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2019-09-04 CC MINUTES (2).pdfCommissioners' Court—September04, 2019 REGULAR 2019 TERM 0 SEPTEMBER 04, 2019 BE IT REMEMBERED THAT ON SEPTEMBER 04, 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 —September 04,, 2019 4. General Discussion of Public matters and Public Participation. Several residents of the Olivia Community expressed concerns with the RV Parks that have and are going to be built in the community. 5. HEAR THE DULY 2019 MEMORIAL MEDICAL CENTER REPORT. (RM) JASON ANGLIN GAVE THE REPORT. 6. APPROVE THE MINUTES OF AUGUST 14, 2019 MEETING. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To approve the Ricoh Printer/Scanner/Copier contract for the Adult Detention Center and authorize the County Judge to sign. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On additional insurance proceeds received from TAC for property damages associated with Hurricane Harvey in the amount of $135,343,81. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct SECONDER: Vern Lyssy, Commissioner Pct 2 AYES. Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 2 of 7 Commissioners' Court —September 04, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept a donation from Seadrift Volunteer Fire Department of a 2019 Ford F550 4 x 4 Crew Cab Brush Truck, VIN 1FDOW5HTiKEF19134, with a valuation of $167,093 and add to Department 690mSeadrift Volunteer Fire Department asset inventory list. (GR) RESULT: APR( ED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve a 4-year service plan for LifePacks and Lucas Devices with Stryker and authorize the EMS Director to sign. (RM) Dustin Jenkins, EMS Director, presented information on the plan. RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pct 3 SECONDER:` Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On an agreement with the Advanced Health Education Center for an Ultra- sound FAST Exam training class and authorize the EMS Director to sign. (RM) Dustin Jenkins, EMS Director, presented information on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 3 of 7 Commissioners' Court—Septernber04, 2019 12, CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On approval of Geigle's Utilities for Inspections Agreement for public rest - room septic system located at 865 N Ocean Drive and authorize Commissioner hall to sign a 1-year contract. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On appointments/reappointments to Drainage Districts #6, #8, and #10. (RM) #6'- Tony Haschke, Jr., Rolando Reyes, Jr., and Billy Billings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese #8 - Philip Henke, Melbourn Shillings, Michael Mutchler. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese #10—Dale Garner, Mike Hahn, David Hahn. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 7 Commissioners` Court—Septernber04, 2019 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To approve a Request for Professional Engineering Services for Memorial Medical Center. (GR) Joe Janda, G&W Engineering, presented information on this matter. Commissioner Lyssy made the motion to add "and authorize the County Judge to sign". RESULT: APPROVED,[UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) On a grant from TXDOT for routine airport maintenance and authorize Commissioner Lyssy to sign. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reece, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 5 of 7 Commissioners' CouI t —September 04, 2019 16. Accept reports from the following County Offices: (RM) 1. County Clerk's Office — July 2019 — Revised 2. Tax Assessor/Collector — July 2019 3. County Auditor's Office — July 2019 RESULT: APPROVED [UNANIMOUS] MOVER' Clyde Syma, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 17. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 6 of 7 Cornrnissioners` Court —September04, 2019 18. 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 ADJOURNED: 11:06 A.M. Page 7 of 7 Commissioners' Court— September 04, 2019 REGULAR 2019 TERM § SEPTEMBER 04, 2019 BE IT REMEMBERED THAT ON SEPTEMBER 04, 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 #i 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 16 Commissioners' Court —September 04, 2019 4, General Discussion of Public matters and Public Participation. Several residents of the Olivia Community expressed concerns with the RV Parks that have and are going to be built in the community. Page 2 of 16 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item for items) you wish to address are discussed before the Court. Instructions: fill out all appropriate blanks. Please print or write legibly. NAME: LIAIZ � f ��/(i 131 ADDRESS: �, TELEPHONE:GPL 6 PLACE OF EMPLOYMENT:��/1 EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? YES CO )(Circle one) If you do represent a group or organization, please provide the name, address and telephone Which agenda item (or items) do you wish to address? In general, are you for or against the agenda item (or items)? � ��✓l, 1 have read the Rules of Procedure, Conduct and Decorum. Initials I hereby swear that any statement I make will be the truth, and nothing but the truth, to the best of my knowledge and ability. Signature: Commissioners' Court — September 04, 201 5. HEAR THE JULY 2019 MEMORIAL MEDICAL CENTER REPORT. (RM) JASON ANGLIN GAVE THE REPORT. 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APPROVE THE MINUTES OF AUGUST 14, 2019 MEETING, (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 16 I, Commissioners' Court —August 14, 2019 REGULAR 2019 TERM AUGUST 14, 2019 BE IT REMEMBERED THAT ON AUGUST 14, 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 id: l 4:i1t7� 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 5 �. Commissioners' Court -August 14, 2019 4. General Discussion of Public matters and Public Participation. N/A L Approve minutes of the July 24, 2019 meeting. (RM) 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.6) To confirm the new Calhoun County Marine Agent. (RM 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NOJ) To adopt a resolution authorizing the execution of a Legal Service Agreement with Phipps Deacon Purnell PLLC for representation in Oplold Litigation. (RM) Pago 2 of 5 (, Commissioners' Court -August 14, 201.9 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.8) To adopt a Charity Care Policy and Guidelines required by the State of Texas to participate in the Texas Ambulance Services Supplemental Payment Program (TASSPP). (RM) 9, CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM N0.9) To change the date of the second meeting in October from October 9 to October 7 due to scheduling conflict. (RM) ESULT: ROVED.FF [UNANIMOUS MOVER:FF aPy Reese;Commissioner p�f4FF �CONDER: mmissioner Qct" AYES Ju a Meer Commissioner Hill, Lyssy, Syma, Reese 9 Y 30. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To authorize a loan in the amount of $148,500 from the General Fund Lothe Chocolate Bayou Boat Ramp Capital Project Fund. (RM) RESULT: h�PROVED [UNAfIMOUS] MOVER: David Hall, Commissne pct 1FF SECONDER:. Vern Lyssy, Comml$siQer Pct 2FF gYFS:_ Sudge Meyer, ComrCi[ssioper H44 all, Lyssy, Syma, Reese a Page 3 of 5 Commissioners' Court —August 14, 2019 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To approve and accept the HEBP renewal & benefit confirmation for county employees medical, dental, vision and benefit life products and rates for the upcoming 2019=2020 year and to allow Rhonda Kokena, County Treasurer/ Plan Administrator to sign said confirmation, The new rates will be effective October 1, 2019. (RM) 12. CONSIDER•AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To accept audits of various departments for 2018 and 2019. (see attached) (RM) RESULT APPROVED,[UNANIMOUSj � `' " MOVER Vern Lissy; Commissioner pck 2 , bt SIN y SECONDER: Gar RM0 Commissioner P� 4 y AYES t gi Meyer, CommisslorWt.`,"4jj, Lyssy, Syma, Meese w 13. CONNIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To approve an Order Prohibiting Outdoor Burning. (RM) r ;Pass _ 14. Accept reports from the following County OfFices: 1. County Auditor —Apr. 2019; May 2019; June 2019 2. District Clerk—Ju1y2019 3. Sheriff — July 2019 4. Justice of the Peace — Pct #1 July 2019, Pct #2 July 2019, Pct #5 July 2019 RESI)�T APPROVED [UNAN��N�QUSj . MOVER.. Verri Lyssy, Commissioner �t 2 SECONDER: David Hall, CommissW-'ef-W vI AYES ]gdge Meyer, Commissioner Hall, Lyssy, Syma� Reese Page A o£ 5 Commissioners' Court —August 14, 2019 S. Consider and necessary action on anv necessary budget adjustments. (RM) 16. Approval of bills and payroll. (RM) bounty '` Y F RRESULT gpPjZOVED [IINANIMOUSa> MOVER gavidHal; Commissioner Pct l SECONDER: 1%r Lyssyy Commissioner PE2 AYES Ju�Ie�Meyer Commiss:op�r Hall,yssy, symd Reese AD70URNED: 10:19 A.M. Page 5 of 5 Commissioners' Court- September 04, 2019 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To approve the Ricoh Printer/Scanner/Copier contract for the Adult Detention Center and authorize the County Judge to sign. (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 5 of 16 Mae Belle Cassel From: michelle.velasquez@calhouncotx.org (Michelle Velasquez) <michelle.velasquez@calhouncotx.org> Sent: Wednesday, August 28, 2019 3:02 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Ricoh contract Attachments: 201908281456.pdf 1Ii Maclielle, Can }'ou Please place this oil the next agenda? Consider and take necessary action to approve the Ricoh Printer/Scanner/Copier contract foe the Adult Detention Center and authorize the County Judge to sigh. Thank you, Nfichelle ---Original tYicssage.----- Prom: michelle.velasquez�cicalhouncote.org [maiIto:michelle.velasquez@calhouncoIx. org] Sent: Wednesday, August 28, 2019 2:56 PM '1'o: MICf-IELLE, Subject: Messagc from "RNP00267395813P5" This F;-mail was scat from "1tIsIY002673958BF'S" (/lficio IvIl' 5002). Scan Date: 08.28.2019 14:5G:21 (-0500) Queries to: ill ichelle.velasquez calhouncotx.org Calhoun Counh�'1`exas Calhoun County Tczas IMAGE: PLUS Manage en Product Schedule Product Schedule Number: Master Lease Agreement Number: This Product Schedule (this "Schedule") is between Ricoh USA, Inc. ("we" or "us") and CALHOUN, COUNTY OF, as customer or lessee ("Customer" or "you"). This Schedule constitutes a "Schedule," "Product Schedule," or "Order Agreement," as applicable, under the (together with any amendments, attachments and addenda thereto, the "Lease Agreement") identified above, between you and . All terms and conditions of the Lease Agreement are incorporated into this Schedule and made a part hereof. If we are not the lessor under the Lease Agreement, then, solely for purposes of this Schedule, we shall be deemed to be the lessor under the Lease Agreement. It is the intent of the parties that this Schedule be separately enforceable as a complete and independent agreement, independent of all other Schedules to the Lease Agreement. CUSTOMER INFORMATION CALHOUN COUNTY OF MICHELLE VELAS UEZ Customer (Bill To) Billing Contact Name 302 W LIVE OAK ST 302 W LIVE OAK ST Product Location Address Billing Address ffdi erentfrom location address) PORTLAVACA CALHOUN TX 77979-4234 PORTLAVACA CALHOUN TX 77979-4234 City County State Zip City County State Zip Billing Contact Telephone Number Billing Contact Facsimile Number Billing Contact E-Mail Address (361)553-4482 michelle.velasquez@calhouncot .org PRODUCT/EQUIPMENTbESCRIPTION "Product" Product Dcscri tion: Make&ModelI Street Address/City/State/Zip I RICOH MP5055SP CONFIGURABLE PTO MODEL 302 W LIVE OAK ST, PORT LAVACA, TX, 77979-4234, US PAYMENT SCHEDULE Minimum Term. Minimum Payment Minimum Payment Billing Frequency Advance Payment months) (Without Tax OMombl Y ❑ 15'Payment 60 $288 67 D Quarterly ❑ 15' & Last Payment ❑ Other: ❑ Other: Frequency Guaranteed Minimum lma es*° Color 1000I 0 Cost of AddiBonalImages , Color 0.007 N/A *Based upon Minimum Payment Billing Frequency ° Based upon standard 8'h" x l l"paper size. Paper sizes greater than 8 %" x I I' may count as more than one image. Meter Reading/Billing ❑ on hly 0 Quarterly DOther: Sales Tax Exempt: OYES (Attach Exemption Certificate) Customer Billing Reference Number(P.O. Addendum(s) attached: DYES (check if yes and indicate total number of pages: ) TERMS AND 1. The first Payment will be due on the Effective Date. If the Lease Agreement uses the terrns "Lease Payment" and "Commencement Date" rather than "Payment" and "Effective Date," then, for purposes of this Schedule, the term "Payment" shall have the same meaning as "Lease Payment," and the term "Effective Date" shall have the same meaning as "Commencement Date." 2. You, the undersigned Customer, have applied to us to use the above -described Product for lawful commercial (non -consumer) purposes. THIS IS AN UNCONDITIONAL, NON -CANCELABLE AGREEMENT FOR THE MINIMUM TERM LSEADD PS-IhIPC 04.15 Ricoliob and the Ricoh Logo are registered trademarks of Ricoh Companv. Ltd Page 1 of 2 26953355 _ �- _ -_W26;20194: 6.PM ,III 11111 *Based upon Minimum Payment Billing Frequency ° Based upon standard 8'h" x l l"paper size. Paper sizes greater than 8 %" x I I' may count as more than one image. Meter Reading/Billing ❑ on hly 0 Quarterly DOther: Sales Tax Exempt: OYES (Attach Exemption Certificate) Customer Billing Reference Number(P.O. Addendum(s) attached: DYES (check if yes and indicate total number of pages: ) TERMS AND 1. The first Payment will be due on the Effective Date. If the Lease Agreement uses the terrns "Lease Payment" and "Commencement Date" rather than "Payment" and "Effective Date," then, for purposes of this Schedule, the term "Payment" shall have the same meaning as "Lease Payment," and the term "Effective Date" shall have the same meaning as "Commencement Date." 2. You, the undersigned Customer, have applied to us to use the above -described Product for lawful commercial (non -consumer) purposes. THIS IS AN UNCONDITIONAL, NON -CANCELABLE AGREEMENT FOR THE MINIMUM TERM LSEADD PS-IhIPC 04.15 Ricoliob and the Ricoh Logo are registered trademarks of Ricoh Companv. Ltd Page 1 of 2 26953355 _ �- _ -_W26;20194: 6.PM ,III 11111 DocuSign Envelope ID: 4C2C968A-5F5C-4740-9C3D-9A52053B83E4 INDICATED ABOVE, except as otherwise provided in any non -appropriation provision of the Lease Agreement, if applicable. If we accept this Schedule, you agree to use the above Product on all the terms hereof, including the terms and conditions on the Lease Agreement. THIS WILL ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THIS SCHEDULE AND THE LEASE AGREEMENT AND HAVE RECEIVED A COPY OF THIS SCHEDULE AND THE LEASE AGREEMENT. You acknowledge and agree that the Ricoh service commitments included on the "Image Management Plus Commitments" page attached to this Schedule (collectively, the "Commitments") are separate and independent obligations of Ricoh USA, Inc. ("Ricoh") governed solely by the terms set forth on such page. If we assign this Schedule in accordance with the Lease Agreement, the Commitments do not represent obligations of any assignee and are not incorporated herein by reference. You agree that Ricoh alone is the party to provide all such services and is directly responsible to you for all of the Commitments. We are or, if we assign this Schedule in accordance with the Lease Agreement, our assignee will be, the party responsible for financing and billing this Schedule, including, but not limited to, the portion of your payments under this Schedule that reflects consideration owing to Ricoh in respect of its performance of the Commitments. Accordingly, you expressly agree that Ricoh is an intended party beneficiary of your payment obligations hereunder, even if this Schedule is assigned by us in accordance with the Lease Agreement, 3. Image Charees/Meters: In return for the Minimum Payment, you are entitled to use the number of Guazanteed Minimum Images as specified in the Payment Schedule of this Schedule. The Meter Reading/Billing Frequency is the period of time (monthly, quarterly, etc.) for which the number of images used will be reconciled. If you use more than the Guaranteed Minimum Images during the selected Meter Reading/Billing Frequency period, you will pay additional charges at the applicable Cost of Additional Images as specified in the Payment Schedule of this Schedule for images, black and white and/or color, which exceed the Guaranteed Minimum Images ("Additional Images"). The charge for Additional Images is calculated by multiplying the number of Additional Images by the applicable Cost of Additional Images. The Meter Reading/Billing Frequency may be different than the Minimum Payment Billing Frequency as, specified in the Payment Schedule of this Schedule. You will provide us or our designee with the actual meter reading(s) by submitting meter reads electronically via an automated meter read program, or in any other reasonable manner requested by us or our designee from time to time. If such meter reading is not received within seven (7) days of either the end of the Meter Reading/Billing Frequency period or at our request, we may estimate the number of images used. Adjustments for estimated charges for Additional Images will be made upon receipt of actual meter reading(s). Notwithstanding any adjustment, you will never pay less than the Minimum Payment. 4. Additional Provisions (if any) are: THE PERSON SIGNING THIS SCHEDULE ON BEHALF OF THE CUSTOMER REPRESENTS THAT AE/SHE HAS THE AUTHORITY TO DO SO. CUSTOMS Accepted by; RiCOH USA, INC. By: By; X X _ thorized Signer Signature A tZno S me Signa r to Richard Meyer Printed Name: Printed Name: Karl Lamb County Judge Title: Date: Title: Vice President/Managing Director Date: 8/26/19 C.SEADD PS—Ilvl PC 04.15 Ricoh<�3� and the Ricoh Logo are reoistcrcd trademarks of Ricoh Cmnpany. Ltd. Page 2 oC2 2(K53355 R; 21;'0194:�G PM ®III _®I II I PROPOSAL FOR: Calhoun County Jail August 23, 2019 (a) Ricoh MP5055 6/W Printer/Scanner/Copier 50 Copies Per Minute, Scan Once Print Many 220 Sheet Single Pass Document Feeder 2,200 Sheet Paper Supply (four cassette drawers) 1000 sheet finisher Universal drawers to feed 11X17 to letter size paper 100 Sheet Stack Bypass Duplexing (Double Sided Copies) Thumb drive and SO card printing capable Network Printing Network Scan to E-mail/scan to folder Data Overwrite Uponexecution ofanew Ricoh USA contract for the Calhoun County jail, contract 950o101SA5 will be terminated and the oId equipment picked up at no charge 60 Month Program ...................................................... $ 288.67 per month Monthly Total $288.67 This program includes 10,000 black and white impressions per month. Black and white overages will be billed at the rate of .0070on a quarterly basis. All maintenance, toner, and staples are included. �ignaturi of authorize personnel Karl Lamb Printed name of signer Larry Dreier Ricoh USA DocuSign Envelope ID: 4C2C968A-5F5C-4740-9C3D-9A52053B83E4 Ricoh USA, Inc. RICOH70 Valley Stream Parkway RICOH USA, INC. Malvern, PA 19355 IMAGE MANAGEMENT PLUS COMMITMENTS The below service commitments (collectively, the "Service Commitments") are brought to you by Ricoh USA, Inc., an Ohio corporation having its principal place of business at 70 Valley Stream Parkway, Malvern, PA 19355 ("Ricoh"). The words "you" and your' refer to you, our customer. You agree that Ricoh alone is the party to provide all of the services set forth below and is fully responsible to you, the customer, for all of the Service Commitments. Ricoh or, if Ricoh assigns the Product Schedule to which this page Is attached in accordance with the Lease Agreement (as defined in such Product Schedule), Ricoh's assignee, is the party responsible for financing and billing the Image Management Plus Product Schedule, The Service Commitments are only pplicable to the equipment ("Product") described in the Image Management Plus Product Schedule to which these Borden Commitments are attached, excluding facsimile machines, single - function and wide -format printers and production units. The Service Commitments are effective on the date the Product is accepted by you and apply during Ricoh's normal business hours, excluding weekends and Ricoh recognized holidays. They remain In effect for the Minimum Term so long as no ongoing default exists on your part. TERM PRICE PROTECTION The Image Management Minimum Payment and the Cost of Additional Images, as described on the Image Management Plus Product Schedule, will notot increase in price during the Minimum Term of the Image Management Plus Product Schedule, unless agreed to in writing and signed by both parties. PRODUCT SERVICE AND SUPPLIES Ricoh will provide full coverage maintenance services, Including replacement parts, drums, labor and all service calls, during Normal Business Hours. "Normal Business Hours" are between 8:00 a.m. and 5:00 p.m., Monday to Friday excluding public holidays. Ricoh will also provide the supplies required to produce images on the Product covered under the Image Management Plus Product Schedule (other than non -metered Product and soft -metered Product). The supplies Will be provided according to manufacturers specifications. Ricoh reserves the right to assess a reasonable charge for supply shipments, including overnight delivery. If Ricoh determines that you have used more supplies than the manufacturers recommended specifications, you will pay reasonable charges for those excess supplies and/or Ricoh may refuse you additional supply shipments. Optional supply items such as paper, staples and transparencies are not included. RESPONSE TIME COMMITMENT Ricoh will provide a quarterly aveM90 response time of 2 to 6 business hours for all service calls located Within a 30-mile radius of any Ricoh office, and 4 to 8 business hours for service calls located within a 31-60 mile radius for the term of file Image Management Plus Product Schedule. Response time is measured In aggregate for all Product covered by the Image Management Plus Product Schedule. UPTfME PERFORMANCE COMMITMENT Ricoh will service the Pmducl to be Operational with I quarterly maintenance average of vant me tng Normal Business Hours, excluding preventative and Interim maintenance time. Downtime will begin at the lime you place a service call to Ricoh and will end when the Pmducl is again Operational. You agree to make the Product available to Ricoh for scheduled preventative and Interim maintenance. You further agree to give Ricoh advance notice of any critical and specific optima needs you may have so that Ricoh can schedule with you interim and preventative ma intenance in advance of such needs. As used in these Service Commitments, "Operational" means substanfial compliance with the manufacturers specifications and/or performance standards and excludes customary end -user corrective actions. IMAGE VOLUME FLEXIBILITY AND PRODUCT ADDITiO NS At any Who after the expiration of the initial ninety day period of the original term of the Image Management Plus Product Schedule to which these Service Commitments relate, Ricoh will, upon your request, review your image volume. if the image volume has moved upward or downward in an amount sufficient for you to consider an alternative plan, Ricoh will present pricing options to conform to a new Image volume. if you agree that additional product is required to satisfy your increased image volume requirements, Ricoh will include the product in the pricing options. The addition of product and/or increaseWdecreases to the Guaranteed Minimum Images requires an amendment ("Amendmenr) to the Image Management Plus Product Schedule that must be agreed to and signed by both parties to the Schedule. The term of the Amendment may not be less than the remaining term of the existing Image Management Plus Product Schedule but may extend the remaining term of the existing Image Management Plus Product Schedule for up to an additional 60 months. Adjustments to the Guaranteed Minimum Images commitment and/or the addition of product may result in a higher or lower minimum payment. Images decreases are limited to 25%of the Guaranteed Minimum. Images in effect at the time of Amendment. PRODUCT AND PROFESSIONAL SERVICES UPGRADE OPTION At any time after the expiration of one-half of the original term of the Image Management Plus Product Schedule to which these Service Commitments relate, you may reconfigure the Product by adding, exchanging, or upgrading to an item of Product with additional features or enhanced technology. A new Image Management Plus Product Schedule or Amendment must be agreed to and signed by the parties to the Schedule, for a term not less than the remaining term of the existing Image Management Pius Product Schedule but may, in the case of an Amendment, extend the remaining term of the existing Image Management Plus Product Schedule for up to an additional 60 months. The Cost of Additional Images and the Minimum Payment of the new Image Management Plus Product Schedule will be based an any obligations remaining on the Product, the added product and new image volume commitment. Your Ricoh Account Executive will be pleased to work with you on a Technology Refresh poor to the end of your Image Management Plus Product Schedule or Amendment. PERFORMANCE COMMITMENT Ricoh s commuted to performing these Service Commitments and agrees to perform its emeet in a manner consistent with the applicable manufacturer's specifications. if Ricoh fails to meet any Service e, Ricoh, at and in the unlikely event that Ricoh is not able to repair the Product In your office, Ricoh, at the Pro election, will provide to you either the delivery , r temporary loaner, for use while the Product is being repaired al or fires service center, or Ricoh Will replace such Product with comparable Product ai equal or greater capability at no additional charge. These are the exclusive remedies available e- you under the Service Commitments. Customer's exclusive remedy shall for Ricoh to re riling n any Services not , but in with this more and brought a esuch Ricoh's attention in writing within a reasonable time, but in no event more than 30 days after such a ref are performed. If you are tlissalms t with address Ricoh's performance, you must send s registered loner ease outlining your concerns to the address specified below In the "Quality Assurance" section. Please allow 30 days for resolution. ACCOUNT MANAGEMENT Your Ricoh sales professional will, upon your request, be pleased to review your product performance trades on a quarterly basis and at a mutually convenient date and lime. Ricoh will follow up within 8 business hours of a call or e-mail to one of Ricoh's account management team members requesting a metrics review. Ricoh will, upon your request, be pleased to nurgy review your business environment and discuss ways in which Ricoh may Improve effictencses and reduce costs relating to your document management processes. QUALITY ASSURANCE Please send all correspondence relating to the Service Commitments via registered letter to the Quality Assurance Department located at: 3920 Arkwright Road, Macon, GA 31210, Attn: Quality Assurance. The Quality Assurance Department will coordinate resolution of any performance Issues concerning the above Service Commitments with your local Ricoh office. If either of the Response Time or Uptime Performance Commitments is not met, a one-time credit equal to 3% of your Minimum Payment invoice total will be made available upon your request. Credit requests must be made in writing via registered [alter to the address above. Ricoh is committed to responding to any questions regarding invoiced amounts for the use of the Product relating to the Image Management Plus Product Schedule within a 2 day timefreme. To ensure the most timely response please call 1-888-275-4566. MISCELLANEOUS These Service Commitments do not cover repairs resulting from misuse (including without limitation improper voltage or environment or the use of supplies that do not conform to the anufacturees specifications), subjective manem (such as color reproduction accuracy) or any other factor beyond the reasonable control of Ricoh. Ricoh and you each acknowledge that these Service Commitments represent the entire understanding of the parties with respect to the subject matter hereof and that your sole remedy for any Service Commitments not performed in accordance with the foregoing is as set forth under the section hereof entitled' "Performance Commitment". The Service Commitments made herein a and/or aintenance warranties and are not product wananties. Except as expressly set forth herein, Ricoh makes no warranties, express or Implied, including spy implied warranties of intractability, fitness for use, or fitness for a particular purpose. in no event shall Ricoh be Ilable to you for any damages resulting from or related to any failure of any software, including but not limited to, loss of data or delay of delivery of services under these Service Commitments. Neither party hereto shall be [fable to the other for consequential, indirect, punitive or special damages. Customer expressly acknowledges and agrees that, in connection with the security or accessibility of information stored in or recoverable from any Product provided or serviced by Ricoh, Customer is solely responsible for ensuring its own compliance with legal requirements or obligations to third parties pertaining to data security, retention and protecflon. To the extent allowed by law Customer shall indemnify and hold harmless Ricoh and Its subsidiaries, directors, officers, employees and agents from and against any and all costs, expenses, liabilities, claims, damages, losses, judgments or fees (including reasonable ailomays' fees) arising from Its failure to comply with any such legal requirements or obligallons. These Service Commitments shall be governed according to the laws of the Commonwealth of Pennsylvania without regard to its conflicts of law principles. These Service Commitments are not assignable by the Customer. Unless otherwise stated In your Implementation Schedule, your Product will ONLY be serviced by a "Ricoh Certified Tecnuclan". I( any software, systems support or related connectivity services are included as In of these Service Commitments as determined by Ricoh, Ricoh shall provide any such ices at your location set forth in the Image Management Plus Product Schedule as applicable, or on a remote basis. You shall provide Ricoh With such access to your facilities, networks and systems as may be reasonably necessary for Ricoh to perform such services. You acknowledge and agree that, in connection with its performance of its obligations under Nose Service Commitments, Ricoh may place automated meter reading units on imaging devices, Including but not limited to the Product, at your location in order to facilitate the timely and efficient collection of accurate meter read data on a monthly, quarterly or annual basis. Ricoh agrees that such units wilt be used by Ricoh solely for such purpose. Once transmitted, all meter read data shall become the sole property of Ricoh and will be utilized for billing purposes. Customer Initials LS)i4DI) PS-IivIPC O't.15 Ricoh: and (hc Ricoh Pa�c I of 1 3%2! %2019 4: SG PM Logo arc rogistcred harlcmmi<s of Ricoh Company, Lti. ?l 553355 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Intl Complete Nos. 1- 4 and 6 if there we interested parties. Complete Nos. 1, 21 33 5, and 6 if there are no interested parties. OFFICE USE ONLY 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. 2019-532758 Ricoh USA, Inc Malvern, PA United States Date Filed: 08/23/2019 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. County of Calhoun Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. PS58 Copier Lease Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) controlling Intermediary Ricoh USA, Inc Malvern, PA United States X 5 Check only if there is NO Interested Party_ ❑ 6 UNSWORN DECLARATION My name is Karl Lamb 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 Travis County, State of Texas , on the 23rdday of August , 2g19—. (month) (year) igmetof authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.emlcsstate.tx.us veisivn o CERTIFICATE OF INTERESTED PARTIES FORnn 1295 1 of1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2019-532758 Date Filed: 08/23/2019 Date Acknowledged: 09/19/2019 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Ricoh USA, Inc Malvern, PA United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is peing filed. County of Calhoun 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. PS58 Copier Lease 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Ricoh USA, Inc Malvern, PA United Slates X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is ,and my date My address is of birth 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 v1.1.39tti039c Commissioners' Court —September04, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On additional insurance proceeds received from TAC for property damages associated with Hurricane Harvey in the amount of $135,343.81. (RM) 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 16 Mae3 Belle Cassel From: candice.villarreal@calhouncotx.org (Candice Villarreal) <candice.villarreal@calhouncotx.org> Sent: Tuesday, August 27, 2019 4:20 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer; David Hall; vern.lyssy@calhouncotx.org; Clyde Syma; Gary Reese Subject: Agenda Item - Insurance Proceeds - Harvey Claim MaeBelle, Please add the following agenda item for the next Commissioners Court. • Consider and take necessary action on additional insurance proceeds received from TAC for property damages associated with Hurricane Harvey in the amount of $135,343,81, Thank you, Candice Villarreal 1 -vt Assistant Auditor Calhoun County Auditors Office Phone: (361)553-4612 Fax: (361) 5534614 candice. villarreal@calhouncotx.org Calhoun County Texas TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 39111 8122/2019 Replacement PR20173076-1 n'034 i i 1u■' TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS t 1 Calhoun County 202 S Ann St Ste B Port Lavaca, TX 779794204 39111 TO REOROEfl CALL: (703) 327-9550 W14SF001014M 10/14 Comrnissioners' Court — September 04, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept a donation from Seadrift Volunteer Fire Department of a 2019 Ford F550 4 x 4 Crew Cab Brush Truck, VIN iFDOWSHTiKEF19134, with a valuation of $167,093 and add to Department 690-Seadrift Volunteer Fire Department asset inventory list. (GR) RESULT: APROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 7 of 16 Gary D. Reese County Commissioner County of Calhoun Precinct 4 August 28, 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 Commissioners' Court Agenda for September 4, 2019. Consider and take necessary action to accept donation from Seadrift Volunteer Fire Department of a 2019 Ford F550 4x4 Crew Cab Brush Truck, AN 1FDOW5HT1KEF19134, with valuation of $167,093; add to Dept. 690 - Seadrift Volunteer Fire Dept, asset inventory list. Sincerely, Crary D. I2ee�Pi GDR/at P.O. Box 177 � Seadrift, Texas 77983 _email: F� reeseCn�calhouncotx.ore _ (361) 785-3141 —Fax (361) 785-5602 CCE;j,2�ZFT,�D R'�SAGE :ZN CAI,�FCa$IQ 1 the Otidersigne2l gguthar1ze kepSeS5entahve ofihs ebmp i[y rm qqr cdrpoYdhpn homed below Mereyy cer tify that 11 ew veh7ded8scriWi %ove t5 fth prnpe�r{{yy' ot.ing id cp pa y tir n or corppo ti and is transfer re I an ova dote and under fhe lIAvoice tVurn e t�coter�td 'tol�owmg distr ulor br dea n # IF NAME OF OISTRWROkDEALM ETG , IF IF B. r is. whirl. .Mtr Co,;.,6f StBritvnI IF 4-..."x1.' ... 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' �C gg�a9, k ��'�i'�1t�r10ES,. ,081i212019:- �����R��,4�� ;rcsrg[�tw@A2<441t�!�4YEq ON�i3?S[f�bEk4�'4i,'?�z5Y9tiiF.C�ameas�(9�aN1.91Y `+?t;�S ',.�.nD@iaw=S-,� 25:, Sf9uailile:tifPURGfiiiS�R�D6NEE,0I.�RA.:DkR''2: ................... .:: .P.RINTEdNAME-(Samea 'atgnabJr�)3 � - Dale WARNINCd;;q`ansppiialion-Cbde,;§6o1:155., proviiiesYhaYla5s1[ying idfopnation'on,AlUe f{ansfer documents iad�ih5'dife9rea.�isklt!Y-ottanseppnishabk,:hgpvt Inore�lTiaoion�(iol ears in dson arnoimore'iharcone '� earin,a cammun� coveeitonaY clll' dn.adtldi n:1o.lm rYsonmen afine.ofv w. '[dit00;m �a .§y im osed. form 13LLU�(f2ev: 0/201°J); � 6hllne Farm alvMW.YxDfvly_goV' � Page % ot2 C�'DOIIAETE�' D��C:LOSUaE STATEMENT Fedeti#I IaW (aGfd Sthte la�v, Ff applieabiep.requires tliatyoustatettte mileage uppn transfer pi ownecsfiip�.. Failure to cbm plete�oG' proul,ding a: false statement'rriay result :in ifnes and/or ImpTi?;onmeriti.- i, BF WEIITE MOTOR COMPANY OF STANTON, INC ,.Mate that the odometer (Trarisf�risr� tiPYfi�-Siill�t'-'FRINT)� (of'ttle vehicle•descrlbed helow) now reads 10 (no tenthsj. miles anditD She' dest:af my knowledge that tt refleofs ttie actualm.lea�e of ffie vehicle dessrlbed below, urileSe G15e o.f'.thD fnlibWiny Statelneirtt5 s'olCecked. fq {1) i Hereby Eerfify thatto the be,$ of my ktloWle.dQe the: tiddmeter reading teflects,'tlle am'oupt of mlliedJe'iiF.ekCass df its file"ctlahlGal.:i'i[g':it3. p (2) d heretxy certify that ih'e odometer:reading is NOT' 4h8 acSVirl m(1t3age.V1A'EINFN.G. •- OD'O.y]EfER D,ISGFlEP31NCY. MARE e0'D;Y"TPPE' MO.pEL FORD CH F550 SUPER DUTY 'VEHICLE 7D�NUMBER �'a7+7�9KNU.Fi16ER 1FDOW5HT1KEF19134 � F19134 GOLop eaby 'C: Afi RED CH 2O19 TRAN$pEROk`$. PRINTED N,AM >(SELLER}, BF WHITE MOTOR .. .. COMPANY OF STANTON, INC TRANSFEROR',S:sTR�E'r'ADTI'RESS- - � � �� � �� � ' BOX 520 CITY' � . � ST#tTE ZIRaC.QOE STANTON TX 79782 DATE:OF Si`ATEMENY BANS' rIOF.,!'S SIGN ��. (SELLER) �. 08/12/2019 x � / � � . . Pri1NT � htAME OF P _ � :ON� S1G'h� lNG TRANSFEREE'S .PAlN7ED.NAME {aUYRRj SEADRTFT AREA VOL EMERGENCX SERVICES � -. - STREET ADDF1E55. .�..... ., .. .._.. .. .. .. . BOX 369 CI'PY � STATE � -.ZIP-CODE SEADRIFT TX 77983 RECEIPT OF COP ACKNQ1r+FLEDGED tli�reby aertifythat7 hate kecarv2da copyoRt[ieahtsVE;;OdomefeY!)isdosul�SfBtemeni. X 08/12/2019 TRANSFEREE'S $lGNA7l7HE—B.FlYEA' � �fIATE SEADRIFT AREA VOL EMERGENCY SERVICES 08/12/2019 '-f?RINTED. N. AME OF PERSQN. SjGNING DATE Vehicle Inspection Complete � Texas.gov https://dpsdirecLportal.texas.gov/vicinspect/Vehicle Inspecti onCompl et... Vehicle Inspection Connection (VIC) ��• „� Texas Department of Public Safety �w: �'rt �� Vehicle Inspection Report PLEASE RETAIN FOR YOUR RECORDS Overall Result: Pass Test Date/Time: 08/1312019 09:06 AM Inspection Ciass: 2YR Inspection Exp pate: OSt31/2021 Vehicle Information VIN: License Number: Registration County: Vehicle Type: Year: Make: Model: Fuel Type: Odometer Reading: Insurance Exp: Insurance Mileage Exp: 1FDOW5HT1KEF19134 NONE NONE 7ruck(Under60" wide) 2019 FORD F550 Diesel 10 03/01/2020 Authorization Code: AKE9Z7UWOE7Y6 Fees Inspection Fee: $7.00 Repair Cost: $0.00 Total: $7.00 Station Information Station #: 4P002934 Station Name: B. F. WHITE MOTOR CO. OF STANTON INC. Station 201 EAST SAINT ANNA Address: STANTON, TX 79762 Inspector DANNY IRETON Name: Inspection Information Inspection Type: TWO YEAR SAFETY ONLY Test Type: INITIAL Affidavit Type: I certify that I have properly performed the vehicle inspection according to the state regulations and procedure manuals, and as the and reigned duly appointed inspector, hereby certify that I have physically examined the manufacturer's vehi • � � entification number of the motor vehicle described above. Certified Inspector Signature � Date t of I 8/13/2019 9:06 AM vnco Prier �QurPM�rv�r �CIVO�CL PO T30X 5O06 _ _ __ LUr3BOCK,1'X 79408 [- Dateinvoice # -� _ .. _... wit— 7nuzoly zosxl) Phone # 30G7(i3030R W W W.UACOFIRIi.COM ---- __—'-_--- ���-.--� -�. -�..- Fax # 30G-7G3-9151 _Bill To..._...__.._.........__�..�_...�.. � �� �Ik- Ship To - --------------�_._...._ `i senuiili��r, ciry or rntr nu>r Chief 1'cler Deforest VO BOX 159 mm � � City Of Seadrift Pire Deparuncai St4ADRIPr,'fX 779g3 501 S. MAIN S'I' SGADRIPr, "I'X 77933 ;+_.�_..__....T.._.__._........_..._._._._.._._.—.�.._._.._._._.-.-.� P.O. Number � _Terms � _ Rep � Ship Via Due Date ,.____----�----..__ .__�---i..____.._ --- --- -____.___._L_.___.._� Duo upon ctdivury SB DL'•LIVERED 7/11/2019 Quantity �� Item Code Description —^ ._._ Price Each Amount ....__.._._.____., 1 SOUI'550 _ I3RUSIiPIGNTGR SMALI. BRUSII'1-RUCK DN P550 �IG7,093.00 167,093.00 .m..i�_......._ Y C121iWCAI3CIIASSI5,VINIhDOWSI-I'I'IK8pI9134 E , i CI I f ! i ; i 1 .,.,_..,,..r_�._�_ 4.V........._._......_-.__.._..�._-.�..._._4...._...-......_..._�.._�_._�. _ �_ _.... ___ Subtotal $1G7,o9a.00 Ali amounts in this invoice mt due upon receipt. Any unpaid balances will accrue interest _—_....,.._�___.,..-.,_.._.____._____-_.__.__... at the highest rue allowed by Imv if not roccivud within 30 days of invoice date. By accepting the mumhandisc or service you are agreeing to these terms. Yrnt fUnhcr SaIPS TaX (Q.�%} $D-00 acknowledge that you have the authority to bind the named costumer to these terms. A---.-----•-------�-------- 254n restocking fce will he charged on tdl relums of ordcrod merchatnlise. No rcl'vnd nr exchanges wi(I bu or.;de on special orders or merchandise that has been altemd or TQta� $I C>7.093.00 personalized. Ali returns must have nriginal invoice. L__,_.___�____—,________.,4„___�..-__.—__ Commissioners' Court— September 04, Z019 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO, 10) To approve a 4-year service plan for LifePacks and Lucas Devices with Stryker and authorize the EMS Director to sign. (RM) Dustin Jenkins, EMS Director, presented informs RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, ion on the plan. Lyssy, Syma, Reese Page8of16 David E. Hall Calhoun County Commissioner, Precinct #I 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 July 17th, 2019. • Consider and take necessary action on accepting Doug Jenson's resignation from the Calho County Parks Board and appointing Oran Moses in his place Sin _r David E. Hall DEH/apt David Hall From: dougpjensen@gmail.com (Doug Jensen) <dougpjensen@gmail.com> Sent: Monday, July 8, 2019 3:45 PM To: David Hall Cc: Allan Berger Subject: Parks Board Position David Good afternoon, as a follow up to our meeting this morning, my schedule has changed dramatically and I can no longer devote the time to the Parks Board. I truly appreciate your confidence in selecting me to be part of the board and to develop a set of rules that will help preserve our County and community parks. With the rules in place now, and the board and community members assembled, I feel you are on your way to some exciting times ahead. Again, thank you! Best of luck! Sincerely, Doug Jensen Commissioners' Court — September 04, 2019 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On an agreement with the Advanced Health Education Center for an Ultra- sound FAST Exam training class and authorize the EMS Director to sign. (RM) Dustin Jenkins, EMS Director, presented information on this matter. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page9of16 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Thursday, August 29, 2019 11:29 AM To: Mae Belle Cassel Cc: Lori McDowell; Donna Hall Subject: Fwd: [WARNING -Remote attachments, verify sender] RE: Calhoun eFast Class Attachments: Calhoun County EMS - Cost Proposal_ FAST Ultrasound Training.pdf; AdvHealthEdCenter_CCF_000035_1295_Form.pdf Mae Belle, Attached you will find an agreement with the Advanced Health Education Center for an Ultrasound FAST Exam training class along with the 1295 Form. This class will allow our medics to utilize POCUS (Point of Care Ultra Sound) in the field to recognize internal bleeding, render proper aid, and make necessary transport destination decisions. We are excited to complete this training and implement our new scanners for the benefit of our county. I would like request for this to be added to the next Commissioners Court agenda for permission to sign. Thanks, J. Dustin From: "kreddix@aheconline.com (Kelli Reddix)" <kreddix@aheconline.com> To: Dustin Jenkins<Dustin.Jenkins@calhouncobc,org> Cc: Lori McDowell<Lori.McDowell@calhouncotx.org>, Lesa Mohr <Imohr@aheconline.com> Date: Fri, 23 Aug 2019 15:57:05 +0000 Subject: [WARNING -Remote attachments, verify sender] RE: Calhoun eFast Class Hi Dustin, I'm so excited that we will be able to assist with your training. Attached is the updated training proposal with correct dates, addresses and terms of agreement. Upon receipt of the signed proposal and the deposit we will reserve the dates and faculty. Closer to the course dates the faculty, Shawn Shanmuganathan, will be reaching out to discuss logistics, models, times, etc. I will also be forwarding a skills training checklist. If you have any questions, please let me know. Respectfully, Kelli Reddix, BAAS, LVN Vice President Advanced Health Education Center 8502 Tybor Drive I Houston, TX 77074 Local: 713.772.0157 ( Toll Free: 800,239,1361 www.medrelief.com From: Dustin Jenkins<Dustin.Jenkins@calhouncotx.org> Sent: Friday, August 23, 2019 9:10 AM To: Kelli Reddix <kreddix@aheconline.com> Cc: Lori McDowell <Lori,McDowell@calhouncotx.org> Subject: RE: Calhoun eFast Class Kelli, I would like to lock in these dates and get the contract going. I am looking forward to seeing the updated contract. Thanks, Dustin From:"kreddixCc�iaheconline.com�Kelli Reddix�" <kreddixCo�aheconline.com> To: Dustin Jenkins <Dustin. Jenkins(@calhouncotx,orq> Cc: Lori McDowell<Lori.McDowell2calhouncotx.org>, Donna Hall <Donna,HalWcalhouncotx.org>, Shawn Shanmuganathan <ShawnCo aheconline.com>, Lesa Mohr <lmohr(,aaheconline.com> Date: Thu, 22 Aug 2019 19:19:43 +0000 Subject: RE: Calhoun eFast Class Hi Dustin, Our faculty, Shawn Shanmuganathan, is available on 10/2-10/3. If these are the dates you want to lock in then I can updated the contract with the correct dates, physical address and send over to you. These dates are on a first come basis, an executed contract and payment are required to reserve the faculty and dates. If you'd like to book these dates just let me know and I'll arrange it with Shawn. Please keep in mind the training proposal is for a max of 16 participants (8 each day) and you will need to arrange for models to be scanned for all the students each day. Shawn can provide guidance about number of models and length of time each model would be needed. If you have any questions please let me know. Kelli Reddix, BAAS, LVN Vice President Advanced Health Education Center 8502 Tybor Drive I Houston, TX 77074 Local: 713.772.0157 Toll Free: 800,239,1361 www.medrelief.com From: Dustin Jenkins<DustinJenkins(olcalhouncotx.org> Sent: Thursday, August 22, 2019 12:16 PM To: Kelli Reddix <kreddix@aheconline.com> Cc: Lori McDowell <Lori. McDowell(d)ca lhou ncotx.org >; Donna Hall <Donna.Hall@calhouncotx.org> Subject: Calhoun eFast Class Kelli, Thank you for getting this class set up for us. We are unable to do the class on September 9th &10th due to scheduling conflicts, but would like to hold the class on October 2nd & 3rd, 2019. As soon as the dates are confirmed we will put out a sign up sheet. Thanks, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkinsCo calhouncotx org (361)571-0014 Calhoun County Texas J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkinsCacalhouncotx org (361) 571-0014 Calhoun County Texas J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin. j enkins @calhouncotx. org (361) 571-0014 Calhoun County Texas ADVANCED HEALTH EDUCATION CENTER EDUCATION e STAFFING e CONSULTING 08/23/2019 Dustin Jenkins Calhoun County EMS 705 Henry Barber Way Port Lavaca, TX 77979 RE: FAST Ultrasound Training Proposal Dear Mr. Jenkins, Thank you for your inquiry about our contract training courses for FAST Ultrasound. Advanced Health Education Center, Ltd. has been providing ultrasound training courses for 30 years. Our organization is one of the largest providers of ultrasound skills related CME training in the nation. Training with Advanced Health Education Center is well known for its practicality and clinical orientation which provides skills that quickly transfer to the workplace. We welcome the opportunity to partner with Calhoun County EMS to provide a two day/16 hours "FAST Ultrasound" hands-on training course upon request for 16 paramedics. The course will be provided at your facility, 705 Henry Barber Way, Port Lavaca, TX 77979 on October 2"d and October 311, 2019. The goal of the training course is to provide focused FAST ultrasound training to sixteen paramedics so they can acquire the knowledge and skill needed to successfully complete FAST ultrasound procedures on patients in the field. The following proposal outlines the roles and responsibilities of both parties. Calhoun County EM5 provides: • Provide Advanced Health Education Center registration information for the 16 paramedics attending the training course at least five days in advance of the training date. The maximum number of attendees per day will be 8 paramedics for this two-day training course. • The meeting space for the lecture portion of the course with an AV screen. • Any refreshments that you desire to provide the attendee. • The ultrasound machine(s), a scan room and volunteer models for scanning. Advanced Health Education Center provides: • Faculty for the training course • Training curriculum and training materials • CME Approval for the training course. AHEC is a provider of physician's Category 1 TM CME. Certificates will be provided. • Faculty travel expenses (airfare, hotel, vehicle, gas, food, per diem) for 2 days • Faculty honorarium and travel fees per day 8502 Tybor Driw � Houston, TX 77074 • 713.772.0157 � 800.239.1361 • AHEConline.cmn Pac �2 Advanced Health Education Center Cost Proposal: The all-inclusive fee is $6820.00 for wo clays (16 hours) 1=AST Ultrasound banning for a maximum of 16 participants (8 participants per day). Additimnal Notes: I. The haining date is 10/2-10/3/19. Dates will be confirmed upon receipt of executed training proposal and payment. 2. In the event your facility cancels the consultation, the tuition is non-refundable, but may be transferred to a future (late. 3. AHEC requires payment of half of the cost of the chosen option to schedule the consultation and hold the date. The remainder is due two weeks prior to the training date. We are delighted to be able to provide the h•aining class for your facility nce(Is axl look forward to an exciting educational experience. Please confirm the training plan and responsibilities by signature at the bottom of the letter. Your signature and payment of the deposit will begin the process to reserve the training dates and initiate the contractual agreement for the training. Please let me know if you have any other questions concerning the training or costs. Sincerely, V Peggy Hoosier, M.Ed., RT(R)(M) Chief Operating Officer Calhoun County EMS agrees to the conditions of the training plan and responsibilities as outlined in this lelier. 09 0�°,�Oi9 Emergency Me(Iical Services Date 8502 Tydxx Drive a Houston, TX 771174 a 7L3.772,Uf57 a 800.ir39.136f � AHIiConline.com RTIFICATE OF INTERESTED PARTIES FORM 1295 l ofl lete Nos. 1- 4 and 6 it there are interested parties. lete Nos. 1, 2, OFFICE USE ONLY 3, 5, and G if there are no interested parties. CERTIFICATION OF FILING of business entity filing form, and the city, state and country of the business entity's place Certificate Number: iness. ced Health Education Center dba MEDRelief Staffing r 2019-533644 on, TX United States Date Filed: of governmental entity or stte agency that is a party to the contract for which theform is 08/27/2019 filed.un County Date Acknowledged: e the identification number used by the governmental entity or state agency to track or identify the contract, antl provid ption of the services, goods, or other property to be provided under the contract. TQD Ultrasound training for EMS personnel 4 Name of Interested Party City, State, Country (place of business) Nature ofinterest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION MYnameis hAy"ilea nn antl my date of birth is My address is 9502 Tubor fir• Nous+on OT -101 , , , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. 'F�'I Tq !l Executed in r�`� County, State of 1 V �y� , on the day of HU lls 20 9 DEBRA JEAN ANTHONY Notary 10 uf28693975 (month) (year) (�.;' My Commission Expires July 29, 2023 Signalu e f authorized age I .onbacting business entity (Deciar ) Forms provided by Texas Fthics Cnnnr»ic6„n , All Ail A, rill.... ,.,..fill .., .._ .. .... �.�,�•��.•iA."� verswn v1. Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins)<Dustin.Jenkins@calhouncotx.org> Sent: Wednesday, August 28, 2019 3:06 PM To: Mae Belle Cassel Cc: Lori McDowell; Donna Hall Subject: Fwd: [WARNING -Remote attachments, verify sender] FW: 3 quotes - for the 4 year renewal plan 5 LP 15s and 11 LUCAS I Calhoun Cty EMS Attachments: CALHOUN CTY EMS _00189978_1 Yr Quote_(1 of 4 years) 8.22.19 to 3.14.20.pdf, CALHOUN CTY EMS_00189981_1 Yr Quote_(2 of 4 years) 3.15.20 to 3.14.21.pdf; CALHOUN CTY EMS_00189982_2 Yr Quote_(yrs 3 & 4) annual billing March 2021 and 2022.pdf; Service Brochure _3340347_A_LR.pdf; 2019 W-9 Stryker Medical.pdf; Sole Source Parts and Service -Letter -Mkt Lit-1630 Rev C (003).pdf Mae Belle, It is time to renew our service plan for our LifePacks and Lucas Devices. In the past we did yearly contracts with them but the first three attachments constitute a 4 year agreement with Stryker. Also, in the past we had several different plans for the different devices. This 4 year plan will get all our devices on one service contract with Stryker. If you could put this on the commissioners court agenda for approval to sign I would greatly appreciate it. Further, if you look at the forwarded email below you will find the yearly payment schedule if that is needed. Thanks, Dustin From: 'Trish.Lundeen@stryker.com (Lundeen, Trish)" <Trish.Lundeen@stryker.com> To:"dustin.jenkins@calhouncotx.org"<dustin.jenkins@calhouncotx.org>, "lori.mcdowell@calhouncotx.org" <lori.mcdowell@calhouncotx.org> Cc: "Flowers, Michael" <michael.flowers@stryker.com> Date: Wed, 28 Aug 2019 19:56:54 +0000 Subject: [WARNING -Remote attachments, verify sender] FW: 3 quotes - for the 4 year renewal plan 5 LP 15s and 11 LUCAS I Calhoun Cty EMS Dustin, As discussed, I have added the "sole source" documentation. **The sole source is the Stryker sole source and you will see the LUCAS and LIFEPAK 15s listed. **When trying to attached the outdated Physio one, it turned out to be unavailable as it has been replaced by this one. Please let me know if there is anything else I can help with! Kindly, Trish :♦i: Lundeen Lead - Sr. Inside Sales Representative Stryker Emergency Care 11811 Willows Road NE, Redmond WA 98052 D: 425 867 4785 D: 888 627 9698 ext 78226 F: 425 867 4948 Tech Support: 800 442 1142 option 4 trish Iandeem str ker emn www.strykerem ergeocycare.com From: Lundeen, Trish Sent: Thursday, August 22, 2019 4:14 PM To: dustin.jenkins@calhouncotx.org; lori.mcdowell@calhouncotx.org Cc: Flowers, Michael <michael.flowers@stryker.com> Subject: 3 quotes - for the 4 year renewal plan 5 LP 15s and 11 LUCAS I Calhoun Cty EMS Dustin and Lori, Thank you Dustin for your help with Mike the other day and Lori for your time with me today reviewing the unique situation of having 3 LUCAS devices coming out of warranty — 2 this coming December and 1 the following year in March of 2020. In the past we would have quoted this all on one quote and made an invoice schedule to show you how the invoices would look over 4 years for your budgeting. We are with the Stryker invoicing system now and needing to break out the years that have prorations onto separate quotes which then limits the multi -year discounting. **In this case though, we have extended the mu/tiyeardiscountim for each quote so you can approve the 4 year plan — with these separate 4 quotes and still take advantage of the multi- year discounting and lock in the savings for the length of the 4 years. Here is the anticipated invoice schedule based on the attached 3quotes: Year 1 prorated year (shortened to 7 months) as we missed getting the renewal quote to you in March. Invoice upon approval $10,305.09 Year 2 has 1 LUCAS prorating on — invoice March 2020 $20,777.42 Year 3 invoice March 2021 $201816.40 Year 4 invoice March 2022 $20,816.40 The scope of service is just as it has been in the past which is the Blended scope: Onsite PMs with Ship in Repairs. This means Mike will schedule the annual inspections with you and perform them onsite and take care of any repairs that are evident at that time and when other repairs occur at other times they will be handled as ship ins and we can provide a complimentary loaner as needed. This set of quotes does not have the 3LP 12s listed as support has ended but has addedthe 3 new LUCAS devices. **Please let me know if I can help with any questions. (Stryker W-9 attached as our invoices will be from Stryker now.) If after review the 4 year plan is approved, you would approve each quote on page 2 and return all page 1 and 2s to me — email is best. We would then set up each year in our system and the invoices would be spread out as noted. Thank you both for your help! Please let me know if I can help in any way! Kindly, Trish Kindly, Trish ?= Lundeen Lead - Sr. Inside Sales Representative Stryker Emergency Care 11811 Willows Road NE, Redmond WA 98052 D: 425 867 4785 D: 888 627 9698 ext 78226 F: 425 867 4948 Tech Support: 800 442 1142 option 4 trisE:.londeenC�sd'Ykercom wwwstrvlceremargencyeare cons Follow this link to read our Privacy Statement J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361)571-0014 Calhoun County Texas Stryker. Quote Number 00189979 .. 11811 Willows Road NE Create Date 8/22/2019 3:11 PM P.O. Box 97006 Quote Expiration Date 11/22/2019 Redmond, WA 98073-9706 U.S.A Quote Consultant Trish Lundeen www.strykeremeraencycare.com (425)867-4785 tel (800) 442.1142 trish.lundeen@stryker.com fax (800) 772.3340 WECC57 CALHOUN CTY EMS Attn: Dustin Jenkins, Director 705 HENRY BARBER WAY PORT LAVACA,TX 77979 (361)552-1140 dustin.jenkins@calhouncotx.org Service Pian Quote Type Service Plan Start Date Service Plan End Date Reference Plan Billing Frequency Terms Net Terms Promotion Coverage Details -Brochure Renewal OS/22/2019 03/14/2020 DS023314 Annual All quotes subject to credit approval and the following terms and conditions NET 30 https:!/www. strykeremer�encycare.com/glo balassets/assets/general- documentslprocare ec lifepak lucas sell sh Service plan customers receive 15% discount on Accessories and Disposables. Breaking up the 4 year plan into 3 smaller quotes to accommodate the prorating devices. 5 LP 15 s/n 40157516 40157517 40228319 40256032 42236033 8 LUCAS s/n 30137890 30137891 30137893 30137895 30137896 30137897 30137900 30137901 2 LUCAS 3518C738 and 3518C739 (Warranty expiration 12/11/2019) Term List Disc Annual Net TermtNet Extended Product Start Date End Date Qty l Price % Price Per Unit Price Per Unit Term Net Price LP15-PCBLEN-1- 08/22/2019 03/14/2020 5 1,584.00 5,00 1,504.80 847.53 4,237.65 * PY LUCAS-PCBLEN-1- 08/22/2019 03/14/2020 8 1,272.00 5,00 1,208.40 680.59 5,444,72 * PY LUCAS-PCBLEN-1- 12/12/2019 03/14/2020 2 11272,00 5,00 1,208.40 311.36 622,72 * PY Product Descriptions provided below signature line. Subtotal Estimated Tax Estimated Shipping & Handling Grand Total List Price Total Total Discount Estimated Tax + S&H USD 10,305.09 USD 0.00 USD 0,00 10,305.09 USD Pricing Summary Totals USD 11,337.09 USD-1,032.00 USD 0.00 Tax will be calculated at time of invoice and is based on the Ship To location where product will be shipped. GRAND TOTAL FOR THIS QUOTE USD 10,305.09 Please provide a company issued Purchase Order that includes Billing and Shipping Address. PO must reference payment terms of Net 30 days. mrormauon n no �cnase uroer is proviaeo Billing ddress L]Cl same as address on quote �4Gl�Ou.✓ CdyvTy �M 5 Acco�DN`J City '�JJ�f�j State Zip Code Accou s Payapble Contact information �yy/7a lP�r.�ws Account�s/payaUle Contact / / �I/S'�It.,9vNGvvY•o✓rj Accounts Payable Elwallv Authorized Customer Signature Name c Zia 1row Vc eA4.5 Title Optional information: Special Ship to Address Comments Shipping Address Account Name Address City State as Billing Address Zip Code 2 L Accounts Payable Phone Number Customer is Tax Exempt? 2'�Yes E] No Sigv�Z�y y-2��9 Date 7 far Multiple End Users, please attach a supporting document with End User name, physical location, product type and quantity Reference Number TL/02211901/216183 /00189978 Product Product Description LPSS-PCBLEN-I-PY 11FEPAKiS Service 1 YEAR. On -site Preventive Maintenance; Ship in ProCare Protect. On Site PM; Ship In ProCare Protect Coverage for UFEPAK 15Includes: -Preventive Maintenance Inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service LUCAS Service - 1 YEAR, On -site Preventive Maintenance; Ship in ProCare Protect. On Site PM; Ship In LUCAS-PCBLEN-I-PY ProCare Protect Coverage LUCAS includes: -Preventive Maintenance Inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service LUCAS-PCBLEN-I-PY LUCAS Service - 1 YEAR. On -site Preventive Maintenance; Ship in ProCare Protect, On Site PM; Ship In ProCare Protect Coverage LUCAS Includes: -Preventive Maintenance inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, Quote Number ((� (- ( Paget 00189978 disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service Service Plan Summary List of covered equipment by location will be provided upon Customer's signature of this quote. • - ixl� .:, :l,u� a� General Terms for all Products. Services and Subscriptions. Physio-Control, Inc. ("Physio') accepts Buyer's order expressly conditioned on Buyer's assent to the terms set forth in this document. Buyer's order and acceptance of any portion of the goods, services or subscriptions shall confirm Buyers acceptance of these terms. Unless specified otherwise herein, these terms constitute the complete agreement between the parties. Amendments to this document shall be in writing and no prior or subsequent acceptance by Seller of any purchase order, acknowledgment, or other document from Buyer specifying different and/or additional terms shall be effective unless signed by both parties. Pricing. Prices do not include freight insurance, freight forwarding fees, taxes, duties, import or export permit fees, or any other similar charge of any kind applicable to the goods and services. Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the goods and services unless Physio receives a copy of a valid exemption certificate prior to delivery. Discounts may not be combined with other special tens, discounts, and/or promotions. Payment. Payment far goods and services shall be subject to approval oI credit by Physio. Unless otherwise specified by Physio in writing, the entire payment of an invoice is due thirty (30) days after the invoice date for deliveries in the USA, and sight draft or acceptable (confirmed) irrevocable letter of credit is required for sales outside the USA. Minimum Order Quantity. Physio reserves the right to charge a service fee for any order less than $200.00. Patent Indemnity. Physio shall indemnify Buyer and hold it harmless from and against all demands, claims, damages, losses, and expenses, arising out of or resulting, from any action by a third party against Buyer that is based on any claim that the services infringe a United States patent, copyright, or trademark, or violate a trade secret or any other proprietary right of any person or entity. Physio's indemnification obligations hereunder will be subject to (i) receiving prompt written notice of the existence of any claim; (it) being able to, at its option, control the defense and settlement of such claim (provided that, without obtaining the prior written consent of Buyer, Physio will enter into no settlement involng the admission of wrongdoing); and (III) receiving full cooperation of Buyer in the defense of any claim. Limitation of Interest. Through the purchase of Physio products, services, or subscriptions, Buyer does not acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products or services, and Buyer expressly agrees not to reverse engineer or decompile such products or related software and information. Delays. Physio will not be liable for any toss or damage of any kind due to its failure to perform or delays in its pedormance resulting from an event beyond its reasonable control, including but not limited to, acts of God, labor disputes, the requirements of any governmental authority, war, civil unrest, terrorist acts, delays in manufacture, obtaining any required license or permit, and Physio inability to obtain goods from its usual sources. Limited Warranty. Physio warrants its products and services in accordance with the terms of the limited warranties located at hops:/(www.5trvkeremergencVcare. com(giobal assets{assets(cenefal- documents/device warranty statement.pdf. The remedies provided under such warranties shall be Buyer's sole and exclusive remedies. Physio makes no other warranties, express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. Compliance with Confidentiality Laws. Both parties acknowledge their respective obligations to maintain the security and confidentiality of individually identifiable health information and agree to comply with applicable federal and state health information confidentiality laws. Compliance with Law. The parties agree to comply with any and all laws, roles, regulations, licensing requirements or standards that are now or hereafter promulgated by any local, state, and federal governmental authority/agency or accrediting/administrative body that governs or applies to their respective duties and obligations hereunder. Regulatory Requirement for Access to Information. In the event 42 USC § 1395x(v)(1)(p is applicable, Physic shall make available to the Secretary of the United States Department of Health and Human Services, the Comptroller General of the United States General Accounting Office, or any of their duly authorized representatives, a copy Quote Number 7NDS 1 00189978 of these terms, such books, documents and records as are necessary to cedify the nature and extent of the costs of the products and services provided by Physio. No Debarment. Physio represents and warrants that it and its directors, offcers, and employees (i) are not excluded, debarred, or otherwise in to participate in the Federal health care programs as defined in 42 USC § 1320a-7b(f); I) have not been convicted of a criminal offense related to the provision of healthcare items or services; and (iii) are not under investigation which may result in Physio being excluded from participation in such programs. Choice of Law. The rights and obligations of Physio and Buyer related to the purchase and sale of products and services described in this document shall be governed by the laws of the state where Buyer is located. All costs and expenses incurred by the prevailing party related to an of its rights under this document, including reasonable attomay's fees, shall be reimbursed by the other party. Additional Terms for Purchase and Sale of Service Plans. In addition fo the General Terms above, the following terms apply to all Physio Service Plans. Service Plans. Physio shall provide services according to the applicable Service Plan purchased by Buyer and described at htlpy{www stwikerememencvoare com/service--supoort- averview(seroice-hospitals-emsl for the length of the subscription purchased and for the devices specified as covered by the Service Plan ("Covered Equipment"). Pricing. If the number or configuration of Covered Equipment changes during the Service Plan subscription, pricing shall be pro -rated accordingly. For Preventative Maintenance, Inspection Only, Comprehensive, and Repair& Inspect Service Plans, Buyer is responsible to pay for preventative maintenance and inspections that have been Performed since the last anniversary of the subscription start date and suc Device Inspection Before Acceptance. All devices that are not covered under Physic's Limited Warranty or a current Service Plan must be in and repaired (if necessary) to meet specifications at then - current list prices prior to being covered under a Service Plan. Unavailability of Covered Equipment. if Covered Equipment is not made available at a scheduled service visit, Buyer is responsible to reschedule with the Physio Service Technician, or ship -in the Equipment to a Physio service depot. Physio reserves the right to charge Buyer a sur Unscheduled or Uncovered Services. If Buyer requests services to be performed on Covered Equipment which are not covered by a Service Plan, or are outside of designated Services frequency or hours, Physio- Control will charge Buyer for such services at 10% off Physio-Control's at rates (including overtime, if appropriate) and applicable travel charges. Repair parts required for such repairs will be made available at 15% off the then -current list price. Loaners. If Covered Equipment must be removed from service to complete repairs, Physio will provide Buyer with a loaner device, if one is available. Buyer assumes complete responsibility for the loaner and shall return the loaner to Physio in the same condition as received, normal wear and tear exempted, upon the earlier of the return of the removed Covered Equipment or Physic's request. Cancellation. Buyer may cancel a Service Plan upon silly (60) days' written notice to Physic. In the event of such cancellation, Buyer shall be responsible for the portion of the designated price which corresponds to the portion of the Service Plan subscription prior to the effective date of to and the list -price cost of any preventative maintenance, inspections, or repairs rendered after the last anniversary date of the subscription start date. No Solicitation. During the Service Plan subscription and for one (1) year following its expiration Buyer agrees to not to actively and intentionally solicit anyone who is employed by Physio to provide services such as those described in the Service Plan stryker When lives are at stake, you need someone who takes a proactive approach to keeping your equipment up and running. With our ProCare Service, you can count on trusted experts dedicated to caring for your equipment, so you can focus on what truly matters — saving lives. We're your ideal service partner and will provide you with OEM expertise as well as propriety diagnostics tools that help us fix equipment efficiently and effectively. Stryker's ProCare Service 0 E3 O a plans tailored to your needs Preventive Protect Prevent maintenance plan plan Annual preventive maintenance inspection service Documentation for regulating bodies Stryker -trained service specialist Loaner device during PMs and repairs Discounts on upgrades, accessories and disposables Software updates 24/7 telephone support Stryker OEM parts Battery servicing and replacement* AR Labor and travel expenses � � � � �, Service details Onsita Servi[es ere performed between a a,m. to 5 p.m. local tune, Monday through Friday, excluding holidays. Customer is to ensure Covered Equipment is available for Service scheduled times or additionaln charges may apply. Some Services may not be completed msite. Stryker will cover travel and/or round-trip freight for Covered Equipment that must be sent to our designated facility for repair. Ship -In Service will ship your device to the nearest service center for repairs and inspections. We use only original manufacturer parts, and services will be performed at a designated Stryker facility. Stryker will cover round-trip shipping (ground only) for covered equipment sent to our designated facility for service. Loaners will be provided if Covered Equipment must be removed from use to complete repairs. Stryker will strive to provide Customer with a similar loaner device until the Covered Equipment is returned. Customer assumes complete responsibility for the loaner and shall return the loaner in the same condition as received, upon the earlier of the return of the removed Covered Equipment or Stryker request. Updates are changes to a device to enhance its current features, stability or software. Stryker will install Updates at no additional cost, provided such Updates are installed at the time of regularly scheduled Services. Updates at a time other than regularly scheduled Services will be billed on a separate invoice at 20%off the then -current list price of the Update. If parts must be replaced to accommodate installation of new software, such parts may be purchased at 30%off the then -current list price. Upgrades are major, standalone versions of software or the addition of features or capabilities to a device. For all Service Plans, Upgrades are not provided under the Plan and must be purchased separately. Upgrades are available at 17 % off the then -current list price. Service Plans do not include: supply or repair of accessories or disposables; repair of damage caused by misuse, abuse, abnormal operating conditions, operator errors, acts of God, and use of batteries, electrodes or other products not distributed by Stryker; replacement or repair of cases; repair or replacement of items not originally distributed or installed by Stryker; Upgrades and installation of Upgrades. maintenance • Update software to the most current version • Check all batteries and battery pins Inspect the integrity of accessories and recommend replacement as needed • Test the integrity of all cables and recommend replacement as needed • Electrical safety check in accordance with NFPA guidelines • Computer -aided diagnostics to test 30 device dimensions and verify the unit functions accurately, from waveform shape and defibrillation energy to pacing current and scenography readings (if present) • Check electrode expiration dates and recommend replacement as needed • Check printer operation and trace quality maintenance • Update software to the most current version • Check all batteries and battery pins • Inspect the integrity of accessories and recommend replacement as needed • treat linear sensor and recalibrate if needed • Lubricate and adjust mechanical parts, including compression module and claw lack • Clean hood, fan, intake and bellows Perform functional test on all mechanical components andelectronics Computer -aided diagnostics • Replacement of LUCAS Disposable suction cup, LUCAS Patient Straps, or LUCAS Stabilization Strap, as deemed necessary by Stryker - � .: � maintenance • update software to the mast current version • Check all batteries andbattery pins • Inspect the integrity of accessories and recommend replacement as needed Test the integrity of all cables and recommend replacement as needed • Electrical safety check in accordance with NFPA guidelines • Computer -aided diagnostics to verify the unit functions accurately, including waveform shape and defibrillation energy • Replace up to 1 battery pack in accordance with the device operating instructions or upon battery failure Replace I set of expired adult therapy electrodes at scheduled time of service plan • Repairs (parts and labor) to restore equipment to manufacturer specifications • LIFEPAK battery -charger repair or replacement as deemed necessary by Stryker* • Power -adapter repair or replacement • Replace up to 3 lithium -ion batteries in accordance with the device operating instructions or upon failure* • Replace up tol coin cell memorybattery accordance with the device operating extractions or upon failure* • Repairs (parts and labors to restore equipment to manufacturer specifications • Replace up to 2 LUCAS chest compression system batteries in accordance with the Instructions for Ose or upon battery failure* • LUCAS Battery Desk -Top Charger, LUCAS Aux Power Supply, LUCAS Car Cable repair or replacement as deemed necessary by Stryker* Replacement of LUCAS Disposable suction cup, LUCAS Patient Straps, or LUGAS Stabilization SI • Repairs (parts and labor) to restore equipment to manufacturer specifications � plan • Combines benefits of Protect and Preventive Maintenance Service Plans • Replacement of protective dispays a . ner bumper guards, CO2 connector cover, shoulder strap, handle, device labels, and battery pins as deemed necessary by Stryker at time of annual inspection. • Combines benefits oCProtect and Preventive Maintenance Service Plans 1 plan • Costands benefits nfProtect and preyentive Maintenance Service Plans ` ` r LIFEPAK 1000 defibrillator Service Plans are also available for the LIFEPAI{ 20e, and LIFEPAI{ CR2 devices. To find out more about our Service Plans, please contact your Stryker Representative, or call 1-S00-STRYKER 'Feeturo is available based on product specification and customization of package. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Copyright 02ol95trykor CR2, LIFKPAK, LUCAS, ProCare, Stryker. All other trademarks are trademark.¢ of their respective ovmars or holder. Stryker. Quote Number 00189981 w. 11811 Willows Road NE Create Date 8/22/20193:28 PM P.O. Box 97006 Quote Expiration Date 11/22/2019 Redmond, WA 98073-9706 U.S.A Quote Consultant Trish Lundeen www.strykeremereencycare.com (425) 867-4785 tel (800) 442.1142 trish.lundeen@stryker.com fax (800)772.3340 WECC57 CALHOUN CTY EMS Attn: Dustin Jenkins, Director 705 HENRY BARBER WAY PORT LAVACA,TX 77979 (361)552-1140 dustin.jenkins@calhouncotx.org Service Plan Quote Type Service Plan Start Date Service Plan End Date Reference Plan Billing Frequency Terms Net Terms Promotion Coverage Details -Brochure Renewal 03/15/2020 03/14/2021 DS023314 Annual All fo quotes subject to credit approval and the llowing terms and conditions NET 30 https: /fwww. strvkeremerzencyca re.coml8lo balassets/assets/Peneral- documents/orocare ec lifeoak lucas sell sh Service plan customers receive 15% discount on Accessories and Disposables. Breaking up the 4 year plan into 3 smaller quotes to accommodate the prorating devices. 5 LP 15 s/n 40157516 40157517 40228319 40256032 42236033 10 LUCAS s/n 30137890 3013789130137893 30137895 30137896 30137897 30137900 30137901 3518C738 3518C739 1 LUCAS s/n 3518DS54 (Warranty expiration 3/26/2020) Term List Disc Annual Net Term'Net 'Extended Product Start Date End Date Qty Price % Price Per Unit Price Per Unit I Term Net Price LP15-PCBLEN-1- 03/15/2020 03/14/2021 5 11584,00 5,00 1,504.80 11504,80 7,524.00 PY LUCAS-PCBLEN-1- 03/15/2020 03/14/2021 10 1,272.00 5,00 1,208.40 1,208.40 12,084.00 PY LUCAS-PCBLEN-1- 03/27/2020 03/14/2021 1 1,272.00 5.00 1,208.40 1,169.42 11169,42 PY Product Descriptions provided below signature line. Subtotal Estimated Tax Estimated Shipping & Handling Grand Total List Price Total Total Discount Estimated Tax + S&H USD 20,777.42 USD 0.00 USD 0,00 20777.42 Pricing Summary Totals USD 21,873.02 USD-11095.60 USD 0.00 Tax will be calculated at time of invoice and is based on the Ship To location where product will be shipped. GRAND TOTAL FOR THIS QUOTE USD 20,777.42 Please provide a company issued Purchase Order that includes Billing and Shipping Address. PO most reference payment terms of Net 30 days. Required information if no Pul ase Order is provided Billing Address U same as address on quote 'i Account Name Address city State Zip Code Shipping Address LL' 1 same as RIIIing Address Account Name Address City State Zip Code Accounts Payable Contact Information / Accounts Payable Contact Accounts Payable Phone Number Al V An C o-I JJKCo DJ' Accounts Payable Email Customer Is Tax Exempt? P�YesD No Authorized CusttomeryiTirSignature `Zr /J" ,'/"�/�5 Name Z�Signah Jy09 Title ate Optional information: Special Ship to Address Comments for MuIHPIe End Users, please attach a supporting document with End User Home, physical location, product type and quantity Reference Number TL/02211901/216184 /00189981 Product Product Description LP15-PCBLEN-I-PY LIFEPAKSS Service - 1 YEAR. On -site Preventive Maintenance; Ship in ProCare Protect. On Site PM; Ship In ProCare Protect Coverage for LIFEPAK 15 Includes: -Preventive Maintenance inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service _ LUCAS-PCBLEN-I-PY _ LUCAS Service - 1 YEAR, On -site Preventive Maintenance; Ship in ProCare Protect. On Site PM; Ship In ProCare Protect Coverage LUCAS Includes: -Preventive Maintenance inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service LUCAS-PCBLEN-I-PY LUCAS Service - 1 YEAR, On -site Preventive Maintenance; Ship in ProCare Protect, On Site PM; Ship In ProCare Protect Coverage LUCAS Includes: -Preventive Maintenance Inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance. documentation -Discounts on accessories, Quote Number `�jj{IQn � (RY,'ty1}'V' J��`!J �1��(S�I1C�ss Page 2 00189981 disposables, and upgrades -Updates to the latest software version-Preconfigu red loaner device provided if needed -Battery Replacement Service Service Plan Summary List of covered equipment by location will be provided upon Customer's signature of this quote. General Terms for all Products Services and Subscriptions Physio-Control, Inc. ("Physio") accepts Buyer's order expressly conditioned on Buyer's assent to the terms set forth in this document. Buyer's order and acceptance of any portion of the goods, services or subscriptions shall confirm Buyers acceptance of these terms. Unless specified otherwise herein, these terms constitute the complete agreement between the parties. Amendments to this document shall be in writing and no prior or subsequent acceptance by Seller of any purchase order, acknowledgment, or other document from Buyer specifying different and/or additional terms shall be effective unless signed by both parties. Pricing. Prices do not include freight insurance, freight forwarding as, taxes, duties, import or export permit fees, or any other similar charge of any kind applicable to the goods and services. Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the goods and services unless Physio receives a copy of a valid exemption certificate prior to delivery. Discounts may not be combined with other special terms, discounts, and/or promotions. Payment. Payment for goods and services shall be subject to approval of credit by Physio. Unless otherwise specified by Physio in writing, the entire payment of an invoice is due thirty (30) days after the invoice date for deliveries in the USA, and sight draft or acceptable (confirmed) irrevocable letter of credit is required for sales outside the USA. Minimum Order Quantity. Physio reserves the right to charge a service fee for any order less than $200.00. Patent Indemnity. Physio shall indemnify Buyer and hold it harmless from and against all demands, claims, damages, losses, and expenses, arising out of or resulting, from any action by a third party against Buyer that is based on any claim that the services infringe a United States patent, copyright, or trademark, or violate a trade secret or any other proprietary right of any person or entity. Physio's indemnification obligations hereunder will be subject to (i) receiving prompt written notice of the existence of any claim; fi) being able to, at its option, control the defense and settlement of such claim (provided that, without obtaining the prior written consent of Buyer, Physio will enter into no settlement involving the admission of wrongdoing); and (iii) receiving full cooperation of Buyer in the defense of any claim. Limitation of Interest. Through the purchase of Physio products, services, or subscriptions, Buyer does riot acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products or services, and Buyer expressly agrees not to reverse engineer or decompile such products or related software and information. Delays. Physio will not be liable for any loss or damage of any kind due to its failure to perform or delays in its performance resulting from an event beyond its reasonable control, including but not limited to, acts of God, labor disputes, the requirements of any governmental authority, war, civil unrest, terrorist acts, delays in manufacture, obtaining any required license or permit, and Physio inability to obtain goods from its usual sources. Limited Warranty. Physio warrants its products and services in accordance with the terms of the limited warranties located at Littpsllwww.strvkeremercencvcare cam/olobalassets/assets/oeneral- documents/device warranty statement odf. The remedies provided under such warranties shall be Buyer's sole and exclusive remedies. Physio makes no other warranties, express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. Compliance with Confidentiality Laws. Both parties acknowledge their respective obligations to maintain the security and confidentiality of Individually identifiable health information and agree to comply with applicable federal and state health information confidentiality laws. Compliance with Law. The parties agree to comply with any and all laws, rules, regulations, licensing requirements or standards that are now or hereafter promulgated by any local, state, and federal governmental authority/agency or accrediting/administrative body that governs or applies to their respective duties and obligations hereunder. Regulatory Requirement for Access to Information. In the event 42 USC § 1395x(v)(1)(I) is applicable, Physio shall make available to the Secretary of the United States Department of Health and Human Services, the Comptroller General of the United States General Accounting Office, or any of their duly authorized representatives, a copyQuote Number THUS is Of these terms, such books, documents and records as are necessary to certify the nature and extent of the costs of the products and services provided by Physio. No Debarment. Physio represents and warrants that it and its directors, officers, and employees (i) are not excluded, debarred, or otherwise in to participate in the Federal health rare programs as defined in 42 USC § 1320a-7b(f); (III have not been convicted of a criminal offense related to the provision of healthcare items or services; and (!it) are not under investigation which may result in Physio being excluded from participation in such programs. Choice of Law. The rights and obligations of Physio and Buyer related to the purchase and sale of products and services described in this document shall be governed by the laws of the state where Buyer is located. All costs and expenses incurred by the prevailing party related to an of its rights under this document, including reasonable altomay's fees, shall be reimbursed by the other party. Additional Terms for Purchase and Sale of Service Plans In addition to the General Terms above, the following terms apply to all Physio Service Plans. Service Plans, Physio shall provide services according to the applicable Service Plan purchased by Buyer and described at htto'Rwww strvkerem rg are com/s wice— oport overview/service-hog nalsrms/ for the length of the subscription purchased and for the devices specified as covered by the Service Plan ("Covered Equipment"). Pricing. If the number or configuration of Covered Equipment changes during the Service Plan subscription, pricing shall be pro -rated accordingly. For Preventative Maintenance, Inspection Only, Comprehensive, and Repair & Inspect Service Plans, Buyer is responsible to pay for preventative maintenance and inspections that have been performed since the last anniversary of the subscription start date and such services shall not be pro -rated. Device Inspection Before Acceptance. All devices that are not Unava(lability of Covered Equipment, If Covered Equipment is not made available at a scheduled service visit, Buyer is responsible to reschedule with the Physio Service Technician, or ship -in the Equipment to a Physio service depot. Physio reserves the right to charge Buyer a surcharge for a return visit. Surcharges will be based on then -current Physio list price of desired services, less 10% for labor and 15 % for parts, plus applicable travel costs. The return visit surcharge will be in addition to the subscription price of the Service Plan. To avoid the surcharge, Buyer may ship devices to a Physio service depot. Buyer shall be responsible for round-trip freight for ship -in service. Unscheduled or Uncovered Services. If Buyer requests services to be performed on Covered Equipment which are not covered by a Service Plan, or are outside of designated Services frequency or hours, Physio- Control will charge Buyer for such services at 10% off Physio-Control's standard rates (including overtime, if appropriate) and applicable travel charges. Repair parts required for such repairs will be made available at 15 % off the then -current list price. Loaners. If Covered Equipment must be removed from service to complete repairs, Physio will provide Buyer with a loaner device, if one is available. Buyer assumes complete responsibility for the loaner and shall return the loaner to Physio in the same condition as received, normal wear and tear exempted, upon the earlier of the return of the removed Covered Equipment or Physio's request. Cancellation. Buyer may cancel a Service Plan upon sixty (60) days' written notice to Physio. In the event of such cancellation, Buyer shall No Solicitation. During the Service Plan subscription and for one (1) year following its expiration Buyer agrees to not to actively and intentionally solicit anyone who is employed by Physio to provide services such as those described in the Service Plan Stryker. Quote Number 00189982 11811 Willows Road NE Create Date 8/22/2019 3:38 PM P.O. Box 97006 Quote Expiration Date 11/22/2019 Sty Redmond, WA 98073-9706 U.S.A Quote Consultant Trish Lundeen www.strykeremereencycare.com (425) 867-4785 tel (800) 442.1142 trish.lundeen@stryker.com fax (800) 772.3340 WECC57 CALHOUN CTY EMS Attn: Dustin Jenkins, Director 705 HENRY BARBER WAY PORT LAVACA,TX 77979 (361)552-1140 dustin.jenkins@calhouncotx.org Service Plan CZuote Type Service Plan Start Date Service Plan End Date Reference Plan Billing Frequency Terms Net Terms Promotion Coverage Details -Brochure Renewal 03/15/2021 03/14/2023 D5023314 Annual All quotes subject to credit approval and the following terms and conditions NET 30 h tt os://www. stroke re me rPe n coca re. co m/�lo bal ass ets/assets/aenera l- documents/orocare ec lifeoak lucas sell sh Service plan customers receive 15% discount on Accessories and Disposables. Breaking up the 4 year plan into 3 smaller quotes to accommodate the prorating devices. This quote is for the last 2 years and would invoice in annual installmens of 1/2 of the total March 2021 and the 2nd half March 2022. 5 LP 15 s/n 40157516 40157517 40228319 40256032 42236033 11 LUCAS s/n 30137890 3013789130137893 30137895 30137896 30137897 30137900 301379013518C738 351SC739 3518D554. Product Start Date End Date Qty Term list Price Disc % :Annual Net. Price Per Unit Term Net Price Per Unit .Extended Term Net Price LP15-PCBLEN-2 03/15/2021 03/14/2023 5 3,168.00 5.00 1,504.80 3,009.60 15,048.00 LUCAS-PCBLEN-2 03/15/2021 03/14/2023 11 2,544.00 5.00 1,208.40 2,416.80 26,584.80 Product Descriptions provided below signature line. Subtotal Estimated Tax Estimated Shipping & Handling Grand Total List Price Total Total Discount Estimated Tax+S&H USD 41,632.80 USD 0.00 USD 0.00 41632.80 Pricing Summary Totals USD 43,824.00 USD-21191.20 USD 0.00 Tax will be calculated at time of invoice and is based on the Ship To location where product will be shipped. GRAND TOTAL FOR THIS QUOTE USD 41,632.80 Please provide a company Issued Purchase Order that includes Billing and Shipping Address, PO must reference payment terms of Net 30 days, -OR— tegwrea mtormaoon �e no �nase �raer is prav�aea Billing Address L"J same as address on quote Shipping Address f�J same as Billing Address Account Name Account Name Address Address City City State Zip Code State Zip Code Accounts Payable Contact Information � ��osT1N 7� r�.id5 7&1 Accounts Payable Contactr �[ Accounts Pa able Phone Number crr✓J�r%I 1P�ZilaS 7 Y , v C/ �}/ Accounts Payable Email Customer is Tax Exempt? IJ YesO No Authorized Customer Signaty}'e Name C Title Optional information: Spetlal Ship to Address Comments Sigiiture Date for Multiple End Users, please attach a supporting document with End User name, physical location, product type and quantity Reference Number TL/02211901/216185 /00189982 Product Product Description LP15-PCBLEN-Z LIFEPAKIS Service - 2 YEAR. On -site Preventive Maintenance; Ship In ProCare Protect. On Site PM; Ship In ProCare Protect Coverage for LIFEPAK 15 Includes: -Preventive Maintenance inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service _ LUCAS-PCBLEN-2 LUCAS Service - 2 YEAR. On -site Preventive Maintenance; Ship in Procure Protect, On Site PM; Ship In ProCare Protect Coverage LUCAS Includes: -Preventive Maintenance inspections performed at customer's location by a Stryker Technical Specialist; Repairs performed at nearest available Stryker Service Center -Parts and labor necessary to restore device to original specifications -Annual Preventive Maintenance inspections including quality assurance documentation -Discounts on accessories, disposables, and upgrades -Updates to the latest software version -Preconfigured loaner device provided if needed -Battery Replacement Service _... Service Plan Summary List of covered equipment by location will be provided upon Customer's signature of this quote. Quote Number'��G��j�it{[7}`�j`(,;�fj�Gtltil�liU'(Uu�L�"„ Paget 00189982 General Terms for all Products. Services and Subscriptions. Physio-Control, Inc. ("Physio") accepts Buyer's order expressly conditioned on Buyer's assent to the terms set forth in this document. Buyer's order and acceptance of any portion of the goods, services or subscriptions shall confirm Buyers acceptance of these terms. Unless specified otherwise herein, these terms constitute the complete agreement between the parties. Amendments to this document shall be in writing and no prior or subsequent acceptance by Seller of any purchase order, acknowledgment, or other document from Buyer specifying different and/or additional terms shall be effective unless signed by both parties. Pricing. Prices do not include freight insurance, freight forwarding fees, taxes, duties, import or export permit fees, or any other similar charge of any kind applicable to the goods and services. Sales or use taxes on doestic (USA) deliveries will be invoiced in addition to the price of the goods and services unless Physio receives a copy of a valid exemption certificate prior to delivery, Discounts may not be combined with other special terms, discounts, and/or promotions. Payment. Payment for goods and services shall be subject to approval of credit by Physio. Unless otherwise specified by Physio in writing, the entire payment of an invoice is due thirty (30) days after the invoice date for deliveries in the USA, and sight draft or acceptable (confirmed) irrevocable letter of credit is required for sales outside the USA. Minimum Order Quantity. Physio reserves the right to charge a service fee for any order less than $200.00. Patent Indemnity. Physio shall indemnify Buyer and hold it harmless from and against all demands, claims, damages, losses, and expenses, arising out of or resulting, from any action by a third party against Buyer that is based on any claim that the services infringe a United States patent, copyright, or trademark, or violate a trade secret or any other proprietary right of any person or entity. Physio's indemnification obligations hereunder will be subject to (i) receiving prompt written notice of the existence of any claim; (ii) being able to, at its option, control the defense and settlement of such claim (provided that, without obtaining the prior written consent of Buyer, Physio will enter into no settlement involving the admission of wrongdoing); and (fin) receiving full cooperation of Buyer in the defense of any claim. Limitation of Interest. Through the purchase of Physio products, services, or subscriptions, Buyer does not acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products or services, and Buyer expressly agrees not to reverse engineer or decompile such products or related software and information. Delays. Physio will not be liable for any loss or damage of any kind due to its failure to perform or delays in its performance resulting from an event beyond its reasonable control, including but not limited to, acts of God, labor disputes, the requirements of any governmental authority, war, civil unrest, terrorist acts, delays in manufacture, obtaining any required license or permit, and Physio inability to obtain goods from its usual sources. Limited Warranty. Physio warrants its products and services in accordance with the terms of the limited warranties located at hHss�llwww. strvkeremermencvicere.camlgIobalassetatassetshenarai- documents/device warranty statement.odf. The remedies provided under such warranties shall be Buyer's sole and exclusive remedies. Physio makes no other warranties, express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. Compliance with Confidentiality Laws. Both parties acknowledge their respective obligations to maintain the security and confidentiality of individually identifiable health information and agree to comply with applicable federal and state health intonation confidentiality laws. Compliance with Law. The parties agree to comply with any and all laws, rules, regulations, licensing requirements or standards that are now or hereafter promulgated by any local, state, and federal governmental authority/agency or accrediting/administrative body that governs or applies to their respective duties and obligations hereunder. Regulatory Requirement for Access to Information. In the event 42 USC § 1395z(v)(1)(I) is applicable, Physio shall make available to the Secretary of the United States Department of Hearth and Human Services, the Comptroller General to the United States General Accounting Office, or any of their duly authorized representatives, a copy Quote Number THOS 00189982 of these terms, such books, documents and records as are necessary to certify the nature and extent of the costs of the products and services provided by Physio. No Debarment. Physio represents and warrants that it and its directors, officers, and employees (i) are not excluded, debarred, or otherwise in to participate in the Federal health care programs as defined in 42 USC § 1320a-7b(f); (it) have not been convicted of a criminal offense related to the provision of healthcare items or services; and (iii) are not under investigation which may result in Physio being excluded from participation in such programs. Choice of Law. The rights and obligations of Physio and Buyer related to the purchase and sale of products and services described in this do Additional Terms for Purchase and Sale of Service Plans. In addition to the General Terms above, the following terms apply to all Physio Service Plans. Service Plans. Physio shall provide services according to the applicable Service Plan purchased by Buyer and described at htt !lwww.st keremer enc care.com/service--su ort- m overview/service-hosoitals-es/ for the length of the subscription purchased and for the devices specified as covered by the Service Plan ("Covered Equipment"). Pricing. If the number or configuration of Covered Equipment changes during the Service Plan subscription, pricing shall be pro -rated accordingly. For Preventative Maintenance, Inspection Only, Comprehensive, and Repair & Inspect Service Plans, Buyer is responsible to pay for preventative maintenance and inspections that have been Performed since the last anniversary of the subscription start date and such services shall not be pro -rated. Device Inspection Before Acceptance. All devices that are not covered under Physio's Limited Warranty or a current Service Plan must be inspected and repaired (if necessary) to meet specifications at then - current list prices prior to being covered under a Service Plan. Unavailability of Covered Equipment. If Covered Equipment is not made available at a scheduled service visit, Buyer is responsible to reschedule with the Physio Service Technician, or ship -in the Equipment to a Physio service depot. Physio reserves the right to charge Buyer a surcharge for a return visit. Surcharges will be based on then -current Physio list price of desired services, less 10 % for labor and 15% for parts, Pi applicable travel costs. The return visit surcharge will be in addition to the subscription price of the Service Plan. To avoid the surcharge, Buyer may ship devices to a Physio service depot. Buyer shall be responsible for round-trip freight for ship -in service. Unscheduled or Uncovered Services, If Buyer requests services to be performed on Covered Equipment which are not covered by a Service Plan, or are outside of designated Services frequency or hours, Physio- Controi will charge Buyer for such services at 10% off Physio-Control's standard rates (including overtime, if appropriate) and applicable travel charges. Repair parts required for such repairs will be made available at 15 % off the then -current list price. Loaners. If Covered Equipment must be removed from service to complete repairs, Physio will provide Buyer with a loaner device, if one is available. Buyer assumes complete responsibility for the loaner and shall return the loaner to Physio in the same condition as received, normal wear and tear exempted, upon the earlier of the return of the removed Covered Equipment or Physio's request. Cancellation. Buyer may cancel a Service Plan upon sixty (60) days' written notice to Physio. In the event of such cancellation, Buyer shall be responsible for the portion of the designated price which corresponds to the portion of the Service Plan subscription prior to the effective date of termination and the list -price cost of any preventative maintenance, inspections, or repairs rendered after the last anniversary date of the subscription start date. No Solicitation. During the Service Plan subscription and for one (1) year following its expiration Buyer agrees to not to actively and intentionally solicit anyone who is employed by Physio to provide services such as those described in the Service an 3800 E. Centre Ave. Portage, MI 49002 USA 1-800-STRYKER stryker.com Whom it may concern Emergency Care Parts and Service July 30, 2019 Stryker Stryker's Medical division certifies that it is the original equipment manufacturer (OEM) or sole source distributor of parts for Stryker's Emergency Care products. All parts are manufactured at Stryker or supplied to Stryker by approved vendors. Strylter employs its own field service team (known as ProCare Services) to service its products. Strylter only uses OEM parts for repairs and has exclusive use of certain proprietary tools for diagnostics and repairs. Stryker Emergency Care products that require the use of such proprietary tools include, but are not limited to: • Power -LOAD fastener • Power -PRO cot • LUCAS 3 chest compression system • LIFEPAK 15 monitor/defibrillator • LIFEPAK 20e monitor/defibrillator • LIFEPAK 1000 defibrillator • LIFEPAK CR Plus / LIFEPAK CR2 defibrillator Tooling is calibrated, documented and controlled by Strylter's home offices in Portage, MI, USA and Redmond, WA, USA. Calibration records and training records are available upon request. Service repairs are documented and reviewed by Stryker's quality team. To help ensure Strylter's commitment to quality, Stryker traclts and trends its service to help ensure the highest level of product performance for its customers. Preventive maintenance (PM) and service history documentation is available upon request. The Quality Management System of Stryker's Medical division is ISO 13485:2016 certified. Please contact your local Stryker representative with questions. Stryker Corporation or its divisions or other corporate af0liated entities own, use or have applied for the following hademarks or service marks: C.R Plus, LIFEPAK, LOCAS, Power -LOAD, Power -PRO, ProCare, Stryker. All other trademarks are trademarks oftheir respective owners or holder. Copyright ©2019 Stryker Mkt Lit-1630 03 JUL 2018 Rev C CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if (here are interested parties. OFFICE USE ONLY Complete Nos,1, 2, 31 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. 2019-535701 Stryker Sales Corp 11811 Willows Rd NE, WA United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 09/03/2019 being filed. Calhoun Cty EMS Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to he provided under the contract. 00189978,00189981,00189982 A four year renewal service plan for Lucas and Lifepak 15 devices Nature of Interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling intermediary 5 Check only if there is NO Interested Parry. X 6 UNSWORN DECLARATION My name is ;it t <- ,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 r�6 County, State of WCSiv �`c 40non the � day of __3c--�E 20 �`i (month) (year) ` Signature of authorized agent of contracting business entity (Dedarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1,1.3a6aaf7d CERTIFICATE OF INTERESTED PARTIES FORnn 1295 1 of1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, z, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2019-535701 Date Filed: 09/03/2019 Date Acknowledged: 09/19/2019 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Stryker Sales Corp 11811 Willows Rd NE, WA United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun Cty EMS 3 Provide the identification number used by the governmental entity or state agency to track or description of the services, goods, or other property to be provided under the contract. 00189978,00189981,00189982 A four year renewal service plan for Lucas and Lifepak 15 devices identify the contract, and provide a 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is ,and my My address is date of birth 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 V1.1.3a6aaf7d W-9 Request for Taxpayer Farm (Rev. October 2018) Identification Number and Certification Give Form to the requester. Do not Depadment of the Treasury send to the IRS. Internal Revenue service ► Go to www.1rs.govr1FomnW9 for Instructions and the latest Information. 1 Name (as shown on your Income tax return). Name Is required on this line; do not leave this line blank, Stryker Sales Corporation 2 Business nameldisregarded entity name, if different from above Stryker Medical 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 afollowing seven boxes. certain entitles, not individuals; see o ❑ Indlvlduallsole proprietor or R1 C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate Instructions on page 3): o single -member LLC Exempt payee code (if any) pd F'g ❑ Limited liability company. Enter the tax classification (C=C corporation, 8=8 corporation, P=Padnarshlp)► `o Note: Check the appropriate box In the line above for the tax classificatlon of the single -member owner. Do not check Exemption from FATCA reporting LLC If the LLC is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is a' another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that code (if any) Is disregarded from the owner should check the appropriate box for the tax classification of Its owner. y ❑ Other (see instructions)► (Applla�foeccwnhmeMleMedmisMefhe aa) N s Address (number, street, and apt. or suite no.) See Instructions. Requester's name and address (optional) N 3800 East Centre Ave e City, state, and ZIP code Portage , MI 49002 7 Hat account number(s) here(upilanal) JUM Taxpayer Identification Number (TIN) mnur your TIN in the appropriate nox. I ne I IN provided must match the name given on Ilna 1 to avoid I sorrel security number I backup withholding. len, sole For individuals, this is generally your social security number (SSNr, However, for a —m — resident alien, sole proprietor, or disregarded entity, see the Instructions for Part 1, later. For other entities, It is your employer Identification number (EIN). If you do not have a number, see How to get e LUJ TIN,later. or Note: If the account is In more than one name, see the Instructions for line 1. Also see What Name and Employer Identification number Number To Give the Requester for guidelines on whose number to enter. IT1 3181-I2191012141214 Under penalties of perjury, I certitythat: 1. The number shown on this form is my correct Taxpayer Identiflcatlon number (or 1 am waiting for a number to be Issued to me); end 2. I am not subject to backup withholding because: (a)1 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 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 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 dividends, you are not required to slgn the certification, but you must provide your correct TIN. See the Instructions for Part II, later. aryrr I signature of Here U.S. parson► 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 www.frs.govyFcrmW9. 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 (HN) which may be your 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 1099-INT (interest earned or paid) Date► • Form 1099-DIV (dividends, Including those from stacks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third patty 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 Farm W-9 only If you are a U.S, person (including a resident alien), to provide your correct TIN. !l 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 is-fd (Rev. 10.2018) Commissioners' Court — September 04, 2019 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On approval of Geigle's Utilities for Inspections Agreement for public rest - room septic system located at 865 N Ocean Drive and authorize Commissioner hall to sign a 1-year contract. (DH) 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 16 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 August 28th, 2019. • Consider and take necessary action on approval of Geigle's Utilities for Inspections agree ent for public restroom septic system located at 865 N Ocean Drive and rite Commissioner Hall to sign 1 year contract. Since y, David E. Hall Geigle's Utilities 1587 Oliver Rd Victoria Texas 77904 (361) 22M203 Name /Address Callmun County Pct, I 305 Henry Barber Way Port Lavaca, TX 77979 Estimate Date Estimate d 9/29/2019 2019012 Project Description Qty Cost Total One Year Septic System Maintenance Contract (Commercial 1000 11650,00 1,650,00 Gallons Per Day system) 3 Visits per year I every 4 months with rennote alarm monitoring, COMMERCIAL sewage system I year inspections agreement per Texas Commission on Enviromnental Quality (TCEQ) standards foron site sewerage facilities as required, Inspection reports by Geigle's Utilities will be tiled witltthe authorized agency as required by the TCEQ regulations, A weather proof tag or label will be attached to the controller showing the month that each inspection was made, Items included on the Inspection Report generally include aerators, filters, irrigation pump, air compressor, disinfection device, chlorine supply, OK System light, spray field vegetation, sprinkler or drip backwash, We will visit your site within 48 bows of you notifying us of a problem, Geigle's Utilities is certified by fire manufacturer of your system, The air filter will be cleaned at each visit, This agreement does not include the cost of repairs, Price God for 45 days Total $1,650,00 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete NOS. 1- 4 and 6 if there are Interested parties. complete Nos. 1, 2, 3, 5, and 6 if there are no interested parries. OFFICE USE ONLY 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. 2019-535436 geigies utilities victoria, TX united States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form Is 09/03/2019 being filed, calhoun County precinct 1 Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. magnolia beach 1 year Contract for septic system maintenance Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is ( v)+KI 6t <a and my date of birth is — My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury thatthe foregoing is true and correct Executed In .0()(A County, Slate of��'SSG!-� .on the :5 day of -�-cep+._., 20J�IAI. (month) (year) �Slgnature of a orized agent of contr cling business entity (Declerant) - Forms provided by Texas Ethics Commission �' www.etntcsstate.tx.us velslun CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of1 Complete Nos. 1- 4 and 6 if there are interested ponies. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2019-535436 Date Filed: 09/03/2019 Date Acknowledged: 09/19/2019 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. geigles utilities victoria, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County precinct 1 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. magnolia beach 1 year contract for septic system maintenance 4 Name of Interested Part Y Cit State, Countr lace of business Y� Y (P ) Nature of interest check a Ilcable ( PP ) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is ,and my date of birth is My address is , (street) (city) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on Signature of authorized agent of (Declarant) (state) (zip code) (country) the _day of , 20 (month) (year) contracting business entity Farms provided by Texas Ethics Commission www.ethics.state.tx.us version v t. t.3atiaarra Commissioners` Court —September04, 2019 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On appointments/reappointments to Drainage Districts #6, #8, and #10. (RM) #6 - Tony Haschke, Jr., Rolando Reyes, Jr., and RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, #10 -,Dale Garner, MN hn, :David .Hahn. ED [UNANIMOUS] y, Commissioner Pct 2 I, Commissioner Pct yer, Commissioner Hall, Lyssy, Syma, Reese Page 11 of 16 DRAINAGE DISTRICT # 6 Tony Haschke Jr. — Reappoint Rolando Reyes, Jr. —Reappoint Billy Billings —Appoint DRAINAGE DISTRICT # 8 Philip Henke —Reappoint Melbourn Shillings — Reappoint Michael Mutchler —Reappoint DRAINAGE DISTRICT # 10 °� Dale Garner — Reappoint Mike Hahn — Reappoint David Hahn - Reappoint Commissioners' Court —September 04, 2019 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To approve a Request for Professional Engineering Services for Memorial Medical Center. (GR) Joe Janda, G&W Engineering, presented information on this matter. Commissioner Lyssy made the motion to add "and authorize the County Judge to sign". RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 12 of 16 G&W ENGINEERS, 206W.Live0ak Po ,, - Texas Firm Registration No. =+. .. August 29, 2019 Calhoun County Attn: Honorable Judge Myer & Commissioners 211 S. Ann Street Port Lavaca, TX 77979 RE: PROPOSAL —Memorial Medical Center Improvements -Request for Professional Engineering Services in Port Lavaca, Texas Honorable Judge Myer and Commissioners, G&W Engineers, Inc. understands that you are considering improvements to the existing County Medical Facility located in Calhoun County, Texas. Per our discussions and according to information provided by you, we understand the Scope of Work for modifications and improvements to the existing building and site to be as follows: Prepare preliminary engineering recommendations for roofing of the entire 50,000+/- square foot hospital, including consideration into construction methods and type of roofing system options available for this facility. Also, mechanical engineering considerations will be made for the facility, including communication and interpretation of code compliance. The existing roofing system is a coal tar roof system. The scope of work shall also include communication with roofing manufactures as required, site visits as required and a brief letter/report of the options available and their pros and cons. Roofing system and all improvements there to, must meet local and state building code, as well as, Texas Windstorm Requirements. Options shall be based upon the provided documentation, which includes: Tremco Roof Analysis Report Dated May 29, 2019; Intalere Project Findings Report Dated June 14, 2019 and the Infrared Roof Thermographic Report Dated July 19, 2019. Options shall also be based upon site inspections and recommendations of manufactures. The scope of work shall be preliminary in nature and will summarize findings (by G&W and others), options, warranties, pros and cons, and cost estimates in order to inform Calhoun County of viable options for moving forward with this project based upon sound engineering judgement. G&W shall also provide a proposal for engineering services required to develop necessary Construction Scopes of Works, Engineered Drawings, Bid Support Services, and Construction Support Services based upon the findings of this preliminary phase. G&W Engineers, Inc. proposes to perform the referenced Scope of Work for this project on a time/material basis with an estimated cost not to exceed of $9,500.00. Clarifications: 1. The professional services estimated fee provided above is based upon preliminary discussions as well as information provided by the Calhoun County and any additions or alterations to this will increase man hour requirements. These additions or alterations from the original scope of work will be charged based on the G&W Engineers, Inc. Rate Schedule and is subject to increases. i P. 2 of 2 2. Developed exhibits/concepts (if any) shall be AutoCAD format. Memorial3. • furnish record drawingsEngineers, Inc or allow G&W to make copies of the drawings, Exclusions: 1. Testing shall not be included within this Scope of Work. 2. Surveying is not included within this Scope of Work, 3. City of Port Lavaca permitting is not included within this Scope of Work, 4. Signed and sealed design plans, including but not necessarily limited to: Civil, Mechanical, Electrical and Structural Engineering are not included within this Scope of Work. 5. Windstorm Engineering including official plans, permit, certification and other items shall not be included within this Scope of Work. 6. Com Check (energy code compliance/calcs) is not included within this scope of work. G&W can perform these services (if requested/required) and can be negotiated under a separate proposal. If this proposal meets with your approval, please sign and return one copy to my attention or return to me via scan/email ( smason 4) >wenaincers.com ) as acknowledgement to proceed with this engineering effort. We appreciate the opportunity to work with you on this project. Sincerely, Scott P. Mason, P.E. Lead Project Engineer Printed Name Title Signature Date File: job # 5310.006 Cc: Everet Wood, Calhoun County 205 W4 Live flair e Port Lavaca, X 77979 ., P: (361)562-41509 (8 lra -4987 Tf:,taw Firm Ro�'at€'a":o:s fo,; 1704riN August 2R, 2019 Everett Wood Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 VIA: Evereti.wood@calhouncotx.org Regarding: Callioun County Memorial Hospital HVAC replacement Dear: Mr. Everet Wood, 5310.006 The following is G&W Engineers, Inc.'s proposal for the Pa•®Essen®snag anal �'eehmieai Seswlcss for the replacement of the Heating, Ventilation, and Air Conditioning (HVAC) system at the Calhoun County Memorial Hospital, located in Port Lavaca, Texas. The replacement of two (2) water cooled chillers and associated equipment during the refurbislunent of any and all roof repairs of the Calhoun County Memorial Hospital, located in Port Lavaca, Texas. 1. Wallc through the exisfing HVAC system to review of existing system to familiarize ourselves with the Hospital's roofing and HVAC system. 2. Review technical documents regarding the replacement of an "In -Kind" Compressor, water cooler, air -handler and piping, compared to the working layout. 3. Review Current HVAC/Roof study completed by Intalere, titled: "Memorial Medical Center, Port Lavaca, TX, Facility Infrastructure Conditions Assessment" to determine the most effective route to proceed in the replacement of any needed repairs or additions based on our +40 years of professional engineering, technical, and project management experience. 4. Provide technical support for selection and installation of equipment. a. Le., Provide recommended Specifications for the "In -kind" replacement of existing Compressors, Cooling towers, air handlers, and mechanical piping if need be. ENGINEERS. INC, R% � �IIii P.2oF3 i. For the purpose of this document, contract terms, and conditions, G&W Engineers, Inc. is to be represented by the term "ENGINEER" and CALHOUN COUNTY to be represented by the term "CLIENT". 2. If construction and/or planning of project is phased for a period longer than six (6) months, the cost of construction installation and engineering fees may increase. 3. This project will be designed as a single project with a single bid phase and single Engineering phase. 4. Our work does not include any upgrades of any other items in the area other than what is denoted within this document. 5. This project does not include any drawings to be submitted to the CLIENT other than those provided by any subcontractor and/or vendor for equipment drawings. 6. Any mechanical piping changes that arise and are needed, shall require a new proposal from ENGINEER provided to and approved by CLIENT. 7. All drawings, if any, will be produced in AutoCAD format and provided to the client in PDF format unless othertivise discussed. 8. Any and all drawings of the existing system, data sheets, and specifications relating to the existing equipment and/or future requested equipment that is not noted in this document shall be provided to ENGINEER by CLIENT. 9. Removal of any above or underground piping is excluded from the scope and any demolition drawings are not included. 10. All electrical items and instrumentation required for the Chiller systems and services therein are not included in this proposal and is expected to be completed by CLIENT and or equipment vendors. 11. Detailed cost estimation, procurement, and or equipment proposals are not required by the ENGINEER and are expected to be sought after by CLIENT. 12. Field work to be scheduled in advance at mutually agreed times. A knowledgeable person will be assigned to ENGINEER while at the CLIENT's facility and to provide access to all necessary areas. 13. Re -design services are not included. 14. We have not included the cost of any outside consultants. All engineering work will be performed by ENGINEER. 4ZA FN GINVFERS , I N C . vVwL4 G&W Engineers, Inc. propose the following fee for Professional Engineering services: P.3of3 Walk through ................. . ...................... $ 2,000.00 Technical Specifications and Recommendations ........................ $ 3J50.00 Review/ Specification Changes ........................................... $ 15800,00 BOA'AL.>.................................ae...,.............,.............................a $ 79550900 Our usual conditions are attached, which you should read carefully. If any changes need to be made to the Scope of work, please mark any changes and send back for approval. If our proposal is satisfactory to you, please sign and return it to our office, or scan and email direct to the following: G&W Engineers, Inc. 7onathan T. Parker, P.E. Accepted By Lead Mechanical Engineer Printed Name 0: (361) 552-4509 C: (361) 441-9433 — Checkhere'rfpurchaseorderisrequired. 1. Payment terms are net thirty (30) days. 2. OUligations of the CLIENT to pay the ENGINEER are not contingent on CLIENT obtaining any approvals, acceptances, permits, or reimbursements form any parties, individuals, organizations, or agencies. 3. All ENGINEER's documents: original drawings, estimates, specifications, field notes, reports and data are the sole and exclusive property of the ENGINEER as instruments of set -vice. All ENGINEER's documents are copyrighted. All Rights reserved. 4. Estimates of Construction Cost, if any, represent our best judgment as design professionals familiar with the construction industry. However, it is recognized, that neither the ENGINEER nor the CLIENT has control over the cost of labor, materials or equipment; over the contractor's methods of determining bid prices; or over competitive bidding, market or negotiating conditions. Accordingly, we cannot and do not warrant or represent that bids or negotiated prices will not vary from the estimate, CERTIFICATE OF INTERESTED PARTIES FORM 1295 tell Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 21 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. 2019-534436 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 08/29/2019 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: 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 5310 Memorial Medical Center Roof/HVAC - Technical Services Nature of interest 4 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 Party. ❑ 6 UNSWORN DECLARATION My name Is � r evc OQ N to N and my date 7 My address is �d�� f'vz Vr�t fora a��cro. (Steen (city) I declare under penalty perjury that the foregoing is true and correct. �foLff Executed in t ,y"" "'"` — County, State of y n on the �3//day of ']vv,d 120 y� (month) (yea9 Id Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.fx.us Version V1.1.39f8039c CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and s 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. 2019-534436 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 08/29/2019 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: 09/19/2019 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. 5310 Memorial Medical Center Roof/HVAC -Technical Services Nature of interest 4 Name of Interested Part Y Cit State, Countr lace of business Y� Yip ) check a licable ( Pp ) 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 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 (DeclaranQ Forms provided by Texas Ethics Commission www.ethics.state.[x.us Version V1.1.39f8039c Commissioners' Court — September 04, 2019 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) On a grant from TXDOT for routine airport maintenance and authorize Commissioner Lyssy to sign. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reece, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 13 of 16 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 August 29, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for September 4, 2019. • Consider and take necessary action regarding Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M2013PTLA) and authorize all appropriate signatures. Sinc�ere/r, � f} ✓ f/' Vern Lyssy VLtlj TEXAS DEPARTMENT OF TRANSPORTATION GRANT FOR ROUTINE AIRPORT MAINTENANCE PROGRAM (State Assisted Airport Routine Maintenance) TxDOT Project ID.: M2013PTLA Part I -Identification of the Project TO: The County of Calhoun, Texas FROM: The State of Texas, acting through the Texas Department of Transportation This Grant is made between the Texas Department of Transportation, (hereinafter referred to as the "State"), on behalf of the State of Texas, and the County of Calhoun, Texas, (hereinafter referred to as the "Sponsor"), This Grant Agreement is entered into between the State and the Sponsor shown above, under the authority granted and in compliance with the provisions of the Transportation Code Chapter 21, Airport. The project is for airport maintenance at the PORT LAVACA - CALHOUN COUNTY Part II -Offer of Financial Assistance 1. For the purposes of this Grant, the annual routine maintenance project cost, Amount A, is estimated as found on Attachment A, Scope of Services, attached hereto and made a part of this grant agreement. State financial assistance granted will be used solely and exclusively for airportmaintenance and other incidental items as approved by the State. Actual work to be performed under this agreement is found on Attachment A, Scope of Services. State financial assistance, Amount B, will be for fifty percent (50%) of the eligible project costs for this project or $50,000.00, whichever is less, per fiscal year and subject to availability of state appropriations. Scope of Services, Attachment A, of this Grant, maybe amended, subject to availability of state funds, to include additional approved airport maintenance work. Scope amendments require submittal of an Amended Scope of Services, Attachment A. Services will not be accomplished by the State until receipt of Sponsor's share of project costs. 8/29/2019 Paee 1 of 12 Only work items as described in Attachment A, Scope of Services of this Grant are reimbursable under this grant. Work shall be accomplished by August 31, 2020, unless otherwise approved by the State. 2. The State shall determine fair and eligible project costs for work scope. Sponsor's share of estimated project costs, Amount C, shall be as found on Attachment A and any amendments. It is mutually understood and agreed that if, during the term of this agreement, the State determines that there is an overrun in the estimated annual routine maintenance costs, the State may increase the grant to cover the amount of the overrun within the above stated percentages and subject to the maximum amount of state funding. The State will not authorize expenditures in excess of the dollar amounts identified in this Agreement and any amendments, without the consent of the Sponsor. 3. Sponsor, by accepting this Grant certifies and, upon request, shall furnish proof to the State that it has sufficient funds to meet its share of the costs. The Sponsor grants to the State the right to audit any books and records of the Sponsor to verify expended funds. Upon execution of this Agreement and written demand by the State, the Sponsor's financial obligation (Amount C) shall be due in cash and payable in full to the State. State may request the Sponsor's financial obligation in partial payments. Should the Sponsor fail to pay their obligation, either in whole or in part, within 30 days of written demand, the State may exercise is rights under Paragraph V-3. Likewise, should the State be unwilling or unable to pay its obligation in a timely manner, the failure to pay shall be considered a breach and the Sponsor may exercise any rights and remedies it has at law or equity. The State shall reimburse or credit the Sponsor, at the financial closure of the project, any excess funds provided by the Sponsor which exceed Sponsor's share (Amount C). 4. The Sponsor specifically agrees that it shall pay any project costs which exceed the amount of financial participation agreed to by the State. It is further agreed that the Sponsor will reimburse the State for any payment or payments made by the State which are in excess of the percentage of financial assistance (Amount B) as stated in Paragraph II-1. 8/29/2019 Paee 2 of 12 5. Scope of Services may be accomplished by State contracts or through local contracts of the Sponsor as determined appropriate by the State. All locally contracted work must be approved by the State for scope and reasonable cost. Reimbursement requests for locally contracted work shall be submitted on forms provided by the State and shall include copies of the invoices for materials or services. Payment shall be made for no more than 50% of allowable charges. The State will not participate in funding for force account we conducted by the Sponsor. 6. This Grant shall terminate upon completion of the scope of services. Part III -Sponsor Responsibilities 1. In accepting this Grant, if applicable, the Sponsor guarantees that: a. it will, in the operation of the facility, comply with all applicable state and federal laws, rules, regulations, procedures, covenants and assurances required by the State in connection with this Grant; and b. the Airport or navigational facility which is the subject of this Grant shall be controlled by the Sponsor for a period of at least 20 years; and c. consistent with safety and security requirements, it shall make the airport or air navigational facility available to all types, kinds and classes of aeronautical use without discrimination between such types, kinds and classes and shall provide adequate public access during the period of this Grant; and d. it shall not grant or permit anyone to exercise an exclusive right for the conduct of aeronautical activity on or about an airport landing area. Aeronautical activities include, but are not limited to scheduled airline flights, charter flights, flight instruction, aircraft sales, rental and repair, sale of aviation petroleum products and aerial applications. The landing area consists of runways or landing strips, taxiways, parking aprons, roads, airport lighting and navigational aids; and e. through the fence access shall be reviewed and approved by the State; and it shall not permit non -aeronautical use of airport facilities without prior approval of the State; and 8/29/2019 Paue 3 of 12 g. the Sponsor shall submit to the State annual statements of airport revenues and expenses when requested; and h. all fees collected for the use of the airport shall be reasonable and nondiscriminatory. The proceeds from such fees shall be used solely for the development, operation and maintenance of the airport or navigational facility; and an Airport Fund shall be established by resolution, order or ordinance in the treasury of the Sponsor, or evidence of the prior creation of an existing airport fund or properly executed copy of the resolution, order, or ordinance creating such a fund, shall be submitted to the State. The fund may be an account as part of another fund, but must be accounted for in such a manner that all revenues, expenses, retained earnings, and balances in the account are discernible from other types of moneys identified in the fund as a whole. All fees, charges, rents, and money from any source derived from airport operations must be deposited in the Airport Fund and shall not be diverted to the general revenue fund or another revenue fund of the Sponsor. All expenditures from the Airport Fund shall be solely for airport purposes. Sponsor shall be ineligible for a subsequent grant or loan by the State unless, prior to such subsequent grant or an, Sponsor has complied with the requirements of this subparagraph; and the Sponsor shall operate runway lighting at least at low intensity from sunset to sunrise; and k. insofar as it is reasonable and within its power, Sponsor shall adopt and enforce zoning regulations to restrict the height of structures and use of land adjacent to or in the immediate vicinity of the airport to heights and activities compatible with normal airport operations as provided in Tex. Loc. Govt. Code Ann. Sections 241.001 et seq. (Vernon and Vernon Supp.). Sponsor shall also acquire and retain aviation easements or other property interests in or rights to use of land or airspace, unless sponsor can show that acquisition and retention of such interest will be impractical or will result in undue hardship to Sponsor. Sponsor shall be ineligible for a subsequent grant or loan by the State unless Sponsor has, prior to subsequent approval of a grant or loan, adopted and passed an airport hazard zoning ordinance or order approved by the State. mowing services will not be eligible for state financial assistance. Sponsor will be responsible for 100% of any mowing services. 8/29/2019 Paee 4 of 12 2. The Sponsor, to the extent of its legal authority to no so, shall save harmless the State, the State's agents, employees or contractors from all claims and liability due to activities of the Sponsor, the Sponsor's agents or employees performed under this agreement. The Sponsor, to the extent of its legal authority to do so, shall also save harmless the State, the State's agents, employees or contractors from any and all expenses, including attorney fees which might be incurred by the State in litigation or otherwise resisting claim or liabilities which might be imposed on the State as the result of those activities by the Sponsor, the Sponsor's agents or employees. 3. The Sponsor's acceptance of this Offer and ratification and adoption of this Grant shall be evidenced by execution of this Grant by the Sponsor. The Grant shall comprise a contract, constituting the obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the project and the operation and maintenance of the airport. If it becomes unreasonable or impractical to complote Che project, the State may void this agreement and release the Sponsor from any further obligation of project costs. 4. Upon entering into this Grant, Sponsor agrees to name an individual, as the Sponsor's Authorized Representative, who shall be the State's contact with regard to this project. The Representative shall receive all correspondence and documents associated with this grant and shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor, and coordinate schedule for work items as required. 5. By the acceptance of grant funds for the maintenance of eligible airport buildings, the Sponsor certifies that the buildings are owned by the Sponsor. The buildings maybe leased but if the lease agreement specifies that the lessee is responsible for the upkeep and repairs of the building no state funds shall be used for that purpose. 6. Sponsor shall request reimbursement of eligible project costs on forms provided by the State. All reimbursement requests are required to include a copy of the invoices for the materials or services. The reimbursement request will be submitted no more than once a month. 7. The Sponsor's acceptance of this Agreement shall comprise a Grant Agreement, as provided by the Transportation Code, Chapter Zl, constituting the conh'actual obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the airport maintenance and compliance with the assurances and conditions as provided. Such Grant Agreement shall become effective upon the State's written Notice to Proceed issued following execution of this agreement. S/29/2019 Paec 5 of 12 Part Iv - Nomination of the Agent The Sponsor designates the State as the party to receive and disburse all funds used, or to be used, in payment of the costs of the project, or in reimbursement to either of the parties for costs incurred. 2. The State shall, for all purposes in connection with the project identified above, be the Agent of the Sponsor. The Sponsor grants the State a power of attorney to act as its agent to perform the following services: a. accept, receive, and deposit with the State any and all project funds granted, allowed, and paid or made available by the Sponsor, the State of Texas, or any other entity; b. enter into contracts as necessary for execution of scope of services; c. if State enters into a contract as Agent: exercise supervision and direction of the project work as the State reasonably finds appropriate. Where there is an irreconcilable conflict or difference of opinion, judgment, order or direction between the State and the Sponsor or any service provider, the State shall issue a written order which shall prevail and be controlling; d. receive, review, approve and pay invoices and payment requests for services and materials supplied in accordance with the State approved contracts; e. obtain an audit as may be required by state regulations; the State Auditor may conduct an audit or investigation of any entity receiving funds from TxDOT directly under this contract or indirectly through a subcontract under this contract. Acceptance of funds directly under this contractor indirectly through a subcontract under this contract acts as acceptance of the authority of the State Auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. An entity that is the subject of an audit or investigation must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. reimburse sponsor for approved contract maintenance costs no more than once a month. Part V -Recitals This Grant is executed For the sole benefit of the contracting parties and is not intended or executed for the direct or incidental benefit of any third parry. 2. It is the intent of this grant to not supplant local funds normally utilized for airport maintenance, and that any state financial assistance offered under this grant be in addition to those local funds normally dedicated for airport maintenance. 8/29/2019 Paee 6 of 12 3. This Grant is subject to the applicable provisions of the Transportation Code, Chapters 21 and 22, and the Airport Zoning Act, Tex. Loc. Govt. Code Ann. Sections 241.001 et seq. (Vernon and Vernon Supp.). Failure to comply with the terms of this Grant or with the rules and statutes shall be considered a breach of this contract and will allow the State to pursue the remedies for breach as stated below. Of primary importance to the State is compliance with the terms and conditions of this Grant. If, however, after all reasonable attempts to require compliance have failed, the State finds that the Sponsor is unwilling and/or unable to comply with any of the terms of this Grant, the State, may pursue any of the following remedies: (1) require a refund of any financial assistance money expended pursuant to this Grant, (2) deny Sponsor's future requests for aid, (3) request the Attorney General to bring suit seeking reimbursement of any financial assistance money expended on the project pursuant to this Grant, provided however, these remedies shall not limit the State's authority to enforce its rules, regulations or orders as otherwise provided by law, (4) declare this Grant null and void, or (5) any other remedy available at law or in equity. b. Venue for resolution by a court of competent jurisdiction of any dispute arising under the terms of this Grant, or for enforcement of any of the provisions of this Grant, is specifically set by Grant of the parties in Travis County, Texas. 4, The State reserves the right to amend or withdraw this Grant at any time prior to acceptance by the Sponsor. The acceptance period cannot be greater than 30 days after issuance unless extended by the State. 5. This Grant constitutes the full and total understanding of the parties concerning their rights and responsibilities in regard to this project and shall not be modified, amended, rescinded or revoked unless such modification, amendment, rescission or revocation is agreed to by both parties in writing and executed by both parties. 6. All commitments by the Sponsor and the State are subject to constitutional and statutory limitations and restrictions binding upon the Sponsor and the one (including Sections 5 and 7 of Article 11 of the Texas Constitution, if applicable) and to the availability of funds which lawfully may be applied. 8/29/2019 Paee 7 of 12 Part vI - Acceptances Sponsor The County of Calhoun, Texas, does ratify and adopt all statements, representations, warranties, covenants, agreements, and all terms and conditions of this Grant. Executed this 4th day of September , 20 19 . The County of Calhoun, Texas County7udQe Sponsor Title Certificate of Attorney I, _Shannon Salyer ,acting as attorney for the County of Calhoun, Texas, do certify that I have fully examined the Grant and the proceedings taken by the Sponsor relating to the acceptance of the Grant, and find that the manner of acceptance and execution of the Grant by the Sponsor, is in accordance with the laws of the State of Texas. Dated at Port Lavaca Texas, this 4th day of September , 20 19 . orney's Signature 8/29/2019 Paee 8 of 12 Acceptance of the State Executed by and approved for the Texas Transportation Commission for the purpose and effect of activating and/or carrying out the orders, established policies or work programs and grants heretofore approved and authorized by the Texas Transportation Commission, STATE OF TEXAS TEXAS DEPARTMENT OF TRANSPORTATION Date: 8/29/2019 Paee 9 of 12 Attachment A Scope of Services TxDOT Project ID: M2013PTLA Eligible Scope Item Estimated Costs Amount A State Share Amount B Sponsor Share Amount C GENERAL MAINTENANCE $30,000.00 $15,000.00 $15,000,00 TOTAL $309000,00 $15,000.00 $15,000.00 Accepte } :The Countv of Calhoun, Texas Signature Title: Countv Judge Date: September 4, 2019 GENERAL MAINTENANCE: As needed. Sponsor may contract for services / purchase materials for routine maintenance /improvement of airport pavements, sienage drainage AWOS systems, approach aids, lighting systems utility infrastructure fencing herbicide / application sponsor owned and operated fuel systems, hangars, terminal buildings and security systems• professional services for environmental compliance, unmoved project design. Special Projects to be determined and added by amendment Only work items as described in Attachment A, Scope of Services of this Grant are reimbursable under this grant. 8/29/2019 Page ]0 of 12 CERTIFICATION OF AIRPORT FUND TxDOT Project ID: M2013PTLA The County of Calhoun does certify that an Airport Fund has been established for the Sponsor, and that all fees, charges, rents, and money from any source derived from airport operations will be deposited for the benefit of the Airport Fund and will not be diverted for other general revenue fund expenditures or any other special fund of the Sponsor and that all expenditures from the Fund will be solely for airport purposes. The fund may be an account as part of another fund, but must be accounted for in such a manner that all revenues, expenses, retained earnings, and balances in the account are discernible from other types of moneys identified in the fund as a whole. lrtle; l;OUnty JUQge Date: September 4, 2019 Certification rut Single Audit Requirements I, Cynthia Mueller , do certify that the County of Calhoun, Texas, (Designated Representative) will comply with all requirements of the State of Texas Single Audit Act if the County of Calhoun, Texas, spends or receives more than the threshold amount in any grant funding sources during the most recently audited fiscal year. And in following those requirements, the County of Calhoun, Texas, will submit the report to the audit division of the Texas Department of Transportation. If your entity did not meet the threshold in grant receivables or expenditures, please submit a letter indicating that your entity is not required to have a State Single Audit performed for the most recent audited fiscal year. r Signature County Auditor Title September 4, 2019 Date 8/29/2019 Paec 11 of 12 DESIGNATION OF SPONSOR'S AUTHORIZED REPRESENTATIVE TxDOT Project ID: M2013PTLA The County of Calhoun, Texas, designates, Vern Lyssy Commissioner (Name, Title) as the Sponsor's authorized representative, who shall receive all correspondence and documents associated with this grant and who shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor. Sponsor: The County of Calhoun, Texas By: (1� Z - Title: Commissioner Date: September 4, 2019 REPRESENTATIVE Mailing Address: 5812 FM 1090 Port Lavaca, TX 77979 Overnight Mailing Address: 5812 FM 1090, Port Lavaca, TX 77979 Telephone Number: 361 Fax Number: Email Address: lesa iurek(c�calhouncotx.org 8/29/2019 Paec 12 of 12 Commissioners' Court —September04, )019 16. Accept reports from the following County Offices: (RM) 1. County Clerk's Office — July 2019 — Revised 2. Tax Assessor/Collector — July 2019 3. County Auditor's Office — July 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct i AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 14 of 16 FMO CD ON O M n O O O co N M O Lo LO CO) V' n 00 Z 4 O M a n W 6 O 00 N n W w O ! 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O > 0 O m W 0 0 a ❑ a 0 a U) 2 0 W F- 7 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT " JULY 2019 COLLECTIONS DISBURSEMENTS Title Certificate Fees 707 $ 93386,00 Title Fees Paid TXDOT $ 53851.00 Title Fees Paid County Treasurer Salary Fund $ 3,535.00 Motor Vehicle Registration Collections $ 190,727,31 Disabled Person Fees $ 85.00 Postage $ Global Additonal Collections $ - Paid TXDOT $ 1660393.35 Paid TXDOTSP $ 26,345.72 Paid County Treasurer $ - PaidCountyTreasurerSalaryFund $ 72125,70 DMV CCARDTRNSFEE $ 1,947,64 GLAdditonal Collections $ - - $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 11301,81 GLOBAL Fees In Excess of Collections $ 645,73 MERCH SERVICES STATEMENT Additional Postage- Vehicle Registration $ 18,47 Paid County Treasurer- Additional Postage $ 13.47 Motor Vehicle Sales & Use Tax Collections $ 662,407,14 Paid State Treasurer $ 6623407.14 Special Road/Bridge Fees Collected $ 27,190.00 Paid County Treasurer-R/B Fees $ 27,190.00 Texas Parks & Wildlife Collections $ 4,332.00 TPW GLOBAL CC TRANSACTION FEES $ 295,52 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 33898,80 Paid County Treasurer Salary Fund $ 433,20 P&W CCARDTRNSFEE $ 296.52 GLOBAL Additonal Collections $ - GLOBALSTATEMENTCred!UDebit Card Fee's $ 210,78 GLOBAL In Excess/Shortage of Collections $ 84.74 Boat/Motor Sales& Use Tax Collections $ 26,812.55 Paid State Treasurer $ 25,471.92 Paid County Treasurer, Salary Fund $ 1,340.63 TABC 5%CO COMMS FOR MONTH OF $ - TABC5% CO COMMS FOR MONTH OF JULY 2018 $ 50.00 Paid County Treasurer, Salary Fund $ 50,00 County Beer & Wine Collections $ 965.00 Paid County Treasurer, County Beer & Wine $ 916.75 Paid County Treasurer, Salary Fund $ 40,26 INTEREST EARNED ON OFFICE ACCOUNT $ 86,87 Paid County Treasurer, Nay. East $ 0,03 Paid County Treasurer, all other districts $ 86,84 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 9.57 Paid County Treasurer, Interest on P&W Ace $ 9,67 INTEREST EARNED ON REFUND ACCOUNT $ 0118 Paid County Treasurer, Interest on Refund Ace $ 0,18 Business Personal Property - Misc. Fees $ 91,30 Paid County Treasurer - $ 91.30 Excess Funds $ 179,21 Paid County Treasurer $ 179.21 Overpayments $ 3,30 Current Tax Collections $ 60,122,14 Penalty and Interest - Current Roll $ 9,680,68 Discount for early payment of taxes $ _ Delinquent Tax Collections $ 8,232,45 Penalty & Interest - Delinquent Roll $ 3,407.27 Collections for Delinquent Tax Attorney $ 12,366,00 Advance - FM & L Taxes - $ 1.10 Advance- County AdValorem Taxes $ 78,994.80 Paid County Treasurer- Nev. East $ 75. 95 Paid County Treasurer- all other Districts $ 2$75,9 Paid County Treasurer - Delinq Tax Atly. Fee $ 12,366,00 Payment in Lieu of Taxes $ _ Paid County Treasurer- Navig. East $ _ Paid County Treasurer - All other Districts $ _ Special Farmers Fees Collected $ 155,00 Paid State Treasurer, Farmers Fees $ 166,00 Hot Check Collection Charges $ 15,00 Paid County Treasurers, Hot Check Charge $ 15,00 Overage on Collection/Assessing Fees $ _ _ ...Paid County Treasurer, overage refunded $ - Escheats $ Paid County Treasurer -escheats $ TOTAL COLLECTIONS $ 1,0161617,96 TOTAL DISBURSEMENTS TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY Q A GLORIA A. OCHOA Tax Assessor -Collector $ 1,016,617.96 $ 1,016,617,96 t7 RICHARD H. M County Judg SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT JULY 2019 COLLECTIONS DISBURSEMENTS Title Certificate Fees 707 $ 93386,00 Title Fees Paid TXDOT $ 5,851.00 Title Fees Paid County Treasurer Salary Fund $ 31535,00 Motor Vehicle Registration Collections $ 190,727.31 Disabled Person Fees $ 85,00 Postage $ Global Additonal Collections $ - Paid TXDOT $ 155,393,35 Paid TXDOT SP $ 262345.72 Paid County Treasurer $ Paid County Treasurer Salary Fund $ 7,126.70 DMV CCARDTRNSFEE $ 13947.54 GL Additonal Collections $ - - $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 1,301.81 GLOBAL Fees in Excess of Collections $ 645,73 MERCH SERVICES STATEMENT Additional Postage- Vehicle Registration $ 18,47 Paid County Treasurer -Additional Postage $ 18,47 Motor Vehicle Sales & Use Tax Collections $ 662,407,14 Paid State Treasurer $ 662,407.14 Special RoadtBridge Fees Collected $. 27,190.00 Paid County Treasurer- R!B Fees $ 27,190,00 Texas Parks & Wildlife Collections - $ 41332,00 TPW GLOBAL CC TRANSACTION FEES $ 295.52 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 31898,80 Paid County Treasurer Salary Fund - $ 433,20 P&W CCARDTRNSFEE $ 295.52 GLOBAL Additonal Collections $ - GLOBAL STATEMENT CredIUDeblt Card Fee's $ 210,78 GLOBAL In Excess/Shortage of Collections $ 84.74 BoatfMotor Sales & Use Tax Collections $ 26,812,55 Paid State Treasurer $ 25,471.92 Paid County Treasurer, Salary Fund $ 11340,63 TABC 5% CO COMMS FOR MONTH OF $ _ TABC 5% CO COMMS FOR MONTH OF JULY 2018 $ 50.00 Paid County Treasurer, Salary Fund $ 50,00 County Beer & Wine Collections $ 965,00 Paid County Treasurer, County Beer & Wine $ 916,75 Paid County Treasurer, Salary Fund $ 48,26 INTEREST EARNED ON OFFICE ACCOUNT $ 86,87 Paid County Treasurer, Nov. East $ 0,03 Paid County Treasurer, all other districts - $ 86,84 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 9.57 Paid County Treasurer, Interest on P&W Acc $ 9.67 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 Penalty 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 Ally. Fee Payment In Lieu of Taxes Paid County Treasurer- Navig. East Paid County Treasurer -All other Districts Special Farmers Fees Collected Paid State Treasurer, Farmers Fees Hot Check Collection Charges Paid County Treasurers, Hot Check Charge Overage on Collection/Assessing Fees Paid County Treasurer, overage refunded $ $ 155,00 $ 155,00 $ 15,00 $ 15,00 0 Escheats TOTAL DISBURSEMENTS $ 1,016,617.96 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 13016,617.96 GLORIA A. OCHOA Tax Assessor -Collector � Cam' /g �� ,,,✓----'_ RICHARD H. MEYErR County Judge SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT JULY 2019 COLLECTIONS DISBURSEMENTS Title Certificate Fees 707 $ 92386,00 Title Fees Paid TXDOT $ 5,851.00 Title Fees Paid County Treasurer Salary Fund $ 31635,00 Motor Vehicle Registration Collections $ 190,727.31 Disabled Person Fees $ 86,00 Postage $ - Global Additonal Collections $ - Paid TXDOT $ 166,393,36 Paid TXDOT SP $ 26,345.72 Paid County Treasurer $ - Paid County Treasurer Salary Fund $ 7,125.70 DMV CCARDTRNSFEE $ 11947,64 GL Additonal Collections $ - $ - GLOBAL (IBC) Cred!UDebit Card Fee's $ 1,301.81 GLOBAL Fees In Excess of Collections $ 645,73 MERCH SERVICES STATEMENT Additional Postage -Vehicle Registration $ 18.47 Paid County Treasurer- Additional Postage $ 18.47 Motor Vehicle Sales& Use Tax Collections $ 662,407.14 Paid State Treasurer $ 662,407,14 Special RoadfBridge Fees Collected $ 27,190.00 Paid County Treasurer- R/B Fees $ 27,190.00 Texas Parks & Wildlife Collections $ 4,332.00 TPW GLOBAL CC TRANSACTION FEES $ 295,52 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 32898.80 Paid County Treasurer Salary Fund $ 433,20 P&W CCARDTRNSFEE $ 295.52 GLOBAL Additonal Collections $ - GLOBAL STATEMENT CrediODebit Card Fee's $ 210,78 GLOBAL in Excess/Shortage of Collections $ 84,74 BoatlMotor Sales & Use Tax Collections $ 26,812.65 Paid State Treasurer $ 253471.92 Paid County Treasurer, Salary Fund - $ 1,340.63 TABC 5% CO COMMS FOR MONTH OF $ - TABC 5% CO COMMS FOR MONTH OF JULY 2018 $ 50.00 Paid County Treasurer, Salary Fund $ 50.00 County Beer & Wine Collections $ 965.00 Paid County Treasurer, County Beer & Wine $ 916.75 Paid County Treasurer, Salary Fund $ 48,25 INTEREST EARNED ON OFFICE ACCOUNT $ 86,87 Paid County Treasurer, Nov. East $ 0.03 Paid County Treasurer, all other districts $ 86,84 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT -$ 9.67 Paid County Treasurer, Interest on PION Ace $ 9.57 INTEREST EARNED ON REFUND ACCOUNT $ 0.18 Paid County Treasurer, Interest on Refund Ace $ 0,18 Business PorsonaI Property - Misc. Fees $ 91,30 Paid County Treasurer $ 91,30 Excess Funds $ 179,21 Paid County Treasurer $ 179,21 Overpayments $ 3,30 Current Tax Collections $ 60,122,14 Penalty and Interest - Current Roll $ - 9,680.68 Discount for early payment of taxes $ - DelinquentTaxCollections $ 8,232.46 Penalty & Interest- Delinquent Roll $ 3,407.27 Collections for Delinquent Tax Attorney $ 12,366.00 Advance - FM & L Taxes $ 1,10 Advance- County AdValorem Taxes $ 785994,80 Paid County Treasurer- Nay. East $ 75.95 Paid County Treasurer- all other Districts $ 2,373.99 Paid County Treasurer- Delinq Tax Arty. Fee $ 12,366,00 Payment in Lieu of Taxes Paid County Treasurer- Navig. East $ - Paid County Treasurer- All other Districts $ - Special Farmers Fees Collected $ 155.00 Paid State Treasurer, Farmers Fees $ 156,00 Hot Check Collection Charges $ 15,00 Paid County Treasurers, Hot Check Charge $ 15,00 Overage on Collection/Assessing Fees - Paid County Treasurer, overage refunded $ - Escheats - $ - Paid County Treasurer -escheats $ TOTAL COLLECTIONS $ 1,016,617.96 TOTAL DISBURSEMENTS $ 1,016,617.96 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 1,016,617.96 42 i/.rinQ GLORIA A. OCHOA Tax Assessor -Collector C RICHARD H. MEYER County Judge CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION JULY2019. DESC GLCODE :CIVIL CRIMINAL OFFICIAL PUBLIC RECORDS PROBATE TOTAL DISTRICTATTORNEYFEES IM-44020 IS 032.80 $ 032.80 BEER LICENSE 1DW-42010 $ 6,00 $ 6AD COUNTY CLERK FEES 1000.44030 $ 1,122.30 $ 1,464.60 $ 11,300.80 $ 606.00 $ 14,641.76 APPEAL FROM JP COURTS 1000.44030 $ - $ - COUNTYCOURTATLAWRIJURYFEE 1000.44140 $ JURY FEE 1OW44140 $ 40.00 $ - $ 40.OD ELECTRONIC FILING FEES FOR E-FILINGS 1"44058 $ 52.00 $ - IS - $ 122.00 $ 174.00 JUDGE'S EDUCATION FEE 100.44160 $ 1 $ - $ - $ 60.00 $ 50.00 JUDGE'S ORDER/StGNATURE IOOD44180 $ 10.00 $ - IS - $ 74.00 $ 92.00 SHERIFF'S FEES 1000L44190 $ 160.00 $ 897,93 $ - S 625.00 $ 1,672.93 VISUALRECORDER FEE 1000,44250 $ 138,24 $ 138.24 COURT REFPORTER FEE 1000.44270 $ 165,00 $ - $ - $ 160.00 IS 315.00 RESTITUTION DUE TO OTHERS T00049020 $ - ATTORNEY FEES -COURT APPOINTED LORD 49030 IS 11.90 $ 11,00 APPELLATE FUND ITGC)FEE 2620 44030 $ 60,00 $ 50.OD IS 110,00 TECHNOLOGY FUND 2663-44030 $ 146.41 $ 146.41 COURTHOUSE SECURITY FEE 267044030 $ 60.00 $ 109.86 $ 389.00 $ 55,OD $ 613,86 COURT INITIATED GUARDIANSHIP FEE 2672.44030 $ 200.00 $ 200.00 COURT RECORD PRESERVATION FUND 2673-44030 $ 120.00 $ - $ 100.00 $ 220.00 DOMINOS ARCHIVE FEE 2675-44030 $ 31720.00 $ 3*720.00 DRUG & ALCOHOL COURT PROGRAM 2699-44030.005 $ 644.12 $ 644,12 IUVENILE CASE MANAGER FUND 269944033 $ - $ - FAMILY PROTECTION FUND 270644030 $ 75.00 $ 75.00 JUVENILE CRIME St DELINQUENCY FUND 2715.44030 $0,00 $ PRE-TRIAL OIVERSON AGREEMENT 272944034 $ 200.00 $ 200.00 LAW UBARY FEE 2731-44030 $ 386.00 $ 350,00 $ 735.00 RECORDS MANAGEMENT FEE - COUNTY CLEN(K 2798.44380 $ 91.64 $ 31760.00 $ 31841.54 RECORDS MANGEMENT FEE - COUNTY 273944U30 $ 65AD $ 823,07 $ 65.00 $ 033,07 FINES -COUNTY COURT 2740 4SO40 $ %617,99 $ 96617.99 BONDFORFERURE 274045050 IS - STATE POLICE OFFICER FEES- STATE (UPS)(20%) 7020.20740 $ 8.04 $ 8.04 CONSOLIDATED COURT COSTS - COUNTY 7070.20610 $ 301,26 S 301.26 CONSOLIDATED COURT COSTS - STATE 7070.20740 $ 31261,20 $ 31261,20 JUDICIAL AND COURT PERSONNEL TRAINING - ST (100%) 7502-20740 $ 60,00 $ - $ 50,00 $ 110.00 DRUG St ALCOHOL COURT PROGRAM - COUNTY 7390.20610 $ 128.82 $ 128.82 DRUG & ALCOHOL COURT PROGRAM - STATE 7390.20740 $ 515,30 $ 515.30 STATE ELECTRONIC FILING FEE - CIVIL 7403.22987 IS 330,00 $ - $ 300.00 $ 630,00 STATE ELECTRONIC FILING FEE CRIMINAL 7403.22990 $ 183.06 $ 183.06 EMS TRAUMA - COUNTY (10%) 7405.20610 $ 16223,00 $ L223,86 EMS TRAUMA. STATE(90%) 7405.20740 $ 135.90 $ 135.98 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ 6,00 $ 5,00 $ JIM CIVIL INDIGENT FEE -STATE 7490,20740 $ 114.00 $ 95,00 $ 209.00 3UDJCIAL FUND COURT COSTS 7495.20740 $ 549.28 $ 649.20 JUDICIAL SALARY FUND - COUNTY (10%) 7505-20610 $ 26,11 $ 26,11 JUDICIAL SALARY FUND - STATE (90%) 7505-20740 IS 235,02 $ 235,02 IUDIC.IAL SALARY FUND (CIVIL & PROBATE) -STATE 7S05-20740.005 1 $ 462.00 $ 420.00 $ 882.09 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22084,100044359 $ 22.23 $ 22.23 COURT COST APPEAL OF TRAFFIC BEG LIP APPEAL) 7539.22885 $ DIATH - STATE 7855-20780 $ 161.20 $ 161,20 INFORMAL MARRIAGES -STATE 7855-20782 $ 25.00 $ 25,00 JUDICIAL FEE 79SS-20786 $ 440.00 $ - IS 400.00 $ 040.00 FORMAL MARRIAGES - STATE 7855.20798 $ 270,00 $ 270,00 NONDISCLOSURE FEE - STATE 7855-20790 $ - $ - $ - $ - TCLEOSECOURT MST - COUNTY (10%) 7956.70610 $ 0.21 $ 0.21 TCLEOSE COURT COST - STATE (90%) 7856-20740 $ 1,00 $ 1.00 JURY REIMBURSEMENT FEE -COUNTY ILO% 785740620 $ JIM $ 17.41 JURY REIMBURSEMENT FEE -STATE (90%) 7857-20740 $ ISSAS $ 156.65 STATE TRAFFIC FINE-COUNTY(BY) 706040610 $ 0,86 $ 0.06 STATE TRAFFIC FINE - STATE (95%) 7860-20740 $ 107.26 $ 187.25 INOJGENT DEFENSE FEE - CRIMINAL - COUNTY (10%) 786520610 $ 8,72 IS 8,72 INOIGENT DEFENSE FEE - CRIMINAL - STATE (90%) 7865-20740 $ 78.52 $ 76.62 TIME PAYMENT. COUNTY(50%) 7950-20610 $ 495.07 $ 495,07 TIME PAYMENT - STATE (50%) 7950.20740 $ 495,07 $ 495,07 DAIL JUMPING AND FAILURE TO APPEAR - COUNTY 7970.20610 $ - FAIL JUMPING ANDFAILURE TOAPPEAR -STATE 7970.20740 $ DUE PORT LAVACA PD 9990-99991 $ 96,66 $ 90.66 DUE SEADRIFT PD 9990-99992. $. $ - DUE TOPOINT COMFORT PD 9990-99993 $ 1.31 $ 1,31 DUE TO TEXAS PARKS&WILDLIFE 9990.99094 $ 480,00 $ 480,00 DUE TO TEXAS PARKS&WILDLIFE WATER SAFETY 9990-99595 $ - DUETOTADC 999099996 $ - DUETOATTORNEYADLITEMS 9990-99997 $ - DUE TOOPERATING/NSF CHARGES/OUE TO OTHERS $ $ 212,00) $ 500.00 $ 206.00 $ 3,714.30 $ 23,048,03 $ 19*487.00 $ 4,067.00 $ 50,916,33 TOTAL FUNDS COLLECTED $ 60,916.33 - FUNDSHELDINESCROW: $ - AMOUNT DUE TO TREASURER: $ 50*050i36 TOTAL RECEIPTS: $ 60;Di6.33:. AMOUNT DUE TO OTHERS: $ 805.97 0NR6PORTsyIOMM.VNUWTOR ANOTREA9URER 0EPo0TS�2oI9.07011B TREASURER REPORibds Olilkolo CALHOUN COUNTY CLERIC MONTHLY REPORT RECAPITUATION JULY 2019 :GINNING BOOK BALANCE :fi/30/2039 S 122,057.20 FLIND RECEIVED $ 2071.50 DISBURSEMENTS $ (1 L676.OD� ENDING BOOK BALANCE 7/31/2019 $ 134,952.70 OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" 7/31/2019 $ 144,009.G0 OF DEP SITS 6L017T UT�+e05PE0 Y9A JI' CD'3 Date jda ad Daldiins Purahadesl Wllhdrgwals Salenve _,. 013812019m Intorest: 07131/19 10440 1/24/2018 $ 1,062.07 $ 3.95 $ 1,866.62 10441 V24/2018 $ 10,093,70 $ 28,94 $ 10,122,64 10442 1/24/2018 $ 1,269,09 $ 2.67 $ 1,261.56 10443 V25/2018 $ 1,258.09 $ 2.67 $ 1,261.50 10444 1/25/2D19 $ 91605,80 $ 20.15 $ 9,527.01 10446 1/25/2018 $ 0,500.06 $ 20,16 $ 9,527,01 10446 1/26/2018 $ 9,806.86 $ 20.15 $ 9,527.01 10449 2/2/2018 $ 19,974,68 $ 19,974.58 10464 3/2/2018 $ 3,651.60 $ $ 3,551.50 10455 3/2/2018 $ 31551,56 $ $ 3,551.58 TOTALS: $ 70,072A3 $ 98.60 $ E 70,171.11 ( Submitted by: Anna M Goodman, CDunly Cle+k Date uaaneeoxrsvnoxrxLnnuonoa,wnmeneuaen aersma+zv+v.vra++smaasuaEa xcvoxTe u, emrzv+s IT 9r��t 0 0\ o 0 0 OR " O O O O O O O o o o Ln O Ln o Ln O O m m ni ry r-I T-i N O OJ 2j b v N O O O O O o e-1 c-I 00 lD V N O C O U C LL m � cn O O N 7 r-j +' M C Q1 � X w C L u.. m c C7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o v N u o v M N N ci v-1 J Y b { �to�b�b`''sboy �b7 2�2 20J Cj�0 a 7� �O J CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco... Account Title Otiglml Budget Amendments Revised Budget CnrrActual YTDActaal Variance 1000 GENERAL FUND 001 REVENUE - A ESTIMATED BEGINNING C.., 17,000,000.00 2,151 r02O,OO l9r151r020.O0 BOB 0.00 (19,151,02O.00) B TAXES 18,235,000.00 BOB 18,235,000.00 415,259.43 l6r870r137.46 (T364,862.54) C PERMITS 11,510.00 0.00 11,510.00 850.00 6,715.50 (4,794.50) D INTERGOVERNMENTAL 172,121.00 1,623.00 173,744.00 25,922.03 563,934.30 390,190.30 E FEES 1,439,033.00 0.00 11439,033.00 166,543.35 11370,518.05 (68,514.95) F FINES 173,100.00 0,00 173,100.00 23,497.74 193,067.81 19,967.81 G INTEREST INCOME 100,000.00 0,00 100,000.09 110.49 337,141,02 237,141.02 H RENTS 14,100.00 0.00 14,100,00 875.00 9,675.00 (41425,00) 1 MISCELLANEOUS REVENU.., 1,215,021.00 370,764,00 1,585,785.00 17,628.73 11457,461461 (128,323,39) R SERVICES 0.00 0.00 BOB ROO (115,00) 115,00 Total... REVENUE 38,35905.00 21523,407.00 40,883,292.00 6504686.77 20r8O8f765.75 (20sO74r526,25) 003 ADULT PROBATION Q SUPPLIES 2,600.00 0.00 200.00 0.00 0.00 24600,00 R SERVICES 4,200.00 BOB 4200.00 0.00 4,000.00 200,00 S CAPITAL OUTLAY 300,00 BOB 300.00 0.00 0.00 300,00 Total ... ADULT PROBATION (7,100.00) 0.00 (7,100.00) 0.00 (4,000.00) 3,100,00 006 AID TO AGING R SERVICES 500000,00 0.00 50,000.00 0.00 35,000.00 15,000.00 Total... AID TO AGING (50,000.00) 0.00 (50,000.00) 0.00 (35,000,00) 15,000.00 009 AMBULANCE OPERATIONS -GENERAL Q SUPPLIES 100000.00 (772.00) 9,228.00 0.00 7,644.03 L583,97 R SERVICES 22,500.00 772.00 23,272,00 255.33 9,738.11 13,533.89 S CAPITAL OUTLAY 1.00 0,00 1.00 0.00 0.00 1.00 Total... AMBULANCE (32,501.00) 0.00 (32,501.00) (255.33) (17,382,14) 15,118.86 OPERATIONS -GENERAL 012 AMBULANCE OPERATI ONS-MAGNOLIA Q SUPPLIES 0.00 T700.00 1,700.00 0,00 518,72 11181,28 R SERVICES 0.00 800,00 800.00 0.00 BOB 800,00 Total... AMBULANCE 0.00 (24500,00) (4500.00) 0,00 (518,72) 11981,28 OPERATIONS -MAGNOLIA 075 AMBULANCE OPERATION-OLIVIA/POR Q SUPPLIES R SERVICES Total... AMBULANCE OPERATION-0 LIVIA/POR 021 AMBULANCE OPERATION -PORT O'CON Q SUPPLIES R SERVICES S CAPITAL OUTLAY Date: 8/27/19 01:26:44 PM 1,700.00 (1,700.00) 0.00 0.00 0.00 800.00 (800.00) 0.00 0.00 0.00 (2,5 0.00 411.00 0.00 411.00 0.00 0.00 411.00 2,088.00 0,00 2,088.00 0.00 0.00 2,068.00 MONTHLY REPORT -CONDENSED Unaudited Page: 1 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco... Account Title "igin d Budget AmB.Mments Revised Budget CurAcelal YTDAcalal Variance Total ... AMBULANCE OPERATION -PORT (2,500,00) 0,00 (2,500,00) 0100 0.00 21500,00 O'CON 024 AMBULANCE OPERATION-SEADRIFT Q SUPPLIES lF200.00 0.00 11200,00 0.00 0.00 lr200.00 R SERVICES 800.00 0.00 800,00 182.39 485.59 314,41 S CAPITAL OUTLAY 500.00 0.00 500,00 0.00 0.00 500,00 Total... AMBULANCE (4500.00) 0.00 (2,500.00) (182.39) (485.59) 2,014.41 OPERATION-SEADRIFT 027 BUILDING MAINTENANCE 0 SALARIES 344,393.00 BIRD 344,393.00 23,274.26 169,684.95 174308.05 P BENEFITS 159,827,00 0.00 159,827.00 11,023,37 80,485.43 79,341.57 Q SUPPLIES 42,200,00 0.00 42,200.00 3,463,58 21,88BA3 20,311.97 R SERVICES 523,494,00 11,519.00 535,013,00 32,437.30 188,62303 346,389.97 S CAPITAL OUTLAY 19,006100 1,068.00 20,074,00 0.00 2,262.41 17,811.59 Total ... BUILDING MAINTENANCE (1,068,920.00) (12,587.00) (1,101,507,00) (70198.51) (462,943.85) 638,563.15 030 COMMISSIONERS COURT 0 SALARIES 34706,00 0100 32,706.00 0,00 2,269.70 30,436.30 P BENEFITS 9,133.00 0100 9,133.00 0,00 1,164.20 71968.80 Q SUPPLIES 10,097.00 BOB 1007.00 0,00 6,721.00 3,376.00 R SERVICES 485,141,00 17,579.00 504720.00 28,775.56 256,139,63 246,580.37 S CAPITAL OUTLAY 17,277.00 000 17,277.00 57,77 263,46 17,013.54 Total ... COMMISSIONERS COURT (554,354,00) (17,579,00) (571,933.00) (28,833.33) (266,557.99) 305,375.01 033 CONSTABLE -PRECINCT #1 0 SALARIES 22358.00 0100 22,758.00 1,750.60 13,129,50 9,628.50 P BENEFITS 44574,00 BOB 4,574.00 347.86 208,93 1,965.07 Q SUPPLIES .800.00 0.00 800.00 0.00 0100 800.00 R SERVICES 503,00 0.00 503.00 0.00 0100 503.00 Total... CONSTABLE -PRECINCT #1 (28,635,00) 0.00 (28,635.00) (4098.46) (154738,43) 12,896.57 036 CONSTABLE -PRECINCT #2 0 SALARIES 224791,00 0.00 22,791.00 11750,60 13,129,50 9,661.50 P BENEFITS 4,582.00 000 4,582.00 347,86 2,608,93 1,973.07 Q SUPPLIES 851,00 0.00 851.00 0.00 0.00 851.00 R SERVICES 21403,00 0.00 2,403.00 0.00 693,84 lr709.16 S CAPITAL OUTLAY 1100 0.00 1.00 0.00 0.00 1.00 Total... CONSTABLE -PRECINCT #2 (30t628.00) 0.00 (30,628.00) (4098.46) (16,432,27) 14,195.73 039 CONSTABLE -PRECINCT #3 0 SALARIES 22,758.00 0,00 22,758.00 1,750.60 13,129,50 9,628.50 P BENEFITS 4,574.00 0.00 4,574,00 347.86 21608,93 1,965.07 Q SUPPLIES 1,751,00 (125,00) 1,626,00 107.96 11261,73 364.27 R SERVICES 278.00 (274,00) 4,00 0.00 BOB 4.00 S CAPITAL OUTLAY 2,00 399.00 _ 401.00 __ 0.00 399.99 _ 1,01 Total... CONSTABLE-PRECINCT0 (29,363.00) 0,00 (29,363,00) (4206.42) (17,400,15) 11,962.85 042 CONSTABLE -PRECINCT #4 Dale: 8/27/19 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 2 Acco"& Accolmt Title 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#4 045 CONSTABLE -PRECINCT #5 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#5 048 CONTINGENCIES 0 SALARIES P BENEFITS R SERVICES Total... CONTINGENCIES 051 COUNTY AUDITOR 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... COUNTY AUDITOR 054 COUNTY CLERK 0 SALARIES P BENEFITS 0 SUPPLIES R SERVICES S CAPITAL OUTLAY Total... COUNTY CLERK 057 COUNTY COURT R SERVICES Total... COUNTY COURT 060 COUNTY COURT -AT -LAW 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... COUNTY COURT -AT -LAW 063 COUNTYJUDGE Date: 8/2 7119 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 [AiginalBudgel Amendments BevlsedBudgel currAca7a! YIDAcIua! yariarax 22,758.00 0.00 22,758,00 1,750.60 13,129,50 9,628.50 4,574,00 0.00 4,574.00 347.86 24608,93 1,965.07 751,00 0.00 751,00 0.00 0.00 751,00 2,500.00 0.00 2,500.00 0.00 0.00 21500,00 0100 1.00 0100 _._ 0.00 1.00 _-1.00 (30,584.00) 0,00 (30,584.00) (2,098,46) (15338.43) 1045.57 25,758.00 (3,000.00) 22,758.00 5,182.00 (608,00) 4,574.00 250,00 0.00 250,00 201,00 2,049.00 2,250,00 -0.00 3,364.00 3,364,00 (31,391.00) (105.00) (33196.00) 1,750.60 13,129.50 9,626.50 347,86 208.93 1,965,07 0.00 0,00 250.00 0.00 0100 2,250.00 0.00 _ _ 0.00 3,364.00 (2,098.46) (154738,43) 17,457,57 0.00 5,000.00 5,000.00 0.00 0.00 5,000.00 219,000.00 0.00 219,000,00 0.00 9,160,75 209,839.25 18,002,00 370o764.00 388366,00 0.00 0.00 388,766,00 (237,002,00) (375,764.00) (612,766,00) 0100 (9,160,75) 603,605.25 302,404,00 4019.00 304,423.00 25,279.85 176,363.88 128,059.12 117,188.00 385.00 117,573,00 9,540.58 66,671.16 50,901.84 4,496.00 0.00 4,496,00 33,99 1,938,19 2,557.81 15,250.00 (2,182.00) 13,068.00 678,79 3,345,66 9,722.34 94196,00 6,682,00 15,878.00 0.00 200.92 11197.08 (448,534,00) (6,904.00) (455,438.00) (35,533.21) (2507999,81) 204,438.19 272,293.00 0.00 272,293.00 20,833,20 156,161,00 116132.00 107,250,00 0.00 107,250.00 7,352,91 53,426,80 53,823.20 100000,00 0.00 10,000.00 131,21 3,B88.49 6,111,51 23,311,00 0.00 23,311,00 2,932,40 11,318,82 11,992,18 6,951,00 0.00 6,951,00 3A06,10 31406,10 37544.90 (4194805,00) 0.00 (419,805,00) (34,655.82) (228,201,21) 191,603.79 15350.00 BOB 15,750.00 506,00 506.00 15r244,00 (15,750.00) 0100 (15350.00) (506,00) (506.00) 15,244.00 233,362.00 3,857.00 237,219.00 17,406,98 134,317.15 102,901.85 111,512.00 (3,452.00) 108,060.00 5,286.94 36,612.53 71,447.47 2,050,00 750,00 4800.00 16.97 1,473.05 1,326.95 101,060,00 (1,681.00) 99379.00 4,789.57 52AB6.49 46,892.51 3,700,00 (2,474.00) 146.00 0.00 0.00 1,226,00 (451,684,00) 3,000.00 (448,684.00) (27,500,46) (224,889.22) 223,794.78 MONTHLY REPORT -CONDENSED Unaudited Page: 3 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposled Transactions Included In Report From 7/1/2019 Through 7/31/2019 Aaco," Account Title Original Budget Amendments Bev7sedBudget UWJFActuel IRMjft mal Variance 0 SALARIES 130,344.00 L674.00 132,018.00 10,026.22 78,215.82 5302.18 P BENEFITS 5055.00 (1,674,00) 52,381.00 2,542,72 22,734.11 29,646.89 Q SUPPLIES 2,411.O0 0.00 2,4ll.00 220,89 1,287.08 1,123.92 R SERVICES 9,650.00 BOB 90650.00 880,83 3,750.58 5,899,42 S CAPITAL OUTLAY 2,000B0 0.00 2,000,00 0.00 0.00 21000.00 Total... COUNTYJUDGE (198,460.00) BOB (198,460.00) (13,670.66) (105,987.59) 92,472.41 O66 COUNTY TAX COLLECTOR 0 SALARIES 201,160,00 2,500.00 20300.00 15,751.76 118,961.44 84,698.56 P BENEFITS 70B69,00 0.00 70B69.00 5,652.05 41r21I,37 28,857.63 Q SUPPLIES 5,401.00 0,00 5AO1.00 30,48 607,05 4,793,95 R SERVICES 50,820.00 (24500,00) 48,320.00 10,163.52 31,801.66 16,518.34 S CAPITAL OUTLAY 11100.00 0.00 11100.00 BOB BOB 1,100.00 Total... COUNTY TAX COLLECTOR (328,550.00) 0.00 (328,550.00) (31,597.81) (192,581.52) 135B68.48 069 COUNTY TREASURER 0 SALARIES 188,806.00 BOB 188,806.00 14,523.28 10024.60 79B81.40 P BENEFITS 72,232.00 BOB 72,232.00 6,716,21 40,975.03 31,256.97 Q SUPPLIES 3,450.00 500,00 3,950.00 89,12 3,449.72 500,28 R SERVICES 13,303.O0 (275,00) 13,028.00 14039,58 5,920.57 7,107,43 S CAPITAL OUTLAY 1L600,00 BOB 10000.00 0.00 0.00 11000,00 Total... COUNTY TREASURER (278391.00) (225,00) (279,016.00) (22,368.19) (159,269.92) 119,746.08 075 DEBT SERVICE R SERVICES 2.00 112,452,00 112,454.00 70J42,20 112,450.92 3,08 Total... DEBT SERVICE (2.00) (112,452.00) (I l2,454.00) (70,142.20) (112,450.92) 3.08 078 DISTRICT ATTORNEY 0 SALARIES 596,849.00 BOB 596B49.00 45,796.62 343,474.65 253374.35 P BENEFITS 210,314.00 OUT) 210,314.00 16,690,34 122,125.21 88,1BB.79 Q SUPPLIES 12,756.00 0,00 12356.00 908.29 4,213.05 8,542.95 R SERVICES 56,623.00 0,00 56,623.00 4,174.19 14,107,61 44515.39 S CAPITAL OUTLAY 32,000.00 0,00- 32,000AO 11810.32 12,226.97 19,773.03 Total... DISTRICT ATTORNEY (908,542.00) 0.00 (908,542.00) (69,379.76) (496,147.49) 412,394.51 081 DISTRICT CLERK 0 SALARIES 257,228.00 0.00 257,228,00 19,649.44 147,370.80 109,857.20 P BENEFITS 111,084.00 0.00 111084.00 8,935.67 64,393,29 46,690.71 Q SUPPLIES 901.00 0.00 9,681,00 262.54 2,585,32 7,095.68 R SERVICES 6A50.00 4,250.00 10,700,00 10000.00 7,342,90 3,357.10 S CAPITAL OUTLAY _ 8,132.00 (4,250_00) 302.00 - 32.00 796,50. _ 3,085.50 Total... DISTRICTCLERK (392,575.00) 0.00 (392,575.00) (29,879.65) (222,488.81) 170,086.19 084 DISTRICT COURT 0 SALARIES 28964.00 0,00 28,964.00 198.90 10A46.90 18,517.10 P BENEFITS 500.00 0,00 500.00 39.81 540,91 5,119.09 Q SUPPLIES 234.00 0,00 234,00 0.00 0.00 234.00 R SERVICES 20941.00 0,00 209,26LOO 27,842.31 145,748,85 63,512.15 S CAPITAL OUTLAY 2,549.00 0,00 4549.00 0.00 0.00 2,549.00 Total... DISTRICT COURT (246,668.00) 0.00 (246,668.00) (28,081.02) (156,736.66) 89,931.34 Date: 8/27119 01:26:44 PM - MONTHLY REPORT -CONDENSED Unaudited Page: 4 Arco... Aa 19 Title 087 ELECTIONS 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... ELECTIONS 090 EMERGENCY MANAGEMENT O SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... EMERGENCY MANAGEMENT 093 EMERGENCY MEDICAL SERVICES 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... EMERGENCY MEDICAL SERVICES 096 EXTENSION SERVICE 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... EXTENSION SERVICE 099 FIRE PROTECTION -MAGNOLIA BEACH Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... FIRE PROTECTION -MAGNOLIA BEACH 102 FIRE PROTECTION-OLIVIAIPORT AL Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... FIRE PROTECTION-OLIVIA/PORT AL CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/l/2019 Through 7/31/2019 (Aiginal Budget AnlerxlaH'nts RevlsedMoyet GYrrActual VTDAcaral Yariauce 161,224.00 0.00 161,224.00 9,419.92 68,932.64 92,291.36 72,674,00 0.00 72,674.00 3,125.83 24578.14 50095186 244884,00 0.00 244884,00 68.14 2,174.20 22309.80 34,888.00 0.00 34,888.00 11237.69 24,069.57 10,818.43 3,735.00 BOB- 3,735,00 0.00 BOB 3,735.00 (297,405.00) BOB (297,405.00) (13,B51.58) (117,754.55) 179,650.45 91,517.00 0.00 91,517.00 7,039.78 52,023.31 39,493.69 38,231.00 0.00 380231.00 2,020,51 16,290.08 21,940.92 7,250.00 0.00 7,250.00 0,00 11040,11 6r209,89 t8,861.00 16,665.00 35,526.00 201,87 2L574.26 13,951:74 3,001.00 0.00 3,OD1.00 102,30 1,395.35 1t605,65_ (158,860,00) (1605.00) (175,525.00) (9,364.46) (92,323.11) 83,201.89 1,896,047.00 20.00 1,696,Ofi7.00 127,223.31 970,730.84 925,336.76 592,105.00 0.00 592,105.00 - 39,551.87 284,029.89 3084075,11 964565,00 (3024.00) 62,541.00 5,223.29 45,765.28 16375.72 2824974,00 9,231.00 292,205,00 28,889.12 181,331.36 11073.64 50,002,00 24,773.00 74375.00 7,821,82 73,644.10 1,130,90 (21917,693.00) 0.00 (491703.00) (208,709.41) (1,555*501,47) 7,362,191:53 134,616.00 0.00 134,616.00 33,274.00 0.00 33,274.00 12,900.00 0.00 12,900.00 340910.00 1.00 34,911,00 037.00 0,00 037.00 _ (220j537.00) (1,00) (220,538.00) 8,596.90 53,141.36 81,474.64 1,727.72 11,694.45 21,579.55 289.50 4,524.26 8,375.74 1,482.14 64006,77 28,904.23 0.00 0.00 _ 037.00 (72,096.26) (75,366,84) 145,171.16 5,000.00 (1,500.00) 3,500.00 0.00 1,740.42 1,759.58 4,999.00 (3,000.00) 1,999.00 0.00 775.00 1,224.00 2.00 10,293.00 1045.00 2,677,15 4,382.37 51912.63 (100001,00) (5393.00) (15,794.00) (2,677,15) (6,B97.79) 81896.21 5,295.00 0.00 5,295.00 2,963.00 0.00 2,963.00 1,742.00 0.00 1,742.00 (100000.00) 0.00 (10,000.00) 0.00 678.08 4,616.92 103.87 606.29 2,356.71 0.00 0.00 7,742.00 (703.87) (1,284.37) 8,715.63 Date: 8l27/19 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page; 5 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco," Account Title Original Budget Amendments BevisedBudget CurActaal YTDAduai yariattae 105 FIRE PROTECTION -POINT COMFORT Q SUPPLIES 11063.00 0.00 1r063.00 0.00 41,20 1,021.80 R SERVICES 61975,00 0.00 6,975.00 0,00 700,00 6,275.00 S CAPITAL OUTLAY 1,962.00 0.00 11962.00 0.00 0.00 1,962,00 Total... FIRE PROTECTION -POINT (10,000.00) 0.00 (10,000.00) OAO (741,20) 9,258.80 COMFORT 108 FIRE PROTECTION -PORT LAVACA R SERVICES 199,758.00 0,00 199,758.00 0.00 _ 198,763.45 994,55 Total ... FIRE PROTECTION -PORT (199358.00) 0.00 (1994758.00) 0.00 (198,763.45) 994.55 LAVACA 111 EIRE PROTECTION -PORT O'CONNOR Q SUPPLIES 5,000.00 (3,940.00) 1,060.00 0.00 0.00 1060.00 R SERVICES 4,999,00 0.00 099.00 79.99 1,609,14 3,389.86 S CAPITAL OUTLAY 1,00 3,940.00 3,941.00 0.00 3,940.00 1.00 Total ... FIRE PROTECTION -PORT (10,000.00) 0,00 (100000,00) (79.99) (5,549.14) 4A50.86 O'CONNOR 113 FIRE PROTECTION -SIX MILE Q SUPPLIES 3,919.00 (1,000.00) 2,919.00 546.25 1,89L51 1,027.49 R SERVICES 31200.00 1,000.00 4,200.00 112.19 2,618.32 t,581.68 S CAPITAL OUTLAY 2,B81.00 0.00 2,881.00 0.00 4205.76 67524 Total... FIRE PROTECTION -SIX MILE (1Q000.00) 0,00 (lOD00.00) (660,44) (6315.59) 3,284.41 114 FIRE PROTECTION-SEADRIFT Q SUPPLIES 51000.00 0.00 5,000.00 734,51 799.68 4,200.32 R SERVICES 4,000.00 0,00 4,000.00 321,00 724.44 3,275.56 S CAPITAL OUTLAY 14000.00 GOO 11000,00 _ 0.00 _ 0.00 1,000.00 Total ... FIRE PROTECTION-SEADRIFT (1Q000.00) DAD (10DO0.00) (1,055.51) (1,524.12) SA75.88 120 FLOOD PLAIN ADMINISTRATION Q SUPPLIES 11195.00 0,00 11195.00 64,49 183.99 11011,01 R SERVICES 5,050.00 (2,000,00) 3,050.00 0.00 0.00 3,050,00 S CAPITAL OUTLAY 1.00 0.00 1,00 0.00 0.00 1,00 Total ... FLOOD PLAIN ADMINISTRATION (6,246.00) 21000,00 (4,246.00) (64,49) (183.99) 4,062,01 123 HEALTH DEPARTMENT R SERVICES 80,500.00 0.00 80,500,00 6,708,33 _ 53,666.64 26,833,36 Total ... HEALTH DEPARTMENT (B0,500.00) 0,00 (80,500.00) (6308.33) (53,666.64) 26,833,36 126 HIGHWAY PATROL 0 SALARIES 16,741.00 0,00 16,741,00 1,165,90 055.20 81985,80 P BENEFITS 3,18B.00 0.00 3,188,00 221,28 1A71.95 1,716,05 Q SUPPLIES 980.00 0,00 980,00 0.00 764.29 215.71 R SERVICES 4,131.00 (968.00) 3,163,00 69,95 701.06 2,461.94 Date: 8/2 7119 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 6 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco... Accotmt Title ftinal Budget Amendmeis Revised&dget CtorAca7al YIDActual Variance S CAPITAL OUTLAY 2.00 968.00 970,00 0.00 968.23 1,77 Total... HIGHWAY PATROL (25,042.00) 0,00 (25,042,00) (1,457.13) (1L660.73) 13,381,27 129 HISTORICAL COMMISSION R SERVICES 41002.00 BOB 4,002,00 0.00 0.00 4,002,00 S CAPITAL OUTLAY 11900.00 BOB 10900.00 0.00 0,00 10900.00 Total... HISTORICAL COMMISSION (5r902,00) BOB (51902.00) 0.00 0,00 5,902.00 132 INDIGENT HEALTH CARE R SERVICES 73,032.00 BOB 73,032.00 1,961,00 40oO98,56 32r933.44 Total... INDIGENT HEALTH CARE (73,032.00) BOB (73,032,00) (1,961.00) (40rO9B.56) 32,933.44 133 INFORMATION TECHNOLOGY 0 SALARIES 144,315,00 0.00 144,315.00 1L101.08 83,258.10 61,056.90 P BENEFITS 56,455,00 BOB 56,455.00 4,101,32 291765,64 26,689.36 Q SUPPLIES 8,660.00 0.00 8,660.00 509.82 4,209.38 4,450.62 R SERVICES 434200,00 BOB 43,200.00 4,753,34 9,147.71 34,052.29 S CAPITAL OUTLAY 254400,00 1.00 _25,401.00 5r02l,ll 17,680.94 _ 7,720.06 Total ... INFORMATION TECHNOLOGY (278,030.00) (1,00) (278,031.00) (25,486,67) (144,061.77) 133,969.23 135 JAIL OPERATIONS 0 SALARIES 1,659,207,00 1,483.00 1,660,690.00 108r403.87 805,944,76 854,745.24 P BENEFITS 568,014,00 0.00 568,014.00 41,275,04 288,986.39 279,027.61 Q SUPPLIES 132,303,00 3,017,00 135,320.00 14,440,01 98,102,43 37,217.57 R SERVICES 1984514,00 (41500,00) 194,014.00 13,701,58 115,135.81 78,878.19 S CAPITAL OUTLAY 21,251,00 3,090.00 24,341.00 0.00 18,090.93 6,250.07 Total... JAIL OPERATIONS (2,579,289.00) (3,090.00) (2,582,379.00) (177,820.50) (11326,260.32) 1,256,118.68 138 JUSTICE OF THE PEACE -GENERAL 0 SALARIES 11000.00 0,00 L000100 BOB 676.00 324,00 P BENEFITS 82,00 0.00 82.00 0.00 BOB 82.00 Q SUPPLIES 863,00 0.00 863.00 0,00 BOB 863,00 R SERVICES 11007,00 0.00 1,007.00 OAO BOB 1,007.00 Total... JUSTICE OF THE (2,952.00) 0.00 (2,952.00) 0,00 (676,00) 2,276.00 PEACE -GENERAL 141 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 89,557,00 0.00 89,557.00 5,987,46 52,704,95 36,B52.05 P BENEFITS 36,831,00 0.00 36,831.00 21382,20 17,864,00 18,967.00 Q SUPPLIES 31827,00 0.00 3,827.00 0,00 992,15 21834.85 R SERVICES 9,403,00 0.00 9r403.00 558,00 6,466.19 21936.81 S CAPITAL OUTLAY 673,00 0.00 673.00 0,00 0100 673.00 Total... JUSTICE OF THE (140,291.00) 0.00 (140,291.00) (81927,66) (78,027,29) 62,263.71 PEACE -PRECINCT 144 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 69,514.00 0.00 89,514.00 7,873,68 50,643.10 36,870.90 Date: 8/27/19 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 7 Acco,.. AC60md Title P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 147 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 150 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... JUSTICE OF THE PEACE -PRECINCT 153 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 159 JUVENILE COURT 0 SALARIES P BENEFITS R SERVICES Total... JUVENILE COURT 162 JUVENILE PROBATION R SERVICES Total ... JUVENILE PROBATION 165 LIBRARY 0 SALARIES P BENEFITS Q SUPPLIES Date: 8127/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 OyiginalBudget Amendments Revised Budget GWIAcmal 38,972,00 0.00 38,972,00 209.16 50000,00 (500,00) 4,500,00 8.00 9325,00 500,00 10,225.00 375,00 3,001.00 0.00 3,001.00 0100 (146,212,00) 0.00 (146,212.00) (10,955.84) 18,889.80 20,082.20 1,011.47 3,488,53 7,982,37 2,242.63 0.00 3,001.00 . (78,526.74) 67j685.26 84,198.00 0.00 84,198.00 6,476.68 48,575.10 35,622,90 40,793.00 0.00 40,793,00 3,776.75 27,046.52 13346.48 3,429,00 1,432,00 4,861.00 34,45 3,374.43 1,486,57 17,018.00 138,00 17,156,00 1,357.92 11,523.97 5,632,03 1,571,00 (1,570.00) 1.00 0.00 0.00 _ 1.00 (147,009.00) 0.00 (147,009.00) (11,645.80) (90,520,02) 56,488.98 68,649.00 0.00 66,649.00 5,215.19 38,406.60 30,242.40 19,434.00 0.00 19,434.00 968,65 6,585,28 12,848.72 2,651,00 0.00 2,651.00 0.00 1r076,12 1,574.88 12,934,00 0.00 12,934.00 278,01 6,919.92 6,014.08 700,00 0.00 700,00 0.00 0.00 700.00 (104,368.00) 0.00 (104,368.00) (6,461,85) (524987,92) 51,380.08 62,883.00 0,00 62,883.00 3,649,76 27,373.20 35,509.80 28,136.00 0,00 28,136.00 2,067.30 14,814.67 13,321.33 11800.00 0.00 1,800.00 0.00 842,19 957,81 124850.00 0,00 12,850.00 386.82 5,801.75 7,048.25 3,193.00 0100 3,193.00 0.00 0.00 1193.00 (108,862,00) 0,00 (1084862,00) (64103,88) (48,831,81) 60,030.19 12,708.00 0.00 12,708.00 977.52 7,331.40 5,376.60 4,169.00 0.00 4,160.00 285.24 2,013.38 2,155.62 135,654.00 0.00 135,654.00 50510,00 66,687.65 68,966.35 (152,531.00) 0.00 (152,531.00) (6,772,76) (76,032.43) 76,498.57 306,831.00 0.00 306,831.00 (306,831.00) 0.00 (306,831.00) 314,077.00 0.00 314,077.00 91,025.00 0.00 91,025.00 22,257.00 0.00 22,257.00 MONTHLY REPORT -CONDENSED Unaudited 0.00 306,631.00 0.00_ 0.00 (306,831.00) 0.00 175,086,49 138,990.51 23,966.67 6,744.59 48,577.40 42,447.60 1,267.44 10,699.24 11,357.76 Page: 8 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco... Account Title Original Budget Atnendmelds BevisedBudget CurrActual YIDActual Yatiartce R SERVICES 123,561.00 5,710.00 129,271.00 51680.16 38,233,01 91 r037,99 S CAPITAL OUTLAY 44,993.00 0.00 44,993.00 2,364.68 _ 22,884,81 22,108.19 Total... LIBRARY (595,913.00) (5,710.00) (601,623.00) (40,043,54) (29500.95) 305,942.05 168 MISCELLANEOUS R SERVICES 636,510.00 167,475.00 803,985.00 457,170.37 654,863.48 _149,121.52 Total... MISCELLANEOUS (636,510.00) (167,475.00) (803,985.00) (457,170,37) (65403.48) 149,121.52 171 MUSEUM 0 SALARIES 52,531,00 0.00 52,531.00 4,254.98 31,663.32 20,867.68 P BENEFITS 21,389,00 0.00 21,389.00 1A73.01 1008.13 10,720.87 Q SUPPLIES 60100,00 0.00 6,100A0 0.00 1,153.39 4,946,61 R SERVICES 16301.00 0.00 16301.00 564,59 4,903.78 11,797,22 S CAPITAL OUTLAY 2,700,00 BOB _ 4700.00 _. 0.00 _ 0.00 2,700,00 Total... MUSEUM (99,421.00) OCR (99,421.00) (6,292,58) (48,388.62) 51,032.38 174 NUISANCE ORDINANCE ENFORCEMENT 0 SALARIES 63,232,00 0.00 63,232.00 056.22 36,421.65 26,810.35 P BENEFITS 22,341,00 0.00 22,341.00 1326.65 12,572.67 97768.33 Q SUPPLIES 1,400,00 0.00 1,400.00 105.04 105.04 1,294.96 R SERVICES 10701,00 0.00 1,701.Oo 106.79 814.51 886,49 S CAPITAL OUTLAY 2.00 0.00 2.00 0.00 _ 0.00 _ 200 Total;.. NUISANCE ORDINANCE (86,676.00) 0.00 (8076.00) (6,794.70) (49,913.87) 38362.13 ENFORCEMENT - 175 OTHER FINANCING T OTHER FINANCING (1,001.00) (393,391.00) (394,392.00) 0.00 __ (158,772.30) (235,619.70) Total ... OTHER FINANCING 10001,00 393,391,00 394392.00 0.00 158372.30 (235,619,70) 178 ROAD AND BRIDGE -PRECINCT #1 0 SALARIES 4374870,00 0.00 437,870.00 33,520.74 249,043.97 188,826.03 P BENEFITS 1834532,00 0.00 183,532.00 1006.51 106,266.91 77,265.09 Q SUPPLIES 187,048.00 3,751,00 190,799OO 3,259.86 54,502.41 136,296.59 R SERVICES 12060.00 (14,537.00) 110,423.00 9,250.63 38,049.11 72,373.89 S CAPITAL OUTLAY 110,714.00 94,704.00 205,418.00 BOB 171,083.42 34,334.58 Total... ROAD AND BRIDGE -PRECINCT (1,044,12400) (83,918.00) (1,128,042.00) (60,937.74) (618,945.82) 509,096.18 #1 180 ROAD AND BRIDGE -PRECINCT #2 0 SALARIES 384,478.00 13,400.00 397,878.00 31,063.93 227,186.38 170,689.62 P BENEFITS 150F640,00 0.00 150,640A0 12,587,25 92,512.35 58,127,65 Q SUPPLIES 306,342.00 (19,083,00) 287,259.00 38,839,97 165,369.81 12109.19 R SERVICES 57,137.00 23,449.00 800586,00 2,853,49 50,817.01 29,768,99 S CAPITAL OUTLAY 176334.00 (100,473,00) _ 75,861.00 BOB 63,264.04 12,596,96 Total... ROAD AND BRIDGE -PRECINCT (1,074,931,00) 82,707.00 (992,224.00) (85,364.64) (599,151.59) 393,072.41 #2 Date: 8/27/1901:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page:9 183 ROAD AND BRIDGE -PRECINCT #3 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... ROAD AND BRIDGE -PRECINCT #3 186 ROAD AND BRIDGE -PRECINCT #4 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... ROAD AND BRIDGE -PRECINCT #4 189 SHERIFF 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... SHERIFF 192 SOILAND WATER CONSERVATION R SERVICES Total... SOILAND WATER CONSERVATION 195 TAX APPRAISAL DISTRICT R SERVICES Total... TAX APPRAISAL DISTRICT 198 TRANSFERS U TRANSFERSIN V TRANSFERS OUT Total... TRANSFERS 201 VETERANS SERVICES 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... VETERANS SERVICES Date: 8127/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Oiiginal"Uumat AmeMments Revised Budget CurAc87al YIDAclual Variance 383,647.00 O.OD 383,647.00 30,232.72 207,333.14 176,313.86 134,573.00 0.00 134,573,00 11,192.45 79,310.69 55,262.31 219,350.00 (18,498.00) 20052.00 9,902,39 26,B04.11 174,047.89 56,740.00 (867,00) 55,873.00 14801,89 10,109.34 45,763.66 55,616.00 19365.00 7081.00 34900,00 68,880.92 6100.08 (849,926.00) 0.00 (849,926.00) (57,029.45) (392,438.20) 457,487.80 622,928.00 0.00 622,928.00 49,522.48 336,86fi.82 286,061.18 269,801,00 0.00 2694801,00 1645.40 112,416.07 157,384.93 674,739.00 3,812.00 676,551.00 36,278.37 129,020.51 549,530.49 164301.00 2,489.00 167,190.00 11,428.54 68321,17 98,468.83 282358.00 190,624.00 472,982,00 0.00 60r323,98 412,658.02 (2,014,527.00) (196,925.00) (4211,452.00) (113,454.79) (707,348.55) 1,50003.45 1,993,682.00 2.00 L993,664.00 152,771.39 1,142,936.35 850,745.65 743,230.00 0.00 743,230.00 fi01598.61 436,320.54 306,909.46 115,B60.00 0.00 115,860.00 B,246.50 51,937.18 63,922.82 124,432.00 807.00 125,239.00 12,206.70 53,697.75 71,541.25 118,666.00 67,173,00 185,839.00 0.00 176,369.46 9,469.54 (3,095,870.00) (67,982.00) (3,163,852,00) (233,823.40) (1,861,263.28) 1,302,588,72 7,750.00 0.00 7,750.00 0.00 _7,75000 0.00 (7350.00) 0.00 (7,750.00) 0.00 (7a50.00) 0.00 308,190.00 0.00 308,190.00 0.00 231,142.02 77,047.98 (308,190.00) 0.00 (308,190.00) 0.00 (231,142,02) 77,047.98 (600,001.00) (5,787.00) (605,788.00) (5,791.34) (605,791.34) 3.34 909,001.00 1,408,489.00 2,317,490.00 1,390,635.51 1,809,877.60 507,612,40 (309,000,00) (1,402,702.00) (1,711,702.00) (1384,844.17) (1,20086.26) 507,615.74 13,393.00 0.00 13,393.00 1,116.90 8,609.50 4,783.50 2,550.00 0.00 2,550.00 272.36 1,634.08 915.92 550.00 0.00 550.00 0.00 202.80 347.20 051.00 0.00 41051.00 198,77 1,710.99 24340,01 500,00 700.00 1,200.00 0.00 0.00 1,200,00 (21 o044,00) (700.00) (217744.00) (1,530.03) (12157.37) 9,586.63 MONTHLY REPORT -CONDENSED Unaudited Page: 10 I l'T' 711 � 1;_7!I�id7L 204 WASTE MANAGEMENT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... WASTE MANAGEMENT 999 DEPARTMENTS NOT APPLICABLE E FEES Total ... DEPARTMENTS NOT APPLICABLE Total ... GENERAL FUND 2610 AIRPORT FUND 001 REVENUE A ESTIMATED BEGINNING C... D INTERGOVERNMENTAL G INTEREST INCOME" H RENTS Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES R SERVICES S CAPITAL OUTLAY U TRANSFERSIN Total ... DEPARTMENTS NOT APPLICABLE To[al... AIRPORT FUND 2620 APPELLATE JUDICIAL SYSTEM... 001 REVENUE E FEES F FINES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unpostod Transactions Included In Report From 7/1/2019 Through 7/3112019 OYiginaIBUdget AmendnretKs RevlsedBudget CtsrAIXuel YIDActual 14,265.00 0.00 140285.00 605.75 6,360.75 7,924.25 3,041.00 0.00 3,041.00 168.74 1,269.31 1,771.69 4103.00 511.00 2,614.00 171.69 1,258.04 1,355.96 41,305.00 (511,00) 40t794,00 4,403,32 28,182.51 12,611.49 6,001.00 0.00 6,001A0 0.00 0.00 61001.00 (66,735.00) 0.00 (66,735.00) (5,549,50) (37,070,61) 29,664.39 0.00 0.00 0.00 (25.00) (33.00) _ (33.00) 0.00 0.00 0.00 (25,00) (33,00) (33.00) 14,319,579.00 52fi,227.00 14,845,806.00 (2,786,522,32) 6,849,16t.68 (7,996,644.32) 20,000.00 13,932.00 33,932.00 0.00 0.00 (33,932.00) 1.00 0.00 1.00 0.00 0.00 (1,00) 200,00 0.00 200,00 0.00 578,00 378.00 lt200,OO _0.00 L200.00 100,00 500,00 _ (700.00) 21,401.00 13,932.00 35,333.00 100.00 1t078,00 (34,255.00) 1,696.00 (795.00) 901.00 0.00 2.29 698.71 36,470.00 (3,668.00) 32,802,00 1,670.77 12,637.89 20,1fi4.11 500.00 4,463.00 1Q,123.00 0.00 8,122.81 4000.19 (30,001.00) 0.00 (30,001,00) 0.00 _ (30,000.00) _ _ (1.00) (13,825,00) 0.00 (13,825,00) (1,670,77) 9,237.01 23,062.01 7,576.00 11800.00 1,00 3,00 1,804.00 L804,00 (1,804.00) 13,932.00 21,506,00 (1,570.77) 10,315.07 (11,192.99) 0,00 L800.00 184.04 1,094.66 (705.34) 0.00 1.00 0.00 0.00 (t.00) 0.00 3,00 0,00 7,61 4,61 0.00 L804.00 184,04 1,102,27 (701,73) 0.00 1804,00 0,00 0.00 1,804,00 0.00 (L604.00) 0.00 0.00 1,804,00 Total... APPELLATE JUDICIAL SYSTEM... 0.00 0.00 0.00 184.04 1,102.27 1,102.27 Date: 8/27119 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 11 Acco," Account Title 2660 COASTAL PROTECTION FUND 001 REVENUE A ESTIMATED BEGINNING C... D INTERGOVERNMENTAL G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total ... COASTAL PROTECTION FUND 2663 COUNTY AND DISTRICT COUR... 001 REVENUE A ESTIMATED BEGINNING C.., E FEES G INTEREST INCOME Total... REVENUE Total... COUNTY AND DISTRICT COUR... 2667 COUNTY CHILD ABUSE PREVE.., 001 REVENUE A ESTIMATED BEGINNING C.., E FEES G INTEREST INCOME Total... REVENUE Total... COUNTY CHILD ABUSE PREVE.. 2668 COUNTY CHILD WELFARE BOA... 001 REVENUE A ESTIMATED BEGINNING C... G INTEREST INCOME I MISCELLANEOUS REVENU... Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report from 7/1/2019 Through 7/31/2019 (AiginalBudget Amendments BevimutBudget CuerActual YTDAclual Variance 594,000.00 5,084.00 599,084.00 0.00 0.00 (599,084.00) 1.00 0.00 1,00 0.00 628,382.99 628,381.99 50.00 0.00 50,00 0.00 9,325.61 9,275.61 594,051,00 5r084.00 599135.00 0.00 637308.60 38,573.60 0.00 122,816.00 122,616.00 37,097.72 40,873.22 81,942.78 40,000.00 30,000.0O 70,000.00 10100.00 26,186.00 434614,00 (40,000.00) (152,816.00) (192,Bl6.00) (38,197.72) (67,059.22) 125356.78 554,051.00 (147,732.00) 406,319.00 (38,197.72) 570,649.38 164,330.38 4,680.00 451.00 5,131.00 0.00 0.00 (5,131.00) 600.00 0.00 600,00 53.61 444,32 (155.68) 1.00 0.00 1.00 0.00 61,61 60,61 5,281.00 451,00 5332.00 53.61 505,93 (5,226.07) 5,281.00 451,00 5332.00 53.61 505,93 (546.07) 590.00 4.00 594.00 0.00 50.00 0.00 50.00 0.00 0.00 0.00 0,00 0.00 640.00 4.00 - 644.00 0.00 640.00 4.00 644,00 0.00 0.00 (594.00) 9.59 (40.41) fi.96 6,96 1 fi.55 (627,45) 16.55 (627,45) 4,300.00 432.00 4,732.00 O.OD 0.00 1.00 0.00 1.00 0.00 57.00 500.00 0,00 500,00 _ 40.00 688,00 4,801.00 432.00 51233.00 40,00 745.00 (4,732.00) 56.00 (4,486.00) 2,591.00 432.00 3,013.00 0.00 0.00 3,013.00 (2,561.00) (432.00) (3,013.00) 0.00 0.00 3,013.00 Total ... COUNTY CHILD WELFARE BOA. Date: 8/27/19 01:2fi:44 PM 2,220.00 0.00 2,220.00 40.00 745.00 (1,475.00) MONTHLY REPORT -CONDENSED Unaudited Page: 12 Arxo.OR Atxount Title 2670 COURTHOUSE SECURITY FDND 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE 999- DEPARTMENTS NOT APPLICABLE R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total... COURTHOUSE SECURITY FUND 2672 COURT -INITIATED GUARDIANS... 001 REVENUE A ESTIMATED BEGINNING C.,. E FEES G INTEREST INCOME Total... REVENUE Total ... COURT -INITIATED GUARDIANS... 2673 COURT RECORD PRESERVATI... 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE Total ... COURT RECORD PRESERVATI.. 2675 COUNTYCLERK RECORDSARC 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE Total ... COUNTY CLERK RECORDS ARC... Date: 8/27/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 B iginal Budget Amendmef& Revised Budget CurActual YIDAcmal Variance 280,000.00 7,900.00 1,500.00 289,400.00 9,500.00 130,500.00 (140B00,00) 149,400.00 (36,629.00) 243,371.00 0.00 0.00 (243,371.00) BOB 7B00.00 1,387.73 10,13B.27 2,238.27 0.00 11500,00 0.00 21859,40 1,359.40 (36,629.00) 252371.00 1,387.73 121997.67 (239,773.33) 0.00 9,500.00 0.00 804.14 6,695.86 0.00 130r50O.O0 5,784.54 6,900,42 123,599,58 0.00 (140,000,00) (5,784.54) (7,704.56) 132,295.44 (36,629.00) 112,771.00 (4,396.81) 5,293.11 (107,477.89) 7,500.00 739.00 8,239.00 0.00 0.00 (8,239.00) 1,000,00 0.00 14000,00 140.00 760.00 (240.00) 1.00 0.00 1.00 _ 0.00 98_14 97.14 8,501,00 739.00 91240,00 140,00 85B.14 (8,381.86) 8,501.00 739.00 9,240.00 140.00 858.14 (8,361.86) 24,000.00 7,711.00 25,711.00 0.00 0.00 (25,711.00) 3,000.00 0.00 3,000.00 396.27 2,455.91 (544.09) 10.00 _ BOB 10.00 OG0 _307.87 297,87 27,010.00 1,711.00 28,721.00 396,27 2,763.78 (25,957.22) 27,010.00 1,711.00 28,72t.00 396.27 2,763.78 (25,95722) 210,000.00 10,056.00 220,OSfi.00 0.00 0.00 (220,056.00) 40,000.00 0.00 40,000.00 3,440.00 25,780.00 (14,220.00) 100,00 0.00 100,00 BOB 2,661.21 2,561,21 250,100.00 10,056.00 264156.00 3,440.00 28,441.21 (231314.79) 50,000.00 0.00 50,000.00 2,580.12 2,580.72 47,419,86 (50,000.00) 0.00 (50,000.00) (2,580,12) (2,580.12) 47,419.86 10,056.00 210,156,00 859.88 (184,294.91) 25B61.09 200,100.00 MONTHLY REPORT -CONDENSED Unaudited Page: 13 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposled Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco," Accatnt rifle OnglinalRedget Amendments Revised&dget CwActeal YIDACNal variance 2690 D A FORFEITED PROPERTY FUND 001 REVENUE A ESTIMATED BEGINNING C.., 23,000.00 9,422,00 32,422.00 0.00 0.00 (32,422,00) F FINES 1.00 0.00 1.00 11,249.30 11,249.30 11,248,30 G INTEREST INCOME 1.00 0.00 1.00 0.00 41,46 40.46 Total... REVENUE 23,002,00 9,422.00. 32,424,00 11,249.30 11,290,76 (21,133,24) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 18,495.00 13,928.00 32,423.00 0.00 17,452.56 14,970,44 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 _ _ Total ... DEPARTMENTS NOT (18,496,00) (13,928.00) (32,424.00) 0.00 (17,452.56) 14,971.44 APPLICABLE - Total ... D A FORFEITED PROPERTY FUND 44506,00 (006.00) 0.00 11,249.30 (61161,80) (6,161.80) 2697 DONATIONS FUND 001 REVENUE G INTEREST INCOME 0.00 0.00 0.00 0.00 893.46 893.46 I MISCELLANEOUS REVENU... 0100 0.00 0100 344.09 14,298.71 14,298,71 Total... REVENUE 0.00 0.00 0100 344.09 15,192.19 15,192,19 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0100 0.00 . 0,00 0.00 59,89 59,89 Q SUPPLIES - 0.00 0.00 0.00 1,213.18 1A61,24 (1,461.24) R SERVICES 0.00 0,00 EGO 1,050.45 4,260.34 (4,260.34) S CAPITAL OUTLAY 0.00 0,00 0.00 0.00 1,108.01 (1,108.01) Total ... DEPARTMENTS NOT 0.00 0,00 0.00 (21263,63) (6,769.70) (6,769.70) APPLICABLE Total ... DONATIONS FUND 0.00 0.00 0.00 (1,919.54) 8,422.49 8A22.49 2698 DRUG/DWI COURT PROGRAM ... 001 REVENUE A ESTIMATED BEGINNING C... 16,000.00 2,532.00 18,532.00 0.00 0.00 (18,532.00) E FEES 4020.00 0.00 2,020.00 282.20 2,219.40 199.40 G INTEREST INCOME 10,00 0.00 10100 0.00 213.70 203,70 Total... REVENUE 18,030A0 2,532.00 20,562.00 282.20 2A33.10 (18,128.90) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 10,00 0.00 10,00 0.00 0.00 10,00 R SERVICES 20,00 0.00 20,00 0.00 0.00 20,00 S CAPITAL OUTLAY 10,00 0.00 10,00 0.00 0.00 10,00 Total ... DEPARTMENTS NOT (40,00) 0.00 (40.00) 0.00 0.00 40.00 APPLICABLE Total... DRUG/DWI COURT PROGRAM ... 17,990.00 2,532,00 20r522,00 282,20 2A33.10 (18,088.90) Date: 8/2711901:26:44 PM - MONTHLY REPORT -CONDENSED Unaudited Page: 14 Arco... ACCOUnt lide 2699 JUVENILE CASE MANAGER FUND 001 REVENUE A ESTIMATED BEGINNING C.., E FEES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES P BENEFITS Total ... DEPARTMENTS NOT APPLICABLE Total ... JUVENILE CASE MANAGER FUND 2706 FAMILY PROTECTION FUND 001 REVENUE A ESTIMATED BEGINNING Cl., E FEES G INTEREST INCOME Total... REVENUE Total ... FAMILY PROTECTION FUND 2715 JUVENILE DELINQUENCY PREY.., 001 REVENUE A ESTIMATED BEGINNING C.., G INTEREST INCOME Total... REVENUE Total ... JUVENILE DELINQUENCY PREV... 2716 GRANTS FUND 001 REVENUE D INTERGOVERNMENTAL G INTEREST INCOME I MISCELLANEOUS REVENU... Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Date: 8127/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 OViginalBudget Amendments ReviseditVet Cis Actual YIDActual variance 9,200.00 (925.00) 8,275.00 0.00 0.00 (8,275.00) 600.00 0,00 600,00 1,881.43 81945.51 B,345.51 30.00 0.00 30.00 0,00 128,60 96.60 9,830.00 (925,00) 81905,00 1,881.43 9,074.11 169.11 4,001.00 0.00 4,001.00 307.70 2,307J5 1,693.25 1*563,00 0.00 _- 11563.00 135,74 979.38 _ _ 58362 (5,564.00) BOB (5,564.00) (443.44) (1287.13) 2,276.87 4,2fi6.00 (925.00) 3,341.00 1,437.99 5,766.98 2,445.98 9,800.00 861.00 10,661.00 0.00 0.00 (10,fi61.00) 700,00 0.00 700.00 75.00 615,00 (85.00) 60,00 0.00 60.00 0.00 125,94 65,94 10,560.00 861,00 11A21.00 75.00 740,94 (1000.06) 10,560.00 861,00 11A21.00 75.00 740,94 (1000.06) 8,700,00 54.00 8,754.00 0.00 0.00 (8,754.00) 60.00 0.00 matt 0.00 101.63 -. 41.63 8,760.00 54.00 8,814.00 0.00 101.63 (8,712.37) 8,760.00 54.00 8,814.00 0.00 101.63 (8,712.37) 0.00 0.00 0.00 77,062.98 301,814.89 301,814.89 0.00 0.00 0.00 0.00 1,368,65 1,368.85 0.-0 0.00 0.00 75,000.00 75,000,00 750000,00 0.00 0.00 0.00 152,062.98 378,183.74 378,183.74 0.00 0.00 0.00 16,444.13 92,131.43 (92,131.43) 0.00 0.00 0.00 3,583.28 17,912.17 (17,912,17) 0.00 0.00 0,00 6,573.50 178,100.12 (178,100.12) 0.00 0.00 0,00 2371.16 15,564.00 (15,564.00) 0.00 0.00 0.00 0.00 77,713.79 (77,713,79) 0.00 0.00 0.00 (31372.07) (381A21.51) (38M21.51) MONTHLY REPORT -CONDENSED Unaudited Page: 15 Acw'11 Account Title Total ... GRANTS FUND 2719 JUSTICE COURTTECHNOLOGY... 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE E FEES R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total... JUSTICE COURT TECHNOLOGY.., 2720 JUSTICE COURT BUILDING SE.., 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total ... JUSTICE COURT BUILDING SE., 2721 LATERAL ROAD FUND PRECIN.., 001 REVENUE A ESTIMATED BEGINNING C... B TAXES G _ INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 O7iginalBudget Amendments BevisedBudget CurAc67al YIDACm7al variance 0.00 0.00 0.00 120,690.91 (3,237.77) (3,237.77) 0.00 8T247.00 81,247.00 0.00 0.00 (81,247.00) 5.00 51751.00 51756.00 1,003.26 7,422.32 1,666.32 1,00 800.00 801.00 0.00 959,60 158.60 6.00 87,798.00 87,B04.00 lo003.26 8,381.92 (79,422.OB) 0.00 0.00 0.00 0.00 321.73 321.73 1,00 0.00 1,00 0.00 0.00 1.00 5.00 87,798.00 87,803.00 0,00 3,479.26 84,323.74 (6,00) (87,798.00) (87r804.00) 0.00 (3,157.53) 84,646.47 BOO 0,00 0,00 1,003.26 5,224.39 5,224.39 2,000.00 1,122,00 3,122.00 1,400.00 0.00 1,400.00 _ 10,00 _ 0.00 10.00 3,410,00 1,122,00 4,532.00 0.00 275.00 275.00 1.00 3,121.00 3,122.00 (1.00) (3,396.00) (3,397.00) s,vua,UU tL,L/4.UUj 1,13�.UU 4,322,00 18.00 4,340.00 4,230.00 0.00 4,230.00 10,00 0.00 10.00 8,562.00 18.00 8,580.00 4,4fi0.00 0.00 _ 4,460.00 (4,460.00) 0.00 (4,460.00) 0.00 0.00 (3,122.00) 250.82 1,936.74 536.74 0.00 41.73 31.73 250.82 1,978.47 (2,553.53) 0.00 275,00 0.00 0.00 425,00 24697,00 0.00 (700,00) 207.00 250.82 1,278.47 143.47 0.00 0.00 (4,340.00) 0.00 0.00 (4,230.00) 50,38 _ 40,38 0.00 50.38 (8,529,62) 0.00 000 4,46000 0.00 BOB 4,460.00 Date: 8/27/19 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 16 Total ... LATERAL ROAD FUND PRECIN... 2722 LATERAL ROAD FUND PRECIN... 001 REVENUE A ESTIMATED BEGINNING C... B TAXES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES Total ... DEPARTMENTS NOT APPLICABLE Total ... LATERAL ROAD FUND PRECIN... 2723 LATERAL ROAD FUND PRECIN,,, 001 REVENUE A ESTIMATED BEGINNING C,,, B TAXES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES Total ... DEPARTMENTS NOT APPLICABLE To[ai ... LATERAL ROAD FUND PRECIN... 2724 LATERAL ROAD FUND PRECIN... 001 REVENUE A ESTIMATED BEGINNING C... B TAXES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES Total.. DEPARTMENTS NOT APPLICABLE Total ... LATERAL ROAD FUND PRECIN... 2726 JUROR DONATIONS COUNTY H... 001 REVENUE Date: 8/27/19 01:26:44 PM CALHOUN COUNFY,TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 riginalBudget AmandmmCs Rev7sedBudget CurAdual 41102,00 18,00 41120.00 0100 YR)ACWal Variance 50.38 (4,069.62) 4,322.00 18.00 4,340.OD 0.00 0.00 (4,340.00) 4,230.00 0100 4,230.00 0.00 0.00 (4,230.00) 10.00 BOB 10.00 0.00 50,38 40,38 8,562.00 18,00 81580.00 BOB 50,38 (8,529.62) 4,460.00 0.00 4,460.00 0.00 0.00 4,460.00 (4,460,00) 0.00 (4,460,00) 0.00 0100 4,460,00 4,102.00 18.00 4,120.00 0.00 50.38 (4,069,62) 4,322.00 16.00 4,340.00 0.00 0.00 (4,340.00) 4,230.00 BOB %230.00 0.00 0,00 (4,230.00) 10.00 0.00 10.00 0.00 50,38 40.38 8,562.00 18,00 8,5BO.00 0.00 50,38 (8,529,62) a,aso.00 o.00 a,aso.00 o.00 o.00 a,aso.00 (4,460.00) 0.00 (4,460,00) 0,00 0,00 4,460,00 4,102,00 18.00 4,120.00 0100 50.38 (4,069,62) 4,322.00 18.00 4,340.00 0.00 0.00 (4,340.00) 4,230.00 0.00 4,230.00 0.00 0.00 (4,230.00) 10.00 BOB ., _ 10.00 0.00 50.38 40.38 8,562.00 18,00 8,580.00 0,00 50.38 (8,529.62) 4,460.00 0.00 4,460.00 0.00 0.00 4,460.00 (4,460,00) 0.00 (4,460.00) 0.00 0.00 4,460.00 4,1oz.00 1a.00 a,lzo.00 MONTHLY REPORT -CONDENSED Unaudited 0.00 50.38 (4,069.62) Page: 17 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Deposited Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco," Account Title G4iginalliudget Anwdntents Revisedfludget CurrActual YIDActual valance A ESTIMATED BEGINNING C... 10600.00 594.00 2,194.00 0.00 0.00 (2,194.00) I MISCELLANEOUS REVENU.., 500.00 0.00 500,00 48.00 328.00 (172,00) Total... REVENUE 2,100.00 594.00 2,694.00 48,00 328.00 (2,366.00) 999 DEPARTMENTS NOT . APPLICABLE R SERVICES 1,837,00 594,00 2,431.00 0.00 0.00 2,431.00 Total ... DEPARTMENTS NOT (1,837.00) (594,00) (2,431.00) BOB 0.00 2,431.00 APPLICABLE To[al ... JUROR DONATIONS COUNTY H... 2729 PRETRIAL SERVICES FUND 001 REVENUE A ESTIMATED BEGINNING C... E FEES G INTEREST INCOME Total... REVENUE Total... PRETRIAL SERVICES FUND 2731 LAW LIBRARY FUND 001 REVENUE A ESTIMATED BEGINNING C.., E FEES G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total ... LAW LIBRARY FUND 2733 LEOSE EDUCATION FUND 001 REVENUE D INTERGOVERNMENTAL G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total .., DEPARTMENTS NOT APPLICABLE Date: 8127/19 01:26:44 PM 263.00 0.00 263.00 48.00 328.00 65.00 75,500.00 1,128.00 76,628.00 0.00 0.00 1,000.00 BOO 11000.00 0.00 1,300.00 500.00 BOB 5,00.00 0.00 894.01 77,000.00 1,128.00 78,128.00 0.00 21194,01 (76,628.00) 300.00 (75,933.99) 77,000.00 1,128.00 78,128A0 0.00 2,794.01 (75,933.99) 205R000O (321,00) 2047679.00 0.00 0,00 (204,679.00) 14000.00 0,00 10000.00 1,253.26 7,487.87 (2,512,13) 1,500100 0,00 11500.00 BOO 2,392.92 892,92 216,500.00 (321.00) 216,179.00 11253,26 9,B80.79 (206,298.21) B00.00 0.00 800.00 0.00 0.00 600.00 25,600.00 0.00 25,600.00 0.00 4,803.44 20,796.56 (26,400.00) 0.00 (26,400.00) BOB (003.44) 21,596,56 190,100.00 (321.00) 189,779.00 1,253.26 5,077.35 (184,701.65) 0.00 0.00 0.00 0,00 1,363.18 1,363.18 0.00 0.00 0.00 0.00 433.43 433.43 BOB 0,00 0.00 0,00 1,796.61 1,796,61 BOB 0,00 BOB 0.00 374.20 (374,20) BOB 0.00 BOB 0.00 (374.20) (374,20) MONTHLY REPORT -CONDENSED Unaudited Page: 18 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco," Account Title On inal Budget Amendments BevlsedBudget CurrAcoal YTDAcaual Variance Total ... LEOSE EDUCATION FUND BOB 0,00 0.00 0.00 1,422.41 1,422.41 2736 FOG COMMUNITY CENTER 001 REVENUE A ESTIMATED BEGINNING C... 44,000.00 (8,786.00) 35,214.00 0,00 0.00 (35,214.00) G INTEREST INCOME 300.00 0.00 300,00 BOB 540.30 240.30 H RENTS 15,OOO.00 0.00 15,000.00 31000,00 17,000.00 2,000.00 I MISCELLANEOUS REVENU... 1.00 BOB 1.00 BOO 0.00 (1.00) Total... REVENUE 59,301.00 (8,786.00) 50,515.00 31000,00 17,540,30 (32,974.70) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 1,652.00 0.00 1,652.00 94,70 710.25 941,75 P BENEFITS 494.00 0.00 494,00 36,11 261,76 232,24 R SERVICES 33,679,00 500.00 34,179.00 4,169.09 16,091.86 18,087.14 S CAPITAL OUTLAY 15,330,00 (500,00) 14,830,00 0.00 0.00 14,830.00 U TRANSFERS IN (10,000.00) BOB (10,000.00) 0.00 (10,000.00) 0.00 Total... DEPARTMENTS NOT (41,155.00) 0.00 (41,155.00) (4,299.90) (7,063.87) 34,091.13 APPLICABLE Total ... POC COMMUNITY CENTER 18,146.00 (8,786,00) 9,360.00 (1,299,90) 10,476.43 1,116.43 2737 RECORDS MGMT/PRESERVATI.,. 001 REVENUE A ESTIMATED BEGINNING C.., 500.00 1,577.00 7*177,00 0,00 0.00 (7,177.00) E FEES 1,500.00 0.00 11500,00 205,52 1,451.21 (48.79) G INTEREST INCOME 40,00 0.00 40.00 0.00 _ _ 89,14 _ _ 4914 Total... REVENUE 7,140.00 1,577.00 8,717.00 205,52 1,540.35 (7,176.65) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 2,500.00 BOB 2,500.00 ROO 0.00 2,500.00 Total ... DEPARTMENTS NOT (2,500.00) 0.00 (2,500.00) 0.00 0.00 21500,00 APPLICABLE Total ... RECORDS MGMT/PRESERVATL.. 4,640.00 1,577.00 6,217.00 205.52 1,540.35 (4,676.65) 2738 RECORDS MANAGEMENT FUN.., 001 REVENUE A ESTIMATED BEGINNING C... 118,000.00 12334.00 130r334OO 0.00 0.00 (130,334.00) E FEES 35,000.00 0.00 35,000.00 3,501.11 26,363.90 (8,636.10) G INTEREST INCOME 700,00 BOB 700,00 _ 0.00 1,618.42 918,42 Total... REVENUE 153300.00 12,334.00 166,034.00 3,501.11 27,982.32 (138,051.68) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 4,061.00 0,00 061.00 0.00 0.00 061.00 P BENEFITS 773,00 0.00 773.00 0.00 0.00 773.00 Q SUPPLIES 2,500.00 0.00 2,500,00 0.00 0.00 2,500.00 Date: 8/27119 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 19 - CALHOUN COUNTY, TEXAS Summary Budget Comparison - Repeated Transactions Included In Report From 7/1/2019 Through 7/3112019 Acco," Accmmt Title Original Budget Amendments Revised Budget CurrActual YTOAcanal variance R SERVICES 20,000.00 0.00 20,000.00 0.00 2B56.00 17,044.00 S CAPITAL OUTLAY 14,000,00 0.00 14,000.00 0.00 llt204.67 2395.33 Total ... DEPARTMENTS NOT (41,334.00) 0.00 (41,334.00) 0,00 (14,160.67) 27,173.33 APPLICABLE Tota MEE RECORDS MANAGEMENT FUN... 112,366.00 12,334.00 124,700.00 3,501.11 13,821.65 (110,878.35) 2739 RECORDS MANAGEMENT AND ... 001 REVENUE A ESTIMATED BEGINNING C. 15,000.00 3R89.00 18,089.00 0.00 0,00 (18,089.00) E FEES 5r500,OO BOB 5o500,OO 439,60 34341,73 (2,158.27) G INTEREST INCOME 120,00 0.00 l20.00 - 0.00 224,78 104,78 Total... REVENUE 20r620,00 3,089,00 23309.00 439.60 34566,51 (20,142,49) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 1,000.00 BOB 1,000.00 0.00 0.00 LOWER() R SERVICES 10000.00 BOB 1,000.00 0.00 1 0.00 1,000.00 Total ... DEPARTMENTS NOT (4000.00) 0.00 (2B00.00) 0.00 0.00 2,000AO APPLICABLE Total... RECORDS MANAGEMENT AND... 18,620dOO 3,OB9.00 21,709.00 439,60 3,566.51 (184142,49) 2740 ROAD AND BRIDGE FUND GENE.. 001 REVENUE A ESTIMATED BEGINNING C... 1,7004000,00 (42,530,00) 1,657,470.00 0.00 0.00 (1,657,470.00) C PERMITS 2604000,00 0.00 260,000.00 6,100.00 265,934.61 5,934.61 D INTERGOVERNMENTAL 10,000.00 0.00 10,000.00 0.00 13,832.17 3,832.17 E FEES 0,00 0.00 0.00 10.00 10.00 10.00 F FINES 41 t200,OO 0.00 41,200.00 3,568.60 37,208.74 (3,991.26) G INTEREST INCOME 7,000.00 0.00 7000.00 0.00 lR621.54 3,621.54 I MISCELLANEOUS REVENU... _ 200r000,00 0.00 200DO0,00 19,610RO 144,990.00_ (55,010:00) Total... REVENUE 2,218,200.00 (42,530.00) 21175,670.00 29,288.60 472,597.06 (L7D3,072.94) 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 6,800.00 6BOO,00 V TRANSFERS OUT 600,000.00 0.00 600r000,00 0.00 600r000_00 0.00 Total ... DEPARTMENTS NOT (600,000.00) 0.00 (600,000,00) 0,00 (593,200.00) 6,800.00 APPLICABLE Total ... ROAD AND BRIDGE FUND GENE.. 1,618,200.00 (42,530.00j 7,575,670.00 29,288.60 (120,602.94) (1,696,272.94) 2860 SHERIFF EOREEITED PROPERT... 001 REVENUE A ESTIMATED BEGINNING C.,. 700.00 2,764.00 9,764.00 0.00 0.00 (9,764.00) F FINES 13,500.00 (13,000.00) 500.00 22,352.14 22,352.14 21B52.14 G INTEREST INCOME 50,00 0,00 50.00 0.00 18.69 (31.31) 1 MISCELLANEOUS REVENUE., 2,00 0,00 2.00 _ 0.00 _ 0.00 _ (2.00) Date: 8127119 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 20 Acco", Account Ttle To[aL.. REVENUE 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total ... SHERIFF FORFEITED PROPERT... 2870 6MILE PIERIBOAT RAMP INSU.., 001 REVENUE A ESTIMATED BEGINNING C.., G INTEREST INCOME I MISCELLANEOUS REVENU.., Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE Total ... 6MILE PIER/BOAT RAMP INSU... 4165 DEBT SERVICE FUND REFUNDI.,. 001 REVENUE A ESTIMATED BEGINNING C... B TAXES D INTERGOVERNMENTAL G INTEREST INCOME Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE To[aI ... DEBT SERVICE FUND REFUNDI... 4170 DEBT SERVICE FUND REFUNDI... 001 REVENUE A ESTIMATED BEGINNING C., B TAXES D INTERGOVERNMENTAL G INTEREST INCOME Date: 8127/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposed Transactions Included In Report From 7/1/2019 Through 7/31/2019 (bigtnalBudget AmerMmenLs ROVIWBudget UWIAC l 20r552,00 (10,236.00) - 10316.00 22,352.14 6,000.00 (3,500.00) 2,500.00 49.97 14,501,00 (8,499.00) 602.00 428,91 2,00 0.00 - 2,00 0,00 _ (20r503.00) 111999.00 (8,504.00) (478,88) 49.OD 1,7fi3.00 1,812.00 21,873.26 46,000.00 (1,556.00) 44,444.00 0.00 250,00 0.00 250,00 0.00 1.00 0.00 1.00 BOB 46,251,00 (1,556.00) 4095.00 0.00 22,370.63 12,054.83 470.64 20029.16 2,639.55 3,362.45 (3,110.39) 5,393.fi1 19,260.44 17,448.44 0.00 (44,444.00) 515.90 265.90 0.00 (1,00) 515.90 (44,179,10) 45,650.00 (1,556.00) 44,294.00 2,427.00 _ 2,421.00 41,873.00 (45,850.00) 1,556.00 (44,294.00) (2,421,00) (2,421.00) 41,873.00 401.00 0.00 401.00 (2,421.00) (1,905.10) (2,306.70) 13,000.00 18,656.00 37,65fi.00 0.00 0.00 (31,656.00) 501,050.00 0.00 501,050.00 3,239.33 514,947.56 13,807.56 10,00 0.00 10.00 0.00 0.00 (10.00) 24000,00 0.00 Z000.00 14.33 1,265.66 _ (734.34) 516,060,00 1B,656.00 534316.00 3,253,66 516,213,22 (18,502.78) 514,000.00 0.00 514,000.00 0.00 54,100.00 459,900.00 (51000.00) 0.00 (514,000.00) 0.00 (54100.00) 459,9DD.00 2,060.00 18,656.00 20,716.00 3,253.66 462,113.22 441,397.22 17,000.00 30,814.00 47,814.00 0.00 0.00 (47,814.00) 656,750.00 0.00 656,750.00 4,207.97 662,915.48 6,165.48 10.00 0.00 10.00 0.00 0.00 (10.00) 2,500,00 0.00 2,500.00 18.62 1,698,55 (801,45) MONTHLY REPORT -CONDENSED Unaudited Page: 21 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Aaco,I. Account TWO Ofig7nalBudget Amendments BavisedBudget CwActual YTDActual variance Total... REVENUE 676,260.00 30J114UD 707,074.00 4,226,59 664,614.03 (42,459,97) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 673,700,00 BOB 673,700.00 BOB 39,000.00 63C700.00 Total ... DEPARTMENTS NOT (673,700.00) BOB (673,700,00) BOB (39,000,00) 634,700.00 APPLICABLE Total ... DEBT SERVICE FUND REFUNDI.., 21560,00 30,814,00 33,374.00 4,226.59 625,614.03 592,240.03 5117 CAP.PROJ-CH000LATE BAYOU... 001 REVENUE D INTERGOVERNMENTAL 0.00 148,500.00 148,5000O BOB 0.0E (148,500.00) 1 MISCELLANEOUS REVENU... _ BOB 1.00 1.00 BOB 0.00 (1.00) _ Total... REVENUE BOB 148,501.00 148,501.00 BOB 0.00 (148,501.00) 999 DEPARTMENTS NOT APPLICABLE R SERVICES BOB 28,901.00 28,901.00 BOB 0.00 28,901.00 S CAPITAL OUTLAY BOB _169,100.00 1690100,00 BOB 0.00 169,100.00 _ Total ... DEPARTMENTS NOT 0.00 (198,001.00) (198,001,00) BOB 0.00 198,001.00 APPLICABLE Total ... CAP.PROJ-CHOCOLATE BAYOU... 0.00 (49,500.00) (49,500,00) BOB 0.00 49,500.00 5188 CAPITAL PROJECT -EMS SUBST.., 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 (2000,00) (2,000AO) 0.00 0.00 (2,000.00) S CAPITAL OUTLAY 0.00 (3,683.00) (3,683.00) 0.00 0.00 (3C83.00) V TRANSFERS OUT 0.00 5,683.00 54683,00 5,687.34 51687,34 (4.34) ' Total ... DEPARTMENTS NOT 0.00 0.00 0,00 (5,687.34) (51687,34) (5,687.34) APPLICABLE Total ... CAPITAL PROJECT -EMS SUBST... 0.00 0.00 0.00 (5,687.34) (5,687,34) (5,687.34) 5192 CAPITAL PROJECT -EVENT CEN... 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY 0,00 1,435,084.00 1,435,084.00 0.00 0,00 1,435,084.00 U TRANSFERS IN BOB (1,135,084.00) (1,135,084.00) (1,135,084,00) (1,135,084.00) 0,00 Total ... DEPARTMENTS NOT 0,00 (300,OOOAO) (300,000.00) 1,135BB4,00 1,135,084.00 1,435,084.00 APPLICABLE Total,,, CAPITAL PROJECT -EVENT CEN.., 0.00 5195 CAP.PROJ-FIRE TRUCKS & SAFI', 999 DEPARTMENTS NOT APPLICABLE Date: 8/27119 01:26:44 PM (300,000.00) (300,000.00) 1,135,084.00 1,135,084.00 1,435,084.00 MONTHLY REPORT -CONDENSED Unaudited Page: 22 Arco,.. Acearrrt Title S CAPITAL OUTLAY Total.,. DEPARTMENTS NOT APPLICABLE Total ... CAP.PRO1-FIRE TRUCKS & SAF,.. 5232 CAP,PROJ, ODYSSEY CASE M.., 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY V TRANSFERS OUT Total.,. DEPARTMENTS NOT APPLICABLE Total ... CARPROJ: ODYSSEY CASE M.., 5255 CPROJ-HURRICANE HARVEY D... 001 REVENUE D INTERGOVERNMENTAL Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY U TRANSFERSIN Total ... DEPARTMENTS NOT APPLICABLE Total.., CPROJ-HURRICANE HARVEY D.., 5260 CAPITAL IMPROVEMENT PROJ,., 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY U TRANSFERSIN V TRANSFERS OUT Total ... DEPARTMENTS NOT APPLICABLE Total... CAPITAL IMPROVEMENT PROD.., 5285 CPROJ-MMC LOANS 999 DEPARTMENTS NOT APPLICABLE R SERVICES Total ... DEPARTMENTS NOT APPLICABLE Date: 8/27/19 01:26:44 PM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 OriginalBadget Amendments RevisedBadget CurrAcatal Y77)Acnial variance 0.00 0.00 0.00 3,369,60 1,451,490.30 (11451,496.30) 0,00 0.00 0.00 (3,369,60) (1,451,490.30) (1,451,490.30) 0.00 0.00 0.00 (3,369.60) (1,451,490.30) (1,451,490.30) 0.00 (104.00) (104.00) 0.00 0.00 (104.00) 0.00 104.00 104.00 104.00 104,00 0.00 0.00 0.00 0.00 (104.00) (104.00) (104,00) o.00 o.00 o.00 0.00 35104.00 351,804,00 0.00 351,804.00 351,804.00 0.00 390,893.00 390,893.00 0.00 (39,089.00) (39,089,00) 0.00 (35104,00) (351*804,00) 0.00 0.00 0.00 (ma.00) (104.00) (toa.00) 0.00 0.00 (351,804,00) 0.00 0.00 (351,804,00) 0.00 197,222.67 193,670.33 0.00 (158,133,67) 191670.33 0.00 (158,133.67) (156,133.67) 219,000.00 (458,675.00) (239,675.00) 0.00 163,192.91 (402,867.91) (219,000.00) (211,654.00) (430,654.00) (231,254.00) (453,376.00) 22,662.00 0.00 469,000.00 469,000.00 469,000.00 469,000.00 0.00 0.00 201,329.00 201,329.00 (237,746.00) (178,876.91) (380,205.91) o.o0 207,329,00 201,329.00 (237,746.00) (178,876.91) (380,205.91) 0.00 0.00 0.00 (500,000.00) 500,000.00 (500,000.00) 0.00 0.00 0.00 500,000.00 (500,000.00) (500,000.00) MONTHLY REPORT -CONDENSED Unaudited Page: 23 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Acco," Account Title O iyhmlBudget AMM MIS Revised Budget CurACNaI YIDActual Variance Total ... CPRO1-MMC LOANS 0.00 0.00 0.00 500,000.00 (500,000.00) (500,000AO) 6010 MEMORIAL MEDICAL CENTER ... 001 REVENUE A ESTIMATED BEGINNING C... 57946,832.00 0.00 5,946,832.00 0.00 0.00 (5,946,832.00) I MISCELLANEOUS REVENU... 87,117,201.00 0.00 87,117,201.00 0.00 41,590,610.00 (45,526,591.00) Total... REVENUE 93,064,033.00 0.00 93,064,033.00 0.00 41,59010.00 (51IA73A23.00) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 11,602,938.00 0.00 11,602,938.00 0.00 5,584,862.00 6,018,076.00 P BENEFITS 3,676,929.00 0.00 1676,929.00 0.00 1,736,807.00 1,940F122.00 U SUPPLIES 3X%347.00 0.00 1928347.00 0.00 1,731,966.00 2,196,381.00 R SERVICES 71,710,837.00 0.00 71,710,837.00 0.00 32,671,749.00 39,039,088.00 S CAPITAL OUTLAY 414082.00 0.00 2,14082.00 0.00 0.00 2,144,982,00 _ Total ... DEPARTMENTS NOT (93,064,033.00) 0.00 (93,064,033.00) 0.00 (41,725,384.00) 51338,649.00 APPLICABLE Total... MEMORIAL MEDICAL CENTER ... 0.00 0.00 0.00 0.00 (134,774.00) (134,774.00) 6012 CAL CO INDIGENT HEALTHCARE 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0,00 0.00 0.00 19,936.64 120,834.73 120,834,73 R SERVICES 0.00 0.00 OBO 18,753.68 124707.27 (122,707.27) Total ... DEPARTMENTS NOT 0,00 0.00 0.00 1,182,96 (1,872.54) (1,872.54) APPLICABLE Total... CAL CO INDIGENT HEALTHCARE 0.00 0.00 0.00 1,182.96 (1,872,54) (1,872,54) 6019 MEM VIED CTR PRIVATE WAIV... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 900,599,53 900,599.53 R SERVICES 0.00 0.00 0.00 BOB- 9000000.00 (9000000.00) Total ... DEPARTMENTS NOT 0,00 0,00 0.00 0,00 599,53 599,53 APPLICABLE Total ... MEM MED CTR PRIVATE WAIV... 6020 MMC CLINIC CONSTRUCTION... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... Total ... DEPARTMENTS NOT APPLICABLE Total ... MIMIC CLINIC CONSTRUCTION ... Date: 8/27/19 01:26:44 PM o.00 o.00 o.00 0.00 0.00 0.00 9.00 0.00 0.00 0.00 0.00 0.00 MONTHLY REPORT -CONDENSED Unaudited 0.00 599.53 599.53 0.00 149,218,50 149,218.50 0.00 149,218.50 149,218.50 0.00 149,218.50 149,218.50 Page: 24 Acco... AccmmtTide 7400 ELECTION SERVICES CONTRAC... 001 REVENUE E FEES G INTEREST INCOME H RENTS I MISCELLANEOUS REVENU.., Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 7/1/2019 Through 7/31/2019 Original Budget Amendments Revised Budget GtrrAca7ai Y1DACNaI Variance 0.00 0.00 0.00 0.00 1,444.75 1,444.15 0.00 0.00 0.00 0,00 834,09 834.09 0.00 0,00 0,00 0.00 3,564.00 3,564,00 0.00 0,00 0.00 0,00 17,181.61 17,181.61 0.00 0.00 0.00 0.00 23,023.85 23,023.65 0.00 0.00 0.00 0.00 3,118.22 (3,118.22) 0.00 0.00 0.00 0.00 153.57 (153,57) 0,00 0.00 0.00 0.00 4,034.82 (034.82) 0,00 0.00 0.00 0,00 11,675.00 (11,675,00) BOB 0.00 0.00 0.00 (18,981,61) (18,981,61) Tolal ... ELECTION SERVICES CONTRAC... 0.00 7730 LIBRARY GIFT/MEMORIAL FUND 001 REVENUE G INTEREST INCOME 0.00 1 MISCELLANEOUS REVENU... 0.00 Total... REVENUE 0.00 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY _ 0.00 Total ... DEPARTMENTS NOT 0.00 APPLICABLE TotaL.. LIBRARY GIFT/MEMORIAL FUND 0.00 9200 JUVENILE PROBATION FUND 00t REVENUE A ESTIMATED BEGINNING C... 16,169.00 D INTERGOVERNMENTAL 277,982.00 E FEES 1,000.00 G INTEREST INCOME 150.00 1 MISCELLANEOUS REVENU... 306,831.00 Total,.. REVENUE 602,132.00 999 DEPARTMENTS NOT . APPLICABLE 0 SALARIES 203,450.00 P BENEFITS 73,805.00 Q SUPPLIES 7,600.00 R SERVICES 289,471.00 S CAPITAL OUTLAY 1.00 0.00 0.00 0.00 4,042.24 4,042.24 0.00 0.00 0.00 627.09 627.09 0.00 0.00 25.00 _ 170.00 170.00 0.00 0.00 25,00 797.09 797,09 0.00 0_00 0.00 3,556.35 (3,55635) 0.00 0.00 0.00 (3,556.35) (3,556,35) 0.00 0.00 25.00 (2,759.26) (2,759.26) 32,824.00 46,993.00 0,00 0.00 (49,993.00) 183,139.00 461,127.00 44,141.70 253,622.74 (207,496.26) 0.00 11000,00 162,00 1,348.00 348,00 0.00 150,00 0.00 3,231.71 301.71 0200 306,831.00 13,723.23 500,078.53 193,247.53 2751963.00 8184095.00 58t026,93 758,280.98 (59,814.02) 0.00 203,450.00 16,657.46 124,368.45 79,087.55 0.00 73,605.00 4,569.40 33,487.81 40,377.19 0.00 7,600.00 250d 10408.35 6,191.65 183,139.00 4724610.00 56,655.89 408,469.76 64,140,24 0.00 1,00 0.00 0.00 1,00 Dale: 8/27/19 0126:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 25 Atxo... Account Title Total ... DEPARTMENTS NOT APPLICABLE Total ... JUVENILE PROBATION FUND Report Difference CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposed Transactions Included In Report From 7/1/2019 Through 7/31/2019 Giiginal Budget Amendmerds BevisedBudget CwActual Y7PActual variance (574,327.00) (183139.00) (757,466.00) (78,133,50) (567334.37) 189,731.63 27,805.00 32,824.00 60,629.00 (20,106.57) 19U,54R.61 129,91 /.81 17,412,467.00 266,950.00 177679,417.00 (L268,296.73) 7,550,761.11 (10,12055.89) Date: 8/27/19 01:26:44 PM MONTHLY REPORT -CONDENSED Unaudited Page: 26 Commissioners' Court -- September 04, 2019 17. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 15 of 16 a � o e C z N �4 m W v 01 a A W � 000 01 D O �n o O D Zv�a m W C ti a v < m T= T� 0 =T �a O W �4 W EA PR W O W W W W N 9 y aW o O °m€ v O O 2}� eel ICA l % to QlO � t @M § aim § ± s )\kk/ z � � | k � § k Commissioners` Court— September 04, 2019 18. 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 SECONDERs 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 ADJOURNED: 11:06 A.M. Page 16 of 16 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- September 04, 2019 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES PAYROLL AND ELECTRONIC BANK PAYMENTS $ 753,981,16 TOTAL TRANSFERS BETWEEN FUNDS $ 360,767.62 TOTAL NURSING HOME UPL EXPENSES $ 1';237,120.73 TOTAL INTER -GOVERNMENT TRANSFERS $ 942,542.52 GRAND TOTAL DISBURSEMENTS APpROUED September 04, 2019 $ 3;284,412.U3 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---September 04, 2019 PAYABLES AND PAYROLL 8/30/2019 Weekly Payables 333,877.62 8/3012019 Patient Refunds 20,200.58 8/30/2019 Ashford -Nursing home insurance/reimbursement of Harland Clarke ACH error 1,392.66 8/30/2019 Solera-reimbursement of Harland Clarke ACH error 34.94 8/3012019 Fortbend-reimbursement of Harland Clarke ACH error 34,94 8/30/2019 Broadmoor-reimbursement of Harland Clarke Ach error 34,94 8/30/2019 Crescent -reimbursement of Harland Clarke ACH error 34,94 8/30/2019 Goldencreek-Nursing home insurance/reimbursement of Harland Clarke ACH 442,81 9/3/2019 McKesson-340B Prescription Expense 21875,76 9/3/M19 Amerisource Bergen-340B Prescription Expense 607,24 8/30/2019 Payroll Liabilities -Payroll Taxes 97,474,17 8/30/2019 Payroll 296,601.51 8/3012019 ExpertPay-child support 347,65 Prosperity Electronic Bank Payments 8/26-8130119 Pay Plus -Patient Claims Processing Fee 21,40 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 763,981.16 TRANSFERS BETWEEN FUNDS 9/3l2019 Transfer from Prosperity Private Waiver to Prosperity Operating 350,767.62 TOTAL TRANSFERS BETWEEN FUNDS $ 360,767.62 NURSING HOME UPL EXPENSES 9!3/2019 Nursing Home UPI-Cantex Transfer 998,442.33 9/3/2019 Nursing Home UPI-Nexion Transfer 165,047497 9/3/2019 Nursing Home UPI -HMG Transfer 27,223.06 QIPP/INTEREST CHECKS TO MMC 9/3/2019 Ashford 22,780.32 9/3/2019 Broadmoor 41026,63 9/3/2019 Crescent 4,145.38 9/3l2019 Fort Bend 91060,32 9/3l2019 Solera 6,394,82 INTER -GOVERNMENT TRANSFERS 9!3/2019 IGT DY8 UC to be paid on 9/1 GRAND TOTAL DISBURSEMENTS APPROVED September 04, 2019 $ 3284,412.p3 Page 1 of IZ OS/29/2019 MEMORIAL MEDICAL CENTER 0 AP Open invoice List 10:46 - ap_open_invoice.tempiate Due Dales Through: 09/t 1/2019 VendorJk Vendor Name Class Pay Code 10995 ABILITY NETWORK (SHIFTHOUND) Invoice# Co ment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nel 19M0128332 � 08/06120 OS/06/20 09/05/20 558.00 0.00 0.00 558.00 SCHEDULING SERVICE Vendor Totals Number Name Gross Discount No -Pay Net 10995 ABILITY NETWORK (SHIFTHOUND) 558.00 0.00 0.00 558.00 Vendor# Vendor Name / Class Pay Code 71283 ACE HARDWARE 15521 y Invoice# /Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nel 136890 ✓ OB/21/2008/16/2009/t0/20 53.54 0.00 0.00 53.54 ✓ SUPPLIES -CONNECTORS '(,� Vendor Total; Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 53.54 0.00 0.00 53.54 Vendor# Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC.+/ M Invoice# Co ment Tran DI Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 9656283888 � OB/20/20 OB/07/20 09/O6/20 954.00 0.00 0.00 954.00 SUPPLIES Ventlor Totals Number Name Gross Discount No -Pay Net A1690 AICON LABORATORIES, INC. 954.00 0.00 0.00 954.00 Vendor# Vendor Name Class Pay Code B1150 BARTER HEALTHCARE � W Invoice# Comment Tran Ot Inv Dt Due Of Check D� Pay Gross Discount No -Pay Net 63827267 �/ - 08/16I20 07/25/20 OB/19/20 521.38 0.00 0,00 521.38 64028882 f 08/21/20 08/14/20 091OS/20 245.27 0.00 0.00 245.27 SUPPLIES Vendor Total=.Number Name Gross Discount No -Pay Nel 81150 BARTER HEALTHCARE 766.65 0.00 0.00 766.65 Vendor# Vendor Name / Class Pay Code Bt220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Dt Inv DI Due Dt Check D� Pay Gross Discount No -Pay Nei 107873977 ✓ OS/14/20 07/23/20 OS/17/20 183.28 0.00 0.00 183.28 /SUPPLIES � / 7254392 r/ OS/28120 08/08/20 09/02/20 5,803.39 0.00 0.00 5,803.39 Y / METER BILLING 5470969✓ - 08/26/2008113/2009/07/20 5,016.58 0.00 0.00 5,016.58 LASE /SERVICE MAINTENAP 107920855 ✓ 08/28/20 08l15/20 09/09/20 7,288.45 0.00 0.00 1,288.45 IyJFO SYSTEM BILLING AND SI / 107920854 ✓ OS/28/20 08/15/20 09/09120 6,249.42 0.00 0.00 6,249.42 ✓ HARDWARE/SERVICE BILLING Vendor Total: Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 18,541.12 0.00 0.00 18,541.12 VendoM Vendor Name Class Pay Code t1072 BIO-RAD LABORATORIES, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net file://(C:/Users/mmcl:issacl:/cpsi/menuned.cpsinet.cotrt/u8815O/data_5/tmp_cw5report5 l ... 8/29{2019 Page 2 of 12 903600073 � 08l28/2007l08l2008/08l20 1,600.32 0.00 0.00 1,600.32 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11072 BIO-RAD LABORATORIES, INC 1,600.32 0.00 0.00 1,600.32 Vendor# Vendor Name / Class Pay Code 12600 BIOFIRE DIAGNOSTICS LLC ✓ Invoice# Co "ment Tran Dt Inv Dt Due Dt Check D"Pay Gross Discount No -Pay Net / 1280010887 � 08/23/20 08/19l20 0Sl14/20 17,276.75 0.00 0.00 17,276.75 ✓ SUPPLIES Vendor Total=Number Name Gross Discount No -Pay Net 12600 BIOFIRE DIAGNOSTICS LLC 17,276.75 0.00 0.00 17,276.75 Vendor# Vendor Name / Class Pay Code C1048 CALHOUN COUNTY ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net / 082419 08/28/20 0S/24/20 08/24/20 113.15 0.00 0.00 113.15 FUEL Vendor Total: Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 113.15 0.00 0.00 113.15 Vendortk Vendor Name / Class Pay Code C1325 CARDINAL HEALTH 414, INC. ✓ W Invoice# C mment Tran Dt Inv Dt Due Ol Check D�Pay Gross Discount No -Pay Nel / 8001995285 � 08/27/20 0S/24/20 08/24120 1,248.35 0.00 0.00 1,248.35 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 1,248.35 0.00 0.00 1,248.35 Ventlor# Vendor Name Class Pay Code 12768 CHEMAQUA Invoice# Comment Tran Dt Inv Dt Due Dl Check D� Pay Gross Discount No -Pay Net / 3641222 ✓ 08/26/20 08l10l20 08/20/20 500.00 0.00 0.00 500.00 y/ WATER TREATMENT PROGRf Vendor Total: Number Name Gross Discount No -Pay Net 12768 CHEMAQUA 500.00 0.00 0.00 500.00 Vendor# Vendor Name / Class Pay Code C1730 CITY OF PORT LAVACA ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net / 081519 08/26/20 0B/15/20 09/05/20 6,684.17 0.00 0.00 6,684.17 V WATER 1n,�+ / 0815196 p� 08/26/20 08/15(20 09/OS/20 39.96 0.00 0.00 39.96 ✓ WATER Iw� �� 081519A 08/26/20 0B/15/20 09/05/20 171.09 0.00 0.00 171.09 WATER Ctnvu� Vendor Total: Number Name Gross Discount No -Pay Net C1730 CITY OF PORT LAVACA 6,895.22 0.00 0.00 6,895.22 Vendor# Vendor Name Class Pay Code 11720 CLINICAL COMPUTER SYSTEMS INC Invoice# /Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / IN129178 ✓ 08/28l20 08/15/20 08/25/20 5,775.00 0.00 0.00 5,775.00 ✓ SOFTWARE o QUaYku'ly 0{�11L l'IOs�ed .SC N1r8.$ @ilUvu� . Vendor Totals Number Name Gross Discount No -Pay Net 11720 CLINICAL COMPUTER SYSTEMS INC 5,775.00 0.00 0.00 5,775.00 Vendor# Vendor Name Class Pay Code C1970 CONMED CORPORATION � M f le:///C:/Users/nunckissacic/cpsi/melmned.cpsinet.com/u88150/data_5/tmp_ew5report5l... 8/29l2019 Page 3 of 12 Invoice# /Comment Tran Dt Inv Dt Due DI Check D� Pay Gross Discount No -Pay Net 950095 t/ 08/16/20 08/12/20 OS(23/20 125.52 0.00 0.00 125.52 SUPPLIES Vendor Total: Number Name � Gross Discount No -Pay Nel C1970 CONMED CORPORATION 125.52 0.00 D.00 125,52 Vendor# Vendor Name / Class Pay Code C1443 CYGNUS MEDICAL LLC ✓ M Invoice# /Comment Tran Dt Inv Dl Due Dt Check D� Pay Gross Discount No -Pay Nel / 286028 ✓ 08/29/20 08/06/20 09/05/20 454.00 0.00 0.00 454.00 r/ SUPPLIES '� Vendor Total: Number Name Gross Discount No -Pay Nel C1443 CYGNUS MEDICAL LLC 454.00 0.00 0.00 454.00 Vendor# Vendor Name Class Pay Code 11368 CYRACOM LLC Invoice# / Commenl Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 954604 t/ OB114/20 07/31/20 09/11/20 208.17 0.00 0.00 208.17 INTERPERTATION SERVICES Vendor Total; Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 208.17 0.00 0.00 208.17 Vendor# Vendor Name � Class Pay Code 10368 DEWITT POTH 8 SON Invoice# /Comment Tran Dt Inv Dt Due DI Check D� Pay Gross Discount No -Pay Net / 5793140 y 08/14/20 08/05/20 08/30/20 646.10 0.00 0.00 646.10 ✓ SUPPLIES 5799730� 08/2U2008/12l2009l06/20 628.43 0.00 0.00 628.43 ✓ SUPPLIES 5799970 � 08/21l20 OBl12l20 09/06/20 61.61 0.00 0.00 61.61 /SUPPLIES / 5800190 ✓ OS/21l20 OBl12/20 09/06/20 326.11 0.00 0.00 326.11 ✓ /SUPPLIES PAPER 5801750 ✓ OB/21/20 OBl14/20 09l08l20 123.22 0.00 0.00 123.22 ✓ SUPPLIES BINDERS 5802700 � 08/21/20 08/14l20 09/08l20 63.04 0.00 0.00 63.04 SUPPLIES 5803280 6/ OB/21/20 08/15l20 09/09l20 115.53 0.00 0.00 115.53 /SUPPLIES YELLOW PAPER 5803340 V OB(27/20 08/15/20 09/09/20 454.89 0.00 0.00 454.89 1� /SUPPLIES PRINTER CARTRID / 5804080 �/ OBl26/20 08/16120 09l10l20 1,833.43 0.00 0.00 1,833.43 ✓ DESKS, CHAIRS, DRAWERS Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH &SON 4,252.36 0.00 0.00 4,,252.36 Vendor# Vendor Name Class Pay Code 10892 DIANE MOORE Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nel � / 082219 OB/27/20 08/22/20 08/22/20 65,19 9.00 0.00 65.19 TRAVEL TX HOSPITAL TRUST�R���1 �U(R�UYIu.I SONif�l 6^ a3'ta) Vendor Total: Number Name Gross � Discount No -Pay Net t0692 DIANE MOORE 65.19 0.00 0.00 65.19 Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC file:///C:/Users/mmcicissacldcpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5repott5l ... 8/29/2019 Page 4 of 12 Invoice# Comment Tran Dt Inv Dt Due DI Check D� Pay Gross Discount No -Pay Net MMC081519 � 0S/26l2008(15/2009/01/20 144,684.99 0.00 0.00 744,684.99 PRO FEES Vendor Totals Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 144,684.99 0.00 0.00 144,684.99 Vendor# Vendor Name lass Pay Code 11284 EMERGENCY STAFFING SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 38269 � 08/27/20 08l31/20 08/31/20 40,062.50 0.00 0.00 40,062.50 W/ ER STAFFING (�l[}{i-��i Vendor Total= -Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code F7100 FEDERAL EXPRESS CORP. � W Invoice# Comment Tran Dt Inv Ot Due Dt Check D� Pay Gross Discount No -Pay Net 670718434 �% 08/26/20 08/15f20 09109/20 98.46 0.00 0.00 98.46 SHIPPING Vendor Total: Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 98.46 0.00 0.00 98.46 Vendor# Ventlor Name Class Pay Code F1400 FISHER HEALTHCARE � M Invoice# Comment Tran Dt Inv Ol Due Dt Check D� Pay Gross Discount No -Pay Net 3192457 ✓ 08/23/20 OSM 2/20 09/06/20 442.91 0.00 0.00 442.91 Y UPPLIES / 2653389 08(26/20 OS/05f20 0S/30l20 5,438.93 0.00 0.00 5,438.93 t/ /LAB FRIG 3037003 V 08/26/20 0S108/20 09/02/20 2,679.57 0.00 0.00 2,679.57� / SUPPLIES 3037002 OJ 08/26/20 0S/0S/20 09/02/20 36.82 0.00 0.00 36.82 SUPPLIES 3258355" 08/28/2008/13/2009/07/20 1,268.21 0.00 0.00 1,266.21 UPPLIES / 3320918 08/28l20 08f14/20 09/0S/20 188.48 0.00 0.00 - 188.48 ✓ /SUPPLIES 2653391 ✓ 08/29(20 0Bl05/20 0S/30/20 82.18 0.00 0.00 82.18 SUPPLIES � / 2653393 � 0S/29/20 08l05/20 08/30/20 54.36 0.00 0.00 54.36 ✓ /SUPPLIES 2918156 V 08/29/20 08/07/20 09/01/20 6.10 0.00 0.00 6.10 ✓ SUPPLIES 2918157 � 0S/29/20 08f07120 09l01/20 6,872.42 0.00 0.00 6,872.42 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F7400 FISHER HEALTHCARE 17,069.98 0.00 0.00 17,069.98 Vendor# Vendor Name / Class Pay Code 10901 GENESIS DIAGNOSTICS ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nef 50169 ✓ 08715/20 0B/06120 09/05l20 119.96 0.00 0.00 1 i 9.96 / SUPPLIES 50149 ✓ 08/16/20 07/26/20 0Bl25120 222.86 0.00 0.00 222.86 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net file:l//C:/Users/mmcl<issacldcpsihnemmed.cpsinet.com/t t88150/data_S/tntp_cw5report5l ... 8/29/2019 Page 5 of 12 10901 GENESIS DIAGNOSTICS � 342.82 0.00 0.00 342.82 Vendor# Vendor Name Class Pay Code W1300 GRAINGER � M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 9263006786 � OB/26l20 08/14l20 09l08/20 57.24 0.00 0.00 57.24 SUPPLIES/MOPS Vendor Total=Number Name Gross Discount No -Pay Net W1300 GRAINGER 57.24 0.00 0.00 57.24 Vendor# Vendor Name � / Class Pay Code 11984 GUERBET, LLC V Invoice# omment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nel / 18370994+� 08/21/2008/12/2008/21/20 865.00 0.00 0.00 865.00 v' SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11984 GUERBET, LLC 865.00 0.00 0.00 865.00 Vendor# Vendor Name / Class Pay Code G1210 GULF COAST PAPER COMPANY ✓ M -- Invoice# Commeni Tran Dt Inv Dt Due Dt Check D� Pay Gross Dlscounl No -Pay Net / 1713182 b/ OS/12l20 08/07/20 09106/20 -80.30 0.00 0.00 -80.30 ✓ /CREDIT 1713219 rJ 08/12I20 08107/20 09/O6/20 -32.00 0,00 0.00 -32.00 Y /CREDIT 1712329 ✓ 08/i 4/20 08/06/20 09/05/20 47.73 0.00 0.00 47.73 ✓ /SUPPLIES 1712842 ✓ OB/14/20 08106/20 09/05l20 869.97 0.00 0.00 869.97 SUPPLIES 1712519t/ 08/19/2008/06/2009/05/20 644.18 0.00 0.00 644.18 t/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,449.58 0.00 - 0.00 1,449.58 Vendor# Vendor Name / Class Pay Code H7399 HILL -ROM COMPANY, INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dl Check D Pay Gross Discount No -Pay Net 1926690 � OS/26/20 07/31 /20 OS/30l20 844.80 0.00 0.00 844.80 SUPPLIES Vendor Totals Number Name � -Gross Discount No -Pay Net H1399 HILL -ROM COMPANY, INC 844.80 0.00 0.00 844.80 VentloM Vendor Name Class Pay Code 12160 ICAD, INC Invoice# /Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discounl No -Pay Nef 535853 °" 08/27l20 07l30/20 08/30/20 7,990.00 0.00 0.00 7,990.00 '� 1 YEAR SERVICE AGREEMEN' Vendor Total: Number Name Gross Discount No -Pay Nel 12160 ICAD, INC 7,990.00 0.00 0.00 7,990.00 Vendor# Vendor Name ,/ Class Pay Code J0150 J & J HEALTH CARE SYSTEMS, INC ✓ Invoice# Comment Tran Dt Inv DI Due Dt Check D' Pay Gross Discount No -Pay Nef / 921264859 v/ 08l21 /20 08/07/20 09/06/20 692.11 0.00 0.00 692.11 ✓ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Nel J0150 J & J HEALTH CARE SYSTEMS, INC 692.11 0.00 0.00 692.11 file:///C:/Users/nunckissacic/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report5l ... 8/29/2019 Page 6 of 12 Vendor# Vendor Name Class Pay Code 11230 JACKSON S COKER LOCUM TENENS, Invoice# /Comment Tran Dt Inv Dt Due Ol Check D Pay Gross Discount No -Pay Nel / 2033136✓ 08/26/2008/21/2008/21/20 3,235.72 0.00 0.00 3,235.72 r/ PRO FEES/UONG L�'yV,Ul.\ ty-�tr�Se1� / 2033338 08/26/20 OB/22/20 08/22/20 293.64 0.00 0.00 293.64 V PRO FEES/UONG t-YVNI"DI cF�ilA1s°"t i . Vendor Total= -Number Name Gross Discount No -Pay Net 17230 JACKSON & COKER LOCUM TENENS, 3,529.36 0.00 0.00 3,529.36 Vendor# Vendor Name / Class Pay Code 10972 M G TRUST ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net / 081919 � OS/27/20 08/19/20 08M 9@0 1,190.86 0.00 0.00 1,190.86 PAYROLL DED - VentlorTolal:Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,190.86 0.00 0.00 1,190.86 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 1382857 ✓ 08/14I20 O6/20/20 09/05l20-3,561.90 0.00 0.00-3,561.90 REDIT 60568939 � OS/16/20 08/02/20 OS/17/20 129.62 0.00 0.00 129.62 /SUPPLIES 61320929 �/ 08/16/20 08A 3/20 08/28/20 2,071.40 0.00 0.00 2,071.40 SUPPLIES 61316038 � 08/76/20 08/13120 08/28I20 28.56 0.00 0.00 28.56 r,/ /gUPPLIES / 61326144 ✓ 08l16/20 08/23/20 09/07I20 96.58 0.00 0.00 96.58 r/ UPPLIES 61770131 08/27l20 OB/19/20 09/06/20 1,010.67 0.00 0.00 1,010.67 /SUPPl1ES 61770279 ✓ 08/27/20 08/19(20 09/06/20 105.85 0.00 0.00 105.85 /SUPPLIES 1368315 ✓ 08128/20 04/30/20 05/15/20 -5.81 0.00 0.00 -5.81 /CREDIT / 1368316 ✓ 08/28/20 04130/20 05/15l20 -6.12 0.00 0.00 -6.12 r/ �..1 r! CREDIT 60069Y8`f; 08/28/20 07/29/20 OS/15/20 140.57 0.00 OAO t 40.57 f SUPPLIES Vendor TotaleNumber Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 9.42 0.00 0.00 9,42 Vendor# Vendor Name Class Pay Cotle M2827 MEDIVATORS f M Invoice# Comment Tran DI Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Ne( / 90234947� 08/16/20 08/15/20 08/23/20 221.98 0.00 0.00 221.98 �J SUPPLIES Vendor Tota4 Number Name Gross Discount No -Pay Nel M2827 MEDIVATORS 221.98 0.00 0.00 221.98 Vendor# Vendor Name Class Pay Code M2470 NIEDLINE INDUSTRIES INC � M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 1883962306 � OB/73/20 OS/07/20 09/01/20 3,904.64 0.00 0.00 3,904.64 ✓ fi le:///C:/Users/tnmeki ssacldcpsihnemmed.cpsinet.com/u88150/data_5/tmp_cw5report5l ... 8/2912019 Page 7 of 12 SUP LIES / 1883961582 08/15/20 08I07/20 09/06/20 122.65 0.00 0.00 122.65 ✓ SU/PPLIES 1883564893 t/ 08/16/20 OS/01/20 OB/29/20 8.86 0.00 0.00 8.86 SUPPLIES / 1884175859 08l26/2008l0S/2009/02/20 1,259.50 0.00 0.00 1,259.50 ✓ SUPPLIES / 1884533335 ✓ 08/26/20 08/13/20 09/07/20 146.73 0.00 0.00 146.73 ✓ SUPPLIES / 1884533333 � OB/26/20 08113/20 09/07/20 26.27 0.00 0.00 26.27 ✓ SUPPLIES FYuy�.1 I5•%le cv1 �o.wl 1884533328 � D8/26/20 08l13/20 09/07l20 36.87 D.00 0.00 36.87 S PPLIES / 1884533327 08/26/20 08/13/20 09/07/20 529.33 0.00 0.00 529.33 ✓ SUPPLIES 1854609232 �j 08126/2008/14/2009/08/20 1,563.12 0.00 0.00 1,563.12 S/UpPLIES - � / 1884609229 V 08/26/20 08114/20 09/0B120 2,926.60 0.00 0.00 2,926.60 ✓ SU/PPLIES 1884609224 ✓ 08/26/20 08114/20 09/0B/20 250.82 0.00 0.00 250.82 V SUPPLIES 1884897548 � 08/27/20 08/16f20 09/10/20 85.25 0.00 0.00 85.25 SUPPLIES 1884897554 � 08/27/20 08l16/20 09/10/20 2,023.88 0.00 0.00 2,023.88 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 12,884.52 0.00 0.00 12,884.52 Vendor# Vendor Name / Class Pay Code M2499 MEDTRONIC USA, WC. ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D�Pay Gross Discount No -Pay Nel 2544472658 � 08l16/20 08l07/20 08/23/20 - 281.62 0.00 0.00 281.62 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2499 MEDTRONIC USA, INC. 281.62 0.00 0.00 281.62 Vendor# Vendor Name / Class Pay Code 10963 MEMORIAL MEDICAL CLINIC �/ Invoice# Comment Tran Dt Inv Dl Due Dt Check D� Pay Gross Discount � No -Pay Net 081919 08/27/20 08(19/20 OS/19l20 165.00 0.00 0.00 165.00 PAYROLL DED PY�,�11 (, Clini�(.. co-pdyy . Vendor Total: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 165.00 0.00 0.00 - 165.00 VendoMl Vendor Name Class Pay Code M2685 MICROTEK MEDICAL INC ✓ M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Nel 4626673✓ O8/16/20 07(25/20 08/23/20 293.06 0.00 0.00 293.06 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2685 MICROTEK MEDICAL INC 293.06 0.00 0.00 293.06 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 Nel file:///C:/Users/mmckissacldcpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5 report5l... 8/29/2019 Page 8 of 12 184634200 ` 08/19/20 0Bl09/20 09lOS/20 390.00 0.00 0.00 390.00 >S SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11976 MID -COAST ELECTRIC SUPPLY, INC 390.00 0.00 0.00 390.00 Vendor# Vendor Name /Class Pay Code 10680 MMC EMPLOYEES ACTIVITIES TEAM �/ Invoice# Comment Tran Dt Inv Dt Due Ot Check D� Pay Gross Discount No -Pay Net 082019 08/26/20 08/20/20 OS(20/20 1,700.00 0.00 0.00 1,700.00 t% CALHOUN SHIRTS PAYROLL [ Vendor Total: Number Name Gross Discount No -Pay Net 10680 MMC EMPLOYEES ACTIVITIES TEAM 1,700.00 O.DO 0.00 1,700.00 Vendor# Vendor Name / Class Pay Code 10536 MORRIS & DICKSON CO, LLC �/ Invoice#f Comment Tran Dt Inv Ol Due Dt Check D� Pay Gross Discount No -Pay Net / i 724 ✓ 08/26/20 08/20/20 08/30/20 -0.01 0.00 0.00 -0.01 ✓ CREDIT 1580 t/ 08/26/20 08/20/20 08/30/20 -37.40 0.00 0.00 -37.40 / CREDIT 4595784 !/ 08/26/20 08/21/20 08/31/20 48.70 0.00 0.00 48.70 / INVENTORY / 4595660 +� 08/26/20 08121120 0Sl31/20 524.55 0.00 0.00 524.55 �/ / INVENTORY 4595661 v 08/26/20 08f21/20 08/31/20 3,479.40 0.00 0.00 3,479.40 /INVENTORY 4595663 ✓ OS/26/20 OS/21/20 0Sl31120 1.91 0.00 0.00 1.91� / INVENTORY / 4595664 ✓ 0S/26/20 08/21/20 08/31I20 1,826.16 0.00 0.00 1,826.16 !/ /INVENTORY 4595662 ✓ 0Sf26/20 08/21l20 08/31120 131.34 0.00 0.00 131.34 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 5,974.65 0.00 0.00 5,974.65 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 90635796 � 08/28/2008/07l2009/07/20 3,165.34 0.00 0.00 3,165.34 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10868 NOVA BIOMEDICAL 3,165.34 0.00 0.00 3,165.34 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC ✓ M Invoice# omment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 97956840 � 08l21/20 08/12/20 09/06/20 118.37 0.00 0.00 118.37 ✓ UPPLIES 97923073 08/29/20 08/05120 OS/30/20 289.51 0.00 0.00 289.51 f SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 407.88 0.00 0.00 407.88 Vendor# Vendor Name Class Pay Code 01660 ORIENTAL TRADING CO INC � M Invoice# Co ment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Nel / 69748535101 � 08/13/20 08/07/20 09/06/20 49.57 0.00 0.00 49.57 �/ file:f//C:/Users/mmckissack/cpsi/memtned.cpsinet.com/u88150/data_5/tmp_cw5report5 I ... 8/29/2019 Page 9 of 12 SUPPLIES "S�j� Vendor Totals Number Name Gross Discount No -Pay Net 01660 ORIENTAL TRADING CO INC 49.57 0.00 0.00 49.57 Vendorll Vendor Name / Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS v Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 1851056707 � 08/28/20 07/22/20 OS/21/20 755.37 0.00 0.00 755.37 v% SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 755.37 0.00 0.00 755.37 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE t� Invoice# �omment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net SC59410 OB/21/2008/12/2009/06/20 1,667.00 0.00 0.00 1,667.00 RAD SERVICES SC59436 ✓ 08l21/20 08/16/20 09/1 D/20 1,625.00 0.00 0.00 1,625.00 f RAD SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 71080 RADSOURCE 3,292.00 0.00 0.00 3,292.00 Vendor# Vendor Name � Class Pay Code 12036 SAM'S CLUB 6471 Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay NeI 082219 08/26/20 OB122/20 OB/22/20 1,525.00 0.00 0.00 1,525.00 MEMBERSHIPS Vendor Total: Number Name Gross Discount No -Pay Nel 12036 SAM'S CLUB 6471 1,525.00 0.00 0.00 1,525,00 Vendor# Vendor Name / Class Pay Code S0900 SAM'S CLUB DIRECT �/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 009457 OS/28l20 07l19/20 09/08/20 126.98 0.00 0.00 126.98 V SUPPLIES 005401 08/28/20 07/23/20 09/OB/20 49.84 0.00 0.00 49,64 SUPPLIES 006518 � OS/28/20 07/30I20 09/08/20 176.81 0.00 0.00 176.81 SUPPLIES 007916 OS/28/20 07I30/20 09/OB/20 147.90 0.00 0.00 147.90 SUPPLIES 009141 08/28/20 08/10/20 09/08/20 41.44 0.00 0.00 41.44 SUPPLIES / 009918 08/28/20 OS/15/20 09/OB/20 30.68 0.00 0.00 30.68 r/ SUPPLIES Vendor Tolals Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 573.65 0.00 0.00 573.65 Vendor# Vendor Name Class Pay Cade 51800 SHERWIN WILLIAMS `% W Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 83980 ✓ OBl27/20 OB/22/20 09/O6l20 600.99 0.00 0.00 600.99 SUPPLIES Vendor Tolal:Number Name Gross Discount No -Pay Nef St800 SHERWIN WILLIAMS 600.99 0.00 0.00 600.99 Vendor#Vendor Name Class Pay Code file:///C:/Users/nunckissacldcpsi/mennned.cpsinet.com/u88150/data_5/Gnp_cw5report5l... 8/29/2019 Page 10 of 12 51850 SHIP SHUTTLE TAXI SER`✓ICE � W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross 733477 r/ 08/26(20 08/22/20 0B/22/20 8.00 /7�ANSPORTATION SERVICE: 733479 V 08/28/20 08/26/20 08/26/20 8.00 TRANSPORT PT Vendor Total: Number Name Gross S1850 SHIP SHUTTLE TAXI SERVICE 16.00 Vendor# Vendor Name / Class Pay Code Ci010 SPARKLIGHT ✓ W Invoice# Comment Tran Ot Inv Dt Due Dt Check D� Pay Gross 081619A 08/28l20 08/16/20 08/16/20 t�{�'j- a.i! 405.�0 CABLE --� 0816196 08/28/2008/16/2005/i6/20 �L'S 7J 72� CABLE 081619 08/28120 08/16/20 08/16/20 1,156,00 CABLE Vendor Total=,Number Name M'Gross - C1010 SPARKLIGHT 'ilU �, g-t 1,63�13 Vendor# Vendor Name / Class Pay Code 10094 ST DAVIDS HEALTHCARE t' Invoice# Comm/ent Tran Dt Inv Dt Due Dt Check D� Pay Gross MMCPL2019-07 >/ 0S/28/2008/22/2009/01f20 420.00 TELENEUROLOGY Vendor Totals Number Name Gross 10094 S7 DAVIDS HEALTHCARE 420.00 Vendor# Vendor Name Class Pay Code 11944 TALX CORPORATION Invoice# CoTment Tran Dt Inv Dl Due Di Check D� Pay Gross 1000740495 V 08/14/20 08108/20 09/07/20 10.99 ANCILLARY FEES Vendor Total: Number Name Gross 11944 TALX CORPORATION 10.99 Vendor# Vendor Name / Class Pay Code 10765 TEXAS HOSPITAL ASSOCIATION �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross 0900119146 08/27/20 0S/02/20 09/02/20 6,521,00 THA & THT MEMBERSHIP DUE Vendor Totale Number Nama Gross 10765 TEXAS HOSPITAL ASSOCIATION 6,521.00 Vendor# Vendor Name / Class Pay Code 11038 THE INLINE GROUP t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross 38896 ✓ 08/27/20 0Sl19/20 09/03/20 2,500.00 CANIDATE SOURCING SERVIC Vendor Totals Number Name Gross 11038 THE INLINE GROUP 2,500.00 Vendor# Vendor Name Class Pay Code T3130 TRI-ANIM HEALTH SERVICES INC � M Invoice# /gomment Tran Dt Inv Dt Due Dt Check D� Pay Gross 63698351 1/ 08/23/20 08/05/20 0B/30120 244.57 SUPPLIES Discount No -Pay Net 0.00 0.00 8.00 ee/ 0.00 0.00 8.00 Discount No -Pay Net o.00 a.00 1s.00 Discount No -Pay Net / �1 0.00 0.00 405.�4/0 Lj'a I• �4 0.00 0.00 72 /.fj3 % tp•J� 0.00 0.00 1,158.00 Discount No -Pay Net 0.00 0.00 1,636/(3 ��ilp�,�' Discount No -Pay Net 0.00 0.00 420.00 yr Discount No -Pay Net 0.00 0.00 420.00 Discount No -Pay Net 0.00 0.00 10.99 S� Discount No -Pay Net 0.00 0.00 10.99 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Net 6,521.00 Net 6,521.00 Discount No -Pay Net 0.00 0.00 � 2,500.00 f Discount No -Pay Nel 0.00 0.00 2,500.00 Discount No -Pay 0.00 0.00 Nel 244.57 �% file:///C:/Users/mmeki ssacldcpsi/memmed, cpsinet.coro/u88150/data_5/tmp_cw5report5l 8/29/2019 Page 11 of 12 Vendor Total:Number Name Gross T3130 TRI-ANIM HEALTH SERVICES INC 244.57 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC � Invoice# Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross 8400308396 � OS/13/20 08112l20 09106/20 47.15 LAU/NDRY 8400308397 r/ OS/13/20 08/12/20 09/06/20 57.35 LAUNDRY 8400308426 )/ 08/13/20 08/12/20 09f06/20 1,312.74 LA NDRY 8400308742 OS/28/20 08/15l20 09l09/20 190.83 LA/U�tDRY 8400308737 t/ OS/28/20 OS/15/20 09/09/20 168.00 LA NDRY 8400308779 08/28l20 08/15/20 09/09/20 995.71 LAUNDRY 8400308740 ✓ 08/28/20 08/15/20 09/09I20 169.32 LA/t�NDRY 8400308807 V 08/28/20 OS115/20 09/09/20 110.30 LAUNDRY 8400308741 ✓ 08/28/20 08/15/20 09/09l20 163.19 LAUNDRY Discount No -Pay 0.00 0.00 Discount No -Pay o.00 o.00 o.ao 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C.00 o.00 0.60 0.00 0.00 0.00 0.00 8400308763 ✓ 08/28/20 08/15l20 09/09l20 80.83 0.00 0.00 LAUNDRY Vendor Total: Number Name Gross Discount No -Pay U7064 UNIFIRST HOLDINGS INC 3,295.42 0.00 0.00 Net 244.57 Net 47.75 57.35� / 1,312.74 v' 190.83 ✓ 168.00 995.71 f 169.32 �/ 110.30 163.19 80.83 l� Net 3,295.42 Vendor#Vendor Name / Class Pay Code U1056 UNIFORM ADVANTAGE v/ W Invoice# C mment Tran Ot Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 0762792 � 08/26/20 07/24I20 OS/08l20-136.95 0.00 0.00-136.95 C EIDT ORIGINAL INV# 98844 10004123 � 08/26/20 08l16/20 OS/31/20 119.54 0.00 O.OD 119.54 U IFORMS 10004559 08/26/20 OB/16/20 OS/31120 141.92 0.00 0.00 141.92 U IFORMS / 10003725 OS/28/20 08l16120 08/31/20 94.95 0.00 0.00 94.95 t� UNFIORMS Vendor Total: Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 219.46 0,00 0.00 219.46 Vendor# Vendor Na a Class .Pay Code U1350 UPS � W Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 0000778941339 08/27/20 OB/17/20 09/01/20 340.91 0.00 0.00 340.91 SHIPPING Vendor Total; Number Name Gross Discount No -Pay Net U1350 UPS 340.91 0.00 � 0.00 340.91 Vendor# Vendor Name � Class Pay Code ' 10793 WAGEWORKS Invoice# Comment Tran Ot Inv D[ Due Dt Check D� Pay Gross Discount No -Pay Net / 081919 OS/27/20 OS/19/20 08/19/20 3,649.52 0.00 0.00 3,649.52 1 file:///C:/Users/mmckissacic/cpsi/memmed.cpsinet.con>1u88150/data_5/tmp_cw5report5l ... 8{29/2019 Page 12 of 12 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 10793 WAGEWORKS 3,649.52 0.00 0.00 3,649.52 Vendor#Vendor Name Class Pay Code I1110 WERFEN USA LLC 1// Invoice8 Comm nt Tran Ot Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net / 91107007418 � OS/23/2008/07/2009/01/20 2,146.68 0.00 0.00 2,146.68 ✓ SUP/PLIES / 9110708984 9/ 08/23(20 OB/13/20 09/07/20 352.95 0.00 0.00 352.95 r/ SUPPLIES 9110708186 � OB/28/20 08/12/20 09/O6/20 371.52 0.00 0.00 371.52 v% SUPPLIES / 9110710297 ✓ 08/28/2008/15/2009/09/20 1,571.67 0.00 0.00 1,571.67 ,/ SUPPLIES _ Vendor Total�Number Name Gross Discount No -Pay Nel 11110 WERFEN USA LLC 4,442,82 0.00 0.00 4,442.82 Report Summary Grand Totals: Gross Discount No -Pay Net 333,851.91 0.00 0.00 333,851.91 pg to colve.�k-,�� �<�rea�.�a� �- I��I.84 3�i�i, S�?•(az �� �,.- t I l,a-., I:� �-�i , ., . 7;bb'"Uh � i --" ONE ,> AUG 3 C! 2p19 eovNrrnunz7ott CALHOUN COUNTY, TI`XA q file:///C:/Users(mmckissacldcpsi/metilmed.cpsinet.com/u88150/data_5/tmp_cw5report5 l ... 8/29/2019 " 8/29/2019 Imp_cw5repoH907325297408037568,htmI 08/29/2019 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:08 ap_open_invoice.template Dates Through: Vendorit Vendor Name Class Pay Code 11816 ASHFORD GARDENS InvoiceN Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 08219 08/26/2019 08/21/2019 09/12/20°1!911357,72 0.00 0,00 11357,72 �.1- TRANSFER PAYMENT ly tr iNvMRGt yn t txm �. vy kK 0wr V 082619 08/27/2019 09/12/2019 09/12/2019 1'�� �tP " 34,94 0.00 0,00 34.94 REIMBURSE FOR DEPOSIT BOOK i�a Mt 0f IVY IiA VIVW" Vendor Totals: Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDEN 1,392.66 0.00 0.00 1,392.66 ., zinurna•.p Grand Totals: Gross ' Discount No -Pay Net 11392,66 0,00 0.00 1,392.66 ItPPP80VI;%3 aN AUG 3 0 1010 C45T7Z43."YADDITOR CAL]ROUN GOUNPPir, TRINA8 file:///C:/Users/mmckissack/cpsilmemmed.cpsinet.com/u88150/data_5/tmp_cw5report907325297408037558.html 1/1 f L 8/2912019 tmp_cw5report4260828262313428862.htm1 MEMORIAL MEDICAL CENTER 0 08/2912019 10:11 AP Open Invoice List ap_open_invoice.template . Dales Through: Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 082619 08/27/2019 08/26/2019 09/1212019 34.94 0,00 0.00 34,94 v .,�'r , K t p& REIMBURSE FOR DEPOSIT BOOK 'f W m NH auwAi I R u4vav, . Vendor Totals: Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOl 34.94 0,00 0.00 34.94 i-'.apc,t Summary Grand Totals: Gross Discount No -Pay Net 34,94 0.00 0,00 34,94 APff'ROYPTB ON AUG 3 0 2019 COUi4TT1 AUDITOR CALTIOUN COUWdTY, TEXAS filed//C:/Users/mmckissacklcpsilmemmed.cpsinet.com/u88150/data_5/tmp_cw5report42ti0828262313428862.html 1/1 8/29/2019 tmp_cw5report7940597194653262304.html MEMORIAL MEDICAL CENTER 08/29l2019 0 AP Open Invoice List 10:09 ap_open_invoice.template Dales Through: Vendor# Vendor Name Class Pay Code 11820 FORTBEND HEALTHCARE CENTEF Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 082619 08/27/2019 08/26/2019 09112/2019 34.94 0.00 0.00 34.94 REIMBURSE FOR DEPOSIT BOOK r+ - A.QULk 1 111 cvvw Vendor Totals: Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTF 34.94 0.00 0.00 34.94 Rr.nort Surtunary Grand Totals: Gross Discount No -Pay Net 34.94 - 0.00 0.00 34.94 APPz'ti311Ss`ll ON AUG 3 D 2019 COUfU'.P3 AUDYjrOR. CALHOUN COUNTY, (.rrXAS file:!/!C:/Users/mmckissacWcpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report7940597194653262304.html 1!1 8/29/2019 Imp_cw5report2408128829343252455.html MEMORIAL MEDICAL CENTER 08/29/2019 0 AP Open Invoice List 10:09 ap_open_Invoice.lemplate Dates Through: Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PAR Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay - Net 082619 08/2712019 08/26/2019 09/12/2019 34.94 0.00 0.00 34.94 � REIMBURSE FOR DEPOSIT BOOK Patera efV,M Iv H aumKi th CVVw Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT Cl 34.94 0.00 0.00 34.94 ' Grand Totals: Gross Discount No -Pay Net 34.94 0.00 0.00 34.94 APPP20VGab ON AUG 3 0 2010 COUNTY AUDiT0it. CALHOUTd COLINTP,'i.EytLS file;///C:fUserslmmckissacWcpsilmemmed.cpsinet.com/u88150/data_5/tmp_cw5report2408128829343252455.h1m1 1/1 8/29/2019 imp_cw5report99608520468256107.himl 08/29/2019 10:11 Vendor# 11824 MEMORIAL MEDICAL CENTER AP Open Invoice.List Dates Through: 0 a p_open_Invoice.template Vendor Name Class Pay Code THE CRESCENT Invoices! Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 082619 08/27/2019 08/26/2019 09/12/2019 34.94 0.00 0.00 REIMBURSE FOR DEPOSIT BOOK AXWv l +MM w4 Gtauv.KW iK lwAl Vendor Totals: Number Name Gross Discount No -Pay 11824 THE CRESCENT 34.94 0.00 0.00 Repo; 3ummmV Grand Totals: Gross Discount No -Pay - Net 34.94 0.00 0.00 34.94 {tom D'y V�'*D CartU Gpfp� op'ad5 Net 34.94 ✓ Net 34.94 file:llfC:/UserslmmckissacWcpsi/memmed.cpsinel.tomsu88150/data_5/tmp_cw5reporl99608520468256107.html 1!1 8129/2019 tmp_cw5report579085534935823348.html 08/2912019 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:14 ap_open_invoice.template Dales Through: Vendor# Vendor Name Cjass Pay Code 11836 GOLDENCREEK HEALTHCARE ✓/ Invoice# Comment Tran Dt Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 082319 08/27/2019 08/23/2019 09/12/2019 t, 407.87 0.00 0.00 407.87� }u TRANSFER NPI WQ jllSUI L ml%Lt'�A MMLL iN (,tom 082619 08/29/2019 08/26/2019 09/12/2019 34.94 0.00 0.00 34.94 r/ REIMBURSE DEPOSIT BOOK fl tr tIIL 415M nt0lvtt3 VWWkL OLU In 114W ✓' Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HE 442.81 0.00 0.00 442.81 .c Snrtur�ard Grand Totals: Gross ' Discount No -Pay Net 442.81 0.00 0.00 442.81 APPY20SrL�3 ODi AUG 3 0 2090 COUN1ZA.UDITOR CALII0UN COUIZPY, TBXAS flea(//C:/Users/mmckissacWcpsi/memmed.cpsinet.com/u861501data_Sltmp_cw5reporl579085534935823348.html 1/1 � � )t §0 �] i! §! �/ \ ! !k *) Q (( y .) At N § � Z - W _ // � W §i )J � � rn /k I \ k U� | « \# kt }$ �� z; co a o_ 06 a 066 E S a o w z 12:2 lag CIO 00 O - m m p d 0 a op �� i°- q i3 ICE U O 6b au o� m v M m c T N ` Y UO � L' M 12 IN w m E U Q O U C C U _ o m N -ER o f Z 0,2 a. t� M M n y g �.SR a i a p o o �~ � r `m W ICE 2 E N N N Y w � Y O � � �w M M II p Zn i m m LL REM a � IN E c n M u 0 0 M Y n o K2 U n n Y y m n � � a rOr n IN M IN n E YI a sU yF pBig }871 a > � j E o 0o c ``U' U¢ YE I U o m ti m =a OYNS zmmm E om' <i EE.o I I I c U S�iS S CID IN M U G m0 0 o W In q0 0 d LL 6 N o kt §� aLL H N O MO LCoo \ Nryu V N Um O v m m m n O m a o'o o _ _ _ _ 0 v' n omv� �omn� m 4 m O T o 0 o O c a 8 u momouni ��o a ^m umi vminr cv,�fO m 0 'O vNi N N N Vm1 ^ N N O A r n r r n n n n n n a m o° 3 � a o o o N o o n N N N N go 0 0 0 0 0 0 0 0 0 Zm - m W m 0 no N N N no 0 0 0 0 0 0 0 0 0 0 N M U sc N N 7 � � O M N N_ N H m E ` E a dryry. � z ro 0 o ci AmensourceBergen• STATEMENT AMERISOURCEBERGEN DRUG CORP 12727 WEST AIRPORT BLVD • SUGAR LAND TX 77478-6101 866451.9655 AMERISOURCEBERGEN DRUG CORP PO Box 905223 CHARLOTTE NC 28290-5223 Number: 58298746 Date: 0&30-2019 1 of 1 WALGREENS #12494 340B MEMORIAL MEDICAL CENTER 1302 N VIftGINIA ST PORT LAVACA TX 77979-2509 ACCOUNT: 100135284 1037026186 Not Yet Due: 0.00 Current: 607.24 Past Due: 0.00 Total Due: 607.24 Account Balance: 607.24 Account Activity Activity Due Reference Purchase Order Activity Amount Date Date Number Number Type 08-26-2019 09.06-2019 3026581011 149866 Invoice 9.85 08-26-2019 09-06,2019 3026681012 149869 Invoice 5.34 08.264019 09,06,2019 3026634005 149918 Invoice 90.98 ✓ 08,27,2019 09-06-2019 3026706961 149933 Invoice 22.241 08-28-2019 09-06-2019 3026769288 149952 Invoice 12.63 08-29-2019 09-06.2019 3026826806 149965 Invoice 419.38 08-30-2019 09-06-2019 3026887550 149986 Invoice 46.82 Thank You for Your Payment Reminders Date Payment Number Amount Due Date 08-30-2019 (588.01) 09-06-2019 Terms: due in 7 Total Due: !s PRL?? n D OI4 w COUtYTY fitJATTOTi CALIIOTJN GOTJN'rY, TEXfsU TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) L.j"ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ET IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1STQTR-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" 11 6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" �ACI<NOWLEDGEMENT NUMBER #t✓�# ENTER: ###F 74-6003411 0 6716 0 $ ` 97,474.17 1 $ 48,947.80 $ 11,700.80 $ 36,825.57 CHECK S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: K:\Finance SharelAP-Payroll FIIeslPayroll Taxes\20191#10 MMC TAX DEPOSIT WORKSHEET o8.29.19 6/30/2019 CHECK S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: K:\Finance SharelAP-Payroll FIIeslPayroll Taxes\20191#10 MMC TAX DEPOSIT WORKSHEET o8.29.19 6/30/2019 Run Date; 08/30/19 Tire: 13:44 Final Scenery +•- Pay C ode Summary Payed Description R80ULAR PAY-S1 REGULAR PAY-81 REGULAR PAY -Si REGULAR PAY-S2 REGULAR PAY-S2 REGULAR PAY-83 REGULAR PAY-S3 CALL PAY EXTRA WAGES EXTRA WAGES FUNERAL LRAV8 ]SERRVICE 1NSERVICE INSERVICE 8X78NDED-ILLNESS-BANK RIEAL REIMBURSEMENT PAID -TIRE -OFF PAID -TINE -OFF CALL PAY 2 CALL PAY 3 MEMORIAL MEDICAL CENTER Pa9e 111 Payroll Register ( Bi-Weekly ( P2REG Pay Period 08/16/19 - 08/29/19 RDAP I _-------.-_------------------------+-. D e d u c t i o n s S u m m a r y -------------+ Hra JOTISHII4EINOICBI Gross I Code Amount 9622.25 1764,50 2J7.75 270942S 110,75 1564400 150,50 2273.75 12.00 139,so 3.00 5,25 266.77 21.13 783.75 144.00 98,00 192749.22 N 01151.01 6411,15 60823,88 4064olS 42762,29 6235,84 4547,50 N 409,75 N 1877,75 289,32 4310.14 127.4E 198.04 7B16.39 N 28,00 N 603.22 18516,2E 208.00 144.00 A/R 694.42 A/R2 ADVAl2C AWARDS CAFE H CAFE-1 CAF9-3 CAFE-4 CAPB-C CAPS-0 CAFE-H 10505.00 CAPE-] CAFB-P CANCER CLINIC 200.00 M48IN DD ADV DFHTAL DIS-LF HAT PEDTAX 36825,57 PICA-R PIASTO FLUX S FORT D FUFA GRANT GRP-IN NOSP-I ID TFT LEGAL 656,36 RASA RIISC RISC/ NATFNL 1989,60 DTHER PN[+++ PR FIN REPAY SAWS SIGN YN ST-TX STONB SPOUSE!SUNACC 903,68 SUNILL SUNSTo 1412.50 SUW18 TSA-2 TSA-C TSA-R 30310,54 TUTION UW/NOS 215, 58 A/R3 BOOTS CAPH-2 CAFE-5 1595.Do CAFE-F CAFE-L CHILD 346,15 507.49 CREDUN DEP-LF EATCS1 1215400 5850.40 FICA-O 24473.90 7629.52 FLX FB GIFT S 6,56 OIL LEAF 843.50 MEALS 176,51 N14CSHR PHI RELAY 756.50 SCRUBS STONDF 1190,86 STUDEN 1570.48 SUULIF 1397,91 3058.78 TSA-1 TSA-P UNIFOR 382.20 +•---------•-------- Grand Totals; 19851,75------- I Gross; 437371.52 Deductions; 136730.01 Checks Count:- PT 206 IT 8 Other 39 Female 223 Male 29 Credit OverAmt 4 ZeroMet Term Total: 252 ------....--------------------------------.... .......... oa oil' �.. _.Y `a % 941 RECITAX DEPOSIT FOR MMC PAYROLL •'eME P V010 oe3 PS NEOME NudeE PAY PERIOD: BEGIN OB/t6119yoIDED CK81 valoeo cx PAY PERIOD; END0B/29119 PAY DATE: 09/06119 GROSS PAY: $ 433,331,52 DEDUCTIONS: AIR $ 930,00 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS $ 1,670648 SUNLIFE ACCIDENT $ 903,68 SUNLIFE VISION $ 1,068,78 SUNLIFE SHORT TERM DIS $ 1,412,50 CAFE-6 CAFE-D $ 1,596.00 CAFE-H $ 18,505.00 CAFE•1 CAFE-L CAFE-P CANCER CHILD $ 346,15 -r(•l� +� ` - CLINIC S 200,00 COMBIN $ 607.49 CREDUN DENTAL DEP-LF SUNLIFE TERM LIFE $ 1,393.91 EAT $ 11216,00 FED TAX $ 36,825,67 FICA-M $ 6,050.40 FICA-0 $ 24,473,90 FIRST C FLEX S $ 3,629452 FLX-FE GIFTS $ 6156 GRP•IN $ • GTL HOSP-1 LEGAL $ 1,499.86 OTHER $ 1,316.21 NATIONAL FARM LIFE $ 1/989460 PHI PR FIN $ RELAY REPAY STONEDF $ 11190,86 STONE STONE 2 STUDEN TSAR $ 30,310.64 - UW/HOS TOTAL DEDUCTIONS: $ 136,730,01 $ $ bNOU'!➢MA tflb' n11. '!bX Ul MATGiP .OP 0X1ol1ATCNfi NET PAY: $ 296 601.51 I Ii re $ .op, (�.fH+snn-2'U' kiln uxoluffsN7FeFA1+. sx uw7uiciip TOTAL CAFE 125 PLAN: $ 29,866,82 Ces9_Exempt: ••CALCULATED" From MMC RagaR -MED (ER) u $ 5,850.26 •MED (EE) u $ 5,85D.25 $ 5,850.40 $ -SOO SEC (ER) O.AK $ 24,473,94 -SOO SEC (EE) am% S 24,473.94 $ 24,473*90 S 0.04 TAX DEPOSIT: S 97,473.95 $ 97,474.17 4 FICA -MEDICARE aeou S 11,700.60 $11,700.80 FICA -SOCIAL SECURITY !Z4ou $ 48,947.8E $48,947.80PREPAREDBY; FED WITHHOLDING $ 361825,67 $36,825.67 PREPARED DATE: TOTAL TAX: $ 97,473.95 $97,474.17 $ (0.22) REVISED 311812014 INAL CK fiI TOTALS $ 433,331462 § 930.00 $ 1,670.40 $ 903,68 $ 1,068,7E $ 1,412.60 $ 1,696.00 $ 18,605.00 $ $ $ 346,16 $ 200,00 $ 607A9 1,393.91 9,216A0 38,825167 6,860.40 24,473190 3,829.62 6,66 $ 7,499.86 $ 1,315.21 $ 1,989.60 $ $ $ $ 1,790.86 $ S - $ 30,310,54 $ • TI $ 136,730.01 -� $ 296,601.61 TOTAL:. S - ' 8,724,73 Alison M King 8/30/2019 M70 MMCTAX DEPOSRWORKSHEET 08.20.19; TAX DEPOSIT WORKSHEET 3130/20/9 B/30/2019 h tlps://texnet.cpa. stale.ix.us/TXN_HS C.aspx Texas Comptroller otPuUlie Accounts Flealth and Numan Services Commission Memorial Medical Center Operating County Idenfification Number: 60500 Location: 00136 Transaction Complete Trace #: 34765133 Payment Total �942,542.52 Settlement Date 09/10/2019 PAYl ENT DETAIL UC Hospital Amount '$942,542.52 Return to Men Logoff IMPORTANT: DO NOT USE TI-IE BACI{ BUTTON ON YOUR BROWSER WI -TILE USNG TEXNET. Revised:01109/13 (483) htfps:/(texnof.cpastale.lx.us/TXN_HSC.aspx 1/1 F= C Y U b E a L `o C Ev ii 6/28/2019 Texas Health & Human Services secure e-mail portal ,..l l.. -.., 1 ..j._ .. ..-�� Sign Out RE: DY8 Final UC IGT Notification - Providers / of 18 HHSC RAD UC Payments <RAD UC Payments@hhsc.state.tx.us> Reply ail Today, 3:45 PIA HHSC RAD UC Payments <RAU UC Payments@hhscstate.lxus>; gtrollope@echd.org; Gwendolyn.Huskey@hauisheallh.org; g+102 more This message has been marked as Confidential. Please see revised payment dates [gelaw: Pravidersy Government Entities, and Anchors: Please read this entire message carefully and make note of the information provided below that failure �y YGT entities and providers to submit the required forms may result in a delayed payment for the uroviders. HHSC is providing notice to IGT for the DYS Final UC Payment, Dates pertinent to this payment: 9/09/19 Last day to submit your IGT into TexNet 9/10/ 19 IGTSettlement=date 9/18/19 Pay Transferring Hospitals, i.e. Large public hospitals, as defined in 1 Tex. Admin. Code §355.8201(b) (14) 9/16/19 State Owned Entities submit Journal Entry 9/30/19 All UC Providers paid Attached to this email are the following documents: ®for mare assisrznce in readnig secure emaik from HH5 please copy and paste this lint in;o your web browser. h[ip<:/�nhs,texas.gov/abourhhs/find-us/emaii- encrtPtion y! fxi: Ne.ulianl Huraa'.eai:cs httes:11outlook.ntfice36.5.com/Enervolion/default.asox7itemin=EM1E M c41df6db-4664-M147a-a936-ebe76Uc4cbe4 try r 0 m Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 9/3/2019 Previous Todars Amountto Be Account Beginning AM Beginning Transferred to Nursing Nursing Home Number Balance Transfer -Out Transfer in 74ciDeposih Balance Nome 142,924.32 142,77836 V115SA79WT1764944.29 / 153,962.04 Bank Balance 176,944.j9 Variance Leave In Balance 100.00 QIPP Yr l Adjustment 20117.41 s/ 8aulina Information far Ashford Gordan: MMC Portion QIPP I 20*662.91 Ashford Health Care Center Ltd Co MMC Portion QIPP2 %Ujase JP Morgan Chase Dank julyinlerest 45.56 ABA Augustlntemst 56.37,E Acr_-..._ ..__ September interest - Adjust Balance/Transfer Amt 1534962,04 t/ KNINIENK 296,675.31 ✓296,525.72 ✓ 323,436.7] t/ - 123,586.36 '/ 11%363.07 Bank Balance 123,586.36 Variance Leave In Balance 10.00 MMCPortlon QlpP1 41026,53 6/ MMC Portion QIPP 2,3,Upse - Julyinterest 49.59 eo/ August Interest 47,37 t/ September Interest - Adjust BalancefTnnsferAmt 129,363.07 t/ 352,082.84 ✓351.9L4.40 ✓ 95,519,66 g/ - 95,688.10 / 9037,27 Bank Balance 95,680.10 ✓ Variance - leave ln Balance 100.00 QIPPYr l Adjustment 243,041✓ MMCPartion QIPP3 4,002.34 MMC Portion QIPP 2t2lgUpse - lulylnleresl 60.44 August Interest 37.01 September Interest - Adjust Balance/T ansfer Amt 91,337,27 f 45,869.85 a/ 45,753.56 {/ 62,837.38 ✓ - 62,953,67 / 530758.25 Bank Balance 62,953.6] T/ Variance Leave in Balance 100.00 QIPP Yr l Adjustment 597.47✓ MMC Portion QIPP1 B462.85✓ MMCPorOon QIPP2,3,IBpse - lulylnterest 16,29 s/ Augustinterest 18.81 September Interest Adjust II e/Tran fer And 53475025 ✓ 216844438 8%0$5.40 ✓ 82,884,02 ✓ 586A97,67 586,699.05 / S80,D21.70 Bank Balance 5864699.05 V Variance - Leave in Balance 100.00 QIPP Yr l Adjustment 511.78./ Rooting losernsonsta fte,Geir nt lokm ofyaef Hau mn Ifort BendZOnsadmoo. MMCPortlon QlPPl 5,883.04� Cancer Hee" Core Centers lit uC MMC Portion QIPP 2,3,Lapse JPAfaman Chaseeonk July interest 101.38 August Interest 81.15.� acca_.. September Interest - Hare:OnMbabnersola'rrr$S,CaOwixd<uamlenrd ra menurzins A'afel: Each accounrhoap dasetiobneoj$ICOahof MAl<drpori! Adjust Balance/TnnsterAmt 580,023.70 ✓ 91+5>(°LJ 1 TOTAITBAN$fE _ 998,492.33 3/ 4 1 1,1 7 Approved: CFO 998> t t. OlaneC.Moora,CfoV% APPROVED 9(3/2019 K" 11N I;\NM WeeFNTnmLra\NN UPLTnnslvr5ummary\2019\SapltmbtANN UPlTranslm5vmmary9A-t9.vbr COTINT4 hET13PPOR CALT"sOUN COUNTY, TFXAN 1:\NH 3VeeFly TmnsfeD\Bank Oowlo40 Worysheet3\2D19\September\NH Bank Download 8.26.19 thru 91.19.NIis Page 2 MMCPORTION QIPPYRI Transre0ul Transfer -IA CUFF/COMPS AD) QIPP/Camp3 (UPP/Lapse CUPPTI NHPORTION 8/26/2019 ACH Deposit UNITEDHEALTHCARE HCCLAIMPMT 746003411124384 1,230A0 - L230.Do 8/26/2019 ACH Deposit UHC COMMUNITY PI HCCLAIMPMT 746003411910000 ),362.0)� - 1,332.OT 8/26/2019 ACH Deposit UHCCommunity PIHCCLAIMPMT 746003411910003 8,784.50 �/ - B,2H4.50 8/26/2019 ACHOePosItNOV11Ai SOtUT1022 HCCLAIMPMT626310420000102 371J555421 s'// - 371,555.21 8/2612019 ACH Deposit HUMANACHA DISBHC CAIMPMT3908624200001960 800.98✓ - 800,28 8127/2019 Deposit 81271.07 ✓/ 8,271,07 8/27/2019 ACH Deposit HUMANA CIA DISB HCCLAIMPMT 59086242MM1229 124 475.35 s/ - 12,475.35 0/27/2019 ACN Deposit HUMANA CHA DI50 HCCLAIMPMT 5908GZ 4200)01275 40686.09s, - 4,686.09 m 8/27/2019 ACH Deposit Aerlgroup TXSC HCCLAIMPMT 33070255001 It= 22,915482 - 12,91582 B/27/2019 ACH Deposit Amedgroup TXSC ONIS EfT 3109095499111000024 810.00 L;// 810.00 8/27/2019 ACH Deposit UHC COMMUNITY as.NCCIAIMPMT T4600341191CLU0 150102.18 L// - 154102.19 8/27/2019 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 6763I0420000122 6,90/.671'/ - 6,902.67 8/27/2019 ACH Deposit HUMANA INS CO EEPAYMENT 3908628300005810041 13,822.96 ✓✓✓ 13,827.96 8/21/2019 AOI Deposit HUMANA INS CO EEPAYMENT 39066283D0005905648 10389.07 - 1,381,07 8/27/2019 ACH Deposit HUMANA INS CO EFPAYMENT 3508628300005014128 //4,804.6T L,% - 4,804.67 8/28/2019 CM Wire Domestic WIRE OUT CANTEX HEALTH CARE CENTERS 111 82.984.02 ✓ - - 0/28/2019 ACHDepesitA e6group TXSCHCC IMPNIT31071987041110C0 84.971' - 84.97 8/28/2019 ACH Deposit AMERIGROUP CORPO E-PAYMENT EES 1898545331arJ 51883.04 s// SAIL1,04 50883.04 - 8/28/2019 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 67631042000019T 4,511.16✓/ - 4,511.16 8/29/2019 ACH Deposit UnitedHeaithcare HCCLAIMPMT 74MMA 1124384 455,00✓ - 455.00 8/29/2019 ACH Deposit UHC COMMUNITY Pl. HCCLAIMPMT 746003411910000 94235.40 ✓/ - 9,235.40 8/29/2019 ACH Deposit UHCCOMMUNIV Pt HCCLAIMPMT 1460034119100N %968.01 V $1968.01 B/29/2019 ACH Deposit UHC Community PI HCCLMMPMT 74M3411910000 2,894400 v�/ - 2487400 8/29/2019 ACH Deposit HUMANA INS CO EFPAYMENT 1908628300005416736 8,043.15✓ - 81043.15 8/29/2019 ACH Deposit HEALTH HUMAN SVC HCCLAIMPMT 174600341130022 2"30 - 284.38 01A012019 A3106WIt AERIGROUPCORPO£•PAYMthTEE51900243111000 1102355 / 1407345 S11.76 511.78 8/30/2019 ACH Deposit Unitedileallhure HCCLAIMPMT 746003411124394 53,SS9.50 // 53,589.50 8/30/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 74CM3411 9 ICCOO 2,196.04 ✓ - 2,196.04 8/30/2019 ACH Deposit UHC COMMUNITY R HCCLAIMPMT 746033411 91C000 8,879A2✓/ - 8,879.47 8/3012019 ACH Deposit UHC Community PI HCCLAIMPMT 74SM3411910000 6,93T.50 ✓/ - 6,937.50 8/30/2019 ACH Deposit HUMANA INS CO EFPAYMENT 39OB628300005350307 221.42 ✓/ - 221.42 8/30/2019 ACH Deposit HUMANA INS CO EFPAYMENT 3WS628300005952845 4*966.89 ✓ 4,966.89 8/30/2019 ACH Deposit HUMANA CHIA D150 HCCLAIMPMT 3908624200001011 222.60 V 22240 0/31/2019 Accr Earning PYmt Added to Account _ / 81.15 82884.03 586p9T.62 5.883.09 1,023.55 6,394,B2 560,02L71 TOTALS 919855.46 1,045,090.21 43,032.67 6739.38 46007.36 990442.34 1:\NIL Weekly Transters\Bank Oowlwd Work1heets\2o19\September\Ns 111 .. v e at i MMC PORTION I QUIP YETI WEEMENEEMM TransfLt TLnsfer4n QIPP/Compl ADI QIPP/Cpmp3 QUIP/lapse QIPPTI NH PORTION 8/26/2019 ACH Deposit HEALTH HUMAN SVC HCCLAIMPmT 1746O0341130052 3;38i).1 k/ - 2.3B4.74 8/27/2019 Deposit 24,040.08 I/ 24,040.03 8/27/2019 AOIDeposltAmerlgroupUSC11CCt IMPMT 3107075490111000 3%296.72✓ - 39,296.7E 8/27/2019 ACH Deposit UNC COMMUNITY PL HCCUMPMT 74600341191G000 9,961.92� - 19,961.92 8/28/2019 CM Wire Domestic WARE OUT A5HFORD HEALTH WE CENTER LTD 1420778.76 t/ 8/28/2019 ACH Deposit Amerigmup TXSC HCCUIMPMT 310719B783 MOW 870SO - 870.90 8/28/2019 ACH Deposit AMERIGROUP CORED E-PAYMENT EE51898544111000 20,662.91 ✓20066 91 200662,91 - 0/28/2019 ACH Depmit UHC COMMUNITY PL HCCLAIMPMT 7460034 It 910000 284510.02✓ 28,519.02 8/29/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 10*610.25✓ - 10,610.25 8/29/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 9508 ✓ - 95.0 B 0/29/2019 ACH D p sit HEALTH HUMAN SVC HCCLAIMPMT 174600341130052 24,81331 / i/ - 24,813.31 9/30/2019 ACT Deposit AMERIGROUP CORPO E-PAYMENT EES19W24S 11100) 4,23492_ ✓ 4,234.82 2,117.41 2,117.41 $130/2019 ACHDepasitUHCCOMMUNNYPLHCCUIMPMT746 34119/0000 1,252.61 ✓ - 24252.61 8/31/2019 Ater Eaming Pymt Added to Account / $6.37 / 141,P8.]6✓ 1]6,]98.]3 20,661.91 4,234.8E 221780,32 1530962.04 MMCPORTION QIPPYRI Transfer -Dui TnnNer-In QIPP/ComPl AD1 QIPP/Camp3 QIPP/lapse CUPP lI NHPORTION 8/26/2019 ACH Deposit UHC COMMUNITY PL HCCLAiMPMT 746003411910000 4,055.61 - 4,055.61 8/26/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 7460034111910000 3401617 / - 3,016.81 8/26/2019 ACH Deposit UHC Community P1 HCCIIMPMT 746003411910000 378.00✓/ - 378.00 8/26/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 676357420000102 94192365// 9,192.36 0/17/2019 Deposit 34,818.58 t/ 34,818,58 8/27/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746C03411910000 16,787.56 ✓/ 164787.56 8/27/2019 ACH Deposit NOVITAS SOLUTION HCCLIMPMT 676357420000122 11,968.61! - 11,968.61 8/28/2019 CM Wife Domestic WIRE OUT CANTEX HEALTH CARE CENTERS 111 296,525,72✓ 8/28/2019 ACH Deposit AMERIGROUP CORPO&PAYMENT EES1890547 111000 4,026.53 ✓4,026.53 4,016.53 - 8/28/2019 ACH Deposit UHC COMMUNITY PL HCCUMPMT 746003411910000 170.50 ✓ 170.50 B/28/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 676357420000197 1,028.66 ✓ 11028.65 8/29/2019 ACH Deposit UMR HCCUIMPMT 746003411124384874322676 3,0240 ✓ - 30024.0 9/29/2019 ACH Deposit UHC Community PI HCCIIMPMT 74600341191000) 9p072.00✓ - 9p072.O0 8/29/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPM t 676357420MI84 8,354,60✓ 8,354.60 8/30/2019 ACH Deposit UnttedHeal[hare HCCLAIMPMT 74600341112438" 40583,33 ✓ - - 4,583.33 8/30/2019 ALL Deposit UHC COMMUNITY PL HCCUIMPMT 74(5003411910000 6,o70.32 ✓ 6,070.32 8/30/2019 ACH Deposit HUMANA INS CO EFPAYMENT 3908610300005052845 765,75 ✓ - 765.75 8/30/2019 ACH Deposit HEALTH HUMAN SVC HCCUIMPMT 174600341130042 6,076.32 ✓ - 6,07632 8/31/2019 Accr Eaming Pymt Added to Account 47.17 / MMC PORTION QIPPYRl Tansfer-Out Tiansfer•In CUPP/Campl AD) QIPP/ComP3 QIPP/lapse WPPTI NH PORTION 8/26/2019 ACH Oeposit UNITEDHEALTHCARE HCCLAIMPMT 746003411124384 20960.00iw/ 2,960.00 8/26/2019 ACHOepOIttUHCCOMMUNI7YPLHCCtAVMPMT 7460O3411910000 11,49506✓ - 11,49SA6 9/26/2019 ACH Deposit LAIC Community PI HCCLAIMPMT 74600341191000(1 1,16ZOrX - 1,164,50 8/17/2019 Deposit 13,453.16 ✓ - 13,453.16 8/27/2019 ACH Deposit HUMANA CHA DISS HCCUIMPMT 3908644200001275 1,200.83 �/ 1,200.83 8/27/2019 ACH DepositUmtedHealthcare HCCUIMPMT 746003411124384 12,15000 / - 12,250.00 8/27/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 745033411910000 22,050.17 ✓ - 22,050.17 8/27/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 67692A 420000122 / 31166.07 ✓ - 31146.07 8/28/2019 CM Wise Domestic WIRE OUT CANTEX HEALTH DIRE CENTERS 111 151,914,40 r� - 8/28/2019 ACH Deposit AMERIGROUP CORPO E-PAYMENT EE51898546 I It" 4,002.34✓ 4,00234 4100234 - 8/18/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 7460034119IOLY10 1,219.82✓ - 14219.82 8/28/2019 ACH Deposit UNC Community PI HCCULUVPMT 746003411910000 1,309150✓ - 1,309.50 8/28/2019 ACH Deposit NOVITASSOLUTION HCCUIMPMT 676323420000197 5,293.27✓ - 54291.27 8/29/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 3,010.86 ✓ 31010.86 8/29/2019 ACH Deposit NOVITASSOLUTION HCCUIMPMT 6763234200p0184 I,109.70 a✓ - 1,109.70 0136/2019 ACH Dep45A A4ERIGG.9UP 001p9 1pAYMENT EESlp001441IL000 286.08;460/ 296.09 143.04 243.04 21 8/3012019 ACH Deposit NOVITAS SOLUTION110 8/26/2019 ACH OepoOt NOVITAS SOtUTiON ICCUIMPMT 6J5663 41000010E 8/26/2019 ACH Deposit HEALTH HUMAN SVCHCCIAIMPMT 174600341130062 8/27/2019 Ocpasit 8/27/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411930000 8/28/2019 CM Wire Domestic WIRE OUT CANTEX HEALTH "RE CENTERS IR0 8/28/2019 AM Deposit AMERIGROUP CORPO E-PAYMENT FESIS98543 It IQY 8/28/2019 ACH Deposit UHC COMMUNITY PL HCCLAIMPMT 746003411910000 8/29/2019 ACH Deposit VHC COMMUNITY PL HCCLAIMPMT 746003411 9 OCEKI 8/29/2019 ACN Deposit NOVITAS SOLUTION HCCLAIMPMT 67566342=0184 8/30/2019 ACH Deposit UnitadNeal[hcace HCCLAIMPh1i 746003/11124384 e/33/2019 Accr Eaming Pym[Added io Attounl 480.00 ✓ 1,480.00 9/3/2019 tal Banking Home ALL ACCOUNTS FAVORITES Reorder Favorites Favorite Accounts Available Previous Day MEMORIAL MEDICAL CENTER OPERATING MEMORIAL MEDICAL CENTER / NH ASHFORD *4381* MEMORIAL MEDICAL CENTER / NH BROADMOOR-4403* MEMORIAL MEDICAL CENTER / NH CRESCENT •4411 * MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON •4438 * MEMORIAL MEDICAL CENTER / NH FORT BEND -4446* MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE am MMC -NH GULF POINTE PLAZA - PRIVATE PAYS MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAICOM $187,446.76 $176,944.29 $126,484.86 $123,586.36 $96,279.86 $95,668.10 $595,982.51 $586,699.05 $68,126.64 562,953.67 hllps:Upbsllxsecure.lundsxpress.comlrxweb/app/N/home 1/i ` Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 9/3/2019 Previous Ataunt Beglnning RouNnp ln(ormat'on /or Golden Creek Nexion Health at Gorden Creek Wells Fargo Bank, N.A. ABA Acco..... Nate:Onlybolonces aJover$$000 will be trpro7erreato the nursing home. Note I: Earh account M1as a base bofonceoJ$10p IhatMMC deposited m open accouns. Amount to Be Pending Transferred to - I84,065.12 69,04].9] Bank Balance 184,065.12 Variance Leave in Balance 100.00 MMC Portion QIPP 1 QIPP YrI Adjustment / July Interest 19,83 ✓/ August interest 29,90 s/ September Interest J Outstanding ck to MMC for QIPP 184867.52 ✓/ Adjust Balance/Transfer Amt 165.047,97 - ���✓�`7V L Approved: Diane C. Moore, CFO 9/3/2019 l:\NH lVeetly transfers\NN UPl Tmnslee Summary\2019\5eptember\NN UPL Translerlummary 93I9.aifa MMCPORTION IMEMMENEM gIPP YR 1 NH Ttans(er-Oot Transfer -In QIPP/Compl AWPerlod2 QIPP/Comp3 QIPP/lapse QIPPTI PORTION 8/26/2019 ACH Deposit HOVITAS SOLUTION HCCLAIMPMT 6T609742000O102 85,449.54 / - 85,449.54 8/27/2019 ACH Deposit NOVITAS SOLUTION HCCLAIMPMT 67607420000212 )54596.20y 254596.20 8/29/2019 CM Win Domestic WIRE OUT NEKION HEALTH AT GOLDEN CREEK 26,4n.00 V/ 6/28/2019 ACH Deposit TSYS/TRANSFIRST SKCD STOAT 5436USS58769179 4,712.000// - 4,212.00 8/28/2019 ACH Deposit NOVITAS SOLUTION HCCIAIMMAT 676097 A20000197 1,695.76 1,695.76 e1I9/2019 Deposit 44 ✓/ 8/29/2019 ACH Oeposit NOVITAS SOLUTION HCCLAIMPMT 6)609142002,104.29 t/ - 00180 1104.79 0/31/Z019 Accr Earning Pymt Added to Account 29.80 165,047.97 0131<'01 i Home ALL ACCOUNTS FAVORITES * Favorite Accounts MEMORIAL MEDICAL CENTER OPERATING MEMORIAL MEDICAL CENTER / NH ASHFORD go MEMORIAL MEDICAL CENTER / NH BROADMOOR MEMORIAL MEDICAL CENTER / NH CRESCENT lft MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON 1001111 MEMORIAL MEDICAL CENTER / NH FORT BEND` MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE 44s4 * MMC -NH GULF POINTE PLAZA PRIVATE PAY_ MMC -NH GULF POINTE PLAZA -MEDICARE/MEDICAID_ tal Banking Available Previous Day $185,565.12 $184,065.12 Reorder Favorites hops:!/pbsltzsecure.fundsxpress.comftxwebfapplglhome i/i Memorial Medical Cen[er Nursing Home t1PL Weekly HMG Transfer Prosperity Accounts 9/3/2019 PnAate Account Beginning Pending Tonshaeto Nuriln Roma Number BMan[o ineferout Tramfenln i0eared De oslli Toda 's Be nnln ellan<e Nursln Na 62.11 3B0 100.10 No Transfee me Bank Ballnee 100.20 leaveinetlance I0000 MMC Penton COPPI - MMC Portion OIPP2rgUpse - IvNlnternt OR BOl ✓ {unintento seplembee Intend - Adjust Dalanee/Pnnsfer MI 0.n Peeelous Amount to Be Account Beginning Pending Tnnsfetted to Nunln Nome Numbet Balance ra iferv0ul Tnnafenin 0eared efts Toda's Be inaln Balance NursingHome S36.]2 - ib,]2138 - ]2,320Ao doeln.06 Baakealance 27,329.00 Vvi leave in lolonce low MMC Portion OPP I MMC Penton WPP 2,34lapse Jule inmost 1.60 ✓ Augurs MUPW 3.34 ✓ September lnteent - Nate:OnlYholanen a/oirr S3,OMw/216<tmmfnrrdro lAcnvnlnP homr. Nor<S: Fach aaounehoso bmebulam<OfSIMrOathaAlCdepartNtooaen vscounl. Adluit Balan[e/]ebnslerAml 3],221.06 rj TmuTRAnsf6Bs Approved: Diane C Moore, 00 9/3/2019 A�k'iLUVS.� ON 0 3 z019 CQ7VN'1`Y AZ,Itti'1'US O/}SaAUUN l:0iT�3TY, TEXAS adhxwakryv,nnmkxx BPl namlo SummrnV019\seen<mb<gxx upliondarwmm,rPssa.aa. MMCPORTION ammummmom NN TransferAut Transfer -in I QIPP/Compl QIPP/Comp2 QIPP/COMP3 OIPP/Laple QIPPTI PORTION 8/29/2019 Deport[ 3003 / $131/2019 Accr Earning Pymt Added to ACcaon[ MMC PORTION Pf ���I d 1/4 �d44g e, I NH XX Transfer -Out Transfer -in CUPP/Compl QIPP/Comp2 .QIPP/ComP3. QIPP/lapse QIPP TI PORTION 8/26/2019 AQloeposlt CENTENE CORP HCOIAIMPMT610 I04353554 19,979,97 - 19,979.97 3/20/2019 ACH Deposit CENTENE CORP HCCIAIMPMT 61=107010741 6,749.91 6,749.91 9/29/2019 Deposit 39,06 - 8/31/2019 Am Earning Pymt Added to Account 3.34 26,n1.20 26*729.00 9/3/2019 Home ALL ACCOUNTS FAVORITES Favorite Accounts MEMORIAL MEDICAL CENTER PERATINGOW MEMORIAL MEDICAL CENTER / NH ASHFORD_ MEMORIAL MEDICAL CENTER / NH BROADMOOR MEMORIAL MEDICAL CENTER / NH CRESCENT MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON am MEMORIAL MEDICAL CENTER / NH FORT BEND MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE so MMC -NH GULF POINTE PLAZA PRIVATE PAY •5433* MMC -NH GULF POINTE PLAZA -MEDICARE/MEDICAID •saal tal Banking Available Previous Day S100.20 $27,328.00 Sioo.zo $27,328.00 Reorder Favorites htlpsa/pbsitzsecure.(undsxpress.comlfx,vebfappf#!home 1/1 MEMORIAL MEDICAL CENTER CHECK REQUEST I� Memorial Medical Center Operating pate Requested: 913f� .4AAOUNT 5350,767.62 APPROVED ON SEP 0 3 2019 COUNTYAUU(TOR oALT-YOUN COUNTY, TEXAS 1=0R ACTT. USE ONLY �Imprest Cash �A/P Check Mad Check to Vendor �lieturn Check to Dept /LNuh;�Rr_R: t000000a ckPIANATIONTo transfer funds from Private Waiver account to MMC Operating account. :iEQUE5TE0 B'f: Sarah Henderson AUTHORIZED DY:�'�' �� MEMORIAL MEDICAL_ CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 9J3119 E ANtOUN-f $22,780.32 AI'7.'TdOVI:Tt ON SEP 0 3 2019 COUNTY AUDYfOlt CALFiOUN COUNITY, I=1 AS FOR ACCT. USE ONLY hnprest Cash �AJP Check Mail Check to Vendor Return Check to Dept GJL NUMBER: 21000012 EXPLANATION: Ashford- To transfer funds for Comp 1 8Yr 1 Adjustment - QIPP payment. REliUESTED BY: Sarah L. Henderson AUiIiORIZEU L'Y: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 913119 Date Requested: APPROVEit Y ON -- SEP 0 3 2019 COUNTYADDITOR c QW-IOUN COUNTIY, TRXAS AMOUNT 54,026.53 FOR ACCT. USE ONLY �Imprest Cash �A/P Check Mail Check to Vendor Return Chec'r, to Dept G/L NUMRER: 21000009 EXPLANATIOtJ: Broadmoor• To transfer funds for Comp 1 &Yr 1 Adjustment - OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: Cfb MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 9f3/19 APPI ovrD ON SER 0 3 2099 covvTY.1,€ DffOR AOUN Couwy T£'3,ii FOfi ACCT. USE ONLY �Imprest Cash �A/P Check Mail Check to Vendor Return Check to Dept 9 AMOUNT $4,145.38 G/L NUMBER: 21000010 EXPLANATION! Crescent. To transfer funds for Comp 1 &Yr 1 Adjustment ' OIPP payment. REQUESTLU BY:Sarah L. Henderson AUTHORIZED BY: W MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating g/3/19 - Date Requested: A ""ROWED y ON E --- SEP 0 3 2019 COUNTYAUDITOR E CALHOwi cotwnY TRXrLS FOR ACCTI USE ONLY Imprest Cash �A/P Check Mail Check to Vendor Return Check to Dept AMOUNT $9t060.32 G/LNUMBER: 21000008 EXPLANATION: Fort Bend -To transfer funds for Comp 1 &Yr 1 Adjustment - QiPP payment. REQUESCLD BY: Sarah L Henderson AUTHORIZED BY: E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 913/19 AYY�YtOVEll ON SEP 03 2014 COM4TYAU.DTTOR CALTiOUN COUt` MR , TEXAS AMOUNT 56,394.82. fOR ACCT. USE ONLY Imprest Cash �AIT Check Mail Check to Vendor Return Check to Dept G/L NUMBER: 21000071 EYPLANATION: Soles -To transfer funds for Comp 1 8Yr 1 Adjustment - QIPP payment. ftEC1UESTED BY: Sarah L. Hentlerson AUTIiORIZEU BY: September 4, 2019 zo19 APPROVAL LIST -2019 BUDGET COMMISSIONERS COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 09/04/19 z $4,934.46 AFLAC P/R $ 3,245.73 COMBINED INSURANCE C/O PEOPLES UNITED BANK P/R $ 11782,76 PRINCIPAL FINANCIAL GROUP P/R $ 1,981.85 RELIANCE STANDARD LIFE P/R $ 4,365.76 TEXAS ASSOCIATION OF COUNTIES HEBP P/R $ 2065790,90 TRUSTMARK P/R $ 3,130.18 ALICIA FLORES GONZALES REIMBURSEMENT A/P $ 51,97 BEN E KEITH FOODS A/P $ 11,434.48 CENTERPOINT ENERGY A/P $ 63,97 CITY OF SEADRIFT A/P $ 78,50 FRONTIER COMMUNICATIONS A/P $ 55,38 JACKSON ELECTRIC COOP, INC. A/P $ 630,71 REPUBLIC SERVICES #847 A/P $ 869,70 VICTORIA ELECTRIC CO-OP A/P $ 338,85 ZACHARY PADRON REIMBURSEMENT A/P $ 10,00 TOTAL VENDOR DISBURSEMENTS: 239,765.20 $ PAYROLL FOR 9/6/19 P/R $ 2835534.74 TOTAL PAYROLL AMOUNT: $ 283,534.74 TOTAL AMOUNT FOR APPROVAL: $ 523,299.94 o m m m m h m eay mcSiS m� cmi� my cmiy m��� mb <� �0m roW zi 0 0 0 n 0 0 o m 0 0 n 0 0 yx a m� 8 p V F� ran N G a N N NO N N N N NO G N N U O N N N NO I V VOi U U tOn VOi U VOi IOii lOn tOn N N tOA VOi owe V O N b b b O H -n>i >0 H a w O n 0 0 J V J � � N v J J N J � S 0� J � • V N m y o b b c 0 n lD �! J J w 0 F o N N c 8 J y � m y Y n 0 0 0 0 0 00 0 0 0 o a o o �o 0 0 0 000o g'a n e 00 e e V e V e e e N e 0 0 0 0 o c o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O N § ! ]E§k OR? )/ ( ) ( ( ( ( ( ) » r ! ! 7 § � 7 m §)