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2019-09-25 CC MINUTES.pdfCommissioners' Court —September 25, 2019 BE IT REMEMBERED THAT ON SEPTEMBER 25, 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 25, 201.9 4. General Discussion of Public matters and Public Participation. N/A 5. Approve the minutes of the Sept. 4, 2019 & Sept. 11, 2019 meeting. (RM) RESULT: APPROVED[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) To accept proof of insurance from the Calhoun County Fair Board. (RM) Tapia French presented the proof of insurance. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 7. Hear presentation from McCreary, Veselka, Bragg and Allen regarding delinquent tax collections. (RM) Noe Reyes of MVBA presented the report. Jesse Hubbell, Chief Appraiser, was present as well. Page 2 of 7 Commissioners' Court —September 25, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On a contract with McCreary, Veselka, Bragg and Allen for the collection of delinquent court fines and fees assessed by the district, county and justice courts and authorize the County Judge to sign. (RM) RESULT: APROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To authorize a loan in the amount of $49,650.67 from the General Fund to the Grants Fund for Rifle Resistant Body Armor. (RM) RESULT: APROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve and accept the renewal of the 2020 United Healthcare Medicare Supplement/Silver Choice Plan and authorize the County Treasurer to sign the renewal notice and benefit confirmation forms. This supplemental program is offered to all Retirees who are currently enrolled in a Medicare program. This supplement is of no cost to the County. The plan rates will take effect on January 1, 2020. (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 3 of 7 Commissioners' Court — September 25, 20 19 i1. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On FEMA4332-DR-TX Project Completion and Certification Report for Project Worksheet #00968 Bill Sanders Park Road and the Duplication of Benefits from and authorize the County Judge to sign. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On FEMA-4332-1)11-TX Project Completion and Certification Report for Project Worksheet #902 Haterius Park Road and the Duplication of Benefits form and authorize the County Judge to sign. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On a 40 foot Utility Easement (0.80 acre) Santiago Gonzales Survey Abstract No. 19 between Port O'Connor Improvement District and Calhoun County. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 7 Commissioners' Court —September 25, 2019 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To approve the Final Plat of Cowboy Retreat Subdivision in Port O'Connor, Texas. (GR) Terry Ruddick, Urban Engineering, presented the plat. 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 (AGEEDA ITEM NO. 15) To approve the Preliminary Plat and Drainage Plan of Phase 2 of the Sanctuary Subdivision Lot 86R. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) To approve the Preliminary Plat and Drainage Plan of RED TX Coastal Properties, LLC. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDERO X Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 5 of 7 Commissioners' Court —Septemher25, 2019 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) To approve the Preliminary Plat and Drainage Plan of Caracol Lot 35R. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 18. Accept Annual Road Reports from all Commissioners. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:; David Hall, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 19. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 19) To declare Conex at Fair Ground Pavilion as waste and authorize disposal. (RM) RESULT: APPROVED [UNANIMOUS]. MOVER: David Hall,Commissioner Pct 1 SECONDER:' Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 20. Accept reports from the following County Offices: 1. County Clerk's Office — August 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lys sy,`Commissioner Pct 2 SECONDER David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 6 of 7 Commissioners' Court —September 25, 2019 21. Consider and take necessary action on any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 22. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 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 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese ADJOURNED: 10:44 A.M. Page 7 of 7 Commissioners' Court— September 25, 2019 REGULAR 2019 TERM SEPTEMBER 25, 2019 BE IT REMEMBERED THAT ON SEPTEMBER 25, 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 20 Commissioners' Court —September 25, 2019 4. General Discussion of Public matters and Public Participation. N/A Page 2 of 20 Commissioners' Court —September 25, 2019 S. Approve the minutes of the Sept. 4, 2019 & Sept. 11, 2019 meeting. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct I SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 3 of 20 The Commissioners' Court of Calhoun County, Texas met on Wednesday, September 4, 2019 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. 12ichard Meyer, C Calhoun County, Anna Goodman, County Clerk k4dee "ID Deputy Clerk Commissioners' Court —Se ptember04, 2019 REGULAR 2019 TERM SEPTEMBER 04, 20i9 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) 6. APPROVE THE MINUTES OF AUGUST 14, 2019 MEETING. (RM) 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) 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.B) On additional insurance proceeds received from TAC for property damages associated with Hurricane Harvey in the amount of $135,343.81. (RM) Page 2 of 7 Commissioners' Court—September04, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.9) To accept a donation from Seadrift Volunteer Fire Department of a 2019 Ford FSSO 4 x 4 Crew Cab Brush Truck, VIN 1FDOW5HT1KEF19134, with a valuation of $167,093 and add to Department 690-Seadrift Volunteer Fire Department asset inventory list. (GR) 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA TTEM NO. 10j To approve a 4-year service plan for LlfePacks and Lucas Devices with Stryker and authorize the EMS Director to sign. (RM) 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) Page 3 of 7 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) 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On appointments/reappointments to Drainage Districts #6, #8, and #10. (RM) Page 4 of 7 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) 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) Page S of 7 Commissioners' Court —September 04, 2019 16. Accept reports from the following County Offices: (KM) i. County Clerk's OR ce—July M1 Revised 2. Tax Assessor/Collector - July 2019 3. County Auditor's Office —July 2019 17. Consider and take necessary action on any necessary budget adjustments. (RM) Page 6 of 7 Commissioners' Court — September 04, 2019 S. Approval of bills and payroll. (RM) pD7OURNED: 11:06 A.M. Page 7 of 7 The Commissioners' Court of Calhoun County, Texas met on Wednesday, September 11, 2019 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard Meyer, County Calhoun County, as Anna Goodman, County Clerk uty Clerk Commissioners' Court —September 11, 2019 BE IT REMEMBERED THAT ON SEPTEMBER 11, 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 S. 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 6 Commissioners' Court —September 11, 2019 4. General Discussion of public matters and Public Participation. Galen Johnson presented the court with photos of the fire trucks dedication. 5. Adopt the minutes of the August Z1, 2019 meeting. (RM) 6. CONSIDERAND TAKE NECESSARY ACTION (AGENDA ITEM NO.06) On FEMA4332-D!14X Payment of Funds Request for Project Worksheet #958 Bill Sanders Park Road and authorize the County Judge to sign. (RM) RESU47`, APPROVED [UNANIMOUS] MOVERx Gary Meese r I' Commissionect 4 4 SECONDER Clyde Syme CommlSst fi& NO AYES Judpe Meyer, Commissioner all, Lyssy, Syma, Reese 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 07) On FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #00965 Bauer Park Road and the Duplication of Benefits form and authorize the County Judge to sign. (RM) Page 2 of 6 Commissioners' Court —September 11, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA TTEM NO.8) To adopt a resolution to submit an application for an Office of the Governor grant for Rifle Resistant Body Armor. (RM) 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.9) To accept the Rifle Resistant Body Armor grant in the amount of $49,650.67. (RM) Page 3 of 6 Commissioners' Court -September 11, 2019 10. CONSIDER ANp TAKE NECESSARY ACTION (AGENDA ITEM NO, 10) To approve installation of STOP signs in Port O'Connor, Texas at the following intersections: (GR) 1. ALL WAY STOP at Cemetery Street and Monroe Avenue 2. TWO WAY STOP on Polk Avenue at Polk Avenue and Third Street 3. ONE WAY STOP on Adams Avenue at Adams Avenue and Park Avenue 4. ONE WAY STOP on Jefferson Avenue at Jefferson Avenue and Park Avenue 5. ONE WAY STOP on Madison Avenue at Madison Avenue and Park Avenue 6. ONE WAY STOP on Monroe Avenue at Monroe Avenue and Park Avenue 7. ONE WAY STOP on Jackson Avenue at Jackson Avenue and Park Avenue 8. ONE WAY STOP on Van Buren Avenue at Van Buren Avenue and Park Avenue 9. ONE WAY STOP on Harrison Avenue at Harrison Avenue and Park Avenue Commissioners' Court —September 11., 2019 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To approve the Ricoh Printer/Scanner/Copler contract for Precinct 3 and authorize the County Judge to sign. (CS) 12. Accept reports from the following County Offices: 1. County Treasurer's Office —June 2019 (revised) 2. County Treasurer's Office — Investment Report — 2"d QTR (revised) 3. County Treasurer's Office — 2nd QTR Balance Sheet (revised) 4. District Clerk's Office — August 2019 5. Floodplain Administration — August 2019 6. Justice of the Peace - #1 Aug. 2019, #2 Aug. 2019; #4 Aug. 2019, #5 Aug. 2019 7. Sheriff's Office — Aug. 2019 13. Consider and take necessary action on any necessary budget adjustments. Page 5 of 6 Commissioners' Court —September 1.1, 2019 14. Approval of bills and payroll. (RM) ADJOURNED: 10:15 A.M. Page 6 of 6 Commissioners' Court —September 25, 2019 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. a) To accept proof of insurance from the Calhoun County Fair Board. (RM) Tania French presented the proof of insurance. 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 20 ® DAM (MM/DDIYYYY) .�M R CERTIFICATE OF LIABILITY INSURANCE 09/1912019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, If SUBROGATION IS WAIVED, s this certificate does not confer PRODUCER KaliO Insurance 2009 NW Military Hwy San Antonio Calhoun County Fair Assoc. PO BOX 42 Port Lavaca s an ADDIT10NAt INSURED, the ITT cy(les, must have ADDITIONAL INSURED proWslons or De enaorsel to the terms and conditions of the policy, certain policies may require an endorsement. A statement on to the certificate holder in lieu of such endorsement(s). TX 78213 TX 77979 rmmJays THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE➢TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE. X COMMERCIALGENERALUABlUTY INSINSD WVQ POLICYNUMBER OLIC MM/DDrfYYY MWDO LIMITS EACH OCCURRENCE S 1,000,000 PREMISESEa Dnvnence MEDEXP(Anvone elSon) $ 100,000 CLAIMS -MADE ®OCCUR E EXCLUDED PERSONALSADV INJURY $ 1,0001000 A MKLO3524 09/1712019 09/17/2020 GENERAL AGGREGATE S 250003000 GENLAGGREGATE LIMITAPPLIES PER: JECTX POMCY ❑ P" ED LOC PRODUCTS AGG S 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea occident S 100,000 BODILY INJURY (Per Person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED %� AUTOSONLY X AUTOS ONLY MKL03524 09/17/2019 09/17/2020 BODILY INJURY(Pereccident) S pRO ER DAMAGE Peraccidenl S S UMSRELLAUAB OCCUR EACH OCCURRENCE $ EXCESS UAS CLAMS -MADE AGGREGATE S PER I STATUTE ERµ DEB RETENTION S WORKERS COMPENSATION E.L. EACHACCIDENT S AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTNE ❑ OFFICERIMEMBER IXCLUBED? (Mandatory In NH) NIA EL DISEASE-EAEMPLOYEE S upsdesaibeunder DCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT S 056CMPMON OF OPERATIONS I LOCATIONS / VEHICLES (AOORD 101, Addhionel Remarks Schedule, may be aKache f if more apace Is required) ADDITIONAL INSUREDAS RESPECTS TO INSURED'S OPERATIONS: Calhoun County. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF NOTICE WILL BE DELNEREDIN ACCORDANCE WITH THE POLICY PROVISK)NS. Calhoun County 211 So. Ann St. AUTHORIZED REPRESENTATIVE Port Lavaca TX 77979 ©1908-2016ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 0 INSURANCE BINDER D1AC® ✓ % 209 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM, AGENCY COMPANY BINDER # Certain Underwriters at Lloyds/ B1991908192 Kaliff Insurance 2009 NW Military Hwy DATE EFFECTIVE TIME DATE EXPIRATION TIME Suite 103 x AM X IT0IAM San Antonio TX 76213 9/17/2019 12:01 PM 10/17/2019 NOON PICNNo Ezt: 210 829-7634 aC No: (210) 829-1636 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY #. MKL03107 CODE: SUB CODE: CUSTOMER ID: 00002995 DESCRIPTION OF OPERATIONS I VEHICLES I PROPERTY (Including Lomilon) Per quote 09/16/2019, INSURED AND MAILING ADDRESS Calhoun County Pair Assoc- Policy #MKL03524 Effective Dates: 09/17/2019 - 09/17/2020 Risk Location: 186 Henry Barber Way PO BOX 42 Port Lavaca, Texas 77979 Port Lavac TX 77979 COVERAGES LIMITS TYPE OFINSURANCE COVERAGE/FORMS -DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC � BROAD 7 SPEC GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR ADED 10,000/50,000 Liquor Liability - $1,000,000 Terrorism Coverage REPRO DATE FOR CLAIMS MADE: EACHOCCURRENCE S;3.;00x RENTED PRE ISES S MED EXP(M one arson S EXCLUDED PERSONAL S ADV INJURY S 1 000 000 GENERAL AGGREGATE $ 2 000 000 PRODUCTS -COMP/OP AGG 8 2 000 000 VEHICLE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS COMBINED SINGLE LIMIT S 100 000 GODLY INJURY(PwPers ) S GODLY INJURY(Pcrncclden0 S PROPERTY DAMAGE S MEDCAL PAYMENTS S X PERSONAL INJURY PROT S X UNINSURED MOTORIST S S VEHICLE PHYSICAL DAMAGE DED COLLISION: OTHER THAN COL ALL VEHICLES Lj SCHEDULED VEHICLES ACTUAL CASH VALUE S STATED AMOUNT GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHERTHANAUTOONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM REPRO DATE FOR CLAIMS MADE: EACH OCCURRENCE S AGGREGATE S SELF -INSURED RETENTION S WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY PER STATUTE EL EACH ACCIDENT $ E.L. DISEASE -FA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S SPECIAL CONDITIONS I OTHER COVERAGES FEES S 0.00 TAXES 5 6109. 75 ESTIMATED TOTAL PREMIUM S $2,09S.00 MORTGAGEE ADDITIONAL INSURED LOAN fi AUTHORIZED Mdchef[ KalifflSBB ACORD 75 (20t3109) The ACORD name and logo are registered marks of ACORD IN5075 (z0ta0B) Commiss;oners' Court— September 25, 2019 7. Hear presentation from McCreary, Veselka, Bragg and Allen regarding delinquent tax collections. (RM) Noe Reyes of MVBA presented the report. Jesse Hubbell, Chief Appraiser, was present as well. Page 5 of 20 Mae Belle Cassel From: Noe.Reyes@mvbalaw.com (Noe Reyes) <Noe.Reyes@mvbalaw.com> Sent: Tuesday, September 17, 2019 12:48 PM To: MaeBelle.cassel@calhouncotx.org Subject: Tax Collections Report Hi thece, I have been in contact with Judge Meyer regarding a tax collections report. Judge Meyer asked me to contact yon to post the item on the agenda for September 25, The item is not an action number, and can be titled "Tax Collections Report- Noe Reyes, NF\7BA." Please let me know if there are any issues. 'thank you in advance, Noe Reyes Sent from my iPhone This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential attorney work product, and exempt from disclosure under applicable law. If the reader of this tnc _sage is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this in error, please notify us immediately by telephone or by email. Commissioners' Court — September 25, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On a contract with McCreary, Veselka, Bragg and Allen for the collection of delinquent court fines and fees assessed by the district, county and justice courts and authorize the County Judge to sign. (RM) RESULT: APROVED[UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 6 of 20 ANNA M. GOODMAN CALHOUN COUNTY CLERIC 211 S ANN STREET #102 , PORT LAVACA, TX 77979 (361)5534416 September 1Q 2019 Hon. Richard Meyer Calhoun County Judge Calhoun County Conunissioners' Court RE: Agenda Item for Cormnissioners' Court —September 25, 2019 CONTRACT FOR COLLECTION OFDELINQUENT COURT FINESAND FEES ASSESSED BY THE DISTRICT, COUNTYAND JUSTICE COURTS We would like to place the following item on the agenda; Allow the IIon. Richard Meyer to sign the CONTRACT FOR COLLECTION OF DELINQUENT COURT FINESAND FEESASSESSED BY THE DISTRICT, COUNTY AND JUSTICE COURTS with McCREARY, VESELICA, BRAGG AND ALLEN, P.C., dba "MVBA". A contract already exists with MVBA, but it only includes the JP courts. This contract adds the District Court and our Count Court. A representative of MVBA will be in Commissioner's Court to sign the contract as well. Respectfully, �i�cz � �OcmG'�/rIGC ram„_, Arena M Goodman Calhoun County Clerk U:\Agoodman\AGENDA ITEMS\Agenda Itent092519.MVBA.Doc Page 1 CONTRACT FOR COLLECTION OF DELINQUENT COURT FINES AND FEES ASSESSED BY THE DISTRICT, COUNTY AND JUSTICE COURTS OF CALHOUN COUNTY, TEXAS STATE OF TEXAS § COUNTY OF CALHOUN § THIS CONTRACT is made and entered into by and between the COUNTY OF CALHOUN, TEXAS, acting herein by and through its governing body, hereinafter styled, "County", and McCREARY, VESELKA, BRAGG AND ALLEN, P.C., hereinafter styled "MVBA". I. The County agrees to retain and does hereby retain MVBA to provide specific legal services provided herein and enforce the collection of delinquent district, county and justice court fines, fees, court costs, restitution, debts and accounts receivable and other amounts in accordance with Article 103.0031, Texas Code of Criminal Procedure (hereinafter referred to in the agreement as "Fines and Fees") pursuant to the terms and conditions described herein. Legal services shall include but not be limited to recommendations and legal advice to the County to take legal enforcement action; representing the County in any dispute or legal challenge to authority to collect such court fees and fines; defending the County in litigation or challenges of its collection authority; and representing the County in collection interests in bankruptcy matters as determined by MVBA or the County. The County further authorizes MVBA to execute all legal documents that are reasonably necessary to pursue collection of the County's claims in connection with the collection of fines and fees that are subject to this contract. This contract supersedes all prior oral and written contracts between the parties regarding court fees and fines, and can only be amended if done so in writing and signed by all parties. Furthermore, this contract cannot be transferred or assigned by either party without the written consent of all parties. II. For purposes of this contract all Fines and Fees shall be referred to MVBA when determined to be delinquent as provided for in Article 103.0031, Code of Criminal Procedure. At least once each month on a date or dates agreed upon by the parties, the County will provide MVBA with copies of, or access to, the information and documentation necessary to collect the delinquent fines and fees that are subject to this contract. Whenever feasible, the County shall furnish the information to MVBA by electronic transmission or magnetic medium. The County shall be responsible for the receipting of the payment of all fines and fees collected pursuant to this contract whether received directly from the defendant or from MVBA. MVBA shall forward all cashier checks or money order payments made payable to the County and any correspondence from defendants directly to the County. Cashier checks or money order payments made payable to MVBA will be deposited daily into the MVBA Trust Account. MVBA may also collect the amount due from the defendant by credit card or electronic draft which is deposited directly into the MVBA Trust Account. MVBA shall remit to the Court all payments in full received into the MVBA Trust Account, weekly, along with an invoice detailing the docket number, name of defendant, amount paid to MVBA or Court, MVBA fee percentage and fees earned for each case. IV. MVBA shall indemnify and hold the County harmless from and against all liabilities, losses and/or costs arising from claims for damages, or suits for losses or damages, including reasonable costs and attorney's fees, which may arise as a result of MVBA's performance of the services described in this contract. The indemnity provision of this contract shall have no application to any claim or demand which results from the sole negligence or fault of the County, its officers, agents, employees or contractors. And furthermore, in the event of joint and/or shared negligence or fault of the County and MVBA, responsibility and indemnity, if any, shall be apportioned in accordance with Texas law and without waiving any defenses of either party. The provisions of this paragraph are intended for the sole benefit of the parties hereto and are not intended to create or grant any right, contractual or otherwise, to any other persons or entities. For the collection of Fines and Fees, the County agrees to pay to MVBA, as compensation for the professional services rendered the following fees: 1. For those Fines and Fees imposed against Unadjudicated Offenses that occurred before June 18, 2003, there is no fee one (0°/o) MVBA on the amount collected by the Court on those cases. 2. For those Fines and Fees imposed against Adjudicated Offenses regardless of the date of the offense, and against Unadjudicated Offenses that occurred on or after June 18, 2003, a fee of thirty percent (30%) of the amount of the Fines and Fees collected by the County as provided by Article 103.0031 of the Code of Criminal Procedure. 3. In the event any case is disposed of by acquittal or dismissal, or if the fine, costs and/or fees are discharged through performance of community service, credit for jail time served, the discretionary removal of a collection fee by the Court or pursuant to §45.0491 of the Code of Criminal Procedure, no compensation shall be paid to MVBA by the County. All compensation shall become the property of MVBA at the time of payment. The County shall pay to MVBA said compensation on a monthly basis by check. Contract for tke Co(/ec/ion of Fines &Fees -Page 2 of S VI. The County recognizes and acknowledges that MVBA owns all right, title and interest in certain proprietary software that MVBA may utilize in conjunction with performing the services provided in the contract. The County agrees and hereby grants to MVBA the right to use and incorporate any information provided by the County ("case or defendant information") to update the databases in this proprietary software, and, notwithstanding that the case or defendant information has been or shall be used to update the databases in this proprietary software, further stipulates and agrees that the County shall have no rights or ownership whatsoever in and to the software or the data contained therein, except that the County shall be entitled to obtain a copy of such data that directly relates to the County's accounts at any time. MVBA agrees that it will not share or disclose any specific confidential case or defendant information with any other company, individual, organization or agency, without the prior written consent of the County, except as may be required by law or where such information is otherwise publicly available. It is agreed that MVBA shall have the right to use case or defendant information for internal analysis, improving the proprietary software and database, and generating aggregate data and statistics that may inherently contain case and defendant information. These aggregate statistics are owned solely by MVBA and will generally be used internally, but may be shared with MVBA's affiliates, partners or other third parties for purposes of improving MVBA's software and services. MVBA reserves the right to return to the County all accounts not collected within one (1) year of referral by the County, or identified as being in bankruptcy. Upon return of these accounts, neither party will have any obligation to the other party to this contract. VII. The initial term of this contract is three years, beginning on the first day of the month following the execution of this contract by both parties, and shall automatically renew and continue in full force and effect thereafter from year to year for additional twelve month periods on the same terms and conditions unless either party delivers written "Notice of Termination of Contract" to the other party of its intent to terminate this contract at least sixty (60) days prior to each anniversary date of this contract. In the event that the County terminates this contract, MVBA shall be entitled to continue its collection activity on all accounts previously referred to MVBA for six (6) months from the date of receipt of the "Notice of Termination of Contract" and to payment of its fee, pursuant to Paragraph V of this contract for all amounts collected on accounts referred to MVBA. The County may, at its discretion, refer additional accounts to MVBA after notice of termination has been received by MVBA. At the end of the six (6) month period, all accounts shall be returned to the County by MVBA. Contract far !!te Collection of Fines &Fees - Pnge 3 of 5 VIII. For purposes of sending notice under Lite term of this contract, all notices from the County shall be sent to MVBA by certified United States mail to the following address: McCreary, Veselka. Bragg &Allen, P.C. Attention: Noe Reyes P.O. Box 1310 Round Rock, Texas 78680-1310 or delivered by hand or by courier, and addressed to: 700 Jeffrey Way, Suite 100, Round Rock, Texas 78664-2425. All notices to the County shall be sent by certified United States mail or delivered by hand or courier, to the following address: County of Calhoun, Texas Attention: County Judge 2I I South Ann Street, Room 301 Port Lavaca, Texas 77979 IX. This contract is made and is to be interpreted under the laws of the State of Texas. Exclusive venue for any action, lawsuit, claim, dispute or another legal proceeding concerning or arising out of this contract shall be in Calhoun County, Texas. In the event that any provisions) of this contract shall for any reason be held invalid or unenforceable, the invalidity or unenforceability of that provisions) shall not affect any other provisions) of this contract, and it shall further be construed as if the invalid or unenforceable provision(s) had never been a part of this contract. X. In consideration of the terms and compensation herein stated, MVBA hereby agrees to undertake performance of said contract as set forth above. The County has authorized by order heretofore passed and duly recorded in its minutes the chief executive officer to execute this contract. This contract may be executed in any number of counterparts, and each counterpart shall be deemed an original for all purposes. Signed facsimiles shall be binding and enforceable. Contract for the Collection of Fines &Fees - Pnge 4 of 5 WITNESS the signatures of all parties hereto this, the day of A.D. 2019. COUN OF CALHOUN, TEXAS 1 County Judge McCREARY, VELKA, BRAG'}G & ALLEN, P.C. r- ;JI f �✓ Noe Reyes Attorney at Law Contrnc! for the Collection of Firres &Fees - Pnge 5 of 5 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos, 1- 4 and 6 if there 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. 2019-537054 McCreary, Veselka, Bragg & Allen, P.C. Round Rock, 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 09/06/2019 being filed. County of Calhoun, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track description of the services, goods, or other property to be provided under the contract. or identify the contract, and provide a 2019 Collecction Contract Collection of delinquent court fines and fees for the District, County and Justice Courts of Calhoun County. 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 i (y My name Is 45-- V V4tH �• � " "( a ,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 l� ll b 4k 04 S dY6 County, State of � a s / ,1 , on the b day of ( , 2019. Signature of authorized ag of contracting business entity Dec nq Forms orovided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 11 21 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. 2019-537054 McCreary, Veselka, Bragg & Allen, P.C. Round Rock, 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 09/06/2019 being filed. County of Calhoun, Texas Date Acknowledged: 09/30/2019 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. identify the contract, and provide a 2019 Collecction Contract Collection of delinquent court fines and fees for the District, County and Justice Courts of Calhoun County. 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 and my date of birth is My address is p (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. i 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 v:t.l.aatiaarra Commissioners' Court —September25, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To authorize a loan in the amount of $49,650.67 from the General Fund to the Grants Fund for Rifle Resistant Body Armor. (RM) RESULT: APROVED [I MOVER: Vern Lyssy, C SECONDER: David Hall, Q AYES: Judge Meyer, IANIMOUS] imissioner Pct 2 missioner-Pct 1 �mmissioner Hall, Lyssy, Syma, Reese Page 7 of 20 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (Cindy Mueller) <cindy.mueller@calhouncotx.org> Sent: Monday, September 16, 2019 3:01 PM To: Mae Belle Cassel; Clyde Syma; david.hall@calhouncotx.org; Gary Reese; Richard Meyer, vern lyssy Cc: Candice Villarreal;james.tolar@calhouncotx.org Subject: Agenda Item Request Please place the following item on the agenda for September 25, 2019 Consider and take necessary action to authorize loan in amount of $49,650.67 from general fund to grants fund for Rifle Resistant Body Armor, Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553,4610 Fax 361,553,4614 Calhoun County Texas Commissioners' Court-- September 25, 2019 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve and accept the renewal of the 2020 United Healthcare Medicare Supplement/Silver Choice Plan and authorize the County Treasurer to sign the renewal notice and benefit confirmation forms. This supplemental program is offered to all Retirees who are currently enrolled in a Medicare program. This supplement is of no cost to the County. The plan rates will take effect on January 1, 2020. (RM) LT: APPROVED [UN R: Vern Lyssy, Coma VDER: Gary Reese, Comr Judge Meyer, Corr IS, 'ct 2 Pct 4 r all, Lyssy, Syma, Reese Page 8 of 20 Mae Belle Cassel From: rhonda.kokena@calhouncotx.org (rhonda kokena) <rhonda.kokena@calhouncotx.org> Sent: Tuesday, September 17, 2019 10:17 AM To: MaeBelle.Cassel@calhouncotx.org Subject: AGENDA ITEM FOR SEPTEMBER 25, 2019 Attachments: 2020 UNITEDHEALTHCARE MEDICARE SUPPLEMENT.pdf Mae Belle — Please add the below verbage and see attached to the next agenda (9.25.19): TO APPROVE AND ACCEPT the renewal of the 2020 United Healthcare Medicare Supplement / Silver Choice Plan and authorize the County Treasurer to sign the renewal notice & benefit confirmation forms. This supplemental program is offered to all Retirees who are currently enrolled in a Medicare program. This supplement is of no costs to the County. The plan rates will take effect on January 1, 2020. Thank you. Calhoun County Texas i sn�, R hone_ UnitedHealthcare Medicare Supplement T wAswdaHonofCaunin Redne Medicd Pwgcm 2020 Renewal Notice and Benefit Confirmation Calhoun County Medical Group: Package 1 Anniversary Date: 1/1/2020 Rx Group: Package 1 Return to TAC by:10/11/2019 Please complete aitrl iuitinl each section. Signature on the following yage is required to confirm your renewal. Renewal rate is effective front 1/1/2020-12/31/20200 Current Plan: Package 1 Current Monthly Rate: Medicare Advantage Plan 1: $450,35 2020 Rate: 450.35 or Senior Supplement Plan F: 253.44 2020 Rate: 265.61 plus Rx Option 1: 252.91 2020 Rate: 265.56 WI Renew and keep current plan. Rate effective 1/1/2020 (retiree choice) Renew d change to Package Rate effective 1/1/2020 (retiree choice) Initial here to accept 2020 Retiree Medical plan and rate 2020 Package 2 Rates Medicare Advantage Plan 2: $ 226.88 or Senior Supplement Plan K: $156.06 plus Rx Option 2: $100,40 2020 Package 3 Rates Medicare Advantage Plan 2: $226.88 or Senior Supplement Plan F-1 $246.69 plus Rx Option 1-A $250,41 Direct Bill: Retiree pays 100% of premium and will be billed directly by UnitedHealthcare each month. Initial here to accept Billing Method County Choice Silver UHC Renewal —Plan Year 2020 CountyChoice Silver UnitedHealthcare Member Contact Designations CCS Contracting Authority: As specified in the Interlocal Participation Agreement, each Member hereby designates and appoints a Contracting Authority of department head rank or above and agrees that TAC HEBP shall not be required to contact or provide notices -to -any other person. -Further, any notice to, or agreement by, a Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member. Each Member reserves the right to change its Contracting Authority from time to time by giving written notice to TAC HEBP. Please complete each section below: Name: i�Ct�ClCC (.J I (L� Title: Address: Phone: Fax: Email: e. Ca�3,Innej�fi . rj'`1' r hory'k,6.-t t<o wyr, 6 &O )OLjL it i'�}C •B°� CCS Primary Contact -Main contact for daily matters regarding retiree health benefits: Name: Title: Address: Phone: Fax: Email: Sig ture of County Judge or Cc tracting Authority Date Please PRINT Name and Title County Choice Silver UHC Renewal —Plan Year 2020 Silk rr ' hoice UnitedHealthcare r e�miorcouna., Reflrt<Mdicil Prosun County Choice Silver Retiree Health Plans for mu -PACKAGE 1 UnitedHealtheareS Group Senior UnitedfIealthearcO Group j Medical Benefits Supplement Plan F Medicare Advantage Plan f (RIl services must beMedicare-eligible) How Coordinates with Medicare Part A Includes Medicare Part A and Part B the Plan Works and Part B coverage and Part D coverage Nationwide Network Any willing Medicare provider Any willing Medicare provider Annual Deductible Plan pays Part A & B Deductibles N/A Annual Medical Out of Pocket N/A N/A Maxinmm Primary Care Provider 0% $0 copay Specialist 0% $0 copay Routine Annual Physical 0% SO copay Virtual Doctor Visits $0 $0 copay Outpatient Hospital & Surgical Services 0% $0 copay Outpatient rehabilitation (physical, occupational, or 0% $0 copay speech/language therapy) Lab Services D% $0 copay Outpatient X-ray Services 0% $0 copay Diagnostic (MRIs, CT scans) 0% $0 copay Inpatient hospital care 0% $0 copay (including mental health) Emergency care 0% $0 copay (Ittcludcs Worldwide Coverage) Urgently needed services 0% $0 copay (Includes Worldwide Coverage) Ambulance services 0% $0 copay Foreign Travel Bmrefit Emergency Care Only -separate Emergency and Urgent Care Only deductible and limits apply Routine Podiatry 100% $0 copay; limit 6 visits per year PACKAGE 1 page 1 County Choice Silver Retiree Health Plans for 2020 - PACKAGE 1 UnitedHealtheare® Group Senior UnitedHealtheare® Group Medical Benefits Supplement Plan F Medicare Advantage Plan 1 - (all services must be Medicare -eligible) Routine hearing exams Limited to one routine hearing 100% $0 exam every 12 months - Hearing Aids— - - Plan provides discounts $500 allowance every three years Routine eye exam (refraction) Limited to one routine eye exam 100% $0 every 12 months Fitness Program SilverSneakers® SilverSneakers® NurseLine Included Included Solutions for Caregivers Included Included HouseCalls Program Not Included Included Renew' Member Rewards Not Included Included Prescription Drug Plan (no Rx deductible) Rx Option 1 Formulary H Custom Plan Formulary H Coverage in the Gap Full Gap Coverage Full Gap Coverage Tier I Preferred Generic $5/30 day -- $10/90 day $5/30 day -- $10/90 day Tier 2 Preferred Brand $25/30 day -- $50/90 day $25/30 day -- $50/90 day Tier 3 Non -Preferred Brand $60/30 day -- $120/90 day $60/30 day -- $120/90 day Tier 4 Specialty Drug 33 % 33 2020 PLAN COST Medical and Rx $531.17 $450.35 Medical Only $265,61 n/a - Rx included PACKAGE 1 page 2 Commissioners' Court — September 25, 2019 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) On FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #00968 Bill Sanders Park Road and the Duplication of Benefits from and authorize the County Judge to sign. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall,'Lyssy, Syma, Reese Page 9 of 20 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (Cindy Mueller) <cindy.mueller@calhouncotx.org> Sent: Wednesday, September 18, 2019 2:55 PM To: Mae Belle Cassel Cc: ladonna thigpen; Clyde Syma; david.hall@calhouncotx.org; Gary Reese; Richard Meyer; vern lyssy Subject: Agenda Item Request Attachments: PW 968 Bill Sanders Park Road2.pdf Please place the following item on the agenda for 9/25/19: • Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #968 Bill Sanders Park Road and the Duplication of Benefits form and authorize County Judge to sign. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 Calhoun County Texas LARGE PROJECT ' Category Title Project FEMA PW C Bill Sanders Park Road 14776 968 Cost Type Force account labor (203 regular hours plus $ 4,291.53 fringe) Force account $ 7,221.94 force account equipment (203 hours) Force account $ 3,000.00 Clay (25 loads) (to stabilize embankment) Materials $ 179,222.67 Rip rap rock (12" 2597,43 tons per formal bid) Materials $ 15,000.00 Distribute rock Contract Limestone base 3/4" to dust (404.57 tons per $ 11,611.16 semi-annual bid) Materials Limestone base 3/4" to dust (94 tons @ $26.67 Materials $ 2,506.98 per semi-annual bid) from stock Materials $ 5,002.50 #4 topping rock (87 @ $57.50 tons per semi-annc from stock Materials $ 4,989.40 RC250 (1919 gals @ $2.60 per semi-annual bid) from stock $ 232,846.18 �.,: '. Work complete 7/18/19 No insurance for roads or bridges. FEMA gross cost HMP cost Insurance reduction FEMA net cost 10/17/2018 FEMA PW 968 Award 90%*** County cost to date This is a large project that must be closed out with complete documentation of county's cost. Net cost to county will be 10% of expenditures approved by FEMA when this project is closed out. ***No money is paid to county in advance for large project. County Auditor's Progress Notes: 9/12/19 Payment of funds request & link to supporting documents sent to TDEM. 9/16/19 TDEM reviewing supporting documents but no payment of funds initiated yet. TDEM sent close out documents for completion. $188,420.81 c _ $188,420.81 $169,578.73 $ 232,846.18 C:\Users\Calhoun\Dropbox\Project Cost Summary; Cat C-14776 9/18/2019, 2:36 PM Generated Date: 09/162019 2139 Federal Ration a cy Mmagement Agency Project Completion A,rMr DRd Report (P.4) Page I of2 ' Diluter: FEMA•433bDR-T% Applicant FIPSID:05'I-9905MO ApplicantlSubdivision Name. CALHOUN(COUNTY) A Amendment Approved ,Egg 319E Prn acted Comnl. F& Actual Date Anal,Claimed by Cammente PNN fl y 3 Share p ! � atv A� Amount Completed Brant PA-06 - TX- 4332- 0 SI88p20.81 N W. 09 P 066 Total for 3 P3Vs: $188,420.81 Subgranlee Admin: $0.00 Crand Total: SI88420.81 Generated Date: O9/I6/2019 21:39 PA-OG- Force account TX-4332- ofl07-16-2619 232,846.18 C PTV- and CODtract 2019019 0 S1118,420.81 S 00968 (2492) Federal Emergenry 1ltanagement Ageny 5 Page 2 of 2 Project Completion and Certlncation Report (r.4J -' Dbasler: FEMA-1332-DR-vX Applicant FIPSID:05]-9905y-00 Applicant/Subdiviaian Name: CAL14OUN(COUNTY) Certification I hereby certify a athe but of ow knowledge and belief all work and costs claimed me eligible I certify that all learn were expanded inaccordancewlth the provisions oi'the signed ecordmm the grant conditions, all cbrmedhasbecn eomplased, and all coals claimed PEMA-Slate Agreement and lrewmmend an approved amount of5 hsn been irR]'ull Signed; -Date; tarred Date; Dale: / chard H. ey r, County,J d Govemots Aalhmized Representative Applicant's Authonzed Represenso presen e+x`— ,E; O (10 C N3 L a1 U1 do C C N w- U a) N C Cad. n) O U m f0 �Q I- LL o Z m 6 0 W o C +y+ N Q C /W d m V O N N O am 0 W = U Z WE .)4 �C: (U a C U) `0 _ a) C i (0)U U N G rO+ V � N N O U c�i N o Z a. a in OLLI Q � ❑ a) Z m v- C LinO Ca, W w E v_ c N CCalU W O o M .51a) m L C LL w d O a a) O N y CL Z +' C N O C .c m 0 _> N mW i 7 U 0 N 1. O a 00 N w ❑ V L N N E in a U o o E sZ M m c P') C O O Y W a as ;� Ea o m O p O a)FEN 4da j N U OCIE Y 00 p >> N O W a a) a c Z c .n a) Y O O❑ U IE E o Z. oo a a) < a) ¢a Z a) ¢ Cl) �aE r E dc W o} v �3H,.' ❑ � U r (V a a z O Z U W } a U) N O oWa> O F LL C 'y aotid Z N O U) t c •— 0L u 60� dddddddddd a) SEEM O > O � � C.. O r a) 0 O CL CD N a � W O p ME N O !` +N C O 6 w ME U63 U N y O o �> CDLL a) (dri. a) �av O a m aa)) o 'n O` C C n. a _ UME N N O �E> E o d U a�i fA a d T N O did E O cn doq)) a) 'o a a) O U C1 co •O C C 3 ca w a)m .�` doo N � 'o N a) do > U 0 0 c o_ C N 8 � o � CONP a E _ O O O U U Q f0 .0 O " N ++ (p C � � o d w a) w N — c 7 Commissioners` Court —September 25, 2019 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) On FEMA4332-DR-TX Project Completion and Certification Report for Project Worksheet #902 Haterius Park Road and the Duplication of Benefits form and authorize the County Judge to sign. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 10 of 20 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (Cindy Mueller) <cindy.mueller@calhouncotx.org> Sent: Wednesday, September 18, 2019 5:18 PM To: Mae Belle Cassel Cc: ladonna thigpen; Clyde Syma; david.hall@calhouncotx.org; Gary Reese; Richard Meyer; vern lyssy Subject: Agenda Item Request Attachments: PW 902 Haterius Park Road.pdf Please place the following item on the agenda for 9/25/19: • Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #902 Haterius Park Road and the Duplication of Benefits form and authorize County Judge to sign. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553,4610 Fax 361553.4614 Calhoun County Texas Category Title Project FEMA PW C Haterius Park Road 14782 902 Cost Type $ 710.21 Force account labor (31.5 hours) Force account $ 308.30 Force account fringe @ 43.41% Force account $ Force account equipment (no records kept) Force account $ 2,610.00 RC250 (900 gal @ $2.90)(from 12/31/18 stock) Material Topping rock (49 tons @ $59.00) (from $ 20891,00 12/31/18 stock) Material $ 6,519 51� 57 Wark completed 6/30/19. No insurance for roads or bridges. FEMA gross cost H MP cost Insurance reduction FEMA net cost 10/16/2018 FEMA PW 902 Award 90% County cost to date Small project net revenue (expense) $ (11507,64) 5,568.75 $ 51568,75 $ 5,011.88 $ 6,519.51 C:\Users\Calhoun\Dropbox\Project Cost Summary; Cat C-14782 9/18/2019, 5:04 PM Page I of 2 Generated Date: 09/ 16/2019 21:36 Federal Emergen Management Agenry Project Completion and Certification Report (P./) Monte: FE6fA-l831-DR-TX Applicant FIPSIM057-99057-00 ApplicanllSubdivision Name: CALHOUN(COUNITY) Amendment Apprnved P$VN Prot, Cosl )cork Promoted Consul. Elie Actual Date Amt, Claimed by C1 Bundle Comments Date ry Amt. Sirx a nn"n Rr Dale IA oA_L-ppComplain ° 2 A Applicant — lnao, PA-06- rx- 4J71- 0 $5,563.75 N PW- 00902 Total for I P%; S5,568.75 Subgrante<Admin: $0.00 Grand Total: $5.568.75 Generated Date: 09/16/2019 21:36 PA-OG- c. Tx-4332- Force account 07-01- 0 $5.568.75 06-30-2019 S $5668,76 PIV-00902 2019 (2491) Federal Emergency Mmmge:nent Agenry Project Camsea ar:t and Cenifiration Report (P.4) Disaster: FEMA-4JJI-DR-TX $ Page 2 of 2 APDliennt PIPS IU: 05]-99Ui]-UU Applicant/Subdivision Nome: CALHOUN (cDln9r'r) cernnranan hereby cf he best of my knowledge and belierail work and costs claimed we eligible Icen:fythat all funds were expended in accordance with the provisions of the cordgrant conditions,ailwork claimed haz been completed, and all costs signed FEMAS1ate Agreement and Irecommend an approved amount of cia�ned hin Yui $ Shins V Date:Signed: Date: R hard H. Meyer, County J e Applmant's Authonred RClUMMAD Qovernefs Authorized Representative Jbn"r`' t O § _ ,,oy U (0 = N N = 0 m 5 (L) o m o 'o LL c a Z iu m N CW +C: o G y� N N c ,W m V = O N N �O Q m C U N 0I Z acq Ic fl_ N N _ m Q O C N U U N O Q a N ma U) U N cf°i _ O U Z .CL a U) O n V _ U v- C W w m U E N C L N 6 LLI O p M o m L u. ni LL O Q N Ow W a Z to o T a+ c c 0 m fn w U (D ( > N i c i' U '.. O (6 Z3 N .X '',' ;i '= a N N E N CL U M U L C O /� Q C d' Ca O v W F O O N O pO O O >O N O a 5a Z d O N 0 3❑ U C- � Q Z OQ Cl) s w E LL O N ;O N 6 N U a � n -'o Q z O z C W } Q tti � N N O owa> O F LL C 'd aC LL y H} Z > O ,NO OLO y O LL 60- CD tm C O > l0 c). O N O G O O O _ a _Nty B w 0Lov) 0 O C N y 69 O U V K d o �No R a O LL y EH N iocm O a1!4 o & o 0 Q_a �Na �E> o �d � woo ai a d f/1 l$ a c c0 N N cm O c Y T o ' co N U � N 'o L a O N O w U � @ =o .� m O T N U N LP Nc Fi 0 N C aCo d = -o rn 4 a � O 3 c U Y yL O U U a � ._ O �� o (6 y E NU �O E 7 a� Z Commissioners' Court — September 25, 2019 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On a 40 foot Utility Easement (0.80 acre) Santiago Gonzales Survey Abstract No. 19 between Port O'Connor Improvement District and Calhoun County. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 11 oP20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 18, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda fox September 25, 2019. • Consider and take necessary action on 40 Foot Utility Easement (0.80 Acre) Santiago Gonzales Survey Abstract No. 19, between Port O'Connor Improvement District and Calhoun County, Sincerely, Cary D, Rees& Gary D. Reese GDR/at P.O. Box 177 _Seadrift, Texas 77983 _email: earv.reese r calhonncotx.ore _ (361) 785-3141 —Fax (361) 785-5602 RIGHT- OF- WAY EASEMENT STATE OF TEXAS COUNTY OF CALHOUN KNOW ALL MEN BY THESE PRESENTS, that the undersigned, being the CountyJudge and all of the duly elected and incumbent members of the Commissioners Court of Calhoun County, Texas, acting herein in their official capacity for and on behalf of the COUNTY OF CALHOUN, STATE OF TEXAS (hereinafter called "Grantor"), in consideration of one dollar ($1.00) and other good and valuable consideration paid by PORT O'CONNOR IMPROVEMENT DISTRICT, (hereinafter called "Grantee"), the receipt and sufficiency of which is hereby acknowledged, does hereby GRANT, BARGAIN, SELL, TRANSFER, and CONVEY to said Grantee, its successors and assigns, a perpetual easement with the right to erect, construct, install, and lay and thereafter use, operate, inspect, repair, replace, , construct, alter, remove, change the size of, maintain, and remove lines, facilities —including, but not limited to, fittings, protective casing, monitoring equipment, valves, corrosion control equipment and appurtenances for the transportation and distribution of water, sewer, water treatment discharge, and other utilities over and across the land more particularly described on Exhibit A, attached hereto and made a part hereof for all purposes, together with the right of ingress and egress over Grantor's adjacent lands for the purpose for which the above mentioned rights are granted. TO HAVE AND TO HOLD, for the purposes herein specified, the right, title and privilege of an easement and right-of-way over, across and upon the above described Property, unto Grantee, its successors and assigns forever; and Grantor does hereby bind itself and its successors and assigns to warrant and forever defend all and singular said right, title and privilege unto Grantee, its successors and assigns against every person whomsoever lawfully claiming or to claim the same or any part thereof. This conveyance is made subject to all leases, easements, restrictions, reservations, encumbrances and other matters appearing of record in Calhoun County, Texas, to the extent (but no further) that the same are valid and subsisting as of the date hereof and affect title to the above described property, and have not otherwise been subordinated to the rights, titles and privileges herein conveyed. The consideration recited herein shall constitute payment in full for all damages sustained by Grantor by reason of the installation of the improvements and structures referred to herein and the Grantee shall repair any unreasonable damages to Grantor's premises that may result from its use. This Agreement together with other provisions of this grant shall constitute a covenant running with the land for the benefit of Grantee, its successors, and assigns. /� IN WITNESS WHEREOF the said Grantor has executed this instrument this2Pvday of rw� ot1 2019. CALHOUN COUNTY, TEXAS By: By: CountyJy/dge,�alhoun C�eufity, Texas Precinct One By: Commissioner, Precinct Two f r�Y Commissioner, Precinct Three By: Commi sioner, Precinct Fou THE STATE OF TEXAS COUNTY OF CALHOUN This instrument was acknowledged before me on this the day of 2019 by County Judge Richard Meyer, Commissioners David Hall, Precinct ne; ern Lyssy, Precinct Two; Clyde Syma, Precinct Three; and Gary Reese, Precinct Four of the Calhoun County Commissioners' Court on behalf of Calhoun County. f After Recording Return to: Port O'Connor Improvement District Attn: Office Manager P.O. Box375 Port O'Connor, Texas 77982 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 (or items) you wish to address are discussed before the Court. Instructions: Fill out�all appropriate blank�s.%Ple NAME: 'non r, � ura / e m ADDRESS: or write legibly. TELEPHONE: G)(X PLACE OF EMPLOYMENT: LN/^C 1/-•�Y/�'/1 !1G�0(� /��2� �L EMPLOYMENT TELEPHONE: 3& ( %V `.9�0q Do you represent any particular group or organization? YES W(Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: Which agenda item (or items) do you wish to address? / J In general, are you for or against the agenda item (or items)? I have read the Rules of Procedure, Conduct and Decorum. Initials �2 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. 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NLat: Oct 16 Z � ooio0Cl co �nk i ON� C OM.z}�0.0 .Q U N q)0 (C�N'o-0 cu Lyo 4" LU acM. o0)oc(DD c <D . q0 uaouyo C°aboa r/�a_aU0 =0 ro� �90 M ar 0) c E i u. oo.).'= fl�.wz TOO,� aa1,00 a) rO Z t%Ow Zo0000, G�oa Z a E AD �v 1 °aW aa)i a) U is Oo U z �ai ro o crs (WZ J�� ccrcen 1000, �N (Dcc tea)° c�aoSz jj0 o:p00W W�::.0r. s0 v) Xmow wowoco zwN.� Oda) u)a Qr4 aMN u m U) mu3.a 1--co av PriZ.*5 PZ ocoo P:5 �2 (a F--Z.a Commissioners' Court —September 25, 2014 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To approve the Final Plat of Cowboy Retreat Subdivision in Port O'Connor, Texas. (GR) Terry Ruddick, Urban Engineering, presented the plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER;' Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, geese Page 12 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 18, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for September 25, 2019. • Consider and take necessary action to approve the Final Plat of Cowboy Retreat Subdivision in Port O'Connor, Texas, Sincerely, Gary D. Reese GDR/at P.O. Box 177 � Seadrifl, Texas 77983 � email: Rary.reese(r�.calhouacoix.ore _ (361) 785-3141 � Fas (361) 785-5602 R e a A I it fi @ee § 31 §q 3��tlpP I I naam.. *tzTz- — I S3 F o C ----- e a a § ..� .� ter' _- -- z 8 w ,. m a,— �_, _ ,gods — -- -- >< M ooa .97 -- .1 �a yy. n a 3_W.e.9Z S -------------o ga --------- g� [c� �a e= �ntl e powq M ax za x 5 111 OR age . 5l 4op �6 43 L I` '� fi z 'e '°4 ® m II Q G'O m LL gQ aw s m O 7 l� m g�N CORRECTED -o EASEMENT AGREEMENT FOR RECIPROCAL ACCESS° Date: February 5, 2019 jN First Party: Herman A. Schuller Jr., spouse of Julie Schuller, dealing with separate property First Party's Mailing Address: Herman A. Schuller Jr. P.O. Box 545 i Waller, Texas 77484 Second Party: Clint Sciba, spouse of Ashley Sciba, dealing with separate property J Second Party's Mailing Address: Clint Sciba 48337 Old Houston Hwy Hempstead, Texas 77445 Second Party's Lienholder: First National Bank of Be1lville Second Party's Lienholder's Address: 100 E Main St, Bellville, TX 77418 Third Party: Paul Schroeder, spouse of Jennifer Schroeder, dealing with separate property Third Party's Mailing Address: Paul Schroeder 20801 FM 362 ` . — Waller, Texas 77484 First Party's Property: North %2 of Lot Three (3), Block One (1), Outlot One (l), Outblock Fifteen (15) and Outlot Two (2), Outblock Sixteen (16) as described by General Warranty Deed with Vendor's Lien dated July 19, 2013, conveyed by Paul A. Schroeder and Marty W. Pickett to Herman A. Schuller Jr., as recorded in Instrument No. 135772, Official Public Records, Calhoun County, Texas. Second Party's Property: Lot Four (4), Block One (1), Outlot One (1), Outblock Fifteen (IS) and Outlot Two (2), Outblock Sixteen (16) as described by General Warranty Deed dated November 30, 2009, conveyed from Clark Family Realty, Ltd to Clint W. Sciba, as recorded in Instrument No. 119132, Official Public Records, Calhoun County, Texas. 2019-01151 04/01/2019 11:44:13 AM Page 2 of 11 Third Party's Property: South ''/z of Lot Three (3), Block One (1), Outlot One (1), Outblock Fifteen (15) and Outlot Two (2), Outblock Sixteen (16) as described by General Warranty Deed dated July 19, 2013, conveyed from Marty W. Pickett to Paul Schroeder, as recorded in Instrument No. 135773 of the Official Public Records, Calhoun County, Texas. Easement Purpose: For providing free and uninterrupted pedestrian and vehiculaz ingress to, egress from, and access across and between First Party's Property, Second Party's Property and Third Party's Property, and portions thereof. Access Easement Legal Description: See Exhibit "A" attached hereto. Consideration: The sum of TEN AND NO/100 DOLLARS ($10.00) and other good and - valuable consideration; the receipt -and -sufficiency of which aro hereby acknowledged by the Parties. Reservations from Conveyance of't'irst Party's Property: None. Exceptions to Warranty of First Party's Property: None. Reservations from Conveyance of Second Party's Property: None. Exceptions to Warranty of Second Party's Property: None. Reservations from Conveyance of Third Party's Property: None. Exceptions to Warranty of Third Party's Property: None. Grants of Easements: Pirst Party, for the Consideration and subject to the Reservations from Conveyance of First Party's Property and Exceptions to Warranty of First Party's Property, grants, sells, and conveys to Second Party and Third P:%rty and their heirs, successors, and assigns an easement to, _ over, and across First Party's Property for the Easement Purpose and for the benefit of all or any portion of Second Party's and Third Party's Property, together with all and singular the rights and appurtenances thereto in any way belonging, to have and to hold the easement, rights, and appurtenances to Second Party and Third Party and their heirs, successors, and assigns forever. First Party binds First Party and First Party's heirs, successors, and assigns to warrant and forever 2019-01151 04/01/2019 11:44:13 AM Page 3 of 11 defend the title to the easement, rights, and appurtenances in Second Party and Third Party and their heirs, successors, and assigns against every person whomsoever lawfully claiming or to claim the easement, rights, or appurtenances, or any part thereof, except as to the Reservations from Conveyance of First Party's Property and Exceptions to Warranty of First Party's Property. Second Party, for the Consideration and subject to the Reservations from Conveyance of Second Party's Property and Exceptions to Warranty of Second Party's Property, grants, sells, and conveys to First Party and Third Party and their heirs, successors, and assigns an easement to, over, and across Second Party's Property for the Easement Purpose and for the benefit of all or any portion of First Party's and Third Party's Property, together with all and singular the rights and appurtenances thereto in any way belonging, to have and to hold the easement, rights, and appurtenances to First Party and Third Party and their heirs, successors, and assigns forever. Second Party binds Second Party and Second Party's heirs, successors, and assigns to warrant and forever defend the title to the easement, rights, and appurtenances in First Party and Third Party and their heirs, successors, rod assigns against every person whomsoever lawfully claiming or to claim the easement, rights, or appurtenances, or any part thereof, except as to the Reservations from Conveyance of Second Party's Property and Exceptions to Warranty of Second Party's Property, Third Party, for the Consideration and subject to the Reservations from Conveyance of Third Party's Property and Exceptions to Warranty of Second Parry's Property, grants, sells, and conveys to First Party and Second Party and their heirs, successors, and assigns an easement to, over, and across Third Party's Property for the Easement Purpose and for the benefit of all or any portion of First Party's and Second Parry's Property, together with all,and singular the rights and appurtenances thereto in any way belonging, to have and to hold the easement, rights, and 201941151 04/01/2019 11:44:13 AM Page 4 of 11 appurtenances to First Party and Second Party and their heirs, successors, and assigns forever. Third Party binds Third Party and Third Party's heirs, successors, and assigns to warrant and forever defend the title to the easement, rights, and appurtenances in First Party and Second Party and their heirs, successors, and assigns against every person whomsoever lawfully claiming or to claim the easement, rights, or appurtenances, or any part thereof, except as to the Reservations from Conveyance of Third Party's Property and Exceptions to Warranty of Third Party's Property. The easements, rights, and appurtenances hereby granted by and between First Party, Second Party and Third Party are re I'rrred to herein as the "Easements." First Party's Property, Second Party's Property, and Third Party's Property are sometimes referred to herein collectively as the "Properties." First Party, Second Party and Third Party are sometimes referred to herein individually as a "Party" and collectively as the "Parties," Terms and Conditions: The following terms and conditions apply to the Easements granted by this agreement: I. Character of Easements. The Easements are appurtenant to and run with the Properties, and portions thereof, whether or not the Easements are referenced or described in any conveyance of the Properties, or any portion thereof. The Easements are for the benefit of the Parties and the heirs, successors, and assigns of the Parties who at any time own the Properties or any interest therein (as applicable, thy• "Holders"). 2. Duration of Easement..'. The duration of the Easements is perpetual. 3. Nonezclusiveness of Easements. The Easements are nonexclusive, and each of the Parties reserves for itself and its heirs, successors, and assigns the right to use all or part of the Easements in conjunction with any other Holder and the right to convey to others the right to 2019-01161 04/01/2019 11:44:13 AM Page 5 of 11 use all or part of the Easements in conjunction with the Holders, as long as such further conveyance is subject to the terms of this agreement. 4. Use and Location of Easements. The Parties and other Holders will be entitled to exercise direct access to and betwec: the Properties without interference except as set forth in this agreement and to use all access areas, driveways, and parking lots located on any portion of the Easement described in this Agreement. A Holder may erect curbs or other barriers to traffic between the Properties owned by that Holder and adjacent portions of the Properties, including but not limited to differences in grade levels, only to the extent that such curbs or other barriers will not unreasonably interfere with or restrict direct access to and between the Properties by the Holders of other portions of the Properties and their employees, customers, and other invitees. A Holder may erect buildings and other improvements on the portion of the Properties owned by that Holder only to the extent that the buildings and other improvements will not unreasonably interfere with the use of and access to the access areas, driveways, and parking lots on such portion of•the Properties by the other holders and their employees, customers, and other invitees. A Holder's employees, customers, and other invitees will not be entitled to park on the other Holder's Properties but will be permitted to walk or drive across and otherwise traverse the Properties to obtain ingress to or egress from the other Properties. 5. Maintenance of Easement Properly. All access ways, driveways, and parking lots located on the Properties must be maintained at a level of appearance and utility consistent with the highest industry standards then prevailing for similarly used properties in the market in which the Properties are located. Each Holder will be solely responsible for the costs of maintaining the access ways, driveways, and parking lots located on that Holder's Properties. If a Holder does not perform the required maintenance then any other Holder, after giving the 2019-01151 04/01/2019 11:44:13 AM Page ti of 11 nonperforming Holder thirty dayswritten notice, will have the right to perform the maintenance and receive reimbursement from the nonperforming Holder. Reimbursement will be payable on demand and include the costs of the maintenance, plus interest at the highest rate permitted by law (or if no maximum rate is prescribed by law, at the rate of I8 percent per year). 6. Righ/s Reserved. Each Party reserves for that Party and that Party's heirs, successors, and assigns the right to continue to use and enjoy the surface of the Properties for all purposes that do not urueasonably interfere with ar interrupt the nse or ertjoyment of the Easements. 7. Eguitable Rights of Enforcement. These Easements may be enforced by restraining orders and injunctions !temporary or permanent) prohibiting interference and commanding compliance. Restraining orders and injunctions will be obtainable on proof of the existence of interference or threatened interference, without the necessity of proof of inadequacy of legal remedies or irreparable harm, and will be obtainable only by the Parties to or those benefited by this agreement; provided, however, that the act of obtaining an injunction or restraining order will not be deemed to be an election of remedies or a waiver of any other rights or remedies available at law or in equity. 8. Attorneys Fees. If either Party retains an attorney to enforce this agreement, the Party prevailing in litigation is entitled to recover reasonable attorneys fees and court and other costs. 9. Binding E,Jfect. Thi:agreement binds, benefits, and may be enforced by the Parties and their respective heirs, successors, and permitted assigns. 10. Choice of Law. This agreement will be construed under the laws of the state of Texas, without regard to choice -of --law roles of any other jurisdiction. Venue is in the county or N. 201M1151 04/01/2019 11:44:13 AM Page 7 of 11 counties in which the Properties are located. 11. Counterparts. This agreement may be executed in multiple counterparts. All counterparts taken together constitute this agreement. 12. 6raiver of Default. A default is not waived if the nondefaulting Party fails to declare immediately or delays in tat ing any action with respect to the default. Pursuit of any remedies set forth in this agreeme:ttt does not preclude pursuit of other remedies in this agreement or provided bylaw. I3. Furtlter Assurances. Each sibmatory Party agrees to execute and deliver any additional documents and instruments and to perform any additional acts necessazy or appropriate to perform the terms, provisions, and conditions of this agreement and all transactions contemplated Uy this agreement. 14. Indemnity. Each Party agrees to indemnify, defend, and hold hamtless the other Party frorn any loss, attomey's fees, expenses, or claims attributable to breach or default of any provision of this agreement by the indemnifying Patty. The obligations of the Parties under this provision will survive termination of ibis agreement. 15. Survival. The obligations of the Parties in this agreement that cannot be or were not performed before termination of this agreement survive termination of this agreement. 16. Entire Agreement. This agreement and any exhibits are the entire agreement of the Parties concerning their respective Properties and the reciprocal Easements granted by the Parties. There are no representations, agreements, warranties, or promises, and neither Party is relying on any statements or representations of the other Party or any agent of the other Party, that are not in this agreement and its exhibits. 17. Legal Construction. If any provision in this agreement is unenforceable, to the 2019-01151 04/01/2019 11:44:13 AM Page 8 of 11 extent the unenforceability does not destroy the basis of the bargain among the Parties, the unenforceability will not affect any other provision hereof, and this agreement will be construed as if the unenforceable provision had never been a part of the agreement. Whenever context requires, the singular will include the plural and neuter include the masculine or feminine gender, and vice versa. This agreement will not be construed more or less favorably between the Parties by reason of authorship or origin of language. IS. Notices. Any notice required or permitted under this agreement must be in writing. Any notice required by this agreement will be deemed to be given (whether received or not) the earlier of receipt or three business days after being deposited with the United States Postal Service, postage prepaid, certified mail, return receipt requested, and addressed to the intended recipient at the address shot%n in this agreement. Notice may also be given by regular mail, personal delivery, courier delivery, or e-mail and will be effective when received. Any address for notice may be changed by written notice given as provided herein. Clint 2019-01151 04/01/2019 11:44:13 AM Page 9 of 11 STATE OF TEXAS ) COUNTY OF W UU ) This instrument was acknowledged before me on Herman A. Schuller Jr.. Notary Public, State of Tex`as My commission expires: STATE OF TEXA'�S ) COUNTY OF GU hogn ) This instrument was acknowledged before me on Clint Sciba. Notary Public, State of Texas � Z� - My commission expires: Z STATE OF TEXAS ) COUNTY OF G U ) This instrument was acknowledged before me on Paul Schroeder. • t r cwv Nota y Public, State of Texas rr,A� My commission expires: 1 2019-01151 04/01/2019 11:44:13 AM Page 10 of 11 Consent and Sa ordiontion by Lmen holder Lienholdor, as the holder of alien on the second property, consents to the above grants of Easements, including the terms and conons of the grants, and Livia holder subordinates its lion to the rights and interests of Holders, so that a foreclosure of the lien will not extinguish the rights and interests of Holders. First la, of Belivilie By:_ / / Printed Name: GLEN A. LANGE Title: Vice Protident STATE OF TBXAS COUNTY OF AUSTIN This instrument was acknowledged before the on Marrh ��% , 2019, byrlFNN A IAmrr Vic Pr sid nQfFirstNationalBankofBellvillo €`a.','="i'�� NEELY F. GRAWUNDER 3 ; < Notary Public, State of Texas Commission Expires 07.09.2020 'IV Notary ID 852071.8 AItBPARBD W THE OFFICE OF: The Law Offices of Trey Duhon P.O. Box 640 Waller, Texas 77484 Tel: 936.931.9627 Fax: 936637241200 Natary Public, State of Texas My commission expires: 2019-01151 04/01/2019 11:44:13 AM Page 11 of 11 Exhibit A 5100.00 SQUARE FEET THE STATE OF TEXAS} THE COUNTY OF CALHOUN} BEING a 5100.00 squaze feet access easmtmt situated is Calhoun County, Texas om of Outlot 1, Outblock 15, and Outlot 2, Outblock 16, Port O'coanor Townsite Outlots, Resubdivision No. I, as recorded iaVolume 2, Page 755, Plnt Records, Calhoun County, Texas, and being comprised of a called North 1/2 of Lot 3, Block 1, Oudot 1, Outbloek 15, and Wtlot 2, Outblock 16, described by Warranty Deed with Vendor's Lim dated July 19, 2013, conveyed frgm Paul A. Schroeder and Mary W. Pickett to Herman A. Schuller Jr., as recorded in InslnmrmtNo. 135772, Official Public Records, Calhoun County, Texas, a raped lot 4 ,Block 1, Outlot 1, Outblock I5, and Outlot 2, Outblock 16, descdbed by General Warranty Deed dated November 30, 2009, conveyed from Clerk Family Realty, LTD to Cgat W. Sciba, as recorded in Instrument No. ] 19132, Official Public Records, Calhoun County, Texas and South U2 of Lot 3, Block 1, Outlot 1, Outblock 15, and Outlot 2, Outblock t6, described by General Warranty Deed dated July 19, 2013, conveyed from Marty W. Pickett to Paul A Schroeder, as recorded in instrument No. 135773 of the Official Public Rxords, Calhoun County, Texas, said 5100.OD square feet access easement being mom Cully described by metes and bounds as follows: BEGINNING at a found 5/B" steel robaz along [ba somh line of Harrison Avenue (60.foot Right - of -Way) maz&ingthc north comer of Lot 3 end being the west comer of Lot 4; THENCE, North 63°22'00" Bast, along the common line between said Harrison Avenue and said Lot 4, a distance of 10.00 feat to a set 5/8" steel rebar, for We north comer of the herein described casement; THENCE, South 26°38'00" East, dopatting Harrison Avenue, into said.Lot 4, a distance of 254.98 feetto a set 5/8" steel rebar forthe east coma of the huein described easement; TAENCE, South 63°23'15" West, along the interior of said Lot 4, crossing the wrnmon line between said Lot 4 and said lot 3 at a distmco of 10.00 fcet and continuing for a total distmce of 20.00 feet to a set 5/8" steel rebar for the southcomu of the herein desanbed easement; THENCE, North 26°38'00" West. along the interior of said Lot 3, a distmce of 254.98 feet to a set 5/8" steel rebar, along the common line between said Lot 3 and said Hanson Avenue foz the west coma of the herein described easement; THENCE, North 63°22'00"East, along the common line between said Harrison Avenue and said Lot 3, n distance of 10.00 feet to the POINT OF BEGINNING, CONTAINING within these metes and botmds a 5100.00 squaze feet tract of land, more or less. All set S!8 inch diameter steel rebar mazkod with yellow plastic cap stamped "URBAN SURVBYWG, INC" Bearings are bassi on beatings of record rrxorded in Volume Z, Page 755, Plat Records, Calhoun County, Texas. The foregoing legal description and accompaeying survey plat woe prepared from en actual survey made on the ground undo my supervision is Novambcq 2018 and aze mre end coneet to tha b t of my Imowledge and belief. �oy9.F,. .� � gee ..�� ..... ... Urb Surve ng,7ao. I TERRYT.RUOFIICK By: anyT. uddick t�3lia Registered Professional Land Surveyor �;p �4943 ��•• C➢•PFE39�R•' OQ Texas No. A943 '�'ri':::w:.,G'1 S22S91.00-5100.00 square feet � .., � , � 1 t•a •i�qr,' )� Commissioners' Court — September 25, 2019 15. CONSIDER AND TAKE NECESSARY ACTION (AGNEDA ITEM NO. 15) To approve the Preliminary Plat and Drainage Plan of Phase 2 of the Sanctuary Subdivision Lot 86R. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 13 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 9, 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 25, 2019. • Consider and take necessary action to approve the Preliminary Plat and Drainage Plan of Phase 2 of the Sanctuary Subdivision Lot 86R, Sincerely, Gary D. Reeser Gary D. Reese GDR/at P.O. Box 177 _ SeadriR, Texas 77983 � email: earv.reese(�calhouucotx.org _ (361) 785-3141 � Fax (361) 785-5602 �e `. Aft a o \£ jj @d; a Sz cgs o a u is�; aCUL d supMIL F @ g Ica €3 § aall OF to a ,is x"awoo Z ,. F 0 m % \ Z OnR Ui g� OREVV\\ § MA \ \; -~ r .oUr \ \ 8' Zm s \\ g o� w :n p .. 8 '� \ N o wo rx ao v 1 \ \ a -w Iv \ }\VP I44 �. '"Aar M IV, cI V, Leo v �� .. v v CL LL yLk r,5"g r tlgi4yR Or Id F 11 .Y- 8 '� s. � 9 Ilia Commissioners' Court —September 25, 2019 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) To approve the Preliminary Plat and Drainage Plan of REB TX Coastal Properties, LLC. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 14 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 9, 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 25, 2019. • Consider and take necessary action to approve the Preliminary Plat and Drainage Plan of REB TEX Coastal Properties, LLC. Sincerely, Cary a. �Leeber Gary D. Reese GDR/at P.O. t3ox 177 _Seadrift, "Texas 77983 _ email: � .r�Cr�calhouncotx.ore _ (361) 785-3141 � Fax (361) 785-5602 Z. z Commissioners' Court — September 25, 2019 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) To approve the Preliminary Plat and Drainage Plan of Caracol Lot 35R. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 15 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 99 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 25, 2019. • Consider and take necessary action to approve the Preliminary Plat and Drainage Plan of Caracol Lot 35R. Sincerely, Gary D. Reese GDR/at P.O. Box 177 � Seadrift, Texas 77983 � email: eary reese(n�calhouncotx.ore _ (361) 785-3141 —Fax (361) 785-5602 o M Q 88 J �q �m O U � o� U s Commissioners' Court — September 25, 2019 18. Accept Annual Road Reports from all Commissioners. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 16 of 20 9t pieo TA 4% +\ 1 / � `9 �C-�� \`�,_�w RICHARD H. MEYER Calhoun County Judge 211 S. Ann Street, Suite 301 � Port Lavaca, Texas 77979 (361) 553-4600 � Fax (361) 553-4444 � Email: richard.meyer@calhouncotx.org September 26, 2019 TO: 2019 Grand Jury RE: Annual Road Report GRAND JURY FOREMAN Attached is the Annual Road Report from each precinct as required by Section 251.005 of the Texas Transportation Code. These reports have been filed in the Official Record of the September 25, 2019 Commissioners' Court meeting. R CHARD H. MEYER Calhoun County Judge RHM/mbc www.calhouncotx.org P� r. I STATE OF TEXAS COUNTY OF CALHOUN ANNUAL ROAD REPORT 1. Condition of each road, culvert, and bridge in the precinct: 2. Amount of money necessary for maintenance of the precinct roads during the next fiscal year: j e<: o r 3. Number of traffic control devices in the precinct defaced or torn down: 4. Any new road that should be opened in the precinct: Any bridges, culverts, or any other improvements necessary to place the precinct roads in good Do d condition, and the probable cost of the improvements: S Submitted by the tmdersigned on this _��d�y/of = 20 Sr} scribed and sworn to, before me, the undersigned authority, this Z 5.4-k, day of , 20 ( di i o� Notary Public My Commission Expires (File in minutes and submit to grand jury with a copy of any road work contracts for past year during month of county fiscal year — Section 251.005, Transportation Code) COUNTY OF CALHOUN PRECINCT NO: 2 1. Conon of ANNUAL ROAD REPORT road, culvert, and bridge in the precinct: 2. Amount of Money necessary for maintenance of the precinct roads during the next fiscal year: �S 3. Number of traffic control devices in the precinct defaced or torn down: 4. Any new road that should be opened in the precinct: 5. Any bridges, culverts or other improvements necessary to place the precinct roads in good condition, and the probably cost of the improvements: Submitted by the undersigned on this E;'t�-v% day of=�`��`��` � � !_� <-� , 2019. Vern Lyssy, omn issioner, Precinct #2 Subscribed and sworn to, before me, the undersigned authority, this day of `fie f2`1 L)Le 2019. f— �� •� ,Off*PUS' e Notary Publ&c '•. ilf Of SF STATE OF TEXAS COUNTY OF CALHOUN ANNUAL ROAD REPORT l . Condition of each road, culvert, and bridge in the precinct: Fair-- Repaving of few county roads required. 2. Amount of money necessary for maintenance of the precinct roads during the next fiscal year: $ 79,754.00 3. Number of traffic control devices in the precinct defaced or tone down: 4. Any new road that should be opened in the precinct: None 10 5. Any bridges, culverts, or any other improvements necessary to place the precinct roads in good condition, and the probable cost of the improvements: Re -paving and seal coating few county roads $79,754.00 Submitted by the undersigned on this � �' day of S�`�R �La` , 20 f � Comr, sion r, Precinct No. 3 S bscribed and sworn to, before me, the undersigned authority, this Zvi• � day of ,20 (c9 f Notary Public MAEBELLECASSEL MyNotuylD#132012524 My Commission Expires DO" May Us 2023 (File in minutes and submit t grand jury wi h a copy of any road work cone acts for past year during month of county fiscal year -Section 251.005, Transportation Code) STATE OF TEXAS COUNTY OF CALHOUN ANNUAL ROAD REPORT 1. Condition of each road, culvert, and bridge in the precinct: and culverts are in good condition. 2. Amount of money necessary for maintenance of the precinct roads dut ing the next fiscal year: 3. Number of traffic control devices in the precinct defaced or torn down: 4. Any new road that should be opened in the precinct: Madison Avenue between 4th & 6th Streets in Port O'Connox Texas 77982 20 5. Any bridges, culverts, or any other improvements necessary to place the precinct roads in good condition, and the probable cost of the improvements: Sikes Road Bridge is at 95 % completion and Guadalupe River Road Bridge is slated to begin construction in November 2019 by TXDot. Submitted by the undersigned on this /'7_ day of JjJ2A1YjV,201q Commiss ner,PrecinctNo. 4 Sub cribed and sworn to, before me, o"„','.'P' APRIL T0INNSEND z'• en�s Notary Public, State of Texas 9; + < Comm. Expires 05-16-2021 Notary ID 126901398 m v%.. the undersigned authority, this �� day of Notary iublic My Commission Expires (File in minutes and submit to grandjury with a copy of any road work contracts for past year during tnonth of county fiscal year —Section 251.005, Transportation Cade) Commissioners' Court — September 25, 2019 19. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 19) To declare Conex at Fair Ground Pavilion as waste and authorize disposal. (RM) RESULT: MOVER: SECONDER: AYES: APPROVED[UNE David Hall, Comm! Gary Reese, Comn Judge Meyer, Com Pct 4 r all, Lyssy, Syma, Reese Page 17 of 20 Mae Belle Cassel From: david.hall@calhouncotx.org (David Hall) <david.hall@calhouncotx.org> Sent: Thursday, September 19, 2019 10:45 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: [WARNING -Remote attachments, verify sender] Waste Declaration Request - Conex at the fairgrounds Attachments: Waste Declaration Request - Conex.pdf From: kdsutherland@ag.tamu.edu (Katherine Sutherland) [mailto:kdsutherland@ag.tamu.edu] Sent: Thursday, September 19, 2019 8:45 AM To:'david.hall@calhouncotx.org' <david.hall@calhouncotx.org>; vern.lyssy@calhouncotx.org Cc: Karen P. Lyssy <Karen.Lyssy@ag.tamu.edu>; Candice Villarreal (candice.villarreal@calhouncotx.org) <candice.villarreal@calhouncotx.org> Subject; [WARNING -Remote attachments, verify sender] Waste Declaration Request - Conex at the fairgrounds Commissioner Hall, we are wanting to remove the extension conex by the pavilion. Per Candice it is not on our inventory but it is on the Calhoun County insurance policy. The conex is in bad shape with holes, leaking inside and very rusty. We are in the process of wanting to purchase another conex to replace this one in question. Please add this to the commissioner's court to have the conex disposed of. I have attached the Waste Declaration Request Form. Please let me know if there is any other information you need. Thank you for your help. Calhoun County Texas Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Nam C,ck"n Q*nQ4j Requested By: SS �y Commissioners' Court — Septernber 25, 2019 20. ACCEPT RPERORTS FROM THE FOLLOWING COUNTY OFFICES: 1. County Clerk's Office —August 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct I AYES: Judge Meyer,Commissioner Hall, Lyssy, Syma, Reese Page 18 of 20 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION AUGUS72019 DESC GL CODE :CRIMINAL OFFICIAL PUBLIC RECORDS PROBATE TOTAL DISTRICT ATFORNEY FEES 1000-44020 $ 567.88 $ 567.88 BEER LICENSE 1000-4zo10 $ 10.00 $ 10.00 COUNTY CLERK FEES 3000-49030 $ 939.70 $ 899.75 $ 11,444.90 $ 160.00 $ 73,444.35 APPEAL FROM IP COURTS 1000-49030 $ - $ COUNTY COURT AT TAW ki JURY FEE 3000-44140 $ - IURYFEE 1000�44140 $ - $ - $ ELECTRONIC FILING FEES FOR E-FILINGS 1000-49058 $ 56.00 $ - $ - $ 102.00 $ 158.00 IUDGE'S EDUCATION FEE 1000-94160 $ - $ - $ - $ 5.00 $ 5.00 1DDGE$ORDER/SIGNATURE IOOa-44180 $ 24.00 $ - $ - $ 46.00 $ 70.00 SHERIFF'S FEES 1000-44190 $ - $ 490.62 $ - $ 50.00 $ 540.62 VISUAL 0.ECORDER FEE 3000-94260 $ 91.87 $ 91.87 COURT REFPORTER FEf 3000-44z]0 $ 210.00 $ - $ - $ 15.00 $ 225.00 RESTITUTION DUETO OTHERS 1000-49020 $ ATTORNEY FEES-COU0.T APPOINTED 5000-99030 $ 491.00 $ 491.00 APPELLATE FUND (TGC)FEE 2620-44030 $ 80.00 $ 5.00 $ 85.00 TECHNOLOGY FUND 2663-44030 $ 89.99 $ 89.99 COURTHOUSE SECURITY FEE 26]0-94030 $ 80.00 $ 67.46 $ 476.00 $ 20.00 $ 583.46 COURT INITIATED GUARDIANSHIP fEE 26]2-44030 $ 20.00 $ 20.00 COURT RECORD PRESERVATION FUND 26]3-44030 $ 160.00 $ - $ 70.00 $ 170.00 RECORDS ARCHIVE FEE 26]5-99030 $ 3,970.00 $ 3,970.00 DRUG &ALCOHOLCOURT PROGRAM 2698-44030-005 $ 314.07 $ 314.07 JUVENILE CASE MANAGER FUND 2699-44033 $ - $ FAMILY PROTECTION FUND 2]06-44030 $ 75.00 $ 75.OD IUVENIIE CRIME&DELINQUENCY FUND 2]SS-44030 $0.00 $ - PRE-TRIAL DIVERSON AGREEMENT 2]29-94034 $ 250.00 $ 250.00 TAW LIBARY FEE 2]31-04030 $ 490.00 $ 35.00 $ 525.OD REC00.D5 MANAGEMENT FEE -COUNTY [LERKK 2]38-94380 $ 56.23 $ 4,090.00 $ 4,146.23 RECORDS MANGEMENT FEE -COUNTY 2]39-0403D $ 75.00 $ 506.11 $ 20.00 $ 601.11 FINES -COUNTY COURT 2]40-45090 $ 4,778.63 $ 4,778.63 BOND FORFEITURE 2]90-45050 $ STATE POLICE OFFICER FEES -STATE (DP6) (20%) ]020-20]4D $ 5.36 $ 5.36 CONSOLIDATED COURT COSTS -COUNTY JO]0-20610 $ 187.14 $ 181.14 CONSOLIDATED COURT COSii-STATE ]0]0-20]90 $ 7,630.23 $ 1,630.23 IVOICIALAND COURT PERSONNEL TRAINING-ST I300%) J502-20]4D $ 75.00 $ - $ 5.00 $ 80.00 DRUG &ALCOHOL COURT PROG0.AM-COUNTY ]39tr20610 $ 62.87 $ 62.81 DRUG &ALCOHOL COURT PflOGRAM-STATE ]390-20]90 $ 251.25 $ 251.25 STATE ELER0.0NIC FILING FEE -CIVIL J403-2288] $ 450.00 $ - $ 30.00 $ 480.00 STATE ELECTRONIC FILING FEE CRIMINAL ]403-22990 $ 712.44 $ 172.44 EMS TRAUMA -COUNTY (10%I ]405-20630 $ 627.33 $ 627.33 EMS TRAUMA -STATE (90%) J405-20]40 $ 69.70 $ fi9.70 cIVILIN01GfNT FEE -COUNTY ]480.20610 $ 8.00 $ 0.50 $ 8.50 CIVILINDIGENT FEE -STATE ]480-20]40 $ 152.OD $ 9.50 $ 161.50 IVOICIAL FUND COURT mSTS ]49s-zol4o $ 337.47 $ 337.41 IUDICIALSAIARY FUND -COUNTY (SD%) ]505-20630 $ 13.10 $ 73.10 1U01CIAL5AlARY FUND -STATE (9D%) ]505-20]40 $ 117.87 $ 117.87 IUDICIALSALARV FUND(CIVIL&PROBATE)-STATE J505-2079P005 $ 588.00 $ 42.00 $ 630.00 TRAFFIC LOCAL (ADMINI6TRATIVE FEESI ]538-22884,1000-44359 $ 6.57 $ 6.57 COURT COST APPEALOFTRAFFIL REG (1P APPEAL) ]538-22885 $ - BIRTH -STATE J855-20]80 $ 183.60 $ 183.60 INFORMAL MARRIAGES -STATE ]855-20]82 $ - $ JUDICIAL FEE ]855-20]86 $ 560.00 $ - $ 40.00 $ 600.00 FORMAL MARRIAGES-SFATE ]855-20]88 $ 240.00 $ 240.00 NONDISCLOSURE FEE -STATE ]855-20]90 $ - $ - $ - $ TCLEOSE COU0.T COST -COUNTY (10%) ]B66-20610� $ 0.10 $ 0.10 TClEOSE COURT COST -STATE (90%) ]856-20]40 $ 0.89 $ 0.89 IURY REIMBURSEMENT FEE -COUNTY (30% J85]-20610 $ 8.74 $ 8.74 IURY REIMBURSEMENT FEE -STATE (90%) ]B6J-20]4D $ 78.62 $ 78.62 STATE TRAFFIC FINE -COUNTY (6%) ]860-20610 $ 3.01 $ 3.01 STATE TRAFFIC FINE -STATE (95%) ]860-20]90 $ 57.28 $ 57.28 INDIGENT DEFENSE FEE -CRIMINAL-COUNTY (30%) ]865-20610 $ 4.38 $ 4.38 INDIGENT DEFENSE FEE -CRIMINAL -STATE (90%) J865-20]40 $ 39.38 $ 39.38 TIME PAYMENT -COUNTY (50%) ]950-20610 $ 199.88 $ 199.88 TIME PAYMENT -STATE (50%) ]950-20]40 $ 199.88 $ 199.88 BAIL LUMPING AND FAILURE TO APPEAR -COUNTY ]9]0-20610 $ - BAILIUMPINGANDFAILURETOAPPEAR-STATE ]9]0-20]90 $ DUE PORT IAVACA PD 9990-09991. $ 4899 $ :48.99. DUE SEADRIFF PD 999099992 $ $ DUETO POINT COMFORT PD 999099993 $ 0.44 $ 0.44 OUETO TE%116 PA0.K5&WILDLIFE 999099999 $ 1;600.00 $ 1,600.00. DUETO TEAS PARKS&WILDLIFE WATER SAFELY 999099996. $ DUETO TABG 9990 99996 $ OUETO ATTORNEY AD IITEMS 999099997: $ DUf TOOPEMTING/NSF CHARGES%DUE TO OTHERS $ $ (592.00) $ $ (592.00) $ 4,022.70 $ 74,260.39 $ 19,762.50 $ 615.00 $ 38,660.59 TOTAL FUNDS COLLECTED $ 38,660.59 - FUNDSHELDINESCROW: $ - AMOUNT DUE TO TREASURER: $. :.: 37;fiO3.16. TOTAL RECEIPTS $36,660.59.' AMOUNT DUE TO OTHERS: $ 1,057.43 ' CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION '' AUGUST 2019 CASH ON HAND REGISTRY OF COURT FUNDS IPROSPERI7Y1 BEGINNING BOOK BALANCE �/31/2019 $ 134,952.70 FUND RECEIVED $ 9,700.00 DISBURSEMENTS $ 7,094.00) ENDING BOOK BALANCE : 5/31/2ai9:: $ 137,558.70 OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" 8/31/2019 $ 744,876.40 ::CD'S Dale lssuetl Balance Pu�hases/. Withtlrawals Balance. `mav2o7s meerese oe/av7s 7nabo 7/z4/zola $ 1,esssz $ $ 1,asssz 70441 1/24/207II $ 10,122.64 $ 10,722.64 70442 V24/2018 $ 1,261.56 $ 1,267.56 70443 7/25/2018 $ 1,261.56 $ 1,267.56 10444 i/25/2078 $ 9,527.01 $ 9,527.01 70445 i/25/2018 $ 9,527.01 $ 9,527.01 70446 7/25l2018 $ 9,527.01 $ 9,527.01 70449 2/2/207a $ 19,974.58 $ 57.90 $ 20,032.4a 70454 3/2/2078 $ 3,551.56 $ $ 3,557.56 70455 3/2/2018 $ 3,551.56 $ $ 3,557.56 $ $ TOTALS: $'70,171.11 $ -57.90 $ $ '70,229.01 f1 Y ��t'`� /°4 ��'r6i�a snono7s Submitted by: Anna M Goodman, County Clerk Date Commissioners' Court —September 25, 2019 21. Consider and take necessary action on any necessary budge adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Vern,Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner. Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma,',Reese Page 19 of 20 O Z Z LL O m O z F z W z Q a W a aA v � 8 �aew� C W CV m � a w OG Z � 4i o a w� �e o a �W z z w z c g o Zw O F a w L) =I w w f� n fD w O N o ao oP = co M ri - Co a w =z yZj 6�0 =z yZj C�i _za =Za o =W W 00 0 =o w w w w w =W EW z = N B W a J = W J J Q d R < W O w W ° = i O W i" w z N = , > r Q h V O = z=o z _3 v IL NR' _ �Qti z =Q 0 �z LU W U W r Q - z 0 O N = W U Q LL zz _ aFqt�q LLI O z rn 0 W �I W LL N rn =W a o=c 5v a z =z� LL a =� =1= w w =ez =z L6 =0 W =0 N _w =0 ~ _U) ui =z =_a� z aW =Z N y w =Z N y a =I= Q a =F' W o W _ O LLI LLI_� WLLI a = W ly W w N = W Ip W M =Q a QIfO =Q a C to O O ;O 91 :No :Z iz ;IY iF iW 0 0 0 0 0 Q N O O t(J O ....�� p v f9 fR �J O J p N N N N Ce C4 V� m f uQam � 4Yr7 p ui 0 0 0 0 0 O �I ER E9 fA fA fA W 0 0 0 0 0 wl v> » F» F» F» a6 Z eta z z z z z Z Z QQ QQ QZQ 00000 00000 z z z z z e a rn rn rn rn rn rn rn rn rn rn ra Z O O Z F H � 62 W w m N Z Z W U U_ m 0 w 6(D(D Ow aaWo3 f =IL T > > > LU O oa0W0 Q Q U F m Z N O N O �f1 N m m O v O O (O O O W 2 � pp A �IzI i0 i� �V !W i� Rik c i0 0 � eta z 6 z wzz z z e z rn rn rn rn w 0 a C7 Q � U w w a z z U W w pp Q O O N a Nw Q � DD F- Q O e o m oo v 6 0 0 i ti _ Wt (D M O rn 0 O mC M N rn OO !9 f9 z w w Z 8 C W N m m � m m M M w �N �e M �w`Arn`flo`Am m EZ pW o 0 0 0 0 0 0 :� ei wE»v�iaw w F gcip W sl iQ O se 'W V o00000 0 W� a i 7 y O J J \ ¢ a V O O O o N U No > m F-F- f-F-F-Z w iV(DCD(9(D( a Q U 00;W Z z z z z z w e 7 z rn rn rn rn rn ° 6 rn m rn rn rn z i t1 t01 C w iZ R w w iW Z ( w z LU X z iW W wp i Z ~ ° �C)W iZ N z O Z w F a w�-U)O ;Z W D u z Lu o !W Z �aFFn z ZD0D< W U U O U LLI !O a 10 O z z W 2 d W G o W Z L 6D d0 � b w BI aB m c 49I� 6 w e 0 p4W6Qq�1 �a 0c z w �e o c TWIN 6 oe a L 6 � OC uj N L 4 C O -( O; zl o m rn c 6 � � Yi o N y dim m Q WIN H3 B o v � C WIN m a�7 w e M WIN ME �a z w �e INN z C � � v 2 " Z Qz Qz 00 C LL �Irnrnv w ZI m a g 7 O Q N U o C � 'i T w e2 z F� W Z J =W W o V o VIC 2 COzz�- z z 2 m m m 6 d' w N }Q Cf wCL 2 w w 0 e 0 0 0 0 0 0 zl�e 0 0 0 0 0 0 z W �a z z z 999 h z z z Z e O �Irn rnrn u a o �w w U O ¢ a a a Zws OF a H p w O Z Q U MN 0 0 0 a Iz e e ono � o _N 6 0 � k k « § B kct C: k § « B � � �k Ba ■z ■� ■z ■e 2 ■ k k ] § m % no INN § m % § 0 z Z i0 ;in YY 0 ;z W iF iIL iW O 4f y iLU MIN me �S W oe = 6 a a z z z 0 zzz z rn rn rn rn rn rn rn rn rn m a U W F m O m p $a x Z ¢ w m Y 6 Z Q Q a z z 2 �ww Q a O K CL w a �I=le yo Q i uJ oov pq ai! O o t9 metes i»v� Ze �Wo�a ae o v� z 0 0 0 zl F W a } to a a a W }� W U) O F Z a � o w a m M O O O Z Z Le U e~a w a °- A r f i0 i 0a. o i f rn z � � N 6 N Q 0 r r U U LLl w a w O O w m °z' 0 O m U w U wW n 'haw w U w o� U w F. U U J 2 w N U Z w J z o 0 v (MO M M M w 6 � m i0 J F 0 iW pW :Q § k Q \ � 2 / k % a q 7 k � _®® ��§`§ : ��@�� B8\ � � /}a �§ ■ :� � :� /�"� �§§ §�aa �« § _ � :� � �%aa : � : f : � � k § � % �S& � � . �\\ ;z @ z _ z z �w t § �� § � I ! �« § z �� § ( ;2 § \ �� ° k/) �� § ®\5 �� $�� ) \ �� q § .a % & � � , �k � � § ) \ ��\ mm § 2 § a eea §)k §§ §k Commissioners' Court —September 25, 2019 22. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct I 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: 10:44 A.M. Page 20 of 20 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----September 25. 2019 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES Community Pathology Association Michelle M. Cummins MD Richard Arroyo -Diaz HEB Pharmacy (Medimpact) Pharmacy Reimbursement MMCenter (In -patient $ 0.00/ Out -patient $5,161.621 ER $3,637.44) Memorial Medical Clinic Port Lavaca Clinic Regional Employee Assistance Singleton Associates, PA Victoria Eye Center Victoria Anesthesiology Assoc SUBTOTAL Memorial Medical Center (Indigent Heaitncare Payro�i and Expenses) Subtotal Co -pays adjustments for August 2019 Reimbursement from Medicaid 118.68 248.14 157.98 264.78 8,799.06 1,465.81 414.52 33,27 114.14 99.17 324.14 12,039.69 47166,67 163206.36 (130.00) 0.00 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --September 25.2019 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES PAYROLL AND ELECTRONIC BANK PAYMENTS $ 600,649.56 TOTAL TRANSFERS BETWEEN FUNDS $ ; 100.00 TOTAL NURSING HOME UPL EXPENSES $ 670,930 74 TOTAL INTER -GOVERNMENT TRANSFERS $ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---September 25, ZU19 PAYABLES AND PAYROLL 9/20/2019 Weekly Payables 500,314.37 9/12/2019 Citibank Credit Card -see attached 31257,64 9/20/2019 Ashford -Nursing home insurance payment sent to MMC in error 16,376.08 9/20/2019 Solera-Nursing home Insurance payment sent to MMC in error 3,000.00 9/20/2019 Broadmoor-Nursing home insurance payment sent to MMC in error 10,092.00 9/20/2019 Crescent -Nursing home insurance payment sent to MMC in error 2,6%00 9/20/2019 Goldencreek-Nursing home insurance payment sent to MMC in error 53,124.02 _ 9/23/2019 McKesson-3408prescdption Expense____— _ __ _ 10,679.20 9/23/2019 Amerisource Bergen-340B Prescription Expense 630,81 Prosperity Electronic Bank Payments 9/20/2019 Credit Card & Lease Fees 151.23 9/16-9/20119 Pay Plus -Patient Claims Processing Fee 314.21 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 600,54956 TRANSFERS BETWEEN FUNDS 9/20/2019 Transfer from Operating to Bethany Senior Living Nursing Home -to open account 1D0.00 NURSING HOME UPL EXPENSES 9/23/2019 Nursing Home UPI-Cantex Transfer 590,156.01 9/23/2019 Nursing Home UPI-Nexlon Transfer 49,289.76 9/23/2019 Nursing Home UPI -HMG Transfer 6,780.84 QIPP/INTEREST CHECKS TO MMC 9/23/2019 Ashford 11,860.75 9/23/2019 Broadmoor 21311,25 9/23/2019 Crescent 21297,42 9/23/2019 Fort Bend 4,857.79 9/23/2019 Solera 3,376.92 TOTAL INTER -GOVERNMENT TRANSFERS $ i Page 1 of 16 5EP 19 2019 09/19/2019 Css!(aq Colcttty Ai di or MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 10/02/2019 Vendor# Vendor Name Class Pay Code / 10995 ABILITY NETWORK (SHIFTHOUND),/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 19M0147434✓/09/16120 09/11120 09111/20 558,00 SCHEDULING SERVICES Vendor Totals Number Name Gross 10995 ABILITY NETWORK(SHIFTHOUND) 558,00 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 - -- Invoice# - Comment Tran Dt Inv Dtt -- Due Dt --- Check a Pay Gross 137446 09/06/20 09/04/20 09/29/20 19.99 SUPPLIES( Vtk) (it{µ G) 137443 09/06/20 09/04/20 09/29/20 63.33 SUPPLIES tIJtW (a, Wei / 137474 ✓ 09/10/20 09/04/20 09/29/20 15.99 SUPPLIES (NLId Uti"'�) Vendor Totals Number Name Gross 11283 ACE HARDWARE 15521 99.31 Vendor# Vendor Name Class Pay Code / 10950 ACUTE CARE INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross f 24667 ✓ 08/31/20 09/20/20 09/30/20 11400,00 RFID FEE 0. ap_open_invoice.template Discount No -Pay Nel / 0.00 0.00 558.00 ✓ Discount No -Pay Nel 0.00 0.00 558.00 Discount No -Pay Net 0.00 0,00 19,99 0.00 0.00 63.33 0.00 0.00 15.99 Discount No -Pay Net 0.00 0,00 99.31 Discount No -Pay Nel / 0.00 0,00 11400,00 ✓ Vendor Total: Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9964597006 09/16/20 08/31/20 09/25/20 498.23 0,00 0.00 498,23 ✓ RE T CYL 9964699528 09/16/20 08/31/20 09/25/20 52.22 0.00 0.00 52.22 RENT CYL Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 550,45 0.00 0.00 550.45 Vendor# Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC. M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9656419281 09/16/20 08/28/20 09/27/20 795,00 0,00 0.00 795.00 t� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1690 ALCON LABORATORIES, INC. 795,00 0.00 0.00 795.00 Vendor# Vendor Name / Class Pay Code A1705 ALIMED INC. r/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / RPSV03184839 r/ 09/16/20 08/29/20 09/13/20 193,32 0,00 0.00 193,32 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 193.32 0.00 0.00 193.32 file:///C:/Users(mmckissacldcpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 2 of 16 Vendor# Vendor Name Class Pay Code 10958 ALLYSON SWOPE Invoice# Comment Tran Ot Inv Dt Due Dt. Check D Pay Gross 091219 09/19/20 09/12/20 09/12/20 21468.25 CONTRACT EMPLOYEE Vendor Totals Number Name Gross 10958 ALLYSON SWOPS (91 Diu �t - Q l" 4 t g2?468.25 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY tZ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 923896 V1 09/16/20 08/31120 09/25/20 21.99 WATER Discount No- ay Nel 0.00 0.00 21468.25 Discount No -Pay Net 0.00 0.00 21468,25 Discount No -Pay Net 0.00 0.00 21.99 ✓ 923896 s/ 09/16120 08/31/20 09/25/20 29.96 0.00 0.00 29.96 ✓ WATER Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 51,95 0,00 0,00 51,95 Vendor# Vendor Name / Class Pay Code 12800 AUTHORITYRX ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2027 ✓ L �09117/2009/12/2009/12/20 4,950,00 0,00 0,00 4,950.00 ✓ Vendor Totals Numbers Name Gross Discount No -Pay Net 12800 AUTHORITYRX 41950,00 0,00 0.00 41950.00 Vendor# Vendor Name Class Pay Code 61150 BAXTER HEALTHCARE r// W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 64158687 v1 09/17/20 08/29/20 09/23/20 603,36 0,00 0,00 603.36 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 603,36 0.00 0,00 603.36 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Dt Inv Ot Due Dt Check D, Pay Gross Discount No -Pay Net 107953738 08/31/20 09/03/20 09/28/20 66,88 0,00 0.00 66,88 ✓ SUPPLIES 107968271 09/10/20 09/04/20 09/29/20 -300,00 0.00 0.00 300,00 ✓ SUPPLIES 107957664 09/10/20 09/04/20 09/29/20 21258.02 0,00 0,00 2,258,02 r� SUPPLIES 107958544 ✓ 09/10/20 09/04/20 09129/20 891,79 0,00 0.00 891.79 ✓ /gUPPLIES / 107957927 ✓ 09/10/20 09/04/20 09/29/20 71136.03 0.00 0,00 71136,03 ✓ SUPPLIES 107956083 09/10/20 09/04/20 09/29/20 81,30 0,00 0.00 81,30 ✓ SUPPLIES 107956270 �/ 09/10120 09/04/20 09/29/20 680.90 0.00 0.00 680.90 ✓ SUPPLIES 107956057 09/10/20 09/04/20 09/29/20 753,06 0.00 0.00 753.06 ✓ SUPPLIES 107961981 09/10/20 09/05/20 09/30/20 647,08 0,00 0,00 647,08 ✓ / SUPPLIES 7265797 ✓ 09/10/20 09/05/20 09/30/20 5,969.14 0,00 0,00 5,969.14 ✓ file:!//C:/Users/mmckissackJcpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 3 of 16 SUPPLIES // 5412021 ✓ 09/10/20 09/05120 09/30/20 6,249.42 0.00 0.00 6,249.42 ✓ SUPPLIES 107947302 VI 09/17/20 08/28/20 09/22/20 42,88 0,00 0,00 42,88 - SUPPLIES ( 107960453 V 09/17/20 09/05/20 09/30/20 77.75 0,00 0,00 77,75 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 26,154.25 0.00 0.00 25,154,25 Vendor# Vendor Name Class Pay Code 12600 BIOFIRE DIAGNOSTICS LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net _1280013447_. 09/17/20 09/11/20 09/17/20_ 81256,25 0.00_0_.00 8,256.25 —_--- -- SUPPLIES (2) rlas Pir6J0j Panels Vendor Totals Number Name Gross Discount No -Pay Net 12600 BIOFIRE DIAGNOSTICS LLC 81256,25 0,00 0.00 81256,25 Vendor# Vendor Name / Class Pay Code C1048 CALHOUN COUNTY V W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 091619 09/16/20 09/16/20 09/16/20 100,000,00 0.00 0,00 '1001000,00'a:-� 4TH PAYMENT 2019$11000000(b4l4ICt Otehr pWIrKf=6001008=00) Vendor Totals Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 100,000.00 0.00 0,00 100,000.00 Vendor# Vendor Name Class Pay Code 10650 CAREFUSION 2200, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 9109037356 09/17/20 08/29/20 09/28/20 394.91 0.00 0.00 394,91 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10650 CAREFUSION 2200, INC 394,91 0,00 0,00 394,91 Vendor# Vendor Name Class Pay Code C1992 CDW GOVERNMENT, INC. toel M Invoice# Comment Tran Dt Inv Dt Due Dt Check Or Pay Gross Discount No -Pay Net TRW8844�/ 09/16120 08/30120 09/29120 48.23 0,00 0,00 48.23 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 48,23 0.00 0.00 48.23 Vendor# Vendor Name / Class Pay Code L1629 CHRISTINA ZAPATA-ARROYO r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No -Pay Net 072019 09/17/20 07120/20 09/16/20 165.00 0,00 0,00 165.00 r/ SPEECH THERAPY INPATIENI 070119 09/17/20 07/20/20 09/16/20 82,50 0,00 0,00 82.50 SPEECH THERAPY OUTPATIE 082019A 09117/20 08/01/20 08/01/20 330.00 0,00 0.00 330.001,.E SPEECH THERAPY INPATIENI 082019 09/17/20 08/01/20 08101/20 797,50 0,00 0,00 797,50 SPEECH THERAPY OUTPATIE Vendor Totals Number Name Gross Discount No -Pay Net L1629 CHRISTINA ZAPATA-ARROYO 1*375.00 0,00 0.00 1,375.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/hnp_cw5report74... 9/19/2019 Page 4 of 16 10212 CLINICAL PATHOLOGY LABS / ICP Invoice#/Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 201906-0 V/ 09/17/20 06/30/20 07/30/20 11,554,40 0,00 0,00 11,554,40 ✓ CAB SERVICES 201907-0 ✓ 09/17/20 07/31/20 08/31/20 12,262,32 0.00 0.00 12,262,32 LAB SERVICES 4 / 201908-0 09/17/20 08131/20 09/30/20 15,859.19 0,00 0.00 15,859,19 ✓ LAB SERVICES - Vendor Totals Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 39,675.91 0,00 0,00 395676,91 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC v1/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5265424 ✓ 09/17/20 08/29120 09/18120 739,00 0.00 0,00 739.00 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 02157 COOPER SURGICAL INC 739,00 0.00 0,00 739,00 Vendor# Vendor Name / Class Pay Code C0399 CORPUS CHRISTI PROSTHETICS y/ Involce# Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay Net 1908003Y✓ 09/17/20 08130/20 09/17120 65,00 0,00 0,00 65.00 SUPPLIES Vendor TotalsNumberName Gross Discount No -Pay Net C0399 CORPUS CHRISTI PROSTHETICS 65,00 0,00 0.00 65,00 Vendor# Vendor Name / Class Pay Code 11368 CYRACOM LLC ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 976507 r/ 09/16/20 08/31/20 08/31120 261,39 0,00 0,00 261.39 ✓ INTERPERTAION SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 261.39 0.00 0,00 261,39 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5823600 �/ 09/16/20 09/04/20 09/29/20 245.98 0,00 0.00 245.98 f SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 245.98 0.00 0,00 245.98 Vendor# Vendor Name Class Pay Code 10892 DIANE MOORE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 091319 09/16/20 09/13/20 09/13/20 155.44 0,00 0.00 155.44 r/ NURSING HOME VISIT OFF tM.L' W t (a) I`Mibte, wwfO'N t DWul- 0-kpr br eS 611uil(t) 091319A 09/16/20 09/13/20 09/13/20 "I. dy 1704 0.00 0,00 178164 241411 HHSC WAIVER CONFeVuUe, AOr-t Jtq_Rj6 (Lq Vendor Total: Number Name Gross Discount No -Pay Net 10892 DIANE MOORE 334.08 0,00 0.00 334.08 Vendor# Vendor Name Class Pay Code D1532 DIGITAL INOVATION, INC. Invoice# omment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1003866 08/31/20 09101/20 10/01/20 1,875.00 0,00 0.00 1,875.00 TRAUMA REG ANNUAL FEE file:///C:/Users/mmckissack/cpsi(memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/ 19/2019 Page 5 of 16 Vendor Totals Number Name Gross Discount No -Pay Net D1532 DIGITAL INOVATION, INC. 11875,00 0.00 0,00 1,875.00 Vendor# Vendor Name Class Pay Code 11960 DILON TECHNOLOGIES r// Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 00032289 ✓ 09/17/20 08/29/20 06/19/20 121,70 0,00 0,00 121.70 vJ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11960 DILON TECHNOLOGIES 121.70 0,00 0.00 121.70 Vendor# Vendor Name /lass Pay Code 10789 DISCOVERY MEDICAL NETWORK INC r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MMC093019_✓/_— _— 09/1712009/15/2009/15120 _._. __.127,192,87, 0,00_.. _. _0.00_ 127,192.87 r✓_ __._ PRO FEES pi' 1��j '39)ipi--{7nybci tiri gem( ,.';: Vendor Totals Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 127,192.87 0.00 0,00 127,192.87 Vendor# Vendor Name Class Pay Code 12788 DUDE SOLUTIONS, INC v/ Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV51875 r/ 09/1112009/01/2010/01/20 3,765.80 0.00 0,00 31765,80 V/ ANNUAL SUPPORT SYSTEM L< I1 Uq-113 Q U . Vendor Totals Number Name Gross Discount No -Pay Net 12788 DUDE SOLUTIONS, INC 3,765.80 0,00 0.00 31765,80 Vendor# Vendor Name /Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS 1/ Involve# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 38329 ✓ 09/17/20 09/15/20 09/25/20 40,062.60 0,00 0,00 403062.50 ./ ER STAFFING SERVICES Vendor Totals 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 10042 ERBE USA INC SURGICAL SYSTEMS VZ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 567205 V/ 09/17120 09/05/20 09/18/20 154,95 0.00 0,00 154,95 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 154.95 0,00 0,00 154.95 Vendor# Vendor Name / Class Pay Code F1050 FASTENAL COMPANY M Invoice# Com ent Tran Dt Inv Dt Due Dt Check Dr Pay Gross Discount No -Pay Net / TXPOT212260 08/31/20 08/29/20 09/28/20 179.23 0,00 0,00 179,23 v' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1050 FASTENAL COMPANY 179,23 0.00 0.00 179.23 Vendor# Vendor Name / Class Pay Code F1100 FEDERAL EXPRESS CORP. ✓ W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 673578.0, ✓ 09/18/20 09/12/20 09/27/20 53,18 0.00 0,00 53.18 ./ SHIPPING Vendor Totals Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 53,18 0,00 0.00 53,18 file:///C:/Users/tnmckissack/cpsi/memmed.cpsinet.com/u8815O/data_5/tmp_cw5report74... 9/19/2019 Page 6 of 16 Vendor# Vendor Name / Class Pay Code F1400 FISHER HEALTHCARE r/ M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4378271 t/ 09/18/20 08/29/20 09/23/20 31355,81 0,00 0.00 3,355.81 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 3,355.81 0.00 0,00 31355,81 Vendor# Vendor Name / Class Pay Code 11183 FRONTIER �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 082319 09/17/20 08/23/20 09/16/20 640.86 0.00 0,00 640.86 ram/ PHONES 090219 09/17/20 09/02/20 09/26/20 956,85 0,00 1. 0.00 956.85 L% PHONES Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,597.71 0,00 0.00 1,597,71 Vendor# Vendor Name / Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6001387--- ✓ 09/11/20 09/01120 10101/20 3,588.58 0,00 0,00 31588,58 IMAGING CONTRACT 6001386931 09/11/20 09101120 10/01120 11651,20 0.00 0.00 1,651.20 r% IMAGING CONTRACT / 6001387058 ✓ 09/11/20 09/01/20 10/01120 5,665,83 0.00 0,00 5,665,83 ✓ IMAGING CONTRACT / 6001386932 ✓ 09/11/20 09/01/20 10101/20 672,33 0.00 0,00 572,33 ✓ IMAGING CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 11,477,94 0.00 0.00 11,477.94 Vendor# Vendor Name Class Pay Code W1300 GRAINGER M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 9278053062 09/17/20 08/29/20 09/23/20 179.50 0,00 0.00 179.50 �/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 179.50 0,00 0,00 179,50 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1723395 08/27/20 08/27/20 09126/20 688,79 0.00 0,00 688,79 UPPLIES 1728974 09116/20 08/30l20 09/29/20 640.83 0.00 0.00 840.83 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 11529,62 0,00 0,00 1,529.62 Vendor# Vendor Name / Class Pay Code 10334 HEALTHCARE LOGISTICS INC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 307269226 6 09/16/20 09/05/20 09/30/20 40,00 0.00 0.00 40,00 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 40,00 0,00 0,00 40.00 file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 7 of 16 Vendor# Vendor Name Glass Pay Code 10804 HEALTHCARE CODING & CONSULTING " Invoice# / Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 8821 t/ 09/11/20 08/31/20 09/30/20 682.50 CODING SERVICES Vendor Totals Number Name Gross 10804 HEALTHCARE CODING & CONSULTING 682,50 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE EQUIPMENT FINANCE w// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 100205973v// 09/17/20 09/07/20 10/01/20 11797,44 L�rSF lnitrt&f'324.0H Discount No -Pay Net 0.00 0.00 682,50 ✓/ Discount No -Pay Nel 0.00 0,00 682.50 Discount No -Pay Net 0.00 0.00 11797,44 100205971 .__.._ 09lt7J2009/07/20.141_01/20 ._. 7,154.17 _. O.OQ.. LEASE 100205970✓ 09/17/20 09/07/20 10/01120 43919.41 0.00 71154.17 t/ 4,919,41 t/ 0.00 0,00 3,334A7 ✓ Discount No -Pay Net 0.00 0.00 17,205.19 Discount No -Pay Net 0.00 0,00 423.08 Discount Diswunt No -Pay Net O.OD 0.00 t,614.75 Discount Discount No -Pay Net 0.00 0.00 167.53 Disco 0.00 Discount No -Pay Net file:///C:lUsers/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/ 19/2019 Page 8 of 16 L0700 LABCORP OF AMERICA HOLDINGS 244.25 0,00 0.00 244.25 Vendor# Vendor Name / Class Pay Code 11600 LEGALSHIELD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 091519 09/18120 09/15120 09115/20 1,449.70 0.00 0,00 1,449.70 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 11449,70 0,00 0.00 11449,70 Vendor# Vendor Name / Class Pay Code L1640 LOWE'S HOME CENTERS INC V W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 94632 09/18/20 08/06/20 09/28/20 341.30 0.00 0.00 341.30 -SUPPLIES r ��_prllc�h-�W Waitf 40t^ttur 94676 09/1812008/06/20009/28/20 A45.12 0.00 0,00 A45.12 CREDIT (LWVWtd WjjM t6 L(y 94695 09/18/20 08/06/20 09/28/20 228.74 0,00 0,00 228.74 r/ SUPPLIES toyrttlillOjL (,ti (iyt�{rkf�-�S 94630 09/18/20 08/06/20 09/28/20 145,12 0.00 0.00 145,12 C/ SUPLIES wilco paNIh Vendor Totals Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CENTERS INC 570.04 0.00 0,00 570.04 Vendor# Vendor Name Class Pay Code 11796 LUBY'S FUDDRUCKERS RESTAURANTS Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 201908310837 r/ 09111/20 08/31/20 09/30/20 29,337486 0.00 0.00 29,337.86 V/ FOOD Vendor Totals Number Name Gross Discount No -Pay Net 11796 LUBY'S FUDDRUCKERS RESTAURANTS 29,337.86 0,00 0.00 29,337,86 Vendor# Vendor Name Class Pay Code 10972 M G TRUST Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 091619 09/18/20 09/16/20 09/16/20 1,190.86 0,00 0,00 11190.86 ✓ PAYROLLDED Vendor Totals Number Name Gross Discount No -Pay Net 10972 M G TRUST 19190.86 0.00 0.00 1,190.86 Vendor# Vendor Name Class Pay Code 11612 MASA GLOBAL BUILDING Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net / 711964MKMMC ✓ 09/18/20 09/10/20 09/10/20 1,723.00 0,00 0,00 11723.00 ✓ INSURANCE Vendor Totals Number Name / Gross Discount No -Pay Net 11612 MASA GLOBAL BUILDING r/ 1,723.00 0.00 0.00 11723.00 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC Invoice# /gomment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net / 1387523 ✓ 08/28/20 07/08/20 09/26/20-21313.37 0,00 0,00-21313.37 ✓ REDIT 62507595 09/17/20 08128/20 09112120 176,92 0,00 0,00 176.92 SUPPLIES 62504515 09/17/20 08/28/20 09/12/20 359,37 0,00 0,00 359,37 SUPPLIES / 62664561� 09/17/20 08128/20 09/12120 71,70 0,00 0,00 71.70 L/ file:///C:/Users/mmckissack/cpsi/memined.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 9 of 16 S�4JPPLIES 62928679 ✓ 09l17/20 09103/20 09/18/20 2,072.27 0.00 0.00 2,072.27 UPPLIES / 62939688 V 09/17/20 09/03/20 09/18/20 299.01 0.00 0.00 299.01 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 665.90 0.00 0,00 665.90 Vendor# Vendor Name / Class Pay Code M2827 MEDIVATORS M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 90262574 v1 09/17/20 09/10/20 09/18/20 407.60 0.00 0,00 407.60 SUPPLIES _...___Vendor_Totale.Number __Name__ _ _..___ ._.__.. ._Gross_ __..Discount... 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411131141) Vendor Totals Number Name Gross 11069 PABLO GARZA 21002.50 Vendor# Vendor Name Class Pay Code 11155 PARA ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 5638 ✓ 08/31/20 09/01/20 10/01/20 21000,00 REVUNE INTEGRITY PROGRA Vendor Total: Number Name Gross 11155 PARA 2,000.00 Vendor# Vendor Name / Class Pay Code P2100 PORT LAVACA WAVE / W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 0.00 0,00 32.36 ✓ Discount No -Pay Net 0.00 0,00 32.36 Discount No -Pay Net 0.00 0.00 472.43 V Discount No -Pay Ne! 0.00 0.00 472.43 Discount No -Pay Net 0.00 0.00 2,002.50 ✓ Discount No -Pay Net 0.00 0.00 2,002.50 Discount No -Pay Nel 0.00 0.00 2,000.00� Discount No -Pay Net 0.00 0.00 2,000.00 Discount No -Pay Net file:///C:/CTsers/mmckissack(cpsilmemmed.cpsinet.com/u8815O/data_5/tmp_cw5report74... 9/19/2019 Page 12 of 16 083119A 09/19/20 08/31/20 09/25/20 356,00 0,00 0,00 356.00 1/ AD Vendor Totals Number Name Gross Discount. No -Pay Net P2100 PORT LAVACA WAVE 366,00 0.00 0,00 356.00 Vendor# Vendor Name Class Pay Code P2200 POWER HARDWARE ✓/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net A56469 V 09/16120 09/10/20 09/20/20 113,16 0,00 0,00 113,16 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 113,16 0.00 0.00 113.16 Vendor# Vendor Name / Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. ✓ _ Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net IN000399281 08/31/20 08/31/20 09/30/20 21028.00 0,00 0.00 21028.00 PT SURVEY ti;"U` M Dclpf) jRjw 1an.k, WVXcAj GIKOI(u - FI)UrA 000-1%J f?/S Vendor Totals Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 21028,00 0.00 0,00 23028.00 Vendor# Vendor Name Class Pay Code R1200 RED HAWK FIRE AND SECURITY Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 415076 09/11120 09/01/20 09/26/20 47,29 0,00 0.00 47,29 FIRE MONITORING Vendor Totals Number Name Gross Discount No -Pay Net R1200 RED HAWK FIRE AND SECURITY 47,29 0,00 0,00 47.29 Vendor# Vendor Name Class Pay Code 10645 REVISTA de VICTORIA Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 09201926 �// 09/18/20 09/12/20 09/27/20 240.00 0,00 0.00 240.00 Vendor Totals Number Name Gross Dismount No -Pay Net 10645 REVISTA de VICTORIA 240.00 0.00 0.00 240.00 Vendor# Vendor Name Class Pay Code 10927 ROSHANDA THOMAS v/ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 090619A 09/16/20 09/06/20 09/06/20 29.00 0,00 q0.0 29.00 TRAVEL SETH IN PERSON MT Gr..c-�'1.EpyJ J cJA VkAj "q i;i elat ("AinJ 01-m 090619 09/16/20 09/O6/20 09/06/20 176,32 0.00 0.00 176,32 ./ TRAVEL QIPP NURSING HOME n/6Ll'gy"J k'} MA Tw (CAI'? Vendor Totals Number Name Gross Discount No -Pay Net 10927 ROSHANDATHOMAS 205.32 0.00 0,00 205,32 Vendor# Vendor Name Class Pay Code 11262 RX WASTE SYSTEMS LLC ✓/ Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 2184 ✓ 09/11/20 09/01/20 09/26/20 235,00 0,00 0,00 235.00 y WASTE SERVICE Vendor Total: Number Name Gross Discount No -Pay Net 11252 RX WASTE SYSTEMS LLC 235.00 0.00 0.00 235.00 Vendor# Vendor Name / Class Pay Code 10625 SARA RUSIO Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 091119 09/16120 09111/20 09111/20 190,24 0.00 0.00 190.24 file:///C:/Users/mmckissacldcpsi/memmed.cpsinet.com/u88150/data_5(tmp_cw5report74... 9/19/20 ] 9 Page 13 of 16 TRAVEL TRAUMA RULES REV iyIM &hU1WjW @AELtncl BJNM Vendor Totals Number Name Gross Discount No -Pay Net 10625 SARARUBIO 190,24 0.00 0,00 190,24 Vendor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 70854 ✓ 09/16/20 09/10/20 09/25/20 20.59 0,00 0,00 20.59 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 81800 SHERWIN WILLIAMS 20,59 0.00 0.00 20,59 Vendor# Vendor Name / Class Pay Code K0536 SHIRLEY KARNEI ✓ _....___Invoice#_— __Comment___Tran_Dt. Inv Dt_Due Dt_ .Check D.Pay Gross_ Discount _ _No -Pay. Net_. 091719 09118/20 09/17/20 0119117/20 297,44 0,00 0,00 297. 1 1 CONTRAT EMPLOYEE 1-1 m Vendor Totals Number Name Gross Discount No -Pay Net K0536 SHIRLEY KARNEI 297,44 0,00 0.00 297.44 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 56381900031015 09/17/20 08/30/20 09/24/20 11333,33 0,00 0,00 11333,33 LEASE AND RENTAL LAB Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 1,333,33 0.00 0.00 1,333.33 Vendor# Vendor Name Class Pay Code 10699 SIGN AD, LTD. Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 241688 r/ 09/18/20 09/01/20 09111/20 390.00 0,00 0,00 390,00 AD Vendor Totals Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD. 390,00 0.00 0,00 390,00 Vendor# Vendor Name Class Pay Code S2362 SMITH & NEPHEW Y/ Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 923433179 ✓ 09/17/20 08/28/20 09/17/20 315,01 0,00 0,00 315,01 ✓ SUPPLIES / 923449498 y 09/17/20 09/03/20 08/30/20 31933,21 0,00 0,00 3,933.21 ✓ SUPPLIES Vendor TotalsNumber Name Gross Discount No -Pay Net S2362 SMITH & NEPHEW 4,248.22 0.00 0.00 4,248.22 Vendor# Vendor Name Class Pay Code S3960 STERICYCLE, INC Invoice# Co ment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No•Pay Net 40087961757 08/20/20 09/01/20 10/01120 21300400 0.00 0.00 2,300.00 DISPOSAL SERVICES Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 21300,00 0.00 0.00 2,300.00 Vendor# Vendor Name / Class Pay Code 82830 STRYKER SALES CORP ✓ M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 900317419 09/17/20 08/21/20 09/17/20 361.31 0.00 0,00 361,31 file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 14 of 16 S PPLIES 900339667 y 09/17/20 08/28/20 09/17/20 110.04 SUPPLIES Vendor Totals Number Name Gross 32830 STRYKER SALES CORP 471.35 Vendor# Vendor Name Class Pay Code / T2539 T-SYSTEM, INC t/ w Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross 206EV51836 7 08131/20 08131/20 09130/20 41555.00 TRACKING /' 08/31/20 V-5 205E1847 v/ 08/31/20 09/30120 19144,00 CLOUD HOSTING 0.00 0,00 110,04 Discount No -Pay Net 0.00 0.00 471,35 Discount No -Pay Net 0.00 0.00 41555.00 y� O.OD 0,00 11144,00 Vendor Totals Number Name Gross Discount No -Pay Net___ __ _ T2539 T-SYSTEM, INC 55699.00 0.00 0.00 51699.00 Vendor# Vendor Name Class Pay Code 12704 TEXAS BURNER & BOILER SERVICES r/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 3243 �/ 09/16120 07/23/20 07/23/20 8,069.00 0.00 0.00 62069.00 REPAIRS Vendor Totals Number Name Gross Discount No -Pay Net 12704 TEXAS BURNER & BOILER SERVICES 6,069.00 0,00 0,00 61069.00 Vendor# Vendor Name Class Pay Code 11100 THE US CONSULTING GROUP Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 340375688 09/10/20 09/06/20 09/30/20 1,328.95 0,00 0.00 11328.95 t/ GARBAGE SERVICES 340376689 t/ 09/10/20 09/05/20 09/30/20 311.65 0,00 0.00 311,65 GARBAGE SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11100 THE US CONSULTING GROUP 1,640.60 0.00 0,00 1,640.60 Vendor# Vendor Name Class Pay Code 10732 THERACOM, LLC V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 212777134301 07/31/20 07/16/20 10/01/20 11955,10 0.00 0.00 11955,10 ✓ INENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10732 THERACOM, LLC 11955,10 0.00 0.00 1,955.10 Vendor# Vendor Name Class Pay Code T0801 TLC STAFFING IN Invoice# Comment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No -Pay Net / 26316 09/18/20 09/09/20 09/09120 543,00 0.00 0.00 543,00 r/ ,"Rr }(art;" WOW LVVV 010 m Vendor Totals Number Name Gross Discount No -Pay Net T0801 TLC STAFFING 643,00 0.00 0,00 543,00 Vendor# Vendor Name / Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 35FK091900 V 09/16/20 09/01/20 09/26/20 1,747.25 0,00 0.00 1,747.25 PURCHASESERV Vendor Total=Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 1,747.25 0.00 0,00 1,747.25 Vendor# Vendor Name Class Pay Code file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/19/2019 Page 15 of 16 U1064 UNIFIRST HOLDINGS INC V� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400310157 r/ 09/11120 09/02/20 09/27/20 11390,95 0.00 0.00 11390,95 ✓ LAUNDRY 8400310126 09/11/20 09/02/20 09/27/20 57,35 0.00 0.00 57,35 LAUNDRY 8400310126 v11 09/11/20 09/02/20 09/27120 47,15 0,00 0,00 47,15 ✓ LAUNDRY 8400310465 ✓ 09/11/20 09/05/20 09/30/20 157,48 0.00 0.00 157.48 ✓ LAUNDRY 8400310500 09/16/20 09/05/20 09/30/20 609,48 0.00 0,00 809.48 1D5w�kLAUNDRY —8400310486...___._09/16/20A9/05120.09/30/20___.. __80,83. __.0,00. _. _0.00... _ 80.83_.✓__ VjUNDRY 8400310527 ✓ 09/16I20 09/05/20 09/30/20 141.35 0.00 0.00 141.35 ✓ LAUNDRY 8400310467v/ 09/16/20 09/05/20 09/30/20 175.83 0.00 0.00 175.83 ✓ LAUNDRY 8400310466 ✓ 09/16/20 09/05/20 09/30120 245.48 0,00 0.00 245.48,i LAUNDRY 8400310464 ✓ 09/16/20 09/05/20 09/30/20 120,39 0.00 0,00 120,39 ✓ LAUNDRY 8400310462 ✓ 09/16/20 09/05/20 09/30/20 18,62 0.00 0.00 18.62 ✓ LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 3,244691 0,00 0,00 3,244.91 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10066998 ✓ 09/16/20 09/06/20 09/21/20 136.72 0.00 0,00 136.72 ✓ UNIFORMS 10072958 09/16/20 09/07/20 09/22/20 69,99 0,00 0,00 69.99 u✓ NIFORMS 10070988 09/16/20 09/07/20 09/22/20 298.05 0,00 0,00 298,05 UNIFORMS Vendor Totals Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 504,76 0,00 0,00 504,76 Vendor# Vendor Name Class Pay Code U1200 UNITED AD LABEL CO INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 164156118 ✓/09/16/20 08/23/20 09/17/20 137.34 0.00 0,00 137.34 ,✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net U1200 UNITED AD LABEL CO INC 137,34 0,00 0,00 137.34 Vendor# Vendor Name / Class Pay Code 10793 WAGEWORKS ✓ Invoice# Comment Tram Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 091619 09/18/20 09/16/20 09/16/20 31658,37 0,00 0,00 3,658.37 PAYROLLDED Vendor Totals Number Name Gross Discount No -Pay Net 10793 WAGEWORKS 3,658,37 0,00 0,00 3,658.37 file:///C:/Users/mmckissacic/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report74... 9/ 19/2019 Page 16 of 16 Vendor# Vendor Name Class Pay Code / 12208 WAGEWORKS ✓ Invoice# Comm nt Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0819DR46779 7 09/18/20 08/01120 09/01/20 129,60 0.00 0.00 129.60 COBRA Vendor Totals Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 129.60 0,00 0.00 129.60 Vendor# Vendor Name Class Pay Code W1040 WATERMARK GRAPHICS INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 126556 ✓ 09/16/20 08/30/20 09/29/20 389,24 0.00 0,00 389.24 UNIFORMS Vendor Totals Number Name _... ..Gross. Discount. No -Pay Net Net. W1040 WATERMARK GRAPHICS INC 389,24 0,00 0,00 389,24 Vendor# Vendor Name lass Pay Code 11166 WEST INTERACTIVE SERVICES CORP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVO02142981 Y/ 09/18/20 08/31/20 08131/20 596.14 0,00 0,00 596.14 HOUSE CALLS - VendorTotalsNumber Name Gross Discount No -Pay Net 11166 WEST INTERACTIVE SERVICES CORP 596,14 0,00 0.00 596.14 Report Summary Grand Totals: Gross Discount No -Pay Net 500,291.37 0,00 0,00 500,291,37 <i"760�> t 4N1•b4 Suu�i file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.comlu88150/data_5/tmp_cw5report74... 9/19/2019 a Y'6lr 0556709800366701900000000000000038 AccauntNumber Payment Date New Balance MlolmunAmountDve EnferAmountPald •••' •••• •• 09/28/2019 $0.00 DIANE C COUNT CALAOUN SIRE 2S AM STREET BITE A POAT LAVACA T% 77979-4209 Bo ClOb P.O. Box 7602E PHOENIX, AZ 858624025 Previous Balance PaYmenls and Credits New Che es New Balance Crediflfne $0.00 $0.00 $0.00 $O. DO $20400.00 For customer service call orwrite 1-800-248.4553 Citibank P.O. Box 612E SlouX Falls, SO 67117 Send payments to: Citibank P.O. Box 78025 PHOENIX, AZ 85062-8026 Account Number Cesh Advance G/mit' Available Cred7Une 6latement Date 09/03/2029 Payment Date 09/28/2019 Available Cash Urm« "...»««».............».«»....+.,..,..,......,»..»..»,.„».NOTICE MEMO I7EM(S) LISTED BELOW»""""'^"'•""•»»'.".•.,'»»•.'•«•»» '+•.,.•.*•.•) OB/24/2019 08/26/2019 55932869236200049342738 LOGtnEIN GMMETING. Lo IN.CON CA $348.00 «»«.....»»»«..............»».....,»„»,»» •.+.«+,«TOTAL AMOUNT OF MEMO ITEM(S): $348,00 he foreign tunenry canver9lon rate used to convertyourtorelgn bansac6ons to U.S. dollars indudes a service fee of 1%assessed to Clgbankby the applicable bankwNassodalian. Mips-.1CPooime.cmards�dOdired.mMCammerpcalalCa�CaN9I hi nl. ihaksllo thosewna elreatloyu a atemenlsce rts,lOffs ervearresaNng 277o trees each ye IrlNallva alone. year Waugh this Account management made easier. Online statements B CluManager Mobile flee the Sccesi sec labry' and moblity. Log in at wwwAlimanagecm callugin and dick Go Papad0SS undSign-up for email orlext message sleds to know when your statement is ready to view. When on the got access your account and meant acavily through your mobile" BOA www.o8manageccnmlmubile nv ACCOUNT SUMMARY preuiausBalanca CURRENT PERIOD PAdvances urchases $0,00 00 TOTALS $0.00 DAYS IN BILLING PERIOD: 031 Balance Subject To Interest Charges Periodic Rate ANNUAL PERCENTAGE RATE > •Cash Advance Unirtfs a potion olyaur Total Credit Une "Available CasM1 Une is a potion ofyaurAvallable Credit Une Pumhssea $0.00 Gsh Advances $0.00 .0000v .o08a7o 000x o.00% Page t of t andA�nces Payment Due: Amount OverCretlil Limit: Amount Past Due: GUUN'1'Y AU37A' .."QA C,ALHUUIV LUUTd2 , 2'I:7iAE $0. WMOP AL MEDICAL CENTrBR PURCHASE ORDER. )iMTti� ST. POR2TLA.VACA TK77979 1?ORTILWAO TX77979 PHONES: (361) �552-6713 PHONE: (361) 552-6713 r PAX: (361) 552-03-12 FAX: (361) 5 I-W2 VendorName: l.%1/+•'�.� pate: � � � � � 7 . Vendor Address: VendorPI�ue#: ft VendorFax,#: Accon�# InitiatedT-�y: _.___...Fos *9401--, - DafeRe2�red Hxpeosa#� Bepacim®t AalivcrTo T:me' Qty. Ca4logNumbw Description ulacost Umt ndmoed No. Meal. Cost 1 Lol/�J4/ % ( T6 Menh il 3, o o , 2 4 8/aa/i�r g/�La/W s 6 7 8 ' 9. 10 nr EstFzaigbi fist Total Cost TOTAL COST - 1�TOTHS: Cca®ot DAG: Qnaied$y. Buyer. DicNmsng HT.H. AdmDu. G7micalSecvioe ativ 0556709800364699700000000000000031 AcoovatNumber PaymenfDale NewBarance MialmumilmouniDue EnlerAmounfPaid eel* eeee a 09/28/2029 $0,00 $0, 00 CALHO N COUNTN OBo CALHOVN COUNTY P.O,PENX,70026 AZ8 202 S RUN STREET PHOENIX, AZ 05062.8026 SUITE A PORT LAVACA Tx 77979-4204 C/TIBANK CORPORA i E CARD Sets Balance idora is and Cradifs New Chamee New Balance CredilUne 0,00 $0.00 $0,00 $0,00 4l201000, 00 For customer service call orwite 1.800-2484653 Citibank P.O. Box 6126 Sioux Falls, SO 67117 Send payments to: Citibank P.O. Box 78026 PHOENIX, AZ 85062,8025 AaounfNumber Cash Advance Umll' Available CretlffV e Statement Date 09/03/2019 Payment Date 09/28/2019 Available Cash We« »•""'""»'^'^ """'^.."e'""»'""««"^"'""""""'»«"'NOTICE MEMO ITEM(S)LISTED BELOW«».....,.».......«....».«««.«............................. OB/03/2019 OB/05/2019 55310209215036003134656 HAFSTON INNS STAEFORD STAPFORD TX �593.60 `� 313485 Arrival: 07-28-19 00/04/2019 08/06/2019 $5480779217036006982495 SHERATON WESTPORT LASE SAINT LOUIS NO l%s4561.62 v 2585513 Arrival: 08-05-19 08/06/2019 08/07/2019 55488729229091274006910 TXDPS CRIME ARCS 5224242936 TX $1//84.31 k/ 08/00/2019 08/12/2019 05100899221980175203995 QuORON REALTa RESoBRCE BRENTWOOD _ TN 'PI99.00 V 100757964290 08/09/2019 08/12/2019 05134379222900037516296 NPHB NPDB, HRSA,GOV 800-767-6732 VA /$2.00 N64408569 / 08/09/2019 08/12/2019 05234379222600037516379 NPDB NPDB, HRSA,GOV 800-767-6732 VA V$2.00 H64409002 08/09/2019 08/12/2019 05134379222600037516452 NPDB NPDB.HRSA.G0V 800-767-6732 VA t42.00 y% N64409616 08/09/2019 08/12/2019 05134379222600037516528 NPDB NPDHR B-SA,GOV 800-767-6732 VA X42100 l/ U64409729 ACCOUNT SUMMARY preN4us Ba CURRENT PERIOD Parcances $0,00 TOTALS $0.00 TOTALS ¢0.00 DAYS IN BILLING PERIOD: 037 Balance SubJeU To Interest Charges PNNUA Rela ANNUAL PERCENTAGE RATE > ' Cash Advance UmiUs a pam'on o(your TofafCretlif Une ^AvalkMe Cash Unels a podlon ofyourAvallabie Credif Une Parthesa $D.OD s Ossh Advan c $0,00 .0000% .0000% o.Do% o.oD% Page 1 or 2 Purchases es Payment Due: Amount Over Credit LImtC Amount Pasl Oue: M A=unfNumber NOTICE MEMO ITEMS) LISTED BELOW 08/09/2019 08/12/2019 05234379222600037516601 NP➢E NPD➢,RRSA,GOV _-_. _ ...—N64409779 08/09/2019 08/12/2019 25247809221000072077935 TEXAS TRADITIONS GRILL 00/10/2019 08/22/2019 55432869222200786959245 AMA CREDENTIALING 08/13/2019 08/13/2019 55432969225200446661485 MUZON.COM M07W3CO2 114-7842643-04714 08/22/2029 08/26/2019 55457379235200873700010 TEXAS HOSPITAL ASSOC 36307 08/23/2019 08/26/2019 55432869235200966558127 In IN EMERGENCY b1ANA PG0245229421 08/26/2019 09/27/2019 05227029238200040232790 ESDTURESCOM 08/28/2019 08/29/2019 55429509240717391358104 EB TEXAS TRAUMA CCOR➢ 08/28/2019 09/30/2010 55457379241200873200039 TEXAS HOSPITAL ASSOC 603 08/29/2019 08/30/2019 05134379242600033069940 NPDB NPDD,I=A.GOV X64702840 08/29/2019 08/30/2019 05134379242600033070005 NPDB NP➢E./11MAX0V N64702946 08/29/2019 08/30/2019 05134379242600033070187 NPDB NPDB.HRSA.G0V N64706219 08/30/2019 08/30/2019 55432869242200402910743 AMA CREDENTIALING 08/30/2019 08/30/2019 $5432869242200402911535 AMA CREDENTIALING 08/30/2D19 09/02/2019 55310209243036013770243 =011 SAN ANTONIO 1377824 08/30/2019 09/02/2019 55457029243296664102212 HBALTHSTB E-LEARNIN CQBMEDPX88 All•••••*•�m'•"'•�^••""""•`TM••"•'•'•"""'•••"""""'*TOTAL AMOUNT OF MEMO ITEM(5): Statement Date 09/03/2010 800-767-6732 VA *14,00 V PORT I.AVACA TX 99.90 v 800-621-8335 IL /215.00 \/ AMZN. CON/BILL WA J$28.49 5124651000 TX ,$141.24 972-2350330 TX J0126.00 \% 708-478-3517 Its �1�/12.50 8014137200 CA �50.00 5129651000 TX V✓✓✓ S4i.24 CR 800-767-6732 VA Vt/$/2,00 V� 800-767-6732 VA /$//4.00 V/ 800-767-6732 VA /52.00 V 800-621-8335 IL JJJ4129.00 B00-621-8335 IL A43.00 SAN ANTONIO TX /248.22 \/ Arrival: 00-30-19 8005210574 TN /*149.00 \/ $2,909,64 The foreign wmenq wnverdon rate used to wnvedyourforeign Dansadians to U.S. dollars Indodas a service fee of i%assessed io ClBbenk by me applicable bankpNassadellon. CiO Is wmmilled to the retluWon of paper. Wimin the Commercial Cardsbusiness, you an switch to online slalemenls now by reBistedng your cerd an CIBManagerat hllps;lmoms.cards.dOdlred.wMCommerdalCard/Cerds,hlml. Thanks to Nose who elread9 access slalemenls online, logeNerwe are sevinB 2,/70lrees eaM yearlhmugN this Initiative alone. Accaunlmanagemenl made easier. Online slalemenls& CIUMonager Mobile offer 24/7 access, sewdy, and mobllity. Log In at wwwAllmanagecwmilagln and dick GoPapedass under the Statement lab. Sign-up for emall or text message alerts to know when your statement is ready to view. When on the go, access your acwunt and recent adivlty lhmugh your moblle device at www.demanagerwMmoblle •CeshAdvanw Umlt fs a potion olyourTofaf Credit Una ^Available Cesh Une Is a potion afyourAvalfaDle CredRWe Page 2 of 2 OP' 101 Cffi)N77 �At7v i f)g ChLFiOUPi (a)UifT ',1'L;'e(L.' MEMORIAL MEDICAL CENTER PURCB E ORDE j 'BiilToa 815N.VIRGIIVTA.ST. .' ., ��y::S�yg:£a8.15>I.*k:VIRGIITIA:ST. ' P0ILTLAVACA TX77979 1?0RTLAVA.CA TX77979 PHONE: (361)1552-6713 )MONB: (361) 552�6713 `. FAX: (361) 5522-�031�2 FAMw ( (36(1)) 55Z-0312 VendorName: t /1 t—y� Data: VendorAddress: VendorPlione#: Aceomrt#r VendorFax,#k Initiated�iy Dataltegnized Hxyemsa# Deparmeni DeTivecl'o - -_ Tme No. Cai�togNumUac Description iE s.. Fuieorleri Cost Yler *IKu4iA icy ��J��??u C� mo 6 . Q2e ( y. �81 PuwgL /Yt't.. r,th r4ec6 i2.�. wh t� 5i cep • b0 F4 uoh pwauL zo P� Pc `7 2erPs a. 1(4•oo. Psf: Freight But Total. Cost TOTAL COST NOTES: _ Coniaot: Data: Qnated.By Boger. H.TA. lls:1S�� fuimbi4 (`,limcairiecviee ' V MEM( PJAL MEDICAL CENTER .. .�. PORT T A.VACA TX 77979 PHONE: (361) 552�6713 FAX: (361) 55M3-12 VendorName: VendmAddress: VendorPhone#;. VendorFax,#; SSE ORDER . .:' � • ..S � `Sfiip'Ttis 81S �i:. V1itGlI17A ST PORT I AVAGk T'X77979 RHONE: (361) 55M713 r FAX: (361) 551-0312 Amomd# 7nitiated$y. bffieRr.2aixed Expense# Depairmmt DeIiverTo MA Tex xc. 01y, catoIOgmumbar Description ulacust TTntt Meas.. R±W&& Coat 1 -��s �u�n pU V1 [ti i� .a 2 VV'611 wY YUI CLtJ'Iw� I �l Wn mizudAC,( uwm , �i��iL�t �/VIG�dG.�iL p.�" �� w✓ 3 AMA" c�ri� � x� q-M .D 4 ��1,{•r%�illYlf l/r"iYM��i.J/l. till 5 �'�RfI ��'A� LS . Y'-9�-'LJV�• - 6 /km w �YGl� SI7sLIly on . T" t TWA r I � 9 A 6 � zo 6 Toms ` r y �zm 5 Est Freighi Est Total Cost TOTAL COST NOTES: faivui2rn-17tce ,firt 9uid64v lbrbkH"aO101 -pdwxpky 1911 t3OWphnv �� c�aec 11q05ata: LALJL .k ° d a Qna dBy: Buyer. EM& AHm Ds. ClssucaT,Se�vioa CFO VMMORTAL M EDICAL CENUR PURCBAM ORDER :.. :.:..:._.: '-) $ .Td: 815 DT. viaG CIA. ST. y :;Sfixp o $°15 �T VIltCr}1QIt ST PORTTA.VACA,TX77979 PORTLAVACA TX77979 PT(OM: (361) �552-6713 THOM (361) 552�6713 � FAX: (361) 552W312 1?AX (361) 55Z 0312 VendorName: L ' C��{ Date: 61151 VendorAddxess: Vendorkhoue#:. Vey DaEe y (-•'I 7 y 130. 'I '- . ,. 2 �l N �• ,: i I 2 ui� — 9 141 24. 4 7ll„ly�•i t) 6 Ou OU 7 _ ,-�• ill) 8 q LI L 10 Qnotefl$y: JniLiafed$y: Pxmi%9401 _. Bxpeoae# Dapaxim®t DeliverTo ber Description - Unit ost UniE Px�10ed cost i1I1 c ✓� (,00 N pDr) - Uv1 [ ✓ • D a- AAAA A3,po 14 �i[it( [;r/Y�' /P�'r—;'"`• �,r,v,�ru�cc 8� -dsfr��vi Nr--1 �i'`��/G.L'iU/�.'v4 EJ.46�GWwl-• JT^—.Y�.fl,t•i(�, Wctlw . FskFreight Est. TotaiCost TOTAL COST C h�S�+ueS CfJVYc - y� lies : •PZic�ar�i! btu I I a 5D Data: ESA. Dept.DicentorllV�' ' 7 a�'I D�• o� I DaN�g A.26n.'Da. ClinioalSecvice V T 5 4 Texas Traditions 234 train O Port Lavaca, TX 77979 361-553-5555 361-553-5555 Table Service Order Table p; 18 Server: Victoria 1 Nater No Charge $0,00 1 Water No Charge $0400 1 Sprite $1099 1 TX Angus Burger $7,99 Add Amer Cheese $1.25 MayO__ -- $0,00 Fries $1,50 i TX Angus Burger $7,99 Add Amer Cheese $1,25 Lettuce $0.00 Onions $0000 Pickles $0.00 Tomatoes $0,00 Mustard $0500 Mayo $0.00 Fries $1,50 I Chicken Salad Sandwich $6999 Lettuce $0.00 Onions $0600 Pickles $0,00 Tomatoes $0000 CFC $10,99 1 Fried Okra $0,00 1 Mashed Potato $0000 TX Angus Burger $7.99 Add Amer Cheese $1,25 Lettuce $0400 Onions $0400 Pickles $0900 Tomatoes $0,00 Mustard $0,00 Fries $1,50 TX Angus burger $7,99 Add Sliced Jalapenos $0.50 Add Amer Cheese $1,25 Mayo $0,00 Mustard $0,00 LongHorn Burger $8.99 Add Amax Cheese $1,25 Mayo $0,00 Tomatoes $0.00 Fries $1,50 Grl Chickei Salad $10,99 Honey Mustard $0.00 Sub -total: $84.66 Gratuity: $15.2q $9 rrU,9�TTotal Credit; $99,90 Change: $0000 11,. •_Total�litsi�ylp Texas Traditions 234 E Main St Port Lavaca, TX 77979 361-553-5555 Table 6: 18 Trans In: 1004 Order Number: 14524 Ticket -Number : l — - Status: APPROVED Card Member: ANGLIN/JASON W Card Number: XXXXXXXXXXXX6997 Auth Code; 05063E Server: Victoria Term; 0001 B/9/2019 12:59 PM Gratuity was added to this ticket, SUBTOTAL: y+99 � 90 ,/ TIP: TOTAL; SIGNATURE; 15,00X $12,70 18.001 $15,24 20.009 $16,93 GUEST DOPY 9/19/2019 ^{�;t� tmp_cw5report321227630348542981.html CEy"D `— MEMORIAL MEDICAL CENTER 09/19/2019 0 11:00 EP 19 2019 AP Open Invoice list ap_open_lnvoice.template Dates Through: Venq3qtfto,put, CQHPtay Audito1'Vendor Name Class Pay Code 11816 ASHFORD GARDENS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091119 09/16/2019 09/11/2019 10/04/2019 %395.08 0.00 0,00 91395,08 TRANSFER WUYt.11Ply W0Mf.frtSUrrtCe- p�yot SeKi" 40 KIAt, ilicwu✓ 091119A 09/16/2019 09/11/2019 10/04/2019 1,Q83.69 0,00 0,00 1,083.69 t/ 1e63:69 tjursiyty h,w iyistw"tiL sud do wg . K cwv✓- 0911198 09/16/2019 09/1112019 10/0412019 784,89 0,00 0.00 784.89 t/ TRANSFER FJUY61Yiy WilaC. l yV&kkMttr2 Pbary SCA f + 1`.�WL IM cwi wr 091119C 09/16/2019 09/11/2019 10/04/2019 511,60 0,00 0,00 511.50✓ TRANSFER MAW hq hOWIL iMttnuue p�t t-SCn t ib WjV,_c- ih 0TW' _. .... ........ . 091719A09/18/2QTQ__0911712019.. 10104/2019_. ll 1,863.37 0,00 .0.00J,863.37 TRANSFERWWY i" hdW ih&WWVe_ p�PQ SCn} h IA9L ih ('VwV, 091719 09/18/2019 09/17/2019 10/04/2019 21737,55 0,00 0,00 2,737.55 TRANSFER WijrGML) Wo{ 4 jl't UOLIlCL�I4 . t7§(41A iV WWW, - iw Crww� Vendor Totals: Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDEN 16,376.08 0.00 0,00 16,376,00 Grand Totals: Gross Report Summary 169376.08 APPROVED ON SEP 2 0 2019 COUNTY AUDITOR CALHOUN COUN'PYr'Y'EXAS Discount No -Pay 0.00 0.00 Net 16,376'08 file:///C:/Usets/mmckissacWcpsi/memmed.cpsinet.comlu88150/data_5/tmp_cw5report321227630348542981.h1mi 1/1 Net 16,376'08 file:///C:/Usets/mmckissacWcpsi/memmed.cpsinet.comlu88150/data_5/tmp_cw5report321227630348542981.h1mi 1/1 9/19/2019 tmp_cw5report4821233342545701670.html 09/19/? y 7pgt{ MEMORIAL MEDICAL CENTER 0 f %4f AP Open Invoice List 1106 - Dates Through: ap_open_involce.template ,opffim'mC011111tY Aaufua'r Vendor Name / Class Pay Code 11828 SOLERA WEST HOUSTON V Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091219 09/16/2019 09/12/2019 10/04/2019 3,000.00 0,00 0.00 33000.00 TRANSFER VWt4jN h4WI, lv\StAVwt V 'AK1- 'fU vwr, . lK uvw Vendor Totals: Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOt 3,000.00 0.00 0,00 3,000.00 Report Summary Grand Totals: Gross Discount No -Pay Net 31000,00 0.00 0,00 3,000,00 ON SFP 2 0 2019 CALF3O'1 C AMMg file:///C:/Users/mmckissacWcpsl/memmed.cpsinet.com/u88150/data_5/tmp_cw5report4821233342545701670.html 1/1 9/19/2019 tmp,Tcw5report4966228947476506866.html r. - J "% --" MEMORIAL MEDICAL CENTER 09/10%2014 0 11:01 20 l� AP Open Invoice List ap_open_involce.template Dates Through: Venor#.. Q#tom C,p1 ditop Vendor Name Class Pay Code 1188 BROADMOOR AT CREEKSIDE PAR Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091219A 09/16/2019 09/12/2019 10/04/2019 61000,00 0.00 0.00 6,000.00 ✓ TRANSFER ►l UYyiY 1u tQ- IY1St~(c p0mi 1 Um4 eh MW L Ill (.MA - 091219 09/16/2019 09/12/2019 10/04/2019 4,092.00 0.00 0,00 4,092.00 ✓ TRANSFER"G ho VtoWie 1YtSMuv_t p1mi- ytA} ill wkkL in tvvw- Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT Cl 10,092.00 0,00 0,00 10,092.00 Report Surmnary Grand Totals: Gross Discount No -Pay Net ___ _.__..._._—.-10,092.00_. _.0,00_. ___.. __--0,00 -- -.. _. _. 10,092.00 SAP � 0 201� COUiW'.t`'Y' Ai7iDY`t'E3Eb �Drm cigurva�, file:l//C:/Users/mmckissacWcpsl/memmed.cpsinet.com/u88150/data_5(tmp_cw5report4966228947476506866.html 1/1 9/19/20,1, 7.._ _ tmp_cw5report591780729458740307.html 09/19/2016 P I Q 2019 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:03 �- ap open_Involce.template Ven("'d Owk P11f?4y r#� whir Dates Through: dVendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091119 09/16/2019 09/11/2019 10/04/2019 ,t 540.00 0,00 0,00 540.00 TRANSFER WVf4j n5 Vle1L � nQ,UMWi pv�l&i� 'f111 Khi(/1t- 11'i MwW, 091719 09/18/2019 09/17/2019 10/04/2019 690.00 0,00 0,00 690,00 TRANSFER NWOM 619 ilUv "Ut, 17KT sad b VWLC I K (M4i 091719A 09/18/2019 09/17/2019 10104/2019 tI 1 1,380.00 0,00 0,00 13380.00 t TRANSFER pW4,jVVj VW.4- tVt� ,VAS pv�W�'I r7(^+ `% i1 wqV lvi fML✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 21610,00 0.00 0,00 21610,00 __. _.. - _ ._._Report Summaty. _ _._.. ... Grand Totals: Gross Discount No -Pay Net 21610,00 0.00 0.00 2,610.00 TMT $�ilti+�.iGUTj C()Y)'itfiir� file:///C:fUserslmmckissacWcpsi/memmed.cpsinetcom/u88150/data_5/imp_cw5report59178072945874030Zhtml 111 tmp_cw5rephrt8247890076002600224.html 09/19/201 e°p q 4 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:04 ap_open invoice.template �;tOr, Dates Through: Vene1`wt' Ctiitttt}' Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 091119C 09/16/2019 09/11/2019 10/04/2061'9 3,966.30 0.00 0.00 3,966.30✓ TRANSFER KQf1jjM twit@ jft6u{4;{1U, qn y�r6f j 4p WiltLL IK Lr'Wr 091119 09/16/2019 09/11/2019 10/04/2019 ' 0 11853,22 0,00 0,00 11853,22 r/ TRANSFER WVU tjjq howlsjMvY/.11-Le_ p orA-SCA4 W W%wiKcWK� 091119E 09/1612019 09/11/2019 10104/20191,130,00 O,00 0,00 1,130.00 TRANSFER jJkWjiM VOML !KWI WwnYA+ y�'tv ✓ wgoj .ik cww1 091119D 09/16/2019 09/11/2019 10/04/2019 74,36 0,00 0.00 74,36 ✓ TRANSFER N0.Vjihy i OKL (NSU,t4Ul-fi VbWL� %OLlr '�'i v4Lkk- .lk Lww- 091119A 09/16/2019 09/1112019 10/0412019 5,267,54 0.00 0,00 5,267.54ve TRANSFER WilAf4IN JUML j%Ik I fv& pVjgt 6(ALt Wi&kG IK CW%V' 091319 09/17/2019 09/13/2019 10/04/2019 3,946.34 0.00 0,00 3,946.34 TRANSFER h(VAIny VWW JAWKkKtc ii?T* 4Akt + MM-L ilk cww 091719A 09/18/2019 09/17/2019 10/0412019 31*850,20 0,00 0,00 31,850.20 ,/ TRANSFER ((IAN]Ay Vwwu. lVttu.vA.lV.�- 79'+�fi `'�h} -W W" lh (,W 091719 09/18/2019 09/17/2019 10/04/2019 610366,�06 0,00 0,00 5o036,06 L/ TRASNFER n/00Vl1) `VW4 IML_, p�, VKKUO 7a5h ill hliNlti(kCWWV Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HE 534124,02 0.00 0.00 53,124,02 Report Summary Grand Totals: Gross Discount No -Pay Net 53,124.02 0,00 0.00 53,124.02 r+Ot CAL13Oi1N ou)On':�s file:!//C:lUsers/mmckissack/cpsilmemmed.cpsinet.com/u68150/data_5ltmp_cw5report8247890076002600224.html 1/1 § 7 ! � 0! - , «: | k$| !;! = 9 E!! § 0 § |#| §0 a|!om o \ k ) J§ # � � U� ƒ � a k � � k � k§ !2a M CO m � N O � o L'N `o � L r O_ 2 V > W ao a = > 8 E c Q� c j L U E r CD r VJ a Ip �b z v O $ � H 111 yy CW1 Ono a O 7 Et N a5 6LL E v a" of N m N Q N N oyo UG N m E o a o a o t! x� Nd E h h S "• E N A2 a 0 a a a0 N M N •�m,� h h_ a U n 0 N R u E N N a Z zN 00 o o E E y r o I °r o `o ` E a za 9q H 9pp L 0 0 � 6 ® 9; _ \ \ \ \\ 2 0 # d� � ( $ k # ! ; # \ k � )§ !§! Poo } k k J§ 0 J�O ; ! ! { � � { � ! k is ) k § e § wo no E \ ON ) U )§ ^ / - � m ! ' !Ld(( \) }E \/ PL/ �\ ƒ � � CIA u ` : E \§ / � Z W 2 W FM Q FM U) / U Ulm III` III- ! 00a00a IS IS a IS !!!!! ) it \/&k7 P � f � \\\\\k \)(\(j /\§§\§ � \# kk }\ k� \ / ) ! !) aLL as F N E m O O Nl C O U O Z ui W Q ,,FM^ V/ O" r O M O m N r "NoomtO O1on n n n n b °' U II m g m n o W 0 a N m N m� Ci r9 m � M O N y N N N 0 0 mN m co m to O1 m N Y m w m o n m o 0 0 0 8 u � �v`�0manrN II vri In E N N N N �nn lei r n nrrr - FJ ° 3 � m m m m m m m m m m n o 0 0 0 o rv� N N N N 6 m N N N N N N N N p p N 0 0 0 0 0 Eo �mmmlo�mrnmN� `mm IL O10 o mm U o 0 0 0 0 0 0 0 c ° ny v n Y a c m • g LL 6 r T N 0 o 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 ccount Activity Number: 58384354 Date: 09-2M019 1 of 1 WALGREENS 812494 340E MEMORIAL MEDICAL CENTER 1302 N VIRGINIA ST PORT LAVACA TX 77979.2509 ACCOUNT: 1001352841037028186 Not Yet Due: 0.00 CuuenL 630,81 Past Due: 0.00 Total Due: 630,81 Account Balance: 630.81 Activity Date ___._..___ Due Data_ ___ __Number Reference Purchase Order _ _Number--._ _ 09-16-2019 09.27-2019 3027469289 150641 09-16-2019 09-27.2019 3027469840 150679 09,16-2019 09-274019 3027531993 150727 09-18-2019 09-27,2019 3027636323 150754 09-19-2019 09-27,2019 3027694352 150821 Thank You for Your Payment Date Payment Number Amount 09-20-2019 (2,401*73) Cam- �oo3`a-- Reminders Oue Date 09-27-2019 Activity Amount Tvne. Invoice 8.45 Invoice 98.15 Invoice 131,26 Invoice 36.89 Invoice 26.58 Amount Total Due: 630,81 Terms: Monday - Friday due in 7 days It ( U APPROVED ON SEP 2 3 2019 COLTIMAUUI'XOR CALHOUN COUNMI'M" "MCIIN�\ \�\ \�\ \ ! \ � ,rE°°!*! )}{{{J)\{ \ / � 9/19/2019 tmp_cw5report2041339278404367024.html 09/19/2019 MEMORIAL MEDICAL CENTER 0 SEEP 19 2019 AP Open Invoice List 11:02 ap_open invoice.template Dates Through: Vendg0Mj Ttt1% CO% ty Al 40"Vendor Name / Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091619 09/16/2019 09/16/2019 10/04/2019 100.00 0.00 0,00 100,00 DEPOSIT TO OPEN ACCT Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 100,00 0.00 0.00 100,00 Report Summary Grand Totals: Gross Discount No -Pay Net 100,00 0,00 0.00 100.00 ON a SEP 2 0 2019 COUN"iY AY3'DffOk1 CAL1 OUN CD11NWo T=AS file:R/C:/Users/mmckissacWcpsilmemmed.cpsinet.com/u881501data_5ltmp_cw5repor12041339278404367024.hIml 1/1 MEMORIAL MEDICAL CENTER CHECKREQUEST P Bethany Senior Living Date Requested: 9-16-19 A FOR ACCT, USE ONLY Y .. . APPROVED IlImprestCash E]A/P Check E SEP 2 0 2019 Mail Check to Vendor E ___. _____ __. COUNTYAUDITOIt ReturnCheckto.Dept -- CALHOUN COUNTY. � 6. 1 AMOUNT $100.00 G/LNUMBER: 1006WIIO EXPLANATION: Deposit to open bank account REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: uv Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 9/23/2019 PrcHous Todayi Amount to Be Account DesignNG Atli Beginning Tramfagedlo Nursing Nursing Hama Number BalanceTransfer-Out Transfer In Pending Oeposlis Balance Nome wilimom 48,749.19 48,547.26 65,157.92 - 65,359.85 / 53,297.17 Bank Balance 65,359.95 ✓ flouring rnlarmoNon larAshford Gardens Ashford Health CoreCenter truce 0Matter Chose Bank ae — 21,848.46 ✓ 21,651-70 �/ 300,421.06 s/ 35,]54.66 ✓ 35,549.21 � 70,]78.82 3,985.97 � - 32,159.2A Variance Leave In Balance QIPP Yr 1 Adjustment MMCPartion QlpPIL MMC Pardon QIPP 2,3,Upse Julyintarest August interest September Interest Adjust BalanceRmnsfer Amt dank Balance Variance Leave In Balance MMC Portion QIppI MM[ Portion QIPP 2,3,lapse July Interest August Interest September Interest Adjust Balance/lranticrAmt Bank Balance Variance Leave In Balance QIPP Yr 1 Adjustment MMC Portion QIPP 1 MMC Portion QIPP 23,lapse Adyinterest August interest September Interest Atlimt Balance/Tnnsler Aunt Bank Balance Variance Leave to Balance QIPP Yr I Adjustment MMC Portion QIPP 1 MMC Pardon QIPP 213,Lapse July Interest August Interest September Interest 100.00 11,860.75 ✓ 45.56g/ 56.31✓/ 300,6I0AT / 378,110.61 380,618.62 ✓ 100.00 2,311.25 t/ 49.59 , 47.17 378,110.61 ✓ ]0,984.27 ]0,984.2] 100.00 2,297A2 60.44 ✓ 37.01 ✓ 66,48/AO 34,345.21 34,145. 21 10000 0,857.>9 ✓ 16.29 r 29, 152.32 29,152.32 / Atliust Balan<eRnnslerAmt L/ 230078,14 ✓ 22,795.61 t/ 64,491.43 64,773.96 V1 61,114.51 Bank Balance 64,773.96 Variance Leave in Balance HXJw QIPP Yr IAdjustment RuutcasuaLo rid mn brGneenr/se!Bra oe Wert Hemran /ran Bend/Breading MMC Pardon QIPP 1 3376.92 Canter Health Care Centers 111 ltf MMC Portion QIPP 2,3,Upse JP Morgan Gore Bank Julylnterest 101.38 t�/ ABA 1 9 *1 , I - August Interest 81.15 Arm.... i t September Interest Adjust BalanceRmnsferAmt 61,314.51 6 8 1 '-A- L 11 1, TOTALTRANSFERS - 5904156,01 29ri z`.r_ Note: Only balances alavertSM wlilbe transferred to the Purina as 6 1 f 1 111 I Approved: Hare 2: Each account hog a base balance of$10 that MMCdeparfled l9 �. .1 i j l plane C Moore, CEO 9/23/2019 APPROVED ON SEP 2 3 2019 1ANH Wrong TranshnV li UPI Trenshr Summary\2019\Sep1embet\HII oPLTram/er Summary 9.23-19.xtsx COUNWAUDYT013 CALHOUN COUN2; ISXM JANH Wee Liy Trawlela\Rank Dowioad %forks6eets\231-\ resewCer\Nt Page ] ' MMCPORHON QIPPYR 1 NIVENURVIESTranslenOut Transfer-InQIPP/Compl ADI QIPP/Comp3 QIPP/lapse QIPPTI NH PORTION 9/16/2019 Deposit P A'793,50 - 4,79350 9/16/2019 AN Deposit MANAGEANONET1718 MNS PMnT 00000CCO000009341 1,462.50 ✓ - 1,46E50 9116/2019 ACHOepwil AmeriBraupMCHCMIMPMT310834WW111C00 5.625+83� - 5,6ES.83 9116/2019 AN Deposit UHCCOMMUNiTY PL HCCLIMPMT 74500341191000 1711IL43 �/4 - 17.17243 9/17/2019 AN Deposit Amerigroup TNSC HCCMO•IPMt 310846304211100 694.E v - 694&1 9117/2019 AN Deposit UHC COMMUNITY PL HCCMMP.MT 74W03411910CW 4,854.74 r/ - 4,85474 9118/2019 AN Deposit MOUNA HMLTHCAR MOUNUCH 0083389642CPA14 11,8E0475✓13480.75 11AW75 - 9/1813019 AN OepasitlAANAGMNONEf1)18 hiNSPMNT 000W000000009341 6,E64.21 ✓ - 61 6,2.)i 9119/2019 CM Wire Demesuc WIRE OUT ASHFORO HEALTH CARE CENTER LTD 48,547.26t// / - • 9/20/2019 Deposit 2,220.00 ✓ - 2,220,00 9/20/2019 AN Deposil UHC COMMUNU PL HCCMIMPMT 746WMII 9100M 11030.67 ✓/ - 1,030,67 9/20/2019 AN Deposit UNC COMMUNITY PL HCCMIMPMT 746W3411910000 163.0 ✓/ - 163.68 9/20/2019 AN Deposit U14C COMMUNITY PL HCOAIMPMI 74003411910,300 114.09 y - I14A9 9/20/2019 AN Deposit NOVITAS SOLUTION HCCLAIMPh1T 675423420000197 8.629.88 l/ - 8,629.88 9/20/2019 AN Deposit HEALTHHUMAN SVC HCCMMPMT I7.4MM113NS2 271.0 r/ 271AO 48,Si].26 65,I57.92. 11,860.75 11,80.75 $3,297.17 MMCPORHON __— QIPPYR] -------- iNspi Transfer -In OPP/Comp] ADI QIPP/Comp3 QIPP/Lnpse QIPPTI NH PORTION 9/16120190eposit 30,138.-06 `� - 30,11846 9/16/2019 ACH Deposit HEALTH HUMAN SVC HCCMIMPMT 174600341130041 6,699.81 �/ - 6,69981 9116/2019 AN Deposit MRP SuVpiemenn HCCMMPMT 746003411124M 11193.50✓ 1019350 0/17/2019 AN Deposit HUMANA INS CO EEPAYMENT BW861830W05624389 446143✓ - 4,461,43 0/17/2019 ANDeposit HUMANA CHA D159 HCCMIMPMT 3NNO61420CJ0146i 1:532.21 �/ - 1,532.21 9/17/2019 AN Deposit United]lealftare HCCMM1IPMT 7464,0341112e38d 13M ✓/ l3W 9/17/2019 AN Deposit UHC COMMUNITY PL HCCLIMPMT 74MUll 9100M 17,513.473I/ - 17,51347 9/18/2019 AN Deposit MOLINA HEALTHCAR MOUNAACH 0063404342003014 2,321,251/ 20311.25 2,3/1.25 9/19/2019 CM Wire Domestic WIRE OUTCAHTER HEALTH CARECENTERS111 21,651.70 / to - 9/19/2019 AN Deposit HEALTH HUMAN SVC HCCMIMPMT 174E00341130N2 544.39 544.39 9/1012019 Deposil 51205.so s// - 54285.50 9/20/2019 AN Depwit UHCCOMMONITYPLHCCMMPMI 746CO3411910000 14,21911✓ - 14,219.41 9120/2019 AN Deposit NOVITAS SOLUTION HC[MhiPMT 6763574211,000196 277.870.37X, - 271,870.37 9/20/2019 AN Depolit HUMANA INS CO HCCLAIMPMT 39086183M0055615) JUS1659CS - 18,659.O6 9/16/2019 Deposit9/16/2019 ANDeposit UNC COMMUNITY PL HCCMIMPMT 740O341191CM0 9/16/2U19 ACH Oeposlt UHC COMMUNITYPI HCCMIMPMT 74603411910000 9/16/2019 ACHOcpollt NOVITMSOLUNONHCCMMPhIT6763294200M118 9/17/2019 ANDeposit HU41MA INS CO EEPAYMENT 390864 8300W562868$ 9/17/2019 AM Deposit HUMANA INS CO EEPAYMENT 399961 830CCo56201)N 9/17/2019 ANDeposit UNC COMMUNITY PL NCCUIMPMY 746Wi41191COW 9/10/2019 ANDeposit MOLINA 11EALTHCAR MOLINMCH WBRO2442000014 9/1912019 ANDeposit UHC COMMUNITY PL HCCMIMPMT 74MMI1910000 9119/2019 CM Wire Domestic WIRE OUT CANTE% HEALTH CARE CENTERS III 9/20/2019 ANDeposit Unite IIINIlhcare HCCMMPMT 746003411124384 9/20/2019 ANDeposit UHC COMMUNITY PL HCCMIMPMT 7460034119100110 9/20/2019 ANDeposil HUMANA INS CO HCCMIMPMT 3W96483W WSSMS7 9/16/2019 Deposit 9/]6/3019 ACN Deposit U31C COMMUNItt PI NCCMMPMI 746M3d1191W W 9/1)/2019 ACH Deposit UNCCOhIMUNitt PLHCCMIMPMi 746W34t191W W 9/18/2019 ANDeposit MOLINA HEAITHCAR MOLINMCH W83393042W W14 9/18/2019 ANDeposit MANAGM14DUU1718 MNS PMNT 1700000OOWN29441 9/19/2019 ANDeposit UNC COMMUNITY PL HCCMIMPMT 74 W33Att 9100W 9/18/2019 ANDeposit HARP Supplements HCCMIMPMT 74600i111124384 9/20/2019 AN Deposit UntedHealU.are HCCMIMPMT 745003411124384 9/16/2019 Deposit 9/16/2019 ANDeposit AmeUgroup TYSC HDCMM1{PMT 31011369961211000 9/16/2019 ACHDepwit UiICCOMAIUlil YPLHCClA1MPMT7dMUIL910000 9/16/2019 Aqi Deposit UHCCO24M1IUNItt PLHCCMM1IPMT746 N1191WM 9/16/2039 ACH Depollt MRP SuppiemeAM HCCMIMPMT 740003411124384 9/17/2019 ACHDep j]t UNCCOMhlUt4t YPLHCCMIMPMT746 N11910W0 9/19/2019 ANDeposit MOLINA HEALTNCARMOUNMCH 00834011420W014 9/181ZD19 ACROcpiltA erigroup7MCHMC IMPMT$IOBSBOSO1111W0 9/18/2019 ANDeposit UHC COMMUNITY PL HOCMIMPMT 7460,03411910(1 9/19/2019 CM Wire Domestic WIRE OUT CA11TE3L HEALTH CARE CENTERS III 9/19/2029 ANDeposit NOVITAS SOLUTION HCCMIMPMT 676110420000109 9/19/2019 ANDeposit MRP Supplements HCCMIMPMT 74003411 124384 9/20/2019 AN Deposit UnHMlleaitHnre HCCMIMPMT 7460034111241M 9/20/2019 ACHOepoiitUHCCOMhlUN11YPLHCCMMPMT746003411910000 TOTALS 2,311.25 378,310.61 NPP Tns MMC PORHON Tnnsfer-Out Trimsfer.lD giPP/Camp] ADI Peripd2 gIPP([omp3 QIPP/Upse gIPP7i NN PoRIIDN 3,101.47 / - 3,101.47 ;329AS s/ - 2,329.85 10,559.92 ✓ - 100559.92 4,857.79 ✓ 4.657.79 4,R57.79 - 5.627.50 ✓ - $1677.50 110IS21 1101321 slim - 511.5C Transler-Out Tnnslpnlnl QIPP/Comp3 AO) 41PP/Comp3 QIPP/lapse QIPPTI I N13 PoRTlON I,635.20 3/ 7,635.I0 3,22i.68 a/ 3.224.C8 7.431.63 ✓ - 7,431.63 6.130.29 ✓ 6,110.29 ✓/ 2.387.W 2.38I.W 16,855.33 y - 16,85533 3.376.92 3,376.92 3,376.92 - 1.075.0i ✓ - 1,075.04 1,241.27 - I.241.27 22,795.61- 3,889.01 3,889.07 ✓/ S.;SW A sm.M 9/23/2019 Home ALL ACCOUNTS FAVORITES Favorite Accounts MEMORIAL MEDICAL CENTER - OPERATING111ft- - -- MEMORIAL MEDICAL CENTER / NH ASHFORD •43e1 * MEMORIAL MEDICAL CENTER / NH BROADMOOR 44403* 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 or MMC -NH GULF POINTE PLAZA - PRIVATE PAY4r MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID ow tal Banking Reorder Favorites Available Previous Day $119,111.40 $65,359.85 $407,973.96 $380,618.62 $356,759.53 $70,964.27 $374,377.36 $64,773.96 $100,580.33 $34,145.21 htlps:/Ipbsllxsecure.fundsxpress.comlfxweb/app/!I/home 111 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 9/23/2019 Previous Amount to Be Account Beginning Pending Tmnsfesrecito Nusai a KImHoomoe Number Balance .Trsnsfen0ut Transfer -in Deposits Toda sBe innin Balance Nuts) Nome mFgm-"u!7"' 17,538.66 17,389.03 49,289,76 - - 49,439.39 49,28976 Bank Balance 49,439.39 ce Routing Information for Golden 4eek: Nexion Health of Golden Creek We& Favors Bank, N.A. ABA ACCown Note. Only balances ofover$5,000 will be transferred to thenursing home. Nate2: Each account has a Base balance of$100 that MMCdepauted to open otcount. 4 Varian Leave in Balance MMC Portion QIPP 1 _ QIPP Yr l Adjustment lyinterest August interest September Interest Outstrading ck to MMC for QIPP Adjust Balance/ transfer Amt 49,2g9.]6 l/ f00.00 / 29.80 Approved: \j Olane C. Moore, CFO 9/23/2019 1:\NM Weekly Tranders\NH UPl Transfer Summary\2019\September\NH UPL Tramler Summary 92319.tlrs MMCPORTION �,..E C' ¢ _ '° Transfer -Out Trdnf/er.�p qIP/Compl AOI Pe lOd2 QIPP/Camp3 Opp/Lapse QIPPTI PORTION 9/17/2019 ACHDO"Iit ACHSMak%ENTSERNCE410552U399601693D6) 98).fie 987.69 9/19/2019 CM Wim Dommbe WIREOUT NEKION HEALTH ATGOLDEN CREEK 17,389.03 9119/2019 ACH Deposit TSTS/TRANSFIRST BKCO STOAT 5436845550)691) 9 350.39 ✓ - 350.38 9/19/2019 ACII Oepotit N0VITAS SOLUTION HCCIAIMPMT 676097 41000D109 65).9) ✓ 652.97 9/20/2019 Ceposlt /47,190.73 47,290.73 1),389.03 49t89.76 49289.)6 9/23/2019 Home ALLACCOUNTS FAVORITES * Favorite Accounts MEMORIAL MEDICAL CENTER - _. OPERATIN_Glw__ MEMORIAL MEDICAL CENTER / NH ASHFORD` MEMORIAL MEDICAL CENTER / NH BROADMOOR_ MEMORIAL MEDICAL CENTER / NH CRESCENT MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON ow MEMORIAL MEDICAL CENTER / NH FORT BEND MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE 4454 * MMC -NH GULF POINTE PLAZA - PRIVATE PAY MMC-NH GULF POINTE PLAZA -MEDICARE/MEDICAID tal Banking Available Previous Day $69,247.64 $49,439.39 Reorder Favorites https:/lpbsitxsecure.rundsxpress.comltxweb/app/lAhome 1/1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 9/23/2019 roan) Beginning Pending amlearea to ulansfingilame Number Baanae and<'a eesua.ea rqa05 Beginning too. aoa o parondel rme Bane Balance Variance teaw In btanre low Portion QIPP1 MMC Ponlon OPP ],],taps e July Interest am we Auemtin erect to] ✓ seplembermtereat aalust BalanrManneraml oaa a� vrraloga Amount to Be Betlnninq penalna Tranata unIng Romeumber >;f de.out nanneran abn mrea Deposits rmaysee Junco Balance rvuralnRome Vans Balance B,BBs.]0 1/ Variance tezvem Balance OOM MMCPprxon QlpPl MMCPoxIon QIPPV,Upse July Interest 1.60 pittnterest J." ✓ September Interest Aafuit BalanmrtranaferMnt a.]agea ✓ 6.]10a1 Nale:Onrybofpnra o/aver55,o0owllibrlramjerrra (o Me nuninq tome Na(eS: EprhanqunrFor share 6gbnreo($100IMtMMCtlrpmlleaioopen ottovnJ. Aoprorea: Olana CMpore,CFO 9/]3yM19 1:\MN 1Yedh]nnenrgxn UPt iramler aummarv\agl9ykpt<mhr\NV UPl iranatt Summary 9-lS19 aiw 912312019 tal Banking Home AIL ACCOUNTS FAVORITES * Favorite Accounts MEMORIAL MEDICAL CENTER - __ MEMORIAL MEDICAL CENTER / NH ASHFORD_ MEMORIAL MEDICAL CENTER / NH BROADMOOR_ MEMORIAL MEDICAL CENTER / NH CRESCENT MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON any MEMORIAL MEDICAL CENTER / NH FORT BEND — MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE MMC-NH GULF POINTE PLAZA PRIVATE PAY •sa33* MC -NH GULF POINTE PLAZA -MEDICARE/MEDICAID •seal Available Previous Day $1oo.zo $6,888.78 $1oo.zo $6,88s.78 Reorder Favorites https://pbsitxsecura.luntlsxpress.com/Ixiveblapp!#(home i/1 y Y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: AMOUNT 511,860.75 9/23119 FOR ACCT. USE ONLY "PROWD ON �ImprestCash F]A/P Check SEP 23 2019 QMail ChecktoVendor _ COUNTYAMrfon Return Check to Dept CA lA1OTJN COUNTY, TESCM G/L NUMBER: 21000012 EXPLFlNATION: Ashford- To transfer funds for Comp 1 - OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED 61`: ✓��,` �-'� MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 9/23119 Date Requested: A AgggOVXp FOR ACCT. USE ONLY Y ON nImprestCash E SEP 2 3 M9 ❑A/P Check F1Mail Check toVendor E CbYiNTY AUDPPbi& CALHOUN COUNTY, TMMS Return Check to Dept AMOUNT $2,311,25 GANUMBER: 21000009 EXPLANATION: Broadmoor- To transfer funds for Comp 1 - QIPP payment. REQUESTED BY: Sarah L, Henderson AUTHORIZED BY:y`Lkt, C%U MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 9123/19 Date Requested: A APPROVED FOR ACCT. USE ONLY Y ON FlImprestCash E SEP 2 3 2019 ❑A/P Check _.....MailCheckto-Vendor—- E COUNTY AUDITOR OALUOUN COUNTYtTEXAS❑ Return Check to Dept AMOUNT 52'297'42 G/LNUMBER: 21000010 EXPLANATION; Crescent- To transfer funds for Comp 1 - QIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 9/23/19 AMOUNT $4,857.79 APPROVED FOR ACCT. USE ONLY ON nimprestCash SEP 23 2019 ❑a/PCheck Mail Check to Vendor COUNTYAUDITOI2 Return Check to Dept CALHOUN COUNTY, G/L NUMBER: 21000008 EXPLANATION: Eort Bend -To transfer funds for Comp 1 -OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 9/23/19 Date Requested: A FOR AC( Y APPROVED FlImpre ON E FIA/P C SEP a 3 20`19 []Mai ( E — COUNTYAUDTPOR FIRetur CALROUN COUNTY, MA9 AMOUNT $34376.92 G/L NUMBER: 21000011 EXPLANATION: Solera• To transfer funds for Comp 1 - QIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZtiD BYt September 25, 2019 2019 APPROVAL. LIST- 2019 BUDGET Q:OUR'IMEETING OF BALANCE BROUGHT PORWARO FROM APPROVAL LIST REPORT PAGE 36 09/25/19 $404,886.27 NATION WIDE RETIREMENT SOLUTIONS P/R $ 3,728.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 2,406.54 AT&T MOBILITY A/P $ 799.13 CALHOUN COUNTY NAVIGATION DISTRICT A/P $ 61.19 CALHOUN COUNTY GRANT FUND LOAN FOR RIFLE RESISTANT BODY ARMOR A/P $ 493650,67 CENTERPOINT ENERGY A/P $ 2,180.31 CITIBANK A/P $ 65529,33 DEMI CABRERA REIMBURSEMENT A/P $ 16.24 '.. FRONTIER COMMUNICATIONS A/P $ 2,485.77 WHITE TRASH SERVICES A/P $ 1,140.00 TOTAL VENDOR DISBURSEMENTS: 473,883.93 $ i TOTAL AMOUNT FOR APPROVAL: $ 489,953.75 � � T t g o N P In O O O o O o O O O O O N N 4C� 41 41 C] 41 4� y5 4� m ro ro 1177 CI CI CCC777 H H r r r r r r r r r r n 9 9 r r r r r r r r r r m n n n n n n n n n o m w ro ro v v ro ro ro o n ro� 'si d yzyz yzy v>z>� 9z9z yzzy yzy vyzy� yzy t7n Can Cjn U9 C7n Cln C7n docl ne r r r r r4` r r4` r r4` c7.m �try fi3 ar Fiw �m +C"ir �r tt�w F�m �m cc) y0 N� o a A P �a "a. 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