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2012-10-11 Regular October Term Held October 11, 2012 THE STATE OF TEXAS COUNTY OF CALHOUN ~ !i ~ 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. 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 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. Lf Regular July Term Held July 26, 2012 THE STATE OF TEXAS !i !i ~ COUNTY OF CALHOUN BE IT REMEMBERED, that on this 26th day of July, 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'wesent on this do" .'M~':: ~:~'" of::;::;" ..~'~'.' '~~~(~.'.~~\',b\ Roger C. Galvan Commissioner, Precinct #1~ )~'0@ \} Vern Lyssy Commissioner, Precinct #2 Neil Fritsch Commissioner, Precinct #3 ,~: .' Kenneth W. Finster Commissioner, Precinct #4 - Anita Fricke County derk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Judge Pfiefer led the Pledge to the Texas Flag. "'\ . 1<<'\ "- \ \""\<"\ ,;,;-'! (",'\'-\~\ d \" :\\';'" \\;\} ~' ..,.,.\(\~~\"i\~~~~ \\ \") ~Y;>> ,~~ . \~ APPROVE MINUTES OF JANUARY 26/ 2012/ FEBRUARY 13/ 2012 AND JUNE 14/2012 MEETINGS: A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, Regular August Term Held August 9, 2012 THE STATE OF TEXAS !i !i !i COUNTY OF CALHOUN BE IT REMEMBERED, that on this 9th day of August, 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 County Judge Commissioner, Precinct #1 commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 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: Laurie Harvey: Memorial Medical Center presented their report for the month of August 2012. August's financiai operating results produced a net monthly income of $43,865 which contrasted budget expectations of a loss of ($1,116) for the month Increasing net income to $267,450 for the year. Patient revenue was up over last month's with an increase of more that $340,000 over July's results. This puts Memorial Medical Center at $241,365 for the year. Total inpatient days were down 32 under July's totals, as were acute days (down 2 days), swing bed days (down 30 days), average dally census down to 12.58 ADC for a year-to-date ADC of 14.92, average iength of stay (Increased to 3.77) for a year-to-date total of 3.84, observation hours (up over July's by 45). Other areas showing improved volumes over July's: ICU days, total clinic visits, (Including outpatient, ER, and speciaity clinic, surgeries lab, Ultrasound, CT scans, MRI's, and respiratory therapy. Decreased volume recorded In admissions, admissions from the ER, generai radiology, mammograms, pharmacy and total meals served. Waiver 1115: Completed and submitted the proposal on week ago Friday. The proposal Is with the Anchor at this time. The new deadline had been moved to October 19, 2012. Eligible for $2,977,166 in District funds. MMC's IGT would be $1,250,414 therefore, MMC would net $1,726,752 for participating In this program. Physician recruitment: Hosting one family practice with 0/6 position on the 19th. Physical plant issues: In process of obtaining proposais for replacing boiler. Propose Information Technology projects: SonicWall (firewall) in the amount of $5,345 Servers: two (2) servers that wili replace eight (8) main servers for $44,430.75 HP CoreSwitch in the amount of $24,842.48 Judge Pfiefer: Update: Waiver 1115 and wanting to have an EMS substation between Port O'Connor and Seadrift. They wanted County to add an office building for a PA or Health Department could come down once a week/once a month to give shots. What they wanted the County to add raised the amounts that the County would have to come up with over $250,000. Memorial Medical Center - Port lavaca, Texas CEO Report August 23, 2012 Financial Results: In August we had a net income of $43,865 increasing our net income for the year to $267,450. While patient census was down from an average of 13.6 to 12.6 in the month, overall patient revenue was up from August. The increase was driven by outpatient volume for MRls, CTs, and surgeries. UPl Pro/(ram / Waiver 1115 Pro/(ram We have on the agenda for us to review our plan. Rules and guidelines are still underdevelopment so creation of the plan is difficult. For the remaining four years ofthe waiver MMC is eligible for $2,977,166 in D5RIP funds. MMC's associated IGT would be $1,250,414. Thus MMC could net $1,726,752 from participation in the DSRIP portion of the Waiver 1115 program over the remaining four years of the waiver. For the uncompensated care portion ofthe waiver or (UCC) we are still waiting on the release of the worksheet for us to fill out and return to the state. Our final plan is due to the Anchor on October 5th. Phvsiclan Recruitment We anticipate hosting two Family Practice with OB candidates in October. Phvsical Plant Issues: We are still in the process of obtaining proposals for the replacement of the boilers. Information on Board Items: 1. Presentation on Benchmarking. We will be presenting some benchmarking data that compares M MC to other hospitals. This is intended to be the first step in the development of a "dash board" of financial indicators. 2. Closed Sessions for legal and quality. 3. Proposed Insurance Carrier. We are considering replacing the reinsurance carrier for our self funded employee insurance program. (No Hand outs in packet) 4. Retirement Plan for 2013 with TCDRS. Each year TCDRS requires us to approve the retirement plan assessment for the plan year. We recommend approving the plan assessment with no changes to the retirement program. 5. Proposed information Technology projects - Our core infrastructure for our IT systems are in need of updating. We are proposing at this time to update: A. 50nicWall - $5,345. The 50nfcWall is a "firewall" in essence provides security for the system thru a comprehensive layer of defense by combining gateway content filtering, anti-spam, anti-virus, and anti-spyware and intrusion prevention. The current system is outdated. B. Servers - $44,430.75. We are looking to replace eight existing servers with two servers to upgrade the performance of the system. Two of the main existing servers targeted to be replaced are seven years old. C. HP CoreSwitch $24,842.48. The Core5witch is the hardware that is the back bone of the network. 6. Proposed Waiver 1115 plan. (Not in Packet, will be provided at meeting.) Respectfully, J:~~o Memorial Medical Center Memorial Medical Center CFO Report Month of: August 2012 Overview: Augusts' financial operations resulted in a net monthly income of $43,865, contrasted with the budget expectations of a loss of ($1,116) for the month. Operating indicators were mixed when contrasted with last month's operations. Patient revenue was up over last month's, an increase of more than a $340,000 over July's results. Expenses were also up over last months in almost each expense category. Statistics: For the month, total hospital inpatient days were down 32 under July's totals. Acute days were down 2 days while swing bed days down 30 days from last month. Average Daily Census was down to 12.58 ADC, for a year-to-date Average Daily Census of 14.92. Average length of stay increased to 3.77 for a year-to-date total of 3.84. Observation hours were up again, over July's totals by 45 hours. other areas showing improved volumes over July's include ICU days, total clinic visits, including outpatient, ER and specialty clinic, surgeries lab, Ultrasound, CT Scans, MRls and respiratory therapy. Decreased volume was recorded in admissions, admissions from the ER, general radiology, mammograms, pharmacy and total meals served. Balance Sheet: Cash showed a decrease from the prior month, down by $62,700. MMC has $2,915,560 in cash, consisting or $2,415,560 in Operating Funds and $500,000 in CD investments, providing over 54 days of cash on hand. Reviewing 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, the impact would be slightly negative, as shown, below: April Mav June J.!!!y August Cash $2,625,960 $1,902,036 $2,659,356 $2,978,292 $2,915,561 Medicare Payable $1,167,498 $ 419,138 $ 396,567 $ 314,977 $ 275,204 Net Cash After Deducting Medicare Payable $1,458,462 $1,482,898 $2,262,789 $2,663,315 $2,640,357 Estimated Cash Increase / (Decrease) From the Prior Month $203,831 $ 24,436 $ 779,891 $ 400,526 ($ 22,958) We expect cash to drop in September / October due to the funding of items such as the Waiver IGT, the possible funding of DSH and other capital requirements (i.e. boilers, IT system). Income Statement: Gross patient revenue showed an increase of over $340,600 from July. Reductions of revenue were up from the July level, reporting a $168,500 increase. Total expenses were up from the prior month by approximately $139,960. Year-to-Date, MMC's net income through August $267,450, contrasted to the budgeted ytd net income of $32,073. SPECIAL NOTE: Monthly operating indicators have been added to the finance section of the Board package. This new report section will be reviewed during the finance presentation at the Board meeting. " I'! Z WN U~ :i:;;: o . C~ WW Z x ~'" ~ W ~U ~~ W ~ Z W N < ~ " :; g " ~ " ~ " ;; o . O. on 6~' ~ v. N " " < ~ ,ON ~ci~ !,'tlilt;; N N " ~ ;; ~ ~ : ~gii! N N " ~ . 0 . " 0 " ~~~ " :; 2 00 . 000 ~grJ N N " c ~ . 0 . . 0 . ...: ...: Sllil!;;! ...: N " ~ :;: ~ m ~..,~ .,.: ....- N C ~ 00. f'lo::t ~",r:: ...: ...: ~ ~ ~!l ~g* ...: ...: - ~ I ~ ~ 5 @ @ < x x 3 ~ ~ ~~~ a~~12 ~ ~ ~ . o o g :} o . , ~;~ "'-<0_ ~ 81 <n ~:;;~ . ~ . ::}~;;j- , l'J ~ ~ ~Sg .,;,.;!\i ~~~ g~!;;! o;!!f<< .0 , " " ~ ~ ~ o . .. ",- ~ N g~~ ~m!<l oi!!?", " . . . . . :;}.... . It) Si f8 :';~" a~! ~~~ "'-I!? 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W " o ~ ~ ~ g Memorial Medical Center Income Statement For the Month Ended AUGUST 31, 2012 Current Period Revenue Fiscal Year To Date Actual This Budget This last Year Month Month Actual Actual YTD Budget VTO laSt Year VTO $1,207,112 $1,403,735 $1,438,603 Inpatient Revenues $10,884,854 $11,229,880 $10,279,649 $3,440,205 $2,781,930 $3,338,024 Outpatient Revenues $25,598,407 $22,255,439 $22,870,861 $4,647,317 $4,185,66S $4,776,627 Total Patient Revenue $36,483,261 $33,485,319 $33,150,510 Revenue Deductions $2,096,659 $1,757,733 $2,087,442 Contractuals $17,883,717 $14,061,864 $14,994,897 $59,10S $175,941 $103,OS1 Charity $609,841 $1,407,528 $707,155 $34,652 $43,800 $133,252 Indigent Care $208,720 $350,400 $687,236 -$32,212 -$47,202 -$46,268 Disproportionate Share -$27S,136 -$377,616 -$370,196 $780,334 $568,606 $793,S79 Bad Debt $5,35S,035 $4,548,848 $4,128,10S $2,938,538 $2,498,878 $3,071,056 Total Revenue Deductions $23,782,177 $19,991,024 $20,147,197 $1,708,779 $1,686,787 $1,705,571 Net Patient Revenue $12,701,084 $13,494,295 $13,003,313 $59,572 $32,733 $35,572 Other Operating Revenue $342,573 $261,864 $330,180 $1,768,3S1 $1,719,520 $1,741,143 Total Operating Revenue $13,043,657 $13,756,159 $13,333,493 Current Period Operating Expenses Fiscal Year To Date Actual This Budget This last Year Month Month Actual Actual YTD Budget YTD last Year YTO $673,69S $707,236 $677,168 Salaries & Wages $5,288,334 $5,S80,207 $5,251,605 $201,349 $208,553 $192,347 Employee Benefits & PR Taxes $1,701,970 $1,652,958 $1,573,S20 $310,939 $265,681 $280,008 Professional Fees $2,474,028 $2,153,644 $2,150,487 $133,456 $126,392 $189,469 Purchased Services $1,217,953 $1,007,451 $1,160,528 $232,520 $201,248 $237,247 Supplies $1,689,247 $1,609,984 $1,546,165 $5,016 $7,367 $3,350 Insurance $35,836 $S8,936 $30,375 $50,536 $40,327 $24,210 Utilities $378,395 $322,616 $371,411 $59,443 $95,620 $93,095 Other Expenses $50S,960 $792,595 $853,678 $1,666,954 , $1,652,424 $1,696,894 Total Operating Expenses $13,291,723 $13,178,391 $12,937,766 $172,098 $9S,620 $81,681 Depreciation $758,935 $764,960 $587,093 $1,839,052 $1,748,044 $1,778,576 Total Expenses $14,050,658 $13,943,351 $13,524,8S9 -$70,701 -$28,524 -$37,432 Net Operating Income I (loss) -$1,007,001 -$187,191 -$191,367 Non Operating Income I (Exp) $198 $944 $588 Investment Income $2,328 $7,552 $5,410 -$1,835 -$4,678 -$2,497 Interest Expense -$16,119 -$37,424 -$23,897 $500 $2,500 $0 Contributions and Grants $10,498 $20,000 $75 -$90,866 -$111,284 -$94,530 IGT Expense -$383,972 -$890,272 -$766,300 $206,569 $139,926 $140,849 SelVice Contribution by SOH $1,661,714 $1,119,408 $1,052,634 $114,566 $27,408 $44,410 Total Non-Operating Revenue $1,274,449 $219,264 $267,923 $43,865 -$1,116 $6,978 Total Net Income I (loss) $267,450 $32,073 ' $76,556 j -2- I~ 'iii u '" u: f-.!:!=.~-'NI:DIO <:::t N r---rl 0'1 ~ 0, ::> <( oooo;;tN 0'1 00 LI'l M <0 00 N ";" :; ..., I..DOOU)O) "'.-< '" N ~ ~ ::> ..., lO.-ICOU"l "'.-< '" N ~ >. 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" ~ ~ ">" ill ~~t5 ill ?it5 ill w<<o ~ . ~ili~~ffi~36 g . ~ "O~ U6.1- 0 O~ 0 0 -5- MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 08/31/12 MONTH DESCRIPTION DEPT BUILDING EQUIPMENT TOTAL 01/12 N/A - - - SUB TOTAL JANUARY - - - 02/12 MEMORIAL WOMEN'S CENTER 027 33,665 - 33,665 SUB TOTAL 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 82,102.22 - 82,102.22 07/12 N/A - - - SUB TOTAL JULY - - - 08/12 N/A - - SUB TOTAL JUNE - - - TOTAL $ 129,506.48 $ - $ 129,506.48 -6- MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE AUGUST,2012 AGED TRIAL BALANCE: ORIGINAL - Based on time of admission I FINANCIAL CLASS < 30 31> 60 61> 90 91> 120 > 121 TOTAL MEDICARE $ 1,544,887 377,280 193,003 114,367 761,589 2,991,127 % 51.7% 12.6% 6.5% 3.8% 25.5% 35.0% MEDICAID $ 484,820 88,726 83,389 46,052 197,788 900,775 % 53.8% 9.9% 9.3% 5.1% 22.0% 10.5% BCBS $ 477,843 182,901 7S,839 57,989 150,431 945,003 % 50.6% 19.4% 8.0% 6.1% 15.9% 11,0% COMMERCIAL $ 670,789 296,185 267,S18 138,263 478,597 1,8S1,351 % 36.2% 16,0% 14.5% 7.5% 25.9% 21.6% PRIVATE $ 615,989 373,938 458,011 208,529 177,771 1,869,752 % 34.8% 20.0% 24.5% 11.2% 9.5% 21.9% TOTAL $ 3,829,841 1,319,030 1,077,760 S6S,200 1,766,177 8,SS8,008 % 44.8% 15.4% 12.6% 6.6% 20.6% 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 DAYS IN PATIENT ACCOUNTS RECEIVABLE: DECEMBER 2011 JANUARY FEBRUARY MARCH APRIL MAY JUNE GROSS 62.83 63,22 63.57 60,16 59.84 S8.54 56,09 JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER S7.28 1 59,771 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ACCOUNTANT'S REPORT I FINANCIAL CLASS 1 < 30 31> 60 61> 90 91> 120 '" 121 TOTAL MEDICARE $ 1 ,284,469 270,549 107,583 51,436 421,089 2,135,126 % 60.2% 12,7% 5.0% 2.4% 19.7% 24,9% MEDICAID $ S1S,125 90,341 84,481 4S,483 175,168 910,S97 % 56.6% 9.9% 9.3% 5.0% 19.2% 10.6% BCBS $ 470,090 147,756 42,39S 4,S19 12,753 677,S13 % 69.4% 21.8% 6.3% 0.7% 1.9% 7.9% COMMERCIAL $ 711,2S8 344,337 167,402 77,010 264,365 1,564,372 % 45.5% 22.0% 10.7% 4.9% 16.9% 18.3% PRIVATE PAY $ 723,232 S30,147 696,796 396,466 810,466 3,167,107 % 22.9% 16.8% 22.1% 12.6% 25.7% 36.9% IN HOUSE $ 204,419 20,9S6 6,679 94 53,326 28S,473 % 71,6% 7.3% 2,3% 0.0% 18.7% 3.3% CREDITS $ (172,181) - - - - (172,181) % 100,0% 0.0% 0.0% 0.0% 0.0% -2.0% HOME HEALTH $ - - - - - - % TOTAL 3,736,412 1,404,085 1,10S,336 S75,008 1,737,166 8,5S8,008 % 43.7% 16.4% 12.9% 6.7% 20.3% 100.0% NOTE n Amounts and percentages may sum to '+' or '-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding, - 7 - Vi" UJ (!) 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Q.J.g t'J ~ NO 00 00 OO~ ~ ~ 00 o o ,,; ~ 00 .-1 00 o o ui ~ ~ ~' 'V). V). V). V). 'V). V). V). V). V). V). V). V). V). V)-'\I'I. *************** OOONOOOOOOOOOON dcic:i.-icicicicicic:iciciciOrl 000 000 r--:aiN m~o On 00 ~ :iIJi n n 00 00 .-ici N~ ~ ~~ ~ n 0000 0000 WN..-ici' [D~~@ l.D~ .q~ (Y)' V). V}-V).-{/} V). V} V}-U} {/}-V'} 'V). {I).-{I}--v}-V). *************** NN,.....~NIDNOOrlOOrlOrl\D ulrl..-irri..f..-i..-icicicicidcicicri m m rl rl m ggggggggg 8 8gg ~g:j~~8~~gjf}j'~'~~~ ~~~,~~,~,~~~ ~, ~::'r~ NOli)N"<tN..-l ~o to m rl rl m .-1 V).iJ}.V).V).{J).v)'V).v}'V).iJ).V).V).V).V).V)- *************** QII)O'<trlNO\Df'lOrlOrl.-lQ ~~~oiMNrlciciddd998 n o o ci' n o N' o o .-i N ~ .,' -V} V). V).-tI).-(f}.V).V)-V).V).V).-(/'} 'V). V). V} 'V). *************** rlOOOOOOOOlYlOOOOtll cicicicicic:icicicicicicicicici o o , d ' n ~ 00' 'V).-V}-V).-(J} V). V).-tI}-V}. V} V}. 'V).-tI}-tI} V). V). *************** OOOOOOOOMOOOOOfil c:iciciddcidc:icicidcidc:ici 00000000000000-0 000000000000000 ~8~W~~Sgw~~gjc;:qr:t "lOoorlO)O)lD'<tlYllDf'JlDlillilrl ~ g:~ ~~ gf f:{ '(J;~ ~r ::f lD~ '<t~ rl~ - ti r;;~ I"- <:t f'J rl I"- .-1 V).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI).'tI). *'<R************* fOlDrlI"-NI"-<:tNrlrlOOOO<:t ulrri.,rm..-icicidcidcicicido:i n 00 . c . N :~ ~ ,. 0 ~ ~ 0.., '" ~ ;:u.-5 '" l'~ ~ t: @ ~ E ~ ~ ~-g ro 2 :2?J>Q~g.~ ulllQiCOa.. VI> f(I Vl Vl ~ c: c: ..c: Q) Q) ._ n:! ..c: u E E ::l '::Q~~~S o ~ ;,; . . " ., , C . OJ '" ~~ . 0 ~ ~ ., ~ Vl ~ ~ ..c: 'u c: 0 a.. c:!: lJ... ro ~ a.. t: :s lJ... e:-...... ~:g~~ z {:!. ~ 2 OOO'lVlmrlOO<:tOrlmUlN 8~~~ggt;~:ri8888B OrlUlOOOOUlUlUlUlUlUlUl mNOO'lOOOOOOOOOO rlO'lOO'looOOO'lOOrlOOOO o o ,,; N ~ 00 00 r..: o:i ~ 00 mN N N ., o 0 o 0 'ei '..-i 00 n N m '" i; ~ . . ~ u' " w -9- o o .,; ~ ~ ~' o o d n ~ m V). VJ.--<.f}VJ.-V). V}. V}. V}. ******** 00000000 cidcicidcicid o o <f N N VJ.'U}'U}-<.f}'U}V}VJ.VJ. ******'-** rlOOOOOOrl ciddddcidci VJ.'U}'V').V}'U}V}VJ.V}- ******** 00000000 dddciciddci !fIOOOOO '<:1"00000 o::ir-JoomooO UlO'lUl'<:l"l.Ol"- ~~d~d~ UlNNrlrl n V). 'V'). 'V'). V). 'V'). V}-VJ.-V}. ******** OlCfl'<:l"Nl"-lDUlN d..-i..-i..-idddr..: n n V).'V').'V').V}-Vl-VJ.-U}'tI). *'<R.:****** 00000000 cidddddcid UJOOOOO '<:1"00000 r-JNo::imo::id OOO'lUlo::tlDl"- I"-OOUlO'lOOO I"-~u)ci'r--:-ci'ro I.I)NNrlrl n o ~ 0., ~ ~ ~ 00 r--.~ ol ., N 'V').'V').'V').V}-Vl-V}V}-U} ******** rlLll'<:l"'<tNNNO'l niddcidcici<:f . c . ro C '0 ,~ 'gL '~B: :::l if ~ 0 ~ ';:: E c '" ro ';: 'E ~ ~o~ ~ ~ ,12 ~o[jJ 15 c e . ..c: = '0 ro ~'~ E E u 0 1ili lJ... Q ;g '5 '6 E ~:=~~~ 5~~l.'J~ .q-lI)ONmO 0000000 OOOOrlOrl OCIf'--ONrlO'l OUlO..-lOO 000000'l o o ,,; 00 ~ N 00 ~ ~ o o ;i N o o N "" 00 m N ., ~ o o ,,; ., o ~' o m n' ~ 8 ~ den NO ~ ~ r..:- O'l~ ;!; o 00 ,,; ., 00 o !g .-1 ~ o m <ri ~ 00 '" ~ N .-1 ~ o ~ d ~ o .-1 00 o .,; ~ 00 ~ g I- MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AHOUNT PAYEE RUN DATE:09/19/12 TUIE: 10: 03 PAGE 1 GLCKREG _____~~_~~__________~____________N__________________________________________________________________________------------------------ AlP * 148051 08/08/12 AlP 149406 08/02/12 AlP 149407 08/02/12 AlP 149408 08/02/12 AlP 149409 08/02/12 AlP 149410 08/02/12 AlP 149411 08/02/12 AlP 149412 08/02/12 AlP 149413 08/02/12 AlP 149414 08/02/12 AlP 149415 08/02/12 AlP 149416 08/02/12 AlP 149417 08/02/12 AlP 149418 08/02/12 AlP 149419 08/02/12 AlP 149420 08/02/12 AlP 149421 08/02/12 AlP 149422 08/02/12 AlP 149423 08/02/12 AlP 149424 08/02/12 AlP 149425 08/02/12 AlP 149426 08/02/12 AlP 149427 08/02/12 AlP 149428 08/02/12 AlP 149429 08/02/12 AlP 149430 08/02/12 AlP 149431 08/02/12 AlP 149432 08/02/12 AlP 149433 08/02/12 AlP 149434 08/02/12 AlP 149435 08/02/12 AlP 149436 08/02/12 AlP 149437 08/02/12 AlP 149438 08/02/12 AlP 149439 08/02/12 AlP 149440 08/02/12 AlP 149441 08/02/12 AlP 149442 08/02/12 AlP 149443 08/02/12 AlP 149444 08/02/12 AlP 149445 08/02/12 AlP 149446 08/02/12 AlP 149447 08/02/12 AlP 149448 08/02/12 AlP 149449 08/02/12 AlP 149450 08/02/12 AlP 149451 08/02/12 AlP 149452 08/02/12 AlP 149453 08/02/12 AlP 149454 08/02/12 1,200.00CR TELE-PHYSICIANS, P.A. ( 209.12 831.35 148.52 195.14 1,522.54 822.10 2,291.64 400.00 14,095.29 495.00 33,159.92 4,956.96 1,293.04 6,504.38 .00 .00 33,738.49 134. 02 9.54 6,342.15 35,029.98 1,769.46 427.25 142.00 2,436.00 650.00 2,085.60 424.95 30.64 38.32 196.95 46.12 41.13 1,822.94 178.38 1,893.12 508.89 528.91 27,086.68 25.00 8,834.70 783.67 559.13 11.95 179.75 4,388.98 171.00 171.12 128.50 FILTER TECHNOLOGY CO, I CUSTOM MEDICAL SPECIALT PHAlU!EDIU}1 SERVICES LLC WHOLESALE ELECTRIC SUPP BERCHTOLD CORP. CENTURION IrnDICAL PRODU LAQUINTA INNS & SUITES WILLIlIll E HEIKAllP, TRUS ENTRUST INSURANCE & BEN WILLIAM E HEITKAHP, TRU 1~IC EHPLOYEE BENEFITS GE HEALTHCARE IITS USA BICHET INC ALERE NORTH Al'IERICA INC VOIDED VOIDED HORRIS & DICKSON CO, LL PLATINmI CODE TRE TEXAS, LLC DKD r LLP NOBLE AMERICAS ENERGY TEAl! HEALTH MEDICAL CAL FIVE STAR STERILIZER SE SIl4l!ILER, INC. ONESTAFF I~EDlCAL, LLC THERACOII, LLC TEXAS SELECT STAFFING, CCI PENNY REYES ABBOTT NUTRITION AORN GULF COAST HARDWARE I A AMERISOURCEBERGEN DRUG AIRGAS-SOUTffiiEST NADINE GARNER ARTHROCARE I!EDICAL CORP AT&T HOBILITY BAXTER HEALTHCARE CORP BECKlIAN COULTER INC CAL COM FEDERAL CREDIT CITY OF PORT LAVACA CPSI SIEMENS HEALTHCARE DIAG LAURA DAVILA DLE PAPER & PACKAGING FISHER HEALTHCARE GE HEDICAL SYSTEMS, INF GULF COAST PAPER COMPAN GOLDEN CRESCENT COI~IUNI -10- MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUlIBER DATE AJoIOUNT PAYEE RUN DATE:09/19/12 TIME:I0.03 PAGE 2 GLCKREG ------------------------------------------------------------------------------------------------------------------------------------ A/P 149455 08/02112 151. 78 H E BUTT GROCERY A/P 149456 08/02/12 20.00 HOSPIRA WORLDWIDE, INC A/P 149457 08/02/12 73.29 INDEPENDENCE MEDICAL A/P 149458 08/02/12 3,068.41 INFOLAB INC A/P 149459 08/02/12 347.50 ' INTOXIMETERS mc A/P 149460 08/02/12 56.44 IVANS A/P 149461 08/02/12 1,147.75 J & J HEALTH CARE SYSTE A/P 149462 08/02/12 1,269.67 MERRY X-RAY- SAN ANTONI A/P 149463 08/02/12 176.50 MICROTEK MEDICAL INC A/P 149464 08/02/12 2,044.23 MERIDIAN BIOSCIENCE A/P 149465 08/02/12 4,227.22 OWENS & MINOR A/P 149466 08/02/12 66.07 PC CONNECTION SALES COR A/P 149467 08/02/12 54.19 POWER ELECTRIC A/P 149468 08/02/12 851. 50 R G & ASSOCIATES INC A/P 149469 08/02/12 725.00 RED HAWK A/P 149470 08/02/12 25.00 RADIOLOGY UNLIMITED, PA A/P 149471 08/02/12 235.25 llARISSA RUBIO A/P 149472 08/02/12 102.65 SERVICE SUPPLY OF VICTO A/P 149473 08/02/12 169.60 SHERWIN WILLIAJoIS A/P 149474 08/02/12 5,000.00 SOUTHEAST TEXAS HEALTH A/P 149475 08/02/12 205.00 THE ST JOHN COMPANIES, A/P 149476 08/02/12 320.00 STANFORD VACUln1 SERVICE A/P 149477 08/02/12 23.50 DANETTE BETHANY A/P 149478 08/02/12 2,177.38 TLC STAFFING A/P 149479 08/02/12 6,110.00 TEXAS MUTUAL INSURANCE A/P 149480 08/02/12 133.89 TG A/P 149481 08/02/12 995.71 TORCH A/P 149482 08/02/12 32.54 UNIFIRST HOLDINGS A/P 149483 08/02/12 2,214.68 UNIFIRST HOLDINGS INC A/P 149484 08/02/12 31.19 UNITED AD LABEL CO INC A/P 149485 08/02/12 360.51 UNITED PARCEL SERVICE A/P 149486 08/02/12 319.03 VERIZON SOUTHWEST A/P 149487 08/02/12 155.90 VERIZON WIRELESS A/P 149488 08/02/12 86.80 THE VICTORIA ADVOCATE A/P 149489 08/02/12 192.55 WALMART COI~ITY 'AlP 149490 08/02/12 570.00 X-RITE mc A/P 149491 08/02/12 44.95 FISHER HEALTHCARE A/P 149492 08/02/12 3,000.00 NUTRITION OPTIONS A/P 149493 08/03/12 299.00 NATIONAL SEMINARS TRAIN A/P 149494 08/06/12 298.25 MICRO ASSIST, INC A/P 149495 08/09/12 4,965.00 PHILIPS HEALTHCARE A/P 149496 08/09/12 4,125.53 US FOOD SERVICE A/P 149497 08/09/12 1,932.82 CENTURION MEDICAL PRODU A/P 149498 08/09/12 .00 VOIDED A/P 149499 08/09/12 1,800.47 DEWITT POTH & SON A/P 149500 08/09/12 111.16 ANBU INC A/P 149501 08/09/12 45,012.98 MMC EMPLOYEE BENEFITS A/P 149502 08/09/12 121.19 PURE FORCE A/P 149503 08/09/12 649.04 BIOMET mc A/P 149504 08/09/12 1,882.25 MORRIS & DICKSON CO, LL A/P 149505 08/09/12 1,059.60 ALLIED WASTE SERVICES # -11- RUN DATE:09/19/1Z TIHE:l0:03 llEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/1Z BANK--CHECK---------------------------------------------------- CODE NUlIBER DATE AI,IOUNT PAYEE PAGE 3 GLCKREG ---~~-----~------------------------------------------------------------------------------------------------------------------------- A/P 149506 08/09/1Z Z,184.6Z LUlUNIlNT ENERGY COl,IPANY A/P 149507 08/09/14 5,55Z.99 BKDl LLP A/P 149508 08/09/12 177 .67 PENLON, INC A/P 149509 08/09/1Z 1,200.00 TELE-PHYSICIANS, P.A. A/P 149510 08/09/12 375.00 REVISTA de VICTORIA A/P 149511 08/09/1Z 583.33 FASTHEALTH CORPORATION A/P 149512 08/09/1Z 350.00 SIGN AD, LTD. A/P 149513 08/09/1Z 345.00 THERACO!I, LLC A/P 149514 08/09/1Z 20.47 GULF COAST HARDWARE / A A/P 149515 08/09/1Z Z,055.58 CARDINAL HEALTH A/P 149516 08/09/1Z 50.34 AUTO PARTS & !U\CHlNE CO A/P 149517 08/09/lZ 113.Z0 CARROT TOP INDUSTRIES I A/P 149518 08/09/1Z 331. Z7 CYGNUS MEDICAL LLC A/P 149519 08/09/12 Z7.56 CHUBB A/P 1495Z0 08/09/14 lZ0.00 CITIZENS MEDICAL CENTER A/P 1495Z1 08/09/1Z 108.41 CORMED CORPORATION A/P 149542 08/09/1Z 675. Z7 CPSI A/P 1495Z3 08/09/12 1,398.51 SIEMENS HEALTHCARE DIAG A/P 149524 08/09/12 973.03 FISHER HEALTHCARE A/P 149525 08/09/12 145.00 GULF COAST DELIVERY A/P 149526 08/09/12 168.09 GETIMGE USA A/P 149527 08/09/12 114.33 GULF COAST PAPER C0l4PAN A/P 1495Z8 08/09/12 198.73 H E BUTT GROCERY A/P 149529 08/09/lZ 760.00 HOSPlRA WORLDIIIDE, INC A/P 149530 08/09/12 47.94 INDEPENDENCE MEDICAL A/P 149531 08/09/1Z 324.43 INFOLAB INC A/P 149534 08/09/12 98.75 INSTRUMENTATION LABORAT A/P 149533 08/09/12 9,863.58 J & J HEALTH CARE SYSTE A/P 149534 08/09/1Z 48.75 RHAMES A/P 149535 08/09/1Z 84Z.58 NEDISAFE AlIERlCA LLC A/P 149S36 08/09/1Z 130.00 MEDTRONIC USA, INC. A/P 149537 08/09/lZ 543.52 !fiJSTAIN & ASSOCIATES A/P 149538 08/09/1Z Z45.77 PATRICIA OWEN A/P 149539 08/09/1Z .00 VOIDED A/P 149540 08/09/12 5,816.36 OWENS & !IINOR A/P 149541 08/09/14 531. 28 PC CONNECTION SALES COR A/P 14954Z 08/09/12 356.00 PORT LAVACA WAVE A/P 149543 08/09/12 119.56 POWER ELECTRIC A/P 149544 08/09/12 731,06 R G & ASSOCIATES INC A/P 149545 08/09/12 835.00 RADIOLOGY UNLIMITED, PA A/P 149546 08/09/12 59.90 SERVICE SUPPLY OF VICTO A/P 149547 08/09/12 210.76 SHERl'IIN IIILLIAl4S A/P 149548 08/09/12 941. 58 SIEMENS MEDICAL SOLUTIO A/P 149549 08/09/12 2,126.00 SO TEX BLOOD & TISSUE C A/P 149S50 08/09/12 227.95 THE ST JOHN COMPANIES, A/P 149551 08/09/12 102.00 DANETTE BETHANY A/P 149552 08/09/12 .00 VOIDED A/P 149553 08/09/12 803.77 SYSCO FOOD SERVICES OF A/P 149554 08/09/14 2,401. 04 TLC STAFFING A/P 149555 08/09/12 9,874.50 TOSHIBA AI'~RlCA MEDICAL A/P 149556 08/09/12 274.73 TRI-ANIH HEALTH SERVICE -12- MEMORIAL MEDICAL CENTER' CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AJoIOUNT PAYEE RUN DATE:09/19/12 TIME:I0:03 PAGE 4 GLCKREG ~________RR____________________M________________________M_M_______M____M__________M________________________________MMM______________ AlP 149557 08/09/12 525.00 TORCH AlP 149558 08/09/12 32.54 UNIFIRST HOLDINGS AlP 149559 08/09/12 2,252.22 UNIFIRST HOLDINGS INC AlP 149560 08/09/12 123.90 GRAINGER AlP 149561 08/09/12 255.32 REFUND DEPT AlP 149562 08/09/12 68.00 EDllIN WAYNE STRAKOS AlP 149563 08/09/12 126.00 CARLTON K HOPPER AlP 149564 08/09/12 39.03 LETA DYE AlP 149565 08/09/12 62.84 !IELANIE VOSSLER AlP 149566 08/09/12 112.99 GRANT ALLEN AlP 149567 08/09/12 79.20 JANNETTE CARBAJAL AlP 149568 08/09/12 18.00 FELIX RODRIGUEZ JR AlP 149569 08/09/12 11. 72 WPSITRICARE AlP 149570 08/09/12 11. 72 BLUE CROSS BLUE SHIELD AlP 149571 08/13/12 5,478.52 TEAJoI REHAB AlP 149572 08/17/12 10,320.70 OJolNI-PORT LAVACA 07, L. AlP 149573 08/17/12 178.51 ERBE USA INC SURGICAL S AlP 149574 08/17/12 9S.76 LAWSON PRODUCTS AlP 149575 08/17/12 4,598.22 US FOOD SERVICE AlP 149576 08/17/12 589.80 MERCEDES MEDICAL AlP 149577 08/17/12 4,118.00 THIE AlP 149578 08/17/12 750.00 JAJoIES A DANIEL AlP 149579 08/17/12 9,166.67 HITACHI MEDICAL SYSTEMS AlP 149580 08/17/12 290.68 CENTURION MEDICAL PRODU AlP 149581 08/17/12 1,174.43 DEI1ITT POTH & SON AlP 149582 08/17/12 400.00 WILLI~l E HElKAMP, TRUS AlP 149583 08/17/12 495.00 WILLIAJoI E HEITIWIP, TRU AlP 149584 08/17/12 8,897.66 MMC EMPLOYEE BENEFITS AlP 149585 08/17/12 .00 VOIDED AlP 149586 08/17/12 15,181. 61 IlORRIS & DICKSO~ CO, LL AlP 149587 08/17/12 50.00 ROGERS HOME MEDICAL AlP 149588 08/17/12 35.40 QUEST DIAGMOSTICS AlP 149589 08/17/12 2,494.00 ONESTAFF MEDICAL, LLC AlP 149590 08/17/12 371.50 ARTISAN I~EDICAL AlP 149591 08/17/12 1,980.00 TEXAS SELECT STAFFING, AlP 149592 08/17/12 13.99 GULF COAST HARDWARE I A AlP 149593 08/17/12 387.39 A1lERISOURCEBERGEN DRUG AlP 149594 08/17/12 29.75 ADVANCE MEDICAL DESIGNS AlP 149595 08/17/12 175.00 ARRT AlP 149596 08/17/12 43.27 AQUA BEVERAGE CQI!PANY AlP 149597 08/17/12 215.65 NADINE GARNER AlP 149598 08/17/12 3S2.59 ARROII INTERNATIONAL INC AlP 149599 08/17/12 908,16 BAXTER HEALTHCARE CORP AlP 149600 08/17/12 7,032.46 BECKMAN COULTER INC AlP 149601 08/17/12 27.80 BOSART LOCK & KEY INC AlP 149602 08/17/12 286.50 CABLE ONE AlP 149603 08/17/12 25.00 CAL COM FEDERAL CREDIT AlP 149604 08/17/12 360.00 CENTRAL DRUGS AlP 149605 08/17/12 23,875.01 CPSI AlP 149606 08/17/12 772.21 PATRICIA DIEBEL AlP 149607 08/17/12 330.00 DOWNTOWN CLEANERS -13- RUN DATE,09/19/12 MEMORIAL MEDICAL CEMTER TIME:10,03 CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUl1BER DATE A110UMT PAYEE AlP 149608 08/17/12 79.95 DLE PAPER & PACKAGING AlP 149609 08/17/12 7,552.43 FISHER HEALTHCARE AlP 149610 08/17/12 11,503.25 ROBERTS, ROBERTS & ODEF AlP 149611 08/17/12 3,858.45 GETINGE USA AlP 149612 08/17/12 346.33 GULF COAST PAPER C0l1PAN AlP 149613 08/17/12 223.39 H E BUTT GROCERY AlP 149614 08/17/12 28.97 HALL WIRELESS AlP 149615 08/17/12 179.34 HUBERT CO!IPANY AlP 149616 08/17/12 72.09 INDEPENDENCE MEDICAL AlP 149617 08/17/12 1,151.50 INFOLAB INC AlP 149618 08/17/12 2,067.08 INSTRUl1EMTATION LABORAT AlP 149619 08/17/12 510.00 KONICA MINOLTA MEDICAL AlP 149620 08/17/12 27.60 LABCORP OF AMERICA HOLD AlP 149621 08/17/12 131.10 LOI~'S HOME CENfERS INC AlP 149622 08/17/12 557.29 !lAINE STANDARDS CO.. LL AlP 149623 08/17/12 108.30 MARKETLAB, INC AlP 149624 08/17/12 317.90 MEDELA INC AlP 149625 08/17/12 1,096.01 MEDRAD INC AlP 149626 08/17/12 29.96 MELSTAN, INC. AlP 149627 08/17/12 96.40 MERCURY HEDICAL AlP 149628 08/17/12 373.86 11MC AUXILIARY GIFT SHOP AlP 149629 08/17/12 1,499.20 HERRY X-RAY- SAN ANTONI AlP 149630 08/17/12 .00 VOIDED AlP 149631 08/17/12 5,586.41 OI~NS & HINOR AlP 149632 08/17/12 125.26 POLYlIEDCO INC. AlP 149633 08/17/12 1,000.00 U S POSTAL SERVICE AlP 149634 08/17/12 149.04 PROGRESSIVE DYNAl1ICS ME AlP 149635 08/17/12 65.60 R G & ASSOCIATES INC AlP 149636 08/17/12 540.00 RADIOLOGY UNLIMITED, PA AlP 149637 08/17/12 933.00 RECEIVABLE I~GEMEMT, AlP 149638 08/17/12 179.88 RESPIROMICS, INC. AlP 149639 08/17/12 94.50 SOURCEONE HEALTHCARE TE AlP 149640 08/17/12 1,547.99 SYSCO FOOD SERVICES OF AlP 149641 08/17/12 300.30 TEXAS ELECTRICAL SUPPLY AlP 149642 08/17/12 129.11 TG AlP 149643 08/17/12 32.54 UNIFIRST HOLDINGS AlP 149644 08/17/12 182.87 UNIFORM ADVANTAGE AlP 149645 08/17/12 2,560.59 UNIFIRST HOLDINGS INC AlP 149646 08/17/12 152.44 VERIZON SOUTHI~ST AlP 149647 08/17/12 683.36 DEBORAII 11ITTNEBERT AlP 149648 08/20/12 2,500.00 VIRGINIA KALAFATIS AlP 149649 08/23/12 128.04 PHILIPS HEALTHCARE AlP 149650 08/23/12 35.82 11ERCEDES MEDICAL AlP 149651 08/23/12 148.52 PHAlU1EDIUl1 SERVICES LLC AlP 149652 08/23/12 6,698.42 ARUP LABORATORIES AlP 149653 08/23/12 1,902.15 PRINCIPAL LIFE AlP 149654 08/23/12 747.40 CEMTURION MEDICAL PRODU AlP 149655 08/23/12 4,475.81 MMC EMPLOYEE BENEFITS AlP 149656 08/23/12 846.25 VISA AlP 149657 08/23/12 18,725.00 CPP WOUND CARE #28,LLC AlP 149658 08/23/12 56,337.20 SERVICE ORGANIZATION PAGE 5 GLCKREG -14- MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/12 , BAMK--CHECK---------------------------------------------------- CODE MUMBER DATE Al,IQUNT PAYEE RUN DATE:09/19/12 TUlE:10:03 AlP 149659 08/23/12 600.00 TELE-PHYSICIANS, P.A. ( AlP 149660 08123/12 1,848.85 TEAll HEALTH MEDICAL CAL AlP 149661 08/23/12 252.29 CENTURYLIMK AlP 149662 08/23/12 495.00 FASTHEALTH CORPORATION AlP 149663 08/23/12 2,088.00 ONESTAFF MEDICAL, LLC AlP 149664 08123/12 2,062.00 AUSTIN MEDICAL PRACTICE AlP 149665 08/23/12 450.00 CHRIS RAMIREZ, JR. AlP 149666 08/23/12 167.99 STRYKER SUSTAINABILITY AlP 149667 08/23/12 9,832.40 MCKESSON AUTOI4ATION INC A/P- 149668 08/23/12 2,016.85 TEXAS SELECT STAFFING, AlP 149669 08/23/12 275.58 MICHAEL CHAVANA AlP 149670 08/23/12 5,946.59 ANDERSON CONSULTATION S AlP 149671 08123/12 55.47 GULF COAST HARDWARE I A AlP 149672 08/23/12 184.05 ACTION LUllBER AlP 149673 08/23/12 165.00 ADVERTISING ON AIR AlP 149674 08/23/12 371. 22 ALCON LABORATORIES INC AlP 149675 08/23/12 2,236.28 AIRGAS-SOUTm~ST AlP 149676 08/23/12 35.41 ALCO SALES & SERVICE CO AlP 149677 08/23/12 3,265.14 AFLAC AlP 149678 08/23/12 30.97 NADINE GARNER AlP 149679 08/23/12 1,193.38 ARTHROCARE !IEDlCAL CORP AlP 149680 08/23/12 131.06 C R BARD mc AlP 149681 08/23/12 3,436.20 BAXTER HEALTHCARE CORP AlP 149682 08/23/12 31,299.51 BECK/IAN COULTER INC AlP 149683 08/23/12 306.00 BOSTON SCIENTIFIC CORPO AlP 149684 08/23/12 168.72 ANGIE BURGIN AlP 149685 08/23/12 30.00 CALHOUN COUNTY WASTE 11G AlP 149686 08/23/12 355.00 CYGNUS MEDICAL LLC AlP 149687 08/23/12 196.56 SIEMENS HEALTHCARE DIAG . AlP 149688 08/23/12 323.50 DIVERSIFIED BUSINESS SY AlP 149689 08/23/12 19.66 FEDERAL EXPRESS CORP. AlP 149690 08/23/12 771.17 FISHER HEALTHCARE AlP 149691 08/23/12 495.00 FORT BENU SERVICES, mc AlP 149692 08/23/12 67.90 GULF COAST PAPER COllPAN AlP 149693 08/23/12 41.20 H E BUTT GROCERY AlP 149694 08/23/12 895.30 HOLOGIC IMC AlP 149695 08/23/12 108.76 HEALTHMARK INDUSTRIES C AlP 149696 08/23/12 375.00 HOSPIRA WORLDWIDE, INC AlP 149697 08/23/12 110.29 INDEPENDENCE MEDICAL AlP 149698 08/23/12 892.92 INFOLAB INC AlP 149699 08/23/12 40.55 INSTRUloIEMTATION LABORAT AlP 149700 08/23/12 483.59 J & J HEALTH CARE SYSTE AlP 149701 08/23/12 140.97 VICKY KALISEK AlP 149702 08/23/12 214.52 LANGUAGE LINE SERVICES AlP 149703 08/23/12 202.00 TERESA 14ILLER AlP 149704 08/23/12 1,074.62 MEDRAD INC AlP 149705 08/23/12 130.00 MEDTRONIC USA, INC. AlP 149706 08/23112 258.52 11ETLIFE AlP 149707 08/23/12 1,056.61 MERRY X-RAY- SAN ANTONI AlP 149708 08/23/12 .00 VOIDED AlP 149709 08/23/12 6,708.60 OWENS & HINOR PAGE 6 GLCKREG -15- MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK------------------------------------------'--------- CODE NUI-IBER DATE AHOUNT PAYEE RUN DATE.09/19/12 TIME,10,03 PAGE 7 GLCKREG _________~www______________________________w__________------------------------------------------------------------------------------ AlP 149710 08/23/12 3,375.00 PREMIER SLEEP DISORDERS AlP 149711 08/23/12 30.22 POIlER ELECTRIC AlP 149712 08/23/12 290.03 PROGRESSIVE DYNAMICS ME AlP 149713 08/23/12 27.56 RED HAWK AlP 149714 08/23/12 804.17 RECEIVABLE !mNAGEMENT, AlP 149715 08/23/12 82.83 l-IARISSA RUBIO AlP 149716 08/23/12 202.24 SEABS AlP 149717 08/23/12 264.82 SHERWIN WILLIAMS AlP 149718 08/23/12 6,886.00 SO TEX BLOOD & TISSUE C AlP 149719 08/23/12 52.27 THE ST JOHN COMPANIES, AlP 149720 08/23/12 748.88 STERICYCLE, INC AlP 149721 08/23/12 15,000.00 TEAM REHAB AlP 149722,08/23/12 3,508.79 TLC STAFFING AlP , 149723 08/23/12 133.90 TEXAS WIRED llUSIC INC AlP 149724 08/23/12 1,012.98 THYSSENKRUPP ELEVATOR C AlP 149725 08/23/12 3,739.00 T-SYSTE!I, INC. AlP 149726 08/23/12 150.00 DEBHA TIWmlELL AlP 149727 08/23/12 4,195.82 UNUlI LIFE INS CO OF AME AlP 149728 08/23/12 32.54 UNIFIRST HOLDINGS AlP 149729 08/23/12 2,774.08 UNIFIRST HOLDINGS INC AlP 149730 08/23/12 1,839.34 VERIZON SOUTHVreST AlP 149731 08/23/12 816.00 THE VICTORIA ADVOCATE AlP 149732 08/23/12 462.15 SUE WILLIAHS AlP 149733 08/23/12 144.17 GRAINGER AlP 149734 08/23/12 604.40 JOHN A FLORIDA AlP 149735 08/23/12 .00 1167639 AlP 149736 08/23/12 79.60 .:roAN I1IGUEL LOPEZ AlP 149737 08/23/12 150.00 ES!IERALDA SALINAS AlP 149738 08/23/12 51.12 KOURTNI MORROl'/ AlP 149739 08/23112 50.00 SYLVIA YANES AlP 149740 08/23/12 100.00 MANUEL LUNA AlP 149741 08/23/12 45.38 I1ICHAEL D USOFF AlP 149742 08/23/12 134.00 DANNY llARRS AlP 149743 08/23/12 56.93 JOHN D DUFNER UH. AlP 149744 08/30/12 22,688.57 SUNTRUST EQUIPMENT FINA AlP 149745 08/30/12 32.82 HEALTH CARE LOGISTICS I AlP 149746 08/30/12 140.97 MATTHEI'/ BOYLE AlP 149747 08/30/12 1,245.80 CENTURION MEDICAL PRODU AlP 149748 08/30/12 1,490.00 LOFTIN EQUIPMENT COMPAN AlP 149749 08/30/12 167.50 HARDY DIAGNOSTICS AlP 149750 08/30/12 495.00 WILLIMl E HEITKAlIP, TRU AlP 149751 08/30/12 13,156.85 IlMC EMPLOYEE BENEFITS AlP 149752 08/30/12 476.91 JASON ANGLIN AlP 149753 08/30/12 16,933.03 MORRIS & DICKSON CO, LL AlP 149754 08/30/12 133.88 PLATINUM CODE AlP 149755 08/30/12 458.33 INNOVATIVE X-RAY SERVIC AlP 149756 08/30/12 2,697.83 A!mISURE INTERNATIONAL, AlP 149757 08/30/12 77 .9l FAGAN AN~reRING SERVICE AlP 149758 08/30/12 2,204.00 ONESTAFF MEDICAL, LLC AlP 149759 08/30/12 325.00 THERACOll, LLC AlP 149760 08/30/12 15,422.00 HCIlESSON AUTOMATION INC -16- RUN DATE:09/l9/12 11ElIORIAL 11EDICAL CEN'rER TIIIE:I0:03 CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUI~BER DATE AJ.IOUNT PAYEE A/P 149761 08130/12 100.00 ARTISAN IIEDICAL A/P 149762 08/30/12 655.60 TEXAS SELECT STAFFING, AlP 149763 08/30/12 9,152.00 TEXAS HOSPITAL ASSOCIAT A/P 149764 08/30/12 4,778.87 ANDERSON CONSULTATION S A/P 149765 08/30/12 26.99 GULF COAST HARDWARE / A A/P 149766 08/30/12 94.97 ASPEN SURGICAL PRODUCTS A/P 149767 08/30/12 33.42 ALCO SALES & SERVICE CO A/P 149768 08/30/12 130.00 AFLAC A/P 149769 08/30/12 1,174.30 CARDINAL HEALTH A/P 149770 08/30/12 10.01 AQUA BEVERAGE C0l1PANY A/P 149771 08/30/12 483.30 ARTHROCARE IIEDlCAL CORP A/P 149772 08/30/12 1.51 AT&T 1I0BILITY A/P 149773 08/30/12 14.22 AUTO PARTS & !1ACHlNE CO A/P 149774 08/30/12 240.00 C R BARD INC A/P 149775 08/30/12 1,663.62 BAXTER HEALTHCARE CORP A/P 149776 08/30/12 57.50 BRUCE'S AUTO REPAIR A/P 149777 08/30/12 8,295.62 BECill'U\N COULTER,INC A/P 149778 08/30/12 25.00 CAL COli FEDERAL CREDIT A/P 149779 08/30/12 592.00 CAD SOLUTIONS, INC A/P 149780 08/30/12 175.00 COOPER SURGICAL INC A/P 149781 08/30/12 841.25 CPSI A/P 149782 08/30/12 6,700.00 SIEIIENS HEALTHCARE DIAG A/P 149783 08/30/12 90.00 DIVERSIFIED BUSINESS SY A/P 149784 08/30/12 29.35 EIIERGENCY IIEDICAL PRODO A/P 149785 08/30/12 1,815.12 FISHER HEALTHCARE A/P 149786 08/30/12 4,597.14 GE HEALTHCARE A/P 149787 08/30/12 171.00 GE !,IEDlCAL SYSTEI1S, INF A/P 149788 08/30/12 690.78 GULF COAST PAPER COIlPAN A/P 149789 08/30/12 16.20 HAYES ELECTRIC SERVICE A/P 149790 08/30/12 346.77 HUBERT CO!IPANY A/P 149791 08/30/12 2,150.63 INFOLAB INC A/P 149792 08/30/12 46.06 IN'rEGRA LIFESCIENCES CO A/P 149793 08/30/12 147.36 IVANS AlP 149794 08/30/12 3,543.78 J & J HEALTH CARE SYSTE A/P 149795 08130/12 80.91 JACK L. MARCUS,' INC AlP 149796 08/30/12 255.90 JECKER FLOOR & GLASS A/P 149797 08/30/12 23.S0 KEY SURGICAL mc A/P 149798 08/30/12 126.50 LABCORP OF AIIERlCA HOLD A/P 149799 08/30/12 198.00 LOIlE'S HOl1E CEN'rERS INC A/P 149800 08130/12 200.88 luutKSPLUl1BING PARTS A/P 149801 08/30/12 145.24 IU1C AUXILIARY GIFT SHOP A/P 149802 08/30/12 1,249.47 IIERRY X-RAY- SAN ANTONI A/P 149803 08/30/12 211. 00 IIICROTEK IIEDlCAL INC A/P 149804 08/30/12 186.00 IIEDIVATORS A/P 149805 08/30/12 101. 75 NOTARY PUBLIC UNDERlIRIT A/P 149806 08/30/12 184.65 ON-SITE TESTING SPECIAL A/P 149807 08/30/12 .00 VOIDED A/P 149808 08/30/12 6,101.36 O\lENS & MINOR A/P 149809 08/30/12 363.74 PC CONNECTION SALES COR A/P 149810 08/30/12 14.28 POWER ELECTRIC A/P 149811 08/30/12 246.00 R G & ASSOCIATES INC PAGE 8 GLCKREG -17- MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/12 THRU 08/31/12 BANK--CHECK---------------------------------------------------- CODE NUIIBER DATE Al~OUIIT PAYEE RUN DATE:09/19/12 TnlE:10:03 PAGE 9 GLCKREG -------------------~----------------------------------------------------------------------------------------.----------------------- AlP 149812 08/30/12 AlP 149813 08/30/12 AlP 149814 06/30/12 AlP 149815 08/30/12 AlP 149616 08/30/12 AlP 149817 08/30/12 AlP 149618 08/30/12 AlP 149819 06/30/12 AlP 149820 08/30/12 AlP 149821 06/30/12 AlP 149822 06/30/12 AlP 149823 06/30/12 AlP 149624 06/30/12 AlP 149625 06/30/12 AlP 149626 08/30/12 AlP 149827 08/30/12 AlP 149828 06/30/12 AlP 149629 08/30/12 AlP 149830 08/30/12 AlP 149631 08/30/12 AlP 149832 06/30/12 AlP 149633 08/30/12 AlP 149834 06/30/12 AlP 149835 08/30/12 AlP 149836 06/30/12 AlP 149837 08/30/12 AlP 149836 06/30/12 AlP 149839 08/30/12 AlP 149840 06/30/12 TOTALS: 110.00 54.73 61. 71 697.56 199.60 844.20 561.00 130.49 32.54 192.86 2,906.08 339.95 219.81 161.90 424.30 165.95 125.32 75.00 32.33 60.00 8.50 266.00 63.20 16.89 195.05 50.00 100.00 91.07 1S,000.00 866,647.58 RADIOLOGY UNLIMITED, PA SCIENTIFIC DEVICE LABS SHERWIN WILLIAl~S SIEMENS lreDICAL SOLUTIO STERIS CORPORATION TLC STAFFING TEXAS DEPT OF STATE HEA TG UNIFIRST HOLDINGS UNIFORM ADVANTAGE UNIFIRST HOLDINGS INC UNITEO PARCEL SERVICE VERIZON SOUTHWEST VERIZON \'1IRELESS 11ALMART COIUIDNITY OLDA FLORES CENTENE MANAGEI~ENT CORP JUANA HINJARES SUSIE M ORTIZ 8ELINDA PLAZINICH DEBRA SHIFFLET RICKY LYNN SCHULTZ JOSE L GARCIA VICTORIA STIEWIG JOANIE L SALINAS l1ILLIAl~ EVERETT WOOD CASSANDRA HACKFELD TRAILBLAZER HEALTH ENTE TEAM REHAB -18- RUN DATE: 09/18/12 TIME: 13: 04 MEMORIAL MEDICAL CENTER DEFAULT FORlIAT FR0l1 DB019 Al.\~4"'\ PRTitle PRTotGross PRDeptName SUPERVISOR-PURCH/CS PURCHASING REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE EMERGENCY ROOM DEPARTMENTAL ASSIST I1AINTENANCE CS TECH CENTRAL SUPPLY CENTRAL STERILE TECH SURGERY IHAGING TECH HEALTH INFORMATION MANAGEMENT DIRECTOR PFS PATIENT FINANCIAL SERVICES CS TECHNICIAN CENTRAL SUPPLY ES AIDE ENVIRO~lliNTAL SERVICES SHIFT SUPERVISOR DIETARY IC/EH/EN NURSE INFECTION CONTROL REGISTERED NURSE MED/SURG FOOD SERVICE STAFF DIETARY o R AIDE SURGERY REGISTERED NURSE EMERGENCY ROOM TRAUMA COORDINATOR EMERGENCY ROOM RN/PERIOPERATIVE NUR SURGERY REGISTERED NURSE ICU SHIFT SUPERVISOR-All ENVIRO~lliNTAL SERVICES MANAGER-SURGERY-OPC SURGERY C ,N ,0, ADMINISTRATION-CLINICAL SERVIC PAYROLL CLERK ACCOUNTING REGISTERED NURSE MED/SURG LVN OBSTETRICS REGISTERED NURSE ICU LICENSED VOCATIONAL MED/SURG REGISTERED NURSE ICU 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 LVN-PhRT PHARMACY REGISTERED NURSE ICU REGISTERED NURSE SPECIALTY CLINIC LVN OBSTETRICS LVN SURGERY MEDICAL SONOGRAPHER RADIOLOGY REGISTERED NURSE EMERGENCY ROOM RADIOLOGICAL TECH RADIOLOGY RADIOLOGY TECH RADIOLOGY l!ICRO JolT LABORATORY llEDICAL LAB TECH LABORATORY LAB DIRECTOR LABORATORY LAB ASSISTANT LABORATORY MEDICAL LAB TECH LABORATORY LAB SECRETARY LABORATORY REGISTERED NURSE IDlERGENCY ROOM PT TECH II PHYSICAL THERAPY 4721.11 7011,66 10983,77 4091.51 2778,70 4108,49 881.76 5719,20 25,00 2441. 91 2881.19 8152,90 4879,30 2079,72 2)lJ,49 2084,94 6624,64 8382,46 1228,82 2699,20 9854,71 9189,60 5193,99 8017,88 4943,51 6111,33 3797,29 1655,38 5424,25 8623,32 6709,03 9229,92 4167,32 3055,07 4725,60 8767,47 4542,92 315,63 7341.92 7892,43 1014,23 5491.29 8054,85 6961.21 7376,00 893,78 181.89 77 4.7 5 7248,32 3742,12 5848,64 2995,28 7486,46 2616,59 -19- PAGE 1 ;;4\ \ 2- RUN DATE: 09/18/12 TIME: 13: 04 PRTitle PRDeptName PT ASSISTANT PHYSICAL THERAPY PT TECH II PHYSICAL THERAPY PLANT OPS SUPERVISOR MAINTENANCE ADMINISTRATIVE ASST, ADHINISTRATION-CLINICAL SERVIC REGISTERED NURSE OBSTETRICS ED MANAGER EIIERGENCY ROOM REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS DIRECTOR-UR/QA/IC/RlI QUALITY ASSURANCE LVN MED/SURG REGISTERED NURSE SURGERY CERTIFIED NURSE AIDE MED/SURG DIRECTOR-MS/ICU/OB IlED/SURG REGISTERED NURSE ICU REGISTERED NURSE MED/SURG SUPERVISOR LVN/RPhT PHARMACY REGISTERED NURSE MED/SURG REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE MED/SURG REGISTERED NURSE MED/SURG CERTIFIED NURSE AIDE IlED/SURG LVN MED/SURG REGISTERED NURSE ICU REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE MED/SURG CERTIFIED NURSE AIDE MED/SURG CERTIFIED NURSE AIDE MED/SURG REGISTERED NURSE IlED/SURG CERTIFIED NURSE AIDE IlED/SURG LVN MED/SURG REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE EMERGENCY ROOM LVN MED/SURG CERTIFIED NURSE AIDE MED/SURG LVN ' MED/SURG REGISTERED NURSE ICU REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE ICU 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 INFORMATION I1ANAGElIENT REGISTERED NURSE SURGERY OUT-PT PACU NURSE SURGERY PRESCRIPTION CLERK INDIGENT CARE PROGRAlI ASSISTANT BUYER TRANSPORTATION OP COORDINATOR SPECIALTY CLINIC MEMORIAL MEDICAL CENTER DEFAULT FORllAT FROM DB019 PAGE 2 PRTotGross 1909,34 2166,58 6918,21 3432,04 8866,41 9103,17 2648,51 6116,21 2539,09 6408,24 8192,40 3235,05 1339,16 2895,29 9019,59 152 8.25 3936,01 5023,39 4319,13 4453,23 3664,00 5913,39 1110,42 721.38 4589.15 6202.15 5301,23 1181.31 982,31 4392 ,72 2835,58 901.13 2550,10 5800,38 1045,72 3141.83 3241.61 2810,51 2046,50 82,50 445,44 6465,51 8231.45 4948,00 6666,22 5100,00 1572,24 1499.2 5 4091,92 3023,92 8115,40 2589.63 2159.60 2410.13 2173.92 -20- RUN DATE: 09/18/12 TIllE: 13:04 PRTi tIe PRDeptName REGISTERED NURSE EMERGENCY ROOM CERTIFIED NURSE AIDE MED/SURG REGISTERED NURSE EMERGENCY ROOM I1T TECH SUPR LABORATORY I1EDICAL TECHNOLOGIST LABORATORY LABORATORY ASSISTANT LABORATORY I1EDICAL LAB TECH LABORATORY MEDICAL LAB TECH LABORATORY MEDICAL TECHNOLOGIST LABORATORY ~lEDICAL TECHNOLOGIST LABORATORY MEDICAL LAB TECH 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 ~lEMORIAL WOMEN'S CENTER LICENSED VOCATIONAL MEMORIAL WOMEN'S CENTER REGISTERED NURSE MED/SURG REGISTERED NURSE MED/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 SECRETARY/RECEPTION MEMORIAL WOMEN'S CENTER PHARMACIST PHARMACY PHARllACIST PHARMACY LVN-CPhT PHARMACY REGIST PHARMACY TECH PHARMACY PHARllACIST PHARllACY REGISTERED NURSE EI1ERGENCY ROOl! P , T, ASSISTANT PHYSICAL THERAPY PT ASSISTANT PHYSICAL THERAPY PT SEC/RECEPTIONIST PHYSICAL THERAPY PT TECH I PHYSICAL THERAPY PT TECH 1 PHYSICAL THERAPY CIHCP COORDINATOR INDIGENT CARE PROGRAM TRAMSCRIPTION LEADER HEALTH INFORllATION IlANAGEI1ENT HIM DIRECTOR HEALTH INFORMATION llANAGEMENT TRAMSCRIPTIONIST/BR HEALTH INFORMATION MANAGEMENT CODING SPECIALIST HEALTH INFORMATION MANAGEMENT FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY SHIFT SUPERVISOR DIETARY MEMORIAL MEDICAL CENTER DEFAULT FOm.lAT FROM DB019 PAGE 3 PRTotGross 6497,28 2385,69 4992,31 5676,16 5639,53 2031. 02 4742,70 4958,22 2108,00 1550,00 2634,26 1845,38 2302,70 1240.00 4856,47 6978.75 3075.99 5328,82 328,45 3795,58 4648,75 4748.38 6982,14 5715,61 6926,63 2991.94 3612,75 1310,72 9166,65 8268,87 4813,90 5740,59 1624,13 2821.89 1736,00 3000,00 825,00 3990,58 4347.01 15600,00 2876,39 4992,46 5304,85 2764,32 77,50 2634,57 2782,08 4470,64 4812,00 2475.60 3662,40 2127,69 1499,43 1806,53 2395,00 -21- RUN DATE: 09/18/12 TUIE: 13 :04 PRTitle PRDeptName FOOD SERVICE STAFF DIETARY CERTIFIED NURSE AIDE MED/SURG FOOD SERVICE STAFF DIETARY FOOD SERVICE STAFF DIETARY DIRECTOR OF DIETARY DIETARY BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING GROUNDSKEEPR/PAINTER IDtINTENANCE PLANT OPS SPECIALIST IDtINTENANCE SECURITY SUPERVISOR SECURITY ES AIDE ENVIRONMENTAL SERVICES FLOOR TECHNICIAN ENVIRONMENTAL SERVICES ES MANAGER ENVIRONMENTAL SERVICES DIR OF PLANT SERVICE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES FLOOR TECHNICIAN ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES ES AIDE ENVIRONMENTAL SERVICES SECURITY OFFICER SECURITY SECURITY OFFICER SECURITY SOCIAL WORKER SOCIAL WORK/OISCHARGE PLANNING REGISTRATION CLERK PATIENT FINANCIAL SERVICES INSURANCE COORDINAT, PATIENT FINANCIAL SERVICES CASHIER/SWITCHBOARD PATIENT FINANCIAL SERVICES SECRETARY/RECEPTION llliMORIAL WOMEN'S CENTER UNIT SECRETARY MED/SURG INSURANCE ADJUDICATa PATIENT FINANCIAL SERVICES PT ACCOUNT SUPERVISO PATIENT FINANCIAL SERVICES REGISTERED NURSE EMERGENCY ROOM REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION LVN llED/SURG SECURITY OFFICER SECURITY REGISTRATION CLERK PATIENT FINANCIAL SERVICES REGISTRATION CLERK PFS - REGISTRATION REGISTRATION CLERK PFS - REGISTRATION MEDICAID COORD PFS HEALTH INFORMATION MANAGEMENT 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 REGISTRATION CLERK PFS - REGISTRATION R, 0, I./R, I. T, HEALTH INFORMATION llANAGEllliNT 1. T, DIRECTOR INFORllATION TECHNOLOGY I,T. SYSTEM ANALYST INFORMATION TECHNOLOGY MEMORIAL MEDICAL CENTER DEFAULT FOIDlAT FROM DB019 PAGE 4 PRTotGross 2160,00 1568,14 1494,80 1854,73 5191. 20 495,00 6922,28 3522,01 4192,82 2929,63 2015,50 2977,33 3312,62 6969,60 1683,78 1308,36 2239,26 1713,10 2117,75 2170,46 1764,90 1889,89 2159,50 2328,00 1772,73 7678,20 1750.55 2101.10 2211,56 2302,25 2110,41 2253,86 2952,00 6289,17 835,25 226,12 1041.35 1355,27 2294,57 1885,13 967,17 894,49 3423,31 1911,69 312.09 2655,47 6422,58 5505,25 535,76 1665,32 1288,78 1864.05 872,23 8512,13 6601.88 -22- RUN DATE: 09/18/12 THlE: 13:04 PRTitle PRDeptName INSURANCE FOLLOW UP PATIENT FINANCIAL SERVICES ACCOUNTANT ACCOUNTING C, F. 0, ADHINISTRATION C, E,O, ADlIINISTRATION ADHINISTR, OFFICER ADMINISTRATION DIRECTOR MlI,AP CLERK PURCHASING RECEPTIONIST ADlIINISTRATION Grand totals Total lines = 226 MEMORIAL MEDICAL CENTER DEFAULT FOR>ffiT FROM DB019 PAGE 5 PRTotGross 2214.15 6576,00 15150,00 17657,70 5539,20 5654,40 1261.12 922295,44 -23- @IHS Source Totals Report Issued 09/13/2012 Source Calhoun Indigent Health Care Batch Dates 09/15/2012 through09/16/2012 For Vendor: All Vendors Description Amount Billed Amount Paid 01 01-1 02 05 08 10 13 14 15 Physician Services Injections Prescription Drugs Lab/x-ray Rural Health Clinics Optional Services - Horne Heal! Mmc - Inpatient Hospital Mmc - Hospital Outpatient Mmc - Er Bills 1,120.07 218.58 1,015.34 83.52 2,262.65 197.84 36,251,60 8,386.95 4,752,00 4,843.00 1,800.00 1,015.34 246.00 3,440.73 360,00 51,788,00 18,822.00 10,800.00 Expenditures Reimb/Adjustments 93,323.66 -208.59 54,497.14 -208.59 Grand Total 93,115.07 54,288.55 -24- 2011 Calhoun Indigent Care Patient Caseload 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 Oct Nov Dec YTD 39 117 24 343 135 Monthly Avg 5 15 3 43 17 -25- 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: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL DATE: October 4, 2012 RE: AGENDA ITEM - OCTOBER 11, 2012 AGENDA ITEM THURSDA Y, OCTOBER 11,2012 ~ Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning October 16, 2012 and ending November 15, 2012. (CM) AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD OCTOBER 16/ 2012 THROUGH NOVEMBER 15/ 2012: Diebel Oil was low bid on Bulk Delivered, A Motion to award fuel bids to the low bidder, Diebel Oil, for $3,62 for diesel fuel and $3.36 for reguiar unleaded fuel was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ~ .... N N i N N '0 Ii ~ ~ ~ C; 0 0 0 $ ~ ~ ~ ~ 0> ... on on ... on on ro '" ~ ~ '" ~ ~ "- is - - is - - EIS ~ ~ EIS ~ ~ ~ ~ ~ ~ ~ N N i N N ... ~ ~ ... ~ C; !l!! 0 0 !l!! 0 ~ ~ ~ i2( '" (0 (0 '" (0 Ea ~ ~ Ea ~ ~ - 0 - 0 = l:il!l 0 l:il!l 0 ...... fEi 'tl E 'tlE 'tl E 'tl E " 0 " 0 " 0 " 0 =- '" ~ '" ~ '" ~ '" ~ ",- - - ",- "'~ "'~ - .,~ "0. ., a. .,~ .... >< a. >< E >< E >< a. ...... 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'" '" ... ::E '" '" 0 = !;2 c 1) ~ Ii !a 0 .... ... ... "" ,:; C w SO E!i ro ... ." I- .... .... c ~ ... ... " ... ... rn Y.,.riti..~rf;..""I'" o.JF .",..., v~/ r.........""'vY"t CALHOUN COUNTY, TEXAS BID SHEET - IFUEL -BUlK DELIVERED J INVIT A liON TO BID SIDDEll DlEIIL OIL CIIINt SAM IIIEIIl PO B8X 11 PUIII LAVACA 810 IlfM IFIJEL-BULK DfllVERED TX 11911 " ~ PffiUlIl FROM: OCTOBER 16, 2012 FQIJOll TII: NOVEMBER 15, 2012 YOU ARe INVITEO TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAI!J. J PFEIFBR CALHOUN COUNTY JUDGE, ~11 S ANN 5T, SRO FLOOR. ROOM 301, "ORT LAVACA Tl( 77979 BIDS SHOULD BE SUBMITTED IN A SeAL.ED eNVEL.OPE PLAINLY MARKED: SSALElD BID-Ii"fJ/l[;IlVLK15eL/vIiRIiiO :;;;;-I BIDS ARE DUE AT THE JUDQE's OFFICE ON OR BI!PORi!: 10:00 AM, THURSfJA Y, OCTOBER 4, 2012 BIDS WIll BE AWARDEe AT THE COMMISSIONERS' COURT MEETING ON, THIJR$OA Y, OCTOBER 11, !I(H2 THE CLOCK IN THe COUNTY JUOG!!'S OFFice IS THe OFf'ICIAL CLOCK THAT WILL. 6E USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WIL.L BE O~!NED. BIDS RECE:lVEOAI'T!!/1 THo OPENING TIME WILL BE ReTURNED UNOPENED TO WOOER, THE COMMISSIONERS' COU1\T RESERVES THe RIGHT TO WNVE TECHNICAUTI~S, REJECT my OR AL.L AIDS, TO Acce~T THe aiD DEEMFD MOST AOVANTAGEOUS TO CALHOUN COUNTY ANO TO BE THE SOLE JUOGE IN DETERMINING WHICH BIDS WILL BE MOST AOVANTAQeOUS TO THE COUNTY. THE COIJNTV OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT O~PORTUNITY EMPLOYER, THE COUNTY IlOES NOT DISCRIMINATE ON THE BASIS OF RACF-, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN "^I~!.OYM~NT OR THE OROVISION OF SERVices, - , !l!D.JH!JJJ fliIJ!ARTMENYt RnlItIlRY P1IJlJI"'- TIOI{ FUEL.BULK D.UVI!JtED VARIOUS foe eOUNTYflUl1. TANKS VARIOUs. - - - - -- - - - - -- --- --- - -- -- -- -. - - --- --- _._- -- - - - - - -... -- $l!ElC/F/CATlpNS: DIESEL FUEL >>DELIVERY must be mad. wltliin 24 hours after receiving ardor from the County Dep.rtment In tho quantif,y ordered, ~vondor caMol deliver within 24 hour. or refuses to dellvor, the Countv Dopartment will ordorftom th. noxt lowoat biddor. >>PRICE Per Galion MUST INCLUDE gll f"oa and charge, Including ell Taxeo/Fee, the County i. not oxempl1rom (for example: $0.20 Stato Exci.e Tax, Slale Delivery/Environmental feM. Federa' Oil Spill Recovery Foe. and Federal WST Tax) >>FRee FROM WATER AND SUSPENDED MATTER UNIT PRICE 3(a~ ----------------------------------------------- ~IFICATIOIIS: REGULAR UNLEAD&D GASOLINE >>DELIVERY muot b. made wllhln 24 hoo," after receiving ord.r from the County Department in the qllanttty ordered, If vondor oannot dollver wlthin:14 hou.. or refu..e to deliver, the County Department will order from Ilia next low..t bidder, >>PRICE Per Gallon MUST INCLUDE all fe., and chargo. InoludlnQ all Tax.$/F...lhe County Ie not .xempt from (for example: $0.20 Slat. excl.' Tax. Slat. D.llve'Y'i::nvlronmenlal Fe.s, Federal Oil Spill Recovs'Y Fae. ..nd F.doral LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVeRAGE METHOD) UNIT . UNIT PRIC/? GALLON "33 L. , fJJ.8J1..0W 1YJ BE OOMPLETJJ/JlBY BJ.QDER) "'....Jp~~)51fi' \, A -' ^U1lf8ftIlfDSUAT JTllf: _ ~d PRIlTfiAI.lE_._ y4vw -1_ ~__ TnfllllllUllillfB: Pl.fABEUST AIi'VEXIlfIlTllINS TI 'JIUDlI1If BPECIfI:JIIINS: UNIT GALLON 55~ :S':+:d-d Th\JBd~y, S&ptilfnber 27,2012 IlIIllR DRlill co M: 09/27/2012 07:59 1ff.J,) P .0021004 CALHOUN COUNTY, TEXAS BID SHEET- lnw.:J.pLK DELIVEREP I INVITATION TO BID BIDDER SUN COAST RESOURCES 1110 SWELLS EDNA liD ITEM IFUEL-BULK DRlVERED IX 11857 I PDlltlllFIIOM: OCTOBER 16,2012 PfRIIIDTO: NOVEMBER 15, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFE/FER 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 B/D-IFVEL-BULK DEUV€RE--O--' -- ". BID$ ARE DUE AT THE JUlJGE'S OFFICE ON OR Bl:FORE: 10:00 AM, THURSDA Y, OCTOBER 4, 2012 , BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, OCTOBER 11, 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 REC5IVED AND THE TIME THAT BIDS WILL BE OPENED, BIOS RECEIVED AFTER THE OPENING TIME WILL BE RETURNE:D 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 E:MPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENl OR THE PROVISION OF SERVICES, SID ITEM: DEPARTMeNT: DELlVI!RY DI!STINATION PUI!L-BULK DELIVERED VARIOUS FOB COUNTY FUEL TANKS VARIOUS ----------------------------------------------- SPECIFICAT/ONS: lllESEL FUEL >>DELlVERY must be made within 24 hours after receiving order from the County Depertment in the quantity ordered. If vendor cannot deliver within 24 hours or reluses to deliver, the County Department will order Irom the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and cherges Including all Texes/Fees the Ccunty Is not exempt from (for example: $0.20 Slate Excise Tax, Slate Delivery/Environmental Fees, Federal 011 Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER Y!!1I GALLON UNIT PRICE ..J . 7'/ ----------------------------------------------- SPECIFICATIONS: REGULAR UNLEADEll GASOLINE' >>DELlVERY must be made within 24 hours alter receiving order Irom the County Department In the quantity ordered, If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the ne)(t lowest bidder. --PRICE Per Gallon MUST INCLUDE ell fees and charges Including all Taxes/Feeslhe County is not exempt from (for example: $0,20 Stete !';xcise Tax, State DellveJ)'/Envlronmentel Fees, Federal 011 Spill Recovel)' Fees and Fedaral LUST Tax) ..FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT UNIT PRICE GALLON 3. 'T I (BELOW TO BE COMPLETED BY BIDDER~ DATEOFBII: lohll1.. / . , AUlHORlllD SINATlIIE IDlE: "e,:!L,-,jf ruth 1(. PIIINT NAME: f1-o l'l;UU' l-rxJfllC TflEPllllNE M1M1E11: 3& /. 7~ J - SI.{ 0 PlEASE lIST ANY EXCEPTIONS TO TIE ABOVE SPECfICATIINS: Thursdsy, Septemper27, 2012 BOO SIJlt CIIft!J BEllDllfiCfS 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: October 4, 2012 RE: AGENDA ITEM - October 11, 2012 AGENDA ITEM THURSDAY, October 11, 2012 ~ Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Medical Services for the Calhoun County Adult Detention Center for the period begimling January 1,2013 and ending December 31, 2013. Bids will be due Thursday, December 6,2012 and will be considered for award on Thursday, December 13,2012. (CM) APPROVE SPECIFICATIONS AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR BIDS FOR MEDICAL SERVICES FOR THE CALHOUN COUNTY ADULT DETENTION CENTER FOR THE PERIOD BEGINNING JANUARY 1/ 2013 AND ENDING DECEMBER 31/ 2013. BIDS WIL BE DUE THURSDAY, DECEMBER 6/ 2012 AND CONSIDERED FOR AWARD ON THURSDAY, DECEMBER 13/ 2012. Cindy Mueller: The specifications did not change from last year and were approved by Shannon Sayler last year. A Motion to approve the specifications and authorized the County Auditor to advertise for bids was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, CONTRACT FOR MEDICAL SERVICES Calhoun County, a political subdivision of the State of Texas, (herein the "County") and , a Licensed Medical Practitioner in the State of Texas, (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 treaUsee 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 L VN, phone consultation with Service Provider will be initiated, If phone consultation is inadequate in the opinion of both the Jail Administrator and LVN, 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: $ {Hour = Hourly Cost Free Telephone Consultation(s) per week then $ { = Charge per Telephone Consultation LVN Charges: MINIMUM OF 3 TO 4 VISIT(S) TO FACILITY PER WEEK $ {Hour = Hourly Cost Free Telephone Consultation(s) per week then $ {= 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 4:00 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 L VN 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: Date Address MD City, State, Zip Code CALHOUN COUNTY, TEXAS BY: 211 South Ann Street Port Lavaca, TX 77979 Michael J Pfeifer, County Judge DATE 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: October 4, 2012 RE: AGENDA ITEM - October 11, 2012 AGENDA ITEM THURSDAY, October 11, 2012 ~ Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Prescription Drugs for the Calhoun County Adult Detention Center and the Calhoun County Indigent Program for the period beginning January 1,2013 and ending December 31, 2013. Bids will be due Thursday, December 6,2012 and will be considered for award on Thursday, December 13, 2012, (CM) APPROVE SPECIFICATIONS AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR BIDS PERSCRIPTION DRUGS FOR THE CALHOUN COUNTY ADULT DETENTION CENTER AND THE CALHOUN COUNTY INDIGENT PROGRAM FOR THE PERIOD BEGINNING JANUARY 1/ 2013 AND ENDING DECEMBER 31/2013. BIDS WILL BE DUE THURSDAY, DECEMBER 13/ 2012: Cindy Mueller: The specifications did not change from last year. A Motion approve specifications and authorize the County Auditor to advertise for bids was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS - Prescription Drugs Form PRESCRIPTION DRUGS Jail JANUARY 1, 2013 Thru DECEMBER 31, 2013 ~ Return this Form (page 1), if submitting a bid for Prescription Drugs for the Calhoun County Adult Detention Center (Jail) -CalhollllColllltvAdult Detention Center (Jail) Fill in appropriate blanks AMOUNT or PERCENT AGE TO BE (DEDUCTED FROM) AVERAGE WHOLESALE PRICE (A WP): Generic----} A WP Minus + Amount or Percentage Dispensing Fee andlor Other Charges, if any - please list If no Dispensing Fee and/or Other Charges, please put NONE Name Brand-----} A WP Minus + Amount or Percentage Dispensing Feee and/or Other Charges, if any - please list If no Dispensing Fee and/or Other Charges, please put NONE SPECIFICATIONS: bI> 100% Credit on any full or partial blister cards or medications that are returned as allowed by law. bI> Bid must clearly state if there are any processing fees andlor shipping fees associated with these returns. bI> All charges must be included in bid price. bI> No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. bI> "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 duiy authorized to execute this contract. that this company. corporation. firm. partnership, or individual has not prepared this bid in collusion with any other biddel~ 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 & Title: Print Name & Title: Telephone Number: Email Date of Bid: Fax Number: List any exceptions to the given bid specifications: Page 1 ofl CALHOUN COUNTY, TEXAS - Prescription Drugs Form PRESCRIPTION DRUGS County Indigent Program JANUARY 1, 2013 Thru DECEMBER 31, 2013 ~ Return this Form (page 1 & 2), if submitting a bid for Prescription Drugs for the Calhoun County Indigent Program . CalhounCountvIndi2:ent Pro2:ram IF 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 Net Cost: Generic--) AWP Minus 50% LESS Additional Discount = Minimum Amount Additional Discount Total Discount Percentage off of AWP (Minimum Is 50%) PLUS Plus Dispensing Fee, if any ($3.00 maximum) Net Cost: Name Brand--) AWP Minus 15% LESS Additional Discount = Minimum Amount Additional Discount Total Discount Percentage off of AWP (Minimum Is 15%) PLUS Plus Dispensing Fee, if any ($3.00 maximum) SPECIFICATIONS: ~The formula taken from Section Four, Page 10 of the CIHCP 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 of the 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 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. Page lof2 Calhoun Coullty, 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 AWl' minus 50% Brand name prescription drugs is AWl' minus 15% . The drug dispensing fee is $3.00 . The formula for computing the TDSHS Payable is: Net Cost + drug dispensing fee = TD5HS 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 (SO% lor generic) = $68.00 4. $68,00 + $3,00 (dispensing lee) = $71.00 TD5H5 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 affirms that they are duly authorized to execute this contract. that this company. cO/poration, 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, Authorized Signature & Title: Print Name & Title: Date of Bid: Telephone Number: Fax Number: Email: List any exceptions to the given bid specifications: Page 2 of2 MICHAEL J. PFEIFER Calhoun County Judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org October II, 2012 Crown Billing Attention CEO P.O. Box 34837 San Antonio, Texas 78265 VIA CERTIFIED MAIL, RRR Re: Termination of contract Attn: Jennifer Dear Jennifer, As of this date Calhoun County is providing Crown Billing with the minimum 60 day notice of termination as stated in the contract paragraphs 6.1 thru 6.4. December 31,2012 will be the last day we submit claims to Crown. Our expectations are that Crown will continue working all claims that are in their system. It is also our expectation that Crown will submit all data to the state through December 31 st and provide us documentation that all data has been submitted since the beginning of our contract period. Additionally, Crown will continue providing reports necessary to EMS and the County Auditors through December 31, 2012. Upon Calhoun County EMS entering into an agreement with a new billing provider we request that you assist us in making that a smooth process by providing the new provider any information necessary to access our data and begin processing claims. Calhoun County EMS will provide all runs dated through December 31 st as they make it through our system for Crown to process. ;:w~JtV Michael J. Pfeifer Calhoun County Judge MJP/sr '" www.calhouncotx.org TERMINATION OF CONTRACT WITH CROWN BILLING AND AUTHORIZE COUNTY JUDGE TO SEND LETTER TO CROWN BILLING PROVIDING 60 DAY NOTICE OF TERMINATION: As stated in the contract paragraphs 6,1 thru 6.4, Calhoun County is providing Crown Billing with the minimum 60 day notice of termination. December 31, 2012 will be the last day that claims will be submitted to Crown. County expectations are that Crown will continue working all claims that are in their system and will submit all data to the state through December 31" as well as provide the County documentation that all data has been submitted since the beginning of the contract period. Crown will continue providing reports necessary to EMS and County Auditors through December 31, 2012. Henry Barber: Have interviewed several different billing services and just waiting to hear back from them. Commissioner Lyssey: Was it price or performance for making the change from Crown Billing? Henry Barber: CEO had connections with the fraudulent Medicare and Medicaid billing scheme that caused him to be arrested. Judge Pfiefer: It is unknown if Crown Billing was involved with the deal, but since they are affiliated with it, the County wants to be removed from their services. A Motion to terminate the contract with Crown Billing and send 60 day notice of termination was made by Commissioner Finster and seconded by Commissioner Lyssy. Discussion: Commissioner Galvan: Why can't the hospital do the billing and keep the money here in the county? Henry Barber: The hospital files differently. When the hospital was doing the billing, they were charging 15%. The ambulance services have to be filed separately. Crown Billing was charging 9% and the service company being checked into charges 7%. Their whole job is ambulance billing. Commissioner Galvan: What about cross training and get someone here to do it? Henry Barber: We would have to hire someone to take on the duties and pay a salary. The billing service fee is based on net they do the mandatory State reports, The hospital wouldn't be abie to do that. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, Crown Billing, lnc EMS Billing and Consulting Service agreement For CalhOlll1 County /, Crown BilJing, Inc (hereinafter referred to as "Crown") and Calhoun County (hereinafter referred to as "Provider") enter into this Service Agreement ("Agreement") effective beginning July 1,2011 WHEREAS, Crown provides automated billing, collection, and management support services to Providers including electronic bilJing, collection, accounts receivable, and information management support; and WHEREAS, the Provider performs and administers medical billing services in the State of Texas; and WHEREAS, Provider desires the services of Crown for billing services for all fee-for- service ambUlance claims through the submission of electronic and paper medical claims, including necessary follow up appeals. NOW, THEREFORE, in consideration of the premises and the mutual promises contained herein, and other good and valuable consideration, the receipt, adequacy and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1. Crown Responsibilities: l.l Crown agrees to assist in the set-up of the fee schedules and related parameter files for submission of claims for processing for Provider. 1.2 Crown agrees to assist in the development of all necessary automation agreements for Provider, for electronic submission through a Clearinghouse(s) or directly to the payer iffeasible. ' 1.3 Crown agrees to assist in establishing the data control, workflow, and communication protocol between Crown's office(s) and the Provider's office(s). 1.4 Crown agrees to provide standard data-entry, billing, tracking, and receivables management for Provider. 1.5 Crown agrees to submit medical forms in a machine-readable form via electronic media to all electronic carriers for Provider. Claims are submitted on HCF A or UB92 paper forms when applicable. Crown will pursue collection on Provider's accounts until an account is paid in full or with the Provider's authorization passed on to collections. CalhounCounty CROWN FINAL 07012011.doc 2011 2 1.6 Crown agrees to prepare and submit agreed upon encounter data to HMO's and all other contract holders in a form acceptable to HMO's arid other contract holders, for Provider, in fulfillment of Providers' contractual agreements to those payers. 1.7 Should the Provider require custom reports or forms the Provider shall give Crown a minimum of 15 days notice to prepare requested reports. If Crown cannot provide the reports then the Provider agrees to pay the cost necessary for custom reports beyond what Crown can provide. The cost for reports will be quoted by Zoll Medical. 1.8 Crown agrees to provide weekly management reports, and end of month reports for all Provider's billing and collections activity as requested by provider. Crown also agrees to provide other reports arid statements on an as needed basis. 1,10 Crown agrees to assist the Provider in compliance & submit information contained on the Provider's claim forms to the Texas Trauma Registry on all electronic claims. ' 1.11 Crown agrees to make available to the Provider copies of explanation of benefits via secure email.CDIDVD or FTP download. 1.12 Crown agrees to provide a continuing education class to Provider every year of this contract period. this class' may consist of laws and regulations related to reimbursement and EMS documentation training on any new forms required. 2 Provider's Responsibilities: 2.1 Provider agrees to be responsible for establishing the office procedures for accurately collecting all patient information, all insurer information for that patient, and any other billing information that might be applicable to the patient. I 2.2 Provider agrees to submit to Crown in a timely manner all bills for all medical services rendered, copies of all collected revenue (cash receipts, co-pays, and checks), all Explanation of Benefits (BOBs) and all correspondence received from payers and private patients. These documents shall be sent to Crown with each scheduled courier delivery. 2.3 Provider agrees not to hold Crown responsible for claims that are not submitted to Crown in a timely manner including past due claims that Crown agrees to re-bill for Provider. Provider agrees not to hold Crown responsible for timely filing issues when Crown did not receive the explanation of benefits (BOBs). 2.4 Provider agrees to submit payment for Crown's fees no later than 60 days from receipt of Crown's invoice, CalhounCounty CROWN FINAL 0701201 1 ,doc 2011 3 2.5 The Provider agrees to submit one hundred (100) percent of the provider's future claims and any past due account as agreed up on for processing, 2.6 Provider will exercise due diligence in adherence to the law and regulations of the state(s) in which the Provider operates and agrees not to hold CroWn liable for provider's actions. 2.7Provider agrees to give (60) sixty-day advance written notice of intent to cancel contract. Should provider decide to use another service without notice of cancellation, Provider agrees to pay Crown a total of $2,500 per month until such notice is given. 2,8 Prior to contract termination Provider agrees to give (60) sixty days notice if the Provider chooses not to renew the contract. 2.9 Provider agrees to allow Crown to sign provider's adniinistrator's signature to box 31 of the CMS 1500. 2.1 0 Provider agrees to respond to Crown's request for addendums, corrections or supplemental documentation via mail, email or phone call in a timely manner. In the event the Provider does not respond timely, the Provider agrees not to hold Crown responsible for lost revenue on said claims. 2.12 Provider agrees that-all claims submitted to Crown have valid documentation, forms, and signatures'as required by the respective payer. 2.13 Provider agrees that it is the Provider's responsibility to provide PCS' and all documentation for claim processing and/or appeals. If PAN is required and not provided, Crown will contact the originating facility to detennine status. If PAN is not available Crown will designate the bill to the facility's responsibility and send bill to Provider for delivery. 2.14 Provider agrees to submit Prior Authorization Number(s) (PAN's) to Crown via an approved email address or via the Files anywhere web site with a courtesy email to Crown. 3. Fees: The Crown fee schedule for performance of billing and collection services is as follows: 3.1 Fee-for Service Billing Receivables. See attachment A. For all fee-for-service ambulance billing receivables forwarded to Crown, Crown will charge according to schedule A for total revenue collected against those receivables. CaIhounCounty CROWN FINAL 07012011.doc 2011 4 3.1.2 Crown Will issue invoice on no later than the fourth business day of the month. 3.2 Collections, Crown shall refer all delinquent accounts in collection status to a Texas licensed collection agency of the Provider's request and With the , Provider's prior approval. 3.3 Database Set-Up Fee. Waived 4. Supplemental Services: 4.1 At the election of the Provider, Crown will make available certain supplemental support services at an additional fee that include but are not limited to: a. Fee schedule analysis b. Audit and analysis of aged accounts receivable c. Administrative review and recommendations d. Operations evaluations and recon1niendations including staff documentation audits. e. Staff training and education programs f. Regulatory complia~ce a, Provider and Crown would mutually agree upon the fee for the performance of any supplemental support services desired by the Provider and will be payable to Crown Billing, Inc. 4.2 Upon termination of the contract the Provider may agree for Crown to continue processing and collecting on past accounts. The fee for this service shall be nine (9%) percent of receivables, 5. Nondisclosure: 5.1 Crown agrees to keep confidential the materials and information of Provider including patient names, patient records, administrative methods, accounting and financial information, internal memoranda, and any other materials identified by the Provider Consultants as confidential to the extent allowed by law. All paper records of provider shall remain the property of Provider and will be made available upon request of the Provider. 5.2 Crown agrees to maintain and protect Protected Health Information (PHI) in accordance With federal regulations and the express policy the provider (see HIP AA terms and agreement). 5.3 See Crown HIPAA agreement. CalhounCounty CROWN FINAL 0701201l.doc 2011 5 6. General Provisions: 6.1 This Agreement shall remain in full force and effect for (I) year(s) from the beginning date of the Agreement and will automatically renew annually unless canceled by either party by written notice sixty (60) days prior to termination. Crown agrees to give 90 day notice that contract will expire. 6.2 Either party may terminate this Agreement, without Clause, with sixty (60) days written notice provided to the other party. 6.3 Notice shall be sent to: Crown Billing Attention CEO PO BOX 34837 San Antonio, TX 78265 6.4 Upon termination of this Agreement Crown may transfer any or all-patient data to Provider in either paper and/or ASCII text file format(s) as per the Provider's request. 6,5 This Agreement shall be interpreted in accordance with the laws of the State of Texas. 6,6 The invalidity and/or unenforceabiIity or a provision(s) shall not void the entirety of this contract. The invalid and/or unenforceable provision shall be rendered deleted and the contract notwithstanding the above mentioned provision shall stand as valid. IN WITNESS WHEREOF, Provider has executed this Agreement, and Crown has caused this Agreement to be executed in duplicate originals ,by its duly authorized officer, as of this day and year first above written. For Calhoun County: Provider's signature: ~ ~-*.' Printed Name: Michael J. Pfeifer Title: Calhoun County Judge Date: June 23, 2011 CalhounCounty CROWN FINAL 0701201l.doc 2011 Calhoun County HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT PRIVACY AGREEMENT WITH Crown Billing, Inc. 1. Crown Billing, Inc shall carry out its obligations under this Agreement in compliance with the privacy regulations pursuant to Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and 'Accountability Act of 1996, Subtitle F - Administrative Simplification, Sections 261, et seq., as amended ("HIP AA"), to protect the privacy of any personally identifiable protected health information ("PHI") that is collected, processed or learned as a result of the Billing Services provided hereunder. In conformity therewith, Crown Billing, Inc. agrees that it will:, ' a. Not use or further disclose PHI except as permitted under this Agreement or required by law: 1;>. Use appropriate safeguards to prevent use or disclosure of PHI except as permitted by this Agreement; , c. To mitigate, to the extent practicable, any harmful effect that is known to Crown Billing, Inc. of a use or disclosure of PHI by Crown Billing, Inc. in violation ofthe Agreement. d. Report to Calhoun County any use or disclosure of PHI not provided for by this Agreement of which Crown Billing, Inc, becomes aware; e. Ensure that any agents or subcontractors to whom CroWn Billing, Inc. provides PHI, or. who have access to PHI, agree to the same restrictions and conditions that apply to Crown Billing, Inc. with respect to such PHI; f. Make PHI available to Calhoun County and to the individual who has a right of access as required under HIPAA within 30 days of the request by' Calhoun County on the individual; g. Incorporate any amendments to PHI when notified to do so by Calhoun County; h. Provide an accounting of all uses or disclosures of PHI made by Crown Billing, Inc. as required under the HIP AA privacy rule within 60 days; 1. Make its internal practices, books and records relating to the use and disclosure of PHI available to the Secretary of the Department of Health and Human Services for purposes of determining Crown Billing, Inc. and Calhoun County compliance with HIPAA; and ' j. At the termination of this Agreement, return or destroy all PHI received from, or created or received by Crown Billing, Inc. on behalf of Calhoun County and ifretum is infeasible, the protections of this agreement will extend to such PHI. 2. The specific uses and disclosures of PHI that may be made by Crown Billing, Inc. on behalf of Calhoun County include: ;J k. The preparation of invoices to patients, carriers, insurers and others responsible for payment or reimbursement of the services provided by , Calhoun County to its patients; 1. Preparation of reminder notices and documents pertaining to collections of overdue accounts; m. The submission of supportingdocun'lentation to carriers, insurers and other payers to substantiate the health care services provided by the Calhoun County to its patients or to appeal denials of payment for same. n. Uses required for the proper management of the Crown Billing, Inc. as a business associate. ' o. Other uses or disclosures of PHI as permitted by HIPAA privacy rule, 2. Notwithstanding any other provisions of the Agreement, this Agreement may be terminated by Calhoun County, in its sole discretion, if Calhoun County determines that Crown Billing, Inc. has violated a term or provision ofthis Agreement pertaining to Calhoun County's obligations under the HIP AA privacy rule, or if Crown Billing, Inc. engages in conduct which would, if committed by Calhoun County would result in a violation of the HIPAA privacy rule by Calhoun County. ' ~~:D,.d. '0 f:IKS ~, Company: Calhoun County , 6 Authorized Signature: For Crown Billing, Inc. Andey D. Gray PresidentlC.E.O. Crown Billing, Inc Date: U(r93// ( , CalhounCounty CROWN F1NAL 070120 ll,doc 201] 7 Schedule 'A" 1. Crown will charge the provider nine percent (9%) for all electronic receivables. II. Crown will provide 4 RescueNet Tablet PCR licenses and 7 RescueNetWeb-PCR licenses and software maintenance at no additional cost. CalhounCounty CROWN FINAL 07012011 ,doc 2011 1JBcpartmcnt of 3f U5ttCC United States Attorney Robert Pitman Western District of Texas FOR IMMEDIATE RELEASE FRIDAY, SEPTEMBER 21, 2012 CONTACT: DARYL FIELDS (210) 384-7440 THREE ARRESTED IN SAN ANTONIO HEALTH CARE FRAUD INVESTIGATION Investigation Focused on Fraudulent Medicare and Medicaid Billing Scheme In San Antonio today, federal and state authorities arrested 38-year-old Andey Gray of San Antonio, owner of Crown Consulting and Billing, as well as 54-year-old Michael Farris and 47-year-old Sherry Trouten of Castroville, Texas, directors of Tejas Ambulance, Inc. (Tejas) in connection with an estimated $2.5 million fraudulent Medicare and Medicaid billing scheme announced United States Attorney Robert Pitman, FBI San Antonio Division Special Agent in Charge Armando Fernandez, HHS-OIG Dallas Regional Office Special Agent in Charge Mike Fields and Texas Attorney General Greg Abbott. The defendants are charged in a 13-count federal grand jury indictment returned on Wednesday and unsealed today. The indictment charges the defendants with ten counts of health care fraud and two counts of theft or embezzlement in connection with health care fraud. In addition, Farris is charged with one count of making a false statement. According to the indictment, Farris and Trouten worked for different ambulance companies-Farris, as Director of Medina Valley Emergency Medical Services (Medina Valley), Director of Tejas and Interim Director for Community Emergency Medical Services, Inc. (Community); Trouten, as an administrator for Community, bookkeeper for Medina Valley and business manager for Tejas. Gray, through his business, processed medical claims for Medina Valley, Community and Tejas. The indictment alleges that in March 2011, Farris and Trouten began sUlTeptitiously diverting Medina Valley and Community incoming calls for service to Tejas Ambulance, Because Tejas Ambulance was not an authorized Medicare or Medicaid provider, the defendants began using numbers assigned to other entities, including Medina Valley and Community, to fraudulently submit claims for ambulance services either performed by Tejas, or not even performed at all. The indictment further alleges that the defendants then embezzled those Medicare and Medicaid funds from Medina Valley and Community, diverting them to Tejas Ambulance and ultimately, to themselves. As a result ofthe defendants' scheme, Medicare and Medicaid paid just under $600,000 for claims that were not qualified for reimbursement from Medicare and Medicaid. --more-- Tejas Ambulance Service indictment press release September 21, 2012 Page 2 Upon conviction, the defendants face up to ten years in federal prison per health care fraud related count. Farris is also subject to a maximum of five years in federal prison upon conviction of the false statement charge. This case was investigated by the Texas Attorney General's Medicaid Fraud Control Unit together with the Federal Bureau ofInvestigation, U.S. Depmtment of Health and Human Services Office ofInspector General and the U.S, Department of Labor, Employee Benefits Security Administration. Special Assistant United States Attorney Kimberly Johnson is prosecuting this case on behalf of the Government. An indictment is merely a charge and should not be considered as evidence of guilt. The defendants are presumed innocent until proven guilty iu a court of law. ##### Susan Riley From: Sent: To: Cc: Subject: Attachments: Agnes Moeller [amoeller@gulfbend,org] Friday, October 05,201212:18 PM mike. pfeifer@calhouncotx,org; susan. riley@calhouncotx.org Don Polzin Gulf Bend Center Board Appointment Letter - Board Appointment. pdf Attached please find a letter regarding the appointment of a new member to the Center's Board of Trustees. The original letter is in the mail to you. Thanks, A~Moe.Uer Administrative Assistant Gulf Bend Center 6502 Nursery Drive, Suite 100 Victoria, Texas 77904-3741 361-582-2309 office 361-578-0506 fax WARNING: This e-mail and any file(s) transmitted with it is the property of Gulf Bend Center, is confidential, and is intended solely {arthe use of the individual or entity to whom this e-mail is addressed. (f you are not one of the named recipient(s) or otherwise have reason to believe that you have received this message in error, please notify sender and privacy officer (privacy@gulfbend,org) at Gulf Bend Center and delele this message from your computer. Any other use, retention, dissemination, forwarding, printing, or copying of the communication is strictly prohibited. 1 APPOINTMENT OF MRS. MELISSA LESTER TO GULF BEND CENTER BOARD OF TRUSTEES TO FILL UNEXPIRED TERM: Mrs. Lester will fill the unexpired two-year term of Mr. Mark Daigle who has tendered his resignation. The term runs through December 31, 2013. Letter of resignation from Mark Daigle is effective October 31, 2012. A Motion to appoint Mrs. Melissa Lester to Gulf Bend Center Board of Trustees was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. October 11, 2012 Calhoun County Judge Mike Pfeifer 211 S. Ann Street Port Lavaca, TX 77979 Dear Judge Pfeifer This letter is to Inform the Calhoun County Commissioners Court that I will be resigning from my current appointment to the Gulf Bend Board of Trustees, I have served on the board for the last 12 years and have enjoyed working with the great members of the board as well as the outstanding employees of Gulf Bend Center. I appreciate the opportunity given to me to serve Calhoun County in this capacity, and serving as Board Chair for the last 8 years has been very rewarding. Unfortunately other commitments have made It impossible for me to continue on in this position. Please make my resignation effective October 31, 2012. I want to thank each member of the Calhoun County Commissioners Court for this opportunity to serve the county. Susan Riley From: Sent: To: Cc: Subject: Don Polzin [dpolzin@gulfbend.org] Tuesday, October 02,20121:59 PM susan. riley@calhouncotx.erg Agnes Moeller FW: Calhoun County Trustee Appointment - Gulf Bend Center Board of Trustees Susan, Thank you for assuring that Judge Pfeifer receives this e-mail and the Court is able to take action if they choose to do so. The appointment of Ms. Lester would be to fill an unexpired two-year term ending December 31,2013. Please let me know if you need any further information. Best regards, Don Donald L. Polzin Executive Director Office (361) 582-2314 Cell (361) 571-2036 Fax (361) 578-0506 "This e-mail and any files transmitted \-lith it are the property of Gulf Ber'ld r.1HHR Center, are confidential, and are intended solely for the use of the individual 01' entity to l'lhom this e-mail is addressed. If you are not one of the named recipient(s} 01' othe!'\~ise have l'easan to believe that you have received this message in error, please notify Gulf Bend /.IHHR Centel"s Net\'mrk Administrator' at (361) 582-2357 01' m.ailadfl!~.D..@wHQ_~_(L.9..!:g and delete this message from your computer, Any other lIse, retention, dissemination, for\oIarding, prillting, or copying.of tile communication is stl'ictly prohibited. From: Don Polzin Sent: Monday, October 01, 2012 5:32 PM To: 'mike.pfeifer@calhouncotx.org' Cc: 'Steve Hipes (28)' Subject: Calhoun County Trustee Appointment - Gulf Bend Center Board of Trustees Good evening, Judge Pfeifer. Recently, I had the opportunity to visit with Ms, Melissa Lester regarding her expressed interest in serving as a trustee on the Gulf Bend Center Board, Ms, Lester has an interest in doing so, if that is the wishes of the Calhoun County Commissioners' Court. What I know about Ms. Melissa Lester: She and her husband own and operate Lester Construction Co located in Port Lavaca. She has served in a number of volunteer roles with the Port Lavaca Chamber of Commerce, the American Business Women's Association, and the Calhoun County 15D All Sports Booster Organization, She and her husband have a son who is a student in Port Lavaca Schools Special Education Program, I believe from what I have been able to glean in meeting with Ms. Lester, and visiting with other folks, that she would take an active role if appointed to the trustee position currently occupied by Mark Daigle, As you know, from our previous discussions, Mark plans to resign his appointment to the Gulf Bend Center Board, 1 I wili give you a call tomorrow (Tuesday) tD share additional information. I believe, if appointed Ms. Lester would be filling an unexpired term, I will have the details of that when I call. I encourage you to research this recommendation further if you feel it necessary, We are certainly looking for the best possible candidates for this appointment and representation of Calhoun County, I have copied Mr. Steve Hipes who is appointee of Victoria County and current Board Chairman. Thank you for your continued support. Don Donald L. Polzin Executive Director Office (361) 582-2314 Cell (361) 571-2036 Fax (361) 578-0506 HThls e-mail and any files transmitted with it are the property of Gulf Bend MHMR Center, are confidential, and are intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not one of the named recipient(s) or otherwise have reason to believe that you have received this message in error, please notify Gulf Bend MHMR Center's Network Administrator at (361) 582-2357 or mi1HilJjm1-DmJJ:!:1~.D-,Lon~ and delete this message from your computer. Any other use, retention, disseminatiofl, forwarding, printing, or copying of the cOlMlunication is strictly prohibited. 2 Gulf Bend. Center IMPROVING LIFE THROUGH RECOVERY. October 5, 2012 The Honorablc Judge Michael 1. Pfeifer Calhoun County Housc 211 South Ann Street, Suite 30 I Port Lavaca, TX 77979 Dear Judge Pfeifer, I am writing to rcspectfully request the Calhoun County Commissioners' Court's consideration of the appointment of Mrs. Melissa Lester to the Gulf Bend Center Board ofTruslees. If appointed, Mrs, Lester will fill the unexpired two-year term ofMr. Mark Daigle who has tcndcred his resignation, That term runs through December 31, 2013. Mrs, Lester is a principal in a family-owned and operated business, Lestcr Construction Co., locatcd in Port Layaca. I have had thc opportunity to visit with Mrs, Lestcr to inform her ofhcr responsibilities as a trustcc, and I have discussed with hcr the mission aud activities of the Ceuter to provide behavioral health and intellectual and developmental disability services to rcsidents of Calhoun County, She has expressed both a desire to serve and a willingness to devote the required time, Mrs, Lcster understands the importancc of the Center's mission and the positive impact it has on individuals, liunilies, and the comlllunity in general. If you need additional information, I may be reached at (361) 582-2314, Sincerely, A-~~, P////#th;; U ~-----~-- Donald L. Polzin Executive Dircctor 6tl02 NURSERY DRIVE, 8TE. 100. VICTORIA, TEXAS 77904 . 361-575-0611 . 361.578.0506 FAX' WWW.GULF8END.OHG Susan Riley From: Sent: To: Subject: Attachments: rhonda kokena [rhonda,kokena@calhouncotx.org] Friday, October 05,20122:12 PM susan riley agenda 2013 RETIREE SILVER PKG -TAG.pdf Please place on the agenda for the 11th Accept and approve the 2013 County Choice Silver Benefits Confirmation for Retirees and allow County Treasurer to sign. RHONDA S. KOKENA CALHOUN COUNTY TREASUlWR 202S.ANNS'I'. PORT fA VACA, T'X, 77979 :J61-55:J-4619 phone 361-55:J-4614fiIX Er\Joy the little tl1ings....For one duy yon will look back and realize they were the big things. 1 2013 COUNTY CHOICE SILVER BENEFITS CONFIRMATION FOR RETIREES AND AUTHORIZE COUNTY TREASURER TO SIGN: This is something between people and the insurance company where they are able to buy supplement to Medicare. A Motion to approve 2013 County Silver Benefits and authorized County Treasurer to sign was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer ail voted in favor, 10/11/2012 14:10 (FPJ() P .002/003 II "',!:,-,,,,,,... v. ~. ~ ...... j . Choice.. Texas Association of Counties Retiree Medical Program United Healthcare 2013 Renewal Notice and Benefit Confirmation Group: 4439 - Calhoun County Anniver$llry Date: 1/01/2013 Return to T AC by: 10/29/2012 Please initial and complete each section confirming your group's renewal. Fax to 1-512-481-8481 or email to melissal@county.org. RETIREE MEDICAL 2012 Rates: $201.36 2013 Rates: $210.93 <\4., Initial to accept New Retiree MedIcal Rate.. RETIREE RX 2012 Rates: $179.99 ~ Initial to accept New Rellree RX Rate.. 2013 Rates: $186,39 BILLlING METHOD Direct Bill - The Employer pays $0 premium. The bill Is sent to the Retiree monthly. ~cL. Inlllal to accept BIlling Method. . Ratas affective from 1/1/2013 through 12/31/2013. . Signature on the following page Is requIred to oonflrm and aooept your group's renewal. 2013 CCB-UHC Direct 611I RN8C Contracting Authority: As specified in the Interlocal Particlpatlon Agreement, each Member hereby designates and appoints, as indicated in the space provided below, a Contracting Authority of department head rank or above and agrees that TAC HEBP shall NOT be required to contact or provide notlees to ANY OTHER perSon. Further, any notice to, or agreement by, a Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member, Each Member reserves the right to change its Contractlng Authority from time to of ~~~~~otice to TAC HEBP, Nan\e; ~ t?~Lt1[1)' clor Title: e~oo I I G. n '5t. \JOvtfJ..- &01-e53--44.-{J'{) 10/1112012 14:10 CountyChoic:e Silver UnitedHealthcare Member Contact Designations Address: Phone: Fax: Emai1: ~fLLt G ca.l"o~~.()r9- ~AA) P .003/003 f r daily matters pertaining to the retiree benefits. Title: Addres.: UJrJ./ T rea6 u..t(.r X~~n gf, CLUJ.., I IX. 5(0 ( ~55~-~lq ~.. 5~-t.J~1~ t"hOf1c:b.l{"K~WlvllUl~ Phone: Fax: Email: '~ IO-Il-(~ ature of County Judge or Contracting Authority Date +1v~~ J<.DK~ I CClJ..ri\y' -rr-ea..?~ Please PRINT Name and Title CCS -UHC Member ContacL Designa.lion Form Dileol Bill 9/2012 IIc"';~;. Texas Association of Counties Retiree Medical Program MEMORANDUM To: CountyChoice Silver Participant Counties Re: Medicare Part B Enrollment Questions In an effort to assist you in answering questions from future retirees about Medicare Part B enrollment, we have noted some Medicare facts and requirements for quick reference. The facts sheet can be handed out to Medicare eligible employees and employees considering future retirement. Participants that qualify for Medicare Disability are subject to other requirements. Please refer all Medicare eligible participants to seek the advice of a Medicare case worker for requirements specific to their needs by calling 1-800-MEDICARE (1-800-633-4227) to discuss enrollment options. .~k;_ Texas Association of Counties Retiree Medical Program Medicare Part B Frequently Asked Questions Q: What is Medicare Part B? A: Medicare Part B (Medical Insurance) helps cover doctor and other health care provider services, outpatient care, durable medical equipment and home health care. Medicare Part B also helps cover preventive services to help maintain your health and to keep certain illnesses from getting worse. Q: When can you sign up? A: Medicare eligible enrollment options are: Initial Enrollment Period You can sign up when you're first eligible for Part A (provided at no additional cost) and/or Part B (for which you pay monthly premiums) during your Initial Enrollment Period. For example, if you're eligible when you turn 65, you can sign up during the 7-month period that begins 3 months before the month you turn 65 (that includes the month you turn 65) and ends 3 months after the month you turn 65. Special Enrollment Period If you didn't sign up for Part A and/or Part B when you were first eligible because you are covered under a group health plan based on current employment, you may sign up for Part A and/or Part B as follows: o Anytime that you or your spouse is working, and you are covered by a group health plan through the employer based on that work o During the 8-month period that begins the month after the employment ends or the group health plan insurance based on current employment ends, whichever happens first General Enrollment Period If you didn't sign up for Part A and/or Part B when you were first eligible, general enrollment is available between January 1 and March 31 each year and coverage would begin July 1. Please note: you may have to pay a higher premium for late enrollment. Q: Can I sign up for Part B if I still have current employer health coverage? A: You can sign up for Part B any time you have current employer health coverage once you become eligible. Q: What happens if I didn't sign up after my active employment ended? A: If you don't enroll in Part B during the 8 month Special Enrollment Period, you may have to pay a penalty. You won't be able to enroll until the next General Enrollment Period and you will have to wait before your coverage begins. This period will run whether or not you choose COBRA. If you choose COBRA, don't wait until your COBRA ends to enroll in Part B. The guidelines listed above are general requirement excerpts taken from Centers for Medicare & Medicaid services, 2012 Medicare & You Handbook, Please visit Medicare.gov for full access to handbook or call1-800-MEDICARE (1-800-633-4227) to discuss enrollment options. .h~i~;. Texas Association of Counties Retiree Medical Program MEMORANDUM TO: FROM: RE: DATE: CountyChoice Silver Participant Counties Melissa Lopez, Employee Benefits Specialist 2013 UnitedHealthcare Renewal Packet September 29, 2012 The annual renewal process for UnitedHealthcare (UHC) retiree medical benefits is complete. Enclosed are renewal documents along with a memo regarding Medicare Part B Enrollment. Please sign the renewal documents enclosed and return to TAC HEBP by October 29, 2012. Listed below are the following forms that must be initialed, signed and returned. . 2013 Renewal Notice and Benefit Confirmation . 2013 Member Contact Designation Form UHC will mail each retiree an Annual Notification of Change (ANOC) as soon as Medicare provides 2013 benefit changes which should be released in late October. TAC HEBP will mail all direct bill retirees a rate change letter once your group has confirmed renewal for the 2013 Plan Year. Please note the Centers for Medicare and Medicaid Services (CMS) annual Open Enrollment dates are October 15'" through December 7"', Please copy these documents for your records and fax or mail the signed documents back to: T AC HEBP P.O. Box 2131 Austin, TX 78768 Or Fax: 512-481-8481 If you have any questions please contact Melissa Lopez or Emesto Martinez at 1-800-456-5974. CCS -UnitedHealthcare Direct Bill Renewal Memo 9/12 FY 2012 EMERGENCY MANAGEMENT PERFORMANCE GRANT (EMPG) IN THE AMOUNT OF $41,881.46 AND AUTHORIZE COUNTY JUDGE TO SIGN: The application to participate in the Emergency Management Performance Grant program during the FY 2012 has been accepted and approved. The County Judge must sign the award and return it to the Texas Division of Emergency Management within 45 days to activate the grant. Judge Pfiefer: This is the same grant that the County has been applying for every year. It pays form most of the Emergency Management's budget and a percentage of the salaries, A Motion to accept the FY 2013 Emergency Management Performance Grant and authorized the County Judge to sign was made by Judge Pfiefer and seconded by Commissioner Lyssy, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. TEXAS DEPARTMENT OF PUBLIC SAFETY 5805 N LAMAR BLVD. BOX 4087. AUSTIN, TEXAS 78773-0001 512/424-2000 www.dos.texas.l!:ov STEVEN C. McCRAW DIRECTOR DAVID G. BAKER CHERYL MacBRIDE DEPUTY DIRECTORS COMMISSION A, CYNTHIA LEON. CHAIR CARIN MARCY BARTH ADA BROWN ALLAN B. POLUNSKY JOHN sreEN September 26,2012 R"'E~Ct'::I\ ,1'-[.," I '-' l'~ ~ " 11 L,' The Honorable Michael Pfeifer Judge, Calhoun County 211 S. Ann Street, Ste 301 Port Lavaca, TX 77979 OCT 0, 'I"!') Mike Pfeif!>i Calhoun Cc"'niy ,IiJdg' Dear Judge Pfeifer: This letter is to advise you that your application to participate in the Emergency Management Performance Grant (EMPG) program during Fiscal Year 2012 (FY 12) has been accepted. 1. Grant Award The Notice of Sub-recipient Grant Award (Attachment 1) specifies the federal EMPG program funding that will be provided during FY 12. A representative authorized by your County Commission to accept grants on behalf of the jurisdiction must sign the grant award. Typically the County Judge must sign the award and return it to the Texas Division of Emergency Management (TDEM) within 45 days to activate your grant. Retain a copy for your records and provide a copy of the entire grant award package to your local financial manager. Failure to accept the award and return documentation to TDEM within 45 days may result in the distribution of the award to another jurisdiction. 2. Required EMPG Tasks A. Your FY 12 EMPG Program Application has been approved. As changes to this document may have been made in order to meet FY 12 program requirements since originally submitted, you should carefully review the attached copy. B. All EMPG participants must prepare and submit an After Action Report (AAR) and Improvement Plan (IP), in the format prescribed by the DHS Homeland Security Exercise Evaluation Program (HSEEP). The HSEEP document can be accessed at http://hseep,dhs.qov. The sample AAR and IP are located on our website at http://www.txdps.state.tx.us/dem . C, The Department of Homeland Security has identified steps that States, territories, tribal, and local entities should take during FY 12 to remain compliant with the NIMS. All jurisdictions awarded FY 12 EMPG funds must achieve and maintain 100% compliance with NIMSCAST objectives and metrics, EQUAL OPPORTUNITY EMPLOYER COURTESY. SERVICE. PROTECTION 3. Task Progress & Reporting Continued participation in the EMPG program is in part conditioned on making proportional progress on your Work Plan tasks and the timely submission of progress and financial reports. A. Proportional Progress in Program Tasks. You are expected to complete and document a portion of those tasks each quarter rather than deferring most planning tasks, training, exercises, and other activities until the last several months of the fiscal year. Those who try to complete a year's work in several months frequently fail when emergencies occur late in the year, B, Financial Reports. EMPG Financial reports are due 30 days after the close of each quarter of the federal Fiscal Year. Quarterly Financial Reports are due January 30, April 30, July 30, and October 30. These reports should be emalled directly to the TDEM EMPG Auditor, Doris. Grisham@dos.texas.qov. C. Quarterly Metrics Templates. FEMA EMPG quarterly templates are due every quarter, January 15, April 15, July 15, and October 15, These templates should be emalled directly to the TDEM EMPG Grant Technician, Heather.Baxter@dos,texas,qov. D. Progress Reports, Your first semi-annual progress report was due to the TDEM Preparedness Section on April 15, 2012. The final progress report is due October 15, 2012 and should be emailed directly to the TDEM EMPG Grant Technician, Heather.Baxter@dos.texas.qov. If you do not expend grant funds allocated on allowable expenses within the performance period, future grants will likely be reduced, If you determine that you do not wish to participate in the FY 12 EMPG program, please submit a letter from your Authorized Official requesting to terminate your participation from the program. If you have questions regarding EMPG tasks, please contact the EMPG Grant Coordinator III, Lisa Assistant Director Texas Department of Public Safety Chief Texas Division of Emergency Management WNK:lr Attachments: 1- Notice of Sub-Recipient Grant Award 2" Terms and Conditions TEXAS DEPARTMENT OF PUBLIC SAFETY TEXAS DIVISION OF EMERGENCY MANAGEMENT (TDEM) NOTICE OF SUBRECIPIENT GRANT AWARD Program Title: FY 2012 Emergency Management Performance Grant (EMPG) DHS Instrument Number: 2012-EP-00011 GDEM Grant Number: 12TX-EMPG-0544 Administered By: Texas Division of Emergency Management Texas Department of Public Safety P.O. Box 4087 Austin, Texas 78773-0220 Recipient: CALHOUN County 211 S. Ann Street, Ste 301 Port Lavaca, TX 77979 Amount of Grant: $41881.46 Period of Grant: October I, 2011 to March 31, 2013 ~ The period of grant reflects a six (6) month extension to complete and close out your FY 12 EMPG grant year, Signing Acceptance of this document means that you accept and will comply with all re uirements listed in the attached FY 2012 Terms and Conditions. AGENCY APPROVAL GRANT ACCEPTANCE ~~~ Original Signature Required Printed Namerritle: Michael J. Pfeifer Calhoun County Judge Date: 10-11-12 Return Signed Copy of This Page within 45 days to: Texas Department of Public Safety Texas Division of Emergency Management Attention: Heather Baxter, Office of Management and Budget PO Box 4087 Austin, TX 78773-0220 .1 ,,,;. /' 2012 Emergency Management Performance Grant (EMPG) Terms and Conditions 1. Purpose: The FY 2012 priority for this program is to Advance 'Whole Community" Security and Emergency Management. Grant funds will be used to support local comprehensive emergency management programs to encourage improvement of mitigation, preparedness, response, and recovery capabilities for all hazards. Funding may be used to support activities that contribute to the capability to manage consequences from acts of terrorism. Funds provided may also be used to accomplish initiatives described in the Federal Program Guidelines, including local implementation of the National Incident Management System (NIMS), incorporation of appropriate references to the National Response, .. Framework (NRF) into-local plans, homeland security assessment and strategy integration, and assessment of local emergency management program using Emergency Management Assessment Program (EMAP) standards. 2. Grant Conditions: Identify the source of funding under which this award is funded and reference the government code authorizing these services and conditions. The federal grant terms and conditions are located at: htto://www.fema.aov/aovernmentJarantJemoa . 3. Grant Acceptance: Notice of Subrecipient Grant Award remains an offer until the signed copy of the Acceptance of Sub recipient Grant Award is received by the Department of Public Safety in accordance with the instructions p'rovided in the transmittal letter. 4. Work to Be Performed: The approved FY 12 Statement Qf Work and Progress Report template outlines eight tasks that the grantee must perform during the grant period. The following additional tasks are also required of subrecipients: A. Implement (NIMS) at the local level. B. Incorporate pertinent information concerning NRF into the local or inter- jurisdictional emergency management plan and its annexes. C. Sub recipients must have a tracking system of record to organize and coordinate resources In response to incidents. D. During the performance period of this grant, Subrecipient must maintain an emergency management plan at the Advanced Level of planning preparedness or higher, as prescribed by the Texas Division of Emergency Management (TDEM). This may be accomplished by jurisdictions maintaining their own emergency management plan or participating in an inter-jurisdictional emergency management program that meets the required standards. If the TDEM identifies deficiencies in the sub recipients plan, sub recipients will correct deficiencies within sixty (60) davs of receiving notice of such deficiencies from TDEM. E. During the performance periodofthisg[cmksuprecipeient's agreeato,legally- ad6ptcoun!yand/orregioriiifmutual aid agreements. F. Subrecipeient's must maintain an updated inventory of equipment purchased through this grant program in accordance with Uniform Grant Management Standards - III, State Uniform Administrative Requirements for Grants and Cooperative Agreements, Subpart C-Post-Award Requirements, Reports, 1 -' " Records, Retention, and Enforcernent, Equipment and the Department of Homeland Security (DHS), Office of Grant Operations Financial Management Guide. G. The subrecipient agrees that any equipment purchased with funds through this grant program shall be prominently marked as follows: "Purchased with funds provided by the U.S. Department of Homeland Security." Exceptions to this requirement are limited to items where placing of the marking is not possible due to the nature of the equipment. 5. Grant Funding: List the amount of funding for this award. The amount of this grant may be less than the amount requested in your Application for Federal Assistance due to limits on federal funding for the EMPG program. However, EMPG grant recipients should continue to report all eligible expenses in quarterly financial reports. In the event additional program funding becomes available from the federal government or unspent EMPG funds remain at the end of the fiscal year, TDEM may be able to allocate additional funding to EMPG program participants. 6. Financial and Administrative Requirements: In Accordance with 44 Code of Federal Regulations (CFR) Part 13, sub recipient agrees to comply with the applicable financial and administrative requirements set forth in the current edition of the Office of Justice Programs (OJP) Financial Guide located at htto://www.oio.usdoLaovlfinancialauide/. A. All emergency management program costs for which the Subrecipient seeks reimbursement must be eligible in accordance with Office of Management and Budget (OMB) Circular A-a7, Cost Principles or State, Local, and Indian Tribal Governments. A copy of that document is available at :htto://www.whitehouse.aov/omb/circulars . B.Subrecipient will comply with the organizational audit requirements of OMB Circular A- 133, Audits of States, Local Governments, and Non-Profit Organizations, as further described in the current edition of the DHS Office of Grant Operations (OGO)'s Financial Management Guide (January 2006) at: htto://www.oio.usdoi.aov/odo/docs/Financial Manaaement Guide.odf C. When implementing Federal Emergency Management Agency (FEMA) National Preparedness Directorate funded activities, the subrecipient must comply with all federal civil rights laws, to include Title VI of the Civil Rights Act, as amended. The sub recipient is required to take reasonable steps to ensure persons of limited English proficiency have meaningful access to language assistance services regarding the development of proposals and budgets and conducting FEMA funded activities. D. Subrecipient will assist the awarding agency (if necessary) in assuring compliance with of the National Historic Preservation Act of 1966 Section 106 (16 U.S.C. ~ 470), Ex. Order 11593 (identification and protection of historic properties), the Archeological and _ Historical PreservatiQO Act of 1974 (16 U.S.C. ~ 469 a~1 et seq.), and the National Environmental Policy Act of 1969 (42 U.S.C. ~ 4321). (Federal Assurance). E. Sub recipient agrees to make no request for reimbursement for goods or services procured by the Subreclpient either prior to the start of the period of performance stated in this award document or after the end of the period of performance. 2 F. Notwithstanding any other provisions of this document, the parties understand and agree that the obligations of TOEM under this Agreement are contingent upon the availability of adequate funds to meet TO EM's liabilities. TO EM shall not be liable to the Sub recipient for costs under this Agreement that exceed the amount specified in the Notice of Subrecipient Grant Award. 7. Single Audit Act Requirements: If Sub recipient has expenditures in excess of $500,000 in federal funds of all types within a single fiscal year, it must have an audit performed in accordance with the Single Audit Act as amended. Subrecipient agrees to comply with the audit requirements of OMS Circular A-133, Audits of States, Local Governments, and Non- profit Organizations. 8. Reporting Requirements: Sub recipient agrees to comply'with all reporting requirements and shall provide such information as required by TOEM. Reporting requirements are found in the FY 2012 Local Emergency Management Program Guide. Subrecipients may be required to submit additional information and data requested by TOEM and after the end of the period of performance in order to close out the grant. A copy of the FY 2012 Local Emergency Management Program Guide can be found on the TOEM website at: htto://WWW.lxdos.state.tx.us/dem/CouncilsCommittees/EMPG/FY2012EMPGGuide.odf Sub recipient must prepare and submit Semi-Annual Progress Reports TOEM for the duration of the grant performance period or until all grant activities are completed and the grant is formally closed. The first performance reporting period is October 1 to March 31 and the . second reporting period is April 1 to September 30 of each fiscal year. Subrecipient may also be required to submit additional information and data as requested by TOEM. 9. Review of Work and Expenditures: TO EM may review the work of the Subrecipient with respect to approved program tasks and expenditures for which reimbursement is requested to ensure the federal awards are used for authorized purposes in compliance with laws, regulations, and the provisions of this contract or grant agreement and that perfonnance goals are achieved. These reviews may include, without limitation: comparing actual subrecipient activities to those approved in the sub-award application and subsequent modifications if any; ensuring that grant funds have been expended in accordance with applicable guidelines; confirming compliance with grant assurances, and verifying information provided on performance reports and payment requests. 10. Lobbying: A. As required by Section 1352, Title 31 of the U.S. Code, and Implemented at 28 CFR Part 69, for persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the subrecipient certifies that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the subrecipient, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or f!n_~rnployee pf a Member of Congress in connection"witlHhe- makingu cif any Federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement; 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any 3 agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall compiete and submit Standard Form _ LLL, "DisclosUre of Lobbying Activities," in accordance with its instructions. 3) The subrecipient will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain. 11. Debarment, Suspension, and other Responsibility Matters: A. As required by Executive Order 12549, Debarment a(1d Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510 (Federal Certification). B. The subrecipient certifies that it and its principals and vendors: 1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department I or agency; subrecipients can access debarment information by going to www.eols.aov. 2) Have not, within a three-year period preceding this application, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen properly; 3) Are not presently indicted for or otherWise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1 )(b) of this certification; and 4) Have not, within a three-year period preceding this application, had one or more public transactions (Federal, State, or local) terminated for cause or default. C. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application (Federal Certification). 12. Monitoring: A. Subrecipient will provide TDEM, State Auditor, DHS personnel or their authorized representative, access to and the right to examine all paper or electronic records related to financial assistance. B. Subrecipient agrees to monitor their program to ensure that federal awards are used for authorized purposes in compliance with laws, regulations, and the provisions of contracts or grant agreements and that the performance goals are ach!eved. 4 .. ... C. TDEM may perform periodic reviews of subrecipient performance of eligible activities and approved projects. These reviews may include, without limitation: performance of an on-site audit and compliance monitoring, including inspection of all grant-related records and items, comparing actual subrecipient activities to those approved in the sub-award application and subsequent modifications if any, ensuring that advances have been disbursed in accordance with applicable guidelines, confirming compliance with grant assurances, verifying information provided in performance reports and reviewing payment requests, needs and threat assessments and strategies. D. Subrecipient understands and agrees that it cannot use any federal funds, either directly or indirectly, in support of the enactment, repeal, modification or adoption of any law, regulation or policy, at any level of government, without the express prior written approval of FEMA National Preparedness Directorate. E. The subrecipient agrees that all allocations and use of funds under this grant will be in accordance with the Homeland Security Grant Program Guidelines and Application Kit for that fiscal year and must support the goals and objectives included in the State Homeland Security Strategic Plan and the Urban Areas Security Initiative (UASI) strategies. F. The subrecipient official certifies federal funds will be used to supplement existing funds, and will not replace (supplant) funds that have been appropriated for the same purpose. Sub recipient may be required to supply documentation certifying that a reduction in non- federal resources Occurred for reasons other than the receipt or expected receipt of federal funds. 13. Reimbursement for Expenses: Reimbursement for expenses incurred during the second and fourth quarter of Fiscal Year 2012 will not be disbursed until TDEM receives the first and second semi-annual EMPG Progress Reports, which are due on April 15, 2012 and October 15, 2012, respectively. 14:' Choice of Law: This agreement shall be construed and governed by Texas law. 15. Changes to the Law: DPS is a state agency whose authority and appropriations are subject to the actions of the Texas Legislature and the United States Congress. If DPS and/or the subject matter of this contract become subject to a legislative or regUlatory change, revocation of statutory or regulatory authority, or lack of funds that would render the services and/or goods and/or payment to be provided under this agreement impossible, unnecessary, void, or substantially amended, DPS may terminate this agreement without penalty to, or any liability whatsoever on the part of, DPS, the State of Texas, or the United States. This contract does not grant vendor a franchise or any other vested property right. 16. Written Modification: NQ modification or amendment to this-Agreement snail' oecome valid unless in writing and signed by both parties. 5 , . 17. To the extent it applies, Subrecipient shall comply with Texas Government Code, Chapter 783, 1 Texas Administrative Code (TAC) !i!i 5.141 et seq., and the Uniform Grant Management Standards, State Uniform Administrative Requirements for Grants and Cooperative Agreements, Subpart B, !i_14. 18. To the extent it applies, Subrecipient shall cornply with the General Appropriations Act, 80th Legislature, Article IX, Part 17. 19. TDEM may suspend or terminate sub-award funding, in whole or in part, or other measures may be imposed for any of the following reasons: failing to comply with the requirements or statutory objectives of federal law, failing to make satisfactory progress toward the goals or objectives set forth in the sub-award application, failing to follow grant agreement requirements or special conditions, failing to submit required reports, or filing a false certification or other report or document. Satisfactory progress is defined as accomplishing the following during the performance period of the grant: requesting federal funds for purchases, training, etc. and deciding what purchases will be made, ordering the equipment, ensuring the equipment is shipped and received, and training is accomplished with the equipment (or readied for deployment). All of the aforementioned tasks must be accomplished in a timely manner. Special Conditions may be imposed on subrecipient's use of grant funds until problems identified during grant monitoring visits conducted by TDEM audit and compliance personnel are resolved. 6 Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org October 4, 2012 Commissioners,' Court: Please place the following HSGP 2012 Sub-Recipient Award for Calhoun County on the October 11,2012 agenda for approval and authorize the County Judge to sign. The grant is for the following equipment: Six Mile Volunteer Fire Dept. 2-Motorola Portable Radios & Accessories $4,938,26 Seadrift Volunteer Fire Dept. 3-Motorola Portable Radios & Accessories $6,045.69 Emergency Management Repeater-Duplexer and Installation $21,634.50 EOC/ Amateur Radio 2 Portable Radios with External Tuners $4,589.00 EOC/ Amateur Radio 1 Mobile/Desktop Radio & Supplies $9,994.00 Total: $47,201.95 Sincerely, ~XcJD~~j~ LaDonna Thigpen HOMELAND SECURITY GRANT PROGRAM (HSGP) 2012 SUB-RECIPIENT AWARD IN THE AMOUNT OF $47,201.95 AND AUTHORIZE COUNTY JUDGE TO SIGN: The grant is to be used for the following equipment: Department Six Mile Volunteer Fire Department Item 2-Motorola Portable Radios & Accessories Cost $4,938.26 Seadrift Volunteer Fire Department 3-Motorola Portable Radios & Accessories $6,045,69 Emergency Management Repeater-Duplexer and Installation $21,634.50 EOC/ Amateur Radio 2 Portable Radios with External Tuners $4,589,00 EOC/Amateur Radio 1 Mobile/Desktop Radio & Supplies $9,994.00 Total: $47,201.95 A Motion to accept the Homeland Security Grant Program 2012 Sub-recipient Award and authorize the County Judge to sign was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. TEXAS DEPARTMENT OF PUBLIC SAFETY 5805 N LAMAR BLVD. BOX 4087. AUSTIN, TEXAS 78773-0001 5121424-2000 www.dos.texas.!wv STEVEN c. McCRAW DIRECTOR DAVIDG. BAKER CHERYL MacBRIDE DEPUTY DIRECTORS COMMISSION ALLAN 8. POLUNSKY, CHAIR ADA BROWN JOHN STeEN CARIN MARCY BARTH A. CYNTHIA lEON October 1,2012 Dear Authorized Official: Attached are FY 2012 Homeland Security Grant Program (HSGP) sub-recipient award documents for your jurisdiction/agency. This letter, and the attached documents, contain important information about the grant(s) and provide instructions requiring your immediate action for grant acceptance. Please follow the instructions at the top of the first page of the Term and Conditions, and return all documents as instructed below to the Texas Department of Public Safety, Texas Homeland Security State Administrative Agency (THSSAA) no later than November 15,2012. The Sub-recipient Agreement (SRA), which includes the Award, the Terms and Conditions, and attached Exhibits must be filled out, and signed by the person identified in Box 4 on the Sub- Recipient Award. Signature by anyone other than that person will only be accepted if a letter of designation from the governing body is attached that authorizes the person to sign for the Sub- recipient. Letters of signature designation will be deemed as authorization for that person to sign any future documents related to the grant award(s) unless the letter indicates otherwise. Return SRA(s) via Email The FY 2012 SRA documents should be returned via email to SAA SRA@dps.texas.~ov by the date indicated above, Please title the subject line of your email "HSGP" and name of jurisdiction (i.e. HSGP Houston_City of). If you have received multiple awards, please attach each SRA (including a signed award and set of Terms and Conditions) as a separate attachment to the email and use the following naming convention for each file: federal grant title abbreviation (from Box 5 on A ward), "SRA" and name of jurisdiction. (i.e. SHSP LETP A SRA Houston_City of; UASI SRA Houston_City of). Please retain a copy of each document submitted to the THSSAA for your records. The grant award(s) may be withdrawn if all required documents are not completed and submitted to the THSSAA within the deadlines established below. Timeline for FY 2012 Grant Process Below is the time line for the FY 2012 HSGP awards and projects. The Biannual Strategy Implementation Report (BSIR) Plan must be completed in the State's grant management system (State Preparedness and Assessment Reporting Service (SPARS)) and the Sub-recipient must enter acceptable milestones for each project in SPARS. EQUAL OPPORTUNITY EMPLOYER COURTESY. SERVICE. PROTECTION Sept 11 2012 State received 2012 H5GP award from DHS/FEMA. Oct 16 2012 Deadline for SAA to issue sub-recipient agreements (45 days from start date as indicated by DHS). Nav IS 2012 Deadline for signed sub-recipient agreements to be returned to 5AA (45daysfram SAAaward). Nav 30 2012 Deadline for sub-recipient to have entered their initial B51R data in SPARS. Dec 14 2012- Deadline for sub-recipient to enter project milestones for approved 2012 projects. '(Expenditure requests will not be approved untii clear milestones are established for ail prajects in SPARS,) Feb 28 2013 Deadline for sub-recipient to submit 2012 project EHPScreening Forms to the SAA. Jan 31 2014- 17-month performance period for Sub-recipients. All invoices must be received by THSSAA by the grant period end date. '(COGs and VASI Core Cities hove slightly longer pet/ormance periods; see Box 6 of the Award for your grant period end date.) Form 74-176 Direct Deposit Authorization In addition, to reimburse you for grant-funded expenses the THSSAA must have a current Direct Deposit Authorization from your organization in order to transfer grant funds electronically to a designated bank account. An electronic version of this form is available on the Texas State Comptroller's website at: http://www.window.state.tx.us/taxinfo/taxformsI74-176.pdf. If you submitted a completed Direct Deposit Authorization form recently at the request of TXDPS or with prior acceptance documents for FY 2012 HSGP awards, you do not need to complete a new authorization unless your bank account information has changed. By the due date of your SRA(s), please email a current Direct Deposit Authorization form to SAA@dps,texas.gov with a subject line and file name of "DDForm" and name of jurisdiction (i.e. DDForm Travis County). If you have any questions, you may contact your Council of Governments, VASI Point of contact, the grant coordinator assigned to your region or Nancy Carrales at nancv.carrales01dps.texas,gov or (512) 377-0004. For information on grant coordinators assigned to your region please go to http://www.txdps.state.tx.us/director staff/saaldocuments/GrantTeamAlignments062912.odf. Sincerely, /,--4IL Macnelle Pharr Deputy Assistant Director Texas Homeland Security State Administrative Agency ;k".---' Texas Department of Public Safety 2012 Sub-Recipient Award for Calhoun County Date of Award: October 2, 2012 Prepared By: Jenkins, Shane 3. SAA Award Number: 12-SR 48057-01 Federal Grant Title: Homeland Security Grant Program (HSGP) State Homeland Security Program(SHSP) Judge Michael Pfeifer Calhoun County 211 South Ann Street #301 Port Lavaca, TX 77979 Federal Grant Award Number: EMW-2012-SS-00018-S01 Federal Granting Agency: Department of Homeland Security FEMA Grant Programs Directorate Date Federal Grant Awarded to TxDPS: September 6, 2012 CFDA: 97,073 Grant Period: SHSP From: Sep 1, 2012 To: Jan 31, 2014 $47,201.95 (The $AA must recehf8 ail invoices by the end of grant period) 7. Statutory Authority for Grant: The Consolidated Appropriations Act 2012, Division D (Public Law 112-74), and the Homeland Security Act of 2002 (Public Law 107-296), as amended by section 101 of the Implementing Recommendations of the 9/11 Commission Act of 2007 (Public Law 110-53), 8. Method of Payment: Primary method is reimbursement. 9. Debarment/Suspension Certification: The Sub-Recipient certifies that the sub-recipient and its contractors/vendors are not debarred,suspended, proposed for debarment, declared ineligible or voluntarily excluded by any federal department or agency and do not have active Exclusions listed at https://www.sam.gov/portal/public/SAM/ Approving TxDPS Official: Machelle Pharr Deputy Assistant Director Texas Homeland Security State Administrative Agency Texas Department of Public Safety Signature of TxDPS Official: -r, J. (( .t. .J' I have re.ui, ILmderstood and agree to this Sub-Recipient Agreement: consisting of this Award and the attached Terms and Conditions. Print name and title of Authorized Sub-Recipient Official: Signature of Sub~Recipient Official: Michael J. Pfeifer Calhoun County Judge Enter Employer Identification Number (EIN) or Federal Tax Identification Number: fY/;tvf,J Date Signed: DUNS Number: 746001923 DUE DATE: November 15, 2012 due date. 087309324 10-11-12 Signed Award with Terms and Conditions must be returned to SAA._SRA@dps.texas.gov on or before the 2012 TERMS AND CONDITIONS Instructions: The Sub-recipient shaN: 1. FiiI in the information and sign the Grant Sub-Recipient Award; 2, Certify they have read and understand these Terms and Conditions; 3. Certify to the statements provided in Exhibits A, B, C and D iocated at the back of this document by fiNing in contact information and signing all exhibits, and 4, Return aN documents via email to SAA_SRA@dps.texas.gov on or before the date provided in the transmittal letter and/or in this grant Grant Sub-recipient Agreement This Grant Sub-recipient Agreement (consisting of this 2012 Grant Sub-recipient Award and these Terms and Conditions) is made and entered into by and between the Department of Public Safety I Texas Homeland Security State Administrative Agency, an agency of the State of Texas, hereinafter referred to as "DPSITHSSAA," and the funds recipient, hereinafter referred to as the "Sub-recipienf' or "Sub-grantee." Furthermore, DPSITHSSAA and the Sub-recipient are collectively hereinafter referred to as the "Parties," This Grant Sub-recipient Agreement (SRA), or otherwise referred to herein as "this Grant" or "this Agreement", is only an offer until Sub-recipient returns the signed copy of this Grant on or before the date provided in the transmittal letter andlor in this Grant Sub-recipient Award. The FY 2012 Homeland Security Grant Program (HSGP) funding plays an important role in the implementation of Presidential Policy Directive - 8 (PPD-8) by supporting the development and sustainment of core capabilities to fulfill the National Preparedness Goal (NPG), HSGP funding shall be used for costs related to the planning, organization, equipment, training, and exercise needs that prevent, protect against, mitigate, respond to, and recover from acts of terrorism and other catastrophic events. Sub-recipient may not assign or transfer any interest in this Grant without the express, prior written consent of DPSITHSSAA. If Sub-recipient issues subawards as part of this Grant project, Sub-recipient shall include and require its subawardees to comply with the terms and conditions of this Grant. The FY 2012 Nonprofit Security Grant Program (NSGP) funding plays an important role in the implementation of Presidential Policy Directive 8 (PPD-8) by supporting the development and sustainment of core capabilities to fulfill the NGP. NSGP provides funding for target hardening and other physical security enhancements and activities to nonprofit organizations that are at high risk of terrorist attack and located within one of the specific Urban Areas Security Initiative (UASI)-eligible Urban Areas. While this funding is provided specifically to high-risk nonprofit organizations, the program seeks to integrate nonprofit preparedness activities with broader State and local preparedness efforts. The term "Sub-recipient agreement funds" as used in this Grant means funds provided by DPSITHSSAA under the United States Department of Homeland Security (DHS) Federal Emergency Management Agency (FEMA) grant programs (also referred to herein as DHSIFEMA), The term "Sub-recipient's funds" or match funds as used in this Grant means funds provided by the Sub-recipient. Overview and Periormance Standards Allalloe.tions and use of funds under this Gr."t shall be in accordance with the FY 2012 Funding Opportu"l!\! Announcement {FOA) for Ihe Federal Grant Title specllied on Ihis Grant, and sl1eh FY 2012 FDA Is incorporated by relerenee herein. Sub-recipient shall read, understand and accept the FY 2012 Funding Opportunity Announcement as binding. Standard of Performance. Sub-recipient shall perform all activities and projects entered into the DPSITHSSAA web-based grants management system which are approved by DPSITHSSAA, Any change to a project shall receive prior written approval by the appropriate local, regional and state-level grant administrator(s). Sub-recipient shall perform all activities in accordance with all terms, provisions and requirements set forth in this Grant, including but not limited to the following Exhibits: 1. Assurances - Non-Construction Programs, hereinafter referred to as "Exhibit A" 2. Assurances - Construction Programs, hereinafter referred to as "Exhibit B" 3. Certifications, hereinafter referred to as "Exhibit C" 4. State of Texas Assurances, hereinafter referred to as "Exhibit D" Failure to Perform. In the event Sub-recipient fails to implement the project(s) entered and approved in the DPSITHSSAA web-based grants management system, or comply with any provision of this Grant, Sub-recipient shall be liable to DPSITHSSAA for an amount not to exceed the award amount of this Grant and may be barred from applying for or receiving additional DHSIFEMA grant program funds or any other grant program funds administered by DPS until repayment to DPSITHSSAA is made and any other compliance or audit finding is satisfactoriiy resolved, in addition to any other remedy specified in this Grant. Failure to timely implement projects may reduce future funding in additional DHSIFEMA andlor other grant programs administered by DPS. , Environmental Review Sld)~j"ecipient shall asseS8 its federally funded projects for potential impact to environmentai resources and historic propertie~L Sub-recipient shail submit any required screening f"rm(s).s soon as possible and shall comply with deadlines estabiished by DPSITHSSAA. Tlmeiines '0' the Environmental Piannlng and Histo,ic Pres.rvaUon (EHP) review process will vary based upon the complexity of the project and the potential for environmental or historical impact Sub-recipient sha!! include sufficient review time within its project management plan to compiy with EHP requirements" initiation of an" activiw orin!' to comDfetion of F.EMA's ,EHP review wiii result in a norN:;omoliance findina and DPSfTHSSAA will not authorize or release "rant funds for I1OfN:::omDi!ant orolects, Page20F18 Sub-recipient, as soon as possible upon receiving its grant award, shall provide information to DPSITHSSAA to assist with the legally-required EHP review and to ensure compliance with applicable EHP laws and Executive Orders (EO) currently using the FEMA EHP Screening Form OMB Number 1660-0115/FEMA Form 024-0-01 and submitting it, with all supporting documentation, to DPSITHSSAA for review. These EHP requirements include but are not limited to the National Environmental Policy Act, the National Historic Preservation Act, the Endangered Species Act, EO 11988 - Floodplain Management, EO 11990 - Protection of Wetlands, and EO 12898 - Environmental Justice. Sub-recipient shall comply with all Federai, State, and local EHP requirements and shall obtain applicable permits and clearances, See FEMA Information Bulletin 329. Sub-recipient shall not undertake any activity from the project that would result in ground disturbance, facility modification, or purchase and use of sonar equipment without the prior approval of FEMA. These include but are not limited to communications towers, physical security enhancements involving ground disturbance, new construction, and modifications to buildings, Sub-recipient shall comply with all mitigation or treatment measures required for the project as the result of FEMA's EHP review. Any changes to an approved project description will require re-evaluation for compliance with EHP requirements before the project can proceed, If ground disturbing activities occur during project implementation, Sub-recipient shall ensure monitoring of ground disturbance and if any potential archeological resources are discovered, Sub-recipient shall immediately cease construction in that area and notify FEMA and the appropriate State Historical Preservation Office, Fundinr: Obligations A, DPSITHSSAA shall not be liable to Sub-recipient for any costs incurred by Sub-recipient that are not allowable costs. B. Notwithstanding any other provision of this Grant, the total of all payments and other obligations incurred by DPSITHSSAA under this Grant shall not exceed the Total Award Amount listed on the Grant Sub-recipient Award. C, Sub-recipient shall contribute the match funds listed on the Grant Sub-recipient Award. D. Sub-recipient shall refund to DPS/THSSAA any sum of these grant funds that has been determined by DPSITHSSAA to be an overpayment to Sub-recipient or that DPSITHSSAA determines has not been spent by Sub-recipient in accordance with this Grant. No refund payment(s) shall be made from local, state or federal grant funds unless repayment with grant funds is specificaily permitted by statute or regulation. Sub-recipient shall make such refund to DPS/THSSAA within thirty (30) days after DPSITHSSAA requests such refund. E. Notwithstanding any other provisions, the Parties hereto understand and agree that DPSITHSSAA's obligations under this Grant are contingent upon the receipt of adequate funds to meet DPSITHSSAA's liabilities hereunder, except as required by the Homeland Security Grant Program (HSGP). DPSITHSSAA shall not be liable to Sub-recipient for costs which exceed the amount specified in this Grant Pe(formance Period Th h rf r rf rm tvi h II b r IV wi hin n h IT rm n ria " ed reimbursement reque~rts1 a any invoices, in the DPSlTHSSAA DPSITHSSAA shall not be obligated to reimburse expenses incurred Uniform Administrative Reauirements. Cost Princinals and Audit Requirements Except as specifically modified by law or this Grant, Sub-recipient shall administer this Grant through compliance with the most recent version of all applicable laws and regulations, including but not limited to DHS program iegislation, Federal awarding agency regulations, and the terms and conditions of this Grant A non-exclusive list is provided below, A. Administrative Requirements 1, 44 C.F.R. Part 13, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments (the A-102 Common Rule); 2, 2 C.F.R. Part 215, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non-Profit Organizations (OMB Circular A-11 0). 3. 44 C.F,R. Part 10, Environmental Considerations B. Cost Principles 1. 2 C.F.R. Part 225, Cost Principles for State, Local and Indian Tribal Governments (OMB Circular A-87) 2. 2 C.F.R. Part 220, Cost Principles for Educational Institutions (OMB Circular A-21) 3, 2 C.F,R. Part 230, Cost Principles for Non-Profit Organizations (OMB Circular A-122) 4, 48 C,F.R. Subpart 31.2, Federal Acquisition Regulations (FAR), Contracts with Commercial Organizations C. Audit Requirements OMB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations, D. Grant Guidance (Funding Opportunity Announcement) Sub-recipient agrees that all allocations and use of funds under this Grant shall be in accordance with the applicable FY 2012 Funding Opportunity Announcement and supplemental resources for the HSGP currently available at htto:!/www,fema,aov/odf/aovernmentlQranl/2012/fv12 hsop fOBDdl and the Nonprofit Security Grant Program (NSGP), htto:/lwww,fema,aov/Ddf/aovernmentlarantl2012Ifv12 Dsap foa,pdl, Pa!}e30F18 DHS Specific Acknowledgements and Assurances Sub-recipient shall comply with the DHS Standard Administrative Terms and Conditions that are outlined in Part 6.1.1 - Financial Assistanca Award Standard Terms and Conditions (January 10, 2011), which is incorporated by reference herein. DHS requires those standard terms and conditions which are approved by the Division of Financial Assistance Policy and Oversight to be applied to all financial assistance awards. Http://www.dhs.gov/xlibrary/assets/cfo-financial-management-policy-manual.pdf. Sub-recipient acknowledges and agrees, and shall require any sub-recipients, subawardees, contractors, successors, transferees, and assignees to acknowledge and agree to comply with applicable provisions governing DHS access to records, accounts, documents, information, facilities, and staff. 1. Sub-recipient shall cooperate with any compliance review or complaint investigation conducted by DHS. 2. Sub-recipient shall give DHS access to and the right to examine and copy records, accounts, and other documents and sources of information related to this grant and permit access to facilities, personnel, and other individuals and information as may be necessary, as required by DHS regulations and other applicable laws or program guidance. 3. Sub-recipient shall submit timely, complete, and accurate reports to the appropriate DHS officials and maintain appropriate backup documentation to support the reports. . 4, Sub-recipient shall comply with all other special reporting, data collection, and evaluation requirements, as prescribed by law or detailed in program guidance, 5, If, during the past three (3) years, Sub-recipient has been accused of discrimination on the grounds of race, color, national origin (including limited English proficiency), sex, age, disability, religion, or familial status, Sub-recipient shall provide a list of all such proceedings, pending or completed, including outcome and copies of settlement agreements to the DHS awarding office and the DHS Office of Civil Rights and Civil Liberties. 6. In the event any court or administrative agency makes a finding of discrimination on grounds of race, color, national origin (including limited English proficiency), sex, age, disability, religion, or familial status against Sub-recipient, or Sub-recipient settles a case or malter alleging such discrimination, Sub-recipient shall forward a copy of the complaint and findings to the DHS Component and/or awarding office. The United States has the right to seek judicial enforcement of these obligations. Operation Stonegarden (OPS~) Specific Conditions If Sub-reoipi.'nt is receiving Operation Stonegarden (OPSG) fuods, Sub-recipient is prohibited from obligating or expending OPSG funds provided through this Grant until each uniquej specific, or modified county level, tribal or equivalent Operations Order or Fragmentary Orde' ha. be." reviewed and approved by official notification by FEIII!A and Customs and Border Protection/Border Patrol (CBPIBPjo Each Operations Order will be transferred via the secure portal (CBP/BP) BPETS system from each respective AOR Sector HO to CBP/BP HO in Washington, D.C" for review and pre-approval for Operational continuity, then forwarded to FEMA GPD/PGD OPSG Program Office for final review/approval. Official notification of approval will be sent by FEMA via email to DPSITHSSAA and CBP/BP HQ in Washington, D.C, 1, Sub-recipient shall develop and submit required operational documents through the border area's Integrated Planning Team. 2. Sub-recipient shall maintain an approved Concept of Operations, consisting of a campaign plan and proposed budget which will articulate the intent of how OPSG funds will be used throughout Sub-recipient's grant performance period. 3. If SUb-recipient intends to spend more than 50 percent of its award on overtime over the course of the performance period, a request for an overtime waiver shall be submitted through the Integrated Planning Team. 4. Sub-recipient shall develop and submit Operations Orders for Tactical operational periods to achieve the strategic objectives of the campaign plan. 5, Sub-recipient shall only initiate tactical operations after the specific Operations Order(s) are approved through the Border Patrol Headquarters and by FEMA, and the DPSITHSSAA has issued a Grant Sub-recipient Award or GAN to the jurisdiction. State Requirements for Grants Sub-recipient shall atso comply with all other federal, state, and local laws and regulations applicable to this Grant including but not limited to the laws and the regulations promulgated in Texas Government Code, Chapter 783, Uniform Grant and Contract Management, State Administrative Agency Information Bulletins, available at httD:llwww.txdps.state.tx.us/director staff/saa/information bulletins,htmo Texas Uniform Grants Management Standards (UGMS) at htto:llwwwQovernor,state,tx,us/files/state-arants/UGMS062004,doc and the State Administrative Agency Sub-recipient Manual, available at htto:/fwww.txdos.state.tx.us/director staff/saafdocumentsfsubrecipjentManuaLDdf. Sub-recipient shall, in addition to the assurances and certifications, comply and require each of its subcontractors employed in the completion of the project to comply with all applicable statutes, regulations, executive orders, OMS circulars, terms and conditions of this Grant, and the approved application. Sub-recipient shall comply with the State of Texas General Appropriations Act, Art. IX, Part 4, as follows: 1. Grant funds may not be expended for a grant to a law enforcement agency regulated by Texas Occupations Code, Chapter 1701, unless the law enforcement agency requesting the grant is in compliance with all rules developed by the Commission on Law Enforcement Officer Standards and Education or the Commission on Law Enforcement Officer Standards and Education certifies that the requesting agency is in the process of achieving compliance with such rules. 2. Grant funds may not be granted to or expended by any entity which performs political polling. This prohibition does not apply to a poll conducted by an academic institution as part of the institution's academic mission that is not conducted for the benefit of a particular candidate or party. 3. Grant funds may not be expended to a unit of local government unless the following limitations and reporting requirements are satisfied: Page40F 16 a. Texas General Appropriations Act, Art. IX, Parts 2 and 3, except there is no requirement for increased salaries for local government employees; , b. Texas Government Code Sections 556.004, 556.005, and 556.006, including not using any money or vehicle to support the candidacy of any person for office; not influencing positively or negatively the payment, loan, or gift to a person or political organization for a political purpose; and not using grant funds to influence the passage or defeat of legislation including not assisting with the funding of a lobbyist, or using grant funds to pay dues to an organization with a registered lobbyist; c. Texas Government Code Sections 2113,012 and 2113.101 including not using grant funds to compensate any employee who uses alcoholic beverages on active duty plus Sub-recipient may not use grant funds to purchase an alcoholic beverage and may not payor reimburse any travel expense for an alcoholic beverage; d. Texas General Appropriations Act, Art. IX, Section 6.13 requiring Sub-recipients to make every effort to attain key performance target levels associated with this grant award, including performance milestones, miiestone time frames, and related performance reporting requirements; and e. General Appropriations Act, Art. IX, Sections 7.01 and 7.02, and Texas Government Code ~2102.0091, including grant funds may only be expended if Sub-recipient timely completes and mes its reports. Restrictions and General Conditions A. Use of Funds, DHS grant funds may only used for the purposes set forth in this Grant, and shall be consistent with the statutory authority for this Grant. Grant funds may not be used for matching funds for other Federal grants/cooperative agreements, lobbying, or intervention in Federal regulatory or adjudicatory proceedings. In addition, Federal funds may not be used to sue the Federal government or any other government entity. B. Lobbvina Prohibited, No funds shall be expended by Sub-Recipient to pay any person to influence, or attempt to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any Federal action concerning the award or renewal of any Federal contract, grant, loan, cooperative agreement. These lobbying prohibitions may be found at 31 U.S.C. ~1352. Further, Sub-Recipient understands and agrees that it shall not use any federal funds, either directly or indirectly, in support of the enactment, repeal, modification or adoption of any law, regulation, or policy, at any level of government, without the express prior written approval of FEMA. C. Iransferrina Funds Sub-recipient is prohibited from transferring funds between grant programs (such as SHSP, UASI, and OPSG) without a properly executed GAN. D. Federal Emalovee Prohibition. Federai employees are prohibited from serving in any capacity (paid or unpaid) on any proposal submitted under this Grant. Federal employees may not receive funds under this Grant. E. Cost Cateaaries. There may be limitations on the use of HSGP funds for the categories of costs listed below. For additional details an restrictions on the use of funds, refer to the FY 2012 HSGP FOA, Appendix C, Funding Guidelines. 1. Management and Administration 2. Planning 3. Organization 4. Equipment 5. Training 6. Exercises 7. Maintenance and Sustainment 8. Critical Emergency Supplies 9. Construction and Renovation F. Governina Board Aaaroval. In cases where local funding is established by a COG or an Urban Area Security Initiative (UASI) governing board, the release of funds by DPSITHSSAA is contingent upon funding allocation approval by the governing board. G. Notices All notices or communications required or permitted to be given by either party hereunder shall be deemed sufficiently given if mailed by registered mail or certified mail, return receipt requested, or sent by overnight courier, such as Federai Express or Loan Star, to the other party at its respective address. For notice to DPS/THSSAA see address set forth below. For Sub-recipient, see the address listed on the Grant Sub-Recipient Award page or Point of Contact address listed for the Sub-recipient in the DPSITHSSAA Grants Management System (SPARS). ,"-,"OpSIT'HSSAA ConfactTrlTorm"iion~ EjE'puiY'AssTsfanrDii'eCt6r--'----~~---~- Texas Homeland Security State Admin. Agency Texas Department of Public Safety P.O. Box 4087 TX 78773-0220 H. Points of Contacts. Within 30 days of any change, Sub-recipient shall notify DPSITHSSAA of any change or correction to the chief elected official, program, and/or finanCial points of contact in the DPSITHSSAA grant management system. Page50f 18 I. DUNS Number Sub-recipient confirms its Data Universal Numbering Systems (DUNS) Number is the number listed on this Grant. The DUNS Number is the nine digit number established and assigned by Dun and Bradstreet, Inc., at 866/705-5711 or htto'/lfedaov, dnb, comlwebform. J. Central Contractor Reaistration and LJniversalldentifier Reauirements. Sub-recipient maintains that it has registered on www.ccr,QOV, www,sam.aovi, or other federally established site for contractor registration, and entered DPSITHSSAA-required information. Sub-recipient shall keep current, and then review and update the CCR information at least annually. Sub-recipient shall keep information current in the CCR/SAM database until the later of when it submits this Grant's final financial report or receives final grant award payment. Sub-recipient agrees that it shall not make any subaward agreement or contract related to this Grant without first obtaining the vendor/subawardee's mandatory DUNS number. See section .210 of OMB Circular A-133, Audits of States, Local Governments, and Non-profit Organizations. K. Indirect Cost Allocation Plan Sub-recipient shall submit its most recently approved Indirect Cost Allocation Plan signed by Cognizant Agency to DPSITHSSM within 30 calendar days of the approval. "Cognizant agency" means the Federal agency responsible for reviewing, negotiating, and approving cost allocation plans or indirect cost proposals developed under 2 C.FR Part 225 on behalf of all Federal agencies. OMB publishes a listing of cognizant agencies at httD:/lharvester.censusaov/sacidissem/asoireoorts,aso. Unless the basis of the cost plan changes, Sub-recipient only needs to forward the annual Indirect Cost Rate approval letter to DPSITHSSM within 30 calendar days after approval by the Cognizant Agency. The approved Indirect Cost Plans and approval letters shall be emailed to SAA RR@dDs.texas,gov, The Sub-recipient name shall be included in the file name and subject line of the email transmittal. L Reoortina Total Comoensation of Sub-recioient Executives. 2 C.F,R. 9170.320; see FEMA Information Bulletin 350. 1. Applicability and what to report: Sub-recipient shail report whether Sub-recipient received $25 million or more in Federai procurement contracts or financiai assistance subject to the Transparency Act per 2 C.FR 9170.320. Sub-recipient shall report whether 80% or more of Sub-recipient's annual gross revenues were from Federal procurement contracts or Federal financial assistance. If Sub-recipient answers "yes" to both questions, Sub-recipient shall report, along with Sub-recipient's DUNS number, the names and total compensation (see 17 C.F.R. 9229.402(c)(2)) for each of Sub-recipient's five most highiy compensated executives for the preceding completed fiscal year. 2. Where and when to report: Sub-recipient shall report executive total compensation at www,ccraov, www,sam,oovl, or other federally established replacement site. By signing this Grant, Sub-recipient certifies that, if required, Sub-recipient's jurisdiction has already registered, entered the required information, and shall keep information in the CCR/SAM database current, and update the information at least annually for each year untii the later of when the jurisdiction submits its final financial report or receives final payment. Sub-recipient agrees that it shall not make any subaward agreement or contract without first obtaining the subawardee's mandatory DUNS number. M. Direct DeDosit. If Sub-recipient has not received HSGP reimbursements from DPSITHSSM within the past eleven (11) months (prior to date of award), it shall forward a new/updated direct deposit form to DPSITHSSM. Completed direct deposit forms from Sub-recipient shall be emailed to SAA RR@dos,texas,Qov. The email subject line and attachment name shall include the jurisdiction name and identify the document attached (I.e. ''Sample County DO form"). The direct deposit form is currently available at htto://www.window.state.tx.us/taxinfo/taxforms/74-176.odf. Sub-recipient may simultaneously sign up for the Advance Payment Notification (APN) email feature which provides State of Texas payees with a one~business~day advance notice that a direct deposit payment has been sent to its financial institution. After receiving an APN, a payee may securely access its payment details online._ N. Procurements Sub-recipient shall comply with all applicable federal, state, and local laws and requirements, including but not limited to proper competitive solicitation processes where required, for any procurement which utilizes federal funds awarded under this Grant in accordance with 44 C.F.R. 913.36. O. Contract Provisions All contracts executed using funds granted under this Grant shall contain the contract provisions listed under 44 C.F.R. 913,37(b), Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments, P. No Contracts with Debarred or Susoended Parties. Prior to contracting with any vendor or subawardee using funds granted under this Grant, Sub-recipient shall determine whether the vendor/subawardee is debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded by any federal department and agency and shall confirm the vendor/subawardee does not have any active "Exclusions' by reviewing the vendor/subawardee entity information at hUos' / /www;sam.aov/Dortal/Dubllc/SAM/. Q. Manaaement and Administration If this Grant includes a specific award of funds to Sub-recipient for management and administration (M&A), Sub-recipient shall comply with all applicable requirements and limitations with respect to M&A. For additional information on M&A, refer to Information Bulletin 365 located at http://www.ferna.aov/aovernmentlorant/buHetins/index.shtm#1 /. R. Personnel CaD. Up to fifty percent (50%) of all HSGP awards received by Sub-recipient may be used for personnel and personnel-related activities as directed by the Personnel Reimbursement for Intelligence Cooperation and Enhancement (PRICE) of Homeland Security Act (Public Law 110-412). In general, use of HSGP funding to pay for staff and/or contractor regular time or overtime/backfill, among other items, are considered personnel-related costs. Sub-recipient may request a waiver to the 50% personnel cap by submitting a waiver request through its respective regional councilor urban area working group to DPS/THSSM at SAA@dos,texas,Qov. Requests for waivers shall be submitted on official Sub-recipient letterhead and be signed by an authorized official of Sub-recipient. Waivers shall contain the information required on page 9 of the FEMA Information Bulletin 379. S. ProDertv Manaaement and Inventorv, At least every two (2) years, Sub-recipient shall take a physical inventory and shall reconcile the results with property records, Sub-recipient shall maintain Property/inventory records which, at minimum, shall include a description of the property, a serial number or other identification number, the source of property, who holds title, the acquisition date, the cost of the property, the percentage of Federal participation in the cost of the property, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. (See sample inventory record format at hrto//www.txdDs.state.tx.usldirectorstaft/saa/auditandcomoliance.htm ) Sub-recipient shall develop and implement a control system to prevent loss, damage or theft of property and Sub-recipient shall investigate and document any loss, damage or theft of property funded under this Grant. T. Publications. All publications produced as a result of funding under this Grant, which are submitted for pUblication in any magazine, journal, or trade paper, shall include the following: "This material is based upon work supported by the U.S. Department of Homeland Security. The views and conclusions contained in this document are those of the authors and should not be interpreted as necessarily representing the official policies, either expressed or implied, of the U.S. Department of Homeland Security." Page60F18 U. Acknowledaement af Federal Fundino from DHS Sub-recipient shall camply with requirements ta acknowledge Federal funding when issuing statements, press releases, requests for prapasals, bid invitations, and other dacuments describing projects ar programs funded in whale or in part with Federal funds. V. Use of DHS DPS and DPS/THSSAA Seals and Non-Endarsement. Sub-recipient shall abtain DHS, DPS, or DPSITHSSAA's priar written approval befare using any of these agencies' seal(s), lagas, crests ar reproductions of flags or likenesses of agency officials. Funding of this Grant does not equate to endorsement of use of funding agencies' seals, etc., including use of the United States Coast Guard seal, logo, crests, or reproductions of flags or likenesses of Coast Guard officials. W. CODvriaht Sub-recipient shall comply with requirements regarding pUblications or other exercise of copyright for any work first produced under Federal financial assistance awards hereto related unless the work includes any information that is otherwise controlled by the Government (e.g., classified information or other information subject to national security or export control laws or regulations). For any scientific, technical, or other copyright work based on or containing data first produced under this Grant, including those works published in academic, technical or professional journals, symposia proceedings, or similar works, Sub-recipient grants the Government a royalty-free, nonexclusive and irrevocable license to reproduce, display, distribute copies, perform, disseminate, or prepare derivative works, and to authorize others to do so, for Government purposes in all such copyrighted works. Sub-recipient shall affix the applicable copyright notices of 17 U.S.C. 9401 or 402 and an acknowledgment of Government sponsorship (including award number) to any work first produced under this Grant. Further, Sub-recipient aCknowledges that FEMA National Preparedness Directorate reserves a royalty-free, non-exclusive, and irrevocable license to reproduce, publish, or otherwise use, and authorize others to use, for government purposes: (1) the copyright in any work developed under an award or sub-award; and (2) any rights of copyright to which a recipient or Sub-recipient purchases ownership with Federal support. Sub-recipient agrees to consult with DPSITHSSAA regarding the allocation of any patent rights that arise from or are purchased with this funding. x. Quarterlv Performance ReDorts. Sub-recipient shall submit performance reports and progress reviews per DPSITHSSAA and/or FEMA's direction. Reports are entered into the grants management system. Performance reports are due by the twentieth (20th) day after the end of each calendar quarter: January 20, April 20, July 20 and October 20; or as otherwise specified or required by DPSITHSSAA. DPSITHSSAA may require other reports or different timelines to meet federal reporting dates or to respond to information requests. Failure to timely complete a performance report will result in Sub-recipient being unable to request additional reimbursements/advances and may affect future funding. Y. Site Visits. DHS andlor DPS/THSSAA, through its authorized representatives, have the right, at all reasonable times to make site visits to review project accomplishments and management control systems and to provide such technical assistance as may be required. If any site visit is made by DHS on the premises of Sub-recipient or a contractor under this Grant, Sub-recipient shall provide and shall require its contractors to provide all reasonable facilities and assistance for the safety and convenience of the government representatives in the performance of their duties. All site visits and evaluations shall be performed in such a manner that will not unduly delay the work. z. Limited Enalish Proficiencv (Civil Riahts Act of 1964 Title VI\. Sub-recipient shall comply with the requirements of EO 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination on the basis of limited English proficiency (LEP). To ensure compliance with Title VI, Sub-recipient shall take reasonable steps to ensure that LEP persons have meaningful access to Sub-recipient's programs. Meaningful access may entail providing language assistance services, including oral and written translation, where necessary. Sub-recipient is encouraged to consider the need for language services for LEP persons served or encountered both in developing budgets and in conducting programs and activities. For assistance and information regarding LEP obligations, go to htto:/lwww.!eo.aov. AA. Protection of Human Subiects Sub-recipient shall comply with the requirements of the Federal regulations at 45 C.F.R. Part 46, which requires that Sub-recipients comply with applicable provisions/law for the protection of human subjects for purposes of research. Sub-recipient shall comply with the requirements in DHS Management Directive 026-04, Protection of Human Subjects, prior to implementing any work with human subjects. For purposes of 45 C.F.R. Part 46, research means a systematic investigation, including research, development, testing, and evaluation, designed to develop or contribute to general knowledge. Activities that meet this definition constitute research for purposes of this policy, whether or not they are conducted or supported under a program that is considered research for other purposes. The regulations specify additional protections for research involving human fetuses, pregnant women, and neonates (Subpart B); prisoners (Subpart C); and children (Subpart D). The use of autopsy materials is governed by applicable State and local law and is not directly regulated by 45 C.F.R. Part 46. BB. National Flood Insurance Act of 1968. Sub-recipient shall comply with the requirements of Section 1306(c) of the Nationai Flood Insurance Act, as amended, which provides for benefit payments under the Standard Flood Insurance Policy for demolition or relocation of a structure insured under the Act that is iocated along the shore of a lake or other body of water and that is certified by an appropriate State or local land use authority to be subject to imminent collapse or subsidence as a result of erosion or undermining caused by waves or currents of water exceeding anticipated cyclical levels. These regulations are codified at 44 C.F.R. Part 63. CC. USA Patriot Act of 2001 Sub-recipient shall comply with the requirements of the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act (USA PATRIOT Act), which amends 18 U.S.C. 99175-175c. Among other things, it prescribes criminal penalties for possession of any biological agent, toxin, or delivery systems of a type or in a quantity that is not reasonably justified by a prophylactic, protective, bona fide research, or other peaceful purpase. The Act also establishes restrictions on access to specified materials. "Restricted persons," as defined by the Act, may not possess, ship, transport, or receive any biological agent or toxin that is listed as a select agent. DD. Flv America Act of 1974. Sub-recipient shall comply with the requirements of the Preference for U.S. Flag Air Carriers: Travel supported by U.S. government funds requirement, which states preference for the use of U.S. flag air carriers (air carriers holding certificates under 49 U.S.C. 941102) for international air transportation of people and property to the extent that such service is available, in accordance with the International Air Transportation Fair Competitive Practices Act of 1974 (49 U.S.C. 940118) and Comptroller General's guidelines. EE. Activities Conducted Abroad. Sub-recipient shall comply with the requirements that project activities carried on outside the United States are coordinated as necessary with appropriate government authorities and that appropriate licenses, permits, or approvals are obtained. Page 7 OF 18 FF. Traffickina Victims Protection Act of 2000. All recipients of financial assistance shall comply with the requirements of the government-wide award term which implements Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 9 7104), located at 2 C.F.R. Part 175. This is irnplemented in accordance with OMB interim Final Guidance, Federal Register, Volume 72, No. 218, November 13, 2007. In accordance with the statutory requirement, in each agency award under which funding is provided to a private entity, Section 106(g) of the TVPA, as amended, requires the agency to include a condition that authorizes the agency to terminate the award, without penalty, if the recipient or a sub-recipient: (a) engages in severe forms of trafficking in persons during the pen ad of time that the award is in effect; (b) procures a commercial sex act during the period of time that the award is in effect; or (c) uses forced labor in the performance of the award or subawards under the award. DPSITHSSAA is authorized to terminate this award, without penalty, if the above condition is violated. Sub-recipient shall include this condition in any subawards or contracts it makes as a result of this Grant. Full text of the award term is provided at 2 C.F.R. 9175.15. GG. Americans with Disabilities Act of 1990 Sub-recipient shall comply with the requirements ofTitles I, II, and III of the Americans with Disabilities Act, which prohibits recipients from discriminating on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities. 42 U.S.C. 99 12101-12213. HH. Public Dissemination of Sensitive Information. Sub-recipient shall notify DPSITHSSAA of any workshops, conferences, seminars or other pUblic venues at least one hundred (100) calendar days before presenting any potentially sensitive information regarding this project. No sensitive information may be presented by Sub-recipients' personnel without DPSITHSSAA and the DHS Grants Officer's review and prior written approval. II. Securitv ConcernsNiolations. Sub-recipient shall inform the THSSAA's Deputy Assistant Director in writing within two (2) calendar days of Sub-recipient being made aware of any security concerns with individuals having access to government facilities or sensitive information. In the event that sensitive information is divulged in violation of Sub-recipient's security procedures, Sub-recipient shall immediately notify the DPSITHSSAA Deputy Assistant Director and take appropriate law enforcement and legal action. JJ. Classified Securitv Condition 1. No funding under this award shall be used to support a contract, sub-award, or other agreement for goods or services that will include access to classified national security information if the award recipient has not been approved for that access to such information. 2. "Classified national security information" as defined in Executive Order (EO) 12958, as amended, means information that has been determined pursuant to EO 12958 or any predecessor order to require protection against unauthorized disclosure and is marked,to indicate its classified status when in documentary form. 3. Where an award recipient has been approved for and has access to classified national security information, no funding under this award shall be used to support a contract, sub-award, or other agreement for goods or services that will include access to classified national security information by the contractor, sub-awardee, or other entity without prior written approval from the DHS Office of Security, Industrial Security Branch Program (ISBP), or an appropriate official within the Federal department or agency with whom the classified effort will be performed. 4. Such contracts, sub-awards, or other agreements shall be processed and administered in accordance with the DHS "Standard Operation Procedures, Classified Contracting by States and Local Entities," dated July 7, 2008: EO's 12829, 12959, 12968, as amended; the National Industrial Security Program Operating Manual (NISPOM); and lor other applicable implementing directives or instruction. All security requirement documents are currently located at: hlto:! !www dh,,/ .OV!XODll biz! g rants/index ,sh [111. 5. Immediately upon determination by the award recipient that funding under this award will be used to support such a contract, sub-award, or other agreement, and prior to execution of any action to facilitate the acquisition of such a contract sub-award, or other agreement, the award recipient shall contact ISPB, or the appropriate Federal department or agency, for approval and processing instructions. DHS Office of Security ISPB contact information: Telephone: 202-447-5346, Email: DD254AdministrativeSecujjidhs.gov, Mail: Department of Homeland Security, Office of the Chief Security Officer, A TTN: ASD/lndustrial Security Program Branch, Washington, DC. 20528 Other Requirements A. During the performance period of this Grant, Sub-recipient, counties, cities, towns, and Indian tribes shall maintain an Emergency Management Plan at the Intermediate Level of planning preparedness or higher, as prescribed by the Texas Division of Emergency Management (TDEM). This may be accomplished by a jurisdiction maintaining its own emergency management plan or participating in an inter-jurisdictional emergency management program that meets the required standards. If TDEM identifies deficiencies in Sub-recipient's plan, Sub-recipient shall correct deficiencies within 60 days of receiving notice of such deficiencies from TDEM. B. Projects identified and approved in the DPS/THSSAA web-based grant management system must identify and relate to the goals and objectives indicated by the applicable approved project investments for the period of performance of this Grant. Sub-recipient shall submit project plans, milestones, outputsloutcomes, narratives and budget to DPSITHSSAA and FEMA (if required) for approval prior to expending or requesting advances of any funds for this Grant. Sub-recipient shall enter appropriate project milestones into the DPSITHSSAA web-based grants management system within 60 days after award or by the deadline established by DPSITHSSAA, whichever is sooner. Sub-recipient shall report on project status and accomplishments (milestones and outputs/outcomes) in the format(s) and timeframes as required by DPSITHSSAA. C. During the performance period of this Grant, Sub-recipient shall: 1. Participate in a legally-adopted county andlor regional mutual aid agreement. 2. Implement the National Incident Management System (NIMS) in a manner consistent with the NIMS Implementation Objectives outlined by FEMA at htto:/lwww.fema.aov/tlY1olementation*and-comoliance-auidance-stakeho!ders#item4. 3. Be a registered user of the Texas Regional Response Network (TRRN) (or other response asset inventory management system specified by DPSITHSSAA) and shall identify, resource type, and credential all major deployable resources such as vehicles and trailers, equipment costing $5,000 or more, and specialized teamslresponse units equipped andlor trained using grant funds (i.e., hazardous material, decontamination, search and rescue, etc.). This registration is to ensure jurisdictions or organizations are prepared to make grant funded resources available to other jurisdictions through mutual aid. hUD :/Iwww. fema_oov/emeraencv/n ims/ResourceMnamnt.shtm#item3. Page80F 18 D. Regional Planning Commissions/Council of Governments (COGs) shall follow guidelines listed in the DPSITHSSAA FY2012 COG Statement of Work. Monitoring Sub-recipient will be monitored periodically by federal, state or local entities, both programmatically and financially, to ensure that project goals, objectives, performance requirements, timelines, milestone completion, budget, and other program-related criteria are met. DPSITHSSAA, or its authorized representative, reserves the right to perform periodic desk/office-based andlor on-site monitoring of Sub-recipient's compliance with this Grant and of the adequacy and timeliness of Sub-recipient's performance pursuant to this Grant. After each monitoring visit, DPSITHSSAA shall provide Sub-recipient with a written report of the monitor's findings. If the monitoring report notes deficiencies in Sub-recipient's performance under this Grant, the monitoring report shall include requirements for the timely correction of such deficiencies by Sub-recipient Failure by Sub-recipient to take action specified in the monitoring report may be cause for suspension or termination of this Grant pursuant to the Suspension and/or Termination Section herein. dJJJijJ. Audit of Federal and State Funds. Sub-recipient shall arrange for the performance of an annual financial and compliance audit of funds received and performances rendered under this Grant as required by the Single Audit Act (OMS Circular A -133; 44 C.F.R. 13.26). Sub-recipient shall comply, as applicable, with Texas Government Code, Chapter 783, the Uniforrn Grant Management Standards (UGMS), the State Uniform Administrative Requirements for Grants and Cooperative Agreements. Rioht to Audit. Sub-recipient shall give the United States Department of Homeland Security (DHS), the Comptroller General of the United States, the Texas State Auditor, DPSITHSSAA, or any of their duly authorized representatives, access to and the right to conduct a financial or compliance audit of grant funds received and performances rendered under this Grant. Sub-recipient shall permit DPSITHSSAA or its authorized representative to audit Sub-recipient's records. Sub-recipient shall provide any documents, materials or information necessary to facilitate such audit. Sub-reciDient's Liabilitv for Disallowed Costs. Sub-recipient understands and agrees that it shall be liable to DPSITHSSAA for any costs disallowed pursuant to any financial or compliance audit(s) of these funds. Sub-recipient further understands and agrees that reimbursement to DPSITHSSAA of such disallowed costs shall be paid by Sub-recipient from funds that were not provided or otherwise made available to Sub-recipient pursuant to this Grant or any other federal contract. Sub-reciDient's Facilitation of Audit. Sub-recipient shall take such action to facilitate the performance of such audit(s) conducted pursuant to this Section as DPSITHSSAA may require of Sub-recipient. Sub-recipient shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through Sub-recipient and the requirement to cooperate is included in any subcontract it awards. State Auditor's Clause SUb-recipient understands that acceptance of funds under this Grant acts as acceptance of the authority of the State Auditor's Office to conduct an audit or investigation in connection with those funds. Sub-recipient further agrees to cooperate fully with the State Auditor's Office in the conduct of the audit or investigation, including providing all records requested. Sub-recipient shall ensure that this clause concerning the State Auditor's Office's authority to audit funds and the requirement to cooperate fully with the State Auditor's Office is included in any subgrants or subcontracts it awards. Additionally, the State Auditor's Office shall at any time have access to and the rights to examine, audit, excerpt, and transcribe any pertinent books, documents, working papers, and records of Sub-recipient relating to this Grant. Retention and Accessibilitv of Records Retention of Records. Sub-recipient shall maintain fiscal records and supporting documentation for all expenditures of this Grant's funds pursuant to the applicable OMS Circular, 44 CFR Section 13.42, UGMS 9_.42, and this Grant. Sub-recipient shall retain these records and any supporting documentation for a minimum of three (3) years from the later of the completion of this project's public objective, submission of the final expenditure report, any litigation, dispute, or audit. Records shall be retained for three (3) years after any real estate or equipment final disposition. The DHS or DPSITHSSAA may direct Sub-recipient to retain documents or to transfer certain records to DHS custody when DHS determines that the records possess long term retention value. Access to Records. Sub-recipient shall give the United States Department of Homeland Security, the Comptroller General of the United States, the Texas State Auditor, DPSITHSSAA, or any of its duly authorized representatives, access to and the right to examine all books, accounts, records, reports, files, other papers, things or property belonging to or in use by Sub-recipient pertaining to this Grant including records concerning the past use of DHS/FEMA funds. Such rights to access shall continue as long as the records are retained by Sub-recipient. Sub-recipient shall maintain such records in an accessible location and provide citizens reasonable access to such records consistent with the Texas Public Information Act, Texas Government Code, Chapter 552. Inclusion in Subcontracts. Sub-recipient shall include the substance of the Retention of Records and Access to Records section herein in all subcontracts. After Action ReDortino. Sub-recipient shall complete, deliver to the appropriate source, and retain copies of all after-action reports and certificates of completion for all training and exercises paid for by this grant. Legal Authoritv Sionatorv Authoritv. Sub-recipient assures and guarantees that Sub-recipient possesses the legal authority to enter into this Grant, receive grant funds and to perform the project Sub-recipient has obligated itself to perform pursuant to this Grant. Authorized ReDrAsentative. The person or persons signing and executing this Grant on Sub-recipient's behalf do warrant and guarantee that helshe has been duly authorized by Sub-recipient to execute this .Grant on Sub-recipient's behalf and to validly and legally bind Sub-recipient to all terms and conditions and performance obligations. Conflicts in Reauirements If conflict exists between federal, state, or local requirements, Sub-recipient shall comply with the strictest requirement. Page90F 18 Notice of Litigation and Claims Sub-recipient shall give DPSfTHSSAA immediate notice in writing of any action or claim, including any proceeding before an administrative agency, filed against Sub-recipient arising out of performance of this Grant. Except as otherwise directed by DPS/THSSAA, Sub-recipient shall furnish immediately to DPSITHSSAA copies of all documentation or pleadings received by Sub-recipient with respect to such action or claim. No Liabilitv for Emolovees and Officers DPSITHSSAA shall have no liability whatsoever for the actions or omissions of an individual employed or contracted by Sub-recipient, regardless of where the individual's actions or omissions occurred. Non-Waiver of Defaults Any failure of DPSITHSSAA, at any time, to enforce or require the strict keeping and performance of any provision of this Grant shall not constitute a waiver of such provision, and shall not affect or impair same or the right of DPSITHSSAA at any time to avail itself of same. A waiver does not become effective unless DPSITHSSAA expressly agrees to such waiver in writing. Any payment by DPS/THSSAA shall not constitute a waiver or otherwise impair or prejudice any right, power, privilege, or remedy available to DPSITHSSAA to enforce its rights, as such rights, powers, privileges, and remedies are specifically preserved. Changes and Amendments Modification. FEMA or DPSITHSSAA may modify this Grant after an award has been made. Once notification has been made in writing, any subsequent request for funds indicates Sub-recipient's acceptance of the changes to the award. Any aiteration, addition, or deletion to this Grant by Sub-recipient is not valid. Written Amendment. Alterations, additions or deletions to this Grant, such as changes to period of performance and award amounts, shall be made through an executed Grant Adjustment Notice (GAN). Authoritv to Amend. During the period of performance for this Grant, DPSITHSSAA andlor FEMA may issue policy directives that serve to establish, interpret or clarify this Grant's performance requirements. Such policy directives shall be promulgated by DPSITHSSAA or FEMA in the form of Information Bulletins and Sub-recipient Manuals and shall have the effect of modifying this Grant and shall be binding upon Sub-recipient as if written in this Grant. Effect of Chanaes in Federal and State Laws. Any alterations, additions, or deletions to this Grant that are required by changes in federal and state laws or regulations are automatically incorporated into this Grant without written amendment to this Grant and shall become effective upon the date designated by such iaw or regulation. In the event FEMA or DPSITHSSAA determines that changes are necessary to this Grant after an award has been made, including changes to the period of performance or terms and conditions, Sub-recipient shall be notified of the changes in writing. Once notification has been made, any subsequent request for funds will indicate Sub-recipient's acceptance of the changes to this Grant. Headings Headings and captions of this Grant are only for convenience and reference. These headings and captions shall not affect or modify the terms and conditions or be used to interpret or assist in the construction of this Grant. Venue Venue shall lie in Travis County, Texas, and this Grant is governed by the laws of the State of Texas. Suspension In the event Sub-recipient fails to comply with any term of this Grant, DPSITHSSAA may, upon written notification to Sub-recipient, suspend this Grant, in whole or in part, withhold payments to Sub-recipient and prohibit Sub-recipient from incurring additional obligations of this Grant's funds. Termination DPSITHSSAA shall have the right to terminate this Grant, in whole or in part, at any time before the end of the Performance Period, if DPSITHSSAA determines that Sub-recipient has failed to comply with any term of this Grant. DPSITHSSAA shall provide writlen notice of the termination and include: 1. The reason(s) for such termination; 2. The effective date of such termination; and 3. In the case of partial termination, the portion of this Grant to be terminated. Appeal may be made to the Deputy Director of Homeland Security, Texas Department of Public Safety. Enforcement If Sub-recipient materially fails to comply with any term of this Grant, whether stated in a federal or state statute or regulation, an . assurance, in a state plan or application, a notice of award, or elsewhere, DPSITHSSAA or DHS rnay take one or more of the follOWing actions, as appropriate in the circumstances: 1. Temporarily withhold cash payments pending correction of the deficiency by Sub-recipient or more severe enforcement action by DPSITHSSAA or DHS; 2. Disallow, that is, deny both use of funds and matching credit for, all or part of the cost of the activity or action not incompliance; Page lOOf18 3. Wholly or partially suspend or terminate this Grant for Sub-recipient's program; 4. Withhold further awards for the program; or 5. Take other remedies that may be legally available. In taking an enforcement action, DPS/THSSAA will provide Sub-recipient an opportunity for a hearing, appeal, or other administrative proceeding to which Sub-recipient is entitled under any statute or regulation applicable to the action involved. The costs of Sub-recipient resulting from obligations incurred by Sub-recipient during a suspension or after termination of this Grant are not allowable unl.ess DPSITHSSAA or DHS expressly authorizes them in the notice of suspension or termination or subsequently. Other Sub-recipient costs during suspension or after termination which are necessary and not reasonably avoidable are allowable if: 1. The costs result from obligations which were properly incurred by Sub-recipient before the effective date of suspension or termination, are not in anticipation of it, and in the case of a termination, are non-cancellable; and 2. The costs would be allowable if this Grant were not suspended or expired normally at the end of the funding period in which the termination takes effects. The enforcement remedies identified in this section, including suspension and termination, do not preclude Sub-recipient from being subject to "Debarment and Suspension" under E.O. 12549. 44 C.F.R. 913.35. COII/liet Q,[ Intere,~t No employee, officer or agent of Sub-recipient shall participate in the selection, or in the award or administration of a contract supported by Federal funds if a conflict of interest, real or apparent, is involved or otherwise creates the appearance of impropriety. Closinr of the Grant A. DPSITHSSAA will close a sub-award after receiving Sub-recipient's final quarterly performance report indicating that all approved work has been completed and all funds have been disbursed, completing a review to confirm the accuracy of the reported information, and reconciling actual costs to award modifications and payments. If the close out review and reconciliation indicates that Sub-recipient is owed additional funds, DPSITHSSAA will send the final payment automatically to Sub-recipient. If Sub-recipient did not use all the funds received, DPSITHSSAA will issue a Grant Adjustment Notice (GAN) to recover the unused funds. Sub-recipient will return the funds to the DPSITHSSAA within 30 days of receiving the GAN. B. At the completion of Sub-recipient's performance period, DPSITHSSAA will de-obligate all uncommitted I unexpended funds. C. The closeout of this Grant does not affect: 1. DHS or DPSITHSSAA's right to disallow costs and recover funds on the basis of a later audit or other review; 2. Sub-recipient's obligation to return any funds due as a result of later refunds, corrections, or other transactions; 3. Records retention requirements, property management requirements, and audit requirements, as set forth herein; and 4. Any other provisions of this Grant that impose continuing obligations on Sub-recipient or that govern the rights and limitations of the parties to this Grant after the expiration or termination of this Grant. . Please fill in the appropriate information and certify by signing below that you have read, understood, and agree to the terms of this Grant. Print Name of Authorized Official Michael J. Pfeifer Title Calhoun County Judge Sub-recipient Organization Calhoun County 10-11-12 Date page 11 OF lB EXHIBIT A ASSURANCES - NON-CONSTRUCTION PROGRAMS See Standard Form 424B As the duly authorized representative of Sub-recipient, I certify that Sub-recipient: 1. Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project cost) to ensure proper planning, management and completion of the project described in this agreement. 2. Will give the Department of Homeland Security, the Department of Public Safety, the Comptroller General of the United States and, if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 994728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will compiy with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 991681-1683, and 1685-1686 and 44 C.F.R. Part 19), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 9794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 996101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (I) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 99523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 99290dd-3 and 290ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 993601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which agreement for Federal assistance is being made; and, U) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or.whose property is acquired as a result of Federal or federally-assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. 991501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 99276a to 276a-7), the Copeland Act (40 U.S.C. 9276c and 18 U.S.C. 9874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 99327-333), regarding labor standards for federally-assisted construction sub-agreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmentai Policy Act of 1969 (P.L. 91-190 as amended by 42 U.S.C. 4311 et seq. and Executive Order (EO) 11514) which establishes national policy goals and procedures to protect and enhance the environment, including protection against natural disasters. To comply with NEPA for DHS grant-supported activities, DHS-FEMA requires the environmental aspects to be reviewed and evaluated before final action on the application (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in ftoodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 991451 et seq.); (I) comply with the Clean Air Act of 1977, (42 U.S.C. 997401 et seq. and Executive Order 11738) providing for the protection of and enhancement of the quality of the nation's air resources to promote public health and welfare and for restoring and maintaining the chemical, physical, and biological integrity of the nation's waters; (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93- 205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 991271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 9470), EO 11593 (identification and protection of historic properties), and the ArChaeological and Historic Preservation Act of 1974 (16 U.S.C. .99469a-1 et seq.). 14. Will comply with P.L. 93-348, 45 C.F.R. 46, and DHS Management Directive 026-044 (Directive) regarding the protection of human subjects involved in research, development, and related activities supported by this award. 'Research" "means a systematic investigation, including research, development, testing, and evaluation designed to develop or contribute to general knowledge. See Directive for additional provisions for including humans in the womb, pregnant women, and neonates (Subpart B); prisoners (Subpart C); and children (Subpart D). See also state and local law for research using autopsy materials. Page 12 OF 18 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 992131 et seq.) which requires the minimum standards of care and treatment for vertebrate animals bred for commercial sale, used in research, transported commercially, or exhibited to the public according to the Guide for Care and Use of Laboratory Animals and Public Health Service Policy and Government Principals Regarding the Care and Use of Animals . 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 994801 et seq.) which prohibits the use of lead-based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, grant guidance, and policies governing this program. Please fill in the appropriate information and sign to certify this Exhibit A. Print Name of Authorized Official Michael J. Pfeifer Title Calhoun County Judge Sub-recipient Organization r.::ilhmm r.onnt:y JlYlAvI.. Signature of Authorized Offi 10-.11-12 Date Page 1JOf18 EXHIBIT B ASSURANCES - CONSTRUCTION PROGRAMS See Standard Form 424D As the duly authorized representative of Sub-recipient, I certify that Sub-recipient: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of project described in this agreement. 2. Will give the Department of Homeland Security, the Department of Public Safety, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real properly title or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real properly acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply' with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and speCifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 994728-4763) relating to prescribed standards of merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 994801 et seq.) which prohibits the use of lead-based pain in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 991681 1683, and 1685-1686 and 44 C.F.R. Part 19), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Acl of 1973, as amended (29) U.S.C. 9794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 996101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended relating to nondiscrimination on the basis of drug abuse; (D the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 99523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 99290dd-3 and 290ee 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 993601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statue(s) under which agreement for Federal assistance is being made; and m the requirements of any other nondiscrimination statue(s) which may apply to the agreement. 11. Will compiy, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Properly Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose properly is acquired as a result of Federal and federally-assisted programs. These requirements apply to all interests in real properly acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. 991501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 99276a to 276a-7), the Copeland Act (40 U.S.C. 9276c and 18 U.S.C. 9874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 99327- 333) regarding labor standards for federally-assisted construction sub-agreements. 14. Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a speciai flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) as amended by 42 U.S.C. 4311 et seq. and Executive Order (EO) 11514 which establishes national policy goals and procedures to protect and enhance the environment, including protection against natural disasters; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 991451 et seq.); (D comply with the Clean Air Act of 1977, (42 U.S.C. 997401 et seq. and Executive Order 11738) providing for the protection of and enhancement of the quality of the nation's air resources to promote public health and welfare and for restoring and maintaining the chemical, physical, and biological integrity of the nation's waters;(g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 991271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. page 14 Of 18 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 9470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 99469a-1 et seq). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations." 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, grant guidance and pOlicies governing this program. Please fill in the appropriate information and sign to certify this Exhibit B, if applicable. Print Name of Authorized Official Michael J. Pfeifer Calhoun County Judge Title Sub-recipient Organization Calhoun County 10-11-12 Date Page 150F 16 Exhibit C Certifications The undersigned, as the authorized official, certifies the following to the best of hislher knowledge and belief. A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee or a Member of Congress in connection with the awarding of any Federai contract, the making of any Federal grant, the making of any _ Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. B. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee or a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL Disclosure of Lobbying Activities, in accordance with its instructions. C. The undersigned shall require that the language of this certification prohibiting lobbying be included in the award documents for all sub-awards at all tiers (inclUding subcontract, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. D. As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 C.F.R. Part 67, for prospective participants in primary covered transactions, as defined at 28 C.F.R. Part 67, Section 67.510. (Federal Certification). The Sub-recipient certifies that it and its principals and vendors: 1. Are not debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; Sub-recipients can access debarment information by going to WW\N.eDls.aov or WVv'W,sam.aov and the State Debarred Vendor List www.window.state.tx.us/Dfocurementforoalvendor Derforma nee/debarred. 2. Have not within a three-year period preceding this agreement been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (D)(2) of this certification; and 4. Have not within a three-year period preceding this agreement had one or more public transactions (Federal, State, or local) terminated for cause or default; or 5. Where the sub-recipient is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this agreement. (Federal Certification) E. The Sub-recipient certifies federal funds will be used to supplement existing funds, and will not replace (supplant) funds that have been appropriated for the same purpose. Sub-recipient may be required to supply documentation certifying that a reduction in non-federal resources occurred for reasons other than the receipt or expected receipt of federal funds. F. Sub-recipient must comply with 2 C.F. R. Part 180, Subpart C as a condition of receiving grant funds, and sub-recipient must require such compliance in any sub-grants Of contract at the next tier. G. Drug-free Workplace Act, as amended, 41 U.S.C. 9701 et seq. - Requires the recipient to publish a statement about its drug-free workplace program and give a copy of the statement to each employee (including consultants and temporary personnel) who will be involved in award-supported activities at any site where these activities will be carried out. Also, place(s) where work is being performed under the award (i.e., street address, city, state, and zip code) must be maintained on file. The recipient must notify the Grants Officer of any employee convicted of a violation of a criminal drug statute that occurs in the workplace. For additional information, see 44 C.F.R. Part 17. Sub-recipient shall comply with the requirements of the Drug-Free Workplace Act of 1988, which requires that all organizations receiving grants from any Federal agency agree to maintain a drug-free workplace. H. Sub-recipient agrees that it is not delinquent on any Federal debt. I. Sub-recipient will comply with all applicable requirements of all other federal laws, executive orders, regulations, program and administrative requirements, policies and any. other requirements governing this program. J. Sub-recipient understands that failure to comply with any of the above assurances may result in suspension, termination or reduction of grant funds. Please fill in the appropriate information and sign to certify this Exhibit C. Print Name of Authorized Official MirhR"'.1. Pfeifer Title Calhoun County Judge Calhoun County Sub-recipient Organization Sig 10-11-12 Date Page160F18 EXHIBIT D State of Texas Assurances As the duly authorized representative of Sub-recipient, I certify that Sub-recipient: 1. Shall comply with Texas Government Code, Chapter 573, by ensuring that no officer, employee, or member of the Sub-recipient's governing body or of the Sub-recipient's contractor shall vote or confirm the employment of any person related within the second degree of affinity or the third degree of consanguinity to any member of the governing body or to any other officer or employee authorized to employ Dr supervise such person. This prohibition shall not prohibit the employment of a person who shall have been continuously employed for a period of two years, or such other period stipulated by local law, prior to the election or appointment of the officer, employee, or governing body member related to such person in the prohibited degree. 2. Shall insure that all information collected, assembled, or maintained by the Sub-recipient relative to a project will be available to the public during normal business hours in compliance with Texas Government Code, Chapter 552, unless otherwise expressly prohibited by law. 3. Shall comply with Texas Government Code, Chapter 551, which requires all regular, special, or called meetings of governmental bodies to be open to the public, except as otherwise provided by law or specifically permitted in the Texas Constitution. 4. Shall comply with Section 231.006, Texas Family Code, which prohibits payments to a person who is in arrears on child support payments. 5. Shall not contract with or issue a license, certificate, or permit to the owner, operator, or administrator of a facility if the Sub-recipient is a health, human services, public safety, or law enforcement agency and the license, permit, or certificate has been revoked by another health and human services agency or public safety or law enforcement agency. 6. Shall comply with all rules adopted by the Texas Commission on Law Enforcement Officer Standards and Education pursuant to Chapter 1701, Texas Occupations Code, or shall provide the grantor agency with a certification from the Texas Commission on Law Enforcement Officer Standards and Education that the agency is in the process of achieving compliance with such rules if the Sub-recipient is a law enforcement agency regulated by Texas Occupations Code, Chapter 1701. 7. Shall follow all assurances. When incorporated into a grant award or contract, standard assurances contained in the application package become terms or conditions for receipt of grant funds. Administering state agencies and sub-recipients shall maintain an appropriate contract administration system to insure that all terms, conditions, and specifications are met. (See UGMS Section _.36 for additional guidance on contract provisions). 8. Shall comply with the Texas Family Code, Section 261.101, which requires reporting of all suspected cases of child abuse to local law enforcement authorities and to the Texas Department of Child Protective and Regulatory Services. Sub-recipient shall also ensure that all program personnel are properly trained and aware of this requirement. 9. Shall comply with all federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352), which prohibits discrimination on the basis ofrace, color, or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.s.C. 991681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 9794), which prohibits discrimination on the basis of handicaps and the Americans with Disabilities Act of 1990 including Titles I, II, and III of the Americans with Disability Act which prohibits recipients from discriminating on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities, 44 U.S.C. 99 12101-12213; (d) the Age Discrimination Act of 1974, as amended (42 U.S.C. 996101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (0 the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to the nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 99523 and 527 of the Public Health Service Act of 1912 (42 V.S.C. 99290dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 V.S.C. 993601 et seq.), as amended, relating to nondiscrimination in the sale, rental, or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and U) the requirements of any other nondiscrimination statute(s) which may apply to this Grant. 10. Shall comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 99276a to 276a-7), the Copeland Act (40 U.S.C. 9276c and 18 V.S.C. 9874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 99327-333), regarding labor standards for federally assisted construction subagreements. 11. Shall comply with requirements of the provisions of the Uniform Relocation Assistance and Real Property AcqUisitions Act of 1970 (P.L. 91-646), which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Shall comply with the provisions of the Hatch Political Activity Act (5 U.S.C. 997321-29), which limit the political activity of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Shall comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act and the Intergovernmental Personnel Act of 1970, as applicable. 14. Shall insure that the facilities under its owriership, lease, or supervision which shall be utilized in the accomplishment of the project are not listed on the Environmentai Protection Agency's (EPA) list of Violating Facilities and that it will notify the Federal grantor agency of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for listing by the EPA (EO 11738). 15. Shall comply. with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973, Public Law 93-234. Section 102(a) requires the purchase of flood insurance in communities where such insurance is available as a condition for the receipt of any Federal financial assistance for construction or acquisition proposed for use in any area that has been identified by the Secretary of the Department of Housing and Urban Development as an area having special flood hazards. f'age170F18 16. Shall comply with environmental standards which may be prescribed pursuant to the fOllowing: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (el assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972 (16 V.S.C. 991451 et seq.); (I) conformity of federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 997401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). 17. Shall comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 991271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system.> 18. Shall assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 9470), EO 11593 (identification and protection of historic properties), and the ArChaeological and Historic Preservation Act of 1974 (16 U.S.C. 99469a-1 et seq.). 19. Shall comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 992131 et seq.) which requires the minimum standards of care and treatment for vertebrate animals bred for commercial sale, used in research, transported commercially, or exhibited to the publiC according to the Guide for Care and Use of Laboratory Animals and Public Health Service Policy and Government Principals Regarding the Care and Use of Animals. 20. Shall comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 994801 et seq.) which prohibits the use of lead-based paint in construction or rehabilitation of residential structures. 21. Shall comply with the Pro-Children Act of 1994 (Public Law 103-277), which prohibits smoking within any portion of any indoor facility used for the provision of services for children. 22. Shall comply with all federal tax laws and are solely responsible for filing all required state and federal tax forms. 23. Shall comply with all applicable requirements of all other federal and state laws, executive orders, regulations, and policies governing this program. 24. Certifies that is and its principals are eligible to participate and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state, or local governmental entity and it is not listed on a state or federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement have Exclusions listed at hllas:! Iwww.sam.aov/oortal/oublic/SAM/ 25. Shall adopt and implement applicable provisions of the model HIV/AIDS work place guidelines of the Texas Department of Health as required by the Texas Health and Safety Code, Ann., Sec. 85.001, et seq. Please filt in the appropriate information and sign to certify this Exhibit D. Print Name of Authorized Official Mi chRe 1 ,T. Pfeifer Title Calhoun County Judge Calhoun County Sub-recipient Organization ]0-11-12 Date Page 18 OF 18 Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary.org] Wednesday, October 03,20129:30 AM 'Susan Riley' Agenda Item Please add to agenda for next Commissioners' Court meeting To approve Tonya Ross to Library Board for years 2012 - 2016. -Thanks Noeml Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552,7250 ext. 23 Fax 361.552.4926 Emall 11c:.-"g<i.c:c:It..J.m....L9 Web w"L~cclibralji.()ljj 1 APPOINTMENT OF TONYA ROSS TO LIBRARY BOARD FOR TERM 2012-2016: Calhoun County Library Board presents Tonya Ross for the approval by the Commissioner's Court for appointment to the Board to replace Kim Low for the years 2012 through 2016, A Motion to appoint Tonya Ross to the Library Board was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County Library Board Port Lavaca, Texas September 28, 2012 Judge Michael Pfeifer: The Calhoun County Library Board presents Tonya Ross for the approval by the Commissioner's Court for appointment to this Board to replace Kim Low for the years 2012 through 2016. We would greatly appreciate you including this on the agenda of your next meeting. Sincerely, G~ ,--> Ryan Smiga, President Susan Riley From: Sent: To: Cc: Subject: Cindy Mueller [cindy.mueller@calhouncotx.org] Tuesday, October 02,201212:17 PM 'Susan Riley' 'Candice Faltesek' Agenda Item Request Please place the following item on the agenda for October 11, 2012: . CATNA to authorize loan in amount of $298,229 from general fund to grants fund for OPSG Award #l1-SR- 48057-02. Cindy Mueller Calhouu County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 1 AUTHORIZE LOAN IN THE AMOUNT OF $298,229 FROM GENERAL FUND TO GRANTS FUND FOR OPERATION STONE GARDEN (OPSG) AWARD #11-SR-4857-02: Lucy Dio: This is the 2011-cycie (the second loan) that applies to the boat, 4-wheelers and patrolling. Judge Pfiefer: Has the first loan been paid back yet or partially? Lucy Dio: It has with the exception to the payroll, Working to determine the exact amount that has to go back to the Sheriff's budget. Sheriff's Department is also working with the grantor on amendments regarding $60,000 that to be spent on equipment so that it doesn't go back to the grantor. Commissioner Lyssy: Is there a time line on those purchases? Mark Diagle: Yes. Have until the end of the month to get everything, All of the equipment was to have been bought in the first two years and the 2013 grant will be considerabiy less (around $150,000) as it is to cover overtime. A Motion to authorize a loan in the amount of $298,299 from the General Fund to Grants Fund was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Gaivan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Sent: To: Cc: Subject: Attachments: Cindy Muelier [cindy.muelier@calhouncotx.org] Tuesday, September 25, 2012 4:27 PM 'Susan Riley' 'Cristina Tuazon'; 'Candice Faltesek'; 'rhonda kokena'; 'Shannon Salyer' Agenda Item Request LOCAL GOVERNMENT CODE CHAPTER 113. MANAGEMENT OF COUNTY MONEY.pdf Please place the following item on the agenda for October 11, 2012: . CATNA on LGC 113.022 extension of period during which funds must be deposited with the county treasurer to 15 days after the date the funds are received. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 1 LGC 113.022 EXTENSION OF PERIOD DURING WHICH FUNDS MUST BE DEPOSITED WITH THE COUNTY TREASURER TO 15 DAYS AFTER THE DATE THE FUNDS ARE RECEIVED: Rhonda Kokena: This is a technicality, the law was changed. The Auditor's Office wants to have back up when they have to force the issue with the departments regarding deposits. This will make the deposits on a more frequent basis. The law was amended from thirty (30) days to fifteen (15) days. A Motion to approve LGC 113,022 extension of period for funds deposited with the County Treasurer to 15 days after date funds received was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. LOCAL GOVERNMENT CODE CHAPTER 113. MANAGEMENT OF COUNTY MONEY Sec. 113.022. TIME FOR MAKING DEPOSITS. (a) A county officer or other person who receives money shall deposit the money with the county treasurer on or before the next regular business day after the date on which the money is received. If this deadline cannot be met, the officer or person must deposit the money, without exception, on or before the fifth business day after the day on which the money is received. However, in a county with fewer than 50,000 inhabitants, the commissioners court may extend the period during which funds must be deposited with the county treasurer, but the period may not exceed 15 days after the date the funds are received. (b) A county treasurer shall deposit the money received under Subsection (a) in the county depository in accordance with Section 116.113(a). In all cases, the treasurer shall deposit the money on or before the seventh business day after the date the treasurer receives the money. Acts 1987, 70th Leg. , ch. 149, Sec. 1, eft. Sept. 1, 1987. Amended by: Acts 2007, 80th Leg. , R.S. , Ch. .8.JJ2 I Sec. 1, eft. September 1, 2007. Acts 2011, 82nd Leg. , R. S" Ch. Sec. 8, eft. September 1, 2011. http://www.statutes.tegis.state.tx.uslDocs/LG/htrn/LG.113.htm[9/25/20 t2 4:57: 13 PM] Susan Riley From: Sent: To: Cc: Subject: Attachments: Neil E. Fritsch [neil.fritsch@calhouncotx.org] Saturday, September 22, 2012 10:03 AM Susan Riley; Mike Pfeifer Sonia Downs Fwd: MaintenanceEdge Proposals ATT00043.pdf; ATT00046.htm; ATT00049.pdf; ATT00052.htm Judge Pfeifer, Please place the following on the September 27th Commissioner's Court agenda. "Consider and take necessary action to approve "MaintenanceEdge Proposals" for maintenance tracking software package with FacilityDude, and authorize appropriate signatures" Any questions, please ask. Neil E. Fritsch Calhoun County Commissioner Precinct #3, and President, South Texas County Judges and Commissioners Association 24627 State Highway 172 Port Lavaca, Texas 77979 361-893-5346-0ffice neil. fritsch {alcal houncotx.org Sent from my iPad Begin forwarded message: From: Lauren Bullard <Ibullard{alfacilitvdude.com> Date: September 21, 201212:18:13 PM COT To: "neil. fritsch@calhouncotx.org" <neil. fritsch {alcalhouncotx.org> Cc: "everett. wood {alca Ihouncotx.org" <everett. wood {alca Ihouncotx.org> Subject: MaintenanceEdge Proposals Neil and Everett, Please see attached for both of the pricing options we discussed yesterday. When I was calculating pricing while we were on the call- I noticed I miscalculated with my spreadsheet so the prices on the proposal vary slightly from what we discussed yesterday. It actually works out in your favor should you decide to take advantage of the fwiding opportunity with Johnson. If you have any further questions on MaintenanceEdge, implementation, or the proposals - please contact me at any time. All my contact inforrnation is below. We're really excited to start working with you guys - and please rest assured we'll be with you every step of the way. We believe in earning your business every day and want you to be as successful as possible. 1 All we need on our end is the proposal back and we'll have client services contact you to setup a tirne for your initial training. All the best, Lauren Bullard 1 Account Representative 1 FacilitvDude.com 1 p (919)674-8725 1 c (352) 562-28781 1 (919) 827-0647 A proud partner 01 NACo and ICMA - Learn rnorel Thi~ communication is intended for the sole Lise of the person(s) to whom it is addressed and may contain information that is privileged, confidential or subject to copyright. Any unauthorized use, disclosure or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately. Any communication received in error should be deleted and all copies destroyed. 2 "MAINTENANCEEDGE PROPOSALS" FOR MAINTENANCE TRACKING SOFTWARE PACKAGE WITH FACILITYDUDE AND AUTHORIZE APPRPRIATE SIGNATURES: Commissioner Fritsch: This is the same proposal that was discussed and tabied from the September 27, 2012 meeting. The system used by Commissioner Finster office would require some adaptation that would not benefit the Courthouse, Jail or other offices. The FacilityDude package is tailored to the County's needs and would work best for us. The Johnson Controls plan would pick up the first year's fees of $2,849 in exchange for their company's access to a "read-only" privilege to look at the County's maintenance and equipment. The software package allows the ability to track the history and movement of equipment. It is web-based, It initiates the work orders and generates the numbers for better tracking. It is not on-site and is backed up. Everything is off-site. There is an annual premium every year. Ail upgrades will be done from their end. As many/few users needed can be assigned to the system. Two different proposals: MaintenanceEdge proposal: First year $2,849 start up with a yearly premium of $1,542 Johnson Controls (third party vendor) proposal: will pick up the start up fees and first year's premium in exchange for reviewing your equipment and work order history. A Motion to approve the "no fee" proposai with Johnson Controls for maintenance tracking software with FacilityDude was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. FACILITY DUDe, 9/21/2012 Calhoun County 221 S Ann St Part Lavaea, TX 77979 Thank you far your Interest in MaintenaneeEdge, an affordable suite of pawerful, easy-to-use online tools that allow you to manage your facilities more efficiently with centralized requests, automated maintenance warkflow, and simple reporting. FacilityDude is dedicated ta providing best in class solutians with unlimited training and support. Through our partnership with Johnson Cantrols we laok forward ta providing you with new, innovative ways to achieve optimal building performance, and sustainable results. Pricing for MaintenaneeEdge is based on the total square faatage of your facilities: Estimated Square Footage*:130,000 'Totals added above those documented will be charged accordingly. Frequency Total MaintenanceEdge Quick Start & First Year Investment Now - September Waived = $0 30th 2013 Annual Renewal (Starting October 1, 2013) Year two and $1,128 subsequent years 'Includes unlimited users, training and support' In return far taking part in the Jobnson Controls program you agree to: 1. Cooperate with FaeilityDude to get your account implemented and functional within the first 120 days of signing this agreement. If yaur account is not implemented in the first 120 days, yau will be invoiced directly for the year one investment. 2. Allow FacilityDude to provide Johnson Contrals: a. Branding and ad space on yaur MaintenanceEdge login and applicatian pages. b. Access to your data for presenting facility management and planned maintenance savings ideas and opportunities to you that are specific to your operations. c. Access to your data for anonymous use in their research. General Conditions . Propasal has been prepared far Calhoun County. . Proposal is valid for 30 days. . Agreement is effective per the date listed on page one, . Initial term: year to year. . Automatic invoicing of annual fee will occur at the end of each term unless request for non-renewal is received in writing 30 days prior to renewal date. . Payment: Terms are net 30 days. . Applicable sales taxes are in addition to the quoted price. . Subscription begins upon written acceptance of the terms and conditions of the proposal. . All required data is to be provided by you prior to setup. . Technical support is available from 8am to 6pm Eastern Standard Time at 877-655-3833 or suppurt@facilitydude.com. . . . A quote will be provided for any assistance outside the scope of this proposal including data imports. . Although the terms of this document control, all other conditions of use can be found at httn: / / fad I itvdude.co m / privacv-terms-of- use /. The undersigned accepts the above detail and agrees to the terms herein. SUBMITIED By: Lauren Bullard Representative Name 9/21/2012 Date ACCEPTED By: ----p\\.14 kP ~ ~ Custam Sig ure /~/ 1/ / J L , . t Date fYl,d\4~f ::s' ~-('~C-t".. Print ame COl...... fr \Fk)~ Position Please address the purchase order to: FacilityDude.com 11000 Regency Parkway, Suite 200 Cary, NC 27518 ... Please mail the original and fax or email a copy ofthe signed proposal and purchase order to 919- 674.8515 or sales@lfacilitvdude.com. In partnership with: Johnson ~j(~ Controls FACILITY DUDe. 9/21/2012 Calhoun County 2215 Ann 5t Port Lavaca, TX 77979 Thank you for your interest in MaintenanceEdge, an affordahle suite of powerful, easy-to-use online tools that allow you to manage your facilities more efficiently with centralized requests, automated maintenance workflow, and easy-to-use reporting. FacilityDude is dedicated to providing best in class solutions with unlimited training and support. Ask us about our other simple, affordable online solutions that will help you save money, increase efficiency and improve services. Pricin for MaintenanceEd e is based on the total s our facilities: Estimated Square Footage' 130,000 *Totols added above those documented will be chorBed occordinB/Y. Frequency Total MaintenanceEdge Quick 5tart One Time $1,307 MaintenanceEdge Yearly Yearly $1,542 Total First Year Investment Year One $2,849 Ongoing Annual Annual $1,542 'Includes unlimited users, training and support' General Conditions . Proposal has been prepared for Calhoun County. . Proposal is valid for 30 days. . Agreement is effective per the date listed on page one. . [nitial term: year to year. . Automatic invoicing of annual fee will occur at the end of each term unless request for non-renewal is received in wrtting 30 days prior to renewal date. . Payment: Terms are net 30 days. . Applicahle sales taxes are in addition to the quoted price. . Subscription begins upon written acceptance of terms and conditions ofthe proposal. . All required data is to be provided hy you prior to setup. . Automatic invoicing of annual fee will occur at the end of each term unless request for non-renewal is received in writing 30 days prior to renewal date. . Payment: Terms are net 30 days. . Applicable sales taxes are in addition to the quoted price. . Subscription begins upon written acceptance ofthe terms and conditions of the proposal. . All required data is to be provided by you prior to setup. . Technical support is available from 8am to 6pm Eastern Standard Time at 877-655-3833 or 511 PDQ rt@facilitvdtide.com. . A quote will be provided for any assistance outside tbe scope of this proposal including data imports. . Although the terms of this document control, all other conditions of use can be found at http://facilitydude.com I pri vacv-terms-of- use I. The undersigned accepts the above detail and agrees to the terms herein. SUBMIITED By: Lauren Bullard Representative Name 9/21/2012 Date ACCEPTED By: Customer Signature Date Print Name Position Please address the purchase order to: FacilityDude.com 11000 Regency Parkway, Suite 200 Cary, NC 27518 *** Please mail the original and fax or email a copy of the signed proposal and purchase order to 919- 674.8515 or sales@lfaciIitydllde.com. In partnership with: Johnson ~j(; Controls COUNTY REPORTS: The following monthly reports were presented: 1) County Treasurer: August 2012 2) Justices of Peace: i. Justice of the Peace #1: September 2012 ii. Justice of the Peace #2: September 2012 iii. Justice of the Peace #3: September 2012 iv. Justice of the Peace #4: September 2012 A Motion to approve the County Reports was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS CALHOUN COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2012 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE GENERAL $ 19,476,640.85 $ 385,656.50 $ 1,584,404.48 $ 18,277,892.87 AIRPORT MAINTENANCE 51,739.30 250.38 405.64 5t,584.04 APPELLATE JUDICIAL SYSTEM 1,099.18 144.84 0.00 1,244.02 COASTAL PROTECTION FUND 33,450.63 0.24 0.00 33,450.87 COUNTY AND DlliT COURT TECH FUND 778.71 74.9t 0.00 853.62 COUNTY CHILD WELFARE BOARD FUND 510.65 136.00 0.00 646.65 COURTHOUSE SECURITY 202,460.52 1,524.85 0.00 203,985.37 DlST CLK RECORD FRESERV ATlON FUND 2,719.31 253.52 0.00 2,972.83 CO CLK RECORDS ARCHIVE FUND 29,963.23 2,465.22 0.00 32,428.45 DONATIONS 120,338.99 11.98 2,773.4t 117,577.56 DRUGfDWI COURT PROGRAM FUND-LOCAL 3,642.63 277.83 0.00 3,920.46 JUVENILE CASE MANAGER FUND 18,003.45 896.08 3,656.23 15,243.30 FAMILY PROTECTION FUND 4,938.39 45.04 0.00 4,983.43 JUVENILE DELINQUENCY PREVENTION FUND 8,529.54 0.06 0.00 8,529.60 GRANTS 247,736.75 1,425.90 18,493.78 230,668.87 JUSTICE COURT TECHNOLOGY 56,357.94 804.72 672.68 56,489.98 COUNTY CHILD ABUSE PREVENTION FUND 100.00 1.00 0.00 101.00 JUSTICE COURT BUILDING SECURITY FUND 13,923.49 118.99 0.00 14,042.48 LATERAL ROAD PRECINCT # I 4,237.60 0.03 0.00 4,237.63 LATERAL ROAD PRECINCT #2 4,237.60 0.03 0.00 4,237.63 LATERAL ROAD PRECINCT #3 4,237.60 0.03 0.00 4,237.63 LATERAL ROAD PRECINCT #4 4,237.61 0.03 0.00 4,237.64 PRETRIAL SERVICES FUND 58,229.00 245.42 0.00 58,474.42 LAW LIBRARY 181,769.97 1,025.54 623.70 182,171.81 LAW ENF OFFICERS STD. EDUC. (LEOSE) 17,150.66 0.12 0.00 17,150.78 POC COMMUNITY CENTER 43,425.37 950.32 8,439.28 35,936.41 RECORDS MANAGEMENT-DISTRICT CLERK 2,818.33 t77.85 0.00 2,996.18 RECORDS MANAGEMENT-COUNTY CLERK 122,963.23 2,649.31 0.00 125,612.54 RECORDS MGMT & PRESERVATION 104,374.93 741.06 0.00 105,115.99 ROAD & BRIDGE GENERAL 1,391,492.77 30,475.60 0.00 1,421,968.37 ROAD & BRIDGE PRECINCT #3 8.61 0.00 0.00 8.61 ROAD MAINTENANCE PRECINCT #4 644.51 0.00 644.51 0.00 SHERIFF FORFEITED PROPERTY 1,273.17 0.01 0.00 1,273.18 6MILE PIERlBOAT RAMP INSURlMAlNT 63,407.84 0.46 0.00 63,408.30 CAPITAL PROJ - COASTAL MANAGEMENT PGM 65,478.84 0.00 740.00 64,738.84 CAPITAL PROJ - ClAP COASTAL IMPROVEMENTS 121,907.92 1,834.50 5,035.35 118,707,07 CAPITAL PROJ-PARKING LOT 80,543.81 0.00 0.00 80,543.81 CAP PROJ-PCT 2 - STORM REPAIRS 17,796.13 0.00 0.00 17,796.13 CAPITALPROJ-RB INFRASTRUCTURE 72,599.35 0.00 0.00 72,599.35 CAPITAL PROJ-SWAN POINT PARK 5,096.40 0.00 0.00 5,096.40 CAPITAL PROJ"AIRPORT RUNWAY IMPROV 153,687.13 0.00 0.00 153,687.13 CAPITAL PROJ-EMER COMM SYS 30,848.06 0.00 0.00 30,848.06 CAP PROJ-PORT ALTO PUBL BEACH-STORM REP 30,384.78 0.00 0.00 30,384.78 CAPITAL IMPROVEMENT PROJECTS 444,758.74 0.00 0.00 444,758.74 CAP PROJ- ANNEX 11 25,755.89 0.00 0.00 25,755.89 CAP PROJ-ANNEX RENOVATION 16,t41.40 0.00 0.00 16,141.40 CAP PROJ-HEALTH DEPT RENOVATIONS 92,879.08 0.00 4,000.00 88,879.08 CAP PROJ - ENERGY EFPECIENCY ISECO STIMULUS 86,365.00 0.00 0.00 86,365.00 CPROJ - MMC CLINIC ACQUISITION LOAN 2,000,000.00 0.00 0.00 2,000,000.00 CPROJ - MMC BUSINESS IMPROVEMENT LOAN 1,500,000.00 0.00 0.00 t,500,000.00 CAP PROJ - OLlVINPORT ALTO AMBULANCE 600.00 0.00 0.00 600.00 ARREST FEES 0.00 447.79 0.00 447.79 BAlL BOND FEES (HB 1940) (45.00) 570.00 0.00 525.00 CONSOLIDATED COURT COSTS (NEW) 0.01 10,008.70 0.00 10,008.71 DNA TESTING FUND 2~~~?, 18.19 0.00 268.19 DRUG COURT PROGRAM FUND - STATE om 277.80 0.00 277.79 SUBTOTALS $ 27022489.89 $ 443510.85 I .~ I 629 889.06 $ 25836111.68 Page 1 of3 COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2012 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUND - BALANCE FORWARD $ 27,022,489.89 $ 443,510.85 $ 1,629,889.06 $ 25,836,lll.68 ELECTIONS CONTRACT SERVICE 37,179.03 0.27 0.00 37,179.30 EMS TRAUMA FUND 126.57 491.90 0.00 618.47 FINES AND COURT COSTS HOLDING FUND 7,847.31 0.00 0.00 7,847.31 INDIGENT CIVIL LEGAL SERVICE 0.00 264.00 0.00 264.00 JUDICIAL FUND (ST. COURT COSTS) 0.00 260.52 0.00 260.52 JUDICAL PERSONNEL TRAINING 0.00 2,832.93 0.00 2,832.93 JUROR DONATION-TX CRIME VICTIMS FUND 190.00 0.00 0.00 190.00 JUVENILE PROBATION RESTITUTION 1,672.68 155.00 0.00 1,827.68 LIBRARY GIFT AND MEMORIAL 48,419.70 60.35 0.00 48,480.05 MISCELLANEOUS CLEARING 20,241.84 70,677.56 13,776.11 77,143.29 REFUNDABLE DEPOSITS 2,000.00 0.00 0.00 2,000.00 STATE CIVIL FEE FUND 0.00 2,749.68 0.00 2,749.68 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 12.23 0.00 12.23 JURY REIMBURSEMENT FEE 0.00 841.30 0.00 841.30 SUBTITLE C FUND 0.00 3,742.19 0.00 3,742.t9 SUPP OF CRIM INDIGENT DEFENSE 0.00 382.20 0.00 382.20 TIME PAYMENTS 0.00 1,471.52 0.00 1,471.52 TRAFFIC LAW FAILURE TO APPEAR 0.00 690.72 0.00 690.72 UNCLAIMED PROPERTY 4,592.52 0.03 0.00 4,592.55 BOOT CAMPmAEP t6.97 0.00 0.00 16.97 JUVENILE PROBATION 138486.03 2 589.03 39095.45 101979.61 SUBTOTALS $ 27,283,262.54 $ 530,732.28 $ 1,682,760.62 $ 26,131,234.20 TAXES IN ESCROW - 0.00 0.00 0.00 TOTAL OPERATING FUNDS $ 27 283 262.54 $ 530 732.28 $ I 682 760.62 $ 26 131 234.20 D A FORFEITED PROPERTY FUND 15,977.70 2.98 0.00 15,980.68 SHERIFF NARCOTIC FORFEITURES 9,738.26 1.81 0.00 9,740.07 CONSTRUCTION (JAIL) SERIES 2003 -I & S 515,258.00 3,473.73 425,612.50 93,1l9.23 CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 369,027.22 t,733.15 351,900.00 18,860.37 CAL. CO. FEES & FINES 126,670.38 103,689.23 124,268.99 106,090.62 OCEAN DRIVE IMPROVEMENTS 1.00 0.00 0.00 1.00 CERT OF OB-CRTHSE REF SERIES 2010 92,286.21 653.70 84,000.00 8,939.91 CERT OF OB-CRTHOUSE I&S SERIES 2012 113 045.73 3.49 113029.17 ~ TOTAL "T"Ell "0 FUNDS 112895 IOn 5<0 on ~.- Inn. 810 66 2 188 MEMORIAL MEDICAL CENTER: OPERATING $ 2,931,021.89 $ 1,722,273.28 $ 1,776,234.11 $ 2,877,061.06 REFUND IMPREST ACCOUNT 5,070.17 0.94 0.00 5,071.11 INDIGENT HEAL THCARE 84.85 38504.54 38449.09 140.30 TOTALS $ 2936 176.91 $ 1760778.76 $ 1814683.20 $ 2882272.47 DRAINAGE DISTRICTS NO.6 $ 15,841.41 $ 22.61 $ 74.78 $ 15,789.24 NO.8 106,506.93 58.97 971.63 105,594.27 NO. 10-MAlNTENANCE 108,200.82 47.84 151.69 108,096.97 NO. ll-MAlNTENANCE/OPERATING 145,554.12 2,065.47 1,567.84 146,051.75 NO. ll-RESERVE 129651.81 24.16 0.00 129675.97 TOTALS $ 505 755.09 $ 2219.05 $ 2765.94 $ 505208.20 CALHOUN COUNTY WClD #1 OPERATING ACCOUNT $ 415333.11 82.46 2261.16 $ 413154.41 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OFERATING $ 222825.74 $ 3685.48 $ 8465.99 $ 218045.23 CALHOUN COUNTY FROST BANK $ 3 698.24 $ - $ - $ 3 698.24 TOTAL MMC, DR, DIST., NA V. DlST & WClD 1.0 4 080 090.85 1.0 1766765.75 ~ I 828 1'6.2" I. 4.018680." TOTAL ALL FUNDS $ 30402646.39 Page 2 of3 COUNTY TREASURER'S REPORT MONTH OF: AUGUST 2012 BANK RECONCILIATION LESS: CERT.OF DEP/ FUND OUTSTNDG DEP/ PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING * $ 26,13 t,234.20 $ 25,667,722.52 $ t06,255.18 $ 569,766.86 D A FORFEITED PROPERTY FUND 15,980.68 0.00 0.00 15,980.68 SHERIFF NARCOTIC FORFEITURES 9,740.07 0.00 0.00 9,740.07 CONSTRUCTION (JAIL) SERIES 2003 - I & S 93,119.23 984.66 0.00 92,134.57 CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 18,860.37 459.08 0.00 18,401.29 CERT OF OB-CRTHSE REF SERIES 2010 8,939.91 182.16 0.00 8,757.75 CERT OF OB-CRTHSE I&S SERIES 2012 20.05 0.00 0.00 20.05 CAL. CO FEES & FINES 106,090.62 42,748.43 130,882.96 194,225.15 OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1.00 0.00 0.00 1.00 MEMORIAL MEDICAL CENTER: OPERATING * 2,877,061.06 499,999.70 198,85t.75 2,575,913.11 REFUND IMPREST ACCOUNT 5,071.11 0.00 0.00 5,071.11 INDIGENT HEALTHCARE 140.30 38,448.68 39,379.26 1,070.88 DRAINAGE DISTRICT: NO.6 15,789.24 0.01 0.00 15,789.23 NO.8 105,594.27 13.02 0.00 105,581.25 NO. 10 MAINTENANCE 108,096.97 27.69 0.00 108,069.28 NO. 11 MAINTENANCE/OPERATING 146,051.75 651.12 0.00 145,400.63 NO. t I RESERVE 129,675.97 0.00 0.00 129,675.97 CALHOUN CO. WCID #1 OPERATING ACCOUNT 413,154.41 0.00 0.00 413,154.41 CALHOUN CO. NAVIGATION DIST: MAINTENANCE/OPERATING **** 218,045.23 0.00 0.00 218,045.23 CALHOUN COUNTY FROST BANK 3,698.24 0.00 0.00 3,698.24 TOTALS $ 30 406 364.68 $ 26251231.07 $ 475369.15 $ 4630496,76 * CDs - OPERATING FUND $25,500,000.00 :j: CD's - MMC OPERATING FUND - $500,000.00 ~ CD - CALHOUN COUNTY I DIANNA STANGER (AIRPORT)- $10,000.00 **** THE DEPOStTORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LA V ACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LA V ACA **** THE DEPSOSITORY FOR CALHOUN COUNTY FROST tS FROST BANK - AUSTIN, TEXAS Comi costs and fees collected and repOlied AUGUST not be c d up-to-date due to non-compliance by other county offices. I hereby certi:t'y that the cun.ent balances are correct 0 all monie that h ve been eiv d b the County Treasurer as of the date of this repOli. RHON A S. KOKENA COUN Y TREASURER Page 3 of3 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT CODE CASH BONOS ADMINISTRATION FEE -ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS - CCC COURTHOUSE SECURITY - CHS CJP MVF- CIVIL JUSTICE DATA REP FEE/CJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAFETY - CS CHILD SEATBELT FEE - eSBE CRIME VICTIMS OOMPENSA TION - OVC DPSO/FAILURE TO APPEAR - OMNI - DPSO FUGITIVE APPREHENSION - FA GENERAL REVENUE - GR CRIM ,-INO LEGAL BveS-SUPPORT .'IDF JUVENILE ORIME & DELINQUENCY - JCD JUVENILE CASE MANAGER 'FUND - JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT JUSTICE COURT SECURITY FUND - JOSF JUROR SERVIOE FEE - JSF LOCAL ARREST FEES - LAF LEM! LEOA LEOC OCL PARKS & WILDLIFE ARREST FEES - PWAF - STATEARRESTFEESn-SAF SCHOOL CROSSING/CHILD SAFETY FEE - SOF SUBTITLE C - BUBe TABCARREST FEES - TAF TECHNOLOGY FUND.TF TRAFFIC - TFC - TIME PAYMENT -TIME -'LOCAL & STATE WARRANT FEES ~ WRNT COLLECTION SERVICE FEE-MVBA - CSRV DEFENSIVE DRIVfNG COURSE - DOC DEFERR'ED fEE - DFF DRIVING EXAM FEE- PRaY DL FILING FEE -~ FFEE FILING FEE SMALL CLAIMS - FFSC COPIES/CERTIFED COPIES - _CO INDIGENT'FEE - CIFF or INDF - JUDGE PAY RAISE FEE - JPAY SERVICE FEE - SEEf; OUT-OF-COUNTY SERVICE FEE EXPUNGEMENTFEE-EXPG EXPIRED RENEWAL. EXPR ABSTRACT OF JUDGEMENT - AOJ ALL WRITS_ --wop I WOE ORB FTA FINE .-OPSF LOCAL FINES - FINE L1CENSE-& WEIGHT FEES - LWF PARKS &. WILDLIFE FINES ~ PVYF - SEATBEL T/UNRESTRA1NED CHILD FINE ~.sEAT . OVERPAYMENT ($10 & OVER) - OVER . OVERPAYMENT (LESS THAN $10) - OVER RESTITUTION - REST PARKS & WILDLIFE-WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FEESI STATE WARRANT FEES OUE TO OTHERS: DUE TO CC1SD - 50% of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT.OF.COUNTY SERVICE FEE CASH BONOS TOTAL DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: TOTAL-TREAS. RECEIPTS JUSTICE OF PEACE NO.1 SEPTEMBER, 2012 AMOUNT 0,00 Revised 7/13/2011 0,00 0,00 -2,405.21 240.49 0.00 3,18 . 0,00 0.00 0,0.0 0.00 0.00 225.68 Q;OO 0,00 120.28 '_0,00_ 109.28 0:00 4.12 236.38 .. 0.00 {),OO 0,00 '-0,00 - O,QO 0,00 300;63 0,00 960.63: 0,00 240.49_ $6.00 ____612,48 -716,35 1;563.21 69.30 360.66 . 0.00 -125.00 '.0.00 0,00 30,00 323.83 150.00 0.00 '0,00 30.1;)0 0,00 ~ JJ:OO' .,),do' 6;3f)JI.65 '.'"0.00' - 80.00 0.00 743.90 10,00 0,00 (foO 0.00 $16,168_75 AMOUNT 716,35 114.97 IRECORD ON TOTAL PAGE OF Hill COUNTRY SOFTWARE MO. REPORT $601.38 - RECORD ON TOTAL PAGE OF Hill COUNTRY SOFTWARE MO. REPORT AMOUNT - 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0-'-00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 743,90 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR REQUESTlNG DISBURSEMENT 0,00 PLEASE INCLUDE D.R. REQUESTlNG DISBURSEMENT (IF REQUIRED) $743.90 AMOUNT $16,1.5_6.75 Calculate from ACTUAL Treasurer's Receipts $16,156.75 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 1 0/3/2012 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 6,411.65 CR 1 000-001-44190 SHERIFF'S FEES 836.58 ADMINISTRA T1VE FEES: DEFENSIVE DRIVING 69.30 CHILD SAFETY 0.00 TRAFFIC 96.00 ADMINISTRATIVE FEES 390.66 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 555.96 CR 1000-001-44010 CONSTABLE FEES-SERVICE 150.00 CR 1000-001-44061 JP FlUNG FEES 125.00 CR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 10.00 CR 1000-001-44145 SCHOOL CROSSINGICHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEA TBEL T FI NES 0.00 CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0.00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,563.21 TOTAL FINES, ADMIN. FEES & DUE TO STATE $9,652.40 CR 2670-001-44061 COURTHOUSE SECURITY FUND $240.49 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $4.12 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $240.49 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $109.28 STATE ARREST FEES DPS FEES 180.40 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 180.40 CR 7070-999-20610 CCC-GENERAL FUND 240.52 CR 7070-999-20740 CCC-STATE 2,164.69 DR 7070-999-10010 2,405.21 CR 7860-999-20610 STF/SUBC-GENERAL FUND 48.03 CR 7860-999-20740 STF/SUBC-STATE 912.60 DR 7860-999-10010 960.63 CR 7950-999-20610 TP-GENERAL FUND 306.24 CR 7950-999-20740 TP-STATE 306.24 DR 7950-999-10010 612.48 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.50 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 28.50 DR 7480-999-10010 30.00 Page 1 of2 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2012 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 12.03 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 108.25 DR 7865-999-10010 120.28 CR 7970-999-20610 TUFTA-GENERAL FUND 75.23 CR 7970-999-20740 TUFT A-STATE 150.45 DR 7970-999-10010 225.68 CR 7505-999-20610 JPAY - GENERAL FUND 32.38 CR 7505-999-20740 JPAY - STATE 291.45 DR 7505-999-10010 323.83 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 23.64 CR 7857-999-20740 JURY REIMB. FUND- STATE 212.74 DR 7857-999-10010 236.38 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.32 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.86 DR 7856-999-10010 3.18 TOTAL (Dlstrlb Req to Oper Acct) $15,344.85 DUE TO OTHERS (Distrlb 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 0.00 743.90 0.00 0.00 68.00 0.00 TOTAL DUE TO OTHERS $811.90 Revised 7/13/2011 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $16,156.75 $16,156.75 $0.00 Page 2 of 2 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT CODE CASH BONOS ADMINISTRATION FEE-ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS - CCC COURTHOUSE SECURITY - CHS CJP CIVIL JUSTICE DATA REPOSITORY FEE. CJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAfETY - CS CHILD SEA TBEL T FEE - CSBF CRIMEVICTIMS.COMPENSATION. CVC DPSC/FAILURE TO APPEAR - OMNI- DPSC FUGITJVEARPREHENSION ~ FA GENERAL REVENUE - GR CRIM -IND LEGAL SVCS SUPPORT -IDF JUVENILE CRIME & DELINQUENCY" JCD JUVENILE CASE MANAGER FUND - JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT . JUSTICE COURT SECURITY FUND - JCSF JUROR SERVICE FEE - JSF LOCAL ARREST FEES -LAF LEMl LEOA LEOC OCL PARKS & WILDLIFE ARREST FEES - PWAF STATE ARREST FEES. SAF SCHOOL CROSSING/CHILD SAFETY FEE - SCp SUBTITLE C - SUBC TABC ARREST fEES - TAF TECHNOLOGY FUND - TF TRAFFIC - TFC TIME PAYMENT - TIME LOCAL & STATE WARRANT fEES - WRNT COLLECTION SERVICE FEE-MVBA. CSRV DEFENSIVE DRIVING COURSE .-DDC DEFERRED FEE - DFF DRIVING ExAM-FEE.'PROV OL FILING FEE - ffEE FILING FEE SMALL CLAIMS" fFSC JURY FEE_- JF COPIES/CERTlfED COPIES. CC INDIGENT FEE ~ C.fFForJNDF 'JUDGE PAY RAISE FEE_. JPAY SERVICE FEE ~ SFEE OUT-OF-COUNTY SjORVICE FEE EXPUNGEMENT FEE - EXPG EXPIRED RENEWAL - EXPR ABSTRACT OF JUDGEMENT - AOJ ALL WRITS - WOP / WOE DPS FTA FINE" DPSF LOCAL FINES. FINE LICENSE & WEIGHT FEES - LWF . PARKS & WILDLIFE FINES - PWF SEATBELT/UNRESTRAINED CHILD FINE - SEAT . OVERPAYMENT ($10 & OVER) . OVER * OVERPAYMENT (LESS THAN $10) - OVER . RESTITUTION - REST PARKS & WILDLIFE-WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEiVED TYPE:- TOTAL WARRANT FEES ENTER LOCAL WARRANT FEES I STATE WARRANT FEES DUE TO OTHERS; DUE TO celSD - 500/0 of Fine on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT~OF-COUNTY SERVICE FEE CASH BONDS TOTAL DUE TO OTHERS TREASURERS RECEIPTS fOR MONTH: CASH, CHECKS, M,O.s & CREDIT CARDS - TOTAL TREAS. RECEIPTS Rev-lsed 07/131-11 AMOUNT J,058.71' - - 375.67 'IRECORD ONTOTN-PAGE OF HILL COUNTRY SOFTWARE MO. REPORT $683.0_4 _; RECORD ON TOT At. PAGE OF HILL COUNTRY SOFTWARE MO. REPORT --o;qo_' PLEASE INCLUDE D.R REQUESTING DISBURSEMENT ,_ ~:_ ,::,,0,99, PLEASE INCLUDE D.R REQUESTING DISBURSEMENT - -, - ":0.60,' PLEASE INCLUDE DR. REQUESTING DISBURSEMENT _," ,O.OQ PLEASE INCLUDE DR REQUESTING DISBURSEMENT ~--.; ~ -:::_0:00'- PLEASE INCLUDE OR REQUESTING DISBURSEMENT (IF REQUIRED) $0.00 AMOUNT $12;651$1: Calculate from ACTUAL Treasurer's Receipts $12,651.87 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2012 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 4,869.75 CR 1000-001-44190 SHERIFF'S FEES 1,154.14 ADMIN/STRA T1VE FEES: DEFENSIVE DRIVING 39.60 CHILD SAFETY 10.16 TRAFFIC 74.93 ADMINISTRATIVE FEES 441.92 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 566.61 CR 1000-001-44010 CONSTABLE FEES-SERVICE 75.00 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) 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 SEA TBEL T FEE 0.00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 628.12 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7,343.62 CR 2670-001-44062 COURTHOUSE SECURITY FUND $167.05 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $55.68 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $223.73 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $86.88 STA TE ARREST FEES DPS FEES 162.39 P&W FEES 6.56 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 168.95 CR 7070-999-20610 CCC-GENERAL FUND 223.77 CR 7070-999-20740 CCC-STATE 2,013.93 DR 7070-999-10010 2,237.70 CR 7860-999-20610 STF/SUBC-GENERAL FUND 35.95 CR 7860-999-20740 STF/SUBC-STATE 683.04 DR 7860-999-10010 718.99 CR 7950-999-20610 TP-GENERAL FUND 108.05 CR 7950-999-20740 TP-STATE 108.04 DR 7950-999-10010 216.09 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 11.40 DR 7480-999-10010 12.00 Page 1012 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2012 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 07/13/11 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 10.99 98.88 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 109.87 TUFTA-GENERALFUND 110.13 TUFT A-STATE 220.26 DR 7970-999-10010 330.39 JPAY - GENERAL FUND 32.96 JPAY - STATE 296.65 DR 7505-999-10010 329.61 JURY REIMB. FUND- GEN. FUND 21.97 JURY REIMB. FUND- STATE 197.76 DR 7857-999-10010 219.73 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS.- STATE 0.23 2.10 DR 7856-999-10010 2.33 TOTAL (Distrib Req to Oper Acct) $12,222.62 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 0.00 429.25 0.00 $429.25 TOTAL DUE TO OTHERS TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $12,651.87 $12,651.87 $0.00 Page 2 of2 09/27/2012 Money Distribution Report Page 5 JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent Cash and Checks Collected Type Code Description Count Retained Disbursed Money-TotaLs The foLLowing totals represent - Cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS 39 148.81 1,339.27 1,488.08 t 1'7/.00'=- ',I,,:YI,015 COST CHS COURTHOUSE SECURITY 39 114.33 0.00 114.33 {--- lii.DO-"='" 1.;3~,3.s COST CJDD CIVIL JUSTICE DATA REPOSITORY FEE 32 0.31 2.81 3.12 f ,,3\).:; ,),49. COST CJP CJP 2 1.00 9.00 10.00 COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 2 0.10 0.90 1.00 COST CR CR 2 1.00 9.00 10.00 45,00= 11>5:.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 4 6.00 54.00 60.00.j.. COST DPSC OMNI 4 39.60 80.40 120.00 +- qt:>,DO: "lID,OD COST FA FUGITIVE APPREHENSION 2 1.00 9.00 10.00 of- /f),!QI{):::' QS,'C.o COST GR GENERAL REVENUE 2 0.50 4.50 5.00 73,S&, COST IDF INDIGENT DEFENSE FUND 35 6.76 60.80 67.56 + Is ,GO-:: COST JCD JUVENILE CRIME AND DELINQUENCY 2 0.10 0.90 1.00 + ,l~":: (, '1S" COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 4 0.60 5.40 6.00 + 5,1l0:::' 11,00 COST JCSF JUSTICE COURT SECURITY FUND 36 34.78 0.00 34.78 4- 3,'i;)Q: 3'l,7"6 COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 36 20.67 186.00 206.67 1- i-;/.OO::: Sl..,,+. (,.,7 COST JSF JUROR REIMBURSEMENT FEE 36 13.91 125.18 139.09 + \~,QO :::.r::s-I, ~g COST LAF SHERIFFIS FEE 14 66.21 0.00 66.21 +- fS,E>\!.l;:;; 'lS1, \ COST LEOA LAW ENFORCEMENT OFFICE ADMINISTRATION 2 0.30 2.70 3.00 \ (y,Cl'O ::: 11.(7 I b? COST SAF DPS 27 106.14 26.53 132.67 f- easT SUBC SUBT ITLE C 34 49.74 945.11 994.85 t Cjt>.OO ==-'p~N.S.s- COST TF TECHNOLOGY FUND 39 151.11 0.00 151.11 \'@.ot\O::: 1103, II COST TFC TFC 36 105.48 0.00 105.48 4- \ 21., \C 0 -::: I I '7,1..\ g' COST TIME TIME PAYMENT FEE 6 64.52 64.53 129.05 I DO .W:::: '-l5D,01:l COST WRNT WARRANT FEE 6 350.00 0.00 350.00 -\- FEES CIFF CIVIL INDIGENT FILING FEE 4 1.20 22.80 24.00 FEES CSRV COLLECTION SERVICE FEE 3 345.60 0.00 345.60 FEES CVFF CIVAL FILING FEE 4 100.00 0.00 100.00 C), qO'::- 1\<Zs,IW FEES DOC DEFENSIVE DRIVING 11 108.90 0.00 108.90 1- FEES OFF DEFERRED FEE 7 733.30 0.00 733.30 FEES EXRF EXPIRATION RENEWAL FEE 2 40.00 0.00 40.00 6,0(;)::: 3S.()U FEES JCMF JUVENILE CASE-MANAGER FEE 6 30.00 0.00 30.00 +- FEES SF SERVICE FEE 4 300.00 0.00 300.00 FINE DPSF DPS FTA FINE 1 290.00 0.00 290.00 (p 5/. 3D.::' .;), lfSB.}{]::\ FINE FINE FINE 24 2,207.00 0.00 2,207.00 t REST REST RESTITUTION 1 55.00 0.00 55.00 Money Totals 52 5,493.97 2,948.83 8,442.80 + tl Q~,-\.~5:- q o Yi,05"'" The following totals represent - Transfers Collected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST CJDD CIVIL JUSTICE DATA REPOSITORY FEE 0 0.00 0.00 0.00 COST CJP CJP 0 0.00 0.00 0.00 COST CM! CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00 COST CR CR 0 0.00 0.00 0.00 COST Cvc COMPENSATION TO VICTIMS OF CRIME 0 0.00 0.00 0.00 09/27/2012 Money Distribution Report JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT Page 6 ------~------------------------------------------------------------------------.----------------------------.----------------------- The following totaLs represent - Transfers CoLlected Type Code Description COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST FEES FEES FEES FEES FEES FEES FEES FEES FINE FINE REST DPSC FA GR IDF JCD JCPT JCSF JPAY JSF lAF lEOA SAF SUBC TF TFC TIME WRNT CIFF CSRV CVFF DOC OFF EXRF JCMF SF DPSF FINE REST OMNI FUGITIVE APPREHENSION GENERAL REVENUE INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR REIMBURSEMENT FEE SHERIFFIS FEE lAW ENFORCEMENT OFFICE ADMINISTRATION DPS SUBT JTlE 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 JUVENILE CASE-MANAGER FEE SERVICE FEE DPS FTA FINE FINE REST JTUT ION Count 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 The following totaLs represent - Jail Credit and Community Service COST CCC COST CHS COST CJDD COST CJP COST eMI COST CR COST CVC COST DPSC COST FA COST GR COST lD F COST JCD COST JCPT COST JCSF COST JPAY COST JSF Transfer Totals CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA REPOSITORY FEE CJP CORRECTIONAL MANAGEMENT INSTITUTE CR COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION GENERAL REVENUE INOIGENT DEFENSE FUND JUVENILE CRIME ANO DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR REIMBURSEMENT FEE 4 4 1 o 2 o 2 2 2 o 2 2 2 2 2 2 Retained 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 11.40 13.00 0.01 0.00 0.10 0.00 3.00 19.80 1.00 0.00 0.40 0.10 0.40 2.00 1.20 0.70 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 0.00 102.60 0.00 0.09 0.00 0.90 0.00 27.00 40.20 9.00 0.00 3.60 0.90 3.60 0.00 10.80 6.30 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 0.00 114.00 13.00 0.10 0.00 1.00 0.00 30.00 60.00 10.00 0.00 4.00 1.00 4.00 2.00 12.00 7.00 09/27/2012 Money Distribution Report JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT Page 7 ---------------------------------------------------------------------------------------------------------------------.-------------- The following totals represent - Jail Credit and Community Service Type Code Description COST COST COST COST COST COST COST COST FEES FEES FEES FEES FEES FEES FEES FEES FINE FINE REST LAF LEOA SAF SUBC H HC TIME WRNT CIFF CSRV CVFF DDC DFF EXRF JCMF SF DPSF FINE REST SHERIFF'S FEE LAW ENFORCEMENT OFFICE ADMINISTRATION DPS SUBT ITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE CIVAL FILING FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE JUVENILE CASE-MANAGER FEE SERVICE FEE DPS FTA FINE FINE RESTITUTION The following totals represent - Credit Card Payments Credit Totals COST CCC COST CHS COST CJDD COST CJP COST CMI COST CR COST CVC COST DPSC COST FA COST GR COST ID F COST JCD COST JCPT COST JCSF COST JPAY COST JSF COST LAF COST LEOA COST SAF COST SUBC COST TF COST HC COST TIME COST WRNT FEES CIFF CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA REPOSITORY FEE CJP CORRECTIONAL MANAGEMENT INSTITUTE CR COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION GENERAL REVENUE INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR REIMBURSEMENT FEE SHERIFF'S FEE LAW ENFORCEMENT OFFICE ADMINISTRATION DPS SUBTITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE CIVIL INDIGENT FILING FEE Count 2 o 2 2 4 2 1 3 o 3 o o o o 1 o o 4 o 4 6 6 3 o o o 3 3 3 o 3 3 3 3 3 3 3 o 3 3 3 4 o 2 o Retained 10.00 0.00 8.00 3.00 16.00 6.00 12.50 150.00 0,00 283.50 0.00 0.00 0.00 0.00 5.00 0.00 0.00 719.90 0.00 1,267.01 17.10 18.00 0.03 0.00 0.00 0.00 4.50 29.70 1.50 0.00 0.60 0.07 0.50 3.00 1.80 1.20 15.00 0.00 12.00 4.50 12.00 12.00 0.00 100.00 0.00 Disbursed Money-Totals 0.00 0.00 2.00 57.00 0.00 0.00 12.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 276.49 153.90 0.00 0.27 0.00 0.00 0.00 40.50 60.30 13.50 0.00 5.40 0.68 4.50 0.00 16.20 10.80 0.00 0.00 3.00 85.50 0.00 0.00 0.00 0.00 0.00 10.00 0.00 10.00 60.00 16.00 6.00 25.00 15D.00 0.00 283.50 0.00 0.00 0.00 0.00 5.00 0.00 0.00 719.90 0.00 1,543.50 171.00 18.00 0.30 0.00 0.00 0.00 45.00 90.00 15.00 0.00 6.00 0.75 5.00 3.00 18.00 12.00 15.00 0.00 15.00 90.00 12.00 12.00 0.00 100.00 0.00 09/27/2012 Money Distribution Report JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT The folLowing totals represent - eredi t Card Payments Type Code Description FEES FEES FEES FEES FEES FEES FEES FINE FINE REST CSRV CVFF DOC OFF EXRF JCMF SF DPSF FINE REST COLLECTION SERVICE FEE CIVAL FILING FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE JUVENILE CASE-MANAGER FEE SERVICE FEE DPS FTA FINE FINE REST nUT ION Count The folLowing totals represent Combined Money and Credits COST eee COST CHS COST CJDD COST CJP COST CMI COST CR COST CVC COST DPSC COST FA COST GR COST 10 F COST JCD COST JCPT COST JCSF COST JPAY COST JSF COST LAF COST LEOA COST SAF COST SUBC COST TF COST TFC COST TIME COST WRNT FEES CIFF FEES CSRV FEES CVFF FEES DOC FEES OFF FEES EXRF FEES JCMF FEES SF FINE DPSF FINE FINE eredi t Totals CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA REPOSITORY FEE CJP CORRECTIONAL MANAGEMENT INSTITUTE CR COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION GENERAL REVENUE INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR REIMBURSEMENT FEE SHERI FF I S FEE LAW ENFORCEMENT OFFICE ADMINISTRATION DPS SUBTITLE 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 JUVENILE CASE-MANAGER FEE SERVICE FEE DPS FTA FINE FINE 49 49 36 2 4 2 9 9 7 2 40 7 9 41 41 41 19 2 32 39 46 42 7 11 4 6 4 12 7 2 8 4 1 33 Retained o o 1 o o 1 o o 5 o 0.00 0.00 9.90 0.00 0.00 5.00 0.00 0.00 651.30 0.00 6 899.70 177.31 145.33 0.35 1.00 0.20 1.00 13.50 89.10 3.50 0.50 7.76 0.27 1.50 39.78 23.67 15.81 91.21 0.30 126.14 57.24 179.11 123.48 77.02 600.00 1.20 629.10 100.00 118.80 733.30 40.00 40.00 300.00 290.00 3,578.20 Page 8 Disbursed Money-Totals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 394.55 1,595.77 0.00 3.17 9.00 1.80 9.00 121.50 180.90 31.50 4.50 69.80 2.48 13.50 0.00 213.00 142.28 0.00 2.70 31.53 1,087.61 0.00 0.00 77.03 0.00 22.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.90 0.00 0.00 5.00 0.00 0.00 651.30 0.00 1,294.25 1,773.08 145.33 3.52 10.00 2.00 10.00 135.00 270.00 35.00 5.00 77.56 2.75 15.00 39.78 236.67 158.09 91.21 3.00 157.67 1,144.85 179.11 123.48 154.05 600.00 24.00 629.10 100.00 118.80 733.30 40.00 40.00 300.00 290.00 3,578.20 09/27/2012 Money Distribution Report JUDGE GARY W. NOSKA JP3. SEPT. 2012 MONTHLY REPORT Page 9 The following totals represent ~ Combined Money and Credits Type Code Description Count Retained Disbursed Money-Totals REST REST RESTITUTION 55.00 0.00 55.00 Report Totals 62 7,660.68 3,619.87 11,280.55 09/27/2012 Money Distribution Report Page 10 JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT -------~---------------------------------------------------------------------------------------------.-.---------------------------- DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONOS REST nUT 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 & 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 09-01-1991 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 09-01-1993 Cash & Checks Collected 130.00 176.00 0.00 0.00 0.00 0.00 306.00 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 130.00 176.00 0.00 0.00 0.00 0.00 306.00 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 Collections 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 477.50 333.75 0.00 0.00 0.00 0.00 811.25 Total of all Collections 477.50 333.75 0.00 0.00 0.00 0.00 811.25 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 130.00 165.00 88.50 0.00 0.00 0.00 383.50 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 130.00 165.00 88.50 0.00 0.00 0.00 383.50 01-01-2004 Cash & Checks Collected 2,367.00 4,033.00 1,681.80 0.00 55.00 0.00 8,136.80 Jail Credits & Comm Service 589.90 370.10 200.00 0.00 0.00 0.00 1,160.00 Credit Cards & Transfers 173.80 294.30 14.90 0.00 0.00 0.00 483.00 Total of all Collections 3,130.70 4,697.40 1,896.70 0.00 55.00 0.00 9,779.80 TOTALS Cash & Checks Collected 2,497.00 4,209.00 1,681.80 0.00 55.00 0.00 8,442.80 Jail Credits & Comm Service 719.90 535.10 288.50 0.00 0.00 0.00 1,543.50 Credit Cards & Transfers 651.30 628.05 14.90 0.00 0.00 0.00 1,294.25 Total of all Collections 3,868.20 5,372.15 1,985.20 0.00 55.00 0.00 11,280.55 09/27/2012 Money Distribution Report JUDGE GARY W. NOSKA JP3, SEPT. 2012 MONTHLY REPORT Page 11 DATE PAYMENT-TYPE ---------~~------------------------------------------------------------------------------------------------------------------------- TOTAL 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 Comm Supvn DNA Testing Fee Juveni le 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 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 FINES COURT-COSTS FEES BONOS RESTITUTION Count Coll ected Retained Disbursed 52 1,654.08 165.41 1,488.67 0 0.00 0.00 0.00 15 116.75 11.67 105.08 0 0.00 0.00 0.00 12 60.00 6.00 54.00 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 39 151.09 15.11 135.9B 38 73.56 7.36 66.20 35 3.42 0.34 3.08 37 1,084.85 54.24 1,030.61 30 147.67 118.14 29.53 7 210.00 69.30 140.70 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 6 129.05 64.52 64.53 0 0.00 0.00 0.00 39 224.67 22.47 202.20 310 3,855.14 534.56 3,320.58 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 4 24.00 1.20 22.80 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 4 24.00 1.20 22.80 314 3,879.14 535.76 3,343.38 OTHER ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT ; JUSTICE OF PEACE NO.4 SEPTEMBER ' 2012 CODE CASH BONOS ADMINISTRATION FEE - ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT COSTS - cee COURTHOUSE SECURITY - CHS CJP CIVIL JUSTICE DATA REP - MVF/CJDR C9R~ECT10NAL MANAGEMENT INSTITUTE -.OMI CR CHILD SAFETY ~ OS CHILD SEATBELT-FEE - CSBF CRIME VICTIMS COMPENSATION - eve DPSC/FAILURE TO APPEAR - OMNI- DPSC FUGITIVE APPREHENSION - FA GENERALREVENUE~GR CRIM - IND LEGAL SVCS SUPPORT - IDF JUVENIlE'CRIME & DELlNQUENC:Y~ Jon 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 LEOC , OCL PARKS & WILDLIFE ARREST FEES - PWAF STAJE,ARREST;FEES-- SAF SCHOOL CROSSING/CHILD SAFETY FEE - SCF SUBTITLE C ~ SUBe TABC'ARREST FEES -TAF TECHNOLOGY FUND - TF TRAFFIC M_IfO TIME PAYMENT - TIME LOCAL & STATE WARRANT FEES - WRNT COLLECTION SERVICE FEE-MVBA - CSRV DEFENSIVE DRIVING COURSE - DOC DEFERRED'FEE - DFF DRIVING EXAM FEE- PROV DL FILING FEE - FFEE flUNG FEE SMALL CLAIMS ~ FFSC COPIES/CERTlFED COPIES ~ CC INDIGENT FEE -,CIFF or INDF -JUDGE PAY-RAISE FEE ~ JPAY SERVICE FEE - SFEE OUT-OF-COUNTY SERVICE FEE EXPUNGEME;NT:FEE - EXPG EXPIRED RENEWAL - EXPR ABSTRACT OF JUDGEMENT - AOJ ALL WRITS - WOP / WOE DPS FTA FINE - DPSF LOCAL FINES - FINE LICENSE & WEIGHT FEES - LWF PARKS & WILDLIFE FINES - PWF SEATBELT/UNRESTRAINED CHILD FINE- SEAT . OVERPAYMENT ($10 & OVER) - OVER .. OVERPAYMENT (LESS THAN $10) - OVER RESTITUTION - REST PARKS & WILDLIFE-WATER SAFETY FINES-WSF WCR , TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER_LOCAL WA'R~ANT- FEESI STATE WARRANT FEES DUE TO OTHERS; DUE TO ~CCISD - 50%,'of FIne on JV cases DUE TO DA RESTITUTION FUND REFUND,OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS TOTAL OUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: CASH, CHECKS, M.O.s & CREDIT CARDS TOTAL TREAS: RECEIPTS AMOUN Revised 07/13/11 1,527.16 123.16 2.19 0.50 15.00 190.98 5.00 74.44 0.50 50.00 2.00 36.76 145.12 71.83 30.00 89,27 655.59 155.01 68,54 280.48 645.08 422,10 39,60 100.00 25.00 6,00 245.12 75.00 40.00 217.00 3,162.30 935.00 $9,435.73 AMOUNT 645,08 0.00 IR'ECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT $645.0~ RECORD ONTOTAL PAGE OF !-IILL COUNTRY SOFTWARE MO. REPORT AMOUNT 0,00 PLEASE INCLUDE DR REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE DR. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) $0.00 AMOUNT $9,435,73 Calculate from ACTUAL Treasurer's ReceIpts $9,435.73 CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 DISTRIBUTION REQUEST DR# 480A41186 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: James Dworaczyk Justice of the Peace, Pet. 4 ( l ACCOUNT NUMBER DESCRIPTION AMOUNT 7544-999-20759-999 JP4 Monthly Collections" Distribution $8,640.98 SEPTEM8ER 2012 V# 967 TOTAL 8,640.98 Date MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/4/2012 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1 000-001-45014 FINES 3,519.55 CR 1000-001-44190 SHERIFF'S FEES 683.31 ADMINISTRA TIVE FEES: DEFENSIVE DRIVING 39.60 CHILD SAFETY 0.00 TRAFFIC 68.54 ADMINISTRATIVE FEES 140.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 248.14 CR 1000-001-44010 CONSTABLE FEES-SERVICE 75.00 CR 1000-001-44064 JP FlUNG FEES 25.00 CR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 655.59 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 422.10 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,628.69 CR 2670-001-44064 COURTHOUSE SECURITY FUND $123.16 CR 2720-001-44064 JUSTICE COURT SECURITY FUND $36.76 CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $155.01 CR 2699-001-44064 JUVENILE CASE MANAGER FUND $50.00 STATE ARREST FEES DPS FEES 146.87 P&W FEES 6.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 152.87 CR 7070-999-20610 CCC-GENERAL FUND 155.02 CR 7070-999-20740 CCC-STATE 1,395.14 DR 7070-999-10010 1,550.16 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.00 CR 7860-999-20740 STF/SUBC-STATE 0.00 DR 7860-999-10010 0.00 CR 7950-999-20610 TP-GENERAL FUND 140.24 CR 7950-999-20740 TP-ST A TE 140.24 DR 7950-999-10010 280.48 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 1 of 2 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/4/2012 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2012 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.44 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 67.00 DR 7865-999-10010 74.44 CR 7970-999-20610 TUFTA-GENERAL FUND 63.66 CR 7970-999-20740 TUFT A-STATE 127.32 DR 7970-999-10010 190.98 CR 7505-999-20610 JPAY - GENERAL FUND 24.51 CR 7505-999-20740 JPAY - STATE 220.61 DR 7505-999-10010 245.12 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 14.51 CR 7857-999-20740 JURY REIMB. FUND- STATE 130.61 DR 7857-999-10010 145.12 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.22 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.97 DR 7856-999-10010 2.19 TOTAL (Distrib Req to Oper Acet) $8,640.98 DUE TO OTHERS (Distrib Req Attehd) CALHOUN COUNTY ISO 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 0.00 794.75 0.00 TOTAL DUE TO OTHERS $794.75 Revised 07/13/11 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $9,435.73 $9,435.73 $0.00 Page 2 of2 CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 DISTRIBUTION REQUEST DR# 480 B 41186 PAYEE Name: Texas Parks 8: 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 $ 794.75 SEPTEMBER 2012 V# 7603 TOTAL 794.75 " ~ o ID ~ () ?> c ~ o () " ~ () '" ~ o w '" o ::> . u. o w () u: u. o W J: t- f;; o w te o "- w '" " o Z w () U'i "- u. o w () t; ::> . ., ~ o ID ~ () 15 c ~ o E <( '" W Z u: w", u.~ ~~ d", ::w 011 to "," "W ~~ "-'" c _0 O~ Q)"w mO o. i5 N ;; ~ m 15- ID ~ m to 0<( m N o o 0 ~ ~ "' 00 :: '0"- ~.s ~ ID 00 C u: o 00 o <- N M ~ 00 ., ., mID - c 0.- t-u. o 0 o 0 ci u:i m " N N ., ., ~ "ID ~u. 0$ () . o () o 0 o 0 ci ci ~ ~ ., ., ID C u: o 0 o 0 ci u:i ~ <- ., ., . ID 0:: ~ ~ S 5 '" " N o ~ ~ N ;; "! :;: m ~ o "! " ~ ~ <- .; 00 '" ., 000 000 ci ci 0 '" N 00 " N '" ., ., o o on m ., o o on '" '" ., ~ 5 '" N ;; ~ m N o "! 00 ~ "' ~ '" ~ ~ ., o o on ~ '" o o on ~ ~ ., ~ 5 '" N o ~ m ~ o "! 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"' '" '" ;; N 10/04/2012 Money Distribution Report Page ---------------------------------------------------------------- H____________ ------------- ____________________HH_____ ----------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount TotaL 3929870 2012-352 09-01-2012 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 JSF 4.00 !DF 2.00 165.00 AMASON, NICHOLAS CHASE JPAY 6.00 FINE 100.00 JCSF 1.00 Cash 3929871 2011-265 09-04-2012 CCC 40.00 CHS 3.00 LAF 5.00 WRNT 100.00 TIME 25.00 TF 4.00 401.00 GARCIA, JULIAN DPSC 30.00 JSF 4.00 !DF 2.00 FINE 95.00 CSRV 81.00 JCMF 5.00 Cash JPAY 6.00 JCSF 1.00 3929872 2011-266 09-04-2012 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 WRNT 100.00 TIME 25.00 362.00 GARCIA, JULIAN TF 4.00 SUBC 30.00 DPSC 30.00 JSF 4.00 IDF 2.00 CJDR 0.10 Cash FINE 31.90 CSRV 72.00 JCMF 5.00 JPAY 6.00 JCSF 1.00 3929873 2012-346 09-04-2012 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 100.00 RIVERA, JOHN ANTHONY JSF 4.00 !DF 2.00 CJOR 0.10 JPAY 6.00 FINE 1.90 JCSF 1.00 Cash 3929874 2012-329 09-04-2012 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 SUBC 30.00 185.00 SPAULDING, BRADLEY STEVEN JSF 4.00 !DF 2.00 CJOR 0.10 JPAY 6.00 FINE 86.90 JCSF 1.00 P.J. SHRIMP CO. Personal Check 3929875 2012-344 09-04-2012 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 270.00 NGUYEN, KIM ANH JSF 4.00 !DF 2.00 CJOR 0.10 JPAY 6.00 FINE 121.90 DFF 50.00 Credit Card JCSF 1.00 3929878 2012-073 09-04-2012 FINE 40.00 40.00 HARTMAN, JAMIE RENEE Cash 3929879 2012-173 09-04-2012 CCC 40.00 CHS 4.00 PWAF 5.00 TIME 25.00 TF 4.00 JCSF 1.00 43D.00 EDWARDS, THOMAS J. JSF 3.00 !DF 2.00 PWF 335.00 JCMF 5.00 JPAY 6.00 Cash 3929880 2012-234 09-05-2012 FINE 74.00 JCMF 5.00 JPAY 6.00 85.00 KILPATRICK, EDIE MAE Cash 3929881 2012-243 09-06-2012 FINE 100.00 100.00 FLORES, CANDICE ELAINE Money Order 3929882 2012-276 09-06-2012 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 TF 4.00 SUBC 30.00 105.00 HERNANDEZ, ANGEL ROLANDO JSF 4.00 !DF 2.00 CJDR 0.10 JPAY 6.00 FINE 6.90 JCSF 1.00 Money Order 3929883 2010-367 09-06-2012 CCC 40.00 CHS 3.00 LAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 465.00 GONZALES, ERNEST DPSC 30.00 JCSF 1.00 JSF 4.00 FINE Z99.00 JPAY 4.00 Jail Credit 3929884 2010-368 09-06-2012 CCC 40.00 CHS 3.00 LAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 465.00 GONZALES, ERNEST OPSC 30.00 JCSF 1.00 JSF 4.00 FINE 299.00 JPAY 4.00 Jail Credit 3929885 2010-367A 09-06-2012 CCC 40.00 CHS 4.00 LAF 5.00 WRNT 50.00 TF 4.00 DPSC 30.00 422.00 GONZALES, ERNEST JCSF 1.00 JSF 3.00 IDF 2.00 FINE 277.00 JPAY 6.00 Jail Credit 3929886 2012-116 09-06-2012 CCC 40.00 CHS 4.00 SAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 240.00 LAMPIER, RHONDA ROXANN JCSF 1.00 JSF 3.00 IDF 2.00 FINE 95.00 JCMF 5.00 JPAY 6.00 SHERIFF DEPT Persona l Check 3929887 2012-117 09-06-2012 WRNT 50.00 TIME 25.00 FINE 209.00 JCMF 5.00 JPAY 6.00 295.00 LAMPIER, RHONDA ROXANN SHERIFF DEPT Persona l Check 3929888 2012-055 09-06-2012 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 WRNT 50.00 TIME 25.00 240.00 DOOLIN, TIMOTHY CHRISTOPHER TF 4.00 SUBC 30.00 OPSC 30.00 JSF 4.00 !DF 2.00 CJOR 0.10 SHERIFF DEPT Persona l Check FINE 31.90 JCMF 5.00 JPAY 6.00 JCSF 1.00 3929889 2012-219 09-06-2012 CCC 40.00 CHS 3.00 LAF 5.00 TF 4.00 JCSF 1.00 JSF 4.00 330.00 STARTZ, WILLIAM C IDF 2.00 FINE 260.00 JCMF 5.00 JPAY 6.00 SHERIFF DEPT Persona l Check 10/04/2012 Money Distribution Report Page 2 R___________~~________________________________________------------------------------------------------------------------------------ Receipt Cause/Defendant I Code Amount I Code Amount I Code Amount Code Amount Code Amount I Code Amount I Total I I I I I 3929890 2012-362 09-06-2012 I TFe 3.00 I eec 40.00 I eHS 3.00 LAF 5.00 TF 4.00 I SU8C 30.00 I 108.00 TRINH, THUONG THI I JCSF 1.00 I JSF 4.00 I IOF 2.00 CJDR 0.10 DOC 9.90 I JPAY 6.00 I Cash I I I I I 3929891 2012-291 09-10-2012 I TFC 3.00 I CCC 40.00 I eHS 4.00 LAF 5.00 TF 4.00 I SUBC 30.00 I 108.00 TRAN, TRI D I JSF 4.00 I IOF 2.00 I CJDR 0.10 JPAY 6.00 DOC 9.90 I I Money Order I I I I I 3929892 2012-347 09-10-2012 I TFC 3.00 I CCC 40.00 I eHS 3.00 SAF 5.00 TF 4.00 I SUBC 30.00 I 135.00 RAMIREZ, AARON I JSF 4.00 I IOF 2.00 I CJDR 0.10 JPAY 6.00 FINE 36.90 I JeSF 1.00 I Cash I I I I I 3929893 2012-345 09-10-2012 I TFC 3.00 I CCC 40.00 I CHS 3.00 SAF 5.00 TF 4.00 I SUBe 30.00 I 108.00 RISKEN, SABRINA SUE I JSF 4.00 I IOF 2.00 I CJDR 0.10 JPAY 6.00 I DOC 9.90 I JCSF 1.00 I Cash I I I I I I 3929894 2012 - 361 09-10-2012 I TFC 3.00 I cce 40.00 I CHS 3.00 LAF 5.00 ITF 4.00 SUBC 30.00 I 215.00 COOKE, LLOYD EDWIN I JSF 4.00 I IOF 2.00 I CJDR 0.10 FINE 66.90 I OFF 50.00 JPAY 6.00 I Money Order I JeSF 1.00 I I I I 3929895 2012-055A 09-10-2012 I FINE 131.00 I JPAY 6.00 I I I 137.00 DOOLIN, TIMOTHY CHRISTOPHER I I I I I SHERIFF DEPT Personal Check I I I I I 3929896 2012-277 09-10-2012 I TFC 3.00 I ecc 40.00 I eHS 3.00 SAF 5.00 ITF 4.00 SUBC 30.00 I 285 . 00 DOOLIN, TIMOTHY CHRISTOPHER I JSF 4.00 I IOF 2.00 I eJDR 0.10 JPAY 6.00 I FINE 186.90 JCSF 1.00 I SHERI FF DEPT Personal Check I I I I 3929897 HC-2012-03 09-10-2012 I CCC 21.42 CHS 2.14 I WRNT 26.78 TF 2.14 I JCSF 0.54 JSF 1.61 I 54.63 WILLIAMS, DIANA L I I I I SHERIFF OEPT Personal Check I I I I 3929898 HC-2012-03 09-10-2012 I cee 6.82 CHS 0.68 I WRNT 8.51 TF 0.68 I JCSF 0.17 JSF 0.51 I 130.00 WILLIAMS, DIANA L I FINE 50.00 INDF 2.00 I 0000 6.00 REST 54.63 I I Jail Credit I I I I 3929899 2012-375 09-11-2012 I EXRF 20.00 I I I 20.00 MCCLISH, JIMMIE DICK JR I I I I Cash I I I I 3929900 2012-351 09-11-2012 I CCC 40.00 CHS 3.00 I LAF 5.00 I TF 4.00 JSF 4.00 IOF 2.00 I 125.00 MORALES, ERIC I JPAY 6.00 FINE 60.00 I JCSF 1.00 I I Cash I I I I 3929901 2012-276 09-13-2012 I FINE 75.00 I I I 75.00 HERNANDEZ, ANGEL ROLANDO I I I I Credit Card I I I I 3929902 2011-502 09-13-2012 I TFC 3.00 cce 40.00 I eHs 3.00 I LAF 5.00 WRNT 50.00 TIME 25.00 I 494.00 NICHOLS, ROBERT J I TF 4.00 SUBC 30.00 I JSF 4.00 I IDF 2.00 CJDR 0.10 FINE 201. 90 I Credi t Card I CSRV 114.00 JCMF 5.00 I JPAY 6.00 I JCSF 1.00 I 3929903 2011-540 09-13-2012 I CCC 40.00 CHS 3.00 I LAF 5.00 I WRNT 50.00 TIME 25.00 TF 4.00 312.00 NICHOLS, ROBERT J I JSF 4.00 IOF 2.00 I FINE 95.00 I CSRV 72.00 JCMF 5.00 JPAY 6.00 Credit Card I JeSF 1.00 I I 3929904 2008-167 09-17-2012 I FINE 54.00 eSRV 18.00 I JPAY 6.00 I 78.00 BROWN, ROBBIE KYLE I I I Credit Card I I I 3929905 2008-167A 09-17-2012 I DPSF 217.00 eSRV 65.10 I I 282.10 BROWN, ROBBIE KYLE I I I Credit Card I I I 3929906 2012-348 09-17-2012 I EXRF 10.00 I I 10.00 HERNANDEZ, RAFAEL GUERRA I I I Money Order I I I 3929907 2012-355 09-17-2012 I CCC 40.00 CHS 3.00 I PWAF 5.00 I TF 4.00 JSF 4.00 IOF 2.00 220.00 GOMEZ, FAUSTINO I JPAY 6.00 PWF 155.00 I JeSF 1.00 I Money Order I I I 10/04/2012 Money Distribution Report Page 3 -------------~~~------------------------------------------------------------------------------------------ ------------------------- Receipt Cause/Defendant I Code Amount I Code Amount I Code Amount Code Amount I Code Amount Code Amount Total I I I I 392990B 2012-356 09-17-2012 I eee 40.00 I eHS 3.00 I PWAF 5.00 TF 4.00 I JSF 4.00 IDF 2.00 160.00 GOMEZ, FAUSTINO I JPAY 6.00 I PWF 95.00 I JeSF 1.00 I Money Order I I I I 3929909 2012-377 09-17-2012 I TFe 3.00 I eee 40.00 I eHS 3.00 SAF 5.00 ITF 4.00 SUBe 30.00 220.00 WALKER, GUICE VICTOR I JSF 4.00 I IDF 2.00 I eJDR 0.10 FINE 121.90 I JPAY 6.00 JeSF 1.00 Credit Card I I I 3929910 2012-358 09-17-2012 I TFe 3.00 I eee 40.00 I eHS 3.00 SAF 5.00 TF 4.00 SUBe 30.00 108.00 RUBESH, ANNA DELANEE I JSF 4.00 I IDF 2.00 I eJDR 0.10 DDe 9.90 JPAY 6.00 JeSF 1.00 Credit Card I I I 3929911 2012-368 09-17-2012 I TFe 3.00 I eee 40.00 I eHS 3.00 LAF 5.00 TF 4.00 SUBe 30.00 100.00 DEAN, ROBERT JOHN I JSF 4.00 I IDF 2.00 I eJDR 0.10 FINE 1.90 JPAY 6.DO JeSF 1.00 Cash I I I 3929912 2010-202 09-18-2012 I TFe 3.00 I eee 40.00 I eHS 4.00 LAF 5.00 WRNT 50.00 TIME 25.00 265 .00 HICKS, JOSHUA WAYNE I TF 4.00 I SUBe 30.00 I opse 30.00 JeSF 1.00 JSF 3.00 IDF 2.00 Jai L Credit I eJDR 0.10 I FINE 61.90 I 0000 6.00 3929913 2012-380 09-1B- 2012 I TFe 3.00 I eee 40.00 I eHS 3.00 SAF 5.00 TF 4.00 SUBe 30.00 220.00 GONZALES, CANDIDO V I JSF 4.00 I IDF 2.00 I eJDR 0.10 FINE 121.90 JPAY 6.00 JeSF 1.00 Money Order I I I 3929914 2012-372 09-19-2012 I eee 40.00 I eHS 3.00 I SAF 5.00 TF 4.00 I JSF 4.00 IDF 2.00 165.00 CANNAN, WILLIAM LEE JR I FINE 100.00 I JPAY 6.00 I JeSF 1.00 I Credit Card I I I I 3929915 2012-286 09-19-2012 I TFe 3.00 Ieee 40.00 eHS 3.00 I LAF 5.00 ITF 4.00 SUBe 30.00 165.00 DELEON, JUSTIN KEITH I JSF 4.00 I IDF 2.00 eJDR 0.10 I JPAY 6.00 I FINE 66.90 JeSF 1.00 Cash I I I I 3929916 2010-203 09-20-2012 Ieee 14.62 I eHS 1.46 LAF 1.83 I WRNT 18.30 I TIME 9.15 TF 1.46 60.00 HICKS, JOSHUA WAYNE I DPse 10.98 I JeSF 0.37 JSF 1.10 I IDF 0.73 I Cash I I I I 3929917 2009-383A 09-24-2012 Ieee 40.00 I eHS 4.00 SAF 5.00 I WRNT 50.00 I TF 4.00 DPse 30.00 422.00 DELEON, JOSE MARIO III I JesF 1.00 I JSF 3.00 IDF 2.00 I FINE 277.00 I JPAY 6.00 VICTORIA COUNTY Personal Check I I I I 3929918 2009-383 09-24-2012 I eee 40.00 I eHS 4.00 PWAF 5.00 I WRNT 50.00 I TIME 25.00 TF 4.00 290.00 DELEON, JOSE MARIO III I DPse 30.00 I JeSF 1.00 JSF 3.00 I IDF 2.00 PWF 120.00 JPAY 6.00 VICTORIA COUNTY Persona l Check I I I 3929919 2009-382 09-24-2012 I eee 40.00 I eHS 4.00 I PWAF 5.00 I WRNT 50.00 TIME 25.00 TF 4.00 245.00 DELEON, JOSE MARIO III I DPSC 30.00 I JeSF 1.00 I JSF 3.00 I IDF 2.00 PWF 75.00 JPAY 6.00 VICTORIA COUNTY Persona L Check I I I I 3929920 2012-376 09-24-2012 I TFe 3.00 I eee 40.00 I eHS 3.00 I SAF 5.00 TF 4.00 SUBe 30.00 180.00 RODRIGUEZ, LUPITA RODRIGUE2 I JSF 4.00 I IDF 2.00 I eJDR 0.10 I FINE 81.90 JPAY 6.00 JeSF 1.00 MEMBERS FIRST eRE Persona l Check I I I I 3929921 18795 09-24-2012 I JePT 2.00 I eve 15.00 I TFe 3.00 I eee 17.00 FA 5.00 JeD 0.50 105.00 HENDERSON, MATTHEW TERENCE I eHS 3.00 I eMI 0.50 I SAF 5.00 I TF 4.00 FINE 50.00 MVBA Persona l Check I I I I 3929922 2012-357 09-24-2012 I eee 40.00 I eHS 3.00 PWAF 5.00 I TF 4.00 JSF 4.00 IDF 2.00 220.00 MENDEZ, CESAR LOPEZ I JPAY 6.00 I PWF 155.00 JeSF 1.00 I Money Order I I I 3929923 2012-384 09-24-2012 I eee 40.00 I eHs 3.00 SAF 5.00 I TF 4.00 JeSF 1.00 JSF 4.00 120.00 MUNGUIA, LUZ MARIA I IDF 2.00 I FINE 55.00 JPAY 6.00 I Credit Card I I I 3929924 Je-2012-016 09-24-2012 I SF 75.00 I FFEE 25.00 el FF 6.00 I 106.00 MCDONOUGH, ERNY I I I Cash I I I 3929925 2012-385 09-24-2012 I TFe 3.00 I eee 40.00 eHS 3.00 I SAF 5.00 TF 4.00 SUBe 30.00 100.00 MUNGUIA, SALVADOR I JeSF 1.00 I JSF 4.00 IDF 2.00 I eJDR 0.10 FINE 1.90 JPAY 6.00 Credi t Card I I I 10/04/2012 Money Distribution Report Page 4 --~--------------------------------------------------------------------------------------------------------------------------------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount I Code Amount Code Amount Total I 3929926 2012-379 09-26-2012 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 I TF 4.00 SUBC 30.00 220.00 INMAN, BRITTNEY RENE JSF 4.00 !OF 2.00 CJOR 0.10 FINE 121.90 I JPAY 6.00 JCSF 1.00 Money Order I 3929927 2012-360 09-26-2012 EXRF 10.00 I 10.00 IRVING, SHE I LA YVETTE I Money Order I 3929928 2012-334 09-27-2012 TFC 2.54 CCC 34.12 CHS 2.56 SAF 4.27 I TIME 21.33 TF 3.41 105.00 MEND02A, JUAN ROBERTO SUBC 25.59 JSF 3.41 10F 1. 71 CJDR 0.09 I JPAY 5.12 JCSF 0.85 Money Order I 10/04/2012 Money Distribution Report Page 5 ~~_________M__________________________________________------------------------------------------------------------------------------ The following totals represent - Cash and Checks CoLlected Type Code Description Count Retained Disbursed Money-TotaLs COST CCC CONSOLIDATED COURT COSTS 32 120.72 1,086.44 1,207.16 COST CHS COURT HOUSE SECURITY 32 99.16 0.00 99.16 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 17 0.17 1.52 1.69 COST CMI CMI 1 0.05 0.45 0.5D COST CVC CVC 1 1.50 13.50 15.00 COST DPSC DPS OMNIBASE FEE 7 63.02 127.96 190.98 COST FA FA 1 0.50 4.50 5.00 COST IDF INDIGENT DEFENSE FUND 30 5.84 52.60 58.44 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 30 28.76 0.00 28.76 COST JPAY DISTRICT JUDGE PAY RAISE FEE 32 19.11 172.01 191.12 COST JSF JUROR SERVICE FUND 31 0.00 113.12 113.12 COST LAF SHERIFFIS FEE 13 61.83 0.00 61.83 COST PWAF TEXAS PARKS & WILDLIFE 6 24.00 6.00 30.00 COST SAF DPS 12 47.42 11.85 59.27 COST SUBC SUBT ITLE C 17 25.28 480.31 505.59 COST TF TECHNOLOGY FUND 32 123.01 0.00 123.01 COST TFC TFC 18 53.54 0.00 53.54 COST TIME TIME PAYMENT FEE 10 115.24 115.24 230.48 COST WRNT WARRANT FEE 10 545.08 0.00 545.08 FEES 0000 00000000000000000000000000 0 0.00 0.00 0.00 FEES CIFF CIVIL INDIGENT FILING FEE 1 0.30 5.70 6.00 FEES CSRV COLLECTION SERVICE FEE 2 153.00 0.00 153.00 FEES DOC DEFENSIVE DRIVING 3 29.70 0.00 29.70 FEES DFF DEFERRED FEE 1 50.00 0.00 50.00 FEES EXRF EXPIRATION RENEWAL FEE 3 40.00 0.00 40.00 FEES FFEE FILING FEE 1 25.00 0.00 25.00 FEES INDF I ND I GENT FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 8 40.00 D.OO 40.00 FEES SF SERVICE FEE 1 75.00 O.OD 75.00 FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00 FINE FINE FINE 25 2,335.70 0.00 2,335.70 FINE PWF PARKS & WILDLIFE FINE 6 140.25 794.75 935 . 00 REST REST RESTI TUT ION 0 0.00 0.00 0.00 Money Totals 41 4,223.43 2,988.20 7,211.63 The following totals represent - Transfers Col Lected COST CCC CONSOLIDATED COURT COSTS 0 O.DO 0.00 0.00 COST CHS COURT HOUSE SECURITY 0 O.DO 0.00 0.00 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 D.OO 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 OMNIBASE FEE 0 0.00 0.00 O.DO COST FA FA 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 D.OO COST JCD JCD 0 0.00 0.00 D.OO COST JCPT JCPT 0 0.00 0.00 O.OD 10/04/2012 Money Distribution Report Page 6 ----------------------------------------------------------------------------------~------------------------------------------------- The following totals represent - Transfers CoLlected Type Code Description Count Retained Disbursed Money-Totals COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY DISTRICT 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 I S FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF OPS 0 0.00 0.00 0.00 COST SUBC SUBT I TLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES 0000 00000000000000000000000000 0 0.00 0.00 0.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00 FEES DOC OEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES INOF I NO I GENT FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FEES SF SERVICE 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 REST REST REST !TUT! ON 0 0.00 0.00 0.00 Transfer Totals 0 0.00 0.00 0.00 The foLlowing totaLs represent - Jai t Credit and Community Service COST CCC CONSOLIOATEO COURT COSTS 5 16.68 150.14 166.82 COST CHS COURT HOUSE SECURITY 5 14.68 0.00 14.68 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 1 0.01 0.09 0.10 CDST CMI CMI 0 0.00 0.00 0.00 COST CVC CVC 0 0.00 0.00 0.00 COST OPSC DPS OMNIBASE FEE 4 39.60 80.40 120.00 COST FA FA 0 0.00 0.00 0.00 COST !DF INDIGENT DEFENSE FUNO 2 0.40 3.60 4.00 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 FUNO 5 4.17 0.00 4.17 COST JPAY DISTRICT JUDGE PAY RAISE FEE 3 1.40 12.60 14.00 COST JSF JUROR SERVICE FUND 5 0.00 14.51 14.51 COST LAF SHERI FF I S FEE 4 20.00 0.00 20.00 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! TLE C 1 1.50 28.50 30.00 COST TF TECHNOLOGY FUND 5 16.68 0.00 16.68 COST TFC TFC 1 3.00 0.00 3.00 COST TIME TIME PAYMENT FEE 3 37.50 37.50 75.00 10/04/2012 Money Distribution Report Page 7 --------~~-----------~-------------------------------------------------------------------------------------------------------------- The following totals represent - Jai l Credi t and Community Service Type Code Description Count Retained Disbursed Money-Totals COST WRNT WARRANT FEE 5 208.51 0.00 208.51 FEES 0000 00000000000000000000000000 2 12.00 0.00 12.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00 FEES DOC DEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES DFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES INOF INDIGENT FEE 1 0.10 1.90 2.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FEES SF SERVICE FEE 0 0.00 0.00 0.00 FINE OPSF DPS FTA FINE 0 0.00 0.00 0.00 FINE FINE FINE 5 986.90 0.00 986.90 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 REST REST RESTITUTION 1 54.63 0.00 54.63 Credit Totals 5 1,417.76 329.24 1,747.00 The following totals represent - Credi t Card Payments COST CCC CONSOLIDATED COURT COSTS 8 32.00 288.00 320.00 COST CHS COURT HOUSE SECURITY 8 24.00 0.00 24.00 COST CJOR CIVIL JUSTICE DATA RES\POSITORY FEE 5 0.05 0.45 0.50 COST CMI CMI 0 0.00 0.00 0.00 COST CVC CVC 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 IDF INDIGENT DEFENSE FUND 8 1.60 14.40 16.00 COST JCO JCD 0 0.00 0.00 0.00 COST JCPT JCPT 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 8 8.00 0.00 8.00 COST JPAY DISTRICT JUDGE PAY RAISE FEE 9 5.40 48.60 54.00 COST JSF JUROR SERVICE FUND 8 0.00 32.00 32.00 COST LAF SHERIFFIS FEE 2 10.00 0.00 10.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF OPS 6 24.00 6.00 30.00 COST SUBC SUBT ITLE C 5 7.50 142.50 150.00 COST TF TECHNOLOGY FUND 8 32.00 0.00 32.00 COST TFC TFC 5 15.00 0.00 15.00 COST TIME TIME PAYMENT FEE 2 25.00 25.00 50.00 COST WRNT WARRANT FEE 2 100.00 0.00 100.00 FEES 0000 00000000000000000000000000 0 0.00 0.00 0.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 4 269.10 0.00 269.10 FEES DOC DEFENSIVE DRIVING 1 9.90 0.00 9.90 FEES DFF DEFERRED FEE 1 50.00 0.00 50.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES INOF I ND I GENT FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 2 10.00 0.00 10.00 10/04/2012 Money Distribution Report -------------------------------------------------------------------------------------------------------------------.---------------- Page 8 The following totals represent - Credit Card Payments Type Code Description FEES SF FINE DPSF FINE FINE FINE PWF REST REST SERVICE FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE REST nUT ION Credit Totals Count 11 The following totaLs represent Combined Money and Credits COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST FEES FEES FEES FEES FEES FEES FEES FEES FEES FEES FINE FINE FINE REST CCC CHS CJDR CMI CVC DPSC FA IDF JCo JCPT JCSF JPAY JSF LAF PWAF SAF SUBC TF TFC TIME WRNT 0000 CIFF CSRV DOC OFF EXRF FFEE INoF JCMF SF oPSF FINE PWF REST CONSOLIDATED COURT COSTS COURT HOUSE SECURITY CIVIL JUSTICE DATA RES\POSITORY FEE CMI CVC OPS OMNIBASE FEE FA INDIGENT DEFENSE FUND JCD JCPT JUSTICE COURT SECURITY FUND DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE OPS SUBTITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE 00000000000000000000000000 CIVIL INDIGENT FILING FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE EXPIRATION RENEWAL FEE FILING FEE I ND I GENT FEE JUVENILE CASE MANAGER FEE SERVICE FEE OPS FTA FINE FINE PARKS & WILDLIFE FINE RESTITUTION Report Totals 45 45 23 1 1 11 1 40 1 1 43 44 44 19 6 18 23 45 24 15 17 2 1 6 4 2 3 1 1 10 1 1 39 6 1 57 Retained o 1 9 o o 0.00 217.00 826.60 0.00 0.00 1,667.15 169.40 137.84 0.23 0.05 1.50 102.62 0.50 7.84 0.05 0.20 40.93 25.91 0.00 91.83 24.00 71.42 34.28 171.69 71.54 177.74 853.59 12.00 0.30 422.10 39.60 100.00 40.00 25.00 0.10 50.00 75.00 217.00 4,149.20 140.25 54.63 7,308.34 Disbursed Money-Totals 0.00 0.00 0.00 0.00 0.00 556.95 1,524.5B 0.00 2.06 0.45 13.50 208.36 4.50 70.60 0.45 1.80 0.00 233.21 159.63 0.00 6.00 17.85 651.31 0.00 0.00 177.74 0.00 0.00 5.70 0.00 0.00 0.00 0.00 0.00 1.90 0.00 0.00 0.00 0.00 794.75 0.00 3,874.39 0.00 217.00 826.60 0.00 0.00 2,224.10 1,693.98 137.84 2.29 0.50 15.00 310.98 5.00 78.44 0.50 2.00 40.93 259.12 159.63 91.83 30.00 89.27 685.59 171.69 71.54 355.48 853.59 12.00 6.00 422.10 39.60 100.00 40.00 25.00 2.00 50.00 75.00 217.00 4,149.20 935.00 54.63 11,182.73 10/04/2012 Money Distribution Report Page 9 ----------------------------------------------------------------------------------------------------------------------------------.- DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONOS REST ITUTION 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 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 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 & 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 09-01-1997 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 Collections 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 50.00 55.00 0.00 0.00 0.00 0.00 105.00 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 50.00 55.00 0.00 0.00 0.00 0.00 105.00 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 Coll ected 3,220.70 3,467.23 418.70 0.00 0.00 0.00 7,106.63 Jail Credits & Comm Service 986.90 691.47 14.00 0.00 54.63 0.00 1,747.00 Credit Cards & Transfers 1,043.60 841.50 339.00 0.00 0.00 0.00 2,224.10 Total of all Collections 5,251.20 5,000.20 771.70 0.00 54.63 0.00 11,077.73 TOTALS Cash & Checks collected 3,270.70 3,522.23 418.70 0.00 0.00 0.00 7,211.63 Jail Credits & Comm Service 986.90 691.47 14.00 0.00 54.63 0.00 1,747.00 Credit Cards & Transfers 1,043.60 841.50 339.00 0.00 0.00 0.00 2,224.10 Total of all Collections 5,301.20 5,055.20 771. 70 0.00 54.63 0.00 11,182.73 10/04/2012 Money Distribution Report Page 10 DATE PAYMENT-TYPE ------------------------------------------------------------------------------------------------------------------------------------ OTHER TOTAL 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 Ba; l Bond Fee DNA Testing Fee Convictions DNA Testing Fee Comm Supvn DNA Testing Fee Juveni Le 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 Fi ling 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 FINES COURT-COSTS FEES BONDS RESTITUTION Count Col Lected Retained Disbursed 39 1,510.16 151.02 1,359.14 6 40.00 4.00 36.00 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 38 74.44 7.44 67.00 22 2.19 0.22 1.97 22 655.59 32.78 622.81 24 119.27 95.42 23.85 7 190.98 63.02 127.96 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 12 280.48 140.24 140.24 0 0.00 0.00 0.00 41 245.12 24.51 220.61 211 3,118.23 518.65 2,599.58 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 39 145.12 0.00 145.12 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 40 151.12 0.30 150.82 251 3,269.35 518.95 2,750.40 PAYROLL: Payroll dated the 14th day of September, 2012 was in the amount of $208,476,61. Payroll dated the 28'h day of September, 2012 was in the amount of $220,892.43. Total amount of payroll for the month of November 2012 was in the amount of $429,369.04. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept payroll for the month of September, 2012. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, CALHOUN COUNTY PAYROLL 2012 MONTH / SEPTEMBER Payroll through 09-14-12 $ 208,476.61 Payroll through 09-28-12 $ 220,892.43 I APPROVED TOTAL PAYROLL $ 429,369.04 The items listed above have been pre-approved by all Department Heads and I certify that fnnds are available to pay the .'l?I!gations. I c tif t at the . true and correctto the best of my knowledge this the ~ day of , 2012. S RONDA S. KOKENA, CA:LHOUN COUNTY TREASURER ACCEPTED AND APPROVED THIS THE Ilttv DAY OF Qc..tOhef , 2012 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LA V ACA, TEXAS 77979. APPROV~D OCT 11 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: Claims totaling $44,603,62 were presented by Calhoun County Adult Detention Center and after reading and verifying same a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the expenditures and that all said claims are approved for payment, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Claims totaling $50,751.62 were presented by 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 expenditures and that all said claims are approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, Calhoun County Adult Detention Center Bills to be approved on October 11 ,2012 Vendor Description Amount Hill Country Dairies Groceries 1510.13 Restaurant Equlppers Warehouse Mise Supplies 149.87 Memorial Medical Center Inmate Medical 14795.00 Port Lavaca Family Dentistry Inmate Medical 547.00 Stericycle Mise Service 369.81 Ben Keith Co Groceries 7566.48 Ben Keith Co Mise Supplies 209.05 HEB Groceries 434.74 HEB Misc Supplies 111.17 HEB Inmate Supplies 119.26 HEB Office Supplies 124.85 Coastal Medical Clinic Contract Medical Services 4493.75 Cintas First Aid & Safety Infirmary Supplies 251.34 Golden Crescent Communications Mise Supplies 300,00 Wal-Mart Inmate Supplies 110.42 Wal-Mart Office Supplies 141.85 Wal-Mart Misc. Supplies 129.91 Victoria Fire & Safely Misc Service 151.20 Glove Planet Mise Supplies 200.00 Downtown Cleaners Uniforms 24.00 American Jail Association Registration Fees 98.00 Matera Jail Maintenance Supplies 36.93 Esmeralda Sanchez Meal Allowance 7.73 Correctional Management Institute Copier Rental 1065.00 Stericycle Mise Service 369.81 Calhoun County Adult Detention Center Bills to be approved on October 11 ,2012 Gulf Coast Hardware Jail Maintenance Supplies 245.98 Gulf Coast Hardware Mlsc Supplies 226,37 Pitney Bowes Purchase Power Postage 300.00 The Productivity Center Mlsc Service 172.50 Verlzon Telephone Services 20,00 J & K Services Mise Service 865.00 Port Lavaca Clinic Drug Testing 602,00 Port Lavaca Clinic Physicals 130.00 Credit Card Center Training Travel Out of County 4753.16 Credit Card Center Meal Allowance 2000.00 Ricoh USA, Inc. Copier Rentals 906.00 Ricoh USA, Inc. Mise Service 70.31 Texas Jail Association Training Registration Fees 875.00 Texas Jail Association Dues 120,00 Total 44603.62 Calhoun County Sheriffs Office Bills to be approved on October 11, 2012 Vendor Description Amount Cintas First Aid & Safety Mlsc Supplies 728.19 Pitney Bowes Purchase Power Postage 300.00 Quality Control Testing Drug Testing 170.00 Bruce's Auto Repair Vehicle Repairs 2576.26 Bruce's Auto Repair Mlsc Service 113.50 Wal-Mart Office Supplies 266.37 Wal-Mart Mise Supplies 469.50 Aqua Beverage Company Misc Supplies 36.67 Announcements Plus Too LaW Enforcernent Supplies 64.00 CDWG Capital Outlay 125.00 Gulf Coast Hardware Mlsc Supplies 259.92 Firestone of Port Lavaca Vehicle Repairs 7461.97 Quill Office Supplies 1113.82 Rose Stringo Uniforms 500.00 Exxon Fuel 10000.00 Shell Fuel 10000,00 Credit Card Center Fuel 9063.33 Credit Card Center Training out of County Travel 1927.36 Credit Card Center Meal Allowance 800.00 Credit Card Center Law Enforcement Supplies 159.95 Credit Card Center Office Supplies 100.00 Credit Card Center Misc. Service 499,95 Credit Card Center Tires 58.14 G.T. Distributors Uniforms 1145.30 Ricoh USA, Inc Copier Rental 916.02 Calhoun County Sheriffs Office Biiis to be approved on October 11, 2012 Ricoh USA, Inn Misc Service 42.55 Bay Front Animal Hospital Misc Service 284.00 Bay Front Animal Hospital Mise Supplies 242.49 TeXas Jail Association Training Registration Fees 175.00 Productivity Center Law Enforcement Supplies 517.50 Port Lavaca Ford Vehicle Repairs 634.83 Total 50751.62 BILLS: Claims in the amount of $1,311,424,88 for Operating Fund expenses and $59,706.80 for Indigent Healthcare Fund expenses totaling $1,371,131.68 were presented by Memorial Medical Center and after reading and verifying same a motion was made by Cornmissioner 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, (These claims were approved on September 27, 2012 and were erroneously read into the minutes a second time.) Claims totaling $588,588.42 were presented by the County Treasurer'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 and Judge Pfeifer all voted in favor. Claims totaling $27,408.29 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 and Judge Pfeifer all voted in favor. October 11, 2012 2012 AFFROV AL LIST 38 COMMISSIONERS COURT MEETING OF 10/1112012 BALANCE BROUGHT FORWARD FROM PAGE 37 $ 562,967.86 NATIONWIDE RETIREMENT SOLUTIONS PIR $ 3,174.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PIR $ 1,019.54 ALLIED WASTE SERVICES AlP $ 604.30 AT&T MOBILITY AlP $ 161.18 CABLE ONE AlP $ 380.95 CAHOUN COUNTY GENERAL FUND AlP $ 4,237.60 CENTERPOINT ENERGY AlP $ 53.60 CITY OF POINT COMFORT AlP $ 76.50 CITY OF PORT LA V ACA AlP $ 321.75 CITY OF SEADR1FT AlP $ 475.68 ED MELCHER AlP $ 25.46 GBRA AlP $ 187.68 GREAT AMERICAN LEASING AfP $ 205,00 JACKSON ELECTRIC COOP, INC. AlP $ 432.68 HEINHOLD, DENNIS AlP $ 1,200.00 LA WARD TELEPHONE EXC. INe. AlP $ 278.93 PEAGASUS SCHOOLS, INC. AlP $ 2,765.00 SPRINT AlP $ 61.65 TAC - TEXAS ASSOCIATION OF COUNTIES AlP $ 4,169.13 USBANK AlP $ 323.25 UNITED STATES POSTMASTER AlP $ 160.00 VERIZON SOUTHWEST AlP $ 1,143.60 VICTORIA ELECTRIC CO-OP AlP $ 2,989.44 WASTE MANAGEMENT AlP $ 1,048.16 XEROX AlP $ 125.00 TOTAL AMOUNT FOR APPROVAL $ 588,588.42 f-< f!I ~ ~ ~2 ~"-", f-<h ;;':-~I-L< f-<g ~ ~ B ~ U ~ '" 13~" o .g,Dg ~..3S: :;j 1'! U " " " " " * o "- " ~] d "'z '" ~ :g '" " o ." "- ." ~ " '" " o ." g J J 15 " ~ ~ o U t5 " ." ;:: t5 o 15- " " " ." ;:: 15- " " ." M ,,; " ~ , '" 00 ><'" e:ii'l Olo; ~~ M <-- M ~ o 00 00 0 o M o 0 ~ ~ @3 [g dd ~8 ~8 o 0 M M o 0 M M ~ ~ '" i'l ~ "- !'> '" '" :" '" ~ I o :": ~ f'l ~ :;; ~ gi '" " ~~ ~ ",::0 U ,'" , ~:x:~ . ~ t::::~U Q, ,@l;i h~ ~gj~ '" ~ "- !'> '" '" :" '" ~ I ~ ~ .,. o '" ~ ~ .,. '"' M >< ~~ ~3 '" , IS .,. , ::0 ~M'" oq;J~ , <--0 ;><'DUU':l e:i:':iili'l ;;;~8S: fEu!::!,> ~<ooo <:: 00 ~ M ~ .,. 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OF CALHOUN COUNTY SHERIFF B B BROWNING (SHERIFF/JAIL) BALANCE BROUGHT FORWARD FROM PAGE 8 ALLIED WASTE SERVICES #847 EXXON/MOBIL SHELL FLEET PLUS VERIZON SOUTHWEST AlP AlP AlP AlP TOTAL AMOUNT FOR APPROVAL 9 $ 27,403.28 $ 5.01 $ 27,408.29 I o '" '" '" '" '" 1;1 gj '" >< ,... 5 o u 5 o ~ u '" o ,... fu 8- f.\ '" ::1 ~ "'~ ~ '" l:J ~ ~ >='~~ ~.t ~ 8 ~ ~ z""~ " ~ o ~o ~:3S < 1'! u " o " '" " !;l o '" - o ~] d "z - 'E e u ~ ~ C<! ~ ;; '" :a " " o o '" '" 'd' ~ . " " o '" u . ~ '" '" 09 ~ '" !'3 '" ;;; '.;.eJ ~ od~ , 'U ol ,,0 ~ ~~ 00 ~ on '" 5'0 ",I;; '" ^ ",,'" i::J~ 00 z'" ,<< 19~ ';'", ~b ~'" ~ ~ " ;::: o ~ ~ g "" o u Iii t; ~ 13 ;;i ~~ ~ o '" '" M ~ '" '" '" '" ~ ::l '" '" !'3 !'3 '" '" ~ 0 ~ ~ ~! ~! 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" 15 " f-< ~ ~ 0 g " '" ~ ~ I '" ~ ~ ~ ~ ~ '" ~ p 2 2 2 ;:: ~ "' '" gj gj '" gj gj gj gj gj !i! * '" '" " '" '" '" '" '" '" '" '" '" '" on 0 ,... '" ::l ~ "'i.l :::!'" [:l~~ ;.;~~ 1-< o'^ 13 ';1 ~ o ~" u "~ z""'" p " , o ~~ .....~ r-- ~..3N cj"E ~ " '" " !;l o '" l! ~] u S o " "Z "3 " IJ o o " ~ ~ {l " o o '-[ 'd ~ " " " o 'P g ~ ,... '" ,... '" ",g: ,", ~'" t:!::J" ~'" ~i'i ,,~ q< "'~ o o o o o o ~ '" '" '" o ~ Z " o " " > < ~ '" ~ ~ g " o o o ~ ~ o o " '" o o " '" 00 '" M o '" '" '" " " o u t5 ~ '" M ~ ~ , '" h '" :z: ~ ~ ~ ~ > s g " ~ 0 ~ 'P '" '" ,... ~ ;:: '" '" " 15. " Cl 0 0 0 0. " ~ " Z z 8 ~ '" u '" 0 '"'" " ffi~ '" ;:: ,,'" t5 j~ ~ 0 ~ ~ 15. ~ S " ~ 0 Cl ~ ,... Susan Riley From: Sent: To: Subject: Noemi Cruz [ncruz@cclibrary,org] Wednesday, October 03,20129:48 AM 'Susan Riley' Agenda Item Please add to agenda for next Commissioners' Court meeting - Accepting donations Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX n979 Phone 361.552.7250 ex!. 23 Fax 361.552.4926 Email r1Clll~(il_~clil:>rQIY.()19 Web ~}\,J_",:cclj.l:>I9lli9N 1 ACCEPT THE FOLLOWING DONATIONS TO CALHOUN COUNTY LIBRARY: , Item Quantity Books 1506 Paperbacks 1969 Audios 9 Music CD's 94 CD-ROM 11 VHS 240 DVD's 102 Magazines 554 Color Book 1 Music Books 29 Map 1 A Motion to accept the donations to the Calhoun County Library was made by Commissioner Finster and seconded by Commissioner Galvan. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. \ Calhoun County Public Library System (361) 552-7323 200 W. Mahan PorI Lavaca, Thxas 77979 The following materials have been donated to the Calhoun County Public Library System during the months of APR 2012 - SEP 2012 Books Donor 180 Books 51 Books 9 Books 19 Books 8 Books 6 Books 36 Books 1 Book 6 Books 20 Books 1 Book 53 Books 1 Book 6 Books 383 Books 4 Books 8 Books 11 Books 1 Book 3 Books 1 Book 3 Books 3 Books 4 Books 4 Books 25 Books 18 Books 3 Books 6 Books 2 Books 3 Books 3 Books 24 Books Unknown David Kinchen Mary Belle Meitzen Leann Presley Robin Sikes Mary Lee Carla Ann Whitwell Adriana Whitwell Lori Clark Anna Goodman Richard Molina Davye-Dawn Carter Lanyine Sajous Mrs McDonald Senior Citizen Center CAS A Carl E. Westbrook Margaret Hilscher Suzanne Presley Sam Wyly HOST Publications1 J.C. & Helen Brown C.J. Garriot Terence Hernandez Latasha Connor Leland Cox Rene Rodriguez Margaret Alvarez Thomas Boyer Olga Vargas Harold Evans F. Paredez Virginia Hahn 35 Books 1 Book 9 Books 1 Book 1 Book 5 Books 11 Books 24 Books 1 Book 57 Books 11 Books 7 Books 2 Books 1 Book 9 Books 3 Books 1 Book 1 Book 4 Books 225 Books 1 Book 11 Books 2 Books 1 Book 169 Books 1 Book 4 Books 1 Book 1 Book Candace Hahn Gwen Krause Christine Arroyo-Zapata Sandra Barton Carol Smith Esmeralda Rodriguez Helen Gross Jennifer Wright Denise Manning David Boyd Jo Ann Curnutt Kathy Jones Vanessa Sanchez Irene Galvan Gary Weaver Guadalupe Rodriguez Blanca Garcia Susie Ortiz Candy Williams Dixie Howell Mary Kelly Mr Lavolette Sara Peavy Bill R. Price Richard Starnes Diane Hull Elaine Kelly Billie Jennings Sara Wynn Paperbacks 211 Paperbacks 22 Paperbacks 17 Paperbacks 18 Paperbacks 2 Paperbacks 10 Paperbacks 27 Paperbacks 32 Paperbacks 5 Paperbacks 7 Paperbacks 20 Paperbacks 27 Paperbacks 5 Paperbacks 24 Paperbacks Unknown Mary Belle Meitzen Barbara Clayton Leann Presley Carol Bragger Robin Sikes Mary Lee Carla Ann Whitwell Adriana Whitwell Charlotte Bryan Suzanne Eckerman Mary Moses Doris Wyman Davye-Dawn Carter 1 Paperback 19 Paperbacks 6 Paperbacks 232 Paperbacks 16 Paperbacks 29 Paperbacks 5 Paperbacks 1 Paperback 5 Paperbacks 41 Paperbacks 8 Paperbacks 3 Paperbacks 9 Paperbacks 1 Paperback 4 Paperbacks 2 Paperbacks 24 Paperbacks 27 Paperbacks 34 Paperbacks 3 Paperbacks 2 Paperbacks 10 Paperbacks 131 Paperbacks 4 Paperbacks 59 Paperbacks 1 Paperback 55 Paperbacks 36 Paperbacks 48 Paperbacks 4 Paperbacks 3 Paperbacks 32 Paperbacks 4 Paperbacks 27 Paperbacks 65 Paperbacks 9 Paperbacks 17 Paperbacks 5 Paperbacks 1 Paperback 5 Paperbacks 1 Paperback 1 Paperback 3 Paperbacks 44 Paperbacks 5 Paperbacks 6 Paperbacks Lanyine Sajous Mrs McDonald Mabray Arthur Senior Citizen Center Carl E. Westbrook Margaret Hilscher Anna Goodman Deanna Millhouse Robert Babcock J.C. & Helen Brown Linda Williams C.J. Garriot Anna Hughitt Edwin Wagner Terence Hernandez Catherine Rosenbrock Sandra Barton Latasha Connor Leland Cox Margaret Alvarez Gaspar Garcia Thomas Boyer Harold Evans Destiny Clark F. Paredez Savannah & Riley Sibley Virginia Hahn JoAnn Curnett Candace Hahn Christine Mayer Marti Strauss Christine Arroyo-Zapata Carol Smith Esmeralda Rodriguez Helen Gross Jennifer Wright Denise Manning Allen Stovall Clint Zoch Lori Clark Georgia Spiegel Billie Jennings Caroline McCurdy Sue Ferguson Cindy Krause Joyce May 26 Paperbacks Vanessa Sanchez 2 Paperbacks Irene Galvan 2 Paperbacks Gary Weaver 11 Paperbacks Guadalupe Rodriguez 1 Paperback Mary Moreno 2 Paperbacks Jerry Russell 11 Paperbacks Diana Hull 19 Paperbacks Patty Wilson 20 Paperbacks Blanca Garcia 1 Paperback Ellie Garcia 54 Paperbacks Susie Ortiz 3 Paperbacks Mary Lou Valentine 9 Paperbacks Candy Williams 122 Paperbacks Dixie Howell 2 Paperbacks Mr. Lavolette 172 Paperbacks Nina Copeland 1 Paperback Matilda Barrientes 2 Paperback Aubrey Parker 1 Paperback Ann Cunningham 16 Paperbacks Diane Hull 17 Paperbacks Sara Wynn Audios 1 Audio Book Unknown 3 Audio Books Leann Presley 1 Audio Book Senior Citizen Center 1 Audio Book Jennifer Wright 2 Audio Books Dixie Howell 1 Audio Book Marie Durham Music CD's 6 Music CD's Unknown 86 Music CD's Virginia Hahn 2 Music CD's Anna Goodman CD-ROM 6 CD-ROM Virginia Hahn 5 CD-ROM Anna Goodman VHS 101 VHS Unknown 40 VHS Leann Presley 6VHS 4VHS 50 VHS 1 VHS 5VHS 2VHS 13 VHS 18 VHS Catherine Rosenbrock Candace Hahn Methodist Church Clint Zoch Sharon Cheek Latasha Connor Candy Williams Sarah Trevino DVDS 19 OVO's 6 OVO's 7 OVO's 13 OVO's 8 OVO's 2 OVO's 8 OVD's 1 DVD 1 DVD 4 DVD's 3 DVO"s 4 DVD's 17 DVO's 5 DVO's 3 DVD's 1 DVO Unknown Leann Presley Lanyine Sajous Carla Ann Whitwell Bo Warren Jennifer Zoch Jorge Villa C.J. Garriot Elijah Loudenslayer Catherine Rosenbrock Michael William Vanessa Sanchez Anna Goodman Sharon Cheek Latasha Connor Olivia Higgs Maqazines 197 Magazines 80 Magazines 5 Magazines 6 Magazines 40 Magazines 12 Magazines 3 Magazines 11 Magazines 65 Magazines 3 Magazines 5 Magazines 35 Magazines 21 Magazines 53 Magazines 15 Magazines 2 Magazines Unknown Kay Hornsby Jakkob Sandoval Catherine Morales Anna Goodman Mary Moses Senior Citizen Center Mrs. Ounn Dolores Villafuerte Linda Williams J.C. & Helen Brown Helen Gross Jennifer Wright Rudy Portilla Blanca Garcia Dixie Howell 1 Magazine Elaine Others 1 Color Book 29 Music Books 1 Map Unknown Mary Belle Meitzen Dixie Howell Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 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 Commissioner's Court Agenda for October 11, 2012. . Discuss and take necessary action to accept donation of an orange, Central Machinery, 3 Y, cubic foot, 1/3 HP, steel constructed, cement mixer valued at $200 from Rayburn and Alene Haynie. Sincerely, ~w.J~ Kenneth W. Finster KWF/at P.O. Box 177' Seadrift, TX 77983' email: kenny.linster@calllOuncotx.ol'g'(361)785-3141 . Fax (361) 785-5602 ACCEPT A DONATION OF A 3 '12 CUBIC FOOT, 1/3 HP CENTRAL MACHINERY CEMENT MIXER VALUED AT $200 FROM RAYBURN AND ALENE HAYNIE. A Motion to accept a donation of the orange Cement Mixer from Rayburn and Alene Haynie was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 West Austin Luis Leija Port Lavaca, Texas 77979 Chief,Juvenile Probation Officer Telephone (361) 553-4670 To: Mike Pfeifer Calhoun County Judge From: Luis Leija G? Chief Juvenile Probation Officer Re: Commissioner's Court Agenda Item Please place the following item on the Commissioner's Court Agenda -Consider and take necessary action to declare Calhoun County Juvenile Probation asset #972- 0012, a 48" Bookshelf; and asset #972-0021, an Executive Hi-Back Chair as surplus salvage. DECLARING CERTAIN ITEMS OF COUNTY PROPERTY IN THE FOLLOWING OFFICES AS SURPLUS/SALVAGE: 1) EMS: Inventorv Number 541-0040 541-0069 541-0058 541-0042 541-0099 541-0065 541-0114 541-0100 541-0044 541-0137 Descriotion Model 3000 Vent 67.33 yards carpet Gateway sale 2500 Laptop Defibrillator Training System Toshiba Fax Frager Module Generator Surge protector Reserve Equipment Stair Chair 2) Waste Management: Inventmv Number 80-0084 Descriotion White 4615 Stationary Pressure Washer Smith Corona Typewriter Portable Sprayer Mobile Pallet Jack Mise Weedeaters: 1) Ryobi 2) Snapper 3) Library: Surolus: 3079 800ks 3213 Paperbacks 20 Audio Books 14 Music CD's 120 CD-ROM's 290 Videos 35 DVD's 463 Magazines Salvaqe: 62 Books 91 Paperbacks 12 Music CD's 7 Videos Reason for Surolus/Salvaoe Declaration Salvage Destroy Left in old station Surplus to Auction Surplus previously redo Get off inventory Get off inventory old Get off inventory, can't identify Get off inventory, can't identify Get off inventory, can't identify Can't identify previous surplus Serial No. 988-1838 350DLE Modei 5A-l 2120 Apr 2012 - Sept 2012: 29 Music Books 1 Color Book 1 Map HP Scan 5300C CN09X24352 (Scanner) Epson 636U BDGY000168 (Scanner) Dell Keyboard TH025PGG37171211T7881 Mouse Logitech 8305240030 1 Brown Office Chair Apr 2012 - Sept 2012: 8 DVDls 87 Magazines HP 1040 Fax Machine CN6ARAlRP3 HP 1040 Fax Machine CN6ARAIRHN Reason for Surolus/Salvaae Declaration Salvage Destroy Not Used/Auction Needs repair/Auction Needs repair/Auction Auction Dell Monitor CNOMC040-64180-5BC-ODOS Printer HP Deskjet 3740 CN46B360HS Printer HP Deskjet 3930 CN57V54KN 5 Gray Chairs with Arms 10 Gray Chairs no Arms 1 Green Office Chair 1 Gray Office Chair HP 1040 Fax Machine CN6ARAIRP7 HP 1040 Fax Machine CN6ARAlRQ5 4) Juvenile Probation: - Inventory Number Description Reason for Waste Declaration 972-0012 48" Bookshelf Item is broken 972-0021 Executive Hi-Back Chair Item is broken A Motion to declare items of county property in EMS, Waste Management, Library and Juvenile Probation as surplus/salvage was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Juvenile Probation Department Requested By: Luis Leija Inventory Number Description Serial No. Reason for Waste Declaration 48" Bookshelf Executive Hi-Back Chair Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Thxas 77979 APR 2012 - SEP 2012 I would like the following items to be declared Salvage 62 BOOKS 91 PAPERBACKS AUDIO BOOKS 12 MUSIC CD'S CD-ROM'S 7 VIDEOS 8 DVD'S 87 MAGAZINES OTHERS HP 1040 Fax Machine CN6ARAIRP3 HP 1040 Fax Machine CN6ARAIRHN HP 1040 Fax Machine CN6ARAIRP7 HP 1040 Fax Machine CN6ARAIRQ5 Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Thxas 77979 APR 2012 - SEP 2012 I would like the following items to be declared Surplus 3079 BOOKS 3213 PAPERBACKS 20 AUDIO BOOKS 14 MUSIC CD'S 120 CD-ROM'S 290 VIDEOS 35 DVD'S 463 MAGAZINES OTHERS 29 Music Books 1 Color Book 1 Map HP Scan 5300C CN09X24352 (Scanner) Epson 636U BDGY000168 (Scanner) Dell Keyboard TH025PGG37171211T7881 Mouse Logitech 8305240030 1 Brown Office Chair Dell Monitor CNOMC040-64180-5BC-ODOS Printer HP Deskjet 3740 CN46B3YOHS Printer HP Deskjet 3930 CN57V154KN 5 Gray Chairs with arms 10 Gray Chairs no arms 1 Green Office Chair 1 Gray Office Chair Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM J Department Name: f:;IdS Requested By: ~ Reason for Surplus/Salvage Declaration AL..Lo Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: kJ ClStt M.cvvLcc<2f-~ Requested By: VO--+n~ KCV\\b~L Reason for Surplus/Salvage Declaration Nj:>. S\.C.li ~- 1'< LI<: !\IIC:f\t:>\! N 1'\o~\L6' ~lLl::-l .:!l\L\(. , ':).0 IVee.&s. .-e 8- ~. .:..'.' ."' , ~. t . ~. ,. ......... CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 West Austin Luis Leija Port Lavaca, Texas 77979 Chief Juvenile Probation Officer Telephone (361) 553-4670 To: Mike Pfeifer Calhoun County Judge From: Luis Leija GZ Chief Juvenile Probation Officer Re: Commissioner's Court Agenda Item Please place the following item on the Commissioner's Court Agenda -Consider and take necessary action to declare Calhoun County Juvenile Probation asset #972- 0012, a 48" Bookshelf; and asset #972-0021, an Executive Hi-Back Chair as surplus salvage. Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Juvenile Probation Department Requested By: Luis Leija 48" Bookshelf Executive Hi-Back Chair CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LA V ACA, TEXAS 77979 PHONE NUMBER (361) 553.4646 FAX NUMBER (361) 553.4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: DECLARE WASTEIDESTROY DATE: SEPTEMBER 25, 2012 , Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR OCTOBER 11, 2012 . Consider and take necessary action to accept Calhoun County Sheriff's Office property which is no longer being used as waste. See attached list. . Consider and take necessary action to authorize the Calhoun County Sheriff's Office to dispose of the property declared as waste. Sincerely, d>,~ B.B, Browning Calhoun County Sheriff DECLARING CALHOUN COUNTY SHERIFF'S OFFICE PROPERTY WHICH IS NO LONGER BEING USED AS WASTE AND AUTHORIZE DISPOSAL OF PROPERTY DECLARED AS WASTE: ----- ~ Description Reason for Waste Declaration Brown Windbreaker for Deputies No longer being used Law Pro 1 - 2XL Amburn 1 - Large Black Uniform Deputy Pants No longer being used Propper 1 - Med - Reg Law Pro 2 - Med - Long Brown Uniform Deputy Pants No longer being used Elbeco 1 - 33R Elbeco 2 - 36R White w/Blue Uniform Deputy T-Shirt No longer being used Crystal 1 - XL First Class 3 - L First Class 1 - XL Brown Uniform Deputy Long Sleeve Shirt No longer being used Horace Small 1- 17 V, - 35 Brown Uniform Deputy Short Sleeve Shirt No longer being used Horace Small 5 - 16 Horace Small 1- 16 V2 Horace Small 5 - 17 Elbeco Classic 1- 17 Elbeco Classic 2 - 17 '/2 Duty Pro 1- XL 17 ~17 '/2 Elbeco Classic 1 - 38 A Motion to declare Sheriff's Office clothing items as waste and authorize disposal was made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Sheriff' Office Requested By: B. B. Browning Brown Windbreaker for Deputies Law Pro 1 - 2XL N/A Amburn 1 - Large NI A Black Uniform Deputy Pants Propper 1 - Med,- Reg, N/A Law Pro 2 - Med,- Long N/A Brown Uniform Deputy Pants Elbeco 1 - 33R N/A Elbeco 2 - 36R NI A White WI Blue Uniform De ut T-Shirt Crystal 1- XL NI A First Class 3 - L NI A First Class 1 - XL N/A Brown Uniform De uty Long Sleeve Shirt Horace Small 1 - 17 1/2-35 N/A N/A No longer being used Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Sheriff Office Requested By: B. B. Browning Brown Uniform De ut Short Sleeve Shirt Horace Small 5 - 16 Horace Small 1 -16 1/2 Horace Small 5 - 17 Elbeco Classic 1 - 17 Elbeco Classic 2 - 17 1/2 Duty Pro 1 - XL 17-17 1/2 Elbeco Classic 1- 38 N/A N/A N/A N/A N/A N/A N/A used used s d used used No Ion er beln used No longer being used CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LA V ACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: SURPLUS SALVAGE DATE: SEPTEMBER 25, 2012 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR OCTOBER 11, 2012 . Consider and take necessary action to accept Calhoun County Sheriff s Office property which is no longer being used as surplus salvage. See attached list. . Consider and take necessary action to authorize the Calhoun County Sheriffs Office to donate the uniform pants to the Calhoun County Senior Citizen's Center as per Local Government Code 263 .IS2( a)( 4)(B). Sincerely, ./' (J(6' B:B. Browning Calhoun County Sheriff DECLARE CERTAIN ITEMS OF PROPERTY IN THE CALHOUN COUNTY SHERIFF'S DEPARTMENT WHICH IS NO LONGER BEING USED AS SURPLUS/SALVAGE AND AUTHORIZED THE SHERIFF'S DEPARTMENT TO DONATE THE UNIFORM PANTS TO THE CALHOUN COUNTY SENIOR CITIZEN'S CENTER AS PER LOCAL GOVERNMENT CODE 263.152(a)(4){B): ~~- Description Reason for Waste Declaration Brown Uniform Deputy Pants No longer being used Law Pro 1 - 36 A Motion to donate uniform pants to Calhoun County Senior Citizen's Center was made by Commissioner Lyssy and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County SheritrOffice Requested By: B. B. Browning Reason for Surplus/Salvage Declaration Brown Uniform De Pants Law Pro f. 36 NI All Law Enforcement Identifiers and I or atches have been removed. Donate This Item to the Senior Citizens Center 'liClA;\..-f'tL VV v CL,mVl.CJ~ 1. LVV1:I U1.f\.t' 11:1K L(Jj. 0ALb UK LbA~c ( p,' PKUPcKTY II Y CU.., Page 1 oj .! Sec. 263.152. POSITION. (a) The commi oners court of a countJ may: (1) periodically sell the county's surplus or salvage property by competitive bid or auction, except that competitive bidding or an auction is not necessary if the purchaser is another county or a political subdivision within the county that is selling the surplus or salvage property; (2) offer the property as a trade-in for new property of the same general type if the commissioners court considers that action to be in the best interests of the county; (3) order any of the property to be destroyed or otherwise disposed of as worthless if the commissioners court undertakes to sell that property under Subdivision (1) ~nd is unable to do so because no bids are made; (4) dispose of the property by donating it to a civic or charitable organization located in the county if the commissioners court determines that: (A) undertaking to sell the property under subdivision (1) would likely result in no bids or a bid price that is less than the county's expenses required for the bid process; (B) the donation serves a public purpose; and (C) the organization will provide the county with adequate consideration, such as relieving the county of transportation or disposal expenses related to the property; or (5) transfer gambling equipment in the possession of the county following its forfeiture to the state to the Texas Building and Procurement Commission for sale under Section 2175.904, Government Code. (a-I) The commissioners court shall remit money received from ,the Texas Building and Procurement Commission from the sale of gambling equipment under Section 2175.904(c), Government Code, less administrative expenses incurred by the county in connection with the transfer and sale of the equipment, to the local law enforcement agency that originally seized the equipment. (b) If the property is earth-moving, material-handling, road maintenance, or construction equipment, the commissioners court may exercise a repurchase option in a contract in disposing of property under Subsection (a) (1) or (a) (2). The repurchase price of equipment contained in ~ previously accepted purchase contract is considered a bid under 3ubsection (a) (1) or (a) (2). (c) Repealed by Acts 2003, 78th Leg., ch. 43, Sec. 2; Acts 2003, ttp://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.263.htm 1l/16/2009 ~v'-"'......~ ..... '-' ',L..J....U.HU.L.-l~..I. .......V.L.I.Li ........~U1.J... IDf\. L,.U.J, 0ii.L.c, V~ LJ:..AL)1:::~, ....,.. rKVrJ:..Kl r .0 r L.V... rage L or L 78th Leg., ch. , Sec. 3. Acts 1987, 70th Leg., ch. 149, See, I, eff. Sept. I, 1987. Amended by Acts 1989, 71st Leg., ch. 1, Sec. 61(b), eft. Aug. 28, 1989; Acts 1991, 72nd Leg., ch. 416, Sec. 3, eff. Sept. I, 1991; Acts 1993, 73rd Leg., ch. 237, Sec. I, eff. Aug. 30, 1993; Acts 1995, 74th Leg., ch. 746, Sec. 5, eff. Aug. 28, 1995; Acts 1999, 76th Leg., ch. 254, Sec. 1, eff. May 28, 1999; Acts 2003, 78th Leg., ch. 43, Sec. 1, 2, eff. May IS, 2003; .Acts 2003, 78th Leg., ch. 345, Sec. 1, 3, eff. June 18, 2003. Amended by: Acts 2007, 80th Leg., R.S., Ch. 1233, Sec. 2, eff. June 15, 2007. lttp://www.statutes.legis.state.tx.us/Docs/LGihtm/LG.263.htm I11I6/2009 Susan Riley From: Sent: To: Subject: Attachments: Henry Barber [hbarber@cableone,net] Wednesday, September 26,20129:39 AM 'Susan Riley' FW: Forms EMS - Asset Tranfers,pdf; EMS Surplus Salvage,pdf Susan, Please place these list on com court Oct 11th, I may have more very soon, Henry From: Candice Faltesek [mailto:candice.faltesek@j;alhouncotx.org] Sent: Wednesday, September 26, 2012 10:35 AM To: hbarber\aicableone,net Subject: Forms Attached are the Surplus Salvage and Transfer items we just discussed that need to be approved through commissioners court. Candice Faltesek Calhoun County Auditors Office Phone: (361)553-4613 Fax: (361) 553-4614 1 TRANSFER ITEMS OF COUNTY PROPERTY IN THE FOLLOWING OFFICES AND REMOVE FROM INVENTORY: 1) Juvenile Probation: Inventorv Number 973-0014 Descriotion Serial No Reason for Surolus/Salvaae Declaration 8 Ch DVR wjDVD Burner, 19" LCD DMR31DVD970100 Juvenile Probation to Sheriff's Office 2) Health Department: Inventorv Number 635-0067 365-0037 635-0069 635-0108 3) EMS: Inventorv Number 541-0169 541-0215 541-0215 541-0035 541-0216 541-0161 541-0039 DescriDtion Reason for Surolus/Salvaae Declaration Exam Table Exam Table Stool- Exam May instrument stands (2) CCHD to MMC CCHD to MMC CCHD to MMC CCHD to MMC Descriotion Serial No Reason for Surolus/Salvaae Declaration Transfer to Seadrift Vol Fire Transfer to Port Alto Vol Fire Transfer to Port Alto Vol Fire Transfer to Port Alto Vol Fire Transfer to Seadrift Trans to Port Aito EMS Transfer to Seadrift Vol Fire 2004 Chev Kodiak Amer Balance Box Scene Lights Upgrade Generator Generator Onan 1GBC4CIE74S12987 AT 1250 Radio Rescue Equipment A Motion to transfer County property and remove from inventory was made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE A.~EX 201 West Austin Luis Leija Port Lavaea, Texas 77979 Chief Juvenile Probation omce!' 11,lephone (361) 553-4670 To: Mike Pfeifer Calhoun County Judge From: Luis Leija @ Chief Juvenile Probation Officer Re: Commissioner's Court Agenda Item Please place the following item on the Commissioner's Court Agenda -Consider and take necessary action to transfer Calhoun County Juvenile Probation asset #973- 0014, an 8 Ch. DVR w/DVD Burner, 19" LCD Monitor to the Calhoun County Sheriffs Office Calhoun County, Texas DEPARTMENTAL TRANSFER REQUEST FORM Requested By: Juvenile Probation Department Inventory Number Description Serial No. Transfer FromlTo Department 973-0014 8 Ch DVR w/DVD Burner, 19" LCD DMR31DVD970100 Juvenile Probation To Sheriff's Office Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Cia/hoD-A t!jlJ7..u'tfy He.JJ)f-ew DejJ+- Inventory Number Description Serial No. Transfer FromlTo Department '"', ~~J Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Inventory . Number Department Name:, t fit) R..,"... By, ~ Serial No. Reason for Surplus/Salvage Declaration BUDGET ADJUSTMENTS: A Motion to approve budget adjustments was made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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Commissioner Lyssy: The funeral services will be on Saturday [October 13, 2012] at 1:00 P.M. Susan Riley: They will be at First Baptist Church [In Port Lavaca]. Court was adjourned at 10:30 A.M.