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2015-07-09
Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held July 9, 2015 BE IT REMEMBERED, that on this 9th day of July, A.D., 2015 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Josie Sampson County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. APPROVE MINUTES OF MAY 28, 2015 MEETING: Commissioner Fritsch made a motion to approve Minutes of May 28, 2015 meeting. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held May 28, 2015 BE IT REMEMBERED, that on this 28th day of May, A.D., 2015 there was begun and holden in the Commissioners' Courtroom in the County Courthouse In the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Josie Sampson County Judge Commissioner, Precinct #1 Commission?; Precinct #2 Commissioner, precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Lyssy led the Pledge to the US Flag and to the Texas Flag. MEMORIAL MEDICAL CENTER REPORT: Jerry Pickett, Memorial Medical Center CFO reported to the Court that the month of May 2015 was profitable in the amount of a $64,518.00 and Net Income for 2015 was increased to $447,678. The Hospitalist Program is scheduled to begin on August 1st. Memorial Medical Center - Port Lavaca, Texas CEO Report June 18, 2015 Financial Results: In May we had a Net Income of $64,518. Waiver 1115 / NH UPL programs On Thursday June 17, Roshanda, Jerry and I Attended the Waiver Learning Collaborative meeting in Houston. New Clinic Proiect Progress continues on clinic At this time we are working with venders on needed furnishings (exam tables, office & waiting room furniture, etc.) and have sent out RFP's to area venders to sod the area around building and front parking areas. Other Clinic Activitv: Great News! We finally received our RHC Medicare number for our Memorial Medical Clinic. A long process. We had our survey back in December. In a sense a successful survey is the start of the process. Then goes thru State Office, then CMS regional office for approval and issuance of Medicare number. Along the way where various other steps for us to complete, but mostly waiting on State and CMS office to process. Now we have our Medicare number, much more things to complete including, Medicaid numbers, group NPI numbers, 8SSa Medicare applications, etc. Lots of activity with our Hospital Clinics. Dr. Rojas started June 1'. Dr. Truong started June 15th. Lot of activity forthis to happen including setup of clinic EMR and start of insurance credentialing process. We also received notification that Memorial Medical Center and Memorial Medical Clinic has received approval as a National Health Service Corps site (NHSC). Hospitalist Program — We are working towards goal of August V start date. Currently working with various parties including SOH on contract. Audit & Budget BKD will be hereto present our 2014 audit. We have been working this past month to finalize our 2014 audit and on our 2016 Budget. Physician Recruitment Activity We continue our recruitment activity. Information on Board Items: 1. 2014 Annual Audit presentation by BKD-Representatives from BKD will be here to present the 2014 annual audit. 2. Budget 2016 —We will be presenting our proposed 2016 Budget. 3. 3M-Renewal contract for coding software- We have used 3M coding software for many years. 4. Professional Coverage Agreement with Discovery Medical Network (DMN) and reassurance agreement with Memorial Medical Centerfor Dr. Paul Bunnell M.D. Internal Medicine — These agreements are to add Dr. Paul Bunnell M.D. Internal Medicine to Discovery Medical network. The goal here is to set up process for MMCto bill for Dr. Bunnell's nursing home rounds and compensate Dr. Bunnell for service. Nursing home rounds are billable RNC encounters. Billing these nursing home rounds will be a positive impact on our MMC clinic operations. Jason AnglVin,C E O Memorial Medical Center Memorial Medical Center - Port Lavaca, Texas CEO Report June 18,2015 Financial Results: In May we had a Net Income of $64,518. Waiver 1115 / NH UPL programs On Thursday June 17, Roshanda, Jerry and I Attended the Waiver Learning Collaborative meeting in Houston. New Clinic Project Progress continues on clinic At this time we are working with venders on needed furnishings (exam tables, office & waiting room furniture, etc.) and have sent out RFP's to area venders to sod the area around building and front parking areas. Other Clinic Activity: Great News! We finally received our RHC Medicare number for our Memorial Medical Clinic. A long process. We had our survey back in December. In a sense a successful survey is the start of the process. Then goes thru State Office, then CMS regional office for approval and issuance of Medicare number. Along the way where various other steps for us to complete, but mostly waiting on State and CMS office to process. Now we have our Medicare number, much more things to complete including, Medicaid numbers, group NPI numbers, 855a Medicare applications, etc. Lots of activity with our Hospital Clinics. Dr. Rojas started June 11t. Dr. Truong started June 15th. Lot of activity for this to happen including setup of clinic EMR and start of insurance credentialing process. We also received notification that Memorial Medical Center and Memorial Medical Clinic has received approval as a National Health Service Corps site (NHSC). Hospitalist Program — We are working towards goal of August 1st start date. Currently working with various parties including SOH on contract. Audit & Budget BKD will be hereto present our 2014 audit. We have been working this past month to finalize our 2014 audit and on our 2016 Budget. Physician Recruitment ActivitV We continue our recruitment activity. Information on Board Items: 1. 2014 Annual Audit presentation by BKD-Representatives from BKD will be hereto present the 2014 annual audit. 2. Budget 2016 —We will be presenting our proposed 2016 Budget. 3. 3M-Renewal contract for coding software- We have used 3M coding software for many years. 4. Professional Coverage Agreement with Discovery Medical Network (DMN) and reassurance agreement with Memorial Medical Center for Dr. Paul Bunnell M.D. Internal Medicine — These agreements are to add Dr. Paul Bunnell M.D. Internal Medicine to Discovery Medical network. The goal here is to set up process for MMC to bill for Dr. Bunnell's nursing home rounds and compensate Dr. Bunnell for service. Nursing home rounds are billable RHC encounters. Billing p\1(�/�kthese nursing home rounds will be a positive impact on our MMC clinic operations. Jason AngI�CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: May 2015 Overview: Memorial Medical Center's bottom line for May was a Net Income of $64,518 compared to a Budget of $41,667. This is made up of hospital Net Income of $80,307 and a nursing home monthly loss of $15,788. This increases our 2015 Net income to $447,678 against a budget of $208,333 and 2014 Net Income of $302,076. Highlights for May were: • Gross Revenue from the hospital was $5,516,945 compared to $6,029,524 in April, a decrease of 8%. Most of the decrease was in the Outpatient areas • Acute Care census increased from 10.53 in April to 11.71 in May, though Ob and Swing Bed were go down slightly at 0.94 and 2,03, respectively. • The Nursing Home UPL program lost a little in May ($15,788) but has a Net Profit through May 31 of $235,025. The $15,788 was the result of an accrual adjustment from one of the facilities not being able to participate in the V quarter 2015 funding period. This facility was unable to participate because it is new and was not open during the lookback period. • Note: During April's month end, we discovered that Nursery patient days were incorrectly included in the Med/Surg/ICU days we reported. This was corrected for all of 2015 before this month's reports were generated, so all of the previous months have changed from previously -reported numbers. Statistics: Overall average daily census increased to just slightly to 14.63 in May compared to 14.53 in April, driven by the increase in the Acute Care census. ER volume decreased just three visits in May, but are still 7% higher than at this point in 2014. Hospital outpatient visits saw a decline from 2,089 in April to 1,774 (8.5%). Radiology Procedures decreased 7.7%to 1,408 in May but the MRI modality was up from April and had its highest volume since February. Laboratory procedures were 27,256 in May, a decrease of 3,202 from April's high point. There were 90 Surgery cases in May and 12 births Balance Sheet Highlights: Bank Accounts Overall cash increased by $944,406 from $4,128,284 to $5,072,670. Cash consists of $2,114,442 in operating cash, $325,069 in Private Waiver 1115 Clearing Account, $1,628,046 in MMC Clinic Construction, $500,000 in CD investments and $505,113 in MMC Nursing Home Cash collected and not yet remitted to Cantex. This provides total cash on hand of 70.7 days. Excluding the Private Waiver 1115 Clearing Account funds, the MMC Clinic Construction and Nursing Home Cash accounts, the day's cash on hand equals 40.5. Accounts Receivable Gross A/R for May 31 was $10,525,184, an increase of $141,915. Gross revenue tied up in accounts receivable is currently at 54.7, which is competitive with other Critical Access Hospitals. We are concentrating on collecting uninsured balances and have appealed extremely low payments by a workers compensation carrier on two very large accounts. Net accounts receivable was $2,926,690 and net accounts receivable days is at 43.4. Accounts Receivable — Other The total in this account is $2,302,998 consists mainly of expected payments from the DSRIP component of the Waiver 1115 program, the Uncompensated Care program and supplemental payments due under the NH UPL program. The remaining balance is due to both Indigent funds and a few small balances of miscellaneous accounts. Receivable Nursing Home There is a balance of $4,720,327 in accounts receivable on the five nursing home books. Receivable Est. 3`d Party Paver Settlements Our books reflect a net due from third party payers of $3,602 for 2015. LIABILITIES Accounts Payable The hospital owed $620,544 to vendors for open accounts payable at the end of the month. This is higher than at the end of April, but consistent with March's level. Due to Cantex - The balance of $5,475,754 consists of $505,113 in Cash that MMC has received on behalf of NH, $4,720,327 in accounts receivable also reflected in MMC's accounts receivable, and $250,314 in NH UPL supplemental payments due to NH. Accrued Expenses Our books reflect accruals for payroll taxes and amounts due employees for benefit hours. These items total $963,906. Most of the increase was due to an increase of $89,654 in estimated payroll expenses. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,551,036 for UCC payments and Waiver Projects and to support the Private Uncompensated Care program. Accrued Payable — EST 3`d Party Paver —Our books reflect $171,484, which is a decrease of $500,748. This is due to the payout of the Medicare and Medicaid 2014 settlements in May and the balance will go away when we record the final audit entries... The remaining balance of $160 is due to other than Medicare. Notes Payable The hospital has a note payable to Calhoun County for $500,000. This amount was borrowed in 2011 to purchase CT, Nuclear Medicine, and other equipment under operating leases. Leases Payable The hospital has $568,335 in outstanding capital leases classified $195,778 as current and $372,557 long term debt. Current Ratio The ratio between our current assets and current liabilities was 1.7 compared to a 2.3 benchmark. Income Statement: Gross patient revenue showed a decrease of $512,579 (8%) from April. Gross Patient Revenue from hospital operations was $5,516,945 compared to $6,029,524 last month. Revenue Deductions were at 67% year to date compared to 65% at this point in 2014. Bad Debt expense continues much lower than last year and budgeted. Total expenses were $976 lower than in April than in March. Some of the driving factors were: • Payroll costs decreased $36,478, which is a good sign since this was a longer month • Benefits decreased $40,085 (14%) due to lower claims during May • Professional Fees were up by $78,524 • Purchased Services increased $9,755. The audit and cost report are mostly complete so these should return to normal levels in July • Utilities decreased $3,560 due to a lower electricity bill than in April e e a` e e 'e e rv�n aCr n 9 Rtt Nxro$ooN n n 'ry = xnm oG GRm nnm m QF C pe myyf Win m�fy n ! ;om � •' N� oC� Goa to '� n� F &a � S snN w k Jg & 0 w za o z z w � aka FF o w sN"� 6'aw d°d do"p�w ��� "d Ewa °`PJuw rc'9��ww Oo p GGi�y Memorial Medical Center Income Statement - Hospital For the Month Ended May 31, 2015 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,371,667 $1,266,696 $1,337,973 Inpatient Revenues $7,070,746 $6,333,480.42 $6,507,118 $2,326,496 $3,766,364 $2,202,946 Outpatient Revenues $12,409,415 $18,831.818.70 $10,193,902 $1,818,782 $18,326 $1,919,541 ER Revenues $8,874,477 $91,630.89 $8,007,602 $5,516,945 $5,051,386 $5,460,460 Total Patient Revenue $28,354,638 $25,256,930 $24,708,622 Revenue Deductions $3,041,419 $2,416,279 $2,709,364 Conlractuals $16,021,979 $12.081,395.83 $11,875,597 $69,473 $85,022 $121,968 Charity $465,718 $425,110.00 $430,577 $33,995 $58,855 $33,637 Indigent Care $169,435 $294,272.60 $136,529 -$145,793 -$214,536 -$188,190 DSH/Waiver -$698,965 -$1,072,680.00 -$711,705 $466,876 $679,068 $975,303 Bad Debt $3,006,117 $3,395,339.58 $4,421,201 $3,465,970 $3,024,688 $3,652,082 Total Revenue Deductions $18,964,284 $15,123,438 $16,152,199 $2,050,975 $2,026,698 $1,808,378 Net Patient Revenue $9,390,354 $10,133,492 $8,556,423 $28,684 $91,778 $72,928 Other Operating Revenue $342,037 $458,889.17 $323,705 $2,079,659 $2,118,476 $1,881,306 Total Operating Revenue $9,732,391 $10,592,381 $8,880,128 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $783,230 $839,985 $712,027 Salaries & Wages $3,791.991 $4.199,922.92 $3,438,606 $248,155 $240,328 $221,536 Employee Benefits & PR Taxes $1,219,892 $1,201,640.42 $970,899 $442,990 $454,233 $390,747 Professional Fees $1,670,303 $2,271,163.33 $1,599,347 $142,809 $146,189 $137,698 Purchased Services $770,698 $730,942.50 $699,668 $274,825 $243,581 $257,046 Supplies $1,353,407 $1,217,905.42 $1,172,304 $7.829 $4,390 $4,450 Insurance $39,145 $21,950.83 $28,186 $40,443 $42,238 $42,760 Utilities $198,019 $211,191.25 $203.687 $63,289 $114.670 $70,879 Other Expenses $382,665 $573,351.25 $279,918 $2,003,570 $2.085,614 $1,837,143 Total Operating Expenses $9,426,120 10,428,068 $8,392,615 $86.673 $76,587 $81,183 Depreciation $434,278 $382,935.42 $378,434 $2,090,243 $2,162,201 $1,918,326 Total Expenses $9.860.398 $10,811,003 $8,771,049 -$10,584-$43,724 437,020 Net Operating Income/(Loss)-$128,007-$218,622 $109,079 Non Operating Income / (Exp) 4208 $518 $5 Investment Income -$173 $2,590.83 $79 -$3,470 -$2,083 -$2,072 Interest Expense 419,558 -$10,416.67 -$6,975 $0 $2.842 $0 Contributions and Grants $0 $14,208.33 $610 -$220,660 -$279,367 -$152,217 IGT Expense -$840,901 -$1,396,833.75 -$599,854 $315,229 $363,481 $217,452 Service Contribution by SOH $1,201,289 $1,817,406.67 $799,137 $90,891 $85,391 $63,168 Total Non -Operating Revenue $340,657 $426,955 $192,997 $80,307 $41,667 $26,148 Total Net Income / (Loss) $212,650 $208,333 $302,076 -2- Current Period Actual This Budget This Month Month Last Year $3,651,578 $0 $0 Memorial Medical Center Income Statement - Nursing Home For the Month Ended May 31, 2015 Revenue Resident Revenues Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $11,091,375 $0 $0 $3,651,578 $0 $0 Total Operating Revenue $11,091,375 $0 $0 Current Period Fiscal Year To Date Operating Expenses Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,651,578 $0 $0 Nursing Home Fee $11,091,375 $0 $0 $3,651,578 $0 $0 Total Expenses $11,091,375 $0 $0 $0 $0 $0 Net Operating Income / (Loss) $0 $0 $0 -$15,788 $0 $0 Total Net Income / (Loss) $235,028 $0 $0 -3- Memorial Medical Center Income Statement - Combined For the Month Ended May 31, 2015 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,371,667 $1,266,696 $1,337,973 Inpatient Revenues $7,070,746 $6,333,480 $6.507,118 $2,326.496 $3.766,364 $2,202,946 Outpatient Revenues $12,409,415 $18,831,819 $10,193,902 $1,818,782 $18.326 $1,919,541 ER Revenues $8.874,477 $91,631 $8,007,602 $3,651.578 $0 $0 Resident Revenues $11,091,375 $0 $0 $9,168.523 $5,051,386 $5,460,460 Total Patient Revenue $39,446,013 $25,256,930 $24,708,622 Revenue Deductions $3,041.419 $2,416,279 $2.709,364 Contractuals $16,021,979 $12,081,396 $11,875,597 $69,473 $85,022 $121,968 Charity $465,718 $425,110 $430,577 $33,995 $58.855 $33,637 Indigent Care $169,435 $294,273 $136,529 -$145,793 -$214,536 -$188,190 DSHANaiver -$698,965 -$1,072,680 -$711,705 $466,876 $679,068 $975,303 Bad Debt $3,006,117 $3,395,340 $4.421,201 $3,465,970 $3,024,688 $3,652,082 Total Revenue Deductions $18,964,284 $15,123,438 $16,152,199 $5,702,553 $2.026,698 $1,808,378 Net Patient Revenue $20,481,729 $10,133,492 $8,556,423 $28,684 $91,778 $72,928 Other Operating Revenue $342,037 $458,889 $323,705 $5.731,237 $2,118,476 $1,881,306 Total Operating Revenue $20,823,766 $10,592,381 $8,880,128 Current Period Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $783,230 $839,985 $712,027 Salaries & Wages $3,791,991 $4,199,923 $3,438,606 $248,155 $240.328 $221,536 Employee Benefits & PR Taxes $1,219,892 $1,201,640 - $970,899 $442,990 $454,233 - $390,747 Professional Fees $1,670,303 $2,271,163 $1,599,347 $142.809 $146,189 $137,698 Purchased Services $770,698 $730,943 $699,668 $274,825 $243,581 $257,046 Supplies $1,353,407 $1,217,905 $1,172,304 $7,829 $4,390 $4,450 Insurance $39,145 $21.951 $28.186 $40,443 $42,238 $42,760 Utilities $198,019 $211,191 $203,687 $63,289 $114,670 $70,879 Other Expenses $382,665 $573,351 $279,918 $3,661,578 $0 $0 Nursing Home Fee $11,091,375 $0 $0 $5,655,148 $2,085,614 $1,837,143 Total Operating Expenses $20,517,495 $10.428,068 $8,392,615 $86,673 $76,587 $81,183 Depreciation $434,278 $382,935 $378,434 $5,741,821 $2,162,201 $1,918,326 Total Expenses $20,951,773 $10,811,003 $8,771,049 -$10,584-$43,724-$37,020 Net Operating income/(Loss)-$128,007-$218,622 $109,079 Non Operating income / (Exp) -$208 $518 $5 Investment Income -$173 $2,591 $79 -$3,470 -$2,083 -$2,072 Interest Expense -$19,558 -$10,417 -$6,975 $0 $2,842 $0 Contributions and Grants $0 $14,208 $610 -$220,660 -$279,367 -$152,217 IGT Expense -$840,901 -$1,396,834 -$599,854 $315,229 $363,481 $217,452 Service Contribution by SOH $1,201,289 $1,817,407 $799,137 -$15,788 $0 $0 Nursing Home UPL $235,028 $0 $0 $75,103 $85,391 $63,168 Total Non -Operating Revenue $575,685 $426.955 $192,997 $64,518 $41.667 $26,148 Total Net Income / (Loss) $447,678 $208,333 $302,076 Q= ) § ! § ! § n,;;■ =l;;;rl; # J ! ••5!`:`°` ^; B . ! ! ! ! (\§() ° )§\� ! \ §\\)§ )§\§ 0,0 \ ) \ \ § §\(r§ \(\/ ;) -o } § })§� ; !l;Pr ~®° § !®)) (§! §//§ 0!&z2sr /!§§ !} -5- MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE MAY 2015 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL $ 1,840,063 374,923 86,516 26,254 48,553 2,376,310 MEDICARE % 77.4% 15.8% 3.6% 1.1% 2.0% 22.6% $ 410,441 212,805 113,214 93,479 100.871 930,810 MEDICAID % 44.1% 22.9% 12.2% 10.0% 10.8% 8.8% BCBS $ 485,280 165,795 41,436 27,456 35,969 755,936 % 64.2% 21.9% 5.5% 3.6% 4.8% 7.2% $ 784,474 378,806 596,924 117,420 180,936 2,058,560 COMMERCIAL % 38.1%1 18.4% 29,0%1 5.7% 8.8% 19.6% $ 556,178 814,355 657,339 634,030 1,741,666 4,403,569 PRIVATE %12.6% 18.5%1 14.9% 14.4% 39.6% 41.8% $ 4,076,437 1,946,683 1,495,430 898,640 2,107,994 10,525,185 TOTAL % 381% 18.5% 14.2% 8.5% 20.0% 100.0% NOTE -- Amounts and percentages may sum to Y or'-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENT ACCOUNTS RECEIVABLE: GROSS DECEMBER 2014 - 1 JANUARY FEBRUARY JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER I - I #DIV101 I #DIV/01 I #DIV/01 I #DIV101 I #DIVi01 AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL MEDICARE $ 2,079,469 583,385 188,640 105,590 358,604 3,315,689 % 62.7% 17.6% 5.7% 3.2% 10.8% 31.5% MEDICAID $ 357,297 208,205 100,423 100,413 127,652 893,989 % 40.0% 23.3% 11.2% 11.2% 14.3% 8.5% $ 470,422 276,798 118,132 110,119 261,293 1,236,763 BCBS % 38.0% 22.4% 9.6% 8.9% 21.1% 11.8% COMMERCIAL $ 672.931 399,107 671,238 193,882 618,576 2,555,734 % 26.3%1 15.6%1 26.3%1 7.6% 24.2%1 24.3% PRIVATE $ 496,319 479,189 416,997 388,636 741,870 2,523,009 % 19.7% 19.0% 16.5% 15.4% 29.4% 24.0% $ 4,076,437 1,946,683 1,495,430 898,640 2,107,994 10,525,185 TOTAL % 38.7% 18.5% 14.2% 8.5% 20.0% 100.0% NOTE -- Amounts and percentages may sum to '+' or '-' 1 and 1 % of the total or 100%, respectively, of their particular category due to rounding. a. MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 6/31/16 MONTH I DESCRIPTION BUILDING EQUIPMENT TOTAL 01/15 CLINIC - CIP - K&T CONSTRUCTION FEE 66,128 - 66,128 PROFESSIONAL SERVICES - ENGINEERING SERVICES 3,328 - 3,328 PROFESSIONAL SERVICES - ENGINEERING SERVICES 489 - 489 CLINIC - CIP - ACI PROFESSIONAL FEE 4,566 - 4,566 HOSPIRA WORLDWIDE - INFUSION PUMPS, 2 PUMPS - 6,416 6,416 RECONDO INTERFACE 4,500 4,500 JANUARY2015- COMPUTER PURCHASES - 5,180 5,180 SUB TOTAL JANUARY 74,510 16,096 90,606 02/15 FEBRUARY 2015 - COMPUTER PURCHASES - 11,458 11,458 HOSPIRA WORLDWIDE - INFUSION PUMPS, 4 PUMPS - 12,833 12,833 CLINIC - CIP - ENGINEERING PROFESSIONAL FEE 944 - 944 SUB TOTAL FEBRUARY 944 24,291 25,235 03/15 HOSPIRA WORLDWIDE - INFUSION PUMPS, 1 PUMP - 3,214 3,214 SECURITY GLASS IN EMERGENCY ROOM 6,883 - 6,883 CLINIC - CIP - K&T CONSTRUCTION FEE 749,926 749,926 CLINIC - CIP - RETAINAGE 50,298 - 50,298 SUB TOTAL MARCH 807,107 3,214 810,321 04/15 FAN COIL UNIT 8,700 8,700 MICROSOFT WINDOWS SERVER 2012 - 5,726 5,726 APRIL 2015 - COMPUTER PURCHASES - 2,382 2,382 SUB TOTAL APRIL - 16,808 16,808 05/15 MAY 2015 - COMPUTER PURCHASES - 9,532 9,532 E-MDS- SOFTWARELICENSE - 8,252 8,252 REPAIRING WATER LEAK ON 3RD FLOOR 7,995 - 7,995 CLINIC - CIP - K&T CONSTRUCTION FEE 174,524 174,524 CLINIC - CIP - RETAINAGE 14,792 - 14,792 SUB TOTAL MAY 197,311 17,783 215,094 TOTAL $ 1,079,873 1 $ 78,193 $ 1,158,066 -7- Memorial Medical Center YTD YTD YTD 5131/2015 Statistical Comparison 05/31/13 05/31114 05/31115 OVER(UNDER) %OF (5 months) (5 months) (5 months) 5131/2014 CHANGE Total Admissions 473 561 556 is) -0.9% ER Admissions 277 400 349 (51) -12.8% Total Patient Days 2,243 2,261 2,254 (7) -0.3% AVERAGE DAILY CENSUS Medical/Surgical/ICU 11.38 11.76 11.32 (0.44) -3.8% Obstectrics 0.79 1.01 1.11 0.09 9.2% Swing Bed 2.69 2.20 2.50 0.30 13.9% TOTAL AVG DAILY CENSUS 14.85 14.97 14.93 (0.05) -0.3% TOTALAVG LOS-Acute care 4.08 3.68 3.69 0.01 0.3% Observation - Patients 96 188 183 (5) -2.7% Newborns - Births 40 54 69 15 27.8% MM Clinic Visits 1,429 3,271 4,766 1,495 45.7% Women Clinic Visits 0 0 0 0 N/A Outpatient Visits 7,451 9,213 9,415 202 2.2% Emergency Room Visits 4,513 4,172 4,465 293 7.0% Specialty Clinic Visits 2,171 2,171 2,378 207 9.5% Total Surgery & Endoscopy 351 456 464 8 1.83'u Total Laboratory Procedures 117,400 129,422 141,550 12,128 9.4% Radiology Procedures 4,006 3,988 4,215 (35) -12.4% Bone Density 55 47 69 22 46.8% Nuclear Medicine 77 89 58 (31) -34.8% Ultrasound _ 854 850 1,075 225 26.5% CT Scans 1,169 1,158 1,104 (54) -4.7% MRI 439 438 449 11 2.5% Mammograms 361 321 321 0 0.0% Total Radiology Procedures 6,961 6,891 7,294 403 5.8% Respiratory Therapy lP Procedures 7,022 5,434 5,442 181 5.1% Stress Test 22 42 19 (23) -54.8% EKG Exams 1,239 1,498 1,548 50 3.3% EEG Exams 5 6 10 4 66.7% Sleep Studies 0 0 36 36 N/A Total Respiratory 8,288 6,980 7,055 75 1.1% Physical Therapy Total 10,392 11,125 9,439 (1,686) -15.2% Pharmacy Total 66,536 49,145 66,629 17,484 35.691 Dietary Total 38,484 51,841 55,970 4,129 1.0% Pounds of linen 0 99,454 102,393 2,939 3.0% p O m d N H o m m ra m 10 O n M w d o w m w 1 d m H d N m of 0 w w m m o m 1w11 M 1� N rt1 M m tD m n ei d tp d 1� M 1p d VI M H N 'D M h O O �i d M N V u1 O d t0 ra m N aH-I N �d-1 m V of O N � V ei rl h vl rl h Oi N O _ trail N LL _ w V M ei d M w fi m N t0 O d V tD O t0 1� t0 O m O ei Vl w t0 V1 l0 t0 vl w n w H t0 Ol n VI t� m O l0 w m H M h n M. m w rl e1 ra m l0 O N w N N M n O M m t0 M 1� ra m vl w d N O m h vl w w M M m t0 M t} t0 V w M O N V n d m t0 m h O w l0 N O � `� n m d V1 O O rl OI !V Vl V V rtl V rl h O w O r m n V m in d V1 w N ei M N m N w r N vl Vl m m N Ol h T V ' 6 Q m O N h w w d m M l0 O O VI „1 M rl Vl N h m N m w l0 M M M Vl O w rl rl O VI w vl m ei M N w 1� d n O w m m f1 N m M m ra w V ei m m w N N w m m m m w w N m N ei rl W N ri rl �-1 N fi '1 ei Ol 'i 1z m M m m w w V tD 'O O w IN h H O a -I vl m 0 d H t0 l0 m m d N I� N ei N vl r vt w h w ei N m t0 O1 O m rl O V h V� F � d N N N l0 m w ra w V O w N d N N Vl OJ h N y' •-1 ei rl N rl fl r1 rl � O N LL w N N w w V1 O m m H N O m 'i h V N VI w. w w w N In h m M M O Ifl d m O M t0 N t0 lD t0 VI N m Ul O rl r1 O N O M O 1� Ol V w w H rl M O m V O N N t0 'C rl O CO O N N m d d m l0 h m lD m „1 vl d O 1� O m N O vl h m N M O m d w ei O t0 r1 1� t0 m M H w O N d w d d C w h M N H O tO O �-1 M h rl d ra m lD d cV OO N d V w `4 ra w V m P y ei 'i ei N rl rl r1 M O N N O O h t0 O I� M O t0 N h w d M vl N M m N 'i t0 r m N N w M N m d w w d M t0 N r1 t0 N O N w N m m w O M N m w V M N l0 d O H m l0 V rl c N O w M V N j ei H N N r1 t'1 N W O N O Uq c o N H t0 m co w V M l0 w w 1� ra m V V w l0 d w d 'O m ra d n d rl h N h rl w n V N O w O N r N w l0 M l0 Vl t0 U U F M O 1w m O O l0 OO w N N N V m1 M w O m ei ri vl l0 w Yl d O rl N rl w rl rl H N rl H H '0 t0 m O 'i ei V 1� q � p pY� w 1� vl n n O m m Vl M V H d t0 ryl d O w lO N V l0 M 1� l0 O m �{ rl d w N O IO N (n N� �-1 tp w V tO m O d M H ra m„ V N fi VI 1� H N N t0 O w l0 Vl OJ V ra w V d N Vl O d an d r1 M w N t0 M l0 t0 d m M m w w M lO O d t0 N w ei l0 O w N 1� 7 m lO O m w w O m m rl w M w F w f� l0 'i N 'i ei rl w M O H r O l0 V c1 w d O O r1 ra m w O w M M h N N rl V w N N rl N w O N Q h M w N M O d h d N M N m w N w M M fi N m d m d l0 M M l0 '-I t0 m ti d l0 m O 10 M H N w 1�l m 1� r lD rl N N t-I H N l0 m m e4 N N N t0 O m V ei m 1� r1 N m r m m n w m rt N W N N N w O rti 7 H i� M Vl N M n w M m w fi ei l0 rl O h N H Ol H w tll 10 w M l0 w m w M V O N c1 N d w H ra m O H O H M O h m O H d O O (V (tl M m m V H N w N N 'C ei f-1 N N rl N Ol O O l N W O d P O V U U Q 7 h 9 O N d j rO, Q Off. L' u H V Q V V 0 m M O N O Q N v E 2 L F p N o y u m F- a m v G G f v opv m o °' E E_ .Ti ° o Q By m �°n u vmmt'n `9 v'o V �m N13Swwm o va .o m c w Y w v o T i0 O1 'o Q2 0 m 4- F- 0 Z Z 12 Memorial Medical Center Accounts Receivable May-15 [Aging 0.30 31-60 1 61-90 91-120 121-150 151-180 181-365 Total Gross % Over 120 Days % Over 90 Days Total Jun-14 4,413,610 1,830,486 1,493,096 822,851 440,826 400,953 919,768 10,321,590 17.1% 25.0% Jul-14 3,851,602 1,903,191 1,397,299 976,109 422,944 220,639 1,037,530 9,809,313 17.1% 27.1% Aug-14 3,762,257 1,655,095 1,259,442 672,653 521,105 219,938 870,940 8,961,430 18.0% 25.5% Sep-14 4,318,233 1,559,467 1,091,047 591,725 353,120 367,323 834,550 9,115,465 17.1% 23.6% Oct-14 4,209,213 1,776,814 1,197,644 514,857 318,383 221,896 970,350 9,209,156 16.4% 22.0% Nov-14 4,157,789 1,899,222 1,192,857 794,431 401,470 202,057 1,115,010 9,762,835 17.5% 25.7% Dec-14 3,687,451 1,662,826 1,263,049 660,955 355,926 184,378 946,841 8,761,426 17.0% 24.5% Jan-15 4,275,625 1,367,704 1,063,287 620,552 369,230 217,191 1,053,863 8,967,452 18.3% 25.2% Feb-15 4,295,936 1,584,162 882,367 654,822 352,167 199,453 969,131 8,938,039 17.0% 24.3% Mar-15 4,470,448 1,548,886 984,487 769,008 394,974 243,992 1,115,129 9,526,925 18.4% 26.5% Apr-15 4,352,417 2,082,736 1,003,055 695,166 467,586 232,652 1,119,884 9,953,497 18.3% 25.3% May-15 4,000,090 1,842,378 1,407,295 820,331 557,057 308,728 1,139,681 10,075,560 19.9% 28.0% Medicare Jun-14 1,962,250 450,445 241,737 115,389 61,530 91,020 55,590 2,977,961 7.0% 10.9% Jul-14 1,480,178 476,703 260,241 249,734 70,868 44,413 94,122 2,676,259 7.8% 17.2% Aug-14 1,578,916 289,160 241,151 72,454 67,186 37,773 125,203 2,411,843 9.5% 12.5% Sep-14 1,866,407 372,097 147,475 129,956 32,230 35,260 98,747 2,682,172 6.2% 11.0% Ott-14 1,815,331 441,511 238,441 88,396 41,417 13,014 100,080 2,738,191 5.6% 8.9% Nov-14 1,943,820 288,941 117,955 85,770 58,161 11,406 96,969 2,603,023 6.4% 9.7% Dec-14 1,514,858 317,405 99,208 44,590 33,105 5,246 71,490 2,085,902 5.3% 7.4% Jan-15 1,902,475 240,965 116,907 37,301 26,555 32,343 68,659 2,425,205 5.3% 6.8% Feb-15 1,952,237 247,659 25,930 25,958 12,398 3,428 76,591 2,344,202 3.9% 5.0% Mar-15 1,834,678 185,177 36,952 3,880 14,361 11,233 66,108 2,152,389 4.3% 4.4% Apr-15 1,858,672 271,879 44,659 8,508 9,174 1,388 10,374 2,204,654 0.9% 1.3% May-15 1,824,741 348,117 58,977 1,952 3,524 9,055 11,437 2,257,802 1.1% 1.2% Medicaid Jun-14 455,109 82,187 47,258 12,371 19,091 20,351 25,214 661,581 9.8% 11.6% Jul-14 527,772 73,741 41,535 12,594 7,146 557 38,673 702,018 6.6% 8.4% Aug-14 533,632 139,297 40,613 16,783 10,470 2,385 39,485 782,665 6.7% 8.8% Sep-14 508,446 48,593 83,609 38,070 11,057 9,163 - 698,937 - 2.9% 8.3% Oct-14 469,795 157,268 29,707 22,412 15,160 11,833 5,731 711,906 4.6% 7.7% Nov-14 476,662 163,655 94,369 19,941 9,035 8,424 17,535 789,622 4.4% 7.0% Dec-14 535,717 179,765 123,291 73,056 13,078 8,369 8,416 941,694 3.2% 10.9% Jan-15 500,040 124,816 72,067 38,218 50,168 2,976 30,145 818,429 10.2% 14.8% Feb-15 510,658 146,202 86,140 39,934 23,836 32,368 24,305 863,444 9.3% 13.9% Mar-15 470,612 180,153 60,752 39,795 28,691 400 37,385 817,787 8.1% 13.0% Apr-15 578,559 140,554 125,289 51,129 10,281 3,694 37,494 947,000 5.4% 10.8% May-15 379,796 175,913 82,616 65,327 33,625 3,284 34,178 774,739 9.2% 17.6% BCBS Jun-14 675,265 79,489 41,821 28,081 990 11,223 7,010 843,879 2.3% 5.6% Jul-14 555,195 131,470 28,559 29,425 6,032 2,023 9,787 762,490 2.3% 6.2% Aug-14 515,328 116,814 92,569 22,816 4,455 3,138 13,046 768,166 2.7% 5.7% Sep-14 469,133 78,107 18,417 25,564 10,253 4,501 13,195 618,170 4.5% 8.7% Oct-14 414,059 88,986 37,873 25,390 39,760 7,790 8,835 622,693 9.1% 13.1% Nov-14 386,014 96,688 36,428 5,756 18,612 33,396 18,185 595,080 11.8% 12.8% Dec-14 349,012 53,851 8,211 29,573 8,889 18,429 12,913 480,878 8.4% 14.5% Jan-15 364,869 70,937 20,047 7,724 30,588 10,160 6,460 510,785 9.2% 10.8% Feb-15 476,389 135,736 33,431 18,791 10,256 12,678 23,665 710,944 6.6% 9.2% Mar-15 390,437 104,136 34,920 30,203 13,086 2,838 33,089 608,709 8.1% 13.0% Apr-15 499,438 62,908 28,844 11,645 14,938 4,689 20,469 642,932 6.2% 8.0% May-15 467,998 152,287 27,928 17,504 5,370 5,386 9,087 685,560 2.9% 5.4% Commercial Jun-14 745,195 331,587 98,370 75,039 44,442 40,357 157,607 1,492,597 16.2% 21.3% Jul-14 779,168 301,413 119,831 55,522 49,471 23,099 167,662 1,496,167 16.1% 19.8% Aug-14 674,759 323,068 93,886 116,932 46,519 19,144 30,222 1,304,530 7.4% 16.3% Sep-14 729,675 318,600 101,421 30,990 65,762 9,954 24,913 1,281,315 7.9% 10.39' Oct-14 751,329 300,266 174,996 62,743 24,611 44,021 28,049 1,386,015 7.0% 11.5% Nov-14 837,730 477,142 126,290 98,081 57,341 5,931 69,126 1,671,642 7.9% 13.8% Dec-14 695,638 439,089 252,058 67,031 56,483 51,114 27,886 1,589,299 8.5% 12.7% Jan-15 815,661 302,972 218,694 197,361 41,225 57,559 24,038 1,657,509 7.4% 19.3% Feb-15 762,470 360,883 157,507 136,282 106,886 25,903 38,928 1,588,858 10.8% 19.4% Mar-15 1,190,587 431,887 138,100 100,284 40,311 69,488 58,725 2,029,381 8.3% 13.2% Apr-15 736,374 794,060 181,941 113,458 46,302 32,578 75,366 1,980,079 7.8% 13.5% May-15 771,269 356,341 582,582 104,261 44,362 42,471 81,008 1,982,295 8.5% 13.7% Private Pay Jun-14 575,791 886,778 1,063,910 591,971 314,773 238,002 674,347 4,345,572 28.2% 41.9% Jul-14 509,289 919,864 947,132 628,835 289,427 150,547 727,285 4,172,380 23.0% 43.0% Aug-14 459,622 786,756 791,223 443,668 392,475 157,498 662,984 3,694,226 32.8% 44.8% Sep-14 745,573 742,070 740,124 367,145 233,818 308,445 697,695 3,834,871 32.3% 41.9% Oct-14 758,699 788,783 716,627 315,916 197,434 145,237 827,656 3,750,351 31.2% 39.6% Nov-14 513,562 872,796 817,815 584,882 258,320 142,900 913,195 4,103,469 32.0% 46.3% Dec-14 592,226 672,717 780,280 446,705 244,370 101,220 826,135 3,663,653 32.0% 44.29' Jan-15 692,581 628,014 635,572 339,949 220,694 114,153 924,561 3,555,524 35.4% 45.0% Feb-15 594,182 693,684 579,358 433,857 198,790 125,076 805,642 3,430,590 32.9% 45.6% Mar-15 584,134 647,533 713,763 594,846 298,525 160,033 919,824 3,918,659 35.2% 50.4% Apr-15 679,374 813,335 622,321 510,426 386,891 190,304 976,182 4,178,832 37.2% 49.4% May-15 556,286 809,720 655,192 631,287 470,175 248,532 1,003,972 4,375,164 39.4% 53.8% -11- Physician Revenue Trend Memorial Medical Center As of May 2015 May 2015 2015 YTD PRIOR YEAR TD Memorial Medical Center Clinic 011005 William Crowley $ 505,372 $ 3,259,982 $ 2,207,530 009293 Serina Danielson $ 190,313 $ 1,392,473 $ 20,212 041743 Angela Dobbins $ 53,751 $ 322,610 $ - 009292 Charles Fillingane $ 626 $ 242,498 $ 748,407 $ 750,062 $ 5,217,563 $ 2,976,149 14% 19% 12% Port Lavaca Clinic 013000 Don Paul Bunnell $ 515,906 $ 2,565,169 $ 2,215,248 050001 John Wright $ 405,011 $ 1,914,254 $ 1,580,816 019000 Ric Arroyo -Diaz $ 137,496 $ 1,309,268 $ 1,268,140 013001 Leigh Anne Falcon $ 167,924 $ 785,205 $ 865,148 008800 Nirtas Kwi Timu $ 219,203 $ 888,799 $ 767,994 001500 Jewel Lincoln $ 156,435 $ 657,118 $ 874,308 320001 Shanna Odonnell $ 674 $ 169,298 $ 129,943 012000 Jeannine Griffin $ 19,806 $ 176,236 $ 165,369 700003 eludua/Bunnell $ - $ - $ 27,335 320000 John Lee $ 35,860 $ 35,860 $ - 610000 Craig Shaffer $ - $ - $ 2,343 $ 1,658,314 $ 8,501,208 $ 7,896,644 31% 31% 32% Specialty Clinic 022000 Peter Rojas $ 134,037 $ 472,809 $ 606,753 012100 Donald Breech $ 111,455 $ 359,301 $ 437,630 000404 Ayo Adu $ 83,397 $ 392,381 $ 370,493 070002 Richard Steinberg $ 17,215 $ 70,506 $ 38,993 525225 Azhar Malik MD $ 5,777 $ 33,973 $ 76,956 900026 Benjamin Wilson $ - $ - $ - 900000 Dal<shesh Parikh $ 3,131 $ 18,372 $ 19,626 057006 A Qadri $ - $ - $ 113 $ 355,012 $ 1,347,343 $ 1,550,565 7% 5% 6% -12- Physician Revenue Trend Memorial Medical Center As of May 2015 May 2015 2015 YTD PRIOR YEAR TO Coastal Medical Clinic 011000 Tim McFarland $ 30,568 $ 261,190 $ 311,547 903700 Siver McFarland $ - $ - $ 432 000806 William McFarland $ 16,733 $ 126,893 $ - $ 47,301 $ 388,083 $ 311,979 1% 1% 1% Independent 006000 M S Lin $ 200,845 $ 671,501 $ 1,133,093 004000 G A Williams $ 4,625 $ 50,732 $ 666,043 310001 Michelle Cummins $ 22,796 $ 209,423 $ 285,069 330000 Nhi Le MD $ 10,889 $ 51,049 $ 54,807 004002 Laura Deming $ - $ - $ 39,259 $ 239,155 $ 982,705 $ 2,178,272 4% 4% 9% Other Medical Staff 065002 George Boozalis $ 12,446 $ 49,087 $ 89,552 075000 Laborator Ramos $ - $ 95 $ 423 $ 12,446 $ 49,182 $ 89,975 0% 0% 0% Total E/R Physicians $ 1,781,736 $ 8,646,601 $ 8,085,529 $ 1,781,736 $ 8,646,601 $ 8,085,529 33% 31% 33% Other Ordering Physicians Other Ordering Physicians $ 383,513 $ 1,785,437 $ 1,203,730 004004 Neese/Twin Faun $ 52,706 $ 241,134 $ 240,883 000359 Earnest Alsop $ - $ 17,735 $ 108,466 000080 Marcus Caughron $ - $ - $ 25,196 807077 Nilesh Patel $ 92,225 $ 433,765 $ 120,116 800003 Bryan Kestler $ 4,560 $ 11,272 $ 16,060 900327 Dharmendr Verma $ 16,799 $ 53,735 $ 17,743 000413 Marjorie Cerny $ - $ - $ 000077 Scott Stein $ - $ 12,634 $ - 900116 Sabbagh Mohamme $ 7,517 $ 31,251 $ 10,514 012102 Jerr Followwill $ 14,248 $ 49,023 $ 19,677 142001 Greg Cowart $ - $ - $ 10,017 $ 571,568 $ 2,635,986 $ 1,772,402 11% 9% 7% Totals $ 5,415,596 1 $ 27,768,670 $ 24,861,514 -73- o Piro my pNm�PPmo�n o�N�mph�m N N p (O N g W OI � C'1 100 10 Cl N VOl (� CWY N N N K C O N �- U W N o 6N Wi W 6 m 0 0 0 N< h N P O O OF W hviW E W h�N v�'n f �"�om �"�o i°ro•-`o re a oe a ww�n t+l Q O LL Q W ffl h h mN mwNN�� e m ono W aa}� v e �i a min .; n N CI 10O p f � h W f9 (9 # N h m W LL h l9 h h m p N W Oi C> m tp h O` Opj W C Q'P�hrNON� V�NfW WMPOVIO eO�C<C O z Q QE W d! h W 3 d O a U3 r., vtt ZU ,6 Q9Q h EE m D a�S u�i _ o Z� v Z ZN a0 U V N U W N_ t 12 of q ig N N N 9 9 n a c a a�i a F LL O U f m F W z `Z U' O a LL 9Q Q O U' Z> W ryry P N tI V N 1�0 LL' IW �K � � � � �� � m� N N N� N N N Z g. —i— Payer Mix Memorial Medical Center As of May 31, 2015 1.11l uuiy nuy --Y - -- Medicare 39.9 38.1 42.2 41.6 43.8 45.0 43.5 42.8 45.7 43.0 40.3 46.6 Medicaid 11.0 13.5 13.3 12.4 11.5 11.6 13.3 12.6 11.9 11.6 16.2 9.0 Blue Cross 22.6 19.5 18.1 16.0 15.1 14.7 17.3 16.0 16.5 14.3 18.1 17.7 Commercial 9.4 12.1 11.9 12.0 12.4 14.8 13.0 14.2 13.1 12.0 11.2 12.0 Private 12.9 12.8 11.9 14.7 13.8 9.9 10.9 12.2 10.2 10A 12.3 11.3 Other 4.2 4.0 2.6 3.3 3.4 4.0 2.0 2.2 2.6 9.0 2.9 3.4 -15- RUN DATE:06/16/15 MEMORIAL MEDICAL CENTER TIHE:16:13 CHECK REGISTER 05/01/15 THRU 05/31/15 CODE NUMBER DATE AMOUNT PAYEE A/P 000615 05/04/15 81.11 MCKESSON A/P 000616 05/04/15 5,686.24 MCKESSON A/P 000617 05/04/15 477.62 14CKESSON A/P 000618 05/11/15 476.49 MCKESSON A/P 000619 05/11/15 704.74 MCKESSON A/P 000620 05/11/15 1,460.03 MCKESSON A/P 000621 05/18/15 435.65 MCKESSON Ale 000622 05/18/15 835.3E 14CKESSON A/P 000623 05/18/15 952.12 MCKESSON A/P 000624 05/26/15 617.25 MCKESSON A/P 000625 05/26/15 1,070.85 MCKESSON A/P * 000626 05/26/15 876.28 14CKESSON ICP 011694 05/29/15 29.14 COMMUNITY PATHOLOGY ASSOCIATES ICP 01169E 05129/15 79,62 14AU-SHONG LIN, M.D. ICP 011696 05/29/15 394.46 14ICHELLE M. CUMMINS, M.D. ICP 011697 05/29/15 676.53 PORT LAVACA CLINIC ASSOC, PA ICP 011698 05/29/15 239.25 RADIOLOGY UNLIMITED PA ICP 011699 05/29/15 80.00 REGIONAL EMPLOYEE ASSISTANCE ICP 011706 05/29/15 134.45 VICTORIA EYE CENTER ICP 011701 05/29/15 306.60 VICTORIA SURGICAL ASSOCIATES ICP 011702 05/29/15 6,927.98 14DIORIAL 14EDICAL CENTER ICP 011703 05/29/15 26,709.62 MEMORIAL MEDICAL CENTER ICP 011704 05/29/15 412.00 HER PHARMACY ICP 01170E 05/29/15 120.34 PORT LAVACA ANESTHESIA LLC ICP 011706 05/29/15 186,92 ADD SPORTS MEDICINE CLINIC ICP 011707 05/29/15 264.64 .VICTORIA PROFESSIONAL MEDICAL ICP * 011708 05/29/15 386.86 DR. WILLIAM J. CROWLEY PR- 061751 05/07/15 275.31 PAY-P.04/17/15 04/30/15 PR- * 061752 05/21/15 297.10 PAY-P.05/01/15 05/14/15 A/P 161588 05/06/15 22,688.57 SUNTRUST EQUIPMENT FINANCE A/P 161589 05/06/15 1,891.00 JOHNGSELF ASSOCIATES INC A/P 161590 05/06/15 .00 VOIDED A/P 161591 05/06/15 7,994.57 MORRIS & DICKSON CO, LLC AN 161592 05/06/15 17,400.00 CPP WOUND CARE &28,LLC A/P 161593 05/06/15 33,020.04 NOBLE AMERICAS ENERGY A/P 161594 05/06/15 22,158.26 1411C EMPLOYEE BENEFIT PLAN A/P 161595 05/06/15 5,726.32 RICOH USA, INC A/P 161596 05/06/15 106,516,20 K & T CONSTRUCTION, CO., INC. A/P 161597 05/06/15 76.00 ABERISOURCEBERGEN DRUG CORP A/P 161598 05/06/15 25.00 ANGIE BURGIN A/P 161599 05/06/15 175.00 GULF COAST DELIVERY A/P 161600 05/06/15 741.97 UPS A/P 161601 05/06/15 110.33 VERIZON SOUTHRIEST A/P 161602 05106/15 156,58 VERIZON UIRELESS A/P 161603 05/06/15 3,321.22 AETNA INC A/P 161604 05/06/15 375.00 FRANSEN KAREN A/P 161605 05/06/15 393,86 BOBS OF TEXAS A/P 161606 05/06/15 349.94 PGBA,LLC A/P 161607 05/06/15 50.00 MUMMA HEALTH CARE PLAN A/P 161608 05/06/15 468.18 BCBS OF TEXAS PAGE 1 GLCKREG RUN DATE:06/16/15 MEMORIAL MEDICAL CENTER TIME:16:13 CHECK REGISTER 05/01/15 THRU 05/31/15 BANK--CHECK------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE A/P 161609 05/06/15 24.80 AETNA, LIFE INS CO A/P 161610 05/06/15 54.38 BRINKLEY ILA GAIL A/P 161611 05/06/15 249.13 GALBREATH 14ITCHELL A/P 161612 05/06/15 1,008.00 ZAPALAC GEORGE A/P 161613 05/06/15 267.56 DR CROWY A/P + 161614 05/06/15 61.04 HUMANA HEALTH CARE PLAN A/P 161617 05/08/15 50.00 PORT LAVACA, CRA14BER OF COM4ERC A/P 161618 05/14/15 11,001.20 OMNI-PORT LAVACA 07, L.P. A/P 161619 05/14/15 3,394.86 BECTON, DICKINSON & CO (BD) A/P 161620 05/14/15 2,626.58 PHILIPS HEALTHCARE A/P 161621 05/14/15 348.33 LAWSON PRODUCTS A/P 161622 05/14/15 .00 VOIDED A/P 161623 05/14/15 8,202.36 US FOOD SERVICE A/P 161624 05/14/15 132.32 MERCEDES MEDICAL A/P 161625 05/14/15 786.80 PHARMEDIUM SERVICES LLC A/P 161626 05/14/15 1,338.23 4i14PRINT A/P 161627 05/14/15 3,770.50 GE HEALTHCARE A/P 161628 05/14/15 750.00 JAMES A DANIEL A/P 161629 05/14/15 308.00 INCISIVE SURGICAL A/P 161630 05/14/15 2,498.21 CENTURION MEDICAL PRODUCTS A/P 161631 05/14/15 1,157.31 ➢EWITT POTH & SON A/P 161632 05/14/15 341.34 PRECISION DYNAMICS CORP (PDC) A/P 161633 05/14/15 3,561.00 B1014ET INC A/P 161634 05/14/15 .00 VOIDED A/P 161635 05/14/15 29,613.36 MORRIS & DICKSON CO, LLC A/P 161636 05/14/15 2,675.16 PLATURR4 CODE A/P 161637 05/14/15 1,122.87 REPUBLIC SERVICES 1847 A/P 161638 05/1411S 20,350.00 PIP WOUND CARE 628,LLC A/P 161639 05/14/15 18,073.90 BKD, LIP A/P 161640 05/14/15 82.00 SARA SEGURA A/P 161641 05/14/15 157.88 FIVE STAR STERILIZER SERVICES A/P 161642 05/14/15 1,904.03 SIGN AD, LTD. A/P 161643 05/14/15 2,052.00 TEXAS SELECT STAFFING, LLC A/P 161644 05/14/15 2,127.38 ICA BANK CORPORATION A/P 161645 05/14/15 295.00 OSCAR TORRES A/P 161646 05/14/15 33,422.33 EGO EMPLOYEE BENEFIT PLAN A/P 161647 05/14/15 1,529.80 ACl/BOLAND, INC. A/P 161648 05/14/15 241,40 RECALL SECURE DESTRUCTION SRV A/P 161649 05/14/15 1,675.00 ACCLARENT, INC. A/P 161650 05/14115 2,436.88 PROCESSOR & CHEMICAL SERVICES A/P 161651 05/14/15 378.86 GENESIS DIAGNOSTICS A/P 161652 05/14/15 198.38 AESYNT, INC. A/P 161653 05/14/15 1,308.61 WAGEWORKS A/P 161654 05/14/15 125.00 THE UPS PRINT STORE A/P 161655 05/14/15 84.50 HFALTIR9ISE A/P 161656 05/14/15 4,509.00 TEXAS PRN A/P 161657 05/14/15 1,545.00 H G TRUST A/P 161658 05/14/15 2,728.75 REVCYCLE+, INC. A/P 161659 05/14/15 7,682,67 CSI LEASING INC A/P 161660 05/14/15 165.70 DERRi HART A/P 161661 05/14/15 39,500.00 REED, CLAYHON, 14EEKER & HARGET PAGE 2 GLCKREG RUN DATE:06/16/15 101ORIAL MEDICAL CENTER PAGE 3 TIES:16:13 CHECK REGISTER GLCKREG 05/01/15 THRU 05/31/15 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P Alp A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P 161662 05/14/15 1,208.10 COASTAL REFRIGERATION 161663 05/14/15 1,200.00 MIDWEST HEALTH CARE INC 161664 05/14/15 75.00 FIRST CLEARING 161665 05/14/15 2,300.00 KUNU-TV 161666 05/14/15 90.85 ELITECH GROUP INC 161667 05/14/15 4,109.00 IISDSONLINE, INC 161668 05/14/15 16,971.75 CIRRUS HOLDINGS USA, LLC 161669 05/14/15 70.00 ACR 161670 05/14/15 396.00 TRIZETTO PROVIDER SOLUTIONS 161671 05/14/15 103.66 GULF COAST HARDWARE / ACE 161672 05/14/15 124.00 ACTION LUMBER 161673 05/14/15 162.95 A14ERISOURCEBERGEN DRUG CORP 161674 05/14/15 42.22 AIRGAS-SOUTHWEST 161675 05/14/15 87,21 CAREFUSION 161676 05/14/15 389.33 ALPHA TEC SYST51S INC 161677 05/14/15 3,508.04 AFLAC 161678 05/14/15 1,020.95 CARDINAL HEALTH 414,LLC 161679 05/14/15 213.81 ARRO14 INTERNATIONAL INC 161680 05/14/15 24.99 AUTO PARTS & MACHINE CO. 161681 05/14/15 534.00 BARD ACCESS 161682 05/14/IS 3,853.8E BAXTER HEALTHCARE CORP 161683 05/14/15 14,796.27 BECKMAN COULTER INC 161684 05/14/15 1,486.00 BOSTON SCIENTIFIC CORPORATION 161685 05/14/15 196.61 BRIGGS HEALTHCARE 161686 05/14/15 328.85 ANGIE BURGIN 161687 05/14/15 795.00 C-D ELECTRIC 161688 05/14/15 25.00 CAL COM FEDERAL CREDIT UNION 161689 05/14/15 520,00 CAD SOLUTIONS, INC 161690 05/14/15 10.00 CALHOUN COUNTY WASTE MGMT 161691 05/14/15 369.00 CENTRAL DRUGS 161692 05/14/15 90.00 COMPUTER COMMAND CORPORATIC14 161693 05/14/15 655.48 CDW GOVERNMENT, INC. 161694 05/14/15 350.40 COOPER SURGICAL INC 161695 05/14/15 154.00 COVER ONE 161696 05/14/15 18,601.92 CPSI 161697 05/14/15 126.00 C R BARD, INC *161698 05/14/15 204.90 DIE PAPER & PACKAGING 161699 05/14/15 127.00 EAGLE FIRE & SAFETY INC 161700 05/14/15 304.31 ENTERPRISE RENT -A -CAR 161701 05/14/15 60.90 FEDERAL EXPRESS CORP. 161702 05/14/15 10,462.14 FISHER HEALTHCARE 161703 05/14/15 60,00 GREENHOUSE FLORAL DESIGNERS 161704 05/14/15 434.34 GULF COAST PAPER COMPANY 161705 05/14/15 300.72 H E BUTT GROCERY 161706 05/14/15 700.00 D HARRIS CONSULTING LLC 161707 05/14/15 31.74 JESUSITA S. HERNANDEZ 161708 05/14/15 108.15 INDEPENDENCE MEDICAL 161709 05/14/15 478.00 WERFEN USA LLC 161710 05/14/15 41.25 INTEGRATED MEDICAL SYSTEMS 161711 0511411E 1,195.70 J & J HEALTH CARE SYSTEMS, INC 161712 05/14/15 1,242.40 SHIRLEY KARNEL ®' RUN DATE:06/16/15 MEMORIAL MEDICAL CENTER PAGE 4 TIME:16:13 CHECK REGISTER GLCKRRG 05/01/15 THRU 05/31/15 CODE NUMBER DATE AMOUNT PAYEE A/P 161713 05/14/15 405.00 LANGUAGE LINE SERVICES A/P 161714 05/14/15 257.73 NARKS PLUMBING PARTS A/P 161715 05/14/15 408.20 TERESA MILLER A/P 161716 05/14/15 185.25 MEDISAFE AMERICA LLC A/P 161717 05/14/15 80.39 MEDLINE INDUSTRIES INC A/P 161718 05/14/15 531.12 BAYER HEALTHCARE A/P 161719 05/14/15 655.40 14IC AUXILIARY GIFT SHOP A/P 161720 05/14/15 2,072.47 MERRY X-RAY/SOURCEONE HEALTHCA A/P 161721 05/14/15 97.91 NMC VOLUNTEERS A/P 161722 05/14/15 465.00 NATIONAL BUSINESS FURNITURE A/P 161723 05/14/15 195.22 OFFICE DEPOT A/P 161724 05/14/15 237.98 ON -SITE TESTING SPECIALISTS A/P 161725 05/14/15 .00 VOIDED A/P 161726 05/14/15 .00 VOIDED A/P 161727 05/14/15 .00 VOIDED A/P 161728 05/14/15 14,041.98 OMENS & 14INOR A/P 161729 OS/14/15 4,500.00 PREMIER SLEEP DISORDERS CENTER A/P 161730 05/14/15 482.55 R & D BATTERIES INC A/P 161731 05/14/15 37.50 RED HA19 A/P 161732 05/14/15 790.00 RADIOLOGY UNLIMITED, PA A/P 161733 05/14/15 179.88 RESPIRONICS, INC. A/P 161734 05/14/15 69.04 SHER'IIN WILLIAMS A/P 161735 05/14/15 50.00 SHIP SHUTTLE TAXI SERVICE A/P 161736 05/14/15 2,098.91 SIEMENS MEDICAL SOLUTIONS INC A/P 161737 05/14/15 85.35 SKIP'S RESTAURANT EQUIPMENT A/P 161738 05/14/15 508.85 SMITH & KEENEP] A/P 161739 OS/14/15 361.31 STRYKER SALES CORP A/P 161740 05/14/15 2,641.07 SYSCO FOOD SERVICES OF AID 161741 05/14/15 1,686.48 TLC STAFFING A/P 161742 65/14/15 9,874.50 TOSHIBA AMERRICA MEDICAL SYST. A/P 161743 05/14/15 3,569.00 TEXAS HOSPITAL INS EXCHANGE A/P 161744 05/14/15 137.90 TEXAS (WIRED MUSIC INC A/P 161745 05/14/15 1,112,28 THYSSENKRUPP ELEVATOR CORP A/P 161746 05/14/15 146.39 TG A/P 161747 05/14/15 278.43 TRI-ANIN HEALTH SERVICES INC A/P 161748 05/14/15 140.26 UNIFIRST HOLDINGS A/P 161749 05/14/15 .00 VOIDED A/P 161750 05/14/15 7,748.21 UNIFIRST HOLDINGS INC A/P 161751 05/14/15 1,200.00 US POSTAL SERVICE A/P 161752 05/14/15 58.86 THE VICTORIA ADVOCATE A/P 161753 05/14/15 8,700.00 VICTORIA AIR CONDITIONING LTD A/P 161754 05/14/15 520.00 VICTORIA RADI%''ORKS, LTD A/P 161755 05/14/15 196.20 GRAINGER AN 161756 05/14/15 66.05 YOUNG PLUMBING CO A/P 161757 05/14/15 5,735.37 BROAD1400R AT CREEKSIDE A/P 161758 05/19/15 718.62 US FOOD SERVICE A/P 161759 05/19/15 .00 VOIDED A/P 161760 05/19/15 .00 VOIDED A/P 161761 05/19/15 17,730.39 140RRIS & DICKSON CO, LLC A/P 161762 05/19/15 391.89 SIGN AD, LTD. A/P 161763 05/19/15 32,810,42 144C EMPLOYEE BENEFIT PLAN -19- RUN DATE:06/16/15 104ORIAL 14EDICAL CENTER TIME:16:13 CHECK REGISTER 05/01/15 THEE 05/31/15 BANK--CHECK------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE A/P 161764 05/19/15 7,995.00 ROLM REYES, SR. A/P 161765 05/19/15 14,026.77 HUNTER PHARMACY SERVICES PAGE 5 GLCKREG A/P 161766 05/19/15 314.26 ROSHANDA GRAY A/P 161767 05/19/15 1,333.33 SIE14ENS FINANCIAL SERVICES A/P 161768 05/19/15 59.45 ECOLAB KUIP14KNT CARE A/P 161769 05/19/15 367.50 PABLO GARZA A/P 161770 05/19/15 34.50 ADINA RODRIQUEZ A/P 161771 05/19/15 197.80 ANGIE BURGIN A/P 161772 05/19/15 189.45 HENRY x-RAY/SOURCEONE HEALTHCA A/P 161773 05/19/15 3,000.00 NUTRITION OPTIONS A/P 161774 05/19/15 68.41 R & D BATTERIES INC A/P 161775 05/19/15 4,653.06 UNUM LIFE INS CO OF AMERICA A/P 161776 05/26/15 8,251.69 E-1•1DS, INC A/P 161777 05/28/15 79.34 CUSTOM MEDICAL SPECIALTIES A/P 161778 05/28/15 70.24 DONN STRINGO A/P 161779 05/28/15 64.68 PHILIPS HEALTHCARE A/P 161780 05/29/15 842,80 TERRYBERRY A/P 161781 05/28/15 19,356.11 US FOOD SERVICE A/P 161782 05/28/15 336.00 DSHS CENTRAL LAB lIC2004 A/P 161783 05/28/15 1,197.00 NATUS MEDICAL INC A/P 161784 05/28/15 13.65 19HOLESALE ELECTRIC SUPPLY A/P 161785 05/28/15 2,037.82 PRINCIPAL LIFE A/P 161786 05/28/15 957.77 CENTURION 14E➢ICAL PRODUCTS A/P 161787 05/28/15 .00 VOIDED A/P 161788 05/28/15 1,230.94 DEWITT POPE & SON A/P 161789 05/28/15 79.42 PRECISION DYNAMICS CORP (PDC) A/P 161790 05/28/15 42.95 UNIT DRUG CO, LLC A/P 161791 05/28/15 793.34 GE HEALTHCARE IITS USA CORP A/P 161792 05/28/15 195.09 JASON ANGLIN A/P 161793 05/28/15 975.00 DA&E A/P 161794 05/28/15 5,000.00 ALERE NORTH AMERICA 114C A/P 161795 05/28/15 .00 VOIDED Ale 161796 05/28/15 5,618.06 MORRIS & DICKSON CO, LLC A/P 161797 05/28/15 3,118.39 LUMIN.ANT ENERGY C014PANY LLC A/P 161798 05/28/15 1,800.00 TELE-PHYSICIANS, P.A. (TX) A/P 161799 05/28/15 4,069.10 COVIDIEN A/P 161800 OS128/15 236.28 CENTURYLINK A/P 161801 05/28/15 495.00 FASTHEALTH CORPORATION AN 161802 05/28/15 179.52 STRYKER SUSTAINABILITY A/P 161803 05/28/15 8,858.56 TEXAS SELECT STAFFING, LLC A/P 161804 05/28/15 388.00 FIRETROL PROTECTION SYSTEMS A/P 161805 05/28/15 125.00 19AGENORKS A/P 161806 05/28/15 122.80 GNR HEALTH SYSTE14S INC A/P 161807 05/28/15 120.00 THE PARTY ZONE A/P 161808 05/28/15 782.60 ACCLARENT, INC. A/P 161809 05/28/15 397.10 (MAGEN INC A/P 161810 05/28/15 1,226,58 PHYSICIAN SALES & SERVICE A/P 161811 05/28/15 1,308.61 19AGEWORKS A/P 161812 05/28/15 208.68 MELANIE CANTRELL A/P 161813 05/28/15 684.00 TEXAS PRN A/P 161814 05/28/15 15.00 MEMORIAL 64EDICAL CLINIC -20- RUN ➢ATE:06/16/15 ME11ORIAL MEDICAL CENTER TIllB:16:13 CHECK REGISTER 05/01/15 TURD 05/31/15 BANK --CHECK ------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE A/P 161815 05/28/15 1,545.00 14 G TRUST PAGE 6 GLCKREG A/P 161816 05/28/15 209.50 F14G PRINT SOLUTIONS A/P 161817 05/28/15 302.90 BERRI HART A/P 161818 05/28/15 95.00 HENRY TRORMNER, LLC A/P 161819 05/28/15 1,922.54 MIDI9EST HEALTH CARE INC A/P 161820 05/28/15 75.00 FIRST CLEARING A/P 161821 05/23/15 1,660.00 THE INLINE GROUP A/P 161822 05/28/15 90.26 ELITECH GROUP INC A/P 161823 05/28/15 3,534.00 CIRRUS HOLDINGS USA, LLC A/P 161824 05/28/15 23.50 SUSAN SMALLEY A/P 161825 05/28/15 545.00 NI STATE LABORATORY OF HYGIENE A/P 161826 05/28/15 1,710.37 BIO-HAD LABORATORIES, INC A/P 161827 05/28/15 173.38 GULF COAST RARDNARE / ACE A/P 161828 05/28/15 183.19 ACTION LUMBER A/P 161829 05/28/15 2,806.35 AIRGAS-SOUTHNEST AN 161830 05/28/15 422.50 ALINED INC. A/P 161831 05/28/15 111.27 ALCO SALES & SERVICE CO AN 161832 05/28/15 46.99 CAREFUSION A/P 161833 05/28/15 260.00 BARD PERIPHERAL VASCULAR A/P 161834 05/28/15 480.25 BARD ACCESS A/P 161835 05/28/15 723.65 BAXTER HEALTHCARE CORP AN 161836 05/28/15 32,721.95 BECKMAN COULTER INC AN 161837 05/28/15 1,408.43 CABLE ONE A/P 161838 05/28/15 25.00 CAL C014 FEDERAL CREDIT UNION AN 161839 05/28/15 132.08 CALHOUN COUNTY A/P 161840 05/28/15 20.00 CITY OF PORT LAVACA A/P 161841 05/28/15 230.00 CONKED CORPORATION A/P 161842 05/28/15 2,679.87 CUT GOVERM4ENT, INC. A/P 161843 05/28/15 199.88 COOK 14EDICAL INCORPORATED A/P 161844 05/28/15 16,866.85 CPSI A/P 161845 05/28/15 150.00 THE DOCTORS' CENTER A/P 161846 05/28/15 35.00 DOt9NT0l'IN CLEANERS A/P 161847 05/28/15 43.30 FEDERAL EXPRESS CORP. A/P 161848 05/28/15 115.05 FIRESTONE OF PORT LAVACA A/P 161849 05/28/15 7,600.68 FISHER HEALTHCARE A/P 161950 05/28/15 530.00 FORT BEND SERVICES, INC A/P 161851 05/28/15 515.00 FRED PRYOR SEMINARS A/P 161852 05/28/15 16,222.25 ROBERTS, ROBERTS & DUFFEY, LLP A/P 161853 05/28/15 640.19 GULF COAST PAPER COMPANY A/P 161854 05/28/15 296.56 H E BUTT GROCERY A/P 161855 05/28/15 3,302.76 HOLOGIC INC A/P 161856 05/28/15 34.85 NAVEL'S INCORPORATED A/P 161857 05/28/15 92.93 INDEPENDENCE 14EDICAL A/P 161858 05/28/15 5,163.00 RICOH USA, INC. A/P 161859 05/28/15 13,960.67 WERFEN USA LLC A/P 161860 05/28/15 1,683.21 J & J HEALTH CARE SYSTEMS, INC A/P 161861 05/28/15 1,207.60 SHIRLEY KARNEI A/P 161862 05/28/15 230.80 LABCORP OF AMERICA HOLDINGS A/P 161863 05/28/15 90.00 LANGUAGE LINE SERVICES A/P 161864 05/28/15 130.46 HARKS PLUMBING PARTS A/P 161865 05/28/15 796.68 BAYER HEALTHCARE -21- RUN DATE:06/16/15 MEMORIAL MEDICAL CENTER TI14E:16:13 CHECK REGISTER 05/01/15 THUM 05/31/15 BANK --CHECK---------------- --------------------- CODE NUMBER DATE AMOUNT PAYEE PAGE 7 GLCKREG A/P 161866 05/28/15 147.25 14EDTRONIC USA, INC. A/P 161867 05/28/15 51.86 NBC AUXILIARY GIFT SHOP A/P 161868 0512811S 153,93 14ERRY X-RAY/SOURCEONE HEALTHCA A/P 161869 05/28/15 251,31 MICROTEK MEDICAL INC A/P 161870 05/28/15 208.68 BILLIE DUChIX)RTH A/P 161871 05/28/15 199.43 OFFICE DEPOT A/P 161872 05/28/15 179.84 ON -SITE TESTING SPECIALISTS A/P 161873 05/28/15 .00 VOIDED A/P 161874 05/28/15 .00 VOIDED A/P 161875 05/28/15 7,994.33 OWENS & MINOR A/P 161876 05/28/15 125.26 POLYMEDCO INC. A/P 161877 05/28/15 123.16 POWER ELECTRIC A/P 161878 05/28/15 101.32 PROGRESSIVE DYNA14ICS MEDICAL A/P 161879 05/28/15 164.26 R & D BATTERIES INC AIP 161880 05/28/15 48030 CULLIGAN OF VICTORIA A/P 161881 05/28/15 280.00 RADIOLOGY UNLIMITED, PA A/P 161882 05/28/15 46.86 RECEIVABLE MANAGEMENT, INC A/P 161683 05/28/15 148.72 EVOQUA WATER TECHNOLOGIES LLC A/P 161884 05/28/15 63.53 SHERWIN WILLIAMS A/P 161885 05/28/15 1,000.00 SOUTHEAST TEXAS HEALTH SYS A/P 161886 05/28/15 900.00 SO TEX BLOOD & TISSUE CENTER A/P 161887 05/28/15 340.00 STANFORD VACUUM SERVICE A/P 161888 05/28/15 2,906.03 SYSCO FOOD SERVICES OF A/P 161889 05/28/15 70.51 STERIS CORPORATION A/P 161890 05/28/15 1,051.44 STERICYCLE, INC A/P 161891 05/28/15 30.00 TALBOTT PROPANE INC A/P 161892 05/28/15 3,980.71 TLC STAFFING A/P 161893 05/28/1S 297.00 TEXAS DEPART14ENT OF PUBLIC SAF A/P 161894 05/28/15 137.66 TG A/P 161895 05/28/15 70.13 UNIFIRST HOLDINGS A/P 161896 05/28/15 79.94 UNIFOR14 ADVANTAGE A/P 161897 OS/28/15 4,069.77 UNIFIRST HOLDINGS INC A/P 161898 05/28/15 1,200.00 US POSTAL SERVICE A/P * 161899 05/28/15 1,307.96 VERI20N SOUTHWEST A/P 161901 05/29/15 6,199.04 BANK OF THE WEST A/P 161902 05/29/15 360,247.00 NOVITAS SOLUTIONS A/P * 161903 05/29/15 77,232.00 TEXAS MEDICAID & HEALTHCARE PR- 999999 05/07/15 480,429.10 TOTALS: 1,887,611.73 -22- RUN DATE: 06/17/15 MEMORIAL MEDICAL CENTER PAGE 1 TIME: 16:25 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName REGISTERED NURSE EMERGENCY ROOM DEPARTMENTAL ASSIST MAINTENANCE CENTRAL SUPPLY TECH CENTRAL SUPPLY CENTRAL STERILE TECH SURGERY PURCHASING SUPERVISR CENTRAL SUPPLY IP/EH/RM NURSE INFECTION PREVENTION REGISTERED NURSE MED/SURG FOOD SERVICE STAFF DIETARY 0 R AIDE SURGERY TRAUMA COORDINATOR EMERGENCY ROOM SHIFT SUPERVISOR -AM ENVIRONMENTAL SERVICES OP/PACU/PRN/RN SURGERY MANAGER-SURGERY-OPC SURGERY PAYROLL CLERK ACCOUNTING REGISTERED NURSE MED/SURG LICENSED VOCATIONAL OBSTETRICS LICENSED VOCATIONAL MED/SURG REGISTERED NURSE ICU REGISTERED NURSE OBSTETRICS REGISTERED NURSE EMERGENCY ROOM DIRECTOR OF INPT SVC MED/SURG REGISTERED NURSE OBSTETRICS LICENSED VOCATIONAL MED/SURG ADMINIST ASSISTANT ADMINISTRATION REGISTERED NURSE EMERGENCY ROOM REGISTERED NURSE ICU PRE -ADMISSION NURSE SURGERY REGISTERED NURSE ICU REGISTERED NURSE SURGICAL CLINIC LICENSED VOCATIONAL SURGERY REGISTERED NURSE EMERGENCY ROOM RADIOLOGICAL TECH DIAGNOSTIC IMAGING MICRO MT LABORATORY 14RDICAL LAB TECH LABORATORY LAB DIRECTOR LABORATORY LAB ASSISTANT LABORATORY MEDICAL LAB TECH LABORATORY MEDICAL TECHNOLOGIST LABORATORY REGISTERED NURSE E1ERGENCY ROOM PT TECH II PHYSICAL THERAPY REGISTERED NURSE MED/SURG TRANSCRIPTIONIST-RIC HEALTH INFORMATION 14ANAGE34ENT REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS ED MANAGER EMERGENCY ROOM REGISTERED NURSE MED/SURG REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS REGISTERED NURSE OBSTETRICS CNO-DIRECTOR OF QA QUALITY ASSURANCE REGISTERED NURSE SURGERY REGISTERED NURSE MED/SURG LICENSED VOCATIONAL MED/SURG PRTotGross 5509.66 2556.56 2210.39 2943.23 2752.00 5603.54 2231.75 1582.24 1560.46 5543.55 2036.76 968.75 6148.06 3505.96 9097.67 3284.84 3043.28 371.75 2593.72 8942.15 5813.80 4879.71 2150.24 3270.60 790.38 4330.82 3203.43 4772.11 6318.95 3954.85 4302.46 5081.20 477.36 693.00 4647.40 4602.10 3856.51 4123.80 5233.63 2140.19 3244.75 1676.42 4650.92 4279.94 6078.96 1216.75 483.69 2613.50 2413.25 3900.20 9475.00 5043.97 4049.70 1200.38 <v1�ay ��=� -23- RUN DATE: 06/17/15 MEMORIAL MEDICAL CENTER TIME: 16:25 DEFAULT FORMAT FROM DR019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- PRACT ADMINISTRATOR MEMORIAL MEDICAL CLINIC 6511.40 REGISTERED NURSE ICU 5883.73 MEDICAL LAB TECH LABORATORY 596.63 LICENSED VOCATIONAL MED/SURG 467.88 CERTIFIED NURSE AIDE MED/SURG 742.50 SUPERVISOR LVN/RPhT PHARMACY 3104.45 REGISTERED NURSE MED/SURG 1533.25 CASE MANAGER/UR/DP UTILIZATION REVIEW 4185.23 REGISTERED NURSE MED/SURG 4328.01 REGISTERED NURSE MED/SURG 5571.37 CERTIFIED NURSE AIDE MED/SURG 1263.50 REGISTERED NURSE MED/SURG 2678.00 CERTIFIED NURSE AIDE MED/SURG 1453,82 REGISTERED NURSE MED/SURG 6193,91 LICENSED VOCATIONAL MED/SURG 2439.89 REGISTERED NURSE MED/SURG 1206.75 REGISTERED NURSE MED/SURG 3748.12 REGISTERED NURSE MED/SURG 3470.26 REGISTERED NURSE MED/SURG 1663.25 CERTIFIED NURSE AIDE MED/SURG 1626.64 REGISTERED NURSE MED/SURG 3620.16 REGISTERED NURSE ICU 5430.63 REGISTERED NURSE EMERGENCY ROOM 1345.76 REGISTERED NURSE MED/SURG 1575.25 LICENSED VOCATIONAL MED/SURG 1951.62 REGISTERED NURSE MED/SURG 3168.52 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1902.96 REGISTERED NURSE MED/SURG 3678.30 LICENSED VOCATIONAL MED/SURG 749.26 REGISTERED NURSE OBSTETRICS 1160.25 REGISTERED NURSE EMERGENCY ROOM 5638.55 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2390.50 CERTIFIED NURSE AIDE MED/SURG 1998.69 CERTIFIED NURSE AIDE MED/SURG 2557,17 LICENSED VOCATIONAL MEMORIAL I4EDICAL CLINIC 2692.80 CERTIFIED NURSE AIDE MED/SURG 1735.49 REGISTERED NURSE MED/SURG 1571.50 REGISTERED NURSE EMERGENCY ROOM 4200.88 REGISTERED NURSE ICU 4577.35 REGISTERED NURSE ICU 816.50 REGISTERED NURSE ICU 4173.37 REGISTERED NURSE ICU 3999.59 REGISTERED NURSE ICU 5683.08 REGISTERED NURSE ICU 4741.67 RN -OR SCRUB NURSE SURGERY 4133.43 REGISTERED NURSE SURGERY 5103.71 0 R TECH SURGERY 2510.72 REGISTERED NURSE SURGERY 5861.68 RN-PERIOPERATIVE SURGERY 6055.06 PRESCRIPTION CLERK INDIGENT CARE PROGRAM 1570.66 ASST PURCHASE BUYER TRANSPORTATION 1771.49 COURIER -CS TECH TRANSPORTATION 665.00 OP COORDINATOR SPECIALTY CLINIC 3314.08 REGISTERED NURSE EMERGENCY ROO14 2551.89 REGISTERED NURSE EMERGENCY ROOM 1162.94 PAGE 2 -24- RUN DATE: 06/17/15 MEMORIAL MEDICAL CENTER TIME: 16:25 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- UNIT SECRETARY CENTRAL SUPPLY 1783.98 REGISTERED NURSE EMERGENCY ROOM 4265.75 REGISTERED NURSE SPECIALTY CLINIC 4076.08 REGISTERED NURSE EMERGENCY ROOM 1257.75 14T TECH SUPERVISOR LABORATORY 4101.00 MEDICAL TECHNOLOGIST LABORATORY 3622.25 REGISTERED NURSE MED/SURG 3940.67 MEDICAL LAB TECH LABORATORY 3436.56 MEDICAL LAB TECH LABORATORY 3360.08 LABORATORY ASSISTANT LABORATORY 879.75 LAB ASSISTANT LABORATORY 2154.76 LABORATORY ASSISTANT LABORATORY 1716.10 MEDICAL TECHNOLOGIST LABORATORY 1211.63 LAB ASSISTANT LABORATORY 1787.64 LAB ASSIST/SECRETARY LABORATORY 2549.17 MEDICAL LAB TECH LABORATORY 1472.63 MEDICAL TECHNOLOGIST LABORATORY 823.01 MEDICAL LAB TECH LABORATORY 3709,63 LAB ASSISTANT LABORATORY 2655.24 REGISTERED NURSE MED/SURG 899.00 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2134.87 REGISTERED NURSE EMERGENCY ROOM 6006.27 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5231.15 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 391.50 RECEPT/SECRETARY DIAGNOSTIC IMAGING 2008.80 DIRECTOR DIAGNOSTIC IMAGING 6266.18 DIAL IMAG SUPERVISOR DIAGNOSTIC IMAGING 6197.35 RADIOLOGY TECH DIAGNOSTIC IMAGING 5799.17 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2007.75 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3440.52 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4101.67 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2714.40 RADIOLOGY TECH ➢IAGNOSTIC IMAGING 667.72 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3186,84 REGIST PHARMACY TECH PHARMACY 2418.19 REG PHARMACY TECH PHARMACY 399.50 LVN-CHG-CHART AUDITR PHARMACY 2866.11 REGIST PHARMACY TECH PHARMACY 2961.34 RECEP-MED ASST-PhT MEMORIAL MEDICAL CLINIC 2526.25 INSURANCE F/U CLERK MEMORIAL MEDICAL CLINIC 1929.68 RECEPT/MEDICAL ASST MEMORIAL MEDICAL CLINIC 2058.60 INSURANCE F/U CLERK 1EMORIAL MEDICAL CLINIC 2206.15 RECEPTIONIST-OPERATR MEMORIAL MEDICAL CLINIC 1833.53 PHYSICIAN ASSISTANT MEMORIAL MEDICAL CLINIC 7538.40 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1585.70 IT ASSISTANT PHYSICAL THERAPY 4403.00 PT ASSISTANT PHYSICAL THERAPY 4650.00 PT TECHNICIAN PHYSICAL THERAPY 1020,29 OCCUPATION THERAPIST OCCUPATIONAL THERAPY 893.75 DIRECTOR OF PT PHYSICAL THERAPY 7633.71 OPS/BUS DEV MANAGER PHYSICAL THERAPY 3846.40 PHYSICAL THERAPIST PHYSICAL THERAPY 5362.50 PT TECHNICIAN PHYSICAL THERAPY 38.55 PT ASSISTANT PHYSICAL THERAPY 5521.25 PT TECH 1 PHYSICAL THERAPY 1035.71 PAGE 3 -25- RUN DATE: 06/17/15 MF24ORIAL MEDICAL CENTER TIME: 16:25 DEFAULT FORMAT FROM DBO19 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- CERTIFIED NURSE AIDE MRD/SURG 1729,88 THERAPIST BEHAVIORAL HEALTH 3704.00 CIHCP COORDINATOR INDIGENT CARE PROGRAM 1842,00 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 1621.68 BR -ER CODING SPCLST HEALTH INFORMATION MANAGEMENT 1772.56 OUT -PATIENT CODER HEALTH INFORMATION MANAGEMENT 1065.76 TRANSCRIPTIONIST HEALTH INFORMATION MANAGEMENT 2480.03 ROI / RI TECHNICIAN HEALTH INFORMATION MANAGEMENT 582,32 RELEASE OF INFO-RIT HEALTH INFORMATION MANAGEMENT 341.81 ES AIDE ENVIRONMENTAL SERVICES 1617.19 FOOD SERVICE STAFF DIETARY 647.61 FOOD SERVICE STAFF DIETARY 1757.50 RECEPTIONIST -PBX MEMORIAL MEDICAL CLINIC 1506.84 FOOD SERVICE STAFF DIETARY 1511.25 FOOD SERVICE STAFF DIETARY 1516.12 SHIFT SUPERVISOR DIETARY 1987.50 FOOD SERVICE STAFF DIETARY 1570.64 DIETARY DIRECTOR DIETARY 3255.40 FOOD SERVICE STAFF DIETARY 1498.72 GROUNDSKEEPER-PAINTR 1AINTENANCE 2229.51 SECURITY OFFICER SECURITY 894.28 BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING 382.50 BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING 4363.40 SUPERVISOR MAINTENANCE 4609.49 SECURITY SUPERVISOR SECURITY 2160.95 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1802.57 ES MANAGER ENVIRONMENTAL SERVICES 3173.15 DIR OF PLANT SERVICE MAINTENANCE 5655.40 ES AIDE ENVIRONMENTAL SERVICES 1576,18 ES AIDE ENVIRONMENTAL SERVICES 1272.20 ES AIDE ENVIRONMENTAL SERVICES 1591.43 ES AIDE ENVIRONMENTAL SERVICES 1437.35 ES AIDE ENVIRONMENTAL SERVICES 1499.60 ES AIDE ENVIRONMENTAL SERVICES 1660.27 CERTIFIED NURSE AIDE MED/SURG 994.90 ES AIDE ENVIRONMENTAL SERVICES 1189.86 ES AIDE ENVIRONMENTAL SERVICES 1681.63 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1778.37 ES AIDE ENVIRONMENTAL SERVICES 1518.20 SECURITY OFFICER SECURITY 1897.00 PLANT UPS SPECIALIST MAINTENANCE 3278.00 INSURANCE ADJUDICATR MEMORIAL MEDICAL CLINIC 1068.57 OFFICE MANAGER MEMORIAL MEDICAL CLINIC 2324.71 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1568.31 INSURANCE COORDINATR PATIENT FINANCIAL SERVICES 1941.92 BILLING CLERK PATIENT FINANCIAL SERVICES 1577.98 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1664.08 INSUR COORDINATOR PATIENT FINANCIAL SERVICES 1672.00 SECRETARY/RECEPTION MEMORIAL MEDICAL CLINIC 2068.89 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1169.35 TEAM LEADER PATIENT FINANCIAL SERVICES 2119.88 REGISTRATION CLERK PFS - REGISTRATION 2451.83 PFS DIRECTOR PATIENT FINANCIAL SERVICES 3085.80 REGISTRATION CLERK PFS - REGISTRATION 1482.32 REGISTERED NURSE EMERGENCY R0016 726.00 PAGE 4 -26- RUN DATE: 06/17/15 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 16:25 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName SECRETARY/RECEPTION PHYSICAL THERAPY CLINICAL IT SPECIALI ADMINISTRATION -CLINICAL SERVIC REGISTRATION CLERK PER - REGISTRATION SECURITY OFFICER SECURITY TEAM LEADER PATIENT FINANCIAL SERVICES DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT SELF PAY CLERK PATIENT FINANCIAL SERVICES REGISTRATION CLERK PFS - REGISTRATION MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES REGISTERED NURSE EMERGENCY ROOM RADIOLOGICAL TECH DIAGNOSTIC IMAGING REGISTRATION CLERK PPS - REGISTRATION REGISTRATION CLERK PPS - REGISTRATION I.T. DIRECTOR INFORMATION TECHNOLOGY IT SYSTEM ANALYST INFORMATION TECHNOLOGY REGISTERED NURSE EMERGENCY ROOM ACCOUNTANT ACCOUNTING ASSIST ADMINISTRATOR ADMINISTRATION C.E.O. ADMINISTRATION ASST PURCHASE BUYER CENTRAL SUPPLY ADMIN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC SPEC PROJECTS COOED ADMINISTRATION Grand totals Total lines - 241 PRTotGross 1868.52 4024.36 836.69 1777.04 2263.50 2713.80 1526.74 1723.96 2062.82 3694.97 3744.20 455.44 1347.08 5540.78 4454.81 2613.63 3966.60 8543.40 13503.60 1407.50 2191.87 2672.00 701280.87 -27- ©IHs Source Totals Report Issued 06/16/15 Calhoun Indigent Health Care 6-1-15 through 6-30-15 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 8,390.00 1,845.16 01-2 Physician Services -Anesthesia 3,045.00 312.90 08 Rural Health Clinics 1,558.00 932.52 13 Mmc - Inpatient Hospital 23,076.00 13,384.08 14 Mmc - Hospital Outpatient 21,624.04 7,352.17 15 We - Er Bills 3,766.00 1,273.64 Expenditures 61,459.04 25,100.47 Reimb/Adjustments 0.00 0.00 Grand Total 61,459.04 25,100.47 Fiscal Year 122,017.29 Applied Co -Pays (240.00) 4,529.30 Payroll/Expenses Monthly Total 29,389.77 -28 Calhoun County Indigent Care Coordinator 2015 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending January 5 10 4 54 34 February 0 14 7 56 32 March 3 6 6 53 30 April 1 4 2 53 32 May 6 13 3 56 24 June July August September October November December YTD 15 47 22 272 152 Monthly Avg 3 9 4 54 30 -29- AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD JULY 16, 2015 THROUGH AUGUST 15, 2015: Commissioner Fritsch made a motion to accept the bid from Diebel Oil for Fuel for the period beginning July 16, 2015 through August 15, 2015. The price for Diesel is $2.34 per gallon and $2.53 per gallon for Regular Unleaded Gasoline. Commissioner Lyssy seconded the motion. 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 LAVACA, TEXAS 77979 (361)553-4610 FE MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL RE: AGENDA ITEM — JULY 9, 2015 Him ► Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning July 16, 2015 and ending August 15, 2015. (CM) Fuel -Bulk Delivered W W W Mimi Cd 61m con 0 w w J w Y J D m i J w D LL w F- A ri W Z U J J O c J g w p e w W m 6 J Z D K w d' e T 06/2512015 15:05 ITAX) P.0021004 CALROUN COUNTY, TEXAS DID SHEET- (FUEL -BULB DELIVERED 910oER DIESEL OIL CO INC SAM DIESEL PO BOX 71 FORT LHACA TX 77878 BID ITEM FUEL -BULK DELIVERED YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM T0; PEBIODFROM; JULY 1e, 2015 PETINIDTO: AUGUST 15, 2015 MICHAEL I PFEIMP, CALNOLLV COUNTYJUDGE, 211 SANN Sr JRD FLOOR, ROOM J01, PORT LAVACA TX 77➢7P BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKEDI S£AL£DBID- FUEL-BULRDEL/VfRED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: I0100 AM, W1IRSPAY, JULY2, 201S BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, ]III Y➢, 20/5 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 AM/ TEM: FUEL•BULKDELIVERED .OEPARTMENn VARIOUS DELIVERY FOB COUNTY FUEL TANKS P&SrINAT/ON VARIOUS --------- --- spE'CocArlONs. DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tex) >>FREE FROM WATER AND SUSPENDED MATTER VNI Q) UNIT PRICE GALLON _ q specimcATloNs: REGULAR UNLEADED GASOLINE - - >>DELIVERY must be made within 24 hours after receiving order from the County Department In the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Envlronmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) »FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT _ UNIT PRICE GALLON v4 3 DATE OF BD: AUTHOMEDSCNATUAE AND PRINT NAME 'z0 PLEASE UST ANY EXCEPTIONS TO THE ABOVE SPECIFICATION& Thuraday, June 25, 2016 amm DIFIR U COM AWARD BID FOR THE 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN REROOF AND AUTHORIZE THE COUNTY JUDGE TO SIGN CONTRACT AND ANY NECESSARY DOCUMENTS: Carlos Guillen of G & W Engineers addressed the Court and stated the low bid for the Show Barn Reroof was submitted by Rain Seal Master Roofing & Sheet Metal, Inc. in the amount of $141,256.00. Mr. Guillen stated G & W recommends Rain Seal Master be awarded the bid. Commissioner Galvan made a motion to accept the low bid from Rain Seal Master in the amount of $141,256 for the Calhoun County Bauer Exhibit Building and Show Barn reroof. Commissioner Fritsch seconded the motion. 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 LAVACA, TEXAS 77979 (361) 553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL DATE: July 1, 2015 RE: AGENDA ITEM— JULY 9, 2015 ►Consider and take necessary action to award the bid for the 2015 Calhoun County Bauer Exhibit Building and Show Barn Reroof and authorize the County Judge to sign contract and any necessary documents. (RG) G&WENGINEERS,INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)652-4509 • f: (361)552-4987 TBPE Finn Registration No. F-4188 July 9, 2015 County of Calhoun, Texas 211 S. Ann St. Third Floor, Suite 301 Port Lavaca, Texas 77979 Attention; Honorable Michael J. Pfeifer RE: 2015 Calhoun County Bauer Exhibit Building and Show Barn Re -Roof at 186 County Road 101, Port Lavaca, Texas Honorable Michael J. Pfeifer and County Commissioners, Bids for construction of the above referenced project were received at the Calhoun County Courthouse office until 10:00 a.m., Thursday, July 2, 2015, at which time said Bids were publicly opened and read aloud. As the enclosed list indicates, there were a total of three (3) Bidders submitting Bids. A line - by -line comparison of prices furnished by each Bidder is enclosed. After all Bids were read, the "Apparent Low Bidder" is Rain Seal Master Roofing & Sheet Metal, Inc. Based on our past experience with Rain Seal Master Roofing & Sheet Metal, Inc., they are very qualified and capable of performing the worle required; therefore, we recommend that a Construction Contract be awarded to Rain Seal Master Roofing &,Sheet Metal, Inc. in the amount of $141,236.010 being the sum of the Base Bid and Alternates 1 & 2. i 2.51. If the County concurs with this recommendation, and upon your direction, we will prepare a Construction Contract package immediately and deliver it to Rain Seal Master Roofing & Sheet Metal, Inc. for processing. Please call me @ (361) 552-4509 if you have any questions. & W Evoil qws, Inc. P. Weaver, P.E. Enclosure: Ite))zhed Bic% Tabulation Sheet file # 5310.004 Engineering Architecture Planning Surveying 0 0 0 0 0 0 0 0 o o $ o h 0 ae � N Q 0 0 0 0 0 O 0 O 0 T 0 a �a W y 0 0 0 0 r M V1 M N� U W a a a m A � U Q QC�� C1 �>° g 44 0 0 0 o 0 0 N o y� � N 5O Q N uWW M M C4 0 0 N N a 0 0 0 M 0 O b 0 O �O N n {4 fq M N W O o0 O 00 a 0 0 0 0 0 b � b y(9 f9 N O V a r o N v a rn m W f+! v v +0.1 P7 o W y a a m m �w �w v W A N�. n P�5 m F C W J m Q 0 Z Z W IL O Y 17 o O 0 0 0 0 o �n m m � ry U(q fn V1 0 0 0 0 o � 0 m N W a � N N aZ_ K 0 0 0 0 O m W u F. w m z o r > > U LL J .J N O O Z Z a a a c a c ry a a a a v o m d w a � Q m w u�i @ a a0 m o F U' a iL Q 6 DOCUMENT NO.00300 PROPOSAL Rain Seal Master Roofing & Sheet Metal, Inc, hereinafter called "BIDDER", (Legal Finn Marne) is submitting this Proposal for Furnishing and Performing the Work specified herein as the Construction of the 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN REROOF. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER". 1. Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents, 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Calendar Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No: 1 2 Date Received: 6/ 12 (1 5 6/ 2 6/ 1 5 b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. 00300-1 - ADDENDUM No. 2 c. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. £ BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and gonditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c, BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be. deleted, reduced, or increased based upon the respective Unit Prices. d, BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.E of the General Conditions. e BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 - ADDENDUM No. 2 BASE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY' PRICE WRITTEN IN WORDS PRICE 1 LS Remove and replace all roofing (approx. 16,000 S.F.), insulation, gutters, downspouts, ridge vents and fleshings at the Calhoun County Fairgrounds Show Barn, as specified in the plans and specifications, complete and in place, the sum of Ninety Five Thousand Dollars and zero Cents. $ 95,000. 00 1 1 LS Remove and replace all roofing (approx. 4,450 S.F.), insulation, eave and valley gutters, downspouts, fleshings, roof vents, ridge vents and Show Barn siding (approx, 500 S.F.) at the Calhoun County Fairgrounds Bauer Exhibit Building, as specified in the plans and specifications, complete and in place, the sum of Forty Thousand Dollars and zero Cents. $ 40,000. 00 3. 1 LS Install new Galvanized Z-ght along Bauer Exhibit roof line (approx. 115 L,F,), with web plate and angle attachments as specified in detail CICI of the plans, including rerouting all electrial conduit as necessary to ensure clearance for installation of the the new z-girt, complete and in place, the sum Of One Thousand Nine Huntl;z' . Dollars and zero Cents. 1,900. 00 00300-3 -ADDENDUM No, 2 TOTAL BASE BID, being Items 1 through 3 above, is: One Hundred Thirty Six Thousand Hundred DOLLARS zero CENTS. $136,900.00 ADDITIVE ALTERNATE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE A.I. 200 LF Remove existing and Install new 14 gauge Galvanized Eave Strut, at the Calhoun County Fairgrounds Show Barn, if required, complete in place, the unit price of Eighteen Dollars and zero Cents, per linear foot. $ 18.00 $ 3,600.00 A.2. 42 LF Remove existing and Install new 14 gauge Galvanized Eave Strut, at the Calhoun County Fairgrounds Bauer Exhibit Building, as required, complete in place, the unit price of Eighteen Dollars and zero Cents. per linear foot. $ 18.00 $ 800.00 GREATEST AMOUNT BID (on which the 5% Bid Bond is based), being the sum of the Base Bid plus Items A.1 and A.2: One Hundred Forty One Thousand Three Hundred DOLLARS zero CENTS. $ 141,300.00 ++++++++++++.+++++++++++++-h++++++++t+++++++-h++++++. ++t++-F+++++}....++++-h.. 00300-4 - ADDENDUM No. 2 6. BIDDER agrees that the Work shalt be complete and.ready for final payment in aocordance with Paragraph 14.07 of the General Conditions within 90 CALL, NDAR DAYS after the date when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. 7, The following documents are attached to and made a condition of this BID: a. Required Bid Security in the form of Bid Bond b. Manufacture's literature on proposed Built -Up Roofing System and Sample 20-yr NDL Warranty C. Document No. 00415 - CONTRACTOWs Corporate Resolution. d, Document No. 00416 - Noncollusion Affidavit. e. Document No, 00420 - Bidders Qualification Statement. 00300-5 - ADDENDUM No. 2 Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 2nd day of July , 2015. Authorized Signature^&V t Name: Juan R. Lozano, Sr. Title: President Attesting Signat � 1", Name: Melissa Cisneros Title: Admin. Asst. Rain Seal Master Roofing Legal Firm Name: & Sheet Metal,Inc. Business Address: 2306 Port Lavaca Dr. Victoria, Texas 77901 Phone Number: 361-576-0926 Facsimile Number: 3 61-4 S 5-9 3 9 3 E-Mail Address (optional) ramon@rsminci.com State of Incorporation, if applicable: State Contractor License No.: NND OF DOCUMENT Texas 41-2065344 00300-6 - ADDENDUM No. 2 DOCUMENT NO.00415 CONTRACTOR'S CORPORATE RESOLUTION 1 hereby certify that it was RESOLVED by a quorum of the directors of Rain Seal Master Roofing & Sheet Metal,Inc. (Name of Corporation) meeting on the 2nd day of July ,20 15 that Juan R. Lozano, Sr. President (Name of Principal) (Title) be, and hereby is, authorized to execute all documents necessary for the transaction of business in the State ofToxas on behalf of the said Rain Seal Master Roofing & Sheet MetaAn(jnc. (Name of Corporation) That the above resolution was unanimously ratified by the Board of Directors at said meeting and that the resolution has not been rescinded or amended and is now in full force and effect; and in authentication of the adoption of this resolution, I subscribe my name this of July , 20 15. LAND OF DOCUMENT 00415-1 2nd day DOCUMENT NO. 00416 NON -COLLUSION AFFIDAVIT State of Texas County of Victoria Juan Lozano, Sr. being first duly sworn, deposes and says that: 1. He iS President of Rain Seal Master, Inc. , the BIDDER that has submitted the attached Bid; 2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances rospecting such Bid; 3. Such Bid is genuine and is not a collusive or sham Bid; 4. Neither the said BIDDER nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with another BIDDER, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refiain from bidding in connection with such Contract, or has in any mannor, directly or indirectly, sought by agreement or collusion or communication or conference with any other BIDDER, firm or person to fix the price or prices in the attached Bid or of any other BIDDER, or to fix an overhead, profit or cost element of the Bid price or the Bid price of any other BIDDER, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the COUNTY OF CALHOUN (OWNER) or any person interested in the proposed Contract; and 5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the BIDDER or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.'� (Signed) CI President Title Subscribed and sworn tome this 2nd day of July , 20 15 . My commission expires July 29, 201 6 ,w rr'g a MELISSAA.CISNEROS END OF DOCUMENT :er MY COMMISSION EXPIRES July29,2016 00416-1 **See attached AIA-305 DOCUMENT NO. 00420 BIDDER QUALIFICATION STATEMENT Bidder shall answer all questions, and answers shall be clear and comprehensive. This form shall be notarized upon completion. As necessary, BIDDER may use separate attached sheets to answer questions, and may submit additional information, if desired. BIDDER'sName: Rain Seal Master Roofing Address: & Sheet Metal, Inc. 2306 Port Lavaca Dr. Victoria, TExas 77901 Type of Work Performed: Ever Fail to Complete Awarded Work? Y or o Ever Default on Any Contmet? Y ore Organization Date: 19 9 9 Incorporation Date: 4 / 14 / 0 4 ATTACH THE FOLLOWING INFORMATION: Attach a LIST OF PROJECTS, similar in size and scope to the work covered by this proposal, which BIDDER has MOST RECENTLY COMPLETED. Amount of Date Owner Contract Contract Award Tyne of Work Completed and phone no. ****Please Reference AIA305 for all information***** Attach a LIST OF PROJECTS BIDDER is now ENGAGED IN COMPLETING. Amount of Percent Owner Contract Contract Awnrd Type of Work Complete and phone no Attach a LIST OF EQUIPMENT THAT WILL BE AVAILABLE FOR THIS PROJECT including type, model, owned or leased. Attach a RESUME FOR EACH OFFICER OF THE COMPANY AND THE PROPOSED SUPERINTENDENT for this Project. ALSO, indicate the number of Foremen, Equipment Operators, Laborers, etc. that will be available for this project. Credit Available: $ see bank coni,gbt BankRefercnce/Contact: for any financial needs The undersigned hereby authorizes any person, firm, or corporation to furnish any information requested by the COUNTY OF CALHOUN, in relation to the verification of the statements comprising this BIDDER's Qualification Statement. Signed: Q . Executed and sworn to before me, Abu undersi nod authority, on this � day Name & Title: .,J�ati •�� 2(�i���JYRSi���of 20 i�. MELISSA A. CISNEROS 0 jy,e- "• MY COMMISSION EXPIRES o,Public in an fo •�3..... July 29, 2016 00420-1 0 i �" w HOME OFFICE 2100 FLEUR DRIVE DES MOINES, IA 50321-1158 (515) 243-8171 FAX (515) 243-3854 i l • 01 1.1,14 MUMS] In `l KNOW ALL PERSONS BY THESE PRESENTS: RAIN SEAL MASTER ROOFING & SHEET METAL, INC. AUSTIN OFFICE P.O. BOX 26270 AUSTIN, TEXAS 78759-0720 (512) 343-9033 FAX (512) 343-8363 Bond No. N/A (hereinafter called the Principal) as Principal, and the MERCHANTS BONDING COMPANY (Mutual) a corporation of the State of Iowa, with its Home Office in the City of Des Moines, Iowa, (hereinafter called Surety), as Surety, are held and firmly bound to CALHOUN COUNTY AUDITOR'S OFFICE (hereinafter called the Obligee) in the full and just sum of ( FIVE PERCENT OF THE GREATEST AMOUNT BID G.A.B. Dollars good and lawful money of the United States of America, to the payment of which sum of money well and truly to be made, the Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Signed and dated this 2ND day of JULY 2015 THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN RE -ROOF according to the terms of the proposal or bid made by the Principal therefore, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award, and shall give bond for the faithful performance thereof with the MERCHANTS BONDING COMPANY (Mutual) and Surety, or with other Surety or Sureties approved by the Obligee; or if the Principal shall, in case of failure to do so, pay to the Obligee the damages which the Obligee may suffer by reason of such failure, not exceeding the penalty of this bend, then this obligation shall be null and void; otherwise it shall be and remain in full force and effect. IN TESTIMONY WHEREOF, the Principal and Surety have caused these presents to be duly signed and sealed. RAIN SEAL MASTER ROOFING & SHEET METAL, INC. It Principal CHANTS BONDING COMPANY (Mutual) By AARON ENDRIS, ATTY IN FACT MERCHANTS BONDING GOMPANY,u POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of Iowa (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint, Individually, Aaron J Endris; Cathleen Hayles; Danielle Harris; Kerry M McIntosh; Mary Ellen Moore; Rene' Goforth; Steve Addidson; Tami J Duncan of Corpus Clitisti and State of Texas their two and law;ul Attorney -In -Fact, with fall power and authority hereby conferred in their name, place and stead. to sign, execute. acknowledge and deliver in their behalf as surety any end all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: SEVEN NOLLION RIVE HUNDRED THOUSAND ($7,5,00,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attoney-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Power -of -Attorney is made and executed pursuant to and by authority of the following By -Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23. 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24. 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and- undertakings, recognizances, contracts of Indemnity and otherwritings obligatory in the nature thereof. The signature of any authorized officer and the seat of the Company may be affixed by facsimile or electronic transmission to any Pouter of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 4th day of August , 2014. 14. i)o(�st �oANG Cod vaA, L • A°, MERCHANTS BONDING COMPANY (MUTUAL) 0 �% �' 0P0y '9-+` MERCHANTS NATIONAL BONDING, INC. -o- 1933 2Dt13 ,�,' .dZ. STATE OF IOWA................ir+ a` � President COUNTY OF POLK as. o On this 4th day of August , 2014, before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he Is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing Instrument Is the Corporate Sears of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, lows, the day and year first above written. WEonN WOOumber 7 v CommissionNumberxpires 84654 A9y Commission Expires rowt^ June 20, 2017 Notary Public, Polk County, Iowa STATE OF IOWA COUNTY OF POLK as. - I, William Warner, Jr., Secretary -of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing Is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still In full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 2ND day of,IIJLY 2015 `. < i ' a'. 1933 ,� C. Secretary 2003 POA0014 (7114) MERCHANTS � BONDING COMPANY, MERCHANTS BONDING COMPANY (MUTUAL) • MERCHANTS NATIONAL BONDING. INC. 2100 FLEUR DRIVE • DES MOINES, IOWA 50321-1158 - (800) 678-8171 - (515) 243-3854 FAX IMPORTANT NOTICE To obtain information or make a complaint: You may contact your insurance agent at the telephone number provided by your insurance agent. You may Call Merchants Bonding Company (Mutual) toll -free telephone number for information or to make a complaint at: 1-800-678-8171 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.texas.gov PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent first. If the dispute is not resolved, you may contact the Texas Department of Insurance, ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. SUP 0032 TX (12/13) A INA Document A305'm ®1986 Contractor's Qualification Statement The Undersigned certifies under oath that the information provided herein is true and suffioiently complete so as not to be misleading. SUBMITTEDTO: Calhoun County Auditor's Office 201 West Austin Street Port Lavaca, Texas 77979 ADDRESS: This form is approved and SUBMITTEDBY: Rain Seal Master Roofing & Sheet NAME: Juan R. Lozano,Sr. ADDRESS: 2306 Port Lavaca Dr. Victoria, Texas 77901 PRINCIPAL OFFICE: g] Corporation ❑ Partnership ❑ Individual ❑ Joint Venture ❑ Other Same as above recommended by the American Metal , Inc Ipstitute of Architects (AIA) and The Associated General Contractors of America (AGC) for use In evaluating the qualifications of contractors. No endorsement of the submitting party or verification of the Information is made by AIA or NAME OF PROJECT: (if applicable) 2015 Calhoun County Bauer Exhibit Building and Show Barn Re -Roof TYPE OF WORK: (File a separate form for each Classification of Work.) gI General Construction ❑ HVAC ❑ Electrical ❑ Plumbing Rd Other: (Specify) Commercial Roofing -All Kinds § 1.0 ORGANIZATION § 1.1 How many years has your organization been in business as a Contractor? 16 years AIA Document A305Tm —1986. Copyright 01964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIA° Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. wwm § 1.2 How many years has your organization been in business under its present business name? 16 years § 1.2.1 Under what other or former names has your organization operated? none § 1.3 If your organization is a corporation, answer the following: § 1.3.1 Date of incorporation: § 1.3.2 State of incorporation: April 14,2004 Texas § 1.3.3 President's name: Juan R. Lozano,Sr. § 1.3.4 Vice-president's name(s): N/A § 1.3.5 Secretary's name: N/A § 1.3.6 Treasurer's name: N/A § 1.4If your organization is a partnership, answer the following: § 1.4.1 Date of organization: § 1.4.2 Type of partnership, if applicable: § 1.4.3 Name(s) of general partner(s): § 1.5 If your organization is individually owned, answer the following: § 1.5.1 Date of organization: § 1.5.2 Name of owner: N/A AIA Document A3W- —1986. Copyright 01964. 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. wAKNiNG: i ms AIA° Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. § 1.6 If the form of your organization is other than those listed above, describe it and name the principals: N/A § 2.0 LICENSING § 2.1 List jurisdictions and trade categories in which your organization is legally qualified to dq business, and indicate registration or license numbers, if applicable. State of Texas Commercial Roofing —All Kinds/Phases Sheet Metal Fab/Installation General Masonry/Carpentry § 2.2 List jurisdictions in which your organization's partnership or trade name is filed. State of TExas § 3.0 EXPERIENCE § 3.1 List the categories of work that your organization normally perfo ins;with its own forces. Commercial Roofing —All Phases Sheet Metal Fab/Installation .- General Masonry/Carpentry § 3.2 Claims and Suits (If the answer to any of the questions below is yes, attach details) § 3.2.1 Has your organization ever failed to complete any work awarded to it? No § 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? No § 3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years? No § 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, attach details) No § 3.4 On a separate sheet, list major construction projects your organization has in progress, giving the name of project, owner, architect, contract amount, percent complete and scheduled completion dater Please see Jobs in Progress list attached .- § 3.4.1 State total worth of work in progress and under contract. Reference Jobs in Progress list for all totals AIA Document A305- —1986. Copyright O 1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This AIAe Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAe Document, 3 or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. § 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of project, owner, architect, contract amount, date of completion and percentage of the cost of the work performed with your own forces. Please see list of Past Projects completed § 3.5.1 State average annual amount of construction work performed during the past five years: $12 million +— § 3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization. See all attached Resumes for any Key Induvidtials § 4.0 REFERENCES § 4.1 Trade references: Please see attached Trade References § 4.2 Bank references: 7presnerity Bank ---Herschel Vansickle' 101 S. Main St. Victoria, TExas § 4.3 Surety § 4.3.1 Name of bonding company: Merchants Bonding Company 8303 N. Mopach Lp1 Austin, Texas 78759 § 4.3.2 Name and address of agent: Swantner & Gordon Higginbotham Insurance Agency 500 N. Shoreline Suite 1200 Corpus Christi, TExas 78401 § 5.0 FINANCING § 5.1 Financial Statement See attached Balance and Income Strut avail. § 5.1.1 Attach a financial statement, preferably authi6r[, including your organization's latest balance sheet and ine_ statement showing the following items: .1 Current Assets (e.g., cash, lornt venture accounts, accounts receivable, notes receivable -Accrued income, deposits, materials inventory and prepaid expenses); .2 Net Fixed Assets, ' .3. Other Assets, .4 Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, `advances, accrued salaries and accrued payroll taxes), and " .5 Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). AIA Document A305�^' — 1986. Copyright ©1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA° Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. § 5.1.2 Name and address of firm preparing attached financial statement, and date thereof: Klingle & Teinert, LLP 202 E. Santa Rosa Victoria, TExas 77901 § 5.1.3 Is the attached financial statement for the identical organization named on page one? Yes § 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent -subsidiary). N/A § 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction? Yes § 6.0 SIGNATURE § 6.1 Dated this 2nd dayof July 20 15 Name of organization: Rain Seal Master Roofing & Sheet Metal,Inc. Title: President § 6.2 M Juan R. Lozano,Sr. being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not lobe misleading. Subscribed and sworn before,me this 2nd day of July 20 15 l NotaryPubh ` MELI53A A. ON EXPIRES MYCOMMISSION EXPIRES °? y 6.: *t" a -C July 29, 2016 My commission expires: July 29,2016 CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document A3057" —1986. Copyright 0 1964,1969, 1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING: This Al a Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. Jobs in Progress Current list of Awards JOB: Austin Independent School ---Metz Elementary School OWNER REPRESENTATIVE: Mario Alaniz 512-414-8962 ARCHITECT OR CONSULTANT: Jennifer Doyle Engineered Exteriors, PLLC Phone: 512-571-3530 SPECIFIED SYSTEM: PVC Single Ply Membrane 80 Mil Fleece Back MEMBRANE MANUFACTURE: Carlisle MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: WILLIS OF TEXAS NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $765,600.00 PERCENTAGE OF COMPLETION: 100% Anticipated Completion Date: 2014-2015 JOB: Civil Corp Corporate Offices, New AT&T Store, Hartman Corp Ofcs. /Install Bay OWNER REPRESENTATIVE: Don Krueger Construction Co. ARCHITECT OR CONSULTANT: Don Krueger Construction Co. Phone: 361573-5291 SPECIFIED SYSTEM: SBS Modified System MEMBRANE MANUFACTURE: Soprema MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: Willis of Texas NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $229,690.00 PERCENTAGE OF COMPLETION: 99% Anticipated Completion Date: l' Qtr. JOB: Alice Independent School District-2014 Storm Damage Re -Roofing Package #2 OWNER REPRESENTATIVE: Carrie Castor ARCHITECT OR CONSULTANT: WKMC Architects, Inc. Phone: 361-887-6696 SPECIFIED SYSTEM: SBS Modified System MEMBRANE MANUFACTURE: John Manville MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: Higginbotham Insurance Agency, Inc. NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $824,000.00 PERCENTAGE OF COMPLETION: 55% Anticipated Completion Date: 2nd Qtr. JOB: Idea Public School District -South Flores -Phase II OWNER REPRESENTATIVE: Darrel Dussetschleger ARCHITECT OR CONSULTANT: Tegrity Contractors, Inc. Phone: 512-385-6060 SPECIFIED SYSTEM: SBS Modified System MEMBRANE MANUFACTURE: Garland Co. MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: Higginbotham Insurance Agency, Inc. NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $303,500.00 PERCENTAGE OF COMPLETION: 80% Anticipated Completion Date: 2"a Qtr. JOB: STJ Tom O'Connor Athletic Facility -Package B-Non FEMA Portion OWNER REPRESENTATIVE: Todd Traugott, PM ARCHITECT OR CONSULTANT: Don Krueger Construction Co Phone: 361-573-5291 SPECIFIED SYSTEM: 2Ply Torch System MEMBRANE MANUFACTURE: Soprema MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: Higginbotham Insurance Agency, Inc. NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $93,750.00 PERCENTAGE OF COMPLETION: 0% Anticipated Completion Date: 2'd Qtr. JOB: Cotulla I.S.D.-Faculty Apartments -Entire Facility QZAB Renovations Projects, Phase III OWNER REPRESENTATIVE: Mr. Renee Cortez Jr. ARCHITECT OR CONSULTANT: Leyendecker Construction, Inc. Phone: 956-722-0531 SPECIFIED SYSTEM: Standing Seam Metal Roof MEMBRANE MANUFACTURE: Garland Mfg. MEMBRANE MANUFACTURES REPRESENTATIVE: N/A BONDED: YES NAME: Merchants Bonding Company BONDING AGENT: Higginbotham Insurance Agency, Inc. NAME: RENE GOFORTH / PHONE NUMBER: 361-550-4895 CONTRACT AMOUNT: $333,000.00 PERCENTAGE OF COMPLETION: 90% Anticipated Completion Date: 2"d Qtr. Past Project Expeirence Color Code Sheet School Districts Universities Private Projects Ins. Co., Various Jobs Churches Church owned facilities Government/State City Owned Facilities rM.,V +j V) J ca '`ii, r � ' ix Ln u3 n . U . y co Cp i ° di q c Ln ahA a. I 0,ru U W °0 Oc, �N 00 O m amo v Q.Z. O 0 U' U: N.� •£ Q p a pi 's M \ _ ci Z � y u `Q a 0 AN o , o o O O N C W,. ct i .o O ti a C p O` pLn 1 lNfl lOo .N '; O ti eq m J d cm x N � lr co Q N ID co vl ri °° O - r� ++ o x F 's° m o Y 3 o Sl x m m o z u m z c v � o oVi A a �i cu `n iz p ki? <p O "0 3 0 U n cZ C G 403 y ~ Uabl = 3 ax ?J 0 Boa00 0 w 111, 1111 11 11111'' ''lill r.� DOCUMENT NO.00300 PROPOSAL L.L. & F. Construction Management, Inc, hereinafter called "BIDDER", (Legal Firm Name) is submitting this Proposal for Furnishing and Performing the Work specified herein as the Construction of the 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN REROOF. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER", 1, Terms used in this PROPOSAL are defined in the General Conditions or Document No, 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions, 2, BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times Indicated in this BID and in accordance with the other terms and conditions of the Contract Documents, 3, BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security, This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening, BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (1 S) Calendar Days after the date of OWNER's Notice of Award. 4, In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a, BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date), Addendum No: 1 2 N/A N/A Date Received: 6-11-2015 6-25-2015 N/A N/A b, BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work, 00300-1 -ADDENDUM No, 2 c. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. d, BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and gondidons for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation, BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID, BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding, BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER.or over OWNER. g, BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount In words shall govern, b, BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. e. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d, BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.033 of the General Conditions. e BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated, 00300.2 - ADDENDUM No. 2 BASE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY, PRICE WRITTEN IN WORDS PRICE; I. I LS Remove and replace all roofing (approx. 16,000 S,F,), insulation, gutters, downspouts, ridge vents and flashings at the Calhoun County Fairgrounds Show Barn, as specified in the plans and specification, complete and in place, the sum of One hundred twenty-four thousand one hundred fifty-seven Dollars and Cents, 2, 1 LS Remove and replace all rooting (approx, 4,450 S,F,), Insulation, cave and valley gutters, downspouts, flashings, roof vents, ridge vents and Show Barn siding (approx, 500 S.F.) at the Calhoun County Fairgrounds Bauer Exhibit Building, as specified in the plans and specifications, complete and In place, the sum of Fifty-two thousand six'hundred thirty Dollars and no/100..,.« Cants, LS Install new Galvanized Z-ght along Bauer Exhibit roof line (approx, 115 L,F,), with web plate and angle attachments as specified in detail C/Cl of the plans, including rerouting all eleotrial conduit as necessary to ensure clearance for Installation of the the new z-girt, complete and in place, the sum of Eleven thousand eight hundred fifty-one Dollars and no/loo****************x********* cents. 00300-3 - ADDENDUM No. 2 $124,157.00 $52,630.00 $11,851.00 TOTAL BASE BID, being Items 1 through 3 above, is: One hundred eighty-eight thousand six hundred thirty-eight DOLLARS CENTS. $ 188,638.00 ADDITIVE ALTERNATE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEMf QTY. PRICE WRSTTENIN WORDS PRICE A.1. 200 LF Remove existing and 13tstail new 14 gauge Galvanized Eave Strut, at the Calhoun County Fairgrounds Show Barn, if requited, complete In place, the unit price of Fifteen Dollars and 29/100* *""*" ** ***'*" Cents. per linear foot. $15.29 $ 3,058.00 A.2. 42 LF Remove existing and Install new 14 gauge Galvanized Eavo Strut, at the Calhoun County Fairgrounds Bauer Exhibit Building, as required, complete In place, the unit price of Twenty-one Dollars and no/100********************* Cents, per linear foot, $ 21.00 $ 882.00 GREATEST AMOUNT BID (on which the 5% Bid Bond Is based), being the sum of the Base Bid plus Items A.1 and A.2: One hundred ninety-two thousand five hundred seventy-eight DOLLARS CENTS. $ 192,578.00 ++++++++++•wo-•r+1r+++++++++++++++++++++++++++++++++++++++++++++++++++++r++++•r+++++ 00300-4 - ADDENDUM No, 2 6. BIDDER agrees that the Work shalt be oompleto and ready for final payment In aoeordanoe with Paragraph 14,07 of the General Conditions within 90 CALrNDAR DAYS after the date when the Contract Times commonoes to run, BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. 'rho following documents are attached to and made a condition of this BID; a. Required Bid Security in the form of Bid Bond b, Manufacture's literature on proposed Built -Up Roofing System and Sample 20-yr NDL Warranty c, Document No. 00415 - CONTRACTOR's Corporate Resolution, d. Document No, 00416 - Noncolluslon Affidavit. e, Document No, 00420 - Bidders Qualification Statement. 00300.5 - ADDENDUM No, 2 8. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 2nd day of July Authorized Signature; Name; D B Lun , Jre __ I Attesting Title; Name; Lisa K. Stancliff Title; Office Manager Legal Firm Name: L.L. & F. Construction Management, Inc. Business Address; P.O. Box 45 El Campo, TX 77437 Phone Number: 979-578-0782 Facsimile Number: 979-578-0784 E-Mail Address (optional) Ivsiinc@sbcglobal.net State of Incorporation, if applicable: Texas State Contractor License No,; N/A END OP' DOCUMENT 00300-6 -ADDENDUM No. 2 PENAL SUM FORM } BID BON® P.O. Box45 -- - -_ El Campo, Texas 77437 OWNER (Name and Ate): -Gounty of Calhoun Texas -221 S. Ann Street Third Floor Suite 301 Port Lavaco Texas 77979 BID BID DUE DATE: Jni_ y 2, 2015 PROJECT (Brief Descriotion Ir Bauer Exhibit Building and Show Barn Reroof WM BOND NUMBER: 929616690 DATE (Not later than Bid due date): JUIy 2, 2015 PENAL SUM: Five Percent of the Bidder's Maximum Bid Price (5%) w»�. (Words) (Figures) IN WITNESS WHEREOF, Surety and Bidder, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Bid Bond to be duly executed on Its behalf by Its authorized officer, agent, or representative. Bidder's Name By: t mot_ D B Lundy, Jr. Note: (1) (2) Seal SURETY By: Paul of Atorney) and Atestl and Title �,�. John Paul Above addresses are to be used forgiving required notice. Any singular reference to Bidder, Surety, OWNER or other party shall be considered plural Where applicable. EJCDC NO. 1910-28-C (1996 Edition) 00410-1 1. Bidder and Surety, Jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to pay to OWNER upon default of Bidder the penal sum set forth on the face of Oils Bond. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by OWNER) the executed Agreement required by the Bidding Documents and any performance and payment Bonds required by the Bidding Documents, 3. This obligation shall be null and.vofd if: 3.1. OWNER accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents (or any extension thereof agreed to in writing by OWNER) the executed Agreement required by the Bidding Documents and any performance and payment Bonds required by the Bidding Documents, or 3.2. All Bids are rejected by OWNER, or 3.3. OWNER fails to issue a Notice of Award to Bidder within tie time specified in die Bidding Documents (or any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required by paragraph 5 hereof). 4. Payment under this Bond will be due and payable upon default by Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from OWNER, which notice will be given with reasonable promptness, Identifying this Bond and the Project and including a statement of the amount due. 5. Surety waives notice of and any and all defenses based on or arising out of any time extension to issue Notice of Award agreed to In writing by OWNER and Bidder, provided that the total time for issuing Notice of Award Including extensions shalt not In die aggregate exceed 120 days froln Bid due date without Surety's written consent. 6. No suit or action shall be commonced under tits Bond prior to 30 calendar days after the notice of default required hi paragraph 4 above is received by Bidder and Surety and in no case later than one year after Bid due .date. 7. Any suit or action under this Bond shalt be commenced only in a court of competent Jurisdiction located in the state In which the Project Is located. PENAL SUM FORM 8. Notices required hereunder shall be In writing and sent io Bidder and Surety at their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bonn a current and effective power or Attorney evidencing the authority of the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such Bond and bind the Surety thereby, A This Bond la intended to conform to all applicable statutory requirements. Any applicnble requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as If set forth at Icngib, If any provision of this Bond conflicts with any applicable statute, then the provision of said statute shall govern and the remainder of this Bond that is not is conflict therewiti shall continue hi full force and effect. It, The form "Bid" as used herein includes a Bid, offor or proposal as applicable. EJCDC NO, 1910-28-C (1996 Edition) 00410-2 } POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Paul W Poettgen, Maryanna S Christensen, Rose M Poettgen, Richard D Jeter, John Paul Poettgen, Individually of San Antonio, TX, their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 15th day of June, 2015. 000 Continental Casualty Company ytr+t"Q q,National Fire Insurance Company of Hartford rvam"uuar�oAmerican Cas lty Company of Reading, Pennsylvania rmr�ri, dayav'• • - Paul T. Bra at Alf Vice President State of South Dakota, County of Minnehaha, as: On this I Sth day of June, 2015, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. .naaaaaa�w,aaaaearalatl�\ y 3, EICH js aQr E auattc//� I SOUTH OAKOTA j$/I ♦eaaaaaaaaa:aaaeeeaawaraf ���i�_ My Commission Expires February 12, 2021 S. Eich otary Public I, D. Bult, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 2nd day of July , 2015 GAsutr Continental Casualty Company tHSugtVrrr� National Fire Insurance Company of Hartford �+ o �wcasrot+aren ;% American Casualty Company of Reading, Pennsylvania mIs n, /'� u SEAL Y . tax 1097 1� gptttf • dr` D. Bult Assistant Secretary Form F6853-4/2012 Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25th day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers') to execute various policies, bonds, undertakings and other obligatory instruments of Ike nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures'); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251h day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of Ike nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures'); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duty adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: - "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bmflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the . Company by unanimous written consent dated the 25ih day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers").to execute various policies, bonds, undertakings and other obligatory instruments of Ike nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures'); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company." DOCUMENT NO.00300 PROPOSAL Co , hereinafter called "BIDDER", is submitting this Proposal for Furnishing and Performing the Work specified herein as the Construction of the 2015 CALHOUN COUNTY BAUER EXIIIBIT BUILDING AND SHOW BARN REROOF. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER". Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (IS) Calendar Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a, BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No: 2 Date Received: �-,,xS t5 b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the'Work, 00300-1 - ADDENDUM No. 2 c. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and eronditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation, BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. C. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d, BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.13 of the General Conditions. e, BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 - ADDENDUM No. 2 BASE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE LS Remove and replace all roofing (approx. 16,000 S.F,), insulation, gutters, downspouts, ridge vents and flashings at the Calhoun County Fairgrounds Show Barn, as specified in the plans and specifications, complete and in place, the sum of /r�= J G C CJ/L-�C JL 4i4Li�"�G / '1��' �3/ `%`F•, y.9�°� /%/ c /ram �.c:�✓L'G( Dollars and�63 Cents. 2. 1 LS Remove and replace all roofing (approx. 4,450 S.F.), insulation, cave and valley gutters, downspouts, flashings, roof vents, ridge vents and Show Barn siding (approx. 500 S.F.) at the Calhoun County Fairgrounds Bauer Exhibit Building, as specified in the plans and specifications, complete and in place, the sum of _T Dollars Gt Li Gfe'^ a"e� and Cents. 3. 1 LS Install new Galvanized Z-girt along Bauer Exhibit roof line (approx. 115 L.F,), with web plate and angle attachments as specified in detail CICl of the plans, including rerouting all electrial conduit as necessary to ensure clearance for installation of the the new z-girt, complete and in place, the sum of Dollars and Cents, $5��✓. �tC� 00300-3 - ADDENDUM No. 2 TOTAL. BASE BID, being Items 1 through 3 above, is: arc DOLLARS ADDITIVE ALTERNATE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT UNIT EXTENSION ITEM QTY. PRICE WRITTEN IN WORDS PRICE A.l. 200 LF Remove existing and Install new 14 gauge Galvanized Eave Strut, at the Calhoun County Fairgrounds Show Barn, if required, complete in place, the unit price of . Dollars and Cents. per linear foot. $ -) �5, CIO $ 5,r>010 `00 A.2. 42 LF Remove existing and Install new 14 gauge Galvanized Eave Strut, at the Calhoun County Fairgrounds Bauer Exhibit Building, as required, complete in place, the unit prigq of / Dollars and _ 0 e /i'c� Cents. 0 per linear foot, j ' CA $ r�B$ s ` C GREATEST AMOUNT BID (on which the 5% Bid Bond is based), being the sum of the Base Bid plus Items A,1 and A.2: ,kzl� d v / //Clo a 00300-4 - ADDENDUM No. 2 DOLLARS CENTS. $$✓f" f' 6. BIDDER agrees that the Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 90 CALENDAR DAYS after the date when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. The following documents are attached to and made a condition of this BID: a. Required Bid Security in the form of Atry' &-V-IQ h. Manufacture's literature on proposed Built -Up m Roofing Systeand Sample 20-yr NDL Warranty c. Document No. 00415 - CONTRACTOWs Corporate Resolution. d. Document No. 00416 - Noneollusion Affidavit. e. Document No. 00420 - Bidders Qualification Statement. 00300-5 - ADDENDUM No. 2 PENAL SUM FORM BIRDER (dame annd AddressJ: it44 tom«-naFa 62�v€ - T Bllb BID DUE DATE; TULY a ao1 S PROJECT (Brief pescripfion including Location); BOND BOND NUMBER: DATE (Not later than Bid due date): PENAL SUM: iwa N NosFn l( (Words) (Figures) IN WITNESS WHEREOF, Surety and Bidder, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Old Bond to be duly executed on Its behalf by its authorized officer, agent, or representative. BIDDER SURETY (Seat) Cnyr uEarrnsu *r,n��rs (Baal) Bidder's Name and Corporate Sea]. Surety's Name and Corporate seat , ( a _ Signature and`Titie Signature and Titio "17 ck:auEv (Attach ,J('ower at Attoorney) U J �� C . �2CRisNt� Attest; l r(� Atkest: Signature and Title Signature and Title Note: (1) Above addresses are to be used forgiving required notice. (2) Any singular reference to Bidder, Surety, OWNER or other parry shall be considered plural Wheie applicable. EJCDC NO. 191 Q-28-C (199b Edition) 00410-1 IN-Fne.T POWER OF ATTORNEY APPOINTING INDIVIDUAL. ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania,. a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Limon Bognar, Scott C Kakaeck, Individually of Richardson, TX, their true and lawful Attormy(s)-in-Fact with fall power and authority hereby conferred to sign, seal slid execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if sueh instruments were signed by a duly authorized officer of their insurance companies acid all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 8th day of June, 2015. eonfOagrg �• ap' ky aMt��TrA ,� SEAL e . j iwi 1ae7 HAtit4�, • Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania Paul T. Brutlat Vice Presfdent. State of South Dakota, County of Minnehalla, ss: on this 8th day of June, 2015, before me personally came Paul T, Bruflat to me knoWn, who, being by me duly sworn, did depose and say. that he resides in die. Clty of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insumce company described in and which executed the above instrument; that he knows the seals of said insurance companies; that the seals affixed to die said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same, to be the act and deed of said insurance companies. - % {\YnnM•,M�an4E IC SIGH i( i` i NQ/AUY PUBLIC/��°;q Sou" 00"(014 a U - r ' ( f in\rrSr\+K\bn\\nnr\r\\\1 i] ,[5,,^,�, i-,-.. My Commission Expires February 12, 2021 S. Bich otaryN —Public CERTIFICATE I, D. Bull, Assistant Secretary of Continental CasualtyCompany, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, turd American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Atiomey herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies primeti.nn the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurancecompaniesthis- i�_v day of mar c.Y T> ats'-,AS 0�0,0�$EAliaV Form F6853-4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania D. Bull Assistant Secretary Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attomey is made and executed pursuant to and by authority of the following resolution duly adopted. by the Board of Directors of the Company at a meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specifre documents, agreements and instruments on behalf of the Company providedthat the name of such authorized officer and a description of the doauneats, agreements or instruments that such officer may sign. will be provided in writing by the Senior or Group V ice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of Continental Casualty Company, This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25t4 day of April, 2012: "Whereas, the bylaws of the Company of specific resolution of the Board of Directors has adthorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of Lice nature; and Whereas, from time to time,the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures'); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding an the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That soy Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the time of such authorized officer and a description of the documents, agreements or Instruments that such officer may sign will be provided in writing by the Senior or Croup Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bruflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 25' day of April, 2012: _ "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the ".Authorized Officers') to execute various policies, bonds, undertakings slid after obligatory instruments of like nature; and Whereas,from time to time,. the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Blectranic Signatures'); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company," ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to mid by authority of the following resolution duy adopted by the Board of Directorsofthe Company by unanimous written cement dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreanients and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instrurmats that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming e£fetiive." This Power of Attorney is signori by Paul T. Brutal, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written. consent dated the 251h day of April, 2012: "Whoreos, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers") to execute various policies, bonds, undertakings and other obligatory instruments of like naurc; and ' Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may lie provided via facsimileor otherwise in an electronic format (collectively, "Electronic Signatures'); Now therefore be it resolved: that the Electronic Signature ofaIIy, Authorized Officer shall be valid and binding on the Company." - DOCUMENT NO. 00416 NON -COLLUSION AFFIDAVIT Pn / t 111111%i ul being first duly sworn, deposes and says that: I l lc is ae J 1 <G.. I(NH. {-._ of G E'r C, f F _ the BIDDER thal has su mitted the attached Bid; I le. is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; ;. Such Bid is genuine and is not a collusive or sham Bid; I. Neither the said BIDDER nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with another BIDDER, firm or person to submit it collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such. Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other BIDDER, firm or person to fix the price or prices in the attached Bid or of any other BIDDER, or to fix an overhead, profit or cost element of the Bid price or the Bid price of any other BIDDER, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the COUNTY OF CALHOUN (OWNER) or any person interested in the proposed Contract; and The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the BIDDER or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. (Signed) r Title Subscribed and sworn to me this 961 day of 20 15. P.w.o _ By: My commission expires tEmN STRAWS on 6 res ENDA4JN�t1920zC16I0IE T 00416-1 r �t r Nofary Public DOCUMENT NO.00415 CONTRACTOR'S CORPORATE RESOLUTION I hereby certify that it was RESOLVED by a quorum of the directors of 2 f%)(tD N C, (Name of Corporation) meeting on the /w® day of —J-Uii ) 20 {3 that �,�f/C/(E'r /,/�C,'�1 ,ti°`j tl�e l be, (Na e of Principal) (Title) and hereby is, authorized to execute all documents necessary for the transaction of business in the. State of Texas on behalf of the said `v and (Name of Corporation) That the above resolution was unanimously ratified by the Board of Directors at said meeting and that the resolution has not been rescinded or amended and is now in full force and effect; and in authentication of the adoption of this resolution, I subscribe my name this 2AID day of sV 20 IJ Secr ay END OF DOCUMENT 00415-1 8. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this day of Authorized Signature: Name: %0(✓crC //11 /1]t ✓�9f� Title: /�<!: J G! E t J Attesting Signature: �11r.'" %r�lr�'✓'1��+�� Title: ee Legal Firm Name: 0 Business Address: //Oc`/ Phone Number: Facsimile Number: E-Mail Address (optional) er i c, C, c« i�;c ; (f o State of Incorporation, if applicable: State Contractor License No.: END OF DOCUMENT 00300-6 - ADDENDUM No. 2 DOCUMENT NO. 00420 BIDDER QUALIFICATION STATEMENT i;jd,k i :;kill answer all questions, and answers shall be clear and comprehensive. This form li.tll I., notarize.d upon completion. As necessary, BIDDER may use separate attached sheets to III 1V0 I I lncstions, and may submit additional information, if desired. ltll 0l tt's Name: Organization Date: W. h.:::: Incorporation Date: 1 p It Wort: Performed: l i fail to Complete Awarded Work? Y or Ii 1>rlaultonAny Contract? Y or - t'll' II'AS'➢l T51E FOLLOWING INFORMATION: i lach a ➢ OST OF PROJECTS, similar in size and scope to the work covered by this proposal, ;Nim Ii kIDDER has MOST RECENTLY COMPLETED. lauount of Date Owner Contract t 'ootraet Award Type of Work Completed and phone no. \ li,icli a LIST OF PROJECTS BIDDER is now ENGAGED IN COMPLETING. E mount of Percent Owner Contract a 'oast ract Award Type of Work Complete and phone no. Anach a LIST OF EQUIPMENT THAT WILL BE AVAILABLE FOR THIS PROJECT including type, model, owned or leased. \Ilac h a RESUME FOR EACH OFFICER OF THE COMPANY AND THE PROPOSED SI)PERINTENDENT for this Project. ALSO, indicate the number of Foremen, Equipment i tl,crators, Laborers, etc. that will be available for this project. Credit Available: $ Bank Reference/Contact: The undersigned hereby authorizes any person, firm, or corporation to furnish any information requested by the COUNTY OF CALHOUN, in relation to the verification of the statements comprising this BIDDER's Qualification Statement. S ned: t r '— Name & Title: i=ele4`'f S`a'4S en Executed and sworn to before me,Jhe undersigned authority, on this d" day of _, 20 15. Notary Public iri and for END ®F D®CIIMENT LEAK STRAKOS lion Expires My Commis August 12, 2018 00420-1 R Amount of Contract award Type of work I I ®ate Completed Owner contract & phone number $300,000.00 1 Building renovation I June 2014 Brasken, 361-487-1114 Amount of contract Type of work Percent Complete Owner Contract & award phone number $200,000.00 Metal Sheeting 95% Hooker Contracting, 210-492-9411 Josie Sampson From: Peggy Hall <peggy.hall@calhouncotx.org> Sent: Thursday, July 09, 2015 1:38 PM To: ]osie.sampson@calhouncotx.org Subject: FW: Notice of Award & Contract Package - 2015 Calhoun Co. Reroof Attachments: Notice of Award.pdf, 00500 Contract Package.pdf losie, G&W sent me the 2 attachments. I will get you a copy of the signed contract as soon as I receive it from G&W. Let me know if you need any more info. Thanks. Peggy From: Glynis King [mailto:gking@gwengineers.com] Sent: Thursday, July 09, 2015 2:00 PM To: peggy.hall@calhouncotx.org Cc: Jody Weaver; Carlos Guillen Subject: Notice of Award & Contract Package - 2015 Calhoun Co. Reroof Peggy, The attached Notice of Award & Contract package will be going out in today's mail. Thank you, Glynis King G & W Engineers, Inc. 205 W. Live Oak Port Lavaca, TX 77979 361-552-4509 G&WENGINEERS,INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)562-4509 • f: (361)552-4987 TBPE Firm Registration No. F-4188 July 9, 2015 Rain Seal Master Roofing & Shoot Metal, Inc. 2306 Port Lavaca Drive Victoria, Texas 77901 Attention: Mr. Juan R. Lozano, Sr., President RE: NOTICE OF AWARD 2015 Calhoun County Bauer Exhibit Building and Show Barn Reroof Dear Mr. Lozano, Calhoun County has awarded your company the construction contract for the above referenced project at a meeting held Thursday, July 9, 2015. This letter shall serve as your official written "NOTICE OF AWARD". The contract price will be $141,256.00 which is the Base Bid plus Additive Alternates No, 1 & No. 2. There was a mathematical error in Alternate No. 2 so we will need you to initial the corrections to the Alternate No. 2 Amount, the Greatest Amount written in words and the Greatest Amount Bid. Enclosed you will find three (3) contract pacizages for your review and execution. Please review all paelzages, and if satisfactory, execute each one and return all three (3) to me, along with three (3) originals of each required Bond and Certificate of Insurance. The insurance requirements can be found in Document No. 00820 of the Specifications. A fully -executed package, along with additional sets of the "APPROVED FOR CONSTRUCTION" Contract Documents will be given to you at the Pre -Construction Conference. If you have any questions, please do not hesitate to call. Sincerely, WoAnnaWea"vc�r, iner ,Ina. P.E. Project Manager Enolosures; Contract Documents cC; Calhoun County file# 5310.0041noticoazod Engineering Planning Surveying DOCUMENT NO.00500 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is dated as of the 9th day of July in the year 2015, by and between the COUNTY OF CALHOUN (hereinafter called OWNER) and RAIN SEAL MASTER ROOFING & SHEET METAL, INC. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORD: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN REROOF .02 ENGINEER: The Project has been designed by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 90 Calendar Days after the date when the Contract Times commence to run. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. 1. Any day(s) in which rainfall occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site, 00500-1 AGREEMENT RETNEEN ONNER AND CONTRACTOR 2015 Cnlhoun Counly Hauer B J,1bil Building and Show Rum Reocof Cmmly of CA un, TX (160 210,004) 2. Any day(s) following the above condition of the construction representative, is not conducive to working environment at the site. described "rain day(s)" in which the site, in the opinion of OWNER's providing CONTRACTOR with a safe OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days", Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. e, Liquidated Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03.a above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions, They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that, as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER THREE HUNDRED DOLLARS ($300.00) for each day that expires after the time specified in paragraph .03.a. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR agrees to waive as. against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty; (2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. 00500-2 AGREEMENT WFAVEEN OWNER AND CONTRACTOR 2015 Celboun County Bniur IMIbit Building end Show Bnrn Ruroor County of Calhoun, TX (Jobd 5310,004) .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contact'Documents in current funds as per CONTRACTOR's proposal which forms a part of this contract. In no event shall the amounts payable pursuant to this Contract exceed $141,256.00, being the Greatest Amount Bid (Sum of the Base Bid plus Items A.1 & A.2), plus the amount of any duly authorized change orders or contract amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division I - General Requirements, Section 01025 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER and as provided below, All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. Progress payments will be in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER shall determine, or OWNER may withhold in accordance with Paragraph 14.02.E.5 of the General Conditions. A. 90% of the Work completed (with the balance being retainage) E, 90% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14,02.A.1 of the General Conditions). 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs, All requests for material payment shall be accompanied by CONTRACTOR's paid invoice for the material in accordance with Article 14.02.A.I of the General Conditions, 00500-3 ACRErMCNT BETWEEN OWNER AND CONTRACTOR 2013 Calhoun County Bauor6xhibit H014ins and Show Dom Roof County oMlhoun, TX (IM 3310.004) Final Payment Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph, .06 CONTRACTOR's REPRESENTATIONS: In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: a. CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data," b, CONTRACTOR has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work, C. CONTRACTOR is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and furnishing of the Work. d, CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02.A of the General Conditions, CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02,A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional 00500-4 AGREEM1;NT BETWEEN OWNER AND CONTRACTOR '015 Cnlhoun Counly Dauer BildbB Building and Show Barn R000ef County of Calhono, TX (Jobd 5A0.004) examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents, C. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. £ CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. g. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The Contract Documents which comprise the entire Agreement between OWNER and CONTRACTOR are attached to this Agreement, made a part hereof and consists of the following: a. This Agreement, b, Exhibits to this Agreement. Q. CONTRACTOR's Proposal, d. Performance, Payment and other Bonds. e. Notice of Award. f. Notice to Proceed. g, General Conditions. h. General Conditions of Submitting Sealed Bids to Calhoun County, Texas. Supplementary Conditions. Technical Specifications. 00500-5 ACRCF,MGNT AL;TWI;DN OW AND CONTRACTOR 2015 Calhoun Cwniy Bnner BvhibB Building and Shaw Ham Beroot County of Cellu u t, TX (JobN 5310.004) k. in. Drawings numbered & titled for the different areas of work as indicated below: SHEET NO. DATE C 1.0 06/22/15 C2.0 05/13/15 Addendum numbers SITE PLAN & SECTIONS DETAILS to inclusive The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 8. The Contract Documents may only be altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. .08 MISCELLANEOUS: a. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may, be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. c, OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and, legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. d. Any provision or pant of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision, 00500-6 AGREEMENT DF,TWEEN OWNER AND CONTRACTOR 2015 Calhoun Counly eaner exhibit buildlny and Shure Bern Reroof Canary afU11611n, TX(Jobl) 5310.004) IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. This AGREEMENT shall be effective as of the 9th day of July, 2015. OWNER: COUNTY OF CALHOUN Michael J. Pfeifer, County Judge ATTEST: ADDRESS: 211 S. Ann, Suite 301 Port Lavaca, Texas 77979 PHONE: (361) 553-4600 FAX: (361) 553-4444 [0ffl2!t1ftAX4 iwdI RAIN SEAL MASTER ROOFING & SHEET METAL, INC. BY: Juan R. Lozano, Sr., President ATTEST: ADDRESS: 2306 Port Lavaca Dr. Victoria, Texas 77901 PHONE: (361) 576-0926 FAX: (361) 485-9393 EMAIL: ramon@rsminel.com END OF DOCUMENT 00500-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR 2015 Calhoun Coumy Bauer QahlbB Building and Show Barn Reroof County ofCelhoun, TX (lobil $310.004) DOCUMENT NO.00300 PROPOSAL Rain Seal Master Roofing & Sheet Metal, Tne. ,hereinafter called "BIDDERS", {t,egallBnnManrej is submitting this Proposal for Furnishing and Performing the Work specified herein as the Construction of the 2015 CALHOUN COUNTY BAUER EXHIBIT BUILDING AND SHOW BARN REROOF. This PROPOSAL is Submitted to CALHOUN COUNTY, hereinafter called "OWNER". Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Docuuments, 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (1 S) Calendar Days after the date of OWNER's Notice of Award. d. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number slid Date): Addendum No: 1 2 Date Received: 6/ 1 2 1 5 6/ 2 6/ 1 5 b. BIDDER. has visited the site and is familiar and satisfied with the general, local and 'site conditions that may affect cost, progress, and furnishing and performing the Work, 00300-1 - ADDENDUM No. 2 c, BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this 131D is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f, BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and �ondltions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINF and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER, 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and frguros, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. c. BIDDER acknowledges tbat, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or Increased based upon the respective Unit Prices. d, BIDDER aelcnowiedges that Unit and bump Sum Prices have been computed in accordance with paragraph 11.03.E of the General Conditions. e. BIDDER agroes to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insura<ice, services and all other requirements doomed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated, 00300-2 - ADDENDUM No. 2 BASE BID BID BID UNIT DESCRIPTION OF ITEM WITH UNIT URIT EXTENSION ITEM! QTY' PRICE WRITTEN IN WORDS PRICE 1. 1 LS Remove and replace all roofing (approx. 16,000 S,F,), Insulation, gutters, downspouts, ridgo vents and flashings at the Calhoun County Fairgrounds Slow Barn, as specified in the plans and specifications, complete and In place, the sum of Ninety Five Thousand Dollars and zero Gents. $ 95, 000. 00 2. 1 LS Remove and roplaoo all roofing (approx, 4,450 SY), insulation, eavo and valley gutters, downspouts, fleshings, roof vents, ridge vents and Show Barn siding (approx. 500 S.F.) at the Calhoun County Fairgrounds Bauer Exldbtt Building, as specified in the plans and specifications, complete and In place, the sum of Fob Thousand Dollars and . zero Cents. $ 40,000. 00 3. 1 LS Install new Galvanized Z girt along Bauer Exhibit roof line (approx. 115 LY,), with web plate and angle aaachmonts as specified in detail C/CI of the plans, including rerouting all electrial conduit as necessary to ensure clearance for installation of the the now z-girt, complete and in place, the sum Of One Thousand Nine Hunt�,°red Dollars and zero Conts. $ 1 , 900. 00 00300-3 - ADDENDUM No. 2 TOTAL BASE DID, being Items 1 through 3 above, is: One Hundred Thirty Six Thousand Nine Hundred DOLLARS zero CENTS. $136,900.00 ADDITIVE, ALTERNATE DID 117.f1 BIll CNIT VNIT EXTENSION ITEM QTV. PRICE WRITTEN IN WORDS PRICE A.I. 266 LF Romovo existing and Install new 14 gauge Galvanized Eavo Strut, at the Calhoun County Falrgrouads Show Barn, If roquirod, oomploto In piaoe, the unit prloo of Eighteen Dollars and zero Cants. perllneaYfoot, $ 18.00 $ 3 600.00 A.2, 42 LF Remove existing and Install now 14 gauge Galvanized Bavo Strut, at the Cnihoua County Fa0grounds Bauor Exhibit Building, as roqulmd, oomplow In plaoo, the unit p00o of Eighteen Dollars and zero Cents. $ 756.00 per Ilnoav foot. $ 18.00 GRBATEST AMOUNT BID (on whloh the 5%Bid Bond Is based), being the anm o£tlio Base Bid plus Items A,1 and A.2: One Hundred Forty one Thousand Two Hundred Fifty Six DOLLARS $141,256.00 zero CBNTS, $ 441 389 68— ++t+++•++M+ h•h+ P....++++++++i•++.++-f...•FBI••h++++++++++++•h+++++i••hM•Mh+++++t+i• 00300.4 - ADDENDUM No. 2 6, BIDDER agrees that the Wark shall be oomplete. and. ready for final payment in aocordance with Paragraph 14.07 of the General Conditions within 90 CAT.MAR DAYS after the data when the Contract Times commences to rwi. 131DDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times speclfied in the Agreement, 7, The following documents are attached to and made a condition of this BID; a. Required Bid Security in the form of _ Bid Bond b. Manufacture's literature on proposed Built -Up Roofing System and Sample 20-yr NDL Warranty o. Document No. 00415 - CONTRACTOR's Corporate Resolution. d. Document No. 00416 - Noncollusion Affidavit. e. Document No. 00420 - Bidders Qualification Statement. 00300-5 - ADDENDUM No. 2 8. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 2nd day of July , 20L5. Authorized Signatuw Nance: Juan R. Lozano,Sr. Title: President Attesting Signatui41ob-i'l - 1 0 --- Name: Melissa Cisneros Title: Admin. ASSt:. Rain Seal Master Roofing Legal Firm Name: & Sheet Metal,lnc. Business Address: 2306 Port Lavaca Dr. Victoria, Texas Phone Number: 361-576-0926 Facsimile Number: 3 61- 4 85-93 9 3 &Mail Address (optional) ramon@rsmincl.com State of Incorporation, if applicable: Texas State Contractor LicenseNw 41-2065344 UND OY DOCUMENT 00300-6 - ADDENDUM No. 2 EXECUTIVE COMMITTEE President Wayne Dierlam Citizen, Victoria tsr Vice -President Roger Galvan Commissioner, Calhoun County 2"d Vice -President Tramer Woytek Judge, Lavaca County TO: l= GOLDEN CRESCENT REGIONAL PLANNING COMMISSION 120 S. Main Street, Suite 210, Victoria, TX 77901 (361) 578-1587 / Fax (361) 578-8865 www.gcrpc.org Golden Crescent Economic Development District Member Counties Golden Crescent Region Appointments to the General Assembly and Board of Directors DATE: June 9, 2015 Under the Golden Crescent Regional Planning Commission (GCRPC) By-laws it is time to designate your representatives to the Planning Commission. The appointments are effective from September 1, 2015 through August 31, 2016. Each of you, as a member, is entitled to have two representatives to the General Assembly. These representatives "shall be 3 °Vice -President appointed by, and be a member of the Commissioners' Court". Kevin La Fleur Commissioner, Gonzales County Further, each county is entitled to designate one of its General Assembly representatives to sit on the Board of Directors. Such designation may be in addition to officers elected at the Secretary -Treasurer annual meeting in August. Annie Rodriguez Mayor, City of Yoakum The current representatives will continue to serve until replaced. If you have any questions or Director -at -Large need any additional information please contact myself or Danielle Warzecha at (361) 578- Robert A. Kubena 1587, ext. 220. Municipal Judge, Hallettsville Director -at -Large Don Polzin Executive Director, Gulf Bend Victoria Director -at -Large Julio Espinosa Municipal Judge, Edna Immediate Past President Kenneth Finster Commissioner, Calhoun County Executive Director Joe E. Brannan Sincerely, Jo . Brannan Executive Director Serving Calhoun DeWitt Goliad Gonzales, Jackson, Lavaca and Victoria counties Equal Opportunity / Affirmative Action Employer APPOINTMENT/RE-APPOINTMENT TO THE GOLDEN CRESCENT REGIONAL PLANNING COMMISSION (GCRPC) GENERAL ASSEMBLY: Commissioner Finster made a motion to re -appoint Commissioners Roger Galvan and Neil Fritsch to the General Assembly of the Golden Crescent Regional Planning Commission. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. APPOINTMENT/RE-APPOINTMENT TO THE GCRPC BOARD OF DIRECTORS: Commissioner Finster made a motion re -appoint Commissioner Roger Galvan to the GCRPC Board of Directors. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. /y/�52/ATY OF .t`YaICHAEL J. PFEIFER Calhoun County Judge 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Finail: mike.pfeifer@calhouncotx.org July 9, 2015 Golden Crescent Regional Planning Commission Attn: Joe E. Brannan 120 S. Main St. Suite 210 Victoria TX 77901 Re: Appointments to the General Assembly and Board of Directors Dear Mr. Brannan, On July 9, 2015, Calhoun County Commissioners' Court voted to re -appoint Commissioners Roger Galvan and Neil Fritsch to the General Assembly of the Golden Crescent Regional Planning Commission, and voted to appoint Neil Fritsch to represent Calhoun County to the Board of Directors. Should you have any questions, please do not hesitate to contact this office. Thank you. Sincerely, Itilichael qT, eifer Calhoun County Judge MJP/sr www.calhouncotx.org ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: Judge Pfeifer made a motion to accept reports of the following County offices: • County Treasurer — April 2015 (Revised) and May 2015 • Justice of the Peace #1 — June 2015 • Justice of the Peace #2 — June 2015 • Justice of the Peace #3 —June 2015 • Justice of the Peace #4 — June 2015 • Justice of the Peace #5 — June 2015 Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT - REVISED MONTH OF: APRIL2015 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUNDS: GENERAL $ 29,820,359.95 $ 1,115,404.96 $ 2,617,854.69 $ 28,317,910.22 AIRPORT MAINTENANCE "" - 26,793.45 5.10 855.54 25,943.01 APPELLATE JUDICIAL SYSTEM 468.55 134.61 - 603.16 COASTAL PROTECTION FUND 39,110.56 7.44 - 39,118.00 COUNTY AND DIST COURT TECH FUND 2,580.66 94.56 - 2,675.22 COUNTY CHILD ABUSE PREVENTION FUND 293.11 7.24 - 300.35 COUNTY CHILD WELFARE BOARD FUND 1,603.77 164.31 - 1,768.08 COURTHOUSE SECURITY 237,327.83 1,379.10 1,324.89 237,382.04 COURT INITIATED GUARDIANSHIP FUND 3,346.71 60.64 - 3,407.35 DIST CLK RECORD PRESERVATION FUND 10,008.09 220.39 - 10,228.48 CO CLK RECORDS ARCHIVE FUND 67,532.89 3,257.85 - 70,790.74 DONATIONS 79,691.06 515.60 1,615.89 78,590.77 DRUG/DWI COURT PROGRAM FUND -LOCAL 9,412.92 161.09 - 9,574.01 JUVENILE CASE MANAGER FUND 9,104.49 90.60 - 9,195.09 FAMILY PROTECTION FUND 6,369.33 76.21. - 6,445.54 JUVENILE DELINQUENCY PREVENTION FUND 8,584.56 1.63 - 8,586.19 GRANTS 279,752.15. 167,190.26 7,098.39 539,844.02 JUSTICE COURT TECHNOLOGY 62,003.26 1,028.16 - 63,031.42 JUSTICE COURT BUILDING SECURITY FUND 9,400.11 246.67 - 9,646.78 LATERAL ROAD PRECINCT#1 4,323.94 0.82 - 4,324.76 LATERAL ROAD PRECINCT#2 4,323.94 0.82 - 4,324.76 LATERAL ROAD PRECINCT#3 4,323.94 0.82 - 4,324.76 LATERAL ROAD PRECINCT#4 4,323.95 0.82 - 4,324.77 PRETRIAL SERVICES FUND 63,873.33 1,714.15 - 65,587.48 LAW LIBRARY 193,035.40 1,000.49 717.95 193,317.94 LAW ENE OFFICERS STD. EDUC. (LEOSE) 22,404.82 4.26 217,05 22,192.03 POC COMMUNITY CENTER 67,549.23 2,462.85 2,087.76 67,924.32 RECORDS MANAGEMENT -DISTRICT CLERK 5,188.29 158.17 - 5,346.46 RECORDS MANAGEMENT -COUNTY CLERK 112,188.59 70.48 241.56 112,017.51 RECORDS MGMT & PRESERVATION 186,484.95 4,147.08 - 190,632.03 ROAD & BRIDGE GENERAL 1,357,335.48 38,598.99 - 1,395,934.47 SHERIFF FORFEITED PROPERTY 1,281.37 0.24 - 1,281.61 6MILE PIER/BOAT RAMP INSUR/MAINT 54,802.46 10.43 422.89 54,390.00 CAPITAL PROJ - CIAP COASTAL IMPROVEMENTS 0.00 0.00 CAPITAL PROJ -RB INFRASTRUCTURE 1,072,599.35 - - 1,072,599.35 CAPITAL PRO] - COUNTY ENERGY TRZ#1 354,745.05 - - 354,745.05 CAPITAL PROJ-SWAN POINT PARK 5,096,40 - - 5,096.40 CAPITAL PROD- AIRPORT RUNWAY IMPROV 78,472.13 - - 78,472.13 CAPITAL PROJ - COUNTY ROAD 101 150,000.00 - - 150,000.00 CAPITAL PROJ - EMS SUBSTATION 347,399.23 - - 347,399.23 CAPITAL PROJ - EMER COMM SYS 30,848.06 - - 30,848.06 CAPITAL PROJ - GREEN LAKE PARK 30,686.33 - 257.41 30,428.92 CAPITAL PROJ - HATERIUS PARKIBOAT RAMP 21,064.00 - - 21,064.00 CAPITAL PRO] -PORT ALTO POHL BEACH -STORM REP 6,484.78 - - 6,484.78 CAPITAL PROJ - IMPROVEMENT PROJECTS 394,465.62 - - 394,465.62 CAPITAL PROJ - PORT O'CONNOR LIBRARY 1,167.00 - - 1,167.00 CAPITAL PRO] - MMC NURSING HOME UPI, PROGRAM 2,000,000.00 - - 2,000,000.00 CAPITAL PROD- MMC BUSINESS IMPROVEMENT LOAN 1,500,000.00 - - 1,500,000.00 ARRESTFEES 1,305.31 992.56 1,904.06 393.81 BAIL BOND FEES (BE 1940) 2,505.00 1,410.00 3,915.00 - CONSOLIDATED COURT COSTS (NEW) 14,534.37 12,357.16 26,861.53 30.00 DNA TESTING FUND 314.54 21.18 85.72 250.00 DRUG COURT PROGRAM FUND - STATE 305.28 159.29 464,29 0.28 SUBTOTALS 38 767 175.59 1 453 157.03 2 665 924.62 37 554 408.00 Page 1 of 3 COUNTY TREASURERS REPORT MONTH OF: APRIL 2015 BEGINNING ENDING FUND FUNDBAL4NCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUNDS -BALANCE FORWARD $ 38,767,175.59 $ 1,453,157.03 $ 2,665,924.62 $ 37,554,408.00 ELECTION SERVICES CONTRACT 66,899.35 12.72 - 66,912.07 ELECTRONIC FILING FEE FUND 2,063.96 897.03 2,960.99 0.00 EMS TRAUMA FUND 577.69 260.74 711.86 126.57 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 598.00 199.00 773.00 24.00 JUDICIAL FUND (ST. COURT COSTS) 392.13 294.81 686.94 0.00 JUDICIAL SALARIES FUND 5,529.70 2,960.91 8,490.61 0.00 JUROR DONATION -TX CRIME VICTIMS FUND 76.00 206.00 72.00 210.00 JUVENILE PROBATION RESTITUTION 1,195.00 996.00 - 2,191.00 LIBRARY GIFT AND MEMORIAL 52,297.09 69.95 - 52,367.04 MISCELLANEOUS CLEARING 28,477.99 21,777.75 35,877.64 14,378.10 REFUNDABLE DEPOSITS 2,000.00 - - 2,000.00 STATE CIVIL FEE FUND 5,872.49 2,249.70 8,122.19 0.00 CIVIL JUSTICE DATA REPOSITORY FUND 16.85 14.45 31.30 0.00 JURY REIMBURSEMENT FEE 1,283.78 1,059.96 2,343.74 0.00 SUBTITLE C FUND 4,845.57 4,423.00 9,260.80 7.77 SUPP OF CRIM INDIGENT DEFENSE 635.61 528.72 1,164.33 0.00 TIME PAYMENTS 3,824.07 2,825.57 6,649.64 0.00 TRAFFIC LAW FAILURE TO APPEAR 2,371.29 3,01635 5,388.04 0.00 UNCLAIMED PROPERTY 5,906.83 1.12 - 5,907.95 TRUANCY PREVENTION AND DIVERSION FUND 482.44 351.64 808.89 25.19 BOOT CAMPDJAEP 147.43 - - 147.43 JUVENILE PROBATION 251481.02 18 737.84 32 320.72 237 898.14 SUBTOTALS $ 39,211,997.19 $ 1,514,040.69 $ 2,781,587,31 $ 37,944,450.57 TAXES IN ESCROW 0.00 0.00 0.00 39 211997.19 1514 040.69 2,781,587.31 37 944 450.57 TOTAL OPERATING FUNDS OTHER FUNDS D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 12,142.85 - 1,002.57 11,140.28 CERT OF OB-CRTHSE REF SERIFS 2010 473,294.87 3,834.49 - 477,129.36 CURT OF OB-CRTHOUSE I&S SERIFS 2012 636,617.98 5,056.45 - 641,674.43 OCEAN DRIVE IMPROVEMENTS 1.00 - - 1.00 CAL. CO. FEES & FINES 1 136 2 59.49 105 536.69 I35 253.67 107 242.51 9122 MEMORIAL MEDICAL CENTER OPERATING 2,443,050.36 2,057,597.01 2,401,618.70 $ 2,099,028.67 INDIGENT HEALTHCARE 579.46 18,188.00 16,518.08 2,249.38 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,628,046.29 - - 1,628,046.29 NH ASHFORD 14,412.99 130,493.00 123,585.61 21,320.28 NH BROADMOOR 100.00 132,889.74 132,889.74 100.00 NH CRESCENT 100.19 120,600.90 120,601.09 100.00 NH FORT BEND 580.98 2,913.49 480.98 3,013.49 NH SOLERA 100.25 153 180.82 153 181.07 100.00 4,417,101.85 2,615,862.96 $ 2,948,875.27 4,084,089.54 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGE DISTRICTS NO.6 24,275.82 19.74 - $ 24,295.56 NO.8 140,656.44 568.14 - 141,224.58 NO, 10-MAINTENANCE 139,373.02 66.40 - 139,439.42 NO. II-MAINTENANCE/OPERATING 266,284.35 4,887.63 1,070.06 270,101.92 NO. L-RESERVE 154909.90 154909.90 725 499.53 5,541.91 1,070.06 729 971.38 TOTAL DRAINAGE DISTRICT FUNDS CALHOUN COUNTY W CID k1 OPERATING ACCOUNT 511 154.04 338.63 34 364.74 477 127.93 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 244 232.79 $ 4,380.89 7,063.31 241 550.37 CALHOUN COUNTY FROST BANK 6,258.87 6,258.87 5,904,247.08 2,626,124.39 2,991,373.38 5,538,998.09 TOTAL MMC, DR. DIST., NAV. DIST, W CID & FROST $ 46,407,514.49 $ 4,254,592.71 $ 5,909,216.93 $ 44,752,890.27 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT MONTH OF: APRIL 2015 BANK RECONCILIATION LESS: CERT.OFDEPL FUND OUTSTNDGDEPI PLUS: CHECKS BANK FUND BALANCE OTHERITEMS OUTSTANDING BALANCE OPERATING * $ 37,944,450.57 37,595,854.13 101,094.97 $ 449,691.41 OTHER D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 11,140.28 - - 11,140.28 CERT OF OB-CRTHSE REF SERIFS 2010 477,129.36 1,203.26 - 475,926.10 CERT OF OB-CRTHOUSE I&S SERIES 2012 641,674.43 1,512.33 - 640,162.10 OCEAN DRIVE IMPROVEMENTS- CAP PROJ 1,00 1.00 CAL. CO FEES & FINES 107,242.51 27,996.12 6,649.95 85,896.34 MEMORIAL MEDICAL CENTER OPERATING t 2,099,028.67 500,250.60 338,716.25 1,937,494.32 INDIGENT HEALTHCARE 2,249.38 - 2,344.46 4,593.84 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,628,046.29 - - 1,628,046.29 NH ASHFORD 21,320.28 - - 21,320.28 NH BROADMOOR 100.00 - - 100.00 NH CRESCENT 100.00 - - 100.00 NH FORT BEND 3,013.49 - - 3,013.49 NH SOLERA 100.00 - - 100.00 DRAINAGE DISTRICT: NO. 6 24,295.56 - - 24,295.56 NO.8 141,224.58 - - 141,224.58 NO. 10 MAINTENANCE 139,439.42 66.40 - 139,373.02 NO, I MAINTENANCRIOPERATING 270.101.92 1,387.76 - 268,714.16 NO. I RESERVE 154,909.90 - - 154,909.90 CALHOUN COUNTY WCID #1 OPERATING ACCOUNT 477,127.93 - - 477,127.93 CALHOUN COUNTY PORT AUTHORITY MAINTENANCEIOPERATING **** 241,550.37 - - 241,550.37 CALHOUN COUNTY FROST BANK 6,258.87 - - 6,258.87 TOTALS 44 752 890.27 1 S 38128 270.60 448 805.63 7 073 425.30 * CDs —OPERATING FUND $37,500,000.00 $ CD's - MMC OPERATING FUND.- $500,000.00 **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA **** THE DEPOOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be current and up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are correct to all monie at ha been received by the County Treasurer as of the date of this report. L _n _ n z dn, RHONDAS.KOKENA COUNTY TREASURER i CALHOUN COUNTY COMMISSIONERS COURT Page 3 of 3 CALHOUN COUNTY, TEXAS COUNTY TREASURER'S REPORT MONTH OF: MAY 2015 BEGINNING ENDING FUND FUNDBALANCE RECEIPTS DISBURSEMENTS FUNDBAIANCE OPERATING FUNDS: GENERAL $ 28,317,910.22 $ 1,094,315.03 $ 2,216,475.51 $ 27,195,749.74 AIRPORT MAINTENANCE 25,943.01 6,741.99 965.54 31,719.46 APPELLATE JUDICIAL SYSTEM 603.16 133.17 - 736.33 COASTAL PROTECTION FUND 39,118.00 7.27 - 39,125.27 COUNTY AND DIST COURT TECH FUND 2,675.22 73.53 - 2,748.75 COUNTY CHILD ABUSE PREVENTION FUND 300.35 8.75 - 309.10 COUNTY CHILD WELFARE BOARD FUND 1,768.08 12.33 - 1,780.41 COURTHOUSE SECURITY 237,382.04 1,246.03 764.00 237,864.07 COURT INITIATED GUARDIANSHIP FUND 3,407.35 60.63 - 3,467.99 DIST CLK RECORD PRESERVATION FUND 10,228.48 225.11 - 10,453.59 CO CLK RECORDS ARCHIVE FUND 70,790.74 4,618.16 - 75,408.90 DONATIONS 78,590.77 40,978.19 41,410.62 78,158.34 DRUGIDWI COURT PROGRAM FUND -LOCAL 9,574.01 148.40 - 9,722.41 JUVENILE CASE MANAGER FUND 9,195.09 22.33 - 9,217A2 FAMILY PROTECTION FUND 6,445.54 91.20 - 6,536.74 JUVENILE DELINQUENCY PREVENTION FUND 8,586.19 1.60 - 8,587.79 GRANTS 539,844.02 3,614.66 2,507.08 540,951.60 JUSTICE COURT TECHNOLOGY 63,031.42 794.31 734.97 63,090.76 JUSTICE COURT BUILDING SECURITY FUND 9,646.78 195.70 - 9,842.48 LATERAL ROAD PRECINCT #1 4,324.76 0.80 - 4,325.56 LATERAL ROAD PRECINCT #2 4,324.76 0.80 - 4,325.56 LATERAL ROAD PRECINCT#3 4,324.76 0.80 - 4,325.56 LATERAL ROAD PRECINCT#4 4,324.77 0.80 - 4,325.57 PRETRIAL SERVICES FUND 65,587.48 410.09 - 65,997.57 LAW LIBRARY 193,317.94 897.31 717.95 193,497.30 LAW ENF OFFICERS STD. EDUC. (LEOSE) 22,192.03 4.12 - 22,196.15 POC COMMUNITY CENTER 67,924.32 3,712.63 2,862.11 68,774.84 RECORDS MANAGEMENT -DISTRICT CLERK 5,346.46 151.94 - 5,498.40 RECORDS MANAGEMENT -COUNTY CLERK 112,017.51 54.34 412.25 111,659.60 RECORDS MGMT &PRESERVATION 190,632.03 5,386.53 - 196,018.56 ROAD &BRIDGE GENERAL 1.395.934.47 44,316.64 - 1,440,251.11 SHERIFF FORFEITED PROPERTY 1,281.61 0.24 - 1,281.85 6MME PIER/BOAT RAMP INSUR/MAINT 54,390.00 10.11 1,791.94 52,608.17 CAPITAL PROJ -RB INFRASTRUCTURE 1,072,599.35 - 86,213.04 986,386.31 CAPITAL PROD- COUNTY ENERGY TRZ#1 354,745.05 - - 354,745.05 CAPITAL PROJ-SWAN POINT PARK 5,096.40 - 94.50 5,001.90 CAPITAL PROJ- AIRPORT RUNWAY IMPROV 78,472.13 - - 78,472.13 CAPITAL PROJ-COUNTY ROAD 101 150,000.00 - - 150,000.00 CAPITAL PROJ-EMS SUBSTATION 347,399.23 - - 347,399.23 CAPITAL PROJ-EMER COMM SYS 30,848.06 - - 30,848.06 CAPITAL PROJ-GREEN LAKE PARK 30,428.92 - 4,043.54 26,385.38 CAPITAL PROS - HATERIUS PARK(BOAT RAMP 21,064.00 - - 21,064.00 CAPITAL PROS -PORT ALTO FUEL BEACH -STORM RE 6,484.78 - - 6,484.78 CAPITAL PROD- IMPROVEMENT PROJECTS 394,465.62 - 20,250.00 374,215.62 CAPITAL PROD- PORT O'CONNOR LIBRARY 1,167.00 - - 1,167.00 CAPITAL PROD - MMC CLINIC ACQUISITION LOAN - - CAPITAL PROJ- NURSING HOME UPI, PROGRAM LOM 2,000,000.00 - - Z000,000.00 CAPITAL PROD - MMC BUSINESS IMPROVEMENT LOA2 11500,000.00 - - 1.500.)00.00 ARREST FEES 393.81 415.32 - 809.13 BAIL BOND FEES (HB 1940) - 1,380.00 - 1,380.00 CONSOLIDATED COURT COSTS (NEW) 30.00 9,576.00 - 9,606.00 DNA TESTING FUND 250.00 26.92 - 276.92 DRUG COURT PROGRAM FUND - STATE 0.28 146.62 146.90 37 554 408.00 1219 780.40 2 379 243.05 36 394 945.35 SUBTOTALS Page 1 of 3 COUNTY TREASURER'S REPORT MONTH OF: MAY2015 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUNDS -BALANCE FORWARD $ 37,554,408.00 $ 1,219,780.40 $ 2,379,243.05 $ 36,394,945.35 ELECTION SERVICES CONTRACT 66,912.07 12.44 - 66,924.51 ELECTRONIC FILING FEE FUND 0.00 831.27 - 831.27 EMS TRAUMA FUND 126.57 297.00 - 423.57 FINES AND COURT COSTS HOLDING FUND 7,847.31 - - 7,847.31 INDIGENT CIVIL LEGAL SERVICE 24.00 164.00 - 189.00 JUDICIAL FUND(ST. COURT COSTS) 0.00 201.15 - 201.15 JUDICIAL SALARIES FUND 0.00 2,634.41 - 2,634.41 JUROR DONATION -TX CRIME VICTIMS FUND 210.00 86.00 - 296.00 JUVENILE PROBATION RESTITUTION 2,191.00 - - 2,191.00 LIBRARY GIFT AND MEMORIAL 52,367.04 9.73 - 52.376.77 MISCELLANEOUS CLEARING 14,378.10 73.425.78 19,259.52 68.544.36 REFUNDABLE DEPOSITS 21000.00 - - 2.000.00 STATE CIVIL FEE FUND 0.00 2,196.39 - 2,196.39 CIVIL JUSTICE DATA REPOSITORY FUND 0.00 14.46 - 14.46 JURY REIMBURSEMENT FEE 0.00 849.32 - 849.32 SUBTITLE C FUND 7.77 3,811.92 - 3,819.69 SUPP OF CRIM INDIGENT DEFENSE 0.00 428.27 - 428.27 TIME PAYMENTS 0.00 1,338.13 - 1,338.13 TRAFFIC LAW FAILURE TO APPEAR 0.00 575.03 - 575.03 UNCLAIMED PROPERTY 5,907.95 1.10 - 5,909.05 TRUANCY PREVENTION AND DIVERSION FUND 25.19 354.52 - 379.71 BOOT CAMP/JJAEP 147.43 - - 147.43 JUVENILE PROBATION 237 898.14 1 18 660.22 51955.58 204 602.78 SUBTOTALS $ 37,944,450.57 $ 1,325,671.54 $ 2,450,458.15 $ 36,819,663.96 TAXFS IN ESCROW 0.00 0.00 0.00 37 944 450.57 1325 671.54 2,450,458.15 36 819 663.96 TOTAL OPERATING FUNDS OTHERFUNDS D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 11,140.28 - - 11,140.28 CERT OF OB-CRTHSE REF SERIES 2010 477,129.36 2,713.40 - 479,842.76 CERT OF OB-CRTHOUSE I&S SERIES 2012 641.674.43 3,545.28 - 645,219.71 OCEAN DRIVE IMPROVEMENTS 1.00 - - 1.00 CAL. CO. FEES & FINES TOTAL OTHER CO.FUNDSIS 107 242a4l.11 97 721.77 108 089.97 96 874.31 69 MEMORIAL MEDICAL CENTER OPERATING 2.099,028.67 2,717,832.95 2,288,808.70 $ 2,528,052.92 INDIGENT HEALTHCARE 2,249.38 36,888.92 36,948.41 2,189.89 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,628,046.29 - - 1,628,046.29 NH ASFORD 21,320.28 848,341.40 582,101.39 287,560.29 NHBROADMOOR 100.00 88,610.96 38,590.25 50,120.71 NH CRESCENT 100.00 102,504.91 50,602.74 52,002.17 NHFORTBEND 3,013.49 147,980.43 102,431.94 48,561.98 NH SOLERA 100.00 224 683.04 157 914.60 66 868.44 4,084,089.54 4,166,842.61 3,257,398.03 4,993,534.12 TOTAL MEMORIAL MEDICAL CENTER FUNDS DRAINAGE DISTRICTS NO.6 24,295.56 $ - $ - $ 24,295.56 NO.8 141,224.58 610.37 16,084.51 125,750.44 NO. 10-MAINTENANCE 139,439.42 - 3,933.13 135,506.29 NO. 11-MAINTENANCFIOPERATING 270,101.92 1,415.48 1,611.09 269,906.31 NO. 11-RESERVE 154909.90 154909.90 TOTAL DRAINAGE DISTRICT FUNDS 729 971.38 $ 2,025.85 21628.73 $ 710 368.50 CALHOUN COUNTY WCID Nl OPERATING ACCOUNT $ 477 127.93 11.50 11 196.71 465 942.72 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING $ 241 550.37 3 625.15 $ 7,298.48 237 877.04 CALHOUN COUNTY FROST BANK $ 6258.87 $ 491.00 5767.87 $ - $ - TOTAL MMC, DR. DIST., NAV. DIST, WCID & FROST 5,538,998.09 4172 505.11 3,298,012.95 6,413,490.25 $ 44,752,890.27 $ 5,602,157.10 $ 5,856,561.07 $ 44,498,486.30 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTH OF: MAY 2015 BANK RECONCILIATION LESS: CERI.OF DEPI FUND OUTSTNDG DEPI PLUS: CHECKS BANK FUND BALANCE OTHERITEMS OUTSTANDING BALANCE OPERATING $ 36,819,663.96 $ 35,667,299.45 $ 452,222.34 $ 1,604,587.85 OTHER D A FORFEITED PROPERTY FUND 32,254.03 - - 32,254.03 SHERIFF NARCOTIC FORFEITURES 11,140.28 - - 11,140.28 CERT OF OB-CRTHSE REF SERIES 2010 - 479,842.76 1,086.03 - 478,756.73 CERT OF OB-CRTHOUSE I&S SERIES 2012 645,219.71 1,372.03 - 643,847.68 OCEAN DRIVE IMPROVEMENTS- CAP PROS 1.00 1.00 CAL. CO FEES & FINES 96,874.31 25,718.63 107,289.86 178,445.54 MEMORIAL. MEDICAL CENTER OPERATING $ 2,528,052.92 500,250.60 692,247.78 2,720,050.10 INDIGENT HEALTHCARE 2,189.89 36,538.92 37,138.42 2.789.39 REFUND IMPRFST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,629,046.29 - - 1,628,046.29 NH ASHFORD 287,560.29 - - 287,560.29 NHBROADMOOR 50,120.71 - - 50,120.71 NH CRESCENT 52,002.17 - - 52,002.17 NH FORT BEND 48,561.98 - - 48,561.98 NH SOLERA 66,868.44 - - 66,868.44 DRAINAGE DISTRICT: NO.6 24,295.56 - - 24,295.56 NO.8 125,750.44 - - 125,750.44 NO. 10 MAINTENANCE 135,506.29 - - 135,506.29 NO. I MAINTENANCE/OPERATING 269,906.31 417.81 - 269,488.50 NO. I RESERVE 154,909.90 - - 154,909.90 CALHOUN COUNTY W Cm #1 OPERATING ACCOUNT 465,942.72 - - 465,942.72 CALHOUN COUNTY PORT AUTHORITY MAIN'TENANCFIOPERA LNG **** 237,877.04 - - 237,877.04 CALHOUN COUNTY FROST BANK 5,767.87 - - 5,767.87 L_ TOTALS is 44.498A86.30 36 232 68 47 1288 898.40 S 9 554 702,23 * CDs -OPERATING FUND,$35,500,000.00 $ CD's - MMC OPERATING FUND - $500,000.00 **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA **** THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be current and a due to non-compliance by other county offices. I hereby certify that the current balances are correct to all monies at have b n received by �Coupty reasurer as of th date of this report. /�, kk RHO DA S. KOKENA COUNTY TREASURER JUL u 9 2015 CALHOUN COUNTY aaOMMBSIONERS COURT. Page 3 of 3 ENTER COURT NAME: JUSTICE OF PEACE NO. 1 ENTER MONTH OF REPORT ', JUNE ENTER YEAR OF REPORT :' 2015 WIDE f AMOUN CASH BONDS: O.OD 12/8/2014 ADMINISTRATION FEE-ADMIF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 CONSOLIDATED COURT COSTS -CCC 2,040.61 COURTHOUSE SECURITY -CHS 204.07 CJP `. 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR. 3.74 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0.00. CR 0.00 CHILD SAFETY -CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC '. 0.00. DPSC/FAILURE', TO APPEAR 'OMNI-DPSC 234.27 ELECTRONIC FILING FEE- EEF 0.00 FUGITIVE APPREHENSION - FA '0.00 i GENERAL REVENUE - OR 0.00. CRIM -IND LEGAL SVCS SUPPORT -IDIF : 102.03 1 JUVENILE CRIME & DELINQUENCY -JCD '.0.00 JUVENILE CASE MANAGER FUND -JCMF '11.16. JUSTICE COURT PERSONNEL TRAINING -JCPT ,:0.00. 'JUSTICE COURT SECURITY FUND -JCSE 0.00 JUROR SERVICE FEE -JSF :201.28. LOCAL ARREST FEES -LAF 74.78. LEMI 0.00 LEDA `. 0.00. LEOC 0.00 COL 0.00 PARKS&WILDLIFE ARREST: FEES-PWAF 6.44 STATE ARREST FEES -SAF 168.88. SCHOOL CROSSING/CHILD SAFETY FEE -SCF : 697.91. SUBTITLE C-SUBC 423.09. TABC ARREST FEES - TAF 0.00 TECHNOLOGY FUND - TIE 204.07. TRAFFIC-TFC :111.98. TIME PAYMENT -TIME 429.23 TRUANCY PREVENTION/DIVERSION FUND -TPDF 90.47: LOCAL & STATE WARRANT FEES - WRNT 677.77: COLLECTION SERVICE FEEMVBA-CSRV 1191.50. DEFENSIVE DRIVING COURSE - CDC 31,60. DEFERRED FEE-OFF -499.60. DRIVING EXAM FEE PROV CH 0.00. FILING FEE - FFEE 150.00. FILING FEE SMALL CLAIMS- FFSC 0.00 JURY FEE -JF 0.00. COPIES/CERTIFEO COPIES -CC 0.00 INDIGENT FEE CIFF or INDIF '' 36.00 JUDGE PAY RAISE FEE -JPAY `. 304.20 SERVICE FEE -SFEE 375.00 OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE- EEF CV C 60.00. EXPUNGEMENT FEE -EXPG. 0.00 EXPIRED RENEWAL- EXPR 10.00 ABSTRACT OF JUDGEMENT -AOJ 0.00 }}. ALLWRITS WOP/WOE/WOG 450.00 'DPS FTA :FINE -DPSF : 0.00 -: LOCAL FINES - FINE ` 5,414.65 '. LICENSE:&WEIGHT FEES -LWF '' 0.00 PARKS &WILDLIFE FINES -PWF 104.00. i SEATSELT/UNRESTRAINED CHILD FINE -SEAT 0.00: '. - OVERPAYMENT ($10&OVER) -OVER :: 0.00. " OVERPAYMENT (LESS THAN $10) -OVER `: 0.90 RESTITUTION -REST 0.00 �. PARKS & WILDLIFE -WATER SAFETY. FINES-WSFI 33.00 MARINE SAFETY PARKS & WILDLIFE- MSOI0.00 '+ TOTAL ACTUAL MONEY RECEvvrDj $14,342.26 TYPE: AMOUNT TOTAL WARRANT FEES : 677,77 ENTER LOCAL WARRANT FEES '. 13.88 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE NO REPORT III STATEWARRANT FEES $664,11:: RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT OUETO OTHERS AMOUNT DUE TO CC1SD - 50%of Fine on JV cases 6.00. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUETO DA RESTITUTION FUND 'O.OD PLEASE INCLUDE DR.REQUESTINGDISBURSEMENT REFUND OF OVERPAYMENTS (LOD IPLMSEINCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 1PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OF REQUIRED)) TOTAL DUE TO OTHERS t $0,00 TREASURERS RECEIPTS FOR MONTH:. AMOUNT CASH, CHECKS, M.O.a &AREDIT CARDS $14,342.25 Calculate from ACTUAL Treasurers Becelpts SOTAL TREAS. RECEIPTS $14,34225 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2015 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 5,435.20 CR 1000-001-44190 SHERIFF'S FEES 759.98 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 31.60 CHILD SAFETY 0.00 TRAFFIC 111.98 ADMINISTRATIVE FEES 509.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 653.18 CR 1000-001-44010 CONSTABLE FEES -SERVICE 825.00 CR 1000-001-44061 JP FILING FEES 150.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.90 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 697.91 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 1,191.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $9,713.67 CR 2670-001-44061 COURTHOUSE SECURITY FUND $153.05 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $51.02 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $204.07 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $11.18 STATE ARREST FEES DPS FEES 166.60 P&W FEES 1.29 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 167.89 CR 7070-999-20610 CCC-GENERAL FUND 204.06 CR 7070-999-20740 CCC-STATE 1,836.55 DR 7070-999-10010 2,040.61 CR 7860-999-20610 STF/SUBC-GENERAL FUND 21.15 CR 7860-999-20740 STF/SUBC-STATE 401.94 DR 7860-999-10010 423.09 CR 7950-999-20610 TP-GENERAL FUND 214.62 CR 7950-999-20740 TP-STATE 214.61 DR 7950-999-10010 429.23 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 ►V/ONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2015 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 10.20 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 91.83 DR 7865-999-10010 102.03 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 7998-999-20740 7403-999-22889 0.00 0.00 0.00 0.00 0.00 88.40 TL/FTA-GENERAL FUND 78.09 TUFTA-STATE 156.18 DR 7970-999-10010 234.27 JPAY - GENERAL FUND 30.42 JPAY - STATE 273.78 DR 7505-999-10010 304.20 JURY REIMB. FUND- GEN. FUND 20.13 JURY REIMB. FUND- STATE 181.15 DR 7857-999-10010 201.28 CIVIL JUSTICE DATA REPOS: GEN FUND 0.37 CIVIL JUSTICE DATA REPOS.- STATE 3.37 DR 7856-999-10010 3.74 TRUANCY PREVENT/DIV FUND - STATE 90.47 DR 7998-999-10010 90.47 ELECTRONIC FILING FEE - CV STATE 60.00 DR 7403-999-22889 60.00 TOTAL (Distrib Req to OperAcct) $14,225.80 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 28.05 TOTAL DUE TO OTHERS $116.45 TOTAL COLLECTED -ALL FUNDS $14,342.25 LESS: TOTAL TREASUER'S RECEIPTS $14,342.25 OVER/(SHORT) $0.00 Page 2 of 2 ENTER COURT NAME;JUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT i JUNE ENTER YSAR OF REPORT ". 2015 CODE AMOUNT CASH BONDS 0.00 Revised 1218114 ADMINISTRATION FEE-ADMF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 CONSOLIDATED COURT HOSTS-CCC. -.`1,414.39 COUTATHOUSE�SEZURITY CHS 141.43 CJP : 0.00 CML JUSTICE OATH REPOSITORY FEE-OJDR 2.67 CORRECTIONAL MANAGEMENT INSTITUTE, CMI 0.00 CR 0.00 CHILD$AFETY-CS 0.00 ' CHILD SEATBEI.T FEF-CSBF '.0.00. ' GRIME VICTIMS COMPENSATION -CVO 0.00 DPSC/FAILUAETOAPPEAR-OMNI-DPSC 174.84 ELECTRONIC FILING, FEE '60.00 '-FUGITIVEAOPREHENSION 'FA 0.00 ' :GENERAL REVENUE - GA 0.00 ,�iCRIM- IND LEGAL SVCS SUPPORT,. JDF 70.69 . ' 'JUVENILE CLIME & DELINQUENCY-JOD :0.00 '-„JUVENILE CAE MANAGER FUND ,ERSONNEL -JCMF. :.0.00 ` JUSTICE COURT? TRAINING, -JCPT 0.00 , ---,;,, JUSTICE COURT$kORITYFUND -JCSF 0.00. JUROR SERV4EFEE-JSF 141.43. , ' LOCAL ARREST FEES LAP 65.57 LEMI 0.00 LEDA '. 0.00 LEOC 0.00 OCL 0.00 PARKS & WILDLIFE ARREST FEES - PWHF,'.. 14.36 STATEARRE$TFEES-SAF 81.66 -, . `SCHOOL CROSSING/CHI@ SAFETYFEE '$ F 0.00. ,SOBTIT6 C-SUBC 699.18 TABC ARF(EST FEES' TAF 0.00. , ":TECHNOLOGYFUND-TF 141.43 . THp,FFIC-TFC 69.93 TIME PAYMENT-TIMC 343.29 - .TROANCYPREVENTIDWERSION FUND-TPDF 06.16 ' ,'LOCAL & STATE WARRANT FEES - WRNT 353.11 ci GOI�LECTION $J=RVICE FEEMVBA-C$RV. 1,174.80. , -. UEFENSIVF DR IVING CO'U,RBE- bDC 23.70. DEFERREb FEE,-DFF '. 16980. DRIVING EXAM FEE PROV OL 0.00 ' F.ILINGFE-FFEE 232.00 - FILING FEE SMALL ChHI)'vt3; FFSC 0.00. COPIES/OERTIFED COPIES c CG 0.00. IN,DIGEN, f E'=CIFFOr1NDF 36.00 . JUDGE PAY i2AIS 'FEE-JPAY - 212.16 SERVICE FED-3FEE 460.00. OUT<OF-COUNTY 3ERVICE'F£E 0.00'. FXPUNGEMENTFEE-EXPO 0.00: . EXPIRED RENEWAL-EXPR 0.00 ABSTRACT OF JUDGEM£HT,AOJ 10.00.- ALL, FU ,WOPl, OE 000. , DIPS FTAFINE-OPSF 396.00' LOCAL FINES -FINE 3920.80E LICENSE & WEIGHT. FEES' LWF 0.001 PARKS R WILDLIFE FINES - PWF 166.00: ' BFATBELTNNR£STRAWED CHILD FINE -SEAT 0.00 ' OVERPAY(iQENT($1U&OVERJ'>QVER 0.00. _ ' i OVERPAYMENT (LESS THAN=S10) - OVER : 0.00 ' RESTITUTION -REST 0.00: 4 WILDLIFE-WPTER SAFETYFINES-WSF '. 0.00I WOR 0.00' TOTAL ACTUAL MONEY RECEIVED `.. $10,641.30.' AMOUNT:' TOT L 11yARRAN FEES "ENTER LOCAL WARRANT FEES 268.41 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATEWAHKANTFEES 0.7 IRECORDONTOT& PAGE OFHILL COUNTRY SOFTWAREMO. REPORT DU£T0'OrvTHERS, AMOUNT'. DUE,TO FCISO% 50% Of Fine 00 JVQeses 'PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT DUB TO DH RESTITUTION FUND 0.00 PLEASE IN LURE DR. REQUESTING DISBURSEMENT RFFUNDOF OVERPAYMENTS 000: PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT OUT PF COUNTY $ERVIGE FEE 0.00 PLEASE INCLUDE O.R. REQUESTING DISBURSEMENT GASH $ANOS '0.00 PLEASE INCLUDE DR. REQUESTING DISBURSEMENT(IFREQUIReB TOTAL DUE TO OTHERS 0, 9 TREASURERS RECEIPTS FOR MONTH( AMOUNT`. CASH, UlltUlkb,M s&:CREW T CARDS 110,641.30'Calculate from ACTUAL Treasurer's Receipts TOTAL TREAS. RECEIPT$ $10,6 0 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/l/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 4,341.70 CR 1000-001-44190 SHERIFF'S FEES 484.76 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 23.70 CHILD SAFETY 0.00 TRAFFIC 69.93 ADMINISTRATIVE FEES 169.80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 263.43 CR 1000-001-44010 CONSTABLE FEES -SERVICE 450.00 CR 1000-001-44062 JP FILING FEES 242.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-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 1,174.80 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,956.69 CR 2670-001-44062 COURTHOUSE SECURITY FUND $106.07 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $35.36 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $141.43 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $0.00 STATE ARREST FEES DPS FEES 37.07 P&W FEES 2.87 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 39.94 CR 7070-999-20610 CCC-GENERAL FUND 141.44 CR 7070-999-20740 CCC-STATE 1,272.95 DR 7070-999-10010 1,414.39 CR 7860-999-20610 STF/SUBC-GENERAL FUND 34.96 CR 7860-999-20740 STF/SUBC-STATE 664.22 DR 7860-999-10010 699.18 CR 7950-999-20610 TP-GENERAL FUND 171.65 CR 7950-999-20740 TP-STATE 171.64 DR 7950-999-10010 343.29 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.80 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.07 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 63.62 DR 7865-999-10010 70.69 CR 7970-999-20610 TL/FTA-GENERAL FUND 58.28 CR 7970-999-20740 TUFTA-STATE 116.56 DR 7970-999-10010 174.84 CR 7505-999-20610 JPAY - GENERAL FUND 21.22 CR 7505-999-20740 JPAY-STATE 190.94 DR 7505-999-10010 212.16 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 14.14 CR 7857-999-20740 JURY REIMB. FUND- STATE 127.29 DR 7857-999-10010 141.43 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.26 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 2.31 DR 7856-999-10010 2.57 CR 7998-999-20740 TRUANCY PREY/DIV FUND - STATE 66.16 DR 7998-999-10010 66.16 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 60.00 DR 7403-999-10010 60.00 TOTAL (Distrib Req to OperAcct) $10,500.20 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 141.10 WATER SAFETY FINES 000 TOTAL DUE TO OTHERS $141.10 TOTAL COLLECTED -ALL FUNDS $10,641.30 LESS: TOTAL TREASUER'S RECEIPTS $10,641.30 Revised 12/8114 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42186 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: James W. Duckett Address: Title: Justice of the Peace, Pct. 2 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7542-999.20759.999 JP2 Monthly Collections - Distribution $10,500.20 JUNE 2015 V# 967 TOTAL 10,500.20 Signature of Official Date ENTER COURT NAME. >'' JUSTICE OF PEACE NO. 3 ENTER MONTH OF REPORT - JUNE ENTER YEAR OF REPORT :'` 2015 CODE i AMOUNT CASH BONDS i. Revised 214115 ADMINISTRATION FEE -ADMF BREATH ALCOHOL TESTING - BAT CONSOLIDATED COURT; COSTS -CCC 835.56 COURTHOUSE SECURITY CHS '83.38 CJP CIVIL JUST DATA REPOS FEE CJDR/MVF 1.69 CORRECTIONAL MANAGEMENT INSTITUTE -CMI CR CHILD SAFETY -:CS CHILD SEATBELT FEE - CSBF CRIME VICTIMS COMPENSATION - CVC DPSCIFAILURE TO APPEAR -:OMNI-DPSC 52.98 ELECTRONIC FILING FEE 30.00 FUGITIVE APPREHENSION - FA GENERAL REVENUE GR CRIM- IND LEGAL SVCS SUPPORT -IDF `. 41.78 JUVENILE CRIME & DELINQUENCY - JCD :JUVENILE CASE MANAGER FUND -JCMF JUSTICE COURT PERSONNEL TRAINING JCPT JUSTICE COURT SECURITY FUND - JCSF SJUROR SERVICE FEE -JSF 82.46 LOCAL ARREST FEES -LAF -40.87 LEMI LEDA LEOC OCL PARKS& WILDLIFE ARREST FEES -PWAF -8.26 STATE ARREST FEES SAF 55.32 SCHOOL GROSSING/CHILD SAFETY FEE - SCF SUBTITLE C-SUBC 481.86 TABC ARREST FEES - TAF 'I TECHNOLOGY FUND -TF 84.84 TRAFFIC TFC 48.20 TIME PAYMENT -TIME 204.73 TRUANCY PREWDIVERSION FUND 39.71 LOCAL & STATE WARRANT FEES - WRNT 95.31 COLLECTION SERVICE FEE'-MVBA CSRV DEFENSIVE DRIVING COURSE- DDC 15,80 DEFERRED FEE -OFF 294.70 DRIVING EXAM FEE PROV DL FILING FEE -FFEE & CVFF 75.00 FILING FEE SMALL CLAIMS FFSC COPIES/CERTIFED COPIES - CC INDIGENT FEE.-CIFF Or INDF 18.00 JUDGE PAY RAISE FEE -JPAY 125.35 SERVICE FEE -SFEE '225.00 OUT -OF -COUNTY SERVICE FEE EXPUNGEMENTFEE-EXPG .EXPIRED RENEWAL -EXPR ABSTRACT OF JUDGEMENT -AOJ ALLWRITS'. WOP/WOE 300.00 DPS FTA FINE - DPSF LOCAL FINES FINE 1,000.20 LICENSE & WEIGHT FEES - LWF PARKS & WILDLIFE FINES -PWF 83.00 SEATBELT/UNRESTRAINEO CHILD FINE - SEAT OVERPAYMENT ($10&OVER) -OVER OVERPAYMENT (LESS THAN $10) - OVER RESTITUTION - REST PARKSt& WILDLIFE -WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED $4,324.00 TYPE: AMOUNT TOTAL WARRANT FEES 96.31 1 ENTER LOCAL WARRANT FEES O.00 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT STATE WARRANT FEES': $95.31 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO REPORT DUE TO OTHERS: AMOUNT DUE TO CCISD 50% of Fine on JV cases 0.00. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUE TO. DARESTITTUTION FUND 0.00. PLEASE INGLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 1 0.00. PLEASE WCwDE DR. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00. PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS':: $0,00 TREASURERS RECEIPTS FOR MONTH. AMOUNT CASH, CHECKS, M.O.s & CREDIT CARDS $4,324.00 Calculate from ACTUAL Treasurer's Receipts fl TOTAL TREAS. RECEIPTS':: $4,324 00 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 470 A 42186 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Tanya D. Dimak Address: Title: Justice of the Peace, Pct. 3 City: State: Zip: Phone: 'tACCOUNT NUMBER DESCRIPTION '. AMOUNT 7543-999-20759-999 JP3 Monthly Collections - Distribution $4,253.45 JUNE 2015 V# 967 TOTAL 4,253.45 Signature of Official Date MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/l/2015 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 1,012.65 CR 1000-001-44190 SHERIFF'S FEES 167.98 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 15.80 CHILD SAFETY 0.00 TRAFFIC 48.20 ADMINISTRATIVE FEES 294.70 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 358.70 CR 1000-001-44010 CONSTABLE FEES -SERVICE 525.00 CR 1000-001-44063 JP FILING FEES 75.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-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 0.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,139.33 CR 2670-001-44063 COURTHOUSE SECURITY FUND $62.54 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $20.85 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $84.84 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $0.00 STATE ARREST FEES DPS FEES 30.13 P&W FEES 1.65 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 31.78 CR 7070-999-20610 CCC-GENERAL FUND 83.56 CR 7070-999-20740 CCC-STATE 752.00 DR 7070-999-10010 835.56 CR 7860-999-20610 STF/SUBC-GENERAL FUND 24.09 CR 7860-999-20740 STF/SUBC-STATE 457.77 DR 7860-999-10010 481.86 CR 7950-999-20610 TP-GENERAL FUND 102.37 CR 7950-999-20740 TP-STATE 102.36 DR 7950-999-10010 204.73 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.90 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 17.10 DR 7480-999-10010 18.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2015 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 CR 7998-999-20740 CR 7403-999-22889 Revised 2/4/15 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JUNE YEAR OF REPORT: 2015 CRIM-SUPP OF IND LEG SVCS-GEN FUND 4.18 CRIM-SUPP OF IND LEG SVCS-STATE 37.60 DR 7865-999-10010 41.78 TL/FTA-GENERAL FUND 17.66 TL/FTA-STATE 35.32 DR 7970-999-10010 52.96 JPAY - GENERAL FUND 12.54 JPAY - STATE 112.81 DR 7505-999-10010 125.35 JURY REIMB. FUND- GEN. FUND 8.25 JURY REIMB. FUND- STATE 74.21 150 DR 7857-999-10010 DR 7856-999-10010 DR 7998-999-10010 DR 7403-999-10010 82.46 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.17 CIVIL JUSTICE DATA REPOS.- STATE 1.52 1.69 TRUANCY PREVENT/DIVERSION FUND 39.71 39.71 ELECTRONIC FILING FEE 30.00 TOTAL (Distrib Req to OperAcct) $4,253.45 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMI 0.00 OUT -OF -COUNTY SERVIC 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE' 70.55 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $70.55 TOTAL COLLECTED -ALL FUNDS $4,324.00 LESS: TOTAL TREASUER'S RECEIPTS $4,324.00 OVER/(SHORT) $0.00 Page 2 of 2 07-06-15;10:14 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 DAPEQUEH WVIQVVRBWM O.P.NEQUEO11N0DISO eEUEW Q.0. QEQUE"NQ QI5 UUNmmEw 07-06-15;10:14 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/l/2015 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: June YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT OR 1000-001-45014 FINES 2,011,00 OR 1000-001-44190 SHERIFF'S FEES 225.91 ADMINISTRATIVE FEES. DEFENSIVE DRIVING 0.00 CHILD SAFETY 53.61 TRAFFIC 51.39 ADMINISTRATIVE FEES 49.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 154.90 OR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 OR 1000-001-44064 JP FILING FEES 125,00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 1,00 CR 1000-001-44146 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0,00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1 000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 212.10 TOTAL FINES, ADMIN. FEES & DUE TO STATE $3,629,91 OR 2670-001-44064 COURTHOUSE SECURITY FUND $16.88 OR 2720-001-44064 JUSTICE COURT SECURITY FUND $22.84 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $91.36 CR 2699-001-44064 JUVENILE CASE MANAGER FUND $0.00 STATE ARREST FEES DPS FEES 1.67 P&W FEES 1.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 2.67 OR 7070.999-20610 CCC-GENERAL FUND 91.35 OR 7070-999-20740 CCC-STATE 822A7 DR 7070-999-10010 913.32 OR 7800-999-20610 STF/SUBC-GENERAL FUND 25.69 OR 7860-999-20740 STF/SUBC-STATE 488.20 DR 7860-999-10010 513.89 OR 7950-999-20610 TP-GENERAL FUND 30.94 OR 7950-999-20740 TP-STATE 30.93 OR 7960-999-10010 1 61,67 OR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.50 OR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 28.50 OR 7480-999-10010 30.00 Page 1 of 2 07-06-15;10:14 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 7/1/2016 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: June YEAR OF REPORT: 2015 OR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 4.57 OR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 41.11 DR 7865-999-10010 45,66 CR 7970-999-20610 TUFTA-GENERAL FUND 22.88 OR 7970-999-20740 TUFTA-STATE 45.75 DR 7970-999-10010 68.63 OR 7505-999-20610 JPAY-GENERAL FUND 13.53 OR 7605-999-20740 JPAY - STATE 121.78 DR 7505-999-10010 135.31 OR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 8.94 OR 7857-999-20740 JURY REIMB. FUND- STATE 80.42 DR 7857-999-10010 89.30 OR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.20 CR 7056-999-20740 CIVIL JUSTICE DATA REPOS: STATE 1.78 DR 7856-999-10010 1.98 OR 7998-999 20740 TRUANCY PREVIDIV FUND -STATE 41.10 DR 7998-999-10010 41.10 OR 7403-9W22889 ELECTRONIC FILING FEE 50,00 DR 7403-999-10010 50.00 TOTAL (Distdb Req to OperAcct) $5,715.00 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 73.10 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $73.10 TOTAL COLLECTED -ALL FUNDS $6,788.10 LESS: TOTAL TREASUER'S RECEIPTS $5,788.10 Revised 1218/14 OVER/(SHORT) $0.00 Page 2 of 2 07-02-15;12;36PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 7 Money Distribution ROP,,t JUDGE NANCY POMYXAL JP5 JUNE 2015 REPORT Receipt Caune/Dorandant Codea\A!nounta I) Total 375531 1505-0222 06-01-2015 JSF 4.00 CCC 40.00 CHS 3.00 SAP 6.00 TV 4.00 100100 ' OUTIERREZ, BAINOR JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PINE 33.00 375533 1505-0215 LARA, MATTHEW TROMAS Company Check 375535 1504-0196 BRAZZEAL, GRECORY COLE -�• -- µp CHd l.00 LAP 5.00 TV 4.00 JCSF 1100 JPAY 6,00 SAE 2.00 MVP 0.20 SUBC 30.00 TPDF 2.00 TV r,ve aey d.uu CCC 40.00 CHS 3.00 LAP 5,00 4.00 JCSF 1.00 TRAY 6.00 IDF 2.00 MVF 0110 100.10 227,00 375$37 1LTWNAD33 06-01-2015 JSP 9.00 CCC 46.00 CHS 3.00 LAF 5.00 TF 4.00 167.00 AVALOS, NA REANA JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PINE 300.00 375539 10-01-0102 06-02-2015 SSF 3.00 TFC 3.00 CCC 40. 00 CHS 4.00 LAP 5,00 IBAAC,^ ELIZABETH TF 4.00 DPSC 30.00 JCSF 1.00 JPAY 6.00 IDP 2.00 375541 1505-0227 06-02-2019 JSP 4.00 TPC 3.00 CCC 40.00 CM5 3.00 LAF HUSBNER,' KANDACE XIMB5.00 PAY 6,00 IDF 2.00 MVF 5.0 ERLY TV 4,00 JCSF 1.00 J0 325.00 110.00 1505-0224 06-08-2015 JSF 4,00 TFC 3.00 CCC 90.00 CHS 3.00 SAF 5.00 227,00 PICXETT, CODY RYAN TV 4.00 JCSF 1.00 JPAY 9.00 IDF 2.00 MVP 0.10 PC%noml Check„ SUBC 30.00 TPDF 2.00 OFF 119 on 375545 1505-0230 OG-09-2015 EXRF 10.00 MICHALK, JUSTIN JOHN 375547 150$.0239 06-15-2015 JSF 9.00 TFC 3,00 CCC 40.00 CHS 3.00 LAP 5.00 CRANE, MICHAEL LLOYD TV 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0,10 10.00 227.00 375549 1$05.0210 06-18.2015 JSF 4,00 TFC 3.00 CCC 40.00 CHe 3.00 LAF 5.00 227,00 CASAS, RGDECCA MUNOZ TV 4.00 JCBF 1.00 JPAY 6.00 IDF 2100 MVF 0.10 637 CA3i1!ht�so- �:.r.:a.<; r.: ;�.;,..,¢q;;.:::'f....:....:.............>rx:c:r.:,v,,r0;,;.e::,:::,xv:..,.::n••:•.::,. o. 6. 90 SUBC 3D.00 TPDF 2.00 FINE 12 .. .;i ca i... ou . 4k r.: r>. y::v .. } ..: : v,: ..!} .,.;.,, ::. .) .I.SB:.`�.�M1Wyh:"?y:^':yY;: ✓�$ : is.. .:., `5A5» 211. ,.; ,,. ,...:.:.."....;:;:;�;0.�.,;.,a.,,,:<:<<ii.a'�_.:;:.,:rrr:rr<:.,,,.,:.:.. .» i .�<v,^�4!ia 1, y;, b, sxF� $i..0.6,n•16,,.201�}'.+�$F' c d�OQ `i CCC ,b ` 40' POij i CH� s: �3 _ tILiA�y'r8i zS>OO�t :n x;C, x, r s r¢ ; CASA9�SiYfBCCAd<MUMO"G .i,.h,ra'.ah •a.z.. x :.. n.. .., FINS;. >'u33;i�0 ?:.. r vs r [ e r .Ye .<.5. .. ..:::... : ... ... 6. .,,...�iii. �:!:.rn ..:, r.Yx 7a.'a•t ... .: 375551 1502-0133 06-22-2015 TIME 25 ,00 FINF 1d6.90 171.90 5ERGAILA, JOSEPH ALEX 375553 1505-0229 06-22-2015 JSF 4100 CCC 40.00 CI•IS 3.00 LAF 5.00 TF d.00 07-02-2015 167,00 Page 1 07-02-15;12:36PM;From:Calhoun County JP5 To:5534444 ;3619832461 4 3/ 7 MOUOY Diatribution Report OUDGM NANCY PQXYXAL LTPS JCNa 2015 RRpORT AecoiDt 'Ondant Cod&oNAmountB Tob.1 FERR . HTIZ, qTRPH%K ANTHONY ITCSF 1100 JPAY 6.00 IDF 2.00 TPDr 2.00 VINE 100.00 375555 1505-0222 06-22-2015 FINE 0100 .1, 67 , .00 GUTIERREZ, DAXNOR 375557 1505-0241 06-22-2015 JSF MURPHY, 7OHNATHAM NICHOLAS TF Company Chock TPDF 375550 1905-0207 06-30-2015 SXRF BARNETT, JACK CRAX0 UR Caoh 2.00 TVC 240 jCSF 1.00 00 1.50 CCC 20.00 CHS 1.50 LAP 2.50 50.00 0.50 JDAY 3.00 IDP 1.00 SUBC 15100 10.00 2 07-02-15;12:36PM;From:Ca1houn County JP5 To:5534444 Money Diatribotion Report JOB= NANCY PDMYXAL JP5 ;3619832461 JOKE 2015 REPORT # 4/ 7 TYo Code Deacriptlon Count, R t in d Dian rood Mon y Tot Se The following totals represent - Cash and Cheeks Collected COST CCC' CONSOLIDATED COURT COSTS 20 76.00 603.90 COST CHS COURTHOUSE SECURITY 20 57.00 0.00 759.98 COST OPEC ORB FAILURE TO APPEAR /OMNI FEES 0 57.00 COST IDF INDIGENT DEFENSE FUND 20 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 20 3.80 34.20 30,00 19.00 0.00 19.00 COST JPAY JUDGE PAY RAISE PER 20 11.40 102.60 114.00 COST JSF JUROR SERVICE FUND 20 7.90 60.30 COST LAP SHERIFF'S FEE 13 75.98 COST MVP MOVING VIOLATION FEE 12 60.00 0.00 Go ,00 COST PWAP TEXAS PARKS & WILDLIFE 2 0,11 1.04 1.18 COST SAP DPS 0.00 2.00 10.00 COST SUBC SUB TITLE C S 20.00 5,00 25.00 13 359.99 0,00 359.99 COST TF TECHNOLOGY POND 20 76,00 0.00 76.00 COST TFC TFC 13 36, 00 0.00 36.00 COST TIME TIME PAYMENT FEE 1 12.50 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 20 12.50 25.00 COST WRNT WARRANT FEE 0.00 30.00 16.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0,00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 5 0.00 O.OD 0.00 FEES OFF DRFERRED FEE 47.50 0.00 47.50 FEES EXRF EXPIRATION RENEWAL FEE 2 253.00 0.00 253 .80 FINE FINE FINE 3 40.00 0.00 40,00 FINE PEP PARKS & WILDLIFE FINE 10 11169.50 0100 1,169.50 3 60.00 340.00 400.00 Money Totals 26 2,310,20 1,287.70 31605.90 The following totala represeat - Tranefern C011oated COST CCC CONSOLIDATED COURT COSTS 0 COST CHS COURTHOUSE SECURITY 0.00 040 0.00 COST DPSC DPS FAILURE TO APPEAR IOMNI FEES 0 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0.06 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0 0100 0,00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0,00 0.00 0.00 COST LAF SHERIFF'S FEE 0 0.00 0100 0.00 COST MVF MOVING VIOLATION FEE 0 0 0.00 0100 0.00 COST PWAP TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 0.00 0.00 0.00 COST SUDC SUB TITLE 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 FES 0 0 0.00 0.00 0.00 COST TPOF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0,00 0.00 COST WRNT WARRANT PEE 0.00 0,00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0,00 0.00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0 0.00 0.00 0.00 FEES OFF DEFRRRED FEE D.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 040 FINE PWF PARKS & WILDLIFE FINE 0 0 0.00 0.00 0.00 0.00 0.00 0.00 Transfer Totals 0 0.00 0.00 0,00 The £allowing totala rapresen0 - Jail Credit and Cammvnity Seavioe COST CCC CONSOLIDATED COURT COSTS 3 COST CNS COURTHOUSE SECURITY 12.00 100.00 120.00 COST DPSC DPS FAILURE TO APPEAR IOMNI FEES 3 2 11.00 0.00 11.00 COST IDF INDIGENT DEFENSE FUND 19.80 40.20 GO,00 COST JCSF JUSTICE COURT SECURITY POND 3 3 0.60 5,40 6.00 COST JPAY JUDGE PAY RAISE FEE 3 3100 0.00 3,00 COST JSP JUROR SERVICE FUND 3 1,00 16.20 10,00 COST LAP SHERIFF'S FEE 1100 9.00 10.00 COST MVF MOVING VIOLATION FEE 3 1 15.00 0.00 15.00 COST 0.01 0.09 0.10 PWAF TEXAS PARKS & WILDLIFE 0 0.00 COST SAP DFS 0.00 0.00 COST SUDC SUB TITLE C 0 0,00 0.00 0.00 1 30.00 0.00 30.00 3 07-02-15;12:36PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 5/ 7 Money Distribution Report JUDGE NANCY POMYKAL JP5 JUKE 2019 REPORT Type Code Dee Criptien - Count Retained Diobvroed MOnoy TOtdls COST TF TECHNOLOGY FUND 3 _ COST TFC TFC 12.00 0.00 12,00 COST TIME TIME PAYMENT FEE 1 0 .00 0.00 3 .00 COST TPDF TRUANCY PREVENTION DIVERSION FUND & 1 000 . 0.00 0 0 .00 COST WRNT WARRANT FEE 0.00 2.00 FEES CSRV COLLECTION SERVICES FEE 1 50.00 00 52.00 00 FEES DDC DRIVER SAFETY COURSE - 2013 2 S0.00 0.00 180.00 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0 0,00 0.00 0.00 FINE FINS FINE 0,00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 3 476.90 0,00 60 47..00 0 .0 0,00 Credit Totalo The following tetalo represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC UPS FAILURE TO APPEAR /OMNX FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVF MOVING VIOLATION FEB COST PWAP TEXAS PARKS & WILDLIFE COST SAP DPS COST SURC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEB FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES OFF DEFERRED FEB FEES EXRF EXPIRATION RENEWAL FEE FINE FINE FINE FINE PWP PARKS & WILDLIFE FINE Credit Totals The following totala repreoent - Combined Money anfl CXodit, COST CCC CONSOLIDATED COURT COSTS COST CUB COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST MVP MOVINO VIOLATION FEE COST PWAP TEXAS PARKS & WILDLIFE COST SAP DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES DFF DEFERRED FEE FEES EXRF EXPIRATION RENEWAL FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE Report Totals 3 616,11 100.89 997.Oo 0 0100 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0100 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 0100 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 D 0.00 0.00 0100 0 0.90 0.00 0.00 0 0.00 0.00 0.00 0 O.DO 0.00 0.00 0 0.00 0,00 0.00 0 0.00 0.00 0.00 23 66.00 791.98 079.90 23 60.00 0100 60.00 2 19.00 40,20 60,00 23 4.40 39.60 44.00 23 22.00 0.00 22.00 23 13.20 118.60 132.OD 23 8.50 77.38 05.98 16 75.00 0.00 75.00 13 0.12 1.13 1.25 2 8.00 2.06 10.00 5 20.00 5.00 25.00 14 309.99 0.00 389.99 23 60.00 0.00 08,00 14 39,00 0.00 30.00 1 12.SO 12,$0 25.00 21 0.00 40.00 40.00 1 50.00 0.00 50.00 2 160.00 0.00 180.00 S 47.50 0.00 47.50 2 250.80 0.00 253.80 3 40.00 0.00 40.00 13 1,646.40 0.00 1,646.40 3 60.00 340.00 400.00 29 3,134.31 1,468.59 4,602.90 Page 07-02-15;12:36PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 6/ 7 m04oy Diatributioa Roport 17036E VA Cy POW= JP5 0=2 2015 REPORT Date 00 00 0000 Payment Type Vines Court Coate F903 Bonds Reahjt4tjon Other Total Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 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 0100 0.00 0.00 0100 0100 0,00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 09-01.1991 Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & Transfera Total of all Collections 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 0100 0.00 0.00 6,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Cheeks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Oleo 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 6.00 09-01-1995 Cash & Cheeks Collected Jail Cradits & Comm Sorvice Credit Cards & Tranofora Total of all Colloctians 0.00 GAO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.00 0.00 also 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 09-01-1997 Cash & Checks Collected Jail Credits & Comm Sorvice Credit Cards & Transfers Total of all Collection' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01.1909 Cash & Check' C011OCted Jail Credits & Comm Strvica Credit Cards & Transfers Total of all Collections 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 D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected Jail Cradit' & Comm Service Credit Cards & Transfers Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0100 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 09-01-2003 Cash & Chocks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collection' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O,OO 0.00 01-01-2004 Gash & Check' Collected Jail creditp & Comm Service Credit Cards & Transfera Total of all Collections 1,569.50 476.90 0.00 2,046.40 11095.10 340.10 0.00 2,035.20 341.30 180.00 also 521.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 30605.90 997.00 0.00 4,602.90 TOTW,,S Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collection' 1,569,50 476.00 0.00 2,046.40 10695.10 340.10 0.00 2,035.20 341.30 160.00 GAO 521.30 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.00 3,605.90 997.00 0.00 4,602.90 -201S Page 5 07-02-15;12:36PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 7/ 7 Monsy Distribution Report Description JODOG NANCY POMRRAL Count UPS JONE Collected 201E R¢PORT Retained DiabUrued State Of TOXas Quarterly Reporting Total, State Comptroller Cost and Foos Report Section I: Report for Offense, Committed 01-01-04 Forward 09.03.01 - 12-31-03 33 1,119.97 1,119.97 0.00 OB-33-99 - 00-31-01 0 0.00 0.00 0.00 09-01-97 • 05-30-9P 0 0.00 0.00 0.00 09-01-91 - 09-31-P7 0 0.00 0.00 0.00 Bail Bond Fos 0 0.00 0,00 0.00 DNA Tasting Fee - Convictions 0 0.00 0,00 0.00 DNA TeDCing Fee - Comm Supvn 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Foos 0 0.00 0.00 0.00 Jury Reimbursement Fee 0 0.00 0.00 0.00 Indignnt Defense Fund 20 75.90 7.60 60.30 Moving violation F•eeo 20 30.00 3.00 34.20 8C0.tc Traffic Fine 12 1.15 0.11 1,04 0 0.00 0.00 0.00 Section II: As Applicable Peace Officer Fees Failure to Appear/Pay FOOe 7 3.9.00 26.00 7.00 Judicial Fund - Caret County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0 0.00 0.00 0.00 Motor Carrier Weight violations 0.00 0.00 0.00 Time Payment Fees 0 0,00 0.00 0.00 Driving Record Fee 1 25.00 12.50 12.50 Judicial Support Fee 0 0.00 0..0 .0 Truancy Prevention and Diversion Fund 20 114.00 11.00 40 1000 Report Sub Total 0 0,00 . p,p0 113 1,400.10 1,103,30 225.72 State Comptroller Civil Foos Report CF: Birth Certificate Fees CFe Marriage License Fees 0 0,00 0.00 0.00 CF: Declaration of informal Marriage 0 D.00 0,00 0.00 OF: Nondincloaura Foss 0 0.00 0.00 0.00 OF, Juror Donationo 0 0.00 0.00 0.00 CF: auction Court Indig 1•'iling Foos 0 0 0.00 0.00 0.00 CF: Stat PYOb Court Indig Filing Fees 0.00 0.00 0.00 CF; Stat Prob Court Judie Filing Fees 0 0 0.00 0.00 0.00 CP, Stat Cnty Court Indig Filing Foes 0 0.00 0.00 0.00 CF: Stat Cnty Court Judie Filing Foos 0 0.00 0.00 0.00 CF: Cnst Cnty Court Indig Filing Fees 0.00 0.00 0.00 CP, Chat Cnty Court Judie Filing Fees 0 0.00 0.00 p,pp CFe Dint Court Divorce & Family Law 0 0.00 0.00 0.00 Cr: gist Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dist Court Indig Legal Services 0 0.00 0.00 0,00 CF: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 0 0 0.00 0.00 0.00 0.00 0.00 0.00 Total Duo For This Period 113 1,409.10 1,183.38 225.72 THE STATE OF TEXAS Before MO, the undersigned authority, this day County of Calhoun County poraonally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being duly sworn, deposes and says that the above, n aporegoing ro ?.,t ja Crue and correct, - witneae my hand thi� da of -- �_•�, gyp, Calhoun COpdC�, Texas APPROVAL OF PAYROLL: N/A APPROVAL OF BILLS: Commissioner Fristch made a motion to approve County bills in the amount of $474,321.03, -0- transfers between funds, for a total amount of $474,321.03. Commissioner Lyssy seconded the motion. Commissioners Galvan, Ly6ssy, Fritsch, Finster and Judge Pfeifer all voted in favor. July 9, 2015 2015 APPROVAL LIST - 2015 BUDGET 42 COMMISSIONERS COURT MEETING OF 07/09/15 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 41 $ 371,444.88 FICA P/R $ 41,302.64 MEDICARE P/R $ 9,659.54 FWH P/R $ 33,452.82 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,780.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,199.07 CABLE ONE A/P $ 296.86 F. ALAN FUTRELL A/P $ 9,148.15 LA WARD TELEPHONE EXC. INC. A/P $ 316.55 MCI MEGA PREFERRED A/P $ 341.74 REPUBLIC SERVICES #847 A/P $ 2,057.54 VERIZON SOUTHWEST A/P $ 990.98 WASTE MANAGEMENT A/P $ 1,329.78 TOTAL VENDOR DISBURSEMENTS: $ 474,321.03 TOTAL TRANSFERS BETWEEN FUNDS: $ TOTAL AMOUNT FOR APPROVAL: $ 474,321.03 ACCEPT DONATIONS TO CALHOUN COUNTY: N/A DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: N/A TRANSFER CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY DEPARTMENT TO ANOTHER COUNTY DEPARTMENT: N/A BUDGET ADJUSTMENTS: Commissioner Finster made a motion to approve budget adjustments. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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One item involves a typo on one of the bids for Insecticides and the other involves Target Specialty Products in which the unit size of the product was omitted. COURT ADJOURNED AT 10:12 A.M.