2012-12-13
Regular December Term
Held December 13, 2012
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 13th day of December, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
Anita Fricke
Suzana Eckermann
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
County Clerk
Deputy County Clerk
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag.
MEMORIAL MEDICAL CENTER REPORT:
CEO Report for the month of November 2012:
Jason Anglin:
October's financial operating results produced a net monthly income of $304,549, which contrasted budget expectations of a
net loss of ($1,116) for the month. Uncompensated care payments received under the Waiver 1115 program raised this
month's revenue. This puts Memorial Medical Center at $617,819 for the year.
UPL Program/Waiver 1115 Program: Attended meeting on December 3, 2012 with Harris County and other hospital
participants in the region health plan in Houston. Pass 1 Funding (initial funding) has been done and now we are in a Pass 2
Funding: Projects submitted: adding equipment to each of the nursing stations from a Medication Dispensing System. There
might be a Pass 3 Funding at a later date.
Still in process of obtaining proposals for the replacement of the boilers.
HRSA update: Texas Primary Care Office completed review and entered data into the HRSA online system, passing
requirements. Thirty (30) day comment period before being officially designated sometime in January.
Meeting with Diamond Healthcare on outpatient behavior health program and outpatient pulmonary rehab program.
Nuclear Medicine Service Agreement is up for renewal and the proposed 4 year renewal cost is $126,076 with a savings of
$26,804.
Annual renewal of the Ambulance Agreement with Calhoun County EMS.
Renewal of Workers Compensation Insurance is $76,803, approximately $4,000 less than last year.
CFO report for the month of October 2012:
Rick Hart:
Cash was high again with 62 - 63 days of cash on hand.
Total inpatient days were up 36 over September's totals, as were acute days (up S4 days). Swing bed days were down 18
days from last month. Also up were the average daily census (13.87), average length of stay (3.97), total surgeries (up 13),
outpatient and specialty clinic visits (231), radiology procedures (299), respiratory therapy procedures (108), physical
therapy visits (341) and pharmacy drugs dispensed (3,083).
A second bank account being established Is being considered by with the County Auditor and Treasurer to identify monies
from the Waiver and a new balance sheet account has been created labeled "Private Waiver 1115 Clearing Account". Total
cash showed an increase from the prior month up by $58,955 with the transactions from the new Waiver 1115 program.
Gross patient revenue: increase of over $443,800 from September. Year-to-date: MMC's net income through October is
$617,820 contrasted with the budgeted YTD net income of $53,660.
Discussion:
Judge Pfeifer: How many babies were born last month?
Jason Anglin: November was higher than October. The number of babies born October were less than the previous year
with 98 births for October 2012 and 108 births for October 2011. By the end of the year, we should be higher than the
previous year.
Memorial Medical Center - Port Lavaca, Texas
CEO Report
November 14, 2012
Financial Results:
In October we had a net income of $304,549 increasing our net income for the year to $617,819.
This month's positive month was driven by the uncompensated care payments received under the
Waiver 1115 program. Our patient census was up from an average of 13.1 to 13.9 in the month and
overall patient revenue was up.
UPL Program I Waiver 1115 Program
On Monday December 3,d we plan on attending a meeting with Harris County and other hospitals and
participants in the region health plan in Houston.
Phvsical Plant
We are still in the process of obtaining proposals for the replacement of the boilers. See attached
memo from our plant services director for update.
Miscellaneous
HPSA update:
The Texas Primary Care Office has completed their review and entry of the data into HRSA online
system. The automated analysis showed it passed the requirements, however personnel in the Office of
Shortage Designation at HRSA will look it over and asked the state office any clarification questions.
Once they agree that the area meets the requirements, there is a 30 day comment period and then it is
officially designated. With the holidays coming up the Texas Primary Care Office estimates that it will be
January before it's complete.
New Programs
We anticipate having additional meetings this next month with Diamond Healthcare on establishing an
outpatient behavior health program and an outpatient pulmonary rehab program.
Information on Board Items:
1. Nuclear Medicine Service Agreement - The service agreement on the Nuclear Medicine
equipment is up for renewal. The expiring services agreement cost $152,880 for 4 years and the
proposed renewal for 4 years is $126,076 or a savings of $26,804 over 4 years.
2. Ambulance Agreement with Calhoun County EMS. This is the annual renewal of our Ambulance
agreement.
3. Renewal of Workers Compensation Insurance - $76,803. The renewal is approximately $4,000
less than last year.
4. Closed Session - Quality report
Respectfully,
~~
Jason Anglin, CEO
Memorial Medical Center
Memorial Medical Center
CFO Report
Month of: October 2012
Overview:
October's financial operations resulted in a net monthly income of $304,549, contrasted with the
. budget expectations of a net loss of ($1,116) for the month. In many instances, the operating
volumes were higher than the prior month, contributing to higher patient revenues and slightly
higher operating expenses. The payer mix for the month significantly increased the amount
recorded in reserves for bad debts. Also, a few unusual financial transactions contributed to the
large net income for the month.
Statistics:
For the month, total hospital inpatient days were up 36 over September's totals. Acute and
obstetric combined days were up 54 but swing bed days down 18 from last month. Average Daily
Census was up to 13.87 ADC, for a year-to-date Average Daily Census of 14.64. Average length of
stay increased to 3.97 for a year-to-date total of 3.74. Increased volumes, over the September
levels, were recorded in total surgeries (up 13), outpatient and specialty clinic visits (231),
radiology procedures (299), respiratory therapy procedures (108), physical therapy visits (341) and
pharmacy drugs dispensed (3,083).
Balance Sheet:
There were several significant cash transactions during October. The first related to the new
Uncompensated Care (UCC) Program, which is part ofthe new Waiver 1115 program. To bring the
current UCC distributions current as ofthe end of the State's fiscal year (which ended 9/30/12),
MMC was required to make an Intergovernmental Transfer (IGT) of $534,980 in order to receive
the UCC payment for the State's 2012 fiscal year of $1,280,000. Due to the timing of these
transactions, the IGT payment and the UCC receipts were recorded in October.
The private waiver program (formerly private UPL program) has been a very positive program for
MMC. MMC now has multiple contracts totaling approximately $210,000 per month of expenses
that are being paid thru this program. Thus on a monthly basis MMC should be funding
approximately $150,000 in IGT's to support these expenses. In reality, IGT's are not done on a
monthly basis and are normally done either quarterly or a couple of times a year.
In the current period, MMC was asked to not make the IGT transfer this funding period, but
instead to make the IGT payment next quarter for both quarters. With a funding period being
approximately $450,000 and skipping this quarter's payment, MMC management decided to talk
to the County Auditor and Treasurer about setting up a second bank account to identify this
money separately on our records.
It is important for MMC to reserve and recognize these cash requirements separate from the
normal operating cash balances that are maintained. For this reason, beginning in October, MMC
has set up a new balance sheet account, labeled the "Private Waiver 1115 Clearing Account."
Monthly deposits will be made from the normal MMC operating cash account into this new
account to reflect the estimated amount that will eventually be required to fund the Private
Waiver program. The balances in each of these accounts will be reported separately.
With this explanation, total cash showed an increase from the prior month, up by $58,955. MMC
has $2,223,243 in operating cash, $450,000 in the new Private Waiver 1115 Clearing Account and
$500,000 in CD investments, with a total balance of $3,173,243. This provides total cash on hand
of 61 days of cash on hand.
In an additional transaction, based on the preliminary Medicare Cost audit for 2012, MMC made a
distribution to CMS of over $630,000. In reconciling this audit with the preliminary interim
Medicare Cost Report being prepared by BKD and to be filed later this month, this represented an
overpayment of the balance that is estimated to be due CMS at the end of 2012. This has resulted
in a 3rd Party Receivable on MMC's balance sheet for the month of $192,000
The schedule provided monthly to show what the hypothetical impact would be on its cash
balance if the estimated amount due Medicare were to be taken from its current cash balance also
reflects this change. The amount in the new Private Waiver 1115 Clearing Account, because of its
intended obligation to fund future Private Waiver requirements, has been eliminated from the
funds reported as available to pay any Medicare or other 3rd Party liability. Only the operating
cash balance and the CD investment balance are now reflected in the following table:
June Julv August September October
Cash $2,659,356 $2,978,292 $2,915,561 $3,114,288 $2,723,243
Medicare Payable $ 396,567 $ 314,977 $ 275,204 $ 212,917 ($ 192(000)
Net Cash After Deducting
Medicare Payable $2,262,789 $2,663,315 $2,640,357 $2,901,371 $2,915,243
Estimated Cash Increase /
(Decrease) From the Prior
Month $ 779,891 $ 400,526 ($ 22(958) $261,014 $ 13,872
Income Statement:
Gross patient revenue showed an increase of over $443,800 from September. Reductions of
revenue were up $434,900 from the prior month. This was due to the large increase in the private
pay population during October. Total expenses were up $57,600 from September.
Year-to-Date, MMC's net income through October is $617,820, contrasted to the budgeted ytd net
income of $53,660.
OperatinJ:! Indicators Report:
Monthly operating indicators have been added to the finance section of the Board package. This
month several ofthe indicators have been highlighted by putting them into graph format.
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Memorial Medical Center
Income Statement
For the Month Ended OCTOBER 31, 2012
Current Period Revenue Fiscal Year To Date
Actual This Budget This Last Year
Month Month Actual Actual YTD Budget YTD Last Year YTD
$1,391,058 $1,403,735 $1,257,508 Inpatient Revenues $13,419,156 $14,037,350 $12,900,012
$3,161,354 $2,781,930 $2,893,816 Outpatient Revenues $31,725,045 $27,819,299 $28,721,021
$4,552,412 $4,185,665 $4,151,324 Total Patient Revenue $45,144,201 $41,856,649 $41,621,033
Revenue Deductions
$1,013,952 $1,757,733 $1,755,500 Contractuals $20,831,480 $17,577,330 $19,024,453
$54,199 $175,941 $204,905 Charity $764,064 $1,759,410 $986,582
$39,416 $43,800 -$5,453 Indigent Care $280,387 $438,000 $700,443
$0 -$47,202 -$41,853 Disproportionate Share -$326,385 -$472,020 -$460,478
$1,026,849 $S68,606 $571,424 Bad Debt $6,936,422 $5,686,060 $5,302,827
$2,134,416 $2,498,878 $2,484,523 Total Revenue Deductions $28,485,968 $24,988,780 $25,553,827
$2,417,996 $1,686,787 $1,666,801 Net Patient Revenue $16,658,233 $16,867,869 $16,067,206
$34,123 $32,733 $33,232 Other Operating Revenue $421,953 $327,330 $571,295
$2,452,119 $1,719,520 $1,700,033 Total Operating Revenue $17,080,186 $17,195,199 $16,638,501
Current Period Operating Expenses Fiscal Year To Date
Actual This Budget This Last Year
Month Month Actual Actual YTO Budget YTO Last Year YTD
$670,892 $707,236 $681,445 Salaries & Wages $6,636,875 $6,971,865 $6,S71 ,965
$198,344 $208,553 $192,718 Employee Benefits & PR Taxes $2,064,905 $2,069,059 $2,006,110
$281,066 $265,681 $298,057 Professional Fees $3,025,616 $2,68S,006 $2,676,356
$121,898 $126,392 $171,685 Purchased Services $1,452,658 $1,260,235 $1,481,002
$227,368 $201,248 $204,147 Supplies $2,128.405 $2,012,480 $1,893,349
$5,576 $7,367 $3,350 Insurance $46,428 $73,670 $37,075
$45,538 $40,327 $48,909 Utilities $469,320 $403,270 $474,217
$62,166 $95,620 $60,448 Other Expenses $635,987 $983,835 $974,435
$1,612,848 $1,652,424 $1,660,759 Total Operating Expenses $16,460,194 $16,459,420 $16,114,506
$81,194 $95,620 $82,898 Depreciation $920,902 $956,200 $752,611
$1,694,042 $1,748,044 $1,743,658 Total Expenses $17,381,096 $17,415,620 $16,867,117
$758,077 -$28,524 -$43,624 Net Operating Income / (Loss) -$300,910 -$220,420 -$228,616
Non Operating Income / (Exp) I
$184 $944 $261 Investment Income $2,787 $9,440 $6,016
-$1,731 -$4,678 -$2,346 Interest Expense -$19,633 -$46,780 -$28,640
$111 $2,500 $0 Contributions and Grants $10,714 $25,000 $76
-$662,480 -$111,284 -$97,344 IGT Expense -$1,140,383 -$1,112,840 -$1,008,020
$210,388 $139,926 $145,042 Service Contribution by SOH $2,065,242 $1,399,260 $1,343,919
-$453,528 $27,408 $45,613 Total Non~Operating Revenue $918,727 $274,080 $313,352
$304,549 -$1,116 $1,989 Total Net Income / (loss) $617,819 $53,660 $84,736
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MEMORIAL MEDICAL CENTER
CAPITAL ACQUISITIONS
FOR PERIOD ENDED 10/31/12
MONTH DESCRIPTION DEPT BUILDING EQUIPMENT TOTAL
01/12 N/A - - -
SUB TOTAL JANUARY - - -
02/12 MEMORIAL WOMEN'S CENTER 027 33,665 - 33,665
SUBTOTAL FEBRUARY 33,665 - 33,665
03/12 ADDED TO MEMORIAL WOMEN'S CENTER 027 420 - 420
SUB TOTAL MARCH 420 - 420
04/12 HOT WATER STORAGE TANK 13,319 - 13,319
SUB TOTAL APRIL 13,319 - 13,319
05/12 N/A - - -
SUB TOTAL MAY - - -
06/12 AUTO SCRUBBER ADFINITY 065 6,770 6,770
ACUDOSE AUTOMATED DISP MED SYS 038 64,248 64,248
CODING REFERENCE SOFTWARE 055 11,084 11,084
SUB TOTAL JUNE - 82,102.00 82,102.00
07/12 N/A - - -
SUB TOTAL JULY - - -
08/12 N/A - -
SUB TOTAL AUGUST - - -
09/12 STORAGE TANK REPLACEMENT 17,014 17,014
E/R DEFIBRILLATOR 6,125 6,125
SUB TOTAL SEPTEMBER 17,014 6,125 23,139
10/12 SP2 ANESTHESIA UNIT 36,692 36,692
SUB TOTAL OCTOBER - 36,692 36,692
TOTAL $ 64,418.26 $ 124,919.48 $ 189,337.74
-6-
MEMORIAL MEDICAL CENTER
PATIENT ACCOUNTS RECEIVABLE
OCTOBER, 2012
AGED TRIAL BALANCE:
ORIGINAL - Based on time of admission
I FINANCIAL CLASS < 30 31> 60 61 > 90 91> 120 > 121 TOTAL
MEDICARE $ 1,726,661 608,026 134,229 103,686 657,802 3,230,405
% 53.5% 18.8% 4.2% 3.2% 20.4% 36.9%
MEDICAID $ 374,687 141,133 109,951 27,342 296,126 949,240
% 39.5% 14.9% 11.6% 2.9% 31.2% 10.8%
BCBS $ 495,357 113,165 74,790 83,559 126,143 893,015
% 55.5% 12.7% 8.4% 9.4% 14.1% 10.2%
COMMERCIAL $ 510,222 286,627 174,798 139,758 583,579 1,694,983
% 30.1% 16.9% 10.3% 8.3% 34.4% 19.4%
PRIVATE $ 615,989 514,358 529,100 126,296 156,673 1,987,136
% 33.3% 25.9% 26.6% 6.4% 7.9% 22.7%
TOTAL $ 3,767,636 1,663,309 1,022,869 480,641 1,820,323 8,754,778
% 43.0% 19.0% 11.7% 5.5% 20.8% 100.0%
NOTE ~~ Amounts and percentages may sum to '+' or '} 1 and 1% of the total or 100%, respectively, of their particular
category due to rounding.
AVERAGE OAYS IN PATIENT ACCOUNTS RECEiVABLE:
DECEMBER
2011
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
GROSS
62.83
63.69
63.57
60,16
59.84
58,54
56.09
JULY
57.28 I
AUGUST
SEPTEMBER OCTOBER NOVEMBER DECEMBER
59.77 I
57,95 I
60.52 I
AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS
SOURCE: ACCOUNTANT'S REPORT
I FINANCIAL CLASS I < 30 31> 60 61> 90 91> 120 > 121 TOTAL
MEDICARE $ 1,475,734 482,182 72,501 35,623 347,626 2,413,667
% 61.1% 20.0% 3.0% 1.5% 14.4% 27.6%
MEDICAID $ 448,489 137,949 94,749 19,233 154,656 855,075
% 52.5% 16.1% 11.1% 2.2% 18.1% 9.8%
BCBS $ 465,658 78,915 19,114 25,964 5,643 595,294
% 78.2% 13.3% 3.2% 4.4% 0.9% 6.8%
COMMERCIAL $ 541,843 331,809 110,538 78,605 360,694 1,423,489
% 38.1% 23.3% 7.8% 5.5% 25.3% 16.3%
PRIVATE PAY $ 836,014 674,610 709,463 348,788 8S9,964 3,428,839
% 24.4% 19.7% 20.7% 10.2% 25.1% 392%
IN HOUSE $ 232,145 4,457 1,428 309 619 238,9S7
% 97.1% 1.9% 0.6% 0.1% 0.3% 2.7%
CREDITS $ (200,543) - - - - (200,543)
% 100.0% 0.0% 0.0% 0.0% 0.0% -2.3%
HOME HEALTH $ - - - - - -
%
TOTAL 3,799,340 1,709,922 1,007,792 508,521 1,729,203 8,754,778
% 43.4% 19.5% 11.5% 5.8% 19.8% 100.0%
NOTE~. Amounts and percentages may sum to '+'or '-' 1 and 1% of the total or 100%, respectively, of their particular
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-13-
MEMORIAL MEDICAL CENTER
PAYER MIX
AS OF OCTOBER 31, 2012
Medicare Commercial
50.0 16.0
45.0 ~~t"R 14.0 ~~'
~->-'"4'3:;43.8
""~~41.6~:J.-404 LL
40.0 ''''"''It y . h~ L, >,._</0, , 12.5
12.0 'j lIT .,<~",,11. \j" .
,<;,J:io.7~"l10.8 'J 11~1O.8
35.0 <L35.6_
30.0 10.0
25.0 8.0
,'oo-.':=Medicare ~^--<-~~~Commercial
20.0 6.0
15.0
4.0
10.0
2.0 ,
5.0
0.0 0,0 ,
J," Feb Mar APT May June July Aug Sept Oct J," Feb Mar ApT MayJuneJuly AugSept Oct
Medicaid
Private
18.0
18.0
16.0
16.0
)'" 16.9 ,,,,,jj;~16,6
~>~~<;;I15.2~.7 .
14.0 ~^> '2.7/'4.4
12.0
':: U'
6.0 I
4.0
2.0
0.0, , ,
=c=Private
14.0
~;15.4
'""=* ,tk--l4d-
~ "','
$4{.;;~~'1:&"r~ .1 . c> 13,0
12.0
10.0
8.0
=~-$~-~Medicaid
6,0
4,0
2,0
0.0
Jan Feb Mar ApT May June July Aug Sept Oct
Jan Feb Mar ApT May June July Aug Sept Oct
Blue Cross
Other
16.0
"A;15",3,17.,
"f14.~~
13.3
"I
5.0
4,0
,i\
;7
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/'" 3,4 ,/
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20.0
18.0
14.0
12.0
10.0
C'=0-'~Blue Cross
3.0
8.0
2,0
6.0
4,0
1.0
2.0
0.0
, ~
0.0
Jan Feb Mar ApT MayJuneJuly AugSept Oct
Jan Feb Mar Apr May June July Aug Sept Oct
-14-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NlJloIBER DATE AI,IOUNT PAnE
RUN DATE.11/15/12
TIl!E.l0.16
PAGE 1
GLCKREG
_~M_____M_______RM_______R____________________________------------------------------------------------------------------------------
AlP , 149985 10/16/12
AlP 150204 10/04/12
AlP 150205 10/04/12
AlP 150206 10/04/12
AlP 150207 10/04/12
AlP 150208 10/04/12
AlP 150209 10/04/12
AlP 150210 10/04/12
AlP 150211 10/04/12
AlP 150212 10/04/12
AlP 150213 10/04/12
AlP 150214 10/04/12
AlP 150215 10/04/12
AlP 150216 10/04/12
AlP 150217 10/04/12
AlP 150218 10/04/12
AlP 150219 10/04/12
AlP 150220 10/04/12
AlP 150221 10/04/12
AlP 150222 10/04/12
AlP 150223 10/04/12
AlP 150224 10/04/12
AlP 150225 10/04/12
AlP 150226 10/04/12
AlP 150227 10/04/12
AlP 150228 10/04/12
AlP 150229 10/04/12
AlP 150230 10/04/12
AlP 150231 10/04/12
AlP 150232 10/04/12
AlP 150233 10/04/12
AlP 150234 10/04/12
AlP 150235 10/04/12
AlP 150236 10/04/12
AlP 150237 10/04/12
AlP 150238 10/04/12
AlP 150239 10/04/12
AlP 150240 10/04/12
AlP 150241 10/04/12
AlP 150242 10/04/12
AlP 150243 10/04/12
AlP 150244 10/04/12
AlP 150245 10/04/12
AlP 150246 10/04/12
AlP 150247 10/04/12
AlP 150248 10/04/12
AlP 150249 10/04/12
AlP 150250 10/04/12
AlP 150251 10/04/12
AlP 150~52 10/04/12
3,589.81CR SYSCO FOOD SERVICES OF
7,788.68
1,534.05
.00
1,801. 61
4,028.69
1,008.00
.00
23,673.90
19,050.00
11,821. 00
520.00
1,128.00
350.00
3.78
963.29
52.00
39.68
372.68
47.88
238.00
883.10
8,404.41
207.52
95.00
349.03
643.93
476.43
362.85
52.00
179.75
1,098.77
100.00
188.52
347.53
1,992.23
258.54
1,285.70
2,060.54
203.88
203.86
19.50
501. 00
98.00
100.68
2,042.56
223.66
415.83
3,000.00
7,281.32
US FOOD SERVICE
CENTURION JoIEDICAL PRODU
VOIDED
DEl'IITT POTH & SON
lR~C EMPLonE BENEFITS
RICK HART
VOIDED
MORRIS & DICKSON CO, LL
CPP WOUND CARE #28,LLC
BKD 1 LLP
MIRELES TECHNOLOGIES, I
SAGENT PHAlU'lACEUTICALS,
SIGN AD, LTD.
GULF COAST HARDWARE I A
AI~ERISOURCEBERGEN DRUG
ANNOUNCEI,IENTS PLUS TOO
NADINE GARNER
AT&T I~OBILITY
AUTO PARTS & l,lACHlNE CO
C R BARD INC
BAXTER HEALTHCARE CORP
BECKl,IAN COULTER INC
BOSTON SCIENTIFIC CORPO
CORPUS CHRISTI PROSTHET
CHANNING L BETE CO INC
CONNED CORPORATION
CPSI
DIVERSIFIED BUSINESS SY
DOl~OI~ CLEANERS
DLE PAPER & PACKAGING
FISHER HEALTHCARE
GULF COAST DELIVERY
GULF COAST PAPER COHPAN
H E BUTT GROCERY
HAns ELECTRIC SERVICE
HUBERT COMPANY
INFOLAB INC ,
INSTRUMENTATIO~ LABORAT
IVANS I
JACK L. llARCUS, INC
JECKER FLOOR & GLASS
JOHNSON & JOHNSON
LABCORP OF AlIERICA HOLD
l'lARKS PLUJoIBING PARTS
I~ERRY X-RAY- SAN ANTONI
HICROTEK MEDICAL INC
CHERYL HITCH ELL
NUTRITION OPTIONS
OIWNS & HINOR
-15-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NUl.IBER DATE A110UNT PA'/EE
RUN DATE:11/15/12
TIHE:10:16
PAGE 2
GLCKREG
---~~-------~~----------------------------------------------------------------------------------------------------------------------
AlP 150253 10/04/12 207.00 PITNEY B011ES INC
AlP 150254 10/04/12 608.70 POLYlIEDCO INC.
AlP 150255 10/04/12 725.00 RED HAWK
AlP 150256 10/04/12 131. 00 11ARISSA SUTHERLAND
AlP 150257 10/04/12 96.09 SHERWIN WILLIM~S
AlP 150258 10/04/12 22.00 SHIP SHUTTLE TAXI SERVI
AlP 150259 10/04/12 22.50 SPS I!EDICAL
AlP 150260 10/04/12 320.00 STANFORD VACUUJoI SERVICE
AlP 150261 10/04/12 1,927.75 SYSCO FOOD SERVICES OF
AlP 150262 10/04/12 288.92 STERIS CORPORATION
AlP 150263 10/04/12 15,000.00 TEM.I REHAB
AlP 150264 10/04/12 523.75 TLC STAFFING
AlP 150265 10/04/12 7,730.21 TAC UNEMPLOYl~ENT FUND
AlP 150266 10/04/12 506.40 TEXAS ELECTRICAL SUPPLY
AlP 150267 10/04/12 6,480.00 TEXAS MUTUAL INSURANCE
AlP 150268 10/04/12 32.54 UNIFIRST HOLDINGS
AlP 150269 10/04/12 403.73 UNIFORlI ADVANTAGE
AlP 150270 10/04/12 2,455.70 UNIFIRST HOLDINGS INC
AlP 150271 10/04/12 270.65 VERIZON SOUTHWEST
AlP 150272 10/04/12 161. 70 VERIZON WIRELESS
AlP 150273 10/04/12 140.00 VICTORIA RADIOWORKS, LT
AlP 150274 10/04/12 110.05 WALMART COl'!MUNITY
AlP 150275 10/04/12 182.52 GRAINGER
AlP 150276 10/08/12 6,715.00 MEDICAL PROTECTIVE CO
AlP 150277 10/11/12 292.32 LAWSON PRODUCTS
AlP 150278 10/11/12 422.68 US FOOD SERVICE
AlP 150279 10/11/12 52.17 HEALTH CARE LOGISTICS I
AlP 150280 10/11/12 850.58 CENTURION MEDICAL PRODU
AlP 150281 10/11/12 925.44 DEWITT POTH " SON
AlP 150282 10/11/12 275.00 WILLIM4 E HEIKAl4P, TRUS
AlP 150283 10/11/12 495.00 WILLIM,I E HEITKAlIP, TRU
AlP 150284 10/11/12 34,086.04 1~4C EMPLO'/EE BENEFITS
AlP 150285 10/11/12 227.65 RICK HART
AlP 150286 10111/12 4,970.56 MORRIS " DICKSON CO, LL
AlP 150287 10/11/12 1,059.60 ALLIED WASTE SERVICES #
AlP 150288 10/11/12 2,654.69 LillUNANT ENERGY COl.IPANY
AlP 150289 10/11/12 154.54 TRE TEXAS, LLC
AlP 150290 10/11/12 400.00 RAUSHANAH !IONDAY
AlP 150291 10/11/12 2.36 KIRK SHIELDS
AlP 150292 10/11/12 3,210.10 CONCEPTUS, INC.
AlP 150293 10/11/12 454.60 CHANDLER !IARKETING
AlP 150294 10/11/12 368.00 KATIE 11ARTINEZ
AlP 150295 10/11/12 51.12 GULF COAST HARDWARE I A
AlP 150296 10/11/12 29.40 ACTION LUJoIBER
AlP 150297 10/11/12 29.75 ADVANCE MEDICAL DESIGNS
AlP 150298 10/11112 1,564.50 ALCON LABORATORIES INC
AlP 150299 10111/12 658.95 AIRGAS-SOUTHVreST
AlP 150300 10111/12 23.00 NADINE GARNER
AlP 150301 10/11/12 796.78 C R BARD INC
AlP 150302 10111/12 725.35 BAXTER HEALTHCARE CORP
AlP 150303 10/11/12 259.25 BRIGGS HEALTHCARE
-16-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NUlIBER DATE AMOUNT PAYEE
RUN DATE,ll/15/12
TmE,10:16
PAGE 3
GLCKREG
~___________________M_________________________________------------------------------------------------------------------------------
A/P 150304 10/11/12 25.00 CAL COM FEDERAL CREDIT
A/P 150305 10/11/12 442.50 CENTRAL DRUGS
A/P 150306 10111/12 207.22 CPSI
A/P 150307 10/11/12 714.45 SIEMENS HEALTHCARE DIAG
A/P 150308 10/11/12 214.99 DIEBEL OIL CO INC
A/P 150309 10/11/12 320.23 PATRICIA DIEBEL
A/P 150310 10/11/12 1,785.51 FISHER HEALTHCARE
A/P 150311 10/11/12 475.13 GULF COAST PAPER COMPAN
A/P 150312 10/11/12 366.20 H E BUTT GROCERY
A/P 150313 10/11/12 7.29 HALL WIRELESS
A/P 150314 10/11/12 32.31 HUBERT COMPANY
A/P 150315 10111/12 84.17 INDEPENDENCE MEDICAL
A/P 150316 10/11/12 2,264.86 INFOLAB INC
A/P 150317 10/11/12 6,299.26 INSTRUMENTATION LABORAT
A/P 150318 10/11/12 313.87 J << J HEALTH CARE SYSTE
A/P 150319 10/11/12 104.89 JACK L, J1ARCUS, INC
A/P 150320 10/11/12 17.50 JECRER FLOOR << GLASS
A/P 150321 10/11/12 577 .50 REBECCA J,lALONE
A/P 150322 10/11/12 130.00 MEDTRONIC USA, INC.
A/P 1,50323 10/11/12 249.27 ~nlC AUXILIARY GIFT SHOP
A/P 150324 10/11/12 96.50 I,IEDIVATORS
A/P 150325 10/11/12 .00 VOIDED
A/P 150326 10/11/12 5,376.41 OWENS & HINOR
A/P 150327 10/11/12 3,325.00 PREMIER SLEEP DISORDERS
A/P 150328 10/11/12 1,000.00 U S POSTAL SERVICE
A/P 150329 10/11/12 75.01 POl'IER ELECTRIC
A/P 150330 10/11/12 646.50 R G << ASSOCIATES INC
A/P 150331 10/11/12 2,420.00 RADIOLOGY UNLIMITED, PA
A/P 150332 10/11/12 301. 96 SHERWIN WILLIAlIS
A/P 150333 10/11/12 3,455.00 SO TEX BLOOD << TISSUE C
A/P 150334 10/11/12 292.01 THE ST JOHN COMPANIES,
A/P 150335 10/11/12 16,843.21 TEAM REHAB
A/P 150336 10/11/12 1,197.51 TLC STAFFING
A/P 150337 10/11/12 156.23 TG
A/P 150338 10/11/12 35.91 UNIFIRST HOLDINGS
A/P 150339 10/11/12 197.89 UNIFORM ADVANTAGE
A/P 150340 10/11/12 2,784.27 UNIFIRST HOLDINGS INC
A/P 150341 10/11/12 106.28 VERIZON SOUTffi'IEST
AlP 150342 10/11/12 24.80 THE VICTORIA ADVOCATE
A/P 150343 10/11/12 127. 82 GRAINGER
A/P 150344 10/11/12 3.50 YOUNG PLUMBING CO
A/P 150345 10/11/12 20.00 KRISTI CORTRIGHT
A/P 150346 10/11/12 178.65 WILLIAI,J QUINN
A/P 150347 10111/12 230.20 SCOTT << WHITE HOSPITAL
A/P 150348 10/18/12 62.38 CUSTOM MEDICAL SPECIALT
A/P 150349 10/18/12 10,320,70 O~UiI-PORT LAVACA 07, L.
A/P 150350 10/18/12 3,185,00 PHILIPS HEALTHCARE
A/P 150351 10/18/12 178.43 ERBE USA INC SURGICAL S
A/P 150352 10/18/12 4,118.00 THIE
A/P 150353 10/18/12 789.00 SPECTRilll TECHNOLOGIES
A/P 150354 10/18/12 750.00 JA>>IES A DANIEL
-17-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10101/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NUl1BER DATE Al,IOUNT PAYEE
RUN DATE:11/15/12
TmE:l0:16
PAGE 4
GLCKREG
~~_______D____________________________________________M_M___________________________________________________------------------------
AlP 150355 10/18/12 9,166.67 HITACHI MEDICAL SYSTEMS
AlP 150356 10/18/12 23.28 IlliOLESALE ELECTRIC SUPP
AlP 150357 10/18/12 372.17 CENTURION MEDICAL PRODU
AlP 150358 10/18/12 3,893.11 MlIC EMPLOYEE BENEFITS
AlP 150359 10/18/12 105.90 INTERSTATE ALL BATTERY
AlP 150360 10/18/12 4,697.00 VISA
AlP 150361 10/18/12 4,063.68 GE HEALTHCARE IITS USA
AlP 150362 10/18/12 .00 VOIDED
AlP 150363 10/18/12 34,225.30 MORRIS & DICKSON CO, LL
AlP 150364 10/1B/12 325.00 ROGERS HOME MEDICAL
AlP 150365 10/18/12 49.00 TEXAS BOARD OF NURSING
AlP 150366 10/18/12 101,999.89 SERVICE ORGANIZATION
AlP 150367 10/18/12 36,692.48 PENtON, INC
AlP 150368 10/18/12 600.00 TELE-PHYSICIANS, P.A. (
AlP 150369 10/18/12 341.62 TEA}! HEALTH NEDICAL CAL
AlP 150370 10/18/12 990.17 GLAXOSMITHKLINE PHAlUlAC
AlP 150371 10/18/12 375.00 REVISTA de VICTORIA
AlP 150372 10/18/12 76.73 FAGAN ANSWERING SERVICE
AlP 150~73 10/18/12 2,000.00 AUSTIN NEDICAL PRACTICE
AlP 150374 10/18/12 57.17 LAURIE HARVEY
AlP 150375 10/18/12 36.50 ARTISAN MEDICAL
AlP 150376 10/18/12 68.48 MCM ELCTROMICS, INC
AlP 150377 10/18/12 155.93 GULF COAST HARDWARE I A
AlP 150378 10/18/12 771. 57 A}lERISOURCEBERGEN DRUG
AlP 150379 10/18/12 815.00 ALCON LABORATORIES INC
AlP 150380 10/18/12 187.90 AIRGAS-SOUTHllEST
AlP 150381 10/18/12 3,265.14 AFLAC
AlP 150382 10/18/12 1,503.27 CARDINAL HEALTH
AlP 150383 10/18/12 31.34 AUTO PARTS & !lACHINE CO
AlP 150384 10/18/12 117.58 BAXTER HEALTHCARE CORP
AlP 150385 10/18/12 560.00 CAD SOLUTIONS, INC
AlP 150386 10/18/12 19.37 CALHOUN COUNTY APPRAISA
AlP 150387 10/18/12 884.15 COOPER SURGICAL INC
AlP 150388 10/18/12 24,308.30 CPSI
AlP 150389 10/18/12 144.60 DYNATRONICS CORPORATION
AlP 150390 10/18/12 100.70 EMPI
AlP 150,91 10/18/12 8.49 FASTENAL COMPANY
AlP 150392 10/18/12 495.00 FORT BEND SERVICES, INC
AlP 150393 10/18/12 4,431.87 GE HEALTHCARE
AlP 150394 10/18/12 42.76 GE MEDICAL SYSTEMS, INF
AlP 150395 10/18/12 225.93 GULF COAST PAPER COMPAN
AlP 150396 10/18/12 241.55 H E BUTT GROCERY
AlP 150397 10/18/12 247.50 HILL-ROM COMPANY, INC
AlP 150398 10/18/12 109.95 INDEPENDENCE MEDICAL
AlP 150399 10/18/12 103.35 INSTRUMENTATION LABORAT
AlP 150400 10/18/12 555.55 J & J HEALTH CARE SYSTE
AlP 150401 10/18/12 1,030.86 KCI USA
AlP 150402 10/18/12 63.00 KEY SURGICAL INC
AlP 150403 10/18/12 510.00 KONICA NINOLTA MEDICAL
AlP 150404 10/18/12 549.96 LANDAUER INC
AlP 150405 10/18/12 233.12 LANGUAGE LINE SERVICES
-18-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NUMBER DATE A110UNT PAYEE
RUN DATE:11/15/12
TIIIE:10:16
PAGE 5
GLCKREG
------------------------------------------------------------------------------------------------------------------------------------
AlP 150406 10/18/12 113.94 LOWE'S HOllE CENTERS INC
AlP 150<07 10/18/12 242.13 llARKS PLilllBING PARTS
AlP 150408 10/18/12 1,074.62 1.IEDRAD INC
AlP 150409 10/18/12 130.00 MEDTRONIC USA, INC.
AlP 150410 10/18/12 840.73 MERRY X-RAY- SAN ANTONI
AlP 150411 10/18/12 372.00 MEDIVATORS
AlP 150412 10/18/12 478.34 MUSTAIN & ASSOCIATES
AlP 150413 10/18/12 591. 87 PATRICIA OWEN
AlP 150414 10/18/12 .00 VOIDED
AlP 150415 10/18/12 4,399.85 OWENS & III NOR
AlP 150416 10/18/12 355.53 PENTAX MEDICAL COMPANY
AlP 150417 10/18/12 720.50 PORT LAVACA WAVE
AlP 150418 10/18/12 43.85 POWER ELECTRIC
AlP 150419 10/18/12 284.52 R & D BATTERIES INC
AlP 150420 10/18/12 744.06 R G & ASSOCIATES INC
AlP 150421 10/18/12 65.00 RADIOLOGY UNLIMITED, PA
AlP 150422 10/18/12 62.96 I!ARLIN SAYERS
AlP 150423 10/18/12 1,529.8,3 SIEMENS MEDICAL SOLUTIO
AlP 150424 10/18/12 5,000.00 SOUTHEAST TEXAS HEALTH
AlP 150425 10/18/12 322.22 THE ST JOHN COMPANIES,
AlP 150426 10/18/12 3,589.81 SYSCO FOOD SERVICES OF
AlP 150427 10/18/12 1,001. 83 TLC STAFFING
AlP 150428 10/18/12 9,874.50 TOSHIBA A1~ERICA MEDICAL
AlP 150429 10/18/12 4,107.00 T-SYSTEM, INC.
AlP 150430 10/18/12 35.91 UNIFIRST HOLDINGS
AlP 150431 10/18/12 2,830.99 UNIFIRST HOLDINGS INC
AlP 150432 10/18/12 36.85 UNITED AD LABEL CO INC
AlP 150433 10/18/12 42.45 VERIZON SOUT~mST
AlP 150434 10/18/12 408.00 THE VICTORIA ADVOCATE
AlP 150435 10/18/12 78.50 PAIl VILLAFUERTE
AlP 150436 10/18/12 178.40 SUE IULLIAlIS
AlP 150437 10/18/12 48.67 GRAINGER
AlP 150438 10/18/12 213.00 CASHIER
AlP 150439 10/18/12 2,659.00 BLUE CROSS I BLUE SHIEL
AlP 150440 10/18/12 252.39 REFUND DEPT
AlP 150441 10/18/12 79.58 JOANIE L SALINAS
AlP 150442 10/18/12 14.40 BOON CHAPllAN
AlP 150443 10/18/12 55.60 I!ARIO BADILLO
AlP 150444 10/18/12 1,566.27 REFUND DEPT
AlP 150445 10/18/12 90.00 REFUND DEPTICASH DISBUR
AlP 150446 10/18/12 101.20 RETHA HAHN
AlP 150447 10/18/12 72.99 MEMORIAL WOMEN'S CENTER
AlP 150448 10/18/12 150.00 GINA GREEN
AlP 150449 10/25/12 4,088.50 US FOOD SERVICE
AlP 150450 10/25/12 6,420.58 ARUP LABORATORIES
AlP 150451 10/25/12 1,836.12 PRINCIPAL LIFE
AlP 150452 10/25/12 22,688.57 SUNTRUST EQUIPMENT FINA
AlP 150453 10/25/12 956.39 CENTURION MEDICAL PRODU
AlP 150454 10/25/12 350.00 WILLIAlI E HElKAI.IP, TRUS
AlP 150455 10/25/12 495.00 WILLIAlI E HEITKAI.IP, TRU
AlP 150456 10/25/12 35,763.62 IHIC EMPLOYEE BENEFITS
-19-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE MUMBER DATE AMOUNT PAYEE
RUN DATE:ll/15/12
TIJoIE:l0:16
PAGE 6
GLCKREG
_~_____dd_____________________________________________------------------------------------------------------------------------------
A/P 150457 10/25/12 6,505.67 ALERE MORTH AlIERICA INC
A/P 150458 10/25/12 3,923.12 MORRIS & DICKSON CO, LL
A/P 150459 10/25/12 142.00 DENISE CHANEY
A/P 150460 10/25/12 6.02 QUEST DIAGNOSTICS
A/P 150461 10/25/12 264.28 CENTURYLINK
A/P 150462 10/25/12 1,152.00 SAGENT PHARMACEUTICALS,
A/P 150463 10/25/12 6,000.00 TEXAS A&M HEALTH SCIENC
A/P 150464 10/25/12 458.33 INNOVATIVE X-RAY SERVIC
A/P 150465 10/25/12 495.00 FASTHEALTH CORPORATION
A/P 150466 10/25/12 250.00 OSCAR TORRES
A/P 150467 10/25/12 5,998.00 !lAGAW 1,IEDICAL
A/P 150468 10/25/12 142.45 GEORGE PATTON ASSOCIATE
A/P 150469 10/25/12 450,000.00 PRIVATE WAIVER CLEARING
A/P 150470 10/25/12 38.32 ABBOTT NUTRITION
A/P 150471 10/25/12 1,268.12 ANDERSON CONSULTATION S
A/P 150472 10/25/12 81.91 GULF COAST HARDWARE / A
A/P 150473 10/25/12 409.98 A1~ERISOURCEBERGEN DRUG
A/P 150474 10/25/12 165.00 ADVERTISING ON AIR
A/P 150475 10/25/12 4,381.14 AIRGAS-SOUTm~ST
A/P 150476 10/25/12 3,443.89 AFLAC
A/P 150477 10/25/12 36.34 AQUA BEVERAGE COMPANY
A/P 150478 10/25/12 19.43 NADINE GARNER
A/P 150479 10/25/12 352.59 ARROI~ INTERNATIONAL INC
A/P 150480 10/25/12 6.14 AT&T MOBILITY
A/P 150481 10/25/12 70.00 ASPAN
A/P 150482 10/25/12 505.00 C R BARD INC
A/P 150483 10/25/12 3,673.77 BAXTER HEALTHCARE CORP
A/P 150484 10/25/12 9,767.96 BECill1AN COULTER INC
A/P 150485 10/25/12 225.98 BEST I~STERN PORT LAVAC
A/P 150486 10/25/12 286.50 CABLE ONE
A/P 150487 10/25/12 25.00 CAL COM FEDERAL CREDIT
A/P 150488 10/25/12 10.00 CALHOUN COUNTY WASTE MG
A/P 150489 10/25/12 269.50 CERTIFIED LABORATORIES
A/P 150490 10/25/12 6,424.05 CITY OF PORT LAVACA
A/P 150491 10/25/12 120.00 SUDDENLINK MEDIA
A/P 150492 10/25/12 70.20 CPSI
A/P 150493 10/25/12 285.17 SIEMENS HEALTHCARE DIAG
A/P 150494 10/25/12 23.00 AllY DAY
A/P 150495 10/25/12 1,000.00 DIGITAL INOVATION, INC.
A/P 150496 10/25/12 45.00 DIVERSIFIED BUSINESS SY
A/P 150497 10/25/12 32.43 FASTENAL COMPANY
A/P 150498 10/25/12 .00 VOIDED
A/P 150499 10/25/12 5,303.17 FISHER HEALTHCARE
A/P 150500 10/25/12 312.37 H E BUTT GROCERY
A/P 150501 10/25/12 26.00 H + H SYSTEM, INC.
A/P 150502 10/25/12 700.00 D HARRIS CONSULTING LLC
A/P 150503 10/25/12 8,208.62 RICOH USA, INC.
A/P 150504 10/25/12 2,614.19 INFOLAB INC
A/P 150505 10/25/12 536.32 INSTRUl~ENTATION LABORAT
A/P 150506 10/25/12 91.02 VICKY KALISEK
A/P 150507 10/25/12 195.00 LABCORP OF A1~ERICA HOLD
-20-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE NUMBER DATE AJ.lOUNT PAYEE
RUN DATE: 11/15/12
TlIolE:I0:16
PAGE 7
GLCKREG
---_.~-----~~-----_._-----~-----------------------------------------------------------------------------------------------.---------
AlP 150508 10/25/12 471.96 llARKS PLUJ.lBING PARTS
AlP 150509 10/25/12 139.16 J.lEAD JOHNSON NUTRITION
AlP 150510 10/25/12 1,993.00 TERESA lULLER
AlP 150511 10/25/12 142.78 ~1C AUXILIARY GIFT SHOP
AlP 150512 10/25/12 258.52 !IETLIFE
AlP 150513 10/25/12 .00 VOIDED
AlP 150514 10/25/12 6,903.31 OWENS & J.lINOR
AlP 150515 10/25/12 125.26 POLYJ.lEDCO INC.
AlP 150516 10/25/12 1,200.00 U S POSTAL SERVICE
AlP 150517 10/25/12 44.97 POWER ELECTRIC
AlP 15051B 10/25/12 437.00 R G & ASSOCIATES INC
AlP 150519 10/25/12 150.95 IIARISSA SUTHERLAND
AlP 150520 10/25/12 133.19 SANOFI PASTEUR INC
AlP 150521 10/25/12 82.47 SHERWIN WILLI~1S
AlP 150522 10/25/12 7,326.00 SO TEX BLOOD & TISSUE C
AlP 150523 10/25/12 205.00 THE ST JOHN COJ.lPANIES,
AlP 150524 10/25/12 343.75 STRYKER SALES CORP
AlP 150525 10/25/12 2,188.78 SYSCO FOOD SERVICES OF
AlP 150526 10/25/12 511.37 STERIS CORPORATION
AlP 150527 10/25/12 548.62 STERICYCLE, INC
AlP 15m8 10/25/12 1,487.46 TLC STAFFING
AlP 150529 10/25/12 133.90 TEXAS \'IIRED !R1SIC INC
AlP 150530 10/25/12 131.28 TG
AlP 150531 10/25/12 630,167.00 TRAILBLAZER HEALTH EN'rE
AlP 150532 10/25/12 525.00 TORCH
AlP 150533 10/25/12 4,288.88 UNUlI LIFE INS CO OF ~m
AlP 150534 10/25/12 35.91 UNIFIRST HOLDINGS
AlP 150535 10/25/12 205.87 UNIFORl1 ADVANTAGE
AlP 150536 10/25/12 2,688.51 UNIFIRST HOLDINGS INC
AlP 150537 10/25/12 1,838.46 VERIZON SOUT~mST
AlP 150538 10/25/12 124.57 GRAINGER
AlP 150539 10/25/12 75.70 KENNETH \'IOOLDRIDGE
AlP 150540 10/25/12 37.76 P~,I BARTON
AlP 150541 10/25112 36.00 RITA RIOS
AlP 150542 10/25/12 141.03 ARLENE V !IARKLEY
AlP 150543 10/25/12 21. 40 ROBERT MCGEE
AlP 150544 10/25/12 1,156.00 ARLENE V llARKLEY
AlP 150545 10/25/12 31.91 RANDALL HEARITIGE
AlP 150546 10/25/12 308.42 ARLENE V J.lARKLEY
AlP 150547 10/25/12 604.40 JOHN A FLORIDA
AlP 150548 10/25/12 200.00 IDOLINA BERRONES DE J.lUN
AlP 150549 10/25/12 78.00 DORIS MACHICEK
AlP 150550 10/25/12 95.20 CASHIER
AlP 150551 10/25/12 58.00 BICH NGOC TRAM
AlP 150552 10/25/12 69.00 OTTO HELOE THYSSEN
AlP 150553 10125/12 114.00 MOIRA TSCHATSCHUL
AlP 150554 10/25/12 157.90 J.lARK DUNN
AlP 150555 10/25/12 3,480.76 AETNA
AlP 150556 10/25/12 1,156.00 CASHIER
AlP 150557 10/25/12 122.00 AUHALIO I1UNOZ
AlP 150558 10/25/12 162.04 WINONA D HERRING
-21-
MEMORIAL MEDICAL CENTER
CHECK REGISTER
10/01/12 THRU 10/31/12
BANK--CHECK----------------------------------------------------
CODE lMlBER DATE AMOUNT PAYEE
RUN DATE:ll/15/12
TIllE: 10: 16
PAGE 8
GLCKREG
------------------------------------------------------------------------------------------------------------------------------------
A/P 150559 10/25/12
A/P 150560 10/25/12
TOTALS:
25.97
13.89
1,835,610.78
HERI-IAN GARCIA
CA11JolEN P CRUZ
-22-
RUN DATE: 10/29/12
TIllE: 15:25
PRT1tle PRDeptName
MEMORIAL MEDICAL CENTER
DEFAULT FORMAT FROM DB019
Oc/ob"'I'( ;Lo j';;;L..
PRTotGross
PAGE 1
--------------------------------------------------------------------
SUPERVISOR-PURCH/CS PURCHASING
REGISTERED NURSE EMERGENCY ROOM
DEPART!ffiNTAL ASSIST llAINTENANCE
CS TECH CENTRAL SUPPLY
CENTRAL STERILE TECH SURGERY
I!UlGING TECH HEALTH INFOffilATION !U\NAGEllENT
DIRECTOR-PT FIN SVCS PATIENT FINANCIAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
SHIFT SUPERVISOR DIETARY
IC/EH/R}! NURSE INFECTION CONTROL
REGISTERED NURSE !ffiD/SURG
FOOD SERVICE STAFF DIETARY
o R AIDE SURGERY
REGISTERED NURSE EHERGENCY ROOM
TRAmUl COORDINATOR EMERGENCY ROOlI
RN/PERIOPERATlVE NUR SURGERY
REGISTERED NURSE ICU
SHIFT SUPERVISOR-AI! ENVIRONMENTAL SERVICES
HANAGER-SURGERY-OPC SURGERY
C.N,O. ADMINISTRATION-CLINICAL SERVIC
PAYROLL CLERK ACCOUNTING
REGISTERED NURSE MED/SURG
LVN OBSTETRICS
REGISTERED NURSE ICU
LICENSED VOCATIONAL MED/SURG
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE EMERGENCY ROOM
REGISTERED NURSE MED/SURG
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE OBSTETRICS
LVN MED/SURG
ADMINIST ASSISTANT ADMINISTRATION
REGISTERED NURSE ICU
LVN/SCRUB NURSE/OFFI SURGERY
REGISTERED NURSE ICU
REGISTERED NURSE SPECIALTY CLINIC
LVN OBSTETRICS
LVN SURGERY
MEDICAL SONOGRAPHER RADIOLOGY
REGISTERED NURSE EMERGENCY ROOM
RADIOLOGICAL TECH RADIOLOGY
RADIOLOGY TECH RADIOLOGY
MEDICAL LAB TECH LABORATORY
LAB DIRECTOR LABORATORY
LAB ASSISTANT LABORATORY
MEDICAL LAB TECH LABORATORY
LAB SECRETARY LABORATORY
REGISTERED NURSE EMERGENCY ROOM
PT TECH II PHYSICAL THERAPY
PT ASSISTANT PHYSICAL THERAPY
PT TECH II PHYSICAL THERAPY
PLANT OPS SUPERVISOR ]'UlINTENANCE
ADMINISTRATIVE ASST. ADMINISTRATION-CLINICAL SERVIC
REGISTERED NURSE OBSTETRICS
5500.21
4644.23
2368.60
1842,81
3293.33
753.66
4480.04
1649,60
2069,16
5350,86
2820.73
1387,20
1582.78
1235.69
4875.47
5858.28
2000.51
1825.60
6407.74
6126.40
3424.67
4895.75
3240,02
3749.71
3413.45
3255,77
5616.91
4960,89
5019.61
2878,02
2237.20
3150,40
4481.08
2972.19
4510,78
6364.87
257.93
J56 6.88
5245.01
4329.01
4944,64
887.04
872 ,25
4865.10
2416.90
3716.80
1985.50
4750.26
1706.96
648.45
1987,64
3672 .00
237 9.48
5036.17
-23-
RUN DATE: 10/29/12
TIHE: 15:25
PRTitle
PRDeptNarne
--------------------------------------------------------------------
ED HANAGER EMERGENCY ROOIl
REGISTERED NURSE IlED/SURG
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE OBSTETRICS
DIRECTOR-UR/QA/IC/RIl QUALITY ASSURANCE
LVN MED/SURG
REGISTERED NURSE SURGERY
CERTIFIED NURSE AIDE llED/SURG
DIRECTOR-IlS/ICU/OB IlED/SURG
REGISTERED NURSE ICU
llEDICAL LAB TECH LABORATORY
REGISTERED NURSE MED/SURG
SUPERVISOR LVN/RPhT PHARllACY
REGISTERED NURSE IlED/SURG
REGISTERED NURSE EMERGENCY ROOM
REGISTERED NURSE MED/SURG
CERTIFIED NURSE AIDE MED/SURG
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE MED/SURG
CERTIFIED NURSE AIDE MED/SURG
LVN MED/SURG
REGISTERED NURSE ICU
REGISTERED NURSE EMERGENCY ROOM
REGISTERED NURSE llED/SURG
REGISTERED NURSE IlED/SURG
CERTIFIED NURSE AIDE IlED/SURG
LVN MED/SURG
REGISTERED NURSE IlED/SURG
REGISTERED NURSE OBSTETRICS
REGISTERED NURSE EMERGENCY ROOM
LVN HED/SURG
CERTIFIED NURSE AIDE MED/SURG
LVN HED/SURG
REGISTERED NURSE ICU
REGISTERED NURSE EHERGENCY ROOH
REGISTERED NURSE ICU
REGISTERED NURSE ICU
REGISTERED NURSE MED/SURG
REGISTERED NURSE ICU
RN-OR SCRUB NURSE SURGERY
REGISTERED NURSE SURGERY
LVN SURGERY
o R TECH SURGERY
TRANSCRIPTIONIST HEALTH INFORJ.lATION MANAGEl1ENT
REGISTERED NURSE SURGERY
OUT-PT PACU NURSE SURGERY
PRESCRIPTION CLERK INDIGENT CARE PROGRAlI
ASSISTANT BUYER TRANSPORTATION
OP COORDINATOR SPECIALTY CLINIC
REGISTEREO NURSE EMERGENCY ROOM
CERTIFIED NURSE AIDE MED/SURG
REGISTERED NURSE EMERGENCY ROOM
REGISTERED NURSE ElffiRGENCY ROOM
liT TECH SUPR LABORATORY
MEMORIAL MEDICAL CENTER
DEFAULT FORllAT FROM DB019
PAGE 2
PRTotGross
5503.39
4882.64
3125.98
969.88
4394.53
5649,60
2029.88
4857,24
1831.11
6286,82
5495,99
2997.43
2025.25
333 4.2 0
1907.31
387,44
2449.16
1352.71
6905,64
4601. 06
1251.7 8
466.38
2330.75
4981.88
3198.35
3509,28
1538.13
1182.88
3421.63
3858.62
4108.46
1624.76
2434,73
1586.57
412.75
4055.32
4332.92
5243,30
3137.50
4895.42
3571.50
5067.83
813,88
2895,41
2146.88
5325,90
742.19
1468.80
1680.00
1866.16
5099,76
1195.13
1084.63
2722.63
3853.66
-24-
RUN DATE: 10/29/12
TIHE: 15:25
PRTitle
PRDeptName
--------------------------------------------------------------------
PRTotGross
MEDICAL TECHNOLOGIST LABORATORY
MEDICAL LAB TECH LABORATORY
MEDICAL LAB TECH LABORATORY
MEDICAL TECHNOLOGIST LABORATORY
MEDICAL TECHNOLOGIST LABORATORY
LAB ASSISTANT LABORATORY
LAB ASSISTANT LABORATORY
MEDICAL TECHNOLOGIST LABORATORY
MEDICAL LAB TECH LABORATORY
MEDICAL LAB TECH LABORATORY
LAB ASSISTANT LABORATORY
REGISTERED NURSE MED/SURG
SECRETARY MEMORIAL WOllEN'S CENTER
LICENSED VOCATIONAL MEMORIAL WOMEN'S CENTER
REGISTERED NURSE MED/SURG
REGISTERED NURSE 14ED/SURG
RADIOLOGICAL TECH RADIOLOGY
RADIOLOGICAL TECH RADIOLOGY
RADIOLOGICAL TECH RADIOLOGY
RECEPT/SECRETARY RADIOLOGY
RADIOLOGY TECH RADIOLOGY
RADIOLOGY TECH RADIOLOGY
DIRECTOR-RADIOLOGY RADIOLOGY
RADIOLOGY SUPERVISOR RADIOLOGY
RADIOLOGY TECH RADIOLOGY
RADIOLOGY TECH RADIOLOGY
RADIOLOGY TECH, RADIOLOGY
RADIOLOGICAL TECH RADIOLOGY
LVN-CPhT PRARMACY
REGIST PHAffilACY TECH PHARl~CY
PHARl~CIST PHARMACY
REGISTERED NURSE EMERGENCY ROOM
P. T, ASSISTANT PHYSICAL THERAPY
PT ASSISTANT PHYSICAL THERAPY
PT SEC/RECEPTIONIST PHYSICAL THERAPY
PT TECH 1 PHYSICAL THERAPY
PT TECH 1 PHYSICAL THERAPY
CIHCP COORDINATOR INDIGENT CARE PROGRAll
TRANSCRIPTION LEADER HEALTH INFOffilATION MANAGE!ffiNT
HIM DIRECTOR HEALTH INFORl~TION MANAGEMENT
OP CODER/DC ANALYST HEALTH INFORl~TION MANAGEMENT
TRANSCRIPTIONIST/BR HEALTH INFORl~TION !U\NAGEMENT
CODING SPECIALIST HEALTH INFORl~TION llANAGEMENT
FOOD SERVICE STAFF DIETARY
FOOD SERVICE STAFF DIETARY
FOOD SERVICE STAFF DIETARY
SHIFT SUPERVISOR DIETARY
FOOD SERVICE STAFF DIETARY
CERTIFIED NURSE AIDE MED/SURG
FOOD SERVICE STAFF DIETARY
FOOD SERVICE STAFF DIETARY"
DIRECTOR OF DIETARY DIETARY
BIO-tffiD TECHNICIAN BIO MEDICAL ENGINEERING
BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING
GROUNDSKEEPR/PAINTER ,~INTENANCE
MEMORIAL MEDICAL CENTER
DEFAULT FOffi,~T FROM DB019
PAGE 3
3643.92
2360.43
3223.36
868,00
511.50
1638.61
1551.65
651.00
3284.27
4072.50
2207,67
3598.80
1313.77
2276,26
3020.89
3484,55
5012,10
3582.74
4428.17
1988.11
1600.50
675.09
6143.31
5880.58
3140.86
3931.06
789.75
1908.38
2968.96
2772.20
10400,00
1283.94
3741.23
3706.69
1824.63
202,50
58.50
1857.60
2888.99
3208.00
2517.39
1776.10
3662,40
1602.14
1189.55
745.92
1817.50
1440.00
731.25
238,65
1227.48
3460.80
240,00
4300.12
2000.00
-25-
RUN DATE: 10/29/12
TIllE: 15:25
PRTitle
PRDeptName
--------------------------------------------------------------------
PRTotGross
PLANT OPS SPECIALIST ~liIINTENANCE
SECURITY SUPERVISOR SECURITY
ES AIDE ENVIRONlIENTAL SERVICES
FLOOR TECHNICIAN ENVIROffi4ENTAL SERVICES
ES HANAGER ENVlRONlIENTAL SERVICES
DIR OF PLANT SERVICE ENVIRONlIENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
ES AIDE ENVIROIIMENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
FLOOR TECHNICIAN ENVIROffi4ENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
ES AIDE ENVIRONllENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
ES AIDE ENVIRONMENTAL SERVICES
SECURITY OFFICER SECURITY
SECURITY OFFICER SECURITY
SOCIAL WORKER SOCIAL WORK/DISCHARGE PLANNING
REGISTRATION CLERK PATIENT FINANCIAL SERVICES
INSURANCE COORDINAT. PATIENT FINANCIAL SERVICES
REGISTRATION CLERK PFS - REGISTRATION
SECRETARY/RECEPTION MEMORIAL WOMEN'S CENTER
INSURANCE FU CLERK PATIENT FINANCIAL SERVICES
UNIT SECRETARY MED/SURG
INSURANCE ADJUDICATO PATIENT FINANCIAL SERVICES
REGISTRATION CLERK PFS - REGISTRATION
PT ACCOUNT SUPERVISO PATIENT FINANCIAL SERVICES
REGISTERED NURSE EMERGENCY ROOH
REGISTRATION CLERK PFS - REGISTRATION
LVN MED/SURG
SECURITY OFFICER SECURITY
REGISTRATION CLERK PATIENT FINANCIAL SERVICES
REGISTRATION CLERK PFS - REGISTRATION
MEDICAID COORDINATOR PATIENT FINANCIAL SERVICES
INSUR FOLLOW UP CLRK PFS - REGISTRATION
REGISTRATION CLERK PFS - REGISTRATION
MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES
REGISTERED NURSE EMERGENCY ROOM
RADIOLOGY TECH RADIOLOGY
REGISTRATION CLERK PFS - REGISTRATION
REGISTRATION CLERK PFS - REGISTRATION
REGISTRATION CLERK PFS - REGISTRATION
R.O,I./R.I.T. HEALTH INFORHATION ~IANAGEMENT
I. T. DIRECTOR INFORHATION TECHNOLOGY
I.T. SYSTEM ANALYST INFORMATION TECHNOLOGY
ACCOUNTANT ACCOUNTING
C. F. O. ADHINISTRATION
C.E.O. ADMINISTRATION
ADMINISTR. OFFICER ADMINISTRATION
DIRECTOR Ml4,AP CLERK PURCHASING
Grand totals
Total lines ~ 214
MEMORIAL ~lEDICAL CENTER
DEFAULT FORl.liIT FROH DB019
PAGE 4
3119.75
1936.80
1312.00
1523.80
2205.90
4646.40
1269.20
651.25
1432.00
1178,45
1402.50
1450.04
1165.50
1350.20
1432.00
1570.00
890.55
5108,80
1193.47
138U8
1510.55
1693,50
909.57
1436.64
1515,20
485.98
1968.00
3972.01
634,86
230.88
1529.32
1320,00
777 .62
1760.00
1272.14
490.72
1747,65
3491. 94
3309.75
1287.3 8
865.51
1172.10
1123.76
5504,96
3807.63
4384.00
10150,00
11888.46
3692,80
3769.60
604183.66
-26-
@IHS
Source Totals Report
Issued 11/08/2012
Calhoun Indigent Health Care
Batch Dates 11/15/2012 through 11/15/2012
For Vendor: All Vendors
Source Description
Amount Billed
Amount Paid
01 Physician Services
02 Prescription Drugs
05 Lab/x-ray
08 Rural Health Clinics
13 Mmc -Inpatient Hospital
14 Mmc - Hospital Outpatient
15 Mmc - Er Bills
2,117.00
732.33
283.00
2,533.21
44,259.00
33,928.00
27,611.00
511.15
732,33
18.44
1,436,00
24,785.04
11,649.68
9,387.74
Expenditures
Reimb/Adjustments
111,582.73
-119.19
48,639.57
-119.19
Grand Total
111,463.54
48,520.38
-27-
2011 Calhoun Indigent Care Patient Case load
Approved Denied Removed Active Pending
Jan 7 22 10 152
Feb 9 13 17 156
Mar 32 33 26 153
Apr 8 19 28 164
May 6 19 16 149
Jun 25 21 23 146
Jul 1 19 5 140
Aug 1 13 39 108 2
Sept 2 43 32 79 11
Oct 8 15 27 62 16
Nov 7 8 21 47 15
Dec 1 24 27 30 14
YTD 107 249 271 1386 58
12 Mo Avg 9 21 23 116 5
2012 Calhoun Indigent Care Patient Caseload
Approved Denied Removed Active Pending
Jan 4 10 2 37 9
Feb 1 17 2 36 11
Mar 4 16 3 38 20
Apr 1 15 3 39 21
May 3 11 3 40 17
Jun 10 12 5 46 15
Jul 6 15 5 48 22
Aug 10 21 1 59 20
Sept 5 17 4 59 19
Oct 7 18 5 61 34
Nov
Dec
YTD 51 152 33 463 188
Monthly Avg 5 15 3 46 19
-28-
Susan Riley
From:
Sent:
To:
Subject:
Cindy Mueller [cindy.mueller@calhouncotx.org]
Wednesday, November 28,20123:51 PM
'Susan Riley'
FW: Agenda Item Request
Based on the revised final closing document, please use the following verbiage instead:
. CATNA to reclassify $60,646.83 general fund loan to a transfer in Capital Project-ClAP/Green Lake for closing and
surveying costs in excess of available grant funds.
From: Cindy Mueller [mailto:cindv.muellerliJlcalhouncotx.orgl
Sent: Wednesday, November 28, 2012 12:24 PM
To: 'Susan Riley'
Subject: Agenda Item Request
Please place the following item on the agenda for December 13, 2012:
. CATNA to reclassify $55,146.83 general fund loan to a transfer in Capital Project-ClAP/Green Lake for closing and
surveying costs in excess of available grant funds.
Cindy Mueller
Calhouu County Auditor
202 S. Ann, Suite B
Port Lavaca. TX 77979
Phone 361.553.4610
Fax 361.553.4614
1
RECLASSIFY $60,646.83 GENERAL FUND LOAN TO A TRANSFER IN CAPITAL PROJECT-
ClAP/GREEN LAKE FOR CLOSING AND SURVEYING COSTS IN EXCESS OF AVAILABLE GRANT
FUNDS:
Monies that was spent several months ago for surveying and related costs.
A Motion to reclassify $60,646.83 General Fund Loan to a transfer in Capital Project - ClAP/Green Lake was
made by Commissioner Galvan and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
APPROVE MINUTES OF SEPTEMBER 27,2012, OCTOBER 11, 2012 AND OCTOBER 25, 2012
MEETINGS:
A Motion to approve the minutes of September 27, 2012, October 11, 2012 and October 25, 2012 was made by
Commissioner Fritsch and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
Regular September Term
Held September 27, 2012
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 27th day of September, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Lyssy led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag.
Judge Pfiefer:
Welcomed students from Our Lady of Guadalupe Catholic Church School visiting Commissioners Court.
COUNTY OF CALHOUN
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Held October 11, 2012
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Regular October Term
THE STATE OF TEXAS
BE IT REMEMBERED, that on this 11th day of October, A.D" 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Ga Iva n
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
Thereupon the following proceedings were had:
Commissioner Gaivan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag.
APPROVE MINUTES OF JULY 26, 2012 AND AUGUST 9, 2012 MEETINGS:
A Motion to approve the minutes of July 26, 2012 and August 9, 2012 meetings was made by Judge Pfiefer and
seconded by Commissioner Finster.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Regular October Term
Held October 25, 2012
COUNTY OF CALHOUN
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THE STATE OF TEXAS
BE IT REMEMBERED, that on this 25th day of October, A.D., 2012 there was begun and holden in the
Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00
A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this
date the following members of the Court, to-wit:
Michael J. Pfeifer
Roger C. Galvan
Vern Lyssy
Neil Fritsch
Kenneth W. Finster
County Judge
Commissioner, Precinct #1
Commissioner, Precinct #2
Commissioner, Precinct #3
Commissioner, Precinct #4
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and
Commissioner Fritsch led the Pledge to the Texas Flag,
APPOINTMENT TO FILL UNEXPIRED TERM OF JUSTICE OF THE PEACE PRECINCT #4:
Judge Pfiefer:
[Appointing] Peggy Dworaczyk
A Motion to appoint Peggy Dworaczyk to fill the unexpired term of the Justice of the Peace Precinct #4 was
made by Commissioner Fritsch and seconded by Commissioner Finster.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
APPROVE BOND OF NEWLY APPOINTED JUSTICE OF PEACE PRECINCT #4:
Judge Pfiefer:
It is a simple $1,000 bond: to "faithfully and impartially discharge the duties required by law and promptly pay
to the entitled party all money that comes into his/her hands during the term of office."
A Motion to approve the bond of the newly appointed Justice of the Peace Precinct #4 was made by
Commissioner Finster and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: ruDGE PFEIFER & SUSAN RILEY
COUNTY ruDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, December 13,2012
~ Consider and take necessary action to award bid for Fuel to be Delivered for the period
beginning December 16,2012 and ending January 15,2013, (CM)
Diesel: Diebel Oil Co was Low Bid
Regular Unleaded: TIE BID
AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD ENDING DECEMBER 16, 2012
THROUGH JANUARY 15, 2013:
Diebel Oil was low bid for Diesel Fuel at 3.51 per gallon. Sun Coast and Diebel Oil had a tied bid for regular
unleaded fuel at $3.00 per gallon. Commissioner Finster drew Diebel Oil for the tie breaker.
A Motion to award Diebel Oil the fuel bids for diesel and unleaded was made by Commissioner Fritsch and
seconded by Commissioner Finster,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
~
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1112112012 12:34
CALON l'.8MTY, TEXAS 11II HEf. ffiJ.n~I~1i i B:i'iiR1iJ"::'::.__.._.. _'M___~__
INVIT A TIJON TO BID
1...,......'1,'.......
.-]
TX 1197_
] PfIlIllflltlM: ilECEMilER 16, 2012 i'lIIlII3Ta, ,JANVAR'( '1&, 2010
....
aIo..- ,. t:. a_ L Jll ........ ..
MICHASL J "Pfi/PEIl, OAUIOVN COVHY JVD,lE, 2.,1 S ANN Sf,
.1/ID PLOOI1.1l0OM 30', PORT l.AVAC. rx 71119
BIOS Si'10U"O BE sua~ ITrItt' IN A SEALED ENVELOPE PLAII'" 'r MP. ,KeD: '!i.ALIfD fllo- !p~l_i'llf.:.:: .... '--a
A_ _--.lllIl .....Ar .....
910$ ^RE DVE AT: rHi ..: ,lOGE'S OFPIOE ON OR BEFORE: 10;00 AM, THURSOA Y, OECE:..WEI' e, :to: 2
I 8'0$ W'I.L 3E AW"WEr AT TH~ COMMISSIONeRS' C.OURT MEETI~. .. ON, THf.lIlSIJA Y. DIiCIiMIl!<<R 13. 10fJ
I r"ec"OCK IN TH~ C01.l'iTY JUOGE'S O"FIC5 'S n-IE OFFICI"- C,lC,lC <; THATWIU, SE USED IN t,,.rTl;RMININO THE 1" e ,H.... A JIO IS
',f;c~IV~,O"'NIPME T ,~E THAT 8106 WIU, as OP!NeD. aiDS RE:CE, lED AFTEH THe OPENING TllI!e WilL aE RE1URh';D UNl'I',-'NEIJ ~O
&IOD!R. TNE 1~;.!Mt{ ;$IONER/l' COURT Rrs~RVES mE RICH-r TO \ .AIV! T~O'iNICAUT:55, R~Jg:T ANY OR All. BIOS. TO A~ .,P1 THE aln
O"fJJ~D MOf . AD' ,NTAG!OU. TO CAI.HOUN CO\.JNTY AND TO DE ,HE SOL~ ,IUOG! IN O!T!F<MINING WNIOH 510S WI, '. BE' . 9T
AOVAhTAGt.)~S ) THE COUNTY THE COUNTY OF ".o.lHOUN, TEl \$ 1$ AN EQUAL f'MPLOYMENT OPPOJ'lTVNITY EMP,,'YER,H" cou~n'
;)OE8 NOT )I~ :,' ,:.It>lATr! ON TH! Mel$ O~ MC!, COcOll. NATION ,L OI'lIGIN, S~)(, I'<I;LI..ION ~Ge OF< HANDICAP~IiiO ST, "-..1$ I.
EMPLOy"",.:,,,T :,,<C. iHE PROVISION OF SERViceS.
DfEIl9. OIl CD INC
lAM IlIlIi
PO .Xll
PIll lAVMA
BID ITEM ~IIL-liK:it.~ '~"'
4.1. IU
YOU ARe INVireo TO suB'AIT A f'~ ON THE ABOVE 'TEM TO;
'\l"t'l
'/IIea
~_.
1 1111
"....__.~ __ b... J.liL "8\
-~--.-
llllLlH/!!! 'UIIL-IlULK DILIY.RIIl
(J,Jl'~lfIMl ftl \/AItlOUI
Dl!LIltlllt. fOil COIlNTY ,UIL TAN~
,!lU.IllfWfl.!i YANQUI
-..., - ----- --- ---- ------.- ....--......-- -- ----- --- -- - --'-
6P'&!E~ DJIUIEL l1'UEL
>>PEI..IVERY multt be madtJ withil'1 24 houri.. F:er (&(".ei\fh"lg ordor from ((It County O.par1mef\~ln the quantIty
ord"od. If voroor cennot dellve<' wl:hil1 ~4 OW.lf> or reflises t'.> dnliver. t"e County Oepartment Will ordor from the !)$X
lowoat bid~er.
>>PRIC!; Po, Gallon MUST INCLUDE all fee, an~ cna'~..! ,IU~lng all TillIallFa.e tho County I. not extlmpt Irorn (fOI
6><M1ple: $0,20 Stot. e:KCI"" "ax, Stale Doliv ,.IEnviro/'mo'",,; feos, ~.dft",1 011 Spill Ree()V..-y F_ and Federal
LUST rex)
>>fRr:e FROMWATEF< AND SJSPENC,eD ~Anr:R
~~__M1fJLP~
------------- ..-------.- ........,__._...~'._-----------------
~1i~lJ'lt.llrt9N~; REGULAR UNLEADED GASOliNE
>>DELIVERY rrrAt bell'lllde w~hln 24 hou/" ,frO! ,eCllII,ing orde, om tilt County O'llllrlmont In lh~ qli~ntity
ordtrtd. It vtr.;or cannot celiver wl\i',in 24 hVJ:$ O' re!use. to d61'"~r, the Counly 04pertm~nt will order 'rom th. i\8x1
lowe$t bidder
nPRICE Per Gillon MUST :NC..UOE all (&a, mM chao)" ;ocl,ding all raxn.IFaea the COij)~ty i, not ""~m~t from (for
""empl~: $D,20 Sletl EXCIU ia.. Stato ,lOlIv,ry/Envlronmental Foes, Flldoml 011 Spili Reoovt'Y FeIW and r:..d$ral
LUSTT",,)
>>FREE FROM WAiER AND SJSPENDED ',lATTER ANO A MINIMUM OCTANE OF 87 (AVr:RAGE METHOD',
I.!!i./1
I3AL"ON
3 - 'D J!!t PRI9E_____
( I """'-.. {Dfl.w.fJ:ffLml14.'~
DARGfR ~Q- ~ ~ · i:-'
=:- ~-'C~2)~4J _=-1ilBWiwa
JJtiJI
GALLON
~?;.??~
PWlElJlf AlIYfXGtP11IINllI1lf"~1I81:
TU"da~. No."mbtr 21, 2012
Il!iIIfIl 1lIIIIl.1Il1lO1!1C
11/2712012 12:37
(FAX)
P .0021004
CALOOUN COUNTY, TEXAS BID SHEET- IFUR-BULK DELMRm
I
INUIT A TION TO BID
BIDDER
SUN COAST RESOURCES
1118 SWELLS
EDNA
BID ITEM IFUEL -IULK DRlVmED
TX 77067
I PfRlOOmOM: DECEMBE;R 16,2012 PfmODTO: JANUARY 15, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFefFER, CALHOUN COUNTY JUDGE, 211 S ANN Sf,
3RD FLOOR, ROOM 301, PORT LAVACA TX 11979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKe:D: seALED BfD'I!'UEL.BULK DELIVERED .'.-------.
BI08 ARE DUE! AT THE! JUDGE'S OFFICE ON OR BEFORE: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, OECIlMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPEN EO. BIDS RECEIVED AFTER THE OP~N1NG TIMe WILL BE ReTURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCE:PT THE BID
DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETaRMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY
DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPEO STATUS IN
EMPLOYMI>NT OR THE PROVISION OF SERVICES,
BID ITEM:
DB"ARTMMNTt
DELIVERY
DEBTINATION
PUlL-BULK DI!L1VERED
VARIDUS
FDB COUNTY FUlL TANKS
VARIOUS
-----------------------------------------------
SPECIFICATIONS: DIESEL FUEL
>>DELlVERY must ba made within 24 hours after receiving order from lhe County Department in the quanllty
ordered, If vandor cannot dallver within 24 hours or refuses to deliver, the County Department will order from the next
lowest bidder.
>>PRICE Per Gellon MUST INCLUDE all fees and cherges Including all Taxes/Feas the county Is not exempt from (for
exemple: $0,20 Stete Excise Tax. Stale Delivery/Environmental Fees. Federal Oil Spill Recovery Fees and Federal
LUST Tax)
>>FREE FROM WATER AND SUSPENDED MATTER
UNIT UNIT PRICE
GALLON 3.SLf
-----------------------------------------------
SPElCIFICATIONS: REGULAR UNLEADED GASOLINE
>>DELIVERY must be made within 24 hours aller receiving order from the County Department In the quantity
ordered. If vendor cannot deliver within 24 hour. or refuses to deliver, the County Department will order from the next
lowest bidder.
>>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for
example: $0,20 State Excise Tax, State Delivery/Environmenlal Fee., Federal 011 Spill Recovery Fees and Federal
LUST Tax)
>>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD)
UNIT UNIT PRICE
GALLON ;'3 , tJ7:>
DATEDFIIIJ; I J.../ 1.,/ ;lo 1.2.., (lJE~OW1'OBECOMPLETEDBYBIDD.ER)
AUfHORlZfDBIlNA11IIE TITLE: /d.Jv...:t ;h/G _
P11INTNAMf: f{)/?;l.IU jiqYIII.. mIJlllONENUI\IIEII' 3(p /-1'%J.. - 'Sf 1.0
PlEASE UBT ANY EXCEPTIONS TO 111 ABOVE SPfCfICAI1INS:
Tuesday, November 27, 2012
BDlIlI BUN &1lASI RfSllURCfll
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX II - 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13, 2012
... Consider and take necessary action to award bid for Prescription Drugs for the Calhoun
County Adult Detention for the period beginning January 1,2013 and ending
December 31, 2013, (CM)
AWARD BID FOR PRESCRIPTION DRUGS FOR THE CALHOUN COUNTY ADULT DETENTION CENTER
FOR THE PERIOD BEGINNING JANUARY 1, 2013 AND ENDING DECEMBER 31, 2013:
Cindy Mueller:
There were two (2) bidders: HEB Pharmacy and Diamond Drugs Inc, Eddie Musgrave recommends HEB
Pharmacy. Although they have a higher percentage rate on each, they will deliver prescriptions to the jail once
a day if Eddie requires that.
A Motion to award HEB Pharmacy the bid for prescription drugs for the Calhoun County Adult Detention Center
was made by Commissioner Finster and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
Peggy Hall
From:
Sent:
To:
Subject:
Eddie Musgrave <e.musgrave@calhouncotx,org>
Monday, December 10, 2012 9:47 AM
'Peggy Hall'
RE: 2 Bids Received for Jail Prescription Drugs
Peggy,
Good Morningl After reviewing the two bids for Prescription Drugs for the Jail for next year, 2013'it is my opinion H.E.B.
would be the most beneficial for the jail. My recommendation is for the H.E.B. bid.
Thank you,
Eddie Musgrave
From: Peggy Hall [mailto:oeqqv.hall(iilcalhouncotx.orq]
Sent: Friday, December 07, 20129:31 AM
To: Eddie Musgrave
Cc: cindv.mueller(iilcalhouncotx.org; BB Browning; qeorqe,aleman(iilcalhouncotx.org: 'Jesse Alvarez';
Iisa.musqrave(iilcal houncotx,orq; mark,daigle(iilcalhouncotx,orq
Subject: 2 Bids Received for Jail Prescription Drugs
Eddie,
Attached are the two bids we received for the Prescription Drugs for the Jail.
Please review both bids and get back to me on what your recommendation to Commissioners'
Court will be,
Please let me know your recommendation by Tuesday, Dec. 11th.
I have put this on the agenda for Thursday, Dec 13th to consider for award and I will get all
information needed to the Commissioners and the Judge.
Thanks,
Peggy
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CALHOUN COUNTY, TEXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
~ail
JANUARY 1,2013 Thru DECEMBER 31,2013
~ Return this Form (page 1) (Do Not Fold), ihubmitting a bid for
Prescription Drugs for the Calhoun County Adult Detention
Center (Jail)
. Calhoun Countv Adult Detention Center (Jaill
Fill in appropriate blanks
AMOUNT or PERCENTAGE TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP):
Generic----> AWP Minus ~~. 5/. + ~ . &q t\dmiV) fee, )
Amount or Percentage Dispensing Fee a d/or Othe Charges, if any - ease list
Name Brand-----> AWP Minus ~~ '/. + rrgqsjngE'TrO~~~C;;'Ple.seZNoNE ~ tA.JlY\ii'l (ce,)
Amount or Percentage Dispensing Feee and/or Other Charges, jf any - lease list
, · · II If 110 DiSp'"sjlgletb~" Char $tIe so PrceN~ ~ )
SPECIFICATIONS: - JAl I M~ pick U(J preStriptioV1~ e,on;enlel'lfly M any ~.
~ 100% Credit on any full or partial blister cards or medications that are returned as
allowed by law.
~ Bid must clearly state if there are any processing fees and/or shipping fees associated
with these returns.
~ All charges must be included in bid price.
~ No other charges may be added to the bid price when invoiced unless noted as an
exception on the bid form.
~ "Average Wholesale Pricing" will be made available to Calhoun County when requested.
Calhoun County may audit the billing at any time.
No Person has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum
approved by Commissioners' Conrt) and sent to each person having a bid package.
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation. firm. partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices. terms, or conditions
o/said hid have not been communicated by the undersigned nor by any ernployee or agent to any other person engaged in this type of
business prior to the official a ening of this bid.
Company:
Authorized Signature & Title:
Print Name & Title: StlAA~ t3tJtrUflaS Acct euC'DateorBid:_O-.r~IZ
Telephone Number: 't1O"q3~-1lfZ.3 · Fax Nnmber: '2-10- 139'-1(,1{3
EmailJ2afUfltH. Stll1df'1... €? hJ2.h. &om
List any exceptions to the given bid specifications:
Page lofl
CALHOUN COUNTY, TeXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
d,aU
JANUARY 1, 2013 Thru DECEMBER 31,2013
~ Return this Form (page 1) (Do Not Fold), ifsubmitting a bid for
Prescription Drugs for the Calhoun County Adult Detention
Center (Jail)
. Calhoun County Adult Detention Center (Jail)
Fill in appropriate blanks
AMOUNT or PERCENTAGE TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP):
Generic----) AWP Minus
73
+ None
Dispensing Fee nnd/or Other Charges, if any - please list
If no Dispensing Fee and/or Other Charges, please put NONE
+ None
Dispensing Feee and/or Other Charges, if any - please list
If no Dispensing Fee andJor Other Charges, please put NONE
Amount or Percentage
Name Brand-...-) A WP Minus
21.5
Amount or Percentage
See attached bid sheet for additionallnformatlotl
SPECIFICATIONS:
~ 100% Credit on any full or partial blister cards or medications that are returned as
allowed by law.
~ Bid must clearly state if there are any processing fees and/or shipping fees associated
with these returns.
~ All charges must bEl included in bid price.
~ No other charges may be added to the bid price when invoiced unless noted as an
exception on the bid form.
~ "Average Wholesale Pricing" will be made available to Calhoun County when requested.
Calhoun County may audit the billing at any time.
No Person has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum
approved by Commissioners' Court) and sent to each person having a bid package.
The undersigned affirms that they are duly authorized to execute this contract, that this company} cOJporation,jirm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the VJ1dersigned nor by any employee or agent to any other person engaged in this type of
business priol' to the official opening of this bid.
Company: DIamond Drugs, Inc. dba Diamond Pharmacy Services
Authorized Signa lure & Tille:t'\ Chief Operating Officer
Print Name & Title: Mark J. Zilner. chief Date of Bid: 12/6/12
Telephone Nnmber: 800.882.6337 x1003
Email proposal@diamondpharmacy.com
List any exceptions to the given bid specifications: We will not sell medications below cost and any use of backup medications
will be billed as d pass through without additional markup.
Fax Numbe..:
724.349.2604
Page 1 of 1
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX II - 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: ruDGE PFEIFER & SUSAN RILEY
COUNTY ruDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13, 2012
.. Consider and take necessary action to award bid for Prescription Drugs for the
Calhoun County Indigent Program for the period beginning January 1,2013 and
ending December 31, 2013 (CM)
AWARD BID FOR PRESCRIPTION DRUGS FOR THE CALHOUN COUNTY INDIGENT PROGRAM FOR
THE PERIOD BEGINNING JANUARY 1, 2013 AND ENDING DECEMBER 31, 2013:
Cindy Mueller:
HEB Pharmacy has been the supplier for years. They were the only bid.
A Motion to award HEB Pharmacy the bid for prescription drugs for the Calhoun County Indigent Program was
made by Commissioner Finster and seconded by Commissioner Lyssy,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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CALHOUN COUNTY, TEXAS - Prescription Drugs Form
PRESCRIPTION DRUGS
County Indigent Program
JANUARY 1, 2013 Thru DECEMBER 31, 2013
~ Return this Form (page 1 & 2)(Do Not Fold), if submitting a bid for
Prescription Drugs for the Calhoun County Indigent Program
(0 Calhoun County Indigent Program
EF NET COST to be computed in accordance with the Department of State Health Services, County Indigent
Health Care Program Handbook, Payment Standard for Prescription Drugs. (Section Four, Page 10, from
the DSHS Handbook attached - Handbook may be updated at various times during the year)
Fill in aoorooriate blankS
~:~;~:-~:>AWPMinUS50% LESS Additional Discount .2.8 f = 7~';' aenen'c efft+ive (ctfe,
Minimum Amount ~ I M ( J. "Pditlo~,1 D1sco~nt c.." Tot.1 ~~sco~nt p.r'iJ.~t.ge off of AWP (Minimum I. SlWo)
PLUS~. 01 l,,~ \ ~\S~ 1<'<'-, . -gCl ~MI(\iS1Ta.fivc. fee,)
Plus Dispensing Fee, If any ($3.00 maximum)
Net Cost: '3 t::' I
Name Brand--> AWP Minus 15% LESS Additional Discount . .J' . =
Minimum Amount PLUS ~ I. ~ Ulcii~C~~,. gO~I~i~i~l;tdr\;t~)i'lS%)
Plus Dispensing Fee, if any ($3.00 maximum)
\Z.5/
SPECIFICATIONS:
~The formula taken from Section Fonr, Page 10 of the cmcp Handbook will be used for the Calhoun
County Indigent Program less any additional discounts, if any are given. (See attached copy of Section
Four, Page 10 ofthe CIHCP Handbook)
~ All charges must be included in bid price.
~ No other charges may be added to the bid price when invoiced unless noted as an exception on the bid
form.
~ "Average Wholesale Pricing" will be made available to Calhoun County when requested. Calhoun
County may audit the billing at any time.
Each monthly billing will include the following:
. Pharmacy Name & Address
. Date
. Patient Name & Address
. New or Refill
. Drug Name (Generic or Name Brand Noted)
. A WP AMOUNT
. PRICE THAT IS CHARGED TO CALHOUN COUNTY
~ Pharmacy benefits will be limited to a maximum of three prescriptions not exceeding $30 a month.
~ Only generic drugs will be paid for by the Indigent Program, unless generic drugs are not available.
No Person has the authority to verbaUy alter these specifications. Any changes to specifications will be made in writing (Addendum
approved by Commissioners' Comt) and sent to each person having a bid package.
Page lof2
,Calhoun COltnty, Prescription Drugs, County Indigent Program (continued)
.CALHOUN COUNTY will use the below formula taken from Section Four, Page 10 of the CIHCP
Handbook less any additional discounts, if any are given.
Prescription Drugs:
This service includes up to three prescription drugs per month. New and
refilled prescriptions count equally toward this three prescription drugs per
month total. Drugs must be prescribed by a physician or other practitioner
within the scope of practice under law.
The quantity of each prescription depends on the prescribing practice of the
Physician and the needs of the patient.
.pavment Standard: Use the following information and formula
. Utilizing any pharmaceutical company's database that provides average wholesale pricing, look-up the drug's
ll-digit NDC number and the quantity dispensed to determine the average wholesale price (AWP),
. Net Cost is:
Generic prescription drugs is AWP minus 50%
Brand name prescription drugs is AWP minus 15%
. The drug dispensing fee is $3.00
. The formula for computing the TDSHS Payable is:
Net Cost + drug dispensing fee = TDSHS Payable
Example: Prescription is written for 34 generic tablets
AWP for 25 tablets is $100.00.
1. $100.00 divided by 25 = $4.00 per tablet
2. $4.00 per tablet x 34 tablets (prescribed quantity) = $136.00
3. $136.00 - $68.00 (50% for generic) = $68,00
4. $68,00 + $3.00 (dispensing fee) = $71,00 TDSHS Payable
. A payment amount may be negotiated with the provider for:
Prescription compound drugs,
Prescription drugs not found in any pharmaceutical database, or
Prescription drugs that do not have an NDC number
The undersigned cifJirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, 01' conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
Company: \-\ E"B P tAl" i'Y"\ ()C
Authorized Signature & Title: _ drtA. ~ I ~()VW\ t- fUcu.l1 v-6
Print Name& Title: So,n~~ &.rse-na 51 Itcc.t. t::Xe"~tie~Bid:_:.._ t)e.c,.(".mb4( 21 ;WIt
Telephone Nnmber: ~ 10/ q38 ... 7'/'23._ Fax Number: 1-10 - CBB - 11./13
Email: htl(.strla~. Sand fA @ he.b,C))ffl
List any exceptions to the given bid specifications:
I'age 2 of2
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX 11- 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13,2012
~ Consider and take necessary action to award bid for Medical Services for the Calhoun
County Adult Detention Center for the period beginning January I, 2013 and
ending December 31,2013. (CM)
AWARD BID FOR MEDICAL SERVICES FOR THE CALHOUN COUNTY ADULT DETENTION CENTER FOR
THE PERIOD BEGINNING JANUARY 1, 2013 AND ENDING DECEMBER 31, 2013:
Cindy Mueller:
Only one bid returned by Coastal Medical. The price remains the same as the past three years.
A Motion to award the bid for medical services for the Calhoun County Adult Detention Center to Coastal Medical
was made by Commissioner Finster and seconded by Commissioner Fritsch.
Discussion:
Cindy Mueller:
Requested that the language be added to the motion to authorize County Judge to sign,
A Motion to authorize County Judge to sign was made by Judge Pfiefer and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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CALHOUN COUNTY, TEXAS BID SHEET- IMEDICAL SERVICES
I
INVITATION TO BID
RIDDEll COASTAl. MEIlICAL CLINIC
ATTN: TIM MCFARLAND MD
701 N VIRGINIA ST
PORT LAVACA TX 77979
BID ITEM IMEDICAL SERVICES I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: DECEMBER 31, 2013
YOU ARE INVITEO TO SUBMIT A BIO ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST,
3RD FLOOR. ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKEO: SEALED BID-I MEiilf..Jl!,.SERVif@ _--=~'-_..==-=-_=I
BIOS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDEREO FOR AWARO AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BIO IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDOER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIOS, TO ACCEPT THE BID
DEEMED MOST AOVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANOICAPPEO STATUS IN
EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSERIBIODER IN THE COURSE OF RESPONOING TO THESE SPECIFICATIONS.
THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH A CERTIFICATE OF INSURANCE (NAMING CALHOUN
COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1,000,000/$2,000,000), WORKERS' COMPENSATION (IN
ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,000/$100,000/$300,000)_
BID ITEM:
MEDICAL SERVICES
DEPARTMENT:
JAIL
SPECIFICATIONS: MEDICAL SERVICES
SEE ATTACHED GENERAL CONDITIONS OF SUBMITTING BIOS TO CALHOUN COUNTY, TEXAS
SEE ATTACHED CONTRACT FOR MEDICAL SERVICES
The undersigned affirms that they are duly authorized to execute this contract. that this company, corporation, firm,
portnership or individual has not prepared this proposal in coitusion with any other Proposer or Bidder, and that the contents
of this proposal or bid as to prices, terms or conditions of said proposal/bid have not been communicated by the undersigned
nor by any employee or agent to any other persan engaged in this type of business priar to the official opening of this
AUTHORIZEDSIGNATIIlI IDlE: ~--= h~v-~uD
PRINTNAME:--T, VV\ IV\C- -OJ' \QI\Q. (11\. D. DATE OF BID: II-{- \ '2..
TELEPIIONENUMBBl: ?'{al -5~z-88/Pb
PLEASE UST ANY EXCEPnONS TO THE ABOVE SPECIFlCATlONS:
Monday, November 05, 2012
BlDnER cnASTIIl MtDlCAl &UNIC
CONTRACT FOR MEDICAL SERVICES
Calhoun County, a political subdivision of the State of Texas, (herein the "County") and
-
\ 1M Me-F""e....r \01~ M,\). ,a Licensed Medical Practitioner in the State ofTexas,
(hereinafter the "Service Provider"), by this agreement and in consideration of mutual
promises set forth below have agreed as follows:
ARTICLE I
JAIL SERVICES
1.01 SCOPE OF SERVICES:
The Service Provider will, upon referral from the Sheriff's Department
(hereinafter referred to as "Jail") treat inmates located in the Calhoun
County Adult Detention Center facilities operated by the Sheriff's
Department. Treatment may occur both within and without the physical
confines of the Jail facilities. Treatment shall include, but not be
limited to, on-site medical care and/or treatment at least 1 to 2 times a
week by a licensed medical practitioner. The Service Provider agrees to
adopt and implement workplace guidance concerning persons with AIDS
and HIV infection and to develop and implement guidelines regarding
confidentiality of AIDS and HIV related medical information with regards to
inmates being treated for any complaint. The Service Provider will use
their best efforts to respond to an emergency situation at the facility when
needed. The Service Provider will assist the Jail to comply with TB testing
as ordered by the Texas Health Department of all new inmates to be
completed before the ih day of their admission to the facility.
1.02 REPORTING RESPONSIBILITIES:
The service Provider, once treatment has been provided, will also be
responsible for indicating any necessary therapy, additional follow-up
medical treatment or additional medical referral needed to a medical
specialist to cover any inmate problem the Service Provider believes
would require such therapy or referral. The Service Provider will be
responsible for communicating therapy or referral needs to the Calhoun
County Jail Administrator, or the designated agent. Any pre-existing
conditions shall be noted and reported. The Service Provider will
document all treatment, need for follow-up treatment, any diagnostic tests
needed, therapy suggestions and referral needs in note form and file
the same in the inmate's medical file. If any inmate has a condition that
requires isolation from the general population this recommendation shall
be noted. Medical allergies or any special dietary requirements shall be
noted. Prior to any surgery, the Service Provider shall consult with the Jail
Administrator concerning cost and alternative payment providers.
1.03 ADDITIONAL SERVICES:
Services to be provided pursuant to this Contract, but at an additional
fee as set forth in Article III herein, include diagnostic testing, whether
routine or otherwise, extended long-term medical treatment programs
requiring more than a few treatments for a given malady, treatment
outside the Jail for medical services provided at clinics operated by the
Service Provider. Inmates will be taken to the Service Provider's office
when practical rather than the emergency room. Prescriptions prescribed
shall be cost-effective, and generics shall be used whenever practical. No
sleep aids or narcotics shall be prescribed.
ARTICLE II
INMATE SERVICES
2.01 SCOPE OF SERVICES:
The Service Provider upon referral from the Jail Administrator or
Licensed Vocational Nurse (hereinafter referred to as "LVN") shall
treat inmates that are incarcerated in the Calhoun County Jail.
Services are to include consultation and/or assistance of/with a LVN
and/or the Jail Administrator. Consultation may be by phone or on-site.
Consultation is to be diagnostic in nature to determine possible medical
malady and appropriate medical course of action. Also, the Service
Provider will provide physical examinations on site, as requested,
within the Infirmary at the Jail when phone consultation does not seem
appropriate or prudent to solve an inmate's medical dilemma. A licensed
nurse shall be provided at the jail at least 3 to 4 times a week at a set time
of day so the medical needs of the inmates can be satisfied as required by
the Texas Commission on Jail Standards. A licensed medical practitioner
shall make a minimum 1 to 2 visits to the facility per week to treat/see
inmates.
2.02 PROCEDURE:
The LVN will routinely on a daily basis handle medical sick call in the
Jail except when it is beyond their expertise. When medical concerns
of inmates is beyond the ability of LVN, phone consultation with Service
Provider will be initiated. If phone consultation is inadequate in the
opinion of both the Jail Administrator and L VN, on-site medical
consultation will be requested of Service Provider.
2.03 ADDITIONAL SERVICES:
Services to be provided pursuant to this Contract, but at an additional fee
as set forth in Article III herein, include diagnostic testing, extended long
term medical treatment programs requiring more than minor intervention,
testing at the Service Provider's clinics, x-rays, physical examinations, lab
work or emergency medical treatment in an emergency room, hospital
care and therapy as deemed appropriate to solve an inmate's medical
dilemma.
2.04 REPORTING RESPONSIBILITIES:
Phone consultation will be documented by LVN in inmate's medical file,
On-site consultation will require Service Provider to provide case notes
in inmate's medical file. The Service Provider will inform the Jail
Administrator or L VN during consultation of the need for testing, x-rays,
lab work or emergency treatment. The Service Provider will communicate
in writing with the Jail Administrator or L VN, the inmate's need for follow-
up treatment or referral to a medical specialist or relocation for medical
treatment, which communication shall be made part of the inmate's
medical file.
ARTICLE III
FEES
3.01 PROFESSIONAL FEES:
MINIMUM 1 to 2 VISITS TO FACILITY PER WEEK BY LICENSED PHYSICIAN
Physician Charges:
$ 500. DO/Hour = Hourly Cost
Free Telephone Consultation(s) per week then
$ I S. DO / = Charge per Telephone Consultation
3
LVN Charges:
MINIMUM OF 3 TO 4 VISIT(S) TO FACILITY PER WEEK
$ as .W /Hour = Hourly Cost
3 Free Telephone Consultation(s) per week then
$ 5'.DO / = Charge per Telephone Consultation
This Contract shall begin January 1,2013 and end December 31,2013.
Charges for any outside-the-Jail treatment of inmates at any clinic
operated by the Service Provider, or a physician's certificate related to a
mental health commitment, or treatment of an inmate at a hospital
emergency room or for any unusual diagnostic charge, laboratory charge
or physical exams, or extended treatment program made under this
contract will be either billed by the Service Provider as provided below, or
by the independent laboratory or facility that provides such service.
3.02 BILLING:
The Service Provider will submit an invoice monthly, within 15 days of
each contract month. The Service Provider will bill Calhoun County Adult
Detention Center using his/her standard Invoice for Services for the herein
agreed fee. For services not covered by the Service Provider's agreed
fee, the Service Provider will invoice Calhoun County Adult Detention
Center using his standard invoice for Services, showing Date of Service,
Inmate Number, Test or Service Performed with itemized costs for each,
and Extended Total, at his standard prevailing prices, which shall also be
stated on the bill. Calhoun County shall pay for services monthly after the
bill is approved by the Auditor's Office and Commissioners' Court.
Commissioners' Court meets the second and fourth Thursday of each
month. Each County Department is responsible for submitting their
purchase orders for payment and the purchase orders are due by 2:00 pm
in the Treasurer's Office the Thursday before each Commissioners' Court
meeting (meetings are subject to change). No payment can be made until
Commissioners' Court approves bills for payment.
ARTICLE IV
ADMINISTRATION OF CONTRACT
4.01 TRANSPORTATION
If the Service Provider has assessed that an inmate needs to be relocated
from the Jail for medical service of any kind or for any reason, this
assessment will be relayed at the earliest possible time to the Sheriff, Jail
Administrator or his agent, so that immediate action can be taken. The
Sheriff's Department shall be responsible for initiating any paperwork
which may be needed to re-Iocate or transport the inmate for such
treatment and for the transportation to an appropriate facility.
4.02 ACCESS TO FILES:
Once an inmate has been referred to the Service Provider, the Service
Provider will be allowed to have access to that inmate's personnel and
medical file. Additionally, the Service Provider will have access to the
medical screening documents used by the Jail staff and LVN to access
an inmate's medical history and potential medical concerns, if such
records are not part of an inmate's personal or medical file. A written
request for such access is not required to be filed with the Sheriff's
Department. Under ordinary circumstances, presenting an inmate for
medical treatment will be evidence of the authority for access of such
records by the Service Provider.
4.03 SUPPORT:
While on-site, the Jail Administrator shall be responsible for providing
the Service Provider with any reasonable support, assistance or security
that may be requested.
4.04 PATIENT ACCEPTANCE:
The Service Provider is under no obligation to accept for medical
treatment an inmate that the Service Provider deems inappropriate for
treatment, however, it is not anticipated that this would ever be likely in the
course of this contract.
ARTICLE V
INSURANCE
5.01 Each party to this agreement is responsible for maintaining their own
liability insurance and worker's compensation insurance, and each
party will provide proof of same to the other party on request. The Service
Provider shall maintain during the term of this contract a malpractice
Insurance policy and a General Liability Policy naming Calhoun County as
an additional insured while providing services at the Calhoun County Adult
Detention Center, 302 W. Live Oak St., Port Lavaca, TX 77979. The
Service Provider shall provide a Certificate of Insurance for both policies
which shall provide for a fifteen (15) days advance notice to Calhoun
County of the cancellation of such policy.
ARTICLE VI
INDEMNITY
6.01 The Service Provider agrees to and shall indemnify and hold harmless
and defend Calhoun County, its officers, agents and employees from
and against any and all claims, losses, damages, causes of action, suits,
and liability of any kind, including all expenses of litigation, court costs,
and attorney's fees, for injury to or death of any person or any breach of
contract arising out of or in connection with any work done by the Service
Provider pursuant to this Agreement.
ARTICLE VII
INDEPENDENT CONTRACTOR
7.01 In all activities or services performed hereunder, the Service Provider is an
independent contractor, and not an agent or employee of Calhoun County.
The Service Provider, as an independent contractor, shall be responsible
for all medical services provided and medical decisions made pursuant to
the terms of this Contract. The Service Provider shall supply all labor
required for providing of medical services as required herein. The Service
Provider shall have ultimate control over the execution of the work under
this Agreement. Calhoun County shall have no control over any decision,
recommendation, or action taken by the Service Provider pursuant to this
Contract.
7.02 The Service Provider shall retain personal control and shall give his
personal attention to the faithful prosecution and completion of the
services contracted for herein and fulfillment of this Agreement.
ARTICLE VIII
LICENSING
8.01 The Service Provider is required to maintain all applicable licensing
permits to practice medicine. Further, all permits to or certification
necessary to operate the Service Provider's clinics shall be maintained.
Copies of any applicable licenses are to be filed with Calhoun County.
ARTICLE IX
DEFAULT
9.01 EVENTS OF DEFAULT:
The following occurrences shall be considered events of default:
A. Failure to maintain license to practice medicine or
any restrictions being placed upon such license by
the State Board of Medicine making the providing
of services hereunder impossible or difficult.
B. Failure to maintain all permits and licenses necessary
to keep Service Provider's c1inic{s) in operation.
C. Cancellation of Service Provider's medical malpractice
insurance.
Upon an event of default, Calhoun County may terminate this Contract
on three (3) days written notice mailed by certified mail, return receipt
requested to the address listed below.
ARTICLE X
GENERAL PROVISIONS
10.01 VENUE:
The venue of this contract is Calhoun County, Texas, and this contract
shall be governed by and in accordance with the laws of the State of
Texas.
10.02 TERMINATION:
This contract may be terminated by either party upon thirty (30) days
written notice. Such notice shall be mailed return receipt requested to
the non-terminating party at the addresses listed below.
10.03 TERM:
The term of this contract will be from January 1, 2013 through December
31,2013. Any changes in the terms or conditions will necessitate the
initiation of a new contract.
SERVICE PROVIDER
By~))1v:lZ/I;~fl /{-1- /:LJ 7 DI ;J VI~( ~ ~'y
e Address
-rl M Me-Fa)' lA-v\ci tv\ D ~D;{ Lcwaa; -r;; T7971
City, State, Zip Code ~
t1{VSkoA ~~f1e ~(QI-5S-2-S8fafQ ~ska.CI'Y'eJc(.;l.CtLhlecme.ne...n
Contact Name, Phone umber, and Email Address
CALHOUN COUNTY, TEXAS
/1 ~)L/-/l--- 211 South Ann Street
I '
DATE Port Lavaca, TX 77979
AWARD BIDS FOR GENERAL LIABILITY INSURANCE, AUTO LIABILITY/PHYSICAL DAMAGE
INSURANCE, PUBLIC OFFICIALS E&O LIABILITY INSURANCE, LAW ENFORCEMENT LIABILITY
INSURANCE, PROPERTY, EQUIPMENT BREAKDOWN, INLAND MARINE, SUDDEN & ACCIDENTAL
POLLUTION LIABILITY INSURANCE, WORKERS' COMPENSATION & CRIME INSURANCE FOR
CALHOUN COUNTY FOR THE PERIOD BEGINNING JANUARY 1, 2013:
This item was passed to the December 19, 2012 Special Meeting, Wednesday, 10:00 A.M.
AWARD BIDS FOR ASPHALTS, OILS AND EMULSIONS FOR THE PERIOD BEGINNING JANUARY 1,
2013 AND ENDING JUNE 30, 2013:
Cindy Mueller:
There was a low bidder on every item:
Vendor Bid Item Bid Price
P2 Emulsions Primer Oil $2.85jGallon + Concentrate/CWP
Martin Asphalt Co AC-5 $2,85jGallon
RC250 $3.80jGallon
Cleveland Asphalt Products CRS-2 $2.2909/Gallon
Martin Asphalt Co CRS-2P $2.95jGallon
A Motion to award low bidder on each item was made by Commissioner Finster and seconded by Commissioner
Lyssy,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX 11- 202 S ANN ST
PORT LA V ACA, TEXAS 77979
(361) 553-4610
J~
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN ~EY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13,2012
~ Consider and take necessary action to award bids for Asphalts, Oils and Emulsions
for the period beginning January 1,2013 and ending June 30, 2013, (CM)
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CAUIOUN. COUNTY, TEXAS BID SIIEET-IASPIIALTS, OIS AND EMllSIONS
INVITATION TO BID
I
BWDm p'2.;;; /L1 U <- -$ I 0/ ,11/5
/Lo B 5-rA 1Lf'z.- '2:. LL .J /L
S-/0> hC.l.../Z/V'vDiJN LooP
EU11L1oyrr: IX 7&b40
BID ITEM IPRIMER OIL G,,,~>t-Nt7UI T,z / i! \,AJ P
l PD\IID fROM: JANUARY 1, 2013
PE1111111lI: JUNE 30,2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I PRIMeR OIL
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: mURSDAy, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BIO IS
RECEIVEO ANO THE TIME THAT BIOS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDOER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS_
-----------------------------------------------
SPECIFICATIONS: PRIMER OIL
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINATION DELIVERY &I _fIIIlIIl
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON 2. '$'.c v'"
g(' ./'
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price Includes Freight GALLON 7 .::-
.
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON "2, gJ,{- V'"
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION. Bid Price includes Freight GALLON e. \l~ V"
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON 2-. @Y';::./
The undersigned affirms that they are duly authorized to execute this contrrlct, that this company, corporation, firm,
partnership or Individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned Mr by any employee or agent to any
other person engaged In this of business prior to the official opening of this bid.
AUIIIIlIIIllBSlllATURE 1BII: " .' 5'>> t- ,".5 /Ze P
PIIIlTNAME: ~i'3 ~-rA ILl J" 1<.--, DATEllFBII: blcc-Ii'-nt:> If- L?>,;< iZ-,O! :z...
PlEASEUST ANYEXClP1IINSTDSPEEIICA... 1HfPIIIlNEandEMAl= Ct.1.--/.- .Ir~ ~ Vii '77- 2- 5 & 4 tJ~~ 1-2S'1l.tz1-&3;51P
H IIlh'Mtil-1 ~""l>t;/.l' 6<>6 rn. 1" Nrtr;;.l'~ f;u'l.-foWf'LIL f1 {, Jlf 1'S;fl!P 7E.1L Ala. (p//Zs 1"2ffd.,{ M./Ze)
$16,Q() j>//.i-1p Il-!" irE /1- ;Iii-e.!)/{ ~:.* f>///lte;-l/l'!J II: /) / AI (P/\J(ILl//r/2-A'lG 1> Fo "-1-7 A] A/b
1/1/E:.N P /i Vliid) tv 11';-/ vVA, oZ_/,_ A' T' A 7 -to j 12/lT;L RIE S (/L.rS /11/ 11 P t;:/L c.;,,;<J 2,
?It'('i: oF-lc. 4/
CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
PERFORMANCE GRADE ASPHALT
CLARK DUBOSE, PRESIDENT
PO BOX 6
HITCHCOCK TX 77563
BID ITEM ~PRIMER Oil
('vI~- 30
I PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITEO TO SUBMIT A BIO ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIOS SHOULD BE SUBMITTEO IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- fER/MER OIL
BIOS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDEREO FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED ANO THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIOS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: PRIMER OIL
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TION DELIVERY /JIlT f/!ITPR~E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON 3, l?S~
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON 3. '1S-
." <jS-
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON ,~,
AREA
GALLON :5 '1S-
PRECINCT 4-5 5EADRIFT AREA FOB DESTINATION; Bid Price includes Freight ' ,
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON 3.'1)'
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this, bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in thiS) type of liness prior to the official opening of this bid.
AUTHORUED SHiNATURE TITLE: (:.LA..- vt '"1 ~^"',,; td..<-.,,)
PRINT NAME: CJO<-rk(>D"HMU DATEOFDID: 1//2-7/2-<>1'-
TELEPHDNEandEMAl1; 1./.09- 91f~-77tjo
dcuJ:e..le.p<1 ,~>,,,,f-e,J 1-, c'4.; ,"'-
~....ft /,I
PLEASE UST ANY EXCEPTIONS TO SPECifiCATIONS:
CALHOUN COUNTY, TEXAS BID SHEET-IASPHALTS, OILS AND EMULSIONS
I
INVII A liON 10 BID
BIDDER
CLEVELAND ASPHALT PRODUCTS INC
CRAIG C MOORE, SALES MANAGER
PO BOX 1449
SHEPHERD TX 77371
BID ITEM IPRIMER Oil
MC-30
I PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTEO IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- [PRIMER OIL M r. ,0
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE US EO IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPEN EO. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT OISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURREO BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: PRIMER OIL
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, Shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TION DELIVERY fJIIT UltIT PRO
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON $4.3009 B-;'
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON $4.3009 'HHf
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price Includes Freight GALLON $4.3009 *;H'
AREA
$4.3009 ~~*.
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price Includes Freight GALLON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON $4.3009 '3H}'
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AUTHoRUEDSIlNATURE TffLE: L~~ ~
PRINT NAME: Clayton Moore DATE OF BID: 12/6/12
TELEPHONE "EMAIL: 800-334-0177/ ccmcapco@msn. com
PLEASE UST ANY EXCEPTIONS TO SPEClnCATloNS: an. .
*** All prices are based on 5000 gallons minimum delivery. Please call
for smaller quantity prices. DEMURRAGE CHARGE: $80.00 per hr after 2 free hr,
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CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
MARTIN ASPHALT CO
JACK NIMMO
3 RIVERWA Y, STE 400
HOUSTON TX 77056
BID ITEM IAC-S
I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 7779
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I AC-S
BIDS ARE OUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIOS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENEO TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: AC-5
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun Counly reserves the right to conducl random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, Shipping container and any other source they
deem necessary to insure reliability of the prodUCt.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTfNA TfON DELIVERY /NT UIIl PR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON 'Z..~f' V-
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON ~,li~ V'
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON "l...i1( v
AREA
,/'
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON ~. !IS'
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price Includes Freight GALLON "L.g( ,/
The undersigned affirms that they are duly autharized ta execute this cantract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
ather person engaged in this type of business prior to the official opening of this bid.
AmHORIZEDSIGNATURE TITLE:-d tJ -'- - ,/A~(,illU.;.. .f."u:~
PRINT NAME: :r",<-1I Nt,..,,,, d DATE OF DIO: 11/'Z.'1/'LQI'l"
PLEASEUSTANY EXCEPTIONS TO SPECIACATIONS: TELEPHONE and EMAD..: -r f'J - :J (c., (, P, t; 'I I "S'iJ" M /VI.;; (. !11,.'l-/I,y,/lf ',P' <-of""
:;-GeQ (,.r.llOrJ lu(,11i//l- ca.dlft:... 6/J,~() i"'/I. ;1"'1<- ''1)e-,.l1a 'il I1phol z, /./"'vll(.
Viscosity Graded Asphalts - Product Data Sheet
ASPHALT COMPANY
Description and Physical Properties
Viscosity Graded Asphalts are designed for use as bituminous binders for a number of applications-they can be used
for paving applications as well as industrial applications, Traditionally they were used as a binder for hot mix asphalt
(HMA), where they are mixed with aggregate in hot mix plants, transported to the job site, placed with a paver and
compacted follOWing agency guidelines, Now Performance Graded (PG) binders are the primary material used for
HMA. Viscosity graded binders are now recommended by TxDOT for hot mlxed/cold laid mixes, recycling, surface
treatments and pre-coating.
Specifications
Conforms to Texas Department of Transportation Specifications-item 300,2:
Test Vlscositv Grade
Property Procedure AC,0.6 AC:l.5 AC-3 AC-5 AC-l0
Min , Max Min Max Min : Max Min Max Min Max
,
Viscosity T202 , , ,
140"F, poise 40 , 80 100 200 250 , 350 400 , 600 800 : 1,200
27soF: ~oise 0.4 0,7 1.1 1.4 1,9
Penetration, 77"F, 100g, T 49 350 - 2S0 - 210 - 13S - 85 -
5 sec.
Flash nolnt, C,O.C" OF T 48 42S 425 , 425 , - 425 , 450 ,
SolubiffiV in trichloroethvlene, % T44 99.0 - 99.0 : 99.0 : - 99.0 : 99.0
Snot test T ex-S09-C Nea: Nea. Nen, Nen, N~
Tests on residue from Thin-Film Oven Test: T 179 :
Viscosity, 140oF, poise T 202 - 180 - 4S0 - 900 - : 1,SOO - 3,000
Ductilityl, 77"F T51 100 - 100 - 100 , - 100 , - 100 : -
5 em/min., em
..
1. If AC-O.6 or AC-1.5 ductIlity at 77"F IS less than 1 00 em, material IS acceptable If ductility at 60"F IS more than 1 00 em.
Material A
Surface treatment
Precoatin
Hot-mixed, cold-laid as
Rec din
ical Material Use
T icall Used Materials
AC-5, AC-10,
AC-5, AC-10
halt mixtures AC-0.6, AC-1.5. AC-3
AC-0.6, AC-1.5. AC-3
Stora
Storage Maximum
('F)
350
350
Type-Grade
AC-0.6. AC-1.5, AC-3
AC-5, AC-10
Martin Asphalt Quality
Through Martin Asphalt, you get Everything Asphalt-a full range of products. In addition, you receive technical
assistance In selecting the right materials and application. The company's AASHTO Certified Laboratory makes sure
the products meet your specifications, And your products are delivered both on spec and on time via Martin's Gulf
Coast network of production plants, storage facilities and transportation fleet Including ocean-going and inland barges,
rail cars and tanker trucks. For more information, contact us.
www.MartinAsphalt.com
EVERYTHING ASPHALT
800-662-0987
Vi"";" [',""..-0'
- ';Q'.1Hj;"'" j;"
'ih.
CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
PERFORMANCE GRADE ASPHALT
CLARK DUBOSE, PRESIDENT
PO BOX 6
HITCHCOCK TX 77563
BID ITEM ~AC-5
I PERIOD mOM: JANUARY 1. 2013
PERIOO TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BIO ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 7779
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKEO: SEALED BID- I AC-S
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARO AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUOGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN OETERMINING THE TIME THAT A BIO IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
AOVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICA nONS: AC-5
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conducl random sampling of pre-qualified
materials fOf testing and to perform random audits of test reports.
County representatives. may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINATION DELIVERY /NT UItIl PRE!
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON 3~s-o
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON 3. c;-a
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON _3.. ~;-0
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes FreIght GALLON 3,.'>0
3 -0
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON ,')
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of bU~SS prior to the official opening of this bid.
AUTHDRUED SIGNATURE mLE: Ct .-{ /" ,- I /:>Y"dl.e,./f'
PRINT NAME: (l ku-)cc::, ]) ,;lxu~ DATEOFBID: I;/Vl/J-.&/~
.
TELEPHONE and EMAIL: i/t.9 - t} J i,.- 7 7 '/..J
PLEASE UST ANY EXCEPTIONS TO SPEClACATlONS:
<,,/c~ked <z'/,J""I' J"j/-, u........
CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
CLEVELAND ASPHALT PRODUCTS INC
CRAIG C MOORE, SALES MANAGER
PO BOX 1449
SHEPHERD TX 77371
BID ITEM ~AC-5
I PERIOD mOM' JANUARY 1, 2013
. .
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BIO ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 7779
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I AC-5
BIOS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVEO AFTER THE OPENING TIME WILL BE RETURNED UNOPENEO TO
BIDOER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID OEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUOGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURREO BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: AC-5
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping.container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TION DELIVERY lIlT UAIT PRICE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.8309 *1;*
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.8309 1HHC
PORT O'CONNOR GALLON $3.8309 *{~{~
PRECINCT 4-P FOB DESTINATION; Bid Price includes Freight
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.8309 ""*
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.8309 *H-
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
V;(~ <~-------
Moore
AIITHDRUED SIGNATURE TITLE:
PRINT NAME: Clayton
DATE OF BID:
12/6/12
PLIASE UST ANY EXCEPTIONS TO SPECIRCATlDNS:
*** All prices are based
smaller quantlty prlces.
TELIPHDNEandEMAII.:800-334-0177/ccmcapco@msn.com
on 5000 gallons minimum delivery. Please call for
D~MUKKAu~ CtlA~u~:$tiU.uu per hr after 2 free hrs.
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CALHOUN COUNTY, TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
MARTIN ASPHALT CO
JACK NIMMO
3 RIVERWAY, STE 400
HOUSTON TX 77056
BID ITEM ~RC250
I PERIOD FROM: JANUARY 1. 2013
PERlooTD: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BIO ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I RC250
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUOGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIOEREO FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUOGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN OETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMEO MOST ADVANTAGEOUS TO CALHOUN COUNTY ANO TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY OOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURREO BY ANY PROPOSERlBIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICA TlONS: RC250
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TION DELIVERY /NT UIIT PRICE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON J.e", V
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON '3,Bo V
PRECINCT 4-P PORT O'CONNOR FOB, DESTINATION; Bid Price includes Freight GALLON 1. fio v"
AREA
V
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON :?8e
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON J.. Sc V
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AUTHoRUEoSIGNATURETnLE:J .N'- - - /;Jr,f'i/l/'-'r 5.1r l-f.C
PRINT NAME: .1Al.~ tI!J.JJo ' DATE OF 81D: II I '&'1("1,.,Q I 'l../
PLEASE UST ANY EXCEPTIONS TO SPECifiCATIONS: TELEPHONE and EMAIl: -r /1.<15'D " (; IN'i I 's tJ. fi.t.M, e.. ;!4irlt,{lIifM ~, l.."'.--...
5<ieO (,rttll..,. t'1/;./1 ..;: Q/!.,Je/l-- lZ'"c t!.,,1t. 'IJeJ'v'" [A F.yell..- -z-llavlu
RC-250 Product Data Sheet
ASPHALT COMPANY
Description and Physical Properties
Rapid curing cutback asphalts are blends of selected asphalts and light petroleum solvents. RC-250 is designed for
use as a spray-applied binder for cool temperature seal coats,
Specifications Conform to Texas Department of Transportation Specifications-Item 300.2:
Type-Grade
Property Test Procedure RC-250
Min : Max
Kinematic viscositv, 140oF, cSt T201 250 : 400
Water, % T 55 - : 0.2
Flash noint, T.O.C., OF T79 80 : -
Distillation test: T 78 i
Distillate. percentage by volume of total distillate to 6800F
to 43rF 40 75
to 5000F 65 90
to 6000F 85 ! -
Residue from distillation, volume % 70
Tests on distillation residue: :
Penetration, 100 g, 5 sec., 7rF T 49 80 120
Ductility, 5 cm/min., 770F, cm T 51 100 -
Solubility in trichloroethylene, % T 44 99.0 -
SDot test ' Tex-509-C Neq.
Storage and Handling
Before being filled, tanks and trucks should be examined for pOSSible contaminants. Cutback asphalts should be kept
away from ignition sources.
Type-Grade
RC-250
Recommended Ran
125-180
Iication Tem eratures
Iication
e, of Maximum Allowable of
200
Storage Maximum (OF)
200
Martin Asphalt Quality
Through Martin Asphalt, you get Everything Asphalt-a full range of products. In addition, you receive technical
assistance in selecting the right materiais and application. The company's AASHTO Certified Laboratory makes sure
the products meet your specifications. And your products are delivered both on spec and on time via Martin's Guif
Coast network of production plants, storage facilities and transportation fleet including ocean-going and inland barges,
rail cars and tanker trucks. For more Information, contact us,
www.MartinAsphalt.com
EVERYTHING ASPHALT
800-662-0987
1)(\"(\ D" ';' Sht"t I"_(':h'~' ,~" ";'.'_ .!.1./1-,1;U(,
CALHOUN COUNTY. TEXAS BIO SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
CLEVELAND ASPHALT PRODUCTS INC
CRAIG C MOORE, SALES MANAGER
PO BOX 1449
SHEPHERD TX 77371
BID ITEM IRC250
I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITEO TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIOS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I RC250
BIDS ARE DUE ANO WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BiDDER IN THE COURSE OF RESPONOING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: RC250
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they.
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINATION DELIVERY IlIIT UMlPR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight . GALLON $4.0509 *iH~
GALLON $4.0S09 ~HHt-
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight
$4.0509 iHH~
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON
AREA **il-
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON $4.0509
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON $4.0509 iHHl-
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual hos not prepared this bid in collusion with ony other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AUTHORIZED SIGNATURE TmE: C~q/~, ----?'/"L~
PRINT NAME:
Clayton Moore
DATE OF 810: 12/6/12
TELIPHoNEandEMAIL: 800-334-0177/ccmacpco@msn.com
on 5000 gallons minimum delivery. Please call for
DEMURRAGE CHARGE: $tlU,UU per nr arter L free hrs.
PLEASE lIST ANY EXCEPlloNS TO SPECInCATloNS:
'HHf All prices are gased
smaller quantity prices.
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CALHOUN COUNTY, TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
CLEVELAND ASPHALT PRODUCTS INC
CRAIG C MOORE, SALES MANAGER
PO BOX 1449
SHEPHERD TX 77371
BID ITEM ~CRS-2
I PERIOD FRDM: JANUARY 1, 2013
PERIODTD: JUNE 3D, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I CRS-2
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIOS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNEO UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID OEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICA nONS: CRS-2
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHEO SPECIFICATIONS
DEPARTMENT: DESTINATION DELIVERY /NT UltIT PIlEi
GALLON J' $2.2909 ~}*~f-
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price Includes Freight
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON .; $2.2909 ~}**
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON J$2.2909 *~E-~E-
AREA
J $2.2909 ~E-**
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON )$2.2909 ~HHE-
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AUfHDRUEDSIlNATURE TITLE: ~~-:7~~
P'
PRINT NAME: Clayton Moore DATEDFBID: 12/6/12
PLEASE UST ANY EXCEPTlDNS TD SPECIACATlDNS:
*** All prirpq are based on 5000 Gallons minimtlm rl~livpry Plp~QP
quantity prices. DEMURRAGE CHARGE:$80.00 per hr after 2 free hrs.
TILEPHONEandEMAI\; 800-334-0177 / ccmcapco@msn.com
r,,'l for small,
CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
PERFORMANCE GRADE ASPHALT
CLARK DUBOSE, PRESIDENT
PO BOX 6
HITCHCOCK TX 77563
BID ITEM tCRS-2
I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULO BE SUBMITTED IN A SEALEO ENVELOPE PLAINLY MARKED: SEALED BID. I CRS-2
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED ANO THE TIME THAT BIOS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: CRS-2
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINATION DELIVERY lNT U/IT PR~E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price Includes Freight GALLON ;;L. 4-0
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON .L. ' i.fo
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON )..._'-1-0
AREA
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON ;j, -1./-0
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON )... tfiJ
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of tusiness prior to the official opening of this bid.
AUTHORIZEDSIlNATURE IDLE: C.-t ....-'~ f't~'ILJ
,
PHINTNAME: tli7k,])",'i3o..liY
PLEASE UST ANY EXCEPTIONS TO SPEClACATlONS:
DATE OF BID: JlIt.--"1/~,1./
TELEPHONE and EMAIL: If;)q,q iJio-77Yv ,:-lwk1.e,"":J "~j,",j/-.(;,,...
CALHOUN COUNTY. TEXAS BID SHEET -IASPHALTS. OILS AND EMULSIONS
I
INVITATION TO BID
BIDDER
MARTIN ASPHALT CO
JACK NIMMO
3 RIVERWAY, STE 400
HOUSTON TX 77056
BID ITEM ~CRS-2
I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I CRS-2
BIDS ARE DUEANO WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDEREO FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVEO AND THE TIME THAT BIDS WILL BE OPENEO. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
AOVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPEO STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES, CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: CRS-2
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports. -
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
ADTHORIZEDSIiNATURE TITlE:---.l. N- - ~ /,4jpj/lH.;r $ALR
PRINTNAME:::rAt...IL.- JJ~", ' DATEDFBID: /llt'1/z,,,...-
TELEPHONEandEMAII: -7/J.3{C --btJ'N j-'f'r./:M,41() (J j14Mfl",,,,,, Lp,/4)A
,-'
l!f;t ;lout!. -1>i'",rl1e'" IJ {tr.11fl2.-- 'Z.- l./d<.fJ?,t;
PLEASE UST ANY EXCEPDONS TO SPECIACADONS:
-'5"000 G-A-H".., ;ttl,vr, '" Oil.J;:/l.-
CRS-2 Product Data Sheet
Description and Physical Properties ASPHALT COMPANY
CRS-2 is a cationic water-based emulsified asphalt designed for use as a bituminous binder for chip seals, It is
supplied in bulk,
. CAS. Number: 8052-42-4
BOiling Point (F): 212'F
. Specific Gravity (H,O=l): 1.01
. Percent Volatile: 0
. Solubility In Water: Soluble
. Appearance and Odor: Brown Liquid, Faint Petroleum Odor
. Flammability: Non-flammable in water-based state
Recommended Use
CRS-2 emulsions should be applied with well-calibrated distributors. The distributor nozzles and spray bar should be
sized and set to deliver the desired shot rate. The shot rate should be determined by a laboratory chip seal design
with the project aggregate and the conditions of the existing pavement. The air and pavement temperatures should
be sufficiently high to allow the emulsion to fully cure, Item 316 of the TxDOT Standard Specifications requires that
seal coats and surface treatments be placed when the air temperature is above 50'F and rising. CRS-2 should not be
applied when the air temperature is below 600F and falling. TxDOT further states that no asphalt binders should be
applied during rain or Imminent threat of rain. If an unexpected shower arises during operations, the asphalt
distributor should be shut off immediately and placement of aggregate continued until all asphalt has been covered,
This area should be rolled well and watched carefully after opening to traffic, After a rain, operations should always be
suspended until the pavement has completely dried.
Specifications CRS-2 Conforms to Texas Department of Transportation Specifications-Item 300.2:
Properties
Viscosity, I220F,secondsSayboiFFurOi--
- S1eve--fest;"oj~'- -- -------------.------- ,n,_ _n"'."_____ . .---.~------ -------------
_[)e~iriujslbTIity, 35 ml ofO.8-Sodiumdioayfsulfosuccinafe~ojo
Storage Stabillty;iday;%---- -------- -- ,--
--Brstillation Test:-------.,--------------- -- ---------- _n -----
-;---Residu',by DistiiiatiOn;-% by weight ,. m___ .__~~ :j-
--;.--- OilcrjsHHate;by volume-o-re-m-LaSron~.-oj~-.. I
Tests on TeSiduefromDEitilliition,----m_- '--------r
___________ - ___'0_' .......__.____.___________________________,___.__
. Penetration, 77 OF, 100 g., 5 sec.
'-;-SolubTIii:y in Trichioroethyle-rie;%
. Ductlllty~)-.ro-F~--5-c-m-Jrrijn:-,--cm-:- -- --- ----------
-- -ion
,
,TestPr()cedure "jMinIJnlJm_-l
T72L__15() ,..,,[
T59 i i
" -, ,n_TS9 ". ". ------4-0- r-
T59 -;
1'59 ., T -Hi
---- T59------r 65 ,._" +
_I~9_~- ---i- m n .:__-I_m().-L_
T491--TiO I 160
-j-- -- ---------------i- --------.-
144 ,97.5 I
T51 'lOoul
Maximum
------------- --
400
0.10
Uj
nn ur-
-!--
-----+---------
1.0
I
--------- ----..--r------
---1-
,
Storage and Handling
The water-based emulsion should not be exposed to freezing temperatures or overheating, The emulsion is a
chemically stabilized system, so care should be taken not to upset the chemical balance with contamination by
chemicals, over-exposure to air, or adverse mechanical or thermal conditions. Rapid setting emulsions are formulated
to be stable during storage and transport, but to break immediately on application to the road surface. As such, they
are the least stable of asphalt emulsions. Typically, CRS-2 should
not be diluted with water. Before being filled, tanks and trucks
should be examined for possible contaminants. Tanks may be
circulated top to bottom with a pump, but over-pumping is to be
avoided. Recommended use and storage temperatures are given
in the table,
~llc()lll.lTl"ndetl.:reJnllera,tures
Storage
Application
t Mln I Max
uSD"" ' lisso"u
" 1100F i 1600F
Martin Asphalt Quality
Through Martin Asphalt, you get Everything Asphalt-a full range of products. In addition, you receive technical
assistance in selecting the right materials and application. The company's AASHTO Certified Laboratory makes sure
the products meet your specifications. And your products are delivered both on spec and on time via Martin's Gulf
Coast network of production plants, storage facilities and transportation fleet Including ocean-gOing and inland barges,
rail cars and tanker trucks. For more information, contact us.
www.MartinAsphalt.com
EVERYTHING ASPHALT
800-662-0987
t":.'I_j'rt ':_'_.;1;' -ill>'''''[ CPS, /J<;'
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CALHOUN COUNTY, TEXAS 81D SHEET-IASPHALTS. OILS AND EMULSIONS
I
INVITATION TO BID
BIDDER
MARTIN ASPHALT CO
JACK NIMMO
3 RIVERWA Y, STE 400
HOUSTON TX 77056
BID ITEM ICRS-2P
~ PERIOD FROM: JANUARY 1. 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I CRS.2P
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIOERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USEO IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID OEEMED MOST AOVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICA nONS: CRS-2P
MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County resenies the right to conduct random sampling of pre-qualified
materials for testing and to perform random audi.ts of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TION DELIVERY IHT //lIlT PIlEi
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON t/ ;z.,; ...
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON vi 7., ~)~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON v: "l-, ~'S
AREA I
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON .... f'~-
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON v' -z., i ~ r:-
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in thi type of business prior to the official opening of this bid.
.N
AlJJHoRIZED SIlNATURE TITLE:
PRlNTNAME:~u" j./JftlA-i)
-
;d/ttf!-/!;';;u t. ,t
,
'tIe"- 5Ai--c(
DATE OF 81D: II 11.
TELEPHoNEandEMAIL:7IJ.- zS"t "fa, 6tjc
V.,~ ~ ,{;" II ~hA
CRS-2P Product Data Sheet
Description and Physical Properties
CRS-2P is a poiymer modified, cationic water-based emulsified asphalt designed for use as a bituminous binder for
chip seals. The polymer gives elasticity, reduced temperature susceptibility and durability to the finished chip seal.
Polymer modified rapid setting emulsions typically have earlier chip retention than conventional emulsions.
CRS-2P is supplied in bulk.
Physical Properties:
CAS. Number: 8052-42-4
Boiling Point (F): 212'F
. Specific Gravity (H20=1): 1.01
. Percent Volatiie: 0
ASPHALT COMPANY
.
Solubility In Water: Soluble
Appearance and Odor: Brown Liquid, Faint Petroleum Odor
Flammability: Non-flammable in water-based state
.
.
Recommended Use
CRS-2P emulsions should be applied with well-calibrated distributors, The distributor nozzles and spray bar should be
sized and set to deliver the desired shot rate, The shot rate should be determined by a laboratory chip seal design
with the project aggregate and the conditions of the existing pavement. The air and pavement temperatures should
be sufficiently high to allow the emulsion to fully cure. Item 316 of the TxDOT Standard Specifications requires that
seal coats and surface treatments be placed when the air temperature is above 500F and rising. CRS-2P should not
be applied when the air temperature is below 600F and falling, TxDOT further states that no asphalt binders should
be applied during rain or imminent threat of rain. If an unexpected shower arises during operations, the asphalt
distributor should be shut off Immediately and placement of aggregate continued until all asphalt has been covered,
This area should be roiled well and watched carefully after opening to traffic. After a rain, operations should always be
suspended until the pavement has completely dried.
Specifications CRS-2P Conforms to Texas Department of Transportation Specifications-Item 300.2:
Properties
.' \jiscosiW;SayboffF9iOf,122.0F-;-5eC:--'. ,
Sieve test, %
-i5emUlslliifify, 35ml. of 0,8% sodium dioctyl sulfosuccliiate;o/;-
Storage stablilty,T day, % ..
Particle charge
Distillation test: '
~esidue by distillation, % by weight
---Ioil distillate, % by volume of emulsion _____._..__.
Tests on residue from distillation:
_.--..polymer..content, wt. % (solids basis)
---- Penet-i=atTc)n;"770F, 1009, 5 sec.
Viscosity, 140'F, poise
Solubility In trichloroethylen.e,o/;--._-'
Ductility2, 39,20F, 5 cm/min., cm
I Elastic recovery2~ 500Ft % - ___."_."__
1. Exception to T59: Bring the temperature on the lower thermometer slowly to 3500F ::l:;QoF. Maintain at this temperature for 20 min.
Complete total distillation in 60 :f:5 min. from the first application of heat.
2. CR$-2P must meet one of either the ductility or elastic recovery requirements.
=~==t=~:e~Et~_~~~r:~t_ M~~Ioum Maximum
400 .......-
-.-.. 0.1
-
---.---------
T59 - 1
T59 Positive
----- T59 --'._~.--
65 -
-. ~----- 0.5
-
---~ ---
-~ 3,0
Tex-533-C ~
..______n_ T49 90 150
I
-- _._---~~----,..- .- 1,300 .,.
T202 ~
~,~__~~=~;ex~ii9-C 97.0 ~
50 -
55 --
--.------- .- n___.____
Storage and Handling
The water-based emulsion should not be exposed to freezing temperatures or overheating. The emulsion is a
chemically stabilized system, so care should be taken not to upset the chemical balance with contamination by
chemicals, over-exposure to air, or adverse mechanical or thermal conditions. Rapid setting emulsions are formulated
to be stable during storage and transport, but to break immediately on application to the road surface. As such, they
are the least stable of asphalt emulsions. Typically, CRS-2P should not be diluted with water, Before being filled,
tanks and trucks should be examined for possible contaminants.
Tanks may be circulated top to bottom with a pump, but over-
pumping is to be avoided. Recommended use and storage
temperatures are given in the table.
Martin Asphalt Quality
Through Martin Asphalt, you get Everything Asphalt-a full range of products, In addition, you receive technical assistance in
selecting the right materials and application. The company's AASHTO Certified Laboratory makes sure the products meet your
specifications. And your products are delivered both on spec and on time via Martin's Gulf Coast network of production plants,
storage facilities and transportation fleet Including ocean-going and inland barges, rail cars and tanker trucks. For more information,
contact us.
. ~"commended Temperature~ jMln l .1'1".><.
Storage." n _____un___ I 500F I 1850F
1___- _,
ApplICation "Ii looFTi60oF
www.MartinAsphalt.com
EVERYTHING ASPHALT
800-662-0987
P:-o::i"c\ f)"t,; ~oh(:~,'( cr,s -h',jcc 1,-)" ';:f u!/n6
CALHOUN COUNTY. TEXAS BID SHEET-IASPHALTS. DlLS AND EMULSIONS
I
INVII A liON 10 BID
BIDDER
PERFORMANCE GRADE ASPHALT
CLARK DUBOSE, PRESIDENT
PO BOX 6
HITCHCOCK TX 77563
BID ITEM ICRS-2P
I PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORTLAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I CRS-2P
...J
BIOS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUOGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED, BIDS RECEIVEO AFTER THE OPENING TIME WILL BE RETURN EO UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: CRS-2P
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun County reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
OEPARTMENT: DESTINA TION OELIVERY /NT /NT PR8E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price includes Freight GALLON 3 - if)
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON 3 ,It)
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON 3,-/0
AREA
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON 340
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON 3,1<>
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AUTHORIlEOSIGNATURE mLE: CIA _ j],1 -;f?r....Ar)J
PRlNTNAME:CJc..rt<e- '7),,&\5."'-' ' OATEOFOID: 11/z..1/vll--
TELEPHONE and EMAIl: Vi) 9- 9 d t' 7 7'fiJ Ck"'/<<.-d-e/'} ".:/, L../I-- U".,,\
PLEASE UST ANY EXCEPTIONS TO SPECIFICATIONS:
CALHOUN COUNTY, TEXAS HID SHEET-IASPHALTS, OILS AND EMULSIONS
I
INVIT A TION TO BID
BIDDER
CLEVELAND ASPHALT PRODUCTS INC
CRAIG C MOORE, SALES MANAGER
PO BOX 1449
SHEPHERD TX 77371
BID ITEM ICRS-2P
I PE8IOD FROM: JANUARY 1, 2013
PE8IODTO: JUNE 30, 2013
YOU ARE INVITEO TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIOS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I CRS-2P
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIOERED FOR AWARO AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIOS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDOER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIOS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUOGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICA nONS: CRS-2P
MUST MEET ALL TXDOT SPECIFICATIONS: Calhoun Counly reserves the right to conduct random sampling of pre-qualified
materials for testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product.
SEE ATTACHED SPECIFICATIONS
DEPARTMENT: DESTINA TlON DELIVERY IHT I/MT PR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; Bid Price Includes Freight GALLON $3.1009 JHHf
PRECINCT 3 OLIVIA AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.1009 <f**
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; Bid Price includes Freight GALLON $3 .1009 *<f.~
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.1009 <f{f<f
PRECINCT 2 SIX MILE AREA FOB DESTINATION; Bid Price includes Freight GALLON $3.1009 {f<f*
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or canditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
AunJORIZED SIlNATURE TITLE: CC"l;'~ - 'Z./,!~--------
',;/
PRINT NAME: Clayton Moore DATE OF BID: 12/6/12
PLEASEUST ANY EXCEPTlONSTDSPEClncATWNS: TELEPHONEandEMAI1.: 1-800- 334-0 1 77 / c cmca pco@msn. com
{HHf P1 11 f
fl1 ..pr;rrC! Clrc bao g fFi. r28~ e::=Il1()n~ m;n;mllm rlAl;~r~-ry ease ca or
smaJ. er quan lty prlce~.D UR CHARGE:$80.00 per hr after 2 free hrs.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX II - 202 S. ANN ST.
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE ~ PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM-- DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13, 2012
It- Consider and take necessary action to award bids for Insecticides for Mosquito
Control for the period beginning January 1,2013 and ending June 30, 2013. (CM)
AWARD BIDS FOR INSECTICIDES FOR MOSQUITO CONTROL FOR THE PERIOD BEGINNING
JANUARY 1, 2013 AND ENDING JUNE 30, 2013:
Cindy Mueller:
in the past, the Court had awarded to all vendors which submitted a bid due to the chemical differences in the
ingredients for each insecticide used. General conditions and instructions for bidding were sent to each bidder
stating that for each item that was bid on, the vendor was to send five (5) copies of product data sheets as well
as the safety rules. The vendors highlighted are the ones who followed the instructions.
Recommendation: Award the bid to the vendors highlighted in yellow. They were the only ones who followed
the written instructions for the bids.
--
Vendor Bid Item Bid Price
Univar USA Mineral Oil $6.95/Gallon (50 gal)
ADAPCO Mineral Oil $2,348.50{fote (275 gal tote)
Target 5pecialty Products Mineral Oil - BVA-13 $8.55/Gallon (55 gallon)
$2,323.75/Tote (275 gal tote)
$240.85/Pail (5 gal pail)
ADAPCO Malathion - FYFANON ULV $2,471.70/Drum (55 gal drum)
$10,748.40{fote (260 gal tote)
ADAPCO 30-30 ULV - Perm-X 30-30 $356.65/Case (2x2.5 gal case - $71.33/gal
Target Specialty Products 30-30 ULV - Evoluer 30-30 $71.35/Gallon
ADAPCO Pyrofos 1.5 ULV $2,079.00/Drum (55 gal drum)
$8,832.50{fote (260 gal tote)
Altosid 30 Day Briquets $420.00/Case (400 case)
Altosid XR Briquets $666.60/Case (220 case)
Altosid SBG $114.00/Bag (40 Ib bag)
Altosid XRG $322.00/Bag (40 Ib bag)
Altosid Pellets $1,102.20/Case (2x22 Ib)
Altosid Pellets W5P $632.00/Case (800 pouches)
Altosid Liquid Larvicide $991.72/Case (4xl gallon)
Target Specialty Products Altosid Liquid Concentrate $4,420.00/Case (2x2.5 gal)
$80.75/Gallon (2x2.5 gallon)
$79.80/Gallon (30 gallon)
Zenivex E4%
$78.85/Gallon (275 gallon)
$78.85/Gallon (120)
$294.00/Gallon (2x2.5 gallon)
$292.00/Gallon (30 gallon)
Zenivex E20%
$282.00/Gallon (120 gallon)
$282.00/Gallon (275 gallon)
$121.50/Case (2x2.5 gal case)
Perm-X UL 4-4 $1,203.95/Drum (5S gal drum)
ADAPCO $5,964.75{fote (27S gal tote)
Aqua Pursuit $785.00/Case (2x2.5 gal case)
$4,650.00/Drum (30 gal drum)
Vendor Bid Item Bid Price
Summit BTI Briquets $67.83/Case (100 per case)
BVA 2 Larvicide Oil $593,45/Drum (55 gal drum = $1O.79/Gallon)
Agnique MMF $201.05/Case (2x2.5 gal case)
ADAPCO
Fourstar 45 Day Briquets $237,44/Case (200 per case)
Fourstar 90 Day Briquets $395.09/Case (200 per case)
Fourstar 180 Day Briquets $619.85/Case (200 per case)
Evoluer 4-4 $24.19/Gallon (2.5 gallon)
$21.49/Gallon (55 or 275 gallon)
Envion 30-30 $153.75/Gallon
Target Specialty Products $23.50/Gallon (2.5 gallon)
Envion RTU
$21.00/Gallon (55 or 275 gallon)
Aqualuer 20-20 $15S.00/Gallon
$5,936.15/Drum (55 gal drum)
ADAPCO Scrouge 4-12
$29,326.00[fote (275 gal tote)
Target Specialty Products Sustain MBG Larvicide $260.00/Bag (40 Ib bag)
A Motion to award the bids to recommended vendors highlighted in yellow was made by Commissioner Finster
and seconded by Commissioner Fritsch.
Discussion:
Commissioner Fritsch:
Did the 30-30 ULV bid from Univar USA not meet specs or didn't follow the instructions?
Cindy Mueller:
He did not send any information sheets in with the bid, so the next bid would be ADAPCO's and Target has a
different chemical which was $71.35/gallon.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Peggy Hail [peggy.hail@calhouncotx.org]
Wednesday, December 12. 2012 5:10 PM
mike. pfeifer@calhouncotx.org; susan. riley@calhouncotx.org; ccpct1@cableone.net;
chacha.benavides@calhouncotx.org; 'Roger Galvan'; 'RITA MILLER';
vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org; 'Sonia Downs';
april.may@calhouncotx.org; 'Kenneth Finster'
cindy. mueller@calhouncotx.org
Court Dec 13th Info for Agenda Item #13
Court Dec 132012 Agenda Item 13 -Insecticides for Mosquito Control Jan-June.pdf
Cc:
Subject:
Attachments:
Court December 13, 2012
Attached is the backup info that goes with Agenda Item #13 -Insecticides for Mosquito Control (Jan-June 2013)
Prices highlighted in Yellow followed the specs and sent back the required copies of product data sheet.
Prices not highlighted did not follow instructions - did not send back the required copies of the product data sheet.
Peggy
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CALHOUN COUNTY, TEXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL
All Calhoun County Precincts fJ.N~ vOJ
JANUARY 1, 2013 thru JUNE 30, 2013
~ Return this Form and 5 copies of the Product Data Sheet(s) for each
Insecticide you are listin2 below: Print or Type - All information must be legible ./
PRODUCT DATA V,, J
BID ITEM UNIT UNIT PRICE SHEET INCLUDED '" (,I.J~
...6 t-I,p;t $ .
MINERALOIL 5:0J, & ,qS:Ji @ No
MINERAL OIL
275 Gal Tote
Yes
MALATHION
No "/,
No IkJ. d
~Dt\A.\61~:
<fE) Np, ~
Yes
30-30ULV
.9 -;1, ,'>'Y {/f1rtqfjL
Yes No
Yes No
Yes No
Yes No
YOlllliayJistadditional insecticides you wish to bid on that are not listed above,
If additioual space is needed to list iusecticides, you may copy this form as needed, If copies are made, each page must be signed,
All charges must be included in bid price.
No other charges mav be added to the bid price when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
NAME OF COMPANY: U iII,'VA-a? tl<;rI
ADDRESS: ~rJJ ~C~~~ :eifj;- ~%; - '7~
Authorized Signature & ;itle: '/I I /U. -...-r 6:, .~ /' .
Print Name & Title: MddiL IfI'&l!!r~(J '/ nateofBid: 1/-..2&--/2-
- ,
TelephoueNumber: :sC(- 9v&~--d. (t;- ( Fax Number: JI; 'j -.2 ?1.-I'3C9
Emai!: p14Jtt.cg.fUF/I.--.oTr;)f..J41.tl;dJl.(5:4..(.rJ-....11.
List any exceptions to the given bid specifications:
Page 1 of 1
CALHOUN COUNTY, TEXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL \
All Calhoun County Precincts AcJo..pcO
~
JANUARY 1, 2013 thru JUNE 30, 2013
.. Return this Form and 5 copies of the Product Data Sheet(s) for each
Insecticide you are listinf! below: Print or Type- AI! infOl'lll.tion must be legible
PRODUCT DATA
SHEET INCLUDED
BID ITEM
UNIT
UNIT PRICE
MINERAL OIL
')5,.65 /'1,J
55 gal drum
$470,25/drum
MINERAL OIL
*' MALATHION
275 Gal Tote $2,348_50/tote
See Below
30-30ULV Perm-X UL 30-30
2x? , gRl "Rse $356, 65/case
tFvfanon 5 qallon pail
5 qal pail $240, 85/pail
~Fyfanon 55 gallon drum
55 gal drum $2.471. 70 /drum
~Fyfanon 260 gallon tote
260 gal tote $10,748 AO/tote
Pyrofos 1.5 ULV 55 gal drum $2,079.00/drum
*PLEASE SEE NEXT PAGE FOR ADDITIONAL ITEMS
@
@
€V
~
~
8
B
~ev
No
~
No
No
No
No
No
No
No
You maylistl1dditi(jnal insecticides you wish t(l bid 011 that are not listed above, *
If additional space is needed to list insecticides, you may copy tl1;s form as neetied. If copies are made, eilell page must be signed.
All charf.!es must be included in bid price.
No other clIar2es may be added to the bid price when invoiced unless noted as an
exception on the bid form.
""~ See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms ihat they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusian with any oiher bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicaied by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
NAME OF COMPANY: ADAPCO,
ADDRESS: 550 Aero Lane
FL 32771
~
Authorized Signature & Title:
, Vice President
Print Name & Title: Tom Wells, Vice President
Date of Bid: 11/3 0/12
Telephone Number: 800-367-0659 Fax Number: 866-330-9888
Email: Bids@MYADAPCO.com
List any exceptions to the given bid specifications: NONE
Page 1 of 1
CALHOUN COUNTY, TEXAS,.., Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL
All Calhoun County Precincts ~d~-
JANUARY 1, 2013 thru JUNE 30, 2013 ~
~ Return this Form and 5 copies ofthe Product Data Sheet(s) for each
Insecticide you are listing below: Print or Type - Ail information must be legible
PRODUCT DATA
SHEET INCLUDED
BID ITEM
UNIT
UNIT PRICE
No
JJ}jf
~
Pyrofos 1.5 ULV
260 gal tote $8,832, 50/tote
Fourstar 45 Day Briquets
200 per case $237.44/case
Fourstar 90 Day Briquets
200 per case $395. 09/case
Fourstar 180 Day Briquets
200 per case $619. 85/case
Aqua Pursuit
2x2.5 gal case $785, OO/case
Aqua Pursuit
30 gal drum
$4,650.00/drum
Scourge 4-12
$5,936.15/drum
SE; ~l nrllm
(B
No
No
No
No
No
No
Scourge 4-12 275 gal tote $29,326,OO/tote
*PLEASE SEE NEXT PAGE FOR ADDITIONAL ITEMS
Yon m$y AAstadditiol1111 insecticides yon wish to bid 011 that are !lot listed above,
If additional space is needed to iist insectiddes, you may copy this form as ".eded, If copies are made, mcll page ",,,st be signed.
No
All charf!es must be included in bid price.
No other chan!:es mav be added to the bid price when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individuai has not prepared this bid in coliusion with any other bidder, and tllat the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any empioyee or agent to any other person engaged in this type of
business prior to tile official opening of this bid
NAME OF COMPANY: ADAPCO, rnc,
ADDRESS: 550 Aero Lane
32771
Authorized Signature & Title:
.ic1p.nr
Print Name & Title: Tom Well s, Vice Pres ident
Date of Bid: 11/3 0 /12
Telephone Number: 800-367-0659 Fax Number: 866-330-9888
EmaH: Bids@MYADAPCO , com
List any exceptions to the given bid specificalious: NONE
Additional Page if needed
CALHOUN COUNTY, TEXAS"" Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL cp
All Calhoun County Precincts ~~
JANUARY 1, 2013 thru JUNE 30, 2013
... Return this Form and 5 copies of the Product Data Sheet(f!) for each
Insecticide YOU are listin1! below: Print or Type -All information mnst be legible
PRODUCT DATA
SHEET INCLUDED
BID ITEM
UNIT
UNIT PRICE
Summit BTI Briquets 100 ner case $67.83/case CQ No
Perm-X UL 4-4 2x2.5 gal case$121.50/case <Y;) No
Perm-X UL 4-4 55 gal drum $1,203.95/drum ~ No
Perm-X UL 4-4 275 gal tote $5,964,75/tote (V;s') No
BVA 2 Larvicide Oil 55 gal drum $593.45/drum ~ No
Agnique MMF 2Y? r::; tF'I1 ""s,,$201.05/case G0 No
Yes No
Yes No
Yon may listadditlQnal insecticides yon Wish to bid on that are not listed above.
If mldit"",,,!spa,,e is "eeded to list insecticides, you may copy this form as needed. If copies are made, eacll page mllst be signed.
All charges must be included in bid price.
No other chan.!:es may be added to the bid price when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
'~?I
~
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation. firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the offielal opening of this bid.
NAME OF COMPANY: ADAPCO, Inc.
ADDRESS:550 Aero Lane
Authorized Signature 8< Title:
, Vice President
FL 32771
Print Name 8< Title:Tom Wells, Vice President
Date of Bid: 11/30/12
Telephone Number: 800 - 3 67 - 0659
Fax Number: 866 -33 0- 9888
Email:Bids@MYADAPCO.com
List any exceptions to the given bid specifications: NONE
Additional Page if needed
CALHOUN COUNTY, TEXAS'"' Invitation To Bid Form
INSEC~~~a~~~~~:~n~~~:~~~sNTROL C ( QrI~ e
-:;::..:"
JANUARY 1, 2013 thru JUNE 30, 2013
~ Return this Form and 5 copies oHhe Product Data Sheet(s) for each
Insecticide YOU are listine below: Print or Type-Au Information must be legible ~
PRODUCT DATA
BID ITEM UNIT UNIT PRICE SHEET INCLUDED
No ~
I
~Jf
~
55 gal. drm
$420.75/drm
Yes
MINERAL OIL ENVIROTECH all
MINERAL OIL ENVIROTECH all
275 Gal Tote
$2,200,OO/tote
Yes
No
MALATHION NO BIO
NOBID
NOBID
Yes
No
30-30 ULV
BIOMI5T 30+30
(2X2,5 gal cs)
$400,OO/cs
Yes
No
BIOMIST 4+4 55 gal.drm $l,lSS.00/drm Yes No
MOSQUITOMASTER 4+12 55 gal. drm $2,324.85/drm Yes No
MOSQUITOMIST ONE 55 gal, drm $2,379.85/drm Yes No
100/
Bactimos Briquets case $69, DO/case Yes No
YO\l JIlayti~tadditional insecticides you wish to hid on that are not listed above,
If additional space is needed to list insecticides, you may copy tbis form as needed, If copies are made. each page must be siglled,
All charges must be included in bid price.
No other charl!es may be added to the bid Juice when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The ulldersiglled tifflrms that they are duiy authorized to execute this cOlliract. that this compallY. corporatioll,jirm, pattnership, or
illdividual has 1I0t prepared this bid in collusion with any other bidder, alld Ihat the cOlltents of this bid as to prices, terms, or conditions
of said bid have not been communicated by Ihe undersigned nor by allY employee or agent to allY other person engaged In this type of
business prior /0 the official opening of this bid.
NAME OF COMPANY: Clarke MOSQuito Control Products, Inc.
ADDRESS: 110 East Irving Park Road. 4th Floor, ROS@ Il 60172
Anthorized Signatnre & Title: Qtl-tJ~/8a_.u~ / Sales Consultant
Print Name & Title: DouQ Carroll/5ales Consultant Date of Bid: 11/26/12
Telepboue Number: 800-323-5727 Fax Number: 800-832-9344
EmaiI: dcarroll@c1arke.comortjurczewski@c1arke.com
List any exceptions to tbe given bid specifications:
Page 1 ofl
VectoLex WSP
CALHOUN COUNTY, TEXAS - Invitation To Bid iForm
INSECTICIDES FOR MOSQUITO CONTROL
AlliCalt'louniCounty Precincts C ! Q rK ~
JANUARY 1, 2013 thru JUNE 30, 2013 X
... Return this Form and 5 copies ofthe Product Data Sheet(~) for each
Insecticide yOU are Jistin2 below: Print or Type- All infor~atlon mast be legible
PRODUCT DATA
SHEET INCLUDED 0 JIll
Yes No ~b&
Yes No p)u/
Yes No J}P'..k
Yes No f'
UNIT
UNIT PRICE
BID ITEM
VectoBac GS
40/lb. bag $Bl,12/bag
VectoLex CG
40/lb. bag $275,OO/bag
20 x 40 pouches/
case $1.020.00/cs
2.2,5 gal/cs $95.00/cs
55 gal drm $880.00/drm
Coco Bear
Altosid XRG 40 lb. bag $322.00/bag Yes No
Altosid XR Briquets 220/cs $666,60/case Yes No
Altosid 30 Day Briquets 400/cs $420,OO/case Yes No
40 pouches/
VectoLex WSP bag $5l,OO/bag Yes No
You lIlay listlldditilmal insecticide.s you wisbto bid on that are not listed above.
If additional space is needed to list insecticides, you may copy ibis form as needed. Jf copies are mude, each puge 11111$t be signed.
All charJ!es must be included in bid price.
No other charl!es may be added to the bid price when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid.
NAME OF COMPANY: Clarke Mo"qui to Control Products, Inc,
ADDRESS:I10 E, Irvin Park Road. 4th Floor. Roselle, IL 60172
Authorlzed Siguature& Title: Q&llr~J / Control Consultant
Print Name & Title: Doug Carroll / Control Consultant Date of Bid: 11/30/12
TelephoneNumber: BOO-323-5727 Fax Number: 800-832-9344
Email: dcarroll@clarke.comortjurczewski@clarke.com
List auy exceptions to tbe given bid specifications:
Additional Page if needed
Abate 5% Pellets
CALHOUN COUNTY, TEXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROLe / K
All CalhoumCounty Precincts ~
JANUARY 1, 2013 thru JUNE 30, 2013 X
~ Return this Form and 5 copies of the Product Data Sheet(s) for each
Insecticide you are listin2 below: Print or Type - All information must be legible
PRODUCT DATA
SHEET INCLUDED .,])A \
Yes No rr u ~
~v
~
UNIT
UNIT PRICE
BID ITEM
Natular XRT
220/cs
$874,68/case
Natular G30
40 lb./baq
$520.00/bag
Yes
No
44 lb, /bag
$616.00/bag
Yes
No
Yes
No
Yes No
Yes No
Yes No
Yes No
Youmllylistadditjonal insecticides you wish to bid on that are not listed above,
If additional space is needed to list insecticides, yon may copy tbis form as needed, If copies are made, each page must be signed,
All charges must be included in bid price.
No other chare:es may be added to the bid price when invoiced unless noted as an
exception on the bid form.
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms that they are duly authorized to execute this collfract, that this company, corporation, firm, partnership. or
individual has not prepared this bid in collusion with any ather bidder, and ihat the contents of this bid as to prices, terms, or condiiions
of said bid have not been communicated by the undersigned nor by any employee or agent io any other person engaged in this type of
business prior to the official opening of this bid.
NAME OF COMPANy: Clarke Mosquito Control Products, Inc.
ADDRESS: 110 E, Irving Park Road, 4th Floor, Roselle, IL 60172
Authorized Siguature & Title: 0tl-/i~/~ ~ontrol Consultant
Print Name & Title: Douq Carroll / Control Consultant Date of Bid: 11/30/12
Telepbone Number: 800 -323 -5727 Fax Number: 800-832 -9344
Email: dcarroll@clarke.comortjurczewski@clarke.com
List any exceptions to tbe given bid speeifications:
Additional Page if needed
CALHOUN COUNTY, TEXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTRO~ -r
Cv(q~
~
JANUARY 1, 2013 thru JUNE 30, 2013
~ Return this Form and 5 copies o:fthe Product Data Sheet(s) for each
Insecticide you are listing below: Print or Type - All information mu~t be legible
PRODUCT DATA
UNIT PRICE SHEET INCLUDED
Jls (.) S':ol I __-/
3- -~jEbI. ~ No
$ - 7':>/',)7<;,<;{ ~ V
275 GalTote .13;)1, - 1<:ife @) No
NO EJA Yes @
if; 3:5 / V
!f,-Ifttl. cf0 No
11> go ,'75 /r;ctf cY!~:{ No
it 79, ,~9 ~ q(
:l!7U. 92' ~<'d
It 74. g~ ;JlJl
BID ITEM
UNIT
(J3WI-/J 55' 3'{/k.-. \
I
/) MiNERAL OIL
-0 MiNERAL OIL
3)MALATHION
V)30-30 ULV (t: vo/t(~r :)0..3,0 )
~) Zenjfex Eq% Cd x ,1.5 J~!t0n)
b) .2ell;vex Elf % ( 3.0 ral/onJ
1) 2ftJiVi'i< Elf % (,17S ydloJJ)
1) Zell;jle~ EY % (/J.-o CJ".,j(O/l ~
.
&,./1\11/1.
&.J/{)M,
ba/lJRl
[",,{l/e II
btl/Oft
b-J/()r<
~
~6jyP
cA'
~ No
Q9f No
~NO
All charf{es must be included in bid price.
No other charl!:es may be added to the bid price when invoiced unless noted as an
exception on the bid form.
OF See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this Iype of
business prior to the official opening of this bid.
NAME OF COMPANY: 'f(l(]'l!rI 5j;f!cltJI/y fl,.w:!tttP
ADDRESS: I,);j!> JI/ J10.s/ (}o;t j(J ' /!-oI.LJlon 7J<77o~'._<;
Authorized Signature & Title: Y. of/' .. W I'eelcr /JilJi'rlt _0' ~fll1t:7 r~"
Print Name & Title: .Ah Mt;h O/J leoflJr jJV);11f-)X/J)~fI'ljli" Date of Bid: lJ" I.j.. J d
1relephoneNulllb.r:f~,,)9JS-3?rJJ (,l/(J) llt0'iI'Mv Fax Number: (,J,JO') f;{;.,J- .ffo!&
Email: l!1..k~.n.(/1I;l5@JI.U..jef-;pe.l{Jly.to...
List auy .xceptiOll~ to the giveu bid ~pecificati()n~:
Page 1 of 1
CALHOUN COUNTY, TEXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTRO~ 1
AU Precincts ./ '/ (1(q~
JANUARY 1, 2013 thru JUNE 30, 2013 ~
~ Return this Form and :5 c~ies of the_ PJ..951\!ct Data Sheet(s) fo>>:~~ch
Insecticide yon are listjng ,below,: I'ril1t 011" 'fype-- All informatiolllllust be legible ~ ~
PRODUCT DATA ":nO
BID ITEM UNIT UNIT PRICE SHEET INCLUDED t1[4.P"
'1) Zen;r{},;;; EJo % (J )( ,,2-5 j<tlk,d &11011 .$ J9l( OOAq! @)/ No
iO) Zel1,<v& ,,cdO % (3'0 Y't/,4;,d ba/l~11 $ ,J"!,). o/';ql ($i),/' No
!b &",,/& fJQ % (/JJJ'lul!on J (;,./1011 fIJ .,JfJd_ \)~ll( t!JiV.I No
ia) ZM;V/'x [;)051il (,)75' q,d!o~) Ga!/vll $' d&,)_<.)~q( ([!if No
i}) fV<JAte,~ '1-- 'I (d,S ~QlJc..J Grzl/oi11' JV.I.J ha/ @ No
;;1 ;Cvo/.ur t.j -lj (SS \ii- J'7S o/'it~,,) &aIIM j(;J!- YJ /yrtl ~ No
Is) Env;'Cfl 30..}O Galin!'! .$ /53.'15 ;fal C'f~~)1 No
'0 ;[;1'111';01\ 1<]1) 0-5 gal/~,,) Gfli/lo.1.:$t ,,)3. C'.LQI;,tI @ No
list insecticides
If llCldW{mal space is 'il€f:ded to Hst
to o:n
are not listed
are
mus'[v€
All charges must be included in bid price.
No other charl!es may be added to the bid price when invoiced unless noted as an
. exception on the bid form.
9" See Specifications for Insecticides for Mosquito Control and General Conditions IOf bidding
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in col/usion with any other bidde/; and that the contents of this bid as to prices, terms, OJ' conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid
NAME OF COMPANY: '/a".fJ&f Splttl,JlIy IYrvliLvp
ADDRESS: JJS' JII "OJI tJai /.1. If()(L<;fon Tt:. 77<<'1:)'j-
Authorized Signature & Title: %d /4,'.W J/eC?{,r tif5/lllJ_U ~tt fit? fl?r
Print Name & Title:;1JJk.e.M'ti~d~ yPdy .61/JillfJ) )}tPl1fty. Date ofllid: /J.- V ~/cI
Telephone Number: OW) 7J5 - 31Ji ,0!Qj6 I;;' -,f bbY Fax N~mbe..: Q/oD {;~J - !if,; U'
IEmail: mJ:e.j);tlw!.s 12 --i(f"~qf!f - _>fJ(J(;,d/y . GOPl
List any exceptions to the given bid specifications:' .r
Additiolilal Page if needed
CALHOUN COUNTY, TEXAS.... Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL / eJ
AU Calhoun County Precincts / I 0- (
JANUARY 1, 2013 thru JUNE 30, 2013
,.. Return this Form and:; copies oftl!e.t~.roduct Data Sheet(i) for ea~h
Insecticide yoU are listing belo,!: PrInt or Type- Aillllformn!ioll illust be legible
PRODUCT DATA
SHEET INCLUDED
RID ITEM
/1) EtJI/;Qn fCTI1 (5)o,r ;;5)5'.1",,11 ~
i~ /!9V1ft!trty" ,;)0 '-,) 0
i~ AI/vJ;' J3r;r<<els 6:tY!.. ~I' fl)~)
).~ A/:kS) dJ xl( b;tjllefl &'<tJi' of JX'J
,11) /J/~J)cf SB0 (Y'O d\ 6(19)
v
'N~ /1/;!oj/d )<1<.6 (Yo Ii 1. ftf )
d.. /ul./. /mse. flI-
rt\) /I/7<J}j(IJ retfn5 t1lst L fYCO (JI/,j(!J:
~".1#;;ll-bllnf Cd'" ;n/tl (Q;e)
UNIT PRICE
:/I ".)J, Q9 ~al
$ 1:>/1. G~ /qa)
-
$ ()\) J
'1)0, - /CfU(!,
.J/ /. / ',. ~ / .
(C<Ow . / cCl'JL
If" {Yc04J [f, /lY. \)Q ;1Qj
)ll 00/
,6t(j ($?o~ 3;il, - /117'
('()1je.jgoo $ 0S':L 22A'ZJt.
erst-I!;'! Ii, $ /10,) ~ ~lae
UNIT
{-;aI/o'1
f::fll ~11
('CIJe.ji;GC
('(:6i.'../,;).)0
~/ No
,/
@J No
c:g No
~
Yes No
I
@) No
J
@ No
j
<:ifiJ No
~ No
nmst
insecticides you to hid on that are not Useed
If a{h:UHon~i space- nt-e-ded to Us!: insectieides~ you may copy this form as needed, are marJIe,
All charges must be included in bid price.
No other charl!es may be added to the bid price when invoiced unless noted as an
. exception on the bid form.
(
oJY~
.... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding
The undersigned cifjirms that they are duly authorized to execute lhis conn'act, lhat this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid 08 to prices, terms, OJ' conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of
business prior to the official opening of this bid
NAME OF COMPANY: 7ct/lJet'spec/tI!1; rl"OtladJ
ADORESS: JJ5' /\/ fi-o,s.-f ()flj(;(1. '!/vtt.JtO/} IX' 7.oS::l
Authorized Signature & Title: ",.,;' f(- ~. ;?1'/ j/et/Dr J!,f/J;"lfJJ Aal){( 1;"1
Print Name & Tltle;;12',t~. A('tnol! (ecr/Gr MJ,'tJtfJ.4Jtt/! 4ftr Date of Bid: )J - Y'/d
Telephone Number: (.!f.Jv) YJS -.:5 JJJ . Or\) )6b.J -~bb Y Fax Number: 0(0) &~J., ,fb! {,
Emall: m;)'r!.. TI/ch<J/; @. ;i:(r:9'1'.f-~jJe.f.;;rtlf, Go/Pi
List any exceptions to the given bid specifications:
AdditioB"lal Page if needed
CALHOUN COUNTY, TeXAS - Invitation To Bid Form
INSECTICIDES FOR MOSQUITO CONTROL / t1
AU Calhoun County Precincts / ~
JANUARY 1, 2013 thru JUNE 30, 2013
... Return this Form and ~ cl!pies of tl!e Product Data Sheet(s}ior eajl,q
Insecticide -you are listingJbelo~: Print 0" Type.. All information must bo legible / 1_
PRODUCT DATA ~ n~'/ ~
BIDITEM .' UNIT UNIT PRICE SHEET INCLUDED W(lj1'
X?)~fh);t! Cfi/)(/ Litrvickle (jt x 11ft!) ('ct;ellJf'1. If, r;;,bl ~tZi\!. CJJi5 No
lla)..1/1oJJtf !;ftid(ol1u?,lr4Iet)y,')'5)l/t) (()Jt/S<J'!/ .'!i '-IYdO,~h.(ofSr ~ No
Xl) 5Ulf/fll'/ j] t; lr ;Y(fe/5 ()'i:J(/c/(Je) cqJe/QoO .$ C;7. <.?~ .kltJt <f!ii No
:,$) Suffft/VI/JJ/}G LQ'I4'<5;/~ {Y'OI,(,{lij} };;fJ/Iji)J6 $ ,)<00, ()()h{llj ~jNO
19) lY,I...;> bm'Ok 0;/ (Sr9,,!"IJJ1J brtlotl if )0. ~ /qtp! ~ No
Yes No
Yes No
Yes No
Y fill lUay list additional insectkides on that a,e Mt listed
If a{MWomt~ spRee is- needed to Hst ;run may copy this form ~lS needed. are made;
b2
All charges must be included in bid Juice.
No other chan!:es may be added to the bid price when invoiced unless lI1loted !liS !IIn
. exceution on the bid form.
""" See Specifications for Insecticides for Mosquito ContrOlI and Generai Conditions Qf bidding
The undersigned affirms that they are duiy authorized to execute this contract, that this company, corporation, firm, partnership, or
individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions
of said bid have not been communicated by the undersigned nor by any employee or agent to any ather person engaged in this type of
business prior to the official opening of this bid.
NAME OF COMPANY: T{tr~tf SlJec/qllv fJrocUlt:IJ
ADDRESS: /;):JS' )i fO.,Jt( Cb5 RtI;.!!<{J(/Jr.VI!. IX7~OSS
Authorized Signature & Title: ?ff;A /..j~tt, j/ e(1/{),~ Iflf)f /Jt,rJ ,/J!CZ l1t?fiJr
,
Print Name & Title;Ji1, fa Alfh~/J/ !le,rIr1r rfJ.tr,J;i?IUS .4jCvlll{ JEV Date of Bid: J,;} - if -I,)
TelephoneNumber: (fo~fd5'-31d.). ,Ct/oj(,W-rf&lJf Fax Number: QfOJ (il;,). /l&f6
Emall: fl1:l:e. lI,chof> (l1. f{)~fef - SjJec;ti!,}. (1.>/,,01.
. , .
List any exceptions to the given bid specifications:
Addotioi1llllD Page of i1Ieeded
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
CALHOUN COUNTY COURTHOUSE ANNEX II - 202 S ANN ST
PORT LA V ACA, TEXAS 77979
(361) 553-4610
L MEMORANDUM ~
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE - PEGGY HALL
DATE: December 6, 2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13,2011
It- Consider and take necessary action to award bids for Road Materials for the
period beginning January 1,2013 and ending June 30, 2013, (CM)
AWARD BIDS FOR ROAD MATERIALS FOR THE PERIOD BEGINNING JANUARY 1, 2013 AND
ENDING JUNE 30, 2013:
Cindy Mueller:
There was a low bidder on every item,
- ^~'M -"'~._-
Bid Item Vendor Bid Price pct
#
Gresham Trucking LLC $23AO/Ton 1
$23.00/Ton 2
Limestone - 3f4 Inch to Dust $23.50/Ton 3
Quality Hot Mix $25.00/Ton 4.P
$23.75/Ton 4-5
1
-
2
$55.00/Ton -
Type PB (Topping Rock), Grade 4 Quality Hot Mix 3
-
4-5
56.00/Ton 4-P
1
Gresham Trucking LLC $23.25/Ton -
2
Item 249 Type A Limestone, Grade 3 [11/2 $23.50/Ton 3
Inch]
Quality Hot Mix $25.00/Ton 4-P
$23.75/Ton 4-5
1
CW&AInc $16.60/Ton f--
2
Item 249, Type B (Flexible Processed Base), $18.00/Ton 3
Grade 3: (MIN PI 6)
Prihoda Gravel Co $18AO/Ton 4-P
$17.95/Ton 4-5
Vulcan Materials Co 5W $56AO/Ton 1
Division
$57.75jTon 2
Item 302, Type PE (Topping Rock), Grade 3 $59.00/Ton 3
Martin Marietta Materials
$59.75/Ton 4-P
$56.1O/Ton 4-5
Vulcan Materials Co 5W $56AO/Ton 1
Division
$57.75/Ton 2
Item 304, Type PE (Topping Rock), Grade 4 $59.00/Ton 3
Martin Marietta Materials
$59.25/Ton 4-P
$56.1O/Ton 4-5
~.. -...-".
Bid Item Vendor Bid Price Pct
#
$75,OO/Ton 1
2
$77.25/Ton !--
Item 330, Type D (Pre-Mix Limestone) Martin Marietta Materials 4-5
$77.00/Ton 3
$77.50/Ton 4-P
Item 332, Limestone Rock Asphalt $76,20/Ton 1
2
-
Martin Marietta Materials 3
$77.00/Ton -
4-P
-
4.5
1
$83.50/Ton -
3
Item 334, Type D, Hot Mix Cold Laid Asphalt Quaiity Hot Mix $84.00/Ton 2
Concrete Pavement
4-P
$84.50/Ton -
4-5
Fly Ash/Bottom Ash (Petcoke Fly Ash; CFB LA Ash/Livengood Mg mt
Combustion Ash) - Hydrated (Product Code $6.00/Ton All
- OPF42F) Services
A Motion to award low bidder on each item was made by Commissioner Finster and seconded by Commissioner
Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
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CALHOUN COUNTY, TEXAS BID SHEET-loOAD MATERIALS
I
INVII A liON 10 BID
I PFRIDOFROM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITl'ED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I LlMESTONE.314/NCH TO DUST
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: L1MESTONE-3/4INCH TO DUST
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product .
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY IJWT IJIIT PRO
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON i ..;l3, 4.2
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON d.5, sq
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .:15,5'1
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON d-.3,I-/D
The undersigned affIrms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individuo/ has not prepared this bId in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of saId bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid,
AUTHORIZEOSIlNATURE mLE: (-k\---e.s h ""IV', T"o..ddVl'1
PRINT NAME: .3 <=>V\v\.V\\-e t"?'V'e.5 VI <4 U-- OATEOF OID:-DJb (), :J.-C:>
TELEPHONE and EMAg{ q 79 )61'6-.758""
PLEASE UST ANY EXCEPTIONS TO SPECIACATIDNS:
;).D 12-
3'V-tt. Y (ri.>. r'l<:.. C, L~
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVII A liON 10 BID
BIDDER
QUALITY HOT MIX
JEFF SNYDER
PO BOX 1244
EL CAMPO TX 77437
BID ITEM ILlMESTONE-3/4 INCH TO DUST
I PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I LlMESTONE-314/NeN TO DUST
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: L1MESTONE-3/4 INCH TO DUST
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /lIlT IIIIT PR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON :?-3 _ )'()
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ d3.'il1
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ :J-J;O (J
AREA 63-7)
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON v:::: d- 3 ,GO
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in col/usion with any ather or Bidder, and that the contents of this bid as
to prIces, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this ty, f. bu. iness prior to the official opening of this bid,
AUTHORUEO SIlNATURE mLE:
PRINT NAME: ~~ ~ ~'i
DATE OF BID: i( ~({.1
TEIIPHONE and EMAI~ q 7 ~"'(f7, L{ t./ (j(; '] Vi W\) (q l(j ce, c. - tJ, ,(j d
PLEASE UST ANY EXCEPTIONS TO SPECIHCATIONS:
A-tl cte\,Uli'/t5 ; n e"J J'/I"P '\-"()('(\
UII,)I'VI..{WI l01J .2.L{ ~1
~ALHOUN COUNTY. TEXAS BID SHEET-IROAD MATERIAL~
INUIT A TION TO BID
I
mlDDED C W & A INC
W J SPARKS
PO BOX 2058
VICTORIA TX 77902-2058
BID ITEM ~L1MESTONE-3/4 INCH TO DUST I
. PERIODRDM: JANUARY 1, 2D13
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I L1MESTONE-3/4 INCH TO DUST
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED, BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN. SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSERlBIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: L1MESTONE.3f4 INCH TO DUST
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perfonn random audits of test reports,
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessaIY to Insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY IIIl IIIl PIIJIE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON as,~
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON d/lri~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON a'1. 'J9.
AREA ;A8. }J!.
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~$
The undersigned affirms that they are duly authorized to execute thIs contract, that this company, corporation, fIrm,
partnership or individual has not prepared this bid in co/luslon wIth any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to ony
other person engaged In thIs type of bus; ss Po for to the official opening of this bid.
W . 1- . d
para NAME: W . -S ~ DATE DFBII: f J..- rt -I J.
PlEASE UST ANY EXCEPTIONS TO SPE&IfICA1IONS: TElEPIIONE and EMAI: -3 h IS'? 3 - j oA.36,
~ ~ a31di4.h,A ~ ~lJM.~
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= <J> <J> <J> "" <J> <J> <J> "" <J> <J> <J> "" <J> <J> <J> <J> <J> <J> ~
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~ ... "- "- "- "- "- "- ... "- "- "- "- "- "- ... "- "- "- s
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVIT A TION TO BID
BIDDER QUALITY HOT MIX
JEFF SNYDER
PO BOX 1244
EL CAMPO TX 77437
BID ITEM ITYPE PB (TOPPING ROCK), GRADE 4
I PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I TYPE PB (TOPPING ROCK), GRADE 4
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: TYPE PB (TOPPING ROCK). GRADE 4
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTlNA TION DELIVERY 1NT INT PHI:[
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON V S):dO
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ./ >>00
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /~,OO
AREA ./ ST;ov
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON :/ 3-<);ClO
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or Individual has not prepared this bid in collusion with any other or Bidder, and that the contents of thIs bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in thIs ty, f bd . ess ior to the official opening of this bid,
AUTHORUEO SIGNATURE TrrLE: '\eSi Jell t
PRINT NAME: 1'e W S'rLl{) IT'
DATE OF BID: It J-G (
TELEPHONE and EMAII: '779. ')1-{ J t{ If c1J
PLEASE UST ANY EXCEPTIONS TO SPECmCATIONS:
U{1M.J (~ weec- ~11e1
A-tlc9~JtWle> III
fVt IVl Ii'" ~ vvt
f",J
lo'to\
J,,,,I''IP ~lkrs
J- )-- ~rt5
CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS
I
INVII A liON 10 BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM ~TYPE PB (TOPPING ROCK), GRADE 4 I PERIOD FROM: JANUARY 1, 2013 PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN Sf, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TYPE PB (TOPPING ROCK), GRADE 4
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13,2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: TYPE PB (TOPPING ROCK). GRADE 4
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of prewqualifred materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY IRT fIMT PRICE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .JJ 5'7. ~
-1/ ~/, 00
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON -~
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON y;, 5"'7?;[
AREA
TON vi 5'(,. i~
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON JI <;;7. ?[
The undersigned affirms that they are duly authorIzed to execute this contract, that this company, corporation, firm,
partnership or IndIvidual has not pre ared this bid In collusion with any other or Bidder, and that the contents of this bId as
to prices, terms or conditions of ai 'cI have not been communicated by the undersigned nor by any employee or agent to any
other person engaged In this type bu . es prior to the official opening of this bId,
--
AUTl/ORUED SIGNATURE T
PRINT NAME: fV\P\(0IL 1>-l-1.~)'~ ,_oj
PLEASE UST ANY EXCEPTIONS TO SPECmCATlONS:
DATEOFOID: \ h3Cl-r2.-
TELEPHONE and EMAII: '0\ (J - 001\- Lf a 7 0
(v-o.AIl-Lb Ih~~: v S. ~ f'\fl<J\.,T/."J t'\NtoI<=l\V\, un, .
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM ~TYPE PB (TOPPING ROCK), GRADE 4 I
. PERIOD FROM: JANUARY 1. 2013
PERlODIO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 779T9
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TYPE PB (TOPPING ROCK), GRADE 4
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: TYPE PB (TOPPING ROCK). GRADE 4
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY IJ/IT /lIB PR8E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $56.40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $59.50
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $60.40
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
The undersigned affirms that they are duly authorized to execute this contract, th.at this company, corporation, fIrm,
partnership or individual has not prepared this bid in collusIon with any other or Bidder, and that the contents of this bId as
to prices, terms or canditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in t~_rge of busine~S;::!?-(5do t~ciaf opening of this bid,
AUlHORUEDSIlNATURE mLE: (>2'ZC/4<"f'=='~~ Sales Representative
PRINT NAME:
rpr:=!.u; c: T..:=ann
DATEOFBIO: 11/28/12
TElEPHONE and EMAIL: 210-524-3507 landt<avrncmail. com
PlEASE UST ANY EXCEPllONS TO SPECIACAllONS:
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CALHOUN COUNTY, TEXAS RID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER
GRESHAM TRUCKING LLC
JOHNNIE GRESHAM
PO BOX 212
LOUISE TX 77455
BID ITEM ITEM 249, TYPE A LIMESTONE, PERIOD mOM: JANUARY 1. 2013 PERIOD TO: JUNE 30, 2013
GRADE 3 [11/2 INCH]
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH} I
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN. SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: ITEM 249. TYPE A LIMESTONE. GRADE 3 [11/2INCH]
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perfonn random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY INT / UJlTPR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ;23.25
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON (). <-/ ,30
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON JJ.5, LIS
AREA
PRECINCT 4-S SEA DRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON :Js.lfS
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON I/' ;11, .AS
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporatian, firm,
partnershIp or individual has not prepared this bid in collusion with any ather or Bidder, and that the contents of this bid as
to prices, terms or conditions af said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
ADTHoRUED SIlNATURE mLE: ~{y~ j'bl ill (b"l T ~i iI\ CJ
PRINT NAME: 3~AVUA.'<:' GVG)~Lf.\-&Y\ DATE OF OlD: nJ()J. 2.-D -.20 I Z.
PLEASE UST ANY EXC~PnDNS TO SPECIFlGATIONS: TELEPHONE and EMAU(,q7'7) 0- Cf f' - C25t <> -1 '('CAy <i2 Ii l<'C . C--ovv1
CALHOUN COUNTY. TEXAS BID SHEET-IROAD MATERIALS
I
INUIT A TION TO BID
BIDDER
QUALITY HOT MIX
JEFF SNYDER
PO BOX 1244
EL CAMPO TX 77437
BID ITEM ITEM 249, TYPE A LIMESTONE, PERIOD FROM: JANUARY 1. 2013 PERIOD TO: JUNE 30. 2013
GRADE 3 [11/2 INCH]
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, 7YPE A LIMESTONE, GRADE 3 [11/2INCH] I
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN, SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICA nONS: ITEM 249. TYPE A LIMESTONE. GRADE 3 [1 1/2 INCH)
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random 'audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /JIlT UlIT PR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON P-3.J\)
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ 9-2>. \1J
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON V-:: !)..s-; 0 (j
AREA LJ;-3,7J
PRECINCT 4-8 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 9-3.~
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or indIvidual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type us ess p or to the offIcial opening of this bid.
AUTHORIZED SIGNATURE mLE:
PRINT NAME: S~ SI'\t{(1~
DATE OF DID: Il( ,JGLI.:2.
TELEPHONEandEMAIl: ctl'7 ')4,3 4Lj{IU q}.!iW1,J, €.V we ec -\,{;hMt
PLEASE UST ANY EXCEPDONS TO SPECIACADONS:
M~
cle\ t Vti':. (S ) Ie e .,J &. 'jI'lI r
ivI)nil'V\tM [uld
'\--relllcs
.?-Lol ~
~ALHOUN COUNTY. TEXAS BID SHEET- luAD lJIATERIALS
INVII A liON 10 BID
I
RIDDEll
C W & A INC
W J SPARKS
PO BOX 2058
VICTORIA
TX 77902-2058
BID ITEM ItEM 249, TYPE A LIMESTONE, PERIODfRDM: JANUARY 1, 2013 PERIOD TO: JUNE 3D, 2013
GRADE 3 [11/2 INCH)
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN Sf, 3RD
FLOOR, ROOM 301, PORTLAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BIO- I ITEM 249, TYPE A LIMESTONE, GRADE 3 [1112INCHI I
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR, NATIONAL ORIGIN. SEX, RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE. GRADE 3 [1112INCH]
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre~qualified materials for
testing and to perform random audits of test 'reports.
County representatives may sample material from the manUfacturing plant, terminal, shipping container and any other source they
deem necessary to Insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: OESTINA TION DELIVERY /lIT /llTPIIl
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~S:{t
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON at? ;--
PRECINCT 4.P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~9.$
AREA J-7. J!l.
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON a.s: j;j:.
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, fIrm,
partnership or individual has not prepared this bid in collusion wIth any other or Bidder, and that the contents of this bid os
to prices, terms or condItions of said bid hove not been communIcated by the undersigned nor by ony employee or agent to any
other person engaged in this type of business '{'ior to the official opening of this bid.
AumDRIZfD SIlNATURE mLE: l<J, .. 'ltd
PRlNTNAME: \AI. J: ..s DATEOFBBI: I~:"{)b ~ I ~
1B.fPHDNE and EMAR: 3p I 0'13-3 dJ.i.
PlEASE UST AHY EXCEP1IIINS TO SPECIfICATIONS:
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CALHOUN COUNTY, TEXAS BID SIIEET-180AD MATERIALS
INVII A liON 10 BID
I
BIDDER
CW&AINC
W J SPARKS
PO BOX 2058
VICTORIA
TX 77902.2058
BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED PERillO mOM: JANUARY 1, 2013 PERIIID TO: JUNE 3D, 2013
BASE), GRADE 3:(MIN PI 6)
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I :rEM 249;,:;YPE B liLEXtBLE PROCESSED BASE}, I
GRADE 3: MtN Pia
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIOS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN. SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSERlBIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 249. TYPE B (FLEXIBLE PROCESSED BASE). GRADE 3:(MIN PI 6)
Must meet all TXDOT Specifications: Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perfonn random audits of test reports. -
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY lIlT /'!!.'!f
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ;;!"O.~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~D, }J2
AREA L17, Cffi:
PRECINCT 4-8 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 'v/t (, I E!!-.
The undersigned affIrms that they are duly authorized to execute thIs contract, that this company, corporation, fIrm,
partnership or Individual has not prepared thIs bid in collusion with any ather or Bidder, and that the contents of thIs bid as
to prices, terms or condItions of said bid have not been communIcated by the undersigned nor by any employee or agent to any
other person engaged In this type of busin s pr1f to the officlal,openifl of t~/$ bid.
AunmRllm SIlNATURE 1IJlf: u144-- 1./--0
PRINTNAME: . ::r. SP DATEDFBDI: -'J.-()b~1J,
PlEASEUSTANYEXCEP1I\INSJO,S SPEPEcmcmcATIOIJ.S: IREPIIONEandEMAII: -Z;?il-J.;{ 3 (;
~001 ~~~~___~.
CALHOUN COUNTY. TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER
PRIHODA GRAVEL CO
1210 MEADOW CREEK DR
EL CAMPO
TX 77437
BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED PERmo mOM: JANUARY 1. 2013 PERIOOTD: JUNE 30. 2013
BASE), GRADE 3:(MIN PI 6)
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I ~TEM 249, TYPE B IFLEXIBLE PROCESSED BASE), I
GRADE 3:IMIN PI 6i
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: ITEM 249. TYPE B (FLEXIBLE PROCESSED BASE). GRADE 3:(MIN PIG)
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perfonn random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source- they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DEST/NA T/ON DEL/VERY lIlT UMT PREE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON J3 /!? 00
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON Ill/!.OO
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ;fll j g, ,/0
AREA Itj t, I/O
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON It jg,'),O
The undersigned affirms that they are duly authorized to execute thIs contract, that this company, corporation, firm,
partnership or individual has not prepared thIs bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of saId bId have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior to the official opening of this bid.
ADTHORUEOSIlNATURE mLE: ~J OW'Y\..VL
PRINT NAME: rlNth<ON1 PR;ho~f.1 OATEOFOID: 1Ij:J../jl'l.
TELEPHONE and EMAI\;~ 7 q " ). 3 if -5 WI
jn.b',1e q79-13Q-174(
!IN/J PRihoclfj @/!Le.,/1/E!r
PLEASE UST ANY EXCEPTIONS 10 SPEClnCAnDNS:
PROJECT:
CliENT:
CONTRACTOR:
V.
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REMARI(S:
CQPllElI:
Calhoun Countr
PrihoH Gnh'd Co.
1Z1D MulIow CI'eelc Drive
El Campo, 1X 774J1
TSI laboratories, Inc"
TaPE Firm Registration .No. F-9236
1810 South LaUl'8llt
Victoria, 1)( 71901
(361) 578-8933
-.r.DIt 811-m
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tAB REl'ORTl'lO.: T-3.031
SAMPlE DATE: 12/2/11
REPORT Dl\TE: 12191t1
SAMPlEO BY: Cllent
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CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER
VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM liTEM 302, TYPE PE (TOPPING ROCK), GRADE 31 PERIOD FROM: JANUARY 1, 2013
PERIOD TD: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. l'TEM 302. TYPE PE fTOPPING ROCK), GRADE 3
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSOA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICA TIONS: ITEM 302, TYPE PE (TOPPING ROCK), GRADE 3
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DEL/VERY /lIlT ~I/MTPRH:E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $56.40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $59.50
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $60.40
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
The undersigned affirms that they are duly authorized to execute this contract, that thIs company, corparation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in t~isJ!e of business~Ci~!'Jta"t.~~::'!tticial opening of this bid.
.::.- ,v ,--"",<.,_" '.'_'
AumORUEOSIlNATURE TITLE: ~,(/?,?"--=~~,,c'~' Sales Representative
PRINT NAME:
Travis Land
DATE OF BID:
11/28/12
PLEASE UST ANY EXCEPTIONS TO SPECifiCATIONS:
TELEPHONE and EMAlI: 210-524-3507 landt@vmcmail.com
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM ~ITEM 302, TYPE PE (TOPPING ROCK), GRADE 3~ PERIOD FROM:
JANUARY 1. 2013
PERIDDTO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 302, TYPE PE (TOPPING ROCK), GRADE 3
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: ITEM 302. TYPE PE (TOPPING ROCK), GRADE 3
Must meet all TXDOT Specifications; Calhoun County feselVes the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /NT UIIT PRI:E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON -IJ S"'),7-!:
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON '1: S'7., O,?-
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON y) S"l ?'j::
AREA
v4f .;.:J
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON -s-f".-
A 5"7 )\
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ' --
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared th' bId in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid ave ot been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of busin s pI' 'on to the offIcial opening of thIs bid,
ADTHoRIZED SIlNATURE mlf:. ~
PRINT NAME: (V\[>r-(utL \~10;01.Js'
PLEASE UST ANY EXCEPnoNS TO SPECmCATloNS:
DATE OF OID: I'~jv.-n...
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CALHOUN COUNTY, TEXAS OIU SHEET-IROAD MATERIALS
1
INVII A liON 10 BID
DIDDER VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM liTEM 304, TYPE PE (TOPPING ROCK), GRADE 41 PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 304, TYPE PE fTOPPING ROCK), GRADE 4
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO.
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY, THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICA nONS: ITEM 304. TYPE PE (TOPPING ROCK), GRADE 4
Must meet all TXDOT Specifications; Calhoun County reserves' the right to conduct random sampling of pre~qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /NT ~ UMTPR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $56.40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $59.50
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $60.40
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $58.00
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or BIdder, and that the contents of this bid as
to prices, terms or conditions of saId bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in thIs ty,fe of business p~ior-;Jo th~jJtfk:ial opening of this bid,
AUTHORUEOSIGNATURE TITLE: S:"/:;'"c<e>,,' 'c>zc::::;:;'././' Sales Reoresentati ve
PRINT NAME:
Travis Land
DATEOFBIO: 11/28/12
TELEPHONE and EMAIl: 210-524-3507 landt@vmcmail.com
PLEASE UST ANY EXCEPTIONS TO SPECmCATlONS:
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVIT A TION TO BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM liTEM 304, TYPE PE (TOPPING ROCK), GRADE 41 PERIOD mOM: JANUARY 1, 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUOGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALEO BID. liTEM 304, TYPE PE (TOPPING ROCK), GRAOE 4
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN, SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 304. TYPE PE (TOPPING ROCK). GRADE 4
Must meet all TXDOT Specifications; Calhoun County reselVes the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY IJIIf U/Il /1JlI:l
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~7 2...r
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 1.- o~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 'IP- cr'7, :> s:
AREA 1'S-b. '~
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON Yf. ,f ) , '}!-
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or indIvidual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prIces, terms or conditions of s id have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type busin ss prior to the official opening of this bid,
AUTHORIZED SIlNATURE
PRINT NAME:
f"\f"L4L f.h (jG'.J~
PLEASE UST ANY EXCEPTIONS TO SPECIACADONS:
OATEOFBID:-1J-3'~H L..
TELEPHONE and EMAII: '2...1 0 .~ '"LQ 1> - LyC? 0
MA/t./L., i-h'(1~'N~ P ,fV\m:n,JM~~UJ"''''
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CALHOUN COUNTY, TEXAS RIO SHEET-IROAD MATERIALS
I
INVII A liON 10 BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM liTEM 330, LIMESTONE ROCK ASPHALT I PERIOD FROM:
JANUARY 1, 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330, LIMESTONE ROCK ASPHALT
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIOS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
SPECIFICATIONS: ITEM 330, LIMESTONE ROCK ASPHALT
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports:
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TlON DELIVERY /JIlT h UIIlPREE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /I ](.,":b~
. 0.0
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /<IJ )9, .-
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON A '77. D~
AREA /<11 "//< O~
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
TON ../11- ")'7, ,,0
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS .'
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or indIvidual has not prepared this bid in collusIon with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of sai . have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type 0 bus! ss rior to the offIcial opening of this bid,
ADTHORIZED SIGNATU
PRINT NAME: MAA.tL 1.\-t(b0ftJl
.-
PLEASE UST ANY EXCEPTIONS TO SPECIFICATIONS:
OATEOFBID: /I~ 3D"IL
TELEPHONE and EMAII; 210" 2,0 'b-~o')C
MwatL. H/" f.<I.us"e..J\'l{.l(l...T/,JMAa.-/ €Jl)'\ . v~t"
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVII A liON 10 BID
BIDDER VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM ~ITEM 330, LIMESTONE ROCK ASPHALT I PERIOD mOM: JANUARY 1. 2013
PERIODTD: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330, LIMESTONE ROCK ASPHALT
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 330. LIMESTONE ROCK ASPHALT
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY INl I/l#T PR~E
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $76.40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $79.50
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $80.40
AREA
PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bId have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this typ'e of business prio.r to the.-Rtticialopenlng of this bid,
AIITHORIZEDSIlNATURE rnLE: '-',~;V'---, ~~'~."~;/? Sales Representative
PRINT NAME:
Travis Land
DATE DF DID: 11/28/12
TElEPHONE and EMAII: 210-524-3507landt@vmcmail.com
PLEASE UST ANY EXCEPTIONS TD SPEClnCATlONS:
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CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVII A liON 10 BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM liTEM 330, TYPE 0 (PRE-MIX LIMESTONE) I
. PERIOD FROM: JANUARY 1, 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. liTEM 330, TYPE D (PRE.MIX LlMESTDNE)
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 330, TYPE D (PRE-MIX LIMESTONE)
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINATION DELIVERY /JIlT ~ ,~PR~
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON
/1;. "V
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . '77, o~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /;p ')?, s:9.
AREA TON ~ "77... ~
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON -J<I;; ')'). 2.<E
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prep his bid in collusion wIth any other or Bidder, and that the contents of this bId as
to prices, terms or conditions of sai bId h e not been communIcated by the undersigned nor by any employee or agent to any
other person engaged in this type 0 usines p 'or to the official opening of this bid,
AUIHORUED SIiNATURE TIT
PRINT NAME: fY\AfZ-\(. l-h G (0;'.0- S
PLEASE UST ANY EXCEPTIONS TO SPECIRCATlDNS:
DATE OF OlD: 11-3chL
TELEPHONE and EMAIL: 'z., c - "2 (; 'g' - '-t Q? Q
(Y'I,qR4..,I1-,th01,vS E>",,4IZ;jj,J/'V\i:\\II,. G'))-p.. c:ftl"1
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM liTEM 330, TYPE 0 (PRE-MIX LIMESTONE) I
. PERIOD FROM: JANUARY 1. 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN S1; 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. l'TEM 330, TYPE D fPRE-MIX LIMESTONE)
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 330, TYPE D (PRE.MIX LIMESTONE)
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified. materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /NT 1/ItIT PRICE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $76.40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $79.50
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $80.40
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
The undersigned affIrms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnershIp or IndIvidual has not prepared this bid in col/usion with any other or Bidder, and that the contents of thIs bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged In ;!;,~i':'Je of ~us'::s;:~{~'!..:~<;~:::a!t-icial opening of this bid. .
AIITHDRIZEDSIGNATURE TITLE: c/i?:(0-~" ~,,/ Sales RepresentatJ. ve
PRINT NAME: Travis Land DATE OF OlD: 11/28/12
PLEASE UST ANY EXCEPDONS TO SPECInCADONS:
TELEPHONE and EMAIl:
210-524-3507 landt@vrncrnail.com
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CALHOUN COUNTY. TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER MARTIN MARIETTA MATERIALS
MARK HIGGINS, SENIOR SALES REP
5710 W HAUSMAN RD STE 121
SAN ANTONIO TX 78249-1646
BID ITEM liTEM 332, LIMESTONE ROCK ASPHALT I PERIDDmOM:
JANUARY 1. 2013
PERIOD TO: JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEfFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BfD- l'TEM 332, LIMESTONE ROCK ASPHALT
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR, NATIONAL ORIGIN. SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 332. LIMESTONE ROCK ASPHALT
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre~qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY fNT A DMlPRE!
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~7{'<~.<:'
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON <1/ ')). v.'!.
/11 7/. t:.'~
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /
AREA / <If ?).
,,"
TON .~
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
/ VI. //. ....v
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~.-
The undersigned affIrms that they are duly authorized to execute this contract, that thIs company, corporation, fIrm,
partnership or indIvIdual has not prepared this bId in collusion with any other or Bidder, and that the contents of this bId as
to prices, terms or conditions of sai bi ve not been communicated by the undersigned nor by any employee or agent to any
other person engaged In this type of uslnes pnlor to the official opening of this bid.
AUTHORIZED SIlNATURE
PRINT NAME: fV\AIU'-. \-l-LUU/uS.
DATE OF BID: 11-3 ,'J.. I "2.-
TELEPHONE and EMAIL: L\ 0 - 2-0 ~ - 't 0 ') Cl
l'I'~.14-1 tt,UI.0S ~M~/,J('\~/.:rrnCl.G{)rl'\.
PLEASE UST ANY EXCEPTIONS TO SPECIACATlONS:
CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVITATION TO BID
BIDDER
VULCAN MATERIALS CO SW DIVISION
TRAVIS LAND
PO BOX 791550
SAN ANTONIO TX 78279-1550
BID ITEM ~ITEM 332, LIMESTONE ROCK ASPHALT
I PERIOD mOM: JANUARY 1. 2013
PERIOD TO: JUNE 30, 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO:
MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LA VACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. l'TEM 332, LIMESTONE ROCK ASPHALT
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR. NATIONAL ORIGIN. SEX, RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPECIFICATIONS: ITEM 332, LIMESTONE ROCK ASPHALT
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre~qualifjed materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
DEPARTMENT: DESTINA TION DELIVERY /NT /NT PHI:[
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $76..40
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $79.50
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $80.40
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $78.00
The undersigned affirms that they are duly authorIzed to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bId in collusion with any other or Bidder, and that the contents of this bid as
to prIces, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this type of business prior tp,jhe officigJ, opening of this bid.
c=:---.-;;>"'-> . ____~."'~,':..~.-~..,..,.~.~. .~:::.::-::"'-"
AUlHoRIZEDSIGNATURE mil: .-.;c~c_,t:.'>-~~.//' Sales Representative
PRINT NAME:
rrr;:n,; ~ T.~nn
DATE OF BID: 11/28/12
TELEPHONE and EMAIL: 210-524-3507 landt@vmcmail.com
PLEASE UST ANY EXCEPTIONS TO SPEClnCATloNS:
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CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS
I
INVIT A TION TO BID
BIDDER QUALITY HOT MIX
JEFF SNYDER
PO BOX 1244
EL CAMPO TX 77 437n, '" \)
11s~~"lt C't>1/1"-ret-'- ~qve""e>1i/
BID ITEM lITEM 334 ~'St:fft,F~~~6<" fj.,+-/IlIJ<CoI~L-"li~ PERIOD FROM: JANUARY 1. 2013 PERIODTD:
JUNE 30. 2013
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- UIEJIl334 ,.-..- --" ......6 1:k1:::l1lJ~ Cold t;;;td-.J
BID5 ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES. REJECT ANY OR ALL BIDS. TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN. SEX. RELIGION, AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS,
-----------------------------------------------
SPECIFICA nONS: ITEM 334 MICRO SURFACING
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre~qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they
deem necessary to insure reliability of the product
See attached Specifications and General Conditions
llEPAR'(MENT: DESTINATION DELIVERY //NIT / IIlIT P/IItE
PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON '63. )1l
-
PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ./ '6 J ,'>0
PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /P:J ~<(,\V
AREA
PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /, ~L{.11i
PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /~
The undersigned affirms that they are duly autharized to execute this contract, that this company, corporation, firm,
partnership or indivIdual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this 'Pe of b!Js 'ness p ior to the official opening of this bid,
['- 5 'durl-'
DATE OF DID: l( (J- 61,,-;<.
TELEPHDNEandEMAl1: Ct"7'1 ~L.{.> LfL{CRl 'ilt.?V\AJ ~.l{}c.ec-wb. Ilet
-BK-- +'h Wl ;n '1 l"I h () tlt>HA l}:) Cat J bid
&.'lIM\'~)(,m Itspk'ilt Ce.nV<M-'L P<\ve~~nj
J') tons
AmHORUED SIGNA TillE TITLE:
PRINT NAME: S
PLEASE UST ANY EXCEPTIONS TO SPECflCATlONS:
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CAUIOUN COUNTY, TEXAS BID SHEET-IRDO MATERIALS
I
BmOER
INVITATION TO BID
L A As ~ ProJIolC+s o-ncl Se,nl'.ces lLC.
Po 6D)( 17 Q.~
S()..,lphu.r LA 7D loCo 4
BID ITEM FLY ASH/BOTTOM ASH (PET(;OKE FLY ASH; CFB
COMBUSTION ASH) - Hydratlad (Product Code - pEl\lllDmOM: JANUARY 1, 2013 PEl\lllDTO: JUNE 30, 2013
OPF42F) .
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN 51; 3RD
FLOOR, ROOM 301, PORT LAVACA TX 77979
BIDS SHOULO BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I ~LY ASHlBorrOM :'S~!;ETC~~ FLY ASH; CFB "''' I
' COMBUSTION ASH - H drated Product Code. OPF42
BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 6, 2012
BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 13, 2012
THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS
RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO
BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE
BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST
ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE
COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE. COLOR, NATIONAL ORIGIN. SEX. RELIGION. AGE OR HANDICAPPED STATUS
IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS
INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS.
-----------------------------------------------
SPEC/FICA TlONS: FLY ASH/BOTTOM ASH (PETCOKE FLY ASH: CFB COMBUSTION ASH) . Hydrated (Product Code - OPF42F)
Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct'random sampling of pre-qualified materials for
testing and to perform random audits of test reports.
County representatives may sample material from the manufacturing plant, -tenninal, shipping container and any other-source they
deem necessary to insure reliability ofthe product .-K ') 7 7 / . T"; $ \.0 c:l S
See attached Specifications and General Conditionsr b} , , ^ ~ var'..l.l... - (\ b'
. ,-, rr WAR 'TO ALL I..J/{,E.C//JCD I . rrt:-Il l> .
DEPARTMENT: DESTINATION DELIVERY '.. bEb flrIT lMTJ16It:E
v: (".00
v::: (".00
./ ~,OO
V (.,,00
FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ t., 0 D
~UNrT pRice l~ FDB Fo&tosfJ SILo
The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm,
partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as
to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any
other person engaged in this typ of busin ss prior to the official opening of this bid.
PRECINCT 1
FAIRGROUNDS AREA
FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
TON
PRECINCT 3
OLIVIA AREA
FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
TON
PRECINCT 4.P
PORT O'CONNOR
AREA
FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
TON
PRECINCT 4-S
SEADRIFT AREA
FOB DESTINATION; SEE ATTACHED SPECIFICATIONS
TON
PRECINCT 2
SIX MILE AREA
AUlHORIZEO SIlNATURf mil:
PRINT NAME:
OATEOFDIIJ: //1;9 /I.:u
/ '
RUI'IIONEandEMAI: 0:37- 4~<f, - (J~9'l 6c./?oc.IIl'T(1)JLIVISII,IVe.]
PIfASE LIST ANY EXCEPTIONS TO SPECIfICATIONS:
Susan Riley
From:
Sent:
To:
Subject:
Attachments:
Henry Barber [hbarber@cableone.net]
Monday, November 19, 2012 12:36 PM
Susan Riley
Wharton Contract
wharton rider 2013 proposed.pdf
Susan,
Please place attached contract on agenda to Allow me to sign, Will this be on Dec 7'h agenda?
Thanks
Henry
1
AFFILIATION AGREEMENT WITH WHARTON COUNTY JUNIOR COLLEGE AND CALHOUN COUNTY
EMERGENCY MEDICAL SERVICES FOR EMS EDUCATION AND AUTHORIZE HENRY BARBER TO SIGN:
Henry Barber:
This is the same agreement that has been done over the years allowing their students to be exposed to us as
potential employees,
A Motion to approve the Affiliation Agreement and authorize Henry Barber to sign was made by Commissioner
Finster and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
DI
Wharton County Junior College
911 Boling Highway. Wharton, Texas 77488 . (409) 532-4560
November 15, 2012
Calhoun County EMS
Port Lavaca, 'l'X
Enclosed are two copies of out Affiliation Agreements pertaining specifically to EMS Education
and Calhowl County EMS assuming the role of Field Affiliation for Field Intel11ship.
I appreciate you signing these documems and forwarding one back to me in the enclosed self
addressed stamped envelope.
Please feel free to call me if you have any questions on thc telephone number below.
I 1()
/ 7 ~Jj.
Ma~~:~::;(: 'pc
EMS Program Dircctoj'
WhaJ:ton Counly Junior Collegc
Public Safety Training
911 E. Boling Hwy.
Wharton, TX 77488
979-532-6540
.e,,[J
AFFILIATION AGREEMl,NT
WHARTON COUNTY .JUNIOR COLLEGE
EMS TRAINING PROGRAM
ANI)
CALHOlJN COlJNTY EMS
THIS AGREEMENT, is cxccutcd 011 this I sl day of January 2013, cntcred into by and
bctwecn the WHARTON COUNTY .JUNIOR COLLEGE ("College"), and Calhoun County
EMS, a body corporatc and politic acting hercin by and through Calhoun County EMS
("County"),
WITNESSETH:
THAT WHERI,AS, the County owns and operates a dcpartmcnt known as Calhoun
County. Emergency Medical Serviccs ("EMS"); and
Whereas, the paliics agree that it would be to their mutual advantage and in their mutual
best interest for students of the College to have the opportunity to utilize the facilities of the
County's Emergency Medical Services Department ("Facilities");
NOW, THlm.EFORE, in consideration ofthc mutual promises herein contained, the
parties hcreby agree as follows:
(I) The County will permit students of the College to practice Emergency Medical
Technology undcr the direct supervision and responsibility of the facuIly of thc
College. 1ndividual fllculty members will, in turn, be rcsponsible to the
Emergency Medical Service Director, Preccptor, Supervisor, or Crew Pcrson,
designated by the Emergcncy Medical Serviccs for the County fur the Emergency
Medical Technology activities of the students. A fhculty mcmber/instructor from
the College will be available on call.
(2) The numher, assignment to and distribution of students between the divisions of
the EMS will be mutually agreed upon between the College and the County at the
beginning of each semester.
(3) Assignments shall occur during regular College academic sessions, except in the
instance of special arrangement, such as lor workshop participants, and as agreed
upon by the County,
(4) The College will provide the Couuty with the names of the students who are
entitled to use the resources of the Facilities under the terms of this agreement.
(5) The College will not discriminate against any applicant t()l' enrollment in its
course of study becausc of race, color, creed, national origin, or any other basis,
(6) The College shall instruct all students and fllcUlty members in the legal aspects of
confidentiality. All students and faculty members shall respect the confidentiality
nature of all information which may come to them with respect to the patient,
hospital, and county records, to the extent prescribed by law.
(7) Representatives ofthe College and the County shall meet as often as necessary to
study the Emergency Medical Technology program and terms of this agreement
and make such suggestions and changes as are needed.
(8) The College will arrange for liability and malpractice insurance coverage
acceptable to the County for its faculty members and students assigned to the
Facilities, The College will provide the County with a copy of all policies,
(9) It is understood between the parties that under no circumstances is any member of
the College's student body or fllCulty or staff member to be considered an agent,
servant and/or employee of the Connty.
(10) College personnel, faculty, and students will be subject to the rules and
regulations established by the County for the division of the EMS to which they
are assigncd:
(a) The County will charge the College no fees tor Emergency Medical
Technology practice opportunity alTorded students;
(b) Students will be responsible for their own meals, laundry, and
transportation to and from the Facilities; and
(c) The County will not bc charged for services performed by the College's
personnel, faculty, and/or students. Students and faculty members shall not
be deemed to be employees, agents or servant ofthe County, and shall not
be entitled to any of the privileges or benefits of COllnty employment.
(II) The salaries and expenses of any instructor, supervisor, or other employees of the
College will be paid by the College, The College agrees that members of its
faculty will serve as consultants aud on committees of the County when
requested by the County and mutually agreed upon by the College and the
County.
(12) The County further agrees as follows:
a.) To maintain the criteria for accreditation as established by the Joint
Review Committee on education in Emergency Medical Technology, or
other appropriate accrediting ageneies;
b.) To provide the College the necessary space or [acilities [()r conferences
and classroom areas or student teaehing, as available;
c,) To provide lounge and locker space for students, as available;
d,) To allow students and faculty members of the College to utilize the
County's eating facilities at the students' and [acuity's sole expense; and
e.) To plan jointly with all programs involved, when the rcsources are utilized
as a clinical laboratory by groups other than the College,
This Agreement shall remain in effect for a term beginning January 1,20] 3 and ending at
midnight on December 31,20] 3 unless otherwise terminated as provided hcrein. Either
party may terminate this Agreement without cause upon thirty (30) days written notice to
the other party. Notice shall be given by registered or certilJed mail, return receipt
requested, to the other party at the addresses set out below:
Calhoun County EMS
216 Mahan Sl.
POlt Lavaca, Texas 77979
Attention: Henry Barber, EMS Director
Wharton County Junior College
911 Boling Highway
Wharton, TX 77488
Attention: Maggie Mejorado
EXECUTED by the patties on the dates indicated, but effective January 1,2013,
CALHOUN COUNTY EMS
By: rJ(&~__~ .__
~-~~lrber, Calhoun County EMS Director
Date: J.PjL3j;-ib
WHARTON,~OUN:Y J~NIOr;:;GE
By: ___ ____
Stephanie e, Dean of V ocational1nstruction
Date: -JLJ(/lL_~__-
~:J
,(/ /} "'i.__
By: _ .,<)-;",-t; C:L~l:[,' {,~-",II...,_c2...~_
13cttY Mc<Zrohan, President
Date: I' "'I 1-_ i~/
Susan Riley
From:
Sent:
To:
Subject:
Attachments:
Henry Barber [hbarber@cableone.net]
Monday, December 03,20128:31 AM
Susan Riley
PLACE ON DEC 13 AGENDA
CONTRACT MMC 2013 PROPOSED.pdf
Susan please place the attached contract on the December 13th agenda,
Thanks
Henry
1
AGREEMENT ON ABU LANCE SERVICES BETWEEN MEMORIAL MEDICAL CENTER AND CALHOUN
COUNTY EMERGENCY MEDICAL SERVICES AND AUTHORIZE COUNTY JUDGE TO SIGN:
A Motion to approve the Agreement on Ambulance Services was made by Commissioner Finster and seconded
by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
Final 2013
AGREEMENT FOR AMBULANCE SERVICES
BETWEEN
MEMORIAL MEDICAL CENTER
AND
CALHOUN COUNTY EMERGENCY MEDICAL SERVICES
THIS AGREEMENT, made and entered into by and between the following MEMORIAL MEDICAL CENTER (hereinafter
,'eferred to as "FACILITY") and CALHOUN COUNTY EMERGENCY MEDICAL SERVICES, (hereinafter referred to as
"PROVIDER"), provides as follows:
WHEREAS, FACILITY desires to maximize efficiency and service levels for medical transportation and has conducted an analysis of
its medical transportation needs. Througb this analysis, FACILITY has determined that such needs will best be met through a
preferred coordinated medical transportation system agreement with the PROVIDER; and
WHEREAS, PROVIDER is in the business of providing medical and ambulance transportation and advanced life support professional
services; and
WHEREAS, FACILITY and PROVIDER recognize that the ground ambulancc transportation needs of FACILITY will be evolving
and therefore, it is not possible to deline all of the terms ofthe specific services required by FACILITY, which may be provided by
thc PROVIDER. The parties desire at this time to deline the transportation services to be provided by PROVIDER and to establish
mechanisms under which PROVIDER may provide future services to FACILITY rclated to ambulance transportation services,
including services to be developed through prioritizatioo of pre-planned, scheduled, emergent and non.emergent ambulance calls
initiated by FACILITY. The parties intend that ifthe future services outlined in this AGREEMENT are expanded, the parties will
execute addenda, further delining the services to be providcd; and
WHEREAS, FACILITY and PROVIDER dcsirc to enter into a long-term, agreement under which FACILITY and PROVIDER will
jointly develop and PROVIDER will operate andlor coordinate a turn-key coordinated medical transportation system to servc all of
FACILITY'S ambulancc tl'anspOliation needs utilizing existing reimbursement sources which maximizes the benetits of a coordinated
network; and
NOW, THEREFORE, FACILITY and PROVIDER do hereby agree as tollows:
t. SERVICES AND RESPONSIBILITIES OF PROVIDER
FACILITY has selected PROVIDER as its "prefelTed p,'ovider of medical transportalion" services withiu the primary
service area as delined hy Section VIII below, through an analysis of the quality of ground ambulance u'anspOliation services
that PROVIDER provides. Accordingly, during the term of this AGREEMENT and extensions hereto, PROVIDER agrees
as follows:
A. Services Provided
PROVIDER agrees to provide appropriate ambulance transportation and related services to FACILITY in
accordance with the terms ofthis AGREEMENT and all addenda hereto. Requests by FACILITY for services
which originate and Jor terminate outside the boundaries of the primary service area as defined in Section VIII
below may by referred by provider to another licensed ground or ail' ambulance provider at\er appropriate
coordination with and approved by Facility,
(In this circumstance. PROVIDER will not be liable to the alternative ambulance provider for the payment of any
charges, fees or professional service charges rendered in association with such transpOli.)
Final 2013
B. Emergency and Non Emergency lines
Provider agrees to provide and maintain a telephone number for FACILITY to acccss PROVIDER fur all
FACILITY ambulance transportation requests covered by this AGREEMENT. This number is intended as a public
number. PROVIDER will provide sufficient telephone lines and communication technicians to assure prompt
answering of all incoming calls from FACILITY. PROVIDER'S telecommunication personnel will coordinate the
required transportation services.
PROVIDER will provide a listing of emergency numbers, non.emergency numbers that can be utilized to contact
the PROVIDER 24 hours per day seven days a week.
C. Inter-facility Ambuiance Transportation Services
Provider will provide inter-facility ambulance transportation services and such other ambulance ground
transportation services at the request of the FACILITY. Inter.facility ambulance transportation services shall be
defined as ground ambulance transports originating at FACILITY and other facilities as F ACILlTY and
PROVIDER may mutually agree upon in writing. Inter-facility transportation services ordered by FAClLITY shall
be ordered through the Emergency and Non Emergency lines described in the preceding paragraph. Compensation
rates for each facility shall be listed in ADDENDUM A below.
D, Applicable Standards
PROVIDER agrees in the performance of the services, to be bound by, and comply with, (i) by the bylaws, policies,
roles and regulations of FACILITY and the medical staff of the FACILITY facilities, as each may be amended from
time to time (provided that such amendments do not materially increase PROVIDER's obligation hereunder or
materially affect thc financial or economic interests hereunder of PROVIDER), and (H) the standards, rules and
regulations of the United States Depaltment of Health and Human Services (hereinafter referred to as "HHS"), the
Texas Department of Health, the Joint Commission on tbe Accreditation of Healthcare Organizations (hereinafter
referred to as "JCAHO"), Medicare, Medicaid, and any other federal, state or local governmental agency or third-
Jlalty payor. excrcising authority with respect to, accrediting or providing reimbursement for FACILITY.
E. Etiquette
PROVIDER, through its employees, shall treat all FACILITY staff and employees with proper respect, eOUItesy and
professionalism, PROVIDER's employee's conduct shall at all times be appropriate and conductive to effective
patient care and consistent with prevailing norms recognized and accepted throughout the community.
F. Licensure
PROVIDER covenants, represents and warrants to FACILITY that; (i) it and its employees are, as appropriate, duly
licensed, emtil1ed, registered and in good standing under the laws of the State of Texas and the county(s) outlined in
Section VIII below to provide the services under this AGREEMENT, and agrees that they shall retain such
licensure, celtilicatton, registration and good standing statns during the term of this AGREEMENT; (H) each
ambulance vehicle shall be registered and licensed according to state and local rules, regulations and laws; and (Hi)
each ambulance vehicle shall be staffed with certified and/or licensed personnel in accordance with state and local
rules and regulations.
G. Experience and Training
PROVIDER rcpresents and warrants to FACILITY that its employees are professionally trained in emergency
medical technician practice and will, during the term ofthis AGREEMENT, take all actions necessary to maintain
such training. .
Finai 2013
H. Training,
Provider agrees to conduct an in-house training program for field employees that signiticantly supplements the
training that they received in their EMT training courses that meets or exceeds TDH standards.
I. Vehicle Maintenance
PROVIDER agrees that its fleet will be well maintained and response ready to provide services under this
AGREEMENT.
J. Access to Records
Pl'Ovider shall maintain a medical record, known as a "Patient Care Report,'l for each patient receiving services
under this AGREEMENT, Said medical record shall be in such form and contaiuing such information as required
by the laws, ruled and regulations of the State of Texas and JACHO.
K. Good Faith
PROVIDER agrees to act in good faith at all time in performing its obligations and implementing the provisions of
this AGREEMENT, including ncgotiating alternate reimbursement practices and the terms of any addenda.
L. Services Excluded
Transports of a distance greater than 150 miles
1\, RESPONSIBILITIES OF FACILITV
During the term of this Agreement and extensions hereto, FACILITY agrees as follows:
A. Promotion of AGREEMENT
FACIL TIY will conduct an internal and promotional campaign to educate its medical staff members, employees and
others making arrangements for ambulance transportation about the general terms of this AGREEMENT, including
periodic updates and reminder notices. Specifically, FACILITY will use its best efforts to ensure that employees
who requests ambulance transportation services arc informed of and utilize the Emergency and Non Emergency
lines and have been made aware of the preferred nature of this AGREEMENT.
B. Promotion to Medical Statf Members
F ACILITV and FACILTIY'S medical stali'members, including physicians providing services under managed care
arrangements, are accountable under Federal COBRA regulations for thc selection of an appropriate medical
transportation provider. FACILITY shall communicate in a reasonable manner the general terms of this
AGREEMENT to said medical staff members.
c. Access to records
FACILITY shall provide necessary records and information about patients to PROVIDER to facilitate the provision
of uppropriatc services and datu collection. This information shall include the provision of a face sheet if available
and substantially complete at thc time of PROVIDER 'S services hereunder, on each patient transported at the time
the transport is initiated. When face sheets are not available OJ' are not substantially complete at slIch timel
FACILITY shall designate a liaison who will be responsible for obtaining and forwarding face sheets for the
PROVIDER upon request.
Final 2013
The pmiies herein mutually agree that in the event that FACILITY'S billing procedures andlor files will allow
PROVIDERS accesS to the patient database in such manner that is acceptable to both the FACILITY and
PROVIDER.
D. Good Faith
FACILITY agrees to act in good faith at all times in performing its obligations and implementing the provisions of
this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda.
E. Patient Tracking
FACILITY agrees to provide reasonable assistance to PROVIDER in the completion of PROVIDER'S authorization
or utilization forms, as appropriate, and to provide access to ti.ee sheets in accordance with Section II(D) above,
Ill, INSURANCE
PROVIDER shall, at no cost to or expense to FACILITY, cany a policy or policies ofprofeS5ionalliability insurance,
comprehensive general insurance, and medical malpractice insurance issued by an insurance calTier.
IV, COMPENSATION
A. Except as provided for in this AGREEMENT, neither FACILITY nor PROVIDER shall charge the other for
services provider pursuant to this AGREEMENT, without mutual assent.
B. The rate schedule in ADDENDUM A herein shall represent PROVIDER'S full compensation for services provided
under this AGREEMENT. Such charges must, at all times, comply with applicable laws, rules and regulations,
V, TERMINATION OR AMENJ)MENT AS THE RESULT OF GOVERNMENTAL REGULATIONS
FACILITY and PROVIDER shall each have the right to terminate or unilaterally amend this AGREEMENT, without
liability, in order to comply with any order issued by any federai or state depatiment, agency or commission, or any provision
oflaw or of the .lCAHO 01' other accreditation organization which invalidates or is inconsistent with the terms of this
AGREEMENT or which would cause one of the pmiies to be in violation of law. In the event FACILITY or PROVIDER is
required to amend this AGREEMENT pursuant to this Section and the amendment is unacceptable to the other party, such
party may choose to terminate this AGREEMENT immediately without liability.
VI. Term
A. Term and Termina.ion
Subject to eneh party's right of termination as set forth in the preceding paragraph and below, this AGREEMENT
shall be for a tcrm of one year commencing at midnight on 01/01/2013 and terminating at midnight on.
12/31/2013(hereinatIer reterred to as "INITIAL TERM").
1. FACILITY or PROVIDER may mutually agree to terminate this AGREEMENT in writing, with or without
cause upon 30 days written notice; or
2. Except as provided for elsewhere in this AGREEMENT, with cause by either party upon default by the
other patiy of any material term, covenant or condition of this AGREEMENT, where such default
continues for a period of (30) days atIer the defaulting party receives written notice thereof from the other
party specifying the existence of defnult: or
3 Immediately if PROVIDER fails to maintain licensure as required in Section I, Paragraph G (ii) or (Iii)
herein, or t11ils to maintain insurance as required in Section III herein.
Final 2013
B. Re-negotiation
During the sixty (60) day period or prior to the end of the INITIAL TERM or any RENEWAL TERM, this
AGREEMENT shall be subject to the review by the parties. During this 60-day period, the parties agree to use their
best effOlts to meet together at mutually agreeable times to review and if appropriate to re-negotiate the terms of this
AGREEMENT. IUhe parties agree to modify this AGREEMENT, such modifications shall be in writing and
executed in accordance with Section XVII here of.
VII, FORCE MAJEURE
Provider shall be excused from performance under this AGREEMENT if for any period PROVIDER is prevented from
performing any obligatinns pursuant hereto, in whole or in patt, as a result of an Act of God, war, civil disturbance,
catastrophe, court ordel'~ labor dispute or cause beyond its reasonable control, including shortages or fluctuations in electrical
power, heat, light, air conditioning or fuel shortages, and such non.perfonnance shall not be a ground for tennination or
default.
PROVIDER will use its reasonable efforts under such circumstance to ensure that altemate services be made available should
any of these conditions arise. In the event PROVIDER cannot obtain alternate services, FACILITY may exercise its right to
contract temporarily with another service until PROVIDER is once again able to meet the needs of FACILITY.
VlII, AREAS OF SEVICE
PROVIDER will provide the services described herein to FACILITY anywhere within Calhoun and adjacent surrounding
Counties and any other areas within the State of Texas up to 150 miles, as mutually agreed upon by both patties hereto,
IX, INDEPENDENT CONTRACTOR
The relationship between the patties shall at all times be that of an independent contractor. No provision of this
AGREEMENT is intended to, or shall be construed to, render one patty an agent, employee, servant, or partner of the other.
Neither party shall represent to any third patty or entity that is authorized to enter into any conn'act for or on behalf of the
other party. Neither party shall execute any eontract for or on the behalf of the other, nor attempt to bind the other to any
obligation, without the other party's written consent. FACILITY and PROVIDER shall not combine their business
operations in any way, but instead shall maintain their operations as separate and distinct entities.
PROVIDER'S employees shall not have any claim under this AGREEMENT or otherwise F AClLlTY for vacation pay, sick
leave, retirement benetlts~ Social Security! worker's compensations, disability or unemployment insurance benefits of any
kind. PROVIDER'S employees shall not be entitled to any rights or privileges established for employees ofFACILlTY, such
as vacation, sick leave, paid holidays, or severance pay upon termination of this AGREEMENT.
F ACILlTY shall neither have nor exercise any control or direction over the method by which PROVIDER performs its work
or functions; the sole interest and responsibility of FACILITY is to assure that their services contemplated by this
AGREEMENT will be performed in accordance with the terms hereof.
X, SUCCESSORS ANI) ASSIGNS
FACILITY and PROVIDER shall have the right to assign this AGREEMENT and to delegate all rights, duties and
obligations hereunder! whether in whole or part, to any parent, affiliate! successor or subsidiary organization or company of
FACILITY or PROVIDER only with consent of other party, which consent shall not be unreasonably withheld. Subject to
.the foregoing, this AGREEMENT shall he binding upon the parties hereto and their successors and assigns.
Final 2013
XI. PREFEHRED STATUS
FACILITY and PROVIDER agree and acknowledge Ihat in order-[or PROVIDER to PROVIDE the most timely, efficient
and responsive inter-facility ambulance transportation services, and for PROVIDER and FACILITY to provide the safest and
most efficient care, that the inter-facility ambulance transpmiation services under this AGREEMENT shall be on the
preferred basis as sel fmih here in. Except as set for herein, Ihe inter-facility ambulance transportation services provided by
PROVIDER hereunder are provided on a prefened basis and FACILITY agrees not to contract with any other companies,
organizations or agencies for such services during the telm ofthis AGREEMENT. This preferred status shall not apply if
this patient, the patient's guardian, third party payor, or the attending physician requests another ambulance service.
XII, FIRST RIGHT OF REFUSAL
In the event FACILITY desires to evaluate or implement developing a system for critical care ground transportation services,
wheelchair transportation service, or other programs relating to ambulance ground transportation services, then FACILITY
shall give PROVIDER written notice of such desire. Following snch notice, FACILITY and PROVIDER agree to negotiate
for a period of30 days, on a preferred basis, for PROVIDER to perform snch services for FACILITY and its patients.
XIII, NOTICES
Any notice reqnired to be given pursuant to the terms and provisions hereof shall be in writing and shall be sent celiified or
registered mail or by hand delivery to the parties at the addresses set forth below or to such address which a party may
designate by notice.
PROVIDER:
Calhoun County
Emergency Medical Services
705 County Road 101
POIi Lavaca, Texas 77979
FACILlTY;
Memorial Medical Center
815 N, Virginia Su'eet
Port Lavaca. Texas 77979
Either party may change its address to which notices are sent by a notice similarly sent.
XIV. SEVERABILITY
In the event that any part, term of provision of this AGREEMENT is, by any arbitrator or court of competent jurisdiction,
held to be illegal, unconscionable, in conflict with any law of state where enforcement of this AGREEMENT is sought, or
any public policy thereot; the validity of the remaining portion or provisions shan be construed and enforced as if the
AGREEMENT did not contain the particular part, term or provision to be invalid.
XV, CONTROLLING LAW
The interpretation and enforcement of this AGREEMENT shall be consislent with the laws of the State of Texas. In addition,
the parties agree that if any legal action is commenced for enforcement of any term of provision of, or arising under or related
to, this AGREEMENT, said action shall be preferably commenced on the state or federal courts located within the State of
Texas, and the parties consent to the jurisdiction and venne of such courts.
XVI. MODIFICATION
This AGREEMENT constitutes the entire understanding of the parties hereto and no changes, amendments, or alterations
shall be effective unless signed by both parties. That is, any increase or decrease in services must be mntually agreed upon in
writing.
Final 2013
XVII, COMPLETE AGREEMENT
This AGREEMENT contains the complete AGREEMENT concerning the subject matter ofthis AGREEMENT between the
palties and shall as of the effective date hereof, supersede all agreements between the patties peltaining to the same subject
matter,
The parties stipulate that neither of them has made any representation with respect to the subject matter of this
AGREEMENT, except as set forth herein. The parties further acknowledge that any statement or representation that may
have heretofore been made by either party to the other is of no effect, and that neither of them has relied thereon on
connection with its dealings with the other.
XVIII, EXECUTION OF ADDITIONAL INSTRUMENTS
Each party shall at any time, and fi'om time to time, at the other's request execute, acknowledge and deliver any reasonable
instruction, instrument or acknowledgment that may be necessary or proper to carry out the provision s and intent of this
AGREEMENT.
XIX, WAIVER AND SURVIV AL
The failure of either patty to insist upon strict compliance by the other with respect to any of the terms and conditions of this
AGREEMENT shall not be eonstrned as a waiver, nor shall such course of action deprive snch party of the right thereafter to
require strict adherence to the terms and provisions of this AGREEMENT.
XX, NON.DlSCLOSURE
FACILITY and PROVIDER agree to treat the pricing contained within this AGREEMENT as CONFIDENTIAL
INFORMATION atld as PROVIDER'S CONFIDENTIAL INFORMATION pursuant to the provisions of Section XXlIl.
XXI. NO INFLUENCE ON REFERRALS
It is not the intent of either the FACILITY or PROVIDER of this AGREEMENT that any remuneration, benefit or privilege
provided for under this AGREEMENT shall inflnence or in any way be based on the referral or recommended referral by
either party or patients to the other party or its affiliated providers, if any, or the purchasing, leasing, or ordering of any
services other that specinc services described in this AGREEMENT, Any payments specified in this AGREEMENT are
consistent with what the palties reasonably believe to be fair market value for the services provided.
XXII, THIRD PARTY BENEFICIARY
The parties to this AGREEMENT do not intend to confer any benefits hereunder n any person or other legal entity other that
the parties hereto, including without limitation any patients of PROVIDER or FACILITY, and no third-party beneficiary
rights are intended to be created hereby.
XXIII, NAME OR TRADEMARK
Nothing contained herein shall confer upon either patty hereto a license to use, or ownership of (i) the name of the other party
hereto or any name under which a party operates, or (i1) any trade name, service mark or trademark owned by such party,
XXIV, THIRD PARTY PAYOR CONTRACTS
PROVIDER will cooperate with FACILITY with respect to all programs established between FACILITY and health
maintenance organizutions, exclusive provider organizations and other managed care programs.
Final 20 I 3
XXV, NOTICE OF LITIGATION
PROVIDER and FACILITY shall promptly notifY the other in the event that any party learns of any threatened or actual
litigation in which it is a party defendant in a case which involves serviced provided under this AGREEMENT. Within five
(5) calendar days after being served with a summons, complaint or other pleading which has been filed in any federal or state
court or with any administrative or regulatory agency or after receiving notice ofthreatened litigation, the party so served or
notified shall deliver copies of such document(s) to the other party.
XXVI. HEADINGS AND CAPTIONS
The headings and captions used in this AGREEMENT are for the convenience of reference only, and to not for a part ofthis
AGREEMENT.
XIX, BINDING EFFECT
The parties agree that this AGREEMENT shall not be binding upon either party unless and until it is executed by an
anthorized representative of each party. FACILITY and PROVIDER represent that their representative signatory, whose
signature appears below, has been and is, as of the date first written above, duly authorized by all necessary, appropriate and
applicable corporate legal action to execute this agreement.
XXVII. AGREEMENT READ AND UNDERSTOOD
The parties hereto have read and understand this entire instrument and acknowledge that they both have had competent legal
counsel available to them in their review and execution of said AGREEMENT,
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT Effective 01/01/2013.
FACILlT\ 11 I
BY:__~_______
Title: Administrator
PROVIDER
BY:~vIwt{}~
Title: Calhoun County Judge
Date:
1 ! ~,S,"!1
Date:~ - 11-/ ~ 17----"
Final 2013
ADDENDUM A
COMPENSATON SCHEDULE AND BILLING PRACTICES
1. A. Provider will bill its customaJY rates pursuant to this AGREEMENT.
B. Where patients have third party coverage, inclnding Medicare, Medicaid, and private insurance, PROVIDER
will bill said insurance and accept as payments in full the amounts allowed by said third party coverage, In such
cases, patients will only be billed for:
(a) their co-insurance and deductible as determined by their third party coverage or where mandated by
federal or local government: and
(b) any services which said third party insurer determines are not covered by the terms of the patient's
policy.
C. Where patients have no third party coverage, PROVIDER will bill the patients directly. In the event the patient
refuses to pay for provider service, the FACILITY will be responsible for payment.
D. FACILITY will only be responsible lor ambulance services which:
(a) are pre.approved and authorized by FACILITY (a request for ambulance transport by a hospital
employee, will be considered as pre-approved and authorized by the FACILITY)
(b) where FACILITY is legally responsible
(c) where transport is requested by the FACILITY because patient has no other means of IT an sport at ion or
payment.
II. For Ground Transports that are the legal responsibility of the FACILITY, the FACILITY will pay:
Transports within the Calhoun and Surrounding Counties fi'om one (l) through one hundred fifty
150 miles:
Current Rate Contract Rate 12 Contract Rate 13
BLS Non-emergency Base Rate: 440.24
251.00
263,00
8.60
Mileage per Loaded Mile: 13.35
8,19
This payment schedule will be all inclusive of supplies and equipment and accepted as payment in full for any and
all transports that are the legal responsibility of the FACILITY or third party. Payment shall be received as defmed
in section IV. It is understood that these patients shall meet the existiug Medicare guidelines for medical necessity
for ambulance transportation and have the Certification of Medical Necessity completed by the facility for the
Provider, It is also understood, that for all non-emergency ambnlance services where Medicaid is the primary payor,
a Prior Authorization number will be obtained by the FACILITY.
ill. PROVIDER guarantees that the above contracted rates shall be effective tor the duration this AGREEMENT.
Thereafter, the rates shall be evaluated upon renewal of said AGREEMENT.
IV. PROVIDER shall submit invoices to FACILITY on a per call basis for the services provided under the
AGREEMENT.
Kenneth W. Finster
County Commissioner
County of Calhoun
Precinct 4
December 5, 2012
Honorable Michael Pfeifer
Calhoun County Judge
211 S, Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Connnissioner's Court Agenda for December 13, 2012.
o Discuss and take necessary action on Public Hearing for Petition to Vacate Lots
1,2,10,11, and 12 - Block 151 in Port O'Connor, Texas,
Sincerely,
~w,k
Kenneth W, Finster
KWF/at
P.O, Box 177. Seadrift, TX 77983' email: kenny,linster@calhouncotx,org' (361) 785-3141' Fax (361) 785-5602
PUBLIC HEARING ON PETITION TO VACATE LOTS 1, 2, 10, 11 AND 12 BLOCK 151 IN PORT
O'CONNOR, TEXAS:
The Public Hearing began at 10:02 A,M.
Jodi Weaver:
RV Park is located on Lots 1 and 2 and Lots 10, 11 and 12, Block 151 will be re-platted as follows:
Lots 1 and 2 will become Lot A
Lots 10, 11 and 12 will become Lot B
This is the preliminary plat that was proposed at the November 19, 2012 meeting, The final plat will be
presented at the December 27, 2012 meeting.
There were no comments from the public,
The Public Hearing ended at 10:04 A,M.
PETITION TO VACATE
Lots 1, 2,10,11 and 12, Block 151
Port O'Connor Townsite, Calhoun County, Texas
STATE OF TEXAS
COUNTY OF CALHOUN
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, being the designated agent of the owner of the property described as
Lots 1, 2, 10, 11 and 12, Block 151, Port O'Connor Townsite as recorded in Volume 2, Page
01 of the Deed Records of Calhoun County, Texas, do hereby petition the Calhoun County
Commissioners Court to vacate said Lots 1, 2,10,11 and 12, Block 151 in accordance with
Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park
Regulations adopted by Calhoun County Commissioners Court on November 29, 2004 and
Amended on December 13, 2007.
The property is proposed to be replatted in accordance with a plat submitted to the Calhoun
County Commissioners Court,
The petition will be considered by the Calhoun County Commissioners Court on Thursday,
December 13, 2012 at 10:00 a.m,
Designated Agent:
oAnna p, Weaver, P.E.
G & W Engineers, Inc,
205 W, Live Oak
Port Lavaca, TX 77979
(361) 552-4509
Vern Lyssy
Calhoun County Commissioner, Precinct #2
5812 PM 1090
Port Lavaca, TX 77979
(361) 552-9656
Pax (361) 553-6664
December 3, 2012
The Honorable Mike Pfeifer
Calhoun County Judge
211 S. Ann Street
POli Lavaca, Texas 77979
Re: Agenda Item for Next Commissioners' COUli Meeting
Dear Judge,
Please place the following matter on the agenda for the next meeting:
"Consider and take necessary action to enter into an agreement with U.S.
Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife
Services and others for wildlife damage management and predatory control; and
authorize the county judge to sign,"
The contract is enclosed.
Thank you in advance for your attention to this matter.
Sincerely,
()~
Vel'll Lyssy
VLlrm
Encl: as stated
AGREEMENT WITH THE U.S. DEPARTMENT OF AGRICULTURE, ANIMAL AND PLANT HEALTH
INSPECTION SERVICE, WILDLIFE SERVICES AND OTHERS FOR WILDLIFE DAMAGE MANAGEMENT
AND PREDATORY CONTROL AND AUTHORIZE COUNTY JUDGE TO SIGN:
The agreement is for predator control also known as the "Trapping Program",
Judge Pfiefer:
It is the same agreement that has been done in the past,
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
AI!'XAS A&M
I\.GRILIFE
EXTENSION
WilDLIFE SERVICES
November 29,2012
Honorable Judge Michael J, Pfeifer
Calhoun County 211 S, Ann Street, Ste, 301
Port Lavaca, Texas 77979
Dear Honorable Judge Pfeifer:
Enclosed is a new field agreement for predator control (Trapping Program), Please
sign all copies and return them to me, I will return your copy after it is signed by
the State Director. We look forward to working in Calhoun County,
Sincerely,
-=--.-:J ~ '
~ '\ A
t.., i''i ( r \ /
\), . .':Uikdl..))<tIY2v v:.J--.
Deborah Erskine
District Office Manager
979-845-6201
USDA-APHIS- Wildlife Services
Texas AgriLife Extension - Wildlife Services
P.O. Box 604
Bryan, TX 77806
deborah, w, erskine(alaphis, usda, gov
College Station District Office
Street Address:
Riverside Campus
3100 State Hwy 47
Bldg. 4431. Rm. 225
Bryan. TX 77807
Tel. 979.845.6201
Fax. 979.845.6203
Mailing Address:
P.O. Box 604
Bryan. TX 77806
Educational programs of the Texas A&M AgrlUfe Extension are open to all people without regard to race, color, sex, disability, religion, age, or national origin.
The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating.
Wildlife SelVlces is a program of Texas A&M AgriUfe Extension cooperating with the United States Department of Agriculture,
Jln;m<ll <Inri PI:,"! I-IA:<lfh 1n.<:nAr./inn S~Arvlr.p. _ Wildlife SeNlces
~XAS A&M
f\GRILIFE
EXTENSION
WILDLIFE SERVICES
January 17,2013
Honorable Judge Michael Pfeifer
Calhoun County
211 S, Ann St, Ste, 301
Port Lavaca, Texas 77979
Honorable Judge Pfeifer:
I am returning a copy of the new field agreement for predatory animal control. We
look forward to working in Calhoun County.
Sincerely,
~Ol~~~
Deborah Erskine
District Office Manager
College Station District
Texas Wildlife Services
debora h ,w ,erskine@aphis,usda,aov
Enclosure
College Station District Office
Street Address:
Riverside Campus
3100 Stale Hwy 47
Bldg. 4431, Rm. 225
Bryan. TX 77807
Tel. 979.845.6201
Fax. 979.845.6203
Mailing Address:
P.O. Box 604
Bryan. TX 77806
Educational programs offhe Texas A&M AgriLite Extension are open to all people without regard to race, color, sex, disability, religion, age, or national origin.
The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating.
Wildlife Services Is a program of Texas A&M AgriUfe Extension cooperating with the United States Department of Agriculture,
11"/",,,,1 "nri Pbnf 1-/",:>llh 1n.<:nFU,:finn SeNice - Wildlife Services
MF.6
(06/2008)
lU\r~
,,.'\
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\1' (..
~f)5 l'vl lIS crtDtp
Agreement No.
FIELD AGREEMENT
Among
U.s. Department of Agriculture, Animal and Plant Health Inspection Service,
Wildlife Services
and
Texas AgriLife Extension Service - Wildlife Services
and
Texas Wildlife Damage Management Association, Inc,
and
('Alhrnm f'Al1mty
Cooperator
In accordance with the terms of the Memorandum of Understanding between the\United States Department of Agriculture, Animal
and Plant Health Inspection Service, Wildlife Services; The Texas A&M Univet~ity System, Texas AgriLife Extension Service -
Wildlife Services; and the Texas Wildlife Damage Management Association, Inc. (collectively known as the Texas Wildlife
Services Program [TWSP]) a copy of which is on file at the State Office, San Antonio, Texas, this field agreement is intended to
augment the wildlife damage management activities of the TWSP.
THEREFORE, It Is Mutually Agreed That:
1. The cooperative wildlife damage management program conducted under the terms of this agreement shall be under direct
supervision of the U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services. A local
representative of the TWSP will frequently consult with the Cooperator relative to the extent of the TWSP's participation
in the plans and procedures that are necessary to best serve the interest of the parties hereto.
2. The Cooperator will provide funds to the Texas Wildlife Damage Management Fund for the employment of personnel,
fringe benefits, payment of travel and other expenses as necessary to fulfill the mission of the cooperative program. The
TWSP will contribute to the salary, travel costs, and all other necessary expenses to carry out an effective program.
3. The State Director of the TWSP or designated official will certify as to the accuracy of all claims to be paid by any party
to this agreement and shall perform such other administrative functions as are agreed upon from time to time; provided,
that no funds of the Cooperator will be transferred to any such employee working under the terms of this agreement.
4. Authority exists uuder the Animal Damage Control Act of March 2, 1931, (7 UOS.C. 426.426c, as amended) and the Rural
Development, Agriculture, and Related Agencies Appropriations Act of 1988 (P.L. 100-202) for Wildlife Services to
cooperate with states, individuals, public and private agencies, organizations, and institutions in the control of nuisance
animals injurious to agriculture, horticulture, forestry, animal husbandry, wildlife, and public health and safety.
5. The TWSP will hold the Cooperator harmless from any liability arising from the negligent act or omission of an officer of
a managing cooperative entity or employee acting within the scope of his/her employment to the extent compensation is
available pursuant to the Federal Tort Claims Act (FTCA), 28 USC 2671 et. seq., except to the extent that aforesaid
liability arises from the negligent acts or omissions of the Cooperator, their employees, agents, or subcontractor(s). Such
relief shall be provided pursuant to the procedures set forth in the FTCA and applicable regulations.
6. Furs or other parts of monetary value taken from wild animals will be handled in accordance with the provision of Article
3 f. of the Memorandum ofUnderstandiIig:-
7. This agreement and any continuation thereof shall be contingent upon availability of funds. It is understood and agreed
that any monies allocated for the purpose of this agreement shall be expended in accordance with its terms and in the
manner prescribed by the fiscal regulations and/or administrative policies of the appropriate managing cooperative entity
that is making the funds available.
8. This agreement shall continue in force and effect until superseded or terminated. Terms and service fees may be reviewed
and revised periodically. It may be amended by mutual agreement by executing a corresponding field agreement. This
agreement may be terminated by either party upon thirty (30) days written notice.
NOW, THEREFORE, Pursuant To Scction 2 Above, It Is Mutually Agreed That:
1. The TWSP shall furnish supervision of the project and shall provide equipment and other supplies required in the
operation of the project.
2. The Cooperator shall pay the Texas Wildlife Damage Management Fund for wildlife damage management services in the
amount of$?{)l.m Her TlA;y I Not '1'0 RvrPP<1 $l'Xm.m for the period:
(monthly, annually)
JFr"mlPr 1., 7m2
purposes outlined herein:
to
Novf'<llhF!r ?fl, ?On
to be spent primarily for the
\olildlife L\3rrRg", ~tlMgt"!lPllt and Predatory O:mtrol
The Cooperator further agrees to make this payment to the Texas Wildlife Damage Management Fund promptly upon receipt of a monthly
invoice for services provided. The TWSP will provide a report of the wildlife damage management activities. Failure of the Cooperator to
make this contribution within thirty (30) days after receipt of this invoice will, at the option of the TWSP, terminate the agreement at the
end of the period.
IN WITNESS WHEREOF, the duly authorized officers of the parties hereto have executed this agreement on the dates opposite their
respective signatures.
#~/h4A /1/\1' . ~'f:
1/1
I
...;JfJ I."::
;/PI>
By
By
By
COOPERATOR
REAL ESTATE LEASE WITH JUDGE PEGGY DWORACZYK AND AUTHORIZE COUNTY JUDGE TO SIGN:
Judge Pfiefer:
Mrs, Dworaczyk has been out of town and has not had a chance to review the contract.
This item was passed and to be put on the next agenda,
DESIGNATE THE LOCATION FOR PRIVATE FORECLOSURE SALES ON THE FIRST TUESDAY OF EACH
MONTH, AT ANYTIME THE COURTHOUSE IS CLOSED, TO BE THE SIDEWALK IN FRONT OF THE
COURTHOUSE FACING ANN STREET, IN PORT LAVACA, CALHOUN COUNTY, TEXAS:
Pursuant to Section 51.002 of the Texas Property Code requiring real property sales take place at a location at
the Courthouse, the Commissioners Court designates the foyer of the courthouse facing Ann Street on the first
Tuesday of the month unless such day falls during an election at which time the location shall be at the end of
the hall outside the Sheriff's Office and should such day fall on a day when the courthouse is closed, the location
shall be the sidewalk in front of the courthouse for holding foreclosure sales after December 13, 2012.
Judge Pfiefer:
Due to the fact that the first Tuesday of the month of January falls on the 1 ,t and the courthouse will be closed
and the sales have to sell at the designated area so another location area for foreclosure sales needs to be
deslg nated.
A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to designate the following
locations of foreclosure sales: the foyer of the Courthouse on the first Tuesday of the month; the end of the
hallway by the Sheriff's Office during elections; and the sidewalk in front of the Courthouse when closed.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B
PORT LA V ACA, TEXAS 77979
(361) 553-4610
MEMORANDUM JI
TO: JUDGE PFEIFER & SUSAN RILEY
COUNTY JUDGE'S OFFICE
FROM: AUDITORS OFFICE ~ PEGGY HALL
DATE: December 6,2012
RE: AGENDA ITEM - DECEMBER 13, 2012
AGENDA ITEM
THURSDAY, DECEMBER 13, 2012
.. Consider and take necessary action to approve immediate payment by the Treasurer's
office to Voyager Fleet Services, Inc, for fuel for all departments, Payment will be
made by the Treasurer's office once the Auditor's office has been provided with and
approved all documentation from each department. (CM)
APPROVE IMMEDIATE PAYMENT BY THE TREASURER'S OFFICE TO VOYAGER FLEET SERVICES, INC.
FOR FUEL FOR ALL DEPARTMENTS. PAYMENT WILL BE MADE BY THE TREASURER'S OFFICE ONCE
THE AUDITOR'S OFFICE HAS BEEN PROVIDED WITH AND APPROVED ALL DOCUMENTATION FROM
EACH DEPARTMENT:
Cindy Mueller:
In order to keep the fuel cards from being cut off for EMS and the Sheriff's Office because of late payments or
having reached credit limits, requesting that after the Auditor's office has received the necessary documentation
from the departments and been checked that the Treasurer's office pay these bills immediately, If the required
documents
Commissioner Lyssy:
If the documentation is not received by the Auditor's office, that will hold up the payment?
Cindy Mueller:
Yes, but only for those departments that did not turn in the documentation. All departments that turned in the
card information will be paid.
A Motion to approve immediate payment of Voyager Fleet Services, Inc. by the Treasurer's Office was made by
Commissioner Finster and seconded by Commissioner Fritsch.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
RESOLUTION PROVIDING FOR THE SALE OF PROPERTY ACQUIRED BY THE COUNTY OF CALHOUN
AT DELINQUENT TAX SALE. PROPERTY IS LOT 73, THE SACTUARY SUBDIVISION, PHASE 1, PORT
O'CONNOR, TEXAS:
A Motion to approve the resolution providing for the sale of Lot 73, The Sanctuary Subdivision, Phase 1, Port
O'Connor, Texas, acquired by the County at delinquent tax sale was made by Commissioner Finster and
seconded by Commissioner Lyssy,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
RESOLUTION PROVIDING FOR THE SALE
OF PROPERTY ACQUIRED BY THE COUNTY OF CALHOUN
AT DELINQUENT TAX SALE
WHEREAS, Lot 73, The Sanctuary Subdivision, Phase I, City of Port O'Connor, Calhoun
County recorded in Instrustment # 105282 of the Official Public Records of Calhoun County,
Texas (Account #73827), was offered for sale by the Sheriff of CaIhonn County, Texas at a
public auction pursuant to a judgment of foreclosure for delinquent taxes by the District Court;
Cause No 2012-3-6058; Calhoun County et al vs. LEM Asset Holdings, LLC and
WHEREAS, no sufficient bid was received and the property was struck off to the County of
Calhoun, Texas, for the use and benefit of itself and City of Port Lavaca, Calhoun County
Independent School District, pursuant to TEX, PROP, TAX CODE S34,OI(j); and
WHEREAS, TEX, PROP, TAX CODE S34,05(a), (h) and (i) provide that a taxing unit may accept
a sufficient bid, A bid of TWO THOUSAND FIVE HUNDRED EIGHTY THREE AND No
HUNDREDTHS DOLLARS ($2,583,00) having been received from LEM Asset Holdings, LLC
would be a sufficient bid for this property;
THEREFORE, BE IT HEREBY RESOLVED by the County of Calhoun that the County Judge is
hereby authorized to convey Lot 73, The Sanctuary Subdivision, Phase 1, City of Port O'Connor,
Calhoun County recorded in Instrustment #105282 of the Official Public Records of Calhoun
County, Texas (Account #73827) for the sum of TWO THOUSAND FIVE HUNDRED EIGHTY
THREE AND No HUNDREDTHS DOLLARS ($2,583.00) payable to the Calhoun County Appraisal
District for distribution as provided by law and to execute a deed to LEM Asset Holdings, LLC,
PASSED, ApPROVED AND ADOPTED THIS 2 day of D ~ c..-e'1" be.. , 2012,
Commissioner, Precinct 2
e I E, Fritsch, coun,t~.CO?SiOner, Precinct 3
~ 'Z.
. lV,' ~
Kenneth Finster, County Commissioner, Precinct 4
TAX RESALE DEED REGARDING LOT 73, THE SANCTUARY SUBDIVISION, PHASE 1, PORT
O'CONNOR, TEXAS AND AUTHORIZE COUNTY JUDGE TO SIGN:
A Motion to approve the tax resale deed regarding Lot 73, The Sanctuary Subdivision, Phase 1, Port O'Connor,
Texas and authorize the County Judge to sign was made by Commissioner Finster and seconded by
Commissioner Galvan,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
TAX RESALE DEED
NOTICE OF CONFIDENTIALITY RIGHTS: 1F YOU ARE A NATURAL PERSON, YOU
MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS
INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR
SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER,
DATE: October 2,2012
GRANTOR: County of Calhoun, in trust for the use and benefit of itself and the City of Port
Lavaca and Calhoun Independent School District
GRANTOR'S MAILING ADDRESS: 426 W, Main, Port Lavaca, Texas, 77979
GRANTEE: LEM Asset Holdings, LLC
GRANTEE'S MAILING ADDRESS: 3611 Fruth St., Austin, Texas 78705
CONSIDERATION: Two Thousand Five Hundred Eighty Three Dollars ($2,583.00)
PROPERTY: Lot 73, The Sanctuary Subdivision, Phase 1, City of Port O'Connor, Calhoun
County, Texas being that property more particularly described in Instrument #105282 of the
Official Public Records, Calhoun County, Texas (Account #73827),
TAX FORECLOSURE LAWSUIT: Cause No, 2012-3-6058; Calhoun County Appraisal
District v, John Menchaca et al.
GRANTOR, for and in consideration of the amount set out above, and subject to the
reservations from and exceptions to conveyance, and other good and valuable consideration paid
by the GRANTEE, the receipt and sufficiency of which are acknowledged by GRANTOR, has
GRANTED, SOLD AND CONVEYED, and by these presents does GRANT, SELL AND
CONVEY to the GRANTEE all of the right, title and interest, of GRANTOR in the PROPERTY
acquired by the tax foreclosure sale held under the TAX FORECLOSURE LAWSUIT
referenced above,
TO HAVE AND TO HOLD all of its right, title and interest in and to the PROPERTY unto
the said GRANTEE, the GRANTEE'S successors and assigns forever without warranty of any
kind, so that neither the GRANTOR, nor any person claiming under it and them, shall at any
time hereafter have, claim or demand any right or title to the PROPERTY, premises or
appurtenances, or any part thereof.
GRANTOR excludes and excepts any warranties, express or implied, regarding the
PROPERTY, including, without limitation, any warranties arising by cornmon law or Section
5,023 ofthe Texas Property Code or its successor,
GRANTOR has not made, and does not make any representations, warranties or covenants of
any kind or character whatsoever, whether express or implied, with respect to the quality or
condition of the PROPERTY, the suitability ofthe PROPERTY for any and all activities and
uses which GRANTEE may conduct thereon, compliance by the PROPERTY with any laws,
rules, ordinances or regulations of any applicable governmental authority or habitability,
merchantability or fitness for a particular purpose, and specifically, GRANTOR does not make
any representations regarding hazardous waste, as defined by the Texas Solid Waste Disposal
Act and the regulations adopted thereunder, or the U,S. Environmental Protection Agency
regulations, or the disposal of any hazardous or toxic substances in or on the property,
The PROPERTY is hereby sold, transferred, and assigned to GRANTEE "as is" and "with all
faults" ,
This conveyance is expressly made subject to property taxes for the tax year 2012 and
subsequent years,
This conveyance is expressly subject to any existing right or redemption remaining to the
former owner of the PROPERTY under the provisions of law,
This conveyance is expressly subject to all easements and restrictions of record,
When the context requires, singular nouns and pronouns include the plural.
IN TESTIMONY WHEREOF the GRANTOR, pursuant to Section 34,05 of the Texas
Property Tax Code, has caused these presents to be executed on the date set forth in the
acknowledgement attached hereto, to be effective as of DATE.
County of Calhoun
~
C,A ~ a
Mi nae 1. Pfeife~C~Udge
THE STATE OF TEXAS
~
~
~
COUNTY OF CALHOUN
Before me, the undersigned authority on this day personally appeared Michael J, Pfeifer,
County Judge of County of Calhoun, known to me to be the person whose name is subscribed to
the foregoing document and acknowledged to me that he executed the same for the purposes and
consideration therein expressed,
GiVEN UNDER MY HAND AND SEAL OF OFFICE this the 13th day of December, 2012"
..\\\\:S~::"" SUSAN RllEV
l.:t.:K:;.<:>; Notary Public, State of .Texas
i \.~~: E My Commission Expires
\~~...\~fl ApTU 18.2016
""I~I?'~\\\\'\
-~~ rL8=J
Notary Public, State of Texas
My Commission expires: ~l ~ _ '20 r 1.0
Kenneth W.. Finster
County Commissioner
County of Calhoun
Precinct 4
November 28,2012
Honorable Michael Pfeifer
Calhoun County Judge
211 S, Ann
Port Lavaca, TX 77979
RE: AGENDA ITEM
Dear Judge Pfeifer:
Please place the following item on the Commissioner's Court Agenda for December 13, 2012.
.. Discuss and take necessary action to approve the Trade In of a 2009 Chevrolet
Pickup, valued at $12,500, for the purchase ofa 2012 Ford F150 Pickup,
VIN94798, and approve removing the 2009 Chevrolet Pickup (Asset #24-0390)
fi'om inventory.
Sincerely,
~w.J~
Kenneth W, Finster
KWF/at
P,O, Box 177. Seadrift, TX 77983. email: kenny,t1nster@calhouncotx,org.(361)785.3141 . Fax (361) 785-5602
MEMORANDUM OF UNDERSTANDING BETWEEN THE AMERICAN RED CROSS AND CALHOUN
COUNTY AND AUTHORIZE COUNTY JUDGE TO SIGN:
A Motion to approve the Memorandum of Understanding between the American Red Cross and Calhoun County
and authorize the County Judge to sign was made by Commissioner Lyssy and seconded by Commissioner
Fritsch,
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor,
TRADE IN OF A 2009 CHEVROLET PICKUP VALUED AT $12,500 FOR THE PURCHASE OF A 2012
FORD F150 PICKUP, VIN94798, AND APPROVE REMOVING THE 2009 CHEVROLET PICKUP (ASSET
#24-0390) FROM INVENTORY:
A Motion to trade in a 2009 Chevrolet Pickup for the purchase of a 2012 Ford F150 Pickup was made by
Commissioner Galvan and seconded by Commissioner Finster.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Subject:
Chacha Benavides [chacha1@cableone.net]
Wednesday, November 28,201210:30 AM
'Susan Riley'
Agenda Item
Good Morning Susan:
Proceeds of $1,062.50 from the Chamber Auction need to be put in Precinct One Road & Bridge Account at the next
commissioner's court meeting.
We will forward the agenda item.
Thanks,
Chacha
1
AUTHORIZE DEPOSIT OF $1,062.50 PROCEEDS FROM CHAMBER AUCTION INTO PRECINCT ONE
ROAD AND BRIDGE ACCOUNT:
A Motion to authorize the proceeds from the Chamber Auction to be deposited into Precinct One Road and
Bridge Account was made by Commissioner Gaivan and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Memorandum of Understanding
Between
The American Red Cross
and
Calhoun Counnty, Texas
FOR IMMEDIATE RED CROSS ASSISTANCE
24 HOURS A DAY
7 DAYS A WEEK
866-526-8300
I. Purpose
The purpose of this Memorandum of Understanding (MOU) is to define a working relationship between
The American Red Cross (hereinafter Red Cross) and Calhoun Couutv. Texas (hereinafter (Calhoun
County), in preparing for and responding to disaster. This MOU provides the broad framework for
cooperation between the Red Cross and Calhoun County in assisting individuals and families who have
been impacted by disaster and providing other humanitarian services.
II. Parties
A. Calhoun County
Under the authority granted the governing body under Texas Government Code ~ 418 et. Seq., Sec.
418.102 - County Programs:
I. Each county shall maintain an emergency management program or participate in a local or
inter jurisdictional emergency management program that, except as otherwise provided by this
chapter, has jurisdiction over and serves the entire county or inter jurisdictional area.
2. The county program is the first channel through which a municipal corporation or a joint
board shall request assistance when its resources are exceeded. Requests that exceed the county
capability shall be forwarded to the state as prescribed in the state emergency management plan.
B. American Red Cross
1. Services for people affected bv disasters
Founded in 1881, the American Red Cross is the nation's premier emergency response organization. As
part of a worldwide movement that offers neutral and impartial humanitarian care, the American Red Cross
is the community-based organization that mobilizes people to aid victims of disasters with the aim of
preventing and relieving suffering. The Red Cross is closely integrated into community response efforts,
including the efforts of federal, state and local govemment and non-government organizations. Our goal is
to work with all partners to lead a well-integrated, effective and efficient response to every disaster.
The Red Cross provides disaster services without regard to race, color, national origin, religion, gender,
age, disability, sexual orientation, citizenship or veteran status. It follows the Fundamental Principles of
the Intemational Red Cross and Red Crescent Movement.
Following a disaster, whether natural or human-made, the Red Cross may provide some or all of the
following services:
Food, Shelter and Emergency Supplies
During a disaster, our first priority is to ensure that people have a safe place to stay, food, and emergency
supplies. Red Cross works with government and community partners to open shelters where residents will
find comfort with a hot meal, recovery information, and a place to rest. For emergency workers and people
returning to their homes, the Red Cross mobilizes emergency response vehicles from which disaster
workers distribute food, water, and essential clean-up items that might not be immediately available in the
community
American Red Cross/Calhoun County, Texas
2012
2
Welfare Information
Disasters often disrupt regular communication channels and can separate families. Through the Red Cross'
nationwide network of chapters, family members may request welfare information regarding their loved
ones. The Red Cross "Safe and Well" Web site enables people within a disaster area to let their families
and ftiends outside of the affected region know that they are all right. Clients register on Sole and Well at
);'\v,y,redc:mss.orglsafe[lj.ldwelJ . During large-scale disasters, individuals without internet access can call
1-800-RED-CROSS to register.
Client Casework and Recovery Planning and Assistance
Red Cross provides individual client services throngh casework people with disaster-related needs, with
particular attention to those who have experienced significant damage or loss of their homes. This
casework process helps the worker to assess the client's immediate needs, and connect the client with
items, financial assistance and referrals to local resources to meet those needs. The caseworker also
engages the client in a brief planning process which can help identifY action steps for the client to follow in
the first few days or weeks after a disaster. Red Cross caseworkers protect client confidentiality and work
closely with other organizations and groups to ensure clients have access to all available resources.
Disaster Health and Mental Health Services
After an emergency, injuries can ensue, essential prescription medicines lost, and the shock and stress of
sudden loss can overwhelm a person's nonnal coping skills. The Red Cross deploys licensed health and
mental health professionals who are trained and equipped to provide assistance at the time of a disaster.
Disaster health services professionals can provide emergency first aid and medical assessment, triage and
replacement of emergency medications with item distribution, financial assistance or referrals to
community partners. Disaster mental health professionals provide mental health assessments, crisis
intervention and a sympathetic ear to those in need.
2. Services related to the National Response Framework
The American Red Cross is a co-lead for the mass care component of Emergency Support Function #6 of
the National Response Framework. In this role, the Red Cross engages in a variety of activities to support
states in their planning, coordinating and executing of mass care programs and strategies. The Red Cross
also takes a leadership role in working with other non-governmental organizations and private companies
that provide services during a disaster.
3. Organization
The American Red Cross is a single corporation, chartered by the United States Congress to provide
humanitarian services. Its national headquarters, located in Washington, D.C., is responsible for
implementing policies and procedures that govem Red Cross activities and provides administrative and
technical oversight and guidance to the chartered units, which include chapters and blood services regions.
Each chapter has certain authority and responsibility for carrying out Red Cross disaster preparedness and
response activities, delivering local Red Cross services, and meeting corporate obligations within the
territorial jurisdiction assigned to it. Each chapter is familiar with the hazards of the locality and surveys
local resources for personnel, equipment, supplies, transportation, emergency communications, and
facilities available for disaster relief. The chapter also formulates cooperative plans and procedures with
local government agencies and private organizations for relief activities should a disaster occur.
American Red Cross/Calhoun County, Texas
2012
3
Through its nationwide organization, the Red Cross coordinates its total resources for use in large disasters. In
order to provide these services, the Red Cross may call on the Federal, state or local government for assistance
when voluntary contributions are not sufficient to meet community needs.
III. Cooperative Actions
The Red Cross and Calhoun County will coordinate their respective disaster relief activities to maximize
services to the community and avoid duplication of efforts in the following ways:
1. Maintain close coordination, liaison, and support at all levels with conferences, meetings, and
other means of communication. Include a representative of the other party in appropriate
committees, planning groups and task forces formed to mitigate, prepare for, respond to, and
recover ftom disasters and other emergencies. Develop joint Standard Operating Procedures for
notification of disaster and emergency situations.
2. During disasters and emergencies, keep each other informed of the human needs created by the
events and the services they are providing. Share current data regarding disasters, to include
statistical information, historical infonnation, emerging needs and trends, damage assessments,
among others, and disaster declarations, and service delivery.
3. During a disaster or emergency situation the Red Cross will, as appropriate at the request of
Calhoun County, provide liaison personnel to Calhoun County Emergency Operations Center
during a disaster. Calhoun County will provide work space and, whenever possible, other
required support, such as a computer, e-mail access and a designated phone line for the Red Cross
liaison personnel assigned to the Emergency Operations Centers.
4. Calhoun County will facilitate the Red Cross's use of county-owned facilities for shelters and
service delivery sites wherever possible. The terms and conditions of such use will be set forth in
a separate agreement.
5. Work together to develop plans and secure resources to facilitate delivery of services to people
with disabilities and/or functional and access needs during a disaster.
6. Actively participate in reviewing and carrying out responsibilities outlined in the state and local
emergency operations plans.
7. During the time of disaster and readiness, keep the public informed of the parties' cooperative
efforts through the public information offices of the Red Cross and Calhoun County.
8. Calhoun County recognizes that the Red Cross is dependent upon voluntary public financial
donations and will encourage residents to support Red Cross disaster relief with financial
contributions. In accordance with applicable laws and regulations, Calhoun County will support
the Red Cross and work together, as appropriate, to acquire necessary resources and identifY
funding sources that increases the county and Red Cross capacity to respond to disasters and
emergencies.
9. Advocate for programs and public policy/decisions, when appropriate, designed to mitigate
disaster damage and loss of life in Calhoun County.
American Red Cross/Calboun County, Texas
2012
4
10. Encourage state residents to support the needs of hospital patients with blood donations when
appropriate.
II. Actively seek to determine other areas, projects, and services within the Red Cross and Calhoun
County where cooperation and support will be mntually beneficial with jointly defined goals and
objectives.
12. Use or display the name, emblem, or trademarks of the American Red Cross or Calhoun County
only in the case of defined projects and only with the prior express written consent of the other
organization.
13. Make training, educational and other developmental opportunities available to the other party's
personnel and explore joint training and exercises. Encourage all staff and volunteers to engage in
training, exercises, and disaster response activities, as appropriate
14. Explore opportunities for collaboration to provide community, family, and citizen disaster
preparedness within Calhoun County.
15. Allow the use of each other's facilities, as available and if agreed upon in writing, for the purpose
of preparedness training, meetings and response and recovery activities.
16. Widely distribute this MOU within the Red Cross' and Calhoun County depmtments and
administrative offices and urge full cooperation.
17. The ARC will support Calhoun County in integrating the efforts of the non-governmental
organizations (NGOs) that provide mass care services during response operations.
IV. Periodic Review
The parties will, on an annual basis, on or around the anniversary date of this MOU,jointly evaluate their
progress in implementing this MOU and revise and develop new plans or goals as appropriate.
V. Term and Termination.
This MOU is effective as of December 13.2012 It expires on December 12. 2017. Six months prior to
expiration, the parties will meet to review the progress and success of the cooperative effort. In connection
with such review, the parties may decide to extend this MOU for an additional period not exceeding five
years, and if so shall confirm this in a signed writing. This MOU may be terminated by written
notification from either party to the other at any time and for any reason or for no reason.
American Red CrossfCalhoun County, Texas
2012
5
VI. Miscellaneous
This MOD does not create a partnership or ajoillt venture. Neither party has the authority to bind the
other to any obligation. It is not intended that this MOU be enforceable as a matter of law in any court or
dispute resolution forum. The sole remedy for non-performance under this MOU shall be termination,
with no damages or penalty.
Sigllature page follows.
American Red Cross/Calhoun County, Texas
2012
6
Calhoun County. Texas
By: fY\nJ~refl-
Name: Michael J. Pfeifer
Title:
Calhoun County Judge
Date
December 13, 2012
American Red Cross/Calhoun County, Texas
2012
The American Red Cross
By:
Name:
Title:
Date:
7
,vYff{lrnh
Mary . Curry
Executive Director Crossroads
Chapter
/2/6 lid-
/ I'
Susan Riley
From:
Sent:
To:
Subject:
Rita Miller [rita.miller@calhouncotx.org]
Wednesday, December 05,201210:48 AM
'Susan Riley'
RE: Federal surplus
Vern Lyssy
Ronald (Ronny) Best
Rita Miller
From: Susan Riley [mailto:susan.rilev(QIcalhouncotx.oro]
Sent: Wednesday, December 05,201210:18 AM
To: Judge Pfeifer; Kenneth Finster; Neil Fritsch; 'Roger Galvan'; Vern Lyssy
Cc: 'April May'; chacha Benavides; Rita Miller; Sonia Downs
Subject: Federal surplus
Importance: High
Please send me a list of persons you would like to have authorized on the Texas Facilities Commission Federal
Surplus Property Program. I'll put the application on the agenda for December 13th. This must be renewed as
our eligibility expired in July of 2012.
Thank you.
Susan Riley
Administrative Assistant to
Calhoun County Judge Michael J. Pfeifer,
Commissioners' Court, AND
Calhoun County Wellness Coordinator
361-553-4600 Phone
361-553-4444 Fax
1
Is this to view surplus or purchase???
Purchase - Neil E. Fritsch
To be allowed on site and View at their sites-
Nell E. Fritsch
Cleveland Stevens
Joseph Mark Stevens
Any questions, please ask. .
Thank you and have a great day!!
Neil
Neil E. Fritsch
Commissioner
Calhoun County, Precinct 3, and
President,
South Texas County Judges and Commissioners Association
361-893-5346-0ffice
Sent from my iPhone
On Dec 5, 2012, at 10:lS AM, "Susan Riley" <susan.rilev@Jcalhouncotx.org>wrote:
Please send me a list of persons you would like to have authorized
on the Texas Facilities Commission Federal Surplus Property
Program. I'll put the application on the agenda for December
13th. This must be renewed as our eligibility expired in July of
2012.
Thankyou.
Susan Riley
Administrative Assistant to
Calhoun County Judge Michael J. Pfeifer,
Commissioners' Court, AND
Calhoun County Wellness Coordinator
361-SS3-4600 Phone
361-553-4444 Fax
2
TEXAS FACILITIES COMMISSION FEDERAL SURPLUS PROPERTY PROGRAM APPLICATION AND
AUTHORIZE COUNTY JUDGE TO SIGN:
Judge Pfiefer:
All the employees who are listed on the application will need to sign as well.
A Motion approve the Texas Facilities Commission Federal Surplus Property Program application and authorize
the County Judge to sign was made by Commissioner Galvan and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Cc:
Subject:
April Townsend [april.townsend@calhouncotx.org]
Wednesday, December 05,2012 10:40 AM
'Susan Riley'
'April May'; 'chacha Benavides'; 'Rita Miller'; 'Sonia Downs'
RE: [april.may] Federal surplus
From our precinct, please list Kenny Finster and Frank Gerking.
Thanks,
April
From: aoril.may(iilcalhouncotx.ora [mailto:aoril.mav(iilcalhouncotx.org] On Behalf Of Susan Riley
Sent: Wednesday, December 5, 2012 10: 18 AM
To: April Townsend
Cc: 'April May'; chacha Benavides; Rita Miller; Sonia Downs
Subject: [april.may] Federal surplus
Importance: High
Please send me a list of persons you would like to have authorized on the Texas Facilities Commission Federal
Surplus Property Program. I'll put the application on the agenda for December 13th. This must be renewed as
our eligibility expired in July of 2012.
Thank you.
Susan Riley
Administrative Assistant to
Calhoun County Judge Michael J. Pfeifer,
Commissioners' Court, AND
Calhoun County Wellness Coordinator
361-S53-4600 Phone
361-553-4444 Fax
1
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Page 1 of2
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Authorized Representative rMICHAEL ipFEIFE~======::-====-::==~J
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CALHOUN COUNTY CCPRCT3@LAWARD.(
CALHOUN COUNTY KENNY.FINSTER@CAi
CALHOUN COUNTY NEIL.FRITSCH@CALH
CALHOUN COUNTY ROGER.GALVAN@CAI
CALHOUN COUNTY VERN. L YSSY@CALHO
CALHOUN COUNTY MIKE.PFEIFER@CALH
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TEXAS FACILITIES COMMISSION
FEDERAL SURPLUS PROPERTY PROGRAM (FSP)
P.O. Box 13047, Austin, Texas 78711
TEL: (512) 475-3705 - FAX: (512) 236-6173
www.tfc.state.tx.us/surpluslindex.html
APPLICATION FOR ELIGIBILITY
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR ELIGIBILITY FORM
TO RECEIVE FEDERAL SURPLUS PROPERTY (41 CFR 101-44.207)
(Please type or print In blue or black ink only)
See pages 7-11 for list of required supporting documentation that must be submitted with application
SECTION I: Provide the full legal name of your organization on the first line of this section. Provide the Federal Employer
ID#. Provide the complete mailing address of your organization as recognized by the U.S. Postal Service, including the
nine-digit Zip Code. Provide the street address if different from mailing address, or provide directions if located on a rural
route or in other remote area. List the counly in which the organization is actually located, a business telephone number
with area code, and both business and accounts payable fax numbers. Provide the fiscal year ending date and email
address. E-mail addresses provided will receive broadcast e-mails about account status, new arrivals, specials,
and any discounts.
SECTION II: Check the appropriate box that describes your organization. (If you are unable to determine which status to
check, please contact this office for assistance.)
SECTION III: Check the appropriate box or boxes (check as many as apply) that indicate the type or purpose of your
organization. Please see page 6 for additional requirements for specific types of organizations.
SECTION IV: Provide a comprehensive written description of all programs or services and a description of the operational
facilities. Be sure to include hours of operation, services and programs offered, population or enrollment, fee charges, etc.
Include samples of pamphlels, catalogs, brochures, posters, or other printed materials.
SECTION V: Indicate the source(s) of funding for your organization and provide supporting documentation.
SECTION VI: Provide Copy of IRS Tax Exemption Letter under Section 501 (C)(3) of Internal Revenue Code; Articles of
Incorporation; Byiaws; and State Certificate of Incorporation. The name of the organization on this IRS letter must match
the name provided in Section I of this application. If not, applicant must include sufficient evidence such as amendments
to Articles of Incorporation, or Assumed Name filing certificates to establish an audit trail or names showing the legal
connection.
SECTION VII: Nonprofit, tax exempt organizations are required to submit evidence that they are currently approved,
accredited or licensed by a nationally recognized accrediting or licensing organization. Recreation, social service, referral,
religious and counseling service programs are not eligible to participate in the program.
SECTION VIII: Annotate date and provide an original signature of applicant's Authorized Official (President, Chairman of
the Board, County Judge, Mayor, City Manager, Executive Director, Administrator, Superintendent, Fire Chief or other I
person with authority to execute legal documents for the applicant). Applications submitted by counties must be signed by
the County Judge. Type or print the name and title of authorized official on the lines provided.
(NEW accounts - originals must be
TEXAS FACILITIES COMMISSION
FEDERAL SURPLUS PROPERTY PRO
P.O. BOX 13047
AUSTIN, TX 78711-3047
TEL: 512-475-3705
. 512-236-6173
NOTE: INCOMPLETE APPLICATIONS WILL
ASSISTANCE, PLEASE CALL (512) 475 05.
SEND ALL APPLICATIONS TO:
IS REQUIRED ON PAGES 2 - 6
Page 1 of11
R6v.51t5l2012
TEXAS FACILITIES COMMISSION
FEDERAL SURPLUS PROPERTY PROGRAM (FSP)
P.O. Box 13047, Austin, Texas 78711
TEL: (512) 475-3705 - FAX: (512) 236-6173
http://tfc.state.tx.us/divisions/supportserv/prog/fedsurpluslindex.html
APPLICATION FOR ELIGIBILITY
I. LEGAL NAME & MAILING ADDRESS OF APPLICANT ORGANIZATION:
PLEASE TYPE OR PRINT INFORMATION LEGIBL YWHERE APPROPRIATE
Payments must be In the name of donee or parent company
Calhoun County
NAME OF ORGANIZATION
211 S. Ann Street
STREET ADDRESS/LOCATION
211 S. Ann Street, Suite 301
74-6001923
FEDERALEMPLOYERID
Port Lavaca
TX
STATE
77979
CITY
Port Lavaca
MAILING ADDRESS (P.O. Box #)
9 DIGIT ZIP CODE
Calhoun
COUNTY
FISCAL YEAR END DATE:
3H553 - 4600
TELEPHONE # .
December 31
361-553-4444
FAX #
361 -553-4614
ACCTS PAYABLE FAX #
EMAIL:
susan.riley@calhouncotx.org
II. APPLICANT STATUS (CHECK ONE):
IX] Public Agency including Public Schoois (Tax Supported)
D Nonprofit, tax-exempt Organization
D SBA 8(a) Business Development Program
III. TYPE OR PURPOSE OF ORGANIZATION: (see pages 7-11 for requirements for specific types of organizations)
D State Agency
[XJ County
D City
D Medical Institution
D Health Center
D Clinic
D Child Care Center
D Preschool
D Radio/TV Station
D School Dislrict
D Elementary School
D College or University
D School for Students With Disabilities
D Museum
D Library
D Conservation (soil, water. or utility district)
D Program Funded for Older Americans
D Provider of Assistance to the Homeless
D Provider of Assistance to the Impoverished
D Emergency Services District
D Volunteer Fire Department, EMS or Rescue Squad
D Public Safety (specify)
D SBA 8(a) Business
D Other (specify)
IV. PROVIDE A WRITTEN DESCRIPTION OF PROGRAM OR SERVICES OFFERED, INCLUDING A DESCRIPTION
OF FACILITIES OPERATED. Include printed materials about the program/services.
V. SOURCE OF FUNDING:
[X] Tax-supported D Grant D Contributions D Other (specify)
VI. For non-profit orQanizations onlv: HAS THE ORGANIZATION BEEN DETERMINED TO BE TAX EXEMPT
UNDER SECTION 501 OF THE INTERNAL REVENUE CODE OF 1986?
(COPY REQUIRED; SEE INSTRUCTIONS FOR ADDITIONAL REQUIREMENTS)
VII. HAS THE ORGANIZATION BEEN APPROVED, ACCREDITED, OR LICENSED? DYes D No (If yes, attach
supporting documenls) BY WHAT AUTHORITY? _
X
SIGN
December 13, 2012
FICIAL & TITLE (e.g.. Mayor, Director, Superintendent, Judge) DATE
R8V.5!1f5/2012
Page2of11
AUTHORIZED REPRESENTATIVES
Please note: Our Program is now required to have each Authorized Representative's Signature.
l. AUTHORIZED REPRESENTATIVE - Only authorized representatives with a signature on file with our office will be allowed to sign for the
release of property. All other listed may visit our warehouse locations and will be included in email broadcasts from our office.
II. All representatives listed in the original application or any prior Update Form will be deleted from the account. Only those
representatives listed on this Update Form will be allowed to acquire property.
NAME
TITLE
TELEPHONE and
EMAIL ADDRESS
(example) John Doe
County Judge
(512) 123-4567
John.doe@gmail.com
Michael J. Pfeifer
County Judge
361-553-4600
mike.pfeifer@calhouncotx.org
Ro er Galvan
Commissioner
361-552-9242
roger.galvan@calhouncotx.or
Vern Lyssy
Commissioner
361-552-9656
vern.l s c hounc tx.or
Neil Fritsch
Commissioner
361-893-5346
neil.fritsch@calhouncotx.org
Kenneth Finster
Commissioner
361-785-3141
kenny.finster@calhouncotx.org
Frank Gerking
'I"'e,ck".j', c
361-785-3141
Frank.gerking@calhouncotx.org
Cleveland Stevens
Foreman
361-893-5346
'Neil.fritsch@calhouncotx.org
Authorized Representative's
Si nature
JohwVae.-
fJ1t:t7L
~
cv-
Valid driver's license or state issued photo identification required prior to entering state or federal facilities.
The applicant hereby certifies the information provided is correct and complete and he/she understands and agrees to ali terms and
conditions.
Calhoun County
NAME OF APPLICANT ORGANIZATION
Michael J. Pfeifer
PRINTED NAME OF AUTHORIZED OFFICIAL
SEND ALL APPLICATIONS TO:
TEXAS FACILITIES COMMISSION
FEDERAL SURPLUS PROPERTY PROGRAM
P.O. BOX 13047
AUSTIN, TX 78711-3047
TEL: (512) 475-3705 - FAX: (512) 236-6173
Page3of11
December 13, 2012
DATE
Rev. 5/15/2012
AUTHORIZED REPRESENTATIVES
Please note: Our Program is now required to have each Authorized Representative's Signature.
I. AUTHORIZED REPRESENTATIVE - Only authorized representatives with a signature on file with our office will be allowed to sign for the
release of property. All other listed may visit our warehouse locations and will be lnduded in smail broadcasts from our office.
II. All representatives listed in the original application or any prior Update Form will be deleted from the account. Only those
representatives listed on this Update Form will be allowed to acquire property.
~
TITLE
TELEPHONE and
EMAIL ADDRESS
Authorized Reoresentatlve's
Si nature
(example) John Doe
County Judge
(512) t23-4567
John.doe@gmail.com
JohwVO'e/
Joseph Mark Stevens
Assistant
%1-893-5346
neii.fritsch@calhouncotx.org
Ronald Best
Foreman
C u._.
361-552-9656
vern .lyssy@calhouncotx.org. .'
:>
!~~I ~
Rita Miller
Admin Assistant . 361-552-9656
lei ta. m.iller@calheuncotx-.W"g.
/21r- t(LJ~
Valid driver's license or state Issued photo identification required prior to entering state or federal facilities.
The applicant hereby certifies the Information provided is correct and complete and he/she understands and agrees to all terms and
conditions.
Calhoun County
NAME OF APPLICANT ORGANIZATION
Michael J. Pfeifer
PRINTED NAME OF AUTHORIZED OFFICIAL
LE (e.g., Mayor, Director, Superintendent, Judge)
December 13, 2012
DATE
SEND ALL APPLICATIONS TO:
TEXAS FACILITIES COMMISSION
FEDERAL SURPLUS PROPERTY PROGRAM
P.O. BOX 13047
AUSTIN, TX 78711-3047
TEL: (512) 475-3705 - FAX: (512) 236-6173
Page3of11
Rev.Slt5l2012
NONDISCRIMINATION ASSURANCE
LEGAL NAME AND MAILING ADDRESS OF APPLICANT ORGANIZATION:
Calhoun County
NAME OF ORGANIZATION
211 S. Ann Street
STREET ADDRESS/LOCATION
211 S. Ann Street, Suite 301
MAILING ADDRESS (P.O. Bo #, Street, City & State)
Calhoun
Port Lavaca TX
77979
(9 DIGIT ZIP CODE)
361-553-4444
FAX #
COUNTY
361-553-4600
TELEPHONE #
Calhoun County the donee, agrees that the program for or in connection with
(Name of Organization)
which any property is donated to the donee will be conducted in compliance with, and the donee will comply with and will
require any other person (any legal entity) who through contractual or other arrangements wilh the donee is authorized to
provide services or benefits under said program to comply wilh all requirements imposed by or pursuant to the regulations
of the General Services Administration (41 C.F.R., 101-6.2 and 101-8) issued under the provisions of Title VI of the Civil
Rights Act of 1964, as amended, Section 606 of Title VI of the Federal. Property and Administrative Services Act of 1949,
as amended, Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972,
as amended, Section 303 of the Age Discriminalion Acl of 1975, and the Civil Right Restoration Act of 1987, to the end
that no person in the United States shall on the ground of race, color, national origin, sex, or age, or that no otherwise
qualified handicapped person shall solely by reason of the handicap, be excluded from participation in, be denied benefits
of, or be subjected to discriminalion under any program or activity for which the donee received Federal assistance from
the General Services Administration; and hereby gives assurance that it will immediately take any measures necessary to
effectuate this agreement.
The donee further agrees (1) that this agreement shall be subject in all respects to the provisions of said Federal statutes
and regulations (2) that this agreement obligates the donee for the period during which it retains ownership or possession
of the property, (3) that the United States shall have the right 10 seek judicial enforcement of this agreement, and (4) that
this agreement shall be binding upon any successor in interest of the donee and the word "donee" as used herein
includes any such successor in interest.
COUNTY/COUNTIES SERVED BY APPLICANT ORGANIZATION:
Calhoun
X
SIGNATUR OF AUTHORIZING
J
FI A & TITLE (e.g., Mayor, Director, Superintendent, Judge)
December 13, 2012
DATE
Rev. 6/15/2012
Page 4 of11
DONEE CERTIFICATIONS & AGREEMENTS
(a) THE DONEE CERTIFIES THAT:
(1) It is a public agency or a nonprofit institution or organization, exempt from taxation under section 501 of the Internal Revenue code of 1954; within the meaning of
section 203(j) of the Federal Property and Administrative Services Act of 1949, as amended, andfor the regulations of the General Services Administration (GSA).
(2) If a public agency, the property is needed and will be used by the recipient for carrying out Of promoting for the residents of a given political area one or more public
purposes, or jf a nonprofit tax~exempt institution or organization. the property is needed for and will be used by the recipient for educational or public health purposes,
including research for any such purpose, Of for programs for older Individuals, or SBA or SEA organizations, or assistance to homeless/Impoverished. The property is not
being acquired for any other use or purpose, or for sale or other distribution; or for permanent use outside the State, except with prior approval of the State agency and GSA.
(3) Funds are available to pay all costs and charges incident to donation.
(4) This transaction shall be subject to the nondiscrimination regulations governing the donation of surplus personal property issued under Title VI of the Civil Rights Act of
1964, Title VI Section 606 of the Federal Property and Administrative Services Act of 1949, as amended, and Section 504 of the Rehabilitation Act of 1973, as amended, Title
IX of the Education Amendments of 1972, as amended, and Section 303 of the Age Discrimination Act of 1975 and the Civil Right Restoration Act of 1987.
(5) In accordance with 28 C.F.R. Section 42.401~42.415, the Federal Surplus Property Program collects information related to a donees race and national origin in order to
provide GSA officials, upon request, with enough information for determining compliance with applicable civil rights laws. Data is collected for those donees who; (1) are
eligible to participate in the FSP Program; (2) those actually participating in the recipient's programs and activities; (3) those denied participation in the recipient's program.
(6) Does your organization have any knowledge and/or information regarding pending lawsuits, claims, charges, complaints filed with or against your organization? If yes,
please explain: (you may use a separate sheet, If needed.)
(b) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDITIONS:
(1) All items of property shall be placed In use for the purpose(s) for which acquired within one year of receipt and shall be continued in use for such purposes for one year
from the date the property was placed in use. In the event the property is not so placed in use, or continued in use, the donee shall immediately notify the State agency, and
at the donee's expense, return such property to the State agency, or otherwise make the property available for transfer or other disposal by the State agency, provided the
property is still usable as determined by the State agency.
(2) Such special handling or use limitations as are Imposed by General Services Administration (GSA) on any Item(s) or property.
(3) In the event the property is not used or handled as required by (b){1) and (2), lItle and right to the possession of such property shall at the option of GSA revert to the
United States of America and upon demand the donee shaH release such property to such person as GSA or its designee shall direct.
(e) THE DONEE AGREES TO THE FOLLOWING CONDITIONS IMPOSED BY THE STATE AGENCY, APPLICABLE TO ITEMS WITH A UNIT
ACQUISITION COST OF $5,000 OR MORE AND PASSENGER MOTOR VEHICLES, REGARDLESS OF ACQUISTION COST, EXCEPT VESSELS
50 FEET OR MORE IN LENGTH AND AIRCRAFT, FOREIGN GIFTS OR OTHER ITEMS OF PROPERTY REQUIRING SPECIAL HANDLING OR USE
LIMITATIONS, REGARDLESS OF THE ACQUISTION COST OR PURPOSE FOR WHICH ACQUIRED:
(1) The property shall be used,only for the purpose(s) for which acquired and for no other purpose(s).
(2) There shall be a period of restriction which wHl expire after such property has been used for the purpose(s) for which acquired for a period of 18 months from the date
the property is placed in use.
(3) In the event the property is not used as required by (c)(1) and (2) and Federal restrictions (b)(1), (b)(2) and (f) have expired then right to the possession of such
property shall at the option of the State agency revert to the State of Texas and the donee shall release such property to such person as the State agency shall direct.
(d) THE DONEE AGREES TO THE FOLLOWING TERMS, RESERVATIONS, AND RESTRICTIONS:
(1) From the date it receives the property and through period(s) of time the conditions imposed. by (b), (c) and (f) remain In effect, the donee shall not sell, trade, lease,
lend, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it permanently, for use outside the State, without the prior approval of GSA under (b) and
(f), or the State agency under (c) and (f). The proceeds from any sale, trade, lease, loan, bailment, encumbrance or other disposal of the property, when such action is
authorized by GSA or by the State agency, shall be remitted promptly by the donee to GSA or the State agency, as the case may be.
(2) In the event any of the property is sold, traded leased, loaned, bailed, cannibalized, encumbered, or otherwise disposed of by the donee from the date it receives the
property through the period(s) of time the condiUons imposed by (b), (c) and (f) remain in effect, without prior approval of GSA or the State agency, the donee, at the option of
GSA or the State agency shall pay to GSA or the State agency, as the case may be, the proceeds of the disposal or the fair market value or the fair rental value of the
property at the time of such disposal, as determined by GSA or the State agency.
(3) If at any time, from the date it receives the property through the period(s) of time the conditions imposed by (b), (c) and (f) remain in effect, any of the property is no
longer suitable, usable, or further needed by the donee for the purpose(s) for which acquired, the donee shall promptly notify the State agency, and shall, as directed by the
State agency. return the property to the State agency, release the property to another donee or another State agency, a department or agency of the United States, sell or
otherwise dispose of the property. The proceeds from any sale shall be remitted promptly by the donee to the State agency.
(4) The donee shall make reports to the State agency on the use, condition, and location of the property and on other pertinent matters as may be required time to time by
the State agency.
(5) At the option of the State agency, the donee may abrogate the State conditions set forth in (c) and the State terms, reservations, and restrictions pertinent thereto-in (d)
by payment of any amount as determined by the State agency.
(e) THE DONEE AGREES TO THE FOLLOWING CONDITIONS, APPLICABLE TO ALL ITEMS OF PROPERTY:
(1) The property acquired by the donee is on an uas is, where is" basis, without warranty of any kind, and the Government of the United States of America, the State of
Texas, Its agencies or assigns, and employees thereof will be held harmless from any or all debts, liabilities, judgments, costs, demands, suits, actions, or claims of any nature
arising from or incident to the donation of the property, its use, or final disposition.
(2) Where a donee carries Insurance against damages to or loss of property due to fire or other hazards and where loss of or damage to donated property with unexpired
terms, conditions, reservations or restrictions occurs, GSA or the State agency, as the case may be, will be entitled to reimbursement from the donee out of the insurance
proceeds, of any amount equal to the unamortized portion of the fair market value of the damaged or destroyed donated Items.
(I) THE DONEE AGREES TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS APPLICABLE TO THE DONATION OF AIRCRAFT AND
VESSELS (50 FEET OR MORE IN LENGTH) HAVING AN ACQUISITION COST OF $5,000 OR MORE, AND FOREIGN GIFTS OR OTHER ITEMS OF
PROPERTY REQUIRING SPECIAL HANDLING OR USE LIMITATIONS, REGARDLESS OF THE ACQUISITION COST OR THE PURPOSE FOR
WHICH ACQUIRED:
(1) The donation shall be subject to the addillonal special terms, conditions, reservations, and restrictions set forth in the Conditional Transfer Document or other
agreements executed by the authorized donee representative.
(g) THE DONEE CERTIFIES by signing and submitting this lower tier proposal, the prospective lower tier participant, as defined In 41 CFR105-68, certifies to the best of
its knowledge and belief that it and Its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency. (b) Where the prospective lower tier participant is unable to certify to any of the above, such prospective
participant shall attach an explanation to this proposal.
(h) THE DONEE UNDERSTANDS that by execution of this document, it is considered a sub recipient of federal financial assistance pursuant to the Single Audit Act of
1984 and further agrees to provide the State agency with results of the audit required by OMS Circular A-133. -
X
SIGNATUR
December 13, 2012
DATE
Rev.WI512012
Page5of11
PROPERTY COMPLIANCE PERIOD
Participating organizalions (referred to as "donees" by the federal government) are required to use the property obtained
through the program for a specific amount of time before the property can be sold or Iransferred.
. Property must be used for the program approved for participation In the Federal Surplus Property program.
. Property valued at less than $5,000 in originai cost - the compliance period Is 12 months from the date put into
use.
. Ail vehicles and property valued at more than $5,000 in original cost - the compliance period is 18 months.
. Aircraft and vessels longer than 50 feet - the compliance period is 60 months (5 years).
. Donee organizations do not obtain title or ownership to properly designated "perpetual use" by the federal
government. The compliance period Is considered to be "perpetual" or ongoing on these items.
. All property must be placed into use within the first year of possession.
. State and federal program staff performs scheduled and unscheduled on site property compliance visits to ensure
the property is being used as represented.
. If the property is not paid for In full or is not being used or handled as required, the donee (program participant)
will be required, at Its expense, to return the property to TFC or another donee, as instructed by TFC.
. The property may not be sold, transferred or otherwise disposed of during the compliance period. If properly Is
sold, transferred, or otherwise disposed of during the compliance period, the donee may be subject to penalties
and fines, as well as possible state or federal proseculion.
. Program participants are required to complete reports regarding property use as a condition of participating in the
program.
I understand and agree to the above terms and conditions regarding property compiiance and reporting and the
Cerlifications & Agreements on page five.
If applying as an SBA 8(a) business I understand that the properly compliance terms identified above do not apply to my
business and that as an SBA 8(a) business I must follow SBA property compliance guidelines.
X
SIGNATU E OF AUTHORIZ G F CI L & TITLE (e.g., Mayor. Director, Superintendent. Judge)
December 13, 2012
DATE
R8V,5/t5J2012
Page6of11
DETAILED REQUIREMENTS FOR SPECIFIC TYPES OF ORGANIZATIONS
Please review this section to determine which (If any) of the following eligibility categories your organization falls under.
You may be required to submit additional documentation with the application. If you have any questions, please contact
us at (512) 475-3705 or federal.surplus@tfc.state.tx.us.
Government or Public (Tax-Supported) Arlency
1. Public agency includes:
a. State or department, agency, or instrumentality thereof;
b. Polilical subdivision of the state, including any unit of local government or economic development district
or any department, agency or instrumentality thereof; or,
c. Instrumentality created by contract or other agreement between states or political subdivisions.
d. Examples: city, county, state agency, public library, appraisal district, and public school district
2. Public agency purposes include, but are not limited to, programs such as conservation, economic development,
educalion, parks and recreation, public health and public safety.
3. Most tax-supported public agencies, including cities, counties, and public schools, are not required to submit any
additional documentation.
Conservation
1. Includes soil, water and other utility districts.
2. Required Additional Documentation:
a. Certificate of approval or charter from proper authority (i.e. Texas Commission on Environmental Quality)
b. Articles of incorporations, bylaws, charter or other organizing document (optional)
Non-Profit Education Omanization
1. Must be tax exempt under IRS 501(C)(3).
2. Must be accredited or approved by nationally recognized accrediting agency.
3. Required Additional Documentation:
a. Complete narralive about your organization, including:
i. course levels
ii. enrollment
iii. facililies
iv. staff information
b. Letter from IRS certifying your status as a 501 (C)(3) non-profit. IRS ruling letter must include current
name and address.
c. Certificate of accreditation or letter of approval from a nationally recognized accrediting agency.
d. Articles of incorporations, bylaws, charter or other organizing document (optional)
e. List of research granls awarded (optional)
Museums & Libraries
1. Must be open to the public a minimum of 1,000 hours per year (1,000 hours cannot be by appointment).
2. Must be tax exempt under IRS 501 (C)(3).
3. Must have a minimum of one fulltime staff member or the equivalent (for example, one staff member who works
40 hours per week or two staff members who work 20 hours each per week).
4. Required Additional Documentation:
a. Staff roster, number of hours each staff member works per week (volunteer or paid)
b. Letter from IRS certifying your status as a 501 (C)(3) non-profit. IRS ruling letter must include current
name and address
c. Complete narrative about your museum, including
i. brochures, pam phlets or website
ii. types of exhibits (if applicable)
iii. pictures of exhibits, facilities, and posted museum hours
iv. days and hours open to the public
v. location (must provide street address)
d. Articles of incorporations, bylaws, charier or other organizing document (optional)
e. Organizationai Memberships (optional)
Rev.filt5/2012
Page7of11
DETAILED REQUIREMENTS FOR SPECIFIC TYPES OF ORGANIZATIONS
Volunteer Fire Department I Rescue Squad I Emer!:lency Medical Services
1. Must be funded annually in whole or part by stale, county, city or emergency service dislrict. Approved
organizations in this category must submit the above funding information annually.
2. Required Additional Documentalion:
a. Letter from the fire chief/president that contains information on the deparlment. including:
I. number of fireman
il. training schedule
iil. areas covered
b. Evidence that your department is endorsed by the state, county, city or emergency services district. This
could be a letter of endorsement from the head of the proper government authority (I.e. county judge, city
mayor/administrator) or a copy of currenl contract.
c. Evidence that your department currently receives public funding. Acceptable supporting documentation
includes:
I. Line item budget from the state/city/county/ESD,
ii. Contract with the state/city/county/ESD to provide services, or
iil. Letter of endorsement from the head of the proper government authority (I.e. county judge, city
mayor/administrator).
3. Articles of incorporations, bylaws, charter or other organizing document (optional)
Emer!:lency Services District or Fire Prevention District (Tax-Supported)
1. Must receive dedicated tax funds.
2. Required Additional Documentation:
a. Letter from the chief/president that contains information on the deparlment, including:
I. number of fireman
ii. . training schedule
iil. areas covered
b. Evidence that your department is endorsed by the state, county, or city. This could be a letter of
endorsement from the head of the proper government authority (I.e. county judge, city
mayor/administrator) or a copy of current contract.
c. Evidence thai your deparlment currently receives public funding. Acceptable supporting documentation
includes:
I. Line ilem budget from the state/city/county.
il. Contract with the state/city/county to provide services, or
iil. Letter of endorsement from the head of the proper government authority (I.e. county judge, city
mayor/administrator).
3. Articles of incorporations, bylaws, charier or other organizing document (optional)
Nonprofit Health Orqanization
1. Must be tax exempt under IRS 501 (C}(3).
2. Must be licensed, accredited or approved by nationally recognized accrediting or licensing agency.
3. Required Additional Documentation:
a. Complete narrative about your organization, including:
I. Description of services provided
il. Number and type of patients served
iil. Description of facilities/number of beds
iv. Overview of key staff and their qualifications
b. Letter from IRS cerlifying your status as a 501 (C)(3) non-profit. IRS ruling letter must include current
name and address.
c. Certificate of accreditation, license, or letter of approval from a nationally recognized accrediting or
licensing agency.
d. Articles of incorpotations, bylaws, charter or other organizing document (optional)
e. List of research grants awarded (optional)
Rev.5/15I2QI2
Page8of11
DETAILED REQUIREMENTS FOR SPECIFIC TYPES OF ORGANIZATIONS
HousinQ Authorities
1. Must be funded in whole or part by state, county, city or federal granls/contracls
2. Must be tax exempt under IRS 501(C)(3).
3. Must be recognized by the U.S. Department of Housing & Urban Development (HUD) or Texas Department of
Housing.
4. Required Additional Documentalion:
a. LeUer from IRS certifying your status as a 501(C)(3) non-profit. IRS ruling leUer must include current
name and address.
b. Public Recognition as a Homeless Assistance Provider - LeUer from a local city official (i.e. Mayor, Head
of Welfare Dept., Social Services Director, etc.) indicating services provided by applicant.
c. Evidence of endorsement from the U.S. Department of Housing & Urban Development (HUD) or Texas
Deparlment of Housing.
d. Complete narrative aboul your organization, including:
i. Comprehensive description of services provided
ii. Number of individuals receiving assistance and frequency of assistance (daily, weekly or monthly)
iii. Description of facilities
iv. Hours/days of operation
v. Description of funding source(s) with supporting documentation
vi. Overview of staff (paid or volunteer/full-time or part-time) including a list of key staff and their
qualifications
e. Articles of incorporations, bylaws, charter or other organizing document (optional)
Provider of Assistance to Homeless Persons
1. Must be tax exempt under IRS 501 (C)(3).
2. Must be publicly recognized as a provider of assistance to the homeless.
3. Services to the homeless must be the primarv function of the organization. If any activity operates a broad
spectrum of programs through which assistance to the homeless is peripheral and incidental, the entity would not
be eligible. Property donated must be used in a program primarily for homeless persons.
4. Eligible Homeless Assistance Provider Programs include:
a. Overnight, daytime and around-the-clock shelters.
b. Shelters for baUered spouses, abused children, and orphans.
c. Halfway houses or transilional housing for temporary residence of homeless parolees, mental patients,
andlor substance abusers.
d. Food banks must be determined on a case-by-case basis. Food banks that provide food directly to
facilities where homeless people are fed may be eligible.
5. Required Additional Documentation:
a. Public Recognition as a Homeless Assistance Provider. Acceptable forms of documentation include:
i. Letter from a local !illY official (i.e. Mayor, Head of Welfare Dept., Social Services Director, etc.)
indicating services provided by applicant. The leUer must indicate that assistance to the
impoverished is the organization's primary focus, and the name must match the IRS document.
ii. Occupancy permil or fire and safety inspection certificate.
iii. Documented receipt of FEMA funds for Federal/State Block Grant Funds for homeless programs
b. Compiete narrative about your organization, including:
i. Comprehensive description of services provided (assistance to homeless must be the primary
mission)
ii. Number of individuals receiving assistance and frequency of assistance (daily, weekly or monthly)
iii. Any requiremenls for clients to be eligible to receive services
iv. Description of facilities
v. Hours/days of operation
vi. Descriplion offunding source(s) with supporling documentation
vii. Overview of staff (paid or volunteer/full-time or part-time) including a list of key staff and their
qualifications
c. LeUer from IRS cerlifying your status as a 501(C)(3) non-profit. IRS ruling leUer must include current
name and address.
d. Proof of current accredllation, approval or licensing if appropriate (i.e. child care center, medical clinic,
health center).
e. Signed Articles of Incorporation, Bylaws, Charier or other organizing document (Optional)
f. Brochures (or other prinled materials) or link to website (Optional)
Rev. 5/1612012
.
Page9of11
DETAILED REQUIREMENTS FOR SPECIFIC TYPES OF ORGANIZATIONS
Provider of Assistance to Older Americans
1. Must be tax exempt under IRS 501 (C)(3)
2. Required Additional Documentation:
a. Leller from IRS cerlifying your status as a 501 (C)(3) non-profit. IRS ruling leller must include currenl
name and address
b. Certification establishing that applicant is receiving state, federal or local governmenl-appropriated funds
for operation of older individual program under the Older American Act.
c. Compiete narrative about your organizalion, including:
I. Description of services provided,
il. Description of facilities,
ill. Overview of key staff and their qualifications,
iv. Number of individuals served
d. Proof of current accreditation, approval or licensing If appropriate (I.e. medical clinic, health cenler)
e. Articles of incorporations, bylaws, charter or other organizing documenl (optional)
Provider of Assistance to Impoverished
1. Must be tax exempt under IRS 501 (C)(3).
2. Must be publicly recognizedas a provider of assistance to the impoverished.
3. Required Addillonal Documentation:
a. Leller from IRS certifying your status as a 501 (C)(3) non-profit. IRS ruling leller must include current
name and address
b. Latest Annual Financial Statement
c. Public Recognition as an Impoverished Assistance Provider. Acceptable forms of documentation include:
I. Leller from an official (I.e. Mayor, Head of Welfare Dept., Social Services Director, county
supervisor, head of agency that oversees program, etc.) indicating services provided by
applicant. The leller 'must indicate that assistance to the impoverished is the organization's
primary focus, and the name must match the IRS document, or
il. Documenled receipt of Federal/State Block Grant Funds for poverty programs, or
ill. Proof of membership or affiliation with a national organization or group that provides support for
the impoverished (ex. Second Harvest National Food Bank Network, Habitat for Humanity,
Salvation Army).
d. Complete narrative about your organization, including:
I. Comprehensive description of services provided (assistance to impoverished must be the primary
mission)
il. Number of individuals receiving assislance and frequency of assistance (daily, weekly or monthly)
iil. Any requirements for clients to be eligible to receive services
iv. Description of facilities
v. Hours/days of operation
vI. Description of funding source(s) with supporting documentation
viI. Overview of staff (paid or volunteer/full-time or part-time) including a list of key staff and their
qualifications .
e. Descriplion of how your organization determines if a person is eligible to receive assistance, and how
your organizalion determines if that person is impoverished. If recipients are required to complete an
application before receiving services, please attach a blank or sample application.
f. Proof of current accreditation, approvai or licensing if appropriate (I.e. child care center, medical clinic,
health center)
g. Signed Articles of Incorporation, Bylaws, Charter or olhet organizing document
h. Brochures (or other printed materials) or link to website (Optional)
Rev.5!15!2012
Page 10of11
DETAILED REQUIREMENTS FOR SPECIFIC TYPES OF ORGANIZATIONS
Service Educational Activities
1. Per General Services Administration, the following specific Service Educational Activities (SEA) are eligible for the
program: American Red Cross, Armed Services YMCA of the USA, Boy Scouts of America, Center for Excellence
in Education, Girl Scouts of the USA, Marine Cadels of America, NAFEO, US Olympic Committee, Young
Marines of the MLC, Head Quarters US Army Cadet Command, Big Brothers/Big Sisters of America, Boys & Girls
Clubs of America, Camp Fire Boys & Girls, Civilian Marksmanship Program, Little League Baseball, Inc., Marine
Corps League, Nationai Ski Patrol, US Naval Sea Cadets, Head Quarters Air Force ROTC/LG, Departmenl of
Navy JROTC.
2. Service Educational Activities applicants are required to submit proof of association with the national organization
(ex. copy of current charter from the Boy Scouts of America).
SBA Bfa) Business
1. Businesses that are currenlly pari of the U.S. Small Business Administration's 8(a) Business Development
Program may participate in the FSP program.
2. SBA 8(a) businesses are only eligible to receive property during their nine (9) year membership in the 8(a)
program.
3. Required Additional Documentation:
a. Letter from the U.S. Small Business Administration certifying your company as a member of the 8(a)
Business Development Program.
Rev.5115J2012
Page 11 of11
COUNTY REPORTS:
The following monthly reports were presented:
1) Calhoun Tax Assessor/Collector: October 2012
2) County Clerk: November 2012
3) Justices of Peace:
i. Justice of the Peace #2: November 2012
ii. Justice of the Peace #3: November 2012
iii. Justice of the Peace #4: November 2012
iv. Justice of the Peace #5: November 2012
A Motion to approve the county reports was made by Judge Pfiefer and seconded by Commissioner Lyssy.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
SUMMARY
TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT
FOR: OCTOBER 2012
COLLECTIONS DISBURSEMENTS
Title Certificate Fees $ 9,815.00
Title Fees Paid TXDOl $ 6,065.00
Title Fees Paid County Treasurer Salary Fund $ 3,750.00
Motor Vehicle Registration Collections $ 124,818.39
Disabled Person Fees $ 25.00
Postage $ 177.00
FD Additonal Collections $ 6.50
FD Fees In Excess of Collections
Paid TXDOT $ 118,444.89
Paid TXDOT SP $ 467.17
Paid County Treasurer $
Paid County Treasurer Salary Fund $ 5,632.15
DMV CCARDTRNSFEE $ 476.18 $
FD Additonal Collections $ 6.50 $
$
First Data (IBC) CrediUDebit Card Fee's $ 412.64
FD Fees In Excess of Collections $ 70.04
Motor Vehicle Sales & Use Tax Collections $ 595,401.22
Paid State Treasurer $ 595,401.22
Special Road/Bridge Fees Collected $ 21,440.00
Paid TXDOT ~ RIB Fees $ 643.20
Paid County Treasurer - RIB Fees $ 20,796.80
Texas Parks & Wildlife Collections $ 2,974.00
FD Additional Collections
FD CREDIT CARD TRANSACTION FEES $ (2.15)
Paid Texas Parks & Wildlife $ 2,677.10
Paid County Treasurer Salary Fund $ 296.90
First Data (IBC) CrediVDebil Card Fee's $
FD Fees In Excess/Shortage of Collections $ (2.15)
State Beer & Wine Collections Month of OCTOBER $
$
State Beer & Wine Collections $
Paid Tx Alcoholic Beverage Commission $
Paid County Treasurer, Salary Fund $
County Beer & Wine Collections $
Paid County Treasurer, County Beer & Wine $
Paid County Treasurer, Salary Fund $
Renewal Fees for County Beer & Wine $
Paid County Treasurer - Renewal Fees $
Additional Postage - Vehicle Registration $ 10.90
Paid County Treasurer - Additional Postage $ 10.90
Interest earned on P&W $ 2.00 and $ 2.00
Refund $ Accounts
Paid County Treasurer - Int. on P&W & Ref $ 2.00
Interest earned on Office Account $ 53.58
Paid county Treasurer - Nav. East $ 0.20
Paid County Treasurer ~ all other districts $ 53.30
Business Personal Property - Misc. Fees $ 1,461.14
Paid County Treasurer $ 1,461.14
Excess Funds $
Paid County Treasurer $
Overpayments $ 88.23
Current Tax Collections $ 9,762,727.51
Penalty and Interest - Current Roll $
Discount for early payment of taxes $ 292,795.69
Delinquent Tax Collections $ 44,627.77
Penalty & Interest H Delinquent Roll $ 12,295.30
Collections for Delinquent Tax Attorney $ 8,581.53
Advance - FM & L Taxes $ 3.57
Advance - County AdValorem Taxes $ 9,182,751.04
Paid County Treasurer - Nav. East $ 50,125.57
Paid County Treasurer - all other Districts $ 294,062.94
Paid County Treasurer - Delinq Tax Atty. Fee $ 8,581.53
Payment in Lieu of Taxes $
Paid County Treasurer- Navig. East $
Paid County Treasurer - All other Districts $
Boat/Motor Sales & Use Tax Collections $ 17,251.59
Paid State Treasurer $ 16,389.01
Paid County Treasurer, Salary Fund $ 862.58
Special Farmers Fees Collected $ 100.00
Paid State Treasurer, Farmers Fees $ 100.00
Hot Check Collection Charges $
Paid County Treasurers, Hot Check Charge $
Overage on Collection/Assessing Fees $
Paid County Treasurer, overage refunded $
Escheats $
Paid County Treasurer-escheats $
TOTAL COLLECTIONS $
10,601,054.51
BAL FORWARD SEPTEMBER 2012 STATE/COUNTY BEER AND WINE COll'S $
BAl FORWARD OCTOBER 2012 STATE/COUNTY BEER AND WINE COll'S $
TOTAL COLLECTIONS/INCLUDING CHANGE IN BEER AND WINE BALANCE FORWARD $
TOTAL DISBURSEMENTS 10,601,854.51
TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY
$
10,601,854.51
~~ a~~k-,
/ GLORIAA.OCHOA
Tax Assessor-Collector
~vi~~
I H EL J. PFEIFER
County Judge
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULA liON
OFFICE FUND - .NOVEMBER 2012
CIVIL FUNDS
County Fees
County Clerk's Fees
Recording
Probate
Civil
Total County Clerk's Fees
Judge's Fees
Probate
Civil
Tbtal Judge's Fees
Probate Fees (Education Fees)
Sheriffs Fees
Jury Fees
Law Library Fees
Beer Licenses
Appellate Fund (TGC)
Court Reporter Fees
Civil Indigent Fees
Record Management Fees (County Clerk)
Record Management Fees (County)
Security Fees (County)
Bond Forfeitures
Subtotal County Fees
$12,846.15
360.00
280.00
$13,466.15
36.00
36.00
45.00
400.00
22.00
580.00
State Fees
Judicial Funds (CV$574.00 + PR$738.00)
Marriage License Fees
Birth Certificate Fees
Total State Fees
SUBTOTAL
Overpmt of Filing Fees to be Refunded by Co. Clk.
TOTAL CIVIL FUNDS COLLECTED
80.00
240.00
220.00
1 ,975.00
110.00
512.00
0.00
$17,686.15
1,312.00
450.00
57.60
1,819.60
$19,505.75
$19,505.75
0.00
$19,505.75
CRIMINAL FUNDS
Total Criminal Court Costs & Fines & Pre~Trial Diversion
TOTAL FUNDS RECEIVED (As per ACS Report)
Civil Escrow AccQunUAG fees
$8,459.20
TOTAL FUNDS RECEIVED $27,964.95
Less Refunds for Overpayment of Filing Fees
ADJUSTED FUNDS RECEIVED
Plus Re-Deposit of NSF Checks (Not recorded in ACS)
Less NSF Checks (Not recorded in ACS)
AMOUNT DUE COUNTY TREASURER I $27,964.95l
Co. Clerk Check
ANITA FRICKE - COUNTY CLERK
MONTHLY REPORT RECAPITULATION (con't)
OFFICE FUND - NOVEMBER 2012
DISBURSEMENTS
CK#
Payable To
Descriotion
Amount
$0.00
$0.00
TOTAL DISBURSEMENTS
$0.00
CASH ON HAND OFFICE FUND
Beginning Book Balance
Funds Received
Disbursements
Plus Redeposit of NSF Checks
Less NSF Checks
Ending Book Balance
$0.00
BANK RECONCILIATION OFFICE FUND
Ending Bank Balance
Outstanding Deposits"""
Outstanding Checks'"
Plus Other Items'"
Less Other Items"''''
Reconciled Bank Balance
$0.00
CASH ON HAND TRUST FUND
Beginning Book Balance
Funds Received
Disbursements
Ending Book Balance
$22,494.63
21,348.69
(21,348.69)
$22,494.63
BANK RECONCILIATION TRUST FUND
Ending Bank Balance
Outstanding Deposits**
Outstanding Checks'"
Reconciled Bank Balance
$22,494.63
0.00
0.00
$22,494.63
USee Attached
SUBMITTED BY: Anita Fricke, County Clerk
ENTER COURT NAME:
ENTER MONTH Of REPORr
ENTER YEAR Of REPORT
AMOU
512.74
, "n n, :362.74: IRECORD ONTOrAl PAGE OF HilL COUNTRY SOFTWARE MO. REPORT
$1.50;00 : RECORD ON TOTAL PAGE OF Hill COUNTRY SOFTWAAE MO. REPORT
DUE TO OTHERS:
DllE TO CCI:;;;P. ~-50% of-Fine olyJV cases
DUETODARE
REf UNO OF_O
OUT-Of-COUNtY S
CASH BONDS
. AMOUNT
PLEASE INCLUDE DR REQUESTING DISBURSEMENT
PLEASE INCLUDE DR REQUESTINGOISBURSEMENT
pLEASE INCLUDE OR REQUESTINGOlSBURSEMENT
LEASE INCLUDE OR REQUESTINGOISBURSEMENT
:,06' PLEASE INCLUDE OR REQUESTlNG DISBURSEMENT (IF REQUIRED)
$0.00
rREASURERS RECEIPTS fOR MONTH:
CASH, CH CKS, M.O.s & CREDIT CA.ROS
. TOTAL TREAS. RECEIPTS
. AMOUNr
>$11:,3,9IM.O: Calculate from ACTUAL Treasurer's Receipts
$11-,396.10
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
12/5/2012 COURT NAME: JUSTICE OF PEACE NO.2
MONTH OF REPORT: NOVEMBER
YEAR OF REPORT: 2012
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45012 FINES 3,977.80
CR 1000-001-44190 SHERIFF'S FEES 704.23
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING 79.20
CHILD SAFETY 0.00
TRAFFIC 95.44
ADMINISTRATIVE FEES 370.70
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 545.34
CR 1000-001-44010 CONSTABLE FEES-SERVICE 0.00
CR 1000-001-44062 JP FlUNG FEES 50.00
CR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00
CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 5.00
CR t ooo-oot -44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00
CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00
CR 1000-999-20744 DUE TO STATE-SEATBEL T FINES 0.00
CR 1000-999-20745 DUE TO STATE-CHILD SEATBELT FEE 0.00
CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00
CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 615.60
TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,897.97
CR 2670-001-44062 COURTHOUSE SECURITY FUND $223.65
CR 2720-001-44062 JUSTICE COURT SECURITY FUND $0.00
CR 27t 9-001-44062 JUSTICE COURT TECHNOLOGY FUND $227.65
CR 2699-001-44062 JUVENILE CASE MANAGER FUND $40.00
STATE ARREST FEES
DPS FEES 61.90
P&W FEES 11.20
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 73.10
CR 7070-999-20610 CCC-GENERAL FUND 227.67
CR 7070-999-20740 CCC-STATE 2,049.01
DR 7070-999-10010 2,276.68
CR 7860-999-20610 STF/SUBC-GENERAL FUND 47.72
CR 7860-999-20740 STF/SUBC-STATE 906.77
DR 7860-999-10010 954.49
CR 7950-999-20610 TP-GENERAL FUND 55.08
CR 7950-999-20740 TP-STATE 55.08
DR 7950-999-1 oot 0 110.16
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60
CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 11.40
DR 7480-999-100tO 12.00
Page t 012
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
t 2/5/2012
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-206t 0
CR 7505-999-20740
CR 7857-999-206t 0
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised 11/06/12
COURT NAME: JUSTICE OF PEACE NO.2
MONTH OF REPORT: NOVEMBER
YEAR OF REPORT: 2012
DR 7865-999-10010
CRIM-SUPP OF IND LEG SVCS-GEN FUND
CRIM-SUPP OF IND LEG SVCS-STATE
105.82
TLlFTA-GENERAl FUND 96.29
TLlFTA-STATE 192.58
10.58
95.24
DR 7970-999-10010 288.87
JPAY - GENERAL FUND 32.55
JPAY - STATE 292.93
DR 7505-999-10010 325.48
JURY REIMB. FUND- GEN. FUND 2t.97
JURY REIMB. FUND- STATE 197.68
DR 7857-999-10010
219.65
CIVILJUSTICE DATA REPOS.- GEN FUND
CIVil JUSTICE DATA REPOS.- STATE
0.31
2.77
DR 7856-999-10010
3.08
TOTAL (Distrib Req to Oper Acct)
$10,758.60
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WilDLIFE FINES
WATER SAFETY FINES
0.00
0.00
0.00
0.00
0.00
637.50
0.00
$637.50
TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
LESS: TOTAL TREASUER'S RECEIPTS
OVER/(SHORT)
$11,396.10
$11,396.10
$0.00
Page 2 of 2
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
Page
4
____~N__NW__N_________________________________________------------------------------------------------------------------------------
The foLlowing totals represent - cash and Checks collected
Type Code Description
Count
The following totals represent - Cash and Checks CoLLected
COST CCC
COST CHS
COST CJDD
COST eMI
COST eve
COST DPSC
cOST FA
COST IOF
COST JCD
COST JCPT
cOST JCSF
COST JPAY
COST JSF
cosr LAF
COST PWAF
COST SAF
COST SUBC
COST H
COST HC
COST TIME
COST WRNT
FEES CIFF
FEES CSRV
FEES CVFF
FEES DOC
FEES OFF
FEES EXRF
FEES FFEE
FEES JCMF
FEES SF
FEES WOE
FEES WOP
FINE DPSF
FINE FINE
FINE PWF
OPMT OPMT
OTHR ABJF
CONSOLIDATED COURT cosrs
COURTHOUSE SECURITY
CIVIL JUSTICE DArA REPOSITORY FEE
CORRECTIONAL MANAGEMENT INSTIrUTE
COMPENSATION TO VICTIMS OF CRIME
OMNI
FUGITIVE APPREHENSION
INDIGENT DEFENSE FUND
JUVENILE CRIME AND DELINQUENCY
JUDICIAL AND COURT PERSONNEL TRAINING
JUSTICE COURT SECURlry FUNO
JPAY DISTRICT JUDGE PAY RAISE FEE
JUROR REIMBURSEMENr FEE
SHERIFF'S FEE
TEXAS PARKS & WILDLIFE
DPS
SUBTITLE C
TECHNOLOGY FUND
TFC
riME PAYMENT FEE
WARRANT FEE
CIVIL INDIGENT FILING FEE
COLLECTION SERVICE FEE
CIVAL FILING FEE
DEFENSIVE DRIVING
DEFERRED FEE
EXPIRATION RENEWAL FEE
FILING FEE
JUVENILE CASE-MANAGER FEE
SERVICE FEE
WRlr OF EXECUTION
WRIT OF POSSESSION
DPS FTA FINE
FINE
PARKS & WILDLIFE FINE
OVERPAYMENr
ABsrRACT OF JUDGMENT PREPARATION FEE
Money TotaLs
35
35
28
1
1
2
1
33
1
1
34
34
34
10
1
24
29
35
29
7
3
2
3
1
7
7
2
1
2
2
1
1
o
24
2
2
1
49
The following totals represent - Transfers Collected
COST eee
COST CHS
COST CJDD
COST eMI
COST eve
CONSOLIDATED COURT COSTS
COURTHOUSE SECURIrY
CIVIL JUSTICE DATA REPOSITORY FEE
CORREcrlONAL MANAGEMENT INSTIrurE
COMPENSATION TO VIcrIMS OF CRIME
Retained
129.61
100.21
0.26
0.05
1.50
19.80
0.50
6.19
0.05
0.20
31.99
18.99
12.66
46.11
4.00
91. 02
40.47
131.91
80.94
64.53
150.00
0.60
254.70
25.00
69.30
556.40
30.00
25.00
10.00
150.00
150.00
150.00
0.00
2,387.70
13.50
10.00
5.00
4,768.19
o
o
o
o
o
0.00
0.00
0.00
0.00
0.00
Disbursed Money-TotaLs
1,166.51
0.00
2.34
0.45
13.50
40.20
4.50
55.76
0.45
1.80
0.00
170.88
113.95
0.00
1.00
22.76
768.87
0.00
0.00
64.54
0.00
11.40
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
76.50
0.00
0.00
2,515.41
0.00
0.00
0.00
0.00
0.00
1,296.121- '-t{),~","I, '301.,1"'1'
100.21-{. .,3,\:>":: I0.3O.!?-D
2.60 oF- ' to tr~ ~! i
0.50
15.00
60.00
5.00 :;! t"'- 1.;'"'--'
61.95 l- ,:),CC,,~ t>.<> , 1"
0.50
2.00 . ',,' !'i",
31.99'1'- !,(),~..~ ..<1.l.',
189.870/- &,Il.&:>::II}S-~7i
126.61+ 'I ,S>o - 30.~
46.11
11~:~~+ 5.D";:- t1~ '''~'t
809.34-r3t>.(;,;O= ~3~'q I
131.91 -+ ':;'"~:::' I i:,.~. ,'1 '1
80.94 + 'M ,f;> : 1>(",.1."';;;7
129.07 +- .,.6.0"" . ,.. .
150.00
12.00
254.70
25.00
69.30
556.40
30.00
25.00
10.00
150.00
150.00
150.00
0.00
2,387.70.j.. IIl.Ji''C>'::.!l, 01.>'1. (,,0
90.00
10.00
5.00
7,283.60 +1.)'10.00:::: 7,5;>'3,1.00
0.00
0.00
0.00
0.00
0.00
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
Page
5
------------------------------------------------------------------------------------------------------------------------------------
The following totals represent - Transfers Collected
Type Code Description
COST
COST
COST
cosr
COST
COST
COST
COST
COST
COST
COST
COST
COST
COST
COST
COST
FEES
FEES
FEES
FEES
FEES
FEES
FEES
FEES
FEES
FEES
FEES
FINE
FINE
FINE
OPMT
OTHR
DPSC
FA
!DF
JCD
JCPT
JCSF
JPAY
JSF
LAF
PWAF
SAF
SUBC
H
HC
TIME
WRNT
CIFF
CSRV
CVFF
ODC
DFF
EXRF
FFEE
JCMF
SF
WOE
WOP
DPSF
FINE
PWF
OPMT
ABJF
OMNI
FUGITIVE APPREHENSION
INDIGENT DEFENSE FUND
JUVENILE CRIME AND DELINQUENCY
JUDICIAL AND COURT PERSONNEL rRAINING
JUSTICE COURr SECURITY FUND
JPAY DISTRICT JUDGE PAY RAISE FEE
JUROR REIMBURSEMENr FEE
SHERIFF'S FEE
TEXAS PARKS & WILDLIFE
DPS
SUBT ITLE C
TECHNOLOGY FUND
TFC
TIME PAYMENT FEE
WARRANT FEE
CIVIL INDIGENT FILING FEE
COLLECTION SERVICE FEE
CIVAL FILING FEE
DEFENSIVE DRIVING
DEFERRED FEE
EXPIRATION RENEWAL FEE
FILING FEE
JUVENILE CASE. MANAGER FEE
SERVICE FEE
WRIT OF EXECUTION
WRIT OF POSSESSION
DPS FTA FINE
FINE
PARKS & WILDLIFE FINE
OVERPAYMENT
ABSTRACT OF JUDGMENr PREPARATION FEE
Count
Retained
Transfer Totals
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
o
0.00
The following totals represent - Jail Credit and Community Service
COST eee
COST CHS
COST CJOD
COST CMI
COST eve
COST DPSC
COST FA
COST ID F
COST JCD
COST JCPT
COST JCSF
COST JPAY
CONSOLIDATED COURT COSTS
COURTHOUSE SECURITY
CIVIL JUSTICE DATA REPOSITORY FEE
CORRECTIONAL MANAGEMENr INSTITUTE
COMPENSATION TO VICTIMS OF CRIME
OMNI
FUGIrIVE APPREHENSION
INDIGENT DEFENSE FUND
JUVENILE CRIME AND DELINQUENCY
JUDICIAL AND COURr PERSONNEL TRAINING
JUSTICE COURT SECURITY FUND
JPAY OIsrRIcT JUDGE PAY RAISE FEE
2
2
o
o
o
2
o
2
o
o
2
2
8.00
8.00
0.00
0.00
0.00
19.80
0.00
0.40
0.00
0.00
2.00
1.20
Disbursed Money-Totals
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
72.00
0.00
0.00
0.00
0.00
40.20
0.00
3.60
0.00
0.00
0.00
10.80
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
80.00
8.00
0.00
0.00
0.00
60.00
0.00
4.00
0.00
0.00
2.00
12.00
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
Page
6
------------------------------------------------------------------------------------------------------------------------------------
The following totals represent - Jail Credit and Community Service
Type Code Description
COST JSF
COST LAF
cosr PWAF
COST SAF
COST SUBC
COST TF
COST HC
cosr Tl ME
COST WRNT
FEES CI FF
FEES CSRV
FEES CVFF
FEES DOC
FEES OFF
FEES EXRF
FEES FFEE
FEES JCMF
FEES SF
FEES WOE
FEES WOP
FINE DPSF
FINE FINE
FINE PWF
oPMT OPMT
OTHR ABJF
JUROR REIMBURSEMENT FEE
SHERIFF'S FEE
TEXAS PARKS & WILDLIFE
DPS
SUBT ITLE C
TECHNOLOGY FUND
TFC
rIME PAYMENT FEE
WARRANT FEE
CIVIL INDIGENT FILING FEE
COLLECTION SERVICE FEE
CIVAL FILING FEE
DEFENSIVE DRIVING
DEFERRED FEE
EXPIRATION RENEWAL FEE
FI LI NG FEE
JUVENILE CASE-MANAGER FEE
SERVICE FEE
WRIT OF EXECUTION
WRIT OF POSSESSION
DPS FTA FINE
FINE
PARKS & WILDLIFE FINE
OVERPAYMENT
ABSTRACT OF JUDGMENT PREPARATION FEE
The following totals represent - Credit Card Payments
Credit Totals
cosr CCC
COST CHS
COST CJDD
COST eMI
COST eve
COST DPSC
cosr FA
COST 10 F
COST JCD
COST JCPT
COST JCSF
COST JPAY
COST JSF
COST LAF
COST PWAF
COST SAF
COST SUBC
COST H
COST HC
CONSOLIDATED COURT COSTS
COURTHOUSE SECURITY
CIVIL JUSTICE DArA REPOSITORY FEE
CORRECTIONAL MANAGEMENT INSTITUTE
COMPENSATION TO VICTIMS OF CRIME
OMNI
FUGITIVE APPREHENSION
INDIGENT DEFENSE FUND
JUVENILE CRIME AND OELINQUENCY
JUDICIAL AND cOURT PERSONNEL TRAINING
JUSTICE COURT SECURITY FUNO
JPAY DISTRICT JUDGE PAY RAISE FEE
JUROR REIMBURSEMENT FEE
SHERIFF'S FEE
TEXAS PARKS & WILDLIFE
DPS
SUBTITLE C
TECHNOLOGY FUND
TFC
Count
Z
2
o
o
o
2
o
o
2
o
2
o
o
o
o
o
1
O.
o
o
1
1
o
o
o
2
1
1
1
o
o
o
o
1
o
o
1
1
1
o
o
1
1
1
1
Retained
Disbursed Money-Totals
0.60
10.00
0.00
0.00
0.00
B.OO
0.00
0.00
100.00
0.00
245.10
0.00
0.00
0;00
0.00
0.00
5.00
0.00
0.00
0.00
290.00
232.00
0.00
0.00
0.00
930.10
4.00
3.00
0.01
0.00
0.00
0.00
0.00
0.20
0.00
0.00
1.00
0.60
0.40
0.00
0.00
4.00
1.50
4.00
3.00
5.40
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
132.00
36.00
0.00
0.09
0.00
0.00
0.00
0.00
1.80
0.00
0.00
0.00
5.40
3.60
0.00
0.00
1.00
28.50
0.00
0.00
6.00
10.00
0.00
0.00
0.00
8.00
0.00
0.00
100.00
0.00
245.10
0.00
0.00
0.00
0.00
0.00
5.00
0.00
0.00
0.00
290.00
232.00
0.00
0.00
0.00
1,062.10
40.00
3.00
0.10
0.00
0.00
0.00
0.00
2.00
0.00
0.00
1.00
6.00
4.00
0.00
0.00
5.00
30.00
4.00
3.00
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
Page
7
------------------------------------------------------------------------------------------------------------------------------------
The foLlowing totals represent Credit Card Payments
Type Code
COST TI ME
COST WRNT
FEES CIFF
FEES CSRV
FEES CVFF
FEES DOC
FEES DFF
FEES EXRF
FEES FFEE
FEES JCMF
FEES SF
FEES WOE
FEES WOP
FINE DPSF
FINE FINE
FINE PWF
OPMT OPMr
OTHR ABJF
Description
TIME PAYMENT FEE
WARRANr FEE
CIVIL INDIGENr FILING FEE
COLLECTION SERVICE FEE
CIVAL FILING FEE
DEFENSIVE DRIVING
DEFERRED FEE
EXPIRATION RENEWAL FEE
FILING FEE
JUVENILE CASE-MANAGER FEE
SERVICE FEE
WRIr OF EXEcurlON
WRIT OF POSSESSION
DPS HA FINE
FINE
PARKS & WILDLIFE FINE
OVERPAYMENr
ABsrRACT OF JUDGMENT PREPARATION FEE
Credit Totals
Count
1
o
o
o
o
o
o
o
o
o
o
o
o
o
2
o
o
o
2
The following totaLs represent Combined Money and Credits
COST CCC
COST CHS
COST CJDD
COST CMI
COST CVC
COST DPSC
COST FA
COST IDF
COST JCD
COST JCPT
COST JCSF
COST JPAY
COST JSF
COST LAF
cosr PWAF
COST SAF
COST SUBC
COST IF
COST TFC
COST TIME
COST WRNT
FEES CI FF
FEES CSRV
FEES CVFF
FEES DOC
FEES OF F
CONSOLIDATED COURT COSTS
COURTHOUSE SECURITY
CIVIL JUSTICE DATA REPOSITORY FEE
CORRECTIONAL MANAGEMENT INSTITUTE
COMPENSATION ro VICTIMS OF CRIME
OMNI
FUGITIVE APPREHENSION
INDIGENT DEFENSE FUND
JUVENILE CRIME AND DELINQUENCY
JUDICIAL AND COURT PERSONNEL TRAINING
JUSTICE COURT SECURIry FUND
JPAY DISTRICT JUDGE PAY RAISE FEE
JUROR REIMBURSEMENT FEE
SHERIFFIS FEE
TEXAS PARKS & WILDLIFE
DPS
SUBTITLE C
TECHNOLOGY FUND
HC
TIME PAYMENT FEE
WARRANT FEE
CIVIL INDIGENT FILING FEE
COLLECTION SERVICE FEE
CIVAL FILING FEE
DEFENSIVE DRIVING
DEFERRED FEE
38
38
29
1
1
4
1
36
1
1
37
37
37
12
1
25
3D
38
30
8
5
2
5
1
7
7
Retained
12.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
116.90
0.00
0.00
0.00
151.11
141.61
111.21
0.27
0.05
1.50
39.60
0.50
6.79
0.05
0.20
34.99
20.79
13.66
56.11
4.00
95.02
41.97
143.91
83.94
77.03
250.00
0.60
499.80
25.00
69.30
556.40
0; sbursed
12.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
88.89
1,274.51
0.00
2.43
0.45
13.50
80.40
4.50
61.16
0.45
1.80
0.00
187.08
122.95
0.00
1.00
23.76
797.37
0.00
0.00
77.04
0.00
11.40
0.00
0.00
0.00
0.00
Money-TotaLs
25.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
116.90
0.00
0.00
0.00
240.00
1,416.12
111.21
2.70
0.50
15.00
120.00
5.00
67.95
0.50
2.00
34.99
207.87
136.61
56.11
5.00
118.78
839.34
143.91
83.94
154.07
250.00
12.00
499.80
25.00
69.30
556.40
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORr
Page
8
__R________~__________________________________________------------------------------------------------------------------------------
The following totals represent Combined Money and Credits
Type Code Description Count Retained Disbursed Money-Totals
FEES EXRF EXPIRATION RENEWAL FEE 2 30.00 0.00 30.00
FEES FFEE FIll NG FEE 1 25.00 0.00 25.00
FEES JCMF JUVENILE CASE-MANAGER FEE 3 15.00 0.00 15.00
FEES SF SERVICE FEE 2 150.00 0.00 150.00
FEES WOE WRlr OF EXEcurION 1 150.00 0.00 150.00
FEES WOP WRIT OF POSSESSION 1 150.00 0.00 150.00
FINE DPSF DPS FTA FINE 1 290.00 0.00 290.00
FINE FINE FINE 27 2,736.60 0.00 2,736.60
FINE PWF PARKS & WILDLIFE FINE 2 13.50 76.50 90.00
OPMT OPMT OVERPAYMENT 2 10.00 0.00 10.00
orHR ABJF ABSTRAcr OF JUDGMENT PREPARATION FEE 1 5.00 0.00 5.00
Report Totals 53 5,849.40 2,736.30 8,585.70
11/30/2012 Money Distribution Report Page 9
JUOGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
---------------------------------------------------------------------------------------"--------------------------------------------
DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER roTAL
00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all ColLections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 Cash & Checks CoL lected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Coltections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Camm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of alL Col Lections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks ColLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Col Lections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of aLL Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 Cash & Checks ColLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01-01-2004 Cash & Checks CoLlected 2,477.70 3,358.50 1,432.40 0.00 0.00 15.00 7,283.60
Jail Credits & Comm Service 522.00 290.00 250.10 0.00 0.00 0.00 1,062.10
Credit Cards & Transfers 116.90 123.10 0.00 0.00 0.00 0.00 240.00
TotaL of all Collections 3,116.60 3,771.60 1,682.50 0.00 0.00 15.00 8,585.70
TOTALS Cash & Checks Collected 2,477 .70 3,358.50 1,432.40 0.00 0.00 15.00 7,283.60
Jail Credits & Comm Service 522.00 290.00 250.10 0.00 0.00 0.00 1,062.10
Credit Cards & Transfers 116.90 123.10 0.00 0.00 0.00 0.00 240.00
TotaL of al t coL lections 3,116.60 3,771.60 1,682.50 0.00 0.00 15.00 8,585.70
11/30/2012
Money Distribution Report
JUDGE GARY W. NOSKA, JP3, NOV. 2012 MONTHLY REPORT
DATE
PAYMENT-fYPE
FINES COURT-COSTS
FEES
BONDS RESTITUTION
State of Texas QuarterLy Reporting Totals
Description
Collected
Retained
Disbursed
Count
State ComptrolLer Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 Forward
09-01-01 12-31-03
OB-31-99 08-31-01
09-01-97 08-30-99
09-01-91 08-31-97
Bai t Bond Fee
DNA Testing fee - Convictions
DNA Testing fee - Camm Supvn
DNA Testing Fee - Juvenile
EMS Trauma Fund (EMS)
Juvenile Probation Diversion Fees
Jury Reimbursement Fee
Indigent Defense Fund
Moving Violation Fees
State Traffic Fine
41 1,359.12 135_91 1,223.21
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
35 130.61 13.06 117.55
34 63.95 6.39 57.56
29 2.70 0.27 2.43
30 B39.34 41.97 797.37
26 123.78 99.02 24.76
2 60.00 19.80 40.20
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
8 154.07 77.03 77.04
0 0.00 0.00 0.00
35 195.87 19.59 176.28
240 2,929.44 413.04 2,516.40
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
2 12.00 0.60 11.40
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
2 12.00 0.60 11.40
242 2,941.44 413.64 2,527.80
Section II: As Applicable
Peace Officer Fees
Failure to Appear/Pay Fees
Judicial Fund - Const County Court
Judicial Fund - Statutory County Court
Motor Carrier Weight Violations
Time Payment Fees
Driving Record Fee
Judicial Support Fee
Report Sub Total
State Comptroller Civil Fees Report
CF: Birth Certificate Fees
CF: Marriage License Fees
CF: Declaration of Informal Marriage
CF: Nondisclosure Fees
CF: Juror Donations
CF: Justice Court Indig Filing Fees
CF: Stat prob Court Indig Filing Fees
CF: Stat prob Court Judic Filing Fees
CF: Stat Cnty Court Indig Filing Fees
CF: Stat Cnty Court Judic Filing Fees
CF: Cnst Cnty Court Indig Filing Fees
CF: Cnst Cnty Court Judic Filing Fees
CF: Dist Court Divorce & Family Law
CF: Dist Court Other Divorce/Family Law
CF: Dist Court Indig Legal Services
CF: Judicial Support Fee
Report Sub Total
Total Due For This Period
Page 10
OTHER
TorAl
ENrER COURT NAME:
ENTER MONrH OF REPORT
ENTER YEAR OF REPORT
CODE
CASH BONOS
ADMINlSTRA liON FEE - ADMF
,BREATH ALCOHOl;-TESTING - BAT
CONSOLIDATED.C0URTCOSTS - GeG
COURTHOUSE SECURITY -'CHS
CJP
CIVIL JUSTICE DATA REP - MVF/CJDR
CORREcrlONAL MANAGEMENr INsrlrUTE - CMI
CR
CHILD SAFETY - CS
CHJLD SEA TBELT FEE - aSBF
CRIME VICTIMS COMPENSA liON - eve
DPse/FAILURE TO APPEAR - OMN1-.,'.oPSC
FUGlrlVE APPREHENSION - FA
GENERAL REVENUE - GR
CRIM - INO LEGAL SVCS SUPPORr -IOF
JUVENILE CRIME & DELINQUENCY - JOD
JUVENILE CASE MANAGER FUND ~ JCMF
JUSTICE COURT PERSONNEL TRAINING - JCPT
JUSTICE COURT SECURItY FUND - JCSF
JUROR SERVICE FEE - JSf
LOCAL ARREST FEES,. LAF
LEMI
LEOA
LEoe
DOL
PARKS & WILDLlFE,ARREST fEES - PWAF
STATE ARRESfFEES - SAF
SCHOOL CROSSING/CHILD SAFETY FEE - SCF
SUBTITLE-C,'. SUBe
TABC ARREsr FEES - TAF
rECHNOLOGYFUND-TF
tRAFFIC - TFC
TIME PAYMENr - riME
LOCAL & srArE WARRANr FEES - WRNr
COLLECTION SERVICE FEE-MVBA - CSRV
DEFENSIVE DRIVING COURSE - DDC
DEFERRED FEE - OFF
DRIVING ExAM FEE.'PROV OL
FILING FEE - FFEE
FILING FEE SMALL CLAIMS - FFSC
CQPIES/CERTIFED COPIES, - CO
INDIGENT FEE ~ CIFF pr INOF
JUDGE PAY RAISE FEE -JPAY
SERVICE FEE-~ SFEE
OUT~OF-COUNTY SERV'ICE fEE
EXPUNGEMENT_FEE - EXPG
EXPIRED RENEWAL - EXPR
ABSrRACT OF JUDGEMENT - AOJ
ALL WRITS - WOP I WOE
ORS FIA FINE.;, DPSF
LOCAL FINES - FINE
LICENSE & WEIGHT FEES ~ LWF
PARKS & WILDLIfE .FINES. PWF:
SEATBELT/UNRESTRAINED CHILD FINE ~ 'SEAT
. OVERPAYMENT ($10 & OVER) - OVER
. OVERPAYMENr (LESS THAN $10) - OVER
RESTlruTION - REST
PARKS & WILDLIFE-WATER SAFEtY FINES-WSF
WCR
TOTAL ACTUAL MONEY RECEIVED
TYPE:
rOTAL WARRANT FEES
ENTER LQCAL WARRANT FEESI
STArE WARRANT FEES
DUE ro orHERS:
DUE TO:CCISD - 500/0, of Fine on,JV cases
DUE TO _DA RESTITUTION FUND
REfUND OF OVERPAYMENrS
OUT.OF~COUNTY.sERVICE FEE
CASH BONDS
TOTAL DUE TO 'OTHERS
TREASURERS RECEIPTS FORMONTH:
CASH. CHECKS, M.O.s & CREDIT CARDS
TOTAL TREAS. RECEIPTS
JUSTICE OF PEACE NO.4
AMOUN
Revised 11/14n4
365.88
31.44
0.31
120.00
18.29
20.00
10.00
36.59
10.00
5.00
25.73
94.41
36.59
9.46
128.67
250.00
240.10
50.00
25.00
6.00
60,88
78.00
1,248.75
135.00
$3,006.10
AMOUNT
2qO.OO
0.00 IRECORDONTOTAl PAGE OF HILL COUNTRY SOFTWARE MO. REPORT
$250,00_ ,RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT
AMOUNT
0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT
0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT
0,00 PLEASE INCLUDE DR REQUESTlNGOISBURSEMENT
0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT
0.00 PLEASE INCLUDE D.R REQUESTING DISBURSEMENT (IF REQUIRED)
$0.00
AMOUNT
$3,006.10 Calculate from ACTUAL Treasurer's Receipts
$3,006.10
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
t2/4/20t2 COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: 0
YEAR OF REPORT: 0
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45014 FINES 1,347.00
CR 1000-001-44190 SHERIFF'S FEES 234.58
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING 0.00
CHILD SAFETY 0.00
TRAFFIC 9.46
ADMINISTRATIVE FEES 50.00
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 59.46
CR 1000-00t-44010 CONSTABLE FEES-SERVICE 0.00
CR 1 000-00 t -44064 JP FILING FEES 25.00
CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00
CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00
CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00
CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00
CR 1000-999-20744 DUE TO STATE-SEATBEL T FINES 0.00
CR 1000-999-20745 DUE TO STATE-CHILD SEATBELT FEE 0.00
CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00
CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 240.10
TOTAL FINES, ADMIN. FEES & DUE TO STATE $t ,906.14
CR 2670-001-44064 COURTHOUSE SECURITY FUND $31.44
CR 2720-001-44064 JUSTICE COURT SECURITY FUND $10.00
CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $36.59
CR 2699-001-44064 JUVENILE CASE MANAGER FUND $20.00
STA TE ARREST FEES
DPS FEES 55.t5
P&W FEES t.OO
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 56.15
CR 7070-999-20610 CCC-GENERAL FUND 36.59
CR 7070-999-20740 CCC-STATE 329.29
DR 7070-999-10010 365.88
CR 7860-999-206 t 0 STF/SUBC-GENERAL FUND 4.72
CR 7860-999-20740 STF/SUBC-STATE 89.69
DR 7860-999-10010 94.41
CR 7950-999-20610 TP-GENERAL FUND 64.34
CR 7950-999-20740 TP-STATE 64.33
DR 7950-999-tOO10 128.67
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.30
CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 5.70
DR 7480-999-10010 6.00
Page 1012
MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS
12/4/2012
CR 7865-999-20610
CR 7865-999-20740
CR 7970-999-20610
CR 7970-999-20740
CR 7505-999-20610
CR 7505-999-20740
CR 7857-999-20610
CR 7857-999-20740
CR 7856-999-20610
CR 7856-999-20740
Revised t 1/14/12
COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: 0
YEAR OF REPORT: 0
1.83
16.46
DR 7865-999-10010
CRIM-SUPP OF IND LEG SVCS-GEN FUND
CRIM-SUPP OF IND LEG SVCS-STATE
18.29
TLlFTA-GENERAL FUND 40.00
TL/FTA-STATE 80.00
DR 7970-999-10010 120.00
JPAY - GENERAL FUND 6.09
JPAY - STATE 54.79
DR 7505-999-10010 60.88
JURY REIMB. FUND- GEN. FUND 3.66
JURY REIMB. FUND- STATE 32.93
DR 7857-999-10010
36.59
CIVIL JUSTICE DATA REPOS.- GEN FUND
CIVIL JUSTICE DATA REPOS.- STATE
0.31
0.03
0.28
DR 7856-999-10010
TOTAL (Distrib Req to Oper Acct)
$2,891.35
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT-OF-COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES
0.00
0.00
0.00
0.00
0.00
114.75
0.00
$1t4.75
TOTAL DUE TO OTHERS
TOTAL COLLECTED-ALL FUNDS
LESS: TOTAL TREASUER'S RECEIPTS
OVER/(SHORT)
$3,006.10
$3,006.10
$0.00
Page 2 012
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---~~----
CALHOUN COUNTY
201 West Austin
Port Lavaca, Texas 77979
DISTRIBUTION
REQUEST
DR# 480 A 41248
PAYEE
Name: Calhoun County Oper. Acct.
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace) Pet. 4
ACCOUNT NUMBER DESCRIPTION AMOUNT
7544-999-20759-999 JP4 Monthly Collections - Distribution $2,891.35
0
0
V# 967
TOTAL 2,89t.35
,/~:ft~i.F- 0 i;-~'6',
/f~Wfih;~~\ CALHOUN COUNTY
I ~,~~~~ 1 201 West Austin
" i1\%1P ~0f;. "
\(br::,~~!i~~t'~/ Port Lavaca, Texas 77979
',,:th._~ ." o~,/
'.:".~1'~Q!:"-.f~~~~'''''
DISTRIBUTION
REQUEST
DR# 480 B 41248
PAYEE
Name: Texas Parks ft Wildlife
Address:
City:
State:
Zip:
Phone:
PAYOR
Official:
Title:
James Dworaczyk
Justice of the Peace, Pet. 4
ACCOUNT NUMBER DESCRIPTION AMOUNT
7544-999-20759-999 JP4 . Parks & Wildlife Fines $ 114.75
0 .
0
V# 7603
TOTAL 114.75
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12/04/2012 Money Distribution Report Page
~~-------~--------------------------------------------------------------------------------------------------------------------------
Receipt Cause/Defendant Code Amount I Code Amount I Code Amount I code Amount I Code Amount Code Amount I Total
I I I I I
3929965 2012-151 11-01-2012 ccc 40.00 I PWAF 5.00 I WRNT 50.00 I TIME 25.00 I TF 4.00 OPSC 30.00 I 403.00
GARCIA, JUAN ANGEL JCSF 1.00 I JSF 3.00 I IDF 2.00 I PWF 135.00 I CSRV 93.00 JCMF 5.00 I
Money Order JPAY 6.00 I CSF 4.00 I I I I
3929966 2012-151A 11-01-2012 CCC 40.00 I WRNr 50.00 I TF 4.00 I DPSC 30.00 I JCSF 1.00 JSF 3.00 I 542.10
GARCIA, JUAN ANGEL IDF 2.00 I FINE 277.00 I CSRV 125.10 I CSF 4.00 I JPAY 6.00 I
Money Order I I I I I
3929967 2012-366 11-05-2012 CCC 40.00 I LAF 5.00 I TIME 25.00 I TF 4.00 I JCSF 1.00 JSF 4.00 I 350.00
CARRERA, JOHNDA HARRIS IDF 2.00 I FINE 260.00 I CSF 3.00 I JPAY 6.00 I I
Cash I I I I I
3929968 2012-340 11-05-2012 CCC 40.00 I SAF 5.00 I WRNT 50.00 I TIME 25.00 I TF 4.00 JSF 4.00 I 195.00
BEDNORZ, ALLIE SHAREE IDF 2.00 I FINE 55.00 I JPAY 6.00 I CSF 3.00 I JCSF 1.00 I
Cash I I I I I
3929969 2012-334 11-05-2012 TFC 0.46 I CCC 5.88 I SAF 0.73 I TIME 3.67 I TF 0.59 SUBC 4.41 I 100.00
MENDOZA, JUAN R08ERrO JSF 0.59 I IDF 0.29 I CJDR 0.01 I FINE 81.05 I CSF 0.44 JPAY 0.88 I
Money Order JCSF 1.00 I I I I I
3929970 2012-405 11-05-2012 TFC 3.00 I CCC 40.00 I SAF 5.00 I TF 4.00 I SUBC 30.00 JCSF 1.00 I 230.00
SCHMID, ERIC EDWARD I JSF 4.00 I IDF 2.00 I CJDR 0.10 I FINE 81.90 I OFF 50.00 JPAY 6.00 I
Money Order I CSF 3.00 I I I I I
3929971 2012-296 11-05-2012 I CCC 40.00 I SAF 5.00 I TF 4.00 I JSF 4.00 I IDF 2.00 FINE 55.00 I 120.00
STARKWEATHER, MARCUS ALLEN I CSF 4.00 I JPAY 6.00 I I I I
Corom Servi ce I I I I I I
3929972 2012-295 11-05-2012 I CCC 40.00 I SAF 5.00 I TF 4.00 I JSF 4.00 I IDF 2.00 FINE 260.00 I 325.00
STARKWEArHER, MARCUS ALLEN I CSF 4.00 I JPAY 6.00 I I I I
COrMl Service I I I I I I
3929973 2012-294 11-05-2012 I CCC 40.00 I SAF 5.00 ITF 4.00 I JSF 4.00 I IDF 2.00 FINE 100.00 I 165.00
STARKWEATHER, MARCUS ALLEN I JPAY 6.00 I CSF 4.00 I I I I
Camm Service I I I I I I
3929974 2012-293 11-05-2012 I TFC 3.00 Ieee 40.00 I SAF 5.00 TF 4.00 I SUBC 30.00 JSF 4.00 I 135.00
STARKWEATHER, MARCUS ALLEN I IDF 2.00 I CJDR 0.10 I FINE 36.90 CSF 4.00 I JPAY 6.00 I
Corrm Service I I I I I
3929975 2012-169 11-13-2012 I TFC 3.00 I CCC 40.00 I SAF 5.00 WRNr 50.00 I TIME 25.00 TF 4.00 I 410.00
ESTRADA, EDWARD HARVEY I SUBC 30.00 I DPSC 30.00 I JCSF 1.00 JSF 3.00 I IDF 2.00 CJDR 0.10 I
Cash I FINE 201.90 I JCMF 5.00 I CSF 4.00 JPAY 6.00 I I
3929976 2012-171 11-13-2012 I CCC 40.00 I SAF 5.00 I WRNT 50.00 rIME 25.00 I TF 4.00 DPSC 30.00 I 230.00
ESTRADA, EDWARD HARVEY I JCSF 1.00 I JSF 3.00 I IDF 2.00 FINE 55.00 I JCMF 5.00 CSF 4.00 I
Cash I JPAY 6.00 I I I I
3929977 2012-404 11-15-2012 I CCC 40.00 I LAF 5.00 I TF 4.00 JCSF 1.00 I JSF 4.00 IDF 2.00 I 165.00
PHILLIPS, JODY FRANCIS I FINE 100.00 I JPAY 6.00 I CSF 3.00 I I
Cash I I I I I
3929978 JC-2012-020 11-15-2012 I FFEE 25.00 I CIFF 6.00 I I I I 31.00
MIDLAND FUNDING LLC, I I I I I I
PROFFESSIONAL CIV Persona l Check I I I I I I
3929979 2012-272 11-20-2012 I CCC 40.00 I LAF 5.00 I WRNT 50.00 I TIME 25.00 I TF 4.00 JSF 4.00 I 400.00
GOODNER, KENNETH JEROME I IDF 2.00 I FINE 260.00 I JPAY 6.00 I CSF 4.00 I I
Jai l Cred; t I I I I I I
3929981 2012-410 11-26-2012 I TFC 3.00 I CCC 40.00 I SAF 5.00 ITF 4.00 I SUBC 30.00 JCSF 1.00 I 180.00
HATTON, SETH WILLIAM I IDF 2.00 I CJDR 0.10 I FINE 81.90 I JPAY 6.00 I JRF 4.00 CSF 3.00 I
Credit Card I I I I I I
3929982 2006-378A 11-26-2012 I JCPT 2.00 I CVC 15.00 I CCC 17.00 I FA 5.00 I JCO 0.50 CMI 0.50 I 344.00
YANEZ, RODRIGO I TF 4.00 I DPSC 30.00 I OPSF 266.00 I CSF 4.00 I I
Corom Service I I I I I I
3929983 2006-378 11-26-2012 I CCC 33.07 I SAF 4.14 I WRNT 41.36 I rIME 20.68 I TF 3.31 OPSC 24.82 I 134.00
YANEZ, RODRIGO I JCSF 0.83 I JRF 3.31 I CSF 2.48 I I I
Corrm Servi ce I I I I I I
12/04/2012
Money Distribution Report
Page
2
RRR___________________________________________________------------------------------------------------------------------------------
TotaL
Receipt Cause/Defendant
Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount
11-26-2012 DPSF 78.00 CSRV 22.00
3929984 2006-378A
YANEZ, RODRIGO
Money Order
3929985 2012-243 11-26-2012 FINE 55.00 JRF
FLORES, CANOICE ELAINE
Money Order
4.00 JCMF 5.00 JPAY 6.00
100.00
70.00
12/04/2012 Money Distribution Report Page 3
------------------------------------------------------------------------------------------------------------------------------------
The following totaLs represent - Cash and Checks Collected
Type Code Description Count Retained Disbursed Money-Totals
COST CCC CONSOLIDATED COURr cosrs 9 32.59 293.29 325.88
COST CJDR CIVIL JUSTICE DArA RES\POSITORY FEE 3 0.02 0.19 0.21
COST CMI CMI 0 0.00 0.00 0.00
COST CVC eve 0 0.00 0.00 0.00
COST DPSC DPS OMNIBASE FEE 4 39.60 80.40 120.00
COST FA FA 0 0.00 0.00 0.00
COST IDF INDIGENr DEFENSE FUND 9 1.63 14.66 16.29
COST JCD JCD 0 0.00 0.00 0.00
COST Jcpr Jcpr 0 0.00 0.00 0.00
COST JCSF JUSrlCE COURT SECURITY FUND 9 9.00 0.00 9.00
COST JSF JUROR SERVICE FUND 9 0.00 28.59 28.59
COST LAF SHERIFF'S FEE 2 10.00 0.00 10.00
COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00
cosr SAF DPS 5 16.58 4.15 20.73
COST SUBC SUBTITLE C 3 3.22 61.19 64.41
COST TF rECHNOLOGY FUND 9 32.59 0.00 32.59
COST TFC TFC 3 6.46 0.00 6.46
COST TIME TIME PAYMENT FEE 6 64.33 64.34 128.67
cosr WRNT WARRANT FEE 5 250.00 0.00 250.00
FEES CIFF CIVIL INDIGENr FILING FEE 1 0.30 5.70 6.00
FEES CSF COURr SECURITY FEE 9 28.44 0.00 28.44
FEES CSRV COLLECTION SERVICE FEE 3 240.10 0.00 240.10
FEES DFF DEFERRED FEE 1 50.00 0.00 50.00
FEES FFEE FILING FEE 1 25.00 0.00 25.00
FEES JCMF JUVENILE CASE MANAGER FEE 4 20.00 0.00 20.00
FEES JPAY JUDGE PAY RAISE FEE 10 5.49 49.39 54.88
FEES JRF JUROR REIMBURSEMENT FEE 1 0.00 4.00 4.00
FINE DPSF DPS HA FINE 1 78.00 0.00 78.00
FINE FINE FINE 9 1,166.85 0.00 1,166.85
FINE PWF PARKS & WILDLIFE FINE 1 20.25 114.75 135.00
Money TotaLs 12 2,104.45 721.65 2,826.10
The following totaLs represent - Transfers Collected
COST CCC CONSOLIDArED COURT COSTS 0 0.00 0.00 0.00
COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00
COST CMI CMI 0 0.00 0.00 0.00
COST CVC CVC 0 0.00 0.00 0.00
COST DPSC DPS OMN I BASE FEE 0 0.00 O.OD 0.00
COST FA FA 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSF JUSTI CE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF I S FEE 0 0.00 0.00 0.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST SUBC SUBT ITLE C 0 0.00 0.00 0.00
12/04/2012 Money Distribution Report Page 4
~RR___________________________________________________--------------------------------------------.---------------------------------
The following totals represent - Transfers CoLlected
Type Code Description Count Retained Disbursed Money-Totals
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC TFC 0 0.00 0.00 0.00
cosr TIME rIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANr FEE 0 0.00 0.00 0.00
FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00
FEES CSF COURT SECURITY FEE 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
FEES FFEE FILING FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
FEES JRF JUROR REIMBURSEMENr FEE 0 0.00 0.00 0.00
FINE OPSF OPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
FINE PWF PARKS & WI LOll FE FINE 0 0.00 0.00 0.00
Transfer TotaLs 0 0.00 0.00 0.00
The foLlowing totals represent - Jai l Credit and Community Service
COST CCC CONSOLIDATED COURT COSTS 7 25.01 225.06 250.07
COST CJOR CIVIL JUSTICE DATA RES\POSITORY FEE 1 0.01 0.09 0.10
COST CMI CMI 1 0.05 0.45 0.50
COST CVC CVC 1 1.50 13.50 15.00
COST OPSC OPS OMNIBASE FEE 2 18.09 36.73 54.82
cosr FA FA 1 0.50 4.50 5.00
COST IOF INDIGENT DEFENSE FUND 5 1.00 9.00 10.00
COST JCO JCO 1 0.05 0.45 0.50
COST JCPT JCPT 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 1 0.83 0.00 0.83
COST JSF JUROR SERVICE FUND 5 0.00 20.00 20.00
COST LAF SHERIFF'S FEE 1 5.00 0.00 5.00
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAF OPS 5 19.31 4.83 24.14
COST SUBC SUBTI TLE C 1 1.50 28.50 30.00
COST TF rECHNOLOGY FUND 7 27.31 0.00 27.31
COST TFC TFC 1 3.00 0.00 3.00
COST TIME TIME PAYMENr FEE 2 22.84 22.84 45.68
COST WRNT WARRANT FEE 2 91.36 0.00 91.36
FEES CIFF CIVIL INOIGENr FILING FEE 0 0.00 0.00 0.00
FEES CSF COURr SECURlry FEE 7 26.48 0.00 26.48
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
FEES FFEE FILING FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00
FEES JPAY JUDGE PAY RAISE FEE 5 3.00 27.00 30.00
FEES JRF JUROR REIM8URSEMENr FEE 1 0.00 3.31 3.31
FINE OPSF OPS FTA FINE 1 266.00 0.00 266.00
FINE FINE FINE 5 711.90 0.00 711.90
FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
12/04/2012 Money Distribution Report Page 5
_____~N______N________________________________________------------------------------------------------------------------------------
The following totals represent - Jail Credit and Community Service
Type Code Description Count Retained Disbursed Money-Totals
Credit Totals 7 1,224.94 398.06 1,623.00
The following totals represent - Credit Card Payments
cosr CCC CONSOLIDATED COURT COSTS 1 4.00 36.00 40.00
COST CJDR CIVIL JUSrlCE DATA RES\POSITORY fEE 1 0.01 0.09 0.10
COST CMI CMI 0 0.00 0.00 0.00
COST eve eve 0 0.00 0.00 0.00
COST DPSC DPS OMNIBASE fEE 0 0.00 0.00 0.00
COST fA fA 0 0.00 0.00 0.00
COST IOf INOIGENr DEfENSE fUND 1 0.20 1.80 2.00
COST JCD JCD 0 0.00 0.00 0.00
COST JCPT JCPT 0 0.00 0.00 0.00
COST JCSf JUSTICE COURT SECURITY fUND 1 1.00 0.00 1.00
COST JSf JUROR SERVICE fUND 0 0.00 0.00 0.00
cosr LAf SHERI FF I S FEE 0 0.00 0.00 0.00
COST PWAf TEXAS PARKS & WILDLIfE 0 0.00 0.00 0.00
COST SAf DPS 1 4.00 1.00 5.00
COST SUBC SUBT ITLE C 1 1.50 28.50 30.00
COST H TECHNOLOGY FUND 1 4.00 0.00 4.00
COST HC HC 1 3.00 0.00 3.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST WRNT WARRANT FEE 0 0.00 0.00 0.00
FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00
FEES CSF COURT SECURITY fEE 1 3.00 0.00 3.00
FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00
FEES OFF DEFERRED FEE 0 0.00 0.00 0.00
fEES fFEE Fill NG FEE 0 0.00 0.00 0.00
FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00
fEES JPAY JUDGE PAY RAISE fEE 1 0.60 5.40 6.00
FEES JRF JUROR REIMBURSEMENr FEE 1 0.00 4.00 4.00
FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00
FINE FINE FINE 1 81.90 0.00 81.90
fiNE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00
Credit TotaLs 103.21 76.79 180.00
The following totals represent combined Money and Credits
COST CCC CONSOLIDATED COURT COSTS 17 61.59 554.36 615.95
COST CJDR CIVIL JUSTICE DArA RES\POSITORY FEE 5 0.04 0.37 0.41
COST CMI CMI 1 0.05 0.45 0.50
cosr cvc cvc 1 1.50 13.50 15.00
COST DPSC DPS OMNIBASE FEE 6 57.69 117.13 174.82
COST FA FA 1 0.50 4.50 5.00
COST IOF INDIGENT DEFENSE FUND 15 2.83 2S.46 28.29
COST JCD JCD 1 0.05 0.45 0.50
COST JCPT JCPT 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 11 10.83 0.00 10.83
12/04/2012 Money Distribution Report Page 6
~-----------------------------------------------------------------------------------------------------------------------------------
The following totals represent Combined Money and Credits
rype Code Description Count Retained Disbursed Money-TotaLs
COST JSF JUROR SERVICE FUND 14 0.00 48.59 48.59
COST LAF SHERI FF' S FEE 3 15.00 0.00 15.00
COST PWAF rEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00
COST SAF DPS 11 39.90 9.97 49.87
cosr SUBC SUBTITLE C 5 6.22 118.19 124.41
COST TF rECHNOLOGY FUND 17 63.90 O.OD 63.90
COST TFC TFC 5 12.46 0.00 12.46
cosr rIME TIME PAYMENT FEE 8 87.17 87.18 174.35
cosr WRNr WARRANr FEE 7 341.36 0.00 341.36
FEES CIFF CIVIL INDIGENT FILING FEE 1 0.30 5.70 6.00
FEES CSF COURT SECURITY FEE 17 57.92 0.00 57.92
FEES CSRV COLLECTION SERVICE FEE 3 240.10 0.00 240.10
FEES DFF DEFERRED FEE 1 50.00 0.00 50.00
FEES FFEE FILING FEE 1 25.00 0.00 25.00
FEES JCMF JUVENILE CASE MANAGER FEE 4 20.00 0.00 20.00
FEES JPAY JUDGE PAY RAISE FEE 16 9.09 81. 79 90.88
FEES JRF JUROR REIMBURSEMENr FEE 3 0.00 11.31 11.31
FINE DPSF DPS FfA FINE 2 344.00 0.00 344.00
FINE FINE FINE 15 1,960.65 0.00 1,960.65
FINE PWF PARKS & WILDLI FE FINE 1 20.25 114.75 135.00
Report Totals 20 3,432.60 1,196.50 4,629.10
12/04/2012 Money Distribution Report Page 7
-----------------~------------------------------------------------------------------------------------------------------------------
OATE PAYMENT-TYPE FINES COURT-COSTS FEES BONO S REST ITUT ION OTHER TOTAL
00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all CoLLections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 Cash & Checks collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of alL CoLlections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Cash & Checks ColLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Carom Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of alL Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1997 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JaiL Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Col lections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of al l Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Corom Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
01-01-2004 Cash & Checks Collected 1,379.85 1,017.83 428.42 0.00 0.00 0.00 2,826.10
Jail Credits & Comm Service 977.90 585.31 59.79 0.00 0.00 0.00 1,623.00
Credit Cards & Transfers 81.90 85.10 13.00 0.00 0.00 0.00 180.00
Total of all Collections 2,439.65 1,688.24 501.21 0.00 0.00 0.00 4,629.10
TOTALS Cash & Checks Collected 1,379.85 1,017.83 428.42 0.00 0.00 0.00 2,826.10
Jail Credits & Comm Service 977.90 585.31 59.79 0.00 0.00 0.00 1,623.00
Credit Cards & Transfers 81.90 85.10 13.00 0.00 0.00 0.00 180.00
Total of all Collections 2,439.65 1,688.24 501. 21 0.00 0.00 0.00 4,629.10
12/04/2012
Money Distribution Report
Page
8
OATE
PAYMENT-TYPE
~_______~~WMW_______________W_______________________________________________________________________________------------------------
OTHER
rorAl
State of Texas Quarterly Reporting Totals
Description
State ComptrolLer Cost and Fees Report
Section I: Report for Offenses Committed
01-01-04 Forward
09-01-01 12-31-03
08-31-99 08-31-01
09-01-97 08-30-99
09-01-91 08-31-97
Bail Bond Fee
DNA Testing Fee Convictions
DNA Testing fee Carom Supvn
DNA Testing fee JuveniLe
EMS Trauma Fund (EMS)
Juvenile probation Diversion Fees
Jury Reimbursement Fee
Indigent Defense Fund
Moving Violation Fees
State Traffic Fine
Section II: As ApplicabLe
Peace Officer Fees
Failure to Appear/Pay fees
Judicial Fund - Const County Court
Judicial Fund ~ Statutory County Court
Motor Carrier Weight VioLations
Time Payment Fees
Driving Record Fee
Judicial Support Fee
Report Sub Total
State Comptroller Civil Fees Report
CF: Birth Certificate Fees
CF: Marriage License Fees
CF: Declaration of Informal Marriage
CF: Nondisclosure Fees
CF: Juror Donations
CF: Justice Court Indig Filing Fees
CF: Stat prob Court Indig Filing Fees
CF: Stat prob Court Judie Filing Fees
CF: Stat Cnty Court Indig Filing Fees
CF: Stat Cnty Court Judie Filing Fees
CF: Cnst Cnty Court Indig Filing Fees
CF: Cnst Cnty Court Judie Filing Fees
CF: Dist Court Divorce & Family Law
CF: Dist Court Other Divorce/Family Law
CF: Dist Court Indig Legal Services
CF: Judicial support Fee
Report Sub Total
Total Due For This Period
FINES COURT-COSTS
FEES
BONDS RESrITUTION
Count
Collected
Retained
Disbursed
10 365.88 36.59 329.29
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
10 18.29 1.83 16.46
4 0.31 0.03 0.28
4 94.41 4.72 89.69
7 30.73 24.58 6.15
4 120.00 39.60 80.40
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
6 128.67 64.33 64.34
0 0.00 0.00 0.00
11 60.88 6.09 54.79
56 819.17 177.77 641.40
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
2 8.00 0.00 8.00
1 6.00 0.30 5.70
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
3 14.00 0.30 13.70
59 833.17 178.07 655.10
12/06/2012 12:52
361-983-2461
CALHOUN CO PCT 5
PAGE 02
12/05/2012 Honey Distribution Report P8ge 1
JUDGE NANCY POMYKAL, PCT"5" NOVEMBER 2012
____w~w~~_____________________________~__~_____R____~________________________~_________~_~_________________~._~_______r~___________
Receipt C.u.e/Defenctent code Amount I Code Amount I CodA Amoul\t Code Amount I Code MOUot code Amount Totel
I I I
0374577 12-10-0306 11-05-2012 JSF 4.00 I TFC 3.00 I CCC 40.00 eHs 3.00 I SAF 5.00 IF 4.00 82.50
TANTON, CMRISTOPHER o.WAYNE JCSF 1.00 I JPAY 6.00 I IDF 2.00 MVF 0.10 I FINE 14.40
C..h I I
0374578 12-11-0312-FEo 11-05-2012 SFEE 75.00 IFEE 6.00 I FIll 25.00 I 106.00
LAMBRIGHT, SERINA I I
FED Cash I I
0374579 12-09-0278 11-06-2012 FINE 36.00 I 36.00
CHAVEZ, JOEL I
C:..h I
0374580 12-10-0308 11-07-2012 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 I sAF 5.00 TF 4.00 165.00
EoMlsrON, STEPHANIE LITTLE JCSF 1.00 JPAY 6.00 !OF 2,00 MVF 0.10 I OFF 66.90 SUBe 30,00
Personal Check I
0374581 11-12-0332 11-09-2012 JSF 4.00 TFC 3.00 ctC 40.00 CHS 4.00 I sAF 5.00 TF 4.00 279,50
FIPPS, AMEY LYNN OPSC 30.00 JPAY 6,00 10F 2.00 MVI 0.10 I FINE SQ.90 SUBe 30.00
Compony chook CSRV 64.50 I
0374582 09-08-0337 11-09-2012 JSF 3.00 TFC 3.00 CCC 40.00 eHs 4.00 I LAf 5.00 IF 4,00 247.00
SCHULTZ, JAMES AARON opsC 30.00 JCSF 1.00 JPAY 6,00 lof 2.00 I FINE 62,00 SUBC 30.00
compony Cheok I CSRV 57.00 I
0374583 12-08-0258 11-13-2012 I JSF 4.00 TFC 3.00 cce 40.00 CHs 3.00 I LAF S.OO TF 4,00 200.00
eTZELL, DAVID MleMAEL I JeSF 1.00 I JPAY 6.00 10F 2.00 MVF 0.10 I OFF 101.90 SUBe 30.00
ClISh I I
0374564 12-11-0325 11-14-.012 I JSF 4.00 CCC 40.00 CHS 3.00 SAF 5.00 In 4.00 JCSF 1,00 165.00
RODRIGUEZ, HOMERO I JPAY 6.00 10F 2.00 FINE 100.00
co.h I
03745B5 12-10-0312 11-14-2012 I JsF 4.00 CCC 40.00 CHS 3,00 LAF 5.00 Tf 4.00 JCSF 1.00 305.00
GUTlaRRET, CHRISTOPHER I JPAY 6.00 IDF 2.00 FINE 240.00
Money Or<ler I
0374586 12-10-0307 11-19-2012 I JSF 4.00 lFC 3.00 cec 40,00 I CHS 3.00 SAF 5.00 1F 4.00 165.00
ADCOCK, JAMES RANDALL I JCSF 1,00 JPAY 6,00 IDF 2.00 MVF 0.10 FINE 66.90 SUBC 30.00
credit card I I
0374588 12-11-0324 11-19-2012 I JSF 4.00 ece 40.00 I eHS 3.00 PWAF 5.00 1F 4.00 JCSF 1.00 165.00
MILL, ROBERT GLENN I JPAY 6.00 10F 2.00 I PWF 100,00
crodit Cord I I
03745B9 12-10-0309 11-21-2012 I JSF 4.00 CCC 40.00 I tHS 3.00 SAF 5,00 TF 4.00 JCSF 1.00 165,00
BROHN, ANO~EW HERMAN I JPAY 6.00 IDF 2.00 I FINE 100.00
Personal Chetik I I
0374590 12-11-0319 11-21-201. I Jsf 4.00 ccc 40.00 I CHs 3.00 PWAF 5.00 TF 4.00 I JCSF 1.00 I 165.00
HILL, GREGORY WADE I JPAY 6.00 10' 2.00 I PWF 100.00 I I
Credit Card I I I I
0374591 12-11-0321 11-26-2012 I JSF 4.00 cec 40.00 I eMS 3.00 PWAF 5.00 TF 4.00 I JCSF 1.00 I 165.00
HIL~, JAMES DANIEL I JPAY 6.00 IDF 2.00 I PWF 100.00 I I
Per~onl!ll Check I I I
0374592 12-11...Q3n 11-26-2012 JsF 4.00 ccc 40.00 I CHS 3.00 PWAF 5.00 I TF 4.00 I JCsF 1.00 I 165.00
HILL, WILLARD JAMEs JPAY 6.00 10F 2.00 I PHF 100.00 I I I
compony Check I I I I
0374593 12-08-0267 11-26-2012 FINE 143,00 SUBe 30.00 I I I I 173.00
GREGORY, sHERRY LYNN I I I I
MOMY Order I I I I
0374594 12-11-0326 11-27-2012 JSF 4.00 I cte 40.00 I CMS 3.00 I LAF 5.00 I TF 4.00 I JeSF 1.00 I 165.00
HILL, JoNATHAN MA~sHALL JPAY 6.00 I IDF 2.00 I FINE 100.00 I I I I
co.h I I I I I I
0374595 12-11-0333 11-28-2012 JSF 4.00 I TfC 3.00 I cee 40.00 I OH' 3.00 I ~AF 5.00 I TF 4.00 I 165.00
BOWMAN, JUSTIN DALE JeSF 1.00 I JPAY 6.00 I 10F 2.00 I MVF 0.10 I FINE 66.90 I SUBC 30.00 I
Cash I I I I I I
12/06/2012 12:52
361-983-2461
CALHOUN CO PCT 5
PAGE 03
1.2/05/2012 Money Df&tribution ~eport Paijl! 2
JUDGE NANCY POMYKAL, PCT"5" NOVEMBER 2012
.~________________~____._~~_~_~~_w_~~~~~_________________________________~_~~~~_______________~_~___________________________________
The followlng totAt. '.p,...nt - c..h ond Che.ks Collected
Type Cod. De&tr;ptiori Count Iletoined Disbuf'ud MOtiey-Totals
Thd followihg totals rl!pro~~nt - Caeh ~nd Checks Collected
COST CCC CONSOLIDATED COURT COSTS 12 48.00 43..00 480.00
CO$T CH$ COURTHOUSE $ECURITY 12 38.00 0.00 38,00
COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 2 19.80 40.20 60.00
COST IDF INDIGENT DEFENSG 'UNO 12 2.40 21,60 24.00
COST JCSF JUSTICE COURT SECURITY FUND 11 11.00 0.00 11.00
COST JPAY JUDGE PAY RAISE FEE 12 7.20 64.80 72.00
COST JSF JUROR SERVICE FUND 12 4,70 42.30 47.00
COST LAF SHERlFF1S FEE 5 25.00 0.00 25,00
COST MVF MOVING VIOLATION FEE 5 0.05 0.45 0.50
COST PWAF TEXAS PARKS & WILDLIFE 2 8.00 2.00 10.00
CoST SAF DPS 5 20.00 5.00 25.00
COST TF TECHNOLOGY FUND 12 48.00 0.00 4B.00
COST rFC TFC 6 18.00 0.00 18.00
PEES CSRV COLLECTION SERVICES FEE 2 121,50 0.00 121,50
FEES 0;; DEFERRED FEE 2 168,80 0.00 168.80
FEES FIll FILlNG FEE 1 25.00 0,00 25,00
FEES IFEE INDIGENT FEE 1 0.30 5.70 6.00
FEES SFEE SERV1CE FEE 1 75.00 0.00 75.00
FEES SUBC SUB TITLE C 6 9.00 171,00 180.00
FINE FINE FINE 10 949.20 0.00 949.20
PINE PWF PARKS & WILDLIFE PINE 2 30.00 170.00 200.00
Monoy Tot.t. 15 1,62B.9S 955,05 2,584.00
The following totels represent ~ Transfers tolleoted
COST CCC CONSOLIOATEO COURT COSTS 0 0.00 0.00 0.00
COST CNS COURTHOUSE SeCURITY 0 0.00 0.00 0.00
COST DPSC DPS FAILURE TO APPEAR /ONNI PEES 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENse FUND 0 0.00 0.00 0.00
COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00
COST JPAY JUDGE PAY RAISE fEE 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
COST MVF MOVING VIOLATION FEe 0 0,00 0.00 0.00
COST PwAF TEXAS PARKS & WILDLifE 0 0,00 0.00 0.00
COST SAF DPS 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFC HC 0 0,00 0.00 0.00
fEES CSRV COLLECTION SERVICES FEE 0 0,00 0.00 0.00
FEES DFF DEFERRED FEE 0 0.00 0.00 0.00
FBBS FILI FILING FEE 0 0.00 0,00 0.00
FEES IFEE INOIGENT FEe 0 0.00 0.00 0.00
F.ES SFEE SERVICE FEE 0 0.00 0.00 0.00
FEES SUBC SUB T1 TLE C 0 0.00 0.00 0.00
FINB FINE FINE 0 0.00 0,00 0.00
FINE PwF PARKS & WILDLIfE PINE 0 0,00 0,00 0.00
12/05/2012 12:52
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PAGE 04
12/05/2012 Money D;6tribl,ltion Report Page 3
JUDGE NANCY POMYKAL, PCT-5- NOVEMBER 2012
-~~----~~-----------~-------~---------------~--------~-------------~-------_._-.~--------_.------------------------------~---------
The following total. ropre.ent - Tron.for. tollootod
Type Cod. [)e.$cription Count Retained Dbbu..ed Money-Total.
Transfer TQtels 0 0.00 0.00 0.00
Tn~ follcwing totals represent - Jail Credit and community servioe
tOST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0,00
COST CHS COURTHOUSE SeCURITV 0 0.00 0.00 0.00
COST DPSC DPS FAILURE TO APPEAR IOMNI FEES 0 0.00 0.00 0.00
cosr IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0,00
COST JeSF JUSTICE COURT .ECURITY FUND 0 0.00 0.00 0.00
COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00
COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00
COST LAF sHERtFF'S lEE 0 0.00 0.00 0.00
COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00
COsT P~AF TEXAS PARKs & ~ILDlIFE 0 0.00 0.00 0.00
COST SAF DPS 0 0,00 0.00 0,00
COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00
COST TFe TFC 0 0,00 0.00 0.00
FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00
FEES DFF Dl!FERRED FEE 0 0.00 0.00 0.00
FEES FIll fiLING FEE 0 0.00 0.00 0.00
FEES IFEE INDIGENT FEE 0 0,00 0.00 0.00
FEES SIEE SERVICE FEE 0 0.00 0.00 0.00
lEES suec SUB fITlE t 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0,00 0.00
lINE PWF PARKS & WILDLIFE FINE 0 0.00 0,00 0.00
credit Total6 0 0,00 0.00 0,00
The following totals represent ~ Credit Card payments
COST tCC CONSOLIDATED CoURT COSTS 3 12.00 108.00 120.00
cosr CHs CoURTHOUSE SECURITY 3 9.00 0,00 9.00
toST DPSC DPS FAILURE To APPEAR 10MNI FEES 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 3 0.60 5.40 ~.OO
COST JCSF JUST1CE COURr SECURITY FUND 3 3.00 0.00 3.00
cosr JPAY JUDGE PAY RAISE lEE 3 1.aO 16.20 18.00
tOST JSF JUROR SERVICE FUNO 3 1.20 10.80 12.00
COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00
tOST MVF MOVING VIOLATION FEE 1 0.01 0,09 0.10
COST PWAf TEXAS PARKS & ~ILDLtFe 2 8.00 2.00 10.00
COST 8M DPS 1 4.00 1,00 5.00
COST ff TECHNOLOGY FUND 3 12.00 0.00 12.00
toST TFC TFC 1 3.00 0,00 3.00
FEES CSRV tOLLECTION SERVICES FEE 0 0.00 0.00 0.00
FEES DFF OEFERRED FEE 0 0,00 0.00 0.00
FEES FIll F ILlNG FEE 0 0.00 0.00 0.00
FEES IFEE INDIGENr FEE 0 0.00 0,00 0.00
FEES SfEE SERVICE FEE 0 0.00 0.00 0,00
12/06/2012 12:52
361-983-2461
CALHOUN CO PCT 5
PAGE 05
12/05/2012
Honey Distribution Report
JUDG~ NANCY POMYKAL, peT"5- NOVEMBER 2012
PQge
4
__.~____~_*.~____~_~~_____~_.~____y_~____~~W~_______~_---~-------~-_.--_._------~--~-------~---------------------------------------
rhe foilowing tot.l. repr...nt . credit c.rd Payment.
Typ. Code De.oription Count Retoined Disbursed HI;mey-Tot~l5
FEES SUBC SUB TITLE C 1 1.50 28.50 30.00
FINE FINE FINE 1 66,~0 0.00 66.90
FINE PWF PARKS & WILDLIFE FINE 2 30.00 170,00 200.00
Cr.dit Touls 3 153.01 341.9'i' 495.00
Tho following totol. ropr.sent . combinod Money ond credit.
COST cec CONSOLIDATED COURT COSTS 15 60.00 540.00 600.00
COST CHS COURTHOUSE SEeURITY 15 47.00 0.00 47,00
COST DPSC DPS fAILURE TO APPEAR IOMNI FEES 2 19.80 40.20 60.00
COST IDF INDIGENr DEFENSE FUND 15 3.00 27.00 30.00
COST JCSf JUSTICE cOURT SECURITY FUND 14 14.00 0.00 14.00
eoST JPAY JUDGE PAY RAISE FEE 15 9.00 61.00 90.00
COST JSf JUROR SERVICE FUND 15 5.90 53.10 59,00
COST LAF SHERIFF'S FE~ 5 25,00 0.00 25.00
COST MVF MOVING VIOLATION FEE 6 0.06 0.54 0.60
COST PWAF TEXAS PARKS & WllOLIFo 4 16,00 4.00 20.00
COST SAF OPS 6 24.00 6.00 30.00
COST TF TECHNOLOGY FUND 15 60.00 0.00 60.00
COST TFC HC 7 21,00 0.00 21.00
FEES CSRV COLLECTION SERVIC~S FEE . 1.1.50 0.00 121..0
FEES DFf DEFERREO FEE 2 168,80 0.00 168.80
F~ES FIll filING FEE 1 2,,00 0.00 2$.00
FEES IFEE INDlG~NT FEE 1 0.30 5.70 6.00
FEES SFEE SERVICE FEE 1 75.00 0,00 7..00
FEES suec SUB Tl TLE C 7 10,50 199. SO 210,00
fiNE FINE FINE 11 1,016.10 0.00 1,016.10
FINE PWF PARKS & WILDL1FE FINE 4 60.00 340.00 400.00
Report Totllll!l 1& 1,781.96 1,297.04 3,079.00
12/06/2012 12:52
361-983-2461
CALHOUN CO PCT 5
PAGE 06
12/0~/2012 Money ~i$tribytion Report flage ~
JUDGE NA~CY POHYKAL, PCT"5" ~OVEMeER 2012
_~_~_____._r____~_~____~_~____._~____*~~___~_~___~__--__M_~_____.____~____________~_w~_____~_____w_____w___~-------------.----------
DATE PAYMENT-tyPE FINES COURT-COSTS FEES BONPS RESTITUTION OTHER rOTAL
00-00-0000 c.sh & Ct>eoks Co~l.eteQ 0.00 0.00 0.00 0.00 0,00 0,00 0,00
Jeil Crtdits & Comm service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
credit car~a & Trans1era 0,00 0,00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0,00 0.00 0.00
09-0H 991 Csst> & Che,ks ColloeteQ 0.00 0,00 0,00 0.00 0.00 0,00 0.00
Joil CreQ1t. & Comm Service 0.00 0.00 0.00 0.00 0.00 0,00 0,00
credit carde & Trans1*r$ 0.00 0.00 0.00 0.00 0,00 0.00 0,00
Total of all ColLection. 0,00 0.00 0.00 0.00 0.00 0,00 0.00
09-01-1993 'ash & Cheoka colteoted 0,00 0.00 0,00 0.00 0.00 0.00 0.00
Jail Credit& & ComM Service 0.00 0,00 0.00 0.00 0,00 0.00 0.00
credit card. & Transfer& 0.00 0,00 0.00 0.00 0.00 0.00 0.00
Total of all 'olle~tioni 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1995 Ca.t> & Check. colle.teQ 0.00 0.00 0.00 0.00 0.00 0,00 0.00
Jail credits & Co~m service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Cr8d1t ,srd& & Trana1o~$ 0.00 0.00 0.00 0.00 0.00 0.00 0,00
TotaL of all CoLteotiont 0.00 0.00 0.00 0.00 0,00 0.00 0.00
09-01-1997 Cesh & CheQKS colleQted 0.00 0,00 0.00 0.00 0.00 0.00 0.00
Jzdt credits &- Comlll Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
credit Cards & Trenafere 0.00 0.00 0.00 0.00 0.00 0,00 0.00
Total of al~ Collection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 C8$h & Checks coLLected 0.00 0.00 0.00 0.00 0.00 0,00 0.00
Jail Cred1ts & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0,00
Crodlt Card. & Tran.fers 0.00 0.00 0.00 0.00 0,00 0.00 0.00
ToUl of all colLections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-2001 ca.h & choek. Co\~o.ted 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & ComM ServiQe 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit cards & Tfan$fers 0.00 0.00 0.00 0.00 0.00 0,00 0.00
TotaL of all CQLLections 0.00 0.00 0.00 0.00 0,00 0.00 0.00
09-01-2003 C.sh & Cheok. ColleeteQ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credit$ & tomm se~vice 0.00 0.00 0.00 0.00 0.00 0.00 0.00
credit Cards & Transfer5 0.00 0.00 0,00 0.00 0.00 0.00 0.00
Total of .l\ Collection. 0.00 0.00 0.00 0.00 0,00 0.00 0.00
01-01-2004 C.ah & Cho.k. Col~eot.Q 1,149.20 858.50 576,30 0.00 0.00 0.00 2,584.00
Joil CreQit. & Coom servioe 0.00 0.00 0.00 0.00 0.00 0.00 0.00
CreQit C.rd. & Tran.fer. 266.90 198.10 30.00 0,00 0.00 0.00 495.00
Total of alL CoLLeotions 1,416.10 1,056,60 606.30 0.00 0,00 0.00 3,079.00
TOtAL$ Cash & Cho.k. colleoted 1,149.20 e~8.~0 576,30 0.00 0,00 0.00 2,584,00
J,iL Credits & Comm service 0.00 0.00 0.00 0,00 0.00 0.00 0.00
CreQit carQ. & Tran.fer. 266,90 19~,10 30.00 0,00 0.00 0.00 495.00
Totol of all collection. 1,416.10 1,056.60 606.30 0.00 0.00 0.00 3,079,00
12/06/2012 12:52
361-983-2461
CALHOUN CO PCT 5
PAGE 07
12/05/2012 Money oistribution R.port Page ~
JUDGE NANCY POMYKAl, pcT"S- NOVEMBER 2012
_____w~~~~-~-----------------------.~M~-----~~~-------______________M___M___~~_________________________________________~____ww~p----
DATE PAYMENT-TVPE FINES COURT - cosrs FEES IlONDS RESTITUTION oTHER TOTAL
State of Taxas QuarterLy Reporting Tot6ls
D6t>er-ipt;cn CQl.lnt Colleot.d At>tainl!!d Oisbl,l"sed
state comptroller co.t and Fee. Repot"t
$eotion 1: Report for offenses CQmmitted
01-01-04 Forw'rd 15 600.00 60.00 540.00
09-01-01 - 12-31-03 0 0.00 0.00 0.00
08-31-99 - 08-31-01 0 0.00 0.00 0.00
09-01-97 - 08-.0-99 0 0.00 0,00 0.00
09-01-91 - 08-31-97 0 0.00 0.00 0.00
Bail BQnd Fl!tt 0 0.00 0.00 0.00
DNA Testing fee'" tonviQtiQns 0 0.00 0.00 0.00
bNA Testing F.. - comm supvn 0 0.00 0.00 0.00
DNA T..ting Fe. - Juvenil. 0 0,00 0,00 0.00
EMS Trauma Fund CEMS) 0 0,00 0.00 0.00
JyveniLe Probstio~ D;Ver$;Qn Fees 0 0.00 0.00 0.00
Jury Reimbur'ement Fee 15 59.00 5.90 53.10
Ind1s,nt Deftn$ft Fund 15 30.00 3.00 27.00
MOVing Violation Fees 6 O.~O 0.06 0.54
Shte Traffic Fil'le: 7 210,00 10.50 199. SO
Se.tion 11; A. Applioable
Peace oft~o&r Fees 10 50.00 40.00 10,00
Feilure to App..r/Pay Fe.. 2 60.00 19,$0 40,~0
JudioiaL Fu~d - Con$t Co~nty Court 0 0.00 0.00 0.00
Juditiel lund - St.tutory county COUrt 0 0,00 0.00 0.00
Motor earri.r W.ight Violations 0 0.00 0.00 0.00
Time paym~nt fees 0 0.00 0.00 0.00
nriving Record Fee 0 0.00 0.00 0,00
Judicial 5~pport Fee 15 90.00 9.00 81.00
Report ~ub Total e, 1,099.60 148.Z6 951,.4
Stat~ comptrQLl~r Civil Feos Report
CF: eirth Certifitate F... 0 0.00 0.00 0.00
CF: Marriage LiQen'o Fees 0 0.00 0.00 0,00
CF: Dacl~r4t;Qn 01 Informal MB~ri~ge 0 0.00 0.00 0.00
CF: Nondiselo&ure fees 0 0.00 0.00 0.00
CF: Juror Donations 0 0.00 0,00 0.00
CF: Justice Court tnd1g Filing Pee$ 1 6.00 0..0 5.70
CF: Stl!lt Pl"ob Court tndig Fil;nQ Feu 0 0.00 0.00 0.00
CF: Stat Prob court Judit ~iling F... 0 0.00 0.00 0.00
CF: Stet cnty Court Indig Filing F... 0 0.00 0.00 0.00
CF: stat e"ty Court Judie ~ilin9 fees 0 0.00 0.00 0.00
Cf: Coat C~ty coyrt Indig Fil;ng fee$ 0 0,00 0.00 0.00
eF: Cnst cnty Court Judio ~iling F.e' 0 0,00 0.00 0.00
eF: Di.t court DiVOroe & Family leu 0 0.00 0.00 0.00
CF: Di.t court Oth.r Divorte/Family "aw 0 0.00 0.00 0.00
CF: Dist CQurt Jndig Legal Servioes 0 0.00 0.00 0.00
eF: Judi.lel support Fe. 0 0.00 0.00 0.00
Report Sub Tot.t 1 6.00 0.30 ;.70
Total Due For This Period 86 1,105.60 148.56 957.04
PAYROLL:
Payroll dated the 9th day of November, 2012 was in the amount of $239,259.69. Payroll dated the 21'tday of
November, 2012 was in the amount of $228,442.20. Total amount of payroll for the month of November 2012
was in the amount of $467,696.89.
A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve payroll for the
month of November, 2012.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CALHOUN COUNTY
PAYROLL 2012
MONTH / NOVEMBER
Payroll through 11-09-12
$ 239,259.69
Payroll through 11-21-12
$ 228,442.20
I APPROVED TOTAL PAYROLL
$ 467,696.89
The items listed above have been pr,e-apP,roved by all ~p)tment, Heads and I certify that funds are
available to pay the obli~atious. I certify thaf the ab(Ov e is tr aud cor~ect OJZh bes of my
kuowledge this the :?J'~ day of 'Dttc l\.LklQX , 2012. cJ'
\ A/<', ) (),
CU r )U.--
RH NDA S. KOKENA,
CA HOUNCOUNTYTREASURER
ACCEPTED AND APPROVED THIS THE /!3tiJ. DAY OF
/)eCtm6eV' , 2012 IN THE CALHOUN COUNTY
COMMISSIONERS' COURT, PORT LA V ACA, TEXAS 77979.
APPROVED
DEe 1 3 2012
CALHOUN COUNTY
COMMISSIONERS COURT
PRE-APPROVE EXPENDITURES BY INCUMBENT COUNTY OR PRECINCT OFFICER(S) UNDER
COUNTY'S POLICY OF COMPLIANCE WITH LGC 130.908:
Estimated expenditures in the amount of $70,998.26 were presented by the Calhoun County Adult Detention
Center. Estimated expenditures in the amount of $130,287.59 were presented by the Calhoun County Sheriff's
Office.
A Motion to approve the estimated expenditures was made by Commissioner Finster and seconded by
Commissioner Lyssy.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Calhoun County Adult Detention Center
Bills to be approved on
December 13, 2012
Vendor Description Amount
Memorial Medical Center Inmate Medical 16175.00
David Hensley PHD Physicals 900.00
Verizon Telephone Services 25.01
Correctional Management Institute Training Registration Fees 900.00
Stericycle Misc Service 674.62
Skyline Equipment Jail Maintenance 1196.22
Restaurant Equlppers Mlsc Supplies 114.87
Quill Office Supplies 3151.10
Port Lavaca Family Dentistry Inmate Medical 1209.00
Moore Medical Infirmary Supplies 1622.00
Gulf Coast Paper Misc Supplies 1236.08
Gulf Coast Paper Inmate Supplies 4134.00
Gulf Coast Paper Misc Service 16.00
Glove Planet Mlsc Supplies 560.00
FedEx Postage 270.73
Diamond Drugs Inmate Medicai 1414.58
Dash Gloves Misc Supplies 371.60
Cook's Correctional Misc Supplies 300.00
Codex Misc Supplies 8009.10
Coastal Medical Clinic Inmate Medical 7706.25
Cintas First Aid & Safety Infirmary Supplies 653.97
Bob Barker Company Inc. Inmate Supplies 914.10
ICS Jail Supplies Inmate Supplies 1656.07
ICS Jail Supplies Misc Suppiies 957.98
Ben Keith Co Groceries 8077.24
Calhoun County Adult Detention Center
Bills to be approved on
December 13, 2012
Ben Keith Co Mlsc Supplies 209.49
Dash Gioves Mlsc Supplies 571.60
Hill Country Dairy Groceries 1462.92
Radiology Unlimited Inmate Medical 140.00
Ricoh USA, Inc Copier Rental 866.00
Pitney Bowes Postage 174.00
Matera Inmate Supplies 995.36
Matera Mlsc Supplies 1152.90
U.S. Diary Office Supplies 600
Western Detention Misc Service 266.27
Wal-Mart Groceries 129.07
Wal-Mart Mise Supplies 173.60
Wal-Mart Office Supplies 151.06
HEB Inmate Medical 83.00
HEB Groceries 554.15
HEB Inmate Supplies 62.70
Hudson's Engraving Uniforms 141.50
Timeco Capital Outlay 456.40
Credit Card Center Meal Allowance 184.83
Credit Card Center Training Travel Out of County 377.89
Total 70998.26
Calhoun County Sheriff's Office
Bills to be approved on
December 13, 2012
Vendor Description Amount
Cintas First Aid & Safety Mlsc Supplies 563.46
American Tire Distributors Tires 786.20
Bruce's Automotive Repairs Vehicle Maintenance 2577.86
Bruce's Automotive Repairs Misc Service 69.00
Ken's Enterprises Mise Service 300.00
Keep-U-Neat Cleaners Uniforms 295.00
Jill Hendrickson Travel Reimbursement 169.54
WatohGuard Machinery/Equipment Repairs 73.00
Classen Buck Seminars Training Registration 173.00
Aqua Beverage Company Misc Supplies 150.17
Firestone of Port Lavaca Vehicle Repairs 719.45
R & K Quality Control Testing Drug Testing 210.00
G.T. Distributors Law Enforcement Supplies 142.80
G.T. Distributors Capltai Outlay 978.60
G. T. Distributors Uniforms 844.67
Quill Office Supplies 982.86
Rlcoh USA, 'nc Copier Rental 551.00
Pitney Bowes Postage 174.00
Rudy Portillo Mlsc Service 150.00
Rose Stringo Mlsc Supplies 1419.00
Yacht Equipment Service Centers Capital Outlay 18719.00
CDW-G Capital Outiay 8361.75
StopTech, Ltd. Law Enforcement Supplies 922.25
Traffic Safety Store Capital Outlay 498.96
Voyager Fuel 9919.73
Calhoun County Sheriffs Office
Bills to be approved on
December 13, 2012
Chevron Fuei 261.45
Chevron Misc Service 6.06
Calvin Anderle Misc Service 150.00
Calvin Anderle Misc Supplies 885.00
Wal-Mart Misc Service 21.14
Wal-Mart Oil 36.02
SAS R & D Service Capital Outlay 350.00
Affordable Auto Repair Vehicle Repairs 145.00
HEB Misc Supplies 50.00
Bayfront Animal Hospital Mlsc Service 100.00
Bayfront Animal Hospital Mlsc Supplies 100.00
Firestone Vehlcie Repairs 346.00
Allied Waste Jail Utilities 580.24
Timeco Capital Outlay 456.40
Credit Card Center Law Enforcement Supplies 159.95
Credit Card Center Meal Allowance 161.55
Credit Card Center Training Travel Out of County 913.24
Credit Card Center Travel Out of County 176.41
Credit Card Center Mlsc Service 584..16
Credit Card Center Fuel 1877.57
Credit Card Center Misc Supplies 184.87
Super Circuits Capital Outlay 2077.41
Dooley Tackaberry Capital Outlay 10105.80
BJ's Famous Uniforms Uniforms 3200.02
Tran Sport Boats Inc Boat 57608.00
Total 130287.59
BILLS:
Claims totaling $1,099,209.11 were presented by the Calhoun County Treasure's Office and after reading and
verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve
the bills and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Claims totaling $142,713.65 were presented by the Calhoun County Sheriff's Office and after reading and
verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve
the bills and that all said claims are approved for payment.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
December 13, 2012 2012 APPROVAL LIST 46
COMMISSIONERS COURT MEETING OF 12/13/12
BALANCE BROUGHT FORWARD FROM PAGE 45 $ 277,893.61
FICA P/R $ 30,708.75
MEDICARE P/R $ 8,716.46
FWH PIR $ 28,998.41
NATIONWIDE RETIREMENT SOLUTIONS PIR $ 6,434.96
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,807.40
ALLIED WASTE SERVICES AlP $ 288.12
BEXARCOUNTY AlP $ 471.00
CABLE ONE AlP $ 984.93
CALHOUN COUNTY CERTIFCATE OF OBLIGATION REFIN. 2012 AlP $ 9.97
CALHOUN COUNTY OPERATING ACCT (TRANSFER FROM MM) AlP $ 625,000.00
CENTERPOINT ENERGY AlP $ 53.60
CITY OF POINT COMFORT AlP $ 77.63
CITY OF PORT LA V ACA AlP $ 3,199.40
CITY OF SEADRIFT AlP $ 326.14
CREDIT CARD CENTER AlP $ 9,063.02
DIEBEL OIL AlP $ 1,529.12
EXXONIMOBIL AlP $ 1,835.41
GBRA AlP $ 180.90
GRAPEVINE DODGE AlP $ 21,133.68
GULF COAST TITLE (ClAP - GREENLAKE) AlP $ 5,500.00
JACKSON ELECTRiC COOP, INC. AlP $ 364.61
LA WARD TELEPHONE EXC. INC. AlP $ 278.93
MAC HAIK FORD AlP $ 23,975.32
MCI MEGA PREFERRED AlP $ 246.43
RELIANT ENERGY SOLUTIONS AlP $ 32,225.26
SPRINT AlP $ 56.80
VERIZON SOUTHWEST AlP $ 3,895.23
VICTORIA ELECTRIC CO-OP AlP $ 2,268.33
VOYAGER AlP $ 10,643.59
WASTE MANAGEMENT AlP $ 1,042.10
TOTAL AMOUNT FOR APPROVAL $ 1,099,209.11
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December 13, 2012
2012 APPROVAL LIST
COMMISSIONERS COURT MEETING OF 12/13/2012
DEPT. OF CALHOUN COUNTY SHERIFF B B BROWNING
(SHERIFF/JAIL)
BALANCE BROUGHT FORWARD FROM PAGE 12
ALLIED WASTE SERVICES #847
BI'S FAMOUS UNIFORMS
CDW
TRAN SPORT BOATS INC
VERIZON SOUTHWEST
AlP
AlP
AlP
AlP
AlP
TOTAL AMOUNT FOR AFPROV AL
13
$
73,258.63
$
$
$
$
$
280.24
3,200.02
8,361.75
57,608.00
5.01
$
142,713.65
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DONATION OF $250 FROM RUSSELL AND CHERRE CAIN FOR A K-9 UNIT FOR THE CALHOUN
COUNTY SHERIFF'S DEPARTMENT:
A Motion to accept a donation from Russeli and Cherre Cain for a K-9 Unit for Caihoun County Sheriff's
Department was made by Commissioner Finster and seconded by Commissioner Lyssy.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer ali voted in favor.
DECLARE AN HP PSC 1350 ALL IN ONE PRINTER IN THE OFFICE OF EMERGENCY MANAGEMENT AS
SALVAGE AND AUTHORIZE IT TO BE DISCARDED:
DescriDtion
HP PSC 13S0 All in One Printer
Serial No.
MY4AMDBOGN
Reason for SuroJus/Salvaae Declaration
Does not work
A Motion to declare the printer as salvage and authorize it to be discarded was made by Commissioner Lyssy
and seconded by Commissioner Fritsch.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Calhoun County, Texas
SURPLUS/SALVAGE DECLARATION REQUEST FORM
Department Name:.6M'4 ~ ~ ~ ~+
Requested By: L A't-:o;J N 0. \\--\~ f~
Inventory
Number
Description
Serial No.
Reason for Surplus/Salvage
Declaration
The Honorable
~
17w<<8' <fIJ. JV'oJUl'
Justice of the Peace - Precinct #3 - Calhoun County
Box 54a.- Point Comfort, Texas 77978
(361) 987-2661 . Fax (361) 987-2798
November 28, 2012
Commissioner's Court
Calhoun County
Port Lavaca, Texas 77979
Re: InventOly#457-0071-Computer W/17" Flat Panel Monitor
Dear Commissioner's Court,
Please declare the above item as salvage surplus. Computer went bad and had to be replaced on
3-5-2010. Please remove the above inventOlY from the Calhoun County Pct.3, Judge Gary W.
Noska's inventory list.
Sincerely,
~(\~~n ~.f~~ ~
Sandra Lynch-Court Clerk
Calhoun County, JP3.
DECLARE A COMPUTER WITH 17" FLAT PANEL MONITOR, INVENTORY #457-0071 IN THE OFFICE
OF JUSTICE OF THE PEACE #3 AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY:
Inventory No. Descriotion
457-0071 Computer System: Computer
will" Flat Panel Monitor
Serial No,
Reason for Surolus/Salvaqe Declaration
Does not work; was replaced on 3/5/2010
CPU: 2828172
Monitor: 2797464
A Motion to declare the computer system as salvage and remove from Justice of the Peace #3 inventory was
made by Commissioner Galvan and seconded by Commissioner Lyssy.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer ali voted in favor.
15
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Susan Riley
From:
Sent:
To:
Subject:
Tanya Dimak [tanya.dimak@calhouncotx.org]
Wednesday, November 21,201211:29 AM
Susan Riley
Salvage items
Can you please put on the next Comm. Court Agenda as salvage.
Canion Copycentre C20
Thanks
Tal'.')" D. Dinlak
CertiFied justice Court Clerk
Calhoun Count!:), F ct 2
201 W Austin
Fort Lavaca, TX77979
'.>61-55'.>~622
'.>61-55'.>-+625 Fax
Yo loliiZ what CJOU do and f1212lll1al il nmtt12rg, - bow can anqlbing biZ mow fun?
KellWl'in12 Gmbnm
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DECLARE VARIOUS ITEMS OF COUNTY PROPERTY IN THE OFFICE OF THE JUSTICE OF THE PEACE
#2 AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY:
Inventorv No. Descriotion Serial No. Reason for Surolus/Salvaae Declaration
456-0070 Xeron C20 Digital Copier KRKUC9602963B8784LA30169
456-0068 Computer System Was given to IT years ago for parts
497-0035 Canon IR3300 Copier MPH14551 Not working any more
A Motion to declare copiers and computer system as salvage and remove from Justice of the Peace #2 was
made by Commissioner Lyssy and seconded by Commissioner Fritsch.
Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Subject:
Tanya Dimak [tanya.dimak@calhouncotx.orgj
Wednesday, November 21,201211:57 AM
Susan Riley
Re: Salvage items
Ok, here is the inventory info?
Xeron C20 Digital Copier
inventory # 456-0070
Serial # KRK1JC9602963BBJB4LA30169
----- Original Message -----
From: Su,?an Rilev
To: 'Tanva Dimak'
Sent: Wednesday, November 21,201211:34 AM
Subject: RE: Salvage items
Is this on your inventory? I need your inventory information: Inventory number, serial number, etc.
I assume this is Precinct #2 JP?
From: Tanya Dimak [mailto:tanva.dimakliilcalhouncotx.org]
Sent: Wednesday, November 21, 2012 11:29 AM
To: Susan Riley
Subject: Salvage items
Can you please put on the next Comm. Court Agenda as salvage.
Canion Copycentre C20
Thanks
TanL)" D Dimak
Certified Justice Court Clerk
Calhoun Count:!, F ct 2
20 1 W Austin
Fort Lavaca, TX77979
)61-55)-+622
)61-55)-+625 fax
To loW wbel you cia one! f!l!ll 1Im1 illlmll!l1's- bow "en o11lJ111inS b!l m01';e fun?
l\elb;e1'in~ Cl1'C\btlm
1
Susan Riley
From:
Sent:
To:
Subject:
Tanya Dimak [tanya.dimak@calhouncotx.orgj
Tuesday, December 04,2012 1 :22 PM
Susan Riley
Salavage Declaration
I have 2 more items to declare Salvage. Please place these items on the next available agenda for Commissioners Court.
Computer System
Inventory # 456-0068
This item was given to IT years ago for parts
Canon IR3300 Copier
Inventory #497-0035
Serial # MPH14551
Not working anymore want to put as salvage.
Thanks,
Tan.LJ3 f). f)illlak
Certified justice Court Clerk
Calhoun Count!:}, F ct 2
201 W Austin
Fort Lavaca, TX77979
)6.1-55)-4-622
)61-55)-1-625 fax
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BUDGET ADJUSTMENTS:
A Motion to approve budget adjustments was made by Commissioner Finster and seconded by Commissioner
Lyssy.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
Susan Riley
From:
Sent:
To:
Cc:
Subject:
Attachments:
Sonia Downs [sonia.downs@calhouncotx.org]
Monday, December 10, 2012 10:42 AM
susan riley
'neil fritsch'
AGENDA ITEM FOR 12/13/12
Agenda Item 12.13.12.pdf
Susan,
Please place the attached agenda item on the Agenda for December 13, 2012.
Thank You!
Your message is ready to be sent with the following file or link
attachments:
Agenda Item 12.13.12
Note: To protect against computer viruses, e-mail programs may prevent sending or
receiving certain types of file attachments. Check your e-mail security settings
to determine how attachments are handled.
1
AUTHORIZE TRADE IN OF A 2005 FORD F-150 VIN# 1FTRX12W35NA07030, ASSET #23-0193 AND
VALUED AT $5,000, FOR THE PURCHASE OF A 2012 DODGE RAM 1500 AND APPROVE REMOVING
THE 2005 FORD F-150 FROM PRECINCT #3 INVENTORY:
Court recessed at 10:34 A.M.
Court reconvened at 10:50 A.M.
A Motion to authorize the trade in and removal from Precinct #3 Inventory of a 2005 Ford F150 for the purchase
of a 2012 Dodge Ram 1500 was made by Commissioner Lyssy and seconded by Commissioner Fritsch.
Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor.
CALHOUN COUN1J,~OMMISSIONER, PRECINCT J
24627 State Hwy. 172 - Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 _ Fox (361) 893,5309
Home (361) 552.3145 - Neil E. Fritsch, Commissioner, Pet.:; - Mobile (361) 920-5346
Email: ccprct3@laword.com
December 10, 2012
To: Honorable Judge Michael Pfeifer
From: Neil Fritsch
Re: Agenda Item
Please place the following item on the Commissioner's Court Agenda for December 13,
2012:
"Consider and Take Necessary Action to approve tlte Trade-In of a 2005 Ford F-150 VIN#
I FTRX12W35NA07030, Asset #23-0193 and valned at $5,000,for tlte purcltase of a 2012
Dodge Ram 1500 and approve removing tlte 2005 Ford F-150from Precinct 3 Inventory."
Respectfully,
11 l' P /.1' . /.- /
/ I./A..f L'~/t,/Z;.Jc-./L_.
Neil E. Fritsch
cc: Roger Galvan
Vern Lyssy
Kenneth Finster
Susan Riley
- ""~~-~~~.,,-"'"'
PUBLIC DISCUSSION:
There were no discussions.
Court was adjourned at 10:51 A.M.