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2011-12-22 Regular December Term Held December 22, 2011 THE STATE OF TEXAS COUNTY OF CALHOUN ~ ~ ~ BE IT REMEMBERED, that on this 22th day of December, A.D., 2011 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 E. Fritsch Kenneth W. Finster Anita Fricke County Judge Commissioner, Precinct # 1 Commissioner, Precinct #2 Commissione~ Precinct #3 Commissione~ Precinct #4 County Clerk Thereupon the following proceedings were had: Commissioner Lyssy gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Judge Pfeifer led the Pledge to the Texas Flag. PRESENTATION FROM RHONDA CUMMINS: Rhonda Cummins gave a presentation in Conjunction with Texas Sea Grant 40th Anniversary. The Texas Sea Grant College Program is dedicated to the understanding, wise use and stewardship of the state's coastal and marine resources. It is part of a network of 32 university-based programs in coastal and Great Lakes states that operate as a partnership between the state governments and the National Oceanic & Atmospheric Administration (NOAA) of the U.S. Department of Commerce. Texas Sea Grant is located at Texas A&M University and is part of the College of Geosciences. Texas Sea Grant focuses on three primary, interconnected activities: research, outreach and education. After Rhonda Cummins spoke on behalf of the Program she presented Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer with a framed Certificate for her appreciation to Calhoun County. (~) . ... ... ) -, .. no rush I can't swing by to ,~et them until next T~esda.y. ," ',' Oh, dciI need to send a separate email,.QJ;.canljustteU youhete? I wouldJike5minutes on the agenda,f~r~the Dec~ 22CommissionetkC()llrt~() p.r~'sent the court with'a special .recognitionofappreciation, :inconjunctionwi-thTexas;SeaGtan:tls-4.Qtl1Al1niyers~y~ I wanted to do it sooner, ........ -.. .... . " but I afraid the folksihCollege,Stationatenofgoingto havethene~essarycertificates here in time for next ,week." '" ,- , Thanks for everything. R ~. . . .. . .. . . . . .. ... .. ."'. :.., . : . ." .. .. ", . .... . .-. .... - ", I found'themJ,hav~~'thadtimetblo()r~t'then;yet, always missme wnenyoucomeby, JO,L,; ,', Seems like you 'Hey Susan, Ihope;"you f6-~nd the November photos Islidunder the door. I:wa~"~Ui?:ning)ate~!i~ made it by there during. limch. Sorry I missed you. 'The topkwa$: birds.) was' thinking hero1:'!"s~'eg(~ts;h1.il'Pij:lers, seagulls, sandpipers,: 'etc.. ,;boy vvasI surprised. "Bet you were too. ., C', Rhonda ' Extension Education in Calhoun County M~k.l~ ~ Vr ~l~tl tW" Educational programs of the Texas AgriLife Extension Service aye open to a/l people without regard to race, color, sex. disability, religion, age, or national origin. The Texas A&M University System. Us. Departmeltl of Agriculture, and the COWlty Commissioners Courts of Texas Cooperating Il14fl'OVr~ L-rVlS. l"'f~ovr~ llx-ts. The Texas AgriLife Extension Service has been dedicated to serving Texans for nearly a century. The agency was established in 1915 under the Smith-Lever Act to deliver university knowledge and agricultural research findings directly to the people. Extension programs have continued ever since to address the emerging issues of the day, serving diverse rural and urban populations across the state. Through a well-organized network of professional educators and more than 100,000 trained volunteers, Extension delivers practical research-based knowledge to Texans in all 254 counties, Our expertise and educational outreach pertain to the food and fiber industry, natural resources, family and consumer sciences, nutrition and health, .and community economic development. Among those served are the hundreds of thousands of young people' who benefit annually from Extension's 4-H and youth development programs. Texans turn to Extension for solutions. Its agents and specialists respond not only with answers, but also with resources and services that result in a significant return on investment to boost the Texas economy. The agency custom-designs its programs to each region of the state, relying on residents for input and for help with program delivery. Here are just a few highlights of Extension's impacts on this county and its people: Calhoun County - Summary of Educational Contact Founded County Seat Area - Total Population (estimated) Density 1846 Port Lavaca 1,032 sq mi 20,406 40jsq mi 2011 Contact Summary Educational Programs Conducted Total Participants 4-H Members 4-H Leaders 4-H Clubs Curriculum Enrichment & Special Interest Participants Extension Education Club Members .~ 158 Office Contacts 2,578 Site Visits 156 Phone Calls 13 Contacts by Newsletter 9 MailjEmail Contacts 412 Web Contacts By volunteers 20 Total All Contacts 1,471 3,434 2,135 1,978 26,391 419 2,363 62,451 r \ , Agriculture and Natural Resources ~EXTENSION Texas !'>&V, SY3tCM Calhoun County Row Crop Production Relevance - There was 50,000 acres in Calhoun County that were reported by the Farm Service Agency to be in Row Crop Production. This accounted for roughly 1/3 of the available land mass of Calhoun County. Therefore crop production is a big part of the economy in the county, Considering the fact that these local producers have to compete in a global marketplace it is of the upmost importance that they have the most reliable information available to them in order to increase profitability and efficiency. The Calhoun County Row Crop Production Program is designed to deliver researched based information to local producers that they can utilize in their own production systems to improve their bottom line. Response - The Calhoun County Row Crop Committee along with the AgriLife Extension Service developed the following result demonstrations and activities to gather credible information and deliver it to the producers in Calhoun County. . Com Variety Test . Soybean Variety Test . Cotton Variety Test . County Crop Tour Results - Data was collected by interviews with a sample of local producers to determine the effectiveness of the Calhoun County Row Crop Production Program. Those selected for interviews were done in face to face interviews or in a group setting. The majority of producers said that they felt that the Extension Service should continue the Row Crop Production Program. There was a general consensus that variety testing and result demonstrations done in the county were beneficial to the producers. When asked to put a monetary value on how beneficial they felt these studies were interviewees were hesitant to say. They claimed it was tough to place an economic value on the benefit for the current year since tests were being conducted at the same time as they were growing their own crops. The majority did say that they felt they were able to make more informed decisions the following year based off of the results that they were given from previous result demonstrations and variety tests. Discussion - Based off information gathered from interviewed producers and comparing that to what the Row Crop Committee wants out of the program I would say that the program was a success. Producers plainly stated that they felt the efforts of the program help them make better decisions when determining varieties and management practices for the next year. Future Programming Efforts - By comparing results from this year's program and adding recommendations from committee members and outside stakeholders the Row Crop Production Program in Calhoun County will continue to grow to better serve the producers in the county. More variety tests could be added for possible alternative crops, and current result demonstrations can be expanded upon to gather even more beneficial data for farmers. AgriLifeExtension.tam u .edu Agriculture and Natural Resources ~EXTENSION Texas f.I&V SYS1e'''''' Integrated Pest Management 2011 Stephen Biles, Extension Agent - Integrated Pest Management Relevance: The row crop producers in Calhoun, Victoria and Refugio Counties saw the need for localized applied research being conducted on their farms. This was such a concern that they petitioned the IPM Coordinator to create an area wide IPM program in their countIes. The Mid-Coast IPM Program began in 2004 with the purpose of providing solutions to the pest management problems of the row crop production systems of the coastal bend of Texas. To address these issues, in 2011 an area wide survey program was conducted to determine the status of insect pests and twelve applied research projects were completed in cotton, com, soybeans and grain sorghum crops. Response: To address the pest management issues facing local farmers several activities were implemented. An area wide survey program was conducted to determine the status of insect pests including 20 cotton fields, 8 soybean fields and 8 grain sorghum fields. Twelve applied research proj ects were completed in cotton, com, soybeans and grain sorghum crops. Information from these activities was conveyed to the clientele through eleven newsletters, four crop tours and the South Texas Farm and Ranch Show. Results: Aretrospective-post evaluation instrument was utilized in order to measure programmatic impacts and determine the level of knowledge change based on the presentation. All of the respondents were satisfied with the activities of the IPM Program. Future Plans: The continuation ofIPM Programs is vital for crop production in the Coastal Bend of Texas. Pest populations are continually changing with the changes of the agricultural landscape. Thus, plans are being made with suggestions from area farmers and agriculture industry representatives through the IPM Steering Committee to continue the field pest survey program and applied research projects for 2012. Agri LifeExtension.tam u.edu Sm~ Coastal and Marine Resources ~ EXTENSION lem Texas A&M System Trade Adjustment Assistance for Farmers Orientation Training for Shrimp Petition 2011002 Rhonda Cummins, Coastal & Marine Resource Advisor- Calhoun County Relevance: Trade Adjustment Assistance for Farmers (T AA) provides free technical assistance and cash benefits to producers of agricultural commodities and to fishermen who have been adversely affected by import competition. In 2010, the Southern Shrimp Alliance petitioned the United States Department of Agriculture (USDA) to become eligible for TAA. Shrimp was a commodity deemed eligible under the following criteria for the production year 2008: if it has experienced more than a 15% decline in the national average price, or the quantity of production, or the value of production, or in cash receipts in the most recent marketing year compared to the previous three marketing years; and if imports contributed importantly to this decline, Response: After a commodity is certified eligible for TAA, producers or fishermen have 90 days to sign up at a USDA Farm Service Agency (FSA) office. The initial overview was delivered by Extension Service educators within 180 days after a commodity was certified. Intensive technical assistance and assistance developing a business plan will also be provided by Extension, but producers and fishermen will have three years to complete these phases of the program. The end result will be up to $12,000 in cash assistance for eligible applicants, and in many cases, up to an additional $12,000 for eligible spouses. Results: Five qualified applicants and one designated alternate attended the orientation training held on March 15,2011 for shrimp producers who applied for the USDA TAA benefits for the petition number 2011002 that closed on December 23, 2010, The mandatory orientation was required by these applicants prior to March 23, The meeting held in Port Lavaca was offered in English by Agent Cummins with a Spanish. interpretation by Mr. Robert Solis, Two-thirds of the attendees were in need of the translation, The University of Minnesota's Center for Farm Financial Management provided a survey instrument to use in the evaluation of the orientation session. Survey highlights are listed below: · 100% of respondents had a mostly or very favorable overall impression of the Orientation Training and commented that it was good, well-explained, and easy to understand. . 100% of the respondents scored the Orientation Training as outstanding or very good and said the information was presented in a way they were able to understand and the information very adequate. · 100% of respondents understood what was needed to participate in the T AA program, what required to receive the initial cash assistance, and what was needed to continue on to the next level for additional cash assistance. · 100% of the respondents were very likely to take more training from the upcoming Intensive Technical Assistance Training Workshops. · 100% of the respondents preferred to receive the TAA trainings in person. · 67% of the respondents had their expectations met or exceeded; the other two respondents indicated that they had no expectations prior to the meeting. · 67% of the respondents said they were very likely to attend an Orientation Training on this topic even if it had not been required as part of the TAA program. · 33% of the respondents rated the USDA application process as somewhat difficult. · 0% of the respondents had used the T AA website to get info or use the web-based training materials. · 0% of the respondents knew if the material posted on the website was beneficial. Agri LifeExtens ion. tam u .edu Sealfu. ~EXTENSION Texas Texas A&M System Future Plans: Orientation meetings for the T AA were completed per federal guidelines for both shrimp petitions. No future plans are scheduled for this particular need because of the nature of the program, Should future petitions be awarded to fishermen in Calhoun County by the USDA, Texas Sea Grant will be actively involved to assist with the process. AgriLifeExtensio n .tam u.edu Sea Gifu.t~ EXTENSION Tws Texas A&M System 2011 Intensive Technical Assistance Training: TEDs and Fuel-saving Trawl Gear Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Relevance: A regional shrimp petition submitted to the Foreign Agricultural Service was approved in late June 2010 for the Gulf and South Atlantic shrimp-trawl fishery. This approved petition triggered the next step in the process which gives shrimp fishermen the opportunity to apply for benefits provided by the Trade Adjustment Assistance (TAA) for Farmers, Program benefits include cash and educational assistance established to help remaining operators better compete in the American marketplace dominated by imported, farm-raised shrimp. Specifically, applicants have to undergo 12 hours of educational training to receive the first third ofthe cash benefit which is $4,000. After completing the training and receiving the first third of the total available payment, the remainder - $8,000 - is available after an applicant agrees to undertake the development of a "competitiveness" plan that, when implemented, should help him or her successfully compete in what has become a low-price environment. Response: Texas Sea Grant Extension was committed to provide the 12-hour training required for the first third of the total cash benefit. The remaining work to develop a "competitiveness" plan will be done with the help of a business-planning specialist; who will be hired and paid by the Center for Farm Financial Management, part of the Agricultural Extension program within the University of Minnesota. Meetings were held in Port Isabel, Brownsville, Fulton, Port Lavaca, Palacios, Clear Lake, and Port Arthur, English, Vietnamese and Spanish translations, as appropriate, were offered by each location. Results: A total of 44 applicants attended the in-person training in Port Lavaca. The TED (turtle excluder device) section was taught by personnel from National Marine Fisheries, Texas Parks and Wildlife, and Mr. Tony Reisinger, Coastal & Marine Agent for Cameron County. The section on fuel-saving trawl gear was conducted by Specialist Mike Haby in English. The Spanish translation was conducted in a concurrent section by translator Mr. Robert Solis. A Texas AgriLife Extension Service participant satisfaction survey was given at the end of the two sections. Thirty-one people answered the English survey with 97% saying they were mostly or completely satisfied with the activity. Other English survey results are as follows: Content: · 97% of respondents were mostly or completely satisfied with the information being accurate, · 93% of respondents were mostly or completely satisfied with the timeliness of information given on each topic. · 93% of respondents were mostly or completely satisfied with the quality of course materials. · 87% of respondents were mostly or completely satisfied with the information being easy to understand. · 87% of respondents were mostly or completely satisfied with the completeness of information given on each topic. · 83% of respondents were mostly or completely satisfied with the information being what they expected. · 77% of respondents were mostly or completely satisfied with the relevance of the examples used. · 73% of respondents were mostly or completely satisfied with the helpfulness of the information in decisions about your own situation, AgriLifeExtens ion.tam u.edu SmGlfu.t ~ EXTENSION Texas - Texas A&M System Instructor(s): · 90% of respondents were mostly or completely satisfied with the instructor's speaking I presentation abilities. · 90% of respondents were mostly or completely satisfied with the instructor's organization I preparedness. · 90% of respondents were mostly or completely satisfied with the instructor responses to student questions. · 87% of respondents were mostly or completely satisfied with the instructor's knowledge level on the subject. Anticipated Changes & Economic Impact: · 93% of respondents anticipate benefiting economically as a direct result of what they leamed from this Extension activity. · 31 % of respondents plan to take actions or make changes based on the information from this activity. Value of Activity: · 97% of respondents would recommend this activity to others. · 97% of respondents would attend another subject offered by Extension if it addressed a specific need or interest of theirs, · 87% of respondents said that the information and programs provided by Extension were quite or extremely valuable to them, Thirteen people answered the Spanish survey with 78% saying they were mostly or completely satisfied with the activity. Those results were: Content: · 91 % of respondents were mostly or completely satisfied with the timeliness of information given on each topic, · 90% of respondents were mostly or completely satisfied with the information being accurate. · 90% of respondents were mostly or completely satisfied with the information being easy to understand, · 90% of respondents were mostly or completely satisfied with the completeness of information given on each topic. · 82% of respondents were mostly or completely satisfied with the quality of course materials. · 82% of respondents were mostly or completely satisfied with the information being what they expected. · 80% of respondents were mostly or completely satisfied with the helpfulness of the information in decisions about your own situation. · 60% of respondents were mostly or completely satisfied with the relevance of the examples used. AgriLifeExtension.tam u.edu Sea~ ~EXTENSION Texas Texas A&M System Instructor(s): . 91% of respondents were mostly or completely satisfied with the instructor's speaking / presentation abilities. . 90% of respondents were mostly or completely satisfied with the instructor's organization / preparedness. . 90% of respondents were mostly or completely satisfied with the instructor's knowledge level on the subject. . 78% of respondents were mostly or completely satisfied with the instructor responses to student questions. Anticipated Changes & Economic Impact: . 100% of respondents anticipate benefiting economicallv as a direct result of what they learned from this Extension activity. . 18% of respondents plan to take actions or make changes based on the information from this activity. Value of Activity: . 100% of respondents would recommend this activity to others, . 100% of respondents would attend another subject offered by Extension ifit addressed a specific need or interest of theirs . 10'0% of respondents said that the information and programs provided by Extension were quite or extremelv valuable to them. Discussion: All the fishermen are required to use TEDs and this training was highly valuable. Most of the fishermen in Calhoun County shrimp inshore and found the training session on the offshore trawl gear to be less valuable to them, However, the attendees were more interested in attending training that was in person, regardless of topic. This was especially true of the Spanish speaking fisherman who needed the provided translation. As indicated in the orientation meeting, the local fishermen were not inclined to use web-based resources so the ability to host face-to-face meetings was a critical need addressed by Texas Sea Grant. Future Plans: The vast majority of eligible shrimp producers have completed their required training. Educational materials are still available online and some materials are available in the Sea Grant agent's office to assist anyone still seeking their training hours. The producers have until 2013 to complete these hours. Acknowledgements: As the facilitator of these meetings, I offer my sincerest appreciation to Mike Haby, Robert Solis, Tony Reisinger, Dale Stevens and his crew from NMFS, and Les Casterline with TPWD. Without their hard work and dedication, the shrimp producers in Calhoun County would not have been able to receive such high quality instruction in a face-to-face forum. Their subject matter expertise and professional knowledge were value-added over the online training that was available. " Agri LifeExtens ion. tam u .ed u hGifu. ~EXTENSION Texas TeKas A&M System 2011 Mariner Boat Building Program Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Relevance: Author Richard Bode wrote that before you learn to sail, "you have to learn to row a little boat." With the passing of traditional skills, perhaps we should say "first you have to build a little boat." Such an activity utilizes important life skills including using tools, reading plans, and the application of several mathematical concepts.. Building a boat with a group of people is a unique team-building project providing youth "a way to see who their leaders are and who is good at what and how to work together." The program also teaches lifelong lessons that build successful futures, Students learn how to work as part of a team to accomplish a common goal, how to find solutions to difficult problems, and develop strong bonds with their elders through working with the adult volunteers. Students take many steps before leaving the beach to move across the water under their own power. The transformation from shore bound to freedom is magiCal. The greatest lesson they walk away with may be learning to believe in their own abilities when faced with new challenges. Response: The Mariner Boat Building Program is a collaborative effort between Our Lady of the Gulf Catholic School and Agent Cummins. The program helps fulfill one of the schools primary goals which is to develop deductive reasoning, critical and creative thinking skills, and communication skills needed to succeed academically. The program also aligns with Texas 4-H's mission "to prepare youth to meet the challenges of childhood, adolescence and adulthood, through a coordinated, long-term, progressive series of educational experiences that enhance life skills and develop social, emotional, physical and cognitive competencies". Students build a working, 8' long boat as 7th graders. As 8th graders they learn how to use various boats including the one they built. Boating is an important tool to use in developing students to become future leaders, particularly in sailing you are constantly watching for wind and current. You learn to address the issues now rather than later which is an essential skill in leadership. In 2011 OLG expanded the boat building program to include more academic instruction and evaluation, Various hands on activities were conducted in the classroom prior to the building of the actual boat, a one design class vessel known as a puddle duck racer. Part I Results: This project has completed in three phases, In the first phase, five eighth-grade and nine seventh-grade students built miniature puddle ducks which were used at the OLG Valentine's Gala as table centerpieces, These model boats were sponsored by several local businesses to help raise money for the school's Annual Teacher Bonus Fund. This project not only helped build ties with the community, it assessed some basic motor and math skills of the students in preparation for the building of the full-size boat. Prior to building the miniatures, students were evaluated on previous water activities model building experience, protractor use, and specific geometry vocabulary. Model experience: . 57% of students reported building plastic model kits in the past. · 43% of students had specified that they had built a model boat. AgriLifeExtension. tam u.edu Sea~. ~EXTENSION Texas Texas A&M System Protractor use: · 43% of the students (6 out of 14) were proficient in the use of a protractor to measure interior angles prior to the start of the project. , · 78% of the students (11 out of 14) were proficient with their protractors after the classroom activities. Specific vocabulary: Pre-test: . 43% ofthe students correctly identified triangles. · 7% of the students correctly applied definitions for quadrilaterals. Post-test: . 100% of the students correctly identified triangles. · 71% of the students correctly applied definitions for quadrilaterals. Economic Impact: · $2,370 was raised by the miniature puddle duck project for the school's annual teachers' bonus fund. Fourteen models were pre-sold for sponsorships which generated $1,760. Another six models were auctioned at the Gala for $610, Part 2 Results: In2011 OLG expanded the boat building program to include more academic instruction and evaluation, Various hands on activities were conducted in the classroom prior to the building of the actual boat, a one design class vessel known as a puddle duck racer. Prior to the construction of the vessel, another math lesson on geometric applications was taught in the classroom, followed by a separate evaluation exercise. This lesson centered on how to make a Cooper's Mast, a hollow round tube made from solid rectangles. Students were required to use their knowledge of angles to cut the rectangles into trapezoids of the correct degree to form a circle, This number varies based on the number of sticks to be used in the building of the mast. Students were also required to correctly use a ruler to determine width of sticks and the diameter of the resulting mast sections. The results of the academic activities are show below: Pre-building activity: . 100% ofthe students correctlv figured the angle for an 8-sided Cooper's Mast. . 88% of the students correctly measured the width of the sticks they were given. . 88% of the students correctly measured the diameter of the practice mast. Follow-up activity: . 100% of the students remembered the sticks must be cut into trapezoids. . 100% of the students understood the mast would be strong. . 88% of the students understood that the more sticks used made a rounder mast. . 63% of the students correctlv figured the angle for a 10-sided mast. . 50% of the students correctly figured the angle for a 6-sided mast~ AgriLifeExtens ion .tam u.edu Sea~ ~EXTENSION Texas A&M System One of the most critical elements ascertained by the classroom activities was the interest level of the students in co~p.leting th~ full-sized boat. 89% were completely or mostly interested in learning more through the boat bUlldmg expenence. Over a period of seven weeks, these students spent their Tuesday and Wednesday afternoons working in teams to build their boat, the Mariner 2, which was sponsored by Russell Cain Real Estate, Students participated in all aspects of the vessel construction including the hull, spars, and sails. From flat lumber to finished product they measured, cut, glued, painted, etc. under the supervision of the School Advisory Council Chairman and the county's Sea Grant Extension agent. Part 3 Results: While the students live near Lavaca Bay, many do not participate in activities on the water, with the exception of school activities, The first class of boat builders had five students who participated in boating skill activities. Two of the students were not strong swimmers and apprehensive of the water, so this class worked with a swimming instructor to increase their skills and comfort level. By the end of their school year, all students (100%) were comfortable in the boats. When surveyed on their previous boating experience: . 80% of the students said they had previous experience with a kayak or canoe. . 60% of the students had been on a fishing boat prior to the boating program, . 20% of the students had been on a sail boat. . 20% of the students had previously rowed a boat. The second class was surveyed about their previous water experience to help design their upcoming activities. The results are shown below: . 100% of the students had been on a fishing boat prior to the boating program. . 89% of the students said they could swim. . 78% of the students said they had previous experience with a kayak or canoe. . 78% of the students had been on a sail boat. . 0% of the students said they were afraid of the water. Future Plans: The second class will not need the additional swimming lessons but are participating in a variety of boating activities, including paddling kayaks, rowing dinghies, and sailing small boats, The completion of their boating skills will actually occur in the spring of 2012 so final results will be reported next year. To date 16 middle school students have been involved in the wooden boat construction and 13 have participated in boating skill activities. The Mariner 2 had its maiden voyage and all students received their first sailing lesson in the very boat they helped to build. The school is interested in continuing this program for years to come and once the process is more defined, the plan is to offer a similar experience to students in Seadrift. Acknowledgements: This project would not have been possible without Mr. Jack LaBarge, Commodore of the Seadrift Sail & Yacht Club for his help with the miniatures and the boating skills. Also critical to this project's success was Mr. Morris Sadleir for donating his tools and construction experience with building the full-size boat. Our financial sponsor, Mr. Russell Cain was also instrumental in the success of the Mariner 2. Thanks also to Mr. Richard Chen, math teacher, for working with the students to improve their geometric skills and applications. I offer my sincerest appreciation to these gentlemen, Principal Theresa Dent and all faculty, staff, parents and students of Our Lady of the Gulf Catholic School in Port Lavaca, Texas for allowing me the opportunity to work with them to develop this unique program. AgriLifeExtens ion. tam u.edu h~ ~EXTENSION Texas Texas A&M System Coastal Community Outreach and Education Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Educational Activities: Listed below are several other activities that occurred during 2011. Group method contacts for the year (January 1 through December 13) totaled 943 individuals, collected in 59 sessions, These programs and many others help promote Texas Sea Grant's mission "to improve the understanding, wise use and stewardship of Texas coastal and marine Resources." · Assisted with marine information booth at the annual Houston Boat Show which had an attendance of 116,138 people. · Taught 23 youth in the All Around 4H Club about animal tracks and how to make plaster molds of them. · Speaker for the morning Rotary Club in Port Lavaca. Highlighted boat building project, KY AK radio, and the T AA program for Shrimpers to the 10 members in attendance, · Kicked off the 4H Photography project with 30 youth in attendance for the presentation given Jasmine Gordon. · Speaker for the Alcoa Retirees luncheon, highlighting Adopt-a-beach and other coastal community education efforts to 30 attendees. · Conducted a maritime career field day for 8th grade students at OLG. The day included a tour of the Coast Guard Station in Port O'Connor of the 5 students and their assistant principal. · Participated in the Texas Sea Grant site review process for both educational programs and hurricane efforts. · Facilitated 31 high school aquatic science students and their 2 teachers in a kayak experience in the marsh. · Toured the Maritime Academy at Texas A&M University-Galveston with 5 students and 2 teachers as part of the continued effort to teach about maritime careers to local 8th grade students. · Assisted with the annual Ag in the Classroom program. · Conducted the annual special needs kidfish with the Game Wardens at Little Chocolate Bayou Park with 11 students. · Facilitated 10 students from the alternative school and their teacher in a kayak experience on the bayou. · Follow-up trip with 3 girls from the WHO program to Coastal Fisheries Field Station in Port O'Connor. · Summer Family Fun with fishing had 13 participants at the Indianola fishing marina, · Hosted NOAA offshore recreational fishing regulation overview. · Assisted with kayaks at the District 11 junior leadership lab in Rockport, Over 130 youth were involved. · Panelist for the REUfest summer research program for undergraduates at the University of Texas Mine Science Institute in Port Aransas. · Conducted educational component that the annual Hardhead Derby youth fishing tournament, 397 children registered at this event. · Summer Family Fun with kayaking had 36 participants at the city park in Point Comfort, · Educational display at the Calhoun County Fair told the brief story of the local shrimp industry and contained live shrimp for people to watch in the aquarium. · Taught teacher workshop for the Catholic Diocese of Victoria. This included the "build your own beach" kit and the connection of river watersheds to the bay systems. · Hosted oyster meeting for 73 fishermen to discuss rule changes and red tide, · Wetland Restoration proj~ctstarted at Little Chocolate Bayou Park. Spartina alterniflora was transplanted by 12 volunteers. AgriLifeExtension.tam u.edu Sea~ ~EXTENSION TeJ!lls Texas A&M System Monofilament Recovery & Recycle Program Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Relevance: Texas is one of many states with a statewide Monofilament Recovery and Recycling Program (MRRP). Texas Sea Grant overseas this volunteer-led effort to reduce monofilament in the environment by educating the public about the problems caused by monofilament line left in the environment, and encouraging recycling through a network of line recycling bins and drop-off locations. Monofilament is thin, often clear, and is difficult for birds and other animals to see. They can easily brush up against it and become entangled, Once entangled, they may become injured, drown, or starve to death. Many animals also ingest fishing line, One recovered sea turtle was found to have consumed 560 feet of heavy-duty fishing line. Response: During 2011, this project continued in Calhoun County. The program's goals were to help keep monofilament fishing line out of waterways, landfills, and the environment by stowing used fishing line, or any found during trips, until it could be deposited into one of the indoor/outdoor bins located around Calhoun County and elsewhere statewide. Results: The MRRP in Calhoun County has greatly increased since Agent Cummins' arrival in Port Lavaca. In addition to the mini-bin project with the Seadrift Sail and Yacht Club in 2010, the number of working collection bins in the county has increased from 5 to 27. The county's recycling center is involved and has bins on their trailers. Increased awareness has lead to increased participation. Two rod & reel repair shops have started saving their line for recycling instead of sending it off with the trash. Below are the totals pounds of line collected in the last four years in Calhoun County: Year Pounds converted to feet* approx. miles Distance from PL to 2008 11.25 80,595 15.25 Seadrift 2009 21.45 153,668 29.10 Victoria 2010 35.00 250,740 47.50 Fulton 2011 42.75 306,261 58,00 Bay City * conversion based on 7,164 feet/pound Future Plans: Market and adveliise the program using educational media that are appropriately designed to reach targeted audiences. Continue to facilitate active participation in project activities by providing opportunities for targeted audiences to recycle fishing line, to volunteer to check or adopt bins, and to participate in debris cleanup events. Agri LifeExtens ion.tam u .edu ~ SeaM.t ~ EXTENSION Texas Texas A&M System · Distributed 300 "Stash your trash" bags to the boat captains for the Warriors Weekend in Port O'Connor. · Presented at the annual Sea Grant Researchers Conference held in College Station, highlighting projects at Little Chocolate Bayou Park. Summary: The purpose of the Coastal Communities Outreach Education plan is to help the residents and visitors, youth and adult, better understand their role in the health of our bays and estuaries. Many visitors travel to Calhoun County because they are attracted to the beauty of our bay front communities and the fish and wildlife these waters support. Our residents also enjoy these attributes. Unfortunately, many of the residents and visitors are unaware of how their activities impact coastal ecosystems upon a background of natural environmental stressors, Extreme natural events, pollution (including nutrient enrichment), invasive species, and land and resource use (including habitat modification, fishing), watershed loadings, resource extraction, habitat modification, climate change, etc. all place stress on ecosystem functionality, This in turn has a negative effect on the economic evaluation of the county's natural resources. Outreach education can help mitigate some of the cumulative impacts of anthropogenic stressors in two specific ways: 1) by increasing the knowledge of the coastal environment and the impacts of human development; and 2) by developing skills and techniques to minimize those impacts, Ag ri LifeExtens ion .tam u .ed u - ~ 8m G'ifu.t ~ EXTENSION Tens Texas A&M System Healthy Habitat Marsh Restoration Project Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Educational activities: The Travis Middle School Water Watchers' project continues at the Port Lavaca Bayfront Peninsula, Service Learning Texas, Texas Parks and Wildife Department, ENcana Oil and Gas, Inc. (USA), and Esri, awarded a third grant to the middle school students in the amount up to $8,900.00. The students and staff have done well and the project effectively improves and restores the natural habitat while strengthening the leadership, knowledge, and skills of the participating students. Inspired by this group of students, a second wetland restoration project is being conducted at Little Chocolate Bayou Park by Our Lady of the Gulf students. The eighth grade class has harvested and transplanted spartina alterniflora and installed silt fencing on the point to stop erosion and encourage accretion. A mesh barrier has been erected around part of the damaged area in the park's natural area to stop foot traffic and allow the sparse vegetation to return naturally. Other plants may need to be transplanted in the spring. This area ofthe park was originally designated as a nature area to preserve critical coastal habitat. Over the years, the area has been abused by people driving motorized vehicles through the soft tideland. The destruction of the native plants has lead to shoreline erosion that the students hope to repair by transplanting spartina altemiflora, or smooth cordgrass, into the tidal zone of the point and protecting it with the slit fencing (generously donated by Rexco). This ongoing, collaborative project with Texas Sea Grant will not only improve and restore the natural habitat but it will strengthen the leadership, knowledge, and skills ofthe participating students. Summary: Service-learning has been defined as a form of instruction in which students design projects to address community needs as part of their academic studies, Locally, projects such as these that improve and restore the natural environment involve middle and high school students, teachers, and community members. Working with Texas Parks and Wildlife and other partners like Texas Sea Grant, local schools can change the world, or at least a small part of it. Ag ri LifeExtens ion. tam u .edu 4-H and Youth Development ~EXTENSJON TCJi8S P& V sYE..tc...... Calhoun County Ag in the Classroom Charles Seely - CEA 4-H and Youth Development Relevance - The average age of the American Farmer is in their mid 50s, Therefore it is vital to the sustainability of American Agriculture that the younger generations become involved in production agriculture. This becomes especially true as the American Farmer is charged with feeding a steadily growing population. One way to bring in new farmers and ranchers is to educate them early in regards to what production agriculture has to offer. For those youth who have no intention of becoming agriculturists, the program still provides education as to where their food comes from. This will be especially important as mainstream society moves further away from their agrarian roots. The Calhoun County Ag in the Classroom program is geared to educating elementary aged youth about agriculture opportunities in Calhoun County. By increasing the agricultural IQ of youth, we can plant the seed in them that production agriculture is a viable and valuable part of not only the economy in Calhoun County, but also throughout the world. Response - The Calhoun County Agrilife Extension Agency partnered with multiple agencies such as Calhoun County Natural Resource Conservation Service, Calhoun County Farm Service Agency, Calhoun County Row Crop Committee, and the Calhoun County Fann Bureau. This partnership provided for a field day at the County Fairgrounds for elementary aged students in Calhoun and surrounding counties. The field day provided multiple stations that covered the many facets of agriculture in Calhoun County. The stations covered the following disciplines: Soils, Insects, Aquaculture, Cattle Byproducts, Com Byproducts, Machinery, Equipment, as well as a Milking demonstration. The youth also watched a live cotton gin demonstration. Results - During the Ag in the Classroom Field Day 341 students from Calhoun and Refugio Counties came and visited the various stations. Each station offered a different educational opportunity that expanded upon the kids understanding of production agriculture, The program was evaluated utilizing a poll; of the youth responding to the poll 100% represented that they increased their knowledge of production agriculture through the Ag in the Classroom program. Throughout the day, teachers made comments that they were learning about different uses of crops also about how agricultural management schemes have changed as technology has advanced, Programs such as Ag in the Classroom are instrumental in correcting myths and false information about our food and clothing production. Discussion - As mainstream society deviates further away from production agriculture, it becomes more imperative to include these types of programs in schools. To allow the youth to be exposed and educated on the intricacies of modem production agriculture, it not only symbolizes a passing of the torch, but it might also give youth a look at a rewarding career path in which they would be feeding an ever growing population. Advocates aiming to manipulate our modem agricultural practices target the agriculturally uneducated public to gain support for their cause. By including the Ag in the Classroom program, we reduce the number of people in the population who are not at least exposed to agriculture. With the world's population exponentially increasing it is important to carry on the tradition of production agriculture. Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion. age, or national origin. T7ze Texas A&M University System, Us. Department of Agricultw'e, and the County Commissioners Courts of Texas Cooperating AgriLifeExtension .tamu.edu 4-H and Youth Development ~EXTENSION Texas P&V Sy:te..... Calhoun County Quality Counts Program Charles Seely - CEA 4-H and Youth Development Relevance - There are over 125 Calhoun County Youth that participate in the Youth Livestock Show that is held in conjunction with the Calhoun County Fair. The livestock that is exhibited is sold to local youth supporters for upwards of $300,000. Therefore it is of the utmost importance to ensure that buyers are receiving a safe, quality product that has been raised in an ethical manner. The purpose of Quality Counts in Texas is to provide opportunity for youth across Texas to learn personal character attributes and acceptable livestock management practices associated with these projects. This unique combination of subject matter should result in the exhibition ofthe highest quality livestock projects by youth with unsurpassed character and ethics. This will eventually lead to a safer, more wholesome nutritious product that is fed by responsible youth of Texas who are dedicated to providing the best meat products for consumers. Response - The Calhoun County Junior Livestock Committee along with the AgriLife Extension Service in Calhoun County developed the following activities to address the relevant issue. . Sheep and Goat Workshop - April 2011 . Swine Clinic - May 2011 . Beef Cattle Progress Show/ Clinic - June 2010 . Sheep and Goat Workshop - June 2011 . Swine Clinic - August 2011 . Sheep and Goat Progress Show/ Clinic - August 2011 . Beef Cattle Progress Show/ Clinic - September 2011 . Rabbit Workshop 1 - September 2011 . Rabbit Workshop 2 - September 2011 . County Stock Show - October 2011 . Project Visits - Year Round The Calhoun County Extension Office would also like to thank the Junior Livestock Committee, Livestock Division Superintendents, and Calhoun High School Ag Teacher Kody Franke for their program support and assistance with addressing this issue. Results - Based off Observational Data collected at the beginning and the end of the feeding period from a sample of the exhibitors at the Calhoun County Livestock Show, the following results were seen. . 93% of exhibitors sampled who were identified to not have clean water available to their project at all times changed their behavior. . 79% of exhibitors sampled improved the pen conditions for their project (muddy pens, manure covered pens, urine soaked, etc.) . 92% of exhibitors sampled who were identified to house their project in an unacceptable climate (no shelter, too hot, etc.) showed an improvement in climate conditions by the end of the project. Agri LifeExte ns ion. tam u.ed U 4-H and Youth Development ~EXTENSION TC;(8S ft&V 5ystc"'~ . 1 00% of exhibitors sampled who were not feeding a nutritionally balanced ration to their project changed their behavior to feeding a balanced ration by the end of the project. . 57% of exhibitors sampled showed a distinguishable improvement in the daily care of their proj ect. . 100% of exhibitors sampled who were identified as not having any written records of medical treatment given to the project changed their behavior and implemented a record keeping system to keep track of when medicine had been administered. . 71% of exhibitors sampled showed an improvement in showmanship skills throughout the year. Discussion - The primary goals of the Quality Counts program in Calhoun County was to ensure that buyers at the County Fair Auction were receiving a safe product. The results indicate that there was a dramatic improvement in medical record keeping which plays a huge factor in Meat Quality Assurance. There were also distinguishable iinprovements in medical record keeping which helps ensure Meat Quality, Overall, the program is viewed as a success by all parties involved. The Sheep and Goat Superintendents of the Calhoun County Fair even remarked about this being the highest quality show they can remember regarding animal quality and showmanship skills. Improvements for coming years of the project would be expected in tracking daily feeding habits, further improving showmanship skills, and improvement upon the cleanliness of habitat. Although improvements in these areas have been noted, there is always room for improvement and there are always first year families needing direction and guidance. Agri LifeExtension.tam u.edu Community Economic Development ~EXTENSION TcxasASrv 5Y5te"'~ V 8M Gfdnt 2011 Educational Exhibit Building Facelift Rhonda Cummins, Coastal & Maline Resource Advisor - Calhoun County Relevance: Many of the exhibit facilities at the Calhoun County Fairgrounds have become rundown, gloomy, and unappealing to visitors. The Educational Exhibit Building was in such disrepair. Many of the exhibit booths had not been updated for years. The building was in dire need of cleaning and fresh paint. These building improvements should renew the lagging participation of various local non-profits, government, civil and service organizations at the annual fair. Increased participation by such groups could spark interest in the visitors to learn more about their community and ways to give back to those organizations that help support the county's youth during fair and throughout the year. Response: While collaborating with Our Lady of the Gulf Catholic School Principal Dent, Cummins suggested that the eight-grade students help her paint the Educational Exhibit Building for their community service project. Each year the school receives a $500 grant from the Meadows Foundation to perform a project that improves something in their community. Mrs. Dent approved the project and used the grant money to purchase 13 gallons of paint and other supplies for the project. All five 8th grade students were involved in the project along with their homeroom teacher, the school principal, and a parent. Other youth were invited to assist with the project. The Calhoun County'Juvenile Justice Alternative Education Program cadets and drill instructors and members of the First United Methodist Church Youth Group chose to participate. These young people have made a positive impact on their community through their volunteerism and community service. Results: The project spanned a six week period, involved 23 youth and 7 adults, and totaled over 120 man hours of labor. A reception was held inside the completed building to recognize the volunteers for their efforts. The results are best seen in person as one walks into the clean and brightly painted building. Discussion: This fall, county residents enjoyed a building that was clean, bright and colorful. Local organizations proudly displayed exhibits showcasing their missions and goals to educate all the citizens of Calhoun County. One such exhibit showcased the Texas wild-caught shrimp industry with the help of Lighthouse Seafood, Poor Boy's Bait, and the Marine Advisory Committee. Live shrimp were displayed in the exhibit along with a variety of Texas Sea Grant publications on seafood and shrimp recipes. The message was simple: Locally caught, locally processed, locally packaged, and shipped nationwide. Texas shrimp is still a viable economic reality in Calhoun County with both local landings and the processing of product from boats in the Palacios offshore fleet. Acknowledgements: This project could not have been done with out the generous suppOli of Our Lady of the Gulf Catholic School as they used their Meadows Foundation grant for the benefit of the county fair building. Their 8th grade class, teacher, and principal lead the way with this community service project. My sincere appreciation also goes to the students and staff at the Calhoun County JJAEP and the youth group from the First United Methodist Church of Port Lavaca. Projects like this are only successful because of the efforts of the volunteers. Thank you again for your hard work and dedication, Agri Life Extens ion .tam U .ed u Community Economic Development ~EXTENSION TeAils ,r..&:v1 SY5l.!::~ h~ Calhoun County Adopt-a-Beach Rhonda Cummins, Coastal & Marine Resource Advisor - Calhoun County Relevance: The Texas Adopt-A-Beach Program, an all-volunteer effort, is dedicated to preserving and protecting Texas beaches, The program's success is due to the generous efforts of dedicated volunteer county coordinators, coastal community leaders, sponsors and citizens. Strong support from the private sector helps carry our message to Texans all across the state. Keeping Texas beaches clean and safe is an economic as well as environmental priority. Coastal tourism, a $7 billion industry, and commercial fishing, a $1,9 billion business, demand clean beaches and a healthy gulf to thrive. Response: Coordinating this all volunteer effort involves meeting with a core group of local volunteers to manage the logistics of the actual days ofthe clean ups: April 30 and September 24,2011. This involves securing and distribution of the food, water, thank you gifts, etc, The second part of the effort is to promote the event to ensure a strong turnout at the beach, in this case Magnolia Beach. The event is promoted through multiple media types including but not limited to news releases, newsletters, emails, presentations, radio, and television, Results: This successful, high profile program in Calhoun County involved more than 300 volunteers in 2011. Nearly 6,000 pounds of trash was collected and removed from the 6-mile stretch of waterfront from Magnolia Beach to Indianola. Future plans: Another two clean ups will be conducted in 2012, April 28th and September 22nd. Ineos has already donated money to buy the lunch for the volunteers. Acknowledgements: Sincerest thanks to Jim and Tammy Gilbert, of J&T's Onestop in Magnolia Beach, for donating the food for the lunch at the fall clean up and to Karen and Vern Lyssy for the spring clean up. Additional thanks go to Waste Management for the dumpsters, HEB for water, and the Magnolia Beach Volunteer Fire Department of the generous use of the fire barn at both clean ups to serve the lunch. And of course, thank you to all the people who come out to support the event with their hard work and enthusiasm. Spread the word: Trashing Texas beaches isn't cool! AgriLifeExtension.tam u.edu Texas AgriLife Extension Service Calhoun County ~ "'W~~'-K_ .J. Staff Stephen P. Biles Extension Agent Integrated Pest Management Rhonda D. Cummins Texas Sea Grant Extension Agent Coastal & Marine Resources Charles L. Seely County Extension Agent 4-H & Youth Development Katherine D. Sutherland Office Manager Contact Us Texas AgriLife Extension Service Calhoun County 186 CR 101, Suite 1 Port Lavaca, TX 77979 (361) 552-9747 Phone (361) 552-6727 FAX Email: Calhoun@ag.tamu.edu http:// calhoun.agrilife.org v .. t __ :'1f'1~-'" _['" :- I - i5i _ ~'IIIf'''''''~'.':-::F'''","''''-'' ~ ___Ill"", 1 1 , Agri LifeExtens ion. tam u .edu BIDS FOR ASPHALTS, OILS AND EMULSIONS: A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to award low bids for asphalts, oils and emulsions for the period beginning the 1st day of January 2012 and ending the 30th day of June 2012. The bids awarded were P2 Emulsions for Primer Oil, Martin Asphalt Co for AC-S, Martin Asphalt Co for RC2S0, Performance Grade Asphalt for CRS-2, Martin Asphalt for CRS-2P and Performance Grade Asphalt for Item 314 Emulsified Asphalt Treatment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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OILS AND EMULSIONS I I INUIT A TION TO BID P2 EMULSIONS PAULLEADABRAND 516 S MCLENNAN LOOP ELM MOTT TX 76640 BID ITEM IPRIMEROILCCt\.leJi.IVT'I'-Artf,/ u,J p I PERlOOFROM: JANUARY 1,2012 BIDDER PERIIO TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BIlJ.. , PRIMER OIL BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22, 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: PRIMER OIL MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY //Ill //Ill ,/lIfE I ~.$" PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON . 2. ~ t/ V"- PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON '1- ::?.. ~ 2- PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON 'I ?~.~. AREA ./ ~{- GALLON 2-. --- PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS I 2-. S--J- PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON ----- The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. ~ C"A i-IR-S" ;2.e~ DATE OFBII: P tZ ( ., / s: '2--0 it ~ AUTHORlZm SINATURE mLE: PRINT NAME:, I?- 0 I?> PLEASEUST ANY EXCEPmNS TO THEAROVE SPECRATIINS: TElEPHONE andEMAIl: e f{U... -/-tt I. $.7"/.,.zf>l?4 ~ Fj~ -1;.;z~4.- 8' 7.'( _03$ " I V t; I-"f U q oll"PIF.~a. -Q.o'.o 6;r'l L. "/!I/v~g~ PIE" H{l~,/.-A, (.".. '70, C 0' 1:!3./L--.A./!... 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OILS AND EMULSIONS I INVII A liON 10 BID BIDDER MARTIN ASPHALT CO JACK NIMMO 3 RIVERWAY, STE 400 HOUSTON TX 77056 BID ITEM ~AC-S ~ PERil) FROM: JANUARY 1, 2012 PERIID TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I AC-5 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 70:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AW ARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 22, 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA T/ONS: AC-5 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY 11II1 11II1 PIJI:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON z.. i',o PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON '2.. 80 PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON 'z.. \Ie AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON 'z. .. ~L.) PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON Z.:i1~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. tJ~ AUTHORlZm SIlNA TURE TITLE: 5..hrs PRINT NAME: DATE OF BII: t, I z hi) II PLEASE UST ANY EXCEPTIINS TO THE ABOVE SPECflCATlJNS: !i"'OQ c !:-A i hloi BIDDER MARTIN ASPHALT CO Viscosity Graded Asphalts - Product Data Sheet ASPHALT COMPANY Description and Physical Properties Viscosity Graded Asphalts are designed for use as bituminous binders for a number of applications-they can be used for paving applications as well as industrial applications, Traditionally they were used as a binder for hot mix asphalt (HMA), where they are mixed with aggregate in hot mix plants, transported to the job site, placed with a paver and compacted following agency guidelines. Now Performance Graded (PG) binders are the primary material used for HMA, Viscosity graded binders are now recommended by TxDOT for hot mixed/cold laid mixes, recycling, surface treatments and pre-coating, Specifications Conforms to Texas Department of Transportation Specifications-Item 300,2: Test Viscosity Grade Property Procedure AC7O.6 AC71 ,5 AC-3 AC-5 AC-10 Mln Max Min , Max Mln , Max Min Max Min Max , , , Viscosity T202 , , , , , , , : 1,200 140oF, poise 40 , 80 100 , 200 250 , 350 400 , 600 800 , 2750F, Daise 0.4 , - 0.7 , - 1.1 - 1.4 , - 1.9 : - Penetration, 770F, 100g, T49 350 , 250 210 , 135 , , - - - - 85 , - 5 sec. , , , , , Flash Doint, C_O_C., of T 48 425 , - 425 , - 425 , - 425 , - 450 , - Solubilitv in trichloroethv1ene, % T44 99.0 - 99.0 : - 99.0 - 99.0 , - 99.0 , - Soot test Tex-509-C Nee. Nee. Nea. Nea. Nea. Tests on residue from Thin-Film Oven Test: T 179 , , , , Viscosity, 140oF, poise T202 - 180 - , 450 , 900 : 1,500 : 3,000 , , - , - - Ductility', 770F , , , , , T 51 100 , - 100 , - 100 - 100 , - 100 , 5 em/min., em , - , , 1. If AC-0.6 or AC-1.5 ductility at 770F is less than 100 em, material is acceptable if ductility at 600F is more than 100 em. Used Materials halt mixtures Stora Storage Maximum (OF) 350 350 Type-Grade AC-0.6, AC-1.5, AC-3 AC-5, AC-10 Martin Asphalt Quality Through Martin Asphalt, you get Everything Asphalt-a full range of products, In addition, you receive technical assistance in selecting the right materials and application, The company's AASHTO Certified Laboratory makes sure the products meet your specifications, And your products are delivered both on spec and on time via Martin's Gulf Coast network of production plants, storage facilities and transportation fleet including ocean-going and inland barges, rail cars and tanker trucks, For more information, contact us, www.MartinAsphalt.com EVERYTHING ASPHALT 800-662-0987 Product Date Sheet - Vis Graded ACs .doc rev, 12/18/06 Q'I s: o ::;] 0. 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OIS AND EMULSIONS , INVITATION TO BID BIDDER MARTIN ASPHALT CO JACK NIMMO 3 RIVERWAY, STE 400 HOUSTON TX 77056 BID ITEM ~RC250 I PERlIII FROM: JANUARY 1, 2012 PERlD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I RC25iJ I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TIONS: RC250 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre"qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant. terminal; shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TION DELIVERY ., ., J1III:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON :l.i.lg PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON ;1 .'" ~ PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON :1. .(0 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON $....0 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON '3,"':; The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of bu~iness prior to the official opening of this bid. AUTHORlZmSINATURE mlE:~ . tJ- - /AsfJll...~.,- ~AtE{ PRlNTNAME: ~di.. JJlM~ BATEOFBII: i"l,lz / %-0 H . PLEASE UST ANY EXCEPTIINS TO THE ABOVE SPECRA 50GO t.-"../I",J lliil"""/JA' oi".( BIDDER MARTIN ASPHALT CO RC-250 Product Data Sheet ASPHALT COMPANY Description and Physical Properties Rapid curing cutback asphalts are blends of selected asphalts and light petroleum solvents, RC-250 is designed for use as a spray-applied binder for cool temperature seal coats. Specifications Conform to Texas Department of Transportation Specifications-Item 300.2: Tvoe-Grade Property Test Procedure RC-250 Min : Max Kinematic viscositv, 140oF, cSt T201 250 : 400 Water, % T 55 : 0.2 Flash point, T.O.C., of T79 80 : - Distill~tion test: T78 Distillate, percentage by volume of total distillate to 6800F to 43rF 40 75 to 5000F 65 90 to 6000F 85 - Residue from distillation, volume % 70 - Tests on distillation residue: Penetration, 100 g, 5 sec., 770F , T49 80 , 120 , Ductility, 5 cmlmin" 770F, cm T 51 100 , - Solubility in trichloroethylene, % T44 99.0 , - , Soot test Tex-509-C NeQ. Storage and Handling Before being filled, tanks and trucks should be examined for possible contaminants. Cutback asphalts should be kept away from ignition sources, Type-Grade RC-250 Recommended Ran 125-180 OF Storage Maximum (OF) 200 Martin Asphalt Quality Through Martin Asphalt, you get Everything Asphalt-a full range of products, In addition, you receive technical assistance in selecting the right materials and application. The company's AASHTO Certified Laboratory makes sure the products meet your specifications, And your products are delivered both on spec and on time via Martin's Gulf Coast network of production plants, storage facilities and transportation fleet including ocean-going and inland barges, rail cars and tanker trucks. For more information, contact us, www.MartinAsphalt.com EVERYTHING ASPHALT 800-662-0987 Product Date Sheet - RC-250,doc rev. 12/18/06 Q"I ~ o ::I C. DI ':< o ~ 3 ~ ~ ~ 50 '" ~ ~ "0 DI 10 CD g, '" IB!!I ! i! ! Ii > :!II: I ! G) )> r r o Z ..ooz C:CDO ~~"O g~ 8- m. c: c.os:l. 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N i :z - = S r.AIUOIIN r.OIlNTY TFIAg Rln gHFFT-IAgPHAITg"nIlS ANUI-MIILSIDNS CA~HoUN.CoUNTY, TEXAS BID SHEET -IASPHAL Tl ,OILS AND EMULSIONS I I INUIT A TION TO BID RIDDER PERFORMANCE GRADE ASPHALT CLARK DUBOSE, PRESIDENT PO BOX 6 HITCHCOCK TX 77563 BID ITEM lCRS-2 t PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LA V ACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I CRS-2 I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADV ANT AGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER_ THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: CRS-2 MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS UIIl GALLON GALLON GALLON UIIl PIllE :2 \ -'- - ~- --) ;L-.J...1- ).....::- .l--:S- DEPARTMENT: DESTINATION DELIVERY PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON GALLON .2.' 2-- )- .2-' l-.s- PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of bwsiness prior to the official opening of this bid. AUTHORlZm SIGNATURE TITLE: {?LA ~"2 . f?~~ / ~+ PRINTNAME:Ut;.,...~ /)(,.i10j~ DATEOFBII: ,ii/2-7J~11 PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: TElEPHONE and EM All.: l./.v 1-1 if (, - 77't-o i.1.-~~ e... /15 .: -I A i ~II- _ u",,"- I, r limBER PERFORMANCE GRABE ASPHALT c ' CRS-2 Product Data Sheet Description and Physical Properties CRS-2 is a cationic water-based emulsified asphalt designed for use as a bituminous binder for chip seals. It is supplied in bulk. C.A.S. Number: 8052-42-4 Boiling Point (F): 2120F Specific Gravity (H20=1): 1.01 Percent Volatile: 0 Solubility In Water: Soluble Appearance and Odor: Brown Liquid, Faint Petroleum Odor Flammability: Non-flammable in water-based state Recommended Use CRS-2 emulsions should be applied with well-calibrated distributors. The distributor nozzles and spray bar should be sized and set to deliver the desired shot rate, The shot rate should be determined by a laboratory chip seal design with the project aggregate and the conditions of the existing pavement. The air and pavement temperatures should be sufficiently high to allow the emulsion to fully cure. Item 316 of the TxDOT Standard Specifications requires that seal coats and surface treatments be placed when the air temperature is above 500F and rising, CRS-2 should not be applied when the air temperature is below 600F and falling, TxDOT further states that no asphalt binders should be applied during rain or imminent threat of rain. If an unexpected shower arises during operations, the asphalt distributor should be shut off immediately and placement of aggregate continued until all asphalt has been covered. This area should be rolled well and watched carefully after opening to traffic. After a rain, operations should always be suspended until the pavement has completely dried, Specifications CRS-2 Conforms to Texas Department of Transportation Specifications-Item 300.2: ,,' Hnnn_n_nn----P..~~p-~r::t~e~ Test Procedure Mi':li,!,um Viscosity, 1220 F, seconds Saybolt Furol T72 150 Sieve Test, % T59 Dem uTSibTlity-;-j~r mTo(ojfsodTumdf6ctyjsulfosu-cdnafe,no;~ . :fS-g' :_~I~i~<;)~=~f~~lIT~~~nI-~iY;~~~::-n-:=:=-:n--::~-n-:--:::=::::--=-=~-:===-=~:---:-,.. ,. ' '" ,-!~~- Distillation Test: T59 --n_--Res,(Juel)yni5TStniition--;ii7c;1)y-weighf- - ,__nn_n________ __nn --'(59------ _ '--65' n __ ---6ifdistfITate;b-yvoiUm-eofemu-fsion~O;';---------------___n__ -, -'1'59---- --- --"-,--- _n__ . .-Tests..o"n"""f{-e-sfcfue'-.from"oTsiTifa-ilon"":-..-.-----.-.-..--....... m n.-________ ..-- -,... r I)enetratTon-,-7iOF-,-i6o-g:;5--sec:=n:.==-===-~-~=__________ :, " , T49 Solubility in TrichloroethYI!:!:'_~_O(~______________ ..___n_________ __--:=r:-::~---T44 Ductility, 77 OF, 5 cm./min., cm. T51 ! Maximum ... _ ___H_"._'''~''_'' , 400 0.10 40 . . i 1.0 0.5 120 n -97:5--- '" - - .....--.....-.-..- 100 160 Storage and Handling The water-based emulsion should not be exposed to freezing temperatures or overheating. The emulsion is a chemically stabilized system, so care should be taken not to upset the chemical balance with contamination by chemicals, over-exposure to air, or adverse mechanical or thermal conditions. Rapid setting emulsions are formulated to be stable during storage and transport, but to break immediately on application to the road surface. As such, they are the least stable of asphalt emulsions. Typically, CRS-2 should not be diluted with water. Before being filled, tanks and trucks should be examined for possible contaminants. Tanks may be circulated top to bottom with a pump, but over-pumping is to be avoided. Recommended use and storage temperatures are given in the table, H~~c:()!:':lll1ended TE!_ITlP~ra~lJ.nrE!~ Storage .. --.-.-,-.....---- ......-.... Application Min 500F 1l0oF : Max 1850F 1600F ;-~j};;~;:;; ~I s: o ::> 0- 0) ~ o (1) !il 3 C" ~ ..... ~ N ~ ..... -0 0) to (1) o ..... N II!i!II Ii i ~ Ii > il: c= = z - = z ~ ~ ~ c= Z M ;; ; )>"'0 C/)m "'0;;0 III )>0 ~~ )> z o m G> ;;0 )> o m I 5i! z !Ii! In !S ;:;:I i z In c= ; u ;;0 "'0 ;;0 m o z o -l w ~ w 0, o o o G> )> r r o Z z o -0 o 0- I: Sl 5' 0- U! ~ (1) !e. G> )> r r o Z .ooz I: (1) 0 ~;f-o ~~ 8- m. 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N o ..... N !;5 Z :z !i! en !i: r;I ~ o N o ..... N I :z en = ; IiALnUUN IiUUNI' .,ltAAIIIID Inttl-IAlrnALII. UILI AND tMULllUNI CALHOUN COUNTY" TEXAS BID SHEET -IASPHALTS. OILS AND EMULSIONS I I INVITATION TO BID BIDDER MARTIN ASPHALT CO JACK NIMMO 3 RIVERWAY, STE 400 HOUSTON TX 77056 BID ITEM ICRS-2P I PERHlFROM: JANUARY 1, 2012 PERIIDTO: JUNE 30,2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BIO- I CRS-2P BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICA TlONS: CRS-2P MUST MEET ALL TXDOT SPECIFICATIONS; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product. SEE ATTACHED SPECIFICATIONS DEPARTMENT: DESTINA TIDN DELIVERY IIIIT IIIIT PII6E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON "t. , ~'o PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON 'Z.,O PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON 'Z.., ~~ AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON '1,. ~o PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS GALLON '2., )0-:0 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. AmORIZEDSINATURE mLE:_\ . 1..1 ---( ~ IIISP,"''--" .s,~LF~ PRINTNAME: ~6.(..lL "'IA~\J IATEOFBIJ: 1z./-z..1 z,o I' PLEASE UBT ANY EXCEPTIINS TO THE ABOVE SPECRA 5r.o(} 'l\tloJ-/ .lPf"'I/.fA ,,,,.t,EL.- TELEPHONE and EMAI.: '711 ~ 3 ~ C .- b 84 9 €!t., j./fi,j/!. 1>" I'-f, -elf t:.1"E'4,. 't.- t./o...r BIDDER MARTIN ASPHALT CO CRS-2P Product Data Sheet Description and Physical Properties CRS-2P is a polymer modified, cationic water-based emulsified asphalt designed for use as a bituminous binder for chip seals, The polymer gives elasticity, reduced temperature susceptibility and durability to the finished chip seal. Polymer modified rapid setting emulsions typically have earlier chip retention than conventional emulsions. CRS-2P is supplied in bulk. Physical Properties: · CAS. Number: 8052-42-4 · BOiling Point (F): 2120F · Specific Gravity (H20=1): 1.01 · Percent Volatile: 0 ASPHALT COMPANY . Solubility In Water: Soluble Appearance and Odor: Brown Liquid, Faint Petroleum Odor Flammability: Non-flammable in water-based state . Recommended Use CRS-2P emulsions should be applied with well-calibrated distributors, The distributor nozzles and spray bar should be sized and set to deliver the desired shot rate, The shot rate should be determined by a laboratory chip seal design with the project aggregate and the conditions of the existing pavement, The air and pavement temperatures should be sufficiently high to allow the emulsion to fully cure. Item 316 of the TxDOT Standard Specifications requires that seal coats and surface treatments be placed when the air temperature is above 500F and rising. CRS-2P should not be applied when the air temperature is below 600F and falling. TxDOT further states that no asphalt binders should be applied during rain or imminent threat of rain. If an unexpected shower arises during operations, the asphalt distributor should be shut off immediately and placement of aggregate continued until all asphalt has been covered. This area should be rolled well and watched carefully after opening to traffic. After a rain, operations should always be suspended until the pavement has completely dried, Specifications CRS-2P Conforms to Texas Department of Transportation Specifications-Item 300,2: Properties Test Procedure Minimum Maximum Viscosity, Saybolt Furol, 1220F, sec, T72 150 400 Sieve test, % T59 - 0.1 Demulsibility, 35ml of 0.8% sodium dioctyl sulfosuccinate, % T59 70 - Storage stability, 1 day, % T59 - 1 Particle charge T59 Positive Distillation test: 1 T59 IResidue by distillation, % by weight 65 - 10il distillate, % by volume of emulsion - 0,5 Tests on residue from distillation: Polymer content, wt, % (solids basis) Tex-533-C 3.0 - Penetration, 770F, 100g, 5 sec. T49 90 150 Viscosity, 140oF, poise T202 1,300 - Solubility in trichloroethylene, % T44 97,0 - DuctilityL, 39.20F, 5 cmfmin" cm T51 50 - Elastic recovery2, 50oF, % Tex-539-C 55 - .. 0 0 Exception to T59. Bnng the temperature on the lower thermometer slowly to 350 F:l::O F. Mamtaln at this temperature for 20 mm. Complete total distillation in 60 :1::5 min. from the first application of heat. 2. CRS-2P must meet one of either the ductility or elastic recovery requirements. Storage and Handling The water-based emulsion should not be exposed to freezing temperatures or overheating, The emulsion is a chemically stabilized system, so care should be taken not to upset the chemical balance with contamination by chemicals, over-exposure to air, or adverse mechanical or thermal conditions, Rapid setting emulsions are formulated to be stable during storage and transport, but to break immediately on application to the road surface. As such, they are the least stable of asphalt emulsions. Typically, CRS-2P should not be diluted with water, Before being filled, tanks and trucks should be examined for pOSSible contaminants, Tanks may be circulated top to bottom with a pump, but over- pumping is to be avoided, Recommended use and storage temperatures are given in the table, Martin Asphalt Quality Through Martin Asphalt, you get Everything Asphalt-a full range of products. In addition, you receive technical assistance in selecting the right materials and application. The company's AASHTO Certified Laboratory makes sure the products meet your specifications. And your products are delivered both on spec and on time via Martin's Gulf Coast network of production plants, storage facilities and transportation fleet including ocean-going and inland barges, rail cars and tanker trucks, For more information, contact us, Recommended Temperatures Storage Application Min 500F 1100F Max 1850F 1600F www.MartinAsphalt.com EVERYTHING ASPHALT 800-662-0987 Product Date Sheet - CRS-2P.doc rev. 12/18/06 s: o => a. III ~ o CD 2 3 0- ~ ~ .<0 I\) ~ ~ "tI III co CD g, I\) I i! ~ II =- a: - ! ! G) )> r r o Z O"tl CD I\) 3Cfl c.... .., III "'0- III _' co = CD N CD 0:"1 :JZ ~ 0 co_ CD => ~o- CjCfl , :J OCD OCD U.... CDCfl .., CD I=> ..,.... ~:;- :!! ' , !as: I\) 3' I 3' iil C "TI3 alQ CD a. ~CD ~;;, --Jo 90 go "tI~ C = 30 uijl l/O-l I III o => ~~ :::;;-l ;:02 CD 0 ..0'" c. ~. a. ~ ~ 5! M I ;; z I 1ft i! ~ i z 1ft 1::1I ; "'0 ;:0 m Q z o -l CN ~ N en ...., o o G) )> r r o Z ..oOZ c CD 0 ~~"tI g~ 8- lJ:' c o.oa CDCD- ~3:a. 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C o.oll (1)(1)- =3::J Cit:O' -<~(J) ,,~ ~ ~.(t) m B () ~ Vl~(J) . ~ ~ (Q ~ CD:;- ~" ~ ~ g; -0= CD-o I@' ~Vl ll>ll> ifCil ~g "Vl m~ :J:g (il()1 o 318 CDG) g: ll> CD~ o ::J !!!.Vl s:~ ~::J Vl 3' 3 C !!!.3 ~ "'0 I\) m s: e r ~ o z en "'00 ;;or Om 0 oen "'0 :J: ::t> :j .... .... .... i\3 o .... I\) 0> W o i\3 o .... I\) "'0 ;;0 m Q z () -i ~ I "'0 -fit I\) ~ 00 o co ::t>"'O enm "'0;;0 :J:-n ::t>o ej;;o s: ::t> z o m G> ~ o m .... ~ i\3 o .... I\) 0> .... w ~ o .... I\) "'0 ;;0 m () z o -i ~ I "'0 -fit I\) ~ 01 o o G> ::t> r r o Z (J) ~ -0 a a. C II :;- 0' (J) ~ CD ~ (J) (1) ~ :;- ~~ I !1l ~ ~ I :III ~ !j = ! ~ ~ ~ ~ Iooi. ~ '- !:! ~ = :z 1M ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ d' c1 I) + + o r-tj ~ .. VI ll- +~ ~+ "" ~. 1> ?-~ "'\ 0- ~t BID FOR INMATE FOOD SERVICES FOR THE CALHOUN COUNTY ADULT DETENTION CENTER: Ben E. Keiths Foods, Labatt Food Services, and Performance Food Group all placed bids for Inmate Food Services for the Calhoun County Adult Detention Center. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to award to the lowest bid, Ben E. Keith, for inmate food services for the Calhoun County Adult Detention Center for the period beginning the 1st day of January 2012 and ending the 31st day of December 2012 and authorize County Judge to sign the contract and all necessary documents. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE 8 PORT LA V ACA, TEXAS 77979 (361) 553-4610 C0 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL DATE: December 12,2011 RE: AGENDA ITEM - DECEMBER 22,2011 AGENDA ITEM THURSDAY, DECEMBER 22, 2011 ~Consider and take necessary action to award bid for Inmate Food Services for the Calhoun County Adult Detention Center for the period beginning January 1,2012 and ending December 31,2012 and authorize the County Judge to sign the contract and all necessary documents. (EM) ::J "'C -I s: "'C "T1 n n VI !:!2 n O:J -I O:J O:J Cl ~ Cl O:J )> rtl 0 rtl .... ::r ::r ::r 01 c VI rtl C n' c rtl rtl .... ::J .... 01 "0 ..... 01 3 "0 n' n' .... ::J .... .... rtl rtl 0 rtl ::J 01 ::l 01 ;::;: rtl rtl .... '" ..... "0 "0 ::J - - c 0 rtl 01 ::J 01 ..... '" '" a. a. ;:.: rtl ii) ~ c ..... 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FROM G CALHOUN COUNTY, TEXAS 8m SHEET- PHONE NO. : 512+573+0088 I_IE FOOO SfBVIIB Dec. 12 2011 01:00PM P8 r"~'. . I INVlT A liON TO BID ImUER . BEN E KEITH FOODS A TTN: KRESS CHILDS, DISTRICT SALES MANAGER 308 KINGWOOD FOREST VICTORIA TX 77904 BID ITEM 'INMATE fOOD SERVICES I YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CAI.HOUN COUNTY JUDGE, 211 S ANN ST, 3RD FI.OOR, ROOM 301, PORT I.AVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINI" Y MARKED: SEALED BID- ~'NMA TliFOOD'S'Eii\iicES---" ...-....---------.............1 ~-....".".......,..,..._-........WI>...,..........-...--..-....-.....,.,..._................._...______......._....................... BIDS ARE DUE ANO WilL BE PUBLlCL V OPENeD IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22. 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICAUTII;S, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNIY AND TO BE THE SOLE JUDGE IN OETERMINING WHICH 810S WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THe COUNTY OF CALHOUN. TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITV EMPI.OYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR. NATIONAL ORIGIN, sex, RELIGION, AGE OR HANDICAPPEO STATUS IN EMPLOYMENT OR THE PROVISION OF seRVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY, COSTS INCURRED BY ANV PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THE;SE SPECIFICATIONS. IF REQUIRED: THE SUCCESSFUL BIDDER MUST PROVIDE CALHOUN COUNTY WITH 4 CERTIFICA"I'E OF INSURANCE (NAMING CALHOUN COUNTY AS AN ADDITIONAL INSURED) FOR GENERAL LIABILITY ($1.000,000/$2,000,000), WORKEM$' COMPENSATION (IN ACCORDANCE WITH STATE LAW) AND AUTO INSURANCE ($100,0001$100,000/$300,000). BID ITEM: .PEPARTMENT: INMATE FOOD SERVICES JAIL --_......~"....,....---_.........-_....--------....~-._----....--._---~---....-...._- SPECIFICATIONS: INMATE FOOD SERVICES SEe ATTACHED The undersigned affirms that they are duly autho,.ired to execute thi$ contract, that this company, cOrp<1ration, firm, p",.tne,.shlp 0,. indlvldllal has not prepared this proposal in collusion with any other Proposer or Bidder, and that the contents of this proposal or bid CIS to prices, terms ~ conditions of said proposal/bid hove IWt been communicoted by the undersigned nor by any employee or ogrmt to any other person engaged ;n this type of business prior to the official opening of this proposal. AUIDIIlIIlIICIIAlIII DIII: If!!: L ~ ~ PRlNTNAIE: MO'~<"A -11I'1,.,,, ) Pt"""-*t 4..-. (f DATE Of. ,;/,<1 /~Ol' . JB.BIIIONE NUMBER 2-10- ~o7. !..,{01 lIIlIIIl BEN E IBlH RQIS J, KOM G PHONE NO. : 512+573+0088 Dec. 12 2011 01:00PM P9 CONTRACT FOR FOOD SERVICES CALHOUN COUNTY ADULT DETENTION CENTER 5T A TE OF TEXAS COUNTY OF CALHOUN This agreement is by and between 15 ~N C~ (cIn{ Name of Company hereinafter called "provider" and Calhoun County acting through their Adult Detention Center hereinafter called the "Jail" and is to provide for the furnishing of food and food stuffs to the Jail. The effective date of this agreement is January 1,2012 and is for a period of one year from that date. This agreement will end on December 31,2012. This agreement has the option to renew yearlY, for up to two additional years. Each of the two optional renewals must be approved by Commissioners' Court prior to the end date of the preceeding contract. The food and non-food items to be provided are set out in the attached Food Bid Pricing List and said prices will be honored for the one year period. Any items ordered not on the attached Food Bid Pricing List shall be provided at Cost Plus /:2.. D % basis. The Jail agrees to pay for said food, non-food items or goods upon presentation of an invoice and verification that said food, non-food items or goods have been delivered and received. Provider will use its best efforts to provide quality products and good and healthy food but makes no warranties express of implied about their fitness for use. Provider will provide products that are needed for inmates with high blood pressure, diabetics or for religious reasons. Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the jail \0 make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 a.m. to 10:00 a.m. and 1 :00 p.m. to 4 p.m. in order not to disrupt the jail kitchen in preparing meals. Should an ordered item not arrive as ordered, or a wrong item is delivered, provider will deliver the correct or substitute item within 24 hours from the date the missing item was supposed to be delivered. A sales representative from the provider shall contact the Jail Administrator or Jail Cook monthly in person, to discusS any issues or new products offered. Page , of 2 12 2011 01"01PM P11 - Q) :::J c: S>> ~ FROM: G PHONE NO . 512+573+0088 Dee ~ ::t> r:' ~ i '" < 0' . . . . .b OJ. U\ U1 ~ V'\ ()1 CJl ~ ~ tJ\ 8 ~ G" ~ r:; 'i: :.- ~ r; .J ~ I-'l\ 0 $ - @ - ~ ;- ~ - ~ ('o) ~ ~ ~ ~ lJ' t.n ~ ~ tJl ~ j 'V" 1- ~ e ~ >! ..D 0 ~ ~ (]l tn ..J - - ;:; I~ ~ ~ \J1 ~ ~ 0 ~ ~ j; .c:.. i - ~ 0 >0- m cE ~ - ~ -1 ~ 0 ~ .,.S) ~ 3 - -J 0 t1l >< -3 ~ ~ U\ b ~ ~ 0 0 ~ ~ (A) ~ :at ()) ~ lJ) 0 0 '(j) - 0 ..c:. S 0 ~ f') 0 ~ J:;. w .J ~ ..c. .J:::. 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I~ ~ 2j ~ :r b UJ ~ ~ ~ - :J ~ ro ~ :c. ~ N 1:: 0 0 ..(l en (, 0 ...Q ~ ~ IE ~ ~ 0 :J P CO u.,) "U ~ ~ 8 & ~ ~ 5" :.J ~ 1:- :0 S 8' ().J [a ~ :.J :p. ~ ~ ~ '..J ~ :.J ~ 6- ki ::L ~ ~ - ..r;;. -c W DC g f'J - .c - ..Q U\ b (A ",' tJ\ ~~~f ~;all)~ ="~ .:;:.:.< = co ~= ~ o m .... o o ..... ...... o c; II o' :::s 0 c: ~ 0.. ~ OJ ....,.,. -. ... 0- I\,) -0 0 ..., - -. N n -. ..... ::s ::r' (Q .... c: r- 0 -. ('I) fA (') A- CI) 0' 3 "'" C" 0 CD ... S>> ~ - ...:.. :::r ... 0 I\,) c: 0 ~ ~ N 0 0 c: ::J ~ )> Q. C - A- C (D S' ::s t"I- -. 0 ::s 0 CD ::s ..... CD -c =-ROM G PHONE NO. : 512+573+0088 Dec. 12 2011 01:00PM pg CONTRACT FOR FOOD SERVICES CALHOUN COUNTY ADULT DETENTION CENTER STATE OF TEXAS COUNTY OF CALHOUN This agreement is by and between ~CN C' ~'tn-l Name of Company hereinafter called "provider" and Calhoun County acting through their Adult Detention Center hereinafter called the "Jail" and is to provide for the furnishing of food and food stuffs to the Jail. The effective date of this agreement is January 1.2012 and is for a period of , one year from that date. This agreement will end on December 31, 2012. This agreement has the option to renew yearlY, for up to two additional years. Each of the two optional renewals must be approved by Commissioners' Court prior to the end date of the preceeding contract. The food and non-food items to be provided are set out in the attached Food Bid Pricing List and said prices will be honored for the one year period. Any items ordered not on the attached Food Bid Pricing List shall be provided at Cost Plus /::!.,.f) % basis. The Jail agrees to pay for said food. n~n-food items or goods upon presentation of an invoice and verification that said food, non-food items or goods have been delivered and received. Provider will use its best efforts to provide quality products and good and healthy food but makes no warranties express of implied about their fitness for use. , Provider will provide products that are needed for inmates with high blood pressure, diabetics or for religious reasons, Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the jail to make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 a.m. to 10:00 a.m. and 1 :00 p.m. to 4 p.m. in order not to disrupt the jail k.itchen in preparing meals. Should an ordered item not arrive as ordered I or a wrong item is delivered, provider will deliver the correct or substitute item within 24 hours from the date the missing item was supposed to be delivered. A sales representative from the provider shall contact the Jail Administrator or Jail Cook monthly in person, to discuss any issues or new products offered. Page , of 2 -,- --, FROM G PHONE NO. 512+573+0088 Dec. 12 2011 01:01PM P10 SIGNED AND ACCEPTED this the PROVIDER: .(L,e ~ dO' Si~nature ~ . .H€1.\1 * ~ t\-'I.NV Typed or Printed N~me CALHOUN COUNTY, TEXAS day of ~c (~tJ-., G. Mailing Address _5~ ~NV\) ~ City, State. Zip Code 2011 . -r:-'~IJ s 211 S Ann st, 3rd Floor, Ste 301 Port lavaca, TX 77979 Page 2 of2 BIDS FOR INSECTICIDES FOR MOSQUITO CONTROL: Adapco, Clarke Mosquito Control Products Inc, Target Specialty Products and univar all placed bids for insecticides for mosquito control for Calhoun County. A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to award to all bids for insecticides for mosquito control for the period beginning the 1st day of January 2012 and ending 30th day of June 2012. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B PORT LA V ACA, TEXAS 77979 (361) 553-4610 Co~+i C)M"K #-1 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE ~ PEGGY HALL DATE: December 12,2011 RE: AGENDA ITEM - DECEMBER 22, 2011 AGENDA ITEM THURSDAY, DECEMBER 22, 2011 ~ Consider and take necessary action to award bids for Insecticides for Mosquito Control for the period beginning January 1,2012 and ending June 30, 2012. 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N o ~ N ., ~ n )> r- :I: o c: z n o c: z ~ ... - z en m o -f - o - c m en ." o ;U :s: o en o c: - -f o o o Z -f ;U o r- -I m )( )> ~ 0:1 -. a. -I OJ C'" C - OJ r+ -. o ~ . )> r- r- " ::0 m o - z o -I en CALHOUN COUNTY, TEXAS - Invitation TaBid Form INSECTICIDES FOR MOSQUITO CONTROL All Calhoun County Precincts Ad()v JANUARY 1, 2012 Thru JUNE 30, 2012 ~ Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print or Type-AU information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE SHEET INCLUDED MINERAL OIL Gallon $10.69/g1 /~ No MALATHION SEE BELOW SEE BELOW SEE BELOW Yes No 30-30 UL V Perm-X 30-30 Gallon $112.00/GL @ No Fyfanon (Malathion) 5 gallon pail Gallon $47.32/g1 J@ No Fyf.anon (Malathion) 55 gl drum Gallon $44.19/g1 @ No Fyfanon (Malathion) 260 gallon tote Gallon $1Q Ql/gJ J Yes No Yes No Yes No if additiom11l space is needed ~{l list insecticides, you may copy this form 2S needed. II copies are made, each page must be signed. All charges must be included in bid price. No other char2es may be added to the bid, price when invoiced unless'Doted as an exception on the bid form. IEiJ" See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm. partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other perSon engaged in this type of business prior to the official opening afthis bid NAME OF COMPANY: ADAPCO, Inc. ADDRESS: 550 Aero Lane Sanford Authorized Signature & Title: Print Name & Title: Tom Wells. Vice President Telephone Number: 800-367-0659 Email: Rid~@MY A OAPCO com List any exceptions to the given bid specifications: Date of Bid: 12/12/11 Fax Number: 866-330-9888 Page 1 of 1 CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL (1Le... All Calhoun County Precincts c... \0- JANUARY 1, 2012 Thru JUNE 30,2012 ... Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print or Type-All information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE SHEET INCLUDED MINERAL OIL Envirotech oil gallon $7.20/gal ~Yes No MALATHION NO BID NO BID NO BID Yes No 30-30 UL V Biomist 30 + 30 gallon $75.60/gal / Yes No Yes No Yes No Yes No Yes No Yes No If additional space is needed to list insecticides, you mal' copy this form as needed. If copies are made, each page must be signed. All charJ!es must be included in bid price. No other charees mav be added to the bid price when invoiced unless noted as an exception on the bid form. ... See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. NAME OF COMPANY: Clarke Mosquito Control Products; Inc. ADDRESS: 110 RaRt Irving Park Rd.. ~Floor, Roselle, IL 60172 Authorized Signa..... & Title, Q~)ff (}v.".()R j, I Sales Consul tant Print Name & Title: Doug Carroll Date of Bid: 11/29/11 Telephone Number: 800 - 32 3 - 5727 Fax Number: 800 - 832 - 9344 Email: dcarroll@clarke. com or List any exceptions to the given bid specifications: tlurczewski@clarke.com Page 1 of 1 , - - CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL All Calhoun County Precincts .--,;...,~~~~~ JANUARY 1,2012 Thru JUNE 30, 2012 ~ f eG If (~ ~ Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print: or rrype - All information must be legible PRODUCT INFORMATION SHEET INCLUDED ~~( 11',". ~~ 4 BID ITEM UNIT ) MINERAL OIL (8YA-IJ 5>'3"'.#011) / . ) MALATHION ) 30-30 UL V (E'vc;Uel' 30- .3 0 ) ) Ze (1 ;'vex ELf % (~ )( ;). 5', 9 (}Jll~lt) ) 2etJivex EY fa c].o yj~/JJ ) Zp/7i~ Ey% Ld7.)- J"~n) ) 2?/J;v~ Fdo % (. cJ ><- ~.s ,safoll J ) 2PJ1;VPx cdIJ % (:5 0 j~ffi,,) {;a//on ~//O)1 GJoh Get/! 011 6 ql/vl1 (y, ~11 6ct!lvn UNIT PRICE -A dlf 9.. - /sQ!. NO /jIb .:1"73' /f9 / I' . .- <Ja:. :# 85'. 9.9 0"- $; g </ 92 (stt! it f)3 c:s / I 0, /Jt1. i~?'I ~ hel .ft dJ J, ~ If,,1 .I@ No Yes @ jC~ No J@ No J @ No t~~0 No J ~ No I Ci;) No if additional space is needed to list insecticides, YOll may copy this form as needed. if copies are made, each page must he .\igllf!d. All charfles must be included in bid price. ,No other char2es may be added to the bid price when invoiced unless noted as an exception on the bid form. .. See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation. firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid NAME OF COMPANY: CI pi J2 C/O ~ /J11J~c,/i' ADDRESS: /c>>.s.- N ~ -rfon 77()S..>- Authorized Signature & Title: """ ~ 0c:/iJ Y' If..tI..I/""~~j ~/1f:JWr - PrintName&Title:4~.McAo~ )1;crlortfilJi'/J~lJ~l/llfJrr Date of Bid: . j;l-/~I/ TelepboneNumber: (lfJD)P.JS--;JjJJ ,~fi')J66Jcf6'Y FaxNumber: Q/oJ 66J- ~61t .. , Email: miJp ~ nicAo!J ~, 7tJY'tJfl- S'~Pt;aI7 . ( Crh List any exceptions to the given bid specifi~tions: / Pi/TO 1 Page 1 oft 1 r' ^ I unlla.1 r'nlla.ITV TCV ^ ~ -.. 1_...:"'_"':__ 'T_ D:.... ~_..._ . "t" CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL 1V-r+1 All Calhoun ~ounty Precincts t:~;;~? JANUARY 1, 2012 Thru JUNE 30, 2012 ./ Py .... Return this Form and the Product InformatiQD Sheet(s) for ea.ch Insecticide you are listing below: Print or Type - All information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE ' SHEET INCLUDED Mfi~EKAL OIL - Yes NO M1UJATHIOI~ Yes No 30=3u ULV yes Nu j 2-Pl1itle>c E;)O Xo (J 7:5-, 5'(t!/on J bqAI1 $ OQ.6 /~ No :JtJ. - 9C/ !, ~ ,Ev o/~(}r <-; - r (d. S- C}O/!O'l ) Cx~/Io/) 11 .)5~ Ot\l;;~1. I (f;) No ) $Vok,-- 1-<; G-s ()r r;)7s ~11) &:tl%rt #~~..1Jhq( G;) No 0 Enviofl Gallon 11 /'I~ .3~aI. J~ No "3) Aytltt/iov- dO .-J 0 {;-vI/411 if oOi; t3 /~O- - ,ftl No If additional spacl: is needed to list insecticides, you may copy tbis form as needed. !lcopies are made, ellch pllge mm-t be .~'igl1(!d. All charees must be included in bid price. ,No other Char2e8 may be added to the bid price when invoiced unless noted as an exception on the bid form. .. See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned qlJirms that they are duly authorized to execute this contract, that this company, corporation. firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid 11 z 1'1 Pag~ of 1j __ L f" ^. un..... f"n.....TV TCV ^ ~ ~ 1_...:"'_"':__ T..... 10:..... 1:'___ '1 CALHOUN COUNTY, TEXAS -Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTRO~ e;k \-\v\ All Calhoun County Precincts /1 ~(ieo;;d~ JANUARY 1, 2012 Thru JUNE 30, 2012 ~ ~ Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print or Type - An information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE SHEET INCLUDED MINERAL OIL Yes Nu 'MALAl HION Yes Nu 30-30 ULv Yes No Y) /!/IoJ}c! bi/ftlf'IS GttJ.e o/- 9DO J C/{Je.-;Yoo $ ~' COk "@ 6)0. - ells(: No , Ii ~r; ~~ ) dlhs;c/ xl( tl79y~A (C~ if dJo ) <:q JC /JJ 1) ~ F cqJe ~ No J /!/Io$fc/ :S/56 (fo It .6'q,') At9 &ad) 11//1. (z2 /1") IcY;) No (, j;9 (~/~ rJ A/JJJhl X;eb (YO/A /x,q ) /$ 3eA>, 00 if, ~ No v' I." Q4#o))I/UM iUS;; 01{ J'e of! goo potrip)) CCI s.e/goo # G/ 0 ~ QJ ;{ctJe J(j;i) No If additional space is needed to list insecticides, you may copy tbis form as needed. If copies are made, each page must he signed. All charges must be included in bid price. No other char2es may be added to the bid price when invoiced unless noted as an exception on the bid form. fiF See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid NAME OF COMPANY: 707fl S~ ee; ~ '!Jt:!::f,.s ADDRESS: I~ cJS N.. o..sf' . ai::' . / ."" n I)-X '770SS Authorized Signature & Title: ~ 4P i Yt! c for Iftl.silJe-fJ ~t'/l1tNj~"" , J Print Name & Title:~)R dcht1 J/Pcl/t r gtl';/Jflfhl~ntiJlr Date of Bid: / c:J -.1-1/ TelephoneNumber{Jbo) 7dS:..3JJJ ,Q)f))b6J-J~tf Fax Number: Q)O.,) ro6d - I~J' -- -, Email: m/J:e" /J;C;'o/S ~, iQr9pl-~fJc;tij". (OM List any exceptions to the given bid specifications: P1 31) 4 Page 3 of 1.f l f" A I unllt..1 f"nllt..ITV TCV ^ ~ -.. l_ui+4"Il+i__ T_ D:6'I 1:'_.,._ ~J CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL ./ (q<X"IX) / l ()J ~()I c; All Calhoun County Precincts .5 ~~;ob.'" JANUARY 1,2012 Thru JUNE 30, 2012 ~ Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print or Type - All information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE SHEET INCLUDED MiNERAL OIL Yles Nu MALAlHION Yes No --:3U-30 UL V Yes N6 IV /f/AJ;;I fJe!/er!; o 'X c)J 1L1 c tyJe j / yij)ds ~ j/Od" ~ ,{ct.se v'@ Cct!E " No o j ~//tJJ}tP !;ytl) I &tri/l~;c4.. ('I J( /JtC! J ('Q1C.j Y Cj'ill -~. '7J};, J~ /,' - eJ1Je v'@ No /Jd/IoJJt7 !;Yi4;/ t;n@/JIttrJ C~) ';< ~.SJ1{) CtfJe. /5"jt[)( 4' ~~~O _ @j'qJe. v'c.Y;) No QJ 5u41/hI-f ;j,i;. /J;jfl{//, (;o()fiv~) (C{Je./Jo '0 /I - 9S.J J0~) 07 - ('C{Je No 3,)Ay!/-;) {arvI'c)t-h {)Il ,(5-5-, j4dl1J 64 I/o n Jt /'1 ?J I,Q! I (v es'j No If additional space is needed to list insecticides, you may copy this form as needed. If copies are made, each page must be signed. All charJ!es must be included in bid price. No other charf!es may be added to the bid price when invoiced unless noted as an exception on the bid form. IF See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid NAME OF COMPANy:7Q rcre:f' ~ ec;a h ,j/, ~-c/J ADDRESS: / d ~.:S" _ OS Oa 'cI.. 1101./ )- '77 OS.s: Authorized Signature & Title: ~ ,d~, , Rc toy" I1t1J;I1~,.Jj ,.IJe:;/J~fllr , v Print Name & Title:4:Lo #(hOh JIf{Iv,ri'iI?JI/J~JJ~l1tPflJ"DateofBid: /J -I -II Telephone Number: (fof,} 9 JS - ]7 J J. ,@/YJJ66,) .J6 t 'Fax NU;ber: GJ /0 J 66J - dtJ IPS I> - , Email: m;,k.P ~ 1)/(170/5; @ Ttl'y9RI-.J'lJec)ClI!y. (()~ List any exceptions to the given bid specificatio~: I / f1 'i IJ v/ Page~ Of' "A. ._1"..". ""......,..~ .,.......V A ~ _ .___:"'_"':__.,.._ ~:-I 1"'"___ CALHOUN COUNTY, TEXAS - Invitation To Bid Form INSECTICIDES FOR MOSQUITO CONTROL ( All Calhoun County Precincts () (l i"}/ JANUARY 1,2012 Thru JUNE 30, 2012 ' ~ ~ Return this Form and the Product Information Sheet(s) for each Insecticide you are listing below: Print or Type - All information must be legible PRODUCT INFORMATION BID ITEM UNIT UNIT PRICE SHEET INCLUDED MINERAL OIL 5030 J JOlt .DrLt*t {;' <6. <62ha//tJtJ V@ No MALATHION IV B =- Yes @ 30-30 ULV :J.. 'I ;). ~9al j "':3LcIJ:j/' 1i.~zJgc//oAl .8 No Yes No Yes No Yes No Yes No Yes No If additional space is needed to list insecticides, you may copy this form as needed. If copies are made, each page must be signed. All charf!es must be included in bid price. No other char2:es may be added to the bid price when invoiced unless noted as an exception on the bid form. " See Specifications for Insecticides for Mosquito Control and General Conditions of bidding The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid NAME OF COMPANY: lilt r 1,hlJ" LA 5 fI ADDRESS: ( 9 17 :J CI <,';t r() fJ1)rt B / vd /1 e> fA::rh J1 IX: 77 () IS Aut..d..d S;gnatu<e& Title: ;:Jr ~~ ~~ ~'" Ie s 11:d~i ~ }\"It: R Print Name & Title: Lfr~\Z~ --,---l~_f)(-\__ Date of Bid: ~2 - --:1 - J \ Telephone Number: ~3'2. 3gfo 3300 FaxNumber:;28t ?j6;)L(99{)? Email: .b (' f ~Vl, I'YJ C Fa 1/ <!l u VI i va t"'u 5 Cl e Co IYI List any exceptions to the given bid specifications: Page 1 of 1 BID FOR EXCESS WINDSTORM INSURANCE FOR CALHOUN COUNTY: GSM Insurors and Higginbotham & Association placed bids for Excess Windstorm Insurance for Calhoun County. A Motion was made by Judge Pfeifer and seconded by Commissioner Finster to award GSM bid and to negotiate Option 2 with GSM for Excess Windstorm Insurance for Calhoun County for the period beginning the 1st day of January 2012 and authorize the County Judge to sign all necessary documents, Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B PORT LA V ACA, TEXAS 77979 (361) 553-4610 w MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL DATE: December 12,2011 RE: AGENDA ITEM - DECEMBER 22, 2011 AGENDA ITEM THURSDAY, DECEMBER 22, 2011 ~ Consider and take necessary action to award bid for Excess Windstorm Insurance for Calhoun Co.unty for the period beginning January 1,2012 and authorize the County Judge to sign all necessary documents. (eM) .... ~ ~ .... .... o o 3 3 (ii' Ul o' ~ CD iil. o o r:::: ;l * co en 19 ... ~ eft g .- (j1 ... 0 -g '#. at "'C :I <il c' 3 :I 2" 3 - I> I> ~ m ~ Ul Ul ~ 5' a. Ul g 3 U'I o '#. ;0 (ii' " U'I o '#. ;0 (ii" " ~ (ii' 5" Ul o o "{I o " ~ ~ Ul o o o r:::: o S' (/) ~ Dl <il I So - ~ CD ~, Ul " Dl ~ a. g: ~ '#. 0 So ~ ~ o' 3' !' "0 Dl 3 <il !it ;0 CD "0 iii" ~ 3 CD ~ - 8 !!l. , co o '#. Ul- ~ ~ "= g ee !t. ~ CD ~ g g Dl Ul Ul r:::: 3 5' ee U'I o '#. * .... 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Q 0) U'I '0 0) o 00 (:) (:) o 0 o t>> s: o c ~ C') o c ~ ~ E tn Z tb c: ~ C') m m 6 tb 0- .. g: CD " m ~ o c ~ o ~ - ... II.) I .... o ~ - .... Co) Ci) en il: :; Ul c a fIl o 'i ~ 8- ... t! ... f!! ... ... ... CI C ~ i: " I'.) ;0 0 m ~ s: I C I'.) s: ,~ (/) I'.) 4~C- hare insurance . A 6~ Q~fihitioit A kind of property insurance contract that shares the same risks with another policy, according to a predetermined percentage. ell risks All Risks. Ltd. 300 Arboretum Place Suite 410 Richmond, VA 23236 MIKE CONNATSER Phone: 1(804)330-1,1652 Ext:4233 Fax: 1 (804)330-9485 S/Q: '2138555/001 December 9, 2011 Insurance Proposal -- R.o~ ~Co. CAROLYN HOWARD KEY & PISKURAN INS AGENCY #421716 2313-A ROOSEVELT DR. P.O. BOX 1 3 6 72 ARLINGTON, TX 76094 Insured: Calhoun County 202 S Ann Street Ste B Port Lavaca, TX 77979 Policy Period: 01/01/2012 - 01/01/2013 (per carrier quote attached) We are pleased to submit our proposal for the above captioned insured. Please read the attached quote carefully as coverage oxfered may be more limited than coverage requested. Property - Wind Excess Price Breakout: Premium: Policy Fee: TX Surplus Lines Tax: TX Stamp Fee: Total: 40,000.00 750.00 1,976.38 150 Remarks: Excludes Terrorism Note: Minimum earned premium most likely will apply to this policy. See attached carrier quote for specifics. Since wind is a covered peril, a different minimum earned premium will IAAMGAJ .:~.;;~~ .. Continued. . . Arizona' California' DC Metro' Florida . Georgia . Maryland . North Carolina Pennsylvania' Texas' Virginia . Washington CA Ucense 0884526 Page 1 <:]11 ris ks AU Risks, Ltd. 300 Arboretum Place Suite 410 Richmond, VA 23236 HIKE CONNATSER Phone: 1(804)330-4652 Ext:4233 Fax: 1(804)330-9485 S/O: 2138555/001 Insurance Proposal apply and may be up to 100% of the annual policy premium. Please see attached endorsement for specifics. Please review any minimum and deposit, audit, and/or cancellation provisions on the attached carrier quote for details regarding possible return premiums and additional premium charges. Carrier: ROCKHILL INSURANCE COMPANY I look forward to hearing from you and please call if you have any questions. Thank you for your business. MIKE CONNATSER All Risks, Ltd. fAAMGA}. ~~~~:;. e Arizona . California. DC Metro. Florida. Georgia . Maryland. North Carolina Pennsylvania. Texas. Virginia. Washington CA Ucense 0884526 Page 2 Carolyn Howard From: 3ent: To: Cc: Subject: MCONNA TSER@allrisks.com Friday, December 09. 2011 1 :35 PM Carolyn Howard MCONNATSER@ALLRISKS_COM; Mary Fowlkes Calhoun County, Texas - Excess Wind Quote Attachments: 0000242592550238_pdf; Updated TIV Spreadsheet.xls;RoCkhill~WindQ'u~ta-share Quote.PDF " ''\ 0000242592550238 Updated llV ~ockhill Wind Quota .pdf (73 KB) :;preadsheet.xls (2.._ share Quot... Carolyn, Please see the attached Wind Only Excess Quote {Q'Q-o.t.a Share') for Calhoun County, Tx effective 1/1/12-13 per the following summary: * TIV's - $34,357,625 (5ee attached) Carrier: Rockhill Ins Co. Limits: $10,542,813 PIO $21,085,625 xis $13,272,000 * Replacement Cost - 90% Premium: %42,7Sb.83 (includes tax/fees) * PLEASE REVIEW CLOSELY THE ATTACHED ROCKHILL QUOTE FOR ALL TERMS & CONDITIONS To bind this quote we need: 1.) Email advising us to bind 2.) Signed & dated Acord apps 3.) Signed & dated Terrorism Form - attached & * Terrorism charge/coverage not included above 4.) Signed Texas Diligence Form - attached I'll be sending over a Quote from Axis that is sharing (quota-share) the overall excess wind limit. Let me know if you have any questions. Thanks. Sincerely, Mike Connatser Senior Broker All Risks, Ltd./Richmond, Va. Phone: 804-267-1233 Cell: 804-651-4178 ~ax: 804-330-9485 ~mail: mconnatser@allrisks.com e II risks All Risks, Ltd. 300 Arboretum Place Suite 410 Richmond, VA 23236 MIKE CONNATSER Phone; 1 ( 8 04 ) 330 . 4 652 Ex t : 4 2 3 3 Fax: 1(804)330-9485 5/Q: 2]38555/002 Insurance Proposal - ~UJ ~ Co December 9, 2011 CAROLYN HOWARD KEY & PISKURAN INS AGENCY #421716 2313.A ROOSEVELT DR. P - O. BOX 13 6 72 ARLINGTON, TX 76094 Insured: Calhoun County 202 S Ann Street Ste B Port Lavaca, TX 77979 Policy Period: 01/01/2012 - 01/01/2013 (per carrier quote attached) We are pleased to submit our proposal for the above captioned insured. Please read the attached quote carefully as coverage offered may be more limited than coverage requested. Property - Wind Excess Price Breakout: Premium: Policy Fee: TX Surplus Lines Tax; TX Stamp Fee: Total: 40,000.00 750.00 1,976.38 24.45 ~2,7-50.,83 Remarks: Excludes Terrorism Note: Minimum earned premium most likely will apply to this policy. See attached carrier quote for specifics. Since wind is a covered peril, a different minimum earned premium will IAAMGA'. .:~~~ Continued. . . e Arizona . California' DC Metro' Florida' Georgia' Maryland' North Carolina Pennsylvania' Texas' Virginia' Washington CA Ucense 0884526 Page 1 ellrisks All Risks, Ltd_ 300 Arboretum Place Suite 410 Richmond, VA 23236 MIKE CONNAT8ER Phone: 1(804)330-4652 Ext:4233 Fax: 1(804)330-9485 8/0: 2138555/002 Insurance Proposal apply and may be up to 100% of the annual policy premium. Please see attached endorsement for specifics. Please review any minimum and deposit, audit, and/or cancellation provisions on the attached carrier quote for details regarding possible return premiums and additional premium charges. Carrier: AXIS SURPLUS INSURANCE COMPANY I look forward to hearing from you and please call if you have any questions. Thank you for your business. MIKE CONNATSER All Ri sks. Ltd. lAAMGAI .;~~r=:._~ . e Page 2 Arizona . California' DC Metro' Florida' Georgia . Maryland "North Carolina Pennsylvania' Texas' Virginia' Washington CA License 0884526 Carolyn Howard From: Sent: To: Subject: MPLEASANTS@allrisks.com Monday, December 12, 2011 2:20 PM Carolyn Howard Calhoun County Axis Wind Quote Quota SharePDF; AXIS SURPL - 331 - QUOTES.PDF;AXI8SURPL _ 331 - QUOTEPDF Attachments; m";',. , ..... ~.~ \j ;..:# ~1 .~ Axis Wind Quote A)(lS 5URPL - 331 - A)(lS SURPL - 331 - Quota Share.PO... QUOTES.POF ... QUOTE.PDF (... Good afternoon, Please see the attached Axis guote(Quole ShCiIeJ for Calhoun County, TX effective 1/1/12-13 per the following summary: * TIV's - $34,357,625 Carrier: Axis Surplus Insurance Company Limits: $10,542,813 P/O $21.085,625 xis $13.272.000 ~ Replacement Cost - 90% Premium: %42.750.83 (indl,ldes taX/fees) * PLEASE REVIEW CLOSELY THE ATTACHED ROCKHILL QUOTE FOR ALL TERMS & CONDITIONS To bind this quote we need: 1.) Email advising us to bind 2.) Signed & dated Acord apps 3.) Signed [:, dated Terrorism Form - attached & * Terrorism charge/coverage not included above 4.) Signed Texas Diligence Form/Minimum Earned Premium Form - attached Thanks. Melissa Pleasants Brokerage Assistant (804) 330-4652 x4249 300 Arboretum Place Suite 410 Richmond, VA 23236 **----------For Internal Use OnlY--Please Do Not Remove----------**: Insurance Proposal Calhoun County, Texas Calhoun County Auditors Office Presented by: G........;. . '. ,~ '-,.."",:; '. I:N~'E-~"'.~;Qe '... "" ..!.~::~..\.".,d"~',~ 1102 East Laurel Street. Rockport, Texas 78382 " INTRODUCTION TO THE AGENCY Established in 1923, GSM Insurors is a leading privately-held independent insurance finn with multiple offices throughout Texas, Many things have changed in the past 80 years, but our commitment to providing our clients with exceptional service and protection certainly hasn't. Our agency became a founding partner ofthe Insurors Group in 1998, an alliance of progressive agencies in the state of Texas. In 2007, our group of agencies achieved national recognition in Insurance Journal magazine when we ranked 34th out of the Top 100 Independent Insurance Agencies in the country. In addition to being named one of the leaders in our industry, GSM Insurors is also a proud member of the Trusted Choice@ network of agents. This means our agency has pledged to adhere to a higher set of ethical and customer service standards than non-member agencies, We are dedicated and committed to treating you as a person, not a policy. It also means we represent your interests, not just one insurance company. We only work with the best and most respected insurance carriers in the nation to provide you with premium, comprehensive and customized protection programs at the most competitive rates available, And should you ever suffer a loss, our agency will provide you with unparalleled advocacy to make sure that your claim is settled quickly and fair1y. GSM Insurors is committed to being your trusted advisor. protecting what you value most. ~\ I,~~~~~~,S,".. ~ _." ..3-:;"':~:~~'~~~.'!;,.~ * ~fal~m"'m~~iAAlillQl'l~~~' CONTACT INFORMATION GSM Insurors Phone Number Toll Free Number Fax Number Website Address Address 361-729-5414 877 -729-5414 361-729-3817 www.gsminsurors.com 1102 East Laurel Street Rockport, TX 78382 Account Manager Pam Jamison Phone Number 361-729-5414 ext. 129 Email Addressoiamison@osminsurors.com Claims Manager Phone Number Email Address Mellinee Harwick 361-729-5414 ext. 208 mharwick@osminsurors.com 3 PREMIUM SUMMARY ,;: -~F?i'fI~N"~' OPTION 2 tJ~vt Y'l\Qm-S11J !Pf\ ,;): _~L'" ,'<" ;,'~ ',",:}.': .." ~:~;>:?)< '; >': '~.:. ;.'. ,. ',' ", ,~<.. - ':.. '~ (giX-GESSiWIN[)'. $63~986~r;1.lf C,FYL~IND $138,218.93 ;;~::.t)~ti6il~;' 3 locations TWIA WIND $178,237.00 TWIA WIND $ 79,447.00 All locations all locations except 3 covered above TOTAL PREMIUM for WINDSTORM TOTAL PREMIUM for WINDSTORM $242,223.71 $21 7,665.93 , ,Lucy Dio From: Sent: To: Subject: Pam Jamison {pjamison@gsminsurors.com] Thursday, December 15, 2011 2:26 PM Lucy Dio RE: Excess Wind OK Option 1 All Wind Coverage is written thru TWIA and you have a separate Excess Wind policy for the excess limits of the 3 large buildings, TOTAL bottom line Wind Premium for the County $242,223.71 Option 2 All Wind Coverage (excluding the 3 large buildings) is written thru TWIA. All the Wind Coverage for these 3 buildings is in a separate policy. TOTAL bottom line Wind Premium for the County $217,665.93 I will call you shortly. Thanks LOCATION SCHEDULE Loc# Bldg # Address 1 1 211 S Ann. Port Lavaca, TX 77979 2 1 815 N Virginia. Port Lavaca, TX 77979 3 1 302 W Live Oak. Port Lavaca, TX 77979 4 Insurance Company: Proposed policy period: L10yds of London 1-1-2012 to 1-1-2013 COVERAGE DETAIL Co- Locations Amount Excess of Ins - ICC Deductible TOTAL Value $33,901,238 $20,629,238 $13,272,000 100% RC $4,424,000 per location - covered by TWIA 211 S Ann · Port Lavaca, TX 77979 815 N Virginia. Port Lavaca, TX 77979 302 W Live Oak. Port Lavaca, TX 77979 5 Standard Endorsements (available upon request): AmRise Property Endorsement (AR PE 01 10) IL 09 53, unless TRIA purchase confirmed upon Binding. Standard formsJendts incl. Arbitration clause, avail upon req. Standard Terms & Conditions: Any Additional or Return Premium under $500 shall be waived. This quote is subject to acceptance both sides with NO COVER GIVEN. Severe cancellation penalties apply to CAT exposed property. Specific Terms & Conditions: Coverage explicitly excludes all flooding, including but not limited to flooding during windstorm events. COINSURANCE TO BE WAIVED SUBJECT TO RECEIPT AND ACCEPTANCE OF SIGNED AMRISC SOY-APP All Buildings with outstanding damage arc excluded. Contact UW if waiver needed. Coverage excludes all damage directly or indirectly caused by any Named Storm in existence upon AmRisc receipt of written request to bind. WINDIHAIL is excess of $4,424,000 per building (TWIA) + underlying TWIA deductibles Items not covered by TWIA are excluded from WindlHail under this policy Warranties Warrant no losses last S years on properties to be covered unless specified in AmRisc Application. Information due within 30 days of inception: Signed AmRisc Application/SOV, Signed Surplus Lines Statement (Required at binding) Signed TRIA Disclosure Notice(s) To comply with regulatory provisions, unless the above requested information is received within' 30 days, automatic NOC must be sent contingent upon receipt of information. All quotes and binders are subject to satisfactory inspections, recommendation compliance and financials. Inspections shaD be ordered by AmRisc, L.P. All coverages are as per the standard forms and endorsements in use by AmRisc, L.P. at the time of binding, unless otherwise noted. Coverage shall exclude any damage due directly or indirectly from any named storm in existence at the time a Request to Bind is received by AmRisc, L.P. 30 day NOC, except 10 days for nonpayment of premium or material misstatement; subject to individual State requirements. Reinstatement penalties shall apply as per AmRisc, L.P. Payment Terms and Conditions. Carriers' participation may change at the time of binding or throughout the coverage period. wSubject to signed and dated application [signed by the insured] within 30 days of binding. Premium $63,986.71 . Alt Premium to include Terrorism: $67,144,50 TWIA Primary Windstorm of $178,237.00 plus Excess Wind of $63,986.71 equals TOTAL WINDSTORM of $242,223.71 6 Insurance Company: Proposed policy period: AmRisc 1-1-2012 to 1-1-2013 TOTAL Value $33,901,238 100% Rev 1% subject to $100,000 min per occurrence 211 S Ann. Port Lavaca, TX 77979 815 N Virginia. Port Lavaca, TX 77979 302 W Live Oak · Port Lavaca, TX 77979 Standard Endorsements (available upon request): Am Rise Property Endorsement (AR PE 01 10) IL 0953, unless TRIA purchase confirmed upon Binding. Standard forms/endts incl. Arbitration clause, avail upon rCt}. Standard Terms & Conditions: Any Additional or Return Premium under $500 shall be waived. This quote is subject to acceptance both sides with NO COVER GIVEN. Severe cance)(ation penalties apply to CAT exposed property. Specific Terms & Conditions: Coverage explicitly excludes all flooding, including but not limited to flooding during windstorm events. COINSURANCE TO BE WAIVED SUBJECT TO RECEIPT AND ACCEPTANCE OF SIGNED AMRlSC SOV-APP All Buildings with outstanding damage are excluded. Contact UW if waiver needed. Coverage excludes aU damage directly or indirectly caused by any Named Storm in existence upon AmRisc receipt of written request to bind. - This policy to cover 211S. Ann, 815N. Virginia adn'302W. Live Oak Locations only. 7 r I BIDS FOR ROAD MATERIAL: A Motion was made by Commissioner Lyssy and seconded by Commissioner Finster to accept all low bids and a accept bid change for road material for the period beginning 1st day of January 2012 and ending 30th day of June 2012. Bids were awarded to Vulcan Materials Co SW Division, Martin Marietta Materials, C W & A Inc., Rexco Inc" Prihoda Gravel Co., Quality Hot Mix, LA Ash Inc. and Coleto Coal Combustion Products. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY CALHOUN COUNTY COURTHOUSE ANNEX II - 202 S ANN ST PORT LA V ACA, TEXAS 77979 (361) 553-4610 @ MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL DATE: December 12, 2011 RE: AGENDA ITEM - DECEMBER 22, 2011 AGENDA ITEM THURSDA Y, DECEMBER 22, 2011 ~ Con~id~r and take necessary action to award bids for Road Materials for the period begmnmg January 1, 2012 and ending June 30, 2012. (eM) ~ :;:, ....... -. :;:, s::: (1) Q.. o :;:, <:: l"t) )(: ....... "0 Q lCl l"t) :g ~ T T T :i' iiJ T '~~O.........CD.o.... : 0 c: - U/::l E, "'" !3 ~ ::E ~ ~ 0. iiJ c:: !g. :r QO 0 en g. ~ ~ :3~)>~~.g~~ !~ Dl Z Z 5: ~ 0 :I: :ii1 - 0 0 -t ~ _- 0 ,-.0_ liii'i-l ~~io.4 Ui! N' ~ 0.' '0 5: 3!: CD v. " ~ Cl >< 5' 2. iii' Z 8" g. - 3' ~. ~ Q ::l ~ 2 r::::l... .30.... 3r::r:: .-'CD'C III ~ 02. III a OW" 3~0. a. ~ S" r:: ii' r:: ~ 5' 3 !:!: ~ N03' O'g3 W:rCD Dl.'CD -.. III 0.. CD g~8" lIl)>lit III 0. ill = ~ CD Dl 0. 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I I CALHOUN COUNTY, TEXAS BID SHED - IROAD MATERIALS I INVII A liON 10 BID BIDDER QUALITY HOT MIX JEFF SNYDER PO BOX 1244 EL CAMPO TX 77437 BID ITEM IUMESTONE-3/4INCH TO DUST I pmlOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I L1MESTONE-3/4INCH TO DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TOTHE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TlONS: L1MESTONE-3/4 INCH TO DUST Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY II1#l PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON II1#l PB. .:Jd. 7U J J.l{O #J.du \:9J.L(O PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON F) d, 70 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid ave not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type f 'Sin. ss pri r to the official opening of this bid. t. .J, +- AUTHoRlZm SINA TURE TITLE: PRINT NAME: ~~. ~~ '-( J. ~r DATE OF BIO: II la-il \ \ )4 J 4 Lf{i(; 1l~1M :J I'd WCQC-Ui6.l1f' PlfASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: TElEPHONE and EMAIl: C17<1 ft11 d PIiU(IH j }-1 ;) L( to ., e 111 J c{ lf~ P '}rq il ~rr M'V1II'h'(1N\ IqJJ umOER QUAUIV HOT MIX Quality Hot Mix, Inc. Product information sheet for: limestone %- dust Our product meets the requirements of the product description. CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A TION TO BID BIDDER GRESHAM TRUCKING LLC JOHNNIE GRESHAM PO BOX 212 LOUISE TX 77455 BID ITEM IUMESTONE-3/4 INCH TO DUST I PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I LlMESTONE-314 INCH TO DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: L1MESTONE-3/4INCH TO DUST Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ')'I.q~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .-::U. "'_5 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON J;J...~S AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .)...:2.. if 5 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ;If ,Q? The undersigned aFFirms that they are duly authorized to execute this contract, that this company, corporation, Firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of id bid ave not been communicated by the undersigned nor by any employee or agent to any other person engaged in this ty, e of b i ess prior to the oFFicial opening of this bid. AUTHORlZm SIlNATURE TRLE:// PRINT NAME: ~$ ~~ ~ \ "'~..... ~ "1 DATEOFBIJ: I L-//.:L- / II , PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: TELEPHONE and EMAII.: q 7q .-6 118-).S[f D ..::rilL\. Y' {O? r 1<( 0' to~ BIDDER GRESHAM TRUCKING LLC CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A TION TO BID BIDDER REXCOINC 1104 MILDRED DR PORT LA V ACA TX 77979 BID ITEM ~L1MESTONE-3/4 INCH TO DUST ~ PERIIIDFROM: JANUARY 1,2012 PERIIB TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LA V ACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I L1MESTONE-3/4/NCH TO DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALLBIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ------------------------------------------------ SPECIFICA TlONS: L1MESTONE-3/4 INCH TO DUST Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlP. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON aLJ. ~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 0l5. ;J!) PRECINCT 4.P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON O}fo. ~ AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON OJl.J. ~ PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 0l4,~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid. AUlIIRIl9S_1111f mlf:~. . -,'1'-- _ CJc./L- . PRINT NAME: j)e.~H\\S . II') . BATEOFBID: '~-l~ PLEASE UST ANY EXCEPTIINS TO THE ABOVE SPECflCA TIINS: TELEPHONE and EMAIL: BIDDER HEXCD INC CALHOUN COUNTY. TEXAS 810 SHEET-IROAD MATERIALS I INVIT A TION TO BID BIDDER C W & A INC W J SPARKS PO BOX 2058 VICTORIA TX 77902-2058 BID ITEM IUMESTONE-3!4 INCH TO DUST I . PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I LlMESTONE-3/4 INCH TO DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AW ARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 22, 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICA TlONS: L1MESTONE-3/4 INCH TO DUST Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufaptu!ing plant, tEWm.jnal, shipping container and any other soulce ~hHY_ . deem necessary to insure reliability of the product ~M 4 ~ ~~~ ~ ~ a- See attached Specifications and General Conditions ~p. 06 ~ 3.f. It I' - /- -- DESTINATION DELIVERY -r- ,. 'f lIlT _~ FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ l.{. . ;l 1, ~ ~81~ J 7.l/$ {). <f. e OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON DEPARTMENT: PRECINCT 1 PRECINCT 3 PRECINCT 4-P PORT O'CONNOR AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any o/her person engoged In this type of busl,",~/he offld.1 openIng of thIs bId AUTHORlZm SIlNATURE nUE: {)J, ~. V~ f ~ PRINT NAME: lA,J. r. Sf'IlRKS DATEOFBW: [J..-{S..-II PLEASE USI. ANY ~XC~lIONS I mE ABOVE SPECIFIC~LEPHONE apd ~AII.: BlOom CW&AINC CAI HnllN I:UUN I Y _ II:XAS HIU X81:1: 1- IRnAn MA IFRIAI S CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I I INVIT A TION TO BID BIDDER LA ASH INC I LIVENGOOD MGMT SERVICES TOMMY STEWART PO BOX 1728 SULPHUR LA 70664 BID ITEM IUMESTONE-3/4 INCH TO DUST-fJpNJ- PeRrI 7h/.$' It; 4- ,;JAtJUAS6eb );;"d~ll.R.- 'p~;f- , PERIOD FROM: JANUARY 1, 2012 PERIIDTO: JUNE 30,2012 . YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. I L1MESTONE-3I4/NCH TO DUST BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: L1MESTONE-3/4INCH TO DUST ~A1:I9t m..,,,,t all TXQOT 9pecifi{'ati"I'<1; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. . County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINATION DELIVERY UIIT DIll /WE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /1;, In.? PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /? ,0 t;l PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /~ ..t'O AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON I jJ.() () The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion .with any other or Bidder, and that the contents of this bid ~s 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 bus' ess prior to the official opening of this bid. AUTHORlZm SIlNATURE TIlII: PRINT NAME: "ill>? 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Q) :E III a. a. ro ~ ro ~ a. a. s: s: ro ro OJ OJ a: a: en< S::S:: 0 I en< s::s:: 0 ~ ~c )>)> c ~c )>)> C r -i;:o )> r -i;:o )> ; 00 m-i r 00 m-i r -)> ;:0- ~ -)> ;:0- ~ :5z -z :5z _z ~s:: )>s:: ~s:: )>s:: ~)> I ~)> I 0)> 0 0)> 0 z-i ;:0 -i Z-i ~ -i m m s:: m m s:: ;:0 ~ ;:0 ~ )> X )> X r r en en 0 0 0 0 ~ ~ ...... ...... ...... 51! ...... ...... ...... 51! -0 -- ::. ::. z ::. -- ::. ~ III ...... 51! ...... (Q i'> i'> i'> en i'> i'> i'> en ro 0 0 0 = 0 0 0 !S N ...... ...... ...... =- ...... ...... ...... 0 ~ ~ ~ r;:I ~ ~ ~ r;:I - N 0) 0) 0) Si! 0) 0) 0) i -- -- W iii W -- W (.U (.U (.U 0 0 0 z 0 0 0 z -- i'> i'> en -- i'> i'> en ~ = ~ = 0 0 0 ~ 0 0 0 =- ...... ...... ...... ...... ...... ...... r;:I ~ ~ ~ ~ ~ ~ CALHOUN COUNTY, TEXAS BID SHEET- JROAD MATERIALS I INVITATION TO BID BIDDER QUALITY HOT MIX JEFF SNYDER PO BOX 1244 EL CAMPO TX 77437 BID ITEM ITYPE PB (TOPPING ROCK), GRADE 4 I pmlOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TYPE PB (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: TYPE PB (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UII1 UII1 PHIl PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ':'W,QO PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON S/J. rv PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~-4.o(j AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON \d.CI(J PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON J1 SfJ. {I() The undersigned arfirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents or this bid as to prices, terms or conditions or said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type or . ess' rior to the orricial opening or this bid. AUTHORlZm SINATURE TITLE: PRINT NAME: .~ ~. ~ ,,~ (~~ r- DATE OF BID: II k11 H TELEPHONE and EMAIL: '"17'1 ~l.J:3 4l{C;1J PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: <ol.1 'V\.J @ LV C e c - w&. tli,t P(\ \ c.l ~t \)~;-; d ;." ~~J .~J.~ -h n J 1 v M I n~ l'V\1{, VV\ C\ 't'l\\ P '\---(t1/1 (/\ I (J'iJ s umBER QUALITY HOT MIX Quality Hot Mix, Inc. Product information sheet for: Type PB (topping rock) grade 4 Our PB grade 4 consists of grade 4 limestone rock coated with AC.6 asphalt CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS I INVIT A liON TO BID BIDDER MARTIN MARIETTA MATERIALS RHONDA A STEVES-JUNG 5710 W HAUSMAN RD STE 121 SAN ANTONIO TX 78249-1646 BID ITEM ITYPE PB (TOPPING ROCK), GRADE 4 I PERIDDFROM: JANUARY 1,2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TYPE PB (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: TYPE PB (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing afld to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINATION DELIVERY fIIIf fIIIf /BE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ;/ 5i9 '!! PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON <I 55/0 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON f/ 55 8_0 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON it 54 tJ! PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON t 68 J.E.. The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not p'" ared this bid in collusion with any other or Bidder, and that the contents. of this bid as to prices, terms or conditions id bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in thi trJ business prior to the official opening of this bid. '1J1t,'~'I-<::iJ, f;t/ /!(R....a'--c:: '- AUTHDRIZW SIGNA~E TWE: PRlNTNAME: M #U~ PLEASE USY ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: TELEPHONE and EMAIl.: . DATEOFBID: itr't'w.l1e-v /~ :?JJ/~ /lJ,'lJIJ,J.ft /'6> -Zt98 - 4f)70 8IDDER MARTIN MARIETTA MATERIALS po CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INUIT A TION TO BID BIDDER VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 BID ITEM ITYPE PB (TOPPING ROCK), GRADE 4 I pmlOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TypE pB (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: TYPE PB (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl 8m PR. PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $54.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.75 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $55.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $55.50 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this __type of busine~7to the official opening of this bid. AUTHORUmSINATURE mLE:~~'C Sales Representative PRINT NAME: PLEASE lIST ANY EXCEPTIONS TO THE ABOVE SPECIFft:A TIONS: TELEPHONE and EMAII.: DATEOFBIJ: 12/15/11 210-524-3500 landt@vmcmail.com Travis Land BIDDER VUlCAN MATERIALS CO SW DIVISION s: o :::> a. III ':< <- III ::l e III -< o IV IV ~ IV " III 10 CIl o - IV ~ :. == is ~ I :. 31: c= !!l = z :::! ~ ~ c= Z GO 3U>-1 -. U ;;T ~. CD fir g ~Cii' 3 gill o ~o ....,02 o.::lUl CD .~ :::T ~ CIl ~?;;~ 8"~3' ::l -CIl en ~. 6- ffi- ~ Ul _.Ill .::l1O o-<Q o CIl ::1:10 o III 3<D 0.- c:::3" 3!!l. "03 ~m ~ur jil >! o o -I ,... c= :e I I c= 5l:I &q 5i I 1ft c= :- ~ 5Ii! liiiI z 1ft c= ; "'U ;:0 m () z () -I (,.) Y} N -...J o 01 o o -I o z () ~ ~ )> Z () ...... "':i: i\3 ~ N (J) (J) (J) w w c::s o 0 0 i\3 i\:s N o 0 0 ...... ...... ...... N N N "'U ;:0 m () z () -I (,.) ~ N 01 N 01 o o -I o z ;:0 m >< () o z () ...... :::;: i\3 o ...... N "'U ;:0 m () z () -I (,.) 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Ii 11'.I il ;:;:t ~ 5ii2 z 11'.I = ~ CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A liON TO BID BIDDER QUALITY HOT MIX JEFF SNYDER PO BOX 1244 EL CAMPO TX 77437 BID ITEM ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] pmIODFROM: JANUARY 1,2012 pmIDDTO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIMEWILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. . ----------------------------------------------- SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY 11II1 PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON DIll PH. ,{)(J.70 10.40 /} f} .() 0 ,,-91, L(O PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON f) G, 76 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type 0 b ine:s.,s prior to the official opening of this bid. L \ <)'('\'{ J ~t' \ r AUTHORlZm SIGNATURE TITLE: PRINT NAME: 0~ DATE OF BID: t dd..il ( I PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: TELEPHONE and EMAIl.: <17i4 \"4.3 L{'-/cu '(J /"1N\7 €~ w c. e <> \..A, VI et A1 \ (,~diUH~O ; r1 e V)J c{'1011.1p ,,\.nfih0 d.-<1 1'1;.11\ VV) jV\) V\o\ ,{ W1 t () 'i ~ ~ BIDDER QUALITY HOT MIX Quality Hot Mix, Inc. Product inform.<;lHon sheet for: Item 249, Type A limestone, Grade 3 (1 X) Our product meets the requirements of the product description. , i I ! i I CAIHUUN CUUN I Y _ ItXAS HID SHtt 1- IRUAU MA I tRIALS CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS I I INVIT A liON TO BID BIDDER GRESHAM TRUCKING LLC JOHNNIE GRESHAM PO BOX 212 LOUISE TX 77455 BID ITEM ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE A LIMESTONE, GRADE 3 [11/2/NCH] , BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AW ARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDA Y, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIT PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON UllTPC .:;2."'l~ ~1,4S :2.2 ,4S :22,,4.5 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ,';1.1 .Cf5 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid os to prices, terms or conditions of said have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this 'Pe a siness rior to the official opening of this bid. AUTHORIZED SIGNATURE TITLE: PRINT NAME: a DATEOFBm: PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFiCA lIONS: TELEPHONE and EMAIl.: '179 - 6~r:2G7D .:fltb.. \' e V K.L ,.-~ BIDDER GRESHAM TRUCKING LLC CALHUUN COUN I Y _ I tAA;i IIIU ;iHtt 1- IKUAU MA I tKIAL;i CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS I I INUIT A liON TO BID BIDDER REXCOINC 1104 MILDRED DR PORT LAVACA TX 77979 BID ITEM ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] pmlDD FROM: JANUARY 1, 2012 PERIOD TD: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE A LIMESTONE, GRADE 3 (1 1/2INCH] I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIlIBE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ,;) 'I. ~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ';;J 5. ~ PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~".~ AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON Q If. i9- PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ati~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening.. of, his bid. _.~ J~_.._,. AUIHORlZm SINA lURE TnLE: . PRINT NAME: \D t:' '^ 1'\ , S r ~ iV\, ~ PLEASE USI ANY EXCEPTIONS TO THE ABOVE SPECIFICA lIONS: DA IE OF BID: \:1-\'>/\ \ TELEPHONE and EMAIL: BIDDER REXCD INC I:ALHUUN CUUN I Y _ I tlAS HIU SUtt 1- IRUAU MA I tRIALS CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS I I INVII A liON TO BID BIDDER C W & A INC W J SPARKS PO BOX 2058 VICTORIA TX 77902-2058 BID ITEM ITEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] PERlOO FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- l'TEM 249, TYPE A LIMESTONE, GRADE 3 [11/2 INCH] J BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDAY, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICA TlONS: ITEM 249, TYPE A LIMESTONE, GRADE 3 [1 1/2 INCH] Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the ~ufa.cturing plant, terminal, shipping container and any ot deem necessary to insure reliability of the product I U'Aa k 0.. ~ ~ See attached Specifications and General Conditions ~ a tf., I TypeA ~Wc3 ~. DESTINA TION DELIVERY DEPARTMENT: UII1 PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON TON TON UIIlIBE ;; if, !ft. J7~ ~8!9- :l'~ J cf. 1JJ.. PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS PRECINCT 4-P PORT O'CONNOR AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in . this type of business rior 0 the official opening of this bid. W. ~' PRINT NAME: OATEOFBW: PLEA lIST ,Y EX~EPT~ TO THE ABOVE SPECIFICA~LEPHONE aO,d E~AIl; BIDDER C W & A INC ~ "'U "'U "'U = "'U "'U "'U ! "'U "'U "'U ! 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O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l O"l (;3 -- (;3 (;3 (;3 (;3 SiiiI -- (;3 (;3 (;3 -- -- 5iiiI -- -- (;3 VJ W W W W W 0 0 0 z 0 0 0 z 0 0 o. 0 0 0 z 0 0 0 z N N N 11ft N -- N 11ft N N N 11ft N N N 11ft N N N 11ft = ~ = = = = 0 0 0 S 0 0 ~ S 0 0 0 S 0 0 0 S 0 0 0 :- ..... -'0 -'0 -" ..... ...... ..... -'0 ..... ..... ..... -'0 ..... -'0 ;:;:l ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ N CAIHUUN CUUN I Y _ II:IAS HID SHI:I: 1- IRnAn MA 'fRIAI S CALHOUN COUNTY, TEXAS BID SHEET -180AO MATERIALS I I INVIT A liON TO BID BIDDER C W & A INC W J SPARKS PO BOX 2058 VICTORIA TX 77902-2058 BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6} PERIOD FROM: JANUARY 1, 2012 PERRlO TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE B (FLEXIBLE PROCESSED BASE), I GRADE 3:(MIN PI 6) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVE:D AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICA TlONS: ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the ~uf~cturing plant, terminal, shipping container and any other source th~ . deem necessary to insure reliability of the product 'U?u.4, ,^A.:iJ"ljatL~~ ie4IJ(J,M/)~AMA;fi,. See attached Specifications and General Conditions t:eu1 ~ilDoT .Jh;;w. ~ q~ 'TYf~' ~MffJE 3 ~~r~ -. DESTINATION DELIVERY UIIT UllTPRI:E~ TON 1'1. tf2, 19.~ /1. 19- 16$ /It JE- FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS DEPARTMENT: PRECINCT 1 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O.CONNOR AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AUTHORlZffi SIlNA TURE TITLE: PRINT NAME: PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of busine prio to the official opening of this bid. w. tI' f . sP us ~NY EX~EPTIO~O THE ABOVE SPECRAT'~HONE and. EM4l: 3 /;)-/5"'-( ( ( .s13--3d3~ ~ OA IE OF BII: BIDDER C W & A INC I CALHOUN COUNTY, TEXAS 8m SHEET-IROAD MATERIALS INVIT A liON TO BID BIDDER REXCOINC 1104 MILDRED DR PORT LAVACA TX 77979 BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) pmlDD FROM: JANUARY 1, 2012 pmlOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORT LA V ACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. liTEM 249, TYPE B (FLEXIBLE PROCESSED BASE), I I GRADE 3:{MIN PIG} BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. . ----------------------------------------------- SPECIFICATIONS: ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ., PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 11II111. I5. .B:2- . 1~.!J2. J~. -zE.. I b. €f!.- . PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON J ..5. ~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official op ing of this bid. AUmORlZm SIiNATURE mLE: COv' r PRlNTNAME: rpe~ ~ OATEOFBDJ:J2:l (~ i\ PLEASE LIST ANY EXCEPTIINS TO THE ABOVE SPECH:ATIINS: TELEPHONE and EMAII.: BIDDER REXCD INC CAI HIlliN CIIUN I Y _ I lXAS HID SOll 1- IRUAD MA 1tRIAI S CALHOUN COUNTY, TEXAS BID SHEET -IROAO MATERIALS I I INVIT A liON TO BID BIDDER PRIHODA GRAVEL CO 1210 MEADOW CREEK DR EL CAMPO TX 77437 BID ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) PERum FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:{MIN PI 6) I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22; 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. - - - - - - - - - - - - - - - -'- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- SPECIFICATIONS: ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3:(MIN PI 6) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIT ulIlPm PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /8, lIO PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON /9, 1ft> PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . / ~. '/0 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON / g,LfO PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON / 9. LjO The undersigned affirms that they ore duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid os to prices, terms or conditions of said bid hove not been communicated by the undersigned nor by any employee or agent to any other person engaged in this typ"e of business prior to the official opening of this bid. AUTHORlZm SIGNATURE TITLE: ~4 R:u~ . PRINT NAME: II IV f h () tJ 1 p~ ; h ad A DATE OF BUI: 0/ q I" PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECRATlUNS: TELEPHONE and EMAI: Q 19 - )3 L/'- 5 (J. L/- !J J/ /I jJ ~ III () L)/-}ro/ EL c.. . Ale f Nt') EXf>n+,o/VS I BIDDER PRIHODA GRAVR CO ~'-a~- ~~ ~~.,' rPA1-.~1 LdUU.QlU.~C~ PROJECT: CliENT: CONTRACTOR: v.s 6.GO" 4.00. J.GO" :ur ur L7Y L5O" 1.2S. 1.00- .".. JIr SIr II!" 'Nr 114. .. .. '10 1f16 CO eo ..0 ISO WO .. 'ICID ,WO ')10 aoo REMARKS: COPIES: --.. 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N N j:;:I N N N N N N N N /1 CALHOUN COUNTY, TEXAS BID SHEET-lnOAR MATERIALS I INVII A liON TO BID BIDDER VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 810 ITEM liTEM 302, TYPE PE (TOPPING ROCK), GRADE 31 PERIOOFROM: JANUARY 1,2012 PERlD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 302, TYPE PE (TOPPING ROCK), GRADE 3 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TOTHE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: ITEM 302, TYPE PE (TOPPING ROCK), GRADE 3 Must meet all TXDOT Specifications; Calhoun County reserves the right ,to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions OEPARTMENT: DESTINA TION DELIVERY UIIl UIIl PIlI:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . $S4.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.75 AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $55.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $55.50 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid hove not been ,communicated by the undersigned nor by any employee or agent to any other person engaged in this type of busi'!-f!$.s pri'!!; e official opening of this bid. e:;-? .' AUTHORlZmSlNATURE mLE: .~~.- ./ Sales Representative PRINT NAME: DATEOFBII: 17./1 S /11 PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPECRATKlNS: TELEPHONE and EMAIl: 2 1 0 - 5 2 4 - 3 500 1 and t@vmemai 1 . com Travis Land BIDDER VULCAN MATERIALS CD SW DMSIDN CALHOUN COUNTY, TEXAS BID SHEET -IROAD MA TfRIAlS I INVlT A liON TO BID BIDDER MARTIN MARIETTA MATERIALS RHONDA A STEVES-JUNG 5710 W HAUSMAN RD STE 121 SAN ANTONIO TX 78249-1646 BID ITEM liTEM 302, TYPE PE (TOPPING ROCK), GRADE 31 . PERlII FROM: JANUARY 1, 2012 PERIID TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- l'TEM 302, TYPE PE (TOPPING ROCK), GRADE 3 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 302, TYPE PE (TOPPING ROCK), GRADE 3 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINATION DELIVERY UIIl 11I#1 PIII:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ 5~1~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .i 55'~ PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .!J, 55 $,9 AREA . t $4 4E PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . f1/ 55 ,~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not repared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or condition said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in th 'S 'P 0 business prior to the official opening of this bid. ovf( );><4 ~ ~j,..1 Jfl&fL(6 'r' .... OATEOFBIJ:~t'~Hl~ /t'- 2tfJ/~ /tJ.c~(J /t-t:J TELEPHONE and EMA~ 1. I 0:2 O~ 4- 0 of 0 . -I~~ . anllYo@" ma..rh 'HYllllf"~Cfr1I AUTHORlZm SINA~E IPJE: PRINT NAME: ,e)Lv rJ PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECRATIINS: BIDDER MARTIN MARIETTA MATERIALS Martin Marietta Materials ~ SUMMARY OF PRECOAT ANALYSIS LRA Precoat Grade 3 Item 302 HMA Producer: Product Code/No.: Aggregate Source: Asphalt Cement Source: Martin Marietta Materials Southwest, L TO. AP0626SU/3650 Black Spur Quarry Blended Oil Water added: 1.8% Plant #: 1 Sieve Analysis Test Results LRA Precoat Grade 3 Item 302 Sieve Size 3/4" 5/S" 1/2" 3/8" 1/4" #S Percent Retained 0.0 1.2 23.4 91.0 97.5 99.3 Master Grading Min Max o o 20 80 95 99 o 2 40 100 100 100 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale B. Martin, P.E. Technical Services Manager Martin Marietta Materials ~ SUMMARY OF PRECOAT ANALYSIS LRA Precoat Grade 4 Item 302 HMA Producer: Product Code/No.: Aggregate Source: Asphalt Cement Source: Martin Marietta Materials Southwest. LTD. AP0500SUl3652 Black Spur Quarry Blended Oil Water added: 1.8% Plant #: 1 Sieve Analysis Test Results LRA Precoat Grade 4 Item 302 Sieve Size 5/8" 1/2" 3/8" #4 #10 Percent Retained 0.0 1.2 23.4 97.0 99.4 Master Grading Min Max o o 20 95 98 o 5 40 100 100 Retained #40 99.7 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale B. Martin, P.E. Technical Services Manager Martin Marietta Materials ~ SUMMARY OF PRECOAT ANALYSIS LRA Precoat Grade 4 Mod (PB Gr 45) Item 302 HMA Producer: Product Design/No.: Aggregate Source: Asphalt Cement Source: Martin Marietta Materials Southwest, LTD. AP0500SU MOO/3653 Black Spur Quarry Blended Oil Water added: 2.4% Plant #: 1 Sieve Analysis Test Results LRA Precoat Grade 4 Mod (PB Gr 4S) Item 302 Sieve Size 5/8" 1/2" 3/8" #4 #10 Average Percen, Retained 0.0 2.8 63.6 98.7 99.3 Master Grading (% Retained) Min Max o 0 o 5 60 85 95 100 98 100 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale B. Martin, P.E. Technical Services Manager ~ SUMMARY OF PRECOA T ANALYSIS LRA Precoat Grade 5 Item 302 Martin Marietta Materials HMA Producer: Product Code: Aggregate Source: Asphalt Cement Source: Martin Marietta Materials Southwest, LTD. 3654 Black Spur Quarry Blended Oil Water added: 1.8% Plant #: 1 Sieve Analysis Test Results LRA Precoat Grade 5 Item 302 Sieve Size 5/8" 1/2" 3/8" #4 #8 Percent Retained o o 1.4 74.1 99.1 Master Grading Min Max o o o 50 98 o o 5 80 100 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale B. Martin, P.E. 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I III --'0 --'0 --'0 --'0 --'0 --'0 <0 i\3 i\3 1ft i\3 i\3 1ft i\3 i\3 1ft i\3 i\3 1ft i\3 i\3 1ft CD 0 0 ~ 0 ~ = 0 0 = 0 0 ~ 0 0 ~ --'0 --'0 --'0 :Do --'0 --'0 :Do --'0 --'0 --'0 --'0 Q, N N ~ N N ~ N N ~ N N ~ N N ~ --'0 0> 0> i 0> 0> Ii 0> 0> Ii 0> 0> i 0> 0> i -. w w w w -. w -. -. -. VJ W W W W 0 0 :z 0 0 :z 0 0 :z 0 0 :z 0 0 :z i\3 N 1ft N N 1ft i\3 N 1ft -. N 1ft N N 1ft = = = N = = 0 0 ~ 0 0 :Do 0 0 ~ 0 0 :Do 0 0 ~ --'0 --'0 --'0 --'0 --'0 --'0 --'0 --'0 --'0 --'0 N N N N ~ N N N N ~ N N CALHOUN COUNTY, TEXAS BID SHEET - IROAD MATERIALS I INVlI A liON 10 BID BIDDER VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 BID ITEM 'ITEM 304, TYPE PE (TOPPING ROCK), GRADE 41 PERIOO FROM: JANUARY 1, 2012 PERIOD TO: JUNE 3D, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID. l'TEM 304, TYPE PE (TOPPING ROCK), GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVETECHNICALlTIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: ITEM 304, TYPE PE (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ., UIIlIIf!I:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . $S4.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $57.75 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $55.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . $55.50 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been ~nicated by the undersigned nor by any employee or agent to any other person engaged in this _?,pe of bus~e~.Jor !J"..Jhe official opening of this bid. AUTHORlZmSIGNATURE mLE:~ ~ Sales Representative PRINT NAME: Travis Land DA IE OF 011: 17./11:)/11 PLEASEUST ANY EXCEPTlJNSTO THEAOOVESPECIICATIONS: TELEPHONE andEMAIl: 210-524-3500 landt@vrncmail. com ... BIDDER VUlCAN MATERIALS CD SW DIVISION CALHOUN COUNTY, TEXAS BID SHEET-leOAD MATERIALS I INVIT A liON TO BID BlOom MARTIN MARIETTA MATERIALS RHONDA A STEVES-JUNG 5710 W HAUSMAN RD STE 121 SAN ANTONIO TX 78249-1646 BID ITEM liTEM 304, TYPE PE (TOPPING ROCK), GRADE 4IPERIIIIFROM: JANUARY 1,2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX n979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 304, TYPE PE (TOPPING ROCK). GRADE 4 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECli ANY OR ALL BIDS, TO ACCEPTTHE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 304, TYPE PE (TOPPING ROCK), GRADE 4 Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UII1 IIIIl PIlI:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ olD ~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .cIJ 5&> I.!!. PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .fj 5/0 8,.9 AREA 55 1./0 PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .C1I PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ S(P~ The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not pro a oed this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions a 'ciJ bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this bu. iness prior to the official opening of this bie/. 0,,11 kl'C#\ ~ I~, tfk"lA '7 wr.... 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PERIOIIFROM: JANUARY 1,2012 INIIT A TION TO BID ,- PERIID Tt JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330, LIMESTONE ROCK ASPHALT BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 330, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DEL/VERY IIItIT UIIl PIII:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON dll:S~ PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 173 I~ PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON " 73, SO AREA ~ PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 7 ,~ AUTHORIZED Sa;NA TURE !")E: PRINT NAME: Id 4.../l The undersigned aFfirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not pre red this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions ot a id have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this rpe. u. 'ness prior to the official opening of this bid. t)vH kvt<.!k. ~/r"t. 1J1-'t"1-S""- DATEOFBm: fA.~r-vu ~~." /~'{J. II). r<<J ,41'1 :;Z&, ( TELEPHONE and EM~ 2)0 - 20 8 ~ 40 7 0 , , 0 tt. tt V-t7u J 0 (I, MttrtilllY\tt ~;t,-tt~ . COn1 PLEASE LIST ANY EXCEPTIINS TO THE ABOVE SPECRATIINS: BIDDER MARTIN MARIETTA MATIRIALS CALHOUN COON I Y _ II:JlA~ 810 ~III:I: 1- BROAD MA II:HIAL~ CALHOUN COUNTY, TEXAS BID SHED -IROAD MATERIALS I I INVIT A liON TD BID BlOom VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 BID ITEM liTEM 330, LIMESTONE ROCK ASPHALT I PERIllO FROM: JANUARY 1, 2012 PERIID TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- liTEM 330, LIMESTONE ROCK ASPHALT BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO ,~ BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: ITEM 330, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. . County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions OEPARTMENT: DESTINA TION OELIVERY IIM1 IIIIl PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $74.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.75 AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $75.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $75.50 The undersigned aFFirms that they are duly authorized to execute this contract, that this company, corporation, Firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in :~~~!fpe of busin:;J!.:1'r?o the oFFicial opening of this bid. 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CALHOUN COUNTY, TEXAS BID SHEET -IROAo MATERIALS I INUlI A liON TO BID BIDDER VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 BID ITEM liTEM 330, TYPE D (PRE-MIX LIMESTONE) I pmIOOFROM: JANUARY 1,2012 pmllDTO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- l'TEM 330, TYPE D (PRE.MIX LIMESTONE) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS,TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER, THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TlONS: ITEM 330, TYPE D (PRE-MIX LIMESTONE) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY I/JI1 I/JI1 PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . $74.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.75 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $75.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $75.50 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this '!fe of business .ff.!pr to. 'ljJJYtffficial opening of this bid. AmORlZmSINATURE TITLE:~~...-v( ~/ Sales Representative PRINT NAME: Travis Land DAHOFBII: 12/15/11 PlOSE LIST ANY EXCEPTllNS TO THE ABOVE SPECIFICATIONS: HLEPHONE and EMAII.: 210-524-3500 landt@vmcmail.com mOOER VULCAN MATERIALS CO SW DIVISIDN CALHUUN CUUN I Y _ ItAA:i IIIU :iHtt 1- IRUAU MA I tRIALS CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I I INVIT A liON TO BID BID ITEM MARTIN MARIETTA MATERIALS RHONDA A STEVES-JUNG 5710 W HAUSMAN RD STE 121 SAN ANTONIO TX 78249-1646 liTEM 330, TYPE D (PRE-MIX LIMESTONE) I . pmIODFROM: JANUARY 1, 2012 pmlJDTO: JUNE 30, 2012 BIDDER YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: . SEALED BID- l'TEM 330, TYPE D (PRE-MIX LIMESTONE) BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. --------------------.....-------------------------- SPECIFICATIONS: ITEM 330, TYPE 0 (PRE-MIX LIMESTONE) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ., JUllTPIIIE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 7LJ. 10 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON t (0 .G ?I../- PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON .4' 7l/ B!J AREA .1 73 Ll2 PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON . t# 74- Ii!.. The undersigned aFfirms that they ore duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepar. this bid in collusion with any other or Bidder, and that the contents of this bid os to prices, terms or conditions of iet id hove not been communicated by the undersigned nor by any employee or agent to any other person engaged in this pe ess prior to the official opening of this bid. AUTHORlZm SIiNATURE mLE: 'IN Ii kit it J ~fe., /11 ~ fA as <...J PRINTNAME: p 1l..11( ~ ~".~ -('- DATEOFBm:iJ~f'W ~ /5& 2ti1, /()/f)() ,4.f\-f PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPEC~ATIONS: TELEPHONE and EMAI~ ~ 2 10 -;;?t9 a - t./CJ 70 " .!lSl./ aVA.u){)~m4.rlinmttYlotlll.ttJtt1 BIDDER MARTIN MARIHTA MATERIALS Martin Marietta Materials ~ Summary of Limestone Rock Asphalt Pavement Type D Cold Mix Item 330 LRAP Producer: LRAP Product Code: Aggregate Source: Asphalt Cement Source: Water Added, %: Compaction Method: Martin Marietta Materials, Black Spur Quarry AM0376SU Black Spur Quarry Blended Oil 2.7 Gyratory (150psi End Point Pressure) Design #: AM0376SU Aggregate Identification: Material No. Material Size 1 1ffl"-Du~ 2 1/4" - 1/8" Product Code AK0130SU AA0191 SU % 45.0% 55.0% Black Spur Quarry Black Spur Quarry Material No.: Proportion: Sieve Size 3/8" 1/4" #4 #10 Sieve Analysis Test Results 1 2 45.0% 55.0% Percent Passing 100.0 100.0 100.0 98.0 99.7 60.0 82.6 0.8 JMF Design Percent Passing 100.0 98.9 77.9 37.6 Operational Tolerance Percent Passing 100.0 98.0 - 100.0 75.0 - 82.9 35.0 - 42.6 Item 330 Master Grading Percent Percent Passing Retained 100 0 98 - 1 00 0 - 2 75 - 90 10 - 25 35 - 50 50 - 65 Properties at Optimum Hveem Stability: 40 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale B. Martin, P.E. Technical Services Manager ...... ., Martin Marietta Materials ~ Summary of Limestone Rock Asphalt Pavement Type AA Cold Mix Item 330 LRAP Producer: LRAP Product Code: Aggregate Source: Asphalt Cement Source: Water Added, %: Compaction Method: Martin Marietta Materials, Black Spur Quarry AM1760SU Black Spur Quarry Blended Oil 2.7 Gyratory (150psi End Point Pressure) Design #: AM1760SU Aggregate Identification: Material No. Material Size 1 1ffl"-Du~ 2 1~"-1ffl" 3 3/8" - 1/4" 4 1/2" - 3/8" 5 1 1/2" - 3/8" Product Code AK0130SU AA0191 SU AA0373SU AA0632SU AA1500SU % 41.0% 7.0% 4.0% 4.0% 44.0% Black Spur Quarry Black Spur Quarry Black Spur Quarry Black Spur Quarry Black Spur Quarry Sieve Analysis Test Results JMF Operational Item 330 Material No.: 1 2 Design Tolerance Master Grading Proportion: 41.0% 7.0% 4.0% 4.0% 44.0% Percent Percent Percent Percent Sieve Size Percent Passing Passing Passing Passing Retained 1-1/4" 100.0 100.0 100.0 100.0 98.7 99.4 94.4-100 90-1 00 0-10 7/8" 100.0 100.0 100.0 100.0 50.0 78.0 73.0-83.0 70-85 15-30 3/8" 100.0 100.0 97.6 34.2 12.8 58.9 53.9-63.9 55-75 25-45 #4 91.6 54.6 2.2 0.7 0.7 41.8 36.8-46.8 40-55 45-60 #10 86.0 4.3 0.4 0.7 0.7 35.9 30.9-40.9 25-40 60-75 Properties at Optimum Hveem Stability: 40 Martin Marietta Materials Southwest, Ltd. Technical Services ~ Dale 8. Martin, P.E. Technical Services Manager Martin Marietta Materials ~ Summary of Limestone Rock Asphalt Pavement Type CC Medium Surface Cold Mix Item 330 LRAP Producer: LRAP Product Code: Aggregate Source: Asphalt Cement Source: Water Added, %: Compaction Method: Martin Marietta Materials, Black Spur Quarry AM0636SU LRAP Product No.: 3659 Black Spur Quarry Blended Oil 2.7 Gyratory (150psi End Point Pressure) Design #: AM0636SU Aggregate Identification: Material No. Material Size 1 1/8" - Dust 2 1~"-1ffl" 3 3/8" - 1/4" Product Code AK0130SU AA0191SU AA0373SU % 42.0% 23.0% 35.0% Black Spur Quarry Black Spur Quarry Black Spur Quarry Sieve Analysis Test Results JMF Operational Item 330 Material No.: 1 2 Design Tolerance Master Grading Proportion: 42.0% 23.0% 35.0% Percent Percent Percent Percent Sieve Size Percent Passing Passing Passing Passing Retained 1/2" 100.0 100.0 100.0 100.0 100,0 100 0 3/8" 100.0 100.0 96.0 98.6 100.0 98 - 1 00 0-2 #4 99.7 60.0 4.0 57.1 52.1 - 62.1 50-65 35 - 50 #10 82.6 0.8 0.8 35.2 35.0 - 40.2 35 - 50 50-65 Properties at Optimum Hveem Stability: 40 Martin Marietta Materials Southwest, Ltd. 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BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TlONS: ITEM 332, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINATION DELIVERY /lIlT //Ill J1RI:E PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON <l7~ICb PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON ~ l~t!> PRECINCT 4-P PORT O'CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 138D AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECI.FICATIONS TON ?' 12 40 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON " 7 ~ ,~ The undersigned affirms that they 0/'1 duly autharized ta execute this cantract, that this campany, carparatian, firm, partnership 'Or individual has nat p/'1 red this bid in callusian with any ather 'Or Bidder, and that the cantents 'Of this bid os ta prices, terms 'Or canditians a 'd bid hove nat been cammunicated by the undersigned nar by any emplayee 'Or agent ta any ather per san engaged in this 'Of usiness priar ta the 'Official 'Opening 'Of this bid. ~v.f/.- k'><=CfJ UJ /IIa"l<l!f- fwe "- DATE OF BID: at! /513. ztJlI,' /c9. 'I) tJ A) l' , AUTHORlZm SINATURE T~LE: PRINT NAME: a? Jt ~ ~ ~ 7 PLEASE lIST ANY EXCEPIIINS TO THE ABOVE SPECIFICA TIINS: TELEPHONE and EM11J.: Z' Q - 2-tJ g - tit) 7 0 . I~I-., 'a.~11 ~ma.r+;nml{yl~' 1'11111 omOER MARTIN MARIETTA MATERIALS CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INUIT A liON TO BID BIDDER VULCAN MATERIALS CO SW DIVISION PAT WOOTTON PO BOX 791550 SAN ANTONIO TX 78279-1550 BID ITEM liTEM 332, LIMESTONE ROCK ASPHALT I pmlOlJ FROM: JANUARY 1, 2012 pmwo TO: JUNE 30, 2012 MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D. liTEM 332, LIMESTONE ROCK ASPHAL T YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' C0URT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICA TIONS: ITEM 332, LIMESTONE ROCK ASPHALT Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UlIl UIIT ISE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $74.00 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.00 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $77.75 AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $75.50 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON $7"i."iO The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of businessj!sior t~.:';!}~,''''fTicial opening of this bid. AUTHORlZm SI;NATURE TITlf:~----~-:/' Sales Represen ta t i ve PRINTNAME: Travis Land DATEOFBID: 12/15/11 PLEASE lIST ANY EXCEPTIINS TO THE ABOVE SPECRATIINS: TELEPHONE and EMAl: 210-524-3500 landt~vmcmail_com .'",- BIDDER VULCAN MA TEHIALS CD SW DMSIDN ;;;: o ::l C. III ~ c.... III ::l e III -< C _I\) I\.l C ~ I\) "U III <0 C1l o - ~ZOJ:;Oo C.ommc c.rmzo:;o cO S::x: 3z:;o:;oO "0 G)mm-l <:<m"U;;;:;;;: !!!. :;0 ): m _ m::x:ozX iil 0 m (J)-1 00 - -10 ~~~~5 oX=i-lr ::lo::X:X,P g. ~ ~ g 0 -. 0 () -I ;;;: 3r:;o-m c'pO-lm ~O(J)~(jj 0-' cV>-1 ~ .:;ov>::x: IJ) ~~_~m c.O=i ~zm <' G);;;: ~.>~ mac 5' - s; (J)(J) lJ :;0 m () z () -r ~ en Y} 00 I\.) o o o o -r o z > ::E III a C1l a. ~ :::r C1l OJ a: o c )> r ~ I o -r :5: X ..... ::::.: i\3 o ..... N Q) w o i\3 o ..... 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'"-1 ~ ~ ~ ~ o '" ..... >c: =:I - = ..... :III = = r- :III ..... - = Z C'-I . . ~ o ~ o ~ ~ ~ 8 b ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ -....; ""'CI - ,.-t ~i! 3:~ 51!!JS -t-t -~ ,.,., = - = = -t I 3: 5< ~ = e; .... :- - = :- I:'-t ""'CI = ,. .... -t a:; ~ = Z ~ = !:!:I ,.,., CALHOUN COUNTY, TEXAS BID SHEET-IHDAD MATERIALS I BIDDER INVlT A liON TO BID QUALITY HOT MIX JEFF SNYDER PO BOX 1244 EL CAMPO TX 77437 BID ITEM ITEM 350, TYPE D (HOT-MIX COLD LAID ASPHALTIC CONCRETE PAVEMENT) PERIOD FROM: JANUARY 1, 2012 PERIIBTO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 81D- l'TEM 350, TYPE D (HOT-MIX COLD LAID ASPHAL TIC CONCRETE PAVEMENTl I BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 75, 2077 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. -------.....--------------------------------------- SPECIFICATIONS: ITEM 350, TYPE D (HOT-MIX COLD LAID ASPHALTIC CONCRETE PAVEMENT) Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ., PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON UllTP. ~1.(i6 '~ l. Ov ~ IdG ~ 9 ,(i~ PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS TON 8 I. (J (j The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said .pid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this e f'. 'Sines prior to the official opening of this bid. .' .f AUTHORlZm SIlNATURE TITLE: PRINT NAME: :\' ~ \4 DATE OF BII: "1J1J \I PLEASE UST ANY EXCEPmNS TO THE ABOVE SPECRATIJNS: TELEPHONE and EMAI: q 1 Cf '.\4 3 4 4 Cu M Mt'\ ;.h 1M 'ft. ~ l.y 11-11 de\i(J~t~e.\ ; 11\ e..,J c{,/ VVl(J ~Jl(() .9.. $""- ivY') Wllnl nt~1\IV1 {(j 'i qs t hW\...; (d wee c - wh.l'\et- BIDDER QUALITY Hor MIX Quality Hot Mix, Inc. Product information sheet for: Item 350, Type D (hot mix cold laid asphaltic concrete pavement) Our Hot mix cold laid meets the requirements of TXDOT item 334. 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CALHOUN COUNTY, TEXAS BID SHEET -IROAD MATERIALS I INVIT A liON TO BID BIDDER COlETO COAL COMBUSTION PRODUCTS DAVID WRIGHT PO BOX 100 FANNIN TX 77960 BID ITEM ITOPPING I . PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 5 ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TOPPING BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: TOPPING Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions UIIT /BE "16 -717 . /J' /1, 9 0 ~/ 7. '10 .fdj 7. ZrO -9L'.'. '/.,.., V PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD _f:: The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, Firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type o~ usiness p o~;o.7 official opening of this bid. AUTHORlZm SIGNATURE TITLE: V t/h II../y-' PRINT NAME: l/ 7/ PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECifICATIONS: TELEPHONE and EMAIl.: .:t.J'P'- f) 7.5....... 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'- liALUUUN liUUN I ,. I tAAI IIIU IUtt 1- IROAD MA I tKIAL~ CALHOUN COUNTY, TEXAS BID SHEET-IROAD MATERIALS. I I INVII A liON TO BID BIDDER COLETO COAL COMBUSTION PRODUCTS DAVID WRIGHT PO BOX 100 FANNIN TX 77960 BID ITEM ITOP WASH ~ PERIOD FROM: JANUARY 1, 2012 PERKJDTO: JUNE 3D, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I TOP WASH BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER ~2, 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICATIONS: TOP WASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY ., Dill PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD ~ ;J:J. -70 PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD f;2'i.'10 PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD H~Z 7': 1P , AREA PRECINCT 4-5 SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD ?f;).. 1) '1 '1l "..... ,A./lw PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD 4' :Z:7 01.(1 The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this tyee f busi~~ss ,Nor t.,JI'e official opening of this bid. 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N ;:;:I N N N N CAIHOIIN CUlINTY TFIAX RID XHFfT-IRnAn MATFRIAIS CALHOUN COUNTY, TEXAS BID SHEET-IRIIAD MATERIALS I I " " INVII A liON 10 BID BIDDER COlETO COAL COMBUSTION PRODUCTS DAVID WRIGHT PO BOX 100 FANNIN TX 77960 BID ITEM I BOTTOM ASH ~ PERIOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I BOTTOM ASH BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THECOUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA V, DECEMBER 15,2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMliillSSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. SPECIFICA TIONS: BOTTOM ASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl Ultll PRE[ PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD If ,: 1.'Z,--O j .... PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD r? / J. yO PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD .?, I :.,-r, "1--7] , AREA tit, ) (~ ....-" PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD I .' / '. PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD "i'2. 2rJ The undersigned aFfirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this ~ e of business pri to the official opening of this bid. ~ AI DATE OF BID: AUTHORlZm SIGNATURE TITLE: PRINT NAME: 22, );1} 4. M?" ~. PLEASE LIST ANY EXCEPTIONS TO THE ABOVESPECIFICATlONS: TELEPHONE and EMAII= 3 ( / - 21~ - J rx r" t.'/NVi Je:J t:', f) L-,~ ~.i l 6&1".... BIDDER como COAL COMBUSTION PRODUCTS Q"I ;:0 I~I v I~I v I~I v I~I v I~I ~II ~ ;:0 ;:0 ;:0 ;:0 - s:; "U i "U ~ "U = "U = "U i ~ ~ 0 ;:0 ;:0 ;:0 I ;:0 I ;:0 ~ ::I:a ::l m m m m m a. 0 0 $; 0 0 0 .... Q) :1:1 ri ~ Z i! Z i! Z i! 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N N i:;:t N i:;:t N i:;:t N i:;:t CALHOUN COUNTY, TEXAS BID SHEET- IROAD MATERIALS I INVIT A liON TO BID BIDDER COlETO COAL COMBUSTION PRODUCTS DAVID WRIGHT PO BOX 100 FANNIN TX 77960 BID ITEM IFL Y ASH ~ pmlOD FROM: JANUARY 1, 2012 PERIOD TO: JUNE 30, 2012 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- I FL Y ASH BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 10:00 AM, THURSDA Y, DECEMBER 15, 2011 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. .. ----------------------------------------------- . . , ' , . .' . . SPECIFICATIONS: FLY ASH Must meet all TXDOT Specifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIT .g' 11II1 PIllE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD rJ. ? r:J PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD #J.!.l. r {} PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD 11/ ~ 1[1 AREA #/7,'2",).ij PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICTIONS YARD ,pJ.-cp .'" tJ ~; / . The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business pI', or to the official opening of this bid. .. A AUTHORlZm SIGNATURE TITLE: PRINTNAME: ~(h\ '; 4,. P'71:?[.... . I' " PLEASE'lIST ANY EXCEPTIONS 1O THE ABOVE SPECIFICATIONS: ,TElEPHONE andEMAIL: ~H?~ ;; 11 S-'-!f.-/liJ ~ c",I-:Aj,l.,i 1 . ,~-o'1-. .. . 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Z = ;::D = a r=:::i sa ~AUO" COUNTY, TEXAS BID SHED -lanAD MATERIALS I INVlI A liON TO BID LA ASH INC I LIVENGOOD MGMT SERVICES TOMMY STEWART PO BOX 1728 SULPHUR LA 70664 BID ITEM FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED JjD (gB)j _ /J COMBUSTION ASH) - /,,/qtff rrrrep - IIDDER PERmFROM: JANUARY 1,2012 PERmTO: JUNE 30, 2012 b'P p~U ?f'tptf'a't?T &~) YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- [FL Y ASH/BOTTOM ASH (PETCOKE FL YASH;. .---.-. .-J E!.RCULA nNG FLUIDIZED BED (CFBl COMB!!..!J..!{Q.N ASHL BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: 70:00 AM, THURSDA Y, DECEMBER 75, 2077 BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22, 2011 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ----------------------------------------------- SPECIFICATIONS: FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED BED (CFB) COMBUSTION ASH) ~lIo;t lJl",e1 all T)(DOT €JlQ~iflcations; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINATION DELIVERY ., .,f1IIIlE PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~t;Y/ /~, VO PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~.1. /6, dO PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~rY(;V'\ J~,:,-W-JJ>""" ~ ~ PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~01;1~ rd'. de? /10 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~D(d., ~JI,((lf! The undersigned affirms that they ore duly authorized to execute this contf'(1ct, that this company, corporation, firm, lfJ partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid os to prices, terms or conditions of said bid hove not been communicated by the undersigned nor by any employee or agent to ,~i other person engaged in this fJ1 e f 'Siness prior to the official opening of this bid. 11~ AUlIIRIZED SINATURE . PllllNAMf: ~p11 S/p{(/'c>f'f- DA1IIID: /#fa/" PlEASE UST ANY EXCEPT"NS TO THE ABOVE SPECllCATlNS: TREPHONE and EMAIl: 337 S/.J- dt'J'/ ?'3 ~aJa~M-/l]d/l~ tfJ/ftlj. - f/1/IY'lIe/ ,,;;rlf' !7yMr/;h7J?/rtt,K,f :5,f,,Q)(;J,,,!;",y /baJ""T BIDDER LA ASH INC IlIVENGlIOO MGMJ SERVICES ~gy Hall From: Sent: To: Subject: Attachments: Vern Lyssy [vern.lyssy@calhouncotx.org] Thursday, December 22, 2011 8:25 AM 'peggy. hall@calhouncotx.org' FW: Corrected bid sheet DOC122111calcty.pdf From: Jimmy Smith [mailto:jsmith@laash.net] Sent: Thursday, December 22,2011 8:15 AM To: vern.lyssy@calhouncotx.org Subject: FW: Corrected bid sheet From: Tommy Stewart Sent: Wednesday, December 21,2011 3:18 PM To: vern.lyssy@calhouncotx.com Cc: Jimmy Smith Subject: Corrected bid sheet Vern, Attached are corrected bid sheets for the OPF42. I didn't notice that the precincts were not listed in numerical order when I filled the form out originally. The material only cost (FOB Formosa CFB silo) is $6.00/ton. I apologize for the mix-up. Tommy Stewart Director, Sales LA Ash, Inc 2651 E. Napoleon Street Sulphur, LA. 70663 PO Box 1728 (70664) Phone: 337-426-0826 office Fax: 337-625-4259 Cell: 337-515-2081 www.laash.net OLA Ash.lnc 1 CAI HnllN CnllNIY IFIA! Hln !HFFI - IRnAn MA IFRIAI g CALHOUN COUNTY, TEXAS BID SHEET-IHRAD MATERIALS I I INVlT A liON TO BID BIDDER LA ASH INC I LIVENGOOD MGMT SERVICES TOMMY STEWART PO BOX 17~8 SULPHUR LA 70664 BID ITEM FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED BED (9B), ~ I! COMBUSTION ASH) -- '/f f"Ctre-P -- PERIDDFROM: JANUARY 1,2012 PERIIDTO: JUNE 30, 2012 'PP7fl-u~~tldCr&~ YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 211 S ANN ST, 3RD FLOOR, ROOM 301, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- FL Y ASH/BOTTOM ASH (PETCOKE FL Y ASH; I CIRCULA TING FLUIDIZED SED (CFS) COM!WSTlC?,~ 10:00 AM, THURSDAY, DECEMBER 15,2011 BIDS ARE DUE AND WILL BE PUBLICLY OPENED IN THE COUNTY JUDGE'S OFFICE AT: BIDS WILL BE CONSIDERED FOR AWARD AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, DECEMBER 22,2011 .r. THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO.BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. CALHOUN COUNTY ACCEPTS NO FINANCIAL RESPONSIBILITY FOR ANY COSTS INCURRED BY ANY PROPOSER/BIDDER IN THE COURSE OF RESPONDING TO THESE SPECIFICATIONS. ------------------------......---------------------- SPECIFICATIONS: FLY ASH/BOTTOM ASH (PETCOKE FLY ASH; CIRCULATING FLUIDIZED BED (CFB) COMBUSTION ASH) MII"t mr.'ot all T)(DOT SJ3Qcifications; Calhoun County reserves the right to conduct random sampling of pre-qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the product See attached Specifications and General Conditions DEPARTMENT: DESTINA TION DELIVERY UIIl UIIT J1Rg PRECINCT 1 FAIRGROUNDS AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~~t1 /~. ()O PRECINCT 3 OLIVIA AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~I'\ /6. () () . PRECINCT 4-P PORT O.CONNOR FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~or;~ /~. d () AREA PRECINCT 4-S SEADRIFT AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS ~[jfcP\? /f.()c7 PRECINCT 2 SIX MILE AREA FOB DESTINATION; SEE ATTACHED SPECIFICATIONS .1ARD(d1 / R de;, The undersigned affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other or Bidder, and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this 'YJ e f siness prior to the official opening of this bid_ AUTHORlZm SIGNATURE TIT . -;J PlININAME: ~J111 Skp/'Af'f-- DAftOlIll: /d/fS/ I' PLEASE UST ANY EXCEPTIINS TO mE ABOVE SPECIFICATIONS: TELEPHONE and EMAIL: 337 90- ~JY ~ tl?aIa~M-ll5'dlfo/ tJj/fl); - #;plrcr4d ,4'/25 /7M7A,rj?m,1',f~6f,P;(;Jql;.,nI ~a.rr BIDDER LA ASH IHC / lIVENGOOD MGMT SERVICES 11III. .. . ......~------~~. COMPACTION SUMMARY. OPF42N Optimum Moisture Content 25.7% Maximum Dry Density 85.0 pct Compaction Factor 1.49 Inplace Density (at optimum moisture) 107 Design Coefficient (SN/in) I 0.21 CBR I 150 Permeability I 1 X 10 -a em/see GRADATION ASTM C,- 136 Percent Sieve Size Passing 1 1/2 97% . 1 93% 3/4 89% 1/2 81% 3/8 77% #4 65% #8 51% #10 48% #16 38% #30 24% #40 16% #50 9% #100 3% #200 1% Do not mix OPF42 with any other chemicals or byproducts, including but not limited to Cement Kiln Dust (C~D), Portland cement or lime, due to certain chemical reactions and/or .~ .. ... " ... swell potentials.- U [] I A A~h In.... AJb. u. j. !"'..~:&.. .... ............ _ r..i.,:'" III ll-. SU\., 'II J.~ r _-. llllim 111lli,_!!.~..~~ AJb . U . j . !"'~:& . LA Ash, Inc. LAAsh specializes in OPF42, an alternative for subgrade stabilization and base course construction. The staff at LAAsh brings years of experience working with this unique material to the Gulf Coast area and is eager to show you the benefits of using OPF42. . With lower unit weight than limestone and CBRs greater than 100, OPF42 is the easy choice for lightweight material. . OPF42 is installed with conventional construction equipment and pro- vides strength, durability and cost savings in subgrade stabilization and base course construction. . Customers report 15-20% yield advantage with OPF42 over limestone road base. . OPF42 has been shown to significantly improve subgrade strengths when blended at 20-30% dosages. . Studies have shown OPF42 to be an excellent reagent for full depth reclamation of deteriorated asphalt yielding unconfined compressive strengths (USC) of over 300 psi within 7 days. Do not mix OPF42 with any other chemicals or byproducts, including but not limited to Cement Kiln Dust (CKD), Portland cement or lime, due to certain chemical reac- tions and/or swell potentials. LA Ash accepts cash, check & credit cards (Visa, MasterCard and American Express) Resource Materials Testing, Inc. II OfJpeoIJids 111 cfip ~k rcltJrul1g-* 24 Fine Drive Murphy, NC 828.506.7636 REPORT OF STABILIZER ANALYSIS TO: LA Ash Attn: Mr. Alan Davis P.O. Box 1728 Sulphur, IA 70664 PROJECT NO. RMT-215 SAMPLE NO. 18278 DATE REC.: 09-19-11 DATE REP.: 10-11-11 PROJECT NAME: Formosa Fly Ash Program SAMPLE ID: LA 247 Formosa Fly Ash TCLP Metal Analysis RESULTS, mg/L RCRA Limit, mg/L Arsenic Barium Cadmium Chromium Lead Mercury Selenium Silver Nickel Vanadium <0.2 5.0 <0.1 100 0.3 1.0 <0.1 5.0 0.1 5.0 <0.02 0.2 <0.1 1.0 <0.1 5.0 <0.1 <0.1 --. -.-- ----.-.- -'--~.~..- ~...~ LA Ash, Inc. Material Safety Data Sheet May be used to comply with OSHA's Hazard Communication Standard, 29 CFR 1910.1200. This Standard must be consulted for specific requirements. u.s. Department of Labor Occupational Safety and Health Administration (Non-Mandatory Form) Form Approved OMB No. 1218-0072 IDENTITY (As Used on Label and List) OPF42 (Hydrated Aggregate Base) Note: Blank spaces are not permitted. If any item is not applicable, or no information is available, the space must be marked to indicate that. Section I Manufacturer's Name Emergency Telephone Number LA Ash, Inc. 337-625-4260 Address (Number, Street, City, State, and ZIP Code) Telephone Number for Information 2651 East Napoleon Street Plant (337) 625-4260 Date Prepared/Revision Date Sulphur, LA 70663 8/1/2011 Signature of Preparer (optional) MSDS Code: COKC015 s./ A. Davis Section II - Hazard Ingredients/Identity Information Hazardous Components (Specific OSHA PEL ACGmTLV Other Limits % Chemical Identity; Common Recommended (optional) Name(s)) 43-70 Calcium Sulfate Dihydrate (CaS04.2H20) (CAS #10101-41-4) Hemihydrate (CaS04.1/2 H2O) (CAS #10034-76-1) Anhydrite (CaS04) <1 (CAS #7778-18-9) 10 mglm3 (Containing no 8-Hr. TW A Total Dust 15 mglm3 Respirable Dust 5 mg/m3 asbestos and <1 % free silica) 8-Hr. TW A Calcium Hydroxide (Ca(CH)2) None Established 5 mg/m3 8-Hr. TWA 20-30 (CAS #1305-62-0) 4-22 Calcium Carbonate (CaC03) (CAS # 471-34-1) 1 C mglm3 8-Hr. TWA Total Dust 15 mg/m3 Respirable Dust 5 mg/m3 8-Hr. TW A 16.1 Quartz (Si02) <2.5 (CAS #14808-60-7) Total Dust 30 mg/m3 / % SiC2 + 2 8-Hr. TWA Respirable Dust 10 mglm3 / % Si02 + 2 0.1 mglm3 8-Hr. TW A Or See: Christobalite (14464-46- 1), Fused Silica (60676-86-0), Tridymite (15468-32-2), Tripoli (1317-95-9), Notice ofIntended Changes (1998) Magnesium Hydroxide (Mg(OH)2) 1.7-2.5 (CAS #1309-42-8) Magnesimn Oxide (MgO) 15 mglm3 10 mglm3 8-Hr. TW A <1 (CAS #1309-48-4) Calcium Oxide (CaO) 5 rnglm3 2 rnglm3 8-Hr. TW A <1 (CAS #1305-78-8) Free Moisture (H2O) 5-10 (CAS #7732-18-5) Miscellaneous <2 AEL is DuPont's Acceptable Exposure Limit. Where governmentally imposed occupational exposure limits which are lower than the AEL are in effect, such limits shall take precedence. Section III - Physical/Chemical Characteristics Boiling Point Specific Gravity (H2O. = 1) pH N/A N/A N/A Vapor Pressure (mm Hg.) Melting Point Vapor Density (AIR = 1) N/A NA Bulk Density (Loose) Evaporation Rate Approx. 70/lb. cu. ft. (Butvl Acetate = 1) NA Solubility in Water Insoluble Appearance and Odor Ashen Grey to White; Granular or Crushed Stone; No Odor Section IV - Fire and Explosion Hazard Data Flash Point (Method Used) Flammable Limits N/ A Will not bum. Extinguishing Media Use media a ro riate for surroundin material. Special Fire Fighting Procedures Wear self-contained breathin a aratus. Unusual Fire and Explosion Hazards N/A LEL N/A UEL N/A 16.2 Section V - Reactivity Data Stability Unstable Conditions to A void Stable X Skin contact and inhalation. Incompatibility (Materials to Avoid) None reasonably foreseeable. Reacts oxothennically to release heat when water is added. Hazardous Decomposition or Byproducts Hazardous gases/vapors :>roduced in fIre are SOx, when decomposed. Hazardous May Occur Conditions to A void Polymerization Will Not Occur X N/A Section VI - Health Hazard Data Inhalation? Yes Health Hazards (Acute and Chronic) Possible irritation of eyes, skin and mucous membranes of respiratory system. Prolonged inhalation may cause fIbrosis/chronic bronchitis, silicosis. Silicosis is chronic disease characterized by pulmonary fIbrosis and formation of silicon-containing scar tissue in the lungs. Symptoms include coughing, dyspnea, wheezing, and nonspecifIc respiratory ailments. Skin? Yes Ingestion? No Route(s) of Entry: Carcinogenicity: NTP? Crystalline Silica known human carcinogen Quartz (Si02) Yes Signs and Sym ptoms of Exposure Possible irritation of e es and/or skin. Silicosis and otentiall Medical Conditions Generally Aggravated by Exposure Res irato diseases. Pre-existin diseases of the lun . Emergency and First Aid Procedures Inhalation: Remove to fresh air. If not breathing, give artifIcial respiration. If breathing difficult, give oxygen. Call Physician. Skin Contact: .Compound not likely to be hazardous by skin contact, but cleansing the skin after use is advisable. E e Contact: Immediatel flush with water for minimum of 15 min. Call a h sician. Toxicological Information Crystalline Silica: Eye contact may initially include irritation with discomfort, tearing, or blurring of vision. In animal studies, lung tumors were observed in rats exposed for up to 2 years by inhalation to 12.4 or 51.6 mg/m3 quartz. Pulmona fibrosis, em h sema, and lun tumors were also observed in rats ex osed to uartz b intratracheal instillation. IARC Monographs? Group I OSHA Regulated? Yes No 16.3 Section VII - Precautions for Safe Handling and Use Steps to Be Taken in Case Material is Released or Spilled Recover undama ed and minimall contaminated material for reuse and reclamation. Shovel or swee u . Waste Disposal Method In accordance with applicable Federal, State and local regulations. Do not flush to surface water or sanitary sewer system. Reuse and reclaim where feasible. Precautions to Be taken in Handling and Storing Store in accordance with National Fire Protection Assoc. recommendations. Avoid breathing dust. Avoid contact with e es, skin or clothin . Wash thorou hI after handlin . Wash clothes after use. Other Precautions Avoid eneratin dus conditions. Section VIII - Control Measures Respiratory Protection (Specify Type) NIOSH/MSHA approved air purifying respirator with a dust/mist cartridge or canister may be permissible under certain circumstances where airborne concentrations are expected to exceed exposure limits (e.g., 3 mglm3, respirable particles; 10 m m3, inhalable articles). Ventilation Kee area well ventilated. Local Exhaust N/A Mechanical (General) N/A Special N/A Other N/A Protective Gloves Leather loves to revent abrasions. Other Protective Clothing or Equipment Sufficient rotective clothin to minimize skin ex osure. Launder contaminated clothin before reuse. Work/Hygienic Practices Wash thorou I with soa and water to avoid ralon ed skin contact. Section IX - Special Precautions Precautions to be taken in Handling and Storing N/A Other Precautions N/A 16.4 Section X - Transportation, Regulatory, & Other Information DOT: Not required. ICAO/IMO: Not restricted. OSHA Hazard Determination This material is hazardous as defmed b OSHA's Hazard Communication Standard, 29 CFR 1910.1200. CERCLA/Superfuud This material is not known to contain an in edient(s sub'ect to this act. SARA, Title III, 302/304 This material is not known to contain extreme 1 hazardous substances. SARA, Tital III, 311/312 Acute: Yes Chronic: Yes Fire: No Reactivity: No Pressure: No SARA, Title III, 313 This material is not known to contain an TSCA Material and/or com onents are listed in the TSCA Invento of Chemical Substances, 40 CFR 710. RCRA This material, when discarded or disposed of, is not specifically listed as a hazardous waste in Federal regulations. It could become a hazardous waste if it is mixed with or comes in contact with a listed hazardous waste. If it is hazardous waste, re lations at 40 CFR 262-266 and 268 ma a I. Clean Water Act This material is not known to contain hazardous substances in sufficient quantity to make it subject to Clean Water Act re ulations. NFP A, NPCA-HMIS Ratings: Health - 1 Flammability - 0 Reactivity - 0 Personal Protection ratin to be su Product Use Embankment and stabilized base. Each MSDS must be reviewed for correctness and completeness every three years. Reviewed by Reviewed by Review date Review date '- 16.5 CONTRACT BETWEEN MEMORIAL MEDICAL CENTER AND CALHOUN COUNTY EMS: Memorial Medical Center and Calhoun County Emergency Medical Services requested a contract renewal be signed between the two parties for a term of one year commencing at midnight on the 1st day of January 2011 and terminating at midnight on the pt day of January 2012 whereas the Provider, Calhoun County EMS, would provide appropriate ambulance transportation and related services to Facility, Memorial Medical Center, in accordance with the terms of the Agreement and all addenda hereto. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to authorize the County Judge to sign the contract between Memorial Medical Center and Calhoun County EMS. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. .' Final 2012 AGREEMENT FOR AMBULANCE SERVICES BETWEEN MEMORIAL MEDICAL CENTER AND CALHOUN COUNTY EMERGENCY MEDICAL SERVICES THIS AGREEMENT made and entered into by and between the following MEMORIAL MEDICAL CENTER (hereinafter referred to as "FACILITY") and CALHOUN COUNTY EMERGENCY MEDICAL SERVICES. (hereinafter referred to as "PROVIDER"), provides as follows: WHEREAS, FACILITY desires to maximize efficiency and service levels for medical transportation and has conducted an analysis of its medical transportation needs. Through this analysis, FACILITY has determined that such needs will best be met through a preferred coordinated medical transportation system agreement with the PROVIDER; and WHEREAS, PROVIDER is in the business of providing medical and ambulance transportation and advanced life support professional services; and WHEREAS, FACILITY and PROVIDER recognize that the ground ambulance transportation needs of FACILITY will be evolving and therefore, it is not possible to defme all of the terms of the specific services required by FACILITY, which may be provided by the PROVIDER. The parties desire at this time to defme the transportation services to be provided by PROVIDER and to establish mechanisms under which PROVIDER may provide future services to FACILITY related to ambulance transportation services, including services to be developed through prioritization of pre-planned, scheduled, emergent and non-emergent ambulance calls initiated by FACILITY. The parties intend that if the future services outlined in this AGREEMENT are expanded, the parties will execute addenda, further defming the services to be provided; and WHEREAS, FACILITY and PROVIDER desire to enter into a long-term, agreement under which FACILITY and PROVIDER will jointly develop and PROVIDER will operate and/or coordinate a turn-key coordinated medical transportation system to serve all of FACILITY'S ambulance transportation needs utilizing existing reimbursement sources which maximizes the benefits of a coordinated network; and NOW, THEREFORE, FACILITY and PROVIDER do hereby agree as follows: 1. SERVICES AND RESPONSffiILITIES OF PROVIDER FACILITY has selected PROVIDER as its "preferred provider of medical transportation" services within the primary service area as defined by Section VIII below, through an analysis of the quality of ground ambulance transportation services that PROVIDER provides. Accordingly, during the term of this AGREEMENT and extensions hereto, PROVIDER agrees as follows: . - A. Services Provided PROVIDER agrees to provide appropriate ambulance transportation and related services to FACILITY in accordance with the terms of this AGREEMENT and all addenda hereto. Requests by FACILITY for services which originate and lor terminate outside the boundaries of the primary service area as defined in Section VIII below may by referred by provider to another licensed ground or air ambulance provider after appropriate coordination with and approved by Facility. (In this circumstance, PROVIDER will not be liable to the alternative ambulance provider for the payment of any charges, fees or professional service charges rendered in association with such transport.) Final 2012 B. Emergency and Non Emergency lines Provider agrees to provide and maintain a telephone number for FACILITY to access PROVIDER for all FACILITY ambulance transportation requests covered by this AGREEMENT. This number is intended as a public number. PROVIDER will provide sufficient telephone lines and communication technicians to assure prompt answering of all incoming calls from FACILITY. PROVIDER'S telecommunication personnel will coordinate the required transportation services. PROVIDER will provide a listing of emergency numbers, non-emergency numbers that can be utilized to contact the PROVIDER 24 hours per day seven days a week. C. Inter-facility Ambulance Transportation Services Provider will provide inter-facility ambulance transportation services and such other ambulance ground transportation services at the request of the FACILITY. Inter-facility ambulance transportation services shall be defmed as ground ambulance transports originating at FACILITY and other facilities as FACILITY and PROVIDER may mutually agree upon in writing. Inter-facility transportation services ordered by FACILITY shall be ordered through the Emergency and Non Emergency lines described in the preceding paragraph. Compensation rates for each facility shall be listed in ADDENDUM A below. D. Applicable Standards PROVIDER agrees in the performance of the services, to be bound by, and comply with, (i) by the bylaws, policies, rules and regulations ofF ACILITY and the medical staff of the FACILITY facilities, as each may be amended from time to time (provided that such amendments do not materially increase PROVIDER's obligation hereunder or materially affect the fmancial or economic interests hereunder of PROVIDER), and (ii) the standards, rules and regulations of the United States Department of Health and Human Services (hereinafter referred to as "HHS"), the Texas Department of Health, the Joint Commission on the Accreditation of Healthcare Organizations (hereinafter referred to as "JCAHO"), Medicare, Medicaid, and any other federal, state or local governmental agency or third- party payor, exercising authority with respect to, accrediting or providing reimbursement for FACILITY. E. Etiquette PROVIDER, through its employees, shall treat all FACILITY staff and employees with proper respect, courtesy and professionalism. PROVIDER's employee's conduct shall at all times be appropriate and conductive to effective patient care and consistent with prevailing norms recognized and accepted throughout the community. F. Licensure PROVIDER covenants, represents and warrants to FACILITY that: (i) it and its employees are, as appropriate, duly licensed, certified, registered and in good standing under the laws of the State of Texas and the county(s) outlined in Section VIII below to provide the services under this AGREEMENT, and agrees that they shall retain such licensure, certification, registration and good standing status during the term of this AGREEMENT; (ii) each ambulance vehicle shall be registered and licensed according to state and)ocal rules, regulations and laws; and (iii) each ambulance vehicle shall be staffed with certified and/or licensed personnel in accordance with state and local rules and regulations. G. Experience and Training PROVIDER represents and warrants to FACILITY that its employees are professionally trained in emergency medical technician practice and will, during the term of this AGREEMENT, take all actions necessary to maintain such training. Final 2012 H. Training Provider agrees to conduct an in-house training program for field employees that significantly supplements the training that they received in their EMT training courses that meets or exceeds TDH standards. I. Vehicle Maintenance PROVIDER agrees that its fleet will be well maintained and response ready to provide services under this AGREEMENT. 1. Access to R,ecords Provider shall maintain a medical record, known as a "Patient Care Report," for each patient receiving services under this AGREEMENT. Said medical record shall be in such form and containing such information as required by the laws, ruled and regulations of the State of Texas and JACHO. K. Good Faith PROVIDER agrees to act in good faith at all time in performing its obligations and implementing the provisions of this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda. L. Services Excluded Transports of a distance greater than 150 miles II. RESPONSIDILITIES OF FACILITY During the term of this Agreement and extensions hereto, FACILITY agrees as follows: A. Promotion of AGREEMENT F ACIL TlY will conduct an internal and promotional campaign to educate its medical staff members, employees and others making arrangements for ambulance transportation about the general terms of this AGREEMENT, including periodic updates and reminder notices. Specifically, FACILITY will use its best efforts to ensure that employees who requests ambulance transportation services are informed of and utilize the Emergency and Non Emergency lines and have been made aware of the preferred nature of this AGREEMENT. B. Promotion to Medical Staff Members FACILITY and FACILTlY'S medical staff members, including physicians providing services under managed care arrangements, are accountable under Federal COBRA regulations for the selection of an appropriate medical transportation provider. FACILITY shall communicate in a reasonable manner the general terms of this AGREEMENT to said medical staff members. C. Access to records FACILITY shall provide necessary records and information about patients to PROVIDER to facilitate the provision of appropriate services and data collection. This information shall include the provision of a face sheet if available and substantially complete at the time of PROVIDER'S services hereunder, on each patient transported at the time the transport is initiated. When face sheets are not available or are not substantially complete at such time, FACILITY shall designate a liaison who will be responsible for obtaining and forwarding face sheets for the PROVIDER upon request. Final 2012 The parties herein mutually agree that in the event that FACILITY'S billing procedures and/or files will allow PROVIDERS access to the patient database in such manner that is acceptable to both the FACILITY and PROVIDER. D. Good Faith FACILITY agrees to act in good faith at all times in performing its obligations and implementing the provisions of this AGREEMENT, including negotiating alternate reimbursement practices and the terms of any addenda. E. Patient Tracking FACILITY agrees to provide reasonable assistance to PROVIDER in the completion of PROVIDER'S authorization or utilization forms, as appropriate, and to provide access to face sheets in accordance with Section II(D) above. III. INSURANCE PROVIDER shall, at no cost to or expense to FACILITY, carry a policy or policies of professional liability insurance, comprehensive general insurance, and medical malpractice insurance issued by an insurance carrier. IV. COMPENSATION A. Except as provided for in this AGREEMENT, neither FACILITY nor PROVIDER shall charge the other for services provider pursuant to this AGREEMENT, without mutual assent. B. The rate schedule in ADDENDUM A herein shall represent PROVIDER'S full compensation for services provided under this AGREEMENT. Such charges must, at all times, comply with applicable laws, rules and regulations. V. TERMINATION OR AMENDMENT AS THE RESULT OF GOVERNMENTAL REGULATIONS FACILITY and PROVIDER shall each have the right to terminate or unilaterally amend this AGREEMENT, without liability, in order to comply with any order issued by any federal or state department, agency or commission, or any provision oflaw or of the JCAHO or other accreditation organization which invalidates or is inconsistent with the terms of this AGREEMENT or which would cause one of the parties to be in violation oflaw. In the event FACILITY or PROVIDER is required to amend this AGREEMENT pursuant to this Section and the amendment is unacceptable to the other party, such party may choose to terminate this AGREEMENT immediately without liability. VI. Term A. Term and Termination Subject to each party's right oftermination as set forth in the preceding paragraph and below, this AGREEMENT shall be for a term of one year commencing at midnight on 01/01/2011 and terminating at midnight on 01/01/2012(hereinafter referred to as "INITIAL TERM"). 1. FACILITY or PROVIDER may mutually agree to terminate this AGREEMENT in writing, with or without cause upon 30 days written notice; or 2. Except as provided for elsewhere in this AGREEMENT, with cause by either party upon default by the other party of any material term, covenant or condition of this AGREEMENT, where such default continues for a period of (30) days after the defaulting party receives written notice thereof from the other party specifying the existence of default: or 3 Immediately if PROVIDER fails to maintain licensure as required in Section I, Paragraph G (ii) or (iii) herein, or fails to maintain insurance as required in Section III herein. Final 2012 B. Re-negotiation During the sixty (60) day period or prior to the end of the INITIAL TERM or any RENEWAL TERM, this AGREEMENT shall be subject to the review by the parties. During this 60-day period, the parties agree to use their best efforts to meet together at mutually agreeable times to review and if appropriate to re-negotiate the terms of this AGREEMENT. If the parties agree to modify this AGREEMENT, such modifications shall be in writing and executed in accordance with Section XVII here of. VII. FORCE MAJEURE Provider shall be excused from performance under this AGREEMENT iff or any period PROVIDER is prevented from performing any obligations pursuant hereto, in whole or in part, as a result of an Act of God, war, civil disturbance, catastrophe, court order, labor dispute or cause beyond its reasonable control, including shortages or. fluctuations in electrical power, heat, light, air conditioning or fuel shortages, and such non-performance shall not be a ground for termination or default. PROVIDER will use its reasonable efforts under such circumstance to ensure that alternate services be made available should any of these conditions arise. In the event PROVIDER cannot obtain alternate services, FACILITY may exercise its right to contract temporarily with another service until PROVIDER is once again able to meet the needs ofF ACILITY. VID. AREAS OF SEVICE PROVIDER will provide the services described herein to FACILITY anywhere within Calhoun and adjacent surrounding Counties and any other areas within the State of Texas up to 150 miles, as mutually agreed upon by both parties hereto. IX. INDEPENDENT CONTRACTOR The relationship between the parties shall at all times be that of an independent contractor. No provision of this AGREEMENT is intended to, or shall be construed to, render one party an agent, employee, servant, or partner of the other. Neither party shall represent to any third party or entity that is authorized to enter into any contract for or on behalf of the other party. Neither party shall execute any contract for or on the behalf ofthe other, nor attempt to bind the other to any obligation, without the other party's written consent. FACILITY and PROVIDER shall not combine their business operations in any way, but instead shall maintain their operations as separate and distinct entities. PROVIDER'S employees shall not have any claim under this AGREEMENT or otherwise FACILITY for vacation pay, sick leave, retirement benefits, Social Security, worker's compensations, disability or unemployment insurance benefits of any kind. PROVIDER'S employees shall not be entitled to any rights or privileges established for employees of FACILITY, such as vacation, sick leave, paid holidays, or severance pay upon termination of this AGREEMENT. FACILITY shall neither have nor exercise any control or direction over the method by which PROVIDER performs its work or functions; the sole interest and responsibility of FACILITY is to assure that their services contemplated by this AGREEMENT will be performed in accordance with the terms hereof. x. SUCCESSORS AND ASSIGNS FACILITY and PROVIDER shall have the right to assign this AGREEMENT and to delegate all rights, duties and obligations hereunder, whether in whole or part, to any parent, affiliate, successor or subsidiary organization or company of FACILITY or PROVIDER only with consent of other party, which consent shall not be unreasonably withheld. Subject to the foregoing, this AGREEMENT shall be binding upon the parties hereto and their successors and assigns. Final 2012 XI. PREFERRED STATUS FACILITY and PROVIDER agree and acknowledge that in order for PROVIDER to PROVIDE the most timely, efficient and responsive inter-facility ambulance transportation services, and for PROVIDER and FACILITY to provide the safest and most efficient care, that the inter-facility ambulance transportation services under this AGREEMENT shall be on the preferred basis as set forth here in. Except as set for herein, the inter-facility ambulance transportation services provided by PROVIDER hereunder are provided on a preferred basis and FACILITY agrees not to contract with any other companies, organizations or agencies for such services during the term of this AGREEMENT. This preferred status shall not apply if this patient, the patient's guardian, third party payor, or the attending physician requests another ambulance service. XII. FffiST RIGHT OF REFUSAL In the event FACILITY desires to evaluate or implement developing a system for critical care ground transportation services, wheelchair transportation service, or other programs relating to ambulance ground transportation services, then FACILITY shall give PROVIDER written notice of such desire. Following such notice, FACILITY and PROVIDER agree to negotiate for a period of 30 days, on a preferred basis, for PROVIDER to perform such services for FACILITY and its patients. XIII.. NOTICES Any notice required to be given pursuant to the terms and provisions hereof shall be in writing and shall be sent certified or registered mail or by hand delivery to the parties at the addresses set forth below or to such address which a party may designate by notice. PROVIDER: Calhoun County Emergency Medical Services 705 County Road 10 1 Port Lavaca, Texas 77979 FACILITY: Memorial Medical Center 815 N. Virginia Street Port Lavaca, Texas 77979 Either party may change its address to which notices are sent by a notice similarly sent. XIV. SEVERABILITY In the event that any part, term of provision of this AGREEMENT is, by any arbitrator or court of competent jurisdiction, held to be illegal, unconscionable, in conflict with any law of state where enforcement of this AGREEMENT is sought, or any public policy thereof, the validity of the remaining portion or provisions shall be construed and enforced as if the AGREEMENT did not contain the particular part, term or provision to be invalid. xv. CONTROLLING LAW The interpretation and enforcement of this AGREEMENT shall be consistent with the laws of the State of Texas. In addition, the parties agree that if any legal action is commenced for enforcement of any term of provision of, or arising under or related to, this AGREEMENT, said action shall be preferably commenced on the state or federal courts located within the State of Texas, and the parties consent to the jurisdiction and venue of such courts. XVI. MODIFICATION This AGREEMENT constitutes the entire understanding of the parties hereto and no changes, amendments, or alterations shall be effective unless signed by both parties. That is, any increase or decrease in services must be mutually agreed upon in writing. ."" Final 2012 XVII. COMPLETE AGREEMENT This AGREEMENT contains the complete AGREEMENT concerning the subject matter of this AGREEMENT between the parties and shall as of the effective date hereof, supersede all agreements between the parties pertaining to the same subject matter. The parties stipulate that neither of them has made any representation with respect to the subject matter of this AGREEMENT, except as set forth herein. The parties further acknowledge that any statement or representation that may have heretofore been made by either party to the other is of no effect, and that neither of them has relied thereon on connection with its dealings with the other. . XVIII. EXECUTION OF ADDITIONAL INSTRUMENTS Each party shall at any time, and from time to time, at the other's request execute, acknowledge and deliver any reasonable instruction, instrument or acknowledgment that may be necessary or proper to carry out the provision s and intent of this AGREEMENT. XIX. WAIVER AND SURVIVAL The failure of either party to insist upon strict compliance by the other with respect to any of the terms and conditions of this AGREEMENT shall not be construed as a waiver, nor shall such course of action deprive such party of the right thereafter to require strict adherence to the terms and provisions of this AGREEMENT. XX. NON-DISCLOSURE FACILITY and PROVIDER agree to treat the pricing contained within this AGREEMENT as CONFIDENTIAL INFORMATION and as PROVIDER'S CONFIDENTIAL INFORMATION pursuant to the provisions of Section XXIII. XXI. NO INFLUENCE ON REFERRALS It is not the intent of either the FACILITY or PROVIDER of this AGREEMENT that any remuneration, benefit or privilege provided for under this AGREEMENT shall influence or in any way be based on the referral or recommended referral by either party or patients to the other party or its affiliated providers, if any, or the purchasing, leasing, or ordering of any services other that specific services described in this AGREEMENT. Any payments specified in this AGREEMENT are consistent with what the parties reasonably believe to be fair market value for the services provided. XXII. THIRD PARTY BENEFICIARY The parties to this AGREEMENT do not intend to confer any benefits hereunder n any person or other legal entity.other that the parties hereto, including without limitation any patients of PROVIDER or FACILITY, and no third-party beneficiary rights are intended to be created hereby. XXIII. NAME OR TRADEMARK Nothing contained herein shall confer upon either party hereto a license to use, or ownership of (i) the name of the other party hereto or any name under which a party operates, or (ii) any trade name, service mark or trademark owned by such party. XXIV. THIRD PARTY PAYOR CONTRACTS PROVIDER will cooperate with FACILITY with respect to all programs established between FACILITY and health maintenance organizations, exclusive provider organizations and other managed care programs. '- ~, .... Final 2012 XXV. NOTICE OF LITIGATION PROVIDER and FACILITY shall promptly notify the other in the event that any party learns of any threatened or actual litigation in which it is a party defendant in a case which involves serviced provided under this AGREEMENT. Within five (5) calendar days after being served with a summons, complaint or other pleading which has been filed in any federal or state court or with any administrative or regulatory agency or after receiving notice of threatened litigation, the party so served or notified shall deliver copies of such document(s) to the other party. XXVI. HEADINGS AND CAPTIONS The headings and captions used in this AGREEMENT are for the convenience of reference only, and to not for a part of this AGREEMENT. XIX. BINDING EFFECT The parties agree that this AGREEMENT shall not be binding upon either party unless and until it is executed by an authorized representative of each party. FACILITY and PROVIDER represent that their representative signatory, whose signature appears below, has been and is, as of the date first written above, duly authorized by all necessary, appropriate and applicable corporate legal action to execute this agreement. XXVII. AGREEMENT READ AND UNDERSTOOD The parties hereto have read and understand this entire instrument and acknowledge that they both have had competent legal counsel available to them in their review and execution of said AGREEMENT. IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT Effective 01/01/2012. ::CILlTY ~ I (~o , PROVIDER By: rY\'u~J. ~ Title: Calhoun County Judge Date: 12--2- ? -11 Title: Administrator Date: I()-j(-Il -',- " . /. Final 2012 ADDENDUM A COMPENSATON SCHEDULE AND BILLING PRACTICES I. A. Provider will biq its customary rates pursuant to this AGREEMENT. B. Where patients have third party coverage, including Medicare, Medicaid, and private insurance, PROVIDER will bill said insurance and accept as payments in full the amounts allowed by said third party coverage. In such cases, patients will only be billed for: (a) their co-insurance and deductible as determined by their third party coverage or where mandated by federal or local government: and (b) any services which said third party insurer determines are not covered by the terms of the patient's policy. C. Where patients have no third party coverage, PROVIDER will bill the patients directly. In the event the patient refuses to pay for provider service, the FACILITY will be responsible for payment. D. FACILITY will only be responsible for ambulance services which: (a) are pre-approved and authorized by FACILITY (a request for ambulance transport by a hospital employee, will be considered as pre-approved and authorized by the FACILITY) (b) where FACILITY is legally responsible (c) where transport is requested by the FACILITY because patient has no other means of transportation or payment. II. For Ground Transports that are the legal responsibility of the FACILITY, the FACILITY will pay: Transports within the Calhoun and Surrounding Counties from one (1) through one hundred fifty 150 miles: Current Rate Contract Rate 11 Contract Rate 12 BLS Non-emergency Base Rate: 399.00 239.00 251.00 Mileage per Loaded Mile: 12.10 7.80 8.19 This payment schedule will be all inclusive of supplies and equipment and accepted as payment in full for any and all transports that are the legal responsibility of the FACILITY or third party. Payment shall be received as defmed in section IV. It is understood that these patients shall meet the existing Medicare guidelines for medical necessity for ambulance transportation and have the Certification of Medical Necessity completed by the facility for the Provider. It is also understood, that for all non-emergency ambulance services where Medicaid is the primary payor, a Prior Authorization number will be obtained by the FACILITY. III. PROVIDER guarantees that the above contracted rates shall be effective for the duration this AGREEMENT. Thereafter, the rates shall be evaluated upon renewal of said AGREEMENT. IV. PROVIDER shall submit invoices to FACILITY on a per call basis for the services provided under the AGREEMENT. CONTRACT BETWEEN CROWN BILLING AND CALHOUN COUNTY EMS: Crown Billing Inc and Calhoun County EMS requested Commissioners Court approve a contract between the two parties and to remain in full force and effect for one year from the beginning date of the Agreement and will automatically renew annually unless canceled by either party. Crown Billing Inc. provides automated billing, collection, and management support services including electronic billing, collection, and accounts receivable, and information management support and performs and administers medical billing services in the State of Texas. A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to authorize the County Judge to sign the contract between Crown Billing and Calhoun County EMS. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ................ '""'- "'- Crown Billing, Inc EMS Billing and Consulting Service agreement For Calhoun County Crown Billing, Inc (hereinafter referred to as "Crown") and Calhoun County (hereinafter referred to as "Provider") enter into this Service Agreement ("Agreement") effective beginning January 1,2012 WHEREAS, Crown provides automated billing, collection, and management support services to Providers including electronic. billing, 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 ackriowledged, the parties hereto agree as follows: 1. Crown Responsibilities: 1.1 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 if feasible. 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 RCF 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. ~ Crown Billing, Inc. Agreement for Provider 2012 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 and 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 and 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.CD/DVD 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. 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 (EOBs) 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 (EOBs). 2.4 Provider agrees to submit payment for Crown's fees no later than 60 days from receipt of Crown's invoice. Crown Billing, Inc. Agreement for Provider 2012 3 2.5 The Provider agrees to submit one hundred (l00) 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. 2.7 Provider 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 lintil 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 administrator's signature to box 31 of the CMS 1500. 2.10 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 determine status. If PAN is not available Crown will designate the bill to the facility's responsibility and send bill to Provider for delivery. .1 I 2.14 Provider agrees to submit Prior Authorization Number(s) (PAN's) to Crown via an approved email address or via the Filesanywhere 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. Crown Billing, Inc. Agreement for Provider 2012 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. 33 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 recommendations including staff documentation audits. e. Staff training and education programs f. Regulatory compliance a. Provider and Crown would mutually agre.e 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 HIPAA terms and agreement). 5.3 See Crown HIPAA agreement. Crown Billing, Inc. Agreement for Provider 2012 5 6. General Provisions: 6.1 This Agreement shall remain in full force and effect for (1) 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 unenforceability 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:J'1U~ Wi- fV\ i-'vAat.- / -r.?-k ~ C-t ...... Printed Name: Title: u,u ~t~ JiAJj-c. Date: .J .).. - "2-'2---)' Crown Billing, Inc. Agreement for Provider 2012 For Crown Billing, Inc. Authorized Signatu Andey D. Gray PresidentlC.E.O. Crown Billing, Ine Date: 6 Crown Billing, Inc. Agreement for Provider 2012 7 Schedule' A" I. Crown will charge the provider nine percent (9%) for all electronic receivables. II. Crown will provide 4 RescueNet Tablet PCR licenses and 7 RescueNet Web-PCR licenses and software maintenance at no additional cost. Crown Billing, Inc. Agreement for Provider 2012 CONTRACT BETWEEN PORT LAVACA NURSING HOME AND CALHOUN COUNTY EMS: The Agenda Item has been passed at this time. ,~ Calhoun County Emergency Medical Services 705 County Road 101 Port Lavaca, Texas 77979 361-552-1140 Office 361-553-4800 Fax- Dee. ~~ @ Inter Office Note To: Judge Pfeifer Reference: Agenda Items From: Henry Barher Date: Novemher 28, 2011 Judge, I would like the following items on the December 22, 2011 Commissioners Court Agenda: - . . @ Consider and take action on contract between Port Lavaca Nursing and Calhoun County EMS PURCHASE OF TWO LIFEPAK 15 MONITER DEFIBRILLATORS FROM MEDTRONICS PHYSIO: Henry Barber, with Calhoun County EMS, requested Commissioners Court take action to single source the purchase of two LifePak 15 monitor defibrillators to Medtronic Physio with two trade in LifePak11's Serial Numbers for Monitor 00001977 Defibrillator 00001377 and Monitor 00001976 Defibrillator 0001375 for a grand total being $73,602.30. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to declare the purchase of two LifePak 15 Monitor Defibrillators from Medtronics Physio as Single Source with two trade in LifePak l1's. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. - , Calhoun County Dee. g.~ Emergency Medical Services 705 County Road 101 Port Lavaca, Texas 77979 ,;1;'),. .1 2 ,I 361-552-1140 Office 361-553-4800 Fax .~ Inter Office Note To: Judge Pfeifer Reference: Agenda Items From: Henry Barber Date: November 28, 2011 ------....- Judge, I would like the following items on the December 22, 2011 Commissioners Court Agenda: Consider and take action to single source the purchase of two LifePak 15 monitor defibrillators to Medtronic Physio with two trade in LifePakll's See Attached Quote Life Pak 11 . Se~rial Numbers: Monitors 00001977 00001976 Thank ou Defibrillator 00001377 00001375 Henry Barber f_ . ~ l PHYSIO CONTROL Physio-Control, Inc. 11811 Willows Road NE P.O. Box 97023 Redmond, WA 98073-9723 U.S.A www.physio-control.com www.medtronic.com tel 800.442.1142 fax 800.732.0956 To: Mr. Henry Barber Director Calhoun County EMS 705 County Rd 101 PORT LAVACA. TX 77979 Phone: (361)552-1140 Fax: (361) 553-4800 hbarber@cableone.net Quote#: ReV#: Quote Date: Sales Consultant: FOB: 1-211014853 1 11/28/2011 Carlos Graubard 800-442-1142 x 72311 Redmond, WA Terms: Net 30, all quotes subject to credit approval and the following terms & conditions Tirade-ins 2 LP11 Monitors SIN 00001976,00001971 and2 Defib SIN 00001375,00001371. Contract: None Exp Date: 01/27/2012 Line Catalog # I Description Qty Price Unit Disc Trade-In Unit Price Ext Total 99577-001219 - LP15 v2 MONITORJDEFIB, 2 $37.845.00 $3,784.50 $1,000.00 $33,060.50 $66,121.00 CPR, Pace, to 360j, SP02lCO/MetHb, 12l Gl, NIBP, C02, Trend, BT, TMP I INCLUDED AT NO CHARGE: 2 PAIR QUIK-COMBO ELECTRODES PER UNIT - 11996-000091, TEST LOAD _ 21330-001365, IN-SERVICE DVD - 2.1330-001486 (one per order) , SERVICE MANUAL CD- 21300-008084 (one per order) and ShipKit- (RC Cable) 41577-000069 INCLUDED. HARD PADDLES, BATTERIES, CARRYING CASE NOT INCLUDED. 2 11577-000004 - STATION BATTERY 2 $1,540.00 $154.00 $0.00 $1,386.00 $2,772.00 CHARGER AC OPERATION FOR STATIONARY APPLICATIONS, FOR USE WITH THE L1-ION 5.7 AMP BATTERY. INCLUDES AC POWER CORD, MOUNTING BRACKET AND OPERATING INSTRUCTIONS 3 21330-001176 - L1-ION BATTERY 5.7 AMP 8 $390.00 $39.00 $000 $351.00 $2.808.00 HOUR CAPACITY RECHARGEABLE LITHIUM-ION, WITH FUEL GAUGE 4 11171-000017 - lNCS DCI, ADULT SP02 2 $270.00 $27.00 $0.00 $243.00 $486.00 SENSOR REUSABLE LNCS DCI,ADULT SP02 SENSOR.REUSABLE,REF 1863 5 11996-000323 - MASIMO SET RED lNCS 2 $185.00 $18.50 $0.00 $166.50 $333.00 PATIENT CABLE - 4 FEET RED LNC-04.PATIENT CABLE.4FT,REF 2055 6 11996-000022 - CHilD CUFF (PEDIATRIC), 2 $22.00 $2.20 $0.00 $19.80 $39.60 9X27CM REUSABLE NIBP CUFF-REUSABLE,CHILD,9X27CM 7 11996-000025 - LARGE ADULT CUFF, 2 $30.00 $3.00 $0.00 $27.00 $54.00 16X42CM REUSABLE NIBP CUFF-REUSABLE,LARGEADULT 16X24CM 8 11996-000360 - Temp Sensor, Esophageal- $145.00 $14.50 $0.00 $130.50 $130.50 Rectal, ElFR, Diap (box 01 20) "" Quote#: Quote Products {continuedl ReV#: Quote Date: 1-211014853 1 11/28/2011 line Catalog # J Description Qty Price Unit Disc Trade-In Unit Price Ext Total 9 11577"000002- KIT - CARRY BAG, MAIN BAG 2 $260.00 $26.00 $0.00 $234.00 $468.00 ACCESSORY 11577-000002 LP15 KIT CRY BAG. Includes shoulder strap 11577-000001 10 11220"000028 - Top Pouch 2 $47.00 $4.70 $0.00 $42.30 $84.60 Storage for sensors and electrodes. Insert in place of standard paddles. 11 11.260-000039 - KIT - CARRYBAG,REAR 2 $67.00 $6.70 $0.00 $60.30 $120.60 POUCH KIT - CARRY BAG, REAR POUCH SUB TOTAL ESTIMATED TAX ESTIMATED SHIPPING & HANDLING __.. ,,___ ,". - . ..,___ .n :_...______..__.____~~~~ .___._____~.__..~__ GRAND TOTAL $73,417.30 $0.00 $185.00 ._._-_...._._-..-_.--_._..__._~----._-_._--- $73,602.30 Trade-in Detail Product J I . ._..__..__.................__...._.._.._...._....._................ .................___._..._...._...1 Qty Unit Value Total Value! ... .... m,...' ." ,... .....................,..... ..... ,.~ ! i ,.._._........"...........___,_........._.....,..._........_ ........____._.._.._._+_...,_..__..._~_.,l $83.797.00: - $2,000.00: - $8,379.70] + $185.00! $73,602.301 ....... .1 ,....~~i~i"-.!! ~.~~.~ry.!~~~!._..._........ List Price: Trade.ins: Cash Discounts: Tax + S&H: GRAND TOTAL FOR THIS QUOTE 2 '. 1- . . TO ,PLACE AN ORDER, PLEASE FAX A COPY OF THE QUOTE AND PURCHASE ORDER TO: #800-732-0956, ATTN: REP SUPPORT "Ask your sales ,representative how to get 25% or more off list price on your LlFEPAK disposabJesby signing up fora disposables agreement" PHYSIO-CONTROL. INC. REQUIRES WRITTEN CUSTOMER APPROVAL (AUTHORIZED SIGNATURE) VERIFICATION OF THIS ORDER.A PURCHASE ORDER IS REQUIRED ON ALL ORDERS $10,000 OR GREATER BEFORE NAME APPLICABLE FREIGHT AND TAXES.THE UNDERSIGNED IS AUTHORIZED TO ACCEPT THIS ORDER IN ACCORDANCE TITLE WITH THE TERMS AND PRICES DENOTED HEREIN, SIGN TO THE R;IGHT: DATE Ref. Code: MH/02211901/1-37IQKW Notes: Taxes, Shipping and handling fees are estimates only and are subject to change at the time of order. Shipping and handling applies to ground transport only. Above pricing valid only if quote is purchased in its entirely (optional items not required). To receive a trade-in credit, the customer agrees to return the trade-in device(s) within 30 days of receipt of the replacement device(s) to Physio-Control's place of business or to an authorized Physio-Control representative. Physio-Control will provide instructions for returning the device(s) and will pay for the associated shipping cost In the event that the trade-in device(s) are not received by Physio-Control within the 3D-day window, customer acknowledges that the quote shall constitute a purchase order and agrees to be invoiced for the amount of the trade-in discount. Invoice shall be payable upon receipt. Items listed above at no change are inCluded as part ofa paCkage discount that involves the purchase of a bundle of items. Customer is solely responsible for appropriately allocating the discount extended on the bundle when fulfilling any reporting obligations it might have. 3 '" ~.: '" ~.: 4 TERMS 01' SALE General Terms Physio-C?ntrol,lnc.'s acceptance of the Buyer's .order is expressly conditioned on product availability and the Buyer's assent to the terms set forth In this document and ,Its attachments. Physlo-Control, Inc. agrees to furnish the goods and services ordered by the Buyer only on these termS, and the Buyer's acceptance of any portion of the goods and services covered by this document shall confirm their acceptance by the Buyer. These terms constitute the complete agreement between the parties and they shall govern any conflicting or ambiguous terms on the Buyer's purchase or.der or on other documents submitt~d to Physio-Control, Inc. by the Buyer. These terms may only be revised or amended by a written agreement Signed by an authOrized representalive of both parties. ,Pricing Unless otherwise indicated in this docurnent, prices of goods and services covered by this document shall be Physio-Control, Inc. standard prices in effect at the time ,of delivery. Prices do not include freight insurance, freight forwarding fees, taxes, duties, import or export permit fees, or any other similar charge of any kind applicable to the goods and services covered by this document. Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the goods and services covered by this document unless Physio-Control, Inc. receives a copy of a valid an exemption certificate prior to delivery. Please forward your tax exemption certificate to the Physio-Control, Inc. Tax Department, P.O. Box 97006, Redmond, Washington 98073-9706. Payment Unless otherwise indicated in this document or otherwise confirmed by Physio-Control, Inc. in writing, payment for goods and services supplied by Physio-Control, Inc, shall be subject to the following terms: Domestic (USA) Sales - Upon approval of credit by Physio-Control, Inc., 100% of invoice due thirty (30) days after invoice date. International Sales - Sight draft or acceptable (confirmed) irrevocable letter of credit. Physio-Control, Inc. may change the terms of payment at any time prior to delivery by providing written notice to the Buyer. Physio-Control, Inc. reserves the right to charge a 15% restocking fee for returns. Delivery Unless otherwise indicated in this document, delivery shall be FOB Physio-Control, Inc. point of shipment and title and risk of loss shall pass to the Buyer at that point. Partial deliveries may be made and partial invoices shall be permitted and shall become due in accordance with the payment terms. In the absence of shipping instructions from the Buyer, Physio-Control, Inc. will obtain transportation on the Buyer's behalf and for the Buyers account. Delays Delivery dates are approximate. Physio-Control, Inc. will not be liable for any loss or damage of any kind due to delays in delivery or non-delivery resulting from any cause beyond its reasonable control, including but not limited to, acts of God, labor disputes. the requirements of any governmental authority, war, civil unrest, terrorist acts, delays in manufacture, obtaining any required license or permit, and Physio-Control, Inc. inability to obtain goods from its usual sources. Any such delay shall not be considered a breach of Physio-Control, Inc. and the Buyer's agreement and the delivery dates shaH be extended for the length of such delay. Inspections Claims by the Buyer for damage to or shortages of goods delivered shall be made within thirty (30) days after shipment by providing Physio- Control, Inc. with written notice of any deficiency. Payment is not contingent upon immediate correction of any deficiencies and Physio-Control, Inc. prior approval is required before the return of any goods to Physio-Control, Inc.. Warranty Physio-Control, Inc. warrants its products in accordance with the terms of the standard Physio-Control, Inc. product warranty applicable to the product to be supplied, and the remedies provided under such warranty shall be the Buyers sole and exclusive remedies. Physio-Control, Inc. makes no other warranties, express or implied, Including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO-CONTROL, INC. BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. Palent & Indemnity , ' Upon receipt of prompt notice from the Buyer and with the Buyer's authority and assistance, Physio-Control, Inc. agrees to defend,. Indemnify and hold the Buyer harmless against .any claim that the Physio-Control, Inc. products covered by thiS document directly Infringe any United States of America patent. Miscellaneous a) The Buyer agrees that products purchased hereunder will not be reshipped or resold to any persons or places prohibited by the laws of the United States of America, b) Through The purchase of Physio-Control,lnc, products, the Buyer does not acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products, and the Buyer expressly agrees not to reverse engineer or decompile suCh products or related software and information. . .,. c) The rights and obligations of Physic-Control. Jnc. and the Buyer related to the purchase and sale of products and seNlces descnbed In thiS. document shall be governed by the laws of the State of Washington, United States of America. All costs and expenses Incurred by the prevailing party related to enforcement of its rights under this document, including reasonable attorneys fees. shall be reimbursed by the other party. 4 LOAN FROM THE GENERAL FUND TO CAPITAL PROJECT: Precinct #3 requested the Commissioner Court authorize an $89,400 loan from the General Fund to Capital Project - ClAP Coastal Improvement Fund to pay engineering expenses for Port Alto Beach Restoration Project incurred before grant money becomes available. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to authorize an $89,400 loan from the General Fund to Capital Project - ClAP Improvement Fund to pay engineering expenses for Port Alto Beach Restoration Project. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY COMMISSIONER, PRECINCT J 24627 state Hwy. 172 - Olivia. Port LavacQ, Texas 77979 - Office (361) 893.:5346 - Fax (361) 893-5309 Home (361) 552-3145 - Neil E. fritsch, Commissioner, Pet. 3 - Mobile (361) 920-5346 Email: ccprct3@loward.com @ December 12, 2011 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for December 22, 2011 : "Consider and take necessary action to authorize an $89~400 loan from the General Fund to Capital Project - ClAP Coastal Improvement Fund to pay engineering expenses for Port Alto Beach Restoration Project incurred before grant money becomes available." Respectfully, /17 "f'. ~,( ,I ...;L--. //' , J k f /.: _. .4..-., ../"'-1-;," )1v;f v" . ~/Z,..,v __=-e..tA.-. Nelil E. Fritsch cc: Roger Galvan Vern Lyssy Kenneth Finster .... Susan Riley PROFESSIONAL SERVICES CONTRACT WITH ATKINS NORTH AMERICA, INC: Precinct #3 requested the Commissioners Court consider the Professional Services Provider Contract No. 02- 5109-999-W02 with Atkins North America, Inc. and authorize County Judge Pfeifer to sign. Atkins North America, Inc. will support the County's efforts to address a shoreline erosion problem along Port Alto Beach on Carancahua Bay. Provider will provide the preliminary engineering documents needed for the construction of an offshore erosion control structure. Specifically, this Provider will conduct date collection, surveying, permitting, and construction design. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to authorize the County Judge to sign Professional Services Contract No. 02-5109-999-W02 with Atkins North America, Inc. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer aJI voted in favor. CALHOUN COUNTY COMMISSIONER, PRECINCT 3 24627 State Hwy, 172 - Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 - F~~ (361) 893-5309 Home (361) 562-3145 - NeilE. Fritsch, Commissioner, Pet.-J - Mobile (361) 920-5346 Email: ccprct3@laward.com r15-) ~/ December 12, 2011 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for December 22, 2011: "Consider and take necessary action on Professional Services Provider Contract No. 02-5109- 999-W02 with Atkins North Americal.lnc. and authorize County Judge to sign. N Re. spec~UIIY. /t.." ./ !/l '/)0 j I. /f - / / t~',.J {:./ I_/,_A...~~...-/,- Neil E. Fritsch cc: Roger Galvan Vern Lyssy Kenneth Finster Susan Riley WORK ORDER No. 02-5109-999-W02 UNDER PROFESSIONAL SERVICES PROVIDER CONTRACT Pursuant to the Professional Services Provider Contract (Contract) between Calhoun County (COtillty) and Atkins North America, Inc. (Provider), Provider is authorized to perform the services described below, subject to the Scope of Services, Tasks, Deliverables, Budget, and any other conditions of this Work Order (Work Order) for the Coastal Impact Assistance Program Project entitled "Port Alto Beach/Wetland Conservation and Restoration." SCOPE OF SERVICES Provider will support the County's efforts to address a shoreline erosion problem along Port Alto Beach on Carancahua Bay. Provider will provide the preliminary engineering documents needed for the construction of an offshore erosion control structure. Specifically, Provider will conduct data collection, surveying, permitting, and construction design, TASKS AND DELIVERABLES TASK 1 - Historical Review and Site Visit Provider will conduct a review of the project site, including a historical review of site conditions/activities/events, wind and wave hindcast data, available topographic/bathymetric data, historical aerial photography, and a geomorphological assessment. A site visit shall be conducted to document and field-verify current conditions and hydrologic processes, evaluate the dredged material stock pile for quantity and quality, identify the extent and assess the current condition of the wetlands, and evaluate shoals for potential sand sources, Sediment samples from the dredged material and the shoals shall be collected for analysis of sediment characteristics. Deliverables: Information and data collected shall be incorporated into the Conceptual Design Report Timeframe: Completed within three (3) weeks of execution of work order. TASK 2 - Data Collection A topographic and bathymetric survey will be conducted to document current conditions and for design. A geotechnical investigation shall also be conducted to assess the physical properties of I Page 1 of 11 the sediments along the coast to determine beach compatibility and suitability for supporting structures such as groins and offshore breakwaters. A coastal boundary survey conducted by a Licensed State Lands Surveyor registered in the State of Texas will delineate state-owned lands from private lands. Deliverables: 1. Topographic and bathymetric survey consisting of AutoCad drawing that includes points and descriptors, one (1) foot contours showing all features surveyed and ASCII file containing all surveyed points (Northing, Easting, Elevation, Descriptor). a, One (1) hard copy and one (1) digital copy on CD 2. Coastal boundary survey, consisting of plat map and survey report. a. One (1) hard copy and one (I) digital copy on CD 3, Geotechnical report. a. One (1) hard copy and one (I) digital copy on CD Timeframe: Completed within four (4) weeks of execution of work order. TASK 3 - Data Analysis Data analysis will be performed to evaluate coastal processes at the project site. The analysis will include statistical descriptions of the wind and wave climate, water levels, and sediment transport patterns. This analysis shall determine design criteria for any beach fill and structures considered, as well as dictate the location and position of structures so as to conform with and/or enhance the environment and natural processes at the site. Deliverables: Information and data collected shall be incorporated into the Conceptual Design Report Timeframe: Completed within eight (8) weeks of execution of work order. TASK 4 - Design Approach and Conceptual Design Based on the historical review, various data collection, and the analysis of the coastal processes, a conceptual, long-term, sustainable design will be developed. Throughout the project, Provider will have regular meetings with the County to ensure concurrence and cohesiveness on design preferences. A conceptual design will then be developed, which will allow for the project to be built in phases, if necessary. The conceptual design will include schematics and a general cost estimate. Deliverables: Conceptual Design Report Three (3) hard copies and one (1) digital copy on CD Timeframe: Completed within 12 weeks of execution of work order, TASK 5 - Permitting A U.S. Army Corps of Engineers (US ACE) section 10/404 permit application authorizing the implementation of the project will be prepared and submitted. A Joint Evaluation Meeting will be held with the USACE and other state and federal regulatory agencies to present the project and identify any potential environmental concC?rns. Any additional requirements imposed by regulatory agencies (environmentallbiological assessments, preliminary designs, Page 2 of t I numerical/physical modeling, etc.) are not included in this scope of work. A coastal lease will be obtained from the General Land Office (GLO). Deliverables: 1. USACE Permit Application a, One (1) digital copy on CD 2. GLO coastal lease a. One (1) digital copy on CD Timeframe: Completed within two (2) weeks of County's approval of the Conceptual Design Report. TASK 6 -Design and Construction Documents The construction design will correspond to the available budget and shall include preliminary and final design. Technical specification, construction level drawings and cost estimates will be developed for construction. Drawings shall consist of a project site plan and detail sheets. A 30% and 70% level completion set technical specifications and construction drawings will be submitted to the County for review. A 100% completion level set construction documents consisting of contract documents, final engineering drawings and technical specifications, a construction cost estimate, and construction schedule will be developed in accordance with the County's procurement process for solicitation of a coastal construction contractor. Deliverables: 1. 30% level completion set technical specifications and construction drawings. a. One (1) hard copy and one (1) digital copy on CD 2. 70% level completion set technical specifications and construction drawings. a, One (1) hard copy and one (1) digital copy on CD 3. 100% completion level set construction documents consisting of contract documents, final engineering drawings and technical specifications, a construction cost estimate, and construction schedule. a. Three (3) hard copies and two (2) digital copies on CD Timeframe: 1. 30% completion set: four (4) weeks of County's approval of the Conceptual Design Report. 2. 70% completion set: seven (7) weeks of County's approval of the Conceptual Design Report. 3. 100% completion set: ten (10) weeks of County's approval of the Conceptual Design Report. BUDGET The total compensation due to Provider for services provided or performed pursuant to this Work Order will not exceed Eighty-nine Thousand Four Hundred Dollars ($89,400.00). Compensation will be based on actual costs incurred. j Page 3 of 11 MONTHLY PROGRESS REPORTS Provider must submit progress reports electronically on or before the first day of each calendar month during the term of this Work Order, commencing February 1,2012, All Progress Reports should be prepared in Microsoft Word@ and follow the format of the Progress Report Form, attached hereto as Attachment A. All reports should be emailed to the County Project Manager, as identified herein below. REQUESTS FOR REIMBURSEMENT Provider shall submit monthly invoices electronically to the County Project Manager and follow the format of the Request for Reimbursement Form, attached hereto as Attachment B. Requests for payment must be supported by documentation as required under the Contract, such as invoices, receipts, cancelled checks, statements, stubs, tickets, time sheets, and any other which, in the judgment of the County, provides full substantiation of reimbursable costs incurred. The County is not liable to Provider for any costs incurred by Provider before the effective date of this Work Order or after termination of this Work Order, Requests for Reimbursement under this Work Order must be received by the County Project Manager not later than sixty (60) days from the date Provider incurs the expense. Notwithstanding the preceding, requests for reimbursement for expenses incurred by any subcontractor must be received by the County Project Manager not later than thirty (30) days from the date Provider receives that invoice from a subcontractor. Failure by Provider to comply in a timely manner with these two requirements may, at the County's sole discretion, result in denial of the request for reimbursement. ACKNOWLEDGEMENT OF FEDERAL FUNDS All reports and other materials completed as a result of this Work Order must bear the following statement and the Department of the Interior and County logos on the front cover or title page of such document and other materials: "This report (study, poster, etc.) was funded with qualified outer continental shelf oil and gas revenues by the Coastal Impact Assistance Program, Fish and Wildlife Service, U.S. Department of the Interior.tl MISCELLANEOUS County Project Manager Point of Contact: Kathy Smartt SmarttGrants 1-512-800-4740 smarttgrants@sbcglobal.net Page 4 of 11 Termination or Interruption of Work: The County reserves the right to halt or defer all or any portion of the work included in the Scope of Services of this Work Order any time during the performance period, If such an event occurs, the parties agree that the schedule and budget may require renegotiation. Amendments to Work Order: Material changes to this Work Order may be made only by agreement of the parties, in writing. In witness whereof, all parties executed this Work Order, to be effective as of the date signed by the last party. CALHOUNCOUN~} J ~ --fV\{ lA-~ () ~ Michael J, Pfeifl1 Calhoun County Judge Date of execution: J 2. ' 2. 2 ~ 1 Title: " ..)OJ.J&) 'tr?~ (~/ f)~ /1.0'1 , I Date of execution: I Page 5 of ] ] ATTACHMENT A PROGRESS REPORT FORM Page 6 of 11 PROGRESS REPORT Date: Project: Port Alto Restoration Work Order No. 02-5109-999-W02 Atkins North America, Inc. Point of Contact: Phone: Email Address: Task 1: Historical Review and Site Visit Percentage of completion: Activity completed during this reporting period: Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Deliverables submitted during this reporting period: Tasl{ 2: Data Collection Percentage of completion: Activity completed during this reporting period: Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Deliverables submitted during this reporting period: Task 3: Data Analysis Percentage of completion: Activity completed during this reporting period: "t-~ Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Page 7 ofl1 Deliverables submitted during this reporting period: Task 4: Design Approach and Conceptual Design Percentage of completion: Activity completed during this reporting period: Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Deliverables submitted during this reporting period: Task 5: Permitting Percentage of completion: Activity completed during this reporting period: Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Deliverables submitted during this reporting period: Task 6: Design and Construction Documents Percentage of completion: Activity completed during this reporting period: Problems or obstacles encountered during this reporting period: Plans for the next reporting period: Deliverables submitted during this reporting period: Page 8 of 1 t ATTACHMENT B REQUEST FOR REIMBURSEMENT FORM " Page 9 of 11 ':" ~ REQUEST FOR REIMBURSEMENT Date: Project: Port Alto Restoration Work Order No. 02-5109-999-W02 Atkins North America. Inc. Invoice No. Point of Contact: Phone: Email Address: Federal ID No.: Billing Period: Submitted by: Signature: Printed Name: Amount Requested: $ Supporting documentation is attached, --....~.. Page 10 ofll RESOLUTION TO CLARIFY ADOPTED REDISTRICTING PLAN A: Precinct #4 requested the Commissioners Court accept and sign the Resolution to Clarify Adopted Redistricting Plan A. Upon further review of Plan A, the line between Commissioner Precinct 1 and 4 in the State Highway 238 / W. Austin Street area was unclear. A Motion was made by Commissioner Finster and seconded by Commissioner Galvan to approve the Resolution to Clarify Adopted Redistricting Plan A. The area encompassed by Martin Drive, Farm to Market Road 2433, Marshall Road, Konrad Road and Buren Road is in Commissioner Precinct 1. Further the population on both sides of Martin Drive shall be in Commissioner Precinct 1 for the convenience of the voters. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth lIV. Finster December 15,2011 . ~~"\ ~~ County Conunissioner County of Calhoun Precinct 4 Honorable Michael Pfeifer Calhoun County Judge 211 S, Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court Agenda for December 22, 2011. . Discuss and take necessary action to accept and sign the Resolution to ClarifY Adopted Redistricting Plan A. Sincerely, ~~.~~ Kenneth W. Finster KWF/at ''-. COUTNY OF CALHOUN ~ STATE OF TEXAS ~ RESOLUTION TO CLARIFY ADOPTED REDISTRICTING PLAN A WHEREAS, on July 28,2011 this Commissioners' Court adopted redistricting Plan A in order to comply with the constitutional one person one vote rule; WHEREAS, upon further review of Plan A the line between Commissioner Precinct 1 and 4 in the State Highway 238 / W, Austin Street area was unclear; WHEREAS, the commissioners' court wishes to clarify the line between Commissioner Precinct 1 and 4; IT IS THEREFORE RESOLVED THAT the Commissioners' Court clarifies that the area described below is in Commissioners Precinct 1 as follows: a. The area encompassed by Martin Dr" FM 2433, Marshall Rd., Konrad Rd and Buren Rd. is in Commissioner Precinct 1. b. Further the population on both sides of Martin Dr. shall be in Commissioner Precinct 1 for the convenience of the voters. c. This area is further described in the inset of the attached map, IT IS THEREFORE FURTHER RESOLVED THAT the commissioners' court authorizes redistricting counsel to make minor modifications to the adopted Plan A should the State Legislative Redistricting process require such modifications and subject to approval by the commissioners' court; and IT IS FURTHER RESOLVED THAT redistricting counsel has informed the commissioners court that Plan A has been approved by the United States Department of Justice as required by 42 U.S,C. 1973c; Plan A is now effective as clarified in this Resolution. PASSED AND APPROVED this 22nd day of December, 2011. JTh ~~*' f ~ IJI;:I- Mich J, P~ fer Calhoun County Judge Vem Lyssy, C . sioner Precinct No, 2 y ~W(.:::r~ Kenneth Finster, Commissioner Precinct No, 4 Attest: Anita Fricke ?f~~ County Clerk ,/\ rl,,> AGREEMENT WITH U.S. DEPARTMENT OF AGRICULTURE, ANIMAL AND PLANT HEALTH INSPECTION SERVICE, WILDLIFE SERVICES AND OTHERS FOR WILDLIFE DAMAGE MANAGEMENT AND PREDATORY CONTROL: Precinct #2 requested the Commissioners Court enter into an agreement with U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services and others for wildlife damage management and predatory control; and authorize the County Judge to sign. A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to authorize the county judge to sign and enter into an agreement with U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services and others for Wildlife Damage Management and Predatory Control. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. .-.... " Vern Lyssy I \ I I "" Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 (361) 552-9656 Fax (361) 553-6664 @ December 12,2011 The Honorable Mike Pfeifer Calhoun County Judge 201 S. Ann Street Port Lavaca, Texas 77979 Re: Agenda Item for Next Commissioners' Court Meeting Dear Judge, Please place the following matter on the agenda for the next meeting: "Consider and take necessary action to enter into an agreement with U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services and others for wildlife damage management and predatory control; and authorize the county judge to sign." The contract is enclosed. Thank you in advance for your attention to this matter. Si[L Vem Lyssy VL/rm ~~?::-''':''':-~T.7-' ~ - -----;-.~.~~-~-,~..--:::---- "'MF~ (0612008) '.;. ... . FIELDAGREEMENT. .' Among . . .... 'U.S: DeparlJ!1ent of AgriCl!lture, Animal and Plant H~th InspJ:ction Service, . . .'. ,. Wildlife Services,' . .' . ; ..... . . and' ..' . , TexasA:griLifeEx~ion SerVice - Wildlife Services . .'. '. . and." . " Texas Wil4life Damage Management AssOciation. Inc. . , and Agrl:emeP,t,No. ....;'. Calhoun ca:mtv .' . , Cooperator. ~ ....,_ .. .... In a!lCOrdan~ with. the terms (:If the Memof<lP.dum of Understal1lling bCtW-een the United States. Dep~ent of Agrictilture, Animal and Plant Health Inspection' Servi~e,'WiliiIifeServiCes. The TeUsA&M;UniversitY System, Te~.:AgriLife Extension service _' Wildlife Services; and the TexlI!l Wildlife Dain,lge Managel!lellh".ssociation, Inc. (collectively knoWll', as the Texas. Wildlife': Services Program [TWSP]) a copy 'of which is 01). file at the Sta~O!'fil:e' San Antonio, Texas, this field agreement is intended to augment the wildlife dat;nage management actiVities oftheTWS:p"," ',' .:., " , '. "'. . .'. 11lEREFORE;ItIsMutua1lyAgreed,That:, ." . ."." ". .. . . '. . 1.' The cOOperative l\jJdlife cIamage management program <;anducted \l!'de!,:,t!J,e tepns.,oftbis agreementshalJ be under.direct supervisio~ of the U,S. Dep~ent oMgricultu,re,t..iirna1aJ,ldPlant Heatth~peCtion Service, Wildlife S~Ces: ~ lo~ representative of the TWSP will.frequentl)!'co1!Sult'Wlth.)he.Cooperator'relwve totl1e extent of the TWSP!s pam<?lpation in the plans and procedures that are n~ces~aiy'tii'best Sf:rV'e.the interest of the parties here~o.' . ':. '. 2.' The Cooperator will prQvidefun!is,to the TexasWildJife,I>;unage Management Fund' for the. employment of personnel, fringe benefits, payment of travel' and' other expenses as nepessliry io fulfill the mission of the cooperative progranLThe TWSP will cQntribute to the,s3Jary,:"travel costs, apd all other necessary eXPenses to 'carry out.an effective pr()gram. '.. . 3. The State Dircctor of the IWSP'or designated:o:\licial willcertiiY.as to the accW)lcy of all claimS to be paid by any party to this agreement and shlill perform suchother'administrajjve fup.ctions as are agreed upon fj-om time to time; provided, that no funds of the' Cooperator will'be'traIisferred:to any such employee, ~(lrking under the l!:rmsofthis agreement. 4. Authority exists'imder the Animal Damage Control Act .of Mar!,h 2; IQ3 t: (7 U,S.C. 4264;26c; as aritended) and the Rural Development, Agriculture, and Related Agencies Appropriations"Act'ofc'1988.(p.L, 190c202)JorWillllifeServices to cooperat~ with states, indtvidualS; public and private agenCies, orgaDizations, and mstilliiion#' in the control of nuisance animals inj1.irious.to agricultliIe; horlic.ultitre, ~orestry', aniJ:rilil.htisbandry, wildlife; JIIld pulJlicl1ealth.and safety, .' . 5. The TWSP will hol!! the C,o.operator hlirm1es_s f!'om any 4ilbilit}r arising 'from the negligen(act'or omission of an officer of a managing cooperative entity: or employee actjilg:;witbin, the scope ofhi~er eIllploymeJ,lt to the ext~nt compensation. is available pursuant. to the Federal. Tort ClaiI!is Act (FTCA),,z8 .1]89' 2671; et. s.eq.... e~cep~ tll the' extent that at'oresl\id . liability arises from the ne~lig~rit acts or omissious (lfthe CooPJrator, .their employees, agents;' or subCOntractOr( s), Such reliefsha1l bl( pr()videdpursuant:f!lthe prQced\1res setforth in ~!lFTCA and applicable. regulatious: 6, Furs or other. parts of monetary value taken from wildairimals will be handled in accordance with the provision of Article '3 f. oftheM:emoriuidum of Understanding. '., '. '''':,~ .....,... "1'. ":: .; ..'" . '\.: ..... 7. This agreement and any contjituatiOli. there()f shill1 be coniiI,tgl1Pt upon avail!lbilitY of funds.It)s rinderst,ood and agr,eed that any. monies allocated for the.purposeof this agreement shaU,be. eXPended.in accordance with its terms and ,in the manner,prescribed by the fiscal regwationsand/or ~1~i;;isira?yC;;policies 'of tJi.e;app~oppate 1u.nagmg cooperative entity that is making. the funds available. . .' '. '.;:"'<, . ....... . .' 8. This agi-eement. shall CC:lDtiriUe, in force and effect until supersede4 or tenninated. Terins' and service fees' may.be reviewed lIIld. revised Periodically,~ It may be 'amen~dlJY mutual agreement by executing a corresponding field agreement.. This . agreement may lJe terminated by either party upon thirty (30) day,iqyritten notice, : . " . . ' . . NOW, 11lEREFORE;.Piirsuant To Section 2 Above, It Is lv.Iutua1ly Agreed That:' ." .' '. ..;. I. The I:W~P'shalJ f?mish supervision, pftheprojectJlIld. sl;1all,pro"ide 'equipment and ()ther supplies'required in the opeI'l!tionofthe proJect. '. .,.,.... ." .;. ,:,-:,."". ," ,'" .' '. 2, '" The CQ9perator shall.pay the. Texas W~dlife D. .3llla\le M3n!lgeIl1. ~i Fun.d . fqcwildlife dam.a. ge management servic.es in the amolIl1t of~ 200.00 Per:1hy ". . .'. I.. Not to:t;xceed :jil~.OO. for the penod: " '.' .. ..... .... ""-'~Fon~y"apnitaJJ.y)' . . ;, . U=canber 1',2011 ,!o' Novanber3J,:2012 tobespentprimarilyfo.rthe' . purposes ou~ed h~!ein: . . .':,:',,:,:' :?/ . Wildlife~~ ~t imdI'ralatoryGOntrol '.;....,.~!..,~. The Cooperator furthei ';-greesto make this pa~ent to the TexasW;ld~e ri~ge Management Fund promptly upon receipt of a monthly invoice ~or serv!ces.provi~e~.'f!1e TWSP will providea. report ~ft!'e ~ildlife damage management activities. Failure of the Cooperator to make.this contnbul1on Wlthin thirty (30) days after receIpt of this mvOlce WIll, at the option of the TWSP, terminate the agreement at the end of the period, ~~:~~;'"_~~'f~:-~~__~Oci' District Supervisor By S'TATE OFFICE State Director ORDER SETTING DAY OF WEEK, LOCATION AND ALTERNATE LOCATION OF REGULAR TERM FOR COMMISSIONERS' COURT FOR 2012 CALENDAR YEAR: The matter of determining the day of week and location of the regular term of Calhoun County Commissioners' Court for the calendar and fiscal year, 2012, it was ordered that the regular term should be the second and fourth Thursday of each month. The location of such meetings will be the Commissioners' Courtroom located in the County Courthouse, 211 S. Ann Street, Port Lavaca, Calhoun County, Texas. The first alternate location of such meetings will be the Bauer Exhibit Building, County Road 101, Port Lavaca, Calhoun County, Texas. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch on the Order setting Day of Weekj Location and alternate Location of regular term for Commissioners' Court for 2012 Calendar Year. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ORDER SETTING DAY OF WEEK, LOCATION AND ALTERNATE LOCATION OF REGULAR TERM FOR COMMISSIONERS' COURT. FOR 2012 CALENDAR YEAR Motion by Commissioner Lyssy, seconded by Commissioner Fritsch, and carried, that the following order be entered: At a regular term of the Commissioners' Court in and for Calhoun County, Texas, held in the regular meeting of said Court in the County Courthouse in Port Lavaca, Texas, on the 22nd day of December, 2011, with County Judge Michael J. Pfeifer presiding, and Commissioners Roger Galvan, Vern Lyssy, Neil Fritsch, and Kenneth Finster present, and with County Clerk Anita Fricke in attendance, there having come on for hearing the matter of determining the day of week and location of the regular term of Calhoun County Commissioners' Court for the calendar and fiscal year, 2012, it was ordered that the regular term should be the second and fourth Thursday of each month. The location of such meetings will be the Commissioners' Courtroom located. in the County Courthouse, 211 S. Ann Street, Port Lavaca, Calhoun County, Texas, The ,first alternate location of such meetings will be the Bauer Exhibit Building, County Road 101, Port Lavaca, Calhoun County, Texas. IT IS SO ORDERED this 22nd day of December, 2011. COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS By: ATTEST: ~~" Anita Fricke, County Clerk AGREEMENT FOR THE ASSESSMENT AND COLLECTION FUNCTIONS OF THE COUNTY OF CALHOUN COUNTY: The Assessment and collection of property taxes for the County of Calhoun will be performed by the Calhoun County Appraisal District. The parties, Calhoun County and Calhoun County Appraisal District, upon entering into the agreement, will eliminate duplication of services for the assessment and collection of taxes and to promote governmental efficiency. The contract shall be effective the 1st of January 2012 through the 31st day of December 2012. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to ratify the Agreement for the Assessment and Collection functions of the County of Calhoun County to be performed by the Calhoun County Appraisal District for the Year 2012. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Sent: To: Subject: Jerry Daum [jdaum@calhouncad.org] Monday, December 19, 2011 12:03 PM Susan Riley RE: Agenda Item for December 22 Ms. Riley: Everything looks to be in order save and except there is not a State Property Tax Board anymore it was sunsetted by the last legislature. The Property Tax Assistance Division PTAD makes the rules and Texas Department of Licensing and Regulation enforces the rules. I would suggest that in the three occurrences where the State Property Tax Board is mentioned that it be replaced by the Property Tax Assistance Division. If I can be of any assistance please contact me. Sincerely, Jerry Daum . -----Original Message----- From: Susan Riley rmailto:susan.riley@lcalhouncotx.orgl Sent: Wednesday, December 14, 2011 9:09 AM To: 'Gloria Ochoa'; Jerry Daum Subject: Agenda Item for December 22 Please take note ofthe following item on the December 22 Commissioners' Court agenda: Consider and Take Necessary Action to ratify Agreement for the Assessment and Collection Functions of the County of Calhoun County to be performed by the Calhoun County Appraisal District for the year 2012. (MP) Please let me know if you have any questions. Susan Susan Riley Administrative Assistant to Calhoun County Judge Michael J. Pfeifer, Commissioners' Court, AND Calhoun County Wellness Coordinator 361-553-4600 Phone 361-553~4444 Fax Agreement for the Assessment and Collection Functions of the County of Calhoun To Be Performed by the Calhoun County Appraisal District This agreement made and entered into on this the 22nd day of December, 2011 by and between the County of Calhoun (hereinafter referred to as "County") and the Calhoun County Appraisal District (hereinafter referred to as "District") as duly authorized by the governing body of each party to the contract. Purpose and Authority The parties to this agreement wish to enter into an agreement whereby the assessment and collection of property taxes for the County of Calhoun (County) will be performed by the Calhoun County Appraisal District (District). The parties enter into this agreement in order to eliminate duplication of services for the assessment and collection of taxes and to promote governmental efficiency; and The parties enter into this agreement pursuant to the authority granted by section 6.23 and 6.24, Property Tax Code and Art. 4413 (32c) V.A.T.S. otherwise known at the Interlocal Cooperation Act. In consideration of the premises and of the terms, provisions, and mutual promises herein contained, it is mutually agreed as follows: Lene:th of Contract Period This contract shall be effective January 1,2012 through December 31, 2012 and upon ratification by the governing bodies each year, shall continue in full force and effect from year to year until such time as either party hereto, by written notice to the other, may terminate the same at the end of the contract year, such termination to be effective only if provided to the other party on or before September 1 of the year in which the party intends for the contract to terminate. Name of Office The consolidated office conducting the assessment and collection functions (receipts, statements, and correspondence) shall be referred to as the Calhoun County Consolidated Tax Office. Page 1 of7 Assessment Services to be Performed The District shall perform, through a Texas Department of Licensing and Regulations registered or certified assessor, all the functions of assessment of ad valorem property taxes for the County as defined in the Definitions section of this contract and as provided under the Property Tax Code and the Property Tax Assistance Division rules, including the calculation and publication of the effective tax rate ofthe County according to section 26.04 and the guidelines established by the Property Tax Assistance Division. In the event that the County proposes to adopt a tax rate exceeding the limits of section 26.05(c) and necessitating further publication of hearings per section 26.06, the costs will be a direct expense to the County. However, if the County fails to adopt its tax rate by September 30, or if the County's adopted tax rate is rolled back, the costs for additional publications and notices will be the responsibility of the County and any additional assessing costs incurred by the District for late and separate tax bill processing or issuance of corrected bills associated therewith shall be strictly accounted for by the District and shall be payable by the County upon submission of that accounting by the District. Should the County offer discounts to its taxpayers under section 31.05(b) or 31.05( c), or both, the District agrees that if a consolidated billing system is utilized by the District that, upon request or attempted remittance by a taxpayer of taxes imposed by the County, the District will generate a separate billing for that account so that such remittance by taxpayer will not constitute a partial payment under section 31.07. Collection Services to be Performed The District shall perform through a Texas Department of Licensing and Regulations registered or certified collector, all the functions of collection of ad valorem property taxes for the County as defined in the Definitions section of this contract and as provided under the Property Tax Code and the Property Tax Assistance Division rules, including required reports to the County, notices to taxpayers including the 33.07 collection cost penalty notice, issuance of refunds . under section 31.11 with submission to the County for approval of any refund request exceeding $500 and tax certificate issuance; however County agrees to transfer authority for performance of the taxing unit's auditor function under section 31.11 to be performed by the District's Chief Appraiser. District agrees to administer and collect vehicle inventory tax as defined in 23.121 of the tax code in the same manner as it performs all other collection activities for the County. Any additional fees or penalties collected for the vehicle inventory tax will be deposited in the operating account of the District as miscellaneous fees. Page 2 of7 Any fines imposed upon a dealer for failure to file tax statements shall be remitted to the taxing entities, pro rata. . Deposits to the County's designated depository at the time of collection will be deposited weekly unless a sum of$100,000 is collected for the County, in which case an additional deposit shall be made to the County's depository. It is understood that acceptance by a collector of a check or money order constitutes payment of a tax as of the date of acceptance only if the check or money order is duly paid or honored. Section 31.06. The County agrees to deliver or make available to the District all delinquent and other tax records necessary for the performance of the District's duties under this contract. At any time the County may have access to these records, and will be provided with a complete set of records on computer tape or disc if and when the County may wish to terminate this contract agreement. Furthermore, District agrees to protect against loss of records by providing for duplicate record storage at periodic intervals, weekly, and agrees to make accessible on computer tape, disc or printout, the delinquent records to any delinquent tax attorney operating in behalf of the County. In addition, the District's collector will be bonded in the amount of $100,000, payable to the governing body of the County. The District shall also provide for an independent audit of its collection operation annually (December 31) to be contracted by the District with final reports from auditing firm to the County. Payment of Services In consideration for the functions of assessing and collecting services to be performed as specifically provided in this contract and according to the Property Tax Code and the Property Tax Assistance Division rules, and as included in Exhibit A of this contract, the County agrees to pay to the District their pro rata share of the actual costs incurred by the District for the assessing and collection functions based on an audit of actual costs incurred. The accounting period of such costs shall be from January 1 through December 31 of each year. Prior to April 1 of each year beginning in 1990 and after an accounting of costs are received from the District's auditors any excess of monies retained by the District shall be paid to the County. Conversely, any cost of the District in excess of the amount withheld from the County will be paid to the District by the County. Delinquent Taxes The County retains the right to contract with a delinquent tax attorney of its choice and will provide by official action an additional penalty of 15% to defray the cost of collection. Compensation to .attorneys contracted to County shall be paid by the County. Page 3 of7 The County may authorize, by order of their governing body, the District to contract with a competent attorney under section 6.30 and 6.24(b) to enforce the collection of delinquent taxes for the County's delinquent accounts. The attorney's compensation under the contract shall not exceed that set forth in section 6.20 of the amount of taxes, penalty and interest collected. The District further agrees that such fee as specified herein as attorney's fees will be paid from the delinquent taxes, penalties and interest collected for the County by said private legal counsel. District shall make available the delinquent tax records to the specified attorney by July 1 st of each year the contract remains in effect and each year the attorney is contracted to perform these functions. The District further agrees that these records will be provided to the attorney contracted with in the form of duplicate computer tapes or discs. Other Provisions and Definitions The District shall not be liable to the County on account of any failure to collect taxes nor shall the collector be liable unless the failure to collect taxes results from some failure on his or her part to perform the duties imposed upon him or her by law and by this agreement. All expenses incurred by the District for the assessment and collection of taxes shall be clearly kept on the books and records of the District. The County or its designated representatives are authorized to examine the records to be kept by the District at such reasonable intervals as the County deems fit. Such books and records will be kept in the offices of the District. In the event a contract dispute arises between the parties herein named to the contract, a mutually agreed upon third party will be named to act as independent arbitrator whose compensation will be paid in equal parts by both parties to the contract, whose decision regarding the dispute will be a binding decision on both parties to the contract. For the purposes of this agreement, the term "assessment" shall include the following: submission to the County's governing body the appraised, assessed and taxable value of new properties and of all properties in the unit, calculation and publication of the effective tax rate calculation, application of the unit's adopted tax rate to the values on the appraisal roll and submission of this roll to the governing body for approval and creation of the County's tax roll, proration of taxes, maintenance of the integrity of the tax roll through correction of clerical error in the tax rolls, and all other assessment duties mandated under the Property Tax Code; the term "collection" for purposes of this agreement shall include the collection of tax liabilities, issuance of refunds, monthly, annual and other collection reports as provided by this contract, required notices to t.pcpayers including the collection cost penalty notice section 33.07, Property Tax Code, deposits to the County's Page 4 of7 designated depository at intervals as specified herein, issuance of tax certificates and all other collection functions mandated by the Property Tax Code. For the purposes of assessment and collection the County is defined to include the jurisdictions that the County is presently assessing and collecting for as follows: Calhoun County Calhoun County Navigation District Water Control and Improvement District # 1 Drainage District No.6 Drainage District No.8 Drainage District No. 10 Drainage District No. 11 Port O'Connor Municipal Utility District Exhibit" A" Basis of Annual Charge for Tax Assessment and Collection 1. Expenses of the tax collection office of the Calhoun County Appraisal District used to determine the annual charges to the County for assessment of property and the collection of taxes thereof are: Payroll All salaries and other payroll expenses charged to the District's tax collection office such as insurance, payroll taxes, workmen's compensation, health insurance, etc. Purchased and Contracted Services All expenses incurred by the District's tax collection office for services rendered by firms, individuals, or professionals which are independent of the District such as maintenance contracts, publications, legal fees, upkeep of grounds and buildings, utilities, rentals, and all other purchased and contracted services not mentioned above. (Excludes fees of delinquent tax attorney). Supplies and Materials All expenditures for supplies and materials necessary for the operation and maintenance of furniture, data processing equipment, janitorial, buildings and grounds, books, office supplies, printings, and all other material and supplies not mentioned above. Page 5 of7 Other Operating Expenses Expenditures necessary for the operation of the tax office such as travel, subsistence, insurance, bonding expense, fees and dues, and other miscellaneous expenses not mentioned above. Capital Outlay All expenditures for furniture, and equipment necessary in the operation of the tax office. The foregoing expenses will be based upon the actual amounts expended by the Appraisal District in the immediate past fiscal year ending December 31 of the calendar year in which each statement for services is submitted. II. The following factors and formula will be used in determining the total yearly cost to the County for assessment and collection. Factors: a. Total current tax levy in Calhoun County by all jurisdictions. b. Current tax levy of County and all jurisdictions presently receiving assessment and collection service from County. c. Sum of the costs and expenditures delineated in section I of this Exhibit. Formula: (B - A) x C = County's cost Page 6 of7 Approval of Calhoun County Tax Assessor/Collector I, Gloria Ochoa, do hereby approve the consolidation of the functions of assessment and collection as set forth in this contract and authorized by section 6.24(b) Property Tax Code and Art. 4413(32c) V.A.T.S. otherwise known as the lnterlocal Cooperation Act. ~a~ Tax Assessor/Collector Calhoun County Texas Executed in Port Lavaca Texas on the date and year first written above. Attest: Secretary, Board of Directors Calhoun County Appraisal District Chairman, Board of Directors Calhoun County Appraisal District Attest: Anita Fricke, Calhoun County Clerk By: Deputy Clerk Page 70f7 '. "--- ~ .} Approval of Calhoun County Tax Assessor/Collector I, Gloria Ochoa, do hereby approve the consolidation of the functions of assessment and collection as sctforth in this contract and authorized by scction6.24(b) Property Tax Code and Art, 4413(32c) V;A.T.S. otherwise known as the Intcrlocal Cooperation Act. .a~ ax Assessor/Conector Calhoun County Texas Executed in Port Lavaca Texas on the date and year first written above. Attest: --'. r- Attest: Anita Fricke, Calhoun County Clerk ~d~ By: f)ep~lerk Page 70f7 ~. ~ ' CONTRACT RENEWAL FOR THE DEPARTMENT OF COUNTY TREASURER: Rhonda Kokena, Calhoun County Treasurer requested the Commissioners Court authorize her to sign a contract renewal with Pitney Bowes Global Financial Services in the amount of $133 a month for 48 months. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to authorize Rhonda Kokena to sign contract renewal with Pitney Bowes for the Department of County Treasurer in the amount of $133 per month. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. PITNEY BOWES GLOBAL FINANCIAL SERVICES STATE.& LOCAL FAIR MARKET VALUE LEASE AGREEMENT I I I I I I Agreet'rieilt Number Your Business lnfonnation r;~ooM CALHOUN COUNTY TREASURER FuJI Lega!.Name of Lessee "~02 S ANN ST I '5U,~;fe A Billing Address: Slteet OBA Name of Lessee Tax 10 # (FEINmN} TX 77979-4204 PORT LAVACA City State Z1~4 ( ext. 1953950.2864 Bttnng CAN # Billtng Contact NilrTle \l.~02 S ANNSTI ~l.u:-f.eA Installation Address (If dffferentfrom billing addreSS): Slteet Billing Contact Phone # Installation Contact Name PORT LAVACA . Cily ~a1J 553 ~~xt Installation Contact, Phone 'if. TX 7797~4204 State ZIp+4 Anna X 19539502$64 Installation CAN ## CreditCaI'd# Name on card Expdate Type of card Tilx exempt # Your Business Needs State tal< {if applicable} Fiscal period (from -lD) Q~ Business Solution Description Mail Stream Solution -1 1 DM300C Digital Meter System 1 IntelliLihk Interface tP80for DM300CI DM400C/OM450C 1 Accounting (50 Dept) Software 1 5 Ib Integrated Weighing 1 Integrated Weighih,g. Platform 1 InteHiLink Subscription Che:d' lte'ms to he. incfude.d' In' customer'.s payment rn servIce Level Agreement " Tler 1 :.- Provides repair and maintenance service. fOr BqulpmeMt ("st.amt:.anli SlA, o $oftV\.ere"Maintenance rn $oft..Gu4f'd(!)" Subscription.;, Provides postal ana"carrf(Jr u{idfStes If you.(IO n~ choose Scifi~GuB:rd$ protecffon- wi{h your lease, "you, wilt automatfcaUy receiVe updafM a1 PBfs current rates. o lnte.II'Un~ $t1bscrlptfonrMietlJ".Rental .. ~ov{de8' simpfiffed bRling snd frrcfiJdes: pOstage ffl$ets C".) Value Baaedi SGn/fees (-} Purchase- PO\Wr$ cl'edif'fine o Permit M~II P'V"",J1lS""'i~". All""" yoll ill oonilol/t18fe pIJmI~ postsg,; wltll,in6l1J!l'e<1 po~t6ge under OAe sccoonf; M Ii pennft, mall"U$M. Y'.Ie Mea USPS" Ct\mta; 6001. ~. and e:OOa.,.sl(fnsw~fhe-Pe~ IEnroil'menHo'trTI', to sctivSteyour P.E!fri:TIt'Maim~ ~, Your Payment Plan Nl!m~rof months. Monthly amollnt* First 48 $133 ( } Reqlllfed. advance chedcof $( ) received ( ) Tax exetrtpteertificaleatlached . '1)oes not. inctude-"ar,}f appUc&bte-taxe.s. Your Signature You agreeto be bound by all the terms and conditions of this Agreemell\t, loelwing those CO'rnarned' on page 2" and those located in the Pitney Bowes TertT1& (Vers.ion 07/11}, whieh are available at\MNW,~b.eomA:ellTls and are incorporated byreterenee. The LeaseWfIl be binding on PBGFSonf/y afterPI3GF$ has canpleted its credit and documentation approval process and an atJthoriZEd I?BGFSempklyee signs below, ~~ ~';},-:X1~U Sign tire , . .... . . Date Rhonda Kokena. Treasurer ..CU)i1a..C\ccdm:tn~.h{)t.lnccrfx .ort1 ,1:aJ::n. fril:kQ@gS~t.eF~ ::J Emafl Address Print Name --.:.-..... '- Title Katrena Bums 001 Accool'lt Rap Disirict Office PBGFS.Acceptance Page 1 0"2 SLG FMV lease Agreement (Rev~ 11t1) See Pltnl!Y SO\IIe's. "fe~ for addltionaf t'enmJ, and:cond1tlon~ I LB. 'fJ; LEASE TERMS AND CONDITIONS This Is a lease wItI1 Pitney Bowes Global Financial Ser.:lces LLC (PBGFSI, Pitney Bowee' leasing company. PBGFS provides leasing options to our customers. PBGFS does not warrant, service or otherwtse support the equipment. Those services are provtded by Pitney Bowes Inc. (PBI) as stated In the Pitney Bowes Terms. Due to federal regulations, only PBI. can own an IntelllUnk Control CenlBr or Meter. Therefore, those Items al'8 rented to you, rather than leased. Unlike the other equipment you may lease from us, you cannot pu~hase an InlBlIILlnk Control Center or Meter at the end of the Agreement L1. L4. DEFINITIONS L 1.1 All capitalized terms that are not. defined in this document are defined in the "Definitions. section of the Pitney Bowes Terms. AGREEMENT L2.1 You are leaSing the Equipment listed on the Order, You will make each Monthly Payment by the due date shown on our invoice. L2.2 You may not cancel this Lease for any reason except as expressly set forth In Sections L 10 and L 11 . below, All payment obligations are unconditional. L9.1 Risk of Loss. L2.3 Our remedies for your failure to pay on time or other defaults are (a) You bear the entire risk of loss to the Equipment from the date of set forth In the "Default and Remedies" section of the Pitney shipment by PBI until the end of the Lease Term (including any Bowes Tenns. . extensions2, regardless of cause, ordinary wear and tear L2.4 You authorize us to .file a Uniform Commercial Code financing excepted ('Loss"). statement naming you as debtorllessee with respect to the (b) No Loss will relieve you of any of y'~ur obligations under this PAvti~~~~~MSANDOBLIGATIONS ~~~:;'en~~f:~st~~medlateIY notify us in writing of the L3.1 We will Invoice you in arrears each month for all payments on the (c) You will keep the Equipment Insured against Loss for lis full Order (each, a "Monthly Payment"), except as provided in any replacement value under a comprehensive policy of Insurance or SOW attached to this Agreement. other arrangement with an insurer of your choice, proVided that It L3.2 Your Monthly Payment may include a one-time origination fee, is reasonably satisfactory to us ("Insurancej. YOU MUST CALL amounts carried over from a previous unexpired lease, and other US AT 1-800-243-9506 AND PROVIDE US iNITH EVIDENCE OF costs. INSURANCE. L3.3 If you request, your IntelliUnkll> Control Center/~eter Rental fees, L9,2 ~AX ProarSlm, Service Level Agreement fees, and Soft-Guard payments ("PBI (a) If you do not provide evidence of Insurance and have not enrolled Payments") will be Inciuded with your Monthly Payment and begin in our own program (ValueMAX), we may Include the Equipment with the start of the Lease Term. Your Monthly Payment will In the ValueMAX program and charge you a fee, which we will Increase If your PBI Payments Increase. Inciude as an additional charge on your invoice, EQUIPMENT OWNERSHIP (b) We will provide written . notification reminding you of your L4.1 We own the EQUipment. PBI owns any IntelliLinkll> Control Center insurance obligations described above in Section L9.1 (c). or Meter. Except as stated in Section L6.1, you will not have the (c) If you do not respond with evidence of insurance within the time right to become the owner at the end of this Agreement. frame specified in the notification we may immediately inciude the LEASE TERM Equipment in the ValueMAX program. l5,1 The Lease term Is the number of months stated on the Order (d) If the Equipment is included In the ValueMAXprogram and any ("Lease Tenn"). . damage or destruction to the Equipment occurs (other than from END OF LEASE OPTIONS your gross negligence or willful misconduct, which Is not covered L6,1 During the 90 days prior to the end of your Lease, you may, If not by ValueMAX), we will (unless you are In default) repair or replace In default. select one of the following options: the Equipment. (a) enter into a new lease with us; (e) If we are required to repair or replace the Equipment under the (b) purchase the Equipment "as is, where is" for fair market ValueMAX prOQramand we fail to do so within 20 days of value; or . receiving your written notice of loss or damage, you may (c) return the Equipment, IntelliLink Control Center and/or Meter terminate this Lease. in Its original condition, reasonable wear and tear excepted. (f) We are not liable to you if we terminate the ValueMAX program. If you retum the Equipment, IntelliUnk Control Center and/or By providing the ValueMAX program we are not offering or selling Meter, at our option you will either (i) properly pack them and you insurance; accordingly, regUlatory agencies have not insure them for their full replacement value (unless you are reviewed this Lease, this program or its associated fees, nor are enrolled In the ValueMAX@program)anddellverthemtheyoverseeingourfinancial con.d. .itIon; aboard a common carrier, freight prepaid, to a destination L10. NON-APPROPRIATIOl4 . within the United States that we specify, or (i1) properly pack L 10,1 You warrant that you have funds available to pay all payments and return them in the return box and with the shipping label until the end of your current fiscal period, and shall use your best provided by us and. In either Case, pay us our then efforts to obtain funds to pay all payments in each subsequent .appilcable processing fee, .... fiscal period through the end of your Lease Term, If your L6.21f you do not select one of the optlonsln Section L6.1, you shall appropriation request to your legislative body, or funding authority be deemed to have agreed to enter into successive 12-month ("Governing Body") for funds to pay the payments is denied, you annual extensions of the term of this Agreement. You may opt to may terminate this Lease on the last day of the fiscal period for cease the automatic extensions by providing us with written notice which funds have been appropriated, upon (I) submission of within 120 days (but no less than 30 days or such shorter period documentation reasonably satisfactory to us evidencing the as may be contemplated by law) prior to the expiration of the Governing Body's denial of an appropriation sufficient to continue then-current term of this Agreement. Upon cancellation, you this Lease for the next Succeeding fiscal period,. and (II) agree to either retum all Items pursuant to SectionL6.1(c) or satisfaction of all charges and obligations under this Lease purchase the Equipment. Incurred through the end of the fiscal period for which funds have WARRANTY AND LIMITATION OF LIABILITY been appropriated, including the return of the Equipment at your L7.1 WE (PBGFS) MAKE NO WARRANTIES, EXPRESS OR . expense. IMPLIED, INCLUDING ANY WARRANTY OF L11. EARLY TERMINATION MERCHANTABILITY, FITNESS FOR A PARTICULAR L 11.1 You further warrant that you Intend to enter Into_this_Lease_foLthe~ PURPOSE OR FREEDOM-FRGM--IN:rERFEREN0E---ElR- --e-ntire-Statea-Term aner you acknowledge that we h. ave reiled INFRINGEMENT. . upon such represented Intention when determining the applicable L7,2 PBI provides you with (and we assign to you our rights in) the pricing plan. If you cancel o.r terminate this Lease prl.or to limited warranty In the Pitney Bowes Terms, expiration of the Stated Term (other than for non-approprlatlons), L7.3 WE ARE NOT LIABLE FOR ANY LOSS, DAMAGE (INCLUDING you shall pay a termination cha'lJe equal to the net present value INCIDENTAL, CONSEQUENTIAL OR PUNITIVE bAMAGES), of the monthly payments remaimngthrough the completion of the OR EXPENSE CAUSED DIRECTLY OR INDIRECTL YBY THE . term, discounted to present value at. a rate of 6% per year. The EQUIPMENT. foregoing paragraph shall supercede SectionG5.2(b) of the Pitney Bowes Terms. EQUIPMENT OBLIGATIONS L 12. MISCELLANEOUS. .. . LS,.1 Ccirlditlon and ReDalrs, You will keep the Equipment free from L12.1 If more than one lessee Is named .In this Lease, liability is Joint liens and encumbrances and in good repair, condition,. and and several. working order. . .. i..12,2 YOU MAY NOT ASSIGN OR SUBLET THE EQUIPMENT OR LS.2 InsDectlon, We rnayinspect the Equipment and any related THIS LEASE WITHOUT OUR PRIOR WRITTEN CONSENT, maintenance records. WHICH CONSENT WILL NOT BE UNREASONABLY. L8.3 ~ You may not move the Equipment from the location WITHHELD, speclfleif on the Order without our prior written conSllnt.~ L 12.3 We may sell, assign, or transfer all or any part of this Lease or the - Equipment. Any sale, assignment, or transfer will not affect your rights or obligations under this Agreement. L9. RAM L2. Because we own the equipment while you leaae it from us, we need to make sure it Is protected while it la In your possession. You can demonstralB to us thet the equipment will be Protected either by showing us thet your Insurance will cover the equipment or by enrolling In our fee-based ValueMAX program, The lBrma of that program are listed In Section L9.2. L3. 15. L6. L7. SlG FMV Lease Agreement (Rev. 7/11) Page 2 012 . See Pitney Bowes Terms for eddltJonal terms and conditions CHECK FROM TEXAS FOREST SERVICE TO SIX MILE COMMUNITY VOLUNTEER FIRE DEPARTMENT: Precinct #2 requested that Commissioners Court accept from Six Mile Community Volunteer Fire Department a Texas Forest Service check in the amount of $153,531 to reimburse 90% of fire truck cost in accordance with interlocal agreement dated the 15th day of July 2011. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to accept from Six Mile Community Volunteer Fire Department a Texas Forest Service check in the amount of $153,531.00. Commissioners Galvan, Lyssys, Fritsch, Finster and Judge Pfeifer all voted in favor. Vern Lyssy @ Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 (361) 552-9656 Fax (361) 553-6664 December 6,2011 The Honorable Mike Pfeifer Calhoun County Judge 201 S. Ann Street Port Lavaca, Texas 77979 Re: Agenda Item for Next Commissioners' Court Meeting Dear Judge, Please. place the following matter on the agenda for the next meeting: "Consider and take necessary action to accept from Six Mile Community Volunteer Fire Department ~ Texas ForestService check in the amount of$153,53 1.00 to reimburse 90% offire truck cost in accordance with interlocal agreement dated 7/15/11; '" Thank you in advance for your attention to this matter. smlL Vem Lyssy VL/rm -.J RELEASE COUNTY'S LIEN ON 2012 KENWORTH FIRE TRUCK: Precinct #2 requested the Commissioners Court relase County's lien on 2012 Kenworth Fire Truck VIN 2NKHLN9X3CM286889. A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to take action to release County's lien on 2012 Kenworth Fire Truck. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Vern Lyssy (~ Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 (361) 552-9656 Fax (361) 553-6664 December 6, 2011 The Honorable Mike Pfeifer Calhoun County Judge 201 S. Ann Street Port Lavaca, Texas 77979 Re: Agenda Item for Next Commissioners' Court Meeting Dear Judge, Please. place the following matter on the agenda for the next meeting: Consider and take necessary action to release County's lien on 2012 Kenworth Fire Truck VIN 2NKHLN9X3CM286889; Thank you in advance for your attention to this matter. smU Vem Lyssy VL/rm -J OWNERSHIP OF A 2012 KENWORTH TANKER TRUCK: Precinct #2 requested the Commissioners Court accept ownership of 2012 Kenworth Fire Truck VIN 2NKHLN9X3CM286889 from Six Mile Community Volunteer Fire Department. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to accept ownership of a 2012 Kenworth Tanker Truck from Six Mile Community Volunteer Fire Department. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Vern Lyssy @ Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 December 6,2011 The Honorable Mike Pfeifer Calhoun County Judge 201 S. Ann Street Port Lavaca, Texas 77979 Re: Agenda Item for Next Commissioners' Court Meeting Dear Judge, Please. place the following matter on the agenda for the next meeting: (361) 552-9656 Fax (361) 553-6664 Consider and take necessary action to accept ownership of2012 Kenworth Fire Truck VIN 2NKHLN9X3CM286889 from Six Mile Community Volunteer Fire Department. " Thank you in advance for your attention to this matter. smU Vem Lyssy VUrm -./ PUBLIC HEARING ON THE MATTER OF AMENDING THE 2011 AND 2012 CALHOUN COUNTY BUDGETS: The hearing opened at 10:33 A.M. and Cindy Mueller presented budget amendments and approval list for fiscal year 2012. There were no public comments. Hearing closed at 10:38 A.M. NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that Calhoun County Commissioners' Court will hold a public hearing in the Commissioners' Courtroom, 211 S. Ann Street, in Port Lavaca, Texas, at 10:00 a.m. on December 22,2011 on the matter of amending the 2011 and 2012 Calhoun County Budgets. The public shall have the right to be present and participate in such hearing. Michael J. Pfeifer Calhoun County Judge AMENDING THE 2011 AND 2012 CALHOUN COUNTY BUDGETS: A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to amend the 2011 and 2012 Calhoun County Budgets. 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(II (J1 ~ 0 0 -.. 0 .9 -.. :a:- :a:- lilil 3: 3: m m z z "'a = D D :.= I 3: 3: :a= m m -1= Z Z -I -I I:~ I ::Ill Z m= E c z= 3: -I~ III z~ 0 m iF ~ :.= I:~ :a:- N m= D U>> .. = c.. at z~ C en tn O~ -I a~ III m= D Q "'a = -I :.~ .... :a= 0 -1= ::Ill 1:= D m= 0 z= z -I~ = 0 Z "1'1 ::Ill 0 3: "II 0 n n :z: )> 3: III m ::Ill 0 a~ "1'1 n m= 0 "'a = 3: :.~ 3: :a= m -1= ::Ill 1:= n m= ,!II z~ )> -1= en z= )> "II O~ "II .. - ::! CD= CD= D CD= = ..A ~ ..A ..A n n . ." ~ :z: tJ ~ m :. ~ :a - z -0 Q 0 ~ . c:-:t 0 -1= 0 !!I:I: 0 I -1:1: :r_ ~ c ;a -- a.a ""i .- "< '<= ~ .. Z a ,." c: CD= ~ na ::tj CD .... &c:-:t CD = ..= ~= .. ..... ~= ..a. = ..a. = In ,." ..... :z: > m :.s: !,." zZ Q= ~s: "'a"" mZ .. ..... "'a c> III-a ;!! !:-a n= ~ = -= ::e III> 0 c"- . . N a..- ~ G).- ~~ 0) -< m :. :a .. N 0 ..a. N COUNTY REPORTS: A Motion was made by Judge Pfeifer to accept the County Reports that were presented. The Calhoun County Clerk's Office presented their monthly report for the month of November 2011. The Calhoun County Treasurer's Office presented their monthly report for the month of November 2011. Justice of Peace No.1 presented their monthly report for the month of November 2011. Justice of Peace No.2 presented their monthly report for the month of November 2011. Justice of Peace No.3 presented their monthly report for the month of November 2011. Justice of Peace No.4 presented their monthly report for the month of November 2011. Justice of Peace No.5 presented their monthly report for the month of November 2011. Commissioners Galvan, Lyssy, Fritsch, Finster and Judqe Pfeifer "all voted in favor. @ ANITA FRICKE -fC6uNUY~I!ER1SIII MONTHLY REPORT RECAPITULATION OFFICE FUND -("NOVEMBER~Ql. CIVIL FUNDS County Fees County Clerk's Fees Recording Probate Civil Total County Clerk's Fees Judge's Fees Probate Civil Total Judge's Fees Probate Fees (Education Fees) Sheriffs Fees Jury Fees Law Library Fees Beer Licenses Appellate Fund (TGC) Court Reporter Fees Civil Indigent Fees Record Management Fees (County Clerk) Record Management Fees (County) Security Fees (County) Bond Forfeitures Subtotal Co~nty Fees $13,254.45 131,00 538,00 34.00 State Fees Judicial Funds (CV$1066,00 + PR$164,00) Marriage License Fees Birth Certificate Fees Total State Fees SUBTOTAL Overpmt of Filing Fees to be Refunded by Co, Clk. TOTAL CIVIL FUNDS COLLECTED $13,923,45 34.00 10,00 50,00 0.00 525.00 0.00 75,00 225,00 185.00 2,055.00 110,00 526,00 30.48 $17,748,93 1,230.00 390.00 55.80 1,675,80 $19,424.73 $19,424.73 0.00 $19,424.73 CRIMINAL FUNDS Total Criminal Court Costs & Fines & Pre-Trial Diversion TOTAL FUNPS RECEIVED (As per ACS Report) Civil Escrow AccountlAG fees $7,158.00 TOTAL FUNDS RECEIVED $26,582,73 0.00 Less Refunds for Overpayment of Filing Fees ADJUSTED FUNDS RECEIVED Plus Re-Deposit of NSF Checks (Not recorded in ACS) Less ~SF Checks (Not recorded in ACS) Co. Clerk Check AMOUNT DUE COUNTY TREASURER I $26,582.73 I J..,i ~ ~ ~~ ANITA FRICKE - COUNTY CLERK MONTHLY REPORT RECAPITULATION (con't) OFFICE FUND - NOVEMBER 2011 DISBURSEMENTS CK# Pavable To DescriDtion Amount $0,00 $0,00 TOTAL DISBURSEMENTS $0.00 -5.00 BANK RECONCILIATION, OFFICE FUND Ending Bank Balance Outstanding Deposits.. Outstanding Checks.. Plus Other Items.. Less Other Items.. Reconciled Bank Balance $22,514.63 CASH ON HAND, OFFICE FUND Beginning Book Balance Funds Received Disbursements Plus Redeposit of NSF Checks Less NSF Checks Ending Book Balance $22,519.63 $22,514.63 $22,514.63 CASH ON HAND, TRUST FUND Beginning Book Balance Funds Received Disbursements Ending Book Balance $0.00 BANK RECONCILIATION, TRUST FUND Ending Bank Balance Outstanding Deposits.. Outstanding Checks.. Reconciled Bank Balance $0.00 0.00 0.00 $0.00 ..See Attached ~d~ SUBMITTED BY: Anita Fricke, County Clerk CALHOUN COUNTY, TEXAS CALHOUN COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER 2011 BEGINNING ENDING FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE FUND GENERAL $ 17,473,742.07 $ 1,324,599.48 $ 2,103,652.46 $ 16,694,689.09 72,662.97 270,96 407.01 72,526,92 AIRPORT MAINTENANCE 1,856.15 219.78 0.00 2,075.93 APPELLATE JUDICIAL SYSTEM ANIMAL CONTROL-CA WS 164.90 0.00 164.90 0.00 CHAMBER TOURISM CENTER 264.99 0.00 264.99 0,00 COASTAL PROTECTION FUND 33,374.32 9.63 0.00 33,383.95 COUNTY CHILD WELFARE BOARD FUND 217.60 33.67 0.00 251.27 COUNTY AND DIST COURT TECH FUND 643.51 44.19 0.00 687.70 COURTHOUSE SECURITY 188,128.54 1,787.24 0,00 189,915.78 DIST CLK RECORD PRESERVATION FUND 1,096.67 146.40 0.00 1,243.Q7 CO CLK RECORDS ARCHIVE FUND 3,640.00 0.00 0.00 3,640.00 DONATIONS 125,344.08 667.52 1,144.50 124,867.10 DRUGIDWI COURT PROGRAM FUND-LOCAL 1,609.57 163.93 0.00 1,773.50 JUVENILE CASE MANAGER FUND 10,046.21 881.92 0.00 10,928.13 F AMIL Y PROTECTION FUND 4,491.49 34.56 0.00 4,526.05 JUVENILE DELINQUENCY PREVENTION FUND 8,510.07 2.46 0.00 8,512.53 GRANTS 230,504.34 6,885.84 32,712.27 204,677.91 HWY 87/FM1090 10,319.74 0.00 10,319.74 (0.00) JUSTICE COURT TECHNOLOGY 50,859.83 857.15 618.80 51,098.18 JUSTICE COURT BUILDING SECURITY FUND 12,802.20 175.28 0.00 12,977.48 LATERAL ROAD PRECINCT #1 4,227.94 1.22 0.00 4,229.16 LATERAL ROAD PRECINCT #2 4,227.94 1.22 0.00 4,229.16 LATERAL ROAD PRECINCT #3 4,227.94 1.22 0,00 4,229.16 LATERAL ROAD PRECINCT #4 4,227.95 1.22 0.00 4,229.17 PRETRIAL SERVICES FUND 57,391.07 200.90 0.00 57,591.97 LAW LffiRARY 176,709,98 1,604.89 594.00 177,720.87 LAW ENF OFFICERS STD. EDUC. (LEOSE) 17,264.89 4:98 0.00 17,269.87 POC COMMUNITY CENTER 28,904.55 658.34 2,749.50 26,813.39 RECORDS MANAGEMENT -DISTRICT CLERK 1,479.16 144.24 0.00 1,623.40 RECORDS MANAGEMENT -COUNTY CLERK 162,525,82 5,306.73 0.00 167,832.55 RECORDS MGMT & PRESERVATION 66,747.00 681. 96 0.00 67,428.96 ROAD & BRIDGE GENERAL 1,389,570.74 28,161.35 0.00 1,417,732.09 ROAD & BRIDGE PRECINCT #3 8.61 0.00 0.00 8.61 ROAD MAINTENANCE PRECINCT #4 643.26 0.19 0.00 643.45 SHERIFF FORFEITED PROPERTY 1,270.25 0.37 0.00 1,270.62 6MILE PIER/BOA TRAMP INSUR/MAINT 63,632.93 18.36 0.00 63,651.29 CAPITAL PROJ - COASTAL MANAGEMENT PGM 98,411.00 0.00 850.00 97,561.00 CAPITAL PROJ - CIAP COASTAL IMPROVEMENTS 31,285.09 0.00 0.00 31,285.09 CAPITAL PROJ-NEW EMS BLDG 18,041.52 0.00 0,00 18,041.52 CAPITAL PROJ-OLIV/PT ALTO FD BLDG 0.25 0.00 0.00 0.25 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 CAPITAL PROJ-RB INFRASTRUCTURE 127,000.48 0.00 0.00 127,000.48 CAPITAL PROJ-SWAN POINT PARK 5,096.40 0.00 0.00 5,096.40 CAPITAL PROJ-AIRPORT RUNWAY IMPROV 140,613.76 0,00 0.00 140,613.76 CAPITAL PROJ-EMER COMM SYS 30,848.06 0.00 0.00 30,848.06 CAP PROJ-HATERIUS PRK BOAT RAMP-STRM REP 0.25 0.00 0.00 0.25 CAP PROJ-PORT ALTO PUBL BEACH-STORM REP 30,384.78 0.00 0.00 30,384.78 CAPITAL IMPROVEMENT PROJECTS 434,439.00 10,319.74 0.00 444,758.74 CAP PROJ- SEADRlFT LffiRARY 769.00 0.00 0.00 769.00 CAP PROJ- ANNEX 11 25,755.89 0.00 0.00 25,755.89 CAP PROJ-ANNEX RENOVATION 23,927.06 0.00 3,505.40 20,421.66 CAP PROJ-HEALTH DEPT RENOVATIONS 116,438.08 0.00 0.00 116,438.08 CAP PROJ - ENERGY EFFICIENCY/SECO STIMULUS 35,351.51 0.00 1,000.00 34,351.51 CPROJ - MMC BUSINESS IMPROVEMENT LOAN 1,500,000.00 0.00 0.00 1,500,000.00 CAP PROJ MAGNOLIA BEACH JETTY CONSTRUCT 168,000.00 0.00 0.00 168,000.00 CAP PROJ OLIVIA/PORT ALTO AMBULANCE 38,000.00 0.00 0.00 38,000.00 ARREST FEES 0.00 448.42 0.00 448.42 BAll.. BOND FEES (HE 1940) 0.00 885.00 0.00 885.00 CONSOLIDATED COURT COSTS (NEW) 0.01 9,906.88 0,00 9,906.89 DRUG COURT PROGRAM FUND-STATE (o.on 163,85 0.00 163.84 SUBTOTALS , ,~ $ 23 136041.35 $ 1 395291.09 $ 2 157983.57 t 22373 348.87 Page 1 of3 COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER 2011 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUND - BALANCE FORWARD $ 23,136,041.35 $ 1,395,291.09 $ 2,157,983.57 $ 22,373,348.87 ELECTIONS CONTRACT SERVICE 38,501.98 3,892.31 5,288.36 37,105.93 EMS TRAUMA FUND - 15.24 0.00 15.24 FINES AND COURT COSTS HOLDING FUND 7,847.31 0.00 0.00 7,847.31 INDIGENT CIVIL LEGAL SERVICE 0.00 357.00 357.00 JUDICIAL FUND (ST. COURT COSTS) 0.00 149.33 0.00 149,33 JUDlCAL PERSONNEL TRAINING 0.00 3,118.79 0.00 3,118.79 JUROR DONATlON-TX CRIME VICTIMS FUND 66.00 0.00 0.00 66,00 JUVENILE PROBATION RESTITUTION 1,202.02 2,887.02 768.02 3,321.02 LIBRARY GIFT AND MEMORIAL 47,404.11 33.68 0.00 47,437.79 MISCELLANEOUS CLEARING 6,233.79 246,239.95 212,528.39 39,945.35 REFUNDABLE DEPOSITS 2,000.00 0.00 0.00 2,000.00 STATE CIVIL FEE FUND 0.00 2,516.84 0.00 2,516.84 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 12.09 0.00 12.09 JURY REIMBURSEMENT FEE 0.00 707.04 0.00 707.04 SUBTITLE C FUND 0.00 3,817.03 0.00 3,817.03 SUPP OF CRIM INDIGENT DEFENSE 0.00 458.18 0.00 458.18 TIME PAYMENTS 0.00 1,522.65 0.00 1,522.65 TRAFFIC LAW FAILURE TO APPEAR 0.00 857.31 0.00 857.31 UNCLA]MEDPROPERTY 3,158.05 0.91 0.00 3,158.96 BOOT CAMPIJJAEP 65,848.48 19.00 0.00 65,867.48 JUVENILE PROBATION 104 381.47 17043.58 25602.37 95 822.68 SUBTOTALS $ 23,412,684.56 $ 1,678,939.04 $ 2,402,170.71 $ 22,689,452.89 TAXES IN ESCROW - 8,095 776.08 0.00 8,095 776,08 TOTAL OPERATING FUNDS $ 23412 684.56 $ 9.774715.12 $ 2402.170.71 $ 30 785 228.97 D A FORFEITED PROPERTY FUND 2,180.19 0.22 0.00 2,180.41 SHERIFF NARCOTIC FORFEITURES 3,321.70 0.32 164.24 3,157.78 CONSTRUCTION (JAIL) SERIES 2003 - I & S 149,131.70 351,637.37 0.00 500,769.07 CERT, OF OB-CRTHSE REN. I&S FUND SERIES 2004 4,822.1 0 215,767.36 0.00 220,589.46 CAL. CO. FEES & FINES 108,076.46 91,862.46 107,573.89 92,365.03 OCEAN DRIVE IMPROVEMENTS 1.00 0.00 0.00 1.00 CERT OF OB-CRTHSE REF SERIES 2010 5 358.67 100096.62 0.00 105455.29 TIllTAT FIlNDS ~ .,,,., 1101 II., ~ "eo ~I::"..e ~ .n.. ...... ... ~ O.,d. elll nd. MEMORIAL MEDICAL CENTER: OPERATING $ 2,639,472.85 $ 1,571,355.93 $ 2,297,653.88 $ 1,913,174.90 REFUND IMPREST ACCOUNT 3,863.51 1,200.46 0.00 5,063.97 INDIGENT HEAL THCARE 84.91 49999.53 50 000.00 84.44 TOTALS $ 2,643421.27 $ 1 622555.92 $ 2347653.88 $ 1918323.31 DRAINAGE DISTRICTS NO.6 $ 13,640.73 $ 1,395.48 $ 97,02 $ 14,939.19 NO.8 102,289.03 6,942.57 0.00 109,231.60 NO.10-MAINTENANCE 92,203.17 9,092.05 156.14 101,139.08 NO. II-MAINTENANCE/OPERATING 82,852.01 79,890.45 923.95 161,818.51 NO. 11-RESERVE 129481.18 12.77 0.00 129 493.95 TOTALS $ 420466.12 $ 97 333.32 $ 1 177.11 $ 516622.33 CALHOUN COUNTY WCID #1 OPERATING ACCOUNT $ 426421.29 4 502.38 38937.67 $ 391 986.00 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING $ 203709.20 $ 54795.74 $ 7451.72 $ 251,053.22 CALHOUN COUNTY FROST BANK $ 4992.51 $ - $ - $ 4992.51 TOTAL MMC, DR. DIST., NAV. DIST & WCID ~ .. "n" n'''1l1l ~ 177Q ......." ~ ", ..n" ...",,, ~Il ~ ~n""oll,tlll:: TOTAL ALL FUNDS $ 34,787 731.87 Page 2 00 COUNTY TREASURER'S REPORT MONTH OF: NOVEMBER 2011 BANK RECONCILIATION LESS: CERT.OF DEP/ FUND OUTSTNDG DEP/ PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING * $ 30,785,228.97 $ 30,085,118.23 $ 120,841.85 $ 820,952.59 D A FORFEITED PROPERTY FUND 2,180.41 0.00 0.00 2,180.41 SHERIFF NARCOTIC FORFEITURES 3,157.78 0.00 0.00 3,157.78 CONSTRUCTION (JAIL) SERIES 2003 - I & S 500,769.07 15,844.62 0.00 484,924.45 CERT. OF OB-CRTHSE REN. I&S FUND SERIES 2004 220,589.46 9,367.51 0.00 211,221.95 CERT OF OB-CRTHSE REF SERIES 2010 105,455,29 4,204,20 101,251.09 CAL. CO FEES & FINES 92,365.03 29,571. 70 109,058.59 171,851.92 OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1.00 0.00 0.00 1.00 MEMORIAL MEDICAL CENTER: OPERATING i 1,913,174.90 499,999.70 51,689.97 1,464,865.17 REFUND IMPREST ACCOUNT 5,063.97 0.00 0.00 5,063.97 INDIGENT HEALTHCARE 84.44 49,999,53 50,963.44 1,048.35 DRAINAGE DISTRICT: NO.6 14,939.19 18.57 0.00 14,920.62 NO,8 109,231.60 613.47 0.00 108,618.13 NO. 10 MAINTENANCE 101,139.08 1,840.44 0.00 99,298.64 NO. 11 MAINTENANCE/OPERATING 161,818.51 5,720.79 0.00 156,097,72 NO. 11 RESERVE 129,493.95 0.00 0.00 129,493.95 CALHOUN CO, WCID #1 OPERATING ACCOUNT 391,986.00 0.00 0.00 391,986.00 CALHOUN CO. NAVIGATION DIST: MAINTENANCE/OPERATING uu 251,053.22 0.00 0.00 251,053,22 CALHOUN COUNTY FROST BANK 4,992.51 0.00 0.00 4,992.51 TOTALS ~ 34.792 724.38 $ 30702298.76 $ 332 553.85 $ 4 422 979.47 *Cbs~OPERA:frNGFUND $29,500;000,00 :j: CD's - MMC OPERATING FuND. $500,000.00 ~ CD. CALHOVN/JOUNTYI DIANNA STANGER. (AIRPORT)410;00b.oo *u* THE DEPOSITORY FOR CALHOUN CO, NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LA V ACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LA V ACA .**. THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported AUGUST not be c d up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are correc to all moni s that aye bee~ec 'v (l by the County Treasurer as of the date of this report. ''''" a t-\ 1 9llZc; '", Page 3 00 ~) ~~ .! ENTER COURT !:'lAME: . . .. ENTER MbNTftbF REPORT ENTERY!:AROF REPORT CODE. CASH BONDS AOMINISJAATION FEE- AOMF BREATH ALCOHOL TESTING - BAT CONSOLlDATEDCOIJRT COSTS-CCC COURTHOUSE SECURIJY -CHS . . CJP MVF-CNlLJUSTICEpATA REI' FEElCJOR CORRECTIONAL MANAGEMENT INSTITUTE. CMI . .. CR . CHILD SAFETY - CS . .' . CHILOSEJHBELT FEE ' CS~F CRIME V](~:rIMS COMPENSA1l0N ,CVC OPSC/I'AILURE l"O~J;>PEAR'OMNt- DPSC . '. FUGITIVl;,A.PPREHENS10N ,FA '.. G~~EI't4L.REV.ENIJE' GR CRiM- INoLEGALSVCSSlJPPORr- lI:if JUVENILi:CRIME &OELlNqIJENCy .'JCO JWENILE CASEMA~AGERFlJ~O . JCMF JIJSTICE COIJRT PERSONNEL TRAINING~JCPT JUSTICE COURTSEGURITYFUNDcJCSF . JURORSi:RVICEFEE- JSF LOCALARRESTFEES 'LAF .', LEMI .. . .LEOA ,.............,. ........ :....>;..........'.,:LB%i '. PARkS&.WiLDLIFE:.ARRESTFEES"~I/VAF ii. '. '," ..... iSJAIE)\RRES,..FE.ES' SAF SCH09L.CROSSINGICHILp,SAFery. F,EE'SCf . " ",'$UB1IJ"LE.~-SU~9 JABCARRESTfEES. TAl" . tECH~OLOqYFlJ~O, n;; ..... ... ...:....,. ...........:, .r,M~..f'A~~~WA.~~ LOCAL'&'STATE'WARRA~TFEEScJI\IRNT . ."COLLECTlO~..SERVIGE:Fi:E~MV~Ai'CSRY 'DEFE~SIVE 'ORl\IlNGqOURSEi DOC . ,<>..'.Pi:FER~EDF~g~PFF DR,IVI~q!~fEi:r, P~QYDL , . .. '.' ".FILlt>jG.;fEE ~'fFE:i: . FILlNq;FEE SMALL,~8\IMs~'fFSl:: COPIES!CE~TIFe:oFQPI~S': .ct. ',i. .', 'INOiGi:t>ltFEE,,'G1fF'orl~Df . .. JUpGE pAYRAI,SEF,EE..JJ;>AY . .. '.i .SERyIC,EFi:E-; SFEE .... ()UI"OF,C()lJ~TYS~RV!CEFi:E 'A~i~l~~g .".... . .',. .; OPS.f'.je-FIt>jE";OPSF . .... . ..."., ........... . ..LOCJ~+FII>lES',FINE ...LICE~SE &\iVE.IGHTF,EE$,:,LINF . . . .'.pARK$8.WILOLIFi:FI!'lES\'P\iVF SEA TBELT(UNRESI~I!'lEpqHIL[)FINg.SE:AJ .'OYERPAVMENT($10 & OVER) ...OVER . OVERPAYMENt'(LES$.'fI"!.i\~$10)."..OVE.R '. ..... '. ..... .... .'., RESTIJU!IQ~.REST .'. PARKS & WILPLlFE'WA TER"SAFi:TXFINE5-WSF . ,',.",> '.,'. ,.WCR tOTAL "CTUAI..MONJ:Y,RECEIVED Revised 7/13/2011 CUETO OTHERS: DUE TOCCISD - 50% of Fine onJV cases DUE TODARESTITUT/ONFUND, REFUND OFOVERPA YMENTS .'. OUT.OF-COUNTY SERVICE FEE CASH BONDS ,.11,9.., PLEASE INCLUDE D.R REOUESTlNG DISBURSEMENT ",gq.: PlEASE INCLUDE D.R REQUESTING DISBURSEMENT , ", PLEASE INCLUDE D.R REQUESTING DISBURSEMENT PLEASE INCLUDE D.R REQUESTING DISBURSEMENT . PlEASE INCLUDE D.R REQUESTING DISBURSEMENT (IF REQUIRED) '. .! '-? .! / ~ . MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/15/2011 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2011 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1 000-001-45011 FINES 3,987.00 CR 1000-001-44190 SHERIFF'S FEES 447.40 ADMINISTRA TIVE FEES: DEFENSIVE DRIVING 19,80 CHILD SAFETY 16,98 TRAFFIC 58,04 ADMINISTRATIVE FEES 131.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 226.72 CR 1 000-001-4401 0 CONSTABLE FEES-SERVICE 375.00 CR 1 000-001-44061 JP FILING FEES 175,00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 5.60 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-SEATBELT 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 658.43 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,875,15 CR 2670-001-44061 COURTHOUSE SECURITY FUND $144,77 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $25,80 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $146.63 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $152,80 STA TE ARREST FEES DPS FEES 64,80 P&W FEES 0.00 T ABC FEES 0,00 CR 7020-999-20740 TOTAL STATE ARREST FEES 64,80 CR 7070-999-20610 CCC-GENERAL FUND 146,99 CR 7070-999-20740 CCC-ST A TE 1,323.00 DR 7070-999-10010 1,469.99 CR 7860-999-20610 STF/SUBC-GENERAL FUND 29,01 CR 7860-999-20740 STF/SUBC-STATE 551.15 DR 7860-999-10010 580,16 CR 7950-999-20610 TP-GENERAL FUND 161.49 CR 7950-999-20740 TP-ST ATE 161.48 DR 7950-999-10010 322,97 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 2,10 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 39,90 DR -7,480-999-10010 42.00 Page 1 of2 .. MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/15/2011 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 7/13/2011 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2011 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 69.60 TUFTA-GENERAL FUND 51.87 TUFTA-STATE 103.73 6.96 62.64 DR 7970-999-10010 155.60 JPAY - GENERAL FUND 22,08 JPAY - STATE 198,69 DR 7505-999-10010 220,77 JURY REIMB. FUND- GEN, FUND 11,34 JURY REIMB. FUND- STATE 102,09 DR 7857-999-10010 113.43 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS.- STATE 0,18 1.65 DR 7856-999-10010 1.83 TOTAL (Distrib Req to Oper Acct) $9,386.30 - 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 10,00 0.00 0.00 119,00 0,00 TOTAL DUE TO OTHERS $129,00 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $9,515.30 $9,515.30 - $0.00 Page 2 of2 .z. j .z. ;.. ~ Page 1 of2 ~ ,!. ~ ~f ." ; 4, MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/5/2011 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: NOVEMBER YEAR OF REPORT: 2011 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 125,09 TUFTA-GENERAL FUND 73.19 TUFTA-STATE 146.39 12.51 112.58 DR 7970-999-10010 219.58 JPAY - GENERAL FUND 37,52 JPAY - STATE 337,64 DR 7505-999-10010 375.16 JURY REIMB. FUND- GEN, FUND 21.72 JURY REIMB. FUND- STATE 195,51 DR 7857-999-10010 217,23 CIVIL JUSTICE DATA REPOS.- GEN FUND CIVIL JUSTICE DATA REPOS,- STATE 0.34 3.07 DR 7856-999-10010 3.41 TOTAL (Distrib Req to Oper Acct) $12,890,70 DUE TO OTHERS (Distrib Req Attchd) 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 0,00 238.00 0.00 $238,00 TOTAL DUE TO OTHERS TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $13,128.70 $13,128.70 $0.00 -~.... .~ Page 2 of2 , 11/30/2011 Mohey Distribution Report JUDGE GARY W. NOSKA NOV.2011 MONTHLY REPORT Page 5 ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent - Cash and Checks Collected Type Code Description Count The following totals represent - Cash and Checks Collected COST CCC COST CHS COST CJDD COST CMI COST CPSS COST CVC COST DPSC COST FA COST IDF COST JCD COST JCPT COST JCSF COST JPAY COST JSF COST LAF COST PWAF COST SAF COST SUBC COST H COST HC COST TIME COST WRNT FEES CSRV FEES DDC FEES OFF FEES JCMF FINE DPSF FINE FINE FINE PWF FINE SEAT OPMT OPMT CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA DEPOSITORY FEE CORRECTIONAL MANAGEMENT INSTITUTE CHILD PASSENGER SAFETY SEAT VIOLATION COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBTITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE JUVENILE CASE-MANAGER FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEATBELT FINE OVERPAYMENT The following totals represent - Transfers Collected Money Totals COST CCC COST CHS COST CJDD COST CMI COST CPSS COST CVC COST DPSC COST FA COST IDF COST JCD COST JCPT CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA DEPOSITORY FEE CORRECTIONAL MANAGEMENT INSTITUTE CHILD PASSENGER SAFETY SEAT VIOLATION COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING '''-.. 49 49 37 1 2 1 6 1 48 1 1 47 48 48 15 1 33 38 49 38 14 7 6 8 8 46 1 38 1 1 2 61 Retained 183.50 184.80 0.35 0.05 0.00 1.50 51.21 0.50 9.09 0.05 0.20 44.53 27.27 13.73 66.13 4.00 128.89 54.42 185.80 108.84 155.78 308.62 638.10 79.20 703.40 230.00 290.00 4,098.80 12.00 50.87 10.00 7,641.63 o o o o o o o o o o o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Disbursed Money-Totals 1 ,651.51 0.00 3.18 0.45 0.16 13.50 103.96 4.50 81.80 0.45 1.80 0.00 245.42 123.54 0.00 1.00 32.22 1 ,033.92 0.00 0.00 155.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.00 50.88 0.00 3,572.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,835.01 t '60.00: I,ct/S,DI 184.80 + 3.00 =- 19,;\' ~O 3.53':- .;'0': !>.73 0.50 0.16 15.00 155.17 5.00 <\4.~ '1 90.894- L!.f10= 0.50 2.00 44.53+- 272.69 + 137 .27 ~ 66.13 5.00 161. 11 ,. 1,088.34 f- 185.80-+- 108.84 + 311.56 308.62 638.10 79.20 703.40 _ ~l.it:>. cO 230.00 + /O.()o-- 290.00 u :!$i J 0 4,098.80t-;;l.5Z.80= " 'v 80.00 101.75 10.00 .:}.DO";- 41,;..53 .:;)..000': .o~~ .1..,,<1 (g .eO::: I Y ~ . ~ 'l 10.00;;' 1'11.\1 1...0.00.= 1,1"I8,3g~ :0.00::: \q~. -..t ,.ee;- "t..\.ff 11,213.70 +- YIS.O D = 11, t. 7'6. If) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 v . t f 11/30/2011 Money Distribution Report JUDGE GARY Y. NOSKA NOV.2011 MONTHLY REPORT Page 6 ------------------------------------------------------------------------------------------------------------------------------------ Type Code The following totals represent - Transfers Collected Descr ipti on COST JCSF COST JPAY COST JSF COST LAF COST P'WAF COST SAF COST SUBC COST TF COST HC COST TIME COST 'WRNT FEES CSRV FEES DDC FEES DFF FEES JCMF FINE DPSF FINE FINE FINE P'WF FINE SEAT OPMT OPMT JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBTITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE JUVENILE CASE-MANAGER FEE DPS FTA FINE FINE PARKS & 'WILDLIFE FINE SEA TBEL T FI NE OVERPAYMENT Transfer Totals Count o o o o o o o o o o o o o o o o o o o o o 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 The following totals represent - Jail Credit and Community Service 0.00 COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST COST FEES FEES CCC CHS CJDD CMI CPSS CVC DPSC FA IDF JCD JCPT JCSF JPAY JSF LAF PWAF SAF SUBC H HC TIME WRNT CSRV DDC CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA DEPOSITORY FEE CORRECTIONAL MANAGEMENT INSTITUTE CHILD PASSENGER SAFETY SEAT VIOLATION COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBT ITLE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE COLLECTIDN SERVICE FEE DEFENSIVE DRIYING 'X 8 8 2 o o o 5 o 8 o o 8 8 8 4 1 3 2 8 2 3 5 5 o 31.31 31.31 0.02 0.00 0.00 0.00 47.79 0.00 1.57 0.00 0.00 7.83 4.70 2.35 19.14 4.00 12.00 3.00 31.31 6.00 37.50 241.38 565.50 0.00 Disbursed 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 0.00 281.79 0.00 0.18 0.00 0.00 0.00 97.04 0.00 14.09 0.00 0.00 0.00 42.27 21. 12 0.00 1.00 3.00 57.00 0.00 0.00 37.50 0.00 0.00 0.00 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 0.00 313.10 31.31 0.20 0.00 0.00 0.00 144.83 0.00 15.66 0.00 0.00 7.83 46.97 23.47 19.14 5.00 15.00 60.00 31.31 6.00 75.00 241.38 565.50 0.00 .".. J 11/30/2011 Money Distribution Report JUDGE GARY Y. NOSKA NOV.2011 MONTHLY REPORT Page 7 ~-----~----------------------------------~-----------~--------------------------------~~-------------------------------------------- The following totals represent - Jail Credit and Community Service Type Code Description FEES DFF FEES JCMF FINE DPSF FINE FINE FINE PWF FINE SEAT OPMT OPMT DEFERRED FEE JUVENILE CASE-MANAGER FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEATBELT FINE OVERPAYMENT Credit Totals Count o 5 3 4 1 o o The following totals represent - Credit Card Payments 8 COST 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 FINE FINE FINE FINE OPMT CCC CHS CJDD CMI CPSS CVC DPSC FA IDF JCD JCPT JCSF JPAY JSF LAF PWAF SAF SUBC, H HC TIME WRNT CSRV DDC DFF JCMF DPSF FINE PWF SEAT OPMT CONSOLIDATED COURT COSTS COURTHOUSE SECURITY CIVIL JUSTICE DATA DEPOSITORY FEE CORRECTIONAL MANAGEMENT INSTITUTE CHILD PASSENGER SAFETY SEAT VIOLATION COMPENSATION TO VICTIMS OF CRIME OMNI FUGITIVE APPREHENSION INDIGENT DEFENSE FUND JUVENILE CRIME AND DELINQUENCY JUDICIAL AND COURT PERSONNEL TRAINING JUSTICE COURT SECURITY FUND JPAY DISTRICT JUDGE PAY RAISE FEE JUROR SERVICE FUND SHERIFF'S FEE TEXAS PARKS & WILDLIFE DPS SUBTI HE C TECHNOLOGY FUND HC TIME PAYMENT FEE WARRANT FEE COLLECTION SERVICE FEE DEFENSIVE DRIVING DEFERRED FEE JUVENILE CASE-MANAGER FEE DPS FTA FINE FINE PARKS & WILDLIFE FINE SEAT BELT FINE OVERPAYMENT 2 2 2 o o o o o 2 o o 2 2 2 o o 2 2 2 2 o o o o o 2 o 2 o o o Credit TotaLs 2 The following totals represent - Combined Money and Credits COST ecc CONSOLIDATED COURT COSTS 59 Retained 0.00 25.00 870.00 653.80 11. 25 0.00 0.00 2,606.76 8.00 8.00 0.02 0.00 0.00 0.00 0.00 0.00 0.40 0.00 0.00 2.00 1.20 0.60 0.00 0.00 8.00 3.00 8.00 6.00 0.00 0.00 0.00 0.00 0.00 10.00 0.00 258.80 0.00 0.00 0.00 314.02 222.81 Disbursed Money-Totals 0.00 0.00 0.00 0.00 63.75 0.00 0.00 618.74 72.00 0.00 0.18 0.00 0.00 0.00 0.00 0.00 3.60 0.00 0.00 0.00 10.80 5.40 0.00 0.00 2.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 150.98 2.005.30 0.00 25.00 870.00 653.80 75.00 0.00 0.00 3,225.50 80.00 8.00 0.20 0.00 0.00 0.00 0.00 0.00 4.00 0.00 0.00 2.00 12.00 6.00 0.00 0.00 10.00 60.00 8.00 6.00 0.00 0.00 0.00 0.00 0.00 10.00 0.00 258.80 0.00 0.00 0.00 465.00 2,228.11 -' . , J . 11/30/2011 Money Distribution Report Page 8 JUDGE GARY Y. NOSKA NOV.2011 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent - Combined Money and Credits Type Code Description Count Retained Disbursed Money-Totals COST CHS COURTHOUSE SECURITY 59 224. 11 0.00 224.11 COST CJDD CIVIL JUSTICE DATA DEPOSITORY FEE 41 0.39 3.54 3.93 COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 1 0.05 0.45 0.50 COST CPSS CHILD PASSENGER SAFETY SEAT VIOLATION 2 0.00 0.16 0.16 COST CVC COMPENSATION TO VICTIMS OF CRIME 1 1.50 13.50 15.00 COST DPSC OMNI 11 99.00 201.00 300.00 COST FA FUGITIVE APPREHENSION 1 0.50 4.50 5.00 COST !DF INDIGENT DEFENSE FUND 58 1 1. 05 99.50 110.55 COST JCD JUVENILE CRIME AND DELINQUENCY 1 0.05 0.45 0.50 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 1 0.20 1.80 2.00 COST JCSF JUSTICE COURT SECURITY FUND 57 54.36 0.00 54.36 COST JPAY JPAY DISTRICT JUDGE PAY RAISE FEE 58 33.17 298.49 331.66 COST JSF JUROR SERVICE FUND 58 16.67 150.07 166.74 COST LAF SHERIFF'S FEE 19 85.27 0.00 85.27 COST PWAF TEXAS PARKS & WILDLIFE 2 8.00 2.00 10.00 COST SAF DPS 38 148.89 37.22 186.11 COST SUBC SUBTITLE C 42 60.42 1,147.92 1,208.34 COST TF TECHNOLOGY FUND 59 225.11 0.00 225.11 COST TFC TFC 42 120.84 0.00 120.84 COST TIME TIME PAYMENT FEE 17 193.28 193.28 386.56 COST WRNT WARRANT FEE 12 550.00 0.00 550.00 FEES CSRV COLLECTION SERVICE FEE 11 1,203.60 0.00 1,203.60 FEES DDC DEFENSIVE DRIVING 8 79.20 0.00 79.20 FEES DFF DEFERRED FEE 8 703.40 0.00 703.40 FEES JCMF JUVENILE CASE-MANAGER FEE 53 265.00 0.00 265.00 FINE DPSF DPS FTA FINE 4 1,160.00 0.00 1,160.00 FINE FINE FINE 44 5,011.40 0.00 5,011.40 FINE PWF PARKS & WILDLIFE FINE 2 23.25 131.75 155.00 FINE SEAT SEATBELT FINE 1 50.87 50.88 101.75 OPMT OPMT OVERPAYMENT 2 10.00 0.00 10.00 Report Totals 71 10,562.39 4,341.81 14,904.20 '. "'" '. . . '. ... 11/30/2011 Money Distribution Report Page 9 JUDGE GARY W. NOSKA NOV.2011 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Cornm 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 Collcctions 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 Collcctions 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Checks Collected 4,570.55 4,982.45 1,650.70 0.00 0.00 10.00 11,213.70 Jail Credits & Comm Service 1,598.80 1,036.20 590.50 0.00 0.00 0.00 3,225.50 Credit Cards & Transfers 258.80 196.20 10.00 0.00 0.00 0.00 465.00 Total of all Collcctions 6,428.15 6,214.85 2,251.20 0.00 0.00 10.00 14,904.20 TOTALS Cash & Checks Collected 4,570.55 4,982.45 1,650.70 0.00 0.00 10.00 11,213.70 Jail Credits & Comm Service 1,598.80 1,036.20 590.50 0.00 0.00 0.00 3,225.50 Credit Cards & Transfers 258.80 196.20 10.00 0.00 0.00 0.00 465.00 Total of all Collections 6,428.15 6,214.85 2,251.20 0.00 0.00 10.00 14,904.20 '- ... ......: Money Distribution Report JUDGE GARY W. NOSKA NOV.2011 MONTHLY REPORT 11/30/2011 Page 10 DATE PAYMENT-TYPE FINES CquRT-COSTS --------------------------------------------------- -------------------------------------------------------- TOTAL State of Texas Quarterly Reporting Totals Description Count 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 Bai l Bond Fee DNA Testing Fee - Convictions DNA Testing Fee - Comm Supvn DNA Testing Fee - Juvenile EMS Trauma Fund (EMS) Juvenile Probation Diversion Fees Jury Reimbursement Fee Indigent Defense Fund Moving Violation Fees State Traffic Fine 56 o o o o o o o o o o 50 50 39 40 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 36 6 o o o 14 o 50 341 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 [ndig 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 [ndig Legal Services CF: Judicial Support Fee Report Sub Total o o o o o o o o o o o o o o o o o Total Due For This Period 341 FEES Collected 1,938.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 143.27 94.89 3.73 1,148.34 176.11 155.17 0.00 0.00 0.00 311.56 0.00 284.69 4,255.77 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 4,255.77 BONDS RESTITUTION Retained 193.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.33 9.49 0.37 57.42 140.89 51.21 0.00 0.00 0.00 155.78 0.00 28.47 651.76 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 0.00 651.76 Oi sbursed 1,744.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.94 85.40 3.36 1,090.92 35.22 103.96 0.00 0.00 0.00 155.78 0.00 256.22 3,604.01 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 3,604.01 OTHER ~ ~ ~ MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/5/2011 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: NOVEMBER YEAR OF REPORT:. 2011 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1 000-001-45014 FINES 3,460,70 CR 1 000-001-44190 SHERIFF'S FEES 431,39 ADMINISTRA TIVE FEES: DEFENSIVE DRIVING 39,60 CHILD SAFETY 0.00 TRAFFIC 53,12 ADMINISTRATIVE FEES 200,00 EXPUNGEMENT FEES 0,00 MISCELLANEOUS 0.00 CR 1 000-001-44364 TOTAL ADMINISTRATIVE FEES 292.72 CR 1 000-001-4401 0 CONSTABLE FEES-SERVICE 0,00 CR 1000-001-44064 JP FILING FEES 25,00 CR 1 000-001-44090 COPIES / CERTIFIED COPIES 0,00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0,00 CR 1000-001-44145 SCHOOL'CROSSING/CHILD SAFETY FEE 0,00 .CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT 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 184.50 TOTAL FINES, ADMIN, FEES & DUE TO STATE $4,394,31 CR 2670-001-44064 COURTHOUSE SECURITY FUND $139.49 CR 2720-001-44064 JUSTICE COURT SECURITY. FUND $3.46 CR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $140.49 CR 2699-001-44064 JUVENILE CASE MANAGER FUND $135.00 STATE ARREST FEES DPS FEES 81.90 P&W FEES 4,64 T ABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 86.54 CR 7070-999-20610 CCC..;GENERAL FUND 140.50 CR 7070-999-20740 CCC-ST ATE 1,264.49 DR 7070-999-10010 1,404,99 CR 7860-999-20610 STF/SUBC-GENERAL FUND 26.55 CR 7860-999-20740 STF/SUBC-STATE 504.47 DR 7860-999-10010 531,02 CR 7950-999-20610 TP-GENERAL FUND 79.27 CR 7950-999-20740 TP-ST A TE 79.26 DR 7950-999-10010 158.53 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 12/5/2011 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2011 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 6,63 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 59,62 DR 7865-999-10010 66.25 CR 7970-999-20610 TUFTA-GENERAL FUND 54.24 CR 7970-999-20740 TUFT A-STATE 108.48 DR 7970-999-10010 162.72 CR 7505-999-20610 JPAY-GENERALFUND 17,20 CR 7505-999-20740 JPAY - STATE 154,80 DR 7505-999-10010 172,00 CR 7857-999-20610 JURY REIMB. FUND- GEN, FUND 13.40 CR 7857-999-20740 JURY REIMB, FUND- STATE 120.63 DR 7857-999-10010 134.03 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS,- GEN FUND 0.18 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS,- STATE 1,59 DR 7856-999-10010 1.77 TOTAL (Distrib Req to Oper Acct) $7,536,60 DUE TO OTHERS (Distrib Req Attchd) 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 0,00 725,90 0.00 TOTAL DUE TO OTHERS $725.90 Revised 07/13/11 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $8,262.50 $8,262.50 $0.00 Page 2 of2 DISTRIBUTION REQUEST DR# 480 A 40883 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: James Dworaczyk Justice of the Peace, Pct. 4 ACCOUNT NUMBER .. . DESCRIPTION .. '. ... AMOUNT.; ... .: . .. , . . 7544-999- 20759.999 JP4 Monthly Collections - Distribution $7,536.60 NOVEMBER 2011 V# 967 TOTAL 7,536.60 " "'- "- '-.."- CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 DISTRI BUTION REQUEST DR# 480 B 40883 PAYEE Name: Texas Parks & Wildlife Address: City: State: Zip: Phone: PAYOR Official: Title: James Dworaczyk Justice of the Peace, Pet. 4 " "ActOUtfT NUM8ER. ,.,:"p if: <("V . ....... .... .....i ..... .... ........... ......;':".:::'r".,:.>';;.'.. .... ::;"i!'~Outfti:::..i 1,,' ..... '.. .,; ........... .^'D~~CRIPTIO~:,,>:.' 7544-999-20759-999 JP4 . Parks &: Wildlife Fines S 300.90 NOVEMBER 2011 V# 7603 TOTAL 300.90 ."" c: .... .... .... _ 0 0 .... .... 0:;2 0 0 QI .. ~ ~ N 10 S co O.!/! ~ ~ 0 .... .... .... - .... .... .... 0 .... .... oui 0 0 ~~ N N N lit ~ 0 CO ~ ~ .... 'II: .... '" CO ~ r. ~I 0 of 0 II) II) r. '0 II) '" ..... 0 ci iii ,.; ~ c ~S .... N '" ::> 11)& ... ... ::> 0 GO c: 0 E ii: ... ... ... 0 <I: 0 0 0 Bl!! 0 0 0 c:i ~ c:i o .- 0 It) I-LL N N fit fit fit .. 0 0 0 t:$ 0 0 0 63 c:i on on ..... '" ~ 0.. 0 fit fit fit :.:: 0 ~ 0 0 0 ~I 0 0 0 0 a: QI c:i .,; on <I: c: '" ~ ..... 0 ii: .... ~ fit fit fit 0 W C> ~ ~ [ 0 13 :) .., a:: 5 5 I LL C> C> 0 w i 0 C> ~ ~ ii: r LL x z 0 (J) J: 0 w (J)<I: ~ l- X QI :.::0 LL I- .. ot::(J)ffi ~ c: ~ :)::!i OlD~~ 0 0:) ~ W i5~~..J~ ~ 0 Xl-w~Z a.. fil~~o~ w a: a:LL z:::i l- I- II QI :) z E z <I: :::i III X X 0 Z 0 0 ci j, .. .., a: ...... Z Z ,g 0 III 0 W LL (5 (J) >- (J) :> I- :) Z :) C> ~ X z a: a: .. Iii Iii e,j ......QI :) :) ~ 8 E C> C> lEllI Z Z ..J OZ ~ ~ ~ 0 0 0 0 ~ 0 'II: Iii CD '" w 0 z c: CO CO .... ii: 0 ..... ..... ..... z "" '" '" CO W w... fI 0 0 GO 0 LL... U :( :( ~ i5 zP~ a.. ..J LL ~ffi 'II: ..... '" '" 0 ..... N It) W oIllD 'al ~ ~ "'f 0 0:E 8 .... .... i= :.::~ .... 0 .... 0 0 0 rn ~o N N N :) .., a..z ..... 12/01/2011 Money Distribution Report Page 4 ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent - Cash and Checks Collected Type Code Descri pt i on Count Retained Disbursed Money-Totals COST CCC CONSOLIDATED COURT COSTS 27 106.63 959.70 1,066.33 COST CHS COURT HOUSE SECURITY 27 106.63 0.00 106.63 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 14 0.14 1.23 1.37 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 2 19.80 40.20 60.00 COST FA FA 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 27 5.33 47.99 53.32 COST JCD JCD 0 0.00 0.00 0.00 COST JCPT JCPT 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 1 1.00 0.00 1.00 COST JRF JUROR REIMBURSEMENT FEE 27 10.56 95.07 105.63 COST LAF SHERIFF'S FEE 15 75.00 0.00 75.00 COST PWAF TEXAS PARKS & WILDLIFE 4 16.00 4.00 20.00 COST SAF DPS 7 26.63 6.66 33.29 COST SUBC SUBTITLE C 14 20.49 389.26 409.75 COST TF TECHNOLOGY FUND 27 106.63 0.00 106.63 COST TFC TFC 14 40.97 0.00 40.97 COST TIME TIME PAYMENT FEE 6 70.73 70.73 141. 46 COST WRNT WARRANT FEE 5 232.92 0.00 232.92 FEES CIFF CIVIL INDIGENT FILING FEE 1 0.30 5.70 6.00 FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00 FEES DDC DEFENSIVE DRIVING 2 19.80 0.00 19.80 FEES OFF DEFERRED FEE 4 200.00 0.00 200.00 FEES FFEE FILING FEE 1 25.00 0.00 25.00 FEES JCMF JUVENILE CASE MANAGER FEE 22 110.00 0.00 110.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 23 13.80 124.20 138.00 FINE DPSF DPS FTA FINE 1 5.00 0.00 5.00 FINE FINE FINE 22 2,417.90 0.00 2,417.90 FINE PWF PARKS & WILDLIFE FINE 4 128.10 725.90 854.00 Money Totals 30 3,759.36 2,470.64 6,230.00 The following totals represent - Transfers Collected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURT HOUSE SECURITY 0 0.00 0.00 0.00 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00 COST CMI CMI 0 0.00 0.00 0.00 COST CVC CVC 0 0.00 0.00 0.00 COST DPSC DPS OMNIBASE FEE 0 0.00 0.00 0.00 COST FA FA 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCD JCD 0 0.00 0.00 0.00 COST JCPT JCPT 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JRF JUROR REIMBURSEMENT FEE 0 0.00 0.00 0.00 COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 0 0.00 0.00 0.00 " ....... ""-. ,", 12/01/2011 Money Distribution Report Page -------------------------------------------------- --------------------------- ----........--....- --------------------------------------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total 3929385 2011-446 11-01-2011 CCC 40.00 CHS 4.00 PWAF 5.00 WRNT 50.00 flME 25.00 TF 4.00 240.00 CRUZ, ANTONIA MACHICA JRF 4.00 IDF 2.00 PWF 95.00 JPAY 6.00 JCMF 5.00 CORln Service 3929386 2011-543 11-02-2011 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 185.00 NEWELL, BROOK A JRF 4.00 IDF 2.00 CJDR 0.10 FINE 81. 90 JPAY 6.00 JCMF 5.00 Cashier's Check 3929387 2011-563 11-02-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 245.00 RODRIGUEZ, CARLOS JOSE JRF 4.00 IDF 2.00 CJDR 0.10 FINE 141.90 JPAY 6.00 JCMF 5.00 Cash 3929388 2011-536 11-03-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 215.00 KEAG, COLI N 0 JRF 4.00 IDF 2.00 CJDR 0.10 FINE 61.90 OFF 50.00 JPAY 6.00 Cash JCMF 5.00 , 3929389 2011-571 11-03-2011 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JRF 4.00 IDF 2.00 110.00 SOLIS, JAIME JR. FINE 51.00 Cash 3929390 2011-570 11-03-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 110.00 SOLIS, JAIME JR. JRF 4.00 IDF 2.00 CJDR 0.10 FINE 1.7.90 Cash 3929391 2011.560 11-07-2011 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 235.00 BENITEZ, MATHEW SCOTT JRF 4.00 IDF 2.00 CJDR 0.10 FINE 81.90 OFF 50.00 JPAY 6.00 - Money Order JCMF 5.00 -3929392 2011-566 11-07-2011 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 215.00 RODRIGUEZ, ROBERTO RODRIGUEZ JRF 4.00 IDF 2.00 CJDR 0.10 FINE 61. 90 OFF 50.00 JPAY 6.00 Cash i er' sCheck JCMF 5.00 3929393 2011-564 11-07-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 113.00 ROGERS, JAMES DAVID JRF 4.00 IDF 2.00 CJDR 0.10 DOC 9.90 JPAY 6.00 JCMF 5.00 Money Order 3929394 2011-534 11-07-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 312.00 DEMENT, JADE ALEN JRF 4.00 IDF 2.00 CJDR 0.10 FINE 208.90 JPAY 6.00 JCMF 5.00 Money Order 3929395 2007-110 11-08-2011 CCC 40.00 CHS 3.00 SAF 5.00 WRNT 50.00 TF 4.00 DPSC 30.00 253.50 PEREZ, ERNEST JCSF 1.00 JRF 4.00 FINE 54.00 CSRV 58.50 JPAY 4.00 Credit Card 3929396 2011-334 11-08-2011 TFC 1.97 CCC 26.33 CHS 2.63 SAF 3.29 WRNT 32.92 TIME 16.46 110.00 URESTE, PRISCILLA LYNN TF 2.63 SUBC 19.75 JRF 2.63 IDF 1.32 CJDR 0.07 Cash 3929397 2007-110A 11-08-2011 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 548.00 PEREZ, ERNEST CMI 0.50 TF 4.00 DPSC 30.00 DPSF 344.00 CSRV 126.00 Credit Card 3929398 2011-525 11-09-2011 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JRF 4.00 IDF 2.00 105.00 GOHLKE, DARREN DALE FINE 46.00 Cash 3929399 2010-541 11-09-2011 WRNT 50.00 FINE 104.00 JPAY 6.00 JCMF 5.00 165.00 SMYRSON, THOMAS RAY Money Order 3929400 JC-2011-017 11-10-2011 FFEE 25.00 CIFF 6.00 31.00 DE TAR NORTH HOSPITAL THE DELONEY LAW G Personal Check 3929401 2011-533 11-10.2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 225.00 DOMINGUEZ, SANDRA TORRES JRF 4.00 IDF 2.00 CJDR 0.10 FINE 121.90 JPAY 6.00 JCMF 5.00 Cash 3929402 2011-569 11-14-2011 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 JRF 4.00 IDF 2.00 165.00 CUMPIAN, MARTHA SONIA FINE 95.00 JPAY 6.00 JCMF 5.00 Cash "'" \.., -'\.... 12/01/2011 Money Distribution Report ---------------------------------------------------------------------------------------------------------- Receipt Cause/Defendant 3929403 2011-556 11-14-2011 GUZMAN, RICKY LEE Credit Card 3929404 2011-501 11-15-2011 APLIN, STERLON DEDTRICK Cash 11-15-2011 3929405 2011-196 BARRERA, LUIS RAY Credit Card 11-15-2011 3929406 2011-235 RIOS, JOSE DANIEL Credit Card 11-15-2011 3929407 2011-235A RIOS, JOSE DANIEL Credit Card 11-15-2011 3929408 2011-509 OWENS, DANIEL WESLEY Money Order 11-15-2011 . 3929409 2011-399 GALINDO, ARTURO Jail Credit 3929410 2011-523 11-16-2011 NGUYEN, CHAU THI Cash 11-21-2011 3929411 2011-577 HUTSON, JOHN SHANE Cashier's Check 11-21-2011 3929412 20H-576 EDWARDS, BRENDA CADY Money Order 11-21-2011 3929413 2011-573 ARJONA, JOSE ANARBOL Cash 3929414 2011-436 11-22-2011 LE, CUONG DINH (TOMMY) Money Order 3929415 2011-470 11-22-2011 THOMPSON, JUSTIN LAWRENCE Cash 3929416 2011-579 11-22-2011 BURNS, RANDALL JAMES Credit Card 3929417 2011-578 11-22-2011 FISHBECK, DWAYNE ANTHONY Cash 3929418 2011-597 COX, JOEY 11-28-2011 Cash 3929419 2011-509 OWENS, DANIEL WESLEY Money Order 11-28-2011 11-28-2011 3929420 2011-598 RIVERA, JOSEPH ANGEL Cash ...........~...~ Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount CCC 40.00 FINE 235.00 CCC 40.00 IDF 2.00 TFC 0.15 TF 0.17 CCC 25.61 DPSC 19.21 CCC 31.35 JRF 2.35 CCC 40.00 FINE 51.00 CCC 40.00 JRF 4.00 CCC 40.00 IDF 2.00 CCC 40.00 PWF 130.00 TFC 3.00 JRF 4.00 CCC 40.00 FINE 255.00 CCC 40.00 PWF 500.00 TFC 3.00 TF 4.00 JPAY 6.00 TFC 3.00 JRF 4.00 TFC 3.00 JRF 4.00 JCMF 5.00 CCC 40.00 FINE 255.00 TIME 25.00 CCC 40.00 FINE 95.00 ,. CHS 4.00 JPAY 6.00 CHS 4.00 FINE 21.00 CCC SUBC CHS JCSF CHS IDF CHS CHS IDF CHS 4.00 PWF 149.00 CHS 4.00 PWAF JPAY 6.00 JCMF CCC 40.00 CHS IDF 2.00 CJDR CHS 4.00 LAF JPAY 6.00 JCMF CHS JPAY 4.00 6.00 CCC SUBC JCMF CCC IDF 40.00 30.00 5.00 40.00 2.00 CCC IDF 40.00 2.00 CHS JPAY 4.00 6.00 FINE 204.00 CHS 4.00 JPAY 6.00 1.70 1.27 2.56 0.64 3.13 1.57 4.00 4.00 2.00 SAF 5.00 JCMF 5.00 LAF JCMF LAF CHS 0.17 JCSF 0.04 PWAF 3.20 JRF 1.92 WRNT 39.18 LAF 5.00 LAF 5.00 FINE 235.00 PWAF 5.00 JPAY 6.00 4.00 0.10 5.00 5.00 PWAF JCMF 5.00 5.00 CHS JRF 4.00 4.00 CHS CJDR 4.00 0.10 CHS CJDR 4.00 0.10 SAF JCMF 5.00 5.00 JPAY 6.00 5.00 5.00 TF 4.00 5.00 TIME 25.00 LAF 0.21 JRF 0.13 WRNT 32.01 IDF 1.28 TF 3.13 TF 4.00 WRNT 50.00 JPAY 6.00 TIME 25.00 JCMF 5.00 5.00 5.00 TF 4.00 LAF 5.00 FINE 61.90 TF 4.00 TF 4.00 LAF 5.00 IDF 2.00 SAF 5.00 DOC 9.90 SAF 5.00 FINE 61.90 TF 4.00 JCMF 5.00 TF 4.00 JRF TF WRNT 2.12 IDF 0.08 TIME 16.01 DPSC 23.51 JRF 4.00 TIME 25.00 JCMF 5.00 TF JRF 4.00 TF 4.00 JPAY 6.00 JRF 4.00 JRF 4.00 WRNT 50.00 CJDR 0.10 TF 4.00 JPAY 6.00 TF 4.00 OFF 50.00 JRF 4.00 JRF 4.00 4.00 2.00 IDF 4.00 4.00 JRF TIME 1.06 FINE 112.90 TF 2.56 JCSF 0.78 IDF 2.00 TF 4.00 4.00 JRF 4.00 IDF 2.00 SUBC 30.00 JCMF 5.00 IDF 2.00 IDF 2.00 TIME 25.00 FINE 61.90 SUBC 30.00 JCMF 5.00 SUBC 30.00 JPAY 6.00 IDF 2.00 IDF 2.00 Page 2 Total 305.00 105.00 120.00 105.00 105.00 110.00 380.00 244.00 200.00 165.00 325.00 570.00 240.00 113.00 215.00 325.00 240.00 165.00 12/01/2011 Money Distribution Report Page 3 -.-.-------------------------------- --------------------------------------------------------------------- ------------------------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total 3929421 2011-459 11-28-2011 CCC 40.00 CHS 4.00 PWAF 5.00 WRNT 50.00 TIME 25.00 TF 4.00 250.00 HANSFORD, CLINTON ROSS DPSC 30.00 JRF 4.00 IDF 2.00 PWF 75.00 JPAY 6.00 JCMF 5.00 Money Order 3929422 2011-459A 11-28-2011 CCC 40.00 CHS 4.00 WRNT 50.00 TF 4.00 DPSC 30.00 JCSF 1.00 422.00 HANSFORD, CLINTON ROSS JRF 3.00 IDF 2.00 FINE 2n.OO DPSF 5.00 JPAY 6.00 Money Order 3929423 2007-528A 11-28-2011 JCPT 2.00 CVC 15.00 CCC 17.00 FA 5.00 JCD 0.50 CHS 4.00 548.60 MEDINA, MARIA GARCIA CMI 0.50 TF 4.00 DPSC 30.00 DPSF 344.00 CSRV 126.60 Jail Credit 3929424 2007-528 11-28-2011 TFC 3.00 CCC 40.00 CHS 3.00 SAF 5.00 WRNT 50.00 TIME 25.00 351 . 00 MEDINA, MARIA GARCIA TF 4.00 SUBC 30.00 DPSC 30.00 JCSF 1.00 JRF 4.00 FINE 71.00 Jail Credit CSRV 81.00 JPAY 4.00 3929425 2011-599 11-29-2011 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 185.00 DAVILA, DAVID LEE JRF 4.00 IDF 2.00 CJDR 0.10 FINE 81. 90 JPAY 6.00 JCMF 5.00 Credit Card 3929426 2011-554 11-29-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 185.00 LICON, JOHN GILBERT JR JRF 4.00 IDF 2.00 CJDR 0.10 FINE 81.90 JPAY 6.00 JCMF 5.00 Credit Card 3929427 2011-590 11-29-2011 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 113.00 JOHNSON, NICOLE FAYE JRF 4.00 IDF 2.00 CJDR 0.10 DOC 9.90 JPAY 6.00 JCMF 5.00 Credit Card 3929428 2011-588 11-30-2011 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 SUBC 30.00 113.00 CARTER, VERSAL WAYNE JRF 4.00 IDF 2.00 CJDR 0.10 DOC 9.90 JPAY 6.00 JCMF 5.00 Money Order " 12/01/2011 Money Distribution Report Page 5 ------~.._-------------------------------------------------------------------------------------------------------------------------- The following totals represent - Transfers Collected Type Code Description Count Retained Disbursed Money-Totals COST SUBC SUBTITLE 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 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 OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES . JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 FINE DPSF DPS FTA FINE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 Transfer Totals 0 0.00 0.00 0.00 ,The following totals represent - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS 4 13.70 123.30 137.00 COST CHS COURT HOUSE SECURITY 4 15.00 0.00 15.00 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 0 0.00 0.00 0.00 COST CMI CMI 1 0.05 0.45 0.50 COST CVC CVC 1 1.50 13.50 15.00 COST DPSC DPS OMNIBASE FEE 2 19.80 40.20 60.00 COST FA FA 1 0.50 4.50 5.00 COST IDF INDIGENT DEFENSE FUND 2 0.40 3.60 4.00 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 1 1.00 0.00 1.00 COST JRF JUROR REIMBURSEMENT FEE 3 1.20 10.80 12.00 COST LAF SHERIFF I S FEE 1 5.00 0.00 5.00 COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00 COST SAF DPS 1 4.00 1.00 5.00 COST SUBC SUBTITLE C 1 1.50 28.50 30.00 COST TF TECHNOLOGY FUND 4 16.00 0.00 16.00 COST TFC TFC 1 3.00 0.00 3.00 COST TIME TIME PAYMENT FEE 3 37.50 37.50 75.00 COST WRNT WARRANT FEE 3 150.00 0.00 150.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 2 207.60 0.00 207.60 FEES DOC DEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 2 10.00 0.00 10.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 3 1.60 14.40 16.00 FINE DPSF DPS FTA FINE 1 344.00 0.00 344.00 FINE FINE FINE 2 306.00 0.00 306.00 FINE PWF PARKS & WILDLIFE FINE 1 14.25 80.75 95.00 12/01/2011 Money Distribution Report Page 6 ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent - Jail Credit and Community Service Type Code Description Count Retained Disbursed Money-Totals Credit Totals 4 1,157.85 361. 75 1,519.60 The following totals represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS 10 31.57 284.09 315.66 COST CHS COURT HOUSE SECURITY 10 32.86 0.00 32.86 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 4 0.04 0.36 0.40 COST CMI CMI 1 0.05 0.45 0.50 COST CVC CVC 1 1.50 13.50 15.00 COST DPSC DPS OMNIBASE FEE 4 33.90 68.82 102.72 COST FA FA 1 0.50 4.50 5.00 COST IDF INDIGENT DEFENSE FUND 8 1.29 11.64 12.93 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 4 2.46 0.00 2.46 COST JRF JUROR REIMBURSEMENT FEE 9 2.84 25.56 28.40 COST LAF SHERIFF'S FEE 3 10.21 0.00 10.21 COST PWAF TEXAS PARKS & WILDLIFE 1 2.56 0.64 3.20 COST SAF DPS 4 16.00 4.00 20.00 COST SUBC SUBTITLE C 5 6.06 115.21 121.27 COST TF TECHNOLOGY FUND 10 33.86 0.00 33.86 COST TFC TFC 5 12.15 0.00 12.15 COST TIME TIME PAYMENT FEE 2 8.53 8.54 17.07 COST WRNT WARRANT FEE 4 123.31 0.00 123.31 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 2 184.50 0.00 184.50 FEES DOC DEFENSIVE DRIVING 2 19.80 0.00 19.80 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES FFEE FILING FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 5 25.00 0.00 25.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 6 3.40 30.60 34.00 FINE DPSF DPS FTA FINE 1 344.00 0.00 344.00 FINE FINE FINE 5 565.70 0.00 565.70 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 Credit Totals 10 1,462.34 570.16 2,032.50 The following totals represent - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS 41 151. 90 1,367.09 1,518.99 COST CHS COURT HOUSE SECURITY 41 154.49 0.00 154.49 COST CJDR CIVIL JUSTICE DATA RES\POSITORY FEE 18 0.18 1.59 1.n COST CMI CMI 2 0.10 0.90 1.00 COST CVC CVC 2 3.00 27.00 30.00 COST DPSC OPS OMNIBASE FEE" 8 73.50 149.22 222.72 COST FA FA \" 2 1.00 9.00 10.00 COST IDF INDIGENT DEFENSE FUND 37 7.02 63.23 70.25 COST JCD JCD 2 0.10 0.90 1.00 COST JCPT JCPT 2 0.40 3.60 4.00 12/01/2011 Money Distribution Report Page 7 ---------------.-.-.----------------------------------------------.---------------------------------------------------------------.- The following totals represent - Combined Money and Credits Type Code Description Count Retained Disbursed Money-Totals COST JCSF JUSTICE COURT SECURITY FUND 6 4.46 0.00 4.46 COST JRF JUROR REIMBURSEMENT FEE 39 14.60 131.43 146.03 COST LAF SHERIFF'S FEE 19 90.21 0.00 90.21 COST P\JAF TEXAS PARKS & \JILDLIFE 6 22.56 5.64 28.20 COST SAF DPS 12 46.63 11.66 58.29 COST SUBC SUBT ITLE C 20 28.05 532.97 561.02 COST TF TECHNOLOGY FUND 41 156.49 0.00 156.49 COST TFC TFC 20 56.12 0.00 56.12 COST TIME TIME PAYMENT FEE 11 116.76 116.77 233.53 COST \JRNT \JARRANT FEE 12 506.23 0.00 506.23 FEES CIFF CIVIL INDIGENT FILING FEE 1 0.30 5.70 6.00 FEES CSRV COLLECTION SERVICE FEE 4 392. 10 0.00 392. 10 FEES DDC DEFENSIVE DRIVING 4 39.60 0.00 39.60 FEES DFF DEFERRED FEE 4 200.00 0.00 200.00 FEES FFEE FILING FEE 1 25.00 0.00 25.00 FEES JCMF JUVENILE CASE MANAGER FEE 29 145.00 0.00 145.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 32 18.80 169.20 188.00 FINE DPSF DPS FTA FINE 3 693.00 0.00 693.00 FINE FINE FINE 29 3,289.60 0.00 3,289.60 FINE P\JF PARKS & \JILDLIFE FINE 5 142.35 806.65 949.00 Report Totals 44 6,379.55 3,402.55 9,782.10 " 12/01/2011 Money Distribution Report Page 8 ------------------------------------------------------------------------------------------------------------------------------------ DATE PAYMENT-TYPE FINES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0..00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & 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-c 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Checks Collected 3,276.90 2,454.30 498.80 0.00 0.00 0.00 6,230.00 Jail Credits & Comm Service 745.00 541.00 233.60 0.00 0.00 0.00 1,519.60 Credit Cards & Transfers 909.70 859.50 263.30 0.00 0.00 0.00 2,032.50 Total of all Collections 4,931.60 3,854.80 995.70 0.00 0.00 0.00 9,782. 10 TOTALS Cash & Checks Collected 3,276.90 2,454.30 498.80 0.00 0.00 0.00 6,230.00 Jail Credits & Comm Service 745.00 541.00 233.60 0.00 0.00 0.00 1,519.60 Credit Cards & Transfers 909.70 859.50 263.30 0.00 0.00 0.00 2,032.50 Total of all Collections 4,931.60 3,854.80 995.70 0.00 0.00 0.00 9,782.10 .... 12/01/2011 DATE PAYMENT-TYPE 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 - Juvenile EMS Trauma Fund (EMS) Juvenile Probation Diversion Fees Jury Reimbursement Fee Indigent Defense Fund Moving Violation Fees State Traffic Fine Section II: As Applicable Peace Officer Fees Failure to Appear/Pay Fees Judicial Fund - Const County Court Judicial Fund - Statutory County Court Motor Carrier Weight Violations Time Payment Fees Driving Record Fee Judicial Support Fee Report Sub Total State Comptroller Civil Fees Report CF: Birth Certificate Fees CF: Marriage License Fees CF: Declaration of Informal Marriage CF: Nondisclosure Fees CF: Juror Donations CF: Justice Court Indig Filing Fees CF: Stat Prob Court Indig Filing Fees CF: Stat Prob Court 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 " Money Distribution Report FINES COURT-COSTS FEES BONDS RESTITUTION Count Collected Disbursed Retained 42 1,404.99 140.50 1,264.49 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 36 134.03 13.40 120.63 35 66.25 6.62 59.63 18 1.77 0.18 1.59 19 531. 02 26.55 504.47 16 76.49 61.19 15.30 6 162.72 53.70 109.02 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 8 158.53 79.26 79.27 0 0.00 0.00 0.00 29 172.00 17.20 154.80 209 2,707.80 398.60 2,309.20 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 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 1 6.00 0.30 5.70 210 2,713.80 398.90 2,314.90 Page 9 OTHER TOTAL .;,' 12/BS/2011 16:17 361-983-2461 CALHOUN CO PCT S PAGE 01 Judge Nancy pomykal 1llfmd.. \ustiIBIl'ti"lRliPPeifatDIIP V'~f_,..-, ,. . '., ,"" -..' .~ Collections for the Month 06:_ Date: December 5,2011 Calhoun County Commissioner's Court 211 S. Ann Street Port Lavaca, TX 77979 Fax no: 553-4444 Attention: Commissioner's Court Attached is the ~ovemb~r 20lLMoney Distribution Report for the Justice of the Peace, Precinct 5 Court. faxina 8. Pa:ees includini this cover. 12/aS/2a11 16:17 361-983-2461 CALHOUN CO PCT S PAGE a2 12/05/2011 Money Diatribut10n Report Pltge 1 JUDGE NANCY - NOVE"IER 2Cn1 REPORT --------....- --- ---------------------------.-------------~-------------------- Receipt '.ute/Defendant I Code AIIOUnt COde A..utlt Code AMr;Junt Code A~nt I Code A~t I Code Amount I Total 0374334 11-10-0215 I JSP I I I 11...01-2011 4.00 tec 40.00 CHS 4.00 IIRHT 50.00 I TF 4.00 I JPAY 6,00 I 565.00 HICKS, CHRISTI I IDF 2.00 FINE 455.00 I I I JeUCred1t I I I I 0314335 11-11-0292 11-01-2Cn1 I JSf 4.00 Tft 3.00 tec 40.00 CHS 4.00 I SAF 5.00 I TF 4.00 I 113.00 KOPECKY, RAYMOND HENRV JR I JPAY 6.00 IIF 2.00 MYF 0.10 DSC 9.90 I SUBC lO.OO I JCPlF 5.00 I Money Ord.r I I I I 0374336 '1-11-0294 11..01.2011 I JSf 4.00 CCC 40.00 eHS 4.00 PWAF 5.00 I TF 4.00 I JPAY 6.00 I 90.00 "CIeA Y, THOMS KEVIN I IDF 2.00 PilI' 25.00 I I I Cah I I I I 0374337 11-11-0297 11-07-2011 I JSF 4.00 CCC 40.00 ctlS 4.00 PUAf 5.00 I TF 4.00 I JPAY 6.00 I 315.00 NGO, SOH Due I Uf 2.00 !"VI' 250.00 I I I 1640 P.,..onal Check , 4.00 I TFC I I I 0374338 11-11-0293 11..01-2011 JSf 3.00 cee 40.00 CHS 4.00 I SAF 5.00 I TF 4.00 I '113.00 FONDREN, ~RY FRANCES JPAV 6.00 101' 2.00 I MYF 0.10 Dse 9.90 SUBe 30.00 I JCMF 5.00 I 1615 P.r-.onal Chec:k I I 0374339 11-08-0260 11-07-2011 FINE 102.00 I 102.00 CARRILES, ROBERT JR. r ca. S.rvice I 0374340 05-11-0337 11-07-2011 FINE 120.00 I 120.00 CARRILES, ROBERT JR. I co.t Service I 0374341 11-1o-OZ89 11-01-2011 JSF 4.00 ccc 40.00 CHI 4.00 'IIAF 5.00 TF 4.00 JPAY 6.00 I 265.00 HUNT~R, LEROY KINKAID 11 IDI' 2.00 "', ZOO. 00 I C..n D37~ 11-D9-0273 11-0&-2011 JSF 4.00 tee 40.00 CHS 4.00 PilAf 5.00 TF 4.00 JPAY 6.00 315.00 CHAPPELL, ALEXANDRR BRADSHAW IDr 2.00 FINE 250.00 1010n COGlpIIny Check 0374343 11-11w0298 11-oe-.Z011 JSF 4.00 eee 40.00 titS 4.00 PYA" 5.00 TF 4.00 JPAY 6.00 165.00 DRINKARD, DAVID BURL IDF 2.00 'WI' 100.00 3160 Peraonal check 0374344 11~09-0Z76 11-09-2011 JSF 4.00 tee 40.00 CHS 4.00 T' 4.00 JPAY 6.00 IDF 2.00 190.00 JONEs, TODD C FINE 130.00 COllIlIl Service 0374345 11-11-0299 11-09-2011 JSF 4.00 I tee 40.00 CHS 4.00 SAF 5.00 TF 4.00 JPAY 6.00 120.00 WAGNER, ROBERT E IDF 2.00 I FINE 55.00 I I Credi t Card I I I I 0374346 11-100-0287 11-14-2011 I exit I' 20.00 I I I 20.00 PARKER, GREGORY ALLEN I I I I P*rtonel theok I I I I ~74347 11.09-0271 11-15-2011 I JSf 4.00 I TFt 3.00 tee 40.00 CHS 4.00 I LA' 5.00 I TF 4.00 185.00 "lTZ"ER, JOHANNA MARILYN I JPAY 6.00 I IDF 2.00 MY, 0_ 10 J:IHE 81.90 I SUBe 30.00 I JCMF 5.00 lIoney Order I I I I 0374348 11-10-2090 1'-22-2011 I JSF 4.00 I cte 40.00 CHS 4.00 IIWA' '.00 I Tf 4.00 I JPAY 6.00 165.00 VU, DUNG THANH I IDI' 2.00 I "", 100.00 I I Ilone)' Order 20.00 I I I 0374349 11-11--0306 11-22-2011 I AnA I I 20.00 TOLBERT, BRIAN ANDREW I I I I 1587 Per.on.~ tneok I I I I 0374350 11-06-0190 11-23-2011 I ,,,, 15.00 I I I "'.00 IULL1AMS, GREGORY I I I I Ce.h I I I 0374351 11-11-0311 11-i29--2011 I JSF 2.35 I TFt 1.76 cee 23.50 C!fS 2.55 I LA' 2.94 I TF .1.35 40.00 $AENZ, STEVEN J. I JPAV 3.52 I IDF 1.11 MVF 0.06 I I C.sh I I , I 12/65/2611 16:17 361-983-2461 CALHOUN CO peT 5 PAGE 63 12/05/2011 Money Distribution Report JUDGE NANCY - NOVEMBeR 2011 ~epORT Page 2 ---.-.---..-------------- ReGe1pt c.use/Defendant I Code AIlOlM\t COM Mount I code A80unt I Code AllaUnt I COde AllClUftt I Code Amount I ToUl I JSf I I I I I 0574352 11-11-0307 11-29-2011 4.00 Tft 3.00 I tec 40.00 eHS 4.00 I LA' 5.00 I Tf 4.00 I 103 .10 GUEVARA, JOHN MANUEL I JPIoY 6.00 IDF 2.00 I MYF 0.10 I SUBe 30.00 I JeMF 5.00 I I ~ey Ord.r I I I I I I 0374353 11-11-0295 11-29-2011 I JI' 4.00 cce: 40.00 I CHS 4.00 I NAF 5.00 I TF 4.00 I JPAY 6.00 I 165.00 BRACKMAN, CO~Y DALE II/)' 2.00 'IIF 100.00 I I I I 1 OUshier'. Check I I I I I I 0374354 11-11-o2H 11-29-2011 JSF 4.00 cee 40.00 I CHS 4.00 I NAF 5.00 I TF 4.00 I JPAY 6.00 I 365 .00 00, VlET THAN I IDF 2.00 PWF 300.00 I I I I I Cashier'. Check I I I I I I 037435' 11-11-0315 11-30-2011 I JSF 3.06 tee 30.77 I CHS 3.08 I PilAF 3.85 I TF 3.08 I JPAY 4.62 I 50.00 SALtINES, JUAN JACE I lOP 1.54 I I I I I ClIlh I I I I I ----------_.---------_._-------~---- 12/05/2011 16:17 361-983-2461 CALHOUN CO PCT 5 PAGE 04 12/05/2011 Maney Di.tribution Report Page 3 JUDGE NANCY - NOVEMBER 2011 REPORT --- --....------------ --------.......----...-------- 1M followino totala rep"eeent - Ca.h 1M thecn COllected Type Coda Description COUnt Reta1ned D1aburaed Money-T01:8la The follow1na total. represent - Cash end Check. Collected COST tee CONSOLIDATED COURT COSTS '4 53.43 480 .84 534.27 COST CHS COURTHOUse SECURITY 14 53.43 0.00 53.43 COST 10' INDIGENT DEFENSE FUND '4 2.67 24.04 26.71 COST JPAY JUDGE PAY RAISE FEE 14 8.01 72.13 80.14 COST JS, JUROR SERVICE 'UND 14 '.S4 48.07 53.41 COST LA, SItEIUFF'S FEE 3 12.94 0.00 12.94 COST MVF "OVING VIOLATION FaE 5 O.OS 0.41 0.46 COST PilAF TEXAS PARKS I WILDLIFE 9 55.08 8.n 43.85 COST SAF f)PS 2 8.00 2.00 10.00 COST TF TECHNOLOGY 'UNO 14 53.43 0.00 53.43 COST TFC TFt 5 13.76 0.00 13.76 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 fEES AFDA ADM 'EI- DISMISSAL- ALL OTHERS 1 1O.00 0.00 ZO.OO FEES Dse DRIVER SM!TY COURSE 01/2008 2 19.80 0.00 19.80 FEES EXIF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00 FeES JCMF JUVENILE CASE MANAGER FfE 4 20.00 0.00 20.00 FEES SUBC SUB TlTU C 4 6.00 114.00 120.00 FINe FINli FINE 2 U1.90 0.00 331.90 FJNE ,WF PARKS I WILDLIFE FINE 8 163.50 926.50 1,090.00 Money Totala 17 127.34 1,676.76 2,504.10 The following totala r~~e.ent - Tran.fer. Collected COST cte CONSOLIDATEP COURT COSTS 0 0.00 0.00 0.00 COST CMS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST Ill' INDIGENT DEFENSE FUND 0 0.00 0.00 0,00 COST JPAY JUDGE PAY RAJSE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COS1' LAF SHERIFF'S FEE 0 0.00 0.00 0.00 COST MY, MOVING VIOlATION ne 0 0.00 0.00 0.00 COST PilAF TEXAS PARKS & WILDlIF~ 0 0.00 0.00 0.00 COST SA' PPS 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC 1FC 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES AFDA AOft 'EE- D1SMISSAl- ALL OTHERS 0 0.00 0.00 0.00 FEES DSC DRIVER SAfEl'V COURSE 01/2008 0 0.00 0.00 0.00 ,ees EXR' EXPIRATIoN RENEWAL FEE 0 0.00 0.00 0.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FEES suat sue TITLE C 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FlNE PW' PARKS . WILDLIFE FINE 0 0.00 0.00 0.00 Tran.fer Totel. 0 0.00 0.00 0.00 The fol Lowi"ll totela repre..nt - Jail Credit .nd ColIlIun11:)I service 12/aS/2011 16:17 361-983-2461 CALHOUN CO PCT 5 PAGE a5 12/05/2011 ~ey Di.tribution Report Page 4 JUDGE NANCY - NOVEMBER 201' REPORT ------- ______..-__r ---....--.-------.....---.----..----...--.... The 1ollow1ng total. ~re.ent - Jail Crtdit and C~n1ty Service Type Code De8crtption COUnt Reteined Di.IxJ"'~ Naney-Tota~. COST eee CONSOlIDATED COURT COSTS 2 8.00 n.oo 80.00 COST CHS COURTHOUSE SECURITY 2 8.00 0.00 8.00 COlT IDf INDIGEMT DEflNSE FUND 2 0.40 3.60 4.00 COaT JPAY JUDGE PAY RAIse FE! 2 1.20 10.80 12.00 COST .ISF JUROR S~RVICE fUND 2 0.80 7.20 8.00 CoST LAF SHERIFF.S FEE 0 0.00 0.00 0.00 COST "VF ftOV1HG VIOLATION fEE 0 0.00 0.00 0.00 COST NAF TEXAS PARKS I WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 0 0.00 0,00 0.00 COST TF TECHNOI-OGY FUND 2 8.00 0.00 8.00 COST TFe TFC 0 0.00 0.00 0.00 COST WRNT WARIWIT fiE 1 50.00 0.00 so. 00 FEIS AFDA AD~ FEE- DISMISSAL- ALL OTHERS 0 0.00 0.00 0.00 FEES DSC DRIVER SAFIETY COURSE .01/2Cb8 Q 0.00 0.00 0.00 Fees EXRF EXPIRATION RENEWAL FEe 0 0.00 0.00 0.00 FEES JtMF JUVENILE CASE WAGER FEE 0 0.00 0.00 0.00 FEES IUBC SUB rlTLE C 0 0.00 0.00 0.00 fUeE nHE FINE 4 807.00 0.00 807.00 FINE PWF PARKS I WILDLIFE FINE 0 0.00 0,00 0.00 credit Totelo 4 883,40 93.60 971.00 The 10llawing totals repr.sent - C~ed1t card Pa~nt. COST cce CONSOLIDATED COURT COSTS 1 4.00 36.00 40.00 cost CHS COURTHOUSE SECURITY 1 4.00 0.00 4.00 COST IDF INDIGENT DEFENSE FUND 1 0.20 1.80 2_00 COST JPAY JUDGE PAY RAISE FEE 1 0.60 5.40 6.00 COST JSF JUROR SERVICE FUND 1 0.40 3.60 4.00 eon LAF SHERIFF'S FEE 0 0,00 0.00 0.00 COST PlVF MOVING ViOLATION fEE 0 0.00 0.00 0.00 COST PWAF TexAS PARKS . WILDLIFE 0 0.00 0,00 0.00 COST SAF DPS 1 4.00 1.00 5.00 COST TF TECHNOLOGY 'UNO 1 4,00 0.00 4.00 COST TFC TFC 0 0,00 0.00 0.00 COST WRNT WARIWIT 'EE 0 0.00 0.00 0.00 fEES AFDA ADM 'IE- DIS"!SSA~- ALL OTHERS 0 0.00 0.00 0.00 FEES Dse DRIVER SAFETY toURSE 01/2008 0 0.00 0.00 0.00 FEES eXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 'EES JC"F JUVENILE CASE MANAGER FEe 0 0.00 0.00 0.00 FEES suee sua TITLE e 0 0.00 0.00 0.00 FINE fiNE fINE , 55.00 0.00 55.00 FINE PWF PARkS' WILDLIFE FINE 0 0.00 0.00 0.00 Credit Totals 1 12.20 47.80 120.00 The following totals represent - COMbined flone)' and cr~it. COST cee CONSOLIDATED COURT COSTS 17 65.43 588.14 654.27 12/a5/2a11 16:17 361-983-2461 CALHOUN CO PCT 5 PAGE a6 12/05/20'11 Mohey Dtatrtbutton Report paae 5 JUDGE NAHCY - MOVEMBEIl 2011 REPORT ------...--------- ~.----------------------------_.~----- Th* follow1ng tot.t. repre.ent . eOlllbtned Money and crldtu Type Code o.acription Count Retatnld Disbur.ed ItQney-Tottll. COST CHI COURTHOUSE SECURITY 17 6S.4! 0.00 6S.4! COST IDF INDIGENT DEFENSE FUND 17 1.27 29.44 32.71 COST JPAY JUDeE PAY RAISE FEE 17 0.81 88.33 98.14 COST JSF JUROR SERVICE FUND 17 6.54 '0.a7 65.41 COST LAF SHERIFF'S FEE 3 12.94 0.00 12.94 COST MVF fIOVING VIOLATION FEE 5 0.05 0.41 0.106 COST PWAF TEXAS PARKS . WILDLIFe 9 35.08 8.17 43.85 . COST SAF OPt 3 12.00 3.00 15.00 COST TF TECHNOLOGY FUND 17 65.43 0.00 65.43 COST TFC TFC 5 13.76 0.00 13.76 COST WRNT WAltHAMT FEE 1 50.00 0.00 50.00 FEES AFDA AI)M FEE- DISMISSAL- ALL otHERS 1 20.00 0.00 20.00 FEES DSe DRIVER SAFETY COURSE 01/2008 2 19.80 0.00 19.80 FEES EXRF EXPIRATION RENEWAL FEe 1 20.00 0.00 20.00 FEES JC"F JUVENILE CAse "ANAGER FEE 4 20.00 0.00 20.00 FEES SUIt sue TITl..E c: 4 6.00 114.00 120.00 FINE FINE FINE 7 1,193.90 0.00 1,193.90 FINE PWF PARKS I WILDLIFE FINE 8 163.50 926.50 1,090.00 Report Totala 22 1,712.94 1,818.16 3..601.10 12/05/2ell 16: 17 361-983-2461 CALHOUN CO PCT 5 PAGE 07 12/05/2011 Money Distribution ~eport PlIge 6 JUDGE NANCY - HOVE"8ER 2011 REPORT --------.- ------ -----------------------.-------------------.-- ~ATE PAY"ENT~TYPE fiNES COURT-COSTS feeS BONDS RESTITUTION OTHER TOTAL JO-CXHJOClO Ca.h & Cheek. collacted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credit. & COMa Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cerds & Tren_far. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TQtal of all COllection.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 )9-01-1991 C..h & Checks CoLLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 J.,t Credite . eo.. Servioe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cerda I T"en_fers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOtal 01 III cotleotion. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 eeah & chacki colLected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jlil Credit. & ca.a servica 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit cerda & Trensfers 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 Ca~h & Checka COllected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JaiL credit. I C~ Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit c.rda & Tr~sfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 To~.l of .Ll coLLections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ~1-1997 cash I Chec:ka Collec~ed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail C"edit. & Con. sa"vice 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit c.~. . Tranafert 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of aU collaction. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D9-O'I-1999 Cash & Checks Collec~ed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JaiL Credits' co.. Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 credit terda & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of aLl CoHectionl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 C.,h . checks Colleoted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credit. I C~ S.rvice 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Card. & Tren.fer. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TotlL of all CoLlections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09--01-2003 cash I Check. Collec~ed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jeil Credits I e~ Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit cerda & Transfars 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TQtal of ell Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash . Checka CoLlected 1,421 .90 882.40 199.110 0.00 0.00 0.00 2,504.10 Jail Credits I e~ Service 807.00 170.00 0.00 0.00 0.00 0.00 971.00 Credit Cards & Trensfers 55.00 65.00 0.00 0.00 0.00 0.00 120.00 Total of all Collection. 2,283.90 1,117.40 199.80 0.00 0.00 0.00 ',601.10 TOTALS C.sh & Check. COllected 1,421.9Q 882.40 199.80 0.00 0.00 0.00 2,504.10 Jail C"edita I Coma Servic:e 807.00 170.00 0.00 0.00 0.00 0.00 977.00 Cr~it Card. I Tren.far. 55.00 6',00 0.00 0.00 0.00 0.00 1Z0.oo TotaL 01 ell CoLLections 2,283.90 1,117.40 199.80 0.00 0.00 0.00 3,601.10 '- 12/05/2011 16:17 361-983-2461 CALHOUN CO PCT 5 PAGE 08 12/05/2011 ~ey D1atribution Report page T JUl)G~ NAHCY - NO'IEteER 2011 REPORT ------- ....------..--- ...... ____"Il... -------_.-------~---------------------- DATE PAYttENT-TYPE fiNES COURT-COSTS FEES BONDS RESTITUTION OTHER TOTAL state of Texas Quarterly Reporting Totala Description caunt COllected Retai n_ Otabur.ed State Co~troller Coat .nd F... Report Section 1: Report for Offen,es COMitted 01-01-04 FOnlerd 1S 574.21 57.43 516.84 09-01-01 - 12-31-03 0 0.00 0.00 0.00 0&-31-99 - 08-31-01 0 0.00 0.00 0.00 09-01-97 - 08-30-99 0 0.00 0.00 0.00 09-01-91 - 0&-31-97 0 0.00 0.00 0.00 Bai l Bond flee 0 0.00 0.00 0.00 DNA T..ting F.. - Convictions 0 0.00 0.00 0.00 DNA Telting Fee - co.. Supvn 0 0.00 0.00 0.00 DNA Te8ting f.. - Juvenile 0 0.00 0.00 0.00 IM$ Trau.. fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Div....ion Fe.. 0 0.00 0.00 0.00 Jury Rei.our.eaent Pee 1S 57.41 5.74 51.61 Indigent Defen.. Fund 15 28.71 2.87 25.84 Moving Violation Feel 5 0.46 0.05 0.41 State Traffic Fine 4 120.00 6.00 114.00 section 11: As Applicable Peace Officer F... 12 58.85 47.08 11.77 F.ilure to AppI.r/Pay ,... 0 0.00 0.00 0.00 Judicial Fund - Const County Court 0 0.00 0.00 0.00 Judici.l Fund - It.tutory county Court 0 0.00 0.00 0.00 Kotor C.rrier Weight Violations 0 0.00 0.00 0.00 T1.. pay-.nt Fee, 0 0.00 0.00 0.00 Oriviog Rec:ord fee 0 0.00 0.00 0.00 Judici.l Support Fee 15 16.14 8.61 77.$3 Report Sub Total 81 925.84 127.78 798.06 State eo.ptroll.r CiVil Fee. Report CF: Birth C.rtific~t. F..s 0 0.00 0.00 0.00 CF: Marriage License Fee. 0 0.00 0.00 0.00 CF: Declaration of lnfo~l Marriage 0 0.00 0.00 0.00 Cf: Nondi.cloeur. feel 0 0.00 0.00 0.00 CF: Juror ~tion& 0 0.00 0.00 0.00 CF: Ju,tice COUrt Indig Filing FI.I 0 0.00 0.00 0.00 CF: Stat 'rob CQUrt Indig Filing F... 0 0.00 0.00 0.00 CF: st.t 'rob COUrt Judie Filing 'ee, 0 0.00 0.00 0.00 CF: stat Cnty Court Indig Filfng Fee. 0 0.00 0.00 0.00 CF: Stat Cnty Court Judie Filing Fte. 0 0.00 0.00 0.00 CF: Cnlt tnty Court Indig ,iling Fee. 0 0.00 0.00 0.00 CF: Cn.t Cnty Court Judio Fil1na F... 0 0.00 0.00 0.00 CF: Diat Court Divorce' f..1ly L~ 0 0.00 0.00 0.00 CF: Di.t tourt other Divorc./F..ily law 0 0.00 0.00 0.00 CF: 01.t COUrt Ind1g Lepl Service. 0 0.00 0.00 0.00 CF: Judicial Suppo~ Fee 0 0.00 0.00 0.00 Report Sub Totll 0 0.00 0.00 0.00 Totel Du. For thi. Period 81 9Z' . 84 127.78 798.06 APPROVAL OF BILLS: Claims totaling $1,321,295.25 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 all bills and that said claims be approved for payment. Claims totaling $2,398,817.28 were also presented by Memorial Medical Center and after reading and verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Galvan to approve all Memorial Medical Center bills and that said claims be approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor for all bills. 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"" Vl '" N Vl '" 00 '" ~ t: Vl :;;: 00 () (il ~ o o o o o o December 22, 2011 2011 APPROV AL LIST 44 COMMISSIONERS COURT MEETING OF 12/22/2011 BALANCE BROUGHT FORWARD FROM PAGE 43 $ 580,580.70 FICA P/R $ 30,452.34 MEDICARE P/R $ 8,646.52 FWH P/R $ 30,983.75 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 5,474.96 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 3,395.61 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 104,622.32 TMPA P/R $ 378.00 UNITED WAY P/R $ 15.00 ALLIED WASTE AP $ 567.96 AMAZON AP $ 252.97 ATT AP $ 187.23 A TT MOBILITY AP $ 41.28 CABLEONE AP $ 408.02 CALHOUN COUNTY OPERATING FUND (FROM MM Ale) AP $ 450,000.00 CALHOUN COUNTY NA VIGA TION DISTRICT AP $ 1,499.54 'CC INDIGENT HEALTH CARE AP $ 50,000.00 CENTERPOINT AP $ 1,287.83 CPL AP $ 84.80 CREDIT CARD CENTER AP $ 3,288.28 DELAGE LANDEN PUBLIC FINANCE AP $ 183.06 DEWITT POTH AND SON AP $ 350.00 GUADALUPE BLANCO RNER AUTHORITY AP $ 140.71 INTERMEDIX AP $ 13,679.70 KRONBERGS AP $ 179.00 LADONNA THIGPEN AP $ 91.59 PITNEY BOWES AP $ 465.00 POC MUD DISTRICT AP $ 31,843.26 PRINCIPLE LIFE INSURANCE CO. AP $ 106.80 RELIANT ENERGY AP $ 1,157.25 SHELL AP $ 104.48 SUNCOAST AP $ 279.42 TISD AP $ 252.40 VERIZON AP $ 295.47 VICTORIA ELECTRIC CO-OP AP $ 456.18 WASTE MANAGEMENT AP $ 2,058.54 WCID #1 AP $ 401.1 7 "'- TOTAL AMOUNT FOR APPROVAL $ 1,321,295.25 f- '" :J ....l <(0 {/J~S ~g:~ fol~5 r:1~ ~;g<( ;z ,S !Xl ~g~ o ;g p-. u e ~ ;zf-d :=JtZ o Oll~ :="'> -1::lo <( '7 U~O cO ., N 0'" ] en o p-. 0: '" ... E.8 B s o ::l OZ ... :a e U 00 '00 vi 0-- ..... - :.0 ., o c: ,S C. 'i: <.> ~ c: ,S g '" c: '" ~ o 5 ~ of-o ~ffi~ N;.;E....l >-:>-....l COco f-....lf- zP-...... ~;.;Eu .wtt: UZ~ u;:JQ I"- 0\ ,... "" ~\O !::!~[j Q1;O~ p-'f- ......'" uo UUU l"- v; N 00 00 00 or; o 5 1= ~ o ~ o U x o ~ ~ o "" o "" VI en '" :::1 p-. p-. o en ;;; '" 0: o U o f- o ::c "" N \0 N VI N '" C/) <( CI:l v; "" 0\ 00 N 0\ o o "*' ~ '~ Q~ P-.f- ......<( ~~ '00 ~ \0 "" d u '" o ~ '" > '" !Xl <( ;:J 0- <( o 00 0-- "" VI o Z 1= ~ '" P-. 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M ., ~ 0 Z Z Z Z Z Z Z Z Z Z 0 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ..--- December 22.2011 MEMORIAL MEDICAL CENTER OPERATING FUND MEMORIAL MEDICAL CENTER WEEKLY CHECKS Date Approved bv County Auditor (See attached lists) 11/14/2011 Weekly Payables 11/17/2011 Weekly Payables 11/17/2011 Patient Refunds 11/21/2011 Weekly Payables 11/21/2011 Patient Refunds 12/1/2011 Weekly Payables 12/1/2011 Patient Refunds 12/7/2011 Weekly Payables 12/7/2011 Patient Refunds 12/15/2011 Weekly Payables 12/15/2011 Weekly Payables 12/16/2011 Patient Refunds Total Payables and Patient Refunds MEMORIAL MEDICAL CENTER PAYROLL Date of Pavroll Run & Date Liability Called In (See attached lists) 11/21/2011 Net Payroll 11/28/2011 Net Payroll 11/29/2011 Payroll Liabilities 12/6/2011 Net Payroll 12/7/2011 Net Payroll 12/8/2011 Net Payroll 12/9/2011 Net Payroll 12/13/2011 Payroll Liabilities Total Net Payroll & Payroll Liabilities $ 7,339.64 1,013,899,88 1,423,54 122,099.53 595,34 235,535,19 1,940,41 215,703.07 138.40 42,598.00 133,625.71 402,72 216,673,61 60,58 70,840,92 213,702,83 462,07 1,368,57 61,98 69,992,86 $ 1,775,301.43 $ 573,163.42 ~q~NDIT..0;r~I![(:)J~E~:r,ING1F..UNO 2I3l8r.4_6~!8_5j TOTAL INDIGENT HEAL THCARE FUND EXPENSES Total brought forward from next page $ 61,606.95 mp.p.~0~ED]INDIGEN;riHE~lloliHC~~E(F..U~D]EXP.E~SES_1352r.431 '",,-- 1~~~[)lTl0l1!~L"BI-l!l!Sl~P'P'ij0ZE[).lt2/22/20.i1i1 $R;398T8}7!.28]~ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- December 22.2011 INDIGENT HEAL THCARE FUND: INDIGENT EXPENSES Donald Breech MD PA Coastal Medical Clinic Community Pathology Associates HEB Pharmacy (November) Memorial Medical Center (Out-patient $9.267,57 ER $7,681,24 In-patient $35,360,40) Port Lavaca Clinic Refund from Port Lavaca Clinic Radiology Unlimited PA 510.45 224.28 44.90 306.69 52,309.21 1,754.59 (352.43) 164,38 SUBTOTAL 54,962.07 Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Port Lavaca Clinic Refund from Above 6,292.45 352.43 ITOTAL INDIGENT HEAL THCARE FUND EXPENSES 61,606.95 I -Difference Absorbed by Memorial Medical Center 11,254.52 -$170 in Co-Pays were collected by Memorial Medical Center in November @IHS Source Totals Report Issued 12/08/2011 " Source Description Calhoun Indigent Health Care 11-1-11 through 11-30-11 For Vendor: All Vendors Amount Billed Amount Paid 01 Physician Services 02 Prescription Drugs 05 Lab/x-ray 08 Rural Health Clinics 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills 7,609.00 311.05 330.00 1,540.00 47,115.80 18,913.40 15,676.00 1,675.22 306.69 44.90 978.48 35,360.40 9,267.57 7,681.24 Expend itu res Reimb/Adjustments 91,510.38 -15.13 55,329.63 -15.13 Grand Total 91,495.25 55,314.50 $1,413,128.01 $ 44.0 'bg,q g APPROVED ~ BY DEe 1 9 2011 CALHOUN COUNTY AUDITOR ~vU uv..e?l/J (;tJ~ Calhoun County Indigent Coordinator 2011 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Jan 7 22 Pending Feb 10 152 9 13 17 Mar 32 156 33 26 Apr 8 153 19 May 28 164 6 19 16 Jun 149 25 21 23 Jul 1 146 19 5 Aug 1 140 13 39 Sept 2 108 2 43 32 Oct 8 79 11 15 27 62 Nov 7 16 8 21 47 Dec 15 I yrD 106 225 I 244 1356 44 I j I I I ".. ... 1000-001-46010 Nov. Interest 0.00 COUNTY AUDITOR APPROVAL ONLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. APPROVED BV DEPARTMENT HEAD DATE I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIG~ION. BY: ~ 12 16 11 DEPARTMENT HE DATE DEe 1 9 2011 CALHOUN COUNTY AUDITOR ..... 0.00 $50,000.00 MEMORIAL MEDICAL CENTER Port Lavaca, Texas MANUAL JOURNAL ENTRIES MONTH OF NOVEMBER, 2011 Page of Debit Credit Acct # JE# Description Check # Amount Amount 10255000 Indiaent Healthcare 6,292.45 40450074 Reimbursement - Calhoun Cty 4,759.62 .; 40015074 Benefits - FICA 221,81 J 40025074 Betiefits::FUTA ..........-.....-"....-... .-.................. , ,- ..---.-" ...................... .........-.-.....-..--.--........-..-.-... ----'-----5:08-- ) 40040074 Benefits - Retirement 236.43 ./ 60320000 Benefits - Insurance 856.73 40220074 Supplies - General - 40225074 Supplies - Office 0.83 1/ 40230074 Forms - 40610074 Continuina Education - 40510074 Outside Services - 40215074 Freiqht - 40600074 Miscellaneous 211.95 I B;'v...... UtI..: 10 .lUn CALHOUN COUNTY . TOTALS 6,292.45 6,292.45 EXPLANATION FOR ENTRY REVERSING: YES NO~ JE#~ Indigent Healthcare Program Incurred by MMC NOVEMBER, 2011 'Indigent H'eare Coordinator Salary # 40450074 # 40450074 # 40450074 ( # 40000074 ) (# 40000074 ) ,,_____,_____________,_________,,__,_,______,__J_tJ:AQQ1,Q,914"},,.. 3-Nov 17-Nov 2,391.06 2,368.56 "'.."."'-.-"""""'."-,.""'--r~~~~;;r---"."" 236.431 Benefits: #40040074 FICA # 40015074 3-Nov 111.76 # 40015074 17-Nov 110.05 # 40015074 I 221.81 1 FUTA 3-Nov 2.56 17 -Nov 2.52 I 5.oal Other Benefits (18 %) # 63200000 I 856.731 General Supplies # 40220074 I Office Supplies # 40225074 I 0.831 Forms #40230074 I Continuing Education #40610074 I Outside Services #40510074 I Freight #40215074 I Travel #40600074 ~ 211.95 f .;... RUN DATE: 12/12/11 MEMORIAL MEDICAL CENTER PAGE 1 TIME: 14:14 GL DETAIL REPORT - COST CENTER SEQUENCE GLGLDC FOR: 11/01/11 - 11/30/11 ACcr NUMBER & DESC DATE MEMO REFERENCE JOURNAL CS# /BAT / SEQ AcrIVITY BALANCE 40000074 SALARIES REG PROD -CALHOUN C 40000074 SALARIES REG PROD -CALHO BEGINNING BALANCE AS OF: 11/01/11 48,160.06 11/01/11 REVERSE ACCRUAL PR 19 2391 359 -1,800,37 11/03/11 PAY-P, 10/21/11 11/03/11 PR 19 2394 40 2,206. 74 ~ 11/17/11 PAY-P.ll/04/11 11/17/11 PR 19 2404 41 2,295.12V 11/30/11 Accrual--Days" 13 PR 19 2404 363 2,131.22 11/30 AcrIVITY/END BALANCE 4,832.71 52,992,77 , , . "'4000 50'1 H3ALARIBS-OVER'l'IM.-..".,------BEGHWING.AND-ENDING-BALANCE:, ......... ._...... .....n.. '31;92 40010074 SALARIES PTO/EIB - CALHO BEGINNING BALANCE AS OF: 11/01/11 3,659.75 11/01/11 REVERSE ACCRUAL PR 19 2391 449 -72.38 11/03/11 Auto PR Bene Accrual Re PR 19 2390 83 -900.48 11/03/11 Auto PR Bene Accrual PR 19 2393 81 888.18 ,/ 11/03/11 PAY-P.I0/21/11 11/03/11 PR 19 2394 85 184.32 11/17/11 Auto PR Bene Accrual Re PR 19 2393 83 -888.18 11/17/11 Auto PR Bene Accrual PR 19 2403 81 986.75 11/17/11 PAY-P.11/04/11 11/17/11 PR 19 2404 92 73 .44 ,/ 11/30/11 Accrual--Days" 13 PR 19 2404 465 68.25 11/30 AcrMTY/END BALANCE 339.90 3,999.65 40015074 FICA -CALHO BEGINNING BALANCE AS OF: 11/01/11 79,44 11/01/11 REVERSE ACCRUAL PR 19 2391 629 -70.84 11/01/11 REVERSE ACCRUAL PR 19 2391 689 -16.61 11/03/11 PAY-P .10/21/11 11/03/11 PR 19 2394 328 21.18v 11/03/11 PAY-P.I0/21/11 11/03/11 PR 19 2394 358 90.58 v 11/17/11 PAY-P,l1/04/11 11/17/11 PR 19 2404 504 20,86 / 11/17/11 PAY-P.11/04/11 11/17/11 PR 19 2404 534 89.19 ./ 11/30/11 Accrual--Days" 13 PR 19 2404 643 82.81 11/30/11 Accrual--Days" 13 PR 19 2404 703 19.37 11/30 ACTIVITY/END BALANCE 236.54 315.98 40025074 Fill -CALHO BEGINNING BALANCE AS OF: 11/01/11 6.77 11/01/11 REVERSE ACCRUAL PR 19 2391 749 -1.98 .I 11/03/11 PAY-P .10/21/11 11/03/11 PR 19 2394 388 2.56 11/17 /11 PAY-P .11/04/11 11/17/11 PR 19 2404 564 2.52 ,/ 11/30/11 Accrual- -Days" 13 PR 19 2404 763 2.34 11/30 ACTMTY/END BALANCE 5.44 12.21 40040074 RETIREMENT -CALHO BEGINNING BALANCE AS OF: 11/01/11 84.53 11/01/11 REVERSE ACCRUAL PR 19 2391 807 -93.06 11/03/11 PAY-P.10/21/1111/03/11 PR 19 2394 418 119,02 v' 11/17/11 PAY-P.ll/04/11 11/17/11 PR 19 2404 594 117 ,41 j 11/30/11 Accrual--oays" 13 PR 19 2404 821 109,07 11/30 ACTIVITY/END BALANCE 252.44 336.97 RUN DATE: 12/12/11 TIMll: 14:14 MEMORIAL MEDICAL CIlNTER G1 DETAIL REPORT - COST CENTER SEQUENCE FOR: 11/01/11 . 11/30/11 ACCT NUMBER & DESC ' DATE MEMO 40225074 OFFICE SUPPLIES -CALHOUN C JOURNAL CSi/BAT/SEQ REFERENCE 40225074 OFFICE SUPPLIES -CALHO BEGINNllIG BALANCE AS OF: 11/01/11 11/30/11 AtrrO-TRAN/BXP . REPORT 000000 MM 89 401 45 11/30 ACfIVITY/END BALANCE 40450074 REIMBURSEMENT BEGINNING AND IlllDING BALANCE: 40600074 TRAVEL BEGINNING AND ENDING BALANCE: COST CENTER TOTAL: ENDING BALANCE GRAND TOTAL: GRAND TOTAL ACfIVlTY: RUN DATE: 12/15/11 TIME: 10:19 MEMORIAL MEDICAL CENTER GL SINGLE ACCOUNT DETAIL REPORT FOR: 10/01/11 - 10/31/11 ACfIVlTY .83 V .83 5,667.86 ACCOUNT NUMBER & DESCRIPTION DATE MEMO REFERENCE JOURNAL CSNUM BATCH SEQ. 40600074 TRAVEL -CALHOUN C BEGINNING BALANCE AS OF: 10/01/11 10/01/11 ADDL AP ACCRUALS 09/11 091104 10/12/11 VISA SEPT20ll 10/31 ACTIVITY/END BALANCE: JE PJ .00 ENDING BALANCE: 89 378 6 556 427 36 PAGE 2 GLGLDC BALANCE .00 .83 -49,417 ,36 211.95 8,484.92 5,667.86 PAGE 1 GLSAD AMOUNT 211,95 -211.95 211 , 95 211.95 211.95 .~ ~ t'~ t-1A1d'OJ-(~ . I H~ ~~"l~ ~ RUN DATE:12/15/11 TIME:15:10 PAGE 1 GLCKREG MEMORIAL MEDICAL CENTER CHECK REGISTER 11/14/11 THRU 11/14/11 BANK - -CHECK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - -- CODE NUMBER DATE AMOUNT PAYEE A/P 146031 11/14/11 TOTALS: 7,339.64 LOWE'S HOME CENTER - VI 7,339.64 APPROVED BV DEe 1 5 2011 CALHOUN COUNTY AUDiTOR ....... fitJJ () I{- /)..- (i-II RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 1 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... . NO-PAY. ...... .NET 10032 PHILIPS HEALTHCARE SUPPLIES lCU 923377616 110811 102811 112711 50.40 .00 50.40/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 50.40 .00 50.40 10172 US FOOD SERVICE SUPPLIES DIETARY 5870762 110811 110311 112311 3352.97 .00 3352.97 v' SUPPLIES DIETARY 3062418 111111 110811 112811 80.88 .00 80.88 v' SUPPLIES DIETARY 5668242 111511 102111 111111 23.77 .00 23.77'/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3457.62 .00 3457.62 10298 HITACHI MEDICAL SYSTEMS SRV CONTRACT MRI PJIN0030752 110811 101711 112511 9166.67 .00 9166.67 ./ TOTALS....................................... : 9166.67 .00 9166.67 10350 CENTURION MEDICAL PRODUCTS SUPPLIES CS INVENTORY 90871007 103111 102411 112311 672.08 .00 / SUPPLIES CS INVENTORY 90875319 103111 102811 112711 142.50 .00 672.08 / 142.50 TOTALS. . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . . . . . : 814.58 .00 814.58 10363 LEIGH ANN FALCON FINAL REVENUE GUARAmEE 23570 111511 111411 111711 47055.00 .00 47055.00 TOTALS. . . . . . . , . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . : 47055.00 .00 47055.00 10368 DEWITT POTH & SON 41.07/ OFFICE SUPPLIES ADMIN 310791-0 111111 110711 111511 41. 07 .00 OFFICE SUPPLIES PFS 310836-0 111111 110711 111511 20.94 .00 20.94 ./ OFFICE SUPPLIES CS INVENT 311102-0 111511 110911 111511 131.04 .00 131. 04 ,,/ TOTALS..... If...........,.... 11.1........ II..: 193.05 .00 193.05 10441 MMC EMPLOYEE BENEFITS 10310.00'/ WEEKLY CLAIMS BENEFIT 17971 111511 111511 111511 10310.00 .00 TOTALS...............................,....... : 10310.00 .00 10310.00 10488 GE HEALTHCARE IITS USA COR 4860.00/ LICENSE SERVER OB 030000017190 111511 102711 112711 4860.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4860.00 .00 4860.00 10528 RICK HART TRAVEL REIMBURSEMENT SETH 23570 111511 111311 111711 309.54 .00 309.54/ TOTALS.................................,..... : 309.54 .00 309.54 10533 ALERE NORTH AMERICA INC 6606.54/ SUPPLIES LAB 9001156219 103111 102511 112411 6606.54 .00 TOTALS....................................... : 6606.54 .00 6606.54 10536 MORRIS & DICKSON CO, LLC 2638.89/ PHARMACEUTICALS 2743300 110811 110111 112511 2638.89 .00 PHARMACEUTICALS 2743301 110811 110111 112511 6124.87 .00 6124.87/ PHARMACEUTICALS 2743608 110811 110111 112511 79.77 .00 79.771 PHARMACEUTICALS 2745293 " 110811 110111 112511 1.54 .00 1. 54 vi PHARMACEUTICALS 2745294 110811 110111 112511 219.63 .00 219.63/ RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 2 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET PHARMACEUTICAL 2752386 110811 110311 112511 209.46 .00 209.46 ./ PHARMACEUTICALS 2752387 110811 110311 112511 3716.93 .00 3716.93 ,/ SPLITBILL LIC FEE OCT 201 4196 110811 110111 112511 1000.00 .00 1000.00....... PHARMACEUTICAL CREDIT 4564 110811 110211 112511 -2189.30 .00 -2189.30/ PHARMACEUTICAL CREDIT 4586 110811 110211 112511 -103.48 .00 -103.48 ,/ PHARMACEUTICAL CREDIT CM95563 110811 110211 112511 -63.97 .00 Nt>"" M."'C', -63.9/ ?"" PHARMACEUTICALS 2763065 111111 110711 112511 389.66 .00 389.66 - PHARMACEUTICALS 2763066 111111 110711 112511 3222.11 .00 3222.11 ./ PHARMACEUTICALS 2766135 111111 110811 112511 .40 .00 .40 ../ PHARMACEUTICALS 2766136 111111 110811 112511 1237.66 .00 1237.66,,- PHARMACEUTICALS 2775893 111511 111011 112511 37.37 .00 37.37 ,,- PHARMACEUTICALS 2775894 111511 111011 112511 2290.12 .00 ' 2290.12/ PHARMACEUTICALS 2778725 111511 111111 112511 539.96 .00 539.96/ PHARMACEUTICALS 2785855 111511 111411 112511 341. 99 .00 341.99'/ PHARMACEUTICALS 2785856 111511 111411 112511 4794.97 .00 4794.97'/ PHARMACEUTICAL CREDIT 5067 111511 110311 112511 -2456.00 .00 - ~, 'i 51. .0& ~ PHARMACEUTICAL CREDIT CM99293 111511 111011 112511 -125.65 .00 -125.651 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 21906.93 .00 -ztm..9.3. QUI Cl'lO .i~ 10541 IPC, INC SUPPLIES LAB 129080 111511 102411 112411 125.91 .00 125.91 ~ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . to. . . . . . . . . . . . . : 125.91 .00 125.91 10554 ALLIED WASTE SERVICES #847 / WASTE PICKUP 0847-000397473 111111 102611 111511 1020.80 .00 1020.80 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . : 1020.80 .00 1020.80 10579 TRE TEXAS 125.50/ INSTRUMENT REPAIR TT013509 103111 102511 112411 125.50 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 125.50 .00 125.50 10599 BKD, LLP 1030.00 ./ ACCOUNTING SERVICES 086922 111511 102711 112711 1030.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . : 1030.00 .00 1030.00 10618 TEAM HEALTH MEDICAL CALL C EVALUATION CALLS BAl0764 111511 110811 110811 1459.50 .00 1459.50 ~ TOTALS......... It. ....... ... II.... II II II... II: 1459.50 .00 1459.50 10626 RAUSHANAH MONDAY 114.40/ FLEX SPEND REIMBURSEMENT 23571 111511 111411 111711 114.40 .00 TOTALS............. II.... ... If.. 11...1 II... II: 114.40 .00 114.40 10629 QUEST DIAGNOSTICS 17.70.1 OUTSIDE SRV LAB 9140900371 111511 102611 112511 17.70 .00 TOTALS....................................... : 17.70 .00 17.70 10632 JACKSON NURSE PROFESSIONAL 2304.00 ./ CONTRACT NURSE L&D 44051580 111511 110511 110511 2304.00 .00 TOTALS.........I..I..... ....... 11..1..... II..: 2304.00 .00 2304.00 10664 SAGENT PHARMACEUTICALS, IN 576.00 I PHARMACEUTICALS 221855 10311! 102511 112411 576.00 .00 RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 3 APOPEN VEND#.NAME~......................... .CLS.INVOICE#.'....... .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . : 576.00 .00 576.00 10668 ALLIED FIRE PROTECTION SA, ANNUAL FIRE INSPECTION SI276101 110811 102411 112311 300.00 .00 300.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 300.00 .00 300.00 A0400 AUREUS HEALTHCARE LLC 2474.0('" CONTACT LAB TECH 516929 111511 102711 112611 2474.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2474.00 .00 2474.00 A1292 PORT LAVACA HARDWARE DEPT REPAIR LAB W 65646 103111 102611 112511 8.99 .00 8.99/' TOTALS....................................... : 8.99 .00 8.99 A1360 AMERISOURCEBERGEN DRUG COR 10.74/ PHARMACEUTICALS W 037-200794 111511 083111 091011 10.74 .00 PHARMACEUTICALS 037-226235 111511 092011 101011 9.34 .00 9.34 ./ PHARMACEUTICALS 037-226236 111511 092011 101011 130.41 .00 130.41 J TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 150.49 .00 150.49 A1645 ALCON LABORATORIES INC REPLACEMENT LENSES M 12285300 110811 102811 112711 795.00 .00 795.00./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 795.00 .00 795.00 A1680 AIRGAS-SOUTHWEST MEDICAL GAS M 107037207 103111 102411 112311 243.39 .00 243.39 ,/ MEDICAL GAS 107050615 103111 102711 112611 2019.34 .00 2019.34 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2262.73 .00 2262.73 A1965 ARRT RADIOLOGY RENEWAL W 23568 111511 111411 111711 32.00 .00 32.00 .......- TOTALS....................................... : 32.00 .00 32.00 A2218 AQUA BEVERAGE COMPANY SUPPLIES LAB M 359529 111511 102111 112011 17.10 .00 17.10/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 17.10 .00 17.10 B0436 BARD ACCESS SUPPLIES CS INVENTORY 43259779 103111 102411 112411 134.75 .00 134.75/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 134.75 .00 134.75 B1075 BAXTER HEALTHCARE CORP PHARMACEUTICALS M 3274153 103111 102711 112611 276.90 .00 276.90/ SUPPLIES CS INVENTORY 32748422 103111 102411 112411 408.29 .00 408.29......... SUPPLIES CS INVENTORY 32784154 103111 102711 112611 364.56 .00 364.56 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1049.75 .00 1049.75 B1220 BECKMAN COULTER INC OUTSIDE SERVICES LAB M 102514304 103111 102411 112311 260.70 .00 260.70/ OUTSIDE SERVICE LAB 102514357 103111 102411 112311 260.70 .00 260.70,/' OUTSIDE SRV LAB 102523641 111511 102711 112611 5917.78 .00 5917.78/ ---.. RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 4 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET TOTALS. . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6439.18 .00 6439.18 B1375 BEST CHOICE MEDICAL EQUIP, SUPPLIES MED BURG 20686 111511 092911 102911 108.00 .00 108.00/ TOTALS....................................... : 108.00 .00 108.00 B1490 BALLARD MEDICAL PRODUCTS SUPPLIES OUTPATIENT CLINI M 9102172627 103111 102511 112411 101.00 .00 101.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 101.00 .00 101. 00 B1800 BRIGGS CORPORATION SUPPLIES ER M 6264768RI 103111 102411 112311 257.19 .00 257.19/ TOTALS. . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 257.19 .00 257.19 Cl0l0 CABLE ONE TELEPHONE W 111611-121511 111511 111611 112511 354.95 .00 354.95/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . : 354.95 .00 354.95 C1203 CALHOUN COUNTY WASTE MGMT WASTE PICKUP 326875 103111 102711 112611 10.00 .00 10.00 .......... TOTALS.,..................................... : 10.00 .00 10.00 C2510 CPSI ELECTRONIC PAYSTUB M 684221 111511 110411 110411 144.90 .00 144.90/' HDWR/SFWR/TECH SUPPORT Al111071378 111511 110711 110711 13992.00 .00 13992.0V TOTALS....................................... : 14136.90 .00 14136.90 D0350 SIEMENS HEALTHCARE DIAGNOS SUPPLIES LAB M 970748152 111511 102711 112711 3461.98 .00 3461.98...........- SUPPLIES LAB 970751330 111511 102811 112811 79.83 .00 79.83.......... TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3541.81 .00 3541. 81 Dl710 DOWNTOWN CLEANERS OUTSIDE SERVICE W 23576 111511 102711 112711 23.00 .00 23.00 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23.00 .00 23.00 E0500 EAGLE FIRE & SAFETY INC 115.00""""" RANGE HOOD INSPECTION M 042338 103111 102611 112511 115.00 .00 VENT HOOD CLEAN 042464 103111 102611 112511 280.00 .00 280.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 395.00 .00 395.00 F1400 FISHER HEALTHCARE 239.6r;:.. SUPPLIES LAB M 6311112 103111 102511 112411 239.67 .00 SUPPLIES LAB 6408085 103111 102211 112511 1259.92 .00 1259.92 / SUPPLIES LAB 6408086 103111 102511 112411 260.28 .00 260.28 SUPPLIES LAB 6512940 103111 102711 112611 1926.13 .00 1926.13 ./ SUPPLIES LAB 6589794 111511 102811 112811 76.12 .00 76.12/ SUPPLIES LAB 6589796 111511 102811 112811 148.15 .00 148.15/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3910.27 .00 3910.27 F1S03 FRED PRYOR SEMINARS 199.00 / " CONTINUING ED ADMIN/BUS D W 23575- 111511 103111 103111 199.00 .00 "", -- ""- RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE, DATE OF 11/29/11 PAGE: 5 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 199.00 .00 199.00 G1210 GULF COAST PAPER COMPANY 167.89/ SUPPLIES HOUSEKEEPIN M 289810 103111 102511 112411 167.89 .00 TOTALS....................................... : 167.89 .00 167.89 H0030 H E BUTT GROCERY 123.99/ SUPPLIES DIETARY M 825105 103111 102411 112311 123.99 .00 SUPPLIES DIETARY 833851 103111 102411 112311 102.04 .00 102.04./ SUPPLIES DIETARY 837641 103111 102411 112311 181.14 .00 181.14 ,... SUPPLIES DIETARY 846414 103111 102511 112411 144.36 .00 144.36 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 551.53 .00 551.53 H0947 HALL WIRELESS SUPPLIES IT 10060711 103111 102611 112511 39.99 .00 39.99/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 39.99 .00 39.99 I0415 INDEPENDENCE MEDICAL 53.58/ SUPPLIES CS INVENTORY 0025404920 103111 102611 112511 53.58 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 53.58 .00 53.58 I0950 INFOLAB INC SUPPLIES LAB M 3042478 103111 102411 112311 39.65 .00 39.65/ SUPPLIES BLOOD BANK 3043267 103111 102511 112411 857.84 .00 857.84 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 897.49 .00 897.49 I1263 IVANS o C-\-. c.~tV.,\e.s W 11D0175681 111511 110911 112011 65.24 .00 65.24 ....... TOTALS....................................... : 65.24 .00 65.24 J1201 JACK L. MARCUS, INC 119.88/ EMPLOYEE PURCHASE 69265 111511 102811 112811 119.88 .00 TOTALS....................................... : 119.88 .00 119.88 J14 0 0 JOHNSON & JOHNSON SUPPLIES SURGERY 906473648 103111 102511 112411 4259.99 .00 4259.99/ TOTALS.. ...... ....... ... .............. .......: 4259.99 .00 4259.99 K1070 KEY SURGICAL INC SUPPLIES SURGERY 406137 103111 102511 112411 / M 37.00 .00 37.00 TOTALS..... II.... ...... II I" ..... II II .... If..: 37.00 .00 37.00 L0700 LABCORP OF AMERICA HOLDING 242.70/ OUTSIDE SRV LAB M 35865150 111511 102911 112911 242.70 .00 OUTSIDE SRV LAB 36052173 111511 102911 112911 15.00 .00 15.00/ OUTSIDE SRV LAB 36073563 111511 102911 112911 15.00 .00 15.00/ TOTALS.. . . . . . . . .. ;.'. . ",: .. .. .. . . .. .. .. . .. . . . . : 272.70 .00 272.70 L1640 LOWE'S HOME CENTERS INC SUPPLIES PLANT OPS W 11202 103111 102411 112311 223.97 .00 223.97/ SUPPLIES INF CONTROL 38535 111511 101911 111911 37.98 .00 37.98/ RUN DATE: 11/16/11 TIME: 14:32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 6 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... . NO-PAY. ...... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 261.95 .00 261.95 M2621 MMC AUXILIARY GIFT SHOP EMPLOYEE PURCHASES W 23569 111511 111411 111711 326.36 .00 3~1o ,4,3 ~6 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 326.36 .00 32 36 N0402 NMTCB 35.00/ ANNUAL CERTIFICATION RENE 23574 111511 111411 111711 35.00 .00 TOTALS............ I.... II 1,.1....... 11.1,....: 35.00 .00 35.00 OM425 OWENS & MINOR SUPPLIES CS INVENTORY 1841621 103111 102511 112411 9.27 .00 9.27/ SUPPLIES HOUSEKEEPING/CS 1841684 103111 102511 112411 77.64 .00 77.64 ./ SUPPLIES SURGERY 1841695 103111 102511 112411 90.23 .00 90.23 ,/ SUPPLIES PT 1841717 103111 102511 112411 55.60 .00 55.60"""'- SUPPLIES VARIOUS DEPT 1841884 103111 102511 112411 2436.23 .00 2436.23 ,/ SUPPLIES SURGERY 1841889 103111 102511 112411 293.70 .00 293.70/ SUPPLIES HOUSEKEEPING 1842820 103111 102711 112611 21.28 .00 21. 28.......... SUPPLIES CS INVENTORY 1842821 103111 102711 112611 32.60 .00 32.60""""'- SUPPLIES CS INVENTORY 1842847 103111 102711 112611 85.48 .00 85.48/ SUPPLIES CS INVENTORY 1842870 103111 102711 112611 8.75 .00 8.75- SUPPLIES CS INV 1 PT 1843163 103111 102711 112611 1059.70 .00 1059.70....... SUPPLIES CS INVENTORY 1842909 110111 102711 112611 32.60 .00 32.60 -' SUPPLIES CS INVENTORY 1842876 110811 102711 112611 42.70 .00 42.70 ,/ TOTALS. . . . . . . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . : 4245.78 .00 4245.78 P2200 POWER ELECTRIC SUPPLIES PLANT OPS W 156428 103111 102411 112311 12.53 .00 12.53/' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 12.53 .00 12.53 R1471 RESPIRONICS, INC. 179.88 ./ RENTAL RESPIRATORY 4TH QT M 913390990 103111 102711 112611 179.88 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 179.88 .00 179.88 S1200 SEARS SUPPLIES PLANT OPS M 026175217665 111511 111411 111311 419.99 .00 419.99 ./ REPAIR PLANT OPS 6795863 111511 100711 110711 35.00 .00 35.00./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 454.99 .00 454.99 /' S2679 THE ST JOHN COMPANIES, INC 205.00/ SUPPLIES CS INVENTORY M 07708211 103111 102811 112711 205.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 205.00 .00 205.00 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY M 111030411 110811 110311 112311 1068.33 .00 1068.33 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1068.33 .00 1068.33 T0500 TEAM REHAB INTERIM BILLING PT W 23576 111511 111511 111511 15000.00 .00 15000.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 15000.00 .00 15000.00 T0801 TLC STAFFING ~ CONTRACT NURSE W 9585 103111 102511 112411 1142.09 .00 1142.09/ RUN DATE: 11/16/11 TIME: 14: 32 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/29/11 PAGE: 7 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... . NO-PAY ....... .NET CONTRACT NURSE T3068 TRAILBLAZER HEALTH ENTERPR INTERIM PYMT 2011 MEDICAR B U1054 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE U1064 UNIFIRST HOLDINGS INC LAUNDRY HOUSEKEEPING LUANDRY HOSPITAL LINEN LAUNDRY HOSPITAL LINEN LAUNDRY PLAZA LAUNDRY KITCHEN LAUNDRY OB LAUNDRY HOUSEKEEPING LAUNDRY HOSPITAL LINEN LAUNDRY SURGERY V0555 VERIZON SOUTHWEST TELEPHONE 9491-1 111611 092011 102011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23573 111511 111411 111711 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : w 8150548844 103111 102511 112411 TOTALS....................................... : 1064 103111 102511 112411 8400115944 103111 102511 112411 8400116085 103111 102511 112411 8400116087 103111 102511 112411 8400116088 103111 102511 112411 8400116089 103111 102511 112411 8400116090 103111 102511 112411 8400116290 103111 102811 112711 8400116291 103111 102811 112711 TOTALS....................................... : M 5523521110111 111511 110111 112611 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 350.10 1492.19 832724.00 832724.00 32.54 32.54 194.45 612.27 791.28 177.05 106.86 86.70 54.37 722.61 340.57 3086.16 40.47 40.47 GRAND TOTALS.................................: 1013835.72 APPROVED NOV 1 7 2011 COUNTY AUDITOR C\<S i:t JtI to D 3 ~ * lY~1 DO VO \t)S ~ J1~#f,:L, It/'I~ psg '- .00 350.10/ .00 1492.19 .00 832724.00........ .00 832724.00 .00 32.54 ,/ .00 32.54 .00 194.45 ,/ .00 612.27/ .00 791.28/' .00 177.05 ,- .00 106.86 /" .00 86.70/' .00 54.37/ .00 722.61/ .00 340.57 / .00 3086.16 .00 40.47 ,,- .00 40.47 .00 1013835. n C~C+j6"Y\ ~ <~VfD~.,3'7 p~ d- ( + ~IJq7D, g~ ~c.-\-: Of'- S < 3;;).~.3'" ') Po Co L +3~to.~3 -\} 01:3) <a9Q, gg LJtuMG~/ Michael J. Pteite Calhoun County Judge Date:_)I- 2#' J I , RUN' D\TE,: 11/16/11 TIME: 14:27 PATIENT NUMBER TOTAL PAYEE NAME ARID=OOOl TOTAL MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUM r------------------------ 111611 1379.371 1111611 '. 44.171 i ! i ~-------------------------------------------------------------------------------- 1423.54 1423.54 (' C,l(ii lL1h 10 I :1J J L{ to I 0 ;).. APPROVED NOV 1 7 2011 COUNTY AUDiTOR /)JdJd/# Michael J. Pfeifer ,Calhoun County Judge Date: } I.. -LlJ--11 "- '"'-., RUN DATE: 11/21/11 TIME: 10:07 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 1 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET 10006 CUSTOM MEDICAL SPECIALTIES SUPPLIES RAD I CT SCAN 127295 110811 110111 113011 870.10 .00 870.10 ./ TOTALS........................... ............: 870.10 .00 870.10 10032 PHILIPS HEALTHCARE INSTRUMENT REPAIR 923393559 111511 110111 120111 1000.00 .00 1000.00""'" TOTALS....................................... : 1000.00 .00 1000.00 10101 RELAYHEALTH, INC. COLLECTIONS T754586 111111 103111 113011 1794.21 .00 1794.21.1' TOTALS....................................... : 1794.21 .00 1794.21 10105 CHRIS KOVAREK FLEX SPEND REIMBURSEMENT 23581 111811 111711 111711 80.00 .00 80.00./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 80.00 .00 80.00 10172 US FOOD SERVICE SUPPLIES DIETARY 3097712 111511 111011 113011 3442.80 .00 3442.80/ SUPPLIES DIETARY 3226810 111811 111711 120611 2885.14 .00 2885.14 .,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6327.94 .00 6327.94 10297 ARUP LABORATORIES 6085.97 / OUTSIDE SERVICES LAB 50369262 110811 110111 120111 6085.97 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6085.97 .00 6085.97 10350 CENTURION MEDICAL PRODUCTS 337.59/ SUPPLIES CS INVENTORY 90876514 110811 103111 113011 337.59 .00 SUPPLIES CS INVENTORY 90878752 110811 110211 120211 400.35 .00 400.3511" SUPPLIES CS INVENTORY 90881815 111511 110711 120611 418.29 .00 418.29 ,,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1156.23 .00 1156.23 10367 TETAF LEVEL IV TRAUMA SURVEY FE 23579 111811 111611 111711 5500.00 .00 5500.00/ TOTALS....................................... : 5500.00 .00 5500.00 10378 LAQUINTA INNS & SUITES TRAVEL EXPENSE CRNA 61911296 110811 110511 120111 954.85 .00 954.85./ TRAVEL EXPENSES CRN! 61911308 110811 110511 120111 976.32 .00 976.32/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1931.17 .00 1931.17 10429 WILLIAM E HEITKAMP, TRUSTE 495.00/ EMPLOYEE DEDUCTION 17978 112111 112111 112111 495.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 495.00 .00 495.00 10478 LESLIE ANN SOLIS EMPLOYEE DEDUCTION 17975 112111 112111 112111 177 . 69 .00 177.69/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 177 . 69 .00 177 . 69 10536 MORRIS & DICKSON CO, LLC PHARMACEUTICALS 2788583 111811 111511 112511 257.85 .00 257.85/ TOTALS....................................... : 257.85 .00 257.85 10611 TELE-PHYSICIANS, P.A. TELE-NEUROLOGY 09-1799 111811 103011 113011 600.00 .00 600.00./ RUN DATE: 11/21/11 TIME: 10:07 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 2 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . : 600.00 .00 600.00 10639 TX CHILD SUPPORT SDU 230.77"'" EMPLOYEE DEDUCTION 17977 112111 112111 112111 230.77 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 230.77 .00 230.77 10661 CENTURYLINK 209.73 ,/ TELEPHONE 1187643935 111111 110311 120311 209.73 .00 TOTALS....................................... : 209.73 .00 209.73 10664 SAGENT PHARMACEUTICALS, IN PHARMACEUTICALS 223880 111111 110311 120311 120.00 .00 120.00 ........- TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 120.00 .00 120.00 A0777 ANDERSON CONSULTATION SERV COLLECTIONS W 1031 103111 110111 120111 1662.82 .00 1662.82 ....... COLLECTIONS MMC110211 103111 110211 120111 3587.74 .00 3587.74 ,. TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5250.56 .00 5250.56 A1680 AIRGAS-SOUTHWEST MEDICAL GAS M 107092169 111111 103111 113011 1834.97 .00 1834.97 v' MEDICAL GAS 107092226 111111 103111 113011 200.70 .00 200.70 ../ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2035.67 .00 2035.67 A1746 ALPHA TEC SYSTEMS INC SUPPLIES LAB M 206259 111511 103111 113011 111.02 .00 111.02/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 111.02 .00 111.02 A1790 AFLAC INSURANCE W 23577 111811 111511 111711 3706.10 .00 3706.10 t/' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3706.10 .00 3706.10 A2276 ARTHROCARE CORPORATION 915.85/ SUPPLIES SURGERY M 90781939 111511 110711 120611 915.85 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 915.85 .00 915.85 A2342 ASSAY TECHNOLOGY SUPPLIES LAB M 1865 111511 103111 113011 244.00 .00 244.00/ TOTALS....................................... : 244.00 .00 244.00 B1075 BAXTER HEALTHCARE CORP 304.04~ SUPPLIES CS INVENTORY M 32855667 110811 110311 120211 304.04 .00 PROPERTY TAX IV PUMPS 32868833 111511 110411 120411 837.33 .00 837.33 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1141.37 .00 1141.37 B1220 BECKMAN COULTER INC OUTSIDE SRV LAB M 102533199 111511 110111 120111 150.00 .00 150.00/ OUTSIDE SRV LAB 102533586 111511 110211 120211 7400.99 .00 7400.99 ./ OUTSIDE SRV LAB 102533587 111511 110211 120211 1592.98 .00 1592.98/ OUTSIDE SRV LAB 102535835 111511 110211 120211 387.32 .00 387.32/ OUTSIDE SRV LAB 102535836 111511 110211 120211 5209.47 .00 5209.47 ./ RUN DATE: 11/21/11 TIME: 10:07 I I' I' d " 00450 PATRICIA OWEN FLEX SPEND REIMBURSEMENT W 01410 ON-SITE TESTING SPECIALIST SUPPLIES LAB W MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 23582 111811 111711 111711 TOTALS. . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . 12924 111511 103111 113011 I 220.00 119.65 PAGE: 3 APOPEN .00 220.0 .00 119.65/ RUN DATE: 11/21/11 'I TIME: 10:07 ' MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 4 APOPEN VEND#.NAME........;................. .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET RUN DATE: 11/21/1111 TIME: 10:07 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 5 APOPEN VEND#.NAME....... "~"""""""'" .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS.... .DISC. ... ..NO-PAY....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 119.65 .00 119.65 OM425 OWENS Ie MINOR Ii SUPPLIES CS INVENTORY 1844764 110811 110111 113011 16.02 .00 16.02,1 SUPPLIES CS INVENTORY 1844770 110811 110111 113011 13.53 .00 13.53/ SUPPLIES SURGERY 1844798 110811 110111 113011 113.58 .00 113.58./ II SUPPLIES HOUSEKEEPING 1844859 110811 110111 113011 118.56 .00 118.56'/ i~ SUPPLIES SURGERY 1845037 110811 110111 113011 915.87 .00 915.87 SUPPLIES VARIOUS 1845050 110811 110111 113011 1827.95 .00 1827.95 ./ SUPPLIES SURGElY 1845919 110811 110311 120211 21.28 .00 21.28) II 456.45 ./ SUPPLIES SURGERY 1846175 110811 110311 120211 456.45 .00 SUPPLIES VARIOUS DEPT 1846283 110811 110311 120211 3224.22 .00 3224.22/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6707.46 .00 6707.46 P2200 POWER ELECTRIC! SUPPLIES PLANT OPS W 156525 111111 110211 120111 5.29 .00 5.29"/ TOTALS....................................... : 5.29 .00 5.29 :i Rl050 R G Ie ASSOCIATES INC SALT DELIVERY M 192832 110811 110311 120211 98.40 .00 98.40 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 98.40 .00 98.40 R1321 RECEIVABLE MANAGEMENT, INC COLLECTIONS W 100111-103111 111111 103111 113011 220.12 .00 220.12 .,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 220.12 .00 220.12 R1469 MARIA D RESENDEZ EMPLOYEE DEDUCTION 17974 112111 112111 112111 212.31 .00 212.31 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 212.31 .00 212.31 S2400 SO TEX BLOOD Ie TISSUE CENT -3402.00) SUPPLIES BLOOD BANK CREDI M 20115062 111511 110211 120211 -3402.00 .00 SUPPLIES BLOOD Ii BANK 20115202 111511 110211 120211 9223.00 .00 9223.00/ TOTALS....................................... : 5821.00 .00 5821.00 S2679 THE ST JOHN COMPANIES, INC 103.52 / ,I SUPPLIES RADIOLOGY M 07711709 111511 110211 120111 103.52 .00 II 22.95 .......- SUPPLIES CS INVENTORY 07711711 111811 110211 120111 22.95 .00 TOTALS....................................... : 126.47 .00 126.47 S2694 STANFORD VACuuM SERVICE " GREASE TRAP CLEAN M 722860 110811 110111 113011 320.00 .00 320.0V' TOTALS. . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . : 320.00 .00 320.00 S2785 STRICTLY BUSINESS BUSINESS CARDS W 027709 111811 102811 112811 74.20 .00 74.20"""'- TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 74.20 .00 74.20 II S2951 SYSCO FOOD SERV[CES OF SUPPLIES DIETARY M 111100541 111511 111011 113011 965.14 .00 965.14 ? SUPPLIES DIETAR~ 111170410 111811 111711 120611 753.27 .00 753.27 RUN DATE: 11/21/11 TIME: 10:07" MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 6 APOPEN VENDi.NAME...... .',.................. .CLS.INVOICEi........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1718.41 .00 1718.41 S3960 STERICYCLE, ,!INC WASTE PICKUP I DISPOSAL 4002962668 110811 103111 113011 552.27 .00 552.27/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . : 552.27 .00 552.27 T0801 TLC STAFFING, CONTRACT NUR~E lCU W 9599 103111 110111 120111 909.98 .00 909.98 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 909.98 .00 909.98 T1751 TEXAS CHILD SUPPORT SDU ,I 197.0V EMPLOYEE DEDUCTION W 17976 112111 112111 112111 197.08 .00 ,I TOTALS. . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . : 197.08 .00 197.08 T2062 TEXAS MEDICAID << HEALTHCAR 12020.00/ 'I TENTATIVE SETTLEMENT W 23582 112111 112111 112111 12020.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 12020.00 .00 12020.00 T2250 THYSSENKRUPP tLEVATOR CORP 959.26/ MAINTENANCE li/1-1/31 M 23843 110811 110111 113011 959.26 .00 TOTALS........... II.... II... 1,.".... II.... II: 959.26 .00 959.26 T2303 TG 136.48/ EMPLOYEE DEDUCTION W 17973 112111 112111 112111 136.48 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 136.48 .00 136.48 T2539 T-SYSTEM, INC." ELECTRONIC DOC 'I SYS W 1092 103111 103111 113011 3922.00 .00 3922.00"""- TOTALS... II...... 1,."...... II..... II 11.,1 ...: 3922.00 .00 3922.00 U0414 UNUM LIFE INS CO OF !MERIC INSURANCE 17971 111811 111611 120111 3445.30 .00 3445.30/' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3445.30 .00 3445.30 Ul054 UNIFIRST HOLDINGS ,I 32.54./' LAUNDRY MAINTENANCE W 8150549588 110811 110111 113011 32.54 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 32.54 .00 32.54 Ul056 UNIFORM ADVANTAGE EMPLOYEE PURCHASE W 4177923 111811 102611 112611 258.84 .00 258.84/ TOTALS....................................... : 258.84 .00 258.84 Ul064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL' LINEN 8400116437 110811 110111 113011 911.09 .00 911. 09 / LAUNDRY HOUSEKEEPING 8400116438 110811 110111 113011 194.45 .00 194.45/ LAUNDRY PLAZA 8400116439 110811 110111 113011 163.07 .00 163.07/ LAUNDRY DIETARY 'I 8400116440 110811 110111 113011 112.98 .00 112.98/ LAUNDRY OB 8400116441 110811 110111 113011 86.70 .00 86.70/ LAUNDRY 8400116442 110811 110111 113011 44.23 .00 44.23 / LAUNDRY HOSPITAL !ILINEN 8400116631' '.., 110811 110411 120311 805.74 .00 805.74"""- LAUNDRY SURGERY 8400116632 ""'- 110811 110411 120311 340.57 .00 340.57/ RUN DATE: 11/21/11 TIME: 10:07 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/06/11 PAGE: 7 APOPEN , VEND#.NAME........II.................. .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... . NET " TOTALS. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . : 2658.83 .00 2658.83 U1460 THE UNIFORM CONNECTION EMPLOYEE PURCHASE 156569 111111 110311 120211 275.37 .00 275.37...... EMPLOYEE PURCHASE 156759 111111 110311 120211 206.20 .00 206.20/' EMPLOYEE PURCHASE 156815 111111 110311 120311 109.80 .00 109.80-'" EMPLOYEE PURCHASE 157079 111111 110311 120211 61.65 .00 61.65- TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 653.02 .00 653.02 V0555 VERIZON SOUTHWEST TELEPHONE M 5512513110711 111811 110711 120211 265.54 .00 O?"DjS~- 265.54 :/ TELEPHONE 5526713110711 111811 110711 120211 1257.49 .00 1257.49 TELEPHONE 5528103110711 111811 110711 120211 47.71 .00 47.71/ TELEPHONE 5537803110711 111811 110711 120211 293.05 .00 293.05/' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1863.79 .00 1863. 73 1 ;~ S~. ,9 V1471 VICTORIA RADIOWORKS, LTD RADIO ADS W 11100334 111511 103111 113011 160.00 .00 160.00 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 160.00 .00 160.00 W1300 GRAINGER SUPPLIES PLANT OPS M 9675844873 110811 110211 120211 133.11 .00 133.11 ./' TOTALS. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 133.11 .00 133.11 GRAND TOTALS.................................: 122104.53 .00 122104.53 c,K~ \4~ 106 - Pt~ 11 ~ APPROVED b~OV 2 12011 COUNTY AUDfiTOIR < l,glt>3,79) ~~C-\-~iN'- _ + \) ~SSL7't \ O\~) Oq'l, 53 V oiuLb ~K~ 141o I ~<<o J LfliJ6!J ) ~.. ff~ I\N J ~/ l\ ~l l {} I RUN DATE: 11/21/11 ,\ TIME: 10:12 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NOM - --- ---_._- -- ----.. --.. --..... ----...... ----. 112111 81.12/ 112111 25.00 I 112111 39.22.; 112111 450.0} ARID=OOOl TOTAL 595.34 ------------------------------------------------------------------------------------------------------------------------------------ TOTAL 'I tj{* ILf[P11q-ILf&/~~ 595.34 APPROVED ~OV 2 1 "2011 COUNTY AUDITOR ~~J JJ ~ t~' \\ ~~ \\/ , , RUN DATE: 11/30/11 TIME: 16:06 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 1 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET RUN DATE: 11/30/11 TIME: 16:06 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 2 APOPEN VEND#.NAME........................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET " WEEKLY CLAIMS 10442 INTERSTATE ALL BATTERY CEN SUPPLIES ER 10536 MORRIS & DICKSON CO, LLC PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTIcAr,S PHARMACEUTIcA!LS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS PHARMACEUTICALS II 10556 CPP WOUND CARE #28,LLC 'I WOUND CARE 10598 GLENN CRISP TRAVEL EXPENSE 10601 NOBLE AMERICAS ENERGY ELECTRIC 10632 JACKSON NURSE,I PROFESSIONAL OUTSIDE SERVICES II OUTSIDE SERVICES 10670 AMPRONIX SUPPLIES SURGERY II 10671 INNOVATIVE X-~Y SERVICES DEPT REPAIR ANESTHESIA A1292 PORT LAVACA HARDWARE SUPPLIES P~ OPS DEPT REPAIR ER II 17980 113011 113011 113011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1901101000284 111511 110911 120911 TOTALS.......... .........................1....: 2794567 111811 111611 121011 2794568 111811 111611 121011 2794698 111811 111611 121011 2798666 112211 111711 121011 2798667 112211 111711 121011 2808570 112211 112111 121011 2808571 112211 112111 121011 2809621 112211 112111 121011 2813564 112911 112211 2813565 112911 112211 121011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 13309 112211 103111 113011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23596 112911 112411 113011 TOTALS....................................... : 1132700002043602 112911 112311 120511 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 44151580 44251580 112211 111211 121211 112911 111911 111911 TOTALS....................................... : 291269 112211 110411 120411 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 19746 111511 111011 121011 TOTALS....................................... : W 065892 065834 111511 100911 120911 112211 110711 120711 TOTALS....................................... : --.. A1360 AMERISOURCEBERGEN DRUG COR PHARMACEUTICALS W 037-309118 -- 111811 il1711 121011 15912.94 24138.99 105.90 105.90 4874.93 1138.12 174.18 40.32 1239.65 3128.51 2260.14 44.83 4.73 1810.70 14716.11 15050.00 15050.00 22.20 22.20 26553.66 26553.66 2400.00 2432.00 4832.00 1506.87 1506.87 840.00 840.00 14.99 53.12 68.11 30.88 .00 15912.94 ,/ .00 24138.99 .00 105.90 ,/ .00 105.90 .00 4874.93 ./ .00 1138.12/ .00 174.18/ .00 40.32 -: .00 1239.65/ .00 3128.51 .00 2260.14 / .00 44.83/ .00 4.7311"" .00 1810.70 ./ .00 14716.11 .00 15050.00/ .00 15050.00 .00 22.20/ .00 22.20 .00 26553.66 "./ .00 26553.66 .00 2400.0~ .00 2432.00 .00 4832.00 .00 1506.87 ./ .00 1506.87 .00 840.00 / .00 840.00 .00 14 . 99 / .00 53.12/ .00 68.11 .00 30.88 / RUN DATE: 11/30/11 TIME: 16:06 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 3 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET PHARMACEUTICALS 037-309119 111811 111711 121011 19.85 .00 19.85~ PHARMACEUTICALS 037-314775 112211 112211 121011 2.56 .00 2.56 PHARMACEUTICALS 037-314776 112211 112211 121011 30.08.00 30. 08 ~ PHARMACEUTICALI! CREDIT 037-081274 112911 110811 112511 -291.92 .00 -291.92 r/' PHARMACEUTICALS 037-081275 112911 110811 112511 77.70 .00 77.70 /' TOTALS.......................................: -130.85 .00 *' -130.85 A1790 AFLAC FLEXIBLE SPENDING W 23583 112211 111511 120111 78.00 .00 78.00 V" TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 78.00 .00 78.00 I! A1825 CARDINAL HEALTH SUPPLIES NUC MED M 08107468 112911 111111 111111 1979.20 .00 /' 1979.2O..J SUPPLIES NUC MED 08107482 112911 111811 111811 362.50 .00 362.50 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2341.70 .00 2341.70 A2252 NADINE GARNER TRAVEL EXPENSES W 23582 112211 112111 120111 94.63 .00 94.63"'- II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 94.63 .00 94.63 A2345 AT&T MOBILITY TELEPHONE 826431294Xll1920 112211 111111 120611 1.69 .00 1. 69 /' TELEPHONES 101911-111811 112911 111811 121311 654.27 .00 654.27 ../ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 655.96 .00 655.96 B0436 BARD ACCESS II 130.19/' SUPPLIES SURGERY 22332087 111811 110711 120711 130.19 .00 II 1112.95) SUPPLIES SURGERY 43281184 111811 111011 121011 1112.95 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . : 1243.14 .00 1243.14 Bl075 BAXTER HEALTHCARE CORP 36.95/ LEASE RENT MED SURG M 32895353 111511 110811 120811 36.95 .00 SUPPLIES CS INVENTORY 32948833 111811 111411 121211 294.91 .00 294.91--/ II PHARMACEUTICALS 32689890 112211 101711 111711 395.50 .00 395.50 'I TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 727.36 .00 727.36 B1650 BOSART LOCK & KEY INC 22.70/ CARDIO RENOVATION M 93491 111511 111011 121011 22.70 .00 TOTALS. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 22.70 .00 22.70 Cl033 CAD SOLUTIONS~ INC 1184.00/ CAD CASES II 201613 112911 103111 113011 1184.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1184.00 .00 1184.00 C1443 CYGNUS MEDICAL LLC 355.00/' SUPPLIES SURGERY M 70414 111811 110811 120811 355.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . : 355.00 .00 355.00 II 52400455'~ 111811 110711 120711 C1478 CHANNING L BETE CO INC 555.90) II SUPPLIES NSG ADMIN M 555.90 .00 TOTALS....................................... : 555.90 .00 555.90 C1510 CHUBB SECURITY SYSTEMS INC 27.56 / MONTHLY FIRE ALARM MONITO M 7020361839 111511 110911 120911 27.56 .00 RUN DATE: 11/30/11 TIME: 16:06 MEMORIAL MEDICAL CENTER ,AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 4 APOPEN VEND#.NAME......... .,................ .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 27.56 .00 27.56 C1730 CITY OF PORT LAVACA 438.25/ WATER W 101011 110911 112911 111811 120611 438.25 .00 WATER/SEWER 101011-110911 112911 111811 120611 5535.35 .00 5535.35.1 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5973.60 .00 5973.60 C1871 COLLECTIONS INCORPORATED 726.90/ " 112211 112111 120111 726.90 .00 COLLECTIONS W 23584 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 726.90 .00 726.90 C2155 COOK MEDICAL INCORPORATED .,/ II 271.00 SUPPLIES ULTRASOUND V1971736-N 112211 111011 121011 271.00 .00 TOTALS....................................... : 271.00 .00 271.00 C2510 CPSI / PRIVATE PAY M 684698 112211 110811 110811 11463.48 .00 11463.48 vi STATEMENT PROcESSING 684994 112211 111011 111011 28.32 .00 28.32 :J EBOS 685815 112911 111111 111111 130.78 .00 130.7~ STATEMENT P~OCESSING 686826 112911 111711 111711 52.51 .00 52.5 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 11675.09 .00 11675.09 D1500 DELL MARKETING L.P. 760.00/ SUPPLIES ACqOUNTING M XFK728838 112211 111111 121111 760.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 760.00 .00 760.00 Fl050 FASTENAL COMPANY SUPPLIES PLANT OPS M TAPOT101980 111511 110911 120911 13.61 .00 13.61 ./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 13.61 .00 13.61 F1400 FISHER HEALTHCARE SUPPLIES LAB M 7348070 111511 110811 120811 932.59 .00 932.59 ,,/ SUPPLIES LAB 7602901 111511 110911 120911 144.55 .00 144.55 ./ ., TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1077 .14 .00 1077 .14 G0100 GE HEALTHCARE 3387.33;::: SRV CONTRA~T W 5223191 112911 110711 113011 3387.33 .00 SRV CONTRACT 5223192 112911 110711 113011 435.75 .00 435.75 ", TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3823.08 .00 3823.08 G0120 GE MEDICALjSYSTEMS, INFO T SRV CONTRACT OB 7361623 111511 110811 120811 171.00 .00 171.00/ 'I TOTALS....................................... : 171.00 .00 171.00 Gl001 GETINGE USA SUPPLIES SURGERY 7726263 111511 110811 120811 57.93 .00 57.93/ " TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 57.93 .00 57.93 G1210 GULF COAST PAPER COMPANY 108.49/ SUPPLIES HOUSEKEEPING M 297613 111811 110811 120811 108.49 .00 " TOTALS....................'................... : 108.49 .00 108.49 H0030 H E BUTT GROCERY 137.98 / SUPPLIES ~IETARY M 872188 111511 111011 121011 137.98 .00 , .. RUN DATE: 11/30~11 ,TIME: 16:06 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 5 APOPEN , ' VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... . NO-PAY. ...... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 137.98 .00 137.98 H0947 HALL WIRELESS 19.99 ./ DEPT REPAIR LAB 10061080 111511 111111 121111 19.99 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 19.99 .00 19.99 I0415 INDEPENDENCE MEDICAL ,/ SUPPLIES CS, INVENTORY 0025497366 111511 110911 120911 37.54 .00 37.54 / SUPPLIES CS INVENTORY 0025506019 111811 111011 121011 1.89 .00 1.89 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 39.43 .00 39.43 I1264 ITA RESOURCES, INC 29558.00/ PROFESSIO~ FEE CARDIO W 23599 112911 112111 120111 29558.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 29558.00 .00 29558.00 " J14 0 0 JOHNSON & JOHNSON 284.32 / SUPPLIES SURGERY 906575375 111511 110911 120911 284.32 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 284.32 .00 284.32 K1255 KRAMES 92.66/ SUPPLIES OUT PATIENT CLIN 6730975 111811 110811 120811 92.66 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 92.66 .00 92.66 M2621 MMC AUXILIARY GIFT SHOP ../ EMPLOYEE PURCHASE W 23600 112911 112811 113011 108.22 .00 108.22 Ii TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 108.22 .00 108.22 M2659 MERRY X-RAY-[ SAN ANTONIO SUPPLIES VARIOUS RAD M 468342 111511 110811 120811 1192.11 .00 1192 .11;:::-: SUPPLIES RADIOLOGY 468465 111511 111111 121111 42.88 .00 42.88 TOTALS....................................... : 1234.99 .00 1234.99 II I' OM425 OWENS & MINOlt SUPPLIES SURGERY 1847843 111511 110811 120811 234.49 .00 234.491 1'1 SUPPLIES CS INVENTORY 1847846 111511 110811 120811 5.63 .00 5.63 SUPPLIES CS INVENTORY 1847870 111511 110811 120811 153.92 .00 153.92 ./ ,I 15.10/ INSTRUMENT ER 1847884 111511 110811 120811 15.10 .00 SUPPLIES CS INV / EKG 1847897 111511 110811 120811 156.04 .00 156.04,/ II SUUPLIES PT 1847946 111511 110811 120811 91.82 .00 91.82 SUPPLIES VARIOUS 1848189 111511 110811 120811 1971.14 .00 1971.141 'I 111511 110811 120811 355.96/ SUPPLIES SURGERY 1848197 355.96 .00 SUPPLIES CS INVENTORY 1849068 111811 111011 121011 4.07 .00 4.07~ SUPPLIES CS INvENTORY 1849227 111811 111011 121011 84.91 .00 84.91 SUPPLIES SURGERY 1849228 111811 111011 121011 62.77 .00 62.77'/ SUPPLIES VARIOUS DEPT 1849450 111811 111011 121011 546.95 .00 546.95/ SUPPLIES SURGERY 1835917 112911 101211 111211 7.50 .00 7.50/ II TOTALS....................................... : 3690.30 .00 3690.30 , P2190 U S POSTAL SERVICE ~..... " 1200.00 / POSTAGE IMP 23602 112911.112811 113011 1200.00 .00 TOTALS....................................... : 1200.00 .00 1200.00 P2200 POWER ELECTRIe 'I 156625 111511 111011 121011 19.77 / SUPPLIES PLANT OPS W 19.77 .00 , " RUN DATE: 11/30/11 TIME: 16:0611 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 6 APOPEN " VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 19.77 .00 19.77 Rl050 R G & ASSOCIATES INC 669.74 /' DEPT REPAIR PLANT OPS M 193367 112911 102511 112511 669.74 .00 II 125.00 /' MIXED BED TANK 193438 112911 110811 120811 125.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 794.74 .00 794.74 R1268 RADIOLOGY uNLIMITED, PA MAMMO READINGS W 23596 112911 112811 113011 5000.00 .00 5000.00v ,I 35.00/ READING FEES 23597 112911 112811 113011 35.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5035.00 .00 5035.00 d S1800 SHERWIN WILLIAMS CARDIO RENOVATION W OE0033535Q7053 111511 110911 120911 104.18 .00 104.18 ../ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 104.18 .00 104.18 S2001 SIEMENS MED~CAL SOLUTIONS SRV CONTRACT M 95603193 112911 103011 113011 697.58 .00 697.58 ,/ ,I TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 697.58 .00 697.58 S2833 STRYKER ENDOSCOPY / SRV CONTRACT! 1361263 112911 100810 110810 667.79 .00 667.79/ SRV CONTRACT II SURGERY 1363010 112911 110810 120810 667.79 .00 667.79 SRV CONTRACT SURGERY 1364844 112911 120810 010811' 667.79 .00 667.79 t/ SRV CONTRACT'I'SURGERY 1366685 112911 011011 020911 667.79 .00 667.79/ SRV CONTRACT II SURGERY 1368478 112911 020811 031011 667.79 .00 667.79......... SRV CONTRACT SURGERY 1370239 112911 030811 040711 667.79 .00 667.79./ SRV CONTRACT II SURGERY 1372199 112911 040811 050811 667.79 .00 667.79/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4674.53 .00 4674.53 S2903 SUN COAST RESOURCES, INC / FUEL 91055765 112211 100311 101011 33.95 .00 33.95,/" FUEL 91058490 112211 100411 101011 61. 09 .00 61.09 FUEL 91064379 112211 101011 101011 45.65 .00 45.65/ FUEL 91075691 112211 102111 111111 60.71 .00 60.711 FUEL 91078354 112211 101511 111011 52.77 .00 52.77 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 254.17 .00 254.17/ S2951 SYSCO FOOD SERVICES OF 821.43 / SUPPLIES DIETARY M 111230251 112911 112311 121211 821.43 .00 il TOTALS....................................... : 821.43 .00 821.43 S3940 STERIS CORPORATION 104.88/ II SUPPLIES M 4052167 111811 110811 120811 104.88 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 104.88 .00 104.88 T0500 TEAM REHAB 15000.00/ INTERIM BILLING W 23601 112911 112811 113011 15000.00 .00 TOTALS.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 15000.00 .00 15000.00 ... ....... T0801 TLC STAFFING II 1890.15 .,/ CONTRACT NURSE W 9622 111111 110811 120811 1890.15 .00 RUN DATE: 11/30/11 TIME: 16:06 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/13/11 PAGE: 7 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . : T1900 TEXAS ELECTRICAL SUPPLY SUPPLIES PLANT OPS M 24520 SUPPLIES PLAN! OPS I RADI 24521 T2230 TEXAS WIRED MUSIC INC 'I MUSIC SERVICES MUZAK MARKETING 111511 110811 120811 111511 110811 120811 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : W A647919 A647920 111111 110111 110111 111111 110111 110111 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : T2235 TEXAS SOCIAL "SECURITY PROG ANNUAL FEE W 23598 112911 112911 113011 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Ul054 UNIFIRST HOLpINGS LAUNDRY MAINTENANCE " Ul064 UNIFIRST HOLDINGS INC 'I LAUNDRY HOSPITAL LINEN LAUNDRY HOUS.EKEEPING LAUNDRY PLAZA 'I LAUNDRY DIETARY LAUNDRY OB " LAUNDRY HOUSEKEEPING 'I LAUNDRY HOSPITAL LINEN W 8150550327 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 110811 110811 120711 8400116779 8400116780 8400116781 8400116782 8400116783 9400116784 8400116977 110811 110811 120711 110811 110811 120711 110811 110811 120711 110811 110811 120711 110811 110811 120711 110811 110811 120711 111511 111111 121111 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : " U1400 UNITED WAY OF CALHOUN COUN PAYROLL DEDUCTIONS W 23586 V0555 VERIZON SOUTHWEST TELEPHONE TELEPHONES V0559 VERIZON WIRELESS TELEPHONE Wl005 WALMART COMMuNITY VARIOUS DE~T TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 112211 111711 120111 M 5522646111611 112911 111611 121111 5525926111611 112911 111611 121111 TOTALS....................I.I II II... II II II...: 6657878639 112911 111611 121111 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : W 1014-1111 TOTALS....................................... : 112211 111611 121211 1890.15 .00 1890.15 112.05 .00 112.05 v" 231. 90 .00 231. 90 / 343.95 .00 343.95 59.95 .00 59.95 ......- 73.95 .00 73.95/ 133.90 .00 133.90 35.00 .00 35.00/' 35.00 .00 35.00 32.54 .00 32.54.,/' 32.54 .00 32.54 674.69 .00 674.69/ 174.44 .00 174.44.,/' 150.05 .00 /' 150.05/ 112.98 .00 112.98 86.70 .00 86.70/' 145.03 .00 145.03 "..- 774.25 .00 774.25......- 2118.14 .00 2118.14 126.50 .00 126.50~ 126.50 .00 126.50 107.91 .00 107.91 ./ 55.16 .00 55.16/" 163.07 .00 163.07 I 221. 48 .00 221.48 221.48 .00 221. 48 269.33 .00 269.33/ 269.33 .00 269.33 ',,- W3290 DEBORAH WI~TNEBERT , /" FLEX SPEND REIMBURSEMENT W 23603 112911 112811 113011 143.80.00 143.80 TOTALS...........~. ..,APPROVED......: 143.80 .00 143.80 IMJl ~ ~ t'.~"':I"I"C';"ri3"""OEC'iinoii'''''''''.IL H235404.34 'poo 3 ~" ~ ~~~.4;~ V'-/I "to 1.'" 'ld -to ~ ~ ~/ \-.1\ ;'V~ ~ 1,,\<o~57 COlDNTIf AUDITOR ~d ~eq. c.,\<. ~35) 5'35. \~ . 0" \) Ba,c K +0 +0-\4..) · Vb r:t>~.lc:'t- \"\\o~3t{ l'A.n no+- pr: n+ ^e~a."':ve c..K.. ,RUN DAT!: 11/30/11 :1 TIME: 15:52 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT PATIENT NUMBER PAYEE NAME PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION GL NUM !"-.._-----------------------~!!!!--------------------------------------- - -. -. - ..--- ---... 113011 190.00 ~ 113011 190.00 vi 113011 1504.00 ./ 113011 37.13 / 113011 19.28 / ARID=Q001 TOTAL 1940.41 -----------------~-----------------------------------------------------------~--------------------------------------------------- TOTAL 1940.41 V C Ks #' l~lo~5g .fo -rt I Y lo aiD d." APPROVED DEe. 0 1 2011 COUNTY AUDITOR ~~ ~ffJ I~A-11 ,................ --, RUN DA,TE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 1 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT..PC...... .GROSS.... .DISC..... . NO-PAY ....... . NET 10032 PHILIPS HEALTHCARE 100.80/ SUPPLIES ICU 923460444 113011 111411 121411 100.80 .00 TOTALS..... II.. I" .....1....1.. 1,.1... 11.11..: 100.80 .00 100.80 10328 E.L. LEWIS, INC. SUPPLIES OB 23607 113011 110411 120411 60.00 .00 60.00 ....... TOTALS....................................... : 60.00 .00 60.00 10350 CENTURION MEDICAL PRODUCTS il 112211 111611 121611 .00 547.99./' SUPPLIES CS INV / RECOVER 90889295 547.99 TOTALS....................................... : 547.99 .00 547.99 10368 DEWITT POTH & SON 'i 88. 89 ~ OFFICE SUPPLIES ACCOUNTIN 311368-0 111811 111011 121511 88.89 .00 II 111811 111011 121511 OFFICE SUPPLIES ER 311371-0 140.00 .00 140.00 OFFICE SUPPLIES CS INV / 311566-0 111811 111411 121511 168.61 .00 168.61 V" OFFICE SUPPLIES ER 311681-0 111811 111511 121511 10.78 .00 10.78;? OFFICE SUPPLIES CS INV/RA 311812-0 112211 111611 121511 341.17 .00 341.17 II 14.00 ./ OFFICE SUPPLlES SURGERY 312006-0 112211 111711 121511 14.00 .00 I 22.57 ,,/ OFFICE SUPPLIES LAB 312105-0 112211 111811 121511 22.57 .00 OFFICE SUPPLIES LAB 312258-01 113011 112111 121511 139.44 .00 139.44 / OFFICE SUPPLIES EKG 312259-01 113011 112111 121511 61.78 .00 61. 78 ./ OFFICE SUPPLIES CS INV 312266-01 113011 112111 121511 173.20 .00 173.20'/ 'I 312881-0 113011 112811 121511 364.29/ OFFICE SUPPLIES CS INV / 364.29 .00 I 17.76/ OFFICE SUPPLIES PFS 312905-0 113011 112811 121511 17.76 .00 OFFICE SUPPLIES PFS 312936-0 113011 112811 121511 53.28 .00 53.28./ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1595.77 .00 1595.77 'I 10381 CAREFUSION 211, INC 3780.00/ CARDIO SRV iGREEMENT 51353 113011 111511 121511 3780.00 .00 TOTALS....................................... : 3780.00 .00 3780.00 10394 WILLIAM E H!IKAMP, TRUSTEE II 150.00/ EMPLOYEE DEDUCTION 17988 120611 120611 120711 150.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 150.00 .00 150.00 10429 WILLIAM E HEITKAMP, TRUSTE " 495.00/ EMPLOYEE DEDUCTION 17989 120611 120611 120711 495.00 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 495.00 .00 495.00 10441 MMC EMPLOYEE BENEFITS BENEFITS PLAN ADMIN FEE 17982 120611 120611 120711 15436.40 .00 15436.40/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 15436.40 .00 15436.40 10442 INTERSTATE ALL BATTERY CEN DEPT REPAIR ER 1901102000312 111811 111411 121411 211.80 .00 211.80/ TOTALS. ....... ..... ........... ............... : 211.80 .00 211.80 '~ 10478 LESLIE ANN SOLIS " '- 177.69 / EMPLOYEE DEDUCTION 17987 12061~ 120611 120711 177.69 .00 TOTALS.................................. .....: 177.69 .00 177.69 'I 10536 MORRIS & DIrKSON CO, LLC 4841.96 ./ PHARMACEUTICALS 2825479 113011 112811 121011 4841.96 .00 RUN DATE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 2 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET PHARMACEUTICALS 2825480 113011 112811 121011 2574.91 .00 2574.91 ./ 'I 2827011 113011 112811 121011 3264.86 .00 3264.86 ./ PHARMACEUTICALS , PHARMACEUTICALS 2831147 113011 112911 121011 .10 .00 .10 ..., PHRAMACEUTIcALS 2831148 113011 112911 121011 748.62 .00 748.62........... PHARMACEUTICALS 2833864 113011 113011 121011 508.91 .00 508.91./ II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . : 11939.36 .00 11939.36 10578 LUMINANT ENERGY COMPANY LL FUEL INV0509389 103111 110111 121711 2651.97 .00 2651. 97 ,,/ TOTALS.......... II...'.... II...... II II.......: 2651. 97 .00 2651. 97 10599 BKD, LLP 23541.82/ ACCOUNTING AUDITING FEES 090075 113011 111411 121511 23541.82 .00 " TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23541.82 .00 23541.82 10632 JACKSON NURSE PROFESSIONAL 'I 44353384 2628.00 r CONTRACT ~SE L&D 113011 112611 112611 2628.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2628.00 .00 2628.00 10639 TX CHILD SUPPORT SDU / II EMPLOYEE DEDUCTION 17985 120611 120611 120711 230.77 .00 230.77 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 230.77 .00 230.77 10645 REVISTA de VICTORIA 375.00/ ADVERTISING '! 11201126 113011 111511 112911 375.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 375.00 .00 375.00 10647 MICHAEL J. DICLEMENTE, MD 'I 31675.71 / REVENUE GUARANTEE PAYMENT 23609 113011 113011 120511 31675.71 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 31675.71 .00 31675.71 10672 SIEMENS INDVSTRY, INC. SUPPLIES LAB 900475776 113011 111811 121811 595.94 .00 595.94/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 595.94 .00 595.94 10674 RENNCO LLC !i SUPPLIES BUlGERY 1085925 113011 111511 121511 294.46 .00 294.46&1' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 294.46 .00 294.46 10675 BONNIE RUSH 100.00/ LITERATURE REGULATORY EXP 603246 113011 120111 101011 100.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 100.00 .00 100.00 !I. A0400 AUREUS HEALTHCARE LLC 2490.46/ CONTRACT LAB TECH 520997 113011 111711 121711 2490.46 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2490.46 .00 2490.46 A1292 PORT LAVACA HARDWARE 39.06 / SUPPLIES PHARM / MAINTENA W 066048 112211 111711 121711 39.06 .00 TOTALS............ .~.-..".......................: 39.06 .00 39.06 A1350 ACTION LUMBER 49.35 / SUPPLIES PLANT OPS W 22732 112911 111611 121511 49.35 .00 RUN DATE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 3 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET TOTALS....................................... : 49.35 .00 49.35 A1360 AMERISOURCEBERGEN DRUG COR PHARMACEUTICALS W 037-309118 111811 111711 121011 30.88 .00 30.88 V PHARMACEUTICALS 037-309119 111811 111711 121011 19.85 .00 19.85 ) PHARMACEUTICALS 037-314775 112211 112211 121011 2.56 .00 2.56 PHARMACEUTICAIls 037-314776 112211 112211 121011 30.08 .00 30.08 j- PHARMACEUTICAIls 037-081275 112911 110811 112511 77.70 .00 77.70 II TOTALS. . ..... ..... . ......... .... .............: 161. 07 .00 161. 07 A1645 ALCON LABORATORIES INC 1564.50/ LENSES M 12368321 111811 111411 121411 1564.50 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1564.50 .00 1564.50 A2050 AMTEC SUPPLIES NUC MED M 40100 112211 111611 121611 125.88 .00 125.88 ~ TOTALS....................................... : 125.88 .00 125.88 A2252 NADINE GARNER II 33.30/ TRAVEL EXPENSE W 23611 113011 113011 120511 33.30 .00 TOTALS. ......... ........1.. II..... 1..1... II..: 33.30 .00 33.30 A2349 AT&T 1201.7a/' TELEPHONE w 3067196101-1 113011 111911 121411 1201.70 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1201. 70 .00 1201. 70 A2600 AUTO PARTS & MACHINE CO. 5.48 / 'I ACCOUNT REMAINING TOTAL W 23567 111111 103111 110211 5.48 .00 I! TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 5.48 .00 5.48 B0437 C R BARD INC SUPPLIES ULTRASOUND M 09109067 112211 111511 121511 204.65 .00 204.65/ SUPPLIES SURGERY 22337422 112211 111511 121511 370.19 .00 370.19/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 574.84 .00 574.84 Bl075 BAXTER HEALTHCARE CORP 378.15 ./ SUPPLIES CS INVENTORY M 32987304 113011 111711 121711 378.15 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 378.15 .00 378.15 II B1220 BECKMAN COULTER INC II 995.93 "./ OUTSIDE SERVICE LAB M 102543719 113011 110711 120711 995.93 .00 OUTSIDE SERVICE LAB 102554893 113011 111411 121411 407.72 .00 407.72/ OUTSIDE SERVICE LAB 102558349 113011 111511 121511 584.50 .00 584.50 ./ OUTSIDE SERVICE LAB 102560622 113011 111611 121611 304.94 .00 304.94./ LEASE/MAINTENANCE LAB 5251112 113011 111211 121211 3440.19 .00 3440.19~ LEASE/RENTAL LAB 5251113 113011 111211 121211 3933.48 .00 3933.48 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 9666.76 .00 9666.76 B1490 BALLARD MEDICAL PRODUCTS 101.001 II SUPPLIES OUT PATIENT CLIN M 9102228481 111811 111411.,121411 101. 00 .00 I! TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 101.00 .00 101.00 Cl030 CAL COM FEDERAL CREDIT UNI / EMPLOYEE DEDUCTION W 17984 120611 120611 120711 25.00 .00 25.00 II RUN DATE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 4 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 25.00 .00 25.00 C1600 CITIZENS MEDICAL CENTER 286.00/ .II OUTSIDE SERVICE LAB W 23605 113011 093011 103011 286.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 286.00 .00 286.00 C2450 THE COUNCIL COMPANY 13. 33~ FORMS Ii M 69300 112211 111811 121511 13.33 .00 OFFICE SUPPLIES FORMS 69327 113011 112111 121511 8.49 .00 8.49 ,i TOTALS..........I..... II...... II.. II' 11.1....: 21. 82 .00 21. 82 C2510 CPSI / EBOS M 687759 113011 112211 112211 125.04 .00 125.04 .J STATEMENT PROCESSING 688520 113011 112311 112311 81.42 .00 81.42 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 206.46 .00 206.46 D0350 SIEMENS HEALTHCARE DIAGNOS INVENTORY LAB M 970792600 113011 111711 121711 3503.65 .00 3503.65 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3503.65 .00 3503.65 D1035 DAVIS & WILKERSON 315.00 / PROFESSION~ FEE W 114055 113011 103111 113011 315.00 .00 TOTALS................... 1..........1.. II....: 315.00 .00 315.00 'I D1785 DYNATRONICS CORPORATION 42.00/ SUPPLIES PT 548224 112211 111611 121511 42.00 .00 TOTALS....................................... : 42.00 .00 42.00 " E3400 EMERGENCY MEDICAL PRODUCTS SUPPLIES CS INVENTORY M 1421382 112211 111611 121611 67.05 .00 67.05 v' II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 67.05 .00 67.05 F1300 FIRESTONE OF 'I PORT LAVACA DEPT REPAIR TRANSPORTATIO W 0008138 113011 110411 120411 144.31 .00 144.31:/ 'I TRANSPORATION - TIRE REPA 0008562 113011 111511 121511 20.00 .00 20.00 TOTALS....................................... : 164.31 .00 164.31 F1400 FISHER HEALTHCARE 134.34/ SUPPLIES LAB II M 1974865 113011 111511 121511 134.34 \ .00 SUPPLIES LAB 1974870 113011 111511 121511 57.25- .00 57.25 ",/ SUPPLIES LAB !I 1974915 113011 111511 121511 778.05- .00 778.05/ SUPPLIES LAB 2633886 113011 111711 121711 397.35 . .00 397.35./ SUPPLIES LAB II 3225955 113011 111811 121811 110.54 ' .00 110.54/ SUPPLIES LAB 3995257 113011 112111 122011 1023.88' .00 1023.88/ SUPPLIES LAB II 9019910 113011 111011 121011 110.63 ' .00 110.63/ TOTALS............ ......... II' ....1 II........: 2612.04 .00 2612.04 11 G0401 GULF COAST DELIVERY OUTSIDE SERVIgE 23613-1 113011 113011 121511 275.00 .00 275.00/ TOTALS....................................... : 275.00 .00 275.00 Ii G1210 GULF COAST PAPER COMPANY 153.11 / SUPPLIES HOUSEKEEPING M 305236 113011 112211 121511 153.11 .00 II RUN DATE~ 12/07111 TIME: 13: 01" MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 5 APOPEN VEND#.NAME...... .'................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET TOTALS....................................... : 153.11 .00 153.11 H0030 H E BUTT GROCERY SUPPLIES DI~TARY M 886998 111811 111711 121611 214 .13 .00 214.13 ,./ TOTALS............ II....... II II..............: 214.13- .00 214.13 11 H0947 HALL WIRELESS iI DEPT REPAIR :iLAB 10061168 112211 111711 121711 12.99 .00 12.99 ,.-/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 12.99 .00 12.99 " 10415 INDEPENDENCE MEDICAL 44.03/ II SUPPLIES CS INVENTORY 0025541684 113011 111611 121611 44.03 .00 TOTALS.................. II.......... I" II....: 44.1) 3 .00 44.03 10950 INFOLAB INC SUPPLIES LAB I' M 3044639 111511 102811 112811 855.41 .00 855.41 ./ SUPPLIES LAB" 3049070 113011 110811 120811 549.15 .00 549.15 ..,/ SUPPLIES BLOOD BANK 3050374 113011 111111 121111 319.65 .00 319.65 v" SUPPLIES LAB" 3050958 113011 111411 121411 1908.55 .00 1908.55 0/' SUPPLIES LAB " 3054434 113011 112211 122011 101.14 .00 101.14 / SUPPLIES BLOOD BANK 3054435 113011 112211 122011 856.51 .00 856.51'/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4590.41 .00 4590.41 J1400 JOHNSON & JO~SON 255.92 ,/ SUPPLIES SURGERY 906635784 113011 111611 121611 255.92 .00 ir TOTALS. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 255.92 .00 255.92 K1255 KRAMES 76.17/ " SUPPLIES OUTPATIENT 6733038 113011 111511 121511 76.17 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 76"17 .00 76.17 L1296 LEADS ETC., INC. 22.00 ,/ SUPPLIES LAB W 381665 113011 112811 112811 22.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 22.00 .00 22.00 M1301 TERRY W. MADDUX FLEX SPEND REIMBURSE~IENT 23611 120511 120511 120611 500.00 .00 500.00 ,/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . : 500.00 .00 500.00 M1500 MARKS PLUMBING ,PARTS 39.07 / DEPT REPAIR LAB M 1057056 111111 100511 110411 39.07 .00 TOTALS. . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 39.07 .00 39.07 M2465 MEDLEARN 208.95 / OUTPATIENT SVC W 158647 113011 112911 112911 208.95 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . : 208.95 .00 208.95 M2485 MEDRAD INC 889.60/ SUPPLIES CT SCAN M 139016725 113011 111611 121611 889.60 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 889.60 .00 889.60 M2659 MERRY X-RAY- SAN ANTONIO 94.50/ OUTSIDE SERVICE MAMMO M 464895 113011 083111.093011 94.50 .00 RUN DAT&: 12/07/11 TIME: 13:01, MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 6 APOPEN VEND#.NAME......:....................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT PC GROSS DISC NO-PAY NET ., II ....... ..... ...... ........ SUPPLIES RXDIOLOGY 468535-1 113011 111411 121411 155.25 .00 155.25 /" TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 249.75 .00 249.75 M2827 MINNTECH CORPORATION II SUPPLIES SURGERY M 1291117 112211 111411 121411 186.00 .00 186.00 / " TOTALS. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 186.00 .00 186.00 N1225 NUTRITION OPTIONS DIETICIAN W 23606 113011 120111 121511 3750.00 .00 3750.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3750.00 .00 3750.00 00910 OFFICE DEPoT' INC OFFICE SUPPLIES XRAY W 23581 111811 111511 121511 19.99 .00 19.99 / TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 19.99 .00 19.99 00920 OFFICE DEPOT, INC OFFICE SUPPLIES SURGERY 587179410-001 112211 111811 121811 16.31 .00 16.31 --- " , TOTALS. . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . : 16.31 .00 16.31 OM425 OWENS & MINOR SUPPLIES MED/'SURG 1851013 112211 111511 121511 136.04 .00 136.04 ;j SUPPLIES CS INVENTORY 1851039 112211 111511 121511 48.87 .00 48.87 SUPPLIES CS INVENTORY 1851066 112211 111511 121511 74.69 .00 74.69/ " 5.901 SUPPLIES CS INVENTORY 1851108 112211 111511 121511 5.90 .00 'I 110.82/ SUPPLIES SURGERY 1851166 112211 111511 121511 110.82 .00 I 1851264 112211 111511 121511 1096.10/ SUPPLIES SURGERY 1096.10 .00 SUPPLIES CS INVENTORY 1852266 112211 111711 121711 43.87 .00 43.87 / SUPPLIES SURGERY 1851037 113011 111511 121511 261. 53 .00 261. 53 / SUPPLIES CS INVENTORY 1853004 113011 111411 121411 51. 21 .00 51.21/ " 1977.00 / SUPPLIES VARIOUS 1853069 113011 111811 121811 1977.00 .00 II 3806.03 .00 3806.03 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : P1876 POLYMEDCO INC." 125.26V SUPPLIES LAB " M 995433 113011 111411 121411 125.26 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . : 125.26 .00 125.26 !; P1960 PORT LAVACA CLINIC ASSOC DR. DICLEMENTE II EQUIPMENT W 23608 120511 120511 120511 27196.17 .00 27196.17.......... TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 27196.17 .00 27196.17 P2200 POWER ELECTRIC CAROIO RENOVATION W 156699 113011 111511 121511 3.55. .00 3.55 ............. TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3.55 .00 3.55 P2370 PROGRESSIVE DYNAMICS MEDIC SUPPLIES SURGERY M 128451 112211 111511 121411 92.0.0 .00 92.00 /' TOTALS............ II..... ..... ...............: 92.00 .00 92.00 'I, ............-..., Rl050 R G & ASSOCIATES INC 123.00/ SALT DELIVERY II M 193236 112211 111711 121711 123.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 123.00 .00 123.00 R1268 RADIOLOGY UNLIMITED, PA " 5500.00 /' CALL PAY W 23607 120611 112911 120611 5500.00 .00 RUN DATE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 7 APOPEN VENDII.NAME...... .,................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET RUN DATE: 12/07/11 TIME: 13:01 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/20/11 PAGE: 8 APOPEN VEND#.NAME.......................... .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET LAUNDRY HOSPITAL LINEN LAUNDRY SURGER~ " 8400117333 112211 111811 121811 8400117334 112211 111811 121811 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ~l ii U1350 UNITED PARCEL SERVICE POSTAGE W 0000778941471 113011 111911 113011 TOTALS....................................... : U1400 UNITED WAY OF CALHOUN COUN UNITED WAY DEDUCTION W 17983 120611 120611 120711 TOTALS....................................... : V0555 VERIZON SOUTHWEST TELEPHONE TELEPHONE M 1977697111911 113011 111911 121411 5521567111911 113011 111911 121411 TOTALS....................................... : W1300 GRAINGER CARDIO RENOVATION M 9689144047 113011 111711 121711 TOTALS....................................... : Z0850 CARMEN C. ZAPATA-ARROYO SPEECH THERAPY' W 23610 113011 113011 113011 TOTALS....................................... : GRAND TOTALS..,..............................: Af?PRO"[E[i) DEe 0 1 2011 CO~>>~\!lrr Al\JJD!lORi Cl{5Jt I t.f ~:2 ,,3 +0 ~}'10 3ti8 VOIDS___ - jj /'1/P 2~b d/;fro J).5 790.47 340.57 2814.50 547.19 547.19 146.50 146 . 50 48.40 43.43 91.83 100.93 100.~3 225.00 225.00 215700.09 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 P'tr ~ Co'<' r.e..c-t-',()" 790.47 ___ 340.57/' 2814.50 547.19./' 547.19 /' 146.50, 146.50 Et.3 '&' ..48.49 - 43.43 ..... - 91. 83 '11. 81 100.93 ,,/ 100.93 225.00 /' 225.00 215700.09 ~ <' t::tl.g3) l -t oelL~\ ~\51 7D3.D/ 1'fJ.ttlJL_ f) (l!fd- ~--'fF- Michael J _ Pfeifer Calh?un COUf:,ty Judge Date._12 ':lbu RuN DATE: 12/07/11 TIME: 13:25 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT PATIENT NUMBER I' PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NOM j120711 38.40 ./ 2 I , i I ; ;120711 100.00 ./ 2 i ------------~=~:~~~~-_:~:~-------------------------------------~~~:~~---------~---------------------------. -----------~--------- TOTAL 138.40 V f /<5 .it /~.5~? Ji /ftp3.>6 .tit, ~lI5llf.1ln\/~lnI ,ri'~,~t...rny \i EY DEe 0 I 2011 !l~;OUNrv ,AUDiTOR f'fw~ 9~ Michael J. Pfeifer Calhoun County Judge Dato:....I'?:,:!3--::.LL__ ....... " RUN DATE:12/15/11 TIME:15:48 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 0538 ACCOUNT A.H.A;' SEQ. NUMBER NUMBER TRANS DATE JOURNAL CRTlI556 TRANSACTION SEQUENCE PAGE 1 GLEDIT AMOUNT SUB-LED REFERENCE MEMO G.L. ACCOUNT DESCRIPTION ------------------------------------------------------------------------------------------------------------------------------------ 1 10000000 20000000 12/15/11 CD 12/15/11 CD 30000000 _ _ _ _ _ - - - - -R E C A P- - - - - - - - - - JOURNAL IRMO COUNT' DEBIT CD 1112 2' 42,598.00 TOTAL i 42,598.00 ACCOUNT TOTAL RE~ ON NEXT PAGE "", '" " 42,598.00CR T3067 42,598.00 T3067 CREDIT 42,598.00 42,598.00 ~1 '. 6134 ~y \~tv~ A/PC146352 TRAILBLAZER HEALTH ENTE OPERATING A/PC146352 TRAILBLAZER HEALTH ENTE ACCOUNTS PAYABLE AMe:nde.d -re..n+a..+~"e. 292704 .s e -\-~ \e f\'\ eA\. + J~PflRO'!E\P1 DEe 1 5 20\\ COUNTY AlllDulO!R\ (W.,)..1 9- ;1fL / 7-..-1' - /II -CASH -AlP AtCOUNT DEBIT iooooooO OPERATING " 20000000 ACCOUNTS PAYABLE , CREDIT -CASH ";A/P 0538 BATCH MOVED TO PERMANENT FILES 0538 UPDATE IS COMPLETE II (-- (RECAP) .00 42598.00 42598.00 .00 " RUN DATE: 12/15/11 TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 1 APOPEN VEND#.NAME........ ."................. .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET ;i 10008 OMNI-PORT LAVACA 07, L.P. 10320.70 .,/ RENTAL 23621 121511 121511 121511 1imo.70 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 10320.70 .00 10320.70 10032 PHILIPS HEALTHCARE 100.80/ 'I 923500491 113011 112211 122311 100.80 .00 SUPPLIES lCU INSTRUMENT REPAIR rcu 923498873 121411 112311 122311 336.00 .00 336.00/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 436.80 .00 436.80 10038 DIXIE MEDICAL, INC 4011. 00 ./ SUPPLIES suRGERY 45765 120911 102811 112811 4011.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 4011.00 .00 4011.00 10258 HITACHI MEDICAL SYSTEMS SRV CONTRACT MRI PJIN0031943 113011 111511 122511 9166.67 .00 9166.67 ./ " 9166.67 TOTALS..... 11.11..1.'....1..... II..... II I....: 9166.67 .00 'I 10285 JAMES A DANIEL 750.00/ RENTAL SPAcE 23624 121511 121511 121511 750.00 .00 TOTALS....................................... : 750.00 .00 750.00 10350 CENTURION MEDICAL PRODUCTS I 259.68 ./ SUPPLIES CS' INVENTORY 90892818 113011 112111 122111 259.68 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 259.68 .00 259.68 10368 DEWITT POTH & SON OFFICE SUP~LIES LAB 313431-0 120911 120511 121511 133.70 .00 133.70 j OFFICE SUPPLIES CS INV 313525-0 120911 120511 121511 156.49 .00 156.49 .i, 26.40/ OFFICE SUPPLIES PFS 313680-0 120911 120611 121511 26.40 .00 OFFICE SUPPLEIS HIM 313688-0 120911 120611 121511 154.02 .00 154.02/ II 386.821 OFFICE SUPPLIES CS INV 313852-0 120911 120711 121511 386.82 .00 OFFICE SUPPLIES ADMIN 313622-0 121411 120611 121511 52.71 .00 52.71 / OFFICE SUPPLIES CS INV 313852-1 121411 120911 121511 7.89 .00 7.89 'I 14.48/ OFFICE SUPPLIES PURCHASIN 313860-0 121411 120711 121511 14.48 .00 OFFICE SUPPLIES PLANT OPS 313933-0 121411 120811 121511 59.58 .00 59.58 / 'I 20.13 wj OFFICE SUPPLIES RADIOLOGY 314007-0 121411 120811 121511 20.13 .00 OFFICE SUPPLIES PFS 314168-0 121411 121211 121511 4.42 .00 4.42 OFFICE SUPPLIES LAB 314226-0 121411 121211 121511 183.35 .00 183.35 ./ 'I 9.43/ OFFICE SUPPLIES r~ 314243-0 121411 121211 121511 9.43 .00 OFFICE SUPfLIES CS INV 314299-0 121411 121211 121511 214.50 .00 214.50/ TOTALS..........I.... I'" II II............ II..: 1423.92 .00 1423.92 10378 LAQUINTA INNS & SUITES TRAVEL RELIEF PHARMACIST 61911346 121411 120911 010811 870.10 .00 870.10'/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 870.10 .00 870.10 10431 ROY ALLEN MARTIN J RELIEF PHARMACIST 23617 121411 120911 121511 3867.00 .00 3867.00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 3867.00 .00 3867.00 " "- 10441 MMC EMPLOYEE BENEFITS 14302.52/ WEEKLY CLAIMS 17993 121411 121411 121511 14302.52 .00 RUN DATE: 12/15/11 TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 2 APOPEN VEND#.NAME....... .'~................. .CLS.INVOICE#........ .TRN M.INV M.DUE M.CK DT. .PC...... .GROSS.... .DISC..... . NO-PAY ....... .NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 14302.52 .00 14302.52 II 10536 MORRIS & DICKSON CO, LLC 21.83/' PHARMACEUTICALS 2839887 120911 120111 122511 21.83 .00 PHARMACEUTICAL 2839888 120911 120111 122511 18.31 .00 18.311'" II' 120911 120111 122511 2780.88 .00 2780.88~ PHARMACEUTlqAL 2839889 PHARMACEUTICALS 2839890 120911 120111 122511 357.95 .00 357.95 PHARMACEUTICALS 2851178 120911 120511 122511 65.44 .00 65.44/ i~ 120911 120511 122511 4789.53 .00 4789.53/ PHARMACEUTICALS 2851179 PHARMACEUTICALS 2855880 120911 120611 122511 938.64 .00 938.64'/ PHARMACEUTICALS 2855881 120911 120611 122511 871.44 .00 871.44/ Ii 37.70/ PHARMACEUTI<1ALS 2856043 120911 120611 122511 37.70 .00 I 6621. 32........ PHARMACEUTICALS 2863786 120911 120811 122511 6621. 32 .00 PHARMACEUTICALS 2863787 120911 120811 122511 3440.05 .00 3440.05/ PHARMACEUTICALS 2864553 120911 120811 122511 1.17 .00 1.17 .,./ 'I 5.86/" PHARMACEUTICALS 2864554 120911 120811 122511 5.86 .00 PHARMACEUTICALS 2864555 120911 120811 122511 43.33 .00 43.33 .,/ PHARMACEUTICALS 2864972 120911 120811 122511 274.95 .00 274.95 ,/ 'I 181.49/ PHARMACEUTICALS 2864973 120911 120811 122511 181. 4 9 .00 SPLITBILL LIC FEE 8923 120911 120111 122511 1000.00 .00 1000.00 ,/ PHARMACEUTICAL CREDIT 9471 120911 120611 122511 -168.90 .00 -168.90'..../ PHARMACEUTI.CALS 98804 120911 120811 122511 1.14 .00 1. 14...-' II ,../ PHARMACEUTICALS 2866797 121411 120911 122511 9.27 .00 9.27/, PHARMACEUTICALS 2866798 121411 120911 122511 30.55 .00 30.55/ PHARMACEUTICALS 2878166 121411 121311 122511 25.43 .00 25.43:/ II PHARMACEUTICALS 2878167 121411 121311 122511 5109.49 .00 5109.49 PHARMACEUTICALS 2878980 121411 121311 122511 61.15 .00 ,/ 61.15/ PHARMACEUTICAL CREDIT CM19225 121411 121311 122511 -19.77 .00 -19.77 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . : 26498.25 .00 26498.25 10554 ALLIED WASTE SERVICES #847 " 1020.80/ BASIC SERV~CE 0847-000403440 121411 112611 121611 1020.80 .00 TOTALS....................................... : 1020.80 .00 1020.80 10598 GLENN CRISP II TRAVEL EXP~NSE 23613 120911 112011 122011 44.40 .00 44.40/ T9TALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 44.40 .00 44.40 II 10606 PENLON, INC INSTRUMENT REPAIR IVC39997 121411 120611 122611 77 .20 .00 77.20/ TOTALS....................................... : 77.20 .00 77 .20 10632 JACKSON NURSE PROFESSIONAL CONTRACT NURSE 44453384 121411 120311 120311 2688.00 .00 2688.0~ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2688.00 .00 2688.00 10661 CENTURYLINK TELEPHONES 1191819344 121411 120311 122011 203.25 .00 203.25/ TOTALS.............................,......... : 203.25 .00 203.25 '-.-.... 10677 THE SURGICAL EQUIPMENT PEO 8959.00 / !I REFURBISHE~ PROBE 111023 121411 113011 113011 8959.00 .00 RUN DATE: 12/15/11 TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 3 APOPEN VEND#.NAME........ ;'................. .CLS.INVOICE#........ .TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... . NET TOTALS. . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . : 8959.00 .00 8959.00 10678 FIVE STAR STERILIZER SERVI 363.58 ;/ INSTRUMENT REPAIR 1755 121411 120711 122211 363.58 .00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 363.58 .00 363.58 10680 MMC EMPLOYEES ACTIVITES TE 300.00 .,.../ EMPLOYEE PAYROLL DEDUCT 23620 121411 121411 121511 300.00 .00 Ii TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 300.00 .00 300.00 A0777 ANDERSON CONSULTATION SERV 2297.95 ../ COLLECTIONS W MMC120211 120911 120211 010111 2297.95 .00 i1 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 2297.95 .00 2297.95 A1360 AMERISOURCEBERGEN DRUG COR 102.82 -;/ PHARMACEUTICALS W 037-330701 120911 120511 122511 102.82 .00 'I 48.12 .00 PHARMACEUTICALS 037-330702 120911 120511 122511 48.12 / PHARMACEUTICALS 037-338903 121411 120911 122511 16.04 .00 16.04 / 'I 121411 120911 122511 159.60 PHARMACEUTICALS 037-338904 159.60 .00 TOTALS....................................,.. : 326.58 .00 326.58 A1645 ALCON LABORATORIES INC II 636.00 ./ CONSIGNMENT, LENSES M 12435015 113011 112311 122311 636.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 636.00 .00 636.00 A2260 ARROW INTERNATIONAL INC 223.83 ~ II SUPPLIES CS INVENTORY M 4022437 113011 112211 122211 223.83 .00 SUPPLIES C~ INVENTORY 4014400 121411 111011 121011 349.83 .00 349.83 TOTALS......... II.. ...... 11.11.. 11.1,.,1.....: 573.66 .00 573.66 A2600 AUTO PARTS & MACHINE CO. 24.98 ~ DEPT REPAIR RADIOLOGY W 621345 113011 112211 122211 24.98 .00 II DEPT REPAIR PFS 621354 113011 112211 122211 9.49 .00 9.49 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . : 34.47 .00 34.47 Bl075 BAXTER HEALTHCARE CORP iI 904.20 ,/ LEASE INFUSION PUMP M 33027632 112911 112211 122211 904.20 .00 IV PUMP LEASE 33057843-1 113011 112811 122411 1278.20 .00 1278.20 oj II IV PUMP LEASE 33057846-1 113011 112811 122411 800.88 .00 800.88 PHARMACEUTICALS 3298733 121411 111711 121711 295.49 .00 295.49 ./ TOTALS....................................... : 3278.77 .00 3278.77 B1220 BECKMAN COULTER INC 119.38/ OUTSIDE SERVICE LAB M 102574313 113011 112211 122211 119.38 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 119.38 .00 119.38 II B1650 BOSART LOCK & KEY INC 23.45/ SUPPLIES ~ CARDIO M 93609 113011 112311 122311 23.45 .00 " TOTALS~.,._: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 23.45 .00 23.45 B1655 BOSTON SCIENTIFIC CORPORAT 306.00/ SUPPLIES ~URGERY M 930578455 113011 112111 122111 306.00 .00 " RUN DATE: 12/15/~1 TIME: 15:50 '; MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 4 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS....................................... : 306.00 .00 306.00 C1203 CALHOUN COUNTY WASTE MGMT I 326877 121411 120211 121511 20.00 .00 20.00/' WASTE MANAG~MENT TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 20.00 .00 20.00 C1970 CONMED CORPORATION 752.34 v'" SUPPLIES SURGERY M 246969 113011 112111 122111 752.34 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 752.34 .00 752.34 C2510 CPSI 97.35 ./ STATEMENT PROCESSING M 689385 121411 113011 113011 97.35 .00 EBOS 689920 121411 113011 113011 62.56 .00 62.56 -- SUPPLIES PHARMACY 691115 121411 120711 120711 225.00 .00 225.00 -; TAX FORMS 691676 121411 120811 120811 492.50 .00 492.50 HDW/SFTW/TECH SUPPORT All12071378 121411 120711 120711 13814.00 .00 13814. 00 V"" TOTALS....................................... : 14691.41 .00 14691.41 Fll00 FEDERAL EXPRESS CORP. 17.82 ./ POSTAGE W 7-711-95303 121411 120111 121611 17.82 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 17.82 .00 17.82 F1400 FISHER HEALTHCARE 648.0W/ SUPPLIES LAB M 4440358 113011 112211 122211 648.06 .00 TOTALS.. 11.,1. .,......... II ....... II.........: 648.06 .00 648.06 F1803 FRED PRYOR SEMINARS 199.00/ ONE YEAR UNLIMITED SEMINA W 23616 121411 120611 121511 199.00 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 199.00 .00 199.00 G0302 GREAT AMERICA LEASING CORP 1973.80/ MAINTENANCE CONTRACT HIM 11601628 120911 112411 121911 1973.80 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1973.80 .00 1973.80 G1210 GULF COAST PAPER COMPANY 111.40/ SUPPLIES HOUSEKEEPING M 305231 120911 112211 122211 111.40 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 111.40 .00 111.40 H0030 H E BUTT GROCERY 126.27/ II FOOD SUPPLIES DIETARY M 896889 113011 112311 122311 126.27 .00 II TOTALS....................................... : 126.27 .00 126.27 H0032 H + H SYSTEM, INC" / SUPPLIES PHARMACY 1338 121411 110911 120911 53.18 .00 53.18 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 53.18 .00 53.18 Ii H0416 HOLOGIC II 1220.00 I SUPPLIES SURGERY 6378761 113011 112111 122111 1220.00 .00 II TOTALS:-:-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1220.00 .00 1220.00 ,j -~......... H1399 HILL-ROM COMPANY, INC -~ 529.20 I I "- AIR MATTRESS RENTAL M 7039844 111111 093011 103011 529.20 .00 \ . ._\ , ' RUN DATE: 12/15/11 TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 5 APOPEN VEND~ NAME" CLS INVOICE~ .. ..TRN DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC..... .NO-PAY....... .NET w. ............................ "..... TOTALS. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . .". . . : 529.20 .00 529.20 10950 INFOLAB INC / SUPP:t..IES LAB M 3053864 113011 112111 122111 310.17 .00 310.17 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 310.17 .00 310.17 L0700 LABCORP OF AMERICA HOLDING 41.40 ./ 'I 36204356 113011 112611 122611 41.40 .00 OUTSIDE SERVICE LAB M OUTSIDE SERVICE LAB 36204367 113011 112611 122611 60.00 .00 60.00/ II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 101.40 .00 101. 40 L1640 LOWE'S HOME CENTERS INC 175.50/ SUPPLIES MAINTENANCE W 000744 120911 112311 122311 175.50 .00 '! TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . : 175.50 .00 175.50 M2499 MEDTRONIC USA, INC. 119.50 / SUPPLIES SURGERY W 2507279544-1 113011 112111 122111 119.50 .00 TOTALS....................................... : 119.50 .00 119.50 M2590 MERCURY MEDICAL 95.78 / SUPPLIES CS 'IINVENTORY M 511706 113011 112111 122111 95.78 .00 TOTALS....................................... : 95.78 .00 95.78 M2621 MMC AUXILIAiY GIFT SHOP 197.98/ " 121411 121211 121511 EMPLOYEE PURCHASE W 23618 197.98 .00 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 197.98 .00 197.98 M2659 MERRY X-RAY- SAN ANTONIO SUPPLIES ~IOLOGY VARIOU M 468665 113011 112111 122111 1833.81 .00 1833.81/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1833.81 .00 1833.81 M3656 MERIDIAN BIOSCIENCE 2042.93/ SUPPLIES LAB 710273 113011 112111 122111 2042.93 .00 '! TOTALS........ II..'...,... II 1,.,1 II 1,.".....: 2042.93 .00 2042.93 " 00911 OFFICE DEPOT CREDIT PLAN 21.85/ OFFICE SUPP:t..IES LAB W 205900 120911 110711 120711 21.85 .00 II TOTALS....................................... : 21. 85 .00 21.85 OM425 OWENS & MINOR 3.69/ SUPPLIES CS INVENTORY 1854310 113011 112211 122211 3.69 .00 SUPPLIES SURGERY 1854344 113011 112211 122211 33.50 .00 33.5V SUPPLIES CS INVENTORY 1854349 113011 112211 122211 6.47 .00 6.47/ SUPPLIES OB 1 CS INVE 1854380 113011 112211 122211 95.56 .00 95.56/ 'I 449.56/ SUPPLIES SURGERY 1854613 113011 112211 122211 449.56 .00 SUPPLIES VARIOUS 1851347 120911 111511 121511 3590.14 .00 3590.14/ II SUPPLIES VARIOUS 1854603 120911 112211 122211 2328.35 .00 2328.35,/ TOTALS....................................... : 6507.27 .00 6507.27 ,""" P2200 POWER ELECTRIC ;1 12.28 ,/ SUPPLIES BIOMED W 156782 121411 112311 122311 12.28 .00 RUN DATE: 12/15/1~ TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 6 APOPEN VEND#.NAME...........................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 12.28 .00 12.28 P2370 PROGRESSIVE DYNAMICS MEDIC SUPPLIES SURGERY M 128519 120911 120211 122211 91. 08 .00 91.08/ TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 91.08 .00 91. 08 R1050 R G & ASSOCIATES INC 270.60 v" " SALT DELIVERY M 192363 121411 112811 112811 270.60 .00 SALT DELIVERY 193044 121411 112811 112811 106.60 .00 106.60-- " 123.00/ SALT DELIVERY 193481 121411 112811 112811 123.00 .00 MIXED BED 193685 121411 112811 112811 31. 50 .00 31.50/ SALT DELIVERY 193985 121411 120111 121511 106.60 .00 106.60 /' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 638.30 .00 638.30 R1268 RADIOLOGY UNLIMITED, PA ,.,/ READING FEES II W 23619 121411 092911 102911 385.00 .00 385.00 TOTALS.....~.... II.. II... II........... II.....: 385.00 .00 385.00 S2679 THE ST JOHN COMPANIES, INC II 22.95/ SUPPLIES CS INVENTORY M 07727229 113011 112111 122111 22.95 .00 SUPPLIES CS INVENTORY 07729755 120911 112311 122311 205.00 .00 205.00'/ II TOTALS..................................,.... : 227.95 .00 227.95 S2951 SYSCO FOOD SERVICES OF / SUPPLIES DIET~Y M 110140210 120911 101411 110411 125.11 .00 125.11 TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 125.11 .00 125.11 T0801 TLC STAFFING 940.21 J CONTRACT NURSE W 9655 113011 112211 122211 940.21 .00 TOTALS... II........ II...... .t...... II........: 940.21 .00 940.21 II U1054 UNIFIRST HOLDINGS 32.54 ) LAUNDRY MAINTENANCE W 8150551813 112211 112211 122211 32.54 .00 TOTALS... II... II.... II II... .t...... II........: 32.54 .00 32.54 U1056 UNIFORM ADVANTAGE EMPLOYEE PURCHASE SCRUBS W 4177922 120911 111411 121411 280.82 .00 280.82/' EMPLOYEE PURCHASE SCRUBS 4182505 120911 111711 121711 408.75 .00 408.75/ TOTALS....................................... : 689.57 .00 689.57 U1064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN 8400117468 112211 112211 122211 820.05 .00 820.05 ::J LAUNDRY HOUSEKEEPING 8400117469 112211 112211 122211 174.44 .00 174.44 /' LAUNDRY PLAZA 8400117470 112211 112211 122211 155.35 .00 155.35 ../ LAUNDRY DIETARY 8400117471 112211 112211 122211 112.98 .00 112.98 LAUNDRY OB 8400117472 112211 112211 122211 86.70 .00 86.70./ LAUNDRY HOUSEKlEPING 8400117473 112211 112211 122211 48.13 .00 48.13/ LAUNDRY HOSPITAL LINEN 8400117661 113011 112511 122511 661. 65 .00 661. 65~ 'I LAUNDRY SURGERY, 8400117662 113011 112511 122511 340.57 .00 340.57 TOTALS............ ;.,.,........................: 2399.87 .00 2399.87 '- U2000 US POSTAL SERVICE POSTAGE 23622 121511 121511 121511 1200.00 .00 1200.00/ RUN DATE: 12/15/11; TIME: 15:50 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/27/11 PAGE: 7 APOPEN VEND#.NAME.........:.................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET .,/ REPLY MAIL ACCOUNT 23623 121511 121511 121511 300.00 .00 300.00 II TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1500.00 .00 1500.00 V0555 VERIZON SOUTHWEST ,I TELEPHONE M 5520220112811 113011 112811 122311 102.64 .00 102.64 --- TELEPHONE 5523521120111 121411 120111 122611 40.47 .00 40.47 .,/ MISSED PAYMENT/DOUBLE CRE 5526713FlNAL 121411 120511 121511 1483.29 .00 1483.29 .;' TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 1626.40 .00 1626.40 'I V1050 THE VICTORIA:ADVOCATE WEEKLY SUBSCRIPTION W 832062 120911 110511 120511 12.40 .00 12.40 --- WEEKLY SUBSCRIPTION 832509 120911 111211 121111 12.40 .00 12.40~ 'I WEEKLY SUBSCRIPTION 835260 120911 111911 121911 12.40 .00 12.40- WEEKLY SUBSCRIPTION 835976 120911 112611 122611 12.40 .00 12.40........ il TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 49.60 .00 49.60 GRAND TOTALS..... I" ....,... II.... II.........: 133625.71 .00 133625.71 tk~ 14luii?)5?:> - ILf~ '-f/1 VO(DEp CK:?: 14loJ5;i)IJ.f&?J&4 h,\PPROVED DEe 1 6 2011 COUNTY /MJD~TOR ~vtj~ Pit , ,.~ll }".... l' 'I ~~~~~il~~~i~~~i~~;;;~~~:;:;;;J~;~;~~~~--------;;~~;:;;---- iUN DATE: 12/15/11 TIME: 14:35 ~ATIENT roMBER PAYEE NAME MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl APCDEDIT DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NOM --------------------------------------------------- 121511 261. 68 / 121511 8.20/ 121511 57.67 ./ 121511 36.00 I I :1 1'frt4.;._~~;;,.._~.~~,_" II I ____________.::'.~_____..___.;::_~-_________________:._____,____________________________ ~.,-,,,,.li,.^""~ ilo!to,;~..~, ,~~t'f:ll' ~~ <"1 ~ "'I' t =' '" _~;;=~~~~~~~~~!~~2~!~~~~t!~:~_~~~~~~~_~:~~~_~~~~~t~~~~ ARID=OOOl TOTAL 402.72 ------------------~----_.._------------------------------------------------.---------------------------------------------------------- 402.72 TOTAL tK4P ILtlP tf/6 - Ilflu If U '! ,!A\~'PROVED ~)EC 1 6 2011 COUN~R ~jJ ~ 11 1,/ 1/ , Run Date: 11/21/11 " MEMOR IAL MEDICAL CENTER Page 81 Time: 13: 58 payroll Register ( Bi -Weekly I P2REG Pay Period 11/04/11 - 11/17/11 Run# 1 Final Summary L_ Pay Cod e Sum mar y _~_________n_nnnnn__nn__nn_____L_ De due t ion s Sum mar y ____nn_____* I PayCd Descript*on Hrs lOTI SHIWEIHOI cBI Gross I Code Amount I t _ _ _ _. _ _ _ _ _ _ __ _ _ _~ _ _ __ _ _ _ _ _ _ - - __ - - - - __ - w"__ - - - -- - - - - -- - -- - - - -- - - - - - - - - - - - - - - * -- - -- - - - - -- - --- - - - - - --- - - - - - - - - - - - - - - - -- - - - - - -- - - - - -. 1 REGULAR PAY -Sl 7460,00 N N N 135497,11 A/R 530,00 AWARDS BOOTS 'I 1295,75 N N N 41402,74 CAFE-C 831.23 CAFE-D 855,00 CAFE- F 1 REGULAR PAY -Sl N 1 REGULAR PAY -Sl 165,50 Y N N 5605,91 CAFE- H 8557,00 CAFE- I 282,92 CAFE- L 432,40 'I 46366,21 CAFE - P 458,00 CANCER CREDUN 25,00 2 REGULAR PAY-S2 232 9.7 5 N N N 2 REGULAR PAY -S2 11,00 N N N N 290,07 DENTAL 436,14 DEP-LF 249.36 FEDTAX 33110,21 2 REGULARiPAY -S2 76,75 Y N N 2993,86 FICA-M 4289.75 FICA-O 11770,05 FLEX S 1270,24 3 REGULAR PAY -S3 1453,25 N N N 32417,37 FORT D FUTA GIFT S 127,08 3 REGULAR jiPAY-S3 96,50 Y N N 3975,11 GRANT GRP - IN 137,66 GTL B SICK BONUS 57,00 N N N N 1277,37 HOSP- I 3638,70 ID TFT LEAF C CALL PA~ 2005,25 N 1 N N 4010,50 MISC OTHER 2509,05 PR FIN 487,02 E EXTRA WAGES N 1 N N N 1485,00 REPAY ST-TX STUDEN 136.48 I INSERVICE 38,75 N 1 N N 882,72 TSA-1 TSA-2 TSA-C 'I I INSERVICE 1. 00 Y 1 N N 20,28 TSA-P TSA-R 21597,21 TUTION K EXTENDED- ILLNESS - BANK 402 , 00 N 1 N N 8461,72 OW/HOS 126,50 'I M MEAL REIMBURSEMENT N N N N 41. 00 P PAID-TIME-OFF 198,49 N N N N 5267,48 P PAID- TIME-OFF 922,00 N N N 17833.36 X CALL PAY 2 100,00 N N N 200,00 Z CALL PAY 3 96,00 N N N 288,00 P PAID TIME OFF - PROBATION 16,00 N N N 214 .80 *nmm_mmnm Grand Totals: 16724,99 nun_ ( Gross: 308530,61 Deductions: 91857,00 Net: 216673,61) I Checks Count::, FT 158 PT 18 Other 30 Female 173 Male 33 Credit OverAmt 17 ZeroNet Term Total: 206 I * __ __ ___ _ __ __ _ _ "" ____ __ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ _ _ ___ __ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _ __ _ _ _ _ __ ____ _ _ _ _ _ _ ___ _ _ _ _ _ __ _ _ ___ _ _ __ _ _ _ _ _ _ _ _ _ _ ___ _ _ ____ _ __ _ t FED TAX 33,110.21 FICA 0 29,144.89 FICA M 8,579.50 TOTALS 70,834.60 Department 060 MEMORIAL MEDICAL CENTER Payroll Register ( Bi -Weekly) Pay Period 11/04/11 - 11/17/11 Run# 2 Dept, Sequence Page P2REG Run Date: 11/28/11 Time: 13:44 11 *__ Em pi o'!y e e ,_u_*__ l' i m e u_uuu___uu______,_u____uuu______u_*__ De due t ion s ____u_________uu___u_* I Num/Type/Name/Pay /Exempt I PayCd Dept Hrs 101' I SH I WE I HO I CB I Rate Gross I Code Amount I ,* - u _ _ _ _ u _ _ _ _ u _ _ _ _ _ _ _ _ _ * _ _ _ _ _ - - u _ u _. u _ _ _ _ _ _.. - - - - - - - - - - - - - u u - - - u - - u U - - - * - - - - - u - u - - u - - - - - - - - - - - - - u - - - - - - - - - - - - - - - - - - - * 00203 FT Hrly: 8,6700 P 060 RACHEL R PADRON Fed-Ex: S-OOI St-Ex: -00 *Check#: 61427 11/23/11-* Total: 8,00 N N N N 8,6700 69,36 FICA-M 1,01 FICA-O 2,91 TSA-R 4,86 8.00 u u__ - - m_ - u_ ( Gross: 69,36 Deductions: 8,78 Net: 60,58 ) Department Summary *-- Pay Cod e Sum mar y ____uuu___u__u_u_____uu_uuu_u*u D e due t ion s Sum mar y u____u___u* I PayCd Destription Hrs 101' I SH I WE I HO I CB I Gross I Code Amount I * - -- - - - -- - -- - ~-- -- - - - - - - - - - - - - - -- - - - -- - - -- - - - - -- --- - - -- --- - - -_.- - _.- -- --- - -* -- - - - - -- - -- -- - - - - - -- - - -- - - - - - - - -- - -- - -- -- --- ---- - - --* P 8,00 N N N N 69,36 A/R AWARDS BOOTS CAFE - C CAFE-D CAFE-F CAFE-H CAFE - I CAFE - L CAFE - P CANCER CREDUN DENTAL DEP - LF FEDTAX FICA-M 1.01 FICA-O 2,91 FLEX S FORT D FUTA GIFT S GRANT GRP- IN GTL HOSP- I ID TFT LEAF MISC OTHER PR FIN REPAY ST-TX STUDEN TSA-1 TSA-2 TSA-C TSA-P TSA-R 4,86 TUnON UW /HOS *mmu__~u__ Department Totals: 8.00 --..--. ( Gross: 69,36 Deductions: 8.78 Net: 60,58 ) I Checks Count: - FT 1 PT Other Female 1 Male Credi t OverAmt ZeroNet Term Total: 1 I *_ u _ _u __ u____ __ _ __ _ __ _ _ ___ _ ___ _ _ _ uu _ u _ _ _ _ _ _ u _ _ u u uu _ _ _ _ u _ _ _ _u _ _ uu _ _uu _ _ ___ _ _ _u _ u _ _ _ _ u __ _ _ u__ _ _ _ __ _._ __ _ _ _ _ __* \ M\t\H~- \\ '].!, \ ?'I \tofe,S \\ ')!, li,n, ~.rl) ""J U C Tax Payment Report Worksheet EFTPS Voice Response S, (Photocopy this worksheet for future use.) ILlill You dial: EFTPS responds: You enter: 1-800-555-3453 "Welcome to the Electronic Federal Tax Payment System" "If you are calling from a Touch Tone phone, press 1." 1 (For Touch Tone phone) "Enter your 9-digit Taxpayer Identification Number" lL11I EFTPS prompts: You enter: 1LJ1JlJ~[Q][Q]rnrnrnm (9-digit Employer Identification Number) t11lI EFTPS promts: You enter: "Enter your 4-digit PIN" digit Personal Identification Numb U \111 EFTPS prompts: You enter: Lists the Main Menu Selections Press 1 (to initiate a tax pryment) UiJl EFTPS prompts: You enter: EFTPS responds: ',.., J '~, ;'!:~J EFTPS prompts: You enter: EFTPS prompts: You enter: "Enter the Tax Type number followed by the pound (#) sign." rn [!l] [Z] 0 D D (3- to 6 digit tax type number from the IRS Tax Form-Table in Appendix A) "You entered Tax Type/Tax Description (Based on the selection in step #5) "Enter Tax Payment Type" 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) "Enter the 4-digit Tax FiIi~g Period starting with the year followed by ~onth'" [JJ rn rn 00 (Valid 4-digit Tax Period based on IRS Tax Form Table in Appendix A) II:l]J EFTPS prompts: You enter: "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.) $DD,DDJRLl,m[![][Q].I3JCEl (Your payment amount cannot exceed $99,999,999.99) IIimI EFTPS prompts: m EFTPS responds: You enter: Enter the 2-digit Verification Code." D D Verification Code* *(See Appendix E for Verification Cod,e Calculation) " "Enter the 6-digit tax payment settlement date by month, day, year." (Note, the next business date you enter must be at least one business day in the future). LOCi] GJ[Q][JJ II] (6-digit tax payment settlement day in MMDDYV format) (Continue) ~}\~l-\ 1\) \" "<' \.J vttck..{'\.{1.l,t.k,ex;~t/hil.1,t<t;~~~:, \. \ (T '\ \' 71) ..' ~\t-\:, \c,$ oa,tpq1atl trdiut ..v\\/ ~ \\\'A\ \\ Run Date: 12(06(11 MEMORIAL MEDICAL CENTER Page 81 Time: 11:27 Payroll Register ( Bi-Weekly) P2REG Pay period 11(18/11 - 12/01/11 RunU 1 Final Summary '-- Pay Cod e Sum mar y _______________________________________ut__ D e d u c t ion s Sum mar y ___________ut I PayCd Description Hrs IOTISHIWEIHOICBI Gross I Code Amount I t__ ___ __ ____ _ _ __ ______ ___.. .__ ____ __.. __ ____ __ ______.. ___.... ___ ________________* ------- --.. ------- ----- ---.. -- ------ -- ----- ------.. ----* 1 REGULAR PAY-S1 6561. 00 N N N 120419,36 A/R 560,00 AWARDS BOOTS 1 REGULAR PAY-S1 1013,50 N N N N 33026,20 CAFE-C 821.23 CAFE-D 840,38 CAFN 1 REGULAR PAY -SI 187.00 N N Y 4934,53 CAFE - H 8421.82 CAFE- I 282.92 CAFE- L 450.70 1 REGULAR PAY -81 35.50 Y N N 1117,12 CAFE - P 454,96 CANCER 12.68 CREDUN 25,00 2 REGULAR PAY -82 2085,25 N N N 42166,46 DENTAL 463,96 DEP- LF 237.36 PEDTAX 32502.72 2 REGULAR PAY -S2 135,25 N N Y 4108,73 FICA-M 4235,90 FICA-O 11593,15 FLEX S 1270,24 2 REGULAR PAY-S2 40,75 Y N N 1507,85 FORT D FUTA GIFT S 228,86 3 REGULAR PAY-S3 1328.25 N N N 29827 ,02 GRANT GRP- IN 129,26 GTL 3 REGULAR PAY-S3 92,25 N N Y 3058,87 HOSP-! 3899,38 10 TFT LEAF 3 REGULAR PAY-S3 75,50 Y N N 3310.31 MISC OTHER 2448,53 PR FIN 479.76 C CALL PAY 2082.00 N N N 4164,00 REPAY ST-TX STUDEN 13 7.4 5 E EXTRA WAGES N' N N N 914,70 TSA-l TSA-2 TSH E EXTRA WAGES N N N N 970.00 TSA-P TSA-R 21327,19 TUTION F FUNERAL LEAVE 16,00 N N N 364,48 OW/HaS 146,50 I INSERVICE ,75 N N N N 23,25 I INSERVICE 28.75 N N N 1414 .16 K EXTENDED- ILLNESS - BANK 366.00 N N N 7260.34 M MEAL REIMBURSEMENT N N N N 10G.OO P PAID-TIME-OF~ 190,00 N N N N 5283.33 P PAID- TIME-OFF 2082,78 N N N 38925,11 X CALL PAY 2 152.00 N N N 304,00 Y YYoCA( CURVES N N N N 60,00 Z CALL PAY 3 88.00 N N N 264,00 P PAID TIME OFF - PROBATION 68,00 N N N 1148,96 L__________________ Grand Totals: 16628,53 u_____ ( Gross: 304672,78 Deductions; 90969,9S Net: 213702,83 ) I Checks Count: - FT 157 PT 19 Other 30 Female 174 Male 32 Credi t OverAmt 14 ZeroNet Term Total: 206 I *---.......... ---.... --.......... -- --.. --- ---............ --...................... --........ -- .. -- --........ --........ --. ---...... -- --.... ---....... ---.. -- - -- --- --...... ---.. --- --- ----.. .. * COMBINED TOTALS FED TAX 32,593.78 FICAO 28,879,16 FICAM 8,519.92 TOTALS 69,992.82 Ij I,; I Run Date: 12/07/11 Time: 09:37 il !~ Department 062 II !I \ *-- Elm p 1 0 y e e _____*n Tim e _____n_m___________m_____________m___*__ De d u c t ion S nm_______u__m______* INum/Type/Name/Pay/Exempt!PayCd Dept Hrs IOTlsHlwEIHOICB! Rate Gross I Code Amount I * _ n J _ _ _ __ __ _ __ __ _ _ _____ * _ __ _ ____ _ __ __ _ _ _ __ __ _ _ _ _ _ ___ _ __ _ _ __ _____ ____ uu - - - __ - _* - ___ - - __ __ ___ - - __ - - - - _u - - - - __ u - -- - - ---- - - - -- --* II " II 6286,~ FT Hrly: 12,5400 C 062 248,00 N CHRISTOPHER DELGADO Fed~Ex: M-OO St-Ex: -00 *Check#: 61429 12/08/11-* Total: 248.00 _____m___m__ ( Gross: II 6286:f FT Hrly: 12.5000 C 062 17.50 N JOE A FALCON " Fed'Ex: S-Ol St-Ex: -00 *Check#: 61430 12/08/11-* Total: 17,50 m_m______m ( Gross: !I II 0090,f FT Hrly: 22,9500 C 062 TERRY WADE MADDUX Fed..:Ex: 8-01 St-Ex: -00 *Check#: 61431 12/08/11-* Total: 8,00 m___Uu___m ( Gross: II Department Summary II *-- p,i a y Cod e Sum mar y _____n______________u___u__n____n___*__ D. e d U c t ion s Sum mar y -------------* ! paYfd Description Hrs IOTISHIWEIHOICBI Gross I Code Amount I *.. MOo .1..... ___ __.. _____ _00_...... __.............. "'.._ __ MOo"" __ __.. ____ _.... _.... __.. .._.. ............ .._......*...... __ ___...._ __.. _.. .................. _.................._ _____ __.... ____.. __t II Ci 273,50 N N N N 541,00 A/R AWARDS BOOTS II CAFE-C CAFE-D CAFE-F II CAFE-H CAFE- I CAFE- L il CAFE - P CANCER CREDlIN I DENTAL DEP-LF FEDTAX Ii FICA-M 7,93 FICA-O 22,97 FLEX S FORT D FOTA GIFT S GRANT GRP- IN GTL HOSP - I 10 TFT LEAF MISC OTHER PR FIN REPAY ST-TX STUDEN I TSA-1 TSA-2 TSA-C TSA-P TSA-R 38.29 TOTION OW /HOS MEMORIAL MEDICAL CENTER Payroll Register ( Bi - Weekly l Pay Period 11/18/11 - 12/01/11 Run# 2 Dept. Sequence Page P2RIlG N N N 2,0000 496.00 FEDTAX TSA-R 15.74 FICA-M 34.72 7,19 FICA-O 20.83 496,00 Deductions: 78,48 Net: 417,52 ) N N N 2.0000 35,00 FICA-M .51 FICA-O 1.47 TSA-R 2.45 35.00 Deductions: 4.43 Net: 30.57 1 8,00 N N N N 2.0000 16.00 FICA-M .23 FICA-O ,67 TSA-R 1.12 16,00 Deductions: 2.02 Net: 13,98 1 15,74 ,i II *---l--m--u Department Totals: 273.50 _mm I Gross: 541,00 Deductions: 84,93 Net: 462,07 ) I Checks Count: - FT 3 PT Other Female Male 3 Credit OVerAmt ZeroNet Term Total: 3 I .uutmmm_mmum_mmunm_mnmmmmnmumnmmnmnnmmmnmmnnmmmmm. !! " .... Run Date: 12/08/11 Time: 10:23 !\ Department 080 MEMORIAL MEDICAL CENTER Payroll Register ( Bi -Weekly) Pay Period 11/18/11 - 12/01/11 Run# 3 Dept. Sequence Page P2REG *-- Em ploy e e -----*-- Tim e --------------------------------------------*-- De d u c t ion s -------------------------* I Num/Type/Name/Pay /Exempt I PayCd Dept Hrs lOT I SH I WE I HO I CB I Rate Gross I Code Amount I * - - - - - - - - - - - -'- - - - - - - - - - - - * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - * 80088 FT Hrly: 29,8200 080 JESSE L TIPTON Fed-Ex: M-02 St-Ex: 0-00 *Check#: 61p2 12/08/11- * Total: Department Summary 57.00 N N N N 29.8200 1699,74 FEDTAX 116.15 FICA-M TSA-R 118.98 24,65 FlCA-O 71,39 57,00 - m_ - m_ - -- m ( Gross: 1699.74 Deduct ions: 331.17 Net: 1368,57) *-- Pay C o'!d e Sum mar y -----------------------------------------*-- De d u c t ion s Sum mar y -------------* I PayCd Description Hrs 10TlsHIWEIHOICBI Gross I Code Amount I *-------------------..------------------------------------------------------*----------------------------------------------------* .l 57.00 N 1699.74 A/R CAFE-C CAFE-H CAFE - P DENTAL FICA-M FORT D GRANT HOSP- I MISC REPAY TSA-l TSA-P OW /HOS AWARDS CAFE-D CAFE - I CANCER DEP-LF 24,65 FICA-O FUTA GRP- IN 10 TFT OTHER ST-TX TSA-2 TSA-R BOOTS CAFE-F CAFE - L CREDUN FEDTAX 71.39 FLEX S GIFT S GTL LEAF PR FIN STUDEN TSA-C 118.98 TUTION 116,15 N N N *-__mm______ Department Totals: 57,00 ___om ( Gross: 1699.74 Deductions: 331.17 Net: 1368,57 ) I Checks Count: - FT 1 PT Other Female Male 1 Credit OverAmt ZeroNet Term Total: 1 I * - - - - - - - - - - - -)- - - - - - -- - _.. - - - - - - - - _.. - _.. - - - - _.. - - - - - _.. - - - - - - - - - _.. - - - - - - - - - _.. - - _.. - _.. - - - _.... - - - - - .. - - - - _.. - _.. - .. - - - - - - - - - - _.. - - - - _.. _.. _.. - - - * ..... Department 060 MEMORIAL MEDICAL CENTER Payroll Register (Bi -Weekly) Pay Period 11/18/11 - 12/01/11 Run# 4 Dept. Sequence Page P2REG Run Date: 12/09/11 Time: 10:20 :i *-- E m p 1 0 Y e e _nn*__ Tim e n_n______nn_n___h_____nn_nnnn_n*__ D e due t ion s 000000---------000000-00-* !Num/Type/NamEi/Pay/Exempt!PayCd Dept Hrs IOTISHIWEIHO!CBI Rate Gross I Code Amount I * _ _ _ _ _ _ _ _ _ _ _ _ -'- _ _ _ _ _ _ _ _ _ _ * _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ * _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ * 60055 FT Hrly: 8,8700 P 060 MOLLY T LEAL Fed-Ex: s-olll St-Ex: -00 *Check#: 61433 12/08/11-* Total: 8,00 N N N N 8.8700 70,96 FICA-M 1.03 FICA-O 2,98 TSA-R 4,97 8,00 m____m______ ( Gross: 70.96 Deductions: 8,98 Net: 61.98 ) Department Summary Ii *-- Pay Cold e Sum mar y nn_nnnn_nn_n_nnn__nnu_____*__ De due t ion s Sum mar y __h_________* I PayCd Description Hrs IOT!SHlwEIHOlcB! Gross I Code Amount I * _ _ _ _ 00 _ _ _ 00 00 _ __ _ _ _,. _ __ _ _ _ 0000 00 _ _ _00 _ _ _ _ n _ _ 0000 _ _ 00 _ _ u_ _ _ _ __ _ 00 00 _ 00 _ 00*__00 _ 00_ _ _ __ __ _ _ _ __ _0000 _ _0000 _ _n_U_ _ __ u _ _ __ 00 _ __* P 8.00 N N N N 70,96 A/R AWARDS BOOTS CAFE-C CAFE-D CAFE - F CAFE-H CAFE- I CAFE-L CAFE-P CANCER CREDUN DENTAL DEP-LF FEDTAX FICA-M 1.03 FICA-O 2.98 FLEX S FORT D FUTA GIFT S GRANT GRP-IN GTL HOSP- I ID TFT LEAF MISC OTHER PR FIN REPAY ST-TX STODEN TSA-1 TSA-2 TSA-C TSA-P TSA-R 4,97 TUTION OW/HOS Lnh_m_L_ Department Totals: 8.00 h__m ( Gross: 70,96 Deductions: 8.98 Net: 61.98 ) I Checks Count: - FT 1 PT Other Female 1 Male Credit OverAmt ZeroNet Term Total: 1 I *_ 0000_ 00 _ _ _ _ 00 _ _ _ _ __ _ __ _ __ __ _ _u __ _ __ _ 00_ 00 _ _ __ _ __ _ __ _ _ u u_ u_ ___ _ _ _ __ _ __ _ 0000 _ 00 00 00 00 00 _ 00_ 00 _ 00 _ 00_ 00_ _ _ _00 _ _ 0000 _ _ _00__ _ __* '" Tax Payment Report Worksheet EFTPS Voice Response 5, (Photocopy this worksheet for future use.) ~ You dial: EFTPS responds: You enter: 1-800-555-3453 "Welcome to the Electronic Federal Tax Payment System" "If you are calling from a Touch Tone phone, press 1." 1 (For Touch Tone phone) "Enter your 9-digit Taxpayer Identification Number" IJ!.&1l EFTPSprompts: You enter: " ~l"<"'>'" ,~'0j [ZJ1J[]~[QJ[QJQ]rnmm (9-digit Employer Identification Number) You enter: digit Personal Identification Numb EFTPS promts: "Enter your 4-digit PIN" ~fU:' ;.:....:;~~ " ;:.\'...,;~ EFTPS prompts: You enter: Press 1 (to initiate a tax pryment) Lists the Main Menu Selections You enter: "Enter the Tax Type number followed by the pound (#) sign." rn [!l] [2] DO 0 (3- to 6 digit tax type number from the IRS Tax Form-Table in Appendix A) EFTPS responds: "You entered Tax Type/Tax Description (Based on the selection in step #5) r~",'';''{,''~J ~ EFTPS prompts: "I You enter: ~,""J /i:i~:'l EFTPS prompts: Ilil1@1 EFTPS prompts: -~ II You enter: "Enter Tax Payment Type" 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix D) li&lI. EFTPS prompts: "Enter the 4-digit Tax Filj~g Period starting with the year followed by ~onth'" rT1 ~ rr--1 [6J (Valid 4-digit Tax Period based on IRS Tax Form "Thtie' in Appe~) You enter: "Enter the payment Amount followed by the pound (#) sign." (You must enter cents even if you are reporting a whole dollar amount.) $DD,DrnlTI,rn[D~.mCID (Your payment amount cannot exceed $99,999,999.99) E ,EFTPS prompts: , II Enter the 2-digit Verification Code." o [=:J Verification Code* *(See Appendix E for Verification Co~e Calculation) IImJ FTPS responds: You enter: "Enter the 6-digit tax payment settlement date by month, day, year." (Note, the next blJsiness date you enter must be at least one business day in the future)., ' OJQ:] lIln:tl []] rT1 (6-digit tax payment ~ment da~MDDYY format) (Continue) rhfi\f/la1~ III \A,tdvvvt\\,~~,w}~~~ 10.1) Ildn 1'dJ pfpv , ~,t{ .vi\'/ \ a\ I ?711 \ TRANSFER FROM THE OFFICE OF THE CALHOUN COUNTY SHERIFF'S OFFICE TO THE OFFICE OF THE JUSTICE OF THE PEACE PRECINCT #3: The AgendJ Item was passed at this time. 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: TRANSFER CCSO ASSET TO JUSTICE OF THE PEACE#3 'I DATE: December 9, 2011 Please: place the following item(s) on the Commissioner's Court agenda for the date(s) indica.ted: AGENDA FOR DECEMBER 22, 2011 * Consider and take necessary action to transfer a LED Signal SHO-ME Model#11.1041 SP Arrow stick, refer to asset#565-0621, to Justice of the Peace#3, Gary yv. Noska. See attached list. Sincerely, IY3A~ B.B. Browning, Calhoun County Sheriff I ' I. '!" .~ '!" .~ Calhoun County, Texas SURPLUS/SAL VAGE DECLARA rlON REQUEST FORM Department Name: Calhoun County Sheriff's Office Requested By: B:B. Browning Reason for Surplus/Salvage Declaration LED Si nal SHO-ME Mdl#U.1041 SP Arrow stick II DECLARE ,ITEMI IN THE OFFICE OF THE CALHOUN COUNTY SHERIFF'S DEPARTMENT AS SURPLUS/SALVAGE: Calhoun County Sheriff, B.B. Browning requested the Commissioners Court accept the Calhoun County Sheriff's Office vehiFle which is no longer being used, as surplus/salvage. The vehicle is a 2006 Ford Crown Victoria with a Serial Number 2FAFP71W16X126126 and an Inventory Number 565-0583. A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to declare a 2006 Ford Crown Victoria in the Office I of the Calhoun County Sheriff's Department as Surplus/Salvage. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge' Pfeifer all voted in favor. (5) 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 I, MEMO TO: MIKE PFEIFER, COUNTY JUDGE II ~UBJECT: SURPLUS SALVAGE DATE: December 9, 2011 rle~se place the following item(s) on the Commissioner's Court agenda for the date(s) mdIcated: , . AGENDA FOR DECEMBER 22, 2011 Ii , * Consider and take necessary action to accept the Calhoun County ~henff's Office vehicle which is no longer being used, as surplus salvage. See attached hst. " Sincerely, " ,:()~ 'I B.B. Browning, Calhoun County Sheriff II '- -: Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County Sheriff's Office Requested By: RB. Browning Reason for Surplus/Salvage Declaration BUDGET ADJUSTMENTS: II A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to accept all budget adjustments. 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C1 d -I 0 lit ~ -I - )> l"- I ~ (0 a= ~ ~ if) Q m= -a= ~~ :a= -I~ ~ ~ if) i:= 0 0 Q m= z= ~ ~ -I~ ... z~ CJI ~ ~ if) 0= ::c: e 0) en .. = 0 Q CD~ 0 Q) Q) Q) '. CD= N "'tl CQ~ ~ m ~ (C ... CD CJI 0) w .1\1 ~ if) N S- O) 0) en ~ 0 Q w Q) co N ~ ~ if) 0 0 Q PUBLIC DISC:USSION OF COUNTY MATTERS: There were no comments from the public. Commissioner Roger Galvan voiced his concern with the weakness of EMS driveway. Court was adjourned at 10:43 A.M. \'>.:;,