Cycle 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/112018 including ranges, buoys, piles and other marks or objects placed in navigable waters or on shore. 1.06 SUBAQUEOUS CABLE CROSSINGS A. The Contractor shall be responsible for verifying the locations and depths of all utility crossings and take precautions against damages which might result from his operations, including without limitation, the sinking of dredge spuds and/or anchors into the channel bottom, in the vicinity of utility crossings. If any damage occurs as a result of his operations, the Contractor will be required to suspend dredging until the damage is repaired and approved by the Engineer. Costs of such repairs and downtime of the dredge and attendant plant shall be at the Contractor's expense. 1.07 SUBCONTRACTORS A. Assurance of compliance with all sections of the contract by subcontractors will be the responsibility of the Contractor, including compliance with all environmental and permit requirements. 2.00 PRODUCTS Not applicable 3.00 EXECUTION 3.01 DREDGING A. The Contractor agrees to keep on the job sufficient equipment to meet the requirements of the work. The dredge plant shall be in satisfactory operating condition and capable of safely and efficiently performing the work as set forth in the Contract Documents. The plant shall be of sufficient size and capacity to complete the work in a timely manner, meeting or exceeding Contract Document requirements for the construction time period. B. The Contractor may encounter obstructions during excavation, such as submerged stone, stumps, timber piles and debris. All debris resulting from the dredging of the marina shall be separated from the earthen materials and removed from the site of work and disposed of in accordance with SECTION 311100—Clearing and Grubbing. C. Methods of dredging and excavation shall be utilized that minimize turbidity levels, caused by construction activities. Such as reducing the speed at which the crane or excavator lowers and raises the bucket through the water column and reducing.the speed at which the materials are removed and disposed of with the bucket. D. All excavation shall be performed within the limits and depths of the dredge area indicated on the Contract Drawings. Excavation shall be performed in a uniform and continuous manner as to avoid multiples holes, valleys, or ridges. The Contractor shall dredge no deeper than the maximum elevation shown on the contract drawings. Dredging and excavation activities shall comply with requirements of federal, state, and local permits and the Provisions in SECTION 0135 43, Protection of the Environment. E. Dredging shall be to full depth as shown! - n Contract Drawings. There shall be no impact to existing structures (bulkheads, piles, decking, piers, etc.) during any phase of the dredge Dredging 352023-4 TGLO Cycle 9 CEPRA Proiect No. 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/2018 project operations. For dredging operations WITHIN DEFINED PROJECT BOUNDARIES, DREDGING SHALL NOT OCCUR WITHIN 10 FT OF THE TOE OF ANY EXISTING BULKHEAD STRUCTURE OR RUBBLEMOUND TOE REVETMENT, and dredging operations shall not impact any existing structures including but not limited to: bulkheads, piles, decking, piers, and/or outfalls. F. All pipelines for hydraulic machines must be kept in good condition at all times and any leaks or breaks along their length must be promptly and properly repaired. G. No reduction in the capacity of the plant employed on the work shall be made except by written permission of the Engineer. The measure of the "capacity of the plant" shall be its actual performance on the work to which these specifications apply. The Engineer, at his discretion, may order a field test of the capacity of the plant at the Contractor's expense. If the plant, in the Engineer's opinion, is not of sufficient capacity, the Engineer may direct the Contractor to replace the plant with a larger capacity plant. 3.02 MISPLACED MATERIAL A. Should the Contractor, during the progress of the work, lose, discard, throw overboard, sink, or misplace any material, plant, machinery, equipment, or appliance, which in the opinion of the Engineer should be removed, the Contractor shall recover and remove the same with the utmost dispatch. The Contractor shall give immediate notice, with description and location of such material, plant, machinery, equipment, or appliance, to the Engineer or inspector. B. Should the Engineer discover such material, plant, machinery, equipment, or appliance, the, Engineer will locate through electronic means or buoy the material, plant, machinery, equipment, or appliance, and notify the Contractor of its location. Removal of the material, plant, machinery, equipment, or appliance, shall be the responsibility of the Contractor and cost of the removal will be paid for by the Contractor. C. Costs will include the cost for Engineer to locate and buoy such material, plant, machinery, equipment, or appliance and observe their removal operation. The Engineer's cost will be deducted from the final contract payment. Should the Contractor refuse, neglect, or delay compliance with the above requirements, such material, plant, machinery, equipment, or appliance may be removed by the County, and the cost of such removal may be deducted from any money due or to become due to the Contractor or may be recovered under his bond. D. The liability of the Contractor for the removal of a vessel wrecked or sunk without fault or negligence shall be limited to that provided in Sections 15, 19, and 20 of the River and Harbor Act of March 3, 1899 (33-U.S.C. 410 et.seq.). 3.03 RESTRICTION OF PUBLIC ACCESS A. The Contractor shall be required to erect, maintain, and move as necessary, a restrictive barrier around the discharge of his hydraulic pipeline (or other mechanical off loader). The barrier shall be constructed so as to prevent the public from approaching the discharge from any direction closer than 100 feet. The Contractor shall post signs in a conspicuous manner stating, "DANGER - HIGH PRESSURE DISCHARGE FROM DREDGE." The Contractor shall be required to prevent any public access to the end of the dredge discharge. If the public does not heed warning signs and/or restrictive barriers, the Contractor shall contact the Engineer Dredging 352023-5 TGLO CVCIe 9 CEPRA Project No. 1624— Port Alto North Beach Shoreline Restoration CMV -01/07/16 3/1/201 or Owner for assistance in maintaining the public at a safe distance from construction activities. 3.04 PUMPING OF BILGES. A. Contractors are cautioned that pumping oil or bilge water containing oil into navigable water or into areas which would permit the oil to flow into such waters, is prohibited by Section 13 of the Rivers and Harbors Act of 1899 approved March 3, 1899 (30 Stat. 1152; 33 U.S.C. 407). Violation of this prohibition is subject to penalties provided for under the referenced acts. 3.05 RISK OF LOSS. A. The Work and everything pertaining thereto shall be performed at the sole risk and cost of the Contractor from commencement until final payment by the Owner. Any specific references contained in the Contract Documents, including the Specifications, that the Contractor shall be responsible at its sole risk and cost for the Work or any part thereof are not intended to be, nor shall they be construed to be, an exclusive listing of the circumstances in which the Contractor bears the risk of loss, but rather they are intended only to be exemplary. B. All loss or damage arising out of the nature of the Work, or from the action of the elements, or from hurricanes, tropical storms, or from any unusual obstruction or difficulty, or any other natural or existing circumstances either known or unforeseen, that may be encountered in the prosecution of the Work, shall be sustained and borne by the Contractor at its own cost and expense. C. The Contractor shall have no claim against the Owner or Engineer because of any damage or loss to the Work or Contractor's materials, equipment or supplies, including no claim for loss or damage due to simultaneous work by others, and the Contractor shall be responsible for the complete restoration of damaged Work to its original condition complying with the Contract Documents. Notwithstanding any other provision of this Contract, this obligation shall exist without regard to the availability of any insurance, either of the Owner, Engineer or the Contractor, to indemnify, hold harmless or reimburse the Contractor for the cost incurred in making such restoration. 3.06 FINALCLEAN-UP A. The Contractor is required to restore any disturbed areas outside of the project boundaries. Final clean-up shall include the removal of the Contractor's plant and all equipment or materials either for disposal or reuse. Plant and/or equipment or materials to be disposed of shall only be disposed of in a manner and at locations approved by the Engineer or Owner. B. Unless otherwise approved in writing by the Engineer, the Contractor will not be permitted to abandon pipelines, pipeline supports, pontoons, or other equipment in the disposal area, pipeline access areas, water areas, or other areas adjacent to the work site. Any stakes or other markers placed by the Contractor must be removed as a part of the final clean-up. Grade stakes placed during the placement operation shall be completely removed and shall not be left buried at the placement site. Dredging 352023-6 TGLO CVcIe 9 CEPRA Project No 1624— Port Alto North Beach Shoreline Restoration CMV —01/07/16 3/1/2018 3.07 OIL AND HAZARDOUS MATERIAL SPILLS AND CONTAINMENT A. The Contractor shall ensure that all hazardous material spills are immediately reported to the Engineer. All hazardous material spills shall be immediately cleaned up in accordance with the U.S. Army Corps of Engineers' Safety and Health Requirements Manual, EM 385-1- 1. In accordance with EM 381-1-1, the Contractor shall use suitable methods such as dikes or curbs to prevent the spread of hazardous materials from above ground storage tanks and piping in case of leakage. 3.08 HURRICANE AND SEVERE STORM PLAN A. If operations are conducted during hurricane season (September through November), then the Contractor shall submit a Hurricane and Severe Storm Plan within twenty (20) calendar days after the Notice of Award and prior to the pre -construction conference. This plan shall include but not be limited to the following: 1. Types of storms possible (winter storm, tropical storm or hurricane). 2. Time intervals before storms strike the project area when action will be taken and details of the actions to be taken. The plan should be specific as to what weather/wave conditions will require work shutdown, removal of dredge, etc. 3. List of the equipment to be used on the job and its ability to handle adverse weather and wave conditions. 4. List of safe harbors or ports and the distance from the work area to these harbors and the time required to move the equipment to these harbors or ports. Copies of letters of approval for the use of these safe harbors or ports (local authorities, U.S. Coast Guard, etc.) where applicable. 5. Method of securing equipment in these safe harbors or ports. 6. List of equipment to be utilized to make this move to safe harbors or ports (tug boats, work boats, etc.), to include the name and horsepower of this equipment. The plan will include only equipment capable of making the move to safe harbors or ports in adverse weather or sea conditions. 7. Methods of securing equipment not moved; i.e., pipelines (floating or submerged), pumpout stations, etc. 8. Plan of evacuation to include interim measures; i.e., immediate reaction plans to be taken for all storm occurrences, particularly sudden/flash storms. 9. Operating procedures to be undertaken when critical dredge equipment fails during sudden and severe adverse weather conditions, to include breaking of spuds, swing wires, anchor wires, or other mooring equipment or facilities. B. The Contractor shall continually monitor the NOAA marine weather broadcasts, and avail themselves of such other local or regional commercial weather forecasting services as may be available. Dredging 352023-7 TGLO Cycle 9 CEPRA Project No. 1624 — Port Alto North Beach Shoreline Restoration CMV —01/07/16 3/1/2018 4.00 MEASUREMENT AND PAYMENT 4.01 DREDGING A. Measurement: 1. No'separate measurement will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. B. Payment: 1. No separate payment will be made for the Work in this Section; all the costs of such work shall be included in the prices bid for the various items in the Schedule of Quantities and Prices. END OF SECTION Dredging 352023-8 TGLO Cycle 9 CEPRA Project No.1624 — Port Alto North Beach Shoreline Restoration CMV—.01/07/16 3/1/2018 PORT ALTO EMERGENCY BEACH RESTORATION DESIGN Texas General n, CONSTRUCTION DRAWINGS Feb 2018 PREPARED FOR: - COMMISSIONER CLYDE SYMA CALHOUN COUNTY PRECINCT 3 w;�tNT E OF SHEET INDEX SHEET NO. DESCRIPTION GENERAL / COVER G-1 GENERAL NOTES COASTAL EROSION PLANNING AND RESPONSE ACT - G-2 PROJECT LOCATION CYCLE 9, CEPRA PROJECT NO: 1624 G-3 SITE LAYOUT PORT ALTO NORTH BEACH SHORELINE RESTORATION PROJECT G-4 CONTOUR MAP CALHOUN COUNTY, TEXAS CIVIL C-1 SITE PLAN �1 C-2 CROSS SECTIONS OF FREESE IIIICHOLS 10431 Marcelo Circle, Suite 300 Austin, Texas 78759 Phone — (512) 617-3100 Fax —(512) 617-3101 Web — www.freese.com FNI PROJECT NO: CCY17350 Freese and Nichols, Inc. Texas Registered Engineering Firm F-2144 oeAFT iHI5 NAUPiPHVNO0SPfCRVOYMFVIFMFlHIISRWaloPo Hf I— VNxn CN .E. iE%M1SNOA., aNOAie]/8/EOM RISN.I.KNSEDiOP rAHAflVRIOry 311 OR PERMM Ps`"=i GENERA- NOTES 1 - THE FOLLOWING NOTES ARE GENERAL AND APPLY TO ALL SHEETS OF THESE CONTRACT DOCUMENTS AS IF THEY WERE WRITTEN IN THEIR ENTIRETY ON EACH SHEET. 2 - COORDINATE ALL WORK WITH THE NATURE CONSERVANCY REPRESENTATIVE. 3 - CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING ALL NECESSARY PERMITS AND BONDS PRIOR TO START OF CONSTRUCTION WORK. 4 - ALL CONSTRUCTION TO BE IN ACCORDANCE WITH THE CONTRACT DOCUMENTS AND IS SUBJECT TO INSPECTION BY THE OWNER'S REPRESENTATIVE AND THE PRINCIPAL ARCHITECT/ENGINEER. OBTAINED FROM PREVIOUS CONSTRUCTII AND ELEVATIONS SHALL BE VERIFIED IN 6 - CONTRACTOR SHALL BE RESPC AND DEPTH OF ALL EXISTING STRU( CONSTRUCTION AREA PRIOR TO THE PERFORMED ADJACENT TO EXISTING EXCAVATED BY HAND AND IN SUCH FIELD BY THE STRUCTURES, AND REPAIR OR IY CONTRACTOR AT EOUIRED TO PROTECT R IF THERE IS BEFORE FOR DETERMINING AND VERIFYING THE LOCATION UTILITIES AND PIPING WITHIN THE IMG OF CONSTRUCTION. EXCAVATION S TO REMAIN OR CROSSING UTILITIES SHALL BE OWNER AWAY FROM THE WORK AREA AND THEN REINSTALL THEM ONCE NEW WORK IS COMPLETE. CONTRACTOR SHALL SUBMIT A PLAN 70 THE PRINCIPAL ARCHITECT/ENGINEER AND OWNER'S REPRESENTATIVE FOR REVIEW AND APPROVAL OF ANY PROPOSED TEMPORARY UTILITY RELOCATION. TEMPORARY UTILITY RELOCATIONS SHALL BE ACCOMPLISHED IN ACCORDANCE WITH UTILITY OWNER SPECIFIED MAXIMUM ALLOWABLE CRITERIA INCLUDING MAXIMUM ALLOWABLE DEFLECTIONS AND SCHEDULE DURATIONS 7 - CONTRACTOR IS RESPONSIBLE FOR PROVIDING CONSTRUCTION STAKING. CONTRACTOR WILL VERIFY EXISTING CONDITIONS 8 - CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING ANY AND ALL TEMPORARY SLOPE PROTECTION, INCLUDING SHEET PILING. NECESSARY TO PREVENT ALL LEVEE EMBANKMENTS FROM SLOUGHING DURING CONSTRUCTION. TEMPORARY MEASURES ARE TO BE REMOVED WHEN CONSTRUCTION IS COMPLETED. SLOUGHING CAUSED BY CONTRACTOR'S FAILURE TO ADEO(TATELY PROTECT/MAINTAIN SLOPES SHALL BE REPAIRED TO OWNER'S SATISFACTION AT NO COST TO OWNER. 9 - THE CONTRACTOR SHALL NOT DISPOSE OF ANY EXCAVATED MATERIALS "THIN AN AREA DESIGNATED AS BEING "THIN THE 100 -YEAR SPECIAL FLOOD HAZARD AREA. IT SHALL BE THE CONTRACTOR'S RESPONSIBILITY TO VERIFY THE FLOOD PLAIN STATUS OF ANY PROPOSED DISPOSAL SITE. 10 - CONTRACTOR SHALL MAINTAIN ADEQUATE SITE DRAINAGE TO ENSURE A DRY WORK AREA AT ALL TIMES DURING CONSTRUCTION. 11 - CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING ADEQUATE SECURITY TO PROTECT HIS PROPERTY, EQUIPMENT, WORK IN PROGRESS AND COMPLETED WORK. 12 - THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE DAILY CLEAN-UP OF THE SITE AND FOR ANY IMPACTS TO SURROUNDING AREAS DUE TO CONSTRUCTION ACTIVITIES (THIS INCLUDES CLEAN-UP OF ROADWAYS). 13 - CONTRACTOR SHALL PREVENT ANY UNNECESSARY DAMAGE TO ANY AREA "THIN THE CONTRACT DOCUMENTS ALL INCIDENTAL DAMAGE SHALL BE REPAIRED IMMEDIATELY AT NO COST TO OWNER. 14 - CONTROL POINTS AND BENCHMARKS ARE LOCATED ON -SITE -AS INDICATED ON DRAWING SHEET X -X. 15 - PROPOSED CONTOUR LINES, SPOT ELEVATIONS AND SLOPE INDICATORS REPRESENT FINISHED GRADES. 16 - OBTAIN AND COMPLY WITH ALL APPLICABLE CITY, COUNTY, STATE, AND FEDERAL PERMITS AND APPROVALS, WITH ASSISTANCE FROM PRINCIPAL ARCHITECT/ENGINEER AND OWNER'S REPRESENTATIVE, IF NECESSARY. 17 - CONTRACTOR SHALL VERIFY AND DEMARCATE (FLAG OR STAKE) EASEMENTS IN THE FIELD PRIOR TO CONSTRUCTION. 18 - CONTRACTOR MAY USE ALL PERMANENT EASEMENTS WITHIN LIMITS OF CONSTRUCTION FOR WORK, LAYDOWN AREAS, ETC. CONTRACTOR MUST RESTORE ALL AREAS TO PRE-EXISTING. CONDITIONS OR BETTER AT NO ADDITIONAL COST TO OWNER. 19 - CONTRACTOR SHALL SUBMIT PROPOSED LAYDOWN AREA LOCATIONS FOR OWNER'S APPROVAL. LAYDOWN AREAS MUST BE WITHIN OWNER'S EASEMENT BOUNDARIES AND LIMITS OF CONSTRUCTION SHOWN ON THESE CONTRACT DRAWINGS CONTRACTOR IS RESPONSIBLE FOR OBTAINING ADDITIONAL TEMPORARY WORK SPACES AS NECESSARY. 20 - LIMITS OF CONSTRUCTION DO NOT ALWAYS COINCIDE WITH OWNER'S EASEMENT BOUNDARIES SHOWN ON THESE PLANS. 21 - DUE TO THE PRESENCE OF POTENTIAL WETLANDS, CONTRACTOR IS TO TAKE ALL MEASURES NECESSARY TO STAY COMPLETELY WITHIN THE LIMITS OF CONSTRUCTION. CONTRACTOR MAY OPERATE EOUIPMENT IN POTENTIAL WETLAND AREAS PROVIDED APPROPRIATE PROTECTIVE MEASURES ARE USED AND THE SITES ARE RESTORED TO PRE -CONSTRUCTION CONTOURS AND CONDITION. IF NECESSARY FOR ACCESS, CONTRACTOR MAY REMOVE TREES FROM POTENTIAL WETLAND AREAS PROVIDED TREES ARE CUT AT THE BASE USING HAND TOOLS LEAVING ROOT BALLS INTACT. 22 - LIVESTOCK MAY BE PRESENT IN THE PROJECT VICINITY. CONTRACTOR SHALL ENSURE THAT ANY AND ALL LIVESTOCK FOUND "THIN PROJECT LIMITS SHALL NOT BE HARMED IN ANY WAY, CONTRACTOR SHALL CONSTRUCT TEMPORARY FENCING TO CONTAIN LIVESTOCK IF EXISTING FENCING USED TO CONTAIN LIVESTOCK IS REMOVED. UPON NOTICE OF ANY AND ALL LOOSE LIVESTOCK, CONTRACTOR SHALL NOTIFY THE OWNER'S REPRESENTATIVE, CONSTRUCTION MANAGER, PROJECT INSPECTOR, AND OWNER'S STAFF AS SOON AS POSSIBLE. Vertical Datum Reference Elevation Relative to NAVD88 (ft) ® I I ® I ® I, U Q W 0] O Z W 0 W W WZ w� 'i0 Sp FQwW =www �3zs ,eNoo s� o �-WUNJ -opo 0 o' z' oo�a,o Cn W H O Z J Q W Z W G-1 1 OF 6 s NORTN VICINITY SCALE IN FEET VICINITY MAP NORTH D 500' 1000' SCALE IN FEET Wo CG gzarp °oz � am Oo OWR2�U O NOOm�lJ NZ i7�W-O FnQFtm U Q w OJ U Z w C) w w G-2 2 OF 6 W a u ----w-Z—ow a Ul z� 0 CL o Q 3D' 60' 00 Z os o zaNrc Q3wao� �+wwcavp LL o•YO�a Q zgv_I � 001, �0 ~pOC U-20 0 pow zz F A �d41-Cm` ■.O n WV " s N M O I v r ih W5 SI-mr p�Cl� V V]N vl a Y�icx p� 1- U I— Q W W ry = QC L►J W CE O D Z 00 O I— z U Q z z z — U' C9 LO �.- W 0 0 0 rn rn N M sF W 70 G-4 4 OF 6 Z� 3 a� �� �� ��d N � ng � °'ik ��r J X J 0. 1 vV � � � � v aro Nrc� � tea, �� � o� no`o maw � jP V Z y E � R DocuSlgn Envelope ID; B50DA6FD-A1F5-0205-gCBE-3154A52BOODE GLO Contract No. 16-384-000-9971 Amendment No. 2 THE GENERAL LAND OFFICE (the "GLO") and CALHOUN COUNTY, ("Provider"), each a "Party" and collectively "the Parties" to that certain contract effective on July 18, 2016 and denominated GLO Contract No. 16-384-000-9971 (the "Contract"), now desire to amend the Contract. WHEREAS, the Parties desire to extend the term of the Contract; NOW, THEREFORE, the Parties hereby agree as follows: 1. SECTION 3.01 of the Contract, DURATION, is amended to reflect a termination date of August 31, 2018. 2. This Amendment No. 2 shall be effective upon the earlier of the date of last signature or August 31, 2017. 3. The terms and conditions of the Contract not amended herein shall remain in force and effect. 4. Further material revisions to the Contract shall be by written agreement of the Parties. SIGNATURE PAGE FOLLOWS GLO Contract No. 16-384-000-9971 Amendment No. 2 Page 1 of 1 DocuSign Envelope ID: B50DA6FD-A1F5-4205-SCBE-3154A52B00DE SIGNATURE PAGE FOR AMENDMENT No. 2 UNDER GLO CONTRACT No. 16-384-000-9971 GENERALLAND OFFICE pocuSigned by: �dd25SlBDYgo.Idsal.. Anne L. , Chief Clerk/ Deputy Land Commissioner Date of execution: 8/21/2017 CALHOUN COUNTY DoGaftned by: 7M M syma Title: commissoner Date of execution: 8/21/2017 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK DocuSlgn Envelope ID: B50DA6FD-A1F5-4205-DCBE-3154A52BOODE SUPPORTING DOCUMENTS DocuSign Envelope ID: B50DA6FD-A1 F51t205-9CBE-3154A52BOODE Search... Open Market Requisition X0009266 Status: 1RGP - Gone to PO a General Items Vendors Address Accounting Routing Attachments(2) Notes Reminders Summary Header Information Requisition Number: X0009266 Organization' Texas General Land Required By Date: Office and Veterans Open Market Land Board Department: 07000 - Coastal Fiscal Year: 2016 Resources Entered Date: 04/09/2016 Requestor: Kelly Brooks Contact: Kelly Brooks Estimated Cost: $240,000.00 Solicitation Enabled: No Invoice Method: Three Way Match P -Card Desired: No Ship -to Address: Attachments Agency Files: standard-drf-18.pdf 9266 Agency Forms: Vendor Files: Vendor Forms: Short Description: CEPRA#1624-PCAto facilitate beach Status: 1RGP nourishment and permit amendment at Port Alto North Beach Gone to PO Location: 07001- Grant Programs Required By Date: Requisition Type: Open Market Type Code: Purchaser: Debra French Fiscal Year: 2016 Contact Phone: (512)463-2198 Alternate ID: Print Format: Requisition print form Bill -to Address: Texas General Land Office and Veterans Land Board Cash Disbursements Contact Name: Roland Torres PO Box 12873 Austin, TX 78711 USA Email: Vendorinvoices@glo.texas.gov Phone: (512)463-3883 https:/@uy.glo.texas.govlbsolrequisitionlregSummary.sdo?docld=X0009266[8/10/2017 1:02:51 PM] Bu -.c -_..a n..u.... DocuSign Envelope ID: B50DA6FD-A1F5-4205-9CBE-3154A52BOODE Item Information Ri Approval Paths Approval Path - VENDORCHK - ( Vendor Check) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver . 1 Diane 1 04/13/2016 02:00 PM 04/13/2016 02:29 PM Approved Jasek (Diane Jasek) Approval Path - DIR07001 - ( Grant Programs Director Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 2 Melissa 1 04/13/2016 02:00 PM 04/13/2016 04:29 PM Approved Porter Wisian) (Melissa Porter) 3 Kevin 3 04/13/2016 04:28 PM 04/14/2016 07:33 AM Approved Frenzel (Conroy Swan) (Kevin Frenzel) Approval Path - DEP07000 - ( Coastal Resources Deputy Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Comments Approver Approver 4 David 0 04/13/2016 02:00 PM 04/14/2016 07:40 AM Approved Green (David Green) Approval Path - SDD-CPGRP - (Sr.Deputy Director -Coastal Protection Group ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 5 Ken 0 04/13/2016 02:00 PM 04/1412016 07:41 AM Approved (Ken Wisian Wisian) El 6 Conroy 5 04/13/2016 02:00 PM 04/14/2016 10:13 AM Approved Cycle 9 CEPRA Swan (Conroy Swan) Approval Path - BUDGET - ( Budget Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver https:/Pouy.glo.texas.govlbso/requisition/regSummary.sdo?docld=X0009266[8110120]7 1:02:51 PM] a DocuSign Envelope ID: B50DA6FD-A1F5-4205-9CBE-3154A52BOODE 7 Katelyn Samantha 1 04/13/2016 02:00 PM 04/18/2016 12:02 PM Approved Account Code Cassidy Rodriguez (Katelyn combo present in Cassidy) MIP 8 Conrad 2 04/13/2016 02:00 PM 04/16/2016 03:48 PM Approved Swan (Conrad Swan) Approval Path -CHIEF -(CHIEF Clerk Approval) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 9 Kenny 1 04/13/2016 02:00 PM 04/18/2016 03:50 PM Approved McLeskey (Kenny McLeskey) 10 Anne Idsal 2 04/1312016 02:00 PM 04/18/2016 04:46 PM Approved (Anne Idsal) Approval Path - PROCURE - ( Procurement Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 11 Debra 0 04/13/2016 02:00 PM 04/19/2016 07:52 AM Approved (Chris French Day) Print Copyright © 2017 Periscope Holdings, Inc. -All Rights Reserved. default https://buy.glo.texas.gov/bsolrequisition/regSummary.sdo?docld=X0009266[8110120171:02:51 PM] Docuftn Envelope ID: B50DA6FD-A1F5A205-SCBE-3154A52BOODE Texas General Land Office tt nGtA Drafting Request Form Basic Information Vendor Name: Calhoun County Division: Coastal Resources Project Manager: Kelly Brooks Contract Manager: Sonya Patterson Creation Date: 08/10/17 Contract Information Type: Contract Amendment Work Order Number, if applicable: Amount: $ 0.00 Notes Number: 16-384-000-9971 Amendment Number, if applicable: 2 Source: (Select One) If other, please clarify in the'Notes' field below. Requesting a no cost time extension until August 31, 2018. Project Description CEPRA-1624 Port Alto N. Beach to obtain Permits and Beach Nourishment project - (CEPRA -Cycle 9) Revised rebruary 2017 Page 1 of 3 DocuSign Envelope ID: B50DA6FD-A1F5-0205-9CBE-3154A52BOODE Texas General Land Office T Drafting Request Form T Payment Type Payment Type: (Select One) For more information regarding payment type, please see the Payment Type Handout. Payment of Deliverables By selecting the following box, you are indicating that the vendor will be paid in accordance with the included proposal. If this is not accurate, please deselect the box and add a note to detail the payment schedule. Payment as detailed in the proposal: El Other: Exemptions If this project has an exemption, please select the type below and then provide the contract number, if applicable. If the exemption is tied to a letter, please provide the date the letter was sent. NOTE: The exemption must be sent with this document. Exemption Type: Date: Number: Business Associate Agreement (HIPAA) ❑ Check if the vendor need access to protected health information or systems? Dates of Importance Effective upon signing: ✓� Expiration Date: August 31, 2018 Effective Date: NTP Required? If applicable, anticipated completion date: Reporting Requirements: If grant funds, the expiration date: Liquidated Damages per day, if applicable: Revised February 2017 Page 2 of 3 DocuSln Envelope ID; B50DAGFD-A1 F5-4205-9CBE-3154A52BOODE Texas General Land Office +:j` lbi Ll :1<1' 1t. iL TxGLrJ Drafting Request Form Insurance SORM Requirements: For most projects, the SORM Requirements are sufficient. However, if your project requires any insurance outside of these requirements, please list the type and value of the required insurance. Examples, but not an all inclusive list, of other types would be Longshoreman and Contractors Pollution Liability. Routing Path The following individuals will be included on the routing path of all contracts in the following order: Deputy General Counsel, General Counsel Executive Assistant, General Counsel, Chief Clerk/Deputy Commissioner, Procurement, and the HUB Office. Vendor information is only required if it difers from the information in CMS. Attorney Ben BellomV Initial Contract Mana er Sonya Patterson Copy Project Manager KellV Brooks Initial Additional Api2rover Tracey Pitts copy Additional Approver Kevin Frenzel Initial Additional Approver Melissa Porter Initial Additional Approver David Green Initial Additional Approver Greq Pollock Initial Additional Approver (select one) Additional Appmer (Select one) Additional A -)prover (Select One) Additional (Select One) —Approver Additional Approver (select One) Additional Approver (Select One) Vendor Sign Additional Vendor Com! (Select One) Revised February 2017 Page 3 of 3 pacu�: mSECeREo Certificate Of Completion Envelope Id: B50DA6FDA1F542059CBE3154A52BOODE Status: Completed Subject: No Cost Time Extension: 16-384-000-9971 Calhoun County A-2 (Texas General Land Office) Source Envelope: Document Pages: 9 Signatures: 2 Envelope Originator: Supplemental Document Pages: 0 Initials: 9 Joseph Cardona Certificate Pages:4 joseph.cardona@glo.texas.gov AutoNav: Enabled Payments: 0 1700 Congress Ave Envelopeld Stamping: Enabled Austin, TX 78701 Time Zone: (UTC -06:00) Central Time (US & joseph.mrdona@glo.texas.gov Canada) IP Address: 204.65.210.86 Record Tracking Status: Original Holder: Joseph Cardona Location: DocuSign 8/15/2017 joseph.cardona@glo.texas.gov Signer Events Signature Timestamp Joseph Cardona °511 Sent: 811512017 Viewed: 811512017 joseph.cardona@glo.texas.gov , t ✓'� Texas General Land Office Signed: 8115/2017 Security Level: Email, Account Authentication Using IP Address: 204.65.210.86 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Ben Bellomy Sent: 8/15/2017 ben.bellomy@glo.texas.gov �°Q Viewed: 8/15/2017 Texas General Land Office Signed: 8115/2017 Security Level: Email, Account Authentication Using IF Address: 204.65.210.226 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kelly Brooks °5 / Sent: 8/1612017 kelly.brooks@glo.texas.gov C �`'� Viewed: 8/15/2017 Texas General Land Office Signed: 8/15/2017 Security Level: Email, Account Authentication Using IP Address: 204.65.210.251 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kevin Frenzel Sent: / kevtn.frenzel@glo.texas.gov G—p5 P++'' Viewedd::88/116/2612 017 Texas General Land Office Signed: 8/16/2017 Security Level: Email, Account Authentication Using IP Address: 12.227.73.85 (None) Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign Melissa Porter Sent: 8116/2017 melissa.porter@glo.texas.gov Viewed: 8/16/2017 Texas General Land Office Signed: 8/16/2017 Security Level: Email, Account Authentication Using IP Address: 172.58.109.138 (None) Signed using mobile Signer Events Signature Timestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign David Green°r^ 6 Sent: 8/16/2017 david.green@glo.texas.gov �l ��,`�„ Viewed: 8/16/2017 Legal Services Signed: 8/1 612 01 7 Texas General Land Office Using IP Address: 70.196.75.244 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Greg Pollock°5 Sent: 8/16/2017 greg.pollock@glo.texas.gov GF Viewed: 8/16/2017 Senior Deputy Director Signed: 8/16/2017 Texas General Land Office Using IP Address: 107.77.217.165 Security Level: Email, Account Authentication Signed using mobile (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeff Gordon °3 Sent: 811612017 leff.gordon@glo.texas.gov J� Viewed: 8/16/2017 Texas General Land Office Signed: 8/1 612 01 7 Security Level: Email, Account Authentication Using IP Address: 204.65.210.210 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Mark Havens Sent: 8/16120V mark.havens@glo.texas.gov l° Viewed: 8116/2017 Director of Oil and Gas Legal � Signed: 8/16/2017 Texas General Land Office Using IP Address: 204.65.210.217 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Clyde Syma //��°o�"o51 .tl br' a4—h, 5ywa Sent: 8/16/2017 Viewed: 8/21/2017 clyde.syma@calhouncotx.org commissoner 3620MN69F407_ Signed: 6/21/2017 Security Level: Email, Account Authentication Using IP Address: 72.14.127.110 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Anne Idsal npocu51pn°d""' Sent: 8/21/2017 anne.idsal@glo.texes.gov [! ,(,,,.,�� V. Ute, Viewed: 8/2112017 Chief Clerk OOS',E7ed42e496... Signed: 8/21/2017 Texas General Land Office Using IP Address: 107.77.219.170 Security Level: Email, Account Authentication Signed using mobile (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Sonya Patterson Q FI E D Sent: 8115/2017 sonya.patterson@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Tracey PittCOPIED FI E D Sent: 8/15/2017 tracey.pltts@g lo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Janette Gibreal COPIED janette.gibreal@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Diane Hill -Smith COPIED diane.hill-smith@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sharma Starkey 4� FI E D shanna.starkey@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/16/2017 Sent: 8/16/2017 Sent: 8116/2017 Stephanie Crenshaw COPIED Sent: 8/21/2017 stephante.crenshaw@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign HUB FI E D Sent: 8/21/2017 �*/'y HUB@glo.texas.gov yy Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Debby French COPIED Sent: 8/21/2017 debby.french@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/2112017 Certified Delivered Security Checked 8/21/2017 Signing Complete Security Checked 8/21/2017 Completed Security Checked 8/21/2017 Payment Events Status Timestamps Calhoun County Commissioners' Court—March 21, 2018 S. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5) On contract for Property and Liability Insurance Management Services with Gray & Company, LLC, for the period April 25, 2018-2019 and authorize County Judge to sign. (MP) Cindy Mueller, County Auditor, spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 3 of 18 air COMPANY. LLC Conmlra sirs 3f Managers :v.. nurrrieL-S,4. March 8, 2018 Michael J. Pfeifer Calhoun County Judge 211 South Ann, Suite 301 Port Lavaca, TX 77979 Re: Property & Liability Insurance Management Services Proposal Dear Judge Pfeifer: This letter and the attached proposal dated March 14, 2014 is proposed to serve as the basis of the relationship between Calhoun County (hereinafter referred to as Client) and Gray & Company, LLC (Gray & Co.) for the period of April 25, 2018-2019. Client will pay to Gray & Co. for services rendered the fees and expenses described in the proposal. Gray & Co. will maintain time records of all personnel, which provide billable hourly services to Client, and those time records will be attached to each invoice. Client will pay Gray & Co.'s fee and expense billings without deduction of any kind within thirty (30) days from the date of invoice unless otherwise agreed to in writing by Gray & Co. Gray & Co. may terminate this agreement without notice for non-payment. Gray & Co. may charge interest on past due amounts at a rate not exceeding 11/2% month. Confidential information obtained by Gray & Co. concerning Client will be treated as confidential and will not be released to outside parties without prior approval by an appropriate representative of Client. The foregoing shall not apply to the extent that law or order of a court or governmental body requires disclosure or if the information is in the public domain. Client will promptly provide Gray & Co. accurate and complete information as requested by Gray & Co. from time to time with regard to Client's loss experience, risk exposures, or current or anticipated changes in Client's business operations that may affect the services provided by Gray & Co. or which may affect coverages which are provided PO Box 1099 • Mason, Texas 76856 • phone 512-496-3583 www.insconsultaaCcom• donatdkgmy@gmafl.com The Honorable Michael Pfeifer March 8, 2018 Page 2 under insurance policies in force as of the date of Gray & Co.'s engagement or under insurance policies that may be purchased by Client during Gray & Co.'s engagement. Client is responsible for making final decisions with respect to the accuracy and completeness of any underwriting submissions which Client requests Gray & Co. to submit to insurance agents, insurance brokers, or insurance companies on Client's behalf. Client is responsible for making the final decisions concerning whether to purchase orto decline insurance coverages. If insurance coverage is recommended by Gray & Co. and declined by Client, Client agrees to confirm its decision in writing for Gray & Co.'s files to avoid misunderstanding should an uninsured loss occur. Gray & Co. will not be responsible for any financial loss sustained by Client as a result of the insolvency of any insurance carrier or provider that currently, previously or in the future provides insurance for Client. In the event that Gray & Co. makes suggestions or recommendations which are outside the scope the service areas selected by Client and Consultant does not charge a fee in connection therewith, Gray & Co. shall have no responsibility therefore. Client recognized that any such suggestions or recommendations, while meant to be informative, are necessarily incomplete without engaging Gray & Co. to perform the services related to the service area. Either Client or Gray & Co. may terminate Gray & Co.'s relationship with Client with thirty (30) days written notice at any time. If this Agreement is terminated by Client, it is agreed that Client will be responsible for payment of all fees and expenses due Gray & Co. through the thirty (30) day notification period. If Gray & Co. terminates this Agreement, Gray & Co. will be responsible for concluding, to the extent reasonably possible, any work in progress for Client within the thirty (30) day notification period. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas (except those relating to the conflict of laws) and shall be performable in Calhoun County, Texas. Each party hereto submits to the jurisdiction of the courts of the State of Texas and the federal courts in and for the Southern District of Texas in connection with any dispute arising under this Agreement or any document or instrument entered into in connection herewith. Mary Orta From: susan.riley@calhouncotx.org -- susan riley <susan.riley@calhouncotx.org> Sent: Thursday, March 15, 2018 10:24 AM To: mary.orta@calhouncotx.org -- Mary Orta Subject: Fwd: Agenda Item Request Attachments: Calhoun Form 1295 Certificate _2018.pdf, Calhoun County 2018-2019_agreement.pdf, Calhoun County proposal for on-going services 2014.pdf Agenda item Contract with Don Gray for Insurance Please put the 2018-2019 Agreement first, then the 1295, then the 2014 contract. Thanks Susan Riley, Administrative Assistant to Michael J. Pfeifer, Calhoun County Judge and Commissioners' Court -----Original Message ----- From: "eindy.mueller@calhouncotx.org -- Cindy Mueller" <cindy.mueller@calhouncotx.org> To: "'Susan Riley"' <susan.riley@calhouncotx.org> Cc: "'Don Gray"' <donaldkgray@gmail.com>, "shannon Salyer"<shannon.salyer@calhouncotx.org>, "Candice Villarreal"<candice.villarreal@calhouncotx.org>, "Clyde Syma" <clyde.syma@calhouncotx.org>, <david.hall@calhmmcotx.org>, "Denny Finster" <kenny.frnster@pct4.org>, "mike pfeifer" <mike.pfeifer@calhouncotx.org>, "vernlyssy" <vernlyssy@calhouncoix.org> Date: Fri, 9 Mar 2018 11:36:27 -0600 Subject: Agenda Item Request Please place the following item on the agenda for March 21, 2018 Note: "Ongoing" management servicesareproposedatfeeof$4,000forone year. "Additional"services$125/hour-. Thesearethe scone rates as prior conk act. Processing Note: Execute two originals and return one to me for forwarding to Gray & Co. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 The Honorable Michael Pfeifer March 8, 2018 Page 3 If any provision of this Agreement is unenforceable, the enforceability of the remaining provision shall not be affected thereby. This instrument contains the entire agreement of the parties. No modification, discharge, or waiver of any term of this Agreement shall be valid unless in writing and signed by the parties to this Agreement. This Agreement supersedes all prior agreements or representations, whether oral or written, between the parties hereto relating to the subject matter hereof, and all such prior agreements or representations are terminated. This Agreement shall be binding upon and shall inure to the benefit of the legal successors, heirs, and permitted assigns of the parties hereto. Nothing contained in this Agreement creates any rights or benefits in any third party. No arbitration or action, regardless of form (in contract, in tort, statutory, or common law), arising between the parties in any way out of, pertaining to, or in connection with this Agreement may be brought by either party more than one year and one day after the date the claim accrues; or, in the case of non-payment, more than one year and one day from the due date. If Client is in agreement with the terms and conditions of this Agreement, please indicate acceptance by signing and providing me with an electronic copy. Respectfully submitted on behalf of Gray & Company, LLC by; Un 67 _V (Donald K. Gray, ARM) Gray & Company, LLC 3/8/18 (Date) Accepted on behalf of Calhoun by: A n .. 1/ 1 12,1 Michael J. Pfeifer Calhoun County Judge ature) Name) TX 77979 211 S. Ann St., Suite 301 Port Lavaca (Address) March 21 2018 (Date) CERTIFICATE OF INTERESTED PARTIES FORM 1295 l of l Complete Nos. l -4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties, CERTIFICATION OF FILING Certificate Number: 2018-323635 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Gray &Company, LLC - Mason, TX United States Date Filed: 03/08/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 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. Insurance consulting services for the period of April 25, 2018-2019 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION \) /j,�� My name Is •,/�° e _ `m' o' -T' — 1 and my date of birth Is My address is �7 1-7 . , `1' I YI (street) - (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in f 6110 V -i County, State of t /�A�_-, on the O day of _afh�-r , 201L� (month) (year) Sig re of authorized age t f contracting business entity (Declar Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.5523 Property & Liability Insurance Management Services Proposal for Calhoun County, Texas Presented by COMPANY, LLC Insurance Consultants & Managers No Luurarlir Safes INTRODUCTION I am pleased to provide this proposal to serve as Calhoun County's "outsourced" property and liability insurance manager. Gray & Company, LLC was established in 1999. 1 now have 25 years of experi- ence in providing consulting services to governmental entities, colleges and uni- versities, school districts, and electric cooperatives. And of course, I am licensed to provide insurance consulting services by the State of Texas (but not licensed to sell insurance due to the potential conflict). I have personally provided services to 46 governmental entities to date. I am very familiar with the insurance markets and insurance policies available to county governments. This experience means that Calhoun County can be as- sured that my services, analysis and recommendations will be founded on prov- en knowledge of what is reasonable, customary and achievable with regard to Calhoun County's insurance program. My services provide continuity to Calhoun County, regardless of turnover in insurance agents or insurance companies who serve the County. To ensure my clients and their insurers of my impartiality, I do not sell insurance and I am not affiliated with any insurer or insurance sales organization. Further, I do not promote a particular coverage or industry program. This independent sta- tus puts me in the proper position to provide my clients with unbiased and objec- tive services. I hope that Calhoun County will find this proposal to be acceptable as I would welcome the opportunity to be of service. If additional information is needed to clarify our proposed services, please con- tact me. Sincerely, Don Gray, ARM z The Problem A significant portion of a county government's budget is devoted to the purchase and manage- ment of the County's property and liability insurance policies. While these policies are general- ly purchased through an RFP project, all too often the policies are purchased without a thor- ough understanding of the coverage provided. Further, the policies purchased are seldom re- viewed to ensure that they actually agree with the purchase terms. The Solution The largest of county governments in Texas generally employ a one or more persons with a high level of insurance expertise who manage the county's property and liability insurance pro- gram in the best interest of the county. While all counties have this need, the cost of employing a staff of qualified individuals is generally only feasible for large counties. However, through the services offered by Gray & Co., all county governments can benefit from having "as need- ed" access to a knowledgeable and independent insurance manager with 33 years of experi- ence to supplement County staff. Gray & Co. can assist Calhoun County by serving in the capacity of an "out -sourced" property and liability insurance manager. In this role, Gray & Co. would provide Calhoun County with independent and objective insurance advice on a continuing basis. Gray & Co.. would pro- vide continuity to the County that continues even when changes are made in the insur- ers and insurance agents that serve the County. Gray & Co,'s sole focus is on serving the County's best interests, Gray & Co.'s Goals 1. To provide Calhoun County with access to a qualified property and liability insurance spe- cialist who works for the County and who does not sell insurance. Due to our independence from the sellers of insurance, we are in position to provide independent opinions, recommen- dations and comments about your insurance protection. 2. To make certain that the County bases its insurance and risk management decisions on un- biased and complete information. 3. To endeavor to keep the County's insurance costs at the lowest possible level for the broad- est form of insurance protection desired by the County. 4. To provide the County Auditor and the Commissioners Court with management reports and information relating to the County's property and liability insurance program (i.e., historical pre- mium and loss comparisons, loss reports, graphs which compare the County's insurance rates to rates paid by other similar counties, detailed insurance policy schedules, purchasing recom- mendations, etc). 5. To provide long-term continuity in the management of the County's property and liability in- surance program. This is important in that the County may opt to change insurers from time to time and loose continuity without having access to an insurance manager who remains in place. Proposed Fees Gray & Co. proposes a service fee of $4,000 for the period of April 1, 2014-2015 to provide the "On -Going" Insurance Management Services as described beginning on page 5. These on -going services pertain to the County's property, liability, fidelity and workers' compensation insurance program (but do not apply to individual "bonds"). This package of services is option- al and not required to utilize the proposed "Additional Services" found on pages 8-10. Services desired by the County which are outlined in the "Additional" Insurance Management Services section (beginning on page 8) would be provided at an hourly rate of $125. The rate is detailed on page 11. The "On -Going" Insurance Management Services described below is a package of basic services needed to properly manage the County's property and liability insurance pro- gram (other than individual bonds, but to include MMC). It is priced as a package and the hourly rate does not apply to these services. This package of services is optional and is not required to utilize the proposed "Additional Services" found on pages 8-10. If this package of services is not purchased, the County can still purchase individual services from the package at the rate of $125/hour. "Peer" Insurance Premium Rate Comparisons The fact is that county governments vary in "size" (payrolls, fleet value, building and contents values, expenditures, services offered to the public, etc.). Therefore, a comparison of premi- ums paid by several counties really does not indicate which county is getting the "best deal". However, Gray & Co. can convert the premium figures into "rates" which can be compared on a bar graph. Once compared, we then evaluate any disparity within rates on factors such as claim history, deductible levels, coverage differences, etc. Only then we are in position to de- termine the competitiveness of the rates charged to Calhoun County. Further, the bar graphs are a valuable tool when used in negotiating for rate reductions and in determining when it is necessary to solicit proposals from other sources. The bar graphs would be based on rates paid by counties which are clients of Gray & Co. However, the graphs can be further enhanced to include up to 5 additional counties selected by Calhoun County. Gray & Co. would provide the Calhoun County 's Auditor with a list of data that would be requested from those other counties in order to determine their rates. The Coun- ty is welcome to share its bar graphs with those other counties. Refer to Exhibit A for a sample bar graph with comments. Approve Premium Invoices We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to re- ceive copies of the insurance invoices at the same time you receive the originals (initial invoic- es and mid-term adjustment invoices). We will review the invoices for accuracy and recom- mend payment once we are satisfied that the invoice is correct (even if this requires us to con- tact the insurer to question the invoice). Prior to approving an invoice, we will re -calculate the premium to assure that the invoice is based on correct rates, credits and exposure units. Insurance Policy Review & Approval We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to re- ceive copies of insurance policies at the same time you receive the originals. We will review the policies to determine whether they agree with the terms of the renewal proposals. We will advise you of all discrepancies that we discover and contact the insurer in an attempt to re- solve the discrepancies to the County's favor. Insurance Renewal Proposals—Changes in Policy Wording & Coverage We will ask Calhoun County's insurance agents or insurers to enhance their insurance renewal proposals by asking them to separately list all proposed changes in policy wording, limits, and deductibles as compared to the policies in force. This effort serves to ensure that the County is made aware of changes in coverage. Maintenance of Insurance Schedules and Underwriting Data We will advise you as to what type of underwriting data should be maintained and kept current in regard to the County's vehicles, equipment, buildings and contents, computers, boilers, sub- stations, turbines, premiums, claims, etc. When this information is kept current, it allows us to quickly update an RFP document when the need arises in the future. This gives you more control when responding to changes in the insurance marketplace. Premium/Loss Matrix Gray & Co. will prepare and maintain a Premium/Loss Matrix to record the County's annual total losses and insurance premiums by line of coverage and by year for the past five years. This matrix is a excellent tool for use by Commissioner's Courts in monitoring loss history. Re- fer to Exhibit B for a sample matrix. Premium Estimates for Budget Purposes We will provide you with our "early projection" of premiums for insurance policies that are scheduled to renew. Please provide us with 3-4 weeks advance notice of the date by which the County would like to receive the premium estimate. Insurance Renewal Planning We will contact the insurance underwriters within 120-150 days prior to the anniversary of each policy and request an early "indication" of the renewal premiums and coverage terms. Based on the response and Gray & Co's knowledge of the marketplace, Gray & Co. will provide you with a written strategy to be considered in planning for the continuation of coverages at com- petitive prices and terms. This should provide sufficient time to solicit proposals from other sources if needed. Detailed "Schedule of Insurance" Policies We will prepare and maintain a detailed insurance schedule which will summarize the policies that are presently in force. Refer to Exhibit C for a sample. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On -Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which pertain to the County's property and liability insurance program. Limited to ten hours within the "On -Going" insurance management services package. Additional hours are available under the "Additional" insurance management services detailed on page 9. Review Contracts and Leases We can assist the County by reviewing proposed contracts and leases for proper use of insur- ance requirements, insurance terminology, and risk transfer. Further, we can manage the en- forcement of the insurance requirements in your contracts by reviewing Certificates of Insur- ance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. Limited to five hours within the "On -Going" in- surance management services package. Additional hours are available under the `Additional" insurance management services detailed on page 9. Insurance Company Financial Ratings Quarterly we will advise you of financial ratings assigned by A.M. Best to Calhoun County's insurers and keep you informed of changes in the ratings. Financial Strength of Governmental "Risk Pools" Annually we will review the audited financial statements released by the "pools" that provide cover- age to the County and comment on their financial strength. This type of review is important because pools are not eligible for independent ratings issued by AM Best. This review will result in a written report to the County. Note: The proposed "On -Going" services are not intended to duplicate efforts that the County staff desires to retain in administering the day to day functions of the property and liability insurance pro- gram. County staff would continue to process claims, handle the addition and deletion of vehicles, equipment, buildings, contents, and maintain the list of drivers. Gray & Co. offers the following services as needed by Calhoun County. They are designed to supplement the "On -Going" Insurance Management Services (if purchased). The County would determine which of the "additional" services are to be provided and when they are to be provided. These services are available without purchasing the "On -Going" service package. Exposure/Coverage Audit We can conduct a survey of Calhoun County's exposure to accidental loss and advise you of any "insurable" exposures we discover that are not properly insured. The audit would involve "fact finding" discussions with County officials and staff (primarily the County Auditor), reviews of insurance applications, review of financial statements, etc. The audit would result in a writ- ten report that would be provided to the Commissioners Court for review, to be followed by a presentation of the report to the Court. This service is estimated to involve 30 hours to con- duct the audit and interviews, write the report and travel time to Port Lavaca to present the re- port to the Court, resulting in a fee of $4,750 plus IRS mileage. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On -Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which .pertain to the County's property and liability insurance program. Review Contracts and Leases As a supplement to the five hours of this service included within the "On -Going" insurance management services package, we can assist the County by reviewing proposed contracts and leases for proper use of insurance requirements, insurance terminology, and risk transfer. Further, we can manage the enforcement of the insurance requirements in your contracts by reviewing Certificates of Insurance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. Further, we can assist in training County staff to improve their abilities in drafting insurance re- quirements for use in contracts. Certificates of Insurance We can evaluate the procedures in place at Calhoun County as respects the administration, review and approval of Certificates of Insurance and provide suggestions as to how the proce- dures can be improved to better serve the County. Further, we can assist in training County staff to improve their abilities in managing certificates of insurance. Claim/Coverage Negotiations We can assist you by negotiating with claim adjusters in an effort to make sure that claims are paid in accordance with the terms of the County's insurance policies. Insurance Administration Review We can review the County's internal efforts in administering its property, liability and workers' compensation insurance programs. This review will focus on internal administration in the fol- lowing areas (adding and deleting property, claim reporting, loss reports, contractual risk trans- fer, property valuation methods, underwriting records, retention of insurance policies, certifi- cate of insurance, etc). The review will provide the County with a list of helpful recommenda- tions to improve the administration of the insurance program. Insurance Purchasing Assistance We can assist the County with Insurance RFP preparation (all lines of coverage within one RFP to leverage the County's purchasing power) and manage the entire RFP process, includ- ing all communication with agents and brokers. We will review the proposals, negotiate for im- provements, and provide you with an independent evaluation of each proposal. Insurance Manual Many of our clients ask us to prepare an Insurance Manual that can be used as reference ma- terial by the client. The Manual covers the entire insurance program and provides claim re- porting instructions, a "plain English" summary of your coverages, and a schedule of your in- surance coverages. It is an excellent reference tool for anyone that works with your coverages (Calhoun County staff, outside auditors, legal counsel, etc). Gray & Co. can update the Man- ual on an on-going basis shortly after changes occur. Client Meetings We are available to meet with County officials to discuss any aspect of the property and liability 10 insurance program. This service includes the time involved in traveling to/from Port Lavaca. Mileage would be billed separately and be based on current IRS rates. When required for trav- el, expenses such as hotel and reasonably modest food expenses would be billed at the actual cost incurred (with receipts provided). ii Rates Gray & Co.'s fees are based on the following hourly rates: Senior Consultant (Don Gray): $1251hour of service and travel time. This hourly rate will apply to each of the services offered in the "Additional" Insurance Management portion of this proposal. Detailed time records are kept for all personnel and will be attached to each invoice. Mileage is charged at the current IRS rate. When required to meet the client's schedule, out-of-pocket expenses such as reasonably priced overnight lodging and meals will be passed along to the client without a markup. Gray & Co. Invoices The $4,000 annual service fee for the "On -Going" package of services would be billed at the beginning of the an- nual service period. For the "Additional" Insurance Management Services outside of the $4,000 annual service fee, clients are gener- ally billed at the conclusion of each month for earned fees and expenses for the period. An exception to this might be if a monthly invoice is not large enough to warrant a billing at that time. This would prompt the invoice to be prepared and released once it reaches a reasonable level for invoicing purposes. Invoices are due and paya- ble 20 days following their receipt. Duration of Services The service agreement would be for the period of April 1, 2014-2015. However, it can be cancelled by the County at anytime and for any reason. However, fees paid in advance which were already earned by Gray & Co. would not be refunded. Fees paid in advance but not yet earned would be refunded within 30 days of notice. Modification of Service Agreement The service agreement can be modified at any time upon mutual agreement by Calhoun County and Gray & Co. 12 Mr. Jeff Schneider, Mr. Dan Laws, CEO Director of Purchasing Rio Grande Electric Cooperative, Inc. Grayson County (800) 749-1509 903-813-4259 Mark Rollans, General Manager Mr. Richie Rivers Medina Electric Cooperative, Inc. Grayson County Auditor (866) 632-3532 903-813-4244 Mr. Mike Kezar, General Man - Ms. Kristen Klein ager Guadalupe County Auditor San Miguel Electric Cooperative, Inc. 830-303-4188 (830) 784-3411 Mr. Harold Seay Mr. Mike Packard, General Manager Liberty County Auditor South Texas Electric Cooperative, Inc. 936-336-4605 (361)575-6491 Ms. Cynthia Ivy Mr. Paul Zimmerman Medina County Treasurer Rusk County Electric Cooperative, 830-741-6110 Inc. (903) 657-4571 13 Donald K. Gray, ARM Don will be the sole consultant in servicing Calhoun County. Don's knowledge of county governments and insurance companies and "pools" that specialize in serving counties would be valuable to the County. Don is a 1976 graduate of the University of TexasDAustin, earning a BBA Risk Management and Insurance. Prior to forming Gray & Co. in 1999, Don was employed for 11 years by Risk Man- agement Group (RMG), serving as the Senior Consultant and Manager of the firm's Austin office. Prior to joining RMG, Don served as the Director of Insurance at the Texas Association of Counties during the period of 1983-88. In this position, Don managed the administration of several statewide insurance programs for county governments. His prior experience includes serving as an insurance manager for the Texas A&M University System. Don is a consultant to numerous utility, educational and governmental entity clients. 14 Calhoun County Commissioners' Court— March 21, 2018 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) On request by Commissioner Lyssy to open credit account with Ingram Readymix, Inc. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 4 of 18 Vern Lyss Calhoun County Commissioner, Precinct #2 Str.c or re 5812 FM 1090 Port Lavaca, TX 77979 0 Ghrt of cn�P March 7, 2018 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for March 21, 2018 • Discuss and take necessary action to open credit accounts with Ingram Readymix, Inc. Sincerq , Vern Lyssy VL/Ij us!reV is wrm: xvu w PNI Paye 1 of e INGRAM READYM1Xo INC, CREDIT AGREEMENT 3550 FM 492 NEW BRAUNFRLS, TEXAS 781325098 (830) 625.9156 FAX (630) 825-9174 101INW4) PPfflOR nu r\ITNSIONOF ctaon By)Inat BlaiJr'� •uixat +l rRDM »TurFt •irw rcA'l1yiY.lk RIDS, THE foil D•iTNG IVOWMATTON IS$(jojYtTCi) A.Y A nAg4 I... I v.. Fuuo. ......... ur u aWPI lf`.OIOV. NAME Calhoun County Pct.2 FEO.TAxID.NO.: 74-6001923 MAILINGpHonE 361-552-9656 DATE 3/7118 ADDRESS 5812 FM 1090 N FAX 361-553-6664 GELS, 361-212-9656 pil"ICAS. EMAIL lesa.jurek@calhouncotx.org ADDRESS same..._ _ Grtv 'Port Lavaca STATE TX _ ztPcoae -77979 8040INGeo. CHARTER% ADDRESS tNfC.'Rf'.. . s A OF '. CReDif UtP.t FPFDERS..IF COR RATION NOh1A.DRESS ,e fihXNU ICr1i1M »ttiilntr.5l�i 6aHt akL6S;:1' : CCRST.VLTiU\ tlY$3%IEti) �uhi?U} - tJSTBElO AM£ ROPRIETORS, PARTNERS E SINGt_E TITLE AG I ARRIED NOW MANY YEARS IN PRESENTRUSINEsd? GOyenrment NAME q{r YOUR POKER BUSINESS CITY '; - STATE _ZIP .. BANK REFERENCE NAeEOEBANK: Pros eri v Bank AucY. Phorw fav: Thereby auitarlre tfie bsn%atM suPWints named lrereln to release lntormaticvf requested tot ine Plufwse of obtArnlAD and`or ravieWlnp my company's nedRirwnbmatol'mw. Slgnatur of Oifieer or LTtvitex oil Behalf of Applicant 1'r[Bi. i`rnum tipcl `1`itic: - --- Would you prefer to fetove invoices a» d statements by or EMW,,' 7 (Cidee DRe) Exal It EA1AiL, pWw prarhla norcw(s) ami eniaq addresslvsl. twill ^Defly cry Ii aety rwi ra be ema+Scd aithr invoces Lesa Turck_ .� lesa,jurel calhouncotx.org If possible omail back to Stephanie(I Inlx.com"" Fo In Tani Read nix Aio Use: rovnl 4mvYmm) 5 Beta Toms ES A!LRGI YYgc I off ...... _._r........ �...,...m�N�o M.:70M1371ma:8:40:16M1 pye.3or6 �' t`"'r� C,ist trs<ic: r0,€erelrces r.:lat� d 1�:C_i7hiCRC'CF,ItC 3ii�\'i�fi�, cattipanres 5te!_.�r TZ„.b�ir. icrfctiott tiiaterrais ;your compagy lY,ts C e0,,{}:char Ingo",a :Cvdit nccnkn10 G.r ddt akt<u' e; at .c}rrr?i-,just p�1pt{ti 00INt>'d`<{until as a credit refcrcilce, "'rtdit lti isrfis ,!)unkr S3r,3rec`c ns r ('runt Cac , rlecnitry; r} a hoi �Wjcywqj as credit. rcCunatces, If your torupinly W no vivdicwrite do'Aa w kw 1110, r6onits are conung,from to pay 6c Ifle corlOYete- {YJauk, A,artga�a Lentitng f<o., �ienerdl GonlrecitaY doinkPayrocn4 �Y�cu,crrr; er�t'j- ,r kilt 4al;dttirrsnr4rltsgi ttccipteel t)y Weram Roklvmix' hw, r*`"�ik1�le+d peiccti kachiil�a $2.t)i) {1isCount for.tsaggidht�b$cash yr Cflvoik.��'` Reynimd olbrUrtrfiklwi P11666:Neruber:. AccVuritNr6lrrbrr. � .. tair�ra.-�'mn6er _ C'a� Niiiut*zT, � :AccnulitNvmk;ef; � Crrmpau}+Name; m p}N1n�. i�LYIr1UUf: ! dN NUmfr4Ye Cznnpapy Na�r1o: _ _ 1'hnrafNfrtu6er;� 1'n� Kumkrrrr. t�ganrnt��a�utsits�e, CompAnyName, ,.�.__ —'----^� —,- ('1)UISNaA:kr371tYCf. }'3i 7.'t1?tfi(7CY`. . r(G�CJft}fit�Ag1�aT: cornp y Name. t Ptrone.-Nurnbur -. � _ FR>r;7uarrricr;�� r>,tcp)cnt�Nram4laM tllunkyou; f 4t bepaclmerrr ;N0, a} acolii VAX; A ?z3tk b�S 9171 M . c� IAUR:�h'tdkl{e'sl7YMIX �.kFt ,.. Ip '+ 'VFs1t` 131thtfTtit•`lit,3 1:� Calhoun County Commissioners' Court— March 21, 201.8 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) On matter of Precinct #3 Road and Bridge returning possession of undeveloped road (Third Street) to adjoining land owners; Herbert H. Roades to North and James/Teresa Long to South. Thence, N 90 degrees, 00'00" E with the Common line of the tract and Third Street (undeveloped) a distance of 103.22 feet to a'/2 inch road set (capped "Ellis4736") for the Northeast corner of this 0.3 of an acre. (See attached Exhibit "A"). (CS) Sheriff Bobby Vickery spoke. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Clyde Syma, Commissioner Pet 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 5 of 18 Mary Orta From: susan.riley@calhouncotx.org -- susan riley <susan.riley@calhouncotx.org> Sent: Thursday, March 15, 2018 3:38 PM To: mary.orta@calhouncotx.org -- Mary Orta Subject: Fwd: Agenda item 3/21 Attachments: Court 3-21 Third St Olivia.pdf Susan Riley, Administrative Assistant to Michael J. Pfeifer, Calhoun County Judge and Commissioners' Court -----Original Message ----- From: "Julia.Vickery@calhouncotx.org -- Julia Vickery" <Julia.Vickery@calhouncotx.org> To: <susan.riley@calhouncotx.org> Date: Wed, 14 Mar 2018 14:13:40 -0500 Subject: Agenda item 3/21 Susan, please place this one the agenda for 3/21/18. When you look this over, if it needs to be fixed please let me know. 70/a,te Z 04 Office Manager Calhoun County Pct.43 361-893-5346 jnlia.vickery(a�)calhouncotx.org Clyde Syma Calhoun County Commissioner, Precinct 3 24027 State They. 172—Olivia, Port Lavaca, Texas 77079 — Office (361) 893-5346 —Fax (361) 893-5309 Email: cede symar calliouucotx.cnz 40 March 14, 2018 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 March 21, 2018 Please discuss and take necessary action to allow Precinct #3 Road & Bridge to return possession of undeveloped road (Third Street) to adjoining land owners; Herbert H. Roades to North and James/Teresa Long to South. o Thence, N 90 degrees, 00'00" E with the common line of the tract and Third Street (undeveloped)a distance of 103.22 feet to a % inch rod set (capped "Ellis4736") for the Northeast corner of this 0.3 of an acre. SEEATTACHED EXHIBIT "A" Sincerely, Cly e Syma, Commissioner, Pct.3 CS/jv 0.37 of AN ACRE FIELDNOTE DESCRIPTION STATE OF TEXAS COUNTY OFCALHOUN Being 0.37 of an acre situated in and a part of Lot Numbers Thirteen (13), Fourteen (14), Fifteen (9.5), Sixteen (16), Seventeen (17) and Eighteen (18), in Block Forty -Seven (47), of the Town of Olivia, Calhoun County, Texas, according to the established map and plat of said town of record In Volume M, Page 532 of the Deed Records of Calhoun County, Texas, and the replat of record in Volume Z, Page 376 of the Plat Records of Calhoun County, Texas. This 0.37 of an acre is more fully described by metes and bounds as follows; BEGINNING at a % Inch iron rod set ( copped "Ellis 4736 ") for the Northwest corner of this 0.37 of an acre, also being the Northwest corner of said Lot Elghteen (18), Block Forty -Seven (47) of the Town of Olivia, Calhoun County, Texas; THENCE, N 90 degrees, 00'00'.' E with the common line of this tract and Third Street ( undeveloped) a distance of 103.22 feet to a''/: Inch Iron rod set ( capped 11 Ellis 4736 11) for the Northeast corner of this 0.37 of an acre; THENCE, with the West line of State Highway No.172 as follows; 1. Delta � 03 degrees, 32144" 2. Radius = 5107,53 feet 3, Arc Length = 316,07 feet Ellis 4736 ") 4. Chord= S 18 degrees, 19'09" a distance of 316.07 feet to a% Inch iron rod set (capped' for the Southeast corner of this 0.37 of an acre; THENCE, N 90 degrees, 00'00" W with the North line of Second Street a distance of 3.89 feet to a Y: inch iron rod set ( capped " Ellis 4736 ") for the Southwest corner of this 0.37 of an acre; THENCE, N 00 degrees, 00'00 E with the East line of "D" Street a distance of 300.00 feet to the PLACE OF BEGINNING; CONTAINING within these metes and bounds 0,37 of an acre. pg. . J, 0- C- z A e A survey plat accompanies this description The foregoing PIELDNOTE DESCRIPTION was prepared from an on the ground survey made under my direction and supervision on November 23, 2015, and bearing are based on calculations made from the recorded plat of the Town of Olivia recorded in Volume M, Page 532 of the Deed Records of Calhoun County, Texas, and bearing reference line Is 5A Inch iron rods found along the East line of "D" Street and the West line of Block 40, Town of Olivia, Calhoun County, Texas. Dennis J. Ellis Registered Professional Land Surveyor Texas NO. 4736 Job No, 4419 Date Vt. 2D.f�2 OF No. 01196-5448 A0 c� zv WARRANTY DEED tar z NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU ma MAY REMOVE OR STRIKE ANY OR ALL OF THE FOLLOWING INFORMATION FROM ANY INSTRUMENT TIIAT TRANSFERS AN INTEREST IN REAL PROPERTY BEFORE a.. IT IS FILED FOR RECORD IN TIE PUBLIC RECORDS; YOUR SOCIAL SECURITY 00 0 NUMBER OR YOUR DRIVER'S LICENSE NUMBER, vA / can 0 Date: Decomhor I 2015 no e Grantor: JOHN DAVID VARNELL, a single man, claiming, owning and occupying other _ nN property as his homestead w Gremeo: JAMES A. LONG and TERESA LONO e ° V0 bq i V3 Vl acetovp Grantoc's Mailing Address: : a Consideration: Ten Dollars ($10.00) and other valuable consideration m „ a Property (inciuding any improvements): Being 0.37 of an acre situated in and n part of Lot Numbers Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), Seveotecn (17) and Bighteen (I8), in Block Number Forty - Seven (47), Town of Olivia, Calhoun County, Texas, according to the established map or plat of said sown of record in Volume M, Page 532, Deed Records, and replat of record in Volume Z, Page 376, Plot Records, Calhoun County, Texas; said 0.37 of an acre being more particularly described by motes and bounds on attached Wbibit "AY Reservations from Conveyance: None Exceptions to Conveyance and Warranty: Liens described as part of the Consideration and any other liens described in this deed as being either assumed or subject to which title is taken; all presently recorded easements, rights-Ofway, restrictions, covenants, conditions, ordinances, oil and gas leases, ecinoml interests and water Interests outstanding in persons other than Gman,4 and other instruments, other than convoyanees of the surface in estate, that affect the Property; the terms, provisions and obligations arising out of any Public Improvement District and/or Water Conservation District in which the Property Is located; validly existing rights of adjoining ewers in any walls and fences situalod on a common boundary; any discrepancies, conflicts, or shortages In arca or boundary tines; any enoroaclmants or overlapping of improvements; and taxes and assessments for 2015, which Grantee assumes and agrees to pay, and subsequent taxes and assossments by any taxing authority for that and prioryears due to change in land usage, ownership, or botb, the payment of which Gmotea assumes. Grantor, for the Consideration and subject to the Reservations From Conveyance and 010 Exceptions to Conveyance and Warranty, grants, sells, and convoys to Grantee the Property, together with all and singular rile rights and appurtenances thereto in any way belonging, to have end hold it W Grantee, Grantco's bobs, successors, and assigns forever. Grantor hereby binds Grantor and Grantor's heirs, administrators, and successors to warrant and forever defend all and singular the Property to Crrantee and Grantee's hoirs, successors and assigns, against every person whomsoever lawfully claiming or to claim the same or nay part thereof, except as to the Reservations from Conveyance and the Pxoeptions to Conveyance and Warranty. When the context requires, singular nouns and pronouns include the Plural. VARNHI,L. S'TATB OF TEXAS . 9 COUNTY OF %vBvC2Rnl1—§- I This Instrument was acknovIlodged before mNolftTy`Fobi�ioStato 7 day of December, 2015, by and JOHN DAVID VARNELL, , of Taxes FRANKLIN W DOOMMy CaMMW1UaJen.12,2 Deceaber.0 2815 3138 PH ,big Oococent hag been mived by this Office for kmrdini into the Official Public Records. He do hereby svear that Ram, Creed, Color, e&I or Nati40 get oi nalOrighMto . to Filed for Record int Calhoun County Honorable Anna Ooudnan County Clerk - 64p -Instr.; 145915 8taipst 4 Page(s) jot IN G WILLIAM CHAD 0 HAMONS DENNIS R BELL 17 Y S LENA R HUGHE- F--J 3,30ROJOANW 4AGG REZA /RAMIAY OAD68 HERE SIL ILO A RJR NELLJOHN.( 2nd L PE7 =RO AND R R EL =00 01 �D to brant. S ENFY-RIGH, N I R Y ICE7-9-- K,L WE LLANUS (ESTft 1 fEA Calhoun County Commissioners' Court— March 21, 2018 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On 2 Insurance checks from TAC in the amount of $20,017.09 and $25,685.60, for property damages associated with the Precinct #2 fire, with the later amount being for contents. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 6 of 18 Mary Orta From: candice.villarreal@calhouncotx.org -- Candice Villarreal <candice.villarreal@calhouncotx.org> Sent: Thursday, March 15, 2018 3:52 PM To: Mary Orta Subject: FW: Agenda Item - Insurance Proceeds - Fire R132 Attachments: TAC Insurance Proceeds - R132 Fire (2).pdf From: Candice Villarreal [mailto:candice.villarreal@calhouncotx.org] Sent: Tuesday, March 13, 2018 10:43 AM To: susan.riley@calhouncob(.org; Michael Pfeifer (mike.pfeifer@calhouncot(.org); David Hall; vern.lyssy@calhouncotx.org; Clyde Syma (clyde.syma@calhouncotx.org); Kenneth Finster (kenny.finster@pct4.org) Subject: Agenda Item - Insurance Proceeds - Fire R132 Susan, Please add the following agenda itern for Commissioners Court on 3/21/18. • Consider and take necessary action on 2 insurance checks from TAC for property damages associated with the Precinct #2 fire in the amount of $20,017.09 and $25,685.60, with the later amount being for contents. Thank you, Candice Villarreal Calhoun County Auditors Office Phone. (361)553-4612 Fax: (361) 553-4614 candice villarreal@calhouncotx.org Assoo" TEXAS ASSOCIATION OF COUNTIES ,Lp RISK MANAGEMENT POOL -CLAIMS II®0 2 9 ?001" TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS FROSTBANK ' 30-9/1140 29700 Calhoun County 2025 Ann St Ste B . Po{t Lavaca, TX 77979-4204 TO REORDER CALL: (706)3279550 W14SFW1014M 10114 TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 3/6/2018 3/6/2018 1 29701 I 29701 $25,685.60 TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 29701 TO REORDER CALL: (706)327-9550 W14SFW1014M 10/14 E • s• 1 •1 p • r : t r • a o �1 •a Frpm•: 1 OCHEpTSENSR{yE PED:IM1in'GE-019APPEARSV91TH HEAA'�G ls5 3 :TAO&'- ATEFAIAEKFAYE@= WIN,' iF`.>E"—�K�y'4 `C '„'P2"i.S"` 2""_c� S.✓``�`�i -Enl u�v TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 29701 TO REORDER CALL: (706)327-9550 W14SFW1014M 10/14 E Calhoun County Commissioners' Court—March 21, 2018 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) On 2017 EMS Texas Supplemental Cost Report Submittal and authorize EMS Director Dustin Jenkins to sign. (MP) Dustin Jenkins spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 7 of 18 Mary Orta From: susan.riley@calhouncotx.org -- susan riley <susan.riley@calhouncotx.org> Sent: Thursday, March 15, 2018 3:43 PM To: mary.orta@calhouncotx.org -- Mary Orta Subject: Fwd: Commissioners Court Agenda Item Susan Riley, Administrative Assistant to Michael J. Pfeifer, Calhoun County Judge and Commissioners' Court -----Original Message ----- From: "Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> To: "Susan Riley" <susan.riley@calhmmc;mx.org> Ce: "Cindy Mueller"<cindy.mueller@calhouncotx.org>, "Lori McDowell" <Lori.McDowell@calhouncotx.org> Date: Tue, 13 Mar 2018 12:56:15 -0600 Subject: Commissioners Coma Agenda Item Susan, Hope you are having a great day. I am writing because we need something on the agenda for next week. If you could have added, "Authorize J. Dustin Jenkins to sign the 2017 EMS Texas Supplemental Cost Report Submittal," that would be great. I should have the document by or on Friday according to Kevin Koyle with the McKessen group and I will forward that to you then. If you need anything else please let me know. Thanks, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenldns@calhouncotx.org (361)571-0014 aOZ/OE/6 - MMM poPad liodea lsoo algeopddV jol aoimaS to povad LL£9£'L6l- $ (LE "Z pue 9£'Z swell wns) suo!lonpaa 1V101 8£'Z IE'L6L) $ $ (xoe ugpeugdx3 ui agvosao) (an11e6ON se. SOWED JNIO L£'Z $ (e leagnuoM wo,j) (PPOPON uoN) sjuwO pue spun] Iwapaj j@gjO 9E "Z :SNouon03N $ (b£'Z pue 6Z'Z small wns) sisoo ja4lo leolpaW JOwIO pue BelS ]Viol $ (££'Z gbnwgl O£'Z swell wns) sjsOO J9410 / leolpaW 100"0 lelol $ (xoe uageueldx3 ui aqu�ao) (Uaglo pue V alepa4OS) jagl0 $ (xoe volleueldx3 ul aquosaa) (010'BullPueHlleo'4oledsl0'lOsaoimoSUoddnS $ leolpaW luawdlnb3 q' $ leolpaW uoN juawdlnb3 .e' (xoe uopueidx3 ul aquosea) :juawdinb3 $ leolpaW slepaleVq g sailddnS .q. $ (eolpaW-uoN sleualeW 8 sallddnS .e1 (xoe uonauejdx3 ul equosaa) slevaleW g sallddng,. S1SOO N31 (8Z'Z will 00'e swell wns) s}soo 11e1S 10101 _ $ (Woldw3 Bulsingwlad) uopesuadwoo luawfoldwoun 8Z' _ $ saxel IlojAed juaw4oldwoun Iwapaj LZ' _ $ saxel poi,(ed juawRoldwaun aims 9Z _ $ (a laayarpom wmj) saxel pwded weolpaW jeAoldw3 9Z' '966`LZ $ (a laayax,om wo)j) saxel llw6ed Volj ja6oldw3 bZ `b99'LE $ (e hays,.m mo,j) uopnquluoo luawa"laa jeAoldw3 EZ' 69L'49 $ (e hags& m wo,j) (xou uoyeugdx3 w aquasap) slUeua8 aa6oldw3 ZZ _ $ (e laaysgpm mo,j) uollesuadwoo solpoweied/lW3 pajowiuoO tZ smoH - s0lpawWed/lW3 PajOWWOO Z _ $ (s laayswoM wa,j) 906eM 8 saueleS - JOOplO uopewiotul 0llgnd 6V smoH-JaOlgO uopewiolul ollgnd 81 _ $ (e moa om wo,j) sooeM9 saueleS- iojoaJIG Ll smoH- JOIOOJ!O 91 _ $ (a )aaysWe/,ri wmj) sa6eM+8 saueleS-Jol0a"O leolpaW 9l smoH- JOIDBAO P31POW bL _ $ (e {aaysWo/,A wmj) sabeMg saueleS-suelawpal&JO EL smoH- sue13lu43012idO Z6 _ $ (a )aaysy Om wo,j) sa6eM g saueleS - sdaa lunmoV/Bulplg 1 L smoH -sdaa lunomV/6ulpl8 L _ $ (a {aagsvPoM wo,j) SGOMA V saueleS -daOWO L1aleS 60 smoH -Ja INO,(laleS 80 _ $ (a aaayay m wo,j) sa6eM +g saueleS - spal aouemssV AOenO LO smoH - spal aouemssV Alpeno g0 _ $ (e aaagay,onn wwj) sabeM 8 saueleS - sioleulPJ003 Bululwl 90 smoH - sJOIEWP OOD Bululeil b0 (e w-py xm wmj) s06eM g saueleS - sOlpaweJed EO Zo'o46'9Z smoH- sOlpawwed ZO _ $ (eaaa4aypm wmj) sa6BAA'RMAPS -suel0wgDO-L NO l-6-6 to smoH - sue101ugOal Ileo 1-1-6 lunowV S3SN3dX3 IIONAV EE68££97ZL WNABlG-01 MEMO% :Idl 11610-6 saolmeS leolpaW AoueBjaw3 Alunoo unogleo : aaplAad Aluo seagV papegS alaldu aOZ Add dol INOd3N IE 180d3N 1603 S301A413S 3ONvineWV SV; 'sluwB of Pale!al 10990 L£'Z .,sasua xa luawpe ap jaglo pue'sooimas iwlueo'uopepajap sapnloul - E£'Z ulplq aoueingwe pue'saoimas lw ns'6wgole s!p to slsoo aql sapnloul ZE'Z saovuas aaueingwe;o Nan!lap agl w peen luaw m a le0!paw papnloul - gLE'Z 'AIOAIIOP 001mas ooueingwe ljocIdns legl lu0w wba leo!paw-uou sapnpul-eLE'z' -sluaged pwnsulun pue p!e0!paIN 01 Nanpap SODIMas aoueingwe lioddns of saildcIns, lempaw sapnpul - gOE'Z 'Sluaged painsu!un puep!eo!paW of Nanpap saa!nias aoueingwe ljoclans of sapd ns sapnloul - e0£'Z 89"090'8L£ %8L 99 46 LZL'999 (46"96 VtW 98'£ZE'Ob9 L4'L86'689 88"EZ£'069 M0L 88"EZE'049 WL0'699 _ ®d $ Japinad of anp IunowV slenb3 $V,Z jeaA lease alepdadde Jo; dVWd Aq pa!IdilInW LV'Z $ lunowV luawal9aS slenb3 9q'Z $ ':' 031MOS 10 Pouad ao; P9081100 saad (eae0 94'Z ,pa)esuadwooun) painsulun PUB s}uewAed aae0!pabeueW p!eu!Paln)'sluawAud p!ea!POYI sS01 $ (vOM<Lp Z 9 E6 UO ZV ZIoiassal 041 slenbe)se6jega Paple eigemgiV pleolp.a lel.1 bYZ $ '(soolnlaS eoueingwV jol slsoo palesuadwoounlpomsulunj £b'z pue algeMol!V pleo!PavO apelndwoo!elo L slunb3 se6ie40 pall!8 lelol Aq pa4d!IInV4 $ sw!elo )sop (aleo:palesuadwooun) Z6'Z pamsum,pue sw!en weo Pa6euew P!eo!POW'IRw!BIO Pled p!eo!PaW gl!M Pale!oossV sa6je40 Palll9 lelol',. (saBaego polpq Jo lsoa to jassal uo paseq s! open) (doo) oiled aBjego of lsoo slenb3 Lb'Z $ oua V 7noo Aq papmoi a3l.mOS to popad Jo; saBiego P0!I!9 lelol Aq Pap!n!p VZ $ Rae wap SSaI Be Z wall) suglOnpay spun] 1Wap02 plaalPOPUON Jagl0 SSOI SISOO IRIOD aouuaS;o pouad jol slsoo algemollV lelol Complete Shaded Areas Only COST REPORT FOR: Reporting Period: 9-Digit TPI: 10-Digit NPI: TEXAS AMBULANCE SERVICES COST REPORT Revised 01/24/17 Page If of 9 IFFY2017 10/1/2016 - 9/30/2017 150093601 11245338433 Provider Name: Calhoun County Emergency Medical Services Street Address: 705 Henry Barber Way, Port Lavaca, TX 77979 Mailing Address: Calhoun County Emergency Medical Services, 705 Henry Barber Way, Port Lavac Phone Number: 361-552-1140 FAX Number: NA Email: Dustin Jenkins(vlcalhouncotx.org BIjSIA([SSS,IVIANAGLI�lRaNht�CIA�DJRECTOR f Name: Dustin Jenkins Title: EMS Director Agency Name, = Calhoun County Emergency Medical Services Mailing Address: Calhoun County Emergency Medical Services, 705 Henry Barber Way, Port Lavac Phone Number: 361-552-1140 FAX Number: NA Email: Dustin Jenkins(a�calhouncotx.org REPORT P13ERAf;R IENTCEICATION Name: Kevin Coyle Title: President AgencylSi�sihe6s Niie ;�: Revenue Optimization Solutions, LLC/Part of the McKesson Team Mailing Address: 1000 Heritage Center Circle, Round Rock, TX 78664 Phone Number: 512-537-9588 FAX Number: NA Email: kcoyie@revopslic.com 11 f�ON OF ACCO ItNTI ECO tpS ih IA i SUPPORT TRIS REC'ORT _ i ..F .. �. Physical Address: Calhoun County Emergency Medical Services, 705 Henry Barber Way, Port Lavac TEXAS AMBULANCE SERVICES COST REPORT COST REPORT for FFY 2017 Page 2 of 9 Provider Calhoun County Emergency Medical Services Period of Service 10/1/2016 - 9/30/2017 Complete Shaded Areas Only GENERAL AND STATISTICAL INFORMATION PENIERA OR MA Y 1.00 9-DigitTPI: Z 150093601 1.01 10d -Digit NPI: 1245338433 1.02 Physical Address of Accounting Records: iergency Medical Services, 705 Henry Barber Way, Pc T .03 -Reporting Period . Beginning 101112016 1.04 Reporting Period -Ending 9130/2017 1.05 Is Reporting Period less than a full year? N Cast Atloosffatr ti 1.06 Does your agency have an approved Cost Allocation Plan (CAP) N 1.07 If yes, please provide the name of the Cognizant Agencywho approved the CAP 1.08 Does your agency have an approved Indirect Cost Rate? N 1.09 Will you be utilizing an Indirect Cost Rate? N- We will calculate the county -wide expenditures 1.10 If yes, what is your agency indirect cost rate N' 1.11 Medicaid Fee for Service (FFS) Paid Claims Amount $ 19,159.68 1.12 Total Billed Charges Associated With Medicaid FFS Paid Claims $ 34,20.13 1.13 Medicaid Managed Care Organization (MCO) -Paid Claims Amount $ -52,186.08 1.14 Total MCO Billed Charges Amount Associated with Paid Claims $ 197,272.46 1.15 Unin I Billed Arrfioum 11, $ 408,811.29 1.16 Uninsured (Uncompensated Care) Reimbursement (Enter as a Negative) $ (2,850.28) 1_.17 Total Allowable Costs for Reporting Period (Exhibit 2 -Direct Medical 2. ) $ 689,487.41 1.18 Total 640,323.88 p a. Medicare Costs 1,576,028 Other Third 4tyedierage 178,120 It iSehPay CQunty/Cltyjodlgeiitk6clp104tProgram .Cos -s 1 $1 354,404 Reviewed by: Approved by: Settlement Da te: :AS AMBULANCE SERVICES COST REPORT iT REPORT for IFFY 2017 nplete Shaded Areas Only Provider: Calhoun County Emergency Medical Services 9 -Digit TPI: 150093601 10 -Digit NPI: 1245338433 AYROLL EXPENSES 509,590.81 9-1-1 Call Technicians -Hours Supplies & Materials: 01 9-1-1 Cali Technicians - Salaries&Wages (From worksheetm 02 Paramedics - Hours 17,969.92 03 Paramedics - Salaries&Wages (From Worksheet B) 04 Training Coordinators - Hours 2.31 05 Training Coordinators - Salaries&Wages (From Worksheets) 06 Quality Assurance Techs - Hours Equipment Non Medical 07 Quality Assurance Techs - Salaries&Wages (From Worksheet B) O8 Safety Officer - Hours 180093.9461 09 Safety Officer - Salaries&Wages (From Worksheet B) 1 Billing/Account Reps- Hours 2.33 11 Billing/Account Reps - Salaries&Wages (From worksheet B) 12 CPR Technicians- Hours (197.35) 13 CPR Technicians - Salaries&Wages (From Workaheat B) 14 Medical Director- Hours -197.353719 15 Medical Director - Salaries&Wages (From Worksheet at 16 Director - Hours 17 Director- Salaries & Wages (From Worksheet B) 18 Public Information Officer - Hours 19 Public Information Officer - Salaries & Wages (From Worksheet m 2 Contracted EMT/Paramedics - Hours 21 Contracted EMT/Paramedics Compensation (From Wodcsheel m 22 Employee Benefits (Docenbe in Explanation Box) (From Worksheet B) 23 'Employer Retirement Contribution (From worksheet B) 24 Employer FICA Payroll Taxes (From Worksheeto) 25 Employer Medicare Payroll Taxes (From Worxsnaet 8) 26 State Unemployment Payroll Taxes 27 Federal Unemployment Payroll Taxes 28 Unemployment Compensation (Reimbursing Employer) 29 Total Staff Costs (sum items 2.00 thru 2.28) 26,140.02 OTHER COSTS 509,590.81 2.3 Supplies & Materials: (bacedbe In Evplanadun Box) 2.30.a. Supplies & Materials Non -Medical 17,969.92 2.30.b. Supplies & Materials Medical 2.31 EquipmenC(oesedtle In Fxplanailon Box) 2.31.a. Equipment Non Medical $ $ 2.31.b. Equipment Medical 180093.9461 2.32 Support Services (IT, Dispatch, Cali Handling, etc.) (Describe In Explanation Box) 2.33 Other (Schedule A and Other) (Desedbe in Explanation Box) 2.34 Total Direct Medical / Other Costs (sum items 2.30 through 2.33) TOTAL Staff and Direct Medical Other Costs (sum items 2.29 and 234) REDUCTIONS: 2.36 Other Federal Funds and Grants (Non Med0aid) (From Worksheet B) 2.37 Other(Enteras Negative) (opscbbein Explanaiibn Bbx) 2.38 TOTAL Reductions (sum items 2.36 and 2.37) Amount 6 27 $ 509,590.81 $ $ 2,301.fi1 $ $ 17,969.92 $ $ 127.79 $ $ 28,802.94 $ $ 130,891.69 $ 180093.9461 $ 689684.7594 $ 0 $ $ (197.35) $ -197.353719 2.39 Period of Service for Applicable Cost Report Period 10/1/2016 - 9/3012017 Total Allowable Costs for Period of Service from! Coos l.r s aih r Nu-h.eaicie P dural P:mns Remmt. Stern 2 tis lesr darn 23a)) $ 689,487.41 2.4 Divided by Total Billed Charges for Period of Service (provided bV Govt. Agencv) $ 640,323.88 2.41 Equals Cost to Charge Ratio (CCR) (Ratio is based on lesser of cost or billed charges) 108% Total Billed Chaiges g8sbaated Wilh Metlica(d Paid Ciaims Medicaid Managed care cialmsan(Uineured =` 2.42(UPcofnpEOsated Cere�;Qost Claims •; ? $ 840,323.88 MOI Ctpliedy Toja[etllail yharges Equa)9 Total CbTnputable (Medtc�td-Allowable aqd 2.43 Uninsuie+3Nncompedsa[ed Costs Tor Ambulance Ser4(Ges) _ ��.:. $ 689,487.41 2.44 Total MedicaigAllowehle afll2d Che'rges (equals lfio lesserof242 ar2491t 24]>1eo%f $ 640,323.88 Lee s Medjeald Paymenxe; Medtca7d Mdpaged Cpra payments and Uninsured (Unpotnpepsaied; 2.45 CarFees Cdlected C' enod of Service $ (74,195.94) 2.46 Equals Settlement Amount $ 566,127.94 2.47 Multiplied by FMAP for appropriate fiscal year 56.18% 2.48 Equals Amount due to Provider $ 318,050.68 "Z, w'li'-'✓' P t t -;}i= 3ii5�':'$" = 'h'1� r4''3#t T' i -}64Cb ' r r" `)rc''d` "`p` .s. "'�'ri::t*.I'r4v rn + " i 3,10 R. ...TINN-�'-� '�s'a' ,.t., ". �'=F 2.30a - Includes supplies to suRport ambulance services delive to Medicaid and Uninsured patients. 2.30b - Includes medical supplies to support ambulance services delivery to Medicaid and Uninsured patients. 2.31a -Includes non-medical a ui mentthat support ambulance service delivery. 2.31b- Included medical a ui ment used in the deliveryof ambulance services. 2.32 - Includes the costs of dispatching, support services, and ambulance billing. 2.33 - Includes depreciation, central services, and other aelpartment expenses. 2.37 Offset related to grants. TEAS AMBULANCE SERVICES COST REPORT COST REPORT for FFY 2017 Province: Calhoun County Emergency Medical Services Complete Seeded Areas Only 9 -Digit TPI: 159093601 10-0igRNPl: 1245330433 AS SIGNER OF THIS COST REPORT, I HEREBY CERTIFY THAT: • The cost report vill include only Aloofble expenditures related to Medicaid, 11 edicaid Managed Care a ad the Unkre I Of (Faters,Xremed Cand., drifted and approved it, till, Texas Healthcare Transformation and Quality Improvement 1115 Waiver Program. • I have read the note belmgthe cover letter and all the instructions applicable to this cost capm't. • I bare retrieved this eaHrc cost report after its preparation. To the best many knurled, and belief, this cost report is true, correct and complete, cad was prepared In accordance frith and all the instructions applicable to this cost report. • This cost report was prepared from the books and records of the Ambulance SECices provider. • The expenditures on this cost report have not been claimed nn say Other cast report. State hinds, that falsification and I understand that this infmmatiot will be used as a basis for claims for Federal fonds, and possibly and concealment of a material fact may be prosecuted under Federal and State civil or criminal lase. NOTE: This COST REPORT CERTIFICATION must be minted by an individual legally responsible for the authorized agent, i.e., ambulance service provider representative, such as Chief Financial Ofhcer or other ofLsial of the Govemmentat Etdity. Misrepresentation orfalsificaiion of any information contained in this report may be punishable by fine and/or imprisunmcnt wder federal and/or stele law. t SIGNER IDENTIFICATION Pdntedffyped Name N Repel Prepa,erlcormacted Vendor Title of PreparerfiCambec ed Vendor Vendor Company Nama 11f applicable) President Revenue Opgmizallon Solufons, Kevin Coyle Pdnterveypetl Name of Star., (Agents Re,.... osm.) TNeof Signer Dustin Jenkins Director of EMS Ner.m Provider: Calhoun County Emergency Medical Services Addimen ISigner(Weetar P.O. S.A. dry, mala, 9dgit zqn: Calhoun County Emergency Medical Services, 705 County Road 101, Pod Lavaca, TX 77979 Prete Number(indudlfg a IF. Numbermoment ame an, Email: DURVaJortureadcalloompoAx.or, 361- - 140 NA EI RE OF SIGNER GATE SIGNER AUtHORrrY: CFO Often Office, ldescdbe) krorkone) Business Officer �Olredo anotary public on Subscribed and sworn before are 7rr.${F{✓ +�Yw/ day'//ear month ly ' • T- e NOTARYSEAL �,,,.w..w NOTPRYSIGNANR NOTMYPUatIC. COMMISSION EXPIRES .ohm SUSAN RILEY STATE OF „luvnrr�r 'o TIOtafY Public. Stale of Texas �µ"(1PUr'f�6 a,.: Cont). Expires 04-18-2020 �2"e'ris'+`��fe� olar ID 7424094 Cost Round Curifcafion TEXAS AMBULANCE SERVICES COST REPORT COST REPORT for FFY 2017 Complete Shaded Areas Only 9 -Digit TPI: 150093601 10 -Digit NPI: 1245338433 Governmental Agency/Provider Name: :ounty Emergency Medica G�jtificatlon Of'Ftfnds � _ } This statement is of expenditures that the undersigned certifies are allocable and allowable to the State Medicaid program under Title XIX of the Social Security Act (the Act), and in accordance with all procedures, instructions and guidance issued by the single state agency and in effect during the cost report federal fiscal year. Total Computable Expenditures submitted to the Texas HHSC for FFY 2017 Ambulance Medicaid/Medical Services $ 689,487 INTENTIONAL MISREPRESENTATION OR FALSIFICATION OF ANY INFORMATION CONTAINED HEREIN MAY BE PUNISHABLE BY FINE AND/OR IMPRISONMENT UNDER FEDERAL AND/STATE LAW. CERTIFICATION STATEMENT BY OFFICER OF THE PROVIDER I HEREBY CERTIFY that for the reporting period: From: 10/1/2016 To: 9/30/2017 1. I have examined this statement, the accompanying supporting exhibits, the allocation of expenses and services, and the worksheets for the above indicated reporting pelted and to the best of my knowledge and belief they are true and correct statements prepared from the books and records of the Provider in accordance with applicable instructions. 2. The expenditures included In this statement are based on the actual cost of recorded expenditures. 3. The required amount of state and/or local funds were available and used to pay for total computable allowable expenditures Included in this statement, and such state and/or local funds were in accordance with all applicable federal requirements for the non-federal share match of expenditures (including that the funds were not Federal funds in origin, or are Federal funds authorized by Federal law to be used to match other Federal funds, and that the claimed expenditures were not used to meet matching requirements under other Federally funded programs). It 4. The expejiditures on this cost tepork'haVe hot been claimed on ajly other cost top 'It. 5. I updetstary`c) that lhls`7tiforrnatioh Tt✓jll be used as a hosts for alaitd§ for Fetleral funtls and'po_sstbiy State fiuhdfi acid tha):,- _ `` .falsiflcajlon antl corlaealmetlt of a material fact may6e'pro�ecuted undet federal and 6. Federal matching funds are being claimed on this report in accordance with the cost report instructions provided by the Texas Health and Human Services Commission effective for the above indicated reporting period. 7, 1 am the officer authorized by the referenced government agency to submit this form and I have made a good faith effort to assure that all information reported is true and accurate. 8. I understand that thisinf ion will be used as a basis for claims for Federal funds, and possibly State funds, and that falsification and concealment of a material fact in prosecu d u ederaI or State civil or criminal law. SIG URE DATE Dustin Jenkins Director of EMS Printed/typed Name of Signer Title of Signer rgency Medical Services, 705 County Road 101, Po Address of Signer (street or P.O. Box, city, state, 9 -digit zip): 361-552-1140 NA Dustin.Jenkins@calhouncotx.org Phone Number (including area code) FAX Number (including area code) Email: SIGNER AUTHORITY: CFD Business Officer �Director (check one) Other Agent/Representative (describe) Subscribed and sworn before me, S 115 An) 1 Itti a notary public on 7 • Z01% day / month / year � ^ NOTARYSEAL,.t,is.✓ 1 —I 4 -IR -2020 -` Notary Signature Notary Public, State Of Commission Expires m.. SUSAN RILEY •;n c Notary Public, State of Texas comm. Expires 0418-2020 or loo;; Notary ID 7424094 TEXAS AMBULANCE SERVICES COST REPORT COST REPORT for FFY 2017 Provider : Calhoun County Emergency Medical Services Complete Shaded Areas Only 9 -Digit TPI: 150093601 10 -Digit NPI: 1245338433 PULE,A tDEPFtEC1ATIOB(.-AMb1jLANGE89RV1G§S---, (Straitb£=Lind"Method ',On] of Asset MontfiiYear Placed in Service ms01 Yams Useful Life Cost Prior Period Accumulated Depreclatlon Depreciation For Reporting Period VEHICLES: Total Ail Vehicles $ $ 20,354.64 See supporting documentation for del TOTAL. ........ EQUIPMENT: - Total All Equipment $ - $ 17,441.53 See supporting documentation for del TOTAL. - 1%�42' BUILDING: Total All Building $ - $ 6,12252 See supporting documentation for de Total Ambulance Services Depreciation .......................................... Depreciation Schedule TOTAL. 6,'123--: '43,915: AMBIIIANCE SERVICES COST REPORT COST By Discipline for Direct Medical Services REPORT for IFFY 2017 9-DIg9TPI: 150093601 ID-0igit NPI: 1245336933 Calhoun County Emergency Medical Services e Shaded Arens Only TEAS AMBULANCE SERVICES COST REPORT COST By Discipline for Dime[ MeaiCal Services COST REPORT for FFV 2017 9-Dq,R TPI: 150093601 10.0191INPI: 1245338433 Calhoun County Emergency Medical Services c Shaded Areas only AMBULANCE SERVICES COST REPORT COST By Disclllline for Oi.rl MedlcM services REPORT for IFFY 2017 9-Ulgil TPI: 150093601 10 Digit NPI: 1245338433 Calhoun County Emergency Medical Services Shaded Areas Only EMPLOYE E INFORMATION PAYROL AND BENEFITS FED FUNDING REDUCTION P.Ma F WM If Yes, Emp'oyer E p[ ye Empbyx By Fed FUM r Amount Of OIF Pm nls Job TYe/ (LMpayeem Conbacbr Empbyee Reloemenl r FICAP yII Mwr edP y ..r."era Fedl T B TOlal EmpoyeOM Last Name FesLName Credentials (OpNraatetl GrossSalary Payments eenalls C dnbWon T Ta Y—N F—R'S R d ReduNOn S S ulOmersateryofr r _ TOTAL BILLING i ACCOUNT REPS 3 -•'T+- 3 .._......... — - _ -.-..-__.. .. ------- -- ____ ., —_ a $757"- - ..___ _ $ _ All Oltrer 8A6ng (Acwvn[ R¢ps 8 5 - 3 — ``i S - S - S TOTAL `• �. -� ` �."s•` CPR TPCNNIOIAN& �-. _�.`,. a- " 3"--' q< — E 3' 8 - M ONer CPR Te¢hNtlam AMBULANCE SERVICES COST REPORT COST By Discipline for Direct Medical Services REPORT for IFFY 2017 9 -Digit TPI: 150093601 10Digit NPI: 1245338433 Calhoun County Emergency Medical Servlcas AMBULANCE SERVICES COST REPORT COST By Discipline (ar Direct Medical Services REPORT for FFY 2017 9 Digit TPI: 1500931101 10�Oi9it NPI: 1245338433 Calhoun County Emergency Medical Services TEXAS AMBULANCE SERVICES COST REPORT COST REPORT for FFY 2017 9-Digit TPI: 150093601 10-Digit NPI: 1245338433 Provider: mean County Emergency Medical Servo Complete Shaded Areas Only Coet Al locatisit%Methodolo''i@s Bnl !0'x:6 the 6overomiiiw5i A. If you entered "yes' on Page 1 Line 1.06 and your agency has an approved Cost Allocation Plan (CAP), please provide a copy of the approval letter received from the Cognizant Agency B. If you entered "yes" on Page 2, Line 1.08 and 1.09 and your agency has an approved Indirect Cast Rate (IDCR), please provide a copy of the certificate of indirect costs received from the Cognizant Agency C. Please provide a list of personnel cost worksheets that support your CAP or IDCR (Examples: Allocation of Personnel Worksheet, Time Distribution Report, Statement of Employee Benefits, etc.) D. If you entered "NO" on Page 2 Line 1.06 or Page 2 Line 1.08, enter in detail the allocation methodology that will be used for allocating costs on the cast report. Detailed Explanation: 1 Calhoun County EMS submitted a Cost Allocation Report to HHSC. This cost report follows the methodologies 2 described in the Cost Allocation Report. Please nate that as an EMS agency, 100% of Calhoun County EMS time is associated with the provision of Medical/Ambulance services. 3 4 5 6 7 8 9 10 TEXAS AMOUTANCE SERVICES COST REPORT COST REPORT fur FEY 2012 Complete Shaded Areae Only Provider Calmen County Emergency Flscal Year End 9/30/2017 EXA(NpLEdN1:Y (5) (6) (7) (0) (9) (to) (11) (12) (i) (2) (3) (4) Pre,17mme ID Procedure Procedure Descdiume Tronsport Date Insurance If MedicaudEdediwid Units Chaegv Paid If Uninsured. ItUslumed Total Uncompensated (I-entifeU Code (Oats of SeMce- Carver Name Managed Care- Aamarps) Amrmage) Billed/Notice Oates and Costs Submitted DOS) Reciplenthlumber Sent lO Patient Uncull-Mm �- Write If Dale 12345 -00429 BLS Emrrgemy 101112012❑nigsurcd NA '1000 S 840.00 5. "15.00 1/15/2013 NA' 2/15/2013 NA _ - - 3!15/2013 '411511013 d 815-00. 78945 A0433 AIS swrgon, f11 12 12 upenor ) 456 I' 435.0 5. 435.10 NA .- NA- ' - 25687 A0425 BIS ALIeng-: 11715YL011 llmnslired NA 20 $ I38 60 . $ 90.00 " 121132012 - -- 1!1512013 NAC S .10425 IA0425 ELS Niles s 1 1711F)ug2j surearlor. VV23769 2515 525.65 1 $ 117.75 TotalA➢ Columnt-proaMme IO(Identifier) Enterthe Process/Transaction ldentifler for service provided to patient. Calumet 2 -Procedure Cade Enter Me applicable pracetlwe catle for Me service provided m the patient. Colmnv 3- Pmcedurc Oesvript en Enter Ne descdpron for the procedure cede used when imemwtwae provided to Ne parent. Column 4 -Transport Date of Smolce Enter -hula Ve Ca Won servlet was promdetl. Column., 5 5 - Insurance Canter Name Enter Me name Malfic d eallumalIstates mmemmus. carrier. Oolumn6 Medical- Recipient Number managed care unionization. Managed Celd Merilank vnlNumber if the parent is roomeInsured dy any after or if patient has awvoragethrough a snared ca ren, of Service Leave 01s OaJtl blank wenter "NA9f 0e pa0enl is Inrvred byanyothermeans. Enter Colonme eUnifs of Service Enter 0e unit of service sllomebl a for ambulance services provldetl to a diem by all modes of approved tmnspotlarm. Columnb Cbarge Amuunts Test .Imenlled paid Amer services provided to parent. Columns paid b Ammallme) Annearplume do. if by manned. Dattesib ulnudg ,mat Seelp allma i. Cams attempted bill Dales HIUvdNoUus Sent.Callmade Dales l illlempNd ball mall used w nonce sine to f Date responslblaparty fwservices pmvldetl. Columna dateIf receivable vNnoollectible, Write Off Date Error me -stance UrelemasvM.d DO. Column t2"Total Uncnmp¢nsafed Costs EnlerlM1e amWntof uncompensated ws6 fvrhe repMilg pedOds Of service. Calhoun County Commissioners' Court — March 21, 2018 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To transfer Unit 5 Chassis from EMS to Precinct #1. 2011 Dodge 4500; VIN 3D6WA6ELXBG510183, Inventory #541-0220. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 9 of 18 Mary Orta From: susan.riley@calhouncotx.org -- susan riley <susan.riley@calhouncotx.org> Sent: Thursday, March 15, 2018 10:22 AM To: mary.orta@calhouncotx.org -- Mary Orta Subject: Fwd: Transfer of Unit 5 Chassis to Pct. 1 Attachments: Asset Transfer Form UNIT 5 Chassis -to PCT1.pdf Transfer of Inventory from EMS to Pct 1 Susan Riley, Administrative Assistant to Michael J. Pfeifer, Calhoun County Judge and Commissioners' Court -----Original Message ----- From: "Dustin.Jenkins@calhouncotx.org -- Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> To: "Susan Riley" <susan.riley@calhouncotx.org> Cc: "Lori McDowell"<Lori.MCDowell@calhouncotx.org>, "David Hall" <David.Hall@calhouncotx.org> Date: Fri, 09 Mar 2018 15:35:13 -0600 Subject: Transfer of Unit 5 Chassis to Pct. 1 Susan, Attached below is the Asset Transfer Form for the transfer of Unit 5 Chassis to PCT. 1. The Frazier Box Module (X-666) that is currently mounted on this 2012 Dodge 4500 is being mounted on a brand new chassis. VIN: 3 D 6 WA6 E LXB G 510183 Asset #: 541-0220 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 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: James Dustin Jenkins, Director of EMS Inventory Number Description Serial No. Transfer From/To Department 541-0220 Unit 5 Chassis 2011 Dodge 4500 3D6WA6ELXBG510183 Transfer from EMS to Precinct 1 Calhoun County Commissioners' Court— March 21, 2018 11. CONSIDER AND TAKE NECESSARY To acknowledge increase of $3,500 budget for buy money. (MP) ACTION (AGENDA ITEM NO. 11) in Sheriff's Forfeited Property Fund 2017 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 10 of 18 Mar. 13. 2018 1:47PM 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 NAGE SUBJECT: Increase the Forfeited Property Fund in 2017 Budget DATE: MARCH 21, 2018 No.3604 P. 1 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MARCH 21, 2018 Consider and take necessary action to acknowledge c increase of $3,500.00 in Sheriff's Forfeited Property Fund 2017 budget for buy money. Sincerely, 1411 �� Bobbie Vickery Calhoun County Sheriff Mar. 13. 2018 1:47PM Jenny McGrew No.3604 P. 2 From: cindy.mueller®calhouncotx.org -- Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Friday, February 16, 201812:57 PM To: Jenny McGrew,'Ashley Padron' Subject: Forfeited Property budget amendment Attachments: Budget Report 2017.12.31.pdf Jenny, Buy money is overdrawn $3,500. Please request an agenda item with the suggested verbiage below. • consider and take necessary action to acknowledge increase of $3,500 in Sheriff's Forfeited Property Fund 2017 budget for buy money. 19gritL,1�%?9�I� PhAft U2,55$..4'620 Calhoun County Commissioners' Court— March 21, 2018 12, ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 12) L Calhoun Tax Assessor/ Collector ii. County Treasurer iii. County Sheriff iv. District Clerk v. County Clerk vi. Justices of Peace vii. County Auditor viii. Floodplain Administration ix. Extension Service — Feb. 2018 x. Adult Detention Center SHP Medical RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 11 of 18 Mary Orta —" From: susan.riley@calhouncotx.org -- susan riley <susan.riley@calhouncotx.org> Sent: Friday, March 09, 2018 1:07 PM To: Mary.orta@calhouncotx.org Subject: Fwd: February 2018 Commissioner's Reports and Travel Report Attachments: Feb Commissioners report Geri L_Kline.pdf, February Commissioners report -Eric Taylor.pdf; Comrpt_FEB_2018.pdf; February 2018 Travel Report.pdf Mary, this will go in the reports for March 21. Susan -----Original Message ----- From: "kdsutherland@ag.tamu.edu -- Katherine Sutherland" <kdsutherland@ag.tamu.edu> To: Donnie Montemayor<Donnie.Montemayor@ag.tamu.edu>, "vern.lyssy@calhouncotx.org" <vern.lyssy@calhouncotx.org>, "david.hall@calhouncotx.org" <david.hall@calhouncotx.org>, "clyde.syma@calhouncotx.org" <clyde.syma@calhouncotx.org>, "mike.pfeifer@calhouncotx.org" <mike. pfeifer@calhouncotx.org >, "Kenneth Finster (kenny.finster@pct4.org)" <kenny.finster@pct4.org> Cc: "Barbara A. Moretich" <Barbara.Moretich@ag.tamu.edu>, Susan Riley <susan.riley@calhouncotx.org>, Rhonda Cummins <rdcummins@ag.tamu.edu>, Geri Kline <Geri.Kline@ag.tamu.edu>, "Eric C. Taylor" <ec.taylor@ag.tamu.edu> Date: Fri, 9 Mar 2018 14:55:14 +0000 Subject: February 2018 Commissioner's Reports and Travel Report Attached is Calhoun County Commisserioner's and Travel reports for February 2018 ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 160 Selected maior activities since last report- February 2018 February 5: Share the Fun Practice. February 6: Beef Committee Meeting. February 7: Jr Livestock Committee. February 8: Food Challenge Practice. February 13: Horticulture Series- roses. Livestock judging practice. February 15: Ordered materials for demonstration garden. February 19: Cotton Council Webinar. February 20: Livestock judging practice. February 22: Horticulture committee meeting. Food challenge practice. February 28: Picked up materials for demonstration garden. Picked up seed for demonstration plots. Flagged the field for the corn hybrid trial. Direct Contacts: Phone: 45 E-mail: 50 Office:30 Site: 1 Major events for next month - March 2018 March 5: County Roundup. March 6 & 7: REP Recovery Seminar and Workshop- Bay City. March 28: Horticulture Lunch and Learn Series- Spring gardening. Various 4-H practices Outdoor Challenge practices start Geri L Kline Calhoun Name County County Extension Agent -Agriculture & Natural Resources February 2018 Title Date (Month -Year) Texas Agri Life Extension Service • The Texas A&M University System - College Station, Texas I ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled: 1,238.1 Selected mai or activities since last repot4 February 1: Rebuild Texas training in Robstown February 1: Lavaca Bay Foundation organizational meeting February 10: I was onsite at the Sanctuary to assist the weigh-master at Tunes & Tails Fishing Tournament in Port O'Connor. With only 6 teams entered, the economic surveys were not conducted. The sample was just too small and mostly local fiom Port Lavaca and Victoria. Weather was considered a factor in the small turnout. February 13: Cooking with Seafood was held on location at Big Bear Shrimp and Seafood. A total of 25 people attended the demonstration and 6 of those had never been inside the fish market before. February 15: Watershed meeting in Palacios for the Tres Palacios River and Carancahua Creek. February 16-25: vacation February 26-27: USACE meeting in Galveston for updates on Army Corps projects and studies along the coast. Also received help from Galveston County Extension staff with major overhaul of the Agrilife website for the Calhoun County Office. February 27: Aaron Petty, an environmental scientist, was my guest speaker to the middle school classes at OLG Catholic School. He spoke about several topics related to his career and water quality activities in Lavaca Bay. The teacher and 36 students benefited from his presentation. February 28: San Antonio Bay Foundation Board of Directors meeting was held in Port O'Connor. After a year off the board, I am now serving as the Secretary/Treasurer. GERA management was at the meeting to brief the board about the recent sunset review and possible changes in the non-profit's structure. Ongoing Hurricane Harvey Recovery Effort areas — • Meetings, phone calls, and emails with partners, collaborators, and colleagues • Solutions for shore erosion, salt tolerant plants • Supporting marine industry in Aransas County as requested • Supporting marine industry in Calhoun County as able • On call for deployment as part of a financial technical assistance team. Direct Contacts by: Office: 3 E-mail/Letters: 180 Site: 45 Newsletters: 1,100 Phone: 30 Maj or events for next month — March 2018 March 6: Louisiana Fisheries Forward Summit March 14: Cooking with Seafood at Poor Boy's Bait March 20-22: afternoon middle school science classes at LCBP March 22: morning kayaking trip with OLG 8' grade March 30: County Holiday for Good Friday Unscheduled events for March include work with Jr. Master Gardeners, installing erosion control mat at Magnolia Beach bulkhead park, and installing latest little neighborhood library in the Lynn Haven subdivision. Rhonda Cummins Name CEA -CMR Title Calhoun County February 2018 Date (Month -Year) Texas A&M AgriLife Extension - The Texas A&M University System • College Station, Texas Sea Grant Metrics • Number of Events: I o Number of People at Events: 25 • Number of Presentations: 0 o Number of People at Presentations: 0 • Number of K-12 Educational Activities: I o Number of Youth: 36 o . Number of Educators: 1 • Number of Certificates Issued: 0 • Number of Volunteer Hours: 29 Number of Volunteers: 18 ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 957 Selected maior activities since last report- February 2018 Feb 1: Attended Commission for Rebuild Texas meeting in Robstown. Feb 5: Held 4-H Share the fun practice Feb 5: Gave presentation at Intercostal 4-H meeting. Feb 6: Held Walk Across Texas Program at JR Elementary Feb 6: Held Livestock Judging practice Feb 7: Held Junior livestock committee meeting. Feb 8: Attended San Antonio Food Challenge Contest Feb 10: Attended San Antonio Public Speaking Contest Feb 11-12: Attended San Antonio Breed Goat Show Feb 13-15: Attended San Antonio Breeding Heifer show Feb 16-19: Attended San Antonio Market Barrow Show. Feb 20: Took youth to San Antonio for school tours. Feb 23: Attended San Antonio Steer Show. Feb 24: Attended East Central Judging Contest Feb 25: Attended San Antonio Livestock Judging contest. Feb 26: Held Share the Fun, Beef Quiz Bowl, and Council Meeting Feb 27: Held Walk Across Texas program at JR Elementary Direct Contacts: Phone:78 E-mail/Letters:421 Office: 25 SiteA Maior events for next month — March 2018 Mar 2: Matagorda Livestock judging contest Mar 4: Victoria County Livestock Judging contest Mar 5: County Round Up Mar 7: Walk Across Texas Wrap up Mar 8-9: Houston Livestock Show Heifer Show Mar 10-12: Houston Barrow Show Mar 12: Houston Livestock Judging Mar 18: Houston Food Challenge. Eric Taylor Name County Extension Agent —4-H & Youth Development Title County February 2018 Date (Month -Year) Texas AgriLife Extension Service - The Texas A&M University System - College Station, Texas * CT- denotes use of county vehicle; PV -denotes use of personal vehicle; CP -denotes agent carpooled to event CEA -CMR denotes Rhonda Cummins; CEA -4-H denotes Eric Taylor; CEA -FCS denotes Tina Trevino; CEA-AGNR denotes Geri Kline I hereby certify that this is a true and correct report of travel (mileage) and other expenses incurred by mein performance of my official duties for the month shown. Eric Taylor Rhonda Cummins Geri Kline County Extension Agent County Extension Agent County Extension Agent 4-H & Youth Development Coastal Marine Resources Agriculture & Natural Resources CALHOUN COUNTY EXTENSION OFFICE TRAVEL REPORT TO COMMISSIONER'S COURT FEBRUARY 2018 Date Travel Description* Miles, Other Other Meals Lodging (Listed) (Cost) 2/1/2018 Seadrift Oyster project; Lavaca Bay Meeting; Rebuild'Texas- Robstown - PV - CMR 205 2/1/2018 Rebuild Texas - Robstown - PV - 411 110 2/2/2018 Site visits to Big Bear, OLG-PV-CMR 7.4 2/5/2018 Site visits YMCA, OLG,Harboy NLM-PV-CMR 92 2/6/2018 Site visits OLG, Annex, Poor Boys, City Hall, PL Wave -PV -CMR 6.8 2/7/2018 Olivia, Magnolia Beach, Indianola -PV -CMR 56.4 2/7- 2/19/2018 San Antonio Livestock Show - PV -4H 858.0 $ 555.40 Gate Pass $ 50.00 2/8/2018 Falcon Point, S\van Point, County Harbor, Seadrift Harbor, OLG-PVOCMR 53.2 2/9/2018 Schicke Point, Point Comfort, 6 -mile -PV -CMR 48,7 2/10/2018 Fishing tournament in Pon O'Connor -PV -CMR 55.3 2/12/2018 Port Lavaca, Ace, NLM, OLG-PV-CMR 122 2/13/2018 Cooking with Seafood at Big Bear- PV -CMR 19.3 2/14/2018 Harbor Refuge, PI, Wave -PV -CMR 15.7 2/15/2018 Wielder Stock Show - Waclder, Tx 1160.0 2/28/2018 SABP meeting in Pon O'Connor, site vists Port Lavaca -PV -CMR 50.3 2/26/2018 USAGE Stakeholder Forum - PV- CMR 234.3 1891.8 S 555.401 1 S 50.00 * CT- denotes use of county vehicle; PV -denotes use of personal vehicle; CP -denotes agent carpooled to event CEA -CMR denotes Rhonda Cummins; CEA -4-H denotes Eric Taylor; CEA -FCS denotes Tina Trevino; CEA-AGNR denotes Geri Kline I hereby certify that this is a true and correct report of travel (mileage) and other expenses incurred by mein performance of my official duties for the month shown. Eric Taylor Rhonda Cummins Geri Kline County Extension Agent County Extension Agent County Extension Agent 4-H & Youth Development Coastal Marine Resources Agriculture & Natural Resources Calhoun County Commissioners' Court— March 21, 2018 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To declare certain items in the Road & Bridge Precinct #2 Inventory as Surplus/Salvage and remove from Inventory. (See List) (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 12 of 18 �r 16 2018 Si30AM HP LASERJET FAX Calhoun County SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: hoed s erldp, P06 7 RaquoetO byl Commlaelonar Vern Lyaay �Siliii,��.�n„�.,�,.���A4�,et�l�\.a�N�1.h..q,A��"au �a�a•. �tf:dA�..W�\aAA��aM4.�V'\. A. '�R s���.��it,`��1CS � t� .n1(� �•....'��±.�.�,��';4�ahb�tl�7 '• _ MAIRTAIAEM11MR—GIMER a 1905 FIAT p.1 Calhoun County Commissioners' Court— March 21, 201£3 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To declare certain items in the Road & Bridge Precinct #2 Inventory as Waste and authorize disposal of same. (See List) (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Vein Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 13 of IS Mar 16 2018 8:30AM HP LRSERJET FAX p.2 CALHOUN COUNTY WASTE DECLARATION REQUEST FORM Department Name: Road & Bridge, Pct. 2 Requested by: Commissioner Vern Lysey, Inventory Reason for Waste 22.0209 DUCT WORK FIRE DAMAGED 22.0308 - AIR COMPRESSOR - 80 GALLON FIRE DAMAGED 22-0283 AIR HAN LER FIRE DAMAGED 22-0048 DESK - WOOD 6 DRAWER W/GLASS TOP FIRE DAMAGED 460-0070 ETU CENTER DRAWER FIRE DAMAGED 22.0205 DESK FIRE DAMAGED 539-0037 FOUNTAIN - 830d-40 TAYLOR FIRE DAMAGED 22-0080 GRINDER • HEAVY-DUTY BALL BEARING FIRE DAMAGED 22-0274 MAN ICE MAURfRE HEAD FIRE DAMAGED 22-0312 MANITOWOC 600 LB NUMET ICE MACHINE/USED EXISTING STORAGE BEND RNS-060BA-161 FIRE DAMAGED 22-0188 LASER LEVEL - SOHKIA LP30 W/TRIPOD FIRE DAMAGED 22.0164 LEVEL (TRANSIT) r MODEL LTB -300P W/ALUMINUM TRIPOD 316387 FIRE DAMAGED 22.0157 OPEN BAYS HARVEY DESTROYED 22.0096 SAW - 7.26' CIRCULAR BLACK & DECKER 71621 FIRE DAMAGED 22.0122 SAW • BTIHL CHAIN 23394896 FIRE DAMAGED 22-0142 SAW - MAKITA MODEL 414" CUTOFF TEAL 396994.1 FIRE DAMAGED 22.0200 SAW - $TUGK GAS TS -400-14 43573939 FIRE DAMAGED 22.0261 OUTDOOR SYSTEM, 12V 4 CAMERA POWER SUPPLY, 19" LCD FIRE DAMAGED 22-0061 TABLE -WOOD 3 -DRAWER FIRE DAMAGED 22-0062 TABLE - WOOD 2 -DRAWER FIRE DAMAGED 22.0091 TRAILER - SHOP BUILT FOR WATER PUMP NOT NEEDED 22-0194 TRIMMERWEED F386 241887366 FIRE DAMAGED Calhoun County Commissioners' Court— March 21, 2014 15. APPROVAL OF PAYROLL (AGENDA ITEM NO. 15) Pass Page 14 of 18 Calhoun County Commissioners' Court— March 21, 2018 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) On any necessary budget adjustments. Page 15 of 18 Calhoun County Commissioners' Court — March 21, 2018 17. APPROVAL OF BILLS. (AGENDA ITEM NO. 17) PAYROLL — 03/23/2018 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet I SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma MMC — March 2018 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Nursing Home — Mar 2018 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 16 of 18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- March 21, 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1,117,913.90 TOTAL TRANSFERS BETWEEN FUNDS $ TOTAL NURSING HOME UPL'EXPENSES $ 302,027.67 TOTAL INTER -GOVERNMENT TRANSFERS $ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- March 21, 2018 PAYABLES AND PAYROLL 3/1912018 Weekly Payables 715,928.08 3/20/2018 McKesson -340B Prescription Expense 3,047.45 3/1912018 Hospira Worlwide Inc.- Past Due Supplies 267.88 3/19/2018 Emergency Staffing Solutions -ER Staffing 40,062.50 3/19/2018 Patient Refunds 6,815.85 3/21/2018 Payroll Liabilities (Payroll Taxes) 86,937.53 3/21/2018 Payroll 261,684.06 Electronic Bank Payments Prosperity Electronics Payments 3/12/2018 Credit Card & Lease Fees 3,170.55 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1,117,913.90;' TOTAL TRANSFERS BETWEEN FUNDS $ NURSING HOME UPL EXPENSES 3/19/2018 Nursing Home UPI 3/1912018 Nursing Home UPI 3/19/2018 Nursing Home UPI 133,747.46 158,880.49 9.399.72 TOTAL INTER -GOVERNMENT TRANSFERS $ March 21, 2018 2018 APPROVAL LIST - 2018 BUDGET COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 03/21/18 2 $14,132.13 FICA P/R $ 49,858.04 MEDICARE P/R $ 11,660.28 FWH P/R $ 34,368.30 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 3,065.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,954.40 TMPA P/R $ 308.00 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 332.62 AT&T MOBILITY A/P $ 2,416.30 CABLE ONE A/P $ 1,472.77 CENTERPOINT ENERGY A/P $ 59.03 CPL RETAIL ENERGY A/P $ 28.53 FRONTIER COMMUNICATIONS A/P $ 396.80 STATE COMPTROLLER A/P $ 185.95 TESTENGEER, INC. A/P $ 49.99 TOTAL VENDOR DISBURSEMENTS: $ 120,299.12 CLOSING OF IBC MONEY MARKET ACCT A/P S 15,320.80 TOTAL TRANSFERS BETWEEN FUNDS: $ 15,320.80 PAYROLL FOR 3/23/18 P/R $ 282,140.53 TOTAL PAYROLL AMOUNT: $ 282,140.53 TOTAL AMOUNT FOR APPROVAL: $ 417,760.45 z z �ro a a a a a a a a a „ ay zy eyy o no n0 no n0 no n0 n0 n0 no 00 om om cpm nm om om m mm N � � c� ab a d D� D q aro a ti a Dv av Ay Co jo {0 ° ° o n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 w a a y y a a a y y � 0 0 w a N N Aw P P P P P P P P P O O O O O O O W W N lA V� lA V� lA to VI W O] bn a rr� r �r y y y 3 a o a cai y ;W0 � A (°]' w w b aU o o I1L1 w o 0 0 (D� w ow w a w- 0 N O 5 te m N o P o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o c o b o 0 o q o 0 o to o 0 0 0 0 0 0 0 0 0 0 .o n P P P P P P P P P P P P P O. P P P P Oi P trt P P P P P P P P P P P P P P P P P P P P w r P P P P P P P P P P P P P P P P P ^ N N O N O O IA to N b P O N O V� A N N N O p a n R N Oo N m in O. w w co 1J oe � J Orn T J b in T O J b in W to P W `D A w P A O w to w P IA O I W W W W W W W W W W W W W W W W W W W W W N_ .\N.. N_ N q 13 O N1 o N 0 N 0 N 0 N 0 5 0 N 0 N 0 5 0 N 0 t3 0 N 0 N o � O N o N 0 5 N E 0 0 o 0 w w w w w oa w M w w w m W W m w m w w M W W [a v o� C w o 0o w oo ao w w oo i <n O O O O o rJ� MC, S W O n m J r t,. N 0 n'n 0 0 0 o rn o 0 0 o 0 o 0 0 0 0 .bo 0 0 a n U N twn O O N O N N p 6 N b �O �O �O �O �O •O �D b y R f N ibp b b N w VAi Vbi w v O C w o 0o w oo ao w w oo i <n 0 March 21, 2018 2018 APPROVAL LIST - 2018 BUDGET I COMMISSIONERS COURT MEETING OF 03/21/18 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 2 $14,132.13 FICA P/R $ 49,858.04 MEDICARE P/R $ 11,660.28 FWH P/R $ 345368.30 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 3,065.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,954.40 TMPA PIR $ 308.00 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 332.62 AT&T MOBILITY A/P $ 2,416.30 CABLE ONE A/P $ 1,472.77 CENTERPOINT ENERGY A/P $ 59.03 CPL RETAIL ENERGY A/P $ 28.53 FRONTIER COMMUNICATIONS A/P $ 396.80 STATE COMPTROLLER A/P $ 185.95 TESTENGEER, INC. A/P $ 49.99 TOTAL VENDOR DISBURSEMENTS: $ 120,299.12 CLOSING OF IBC MONEY MARKET ACCT A/P $ 15,320.80 TOTAL TRANSFERS BETWEEN FUNDS: $ 15,320.80 PAYROLL FOR 3/23/18 P/R $ 282,140.53 TOTAL PAYROLL AMOUNT: $ 282,140.53 TOTAL AMOUNT FOR APPROVAL: $ 417,760.45 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- March 21, 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL"PAYABLES, PAYROLL AND ;ELEC`T'RONIC SANK PAYMENTS, " "' � ` $ 1,11,913 90 ;DOTAL TRANSFERS BETWEEN FUNDS °"„ ,: , T GRAND TOTAL D13BURSEMEN 1'S APPROVED March,21, 2018_ $_1,419,949 57,; MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- March 21 2018 PAYABLES AND PAYROLL 3/19/2018 Weekly Payables 715,928.08 3/20/2018 McKesson -34013 Prescription Expense 3,047.45 3/19/2018 Hospira Worlwide Inc: Past Due Supplies 267.88 3/19/2018 Emergency Staffing Solutions -ER Staffing 40,062.50 3/1912018 Patient Refunds 6,815.85 3/21/2018 Payroll Liabilities (Payroll Taxes) 86,937.53 3/21/2018 Payroll 261,684.06 Electronic Bank Payments Prosperity Electronics Payments Credit Card & Lease Fees 3.170.55 TOTAL,TRANSFERS.�ETiNEEN FUNDS $_ NURSING HOME UPL EXPENSES 3/19/2018 Nursing Home UPI 3/19/2018 Nursing Home UPI 1 F0%UVITIRImi6C7iL vial 133,747.46 158, 880.49 9.399.72 TOTAL INTER G,OV�ERNMEN7 TRANSFERS.:; ' $ „ , GRAND ;f07AL DISBURSEIVIENTS;A�PROY�D Mar'.ch, 21, 20'1$ '' $'1,419,941 5� Page 1 of 17 MEMORIAL MEDICAL CENTER 03/16/2018 0 AP Open Invoice List 09:56 ap_open invoice.template Due Dates Through: 03/28/2018 Vendor# Vendor Name Class Pay Code ✓ 11283 ACE HARDWARE 15521 Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / -91494BM2- 03/05/20 02/13/20 03/24/20 12.88 0.00 0.00 12.88 ✓ !d 0100 SUPPLIES 120506 ✓ 03/05/20 02/24/20 03/24/20 46.98 0.00 0.00 46.98 ✓ SUPPLIES 120518 ✓ 03/05/20 02/24/20 03/24/20 7.77 0.00 0.00 7.77 ✓ SUPPLIES 120523 v103/05/20 02/25/20 03/25/20 27.50 0.00 0.00 27.50 ✓ SUPPLIES 120524✓ 03/05/20 02/25/20 03/25/20 22.01 0.00 0.00 22.01 ✓ SUPPLIES 120519 v/03/05/20 02/25/20 03/25/20 54.28 0.00 0.00 54.28 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 171.42 0.00 0.00 171.42 Vendor# Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC./ M Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 84.80 9652635708 03/12/20 12/20/20 01/19/20 84.80 0.00 0.00 SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net A1690 ALCON LABORATORIES, INC. 84.80 0.00 0.00 64.80 Vendor# Vendor Name Class Pay Code 10592 AMERICAN PROFICIENCY INSTITUTE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 483671 ✓ 03/06/20 02/26/20 03/23/20 111.00 0.00 0.00 111.00 ✓ DUES 483675 ✓ 03106/20 02/26/20 03/23/20 647.00 0.00 0.00 647.00 ✓ DUES Vendor Total: Number Name Gross Discount No -Pay Net 10592 AMERICAN PROFICIENCY INSTITUTE 758.00 0.00 0.00 758.00 Vendor# Vendor Name Class Pay Code ✓ M A1553 APPLIED CARDIAC SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net ✓ 80450.020818 03/12/20 02/08/20 03/08/20 5,250.00 0.00 0.00 5,250.00 WARRANTY EXTENSION Vendor Total: Number Name Gross Discount No -Pay Net A1553 APPLIED CARDIAC SYSTEMS 5,250.00 0.00 0.00 5,250.00 Vendor# Vendor Name Class Pay Code 11816 ASHFORD GARDENS Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net ✓ 000847 03/12/20 02/28/20 03/08/20 9,550.58 0.00 0.00 9,550.58 TRANSFER- PayWt 4,Kj 4MtvN(- It1er-ror / 000851 03/12/20 03/06/20 03/06/20 9,700.00 0.00 0.00 9,700.00 r/ TRANSFER - FAyjAer`t'ScAf b MWVt_'Kcrrov- / 000866 03/12/20 03/06/20 03/06/20 5,344.54 0.00 0.00 5,344.54 a/ Page 2 of 17 TRANSFER - PAIJU A (ItK+ jo tkk(- (K CY V- 000849 03/12/20 03/06/20 03/06/20 711.36 0.00 0.00 711.36 TRANSFER -- VAyWqKf 94Kt -h Ktk L, IK trinor 000864 03/12/2003/06/2003/06/20 10,103.15 0.00 0.00 10,103.15 TRANSFER - ppy ry tvpt yakj- •{-u Jy\KLL I K e nor / 000857 03/12/20 03/06/20 03/06/20 1,000.00 0.00 0.00 1,000.00 ✓ TRANSFER - f pqW M� 4M,_j b KI LL iwt CYW 000856 03/13/20 03/08/20 03/08/20 0.28 0.00 0.00 0.28 r% TRANSFER - rpJW5 tKt W}- h I L , jyL LF YUr 031318C 03/13/20 03/14/20 03/14/20 12,264.69 0.00 0.00 12,264.69 TRANSFER - f 6kjWgV\t I4tVq h 1 Yl LWMr. 031318 03/13/20 03/14/20 03/14/20 65.00 0.00 0.00 / 65.00 ,/ TRANSFER- f 4gWrkr (,Apt} AV iW*c� i h CWVV,, / 031416 03/13/20 03/14/20 03/14/20 13,500.00 0.00 0.00 13,500.00 ✓ TRANSFER ,-fAlIftVLk 4W/ b MML, lit(.WMY'. / 0313188 03/13/2003/14/2003/14120 1,127.00 0.00 0.00 1,127.00✓ TRANSFER - fpjMtRVVau'+jv WL, il1t44r,Ib)#10.80 I0r019.$17 031318A 03/13/20 03/14/20 03/14/20 10,0.00 0.00 0.00 10,00.00 TRANSFER _. wk,�l ot� �- .k-� fV�wlL, rIL 1141"-- 141"-Vendor VendorTotal: Number Name Gross Discount No -Pay Net 11816 ASHFORDGARDENS '73,395,q073,38/. 60 0.00 0.00 73,3.60 73, 395.x¢ Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 439862,' 03/05/20 02/22/20 03/22/20 2,509.50 0.00 0.00 2,509.50 ✓ STAFFING " Vendor Totals Number Name Gross Discount No -Pay Net 11756 AYA HEALTHCARE INC 2,509,50 0.00 0.00 2,509.50 Vendor# Vendor Name Class Pay Code ✓ 11544 BAY STORAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 030118 03/12120 03/01/20 03/01/20 570.00 0.00 0.00 570.00, RENT P,ui tdin9 _- > e, of Pi f 04- (OA+ZAA-y Vendor Totals Number Name Gross Discount No -Pay Net 11544 BAY STORAGE 570.00 0,00 0.00 570.00 Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC ,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 106913998 ✓ 03/13/20 03/02/20 03/27/20 33.44 0.00 0.00 33.44 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 81220 BECKMAN COULTER INC 33.44 0.00 0.00 33.44 Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net ✓ 000858 03/12/20 03/06/20 03/06/20 4,158.00 0.00 0.00 4,158.00 TRANSFER- ?6.jWRf ryM+ -IV V4Y4L iAW IX. 000845 03/12/20 03/06/20 03/06/20 3,686.04 0.00 0.00 3,686.04 TRANSFER- PAyMatk GLAI X17 WVA kc, I WWy-. ✓ 000868 03/12/20 03/06/20 03/06/20 2,553.60 0.00 0.00 2,553.60 TRANSFER - vAytytt,t�j �aj -6 W4V.L i N tYW'. 000850 03/12/20 03/06/20 03/06/20 925.84 0.00 0.00 925.84 Page 3 of 17 TRANSFER-VA\yWgwt- htµA-'h PAWL ihcrray. 870 03/12/20 03/06/20 03/06/20 5,099.50 0.00 0.00 5,099.50 ✓ TRANSFER- QAytkcA-V c10+4-0 WAWg_lVktyWV, 000848 03/12120 03/06/20 03/06/20 8,316.00 0.00 0.00 8,316.00 ✓ TRANSFER - P jwgw jt ycKj +, 1Y &L 1 K LVWV-. 000860 03/12/20 03/06/20 03/06/20 2,642.88 0.00 0.00 2,642.88 ✓ TRANSFER - kjKtAt 11th[ -h WMA, i K LVWV". 000888 03/13/20 03/09/20 03/09/20 12,096.00 0.00 0.00 12,096.00 ✓ TRANSFER ^ PAjh tn{ (n.KA -6 MW\t- i K Lvw r, 000889 03/13/2003109/2003/09/20 4,935.00 0.00 0.00 4,935.00✓ TRANSFER- PAyI,,t,,\1-c/t,.F -6 bl W(y it\ error. , 000864 03/13/20 03/12/20 03/08/20 925.84 0.00 0.00 925.84 ✓ TRANSFER- PAIW V,4 exl j .6 MWL, tt\ LyWv-. 000866 03/13/20 03/12/20 03/08/20 1,172.50 0.00 0.00 1,172.50 ✓ TRANSFER- PA4W1 d* btu\}- 4, W\KL i K CVWV- , 000861 03/13/20 03/12/20 03/12/20 874.30 0.00 0.00 874.30 ✓ TRANSFER- j'aj"k} (j4k+ •{n W w f - ilk LYYVr• 000865 03/13/20 03/12/20 03/12/20 13,792.50 0.00 0.00 13,792.50✓ TRANSFER-•PnVwILV�1- 9mA- 4o W404- lkcnllV, . 000863 03/13/20 03/12/20 03/12/20 2,806.87 0.00 0.00 2,806.87✓ TRANSFER - PAjWV4\k hetti- Al IM kL. (it LM?V-, 000862 03/13/20 03/12/20 03/12/20 5,292.00 0.00 0.00 / 5,292.00 ✓ TRANSFER " V&jV R+ C Aj -ll, MVC, I K tm,,r. 031318A 03/13/20 03/14/20 03/14/20 715.00 0.00 0.00 715.00 ✓ TRANSFER- PA4WtN4- 6U\} iv M.ME- IW ctvor. 0313186 03/13/20 03/14/20 03/14/20 6,349.00 0.00 0.00 6,349.00 ✓ TRANSFER - QAgD\Uj tj 4,qj- A, 0\.WV_ i dt L,rW, - 031416 03/13120 03/14/20 03/14/20 3,341.48 0.00 0.00 / 3,341.48y TRANSFER - VA,4h k4- 4a\} i1, i' KL- IYl LYVWY.. Vendor Total= Number Name Gross Discount No -Pay Net 11832 BROADMOORATCREEKSIDE PARK 79,682.35 O.00 0.00 79,682.35 Vendor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY.✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 022418 03115/20 02/24/20 03/21/20 88.70 0.00 0.00 88.70 FUEL- ✓O10AW Vendor Total: Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 88.70 0.00 0.00 88.70 Vendor# Vendor Name Class Pay Code A1825 CARDINAL HEALTH 414,LLC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 8001570640✓ 03/12/20 02/03/20 03/05/20 48.43 0.00 0.00 48.43 ✓ SUPPLIES 8001575212✓ 03/12/20 02/10/20 03/12/20 367.38 0.00 0.00 367.38 ✓ SUPPLIES Vendor TotalsNumber Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 415.81 0.00 0.00 415.81 Vendor# Vendor Name Class Pay Code C1992 CDW GOVERNMENT, INC./ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / ✓ LT V2111 ✓ 03/12/20 02/21/20 03/23/20 4,767.02 0.00 0.00 4,767.02 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay C1992 CDW GOVERNMENT, INC. 4,767.02 0.00 0.00 Vendor# Vendor Name Class Pay Code L1629 CHRISTINA ZAPATA-ARROYO V Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay JAN -INPATIENT 03/13/20 01/01/20 01/01/20 247.50 0.00 0.00 SPEECH THERAPY JAN -OUTPATIENT 03/13/20 01/01/20 01101120 1,485.00 0.00 0.00 SPEECH THERAPY OUTPATIENT 03/13/20 02/01/20 02/01/20 742.50 0.00 0.00 SPEECH THERAPY INPATIENT 03/13/20 02101/20 02/01120 165.00 0.00 0.00 SPEECH THERAPY Vendor Total: Number Name Gross Discount No -Pay L1629 CHRISTINA ZAPATA-ARROYO 2,640.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 10786 CLINICAL PATHOLOGY v! Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay / 2018020 d 03/13/20 02/28120 03/25/20 15,698.10 0.00 0.00 Vendor Total: Number Name Gross Discount No -Pay 10786 CLINICAL PATHOLOGY 15,698.10 0.00 0.00 Vendor# Vendor Name Class Pay Code 10646 COVIDIEN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay MM012518R 03/12/20 02/08/20 02/18/20 4,202.30 0.00 0.00 SERVICE AGREEMENT Vendor Total= -Number Name Gross Discount No -Pay 10646 COVIDIEN 4,202.30 0.00 0.00 Vendor# Vendor Name Class Pay Code 11287 DELTA HEALTHCARE PROVIDERS./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 180850047 V 03/13/20 02/25/20 03/05/20 2,891.52 0.00 0.00 STAFFING e4oIt8-2123110 Vendor Total: Number Name Gross Discount No -Pay 11287 DELTA HEALTHCARE PROVIDERS 2,891.52 0.00 0.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay 5303920 ✓ 03/05/20 02/27/20 03/24/20 31.72 0.00 0.00 SUPPLIES 5303930 ✓ 03/05/20 02/27/20 03/24/20 75.40 0.00 0.00 SUPPLIES 5303910 ✓ 03/05120 02/27/20 03/24/20 SUPPLIES 5295490 �/ 03112120 02/20/20 03/17/20 SUPPLIES Vendor Total; Number Name 10368 DEWITT POTH & SON Vendor# Vendor Name / Class Pay Code 11201 DOROTHY BONUZ J 69.15 0.00 0.00 101.03 0.00 0.00 Page 4 of 17 Net 4,767.02 Net 247.50 V 1,485.00 r/ 742.50 V 165.00 ✓/ Net 2,640.00 Net 15,698.10 Net 15,698.10 Net / 4,202.30 ✓ Net 4,202.30 Net / 2,891.52 d Net 2,891.52 Net 31.72 75.40 69.15 101.03 Gross Discount No -Pay Net 277.30 0.00 0.00 277.30 Page 5 of 17 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 022518 03/12/20 02/25/20 03/15/20 03(•0b 0.00 0.00 8.j3).y 1 SUPPLIES V ✓ 030418 03/12/20 03/04/20 03/14/20 10.02 0.00 0.00 10.02 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11201 DOROTHY BONUZ 1855 Il•g0 0.00 0.00 18A5 I-1.qp Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 7372 ✓ 03/06/20 02/28/20 03/25/20 1,431.00 0.00 0.00 1,431.00 ✓ PEST CONTROL ' 7373 ✓ 03/06/20 02/28/20 03/25/20 505.00 0.00 0.00 505.00 ✓ PEST CONTROL 7.374 ✓ 03/06/20 02/28/20 03/25120 105.00 0.00 0.00 105.00✓ PEST CONTROL 6907+ 03/06/20 02/28/20 03/25/20 505.00 0.00 0.00 505.00 PEST CONTROL Vendor Total: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 2,546.00 0.00 0.00 2,546.00 Vendor# Vendor Name Class Pay Code 10003 FILTER TECHNOLOGY CO, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 96471 ✓ 03/05120 02/20/20 03/22/20 419.56 0.00 0.00 419.56 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10003 FILTER TECHNOLOGY CO, INC 419.56 0.00 0.00 419.56 Vendor# Vendor Name / Class Pay Code 11037 FIRST CLEARING ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 75.00 ✓ 030118 03/12/20 03/01/20 03/15/20 75.00 0.00 0.00 PAYROLL DED Vendor Totals. Number Name Gross Discount No -Pay Net 11037 FIRSTCLEARING 75.00 0.00 0.00 75.00 Vendor# Vendor NameClass Pay Code F1400 FISHER HEALTHCARE,// M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 8169256 V 03/12/20 01/17/20 03/08/20 1,231.77 0.00 0.00 1,231.77 ✓ SUPPLIES 5137671✓ 03/13/20 02/16/20 03/13/20 834.63 0.00 0.00 834.63 SUPPLIES 0755745 y/ 03/13/20 02/16/20 03/13/20 42.72 0.00 0.00 42.72 SUPPLIES 1122940 V103/13/20 02/20/20 03117/20 3,561.32 0.00 0.00 3,561.32 t/ SUPPLIES I 4361169✓ 03/13/20 02/23/20 03/20/20 37.40 0.00 0.00 37.40 v1 SUPPLIES / 5137676 ✓ 03/13/20 02/27/20 03/24120 92.39 0.00 0.00 92.39 V/ SUPPLIES / 1,275.58 513767703/13/20 02/27/20 03/24/20 1,275.58 0.00 0.00 SUPPLIES Page 6 of 17 5137660 V 03/13/20 02/27/20 03/24/20 250.00 0.00 0.00 250.00 / SUPPLIES 5492548v/ 03/13/20 02128/20 03/25/20 287.96 0.00 0.00 / 287.96 d SUPPLIES Vendor Totak Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 7,613.77 0.00 0.00 7,613.77 Vendor# Vendor Name / Class Pay Code 11820 FORTBEND HEALTHCARE CENTER " Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000846 03/12/20 03/06/20 03/06/20 3,528.84 0.00 0.00 3,528.84 TRANSFER- FA4wr,K tXN, 6 IKOAL, j utvv-. 000852 03/12/20 03/06/20 03/06/20 4,536.00 0.00 0.00 4,536.00 ✓ TRANSFER _ fAjWtUt} :X&J -b pW L- iK r.WUY. / 000862 03/12/20 03/06/20 03/06/20 8,434.62 0.00 0.00 8,434.62 ✓ TRANSFER - pAyjyayt} ems} h NUNL IV, cwJV. 000859 03/13/20 03/08/20 03/08/20 1,479.34 0.00 0.00 1,479.34 ✓ TRANSFER - TAjWU_V V W1 4 VWVL ih GWUY. 000857 03/13/200310912003109/20 1,220.24 0.00 0.00 1,220.24 v1 TRANSFER ?tkj M• Cpq h IK GIQ -. 000858 03/13/20 03/12/20 03/12/20 18,556.75 0.00 0.00 18,556.751/ TRANSFER -- VtjW,a, WA h YVUML j h (.WVV'. 031318 03/16/20 03/14/20 03/14/20 3,287.50 0.00 0.00 3,287.50 TRANSFER- fAyj}'V_Kt 9tr t IV JWML IK LVWV'. 031418 03/16/20 03/14120 03/14/20 2,515.34 0.00 0.00 2,515.34 TRANSFER-WAy WuKf Wq h Iylit&i_ iKl,wr, ' Vendor Total: Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTHCARE CENTER 43,558.63 0.00 0.00 43,558.63 Vendor# Vendor Name Class Pay Code 11149 GARDNER & WHITE, INC. v/ - Invoice# J Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 48100600.30118 03/12/20 03/01/20 03/15/20 4,252.27 0.00 0.00 4,252,27 INSURANCE Vendor Total; Number Name Gross Discount No -Pay Net 11149 GARDNER & WHITE, INC. 4,252.27 0.00 0.00 4,252.27 Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000861 03/12/20 03/06/20 03/06/20 3,214.33 0.00 0.00 3,214.33 / TRANSFER --QpvWM} (VA4- 4, VAM_ IK tvWr. 000846 03/12/20 03/06/20 03/06/20 23,660.51 0.00 0.00 23,660.51 TRANSFER" Pa`pt.Kt tgka- 6 WV -L- iv\ CWDV. 000851 03/13/20 03/12/20 03/12/20 2,965.60 0.00 0.00 2,965.60 ✓ TRANSFER- pa\�V1i tM,} A, %kKC- k MIX. 031318 03113/20 03/14/20 03114/20 31,300.12 0.00 0.00 31,300.12 V/ TRANSFER - rAy hUki (Vkj h hQV L_ I N GWv r. 031318A 03/13/20 03/14/20 03/14/20 2,680.00 0.00 0.00 2,680.00 ✓ TRANSFER -pAkj6 g4k_j L/W kb {>kU,1i IVh (Mr. 031418 03/16/20 03/14/20 03/14/20 13,081.33 0.00 0.00 13,081.33 TRANSFER - ?1&\j6VtKt Cg#.t Vb VhkL Ih 4"C. Vendor Total: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 76,901.89 0.00 0.00 76,901.89 Vendor# Vendor Name Class Pay Code Page 7 of 17 G1210 GULF COAST PAPER COMPANY V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 1442002 J/ 03107/20 01/23/20 02/23/20 36.99 0.00 0.00 36.99 ✓ / SUPPLIES 60.26 1442117 ✓ 03/07/20 01/23/20 02/23/20 60.26 0.00 0.00 SUPPLIES 1456785 v 03/07/20 02/20/20 03/22/20 107.37 0.00 0.00 107.37,/ / SUPPLIES 0.00 / 322.46 ✓ 1389245 v 03/13/20 10/03/20 02/22/20 322.46 0.00 / SUPPLIES / 1438853 v` 03/13/20 01/16/20 02/15/20 305.64 0.00 0.00 305.64 r/ SUPPLIES Vendor Total� Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 832.72 0.00 0.00 832.72 Vendor# Vendor Name Class Pay Code 11095 GULF COAST SCIENTIFIC Invoice#Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 73057 ✓j 03/07/20 02/14/20 03/14/20 295.50 0.00 0.00 295.50 ✓ SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net 11095 GULF COAST SCIENTIFIC 295.50 0.00 0.00 295.50 Vendor# Vendor Name Class Pay Code 11267 HEALTH EFILINGS LLC v/ Invoice## Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 2259 ✓ 03/13/20 04/30/20 05/30/20 3,658.80 0.00 0.00 3,658.80 ✓ SERVICE AGREEMENT 2343 v/ 03/13/20 07/24/20 08/24/20 478.80 0.00 0.00 478.80 V/ SUPPLIES 2492 ✓ 03/13/20 10/25/20 11/25/20 3,658.80 0.00 0.00 3,658.80 V/ SERVICE AGREEMENT Vendor Total, Number Name Gross Discount No -Pay Net 11267 HEALTH EFILINGS LLC 7,796.40 0.00 0.00 7,796.40 Vendor# Vendor Name Class Pay Code 10804 HEALTHCARE CODING & CONSULTING V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7097,/ 03112/20 02/28/20 03128/20 230.00 0.00 0.00 230.00 v CHART CODING Vendor Total; Number Name Gross Discount No -Pay Net 10804 HEALTHCARE CODING & CONSULTING 230.00 0.00 0.00 230.00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE EQUIPMENT FINANCE v// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 87294004 V/ 03/12/20 02/04/20 03/01/20 7,154.17 0.00 0.00 / 7,154.17 Y INSTALLMENT 87291580 V1 03/12/20 02/04/20 03/01/20 4,919.41 0.00 0.00 4,919.41 SCOPES Vendor Total: Number Name Gross Discount No -Pay Net 11552 HEALTHCARE EQUIPMENT FINANCE 12,073.58 0.00 0.00 12,073.58 Vendor# Vendor Name Class Pay Code 10298 HITACHI MEDICAL SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net Page 8 of 17 PJIN0113532 ✓ 02/19/20 02/15/20 03/25/20 8,333.33 0.00 0.00 8,333.33 ✓ MAINT CONTRACT Vendor Total: Number Name Gross Discount No -Pay Net 10298 HITACHI MEDICAL SYSTEMS 8,333.33 0.00 0.00 8,333.33 Vendor# Vendor Name Class Pay Code 11285 ITA RESOURCES INC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net MMC32018 ✓ 03/13/20 03/12/20 03/15/20 23,056.50 0.00 0.00 23,056.50 V/ PURCH SERV Vendor Totals Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 23,056.50 0.00 0.00 23,056.50 Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 4838 ✓ 03112/20 03/01/20 03/01/20 250.00 0.00 0.00 250.00 SUPPORT SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 250.00 0.00 0.00 250.00 Vendor# Vendor NameClass Pay Code J1416 JOHNSTONE SUPPLY v/ W Involce#Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6013482 V 03/12/20 03/01/20 03/11/20 269.91 0.00 0.00 / 269.91 J SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net J1415 JOHNSTONE SUPPLY 269.91 0.00 0.00 269.91 Vendor# Vendor Name Class Pay Code 11122 K & M SPORTS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 99301 03/12/20 03/12/20 03/15/20 275.00 0.00 0.00 275.00 AD Vendor Totals Number Name Gross Discount No -Pay Net 11122 K & M SPORTS 276.00 0.00 0.00 275.00 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 131463-21518 03/12/20 02/15/20 03/15/20 1,414.75 0.00 0.00 / 1,414.75 ✓ INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 1,414.75 0.00 0.00 1,414.75 Vendor# Vendor Name Class Pay Code 10720 LIFESOURCE EDUCATIONAL SRV LLC✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 18006A 03112/20 03/05/20 03/10/20 700.00 0.00 0.00 700.00 v1 CONT ED 130.00 v 18006 03/12/20 03/07/20 03/12/20 130.00 0.00 0.00 CONT ED Vendor Totals Number Name Gross Discount No -Pay Net 10720 LIFESOURCE EDUCATIONAL SRV LLC 830.00 0.00 0.00 830.00 Vendor# Vendor Name Class Pay Code / 10972 M G TRUSTY Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 030118 03/12/20 03/01/20 03/15/20 1,165.00 0.00 0.00 1,165.00 Page 9 of 17 PAYROLL DED Vendor Total: Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,165.00 0.00 0.00 1,165.00 Vendor# Vendor Name Class Pay Code / 11141 MEDICAL DATA SYSTEMS, INC. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 0.00 1,546.86 118798 ✓ 03/06/20 02/28/20 03/25/20 1,546.86 0.00 COLLECTION FEES Vendor Total! Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 1,546.86 0.00 0.00 1,546.86 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 1844835851 ✓ 03/06/20 02/16/20 03/22/20 -67.87 0.00 0.00 -67.87/ CREDIT 1844899052,/ 03/13/20 02/17/20 03/14/20 54.51 0.00 0.00 / 54.51 r/ SUPPLIES 1844999749 f 03/13/20 02/20/20 03/17/20 16.92 0.00 0.00 16.92 SUPPLIES 1844999750,/ 03/13/20 02/20/20 03/17(20 20.61 0.00 0.00 20.61 S PPLIES 0.00 j 91.17 ✓ 1845077387 03(13/20 02/21/20 03/18/20 91.17 0.00 SUPPLIES 1845174900,/ 03/13/20 02/22/20 03/19/20 38.32 0.00 0.00 38.32 SUPPLIES / 1845174189 V 03/13/20 02/22/20 03/19/20 64.40 0.00 0.00 64.40 ✓ S)JPPLIES 0.00 43.13 1845174190 �f 03/13/20 02/22!20 03(19/20 43.13 0.00 g(UPPLIES 1,565.71 v/ 18451741931 03/13/20 02/22120 03/19/20 1,565.71 0.00 0.00 SUPPLIES 1845174197,/ 03(13/20 02/22/20 03/19/20 24.59 0.00 0.00 24.59 SUPPLIES / 1845174198 dS03/13/20 02122/20 03/19/20 24.34 0.00 0.00 24.34 SUPPLIES 1845174901 v1 03/13/20 02/22/20 03/19/20 28.22 0.00 0.00 28.22 SUPPLIES / 1845174903 03113/20 02122/20 03119/20 1,108.94 0.00 0.00 1,108.94✓ SUPPLIES 1845174191 ✓ 03/13/20 02/22/20 03/19/20 138.68 0.00 0.00 138.68 SUPPLIES / 1845174199 ,/ 03/13/20 02/22/20 03/19/20 21.55 0.00 0.00 21.55 V/ SUPPLIES 1845174187✓ 03(13/20 02122/20 03/19/20 103.02 0.00 0.00 103.02 SUPPLIES 1845174195 ✓ 03113/20 02122/20 03/19/20 33.50 0.00 6.00 33.50 ✓ SUPPLIES / 1845174196 � 03/13/20 02/22/20 03/19/20 35.90 0.00 0.00 35.90 ✓ SUPPLIES / 1845174188,/ 03/13/20 02122120 03/19/20 543.73 0.00 0.00 543.73 SUPPLIES Page 10 of 17 46.52 1845239764 V 03/13/20 02/23/20 03/20/20 46.52 0.00 0.00 SUPPLIES 1845239766%1/ 03/13/20 02/23/20 03/20/20 151.32 0.00 0.00 151.32 SUPPLIES / 1846239766V/03/13/20 02/23/20 03/20/20 48.30 0.00 0.00 48.30 V/ SUPPLIES 1845454522 03/13/20 02/27/20 03/24/20 24.59 0.00 0.00 24.59 SUPPLIES 1845454509 ✓ 03/13/20 02/27120 03/24/20 119.80 0.00 0.00 119.80 UPPLIES V/ 1845454512 03/13/20 02/27/20 03/24120 62.81 0.00 0.00 62.81 g/UPPLIES 1845454521 V 03113/20 02/27/20 03/24/20 19.68 0.00 0.00 / 19.68 t/ SUPPLIES 1845454511 V/ 03/13/20 02/27/20 03124/20 36.01 0.00 0.00 36.01 L/ SUPPLIES 1845454518 03/13/20 02/27/20 03/24/20 1,371.79 0.00 0.00 1,371.79 V1 SUPPLIES / 1845454508,/ 03113/20 02/27/20 03/24/20 424.01 0.00 0.00 424.01 t/ SUPPLIES ✓ j ✓ 1845552291 03/13120 02/28/20 03!25120 34.17 0.00 0.00 34.17 S/UPPLIES / 1845626396 ✓ 03/13/20 03/01/20 03/26/20 60.65 0.00 0.00 60.65✓ SUPPLIES 0.00 / 1,211.30✓ 1845626398 03/13/2003/01/2003/26/20 1,211.30 0.00 SUPPLIES / 1845626399./ 03/13/20 03/01/20 03/26/20 11.60 0.00 0.00 11.60 V/ SUPPLIES 18456263951//03/13/20 03/01/20 03/26/20 77.89 0.00 0.00 77.89 SUPPLIES 1845626800 t/ 03/13/20 03101/20 03/26/20 157.46 0.00 0.00 157.46 V1 SUPPLIES 1845772694 V/ 03/13/20 03/03/20 03/28/20 186.50 0.00 0.00 186.60/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 7,933.77 0.00 0.00 7,933.77 Vendor# Vendor Name Class Pay Code f 10963 MEMORIAL MEDICAL CLINIC d Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 030118 03/12/20 03/01/20 03/15/20 190.00 0.00 0.00 190.00 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 190.00 0.00 0.00 190.00 Vendor# Vendor Name Class Pay Code / 10810 MMC EMPLOYEE BENEFIT PLAN %/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 030518 03/12/20 03/05/20 03/15/20 15,615.80 0.00 0.00 15,615.80 \% INSURANCE 031218 03/16/20 03112/20 03/12/20 25,480.92 0.00 0.00 25,480.92 INSURANCE Vendor Total: Number Name Gross Discount No -Pay Net 10810 MMC EMPLOYEE BENEFIT PLAN 41,096.72 0.00 0.00 41,096.72 Page 11 of 17 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 2475726 03/05/20 03/01/20 03/25/20 1,107.97 0.00 0.00 1,107.97 ✓ INVENTORY 2475727V 03/05/20 03/01/20 03/25/20 172.66 0.00 0.00 172.66 V1 / INVENTORY 2475724v 03/05/20 03/01120 03/25/20 4.45 0.00 0.00 4.45 INVENTORY / 2475725 ✓ 03/05/20 03/01120 03/25/20 22.20 0.00 0.00 22.20/ SUPPLIES 0.00 0.00 94.57 2330656A V1 03/12/20 01/26/20 02/05/20 94.57 v1 2462658A V1 INVENTORY 03/12/20 02/27/20 03/09/20 666.82 0.00 0.00 666.82 V/ INVENTORY 6541 ,i03/12120 02/27/20 03/09/20 -69.76 0.00 0.00 -69.76 ✓ CREDIT 2462657A�/ 03/12/20 02127/20 03/09/20 28.95 0.00 0.00 28.95 ✓ / INVENTORY ✓ CM12034✓ 03/1212003/06/2003/16/20 -1,025.89 0.00 0.00 -1,025.89 2496099 v1 CREDIT 03/12/20 03/06/20 03/16/20 3,162.56 0.00 0.00 3,162.56 V/ INVENTORY 0.00 0.00 -624.18 V/ CM12033 d/ 03/12/20 03/06/20 03/16/20 -624.18 % CREDIT 103.38 ✓ 2496101 J 03!12/20 03/06/20 03/16/20 103.38 090 0.00 INVENTORY 2496100 v/ 03/12/20 03/06/20 03/16/20 240.22 0.00 0.00 240.22 INVENTORY 0.00 0.00 -5.13 t/ CM12035 03/12/20 03/06/20 03/16/20 -5.13 / CM12519 ✓ CREDIT 03/12/20 03/07/20 03/17/20 -66.11 0.00 0.00 -66.11 ✓ / 2500666 d CREDIT 03/12/20 03/07/20 03/17/20 9.62 0.00 0.00 9.62 INVENTORY 0.00 66.58 2500667 03/12/20 03/07/20 03/17/20 66.58 0.00 INVENTORY / / 2500274y 03/12/20 03/07/20 03/17/20 427.76 0.00 0.00 427.76 ✓ INVENTORY 2500438 03/12/20 03/07/20 03/17120 911.48 0.00 0.00 911.48 INVENTORY / ✓ 25004374 03112/20 03/07/20 03/17/20 75.48 0.00 0.00 75.48 / INVENTORY 0.00 0.00 19.22 2500273 ✓ 03/12/20 03/07/20 03/17/20 19.22 / INVENTORY 2506188 V 03/12/20 03107120 03/17/20 74.19 0.00 0.00 74.19 INVENTORY 0.00 8.04 2506190 �/ 03112/20 03/08/20 03/18/20 8.04 0.00 INVENTORY ' / 7820 ✓ 03/12120 03/08/20 03/18/20 -5.00 0.00 0.00 -5.00 ✓ CREDIT Page 12 of 17 ✓ 8081 " 03/12/20 03/08/20 03/18/20 -5.00 0.00 0.00 -5.00 / CREDIT 0.00 798.29 2506189 ✓ 03/12/20 03/08/20 03/18/20 798.29 0.00 INVENTORY / 142 2511 V 03/12/20 03/09/20 03/19/20 73.36 0.00 0.00 73.36 t/ INVENTORY 0.00 44.39 ✓/ 2411145 03/12/20 03/09/20 03/19/20 44.39 0.00 INVENTORY 2511144 V. 03/12/20 03/09/20 03/19/20 771.03 0.00 0.00 771.03 INVENTORY 2511143 V/ 03/12/20 03/09/20 03/19/20 11.15 0.00 0.00 11.15v/ INVENTORY 8963 �% 03/13/20 03/08/20 03/18/20 -19.99 0.00 0.00 -19.99 CREDIT 0.00 2,130.74 ✓ 2517954 ✓ 03/13/20 03/12/20 03/22/20 2,130.74 0.00 / INVENTORY 2517952 J 03/13/20 03/12/20 03/22/20 351.80 0.00 0.00 351.80 / INVENTORY 13.56 2517953✓ 03/13/20 03/12/20 03/22/20 13.56 0.00 0.00 INVENTORY / 2517955 r/ 03/13/20 03/12120 03/22/20 8.78 0.00 0.00 / 8.78 V )INVENTORY / 104.73 ✓ 2498446A I 03/14/20 03/07/20 03/17/20 104.73 0.00 0.00 INVENTORY Vendor Totals Number Name Gross - Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 9,682.92 0.00 0.00 9,682.92 Vendor# Vendor Name Class Pay Code 01660 ORIENTAL TRADING CO INC,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 68854318801V' 03/05/20 02/20/20 03/22/20 31.98 0.00 0.00 31.98 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01660 ORIENTAL TRADING CO INC 31.98 0.00 0.00 31.98 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR, Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 2034623634v/ 03/12/20 01/30/20 03/01/20 72.82 0.00 0.00 72.82 ✓ SUPPLIES 2035258349,/ 03/12/20 02/20/20 03/22/20 173.58 0.00 0.00 / 173.58 ✓ SUPPLIES / ✓ 2035039524 v1 03/13/20 02/13/20 03/15/20 904.22 0.00 0.00 904.22 SUPPLIES 2035032657 03/13/20 02/13/20 03/15/20 32.94 0.00 0.00 32.94✓ SUPPLIES ✓ 2035031330 ✓ 03/13/20 02/13/20 03/15/20 38.87 0.00 0.00 38.87 SUPPLIES 2035120438 ✓ 03/13/20 02/15/20 03/17/20 29.72 0.00 0.00 29.72 ✓ SUPPLIES 2035123830 ✓ 03/13/20 02/15/20 03/17/20 2,220.95 0.00 0.00 2,220.95 ✓ SUPPLIES 2035118502,/ 03/13/20 02/15/20 03/17/20 31.32 0.00 0.00 31.32 J SUPPLIES Page 13 of 17 2035264293 d 03/13/20 02/20/20 03/22/20 444.95 0.00 0.00 444.95 V SUPPLIES 0.00 / 26.88 2035258764 J 03/13/20 02/20/20 03/22/20 26.88 0.00 V SUPPLIES 2035258754v/ 03/13/20 02/20/20 03/22/20 26.53 0.00 0.00 26.53 ✓ SUPPLIES 2035259627) 03/13/20 02/20/20 03/22/20 37.48 0.00 0.00 37.48 SUPPLIES / 203121093 03/13/20 02/22/20 03/24/20 18.58 0.00 0.00 18.58 V SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 4,058.84 0.00 0.00 4,058.84 Vendor# Vendor Name lass Pay Code P1725 PREMIER SLEEP DISORDERS CENTER M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 00068 03/12/20 02/28/20 03/15/20 3,450.00 0.00 0.00 3,450.00 rs SLEEP STUDIES Vendor Totals Number Name Gross Discount No -Pay Net P1725 PREMIER SLEEP DISORDERS CENTER 3,450.00 0.00 0.00 3,450.00 Vendor# Vendor Name Class Pay Code 11193 RACHELHEFFNERv/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 020718 03/12/20 02/07/20 03/07/20 258.20 0.00 0.00 258.20 TRAVEL "W.Vo9Y"KI 6n�bi,I -fyik t{�, t1d.511t6-t X61l1$ ' Vendor Totals Number Name 0 Gross Discount No -Pay Net 11193 RACHEL HEFFNER 258.20 0.00 0.00 256.20 Vendor# Vendor Name/ Class Pay Code 11764 ROBERT RODRIGUEZ Y Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 022818 03/12/20 02/28/20 03/08/20 21.94 0.00 0.00 21.94 r� SUPPLIES 03051 B 03/12/20 03/05/20 03/15/20 7.10 0.00 0.00 7.10 f SUPPLIES / 030518A 03/12/20 03/05/20 03/15/20 6.98 0.00 0.00 6.98 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIGUEZ 36.02 0.00 0.00 36.02 Vendor# Vendor NameClass Pay Code 11252 RX WASTE SYSTEMS LLC J/ Invotce#f Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1519 J 03/05/20 03/01/20 03/26/20 235.00 0.00 0.00 235.00 WASTE SUBSCRIPTION Vendor Totals Number Name Gross Discount No -Pay Net 11252 RX WASTE SYSTEMS LLC 235.00 0.00 0.00 235.00 Vendor# Vendor Name Class Pay Code / 10836 SHERRY KING ✓ invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 030818 03/12/20 03/08/20 03/18/20 40.11 0.00 0.00 40.11 �f TRAVELPA-�,j CA" 3)"1118 ' Vendor Totals Number Name Gross Discount No -Pay Net 10836 SHERRYKING 4011 0.00 0.00 40.11 Page 14 of 17 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC %// M Invoice# ,Comment Tran Dt Inv Dt Due Dt Check D Pay Gross ✓ Discount No -Pay Net 751.58 V 115564335 03/12/20 02/18/20 03/15/20 751.58 0.00 0.00 MAINT CONTRACT Vendor Total. Number Name Gross Discount No -Pay Net 52001 SIEMENS MEDICAL SOLUTIONS INC 751.58 0.00 0.00 751.58 Vendor# Vendor NameClass Pay Code 11828 SOLERA WEST HOUSTON ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000856 03/12/2003106/2003/06/20 2,105.11 0.00 0.00 2,105.11 v1 TRANSFER- KKt, YtWVcct VOLlYMAJ (vt CWUY. 000863 03/12/20 03/06/20 03/06/20 2,944.80 0.00 0.00 2,944.80 TRANSFER - ?AyWWktjLf 4xKt +D IAW4, iK LVWV'. / 000847 03/12/20 03/06/20 03/06/20 4,393.56 0.00 0.00 4,393.56 ✓ TRANSFER• fay4y{ t �trj J -D Wffij- (K CWVr `/ 000853 03/12/20 03/06/20 03/06/20 26,951.47 0.00 0.00 26,951.47 TRANSFER-fakj ,Lj 1X,&j 4 (Njy.(, (K (-WUV'. 000869 03/12/20 03/06/20 03/06/20 3,592.00 0.00 0.00 3,592.00 TRANSFER- QAjKVkA tpA )0 MWN(, l K LYW Y'. 000854 03/13/20 03/09/20 03/09/20 496.08 0.00 0.00 496.08 v1 TRANSFER - tpjWkKj 4mt J-0 KWV- tK LWWY. ' 000888 03/13120 03/12/20 03/12/20 1,890.00 0.00 0.00 1,890.00 TRANSFER- fAjWYvnk IgKi h MWti (K (My-. 000852 03/13/20 03/12/20 03/12/20 14,060.00 0.00 0.00 14,060.00 TRANSFER -�pV VgAt 4(44} -� P VL, iK t.WVY'. 000855 03/13/20 03/12/20 03/12/20 12,007.50 0.00 0.00 12,007.50 ✓ TRANSFER- rjxjKykk 4CKI- .'-v M ilti twor, 031318 03/13/2003/14/2003/14/20 5,192.50 0.00 0.00 5,192.50 ✓ TRANSFER- V p.J tt Vy t 4{{1.4 -h Vjyk(. (Iti Llr"Y. 0313188 03/13/20 03/14/20 03/14/20 22.84 0.00 0.00 22.84 TRANSFER- MW �mfi N o'c' (N Lmy% 031318C 03/13/20 03/14/20 03/14/20 7,805.00 0.00 0.00 7,805.00 y TRANSFER_. pjklJJ KKiij y 1.E ttkVb jot tvvWY. ' Vendor Totals Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 81,460.86 0.00 0.00 81,460.86 Vendor# Vendor Name Class Pay Code / 11296 SOUTH TEXAS BLOOD & TISSUE CEN ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay ' Net / 9034005 � 03/06/20 02128/20 03/25/20 5,980.00 0.00 0.00 5,980.00 ✓ /BLOOD 0.00 90033918 J 03/06/20 02/28/20 03/25/20 -2,070.00 0.00 -2,070.00 a� CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 3,910.00 0.00 0.00 3,910.00 Vendor# Vendor Name Class Pay Code 11103 STUDER GROUP, LLC v1 Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 18,938.23 098253✓ 03112/2003101/2003121/20 18,938.23 0.00 0.00 INSTALLMENT Vendor Total: Number Name Gross Discount No -Pay Net 11103 STUDER GROUP, LLC 18,938.23 0.00 0.00 18,938.23 Page 15 of 17 Vendor# Vendor NameClass Pay Code T2539 T -SYSTEM, INC ✓/ W Invoice# Corpment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 205EV-34128 ✓ 03/12/20 02/28/20 03/28/20 1,144.00 0.00 0.00 1,144.00 ✓ CLOUD HOSTING 205EV-34139✓ 03/12/20 02/28/20 03/28/20 4,555.00 0.00 0.00 4,555.00 ✓ TRACKING Vendor Totals Number Name Gross Discount No -Pay Net T2539 T -SYSTEM, INC 5,699.00 0.00 0.00 5,699.00 Vendor# Vendor Name Class Pay Code 10611 TELE -PHYSICIANS, P.A. (TX) ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net TX0003243 o/f 03/12/20 03/01/20 03/01/20 2,752.90 0.00 0.00 2,752.90✓ TELE -NEUROLOGY Vendor Totals Number Name Gross Discount No -Pay Net 10611 TELE -PHYSICIANS, P.A. (TX) 2,752.90 0.00 0.00 2,752.90 Vendor# Vendor Name Class Pay Code / 11824 THE CRESCENT ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000854 03/12/20 03/06/20 03/06/20 36,510.00 0.00 0.00 36,510.00 ✓ -TYMyFw- Q4kjtnat�1 YKI,- . Al MW'(. 1K c✓WV' 000865 03112/20 03/06/20 03/06/20 4,939.26 0.00 0.00 4,939.26 ✓ TRANSFER- Y(xlo\,M+ YN0.L h VO W L- i Yt (,vWr, 000859 03/12/20 03/06/20 03/06/20 2,450.00 0.00 0.00 / 2,450.00 V TRANSFER - ppy)y r j WxA&_ An MM(- (K MW . / 000867 03/12/20 03/06/20 03/06/20 589.08 0.00 0.00 589.08 TRANSFER- pt jWgKV M6L&(, Av M VL- (K 2W r 000848 03/12/20 03/06120 03/06/20 2,923.68 0.00 0.00 2,923.68 ✓ TRANSFER-- VA$fttA M(u(( h MM(J'it1, tWP/'. 000855 03/12/20 03/06/20 03/06/20 3,685.00 0.00 0.00 3,685.00 V1 TRANSFER ^ ftjWWki- {^'1 k Vt MI' iK CWur, / 000850 03/13/20 03/12/20 03/12/20 652.22 0.00 0.00 652.22 ✓ TRANSFER-PAyVr my M. &t )6 w -w-(.- 1 K (-Wvr. 031418 03116/20 03/14/20 03/14/20 4,810.00 0.00 0.00 4,810.00 TRANSFER- PA,3V kj - Ma.4, Av b WIL iK Mk' 031418A 03/16/20 03/14/20 03/14/20 8,492.18 0.00 0.00 8,492.18 ✓ TRANSFER -np�HuNJ-FKI,A., h MK- Iktl"I, . Vendor Total: Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 65,051.42 0.00 0.00 65,051.42 Vendor# Vendor Name Class Pay Code 11100 THE US CONSULTING GROUP Invoice# CPmment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 340371071 ✓ 03/12120 03/02/20 03/27/20 1,655.15 0.00 0.00 1,665.16 v1 HOSPITAL WASTE 310371070 ✓ 03/12/20 03/02/20 03/27/20 237.08 0.00 0.00 237.08 r/ TRASH SERVICE Vendor Total: Number Name Gross Discount No -Pay Net 11100 THE US CONSULTING GROUP 1,892.23 0.00 0.00 1,892.23 Vendor# Vendor Name Class Pay Code 11002 TRUSTAFF V Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net Page 16 of 17 380913 V 02/27/20 62/20/20 03/22/20 2,850.00 0.00 0.00 2,850.00 .-SUPPLIES S�y {�'H9-15119- a 1-1 11 ov ' 382378 v/ 02/27/20 02/23/20 03/25/20 2,700.00 0.00 0.00 2,700.00 STAFFING Zeta- a -j itI16 Vendor Totals Number Name Gross Discount No -Pay Net 11002 TRUSTAFF 5,550.00 0.00 0.00 5,550.00 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS ING ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400268775 .% 03/05/20 02/27/20 03/24/20 93.64 0.00 0.00 93.64 V1 LAUNDRY 8400268695 >/ 03/05/20 02/27/20 03/24120 158.41 0.00 0.00 158.41 �✓ LAUNDRY 11 8400268738 v1 03/05/20 02/27/20 03/24/20 810.49 0.00 0.00 810.49 V LAUNDRY / 8400268696 v1 03/05/20 02/27/20 03/24/20 111.61 0.00 0.00 111.61 ✓ LAUNDRY 8400268698✓ 03/05/20 02/27/20 03/24/20 44.24 0.00 0.00 44.24 V/ LAUNDRY 8400268694 v1 03/05120 02/27/20 03/24/20 94.29 0.00 0.00 94.29 LAUNDRY 8400268730 17 03/05/20 02/27/20 03/24/20 66.70 0.00 0.00 66.70 LAUNDRY 8400268697 03/05/20 02/27/20 03/24/20 47.15 0.00 0.00 47.15 t/ 8400269001 03/12/20 03/02/20 03/27/20 87.58 0.00 0.00 87.58 LAUNDRY 8400269003 v1 03/12/20 03/02/20 03/27/20 148.95 0.00 0.00 148.95 ,1 LAUNDRY 829.12 8400269028 V/ 03/12/20 03/02/20 03/27/20 829.12 0.00 0.00 v1 LAUNDRY Vendor Total: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 2,492.18 0.00 0.00 2,492.18 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGEv// W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8601927A 03/14/20 03/01/20 03/16/20 205.78 0.00 0.00 205.78 UNIFORM PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 205.78 0.00 0.00 205.78 Vendor# Vendor Name Class Pay Code V1058 VICTORIA ANESTHESIOLOGY W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 022818 03/13/20 02/28120 03118/20 44,110.16 0.00 0.00 44,110.16 ANESTHESIOLOGIST Vendor Totals Number Name Gross Discount No -Pay Net V1058 VICTORIA ANESTHESIOLOGY 44,110.16 0.00 0.00 44,110.16 Vendor# Vendor Name Class J Pay Code 10793 WAGEWORKS Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 030118 03/12/20 03/01/20 03/15/20 2,332.83 0.00 0.00 2,332.83 FLEX SPEND Vendor Total; Number Name Gross Discount 10793 WAGEWORKS 2,332.83 0.00 Vendor# Vendor Name Class Pay Code 11018 WEBPT, INC I/ Invoice# - Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount INV378095v/ 03/13/20 11/12/20 12112/20 8,218.80 0.00 PROVIDER SUB Vendor Totals Number Name Gross Discount 11018 WEBPT, INC 8,218.80 0.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC V1 Involve# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 9110488288 v/ 03/13/20 02/26/20 03/23/20 4,168.32 0.00 SUPPLIES Vendor Totals Number Name Gross Discount 11110 WERFEN USA LLC 4,168.32 0.00 Vendor# Vendor NameClass Pay Code 11580 WILLIAM CROWLEY III, DO ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 030818 03/12/20 03/08/20 03/18/20 4,000.00 0.00 CROWLEY AS HOSPITALIST 1 1Z116 Vendor Totals Number Name Gross Discount 11580 WILLIAM CROWLEY III, DO 4,000.00 0.00 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check 6 Pay Gross Discount WCS00001783 ✓ 03/12/20 02/01/20 03101/20 10,200.00 0.00 WOUND CARE CLINIC Vendor Totals Number Name Gross Discount 10556 WOUND CARE SPECIALISTS 10,200.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 715,927.93 0.00 0.00 P9 a rorra,-4iah 0.0 q CJ GOYYec-I-�O✓1 71:,c11r 1(i�0ii'ti - �t53 88 .;. ON MAR 19 2N COUNTY AUDITOR CALFioUN Co i�RT, TFXAS Page 17 of 17 No -Pay Net 0.00 2,332.83 No -Pay Net 0.00 8,218.80 No -Pay Net 0.00 8,218.80 No -Pay Net 0.00 4,168.32 No -Pay Net 0.00 4,168.32 No -Pay Net 0.00 4,000.00 ✓ No -Pay Net 0.00 4,000.00 No -Pay Net 0.00 10,200.00 No -Pay Net 0.00 10,200.00 Net 715,927.93 C Ib1016.00�> 1' IgotS.Bo < S•537 fi �•8� �- 5 ,W-06 § NO \ @ O ) \� }\ \/ 6E 0 §§ \ ƒ )k 0E §i22 e # {} a <\ / -2= |{/ @ ® ! 2 m /� � d 0 o m § \ m \ @ O ) \� }\ \/ ® 0 §§ \ ƒ )k § §i22 \ m \ @ O ) \� }\ \/ � $ /\ LU § ( \� » ` §i22 # {} a <\ \ \ @ \ �t §! }\ \/ .. C'; $ w 3 » ` # {} a <\ / > a ! 2 m - ) - 0 o o:o ,§ � m Q / ('6 R ze � ) A �t §! }\ \/ .. 3 » ` , (a {} §\ <\ 3 » ` , (a ® e( /6 > a 04 ® ( 3 \( / Z 00 0o � 0 -W- FFFP I I I I I I ai I MCI 0 0 0 L) O E� W` 0 Q 0 0 0 0 A A A No E w w w 0 0 w ea. 0.YI 0 00 0O 41 N. 0 w <6 Ec ci M vi (6 m m 0 0 O n of Vi IOi .2 �2 tL 0 0 0 0 0 0 > 0 0 0 0 > > > OtT Z4 i4 . 0 0 Z = T U O m N Yn N N N N y 0 m Q U7E < 2t 12M WE < oT > ui F— < 0 0 a cn 0 M N N 0 u 0 W W W 0 0 0 UE 2 2 00 t7rg 8 n to Ul E 1-1 m m m <o O N n s vmi m �y y L$ o M JE Im ti n RAN 0 I N N Ey r N Q� �p z O pm m � o. _N mC O UYU W di: .O. «'moi T E o O yN t+ c v 1: m O Qc jo 0 a. U:Wv ; cl cla .; a sv�p F=- hm� 6 O� :E!9 QM N yy N� LL T a T 1-1 m m m <o O N n s vmi m �y y L$ o M JE Im ti n RAN 0 I N N Ey r N Q� m N N N N � O O r o M to O N m r O N o ro o E o O O Q O F O 0 cl cla m N N N N � O O r o M to f0 r O N O N N O O a sv�p F=- aryry w LL T a T `a a U i O O O O � M = O O M O r pp}} y HH O c• —ae U 00 Ep U w 0 N 0 00 M m N ❑ M � V.y Off- OryryI O. ap ❑ 8 V ZT Qo F o yE 12 F—O° C > vmE N 8E ¢ (I1 ko U T L N L� N O.a Op Fv 4h ¢v/ NDN Q`L 0 N o O M m N ❑ Z x U T W ¢� =o S G 8 W �w F o yE jc F—O° N Vl N t0 M m M� N M M N N N V M M l0 O n N N 0 �- r M < p1 a' E U U o o U V OO O O O O O y_ — N C UC it C M O D a{ O O Ip M M M tO N i � o o ❑ � LL ��nmrnrov n p N N N N M " m co <o co co so �o y M M M M l0 M M a+ Y n r n r r n n — Q N 5� 0 a o 0 0 0 0 0 o II ID N N N N N N N d 0 0 0 0 0 0 0 V N N N N N N N M C> M M M M M NF O O O O O O O C 9 Z M M M M co M m t v o 0 0 0 0 0 o F N N N N N N N 5 t7 M M m M M M LL M N ) to m [T ui ai H L t ❑ Z x U T W ¢� =o S G 8 W �w F w Q jc F—O° N Vl ¢ (I1 N t0 M m M� N M M N N N V M M l0 O n N N 0 �- r M < p1 a' E U U o o U V OO O O O O O y_ — N C UC it C M O D a{ O O Ip M M M tO N i � o o ❑ � LL ��nmrnrov n p N N N N M " m co <o co co so �o y M M M M l0 M M a+ Y n r n r r n n — Q N 5� 0 a o 0 0 0 0 0 o II ID N N N N N N N d 0 0 0 0 0 0 0 V N N N N N N N M C> M M M M M NF O O O O O O O C 9 Z M M M M co M m t v o 0 0 0 0 0 o F N N N N N N N 5 t7 M M m M M M LL M N ) to m [T ui ai m 8 M O O N 0 O c N o c 0 U By L� 4h m m S� Q o O o o a � O O � N m M M e N E Z N U wm ❑ NTNN a ¢ LD N 8 G� U Page 1 of 1 MEMORIAL MEDICAL CENTER 03/16/2018 0 AP Open Invoice List 13.19 ap_open invoice.template Dates Through: Vendor# Vendor Name Class Pay Code H1850 HOSPIRA WORLDWIDE, INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 920981973 03/16/2010119/2011/18/20 267.88 0.00 0.00 267.88 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H1850 HOSPIRA WORLDWIDE, INC 267.88 0.00 0.00 267.88 Report Summary Grand Totals: Gross Discount No -Pay Net 267.88 0.00 0.00 267.88 4T4 oo�t> 5y fa s;n. �aana ., Page 1 of 1 03119/2018 MEMORIAL MEDICAL CENTER 0 10:09 AP Open Invoice List ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS v� Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 36195 �/ 03/19/20 03/15/20 03/25/20 40,062.50 0.00 0.00 40,062.50 ER STAFFING Vendor Total: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Report Summary Grand Totals: Gross Discount No -Pay Net 40,062.50 0.00 0.00 40,062.50 APPROW,D ON MAR 19 2018 COUNT f AtJDYTOR, i1t_I.EioULr COUNTY, Tr AS RUN DATE: 03/13/18 14EKORIAL MEDICAL CENTER PAGE 1 TIME: 14:48 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT PATIENT PAY PAT NUMBER PAYEE NAME DATE A14OUNT CODE TYPE DESCRIPTION GL NUM --------,---------------•--------------------------------------------------------"------------------------------.__.._---- 1287828 701 CYRUS TRISHA 031318 524.53 2 REFUND FOR CYRUS TRISHA 263 CARBAJAL / SEADRIFT TX 77983 1308331 "O1 PENA LINDA 031318 50.00 2 REFUND FOR PENA LINDA 141 DEL MAR DR // PORT LAVACA TX 77979 / 1310216 .N1 MCLAIN DONALD 121616 66.86 ✓ 2 REFUND FOR 14CLAIN DONALD 1439 DAGG RD 1310218 YOAKUM 1328428f01 GONZALES MIKE TX 77995 031318 / 48.86 d 2 REFUND FOR GONZALES MIKE PO BOX 118 PORT 0 CONNOR A TX 77982 - 1334899 CUMPIAN EPPIA 031318 50.00 3 REFUND FOR CUI4PIAN EIN 410 CHARLOTTE DR PORT LAVACA 701 TX 77979 ✓ 1336689 DIERLAM CORENE 031318 81.44 2 REFUND FOR DIERLAM CORENE 820 S COLORADO PORT LAVACA TX 77979 1338553 V/01 CHILDERS SANDRA 031318 448.50 ✓ 2 REFUND FOR CHILDERS SANDRA PO BOX 614 BLESSING TX 77419 1341496✓O1 LEAL 14ARY 0 031318 45.16 ✓ 2 REFUND FOR LEAL 14ARY 0 304 CHARLOTTE DR // PORT LAVACA 1347272 ✓01 CASTILLO VICTOR ✓ TX 77979 031318 25,00 ✓ 2 REFUND FOR CASTILLO VICTOR 124 TOMDIY DR PORT LAVACA 1347819 ✓il 14AREK NELSON � TX 77979 031318 200.00 ✓ 3 REFUND FOR 14AREK NELSON 1258 SCHOOL RD PORT LAVACA 1349651 VeJJl GONZALES RAY D ✓ TX 77979 031318 44.00 2 REFUND FOR GONZALES RAY PO BOX 165 � PORT 0 CONNOR 1351100✓O1 NILSON BETTE PATRICIA ✓ TX 77982 031318 50.00,E 3 ' REFUND FOR NELSON BETTS PATRICIA PO BOX 409 EL CAMPO TX 77437 1352397 ✓O1 MABRAY ARTHUR D ✓ 031318 103.00 2 REFUND FOR MABRAY ARTHUR D PO BOX 724 POINT COMFORT TX 77978 1352614 A KIRBY DOROTHY ✓ 031318 47,66 ✓ 2 REFUND FOR KIRBY DOROTHY 302 SEADRIFT ST PORT LAVACA 135405241 STRAKOS LINDA V/ TX 77979 031318 / 335.00 y 3 REFUND FOR STRAKOS LINDA PO BOX 1384 PORT LAVACA TX 77979 / 1354426 FRANKSON GANDA 14 ✓ A 031318 109.68 ✓ 2 REFUND FOR FRANKSON DAWNA 14 1106 CR 470 / PALACIOS / 1354852 .A1 GONZALES RAY D ✓ TX 77465 031318 36.00 ✓ 2 REFUND FOR GONZALES RAY D PO BOX 165 PORT 0 CONNOR TX 77982 RUN DATE: 03/13/18 MEMORIAL 14EDICAL CENTER PAGE 2 TIME: 14:48 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT PATIENT NUMBER PAYEE NAME DATE ------/' 355190 ✓Ol 1355190701 -----------_ ---""------ BOLTON - KENNETH RAY --' -BOLTON - -------------- 031718 2215 JACKSON ST TX 77979 All 1355865 y41 GONZALESPORTLAVACA RAY D ✓ 031318 PO BOX 165 PORT 0 CONNOR TX 77982 1356494 .ail BAHR MARY L 031318 298 SADDLEHORN DR PORT LAVACA TX 77979 1356902 dl RESENDEZ MANUEL V/ 031318 2209 14CPHERSOII PORT LAVACA TX 77979 135749001 BROWN MELISSA J 031318 77 PRIVATE RD 4522 - �� AOS TX 77465 1357614 ✓O1 14ILPALLCIS GLORIA M / 031318 739 SADDLEHORN DR � PORT LAVACA / TX 77979 1357616 ✓01 HERRERA IRINEO / 031318 PO BOX 102 102 DEDEAR ST - TIVOLI TX 77990 1357844/01 FEATHERSTON DOROTHY 031318 137 S COLORADO � PORT LAVACA TX 77979 1358308 ,O1 HSMARY ✓ 031318 128 SEASCAPE PORT LAVACA TX 77979 tt 1358460 Nl THEDFORD DONALD S V1 031318 PO BOX 291 � LOLITA / TX 77971 1359677✓O1 POIMBRAUF RITA ✓ 031318 5 VILLA DEL MAR PORT LAVACA f TX 77979 1360654 ✓01 KELLY HAROLD R 031318 50 SCHEDLER / PORT LAVACA TX 77979 1360680 X01 TIGRETT WILLIAM E 031318 P 0 BOX 740 / PORT 0 CONNOR { TX 77982 1361651/01 THOMPSON JERRY ✓ 031318 PO BOX 303 // SRADRIFT TX 77983 1362025 v l MORENO JUAN 031318 313 H CENTER ST // PORT LAVACA / TX 77979 1363008 f01 IIASEDA ARTHUR L ✓ 031718 820 PRIVATE RD DR / PORT LAVACA / TX 77979 1363825✓01 LOPEZ JOSE ,/ 031318 1511 LEON DR PORT LAVACA TX 77979 PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUM 178.61 / 2 REFUND FOR BOLTON KENNETH RAY 96.00 ✓ 2 REFUND FOR GONZALES RAY D 31.91 ✓ 3 REFUND FOR BAKER MARY L 75.00 ✓ 3 REFUND FOR RESENDEZ MANUEL 252.04 ✓ 2 REFUND FOR BROWN 14ELISSA 277.47,/ 3 REFUND FOR MILLS GLORIA M 14.69 ✓ 2 REFUND FOR HERRERA IRINEO 61.00 ✓ 2 REFUND FOR FEATHERSTON DOROTHY 94.41 ✓ 3 REFUND FOR BONS MARY 11.89 / 2 REFUND FOR THEDFORD DONALD S 10.73 ✓ 2 REFUND FOR POIMBEAUF RITA 25.50 / 2 REFUND FOR KELLY HAROLD R 240.72 ✓ 2 REFUND FOR TIGRETT WILLIAM E 69.16 ✓ 2 REFUND FOR THOMPSON JERRY 38.47 / 2 REFUND FOR 14OREND JUAN 62.51 V1 2 REFUND FOR RASEDA ARTHUR L 66.09 ✓ 2 REFUND FOR LOPEZ JOSE RUN DATE: 03(13/18 MEMORIAL MEDICAL CENTER PAGE 3 TINE: 14:48 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT PATIENT PAY PAT NUMBER PAYEE NAME DATE A14OUNT CODE TYPE DESCRIPTION GL NU14 1364354 k WOOLDRIDGE MICHAEL / 031318 2288.69 ✓ 2 REFUND FOR WOOLDRIDGE ALICE 211 MOCKINGBIRD // SEADRIFT TX 77983 1364705 J01 MURDOCK MATTHEW J 031318 315 PADRE LN VICTORIA TX / 77905 MISS600 01 SEMINOLE HOSPITAL DISTRICT 031516 209 NORTHWEST 8TH ST SE14INOLE TX 79360 ----------------------------- ----------------------------- ARID=0001 TOTAL ------------'--------------------------------------------- TOTAL ht'%'3"sOvm 014 MAR 19 2018 00YTN1= AUDPCOIa 0,% -L -q- oUIv C0Y31+reY, TBX&9 202.58 ✓ 2 REFUND FOR MURDOCK MATTHEW 446.69 J 2 FOR JOSE OLIVO, INTENDED FOR SE14INO 6815.85 6815.85 Run Date: 03/19118 MEMORIAL MEDICAL CENTER Time: 09:13 Payroll Register ( Bi -Weekly, } Pay Period 03/02/18 - 03/15/18 Rung 1 Final Summary +-- P a y C o d e S u n m a r y -------------------------- I PayCd Description Mrs IOTISHIBEIHOICRI Page 111 P2REG -------- k- D e d u c t i o n s S u m m a r y ---------•---' Gross I Code Amount 1 REGULAR PAY -S1 8676.75 N N N 168908,68 A/R 770,85 A/R2 92.47 A/R3 1 REGULAR PhY-81 1524,75 If N N H 62609,60 ADVANC AWARDS BOOTS 1 REGULAR PAY -S1 154,50 Y N N 4168.96 CAFE R CAFE -1 1494.30 CAFE -2 1058,88 2 REGULAR PAY -S2 2432,75 N N N 53004,59 CAFE -3 747,98 CAFE -4 406.80 CAFE -5 235.01 2 REGULAR PAY -92 55.75 Y N N 1976.60 CAFE -C CAPE -D 1663,54 CAFE -F 3 REGULAR PAY -83 1479,50 N N N 37341.18 CAFR-H 18749,13 CAFH-I CAFE -L 3 REGULAR PAY -S3 26.75 Y N N 1210.26 CAFH-P 231.57 CANCER CHILD C CALL PAY 24.00 N N N N 48.00 CLINIC 230.45 COMOIN 798,80 CREpUN C CALL PAY 2663,75 N 1 N N 4823.50 DD ADV DENTAL DBP -LF D DOUBLE T114E 12,00 N Il N N 435,00 DIS -LF 1300,74 RAT BAKER E EXTRA WAGES N N N N 7652.30 FSDTAX 32878.34 FICA -M 5122,72 FICA -0 21904.17 B EXTRA WAGES N 1 N N N 1621.25 FIRSTC 75.00 FLEX S 2560.10 FLY FH F FUNERAL LEAVE 24.00 N 1 11 N 351.36 FORT D FUTA GIFT S 12.27 I INSERVICE 25.00 N 1 11 N 738,65 GRANT GRP -I11 129.26 GTL I INSERVICE 4.75 Y 1 N N 194,80 HOSP-I ID TFT LOAF K EXTENDED -I1,1108 -BANK 5.00 N H N N 102,40 LEGAL 518.13 14ASA 528.00 MEALS 67.68 K EXTENDED -ILLNESS -BANK 157.00 N 1 N N 3598,61 MISC MISC/ NMCSHR P PAID -TIME -OFF 29.00 N 14 N N 875,20 OTHER PHI PHI**t P PAID-TIMB-OFF 1211,00 N 1 N 11 30D53.94 PR FIN 270,53 RELAY REPAY T BARRED INCOME CREDIT N N N H 70.00 SAMS SCRUBS SIGNOR X CALL PAY 2 162.00 N 1 H N 324.00 ST -TX STONDF 1165,00 STONE Y YMCA/CURVES N N N N 120.00 STONE2 STUDEN TSA -1 2 CALL PAY 3 96,00 N 1 N N 288,00 TSA -2 TSA -C TSA -P p PAID TI149 OFF - PROBATION 12.00 N 1 N N 158.44 TSA -R 26722.53 TUTION UNIFOR 332.01 t PHONE k DATA N N N It 995.00 UW/IIOS 120066,26 Net: 261684.06 41 }-------------------- Grand Totals: 18976.25 ------- ( Gross: 381150,32 Deductions: Checks Count:- FT 191 PT 9 Other 42 Female 204 Male 37 Credit OverAmt 3 ZeroNet Term Total: 241 ------------------------------- ---------------- ------- ------- ------- -------- -------------------* y TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-672-8683) El"ENTER 9 -DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4 -DIGIT PIN" F--] "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" E"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGITTAX FILING YEAR" "ENTER 2 -DIGIT TAX FILING ENDING MONTH" IST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec F—l"ENTER AMOUNT OF TAX DEPOSIT- FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" 0 "6 -DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: 941 # El C $ 86,937.53 1 $ 43,812.69 $ 10,246.50 $ 32,878.34 CHECK $ L—J CALLED IN BY: CALLED IN DATE: CALLED IN TIME: KAFinance SharMP-Payroll FIIesftyroll TaxesX20181#6 MMC TAX DEPOSIT WORKSHEET 3.19.18 3/19/2018 MEMORIAL MEDICAL CENTER IBC ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT •- Mar 10, 2018 - MARCH 16, 2018 Date Bank Description MMC Nates Amount NO ELECTRONIC TRANSFERS FOR THIS PERIOD Total Electronic Payments: hk March 19, 2018 Jason Anglin, C Memorial Med cal Center MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --March 10, 2018 -MARCH 16, 2018 Date Bank Description 3/16/2018 ACH Payment CARDMEMBER SERV ELECT PYMT***'*******43784 3/12/2018 ACH Payment FDGL LEASE PYMT 052-1038879-000 410001206867 3/14/2018 ACH Payment IRS USATAXPYMT 2208473754915436103601001737 3/13/2018 ACH Payment MCKESSON DRUG AUTO ACH ACH03405300 910000100 3/15/2018 ACH Payment TEXAS COUNTY DRS RECEIVABLE 0419 21000024329 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 393009825416166110 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 393009825899466110 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 413998013323856110 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 413998013323936110 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 413998013324016110 3/12/2018 ACH Payment TSYS/TRANSFIRST DISCOUNT 413998013324196110 1� Jason Anglin, CE t Memorial Medical Center 4v Rffyovea 07,jjgl►� f -f Avrnve(A o31u71�0 30 7? + 142='l5 164°48 R 1 rCl�i� C 213 i 54. 0 6 6 , [A itSG l' CG h 1 2= 0 0 MMC Notes - Credit Card Invoice -Credit Card Machine Lease Expense -Payroll Taxes -3408 Drug Program Expense - Retirement Funding -Credit Card Processing Fee -Credit Card Processing Fee -Credit Card Processing Fee Credit Card Processing Fee -Credit Card Processing Fee -Credit Card Processing Fee March 19, 2018 Amount 4,058.90-- 30.17 84,167.23'k-* 3,966.54' 117,114.87 142.75 164.48 281,54 1,698.95 840.66 12.00 uz,vtn.uy 888 �!R wK (a m )\ °04 (\ ME 7 % o {� �\ ( \\ // )§ !7 ) ! (� §� (a m )\ °04 (\ ME 7 % o ( E,) \ (a m )\ °04 (\ ME 7 % o N« u A W N p D00 t°.'6o'oi rG- - O O � O V LL V LL 6 C G Q U C J C w 6 e G e y � 9 LL -Y `o C` n ° m w pi gi N O r� 4 �1 N OO a'^ omom Ei 9 b � a 6 6 'y o F S F c O c a a n o ° Dul QN�mN e c i o v my % o m cf o o � a � o e � a i '� m n i '� m Nen � • a� J:; ti v �o Y m Y Ea E c Y o� cv a° c'v Em 5 3f 2 �ry v 12 LL )) /t : ! ( ; $ § \� % ! E< _ E ! Calhoun County Commissioners' Court— March 21, 2018 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18) On single source, emergency and public welfare purchases and bills. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 17 of 18 Calhoun County Commissioners' Court— March 21, 2018 19. Public discussion of County matters. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma COURT ADJOURNED: 10:18 AM Page 18 of 18