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2016-03-10
Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held March 10, 2016 BE IT REMEMBERED, that on this loth day of March, A.D., 2016 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 County Judge Roger C. Galvan Commissioner, Precinct #1 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Anna Goodman County Clerk Josie Sampson Deputy County Clerk Commissioner Vern Lyssy was absent. 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. REPORT FROM MEMORIAL MEDICAL CENTER: Jason Anglin, CEO of Memorial Medical Center presented the Memorial Medical Center report for February 2016. Memorial Medical Center - Port Lavaca, Texas CEO Report February 19, 2016 Financial Results: In January we had a Net Loss of $67,981. Unfortunately, the trend of high health insurance cost continued in January. To help with these cost we are working on some contracts to help lower our cost in this area. Service Organization of South East Texas (SOSET) — Good news, effective in January the $15,000 monthly Emergency Room Physician Subsidy increase that MMC occurred last year was added to the support provided by the Service Organization. We anticipate adding the Hospitalist contract to the Service Organization within the next Month. Combined, these will save MMC approximately $20,000 per month. Nursing Home Program Updates: We continue to work with Cantex and Nexion as the program transitions from the MPAP program to the QIPP program. Later this month, MMC will receive its first payment under the MPAP program. We have worked with Nexion to file the CHOW paperwork for the five Nexion facilities. Currently, there are a lot of various legal agreements that remain to be complete to finalize the connection with Nexion in the NH program. A priority at this time has been for both Cantex and Nexion to submit their projects for the QIPP program. Also, everyone is waiting on the State & CMS to complete final rules on the QIPP program. New Program - Cardiac/Pulmonary Rehab We are actively working to add this program and anticipate presenting the program to be approved at our March Board meeting. Next month we plan on presenting the Pro forma on the program, equipment list needed and a contract with Diamond Health for the program. At this juncture we are planning on locating the program in clinic space on the first floor of the hospital between Radiology and MR] where Or. Danielson was located before moving to the new Memorial Medical Clinic. To best accommodate the program we anticipate removing one non load bearing wall in the space. We have Several Recent Department Director changes: Charles Samaha is now the Director of Plant Services. Charles (Chuck) takes over from Marlin Sayers who recently retired. We are very excited to have Chuck as he has over 20 year experience in Maintenance and is a licensed electrician. I believe that his skillset and expertise will help us save on cost in Plant Services. John Walker who did a presentation on Program Hope last month is now the Director of Program Hope. John previously worked as the therapist in the program. Laura Price is the acting director of Rehab Services. I have an item on the agenda relating to her becoming the permanent director. April Meeting Date Change: In looking ahead to the Month of April I would like to move the April Board up a week to April 19`h and Finance to April 18th. This year the first day of the Annual TORCH conference is the same day as our regular scheduled board meeting. Moving the board meeting up one week will allow me and Jerry to attend the full conference. New Memorial Medical Clinic We anticipate all the paperwork to be done for approval of final completion in March. Budget & Annual Audit It's about that time of the year. I met with Jerry and we have created scheduled the annual audit and dates for the development of our budget. Memorial Medical Clinic With the move into the new clinic we are preparing for a Rural Health Clinic Survey. As part of that we are working on an Annual Evaluation report. With us moving to the new clinic we also have had to do go thru the process of completing change of address documents with Medicare, Medicaid, Insurances, etc. We also actively working on insurance credentialing for workers compensation. Emergency Room — We currently use Specialists on Call (SOC) for Neurology telemedicine consults for Stroke care. I believe that this is a great service and would like to maintain this capability. However, we are currently are researching options as we have been notified of cancellation of our current contract as SOC is looking for a new contract with much higher cost for MIMIC. I anticipate presenting either a renewal of SOC or an alternative service at March's Board meeting. Supply Cost: One of the areas we are looking at is supply cost for savings. Recently our main Group Purchasing Organization (GPO) Med Assets was acquired by another company. Currently, We are evaluating potential ways to save money including 1) Using Med Assets GPO exclusively and receiving increase discounts 2) Changing to a Different GPO for increase supply savings 3) Using outside consultants to review contract pricing and potentially being a non -bias resource in making decision 1 or 2. Educational Readings: Behind my CEO report I have attached four articles from various healthcare publications and one presentation from a conference I attended last year. As we start to think about strategic planning for the future I believe reviewing this type of information is helpful. Articles: How to Put Critical Access Hospitals in Positions of Strength Rural Hospitals an asset in the continuum of care Developing a neighborhood primary care strategy 17 Winners and Losers under the ACA and 10 More Thoughts and Observations on the ACA so Far Presentation: Annual Physical for Rural Hospitals with Prescriptions for Improvement Information on Board Items: Recruitment of Director of Rehabilitative Services I have on the agenda for approval of recruitment of a director for our rehab services department. Our acting director Laura Price comes to us via Fusion Medical Staffing. We would like for Laura Price to be our permanent director and become a hospital employee once her contract assignment ends. For this to occur I need approval of the recruitment fee / buyout of her contract with fusion. The fee is $10,000. Medical Staff Rules and Regulations— Recently we had the Medical Staff Rules reviewed by outside counsel for updates. Only changes are typographical/grammatical changes. Medical Staff executive committee and medical staff reviewed and approved. Organization Chart— Please find attached organizational chart. Changes include: 1) we plan on having indigent care staff report to Patient Financial Services Director instead of directly to the CFO. We believe that this will enhance coordination between the departments. 2) With the retirement of our Plant Services Director and some supervisor changes in Environmental Services our Materials Manager has been managing Environmental Services. This has been working well and the updated organization chart reflects this change. 3) Under Practice Administrator Memorial Surgical Clinic has been added. 4) Under assistant Administrator Behavior Health has been modified to include the name of the program — Program Hope and Physical Therapy has been changed to Rehab Services reflecting the addition of Occupational and Speech Therapy. 5) Our Assistant administrator has been functioning as the compliance officer since Diane Moore left MMC and this reflects this change. 6) Cardiopulmonary department name has been changed to Respiratory Therapy. 7) Future Program of Cardiopulmonary Rehab has been added under Program Hope as Program Director of Program Hope will likely oversee. Update of Food Service Menu — We are excited to report that we now offer our inpatients a menu where they have some choices on what they can have for their meals. Our Dietary department with assistance from our Dietitian and other hospital staff has worked very hard under the guidance of Roshanda Gray to make this enhancement to our service. Roshanda will be presenting information on what we are offering to our patients. Closes Session for Quality— We have a closed session posted for our quarterly quality reporting. Respectfully, Jason Anglin, CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: January 2016 Overview: Many of the indicators for a successful start to the year were positive, but the hospital ended up with a Net Loss of $67,981 compared to a budgeted Net Income of $41,667, Gross Revenue increased by $224,937 from 2015 and Net Revenue was up by $184,315. Net Revenue was slightly (5.7%) under the budget. Much of this is due to higher employee write offs than we have experienced in recent months; hospital employee claims were $210,000, which is slightly under the $213,000 recorded in January 2015. It appears that Allied pushes through a lot of claims during the last month of the plan year as Group Health claims paid increased as well —totaling $155,000 last month compared to $134,000 during the same period last year. This accounts for almost the entirety of the Net Loss. Payor mix was strong for the month at 9.8% uninsured and 46.1% Medicare. We improved our method of reserving for Medicare and Medicaid accounts this year, which resulted in a one-time decrease to contractuals of $27,184. We should see an increase to our Net Revenue percentage beginning in February since we implemented lower pricing in the RHC. Salaries are up from prior months due to the change back to 26 pay periods in place of the 27 last year, the elimination of contract labor in OB, and slightly increased overtime in the RHC and Imaging. Overtime use in the nursing areas went up as well, mostly due to covering for nurses on leave and for required continuing education. We also trained two new E/R nurses to replace our new Trauma Coordinator, who worked overtime while filling her shift until they could take over. All other Operating Expenses were under budget with the exception of Utilities, which was up $1,059 due to a slightly higher than expected phone bill. Statistics: Average Daily Census increased again, ending at 13.35 for January. The last time we were this full was in May 2015. Average length of stay was 3.58 — a bit longer than in December, but certainly acceptable under CAH rules. Doctor Arroyo-Diaz's arrival combined with the new clinic pumped clinic visits to 1,554. Doctor Rojas' surgery clinic saw 87 patients, the highest volume since October. Surgery and Endoscopy procedures were down slightly from December at 87. Imaging volume was again strong, showing 1,381 procedures compared to 1,338 in the prior month. MRI and Ultrasound showed the best volume increases, while most other modalities declined slightly. Rehab Services (P./T, O/T, & Speech) increased by 4% over December and, at 1,803 procedures was at a level not seen since March 2015. The new inpatient area is now set up so we should see continued gains. Balance Sheet Highlights: ASSETS Bank Accounts The balance in Cash and Investments decreased by $23,828, to $4,416,793 as collections struggled a bit, but the hospital was able to meet an unexpected increase in our nursing home IGT as well as continue paying our vendors on time. Collections for February are running ahead of target so we should make up at least some of the lost ground. Cash consisted of $1,926,841 in operating cash, $25,069 in the Private Waiver 1115 Clearing Account, $797,148 in MMC Clinic Construction, $500,000 in CD investments and $1,167,735 in the MMC Nursing Home Cash account, which is payable to Cantex. Accounts Receivable The lower than targeted cash collections resulted in an increase in our patient A/R at the end of the month. Our Medicare aging is improving with no inpatient or swing bed accounts over 60 days old and only 3.3% of the balance over 90 days. The other agings still need some improvement. Since last month we have found that our MVA vendor had some response issues that they have since resolved, which will help our commercial aging immensely. Accounts Receivable —Other The total in this account is $3,581,643 consisting mainly of expected payments from the DSRIP component of the Waiver 1115 program, the Uncompensated Care program and supplemental payments due under the NH MPAP program. We should begin receiving MPAP payments by the end of February. Accounts Receivable Nursing Home There is a balance of $5,210,126 in accounts receivable on the five nursing home books. Accounts Receivable Est. 3'd Party Paver Settlements We do not show any receivable from Medicare at this time, and in fact show a $16,112 payback. LIABILITIES Accounts Payable Accounts payable dropped to $486,852 compared to $593,418 in December. Due to Cantex The balance of $6,377,358 consists of $1,167,735 in Cash that MMC has received on behalf of NH (less $500 MMC contributed to set the accounts up and $3 rounding) and $5,210,126 in accounts receivable also reflected in MMC's accounts receivable. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,000,455. This will likely continue to increase until Spring Break. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $978,780. We transferred $573,471 in funds for DSRIP in early January and received $1,402,777 in return. We also sent $1,199,608 in IGT for the Nursing Home MPAP program on February 20th that will increase our expected return from that program. Accrued Payable — EST 3rd Party Paver We currently show a payable to the Medicare program of $16,112 at the end of January based on our mini cost report calculation. Notes Payable The hospital has a note payable to Calhoun County for $3,381,758, which reflects the two loans for MPAP IGT, a draw on the Physician Recruiting of $975,000, and the $500,000 borrowed to pay off leases. We expect to begin payments on this in October 2016 based on current cash flow projections from the nursing home programs. Leases Payable The hospital has $519,106 in long term debt of which $205,587 is due over the next 12 months. Current Ratio The ratio between our current assets and current liabilities is 1.4 compared to a 2.3 benchmark. Income Statement Highlights: Gross patient revenue for January was 5,928,796. This is about a 5% increase from January 2015 and is only $3,000 below budget. Revenue Deductions and Bad Debt continued at 66% if Gross Revenue, slightly lower than budgeted. Total Operating Expense for January came in $109,045 (5%) under budget at $2,128,754. Although the hospital ended January with a loss, most of our controllable expenses are in line with expectations and management continues to look for opportunities to add profitable programs while reducing costs in our continuing operations. ) ( . . . (\( / \ \ Is. §|\wv ; ! ( !{ d \\)( § ( ( ]§( !! ;§ !•i \}! ; ( / \ \(\\ } !;r([§> r}§\�(\:\\j\\\\� !: . -�- Memorial Medical Center Income Statement - Hospital For the Month Ended January 31, 2016 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,427,533 $1,382,702 $1,440,493 Inpatient Revenues $1,427,533 $1,382,702 $1,440,493 $2,975,769 $2,816,424 $2,317,274 Outpatient Revenues $2,975,769 $2,816,424 $2,317,274 $1,525,494 $1,732,131 $1,946,092 ER Revenues $1,525,494 $1,732,131 $1,946,092 $5,928,796 $5,931,257 $5,703,859 Total Patient Revenue $5,928,796 $5,931,257 $5,703,859 Revenue Deductions $3,410,621 $2,851,261 $3,226,015 Contractuals $3,410,621 $2,851,261 $3,226,015 $40,974 $92,645 $150,136 Charity $40,974 $92,545 $150,135 $15,985 $50,631 $47,549 Indigent Care $15,985 $50,631 $47,549 ($155,793) ($112,561) ($155,793) DSHM7aiver ($155,793) ($112,561) ($155,793) $591,375 $901,088 $594,634 Bad Debt $591,375 $901,088 $594,634 $3,903,162 $3,782,964 $3,862,540 Total Revenue Deductions $3,903,162 $3,782,964 $3,862,540 $2,025,634 $2,148,293 $1,841,319 Net Patient Revenue $2,025,634 $2,148,293 $1,841,319 $17,419 $64,313 $49,711 Other Operating Revenue $17,419 $64,313 $49,711 $2,043,053 $2,212,606 $1,891.030 - Total Operating Revenue $2,043,053 $2,212,606 $1,891,030 Current Period Actual This Budget This Month Month Last Year $860,029 $896,933 $761,524 $306,250 $259,207 $266,933 $356,987 $516,313 $283,123 $263,535 $149,610 $159,736 $225,847 $273,199 $251,225 $6,186 $4,273 $7,829 $53,460 $52,401 $40,724 $71,818 $62,800 $81,417 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Depreciation Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $860,029 $896,933 $761,524 $306,250 $259,207 $266,933 $356,987 $516,313 $283,123 $263,535 $149,610 $159,736 $225,847 $273,199 $251,225 $6,186 $4,273 $7,829 $53,460 $52,401 $40,724 $71,818 $62,800 $81,417 $2,200,572 $2,300,599 $1,942,111 Total Expenses $2,200,572 $2,300,599 $1,942,111 ($157,519) ($87,993) ($51,081) Net Operating Income/(Loss) ($157,519) ($87,993) ($51,081) Non Operating Income / (Exp) $185 $103 ($4) Investment Income $185 $103 ($4) ($3,112) ($2,445) ($2,852) Interest Expense ($3,112) ($2,445) ($2,852) $0 $2,843 $0 Contributions and Grants $0 $2,843 $0 ($215,750) ($311,997) ($156,560) IGT Expense ($215,750) ($31l,997) ($156,560) $308,215 $441,157 $223,658 Service Contribution by SOH $308,215 $441,157 $223,658 sAn 91A s12A rum sea 242 Total Non-Ooeratine Revenue $89,538 $129,660 $64,242 ($67,981) $41,667 $13,161 Total Net Income/(Loss) ($67,981) $41,667 $13,161 -2- Memorial Medical Center Income Statement - Nursing Home For the Month Ended January 31, 2016 Current Period I Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,551,635 $0 $0 Resident Revenues $3,551,635 $0 $0 $3,551,635 $0 $0 Total Operating Revenue $3,551,635 $0 $0 Current Period Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,551,635 $0 $0 Nursing Home Fee $3,551,635 $0 $0 $3,551,635 $0 $0 Total Expenses $3,551,635 $0 $0 $0 $0 $0 Net Operating Income / (Loss) $0 $0 $0 $0 $0 $0 Total Non -Operating Revenue $0 $0.. $0 $0 $0 $0 Total Net Income / (Loss) $0 $0 $0 -3- Memorial Medical Center Income Statement - Combined For the Month Ended January 31, 2016 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YID Budget YTD Last Year YTD $1,427,533 $1,382,702 $1,440,493 Inpatient Revenues $1,427,533 $1,382,702 $1,440,493 $2,975,769 $2,816,424 $2,317,274 Outpatient Revenues $2,975,769 $2,816,424 $2,317,274 $1,525,494 $1,732,131 $1,946,092 ER Revenues $1,525,494 $1,732,131 $1,946,092 $3,551,635 $0 $0 Resident Revenues $3,551,635 $0 $0 $9,480,431 $5,931,257 $5,703,859 Total Patient Revenue $9,480,431 $5,931,257 $5,703,859 Revenue Deductions $3,410,621 $2,851,261 $3,226,015 Contractuals $3,410,621 $2,851,261 $3,226,015 $40,974 $92,545 $150,135 Charity $40,974 $92,545 $160,135 $15,985 $50,631 $47,549 Indigent Care $15,985 $50,631 $47,549 ($155,793) ($112,561) ($155,793) DSH/Waiver ($155,793) ($112,561) ($155,793) $591,375 $901,088 $594,634 Bad Debt $591,375 $901,088 $594.634 $3,903,162 $3,782,964 $3,862,540 Total Revenue Deductions $3,903,162 $3,782.964 $3,862,540 $5,577,269 $2,148,293 $1,841,319 Net Patient Revenue $5,577,269 $2,148,293 $1,841,319 $17,419 $64,313 $49,711 Other Operating Revenue $17,419 $64,313 $49.711 $5,694,688 $2,212,606 $1,891,030 Total Operating Revenue $5,594,688 $2,212,606 $1,891,030 Current Period Actual This Budget This Month Month Last Year $860,029 $896,933 $761,524 $306,250 $259,207 $266,933 $356,987 $516,313 $283,123 $263,535 $149,610 $159,736 $225,847 $273,199 $251,225 $6,186 $4,273 $7,829 $53,460 $52,401 $40,724 $56,460 $85,863 $89,600 $71,818 $62,800 $81,417 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Depreciation Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $860,029 $896,933 $761,524 $306,250 $259,207 $266,933 $356,987 $516,313 $283,123 $263,535 $149,610 $159,736 $225,847 $273,199 $251,225 $6,186 $4,273 $7,829 $53,460 $52,401 $40,724 $56,460 $85,863 $89,600 $71,818 $62,800 $81,417 $5,752,207 $2,300,599 $1,942,111 Total Expenses $5,752,207 $2,300,599 $1,942,111 ($157,519) ($87,993) ($51,081) Net Operating Income/(Loss) ($157,519) ($87,993) ($51,081) Non Operating Income / (Exp) $185 $103 ($4) Investment Income $185 $103 ($4) ($3,112) ($2,445) ($2,852) Interest Expense ($3,112) ($2,445) ($2,852) $0 $2,843 $0 Contributions and Grants $0 $2,843 $0 ($215,750) ($311,997) ($156,560) IGT Expense ($215,750) ($311,997) ($156,560) $308,215 $441,157 $223,658 Service Contribution by SOH $308,215 $441,157 $223,658 an An AO Nursing Home UPL $0 $0 $0 ($67,981) $41,667 $13,161 Total Net Income/(Loss) ($67,981) $41,667 $13,161 pNiNr Zf foZ U O WQU 72o O W�H SU WOE �a0 z30 y4U U d F o z o o b o a z o z z o z z 0 0 0 0 n mooa o rywFn"_m moon ' el n w N _ v _ y n N (J O m T g O 3 W O m R W W J_ F 01�LL2 az O¢ m m ZO Yn O i. �m Nln cJpW� aN W W S U W W MW a'm's�oo p� o -5- MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE JANUARY 2016 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS MEDICARE $ MEDICAID $ BCBS $ % COMMERCIAL $ PRIVATE $ % TOTAL $ 0 - 30 31- 60 61 - 90 91 - 120 121 - 150 1-180 >180 TOTAL 2,105,915 649,805 252,926 95,857 50,001 36,076 19,241 3,209,821 65.6% 20.2% 7.9% 3.0% 1.6% 1.1% 0.6% 29.2% 528,413 214,664 119,376 114,092 55,624 38,398 39,646 1,110,211 47.6% 19.3% 10.8% 10.3% 5.0% 3.5% 3.6% 10.1% 562,154 144,284 65,553 74,985 28,868 21,413 27,402 924,658 60.8% 15.6% 7.1% 8.1% 3.1% 2.3% 3.0% 8.4% 984,305 412,933 302,623 261,581 359,089 107,095 272,269 2,699,895 36.5% 15.3% 11.2% 9.7% 13.3% 4 .0% 10.1% 24.5% 480,802 613,3531 576,411 484,101 282,9891 142,752 486,138 3,066,547 15.7% 20.0%1 18.8% 15.8% 9.2% 4.7% 15.9% 27.9% 4,661,590 2,035,039 1,316,890 1,030,616 776,570 345,734 844,695 11,011,133 42.3% 18.5% 12.0% 9.4% 7.1% 3.1% 7.7% 100.0% NOTE -- Amounts and percentages may sum to'+' or'-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENT ACCOUNTS RECEIVABLE: DECEMBER 2014 I JANUARY FEBRUARY MARCH GROSS 49.761 60.41 I - I - I #DIV/01 I #DIV/01 I #DIV/01 JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER #DIV/01 I #DIV/01 I #DIV/01 I #DIV/0! I #DIV/0! I #DIV/01 AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS MEDICARE $ % MEDICAID $ o� BOBS $ COMMERCIAL $ PRIVATE $ TOTAL $ 0 - 30 31- 60 61 - 90 91 - 120 121 - 150 151 -180 >180 TOTAL 2,190,970 776,765 314,834 157,871 98,211 62,081 92,303 3,693,035 59.3% 21.0% 8.5% 4.3% 2.7% 1.7% 2.5% 33.5% 478,376 223,606 127,821 129,420 55,097 42,171 63,029 1,119,519 42.7% 20.0% 11.4% 11.6% 4.9% 3.8% 5.6% 10.2% 550,678 210,303 116,212 116,133 74,106 45,823 123,189 1,236,445 44.5% 17.0% 9.4% 9.4% 6.0% 3.7% 10.0% 11.2% 953,984 408,216 377,388 301,972 417,334 134,290 403,739 2,996,923 31.8% 13.6% 12.6% 10.1% 13.9% 4.5% 13.5% 27.2% 487,581 416,1491 380,634 1 325,220 131,822 61,370 162,435 1,965,210 24.8% 21,2%1 19,4%1 16.6% 6.7% 3.1% 8.3% 17.9% 4,661,590 2,035,039 1,316,890 1,030,616 776,570 345,734 844,695 11,011,133 18.5% 12.0% 9.4%:7.1% 3.1% 7.7% 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. Z� MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 1/31/16 MONTHI DESCRIPTION BUILDING EQUIPMENT TOTAL 01/16 IF ELECTRONIC LAB INTERFACE - ELR - 4,475 4,475 JANUARY 2016 - COMPUTER PURCHASES - 6,317 6,317 WEBPT SOFTWARE - 7,524 7,524 HOLTER RECORDS (4) - 6,299 6,299 CLINIC - CIP -VARIOUS EQUIPMENT - 18,401 18,401 SUB TOTAL JANUARY - 43,015 43,015 TOTAL $ $ 43,015 $ 43,015 -7- Memorial Medical Center YTD YTD YTD 1/31/2016 Statistical Comparison 01131/14 01/31/15 01/31/16 OVER(UNDER) %OF (1 month) (1 month) (1 month) 1131/2015 CHANGE Total Admissions 105 125 108 (17) -13.6% ERAdmissions 56 71 99 28 39.4% Total Patient Days 424 462 414 (48) -10.491 AVERAGE DAILY CENSUS Medical/Surgical/ICU 10.52 11.68 10.74 (0.94) -8.0% Obstetrics 0.77 0.68 0.68 0.00 0.0% Swing Bed 2.39 2.55 1.94 (0.61) -24.1% TOTAL AVG DAILY CENSUS 13.68 14.90 13.35 (1.55) -10.4% TOTAL AVG LOS-Acute care 3.61 3.33 3.58 0.25 7.4% Observation - Patients 30 29 46 17 58.6% Newborns - Births 11 11 9 (2) -18.2% MM Clinic Visits 667 872 1,554 682 78.2% Surgical Clinic Visits 0 180 87 (93) N/A Outpatient Visits 1,501 1,729 1,877 148 8.6% Emergency Room Visits 816 951 691 (260) -27.3% Specialty Clinic Visits 450 427 456- 29 6.8% Total Surgery & Endoscopy 86 94 87 (7) -7.4% Total Laboratory Procedures 22,441 28,851 29,725 874 3.0% Radiology Procedures 704 805 679 14 30.4% Radiology OP - Clinic 0 0 82 82 #DIV/01 Bone Density 3 8 10 2 25.0% Nuclear Medicine 19 11 14 3 27.3% Ultrasound 142 178 212 34 19.191 Ultrasound -Clinic 0 0 36 36 #DIV/0I CTScans 208 198 204 6 3.0% MR[ 78 92 102 10 10.9% Mammograms 45 35 42 7 20.0% Total Radiology Procedures 1,199 1,327 1,381 54 4.1% Respiratory Therapy IF Procedures 1,236 1,083 1,001 (135) -17.3% Stress Test 5 3 8 5 166.7% EKG Exams 256 333 276 (57) -17.1% EEG Exams 0 0 0 0 #DIV/01 Sleep Studies 0 5 9 4, 80.0% Total Respiratory 1,497 1,424 1,294 (130) -9.1% Physical Therapy Total 2,348 2,038 1,803 (235) -11.5% Occupational Therapy Total 0 0 291 291 N/A Speech Therapy Total 0 0 50 50 N/A Pharmacy Total 8,963 14,220 11,847 (2,373) -16,70 Dietary Total 10,117 11,793 10,989 (304) -2.7% Pounds of Linen 0 23,676 9,970 (13,706) -57.9% m m O m N O d' N tp C N N H n m m O m lD H N M O Vl m n N n n d' N W n O m M O n r M N lO cl CO N N N M O O d' W Vl n N Ot N m m 'i ct O M CO O N Ot N c1 M N m W to M m m } N n tO N N H m w M � N N N m Vl O mN O U N lO C' N N H V n m lD O Ol V V m M mlO c-I N OJ O Vl n N n n v N W n O mO m n M N to H M H H H m O O V V lD m n N m N w M H V O m m o N m N H m m N m m t0 M m Ol N n tD N N H m m M ti a-i O rl Ol O � C N N rl H' ci � a-1 O N O1 O m w O O m m d' W O N m rl O Ol 'i N n a cl M U1 rl m I� a 1!I VJ O ci ei Ol M O� m m 'i M 41 VI m N m 'i d' m n m H N O N n n O1 N V1 W V O n V N Vl m V l0 ci N M '-i n m N rl e-i c-i c-t O N H N ti ti U N N VI Ol V n O O N 4t1 O Ol W O Vl M Ol m n O w N O VI Vl W 'i Ol V N N t0 N tD n Ol N m tD O Ol V1 N l0 N lfl d' M l0 '1 cl n m lD m VI ci W H m N O m rl N m N O Vl O n ei c'I ei H m rl 01 n N M O O TIll M N n N V1 H ri H e-1 M e-1 f-1 n W ri r Ol N O z t0 N l0 w O tO m w O N w O O cI H w - m O O M n t0 l0 N m m I(] N Ol [O d' W Ill N m M 'i V Of a O rl H N cl M V1 Ol e-1 ci n N N N O M l0 H M Ot N ei m N N m N H O R V r n V1 O CI(1 m OJ tO ri N rl V 4 jJ r1' N Ilj fV ci �-1 '-I �-1 N Vl O lO O d' O M O w M m O n O IO V1 V c'1 M w O M M w m m w m N N V1 W O Vl N V1 M a'f r1 M M l0 N r1 N O O mV W lO O e-I m m , d' m w ri N m n rl N a& o 0 o 0 ci ri M n ri n ryry rI t0 'i m n N n H N m N N V N H H n H N H V C N m O H m O O O � N N '-t ri ri c-i Oi c-i H N a l0 m m C O O ;t N O M H n N N W n n �O Ill vl �O m N O c. o m m w O w N V H M ei mtD rl c'I N O M m n m ei N I1) N ny d' m pl Invl Ill O] N M O l0 N N m m �-1' Ol O t0 O N N U n to m o co o H m w o m O m o H a m y o .+ m n w m H N m m to m V F, M a t0 y N a'I rl Ol lD O In cl O tO U] N Ol H m m m m ll N' M m n n M O M H q c m m n H N H V m m M O l Nl W y V N G ry N ""� c-1 •-I ci �-I O H m � X � N 7 ------------------------- N M m O lO Vl O O m N V m l0 l0 Ill W m d' n N tO W lO N o] M t0 Vl W V 4 O M N n \O o ON ei Vl m m m rl ri H M Ol m l0 w 'i N O W N Vl IO m Ol m Ill n cI rl N M n W m N Ol N ei l0 N N n N N V m m N N N N --------------- m m O --------------- m O m O tD O mrc11 d w m O m m O� n d N O. w t N O N N O n n Ill M m N N V m om N N N rc M n M N M Omi H m n .m-I vH1 r W .1Di Owi a N vrvl tHp M rl ri r-I e-1 N ervi N H p, ry m 6 m m H H O n H N O m m tO m H N m O m H H O H M n 0 0 0 0 N m 0 ID m m m H m a H H m N m n Q O n O m N n t0 m N H d' m N m m m w m M m m M N M m cb O m m N N m w m m m m v cS ri ri ri ri ri ti `' m ."+ .m-I Ip N N Ol O W M O m m O O V a M N O N rl V O c-I CO l0 a-i n n m N m M Ol m cl V' m M m N M n w H H H H m w m H m m N H O m O V m H tp n n n a n m C w N N O m m m � N N LL --------------------------------------------- al � 2 0 a o :p U F?' r O N O N i W W W N Ul W N r N N— Z' 0 0 a a a E O ` �' « L L L 0 0 0 a 0 C o 0 o v E E 0v 'a .a 'a m 9 >> u u w w `m m m w o s U° b c o E; m o ,� al w O' Y V' v o L L s 0 u u al a 0. n L L L v o 0 F s m z>> G r M w w N r a s a. 0 0 M m m a a. a o o r 1 Memorial Medical Center Accounts Receivable Jan-16 Aging 1 0 - 30 1 31-60 I 61-90 1 91-120 121-150 151-180 ( 181-365 Total Gross % Over 120 Days % Over 90 Days Total 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 18.47o 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% Jun-15 4,133,895 1,510,662 1,241,723 1,243,493 626,368 389,743 1,149,362 10,295,246 21.0% 33.1% Jul-15 3,562,298 1,621,175 1,035,310 987,656 742,269 284,822 1,204,150 9,437,681 23.6% 34.1% Aug-15 3,607,480 1,408,947 1,078,471 929,022 649,954 388,583 1,214,435 9,276,891 24.3% 34.3% Sep-15 4,230,100 1,341,698 1,008,209 737,889 426,320 328,638 1,174,645 9,247,499 20.9% 28.8% Oct-15 4,132,891 1,739,955 886,566 778,319 497,520 268,244 946,539 9,250,034 18.5% 26.9% Nov-15 3,333,364 1,625,078 1,311,718 675,651 373,822 263,900 854,852 8,438,385 17.7% 25.7% Dec-15 4,095,599 1,621,837 1,060,608 1,235,113 428,887 230,990 813,392 9,487,427 15.5% 28.5% Jan-16 4,410,148 1,936,342 1,135,901 784,802 650,165 261,831 785,208 9,964,396 17.0% 24.9% Medicare 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% Jun-15 1,669,082 136,964 90,621 30,379 1,893 1,165 16,308 1,946,413 1.0% 2.6% Jul-15 1,465,507 244,351 92,541 67,727 29,204 908 18,114 1,918,352 2.5% 6.0% Aug-15 1,538,445 123,643 35,690 36,141 29,886 3,478 10,603 1,777,885 2.5% 4.5% Sep-15 1,639,192 167,487 42,425 13,226 21,046 21,853 6,375 1,911,604 2.6% 3.3% act -is 1,827,551 191,015 86,296 11,701 392 16,038 24,332 2,157,325 1.9% 2.491 Nov-15 1,448,173 302,304 85,855 29,937 11,701 132 41,187 1,919,289 2.8% 4.3% Dec-15 1,913,391 322,887 114,184 66,908 10,795 480 31,665 2,460,311 1.7% 4.5% Jan-16 2,031,001 638,625 228,078 51,839 26,444 11,845 9,796 2,997,627 1.6% 3.3% Medicaid 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 5.491 10.8% May-15 379,796 175,913 82,616 65,327 33,625 3,284 34,178 774,739 9.2% 17.6% Jun-15 367,730 109,737 86,070 51,630 44,711 22,985 7,991 690,854 11.0% 18.4% Jul-15 364,592 115,976 56,372 62,129 28,021 12,696 28,524 668,311 10.4% 19.7% Aug-15 395,504 93,338 53,284 46,894 20,376 3,474 19,026 631,887 6.8% 14.2% Sep-15 500,303 108,531 27,163 22,473 26,297 12,577 26,213 723,558 9.0% 12.1% Oct-15 530,940 169,669 43,916 17,527 8,331 21,594 27,729 819,707 7.0% 9.2% Nov-15 391,671 162,898 79,698 28,095 11,465 9,588 31,884 715,278 7.4% 11.3% Dec-15 504,402 109,545 78,707 54,259 7,352 14,516 21,444 790,225 5.5% 12.3% Jan-16 474,030 187,653 47,223 68,095 19,657 3,924 30,964 831,554 6.6% 14.7% BCBS 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% Jun-15 704,018 90,929 69,722 15,633 9,247 4,027 9,837 903,414 2.6% 4.3% Jul-15 465,460 58,659 32,386 37,579 6,075 5,750 5,993 611,902 2.9% 9.1% Aug-15 446,922 148,393 65,078 23,812 19,164 3,074 5,139 711,581 3.8% 7.251 Sep-15 419,377 85,776 82,063 20,264 22,734 12,438 20,364 663,016 8.4% 11.4% Oct-15 425,220 87,036 55,057 34,662 11,539 12,571 26,445 652,530 7.7% 13.1% Nov-15 402,219 144,029 28,664 25,062 14,569 4,181 14,158 632,882 5.2% 9.2% Dec-15 452,976 99,916 34,465 20,047 20,472 10,455 4,528 642,860 5.5% 8.6% Jan-16 518,402 126,290 37,483 32,729 16,326 12,060 22,476 765,766 6.6% 10.9% Commercial 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% Jun-15 915,148 435,702 149,775 487,234 32,042 18,390 83,081 2,121,372 6.3% 29.3% Jul -IS 687,256 505,663 165,344 82,918 97,621 29,643 82,235 1,650,680 12.7% 17.7% Aug-15 741,138 319,594 264,164 117,579 56,461 77,277 102,345 1,678,559 14.1% 21.1% Sep-15 801,684 373,378 153,886 175,497 41,885 31,570 132,234 1,710,132 12.0% 22.3% Oct-15 736,778 507,615 207,480 87,290 167,632 29,753 157,700 1,894,248 18.7% 23.4% Nov-15 775,537 465,015 340,142 166,822 42,162 136,691 148,664 2,075,032 15.8% 23.8% Dec-15 763,675 522,314 307,850 275,575 92,317 30,476 267,163 2,259,370 17.3% 29.5% Jan-16 900,528 372,632 260,927 190,086 310,562 91,396 260,533 2,386,664 27.8% 35.7% Private Pay 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% Jun-15 477,917 737,329 845,534 658,618 538,474 343,176 1,032,145 4,633,193 41.3% 55.5% Jul-15 579,483 696,526 688,667 737,303 581,349 235,825 1,069,285 4,588,437 41.1% 57.2% Aug-15 485,470 723,980 660,255 704,606 524,067 301,280 1,077,322 4,476,979 42.5% 58.2% Sep-15 869,544 606,526 702,672 506,429 314,357 250,201 989,459 4,239,188 36.7% 48.6% Oct-15 612,402 784,620 493,817 627,140 309,625 188,289 710,332 3,726,225 32.4% 49.3% Nov-15 315,764 550,832 777,370 425,745 293,926 113,308 618,959 3,095,903 33.1% 46.9% Dec-15 462,156 567,175 525,403 818,324 297,950 175,063 488,591 3,334,661 28.8% 53.4% Jan-16 486,187 611,132 562,191 442,054 277,177 142,605 461,439 2,982,785 29.5% 44.4% Physician Revenue Trend Memorial Medical Center As of January 2016 January 2016 2016 YTD PRIOR YEAR TO Memorial Medical Center Clinic 011005 William Crowley $ 451,733 $ 451,733 $ 450,066 019000 Ric Arroyo -Diaz $ 415,995 $ 415,995 $ - 009293 Serina Danielson $ 133,786 $ 133,786 $ 227,599 000966 Thao Truong $ 82,315 $ 82,315 $ - 041743 Angela Dobbins $ 39,877 $ 39,877 $ 35,595 058001 Court Thurlkill $ 11,089 $ 11,089 $ - 002099 Traci Shefcik $ 47,513 $ 47,513 $ - 009292 Charles Fillingane $ - $ - $ 223,618 $ 1,182,308 $ 1,182,308 $ 936,879 21% 21% 17% Memorial Medical Surgical Clinic 022000 Peter Rojas $ 96,541 $ 96,541 $ - $ 96,541 $ 96,541 $ - 2% 2% 0% Hospitalist 130006 Hospitalist $ 747,114 $ 747,114 $ - $ 747,114 $ 747,114 $ - 14% 14% 0% Port Lavaca Clinic 013000 Don Paul Bunnell $ 72,426 $ 72,426 $ 530,946 050001 John Wright $ 449,208 $ 449,208 $ 415,659 019000 Ric Arroyo -Diaz $ - $ - $ 337,089 013001 Leigh Anne Falcon $ 285,825 $ 285,825 $ 153,318 008800 Nirtas Kwi Timu $ 114,646 $ 114,646 $ 151,091 001500 Jewel Lincoln $ 233,006 $ 233,006 $ 97,431 320001 Sharma Odonnell $ 20,387 $ 20,387 $ 31,740 012000 Jeannine Griffin $ 13,028 $ 13,028 $ 44,342 700003 Bludua/Bunnell $ - $ - $ - 320000 John Lee $ $ $ 610000 Craig Shaffer $ $ $ - $ 1,188,526 $ 1,188,526 $ 1,761,616 22% 22% 32% Specialty Clinic 022000 Peter Rojas $ - $ - $ 96,685 012100 Donald Breech $ 58,643 $ 58,643 $ 62,885 000404 Ayo Adu $ 66,363 $ 66,363 $ 80,270 070002 Richard Steinberg $ 24,776 $ 24,776 $ 9,048 525225 AzharMalik MD $ 3,143 $ 3,143 $ 6,504 900000 Dakshesh Parikh $ 2,754 $ 2,754 $ 3,423 057006 A Qadri $ - $ - $ $ 155,679 $ 155,679 $ 258,815 3% 3% 5% -12- Physician Revenue Trend Memorial Medical Center As of January 2016 January 2016 2016 YTD PRIOR YEAR TD Coastal Medical Clinic 011000 Tim McFarland $ 96,491 $ 96,491 $ 50,650 903700 Siver McFarland $ - $ - $ - 000806 William McFarland $ 12,200 $ 12,200 $ 23,309 $ 108,691 $ 108,691 $ 73,959 2% 2% 1% Independent 006000 M S Lin $ 251,569 $ 251,569 $ 164,988 004000 G A Williams $ 5,243 $ 5,243 $ 17,030 310001 Michelle Cummins $ 33,547 $ 33,547 $ 26,459 330000 Nhi Le MD $ 2,856 $ 2,856 $ 2,537 004002 Laura Deming $ - $ - $ - $ 293,215 $ 293,215 $ 211,014 5% 5% 4% Other Medical Staff 065002 George Boozalis $ - $ - $ 4,799 075000 Laborator Ramos $ $ $ - $ $ $ 4,799 0% 0% 0% Total E/R Physicians $ 1,348,520 $ 1,348,520 $ 1,878,532 $ 1,348,520 $ 1,348,520 $ 1,878,532 24% 24% 34% Other Ordering Physicians Other Ordering Physicians $ 293,252 $ 293,252 $ 349,996 004004 Neese/Twin Foun $ 14,893 $ 14,893 $ 48,875 000359 Earnest Alsop $ - $ - $ - 000080 Marcus Caughron $ - $ - $ - 807077 Nilesh Patel $ 57,825 $ 57,825 $ 65,625 800003 Bryan Kestler $ 8,970 $ 8,970 $ - 900327 Dharmendr Verma $ 7,221 $ 7,221 $ 000077 Scott Stein $ 3,478 $ 3,478 $ 900116 Sabbagh Mohamme $ - $ - $ 012102 Jerr Followwill $ $ $ 142001 Greg Cowart $ $ $ - $ 385,639 $ 385,639 $ 464,496 7% 7% 8% Totals $ 5,506,234 $ 5,506,234 $ 5,590,111 -13- Cl ® \ tt \ ))E\\ {k t §{/ - t3#! §}(P(( \ {\)t!\I !]- ,:;!! «]!f§;!E!!!«,,r.:!! \ \ / ®. :.- ��`v;lnil; , --------/}}} ---[[\ §� —14— Payer Mix Memorial Medical Center As of January 31, 2016 Medicare 45.7 43.0 40.3 46.6 41.3 40.1 39.3 38.8 42.1 43.9 46.4 45.9 Medicaid 11.9 11.6 15.2 9.0 8.7 9.6 12.1 13.5 12.0 10.7 12.3 9.6 Blue Cross 16.5 14.3 18.1 17.7 20.0 20.4 18.4 14.4 15.5 16.4 16.5 16.6 Commercial 13.1 12.0 11.2 12.0 15.7 13.4 14.8 15.0 12.2 14.9 12.4 14.2 Private 10.2 10.1 12.3 11.3 10.7 14.0 12.5 16.4 15.4 10.7 9.4 9.9 Other 2.6 9.0 2.9 3.4 3.6 2.5 2.9 1.9 2.8 3.4 3.0 3.8 Medicare Medicaid Blue CrossDommercia Private Other Feb 45.7 11.9 16.5 13.1 10.2 2.6 March 43.0 11.6 14.3 12.0 10.1 9.0 April 40.3 15.2 18.1 11.2 12.3 2.9 May 46.6 9.0 17.7 12.0 11.3 3.4 June 41.3 8.7 20.0 15.7 10.7 3.6 July 40.1 9.6 20.4 13.4 14.0 2.5 August 39.3 12.1 18.4 14.8 12.5 2.9 September 38.8 13.5 14.4 15.0 16.4 1.9 October 42.1 12.0 15.5 12.2 15.4 2.8 November 43.9 10.7 16.4 14.9 10.7 3.4 December 46.4 12.3 16.5 12.4 9.4 3.0 January 45.9 9.6 16.6 14.2 9.9 3.8 -15- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER PAGE 1 TIME:16:26 CHECK REGISTER GLCKREG 01/01/16 TURD 01/31/16 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 000713 01/04/16 370.69 MCKESSON A/P000714 01/04/16 1,622.83 MCKESSON A/P 000715 01/11/16 660.25 MCKESSON A/P 000716 01/11/16 255.15 MCKESSON A/P 000717 01/11/16 351.56 MCKESSON A/P 000718 01/18/16 149.38 MCKESSON A/P 000719 01/18/16 1,293.34 MCKESSON A/P 000720 01/25/16 411.94 MCKESSON A/P 000721 01/25/16 94.81 MCKESSON A/P 000722 01/25/16 306.D9 MCKBSSON A/P 164425 01/05/16 11,309.25 TEXAS PRN A/P 164426 01/06/16 360.00 CHRIS KOVAREK A/P 164427 01/06/16 504.00 DSHS CENTRAL LAB MC2004 A/P 164428 01/06/16 276.09 PHARMEDIVII SERVICES LLC A/P 164429 01/06/16 95,41 WHOLESALE ELECTRIC SUPPLY A/P 164430 01/06/16 1,276.22 CENTURION 14EDICAL PRODUCTS A/P 164431 01/06/16 991.87 DEWITT POTH & SON A/P 164432 01/06/16 165.03 PRECISION DYNAMICS CORP (PDC) A/P 164433 01/06/16 7,703.79 ALBRE NORTH AMERICA INC A/P 164434 01/06/16 .DO VOIDED A/P 164435 01/06/16 15,313.57 MORRIS & DICKSON CO, LLC A/P 164436 01/06/16 672.32 PLATINUM CODE A/P 164437 01/06/16 3,071.44 LUMINANT ENERGY COMPANY LLC A/P 164438 O1/D6/16 32,039.60 NOBLE AMERICAS ENERGY A/P 164439 01/06/16 1,260.00 SIGN AD, LTD. A/P 164440 01/06/16 3,065.80 STRYKER SUSTAINABILITY A/P 164441 01/06/16 125.00 WAGEWORKS A/P 164442 01/06/16 67,903.51 MMC EMPLOYEE BENEFIT PLAN A/P 164443 01/06/16 8,803,15 ACCLARENT, INC. A/P 164444 01/06/16 50.00 THE UPS PRINT STORE A/P 164445 01/06/16 31,911.00 NOVITAS SOLUTIONS -PART A A/P 164446 01/06/16 291,52 BCOLAB EQUIPMENT CARE A/P 164447 01/06/16 211,50 ADVANCED COMMUNICATIONS A/P 164448 01/06/16 421.18 ANGELA DOBBINS A/P 164449 01/06/16 2,680.82 COMBINED INSURANCE CO A/P 164450 01/06/16 2,550.00 MIDWEST HEALTH CARE INC A/P 164451 01/06/16 1,500.00 RADSOURCB A/P 164452 01/06/16 455.95 MY BINDING A/P 164453 01/06/16 377.09 STUDER GROUP, LLC A/P 164454 01/06/16 7,979.97 ITERSOURCE CORPORATION A/P 164455 01/06/16 62,000.00 VICTORIA PROFESSIONAL A/P 164456 01/06/16 35,08 . , A/P 164457 01/06/16 7,942.61 PAETEC A/P 164458 01/06/16 5,670.00 BROAD140OR AT CRBEKSIDE PARK A/P 164459 01/06/16 15.29 GULF COAST HARDWARE / ACE A/P 164460 01/06/16 3,048.49 AIRGAS-SOUTHWEST A/P 164461 01/06/16 1,549.50 ALCON LABORTORIES INC A/P 164462 01/06/16 131,39 AMTEC MEDICAL INC A/P 164463 01/06/16 52.00 ANNOUNCEMENTS PLUS TOO AGAIN A/P 164464 01/06/16 29.99 AUTO PARTS & MACHINE CO. -16- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER TIME:16:26 CHECK REGISTER 01/01/16 THRU 01/31/16 BANK --CHECK________._____.__._____._______________________ CODE NUMBER DATE AMOUNT PAYEE ____________________________________________________________________ A/P 164465 01/06/16 1,561.57 BAXTER HEALTHCARE CORP A/P 164466 01/06/16 11,081.76 BEC1949 COULTER INC A/P 164467 01/06/16 91.28 BRIGGS HEALTHCARE A/P 164468 01/06/16 5.00 CALHOUN COUNTY WASTE MGMT A/P 164469 01/06/16 439.00 CYGNUS MEDICAL LLC A/P 164470 01/06/16 349.76 CONNED CORPORATION A/P 164471 01/06/16 5,580.09 CDW GOVERNMENT, INC. A/P 164472 01/06/16 11,557.02 EVIDENT A/P 164473 01/06/16 460,00 RITA DAVIS A/P 164474 01/06/16 77.35 DOWNTOWN CLEANERS A/P 164475 01/06/16 54,66 FEDERAL EXPRESS CORP. A/P 164476 01/06/16 3,626.56 FISHER HEALTHCARE A/P 164471 01/06/16 250.00 GULF COAST DELIVERY A/P 164478 01/06/16 2,357.39 GULF COAST PAPER COMPANY A/P 164479 01/06/16 257.94 HOLOGIC INC A/P 164480 01/06/16 165.95 HAVEL'S INCORPORATED A/P 164481 01/06/16 7,091,05 HILL -ROM COMPANY, INC A/P 164492 01/06/16 137.75 INDEPENDENCE MEDICAL A/P 164483 01/06/16 4,803.97 BEEFED USA LLC A/P 164484 01/06/16 4,906.29 J & J HEALTH CARE SYSTEMS, INC A/P 164485 01/06/16 1,270.10 SHIRLEY KARNEI A/P 164486 01/06/16 71.67 MARKS PLUMBING PARTS A/P 164487 01/06/16 150.54 MARKETLAB, INC A/P 164488 01/06/16 692.90 MCKESSON MEDICAL SURGICAL INC A/P 164489 01/06/16 127,55 MEDISAFE AMERICA LLC A/P 164490 01/06/16 516.72 BAYER HEALTHCARE A/P 164491 01/06/16 1,759.22 MERRY X-RAY/SOURCEONE HEALTHCA A/P 164492 01/06/16 100.86 MMC VOLUNTEERS A/P 164493 01/06/16 177.63 OFFICE DEPOT A/P 164494 01/06/16 ,00 VOIDED A/P 164495 01/06/16 .00 VOIDED A/P 164496 01/06/16 7,619.92 OWENS & MINOR A/P 164497 01/06/16 23.16 POWER ELECTRIC A/P 164498 01/06/16 970.00 RADIOLOGY UNLIMITED, PA A/P 164499 01/06/16 1,498.33 SMITH & NEPHEW A/P 164500 01/06/16 1,614.00 SO TEX BLOOD & TISSUE CENTER A/P 164501 01/06/16 340.00 STANFORD VACUUM SERVICE A/P 164502 01/06/16 47.40 STRYKER SALES CORP A/P 164503 01/06/16 234.65 STRYKER SALES CORP A/P 164504 01/06/16 75,10 UNIFIRST HOLDINGS A/P 164505 01/06/16 184.96 UNIFORM ADVANTAGE A/P 164506 01/06/16 3,587.15 UNIFIRST HOLDINGS INC A/P 164507 01/06/16 1,485.27 VERIZON SOUTHWEST A/P 164508 01/06/16 24.80 THE VICTORIA ADVOCATE A/P 164509 01/06/16 6,85 PAM VILLAFUERTE A/P 164510 01/06/16 34.00 WATERMARK GRAPHICS INC A/P 164511 01/06/16 127.89 GRAINGER A/P 164512 01/06/16 698.91 ZIMMER US, INC. A/P 164513 01/06/16 350.00 ...___.. A/P 164514 01/06/16 400.00 A/P 164515 01/06/16 49.80 PAGE 2 GLCKREG RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER TIIdE:16:26 CHECK REGISTER 01/01/16 THIS 01/31/16 BANK--CHECK----------------_._____._____--------_..____--- CODE N194BER DATE A14OUNT PAYEE ------------------------ ---------------------"._______------______ A/P 164516 01/06/16 17,392.03 THE BROAD140OR CREEKSIDE A/P 164517 01/13/16 940,22 FILTER TECHNOLOGY CO, INC A/P 164518 01/13/16 12,385.35 US FOOD SERVICE A/P 164519 01/13/16 363.34 14ERCEDES MEDICAL A/P 164520 01/13/16 153.94 CYTO THERM L.P. A/P 164521 01/13/16 225.30 WHOLESALE ELECTRIC SUPPLY A/P 164522 01/13/16 69.80 HEALTH CARE LOGISTICS INC A/P 164523 01/13/16 777.22 CENTURION MEDICAL PRODUCTS A/P 164524 01/13/16 488.84 DEWITT POTH & SON A/P 164525 01/13/16 116.20 PRECISION DYNAMICS CORP (PDC) A/P 164526 01/13/16 .00 VOIDED A/P 164527 01/13/16 20,824.35 14ORRIS & DICKSON CO, LLC A/P 164528 01/13/16 1,303,88 PLATINUM CODE A/P 164529 01/13/16 155.00 SI6IMLER, INC. A/P 164530 01/13/16 295,00 OSCAR TORRES A/P 164531 01/13/16 24,132.00 MMC EMPLOYEE BENEFIT PLAN A/P 164532 01/13/16 7,835.42 HEALTHSTREAM, INC. A/P 164533 01/13/16 95.00 PROCESSOR & CHEMICAL SERVICES A/P 164534 01/13/16 14,372.04 HUNTER PHARMACY SERVICES A/P 164535 01/13/16 15,000.00 VICTORIA PROFESSIONAL MEDICAL A/P 164536 01/13/16 1,496.25 TEXAS PRE A/P 164537 01/13/16 90.00 MR14ORIAL MEDICAL CLINIC A/P 164538 01/13/16 1,457.50 M G TRUST A/P 164539 01/13/16 75.00 FIRST CLEARING A/P 164540 01/13/16 1,012,50 PABLO GARZA A/P 164541 01/13/16 738,65 COURTNE THURLKILL A/P 164542 01/13/16 717.60 ENVIRONMENTAL SAFETY, INC A/P 164543 01/13/16 125.00 BECK AIR CONDITIONING, INC. A/P 164544 01/13/16 50.97 GULF COAST HARDWARE / ACE A/P 164545 01/13/16 64.50 AMBRISOURCBBERGEN DRUG CORP A/P 164546 01/13/16 21.25 ADVANCE MEDICAL DESIGNS INC A/P 164547 01/13/16 59.66 AIRGAS—SOUTHWEST A/P 164548 01/13/16 1,304.59 CARDINAL HEALTH 414,LLC A/P 164549 01/13/16 205.00 APIC A/P 164550 01/13/16 54.66 HARD PERIPHERAL VASCULAR A/P 164551 01/13/16 1,954.4E BECKMAN COULTER INC A/P 164552 01/13/16 75.61 CALHOUN COUNTY A/P 164553 01/13/16 239,66 CARROT TOP INDUSTRIES INC A/P 164554 01/13/16 125,28 CERTIFIED LABORATORIES A/P 164555 01/13/16 9,00 CITIZENS MEDICAL CENTER A/P 164556 01/13/16 1,346.73 CDW GOVERNMENT, INC. A/P 164557 01/13/16 7,762.42 FISHER HEALTHCARE A/P 164558 01/13/16 3,655.48 GULF COAST PAPER C014PANY A/P 164559 01/13/16 163.S9 H E BUTT GROCERY A/P 164560 01/13/16 176.23 HBALTBMARK INDUSTRIES CO INC A/P 164561 01/13/16 316.78 HOSPIRA WORLDWIDE, INC A/P 164562 01/13/16 19.54 INDEPENDENCE MEDICAL A/P 164563 01/13/16 7,741.64 RICOH USA, INC. A/P 164564 01/13/16 5,942.30 WERFEN USA LLC A/P 164565 01/13/16 539.90 JORKSTONE SUPPLY A/P 164566 01/13/16 137.31 LOWE'S HOME CENTERS INC PAGE 3 GLCKREG elm RUN DATE:02/17/16 R1ER40RIAL 14EDICAL CENTER TIME:16:26 CHECK REGISTER O1/O1/16 THRU 01/31/16 BANK--CHECK---------------------------------------------------- CODE NN4BER DATE AMOUNT PAYEE -----------------------------------------------__._. --------- A/P 164567 01/13/16 200.00 MEMORIAL MEDICAL CENTER A/P 164568 01/13/16 83,45 J A MAJORS A/P 164569 01/13/16 6,554.85 14CKESSON MEDICAL SURGICAL INC A/P 164570 01/13/16 .00 VOIDED A/P 164571 01/13/16 5,817,01 OWENS & MINOR A/P 164572 01/13/16 584.50 CULLIGAN OF VICTORIA A/P 164573 01/13/16 600.00 RADIOLOGY UNLIMITED, PA A/P 164574 01/13/16 832.25 SIEMENS MEDICAL SOLUTIONS INC A/P 164575 01/13/16 1,104.88 SYSCO FOOD SERVICES OF A/P 164576 01/13/16 75.10 UNIFIRST HOLDINGS A/P 164577 01/13/16 554.73 UNIFORM ADVANTAGE A/P 164578 01/13/16 4,158.06 UNIFIRST HOLDINGS INC A/P 164579 01/13/16 444.70 UPS A/P 1645BO 01/13/16 61.20 THE UNIFORM CONNECTION A/P 164581 01/13/16 1,090.00 VICTORIA RADIOWORKS, LTD A/P + 164582 01/13/16 1,485,00 CARMEN C. ZAPATA-ARROYO A/P 164584 01/13/16 10.00 - A/P 164585 01/13/16 240.29 CONTINENTAL LIFE INS CO A/P 164586 01/13/16 209.17 A/P 164587 01/13/16 20.00 A/P 164588 01/13/16 557.33 BLUE CROSS BLUE SHIELD A/P 164589 01/13/16 177.00---- --- "------- A/P 164590 01/13/16 119.05 7 ' 7"', A/P 164591 01/13/16 124.42 1............ _ --- A/P 164592 01/13/16 1,600.22 MSC 410834 A/P 164593 01/13/16 50.00 A/P 164594 01/13/16 250,00 1 A/P 164595 01/13/16 174.27 " "1 A/P 164596 O1/13/16 95.62 NGUYEN CHAD A/P 164597 01/13/16 44.40 PRE A/P 164598 01/13/16 41.07 AETNA LIFE INS CO A/P 164599 01/13/16 442.12 ACCENT A/P 164600 01/13/16 283.20 WSP TRICARE FOR LIFE A/P 164601 01/13/16 1,899.37 ARTNA A/P 164602 01/13/16 102.33 UNITED HEALTHCARE A/P 164603 01/13/16 76.32 ---- "" ""----- A/P 164604 01/13/16 2,991.59 WILLIAM J CROWLEY DO A/P 164605 01/13/16 163.68 UNITED HEALTHCARE MEDIC A/P t 164606 01/13/16 32,64 TX MEDICAID & HEALTHCAR A/P 164608 01/14/16 5,694.00 GBS ADMINISTRATORS, INC A/P 164609 01/20/16 2,626.58 PHILIPS HEALTHCARE A/P 164610 01/20/16 151.96 ERNE USA INC SURGICAL SYSTEMS A/P 164611 O1/20/16 594.91 MERCEDES MEDICAL A/P 164612 01/20/16 750.00 A/P 164613 01/20/16 308.00 INCISIVE SURGICAL A/P 164614 01/20/16 821,50 CENTURION MEDICAL PRODUCTS A/P 164615 01/20/16 668.10 DEWITT POTH & SON A/P 164616 01/20/16 59.43 PRECISION DYNAMICS CORP (PDC) A/P 164617 01/20/16 2,340,81 CARDMEMBER SERVICES A/P 164618 01/20/16 143.01 PURE FORCE A/P 164619 01/20/16 .00 VOIDED PAGE 4 GLCKREG -19- RUN DATB:02/17/16 MEMORIAL MEDICAL CENTER TRdE:16:26 CHECK REGISTER 01/01/16 TURD 01/31/16 BANK —CHECK _-_- ------------------------------------- CODE NUI4BER DATE AMOUNT PAYEE -------------------------------------------------------------------. A/P 164620 01/20/16 36,365.95 MORRIS & DICKSON CO, LLC A/P 164621 01/20/16 643.59 PLATINUI4 CODE A/P 164622 01/20/16 41.01 CENTURYLINK A/P 164623 01/20/16 495,00 FASTNEALTH CORPORATION A/P 164624 01/20/16 108.54 A/P 164625 01/20/16 6,756.91 CLINICAL PATHOLOGY A/P 164626 01/20/16 38,239.25 MC EMPLOYEE BENEFIT PLAN A/P 164627 01/20/16 28,166.84 ALLIED BENEFIT SYSTEMS A/P 164628 01/20/16 190.95 RECALL SECURE DESTRUCTION SRV A/P 164629 01/20/16 1,716,95 WAGEWORKS A/P 164630 01/20/16 1,333,33 SIEMENS FINANCIAL SERVICES A/P 164631 01/20/16 6,145.37 BAN( OF THE WEST A/P 164632 01/20/16 29.16 VICKIB BROOME A/P 164633 01/20/16 957.50 M G TRUST A/P 164634 01/20/16 1,997,15 RRVCYCLB+, INC. A/P 164635 01/20/16 425,00 SHIFTHOUND A/P 164636 01/20/16 7,682.67 CSI LEASING INC A/P 164637 01/20/16 4,050.00 RECONDO A/P 164638 01/20/16 522.74 THE GALLERY COLLECTION A/P 164639 01/20/16 142.05 ADVANCED C0114UNICATIONS A/P 164640 01/20/16 7,524.00 WBBPT, INC A/P 164641 01/20/16 1,629.25 PERSONNEL CONCEPTS A/P 164642 01/20/16 150.00 MIDWEST HEALTH CARE INC A/P 164643 01/20/16 75.00 FIRST CLEARING A/P 164644 01/20/16 594.00 TRIZETTO PROVIDER SOLUTIONS A/P 164645 01/20/16 1,177.50 PABLO GARZA A/P 164646 01/20/16 1,575.00 FUSION MEDICAL STAFFING, LLC A/P 164647 01/20/16 662.27 MARLIN BUSINESS BANK A/P 164648 01/20/16 29,62 STUDER GROUP, LLC A/P 164649 01/20/16 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 164650 01/20/16 304.96 MEDICAL DATA SYSTEMS, INC. A/P 164651 01/20/16 147.93 GULF COAST HARDWARE / ACE A/P 164652 01/20/16 795.00 ALCON LABORATORIES INC A/P 164653 01/20/16 2,025.53 AIRGAS-SOUTHWEST A/P 164654 01/20/16 644,68 ALII4ED INC. A/P 164655 01/20/16 19.34 AQUA BEVERAGE COMPANY A/P 164656 01/20/16 522.37 ARROW INTERNATIONAL INC A/P 164657 01/20/16 440.61 BAXTER HEALTHCARE CORP A/P 164658 01/20/16 593.51 BECKMAN COULTER INC A/P 164659 01/20/16 656.00 BOSTON SCIENTIFIC CORPORATION A/P 164660 01/20/16 220,25 BRIGGS HEALTHCARE A/P 164661 01/20/16 1,400.00 CABLE ONE A/P 164662 01/20/16 25.00 CAL COM FEDERAL CREDIT UNION A/P 164663 01/20/16 29.16 1 A/P 164664 01/20/16 295.00 CENTRAL DRUGS A/P 164665 01/20/16 6,395,72 COW GOVERNMENT, INC. A/P 164666 01/20/16 75.00 DOWNTOWN CLEANERS A/P 164667 01/20/16 2,654.25 FISHER HEALTHCARE A/P 164668 01/20/16 238.00 HE MEDICAL SYSTEMS, INFO TECH A/P 164669 01/20/16 9,402.39 GULF COAST PAPER COMPANY A/P 164670 01/20/16 201.00 INTEGRATED MEDICAL SYSTEMS PAGE 5 GLCKREG -20- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER PAGE 6 TIME;16:26 CHECK REGISTER GLCKREG O1/01/16 TURN 01/31/16 BANK --CHECK______________________________________________ CODE NUMBER DATE AMOUNT PAYEE _______________________________________________________________________________________________ A/P 164671 01/20/16 976.44 J & J HEALTH CARE SYSTEMS, INC A/P 164672 01/20/16 1,425.10 SHIRLEY KARNEI A/P 164673 01/20/16 96.50 LABCORP OF AMERICA HOLDINGS A/P 164674 01/20/16 158.96 MARKS PLUMBING PARTS A/P 164675 01/20/16 21.62 MCKESSON MEDICAL SURGICAL INC A/P 164676 01/20/16 56,44 MATTHEW BENDER & CO.,INC. A/P 164677 01/20/16 41.27 MEDLINE INDUSTRIES INC A/P 164678 O1/20/16 985,17 MERRY X-RAY/SOURCEONE HEALTHCA A/P 164679 01/20/16 595.00 NATIONAL RECALL ALERT CENTER A/P 164660 01/20/16 .00 VOIDED A/P 164681 01/20/16 1,324.25 OWENS & MINOR A/P 164682 01/20/16 207.00 PITNEY ROBES INC A/P 164683 01/20/16 1,516.95 PORT LAVACA WAVE A/P 164684 01/20/16 11.18 POWER ELECTRIC A/P 164685 01/20/16 37.50 RED HAWK A/P 164686 01/20/16 43.80 RECEIVABLE MANAGEMBNT, INC A/P 164687 01/20/16 6,000.00 SOUTHEAST TEXAS HEALTH SYS A/P 164688 01/20/16 1,665.00 SO TEX BLOOD & TISSUE CENTER A/P 164689 01/20/16 88.86 DANETTE BETHANY A/P 164690 01/20/16 2,637L24 STERICYCLE, INC A/P 164691 01/20/16 300.26 TG A/P 164692 01/20/16 18,800.00 T-SYSTEM, INC A/P 164693 01/20/16 434.97 TRANS U. S. INC. A/P 164694 01/20/16 5,967.98 UNUM LIFE INS CO OF AMERICA A/P 164695 01/20/16 75.10 UNIFIRST HOLDINGS A/P 164696 01/20/16 3,188.27 UNIFIRST HOLDINGS INC A/P " 164697 01/20/16 1,200.00 US POSTAL SERVICE A/P 164698 01/20/16 300.00 US POSTAL SERVICE A/P 164699 01/20/16 90.11 THE VICTORIA ADVOCATE A/P 164700 01/20/16 261.00 VICTORIA AIR CONDITIONING LTD A/P 164701 01/20/16 36.18 '........ ._ A/P 164702 01/20/16 195.17 TMHP A/P 164703 01/20/16 536.82 TRICARE REFUNDS A/P 164704 01/20/16 252.54 A/P 164705 01/20/16 92.44 A/P 164706 01/20/16 25.00 A/P 164707 01/20/16 117.60 A/P 164708 O1/20/16 50.00 A/P 164709 01/20/16 50,00 A/P 164710 01/20/16 222.00 A/P 164711 01/20/16 48.80 PHYSICIAN'S MUTUAL A/P 164712 01/20/16 907.00--------- ---- A/P 164713 01/20/16 42.86 A/P 164714 01/20/16 10.05 A/P 164715 01/20/16 12.05 A/P 164716 01/20/16 26.49 A/P 164717 01/20/16 168.88 A/P 164718 01/20/16 380.00 A/P 164719 01/20/16 59.02 ; A/P 164720 01/20/16 448.29 A/P 164721 01/20/16 130.50 -21- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER PAGE 7 TIME: 16; 26 CHECK REGISTER GLCKREG 01/01/16 THRU 01/31/16 BANK -'CHECK----------------------------------_____-_------__ CODE NUMBER DATE AMOUNT PAYEE ____________________________________________________________________________________________________________________________________ A/P 164722 01/20/16 196.24 A/P 164723 01/20/16 249.96 A/P 164724 01/20/16 21.04 A/P 164725 01/20/16 157.07 A/P 164726 01/20/16 81.01 A/P 164727 01/20/16 440.07 A/P 164728 01/20/16 100.00 A/P 164729 01/20/16 87,37 A/P 164730 01/20/16 46,32 A/P 164731 01/20/16 560.00 A/P 164732 O1/20/16 259,41 A/P 164733 01/20/16 16.84 A/P 164734 01/20/16 17.94 A/P 164735 01/20/16 50.87 A/P 164736 01/20/16 62,34 A/P 164737 01/20/16 100.00 A/P 164738 01/20/16 44,31 A/P 164739 01/20/16 68.44 A/P 164740 01/20/16 75,83 A/P 164741 01/20/16 256.48 A/P 164742 01/20/16 352.80 A/P 164743 01/20/16 658,00 A/P 164744 01/20/16 99.14 A/P 164745 01/20/16 50.00 A/P 164746 91/20/16 211.67 A/P 164747 01/20/16 128,62 A/P 164740 01/20/16 390.88 A/P 164749 01/20/16 20,35 . A/P 164750 01/20/16 11.92 A/P 164751 01/20/16 10,874.96 TEXAS ASSOCIATION OF COUNTIES A/P 164752 01/28/16 81.14 CUSTOM MEDICAL SPECIALTIES A/P 164753 01/28116 9,878.21 US FOOD SERVICE A/P 164754 01/28/16 609.00 MERCEDES MEDICAL A/P 164755 01/28/16 2,073.36 PRINCIPAL LIFE A/P 164756 01/28/16 1,146.70 CENTURION MEDICAL PRODUCTS . A/P 164757 01/28/16 .00 VOIDED A/P 164758 01/28/16 2,097.48 DENITT TOTH & SON A/P 164759 01/28/16 .00 VOIDED A/P 164760 01/28/16 17,000.05 MORRIS & DICKSON CO, LLC A/P 164761 01/28/16 823.49 PLATINU14 CODE A/P 164762 01/28/16 1,200.00 TELE-PHYSICIANS, P.A. (TX) A/P 164763 01/20/16 166.43 STRYKER SUSTAINABILITY A/P 164764 01/28/16 71,619.12 MMC EMPLOYEE BENEFIT PLAN A/P 164765 01/28/16 3,165.34 NOVA BIOMEDICAL A/P 164766 O1/28/16 274.12 GENESIS DIAGNOSTICS A/P 164767 01/28/16 18,726.71 AESYNT, INC. A/P 164768 01/28/16 1,840.24 AIRESPRING INC A/P 164769 01/28/16 29,16 A/P 164770 01/28/16 301.32 TELBVOX A/P 164771 01/2B/16 3,690.52 TEXAS ADVANTAGE COMMUNITY BANK A/P 164772 01/28/16 29.16 DBBRA MUSTERED -22- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER TIME:16:26 CHECK REGISTER O1/01/16 THEN 01/31/16 BANK--CHCK ---------------------------------------------------- CODE NUMBER DATE P240UNT PAYEE ----------------------------------------------- -------------------- A/P 164773 01/28/16 105.82 GULF COAST HARDWARE / ACE A/P 164774 01/28/16 1,254.68 N49RISOURCEBERGEN DRUG CORP A/P 164775 01/28/16 832.09 AIRGAS-SOUTHWEST A/P 164776 01/28/16 45.02 CAREFUSION A/P 164771 01/20/16 3,000.23 BAXTER HEALTHCARE CORP A/P 164770 01/28/16 6,026.00 BECKMAN COULTER INC A/P 164779 O1/28/16 219.18 BAYMEDICAL PRODUCTS A/P 164780 O1/29/16 396.95 BOSART LOCK & KEY INC A/P 164781 01/28/16 209.00 BOSTON SCIENTIFIC CORPORATION A/P 164782 01/28/16 669.00 BENTLEY & SMART A/P 164783 01/28/16 635.35 CABLE ONE A/P 164784 01/28/16 263.00 CYGNUS MEDICAL LLC A/P 164785 01/28/16 147.00 CITIZENS MEDICAL CENTER A/P 164796 01/29/16 124.70 CDW GOVERNMENT, INC. A/P 164797 01/28/16 3,910.00 EDWARDS PLUMBING INC A/P 164788 01/29/16 25.63 FEDERAL EXPRESS CORP. A/P 164789 01/28/16 2,251.82 FISHER HEALTHCARE A/P 164790 01/28/16 530.00 FORT BEND SERVICES, INC A/P 164791 01/28/16 104.04 GETINGE USA A/P 164792 01/28/16 350.46 GULF COAST PAPER COMPANY A/P 164793 01/28/16 91.86 INDEPENDENCE MEDICAL A/P 164794 01/29/16 114,42 LAERDAL MEDICAL CORPORATION A/P 164795 01/28/16 83,60 MARTIN PRINTING CO A/P 164796 01/28/16 104.95 MEDIBADGE A/P 164797 01/28/16 246.00 BAYER HEALTHCARE A/P 164798 01/28/16 233.77 MNC AUXILIARY GIFT SHOP A/P 164799 01/28/16 258.52 METLIFE A/P 164800 01/20/16 442.78 MERRY X-RAY/SOURCEONE HEALTHCA A/P 164801 01/28/16 3,000.00 NUTRITION OPTIONS A/P 164802 01/29/16 7,112.98 OWENS & 14INOR A/P 164803 01/28/16 5,100.00 PREMIER SLEEP DISORDERS CENTER A/P 164804 01/20/16 79.88 SHERWIN WILLIAMS A/P 164805 01/28/16 2,028.16 SYSCO FOOD SERVICES OF A/P 164806 01/29/16 879.08 STERICYCLE, INC A/P 164807 01/28/16 31.10 ERIN CLEVENGBR A/P 164808 01/28/16 75.10 UNIFIRST HOLDINGS A/P 164809 O1/28/16 1,944.14 UNIFIRST HOLDINGS INC A/P 164810 01/28/16 555.91 UPS A/P 164811 01/28/16 24.80 THE VICTORIA ADVOCATE A/P 164912 01/28/16 977.07 WALMART COMMUNITY A/P 164913 01/29/16 47,182.84 MM4C EMPLOYEE BENEFIT PLAN TOTALS: 1,052,467.57 PAGE 8 GLCKREG -23- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER TINE;16:26 CHECK REGISTER 01/01/16 THRU 01/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE A14OUNT PAYER ----------------------------------------------- --------------- ICP 011788 01/29/16 1,418,51 PORT LAVACA CLINIC ASSOC, PA ICP 011789 01/29/16 139,28 RADIOLOGY UNLIMITED PA ICP 011790 01/29/16 115.28 REGIONAL EMPLOYEE ASSISTANCE ICP 011791 01/29/16 502.27 VICTORIA EYE CENTER ICP 011792 01/29/16 3,664.67 MEMORIAL ME➢ICAL CENTER ICP 011793 01/29/16 14,225.29 MEMORIAL MEDICAL CENTER ICP 011794 01/29/16 1,253.83 MEMORIAL MEDICAL CLINIC ICP 011795 01/29/16 139.58 ADO SPORTS MEDICINE CLINIC ICP 011796 01/29/16 285.53 VICTORIA PROFESSIONAL MEDICAL TOTALS: 21,744.24 PAGE 9 GLCKREG -24- RUN DATE:02/17/16 MEMORIAL MEDICAL CENTER TI149:16:26 CHECK REGISTER 01/01/16 THRU 01/31/16 BANK --CHECK -------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ------------------------------------------------------ ------ PR- a 000000 01/28/16 2,341.10 PAY-P.01/08/16 01/21/16 PR- 061784 01/14/16 713.21 PAY-P.12/25/15 01/07/16 PR- 4 061785 01/28/16 482.46 PAY-P.01/08/16 01/21/16 PR- 999999 01/14/16 531,795.53 TOTALS: 535,332.30 PAGE 10 GLCKRBG -25- RUN DATE: 02/17/16 MEMORIAL MEDICAL CENTER PAGE 1 TIME: 10:53 DEFAULT FORMAT FROM DBO19 PRTitle REGISTERED NURSE ➢EPART14ENTAL ASSIST ASST PURCHASE BUYER CENTRAL STERILE TECH PURCHASING SUPERVISR IP/EH/RM NURSE REGISTERED NURSE FOOD SERVICE STAFF 0 R AIDE SHIFT SUPERVISOR -AM REGISTERED NURSE MANAGER-SURGERY-OPC PAYROLL CLERK REGISTERED NURSE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE DIRECTOR OF INPT SVC REGISTERED NURSE LICENSED VOCATIONAL ADMINIST ASSISTANT REGISTERED NURSE REGISTERED NURSE PRE -ADMISSION NURSE REGISTERED NURSE LICENSED VOCATIONAL RADIOLOGICAL TECH MICRO MT REFERRAL SPECIALIST MEDICAL LAB TECH LAB DIRECTOR LAB ASSISTANT MEDICAL LAB TECH MEDICAL TECHNOLOGIST REGISTERED NURSE PT TECH II REGISTERED NURSE TRANSCRIPTIONIST-RIC REGISTERED NURSE REGISTERED NURSE ED MANAGER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CNO-DIRECTOR OF QA REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL PRACT ADMINISTRATOR REGISTERED NURSE PRDeptName EMERGENCY ROOM MAINTENANCE CENTRAL SUPPLY SURGERY CENTRAL SUPPLY INFECTION PREVENTION MED/SURG DIETARY SURGERY ENVIRONMENTAL SERVICES SURGERY SURGERY ACCOUNTING MED/SURG OBSTETRICS NED/SURG ICU OBSTETRICS EMERGENCY ROOM MED/SURG OBSTETRICS MED/SURG ADMINISTRATION EMERGENCY ROOM ICU SURGERY SURGICAL CLINIC SURGERY DIAGNOSTIC IMAGING LABORATORY 104ORIAL MEDICAL CLINIC LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY EMERGENCY ROOM PHYSICAL THERAPY MED/SURG HEALTH INFORMATION MANAGEMENT OBSTETRICS OBSTETRICS EMERGENCY ROOM MED/SURG OBSTETRICS OBSTETRICS OBSTETRICS OBSTETRICS QUALITY ASSURANCE SURGERY MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC ICU PRTotGross 5520.43 2618.85 2312.76 2935.79 3580.96 5845.25 2023.50 1573.83 1789.83 2453.57 478.50 6718.12 3663.79 5567.98 3349.56 3825.21 428.25 3019.64 8058.63 6108.20 5465.89 2638.77 3497.80 1270.26 4598.45 3602.01 6221.49 4159.32 6123.06 554.03 2437.93 726.75 4969.00 3113.90 3975.98 5542.87 4658.38 1966.94 1330.50 2063.16 5237.30 5649.77 6483.30 1438.88 5601.41 487.44 1907.50 4941.21 6988.20 5538.91 3544.80 734.63 7332.20 4611.91 -26- RUq DATE: 02/17/16 MEMORIAL MEDICAL CENTER PAGE 2 TIME: 10:53 DEFAULT FORMAT FROM DBO19 PRTitle MEDICAL LAB TECH NURSE PRACTIONER LICENSED VOCATIONAL CERTIFIED NURSE AIDE SUPERVISOR LVN/RPhT REGISTERED NURSE CASE MANAGER/UR/DP REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE LICENSED VOCATIONAL CERTIFIED NURSE AIDE FAM NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE REGISTERED NURSE 0 R TECH REGISTERED NURSE RN-PERIOPERATIVE PRESCRIPTION CLERK COURIER -CS TECH CENTRAL SUPPLY TECH REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE PRDeptName LABORATORY MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG PHARMACY MED/SURG UTILIZATION REVIEW MED/SURG MED/SURG OBSTETRICS MED/SURG NEWBURG MED/SURG MED/SURG MED/SURG MED/SURG ICU MED/SURG MED/SURG MED/SURG ICU EMERGENCY ROOM MED/SURG MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG EMERGENCY R0014 MEMORIAL MEDICAL CLINIC MED/SURG NEWBURG 1EMORIAL MEDICAL CLINIC MED/SURG MEMORIAL MEDICAL CLINIC EMERGENCY ROOM ICU ICU ICU ICU ICU ICU SURGERY SURGERY SURGERY SURGERY SURGERY INDIGENT CARE PROGRAM CENTRAL SUPPLY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM PRTotGross 182.25 7538.40 48.00 1633.13 3213.79 3614.75 4451.28 3807.47 5288.39 5112.54 1308.25 1435.58 4914.47 2118.51 1261.63 4512.52 4351.34 1501.25 1950.85 4284.28 5046,04 1602.51 1048.25 2605.40 3506.15 2523.27 3429.59 2453.20 4691.27 2493.91 1619.38 2467.42 2755.28 1571,86 7538.40 5708.90 5245.31 4635.82 4003.90 5204.02 5654.20 4671.51 4590.71 5595.92 2527,74 5844.28 6073.58 268.61 1650.64 1756.20 7011.43 1854.51 3683.69 3375.00 630.50 -27- RUN D�Tf: R2/17/16 MEMORIAL MEDICAL CENTER PAGE 3 TIME: 10:53 DEFAULT FORMAT FROM DBO19 PRTitle REGISTERED NURSE REGISTERED NURSE CLINIC COORDINATOR MT TECH SUPERVISOR MEDICAL TECHNOLOGIST MEDICAL LAB TECH LABORATORY ASSISTANT REGISTERED NURSE MEDICAL LAB TECH MEDICAL LAB TECH LABORATORY ASSISTANT LAB ASSISTANT LABORATORY ASSISTANT LAB ASSISTANT MEDICAL TECHNOLOGIST LAB ASSISTANT LAB ASSIST/SECRETARY 14EDICAL LAB TECH MEDICAL LAB TECH LAB ASSISTANT REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE RADIOLOGICAL TECH RADIOLOGICAL TECH RECEPT/SECRETARY DIRECTOR DIAG IMAG SUPERVISOR RADIOLOGY TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH LVN-CHG-CHART AUDITR REGIST PHARMACY TECH REG PHARMACY TECH RECEPTIONIST RECEPT/MEDICAL ASST LICENSED VOCATIONAL MEDICAL ASSISTANT MEDICAL ASSISTANT RECEPTIONIST INSURANCE CLERK RECEPTIONIST OUT -PT COORDINATOR RECEPTIONIST PHYSICIAN ASSISTANT MEDICAL ASSISTANT RECEPTIONIST MEDICAL ASSISTANT PT ASSISTANT PT TECHNICIAN PRDeptName EMERGENCY ROOM EMERGENCY ROOM SPECIALTY CLINIC LABORATORY LABORATORY LABORATORY LABORATORY MED/SURG LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY MED/SURG MEMORIAL MEDICAL CLINIC EMERGENCY ROOM DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC I14AOING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC I14AGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING PHARMACY PHARMACY PHARMACY MEMORIAL 14EDICAL CLINIC MEMORIAL MEDICAL CLINIC ME1ORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC SPECIALTY CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL 14EDICAL CLINIC PHYSICAL THERAPY PHYSICAL THERAPY PRTotGross 5510,27 4589.76 4752.18 4230.95 3822.08 3078.00 2927.75 4271.70 3470.50 3519,34 692.75 2227.42 1088.38 1134.00 953.26 562.00 2375.12 3410,89 4493.56 2486.09 1175.25 2195.86 4080.63 5434.35 648.00 2062.36 6538,31 7042.91 6587.35 3366.64 381.50 3960.78 2777,16 3549.64 3665.24 3403.26 2731.27 3088.50 3140.07 2475.89 93.52 3016.20 1760.16 1726.01 2232.55 2322.19 1811.74 1828.44 1516.30 6491.40 2073.90 1377.52 1601,75 4801.09 637.36 190 RUM D�T{: 02/17/16 MEMORIAL MEDICAL CENTER PAGE 4 TIME: 10:53 DEFAULT FORMAT FROM DBO19 PRTitle OCCUPATION THERAPIST DIRECTOR OF IT REGISTERED NURSE PT TECH 1 PT ASSISTANT IT ASSISTANT PT TECHNICIAN DIRECTOR CIHCP COORDINATOR DISCHARGE ANALYST BR -ER CODING SPCLST HIM SPECIALIST MEDICAL ASSISTANT FOOD SERVICE STAFF ES AIDE FOOD SERVICE STAFF RECEPTIONIST -PBX SHIFT SUPERVISOR FOOD SERVICE STAFF DIETARY DIRECTOR FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF SECURITY OFFICR BIO-MED TECHNICIAN BIO-MED TECHNICIAN SUPERVISOR SECURITY SUPERVISOR ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE ES AIDE ES AIDE ES AIDE LICENSED VOCAT NURSE REGISTRATION CLERK ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE ES AIDE SECURITY OFFICER PLANT UPS SPECIALIST SELF PAY CLERK RECEPTIONIST/INS ADJ OFFICE MANAGER REGISTRATION CLERK REGISTRATION CLERK CASHIER -SWITCHBOARD INSUR COORDINATOR RECEPTIONIST TEAM LEADER PRDeptName PHYSICAL THERAPY PHYSICAL THERAPY OBSTETRICS PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY BEHAVIORAL HEALTH INDIGENT CARE PROGRAM HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT MEMORIAL MEDICAL CLINIC DIETARY ENVIRONMENTAL SERVICES DIETARY MEMORIAL 14EDICAL CLINIC DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY MAINTENANCE SECURITY BID MEDICAL ENGINEERING BID MEDICAL ENGINEERING MAINTENANCE SECURITY ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES MED/SURG PPS - REGISTRATION ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES SECURITY MAINTENANCE PATIENT FINANCIAL SERVICES MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES MEMORIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PRTotGross 6251.96 9081.56 10451.27 1227.18 4137.25 4204.47 1755.00 2831.06 1779.84 1702.35 990.07 2623.50 1245.22 2506.77 1582.24 2081.65 1473.49 1791.04 2152.19 1731.57 3353.00 1633.61 1691.34 1344.78 2315.08 665.18 247.50 4474.60 4460.44 2665.48 1306.69 1974.03 2644.54 1624.22 1521.11 1560.65 1694.62 2131.71 2092.67 1917.89 1804.80 2017.53 1363.25 1617.47 2078.46 3478.00 1867.46 123.44 2565.00 1813.86 1962.32 1743.38 1829.80 2337.80 2403.60 -29- RUA; DTP: 0,2/17/16 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 10:53 DEFAULT FORMAT FROM DBO19 PRTitle REGISTRATION CLERK PFS DIRECTOR REGISTRATION CLERK REGISTERED NURSE OFFICE COORDINATOR REGISTRATION CLERK CLINICAL IT SPEC. REGISTRATION CLERK SECURITY OFFICER CIHCP RX CLERK DIRECTOR OF HIM MEDICAID COORDINATOR REGISTRATION CLERK MEDICARE COORDINATOR TRAUMA COORDINATOR RADIOLOGICAL TECH REGISTRATION CLERK I.T. DIRECTOR IT SYSTEM ANALYST REGISTERED NURSE ACCOUNTANT ASSIST ADMINISTRATOR C.F.O. C.E.O. ADMIN ASST TO AA-CNO SPECIAL PROJECTS NOR Grand totals Total lines = 245 PRDeptName PFS - REGISTRATION PATIENT FINANCIAL SERVICES PFS - REGISTRATION EMERGENCY ROOM PHYSICAL THERAPY PFS - REGISTRATION ADMINISTRATION -CLINICAL SERVIC PFS - REGISTRATION SECURITY INDIGENT CARE PROGRAM HEALTH INFOF14ATION MANAGEMENT PATIENT FINANCIAL SERVICES PFS - REGISTRATION PATIENT FINANCIAL SERVICES EMERGENCY ROOM DIAGNOSTIC IMAGING PFS - REGISTRATION INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY EMERGENCY ROOM ACCOUNTING ADMINISTRATION ADMINISTRATION ADMINISTRATION ADMINISTRATION -CLINICAL SERVIC ADMINISTRATION PRTotGross 2095.37 3300.20 1640.28 1018.84 2162.80 1584.61 4287.36 924.81 2034.82 2267.56 2902.60 1410.17 1184.72 2138.45 5856.77 3905.29 946.90 5574.12 4954.32 1884.06 4621.00 9137.00 10794.21 14350.00 2232.15 3081.54 778559.72 -30- ,, t ©IHS Issued 02/17/16 Source Description 01 Physician Services 08 Rural Health Clinics Source Totals Report Calhoun Indigent Health Care Batch Dates 02/16/2016 through 02/16/2016 For Vendor: All Vendors Amount Billed Expenditures Reimb/Adjustments Grand Total —31- 5,556.00 615.00 6,171.00 0.00 6,171.00 Payroll/Expenses Applied Copays Monthly Total Fiscal Year Total Amount Paid 1,031.34 388.55 1,419.89 0.00 1,419.89 7,126.05 <260.00> 8,285.84 8,285.84 Calhoun County Indigent Care Patient Caseload Approved Denied Removed Active Pending January 4 5 3 58 6 February March April May June July August September October November December YTD 4 5 3 58 6 Monthly Avg 4 5 3 58 6 December 2015 Active 57 -32- AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD MARCH 16, 2016 THROUGH APRIL 15, 2016. Commissioner Fritsch made a motion to accept the low bid from Diebel Oil of $1.64 per gallon for Diesel fuel and for $1.62 per gallon for Regular Unleaded to be delivered for the period March 16, 2016 through April 15, 2016. Commissioner Galvan seconded the motion. Commissioners Galvan, 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 RE: AGENDA ITEM FOR MARCH 10, 2016 COMMISSIONERS' COURT MEETING AGENDAITEM 1 1 ® Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning March 16, 2016 and ending April 15, 2016. Fuel -Bulk Delivered Diesel Fuel — Diebel Oil Company Inc was the Only Bid - $1.64/gallon Regular Unleaded — Diebel Oil Company Inc was the Only Bid - $1.62/gallon 99 LL! w LU J W CO J W Z) LL w V Vt Rio ro a CALHOUN COUNTY, TEXAS BID SHEET- BIOBER OIEBEL OIL CO INC SAM MEBEL PO BOX 71 POBTLAVACA TX 11070 010 ITEM FUEL -BULK DELIVERED PEflIOD FROM: MARCH 16, 2016 PERIOD TO: APRIL 15, 2016 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL PFEIFER, C4LHOUIV COUN77JUDGE-27l SANN ST, 3RD FLOOR, ROOM301, PORTLA VACA TY 7797P BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED B/D- (FUEL-BGLk'1>L'C�VERED 8 BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: /0.00AM, THURSDAY, MARCH 3, 2016 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, MARCH 10, 2016 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 BID/TEN: FUEL -BULK DELIVERED DEPARTMENT.• VARIOUS DELIVERY FOB COUNTY FUEL TANKS DESTINATION VARIOUS ----------------------------------------------- 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 Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT pp %/ UNIT PRICE l,l GALLON ,D I ----------------------------------------------- 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/Environmental 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 r± GALLON DATE OF BUJ: 1; 3 - Ito AUTHORMDSICUM AND TALE: l � PRINT NAME � Aj,, i F_{;,eC. TELEPHONENUMBUL PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIFICATIONS: PRESENTATION FROM ROBERT RUIZ, RISK MANAGEMENT CONSULTANT — SOUTHEAST, TEXAS ASSOCIATION OF COUNTIES REGARDING RISK CONTROL REIMBURSEMENT PROGRAM (RCRP) OVERVIEW, ELIGIBILITY, TIMELINE, AND APPLICATION PROCESS: Robert Ruiz, Risk Management Consultant of Southeast Texas Association of Counties addressed the Court to inform them of the new Risk Control Reimbursement Program (RCRP) overview, eligibility, timeline, and application process. Susan Riley From: Mike Pfeifer <mike.pfeifer@calhouncotx.org> Sent: Thursday, March 03, 2016 8:27 AM To: 'Susan Riley' Subject: FW: Request to be placed on 3110/16 Commissioners' Court Agenda From: Robert Ruiz [mailto:RRuiz@county.org] Sent: Wednesday, March 02, 2016 1:57 PM To: Michael Pfeifer (mike.pfeifer@calhouncotx.org) Subject: Request to be placed on 3/10/16 Commissioners' Court Agenda Judge Pfeifer: I would like to respectfully request that I be placed on the agenda for Commissioners' Court on March loth. I would like to make a presentation to Calhoun County on the recently released Risk Control Reimbursement Program (RCRP). The presentation is informational only and does not require any action to be taken. I will be presenting an overview of the RCRP, eligibility, timeline, application process and other details to the court. I would anticipate this taking 10 minutes at most, pending any questions. There will not be a visual presentation (i.e. PowerPoint), just handouts Respectfully, Robert Ruiz, MBA, CRM, C[C Risk Management Consultant -Southeast Texas Association of Counties Risk Management Services 1210 San Antonio Austin, Tx 78701 (512) 779-3621 Mobile RRuiz@county,org CONFIDENTIALITY NOTICE: If you have received this email in error, please immediately notify the sender by email at the address shown. This email transmission may contain confidential information. This information is anticipated only for the use of the individual(s) or entity to who it is intended for, even if addressed incorrectly. Please delete it from your files if you are not the intended recipient. Thank you for your compliance and cooperation. RECOMMENDATION NOTICE: Please note that any feedback or recommendation provided in this email Is not an official TAC requirement, but meant merely as a risk management best practice for our members to consider. Each risk scenario is unique and members must evaluate it on its own merit(s) and decide what course of action is best for the member. Please consult with your county attorney regarding any legal matters. This email is in noway intended or should be construed as legal advice. This email is not an official determination of coverage as a claim must be properly filed in order to investigate the claim and then determine what coverage could apply. "Vaudace, l'audace, toujours Paudace." Members of the Texas Association of Counties Risk Management Pool enjoy an array of benefits, including coverage tailored to meet the needs of Texas counties, valuable risk control services and excellent customer service. More information and forms at www.county.org/rcrp. RISK CONTROL REIMBURSEMENT PROGRAM The TAC Risk Management Pool's new Risk Control Reimbursement Program (RCRP) assists Texas counties in creating, enhancing and maintaining effective risk control programs. This voluntary program allows TAC RMP members participating in qualified lines of coverage to seek reimbursement for the costs associated with implementing approved risk control projects. The RCRP offers two participation options: the Risk Management Program and Law Enforcement Program. Risk Management Program - Available to TAC RMP members participating in the Auto Liability (AL), Workers' Compensation (WC), Public Officials Liability (PO) and Property (PR) programs Law Enforcement Program -Available to TAC RMP members participating in Law Enforcement Liability (LE) Program. Now the Program Worifs 1. Qualified applicants must submit an RCRP Application and Project Request Form for each project by July 1, 2016. The form can be found online at www.county.org/rcrp and should be mailed to: TAC Risk Control Services Attn: Lee Bell -Hovland 1210 San Antonio Austin TX 78701 (512) 615-8911 a. The application must detail the proposed project and a description of how it will benefit the TAC RMP member in the reduction of losses; b. It must be signed by a quorum of the governing body; and C. It may include requests for more than one project. 2. TAC RMP notifies applicants when they've been approved for the program by Aug. 1, 2016, including the reimbursement amounts. 3. RCRP participants must submit a Reimbursement Form with receipts for all approved project items by Dec. 1, 2016. 4. TAC RMP will mail reimbursement checks to program participants by Jan. 1, 2017. TEXAS ASSOCIATION of COUNTIES RISK MANAGEMENT POOL JAN2016 Members of the Texas Association of Counties Risk Management Pool enjoy an array of benefits, including coverage tailored to meet the needs of Texas counties, valuable risk control services and excellent customer service. More information and forms at www.county.org/rcrp. Bisk ControlBeimbursement Program APPLICATION AND PROJECT r, REQUEST t ' ■ Please complete the Application and Project Request Form for each project requested. The Risk Control Reimbursement Program (RCRP) is a program created to encourage and assist TAC Risk Management Pool (TAC RMP) members in their risk control efforts, increase risk control participation and reduce costs associated with losses due to controllable risk. TAC RMP members may be reimbursed a predetermined amount to be used for approved risk control projects. TAC RMP members will be notified if a project is approved and the funds available for reimbursement. All members are encouraged to participate in the RCRP. TAC RMP members wishing to participate in the program must complete this RCRP Application and a Project Request Form for each project. The deadline to apply is July 1, 2016. Member Name: Applicant Name: Address: City/State/ZIP: _ Phone: Email: I verifythat all information submitted is true, correct and complete. I understand that any misrepresentation of facts or false statements contained herein may result in a denial of, or request from TAG RMP to return, Project Reimbursement funds. I understand and agree to the following: • Reimbursement amounts may only be used for the purchase of equipment, services and training for the project(s) approved. • TAC RMP may not approve reimbursement for every project submitted. • Applicants must be TAC RMP members and participate in the program line related to the project request. • Coverage in the related program line must be in effect at the time of application approval and reimbursement request. • Projects completed prior to project approval are not eligible for reimbursement. • Reimbursement Form and supporting documents for approved projects (receipts of project -related equipment purchases, training and/or services) must be received no later than Dec. 1 of the program year. • Funds are limited; applications are approved based on merit. County Judge or Executive Director Title Date TEXAS ASSOCIATION Of COUNTIES RISK MANAGEMENT POOL JAN2016 Risk Control Reimbursement Program REIMBURSEMENT FORM Member Name: Project Number: Funds Available: Project Number: Funds Available: Members of the Texas Association Project Number: Funds Available: of Counties Risk Management Pool Total Reimbursement Funds Available: enjoy an array of benefits, including coverage tailored - Please use this form to list all approved project items purchased. Attach receipts and return to to meet the needs TAC Risk Control Services no later than Dec. 1, 2016. For additional space, please use the back of of Texas counties, this form. valuable risk control services and Please mail or scan and email the Reimbursement Form and all documentation to: excellent customer service. TAC Risk Control Services Attn: Lee Bell -Hovland 1210 San Antonio More information Austin, TX 78701 and forms at www.county.org/rerp. Email: TACRCSQcounty.org (Please putATTN: RCRP in subject line.) TEXAS ASSOCIATION Of COUNTIES RISK MANAGEMENT POOL JAN2016 Members of the Texas Association of Counties Risk Management Pool enjoy an array of benefits, including coverage tailored to meet the needs of Texas counties, valuable risk control services and excellent customer service. Hisk Control Beimbursement • 1 gram APPLICATION AND PROJECT REHEST FORM Please complete the Application and Project Request Form for each project requested. Project Contact Name: Project Name: Reimbursement Amount Requested: Check all coverage lines to he impacted by this project: ■ rCompensationOLaw EnforcementOPublic Officials OProperty DAuto Liability Project Description: Project Start/End Date: Item Name: Quantity: Cost: More information Item Name: Quantity: Cost: and forms at Item Name: Quantity: Cost: www.county.org/rcrp. Item Name: Quantity: Cost: INTERNAL USE ONLY Project No. Assigned by TAC: Location of Project: Department Name: Number of Employees Affected: _ Number of Jail Beds (ifapplicable): Describe in detail how this project will help prevent or minimize claims/losses. Describe the training that will be done in conjunction with this project. TEXAS ASSOCIATION of CiOUNTIES RISK MANAGEMENT POOL JAN2676 TEXAS ASSOCIATION Of COUNTIES RISK MANAGEMENT POOL JAN2016 Robert Ruiz, MBA, CRM, CIC j� 5 S p pr RISK MANAGEMENT CONSULTANT y ;c 9� 1210 San Antonia • Austin, TX 78701 °+ r c P.O. BOX 2131 ' Austin, TX 76768-2131 � z (512) 478-8753 OFFICE * �¢ (512)779-3621 CELL a y (SOO)456-5974 � co U 14't w (512) 476-6231 FAX rruiz@county.org EMAIL county.org WEB RESOLUTION AUTHORIZING CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT TO APPLY FOR GRANT FROM THE CRIMINAL JUSTICE DIVISION OF THE OFFICE OF THE GOVERNOR: PASS CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 West Austin Luis Leija Chief Juvenile Probation Officer To: Mike Pfeifer Calhoun County Judge Port Lavaca, Texas 77979 Telephone (361) 553-4670 Fax (361) 553-4690 From: Luis Leija Chief Juve le Probation Officer Re: Commissioner's Court Agenda Item Please place the following item on the Commissioner's Court Agenda -Consider and take necessary action to adopt a resolution authorizing the Calhoun County Juvenile Probation Department to apply for a grant from the Criminal Justice Division of the Office of the Governor. CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSEANNEX 201 West Austin Port Lavaca, Texas 77979 Luis Leija Telephone (361) 553-4670 Chief Juvenile Probation Officer Fax (361) 553-4690 RESOLUTION WHEREAS, The Calhoun County Commissioner's Court finds it in the best interest of the citizens of Calhoun County, that the Juvenile Prevention and Intervention Program be operated for the 2017 Fiscal Year; and WHEREAS, The Calhoun County Commissioner's Court agrees to provide applicable matching funds for the said project as required by the Juvenile Justice and Delinquency Prevention Allocation grant application; and WHEREAS, The Calhoun County Commissioner's Court agrees that in the event of loss or misuse of the Office of the Governor funds, The Calhoun County Commissioner's Court assures that the funds will be returned to the Office of the Governor in full. WHEREAS, The Calhoun County Commissioner's Court designates Michael Pfeifer, Calhoun County Judge, as the grantee's authorized official. The authorized official is given the power to apply for, accept, reject, alter or terminate the grant on behalf of the applicant agency. NOW THEREFORE, BE IT RESOLVED that the Calhoun County Commissioner's Court approves submission of the grant application for the Juvenile Prevention and Intervention Program to the Office of the Governor, Criminal Justice Division. Signed by: Passed and Approved this (Year) Grant Number: 3140301 (Day) of (Month), OOG Sample Resolution Page 1 of 1 CONTRACT FOR PROPERTY AND LIABILITY INSURANCE MANAGEMENT SERVICES WITH GRAY & COMPANY, LLC FOR THE PERIOD APRIL 25, 2016-2017 AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to approve the contract for Property and Liability Insurance Management Services with Gray & Company, LLC for the period April 25, 2016-2017 and authorize County Judge to sign. Commissioner Fritsch seconded the motion. Commissioner Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Monday, February 22, 2016 4:06 PM To: 'Susan Riley' Cc: 'Don Gray' Subject: Agenda Item Request Attachments: Calhoun on -going services 2016 contract.pdf; Calhoun County proposal for on going services 2014.pdf Please place the following item on the agenda for March 10, 2016: s CATNA on contract for Property and Liability Insurance Management Services with Gray & Company, LLC, for the period April 25, 2016-2017 and authorize County Judge to sign. Note: "Ongoing" management services are proposed at fee of $4,000 for one year. Additional" services $125/hour. These are the same rates as prior contract. Processing Note: Execute two originals. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361,553,4614 GRAY & COMPANY, LLC CONSULTING AGREEMENT February 22, 2016 Michael]. Pfeifer Calhoun County Judge 211 South Ann, Suite 301 Port Lavaca, TX 77979 Re: Property & Liability Insurance Management Services Proposal Dear Judge Pfeifer: This letter and the attached proposal dated March 14, 2014 is proposed to serve as the basis of the relationship between Calhoun County (hereinafter referred to as Client) and Gray & Company, LLC (Gray & Co.) for the period of April 25, 2016-2017. Client will pay to Gray & Co. for services rendered the fees and expenses described in the proposal. Gray & Co, will maintain time records of all personnel, which provide billable hourly services to Client, and those time records will be attached to each invoice. Client will pay Gray & Co.'s fee and expense billings without deduction of any kind within thirty (30) days from the date of invoice unless otherwise agreed to in writing by Gray & Co. Gray & Co. may terminate this agreement without notice for non-payment. Gray & Co. may charge interest on past due amounts at a rate not exceeding 1 1/2% month. Confidential information obtained by Gray & Co. concerning Client will be treated as confidential and will not be released to outside parties without prior approval by an appropriate representative of Client. The foregoing shall not apply to the extent that law or order of a court or governmental body requires disclosure or if the information is in the public domain. Client will promptly provide Gray & Co. accurate and complete information as requested by Gray & Co. from time to time with regard to Client's loss experience, risk exposures, or current or anticipated changes in Client's business operations that may affect the services provided by Gray & Co. or which may affect coverages which are provided The Honorable Michael Pfeifer February 22, 2016 Page 2 under insurance policies in force as of the date of Gray & Co.'s engagement or under insurance policies that may be purchased by Client during Gray & Co.'s engagement. Client is be responsible for making final decisions with respect to the accuracy and completeness of any underwriting submissions which Client requests Gray & Co. to submit to insurance agents, insurance brokers, or insurance companies on Client's behalf. Client is responsible for making the final decisions concerning whether to purchase or to decline insurance coverages. if insurance coverage is recommended by Gray & Co. and declined by Client, Client agrees to confirm its decision in writing for Gray & Co.'s files to avoid misunderstanding should an uninsured loss occur. Gray & Co. will not be responsible for any financial loss sustained by Client as a result of the insolvency of any insurance carrier or provider that currently, previously or in the future provides insurance for Client. In the event that Gray & Co. makes suggestions or recommendations which are outside the scope the service areas selected by Client and Consultant does not charge a fee in connection therewith, Gray & Co. shall have no responsibility therefore. Client recognized that any such suggestions or recommendations, while meant to be informative, are necessarily incomplete without engaging Gray & Co. to perform the services related to the service area. Either Client or Gray & Co. may terminate Gray & Co.'s relationship with Client with thirty (30) days written notice at any time. If this Agreement is terminated by Client, it is agreed that Client will be responsible for payment of all fees and expenses due Gray & Co. through the thirty (30) day notification period. if Gray & Co. terminates this Agreement, Gray & Co. will be responsible for concluding, to the extent reasonably possible, any work in progress for Client within the thirty (30) day notification period. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas (except those relating to the conflict of laws) and shall be performable in Calhoun County, Texas. Each party hereto submits to the jurisdiction of the courts of the State of Texas and the federal courts in and for the Southern District of Texas in connection with any dispute arising under this Agreement or any document or instrument entered into in connection herewith. The Honorable Michael Pfeifer February 22, 2016 Page 3 If any provision of this Agreement is unenforceable, the enforceability of the remaining provision shall not be affected thereby. This instrument contains the entire agreement of the parties. No modification, discharge, or waiver of any term of this Agreement shall be valid unless in writing and signed by the parties to this Agreement. This Agreement supersedes all prior agreements or representations, whether oral or written, between the parties hereto relating to the subject matter hereof, and all such prior agreements or representations are terminated. This Agreement shall be binding upon and shall inure to the benefit of the legal successors, heirs, and permitted assigns of the parties hereto. Nothing contained in this Agreement creates any rights or benefits In any third party. No arbitration or action, regardless of form (in contract, in tort, statutory, or common law), arising between the parties in any way out of, pertaining to, or in connection with this Agreement may be brought by either party more than one year and one day after the date the claim accrues; or, in the case of non-payment, more than one year and one day from the due date. If Client is in agreement with the terms and conditions of this Agreement, please indicate acceptance by signing both the original and a copy and mailing them to me for my signature and return of the original to you. Respectfully submitted on behalf of Gray & Company, LLC by: _. ram ate- (Donald K. Gray, ARM) Gray & Company, LLC 2/22/2016 (Date) Accepted on behalf of Calhoun County Michael J. Pfeifer (Printed Name) Calhoun County Judge 211 S. Ann St., Ste 301 Port Lavaca TX 77979 (Address) March 10 2016 (Date) Property & Liability Insurance Management Services Proposal for Calhoun County, Texas Presented by 12a COMPANY, LLC I u areicu Ce nsulmnis & 1Aanagrre Don Gray, ARM 605 The High Road Austin, Texas 512-496-3583 don@insconsultant.com March 14, 2014 I am pleased to provide this proposal to serve as Calhoun County's "outsourced" property and liability insurance manager. Gray & Company, LLC was established in 1999. 1 now have 25 years of experi- ence in providing consulting services to governmental entities, colleges and uni- versities, school districts, and electric cooperatives. And of course, I am licensed to provide insurance consulting services by the State of Texas (but not licensed to sell insurance due to the potential conflict). I have personally provided services to 46 governmental entities to date. I am very familiar with the insurance markets and insurance policies available to county governments. This experience means that Calhoun County can be as- sured that my services, analysis and recommendations will be founded on proven knowledge of what is reasonable, customary and achievable with regard to Calhoun County's insurance program. My services provide continuity to Cal- houn County, regardless of turnover in insurance agents or insurance compa- nies who serve the County. To ensure my clients and their insurers of my impartiality, I do not sell insurance and 1 am not -affiliated with any insurer or insurance sales organization. Further, I do not promote a particular coverage or industry program. This independent status puts me in the proper position to provide my clients with unbiased and objective services. I hope that Calhoun County will find this proposal to be acceptable as I would welcome the opportunity to be of service. If additional information is needed to clarify our proposed services, please con- tact me. Sincerely, Don Gray, ARM 2 A significant portion of a county government's budget is devoted to the purchase and manage- ment of the County's property and liability insurance policies. While these policies are gener- ally purchased through an RFP project, all too often the policies are purchased without a thor- ough understanding of the coverage provided. Further, the policies purchased are seldom re- viewed to ensure that they actually agree with the purchase terms. yGMT61 The largest of county governments in Texas generally employ a one or more persons with a high level of insurance expertise who manage the county's property and liability insurance pro- gram in the best interest of the county. While all counties have this need, the cost of employing a staff of qualified individuals is generally only feasible for large counties. However, through the services offered by Gray & Co., all county governments can benefit from having "as needed" access to a knowledgeable and independent insurance manager with 33 years of ex- perience to supplement County staff. Gray & Co. can assist Calhoun County by serving in the capacity of an "out -sourced" property and liability insurance manager. in this role, Gray & Co. would provide Calhoun County with independent and objective insurance advice on a continuing basis. Gray & Co. would pro- vide continuity to the County that continues even when changes are made in the insur- ers and insurance agents that serve the County. Gray & Co.'s sole focus is on serving the County's best interests. 3 1. To provide Calhoun County with access to a qualified property and liability insurance spe- cialist who works for the County and who does not sell insurance. Due to our independence from the sellers of insurance, we are in position to provide independent opinions, recommen- dations and comments about your insurance protection. 2. To make certain that the County bases its insurance and risk management decisions on un- biased and complete information. 3. To endeavor to keep the County's insurance costs at the lowest possible level for the broad- est form of insurance protection desired by the County. 4. To provide the County Auditor and the Commissioners Court with management reports and information relating to the County's property and liability insurance program (i.e., historical pre- mium and loss comparisons, loss reports, graphs which compare the County's insurance rates to rates paid by other similar counties, detailed insurance policy schedules, purchasing recom- mendations, etc). 5. To provide long-term continuity in the management of the County's property and liability in- surance program. This is important in that the County may opt to change insurers from time to time and loose continuity without having access to an insurance manager who remains in place. Gray & Co. proposes a service fee of $4,000 for the period of April 1, 2014-2015 to provide the "On -Going" Insurance Management Services as described beginning on page 5. These on -going services pertain to the County's property, liability, fidelity and workers' compensation insurance program (but do not apply to individual "bonds"). This package of services is op- tional and not required to utilize the proposed "Additional Services" found on pages 8-10. Services desired by the County which are outlined in the "Additional" Insurance Management Services section (beginning on page 8) would be provided at an hourly rate of $125. The rate is detailed on page 11. E The "On -Going" Insurance Management Services described below is a package of basic services needed to properly manage the County's property and liability insurance pro- gram (other than individual bonds, but to include MMC). It is priced as a package and the hourly rate does not apply to these services. This package of services is optional and is not required to utilize the proposed "Additional Services" found on pages 8-10. If this package of services is not purchased, the County can still purchase individual services from the package at the rate of $1251hour. • 47 • The fact is that county governments vary in "size" (payrolls, fleet value, building and contents values, expenditures, services offered to the public, etc.). Therefore, a comparison of premi- ums paid by several counties really does not indicate which county is getting the "best deal". However, Gray & Co. can convert the premium figures into "rates' which can be compared on a bar graph. Once compared, we then evaluate any disparity within rates on factors such as claim history, deductible levels, coverage differences, etc. Only then we are in position to de- termine the competitiveness of the rates charged to Calhoun County. Further, the bar graphs are a valuable tool when used in negotiating for rate reductions and in determining when it is necessary to solicit proposals from other sources. The bar graphs would be based on rates paid by counties which are clients of Gray & Co. However, the graphs can be further enhanced to include up to 5 additional counties selected by Calhoun County. Gray & Co. would provide the Calhoun County's Auditor with a list of data that would be requested from those other counties in order to determine their rates. The County is welcome to share its bar graphs with those other counties. Refer to Exhibit A for a sample bar graph with comments. We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to re- ceive copies of the insurance invoices at the same time you receive the originals (initial in- voices and mid-term adjustment invoices). We will review the invoices for accuracy and rec- r ommend payment once we are satisfied that the invoice is correct (even if this requires us to contact the insurer to question the invoice). Prior to approving an invoice, we will re -calculate the premium to assure that the invoice is based on correct rates, credits and exposure units. We will ask Calhoun County's insurance agents (or insurers) to arrange for Gray & Co. to re- ceive copies of insurance policies at the same time you receive the originals. We will review the policies to determine whether they agree with the terms of the renewal proposals. We will advise you of all discrepancies that we discover and contact the insurer in an attempt to re- solve the discrepancies to the County's favor. Insurance Renewal Proposals —Changes in Palicy Wording Coverage We will ask Calhoun County's insurance agents or insurers to enhance their insurance renewal proposals by asking them to separately list all proposed changes in policy wording, limits, and deductibles as compared to the policies in force. This effort serves to ensure that the County is made aware of changes in coverage. Maintenance of Insurance Schedules and Underwriting Data We will advise you as to what type of underwriting data should be maintained and kept current in regard to the County's vehicles, equipment, buildings and contents, computers, boilers, sub- stations, turbines, premiums, claims, etc. When this information is kept current, it allows us to quickly update an RFP document when the need arises in the future. This gives you more control when responding to changes in the insurance marketplace. Gray & Co. will prepare and maintain a Premium/Loss Matrix to record the County's annual total losses and insurance premiums by line of coverage and by year for the past five years. This matrix is a excellent tool for use by Commissioner's Courts in monitoring loss history. Re- fer to Exhibit B for a sample matrix. - • C c• " •• We will provide you with our "early projection" of premiums for insurance policies that are scheduled to renew. Please provide us with 3-4 weeks advance notice of the date by which the County would like to receive the premium estimate. 0 We will contact the insurance underwriters within 120-150 days prior to the anniversary of each policy and request an early "indication" of the renewal premiums and coverage terms. Based on the response and Gray & Co's knowledge of the marketplace, Gray & Co. will provide you with a written strategy to be considered in planning for the continuation of coverages at com- petitive prices and terms. This should provide sufficient time to solicit proposals from other sources if needed. We will prepare and maintain a detailed insurance schedule which will summarize the policies that are presently in force. Refer to Exhibit C for a sample. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On -Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which pertain to the County's property and liability insurance program. Limited to ten hours within the "On -Going" insurance management services package. Additional hours are available under the "Additional' insurance management services detailed on page 9. i We can assist the County by reviewing proposed contracts and leases for proper use of insur- ance requirements, insurance terminology, and risk transfer. Further, we can manage the en- forcement of the insurance requirements in your contracts by reviewing Certificates of Insur- ance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. Limited to five hours within the "On -Going" in- surance management services package. Additional hours are available under the `Additional" insurance management services detailed on page 9. Quarterly we will advise you of financial ratings assigned by A.M. Best to Calhoun County's insurers and keep you informed of changes in the ratings. 7 Financial Strength of Governmental "Risk Pools" Annually we will review the audited financial statements released by the "pools" that provide cover- age to the County and comment on their financial strength. This type of review is important because pools are not eligible for independent ratings issued by AM Best. This review will result in a written report to the County. (Vote: The proposed "On -Going" services are not intended to duplicate efforts that the County staff desires to retain in administering the day to day functions of the property and liability insurance pro- gram. County staff would continue to process claims, handle the addition and deletion of vehicles, equipment, buildings, contents, and maintain the list of drivers. Gray & Co. offers the following services as needed by Calhoun County. They are designed to supplement the "On -Going" Insurance Management Services (if purchased). The County would determine which of the "additional" services are to be provided and when they are to be provided. These services are available without purchasing the "On -Going" service package. Exposure/Coverage Audit We can conduct a survey of Calhoun County's exposure to accidental loss and advise you of any "insurable" exposures we discover that are not properly insured. The audit would involve "fact finding" discussions with County officials and staff (primarily the County Auditor), reviews of insurance applications, review of financial statements, etc. The audit would result in a writ- ten report that would be provided to the Commissioners Court for review, to be followed by a presentation of the report to the Court. This service is estimated to involve 30 hours to con- duct the audit and interviews, write the report and travel time to Port Lavaca to present the re- port to the Court, resulting in a fee of $4,750 plus IRS mileage. Responding to Miscellaneous Insurance Questions As a supplement to the ten hours of this service included within the "On -Going" insurance management services package, we can assist the County by serving as an unbiased reference source in answering questions by telephone that may arise over time which pertain to the County's property and liability insurance program. As a supplement to the five hours of this service included within the "On -Going" insurance management services package, we can assist the County by reviewing proposed contracts and leases for proper use of insurance requirements, insurance terminology, and risk transfer. Further, we can manage the enforcement of the insurance requirements in your contracts by reviewing Certificates of Insurance and Additional Insured endorsements that you receive to make certain that they meet the requirements set forth in leases and contracts. 0 Further, we can assist in training County staff to improve their abilities in drafting insurance re- quirements for use in contracts. We can evaluate the procedures in place at Calhoun County as respects the administration, review and approval of Certificates of Insurance and provide suggestions as to how the proce- dures can be improved to better serve the County. Further, we can assist in training County staff to improve their abilities in managing certificates of insurance. We can assist you by negotiating with claim adjusters in an effort to make sure that claims are paid in accordance with the terms of the County's insurance policies. We can review the County's internal efforts in administering its property, liability and workers' compensation insurance programs. This review will focus on internal administration in the fol- lowing areas (adding and deleting property, claim reporting, loss reports, contractual risk trans- fer, property valuation methods, underwriting records, retention of insurance policies, certifi- cate of insurance, etc). The review will provide the County with a list of helpful recommenda- tions to improve the administration of the insurance program. We can assist the County with Insurance RFP preparation (all lines of coverage within one RFP to leverage the County's purchasing power) and manage the entire RFP process, includ- ing all communication with agents and brokers. We will review the proposals, negotiate for im- provements, and provide you with an independent evaluation of each proposal. t Many of our clients ask us to prepare an Insurance Manual that can be used as reference ma- terial by the client. The Manual covers the entire insurance program and provides claim re- porting instructions, a "plain English" summary of your coverages, and a schedule of your in- surance coverages. It is an excellent reference tool for anyone that works with your coverages (Calhoun County staff, outside auditors, legal counsel, etc). Gray & Co. can update the Man- ual on an on -going basis shortly after changes occur. 10 Client Meetings We are available to meet with County officials to discuss any aspect of the property and liability insurance program. This service includes the time involved in traveling to/from Port Lavaca. Mileage would be billed separately and be based on current IRS rates. When required for travel, expenses such as hotel and reasonably modest food expenses would be billed at the actual cost incurred (with receipts provided). Gray & Co.'s fees are based on the following hourly rates: Senior Consultant (Don Gray): $125/hour of service and travel time. This hourly rate will apply to each of the services offered in the "Additional" Insurance Management portion of this proposal. Detailed time records are kept for all personnel and will be attached to each invoice. Mileage is charged at the current IRS rate. When required to meet the client's schedule, out-of-pocket expenses such as reasonably priced overnight lodging and meals will be passed along to the client without a markup. The $4,000 annual service fee for the "On -Going" package of services would be billed at the beginning of the an- nual service period. For the "Additional" Insurance Management Services outside of the $4,000 annual service fee, clients are gener- ally billed at the conclusion of each month for earned fees and expenses for the period. An exception to this might be if a monthly invoice is not large enough to warrant a billing at that time. This would prompt the invoice to be prepared and released once it reaches a reasonable level for invoicing purposes. Invoices are due and pay- able 20 days following their receipt. The service agreement would be for the period of April 1, 2014-2015. However, it can be cancelled by the County at anytime and for any reason. However, fees paid in advance which were already earned by Gray & Co. would not be refunded. Fees paid in advance but not yet earned would be refunded within 30 days of notice. Modification of Service Agreement The service agreement can be modified at any time upon mutual agreement by Calhoun County and Gray & Co. 12 Mr. Jeff Schneider, Mr. Dan Laws, CEO Director of Purchasing Rio Grande Electric Cooperative, Inc. Grayson County (800) 749-1509 903-813-4259 Mark Rollans, General Manager Mr. Richie Rivers Medina Electric Cooperative, Inc. Grayson County Auditor (866) 632-3532 903-813-4244 Mr. Mike Kezar, General Man - Ms. Kristen Klein ager Guadalupe County Auditor San Miguel Electric Cooperative, Inc. 830-303-4188 (830)784-3411 Mr. Harold Seay Mr. Mike Packard, General Manager Liberty County Auditor South Texas Electric Cooperative, Inc. 936-336-4605 (361)575-6491 Ms. Cynthia Ivy Mr. Paul Zimmerman Medina County Treasurer 830-741-6110 Rusk County Electric Cooperative, Inc. (903)657-4571 13 Don will be the sole consultant in servicing Calhoun County. Don's knowledge of county governments and insurance companies and "pools' that specialize in serving counties would be valuable to the County. Don is a 1976 graduate of the University of Texas -Austin, earning a BBA Risk Man- agement and insurance. Prior to forming Gray & Co. in 1999, Don was employed for 11 years by Risk Man- agement Group (RMG), serving as the Senior Consultant and Manager of the firm's Austin office. Prior to joining RMG, Don served as the Director of Insurance at the Texas Association of Counties during the period of 1983-88. In this position, Don managed the administration of several statewide insurance programs for county governments. His prior experience includes serving as an insurance manager for the Texas A&M University System. Don is a consultant to numerous utility, educational and governmental entity clients. 14 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY This questionnaire is being filed in accordance with Chapter 176. Local Government Code, by a vendor who Date Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.005, Local Government Code. An offense under this section is a misdemeanor. t Name of vendor who has a business relationship with local governmental entity. Gray & Company, LLC 2 ❑Check this box if you are filling an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 71h business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the Information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? E]Yes � No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes ® No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. None s ❑Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 2/25/2016 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.stale.tx.us Revised 11/30/2015 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found athttp://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 6176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code t)176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government off icerora family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code G 176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or afamily member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/3012015 CERTIFICATE OF INTERESTED PARTIES row 1295 t el l OFFICE USE ONLY Complete Nos. 1. and 6 there are interested parties. complete Nos. 1, 2, 3, 5, and s it there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2016-18721 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Gray & Company, LLC Austin, TX United States Date Filed: 02/25/2016 Date Acknowledged: 2 Name of governmentnti al ety or state agenct at y is a party tot a contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the goods or services to be provided under the contract. 2016.4,25-2017.4.25 Property/liability insurance consulting services 4 Name of Interested Party City, state, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Gray & Company, LLC Austin, TX United States - X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is hue and correct. �MAX G SHANLEY My Commission Expires November 10, 201authorized Signature of authorized dg nt of contracting business entity AFFIX NOTARY STAMP I SEAL ABOVE /' ./i Sworn to and subscribed before me, by the said ocyu G-t` A , this the �// day of 20 iL, to certify which, witness my hand and seal of office. I °E�.a. MAX G SHANLEY My Co mission Expires K r a ignature of is r administering oath Printed name of officer administers~g oat "vE 0 ill of officer administering can _ _ _...,.... _...... ....... Version V1.0.312 Forms provided by Texas ttnics commu issiu%wilri CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-18721 Date Filed: 02/25/2016 Date Acknowledged: 03/23/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Gray & Company, LLC Austin, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract. 2016.4.25-2017.4.25 Property/liability insurance consulting services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Gray & Company, LLC Austin, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vi.u.31z AWARD OF WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE PROPOSAL FOR INITIAL 9-MONTH PERIOD OF APRIL 1, 2016 THROUGH JANUARY 1, 2017: County Auditor, Cindy Mueller, stated the insurance consultant has advised that the County purchase from TAC and not from the Deep East Texas Self Insurance Fund. Commissioner Galvan made a motion to approve award of Workers' Compensation and Employer's Liability Insurance to TAC for Initial 9-month period of April 1, 2016 through January 1, 2017. Commissioner Fritsch seconded the motion. Commissioner Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Rile From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Thursday, March 03, 2016 4:14 PM To: 'Susan Riley' Cc: Donald K. Gray, ARM; peggy hall; Kenny Finster; mike Pfeifer; neil fritsch; roger galvan; Vern lyssy Subject: Agenda Item Request Attachments: Texas Association of Counties - Workers Compensatin Coverage.pdf; Deep East Texas Self Ins Fund - Workers Compensation Coverage.pdf; Consultant's WC Recommendation & Exhibits.pdf Please place the following item on the agenda for March 10, 2016: • CATNA on award of Workers' Compensation and Employer's Liability Insurance proposal for initial 9-month period of April 1, 2016 through January 1, 2017. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite 8 Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 p,ssoc 9 ?p w O H z February 16, 2016 Calhoun County Commissioners Court �C'on11T1w5 c/o Honorable Michael Pfeifer Calhoun County Judge 211 S Ann Street, Suite 301 Port Lavaca, TX 77979 Dear Honorable Court Members: The Texas Association of Counties Risk Management Pool (TAC RMP) is pleased to provide Calhoun County with Workers' Compensation coverage and related services. TAC RMP is the leading provider of risk management solutions for Texas counties and with over 40 years' experience operating a risk pool program and serving more than 380 political subdivisions in Texas, TAC RMP is confident that we can provide the best quality services at a highly competitive price. While every effort is made to offer counties the best coverage available at a competitive price, the timing of Calhoun County's Workers' Compensation Request for Proposal has limited our ability to respond. The 2016 Workers' Compensation coverage was just renewed effective January 1, 2016 for $125,249 based on an estimated total payroll of $10,535,871. While the total payroll increased 3% compared to 2015 and the Target Modifier increased from 1.09 to 1.12, the 2016 contribution still decreased by $6,553. Calhoun County participates in a guaranteed cost (fully funded) Workers' Compensation plan available through the TAC RMP. One of the benefits to this guaranteed cost plan, is the fact that regardless of the number or severity of losses, the county's cost is limited to the current years contribution. In contrast, various high deductible options were requested in the RFP. The lowest deductible offered by TAC RMP for Workers' Compensation is $50,000. Of note, TAC RMP has only two members that participate in a high deductible plan. Based on the loss experience, number of employees of Calhoun County, and the additional dedicated staffing required for a high deductible program, we do not recommend a high deductible for Calhoun County. Therefore TAC RMP has not provided a quote for the requested deductible options Each year, in the months prior to the common Pool renewal date for Workers' Compensation coverage, the funding of the program is reviewed with the Pool's actuary. Once this review is complete, each member is considered individually to determine expected losses for the coming year and develop their renewal contribution. Due to the timing of this RFP in relation to our renewal cost determination, we are not able to offer a quote for the January 1, 2017 —January 1, 2018 coverage period. In addition, at this time TAC RMP has not been authorized by its board to offer multi -year proposals. (512) 478-8753 0 (800) 456-5974 a (512) 478-1426 FAX o stnm.,couoty.org a 1210 San Antonio, Austin, TX 78701 o P.O. Box '2131, Austin, TX 78768 2331 Gene Teny, LxeculiveDirector We would like to highlight an important consideration related to the bidding of this RFP. For 2016, TAC RMP has developed and released its Risk Control Reimbursement Program (RCRP). The RCRP was developed to help counties in creating, enhancing and maintaining effective risk control programs. The RCRP is a voluntary program that allows participating TAC RMP members in qualified lines of coverage to apply for reimbursement of the costs associated with implementing approved risk control projects. There are two programs within RCRP: one for Risk Management and the other for Law Enforcement. Calhoun County is currently qualified for $45,000 in possible reimbursement funds (RM program) because of its participation in the Auto Liability, Public Official's Liability, Property and Workers' Compensation coverages. The RCRP is a competitive program whereby the funds are not guaranteed, rather it is "best come, best served." The funds qualified for are based on the lines of coverage in force at the time of application, approval and reimbursement. RCRP funds will be reduced if the program participation changes. If Calhoun County were to move its Workers' Compensation coverage, the amount available would then be reduced to $26,240.76. It has been our pleasure to provide Calhoun County with Workers Compensation coverage all these years. As your Pool, we strive for excellence in our service and stability in our pricing for our members. Sincerely, (J Tracy L. Seiler, ARM, ARM-P Director, Risk Management Services Texas Association of Counties i2/M Memo COMPANY, LLC [nsurn ncc Consnitan is & Mnuegcrs d No firrnuin- Snkr To: The Calhoun County Commissioners Court Cc: Cindy Mueller, County Auditor From: Don Gray, ARM Date: 3/3/2016 Re: Workers' Compensation (WC) RFP posted 1/28/16 This memo is provided to the Commissioners Court for the purpose of offering a recommendation as the placement of WC insurance coverage. Exhibits 1 and 2 are attached to serve as a reference. Exhibit 1 provides an "executive overview" of the RFP project and addresses topics such as its background, the RFP and potential proposers, the responses, and proposal evaluation. In particular, Exhibit 1 points out that the proposal from the Deep East Texas Self -Insurance Fund was the only proposal received in response to the RFP. WC Exhibit 2 serves as a reference to the "Proposal Evaluation" paragraph found on the second page of Exhibit 1. Among other things, Exhibit 2 points out the assumptions and projections that were a part of the proposal evaluation. Exhibit 1 also projects that a 5-year premium with TAC would total $616,554 and that DETSIF's 5-year "fixed annual" premium would total $729,995. Also attached is an updated version of the RFP's original version Exhibit E which was provided to the potential proposers on February 11, a week prior to the date that proposals were to be submitted under the RFP. The update was made in response to the significant WC injury that occurred on 2/3/16. From the standpoint of insurance premiums, the premiums cited above and the Proposal Evaluation discussion that is provided within Exhibit A forecasts that the County would be best served by not purchasing DETSIF's proposal. Recommendation To continue WC coverage with TAC under the terms of the current interlocal agreement and to not purchase the proposal from DETSIF that was received in response to the WC RFP. Please contact me with any questions. 605 The High Road • Austin, Texas 78746 • phone 512-496-3583 www.insconsultant.com 9 don@insconsultant.com EXHIBIT 1 EXECUTIVE OVERVIEW OF THE 2016 WORKERS' COMPENSATION RFP PROJECT Background/RFP's "Obiective" The Consultant (Don Gray, ARM) suggested in 2015 that the County consider the release of a Workers' Compensation RFP. The recommendation was based on a 2015 proposal that the Deep East Texas Self - Insurance Fund (DETSIF) had provided to Guadalupe County which featured a commitment from the insurer to guarantee a fixed annual premium for a period of 5 years that was not subject to change due to loss history, future losses, changes in annual payrolls, changes in an annual experience modifier, etc. The proposal even allowed the County to terminate coverage at any time and for any reason without penalty during the 5 year period. After considering the DETSIF proposal and others, Guadalupe County decided to place WC coverage with DETSIF effective 7/1/15 and terminated the County's coverage with the TAC Risk Management Pool (TAC RMP). Hays County took similar action in the fall in response to a 5- year fixed premium commitment from DETSIF. Therefore, the RFP's purposes were to 1) determine whether DETSIF would quote a 5-year fixed premium for comparison with the current WC coverage and pricing provided to the County from TAC RMP and 2) determine whether other sources might have an interest in presenting a WC proposal. The release of the RFP was authorized by the Calhoun County Commissioners Court on January 28, 2016. The RFP and Potential Proposers The RFP was released on January 29, 2016. RFP was emailed to the DETSIF, to the Texas Political Subdivision Fund (TPS), and to GSM Insurors. Both DETSIF and TPS enjoy a reputation of providing a high level of loss control services and claim services, similar to that provided by TAC. The RFP was also publically advertised by the County. An informational copy of the RFP was provided to the TAC RMP. As released, the RFP provided the majority of underwriting data that the proposers ended up requiring (i.e., historical payrolls, projected payrolls, underwriting applications, loss history data, and historical premiums). The RFP intentionally did not include the premium amount that TAC RMP is currently charging the County for its 2016 WC coverage (to avoid a situation where proposers might quote lower than TAC's current premium to "buy the business" away from TAC). Proposers were asked to quote for the period of 4/1/16-1/1/17 and given the opportunity to quote longer periods as well (such as the 5- year period that DETSIF had quoted to other counties recently). Soon after it happened, the Consultant learned of the significant WC injury that occurred 2/3/16. As a result, on February 11 (a week prior to proposals being due) the Consultant provided the potential proposers with an updated WC loss run from TAC which included that loss and also provided an updated version of the RFP's Exhibit E (loss history data). Like TAC, DETSIF and TPS are self -insured governmental "pools" which are governed by their members. GSM is an insurance sales agency which has provided insurance agency services to the County for many years. GSM continues to provide insurance agency services to the County for eight of the County's insurance policies (with annual premiums totaling near $90,000). DETSIF and TPS both require that their proposals be associated with an insurance agency. DETSIF opted to present their proposal through 1 Higginbotham (Victoria, TX). TPS opted to select McGriff, Seibels & Williams (Houston, TX) to represent their proposal. Proposals Proposals were due on February 18, 2016 DETSIF submitted a proposal which offered a 9 month premium guarantee and also offered a fixed annual premium that would apply fora period of 4.75 years. While TPS expressed interest in offering a competitively priced premium, after receiving the RFP and viewing the County's loss history, TPS informed McGriff, Seibels & Williams that they planned to prepare a quote but felt it might not be competitive with TPS's projection of TAC's 1/1/16-17 premium. Once the Consultant informed TPS and the other potential proposers of the significant WC injury that occurred on 2/3/16 (after the RFP's release), TPS then decided to not present a proposal. GSM advised by an email dated February 16 that they were unable to offer a proposal but did not provide a reason. GSM did not respond to an email where the Consultant then asked GSM to advise of any particular challenges that they encountered. The email also asked whether perhaps the County's loss history or the possible lack of interested insurance companies might be the reason that GSM was not able to provide a proposal. While TAC had the option to offer a proposal, under the terms of the current interlocal agreement with TAC, there was no need for TAC to present a proposal unless they wanted to offer options to the current pricing or coverage that TAC provides for calendar year 2016. The interlocal agreement with TAC states that TAC's WC coverage continues in effect from year to year until canceled by the County or by TAC. TAC RMP opted to not quote any changes and advised the County of their intent to continue to honor their 2016 WC proposal. Soon after proposals were due on February 18, it was interesting to note that TPS announced their new ability to offer "5-year fixed premiums". It is assumed that TPS's announcement was in response to DETSIF's willingness to offer 5-year fixed premiums, as TPS, TAC and DETSIF compete for many of the same governmental entities. It will be interesting to see whether TAC also follows suit in offering 5-year fixed premiums in the future. It would seem that TAC has the ability to offer a 5-year fixed premium if they want to. Proposal Evaluation The Consultant compared DETSIF's proposal to the County's current coverage with TAC RMP. To a large degree, this required an "apples to oranges" comparison. This is because TAC's current pricing is limited to calendar year 2016 (@ $125,249) without any assurance of what TAC's pricing might be for future years. In contrast, as mentioned above, one of DETSIF's quotes offered a fixed annual premium that would not change during a 4.75-year period (@ $145,999/year). Therefore, the Consultant's comparison focused on projecting the annual premium that TAC "might" require out until 1/1/21 and extending DETSIF's 4.75 year quote to a 5-year premium simply to compare to the 5-year premium that was to be projected for TAC. This type of 5-year premium projection required several assumptions. For example, the Consultant forecasted assumed future annual payrolls (assuming a 4.6% payroll increase each year), projected future experience modifiers with TAC (which will increase beginning 1/1/18 if the significant 2/3/16 WC injury continues to be a large dollar loss), projected what future losses might be (since future losses would impact TAC's annual experience modifier), assumed that TAC's premium rates for each payroll "class code' might increase by 1% annually, etc. The Consultant's assumptions and premium comparison for DTSIF and TAC RMP is provided in Exhibit 2. It is the Consultant's opinion that DETSIF and TAC RMP would agree that the assumptions are reasonable. Exhibit 2 projects that a 5-year premium with TAC would total 616 554. By comparison, DETSIF's 5- year premium would total $729,995. EXHIBIT 2 WC Cost Projections from 2016 WC RFP Note: Deep East Texas Self -Insurance Fund (DETSIF) quoted a 4.75 year "fixed" premium which would not change even though the County could terminate coverage with 90 days notice, while TAC's annual premium will vary based on a number of factors (many of which are "unknown" such as payroll, loss experience, experience modifiers and TAC's rating formula). Therefore, TAC's premiums below have been "projected" for comparison to DETSIF's "fixed" premiums. Claims contributing to the WC Experience Modifier for Years... 2016 2017 2018 2019 2020 2012 $129,862 2013 $120,552 $120,552 2014 $37,089 $37,089 $37,089 2015 $11,222 $11,222 $11,222 2016* $213,778 $213,778 $213,778 2017 ??? ??? 2018 1 ??? Total $289,5 0,8801 $264,107 > $250,000 > $300,000??? TAC's Exnerience Modifier for Calhoun j ( 1.12 1 1.00??? 1 1.09??? j 1.08??? j 1.13??? 1 Annual Premiums Projected Premium with TAC** $125,249 $104,695 $120,623 $126,317 $139,670 Fixed Premium $145,999 $145,999 $145,999 $145,999 $145,999 with DETSIF Projected Payroll for $10,535,871 $11,020,521 $11,527,465 $12,057,728 $12,612,384 TAC*** Projected 5-Year Premiums TAC $616,554 ? - 21 �9 * Claim value for 2016 is based on the claim values as of 2/3/16 ($189,559, which includes the 2/3/16 broken hiplleg injury) and the prior 5 year average value of losses valued at less than $50,000 (which averages $24,219/year). Claim values may change over time as individual claims "mature". "* Based on projected payroll and projected experience modifiers '** Assuming a 4.6% annual increase in payrolls Note: Assumes 1 % increase per year in TAC's rates, no changes in TAC's rating formulas, that the County continues to place property and liability insurance with TAC, does not consider any dividends or "safety item purchase reimbursements" from TAC (none of which can be guaranteed). "???" reflect items that are reasonable "guesses". LU m_ I k w CL LL Q � $ \ 0 cn 0 j \ 0 � ) k E § § / / b 0 § Tccq)(OFOO ® § \ ®a / ? \ \® \ \ /§\ � /\ ©E / / -00 \ OD\-� ° y k% \ R \ \ \ƒ\ a � \ % _ ~ & \ § \ a\ƒ\) t % CD k . \ ƒ ® / A L;-- \ Co §))¥G \ \- - o0 oo4s=ILu�km ( G 2 \ 2 \ 7 / co { « 0 _ § $ / \ 0 ( j \/ ! k« 0 \ En # )a \7\ )§\ k\ \ o) 0 _ $ \\ co ;) CL > \\� �\of 0. 0) £ / Q /\\/ ® a § a f\ \CD ={[a 69 ! { j} __ /� }a) § z \\/co \/\Em �\ / c / co \\ u mcu w a) 0 U) e o G - ) § -i Proposal of Workers Compensation Coverage For Calhoun County By Deep East Texas Self Insurance Fund February 9, 2016 Deep East Texas Self Insurance Fund Estimate of Workers Compensation Coverage For Calhoun County Prepared February 9, 2016 One Year (See Conditions): $156,013 04-01-2016 to 12-31-2016: Multi -Year (5) (See Conditions): 04-01-2016 to 12-31-2016: $1093499 01-01-2017 to 12-31-2017: $145,999 01-01-2018 to 12-31-2018: $145,999 01-01-2019 to 12-31-2019: $145,999 01-01-2020 to 12-31-2020: $1453999 PREMIUM ESTIMATE Deep East Texas Selflnsurance Fund INSURED: CALHOUN COUNTY POLICY PERIOD FROM: 01-01-2016 To:12-31-2016 CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES MANUAL CODE TOTALANNUAL PER$100 OF PREMIUMS AUTO REPAIR 8391 39,660.00 8.03 3,184.70 BLDG MAIN JANITORS 9014 317,172.00 11.38 36,094.17 - CLERICAL 8810 3,226,469.00 0.64 20,662.20 COMMISSIONERS 5606 258,488.00 5.44 14,061.75 ,COUNTY "FIREFIGHTERS 7704 1,560,121.00 5.09 79,410.16 JUVENILE PROBATION 8742 193,913.00 2,24 4,343.65 LANDFILL 7590 90,012.00 17.14 16,428.06 LAW ENFORCEMENT 7720 3,124,352.00 9.25 289,002.5E LIBRARY 8838 334,135.00 0.75 2,505.01 _ OFFICE TECHNICIAN 7539 99,065.00 2.33 2,308.21 ROAD REPAIR 550E 1,216,735.00 23.60 287,149.70 ELECTION PERSONNEL 8810 17,698.00 0.64 113.27 JURORS 8810 24,850.00 0.64 159.04 VOLUNTEER LAW ENFORCEMENT 7720 31,200.00 9.25 2,886.00 Multi -year policy: April thru December, 2016 $109,499 Jan thru December, 2017 $145,999 Jan thru December, 2020 $145,999 Jan thru December, 2018 $145,999 Jan thru December, 2019 $145,999 MANUAL PREMIUM SUBJECT TO EXPERIENCE MODIFICATION TIMES THE EXPERIENCE MODIFICATION FACTOR OF MODIFIED PREMIUM 81.10% •TOTAL ESTIMATED PREMIUM 757,309.48 1.09 825,467.33 669,454.00 156,013.33 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Complete Nos. 1 - 4 and 6 If there are Interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICEUSEONLY 1 Nome otbusiness entity filing form, and the city, stale and country of the business entity's place of business. Deep East Texas Self Insurance Fund Jasper, TX USA 2 Name of governmental entity or state agency that Is a party to the eoniracl for Which the form Is being Ned. Calhoun County, TX 9 Provide the idemligcation number used by the governmental entity orstate agency to track oridentify the caramel, and provide a description of the goods or services to be provided under the contract. ID#TSD Workers' Compensation Insurance A Name of Interested Party City, State, Country (place of business) Nature of Interest {check applicable) Controlling Intermediary Deep East Texas Self Insurance Fund Jasper, TX USA X It Check only If there is NO Interested Party. e AFFIDAVIT i swear, a rm, under penally of potlti Thal the above dlsalosuro is lmo and conocL r— CAROLJ. RI)gGERS Manny R N; som, Executive hector ���y.��r�p��p��y99aa��slgnalute of authorized agent of connecWg business entity AF xy STrniIPIreSETi6A90V MV SwFn toiandsubastfibad Warp ma, by the sold -)Q,141V-1\ V1 4AA this Ilia day of of 20 116to wally which wllnase my hen antl seal al olnce, he zwn. n ureo adndnisi Imp oath Pdnlad moms of officer admin orinu oath Me at efficet adminisledno omit ADD ADDITIONAL PAGES AS NECESSARY Foam pm,Aded by Tom Miss ramntnslon mvw,athlcs.siale.lx.us Adapted 101512016 Deep East Texas S elf insurance Fund 150 W. Milam Street (PO Box 960), Jasper, TX 75951 Deep East Texas Self Insurance Fund (DETSIF) is a non-profit, tax exempt self- insurance fund formed in 1974. DETSIF complies with Chapter 504 of the Texas Labor Code (formally Article 8309h), Vernon's Annotated Statutes as amended by the 74rd Regular Session of the Texas Legislature. This legislation authorizes local political entities to contact with each other through an Interlocal Agreement to jointly self -insure the payment of worker's compensation benefits. DETSIF currently has 127 political entities as members including 69 schools, 19 cities, 7 counties, and 32 special districts. DETSIF has a contract with TriStar Risk Management of Dallas for claim adjustment services. DETSIF has a financial audit and an actuary audit performed every year. DETSIF's defense firm is based in Austin, TX. �— DETSIFprovides statutory worker's compensation benefits asprescribed bythe State ofTexas and provides Employer's Liability with at least a $1,000,000 limit. Inaddition,DETSIFhas reinsurance, currentlythrough ARCHInsurance Company, with a $1,000,000 SIR. There is no upper limit on the excess statutory workers compensation policy from ARCH. DETSIF provides first -dollar coverage including all costs for claim expenses for our members. DETSIF has experienced, efficient, and professional staff, adjusters and attorneys and will focus it all to provide workers compensation benefits for the employees of your entity. Staff. Danny Newsom, Lisa Folsom, Kirk Hensarling, and Melissa Benson Deep East Texas Self Insurance Fund Workers Compensation Conditions if Multi -Year Term is quoted If DETSIF offers a quote for multi -year coverage, it is subject to these restrictions and conditions: Payment is expected on an annual basis. Premium audit adjustments will be waived for the entire multi -year period except and unless there is evidence of fraud or misrepresentation by the member entity or unless the entity grows significantly through consolidation with other districts or annexation. And, in the event of cancellation by the member district short of the scheduled multi -year term, DETSIF shall be given advanced written notice of at least six - months before cancellation can be achieved and the premium for the earned coverage period will be subject to adjustment by audit. Deep East Texas Self Insurance Fund 150 W. Milam Street (PO Box 960) Jasper, TX 75951 Rev: 11-2005 Deep East Texas SelfInsurance Fund 150 W. Milam Street (PO Box 960), Jasper, TX 75951 800-944-0859 or 409-384-5444 (FAX: 409-384-7953) Internet claim submission: Send all reports (First Report of Injury, Supplemental Reports, and Wage Statements) to WWW.DETSIF.com. Cooperation defines success: Timely proactive claims adjusting helps contain workers compensation claim costs. Our adjusters will contact you within a few days of the injury to verify the report information and to determine if there have been any changes. The adjuster will also be interested in opportunities for subrogation, if any. TriStar Adjusters: See next page for details. Deep East Texas Self Insurance Fund Founded 1974 DETSIF is a Non-profit governmental fund that provides workers' compensation coverage to Texas Political Entities: 8 counties, 19 cities, 69 schools, 32 other districts. Reinsurance with Arch Insurance of Chicago, IL: $1,000,000 SIR per occurrence with no upper limit. $1,000,000 Employers Liability coverage is included. All bills are processed through the Texas fee schedule by Injury Management Organization (IMO) of Houston, Texas. Claims are reported on-line by members, followed by adjustment services by TRISTAR Risk Management of Irving, TX. And... on-line review of claims and reports available to members at any time. Over 300 safety films are available at no cost to members. Much personal safety equipment is available at no cost to members including gloves, hard hats, glasses, vests, and dust masks. A cost -share slip -resistive shoe program is available to members. Audited Financial statement and actuarial audit produced annually. Latest audit shows net assets of over $23,000,000. EXPANSION OF BEACON 44 RV PARK IN PORT O'CONNOR, TEXAS: Commissioner Finster made a motion to approve expansion of Beacon 44 RV Park in Port O'Connor, Texas. Commissioner Galvan seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 March 1, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dearludge Pfeifer: Please place the following item on the Commissioners' Court Agenda March 10, 2016. • Discuss and take necessary action to approve the expansion of Beacon 44 RV Parkin Port O'Connor, Texas. Sincerely, otev( W. �%tigQ�v Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org -- (361) 785-3141 -- Fax (361) 785-5602 Port O'Connor Improvement District P.O. Box 375 Port O'Connor, TX 77982 361-983-2652 Fax: 361-983-2235 February 18, 2016 RE: Beacon 44 RV Park Expansion Calhoun County Commissioner's Court, This serves to document that the proposed expansion of the Beacon 44 RV Park does not have immediate access to the Port O'Connor Improvement District (POCID) sewage collection system. Because the RV Park developers would have to pay for the extension of the collection system, in order to utilize the public sewer facilities, the POCID will allow the proposed expansion to utilize a health department approved On -site Septic System to treat the sewage from the RV Park. If you need additional information or have any questions, please feel free to contact me. Thank you for verifying this information with POCID before approving the Infrastructure Development Plan for the expansion. Best Regards, JoAnna "Jody" P. Weaver, P.E. POCID District Engineer iweave r@Rwenai neers.com xc: 1530.044; pocadmin@tisd.net :OC } CEO W i ; \tiC ` J "az yy I a�Y V oC. M � c ,h H=s3 ,B/'!B9 d,R22GF9 �� I m o�yo h NW `% .�•� Ca• M yCi 6AZZ.F9N AK i ti Fo a 3 € i CONSIDER AND TAKE NECESSARY ACTION ON SERVICE AGREEMENT BETWEEN CALHOUN COUNTY EMS AND STRYKER MEDICAL AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to approve Service Agreement between Calhoun County EMS and Stryker Medical and authorize County Judge to sign. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Carl King <clking@att.net> Sent: Thursday, March 03, 2016 2:59 PM To: Susan Riley Subject: Stretcher Service Agreement Attachments: Stretcher Service Agreement 2016-2017 Revised Copy.pdf Susan, I have attached a copy of the quote and service agreement for our stretchers. Shannon has reviewed it for me and Stryker made the two changes that he recommended. The changes are visible at the end of the paragraph on Indemnification and also on the last page. The changes are notated by a strike line. Both changes will require the initials of both parties. Please have Judge Pfeifer review this document and if he approves, please place this on next weeks court agenda. Thank you so much!! Carl L Sales Rep Name: LAUREN KUHNER Email: Phone I au ren. ku hn er@ stryker.com 281-217-9301 ProCareTech: CHRISWOODWARD Date:03/01/2016 PROCARE PROPOSAL• TO: Account Number (Ship to): Contact Name: Customer Name: CALHOUN COUNTY Address: City, State Zip: CONTRACT INFORMATION: Stan Date:03/01/2016 Phone: Email: achambers @ cal hou ncou ntyems. c om End Date:02/28/2017 Length of Contract:1 yrs PRocARE COVERAGE Product Name Model Number Contract Type No. of Units Annual Unit Price Total PowerLOAD 6390 Protect 1 $1,591.00 $1,591.00 PowerPro XT 6506 Protect 5 $963.00 $4,815.00 Protect Includes pans, labor, travel, 1 annual PM inspection, unscheduled service and product equipment checklists. Replacement parts do not include mattresses, batteries, and other disposable or expendable parts. CONTRACT TOTAL $6,406.00 Discount (15%) $960.90 Final Total $5,445.10 Paid Annually 1 $5,445.10 This quote is valid for ninety (90) after the date indicated at the top of the quote. After 90 days, this quote will be null and void and a new quote will be required for contract terms. Maintenance Inspection -Past Useful Life:This service contract may include products which are beyond their warranty period and tested expected service life. Any such product will be inspected to determine if the product meets the operations and maintenance manual guidelines for that particular product as of the date of inspection. Despite any such inspection, Stryker makes no claims or assurances as to future performance, including no express or implied warranty, for any product which was inspected outside of its warranty period or beyond its tested expected service life. f Customer fgnature Date SERIAL NUMBER SHEET Item No. Product Name Model Serial Number 1 PowerLOAD 6390 130240556 2 PowerPro XT 6506 140540486 3 PowerPro XT 6506 120940032 1 4 PowerPro XT 6606 121040419 6 PowerPro XT 6606 130339316 6 PowerPro XT 6606 140241046 ProCare PROCAREsm TERMS AND CONDITIONS stryker° This document sets forth the entire Product Service Plan Agreement ("Agreement") between Stryker Medical, a division of Stryker Corporation, hereinafter referred to as Stryker, and, CALHOUN COUNTY hereinafter referred to as Customer. This is the entire Agreement and no other oral modifications are valid. This Agreement will remain in effect unless canceled or modified by either party according to the following terms and conditions. 1. COVERAGE AND TERM The product service plan coverage, term, start date, and price of the Service Plan appear on the Service Agreement attached and the Service Plan Covers the equipment set forth on Exhibit A (collectively, the "Equipment'). 2. EQUIPMENT SCHEDULE CHANGES During the term of the Agreement and upon each party's written consent, additional Equipment may be included in the Exhibit A. All additions are subject to the terms and conditions contained herein. Stryker shall adjust the charges and modify the schedule to reflect the additions. 3. INSPECTION SCHEDULING Service inspections will be scheduled in advance at a mutually agreed upon time for such period of time as is reasonably necessary to complete the service. Equipment not made available at the specified time will be serviced at the next scheduled service inspection unless specific arrangements are made with Stryker. Such arrangements will include travel and other special charges at Stryker's then current rates. 4. INSPECTION ACTIVITY On each scheduled service inspection, Stryker's Service Representative will inspect each available item of Equipment as required in accordance with Stryker's then current Maintenance procedures for said Equipment. If there is any discrepancy or questions on the number of inspections, price, or Equipment, Stryker may amend this Agreement. SERVICE INVOICING Invoices will be sent on the agreed payment method. All prices are exclusive of state and local use, sales or similar taxes. In states assessing upfront sales and use tax, your payments will be adjusted to include all applicable sales and use tax amortized over the Service Plan term using a rate that preserves for Stryker, its affiliates and /or assigns, the intended economic yield for the transaction described in this Agreement. All invoices issued under this Agreement are to be paid within thirty (30) days of the date of the invoice. Failure to comply with Net 30 Day terms will constitute breach of contract and future service will only be made on a prepaid or COD basis, or until the previous obligation is satisfied, or both. Stryker reserves the right, with no liability to Stryker, to cancel any contract on the basis of payment default for any previous product or service provided by Stryker Sales Corporation or any of its affiliates. 6. PRICE CHANGES The Service prices specified herein are those in effect as of the date of acceptance of this Agreement and will continue in effect throughout the term of the Service Plan. INITIAL INSPECTION This Agreement shall be applicable only to such Equipment as listed in Exhibit A, which has been determined by a Stryker's Representative to be in good operating condition upon his/her initial inspection thereof. 8. OPERATION MAINTENANCE Stryker's service is ancillary to and not a complete substitute forthe requirements of Customer to adhere to the routine maintenance instructions provided by Stryker, its Equipment and operations manuals, and accompanying labels and/or inserts for each item of Equipment. Customer's appropriate user personnel should be entirely familiar with the instructions and contents of those manuals, labels and inserts and implement them accordingly. 9. SERVICE PLAN WARRANTY AND LIMITATIONS During the term of the Service Plan, Stryker will maintain the Equipment in good working condition. Equipment and Equipment components repaired or replaced under this Service Plan continue to be warranted as described herein during the Service Plan term. When Equipment or component is replaced, the item provided in replacement will be the customer's property and the replaced item will be Stryker's property. If a refund is provided by Stryker, the Equipment for which the refund is provided must be returned to Stryker and will become Stryker's property. There are no express or implied warranties by Stryker other than the warranties hereinabove described with respect to the Service Plan or the Equipment covered thereunder, including without limitation, warranty of merchantability or fitness for a particular purpose Notwithstanding any other provision of this Agreement, the Service Plan does not include repairs or other services made necessary by or related to, the following: (1) Abnormal wear or damage caused by misuse or by failure to perform normal and routine maintenance as set out in the Stryker Maintenance Manual or Operating Instructions. (2) Accidents (3) Catastrophe (4) Acts of God (5) Any malfunction resulting from faulty maintenance, improper repair, damage and/or alteration by non -Stryker authorized personnel (6) Equipment on which any original serial numbers or other identification marks have been removed or destroyed; or (7) Equipment that has been repaired with any unauthorized or non -Stryker components. In addition, in order to ensure safe operation of Stryker Equipment, only Stryker accessories should be used. Stryker reserves the right to invalidate the Service Plan and complimentary loaner programs if Equipment is used with accessories not manufactured by Stryker. 10. WAIVER EXCLUSIONS No failure to exercise, and no delay by Stryker in exercising any right, power or privilege hereunder shall operate as a waiver thereof. No waiver of any breach of any provision by Stryker shall be deemed to be a waiver by Stryker of any preceding or succeeding breach of the same or any other provision. No extension of time by Stryker for performance of any obligations or other acts hereunder or under any other Agreement shall be deemed to bean extension of time for performances of any other obligations or any other acts by Stryker. 11. LIMITATION OF LIABILITY Stryker's liability on any claim whether in contract or otherwise, for any loss or damage arising out of, connected with or resulting from the repair of any product furnished hereunder shall in no event exceed the price paid for said repair which gives rise to the claim. In no event shall Stryker be liable for incidental, consequential or special damages. Notwithstanding the foregoing, nothing herein shall be deemed to disclaim Stryker's liability to third parties resulting from the sole negligence of Stryker as determined by a court of law. 12. TERMINATION The Agreement may be canceled by either party by giving a thirty (30) days prior written notice of any such cancellation to the other party. If this Agreement is canceled during or before the expiration date of the Agreement, Customer will owe for the months covered up to the cancellation date of the Agreement and for any parts, labor, and travel charges, required to maintain Equipment, exceeding that already paid during the Agreement. 13. FORCE MAJEURE Neither Party to this Agreement will be liable for any delay or failure of performance that is the result of any happening or event that could not reasonably have been avoided or that is otherwise beyond its control, provided that the Party hindered or delayed immediately notifies the other Party describing the circumstances causing delay. Such happenings or events will include, but not be limited to, terrorism, acts of war, riots, civil disorder, rebellions, fire, flood, earthquake, explosion, action of the elements, acts of God, inability to obtain or shortage of material, equipment or transportation, governmental orders, restrictions, priorities or rationing, accidents and strikes, lockouts or other labor trouble or shortage. 14. INDEMNIFICATION Stryker shall indemnify and hold Customer harmless from any loss, damage, cost or expense that Customer may incur by reason of or arising out of (1) any injury (including death) to any person arising from Stryker's providing services pursuant to this Agreement, not caused by the gross negligence or willful misconduct or omission of Customer, or (2) any property damage caused by the gross negligence or willful misconduct or omissions by Stryker or Stryker's employees agents, or contractors. The foregoing indemnification will not apply to any liability arising from (i) an injury due to the negligence of any person other than Stryker's employee or agent, (ii) the failure of any person other than Stryker's employee or agent to follow any instructions outlined in the labeling, manual, and/or instructions for use of a product(s), or (iii) the use of any product or part not purchased from Stryker or product or part that has been modified, altered or repaired by any person other than Stryker's employee or agent. Except as specifically provided herein, Stryker is not responsible for any losses or injuries arising from the selection, manufacture, installation, operation, condition, possession, or use of a Product. GustemieF agFees to held StFy.,.- ._...,less Initial Change Initial Change l 1 l / 1.eVe It Af its employees', FepFeeF SeHtatiVeg'ntq' AptieRq 15. INSURANCE REQUIREMENTS Stryker shall maintain from insurers (with an A.M. Best rating of not less than A-) the following insurance coverages during the term of this Agreement: (i) commercial general liability coverage with minimum limits of $1,000,000.00 per occurrence and $2,000,000.00 general aggregate applying to bodily injury, personal injury, and property damage; (ii) automobile insurance with combined single limits of $1,000,000 for owned, hired, and non -owned vehicles; (iii) worker's compensation insurance as required by applicable law. Stryker's general liability insurance policy shall include Customer as an additional insured. Certificates of insurance shall be provided by Stryker prior to commencement of the services at any premises owned or operated by Customer. To the extent permitted by applicable laws and regulations, Stryker shall be permitted to meet the above requirements through a program of self insurance. If we elect to self -insure, such self-insurance shall also be administered pursuant to a reasonable self-insurance program crafted by Stryker and reasonably accepted by Customer. 16. WARRANTY OF NON -EXCLUSION Each party represents and warrants that as of the Effective Date, neither it nor any of its employees, are or have been excluded terminated, suspended, or debarred from a federal or state health care program or from participation in any federal or state procurement or non - procurement programs. Each party further represents that no final adverse action bythe federal or state government has occurred or is pending or threatened against the party, its affiliates, or, to its knowledge, against any employee, Stryker, or agent engaged to provide items or services under this Agreement. Each party also represents that if during the term of this Agreement it, or any of its employees becomes so excluded, terminated, suspended, or debarred from a federal or state health care program or from participation in any federal or state procurement or non - procurement programs, such will promptly notify the other party. Each party retains the right to terminate or modify this Agreement in the event of the other party's exclusion from a federal or state health care program 17. COMPLIANCE To the extent required by law the following provision applies: Customer and Stryker agree to comply with the Omnibus Reconciliation Act of 1980 (P.L. 96-499) and its implementing regulations (42 CFR, Part 420). To the extent applicable to the activities of Stryker hereunder, Stryker further specifically agrees that until the expiration of four (4) years after furnishing services and/or products pursuant to this Agreement, Stryker shall make available, upon written request of the Secretary of the Department of Health and Human Services, or upon request of the Comptroller General, or any of their duly authorized representatives, this Agreement and the books, documents and records of Stryker that are necessary to verify the nature and extent of the costs charged to Customer hereunder. Stryker further agrees that if Stryker carries out any of the duties of this Agreement through a subcontract with a value or cost of ten thousand dollars ($10,000) or more over a twelve (12) month period, with a related organization, such subcontract shall contain a clause to the effect that until the expiration of four (4) years after the furnishing of such services pursuant to such subcontract, the related organization shall make available, upon written request to the Secretary, or upon request to the Comptroller General, or any of their duly authorized representatives the subcontract, and books and documents and records of such organization that are necessary to verify the nature and extent of such costs. 18. HIPAA All medical information and/or data concerning specific patients (including, but not limited to, the identity of the patients), derived from or obtained during the course of the Agreement, shall be treated by both parties as confidential so as to comply with all applicable state and federal laws and regulations regarding confidentiality of patient records, and shall not be released, disclosed, or published to any party otherthan as required or permitted under applicable laws. Stryker is not a "business associate" of Customer, as the term "business associate' is defined by HIPAA (the Health Insurance Portability and Accountability Act of 1996 and 45 C.F.R. parts 142 and 160-164, as amended). To the extent Stryker in the future becomes a business associate of Customer, the parties agree to negotiate to amend the Agreement as necessary to comply with HIPAA, and if an agreement cannot be reached the Agreement will immediately terminate. 19. ASSIGNMENT Neither party may assign or transfer their rights and/or benefits under this Agreement without the prior written consent of the other party, except that Stryker shall have the right to assign this Agreement or any rights under or interests in this Agreement to any parent, subsidiary or affiliate of Stryker. All of the terms and provisions of this Agreement shall be binding upon, shall inure to the benefit of, and be enforceable by successors and assigns of the parties to this Agreement. 20. SEVERABILITY OF PROVISIONS The invalidity, in whole or in part, of any of the foregoing paragraphs, where determined to be illegal, invalid, or unenforceable by a court or authority of competent jurisdiction, will not affect or impair the enforceability of the remainder of the Agreement. 21. GOVERNING LAW This Agreement shall be construed and interpreted in accordance with the laws of the State 'Texas. Initial Chanp4r Initial Change ICERTIFICATE OF INTERESTED PARTIES Complete Nos. 1- 4 and 0 It there are Interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no Interested parties. 1 2 3 4 Stryker ,Kalamazoo. MI United States. County number used by the rr services to be pro 2016 EMS Contract Maintenance of stretchers Name of Interested Party r business entity's place or state agency to track or City, state, Country (place of business) sweet, or affirm, under penalty of perjury, th X FORM 1295 1 of 1 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016.10659 Date Filed: e AcknovOedged: contract, and provide a lure of Interest (check a the above disclosure is true and correct. ire o` orized agent of contracting business entity fi'R1 , this the G"44— day of ninistering oath Title of officer admmtstenng oath Uc.us Version V1;0,34944 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-10659 Date Filed: 02/09/2016 Date Acknowledged: 03/23/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Stryker Kalamazoo, MI United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract. 2016 EMS Contract Maintenance of stretchers 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version vi.0.34944 CONTRACT WITH ESPY SERVICES TELECOMMUNICATIONS FOR FULL AUDIT OF ALL TELEPHONES AND CELL PHONE BILLS FOR OVER CHARGES. ANY AND ALL OVER CHARGES FOUND WILL BE SPLIT 50/50 BETWEEN ESPY SERVICES AND CALHOUN COUNTY: Commissioner Galvan made a motion to approve Contract with Espy Services Telecommunications for full audit of all telephones and cell phone bills for over charges. Any and all over charges found will be split 50/50 between Espy Services and Calhoun County. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotz.org> Sent: Thursday, February 18, 2016 3:07 PM To: Susan Riley Subject: ANOTHER AGENDA ITEM Attachments: ESPY SERVICE CONTRACT 2016.pdf Importance: High Please find attached a contract I would like put on the agenda. I have forwarded the same to Shannon for his perusal and OK. I will let you know if he wants it pulled/passed. TO APPROVE AND ACCEPT entering into a contract with Espy Services Telecommunications. Said company conducts a full audit of all telephone and cell phone bills for over charges. Any and all fund found will be a 50/50 split with Espy Services and Calhoun County. (please feel free to RE -WORD this..... I am spacing out 111) RHONDA S. KOKENA Cou+49 Treasurer Ca.l In ou.w Cau*- f AKv+zw II 202 S. AK St., So-Uv,A PovfLaya , TeKay 77979 (361)553-4614 vffue. (361)553-4614 fax. r '"aEspy Services ?Espy Services 'Telecommunications Auditing Proposal Submitted by Terri Shoufler, Sr. Account Consultant Espy Services 2213 16°i Street Bedford, IN 47421 (800) 991-8832: Phone tshoufler((�)espyservices.eom (index) Page 2: Introduction, Scope of Work Page 3: Scope of Wort. (continued), Fees Page 4: Service Agreement Page 5: Letter of Agency Page 6: Getting Started Page 7: Letters of Recommendation Introduction Espy Services would like to introduce our company offering our services in cost reduction and refund recovery in regarding your telecommunication expenses. Espy Services has a proven track record in working with health care facilities, municipalities, counties, schools and businesses across the United States. Espy Services is Woman Owned Small Business registered with the United States System for Award Management (sam.gov). Espy's expertise and experience has been utilized by companies in Texas and across the United States. Espy Services finds that nearly 90% of all telecommunication invoices have some level of error which is causing monthly overcharges. It is generally outside of the scope of most administrators to review each and every charge as they are applied to their telecommunication costs. Espy Services provides experience so that administrators can feel confident that their monthly expenses are accurate and market valued for the services they are using. Espy Services has built our business on our ability to find the telecom billing errors, work with vendors to implement the error corrections and then negotiate the refunding of the past overcharges. Espy Services works to remove any overcharging errors so that our clients pay less (for the exact same services) moving forward. Scope of Work Espy Services utilizes a methodology which evaluates each charge a client pays on their monthly telecommunication invoices. l . Espy Services reviews the monthly invoices and customer service records 2. Espy Services compares all tariffs, rates and charges against current agreements I Espy Services compares current agreements against other agreements utilized by businesses. This methodology assures the Espy Services client that every charge, as it rolls up to the monthly invoices, are accurate, are in accordance with current agreements and are fair market valued as charged to cities and counties across the United States. Where overcharges are found, Espy Services works diligently to recover the past overcharges. 75% of Espy Services clients receive refunds and credits based on past overcharges. These overcharges consist of previous erroneous charges, improperly implemented discounts, charges that have been improperly managed against agreements in place, as well as countless other causes that have gone unnoticed over the years. The requirements for Espy Services to begin the telecommunications audit are: Signed Service Agreement and Letter of Agency (LOA) Organ ization's Letterhead (for the LOA) One month's set of telecommunication invoices (Local, Long Distance, Internet/MIS, Wireless/Cellular, and Cable) An assigned point of contact to receive and respond to findings communication from the auditing team Once the monthly set of invoices is received Espy Services will provide the client with a "Hill Log" detailing all aspects of the client's monthly telecommunication invoices. This Bill Log notes the vendor, services, vendor contact information, and monthly costs as they are being billed at the beginning of the telecommunication audit. In addition the cost segments will be charted so that the client has a clear vision of what their monthly expenses are and how they compare to the other cost segments. All work for auditing, refund/credit negotiation and error correction will be done by Espy Services. On occasion additional information may be required by the Espy Services auditing team. When any additional information is required it will be fully communicated by the auditing team and our staff is available to answer any questions. Examples of additional items needed are: An AT&T signed LOA if AT&T is used by the client, tax exemption forms, discount implementation signature, etc. Espy Services does not sell telecommunication services or equipment, nor does Espy Services receive any type of remuneration from any providers. There may be occasion where Espy Services' auditor will provide recommendations based on services and costs known from other audits. Those are recommendations and Espy Services will not change services or providers without the expressed written consent of the client. Espy Services Fees All fees i'rom Espy Services are based on the financial benefit that Espy Services first provides. 50% on cost reduction fOr Ylne following 12 months after corrections are implemented as a result of Espy Services findings leading to error corrections and reduced costs. b For example: If Espy Services corrects an issue that saves you $100 per month. For the following 12 months Espy will bill you $50 and you retain the other $50. After the twelve months have past you will no longer receive an invoice for that error correction. i- if you wish o pay the full annual amount of invoices on one payment as opposed to 2 monthly paynnents Espy will provide all additional 10% discount off ofthe annualized Hnn4Lmt. 50% on C'redits'and Refunds received by the client as a result of Esoy Services work. For example: If Espy Services negotiates a $10,000 refund based on past overcharges against the client, then Espy will invoice the client for $5,000 when the refund check is issued by the vendor. The most important aspect of Espy Services fees is the fact that all costs are based upon the financial benefit the client has received. Espy Services does not charge any fees up front; not, does Espy Services charge any administrative or processing fees for the telecommunications audit. NA r aw 60" 1 V 0-OEspy Services Client www.espyservices.com Telephone Contact Service Agreement 1.) The above named Client and Espy Services, Inc. (hereinafter Espy) are entering into this agreement as of the date written below with respect to the correction, reduction and negotiation of all Client telecommunications cost. Espy does not receive compensation Prom any telecommunications providers. 2.) Findings are defined as errors, overcharge or savings opportunities which would result in a financial gain to Client if implemented 3.) Espy agrees to audit all Client telecommunications accountsfor the purpose of finding errors and overcharges that now exist or may have existed on past invoices. Espy will negotiate with the vendors to have all errors and overcharges removed and obtain credits for past errors and overcharges, Client agrees to pay Espy 50% of all credits and overcharges obtained 4.) If there are reductions in the Client's billings, by cotrection of errors, rate change advisements, =vice changes, and contract negotiations by Espy or Client, or any combination thereof, that shall manifest in figure savings, Client agrees to pay Espy 50%of the monthly savings-thr a 12 month period (tariff mandated rate changes and cost reductions due to employee downsizing are excluded from there fees). Actual savings will be calculated and lased on the ratesand fees the Client is actually paying as ofthe date of this agreement. Payments will be calculated monthly beginning the date the savings first appear on the Client's bill and shall continue for 12 consecutive months. 5.) Payment to Espy will be due within 10 days of the date of credit, savings or refund is reflected on Client's bill. Interest shall accrue on each late payment at the rate of 1.5%each month until paid in full. &) Client agrees to give its fall cooperation to Espy in providing Information deemed necessary for analyzing negotiating and implementing In a, itmely manner. Espy will perfmm all work necessary, including the implementation of findings to enable. Client to verify all savings and credits on its bills. Espy will begin implementation of all findings after 14 days from the time that the Client has received them. 7.) Client shall not use directly or indirectly, or authorize the use by a third party, throughout the 12 month period referred to in section 4 above and for 12 months following this agreement, any information obtained by Espy to acquire credits, refunds or future savings unless Espy has first been paid its fee. Furthermore, Client arm that it will not, during the term of this agreement, negotiate with any telecommunication provider as this will result in a duplication of efforts. S.) The term of this agreement shall be 12 months from the date of acceptance. Client acknowledges that Espy will perform its work at 1029 13,h Sheet, Bedford IN 47421, and stipulates that jurisdiction for this agreement shall be in Lawrence County, IN. 9J The undersigned represents and warrants that he/she is authorized and empowered to sign this agreement for and on behalfof the Client.. Date J(,LVr ti--1 AJT4 Espy Services Authorized Representative d4ewit PmP le 4yp,r, Name and Title '- =f OJ Hate Confidentiality Agreement V---OEspy Services The undersigned Client will provide information in the form of telephone bills, vendor agreements, and etc. to Espy Services, Inc. The purpose of the transfer of this information is to enable Espy Services to analyze the Client's bills and find ways to save money. Espy Services recognizes the proprietary nature of the information and agrees to keep the information confidential. While in Espy Services possession, reasonable care will be taken to protect the information. This will include keeping all documents in a locked area and unavailable to anyone other than Espy Services employees. Any distribution of the information, other than to the associated telecommunications companies, will be strictly prohibited. The Client recognizes that Espy Services uses a special method of telecommunications consulting, analysis and negotiating and agrees to keep confidential all information concerning Espy Services methods. Furthermore, Client agrees to not disclose Espy Services documents or contracts to any third party. This agreement shall become effective from the date on which the Client first signs this agreement. Client Company Espy Services, Inc. By By Printed Name Date Date hULL'Av To Letter of Agency February 25, 2016 pate We have contracted Espy Services, Inc. for the sole purpose of correcting, reducing and negotiating our telecommunications costs. Upon their request, please provide directly to Espy Services at the email address or physical address specified at the bottom of this page, a copy of our service and equipment records, traffic studies, billing records, term agreements, online billing / service records, and/dr any information or materials they require concerning our telecommunications service for the following account numbers: Please deal directly with Espy Services on all matters pertaining to said telecommunications service. This Letter of Agency rescinds any other Letter of Agency here to executed by us and will remain in effect until otherwise notified in writing by this office. Your cooperation in assisting Espy Services is greatly appreciated. i�nc --ely, Clieeht Signature Rhonda Rokena Printed Name Calhoun County Treasurer Espy Services, Inc. Attn: Karen Butler 221316th Street Bedford, IN 47421 Email: kbutier@espyservices.com / Phone: 812-275- 4665 Items (Needed for Espy Services to Perform Audit All of these items can either be emailed to the sales representative or supplied via file share. If file share is preferred please let the sales representative know and a link will be emailed to you immediately. Set of one month's Telecommunication Invoices (front page onlyl) a. Local Services invoice(s) b. Long Distance Service invoice(s) c. Internet/Managed Internet Services (MIS) invoice(s) d. Wireless/Cellular invoice(s) 2. Signed Service Agreement and Letter of Agency (LOA) 3. Copy of Organization's Letterhead (for the LOA) 4. The knowledge that the lead auditor will communicate with the contact listed regarding the start of the audit process and best method to provide documentation Once all information is received by Espy Services and the auditors have an opportunity to generate the "Bill Log" the auditor will have a brief conversation with the contact listed on the service agreement; reviewing the auditing procedure and the best method to provide documentation to the client contact. After the auditor conversation there is little to no requirements on the part of the client outside of reviewing documentation on findings provided by the auditing team to the client. There are rare instances where additional information will be required to complete the audit. All audits are individual events and no two audits are the same. The client's review and response to findings is essential to having a financially successful audit; all work to obtain findings, error corrections and negotiated refunds will be conducted by Espy Services. Important: It is not uncommon for your vendors to contact you when Espy Services orders the Customer Service Records. Please direct the vendors back to your Espy Services Auditor. It is important that any discussion around errors, overcharges or negotiated rates is not duplicated or confused by multiple parties communicating with the vendors at the same time. 03/0412016 09:55 CALHOUN CO AUDITREAS (FAX)3615534614 P.0011001 Tor 13615534614 Fromm 18122771514 Datat 03/04/16 Time: 7:58 AN Pager 02/02 CERTIFICATE OF INTERESTED PARTIES FoRM 1285 1oP1 Complete Non, 1- 4 and 6II there are Interevted parties. Complete Nos.1. 2, 3, 5, and e,ff theta are no Interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number! 201g-21749 Date Flied: 03/04=10 Date Aelmovdatigedr 1 Name of buslness entity filing form: and the city, stata and Country of the business ardWs.place of -business. Espy Services l3edtard, IN United States tfte Of 05ve—mmental entity or state agency thatra a pww to thifeiintractifor o e rm e . being filed, Calhoun County TeXae .3 Provide the Identification number used by the govemmerdal orniry, or state Agoncy to track or Identify the contract, and pfov de a , descilptlon ofthe goods or services to he provklod under the contract. 74-6001923 tatecom audit a Name of Interested Parry city, arms, couttay (pieta of buatnmrw) Nature of internal (cheek applicable) Controlling Intermedlsry Espy Services Bedford, IN United States X 5 Check only if there Is NO Interested Parry., Q e AFFIDAVIT I swear, or affirm, under ponalty of perjury, that the above dieclosuto is two and Correa. ♦aY,'..��. NWARYPUBM ' I K SBAL O_ Sidney w a C t:cmmieslan E>ylrea Aupuo112 ?pig Pall gnj, lagltan Ignaa r& of authorized agent oLn ctlng buslneas,emily AFFIX NOTARY STAMP 1 SEAL ABOVE (� Sworn to and subscribed before mo, by the said $XU C� f t� this the _ day of M ar f�l 20 I l 0 , to, certlly which, witness my hand and sear of office. ldlif Sidri��ofj�� s �n���Iir, SIOna oa of afflcer adminlsiedn0 oath Printed name rf officer admlrlletating oath � Title of om r administering oelh Cyr . wr jhgnrl M, Tnvae Pfhira (:nmmlealnn ,nne,w_atnlr_Q. C1AtAJrr.(re Version V1.0.312 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos, 1- 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-21749 Date Filed: 03/04/2016 Date Acknowledged: 03/23/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Espy Services Bedford, IN United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Texas 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract. 74-6001923 telecom audit 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Espy Services Bedford, IN United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.312 LEASE AGREEMENT BETWEEN PITNEY BOWES GLOBAL FINANCIAL AND THE CALHOUN COUNTY TREASURER'S OFFICE FOR A FIXED TERM OF 60 MONTHS AT $119 MONTHLY, BILLED QUARTERLY FOR $357 AND AUTHORIZE COUNTY TREASURER RHONDA KOKENA TO EXECUTE SAID LEASE AGREEMENT: Commissioner Galvan made a motion to approve Lease Agreement between Pitney Bowes Global Financial and the Calhoun County Treasurer's Office for a fixed term of 60 months at $119 monthly, billed quarterly for $357 and authorize County Treasurer Rhonda Kokena to execute said Lease Agreement. Commissioner Fritsch seconded the motion Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Josie Sampson From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Thursday, March 10, 2016 1:52 PM To: Susan Riley; Josie Sampson Subject: PITNEY BOWES LEASE Attachments: PITNEY BOWES LEASE 2016.pdf Attached is the signed lease agreement with Pitney Bowes / Agenda Item #13 RHONDA S. KOKENA Cowes Treaywr2r Ca.14~.�Cauuvh,J AK.K If 202 S. Avwv St., S wute. A P&v+Lavaca, Texas 77979 (361)553-44619 affi.c-, (361)553-4614 fax, 1 PITNEY BOWES GLOBAL FINANCIAL SERVICES AGREEMENT III IIITT�l STATE & LOCAL FAIR MARKET VALUE LEASE Agreement Number Your Business Information CALHOUN COUNTY TREASURER Full Legal Name of Lessee DBA Name of Lessee Tex ID # (FEINfrIN) "} / f'- ,coo qA3 202 S ANN ST, Ste A PORT LAVACA TX 77979-4204 Billing Address: Sheet City State Zip+4 ( ) ext 19539502864 Billing Contact Name Billing Contact Phone# Billing CAN# 202 S ANN ST Ste A PORT LAVACA TX 77979-4204 Installation Address (if differentfmm billing address): Street City Slate Zip+4 Rhonda Kokena (361) 663 4620 ext 19539502864 Installation Contact Name Installation Contact Phone # Installation CAN # Fiscal Period prong -10) Your Business Needs Customer PO # Check reams to be lot luded In sentences payment Qty 1 Business Solution Description Mail Stream Solution -1 DM400C Digital Meter System 1 IntelliLink Interface I PSD for DM300CI DM400CIDM450C 1 Basic Accounting(50 Accounts) 1 70 LPM Feature 1 5111 Integrated Weighing Q 1 Integrated Weighing Platform 1 bSmanPostage Free 1 IntelliLink Subscription Delivery CAN # SmAces Level Agreement Tier I-PsaWdes m eBood maintenance anM. far eaulpmenl rsbndeN SU) steel. Maintenance (addillonaI terms apply)-ProNdea revuld. updates A Neddlefossisienw Softeudrda Subscription -P ovtdm postal eadcam et updates If you do not Noose Son -mend protection with yourleese, youwill automatically,. hive updates at PBI's ..at rotes. InlemLeke Subsc 1pllON Metal Rental-ProWdea dmpG6ed eager and NdmAnpostagesemis O Value Based services O Pmebas.PownOcmahme ❑ PesoXMall Payamteervke-Amandar.wemnmBetas farmi6001,, 6Men met003..11.1 the P. 4EverhLAss .1.emalluser,wa need Betas farm service. 8002, a,M a003, along wile the PemO Enroymenlfo,m, to ecdwle your PeemX MeX PaymentaoM<a. ❑YES PaOFBValueMAxe Program (a) No Emalimbnt g willinroad¢ pmofotbuddence MIN. the ne d30 day. as noted in pamgreph La) Your Payment Plan Number Of Months I Monthly Amount I Billed Quarterly Ate O Required advance check of $( )received Tax Exempt# State Tax (Ifappfioable) First 60 $119 $367 O Tax Exempt Certificate Attached ( )Tax Exempt Certificate Not Required 'Ooesnot indutle anyapplicable lazes. Your Signature Below Non,Aamonflallons. You warrant that you have funds available to pay all payments Boni the end of your current fiscal period, and shall use your best efforts to obtain funds to pay all payments In each subsequent fiscal period through the end of your Lease Term. If your appropriation request to your legislative body, or funding authority ('Governing Body-) for funds to pay the payments Is denied, you may terminate this Lease on the last day of the fiscal period for"Ch funds have been appropriated, upon (1) submission of documentation reasonably satisfactory to us evidencing the Governing Bodys denial of an appropriation sufficient to continue this Lease forth. next succeeding fiscal period, and (11) satisfaction of all charges and obligations under this Lease Incurred through the end of the fiscal period for which funds have been appropriated, Including the return of the Equipment at your expense. By signing below, you agree to be bound by all the terms and conditions of this Agreement, Including moss contained on page 2 and those located In the Pllney Bowes Teens amlon 2/10), which are available at www.pucomifterms and are Incorporated by reference. The lease will be binding on PBGFS only after PBGFS has completed IN dllan cumentation approval process and an authorized PBGFS am ployeesignsbalow. The lease requires you either to provide proor of insurance or instead oartlCloatei the Pitnev BowesValueMAX equ)pmgbt protection program Nee paragraph L9 page 2) fofan additional fee. Signature Date Rhonda Kokena Treasurer rhonda.kokena@calhouncoTX.org Print Name Title Email Address Sales Information RICHARDSON JR PAUL 059 Account Rep Name Dishict Office PBGFS Acceptance (C0154402.3) Page I of 2 see Piiney Bowes Terms for addlllonal terms and conditions PBGFS SLG FMV Lease Agreement (Vernon 2113) 02012 Pilnay Bowes Inc. All firs reserved. Piney Bowes Cmftetn. SolIGuard. stel6Llnk, Purchase Power entl Valueldax .,a mgiste cd Imdemaras owned by Piney Bowes Inc. LEASE TERMS AND CONDITIONS This is a lease with Putney Bowes Global Financial Services LLC (PBGFS), Pitney Bowes' leasing company. PBGFS provides leasing options to our customers. PBGFS does not warrant, service or otherwise support the equipment. Those services are provided by Pitney Bowes Inc. (PBI) as stated in the Pitney Bowes Terns. Due to federal regulations, only PBI can own an IntelllLinks Control Center or Meter. Therefore, those Items are rented to you, rather than leased. Unlike the other '.. equipment you may lease from us, you cannot purchase an lntelliLink Control Center or Meter at the end of the Agreement, L1. DEFINITIONS 1.1.1 All capitalized terms that are not defined in this document are defined In the "Definitions" section of the Pitney Bowes Terms. L2. AGREEMENT L2.1 You are leasing the Equipment listed on the Order. You will make each Quarterly Payment by the due date shown on our Invoice. L2.2 You may not cancel this Lease for any reason except as expressly set forth In Sections L10 and L11 below. All L2.3 Our remedies for your failure to pay on time or other defaults are set forth in the "Default and Remedies" section of the Putney Bowes Terms. L2A You authorize us to file a Uniform Commercial Code financing statement naming you as debtor/lessee with respect to the Equipment. L3. PAYMENT TERMS AND OBLIGATIONS L3.1 We will Invoice you in arrears each quarter for all payments on the Order (each, a "Quarterly Payment"), except as provided in any SOW attached to this Agreement. L3.2 Your Quarterly Payment may include a one-time origination fee, amounts carded over from a previous unexpired lease, and other L3.3 If you request, your lntelliLink Control CenterlNbeter Rental fees, Service Level Agreement fees, and Soft -Guard payments ("PSI Payments') will be Included with your Quarterly Payment and begin with the start of the Lease Term. Your Quarterly Payment will Increase If your PBI Payments increase. L4. L5. L6. END L6.1 L7. patent. PBI owns anyy lntelliLink Control Center as stated in Section L6.1, you will not have the to owner at the end of this Agreement. is the number of months stated on the Order of your Lease, you may, if not I options: Is, where is' for fair market (c) return the Equipment, lntelliLink Control Center and/or Meter In its original condition, reasonable wear and tear excepted. If you return the Equipment, lntelliLink Control Center and/or Meter, at our option you will either (i) properly pack them and Insure them for their full replacement value (unless you are enrolled in the ValueMAX program) and deliver Them aboard a common carrier, freight prepaid, to a destination within the United Stales that we speci(y,,or (f properly Pack and return them in the return box and with thha shipping abet provided by us and, In either case, pay us our then applicable processing fee. L6.2 If you do not select one of the options in Section Lfi.t, yyou shall be deemed to have agreed to enter into successive 12-month annual extensions of the term of this Agreement. You may opt to cease the automatic extensions by providing us with written notice within 120 days (but no less than 30 days or such shorter period as may be contemplated by law) prior to the expiration of the then -current term of this Agreement. Upon cancellation, you agree to either return all Items pursuant to Section L6.1(c) or EXPRESS OR RANTY OF PURPOSE, OR FREEDOM FROM INTERFERENCE OR INFRINGEMENT. L7.2 PBI provides you with (and we assign to you our rights in) the limited warranty in the Pinney Bowes Terms, L7.3 WE ARE NOT LIABLE FOR ANY LOSS, DAMAGE (INCLUDING INCIDENTAL, CONSEQUENTIAL OR PUNITIVE DAMAGES), OR EXPENSE CAUSED DIRECTLY OR INDIRECTLY BY THE EQUIPMENT. I.B. EQUIPMENT OBLIGATIONS L8.1 Condition and Repairs. You will keep the Equipment free from liens and encumbrances and in good repair, condition, and working order. L8.2 Inspection. We may inspect the Equipment and any related maintenance records. L8.3 Location. You may not move the Equipment from the location specified on the Order without our prior written consent. L9. RISK OF LOSS AND VALUEMAe PROGRAM Because we own the equipment while you lease it from us, we need to make sure It Is protected while it Is In your possession. You can demonstrate to us that the equipment will be protected either by showing us that your Insurance will cover the equipment or by enrolling In our fee -based ValueMAX program. The terms of that program are listed in Section L8.2. L9.1 Risk of Loss. (a) You bear the entire risk of loss to the Equipment from the date of shipment by PBI until the end of the Lease Term (Including any extensions, regardless of cause, ordinary wear and tear excepted (Loss"). (b) No Loss will relieve you of any of your obligations under this Lease. You must immediately notify us in writing of the occurrence of any Loss. (c) You will keep the Equipment Insured against Loss for Its full repplacement value under a comprehensive policy of Insurance or other arrangement with an insurer of your choice, provided that It Is reasonablyy satisfactory to us ("Insurance*). YOU MUST CALL US AT 1-800-732-7222 AND PROVIDE US WITH EVIDENCE OF L9.2 ValueMAX Program. (a) If you do not provide evidence of insurance and have not enrolled In our own program (ValueMAX), we may Include the Equipment in the ValumMAX program and charge you a fee, which we will include as an additional charge on your invoice. (b) We will provide written notification reminding you of your insurance obligations described above in Section L9.1(c). (c) If you do not respond with evidence of Insurance within the time frame specified in the notification we may immediately Include the Equipment In the ValueMAX program. (d) If the Equipment is Included in the ValueMAX program and any damage or destruction to the Equipment occurs (other than from your gross negligence or willful misconduct, which Is not covered by VahmMAX), we will (unless you are in default) repair or replace the Equipment. (a) If we are required to repair or replace the Equipment under the ValueMAX program and we fail to do so within 20 days of receiving your written notice of loss or damage, you may (f) We are not liable to you If we terminate the ValueMAX program. By providing the ValueMAX program we are not offering or selling ycu Insurance; accordingly, regulatory agencies have not reviewed this Lease, this program or Its associated fees, nor are 1.10. NON -APPROPRIATION 1_10.1 You warrant that you have funds available to pay all payments until the end of your current fiscal period, and shell use your best efforts to obtain funds to pay all payments in each subsequent fiscal period through the end of your Lease Term. If your appropriation request to your legislative body, or funding authority on the last day of the fiscal perioo for appropriated, upon (1) submission of y satisfactory to us evidencing the f an appropriation sufficient to continue incurred through the end of the fiscal period for which funds have been appropriated, including the return of the Equipment at your expense. L11. EARLY TERMINATION L11.1 You further warrant that you intend to enter Into this Lease for the entire Stated Term and you acknowledge that we have relied upon such represented Intention when determininighe applicable pricing of hetStated Termou other than for non-aoam rialions you shall pay a termination charge equal to the net present value of the monthly payments remaining through the completion of the term, discounted to present value at a rate of 6 % per yyear. The foregoing paragraph shall supersede Section G5.2(w of the Pitney Bowes Terms. L12. MISCELLANEOUS L12.1 If more than one lessee is named In this Lease, liability is joint tY NOT ASSIGN OR SUBLET THE EQUIPMENT OR SE WITHOUT OUR PRIOR WRITTEN CONSENT, CONSENT WILL NOT BE UNREASONABLY sell, assign, or transfer all or any part of this Lease or tent. Any sale, assignment, or transfer will not affect or obligations under this Agreement. (GOIs 02.3) Page 2 of See Pitney Bowes Terms for additional terms and conditions PBGFS SLG FMV Lease Agreemont (Version 2113) W012 Pitney Bowes Inc. Ail dghts reserved. Pitney Bowes Connect+, Soft -Guard, lntelliLink, Purchase Power and VaiveMAX ere registered bademarks owned by Pitney Bowes Inc. Pitney Bowes 3/4/2016 2:25:49 PM PAGE 2/002 Fax Server Cr=RTIFICATE'C)F-(NTERESTIED.P.ART.IES FORM 1295 loll Complete Nos. 1 - 4 ands it there are interested parties. Compiiiti Nd.1i 2; 3,5�.ihil 6 lltfi4iRitre no interested parties, OFFICE USE ONLY CERTIFICA11ON-OP FILING Certificate Number. .Of business.2016-20730 Pitney 13owes,_Ihc. 'Stanitbrd, CT.United.Stafes Date Filed: 2 Nam -of varrummud ;9lityar state agencythatisa pYr—ty lathe contract forwhich the formis. b6jh;tjj6g 0310212016 Calhoun CdUhty Treasurer Date Acknowledged: 3 Provide the, Identification.number used bythe governmental entity at state agency to track or Identify the contrilot,-andprovida, a (rescrfpilorr of the goods or services to'be provided tinder (110*11orktrAct. 49645 Madl*Proicessingand Meter Equipment. 4 Name of Were . s . led - Perry- City, stcrej country.(placa of hummm.$) Nature ofinterest (chockapplicable) 6o—rttrollingi, Intermediary 5 Check only 1f.thera is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or.affirm. under penalty of perquiy.-thei(the above disclosure fs true:oAd Wrect, �gnatureofauth h, AFFIX NOTARY STAMP tSEAL ABOVE: sworn to and subscribed before me; byQrs said Chcv-, .5 hoP4 r ;tht.s.the )�MR—$1.dy6f .,712-r1f) 20 It- to certify which., witnessmY barld a ndspalotoffice. FAITH C. SAiJT1ACao NOT" ,YPUBL/C Signature of officer,adminli(aring 0ath P Prilitod name of officer admirdstating oath rifle ofafficer.'odnWiMmIn4 oath Forms plavided byTeXas Ethics Commission Version V1.0.312 O01-339(Back) a; (Rev.4-13/e) Texas Sales and Use Tax Exemption Certification This certificate does not require a number to be valid.. THE COUNTY OF CALHOUN TEXAS Address (Street & number, P.O. Box or Route number) Phone (Area code and number) ' MS ANN ST 1 361-5534610 PORT LAVACA TX 77979 i, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable items described below or on the attached order or invoice) from: Seller: Street address: City, State, ZIP Description of items to be purchased or on the attached order or invoice: PRODUCTS AND/OR SERVICES FOR THE EXCLUSIVE USE OF CALHOUN COUNTY. Purchaser claims this exemption for the following reason: EXCLUSIVE USE OF CALHOUN COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF TEXAS. I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and/or all applicable law. I understand thatitis a criminal offense to give an exemption certificate to the sellerfor taxable items that) know, at the time ofpurchase, will be used in a manner otherthan that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree. For: Cindy Mueller, County Auditor `/ ) NOTE: This certificate cannot-6 is drfd & purchase, lease, or rental of a motor vehicle. THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID. 174 /7 - G OD MA 3 Sales and Use Tax "Exemption Numbers" or "Tax Exempt" Numbers do not exist. This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. CERTIFICATE OF INTERESTED PARTIES FORM 1295 Soft Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-20730 Date Filed: 03/02/2016 Date Acknowledged: 03/23/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Pitney Bowes, Inc. Stamford, CT United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Treasurer 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract. 496-15 Mail Processing and Meter Equipment 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.312 MEMORANDUM OF UNDERSTANDING BETWEEN TEXAS PARKS & WILDLIFE DEPARTMENT AND THE CALHOUN COUNTY SHERIFF'S OFFICE ESTABLISHING FRIENDLY FORCE FOR THE PURPOSES OF OPERATION STONEGARDEN GRANTS(OSG): Commissioner Fritsch made a motion to approve Memorandum of Understanding between Texas Parks & Wildlife Department and the Calhoun County Sheriff's Office establishing Friendly Force for the purposes of Operation Stonegarden Grants (OSG). Commissioner Galvan seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. MEMORANDUM OF UNDERSTANDING between TEXAS PARKS & WILDLIFE DEPARTMENT and CALHOUN COUNTY SHERIFF'S OFFICE establishing FRIENDLY FORCE This Memorandum of Understanding (MOU) is hereby made and entered into by and between Texas Parks & Wildlife Department, hereinafter referred to as "TPWD," and Calhoun County Sheriffs Office, hereinafter referred to as "CCSO," pursuant to Chapter 791 of the Government Code. The purpose of this MOU is: 1. To document guidelines for cooperative participation between the named parties with regard to the expenditures of a U.S. Department of Homeland Security, Federal Emergency Management Agency (FEMA), Operation Stonegarden (OPSG) program grant, hereinafter referred to as "OPSG Grant," and 2. To establish the responsibilities of both parties as they relate to the OPSG Grant. Background Information: OPSG Grants provide funding to designated counties/ localities to enhance cooperation and coordination between Federal, State, Local, 'tribal, and territorial law enforcement agencies in a joint mission to secure the United States' borders along routes of entry into the United States from international borders, to include travel corridors in states bordering Mexico and Canada, as well as states and territories with International water borders. While local units of government at the county level are OPSG Grant applicants, partnerships with "Friendly Forces" to assist with interdiction efforts are commended and encouraged by FEMA. Statement of Mutual Benefit and Interest: While CCSO is both the applicant and recipient of OPSG Grant funds, the purpose of the grant is for the added presence of Law Enforcement Resources on the Waterways bordering the State of Texas and, as such, CCSO desires to enlist TPWD as a "Friendly Force" and TPWD agrees to this status as it relates to grant. After establishment of this status, CCSO may pass through OPSG Grant funds to TPWD. CCSO will have oversight of the OPSG Grant funding and reimbursement for expenses incurred for this grant. TPWD will be responsible for submitting documentation for reimbursement promptly to CCSO. However, when reimbursement funds are remitted to CCSO on behalf of TPWD, those funds will be transferred, as requested, to TPWD. All payments must come from current revenues available to the paying party. TPWD hereby agrees to comply with OPSG Grant guidelines and the requirements of the Texas State Auditor's Office for grant compliance, which will be subject, but not limited, to grant record keeping, disposal of assets, and all applicable laws. Finally, as funding cycles and grant guidelines are subject to change, both parties agree to work to ensure that requested documentation is presented in a timely manner. Both parties further agree that the interdiction effort complies with all laws of the State of Texas and all Federal Statutes. Effective Term: The MOU will become effective on the final date of signing and will remain in force until the term of CCSO's grant expires or until the parties determine, in writing, otherwise. CALHOUN COUNTY SHERIFF'S OFFICE —� Michael Pfeifer Calhoun County Judge Date: � - /z'` DUNS: 087309324 TEXAS PARKS AND WILDLIFE DEPARTMENT By: Coi�yr el raig Hunter Division Director, Law Enforcement Date: Qu Y q Ua DUNS: 806782 56 Susan Riley From: Mike Pfeifer <mike.pfeifer@calhouncotx.org> Sent: Monday, February 29, 2016 9:35 AM To: 'Susan Riley'; shannon.salyer@calhouncotx.org;'Cindy Mueller Subject: FW: MOU establishing TPWD as a "Friendly Force" Attachments: MOA - CALHOUN COUNTY SHERIFF'S OFFICE - Friendly Force.pdf From: Bryon Prall [mailto:bryon.prall@calhouncotx.org] Sent: Monday, February 29, 2016 8:15 AM To: mike pfeifer Cc: 'George Aleman'; JoeRobert Garcia Subject: FW: MOU establishing TPWD as a "Friendly Force" Good Morning Judge Here is the signed copy of the MOU with TPWD. If possible please supply us with a signed copy of the document and I will return to TPWD and maintain a copy for our files. Thank you for your patience and have a blessed day. Bryon K. Prall Chief Deputy Calhoun. County Sheriffs Office 211 South Ann St. Port Lavaca Texas 77979 Office: 361-553-4646 1-'ax:361-553-4668 From: TPWD Contracting [mailto:TPWDContracting@tpwd.texas.gov] Sent: Friday, February 26, 2016 10:56 AM To: t�ryon.prall@calhouncotx.org Cc: TPWD Contracting; Keith Gerth; Les Casterline; Malcom Wilkes; Chris Davis; Jason Campbell Subject: MOU establishing TPWD as a "Friendly Force" Good morning, Attached is the partially executed Agreement for the project listed below. Please review, obtain authorized signatures, and return a fully executed Agreement in PDF format to tpwdcontractinq(c_tpwd.texas.gov for our records. Proiect Title: Friendly Force TPWD Coordinator: CCSO Coordinator: Keith Gerth Bryon Prall We appreciate your support and please let me know if you have any questions. Thank you, Melissa Moody, Contract Specialist Texas Parks and Wildlife Department 14200 Smith School Road I Austin, Texas 78744 1 Office (512)389-4120 i Fax (512)389-8797 1 Lifers Better Outside melissa.mood a[ wjJ.texas.00v I tpwdcontracting tpwd.texas.gov Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Monday, February 29, 2016 9:54 AM To: 'Mike Pfeifer'; 'Susan Riley'; shannon.salyer@calhouncotx.org Subject: RE: MOU establishing TPWD as a "Friendly Force" FYI Calhoun County DUNS 08730932.4 From: Mike Pfeifer [mailto:mike.pfeifer@calhouncotx.org] Sent: Monday, February 29, 2016 9:35 AM To: 'Susan Riley' <susan.riley@calhouncotx.org>; shannon.salyer@calhouncotx.org; 'Cindy Mueller' <ci ndy. m ue I le r @ ca I ho u n cotx. o rg> Subject: FW: MOU establishing TPWD as a "Friendly Force" From: Bryon Prall [mailto:brvon prall Calhouncotx.org] Sent: Monday, February 29, 2016 8:15 AM To: mike pfeifer Cc: 'George Aleman'; JoeRObert Garcia Subject: FW: MOU establishing TPWD as a "Friendly Force" Good Morning Judge Here is the signed copy of the MOU with TPWD. If possible please supply us with a signed copy of the document and I will return to TPWD and maintain a copy for our files. Thank you for your patience and have a blessed day. Bryon. K. Pratt Chief Deputy Calhoun County Sheriffs Ofee 211 South. Ann St. Port Lavaca Texas 77979 Office: 361-553-4646 Fa,,:: 361-553-4668 From: TPWD Contracting [mailto_TPWDContracting@wd,texas.gov] Sent: Friday, February 26, 2016 10:56 AM To: Bryon prall lhouncob( ora Cc: TPWD Contracting; Keith Gerth; Les Casterline; Malcom Wilkes; Chris Davis; Jason Campbell Subject: MOU establishing TPWD as a "Friendly Force" Good morning, Attached is the partially executed Agreement for the project listed below. Please review, obtain authorized signatures, and return a fully executed Agreement in PDF format to ttwdcontractinq@tpwd.texas.gov for our records. Project Title: Friendly Force TPWD Coordinator: CCSO Coordinator: 1 Susan Riley From: Mike Pfeifer <mike.pfeifer@calhouncotx.org> Sent: Monday, February 29, 2016 9:35 AM To: 'Susan Riley'; shannon.salyer@calhouncotx.org;'Cindy Mueller' Subject: FW: MOU establishing TPWD as a "Friendly Force" Attachments: MOA - CALHOUN COUNTY SHERIFF'S OFFICE - Friendly Force.pdf From: Bryon Prall[mailto:bryon.prall@calhouncob<.org] Sent: Monday, February 29, 2016 8:15 AM To: mike pfeifer Cc: 'George Aleman'; JoeRobert Garcia Subject: FW: MOU establishing TPWD as a "Friendly Force" Good Morning Judge Here is the signed copy of the MOU with TPWD. If possible please supply us with a signed copy of the document and I will return to TPWD and maintain a copy for our files. Thank you for your patience and have a blessed day. Bryon. K. Prall Chief Deputy Calhoun. County Sheriffs Office 211 South Ann St. Port Lavaca Texas 77979 Office: 361-553-4646 Fax: 361-553-4668 From: TPWD Contracting [mailto:TPWDContractin a t wd.texas gov] Sent: Friday, February 26, 2016 10:56 AM To: bryor1.prall calhouncotx org Cc: TPWD Contracting; Keith Gerth; Les Casterline; Malcom Wilkes; Chris Davis; Jason Campbell Subject: MOU establishing TPWD as a "Friendly Force" Good morning, Attached is the partially executed Agreement for the project listed below. Please review, obtain authorized signatures, and return a fully executed Agreement in PDF format to tpwdcontracting Ca?tpwd.texas. aov for our records. Proiect Title: Friendly Force TPWD Coordinator: CCSO Coordinator: Keith Gerth Bryon Prall We appreciate your support and please let me know if you have any questions. Thank you, Melissa Moody, Contract Specialist Texas Parks and Wildlife Department 14200 Smith School Road I Austin, Texas 78744 Office (512)389-4720 1 Fax (512)389-8797 1 Lifers Better Outside melissa.mood t wd.texas.aov I tewdcontracting@tpwd.texas.gov_ ANNUAL ALLOCATION PAYMENT FROM LEOSE ACCOUNT IN THE AMOUNT OF $4,282.52 TO BE DEPOSITED IN THE GRANT FUND ACCOUNT NUMBER 3100401201: Commissioner Galvan made a motion to accept Annual Allocation Payment from LEOSE Account in the amount of $4,282.52 to be deposited in the Grant Fund account number 3100401201. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: CALHOUN COUNTY SHERIFF'S OFFICE 2012 ASSEST FORFEITURE AUDIT DATE: MARCH 10, 2016 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MARCH 10, 2016 • Consider and take necessary action to accept annual allocation payment from LEOSE account in the amount of $4282.52 to be deposited in the Grant Fund account number 3100401201. Sincerely, George Aleman Calhoun County Sheriff TAC INSURANCE SETTLEMENT IN THE AMOUNT OF $27,000.00 FOR TROPICAL STORM BILL DAMAGES TO FLAMINGO STREET BULKHEAD: Commissioner Fritsch made a motion to approve TAC insurance settlement in the amount of $27,000.00 for Tropical Storm Bill damages to Flamingo Street bulkhead. Commissioner Galvan seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Wednesday, March 02, 2016 10:32 AM To: 'Susan Riley' Cc: Donald K. Gray, ARM; Kenny Finster; mike Pfeifer; neil fritsch; roger galvan; vern lyssy Subject: Agenda Item Request Please place the following item on the agenda for March 10, 2016: • CATNA to accept TAC insurance settlement in amount of $27,000.00 for Tropical Storm Bill damages to Flamingo Street bulkhead. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 AUTHORIZATION OF LOAN IN THE AMOUNT OF $91,513.00 FROM THE GENERAL FUND TO OCEAN DRIVE CAPITAL PROJECT FUND: Commissioner Galvan made a motion for authorization of loan in the amount of $91,513.00 from the General Fund to Ocean Drive Capital Project Fund. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Cindy Mueller <cindy.mueiler@calhouncotx.org> Sent: Thursday, March 03, 2016 12:56 PM To: 'Susan Riley'; Kenny Finster; mike pfeifer; neil Fritsch; roger galvan; vern lyssy Subject: Agenda Item Request Please place the following item on the agenda for March 10, 2016: < CATNA to authorize loan in amount of $91,513.00 from general fund to Ocean Drive capital project fund. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 ACCEPT A CHECK IN THE AMOUNT OF $1,474.80 FOR SHEET IRON SOLD TO TEXAS PORT RECYCLING AND PLACE IN ROAD & BRIDGE, PRECINCT #2 ROAD & BRIDGE SUPPLIES ACCOUNT (53510): Commissioner Galvan made a motion to accept a check in the amount of $1,474.80 for sheet iron sold to Texas Port Recycling and place in Road & Bridge, Precinct #2 Bridge Supplies Account (53510). Commissioner Fritsch seconded the motion Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Vern Lyssy Calhoun County Commissioner, Precinct #2 (361) 552-9656 Port Lavaca, TX 77979 51090 Fax (361) 553-6664 ' 4 February 22, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for March 10, 2016 • Consider and take necessary to accept $1474.80 check for sheet iron that was sold to Texas Port Recycling and place in the Road & Bridge, Pct. 2 Road & Bridge Supplies account (53510). Sincerely; Vern Lyssy VL/Ij INTERLOCAL AGREEMENT BETWEEN CALHOUN COUNTY AND THE CITY OF PORT LAVACA FOR VETERANS MEMORIAL PARK, AUTHORIZE COUNTY JUDGE TO SIGN, AND AUTHORIZE PAYMENT TO THE CITY OF PORT LAVACA IN THE AMOUNT OF $25,000.00: Commissioner Galvan made a motion to approve Interlocal Agreement between Calhoun County and the City of Port Lavaca for Veterans Memorial Park, authorize County Judge to sign, and authorize payment to the City of Port Lavaca in the amount of $25,000.00. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. AGREEMENT BY AND BETWEEN CALHOUN COUNTY and CITY OF PORT LAVACA FOR VETERANS MEMORIAL PARK STATE OF TEXAS COUNTY OF CALHOUN THIS Interlocal Agreement, entered into to be effective on the 1st day of January, 2016 by and between the CITY of PORT LAVACA, Texas, a Texas Home Rule City, of Calhoun County (hereinafter "CITY"), by and through its duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY'), such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WHEREAS, CTY OF PORT LAVACA, hereinafter referred to as "CITY" is engaged in providing a Veterans Memorial Park dedicated to the Veterans of Calhoun. CITY is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from CITY OF PORT LAVACA to COUNTYin exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CITY OF PORT LAVACA shall be entitled to a sum not to exceed $25,000.00 per annum. Such amount shall be disbursed by COUNTY to CITY OF PORT LAVACA after January 1, 2016, upon written request by CITY OF PORT LAVACA. 2. Services: CITY OF PORT LAVACA, hereinafter referred to as CITY is engaged in providing a Veterans Memorial Park, dedicated to the Veterans of Calhoun County. 4. Term: The Term of this contract is to begin on January 1, 2016 and end on December 31, 2016 unless earlier terminated by either party on thirty days written notice. 5. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 6. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of the CITY OF PORT LAVACA, and CITY OF PORT LAVACA shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CHY OF, PORT LAVACA by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 7. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CITY OF PORT LAVACA, except as herein otherwise provided. CALHOUN COUNTY By: ,; Date: �' Ig� f CALHOUN COUNTY CITY OF PORT LAVACA By: Date: r D— - NOTICES COUNTY: CITY OF PORT LAVACA Calhoun County Judge Attn: Finance Director 211 S. Ann Street, Suite 301 202 N. Virginia Port Lavaca, Texas 77979 Port Lavaca TX 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on ° ° .2016. By: c Josie Sampson, Deputy Clerk Date: o,3 b E I mo' t b CALHOUN COUNTY / (j Purchase Order No. - 9 / o C' �- 201 West Austin Port Lavaca, Texas 77979 VENDOR Name: Z A it ACA Address: --p u I N City: 1/_ A L A-U H c A State: 1V Zip: ? I Phone: CHECK REQUISITION/ PURCHASE ORDER = _ -a Department _��_ n Ss; o nu e(s� C(1wt Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL UE' NOOC l(7 THE TMMS OR SERVICES SHOWNABOVE ARE NEEDED IN THE DISCHARGE Taxes - State/County Deducted OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS AREAVALABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES TOTAL o7� G(jU Uv WERE RECEIVED BY ME IN GOOD CONDITIONAND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. APPROVAL SIGNATURE DATE SIGNATURE DATE ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: Judge Pfeiffer made a motion to accept Reports of the following County offices: • Calhoun Tax Assessor/Collector — January 2016 • Justice of the Peace #1 — February 2016 • Justice of the Peace #2 — February 2016 • Justice of the Peace #3 — February 2016 o February 2016 — Corrected o January 2016 — Corrected • Justice of the Peace #5 — February 2016 • Floodplain Administration — February 2016 Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. 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U T a1 V O �' a1 a) a7 N x a3 a1 U rn U� al Q a5 a5 O O a) o y c6 c 0 d a) a) �• a) a) r r 'COUa g orr r r ar Fa) r.�. w LL 0O yOf.) c IL U c N .�. c c O > > al W O a) > > > 7 > > i ..a) N 4D > > > O U C N y Q U U 0 0 0 y 0 0 4) O O O O N U •O U +� = O r �, ,� c c U U U J U U (n O U U U U a s c v O x o U ,,,, c y>> a p a c a p .. a U a c v v N 'O a (6 c6 (0 (0 l0 LL V N O (6 (6 0) a U. ti IR T„ 0 y 06 O Q Q a a a y a a _ a s d a a w c 2: = a m a t W y C 01 V wi G C T N �+ a) V 7 x > > a7 N W O to CL O 0) m w OUu. ❑(L0 a U) x O w J C ENTER COURT NAME:: + JUSTICE OF PEACE NO. i ENTER,MONTH OF REPORT - FEBRUARY ENTER.YEAR OF REPORT 2016 CUOE+ AMUUN CASH BONDS. 0.00 12/8/2014 ADMINISTRATION FEE-ADMF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS CCC 2,290.32 COURTHOUSE SECURITY -CHS 229.04 CJP 0.00. CIVIL, JUSTICE DATA REPOSITORY FEE -CJDR '4.09 CORRECTIONAL MANAGEMENT INSTITUTE CMf 0.00. CR 0.00 CHILD. SAFETY -CS :0.00: CHILD SEATBELT FEE - CSBF 0.00 CRIME VICTIMS COMPENSATION -OVID -0.00. DPSC/FAILURE TO APPEAR.. OMNI -DPSC ;528.59 ELECTRONIC FILING FEE EEF 0.00. FUGITIVEAPPREHENSION-FA '0.00. GENERAL REVENUE-GR. 0.00 i CRIM- IND.LEGAL SVCS SUPPORT-IDF '114.50: JUVENILE CRIME & DELINQUENCY JCD 0.00. f JUVENILE CASE MANAGER: FUND -JCMF 20.00 JUSTICE COURT PERSONNEL TRAINING JCPT 0.00 JUSTICE COURT SECURITY FUND -JCSF 0.00. =JUROR SERVICE FEE -JSF'. 227.03. LOCAL ARREST FEES - LAF 115.81 LEMI 0.00. LIE OA 0.00 LEOC 0.00 OCL 0.00 PARKS & WILDLIFE ARREST FEES PWAE 1.09. STATE ARREST FEES -SAF 159,40. SCHOOL CROSSINGICHILD SAFETY FEE- SCF 0,00,. SUBTITLE SUSC 1,014.87. TABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND -TF 229.041 TRAFFIC -TFC 101.49 TIME PAYMENT -TIME 599.31: TRUANCYpREVENTION/DIVERSION FUND- TPDF 91.50 LOCAL & STATE WARRANT FEES - WRNT 1,120.70 COLLECTION SERVICE FEE-MVBA-CSRV 2,101.40. DEFENSIVE DRIVING COURSE- DDC '.39.50. DEFERRED FEE -DFF 635.50' DRIVING EXAM FEE- PROV DL 0.00 FILING FEE -FFEE 100.00 FILING FEE SMALL CLAIMS -FFSC 0.00 JURY FEE -JF 0.00 COPIESICERTIFEO COPIES - CC' 0.00 INDIGENT FEE -.CIFF or INDF' 24.00 JUDGE PAY RAISE FEE -JPAY 342.52 SERVICEFEE-SFEE 225.00. OUT -OF -COUNTY SERVICE FEE '0.00. ELECTRONIC FILING FEE - EEF CV. '. 40.00 '- FXPUNGEMENTFEE-EXPG1 0.00 EXPIRED RENEWAL -EXPR 40.00. ABSTRACT OF JUDGEMENT -AOJ 0.00. ALLWRITS-WOP/WOE 0.00 DPS FTA FINE - DPSF 0.00 LOCAL FINE$ -FINEi 7,58580. LICENSE & WEIGHT FEES -LWF 0.00. PARKS & WILDLIFE FINES -PWF ` 103.00; SEATBELT/UNRESTRAINED CHILD FINE,SEAT0.00.' `OVERPAYMENT ($10 & OVER) -OVER 0.00 ' OVERPAYMENT (LESS THAN$10) OVER: 0.00.. ` RESTITUTION - REST '. 0.00. ,PARKS & WILDLIFE -WATER SAFETY FINES-WSF h. 10.00: MARINE SAFETY PARKS & WILDLIFE - MSOJ 0.00. TOTAL ACTUAL MONEY RECEIVED: '. $18,073.60' TYPE: AMOUNT TOTAL WARRANT FEES' 1,120.70 $ ENTER LOCAL WARRANT FEES 166.69RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATE WARRANT FEES '- $964,0I I RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS, AMOUNT ; DUE TO CGISD- 50% of Fine OD JV Cases 0.00: PLEASE INCLUDE D.R.REQUESTMG DISBURSEMENT DUE TO Dq RESTITUTION FUND 0.00'. PLEASE INCLUDE DR REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0.00 JPLMSE INCLUDE DR REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS 0.00: PLEASEINCLUDE O.R. REQUESTING DISBURSEMENT(IF REQUIRED) TOTAL DUE TO OTHERS[:: : $O.OD TREASURERS RECEIPTS FOR MONTH; AMOUNT CAS NECKS, M.Os&CREDIT CARDS $18,073.50 Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS $18,073.50 '- MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/1/2016 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 7,582.75 CR 1000-001-44190 SHERIFF'S FEES 1,172.10 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 39.50 CHILD SAFETY 0.00 TRAFFIC 101.49 ADMINISTRATIVE FEES 675.50 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 816.49 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44061 JP FILING FEES 100.00 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 2,101.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,997.74 CR 2670-001-44061 COURTHOUSE SECURITY FUND $171.78 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $57.26 CR 2719-00144061 JUSTICE COURT TECHNOLOGY FUND $229.04 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $20.00 STATE ARREST FEES DPS FEES 224.68 P&W FEES 0.22 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 224.90 CR 7070-999-20610 CCC-GENERAL FUND 229.03 CR 7070-999-20740 CCC-STATE 2,061.29 DR 7070-999-10010 2,290.32 CR 7860-999-20610 STF/SUBC-GENERAL FUND 50.74 CR 7860-999-20740 STF/SUBC-STATE 964.13 DR 7860-999-10010 1,014.87 CR 7950-999-20610 TP-GENERAL FUND 299.66 CR 7950-999-20740 TP-STATE 299.65 DR 7950-999-10010 599.31 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80 DR 7480-999-10010 24.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/1/2016 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 11.45 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 103.05 DR 7865-999-10010 114.50 CR 7970-999-20610 TL/FTA-GENERAL FUND 176.20 CR 7970-999-20740 TUFTA-STATE 352.39 DR 7970-999-10010 528.59 CR 7506-999-20610 JPAY - GENERAL FUND 34.25 CR 7505-999-20740 JPAY - STATE 308.27 DR 7505-999-10010 342.52 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 22.70 CR 7857-999-20740 JURY REIMB. FUND- STATE 204.33 DR 7857-999-10010 227.03 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.41 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 3.68 DR 7856-999-10010 4.09 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 91.50 DR 7998-999-10010 91.50 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 40.00 DR 7403-999-22889 40.00 #tq1# TOTAL (Distrib Req to OperAcct) $17,977.45 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 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 87.65 WATER SAFETY FINES 8.50 TOTAL DUE TO OTHERS $96.05 TOTAL COLLECTED -ALL FUNDS $18,073.50 LESS: TOTAL TREASUER'S RECEIPTS $18,073.50 OVER/(SHORT) $0.00 Page 2 of 2 ENTER COURT NAME: IJUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT February ENTER YEAR OF REPORT :2016 CODE[ AMOUNT CASH BONDS 0.00 Revised 1218114 ADMINISTRATION FEE -ADMIF 0.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 2,271.77 COURTHOUSE SECURITY OHS 227.97 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR :' 2.87 CORRECTIONAL MANAGEMENT INSTITUTE -CMI . 0.31 OR 0.00 CHILD SAFETY- CS 0.00 CHILD SFATBELT FEE -CSBF 0.00 i CRIME VIOTIMS COMPENSATION -CVC 9.26. DPSCIFAILURE TO APPEAR -OMNI-DPSC 524.05 ELECTRONIC FILING FEE 20.00. FUGITIVE APPREHENSION FA 3.09 . GENERAL REVENUE -GR '. 0.00 GRIM- 1ND LEGAL SVCS SUPPORT -IDF 109.03 JUVENILE CRIME&DELINQUENCY -JCD, 0.31. JUVENILE CASE MANAGER FUND -JCMF - 6.00. JUSTICE COURT PERSONNEL TRAINING -JCPT 1.24 JUSTICE COURT SECURITY FUND -JCSF 0.00. JUROR SERVICE FEE -JSF ;226.12 LOCALARRESTFEES-LAF `.93.75 LEMI 0.00 ' LEOA : 0.00, LEOC 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES -PWAF '' 15.54 STATE ARREST FEES -SAF 121.40 SCHOOL CROSSING/CHILD SAFETY FEE - SCE 0.00 SUBTITLE C SUBC 848.14 TABC ARREST FEES -TAF 0.00 'TECHNOLOGYFUND-TF `. 228.59 TRAFFIC TFC 84.90 TIME PAYMENT -TIME 527.75: TRUANCY PREVENTIDIVERSION FUND -TPDF 92.58. LOCAL & STATE WARRANT FEES - WRNT 1,602,88 . COLLECTION SERVICE FEE-MVBA-CSRV :. 2,384.20.. DEFENSIVE DRIVING COURSE -DDC : 39.50. DEFERRED FEE- OFF °64.90 DRIVING EXAM FEE'PROV,DL 0.00' FILING FEE- FFEE '.' 50.00' FILING FEE SMALL CLAIMS -FFSC - 0.00: COPIESICERTIFED COPIES -CC .0.00' INDIGENT FEE -CIFF or INDF 12.00 JUDGE PAY RAISE FEE -JPAY ' 335.15 SERVICE FEE -SFEE 150.00. OUT -OF -COUNTY SERVICE FEE <0.00. EXPUNGEMENT:FEE -EXPG; 0.00. EXPIRED RENEWAL -EXPR 40.00. pBSTRACTOFJUDGEMENT-AOJ : 0.00. ALL WRITS-WOP I WOE I0.00. �DPS FTAFINE' -DPSF 822.00. LOCALFINES - FINE 6,607.50: LICENSE & WEIGHT FEES -LWF'' '0.00 PARKS & WILDLIFE FINES -PWF 472.00. SEATBELTIUNRESTRAINED CHILD FINE - SEAT', 0.00 * OVERPAYMENT ($10 8i OVER) - OVER 0.00 OVERPAYMENT (LESS THAN $10) - OVER 0.00 RESTITUTION - REST 0.00.. PARKS & WILDLIFE -WATER SAFETY ..FINES -WSF <103.00. INCR : 0.00. TOTAL ACTUAL MONEY RECEIVED $18,086.80. TYPE: AMOUNT- TOTAL WARRANT FEES 1,601 I ENTER LOCAL WARRANT FEESI 637.07 REcottD ON TOTAL PAGE OF HILL COUNTRY SOFTwAREMO. REPORT STATE WARRANT FEES 65.8 RECORD ON TOTAL PAGE OF HILLCOUNTRYSOFRNPRE MO. REPORT DUE TO OTHERS: AMOUNT+ DUE TO CCI5D-50% of Fine on JV cases 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUE TO PARESTITUTION'FUND 0.00 PLEASEI"'CE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS, 0.00. PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE :0.00. PLEASEmcwDE D.R. REQUESTING DISBURSEMENT BASH BONDS 0.00. PLEASEINCLUDE D.R.REQUEST NGDISBURSEMENT(IFREQUIRE) TOTAL DUE TO OTHERS $0.00 TREASURERS RECEIPTSFOR MONTH: AMOUNT: CASH, CHECKS, M.U.S & CR DIT CARDS I Calculate from ACTUAL Treasurers Recelpts TOTAL TREAS RECEIPTS $18,096.18,098.80 80 f MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/1/2016 COURT NAME: JUSTICE OF PEACE NO.2 MONTH OF REPORT: February YEAR OF REPORT: 2016 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 7,515.75 CR 1000-001-44190 SHERIFF'S FEES 1,613.02 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 39.50 CHILD SAFETY 0.00 TRAFFIC 84.90 ADMINISTRATIVE FEES 104.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 229.30 CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00 CR 1000-001-44062 JP FILING FEES 50.00 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 2,384.20 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,942.27 CR 2670-001-44062 COURTHOUSE SECURITY FUND $170.98 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $56.99 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $228.59 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 217.44 P&W FEES 3.11 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 220.55 CR 7070-999-20610 CCC-GENERAL FUND 228.60 CR 7070-999-20740 CCC-STATE 2,057.38 DR 7070-999-10010 2,285.98 CR 7860-999-20610 STF/SUBC-GENERAL FUND 42.41 CR 7860-999-20740 STF/SUBC-STATE 805.73 DR 7860-999-10010 848.14 CR 7950-999-20610 TP-GENERAL FUND 263.88 CR 7950-999-20740 TP-STATE 263.87 DR 7950-999-10010 527.75 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/1/2016 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: February YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 10.90 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 98.13 DR 7865-999-10010 109,03 CR 7970-999-20610 TL/FTA-GENERAL FUND 174.68 CR 7970-999-20740 TL/FTA-STATE 349.37 DR 7970-999-10010 524.05 CR 7505-999-20610 JPAY - GENERAL FUND 33.52 CR 7505-999-20740 JPAY - STATE 301.63 DR 7505-999-10010 335.15 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 22.61 CR 7857-999-20740 JURY REIMB. FUND- STATE 203.51 DR 7857-999-10010 226.12 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.29 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.58 DR 7856-999-10010 2.87 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 92.58 DR 7998-999-10010 92.58 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 20.00 DR 7403-999-10010 20.00 TOTAL (Distrib Req to OperAcct) $17,608.05 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 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 401.20 WATER SAFETY FINES 87.55 TOTAL DUE TO OTHERS $488.76 TOTAL COLLECTED -ALL FUNDS $18,096.80 LESS: TOTAL TREASUER'S RECEIPTS $18,096.80 Revised 12/8/14 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42431 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Calvin Anderle Address: Title: Justice of the Peace, Pct. 2 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION - AMOUNT 7542-999.20759-999 JP2 Monthly Collections - Distribution $17,608.05 February 2016 V# 967 TOTAL 17,608.05 Signature of Official Date `.2,761.82 281.47 4.13 0.50 15.00 '-839.29 60.00 5.00 1$7.24 0.50 15.00 2.00 278.65 160.71 MOO 167.38 282.47 131..53 694.36 INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE REPORT REPORT MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/2/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 8,616.30 CR 1000-001-44190 SHERIFF'S FEES 1,665.18 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 75.20 CHILD SAFETY 0.00 TRAFFIC 131.53 ADMINISTRATIVE FEES 464.60 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 671.33 CR 1000-001-44010 CONSTABLE FEES -SERVICE 450.00 CR 1000-001-44063 JP FILING FEES 150.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 8.00 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 3,200.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $14,761.41 CR 2670-001-44063 COURTHOUSE SECURITY FUND $281.47 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $0.00 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $282.47 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $15.00 STATE ARREST FEES DPS FEES 146.35 P&W FEES 5.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 151.35 CR 7070-999-20610 CCC-GENERAL FUND 278.48 CR 7070-999-20740 CCC-STATE 2,506.34 DR 7070-999-10010 2,784.82 CR 7860-999-20610 STF/SUBC-GENERAL FUND 64.26 CR 7860-999-20740 STF/SUBC-STATE 1,221.00 DR 7860-999-10010 1,285.26 CR 7950-999-20610 TP-GENERAL FUND 347.18 CR 7950-999-20740 TP-STATE 347.18 DR 7950-999-10010 694.36 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 3/2/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 13.72 CR 7865-999-20740 GRIM-SUPP OF IND LEG SVCS-STATE 123.52 DR 7865-999-10010 137.24 CR 7970-999-20610 TL/FTA-GENERAL FUND 279.76 CR 7970-999-20740 TL/FTA-STATE 559.53 DR 7970-999-10010 839.29 CR 7505-999-20610 JPAY - GENERAL FUND 41.67 CR 7505-999-20740 JPAY - STATE 375.06 DR 7505-999-10010 416.73 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 27.86 CR 7857-999-20740 JURY REIMB. FUND- STATE 250.69 150 DR 7857-999-10010 278.55 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.41 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 3.72 DR 7856-999-10010 4.13 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND 106.52 DR 7998-999-10010 106.52 CR 7403-999-22889 ELECTRONIC FILING FEE 60.00 DR 7403-999-10010 60.00 TOTAL (Distrib Req to OperAcct) $22,134.60 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYME 0.00 OUT -OF -COUNTY SERVK 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE: 343.40 WATER SAFETY FINES 17510 TOTAL DUE TO OTHERS $518.50 TOTAL COLLECTED -ALL FUNDS $22,653.10 LESS: TOTAL TREASUER'S RECEIPTS $22,653.10 Revised 7/13/11 OVER/(SHORT) $0.00 Page 2 of 2 1 A 1 )c J - - 4P ��rtx cri S f ENTERCOURT NAME: IJUSTICE OF PEACE NO3': ENTER MONTH OF REPORT ': JANUARY ENTER YEAR OF REPORT 2016 CODE. 0001 GASH BONDS- Revised 7113111 ADMINISTRATION FEE - ADMF BREATFIALCOHOL TESTING -BAT CONSOLIDATED COURT: COSTS -CC', 143125: COURTHOUSE SECURITY -CHS 14342 CJP CIVIL JUST DATAREPOS FEE-CJDR/MVF 160 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 050' CR CHILD SAFETY - CS CHILD SEATBELT FEE, CSBF CRIME VICTIMS COMPENSATION - CVC 15.00 DPSCIFAILURr,TOAPPEAR-OMNI-DPSC 40297: i ELECTROMCFILINGFEE 30,00 FUGITIVE APPREHENSION FA 500 i GENERAL REVENUE-GR CRtM- IND LEGAL SVCS SUPPORT -IDF 6871 JUVENILE"CRIME&DELINQUENCY -JCR 050 I JUVENILE CASE MANAGER FUND -JCMF 1000 JUSTICE COURT PERSONNEL TRAINING -JCPT 2.00 JUSTICE COURT SECURITY FUND, JCBF i JUROR SERVICE FEE JSF 132,14: LOCALARREST FEES -LAF 11980 LEMI LEOA LEDO OCR PARKS& WILDLIFE ARREST FEES -PWAF 2272 STATE ARREST FEES -SAE 39,26 SCHOO7-,CROSSINGICHILD SAFETY FEE -$OF SUBTITLE C - SUED 461.81: TASOARREST FEES-TAF TECHNOLOGY FUND-,TF 14073 TRAFFIC-TFC 4610 i TIMEPAYMENT-TIME 22617 TRUANCY P.REVTDIVERSION FUND 38,09 LOCAL &STATEWARRANT:FEES -WRNT 99263. COLLECTIONSERVICE, FEEMVBA-CSRV 1,79710 DEFENSIVEDRIVINC>COURSE-ODC 790: DEFERRED FEE -OFF 18980 'DRIVING EXAM FEE- PROV DL ''. ;FILING FEE - FFEE & CVFF 75,00 FILING FEE SMALL CLAIMS - FFSC COPIESICERTIFED COPIES - CC INDIGENT FEE-CIFF or INDP 1800 JUDGE PAY RAISE FEE-JPAN 20412 SERVIGEFEE -SFEE 225,00 OUT -OF -COUNTY: SERVICETEE "EXPUNGEMENTFEE-EXPO EXPIRED RENEWAL -EXPR ABSTRACT OF JUDGEMENT -AOJ ALLWRIT-VVOPIWOE DPSFTAFINE -DPSF 1,78550 LOCAL FINES -FINE 36T770 LICENSE & WEIGHT FEES - LWF PARKS&WILDLIFE PINES -PWF 6300 SEATBELTIUNRE$TRAINED,CHILD FINE - SEAT 'OVERPAYMENI{$1D&OVER) -OVER 25000. OVERPAYMENT (LESS THAN $19) - OVER RESTITUTION - REST PARKS & WILDLIFB,NlATER SAFETY FINES-WSF 21800 WCR TOTALACT04 MONEY RECEIVEDI $12,834.60� TYPE: AMOUNT TOTAL,WARRANTFEES " 992.83' €NTER,LOCALWARRANT FEES Kactm M IQINJsrw M t CCCNun 10FTWE No WORT STATE WARRANT FEES, ,; 5922.03_RaCPq ov for>i oKc=_cp rntCcmrtNr wFrnasEn'D. RrafnPT DUETO OTHERS:.` AMOUNT DUETO.00IS,D-50%of Puleon JV cases 000 KVAseu-u^E 0kRLWESTNGDlsotll EXViT OUE'1'(1DA RESTITUTION FUND, 000 FIEAs nx041 Ds PECUCSTING D OSVITNT REFUND OF OVERPAYMENTS 25400. rt[AZEN%: rl 02 PEw,. talc Di55insU.�n OIJT F&-COUNTY SERVICE FEE 000 lUXH ltKuME ca ECu_SUNCDIS9iESEn'r:NT CASH'BONOS' ' 0,00':: EA-I[M-WE OA PEWi511i9Ge153LR6EA'811 (EkECUREU} TOTAL DL E TO OTHERS': : 32%00. TREASURERS RECEIPTS FOR MONTH. 'AMOUNT A H.:umtuKMIV.s&CRE fI V b12834:60' Calculate from ACTUAL Treasurer's Reuipls TOTAL TREAS.RECEIPTS'. 512.834[60 ea6 %ne-e4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/3/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 5,505.05 CR 1000-001-44190 SHERIFF'S FEES 958.49 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 7.90 CHILD SAFETY 0.00 TRAFFIC 46.18 ADMINISTRATIVE FEES 189,80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 243.88 CR 1000-001-44010 CONSTABLE FEES -SERVICE 226.00 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 1,797.10 TOTAL FINES, ADMIN. FEES & DUE TO STATE $8,804.52 CR 2670-001-44063 COURTHOUSE SECURITY FUND $107.57 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $35.86 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $140.73 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $10.00 STATE ARREST FEES DPS FEES 206.38 P&W FEES 4.54 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 210.92 CR 7070-999-20610 CCC-GENERAL FUND 145.42 CR 7070-999-20740 CCC-STATE 1,308.83 DR 7070-999-10010 1,454.25 CR 7860-999-20610 STF/SUBC-GENERAL FUND 23.09 CR 7860-999-20740 STF/SUBC-STATE 438.72 DR 7860-999-10010 461.81 CR 7950-999-20610 TP-GENERAL FUND 113.09 CR 7950-999-20740 TP-STATE 113.08 DR 7950-999-10010 226.17 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 3/3/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: JANUARY YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 6.87 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 61.84 DR 7865-999-10010 68.71 CR 7970-999-20610 TL/FTA-GENERAL FUND 134.32 CR 7970-999-20740 TUFTA-STATE 268.65 DR 7970-999-10010 402.97 CR 7505-999-20610 JPAY - GENERAL FUND 20.41 CR 7505-999-20740 JPAY-STATE 183.71 DR 7505-999-10010 204.12 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 13.21 CR 7857-999-20740 JURY REIMB. FUND- STATE 118.93 150 DR 7857-999-10010 132.14 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.16 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.44 DR 7856-999-10010 1.60 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND 38.09 DR 7998-999-10010 38.09 CR 7403-999-22889 ELECTRONIC FILING FEE 30.00 DR 7403-999-10010 30.00 TOTAL (Distrib Req to OperAcct) $12,347.45 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMI 250.00 OUT -OF -COUNTY SERVK 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE; 53.55 WATER SAFETY FINES 183.60 TOTAL DUE TO OTHERS $487.15 TOTAL COLLECTED -ALL FUNDS $12,834.60 LESS: TOTAL TREASUER'S RECEIPTS $12,834.60 Revised 7113/11 OVER/(SHORT) $0.00 Page 2 of 2 Come&+ell o Cvrnu�o SYtee+ MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 3/3/2016 ACCOUNT NUMBER CR 1000-001-45013 CR 1000-001-44190 CR 1000-001-44363 CR 1000-001-44010 CR 1000-001-44063 CR 1000-001-44090 CR 1000-001-49110 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 CR 2670-001-44063 CR 2720-001-44063 CR 2719-001-44063 CR 2699-001-44063 CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7950-999-20610 CR 7950-999-20740 CR 7480-999-20610 CR 7480-999-20740 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 ADMINISTRATIVE FEES: DEFENSIVE DRIVING CHILD SAFETY TRAFFIC ADMINISTRATIVE FEES EXPUNGEMENTFEES MISCELLANEOUS ACCOUNT NAME FINES SHERIFF'S FEES 75.20 0.00 131.53 464.60 0.00 AMOUNT 8,616,30 1,665.18 0.00 TOTAL ADMINISTRATIVE FEES 671.33 CONSTABLE FEES -SERVICE 450.00 JP FILING FEES 150.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) 8.00 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE-SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 0.00 DUE TO JP COLLECTIONS ATTORNEY 3,200.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $14,761.41 COURTHOUSE SECURITY FUND $211.10 JUSTICE COURT SECURITY FUND $70.37 JUSTICE COURT TECHNOLOGY FUND $282.47 JUVENILE CASE MANAGER FUND $15.00 STATE ARREST FEES DPS FEES 146.35 P&W FEES 5.00 TABC FEES 0.00 TOTAL STATE ARREST FEES 151.35 CCC-GENERAL FUND 278.48 CCC-STATE 2.506.34 DR 7070-999-10010 2,784.82 STF/SUBC-GENERAL FUND 64.26 STF/SUBC-STATE 1,221.00 DR 7860-999-10010 1,285.26 TP-GENERAL FUND 347.18 TP-STATE 347.18 DR 7950-999-10010 694.36 CIVIL INDIGENT LEGAL-GEN, FUND 1.80 CIVIL INDIGENT LEGAL -STATE 34.20 DR 7480-999-10010 36.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 313/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: FEBRUARY YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 13.72 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 123.52 DR 7865-999-10010 137.24 CR 7970-999-20610 TUFTA-GENERAL FUND 279.76 CR 7970-999-20740 TUFTA-STATE 559.53 DR 7970-999-10010 839.29 CR 7505-999-20610 JPAY - GENERAL FUND 41.67 CR 7505-999-20740 JPAY - STATE 375.06 DR 7505-999-10010 416.73 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 27.86 CR 7857-999-20740 JURY REIMB. FUND- STATE 250.69 150 DR 7857-999-10010 278.55 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0A1 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 3.72 DR 7856-999-10010 4.13 CR 7998-999-20740 TRUANCY PREVENT/DIVERSION FUND 106.52 DR 7998-999-10010 106.52 CR 7403-999-22889 ELECTRONIC FILING FEE 60.00 DR 7403-999-10010 60.00 TOTAL (Distrib Req to OperAcct) $22,134.60 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMF 0.00 OUT -OF -COUNTY SERVI( 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE: 343.40 WATER SAFETY FINES 175.10 TOTAL DUE TO OTHERS $518.50 TOTAL COLLECTED -ALL FUNDS $22,653.10 LESS: TOTAL TREASUER'S RECEIPTS $22,653.10 Revised 7/13/11 OVER/(SHORT) $0.00 Page 2 of 2 03-02-16;12;16PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 1/ 6 AN.0-'US"CZrf0RAU--. DATE March 2, 2016 FAX COVER SHEET JUDGE NANCY POMYKAL P O BOX 454 PORT O' CONNOR, TX.77982 (361)983-2351 -TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 PAGES: 6 Including this cover TO: JUDGE MIKE PFEIFER & COUNTY COMMISSIONERS ATT: SUSAN FAX NUMBER(S) 361-553-4444 SUBJECT: FEB UARY 2016 MONEY DISTRIBUTION REPORT NOTE: Susan I am faxing the above report Have a great week! Call me if you have any questions. Thank you, zu" pegs THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEES) named in this message. This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 03-02-16;12:16PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 6 Money Diabribution Report CALHOUN COUNTY JP 5 FED 2016 REPORT RoteiDt Cauee/➢efondane Codes\Amounta Total 375700 1521-0357 02-01.2016 JSF 4.00 COO 40.00 CHS 3.00 PWAF 5,00 TF 4.00 175.00 HUMMEL, COLBY JAMES JCSF 1.00 JPAY 9.00 YDF 2.00 TPDF 2,00 FINE 108.00 375702 1511-0360 02-03.2016 JSF 4.00 COO 40.00 CHS 3.00 PWAF 5.00 TF 4.00 267.00 GREGORY, KEITH JCSF 1.00 JPAY 9.00 YDF 2.00 TPDF 2.00 PWF 200.00 375704 1602-0119 02.03-2016 JSF 4.00 COO 40.00 CHS 3.00 LAP 5.00 TF 4.00 167.00 WESTBROOK, MILTON ANDREW JCSF 1.00 JPAY 6.00 IDF 2,00 TPDF 2.00 FIND 100.00 Personal Che(* .v...:....�.:f:..e..; ;a:;.en�: u, , e::.:ucv; ,xy,,:.e..:•:•....:.... ::. ...l: yy:• y.:::xes;; •..,• ;.::::..:. :.,..: ..::.,:,. �.::.,,.>.y ,:::,•¢...., v; ..r,.:,.: ^;.r..:..O. :.,:,, .:..:::.,.. •. ••, •.::•..:.�. ,..:...:......: 3057Ox8 Le 6'DO,EaI 4 ) •v'�' ; 2J0 tdij f .'rIR f 4` � CCC a �4Yi&ODt r! CYY :a x r? tkf' ?�S'' .' ]k �t, tUO qU) 3 00�. . , :. ...::.. •:.. •..:.:. . �iij9 [kr'p0 7r00J00 R kzxZy�(t <s '3' s� ETO i i xk3t a s .83 ;]f} o(sps, 1'§�,'AFk.. ]0i z rTI"''. ffi. ,y 'k }Yy� RBERtg r; M:D�'WAEL'Tz21'k'N' 'a c. jY't .' :7Qa^N\ w { �:iOQ•�:tit A '6rhOB �`•710�i v P4F �: i [�2r:q.Ozz <`bsTNE> n •'3.33 �ff0`s � 3 s.` e<[; .fl$ t i, 5.)S . ... t��Q.]i�1Si �!y �:1 )]4 �'✓<vi •r,,]e::•nys,.i�,l�.iii;.t.ax,,;:"f�z']iwt,, 375706 1507-0285 02-08-2016 JSF 1.11 TFC 0.03 COO 11.09 CHS 0.81 LAF 1.39 43,00 SANCHEZ, IRIS YADIRA TIME 6.93 TF I'll DPSC 8.32 JCSF 0.28 JPAY 1.66 375708 1601-0110 02-11-2016 JSF 4.00 CCC 40.00 OR$ 3.00 PWAF 5.00 TF 4.00 192.DO SWOFFORD, ANDREW WILLIAM JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 PWF 125.00 ....,;...,, Company. Cheak[.::......... ...:.: ...: ...[. r.,:•,.: ,[.•.4:,�:,, .•,, ],,,...,.::...,r. ...:...R... ::e..,,,., 1757b3� »'lsY`"Q8 �3ri 6jFt];,:t�2'1.2y�atl=b�'US];icE 4!z'tS 4:%O;d,`'x�','1',,FC` Jfi w3aab0"Mz CC rt� [ha�50 'F �f L. CHBt'a.3 }LANY, .fi3 PERF.7iy,(J\`SEFf+(U'ONrkLikn'�'tk[v..s 1:(} > nM & .ts� y e . Lr, 3x:z •,. 9r'gE FD st T'Q ?7[RKS a.is/V ) �J.�� 770�/'iyN,s [, 3{ +?i.', T'ri,7�4 ,�5 �s•'r i 4f'i`5'Y: }[�yi r W [S :.IR�:B ],<. F, .,�. yi D; {%r V,`, )f 5 Z� k RAF id'f iI'( � s, 375710 1507-0285 02.17.2016 JSP 1.10 TFC 0.84 COO 11.69 CHS D.64 LAP 1.39 43.00 SANCHEZ, IRIS YADIRA TIME 6.93 TF I'll DPSC 8.31 JCSF 0.28 JPAY 1.66 Monoy •Oi9oT••�•}. .,• •[,; ., •.:•.,,,•„ YnF 0.56 MVF .0.02 SUDC 9.31 TPDF 0;56 t g J `i E1''Vk R '{,t Ri 4 %Y22a r>•,M3 tJ$ 3X E0 i` fR� Rt ti}>i [ 53r I. 7675 ?E ,i9Y0 28�kgi ' .d �0 5 F ?j �jxF 0 )[10C2t7 # <Cf0 3r 3 64 fif C}1 ei33 F'sD ,°27 Eta A 0 & 43 s00, s`r.�E�G��`ZN ),R'A�o§^.CRAFF2A 'L. . ?, sl ri( SFr TSfitL.-[)SkL 2t]�ar'Tfl�>Y[&ss�0,6 `PSCr nc2]t°{et�:Fx'��4',3j.Ot`9�z t' O'PR's4" tO tB�. `•" 1 .}<•, p �'il ,);J .:,ii aHS:R ik: T. R \\Olf<:Kf `•3�i P[ !4} T3 :1� } ., rt]. n. C:.Y „;i� i SS.� fx. `'.�.:;::son,Qrdax!fa.;.c.,,c xs rz{u,''s. ,u•t]u;••Ja...YgF ...;,.,,D.xx�0.,p0e.tVSa'F.::...io }kAsL..:SaBC::,:;,c.7at�xn..:'kPbC•:;ci:; *,:.OF:.7. ,eNC:: , 0 .: .{>•F5 375712 1602-0126 02-22-2016 JSF 4.00 COO 40.00 CH$ 3.00 LAF $,DO TF 4.00 170.00 MALDONADO CASTILLO, MARCO ANTONI JCSF 1.00 JPAY 6100 IDF 2.00 TPDF 2.00 FINE 103.00 315714 1902-0123 02-25-2016 JSF 4.00 COO 40.00 CHS 3.00 PWAF 5.00 TF 4.00 167.00 CAUSER, JOHN MICHAEL JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 WSF 100.00 03-02-16;12:16PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 3/ 6 Money Distribution RepoXC CALHOUN COUNTY JP 5 FEB 2016 REPORT Type Code Description Caunt Rotained Dishuraed Money-Tetala The fallowing totals represent - cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS 12 38.58 347.24 306.82 JJ COST CHS COURTHOUSE SECURITY 12 20.94 0.00 2B.94 .COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 3 6.39 12.97 19.36 COST IDF INDIGENT DEFENSE FUND 12 1,93 17.30 19.29 )COST JCSP JUSTICE COURT SECURITY FUND 12 9.65 0.00 9.6S CCO$T JPAY JUDGE PAY RAISE FEE 12 5.79 52.08 $7.07 JSF JUROR SERVICE FUND 12 3.86 34.72 38.58 JCOST OST LAF SHERIFF'S FEE 9 33.23 0.00 33.23 OST MVF MOVING VIOLATION FEE 4 0.02 0.14 0.16 COST PWAF TEXAS PARKS 4 WILDLIFE 3 12.00 3.00 15.00 COST SAP DPS 0 0.00 0,00 0100 SUBC SUB TITLE C 4 49.36 0.00 49.3E ITDST IO$T TF TECHNOLOGY FUND 12 30.58 0.00 38,55 OST TFC TFC 4 4.94 0.00 4.94 TIME TIME PAYMENT FEE 3 9.06 8.07 16,13 COST OST TPDF TRUANCY PREVENTION & DIVERSION FUND 12 0.00 19.29 19.29 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 O.DO 4INE FINE FINE 9 802.80 0.00 002, 00 NE PWP PARRS & WYLDLTFE FINE 1 10.75 TNE 106 .25 125.00 WSF WATER SAFETY FINE 1 15.00 05.00 100.00 Money Totals 13 1,077.8B 666.12 1,764.00 Tho following totals represent - Tr"ofora Collected ( q G 1. U)0 COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST DPSC DPS FAILURE TO APPEAR /OMN1 FEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND D 0.00 0.00 0.00 COST JCSP JUSTICE COURT SECURITY FUND 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 0.00 0.00 0,00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.60 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 0 0.00 0.00 0.00 COST SUBC SOB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TPC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0,00 0.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.90 0.00 0.00 Transfer Totals 0 0,00 0.00 0.00 The following tetala represent - Jail Credit and Comunity Service COST CCC CONSOLIDATED COURT COSTS 2 0.00 72,00 00.00 COST CRS COURTHOUSE SECURITY 2 7.00 0.00 7.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 1 9.90 20.10 30.00 COST ADP INDIGENT DEFENSE FUND 2 0.40 3.60 4.00 COST TCSF JUSTICE COURT SECURITY FUND 2 2.60 0.00 2.00 COST JPAY JUDGE PAY RAISE FEE 2 1.20 10.80 12.00 COST J8F JUROR SERVICE FUND 2 0.70 0.30 7.00 COST LAY SHERIFF'S FEE 0 0.00 0.00 0,00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST PWAP TEXAS PARRS & WILDLIFE 1 4.00 1.00 $.00 COST SAP DPS 1 4.00 1.00 5100 COST SUBC SUE TITLE C 0 0.00 0.00 0.00 COOT TF TECHNOLOGY FUND 2 8.00 0.00 8.00 COST TLC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 1 12,50 12.S0 25,00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 1 0.00 2.00 2.00 03-02-2016 Pay. 2 03-02-16;12:16PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 6 Money Distribution Report CALHOUN COUNTY Up 5 FL'b 203.6 REPORT Type Cede DCooriptlon Count RatRined Dichurced Money T t le COST WRNT WARRANT FEE 1 50.00 0.00 50.00 FEES CSRV COLLECTION SERVICES FEE 1 51.00 0100 51.00 PINE FINE FINE 1 10.00 0.00 50.00 FINE PWF PARKS & WILDLIFE FINE 1 30.00 170,00 2,00.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Credit Tota19 2 238.70 299.30 530.00 The Lollowing totals represent - Credit Card Payments COST CCC CONSOLXDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC UPS FAILURE TO APPEAR /OMNI PEES COST IDF INDIGENT DEFENSE FUND COST 9C8P JU$TICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSP JUROR SERVICE FUND COST LAP SHERIFF'S PEE COST MVP MOVING VIOLATION FEE COST PWAP TEXAS PARKS & WILDLIFE COST SAP DPS COST SUEC SUB TITLE C COST TP 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 FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE FINE WSF WATER SAFETY FINE 1 1 0 1 1 1 1 0 1 0 1 I 1 1 0 l 0 0 1 0 0 4.00 3.00 0.00 0.20 1.00 0.60 0.40 0.00 0.01 0.00 4.00 30.00 4.00 3.00 0.00 0,00 0.00 0.00 126,90 0.00 0.00 36.00 0.00 0.00 1.80 0.00 5.40 3.60 0.00 0.05 0.00 1.00 0.00 D.00 0.00 6.00 2.00 0100 0.00 0,00 0.00 0.00 40.00 3.00 0.00 2.00 1.00 6.00 4.00 0100 0.10 0.00 5.00 30.00 4.00 3,00 0.00 2.00 0.00 0.00 126.90 D.00 0.6D Credit Totals 1 177.11 49.09 227.00 The fallowing totals repraoant - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND C08T JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST ,TSF JUROR SERVICE FUND COST LAP eHRRIFFIS FEE COST MVP MOVING VIOLATION PER COST PWAF TEXAS PARKS & WILDLIFE COST SAP DPS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDP TRUANCY PREVENTION A DIVERSION FUND COST WRNS WARRANT FEE FEES CSRV COLLECTION SERVICES PEE FINE FINE FINE FINE FWF PARKS & WILDLIFE FINE FINE WSF WATER SAFETY FINE 15 15 4 15 15 15 15 9 5 4 2 5 15 5 4 14 1 1 11 2 1 50.58 38.94 16.29 2.53 12.65 7.59 4.96 33.23 0.03 16100 8.00 79.36 SO.50 7.94 20.56 0.00 50.00 51.00 979.70 46.7E 15.00 455.24 0.00 33.07 22.76 0.00 68.20 44.62 0.00 0.23 4.00 2.00 0.00 0.00 0.00 20.57 23.29 0.00 0.00 0.00 276.25 85.00 505.02 38.94 49.36 25.29 22.65 7S.87 49.98 33.23 0,26 20.00 10.00 79,36 50.5E 7.94 41.13 23.29 50.00 51.00 979.70 325.00 100.00 RepOrt TOCals 16 1,493.69 11035.31 21529.00 Page 3 03-02-16;12:16PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 5/ 6 Money Piatribntion RopoYt CALHOUN COUNTY JP 5 PR9 2026 REPORT Pate Payment Typo Vines Court Copts Peea condo Rentitution Other Total 00-00-0000 Caah & Chocks Collected 0.00 0.00 0.00 0.00 0.00 040 0.00 Jail Credits & Comm Service 0.00 0.00 O.DO 0.00 0.00 0100 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0100 09-01-1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Jail Credits & Comm sorvico 0.00 0.00 0.00 0.00 O,DD 0.06 O.DO Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1993 Cash & Checks Collected 0100 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 O.DO Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0100 09-01-1995 Cash & Checks Collected 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collectiona 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Checks Collected 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collectiona 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0100 Total of all Collectiono 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Chocks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cardo & Transfers 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Total of all Collectiona 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected D.00 0.00 0.00 0.00 0.00 0100 0.00 Jail Crodite & Comm Service D.00 0.00 0.00 0.00 0.00 0.00 0100 Credit Cards & Tran02ors 0,00 0.00 0,00 0.00 0.00 0100 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01-01-2004 Cash & Chacka Collacted 11027.00 736.20 0.00 0.00 0.00 0.00 1,764.00 Jail Cradits & Comm Service 250.00 237.00 S1.00 0.00 0.00 0.00 538.00 Credit Cards & Transfers 126.90 100.10 0.00 0.00 0.00 0.00 227.00 Total Of all Collections 1,404.70 11073.30 51.00 0.00 0.00 0.00 21529,00 TOTALS Caah & Checks Collected 1,027.80 736,20 0.00 0.00 0.00 0.00 1,764.00 Jail Credits & Comm Service 250,00 237.00 51.00 0.00 0.00 0.00 536.00 Credit Cards & Tranafere 126.90 100.10 0.00 0.00 0.00 0.00 227.00 Total 09 all Collectiona 11404.70 1,073.30 51.00 0.00 0.00 0.00 2,529.00 03-02-2016 Page 03-02-16;12:16PM;From:Ca1houn County JP5 To;5534444 ;3619832461 # 6/ 6 Money Distribution Report CALEODN COD = JP 5 FED 2016 REPORT DoaoriPtiOn Count Collootad Retained Dioburoad State of Texan Quarterly Reporting Totals State Comptroller Cost and Fees Report Section I: Report for Offenses Committed 01.01.04 Forward 1n 505.18 50.52 454.56 09.01.01 - 12-31-03 0 0.00 0.00 0.00 00-37.-99 - 08-31-01 0 0.00 0.00 0.00 09.01.97 - 08-30-99 0 0.00 0.00 0.00 09.01.91 - 08-31-97 0 0.00 0.00 0.00 Dail Bond Fee 0 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.00 0.00 DNA Testing 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 Divoraion F009 0 0.00 0.00 0.00 Jury Roimbursement Foe 13 42.50 4.26 38.32 Indigent Defense Fund 13 21.29 2.13 19.16 Moving Violation Fees 5 0.26 0.03 0.23 State Traffic Fine 0 0.00 0.00 0.00 Section II; As Applicable Peace Officer Foes 4 20.00 16.00 4.00 Failure to AppeAr/Fay Fees 3 19.36 6.39 12.97 Judicial Fund - Connt County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrion Weight Violations 0 0.00 0.00 0.00 Time Payment Fees 3 1C.13 8.06 8.07 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support You 13 63.87 6.39 57.40 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total 72 608.67 93.78 594.89 5tatm Comptroller Civil Fees Report CF: Dirth certificate Fees 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 0.00 0.00 Cr: NondisCiosure Rene 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Indig Filing Fees 0 0.00 0.00 0.00 CF; Stat Prob Court Indig Filing Fees 0 0.00 0.00 0.00 CF; $tat Prob Court JudiC Filing Fees 0 0.00 0.00 0.00 CF: Star Cnty Court Indig Filing Fees 0 040 0.00 0.00 CF, Stat Cnty Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Cnot Cnty Court Indig Filing Foes 0 0.00 0.00 0.00 CF, Cost Cnty Court Judie Filing Pace 0 0.00 0.00 _ 0.00 CF: D1at Court Divorce & Family LaW 0 0.00 0.00 0.00 CF: Dist Court Other Divordo/Family LAW 0 0.00 0.00 0.00 CF: Diet 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 0.00 0.00 0.00 Total Due For This Period 72 G80.67 93.79 594,09 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun COuncy, Texas, who being duly sworn, deposes and says that the above and foregoing report is rue and corroct. Witness my hand this �� of . " VA nD � No 5 Calhoun County Flo odplaln Admin16trgtion 211 South Ann Street, Suite 301 Port Lavaca, 'IY 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: mary.orta@calhouncotx.org February 2016 Development Permits New Homes — 5 Renovations — 0 Mobile Homes — 2 Boat Barns/Storage Buildings/Garages — 4 Additions —1 Total Fees Collected: $720.00 APPROVAL OF PAYROLL: N/A APPROVAL OF BILLS: Commissioner Fritsch made a motion to approve Calhoun County bills in the amount of $928,152.39, no transfers between funds, for a Total Amount for Approval of $928,152.39. Commissioner Galvan seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. March 10, 2016 2016 APPROVAL LIST - 2016 BUDGET COMMISSIONERS COURT MEETING OF 03110Y16 32 iHT FORWARD FROM APPROVAL LIST REPORT PAGE 31 $ 352,519.75 FICA P/R $ 44,678.76 MEDICARE P/R $ 10,449.04 FWH P/R $ 37,205.83 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,745.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,862.77 SOCIAL SECURITY ADMINISTRATION P/R $ 163.20 TEXAS ASSOCIATION OF COUNTIES HEBP P/R $ 187,052.39 'LMPA P/R $ 280.00 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 469.92 AT&T MOBILITY A/P $ 691.16 BEN E KEITH FOODS A/P $ 4,383.60 CABLE ONE A/P $ 185.52 CALHOUN COUNTY CAPITAL PROJECT PCTI OCEAN DR. IMPR A/P $ 91,513.00 CALHOUN COUNTY COASTAL PROTECTION FUND A/P $ 3,011.44 CENTERPOINT ENERGY A/P $ 112.51 CITY OF POINT COMFORT A/P $ 115.92 CITY OF PORT LAVACA A/P $ 405.90 CITY OF PORT LAVACA-INTERLOCAL AGREEMENT A/P $ 181,165.55 CITY OF SEADRIFT A/P $ 174.70 CNA SURETY A/P $ 375.00 DEWITT POTH & SON A/P $ 36.44 GBRA A/P $ 267.88 GREATAMERICA FINANCIAL SERVICES A/P $ 175.00 JACKSON ELECTRIC COOP, INC. A/P $ 426.98 LA WARD TELEPHONE EXC. INC. A/P $ 356.13 MCI COMM SERVICE A/P $ 49.49 MCI MEGA PREFERRED A/P $ 371.31 PORT O'CONNER IMPROVEMENT A/P $ 467.63 PORT LAVACA WAVE A/P $ 115.20 REPUBLIC SERVICES #847 A/P $ 1,284.01 VERIZON SOUTHWEST A/P $ 980.67 VERIZON WIRELESS A/P $ 165.19 VICTORIA ELECTRIC CO-OP A/P $ 2,845.29 WASTE MANAGEMENT A/P $ 918.58 WEX BANK A/P $ 120.65 TOTAL VENDOR DISBURSEMENTS: $ 928,152.39 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 928,152.39 DONATIONS TO CALHOUN COUNTY: N/A DECLARE A 1999 FORD PICKUP TRUCK, VIN 1FTNX20L4XEB17231 IN PRECINCT #3 AS SURPLUS/SALVAGE TO BE USED AS TRADE IN ON 2016 CHEVROLET PICKUP: Commissioner Finster made a motion to declare a 1999 Ford Pickup Truck, VIN 1FTNX20L4XEB17231 in Precinct #3 as surplus/salvage to be used as trade in on 2016 Chevrolet Pickup. Commissioner Fritsch seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Susan Riley From: Neil Fritsch <neil.fritsch@calhouncotx.org> Sent: Thursday, March 03, 2016 5:25 PM To: Judge Mike Pfeifer; Susan Riley Cc: janie.delgado@calhouncotx.org Subject: Agenda Item for 03-10-2016 Please place the following on the Commissioners Court Agenda for 03-10-2016. " Consider and take necessary action to declare 1999 Ford pickup truck, 1FTNX20LUEB17231, as surplus/salvage, and be used as trade in on 2016 Chevrolet pickup." Thank You!! Neil E. Fritsch Commissioner Calhoun County, Precinct 3 24627 State Hwy 172 Port Lavaca, Texas 77979 361-893-5346-Office 361-893-5309-Fax neil.fritsch@calhouncotx.org DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: N/A MATTER OF TRANSFERRING CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY DEPARTMENT TO ANOTHER COUNTY DEPARTMENT (SEE LIST): N/A BUDGET ADJUSTMENTS: Commissioner Fritsch made a motion to approve Budget Adjustments. Commissioner Finster seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Josie Sampson From: Candice Villarreal<candice.villarreal@calhouncotx.org> Sent: Tuesday, March 08, 2016 3:04 PM To: Angela Torres; April Townsend; cindy mueller, Janie Delgado; Josie Sampson; kfinster@calhouncotx.org; Lesa lurek; michael. Pfeifer; neil fritsch; roger galvan; susan riley; vern lyssy Subject: Budget Adjustments Attachments: 2015 Budget Adjustments 2016.03.10.pdf Attached are the Budget Adjustments for Commissioners Court Thursday. Candice Villarreal Calhoun County Auditors Office Phone. (361)553-4612 Fax. (361) 553-4614 candice.villarreal @calhouncotx.org :O iM ;N :O :z H ;z ;W i� a :W L z z 6 z z 00 z z 0 0 W Ww E9 fA +gyp+ Z V 4 O � h m Z Z 00 Z W Qw W F O z W W a F w LLI O W Z Z 6 F' v O 07) O W a i =a f N U ?M :O :z F ;z :W a i UA m O OIy a O F F. 6 7 O W W/ Ot F m N o 2 c z LU :O iM :0 :z 'sue z :W icy iW :G :O ;O !z H ;z ;W iIL ;{Y ;O �a N w J 0 r F- U Z U W a w Q W a 0 w v_ r N iW ;O iz H :z ;W :a iW IN FIM z. f- r z 0 z rn O Ze1 O I �1 :I iN :ZZ r Z ?W i� a iW :0 P a 2 O O O W fA fA fR C v O z Z 0 z z � o a¢C � ww z Z W w a z � -0 w 6 � w w z_ x a J 0 0 u 0 z 0 w a ¢w 0 ❑ K m z a a w i0 iN iN ZZ r :z pW i� i LLl W y fl-T EA f9l i9 m p J 0 zz U w K a w 0 cl z a 0 w i0 9N gN :z :z r ,z ;cW C :W ac e ZI � vl � 6 11 I T =0 =N ❑z =z =W IL =W 0 {yRE' 2 V = W =� 4 �i =Z O d h m j =a =o _aa E = LU Q N 8 F- =W IL =a °x 0 W Q Z h V ku 4 N Z O = z u z y z LL z a z r W co r W � J W W a z C 7 U) J z A �W 0 a m H 06 O a 2 0 r N � _ O � E9 f9 O� as N ci N Z A _O =z Z � =r =z W =z =_a ILI O O 2 zJ a W W 0 m Z a 0 ZLLI N W a� :a :w O ?z ?W Z N a i F� W ii h a CL Q W z W W m 0 N a z a O a r W W O co !0 Z O a ce W rn d T � u U U IL a � a a �Qgm Q00 U U i� O z r ;z ;W a ;W ;G H � � W ti p LL W Q � � a ° w c m O N z c w Q a o z z H Q z 2 z CW G F W W a° °z 2 G g � J F z w w a w O z W V 7 k z W W W z N a z CW G a ck a Z C W Z B W 0 0 0 0 0 C W fA ui vi EA EA H Q W C uYY M O 0 0 0 0 0 W � f9 V3 fR fR fA i IL W C O � Ef! fR cM wZ i v W 7 z W W T = N zzzzzz zzzzzz z 0(DQ)0(F)(D Q 000000 7zzzzzz Ix o O Z rn rn rn rn rn rn LL =rnrnrnrnrnrn rn rn rn rn rn rn F � W m w w w w w a a a a a N U w UUU Q QQ aUa QUQ W W W W W w E/1 a a a a a LL LL LL LL W Q ,_.0000O w w w w w w U Z 6 0 0 0 U U F O F F F F H O O U N O U W WWNOlnZ w w W F� w z LL LL LL LL LL= C N M 7 N zmmmEom �a�aaa L h 7 V � � N E9 N O bi E9 W N r N � b � � N IA h h ER E9 E9 J F O F- w z w w SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS: N/A PUBLIC DISCUSSION OF COUNTY MATTERS: Commissioner Fritsch gave the Court an update as to the Keplar Grant received for Port Alto Beach. Mr. Fritsch stated he will meet with the General Land Office in Austin on March 23`d to expedite the process. COURT RECESSED BEFORE EXECUTIVE SESSION AT 10:43 A.M. 11:00 A.M. EXECUTIVE SESSION: THE COMMISSIONERS' COURT SHALL GO INTO EXECUTIVE SESSION AT 11:00 A.M. AS AUTHORIZED BY V.T.C.A. GOVERNMENT CODE CHAPTER 551. FOLLOWING IS THE SUBJECT MATTER OF THE EXECUTIVE SESSION AND THE SPECIFIC SECTION OF THE OPEN MEETINGS ACT PERMITTING DISCUSSION/DELIBERATION IN EXECUTIVE SESSION. SECTION 551.074 TO DELIBERATE THE APPOINTMENT, EMPLOYMENT, EVALUATION, REASSIGNMENT, DUTIES, DISCIPLINE, OR DISMISSAL OF A PUBLIC OFFICER OR EMPLOYEE. POSITIONS TO BE DISCUSSED ARE MEMORIAL MEDICAL CENTER BOARD OF MANAGERS Judge Pfeiffer called Court back into session at 11:10 a.m. ACTION ON MATTERS DISCUSSED IN EXECUTIVE SESSION. (APPOINTMENTS TO MEMORIAL MEDICAL CENTER BOARD OF MANAGERS). Commissioner Galvan made a motion to accept the resignation of Bob Bonar and Paul Heurtevant. Commissioner Finster seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. Commissioner Finster made a motion to appoint the following to the Memorial Medical Center Board of Managers: New Members: o Terry Sizer o Rhonda Nielsen • Re -appointments: o Russell Cain o Susan Foester o Michael Chavana Commissioner Galvan seconded the motion. Commissioners Galvan, Fritsch, Finster and Judge Pfeiffer all voted in favor. COURT ADJOURNED @ 11:13 A.M. 7 \ \ \ \ \ \ \ \ \ § 5 ( \ 00 w \ \ ) § 2 4 2 2». z / \ $ @ a r m $ $ $ q p \ \ \ j \ \ \ \§ ] d ] ] § / j 4 4 5 4)\\ 4 \ § . 3 @ ^ . ] § ) % o % ) 7 ) \ \ 3 ! k llim'� ® �) SELECT AGENT, 4�2J�111�I��1 401 N. Highway 35 Bypass Port Lavaca, TX 77979 February 8, 2016 The Honorable Judge Mike Pfeiffer 211 S Ann St. Port Lavaca, TX 77979 Judge Mike Pfeiffer, After much consideration and reflection of the last 16 years, I have concluded that the time has come for me to leave my position as a board member for Memorial Medical Center. With this in mind, I am requesting that my name be withdrawn for consideration of reappointment to the board at the end of my current term. I have appreciated the working relationships with you and the members of the Commissioners Court. I consider each of you as a friend and tremendous supporter of our county healthcare system. I have only praise, appreciation and respect for you, the commissioners, our medical staff and physicians, the employees of Memorial Medical Center, its administrative staff and the dedicated members of the MMC Board of Managers. I consider it to have been an honor and pleasure to be have worked with each and every one of you. I truly have met so many wonderful people and seen those individuals work so hard to insure quality medical care for all within this community. I personally feel that I have myself received way more in the satisfaction of seeing the successes and progress we have made than in the efforts I have given. I feel that I am stepping aside at a time when the hospital is in a good place and being steered to an even better one. Hospitals in communities of our size will probably always struggle as I don't feel that big government realizes the plight of a rural hospital and the challenges we have to serve the needs of those within the community. Please know that I feel we must continue to serve those who need medical care and we must work tirelessly to ensure that our local hospital remains viable. I know that we have some of the most loyal volunteers anywhere giving of their time to help meet these challenges. I want to thank everyone for having allowed me the privilege and honor to serve the people of this community. I wish you all the best in the future. Know that I will continue to be a tremendous supporter and advocate for our local healthcare systems. Respe tfu y s bfni Bo nar off.: 361.552.4689 0 fax: 361.552.6296 STATE FARM INSURANCE COMPANIES + Home Offices: ELOOMINOTON, ILLINOIS Terry L. Sizer 131 Harbor Drive East® Port Lavaca, Texas 77979 Phone: 361=482-7575 • E-Mail terry _sizerLyahoo.corn Match 01, 2016 Calhoun County Judge —Michael J. Pfeifer susan.riley@calhouncotx.org 201 S. Ann St. Ste 301 Port Lavaca, TX 77979 Dear Judge Pfeifer, Please accept this letter of intent for appointment to the Calhoun County Memorial Medical Center Board of Managers. My request to serve on the Memorial Medical Center Board of Managers is driven by a desire to continue the legacy of quality and affordable healthcare in our community for future generations. I bring a synergistic, solutions based and fiscally conservative approach to boards that I have participated with in the community and surrounding areas. Thank you for your consideration with this appointment. Sincerely, /k izer Attachment: resume (9 pages) Terry L. Sizer Experience • SMT Port Solutions LLC — Owner Consultant/Marine Surveyor conducting fuel/cargo/damage surveys on ocean-going vessels Trainer for domestic and international port security standards Provide transport for repatriating multinational ship crews 131 Harbor Di ive Easto Port Lavaca, Texas 77979 Phone: 1-361-182-7573 O E-Mail terry_sizer(Jyahoo.wm 2012 - Present • Alcoa Steamship Co., Inc. — Manager, Global Maritime Compliance 2009 - 2012 Leader of Alcoa's Global Maritime/Port compliance efforts Conducted corporate audits globally to ensure maritime compliance to International Maritime Organization directives Recognized subject matter expert on ISPS/MARSEC, USCG Regulations, port operations, and dredging operations. Oversight of vessel laytime calculations for revenue Retired from Alcoa after 32 years of service • Alcoa Inc. USCG Licensed Tug Master/Mate Port Operations Team and Department Leader • Alcoa Steamship Co., Inc. — Shipping Agent Ship's agent Community Port Commissioner, Chairman — City of Port Lavaca by appointment Board member, Past President — Billy T. Cattan Recovery Outreach, Victoria Texas, Christian Based Recovery Treatment Center Member. First United Methodist Church — Administrative Council Chairman Past board member: YMCA of the Golden Crescent/Calhoun County Victoria College Calhoun County Center Advisory Committee, Past Chair Calhoun County United Way Advocate for American Cancer Society/American Heart Association with Smoke Free Port Lavaca ballot initiative 1985 - 2009 1980-1985 Terry Sizer Page 2 Education Bachelor of Science, Management — University of Phoenix Online Associate of Arts — Victoria College Certifications • FAA Licensed Pilot, Single Engine Land • USCG Licensed i600 GT Mate and 200 GT Master • FCC Licensed Extra Class Amateur Radio Operator References Mr. Bob Bonar 401 N Hwy 35 Port Lavaca, TX 77979-2362 Work - 361-552-4689 Dr. Jeannine Griffin 1200 N. Virginia Street Port Lavaca, TX 77979 Email: eanninea),cableone.net Work — 361-552-6721 Charles R. Hausmann, CPA Port Director Calhoun Port Authority Email: crh(a callroimport.com Phone: (361) 987-2813 Susan Riley From: Terry Yahoo <terry_sizer@yahoo.com> Sent: Thursday, March 03, 2016 11:41 AM To: Susan Riley Cc: Judge Pfeifer Subject: Re: Thursday, March 10th Commissioners' Court Many thanks Susan, I will attend as requested. All the best, Terry Terry L. Sizer SMT Port Solutions LLC 361-482-7573 smtportsolutions@gmail.com On Mar 3, 2016, at 11:06, Susan Riley <susan.riley@calhouncotx.org> wrote: Mr. Sizer, The Court will meet in Executive Session with the applicants beginning at 11:00 a.m. on Thursday, March 10. They will then re -convene in open Session to take any action. Susan Susan Riley Administrative Assistant to Calhoun County Judge Michael J. Pfeifer and Commissioners' Court 361-553-4600 Phone 361-553-4444 Fax From: Terry Yahoo [rnailto:terry sizer@vahoo.com] Sent: Thursday, March 03, 2016 9:57 AM To: Susan Riley <susan.riley@calhouncotx.org> Cc: Judge Pfeifer <mike.pfeifer@calhouncotx.org> Subject: Re: Thursday, March 10th Commissioners' Court Dear Susan, Thank you for your email. Yes, I am available to meet the Commissioner's Court at 1000 AM on Thursday 3/10. 1 look forward to your confirmation once all the applicants have responded. All the best, Terry Terry L. Sizer SMT Port Solutions LLC 361-482-7573 smtportsolutions@gma il.com On Mar 3, 2016, at 09:27, Susan Riley <susan.riley@calhouncotx.org> wrote: Good Morning, Mr. Sizer. I'm writing to see if you would be available for an interview with the Commissioners' Court on Thursday, March 10t' regarding your interest in serving on the MMC Board of Managers. There are a couple of applicants, and if all can be present on that day, an Executive Session will be placed on the agenda for that purpose. Please let me know if you are available on that day in the morning. Court meets at 10:00; however the Executive Session will take place shortly after that time. Once all applicants have confirmed their availability, I'll get back with you. Susan Susan Riley Administrative Assistant to Calhoun County Judge MichaelJ. Pfeifer and Commissioners' Court 361-553-4600 Phone 361-553-4444 Fax Rhonda Nielsen, DDS 621 N Virginia Street Port Lavaca, TX 77979 February 26, 2016 Judge Michael J. Pfeifer and Commissions of Calhoun County 211 South Ann Street Port Lavaca, TX 77979 Dear Judge Michael J. Pfeifer and Commissions of Calhoun County: l V L._. J. { CA)Umv I want to express my interest in serving in a position on the Memorial Medical Center Hospital Board. For nearly 4 years, I have provided general dentistry to Calhoun County as an owner, and dentist of Port Lavaca Family Dentistry. Every day I see the simple to complicated medical needs of the great people in our area, as they present to me with their dental concerns. I visit with them about their medical challenges as a whole, and often make recommendations of areas to address with their other medical providers. So many lifestyle choices, genetic challenges, or trauma -related incidents affect the whole body including my focused area of the mouth. I feel my medical knowledge, and connection with the health care of our county residents will be a great asset to the Memorial Medical Center Hospital Board. In my short time as a Texan, I have immersed myself in service of our community. I am currently serving as a member of the board of directors for the Calhoun County United Way, Port Lavaca Chamber of Commerce Ambassador, Treasurer of the Noonday Rotary Club and member of the board of directors of the same. I am a member of the American Legion and the VFW and am very interested in improving health care for our area veterans. I also serve as president-elect with the Guadalupe Valley District Dental Society. I hope to offer my skills, and knowledge as a member of the board. My lea and honed in a combination of 23 years of military training and service in t and my experiences as a dental professional and business owner. Please consider me for the opening on the Memorial Medical Board of Dire 5019 (cell), or 361-552-6814 (work) with any questions you may have. Warm regards, Rhonda Nielsen, DDS March 01, 2016 The Honorable Michael Pfeifer Calhoun County Judge 211 South Ann Street Port Lavaca, TX 77979 Dear Judge Pfeifer, Please accept this letter as formal notification of my willingness to continue as a member of the Board of Managers of Memorial Medical Center for an additional term. Sincerely, Russell Cain Memorial Medical Center Board of Managers cc; Commissioners March 09, 2016 The Honorable Michael Pfeifer Calhoun County Judge 211 South Ann Street Port Lavaca, TX 77979 Dear Judge Pfeifer, ''vie lke, `fi rr_R➢ !x4'f �r_k! ff,�x Please accept this letter as formal notification of my willingness to continue as a member of the Board of Managers of Memorial Medical Center for an additional term. Sincerely, Susan Foester Memorial Medical Center Board of Managers cc: Commissioners Dear Honorable Judge Mike Pfeifer, I would like to begin by stating my appreciation for the opportunity to serve on the Board of Directors for the Memorial Medical Center (MMC). The experience has enhanced my knowledge on the operations of MMC as a critical access hospital. In addition I have witnessed the dedication and commitment that MMC strives in providing affordable quality medical care for the residents of Calhoun County. As a Board of Director I continue to assist the Board in develop! ng(implementing strategies and goals to insure that MMC is the hospital of choice for the residents of Calhoun County. I would like to be considered for reappointment to the MMC Board of Directors. I believe my knowledge and experience on the Board will continue to be an asset. It would be an honor and privilege to continue to represent the residents of Calhoun County on the MMC Board. Thanks for your consideration on my reappointment to the Board. Respectfully, IA'' O... Michael Chavana DOW RESTRICTED