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2019-06-26 CC MINUTES.pdfCommissioners' Court—JUNE 26, 2019 CAL H[OUN COUNTY C®MMISSION ERS➢ C®U]L T REGULAR 2019 TERM § JUNE 26, 2019 BE IT REMEMBERED THAT ON JUNE 26, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 A.M by Judge Richard Meyer. 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Gary Reese/Vern Lyssy Page 1 of 7 Commissioners' Court—JUNE 26, 2019 4. General Discussion of Public matters and Public Participation. N/A S. Hear a presentation from the American Red Cross regarding Hurricane Harvey Long -Term Recovery Assistance. (RM) Alex Garcia, Executive Director of Red Cross, gave the presentation. 6. Hear a presentation from the Texas General Land Office to update on recent Vessel Turn In Program held in Port Lavaca and Seadrift. (RM) Rob Muil, Rusty Moore, and Tony Belt of GLO were present. Rob Mull gave presentation. 7. Recognize County 4-H members and hear a presentation of their experiences at the Texas 4-H Roundup. (RM) Karen Lyssy, Extension Agent, Emilee DeForest, 4-H Agent and upcoming President of 4-H, Keegan Brumfield gave presentation. 8. Recognize the Calhoun County EMS upon receiving the American Heart Association's Mission: Lifeline EMS Silver Plus Award. (RM) Dustin Jenkins, Calhoun County EMS Director, spoke on this matter. 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept $6,104.00 from the Golden Crescent Regional Advisory Council for the 2019/2020 EMS/Trauma Care System Grant. The funds are to be used for trauma related items and training and must be spent and reported to the Golden Crescent Regional Advisory Council before June 01, 2020. (RM) (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 2 of 7 I Commissioners' Court—JUNE 26, 2019 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve the Calhoun County Policy regarding Inclement Weather Closings/ Emergency Closings/ Evacuations. (RM) Clarri Atkinson, HR Director, spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To place funds from GOVPLANET for the auction of a Yazoo mower asset # 21-0213 for the total amount of $467.50 to be placed into 2019 Precinct 1 budget account #540-53510 Road and Bridge Supplies. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To award the proposal for Administration/ Professional Services in support of Calhoun County State and Federal Grants and authorize the County Judge to sign the contract and all necessary documents. (RM) Denied action at this time due to not meeting requirements. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 3 of 7 Commissioners' Court—JUNE 26, 2019 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On the RFQs for Engineering Services in support of Calhoun County State and Federal Grants and authorize the County Judge to sign the contract and all necessary documents. (RM) Awarded to G&W Engineering, 2nd Urban Engineering, and 3rd Civil Corp. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To accept K9 Hunter as an asset to the Calhoun County Sheriff's Office with a monetary value of $12,055. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Richard Meyer, Calhoun County Judge AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITME NO. 15) To authorize the Calhoun County Sheriff's Office to accept donation of a 1997 Ford Frazier Ambulance from DOW Chemical Company. (RM) Sheriff Vickery stated it would be used for SWAT purposes. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 7 Commissioners' Court—JUNE 26, 2019 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) To declare items in Precinct i as Surplus/Salvage and authorize Commissioner Hall to dispose of same. (see list) (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) On submittal of CEPRA grant utilizing GOMESA funds as matching funds, if approved, (estimated $20,000) for Boggy Nature Park, Phase I. (GR) Alan Berger (Parks Board) spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18) To transfer Inventory #541-0168 and Inventory Item #24-0434 from Precinct 4 Road & Bridge to Precinct 3 Road & Bridge. (see list) (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 5 of 7 Commissioners' Court - JUNE 26, 2019 19. Accept reports from the following County Offices: i. District Clerk's Office — May 2019 ii. Tax Assessor -Collector's Office — May 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 20. Consider and take necessary action on necessary budget adjustments. (RM) 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese, 21. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Payroll RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 6 of 7 Commissioners' Court—JUNE 26, 2019 Court adjourned: _10:46 A.M.— Page 7 of 7 I Commissioners' Court—JUNE 26, 2019 CCAL H OUN COUNTY COMMISSIONERS'COURT T REGULAR 2019 TERM JUNE 26, 2019 BE IT REMEMBERED THAT ON JUNE 26, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 A.M by Judge Richard Meyer, 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Gary Reese/Vern Lyssy Page 1 of 19 Commissioners' Court—JUNE 26, 2019 4. General Discussion of Public matters and Public Participation. N/A Page 2 of 19 I Commissioners' Court—JUNE 26, 2019 S. Hear a presentation from the American Red Cross regarding Hurricane Harvey Long -Term Recovery Assistance. (RM) Alex Garcia, Executive Director of Red Cross, gave the presentation. Page 3 of 19 American Red Cross County Judge Richard Meyer Calhoun County 211 S. Ann St., Suite 301 Port Lavaca, TX 77979 Subject: Application deadlines for Red Cross financial assistance Honorable Judge Meyer, Coastal Bend Texas Chapter, 1721 S. Brownlee Blvd. Corpus Christi, TX 78404 Tel (361) 887-9991 Fax (361) 888-7658 www.redeross.org/ix/corpus-christi As you know, the American Red Cross has helped hundreds of thousands of Texans to recover from Hurricane Harvey, in the immediate aftermath of the storm through today. I wanted to provide you with information on the program's impact and update you on some important program milestones. Thanks to the extraordinary generosity of our donors, the Red Cross raised $523 million for Hurricane Harvey recovery. To date, we have used those funds to provide direct financial assistance to more than 600,000 households whose lives were profoundly disrupted by one of the largest storms in United States history. in addition to assisting Individual households, the Red Cross is supporting community recovery through more than $62 million in grants to 148 non-profit organizations. Our support for these non -profits is helping deliver housing repair and a range of recovery services, support Long -Term Recovery Committees (LTRC), and engage underserved populations in services. Additionally, we have awarded grants that position unmet needs assistance at LTRCs serving the most impacted counties in the Texas Gulf Coast. With 88% of our funds committed or spent, we are looking forward to the completion of the Hurricane Harvey Financial Assistance Program by the second anniversary. On April 12, the Red Cross informed the disaster case management agencies of the two deadlines for submitting applications for recovery assistance. Disaster Case Managers can submit applications for Complex Assistance until May 10, 2019. They can submit Direct Assistance applications until the second anniversary of the hurricane. We continue to work in communities across Texas every day helping families before, during and after disasters. Last year we helped 2,846 families after local disasters, trained 54,386 people in first aid, CPR or AED, delivered more than 168,000 units of blood to Texas hospitals, provided 4,975 services to military personnel and their families and more. We are only able to do this because volunteers across the Texas Gulf Coast worked 158,711 hours to make it possible. Finally, 1 wanted to share with you a snapshot of our efforts in the county you serve. The attached maps illustrate the scope of Hurricane Harvey financial assistance provided to residents of your county as well as a list of the grantees working in your area. Should you need more information or have questions about this message please don't hesitate to contact me. Sin tir�= .__.. s Alex Garcia Executive Director American Red Cross Coastal Bend Chapter Office:(361) 850-4120 Cell: (361) 244-3893 alexa7ndc c t„arctsi<nrn�#rrr�r>s.�ri? 0' 0 ° r W 3 � @ o N w 41rap, @ G @ C R a) W N i �+ N 'iJ O ? N 0. U ,s @x N N @ w C) su � n @ m m, m @ (0 N N m w ro 4 0 ° r W @ O CDD w 41rap, @ G R L W N ? N 0. U ,s N N a @ o w w rn �° � n @ m m, m N m w ro 4 o ((D � N m a C m ° r W @ w L La w N Cs { 73 to Mfr .q ro Cry i 0J! w_ -a t„q. S10 •l, �w V C3 ry! S t = it C I° Im a C m ° r W @ w L La w N a n o 0 m m o =r :3 D °c 3 O N fD w 3 a 0 uN c fD N. n @ N O N �2? O O N a w o ra, o o 0 M uEs m � o a 0 fD N. n N (D� N �2? O O N a _ N �• O w 3 o 0 M � 'F a NG N N a W w 3 O O n. Q U d O O COD w N (7 Q' c -w N O cn was O (Dn O 3 M. C G < < O 00 (D -0 j n 7 < E 0 M � 'F W �iro W -n to U d O O < "n m a 0.y N Q' c -w N O cn was O C) (A O@ G 00 (D -0 j n 7 < E 3 K d 'r 3 7 C N w 7 � � � � ° 0 a 0 CL tg 3 o °c vim, c i E C) N y (7 OOf NO m N ,� a 0 °e 7 � m o S W w O' 0 M � W �iro W -n to U d O O < "n m N m m 0.y N Q' c -w N O cn was O C) (A O@ G 00 (D -0 j n 7 < E 3 K d 'r 3 7 C N w 7 � � � � ° 0 a 0 CL tg 3 m 9 °c vim, c i C) N N O (7 OOf NO m N ,� a 0 °e 7 � m o S W w O' N N Commissioners' Court — JUNE 26, 2019 6. Hear a presentation from the Texas General Land Office to update on recent Vessel Turn In Program held in Port Lavaca and Seadrift. (RM) Rob Muil, Rusty Moore, and Tony Belt of GLO were present. Rob Muil gave presentation. Page 4 of 19 M Mae Belle Cassel From: Debbie.Case@GLO.TEXAS.GOV (Debbie Case) <Debbie.Case@GLO.TEXAS.GOV> Sent: Tuesday, June 18, 2019 2:55 PM To: Maebelle.cassel@calhouncotx.org Cc: Robert Mull Subject: Agenda for Commissioners Court Hello Maebelle, Robb Mull, our Area Manager from Texas General Land Office, would like to address the Commissioners Court on June 261h to give an update on our recent VTIP (Vessel Turn In Program) we had in Port Lavaca _an.�df Seadrift. Could you let me know if Robb can be added to the agenda? � I yt5gJq f-vtrA'6 ' ) tv — Thank You Debbie Case Administrative Assistant II Texas General Land Office Oil Spill Prevention and Response 414 Travis St. Port Lavaca, TX 77979 Work (361) 552-8081 Cell (361) 220-1670 Debbie. Case(a3G LO.'Texas.Gov To Report a Spill — 800-832-8224 htti2{/www glo texas gov{what-we-do/caring-for-the-coast/oil-spills/index html I Commissioners' Court—JUNE 26, 2019 7. Recognize County 4-H members and hear a presentation of their experiences at the Texas 4-H Roundup. (RM) Karen Lyssy, Extension Agent, Emilee DeForest, 4-H Agent and upcoming President of 4-H, Keegan Brumfield gave presentation. Page 5 of 19 Mae Belle Cassel From: Emilee.DeForest@ag.tamu.edu (Emilee S. DeForest) <Emilee.DeForest@ag.tamu.edu> Sent: Tuesday, June 18, 2019 2:58 PM To: maebelle.cassel@calhouncotx.org Cc: Karen P. Lyssy; Greg W. Baker; Katherine Sutherland Subject: [WARNING -Remote attachments, verify sender] Commissioners' Court Good afternoon, If we are able, AgriLife Extension would like to get on the agenda for the Commissioners' Court meeting on Wednesday, June 26. As the 4-H agent, I will be bringing some 4-H members to talk about their experience at Texas 4-H Roundup. Thanks, Emilee DeForest County Extension Agent 14-H and Youth Development Texas A&M AgriLife Extension Service / Calhoun County 186 Henry Barber Way N1, Port Lavaca, TX 77979 Office: (361) 552-9747 Facebook: Calhoun County 4-H —Texas A&M AgriLife Extension TE As A&M EXTENSION Commissioners' Court —JUNE 26, 2019 8. Recognize the Calhoun County EMS upon receiving the American Heart Association's Mission: Lifeline EMS Silver Plus Award. (RM) Dustin Jenkins, Calhoun County EMS Director, spoke on this matter. Page 6 of 19 FOR IMMEDIATE RELEASE Contact: J. Dustin Jenkins Director of EMS (361)552-1140 Dustin.j enkins@calhouncotx.org Calhoun County EMS receives American Heart Association's Mission: Lifeline EMS Silver Plus Recognition Award PORT LAVACA, June 18, 2019 — Calhoun County EMS has received the American Heart Association's Mission: Lifeline EMS Silver Plus Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks. Every year, more than 250,000 people experience an ST elevation myocardial infarction (STEMI) the deadliest type of heart attack caused by a blockage of blood flow to the heart that requires timely treatment. To prevent death, it's critical to restore blood flow as quickly as possible, either by mechanically opening the blocked vessel Calhoun County EMS or by providing clot - busting medication. The Mission: Lifeline initiative provides tools, training and other resources to support heart attack care following protocols from the most recent evidence -based treatment guidelines. Mission: Lifeline's EMS recognition program recognizes emergency medical services for their efforts in improving systems of care to rapidly identify suspected heart attack patients, promptly notify the medical center and trigger an early response from the awaiting hospital personnel. "Calhoun County EMS is dedicated to providing optimal care for heart attack patients," said Dustin Jenkins, EMS Director. "We are pleased to be recognized for our dedication and achievements in emergency medical care efforts through Mission: Lifeline." "EMTs and paramedics play a vital part in the system of care for those who have heart attacks," said Tim Henry, M.D., Chair of the Mission: Lifeline Acute Coronary Syndrome Subcommittee. "Since they often are the first medical point of contact, they can save precious minutes of treatment time by activating the emergency response system that alerts hospitals to an incoming heart attack patient. We applaud Calhoun County EMS for achieving this award in following evidence -based guidelines in the treatment of people who have severe heart attacks." About Calhoun County EMS: Established in 1980, Calhoun County Emergency Medical Services (EMS) exists to safeguard the quality of life in our county. Our medics work with honesty, integrity, excellence, and compassion providing high quality, professional, ambulance -based healthcare. We strive to ensure equal access to basic and advanced life-support, while providing transportation to definitive and/or specialized care facilities for all people. About Mission: Lifeline The American Heart Association's Mission: Lifeline® program helps hospitals and emergency medical services develop systems of care that follow proven standards and procedures for acute coronary syndrome patients. The program works by mobilizing teams across the continuum of care to implement American Heart Association/American College of Cardiology clinical treatment guidelines. For more information, visit heart.ore. Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Wednesday, June 19, 2019 11:57 AM To: Mae Belle Cassel Cc: Lori McDowell Subject: 2019 Mission: Lifeline EMS Recognition- Calhoun County EMS Attachments: Calhoun County EMS_Silver Plus _2019_EMS Award.pdf, Press Release- CCMES Mission Lifeline Silver Plus EMS.docx Mae Belle, We are excited and would like to announce to the Commissioners Court that Calhoun County EMS has received the American Heart Association's Mission: Lifeline® EMS Silver Plus Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks. That means we met or exceeded the following recognition requirements: Mission: Lifeline EMS Silver Recognition: Agencies earn Silver recognition with a minimum patient volume of at least 8 STEMI patients transported directly to a STEMI Receiving Center for Primary PCI and/or STEMI Referring Hospital for fibrinolytic administration and for achieving 75% or higher adherence over a consecutive 12 month interval, all Mission: Lifeline@ EMS quality measures to improve the quality of care for STEMI patients. Mission: Lifeline EMS Silver Plus Recognition: In addition to meeting the above requirements, the agency also achieved at least 75% on the 2018 Plus Measure — Percent of adult Out -Of -Hospital Cardiac Arrest patients resuscitated on scene with sustained ROSC of at least 20 minutes, maintained to arrival at the emergency department, who has a 12 lead ECG performed in the field. Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouiicotx.org (361) 571-0014 Calhoun County Texas Commissioners' Court —JUNE 26, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept $6,104.00 from the Golden Crescent Regional Advisory Council for the 2019/2020 EMS/Trauma Care System Grant. The funds are to be used for trauma related items and training and must be spent and reported to the Golden Crescent Regional Advisory Council before June 01, 2020. (RM) (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 7 of 19 June 6, 2019 Dear Provider, Elm TRAUMA SERVICE AREA -S GOLDEN CRESCENT REGIONAL ADVISORY COUNCIL Your 2019/2020 EMS/Trauma Care System Fund money (911-1131- 3588 Funds) is here! Enclosed please find a check for your provider service in the amount allocated to your service. This Money needs to be spent entirely by 6/30/20. The Report of Expenditures is due in completed form with receipts and check copies for all expenditures attached before 6/01/20 to the RAC address below. Please be on time with this report, as I have to have the report in to TDSHS on 6/30/20. Since the Report of Expenditures Form is now an Excel spreadsheet, it will be e-mailed to you as an attachment. Thank you for your continued support in Trauma Service Area — S. If you have any questions, please feel free to call me at (361) 572-5128. Sincerely, Carolyn Knox, RN, CEN, LP RAC Chair TSA -S Enclosure Address: Golden Crescent Regional Advisory Council C/O Carolyn Knox 2701 Hospital Drive Victoria, Texas 77901 2701 Hospital Drive • Victoria, Texas 77901-5749 • (361) 574-1519 Commissioners' Court—JUNE 26, 2019 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve the Calhoun County Policy regarding Inclement Weather Closings/ Emergency Closings/ Evacuations. (RM) Clarri Atkinson, HR Director, spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 8 of 19 Im CALHOUN COUNTY POLICY INCLEMENT WEATHER CLOSINGS I EMERGENCY CLOSINGS I EVACUATIONS Declaration of an Emergency The County Judge shall be the local County authority to declare an emergency exists, or in the County Judge's absence, the County Judge Protem (or another County Commissioner, if necessary). In the event of an emergency closing or evacuation, the County shall provide paid leave for "essential" and "non-essential" employees in the event of certain emergencies including, but not limited to: • Hurricanes • Floods • Inclement weather such as ice & snow • Other acts of God • Nuclear, chemical, and biological emergencies • Terrorist attacks • Any other emergency declared by the federal, state, or local authority. CLOSING DUE TO AN EVACUATION ORDER When an evacuation has been ordered, all "non-essential", non -emergency personnel will be released from work and encouraged to evacuate. Employees designated by their Department Head as "essential" Emergency Services Personnel will not be authorized to evacuate if an evacuation order is issued in accordance with Chapter 22 of the Texas Labor Code. Any "essential" employee who fails to report to work as scheduled during an emergency evacuation order may be subject to disciplinary action, up to and including job termination; if the employee is necessary to provide for the safety and well-being of the general public or is otherwise necessary for the restoration of vital services. All "essential" employees must be designated and made aware of their assignment prior to an emergency. A list of "essential" employees shall be provided to the Emergency Management Coordinator and the Human Resources Coordinator and shall be updated annually or as needed. Shifts may be established according to departmental needs at the discretion of the Department Head. Employees who are assigned "on call" status must notify supervisors of locations where they can be contacted. COMPENSATION OF EMPLOYEES ESSENTIAL Where is an emergency closure of County offices, all "essential" employees who are required to work during the emergency closure will be compensated as indicated below for the duration of the closure for all documented time during which they actually worked. (Exempt employees' salaries will be converted to an hourly equivalent.) The term "actually worked" means time actively engaged in physical or mental exertion related to the County's business (at the direction and control of the Department Head or Commissioners' Court) either on the County's premises or actively engaged in the same manner in the County's business off premises at the direction and control of the Department Head or Commissioners' Court. The term "actually worked" shall include stand-by and stand-by/sleep time as recognized under the Fair Labor Standards Act (FLSA) only in those instances where the employee is required by the Department Head (or Commissioners' Court if the employee is an appointed Department Head) to stay on County premises engaged to wait on instructions to work, and the employee does, in fact, stand by and/or sleep on the County premises. Following are examples for each FLSA classification: a. Elected Officials, the County Auditor, Court Reporters and Assistant Criminal District Attorneys are regulated by State Statutes or other law; therefore, they are not subject to overtime compensation during an emergency closure. b. Exempt — A chief deputy in the Sheriff's Office who is designated as an "essential" employee during an emergency closure would receive his/her regular salary plus straight -time pay for all hours actually worked during the emergency closure. Their hourly rate would be derived from their regular salary. c. Nonexempt — A Road and Bridge equipment operator normally working a 10 -hour shift who is designated as an "essential" employee during an emergency closure would receive 10 hours of regular pay for each normally scheduled workday plus straight -time pay for all hours actually worked during the emergency closure unless and until the total hours actually worked during the work week exceeded 40 hours. At that time, the employee would receive overtime pay for those hours worked in excess of 40. d. Sheriff's deputies who are designated as "essential" employees during an emergency closure would receive their regular pay, based on a 28 -consecutive day work period with a maximum of 171 hours straight -time before overtime accrues to them. They then would receive additional straight -time pay for all hours actually worked during the emergency closure unless and until the total hours actually worked during the period exceeded 171 hours. At that time, the employees would receive overtime for those hours worked in excess of 171. e. The maximum number of work hours which may be recorded for any single work day is 24 hours for the first 72 hours of the emergency closure and 18 hours per day thereafter. NON-ESSENTIAL: a. Full-time, regular employees who are not required to report for duty will be paid for the Mandatory Emergency Days and Inclement Weather days are paid as Administrative leave for the purpose of calculating their compensation. Early closures relative to inclement weather at the direction of the County Judge will be compensated as paid Administrative Leave. b. Part-time and temporary employees will be paid for their scheduled time lost due to an emergency closing. c. In the event of this type of closing, employees who had previously requested paid leave for time off prior to the declaration of an emergency closing will have the approved leave time deducted from their appropriate leave balance. RETURN -TO -DUTY PHASE: All "non-essential" employees will report to their usual work areas as soon as possible following the order for resumption of normal operations, after the lifting of the emergency closure order and/or instructions from the applicable Elected Official/appointed Department Head. By reporting to work as directed, each employee meets their responsibility to work with other County employees as a team in restoring the community to normal service levels following disaster. Non-essential service employees who evacuated will report to work at the start of the next normal shift, or sooner as directed, following the announcement of the Return -To -Duty - Phase. When all County offices are closed, an announcement will usually be posted on the Calhoun County website in addition to return -to -duty instructions. Any employee who is off work or scheduled to be off on sick leave, sick pool, vacation, emergency leave, workers' compensation, FMLA, or disciplinary leave shall have their leave recorded as such. Violation of this Policy An employee who violates this policy by: a) Refusing to perform assigned duties required by this Policy or to obey any order or directive made or given by a supervisor; or b) Failing to report for duty as directed during any applicable phase of this Policy; or c) Failure to abide by County Policy, departmental rules of regulations; or d) Any conduct that interferes with, or might reasonably be expected to interfere with the proper and orderly conduct the County's businesses or that brings, or might reasonably be expected to bring, discredit of the public service. Consequences for Violation of the Policy. A violation of this Policy shall be considered a violation of County Policy, departmental rules, or regulations for which disciplinary action up to and including dismissal may be taken by the applicable Department Head, with the concurrence of the Elected Official. The County reserves the right to amend, change, or delete this policy at any time, with or without prior notice. Furthermore, this policy does not grant a right or benefit to any employee, either expressed or implied, that in way alters the "at will" basis of employment that is intended by the County. Severe Weather Conditions When a county wide closing is not initiated, Elected and Appointed Officials retain the authority to make a determination for their own employees when weather conditions are so severe that it is unsafe for employees to travel from their residences to their assigned work stations. Elected and Appointed Officials are those Department Heads that have taken the oath and statement in accordance with Article XVI, §1 of the Texas Constitution. Commissioners' Court —JUNE 26, 2019 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To place funds from GOVPLANET for the auction of a Yazoo mower asset # 21-0213 for the total amount of $467.50 to be placed into 2019 Precinct 1 budget account #540-53510 Road and Bridge Supplies. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 9 of 19 M } CALHOUN COUNTY COMMISSIONER, PRECINCT 1 ,? 201 W. Aaslin, Pori Lavaca — Texas 77979 — Office (361) 552.9242 — fax (361) 553-6734 David E. Hall, Commissioner, Pct. I— Mobile (361) 220-1751 Email: david.hall gcolhoancolx.orq June 18, 2019, Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for June 26, 2019. Consider and take the necessary action to place funds from GOVPI ANET, for the auction of a Yazoo Mower asset 421-0213 for the total amount of $467.50 to be placed into 2019 Precinct 1 budget account 4540-53510 Road and Bridge Supplies. David E. Hall DEFT/apt Supplier. Calhoun County INVOICE INVOICE NUMBER DATE IGOVPLANET, LLC 3880 Hulan Street, Suite 200, Fort Worth, TX, 76107 Telephone 888433-6426 Fax 926.228.8809 INVOICE DESCRIPTION 2-2243274-OaalI 06 -MAY -19 IP Auction Invoice - SellerID 529376 CHECK NO.: 802244 DATE: 13 -JUN -2019 INVOICE DEDUCTIONS 1. 1 GOVPLANET,LLC 3880 Man Street, Suite 200; Fort Worth, TX, 76107 Telephane:888.433.5426 Fax, 925.225.8809 Wells Fargo Bank, N.A., 420 Moolgotnery Shcet, San Francisco, CA, 94104 i -PAY FOISY Hundred Sixty -Seven Dollars And Fifty Cents'" Calhoun County t i TOY Ann Precinct I THE ZO2 S Ann Ste A INVOICE NET AMOUNT .00 467.50 TOTAM (OBD) 467.80 ORDER Port Lavaca TX 77979 OF United Statc3 _t= -UN WFOMACCOMW CHECK PLEAMNOW UPASOEllMaNE FOR WS OFNUNlS SECURITY WAM994 Uf PA W MDBACK 11'80 2 24411' 1:1 2 1000 2481: 4 2468 2 i0 2911' 1 11.2411210 802 44 201901 13 DATE YYYY M 00 $ 46750 M PLANET A. Iran Plannl •MAW' IronPlanet hereby acknowledges and confirms that payment from the buyer on the Item identified below has been received by IronPlanet in accorchu co with the Buyer Torras and Conditions. Seller is hereby requested to make available and to release the ilem to the buyer identified below pursuant In the Seller Touns and Conditions. Questions regarding payment for and rolease of the itor should be directed to IronPinnel Item: 2243274 Release Code: BGNKQB Salo Data: May 8, 2019 Description I Y uoo/Kees ZVKH61272 Mower �- Semi No /VIN 084483208 honPhnot SIF( ker G99914 -i ;Features: Gasoline Engine, l lydrostatic Drive. 61" Cut, Rotary Knives, 13- 6.5-6 Front Tires. 23.8. 50-12 Rearlues i _ '.Seller/Pick Uo Information -_- Addlo. s� 30o I Ir my 13 ubr rVJny_, Port I aveca 1X 77078 Conlar.l David Ball; Ph:361-552-92,12 Fax f Emall d_avid. Pick -Up Unlltations: Must call 24 hours in advance to schedule pickup. Hours (local (into): - to - tles![:quipnwntlSa?rvices Available? Fee Height Capacity Comment Fill pock No Assistant(? No it No Buver Information & Instructions Contact I lose coronedo: Ph: Coll: 12103368891 1 Fax / (_mail Buyer's Responsibilities: • This document nalst be prosonted at the bnlo of pickup for your item to be released Failure to provide this document will result in your item not being released • Buyer shalt call the point of contact listed in lire Seller/Pick-Up Information section above one day in advance (unless otherwise indicated in the Pick, -Up Limitations section above) to arrange pickup_ • Buyer shall arrange for lmnS1)olt0IiO 1 of the item. Buyer may self -transport or cause to have the item delivered care of a transportation provider. All costs associatod with transportation of the item. Including dismantling, loading, and jump starting, MIA) be bourn by Buyer • Buyer is responsible for obtaining proper equipment to load and transport the iter- • Buyor/Driver shall verify Serial No. WIN and any altachmenl(s). as listed under Features above, prior to loading to avoid rclum shipping costs. • Unloss othorwise noted In the pickup (imitations, tho itom must be removed from location by May 22, 2019 to avoid potential storage fool or rolocation of tho Item at Buyer's exponse. • Any item that is riot picked up within sixty (60) days following the Iter Release will be considered abandoned and ro-sold by IronPlanet: unless otherwise noted in the pickup limitations. All abandonments are non-refundable. • Submll requimd dot( rnrenlatlon to ImnPlanet once item has been received. I Commissioners' Court -- JUNE 26, 2019 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To award the proposal for Administration/ Professional Services in support of Calhoun County State and Federal Grants and authorize the County Judge to sign the contract and all necessary documents. (RM) Denied action at this time due to not meeting requirements. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 10 of 19 -k-� 1Z PEGGY HALL qn CRISTINA P TUAZOB 202 S ANN ST, STE B DEMI CABRERA CANDICEVILLARREAL FORT LAVACA, TURS 71979 ERICA PEREZ 197 ASSISTANT AUDITOR TELEPHONE 13611553-4610 FAX 13 611 5 5 3-4 614 ASSISTANT AUDITORS June 20, 2019 TO: Honorable Richard H. Meyer Calhoun County Judge RE: Agenda Item for Commissioners' Court Wednesday, June 26, 2019 Please place the following item on the Commissioners' Court Agenda for June 26, 2019. • Consider and take action to award the proposal for Administration/Professional Services in support of Calhoun County State and Federal Grants, and authorize the County Judge to sign the contract and all necessary documents. Thank you, Peggy Haff Assistant Auditor Mae Belle Cassel From: peggy.hall@calhouncotx.org (Peggy hall) <peggy.hall@calhouncotx.org> Sent: Monday, June 24, 2019 2:51 PM To: Mae Belle Cassel; Richard Meyer, cindy mueller Cc: 260 - Judge & Mae Belle; 190 - Auditor; catherine.sullivan@calhouncotx.org; Shannon Salyer Subject: Info for Court 6/26/19 Attachments: Agenda Item 13 - Action on RFQs for Engineering Services.pdf RE: Court June 26, 2019 • There is no information to send you on agenda item #12. Example of Action that should to be taken on #12 might be: Reject single RFP received on Wednesday, June 19, 2019 for Administration/Professional Services in support of Calhoun County State and Federal Grants, due to GLO's Procurement Requirements. • Please put the attached info behind agenda item #13. Peggy -ffa11 Assistant Auditor Calhoun County 202 S. Ann St., Ste B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Calhoun County Texas I Commissioners' Court — JUNE 26, 2019 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On the RFQs for Engineering Services in support of Calhoun County State and Federal Grants and authorize the County Judge to sign the contract and all necessary documents. (RM) Awarded to G&W Engineering, 2nd Urban Engineering, and 3rd Civil Corp. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 11 of 19 -or t -3 CIN PEGGY HALL CRISTINA P TUAZON 202 SANN ST, STEB BEMICARRERA CANDICEVILLARREAL PORT LAVACA, TEXAS 719D ERICA PEREZ la ASSISTANT AUDITOR TELEPHONE (3611553-4610 FAX 13611553-0614 ASSISTANT AUDITORS June 20, 2019 TO: Honorable Richard H. Meyer Calhoun County Judge RE: Agenda Item for Commissioners' Court Wednesday, June 26, 2019 Please place the following item on the Commissioners' Court Agenda for June 26, 2019. • Consider and take action on the RFQs for Engineering Services in support of Calhoun County State and Federal Grants and to award to Engineering Firms based on the rating sheet. Thank you, Peggy Haff Assistant Auditor CIN LLER 13 PEGGY HALL CRISTINA P TUMOR 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TENAS 71979 ERICA PEREZ 15 TASSISTANTAUDITOI TELEPHONE 13611553-4610 FAN 13611553-4614 ASSISTANT AUDITORS June 20, 2019 TO: Honorable Richard H. Meyer Calhoun County Judge RE: Agenda Item for Commissioners' Court Wednesday, June 26, 2019 Please place the following item on the Commissioners' Court Agenda for June 26, 2019. Consider and take action on the RFQs for Engineering Services in support of Calhoun County State and Federal Grants and to award to Engineering Firms based on the rating sheet. Thank you, Peggy Had Assistant Auditor Calhoun County, Texas RATING SHEET SCORES RFQ 2019.05.29-EASS Engineering/Architectural/Surveying Services RFQs were opened at 2:00 PM, Wednesday, June 19, 2019 Three (3) RFQs were received Vendor Experience Work Capacity to Total Performance Perform Points G & W Engineering, Inc. 59 23 14 96 6 UKP Urban Engineering 54 22 12 88 CivilCorp, LLC 53 23 8 84 Statement of Qualifications For Engineering Services CDBG — Disaster Recovery program of the General Land Office (GLO) C V110111-Fka-111 v7�3-eym June 19, 2019 G&W Engineers, Inc. o 205 W. Live Oak o Port Lavaca, Texasi, 77979 f i-, 'tit I Texas Firm Registration No. F04188 -1 G& Y Y ENGINEERS, INC. _ 205 W. Live Oak • Port Lavaca, Texas 77979 - p: (361) 552-4509 • f:(361) 5524987 TBPE Firm Registration No, F04188 . TBLS Firm Registration No. 10022100 June 18,2019 1 Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse _I 211 S, Ann St., Ste. 301 Port Lavaca, TX 77979 Re: Statement of Qualifications - Engineering Services for CDBG - Disaster Recovery Program of the General Land Office (GLO) Dear Honorable Judge Meyer and County Commissioners, G&W Engineers, Inc. is pleased to submit our Statement of Qualifications (SOQ) for your consideration of providing professional engineering services to Calhoun County, Texas. We offer an experienced team of in-house civil/structural, land surveying, electrical, and mechanical engineering professionals who have experience in the various facets of utility, municipal, and -I environmental engineering as well as disaster recovery and mitigation, I invite you to closely review the enclosed resumes of the professional team proposed for the requested services, G&W has worked extensively with local communities, cities and other governmental agencies since being formed in 1977. This past experience, together with our knowledge of pertinent county design considerations, will provide technical expertise and an efficient project design solution, centered on effective communication with Calhoun County. Thank you for allowing un to submit our qualifications. We look forward to the opportunity to answer any questions you may have and to work with Calhoun County as you work to provide engineering services that serve the county, If you require additional information, please do not hesitate to contact me at (361) 552-4509 or via email at'l' Sincerely, G&W Enggiiinneers, Inc. f X Brian Novian, P.E. President Encl: One original of SOQ Engineering . Consulting Planning Surveying r'npoe'ers t G&W Engineers, Inc 205 West Live Onk Street • Port Lavaca, Texas 77979 Statement of Qualifications `5fe G&W Engineers, Inc, has been in business as an engineering firm under their present name since they were incorporated in the State of Texas in 1979. G&W is a privately held firm, registered in the State of Texas as TBPE F-04188. G&W is a multi -disciplined consulting engineering firm that offers a broad range of engineering services, including civil, structural, marine, mechanical, electrical, instrumentation, project planning, design and inspection. Our Company headquarters are in Port Lavaca, Texas with one satellite office in Bay City, Texas. Our engineering and technical services include but are not limited to the following: a General - Conceptual Design / Land Use Planning / Environmental and Geotech Specifications / Permitting Representation, Feasibility Studies, Hydrology/14ydraulle Studies & Other Discipline Specific Engineering Studies, Cost Estimating, Construction Phase Services / Observations, Consultation associated with Grant Applications for ltifrastructure Improvements, Disaster Recovery and FEMA • Civil Engineering - Drainage, Road, Dredging; Erosion Control, Secondary Containment Structures, Utility Design, Municipal Water & Wastewater Plant Design, Reconstruction & Restoration • Mechanical Engineering - Equipment Selection (Pumps, Marine Arm & Vapor Collection / Destruction) Connectivity Piping / Valves, Meters Connectivity, Fire Protection — Automated and Manual Operated Equipment Marine Enpineering — Bulkheads / Docks / Mooring and Breasting Structures, Breakwater/ Dam Structures, Shoreline Mitigation, Boat Ramps / Lifts, Cofferdam Structures • Process Engineering a Electrical Enpineering — Cathodic Protection, Power, Lighting, Grounding / Lightning Protection • Instrumentation Engineering G&W Engineers maintains a complete suite of up to date engineering and design tools and discipline specific 3D computer aided design/drafting tools. We also have a fully -staffed surveying department, experienced in all types of surveying and fatty, SOQJur ProjLssional Engineering Services, Calhhun Cnna�,, T, equipped for Global Positioning System (GPS) surveying, along with up-to-date, state-of-the-art computer-aideddesign/drafting (CADD) facilities. G&W maintains a well-established quality assurance and quality control (QA/QC) program, which enables our professional team to achieve desirable cost-effective solutions for the client within often demanding schedules. Our in-house reviews assure quality control by focusing on meeting the client's intent for the study, assessment, design and/or construction; conforming to the terms of the agreement; maintaining scheduling requirements; keeping costs within the budget and carefully reviewing all reports for clarity, completeness, technical accuracy; consistency of format.. We are especially pleased that a large portion of our work involves repeat business, which demonstrates not only our technical expertise, but also our personal commitment to all of our current and former clients. G&W offers an experienced team of planners, surveyors and engineers that have worked on many state and federally -funded projects consisting of a variety of municipal utility improvement projects in this general region of the state. We believe our past experience with these types of grant projects will provide Calhoun County with the complete technical capability to expedite the planning, design, and construction phases of associated improvements. Recently, G&W has worked closely with FEMA, TDEM, as well as, other agencies in order to assist several municipalities and districts with the recovery process from the proclaimed Hurricane Harvey Disaster. Professional Engineering support includes, assessment of damages, being the primary contact for a district as it relates to the public assistance program, cost benefit analysis, successful submission of mitigation requests, preparing cost estimates, preparing scope of works, daily communication with FEMA, successfully eneers G&W Engineers, Inc. -205 West Live Oak Sweet ^ Port Lavacs, Texas 77979 completing preliminary and final design plans, as well as, helping these clients with pre-& post -award phases to name a few, G&W is confident that we can successfully assist Calhoun County regarding the proposed project, while providing competent engineering for the County. We also believe that our close relationships with state and federal agencies will help provide a smooth project experience. Scope G&W understands that Calhoun County is .seeking to enter into an engineering services contract with a Texas -registered engineering iuni to assist with the preparation of an application for the CDBG-DR including the initial engineering support and final design engineering support. The engineering services contract will initially encompass those professional engineering services necessary to prepare all documents required for the grant applications. If Calhoun County is awarded a grant project, then the service contract will be expanded•to include the engineering design, bid and construction phases of the project, If Calhoun County is awarded a grant project, our services are further anticipated to specifically consist of 1) developing, preparing and reproducing all required preliminary and final construction plans and specifications, including design survey, 2) preparing the bid package and coordinating the bidding and contract award process, 3) preparing all required change orders and coordinating the review and approval process thereof, 4) administering construction oversight, 5) conducting all required field testing and construction observations (interim and final), 6) coordinating and preparing record drawings to be provided to the County in digital format, and 7) performing other special engineering services deemed necessary, including easement or real property surveys, if required, Qualifications, Availability Ek Interest G&W Engineers, as mentioned in our introduction, employs a skilled set of professionals and supporting members for accomplishing a wide range of complex engineering projects, G&W is confident that our diversely qualified staff provides sound engineering, performance and that our multi- dicipline firm provides a major benefit to our clients, in being what we consider to be a "One - Stop" engineering firm. G&W is highly interested in the potential project(s) due to the nature of the situation. providing professional services to those affected by a natural disaster and/or representing a client for projects with the purpose of mitigating future impacts, is a priority for G&W, as we understand the circumstances and impacts of such a disaster. Staffing and professional consultation representing Calhoun County, Texas will be provided by G&W. Implementation and oversight of qualified and available staff will be of the utmost importance to G&W. G&W will be able to allow for work to commence immediately following an executed agreement. Technical Support Team G&W Engineers is pleased to have Professional Service Industries , Inc, (PSI) as a sub consultant and technical support team member. PSI has extensive experience providing Environmental Consulting, Storm water Consulting and Inspection, Roof Consulting Services, Building Envelope Consulting, Geotechnical Engineering, Asbestos/Mold/Lead Consulting and Construction Materials inspection and Testing. PSI's Corpus Christioffice can perform a full range of services for this project, As a national firm widi experience on all types of projects throughout the country, PSI brings ideas and experience not normally available from firms with geographically limited service areas, G&W Engineers is also pleased to have Belaire Environmental, Inc. (BEI) as a sub consultant and technical support team member. BEI is a HUB certified woman owned business. BEI was established in 1983 and is located in the coastal community of Rockport, Aransas County, Texas. BEI's capabilities and experience over the past 36 years have centered particularly in the area of U.S. Army Corps of Engineers (USACE) permitting, National Environmental Policy Act (NEPA), Approved/Preliminary Jurisdictional Determinations, wetland habitat creation, enhancements, and restoration, and other coastal environmental areas. SOQ for Prafea7lnnal Engineering Services, Calhoun Count, Teras 2 engigeers G&W Engineers, Inc. • 205 West Live Oak Street ^ Port Lavaca, Texas 77979 Proposed Staff G&W is prepared to commit responsive resources of our facilities and professional personnel with the creative insight to assist and consult Calhoun County as requested. Additionally, engineering support will be provided by G&W's in-house staff of surveying technicians, staff engineers, CADD technicians, construction oversight personnel and engineering assistants. Additional staff will be allocated if the need arises and will be under the direct supervision of the assigned Project Manager during the preparation of technical documents and construction drawings. Scott Mason, P,E. will be responsible for the overall project development including communication with Calhoun County. He will allocate tasks and other responsibilities, monitor the project development and maintain communication with all parties involved. Additionally, Mr. Mason will provide additional civil design support where necessary and will also serve as QA/QC manager for this effort. Mr. Mason has gained a lot of recognition for his efforts regarding Texas' recent disaster and is fully prepared and available to assist Calhoun County with their disaster recovery projects. Past Project Experience G&W has successfully completed numerous projects of this type. The following depicts representative municipal improvement projects in this region of the state that have involved Federal, State, and local public funding. Rockport Beach Pavilions Restoration, Aransas County Navigation District, Aransas County, Texas Funding Source: Private & FEMA Public Assistance in Progress Phase: CONSTRUCTION PHASE Contractor: BLS Construction, Inc. Construction Cost: $3,089,102.70 Owner Contact: Keith Barrett, Harbor Master A.C.N.D,,361.729.6661 G&W was responsible for providing a preliminary damage assessment along with budgetary cost estimating, which was submitted to FEMA, and provided planning and restoration designing of four (4) 3,800 SF ea. pavilions damaged by Hurricane Harvey. The project includes windstorm design, roof replacement, HVAC repairs, providing bidding support in accordance with federally funded projects and mitigation measures to ensure that the restored pavilions will be less susceptible to future disasters. SOQ for Professional Engineering Services, Calhoun Coun(1, Tevas 3 eng4eers , G&W Engineers, Ina ^ 205 West Live Oak Street • Port Lavaca, Texas 77979 City of Seadrift FEMA Public Assistance Professional Engineering Support, Seadrift, Texas J Funding Source: FEMA Public Assistance Program Phase: PRE -AWARD Estimated Damages: $7,000,000.00 Owner Contact: Mr. Elmer DeForest, City of Seadrift Mayor, 361,785.2251 G&W has worked closely with FEMA, TDEM, as well as, other agencies in order to assist the City of Seadrift with the recovery process from the proclaimed Hurricane Harvey Disaster. Professional Engineering support includes, assessment of damages, cost benefit analysis, submission of mitigation requests, preparing cost estimates, preparing scope of works, and daily communication with FEMA. Projects assigned to G&W include over 3,200 linear feet of damaged seawall, restroom facility damage, and over 850 linear feet of eroded shoreline. G&W has provided creative solutions regarding hazard mitigation solutions, as well as, provided complicated analysis of cost associated with repairs versus replacement. City of Austwell FEMA Public Assistance Professional Engineering Support, Austwell, Texas Funding Source: FEMA Public Assistance Program Phase: PRE -AWARD Estimated Damages: $100,000.00 Owner Contact: Mary Canales, Mayor 361.286.3523 G&W has also worked closely with FEMA, TDEM, as well as, other agencies in order to assist the City of Austwell with the recovery process from the proclaimed Hurricane Harvey Disaster. Professional Engineering support includes, assessment of damages, cost benefit analysis, submission of mitigation requests, preparing cost estimates, preparing scope of works, and daily communication with FEMA, Projects assigned to G&W include, park facility damages including buildings, water plant damages, sewer plant damages, Historic City Hall building damages, community center and wetlands center damages, streets and signage damage and shoreline erosion. G&W has successfully completed a cost -benefit analysis for a storage container rental and it was approved for the procurement of a comparable permeant storage building in lieu of rental. Project requirements include close communication with federal and state entities to ensure proper formulation of required documents. SOQfor Professional Engineering Services, Calhoon Coaiuy, Terns 4 enyoeers ti i G&W Engineers, Inc 205 West Live Oak Street ° Port Lavaca, Texas 77979 Victoria County W.C.I.D. #1 FEMA Public Assistance - Professional Engineering Support Bloominaton. Texas Program Completed: May 15, 2019 Claimed Damages: $180,745.37 Owner Contact: Billy McCaskill, President 361.897.1011 G&W has also worked closely with FEMA, TDEM, as well as, other agencies in order to assist the Water Control and Improvements District with the recovery process from the proclaimed Hurricane Harvey Disaster. Professional Engineering support includes, assessment of damages, cost benefit analysis, successful submission of mitigation requests, preparing cost estimates, preparing scope of works, and daily communication with FEMA. Projects assigned to G&W include, lift station damages, and water plant damages. G&W has served as the primary contact for the district and has managed all aspects of recovery process from clerical submission of required paperwork as directed by the district, coordination of FEMA meetings, and providing hazard mitigation documents requested. One mitigation item which was approved was for the installation of a surge protector at a damaged lift station. SOQ for Professional Engineering Services, Calhoun Cootttr, Teras Water and Wastewater System Improvements City of LaWard, Jackson County, Texas Funding Source: 2015 Texas Community Development Block Grant Completed: 2017 Contractor: Falcon Lease Operating Company, Inc. Construction Cost: $230,829 Owner Contact: Mr. Richard Koch, Mayor City of LaWard, 361.781.2929 G&W is responsible for planning, developing, designing and providing construction oversight of the installation of approximately 1,850 linear feet of gravity sewer main, with associated manholes, end of the line cleanouts, sewer taps, and abandonment of existing septic tanks, construction of approximately 1,770 linear feet of water line with associated valves, fittings, and appurtenances, an renovations to 3 lift stations. en4eers Copano Bay Shoreline Stabilization Phase 2, Town of Bayside Refugio County, Texas G&W Cngmeers, lnc. ^ 205 West Live Oak Street • Port Lavaca, Texas 77979 Funding Source: Completed: Contractor: Construction Cost: Owner Contact: GLO; TxCDBG-DRS; CLAP 2016 SWAT Inc., Floresville, Texas $61,000.00 Tom Van Buren, Mayor, 361.529.6520 G&W was responsible for planning, developing, designing and providing construction oversight for the reshaping of the shoreline upper bank, the installation of 125 cubic yards of compacted fill, 355 linear feet of concrete erosion mat, temporary project sign, seeding of disturbed areas, and the installation and removal of silt fencing to improve shoreline stabilization and erosion control at the Bayside Park, Nueces Delta Preserve Freshwater Inflow Management, Coastal Bend Bays and Estuaries Corpus Christi, Texas Funding Source: GLO; CMP Cycle 16 Completed: 2015 Contractor: Lester Contracting, Port Lavaca, Texas Constriction Cost: $192,000.00 Owner Contact: Jake Hering, CBBEP Land Manager, 361.336.0309 G&W was responsible for planning, developing, designing and providing construction oversight for the installation of a water control structure in a drainage channel consisting of three 4'x4' aluminum gates mounted on the end of concrete box culverts, debris fence, and limited vinyl sheet pile bulkheads. SOQfor Professional Enghteering.Services, Calhoun Conaty, Texas 6 en4eers , Water System Improvements City of Seadrift, Texas Funding Source: Completed: Contractor: Construction Cost Owner Contact: G&W Engineers, Inc 205 West Live Oak Street ^ Port Lavaca, Texas 77979 2012 REDPP Grant, TxCDBG 712122 2014 Halus Power Systems $473,000.00 Mr. Elmer DeForest, City of Seadrift Mayor, 361.785.2251 G&W was responsible for planning, developing, designing, and providing the construction oversight for the installation of the new 100 KW Wind Turbine to provide electrical power at the water treatment plant. SOQfor Professional Engineering Services, Calhoun Comely, Wastewater System Improvements Victoria County WCID No. t Bloomington, County of Victoria, Texas Funding Source: Texas Community G&W was responsible for planning, developing, designing, and providing construction oversight for the installation of approximately 3,000 linear feet of 6 -inch and 8 -inch C900 PVC gravity wastewater main with manholes, service transfers and all other related wastewater system appurtenances. Development Block Grant Completed: 2013 Contractor: Mercer Construction, Edna, Texas Construction Cost: $225,170.00 Owner Contact: David Hernandez Victoria County WCID #1, 361.897.1011 G&W was responsible for planning, developing, designing, and providing construction oversight for the installation of approximately 3,000 linear feet of 6 -inch and 8 -inch C900 PVC gravity wastewater main with manholes, service transfers and all other related wastewater system appurtenances. �en *peers , Project Approach G&W Engineers, Inc. • 205 West Live Oak Street • Port Lavaca, Texas 77979 The satisfactory completion of any project assignment will be the direct result of close communication and a positive interactive process between Calhoun County staff and the G&W team. G&W will provide monthly written status reports to keep County staff fully informed as to the progress of all assigned projects as well as identify any issues encountered and action items to be completed. We will fully utilize our CADD facilities to prepare final construction drawings and/or illustrative 1 exhibits and will furnish data disks to Calhoun l County for future reference. G&W's approach will be to provide data collection and meet with County personnel to assess damages. Inventory will be collected and cost estimates shall be prepared. We will then recommend sound engineering solutions for reconstruction 1 construction of facilities and infrastructure. G&W will then make a recommendation based on project E constraints. Conclusion Since 1977, G&W has built their established reputation as a leading civil, mechanical, structural, electrical, instrumentation and marine engineering firm. Our stability and growth through both good and bad economic times is the direct result of our - l approach to the work at band. We believe that 1 quality design leads to the safest, most useful and cost-effective solutions; therefore, construction and functional details receive full consideration in project execution, and strong, well-qualified managers are placed in charge of all projects. G&W seeks to maintain close, long term relationships with clients, and these relationships, many of which extend over decades, enable us to apply a thorough knowledge of the client's wishes in conducting individual projects. We look forward to the opportunity to work with Calhoun County, Texas and to assist the County in successfully completing this Disaster Recovery Project for the benefit of the public. SOQforProfessiouniErrgirreerLrgSerllees,C 111oua onrur, Terns 8 I I I J i I i L G&W Engineers, Inc. 6 205 West Live Oak Street ^ Port Lavaca, Texas 77979 en1qe,-eyeT Sty" rs - - - - - - - - - - Client List SOQ for Profeulonal Engineering Serdces, Calhoun County, Teras 9 ellUeers i GSW Engineers, Inc. • 205 West Live Oak Street ° Port Lavaca, Texas 77979 Current and Past Client List The following is a partial list of some of G&W's current and past public entity clients— Aransas County Navigation Dishict Bay City ISD Calhoun County Navigation District Calhoun County Cape Caraneahua POA City of Austwell City of Bayside City of Bay City City of Edna City of El Campo City of Ganado City of Goliad City of Gonzales City of LaWard City of Nordheim City of Point Comfort City of Port Lavaca City of Seadrift City of Victoria Ganado ISD -� Goliad County Guadalupe Blanco River Authority Lavaca Navidad River Authority Lower Colorado River Authority Matagorda County Matagorda County Navigation District Matagorda County WCID #5, Blessing Matagorda County WCID #6, Van Vleck Matagorda Waste Disposal and Water Supply Corp. Markham Municipal Utility District Midfield Water Supply Corporation Port Lavaca Port Commission Refugio County Town of Fulton Texas Department of Transportation Texas General Land Office Texas Historical Commission Texas Parks and Wildlife Tidehaven ISA US Army Corps of Engineers Van Vleck ISD Victoria County WCID #1, Bloomington Victoria County WCID #2, Placedo Victoria ISD Wharton County _J The following are some personal contacts that are familiar with G&W's work, In order to further verify our capabilities and quality of services performed, we encourage the County to contact any or all of these i references. William R. Koch, Mayor City of LaWard LaWard, Texas 361,781,2929 Billy McCaskill, President Victoria County WCID No. 1 Bloomington, Texas 361.897.1011 Curtis Martin, Public Works Director – City of Ganado Ganado, Texas 361,782,1973 Gary Reese, Commissioner Calhoun County Precinct No. 4 Seadrift, Texas 361.785,3141 Torsten Norman -Peterson South Port Alto Municipal Utility District South Port Alto, Texas 979,241.8688 Dwight Vavra, Systems Operator Markham Municipal Utility District Markham, Texas 979.241,8392 SOQfor Professional Bngi veering Services, Calhoun Coati% Terns 10 en` %eers`, i Keith Barrett, Harbor Master Aransas County Navigation District Rockport, Texas 361.729.6661 David Hernandez, Chief Operator Victoria County WCID No. 1 Bloomington, Texas 361.281.0252 1 Katherine Payne, Mayor City of Nordheim Nordheim, Texas 361.938.5223 I Elmer DeForest, Mayor City of Seadrift 361.785.2251 seadriftmayor@tisd.net Adrienne Hernandez Victoria County WCID No. 2 Placedo, Texas 361.482.9734 Clinton Tegeler, Mayor City of Ganado Ganado, Texas 361.771.2232 Larry Deyton, Chief Operator City of LaWard LaWard, Texas 361.781.2751 Barry Calhoun DPW City of Bay City Bay City, Texas 979.245.7236 G&W Engineers, Inc.^ 205 West Live Oak Street ^ Port Lavaca, Texas 77979 Charles Hausmann, Port Director Calhoun County Navigation District Point Comfort, Texas 361.987.2813 Robert Bryant, Public Works Director City of Seadrift Seadrift, Texas 361.489.9544 Jack Whitlow, Mayor City of Port Lavaca Port Lavaca, Texas 361.552.9793 Richard Borstmayer GEO Southern Energy Partners, LP The Woodlands, Texas 281.363.9161 Joe Brannan, Local Government Services Dir. Golden Crescent Regional Planning Commission Victoria, Texas 361.578.1587 Bruce Spitzengel, President Grantworks, Inc. Sugarland, Texas 281.980.7259 Brad Ryan DPW City of Edna Edna, Texas 361.782.3122 Katie Dushkin, Grant Administrator GrantWorks, Inc. Austin, Texas 512.420.0303 SOQ for Professional Engineering Services, Calhoun Coon{y, Texas II �enj*eers ; G&W Engineers, Inc 205 West Live Oak Street ^Port Lavaca, Texas 77979 SOQ for Professional Engineering Services, Calhoun Canniy, Teras 12 ett jgeers G&W Engineers, Inc. ^ 205 West Live Onk Street --Port Lavaca, Texas 77979 I Scott P. Mason, P.E. Registered Professional Engineer, Civil Texas Serial No. 127893 Qualifications Summary Mr. Mason has over five (5) years of experience in the Civil and Environmental fields, with design and project management related to marine projects, municipal water, sanitary sewer and storm sewer projects, residential and commercial land development projects, airport projects, public water systems and storm water drainage projects. Mr. Mason has been responsible for all phases of a project from preliminary conception to execution of record drawings. He has worked closely on projects with the Texas Commission on Environmental Quality to ensure compliance regarding public and private projects, as well as, the Texas Water Development Board for 1 projects funded by various mechanisms, as well as, projects fimded by the Carmnunity Development Block Grant program.. He has extensive experience with technical engineering reports representing municipalities and private interest groups for submission to governmental agencies by practicing sound engineering judgement. Mr. Mason is a member of the American Society of Civil Engineers and strives to provide quality engineering solutions for a wide range and size of projects. Education B.S;, Biological & Agricultural Engineering, Texas A&M — College Station, TX 2013. Experience 2017 -Present Lead Proie�_ et Engineer, G&W Engineers, Inc., Port Lavaca, Texas. Responsible for all civil engineering related projects, public representation, drafting staff and environmentally conscious design for public and private projects. Ongoing work includes being the primary contact for the FEMA Public Assistance Program for disaster related damages and for the Texas Water Development Board grant program by representing local Water Control Improvement Districts and Municipalities. Mr. Mason also serves as the District Engineer for the Victoria County W.C.I.D. #1, which includes plan reviews, responsible engineering decisions for the district, which includes maintenance decisions of the water, sewer system, and waste water treatment plant. Other work involving engineering solutions, cost estimates and reports for local navigation districts regarding disaster damages and large port expansion projects. 2013-2017 Civil Engineer, Urban Engineerina, Victoria, Texas. Design of multiple public water systems, including permitting, engineering plans and specification for said systems. Water and sewer utility replacement design for historical regions of cities including large scale projects for the City of Victoria. Commercial and residential development, including but not limited to, roadway design, drainage design, utility design, pier and bulkhead design, cost estimates and mitigation design. i SOQfor Professional Engineering Services, Calhoun Counly, Tarns 13 ! ell r j1]eerS i G&W Engineers, Inc. ^ 205 West Live Oak Street ° Port Lavaca, Texas 77979 i Brian P. Novian, P.E., President Registered Professional Engineer, Electrical, Mechanical Texas Serial No. 63931 Qualifications Summary Mr. Novian is the President of G&W Engineers, Inc. and has over 27 years of Process Engineering, Project lManagement, and Electrical Engineering experience. He has extensive experience in power, chemical, refining, municipal and marine environments with special emphasis on process design/analysis, power generation, and process control systems. Mr. Novian specializes in developing a given process from conception, to production, including control algorithms, and operational performance analysis/enhancement. He is experienced in a multitude of process control / relief valve sizing, rupture disk sizing, flow sizing, and equipment sizing applications utilizing API and NFPA codes and possesses a full working knowledge of the NEC. Education B.S., Electrical Engineering, University of Texas at Austin, 1982. Experience A partial listing of project experience is as follows: I/E Engineering Manager Economizer / Fly Ash / Bottom Ash / Scrubber Systems (>30) Bulk Terminals Rail/Truck (>12) Bulk Terminals Barge/Ship (>8) Water Booster Pump Stations /Wastewater Plants (>10) Automated Fire Fighting Control Systems (>3) Groundwater Remediation Control Systems (>4) Solar / Wind / Biomass Power Systems — (>6) Security Systems —Video, Access Control, Detection, Analytical (>10) Alternative Energy Production — Heat Recovery / Waste Incineration / Biogas / Solar Conventional Energy Production — All Fossil Types Underground and Overhead Power Distribution (up to 33kv) Delayed Coking Vapor Recovery and Destruction Bulk Conveying Systems Product Recovery -- Vapors (Refrigeration), Fine Solids (Dust Collectors / Bag Houses) Distillation Processes— Alcohol, Hydrocarbons, Purification Efficiency Analysis —Heat Rate / Cycle Performance / Regenerative Process Control System Architecture Working knowledge with the following control system architectures: Foxboro VA; Honeywell TDC3000; A/B — all Types; Delta V; Modicon; GE Can develop batch, sequential and/or continuous control strategies in the following technologies: Pneumatic; Hardwired; Discrete/Analog; Ethernet; Digital (Fieldbus) Wireless SOQ for Professional Engineering Services, Calhoun Cru nlp Teens 14 /:0 @I1YV B21 S 1 G&W Engineers, Inc. ^ 205 West Live Oak Street • Port Lavaca, Texas 77979 — -- = M. I I Jonathan T. Parker, P.E. Registered Professional Engineer, Mechanical Texas Serial No, 130935 1 Qualifications Summary Jonathan graduated with a Bachelor of Science in Mechanical Engineering from Texas A&M University - College Station in May 2014. Jonathan has been working with G&W Engineers Inc, since January of 2015 and has been involved and managed multiple mechanical engineering lead projects. Education B.S., Mechanical Engineering, Texas A&M University, College Station, Texas, 2014. i Experience Jan. 2015 — present Mechanical Engineer, G&W Engineers, Inc., Port Lavaca, Texas, • Utilization of Mechanical Engineering principals such as fluid mechanics, heat transfer, and Material Mechanics for pipeline sizing, pump sizing, ASME pressure vessels, and HVAC sizing. • Pump and pipe selection and sizing for over a mile of piping and flowrates ranging from 5gpm to 14,000 gpm. • Pipe stress analysis due to thermal and interval pressures of the working fluid. • Heating Ventilation and Cooling Studies and recommendations ranging from 5 tons to 100 tons of A1C for control and small buildings, which include all duct, condenser, Air handlers, fresh air intake, and blower sizing for multiple contaminated areas. • Knowledge of API 650, 653, 12F, ASME B31.1 and 31.3 • Engineered foam proportioned fire protection systems in compliance NFPA 11, NFPA 13, NFPA 20, NFPA 24, NFPA 30 and the City of Hondo Texas for two 60,000 BBL ethanol ground storage tanks. • Specifications for 110 and 160 ton chillers • Rockport (HVAC) SOQ for Professional Engineering Services, Colhoun Counq; Terns 15 en%eers t G&W Engineers, Inc 205 West Live Oak Street. Port Lavaca, Texas 77979 Zachary L. Roach Civil Engineer Qualifications Summary Mr. Roach graduated with a Bachelor of Science in Civil Engineering from Texas Tech- Lubbock, Texas in December 2016. Mr. Roach has been working with G&W Engineers Inc. since October of 2018 and has been involved in multiple civil engineering projects. He has experience with multiple aspects of Civil Engineering including transportation, hydrology, utility design (natural gas and wastewater), as well as the implementation and construction of engineering designs that include but is not limited to: bridges, overpasses, and roadways. Education j B.S., Civil Engineering, Texas Tech University, Lubbock, Texas, 2016. J Experience Oct. 2018 -Present Civil Engineer, G&W Engineers, Inc., Port Lavaca, Texas. Responsible for assisting Lead Engineer in the design and calculations involved in civil engineering projects. Ongoing work includes multiple hydrological drainage studies for private sites and subdivisions, site grading and drainage for chemical _I facilities, as well as Hazard Mitigation Assistance applications. 2017-2018 General Engineering Technician I, Texas Department of Transportation, San Antonio, Texas. Responsible for assisting the Project Manager and Project Engineer in the implementation of the planned designs for the project. I oversaw and maintained a working relationship with the contractors and subcontractors daily and ensure the field constructions are to the planned design. I recorded a detailed account of the I work performed. SOQ for Professional Lngineering Services, Calhoun County, Terns 16 :engjiJeerS i G&W Engineers, Inc. - 205 West Live Oak Street - Port Lavaca, Texas 77979 Darron J. Gann Construction Observer/Engineering Designer Qualifications Summary Mr. Gann has over twenty (20) years of training and experience in the construction industry. His experience includes a general knowledge of mechanical, electrical, structural, and civil design projects, operation and maintenance concerns, materials testing, as well as equipment operations. He is well established in his capability to evaluate, document, coordinate, and schedule all necessary operations during construction to insure compliance with the intent of the plans and specifications as well as all applicable construction standards and local, state, and federal requirements. He has provided periodic and continuous on-site representation on numerous projects, including utility system improvements projects in the locales of Nordheim, Bloomington, Ganado, LaWard, and Port O'Connor, Texas. Darron provides daily coordination, communication, scheduling and observing of all construction activities applicable material testing procedures. Mr. Gann's detailed documentation skills allow for the chronological recreation of the construction phase of all projects, as may be required. Darron holds a D Wastewater Treatment Operator License, a D Water Operator License, and a Customer Service Inspector (CSI) License. When not assigned as a Construction Observer, Mr. Gann assists in the office, with his CADD capabilities and general knowledge of design requirements, in the preparation of detailed plans and specifications relating to municipal "Public Works" type projects. His experience in the preparation of contract documents has enhanced his ability to review and interpret detailed construction plans and specifications to insure full compliance with 1 the intent, and document the procedures accordingly. Experience 1998 -Present Construction Obsetver/Engineering Designer, G & W Engineers, Inc., Port Lavaca, Texas 1997-1998 HVAC Installation, Maintenance and Repair, Coastal Refrigeration, Port Lavaca, Texas 1996-1997 Self Employed, Construction, Maintenance and Repairs, Commercial & Residential 1988-1996 Foreman/Equipment Operator, J.K. Farm and Ranch 19871988 Foreman, Port Sheetmetal, Port Lavaca, Texas SOQ for Professional Engineering Ser kes, Callronn Count Teras 17 �l en%eers G&W Engineers, Inc 205 West Live Oak Street - Port Lavaca, Texas 77979 Henry A. Danysh, R.P.L.S. Registered Public Land Surveyor Texas Serial No. 5088 Qualifications Summary Mr. Danysh has over 30 years of surveying experience, completing a wide variety of projects in the public, private, and industrial sectors. Mr. Danysh manages the survey crews and coordinates all field and office scheduling for the surveying department. He has expertise in all aspects of Boundary and Engineering Design Surveying, including over 15 years of experience preparing design and right-of-way surveys for TxDOT projects throughout the region. Henry performs the final preparation and Quality Control review of all Legal Descriptions and Plats. Education Advanced Survey Technician Program at Texas A&M University, 1982 Annual Continuing Education Credit Hours J SOQ for Professional Engineering Services, Calhoun County, Teva /8 I it i j en%eers , G&W Engineers, Inc. • 205 West Live Oak Street ^ Port Lavaca, Texas 77979 SOQfor Professional Eugbreeriug Services, Calhoun County, Tears 19 -� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTV ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO M10H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN6R 7YPEOFINSUMNCE AUDI BUB PDC P PppLICY EXP OLICYNU BER a10 M D LIMITS B X COMMERCIALGENERALLIABILJTY INNIMEMEN EACHOCCURRENCE i. ElOCCUR D OETORPN CLAIMS-MADE ED EXP 4Any One EeGSLLQ PERSONAL& ADV INJURY GER,L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE %t JEC7 ❑ POLICY LOC i PRODUCT&-COMPIOP AGO OTHER, B AU70MOBILa LWBIUTY COMBo,dMe, INED SINGLE LIMIT _1 X ANY AUTO BODILY INJURY (F4,OWNEparwn) AUT013 AIRED bNLV SCHEDULED AUTOS BODILY INJURY (Per aaidenl X AUTOS X PROHERTYOAMAOE ONLY AUi080 C X UMBRELLAUAB $ OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE DED I X q WORXERSCOMPENGATION y PER OTH- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, AddlUonat RumarAs Schedulo, maybe attached U Moro space is Mquirsd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI,iEO REPRESENTATIVE 01988.2016 ACORD CORPORATION. All rights reserved, ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 eR TYPEOPINSURANCB ADDL USH PO POLICYEFP POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIM8MAOE ❑ OCCUR EACHOCCUR ENCEIt OAMAOE TO RENTED $ E P An a man PERSONAL 8 ADV INJURY GENT. RE[��TIE LRJR APIPL�IQ1g PER: POLICY LJ Jp �T MOD GE ERN- G E ATE S PRODUCTS.- COMIO S AUTOMOBILE LIABILITY BINE081NGLE LIMIT S 0 ANYAUTO BODILY INJURY (Per person) $ SS AUTOS ONLY AUTOSULEO BODILY INJURY (Pot accideal) S ROPER DAMAGE $ HIRED NON-OWNED AUTOS ONLV AUTOS ONLY 3 UMBRELLA LIAR( CCU" C C RRENCE S EXCESS UAB CLAI S-MADEAGGREGATE DEO I I RETENTIONS 1; WORKERS COMPENSATION PERTF OrH- ANDEMPLOYERS'LIABILITYy OFFICERMIFMOEN EXCCLLUUDED?ECUTIVE! 1 L'"J NIA E.L CN ACC OE S (Mandatory In NH) E.LDISEASE.EAEMPLOY9E It ORIPTION OFrOPERATIONS below L01&EASE•POLICV LIMIT A Professional Liability erClaim Limit "claims made" Aggregate Limit DESCRIPTION OF OPERATIONS (LOCATIONS tVEHICLES IACORO 101, Additional Remarks Schedule, may be attached If more span Ie required) J CERTIFICATE HOLDER CANCELLATION ACORD 26 (2016103) U18BB•ZOTBAGUR000RPORATION. Allrlghts reSerVed. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR no REPRESENTATIVE cDD> ACORD 26 (2016103) U18BB•ZOTBAGUR000RPORATION. Allrlghts reSerVed. The ACORD name and logo are registered marks of ACORD Cost of Services: Infrastructure Please Indicate No Cost Proposal if your firm is not proposing for the services specified on this Cost of Services page. Maximum amount of grant funds firm Is able and/or willing to manage: $ INFRASTRUCTURE Potential Grant Award Cost of Services % of Profit Amount maximum $f million $10 million $50 million $100 million $250 million Hourly Rates Work Classification Hourly Rate Glz ! �xAS C,,,Vc%2V/1/irAJT 6b AA(b %EXAS &PAA b vF �2CJFE5S/Dn✓AL .�Mts/ItIEE�S INC. l S N or }62M ITrEb 19Y G�ti1 ®� ��t7 YE �4 fl�' �Es�� FoR ^977, CDs r �SsaGI.� 2) W/ TH 7711S Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to Influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying;' in accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti4obbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction f was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor, 6 t -V Ln ' neer5, -rrie, certifies or affirms the truthfulness and accuracy of each statement of its certificate n •and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official P)r i qr� Koyiar\ . PLecide f Printed Name and Titie of Contractor's Authorized Official G /gA, Data I Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.G. 1362 (See reverse for Dublic burden disclosure) Type of Federal Action: Status of Federal Action: Report Type: a. contract��1� L`JL b. grant a. bid/offer/application In iv " b. Initial award ��a. initial filing 1V I A- b. material change AL c. cooperative agreement c. post -award d. loan e. loan guarantee f. loan insurance Name and Address of Reporting Entity: If Reporting Entity in No. 4 is Subawardee, Enter _ Prime Subawardee Name and Address of Prime; Tier , if Known: /,kCoN14 H/4- Congressional n ressional District if known: Congressional District If known: Federal Department/Agency., 7. Federal Program NamelDescri ption: N [A- CFDA Number, if applicable: Nll� Federal Action Number, if known: 9. Award Amount, if known: 10, a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including (if Individual, Isatname, first name, MI): address If different from No. 10a) (last name, first name, Ml): NIA- Nr A 11. Information requested throughthis form Is /6 authorized by title 31 U.S.C. section 1362. This Signature: -- disclosure of lobbying activities Is a material Bf representation of fact upon which reliance was placed Print Name: tq. n IV 011 iet n by the tier above when this transaction was made or entered Into. This disclosure Is required pursuant to 31 p Title: U.S.C. 1352. This Information will be reported to the Congress semtannuallyand will beavailable for public Inspection, Any person who falls to fife the required Telephone -55'-q5t) Date: disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ''r: Federal Use Only.:; Authorized for Local Reproduction g Standard Form -LLL (Rev. 7.97) :'Y F-1 I SAM Search Results List of records matching your search for Search Term: G & W ENGINEERS, INC* Record Status: Active ENTITY G & W ENGINEERS, INC Status: Active DUNS: 089593867 +4: CAGE Code: 3E6T3 DoDAAC: Expiration Date: 08/06/2019 Has Active Exclusion?: No Debt Subject to Offset?: No Address: 205 W LIVE OAK City: PORT LAVACA State/Province: TEXAS ZIP Code: 77979-4232 Country: UNITED STATES June 18, 20196:29 PM https:IMnnw.9am.9ov Page 1 of 1 SAM Search Results List of records matching your search for: Functional Area: Performance Information Classification: Individual Record Status: Active I No Search Results June 18, 2019 6:24 PM hftps:lhwnv.sam.gov Page 1 of 1 I I SAM Search Results List of records matching your search for: Functional Area: Performance Information Classification: Individual Record Status: Active I No Search Results June 18, 20196:25 PM htlps:/Aw .sann.gov Page 1 of 1 I I SAM Search Results List of records matching your search for : Functional Area: Performance Information Classification: Individual Record Status: Active I No Search Results June 18, 2019 6:26 PM hftps.,/h a .sam.gov Page 1 of 1 I II L SAM Search Results List of records matching your search for Functional Area: Performance Information Classification: Individual Record Status: Active I No Search Results June 18, 2019 6:27 PM https:/Aw4w.sam.gov Page 1 of 1 I No Search Results 11 SAM Search Results List of records matching your search for Functional Area: Performance Information Classification: Individual Record Status: Active jJune 18, 2019 8:28 PM https:fl�.sam.gov Page i of i Il SAM Search Results List of records matching your search for : Functional Area: Performance Information Classification: Individual Record Status: Active I No Search Results June 18, 20196:29 PM hflps:/]v .sam,gov Page 1 of 1 STATE OF TEXAS {} AFFIDAVIT COUNTY OF CALHOUN {} BEFORE ME, the undersigned authority, on this day personally appeared s_l�i nary krjy'krir-' known to me to be the person whose name is subscribed to the following, who, upon oath says: I am the Manager, Secretary, or other Agent or Officer or the Principal of the Proposer in the matter of the proposal to which this affidavit is attached, and I have full knowledge of the relations of the Proposer with the other firms in this same line of business, and the Proposer is not a member of any trust, pool or combination to control the price of the services in this proposal, or to influence any person to submit a proposal or not to submit a proposal thereon. I further affirm that the Proposer has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted proposal. Afflant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts. contained in the above are true and correct, this '90'4' day of .TV 20j p1'" KING GLYNIS K r' ,• it?Notary Public, State of Texas i Expires 00/20/2023 Notary Public in and for C c7 % /iocr i -County, Texas I.D.# 1147037.5 Proposer Signed By Title Address Ecei(Ae Ii � ,QU5 V/' L1Ve VaL C( -t Lauccnz 777-79 Phone Number _ 361 -SSS Fax Number Email Address NOTE: PROPOSALS NOT ACCOMPANIED BY THIS AFFIDAVIT WiLL NOT BE CONSIDERED The County of Calhoun does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. I CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos. i - 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2019.606944 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed; 06119/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form Is being filed. Calhoun County, Texas Dale 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. RFQ 2019.05.29-EAS5 Statement of Qualifications for Engineering Services 4 Nature of interest Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Novian, Brian Port Lavaca, TX United States X Danysh, Henry Port Lavaca, TX United States X Sappington, Michial Port Lavaca, TX United States X Gohlke, Anthony Port Lavaca, TX United States X Gann, David Port Lavaca, TX United States X Tuch, Elton Port Lavaca, TX United States X 5 Check only if there is NO Interested Parry. ❑ 6 UNSWORN DECLARATION yy < My name is and my date of birth is My address is NOME, (street) (city) (stale) (zip coda) (muntry) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State ofon theL—L-,day of NNE '20 (month) (year) /nataureof authrzdrd agent of contracting business entity (Declarant) Farms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f6O39c CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the low by H.S. 23, 09th Leg., Regular Session. OFFICENSEONLY TNsquestionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the pate Received vendor meals requirements under Section 176.006(a). By law this questionnaire must be filed with the records adminlsfrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be flied, See Section 176,006(a-1), Local Government Code. A vendor commits an offense it the vendor knowingly violates Section 176.006, Local Government Code, An offense under [his section is a misdemeanor. 1. Name o vend�ory ho has a business relationship With loca(governmental entity. �'� 2 FChockthis box It yourtrefiling an update to a previouslyfiled questionnaire. [The law requIres that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) S Name of local government officer about whom the information is being disclosed. /A Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 178.003(a)(2)(A). Also describe any family relationship with the Iota( government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pagesto this Form CID as necessary. (`/k A. Is the local government officer or a family member of the officer receiving or likely to receive taxable Income, other than Investment income, from the vendor? a Yes F-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment Income, from or at the direction of the local government officer or a family member of the officer AND the taxable Income Is not received from the local governmental entity? aYes Q No 5 Describe each employment or business relationship that the vendor named In section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more, /\' ick 6 ElCheck this box if the vendor has given the local government officer orAfamily member ofthe officer one ormore gifts as described In Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). T / b /. z Signature of vendor doing business with -the governmental entity Pals i Form provided by Texas Ethics Commission www.ethics.state.w.us Revised 11/30/2015 Enter yourTIN in the appropriate box. The TIN provided must match the name given on fine 1 to ovoid W9 Request for Taxpayer Give Form to the Form Identification Number and Certification requester, Do not (Rev. Oclober20te) 00p110-1 of the Treasury ^ m entities, It is your employer Identification number (EIN). If you do not have a number, see How to. gets send to the IRS. Internal Revenue service ► no to www,lrs,govyPormWg for Instructionsand the latest information. TIN,.laten or Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and 1 Na of(as shown-') on your income tax return), Name is required on this line; do not leave this line blank. 2 Bus ne name alaregarded entity n me, ll'offhouniffm ab e Y y 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes, certain entilles, not Individualstsee a o j [) Individuallsolo pmpdatoror 'N` G Corporation ❑ S Corporation ❑ Partnership El Trust/estate Instructions on page 5): ai c single -member Ll.0 Exempt payee code 9f any) 0 ❑ Limited Ilabilkycompany. Enter the lax classification (Q=C corporation, S=S corporation, P=Partnership)► Note: Check the appropriate box in the line above for 'the tax classification of the single -member owner, Do not check Exemption from FATCA reporting �• �C LLQ If the LLG Is classified as a single -member UJ3 that Is disregarded from the owner unless the owner of the LLC Is: LLC the U.S. tax purposes. Otherwise,. LLC that code (U any) another thatls not disregarded from ownarfor federal a single-mamber t is disregarded from the owner should check the appropriate box for the lax classI ation of Ila Owner, Np' El Other (see Instructions)h 'Pupb>s ltlaweonk,waf�'mOBDlsrvk Gro flsJ 5 Address (numb r, street, and apt. or suite no.) See Instruction _ ''off Requester's name and address (gpfional) � u -llc a City, stale,t e`nd IP cod Um ( -7 7 tlsl account number(s) here (optional) GM Taxpayer Identification Number (TIN) Enter yourTIN in the appropriate box. The TIN provided must match the name given on fine 1 to ovoid .I social secadty number I backup withholding. this Is generally your security number (SSNr, However, fora a Inst resident age0, sole proprietor, or disregarded entity, sea the Instructions for Pad h Tater, For other sale pForietor, or this ^ m entities, It is your employer Identification number (EIN). If you do not have a number, see How to. gets TIN,.laten or Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and LFROW.Willittifigation number Number -ib Give the. Requester for guidelines on whose number to enter. Under penalties of perjury, I certify that: 1. The number shown on this form Is my correct taxpayer identification number (or lam waiting fare number to be issued to me); and 2. lam not subjectto backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that am subject to backup withholding as a result of a failure to report all Interest or dividends, or (o) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am it. U.S.citizen or other U.S, person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating. that I am exempt from.FATCA reporting incorrect. Certification Instructions, You musS.cr6es Gut item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interea3,and dividrids an your tax return. For reel estate. transactions; Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured prop;Jty, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and d1VideQd4 you aro Sof regy(red to sign the 9,011cation, but you must provide your correct TIN. See the instructions for Part II, later, General ins`t`rubtidn,*) ) Section references ar§in the Internal Revenue Goda,unfess otherwise noted Future developments. For the latest Information about developments related to Form W-9 and Its Instructions, such as legisiatlon enacted after they were published, go to www,lrs gov1FcrmrW9.. Purpose of Form An Individual or entity (Form W-9 requester) who is required to file an Information return with the IRS must obtain your correct taxpayer identification number MN) which may be,you• social security number (SSN), individual taxpayer identification number (ITIN); adoption taxpayer Identification number(ATIN), or employer identification number (EIN), to report on. an Information return the amount paid to you, or other amount reportable on an Information return. Examples of information returns include, but are not limited to, the following, • Form 1089 -INT (interest earned or paid) Date. U It. f • Form 1099 -DIV (dividends, Including thoste from stocks or mutual funds) • Form 1099-MISC (various types of Income,prizes, awards, or gross proceeds) •'Farm 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form1099-S (proceeds from real estate transactions) • Form 1099-K,(merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (t ilifori) • Forme 1099-G (canceled debt) • Form 1099-A(acquisition or abandonment of secured properly) Use Form W-9 only If you are a -U.S. person (Including a resident alien), to provide your correct TIN. If you donot return Form W-9 to the requester with a TIN, you might be subject to backup withholding, Sea What In backup withholding, later. Cat. No, 10231X Form W-9 (Rev. 10-201 a) CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1 - 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2019-506944 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 06/19/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, Texas Date Acknowledged: 07/15/2019 3 Provide the identification number used by the governmental entity or state agency to track or identify description of the services, goods, or other property to be provided under the contract. the contract, and provide a RFQ 2019.05.29-EASS Statement of Qualifications for Engineering Services Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary Novian, Brian Port Lavaca, TX United States X Danysh, Henry Port Lavaca, TX United States X Sappington, Michial Port Lavaca, TX United States X Gohlke, Anthony Port Lavaca, TX United States X Gann, David Port Lavaca, TX United States X Tuch, Elton Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1 8039c Urban Engineering -�-�_ - 41 n 1 Tl e e 1, z i June 13, 2019' The Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 _ RE: RFQ 2019.05.29-EASS CDBG - Disaster Recovery Calhoun County Dear Judge Meyer: Urban Engineering is pleased to submit its qualifications to Calhoun County for engineering services in conjunction with'the CDBG-Disaster Recovery program of the General Land Office. Our firm is very .knowledgeable with the preparation and submittal of necessary engineering documents for grant applications, as well as being completely familiar with municipal utility & drainage systems, right-of-way improvements and j state -funded & federally -funded construction projects. We have successfully designed and administered construction of numerous. municipal -related projects throughout the, area. Significantly, we are currently providing our professional services to Matagorda County, the City of Victoria and the City of Seadrift with . CDBG-Disaster Recovery projects, as well as FEMA Public Assistance Grant projects for the City. of Seadrift and . the City of Port Lavaca. Further, Urban Engineering was recently retained by Matagorda County as the engineering firm to `design and administer the successful installation of utility improvements in Blessing and Wadsworth in conjunction with the 2016 TxCDBG Program. Given our extensive expertise and current familiarization with municipal projects, "Urban Engineering believes that our analyses and improvement recommendations would be significant contributions to the ultimate.goals of the County. Our job performances completed for clients have been excellent, and we expect that to continue with' our, job dedication to Calhoun County. Urban Engineering maintains a staff of highly experienced and y professional personnel that can get the job done from start, to finish. Urban Engineering would respond in a timely manner to requests from the County. If selected, Urban Engineering would initiate a positive approach and systematic methodology to accomplish assigned tasks. We will utilize our design experience, state-of-the-art tools and techniques to provide the level of service you expect. If there are any questions, please feel free to contact me at (361) 578-9836 or by email at Sincerely, I _- Thomas A. Schmidt, P.E. President TAS/dmf (36'1) 578-983=6 '• Fax (361) 576-9836 2004 N. Commerce Victoria, Texas. 77901 J TREF# F-160 www.urbanvictoria.com i P y i s n: Urban Engineering SCOPE OF WORK Based upon the information contained in your Request for Qualifications (RFQ), Urban Engineering has outlined basic and special engineering services to assist Calhoun County in its application for funding and project implementation of a contract(s), if awarded, from the Community Development Block Grant - Disaster Recovery program of the Texas General Land Office to support infrastructure activities in Calhoun County. Our engineering services for the aforementioned project are as follows: I. Grant Application Development A. Application Documents 1. Prepare Table 2 - Budget Justification per Calhoun County's direction on type of project. 2. Prepare project maps as required. 3. Assist with project narrative for project selected for submission. 4. Prepare any other necessary documents as needed. Il. Grant Award Implementation (contingent upon award of grant) A. Preliminary and Final Design Plans and Specifications 1. Prepare a preliminary report with an estimated budget. 2. Prepare detailed plans and technical specifications for the construction of the infrastructure improvements within the allowable budget. 3. Submit the drawings and specifications to Calhoun County for review and approval. 4. Upon completion of any revisions by Calhoun County, prepare final quantity takeoff for establishment of construction costs. B. Bidding 1. Coordinate with Calhoun County on specific pre-bid opening & bid opening dates and times to be specified in the advertisement for bids. 2. Complete the advertisement for bids and schedule required notices for publishing in the local area newspaper(s). 3. Prepare and provide construction documents including all contract document information for the bidding and construction of the project. 4. Provide the necessary copies of project manuals, plans and specifications for bidding and construction of the project. 5. Attend pre-bid and bid opening conferences. 6. Tabulate, analyze and review bids from all bidders for completeness and accuracy. 7. Provide Calhoun County with the project bid tabulation and a recommendation for selection of a contractor. Urban Engineering 8. Prepare and issue the Notice of Award and Notice to Proceed, as directed by Calhoun County. C. Construction Administration 1. Coordinate and attend a pre -construction meeting. 2. Supervise the construction of the project, provide the necessary periodic construction inspections with the Contractor and Calhoun County's Inspector, and coordinate field testing, as necessary. 3. Review and approve work change orders. 4. Review, approve and submit Contractor's monthly payment estimate requests to Calhoun County. 5. Coordinate and attend the substantial completion and final inspection of the project with the Contractor and Calhoun County's Inspector. 6. Prepare and submit a Certificate of Construction Completion. 7. Provide Calhoun County with paper and digital copies of the record drawings. D. Other Special Engineering Services 1. Attend project meetings, as necessary. 2. Coordinate with Calhoun County and contractor on strategies to determine safe, alternate traffic routing during construction. 3. Coordinate with Calhoun County and contractor on methods of notification to residential and commercial customers concerning utility service interruptions. 4. Coordinate with Calhoun County concerning surveying services and/or geotechnical investigations that may be required for the project. These services may be subcontracted directly with the respective companies or through Urban Engineering at cost +10%. 5. If required, coordinate and conduct discussions with TxDOT pertaining to routing, permitting, etc. 2 i T, y r, ?. Urban Engineering COMPANY PROFILE Urban Engineering, located in Victoria, Texas, is a civil engineering firm specializing in Residential and Commercial Development Planning and Design, Marine Construction Design and Public Works Design. Urban Engineering, together with its sister company, Urban Surveying, Inc., currently employs 29 people, which include four Registered Engineers, three Registered Surveyors, one Survey Coordinator, six Drafting/CAD Technicians, eight survey crew members and seven administrative support personnel. Urban Surveying, Inc. is co -located with Urban Engineering in Victoria and also maintains offices in Cuero and San Antonio, Texas. Thomas A. Schmidt, P.E., Ray M. Bridges, P.E., and Matt A. Glaze, P.E., the principals of Urban Engineering, along with Terry T. Ruddick, R.P.L.S. and chief executive officer of Urban Surveying, Inc., strive to provide hands-on expertise and client -specific creative solutions for the successful completion of assigned projects. Urban Engineering has been actively involved in numerous projects designed to improve the quality of life in Victoria, the surrounding counties and the Central Texas Gulf Coast regions. Urban Engineering strives to protect the client's interest and to provide the best objective solutions based on proven principles, contemporary methods, creative thinking, good judgment, and wealth of experience. Professional Expertise The staff of Urban Engineering includes persons with training and experience in the fields of civil engineering, city planning, traffic engineering, land planning, hydraulics, geotechnical engineering, and land surveying. In addition, relationships are maintained with firms and individual consultants engaged in such diverse fields as landscape architecture, economics, ecology, real estate, and law. Because of this training and experience, Urban Engineering can provide a wide variety of services from preliminary planning studies to detailed construction plans and supervision of construction. Urban Engineering has a proven track record and consumers can depend on Urban Engineering to get projects completed in the most timely, professional and accurate manner. Urban Engineering has consistently demonstrated its high-quality engineering capabilities in the past, continues its expertise and dedication in the present and is well-prepared to assume more challenging projects in the future. Services Residential Subdivision Planning & Design Commercial Site Development Public Works Design Commercial & Residential Master Plans Capital Improvement Studies & Plans Rate Studies Drainage Studies Street & Paving Design Wastewater Collection, Treatment & Lift Stations 3 Urban Engineering Water Supply & Distribution Water Wells, Water Treatment & Storage Storm Water Quality Business District Renovation Park Planning & Development Marine Construction Design Financial Analysis & Cost Projections Land Surveying Traffic Studies & Traffic Impact Analysis Construction Phase Services & Construction Administration Ethical Standards In providing professional engineering services, Urban Engineering always assumes a position of responsibility to the physical, sociological, and economic needs of the community it serves. The firm adheres to codes of practice of the various professions. It has no commercial affiliations with realtors, contractors, manufacturers, or others having a vested interest in services or supplies. Since its founding in 1981, Urban Engineering has given equal consideration to all groups, public or private, large or small, requesting consulting services. Occasionally, certain assignments from clients are not accepted when such action is in the best interest of the client or the firm. Usually, when this situation arises, a project obviously is in direct conflict with the public interest. For this reason, as a general practice, projects are not accepted that are clearly contrary to sound, adopted plans of the community. I3istory of Urban Engineering Urban Engineering was formed in 1965 by Larry Urban and his brother, Gene Urban, in Corpus Christi, Texas. In 1966, they purchased McClendon and Associates, an engineering consulting firm in Corpus Christi. The acquisition included a number of McClendon's key personnel and an archive of historical engineering records dating back to 1944. In 1981, an associate office was established in Victoria, Texas. Thomas A. Schmidt was selected to serve as chief engineer and managing partner of the Victoria office. In December of 1983, the firm in Victoria was incorporated using the corporate title of Victoria Engineering, Inc.; however, the firm continues to do business as Urban Engineering. Since 1981, Urban Engineering has provided a wide variety of engineering services in the Victoria area, from preliminary planning studies through detailed plans and supervision of construction. Urban Engineering has been a regional firm dedicated to the growth of the local community. The company currently provides engineering consulting services in Matagorda, Victoria, San Patricio, Nueces, DeWitt, Goliad, Jackson and Calhoun Counties as well as the cities of Victoria, Palacios, Corpus Christi, Goliad, Cuero, Edna and Port Lavaca. Engineering assignments are performed in Victoria, but additional specialized support 4 and manpower are available from Urban Engineering in Corpus Christi, with whom the firm continues to maintain its longtime business and professional ties. Urban Surveying, Inc, performs its operations in the same community areas as Urban Engineering. To better serve the public demand, Urban Surveying, Inc. moved its Karnes City office to Cuero, DeWitt County in July of 2006 and opened an office in San Antonio, Bexar County in November of 2012. Litigation There have been no alleged or significant contractual failures involving Urban Engineering. Also, no civil or criminal litigations or investigations have been or are pending against Urban Engineering. Urban Engineering is an Equal Opportunity Employer. 5 Urban Engineenng Urban Engineering i KEY PERSONNEL If our firm is selected for the project, Mr. Schmidt would be assigned as project manager. Mr. Bridges and Mr. Glaze would be assigned as project engineer and design engineer, respectively. Mr. Schmidt, Mr. Bridges and Mr. Glaze often collaborate on the firm's larger projects allowing each to benefit from the other's experiences. This cooperative effort, along with a solid common sense approach to problem solving, is the key to the continuing success of the business. STAFFING PROFILE Thomas A. Schmidt, P.E., President Urban Engineering 2004 N. Commerce Victoria, TX 77901 (361) 578-9836 (361) 576-9836 fax Matt A. Glaze, P.E., Senior Engineer Urban Engineering 2004 N. Commerce Victoria; TX 77901 (361) 578-9836 361 576-9836 fax W,;e� y!y"{ Ray M. Bridges, P.E., Vice President Urban Engineering Urban Engineering Urban Engineering Texas Department of Transportation (TxDOT) Texas Community Development Program (TCDP) Projects Texas Communitv Development Block Grant (TxCDBG) Program Projects Texas Department of Agriculture -Texas Capital Fund Program Projects 2018, Matagorda County, 2016 Water & Sanitary Sewer Improvements Blessing and Wadsworth, Texas Prepared plans and specifications for: 1) replacing approximately 1,300 linear feet of 6", 8" and 12" sewer main and an alternate for replacing approximately 500 linear feet of 12" sewer main in Blessing, and 2) replacing approximately 1,900 linear feet of 2" and 4" water main, approximately 600 linear feet of 6" sewer main and an alternate for replacing approximately 906 linear feet of 6" and 8" sewer main in Wadsworth. 2017, City of Cuero, 2015 TxCDBG, Wastewater Improvements Cuero, Texas Prepared plans and specifications for installing approximately 3,600 linear feet of 6" and 8" sanitary sewer mains, manholes, service reconnections; pavement repair and associated appurtenances. 2016, City of Palacios, 2015 Water Improvements Palacios, Texas Prepared plans and specifications for installing approximately 2,610 linear feet of 6" - 8" water line, fire hydrants, service reconnections, pavement repair and all associated appurtenances. 2015-2016 TxDOT CSJ No. 1313VICTR Victoria Regional Airport Water Improvements Victoria, Texas Prepared plans and specifications for repair/replacement of the waterline system at the Victoria Regional Airport. ® 2015 TxCDBG, City of Palacios, Water System Improvements Palacios, Texas Prepared plans and specifications for installing approximately 2,610 linear feet of 6" - 8" water line, fire hydrants, service reconnections, pavement repair and all associated appurtenances. 6 2014 TxCDBG, City of Cuero, Wastewater System Improvements Cuero, Texas Prepared plans and specifications for installing approximately 2,800 linear feet of 8" sanitary sewer line and approximately 550 linear feet of 6" sanitary sewer line. Urban Engineering • 2014 Texas Capital Fund, City of El Campo, Street Improvements EI Campo, Texas Prepared plans and specifications for the reconstruction of approximately 1,800 linear feet of roadway on Divide Avenue from East Street to Frank Stubbs Drive. • 2012 TxCDBG, City of Point Comfort, Water Improvements Point Comfort, Texas Prepared plans and specifications for installing approximately 3,500 linear feet of 4" — 8" water line, fire hydrants, reconnections and associated appurtenances. • 2011 TxCDBG, City of Palacios, Water and Sanitary Sewer Improvements Palacios, Texas Prepared plans and specifications for replacing approximately 4,400 linear feet of existing cast iron water mains with 6" PVC and replacing approximately 2,200 linear feet of existing clay and concrete sewer mains with 6" and 8" PVC. • 2011 Texas Department of Agriculture - Texas Capital Fund Downtown Revitalization Grant Program City of Cuero, Downtown Sidewalk Improvements Cuero, Texas Prepared plans and specifications for the removal and replacement of the existing concrete curb and gutter; removal and replacement of the existing sidewalks, including any modification necessary to provide ADA compliant ramps at all intersection corners in downtown Cuero. The limits of the project are along the south side W. Main Street from Esplanade Street to approximately Terrel Street and the east side of Esplanade Street from E. Main Street to the north for one half block. • 2010 TxCDBG, City of Palacios, Wastewater System Improvements Palacios, Texas Prepared plans and specifications for the replacement of existing 21 " and 27" sewer mains along Mosier and 12th Streets in Palacios. • 2010 TxCDBG, City of Goliad, Sanitary Sewer Improvements Goliad, Texas Prepared plans and specifications for removing or abandoning approximately 2,500 linear feet of existing 8" sanitary sewer mains and replacing them with 8" PVC mains, replacing or abandoning all the existing manholes and reconnecting the services. The project is generally bound by Pearl Street (Hwy. 59) on the north, S. Washington Street on the east, Fannin Street on the south and S. Commercial Street on the west. 8 • 2009 TxCDBG, City of Point Comfort, Sanitary Sewer System Improvements Point Comfort, Texas Prepared plans and specifications for the construction of approximately 255 linear feet of 8" PVC sewer main along Texas Avenue from the alley between Navasota and Hamilton Streets to the intersection of Texas Avenue and Navasota Street along with approximately 260 linear feet of 8" PVC sewer main behind the shopping center located on the southeast corner of the intersection of Lamar and Wood Streets; connections to existing manholes, all service connections, cleanduts and related appurtenances. • 2009 Texas Department of Agriculture - Texas Capital Fund Downtown Revitalization Grant Program City of Cuero, Downtown Sidewalk Improvements Cuero, Texas Prepared plans and specifications for the removal and replacement of the existing concrete curb and gutter; removal and replacement of the existing sidewalks, including any modification necessary to provide ADA compliant ramps at all intersection corners; and removal and replacement of existing storm sewer inlets in downtown Cuero. The limits of the project are along both sides of E. Main Street from Gonzales Street to Esplanade Street. • 2008 TxCDBG, City of Point Comfort, Water and Sanitary Sewer Improvements Point Comfort, Texas Prepared plans and specifications for the construction of approximately 1,990 linear feet of 6" water main, 340 linear feet of 8" water main, service connections, 2 fire hydrants and related appurtenances; and approximately 810 linear feet of 8" gravity sewer main, 2 manholes, service connections, cleanouts and related appurtenances. • 2007 TxCDBG, City of Goliad, Sanitary Sewer Improvements Goliad, Texas Prepared plans and specifications for the removal and replacement of approximately 3,000 linear feet of existing 8" and 10" sanitary sewer lines and replace with 12" PVC lines and remove approximately 10' of existing 12" sanitary sewer line from the intersection of Duval and Fannin Streets to Lift Station Number Six and rehabilitating and updated Lift Station Number Six to meet current standards and demands. • 2007 TxCDBG, City of Palacios, Sanitary Sewer Improvements Palacios, Texas Prepared plans and specification for the removal and replacement of approximately 4,200 linear feet of 6" and 8" sanitary sewer mains. • 2005 TCDP, City of Palacios, Water and Sanitary Sewer Improvements Palacios, Texas Prepared plans and specifications for the construction of 3,000 linear feet of 6" water line and 1,500 linear feet of 8" sanitary sewer line. 0 2005 TCDP, Victoria County Water Control & Improvement District #2 Placedo, Texas Prepared plans and specifications for the construction of a 250 gallon per minute water well suitable for the public water supply. This project was also funded by the Texas Water Development Board. Crowell Drilling Company of Louise, TX $426,205 completed in 2008 Consultant: O'Malley Engineers, LLP of Brenham, TX 0 2001 TCDP, City of Palacios, Sanitary Sewer Improvements Palacios, Texas Prepared plans and specifications for the sanitary sewer main, 316 linear feet of 21" of 18" sanitary sewer main. construction of 1,712 linear feet of 27" sanitary sewer main and 1,623 linear feet 0 1998 TCDP, Victoria County Water Control & Improvement District #2 Placedo, Texas Designed and administered the construction of a 34,000 gallon ground storage tank, pump house, water pumps, yard piping and distribution system improvements. 0 1998 TCDP, City of Palacios, Sewer Services Replacement Palacios, Texas Designed and administered the construction of the replacement of residential sanitary sewer service lines. 0 1995 TCDP, Victoria County, Texas, Quail Creek Municipal Utility District Victoria, Texas Designed and administered the construction of a 600 gpm water well and water distribution system improvements. 0 1988 TCDP, City of LaWard LaWard, Texas Prepared plans and specifications for the construction of a wastewater collection system consisting of approximately 3,600 linear feet of gravity sewer mains, 115 linear feet of sanitary sewer force main, and a sanitary sewer lift station; construction of drainage and street improvements consisting of approximately 1,550 linear feet of open section street with ditches, 1,210 linear feet of open ditch cleaning, 400 linear feet of drainage culverts, and 5 ditch inlets. 1987 TCDP, City of LaWard LaWard, Texas Prepared plans and specifications for the construction of a small wastewater treatment plant, lift station, force main, and 4,400 linear feet of sanitary sewer collection system. 10 �a• • 1985 H.U.D. Community Development Block Grant Victoria, Texas Designed and administered the construction of drainage and street improvements for a 50 acre residential area in south Victoria. • 1985 Texas Department of Community Affairs Edna, Texas Designed and administered the construction of drainage and street improvements for a low to moderate income area. 11 Urban Engineering Texas Department of Rural Affairs Disaster Recovery • Matagorda County Navigation District No. 1 Disaster Recovery Turning Basin No. 1 West Dock Repairs — Phase 2 Engineering Contract No. DR8015052 Grantee Contract No. DRS220112 2014-2015 Palacios, Texas Prepared plans and specifications for the construction of approximately 357 linear feet of steel bulkhead on the west side of Turning Basin No. 1 in Palacios. • City of Port Aransas, 2009 Disaster Recovery Engineering Contract No. DRS015052 Grantee Contract No. DRS010147 2010-2011 Port Aransas, Texas Designed, prepared construction plans and specifications for the reconstruction of approximately 800 linear feet of Access Road 1 and drainage improvements along 6th Street in Port Aransas. • City of Point Comfort, 2009 Disaster Recovery Engineering Contract No. DRS015052 Grantee Contract No. DRS010145 2010-2011 Point Comfort, Texas Designed, prepared construction plans and specifications for the dredging and removing to a designated location approximately 3,000 cubic yards of silt material from the Point Comfort Harbor and Channel. Construction shall take place at the Point Comfort Harbor and Channel at the end of Larnar Street. Proposed improvements will restore launch access capabilities to the harbor and provide emergency watercraft access to residents, boaters and workers on Lavaca Bay. • City of Point Comfort, Disaster Recovery Water and Wastewater Treatment Plant Backup Generators 2011 Point Comfort, Texas Assisted the City of Point Comfort with a grant application regarding the replacement of backup generators for both the water treatment plant and the wastewater treatment plant. The emergency power supplies for both systems were, either unavailable or failed to function during Hurricane Ike, thus producing failures throughout the City's emergency preparedness plan. 12 Urban Engineering • Matagorda County Navigation District No. 1 Disaster Recovery Turning Basin No. 1 West Dock Repairs — Phase 1 Engineering Contract No. DRS015052 Grantee Contract No. DRSO10112 2010 Palacios, Texas Prepared plans and specifications for the construction of approximately 215 linear feet of steel bulkhead on the west side of Turning Basin No. 1 in Palacios. 13 i Municipal Work Experience Urban Engineering City of Point Comfort, Pease Street Reconstruction & Parks Improvements 2017-2019 Point Comfort, Texas Designed, prepared construction plans and specifications for the reconstruction of approximately 2,01 Olf of Pease Street with approximately 2,0001f of storm sewer improvements and improvements to adjoining parks which include the construction of parking areas, sidewalks and tennis courts. Contractor: Lester Contracting, Inc. of Port Lavaca, TX Cost: $1,102,494 • City of Cuero, 2017 Street & Sidewalk Improvements 2018 Cuero, Texas Designed, prepared construction plans and specifications for the reconstruction of Prairie and Sarah Streets from Hunt Street to Valley Street including constructing curbs and sidewalks. Contractor: Brannan Paving Co., Ltd. of Victoria, TX Cost: $294,402 • City of Victoria, Berkman Drive Diversion Sewer 2016-2018 Victoria, Texas Designed, prepared construction plans and specifications for the construction of sanitary sewer improvements in the Berkman Drive, Mead Road and Loop 463 rights- of-way in order to divert the sanitary sewer flow from the Northcrest area to the existing Loop 463 lift station. Contractor: Mercer Construction Company of Edna, TX Cost: $2,086,004 City of Bay City, Water Line Improvements-Norvell Avenue & State Hwy 35 2016-2017 Bay City, Texas 14 Urban Engineering Designed, prepared construction plans and specifications for the replacement of: 1) approximately 650 linear feet of a 2" water line with a 6" or 8" line in the Norvell Avenue right-of-way, and 2) a section of an 8" water line by boring across State Hwy 35 in an area between the Avenue E and Avenue F rights-of-way. Construction Cost: $139,824 Contractor: MMG Contractors, LLC of Houston, TX • City of Cuero, S. Esplanade St. Drainage Ditch & Box Culvert 2016-2017 Cuero, Texas Designed, prepared construction plans and specifications for the demolition of the existing concrete channel and construction of a 10' x 3' box culvert between E. Heaton St. and E. Hamilton St. at S. Esplanade St. Construction Cost: $249,343.00 Contractor: SBS Construction, Inc. of La Grange, TX City of Cuero, Industrial Park Blvd. Extension & Courthouse St. Improvements 2016 Cuero, Texas Prepared Plans and specifications for the extension of Industrial Park Blvd. and improvements to W. Courthouse Street which includes roadway widening, installing curb and gutter along the south side and FIMAC overlay. Construction Cost: $349,174 Contractor: ABN Construction, LLC • Victoria Regional Airport, Sanitary Sewer Improvements - Phase 2 2016 Victoria, Texas Prepared plans and specifications for the replacement of selected sanitary sewer mains, manholes and services at the Victoria Regional Airport. Construction Cost: $581,227 Contractor: Mercer Construction Company of Edna, TX 15 Urban Engineering • City of Cuero, Broadway & Park Heights -Intersection Realignment 2016 Cuero, Texas Prepared plans and specifications for pavement changes to facilitate the realignment of the Park Heights Drive and Fain McDougal Drive intersection at E. Broadway Street. Construction Cost: $540,501 Contractor: Constar Construction of Victoria, TX • City of Cuero, Live Oak Street Railroad Crossing Closure 2015-2016 Cuero, Texas Prepared plans and specifications for the closure of the highway -railroad grade crossing of Live Oak Street at the Union Pacific Railroad Company and associated safety and operational improvements. Construction Cost: $297,700 Contractor: J.R.'s Landscaping & Sprinkler Systems, Inc. of Lubbock, TX ® City of Victoria, Downtown Water and Sanitary Sewer Replacement Phase IV Projects IA, 2A & 3A 2015-2017 Victoria, Texas Prepared plans and specifications for the construction of approximately 15,900 linear feet of water mains, approximately 9,150 linear feet of sewer mains and the rehabilitation of approximately 4,000 linear feet of sewer mains by CIPP. Construction Cost: $3,903,377 Contractor: Palacios Marine & Industrial Coatings, Inc. of Palacios, TX • City of Cuero, U.S. Hwy 1835 & U.S. Hwy 183N Phase 2 Annexation Utility Extensions 2015 Cuero, Texas 16 Prepared plans and specifications for the construction of approximately 6,200 linear feet of 8" gravity sewer main, approximately 600 linear feet of water main, approximately 1,100 linear feet of 4" force main and a sanitary sewer lift station along U.S. Highway 183. Construction Cost: $839,396 Contractor: Mercer Construction Company of Edna, TX City of Cuero, Water & Sanitary Sewer Extension, U.S. Hwy 87 2015 Cuero, Texas Prepared plans and specifications for the extension of water and sanitary sewer service along U.S. Highway 87. Construction Cost: $205,828 Contractor: Rockin Q Construction, LLC of San Marcos, TX • City of Cuero, Cuero Municipal Golf Course 2015 Cuero, Texas Prepared plans and specifications for the installation of a new irrigation system and pump station for a 9 -hole golf course. Construction Cost: $632.044 Contractor: Heritage Links of Houston, TX • City of Victoria, Downtown Street Overlay & ADA Ramp & Crosswalk Improvements - Phase II 2015 Victoria, Texas Designed, prepared construction plans and specifications for: 1) cold planning, chip sealing and/or overlaying existing roadway surfaces, 2) adding, modifying and upgrading ADA compliant ramps and crosswalks at intersection corners, 3) adjusting utilities as necessary, 4) making curb repairs as needed, and 5) street striping where applicable in downtown Victoria for parts of Goodwin Avenue, Forrest Street, Juan Linn Street, Glass Street, Bridge Street, Main Street, Liberty Street and William Street. Construction Cost: $1,615,467 Contractor: Brannan Paving Co., Ltd. of Victoria, TX 17 Urban Engineering Victoria Regional Airport, Wastewater System Improvements Coastal Impact Assistance Program, Grant No. F12AF00630 2014 Victoria, Texas Prepared plans and specifications for the replacement of selected sanitary sewer mains, manholes and services at the Victoria Regional Airport. Construction Cost: $824,937 Contractor: Falcon Lease Operating Company of Victoria, TX City of Victoria, Odem Street Wastewater Treatment Plant Offsite Utilities and Access Road 2014 Victoria, Texas Prepared plans and specifications for the construction of: 1) approximately 5,200 linear feet of 30" sanitary sewer force main, 2) approximately 8,175 linear feet of 54" sanitary sewer discharge main with 20 manholes, 3) approximately 12,400 linear feet of 8" sanitary sewer sludge main, 4) approximately 1,285 linear feet of 8" sanitary sewer gravity main with 5 manholes, 5) approximately 2,780 linear feet of 6"/8" water main with three fire hydrants, and 6) an access road. Construction Cost: $3,989,690 Contractor: Rockin Q Construction, LLC of San Marcos, TX City of Victoria, Downtown Water and Sanitary Sewer Replacement Phase III Projects 7A, 8A & 9A 2014-2017 Victoria, Texas Prepared plans and specifications for the construction of approximately 13,300 linear feet of water mains, approximately 4,000 linear feet of sewer mains and the rehabilitation of approximately 5,400 linear feet of sewer mains by CIPP. Construction Cost: $3,322,140 Contractor: Palacios Marine & Industrial Coatings, Inc. of Palacios, TX ® City of Cuero, Northwood Sanitary Sewer Reroute, Smoke Testing Sewer Repairs and Valley Street Sewer Extension 2014 Cuero, Texas Prepared plans and specifications for the construction of approximately 2,000 linear feet of 6" force main, approximately 3,000 linear feet of 6" and 8" gravity sewer mains and replacement of manhole rings and covers. Construction Cost: $412,978 Contractor: Persons Service Company, LLC of Mobile, AL a Pioneer Natural Resources USA, Inc. 2014 Victoria, Texas Prepared plans and specifications for widening the northbound and southbound lanes near the median divider of US Highway 77 North and adjacent to the driveway lu Urban Engineering entrance of the Pioneer Natural Resources facility located approximately two miles north of Victoria. Construction of improvements would add approximately 4,562 square yards of new pavement and also include upgrades to existing drainage culverts, relocation of road signage and pavement markings. This project entailed extensive coordination with TxDOT, the City of Victoria and Pioneer Natural Resources. • Quail Creek Municipal Utility District, Ground Storage Tank 2014 Victoria, Texas Designed, prepared construction plans and specifications for the construction of a 375,000 ground storage tank. Construction Cost: $447,732 Contractor: Texas Aquastore, Inc. of Pottsboro, TX • City of Victoria, Lone Tree Industrial Park II Street and Utility Improvements 2013 Victoria, Texas Prepared plans and specifications for the construction of new water, sanitary sewer, drainage and streets for the 106.52 acre industrial park located on the south side of Lone Tree Road between Loop 463 and John Stockbauer Drive. Construction Cost: $1,626,585 Contractor: Triple B Services, LLP of Huffinan, TX • City of Victoria, Downtown Water and Sewer Line Replacement Phase III, Projects 5A&6A 2013 Victoria, Texas Prepared plans and specifications for the construction of approximately 4,100 linear feet of water mains, approximately 650 linear feet of sewer mains and the rehabilitation of approximately 1,600 linear feet of sewer mains by CIPP. Construction Cost: $807,415 Contractor: Palacios Marine & Industrial Coatings, Inc. of Palacios, TX • City of Victoria, Children's Park Pavilion Improvements 2013 Victoria, Texas Prepared plans and specifications for the removal and replacement of an existing concrete patio in Riverside Park. Construction Cost: $76,624 Contractor: LNV, Inc. of Corpus Christi, TX • City of Victoria, Dairy Road Improvements(Loop 463 to Whispering Creek) 2013 Victoria, Texas Prepared plans and specifications for the reconstruction of approximately 1,400 linear feet of asphalt roadway. 19 Urban Engineering Construction Cost: $751,441 Contractor: Brannan Paving Co., Ltd. of Victoria, TX • City of Cuero, U.S. Hwy. 183N Phase 1 Annexation Utility Extensions 2013 Cuero, Texas Prepared plans and specifications for the construction of one lift station, approximately 3,100 linear feet of 8" sewer line, approximately 1,900 linear feet of 8" water line and approximately 3,400 linear feet of 4" sewer force main. Construction Cost: $713,237 Contractor: Persons Service Company, LLC of Mobile, AL • City of Cuero, N. Esplanade Sanitary Sewer Extension 2012 Cuero, Texas Prepared plans and specifications for the construction of approximately 1,400 linear feet of sewer main along N. Esplanade Street. Construction Cost: $206,050 Contractor: Lester Contracting, Inc. of Port Lavaca, TX • City of Cuero, 2nd Street Sewer Main Replacement 2012 Cuero, Texas Prepared plans and specifications for the installation of approximately 2,300 linear feet of 10" gravity sanitary sewer main. Construction Cost: $218,506 Contractor: Ruschhaupt Plumbing Co., Inc. of Cuero, TX • City of Cuero, Industrial Park Blvd. Extension & Quarry Lane Extension 2012 Cuero, Texas Prepared plans and specifications for the construction of two roadways and associated earthwork and drainage. Industrial Park Blvd. Extension is a 2,449' long by30' wide open ditch section roadway and Quarry Lane Extension is a 999' long by 30' wide curb and gutter section roadway. Construction Cost: $550,470 Contractor: Lester Contracting, Inc. of Port Lavaca, TX City of Victoria, Downtown Water and Sewer Line Replacement Phase III, Projects 3A&4A 2012 Victoria, Texas Prepared plans and specifications for the construction of approximately 8,500 linear feet of water mains, approximately 1,400 linear feet of sewer mains and the rehabilitation of approximately 4,500 linear feet of sewer mains by CIPP. Construction Cost: $1,521,744 Contractor: Palacios Marine & Industrial Coatings, Inc. of Palacios, TX 20 Urban Engineering • City of Victoria, U.S. 77 North Annexation Project Phase I (Navarro/Huvar) 2012 Victoria, Texas Prepared plans and specifications for the construction of approximately 2,500 linear feet of 24" sanitary sewer main along Huvar and Navarro Streets and reconstruction of Huvar Street. Construction Cost: $1,773,459 Contractor: Triple B Services, LLP of Huffman, TX • City of Victoria, Downtown Water and Sewer Line Replacement Phase III, Projects IA&2A 2012 Victoria, Texas Prepared plans and specifications for construction of approximately 12,000 linear feet of water mains, 6,000 linear feet of sewer mains and rehabilitation of 3,000 linear feet of sewer mains by CIPP. Construction Cost: $2,108,166 Contractor: Palacios Marine & Industrial Coatings, Inc. of Palacios, TX • City of Victoria, Lone Tree Community Park 2012 Victoria, Texas Prepared plans and specifications for sanitary sewer, water, site grading, drainage, paving and grass for practice softballibaseball and soccer/football fields for the Lone Tree Community Park. Construction Cost: $349,409 Contractor: Lester Contracting, Inc. of Port Lavaca, TX • City of Victoria, Downtown Water and Sewer Line Replacement Phase II, Projects 5&7 2011-12 Victoria, Texas Prepared plans and specifications for construction of approximately 8,600 linear feet of water mains, 4,400 linear feet of sewer mains and rehabilitation of 800 linear feet of sewer mains by CIPP. Construction Cost: $1,336,226 Contractor: Rockin Q Construction, LLC of San Marcos, TX • City of Victoria, Downtown Water and Sewer Line Replacement Phase Il, Projects 3&4 2011-2012 Victoria, Texas Prepared plans and specifications for construction of approximately 8,900 linear feet of water mains, 1,700 linear feet of sewer mains and rehabilitation of 6,800 linear feet of sewer mains by CIPP. Construction Cost: $1,901,466 Contractor: Mercer Construction Company of Edna, TX 21 Urban Engineering • City of Victoria, Laurent Street Reconstruction Phase II 2009-2011 Victoria, Texas Designed, prepared construction plans and specifications for the continuously - reinforced concrete reconstruction of Laurent Street from Airline Road to Sam Houston Drive. Construction Cost: $6,281,829 Contractor: Total Site, Inc. of Houston, TX • City of Victoria, Downtown Street Overlay & ADA Ramp & Crosswalk Improvements 2010-2011 Victoria, Texas Designed, prepared construction plans and specifications for: 1) adding an HMAC overlay to existing roadway surfaces, 2) adding, modifying and upgrading ADA compliant ramps and crosswalks at all intersection corners, 3) adjusting utilities as necessary, 4) making curb repairs as needed, and 5) street striping where applicable in downtown Victoria for parts of Commercial Street, Glass Street, Santa Rosa Street, Constitution Street, Goodwin Avenue, Forrest Street and William Street. Construction Cost: $1,130,456 Contractor: Brannan Paving Co., Ltd. of Victoria, TX • City of Victoria, Downtown Water & Sewer Line Replacement Phase II, Projects 1&2 2011-2012 Victoria, Texas Designed, prepared construction plans and specifications for the construction of approximately 10,000 linear feet of water mains, approximately 3,000 linear feet of sewer mains and the rehabilitation of approximately 3,500 linear feet of sewer mains by CIPP in downtown Victoria. Construction Cost: $1,845,970 Contractor: Matula & Matula Construction, Inc. of Lake Jackson, TX • Victoria College, Sidewalk, Bus Stop & Crosswalk Improvements 2011 Victoria, Texas Designed, prepared. construction plans and specifications for the removal of approximately 3,357 square feet of concrete sidewalk and replacement of approximately 4,617 square feet of concrete sidewalk with curb ramps at Victoria College. Construction Cost: $43,419 Contractor: Don Krueger Construction Co. of Victoria, TX • City of Palacios, 2011 Street Maintenance Program 2011 Palacios, Texas Designed, prepared construction plans and specifications to seal coat approximately 22 Urban Engineering 40,000 square yards, with additive alternates, to seal coat approximately 11,600 additional square yards of city streets in Palacios. Construction Cost: $121,355 Contractor: Faltisek Paving Partnership, Ltd. of El Campo, TX • Pioneer Natural Resources USA, Inc. 2011 Cuero, Texas Prepared plans and specifications for widening the southbound lane of U.S. Highway 183 North to accommodate the deceleration and acceleration of vehicles ingressing/egressing the Pioneer Natural Resources facility entrance road located approximately three miles north of Cuero and adjacent to the U.S. Highway 77A exit. Construction of improvements added new roadway pavement and also included upgrades to existing drainage culverts, relocation of road signage and pavement markings. This project entailed extensive coordination with TxDOT, the City of Cuero and Pioneer Natural Resources. ® Victoria I.S.D., Running Track and Tennis Courts, East and West High Schools 2010-2011 Victoria, Texas Designed, prepared construction plans and specifications for the construction of a running track and tennis courts on the campuses of the East and West High Schools. Construction Cost: $1,023,776 Contractor (running track): Hellas Construction, Inc. of Austin, TX Construction Cost: $1,170,000 Contractor (tennis courts): Lester Contracting, Inc. of Port Lavaca, TX • City of Point Comfort, South Side Water Project 2010-2011 Point Comfort, Texas Designed, prepared construction plans and specifications for the installation of approximately 1,025 linear feet of 16" potable water main along Pease Street between the City of Point Comfort water tower and the intersection of Jones and Pease Streets; removing and replacing approximately 3,300 linear feet of 8" cast iron water main with 10" potable water main from the intersection of Pease and Jones Streets, along the alignment of the existing 8" cast iron main running south and parallel with FM 1593 and ending at the intersection of FM 1593 and Matagorda Street; and tying the proposed 10" potable water main to an existing 8" PVC main at the intersection of FM 1593 and Matagorda Street that will deliver potable water to future customers along FM 1593. Improvements to said 8" PVC main involve testing, disinfection, point repairs and placing service taps. Additionally, the project involves placing approximately 1,590 linear feet of 8" potable water main along FM 1593 to J. R. Simplot Company from an existing 8" PVC main to the western end of the plant. All improvements involve making all related tie-ins, fittings, valves and hydrants on the proposed water mains. Construction Cost: $576,542 Contractor: Lester Contracting, Inc. of Port Lavaca, TX 23 Urban Engineering • City of Point Comfort, 2010 Street Improvements Project 2010 Point Comfort, Texas Designed, prepared construction plans and specifications for the reconstruction of approximately 67,900 square yards of asphaltic pavement, approximately 43,900 square yards of seal coat and approximately 3,850 linear feet of concrete curb and gutter to be removed and replaced in Point Comfort. Construction Cost: $363,693 Contractor: Brannan Paving Co., Ltd. of Victoria, TX • City of Palacios, 2010 Street Maintenance Program 2010 Palacios, Texas Designed, prepared construction plans and specifications to seal coat approximately 38,000 square yards, with additive alternates, to seal coat approximately 5,500 additional square yards of city streets in Palacios. Construction Cost: $91,703 Contractor: Faltisek Paving Partnership, Ltd. of El Campo, TX • City of Victoria, Youth Sports Complex — Contract 1 2007-2010 Victoria, Texas Designed, prepared construction plans and specifications for the construction of baseball and softball fields, including grading, drainage, water, sewer, irrigation, fencing, lighting, electrical, walk -ways and miscellaneous site amenities. Construction Cost: $5,158,060 Contractor: Don Krueger Construction Co. of Victoria, TX • City of Victoria, Youth Sports Complex — Contract 2 2007-2009 Victoria, Texas Provided consulting and contract administration services for the construction of a concession/restroom building, ticket booth and ornamental fencing, walkway arches, office/shop building and storage building. Construction Cost: $1,442,290 Contractor: Don Krueger Construction Co. of Victoria, TX • City of Victoria, Youth Sports Complex — Contract 3 2007-2009 Victoria, Texas Designed, prepared construction plans and specifications for the construction of the parking lot, sidewalks, storm sewer, parking lot lighting and water and sewer services. Construction Cost: $2,565,586 Contractor: A & A Constructors, Inc. of Victoria, TX 24 • City of Victoria, Lift Station Rehabilitation 2009-2010 Victoria, Texas Designed, prepared construction plans and specifications for the rehabilitation of lift stations located on Highway 77 and Magruder Drive. Construction Cost: $440,406 Contractor: Mercer Construction Company of Edna, TX • City of Victoria, Master Water Plan 2009 Victoria, Texas Urban Engineering was contracted by the City of Victoria to update the Water System Master Plan. The objective of this master water plan was to evaluate the existing pumping, storage and distribution systems for the City and to propose cost-effective plans for upgrading and expanding the facilities to meet future water consumption estimates. In order to accomplish the project goals, a computer model was used to simulate various water -use scenarios and predict the effects on the water distribution system. In addition, this model will be used to evaluate capital improvement alternatives and determine the feasibility of servicing various growth areas. • City of Victoria, Master Wastewater Plan 2009 Victoria, Texas Urban Engineering was contracted by the City of Victoria to update the Master Wastewater Plan. The plan inventoried the existing wastewater system's major components and evaluated its current capacity. In this evaluation, current and future critical areas were identified and recommendations to facilitate growth were provided. • City of Victoria, Downtown Sidewalk Project 2008-2011 Victoria, Texas Urban Engineering was contracted by the City of Victoria to provide design options for a $2.75M sidewalk improvement project to the downtown area. These improvements entail: 1) 30,300 square feet of sidewalks, with, appealing architecturally -designed aesthetics, 2) 48 ADA -compliant ramps, 3) 24 comer eyebrows, 4) street repairs and 5) curb rebuilding. Construction Cost: $2,173,461 Contactor: SER Construction Partners, Ltd. of Pasadena, TX • City of Victoria, Site Selection for a 4.4 mgd Wastewater Treatment Plant 2009 Victoria, Texas Urban Engineering was contracted by the City of Victoria to conduct property investigation, site feasibility and estimate costs for the construction of a new 4.4 mgd wastewater treatment plant. 25 Urban Engineering • City of Palacios, 2008 Street Maintenance Program 2008 Palacios, Texas Designed, prepared construction plans and specifications to seal coat approximately 25,000 square yards and reclaim approximately 5,150 square yards of city streets in Palacios. Construction Cost: $162,072 Contractor: Brannan Paving Co., Ltd. of Victoria, TX Victoria I.S.D., West Tropical Drive Roadway Construction, CSP 92008-24 2008-2009 Victoria, Texas Designed, prepared construction plans and specifications for the West Tropical Drive Roadway Construction and associated storm drainage on the Victoria I. S.D. new High School and Middle School site, located near the intersection of U.S. Hwy. 87 North and Loop 463. Construction Cost: $1,449,094 Contractor: Triple B Services, L.L.P. of Huffman, TX • City of Victoria, Water Main & Sanitary Sewer Main Extension — Phase 1 VISD West School Site, Zac Lentz Pkwy (Loop 463) to N. Main Street (Hwy 87) 2008-2009 Victoria, Texas Improvements for the installation of approximately 6,032 linear feet of water main and 5,261 linear feet of sewer main from Zac Lentz Pkwy (Loop 463) to North Main Street (Hwy 87) to serve the VISD West School site and future developments along Hwy 87 north of Loop 463. Construction Cost: $810,795 Contractor: Triple B Services, L.L.P. of Huffman, TX • City of Point Comfort, Lift Station Rehabilitation (SEP Grant #2007-009) 2008-2009 Point Comfort, Texas Improvements for the installation of: 1) new influent lift station pumps inside an existing wetwell at the wastewater treatment plant, including all related piping to connect to existing force main and all electrical improvements from the existing electrical panel inside the laboratory building, 2) approximately 75 linear feet of 12" sanitary sewer line (gravity) and all appurtenances, and 3) approximately 760 linear feet of 12" treated effluent line (gravity) for the wastewater treatment plant discharge including all appurtenances and concrete riprap at the outfall of the effluent line. This project was designed by O'Malley Engineers, LLP of Brenham, Texas under the supervision of Urban Engineering, who performed contract administration. Construction Cost: $114,470 Contractor: Cary Construction, LLC of Point Comfort, TX 26 City of Victoria, West Outfall Drainage Improvements 2006-2009 Victoria, Texas Designed, prepared construction plans and specifications for the installation of a new underground storm sewer collection system for portions of the Meadow View and Woodlawn Subdivisions. In addition, the existing water and sewer mains within the affected areas were replaced and the roadways repaired or reconstructed. Construction Cost: $9,165,054 Contractor: Mercer Construction Company of Edna, TX • City of Victoria, Water and Wastewater Improvements 2005-2008 Victoria, Texas Designed and administered the construction for approximately 12,055 linear feet of water and wastewater replacement along Navarro Street from North Street to Mockingbird Lane. Construction Cost: $3,321,830 Contractor: BRH-Garver Construction, L.P. of Houston, TX • City of Victoria, Laurent Street Reconstruction Phase I 2007-2009 Victoria, Texas Designed, prepared construction plans and specifications for the continuously - reinforced concrete reconstruction of Laurent Street from Business Highway 59 to Airline Road. Construction Cost: $9,690,580 Contractor: Triple B Services, LLP of Huffman, TX City of Goliad, Water and Wastewater Improvements 2007-2008 Goliad, Texas Designed, prepared construction plans and specifications for water and wastewater improvements for the City of Goliad. These improvements included: 1) sewer lift station flood proofing at wastewater plant, 2) replacement of water mains at Commercial, Market, Garden, West Franklin and West Pearl Streets, and 3) sewer collection line inflow repairs and water extensions to Industrial Park property. Construction Cost: $569,403 Contractor: Falcon Lease Operating Company of Victoria, TX • City of Palacios, Street Maintenance Program 2007 Palacios, Texas Designed, prepared construction plans and specifications to seal coat approximately 59,000 square yards of city streets in Palacios. Construction Cost: $138,700 Contractor: Faltisek Paving Partnership, Ltd. of El Campo, TX 27 • Bloomington I.S.D., Wastewater Treatment Plant 2006-2007 Bloomington, Texas Designed, prepared construction plans and specifications for the installation of a .005 mgd wastewater treatment plant on the Junior High and High School Campus. Construction Cost: $254,752 Contractor: Mercer Construction Company of Edna, TX • City of Victoria, Lone Tree Acres Drainage Improvements 2005-2007 Victoria, Texas The City of Victoria required these improvements to provide drainage relief for the subdivision by enlarging ditches and culverts. Improvements included ditch regrading and approximately 59 culvert and driveway replacements on all of Tibiletti Road, Morris Avenue and a portion of Hyalc Avenue. Construction Cost: $545,018 Contractor: H C Equipment, Inc. of Edna, TX City of Victoria, Brownson Street Water Line Replacement 2005-2006 Victoria, Texas Designed and administered the construction for a 12" water main replacement along Brownson Street from Juan Linn Street to North Street. Construction Cost: $449,177 Contractor: Falcon Lease Operating Company of Victoria, TX • City of Goliad, Wastewater Treatment Plant and Water Well Evaluation 2004-2005 Goliad, Texas Urban Engineering conducted a detailed feasibility study on the City of Goliad's wastewater treatment plant and water wells that included a capital value analysis report on the City's water system. • Victoria Regional Airport, Sanitary Sewer Rehabilitation 2005 Victoria County, Texas Designed, prepared construction plans and specifications and provided contract administration for the renovation/reconstruction of approximately 41 sanitary sewer manholes including waterproofing to prevent surface water infiltration and inflow. Construction Cost: $213,210 Contractor: Falcon Lease Operating Company of Victoria, TX ® City of Point Comfort, Water Supply Feasibility Study 2005 Point Comfort, Texas Investigated water supply options for the City of Point Comfort for a water treatment plant. Options included continued use of ground water, treated surface water from 28 Urban Engineering GBRA in Port Lavaca, and raw water from LNRA at Lake Texana. Cost analyses were also performed on several combinations of industrial customers including Formosa Plastics. The result of this study was the design of a 1.0 mgd water treatment plant for the City of Point Comfort, but built and paid for by Formosa Plastics. • City of Palacios, 2005 Street Maintenance Program 2005 Palacios, Texas Prepared plans and specifications for the seal coat of approximately 54,400 square yards of city streets in Palacios. Construction Cost: $92,744 Contractor: Brannan Paving Company, Ltd. of Victoria, TX • City of Victoria, Ben Jordan Street Reconstruction 2003-2005 Victoria, Texas Designed, prepared construction plans and specifications for the reconstruction of Ben Jordan Street from Red River Street to the Port Lavaca Highway (US Hwy 87). Construction Cost: $7,632,340 Contractor: Brannan Paving Company, Ltd. of Victoria, TX • City of Victoria, Lone Tree Road Reconstruction 2003-2004 Victoria, Texas Designed, prepared construction plans and specifications for the reconstruction of Lone Tree Road from John Stockbauer Drive to Loop 463 that also included the excavation of two drainage channels. Construction Cost: $2,086,058 Contractor: Brannan Paving Company, Ltd. of Victoria, TX • City of Victoria, Northerest Highland Area Drainage Improvements 2002-2004 Victoria, Texas Designed, prepared construction plans and specifications for the construction of drainage improvements. Construction Cost: $4,706,572 Contractor: King -Isles, Inc. of Corpus Christi, TX • City of Victoria, Water and Wastewater Improvements 2002-2004 Victoria, Texas Designed, prepared construction plans and specifications for the installation of: 1) 7,200 linear feet 12" water line from surface water treatment plant to Tower #1, 2) 910 linear feet of 8" water line associated with the pressure plane relocation, 3) 4,000 linear feet of 15" sanitary sewer force main along US Business 59 to Stockbauer Drive and fiom the Teakwood Drive lift station. 29 Urban Engineering Construction Cost: $568,120 Contractor: Mercer Construction Company of Edna, TX • Devereux Foundation Sewer Treatment Plants 2002-2003 Victoria, Texas Designed and administered the project for a new .24 mgd wastewater treatment plant to replace two antiquated plants and treat the combined flows. Construction Cost: $412,819 Contractor: Mercer Construction Company of Edna, TX • City of Victoria, Surface Water Supply Project Victoria, Texas 2001-2003 Designed, prepared construction plans and specifications for the construction of: 1) a 24" water main beginning near the intersection of Vine Street and Mockingbird Lane to Loop 463, 2) a 12" water main across Highway 87 to Invitational Drive in the Country Club Village Section II Subdivision, 3) a 16" water main across Loop 463 and continuing north to a connection in Nursery Road and 4) a 20" sanitary sewer force main from the Conti Lane lift station to the intersection of Vine Street and Mockingbird Lane. Construction Cost: $2,179,041 Contractor: S.J. Louis Construction of Texas, Ltd., L.L.P. of Mansfield, TX 2001 Designed, prepared construction plans and specifications for the construction of a 24" water main beginning from the Vine Street Surface Water Treatment Plant to Mockingbird Lane. Construction Cost: $433,434 Contractor: H2O Systems Plus, Inc. of Victoria, TX • Quail Creek Municipal Utility District, Aloe Field Wastewater Plant Improvements 2000-2001 Victoria, Texas Designed, prepared construction plans and specifications for the installation of a 30' diameter clarifier, new grit removal and aeration equipment in 3 existing structures; two 50 hp blowers in a sun shelter; chlorination system in a fiberglass enclosure; sludge bed rehabilitation; piping; asphalt paving and related items of work. Construction Cost: $480,199 Contractor: H2O Systems Plus, Inc. of Victoria, TX • Quail Creek Municipal Utility District, Water Distribution System Improvements 2000-2001 Victoria, Texas Designed, prepared construction plans and specifications for the installation of 30 Urban Engineering approximately 160 linear feet of 2" water main, 3,330 linear feet of 4" water main, 9,270 linear feet of 6" water main, 2,320 linear feet of 8" water main and appurtenances. Construction Cost: $254,370 Contractor: H2O Systems Pius, Inc. of Victoria, TX • City of Victoria, Guy Grant Road Reconstruction 2000-2001 Victoria, Texas Designed, prepared construction plans and specifications for the reconstruction of Guy Grant road from North Navarro Street to Salem Road. Construction Cost: $1,736,224 Contactor: Brannan Paving Company, Inc. of Victoria, TX • City of Victoria, Surface Water Treatment Plant Water Improvements 2000 Victoria, Texas Designed, prepared construction plans and specifications for the installation of 9,100 linear feet of 24" main water main from the surface water treatment plant to water plant #3. Construction Cost: $933,660 Contactor: Gainey Companies, Inc. of Kansas City, MO • City of Victoria, Miori Lane Reconstruction 1998 Victoria, Texas Designed, prepared construction plans and specifications for the reconstruction of Miori Lane to include concrete pavement, curb, storm sewer, water & sanitary sewer replacement, bridge replacement and addition of traffic signal. This was the first continuously -reinforced concrete right-of-way constructed in Victoria. Construction Cost: $3,618,672 Contractor: Williams Brothers Construction Co., hie. of Houston, TX City of Point Comfort, Wastewater Treatment Plant Aerator Replacement 1995 Point Comfort, Texas Prepared specifications and provided contact administration for the replacement of a wastewater treatment plant aerator. The project included the purchase of a mechanical, float mounted rotor aerator and all additional equipment and materials necessary to allow others to place it into operation in an existing oxidation ditch. 31 Urban Engineering • City of Point Comfort, Water Treatment Plant 1994 Point Comfort, Texas Designed and administered the construction of a 1.0 mgd surface water treatment plant with a storage tank and pumping facilities to serve the City of Point Comfort and Formosa Plastics Corporation. The project included a raw water intake from a 36" line supplied by Lavaca-Navidad River Authority. • City of Point Comfort, Elevated Storage Tank Repair and Painting 1993 Point Comfort, Texas Prepared plans and specifications for the repair and painting of a 100,000 gallon elevated water storage tank. The project included the replacement and repair of portions of the tank, cleaning, spot blasting and painting the interior and exterior. • City of Victoria, Water Plant Expansion 1991 Victoria, Texas Designed and administered the project to expand two of the City's water treatment plants which included the construction of 1.0 mg and 1.5 mg above ground storage tanks, the installation of six new pumps, and miscellaneous distribution line improvements. Urban Engineering has made use of the Kentucky Pipe Computer Program to aid in the analysis of several pumping/distribution options. Through the use of computer simulations, we will be able to maximize the City's pumping and storage system. • Dowell Schlumberger, Water and Sewer Improvements 1988 Victoria, Texas Designed, prepared construction plans and specifications, and provided contract administration for an 8" water line and 8" sewer line along Burroughsville Road to U.S. Highway 59. Obtained the necessary permits for boring under highway and railroad right-of-way. • City of Cuero, Highway 87 Sewer Main 1988 Cuero, Texas Designed, prepared construction plans and specifications, and provided contract administration for a 12" gravity sewer line and an 8" force main along Highway 87. • Quail Creek Municipal Utility District 1987 Victoria County, Texas Urban Engineering was employed by the Quail Creek Municipal Utility District to provide ongoing managerial services for their water district and wastewater collection and treatment facility. The system provides water and wastewater service to 262 residences and businesses in the District. 32 Urban Engineering • City of Victoria, Mockingbird Lift Station and Offsite Force Main 1987 Victoria, Texas Designed and administered the construction of a 1,650 gpm sewer lift station. • Tropical Acres Subdivision, Water and Wastewater Improvements 1986 Victoria, Texas Designed and administered the construction of a water distribution and sanitary sewer system within the existing Tropical Acres residential subdivision. ® City of Victoria, Water Well 826 1986 Victoria, Texas Prepared plans for the construction of a 12" raw water line to Water Well #26. Obtained necessary permits to bore under highway right-of-way. 33 Urban Engineering County of Victoria • County of Victoria, Citizens Professional Building Parking Canopy 2010 Victoria, Texas Designed, prepared construction plans and specifications for the construction of a free-standing, steel, parking canopy over 16 spaces in the parking lot between the Citizens Professional Building and Red River Street. Construction Cost: $107,100 Contractor: K & T Construction Co., Inc. of Victoria, TX • County of Victoria, Citizens Professional Building Parking Lot Expansion 2009 Victoria, Texas Designed, prepared construction plans and specifications for the expansion of the parking lot between the Citizens Professional Building and Red River Street. Construction Cost: $258,600 Contractor: Constar Construction of Victoria, TX County of Victoria, Citizens Medical Center Water Improvements 2009 Victoria, Texas Designed, prepared construction plans and specifications for the construction of approximately 3,600 linear feet of 8" and 12" waterline for Citizens Medical Center. Construction Cost: $252,178 Contractor: Falcon Lease Operating Company of Victoria, TX • County of Victoria, Citizens Professional Building Parking Lot Reconstruction and Citizens Healthplex Drainage Improvements 2008 Victoria, Texas Designed, prepared construction plans and specifications for the replacement of the existing parking facility at the Citizens Professional Building, 2710 Hospital Drive with concrete pavement and the construction of approximately 416 linear feet of storm sewer pipe at the Citizens Healthplex, 9406 Zae Lentz Parkway. Construction Cost: $518,448 Contractor: Constar Construction of Victoria, TX • County of Victoria, Citizens Medical Center Parking Lot Addition 2007 Victoria, Texas Designed, prepared construction plans and specifications for the construction of a concrete parking lot addition at Citizens Medical Center. Construction Cost: $617,846 Contractor: A & A Constructors, Inc. of Victoria, TX 34 Federally -Funded Construction Projects Texas Department of Transportation Federal Aviation Administration County of Victoria • 2016, Victoria Regional Airport, Airfield Pavement Marking Pavement markings on Runways 13L - 31R and 18 -36 and Taxiways A, B, C, E and portions of F. • 2016 Victoria Regional Airport, Sanitary Sewer Improvements - Phase 2 Prepared plans and specifications for the replacement of selected sanitary sewer mains, manholes and services at the Victoria Regional Airport. • 2016 TxDOT CSJ No. 1313VICTR Victoria Regional Airport Water Improvements Prepared plans and specifications for repair/replacement of the waterline system at the Victoria Regional Airport. • 2014 Victoria Regional Airport, Wastewater System Improvements Coastal Impact Assistance Program, Grant No. F12AF00630 Prepared plans and specifications for the replacement of selected sanitary sewer mains, manholes and services at the Victoria Regional Airport. • 2012 TxDOT Project No. APVICTORIA2 Close Runway 6-24, renumber remaining runways, apply surface painted hold markings, miscellaneous signage and lighting modifications. • 2009 AIP —Victoria Regional Airport Removal and replacement of the tee hangar aprons at two of the existing tee hangars. The pavement area being replaced measures approximately 4,900 square yards. Rehabilitate Apron, Clean and Seal Joints, Rehabilitate Taxiways, Remark Taxiways. • 2006 AIP — Victoria Regional Airport Construction of Taxiway G and Rehabilitation of Airport Entrance Road. • 2004 AIP - Victoria Regional Airport Install medium intensity runway lighting on Runway'17-35', install PAPI and REILS on Runway'17-35', install retroreflective markers on Taxiway'F' and install perimeter fencing with barbed wire security extensions and driveway gates. • 2003 AIP - Victoria Regional Airport Rehabilitate Taxiway 'E' and a portion of Taxiway 'F' and install perimeter fencing and gates. 35 Urban Engineering • 2002 AIP - Victoria Regional Airport HMAC overlay and pavement grooving on a portion of Runway '12L -30R', site grading on non -paved area southeast of Taxiway 'E' and install security fencing, gates and gate controllers. • 2001 AIP - Victoria Regional Airport Pavement repair and HMAC overlay on Runways '12L -30R and '17-35' and MITL installation on Taxiways 'A' and 'B'. • 1997 AIP - Victoria Regional Airport Replace high intensity runway edge lights and threshold lights on Runway 'I 2L-3 OR'. Install radio controller for runway lights. Clean and seal joints and cracks on terminal apron. • 1996 AIP - Victoria Regional Airport Joint seal and pavement repair on Runway 112L -30R', Runway'17-35' and Taxiways 'A', 'B', 'C' and 'F'. Restripe and mark pavement on Runways '12L -30R' and '17-35' and Taxiways'A', '13% 'C' and F. • 1995 AIP - Victoria Regional Airport New airport entrance and terminal access roads. • 1994 AIP - Victoria Regional Airport Drainage and ditch improvements for the area southeast of Taxiway 'E'. • 1993 AIP -Victoria Regional Airport Upgrade airfield guidance sign system including the installation and relocation of lighted and unlighted signs. Install drainage improvements to the ramp area. • 1992 AIP - Victoria Regional Airport Install new medium intensity taxiway lights on Taxiways 'E', 'F' and apron. Perform pavement repair and joint sealing on Taxiways 'E', 'F' and apron. Restripe Taxiways 'E', 'F' and apron. • 1990 AIP - Victoria Regional Airport Install new medium intensity taxiway lights on Taxiway F. • 1989 AIP - Victoria Regional Airport Repair and overlay Runway '6-24'. Install new medium intensity taxiway lights on Taxiways 'B' and'C'. Replace regulators for taxiway circuits. • 1988 AIP - Victoria Regional Airport HMAC overlay and restripe Runway'12L-30R'. • 1987 AIP - Victoria Regional Airport Slab repair, joint seal and restripe Runway 'I 2L-3 OR'. 36 1987 AIP - Jackson County Airport HMAC overlay and new MIRL system for Runway ' 14-32'. 37 Urban Engineering Thomas A. Schmidt, P.P. Master of Engineering degree in Transportation Engineering and Pavement Design, Texas A&M University; Bachelor of Science degree in Civil Engineering, Texas A&M University. As the president and senior engineer of Urban Engineering, Tom Schmidt assumes responsibility for all major projects in which the firm is involved and actively participates in the direction of all facets of operations. Since the founding of Urban Engineering in 1981, Mr. Schmidt has managed the firm and serves as its chief engineer. Prior to 1981, he had served nine years with the City of Victoria, first as Traffic Engineer and later as Director of Transportation and Urban Development. During these years, he developed the Master Thoroughfare Plan for the City of Victoria, which included projected traffic flows, proposed rights-of-way, and pavement widths. He also initialized and administered the development of a Master Drainage Plan for the City of Victoria. Mr. Schmidt has managed and orchestrated a multitude of residential development, site development, municipal public works and marine construction projects during his tenure with Urban Engineering. He has overseen the layouts for improvements to at least 15 major residential subdivisions and more than 30 site development projects in the cities of Victoria, Cuero, Port Lavaca, Port O'Connor and Seadrift. Mr. Schmidt provided his professional engineering expertise for significant improvements to over 40 public works projects and several marine construction projects in Victoria, Matagorda, Calhoun, DeWitt and Jackson counties. Professional Organizations • Institute of Transportation Engineers • American Society of Civil Engineers • Texas Surveyors Association • National Society of Professional Engineers • Texas Society of Professional Engineers Registration • Registered Professional Engineer in the State of Texas - #39213 • Registered Professional Land Surveyor in the State of Texas - #2458 Memberships • Chairman, Victoria Economic Development Corporation • Victoria 100 Club (current member and past president from 2002-2003) • Victoria Rotary Club (current member) • Past Board member of the Victoria/Calhoun County Foreign Trade Zone • Past president of the Texas Society of Professional Engineers (local chapter) from 1987-88 • Coastal Conservation Association 38 • Texas A&M Former Students • Texas A&M Century Club 39 Urban Engineering Ray M. Bridges, P.E. Bachelor of Science degree in Civil Engineering, University of Texas at Austin. Concentration in hydraulics, hydrology, and geotechnical engineering. Vice president and partner in Urban Engineering, Ray Bridges joined the firm in 1983. As project coordinator for a number of private and governmental projects, he has been responsible for subdivision and utility layouts, drainage feasibility studies, hydraulic calculations, HEC -2 computer studies, field inspections, writing of project specifications, and coordination of computer drafting personnel. Mr. Bridges has directed and managed numerous land development projects since he has been with Urban Engineering. As the lead engineer, he professionally designed the site improvements for 47 residential subdivisions in Victoria, 11 residential subdivisions in Corpus Christi, two residential subdivisions in Palacios, three residential subdivisions in Rockport, one residential subdivision in Port Lavaca and over 100 commercial properties. Mr. Bridges expertly headed the successful design of plans to significantly enhance improvements to a multitude of marine -related construction projects in Matagorda County, the majority of which sponsored by the Palacios Seawall Commission, the Matagorda County Navigation District #1 and the City of Palacios. For Municipal Public Works projects, Mr. Bridges was responsible for the proficient design of layouts for repairs to several major thoroughfares in Victoria, which also improved storm drainage, water distribution and sanitary sewer conditions. He was instrumental in the design of improvements for the Victoria Regional Airport, which included 16 Airport Improvement Program projects that were related to refurbishing and upgrading runways and taxiways. Additionally, Mr. Bridges designed needed improvements for runways and taxiways at the Corpus Christi Naval Air Station and the Jackson County Airport. Professional Organizations • National Society of Professional Engineers • Texas Society of Professional Engineers Registration • Registered Professional Engineer in the State of Texas - #68789 • Registered Professional Land Surveyor in the State of Texas - #4619 Memberships • Coastal Conservation Association • Texas Exes • National Rifle Association • Ducks Unlimited Urban Engineering Matt A. Glaze, P.E. Bachelor of Science degree in Civil Engineering, Texas A&M University — 2001 Registered Professional Engineer in the State of Texas - #99253 WORK EXPERIENCE Public Works Projects • Dairy Road Improvements (Loop 463 to Whispering Creek), Victoria, TX • U.S. Hwy 183N Phase 1 Annexation Utility Extensions, Cuero, TX • N. Esplanade Sanitary Sewer Extension, Cuero, TX • Downtown Water and Sewer Line Replacement, Phase II, Projects 1 - 5 & 7 Victoria, TX • Downtown Water and Sewer Line Replacement, Phase III, Projects IA - 9A, Victoria, TX • Downtown Water and Sewer Line Replacement, Phase IV, Projects 1A - 6A Victoria, TX • Industrial Park Blvd. Extension & Quarry Lane Extension, Cuero, TX • 2nd Street Sewer Main Replacement, Cuero, TX • U.S. 77 North Annexation Project Phase I (Navarro/Huvar), Victoria, TX • Laurent Street Reconstruction Phase I, Victoria, TX • Laurent Street Reconstruction Phase II, Victoria, TX • Navarro Street Water and Sewer Line Replacement, Victoria, TX • City of Victoria Water and Wastewater Improvements, Victoria, TX Y Brownson Street Water Line Replacement, Victoria, TX • Lone Tree Acres Drainage Improvements, Victoria, TX • Gilster Property Water and Drainage Improvements, Victoria, TX • South Side Water Project, Point Comfort, TX • Street Improvements Project, Point Comfort, TX • 2005 Water and Sewer Improvements, Palacios, TX • 2007 Sewer System Improvements, Palacios, TX Utility System Master Plans • 2003 City of Victoria Master Water Plan, Victoria, TX • 2008 Southern Calhoun County Water Supply Study, Calhoun County, TX • 2009 City of Victoria Master Sewage Collection System Plan, Victoria, TX • 2009 City of Victoria Master Water Plan, Victoria, TX • City of Palacios Water and Sewer Assessment, Palacios, TX • City of Goliad Water System Evaluation, Goliad, TX Site Developments • Tractor Supply Company, Victoria, TX • Best Buy, Victoria, TX • Wienerschnitzel, Victoria, TX • Chuck E. Cheese, Victoria, TX 41 �M • DeTar Hospital — Navarro Campus, Victoria, TX • DeTar Hospital —North Campus, Victoria, TX • Victoria County Animal Shelter, Victoria, TX • Matagorda County Navigation District No.I Administration Building, Palacios, TX Marine Bulkheads • Turning Basin No. 4, Palacios, TX • Kashalou Landing, Port O'Connor, TX • Caracol Subdivision, Port O'Connor, TX • Turning Basin No.I Bulkhead Replacement, Palacios, TX • Phase XXX Crawford Basin Bulkhead, Palacios, TX • Falcon Point Ranch Bulkhead, Seadrift, TX • Phase XXXI Collegeport Bulkhead, Collegeport, TX • Turtle Bay Cove Bulkhead, Palacios, TX Marine Timber Structures • Phase XXXII Carl Park Breakwater, Matagorda County, TX • City of Palacios 1 s` Street Pier, Palacios, TX • Falcon Point Ranch Pier, Seadrift, TX • CCA/CPL Marine Development Center Pier, Corpus Christi, TX Residential Subdivisions • Swan Crossing Subdivision, Victoria, TX • Caracol, Port O'Connor, TX • Turtle Bay Cove, Palacios, TX • The Habitat at Post Oak, Victoria, TX MEMBERSHIPS • Coastal Conservation Association • National Rifle Association M Urban Engineering Client satisfaction is the best measure of Urban Engineering's capabilities. The following list includes names, addresses, contact persons, telephone numbers and email addresses of some of Urban's clients: City of Goliad P. O. Box 939 Goliad, TX 77963 361-645-3454 City of Palacios P. O. Box 845 Palacios, TX 77465-0845 Mr. David Kocurck, City Manager 361-972-3605 City of Port Lavaca P. O. Box 105 Port Lavaca, TX 77979 361-552-9795 43 City of Point Comfort P. O. Box 497 Point Comfort, TX 77978 361-987-2661 ONEEMEMMM Quail Creek Municipal Utility District 515 Chukar Victoria, TX 77905 Mr. Daniel Jimenez, District Manager 361-572-0810 NEENNONENIOM Urban Engineering Urban Surveying, Inc. 2004 N. Commerce Victoria, Texas Urban Surveying, Inc. (USI) was founded in January 1993 in Victoria, Texas by Terry T. Ruddick, R.P.L.S., who is the company's current C.E.O. and managing partner. USI is a Texas Licensed Surveying Firm in good standing and a member of the Victoria, Cuero, Seadrift, Port O'Connor and Bandem Chamber of Commerce. Urban Surveying, Inc. has grown into a regional firm providing surveying services throughout the Coastal Bend, Hill Country, Central and South Texas At present, three registered professional land surveyors are employed with the company and have over 60 years combined experience. USI's field crews have comparable years of service and are well versed in using GPS and Total Stations. Urban Surveying, Inc. has fully staffed offices in Victoria, Cuero and San Antonio. Services performed include boundary and topographic surveys, aerial imaging, high precision 3D laser scanning, construction staking, pipeline, unit and location surveys. In addition USI has full smoke testing capabilities. Urban Surveying, Inc. is D.O.T. compliant and all employees regularly attend safety meetings and have opportunities to further their knowledge of surveying procedures. Urban Surveying, Inc. field crews use equipment that includes the following: • Trimble R8 GPS Systems • Trimble R10 GPS Systems • Leica ScanStation C10 • Nikon Totalstation series DTM520, DTM522, DTM352 with data collectors • Autolevels — Wild & Nikon • Polaris Rangers 4WD with trailers • RD 8000 pipeline locators • RD 4000 pipeline locators • Full range of smoke testing equipment Urban Surveying, Inc. office technicians use state of the art software including the following: • Trimble Business Center • Microstation versions 7&8 • Carlson Survey CAD 2013 embedded with intelliCAD 7.2 • Carlson Survey CAD 2013 embedded with AutoCAD • Leica Geosystems 3D laser scanning software Urban Surveying, Inc. Aerial Imaging technicians use state of the art equipment and software including the following: • eBee senseFly fixed wing UAV • DJI Phantom 4 rotary UAV • eMotion 2 ground station software • Map Pilot for DJI ground station software • Pix4Dmapper Pro aerial imaging software • Virtual Surveyor aerial imaging software Terry T. Ruddick, R.P.L.S. C.E.O. and managing partner of Urban Surveying, Inc., Mr. Ruddick assumes responsibility for and is actively involved in all facets of operations. Mr. Ruddick joined Urban Engineering in Victoria, TX in 1984 and has been responsible for the completion of numerous boundary and topographic surveys including deed research, supervision of field crews, calculations, drafting, the preparation of metes and bounds descriptions and construction staking. Many of these projects have been for the improvement of water and wastewater systems and facilities. Since the founding of Urban Surveying, Inc. in January 1993, Mr. Ruddick has added full GPS capabilities, and most recently aerial imaging and high precision 3D laser scanning to the firm's list of services. Mr. Ruddick is certified by the FAA as a Remote Pilot for small unmanned aircraft systems. Professional Organizations -Texas Society of Professional Surveyors -Past President, Guadalupe Valley Chapter 14, TSPS Registration -Registered Professional Land Surveyor, State of Texas # 4943 -FAA Remote Pilot Certificate Number 3965314 Urban Engineering A v® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD Y YJ 6/5/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. j .IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRrypE LTR INSURERA ADDL INSURED URBAENG-02 INSURER B: POLICY EFF MMIDDRYYY Victoria Engineering, Inc. dba LIMITS Urban Engineering, Urban Surveying, Inc INSURERC: 2004 North Commerce INSURER D: Victoria TX 77901 DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO E LOC OTHER: GENERA -AGGREGATE $ INSURER F: o rmlrmeenrnnoco. acaanaan� RP\/mIn NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRrypE LTR OF INSURANCE ADDL BURR O POLICY NUMBER POLICY EFF MMIDDRYYY POLICY EXP MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 11 OCCUR EACHOCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO E LOC OTHER: GENERA -AGGREGATE $ PRODUCTS-COMP/OPAGGJE$ $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLYAUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLALIAB EXCESS LIAB 1-1 OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNEWEXECUTIVE YIN OFFICERIMEMBEREXCLUDED2 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA STATUTE I I EORH E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A Professional Dabillly Agegate/Occum De ucdble DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aBushed if mare space is required) CERTIFICATE HOLDER CANCELLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Calhoun County 211 S Ann St, Ste 301 AUTHORIZED REPRESENTATIVE Port Lavaca TX 77979 l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD t i , Urban Engineering h Ol 10111011,11/j, ra Yl, � i� , I I /. SAM Search Results List of records matching your search for Record Status: Active rnro ioT.....1.0,-. 1aS2GS140A LVl\V 1.vuavw• Victoria Engineering Inc Status: Active DUNS: 108551524 +4: CAGE Code: 856P4 DoDAAC: Expiration Date: 06/06/2020 Has Active Exclusion?: No Debt Subject to Offset?: No Address: 2004 COMMERCE ST City: VICTORIA State/Province: TEXAS ZIP Code: 77901-5510 Country: UNITED STATES June 13, 2019 12:03 PM https:1/Ww-Sam.gov Page 1 of 1 SAM Search Results List of records matching your search for Search Term: Thomas A. Schmidt* No Search Results June 13, 2019 12:40 PM https://Www.sam.90V Page 1 of 1 SAM Search Results List of records matching your search for Search Term : Ray M. Bridges* No Search Results June 13, 2019 12:41 PM https://www.SaM.90V Page 1 of 1 SAM Search Results List of records matching your search for Search Term: Matt A. Glaze* No Search Results June 13, 2019 12:41 PM Mtps://www.sam.gov Page 1 of 1 �� s.." Cost of Services: infrastructure Please indicate No Cost Proposal if your firm is not proposing for the services specified on this Cost of Services page. No Cost Proposal Maximum amount of grant funds firm is able and/or willing to manage: INFRASTRUCTURE Potential Grant Award Cost of Services °/o of Profit Amount maximum $1 million $10 million $50 million $100 million $250 million Hourly Rates Work Classification Hourly Rate Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Victoria Engineering, Inc. The Contractor, dba urban Engineering certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official---- Thomas fficial-- _. Thomas A. Schmidt, President Printed Name and Title of Contractor's Authorized Official June 13, 2019 Date Not Applicable Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 Icon mvorm fnr nnhlir hurrlen r igclnsurel Type of Federal Action: Status of Federal Action: Report Type: a. contract a. bid/offer/application a. initial filing b. grant b. initial award b. material change _ c. cooperative agreement c. post -award d. loan e, loan guarantee f. loan Insurance Name and Address of Reporting Entity: If Reporting Entity in No.4 is Subawardee, Enter Prime Subawardee Name and Address of Prime: _ Tier if Known: Congressional District, if known: Con ressional District if known: Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: Federal Action Number, if known: 9. Award Amount, if known: 10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including (if individual, last name, first name, Ml): address if different from No. 1Oa) (last name, first name, MI): 11. Information requested through this for is authorized by title 31 U.S.C. section 1352. This Signature: disclosure of lobbying activities is a material representation of fact upon which reliance was placed Print Name: _ by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 Title: U.S.C. 1352. This Information will be reported to the Congress semi-annually and will be available for public Telephone No.: Date' inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use - Authorized for Local Reproduction Standard Form -LLL (Rev. 7-97) STATE OF TEXAS {} AFFIDAVIT COUNTY OF CALHOUN {} BEFORE ME, the undersigned authority, on this day personally appeared Thomas A. Schmidt known to me to be the person whose name is subscribed to the following, who, upon oath says: I am the Manager, Secretary, or other Agent or Officer or the Principal of the Proposer in the matter of the proposal to which this affidavit is attached, and I have full knowledge of the relations of the Proposer with the other firms in this same line of business, and the Proposer is not a member of any trust, pool or combination to control the price of the services in this proposal, or to influence any person to submit a proposal or not to submit a proposal thereon. I further affirm that the Proposer has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted proposal. f, F, Ea i z2d--CS e Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this Y� day of t Ui tr 20. A ^pa'v_'P�a,4 DON M. FEHNER ° n ID# 12535868-2 r My Commission Expires July 11, 2021 Notary Public in and for the State of-6&ctnRq; Texas NOTE: PROPOSALS NOT ACCOMPANIED BY THIS AFFIDAVIT WILL NOT BE CONSIDERED The County of Calhoun does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. Victoria Engineering, Inc. dba Urban Engineering Proposer Signed By Thomas A. Schmidt Title President Address 2004 N. Commerce St. Victoria, TX 77901 Phone Number (361) 578-9836 Fax Number (361) 576-9836 Email Address t, NOTE: PROPOSALS NOT ACCOMPANIED BY THIS AFFIDAVIT WILL NOT BE CONSIDERED The County of Calhoun does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY Date Received This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense If the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 11 Name of vendor who has a business relationship with local governmental entity. Victoria Engineering, Inc. dba Urban Engineering 2 F-1 Check this box ifyou are filing anupdate toapreviously filed questionnaire. (The law requires that you file anupdated date completed questionnaire with the appropriate filing authority not later than the 7th business day after the on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 11 Name of local governmentofficerabout whom the Information is being disclosed. NOT APPLICABLE Name of Officer 4J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. NOT APPLICABLE A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes F-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes E� No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. NOT APPLICABLE s this box if the vendor has given the local government officer or a family member of the officer one or more gifts ❑Check as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 Y Signature of vendor doing business vVith the governmental entity Dat Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos. 1- 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 1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number: of business. 2019-504296 Victoria Engineering, Inc. dba Urban Engineering Victoria, TX United States Date Filed: 06/13/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Date Acknowledged: Calhoun County 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. RFQ 2019.05.29-EASS Engineering Services in conjunction with RFQ 2019.05.29-EASS for Calhoun County Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Bridges, Ray Victoria, TX United States X Schmidt, Thomas Victoria, TX United States X Urban, Larry Corpus Christi, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION ..may ( p My name is (�3i A- A � � , and my date of birth isIsm u My address is (streeQ (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. t YG 18/c./� County, State of on the 13�day of G , 20 . Executed in ,�., (month) (year) Signature of authorized agent of contracting business en ty (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f8039c CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos. 1- 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2019-504296 Victoria Engineering, Inc. dba Urban Engineering Victoria, TX United States Date Filed: 06/13/2019 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: 07/15/2019 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. RFQ 2019.05.29-EASS Engineering Services in conjunction with RFQ 2019.05.29-EASS for Calhoun County Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Bridges, Ray Victoria, TX United States X Schmidt, Thomas Victoria, TX United States X Urban, Larry Corpus Christi, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20_ (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v1.1.3atdud9c Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid QRequest for Taxpayer Give Form to the Form Y(Rev.O entities, it Is your employer Identification number (EI N). If you donot have a number, see How to get a 2018) !nofrt"h' Identification Number and Certification TIN, later, requester. Do not rtm Treasury send to the IRS. Internal Revenue Service ► Go to www.Irs govfFormW9 for Instructions and the latest information. 1 Name asshownonyeurincome tax refum).Name lsrequiredon this line; do not leave this line blank. C O/%/1 b7 / C-1 (?'/-//7 2 Duslnass name7di regarded entltypme, f different from above r 6.17 e�7Prl � m 3 Check appropriate box for federal tax classification of the person w ose name Is entered online 1. Check only one of the 4 Exemptions (codes apply only to m following seven boxes. certain entities, not Individuals; see a o ❑ Indivlddal/sole proprietor cr ❑ CCorporation SCorporaflon ❑Partnership ❑TrusVestale Instructions on page.3): ai �C single -member LLC Exempt payee code (if any) We ❑ Limited liabllity company. Enter the tax classification (C=C corporation, S -S corporation, P=Partnership) `o Note: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check - Exemption from FATCA reporting C eLLC 'c If the LLC Is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is LLC that is from U.S. code (if any) - e' 0 another not disregarded the owner for federal tax purposes. Otherwise, a single -member LLC that Is disregarded from the owner should check the appropriate box for the tax classification of Its owner. y El Other (see Instructions)►.' fnaNm:roe.<om,bma/ni:u„oaouraa. m. usf N 6 Address (number, street, and op orsuite no.) See instructions. Requester's name and address (optional) 6 Clty,�t� ancjZIPcode iay/l -7W y/l ;2 7 List account number(s) here (optional) Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For Individuals, this Isgenerally number (SSNr However, for a see th social Instructions security resident alien, sale proprietor, or disregarded entity, see the instructions for Parti, later. For otherFM _m _ entities, it Is your employer Identification number (EI N). If you donot have a number, see How to get a TIN, later, or Note: If the account Is In more than one name, see the Instructions for line 1. Also see What Name and I Employer identification number Number'ro Give the Requester for guidelines on whose number to enter. loolommoommomm 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and divldendsryou are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. sign Here I U.S. ptersoure n 0//U�I��G�Date)- General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments, For the latest Information about developments related to Form W-9 and Its Instructions, such as legislation enacted after they were published, go to wimmirs.gowl ormlV9. Purpose of Form An Individual or entity (Form W-9 requester) who is required to file an Information return with the IRS must obtain your correct taxpayer Identification number (TIN) which may be your social security number (SSM, individual taxpayer Identification number (ITIN), adoption taxpayer identification number (ATIN), or employer Identification number (ON), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid • Form 1099 -DIV (dividends, Including those from stocks or mutual funds) • Form 1099-MISO (various types of Income, prizes, awards, or gross proceeds) • Form 1099-D (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-8 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (Including a resident alien), to provide your correct TIN. ff you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) • .i• Prepared by, r14 Civi l Corp ENGINEEli S • SURVFVORS June 18, 2019 Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 S. Ann St Ste: 301 Port Lavaca, TX 77979 Re: Statement of Qualifications for TxCDBG Disaster Recovery Engineering Services for Calhoun County Mr. Meyer: CivilCorp, LLC, has been successful in providing civil engineering, land surveying, and construction management services throughout the State of Texas forever 19 years. By staying committed to providing practical and economical design services, we assist growing communities with maintaining and improving infrastructure systems. We offer high quality, efficient, and aesthetically pleasing designs that provide for future growth and expansion. We consistently review local regulations, applicable codes, and various geometric design criteria and standard methods for designing and developing plans and specifications. We also participate in regional mobility committees and professional organizations to stay abreast of current planning goals. CivilCorp is pleased to submit our Statement of Qualifications for providing TxCDBG Disaster Recovery Engineering I Services for Calhoun County, J By utilizing the latest technology, and blending it with experienced and skilled professionals, we are able to provide the level j of commitment necessary to realize regional developmental goals. CivilCorp performs In-depth research to assess the f project requirements and devise a plan and design that is structured to incorporate issues relating to public access, environmental concerns, drainage issues and utility requirements. CivilCorp has a solid history of working with municipalities on these types of projects and the issues typically associated with project development. CivllCorp's professional talents are combined to present a depth of experience and local knowledge to realize the goals set forth by Calhoun County, CivilCorp's clients include city, county and state governments. We have worked with the City of Victoria, City of Port Lavaca, J City of Bay City, City of Wharton, City of Yoakum, City of EI Campo, City of Pod. Neches, City of Nederland, City of Missouri City, City of Fulshear, City of Liberty, City of Katy, Fort Bend County, Victoria County, Calhoun County, and have been awarded TxDOT contracts in all regions of the state of Texas. Our comprehensive experience includes field surveying, utility engineering, drainage analysis and design, roadway design, specifications, and cost estimates. If selected, we have the resources, experience, commitment, and available personnel to complete the tasks needed to satisfy this contract, CivilCorp has the resources and manpower available on all levels to complete this project on time and within budget. CivilCorp has never felled to meet a project deadline and has the capacity to work on an accelerated schedule. CivilCorp has worked on similar projects and can begin work immediately upon notice to proceed. 4611 E. Airline Rd., Ste. 300 • Victoria, Texas 77904 • Tel: (361) 570.7500 Victoria . Houston • Austin • Corpus Christi CIvilCorp brings every aspect of the design requirements for this project with similar design experience. Our team has the following unique characteristics: ® Experience working with several cities on street, drainage, water, and sewer improvement projects ® 20 Professional Engineers with overlapping capabilities • Experienced Project Manager with a proven track record for on-time and within budget project delivery. • Staff with pertinent project experience in all aspects of project design from analyzing alternative options, ADA compliance, drainage, surveying, utilities, SW3P, and traffic control to construction phase services — means no delay or cost overruns ® Written QAlQC Program—Applied on past projects ® Approved DBE! HUB Firm CivilCorp confirms the following: m Our firm meets the appropriate state licensing requirements to practice as an Engineer in the state of Texas Our fine has not had a record of substandard work with the last five years ® Our firm has not engaged in any unethical practices within the 19 years we have been in business CiviiCorp would like to be considered for Calhoun County's TxCDBG Disaster Recovery Project as described in the RFQ. We appreciate this opportunity to submit our Letter of Interest and look forward to continuing our working relationship with Calhoun County. Sincerely, Randy Janak, PE,I�FM Vice President—Victoria Office CIvilCorp, LLC Project Manager Request for Qualifications: 2019 TxCDBG Disaster Recovery Engineering Services for Calhoun County through GLO CivilCora, LLC 4611 E. Airline Rd., Suite 300 Victoria, Texas 77904 Voice: (361) 570-7500 Fax: (361) $70-1501 Houston Offices: P.O. Box 1029 Fulshear, TX 77441 Voice: (832) 252-8100 Fax; (832) 252-8103 2825 witcrest Dr. Suite 100 Houston, TX 77042 Round Rock Office: 116 E. Main Round Rock, TX 78664 Voice: 512-828-0406 Corpus Christi Office: 400 Mann St. Suite 900 Corpus Christi TX 78401 Voice: 361-371-5380 Ben Golvan, PE, RPLS President/Owner Services: Civil Engineering Land Surveying Established: 1999(Landteeb-Victoria) 2008 (CivilCorp, LLC) CivilCorp, LLC, is registered with the Texas Board of Professional Engineers to provide engineering services in the State of Texas. Registration #10283 Who We Are: CivilCorp, LLC, Is eager to assist Calhoun County by providing Disaster Recovery engineering services in connection with CDBG-Disaster Recovery (CDBG-DR) program, if awarded, from the General Land Office (GLO). CivilCorp Is currently assisting the City of Port Lavaca with City Engineering functions and has been selected to assist Victoria County, Jackson County, East Bernard, Ganado, and Port Lavaca in preparing their CDBG-DR applications. We have also worked with the City of Port Lavaca's and Bay City's Capital Fund Program and Texas Community Development Block Grant Program (TxCDBG) and are experienced in providing engineering design services under these programs. We have also assisted the City of Victoria with various projects and have worked with the cities of Liberty, Port Neches, Missouri City, Katy, Baytown, Wharton, Yoakum, EI Campo, Houston, League City, Nederland, Rosenberg, Sugarland and Smiley. We have also been awarded TxDOT contracts in all regions in the state of Texas. Our comprehensive experience includes field surveying, utility engineering, drainage analysis and design, roadway design, specifications, and cost estimates. We have completed numerous designs for streets, drainage, water and sewer facilities for the surrounding communities. CivilCorp, LLC, has been successful in providing civil engineering, land surveying, and construction management services throughout the State of Texas for over 19 years. We offer high quality, efficient, and aesthetically pleasing designs that provide for future growth and expansion. We consistently review local regulations, applicable codes, and various geometric design criteria and standard methods for designing and developing plans and specifications. We also participate in regional mobility committees and professional organizations to stay up-to-date on current planning goals. If selected, we have the resources, experience, commitment, and available personnel to complete the tasks needed to satisfy this contract. Request for Qualifications — TxCDBG Disaster Recovery Services for Calhoun County Page: 1 I. SCOPE OF WORK: CivilCorp will assist Calhoun County with preliminary and final designs, Table 2 preparation, a preparation survey, estimates, bid packages, change orders, record drawings, construction inspection and an easement or other real property survey if acquisition Is required. The following chart summarizes the cities and services we have recently provided. The services associated with this work will include: a Feasibility Analysis/Cost Estimating/Funding Research Feasibility Analysis has included assisting various cities with rehabilitation techniques and cost estimates for reconstructing various subdivisions. We have provided alternative design options with cost comparisons for funding options. In addition, we have assisted cities with funding options which have included TxDOT participation and grant assistance. a Preparation of Grant/Loan Applications CivilCorp routinely assists cities and grant writers with grant applications such as CDBG and the more recent Gt,O Hurricane Disaster recovery Program. This work consists of providing preliminary cost estimates, preliminary environmental analysis, permit requirements and preparation of Table 1 and Table 2 for the grant application. We also prepared TxDOT Enhancement Applications for a Main Street rehabilitation and a landscaping project for the cities of Port Neches and Nederland, respectively. Cityof Bay CI City of Port Lavaca Victoria County City of Missouri City Fort Bend County City of mctoda Feasibility Analysis X X X X X X Cost est1rnaflng X X X X X X Funding research X X X X X Assist wlGrant Preparation X X X X Design X X X X X X Pernill(Ing X X I X X X Contracticonstruction X X X X X X Inspections X I X X X X X Testing X X X X X X Civil work X X X X X X Meet wlelectedofficials X X X X X Provide Surveying X X X X X X Provide Environmental X X X X Provide Geotech X X X X X The services associated with this work will include: a Feasibility Analysis/Cost Estimating/Funding Research Feasibility Analysis has included assisting various cities with rehabilitation techniques and cost estimates for reconstructing various subdivisions. We have provided alternative design options with cost comparisons for funding options. In addition, we have assisted cities with funding options which have included TxDOT participation and grant assistance. a Preparation of Grant/Loan Applications CivilCorp routinely assists cities and grant writers with grant applications such as CDBG and the more recent Gt,O Hurricane Disaster recovery Program. This work consists of providing preliminary cost estimates, preliminary environmental analysis, permit requirements and preparation of Table 1 and Table 2 for the grant application. We also prepared TxDOT Enhancement Applications for a Main Street rehabilitation and a landscaping project for the cities of Port Neches and Nederland, respectively. a Preliminary and Final Design Plans and Specifications CivilCorp will prepare all preliminary and final design plans and specifications, including all work required with bidding and interim and final inspections of the construction project, This work will include incorporating the work identified and developing plans and specigcations for letting, We know the value of quality work and the importance of identifying and field verifying the condition of all existing facilities. Request for Qualifications — TxCDBO Disaster Recovery Services for Calhoun County Page: 2 r r: r.... w M. w••, ems.,_ M'e`f. n..f f ,nv.iirm Y a Preliminary and Final Design Plans and Specifications CivilCorp will prepare all preliminary and final design plans and specifications, including all work required with bidding and interim and final inspections of the construction project, This work will include incorporating the work identified and developing plans and specigcations for letting, We know the value of quality work and the importance of identifying and field verifying the condition of all existing facilities. Request for Qualifications — TxCDBO Disaster Recovery Services for Calhoun County Page: 2 The project area will be surveyed and field inspected to ensure an accurate base map. Survey work will Include topography of existing project area and other existing improvements that could impact the project design. Design work will begin once the base map is complete. All work during this phase will be closely coordinated with Calhoun County to ensure compliance with the project budget. The estimates will support the plan shoots and include detailed materials and accurate unit prices. CivilCorp has provided detailed estimates forVictoria and in surrounding counties, on similar projects, • Preparation of Bid Package and Advertising for Bids ClvilCorp will assist in obtaining bids for the construction project. We will ensure that all applicable bidding Information is required by the grant and is included in the bid documents. We will consult with Calhoun County as to the acceptability of the contractor and will evaluate the bids, as well as assemble and award the project. We are familiar with the local contractors and have a solid history of working with most of them on City of Victoria and Port Lavaca projects. e Change Order Review and Approval CivilCorp will review and advise the County on all matter pertaining to change orders during the construction process. We will work with Calhoun County to ensure that the contractor is proposing a fair and reasonable charge for any additional work that may be required during construction. • Administer Construction Oversight Construction administration and oversight begins with having a good set of construction plans and specifications that everyone understands. Our staff includes former TxDOT employees who are very familiar with construction operations and have been trained to inspect and correct on-going construction problems that may be encountered, We will review the contractor's monthly pay request and submit the approved request for payment. We will ensure that all pay requests have the required retainage withheld and coordinate all payments with the grant administrator. • Conducting All Field Testing and Inspections (Interim and Final) ClvilCorp will provide the initial staking as required to allow the contractor to construct the project. We will establish horizontal control and will make visits to the site at intervals appropriate to the various stages of the construction, We will determine it the work is proceeding in accordance with the plans and specifications. Such visits shall be followed by written reports describing the observed progress, and endeavor to protect the County against defects and deficiencies in the work We will also Issue all necessary interpretations and clarifications of the plans and specifications and act as judge of the acceptability of the contractor's work. a Preparation of Record Drawings After project completion, CivilCorp will provide afnal plan set with all field changes marked on the drawing. The record drawing is a valuable resource that will be provided in both a hard copy and digital format, r All Other Engineering Services ClvilCorp will work with Calhoun County as required to ensure a smooth project schedule. We will assist in obtaining approvals of authorities having jurisdiction over potential environmentally sensitive areas, provide surveying services as required and assist the County as needed for project development, • Easement or Other Real Property Survey, if Acquisition is Required Right-of-way acquisition is a key element of project development. If a required parcel can only be acquired through eminent domain, then the project schedule may be jeopardized. Therefore, public involvement is essential and will help create community support for this project. The horizontal alignment will be modified during the preliminary schematic design with the intent of minimizing the number of parcels needed and not creating uneconomic remainders of property. This means that if a property will be severed leaving an extremely small undeveloped remainder on one side, then we Request for Qualifications—TxCDBG Disaster Recovery Services for Calhoun County Page: 3 would consider either shifting the alignment to create the remainder to only one side or to purchase the uneconomic remainder. Existing property boundary lines will be established and overlaid on our base map to help us determine the most economic alignment that will minimize impacts to both existing structures and the natural environment. Right-of-way determination begin with property research performed by our in-house staff for obtaining right of entry and ownership information. H. STATEMENT OF QUALIFICATIONS: Mr. Janak is the Vice President of the Victoria Office and has been providing civil engineering services for the past 20 years and Is our choice for Project Manager on the project. He has designed and managed public works projects, including water, sewer, street rehabilitation, and drainage infrastructure projects, forvarious cities and counties. He has designed and managed site development projects for commercial, residential, and industrial facilities. He has prepared schematic and final designs for rural, urban, and highway systems involving new location, rehabilitation, relocation, and widening. He has performed hydrology and hydraulic analysis using HEC -RAS, PondPack, WINSTORM, and HY-8 programs. Additional tasks have included developing the traffic control plans and signingipavement marking layouts. He has developed Final Plats and Storm Water Pollution Prevention Plans for various commercial and residential projects. Ben Galvan, PE, RPLS, is the President/Owner of CivilCorp, LLC, and is responsible for overall project development including communication with governing agencies, owners, subproviders, and private companies. As a native to the Victoria area, he has firsthand knowledge of the economic climate and the need for continued growth and improvement. Ben will apply his comprehensive knowledge of engineering principles, practices, and applications towards the development of the proposed design. His experience Includes designs of roadway and utility projects as well as construction administration. We are currently working with the City of Port Lavaca, City of East Bernard, Jackson County, and Victoria County on CDBG-DR applications. We are also working with the City of Port Lavaca and City of Bay City on Capital Improvement projects, as well as with the City of Victoria on road design and reconstruction projects. CivilCorp has the expertise, experience, and resources to provide engineering design services for the proposed projects.. We have managed civil design projects through construction management with budgetary constraints ranging from $5,000 to $32,000,000. By offering a wide range of civil design needs from conceptual studies through planning, design and construction management, we have successfully coordinated and managed infrastructure Improvement programs for local, regional, and state level agencies. EXPERIENCE The following is a partial list of relevant project experience: Texas CDBG No. 7215031 Sewer Improvements, City of Bay City: Barry Calhoun, Public Works Director, City of Bay City, 1217 Avenue J, Bay City, TX 77414; (979) 323.1659 As Project Engineer, Mr. Janak coordinated the preparation of the plans, specifications, and estimate for a sanitary sewer improvement project replacing over 8,800 feet of 6"-8" sanitary sewer line by pipe bursting, boring, and open cut construction methods. Texas CDBG No. 7215390 Bonorden System Improvements, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827-3601 Mr. Janak served as the Project Engineer for preparation of the plans, specifications, and estimate for a sanitary sewer Improvement project replacing over 2,500 feet of 6" sanitary sewer line, Request for Qualifications — TxCDHG Disaster Recovery Services for Calhoun County Page: 4 Commerce St. Sewer System Improvements, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979;(361) 827.3601 Mr, Janak served as the Project Engineer for preparation of the plans, specifications, and estimate for a sanitary sewer Improvement project replacing over 2,500 feet of 12" sanitary sewer line. Texas CDBG No. 729621 Water Distribution System Improvements, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca; TX 77979; (361)"827.3601 Mr, Janakserved as the Project Engineerfor preparation of the plans, specifications, and estimate for a water line improvement project replacing over 4,000 feet of water line located in various City streets. Texas CDBG No, 712290 Sewer Collection System Improvements, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827.3601 As ProjectEngineerMr. Janak coordinated the preparation of the plans, specifications, and estimate for a sanitary sewer improvement project replacing over 2,000 feet of 8" sanitary sewer linea Capital Improvements Project, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 627.3601 Mr. Jansk000rdinated preparation of the plans, specifications, and estimate forthe following three projects that were combined and bid together: George Street Sewer Collection System Improvements, Alamo Heights Water Distribution System Improvements, and Bayfront Water Distribution System Improvements projects. These three projects included replacing over 2700'feet of 8" and 15" sanitary sewer line and 5400 feet of 6" water line: Capital Improvement Projects, Port Lavaca, TX: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827.3601 TxCDBG for Water System Improvements #728350: CivilCorp addressed the City of Port Lavaca'swater system improvement needs, including the installation of 2,600 linear feet of 6 -inch water line, 2,920 linear feet of 4 -inch water line, 223 linear feet of 2 -inch water line, three fire hydrants and associated appurtenances throughout the community. Work included preparing all preliminary and final design plans and specifications, including work required for bidding and interim and final inspections of the construction project, Included developing plans and specifications for letting, and identifying and field verifying the condition of all existing facilities. Capital Fund Protect #728282 Holiday Inn Express Pre ect; Project consisted of Engineering Services in Connection with a 2008 Texas Capital Fund Award, Work for this project Included addressing infrastructure Improvement needs in support of a new Holiday Inn Express. This included Installation of 600 linear feet of 8" PVC water line ; and one fire hydrant. In addition, work included the design of approximately 600 feet of roadway and 6 inches of sanitary sewer main, including one sanitary sewer manhole. Work also included upgrading anexisting lift station pump along State Highway 35, Flexible pavement for Capital Fund project was also bid with an alternative concrete pavement. The concrete pavement bid was lower and was utilized due to the cost savings. These projects were bid together in an attempt to gel better prices due to economies of scale, The project was designed in approximately 2 months: All phases of the design were delivered on time. Sam Houston Drive Reconstruction, Victoria, Texas: Ken Gill, City Engineer, City of Victoria; 700 Main, Victoria, TX 77901;361.486.3358 CivilCorp prepared the plans, specifications and bid documents for the reconstruction of Sam Houston Drive in the City of Victoria. This street section Is 2 miles in length and consists of 4 lanes of traffic with a continuous left turn lane. The. proposed street section will include raised medians and will be reconstructed as a concrete street. The overall project includes street paving, drainage improvements and utility improvements from Laurent Street to U.S. 59 Business. Signal Request for Qualifications — TxCDBG Disaster Recovery Services for Calhoun County Page: 5 improvements were also made at the Mockingbird Lane, Leary Lane, Ben Jordan, Erwin Street, and Miori Street, Ben Wilson Street, Airline Road and the Houston Highway, CivllCorp provided a layout shown on a roll ,plot depicting the general phasing schemes in differing colors for review and discussion with the City. The project was phased into five separate sections to minimize inconvenience to the businesses along the route. The phases Included several steps to provide improvements to the intersection traffic flow early in the project along with facilitating the construction of the additional storm sewer trunkiines. All elements of the TCP were developed in accordance with the TMUTCD and TOOT Traffic Standards. Key items discuss at the TCP review meeting Included mainlane transition geometry, Intersection phasing, traffic signals, maintaining access to adjacent businesses, and construction schedule. Ramps and landings were designed at all intersections to meet ADA standards utilizing truncated domes, designing slopes and landing areas to meet compliance, All signalized intersections Included properly located pedestrian crossing signals and buttons conforming to ADA requirements. In addition, the existing storm sewer system was analyzed and redesigned in sections to Improve drainage, Geometry improvements were made to all intersecting streets and right-of-way mapping was required for property acquisition of 51 parcels of right of way. Le Salle Landing Subdivision -Street & Drainage Improvements, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827-3601 CivilCorp prepared the design for the rehabilitation of streets in the La Salle Landing Subdivision. Work included. Lime Treating Subgrade, Base, Lime Treating Base, Two Course Surface Treatment, and Storm Sewer improvements. Roadway Rehabilitation and Drainage Improvements consisted of design and preparation of plans for the rehabilitation of Cavelier Drive, SL Francis Avenue, Belle Lane, Belle Court, Almable Street and Rouen Drive in the La Salle Landing Subdivision. Work also included drainage improvements consisting of the addition of storm sewer pipe and junction boxes along Aimable Street. Bidding documents, construction administration services and additional services were provided, Loop 463 Water/Sewer Project, City of Victoria: Ken Gill, City Engineer, City of Victoria, 700 Main, Victoria, TX 77901;361.485.3358 CivllCorp developed engineering plans for the construction of new water and sanitary sewer facilities and the relocation of existing facilities along Loop 463 between US 77 and Salem Road. Responsibilities included utility design and location, construction plans preparation,hydraulic analysis, and the development of project estimates. Mr. Gaivan prepared plans and specifications for a new 10 -Inch sewer and 12 -Inch water line along the north right-of-way line of Loop 463. The project included the addition of fire hydrants, pressure relief valves and an environmental document (categorical exclusion) to address the project's impacts. Lavaca Bay Place Subdivision Water/Sewer, Port Lavaca, Texas: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827.3601 CivllCorp designed the water and sanitary sewer systems for the Lavaca Bay Place Subdivision In Port Lavaca. The proposed design consisted of approximately 600 linear feet of 6 -inch water line and 547 linear feet of 6 -inch and 211 linear feet of 8 -inch SDR -26 sanitary sewer pipe, two 48 -inch fiberglass sewer manholes, and accommodated 21 separate 4 -inch service connections. The water and sanitary sewer system, designed to City of Port Lavaca specifications, ties Into the existing lines along SH 238 In Port Lavaca. Request for Qualifications—TXCDBG Disaster Recovery Services for Calhoun County Page: 6 Street, Drainage & Utility Projects, City of Port Lavaca: Jody Weaver, PE, City Z-7 r U Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (961) 827.3601 Smith Road Phase 2: Designed plans, specifications, and estimates for the rehabilitation of Smith Road Phase 2 as well as converting the open ditch section to a curb and gutter section with new storm sewer design. Designed a new 8 -inch water line, replacing the existing 6 -inch water line. Mariemont Subdivision: Prepared plans, specifications and estimates for the reconstruction of Vail Street in the Mariemont Subdivision. Designed detailed plans for upgrade of the existing water, sanitary sewer, and storm sewer systems. Sanitary sewer system design included approximately 1,800 linear feet of 8 -inch SDR -26 sewer pipe, four 48 - inch fiberglass manholes, and 17 sewer service connections. Provided construction phase services. Glascow Street Reconstruction Project, City of Victoria: Ken Gill, City Engineer, City of Victoria, 700 Main, Victoria, TX 77901; 361485.3358 CivilCorp prepared the plans, specifications, and estimate for the Glascow Street Reconstruction project for the City of Victoria, The project Included reconstructing the existing 2 -lane roadway as a 44ane concrete roadway with medians and left turn lanes for approximately 1,600 linear feet. The new road design included removing the existing side ditches and adding curb and gutter and storm sewer. The storm sewer had to be designed to avoid conflicts with an existing 124nch waterline. The commercial driveways for this project were coordinated with a developer. The driveway costs were shared with the developer due to this coordination effort, Coordination was required with the public and several businesses for temporary intersection and driveway closures. This was accomplished via flyers, newspaper and TV media. This project was designed on time in approximately 3 months. All phases of the design were delivered on time. San Antonio Street Reconstruction, City of Port Lavaca: Jody Weaver, PE, City Engineer, City of Port Lavaca, 628 W. George, Port Lavaca, TX 77979; (361) 827-3601 CivilCorp prepared the plans, specifications, and estimate for the San Antonio Street Reconstruction project for the City of Port Lavaca. The project included reconstructing an existing 800 -foot -long 2 -lane roadway and redesigning the existing storm sewer system. The project also included the design of a 4 -inch water main and service connections to replace the existing 2 -inch water main. LaSalle Crossing Project, City of Victoria: Ken Gill, City Engineer, City of Victoria, 700 Main, Victoria, TX 77901; 361485.3358 CivilCorp prepared the plans, specifications, and estimate for a new roadway on new location called LaSalle Crossing. The design called for a new 4 -lane concrete roadway approximately 750 feet in length with medians and left turn lanes. The design also included a proposed storm sewer system for the new roadway. The project was designed to minimize the storm sewer length. The street profile was graded to allow for inlets and storm sewer at only the project ends. Since this project was on new location, the traffic control was not a major issue. Coordination was required with TOOT for signal construction, sidewalk and crosswalk striping along a TOOT major arterial street. The project was designed on time in approximately three months. All phases of the design were delivered on time. Request for Qualifications— TxCDBG Disaster Recovery Services for Calhoun County Page: 7 WORK PERFORMANCE Our firm is unique in the respect that we offer both surveying and civil engineering services. Our surveyors understand the scheduling needs and level of accuracy needed by design engineers. Our engineers understand the data needed by our surveyors. The efficiency offered by this interaction is a valuable asset for successful project development. CivilCorp is readily available to address our clients' needs. We are not just a service provider, but partners that make your deadlines and budget constraints a top priority, Our commitment to excellence in performance and customer satisfaction has led to a high repeat customer base. From start to finish, we approach a project with efficient, practical, and innovative problem solving techniques. Our commitment is to provide the highest level of service to ensure the success of every project, finishing in time and within budget. CAPACITY TO PERFORM CivIICorp has a staff that is made up of over 100 full-time employees, Including 20 Licensed Professional Engineers and 6 Registered Professional Land Surveyors. We also have 11 full-time surveyfield crews and 14 CAD/Survey Technicians, Our professional and technical staff has broad and varied cumulative experience in civil engineering, ADA compliance, drainage design, surveying, basic geotechnical services, and construction administration. CivllCorp's proposed project staff will contribute technical expertise to every aspect of project development from meeting with Calhoun County to determine project needs to planning, design, and construction management. Our education, registration, and experience combine to present the best possible design services for the Calhoun County. CivIICorp will ensure that materials meet specifications and that the work is being completed within budget and as designed. We are ready to begin work on this project as soon as we are notified to begin. SMALL/MINORITY BUSINESS ClvilCorp, being a certified Disadvantaged Business Enterprise (DBE), is committed to complying with any DBE programs for Calhoun County. We are also a certified HUB firm. Professional Engineer Randy Janak, PE, CFM Professional Engineer Ryan Dieringer, PE Professional Land Surveyor William Patrick Hohit, RPLS 19 Survey Field Crews 7 EIT/SITS QA1QC Ben L. Galvan, PE, RPLS Engineer in Training Catherine Malik, EIT Design Technician Ben Downs 14 CAD Technicians 5 Support Staff Request for Qualifications — TxCDBG Disaster Recovery Services for Calhoun County Page: 8 M. CONCLUSION By offering a wide range of civil design services from conceptual studies through planning, design, and construction management, we have successfully coordinated and managed Infrastructure improvement programs for local, regional, and state level agencies. CivIlCorp's committed personnel for this project have extensive design and planning experience in both unincorporated and urbanized areas. We look forward to the opportunity to assist Calhoun County with this grant application and design work, Request for Qualifications — TxCDBG Disaster Recovery Services for Calhoun County Page: 9 r4-CivilCorp Randy Janak, PE, CFM Project Manager & Vice President - Victoria Mr: Janak is the Vice President of the Victoria Office and has been providing civil engineering services for the past 16 years. He graduated from the University of Texas with a bachelor's degree in Civil Engineering and is a Texas Registered Professional Engineer, in 2005, he joined Landtech Consultants' Victoria, Texas office, now CivilCorp, LLC, providing site development, utility, and transportation engineering to local and stale agencies as well as private developers. He has designed and managed public works projects, including street rehabilitation, water, sewer and drainage Infrastructure projects, for various cities and counties. He has designed and managed site development projects for commercial, residential, and industrial facilities. He has prepared schematic and final designs for rural, urban, and highway systems involving new location, rehabilitation, relocation, and widening. He has performed hydrology and hydraulic analysis using HEC -RAS, PondPack, WINSTORM, and HY-8 programs. He has also prepared the design of water, sanitary sewer, and drainage Infrastructure to facilitate proposed structures. Additional tasks have Included developing traffic control plans, storm sewer design; and signing and pavement marking layouts. He has developed Final Plats and Storm Water Pollution Prevention Plans for various commercial and residential projects, Mr, Janak's sample projects include: PROJECT EXPERIENCE: Placido Benavides Street - City of Victoria, 7X: CivilCorp completed plans, specifications and bid documents for the new street extension of Placido Benavides In the City of Victoria, Mr. Janak was the Design Engineer for the project which included over 10,000 If of 6"-16" water mains and over 8,000 If of 8"-18" sewer mains. South Colorado St Waterline Replacement Project - City of Port Lavaca, TX: CivilCorp completed plans, specifications and bid documents for the waterline replacement project. Mr, Janak Was the Project Manager/Design Engineer for the ,project which included 3,000 If of 4"-6" water main replacement and a bore onder8H 238, EDUCATION: B'S., Civil Engineering, 1997 Universityof Texas REGISTRATION; Texas Registered Professional Engineer. 2002, Cert, #90185 Louisiana Registered Professional Engineer, 2011, Cert, #36112 Oklahoma'Registered Professional Engineer, 2013, Cert. #26606 Texas Certified Floodplain Manager,Ced.44983.06N. Sam Houston Drive Reconstruction Project - City of Victoria, TX: CivllCorp completed plans, specifications and bid documents for the reconstruction of Sam Houston Drive in the City of Victoria. Mr. Janak was the Design Engineer for the project. This street section was two miles in length and consisted of four lanes of traffic with a continuous left turn lane and was constructed as a concrete street. All sidewalks and ramps were designed at all intersections to meet ADA standards. In addition, the existing storm sewer system was analyzed and redesigned in sections to improve drainage. Proposed W-16" water mains and 8"-15" sewer mains were designed to replace the aged existing underground lines. Placido Benavides Street - City of Victoria, TX: CIvilCorp completed plans, specifications and bid documents for the new street extension of Placido Benavides in the City of Victoria. Mr. Janak was the Design Engineer for the.project which included over 10,000 If of 8"-16" water mains and over 8,000 If of 8"-18" sewer mains. Acme Trucking Waterline Extension - Victoria, 7X: Mr, Janak was the Design Engineer for the project Which included extending an 8" water main across US 59 to provide water service to Acme Trucking, Design Included boring water main under, mainlanes and frontage roads with steel encasement pipe. Coordinated with TXDOT during design and permitting: r4'Civilcorp 1 Baker Hughes Joint Facility, Corpus Christi, TX: Project Engineer for the design of new parking, driveways, and truck staging area and waterisewer extensions to serve new Baker Hughes facility in Corpus Christi. Public water/sewer Improvements Included over 900 If of 12" water main extension and 10" sanitary sewer main extension. Water and sewer lines ware placed in 25' utility easement adjacent to SH 44 ROW, Coordinated with City of Corpus Christi and TXDOT for design of utilities and site. Tuscany Subdivision, Off-site Water/Sewer Project, Victoria, TX: Project Manager for o8 -site water and sanitary sewer improvements to serve new Tuscany single-family subdivision in Victoria. Design included 5,200 If of new 12" water line, including fire hydrants, valves, and placement of an automatic flushing device. Design also included 4,600 If of new 15" gravity sanitary sewer line with 13 new manholes. Bonaire Terrace & Sunset Heights Waterline Project, City of Port Lavaca, TX: Project Engineer for preparation of the plans, specifications, and estimate for a water line improvement project replacing over 3,000 feet of 4" water line and 1,900 feet of 6" water line. Hospital Waterline Improvement Project, City of Port Lavaca, TX: Project Engineer for preparation of the plans, specifications, and estimate for a water line improvement project replacing over 1,000 feet of 4" water line and 3,100 feet of 6" water line. Texas CDBG No. 7215031 Bay City Sewer Improvements Project, City of Bay Cify, TX: Project Engineer for preparation of the plans, specifications, and estimate for a sanitary sewer improvement project replacing over 8,000 feet of sewer line by pipe bursting, 2012 Capital improvements Project, City of Port Lavaca, TX: Project Engineer for preparation of the plans, specifications, and estimate for the following three projects that were combined and bid together: George Street Sewer Collection System Improvements, Alamo Heights Water Distribution System Improvements, and Bayfront Water Distribution System Improvements projects. These three projects included replacing over 2700 feet of 8" and 16" sanitary sewer line and 5400 feet of 6" waterline. Texas CDBG No. 728350 Bonorden Water Distribution System improvements, City of Port Lavaca, 7X: Project Engineer for preparation of the plans, specifications, and estimate for a waterline improvement project replacing over 5,300 feet of water line located in various City streets. Texas CDBG No. 729621 Water Distribution System Improvements, City of Pon` Lavaca, TX.- Project Engineer for preparation of the plans, specifications, and estimate for a water line improvement project replacing over 4,000 feet of water line located in various City streets. Texas CDBG No. 712290 Sewer Collection System Improvements, City of Pori Lavaca, TX: Project Engineer for preparation of the plans, specifications, and estimate for a sanitary sewer improvement project replacing over 2,000 feet of 8" sanitary sewer line. CMICorp Ben Galvan, PE, RPLS President / Owner Mr. Galvan brings over 30 years of experience in civil engineering and land surveying. He has a sound working knowledge of engineering principles, practices and methods and has worked on several projects involving the development of environmental documents and complete plan development including surveying, mapping and project construction management. As a former TxDOT Assistant Area Engineer in Victoria, he brings knowledge and insight to all aspects of roadway design and project management. He has developed construction plans, specifications and estimates for city, county and state systems. He has prepared plans for the. City of Victoria, the City of Corpus Christi, the City of Port Lavaca, and the City of Houston, as well as the TxDOT Corpus Christ!, Abilene, Atlanta and Beaumont Districts, Fort Bond and Harris Counties in beth urban and rural areas. His experience Includes a wide Variety of transportation and site projects including paving, storm drainage, roadway design and alignments, traffic control, slgningl pavement marking design, utility coordination, design review and analysis, and field coordination, Floodplain Study and LOMR for Whispering Creek, City of Victoria., Mr. Galvan oversaw the Design Engineer on a floodplain study to develop a LOMR on the portion of Whispering Creek from John Stockbauer Dr to Loop 463. Work was done for Mr, Charlie Bares. Mr, Bares owned 6.6 acres of land along this stretch of Whispering Creek that was in a Zone AE and floodway, Channel improvements were previously made to Whispering Creek by TxDOT, CivllCorp surveyed the study area and Mr. Janak updated the HEC -RAS (converted from HEC - 2) to show the reflect the current condition of Whispering Creek. Mr, Janak preparedthe LOMR submittal, processed it through FEMA, and successful obtained a LOMR for this portion of Whispering Creek Floodplain Study and CLOMR for Whispering Creek for Placido Benavides Project, City of Victoria: Mr, Galvan oversaw Design Engineer for the Placido Bonavides Street project, EDUCATION: Bachelors of Science Civil Engineering, 1966 Texas A&1 University ',MBA, Management,1994 University of Houston, Victoria; Texas REGISTRATION: Texas Registered Professional Engineer, 1991, Cert, 689918 This was a new location street project that crossed Whispering Creek near Salem Road in Victoria. A floodplain study was done for the stretch of Whispering Creek from Salem Rd to Loop 463. The study included analyzing a set of new bridge class box culverts where the new Placido Benavides was to cross Whispering Creek. The study also looked at channel Improvements that were made downstream in conjunction with a residential subdivision. A CLOMRwas ptepared to show the changes to the floodwayand floodplain and was approved by FEMA in January of 2017. Sara Houston Reconstruction, City of Victoria: Mr. Galvan prepared plans, specifleations and bid documents far the reconstruction of Sam Houston Drive In Victoria. The street section is two miles in length and consists of four lanes of traffic with a continuous left turn lane. The proposed street section included raised medians and was reconstructed as a concrete street. Overall project includes street paving, drainage improvements and utility improvements from Laurent Street to US 59 Business. Signal improvements were also made at various streets. Mr. Galvan provided a layout shown on a roil plot depicting the general phasing schemes in differing colors for review and discussion with the City. Project was phased into five separate sections to minimize Inconvenience to businesses along the route. Phases included several steps to provide improvements to the intersection traffic flow early in the project along with facilitating construction of additional storm sewer trunklines. All elements of the Traffic Control Plan were developed in accordance with TMUTCD and TxDOT Traffic Standards. Key items discussed at TCP review meeting included mainlane transition geometry, intersection phasing, traffic signals, maintaining access to adjacent businesses, and construction schedule. Ramps and landings were designed at all intersections to meet ADA standards utilizing truncated domes and designing slopes and landing areas to meet compliance. All signalized intersections included property located pedestrian crossing signals and buttons conforming to ADA. Existing storm sewer system was analyzed and redesigned in sections to improve drainage. Geometry improvements were made to all Intersecting streets and ROW mapping was required for property acquisition of 51 parcels of right of r Givilcorp E111111E-RE- IQAIc10R< way. All significant natural and human -made features, (i.e. sidewalks, fences, mailboxes, impoundment's, river edges, roads, gates, lengths of metal beam guard fence, side road structures, median barrier, curb & gutter, building faces, garage door openings, curb & gutter openings, etc.) within limits of project were surveyed including top of manhole and flow line elevations, type and size, etc. of manholes; inlets, and valves of utilities. City of Victoria Sidewalk d Pathway Enhancement Project, City of Victoria: Mr. Galvan served as Project Manager for this enhancement project between the City of Victoria and TxDOT Yoakum District. He coordinated the field surveying including primary horizontal and vertical control needed for the design, The project involved the design of sidewalk and curb ramps along a one -mile section of Mockingbird Lane In Victoria, Texas. In addition, sidewalk and ramps were designed for 1.5 -mile section of Vine Street adjacent to the City Park; This project included the design of approximately 50 curb ramps and 6,300 square yards of new sidewalk.. Since this project was a joint venture between the City of Victoria and the TXDOT Yoakum District, coordination between the two agencies was required, including utilizing both. City and State standard drawings, Loop 463 Wafer/Sower Project, City of Victoria: Ben Galvan developed engineering plans for the construction of new water and sanitary sewer facilities and the relocation of existing facilities along Loop 463 between US 77 and Salem Road. Responsibilities included utility design and location, construction plans preparation, hydraulic analysis, and the development of project estimates. The project included a new10•inch sewer and 12 -inch water line along the north right-of-way line of Loop 463, and also included the addition of fire hydrants, pressure relief valves and an environmental document (categorical exclusion) to address the project's impacts. Mr. Galvan has closely worked with federal agencies, USAGE and FEMA, on behalf of the Victoria County Navigation District to provide needed information and data to benefit both the District as well as the Local Community. His involvement with each entity includes: USAGE: Acquiring all necessary permits, from both the Real Estate and Regulatory Departments, to construct or develop along the Victoria Barge Canal. Permits include: Construction or modification of docks. Canal widening for barge fleeting areas, as well as licenses to operate and maintain these improvements. FEMA: Mr Galvan also continues to work with VCND and FEMA to Improve the Preliminary Flood Insurance Rate Maps (FIRMs) for this Southern Region of Victoria County. These new maps show a heavy flood inundation on properties that were previously unaffected or shown on the currentleffective maps. This has resulted in an on-going study to revise the Preliminary map that could substantially hinder development and economic growth along most of the Victoria Barge Canal, including parts of Calhoun County. University of Houston Victoria Survey for Purchase of Apartment Complex, Victoria County.- Professional ounty:Professional services included the surveys of Casa De Rio Apartments at 2902 N. Ben Wilson Street and Arlington Apartments at 3105 N. Ben Wilson Street. Mr. Galvan provided boundary surveys with metes and bounds descriptions as well as surveys of all improvements on the sites including buildings, parking, and drive areas, pool, mechanical equipment, visible electrical and fences for the purchase of these facilities. Final drawings included all easements and requirements needed for the transfer of real property to the University of Houston- Victoria. John Stockbauer Dr Reconstruction; City of Victoria: Prepared plans, specifications and bid documents and provided construction management for the reconstruction of John Stockbauer Dr. This street section is 2 miles and included improvements to water and sewer lines in the project corridor. Coordination, including utility coordination meetings with gas, phone, cable, and pipeline companies was critical during the entire construction process. Monitored installation, adjustments and kept accurate records for all construction services, ro-lCivilCorp Ryan T. Dieringer, PE Project Engineer Mr, Dieringer is a project engineer in the Victoria office and has been providing engineering services for the past 5 years. He graduated from Texas Tech University with a bachelor's degree In civil engineering and is a Texas Registered Professional Engineer. He joined CivllCorp, LLC in 2014 as an Engineer -In -Training and aided Project Engineers develop plans for multiple different types of site development and transportation infrastructure. He has designed site development projects for commercial, residential, and industrial facilities as well as schematics and plans for rural and Urban roadway systems. Along with his site developmentand roadway experience, Ryan has also worked on public infrastructure projects Including street rehab projects, water, sewer, and drainage infrastructure projects, and has performed hydrology and hydraulic analysis using PondPaek, WINSTORM, and HY-8 programs.. Ryan has also worked closely with Federal agencies such as FEMA and the USACE on flood related and construction -based projects and is intimately familiar with the necessary, permitting requirements. PROJECT EXPERIENCE: Site Development including Commercial and Residential Properties Victoria Electric Coop: The proposed site is located at the intersection of U.S. 59 and Hanselman Road. The Improvements included the construction of a now main office building with drive-thru customer access, two large parking lots, an equipment lay down yard, and 3 large detentionlretentionponds to accommodate for the additional drainage leaving the proposed site. EDUCATION: B$„ Civil: Engineering Texas TeoKUn versity, 2014 ClvilCorp performed the Civil site plan for the project including Grading, Drainage, Erosion Control Plan, Site Utility Layout, and Construction details to meet the requirements of the City of Victoria and the Texas Accessibility Standards, Fairr,old ton d Suites: Mr. Dieringer carefully analyzed the civil plans for the site of Fairfield Inn $ Suites in Corpus Christi, Texas. This site was located at the intersection of Old Brownsville Road and South Padre Island Drive (SPID) and Included site grading, drainage design, utility layout, etc. He worked closely with the City of Corpus design manuals and standards to correctly and successfully develop the property while minimizing the cost to the client. This was achieved through several iterations of manipulating the drainage materials needed for the project and finding alternate methods of discharging Flow away from the property. Salem Crossing Subdivision: Salem Crossing is a residential subdivision located off of Zoo Lentz Parkway (loop 463) and Salem Road In Victoria, Texas. The overall sizeof this subdivision was approximately 35 acres that consisted of single family lots ranging from 8,000 square feet to over 20,000 square feet. for this project, Mr. Dieringer designed the storm sewer system based off of the proposed street and lot grading. He designed the pipes to handle the 5 -year frequency rain event; which is the requirement from the City of Victoria for residential development Further evaluation of the 100 -year frequency event was also completed to ensure the site discharge would not back out of the proposed curb inlets. Due to this subdivision utilizing curb and gutter, Mr. Wringer calculated the gutter capacities using a modified version of the Manning's equation from the TXDpT drainage manual. From this equation, he then calculated the panded width by relating the depth of the water in the gutter to the proposed cross slope of the street and could confirm that the ponding widths in the street wouldn't encroach to much into the travel lanes, which could create unsafe passage for the future homeowners,in the subdivision. Utility Rehabilitation City of Port Lavaca: Mr. Dieringer has also worked on several plans consisting of the rehabilitation of sanitary sewer and Vater line projects for the City of Port Lavaca, These projects would replace degraded sewer and water lines to aid in the city's 'Infrastructure and enhance services for the city's residents and businesses. LCivilCorp Sanitary Sewer Line Replacement Project., Mr. Dieringer's project for the City of Pori Lavaca was for the replacement of a 12° sanitary sewer line as well as all services to the houses and businesses along the street. This project was located on Commerce Street in Port Lavaca, Texas. This line served many homes and commercial businesses along the street as well as a school and was vital to the city's infrastructure improvements. Mr. Dieringer carefully analyzed the survey data for flowlines of incoming and outgoing pipes at each sewer manhole to check for any slope issues that could be less than the minimum slope as per TCEQ requirements. He then continued to analyze all service lines to the surrounding homes and businesses. The shallow sewer lines proved to be a challenging tasks as other utilities, such as storm sewer lines, conflicted and encroached with each other. He coordinated directly with the Director of Public Works to determine any incoming lines or services that may have been abandoned or not in use to save project costs. Also, to yield a cheaper construction cost as well as faster construction completion, the method of pipe bursting was usedto complete the project instead of the traditional open cul type of construction. Roadway Design &Construction City of Victoria Plaeido Benavides Project This proposed road construction project took place between Navarro (US 77) and Salem Road in Victoria, Texas. Mr. Dieringer s tasks included, but not limited to: roadway alignment, plan and profiles, drainage design, utility layouts, and quantity calculations. The Placido Benavides Project is a new roadway design project that would connect one of the busier highways in Victoria, Navarro, and connect it to Loop 463, or lac Lentz Parkway, The intent was to help relieve congestion from the growing side of Victoria by providing another route to access the Loop. Mr, Dieringer assisted the Project Engineer, Randy Janak, in developing the horizontal roadway geometry as well as all drainage aspects for the roadway. For this project, as coordination with the City of Victoria commenced, Mr. Dieringer designed several differently sized storm sewer systems based on different widths back from the roadway. The reasoning for this was to include extra drainage areas into the storm sewer system to aid in any future development along the now roadway. This would give any future site along the roadway a design basis for their drainage design and detention pond calculations. Mr. Dieringer also aided in the calculation for the Engineers estimate for the project that Included all quantities for the construction of the roadway. VCND Bond Project: This is a current project let by the Victoria County Navigation District that involves creating better site access across a large section of developmental property along the Victoria Barge Canal. The project extends an existing County road, McCoy Road, towards the Barge Canal and ties It into Fleet Avenue. These connected roads, along with the Cargo dock on the Canal, are all receiving upgrades to better handle heavy haul applications In and out of the area. After considering similar projects for larger Ports, Roller Compacted Concrete was chosen for the pavement type. Mr. Dieringer aided the Project Engineer, Ben Galvan, and put together all Plans and Specifications for this project. Federal Involvement Mr. Dieringer has closely worked with Federal agencies, USAGE and FEMA, on behalf of the Victoria County Navigation District to provide needed information and data to benefit both the District as well as the Local Community. His involvement with each entity includes: USACE. Acquiring all necessary permits, from both the Real Estate and Regulatory Departments, to construct or develop along the Victoria Barge Canal. Permits include: Construction or modification of docks, Canal widening for barge fleeting areas, as well as licenses to operate and maintain these improvements. FEMA: Mr. Dieringar also continues to work with VCND and FEMA to improve the Preliminary Flood Insurance Rate Maps (FIRMs) for this Southern Region of Victoria County. These new maps show a heavy flood inundation on properties that were previously unaffected or shown on the currentleffective maps. This has resulted in an on-going study to revise the Preliminary map that could substantially hinder development and economic growth along most of the Victoria Barge Canal, including parts of Calhoun County, r4'Civi1Cprp Wm. Patrick Hohit, RPLS Registered Professional land Surveyor Wm. Patrick Hohit has over 20 years in land surveying and project management, He became licensed with the State of Texas as a Registered Professional Land Surveyor in January 2002. As a Registered Professional Land Surveyor, he hes the necessary skills to locate and establish right-of-way lines and property lines, as well as effectively manage field crews and office operations on any project. He has prepared numerous topographic maps and drawings for city, county, and state,projects. His experience includes managing and coordinating alarge variety of survey projects, in rural and urban areas, including right-of-way surveys, topographic surveys, control surveys, and construction layout. His project locations have been across the state of Texas. Mr. Hohit's sample projects include the following; AitalLand Title Survey 18155 Chisholm Trail, Houston, Harris County, Texas: This project was on a 3.62 -acre tract of land. Along with establishing horizontal and vertical control, we were tasked with tying in and drafting all the current Improvements which included several buildings, parking lots, underground utilities and elevations and contours on the property. Research also had to be done to determine the boundary of the property and to identify the adjacent property owners. ARalLand title Survey 22.58 Acres, Victoria, Victoria County, Texas: This project was on the site of a 22.58 -acre manufactured home park, After establishing horizontal and vertical control, we were tasked with tying in and drafting all the current improvements which included the buildings, roads; parking lots and underground utilities on the property. Research also had to be done to determine the boundary of the property and to identify the adjacent properly owners. ED C TI Assoc. Degree Victoria College Victoria, TX, 1988 REGISTRATION: Registered Professional Land Surveyor Licanse #5523 Red River Street, Utility and Road Reconstruction, Victoria, Victoria County, Texas: This project was for the City of Victoria and was 112 mile in length. The project including setting horizontal and vertical control and mapping both all above ground features within the right of way of Red River Street and mapping and researching the underground utilities. IH f0 HI Paso, Texas: This project was along 3 miles of an existing divided highway located just outside of EI Paso Texas. As Project manager, i was tasked with coordinating field and office staff. We began with setting horizontal and vertical control along the highway. Themork was for supplementing an existing aerial survey of the work area. This meant tying in all surface features that could not be identified from the aerial data, which included signs and culverts. In addition, the crews had to locate the existing right of way boundary and all the sub surface utilities that were marked on the ground, All the data was analyzed and processed in the office and mapped for the client, Both 2-dimensional and 3-dimensional mapping had to be processed for this project. SH 21 over the Trinity River, Madison and Houston County, Texas: Coordinated field and office staff to perform a topographic survey of over 1 mile of right-of-way for the preparation of a new bridge over the Trinity River. The project included establishing horizontal and vertical control as well as working with sub -contractors to perform a gradient boundary survey and a hydrographic survey of the river. This required a tremendous effort of field coordination and scheduling as well as contact with private owners for the right of entryto survey across their property. Both 2-dimensional and 3-dimensional mapping had to be processed for this project. FM 234 and FM 822, Jackson County, Texas: Coordinated field and office staff to perform topographic surveying of over 12 miles of right-of-way. The project included establishing horizontal and vertical control, as well as utility coordination and mapping. This project also included establishing the existing right of way, downloading, processing and analyzing all the field data and mapping in both 2D and 3D files: North Hoights Utility Replacement, Victoria County, Texas: The field crew will tie in all the existing improvements within the tight -of - way of each street. Office personnel will then prepare a drawing which Is a recordlreporf of all the existing field data and includes the ground/surface elevations of every shotritem in the drawing, This information is then reviewed by the designing engineer who uses this data to prepareldesign construction plans for the new improvements that are needed for the project. ro4Civi1Cprp; Brandon Absher, RPLS Registered Professional Land Surveyor Brandon Absherhas over 6 years in land surveying, GIS, and Project Management.. He has worked in multiple fields including transportation, oil and gas, electric transmission, and electric distribution. As a Registered Professional Land Surveyor, he has necessary skills to locate and establish right of way lines, as well as effectively manage field crew and office operations on any transportation project. He has prepared right-of-way maps. and drawings for city, county, and state projects. His experience includes managing and coordinating a large variety of transportation projects, in rural and urban areas, including right-of-way surveys, topographic surveys, control surveys, construction lay out, and surplus right-of-way surveys. His project locations have been across the state of Texas including projects that range as far South as Cameron County; and as for North as Wheeler County. Mr, Absher's sample projects include the following; SH 249 Extension Design Build, Magnolia, TX: As part of the design team on this 24 -mile new location highway, we were tasked with verifying and supplementing aerial flight survey data, setting additional control for construction, performing hydraulic cross sections of streams and surveying all Intersecting streets. Being a design build project, time lines were critical and required close coordination with the design build team and the surveying team to ensure all deadlines were met and, Information needed was delivered as soon as possible. Aside from topographic survey, we were also tasked with surveying the railroad right of way and creating exhibits needed for permitting. US 59, Corrigan By -Pass: Collected topographic survey data for a new location roadway through heavy vegetation and tree farms.. This project required out of the box thinking to meet project deadlines, including the use of a hydro axelskidsteerto clear areas for line of sight. This project also required property descriptions for over 30 ROW parcels and control throughout. US 59 in Eli Campo, from FM 1163 to SH 71, Wharton County, Texas Coordinated the completion of right-of-way maps, parcel plats, and parcel descriptions. The project included establishing the right-of-way and property lines on over 45 parcels, tracking and locating underground utilities through coordination with underground locate companies, establishing additional control throughout the project areas, and providing a supplemental ground survey, Business Foundations Certificate, 2012 University of Texas; Austin REGISTRATION: Registered Professional Land Surveyor License #0554 SH 130 Concession, Caldwell County, Texas! Coordinated an extensive topographic survey along 4 county roads along the SH 130 corridor, The goal of the project was to replace approximately 10 miles of roadway maintained by Caldwell County, Brandon Coordinated all the field crews, established right-of-way, established project control, and coordinated with utility companies to have all underground facilities marked and recorded. The project included surveying multiple drainage structures, as well as upstream and downstream cross sections of creeks and canals:. US 181, Karnes County, Texas: Collected topographic data for 10 miles along the US 181 corridor between Kames City and Kenedy, Established horizontal and vertical control throughout the entire project while adhering to TOOT standards, Coordinated with local water and wastewater companies to tie in and survey any existing lines within the project limits. Brandon also created a 2- dimensional topographic drawing and a 3-dimensional Digital Terrain Model along the entire project to assist the engineer in his design for the reconstruction of the highway. US 83 from FM 886 to Showers Road, Hidalgo County: Coordinated office and field staff during the completion for right-of-way maps and parcel plats and descriptions. The project included a right-of-way and topographic survey of a proposed highway alignment in South Texas. Coordination between the client and landowners was instrumental to establish the new right -0f --way for the road. The project requiredboundary analysis In both rural and urban areas. SH 369 and SH 188, Sen Patricia and Bee Counties, Texas: Coordinated field and office staff to perform a topographic survey of over 15 miles of right-ot-way along the two highways. The project included establishing horizontal and vertical control, as well as a detailed sign inventory. Surveyed and tied in multiple drainage structures and canals along the project limits and any existing overhead utilities. Cost of Services: infrastructure Please indicate No Cost Proposal if your firm Is not proposing for the services specified on this Cost of Services page. Maximum amount of grant funds firm is able and/or willing to manage: INFRASTRUCTURE Potential Grant Award Costof Services % of Profit Amount maximum $1 million $10 million $50 million $100 million $250 million Hourly Rates Work Classification Hourly Rate Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Farm -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor, CivilCorp, LLC , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, N any. Signature of Contractor's Authorized Official Ben Galvan, PE, RPLS - President Printed Name and Title of Contractor's Authorized Official 6/17/19 6/1712019 View Details- Entity Overview I System for Award Management AM^' Hen Galvan 1 Ow SUMM VWAleARn \IAMLUIL\T ® ALERT: CAGE is currently experiencing a high volume ofregistmtions, and is working them in the order in which they are received. When your registration is assigned to a CAGE Technician, you will be contacted by CAGE, Ifnccessary, for any additional information. Entity Dashboard �� L3111LY Overview ' dilldl{YJiiBf,9![E11P11 Core Data r Assertions I i r Rena&Certs r POCs , r RgpQM 1 r Service Contract Resort r &EniferTed Ra or Exclusions r Active Exclusions r Inactive Exclusions � r F.xcludral Family, Members RBiURNTe3EAlbell 78Ai-I'-anuluG a-u3l t+}vua; CIVII.COIU' LLC DONS 1113(62707 CACISCadu: V331N71 .Status: Actino Lxpirution D;ne: a/t6/emy Pnrpogeof Regiuhalion- .AIl Awards Entity Overview Bntity aagf shahan Summary Name: CIVILCGRP LLC Business Type: Business orOrgenlration Lest UpdatedUp Ben Galvin Regfaunnion states: Active Activation Pate: 11/16/2018 Bxpiration Ducar ii/r6/aoi9 Exclusion6rtmmery, Active Exclusion Records? No 'flu Emfli nc ILI tilt gnu VR 1010A. I'R, t;9:1 175,,. UN ITFn M A19(.4 Search Records Disclaimers EVPIIS.goc Dalu Aeeess ikeeessiblhLy GSA.gov/TAG Check Stahls Pdviwy Toliuy GSA.gov About tNklov Help hitps:llsam.gov/SAM/Pages/publictentitySearch/entltySearchEntity0veTview.isf Ill STATE OF TEXAS {) AFFIDAVIT COUNTY OF CAI,HOUN {} BEFORE ME, the undersigned authority, on this day personally appeared Randy Janak, PE, CFM known to me to be the person whose name is subscribed to the following, who, upon oath says: I am the Manager, Secretary, or other Agent or Officer or the Principal of the Proposer in the matter of the proposal to which this affidavit is attached, and I have full knowledge of the relations of the Proposer with the other firms in this same line of business, and the Proposer is not a member of any trust, pool or combination to control the price of the services In this proposal, or to Influence any person to submit a proposal or not to submit a proposal thereon. I further affirm that the Proposer has not given, hereafter any economic opportunity, future em trip, favor, or service to a public servant iWonn Affiant to give, nor Intends to give at any time it, gift, loan, gratuity, special discount, rith the submitted proposal. SWORN TO AND SUBSCRIBED BEFORE ME by the above Afflant, who, on oath, states that the facts contained in the above are true and correct, this i_ day of --TGkn ie. 201. iRr 4Ofix;. CONNIE DOOLEY !/V r77 My Notary lD # 129813353LAMAL } ;rForv!•• ExpiresMay9,2022 Notary Public in and for V1�1UiiA County, Texas Proposer Signed By Title CivilCorp, I -L.0 Janak Vice President -Victoria Address 4611 E. Airline Rd. Ste: 300, Victoria, TX 77904 Phone Number 361-570-7500 Fax Number 361-570-7501 `? T. Email Address NOTE: PROPOSALS NOT ACCOMPANIED BY THIS AFFIDAVIT WILL NOT BE CONSIDERED The County of Calhoun does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or the provision of services. Fd Mt ,provided by Texas Ethics commission www.eth1cs.stEfte.1x.us Version V1.1,39t6039c CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. l - 4 and 6 Mare are Interested parties. complete Nos. 1, 2, S. 5, and 61f there are no Interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2019-506144 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. CiWiCorp, LLC Victoria, TX United States Pate Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. 06/1812019 Calhoun County Pate Acknowledged: g Provide the Identification number used by the governmental entity or state agency to track or Identify the contract, and provide description of the services, goods, or other property to be provided under the contract. 2019.05.29 EASS Engineering/Surveying for Disaster Recovery Nature of interest 4 Name of Interested Party city, State, Country (place of business) (check applicable) Controlling I Intermediary CivilCorp, LLC Victoria, TX United States X 5 Check only if there Is NO Interested Party. ❑ 6 UNSWORN DEC RAT! N My name Is q[/' I C )[ L 0\4 and my date of birth is -111111111115—. tt [ tom,„ p q ��rr- My address is �I 6 1 \ A-�i' (�n.Z. *360 U 1 �- f i� 1 R ,—, � � cI U u 5 ' (sheet) (City) (state) (zlp code) (wunhy) I declare under penalty of perjury that the foregoing Is true and correct. ' u T.F' 1 Err i County, Siete K on the day of It 20 Ci ;ioh" mak•_ CONNIEDOOLEY (month) (yea ) My Notary ID # 129813353 "?'R;.';tit•' i Expires May 9,2D22 r Sig a r of authorized agent of contracting business entity r 1A 00 (neGaranl) I Fd Mt ,provided by Texas Ethics commission www.eth1cs.stEfte.1x.us Version V1.1,39t6039c Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1,1.39f8039c CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos. 1- 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2019-506144 CivilCorp, LLC Victoria, TX United States Date Filed: 06/1812019 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: 07/15/2019 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. 2019.05.29 EASS Engineering/Surveying for Disaster Recovery Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary CivilCorp, LLC Victoria, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is 1 (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the _day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1,1.39f8039c CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by 11-9. 23, 90.1h Leg., Regular Session. OFFICEUSEONLY This questionnaire Is being glad In accordance with Chapter 170, Local Government Coda, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.608(a). By law this questionnaire must be glad with the records administrator of the local governmental entity not later then the 7th business day after the Into the vendor becomes aware of facts that require the statement to be filed. Sea Secton 176.006(a -1j, Local Government Code. A vendor commits an offense It the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section Is a misdemeanor. jJ Name of vendor who has a business relationship with local governmental entity. N/A z Check this box llyou areSlingan update to a previously filed questionnaire, (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was Incomplete or Inaccurate.) 3. Name of local government officer about whom the Information Inbeing disclosed, N/A Name of Officer < Describe each employment or other business relationship with the local government officer, or afamily member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Completesubparts Astrid B for each employment or business relationship described, Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable Income, other than Investment Income, from the vendor? 0 Yes FlNo B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable Income Is not received from the local governmental entity? ® Yes F-1 No 6 .Describe each employment or business relationship thatthe vendor named in Section i maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. N/A a ❑Check this box if the vendor has given the local government officer or afemity member of the officer one or more gifts as described in Section 176.003(a)(2)(13), excluding gifts described in Section 176.003(a-1). 7 6/17/19 Signature of vendor doing business with the govemmantal entry Cate Form prodded by Texas Ethics Commission www.athics.stale.lx.us Revised 11/30/2016 W 9 ZZ, Request for Taxpayer Give Forth to the Fbrm Identification Number and Certification requester. oo not 118 wintudel lheTre mage, gave.. Service Internal nService ► eo to tvww,/ra,gov/Form WA for Instructions and the latest information. send to the IRS. 1 Name (as shown on your Income tax return). Name Is required on this line; do not leave this line blank, CivilCorp, LLC 2 90slnem name/disregarded angly name, If different tram above y 3 Check appropriate boxier federal rax ciasstgoolion of the person Whose name is entered on line 1. Check only one of the 4 Pxampllons (codas apply only to certain entitles, not Individuals; sea following seven boxes, Instructions on page S): a p ElIndividual/sole proprietor or ❑ CCorporation C3SCorporation ElPartnership ❑ Trustralate single -member LLC Exempt payee code Of any) Umiled liability company. Enter the tax classification (C=C aorporailon, 3-9 corporation, P=partnarshlp) R C 2 Nota; Cheoll the appropriate box In the line above for the lav classification of the single-memberownec Do not cheek Exemption from FATCA reporting UG If the LLC is classified as a single -member LLC that Is cilaregardad from the owner unless the owner of the LLC is code 01 any) Sin another LLC that Is not disregarded from the owner tar U.S. federal tax purposes; otherwise, a single•memberLLC that a is dlsragarded from the owner should cheek the approprlats box for the tax dasslllcalloo of Re own". yg ❑ Other(ses Instructions) IN. yopHumrrwu+e�.nomaaa,mra. asusy yt 5Address(number,.street, and apL or suite no,) See lnsuucgons. Regkoater's name and address(opilonal) 4611 E, Airline Road, Suite 300 E_ City, slate, and LP code. Victoria, Texas 77904 7 List accuuntnumba s)here(optional) Min Taxpa er Identification Number (TIN) Enter your TIN In the appropriate box The TIN provided must match the name given an I]ne 1 to avoid Social security number _ ((�� backup withholding For Individuals this is generally youth Instructions number (Sate). However, far a -Ell resider( alleq cola proprietor, or disregarded entity, see the insbuctlens for Part I, later, For crier _ o,r,,,..,,oir...�-. .__......__.._...._...__ ... ...-- _ TIN,, tater. Note: If the account Is in more than one name, sea the Instructions for line 1, Also we What Name and Number To Give the Requesterfor guidelines on whose number to enter. Under penalties of pet(ury, I certify that: 1. The number shown on this form Is my correct taxpayer identification number (or I am waging for a number to be issued to me); and 2.1 am not subject to backupwithholding becausoi (a) I am exempt from backup withholding, or (b) I.have not been notified by the internal Revenue Service (IRS) that I am subject to backup withholding as aresult of a fallura to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup, withholding; and 3,1 am a U,s, citizen or other U.S. person (defined below); and 4. The FATCA codas) entered an this form (if any) Indicating that I am exempt from FATCA reporting Is correct. Certifiearlon instructions. You Must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have tailed to report all Interest and dividends on your tax return. For real estate transactions, gem 2 does not apply, For mortgage interest paid, acqulsltion or.abandonment of secured properyy%cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends,.yaU ere noHequfredyo sign the certification,but you must. provide your correct TIN. Seethe Instructions for parol, later. General Instructions Section references are to the Internal Revenue Code unless otherwise noted, Future developments. For the latest Information about developments related to Form W-9 and Its Instructions, such as legislation enacted after they were published, go to wwwdrs.gov/FormW9, Purpose of Form An Individual or amity (Form W-9 requester) who Is required to life an Information return with the IRS must obtain your correct taxpayer Identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (]TIN), adoption taxpayer Identlgcationnumber "N), or employer identification number (EIN), to report an an Information return the amount paid to you, tit other amount reportable on an Information return, Examples of information returns include, but am not limited to, the following. • Form 1 fig& -INT (Interest earned or pald) • Form 1099 -DIV (dividends, Including those from stocks or mutual funds) • Form logo-MISC (various types of Income, prizes, awards, of gross proceeds) • Form 1099-f3 (stock or Mutual fund sales and certain other transactions by brokers) . Form 1099-8. (proceeds from real estate transactions) • Farm 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Farm 1099-A (acquisition or abandonment of secured property) Use Form W-9 only 8 you are a U.s, person.( Including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requasterwith a TIN, you might be subject to backup withholding. See What Is backup withholding, later, Car. No. 10231X Fmm flit -9 (Rev, 10-20181. I Commissioners' Court — JUNE 26, 2019 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To accept K9 Hunter as an asset to the Calhoun County Sheriffs Office with a monetary value of $12,OSS. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Richard Meyer, Calhoun County Judge AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 12 of 19 M CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: K9 Hunter DATE: June 26, 2019 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR June 26, 2019 Consider and take necessary action to accept K9 Hunter as an asset to the Calhoun County Sheriff's Office with a monetary value of $12,055.00 Sincerely, Bobbie Vickery Calhoun County Sheriff I Commissioners' Court—JUNE 26, 2019 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITME NO. 15) To authorize the Calhoun County Sheriff's Office to accept donation of a 1997 Ford Frazier Ambulance from DOW Chemical Company. (RM) Sheriff Vickery stated it would be used for SWAT purposes. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 13 of 19 FIA CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD ME, YER, COUNTY JUDGE SUBJECT: Donation from DOW DATE: June 26, 2019 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR June 26, 2019 • Consider and take necessary action to allow the Calhoun County Sheriff's Office to accept the donation of a 1997 Ford Frazier Ambulance from DOW Chemical. Sincerely, Bobbie Vickery Calhoun County Sheriff Union Carbide Corporation A Subsidiary of The Dow Chemical Company Seadrift Operations P.O. Box 186 Port Lavaca, Texas 77979 USA June 17, 2019 RE: Donation of Surplus Ambulance to Calhoun County Sheriff's Office Dow Chemical Seadrift Operations would be honored to donate our surplus 1997 Ford/Frazier ambulance to our local emergency response community. Dow Chemical will provide the ambulance Vehicle Identification Number 1FDKF37F8VEA43509 to Calhoun County Sheriff's Office at no charge. Please contact myself at (361) 553-2802 for any further information. Iv,9to1%j4 01W -e4.5 cm 5 5;ae-c5, Sincerely,�� a hn Weitz Emergency Services and Security Leader Commissioners' Court —JUNE 26, 2019 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) To declare items in Precinct 1 as Surplus/Salvage and authorize Commissioner Hall to dispose of same. (see list) (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 14 of 19 1� David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for June 26th, 2019. • Consider and take necessary action on attached surplus salvage form. Sin rely, David E. Hall DEH/apt Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: RBI -540 Requested By: Commissioner David Hall Inventory =Reasonr Surplus/Salvage Number Description Serial No.eclaration 21-0116 Miller Bobcat 225G F923927406 Motor No longer serviceable Welder KC293487 Welder 665-0034 '93 Vermeer Wood 3659 Motor locked up Commissioners' Court — JUNE 26, 2019 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) On submittal of CEPRA grant utilizing GOMESA funds as matching funds, if approved, (estimated $20,000) for Boggy Nature Park, Phase I. (GR) Alan Berger (Parks Board) spoke on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 15 of 19 June 17, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Gary A Reese 1-1 County Commissioner County of Calhoun Precinct 4 Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for June 26, 2019. • Consider and take necessary action on submittal of CEPRA grant utilizing GOMESA funds as matching funds if approved (estimated $20,000) for Boggy Nature Park, Phase I. Sincerely, Gary. Rees GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: xarv.reese@calhouncotx.ore — (361) 785-3141 — Fax (361) 785.5602 Project Title: Applicant Name: Applicant Type: Project Location: (Enter address or coordinates) County: Coastal Resources Funding Application Applicants must submit all required information using this form. Boggy Nature Park Shoreline Stabilization - Phase 1 Calhoun County County government 28027'41.83"N 96024'51.85"W Calhoun Project ManagerfPoint of Contact Name: Gary D. Reese Title: County Commissioner, Pct. 4 Address: 1 104 E Dallas Ave. City: Seadrift State: TX Email: gary.reese@calhouncotx.org Phone: 361-785-3141 Authorizine Official (individual resnonsible for sienine the contract): Gary D. Reese Name: Title: County Commissioner, Pct. 4 Address:104 E Dallas Ave. City: Seadrift State: Tx Email: 9ary.reese@calhou reese@calhouncotx.org Phone: 361-785-3141 Code: 77983 Zip Code: 77983 Coastal Resources Funding Application State Senator name(s)/district(s) where project is located: Lois W. Kolkhorst District 18 Slate Representative name(s)/district(s) where project is located: Geanie W. Morrison R -District 30 US Congressional Representative name(s)/district(s) where project is located: Michael Cloud, 27th District Project Type (tn select multiple types, hold CIN and click options): une Restoration arsh Restoration or Protection Assessment Damage Mitigation f Otber, please describe: Selected Project Type(s): Shoreline Protection End Point Erosion Rate at Project Site (feet/year) 8 feet / year Note: Historical average erosion rate data.for the Texas Gull=facing shoreline is found in the Texas Shoreline Change A11as, published h.), the University of Texas at Austin Bureau of Economic Geology at hops://coastal. bei;. nte;ras. eduLshorelinechange2012. Please select the 1950 - present dale range. Does/will the applicant have legal access to/control of the project, or the necessary easement access agreement during the duration of the project (i.e. coastal lease easement, etc.)? Does the project incorporate beneficial use of dredge material (BUDM)? Is the project on Federal land? Is a sand source identified for beach nourishment? If applicable, provide a permit application number in the "Project Permitting" section. Yes 0 No Yes Q No O Yes Q No Yes Q No Funding Summary: Total Funds Requested ($): Partner Federal Match ($): Partner Non -Federal Match ($): Total Project Cost ($) (Calculated Field): Coastal Resources Funding Application $ 29,880.001 $ 0.00 $19,920.00 $ 49,800.00 Are additional funds being sought for this project? Q Yes (�i) No Sources of Funding Match: Funding Is One amding Availability Date Finding Source Cash In -Kind committed for the (mm/dd/yy) Funding expiration for Match Amount Amount biennium? (Y/N) Ex: 02/02/18 Date: (nvn/dd/yy) County GOMESAFoetl $ 19,9206 TOTALS $19,92 $ 0.00 Q Y O N 07/0112019 0Y o N 0YN 0 N Other Constraints (describe) *** For each funding source indicated as comnrihed in the table above, include a signed funding cononihnent letter or other doctuuet htlioo on the f i ntgng organizations letterhead Substantiating life connntihnent offunrhng andlor in -Rind sources. This documentation should indicale each approved fending anaumt; funding availability date; funding upiration dale; and other constrainds, if applicoble. Project Permitting: List all required federal, state or local permits and leases that have been or will need to be acquired to undertake the proposed project. If there is an existing permit and/or lease, please indicate the expiration date. Existing Estimated Date of If existing Permit/Lease? Receipt (mm/dd/yy) permit/lease, Permit/Lease Type Y/N Ex: 02/02/17 expiration date Who will obtain permit? USACE Section 10/404 N Calhoun Count Coastal Resources Funding Application Prgiect Narrative: Provide a clear overview of the project including a description of the problem this project will address, steps to accomplish the project and desired outcome(s)/bene0t(s). Benefits may include protecting, restoring or enhancing public beaches, coastal property and coastal natural resources and/or reducing losses to public resources and infrastructure. Please provide the following additional de(ail, it applicable: - proposed project dimensions including acres/linear feel to be restored - how project costs are reasonable relative to expected benefits - details on known or anticipated permitting/regulatory issues - potential project delays due to permitting tine lines, tourist or nesting windows and other environmental concerns - detail on how post -construction monitoring will be conducted - for BUDM or borrow source projects provide location, owner, cost per cubic yard, available volume, permitting information, restrictions Nature Park is located along the Matagorda bay shoreline in Port O'Connor, TX near the intersection of Taylor and 3rd Street. The Nature Park was acquired by Calhoun County in 2006 for a park and wetlands wildlife and for public access to Boggy Bayou and Matagorda Bay. In 2018 Calhoun County developed a Nine Point ement Pian to enhance public access, improve wildlife habitat, and to develop environmental education tides. One aspect of the Improvement Plan is stabilization of erosion on the Park's Matagorda Bay shoreline. ly Nature Park is a popular area for kayakers, anglers, school groups, birders, and environmental organizations. The cities at the park include an observation deck and future amenities may include a kayaking trail, hiking trails, picnic facilities, and a covered pavillon as an environmental education area. park has approximately 2,500 linear feet of eroding shoreline which separates Matagorda Bay from Boggy Bayou. =_ction of this shoreline is critical to maintaining the integrity of Boggy Bayou and the interior marsh habitat. The )y Nature Park Shoreline Stabilization project is to be completed in three phases. The County is requesting funding :r the current CEPRA Cycle for Phase 1 — Feasibility Study and Alternatives Analysis. Phase 1 will include data collection, coastal engineering analysis, and alternatives development and analysis. The Phase 1 study will result in the development of feasible alternatives for shoreline protection, feasibility level construction cost estimates, and recommendation of a preferred alternative. Under Phase 1, a coastal engineering analysis will be performed to develop an understanding of shoreline morphology, wave conditions, currents, tides, sediment transport, sediment budgets, and relative sea level rise. New topographic and bathymetric survey data will be collected under this phase. This information will be used in the development and analysis of shoreline protection alternatives. uses of work will be conducted in two additional phases. Phase 2 will include preliminary design, further data permitting, final design, and bid package development. Phase 3 will include bid procurement, construction, m oversight, and if required, environmental monitoring. project is supported by the Calhoun Port Authority as the owner of submerged lands in the project area, and has coordinated with other local project stakeholders including Texas Parks and Wildlife as representatives of the Jerhorn Ranch Wildlife Management Area, located adjacent to the project site. Coastal Resources Funding Application Describe the strategic significance and priority ol'the project including how the project will implement an existing local, regional, stale or federal plan (e.g. Texas Coastal Resiliency Master Plan, coastal non -point source pollution, erosion response plan, Galveston Bay Plat, CDBEP, GOMA Strategic Plan, NIDA). The Texas Coastal Resiliency Master Plan (GLO, 2019) identifies priority issues of concern that encompass risks and threats to the viability of coastal communities, habitats and industries. Priority issues of concern (as defined by the Resiliency Master Plan) for this project include altered, degraded or lost habitat, bay shore erosion, and impacts on coastal resources. This plan lays out actions that can be performed by Calhoun County to increase long-term resiliency of their Lavaca and Matagorda Bay shorelines. The actions to be taken at Boggy Nature Park align with regional and coastwide priorities to improve and enhance the Texas coast now and in the future, such priorities include beach sustainability, coastal storm risk management, and shoreline stabilization. The Boggy Nature Park Shoreline Stabilization project is located within Region 2 under the Texas Coastal Resiliency Master Plan and falls within a Tier 1 project area. Describe whether this is a phased project and provide a description of the phases that would extend into the future funding cycles. If applicable, describe how the proposed phase(s) will be completed within the funding biennium or other period in which Ponds are available. Include a brief task breakdown and time line. proposed project is Phase 1 of a multi -phase project: ase 1- Feasibility Study and Alternatives Analysis s phase includes collection and review of existing data, collection of new topographic and hymetric data, coastal engineering analysis, and development and analysis of shoreline itection alternatives. The preferred alternative will be developed to a conceptual level design and Engineers Opinion of Probable Construction Cost will be developed. This phase is proposed to funded under the current CEPRA cycle. This task will be completed within the funding biennium. s task is estimated to be completed in less than 1 year from award. hase 2 — Engineering Design and Bid Package Development nder this phase, further data will be collected, as required, including oyster and seagrass habitat .lineations, and geotechnical data collection. A coastal boundary survey will be performed, if For Gulf -(acing beach nourishment projects, describe how the project will comply with the local beach and dune protection plan. Cornmissioners' Court—JUNE 26, 2019 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18) To transfer Inventory #541-0168 and Inventory Item #24-0434 from Precinct 4 Road & Bridge to Precinct 3 Road & Bridge. (see list) (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 16 of 19 June 17, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Gary D. Reese County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda for June 26, 2019. • Consider and take necessary action to transfer Inventory # 541-0168 and Inventory # 24-0434 from Precinct 4 R&B to Precinct 3 R&B. Sincerely, Gary D. Reese GDR/at P.O. Box 177 —Seadrift, Texas 77983 —email: lzaryreesencalhouncolx.or¢ —(361)785-3141 — Fax (361) 785-5602 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Gary Reese, Commissioner Pct. 4 Inventory Number 541-0168 Description 2004 Chevrolet Kodiak Ambulance Chassis Serial No. 1GBC4C1E74F513041 Transfer From/To Department Dept. 570 Precinct 4 Road & Bridge to Dept. 560 Precinct 3 Road & Bridge 24-0434 2013 Entyre 1000 Gallon Trailer & Asphalt Distributor Distributor— M5153 Trailer - 1F9M51537DE007354 Dept. 570 Precinct 4 Road & Bridge to Dept. 560 Precinct 3 Road & Bridge (The tank and trailer are one whole unit) Commissioners' Court —JUNI 26, 2019 19. Accept reports from the following County Offices: i. District Clerk's Office — May 2019 ii. Tax Assessor -Collector's Office — May 2019 RESULT: APPROVED[UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 17 of 19 TER MONTH OF REPORT MAY TER YEAR OF REPORT 2019 CODE AMOUNT Revls d 03/18/14 OR - CCC 114.12 OR - CRIMINAL JUSTICE PLANNING FUND OR - CLERK'S FEE 7.34 CR - CMI 0.01 CR - CRIMESTOPPERS 2.05 CR- COURTHOUSE SECURITY 0.90 CR-CVCF 054 OR - CJPT OR - DRUG CRT PROG FEE 10.07 CR - FA 0.06 CR - JOG 0,01 CR -JCPT CR- JURY REIMBURSEMENT FEE- JRF 3.20 CR- JUDICIAL SUPPORT FUND- JSF 4.79 OR - LAW ENFORC. EDUC FUND OR - IND LEGALS SVCS (IDF) 1.63 CR - TIME PAYMENT -TP 11.54 CR- BREATH ALCOHOL TESTING CR- CO CHILD ABUSE PREVENTION FUND 1,37 OR - CLERK'S FEE CR - RECORDS MANAGEMENT 4.59 OR - BOND FORFEITURES OR - PRETRIAL DIVERSION FUND OR - REBATES ON PREVIOUS EXPENSES 4,61 OR - REIMB CRT APPOINTED ATTY FEES 111.24 OR - TECHNOLOGY FUND (DIST & CO CLK) 0,71 CR - STATE ELECTRONIC FILING FEE 0.70 OR - COUNTY ELECTRONIC FILING FEE CR - EMS TRAUMA FUND 6.81 OR - DNA TESTING FEE 3,13 OR - RESTITUTION FEE OR - TCLEOSE - MVF CR -OVERPAYMENTS CR - SHERIFF 19.85 OR - D.A. CR - FINES 74.93 CR -SUBTOTAL $384.20 CV - STATE REIMB-TITLE IV -D COURT COSTS CV - COPIES 174.00 CV - CLERICS FEES 4,101.51 CV - COURT RECORDS PRESERVATION FUND 271.04 CV -RECORDS MGMT FEE -DISTRICT CLERK 225.52 CV -STENOGRAPHER 286.54 CV - SHERIFF'S JURY FEE CV - LAW LIBRARY 668.59 CV - (STATE) DIV. & FAMILY LAW 430,94 CV -(STATE) OTHER THAN DIV/FAM LAW 450,00 CV -(STATE) OTHER CIVIL PROCEEDINGS 700.00 CV-JURYFEE 80.00 CV -RECORDS MANAGEMENT FEE -COUNTY 105.52 CV- COURTHOUSE SECURITY 135.52 CV- SHERIFF'S SERVICE FEE 2,739,18 -CV - DUE TO OTHERS -CRT APPOINTED ATV FEES - CHILD SUPPORT JUDICIAL & COURT PERSONNEL TRAINING FEE 125.54 CV- JUDICIAL SALARIES 1,138.31 CV -AJSF 95.47 CV - BOND FORFEITURES CV - STATE ELECTRONIC FILING FEE 935.22 CV - COUNTY ELECTRONIC FILING FEE 318.84 CV- FAMILY PROTECTION FEE 105.00 CV - ADOPTION -BUREAU OF VITAL STATS FEE 15.00 CV- DUE TO STATE- NONDISCLOSURE FEE 28,00 CV -OVERPAYMENTS CV - OUT -OF -COUNTY SVC OF CITATION 1.240.00 CV -SUBTOTAL 514,369.74 $14,763.94 TOTAL CASH RECEIPTS NSFCHECKS AMOUNT E TO OTHERS: NcwDEPO.REOUESns0D49URSEYEHT TORNEY GENERAL - RESTITUTION 0.00REAS IT -OF -COUNTY SERVICE FEE 1,240,00 aL&SE mCLUDE P 0 REDUESTRIGDMURSEYEW FUNDS OF OVERPAYMENTS 0,00 1 Ke SE INCLUDE P O REOUesn4GD�,%URSEYEPU 'E TO OTHERS 15,0 TOTAL DUE TO OTHERS $1,255.00 from ACTUAL Treswmes *Treasurer Receipt Numbers: F2019MAY001, 010,024,030,036,041 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 6/13/2019 COURT NAME: DISTRICT CLERK MONTH OF REPORT: MAY YEAR OF REPORT: 2019 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $2,759.03 1000-001-44140 JURY FEES $80.00 1000-001-44045 RESTITUTION FEE $0.00 1000-001-04020 DISTRICT ATTORNEY FEES $0.00 1000-001-49010 REBATES -PREVIOUS EXPENSE $4.61 1000-001-49030 REBATES -ATTORNEY'S FEES $111.24 1000-001-44058 DISTRICT CLERK ELECTRONIC FILING FEES $318.84 1000-001-43049 STATE REIMB- TITLE IV -D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $174.00 CRIMINAL COURT $7.34 CIVIL COURT $4,101.51 STENOGRAPHER $286.54 CIV FEES DIFF $0.00 1000-001-44050 DISTRICT CLERK FEES $4,569.39 1000-999-10010 CASH -AVAILABLE $7,843.11 2706-001-44055 FAMILY PROTECTION FEE $105.00 2706-999-10010 CASH - AVAILABLE $105.00 2740-001-45055 FINES - DISTRICT COURT $7493 2740-999.10010 CASH - AVAILABLE $74.93 2620-001-44055 APPELLATE JUDICIAL SYSTEM $95.47 2620-999-10010 CASH -AVAILABLE $95.47 2670-001-44055 COURTHOUSE SECURITY $136.42 2670-999-10010 CASH - AVAILABLE $136.42 2673-001.44055 CRT RECS PRESERVATION FUND- CO $271.04 2673-999-10010 CASH - AVAILABLE $271.04 2739-001-44055 RECORD MGMT/PRSV FUND - COUNTY $109.65 2739-999-10010 CASH - AVAILABLE $109.65 2737-001-44055 RECORD MGMT/PRSV FUND -DIST CLRK $225.98 2737-999-10010 CASH - AVAILABLE $225.98 2731-001-04055 LAW LIBRARY $668.59 2731-999-10010 CASH -AVAILABLE $668.59 2663-001114050 CO & DIST CRT TECHNOLOGY FUND $0.71 2663-999-10010 CASH - AVAILABL $0.71 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-001A4055 CO CHILD ABUSE PREVENTION FUND $1.37 2667-999-10010 CASH - AVAILABLE $1.37 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $125.54 7502-999-10010 CASH-AVAILABE $125.54 7383-999-20610 DNA TESTING FEE - County $0.31 7383-999-20740 DNA TESTING FEE - STATE $2.82 7383-999-10010 CASH - AVAILABLE $3.13 7405-999-20610 EMS TRAUMA FUND - COUNTY $0.68 7405-999-20740 EMS TRAUMA FUND - STATE $6.13 7405-999-10010 CASH -AVAILABLE $6.81 7070-999-20610 CONSOL. COURT COSTS - COUNTY $11.68 7070-999-20740 CONSOL. COURT COSTS - STATE $105.11 7070-999-10010 CASH -AVAILABLE $116.79 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $5.04 2698-999-10010-010 CASH -AVAILABLE $5.04 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $1.01 7390-999-20740-999 DRUG COURT PROG FEE - STATE $4.02 7390-999-10010-999 CASH -AVAILABLE $5.03 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.16 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $1.47 7865-999-10010-999 CASH - AVAILABLE $1.63 7950-999-20610 TIME PAYMENT - COUNTY $5.77 7950-999-20740 TIME PAYMENT - STATE $5.77 7950-999-10010 CASH- AVAILABLE $11.54 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $0.72 7505-999-20740 JUDICIAL SUPPORT -GRIM - STATE $4.07 7505-999-10010 CASH - AVAILABLE $4.79 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $1,138.31 7505-999-10010-010 CASH AVAILABLE $1,138.31 2740-001-45050 BOND FORFEITURES $0.00 2740-999-10010 CASH -AVAILABLE $0.00 2729-001 A4034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.32 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $2.88 7857-999-10010 CASH - AVAILABLE $3.20 7403-999-22888 DIST CRT- ELECTRONIC FILING FEE - CIVIL $935.22 7403-999-22991 DIST CRT - ELECTRONIC FILING FEE - CRIMINAL $0.70 CASH - AVAILABLE $935.92 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $421.44 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $9.50 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $438.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $12.00 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $665.00 7855-999.20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $35.00 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $28.00 7855-999-10010.010 CASH -AVAILABLE $1,608.94 TOTAL (Distrib Req to Oper Acct) $13,498.94 $13,498.94 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 1,240.00 REFUND OF OVERPAYMENTS 0.00 DUE TO OTHERS 15.00 TOTAL DUE TO OTHERS $1,255.00 REPORT TOTAL - ALL FUNDS 14,753.94 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (14,753.94) Revised 03/18/14 OVER / (SHORT) $0.00 DISTRICT COURT 3.13 3.13 MAY STATE COURT COSTS REPORT 6.13 JUV. PROB. DIVERSION FEES 2019 $ 25.22 JURY REIMBURSEMENT FEE MAY 2.88 SECTION L REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01/01/04 - FORWARD $108.76 10.88 97.88 09/01/01 -12/31/03 ('8.03. 0.80 7.23 09/01/99-08/31/01 __-,,,..,x„,,,a - - 09/01/97 - 08/31/99 MARRIAGE LICENSE FEES - 09/01/95-08/31/97 - DECL, OF INFORMAL MARRIAGE 09101191 - 08131/95 - - DNA TESTING FEES 3.13 3.13 EMS TRAUMA FUND 6.81 0.68 6.13 JUV. PROB. DIVERSION FEES $157.03 $ 25.22 JURY REIMBURSEMENT FEE $3.20 0.32 2.88 STATE TRAFFIC FEES DRUG CRT PROG FEE $10.07 $6.05 4.02 SECTION It: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEAR/PAY FEES - - JUD. FUND -CONST. CO. CRT, JUD. FUND -STATUTORY CO. CRT, MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $11.54 5.77 5.77 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $4.79 0.72 4.07 ELECTRONIC FILING FEE - CR $0.70 $0.70 TOTAL STATE COURT COSTS $157.03 $ 25.22 $ 131.81 CIVIL FEES REPORT MAY COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL, OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV $935.22 $93522 NONDISCLOSURE FEES 1 $28.00 $28.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROS CRT INDIG FILING FEES STAT PROB CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW 38 $430.94 9.50 421.44 DIST CRT OTHER THAN DIV/FAM LAW 24 $450.00 12.00 438.00 DIST CRT OTHER CIVIL FILINGS 35 $700.00 35.00 665,00 FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 29 $1,138.31 $1,136.31 JUDICIAL & COURT PERSONNEL TRANING FEE 51 $125.54 - $125.54 TOTAL CIVIL FEES REPORT $ 3,808.01 $ 56.50 $ 3,751.51 TOTAL BOTH REPORTS $ 3,965.04 $ 81.72 $ 3,883.32 REVISED SUMMARY TAX ASSESSOR -COLLECTOR'S MONTHLY REPORT MAY 2019 COLLECTIONS DISBURSEMENTS Title Certificate Fees $ 8,047.00 Title Fees Paid TXDOT $ 4,977.00 Title Fees Paid County Treasurer Salary Fund $ 3,070.00 Motor Vehicle Registration Collections $ 190,869.41 Disabled Person Fees $ 20.00 Postage $ - Global Additonal Collections $ 12.92 Paid TXDOT $ 154,999.43 Paid TXDOT SP $ 25,913.58 Paid County Treasurer $ - Paid County Treasurer Salary Fund $ 7,919.25 DMV CCARDTRNSFEE $ 2,057.15 $ - GLAdditonalCollections $ 12.92 $ - GLOBAL MERCHANT Credit/Debit Card Fee's $ 1,287.48 GLOBAL Fees In Excess of Collections $ 782.59 MERCH SERVICES STATEMENT - $ - Additional Postage- Vehicle Registration $ 13.65 Paid County Treasurer- Additional Postage $ 13.65 Motor Vehicle Sales & Use Tax Collections $ 571,249.76 Paid State Treasurer $ 571,249.76 Special RoadBridge Fees Collected $ 26,300.00 Paid County Treasurer -R/B Fees $ 26,300.00 Texas Parks & Wildlife Collections $ 5,502.00 TPW GLOBAL CC TRANSACTION FEES $ 192.64 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 4,951.80 Paid County Treasurer Salary Fund $ 550.20 P&W CCARDTRNSFEE $ 192.64 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credi7Debil Card Fee's $ 137.06 GLOBAL In Excess/Shortage of Collections $ 55.58 Boat/Motor Sales & Use Tax Collections $ 25,946.68 Paid State Treasurer $ 24,649.35 Paid County Treasurer, Salary Fund $ 1,297.33 TABC 5% GO COMMS FOR MONTH OF $ - TABC 5% CO COMMS FOR MONTH OF APRIL 2019 $ 29.50 Paid County Treasurer, Salary Fund $ 29.50 County Beer & Wine Collections $ 420.00 Paid County Treasurer, County Beer & Wine $ 399.00 Paid County Treasurer, Salary Fund $ 21.00 INTEREST EARNED ON OFFICE ACCOUNT $ 86.11 Paid County Treasurer, Nov. East $ 86.07 Paid County Treasurer, all other districts $ 0.04 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 6.05 Paid County Treasurer, Interest on P&W Ace $ 6.05 INTEREST EARNED ON REFUND ACCOUNT $ 0.18 Paid County Treasurer, Interest on Refund Ace $ 0.18 Business Personal Property -Misc. Fees Paid County Treasurer Excess Funds Paid County Treasurer Overpayments Current Tax Collections Penally and Interest - Current Roll Discount for early payment of taxes Delinquent Tax Collections Penalty & Interest - Delinquent Roll Collections for Delinquent Tax Attorney Advance - FM & L Taxes Advance - County AdValorem Taxes Paid County Treasurer- Nay. East Paid County Treasurer- all other Districts Paid County Treasurer- Delinq Tax Arty. Fee Payment in Lieu of Taxes Paid County Treasurer- Navig. East Paid County Treasurer - All other Districts Special Farmers. Fees Collected Paid Stale Treasurer, Farmers Fees Hot Check Collection Charges PARKS/WILDLIFE Paid County Treasurers, Hot Check Charge Overage on Collection/Assessing Fees Paid County Treasurer, overage refunded Escheats Paid County Treasurer -escheats $ 906.07 908.07 $ 1.91 $ 74,547.23 $ 8,956.55 $ $ 16,585.83 $ 5,718.67 $ 5,113.18 $ 0.56 $ 101,134.37 $ 126.97 $ 4,548.29 $ 5,113.18 $ 40.00 $ 40.00 $ 15.00 $ 15.00 TOTAL COLLECTIONS $ 940,582.34 TOTAL DISBURSEMENTS TOTAL OF,ABOVE /'/pgRECEIPTS PAII/DD TO STATE AND COUNTY ' GLORIA A. OCHOA Tax Assessor -Collector $ 940,582.34 $ 940,582.34 RICHARD H. MEYER County Judge FO O co 00 N OD W (O f0 O O O w co N M O O O Z O O Iq N N d; N, O n O 0 0 N O N M co (O O O w r O 0) M (7; fl: N M 6 O r 0 h H> 0) n W 0) r Erl n 0) r r co Do r q O N N co N '* O N 0) N w 0 0 0) O 0) N n N co Q) h r f0 N Cl) U) V M d' N r r r (O d' r Q W) N N N N m co p fA fA fA fR fA fA fA (A fA to (» V! fA fA (A fA fA fR to vi to fA ::T H O r 0 N N (0 O O-4 co O O Cn O O 0) to 11 O O (O fD N O O Z )` 0) C (V N7 O O (V N (6 O) O ( IL O 't (0 N r r K O O 0) et N N f w F c W N M N r 0) V' W co T - tl co O N J J r N = O F U } Z fA M fA fA H H N (fl H M YT fA fA f9 V! E O Qm (—D r2 d N O >. U n N w W J i O IL G r LL N C LU U N a N R O J N N c ON y ) a' oD NLL LL Q H o (nvt va do R p vwF- LU Z U U m LL LL{OOLL 46 � a LL 0 Ell U Uy wN cz— m m 0) ma zz(fO UX (O O U W o U o c > j cn Z W COu m U d Q Q o a w K K { O O 0 O N> > N 3 f X O 'a+ N N Q W m N �) > O N U z N 'f j d y O N O O W 2 C U O) M 7 W N O7 Z U f0 0 U N d N O7 LL LL N 0@ M ) A N d a d W C U y— i ofy OS LL N w J N W U N@ N N U N N N a a N Ol C U H H w O a' N i - H W y Q N H W O U W 7 O N N F WILCL rn(i Uoo U) w iw d > vh my of zawcoo—ED °tl w �� r Zy Z ( LL y y 0) C N p p>> Z N (�% C w N C U O C Z N N N C G C C { y m m w o c xx XX o o o J J 2 49 'O (� To DO o' �' U F x 3 w C J J m Z6 D O O>> j M ti {i .,0, F F- U U D U m m U a U in v U y Q Op H U m m u1 m U p p U U U v= CD d ;�fl v'm 'a 'a'R ,��w m r m c m YmQ m mwQOO `opv UUp SPP { yF=F= > aQaaaaU oa a ma a-aaavJ(D0 oaa a maa U a� 0 `o u No O m U m U U c i :t o N o o �� '0 o a 0i a -j 0� o QQ o t F Lr D a CD 0 0 Q a O m H h U _ O � CO O O Y} V9 mnrnrnco O O It v O M 0) N< O O M M O d' <O CO M O 10 N N M N le < l < co Co <<N < t0 N r 4 L6 O O O � � < O O Y} 4a fH fA fA fA 40 40 4a dT to 6% 6% M ODrl�Q 4a F Z w 2 w U) 7 m to 0 J F O r 0 co 00 O O N 1 7 CO ( O O M ODrl�Q r l0 t0 O M O N N O V LO N CO < < d' < CO 0) N 07 M 1� < N d' CO (0 10 L0 O O EH ffi 619.4%40 69 699 V)? fA 4a EH fH fH 6% N Z O U w J J O U a) a) w m N LL N LL a Q Y w p r ) O N Q N 0 N X d N N r w U) L d LL 9 r w t v o) N L LL N Y U N N O) N m p — O O LL ca of O •�'' N N N N Q O O) N t c Q Z ca U Z Q a a x c> O N a) xp C N l0 a0+ U- N N N ?+ N N y T 0 r m'a m m m N N N - m N N N N O L C S C r Q J J >> M M co J J y N N O. O d J m m m d N N U= t N Q N O- H> U >. co O N a) r N V y 6 06 c 0 N N N� N N� G N C N N IL F r a+ N N 0 c g o r 1- F- r r h ry H F U LLUa F- orO wtU VON >C` 0 o N0 CC CCa) LL a) �OTC. .O>C .O O OO 12 12 O (0 O O X O O O a) O O 0 UC U U U U n 0 U U U r X -0 -0 a IL 3 a p W G N N C > > -0 (6 -0 N -0 a) C) N Y N Oa) p a N O. LLEL C T ac) OQp. M (L IL LL- 0 n. m a r a N � N wa d IC 0 CL 3 U 1! t N O a) N O X > ID O Na m w 0 U a 93 a U a m x 0 w F Z w 2 w U) 7 m to 0 J F O r Commissioners' Court—JUNE 26, 2019 20. Consider and take necessary action on necessary budget adjustments. (RM) 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 18 of 19 r N O O N O z } z M C a zz a ca 0 0 C z N A O C r R c n m G) m nIn C Z O s oft, V O O mm -1-0 003 Z�0 cn m. �� vv?y z=_ zc) �= zz�m z= m G) M= =e Azz o__ C= m z cn M= CO o 20000 c o M = z 3 ci c) ci ci zit-z-�-zi� — O 0 N x a n = r r _ � T O O O O O O m=_ ifl- fA O E9 0 � T EA fA EA EA T 0 0 0 0 z- N N N I� �_ m m rn ae ren O T = w fn E» W ze — M �ET W A O C r R c n m G) m nIn C Z O s oft, V O O m z i m H O z a C1 O c z i H O ®v W m 3 m A m m z -0t m m 0 0 a r m m 0 m N 0 0 1 r N N N MIR W W W W Cq m N D W O y O O O O C v 3 0 z z z z 0000 ci ci ci ci zzzz z z z z H T N E9 69 �I�WT C O O O T m C 0 o i � G) p Nm � y 0 C,) v H 0 O r a z v � m y z Ia < 3 m v m z m m 0 z z z z 0000 ci ci ci ci zzzz z z z z H T N E9 69 �I�WT C O O O T I A N e I� N I I 0 O O « ° r r o 0-0 0 0 O v_ O O m T CN Cad 0 F 3 Fn ^' U) 02 m � M k k b §t 5 ) � k k 2 § � \� 22 d k § M z§ 2 Bn o § ■ �� ` § ■ ■ v■ j §t 5 ) � k k 2 § � \� 22 �l 3€ Ze Z: m Ze '11 e ale rn N N N Nj% 3 wNwww m y� N A N~ z L 3 p D O m z Nc cn D� i Mm�9.m m Zzmpc a m v v O CmommeR z N D N C co r m v r C- a z G) r m X mC/) i D m U) 3 P, a z co co comm H o co co cocom� i m n��mcocoz 3 3 o m v mzzzzz z A m0 0 0 0 0 0 p v 3G)G)G)G)0 C; Z O z N {gyp 3 O m „I r r Z T W Crti O 0 0 0 0 0 0 T S d1 69 fA ffl EA fA m eT 0 0 0 0 0 0 0 O O (O EA fA O T O 0 0 0 0 0 0 T m m rn o O O O O O O O m O A m O yyl o yW HL 0 A O D y Zcn o° cn z N m u p C O eaa mm� cn (, M a chi � A D (D m e 00 G) G) ti z a 3 m m Z Z y i m a zz °m€ a m Z. € : wN' T 0 ! v n m G) m n r C v c z lam. 0 0 k ■ § m z m m % z k § § .4 /k\ / § ( A G) A 2 ) § k v § k ! 'n �� \ � ME -13 k m §§ m ; $ - . -1B % - \■ k k §B n r = 0 2_ Z= § � } C m Mc ME k M� °2B z) !®■ ) (§ $ ■ k , §; (k 4zB \ \ ri qJ G ■ § k ) § § ■S 8= $ vk © M§ e t °\ k� \ ■ Z= \ } \� � § - ■ © §§ t � t�§ ■ m__ m % z k § § .4 /k\ / § ( A G) A 2 ) § k v § k k 0 000000 olsM M= rn t t t t a 3 E 0 0 0 0 0 0 O A W N O Z m z T ITS UNi C (A fA ffl fA M M fA m 0 0 0 0 0 0 0 Z T T T T T z a i m m m m m I� m m m m m IST r zfnN10�o10 Oi W� N N W N `c cc Lc Lc `c m 000 m =_ L cmrnco a Z= — I—I—— 1 i 0 0 0 0 0 0 0 1'A 100000 G 0 00 0mmmmm Z M000009 (nm T T T T y 3 'C -u D U T a tnmmmmm� G L L T T A>>>> D.T. t. m m m m m C T T "0 'O c y M_ mmmmm W 4 00000 C zzzzz Z= 00000 O C= M nmco co mco com O 3 e � m z z z z z z 3 0000000 y A rn 3 0 z 0 Z 2 o O cG;c)7 G)7 z c N x m M w 3 G Z z m m C g = a n M M z x fN E» E» t» 4» EA W A A 3 N� w W Oq T O O~ k 0 000000 olsM M= T Ipp E T ITS Vl (A fA ffl fA M M fA 0 0 0 0 0 0 0 0 a I� AC3 IST r Of Oi W� N N W N c m =_ _ Z= O 0 0 0 0 0 0 0 1'A k 0 000000 olsM v 'Lot l� N 14v M= 8 O O y N O AC3 IST r Of Oi W� N N W N c v 'Lot l� N 14v M= O O y c m =_ _ Z= D D �= 00 Z= 3 ME L L T T 7 --i-ii M_ 4 M= Z= C= ME A = 3 0 z 0 Z z z 00 o 3 cG;c)7 G)7 D y Z z g = O M z N -' 3 _ O O~ Z = rn e 0= me O O O O T VE C9 3 ME_ O O O O T Z=_ i= s Z= 0= T T � ca = M E9 EA EA RI T __ TIS CC O N N N J 0 = m m J v v 'Lot l� N 14v I Commissioners' Court —JUNE 26, 2019 21. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Payroll RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Court adjourned: _10:46 A.M.— Page 19 of 19 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- June 26. 2019 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES Michelle M. Cummins MD ESS of Port Lavaca LLC HEB Pharmacy (Medimpact) Pharmacy Reimbursement MMCenter (In-patient $ 4,908.44/ out-patient $5,712.64 / ER $2,810.24) Regional Employee Assistance Victoria Anesthesiology Assoc SUBTOTAL Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Co -pays adjustments for May 2019 Reimbursement from Medicaid by: DC 46.73 233.01 328.44 13,521.32 33.27 424.24 14,587.01 4,166.67 Subtotal 18,753.68 (190.00) 0.00 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- June 26,201 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ ':844,466.58 TOTAL TRANSFERS BETWEEN FUNDS $ TOTAL NURSING HOME UPL EXPENSES $ 703,387.94 TOTAL INTER -GOVERNMENT TRANSFERS $ 261,143.40 GRAND TOTAL DISBURSEMENTS APPROVED June 26, 2019 $ 1,798,988.02' MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---June 26 2019 PAYABLES AND PAYROLL 6/21/2019 Weekly Payables 355,634.82 6/24/2019 McKesson -3406 Prescription Expense 6,775.88 6/24/2019 Amerisource Bergen -3406 Prescription Expense 900.49 6/2112019 Patient Refunds 5,118.79 6/21/2019 Citibank Credit Card -see attached 8,110.12 6/21/2019 Goldencreek-Nursing home Insurance pymt sent to MMC in error 57,503.95 6/24/2019 Payroll Liabilities -Payroll Taxes 103,131.48 6/24/2019 Payroll 306,605.28 6/24/2019 ExpertPay-child support 347.65 Prosperity Electronic Bank Payments 6/20/2019 Credit Card & Lease Fees 151.23 TOTAL TRANSFERS BETWEEN FUNDS $ NURSING HOME UPL EXPENSES 6/24/2019 Nursing Home UPI CIIPP/INTEREST CHECKS TO MMC 6/24/2019 Ashford 6/24/2019 Solera 6/2412019 Crescent 6/24/2019 Broadmoor INTER -GOVERNMENT TRANSFERS 7/2/2019 IGT DY8 -Round 1 Monitoring Amount to be paid July 02,2019 7/2/2019 IGT DSRIP-Round 1 to be paid onJuly 02, 2019 677,851.46 12,260.39 3,490.83 2,374.60 2,389,33 3,546.95 GRAND TOTAL DISBURSEMENTS APPROVED June 26, 2019 8 1,798,988.02' f ln�//1!`•/4 Tenho/mmrlrieonrlr/rnni/mn}xmu,i nneinpf nnm/nAR1 Srl/AntM vftw rsvSranns•11 O 4117 /7r11 O Page 1 of 18 JAN 2 0 2019 MEMORIAL MEDICAL CENTER 06/20/2019 ,�,,,t ly cr51I1q •(1lditor AP Open Invoice 0 List (Vendor Balances) bal.template 11`40' Due Oates Through: 0710312019 ap_open_inv_vend Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 Invoice# Comment Tran Dl Inv Dt Due or Check D Pay Grass Discount No -Pay Net 134572 r/1 05/30/20 06/30/20 50.91 0.00 0.00 50.91 I05/30/20 SUPPLIES tyjtrpLnh) < 134690 ✓ 08/01/20 06/03120 07/03/20 14.99 0.00 0.00 14.99 ✓ SUPPLIES (?hySILA% T 9) 134822,/ 06/11/20 06107120 07/02120 73,65 0.00 0.00 73.65 ✓ SUPPLIES (1;1t(p"7 134823 % 06/11120 06/07/20 07/02/20 15.99 0.00 0.00 15,99 ✓ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11283 ACE HARDWARE 15521 155.54 0.00 0.00 0.00 155.54 Vendor# Vendor Name Class Pay code A1680 AIRGAS USA, LLC- CENTRAL DIV v/ M Invoice# Comment Tran Dt Inv Dt Due or Check DPay Gross Discount No -Pay Not 90.89625965 f 06/18120 06/07/20 07102120 291.52 0.00 0.00 291.52 t/ OXYGEN Vendor Tote Number Name Gross Discount No -Pay Adjustment Net A1680 AIRGAS USA, LLC -CENTRAL DIV 291.52 0.00 0.00 0.00 291.52 Vendor#Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC. ✓ M Invoice# Comment Tran or Inv Dl Due Dt Check D -Pay Gross Discount No -Pay Net -67434}70. 06/10/20 05/28/20 06/27/20 954.00 0100 0,00 954.00 qW51LfA11d SUPPLIES Vendor Tole Number Name Gross Discount No -Pay Adjustment Net A1690 ALCON LABORATORIES, INC. 954.00 0.00 0.00 0.00 954.00 Vendor# Vendor Name Class Pay Cade 12232 ALCOR SCIENTIFIC v Invoice# Comment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount Ne -Pay Net 55925 of 06/19/20.03/21/20 06119/20 283.00 0.00 0.00 283.00 RETURN LOANER INSTRUMEI Vendor Tote Number Name Gross Discount No -Pay Adjustment Net 12232 ALCOR SCIENTIFIC 283.00 0,00 0.00 0.00 283,00 Vendor# Vendor Name Class Pay Code A1746 ALPHA TEC SYSTEMS INC/ M Invoice# Comment Tran Dt Inv DI Due or Check D Pay Gross Discount No -Pay Net INV00075242 v1 06/19/20 06119/20 06/19/20 85.61 0.00 0.00 85.61 SUPPLIES. fr{IIIJu'ly%6,? I Vendor Tota Number Name Gross Discount No -Pay Adjustment Net A1746 ALPHA TEC SYSTEMS INC 85.61 0.00 0.00 0.00 85.61 Vendor# Vendor. Name f Class Pay Code At 360 AMERISOURCEBERGHN DRUG CORP v W Invoice# Cpmment Tran Dt Inv Dt Due DI: Check D Pay Gross Discount No-P8y Net 955195785 v/ 06/18/20 06/14120 06/20120 124,32 0,00 0.00 124.32 w/ PHARMACY DRUGS Vendor Tota Number Name Gross Discount No -Pay Adjustment Net A1360 AMERISOURCEBERGEN DRUG CORP 124.32 0.00. 0.00 0.00 124.32 f ln�//1!`•/4 Tenho/mmrlrieonrlr/rnni/mn}xmu,i nneinpf nnm/nAR1 Srl/AntM vftw rsvSranns•11 O 4117 /7r11 O I Page 2 of 18 Vendor# Vendor Name Class Pay Code 11376 APPLETON MEDICAL SERVICES INC Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 397932 ✓ 06/19/20 06/19/20 06/19/20 771.95 0,00 0.00 771.95 SUPPLIES Sh'YFilt 2L1.6 , Vendor Tota Number Name Jv Gross Discount No -Pay Adjustment Net 11376 APPLETON MEDICAL SERVICES INC 771.95 0,00 0.00 0.00 771.95 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ,/ 906836 ✓ 06/18/20 05/06120 06/05/20 31.49 0.00 0.00 31.49 WATER Vendor Tota Number Name Gross Discount No -Pay Adjustment Net A2218 AQUA BEVERAGE COMPANY 31.49 0.00 0.00 0.00 31.49 Vendor# Vendor Name Class Pay Code B0435 BARD PERIPHERAL VASCULAR ✓ M Invoice# Tran Dl Inv Dt Due Dt Check Pay Gross Discount No -Pay Net /Comment 79642169 ✓ 06/19/20 06/19120 06/19/20 54.38 0.00 0.00 54.38 r� /SUPPLIES 45708225 ✓ 06/19/20 06/19/20 06119/20 150.00 0.00 0.00 f 150.00 ✓ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net B0435 BARD PERIPHERAL VASCULAR 204.38 0.00 0.00 0.00 204.38 Vendor# Vendor Name Class Pay Code 81160 BAXTER HEALTHCARE v1 W Invoice# Tran Dt Inv Dt Due Dt Check Pay Gross Discount No -Pay Net /Comment 63170479 d 05131120 06/03/20'06/28120 366.88 0.00 0.00 386.88 ✓~ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Not B1150 BAXTER HEALTHCARE 366.88 0.00 0.00 0.00 366,88 Vendor# Vendor Name Class- Pay Code 61220 BECKMAN COULTER INC ✓J M Invoice# CC mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 107264425 ✓ 06/18/20 10/05120 10/30120 180.58 0.00 0.00 180;58 r.%r ySUPPLIES. 107652317 ✓ 06/18/20 02/01/20 02/01/20 -81.16 0,00 0.00 -141:18 CREDITING. INVOICE 106317636 06/18/20 05/08/20 05/08/20 -4,308.00 0,00 0.00 -4,308.00 CREDITING INVOICE ✓r 107781486 06/18/20 06/04/20 06/29/20 2,60826 0.00 0.00 2,608.26. SUPPLIES 107784278 ✓ 06/18/20 06104120 06/20/20 632.40 0.00 '0,00 632,40 Sy1PPLIES 107783706 ✓ 06/18/20 06104/20 06129/20 6,788.89 0.00 0.00 6,768,89 ✓ Vp IPPLIES 107764315 06/18/20 06/04/20 06/29/20 - 206.44 0.00 0.00 206,44 V SUPPLIES 107783992. 06/18/20 06/04120 06/29/20 1,029,16 0.00 0.00 1,029,16 ✓ SUPPLIES 107783912 L/ 06/18/20 06/04/20 06/29/20 903.36 0.00 0.00 903.36 .SUPPLIES 107787616 of 06/18120.06/05/20 06/30/20 555.84 0.00 0.00 655.84 L,,,- 111.4110 -IT 1 Srl/data S/tmn n}arSmrtmrtlo (./7/1/1(11'0 /SUPPLIES 5407847 r{ 06!18!20 06/05/20 06/30120 Page 3 of 18 6,249.42 0.00 0.00 6,249A2. SUPPLIES Pay Code Adjustment Net 11224 CABLES AND SENSORS ✓ Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 81220 BECKMAN COULTER INC 14,765.19 0.00 0.00 0.00 14,765.19 Vendor# Vendor Name Class Pay Code No -Pay Vendor Tota Number Name Gross Discount No -Pay 11224 CABLES AND SENSORS 151.00 0.00 81320 BEEKLEY MEDICAL M Vendor# Vendor Name Class Pay Code 0.00 Invoice# eo ment Tran Dt Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net INV1271421 06119120061192006119/20 212.95 0.00 / 0.00 212.95 lJ SUPPLIES Slvptn� j3,�'s .SUPPLIES eltljlrtlyu � 91-5V Vendor Tole Number Name Gross Discount No -Pay Adjustment Net 61320 BEEKLEY MEDICAL 212.95 0.00 0.00 0.00 212.95 Vendor# Vendor Name Class Pay Code 10599 BKD, LLP V Check D`Pay Gross Discount 2019050 / 06/18/20 05/31120 05/31/20 Invoice# Co1r lment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8KO1032264 ✓ 06/17/20 0429120 0512420 2,001.25 0.00 0.00 2,001.25 t/ CONSULTI2/31/16 MEDICARE 12,538,91 0.00 0100 Vendor# Vendor Name Class .Pay Vendor Tote Number Name Gross Discount, No -Pay Adjustment Net 10599 BKD, LLP 2;001.25 0.00 0.00 0.00 2,001.25 Vendor# Vendor Name Class Pay Code Adjustment Net 11224 CABLES AND SENSORS ✓ 151,00 No -Pay Invoice# ✓ Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount 71421 ✓ 06/1812006105/200625/20 151,00 0.00 SUPPLIES S12p0 tt5 10 .00 U 150.55 No -Pay Vendor Tota Number Name Gross Discount No -Pay 11224 CABLES AND SENSORS 151.00 0.00 0,00 Vendor# Vendor Name Class Pay Code 0.00 C1325 CARDINAL HEALTH 414, INC. k/ w Adjushrient Net 0.00. Invoice# Cp ment Tran Dt Inv Ot Due Dt Check'D Pay Gross Discount 8001948624 06/18/20 05/19/20 06/13120 156.55 0.00. .SUPPLIES eltljlrtlyu � 91-5V Vendor Tota Number Name Gross Discount No -Pay C1325 CARDINAL HEALTH 04, INC. 156.55 0.00 0:00 Vendor# Vendor Name�f Class Pay Code 10212 CLINICAL PATHOLOGY LABS V / ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D`Pay Gross Discount 2019050 / 06/18/20 05/31120 05/31/20 12,538.91 0:00 LAB SERVICES Vendor Tota Number Name Gross Discount No -Pay 10212 CLINICAL PATHOLOGY LABS 12,538,91 0.00 0100 Vendor# Vendor Name Class .Pay Code 01166 COASTAL OFFICE SOLUTONS W Invoice# Comment Tran Ot Inv Dt Due Dt :Check D Pay Gross Discount OE239361 V, 06/18/20 06/13120 06/23/20 65.71 0.00 .SUPPLIES -&,tsi W? CAn.tS+w f OWD ooruJpx :,--Q�i"SEm iota ODiscount Vendor Tote Number Name Gross No -Pay 01166 COASTAL OFFICE SOLUTONS 65.71 0.00. 0.00 Vendor# Vendor Name / Class Pay Code C1970 CONMED CORPORATION ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount 03107r/06/19/20 06/19/20 06/19/20 794.27 0.00 No -Pay Net 0.00 151.00 yj Adjustment Net 0.00 151,00 No -Pay Net / 156.55 0.00 Adjustment Net 0,00 150.55 No -Pay Net �. 0.00 12,538:91 yf Adjustment Net. 0.00 12,538.91 No -Pay Net 0.00 65.71 t% Adjushrient Net 0.00. 65.71 Na -Pay Net 0.00 794:27 yi f1.-//Ir.rrr�..;.�i.,;.,,,.1,:...,..vi.:,,:.:I,,,.,----A,icni,,.+„ Fi+,;.„ ,..s,:o.,..,a1.0 r/,)nl1nto Page 4 of 18 SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net C1970 CONMED CORPORATION 794.27 O.OD 0.00 0100 794.27 Vendor# Vendor Name Class Pay Code 11004 CSI LEASING INC,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net RT00230594 v/ 05/231200512312007/01/20 2,965.64 0.00 0.00 2,965.64 LEASE - OIA(Sp- all Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11004 CSI LEASING INC 2,965.64 0.00 0.00 0.00 2,965.64 Vendor# Vendor Name / Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Cheek D Pay Gross Discount No -Pay Net 2515A' 06/19)20 06/19/20 06119/20 166.03 0.00 0.00 166.03 iirl / SUPPLIES SWprirl5 31 PfS' 252027 ✓ 0611912006/19/2006!19/20 649.17 0.00 0.00 649.17 SUPPLIES S4+Arr i" b3.S- / 253160 ✓ 06/19/20 06/19/20 06/19/20 171.56 0.00 0.00 171.56 --/ / SUPPLIES 15WpVivltJ� ",Ot! 252623 ✓ 06/19120 06/19/20 06119/20 649.17 0.00 0.00 - 649.17 SUPPLIES SWVVIh� wh• . 251407 ✓ 06/19/20 06/19/20 06/19/20 65.49 0.00 0.00 65.49 SUPPLIES 5k%4'rlh5 X2.05 Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10006 CUSTOM MEDICAL SPECIALTIES 1,701.42 0.00 0.00 0.00 1,701.42 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON V/ Invoica# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / / 5732990 V 05/31120 06/03/20 06/28/20 172.13 0.00 0.00 172.13 t/ SUPLLIES 5738310 05/31/20 06/03/20 06128/20 437.61 0.00 0100 437.61 SUPPLIES 5741710 06/07/20 06/05120 06/30/20 450.91 0.00 0100 450.91 FILE CABINET- OKY46LO N Od# A-lod"I , 5741660 06/07/20 06105/20.06/30120 96.14 0.00 .0.90 96.14 SUPPLIES 5742730 V 06/10120 06/06/20 07/01/20 73.27 0.00 0.00 73.27 SUPPLIES 59.51 5737880 ✓ 06/18120 05/31120 06/25/20 59.51 0.00 0.00 V SUPPLIES Vendor Tole Number Name. Gross Discount No -Pay Adjustment Net 10368 DEWI TT POTH & SON 1,289.57 0.00 0.00 0.00 1,289.57 Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC ... Involce# Comment Tran Dt Inv Dt Due Dt. Check l0 Pay Gross Discount No -Pay Net MMCOB1519 06/17/2006/1712006/17120 127,568.78 0.00 0.00 127,558.78 PRO FEES CLINIC - fhIWAA GdrvIeeS JUM 1-i.5 1 qq(q - Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10789 DISCOVERY MEDICAL NETWORK INC 127,558.78 0.00 0.00 0.00 127,556.78 Vendor# Vendor Name. Class Pay Code E1268 ENTERPRISE RENT -A -CAR W Ihvoice# Comment. Trait Dl. Inv Dt Due Dt Check D Pay. Gross Discount No -Pay Net f,1n•N/(''•/TTmm/mmnUicear4/nnai/mPmmr+rT rncinnt rnm/,,RR14Q/data 5/torn vixr5rpnnrt I Q rnnlnnl tl 6112. 06/12120 05/31/20 06/30/20 314.64 CAR RENTAL/ SCHERRER e VkJW W �UBYttda4t� Vendor Tota Number Name Gross Discount E1268 ENTERPRISE RENT -A -CAR 314.64 0.00 Vendor# Vendor Name Class Pay Code C2610 EVIDENT,/ M 20,708.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross A1906061378%/ 06118/20 06/06/20 07/01/20 20,708.00 SOFTWARE AND DUES 61.23 ✓ Vendor Tota Number Name Gross Discount 02510 EVIDENT 20,708.00 0.00 Vendor# Vendor Name / Class Pay Code F1400 FISHER HEALTHCARE .F M Vendor# Vendor Name Class Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 5809310 V% 05/31/20 06103/20 06/28/20 522.72 / SUPPLIES 5024488,r 05/31120 06/03/20 06128/20 / SUPPLIES 4818210 r/ 05/31/20 0 6/03/20 0 612812 0 SUPPLIES 4543344 f SUPPLIES 05/31/20 06/03/20 06128/20 61.23 Page 5 of 18 0.00 0,00 314.64 ✓ No -Pay Adjustment Net 0.00 0.00 314.64 Discount No -Pay Net 0.00 0.00 20,708.00 f No -Pay Adjustment Net 0.00 0,00 20,708.00 Discount 0.00 No -Pay 0.00 Net 522,72 0.00 0.00 61.23 ✓ 290.49 0.00 377.13 0.00 7172216 ✓ 06/18/20 06/06/20 07/01120 187,56 0.00 SUPPLIES g0-14 7172209 ✓ 06/18/20 06/06120 07101120 1,293.92 0.00 0.00 290.49 0.00 377.13✓ 0.00 187.56 1/ 0.00 1,293.92 ✓ / SW1'Vttok 1rS2dov - /SUPPLIES 7899466 ✓ 06/20/20 03/15/20 04/09/20 63.80 0.00 0.00 63.80 SUPPLIES 66401h 14'alet'A q.191 UU . " Vendor Tote Number Name Gross - Discount No -Pay Adjustment Net F1400 FISHER HEALTHCARE 2,796.85 0.00 0,00 0,00 2,796,85 Vendor# Vendor Name Class Pay Code / F1653 FORT BEND SERVICES', INC V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0222584IN Y% 06/11/20 06/03/20 07/03/20 530.00 0.00 0.00 530.00 WATER TREATMENT Vendor Tote Number Name. Gross Discount No -Pay Adjustment Net F1653 FORT BEND SERVICES, INC 530.00 0.00 0,00 0,00 530A0 Vendor# Vendor Name / Class Pay Code 11183 FRONTIER V Invoice# Comment Tran Dt .Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 060219 0611#L8120 06102/20 06/26/20 717.23 0.00 0,00 717.23✓ .PHONES qa tfl� Y�1 060219A 06/18/20 06FF//�0�2/20 06/26/20 951.12 0.00 0.00 y 951.12 V PHONES Lott PL& 4541 Vendor Tota Number Name - Gross Discount No -Pay .Adjustment Net 11183. FRONTIER 1,666.35 0.00 0.00 0.00 1,668.35 Vendor# Vendor Name/ Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC ✓ Involve# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6001321752 06101/20 06/01/20 07/01/20 3,588.58 0.00 0.00 3,688.58" IMAGING CONTRACT - - t' 1P411041 rneina4 rn An 2121 Ktl/rlatn S/tnm a r1'Jl11Or11 Q Page 6 of 18 6001321643 V/ 06/01/20 06101/20 07/01/20 572.33 0.00 0.00 672.33 i GING CONTRACT 6001321642 y" 06/01/20 06/01/20 07/01/20 1.651.20 0.00 0.00 1.651,20 I GING CONTRACT 6001311793 ✓ 06/01/20 06/01/20 07/01/20 5,665.83 0.00 0.00 J 5,665.83 ✓ IMAGING CONTRACT Vendor Tole Number Name Grass Discount No -Pay Adjustment Net 12404 GE PRECISION HEALTHCARE, LLC 11,477.94 0.00 0.00 0.00 11,477,94 Vendor# Vendor Name Class Pay Code W1300 GRAINGER / M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9194768181 r/ 06/11/2005/0412006/29/20 216.17 0.00 0,00 218,17 SUPPLIES 9196854609 06/18/20 06/06/20 07/01/20 296,38 090 0.00 296.38 SUPPLIES Vendor Tota Number Name Grass Discount No -Pay Adjustment Net W1300 GRAINGER 514.55 0.00 0.00 0.00 514.55 Vendor# Vendor Name Class Pay Code 60401 GULF COAST DELIVERY v1 Invoice# Comment Tran Dt Inv Dl Due Dl Check D Pay Gross Discount No -Pay Net 751298 06120/20 05/07/20 06/06/20 25.00 0.00 0.00 25.00 t ff DELIVERY SERVICES (511_613111q) Vendor Tota Number Name Gross Discount No -Pay Adjustment Net G0401 GULF COAST DELIVERY 25.00 0.00 0.00 0.00 25.00 Vendor# Vendor Name / Class Pay Code G1210 GULF COAST PAPER COMPANY ✓ M Involce# Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net /Comment. 31,67 0.00 1681678 ✓ 06/03/20 06!03/20 07/03/20 090 31.67 SUPPLIES Vendor Tota Number Name Gross Discount No,Pay Adjustment Net 61210 GULF COAST PAPER COMPANY 31.67 0.00 0.00 0.00 31.67 Vendor# Vendor Name Class Pay Code 10804 HEALTHCARE CODING & CONSULTING I/ lnvolce# Comment Tran 01 Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8525✓ 06/11/20 05131120 06/30/20 490.00 0.00 0.00 490.00 CODING SERVICES VendorTola Number Name Gross Discount No -Pay Adjustment Net 10804 HEALTHCARE CODING & CONSULTING 490.00 0.00 0.00 0.00 490,00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE. EQUIPMENT FINANCE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gress Discount No -Pay Net 100164285,/ .0611712006107/2007/01/20 7,154:17 0.00 0.00 7,154.17 LASE 0.00 3,334.17 100164286 t 06/17120 06/07/20 07/01/20 3,334.17 0.00 LEASE 100164284 y 015/1712006/07/2007/01/20 4,919.41 0.00 0,00 / 4,919.41✓ LEASE 100164287 / 06/17/2006107/2007101/20 1,797.44 0.00 0.00. 1,797.44 LEASE Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11552 HEALTHCARE EQUIPMENT FINANCE 17,205;19 0.00 0.00 0.00 17,205.19 Vendor# Vendor Name Class. Pay Code film /110,IT Tome/mmr•lricennk/rnai/mammarl rncinat PnmA, RR15l1/Aa#n S/tmn nrarSrnnnrflQ F/7RMh1Q Page 7 of 18 10298 HITACHI MEDICAL SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net PJIN0136985 ✓ 06/18/20 06/17/20 06117/20 8,33333 0.00 (.00 8,333.33 SMA FEE Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10298 HITACHI MEDICAL SYSTEMS 8,333.33 0,00 0.00 0.00 8,333.33 Vendor# Vendor Name -Class Pay Code H0416 HOLOGIC INC Invoice# % Comment Tran Dt Inv Dt Due Dl Check O pay Gross. Discount No -Pay Net 9016807 V 06119/20 06719/20 06/19120 472,60 0.00 0100 / 472.50 V SUPPLIES Vendor Tota Number Name Grass Discount No -Pay Adjustment Net H0416 HOLOGIC INC 472.50 0.00 DAO 0.00 472.50 Vendor# Vendor Name Class Pay Code / 11114 HOSPITALPORTAL.NET✓ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 14563 ✓ 06712120 06/03/20 07/03/20 3,810,87 0.00 0.00 ,r 3,810.87 ✓ ANNUALRENEWAL C1i�t5�lq' fl Iql Fd) , Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11114 HOSPITALPORTALNET 3,810.87 0.00 0.00 0.00 3,810.07 Vendor# Vendor Name Class Pay Code / 12596 INDEED, INC. ✓ Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay - Net !Comment 23184349 06/18/20 05/31/20 y 1,338.39 0.00 0.00 1,338.39 JOB POSTINGS Vendor Tota Number Name - Gross Discount No -Pay Adjustment Not 12596 INDEED, INC. 1.,338.39 0.00 0100 0.00 1,338.39 Vendor# Vendor Name/ Class Pay Code 11285 ITA RESOURCES INC ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross MMC62019 ✓/ 06/17/2006/17/2007/01/20 24,933.69 RESP SERVICES Discount No -Pay Net 0,00 0.00 24,933.69 Vendor Tota Number Name. Gross Discount No -Pay 11285 ITA RESOURCES INC 24,933.69 9.00 0.00 Vendor# Vendor Name Class Pay Code J0150 J S J HEALTH CARE SYSTEMS, INC ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 920978537 l, 06/07/20 05/29/20 06/28/20 1,329.93 SUPPLIES Adjustment Net 0,00 24,933.69 Discount No -Pay Net ,r 0.00 0.00 1,329.93 ✓ Vendor Tota Number Name Gross Discount No -Pay Adjustment Net J0150 J &J HEALTHCARE SYSTEMS, INC 1,329;93 0,00 0.00 0.00 1,329.93 Vendor# Vendor NameClass Pay Code 12624Om went Tran Dt Inv Dt. Due Dt Check D Pay Gross 98256 06/18/20 12/18/20 06/18/20 133,59 PATIENT REFUND 98175 06/18/20 04/12/20 06/18/20 20.24 PATIENT REFUND Discount No -Pay Net 0.00 0.00 133.59 0.00 Vendor Tota Number Name .Gross Discount No -Pay 12624 KAREN SOTBYL 153,83 0,00 0.00 Vendor# Vendor Name Class Pay Code 0.00 20.24 r/ Adjustment Net 0.00 153.83 -Flr�///f �/tlaPrc/mmrlriccanlr/rryci/mammarl r,neinat nnm/nRRI S!t/riatp S/firm n�xrSPFnnrF.l Q fi/'7M?/114 L0700 LABCORP OF AMERICA HOLDINGS ✓ M Invoice#pdmment Tran DL Inv Dt Due Dt Check D Pay Gross 6271 0395 Vy06/18/20 06/01/20 06126/20 90.00 LAB SERVICES 62614273 ✓ 06/18/20 06101!20 06/26/20 300.00 /LAB SERICES 62801660 ✓ 06/18/20 06/01/20 06/26/20 815.00 LAB SERVICES Page 8 of 18 Discount No -Pay Net 0.00 0.00 / 90.00 ✓ 0.00 0,00 300,00 t/ L1001 LANDAUER INC 755.83 0.00 0.00 0.00 0.00 815.00 Vendor Tots Number Name Gross Discount No -Pay L0700 LABCORP OF AMERICA HOLDINGS 1,205.00 0.00 0,00 Vendor# Vendor Name Class Pay Code 1_1001 LANDAUERINCl// W Invoice#/Comment Tran Dt Inv Dt Due Dt Check 1) Pay Gross 100685692 ✓ 06/18/20 05/20/20 06/20/20 755.83 Adjustment Net 0.00 1,205.00 Discount No -Pay Net 0.00 0.00 755.83 r✓ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net L1001 LANDAUER INC 755.83 0.00 0.00 0.00 755.83 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD r% Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 061519 0611812006/1512006116120 1;449.70 0.00 0.00 1,449.70 ✓ INSURANCE Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11600 LEGALSHIELD 1,449.70 0.00. 0.00 0.00 1,449.70 Vendor# Vendor Name Class Pay Code 12628 LEGATO v lnvolce# Comment Tran Dl :Inv Dt Due BE Check D Pay Gross Discount No -Pay Net 01040 / 06/18/2005/31/2006/30/20 3,750.00 0,00 0.00 3,760.00 t/ MAY MARKETING PLANNING Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 12628 LEGATO 3,760.00 0.00 0.00 0.00 3,750.00 Vendor# Vendor Name. Pay Code /Class 11796 LUBY'S FUDDRUCKERS RESTAURANTS lnvolce# Comment Tran of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 10472 �/ 06/18/20 11/16/20 06/18120 4,332.00 0.00 0.00 4,332,00 ✓� SUPPLIES OPENING EXPENSI Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11796 LUBY'S FUDDRUCKERS RESTAURANTE4,332.00 0.00 0.00 0.00 4,332.00 Vendor# Vendor Name Class Pay Code J1350 M.C. JOHNSON COMPANY INC �/- M Invoice# Comment Tran Dt Inv.Ot Due Dt Check DPay Gross Discount No -Pay Net 00378716 f 06/14/20 06/14/20 06/14120 106.33 0.00 0.00 106.33 SUPPLIES W6jWt I .bo Vendor Tota Number Name Gross Discount No -Pay Adjustment Net J1350 M.C. JOHNSON COMPANY. INC 106.33 0.00 0.00 0.00 106.33 Vendor# Vendor Name 'Pay Code. ✓Class M2176 MCKESSCN MEDICAL,SURGICAL INC lnvolce# Tran DI Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net: lComment 54833063 ✓ 05/31120 06/03/20 07/03/20 63.12 0.00 0.00 63.12 re,,�' SUPPLIES 55837639 06/14/20 06/14/20 06/29120 78.07 0.00 0.00 78.07 tl SUPPLIES fila•///(`•/tlcarolmmnltiacank/rnci/mnmmr�A.rncinrfrnm/nRR15(1lAata S/trnn r�iu5rnnnrtl9 t;/70/'JM9 Page 9 of 18 _ 55839708 V 06/14/20 06/14/20 06/29/20 3,795.36 0.00 0.00 3,705.36 $ SUPPLIES 551137986, 06118/2005/31/2006/15120 17.23 0.00 0.00 17.23 FINANCE CHARGE Vendor Tota. Number Name Gross Discount No -Pay Adjustment Net M2178 MCKESSON MEDICAL SURGICAL INC 3,963,78 0.00 0.00 0.00 3,963.78 Vendor# Vendor Name Class Pay Code / 10613 MEDIMPACT HEALTHCARE SYS, INC, w/ A/P Involoe# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 061719 06/20/20 06/17/20 06/17/20 258.91 0.00 0.00 258.91 INDIGENT CARE Vendor Tots Number Name Gross Discount Na -Pay Adjustment Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 258.91 0.00 0.00 0.00 258.91 Vendor# Vendor Name Class Pay Code M2827 MEDIVATORS M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 90049288 / 06/14/20 06/14120 06/14/20 263.97 0,00 0.00 263.97 V SUPPLIES E,6?ViKq 4,41 90033518 t,/ 06/14/20 06114/20 06/14/20 263.97 0.00 0.00 263.97 SUPPLIES Sk%npin?� (t5`;'t"1 ` 3311279 ✓ 06/14/20 08/14120 06114/20 263.97 0.00 0.00 263.97 1/ SUPPLIES S1411PH11 10.$.at"7 90041592 V/ 06/14120 06/14/20 08/14/20 411.56 0.00 0.00 411.56 1/ SUPPLIES'Sbtiy¢1vtj t{ -Ste 90162370 ✓I 06114/20 06/14/20 06/14/20 371.63 0.00 0.00 371.63 t% SUPPLIES QALt)ptyty Wlb 90079442 ✓/ 06/14/20 06114/20 06/14/20 264.06 0.00 0.00 264.06 1% SUPPLIES 54: pig "T fowr. 0jp 90097084 06/14120 06114120 06114/20 107,45 0.00 0.00 107.45 SUPPLIES •S%z.p,ivtT 11.0.1. ' Vendor Tota Number Name t Gross Discount No -Pay Adjustment Net M2827 MEDIVATORS 1,946.61 0,00 0.00 0.00 1,946.61 Vendor# Vendor Name Class Pay Cade M2470 MEDLINE INDUSTRIES INC M Invoice# comment Tran Dt Inv Dt Due Dt .Check D Pay Gross. Discount No -Pay Net / 1877546255 ✓ 05/31/20 06/03/20 06/28/20 23.32 0.00 0.00 23.32 t/ SUPPLIES � 1877546268 V/ 05131120 06/03/20 06/28120 65.33 0.00 0.00 65.33 ✓ SUPPLIES 1877546256 v1 05/31/20 06/03120 06/28/20 113.75 0.00 0.00 113.75 SUPPLIES � d�k. 11..4 1'77546261 06/03/20 06/28/20 138.51 0;00 0.00 138.51 L// fM05/31120 .SUPPLIES fI N5�V ' 0,0� 1877546278 Y/06/03/20 06128/20 201:21 0.00 0.00 ,+ 201.21 ✓ �05/31/20 :SUPPLIES ytuf kr %,`%1% 1877546269 ✓ 05/31/20 06/03/20 06/28/20 235.00 0.00. 0.00 235.00. ✓f SUPPLIES 1877546274 06103120 06/28/20 76.66 0100 0.00 76.66 r0I6/31/20 SUPLLIES Y'JJ�LJpx111J 1877546265 f 05/31/20 06/03/20 06/28/20 112.88 0.00 0100 112,88 SUPPLIES �1n•///!'•./tTcrrc/rnmntrloephlrinnci/,mommnA ri�oinoY nnm/nRR1 S!!/�pta. S/tmn r�w,5�•oy�n,•t10 �/�n/-,mo Page 10 of 18 1877546263 05/31/20 06/03/20 06/28/20 29.05 000 0.00 29.05 S/t�PPLIES / 1877546259 ✓ 05/31/20 06/03/20 06/28120 36.81 0.00 0.00 36.81 SUPPLIES 1877546266 05/31120 06/03/20 06/28/20 489.47 0.00 0,00 481.47 SUPPLIES 1877332157✓ 05/31/2006/0312006/28/20 1,450,74 0.00 0.00 1,456.74 SUPPLIES 1877546267 V! 05/31120 06/03/2006/28/20 23.28 0:00 0.00 23.28 r% SUPPLIES 1877546257 f 05/31/20 06/031ZO 06128/20 162.86 0.00 0.00 162.86 r/ SUPPLIES 1877332154 E 05/31/20 06/03/20 06/28/20 82,18 0.00 0.00 82.18 SUPPLIES , 1877546271 ✓ 05/31/20 06/03/20 06/28120 314.93 0.00 0.00 314.93 ✓ SUPPLIES 1877546277 t/ 05/31/20 06/03/20 06/28/20 385.82 0.00 0.00 385-82 wl _. SUPPLIES �VUJK1 "911q . 1877546262 ✓ /20 06103120 06/28/20 52,93 0.00 0.00 52.93 I •/ �0n5:/31 SUPPLIES `5WV U,� "N 06/03/20 06/28/20 1877546260 l/lJ'PPLIES 52.68 0.00 0.00 / 52.68 V' (�,�'0^5/31/20 1877710100 t/ 061Q,31/20 06/03/20 06/28/20 422.48 0.00 0.00 422.48 SUPPLIES •`r(,'(yIA��L'1'J�D 1877546275 t1 05/31/20 06/28/20 383.27 0.00 0.00 383.27 y06/0^3//20 SUPPLIES VYUSk1y 1877546276 05/3112006/032g•06128/20 364.36 0.00 0.00 364.36 SUPPLIES fy4l i 11.1 1877252391 V/ 06101120 06/03120 06123120 1;914.12 0.00 0.00 1,914.12' SUPPLIES 1876403265 J 06107120 06/05/20 0613020 4,798:42 OAO 0,00 4,798A2 V` BLANKET WARMER -+4pIrit, p� 6tu}.11�•j' GYYI+�Y `1i'Vc w U-Y1Y C�4t'ahi4 1878402477 ✓ 06/14/20 05/91/20 06/30/20 9,37 0.00 0.00 9.37 v1 .SUPPLIES Vendor Tote Number Name Gross Discount No -Pay Adjustment Net M2470. MECLINE INDUSTRIES INC 11,036.43 0,00 0.00 0.00 11,936.43: Vendo Class Pay Code 12620 We R omment Tran Dt Inv Dt Due Ot Check D Pay Grass Discount No -Pay Net 86463 J 06/18120 12118/20 06/18/20 248.00 0.00 OAO 248.00 PATIENT REFUND Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 12620 MEGAN BROWN 248.00 0;00 0,00 0.00 248.00 Vendor# Vendor Name Class Pay Code 11976 MID•COAST ELECTRIC SUPPLY; INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net. 182069700r,/ 06/11/20 05/29/20 06128120 94.50 0100 0.00 94.50 SUPPLIES 182970300 ✓ 06/11/20 05/30/20 06/29/20 94.60. 0.00 0.00 -94.60 f SUPPLIES 182970000 / 06/11120 05/3,0120 06/29/20 94.50 0.00 0.00 94.50 file•///(' -1Y TePi•c/mmr•lriccanklnnci/mnmm�rt r•neinFt nnm/nRRI-Sll/riata S/tmn. ncuirPnni-t7Q r19n/91119 Page l 1 of 18 162969900 / 06/11/20 05/30/20 06129/20 94.50 0.00 0.00 94.50 ✓ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11976 MID -COAST ELECTRIC SUPPLY, INC 378.00 0.00 0.00 0.00 378.00 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP „/ W Invoice# Comment Tran Dt Inv Dt Due Dl Check D -Pay Gross Discount No -Pay Net 061319 06/18/20 06/13/20 06/13120 130.24 0.00 0.00 130.24 ✓' PAYROLLDED Vendor Tota Number Name Gross Discount No -Pay Adjustment Net M2621 MMC AUXILIARY GIFT SHOP 130.24 0.00 0.00 0.00 130.24 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON Co, LLC ,t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 4344702 ✓ 06117120 06/04/20 06/14/20 0.19 0.00 0.00 0.19 INVENTORY l 4330806 y 06/17/20 06/11120 06/21/20 143.49 0,00 0.00 143.49 INVENTORY 4330804 ✓ 06/17/20 06/11120 06121/20 521.60 0.00 0.00 521.80 INVENTORY ✓ ✓ 4330807 06/17/20 06/11/20 06/21/20 481.01 0.00 0.00 481,01 411-1 INVENTORY •2&32- 06/17/20 06/11/20 06/21/20 29.32 0.00 0.00 29.32 ✓ INVENTORY 4330805+/ 06/17120 06/11/20 06/21/20 265.38 0.00 0.00 265.38 k/ INVENTORY - / 3871 a/ 06/17/20 06111/20 06121/20 -366.63 0.00 0.00 -366.63 ✓ CREDIT f 4127 v 06/17120 06112/20 06/22/20 -1.47 0,00 0.00 -1,47 /CREDIT / 4332375 ✓ 06/17/20 06/12/20 06/22120 1,650.00 0.00 0.00 1,650.00 �r INVENTORY 4334140 ✓ 06/17/20 06/12/20 08/22/20 80.13 0.00 0.00 80.13 ✓ INVENTORY CM72360 06/17/20 06/12120 06MI20 -6.77 0.00 0.00 -6.77 1,,/ /CREDIT 4334143 ✓ 06/17/20 06112/20.06122/20 37.68 0.00 0.00 37.68 /INVENTORY 4340347 06/17/20 06/12/20 06/22/20 175,35 0.00 0.00 175.35 INVENTORY / 4334142 �/ 06/17/20 06/12/20 06/22/20 135.78 0.00 0.00 135.78 ✓ f INVENTORY 4340690 ✓ 06/17120 06/12/20 06/22120 3,339.87 0.00 0.00 3,339,87 INVENTORY 4334141 ✓ 06/17/20 06/12/20 06122!20 179.15 0.00 0.00 179.15.✓ INVENTORY CM72689 �% 06/17/20 06113/20 06/23/20 -76.47 0:00 0.00 -76.47 C EDIT 4340689 06/17/20 06/13/20 06/23/20 261.97 0.00 0.00 261.97'r INVENTORY 4340688 r,%� 06/17/20 06M3/20 06/23/20 3,505.29 0,00 0.00 3,505.29 1% fiP•///(` /t TePrcAnmrkiccarlr/nnci7m�mmrrl rncinetnnm/nRRIKOlAa+a 5/frnu nsar4yonntflQ R/'?o1mlo Page 12 of 18 INVENTORY 4344704 V/ 06/17120 06/14/20 06/24/20 763.32 0.00 0.00 763.32 /INVENTORY 4344703 V 06117/20 06/14/20 06/24/20 16.73 0.00 0.00 16.73 �/INVENTORY 4344706 ✓ - 06/17/2006114/2006/24120 133.42 0.00 0.00 133.42 V / /INVENTORY 4344705 1/ 06/17/20 06/14120 06/24/20 62,05 0,00 0100 62.05 INVENTORY 4350761 06/18/20 06/17/20 06/27/20 500.22 0.00 0.00 500.22 V J INVENTORY 4350759 ✓/ 06118120.06117120 06/27/20 863.79 0,00 0.00 863.79 )NVENTORY - 4350760 ./ 06/18/20 06/17/20 06/27/26 5.69 (Loo 0.00. 5.69 INVENTORY 43507621,/ 06/18120 06/17/20 06/27/20 1,421.53 0.00 0.00 1,421.53 ✓/ INVENTORY Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10,536 MORRIS & DICKSON CO, LLC 14,921.82 0.00 0.00 0.00 14,121.82 Vendor# Vendor Name Class Pay Code / 01600 OLYMPUS AMERICA ING M Invoice# Tran DI Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Not /Comment 97611226 ✓ 06114120 06/03120 07/03/20 226.95 0.00 0,00 226.95 r?` SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 01500 OLYMPUS AMERICA INC 226.95 9.00 0.00 0.00 226.95 Vendor# Vendor Name. Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS %/ Invoice# Comment Tran Dt Inv Dt Due DL Check Pay Gross Discount No -Pay Net 1850990519 ✓ 05/31120 05/28/20 06/27/20 750.46 0.00 0.00 750.46 r/ LAB SERVICES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 01416 ORTHO CLINICAL DIAGNOSTICS 750.46 0.00 0.00 0.00. 750.46 Vendor# Vendor Name Class Pay Code. 11155 PARA Invoice# Comment Tran Dt Inv Dl DueDt Check D Pay Gross Discount No -Pay Net / 5343 x/ 05131/20 06/01/20 07/01/20 2,000.00 0.00 0,00 2,000.00 REV INTEG PROGRAM - Vendor -Tate Number Name Gross Discount No -Pay -Adjustment Net 11155 PARA 2,000.00 0.00 0.00 0.00 2,000.00 Vendor# Vendor Name Class Pay Code 12544 PATRICK OCHOA ✓ Invoice# Co ment Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MMC1062019 06119/20 06/30/20 06/30/20 434.00 0.00 0.00 434.00 1sf HOSP LAWN -. MMOR062019 ✓/ 06/19/20 06/30/20 66/30/20 125.00 090 0.00 125,00 RELAWN HB MMC1062019A 06119/20 06130/20 06/30/20 275.00 .0.00 0.00 .276.00 CLINIC LAWN Vendor Tota Number Name Gross Discount No -Pay Adjustment Not 12544 PATRICK OCHOA 634.00 0.00. 0.00 0.00 634.00. Vendor# Vendor Name Class Pay Code. i+Ta�//Ir•lt Tecrc(mtnnlriocan4/nnei/mnh++s+oA m+cinrt r.+mhxRRl S(Lllata C/tmn n}xrGrnnnr4lQ �/�n(aniel Page 13 of 18 10606 PENLON, INC J Invoice# Comment Tran Dt Inv DL Due Dt Check D Pay Gross Discount No -Pay Net OP0010867 /'06/20/20 05/30/20 06/30/20 936.72 0.00 0.00 936.72 SUPPLIES GlalgpI11� a5ul Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10606 PENLON, INC 936.72 0.00 0.00 0.00 936.72 Vendor# Vendor NameClass Pay Code P2200 POWER HARDWARE ✓/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1348798 ✓/ 06118120 06/13/20 06/23/20 7.98 0.00 0.00 7.98 SUPPLIES Vendor Tota. Number Name Gross Discount No -Pay Adjustment Net P2200 POWER HARDWARE 7.98 0.00 0.00 0.00 7.98 Vendor# Vendor Name Class Pay Code ,�` 12480 PRO ENERGY PARTNERS LP t/ Invoice# comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 19050600 V/ 06/18120.06/31120 06/15/20 2,387.09 0.00 0.00 2,367.09 FUEL (WalKOp.S) Vendor Tole Number Name 0 Gross Discount No -Pay Adjustment Net 12480 PRO ENERGY PARTNERS LP 2,387.09 0.00 0.00 0.00 2,387.09. Vendor# Vendor Name Class Pay Code 11087 PROMETHEUS LABORATORIES, INC / Invoice# Coft�tment Tran Dt Inv Dt DUe Dt Check D Pay Grass Discount No -Pay Net 18735201904 ✓ 06120/20 05101/20 05130/20 350.00 0.00 0.00 350,00 OUTSIDE SRV LAB Vendor Tota Number Name Gross Discount Nn.Pay Adjustment Net 11087 PROMETHEUS. LABORATORIES, INC 350.00 0.00 0.00 0.00 850.00 Vendor# Vendor Name Class Pay Code 10896 QIAGEN INC,+` Invoice# Comment Tran Dt Inv Dl Due Dt Check Pay Gross- Discount No -Pay Net 98911933,/ 06/17120 05/21120 06121/20 1,533.49 0.00. 6.00 1,533.49 SUPPLIES S16vvi✓,-� ej-6:g6i Vendor Tota Number Name U Gross Discount No -Pay Adjustment Net 10896 QIAGEN INC 1;533.49 0.00 0.00 0.00 1,533.49 Vendor# Vendor Name Class Pay Code S1405 SERVICE SUPPLY OF VICTORIA ING / W Invoice# Co�ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 701016359 ✓ 06111/20 05/31120 06130120 18.66 0.00 0,00 lam FINANCECHARGE Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 51405 SERVICE SUPPLY OF VICTORIA INC 18.66 0.00. 0.00 0.00 18.66 Vendor# Vendor Name. Class Pay Code 51800. SHERWIN WILLIAMS �f W Invoice# Comment Tran Dt Inv Dt Due. on Check D Pay Gross Discount No -Pay Net 31724 06/18/20 05/08120 05123/20 116.23 0,00 0.00 116-23 REHAB/OT OFFICE 37143 06/18/20 05/20/20 06/04/20 224.95 0.00 0,00 224,96 PAINT/SLEEP STUDY 49437 D611812006/11/2006126/20 23.88 0,00. 0.00 23.88 ✓ / SUPPLIES 49429 ✓ 06!18120 06!11!20 06(26/20 48.44 0.00 0.00 48.44 Vl/ 411041104h ,, _;, -f cn/,1.,+., citi,.., .<,s;.o«..«r1a ti/7niq nro Page 14 of 18 SUPPLIES / 49973 r� 06/18/20 06/12/20 06/27/20 63.16 0.00 0.00 63.16 SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net $1800 SHERWIN WILLIAMS 476.67 0.00 0.00 0.00 475,67 Vendor# Vendor Name / Glass. Pay code 10936 SIEMENS FINANCIAL SERVICES ✓ ' Invoice# Comment Tran Dt Inv Dt Due Dt Check D -Pay Gross Discount No -Pay Net 56381900005598 ✓ 06/19/20 04/29/20 06/19120 1,333.33 0.00 0.00 1,333.33 LEASE .RENTALLAB 56381900011746 05/19/20 05/30/20 06/19120 1,333.33 0.00 0.00 1,333.33 LEASE & REANTAL LAS Vendor Tota Number Name Gross Discount Ne -Pay Adjustment Net 10936 SIEMENS FINANCIAL SERVICES 2,666,66 0,00 - 0,00 0,00 2,666.66 Vendor# Vendor Nome Class Pay Code / 10699 SIGN AD, LTD. Invoice# Comment Tran Dt Inv Dt Due Dl Check D`Pay Gross Discount No -Pay Net 239058 e j 06/19/20 06/16/20 06/26/20 790.00 0.00 0.00 790.00 ADVERTISING Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10699 SIGNAD, LTD. 790.00 0.00 0.00 0.00 790.00 Vendor# Vendor Name Class Pay Code / 10195 SINGLETON ASSOCIATES PA d ICP Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1282 V 06/18/20 06/20/20 05/20/20 10,91 0.00 0.00 10.91 v� CONTRACT BILLING ,/� 872,E 06/18/20 05/20/20 06/20120 131.07 0.00 0.00 131.07 V/ CONTRACTBILLING / 8914 ✓ 06/18/20 05/20/20 05/20/20 420.25 0.00 0.00 420.25 /i CONTRACTSILLING 8630 r/ 06/18120 05121120.05/21/20 352.04 0.00 0.00 352.04 ° CONTRACT BILLING Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 10195 SINGLETON ASSOCIATES PA 994.27 0.00 0.00 0,00 .914,27 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD S TISSUE CEN 6 Invoice$ comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Not 9004, 06/18/2005/31/2006125120 -8,891.00 0100 OM -8,891.00 CREDIT / 90046081 y .06/18/20 05/31/20 06/25/20 13,346.00 0.00 0.00 13,346.00 - BLOOD Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11296 SOUTH TEXAS BLOOD & TISSUE GEN 4,455.00 0.00 0.00 0,00 4,455.00 Vendor# Vendor Name Class Pay Code / 53960 STERICYCLE, INC �/ Invoice# C turnout Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 4008611456 05131/20 06/01/20 07101/20 1,054.16 .0.00 0.00 1,054.15 DISPOSAL SERVICES Vendor Tota Number Name Gross Discount. No -Pay Adjustment Net 53960 STERICYCLE, INC 1,054.15 0,00 0.00 0.00 1,054.15 Vendor# Vendor Name Glass Pay Code S3940 STERIS CORPORATION / M fila*//1r•/Weare/mmrlricope4/rnc9/mnmmari nnci not enm AW R 15(1/ ata 4/fenrm5rarnrfl0 (/7Q/7f114 Page 15 of 18 Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 8160028 ✓ - O6/11!20 06/03/20 06/28120 352.16 0.00 0.00 352.16,/ /SUPPLIES SWJ-Vfvll 15.1x7 8159653 V/ 00/14/20 06/01/20 07101/20 72.31 0.00 0.00 72,31,✓ SUPPLIES SWpp(r'l` _ 13.3$ Vendor Tota Number Name U Gross Discount No -Pay Adjustment Net S3940 STERIS CORPORATION 424.47 0.00 0.00 0.00 424.47 Vendor# Vendor Name Class Pay Code 52830 STRYKER SALES CORP ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 655817-0( -06117120 06/1712006117120 47.40 0,00 0.00 47.40 ✓ SUPPLIES Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 52830 STRYKER SALES CORP 47.40 0.00 0,00 0.00 47.40 Vendor# Vendor Name Class Pay Code - / 10735 STRYKER SUSTAINABILITY ✓ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 3656649 06/14/20 05129!20 06/29/20 329.24 0.00 0.00 / 329.24 ✓f SUPPLIES S%,!Wirt S -ay � . Vendor Tote Number Name Gross Discount No -Pay Adjustment Net 10735 STRYKER SUSTAINABILITY 329.24 0.00 0.00 0.00 329.24 Vendor# Vendor Name Class Pay Code 11140 TEXAS ADVANTAGE COMMUNITY BANK, Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 061919 06119/20 06/19/20 06/19/20 3,690.52 0.00 0.00 3,690.62 LEASE AND RENTAL RADIOLC Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11140 TEXAS ADVANTAGE COMMUNITY BANI, 3,690.52 0.00 0.00 0,00 3,690.52 Vendor# Vendor Name - Class Pay Code T1825 TEXAS DEPARTMENT OF HEALTH,/ W Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Grass Discount No -Pay Net 060119 06/1912006101/2007101/20 3,640.00 0.00 0.00 / 3,640.00 ✓ NUC MED RADIOACTIVE RENI Vendor Tota Number Name Gross Discount No -Pay Adjustment Net T1825 TEXAS DEPARTMENT OF HEALTH 3,640.00 0.00 0.00 0.00 3,640.00 Vendor# Vendor Name I Class Pay Code T2063 TEXAS MEDICAID & HEALTHCARE ✓ Invoice# Comment ?ran Dt Inv Dt Due Dt 061919 06/19/20 06/19/20 06/19/20 OWED FOR 2015 FISCAL YR Vendor Tota Number. Name T2063 TEXAS MEDICAID & HEALTHCARE Vendor# Vendor Name z Class T2204 TEXAS MUTUAL INSURANCE CO V" W Invoice# Comment Tran Dt Inv Dt -Due Dt 1000998682 / 08/18/20 06111/20 06/11/20 WORKERS' COMP INSURANCI Vendor Tota Number Name T2204 TEXAS MUTUAL INSURANCE CO Vendor# Vendor Name /Class ✓ 10985 THE COMPLIANCE TEAM; INC Check D Pay Gross Discount 99.00 0.00 Gross Discount No -Pay 99.00 0.00 0.00 Pay Code No -Pay Net 0.00 99.00 Adjustment Net 0.00 99,00 .Check D Pay Gross Discount. No -Pay Net 6,338.00 0.00 .0.00. 6,338.00 y� _Gross Discount No -Pay Adjustment Net 6,338.00 0700 0,00 0.00 6,338,00 Pay Code a iA.Il/n•/rt�Ar�h is �� 1/ :> of �; o+ .r1,.4g1cnl; F �i c_o� Cl /1)1)11)AI Page 16 of 18 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 060719 06/19/20 06/07/20 06/07120 4,200.00 0.00 0.00 4,200.00✓ ACCREDITATION CONTRACT Vendor Tota Number Name Gross Discount Ne -Pay Adjustment Net 10986 THE COMPLIANCE TEAM, INC 4,200.00 0.00 0.00 0.00 4,200.00 Vendor# Vendor Name/ Class ` Pay Code 11100 THE US CONSULTING GROUP f Invoice#. Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 340374842 r/ 06/31120 06/04120 06/29/20 1,326.95 0.00 0.00 1,328.96 TRASH SERVICES 340374881 V 06/11/2005106/2007/01/20 242.69 0.00 0.00 242.69 TRASH SERVICE Vendor Tole. Number Name Grass Discount No -Pay Adjustment Net 11100 THE US CONSULTING GROUP 1,571.64 0.06 OAO 0.00 1,571.64 Vendor# Vendor Name Class Pay Code _ T0801 TLC STAFFING W . Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 24969 V1 06/16/20 06/03120 016/013/20 1,063.50 0.00 0.00 1,063.50 STAFFING ,0W76L Mu-11d�t.5 01i111y �(eilgh / 24991A/ 06/10/20 06/10/20 436.05 0.00 0.00 436.05 w STAFFING WduW, VQW qjj tl j (j Vendor Tota Number Name Gross Discount No -Pay Adjustment Net T0801 TLC STAFFING 1,499.55 0.00 0.00 0.00 1,499.55 Vendor# Vendor Name Class Pay Code 11908 TMS SOUTH Invoice#/ Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 590971 Y 06/18120 03/20120 03120/20 468.77 0.00 0.00 468,77 V+' /SUPPLIES 694472 r/ 06118/20 04/17/20 007/20 129.16 0.00 0.00 129.16 y' SUPPLIES Wt �V j 1' ,� o • . 597429 ✓ 06/18/20 04/30/20 04/30/20 238.80 0.00 0.00 238.80 SUPPLIES / 602834 ri 06/18120 05/31/20 05/31/20 140.56 0.00 0,00 140.56 SUPPLIES W01t,ILt 1$,00 Vendor Tota Number Name Gross Discount No -Pay Adjustment Net 11908 TMS SOUTH 977.29 0.00. 0.00 0.00. 977.29 Vendor# Vendor Name Class / Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# C mment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 8400302816 r 06/01/20 06/03120 06/28/20 47.15 0.00. 0,00 J 47.15 V LAUNDRY 8400302817 1/ :06/01120 06/03/20 06/28/20 57.35 0.00 0.00 57.35 V1 LAUNDRY 8400302845 r/ 06101/2006/03/2005128/26 1,055.28. 0.00, 0.00 1,055.28 LAyNDRY 8400303187 �/ 06/07/20 06106/20 07/01120 1,012.00 0:00 0.00 / 1,012.00 ✓ LAUNDRY .8400303142 ✓/ 06/07120 06106/2007101120 163.82 0.00 0.00 16182 LAUNDRY - 8400303170 r/ 06107/20 06/06/20 07/01120 80.83 0.00 0,00 80.83.. J LAU/I�DRY 400303147 ✓ 06107120 06/06120 07/01120 175.83 0.00 0.00 175.83 -filo///f'•ITT�p,•�/n,,,,r4+e��n4/rnei/mom+r,Irl'nO.Af'nmA1221in/Aa+n-i/+mr. 1Q A/')n/oma Page 17 of 18 LAUNDRY 8400303144 r%/ 06107/20 06/06/20 07!01120 120.39 0,00 0.00 120.39 t/pUNDRY 8400303145 ✓ 06/07120 06/06/20 07/01/20 110.93 0.00 0.00 110.93 LAUNDRY 8400303146./ 06/07/20 06/06/20 07/01120 183.46 0.00 0.00 f 183.46 r/ LgNDRY 8400303216 06/07/20 06/06/20 07/01120 97.80 0.00 0.00 97.80 LAUNDRY Vendor Tota Number Name Gross Discount No -Pay Adjustment Net U1064 UNIFIRST HOLDINGS INC 3,104.84 0,00 0.00 0.00 3,104.84 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8794624 V 06/18/20 06/05/20 06/20120 52.98 0.00 0.00 52.98 r% UNIFORMS Vendor Tota Number Name Gross Discount No -Pay Adjustment Net U1056 UNIFORM ADVANTAGE 52.98 0.00 0.00 0.00 52.98 Vendor# Vendor Name Class Pay Code U1200 UNITED AD LABEL CO INC V/ M Invoice# Comment Tran Dl Inv Dl Due Dt Check D Pay Gross Discount No -Pay Net 149936802 1/ 06/18/20 05/29/2,0 06/23/20 258.87 0.00 0.00 258.87,'' 1 SUPPLIES DIETARY ?VQ Jt1. i %Q Vendor Tote Number Name Grass Discount No -Pay Adjustment Net U1200 UNITED AD LABEL CO INC 258.87 0.00 0.00 0.00 258.87 Vendor# Vendor Name Class Pay Code / U2000 US POSTAL SERVICE ,/ Invoicelt- Comment Tran DI Inv. Dt Due Ot Check D Pay Gross Discount No -Pay Net BOX25 05/301200513112006/30120 1,244.00 0.00 0.09 1,244,00 ANNUALRENEWAL Vendor Tota Number Name Gross Discount No -Pay Adjustment Net U2000 US POSTAL SERVICE 1,244.00 0.00 0,00 0.00 1,244.00 Vendor# Vendor Name Class Pay Code 12208 WAGEWORKS v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Pay Gross Discount No -Pay Net 0219 06/18/20 02/01/20 02/01/20 129,60 0.00. 0.00 129.60 Vj COBRA MONTHLY FEE - VendorToteNumberName Gross Discount No -Pay Adjustment Net 12208 WAGEWORKS 129.60 0.00 0.00 0.00 129.60 Vendor# -Vendor Name Class Pay Code W1040 WATERMARK GRAPHICS INC ✓� M invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 924739 ✓ 06/19120 06/01/20 07/61/20 330.01 0.00. .0.00 330.01 S SCRUBS PT SbAJlVln,,� Iy•1) Vendor Tota Number Name Gross Discount No Pay Adjustment Net W1040 WATERMARK GRAPHICS INC 330,01 0.00 0.00 0.00. 330.01 Vendor# Vendor Name Class Pay Code 11400 WEST COAST MEDICAL RESOURCES t,j- Invoice# Tran DL Inv Dt Due Dt Check D Pay. Grass .Discount No -Pay. Net /Comment INVO45174 06119/20 06119/20 06119/20 y- 118.00 0.00. 0.00. 116.00 SUPPLIES f;la•7//('•11ic�reymmrUieennk/inti/mammaArnetnai-�nm/nRR15(1/,jatn S/ficin ngiSiwnnrrtl9 Ann/�n14 Vendor Tola Number Name Gross 11400 WEST COAST MEDICAL RESOURCES 118.00 Report Summary Grand Totals: Gross Discount No -Pay 355.634.82 0.00 0.00 APPROVED ON JUN 7 1 2019 COUN E'Y AU6HTOR CALHOUN COUNT , `1'MCAu Page 18 of 18 Discount No -Pay Adjustment Net 0.00 0.00 0.00 118.00 Adjustment Net 0.00 355,634.82. fila•///('•/(icarchnmekiceack/nnci/mammarl nncinet nnm/nRR1 SWAnta 5/hnn rw5TPnnrt10 rnn/,)m4 sQ v ma O rQ � m T p H W m E.BE E �m E &2 e v «m mw a 7w 6 y Oy v O �N.el 3 n F-- 000 o �w ¢� o a8 N aLL 0 0 EM am N y 7 � m m vi a n p n m m m m m Ic O NC to m w ry Boo n V O m IZ 0 2 Eo m � yyo � 0 4 O i- ci Q u m U m O O N t II N m Z = a u a 2 v N Q¢ a o MLD '� 9€ 9LU L B€ W L� s FL a5 0 — --o Q J W O LL U W It l- � rZyl u' J cho ¢ Vi a K � N W � m Z � m ►��/� J n II Y/ g A4 m � p W ¢ c J z `E E o u0 Gla �2� m 3 s%.g. 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Past Due: 0.00 Total Due: 900.49 Account Balance: 900.49 Account Activity Activity Due Reference Purchase Order Activity Amount Date Date Number Number Type 06-17-2019 06-28-2019 3024023116 147659 Invoice 87.42/ 06-17-2019 06.28-2019 3024023117 147665 Invoice 492.10 ✓ 06.17-2019 06-28.2019 3024061636 147714 Invoice 263.44 06-18.2019 06.28-2019 3024097573 147731 Invoice 28.24 06-19-2019 06-28.2019 3024147486 147759 Invoice 22.13 ✓ 06-21-2019 06-28-2019 3024244442 147803 Invoice 7.16 Thank You for Your Payment Date Payment Number Amount 06-21-2019 (884.90) C1L�k SCO Cos (21 t7 - (x,03 \ WOO Reminders Due Date Amount 0648.2019 0 . Total Due: 900.49 Terms: Monday - Friday due in 7 days APPROVET0 ON JUN 2 I 2019 COUNTY AUDITOR CALHOUN COUNTY, TWAS RUN DATE: 06/19/19 TIME: 13:24 PATIENT NUMBER PAYEE NAME MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID -0001 PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION 107 72 165 175 75 239. 50, 208. 289. 354. 40. 525, 11, 60 PAGE 1 APCDEDIT GL NUM RUN DATE: 06/19/19 TIME: 11:24 PATIENT NUMBER PAYEE NAME MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE A14OU11T CODE TYPE DESCRIPTION 61919 61919 61919 61919 61919 61919 51919 51919 51919 11919 ;1919 7919 1919 1919 1919 1919 PACE 2 APCDEDIT RUN DATE: 06/19/19 TIKE: 17:24 PATIENT II MER PAYEE NA14E TOTAL ARID=0001 TOTAL APPIi0VW ON JUN 21 2019 COUNTY AUDITOR CALROUN COM'Y' TCAs 5118.79 a4i+ 0556709800364699700000000000000031 AmuntNumberPaymenlDafe NaWEa/ance MfnilnumAmoopOrm EnfelAmounlPatd •••. .... ... 06/28/2019 $0.00 00.00 JASON N ANGLIN Citibank CALN0t1A COUNTY PHOENIX, AZ 850628025 202 S ANN 6TRE8T 3=A PONT LAVACA TX 77974-9209 ill L "ki MA Previous Bafenie Paymarils and Cred/fs New Charges - New Oalano, e T:02Z001:0.00 $0.00 $0.00 $0.00 $0.00 Forcustomer service call or mitis 1800.248-0553 Citibank P.O. Box 6126 Sioux Falls, ED 57117 Sentl payments to: Citibank P.O. Box T8026 PHOENIX, AZ 85062.8026 Statement pate 06/03/2019 Payment Date 06/28/2019 AnwantNumber CaslrAdvance UM!• Available Cred)tllae Available Cash fell •+•• • s0.o0 $2(1.000.00 O.oO Sate Post Date Date Reference Nambee alA6tivf Amount '"^:'"•'•"•'.."."....""""'^"""""'""".•••"""-------- NOTICE MEMO ITEMIS) LISTED BELOW""""'"N�"°""'••"^,.,."'..._'.". 05/03/2019 05/06/2019 25247809123000294042961 TZXAS TRADITIONS GRILL PORT LAVADA TX ,/$155:20 05/04/2019 05/06/2019 5531020912$700434529545 HOLIDAY IRA EXP 6 SUIT PORT LAVACA TX $375.51 ✓ 05/06/2019 05/07/2019 OS134379127600069389023 17352956 NPDB NP08.Ints1 bV A=jLvsl: 05-02-19 800-767-6732 VA VVV Al ✓ U62761099 05/06/2019 05/07/2019 05134379127600068389106 NPDB NPO3.81til V 800-767-6732 VA 26.00 v 05/05/2019 05/07/2019 05134379127600068389288 N62761107 N20D NEDa.H88A.0oV 800-767-6732 VA 2.00 v N62761674 //- 05/07/2019 05/08/2019 $9480779127286200100183 RICHMOND EMS INC 8558270326 TX y0224.00 sf 05/07/2019 05/09/2019 $5192449128980613337094 AMERICAN ASSOCIATION E ALEXANDRIA VA 280;00 ./ 100714376080 1 05/08/2019 05/09/2010 55429509128715480207148 EB TEXAS TFAOMA COOED 8014137200 CA 55/2100 05/10/2019 05/15/2019 05134379131600045637423 NPDB NPDB.HFSA.GOV BOD -7676732 VA V00.00 '! N62961375 V ACCOUNTSUMMARY Pm HousFalance payments Cmi purchases Interest and Advances Cha mes Newsalance CURRENTPERIOD Purchases $0.00 $0.00 Advances $0.00 .$0.00 TOTALS $0.00 $0.00 DAYS IN BILLING PERIOD: 031 Pmehaws $0.00 CashAavaneaa Payment Due: Amount OverBa lLial .$0.00 $0.00 Helan Subject To Interest Charges > $0,00 Period a Rate > .0000% '0000% Amount PasLDUe: $0.00 ANNUAL PERCENTAGE RATE 0.00% -0.00% MINIMUM AMOUNT DUE: $0,00 • Cash Advance UMt its a portion aliTotal Credit Uae -Aval Infe Cash Una is apordun ofyoul We Craig Una Pagel 012 c fii' Af40uhiNumbef Statement Data "'• ••" 06/03/2019 NOTICE MEMO ITEM(S) LISTED BELOW 05/10/2019 05/13/2019 55310209131700444892851 HOLIDAY INN SAN "Toni SAN ANTONIO TE ✓5289.63 11844550 Arrival: 07-29-19 05/11/2019 05/13/2019 55432869X31200893701126 ANA CMDENTIALING 800-621-8335 I120.00 ✓ 05/15/2019 05/17/2D19 05/16/2019 05/20/2019 55480779135266200900139 .05134379138600039862337 RICHMOND ENDS INC NPDB NPDH.BNSA.00V 8558278326 800-767-6732 TX VA y$2 4.00 pf• - 72.00 v 062964570 05/17/2019 05/20/2019 05134379138600039862410 NPDB NPDB.USA.0OV 600-767-6732 VA 062964911 v42.00 05/17/2019 05/20/2019 55488729138091273002082 T 103 CAM RSCS 5124242936 TX184.31 u 05/18/2019 05/20/2019 $5432869138200456963868 XR ACRMDENTIALIRG 800-621-8935 IT, 0$86.00 05/24/2019 05/27/2019 55310209145722606689082 HYATT BILL COUNTRY ABS 88858745B9 TE - X20.32 ✓ 31673612 Arrival: 05-22-19 05/24/2019 05/27/2019 55310209145722607398824 HYATT .RILL COUNTRY BES OBB5874589 TX 967.d4 V 05/20/2019 95/29/2019 $5436879148151415331288 31674226 EMBASSY SUITES Arrival: 05-21-19 BAN ANTONIO TX. 297.90 CR v 60970 Arrival: 05-20-19 05/20/2019 05/29/2019 55438879148151415331296 EMBASSY SUITES SAN ANTONIO TX /g297.90 OR ✓ 80971 Arrival; 05-20-19 05/20/2019 05/29/2019 05134379149600040108685 NPDB N9DR.MM.GOV 800-767-6732 VA 2.00 063100324 05/30/2019 05/30/2019 55432869150200050153232. AMA CREDENTIALING 800-621-8335 IL / VB 3.00 v 05/30/2019 05/31/2019 05134370151600039377726 NPDB NPDB.MWA•GOV 800-767-6732 VA f8.00 �t 063135276 - 05/30/2019 05/31/2019 06134379151600039377809 NPOR NPDB.MSA.GOY 800-767-6132 VA 2.Op 063135467 05/30/2019 05/31/2019 05227029150200049138182 ESUTURESOOM 700-478-3517 IL63.25 ✓ 05/30/2019 05/31/2019 55480779151026905836965 PROGRESSIVE BUSINESS C 0002205000 PA 1�9L9.00 ,r 05/31/2019 06/03/2019 05134379152600043956407 NPDB NPDB.BASA.GOV 000-767-6732 VA 82.00 l� 063158272 V 05/31/2019 06/03/2019 05227029152000499029354 XNTERRATXOHAL DOULh IN 484-278-1648 PA90.00 ✓ 05/31/2019 06/03/2019 052$7029152000499029438 INTSRNATIONAL bOULA IN 484-270-1648 PA 840.00 v 00/01/2019 06/03/2019 55432869152200498378094 AMA CRMENTIAt.ZNG 800-621-633$ I1 x$43.00 'u "' -4 4 a *""""u:""'•"'........ '""'TOTAL AMOUNT OF MEMO ITEM(S): 53.780.88 The foreign chimney nnnvarslon Indadeae semke fee of M assessed to Cplbankby the applicable n11p5//name.ceras.040ireq,c4ln/GommerdalCamlCaNs.hlM. Thanks logmsewha] -d Baea5a stalemenls pnl4la. Iogetherwe aie 5eving 2,1706ees each yee(tluwgh Nis Iniliagva abne. Acmuntmana9em4n1 ;Wade easier. Wine statements& CgiManagerMoblie offer24q amass, serudy, and mob0iy. Log In.alwvw.dOmanagaroom7login and dick Go paperless unditrihe Stalementtab. Stga•up foremall ortext message aleds to knowwhen yourstatementfsready to New..INhen on die go, accais youraecounlan4 recent adtdy tha ugh ymirmobiladedee at vnvw•ddmane9enwMmobOa APPROVED ON CashAdeance Umills a pardon ofyowTotafCredif Una "AwUfabfe Cash U4ek a pardon oryoafAVeffable Cmdg Una Page 2 of 2 JUN 2 1 MEMORxALmFDTCAL (LBNTER B3lITo: WN. V4i.G1NTAST. S7up To: 815 N. VJRGRUAST- FORTJAVA.CA, Tx 77979 PORTT,AVA CA, TX 77979' MOM' (361) 552-6713 PHONE, (361)552-6713 FAX (361)552-0312 FAX: (361)552,0312 _ Dat;. Vm4otAdd=s: vMdozpltone#: Vind4CF88it A000unt# Tni ata(i Anne#9bfli OP M-110�ml do I.�� ` J ► r o r � . , e � - — �wwriwrawrw.cl�fs'/ll,:t;r//I1/e7ii �• IAi �� zI car.- -nr' J IlAl r vl-•-- - - —. E t rn4c�ht ofal Cost TOTAL COST %70TT3 ye�us me 4p nqg-. A 's G,z edit c�'i ss .,t 4, Cauhot oaw: .Pepto- � . QuutedBY •�. wi w .gig • gufec B:�'-A: A.dm.hiz ('.tiulcalSetVica Cp6 Y -._-. • • ...-. MEMOPJA L NI�+7DICAL CENTElZ- PU RMASE O ]ER Bill To: 815AT V1RCr3NTA,ST. Ship To:815N.VIROWAST. PORTLA-VAc4 T%77979 POI?T LAVAM TX 7791k PHONE: (361)552-6713 FHC : (361)552-67T3 17AM (361) 55"31�2� �. FAX, (361)552-0312. VwAwNama: ]fade• �� (a ( I VwdwAddress; vwAorpimet _, VendorFax#: - "T.O. # . ivitiatedPp: 1' Fzt TotACost. - TOTALCOST TTOTFS: CvuFeoL I ])dFE; Q-tca 3y DicNm�g A.dm.DiL ClinicatSe.�vice RRO Adxamistiatoz ._ v NxmoW, L 1ODTCAL CESHP' BiI1To:815Nvika U4$T. ffl4To:815N.VIRQII11t1ST. POPTL-kVACA,TX77979 PoRTLA'U' akTX77979 PHONE: (361)55M713 6713 PROM (361) 552-6713 PAX: (361)5552y-0331.2 Pt1.X- (361)55G7 -j0312 . Ve¢darjame: Cit/ a-/YW- L� Date: TTeadorA.ddress- . 'V'ev&rPhone#. YellLZ4Tl�a8#� • � Aceoirut# •� ' Snitiafed 8�: l' Rnim�'9401 Esiizeight aw��y SuctiLrn—+Est f.YligWlJ4" �fu 11L.. Vd�lla Cou�oL• Daw p�tzaBY BUYec-'- WLXW*9 AJN.bic CluocaiSaivice ITOD Co�7.�lD Capt?.`fib v AomoRTAL NJ WiCAL CENTER PURCHASE ORDER Gilt To: 815N VIRGINTp;ST. Ship To: 815 N- AlMGMA ST. TORTLAYACA, TX 77979 PORT iAvAcATX77979, PROW (361) 5526113 P110M.- (361) 552-6713 PAX (361)552-0312 FAX- (361)5-52-0312. bate:1,�;, 1 I cl 155-2u 2 0 Ll 0 2211 UO '2 0 i.' o 2C, u 2 - OU GLU 66 - U U b fo 328 , 6 3 , 2 lu TOTALCOST U vo cs"w& UnAA --• WWtA gV(M-17fU- T-1)( Cy Cook !t3 a5 ----------- IDA= Dept XT -k Adml)jtCfiaioal$crv='� CFO u L-� Ll/ L, Lj U, ou + 2 0 Ll 0 2211 UO '2 0 i.' 2 2C, u 66 - U U 328 , 4 4 57 - b. 4 2^U1) I? 6 2 Y ' 4 3. 0 u 7 8 " (j tj i 2- 00 199 Ul U 2., U0 9 6 (ju 6 u 0 to it 3 0 U 6 3 , 2 lu TOTALCOST U vo cs"w& UnAA --• WWtA gV(M-17fU- T-1)( Cy Cook !t3 a5 ----------- IDA= Dept XT -k Adml)jtCfiaioal$crv='� CFO u L-� Ll/ .. I 6 3 , 2 lu TOTALCOST U vo cs"w& UnAA --• WWtA gV(M-17fU- T-1)( Cy Cook !t3 a5 ----------- IDA= Dept XT -k Adml)jtCfiaioal$crv='� CFO u L-� Ll/ id"M Fd' aA 41V, � (RVOT v P110 p69I,Iva $ Nflcd, # ! F60d `1(faril.s oncp') i fhdii Lilly",Iyfti `iJl;lil I& SOL! Rw:o mw I Mow a NAM l 4 ��Iw�i.�f3i UUIs;f Raw H06 FPks phalli not , � n -V :Ii I1711`w Phil Pati- �I r;(NI j[p Ow, Stip 6 I2bsln `Mi)ryta K j f u' '_ ' s1i ; � ,1� , , ' � � � � �� . Ali �• :r,� � ' t fey ,., r � �; ; � , r iawi Wtc 01 wvf uc. "Oil obii.;nhng a co 4 De' the a?..?`Saii^,Si 7.'i$L?' --pt. To: County Auditor From: Tkrz._DY1 Am6i i t i Re: host Receipt Or Not Itemized (Detailed) Receipt The attached check request or purchase order # t�/ A �, PO Number, if any to �^v �ir/��it �� yr j (' includes the following amount (s) for Who the Check Request or Eo is to be paid to which the supporting documentation was not received from the vendor as an itemized (detailed) receipt or has been lost, misplaced, destroyed or is otherwise unavailable from the vendor: Date Amount Description (List ofitems on receipt) g3ilq $ (5 ao [ww'kw•'o) Fwa PH gi 6,,e�w &"A 4� "I certify under the penalties of perjury that the above amount(s) are correct and I incurred these expenses for County Hospital Business. These expenses do not include any alcoholic beverages or expenses for Non -County Hospital Personnel." Signatu eployee Date .-Z&5".rJ AN Gi%/V Printed Name of-Tmployee JUN -06-2019 10:39 From: 13615525755 To:5520220 Pase:1r2 Date 9 Uti-lt6-19 Philip Scherrer Folio No. 61890 Room No. 104 United States AfR Number Arrival 05A2.19 Group Code Departure 0544-19 Company Memorial Medical Center Conf. No. 41964471 Membership No. - Rate Code ; 1MM1-R Invoice No. Page No. 1 of 2 Date I Desscription Charges I Credits 05.02.19 Gift Shop Post It No.2190775 1.75 05-02-19 Gift Shop Post It No.2190776 1.25 65.02.19 Gift Shop Post It No.2190777 1.25 05-02-19 Gin Shop Past It No.2190777 1.25 05.02.19 'Accommodation 161.90 05-02-19 Slate. Tax 9,72 05-02-19 City Tax 11.34 05-03.19 Gift Shop Post It No2191009 2,00 06-03-19 Gift Shop Post It No.2191260 1.75 06-03-19 Gift Shop Post It No.2191260 1.75 05-03.19 Gift Shop Post It No.2191200 4.00 05-03-19 Gift Shop Post It No.2191260 2.60 05-03-19 Gift Shop Post It No2191260 2.00 05-03-19 Gift Shop Post It No.2191264 1.50 05-03-19 Gift Shop Post it No.2191264 1.26 05-03.19 Gift Shop Post It No.2191264 1.25 05-03-19 Gift Shop Post It No,2191268 1.25 0503-19 Gift Shop Post It No.2191268 1.25 06-03-19 Gift Shop Post It No.2191266 -1.75 05.0349 Gift Shop Post It No.2191260 .2.00 05-03-19 'Abcdmmadat!Qn 143:99 06-03-19 State Tax 8.64 05-03-19 City Tex 10.08 05-04-19 MasterCard XXXXXXXXXXXX 375.61 Holiday Inn Express & Suites Port Lavaca 2629 Hwy 36 N Pon Lavaca, TX 77970 Telephone: (301)552.5700 Faxt (361) 5525755 JUN -06-2019 10:39 From: 13615525755 To:5520220 Paee:2/2 o �..1 .,. Philip$cherrer Folio No. :61090 Room No. 104 United States AIR Number Arrival 05-0249 Group Code Departure 05.04-19 Company Memorial Medical Center Conf. No, 41964471 Membership No. ; Rate Code : IMMLR Invoice No. Page No. 2 of 2 Date Description I Charges I Credits Total 375.51 375,51 Balance 0.00 kpwct h fit ltd , l; r. ,• • 6 Holiday Inn ErWress & Suites Port Lavaca 2529 Hwy 35 N 9 - 'i y ;;. Port Lavaca, TX 77979 `,__,, Telephone: (3611)552. 5700 Fax: ($61) 552-5755 amount shown heron, I agree that my Itabillyfor this bill is not walvod and agree to be held imon, company, Or assodale"fails to pay for any pad or the full amount of these ohatgea. If obligations set forth in die cardholder's agreement with the Issuer. U^t; LG.) APPROVED 7a : ON JUN rl1 2019 I 25 ;• COUNTYAUDITOR CelLiIOUN G017NTX,'ic�AE 2 0 G 4 • o tj 2 Su 2 jU 1 " 50 .,. i"25 °25 7 "2e• 1 25 1 "'15 2"ou , 2y"'1 kpwct h fit ltd , l; r. ,• • 6 Holiday Inn ErWress & Suites Port Lavaca 2529 Hwy 35 N 9 - 'i y ;;. Port Lavaca, TX 77979 `,__,, Telephone: (3611)552. 5700 Fax: ($61) 552-5755 4 1�0/1f�(�l/�nll -.y� ti Suiies` Philip Soherr`er 9 Folio No. 08-99.19 United States :84890 A/R Number Room No. 1q4 Oroopp Code Arrival 05.02-19 Company Memortal Medical Center Departure 08.04.19 Membership No.: Coni. No; 41964471 Invoice N0. Rate Code ; 1MMLR ' Page No. 1 or 1 Date Descrlptlon ()"2-110 *accommadatfon Chargos Credits 05.02.19 state Tax 161.99 05.02-19 Clly Tax ., 9.72 -. 05.03-19 "Accommo6a0on 11.34 05.03.19 State Tax 143.99 05.03-19 Ciry Tax 6.64 05-04.19 MasterCard%08 . XXXX)GX)(XXXXXt Total 345.76 13214 cc Guest Signature! I have MWIVAd the personally liable rn 9 oraall caro Glary, {Owned and Cperalea ay Anal Haspitaii(y LLC.) �i�k .Sho�O �il(y(�tAleSs Y ttioV, . 'IU hi&O(A) 6L& riur � Holiday Inn Express A sultas port Levsca 2529 Hwy 35 N Port Wvaca, TX 7YO79 7 Telephone: (361)352.6700 Fax: (391) 552-5755 ditlI Payy�mrenfs a6dCmiats New Cha' s New Balance CredOUne 0556709800366701900000000000000038 $0.00 $0.00 60.00 020,000.00 Na$O.00ce WuknumAmanlDue EnterAmounlPaH •...Acce..tN.mber 06 2012019 Rarerence Number $0.0 7ypsorAcb'vi DIANE C MOORE CALHOUN COUNTY 202 5 ANN STREET SUITE A PORT LAVACA TX 77979-4204 CITIBANK t i y rAl CARD CNbank P.O.Box78o25 PHOENIX, AT 850624825 Previbw Balanc8 Payy�mrenfs a6dCmiats New Cha' s New Balance CredOUne $O.00 $0.00 $0.00 60.00 020,000.00 For customer servtca call or writs 1-800-248-4553 Citibank P.O. Box 6125 Sioux Falls, 5057117 Send payments to: Citibank P.O. Box 78025 PHOENIX, AZ 65962.8025 Statement Date 06/03/2019 Payment Date 06/28/2019 Account Number Cash Advance Umir' Avaasble CIO&tUne AvaBableCasAUnm- �••• —ea •• $0.00 $20,000.00 $0.00 - Sale Post Date Pate Rarerence Number 7ypsorAcb'vi Amount ..'.w•'••""'•.'eT"""^""'.,^"'""""'""""'"a'••"'NOTICE MEMO ITEM(S) LISTED BELOW'---»n'""'n"""'••""'•'•""""^'^`^"",.'u' 05/09/2019 05/13/2019 $5457379130200873400021 TEXAS HOSPITAL ASSOC 5124651000 TX 405.00 35170 05/44/2019 05/15/2019 55432869134200642697929 UNITED 01629239724674 000-932-2732 TX V 46.00 CR MOUSE /ECONOMT PLUS SEAT DEPARTUREt 05-14-19 05/19/2019 0$/20/2019 $5432869139200758531842 DEN UA Eo AUS MARRIOTT 6 ANTONIO RVR 866-435-7627 TX 05.71 v 007584 Arrival: 05-19-19 05/19/2019 05/20/2019 55432869139200758531859 MARRIOTT S ANTONIO RVA 866-435-7627 TX 1/8705.71 007586 AxXivaL• 05-19-19 05/19/2019 05/20/2019 55432869139200750531867 MARRIOTT S ANTONIO RVA 866-435-7627 TX V405.71 000087 Arrival: 05-19-19 V 05/19/2019 05/20/2019 55432969139200758531875 MARRIOTT S ANTONIO RVA 866-435-7627 TX .705:71 008166 Arrival: 05-19-19 05/19/2019 05/21/2019 05123489140100130621118 SWORDS SAN ANTONIO TX 64:16 t/ ACCOU)4T SUMMARY Pro Nous Ba/ante Pa encs Credits Pamhases Inlereat anaAdvanrRs charges NewBareaw CURRENT PERIOD Purdwaes $0.00 $0.00 Ativances 60.00 80500 TOTALe $0.00 $0.00 DAYS IN BILLING PERIOD: 031 purshasa $0.00 'e ash A4eenaa Payment Due: Amount Over Credit Limit 50.00 $0.00 Balance Subject To interest Chargee > 50.00 Periodic Rata ? .0000% .0000% Amount PaslDue: 50.00 ANNUAL PERCENTAGE RATE > O.OD% 0.001A MINIMUM AMOUNT DUE. $0.00 a CashAdvance LnitIs a por6'on afyaurTolal Credit Una "Available Cash Ueals a potion olycurAwIMble Credit We Page 1 of 2 Acca Ont Number Statement Date 06/03/2019 NOTICE MEMO ITEM(S3 LISTED BELOW 05/22/2019 05/23/2019 55432869142200416211824 MARRIOTT S AMToarlo AVA 866-435-7627 TX/ $563.58 V 007280 Arrival: 05-18-19 05/23/2019 05/24/2019 55432069143200653577738 MARRIOTT 3 At7T0NI0 AM 866-495-7627 T% ✓$139.66 V 008166 Arrival: 05-19-19 °"'»»"'»""»»»'»»"""'•""'»"""»^»'"»""`»"»""•TOTAL AMOUNT OF MEMO ITEM(S): $4,329.26 The foreign currency conversion rota used to convert yourfomign bansactions to U.S. dollaralncudes a service fee of 1% assessed to Citibank by the applicable bankru dessodailon. CIO Is committed to the reduction of paper. Rhin the Commercial Cards business, you an switch to ongne statements crow by registering your card on COIManagxat nilps:/mame:ams,dlldlreq.aMCofnmerUelCarNCards.0lml. Thanks to Nosovmo alwaccess statements online, togetherwe am saving 2,170 bees each yeargaugh Ods initiative Mrs. Account management made easier. Onllne staleelems; a CNManegerMobile o0er24d awes, ceonly, and mob0ty. Log In at wynv.dtimanagecamAogin and dck OoPapedas underthe Statement lab. Siga�p for small or text message sleds to Imm, when yourslalementis ready to dew. When on the go, access your account and recent activity through your mobile davice at wgw.allmmlagerandmobile • Cash Adverse Umiffs a pardon ofycurTotal Credit Une "AWYable Cash Lina fs a potion ofyaarAWYable CM&Una Pago 2 cf 2 f.. oar JUN 2 1 2019 UOUNTYAUDUCIR C UROUN COUPPIT, T.E ICTAL MET)TCIAT C -PN` ? P �VIO BltlTo: 815N V1Rc AUA:ST. Ship PORTLAVACA, f�77979' PRONE_ (361)552-6'713 PRONE: (361) 552-6719 PAX: (361) 5522--0312 FAM (361)5:52-03N vw&rName: DafF VendorAddcess: . vmdorpI=e* iver0wI7mc : Acoommt#k ' TiritiafP@By. 1` Paca�9aoi A�eBequi<ea �ease� D�s�ax� DaliverTo Lma i+Ta. Qiy, G�a7ng2TmUer Ars ptian Ttn tCosE T7uk Meas- Cast Itda sE V gS.C.b z ,�a�., Vr�'ie.r ►5u'a� � pupa Rr�l JuU4UJw ¢yMi fYVo l 51 Izi I l iDS-7 5 51w-51 V7 s '� ��..11f�ti► �1a - � l � . 9 _x)74 LL�t X05 1 10 4i hr "Shl 0 -4` F(u GL41 ev ist Fzaigl[E Est Total cost TOTAL COST e1(aYY es Y aok- -ND P�e t %t si Y1255 t :i Cantaat b�; QnotedBy: , XT4 begtm.tor ," °N-- - biz:Nmsmg MIN 7 1 AN Aambir.G'linicalSenice ooura rt ettaxrrttx CEO VAL 10UN C,OiINTY 't'VXAS .Administrator u J MEMORIAL MEDICAL qEN 1M PURCE ORDER 13 Ta; 815N'VIRGRUAST. 9hipTo:815N.'VJPCvRUAST- RORTLWACA,TX77979 NIRTL VACCA,TK77979' RHONE: (361)552-67M PH6M.- (361) 552-6713 FAX (361)-552-031 VAX -(to (31I6,,1) , %552-0372 Date: �"f !-i Vendorl7ame: f71tV r�Al/� VendorAd&=s: VendorPliono#: T VeatdorFax# . -P.O. # Accor# iniriatadB7: t $nrm#9401 D�e3tsgidzEB �xpeuse# Department D&WWTa - rmp Qiy., C.aWogTYmnhee Desauption T1n3(mat t7int Hxfended Caet . z `�7y c..J�oI-se a4l'k&,( Dtlr) - Q' 3 I L.N• `I .. a SaM ► y iJ%(6 6 U i nrw yr r )%41le c AJC I "m Boo atn 11' vi �I�r> Prlr�e dr - 6 ,) �= t �3 5641 1 PAAMQ_ za > > , 9�> �ViGtiV�^rD �' y► i ro- (-�oEe( 6jWq 1411� -rpr [oiwne- l:Y Qn6MdHY: �� BTA. TOTAL COST ur, J)q,Lmeutur F . DsNu .1UN i 2019 AdmDic ChmoaiSeipiao .. . iv :,, C"o kBOUN COURM TMA 6.iimmisSatns 99 W Texas Healthcare Trustees Mr 1106 Lavaca St. Suite 700 Austin, Texas 78701 _ Phone: 512/465-1040 @mall- servicecenter@tha.org sent By: Melissa Klein S/9/2o19 SOLD Jack VVu TO Memorial Medical Center 8l5 N Virginia Street Port Lavaca, TX 77979 Customer ID 164 Payment Method I Reference No. Payment Date f -,-MasterCard 7019 35270 5/912079 Description 2029 Healthcare (Jack Wu) Governance Conference Golf Tournament Jadt LOLL (p V&SC Sce A46C6 r _ Ye unit Price $335-00 $250.00 L,al?+) Arl3aOWD ON .JUN 21 2019 CoONTPY AUOY,f i1R pauourq COUNPy, I W'%lUu subtotal Sail s Tax $485-00 Total MEMORIAL MWXCAL CENTER 12ECETpT I 615 N VIRGINSA PORT LAVACA TX 77979-3025 Memorid Madcal Center 615 N Virdna St PORT LAVACA, TX 71S7s 311-552.6713 4133960133293 SALE W. 2393 Slurs: 0001 Term 0001 REM' 606o0006 Batch #, 029 RRR S1691Ss00217 Os1161ls 11.04.08 Trans 10: 3ams50602373 APPR COOS 03747C VISA Manual CP 6eaei44xN 01. AMOUNT $150.00 APPROVED THANK void CUSTOMER COPY 40510090 I PURCHASED SERVIC88 THZS XS YOUR RECEXPT PLEASE KEEP FOR YOUR RECORDS 150.00 150.00 BOUDRO'S ON THE RIVERNALK 421 E Commerce San Antonio, TX 78205 210-224-8484 ver: House Ring Up DOB: 05/19/20 , 24 PM 05/19/20' li0e 73/1 1/10109 SALE 1097$1'. I #XXXXXXXXXXXX7019 t. retic card present: 140ORE DIANE Entry Method: S ,.,.oval: 022599 Amount: 4304 + Gratuity: = Total: 3lk,11 I agree to pay the above total amount according to the card issuer agreement, 14ANY THANKS FROM BOUDRO'S! www.boudros,com *** CUSTOMER COPY ** BOUDRO'S ON THE RIVERNALK 421 E Commerce Sail Antonio, TX 70205 210-224-8484 House Ring Up 05/i9/2019 ./1 S :20 PN 8 10189 #: 3 MANY THANKS FROM BOUDRO'S! www.houdros.com (�- p:.%N C\,0,— .,-aW -Gn0 QFs -T' t Sense. Sve�l,t�7! �t,,ar�bsn Rlmor.azan--kl�m '�ot�� u �Jv4c�oi1lx� �P�S R y'Qri WDre'(3 011,50) 34.50 S�pn MVSHROO14S (2 @11.50) 23.00) P,41WSALAD 8,00 gene Sa1t�" 14,50 ,41W"AND GRITS 30.00-'o'0�n fay, �(n Uu0 ATLANTIC SALMON (2 @28.00 56.00 nel-OF SIRLOIN 28.06•M�'! Coot tr SHRIMP 25,000,�s' *9,1'^�W AND CRAB ENCHILADA 24.00��'^^S' � 1 . CUT FILET 38,00-ff� C. �o A- al 281.00 -Tax 23,18 Tax 23,18 Total 304,18 Ba 1 zaric:e Due :304.18 MANY THANKS FROM BOUDRO'S! www.houdros.com (�- p:.%N C\,0,— .,-aW -Gn0 QFs -T' t Sense. Sve�l,t�7! �t,,ar�bsn Rlmor.azan--kl�m '�ot�� u �Jv4c�oi1lx� �P�S 6!2012019 imp_cw5report5201194919654763696.html 06/ ICErVED MEMORIAL MEDICAL CENTER 0 11:49 JUN ffgg�� rt Rni AP Open Invoice List (Vendor Balances) ap_open inv_vend_bal.lemplate 2 0 2019 Due Dates Through: 07/04/2019 Vendor# Vendor Name Class Pay Code 11fillffn C0ltttVtl.Uffft0T GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount NmPay Net 061219 06/18/2019 06112/2019 07104/2�0,^1�9�I 17,154.80 0.00 0.00 / 17,154.89 yy,,'' TRANSFER NU4AM IW11��--•IWdiAVRiI(.QJ p+�y{+ W� �xh.-i 4D Pw\,L IK Ct tk' 061419 06110/2019 06/14/2019 07104/2019 36,374.08y 0.00 0.00 36,374.08 tri 1 t� ` wlk- VAL inS�� w�3,974.99s116y � 061719 0611812019 06117 2019 07104 2019 " 0,00 0 ' 3,974.99 ✓ TRANSFER Nt,IYL_WA) iNStM Qk(c j%ut}t7,i— ivm W- 1'. WIL (ii 6{' W Vendor7otals: Number Name V Gross ODiscount No -Pay Adjustment Net 11836 GOLDENCREEKI 57,503.95 000 0.00 0,00 57,503.95 Grand Totals: Gross 57,603.95 APPRO ,D ON JUN 21 2019 COUNI`YAUDITOR cauormt COUNT', TaaXAP Repori Summary ary Discount No -Pay 6.00 0.60 Adjustment Net 0.00 57,503.95 elnW/r-lf icme/mmnLiccorLfrneVmnmmed rncinnt rnmLrAA1Fe/Aafd Wfmn nu5rannrt59fti1QAp1Qn6A7R1RQn hfml 1H TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800572-8683) F]"ENTER 9 -DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4 -DIGIT PIN" "MAKE A PAYMENT, PRESS 1" F7 "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F "IF FEDERAL TAX DEPOSIT ENTER 1'" ❑ "ENTER 2 -DIGIT TAX FILING YEAR" El"ENTER 2-DIGITTAX 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 "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" E_T6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #�## ENTER: ### F 10 941 0 0 $ ;' 103,131.48 1 $ 51,746.80 12,102.16 $ 39,282.52 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: K:1Flnance ShereVO-Payroll FilesWayroll Taxes120IM3 MMC TAX DEPOSIT WORKSHEET 0620,1 9 RI 5124/2019 Run Date: 06/24/19 Time: 09:03 Final Summary a. - Pa y Cade Summary PayCd Description 1 REGULAR PAY -81 1 REGULAR PAY -SI 1 FROUIuIR PAY -Sl 2 REGULAR PAY -82 2 REGULAR PAY -82 3 REGULAR PAY -S3 3 REGULAR PAY -S3 C CALL PAY D DOUBLE TINE E EXTRA WAGES E EXTRA NA099 P FUNERAL LEAVE I INBERVICE J MY LEAVE X EXTENDED-ILLNESS-BAEK X HITENDED-ILINBSS-BANK P PAID -TIME -OFF P PMO -TIME -OFF X GALL PAY 2 Z CALL PAY 3 p PAID TIME OFF - PROBATION M MORIAL KBDICAL CENTER Page 110 Payroll Register 1 Bi -Weekly FIRED Pay Period 06/07/19 - 06/20/19 Rung 1 . ....................................s-- D a d u c t 1 0 n a S u m m a r y ----____---.-a Urn (UrISN'WHIHOICB' Gross I Cade Amount i 9500.25 1742.25 247.75 2803.75 89.50 1585.50 153.75 2177.75 3.25 8.00 18.50 32.00 14.00 230.00 116,76 1090.00 160,00 144.00 4.OD N N N N N N N N A N N N N N N 1 N N N N N N N N 1 fl N N 1 N N 1 N N 1 N N N N i7 1 N N N N H 1 N N 1 N N 1 N N 1 N N +-------------------- Grand Totals: 20121.D1 ------- i Greeds Checks Cwntt- FT 202 PT 9 Other 4D Female 220 Male :------- ._... .......................................... - 190487.32 79815,84 6730,78 63739.96 3591.18 43807.92 7284.11 4355.50 119.11 3750,00 1454.00 444.36 962.02 602.96 426.30 5911,82 3947.66 29486.18 320.00 432.00 41.12 447710,54 30 Credit All 1010.38 A/R2 AOVANC AWARDS CAPS 11 CAF8.1 CAFE -3 CAFE -4 CAPE -C CAPE -D CAFE -N 18535.00 CAPS -I CAFE -P CANCER CLINIC 150.00 COMBIN DD ADV DENTAL DIS -LF BAT FEDTAB 39282.52 FICA -M FIRM FLEX B PORT D FUTA GMT ORP -IN HOSP-1 ID TFT LEGAL 607.66 NASA NISC MISC/ NATEN6 1850,78 OTHER PNI*+s PB PILI REPAY SAN SIGHON ST.TX STONE STON92 SUNACC 934.76 SUNILL SUHSTD 1512,60 SODVIS TSA -2 TSA -C TSA -1 31339.18 TDTION USA% 187.65 A/R3 BOOTS CAPE -2 CAFE -5 1611.50 CAPE -F CAFE -L WILD 346.15 574.27 CREDUM DBP•LF 346.25 EATCSR 6051.00 FICA -0 25873.40 3757.52 FIX FE GIFT E 133.54 Gill LEAF 857.00 HEALS 179.41 MMGSHR PHI RELAY SCRUBS STONDF 1266.72 STUDEN 1668.66 SUtU,IF 1436.89 1005,08 TSA -1 TSA -P UNIFOR 399.86 Deductions: 141105.26 OYerAmt 8 EeroEet Term PRA o 0. 11.11 t-, erD (0-a+-ta 941 REC/TAX DEPOSIT FOR MMC PAYROLL "EMB PAY PERIOD: BEGIN $ 1,436.89 08107/19 VOID Eo PAY PERIOD: END -`08120118;;.. FED TAX $ 39,262,62 PAY DATE: FICA•M 06128/10 =' GROSS PAY: $ 447,710.64 FIRST C DEDUCTIONS: FLEX $ 3,757.62 AIR $ 1,198.03 S iM.131A3 '4 ADVANC $ 133.54 $ 12,102,04 GRPdN BOOTS laavx GTL $51,748.80 SUNLIFE CRITICAL ILLNESS $ 1,668,86 $39,282.62 SUNLIFE ACCIDENT $ 034.76 OTHER SUNLIFEVISION $ 11086,88 $ 1,850.78 SUNLIFE SHORT TERM DIS $ 1,512.60 CAFE -6 $ RELAY CAFt•D $ 1,617.60 cAFE-l9 $ 18,636.08 CAFt•1 CAFE` -L CAFA-P CANCER CHILD $ 346,16. . •517 PBLLrlli" CLINIC $ 160.0 d s^ COM61N $ 674.27 CREOUN DENTAL DEP-LF SUNLIFE TERM LIFE $ 1,436.89 $ 6,061.02 EAT $ 346.26 usa FED TAX $ 39,262,62 FICA - SOC SEC (ER) FICA•M $ 6,051.08 FICA -0 $ 26,873.40 S 26,873.34 FIRST C FED WITHHOLDING FLEX $ 3,757.62 TAKDEPOSIT:. FLX-FE E 109,r31.2A S iM.131A3 '4 GIFTS $ 133.54 $ 12,102,04 GRPdN $ laavx GTL $51,748.80 FED WITHHOLDING HOSP-I $ 39,282.62 $39,282.62 LEGAL $ 1,644.66 $: 903,131.24 OTHER $ 679.27 NATIONAL FARM LIFE $ 1,850.78 PHI PR FIN $ - RELAY REPAY STONEOP $ 1,288.72 STONE STONE2 STUDEN TSA -R $ 31,339.78 UWIHOS TOTAL DEDUCTIONS: $ 141106,26 1$ aKoOisiAildK'e'srob ' xalsirio m NET PAY: 305 606.28 $ •elro94?...� rtEP�_.:•efic'tpnllllc TOTAL906129 PLAN: $ 30,398.64 ,.Less 'FICA-MED(ER) us% $ 6,061.02 FICA-MED(EE) usa $ 6.061.02 $ 61061.013 $ FICA - SOC SEC (ER) ezos $ 25,673.34 FICA -SOC SEC (EF) aiax S 26,873.34 $ 26,873.40 $ FED WITHHOLDING $ .39,282.62 $ 38,282.52 TAKDEPOSIT:. E 109,r31.2A S iM.131A3 '4 FICA -MEDICARE mgr $ 12,102,04 $12,102,16 FICA -SOCIAL SECURITY laavx $ 61,746,68 $51,748.80 FED WITHHOLDING $ 39,282.62 $39,282.62 TOTALTAX: $: 903,131.24 $ 103,131.48 $ S REVISED 3118/2014 INAL CK 111 TOTALS $ 447,710.64 $ 1,198.03 $ 1,666,60 $ 934.76 $ 1,006.88 a 1,612.60 $ 1,617.60 $ 18,636.00 $ 346.16 $ 150.00 $ 674.27 $ 1,436.89 $ 340.26 $ 39,282,52 $ 8,061.08 $ 25,873.40 S 3,767.52 a - $ 133.64 $ 1,644.66 $ 570.27 $ 1,850.78 S - $ $ 1,266.72 $ 31,339.78 S - $ 941,105,28 S 306,606.28 Exempt Amt: Employees over FICA -SS Cap: Jason Anglin $ - Jerry -P.ayoodo 3- Employee Relmb.: - - RDehando S. Gray . TOTAL: S PREPARED BY; Alison M King PREPARED DATE: W2412619 (0.24) #13 MMC TAX DEPOSIT WORKSHEET06:20.49 RP TAX DEPOSRWORKSHEET 5Y1"10 tl IV\ 'S :1� N is :, d1 N N aN cm, t'V n SN 6% 'N y Co Co t:. 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T } T T T > T T y O T 6 1 6 R R 6 4 x6 R Rzz 6 yL F R m Ly w V V V U� ll UM U U A U U 6 6 6 6 4 4 4 4 4 4 6 O y w G¢ m mtima�mv�mmmmm �+ .� mm '4 N r .r ti .+ >•r n n b o� o o y gi 0 0 0 0 0 0 0 0 0 00 6117/2010 TEX a Ek tronichyment Network hits:[Rexnet.epa.state.tx.usrFXt�_HSC.aspx Texas Comptroller of Public Accounts Health and Human Services Commission Memorial Medical Center Operating County Identification Number: + Location: Transaction Complete Trace #: Payment Total $3,546.95 SettiementDate 07/02/2019 PAYMENT DETAIL - - DSRIP Audit Cost Amount $3,546.95 L Retum to Menu I Logoff - - - ---� Help � IMPORTANT: DO NOT USE THE BACK BUTTON ON YOUR BROWSER WHILE USING TEXNET, Raind:01/09/13 (483) httpsa/texnat.cpaslale.lz.usrlXN HSC;espx 117 en7l�are TES EkstronitPoyment Network' hops:(Itexnat.cpa.state.tx.usRxN_HSC.espx Texas Comptroller of Public Accounts Health and Human Services Commission Memorial Medical Center Operating County Identification Number: Location: Transaction Complete Trace #:. Payment Total $247,596.45 Settlement Date 07/02/2019 PAYMENT DETAIL ---- DSRYP Amount $247,596.4S Retum to Menu I Logoff Help IMPORTANT: DO NOT USE THE BACK BUTTON ON YOUR BROWSER WHILE USING TEXNET. lteviad:01109113 (483) https9liexnet.cps.state.tx.usltXN_HSC.aspx Ili C O .n 5 0. 4 k z e a G 0 0 0 a 0 a v m N 4 m 6 2 a A Vu w` o gg eEpZ u �n F V 4 IV'l tJ \ ) \ f ) . 2 ■ | � � %f k �� ! �\q | !;§&-; ° (!!^!i� \ ! g� ;� i;=&�& Memorial Medical Center Nursing Home UPL Weekly Centex Transfer Prosperity Accounts 6/24/2019 ,2 66lL I U ~ Adjust Bal4nceffnnsfer Amt 61,548.45 27 f f l 1'' 1,1 10TALTBA STBNS - 677,051.46 21+464-,H!b i Net,Onlybaron. of."155,000. 11 be hoorfened to the nursing A 6 1 > S jV 6 " /4 ` ; Approved• �t'� flare 2: Loch anoantho1o6ae cola', nf$,wthat 6lm-depor4ed L' Diane C. Monte, CFO 6/24/2019 1:\NH syeelly Tranu.1ANH uat iramier zummrry\2019Vune\NH OPl Transler Summar2 a62419a,In W.W.t r Today's Amount to Be Actaunl Beginning ACI( Baginninl Tramfened to Hanan Hama Number Want, TmaafapOa, Tnmfealn P ndln Da .zits Balance Nunln Home 188.504.17 188,294.81 V 65.684.12 - 65,893-48 / 53,423.73 Bank Balance 65,893.48✓ Variance - LeaveinBalance, 100.00 Boohoo Information [orAshlord Gordon,. MMC Pardon QIPP 1 12,26039 Ashford Health Care Center Ltd Co MMC Portion QIPP 2,3,tapse JPMaraoa Chase Bonk April Interest 40.72✓ ABA, Mayinterest 68.64 Attoe Pending QIPPCk to MMC Adjust Balancelrransfer Amt 53,423.73 t/ 79,586.05 ✓ 79,365.53 ✓ 266,053.43 >/ - 266,273.95 / 263,664.10 Bank Balance 266,273.95 Y Variance Leave ln8alance 100.00 MMC Portion QIPP2 2,389.33 MMC Portion QIPP 2,9,Lapse April interest S9.21/ Maylnterest 61.31 ✓ Pending QIPPCk to MMC Adjust Balanca/Transfer Amt / 263,664.10+ 53.715.82 53,508.96 280.124.80 - 280,331.66 277,]5020 Bank Balance 280,331.66 Variance Leave in Balance 100.00 MMC Potion QIPP3 2,374.60 MMC Partah QIPP 2,3,lapse April Interest 51.89 ✓ Maylnterest 59:97 a✓ Pending QIPP CkW MMC Adjust Balance/Transfer Aral 2T7,75020 7,569.70 s/ 7,418.92 26,486.31 ✓ 26,637.09/ 21,464.98 Bank Balance. 26,637.09✓ Variance Leave In Balance 100.00 MMC Paltion QIPP 1 5,021.33 ✓ MMC Portion QIPP 2,3,18pse April interest 25.47,✓ Maylnterest 25.31 Pending QIPP Ckta MMC Adjust Balankefflansfer hour 21,464.98 123,324.29 ✓ 123.137.80 V/ 65.039.28 ./ 65,225.77 61,548AS Bank Balance 65,225.77 variance Leave In Bolan. 100.00 FAuUnd In1b,nnodantorCretrentlSolem a,W' H /i rs8 d/B d MMC Portion QIPP1 3,490.83 ✓ Contex Health care Conten IN LIC MMC Porton QIPP 2,91,1apse 1PhtarBnchare Bank Aprilinterest 41581/ AN r Maylnterest 40.91 Arr--_ 5 -' ° 4 2 l ' Pending QIPP Ckta MMC ,2 66lL I U ~ Adjust Bal4nceffnnsfer Amt 61,548.45 27 f f l 1'' 1,1 10TALTBA STBNS - 677,051.46 21+464-,H!b i Net,Onlybaron. of."155,000. 11 be hoorfened to the nursing A 6 1 > S jV 6 " /4 ` ; Approved• �t'� flare 2: Loch anoantho1o6ae cola', nf$,wthat 6lm-depor4ed L' Diane C. Monte, CFO 6/24/2019 1:\NH syeelly Tranu.1ANH uat iramier zummrry\2019Vune\NH OPl Transler Summar2 a62419a,In I:\kH 17e4kiyTmaskrs\eank 05Wloatl W.1Ysll^-ets\20494une\NN Bak 1e Page - - 6/20/2019 ACHDepmBMANAGEANONET1718MNSPMNT0000000W0000334i MMCPORTION 1,22U.",/ 1,22890 T5nA4n0ut Trsns14r.6 QIPP/COMP) @pP/COMP2 QIPP/COMP3 QIPP/Iaplo QIPPTI NIIPORTION 6/19/;019 AQI Oxposlt HEA1THHUMAN SVCHCCWMPMT 1746yJ3A1130052 3,890.12✓ 3.89622 6/19/2019 ACI) DepoiR MDUNA NEALTHCAR MOUNA4CH W8231E9 4202WID 12 ZED 3.9 12,260.39 12,16039 6/19/2019 ANOxpoiq MANAGEANDNET17W MINS PMT00JW00(10Ctb]93 N41 361.50 - 361.50 6/19/2019 AGI Depottl Unneds Hiihcsrs llCCIMMPMT 74M3411 INN 5174DO/ 5.74002 6/19/2019 AM Deposll UI IC COMMUNITY PL HCCLUMPMT 746003411910000 1,46446 ,/ - 1,464.06 6/19/2019 AN Deposit UHC COMMUnity PI HCCLAWPMT 746003411910002 4,721.Wl - 4,9310D' 6/20/1019 Chi Wire Ooinankcl4IRE CWT ASHFORD HEALTH CARE CENTER LTD 180,29481 2.38933 263,661.10 - - 6/20/2019 ACHDepmBMANAGEANONET1718MNSPMNT0000000W0000334i MMCPORTION 1,22U.",/ 1,22890 6/10/2019 AN Dsposil UNC COMMUNITY PL HCCL9MFMT 74600341191DCW TNI 1,38556✓ - 1,385,76 6/20/2019 AN Deposll NIC COMMUNITY Pt HCAAIMPMT 746COi411910000 7,37743 _ 5,39593/ 51355,93 6/21/2019 AN Depoill WEA1630UP C08PO E -PAYMENT EES1862392111000 6/21/2029 AN Deposit HEALTH HUMAN SVC HCCLAIMPMT 17460234113005; V333,461// 60 1374. 1,374,60 21,383.94✓ 7,892.42✓ - 71,383.94 7,892.42 6.39 57 : 188 ]9942 65084.12 12,260.39 12,16039 53923.73 5.90248 ✓ - 89.57 - 5982.4B MMOOMION 1 lart44 TnnN4Y4)ut Tnnsfer.ln QIPP/Compl QIPP/CpmP2_ OIPP/C-0 OIPP/Laps, MITI NHPORTION 6/10/2019ACHOeposit UHCCOMMUNItYPLHCCWMPMT746W3411910DDO 1,805.85 - 1,80565 6/10/2019 AN O4poo1 HUMANA HIS CO EFPAYMENT 39086103110025291847 6,691.11✓ 61691-11 6/10/2019 MH Deposit HUMANA 1.95 CO EFPAYMENT 3908610300005283825 5,083.70 5,083,70 6/18/2019 AN Depostl HEALTNHUMA115VCHCCIAIMPhiT 174601341130042 4,191,21✓ 4,197,21 6/19/2019 AOI Deposit MMINAHEALTHCM MOUNAACH 0O8223264200M19 2,389.33,E 2,38433. 2,309d3 - 6/19/2D19 ACHDapolit UHCCOMMUNMPLHCCLAPAPMT 74EOD3411910000 6465.94 / - 1.666.94 6/19/2019 ACHOepolil NOViTASSOIUTIONHCC MPMT676357420 167 126,9E0.14v. - L26,96d i4 6/19/2019 ACH Depml[ HUMANA INS CO EFPAYMENT39086183WW5602357 4,23833% 4,21633 6/20/2019 CM We OamesHt WIRE OUTCANTE% HEALTH ME CD7ERSil 79.36553/ - - 6/20/2019 AN O,poOt MANAGEAN04ET1719 MUS PMhT00001.V0000tl3Z9341 7,97110✓ - 7.97170 6/2012o19 ACHOepPAtNOWTASSOLUnONHCCWhiPMT8763574100W169 52,447]3,/ 92,447,23 6/21/2019 ACH Deposit AMERIGAMP CORPO&PAYMENT EES1062195111000 4,167.46✓ 4,167.46 6/21/2019 AOI Oepaol HEALTH HUMAN SVC HCCLAIMPMT 174500342130042 8,434.931 8,434,93 611817019 AN Deposit HUMANA CNA DISK HCCWW.FMT 390964 4700001811 6/19/2019 401 Depmil AIDIINA HEALTHCAR MOUNAACH W82130443o0W 19 6120/2019 CM VAcg Oomeilk WIRE OOT CA•9TE0 HEALTH CAGE CENTERS III 6/20/2019 Deposit 6/20/2019 ACHP-p ,ithiMAGEANONET1710MNSPMNT0000^028000326841 6/20/2019 AN Deposit NOVITA550LUDON HCCLAtMPMT 676323 420000169 6/21/2019 ACH Deposit AMERIGROOP CORPO E -PAYMENT EE51062394 I LIM 6/21/2019 AN Deposit UnitedHeNthe4re HCCIAIMPMT 746WN1t 114394 6/11/2019 ACIL DePaHt UNC COMMUNTY PL NCCLAIMPMT M W341191COW 0/21/2019 AMD4pOsit UHCCOMMUNITYPLNCCWSIPMTT4WO341193C400 6/21/2019 ACH D,PPeh UHCC Mmunity PI RCCWMPMT744O034/1910000 6/21/2019 AN Deposll NOVITASSOLUTION HCCINMPMT 676323420000142 AN Deposit UNC COMMUNITY PL HCWIMPMT 7460234I19I0000 AOI Deport HUMANA INS CO ZFPAVMZW350563030W05291848 ACHDcp ittM0LINAHEAtT11CARMOUNAACHW52220742WOo19 CM 111Re Oomest c 480.E OUT CANTEk HEALTH CARE CENTERS III AN DePoill AM•ERIGROUPCORPO EPAYMENT EESISS2391 AlI000 AN Deposit UHC COMMUNITY PL HCCLAIMPMT 7460034119HO000 ACSI Deposit HUMANA INS CO HCC1NMPt.IT 390953 839000521390 6/20/2019 CM 6/20/2919 AN 6(ZI/2019 AN 6/21/2019. AN 6/21/2019 AN 6/71/1019 AN 6/21/2019 ACH 6/21/2019 AOI Illm 79,365,53 266,053,$3 ✓ 2,38933 2.38933 263,661.10 - 2,268.84 24,62907 MMCPORTION 2,791.83. 7,791.83 3ransloe-0ut TNI WPP/ts QIPP/Comp2 CWU Comp3 CUPP/t" QIpP. 71 NNPORTION 7,37743 _ 2,220,00 // 9,601,90 V 21,060,8SIX 0.37460 ✓ 1 2:220.0 - 9,801,40 21,060.88 6,379.50 - .1;333.46 53.So3.96 / V333,461// 60 1374. 1,374,60 2,3N.60 - - 4.626.00✓ 5,557.50% lifi,729s6 4,141.50 ✓� 7,165.61 5,140.21 4,626.80 5,557.50 mmclH7rmun Transfet-Oul Nesta WPP/Compl QIPP1COMP2 WPP/ComP3. WPP/Lapse CUPP 31 NHPORnON 12,052.43 .12,052.43 121-67 ✓ - 122.6-/ 5,021.33 5,02133 5,92133 - 7.41892 ,/ .. 9,757.63 ✓ B,757M 63.42 - 63.42 Tostoler4lut 71pDs'i4[18 L;pP/Comps COpP/ComP2 ClIpplComp QIPP/LaP16. QIPP TI I NNPONtION 2,168.&1 - 2,268.84 24,62907 - 74,619.02 2,791.83. 7,791.83 5,493.53 - 5,493.53 3,490.83 3,simu, 3,490:03 - 7,377,13 313,I37.80� 7,37743 _ 1883.011 - 1,883.0 1,969.04 ✓ 11959.9 745.00 745.W 6.39 57 : 6,088:57 8957 5.90248 ✓ - 89.57 - 5982.4B 2.230.34 1 lart44 TOTALS 453,726.02 703,387.04 25.536,48. 25,536.40 671,851A6 6/24/2019 Digital Banking Home ALL ACCOUNTS FAVORITES * Reorder Favorites Favorite Accounts Available Previous Day MEMORIAL MEDICAL CENTER - r -- OPERATING= MEMORIAL MEDICAL CENTER / $184,056.79 $65,093.48 NH ASHFORD MEMORIAL MEDICAL CENTER / $288,956.12 $266,273.95 NH BROADMOOR 4 MEMORIAL MEDICAL CENTER / NH CRESCENT 'r MEMORIAL MEDICAL CENTER / SOLERAAT WEST HOUSTON 'f MEMORIAL MEDICAL CENTER / NH FORT BEND MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE N MMC -NH GULF POINTE PLAZA - PRIVATE PAIM MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID https:l/pbsitx.secure.fundsxpress.com/fxweb/appl#ihome $317,437.08 $280,331.66 $249,392.38 $65,225.77 $81,691.74 $26,637.09 1/1 Memorial Medical Center Nursing Home UPI Weekly Nexion Transfer Prosperity Accounts 6/24/2019 Attovnt Bdvtina fn/ormo Npn /ar 00den heeA Neabn Nmtrh of Gptden (reek Waleisoa. Bank NA ABA, A.,.., Note: Ontyhvinnr ofover55,000 will he NpmyeNed to the narab4 Aame. Note T. Each veecant has a Wee 6alanea of$100thae IAMCdeposired to epenoccovnc Ann Wevkk Ramleb1 Ju uPl Tram/er SummaryU069Wna\bN UPt Tomle. summa" 06.2 1. 19tla Amavnl tp Be Panning TnnAarted [a 11.060ani 929,36a Varpxe IO.wI 4aveln Balarse 100.00 MMg roono,QlP MM[Partlan QIPP23apse lnl 19b5 yeraat W May Interest 27.41 J panding yPP [Y to MMC Adlost Balanav/TIOn6lh Amt 0- D... App.d Dane C Moore, CFO 6/24/1019 APPROVED ON JUN 2 4 2019 COUNTY AUDITOR CALHOUN COUNTY, T=, A5 MMCPORTION NHammm9 t' y i,} Truns7erOut Transla-In QIPP/C.Mpl QIPP/C.MP2 QIPP/CV.P3 OIPP/Lapse QIPP❑ PORTION 6/20/2039CMWtre Don.I,OAREOUEEIEMONNEALWATQOWENCREEN 66,393.56 / - - 6/23/2919 ACN Oepsi3 TSTS/TMNSFIRST 6NCO 90AT 5436845559369139 793.79 ✓ 383.79 66993.56 78339 6/2412019 Home ALLACCOUNTS FAVORITES * Favorite Accounts MEMORIAL MEDICAL CENTER - OPERATING -r MEMORIAL MEDICAL CENTER / NH ASHFORD MEMORIAL MEDICAL CENTER / NH BROADMOOR- MEMORIAL MEDICAL CENTER / NH CRESCENI� MEMORIAL MEDICAL CENTER / SOLERAAT WEST HOUSTON MEMORIAL MEDICAL CENTER / NH FORT BEND MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE MMC -NH GULF POINTE PLAZA - PRIVATE PAY = MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID Im https://pbsltx.secure.fundsxpress.com/txweb/app/#/home Digital Banking Reorder Favorites Available Previous Day $929.38 $929.38 — soft t/1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 6/24/2019 pamunt Aerosol NumGer P¢NauS vrMou> Narv:OnybnhnmJ p7wri59.0]0W be $100 thotrv!C pammItI,to fdtel: Fad onountAm a bawbvkn;eoj91(V da1MA!CdeFP31lfdPoopen a<vunt, k W u w«IY rranNv+W t uPUu non Svm+unV al9VundxO uvl ro ml n summiq fi)0� U,la. to ea19alawo iw1Y OaM Pibnan IwJS W4anm IwW teaaKn How MMCPonitlon joallQIPP1 MM C Pp M1lpn QIP"l.r}aPPn am _ MNtx O.w pd41I.W.1,1nlortst W Mag tIAt OOW vindint NPPUIo MMG 9� Adjust 6alloie/rnnOn Amt all to ea19alawo 959.15 Yatlarce 6134/ylt9 Uave NPaNnm IwW MMCP.M.Aoup t MMCPo1Wn Q1PP9p,topm Ma101,4"ftt am ApfflIM.9 am Morino" 0,04 PmdIn9QIPP(btoMMe 9� pdjuOBahnm/tnnsrttAmt 009. TCP.Id: a T'a�' — 1( "' Opnd C.Moolva SPO 6134/ylt9 "PROV" ON JUN 2 4 2 COUNTY AUDI`. IL UALHOUN COUNTY, TBYAS NH Transfer Out Trraar sfer•In I QIPP/C*Mpl CU"/Comp2 MMCQIPP/ComP3PORTION QIPP/lapse gIPPTI PORTION ffoa<Iiviryfor this period � � i Wd 'd�II #,, g e MMC PORTION �.. 6� Y Ii ' t # FP rA i i. i °,,f ! } NH iI _ yV �4i a" Transfw.Out iranj(cnlR I QIPP/ORnPl WPP/Comps QIPP/Comp3 QIPP/lkpm NPPTI PORTION No adivi t, lar tMs Pesbd. 6/2412019 Home ALL ACCOUNTS FAVORITES * Favorite Accounts MEMORIAL MEDICAL CENTER - OPERATING MEMORIAL MEDICAL CENTER / NH ASHFORDi MEMORIAL MEDICAL CENTER / NH BROADM00F� MEMORIAL MEDICAL CENTER / NH CRESCENT_ MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON MEMORIAL MEDICAL CENTER / NH FORT BEND = MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE MM MMC -NH GULF POINTE PLAZA - PRIVATE PAY 4 MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID 3 ' Digital Banking Reorder Favorites Available Previous Day S $100.25 $100.25 , $989.15 $989.151 https://Pbsltx.secure.fundsxpfess.comffrnveblappf#thome 1/1 MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 6124119 A APPROVED FOR ACCT. USE ONLY Y ON I]Imprest Cash jUN 24 2039. []A/P Check E Mail Check to Vendor E OOUN!'Y Aunrroli CALHOUN cofjrM,'CP1CA9 ❑Return Check to Dept AMOUNT 612,260.39 G/L NUMBER: 21000012 EXPLANATION: ASHFORD -To transfer funds for Comp 1- OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 6/24119 A FOR ACCT. USE ONLY Y APPROVPU 11Im prest Cash ON []A/P Check E JUN /0114 []Mail 6eck to Vendor E []Return Check to Dept (30UNTPAUAI'1'O1[ CALUOUN COUly7".'. °'i.-• AMOUNT $3490.83 G/L NUMBER: 21000011 EXPLANATION: SOLERA- To transfer funds for Comp 1- QIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST p Memorial Medical Center Operating Date Requested: 6/24/19 A FOR ACCT. USE ONLY Y tTqAO1T,; ;r= n imprest cash ON []A/P Check E JUN [Ij E]Mail Check to Vendor E COUNTY AUDITOR Return Check to Dept CA%HOUN GoUlTrY, r1'XA13 AMOUNT $2,374.60 G/L NUMBER: 21000010 EXPLANATION: CRESCENT- To transfer funds for Comp t-QIPP payment. r1EQUFSTED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 6124119 A FOR ACCT. USE ONLY Y APPROVED �ImprestCash ON E]A/P Check E r' UN 9 4 2019 ElMail Check to Vendor E - []Return Check to Dept COUN'P4 AUi7r'OE% CAL13Ov i COUNTY# T" B AMOUNT $2,389.33 G/L NUMBER: 21000009 EXPLANATION: BROAOMOOR-.To transfer funds for Comp 1- OIPP payment. REQUE5TED BY: Sarah L, Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: 8/24/19 A _ APPROVED FOR ACCT. USE ONLY Y ON L]ImprestCash JUN 2 4 2019 ❑A/P Check E Mail Check to Vendor E COUNTY AU TYT Return Check to Dept DpI,TiOtJM COUNTY, TEXAS � P AMOUNT $5.021.33 G/L NUMBER: 21000008 EXPLANATION: FORT BEND- To transfer funds for Comp 1- OIPP payment. Sarah L. Henderson REQUE5TED BY: AUTHORIZED BY: June 26, 2019 2019 APPROVAL LIST - 2019 BUDGET COMMISSIONERS COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE AT&T MOBILITY CABLE ONE CENTERPOINT ENERGY CITIBANK CITY OF PORT LAVACA CPL RETAIL ENERGY FRONTIER COMMUNICATIONS MCI COMM SERVICE REPUBLIC SERVICES #847 TISD, INC WHITE TRASH SERVICES 06/26/19 41 $321,577.19 AT $ 201.87 A/P $ 254.33 A/P $ 2,448.25 A/P $ 14,616.65 A/P $ 4,622.13 A/P $ 48.04 AT $ 2,370.19 A/P $ 277.23 A/P $ 132.28 A/P $ 104.99 A/P $ 540.00 P/R S 302,044.96 TOTAL PAYROLL AMOUNT: $ 302,044.96,/` CALHOUN COUNTY INDIGENT HEALTH CARE A/P $ IS,556.64�'f CALCO DRAINAGE DISTRICT MAINT & OPERATING- CORRECT DEPOSITS A/P $ 5,057.65 / TOTAL TRANSFERS BETWEEN FUNDS: $ 23,614.32 TOTAL AMOUNT FOR APPROVAL: $ 672,852.43 O O O V1 P o P O9 1� rn r o� a O: a. 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