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2016-10-17Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN Held October 17, 2016 BE IT REMEMBERED, that on this 16th day of October, 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 Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Desiree Garza County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Page 1 of 52 Approve Minutes of September 8, 2016 and September 22, 2016 meetings. Motion to approve minutes of September 8, 2016 and September 22, 2016 meetings was made by Commissioner Lyssy and that motion was seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 2 of 52 Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held September Sr 2016 BE IT REMEMBERED, that on this 8th day of September, 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 Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Josie Sampson County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held September 22, 2016 BE IT REMEMBERED, that on this 22nd day of September, 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 Roger C, Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Anna Goodman Desiree Garza County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch . led the Pledge to the Texas Flag, Approve Minutes of August 25, 2016 meeting: Commissioner Fritsch made a motion to approve Minutes of the August 25, 2016 meeting. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted In favor. Page 1 of 31 Hear Report From Memorial Medical Center. Jason Anglin and Jerry both spoke from Memorial Medical Center to give their monthly update on expenses, collections, budget and improvements. Jason Anglin also shared that they'll be making improvements come the New Year as far as the clinic is concerned. Dr. Rojas will be moved from the hospital to the health clinic and they're also looking for a OBGYN for the clinic. He continued and concluded by talking about various changes they're planning for. Page 3 of 52 Memorial Medical Center - Port Lavaca, Texas CEO Report September 23, 2016 Financial Results: In August we had a Net Income of $20,028 increasing our Income for the year to $2,099,871. August included $158,561 benefit from the Nursing Home MPAP program. Waiver 1115 updates On -going activity such as completing waiver audit request for additional information on projects. Memorial Medical Clinic We had our highest number of clinic visits. Sur er We had the highest case volume in a month in many years with 151 cases. Ima in Our mammography, hospital x-ray and clinic x-ray systems were inspected by TDH with no issues. Plant Operations Our plant director is currently obtaining proposals to potentially add a generator to Memorial Medical Clinic for emergency power and also proposals for a storage building to replace our current off site storage which we rent at a cost of $9,000 plus utility cost. Cardiac Pulmonary Rehab— Program is open. Information on Board Items: Presentation of Certificate- We would like to present a Certificate of recognition to one of our providers for being recognized for achieving an overall rating score at or above the 90t" percentile of the National Data Base in the CG-CAHPS survey. Service Agreement Renewal for Nuclear Medicine Camera- Attached are proposals to renew service coverage for our Nuclear Medicine Camera. If we elect to renew with the current service provider, the cost remains the same at $31,524 per year. Purchase of New Server for Storage for PACS- The PACS system stores patient Images, CT's MRI's X- rays, etc. Unfortunately, the system is nearing 100%storage capacity. We need to increase our Image storage capacity. In order to do so we need a new larger storage server. The Cost of the recommended replacement server with the additional storage capacity and needed back up system is $50,583. Non -Salary Expense Review Agreement - Please find attached proposal from Patrick E. Carroll & Associates, Inc. to review non -salary expenses for expense reduction opportunities. This company is an endorse vender by the Texas Hospital Association. Closed Session— I have a closed session posted for Legal. Res ectfully Jas Anglin, CEO Memorial Medical Center Memorial Medical Center Financial Report For the Month of: August 2016 Overview: Overall profit from all entities fell to $20,028 in August compared to a $226,191. Our year to date profit is now $2,099,871. This marks the third consecutive month that the MPAP income has meant the difference between a profit and a loss, and this is the last month of MPAP until a new program is put in place. The most promising outlook as of today is for that to start in September 2017. For August, the clinics returned to profitability, with a Net Income of $131,918 for the month and are now at a profit of $544,652 for 2016. The hospital fell to a Net Loss of $270,451 for August and is at a Net Loss now of $21,558 for the year. While volumes recovered in most areas, the hospital experienced a negative change in our payor mix. Medicare revenues fell to 38%of the total and Private Pay increased to 13.6%. This is very similar to what happened in August 2015, when we barely managed a profit. Patient Revenue increased to $6,565,000, which is usually a good sign, but almost $893,000 of this is from patients who are unlikely to pay us. We also saw slight increases in the amount of Medicaid and Blue Cross utilization — Medicaid pays us less than Medicare and Blue Cross, who pays us comparable rates, is slow to pay. Total operating expenses for August were $2,234,316 for the hospital and clinic combined... Statistics: Memorial Medical Clinic visits set a new record in August at 1,928 and the Surgical Clinic increased more than 50%their usual volume. Imaging, the Lab, Rehab Services, and Respiratory Therapy all saw a decreased number of procedures in July compared to June as well. The Lab, Imaging, Respiratory Therapy, and Rehab Services all increased their volumes over July. Surgery recorded its highest volume of procedures (151) in the past 12 months. In short, everything looks great, except for the fact that we cannot get as much of it to Net Revenue because we do not expect to collect as much of it as we usually would. Balance Sheet Highlights: ASSETS Bank Accounts In spite of the lack of profit for August, PFS and the clinic staff had great collection months. The clinic's collections were over $300,000 for the first time and PFS added another $1.9 million for a total of $2.2 million collected. This, combined with MPAP proceeds over $500,000 left the hospital with just over $3 million at the end of August. Of that, $1.9 million was IGT'd to the state the first week of September for LIC and to fund our Community Benefit through January. Accounts Receivable Patient A/R dropped by $402,132 between July 31 and the end of August as a result of the good collections and continued clean-up of old, uncollectible accounts. Accounts Receivable — Other The total in this account is $6,204,323, mostly comprised of the coming October reporting for DSRIP and the balance due for MPAP payments to be received between now and February 2017. Accounts Receivable Nursing Home There is a balance of $4,727,853 in accounts receivable on the five nursing home books. Accounts Receivable Est. 3rd Party Payer Settlements We continue to show a payable to the program at this time. LIABILITIES Accounts Payable Accounts payable dropped to $351,453 at the end of August as our cash position allowed us to pay things a bit early. Due to Cantex The balance of $6,150,233 consists of $873,160 in the nursing home cash accounts (less $1,000 MMC contributed to set the accounts up and $1 rounding), $549,220 in accrued MPA Payments, and $4,727,853 in accounts receivable also reflected in MMC's accounts receivable. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,239,256, which will likely continue to increase until the holidays. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,517,935 for upcoming Community Benefits transfers. Accrued Payable —Est. 3rd Party Paver We currently show a payable to the Medicare program of $313,862. The hospital made a $117,000 estimated payment against this liability in late September so it should be lower on next month's financials. 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 continue to 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 $690,419 in long term debt of which $77,821 is due over the next 12 months. Current Ratio The ratio between our current assets and current liabilities is 1.56 compared to a 2.3 benchmark. Other Projects We are presenting a review of all non -salary expenses to the Board this month that promises to save significant costs in supplies and other expenses. 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Sep-15 cools Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 lul-16 Aug-16 �Outpatiam Visits Emergency Room Visits =Specialty clinic Visits Total Surgery & Endoscopy 200 i Is1 0 120 __— 108 9] 110 _ 8]--_--9i105 __-ill 108 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb16 Mar-16 Apr-16 May-16 Jun-16 Ju1-16 Aug-16 Radiology Procedures 2,000 - --: 1,000 3;643--1,59T 1,451---1;604"630--1,4]0 1733 1,380 1,400 1,155 1,338 1,381 Sep-15 oct-15 Nov-15 Deo15 Jan-16 F& 16 Mar-16 Apr-15 May-16 Jun-16 Jul-16 Aug-16 Total Laboratory Procedures i 11,11, -._.-.._..__------ ---- ——__— { 20,000 ---- — -- 29,-]25--32,514.__ 32,61E_29;218' _.31,6I5---M'4Z1---29,601— 32,002_ 2],035 25,832 22,149 26,450 - 0 __ _ —___ — - --__ Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Fe4-16 Mar46 Apr-16 Ma1-16 Jun-16 Ju1-16 Aug-16 Physical Therapy Procedures 4,111 2,000 - -- 0-1,280-1,593_-1,505_._l,]39 __1,803 _. 1,891 1805 ___1,558 1,592_..__3,535.1,]26 ___-_. -�- 2,052,-_ Sep-15 Oct-15 Nov-15 Dec-15 /an-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 -4- O Ol m '.ry n. 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M O m>> o m v E E 9 0 - F o ¢aa z c) v m¢ wa u.I`Oi amm v�i o o v m m'�° E o .Qh r t- ¢2 O m H t- O Z -5- Memorial Medical Center YTD YTD YTD 8/31/2016 Statistical Comparison 08/31/14 08/31/15 08/31/16 OVER (UNDER) %OF - - - -_- (8 months) (8 months)-- (8 months) 8/31/2015 CHANGE Total Admissions 885 747 802 55 7.4% ERAdmissions 633 595 794 199 33.4% Total Patient Days 3,479 3,047_ 3,099 52 1.7% AVERAGE DAILY CENSUS Medical/Surgical/ICU 11.14 9.64 10.27 0.47 4.7% Obstetrics 0.96 0.88 0.78 (0.17) -18.0% Swing Bed 2.16 1.97 1.64 (0.47) -22.3% Total AVG Daily Census 14.26 12.49 12.70 (0.17) -1.3% Total AVG LOS - Acute Care 3.57 3.73 3.63 (0.08) -2.2% Observation - Patients 334 312 386 74 23.7% Newborns -births 81 87 73 (14) -16.1% MM Clinic Visits 5,347 7,471 14,551 7,080 94.8% Surgical Clinic Visits 302 270 751 481 178.1% Outpatient Visits 15,477 14,814 16,440 1,626 11.0% Emergency Room Visits 6,888 6,909 5,962 (947) -13.7% Specialty Clinic Visits 3,449 3,754 4,153 399 10.6% Total Surgery & Endoscopy 761 769 851 82 10.7% Total Laboratory Procedures 214,021 222,648 248,823 26,175 11.8% Radiology Procedures 6,325 6,471 5,745 (726) -11.2% RadiologyOP- Clinic 0 0 964 964 #DIV/01 Bone Density 93 95 99 _4 4.2% Nuclear Medicine 162 119 132 13 10.9% Ultrasound 1,491 1,682 1,584 (98) -5.8% Ultrasound -Clinic 0 0 376 376 #DIV/01 CTScans 1,890 1,809 2,048 239 13.2% MRI 766 751 869 118 15.7% Mamograms 572 516 634 118 22.9% Total Radiology Procedures 11,299 11,443 12,451 1,008 8.8% Respiratory Therapy Procedures 7,706 7,589 6,271 (1,318) -17.4% Stress Test 80 36 52 16 44.4% EKG Exams 2,407 2,570 2,545 (25) -1.0% EEG Exams 9 16 0 (16) -100.0% Sleep Studies 79 50 116 66 132.0% Total Respiratory 10,235 10,261 8,984 (1,277) -12.4% Physical Therapy Total 17,313 13,594 13,962 368 2.7% Occupational Therapy Total 0 239 1,940 1,701 711.7% Speech Therapy Total 0 46 458 412 895.7% Pharmacy Total 76,081 98,072 95,989 (2,083) -2.1% Dietary Total 83,821 89,633 38,589 (51,044) -56.9% Pounds of Linen 164,348 154,300 100,791 (53,509) -34.7% d a m m o o v N � d .a v o w N o ry � mmw� Nm� ti d� m.+rrvNM^nb2°�� mv�m i0 M O p� O '1 n 0 rl yj OO h a' m b O N� 0• m ei N W m O M ti m m N O 1n m — rt1 fay' rva,. a N N a N m O b N m m ww amw ma�ono w www a �a rvnmon poem?�O1mm vmi "�d m °J e.Ni mom mmmNmm��a �m f+.mwm•-imp a mNn 'vi - vio ;ism.+ m a w w w w n N O M p �vl Oti O N ' M O a' K N N n n m b a r m N �a-1 lY m N m '� ei n M N N (bil N N h OO O rY J f1 V ul I`y' a zn V b p N N b n b N m M C m V' www m m m m C m M m m a b N M W M C N T V Oal ln(1 (fml m ei r M �-I b ri M N N emi f� O M b m Ir1 I(ml ul O ei a O N 'i u to re e, m��"'On c c �n{mN cao,�oo� m voi m m'.�e ymvniry O o v � � w www s abb m3�o o�a3° �om°?e vi m�mnmo an'o`!°? n� b b l00 N m n O b rl m - m n n M Vy N V1 w www V n pn�o inmb o �me�mam n m N M b N m' N N Z, v ft vml y m O b Q o a ik e1 a a w w w w a mm mnyw 9 9Nvnw"'mnemm�No, .airy riNm m Z :i a.n � C Y 0 w www E v Jc y w o a � m a Qov��..v gwa<q .oa g� o,z t z ao u u '^ �F=3��3�mJ zS t=< ¢a¢¢'o'S z" o ei N M a m b n m N 2 6 M �-1 'i ti ei ab1 eni ei rl N N N N N N N z .�. Memorial Medical Center Payer Mix Payer Mix Memorial Medical Center As of August 31, 2016 Jw 2% 30.0 20.0 15.0 ---- 5.0 0.0 2. 2 E 0 E E tj 0 > --*—Medicare —6--Medicaid —S—BlueCross ,-�o.,—Cornrnercial —6—Private —.0—Other N IM/1 N O O n mti CO O m O] T • tti N m V ri a� H W N 1+1 N b V N O O�� N W Vl I� N W ul O Omi V N 1(1 o tM0 t-1 M Yl Ol C N �i O VI � O W O T N a m 0� t-i N n V1 O 'I m O O1 OI N Ol tO n t0 ei r t-I V t-I M N ei ♦i N � t-I W m W a in �n in m o mM.=imo m m mr o a to f e m ro ory m Nro m N r m 1� N O ul OMl VI O] O M O N O O VI Ot O tO V V N m 6 N N O1 V' •i a N VI r T N rl � t-I Ol V W V N N r t-1 N N n n t-I 00 n O rtl t-I W O 1(1 m N O N N V N °t n uJ rl W m VI M O N cyl' m N VI Vl t/i O d' h g O 1(1 n N N (u O1 N fntl N Ifl N tnu a aD O O r N 2 b N m W V ti m n o m o m mot° m Nv ati 'n ti o ti as ry arv.+ r m to N ai m o a m rci o ry m a m n � ta-I w �n m to M a o Ili w to m n n oe to .i N N O n n O ul Of N Vl tp N ' O VI M O m O O ^ M V O N OJ m V N m L' ppO nnn y N b 1In1 1011 N tN'1 M O O] N t0 ^ N O N IT O ei I� O V t0 O a4 ul W O m m V N Oi rl 0 rtI V vl N N r ei N N O N O VI M a' N 01 N m ` b ✓1 Ol OJ O1 o a a -I O M t-I N O N M t0 RI DJ Ol ti m N n m t4 N fi O O VI N m vi raio 'n 'n o�oi d' mn m i n N Ol O ul r ul ul O DJ Nm � ✓�. a N W '1 n Ot N..W tll ti Vl Vl e rl N V T rN VI ul ^..~. NN m vi 'nidm o r:� memo m me H N N O VOl tO1D N V n m N V ei a O a Lq mo otmoon m No mo onN n aom m"'.ni r i:n m m.ni O1N me m M t-1 M Ol fJ M VI m' N O N O O yh two N V m rtm1 O 'I M O OI N n ro vi vi ' o o e' ro r n ri vi oa Nm.`�+OiO m M m Lanm m mn� mmo •i 'i V O1 I� N rtl V OI N N t° E z C G O O O u � . q cG � `✓ � ` M` � 9 O m °" 3 c c W ��d��_ aaa m mm m In lom a 1O m m m n a � co nln me rn N v ov n H r ri ri on rci wo `im oHn m M r ei N N :+ v N b m m N ✓1. M.. r O IO N ei r ♦i N �• O • V M M •-I N b l0 OI IO Vml m• N Vl W m M N Ol N � d' VI \ 'i n r lt) 19 •-1 N •-1 n N � n VI m n r •y - VI N Ol V1 O �-i m Qm b 'i •N-1 aM-1 N ei N M N Imo, b V O r b W VI V�'1 eMi Ill W b O 0 lO rl •-1 N V b O ti T r O M ID N V � ti V1 al m m m N ~ N O O O Ip N N m IV'•I N N I�i1 b In •-1 l0 N •ti N m' � W •-1 r � O H1 ri rl M b N N V O OMl N mo •�-I V •-1 N l.i n.ti m N VI N �MN o .ai In m rMa mmvl � ma N ev N m '{ m M m m � Ol n VI O N DJ v m m N VI r a N N N m `I Ill e Ill t•t' •-1 1� V •-1 � O M M N m W I�/l N ~ ti N V T •n-I IMl1 •M4 •m-I •N-f M W •4 Ifl yl N O •-I •a-1 M m to N • Ol b O M m y N M � O O N Ivl V N n b ti 1m0 r O Y1 � N y •4 I •-I O h V O N rl N lmll N m VI IO V Cl �-I I-1 N N b m N m 'i rtM1 M •-1 V •r-1 M ,y m vl minom m n InoM to rmaN a nM m oC In o loe m m r m n o w momm om m 100n '/1 •4 N IFO m .`{-lm In n. M m Mnm N O n M 'i M •�-1 Vml n V V NO O m O M N Q Imi1 y m h •4 r V ti N •-1 m m •• m r 0 0 9 Iei ll m N m 1� V• N W N O Ol Vf 41 al N N O ul Ol Vl r n n r m V b N V N O N u N Ill `1 N V N M b M O t0 m O b N •-I '1 ei Ol 'I tll O W O •-1 N b N 9 M Q � nl •-1' IO N Cl � l0 lO ti N M � O M IO N M Ilt r N •••• N V1 � O n n b O V e1 W n n O m Ir/1 loll ♦i � Im/1 b aV{ V Ill O � o o n tiN n n v',`�e m Imnrve� m � N r N N '{ •y N N V N O Ol ••• n M N ID r N `i V r n m mm.�-aN em mo a nmv ,ml ~m �c m m.n+n �' \ n a vCOem •i N 'i O l� � ` loll N ri 'i O �i vl V' m N b b n M y N••' N r m Vl m M W IO N m V V 46 Vnl K Ol n m N \ O ~ 14 06 N O M Imll b% N V Vl r V O `i m V Ol •-I rl Ol V E z i 9 n y� w M > T s x N w A 6 C m u Ij � � m = m 0 Z m C a C � O m � i � 'a ✓ - y ul 10 u E rY1 v�vvm vl E w oii ayx o 2 2 ' m G w w t t m y y u 1O b z z m 9 z a moo' a a¢ 0 a as ¢¢ -1 r z= Memorial Medical Center Income Statement by Operating Unit For the Month Ended August 31, 2016 Revenue Current Period Year to Date Nursing Nursing Hospital Clinics Homes Combined Hospital Clinics Homes Combined 1,354,846 -_. - 1,354,846 Inpatient Revenues 10,694,853 - - 10,694,853 2,881,353 556,810 - . 3,438,162 Outpatient Revenues 21,196,394 3,951,537 - 25,147,931 1,772,777 - - 1,772,777 ER Revenues 14,263,475 - - 14,263,475 - - 3,626,324 3,626,324 Resident Revenues - - 27,651,314 27,651,314 6,008,975 556,810 3,626,324 10,192,109 4,027,690 - - 4,027,690 87,380 - - 87,380 56,793 - - 56,793 (30,291) 30,291 - - (189,717) - - (189,717) 476,424 114,731 - 591,155 4,428,278 145,022 - 4,573,300 1,580,697 411,78E 3,626,324 5,618,809 48,179 31,525 - 79,704 1,628,876 443,313 3,626,324 5,698,513 Current Period Nursing Hospital Clinics Homes Combined 796,281 104,173 - 900,454 290,692 26,294 - 316,986 201,463 154,004 - 355,467 252,954 35,365 - 288,320 229,130 14,971 - 244,101 5,712 - - 5,712 18,926 - - 18,926 101,184 3,167 - 104,351 - - 3,626,324 3,626,324 1,896,343 337,973 3,626,324 5,860,640 68,089 19,622 - 87,712 1,964,432 357,596 3,626,324 5,948,351 (335,556) 85,717 - (249,839) 0 - - 0 (2,783) - - (2,783) (158,406) (107,803) - (266,208) 226,294 154,004 - 380,298 - 158,561 158,561 65,105 46,201 158,561 269,867 (270,451) 131,918 158,561 20,028 Total Patient Revenue Revenue Deductions Contractuals Charity Indigent Care Overhead DSH Bad Debt Total Revenue Deductions Net Patient Revenue Other Operating Revenue 46,154,722 3,951,537 27,651,314 77,757,573 27,524,971 739,911 - 28,264,882 950,703 - - 950,703 283,241 - - 288,241 (170,281) 170,281 - - (2,076,820) - - (2,076,820) 5,114,089 - - 5,114,089 31,630,902- 910,192 - - 32,541,094 14,523,820 3,041,345 27,651,314 45,216,479 276,943 111,622 - 388,565 Tote 10 perating Revenue 14,800,763 3,152,967 27,651,314 45,605,044 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Year to Date Nursing Hospital Clinics Homes Combined 6,114,975 818,884 - 6,933,859 1,977,571 257,210 - 2,234,781 1,510,139 1,313,580 - 2,823,719 2,165,087 299,025 - 2,464,112 2,000,475 120,257 - 2,120,733 47,063 _ - 47,063 354,053 - - 354,053 576,048 36,455 - 612,503 - - 27,651,314 27,651,314 14,745,412 2,845,411 27,651,314 45,242,137 Depreciation Total Expenses 576,200 15,321,611 156,977 3,002,388 - 27,651,314 733,177 45,975,313 Net Operating income/(Loss) (520,848) 150,578 - (370,270) Non Operating Income / (Exp) Investment Income 1,079 - - 1,079 Interest Expense (25,284) - - (25,284) Contributions and Grants 500 - - Soo IGT Expense (1,220,322) (919,506) - (2,139,828) Service Contribution by SOSET 1,743,317 1,313,580 - 3,056,897 Nursing Home MPAP - - 1,576,777 1,576,777 Total Non -Operating Revenue 499,290 394,074 1,576,777 2,470,141 Total Net income (Loss) (21,558) 544,652 1,576,777 2,099,871 -11- Memorial Medical Center Capital Acquisitions For the Month Ended August 31, 2016 Month Description Building Equipment Total 01/16 IF Electronic Lab Interface -.ELR - 4,475. 4,475 January 2016- Computer Purcahses - 6,317 6,317 WebPT Software - 7,524 7,524 Holter Recorders (4) - 6,299 6,299 Clinic-CIP- Various Equipment - 18,401 18,401 Sub Total January - 43,015 43,015 02/16 February 2016- Computer Purchases - 1,271 1,271 Clinic - CIP - Various Equipment 11,042 133,730 144,771 Sub Total February 11,042 135,001 146,042 03/16 Samsung Lease -X-Ray Room 2 - 206,040 206,040 Evident - Lab interface - 4,554 4,554 Exebridge Intranet Project -CIP - 1,500 1,500 Clinic - CIP - K&T Pay App 277,983 - 277,983 Clinic - CIP -ACl/Boland 18,535 - 18,535 Clinic-CIP- Various Equipment - 24,079 24,079 Sub Total March 296,518 236,173 532,691 04/16 Clinic - CIP -ACl/Boland 2,770 - 2,770 Clinic-CIP- Various Equipment - - 5,363 5,363 Deposit on Voice Recognition Interface - 3,000 3,000 April 2016- Computer Purchases - 4,044 4,044 EMDS Software License - Dr. Andrus - - 8,790 8,790 Sub Total April 2,770 23,967 21,197 05/16 Clinic - CIP - K&T Pay App 154,794 - 154,794 Cardio Rehab Equipment - 10,529 10,529 PACS Interface - Downpayment - 500 500 Sub Total May 154,794 11,029 165,823 06/16 June 2016- Computer Purchases - 4,043 4,043 Sub Total June - 4,043 4,043 07/16 Surgical Eye Microscope - 31,500 31,500 CR-E Class Control Station for Radiology - 9,750 9,750 Sub Total July - 41,250 41,250 08/16 August 2016- Computer Purchases - 5,109 5,109 CIP- Air Conditioning Unit for Lab - 4,965 4,965 Sub Total August - 10,074 10,074 Total $ 465,123 $ 501,782 $ 966,905 -72- Physician Revenue Trend Memorial Medical Center As of August 2016 Memorial Medical Center Clinic 011005 William Crowley 019000 Ric Arroyo -Diaz 009293 Serina Danielson 000966 Thao Truong 041743 Angela Dobbins 005966 Carol Andrus 058001 Court Thurlkill 002099 Traci Shefcik 009294 John Durst 009292 Charles Fillingane Memorial Medical Surgical Clinic 022000 Peter Rojas Hospitalist 130006 Hospitalist Port Lavaca Clinic 013000 Don Paul Bunnell 050001 John Wright 019000 Ric Arroyo -Diaz 013001 Leigh Anne Falcon 008800 Nirtas Kwi Tim u 001500 Jewel Lincoln 320001 Sharma Odonnell 012000 Jeannine Griffin 700003 Bludua/Bunnell 320000 John Lee 610000 Craig Shaffer Specialty Clinic 022000 Peter Rojas 012100 Donald Breech 000404 Ayo Adu 070002 Richard Steinberg 525225...Azhar Malik MD 900000 Dakshesh Parikh 057006 A Qadri August 2016 2016 YTD PRIOR YEAR TD $ 583,913 $ 3,846,825 $ 4,455,648 $ 467,974 $ 3,357,889 $ - $ 216,367 $ 1,823,257 $ 2,072,196 $ 227,376 $ 988,765 $ 340,259 $ 85,785 $ 829,412 $ 496,138 $ 114,557 $ 231,618 $ - $ 64,579 $ 357,585 $ - $ 65,282 $ 523,860 $ $ 2,914 $ 2,914 $ - $ - $ - $ 242,620 $ 1828,746 $ 11,962,126 $ 7,606,861 27% 24% 17% $ 365,381 $ 2,116,488 $ 268,859 $ 365,381 $ 2,116,488 $ 268,859 5% 4% 1% $ 764,341 $ 5,852,005 $ 514,485 $ 764,341 $ 5,852,005 $ 514,485 11% 12% 1% $ 40,966 $ 237,673 $ 3,115,101 $ 440,756 $ 2,871,017 $ 3,157,280 $ - $ - $ 2,190,430 $ 146,985 $ 1,797,713 $ 1,537,684 $ 140,661 $ 1,508,936 $ 1,544,497 $ 209,373 $ 1,914,920 $ 1,095,341 $ 37,790 $ 323,637 $ 278,026 $ 21,172 $ 163,043 $ 266,647 $ - $ 53,511 $ - $ $ - $ 35,860 $ 1,037,703 $ 8,870,448 $ 13,220,866 15% 18% 30% $ - $ - $ 849,215 $ 89,632 $ 619,486 $ 590,345 $ 80,705 $ 613,063 $ 629,359 $ 27,620 $ 126,525 $ 120,042 $ 6,430_ .$ 59,362 $--- - 46,290 $ 4,532 $ 53,645 $ 34,761 $ 208,920 $ 1,472,082 $ 2,270,012 3% 3% 5% -13- Physician Revenue Trend Memorial Medical Center As of August 2016 Coastal Medical Clinic 011000 Tim McFarland 000806 William McFarland Independent 006000 M S Lin 004000 G A Williams 310001 Michelle Cummins 330000 Nhi Le MD 004002 Laura Deming Other Medical Staff 065002 George Boozalis 075000 Laborator Ramos August 2016 2016 YTD PRIOR YEAR TD $ 93,847 $ 662,296 $ 333,280 $ 47,058 $ 206,771 $ 172,203 $ 140,904 $ 869,067 $ 505,483 2% 2% 1% $ 208,069 $ 1,539,849 $ 1,181,138 $ - $ 20,257 $ 79,124 $ 61,845 $ 494,513 $ 531,494 $ 872 $ 26,054 $ 63,264 $ 270,786 $ 2,080,673 $ 1,855,021 4% 4% 4% $ 34,174 $ 174,887 $ 88,612 $ - $ - $ 604 $ 34,174 $ 174,887 $ 89,216 1% 0% 0% Total E/R Physicians $ 1,634,590 $ 12,897,144 $ 13,365,092 $ 1,634,590 $ 12,897,144 $ 13,365,092 24% 26% 30% Other Ordering Physicians Other Ordering Physicians $ 416,869 $ 2,911,366 $ 2,820,700 004004 Neese/Twin Foun $ 17,807 $ 144,303 $ 349,097 000359 Earnest Alsop $ - $ - $ 22,656 000080 Marcus Caughron $ - $ 33,768 $ - 807077 Nilesh Patel $ 67,550 $ 518,775 $ 682,366 800003 Bryan Kestler $ 3,913 $ 39,586 $ 11,272 900327 DharmendrVerma $ 11,050 $ 78,186 $ 87,155 000077 Scott Stein $ 8,267 $ 39,981 $ 31,052 900116 Sabbagh Mohamme $ 8,519 $ 40,675 $ 65,451 012102 Jerr Followwill $ - $ 25,595 $ 91,751 142001 Greg Cowart $ - $ - $ - $ 533,975 $ 3,832,235 $ 4,161,500 8% 8% 9% Totals $ 6,819,520 $ 50,127,154 . $ 43,857,396 -74- Memorial Medical Center Hospital Accounts Receivable Quality Indicators —- ----- Accounts Receivable by Payor -- -- -� -. Aug-15 #p-15 C[t-]5 .—II Dec-15 A,n- fYblb Mas-16 Aps-36 •M.f— MedllMd Commo W .1.1.1a1 Medicare Aging< 60 Days SW.O•X 9394 9t% 91% BTi6 +•+ 66% 04%—%1% B2X 17% e]% 10.0% 4S S1 .sS .i 4 Sb .b .yb 6 Sb .sb .sb �}.sb - Medicaid Aging <90 Days 70.0% ]00% soot Ilea 4DM •: m. maa 0.0X h. .9 S b ♦ b.. b b y yb rs N S¢ O"S ,,u.. a1 O_ la 4� PVy P& lTcv May-16 Blue Cross <90 Days SW O% 93% '85% 91% 91% 893E _ 900% ]5% 8)% 8003: w o-X 50.OX 40.03. .sh .sS S rS .h yb .3b yb 1b rsb .sb .6 6 Commercial< 90 Days 7 1% 'ii _ 1b S�' �ti ti Y 4b 1b :b ;rb 1b lb 'sb -15- a _elm=qjIllm '^ m m 0 � m m 2 u � " C N V n � 9 O � L � 6 O N a f p O 61 N Xu Q V � � m � low Xe -16- N RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER PAGE 1 TIME:15:22 CHECK REGISTER GLCKREG 08/01/16 THRU 08/31/16 - - - -- - BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ------------------------------------------------------------------------------------------------------------------------------------ A/P 000800 08/01/16 707.55 MCKESSON A/P 000801 08/01/16 512.98 MCKESSON A/P 000802 09/01/16 250.47 MCKESSON A/P 000803 08/09/16 748,95 MCKESSON A/P 000804 08/08/16 626.75 MCKESSON A/P 000805 08/08/16 1,2.34.61 AICKESSON A/P 000806 08/15/16 422.00 MCKESSON A/P 000807 08/15/16 86733 MCKESSON A/P 000808 08/15/16 1,411.88 MCKESSON A/P 000809 08/22/16 613.09 MCKESSON A/P 000010 08/22/16 831.13 MCKESSON A/P 000811 08/22/16 1,070,88 MCKESSON A/P 000812 09/29/16 636.09 MCK28SON A/P 000613 08/29/16 684.28 MCKESSON A/P t 000814 08/29/16 1,227.98 14CKESSON A/P 3 162729 08/17/16 7.50CR CALHDUN COUNTY A/P 164601 08/25/16 1,899.37CR AETNA A/P : 164703 08/25/16 536,82CR TRICARE REFUNDS A/P * 165881 08/25/16 418.78CR PGEA A/P 165884 08/25/16 713,44CR PGEA A/P + 165995 08/25/16 128.82CR AETNA A/P 167320 08/03/16 972.42 CUSTOM MEDICAL SPECIALTIES A/P 167321 08/03/16 23.50 DONN STRINGO A/P 167322 08/03/16 367.85 LAWSON PRODUCTS A/P 167323 00/03/16 13,199.12 US FOOD SERVICE A/P 167324 08/03/16 In.50 PHARMEDIUM SERVICES LLC A/P 167325 08/03/16 750.00 JAMES A DANIEL A/P 167326 08/03/16 253.30 WHOLESALE ELECTRIC SUPPLY A/P 167327 08/03/16 120.50 HEALTH CARE LOGISTICS INC A/P 167328 08/03/16 1,829.33 CENTURION MEDICAL PRODUCTS A/P 167329 08/03/16 .00 VOIDED A/P 167330 08/03/16 1,551.65 DEWITT BOTH & SON A/P 167331 08/03/16 827.01 GE HEALTHCARE IITS USA CORP A/P 167332 08/03/16 78.00 JASON ANGLIN A/P 167333 08/03/16 .00 VOIDED A/P 167334 08/03/16 25,494.20 MORRIS & DICKSON CO, LLC A/P 167335 08/03/16 362.34 AMERICAN PROFICIENCY INSTITUTE A/P 167336 00/03/16 119.00 KRNDALL/BONY PUBLISHING COMPAN A/P 167337 08/03/16 25,55 CAREFUSION 2200, INC A/P 167339 08/03/16 42.48 GLOBAL EQUIPMENT CO. INC, A/P 167339 08/03/16 570.00 NIBBLES TECHNOLOGIES, INC A/P 167340 08/03/16 200.00 OSCAR TORAHS A/P 167341 08/03/16 225,00 WAGEWORKS A/P 167342 08/03/16 23,598.24 MMC E14PLOYEE BENEFIT PLAN A/P 167343 06/03/16 30,726.93 ALLIED BENEFIT SYSTEMS A/P 167344 00/03/16 1,589.12 MERCK SHARP & DOME CORP A/P 167345 08/03/16 2,276.61 WAGEWORKS A/P 167346 09/03/16 660.65 WALLER,LANS➢EN, ➢ORTCH & DAVIS A/P 167347 08/03/16 90.00 MEMORIAL MEDICAL CLINIC A/P 167348 08/03/16 718.56 UNITED RENTALS (NORTH AMERICA) -17- RUN DATE;09/21/16 MEMORIAL MEDICAL CENTER PAGE 2 TIME:15:22 CHECK REGISTER GLCKRBG 08/01/16 THRU 08/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ---_-------------------------------------------------------------------------------------- -- A/P 167349 08/03/16 1,282.50 M G TRUST A/P 167350 OB/03/16 410.00 DBRRI HART A/P 1673SI 08/03/16 2,646.78 COMBINED INSURANCE CO A/P 167352 08/03/16 75.00 FIRST CLEARING A/P 167353 08/03/16 1,207.50 PABLO GARZA A/P 167354 08/03/16 7,207.13 FUSION MEDICAL STAFFING, LLC A/P 1673SS 06/03/16 1,170.00 US IMPLANT SOLUTIONS A/P 167356 08/03/16 259.96 BERRY PICKETT A/P 167357 09/03/16 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 167358 08/03/16 8,338,10 PABTEC A/P 167359 08/03/16 5,268.70 GARDNER & WHITE, INC. A/P 167360 08/03/16 500.00 LAW COMPANIES A/P 167361 08/03/16 37,984.32 TXU ENERGY A/P 167362 08/03/16 23.50 HEATHER MUTCHLER A/P 167363 08/03/16 762.87 MICRO SURGICAL TECHNOLOGY INC A/P 167364 08/03/16 - 339.80 NORTHERN TOOL & EQUIPMENT - - -- - - - - - - A/P 167365 OB/03/16 562.36 DUTCH OPHTHALMIC USA A/P 167366 08/03/16 23.50 ANDREA PAGE A/P 167367 08/03/16 23,50 GRIN EIDSON A/P 167368 08/03/16 38.32 ABBOTT NUTRITION A/P 167369 09/03/16 194,34 GULF COAST HARDWARE / ACE A/P 167370 08/03/16 11.50 ACTION LUMBER A/P 167371 08/03/16 108.18 AIRGAS USA, LLC - CENTRAL ➢IV A/P 167372 08/03/16 2,589.35 ALCON LABORATORIES, INC. - A/P 167373 09/03/16 3,318.48 AFLAC A/P 167374 08/03/16 379.35 CARDINAL HEALTH 414,LLC A/P 167375 09/03/16 140.10 AUTO PARTS & MACHINE CO. A/P 167376 08/03/16 1,304.92 BAXTER HEALTHCARE CORP A/P 167377 08/03/16 8,385.41 BECKMAN COULTER INC A/P 167378 08/03/16 188.30 BOSART LOCK & BY INC A/P 167379 08/03/16 457.00 B09TON SCIENTIFIC CORPORATION A/P 167380 08/03/16 145.39 BRIGGS HEALTHCARE - -- A/P 167381 08/03/16 25.00 CAL COM FEDERAL CREDIT UNION A/P 167382 08/03/16 961.53 CITY OF PORT LAVACA A/P 167383 08/03/16 460.00 CONNED CORPORATION A/P 167384 08/03/16 409.60 CDW GOVERNMENT, INC. A/P 167385 08/03/16 15,759.77 EVIDENT A/P 167386 08/03/16 492,04 C R BARD, INC A/P 167387 08/03/16 58.30 DOWNTOWN CLEANERS A/P 167388 08/03/16 48.53 CENTERPOINT ENERGY A/P 167389 09/03/16 43.39 FEDERAL EXPRESS CORP. A/P 167390 06/03/16 2,772.12 FISHER HEALTHCARE A/P 167391 08/03/16 54.95 GE HEALTHCARE A/P 167392 09/03/16 125.00 GULF COAST DELIVERY A/P 167393 08/03/16 172.39 GBTINGE USA A/P 167394 08/03/16 490.97 GULF COAST PAPER COMPANY A/P 167395 08/03/16 493.48 H 8 BUTT GROCERY A/P 167396 09/03/16 636.00 HOSPIRA WORLDWIDE, INC A/P 167397 08/03/16 4.48 INDEPENDENCE MEDICAL A/P 167398 08/03/16 2,987.43 WERFEN USA LLC A/P 167399 08/03/16 433.80 INTOXIMBTERS INC sm RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER PAGE 3 TIME:15:22 CHECK REGISTER GLCKREG 08/01/16 THRU 08/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 167400 08/03/16 481.28 J & J HEALTH CARE SYSTEMS, INC A/P 167401 08/03/16 1,245.20 SHIRLEY KARNEI A/P 167402 08/03/16 13,504.SC KONICA MINOLTA MEDICAL IMAGING A/P 16740308/03/16 333.72 CONNED LINVATEC A/P 167404 08/03/16 1,239.21 MCKESSON MEDICAL SURGICAL INC A/P 167405 08/03/16 174.13 MEDISAFE A14BRICA LLC A/P 167406 08/03/16 778.71 MERRY X-RAY/SOURCEONE HEALTHCA A/P 167407 08/03/16 96.85 EGO VOLUNTEERS A/P 167408 08/03/16 266.39 MICROTEK MEDICAL INC A/P 167409 08/03/16 105.52 MEDIVATORS A/P 167410 08/03/16 23.50 BILLIE DUCKWORTH A/P 167411 08/03/16 .00 VOIDED A/P 167412 08/03/16 6,765.20 DEERE & MINOR A/P 167413 08/03/16 23.50 PAM PARRISH A/P 167414 08/03/16 86,00 PHILIP THOMAS PHOTOGRAPHER - -A/P 167415 08/03/16 811.60 POLYMEDCO INC. - - - - - - - -- A/P 167416 08/03/16 9.90 POWER ELECTRIC A/P 167417 08/03/16 489.40 R & D BATTERIES INC A/P 167418 08/03/16 23.50 VERONICA RAGUSIN A/P 167419 08/03/16 153.18 EVOQUA WATER TECHNOLOGIES LLC A/P 167420 08/03/16 3,104.00 SIEMENS MEDICAL SOLUTIONS INC A/P 167421 08/03/16 191.11 SMITHS MEDICAL ASD INC A/P 167422 08/03/16 4,623.52 SO TEX BLOOD & TISSUE CENTER A/P 167423 08/03/16 361.31 STRYKER SALES CORP- - - A/P 167424 08/03/16 4,049,07 SYSCO FOOD SERVICES OF A/P 167425 08/03/16 405,72 ERIN CLEVENGER A/P 167426 08/03/16 4,943.00 TEXAS MUTUAL INSURANCE CO A/P 167427 08/03/16 154.39 UNIFIRST HOLDINGS A/P 167428 08/03/16 53.97 UNIFORM ADVANTAGE A/P 167429 08/03/16 .00 VOIDED A/P 167430 08/03/16 5,853.59 UNIFIRST HOLDINGS INC A/P 167431 08/03/16 1,200.00 US POSTAL SERVICE A/P 167432 08/03/16 614.15 LEITA MARIA A/P 167433 08/10/16 1,727.27 BECTON, DICKINSON & CO (BD) A/P 167434 08/10/16 101,40 PHILIPS HEALTHCARE A/P 167435 08/10/16 2,638.30 US F00➢ SERVICE A/P 167436 08/10/16 604.6E MERCEDES MEDICAL A/P 167437 08/10/16 340.00 NATUS MEDICAL INC A/P 16743E 08/10/16 8,333.33 HITACHI MEDICAL SYSTEMS A/P 167439 08/10/16 619,20 CENTURION MEDICAL PRO➢UCTS A/P 167440 08/10/16 829.64 DEWITT POTS & SON A/P 167441 06/10/16 109.51 ABED INC A/P 167442 08/10/16 104,97 HD SUPPLY FACILITIES A/P 167443 08/10/16 .00 VOIDED A/P 167444 08/10/16 5,037.97 MORRIS & DICKSON CO, LLC A/P 167445 08/10/16 288.99 PLATINUM CODE A/P 167446 09/10/16 43.90 GLOBAL EQUIPMENT CO. INC. A/P 167447 08/10/16 68.26 94PRONIX A/P 167448 08/10/16 155.00 SIMMLER, INC. A/P 167449 08/10/16 1,665.00 SIGN AD, LTD. A/P 167450 09/10/16 507,15 STRYKER SUSTAINABILITY -79- RUN DATE:09/21/16 TIME:15:22 CODE NUMBER DATE AMOUNT A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/16 THRO 08/31/16 --------------------------------- PAYEE 167451 08/10/16 40,392.49 167452 08/10/16 1,929.75 167453 08/10/16 23.50 167454 08/10/16 2,570.00 167455 08/10/16 239.40 167456 08/10/16 594.00 167457 08/10/16 23.50 167458 08/10/16 23.SC 167459 08/10/16 247.50 167460 08/10/16 23.50 167461 08/10/16 51.04 167462 08/10/16 701.93 167463 08/10/16 34.56 167464 08/10/16 105.96 167465 08/10/16 358,66 167466 08/10/16 1,212.19 167467 00/10/16 54.82 167468 08/10/16 1,400.00 167469 08/10/16 600.00 167470 08/10/16 52.00 167471 09/10/16 23.50 167472 08/10/16 327.78 167473 08/10/16 248.00 167474 08/10/16 185.60 167475 08/10/16 9.61 167476 09/10/16 2,713.57 167477 08/10/16 3,793.26 1674U 08/10/16 1,327.24 167479 08/10/16 165.95 167480 08/10/16 86.32 IG7481 08/10/16 5,909.84 167482 08/10/16 5,917.77 167483 08/10/16 40.00 167484 08/10/16 40.00 167485 08/10/16 163.40 167486 08/10/16 4,685.34 167487 08/10/16 37.58 167498 08/10/16 1,912.42 167489 08/10/16 43.65 167490 09/10/16 258,52 167491 08/10/16 1,210.14 167492 08/10/16 179.84 167493 08/10/16 .00 167494 08/10/16 .00 167495 08/10/16 9,373.18 167496 08/10/16 284.13 167497 08/10/16 6,775.00 IG7498 09/10/16 339.19 167499 08/10/16 832,25 167500 08/10/16 456.01 167501 08/10/16 137.90 MMC EMPLOYEE BENEFIT PLAN MERCK SHARP & DOIN CORP CONNIE LUNA FUSION MEDICAL STAFFING, LLC IRON MOUNTAIN DIAGNOS TEMPS, INC ROBIN PLEDGER BRITTANY RUDDICK THE TRIBUNE MALORY GRANZ CAREFUSION CARDINAL HEALTH 414,LLC NADINE GARNER AUTO PARTS & MACHINE CO. BAXTER HEALTHCARE CORP BECKMAN COULTERINC- - BRIGGS HEALTHCARE CABLE ONE CAD SOLUTIONS, INC CALHOUN COUNTY WASTE 14GMT MONICA CARR CERTIFIED LABORATORIES CYGNUS MEDICAL LLC DLE PAPER & PACKAGING FEDERAL EXPRESS CORP. FISHER HEALTHCARE GULF COAST PAPER COMPANY HOLOGIC INC NAVEL'S INCORPORATED INDEPENDENCE MEDICAL RICOH USA, INC. J & J HEALTH CARE SYSTEMS, INC JECKER FLOOR & GLASS KEY SURGICAL INC MARKETLAB, INC MCKESSON MEDICAL SURGICAL INC MEDLINE INDUSTRIES INC BAYER HEALTHCARE MELSTAN, INC. METLIFE MERRY K-RAY/SOURCEONE HEALTHCA ON -SITE TESTING SPECIALISTS VOIDED VOIDED OWENS & MINOR PHYSICIAN'S RECORD COMPANY PREMIER SLEEP DISORDERS CENTER SHERWIN WILLI41S SIEMENS MEDICAL SOLUTIONS INC TLC STAFFING TEXAS WIRED 14USIC INC PAGE 4 GLCKREG -20- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER PAGE 5 TIME:15:22 CHECK REGISTER GLCKREG 06/01/16 THRU O8/31/16 BANK --CHECK ---------------------------------------------------- CODE MISER DATE AMOUNT PAYEE A/P 167502 08/10/16 77.72 ---------------------------- - UNIFIRST HOLDINGS A/P 167503 08/10/16 170.94 UNIFORM ADVANTAGE A/P 167504 08/10/16 3,256.37 UNIFIRST HOLDINGS INC A/P 167505 08/10/16 88,65 UNITED AD LABEL CO INC A/P 167506 08/10/16 135.83 GRAINGER A/P 167507 08/10/16 50,00 CHID LING A/P 167508 08/10/16 396.00 CIVIL MECHANICAL INC A/P 167509 08/10/16 23,33 BEAVER ➢ONALD A/P 167510 08/10/16 79.80 MAREK NELSON A/P 167511 08/10/16 166.88 BULTRON NADYA _ A/P 167512 08/10/16 40.00 CERVANTES EDILIA A/P 167513 08/10/16 125,00 CAMPBELL VICKIE A/P 167514 08/10/16 247.71 CHANG SHEN-CHANG A/P 167515 08/10/16 232,65 COLLIER TOMMIB A/P 167516 OB/10/16 78.00 HINDS DON D A/P 167517 08/10/16 203.00 NEILL BARBARA F - - - A/P 167518 08/10/16 2,086.82 HUMANA HEALTHCARE PLANS A/P 167519 09/10/16 1,057,00 TRAYLOR MARY E A/P 167520 08/10/16 651.19 AETNA A/P 167521 08/10/16 11,84 BAROS CHARLES A/P 167522 08/10/16 253.87 P1SC 410836 A/P 167523 00/10/16 242.49 SCION SHARON A/P 167524 08/10/16 40.60 BOTHER JOHN JR A/P 167525 08/10/16 32.74 SCHON SHARON - A/P 167526 08/10/16 45.00 MORRIS RDTH F A/P 167527 08/10/16 230.73 CARROLL LOLA FAY A/P 167528 08/10/16 1,572.78 UNITED HEALTHCARE A/P 167529 08/10/16 20.00 WATSON TAMMY DAWN A/P 167530 08/10/16 139.06 JORDAN ROBERT A/P 167531 08/10/16 244.40 CARROLL LOLA FAY A/P 167532 08/10/16 101.93 COVERT STEPHANIE A/P 167533 08/10/16 146,85 NGUYEN TRDONG A/P 167534 08/10/16 25.49 BARBER TAME A/P 167535 06/10/16 8,550.71 THE BROADMOOR AT CREEK A/P 167536 O8/10/16 10,732.68 SOLERA WEST HOUSTON A/P 167537 08/19/16 636.66 FILTER TECHNOLOGY CO, INC A/P 167538 08/19/16 155,08 CUSTOM MEDICAL SPECIALTIES A/P 167539 08/19/16 3,021.74 PHILIPS HEALTHCARE A/P 167540 08/19/16 153.03 ERBB USA INC SURGICAL SYSTEMS A/P 167541 00/19/16 4,097,09 US FOOD SERVICE A/P 167542 08/19/16 277.90 PHARMEDIUM SERVICES LLC A/P 167543 08/19/16 303.76 4IMPRINT A/P 167544 08/19/16 13.35 HEALTH CARE LOGISTICS INC A/P 167545 08/19/16 1,339.84 CENTURION MEDICAL PRODUCTS A/P 167546 08/19/16 .00 VOIDED A/P 167547 08/19/16 1,185.04 DEWITT POTH & SON A/P 167549 08/19/16 406.40 PRECISION DYNAMICS CORP (PDC) A/P 167549 09/19/16 .00 VOIDED A/P 167550 08/19/16 16,540.74 MORRIS & DICKSON CO, LLC A/P 167551 08/19/16 309,63 PLATINOFI CODE A/P 167552 09/19/16 18,778.00 BED, LIP -21- RUN DATE:09/21/16 MEMORIAL 14EDICAL CENTER PAGE 6 TIME:15:22 CHECK REGISTER GLCKREG OB/01/16 TURD 00/31/16 BANK--CHECK---------------------------------------------------- CODE N014BER DATE AMOUNT _..... PAYER __-_-_______________ ____________________________ __ A/P 167553 08/19/16 1,149.65 MEDIMPACT HEALTHCARE SYS, INC, A/P 167554 08/19/16 514.81 GLOBAL EQUIPMENT CO. INC, A/P 167555 08/19/16 495.00 FASTHEALTH CORPORATION A/P 167556 08/19/16 354,90 STRYKER SUSTAINABILITY A/P 167557 08/19/16 910.80 SUSAN FOESTER A/P 167558 08/19/16 450.00 OSCAR TORRES A/P 167559 08/19/16 46,708.52 MMC EMPLOYEE BENEFIT PLAN A/P 167560 09/19/16 2,693,28 WAGEWORKS A/P 167561 09/19/16 14,416.98 HUNTER PHARMACY SERVICES A/P 167562 08/19/16 778.00 AMERICAN APPLIANCE A/P 167563 08/19/16 23.50 MELANIE GRIFFITH A/P 167564 08/19/16 19,440.00 NOVITAS SOLUTIONS -PART A A/P 167565 08/19/16 1,400.00 ACUTE CARE INC A/P 167566 08/19/16 110.00 MEMORIAL MEDICAL CLINIC A/P 167567 08/19/16 1,282.50 M G TRUST A/P--167568 08/19/16 2,206.60 REVCYCLE+, INC. - - - - A/P 167569 08/19/16 558.00 SHIFTHOUND A/P 167570 08/19/16 570.00 DERRI HART A/P 167571 08/19/16 4,050.00 RECONDO A/P 167572 08/19/16 75,00 FIRST CLEARING A/P 167573 08/19/16 490.00 CALHOUN CO INDIGENT ACCT A/P 167574 08/19/16 23.50 BRENDA PENA A/P 167575 08/19/16 1,592.12 TRIZETTO PROVI➢ER SOLUTIONS A/P- 167576 08/19/16 1,000.00 DR dEWBL LINCOLN - - A/P 167577 08/19/16 1,246.04 THE US CONSULTING GROUP A/P 167578 08/19/16 2,000.00 PARR A/P 167579 08/19/16 2,920.00 DIAGNOS TEMPS, INC A/P 167580 08/19/16 70,00 CABLES AND SENSORS A/P 167581 08/19/16 1,062.58 RHONDA NIELSEN A/P 167582 08/19/16 546.11 TERRY SIZER A/P 167583 08/19/16 25.00 TRINITY SHORES A/P 167584 08/19/16 8,392.00 JACKSON & CORER LOCUM TENENS,- - - A/P 167585 09/19/16 750.00 DAVID SCOTT A/P 167586 08/19/16 275.53 GULF COAST HARDWARE / ACE A/P 167587 08/19/16 2,830.66 AIRGAS USA, LLC - CENTRAL DIV A/P 167588 08/19/16 1,113.00 ALCON LABORATORIES, INC. A/P 167529 09/19/16 127,12 CAR➢INAL HEALTH 414,LLC A/P 167590 08/19/16 73.60 AUTO PARTS & MACHINE CO. A/P 167591 08/19/16 216.75 BARD ACCESS A/P 167592 08/19/16 3,358.36 BARTER HEALTHCARE COPP A/P 167593 08/19/16 11.20 BOSART LOCK & KEY INC A/P 167594 08/19/16 90.84 BOUND TREE MEDICAL, LLC A/P 167595 08/19/16 25.00 CAL CON FEDERAL CREDIT UNION A/P 167596 08/19/16 536.00 CAD SOLUTIONS, INC A/P 167597 08/19/16 325.90 CALHOUN COUNTY A/P 167598 08/19/16 90.00 CENTRAL DRUGS A/P 167599 08/19/16 89.25 CONNED CORPORATION A/P 167600 08/19/16 52.78 COW GOVERNMENT, INC. A/P 167601 08/19/16 16,090.00 EVIDENT A/P 167602 08/19/16 16637 C R HARD, INC A/P 167603 08/19/16 148.86 DLE PAPER & PACKAGING -22- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER PAGE 7 TIME:15:22 CHECK REGISTER GLCKREG 09/01/16 THRU 08/31/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE ......AMOUNT PAYEE -------------------------------------------------------------____-----------------------------------------' A/P 167604 08/19/16 548.00 FDA-MQSA PROGRAM A/P 167605 08/19/16 2,766.16 FISHER HEALTHCARE A/P 167606 08/19/16 530.00 FORT BEND SERVICES, INC A/P 167607 08/19/16 215.69 GULF COAST PAPER COMPANY A/P 167608 08/19/16 381.95 HILL -ROM COMPANY, INC A/P 167609 08/19/16 11.25 HOSPIRA WORLDWIDE, INC A/P 167610 08/19/16 52.80 INDEPENDENCE MEDICAL A/P 167611 09/19/16 1,235.37 J & J HEALTH CARE SYSTEMS, INC A/P 167612 08/19/16 4,965.01 JOHNSTONE SUPPLY A/P 167613 08/19/16 1,081.60 SHIRLEY KARNEI A/P 167614 OB/19/16 201.76 KRAMBS A/P 167615 08/19/16 284.28 CONMED LINVATEC A/P 167616 08/19/16 215.10 LOWE'S HOME CENTERS INC A/P 167617 08/19/16 1,370.44 MARKS PLUMBING PARTS A/P 167618 08/19/16 52.75 MELSTAN, INC. A/P 167619 08/19/16 - 179.39 MERCURY MEDICAL - --- - - A/P 167620 08/19/16 96.66 MMC AUXILIARY GIFT SHOP A/P 167621 00/19/16 3,000.00 MERRITT, HAWKINS & ASSOCIATES A/P 167622 08/19/16 2,172.81 MERRY X-RAY/SOURCEONE HEALTHCA A/P 167623 09/19/16 247.90 MEDIVATORS A/P 167624 08/19/16 48,20 MOORE MEDICAL LLC A/P 167625 08/19/16 3,000.00 NUTRITION OPTIONS A/P 167626 08/19/16 185.22 OFFICE DEPOT A/P 167627 06/19/16 .00 VOIDED - -- A/P 167629 08/19/16 5,108.60 CHEWS & MINOR A/P 167629 08/19/16 54.20 PALACIOS BEACON A/P 167630 08/19/16 1,457.30 PORT LAVACA HAVE A/P 167631 08/19/16 303.50 CULLIGAN OF VICTORIA A/P 167632 08/19/16 37,50 RED HAWK A/P 167633 08/19/16 179.88 RESPIRONICS, INC. A/P 167634 08/19/16 493.36 PATTERSON MEDICAL A/P 167635 08/19/16 224.74 SHERWIN WILLIAMS - - A/P 167636 08/19/16 633.33 SIEMENS MEDICAL SOLUTIONS INC A/P 167637 08/19/16 190,57 SMITHS MEDICAL AGO INC A/P 167638 08/19/16 256.08 SMITH & NEPHEW A/P 167639 08/19/16 2,674.61 SO TEX BLOO➢ & TISSUE CENTER A/P 167640 08/19/16 361.31 STRYKER SALES CORP A/P 167641 08/19/16 146,69 SYSCO FOO➢ SERVICES OF A/P 167642 08/19/16 1,661.22 STERICYCLE, INC A/P 167643 08/19/16 1,150.65 THYSSENKRUPP ELEVATOR CORP A/P 167644 08/19/16 257.37 TG A/P 167645 08/19/16 4,555.00 T-SYSTEM, INC A/P 167646 08/19/16 77.72 UNIFIRST HOLDINGS A/P 167647 08/19/16 1,643.20 UNIFORM ADVANTAGE A/P 167648 08/19/16 3,417.40 UNIFIRST HOL➢INGS INC A/P 167649 08/19/16 772.20 THE VICTORIA ADVOCATE A/P 167650 08/19/16 192,50 VICTORIA COMMUNICATION SVCS A/P 167651 08/19/16 510.00 VICTORIA RADIOWORKS, LTD A/P 167652 08/19/16 188.54 WATERMARK GRAPHICS INC A/P 167653 08/19/16 732.64 JACK WU A/P 167654 08/19/16 1,196.25 CARMEN C. ZAPATA-ARROYO -23- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 08/01/16 THRU 08/31/16 BANK--CHECK-_---------__---_------ CODE NUMBER DATE AMOUNT PAYEE A/P 167655 08/24/16 2,401.32 US FOOD SERVICE A/P 167656 08/24/16 269,81 MERCEDES MEDICAL A/P 167657 08/24/16 135.90 PEARMEDIUM SERVICES LLC A/P 167658 08/24/16 750.00 J91ES A DANIEL A/P 167659 08/24/16 2,010.32 PRINCIPAL LIFE A/P 167660 08/24/16 554.56 DEWITT TOTH & SON A/P 167661 08/24/16 173.49 FLUKE ELECTRONICS A/P 167662 09/24/16 142,72 PURE FORCE A/P 167663 08/24/16 .00 VOIDED A/P 167664 08/24/16 7,716.79 MORRIS & DICKSON CO, LLC A/P 167665 08/24/16 164.13 CAREFUSION 2200, INC A/P 167666 08/24/16 150.00 OSCAR TORUS A/P 167667 09/24/16 515.00 MAGAW MEDICAL A/P 167668 08/24/16 50,172,10 NMC EMPLOYEE BENEFIT PLAN A/P 167669 08/24/16 30,559.29 ALLIED BENEFIT SYSTEMS - A/P 167670 08/24/16 713.37 -GENESIS DIAGNOSTICS A/P 167671 08/24/16 466.77 ROSNANDA GRAY A/P 167672 08/24/16 1,333.33 SIEMENS FINANCIAL SERVICES A/P 167673 08/24/16 6,145.37 BANK OF THE WEST A/P 16704 08/24/16 23,50 VICKIE BROOMS A/P 167675 08/24/16 1,243.98 BIRCH COMMUNICATIONS A/P 167676 06/24/16 1,125.00 PABLO GARZA A/P 167677 08/24/16 147.96 SUSAN SMALLEY A/P 167678 08/24/16 2,063,25 FUSION MEDICAL STAFFING, LLC A/P 167679 08/24/16 662.27 MARLIN BUSINESS BANK A/P 167680 08/24/16 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 167681 08/24/16 76.86 MISTY RECTOR A/P 167602 09/24/16 323.56 WEST INTERACTIVE SERVICES CORP A/P 167683 08/24/16 700.00 GUILLERMINA DIAZ-MARTINEZ A/P 167684 08/24/16 7,381.76 JACKSON & COBH LOCUM TENENS, A/P 167685 08/24/16 52.86 GULF COAST HARDWARE / ACE A/P 167686 08/24/16 106.15 ALPHA TEC SYSTEMS INC A/P 167687 09/24/16 442.98 CARDINAL HEALTH 414,LLC A/P 167688 08/24/16 27,59 AQUA BEVERAGE COMPANY A/P 167689 08/24/16 27,104.03 BECKMAN COULTER INC A/P 167690 08/24/16 679.15 CABLE ONE A/P 167691 09/24/16 915.56 CHANNING L BETE CO INC A/P 167692 08/24/16 307.56 CITIZENS MEDICAL CENTER A/P 167693 08/24/16 1,066.39 CDW GOVERNMENT, INC. A/P 167694 08/24/16 178.75 DYNATRONICS CORPORATION A/P 167695 09/24/16 27.70 FEDERAL EXPRESS CORP. A/P 167696 08/24/16 3,738.97 FISHER HEALTHCARE A/P 167697 08/24/16 238,65 H E BUTT GROCERY A/P 167696 08/24/16 700.00 D HARRIS CONSULTING LLC A/P 167699 08/24/16 283.00 WERFEN USA LLC A/P 167700 08/24/16 48.00 INTEGRATED MEDICAL SYSTEMS A/P 167701 08/24/16 8,857,26 J & J HEALTH CARE SYSTEMS, INC A/P 167702 08/24/16 1,119.06 JOHNSTONE SUPPLY A/P 167703 08/24/16 79.50 LABCORP OF AMERICA HOLDINGS A/P 167704 08/24/16 24.30 LANGUAGE LINE SERVICES A/P 167705 08/24/16 258,52 MBTLIFE PAGE 8 GLCKREG -24- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 08/01/16 TERM 08/31/16 BANK --CHECK---------------------------------------------------- CODE NUMBER DATE A14OUNT PAYEE __________________________ _______---------. A/P 167706 08/24/16 116.01 MERRY X-RAY/SOURCEONE HEALTHCA A/P 167707 08/24/16 149.14 OFFICE DEPOT A/P 167708 08/24/16 2,386.39 OWENS & MINOR A/P 167709 08/24/16 98,05 PENTAX MEDICAL COMPANY- -- A/P 16771C 08/24/16 41.77 POWER ELECTRIC A/P 167711 09/24/16 1,413,50 EVOQUA WATER TECHNOLOGIES LLC A/P 167712 08/24/16 11.75 SHERWIN WILLIAMS A/P 167713 08/24/16 263,24 DANETTE BETHANY A/P 167714 08/24/16 513.28 TLC STAFFING A/P 167715 06/24/16 9,000.00 TOSHIBA AMERICA MEDICAL SYST, A/P 167716 08/24/16 619.63 UNIFORM A➢VANTAGE A/P 167717 08/24/16 1,615.19 UNIFIRST HOLDINGS INC A/P 167718 08/24/16 1,200.00 US POSTAL SERVICE A/P 167719 08/24/16 145.00 WISCONSIN STATE LABORATORY A/P 167720 08/31/16 6,083,93 US FOOD SERVICE - A/P 167721 08/31/16 1,394.57 NATUS MEDICAL. INC - A/P 167722 08/31/16 340.90 PH04EDIUM SERVICES LLC A/P 167723 08/31/16 3,173.16 GE HEALTHCARE A/P 167724 08/31/16 1,797.56 CENTURION MEDICAL PRODUCTS A/P 167725 08/31/16 1,192.19 DEWITT POTH & SON A/P 167726 08/31/16 1,654.02 GE HEALTHCARE IITS USA CORP A/P 167727 08/31/16 779.64 BIOMET INC A/P 167728 08/31/16 .00 VOIDED A/P 167729 08/31/16 22,190.99 MORRIS & ➢ICKSON CO, LLC A/P 167730 08/31/16 29,475.00 WOUND CARE SPECIALISTS A/P 167731 08/31/16 1,618.59 LUMINANT ENERGY C(NPANY LLC A/P 167732 08/31/16 279.15 SARA RUBIO A/P 161733 08/31/16 23.50 RAUSHANAH MONDAY A/P 167734 08/31/16 45,92 GLOBAL EQUIPMENT CO. INC. A/P 167735 08/31/16 2,050.92 FIVE STAR STERILIZER SERVICES A/P 167736 08/31/16 937,33 STRYKER SUSTAINABILITY A/P 167737 08/31/16 2,693.28 WAGEWORRS A/P 167738 08/31/16 170.00 MEMORIAL MEDICAL CLINIC A/P 167739 08/31/16 1,382.50 M G TRUST A/P 167740 09/31/16 7,682.67 CSI LEASING INC A/P 167741 08/31/16 515.00 ➢ERRI HART A/P 167742 08/31/16 2,646.78 COMBINED INSURANCE CO A/P 167743 08/31/16 75.00 FIRST CLEARING A/P 167744 08/31/16 2,440.78 AIRESPRING INC A/P 167745 08/31/16 39.99 DR. PETER ROSAS A/P 167746 08/31/16 358.25 STUDER GROUP, LLC A/P 167747 08/31/16 7,237.50 HOSPITALPORTAL.NET A/P 167748 08/31/16 3,690,52 TEXAS A➢VANTAGE COMMUNITY BANK A/P 167749 08/31/16 8,338.18 PAETEC A/P 167750 08/31/16 500.00 LAMAR COMPANIES A/P 167751 08/31/16 57.08 FRONTIER A/P 167752 08/31/16 147,90 MEDI-DOSE, INC A/P 167753 09/31/16 23.50 ERIKA OSORNIA A/P 167754 08/31/16 157.41 GULF COAST HARDWARE / ACE A/P 167755 08/31/16 50.75 AIRGAS USA, LLC - CENTRAL ➢IV A/P 167756 08/31/16 1,549.56 ALCON LABORATORIES, INC, PAGE 9 GLCKREG -25- RUN DATE:09121/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 08/01/16 THRU 08/31/16 BANK--CHECK---------------------------------------------------- CODE NUI4BER DATE AMOUNT PAYEE ____________________________________________ _ A/P 167757 08/31/16 67.24 ALCO SALES & SERVICE CO A/P 167758 08/31/16 433.96 CARDINAL HEALTH 414,LLC A/P 167759 08/31/16 275.66 14ADINE GARNER A/P 167760 08/31/16 1,118.19 BAXTER HEALTHCARE CORP A/P 167761 08/31/16 27.85 HOSART LOCK & KEY INC A/P 167762 08/31/16 33.00 BOSTON SCIENTIFIC CORPORATION A/P 167763 08/31/16 25.00 CAL CON FEDERAL CREDIT UNION A/P 167764 09/31/16 440.00 CYGNUS MEDICAL LLC A/P 167765 08/31/16 7,775.15 CITY OF PORT LAVACA A/P 161766 08/31/16 1,145.11 CONMED CORPORATION A/P 167767 08/31/16 14,868.12 EVIDENT A/P 167768 08/31/16 332.74 C R BARD, INC A/P 167769 08/31/16 97.80 DYNATRONICS CORPORATION A/P 167770 08/31/16 1,500.00 ENVIROMED RESOURCES A/P 167771 00/31/16 76.34 FEDERAL EXPRESS CORP. A/P 167772 08/31/16. 102.90 GETINGE USA -- A/P 167773 08/31/16 443.96 GULF COAST PAPER COMPANY A/P 167774 08/31/16 230.79 HILL -ROM COMPANY, INC A/P 167775 08/31/16 296.16 INDEPENDENCE MEDICAL A/P 167776 08/31/16 9,115.00 WERFEN USA LLC A/P 167777 08/31/16 3,021.34 S & U HEALTH CARE SYSTEMS, INC A/P 167778 09/31/16 1,265.10 SHIRLEY KARNEI A/P 167779 08/31/16 2,759,12 MCKESSON MEDICAL SURGICAL INC A/P 167780 08/31/16 140.11 MEDLINE INDUSTRIES INC A/P 167781 08/31/16 775.08 BAYER HEALTHCARE A/P 167782 08/31/16 267.15 MEDTRONIC USA, INC. A/P 167783 08/31/16 180.55 MERCURY MEDICAL A/P 167784 08/31/16 248.37 MMC AUXILIARY GIFT SHOP A/P 167785 08/31/16 605.30 MERRITT, HAWKINS & ASSOCIATES A/P 167786 OB/31/16 2,698.09 MERRY X-RAY/SOURCEONE HEALTHCA A/P 167707 08/31/16 .00 VOIDED A/P- 167788 08/31/16 10,141.20 OWENS & 14INOR - A/P 167789 08/31/16 1,695.00 RADIOLOGY UNLIMITED, PA A/P 167790 98/31/16 86.85 SHERWIN WILLIAMS A/P 167791 08/31/16 6,039.59 SIEMENS MEDICAL SOLUTIONS INC A/P 167792 08/31/16 256.96 S14ITH & NEPHEW A/P 167793 08/31/16 94.80 STRYKER SALES CORP A/P 167794 08/31/16 523.75 TLC STAFFING A/P 167795 09/31/16 4,853.00 TEXAS MUTUAL INSURANCE CO A/P 167796 08/31/16 163.89 TO A/P 167797 08/31/16 152.57 TRI-ANIM HEALTH SERVICES INC A/P 167798 08/31/16 159.26 UNIFIRST HOLDINGS A/P 167799 08/31/16 16.55 UNIFORM ADVANTAGE A/P 167800 08/31/16 5,002.45 UNIFIRST HOLDINGS INC A/P 167801 08/31/16 238,71 VBRIZON WIRELESS A/P 167802 08/31/16 148.80 THE VICTORIA ADVOCATE A/P 167803 08/31/16 603,98 WALMART COIMfUNITY A/P 167804 09/31/16 61.00 SAMAYOA ISRAEL A/P 167805 08/31/16 580.65 HEALTH CARE SERVICE COB A/P 167806 09/31/16 145.55 OVERSTREET ROSEMARY M TOTALS: 1,072,295.35 PAGE 10 GLCKRRG -26- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 08/01/16 THRU 08/31/16 BANK--CEECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE PAGE 11 GLCKRBG ICP 011853 08/31/16 128.72 GULF COAST FOOT CLINIC, PA ICP 011854 08/31/16 46.73 MAU-SHONG LIN, M.D. ICP 011855 08/31/16 785.60 PORT LAVACA CLINIC ASSOC, PA ICP 011856 08/31/16 402.56 RADIOLOGY UNLIMITED PA ICP 011957 09/31/16 308.17 REGIONAL B14PLOYER ASSISTANCE ICP 011858 08/31/16 459.71 VICTORIA ANESTHESIOLOGY, LLP ICP 011859 08/31/16 220.25 VICTORIA EYE CENTER ICP 011860 08/31/16 1,074.00 MEMORIAL MEDICAL CENTER ICP 011861 OB/31/16 40,333.35 MEMORIAL MEDICAL CENTER ICP 011862 08/31/16 766,00 MEDII4PACT HEALTHCARE SYS, INC. ICP 011063 08/31/16 46.73 HARFSH KUMAR, MD ICP 011864 08/31/16 4,449.23 MEMORIAL MEDICAL CLINIC ICP 011865 08/31/16 643.15 ADO SPORTS 14EDICINR CLINIC TOTALS: 49,664.20 -27- RUN ➢ATE:09/21/16 MEMORIAL 14E➢ICAL CENTER PAGE 12 TIME:15:22 CHECK REGISTER GLCKREG 08/01/16 THRU 08/31/16 BANK--CHECK---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ------------------------------------------------------------------------------------------------------------------------------------ NHA 000008 08/05/16 314,345.10 MEMORIAL MEDICAL CENTER TOTALS: 314,345.10 mgm RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER PAGE 13 TIME:15:22 CHECK REGISTER GLCKREG 08/01/16 THRU 08/31/16 BANK --CHECK--______________________________________._-.---_ CODE NUMBER DATE AMOUNT PAYEE NHB 000004 08/05/16 7,069.29 MEMORIAL MEDICAL CENTER NHB 000005 08/16/16 277.86 MEMORIAL MEDICAL CENTER TOTALS: 7,347.15 -29- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 09/01/16 THRU 08/31/16 BANK --CHECK-----_-----------_---------------__.__. CODE NUMBER DATE AMOUNT PAYEE NBC 000004 08/05/16 30,270.19 MEMORIAL MEDICAL CENTER TOTALS: 30,270.19 PAGE 14 GLCKREG -30- RUN DATE:09/21/16 14E610RIAL MEDICAL CENTER PAGE 15 TIME:15:22 CHECK REGISTER GLCKREG 08/01/16 THRU O8/31/16 BANK--MCK ---------------------------------------------------- CODE NUMBER ➢ATE AMOUNT PAYEE ------------------------------------------------------------------------------------------------------------------------------------ NNE 000004 08/05/16 97,431.64 MEMORIAL MEDICAL CENTER TOTALS: 97,431.64 -31- RUN ➢ATE:09/21/16 TIME:15:22 CODE NUMBER DATE AMOUNT MEMORIAL MEDICAL CENTER CHECK REGISTER 08/01/16 THRU 08/31/16 ------------------------ PAYEE NHS 000004 08/05/16 91,577.06 MEMORIAL MEDICAL CENTER TOTALS: 91,577.06 PAGE 16 GLCKREG -32- RUN DATE:09/21/16 MEMORIAL MEDICAL CENTER TIME:15:22 CHECK REGISTER 08/01/16 THRD 00/31/16 BANK --CHECK-_"'----------------------"'---____.___----------- CODE NUMBER DATE AMOUNT PAYEE --------------------------------------------------------------------- PR- 061809 08/15/16 129,62 PAY-P.07/22/16 08/04/16 PR- + 061810 09/25/16 632.13 PAY-P.08/05/16 08/18/16 PR--999999 08/11/16- 545,912.33 - TOTALS: 546,674.08 PAGE 17 GLCKREG -33- RUN DATE: 09/21/16 TIME: 16:22 PRTitle -REGISTERED NURSE DEPARTMENTAL ASSIST ASST PURCHASE BUYER CENTRAL STERILE TECH PURCHASING SUPERVISE IP/EH/RM NURSE REGISTERED NURSE FOOD SERVICE STAFF ES AIDE 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 16T 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 REGISTERED NURSE CLINICAL IT SPCLST 14EDICAL LAB TECH REGISTERED NURSE REGISTERED NURSE CNO-DIRECTOR OF QA REGISTERED NURSE REGISTERED NURSE LICENSED VOCATIONAL PRACT ADMINISTRATOR REGISTERED NURSE NURSE PRACTIONER LICENSED VOCATIONAL MEMORIAL MEDICAL CENTER DEFAULT FORMAT FROM DB019 Aug��1- 62-0 10 PRDeptName PRTotGross EMERGENCY ROOM - 5189.40- MAINTENANCE 2505.75 CENTRAL SUPPLY 2475.44 SURGERY 66.77 CENTRAL SUPPLY 4075.04 INFECTION PREVENTION 6019.86 MED/SURG 2396.25 DIETARY 2552.54 ENVIRONMENTAL SERVICES 1933.37 SURGERY 1740.75 SURGERY 6442.20 ACCOUNTING 3537.47 MED/SURG 6265.99 OBSTETRICS 3925.33 MED/SURG 3717.02 ICU 436.62 OBSTETRICS 2838.69 EMERGENCY ROOM 6306.55 MED/SURG 6284.20 OBSTETRICS 5363.09 ME➢/SURG 2577.02 ADMINISTRATION 3497.80 EMERGENCY ROOM 1357.00 ICU 4999.30 SURGERY 3787.28 SURGICAL CLINIC 5875.08 SURGERY 4411.86 DIAGNOSTIC IMAGING 5340.21 LABORATORY 199.20 MEMORIAL MEDICAL CLINIC 2345.68 LABORATORY 854.25 LABORATORY 4969.00 LABORATORY 3502.56 LABORATORY 4457.95 LABORATORY 4514.04 EMERGENCY ROOM 3985.69 PHYSICAL THERAPY 2121.76 MED/SURG 1524.75 HEALTH INFORMATION MANAGEMENT 2294.82 OBSTETRICS 5051.76 OBSTETRICS 4334.19 OBSTETRICS 4755.32 ADMINISTRATION -CLINICAL SERVIC 5155.51 LABORATORY 3623.26 OBSTETRICS 1293.25 OBSTETRICS 4055.12 QUALITY ASSURANCE 7292.20 SURGERY 5778.70 MED/SURG 3978.67 MED/SURG 1596.38 MEMORIAL MEDICAL CLINIC 7332.20 ICU 1329.01 MEMORIAL 142DICAL CLINIC 7538.40 MED/SURG 853.88 PAGE 1 -34- RUN DATE: 09/21/16 MEMORIAL MEDICAL CENTER PAGE 2 TIME: 16:22 DEFAULT FORMAT FROM DBO19 PRTitle CERTIFIED NURSE AIDE SUPERVISOR LVN/RPhT CASE MANAGER/UR/DP REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE CERTIFIED NURSE AIDE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NORSE REGISTERED NURSE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSE➢ VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE NURSE SUPERVISOR CERTIFIED NURSE AIDE FAM NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE REGISTERED NORSE 0 R TECH REGISTERED NURSE OR TECHNICIAN RN-PERIOPERATIVE COURIER -CS TECH CENTRAL SUPPLY TECH REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE EMERGENCY DIRECTOR REGISTERED NURSE REGISTERED NURSE PRDeptName MED/SURG PHARMACY UTILIZATION REVIEW MED/SURG 14ED/SURG MED/SURG OBSTETRICS MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG MED/SURG ICU MED/SURG MED/SURG MED/SURG MED/SURG ICU MED/SURG MED/SURG MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG B1ERGENCY ROOM MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MEMORIAL MEDICAL CLINIC EMERGENCY ROOM ICU ICU ICU ICU ICU ICU ICU SURGERY SURGERY SURGERY SURGERY SURGERY SURGERY CENTRAL SUPPLY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM PRTotGross ------------------ - - 1208.04 3268.91 4346,34 3636.68 3386.25 5562.09 4773.63 1353.83 3357.00 1512.59 1850.92 3564.50 4389.27 4318.47 2046.00 3825.82 1712.65 3887.81 4783.09 7186.75 2201.86 92.00 4458,06 1405.00 4342.10 2532.03 4541.49 2045.44 1565.70 2434.55 3640.17 1313.85 7538.40 4436.07 6063.15 865.00 4503.00 3930.77 5828.32 2381.00 4059.00 5028.64 5539.86 3181.38 6269.85 1904.75 6324.69 1658.01 1710.00 2219.88 8066.87 810.88 6601.45 1643.19 5132.44 -35- RUN DATE: 09/21/16 MEMORIAL MEDICAL CENTER PAGE 3 TIME: 16:22 DEFAULT FORMAT FROM DBO19 PRTitle REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CLINIC COORDINATOR MT TECH SUPERVISOR TECHNICAL SUPERVISOR MEDICAL LAB TECH REGISTERED NURSE MEDICAL LAB TECH TECHNICAL SUPERVISOR LABORATORY ASSISTANT MEDICAL TECHNOLOGIST LAB ASSISTANT LABORATORY ASSISTANT LAB ASSISTANT MEDICAL TECHNOLOGIST LAB ASSIST/SECRETARY MEDICAL LAB TECH MEDICAL LAB TECH LAB ASSISTANT REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE RADIOLOGICAL TECH RADIOLOGICAL TECH RECEPT/SECRETARY INTERIM DIRECTOR RADIOLOGY TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGICAL TECH NUCLEAR BED TECH RADIOLOGICAL TECH RADIOLOGICAL TECH LVN-CHG-CHART AUDITR REGIST PHARMACY TECH REG PHARMACY TECH REG PHARMACY TECH RECEPTIONIST MEDICAL ASSISTANT LICENSED VOCATIONAL RECEPTIONIST MEDICAL ASSISTANT INSURANCE CLERK RECEPTIONIST RECEPTIONIST OPERATOR LICENSED VOCATIONAL INSURANCE CLERK RECEPTIONIST OUT -PT COORDINATOR PRDeptName -------------------------------- EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM SPECIALTY CLINIC LABORATORY LABORATORY LABORATORY MED/SURG LABORATORY MMC CLINIC - 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 IMAGING MMC CLINIC - DIAGNOSTIC IMAGIN DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING PHARMACY PHARMACY PHARMACY PHARMACY MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC SPECIALTY CLINIC PRTotGross 820.88 5530.96 838.50 4229.66 4218.26 4800.36 4240.71 4305.17 390.38 5069.20 3756.69 3355.12 798.38 1506.50 2341.39 521.00 2278.89 1232.25 2623.87 3340.74 5677.11 1839.64 483.50 908.67 4803.35 4953.96 384,75 2124.60 6681.93 7138.74 1586.25 1485.80 5474.00 4291.64 1922.51 6605.00 3200.89 3710.07 2865.97 3061.72 126.63 2868.31 2128.95 1760.46 3456.56 1894.03 1835.06 1799.25 1508.36 1741.43 1722.71 369.66 2281.19 1942.27 1782.01 -36- RUN DATE: 09/21/16 MEMORIAL MEDICAL CENTER PAGE 4 TIME: 16:22 DEFAULT FORMAT FROM DB019 PRTitle MEDICAL ASSISTANT - MEDICAL ASSISTANT PHYSICIAN ASSISTANT MEDICAL ASSISTANT RECEPTIONIST MEDICAL ASSISTANT MEDICAL ASSISTANT PT ASSISTANT IT ASSISTANT OCCUPATION THERAPIST TEAM LEAD PTA REGISTERED NURSE PT ASSISTANT PT TECH 1 PT ASSISTANT DIRECTOR PT TECHNICIAN DISCHARGE ANALYST HIM SPECIALIST TRANSCRIPTIONIST HIM SPECIALIST MEDICAL ASSISTANT FOOD SERVICE STAFF RECEPTIONIST -PBX SHIFT SUPERVISOR FOOD SERVICE STAFF DIRECTOR OF DIETARY FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF GROUNDSKEEPER-PAINTR SECURITY OFFIER BIO-MED TECHNICIAN BIO-MED TECHNICIAN PLANT UPS SPECIALIST DIRECTOR SECURITY SUPERVISOR ES AIDE ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE ES AIDE ES AIDE LICENSED VOCAT NURSE ES AIDE REGISTRATION CLERK ES AIDE FLOOR TECHNICIAN ES AIDE ES AIDE OR AIDE SECURITY OFFICER PLANT OPS SPECIALIST OUTPATIENT THERAPIST PRDeptName MEMORIAL MEDICAL CLINIC MF140RIAL MEDICAL CLINIC MF240RIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY OBSTETRICS PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY HEALTH INFORMATION 1ANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION 1ANAGEMENT ME140RIAL MEDICAL CLINIC DIETARY MEMORIAL MEDICAL CLINIC DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY MAINTENANCE SECURITY BIO MEDICAL ENGINEERING BIO MEDICAL ENGINEERING MAINTENANCE MAINTENANCE SECURITY ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES MED/SURG ENVIRONMENTAL SERVICES PPS - REGISTRATION ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES SURGERY SECURITY MAINTENANCE BEHAVIORAL HEALTH PRTotGxoss 2715.75 1205.33 7538.40 1890.28 1045.99 -----3236.94 709.54 4059.23 4495.95 6370.94 4943.75 5039.10 262.50 125.93 3685.50 8570.46 2080.97 1601.76 1794.91 950.40 1201.09 2479.09 2193.50 1702.34 1415.68 1996.85 3405.41 1689.96 2051.29 2143.77 2088.84 791.45 735.00 4442.60 3944.04 5564.20 2331.25 1295.74 536.80 2716.84 2202.23 1451.15 1516.80 1625.56 2076.13 1928,51 1826.49 1895.02 1820.95 1966.55 1121.60 1912.91 1810.00 3695.75 4000.00 -37- RUN DATE: 09/21/16 MEMORIAL MEDICAL CENTER PAGE 5 TIME: 16:22 DEFAULT FORMAT FROM DB019 PRTitle FIN CNSLR-COORDINATR SELF PAY CLERK OFFICE MANAGER REGISTRATION CLERK REGISTRATION CLERK CASHIER -SWITCHBOARD INSUR COORDINATOR BILLING CLERK RECEPTIONIST TEAM LEADER REGISTRATION CLERK PFS DIRECTOR REGISTERED NURSE OFFICE COORDINATOR REGISTRATION CLERK REGISTRATION CLERK SECURITY OFFICER FINANCIAL COUNSELOR DIRECTOR OF HIM MEDICAID COORDINATOR REGISTRATION CLERK MEDICARE COORDINATOR REGISTRATION CLERK TRAUMA COORDINATOR DIRECTOR REGISTRATION CLERK I.T. DIRECTOR IT SYSTEM ANALYST REGISTERED NURSE CONTROLLER ASSIST ADMINISTRATOR C.F.O. C.E.O. ADMIN ASST TO AA-CNO SPECIAL PROJECTS MGR Grand totals Total lines = 254 PRDeptName INDIGENT CARE PROGRAM PATIENT FINANCIAL SERVICES MEMORIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES ME140RIAL MEDICAL CLINIC PATIENT FINANCIAL SERVICES PFS - REGISTRATION PATIENT FINANCIAL SERVICES EMERGENCY ROOM PHYSICAL THERAPY PFS - REGISTRATION ITS - REGISTRATION SECURITY INDIGENT CARE PROGRAM HEALTH INFORMATION MANAGEMENT PATIENT FINANCIAL SERVICES ITS - REGISTRATION PATIENT FINANCIAL SERVICES PFS - REGISTRATION EMERGENCY ROOM DIAGNOSTIC IMAGING PFS - REGISTRATION INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY EMERGENCY ROOM ACCOUNTING ADMINISTRATION ADMINISTRATION ADMINISTRATION ADMINISTRATION -CLINICAL SERVIC ADMINISTRATION PRTotGross ---------------- 2723.99 1902.89 2525.10 1761.87 2015.52 1706.31 1815.63 2000.32 2358.50 2619.44 3085.93 3778.91 821.88 2234.60 1917,85 894.16 1827.28 2801.90 3091.40 2456.75 1221.34 2155.62 1274.50 5403,51 5087.50 1645.30 5333.48 4844.84 4075.53 4621.00 9160.00 10794.21 16315.28 2233.90 3053.82 808969.89 m" OIHS Source Totals Report Issued 09/19/16 Calhoun Indigent Health Care Batch Dates 09/01/2016 through 09101 /2016 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 13,780.30 3,028.11 01-2 Physician Services -Anesthesia 1,248.90 259.94 02 Prescription Drugs 692.84 692.84 08 Rural Health Clinics 3,700.12 3,322.05 10 Optional Services - Home Healt 847.38 636.09 Expenditures 20,702.21 8,272.60 Reimb/Adjustments-433.57 -433.57 Grand Total 20,268.64 7,839.03 Copays <-490.Q0? Expenses 1,074.00 Total 8,423.0$ APPROVED ON SEP 2 0 2016 BY CALHOUN COUNTY AUDITOR -39- Calhoun County Indigent Care Patient Caseload Approved Denied Removed Active Pending January 4 5 3 58 6 February 7 2 8 57 7 March 2 3 5 51 9 April 5 2 14 46 8 May 4 3 3 47 3 June 6 2 6 55 2 July 13 2 4 66 3 August 5 1 5 66 5 September October November December YTD 46 20 48 446 43 Monthly Avg 6 3 6 56 5 December 2015 Active 57 Award bids for Fuel to be delivered for the period October 16, 2016 through November 15, 2016. (MP) Commissioner Fritsch motioned to approve the bid for Diebel Oil. Commissioner Finster seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 4 of 52 AGENDA ITEM MONDAY, OCTOBER 17, 2016 Consider and take necessary action to award bid for Bulk Fuel to be Delivered for the period beginning October 16, 2016 and ending November 15, 2016. 0 m m e m 52 r 0 C) 0 z ig,W N O N 0= n m y 0 c Z 7 ,2' r N 0 m 0 X 3 d M N 0 3 c. N u C r 0 m r_ m X m 0 CALHOUN COUNTY, TEXAS BID SHEET- FUEL -BULK r 1 , � i �l >.1 �. 1�� ,� „I�� A BIDDER BIEBEL OIL CO INC SAM BIEBEL PO BOX 71 POBTLAVACA TX 77070 BID ITEM FUEL -BULK DELIVERED PERIOOFROM: OCTOBER 16, 2016 PERIODTO: NOVEMBER 15, 2016 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL JPFEIFER, CALHOUN COUNTYJUDGE, 211 SANNST, -TRD FLOOR, ROOM301, PORTLAVACA TX77P7P BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- jFUEL-BULKDELIVERED BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.00AM, THURSDAY, OCTOBER 6, 2016 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: MONDAY, OCTOBER 17, 2016 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A DID 15 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 DID 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 1TEMl FUEL -BULK DELIVERED DEPARTMENT,• VARIOUS DELIVERY FOB COUNTY FUEL TANKS DESTIN41 — — — — — — VARIOUS — — SPEMFMArIONs: — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 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 UNIT PRICE GALLON , ,'t S- ----------------------------------------------- 9PEcocArioNs: 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 GALLON DATE OFBII. %^fn-I6 AMORIZE0 SIGNATURE AND TITLE PRINT UNIT PRICE TELEPHONE NUMBER: 5�"� PLEASE LIST ANY EXCEPTIONS TO THE ABODE SPECIRCATIONS: Consider and Take Necessary Action to approve specifications for Calhoun County EMS Station, Calhoun County Precinct 4, Seadrift, Texas and authorize County Auditor to advertise for bids. A mandatory pre -bid meeting will be held at 10:00 a.m. Wednesday, November 16, 2016. (KF) The specs are going to be changed and re -submitted. This will be discussed at the next meeting. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 5 of 52 CONTRACT DOCUMENTS CALHOUN COUNTY EMS STATION SEPTEMBER 2016 BIG BOOK IS Consider and Take Necessary Action on transfer of Tax Abatement Agreement dated August 27, 2015 and effective January 1, 2015 with Pelorus Investments LLC to Pelorus Terminal. Point Comfort LLC to NGL Crude Terminals, LLC a Delaware limited liability company, and authorize County Judge to sign. (MP) Anne Marie Odefey spoke to the commissioners on Pelorus Investments LLC along with Tod Tannery from NGL Energy Partners. Judge Pfeifer stated we were going to pass on this item so the commissioners can review the item and become more familiar with it and we would bring it back to the next meeting on October 27, 2017. Page 6 of 52 Consider and Take Necessary Action on Proposal from Valley View Consulting for services in compiling bid specs for the new bank depository contract and authorize County Judge to sign. Said contract is up for renewal on August 1, 2017. (MP) Emily Upshaw spoke from Valley View Consultation. Commissioner Lyssy made the motion to accept the proposal from Valley View Consultation to compile bid specs for the new banking depository contract. Commissioner Finster seconded it. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 7 of 52 Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Thursday, October 06, 2016 1:08 PM To: Susan Riley Subject: FW: PROPOSAL FOR BANK SERVICES Attachments: VALLEY VIEW CONSULTING PROPOSAL 2016.pdf Importance: High Susan, Please add the attachment to the next agenda on October 17. (Judge & Commissioners are aware and have approved the same to be added to the agenda) . Valley View's rep, Richard Long will be here to present the matter. TO APPROVE AND ACCEPT proposal from Valley View Consulting for services in compiling bid specs for the new bank depository contract. Said contract is up for renewal on August 1, 2017. Thanks. RHONDA S. KOKENA Cownty Treayur2r CaU^ovr Cou44y Awrn.vwII W2. S. Av,4 , Sf., SwLtt A Po-rfLavvC4a,T"wb 77479 (361)553-4619 offi,r,2 (361)553-4614 faw VaI19 View Consulting, L.L.C. September 9, 2016 Ms. Rhonda S. Kokena, Treasurer Calhoun County 202 South Ann Street Port Lavaca, TX 77979 Dear Ms. Kokena: PROPOSAL FOR PRIMARY DEPOSITORY BANK SERVICES Thank you for considering Valley View Consulting to assist the County in its Primary Depository Bank Request for Proposal (the "RFP") solicitation process, generating a bank services RFP, analyzing the responses, and arriving at a primary depository bank recommendation for the new contract period. It would be a pleasure to work with you on this project. When selected, we will assist the County in selecting and recommending a Primary Depository Bank for the County. The objective is to secure the most cost-effective relationship for current and future banking services with a bank that meets the criteria of "best value." The attached Primary Depository Bank RFP Process and Procedure outlines the potential assignment. It focuses on the banking services RFP and best candidate selection. Also outlined, in moderate detail, are the variety of steps necessary to effectively select a primary depository bank and enter into the new contractual relationship. For this type of project, a fixed fee is appropriate. Therefore, we propose $5,000.00 for the project, which includes our presence at two on -premises events to be selected by the County. Typically, the request is for our participation at the pre -Proposal conference and the presentation of the recommendation to the Commissioner's Court or appropriate committee. Any additional on -site involvement as may be required by the County can be negotiated for accommodation. The County will also reimburse copying, overnight delivery, and shipping expenses incurred in conjunction with the project, if any, in addition to the fee for services. This proposal is specifically for the solicitation of standard banking service functions. It excludes other such services as Merchant Bank Services, Lockbox, Purchasing Cards, Courier Service, etc., that are better addressed as separate projects. It should be noted that this proposal is for providing business consulting services and does not encompass or represent legal advice which should be obtained from the County's attorneys prior to the execution of bank contracts and agreements. 2428 Carters Mill Road, Huddleston, VA 24104-4003 888.853.3778 Valley View Consulting, L.L.C. In addition to the primary depository bank services proposed herein, Valley View Consulting is a SEC registered investment advisory firm providing advisory services to a number of Texas public fund clients. Should Valley View Consulting be selected to provide investment advisory services to the County within one year of this Agreement, any fees paid in conjunction with this project will be waived or applied as a reduction of any advisory fees. v The project team will include Mr. E.K. Hufstedler, Ms. Emily Upshaw and me. We are available to begin this engagement upon acceptance of the proposal. Please call me at 540.297.3419 if you have any questions or need additional information. If this approach meets with your approval, please provide your formal acceptance in the space indicated below. We appreciate your interest and look forwgrd to working with you and the County. Sincerely, VALLEY VIEW CONSULTING, L.L.C.: Richard G. Long, Jr. Manager Attachment CALHOUN COUNTY, TX: Signature: Name: , L a T f r Title: Date: 2428 Carters Mill Road, Huddleston, VA 24104-4003 888.853.3778 Valle View Consulting, L.L.G. Primary Depository Bank RFP Process and Procedure The following process and procedure identifies the tasks to be performed within the scope of this project to the fullest extent possible. However, additional tasks may be required. • Review the prior Depository Bank contract. • Review the prior Request for Proposal (RFP). • Review the group level summary and individual account statements of the previous twelve months bank account analyses. • Review the bank statements of all accounts for one current month (exclusive of canceled checks and deposit tickets). • Consider the bank account structure, flow of funds, account usage, and potential enhancements. • Review the current Pledged Collateral Report. • Review the current Custodial Agreement. • Review the most recent Budget. • Review the most recent Consolidated Annual Financial Report (CAFR), with management letter. • Review the purchasing manual, financial policies, etc. • Develop a calendar of events for the RFP process. • Establish the evaluation criteria. • Prepare a list of the financial institutions that will be sent the RFP. • Contact each financial institution to confirm recipient information and alert them to the RFP • Prepare the advertising notice to be published and review with staff. • Prepare a draft copy of the RFP, complete with attachments and schedules, for review. • Review the draft RFP with County staff, incorporating changes as necessary. • Finalize the RFP. 2428 Carters Mill Road, Huddleston, VA 241044003 888.853.3778 Valley View Consulting, L.L.C. • Prepare the transmittal letter for distribution with the RFP. • Assist in hosting a pre -proposal conference to answer questions and provide additional explanation. • Upon receipt of the Proposals, analyze them for conformance to the RFP requirements and to determine the relative value based on the evaluation criteria. • Review the results of the Proposal analysis with County staff. • Prepare a summary of the analysis with the selection recommendation of County staff. • Assist County staff with presentation to the appropriate committee and/or Commissioner's Court for selection of the successful proposer. • Prepare a letter to the unsuccessful applicants notifying them of the outcome of the process and return the bid bond checks. • Prepare a notification of award letter to successful proposer. • Assist County staff in initiating the new contract and services. • Assist with current bank notification of the contract award and request for transition cooperation. • Assist County staff and the successful proposer with the implementation process. • Assist as needed in development of an implementation timeline. • Identify conversion notification requirements. • Assist as needed with bank services selection. • Prepare "from/to" conversion aids, as necessary. • Assist with the completion of agreements and documentation. • Monitor release of collateral during transition. • Confirm collateral pledge procedures. • Assist with transfer of County -owned securities held in safekeeping to successful proposer. • Verify document completion, execution, mud retention. 2428 Carters Mill Road, Huddleston, VA 24104-4003 888.853.3778 Valley View Consulting, L.L.C. • Prepare transmittal letter to successful proposer to accompany bid bond check return upon contract execution. • After transition: Compare bank account analysis pricing for services with Proposal; Verify and adjust optimum target balance. 2428 Carters Mill Road, Huddleston, VA 24104.4003 888.853.3778 CERTIFICATE OF INTERESTED PARTIES FORM 1295 . t of l Complete Nos. 1 -4 and 6 if there are interested patties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business, 2016.123246 Valley View Consulting, L.L.C. Huddleston, VA United States Date Filed: 10/12/2016 2 Name of governmental entity or state agency that Is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 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 services, goods, or other property to be provided under the contract. No contract ID Investment Advisory Services, Cash and Investment Management Services 4 Nature of interest Name of interested Party City, State, Country (place of business) (check applicable) Controlling I Interrhediary Long, Richard Huddleston, VA United States X S Check only if there is NO Interested Party. ❑ G AFFIQA t , I swear, or affirm, under penalty of perjury, Brat the above disclosure is true and correct, Lcl ,r Signature of authorized agent of contractin u � ess entity }� j�,f.x raR�IrA',Ng7`AR.`I $pTAk�R 7�SiE,4L A80VE Sworn to scribed batola me, by the said this the l 3 day of 20 t , to certify which, witness my hand and seal of office. =- d/)Afrxc r 1, i ?P t.d`7� /1P1 � 11Ct,, Ali, lU{&/('Skeaf '}L12c ✓ S�Ig�r lure of officer administering oath Printed na f officer administering oath Title of officer administe ng oath Forms Drovided by Texas Ethics Commission www.ethics.state.ix.us Version V1.0.277 Consider and Take Necessary Action on request to change polling place for Precinct 13 from the GI Forum to Ellie Garcia's residence at 1018 Porter Road, Port Lavaca. (MP) Dora Garcia spoke on this item. She advised the court that it's not handicapped accessible. It needs to be made handicapped accessible before Election Day. Motion made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 8 of 52 Susan Riley From: dora garcia <dora.garcia@calhouncotx.org> Sent: Tuesday, October 11, 2016 3:19 PM To: susan riley Subject: Comm. Court Susan, Will you please put on agenda for the next comm. court meeting. Approval of changing polling place for Precinct 13 from the G I Forum to Ellie Garcia's residence at 1018 Porter Rd. Port Lavaca. Dora O. Garcia Elections Administrator Calhoun County Consider and Take Necessary Action on Preliminary Plat for McAfee Subdivision. (VL) Anne Marie Odefey spoke to the court on taking action on McAfee Subdivision. She advised they'd like to bring back the final plat at the next meeting. Commissioner Lyssy made the motion to approve the subdivision and Commissioner Fritsch seconded it. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 9 of 52 Ca'% gun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 4, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: 5.��cc oe re F4 7ry GhrY OG Cn�'� (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 17, 2016 • Consider and take action on preliminary plat for McAfee Subdivision Sincerely, Vern Lyssy VL/Ij b � ea,tl �ko wdn4 aka 88 �r nR MI e�� asks= ax _ �k`ea s'@= ky a e= k.=s€ �: �To€ ka zz� w �'s _€2;�s �� g '�a gag H ab Vag !ERR O,' 14 $ sees 1 :, ago �k 'In g dGg e ers.,�AsA$ €biz b:» k$ bm 0 6€$ ' sljs ,hs'ois 3,L i,tsaes 8�paBp�da Fx- aa �EMk d $ tl`ego�`aB � L ail aloe " o � e■ 3R °5 Sze ��G �sG Consider and Take Necessary Action on Final Plat of Gallagher Subdivision. (RG) Motion made by Commissioner Galvan and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 10 of 52 Calhoun County Connnissioner Precinct #1 5(ASL U!'tf 211 S. Ann r` ,c fy Pax (361) 553-8734 Port Lavaca, TX 77979 Pager (361) 579-7915 (361) 552-9242 Mobile (361) 935-3552 October 5, 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 Commissioner's Court Agenda for October 17, 2016. • To discuss and take the necessary action to approve the Final Gallagher Subdivision Plat. Sincere, County Roger C pt La Salle Mouummnl Lidland., Tx. Consider and Take Necessary Action on request to vacate lots 3-8 in Block 18 of Mallory's First Addition, Calhoun County. (RG) Motion made by Commissioner Galvan and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 11 of 52 Calhoun County Commissioner Precinct #1 000", 211 S. AnnPort Lavaca, TX 77979 (361) 552-9242 October 5, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Fax (361) 553-8734 Yager (361) 579-7915 Mobile (361) 935-3552 Please place the following item on the Commissioner's Court Agenda for October 17, 2016. • To discuss and take the necessary action to vacate lots 3-8 in Block 18 of Malory's First Addition, Calhoun County. Sincerely, County Commissioner Roger C. Galva�h RCG/ant rF,�, Consider and Take Necessary Action on Preliminary Plat of Oyster Point Subdivision Section II Resubdivision No. 1. (KF) Motion made by Commissioner Galvan and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 12 of 52 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 5, 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 October 17, 2016. • Discuss and take necessary action to approve the Preliminary Plat of Oyster Point Subdivision Section II Resubdivision No. 1. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: kfinster@calhouncotx.org— (361) 785-3141 —Fax (361) 785-5602 C i x 5 1111111m,41111 T. fill I E� �� a? 4�y F �s 4 t- � a �§��:� i•��1^ra A __._'� i�q1` e °•Qa.1�� itEi 7 G ��a.• �;/ Y^6$Fa $ t b �P. Y Y bG9E Y •� \,. • F.YY � , S, . epp > O WLVAgW mySHIM O g E{ O O-u __j ITT � cn — a mz - Oy y$ .� "e�pp 3 1 > Cgyqq Vq tzn� y mD F �� nz40 O T4O .aT n: SF:.• � 3p 0 ZY igi qqg -Di D i � m — 0 HIP LD w py IN i ¢ ggl $$ £ 43 $ o 0 LU 0 A. a I fig Consider and Take Necessary Action on Preliminary Plat of Koinonia Point Resubdivision no. 2. (KF) Motion made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 13 of 52 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 5, 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 October 17, 2016, • Discuss and take necessary action to approve the Preliminary Plat ofKoinonia Point Resubdivision No. 2. Sincerely, �l6nt�u.0 U/• �r�ra.%.v Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: ktinster a;crdhouncotx.org — (361) 785-3141 —Fax (361) 785-5602 v i Om OR: Z Z 0 { 0,U "—Zi q W0 0 U 55Z Z G7 zm 0Z' q I `iIT ns 3t: UFWR EE UPoUR s I < SE I _ - Yil c aE I 6 3 8EC[ Eqy c n A n �gprgp�! R y $ 7 � IN €$9# a�# €E iy ppq o §g A m pp g�8g�g gf °aE�€ F�Ifpy �� f f'ffi f� irrl, ; 14111 till Consider and Take Necessary Action on request from Fire Chief Galen Johnson of the Olivia/Port Alto VFD to apply for a grant from the M. G. & Lillie A. Johnson Foundation for a new "Jaws of Life" tool and a replacement brush truck. There will be no grant match from Calhoun County. (NF) Fire Chief Galen Johnson from Olivia/Port Alto VFD wants to amend his original application for $25,000 more to go to replace a grass truck. Commissioner Fritsch made the motion to allow Olivia/Port Alto VFD to make an amendment to their original grant proposal to the M.G. & Lillie A. Johnson Foundation and Commissioner Finster seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 14 of 52 CAI.HOUN COUNTY CCiMMISSIONER, PRECINcT 3 24627 State Hwy. 172 -- Olivia, Port Lavaca, Texas 77979 -- Office (361) 893.5346 -- Fax (361) 893-5309 Neil E. Fritsch, Commissioner, Pct. 3 Email: neil.fritsch@calhouncotx.org September 26, 2016 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for October 17, 2016: "Consider and Take Necessary Action to accept the request fivrm Fire Chief Galen Johnson of the Olivia/Port Alto VFD to apply for a grant from the M. G. & Lillie A..lohnson Foundation for a new ",Taws of Life" tool, and a replacement brush truck: There Will be NO grant snatch from Calhoun Coun4,. Respectfully, cc: Roger Galvan Vern lyssy Kenneth Finster Susan Riley Consider and Take Necessary Action on Agreement for Specialized Professional Ambulance Billing Services with Emergicon, LLC and Business Associate Agreement between Calhoun County, EMS and Emergicon, LLC and authorize County Judge to sign. (MP) Commissioner Lyssy made the motion and Commissioner Finster seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 15 of 52 Susan Riley From: Carl King <ciking@att.net> Sent: Thursday, September 29, 2016 1:19 PM To: Shannon Salyer Cc: Judge Pfeifer; Cindy Mueller; Susan Riley; Kenny Finster Subject: Billing Company for Calhoun County EMS Attachments: Untitled attachment 00299.pdf; Untitled attachment 00302.pdf Shannon, At the end of this year we are losing our current billing company due to the owners retirement. I have attached copies of two agreements for your review that were drafted by a billing company that we would like to use beginning January 1, 2017. It is my desire to get the item placed on the Commissioners Court agenda for October 17, 2016 if possible. Thank you very much for your time and I look forward to your reply. Thanks, Carl Business Associate Agreement Between Calhoun County EMS and Emergicon, LLC This Business Associate Agreement ("Agreement') between Calhoun County EMS and Emergicon, LLC is executed to ensure that Emergicon, LLC will appropriately safeguard protected health information ("PHI") that is created, received, maintained, or transmitted on behalf of Calhoun County EMS in compliance with the applicable provisions of Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996, Subtitle F — Administrative Simplification, Sections 261, el seq., as amended ("HIPAA"), and with Public Law 111-5 of February 17, 2009, known as the American Recovery and Reinvestment Act of 2009, Title XII, Subtitle D — Privacy, Sections 13400, el seq., the Health Information Technology and Clinical Health Act, as amended (the "HITECH Act'). A. General Provisions 1. Meaning of Terms. The terms used in this Agreement shall have the same meaning as those terms defined in HIPAA. 2. Regulatory References. Any reference in this Agreement to a regulatory section means the section currently in effect or as amended. 3. Interpretation. Any ambiguity in this Agreement shall be interpreted to permit compliance with HIPAA. B. Obligations of Business Associate Emergicon, LLC, agrees that it will: I. Not use or further disclose PHI other than as permitted or required by this Agreement or as required by law; 2. Use appropriate safeguards and comply, where applicable, with the HIPAA Security Rule with respect to electronic protected health information ("e- PHI") and implement appropriate physical, technical and administrative safeguards to prevent use or disclosure of PHI other than as provided for by this Agreement; 3. Report to Calhoun County EMS any use or disclosure of PHI not provided for by this Agreement of which it becomes aware, including any security incident (as defined in the HIPAA Security Rule) and any breaches of unsecured PHI as required by 45 CFR § 164.410. Breaches of unsecured PHI shall be reported to Calhoun County EMS without unreasonable delay but in no case later than 60 days after discovery of the breach; 4. In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of Emergicon, LLC agree to the same restrictions, conditions, and requirements that apply to Emergicon, LLC with respect to such information; 5. Make PHI in a designated record set available to Calhoun County EMS and to an individual who has a right of access in a manner that satisfies Calhoun County EMS 's obligations to provide access to PHI in accordance with 45 CFR § 164.524 within 30 days of a request; 6. Make any amendment(s) to PHI in a designated record set as directed by Calhoun County EMS , or take other measures necessary to satisfy Calhoun County EMS 's obligations under 45 CFR §164.526; 7. Maintain and make available information required to provide an accounting of disclosures to Calhoun County EMS or an individual who has a right to an accounting within 60 days and as necessary to satisfy Calhoun County EMS 's obligations under 45 CFR §164.528; 8. To the extent that Emergicon, LLC is to carry out any of Calhoun County EMS 's obligations under the HIPAA Privacy Rule, Emergicon, LLC shall comply with the requirements of the Privacy Rule that apply to Calhoun County EMS when it carries out that obligation; 9. Make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by Emergicon, LLC on behalf of Calhoun County EMS , available to the Secretary of the of Health and Human Services for purposes of determining Emergicon, LLC and Calhoun County EMS 's compliance with HIPAA and the HITECH Act; 10. Restrict the use or disclosure of PHI if Calhoun County EMS notifies Emergicon, LLC of any restriction on the use or disclosure of PHI that Calhoun County EMS has agreed to or is required to abide by under 45 CFR §164.522; and 11. If Calhoun County EMS is subject to the Red Flags Rule (found at 16 CFR §681.1 et seq.), Emergicon, LLC agrees to assist Calhoun County EMS in complying with its Red Flags Rule obligations by: (a) implementing policies and procedures to detect relevant Red Flags (as defined under 16 C.F.R. §681.2); (b) taking all steps necessary to comply with the policies and procedures of Calhoun County EMS 's Identity Theft Prevention Program; (c) ensuring that any agent or third party who performs services on its behalf in connection with covered accounts of Calhoun County EMS agrees to implement reasonable policies and procedures designed to detect, prevent, and mitigate the risk of identity theft; and (d) alerting Calhoun County EMS of any Red Flag incident (as defined by the Red Flag Rules) of which it becomes aware, the steps it has taken to mitigate any potential harm that may have occurred, and provide a report to Calhoun County EMS of any threat of identity theft as a result of the incident. C. Permitted Uses and Disclosures by Business Associate The specific uses and disclosures of PHI that may be made by Emergicon, LLC on behalf of Calhoun County EMS include: I. The preparation of invoices to patients, carriers, insurers and others responsible for payment or reimbursement of the services provided by Calhoun County EMS to its patients; 2. Preparation of reminder notices and documents pertaining to collections of overdue accounts; 3. The submission of supporting documentation to carriers, insurers and other payers to substantiate the healthcare services provided by Calhoun County EMS to its patients or to appeal denials of payment for the same; and 4. Other uses or disclosures of PHI as permitted by HIPAA necessary to perform the services that Emergicon, LLC has been engaged to perform on behalf of Calhoun County EMS. D. Termination 1. Calhoun County EMS may terminate this Agreement if Calhoun County EMS determines that Emergicon, LLC has violated a material tern of the Agreement. 2. If either party knows of a pattern of activity or practice of the other party that constitutes a material breach or violation of the other party's obligations under this Agreement, that party shall take reasonable steps to cure the breach or end the violation, as applicable, and, if such steps are unsuccessful, terminate the Agreement if feasible. 3. Upon termination of this Agreement for any reason, Emergicon, LLC shall return to Calhoun County EMS or destroy all PHI received from Calhoun County EMS, or created, maintained, or received by Emergicon, LLC on behalf of Calhoun County EMS that Emergicon, LLC still maintains in any form. Emergicon, LLC shall retain no copies of the PHI. If return or destruction is infeasible, the protections of this Agreement will extend to such PHI. Calhoun County EMS Agreed to this -"-day 00,:,�f_, 2016 Emergicon, LLC Signature: Y_/'� Signature: AGREEMENT FOR SPECIALIZED PROFESSIONAL AMBULANCE BILLING SERVICES This Agreement is entered into this 11 day of oc4o 13g�_f 12016, by and between Emergicon, LLC, a Texas business corporation, and Calhoun County EMS, a Texas corporation ("Client"). RECITALS WHEREAS, Client provides emergency and/or non -emergency ambulance services for which it is eligible for payment or reimbursement by patients, insurance carriers, governmental agencies, employers and others; WHEREAS, Emergicon is engaged in the business of providing third -party billing and accounts receivable management specialized professional services for ambulance and emergency medical service organizations; WHEREAS, Client desires to utilize Emergicon for billing and claims management services for its organization; and WHEREAS, Emergicon is willing to provide such specialized professional services upon the terms and conditions provided in this Agreement; THEREFORE, in consideration of the mutual promises contained in this Agreement, and other good and valuable consideration, the sufficiency of which is acknowledged, the parties, intending to be legally bound, agree as follows: 1. Appointment. Client hereby engages Emergicon to exclusively perform the Specialized Professional Services set described in Paragraph 2 of this Agreement and Emergicon accepts such exclusive appointment and agrees to provide Specialized Professional Services in accordance with the terms of this Agreement. Client agrees that it will not enter into any contract, agreement, arrangement or understanding with any other person or entity, the purpose of which is to provide for the same or substantially similar specialized professional services during the term of the Agreement, unless the parties agree otherwise as set forth in writing in an Addendum to this Agreement. For purposes of the appointment, the recitals set forth above are incorporated by reference and made a part of this Agreement as if set forth in their entirety. 2. Specialized Professional Services. Emergicon agrees to perform the following duties (collectively referred to as the "Services") on behalf of Client: a. Provide Client with instructions for the submission of Required Documentation to Emergicon. For purposes of this Agreement, "Required Documentation' shall consist of prehospital patient care reports (PCRs) (also referred to as "trip sheets" or "run reports"), physician certification statements (PCSs) (required for non -emergency transports), patient authorization signatures (sometimes referred to as "assignment of benefits form" or "signature form"), Advance Beneficiary Notices of Non -coverage (ABNs) and other documentation necessary for Emergicon to perform the Specialized Professional Services under this Agreement. All Required Documentation must be signed in accordance with applicable laws, regulations and payer guidelines. b. Review the Required Documentation, based on the information supplied by Client, for completeness and eligibility for submission to request reimbursement and to verify compliance under applicable laws, regulations or payer rules, based upon Emergicon's understanding of said laws, regulations or payer rules applicable to the date the ambulance services were rendered. If any Required Documentation is missing, Emergicon will request necessary documentation from Client. C. Promptly prepare and submit claims deemed complete and eligible for reimbursement by Emergicon in conformance with this Agreement for electronic or paper submission to the appropriate party or payer based on the information supplied by Client. In the event that Emergicon deems the Required Documentation to be incomplete or inconsistent, Emergicon will notify Client that additional information may be required to process the claim, and Emergicon will return any or all of the Required Documentation to Client that Emergicon determines may be incomplete or inaccurate and will not be responsible to submit any claims with insufficient documentation. Emergicon will make a decision regarding the appropriate coding and payer for submission of the claim based on the information supplied by Client. Client understands and acknowledges that not all accounts will satisfy the eligibility requirements of all payers, and that it might not be possible to obtain reimbursement in all cases. Emergicon makes no representation or warranty that all claims are payable or will be paid, and Client agrees to abide by Emergicon's decisions with regard to proper coding and payer based on the information provided to Emergicon by Client. d. Promptly post payments made on Client's behalf by patients, insurers and others. e. Unless otherwise directed by Client, make reasonable efforts for the collection of co -payments, deductibles or other patient balances, to include the preparation of invoices and a maximum of three contact attempts to patients, supplemental insurers or other financially responsible parties at industry -appropriate intervals. f. Perform follow-up for a commercially reasonable period of time following the initial billing date on all open accounts. After this follow-up period, Emergicon will either return the accounts to Client or forward the accounts to a collection agency of Client's choosing. Client and/or its designated collection agency shall bear all costs and liabilities of collections activities and collection agency charges. g. Provide monthly reports to Client, which include, at a minimum, cash received, accounts receivable and balance summary. Emergicon shall furnish those reports to Client. h. Notify Client of any overpayments and/or credit balances of which Emergicon becomes aware that must be refunded by Client. Client bears sole responsibility for the refund of any overpayments or credit balances to Medicare, Medicaid, patients, or other payers or insurers, and agrees to make such refunds when and within the time frames required by law. Emergicon may, at its option, assist Client in processing such refunds, but all refunds are to be made solely with Client's funds, and Emergicon has no responsibility to make such refunds unless and until Client transfers such funds to Emergicon for this purpose. Emergicon shall not advance funds on behalf of Client for this purpose. Client acknowledges that federal law requires that any overpayments made by Medicare or any other federal health care program be refunded within 60 days of the identification of any such overpayments. i. if Client desires that its patients be able to pay their accounts utilizing credit cards, establish a credit card merchant account and related capabilities to permit Client's patients to pay via any major credit card. Emergicon shall in its sole discretion determine which credit cards it will accept. 3. Specifically Excluded Duties of EmerlZicon. Notwithstanding any provisions of this Agreement to the contrary, Emergicon shall not be responsible to: a. Initiate or pursue litigation for the collection of past due accounts. b. Invoice for Client's non -ambulance medical transportation services, including but not limited to mobile integrated health programs, paratransit services, wheelchair van, invalid coach services, litter vans and stretcher cars, unless specific arrangements are made otherwise. C. Negotiate any checks made payable to Client, though Emergicon may receive funds as an agent of Client for transmittal to Client where permitted by Client; d. Accept reassignment of any benefits payable to Client; C. Provide legal advice or legal services to Client, any of Client's patients or payers, or anyone acting on Client's behalf, f. Obtain any prior authorizations on behalf of Client, or obtain a Physician Certification Statement or other Certificate of Medical Necessity on behalf of Client. g. Assist Client in preparing, filing and updating the information on its Medicare, Medicaid or other insurer provider enrollment forms, as well as responding to required revalidations of Client's provider enrollment status. Client bears the sole responsibility to ensure that its Medicare, Medicaid or other insurer provider enrollment forms are submitted and updated in accordance with federal and state law, regulations and policies. Client bears the exclusive responsibility for the submission of such form and any fees that may be associated with the submission of such forms. Upon specific written request from Client, Emergicon may agree to assist with such form submission and/or revalidation of Medicare, Medicaid or other insurer provider enrollment forms, provided that the responsibility for actual submission and all fees associated with the forms shall be home exclusively by Client and paid prior to submission of these forms by Emergicon. 4. Responsibilities of Client. Client agrees to do the following, at its sole cost and expense: a. Provide Emergicon with all Required Documentation, as set forth in Paragraph 2(a), above, as well as the following data: Patient Name and Address, Date of Birth, Date of Service, Patient Medical Condition, Reason for Transport, Services Rendered (including assessments, interventions and other care), Origin and Destination with accompanying Zip Code, Transport Destination with accompanying Zip Code, Odometer Reading/Leaded Mileage (to the nearest tenth of a mile), and all relevant insurer or payer information, including identity of payer, group or plan numbers, patient's Insurance/Medicare/Medicaid Number, and all other relevant information and ensure that this data and the information contained on the Required Documentation is complete and accurate. Emergicon reserves the right to modify any Required Documentation or data at any time in accordance with new or revised payer requirements, and will provide a copy of any such revisions to Client in writing. Client acknowledges that Emergicon must rely upon the accuracy and completeness of the forms, signatures and other documentation provided to it by Client to allow Emergicon to perform the Specialized Professional Services specified in this Agreement. Emergicon is not in a position to verify the accuracy or completeness of the Required Documentation provided by'Client. By forwarding any such documentation to Emergicon, Client expressly represents and warrants that any such documentation is complete and accurate, and that Emergicon may rely upon the completeness and accuracy of any such documentation in performing its Services under this Agreement. Client bears sole responsibility for the claim submissions made by Emergicon on its behalf based upon the aforementioned documentation submitted to Emergicon by Client, and, notwithstanding any other term or provision of this Agreement, Client will defend, indemnify and hold harmless Emergicon for any billing or claim submission decisions made by Emergicon based on documentation submitted to Emergicon by Client if such documentation is later determined to be incomplete or inaccurate. b. Maintain its qualifications to provide ambulance services, including any required local, state and/or federal licenses, permits, certificates or enrollments (collectively, "Licenses"), and to remain in good standing with Medicare, Medicaid and all other state and federal health care programs. Client shall provide copies of all current Licenses, including renewals, to Emergicon. Client shall be responsible to maintain a National Provider Identifier (NPI) number and to update the information associated with its NPI. Client expressly represents and warrants that it will not forward accounts for processing by Emergicon if the account is ineligible for payment or reimbursement, or if Client is ineligible for payment by any payers or insurers as a result of its licensure status, exclusion or other sanction with such payer or insurer, or other legal impediment, and that it will promptly notify Emergicon of any suspension or revocation of any required license, permit, certification or enrollment, or exclusion from any state or federal health care program or any change in ownership or management of Client. C. Provide Emergicon with a copy of all required Licenses, permits, certificates and enrollments as referenced in Paragraph 4(b), and forward updates of these documents to Emergicon as they are renewed. d. Provide Emergicon with odometer readings or other documentation of mileage accepted by the payer on all calls reflecting loaded mileage (from the point of patient pickup to the destination) recorded in tenths of a mile as required by Medicare guidelines. g. In accordance with appropriate payer guidelines, obtain the signature of the patient or other authorized representative of the patient or otherwise meet the ambulance signature requirements set forth at 42 C.F.R. § 424.36 on each call and forward to Emergicon as part of the Required Documentation. f. In the event that Client operates a subscription or membership program, client represents and warrants that its program is actuarially sound in accordance with the guidance of the Office of Inspector General (OIG) and operated in accordance with any applicable state laws, regulations or guidelines. Emergicon will bill in accordance with the terms of such program, provided that Client furnishes those terms to Emergicon in writing. Client is responsible to inform Emergicon of its patients who are members or subscribers of Client's membership or subscription program. Notwithstanding any other provision of this Agreement, Client agrees to defend, indemnify and hold harmless Emergicon in the event that Client's subscription or membership program is not actuarially sound as set forth in applicable OIG guidance or is not permissible under State law, regulation or policy. g. If Client is a party to any ALS-BLS "joint billing" or "bundle billing" agreement, Client shall be responsible to provide Emergicon with a copy of such agreement. Client also agrees to submit a PCR from the other party to the joint billing agreement along with the Required Documentation. h. Obtain a completed and valid PCS form on all trips where required by law and provide copies of all PCS forms to Emergicon as part of the Required Documentation. i. Provide Emergicon with a copy of all Client rate schedules, contracts or agreements which pertain to Client's billing or charges for services. j. Notify Emergicon of any or all changes in billing charges for service or changes in any of Client's billing policies or contracts not later than thirty (30) days prior to the effective date of said changes. k. Report all payments made directly to Client within twenty-four (24) hours of Client's receipt of same. 1. Cooperate reasonably with Emergicon so as to enable Emergicon to meet its obligations under this Agreement. In the event that Client's approval is required in order for Emergicon to fulfill any obligations it may have under this Agreement, Client shall not unreasonably withhold, condition or delay its approval. M. In writing, notify Emergicon of any customized needs (reporting, scheduling, etc.). Client understands that the processing of customized needs may entail additional charges to Client by Emergicon. n. Designate a contact person, authorized to transact business on behalf of Client, who can promptly respond to any questions raised by Emergicon, or who can execute required forms and other documents necessary to the provision of Services by Emergicon under this Agreement. o. Agree to permit Emergicon to provide training to Client personnel in the event that Emergicon deems such training to be necessary and/or desirable at a cost to be mutually agreed upon by the parties and paid by Client. P. Provide electronic transfer of PCR data in an acceptable NEMSIS format to Emergicon, Client agrees to bear all cost of the development and implementation of the electronic software "bridge" as agreed upon by and in conjunction with Emergicon information technology personnel, representatives or contractors. 5. Record Ownership and Access.. a. Client understands that all documentation provided to Emergicon by Client, whether in paper and/or electronic form, is for the sole and express purpose of permitting Emergicon to provide Specialized Professional Services under this Agreement. It is Client's responsibility to maintain all of its documents and business records, including copies of any documents or records provided to Emergicon ("Client -Provided Records"), Emergicon does not act as Client's records custodian. b. As a convenience to Client, Emergicon will, during the term of this Agreement, produce patient care reports in response to routine attorney requests (with appropriate patient authorization) for such documentation, if those records are in Emergicon's possession at the time it receives such attorney request. For subpoenas, as well as any requests beyond those deemed by Emergicon to be routine attorney requests, Emergicon shall forward such requests to Client for disposition. C. During the term of this Agreement, Emergicon shall, upon Client's written request, provide to Client, in electronic format and within 14 days of receipt of such written request, copies of any Client -Provided Records furnished to Emergicon by Client, and to any Claim Adjudication Documents generated by and received from insurers or payers in response to claims submitted by Emergicon on Client's behalf. "Claim Adjudication Documents" shall consist of the documents generated secondary to claim submission in the normal course of claim processing by payers and insurers, including Explanation of Benefits (EOB) documents, Remittance Advice (RA) documents, Medicare Summary Notice (MSN) documents, denials and other documents of a similar type or nature. d. Any documents, data, records or information compiled in the course of Emergicon's provision of Specialized Professional Services under this Agreement, other than those Client -Provided Records and Claim Adjudication Records defined in Paragraphs 5(a) and (c) above, shall be the sole and exclusive property of Emergicon and shall be considered the business and/or proprietary records of Emergicon. Emergicon shall have no obligation to furnish any such business or proprietary records of Emergicon to Client, and Client shall have a right of access only to the Client -Provided Records and Claim Adjudication Documents as defined in Paragraphs 5(a) and (c), above. e. If Client or a third party requests any documents or records to which Client or the third party has a right of access under Paragraphs 5(a) and (c) of this Agreement, and such documents cannot be provided to Client in electronic form, Emergicon may charge Client the per - copy amount for medical records permitted under applicable law at the time of Client's request. f. Should this Agreement be terminated for any reason, all documents and records to which Client has a right of access under Paragraphs 5(a) and (c) of this Agreement shall be maintained in electronic format at a site convenient to Emergicon for a reasonable amount of time for follow-up of all open claims, but in any event not to exceed ninety (90) days following the effective date of termination of this Agreement. Electronic or paper copies of the records to which Client has a right of access under Paragraphs 5(a) and (c) will be made available to Client, at Client's sole cost and expense, in a format acceptable to Emergicon at the Client's written request provided that Client makes such request within thirty (30) days following termination of the Agreement, and provided that Client has no outstanding invoices due to Emergicon at the time of the request. Emergicon shall have absolutely no responsibility whatsoever after termination of this Agreement to provide any monthly reports or other such Emergicon-generated reports to Client. g. Upon termination of this Agreement, Client is responsible to notify all payers, patients, and other correspondents of its new address, phone and/or fax numbers for billing or payment purposes. Notwithstanding any other provisions of this Agreement to the contrary, Emergicon will not be responsible for mail, deliveries, faxes, messages or other communications sent in Client's name to Emergicon after the effective termination date of this Agreement, and Emergicon shall have no duty to accept, maintain, copy, deliver or forward any such communications to Client following termination of this Agreement. h. Costs for copies of documents required and/or requested by Client beyond the requirement of the normal daily claim handling requirements will be invoiced to Client by Emergicon at a per copy price to be established by Emergicon from time to time. 6. Client Accounting and Auditing Requirements. If Client requires Emergicon's assistance in Client's accounting or other internal audits, Emergicon will charge client for said audit support services at its customary rates, to be established by Emergicon from time to time. Upon written request of Client for same, Emergicon shall furnish said rates to Client in writing prior to undertaking any work pursuant to this Paragraph. Term and Termination. a. This Agreement is for an initial term of one year, and will automatically renew for successive like terms unless terminated hereunder. b. This Agreement may be terminated upon the expiration of its then -current term, with or without cause, by either party, upon written notice to the other party, given no later than thirty (30) days prior to the expiration of the then -current term. C. This Agreement may be terminated by Emergicon immediately upon written notice to Client for any of the following reasons: i. If Client makes an assignment for the benefit of creditors, files a voluntary or involuntary petition in bankruptcy, is adjudicated insolvent or bankrupt, petitions or applies to any tribunal for the appointment of any receiver of any trustee over its assets or properties, commences any proceeding under any reorganization, arrangement, readjustment of debt or similar law or statute of any jurisdiction, whether now or hereafter in effect, or if there is commenced against the other party any such proceeding which remains tin -dismissed, un-stayed, or the other party by any act or any omission to act indicated its consent to, approval of or acquiescence in any such proceeding or the appointment of any receiver or of any trustee, or suffers any such receivership or trusteeship to continue undischarged, un-stayed, or un-vacated for a period of thirty (30) days. ii. If Client loses its license, permit or certification necessary to do business, or is excluded from any state or federal health care program. iii. If Client fails to perform any of its responsibilities as set forth in this Agreement, fails to pay Emergicon for its specialized professional services within thirty (30) days of the date such payment becomes due, takes any actions which Emergicon, in its sole discretion, determines to be unethical, illegal, immoral or non -compliant, or fails to cooperate with Emergicon in any way that prevents, impedes, obstructs or delays Emergicon in the performance of the Specialized Professional Services set forth in this Agreement. d. Upon termination for any reason, Emergicon shall perform follow-up on any open accounts submitted by Emergicon on Client's behalf for a period not to exceed ninety (90) days from the date of termination. Emergicon shall have no responsibility to perform such follow-up in the event Client takes any actions which prevent Emergicon from engaging in such follow-up, or in the event that Client has any unpaid balances due to Emergicon on the date of termination of this Agreement. C. Upon termination for any reason, Client shall be responsible to pay the fees set forth in Paragraph 10 below, for all revenues collected by Emergicon on Client's behalf during the 90-day follow-up period set forth in Paragraph 7(d) above. After notice of termination is given, all Emergicon invoices are due and payable by Client within five (5) days of same. In the event that Client does not remit payment on any such invoice within five (5) days of the invoice, Emergicon shall have no responsibility to perform any further follow-up on open accounts, notwithstanding the provisions of Paragraph 7(d) above. 8. External and Internal Audits. a. Client shall immediately notify Emergicon if there has been any prepayment audit or review, post payment audit or review, or any investigation or other formal inquiry into the billing practices of Client and/or Emergicon, or claims submitted by Emergicon on behalf of Client, where such audit or investigation is or appears to have been initiated by any governmental agency, insurer, payer, carrier, Medicare Administrative Contractor, Recovery Audit Contract, Zone Program Integrity Contractor, Medicaid Fraud Control Unit, other Medicare or Medicaid contractor or other agency or entity authorized to carry out any such audit or investigation. This obligation shall survive termination of this Agreement for any reason. b. The Client bears sole responsibility for obtaining and paying for any legal or consulting assistance necessary in defending itself in any such audit or investigation. Emergicon shall assist Client in producing any records, reports or documents in its possession which pertain to the audit or investigation and may charge Client a reasonable fee for copying, preparation, assembly or retrieval of such documents or reports. Emergicon shall have no obligation to perform any duties under this Paragraph 8(b) following termination of this Agreement for any reason. C. Client is solely responsible for repaying any overpayments or recoupments sought or imposed by any insurer, carrier, payer or governmental agency or contractor, including interest, civil monetary penalties, fines or other such assessments. d. Client understands and acknowledges that Emergicon, as part of its compliance program, may on occasion, and at its sole discretion, perform or contract for the performance of periodic, random, internal audits of its coding, billing and other business practices. These voluntary, internal compliance audits may reveal the existence of Client overpayments, and Client agrees that any such overpayments identified by Emergicon in its internal auditing process will be refunded by Client as described in more detail in Paragraph 2(h) of this Agreement. 9. Disposition of Funds. a. All funds Emergicon receives from third party payers, patients or other sources for ambulance services provided by Client shall be made in the name of Client and forwarded monthly to Client or deposited into a Client account as directed by Client. b. If Client desires that its patients be able to pay their accounts utilizing credit cards, then Emergicon shall accept credit card payments on behalf of Client's patients in a manner that is secure and agreed upon by the parties, and only to the extent possible and feasible, without making Emergicon a collection agency and responsible for compliance with the federal Fair Debt Collection Practices Act and other state or federal debt collection laws by law. C. Emergicon shall not accept a reassignment of any benefits where prohibited 10. Compensation. a. In exchange for the Specialized Professional Services described in this Agreement, Client shall pay Emergicon a fee equivalent to seven percent (7%) of all revenues collected by Emergicon on behalf of Client. Credit card payments accepted by Emergicon will be charged an additional two percent (2.01/o). b. If Client instructs Emergicon to collect on an account(s) initially billed by another Contractor, Emergicon shall be compensated and paid for the collection efforts on said account in accordance with the following schedule: Twenty-two Percent (221/0) of the total amount collected on the account. C. If Client instructs Emergicon to continue to pursue Patient Pay accounts with balances beyond 120 days from the date of transport, Emergicon shall be compensated and paid for the collection efforts on said account in accordance with the following schedule: Eighteen Percent (18%) of the total amount collected on the account. d. The fees payable by Client to Emergicon shall be calculated and invoiced to Client on a periodic basis established by Emergicon in accordance with the receipts report generated by Emergicon. e. Emergicon shall submit invoices to Client on a periodic basis established by Emergicon. Invoices are to be paid by Client within thirty (30) days of the invoice date. Emergicon reserves the right to add simple interest at an annual rate of 18%, compounded daily, on all where Emergicon has not received payment within thirty (30) days of the date of its invoice. f. In the event that Client is obligated to refund any overpayment or credit balance as set forth in Paragraph 2(h), fees paid to Emergicon by Client for such refunded overpayment or credit balance shall not be credited or refunded to Client. g. The rates set forth by Emergicon to be charged to Client for Specialized Professional Services rendered are subject to change by Emergicon upon thirty (30) days written notice to Client. h i h event thatGlieA does business shall apply only to ths.';P. Apno"nts for MA;I, seNestiens basis. i. Client agrees to reimburse Emergicon for any and all sales tax liabilities that may arise as a result of this Agreement. 11. Indemnification and Insurance. a. In addition to any specific indemnification provisions set forth in this Agreement, Client shall hold harmless, indemnify and defend Emergicon and/or its employees, officers, directors and agents from and against any and all costs, claims, losses, damages, liabilities, expenses, judgments, penalties, fines, and causes of action to the extent caused by any act or omission on the part of Client or its agents, servants, volunteers, contractors or employees. This provision shall include all costs and disbursements, including without limitation court costs and reasonable attorneys' fees. b. In addition to any specific indemnification provisions set forth in this Agreement, Emergicon shall hold harmless, indemnify and defend Client and/or its employees, officers, directors and agents from and against any and all costs, claims, losses, damages, liabilities, expenses, judgments, penalties, fines and causes of action to the extent caused by any willful or grossly negligent misconduct of any Emergicon agent, servant, contractor or employee l0 and which relate to the Specialized Professional Services performed by Emergicon under this Agreement. C. Emergicon shall maintain errors and omissions insurance coverage in an amount not less than $1,000,000. Emergicon shall provide proof of such coverage to Client upon reasonable written request for same. d. Notwithstanding any other provision of this Agreement, Emergicon shall not be liable for any damages, including but not limited to loss in profits, or for any special, incidental, indirect, consequential or other similar damages suffered in whole, or in part, in connection with this Agreement. Any liability of Emergicon shall not exceed any amounts paid to Emergicon by Client under this Agreement for any disputed billing performed by Emergicon on behalf of Client. e. Where any provision of this Agreement obligates Client to defend, indemnify and/or hold harmless Emergicon, such agreement shall include any claims, losses, assessments or damages of any kind, and shall apply equally to Emergicon and to its employees, owners, agents, contractors, attorneys, consultants, accountants and servants. 12. Confidentiality. Neither Emergicon nor Client shall, during the term of this Agreement or for any extension hereof, for any reason, disclose to any third parties any proprietary information regarding the other party unless required to do so by law, regulation or subpoena. For purposes of this Agreement, "proprietary information" shall include, but not be limited to, pricing or rate information, information pertaining to contracts with payers, insurers, facilities, ambulance providers, health care systems, or othersuch parties, audit requests, audit results, billing processes, client lists or other such information. 13. HIPAA Business Associate Assurances. Emergicon agrees to appropriately safeguard protected health information ("PHI") that is created, received, maintained, ortransmitted on behalf of Client in compliance with the applicable provisions of Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996, Subtitle F — Administrative Simplification, Sections 261, et seq., as amended ("HIPAA"), and with Public Law 111-5 of February 17, 2009, known as the American Recovery and Reinvestment Act of 2009, Title XII, Subtitle D — Privacy, Sections 13400, et seq., the Health Information Technology and Clinical Health Act, as amended (the "HITECH Act"). a. General Provisions i. Meaning of Terms. The terms used in this Agreement shall have the same meaning as those terms defined in HIPAA. ii. Regulatory References. Any reference in this Agreement to a regulatory section means the section currently in effect or as amended. iii. Interpretation. Any ambiguity in this Agreement shall be interpreted to permit compliance with HIPAA. b. Obligations of Emergicon Emergicon agrees that it will: i. Not use or further disclose PHI other than as permitted or required by this Agreement or as required by law; ii. Use appropriate safeguards and comply, where applicable, with the HIPAA Security Rule with respect to electronic protected health information ("e-PHI") and implement appropriate physical, technical and administrative safeguards to prevent use or disclosure of PHI other than as provided for by this Agreement; iii. Report to Client any use or disclosure of PHI not provided for by this Agreement of which it becomes aware, including any security incident (as defined in the HIPAA Security Rule) and any breaches of unsecured PHI as required by 45 CFR §164.410. Breaches of unsecured PHI shall be reported to Client without unreasonable delay but in no case later than 60 days after discovery of the breach; iv. In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of Emergicon agree to the same restrictions, conditions, and requirements that apply to Emergicon with respect to such information; V. Make PHI in a designated record set available to Client and to an individual who has a right of access in a manner that satisfies Client's obligations to provide access to PHI in accordance with 45 CFR § 164.524 within 30 days of a request; vi. Make any amendment(s) to PHI in a designated record set as directed by Client, or take other measures necessary to satisfy Client's obligations under 45 CFR §164.526; vii. Maintain and make available information required to provide an accounting of disclosures to Client or an individual who has a right to an accounting within 60 days and as necessary to satisfy Client's obligations under 45 CFR § 164.528; viii. To the extent that Emergicon is to carry out any of Client's obligations under the HIPAA Privacy Rule, Emergicon shall comply with the requirements of the Privacy Rule that apply to Client when it carries out that obligation; ix. Make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by Emergicon on behalf of Client, available to the Secretary of the Department of Health and Human Services for purposes of determining Emergicon and Client's compliance with HIPAA and the HITECH Act; X. Restrict the use or disclosure of PHI if Client notifies Emergicon of any restriction on the use or disclosure of PHI that Client has agreed to or is required to abide by under 45 CFR § 164,522; and 12 xi. If Client is subject to the Red Flags Rule (found at 16 CFR §681.1 et .seq.), Emergicon agrees to assist Client in complying with its Red Flags Rule obligations by: (a) implementing policies and procedures to detect relevant Red Flags (as defined under 16 C.F.R. §681.2); (b) taking all steps necessary to comply with the policies and procedures of Client's Identity Theft Prevention Program; (c) ensuring that any agent or third party who performs services on its behalf in connection with covered accounts of Client agrees to implement reasonable policies and procedures designed to detect, prevent, and mitigate the risk of identity theft; and (d) alerting Client of any Red Flag incident (as defined by the Red Flag Rules) of which it becomes aware, the steps it has taken to mitigate any potential harm that may have occurred, and provide a report to Client of any threat of identity theft as a result of the incident. C. Permitted Uses and Disclosures by Emergicon The specific uses and disclosures of PHI that Emergicon may make on behalf of Client include: i. The preparation of invoices to patients, carriers, insurers and others responsible for payment or reimbursement of the Services provided by Client to its patients, as set forth in this Agreement; . ii. Preparation of reminder notices and documents pertaining to collections of overdue accounts; iii. The submission of supporting documentation to carriers, insurers and other payers to substantiate the healthcare services provided by Client to its patients or to appeal denials of payment for the same; and iv. Other uses or disclosures of PHI as permitted by HIPAA necessary to perform the Services that Emergicon has been agreed to perform on behalf of Client, as set forth in this Agreement. d. Termination i. Notwithstanding the termination provisions set forth in Paragraph 7 of this Agreement, Client may terminate this Agreement if Client determines that Emergicon has violated a material term of the HIPAA Business Associate Assurances set forth in this Paragraph 13. i i. If either party knows of a pattern of activity or practice of the other party that constitutes a material breach or violation of the other party's obligations under this Agreement, that party shall take reasonable steps to cure the breach or end the violation, as applicable, and, if such steps are unsuccessful, terminate this Agreement, according to the provisions set forth in Paragraph 7 of this Agreement, if feasible. iii. Upon termination of this Agreement for any reason and upon the written request of Client and pursuant to the other terms and conditions set forth in this Agreement, Emergicon shall return to Client or destroy all PHI received from Client, or created, maintained, 13 or received by Emergicon on behalf of Client that Emergicon still maintains in any form. If return or destruction is infeasible, the protections of this Agreement will extend to such PHI. 14. Compliance. a. Emergicon will conduct its activities and operations in compliance with all state and federal statutes, rules and regulations applicable to billing activities. b. Client shall conduct its activities, operations and documentation in compliance with all applicable state and federal statutes, rules and regulations. Client expressly represents and warrants that it is under no legal impediment to billing or receiving reimbursement for its services, and that all of Client's personnel are appropriately licensed and/or certified to famish the services provided by Client. Client agrees to defend, indemnify and hold harmless Emergicon from any and all claims, damages and losses in the event that Client sends accounts to Emergicon which are ineligible for billing and/or reimbursement for any reason. C. Each party is responsible for monitoring and ensuring its own compliance with all applicable state and federal laws and regulations pertaining to billing and reimbursement for its services. However, either party which becomes aware of a violation of any such state or federal laws or regulations or of a questionable claim or claim practice agrees to notify the other party within fifteen (15) days so the other party may appropriately address the matter. d. The parties represent that they are not the subject of any actions or investigations pertaining to its participation in or standing with any state or federal health care program, are not subject to exclusion from any state and/or federal health care program, and that no persons providing services for which reimbursement is sought were at the time such services were rendered excluded from any state or Federal health care program. e. The parties recognize that this Agreement is at all times subject to applicable state, local, and federal laws and shall be construed accordingly. The parties further recognize that this Agreement may become subject to or be affected by amendments in such laws and regulations or to new legislation or regulations. Any provisions of law that invalidate, or are otherwise inconsistent with, the material terms and conditions of this Agreement, or that would cause one or both of the parties hereto to be in violation of law, shall be deemed to have superseded the terms of this Agreement and, in such event, the parties agree to utilize their best efforts to modify the terms and conditions of this Agreement to be consistent with the requirements of such law(s) in order to effectuate the purposes and intent of this Agreement. In the event that any such laws or regulations affecting this Agreement are enacted, amended or promulgated, either party may propose to the other a written amendment to this Agreement to be consistent with the provisions of such laws or regulations. In the event that the parties do not agree on such written amendments within thirty (30) days of receipt of the proposed written amendments, then either party may terminate this Agreement without further notice, unless this Agreement would expire earlier by its terms. 14 f. Non -Engagement of Individuals on the OIG Exclusion List. The parties further warrant that each will take all reasonable steps as set forth by the Office of Inspector General, United States Department of Health and Human Service, to ensure that it does not employ or otherwise engage individuals who have been excluded from participation in federal health care programs. The parties agree to periodically check the OIG exclusion website to ensure that employees, volunteers and all others providing services for each respective organization are not excluded. The website is: Itttp://exclusions.oig.lilis.gov. 15. Independent Contractor Relationship. Emergicon and Client stand in an independent contractor relationship to one another and shall not be considered as joint venturers or partners, and nothing herein shall be construed to authorize either party to act as general agent for the other. There is no liability on the part of Emergicon to any entity for any debts, liabilities or obligations incurred by or on behalf of the Client. 16, Prevention of Performance. If a party's obligation to perform any duty hereunder is rendered impossible of performance due to any cause beyond such party's control, including, without limitation, an act of God, war, civil disturbance, fire or casualty, labor dispute, hardware or software failures beyond the party's control, or governmental rule, such party, for so long as such condition exists, shall be excused from such performance, provided it promptly provides the other party with written notice of its inability to perform stating the reasons for such inability and provided that the party takes all appropriate steps as soon as reasonably practicable upon the termination of such condition to recommence performance. 17. Assignment. This Agreement may be assigned by Emergicon to any successors or assigns of Emergicon. This Agreement may not be assigned by Client without the express written consent of Emergicon. This Agreement shall be binding upon all successors and assigns. 18. Notices. Notices required to be given under this Agreement shall be made to the parties at the following addresses and shall be presumed to have been received by the other party (i) three days after mailing by the party when notices are sent by First Class mail, postage prepaid; (ii) upon transmission (if sent via facsimile with a confirmed transmission report); or (iii) upon receipt (if sent by hand delivery or courier service). Emer ig con: Client: Emergicon, LLC. Calhoun County EMS PO Box 180446 705 County Road 101 Dallas, TX 75218 Port Lavaca, TX 77979 Fax: (903) 887-1863 15 19. Non -Competition and Non -Solicitation Clause. Without prior, written authorization from Emergicon, Client shall not: a. During the term of this Agreement, or for two (2) years following its expiration or termination for any reason, employ, retain as an independent contractor, or otherwise in any way hire any personnel currently employed or employed at any time during the term of this Agreement by Emergicon. Client expressly agrees that in the event of a breach of this provision, Emergicon shall be entitled to a placement fee of two times the annual salary paid by Emergicon to such employee at the time such employee left employment of Emergicon. b. During the term of this Agreement, or for a period of two (2) years following its expiration or termination for any reason, engage in the provision of billing services for any other ambulance service, medical transportation organization, fire department, or emergency medical services organization. Nothing in this Paragraph shall be interpreted to prohibit Client from performing its own in-house billing and/or accounts receivable management following the expiration or proper termination of this Agreement. 20. Governing Law and Forum Selection Clause. This Agreement shall be deemed to have been made and entered into in Texas and shall be interpreted in accordance with the laws thereof, without regard to conflicts of laws principles. The parties expressly agree that the exclusive forum for resolving any legal disputes under this Agreement shall be the state or federal courts serving Dallas, Texas. Client expressly agrees to personal jurisdiction and venue in any such court. IN WITNESS WHEREOF, the parties have executed this Agreement to commence on the date first above written. Client represents that the individual who has executed this Agreement on behalf of the Client is authorized by Client and by law to do so. EMERGICON, LLC. M Signature Print Name Title Date CLIENT M &im" -i m-y6 z Signature IDilate MI Gku,�/ Lr- j-k'cj`_ Print Name C6U�w6 (�Fk� Title CERTIFICATE OF INTERESTED PARTIES FORM 1295 toll Complete NOs, 1 - A and 6 if there are interested parties. OFFICE USE ONLY Complete Nos, 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2016-118167 1 Name of business entity filing torn, and the city, state and country of the business entity's place of business. Emergicon Forney, TX United States Date Filed: 09/29/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. CALHOUN COUNTY EMS Date Acknowledged: 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 services, goods, or other property to be provided under the contract. 2016.1010 EMS Billing, Collections &Recovery A Name of Interested Party City,State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only it there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. 1�\)AT PL2( t 'LINOA N FORD My Commission Expires Signature of authorized agent of contracting business entity July 25, 2017 90 Sworn to and subscribed tire, e, by the said # u Y ! ,M1 r 1 CY f .__, this the day of 2.0JD, to ceody which, witness my hand and seal of oftwel, e:Z'Wa r�..l�7P,�� lflJ Wlru ,Ikbli0. signature of offic adm� oath Printed name of officer administering oath Title of icer administering rr Ih Fmms provided by Texas Ethics Commission www.ethics,stateAx.us Version V1.0.277 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: 2016-118167 Date Filed: 09/29/2016 Date Acknowledged: 11/16/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Emergicon Forney, 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 EMS 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 services, goods, or other property to be provided under the contract. 2016-1010 EMS Billing, Collections & Recovery 4 Name of Interested Part Y City, State, Country lace of business Y� Y (P ) Nature of interest check applicable) ( PP ) 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 V1.0.277 Consider and Take Necessary Action on 2017 Fiscal year Budget for Calhoun County E911 Emergency Communications District. (KF) Rachel Morales spoke from Calhoun County E911 on the 2017 fiscal year budget. Commissioner Finster made the motion to approve the E911 fiscal year budget and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 16 of 52 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 10, 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 October 17, 2016. • Discuss and take necessary action on 2017 Fiscal Year Budget for Calhoun County E911 Emergency Communications District. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 —Seadrift, Texas 77983 —email: kfinsteracalhouncotx.org — (361) 785-3141 —Fax (361) 785-5602 CALHOUN COUNTY E9-1-1 EMERGENCY COMMUNICATION DISTRICT MEMORANDUM TO: Judge Michael Pfeifer FROM: Raquel Morales, Executive Director SUBJECT: Fiscal Year 2017 Proposed Budget Date: October 7, 2016 Enclosed for your review and comment is the Calhoun County E9-1-1 Emergency Communication District Proposal Fiscal Year 2017 Budget. The Calhoun County Board approved this proposed budget at their regularly scheduled and properly noticed meeting held on October 6, 2016. Please address your written comments to the Chairman of the Board at the address on the bottom of this memorandum. The Calhoun County E911 Board will review your comments, make changes as necessary. Enclosed is a post card to facilitate your response. The contents of this post card are consistent with the provisions of the Texas Health & Safety Code, Chapter 772.309, which enables each participating jurisdiction to either approve or disapprove the Calhoun County Fiscal Year 2017 Budget. Should a jurisdiction choose to take no action, budget approval is by operation of law on the sixty-first day following the jurisdiction's receipt of the proposed budget. Please call me if you have questions or require further information or clarification. Sincerely, Raquel Morales Executive Director 131A North Virginia Street, Suite F / P.O. Box 1093 * Port Lavaca, TX 77979 Office: (361)552-5455 * Fax: (361)552-9691 E-Mail: e9l 1(a7,,calhouncotx.org » $ a 4 k64 ]q )@ a� .0� Of §LU ow �aMw §§ 00 �a § 2a / § � k3 0 v = ou 0 ] d u 00 Otl e O p o 0 O o 0 0 0 0 0 o O M O O O O O O O O O O tl tl tl O R O O O 0 0 0 0 O 0. 0� vi M O N O V O N N O O O vw N N Fj• N V) N 10 M (� h 55h aL�rr oa � U z z 09 q '" •E p m� pOq N h m anti (Ad y=0:j a oa+ a E -' y w Z 0 F r F¢u��sm F °dd W c7aa3 F W En w O O O O O O O O O O O tl tl tl 0 O O M O O O O O O O O O O O O O O O O Q\ C C C O O C C OO O O N �D N O 169 l� - 0 h r�9 H NW ycl am" M 6N9 6N9 bN9 664 Yi b9 Ni FA 69 69 � 69 Yf N � f/9 N a w � � U � aq C o z 0. C7 d CA o O u Q o O ok �r m 0.121 �� a E e F d E Q u G y E a d y O o O W F w o o O 8 3 5 O X F rn F �dW.�m F WC7aR:3 F W a F tn° 0 0. 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R P. ,'='' v & � v jai :� � '� •° �� EEoaAx>ax>Ua N W N m O m C G Q G N N N T _AA con voAowww (y w C 0 d C O O O h O O O O O O O N O O M O O O r O p Cp eIt'G ry Gry Qs* C G C G 70 OG O G Vl M bN9 69 69 Vi04Vi 0F0 E _ v O C Gw�i�a�3UO a0'33 d e i 6� K a d a y 7 a a 0 0 0 0 0 0 0 0 O O O p Op O O O O 0 0 0 0 0 0 0 0 O O O V1 O O O O 69 69 fA O O O O O O O O O O O O O O O O O G O 6 O O O O OC 0 0 0 CO O O tl 6N9 GO)� 64 bB 2 m m ; V It N h b h 00 O O M T l� O M H O �n M �O � N O; 00 w t- % 6�9 V O M W O 7� bM9 O 6MA 6m9 ba, �9 69 cN+f C M V3 fA 6N9 fA �M O b 69 69 b9 � m UU d iNG 'qOf" im i N QUv u ' U F � � o � $ > y o •. .. e g to a a �_ tq M »>a ai o�V ai m F O � O O H � y r. w w u F F O } J v V w N MX O � C N O N v W .E Em O 3 vw u W 0w El O 0 E W !' W C V e 3 O z N (i T r `i. Z7 �o en m V to It .--i 00 d' N cr,O en 0000 0 00 M N N 69 64 6A 69 v� O z W a W u iy � A a U 00 m to d C vi 00 Ob0 O M V h n o0 kn 6n kn z w w z W o a Calhoun County E911 ECD Post Office Box 1093 Port Lavaca, Texas 77979 Honorable Judge Michael Pfeifer County of Calhoun 211 South Ann Street Port Lavaca, Texas 77979 CALHOUN COUNTY NO ACTION TAKEN 0 m Consider and Take Necessary Action on two (2) Right of way drainage easements for the Gin Road Project from Dennis and Debbie Klump, Carolyn Shannon and Mark Shimek. ROW CSJ# 091319028P. (VL) Commissioner Lyssy made the motion and Commissioner Galvan seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 17 of 52 Vern Lyssy Notice of Confidentiality Rights: If you are a natural person, you may remove or strike any of the following information from this instrument before it is filed for record in the public records: a your Social Security Number or your Driver's License Number. AF —; Form ROW-W31 (Rev. 07111) Page 1 of 2 -{-, DRAINAGE EASEMENT FOR HIGHWAY PURPOSES THE STATE OF TEXAS § ROW CSJ: 091319028 § r COUNTY OF CALHOUN § KNOW ALL MEN BY THESE PRESENTS: That, Mark Steven Shimek of the County of Calhoun, State of Texas, hereinafter referred to as Grantors, ; whether one or more, for and in consideration of the sum of zero Dollars ($ 0) to Grantors in hand paid by the State of Texas, acting by and through the Texas Transportation Commission, receipt of which is hereby acknowledged, and for which no lien is retained, either expressed or implied, do by these „ presents Grant, Bargain, Sell and Convey unto the State of Texas an easement in, along, upon and across the property which is situated in the County of Calhoun, State of Texas, which is more particularly described in Exhibit "A", which is attached hereto and incorporated herein for any and all purposes. This easement conveyed herein is for the purpose of opening, constructing and maintaining a permanent channel or drainage easement in, along, upon and across said premises described in Exhibit "A" together with the right and privilege at all times of the Grantee herein, its agents, employees and representatives of ingress and egress to and from said premises for the purpose of making any improvements, modifications or repairs which the State deems necessary. And for the same consideration described above and upon the same conditions, the Grantors have this day granted and conveyed and by these presents do grant and convey unto the State of Texas any and all improvements presently existing upon the property described in said Exhibit "A'; SAVE and EXCEPT, none. HOWEVER, it is expressly understood and agreed that Grantors are retaining title to the following improvements located on the aforesaid property, to wit: none. As a part of the grant hereby made it is agreed between the parties hereto that any stone, earth, gravel or caliche which may be excavated in the opening, construction or maintenance of said channel or drainage easement may be removed from said premises by the State. TO HAVE AND TO HOLD the premises described in Exhibit "A" for said purposes together with all and singular the rights, privileges and appurtenances thereto in any manner belonging, unto the State of Texas forever; and Grantor hereby binds itself, its heirs, successors or assigns, to Warrant and Forever Defend, all and singular, the said easement herein conveyed unto the State of Texas, its successors and assigns, against every person whomsoever lawfully claiming or to claim the same or any part thereof. IN WITNESS WHEREOF, this instrument is executed on this the day of , 2016. Form ROW-N-31 (Rev. 07111) Page 2 of 2 -_�m P P-np4 Lure Acknowledgement State of Texas County of Calhoun + This instrument was acknowledged before me on a 4 uue� ,tt e<as r a-2 ao SSSiSSI ^da4rs+ i0 7P2dG4d otary Public's Signature Corporate Acknowledgment State of Texas County of Calhoun This instrument was acknowledged before me on by SO corporation, on behalf of said corporation. a Notary Public's Signature H z 20 mVU)f. Q a W W U HY(DW W ma z = N a Q OZpZ ?LLU U =NaZ Z a U OF W O 0 0 0 a C L C) U O ,�,,, m -0 O N U U O O - O "'' N N f4 N -0 N +mom•' U N N Q W (0 -0 *' N p L -p w L � O Q m � w Q o N �� 0 0 3 m E o 3 o a� C: z n N U �% N �# Y O N N p N v- .- -0 „"" a) P- f6 N p N 0) E M C p m m C N J E m� N T O m 0 a) J a N U O C L O •C N> O N y -O E a c O Co �.. >+ C O �. m +. 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N N U)) N 7 0 L Q o L m N co O L U a) 0 � a) LC c0 "'' a) jL- C a N o "-' -0 .0 N N o. m O "' CO "' O O U N N '� E C a) - �` O �3 °� fl ° 3 EN m Y aoin. ao)LO a)z (D m c c m ° a•0 0) oo� rn E� 0-0CL m o ° N�m m c� c�k c m m,c)m m a) n m � av•c c a) a)aDY �_ N N >"Oor �e (n •� a) o Lv•S a) N ° coi a my co C p -O m m-a� .0 to N NJ O)NL -C mUL L a C O s1 m Z E o w r O mY a= as a.C�r mo :� N �+� 0 =Y�a Viz- o Mx �� >1 m 3 s o umi o� oY 0 a)`o�� aio N u°' fl N m� N 6 c E E aai c axi >m c ,� E a (� s w a) .c_ -o a) 3 'rn (D m fl o c N> E 'f6 {- >> 7 a) "O G C N a N 7 N O N t` m ?� a m _0 0 m m p C N '0 'C m m R a) s1 � N m E 0) m r m C N m U O t c'�� ca �'rn� umi w a- w� ._ o �� C) C60.- m 3 w api aci C w O O- N O •V U N m co O N C) E$ tm d U Cm N J m C r U N L O N O a O N U N R O t C cu C -C � m N C M "m" m o)a m co U J a p o m C N N o T m N L "'' p a) m m p C N c m O N c- CI' a) O- d' "= ci U Lo V i E O C0 +' o C O a _r_ N O o O C o Ci N m a) o o N o0 N O o0 0. N 0 a O N CO (�O N co E p (n a) m m LO N t6 N J aL-+ 7 O m a) N O` U m N m O m a) •LC 1- O N a -�0 -C N N � E oU gJ 0U, Z cc 3 m v m Qm c z aE (DYi a) N z° o rnQ c 2 c C) 'c tl1 C c 0 Z a) O L W 0 2 V- 0 m v- 0 m 0 o W E& m w W N c) O C, OU >, a ,��, m^ a) m r 7 "- (� Cn s? O CO U O (n a d i N (U L C O U a) O m i t a) L a) m 0) M a O- CO p .= Z C N 0 Z .� �. .. Z fn m m Z n C U a) O L N m a C a E�.0 (�w a) C W �-- N co LU m� E W" m L.N.>1 a) 0-c mZ mUitU o m ai m H H um) °� ° Hio ° m Qm E a° unaer;a,,t. zi,lb t,:, a inl OoDurenc nn iv�n i Lei c7 hy M3 Office for I Ptni d7 nC lrb ff,ig Ufl lai 011k. HCKrin tIP Or. {{arch, SnRlr ttiet as tle Ilk discamioat_ due to dace, Crud, Wlof, yes or Idaiiona.i 060A, I'11Ed for Krcupll Silt Calhoun Cutmiy v(mormile Anna Goodfi n {:r;rptY C4erk uequey Ilr!�tilr.:1{99515 ) fit�NP ]Gi �1 �il9fila Notice of Confidentiality Rights: If you are a natural person, you may remove or strike any of the following information from this instrument before it is filed for record in the public records: your Social Security Number or your Driver's License Number. Form OW ftOW-N-31 (Rev. 07/11) Page 1 of 2 DRAINAGE EASEMENT FOR HIGHWAY PURPOSES THE STATE OF TEXAS § ROW CSJ: 091319028 COUNTY OF CALHOUN § KNOW ALL MEN BY THESE PRESENTS: That, Dennis Klump, Debbie Klump and Carolyn S. Shannon of the County of Calhoun, State of Texas, hereinafter referred to as Grantors, whether one or more, for and in consideration of the sum of zero Dollars ($ 0) to Grantors in hand paid by the State of Texas, acting by and through the Texas Transportation Commission, receipt of which is hereby acknowledged, and for which no lien is retained, either expressed or implied, do by these presents Grant, Bargain, Sell and Convey unto the State of Texas an easement in, along, upon and across the property which is situated in the County of Calhoun, State of Texas, which is more particularly described in Exhibit "A", which is attached hereto and incorporated herein for any and all purposes. This easement conveyed herein is for the purpose of opening, constructing and maintaining a permanent channel or drainage easement in, along, upon and across said premises described in Exhibit "A" together with the right and privilege at all times of the Grantee herein, its agents, employees and representatives of ingress and egress to and from said premises for the purpose of making any improvements, modifications or repairs which the State deems necessary. And for the same consideration described above and upon the same conditions, the Grantors have this day granted and conveyed and by these presents do grant and convey unto the State of Texas any and all improvements presently existing upon the property described in said Exhibit "A"; SAVE and EXCEPT, none. HOWEVER, it is expressly understood and agreed that Grantors are retaining title to the following improvements located on the aforesaid property, to wit: none. As a part of the grant hereby made it is agreed between the parties hereto that any stone, earth, gravel or caliche which may be excavated in the opening, construction or maintenance of said channel or drainage easement may be removed from said premises by the State. TO HAVE AND TO HOLD the premises described in Exhibit "A" for said purposes together with all and singular the rights, privileges and appurtenances thereto in any manner belonging, unto the State of Texas forever; and Grantor hereby binds itself, its heirs, successors or assigns, to Warrant and Forever Defend, all and singular, the said easement herein conveyed unto the State of Texas, its successors and assigns, against every person whomsoever lawfully claiming or to claim the same or any part thereof. Form ROW-N-31 (Rev. 07111) Page 2 of 2 IN WITNESS WHEREOF, this instrument is executed on this the day of 2016. Y State of Texas County of Calhoun This h(strument was Acknowledgement rore me on v �—;F I fi L NxCAROLYMN SUE WHIIEHEAD M My 00 y COMMISSION EXPIRES June 17, June 17,2017 State of Texas County of Calhoun I I U4) s Notary Public'Signature Corporate Acknowledgment This instrument was acknowledged before me on of corporation, on behalf of said corporation. Notary Public's Signature Y C- m a) U C 'O O U N m a) uSa)-o m "- N a (a O m C N.E c 3y° co o N 3 cu n o 0 E �'_ ° is crn2 row? 3 ° ami aU) 0 � c Z co m e QQ U +� ro C Q c = .• r N ro 3= m v- m +. ro O a) a ... m N N ro LL a) p ro a h +� fl_ = U O O U) N U E- (`o c T +. tO w "O vi .N L E O c? 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(D U( >� 2 a W E c W O N M W E rn -0 N O_ -C 'FUNEro Wmc2p mZ o( 6 °ti jN 2.7 W EU*k m o oo E _ a° `o aa)) � N U) X J O C° Cl C ro N ON(nm N C)N 0 LO d o -p 0 o Q a) Z -p N Z w N rn E ro Z a) .� U 7 W LJU) iovpnlb 'i' 15 251f, 1.19 PH lhiii ilocilunt has been received by this office foie IiPI:C*idi,il6 ii,iu khe ofiicia! Pope c,noics, i~e ea hzreby s�aeer thef. ue do not disrrinmate due to Itd9et I;Pee"ex cn ha-Impal UP'ifi➢. Filold for ilfl Cathoul blthoitV' Hnrlotabte (tuna ihrtuoait 1"itt,{:y clo Denn':y 1 i75tfe tti'11i Consider and Take Necessary Action on Memorandum of Understanding between Texas A&M Agril-ife Extension Service and Calhoun County Pertaining to Information Technology Services. (MP) Commissioner Lyssy made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 18 of 52 Susan Riley From: Katherine Sutherland <kdsutheriand@ag.tamu.edu> Sent: Monday, October 10, 2016 7:33 AM To: susan.riley@cathouncotx.org Cc: Rhonda Cummins Subject: FW: Renewal of IT Memorandum of Understanding Attachments: Calhoun IT MOU 2016-2018 Draft.pdf Per our conversation this morning I am forwarding what I sent to you on August 301h. Please have that attachment added to the next commissioner's court agenda so that we may get this approved and sent back to the AgriLife IT department. Thank you %athezine Zyuthedarid 'Office cAanagget cjexa! 04 trt OY 04gti tfe &tentton, Calhoun ifountht (367) 552-9747 AT�M ExAs A& GFT EXTENSION From: Katherine Sutherland Sent: Tuesday, August 30, 2016 10:27 AM To: susan.riley@calhouncotx.org Subject: FW: Renewal of IT Memorandum of Understanding Can you please add this to the next commissioner's court for approval. Thank you 9(ptthetine 8uthetland Office e/'tanaget c/exas ph' & 0104.ytt-fife Fxfenston, lfalhoun lfount# (J61) 552-9747 `I rE—xAp�yvs aLIFE' EXTENSION From: Jim Segers Sent: Monday, July 18, 2016 3:22 PM To: Rhonda Cummins; Katherine Sutherland Cc: Darin Kotara Subject: Renewal of IT Memorandum of Understanding Rhonda, The Information Technology Memorandum of Understanding (IT MOU) for Calhoun County is expiring. You will find a draft renewal attached. The purpose of this MOU is to document the parties' understanding and responsibilities with regard to IT Services at the County Extension Office. It is a TAMU System requirement and I appreciate your prompt attention. What to do: Please review the MOU carefully. If the MOU correctly reflects how your IT support works, please have it signed and return by email to Jim Segers, iimse ea rsC�ag.tamu.edu. If the MOU needs changes please send me back the edited draft to review again before signing. The MOU should be signed by a person with delegated authority to sign for and bind the County, most often that will be the County Judge or County Auditor. It may also be acceptable for the County IT Director or County Attorney to sign. The Extension agent designated as the County Coordinator should not sign. Please use the same process as you would for any agreement. If you have any questions or need assistance, please don't hesitate to contact me. Thank you. Jim ... James C. Segers, PhD IT Coordinator Texas A&M AgriLife Extension Service AgriLife Information Technology 578 John Kimbrough Blvd, Ste 329 2468 TAMU I College Station, TX 77843-2468 P: 979.845.9689 i-sewers@tamu.edu h1t2l1a it.ta m u. ed u Memorandum of Understanding between Texas A&M AgriLife Extension Service and Calhoun County Pertaining to Information Technology Services This MOU is between Texas A&M AgriLife Extension Service ("Extension") and Calhoun County ("County") and is intended to clarify the parties' responsibilities for information technology service and support (collectively "IT Services") at the Calhoun County AgriLife Extension Office ("County Extension Office"). Extension provides quality, relevant outreach and continuing educational programs and services to the people residing in County and educates County residents in the areas of agriculture, environmental stewardship, youth and adult life skills, human capital and leadership, and community economic development. County desires that Extension maintains a County Extension Office to conduct beneficial outreach and education for its residents; therefore, the County provides space for the County Extension Office within County owned premises. The parties agree as set forth below with regard to IT Services at the County Extension Office: I. TERM The term of this MOU is two years beginning on September 1, 2016 and ending on August 31, 2018. The term of this MOU may be extended by written agreement of the parties. This MOU may be terminated by either party without cause, upon fifteen (15) days' prior written notice to the other party. II. The purpose of this MOU is to document the parties' understanding and responsibilities with regard to IT Services at the County Extension Office. III. PARTIES' AGREEMENTS A. FACILITY The County will ensure facilities provided to and occupied by the County Extension Office are equipped with data communications wiring that adhere to County's information technology standards. B. ACCESS 1. Loeical —Network and Internet Access County provides the County Extension Office with full Internet access. This access includes electronic mail service ("email") to the Extension provided email. In addition, agents and staff in the County Extension Office may also have County email service if needed. Extension understands that Internet access is in accordance with County operations standards. 2. Cost associated with Internet service County provides Internet service at no additional cost to Extension. 3. Physical (communications closets or server facility) Texas Administrative Code (Chapter 202 B 202.26) requires communications closets and equipment be physically secure. In situations where Extension owns or supplies network components, County will ensure Extension has access to allow for trouble shooting and restarting network equipment. County can require an access log be maintained to monitor Extension access. C. COMPUTER HARDWARE (includes printers, scanners, projectors) 1. Initial Purchase and Configuration: The County Extension Office can obtain computers through three channels. These include: Extension, County, or third party purchase as clarified below. Extension can provide computer systems through a standardized "Cost Share" program. This voluntary program includes initial setup and delivery of newly purchased systems. County is granted permission to configure the systems for access to County applications and standards, provided such access does not inhibit productivity. County can provide computer systems to the County Extension Office including initial setup and delivery. In this instance, computers must include configurations and standard software listed below under "Extension Standard Software Requirements." If a third party provides a computer, or a personal computer is used on the office network, it is expected these computers will meet both Extension and County security configuration standards. 2. Special Configuration Items Administrative level accounts will be maintained on all computer systems to allow either or Extension to troubleshoot problems. 3. General Hardware Support: Extension will facilitate trouble -shooting computer hardware and peripheral devices and take corrective actions in accordance with operation standards. Extension will contact County IT when needed to ensure IT operation standards are met. Extension will install software applications for remote support. AgriLife County Office staff will contact their Extension Regional IT Specialist or the First Call Help desk operation for support. Expected Minimum Workstation management i. Microsoft Windows and Office patches maintained as current. ii. Adobe Acrobat patches maintained as current. iii. Chrome, Firefox, Flash and Java maintained as current when present. iv. Anti -Virus / Anti-Malware application installed, active and maintained as current. 4. Registration of computer workstations: Where AgriLife IT is the primary support provider all computer systems in the AgriLife County Office will be registered for support. This registration includes collecting basic inventory information and installing software applications necessary for remote support on all computers in the office. 5. Warranty and Maintenance Costs: a. Computer systems provided by Extension are provided with an extended parts and service warranty (normally 3 years) through state vendor purchasing contracts. These computer systems will be maintained by AgriLife IT for warranties, parts, and cost and third -party maintenance if used per normal operation standards. b. Computer systems provided by County will be maintained by County for warranties, parts, and cost and third -party maintenance if used per normal County operation standards. c. Computers purchased by a third party or personal computers are neither Extension or County responsibility with regard to warranty, parts, costs or maintenance. 6. Ownership: Computer systems provided by Extension are the property of Extension. These systems will remain in the County Extension Office for its useful life or until determined obsolete. At that time, the County has the following three options: i. Return equipment to the property office of Extension for appropriate disposal. ii. Arrange with Extension for transfer of equipment to County. iii. Equipment may be donated to local charitable organizations in coordination with the Extension property office. Computers provided by County are property of County and ownership will be maintained according to County operational standards. Computers provided by a third party or a personal computer, unless formally transferred to Extension or County, will remain with that party's ownership. D. COMPUTER SOFTWARE Extension will facilitate trouble -shooting of computer software. Issues outside of Extension scope of expertise will be referred to County IT. County Extension Office staff will contact their Extension Regional IT Specialist or the First Call Help desk operation for support. E. ANTI -VIRUS AND SECURITY INCIDENCE REPORTING Texas Administrative Code (Chapter 202 B 202.26) requires state agencies to report significant security incidences through the State Department of Information Resources (DIR). Extension provides centrally managed and monitored Anti -Virus and Anti-Malware protection. All monitoring and incidence logging is centrally managed and state required reporting is maintained by the AgriLife Information Security Officer. County has no responsibility. IV. FINANCIAL PROVISIONS There will be no exchange of funds or other resources among the parties that effectively alter the set contribution of each party in the context of this MOU. Specifically, each party will be responsible for its own costs in connection with all matters relating to any work and collaborations performed under this MOU. Except as may be provided for in Section III.B. above, or in a separate written agreement between the parties, or an amendment to this MOU, there will be no exchange of funds or other resources among the parties. The parties agree that nothing in this MOU shall compel or be interpreted so as to compel any of the parties to provide more resources than those available, without a written amendment to this MOU. V. MISCELLANEOUS This MOU will not be construed to create any partnership, joint venture or other similar relationship between the parties, nor shall either party enter into obligations or commitments on behalf of the other party. The construction, validity, performance, and effect of this MOU will be governed by the laws of the State of Texas. This MOU may be executed in any number of counterparts, including facsimile or scanned/emailed PDF documents. Each such counterpart, facsimile, or scanned/emailed PDF document shall be deemed an original instrument, all of which, together, shall constitute one and the same executed MOU. Texas A&M AgriLife Extension Service By: Printed Name: Alan Kurk Title: AgriLife IT Director Date: COUNTY By: A ad V� *�- Printed Name: �yf e e'k/tie-/ q�. Title: CGuaV1 'jPd"( Date: /0 —! ) — a-O),& E. ANTI -VIRUS AND SECURITY INCIDENCE REPORTING Texas Administrative Code (Chapter 202 B 202.26) requires state agencies to report significant security incidences through the State Department of Information Resources (DIR). Extension provides centrally managed and monitored Anti -Virus and Anti-Malware protection. All monitoring and incidence logging is centrally managed and state required reporting is maintained by the AgriLife Information Security Officer. County has no responsibility. IV. FINANCIAL PROVISIONS There will be no exchange of funds or other resources among the parties that effectively alter the set contribution of each party in the context of this MOU. Specifically, each party will be responsible for its own costs in connection with all matters relating to any work and collaborations performed under this MOU. Except as may be provided for in Section III.B. above, or in a separate written agreement between the parties, or an amendment to this MOU, there will be no exchange of funds or other resources among the parties. The parties agree that nothing in this MOU shall compel or be interpreted so as to compel any of the parties to provide more resources than those available, without a written amendment to this MOU. V. MISCELLANEOUS This MOU will not be construed to create any partnership, joint venture or other similar relationship between the parties, nor shall either party enter into obligations or commitments on behalf of the other party. The construction, validity, performance, and effect of this MOU will be governed by the laws of the State of Texas. This MOU may be executed in any number of counterparts, including facsimile or scanned/emailed PDF documents. Each such counterpart, facsimile, or scanned/emailed PDF document shall be deemed an original instrument, all of which, together, shall constitute one and the same executed MOU. Texas A&M AgriLife Extension Service Printed Name: Alan Kurk Title: AgriLife IT Director Date: COUNTY By: A4d4 q W-�- Printed Name: {ca Title: C ou to / d Date:�� Memorandum of Understanding between Texas A&M AgriLife Extension Service and Calhoun County Pertaining to Information Technology Services This MOU is between Texas A&M AgriLife Extension Service ("Extension") and Calhoun County ("County") and is intended to clarify the parties' responsibilities for information technology service and support (collectively "IT Services") at the Calhoun County AgriLife Extension Office ("County Extension Office"). Extension provides quality, relevant outreach and continuing educational programs and services to the people 'residing in County and educates County residents in the areas of agriculture, environmental stewardship, youth and adult life skills, human capital and leadership, and community economic development. County desires that Extension maintains a County Extension Office to conduct beneficial outreach and education for its residents; therefore, the County provides space for the County Extension Office within County owned premises. Office: The parties agree as set forth below with regard to IT Services at the County Extension TERM The term of this MOU is two years beginning on September 1, 2016 and ending on August 31, 2018. The term of this MOU may be extended by written agreement of the parties. This MOU maybe terminated by either party without cause, upon fifteen (1 S) days' prior written notice to the other party. II. OBJECTIVE The purpose of this MOU is to document the parties' understanding and responsibilities with regard to IT Services at the County Extension Office. III. PARTIES' AGREEMENTS A. FACILITY The County will ensure facilities provided to and occupied by the County Extension Office are equipped with data communications wiring that adhere to County's information technology standards. B. ACCESS 1. Logical —Network and Imemet Access County provides the County Extension Office with full Internet access. This access includes electronic mail service ("email") to the Extension provided email. In addition, agents and staff in the County Extension Office may also have County emailservice if needed. Extension understands that Internet access is in accordance with County operations standards. 2. Cost associated with Internet service County provides Internet service at no additional cost to Extension. 3. Physical (communications closets or server facility) Texas Administrative Code (Chapter 202 B 202,26) requires communications closets and equipment be physically secure. In situations where Extension owns or supplies network components, County will ensure Extension has access to allow for trouble shooting and restarting network equipment. County can require an access log be maintained to monitor Extension access. C. COMPUTER HARDWARE (includes printers, scanners, projectors) 1. Initial Purchase and Conti uration: The County Extension Office can obtain computers through three channels. These include: Extension, County, or third party purchase as clarified below. Extension can provide computer systems through a standardized "Cost Share" program. This voluntary program includes initial setup and delivery of newly purchased systems. County is granted permission to configure the systems for access to County applications and standards, provided such access does not inhibit productivity. County can provide computer systems to the County Extension Office including initial setup and delivery. In this instance, computers must include configurations and standard software listed below under "Extension Standard Software Requirements." If a third party provides a computer, or a personal computer is used on the office network, it is expected these computers will meet both Extension and County security configuration standards. 2. Special Configuration Items Administrative level accounts will be maintained on all computer systems to allow either County or Extension to troubleshoot problems. List any computers that Are an exception to the general MOU in this section; 3. General Hardware Su000rt: Extension will facilitate trouble -shooting computer hardware and peripheral devices and take corrective actions in accordance with operation standards. Extension will contact County IT when needed to ensure IT operation standards are met. Extension will install software applications for remote support. AgriLife County Office staff will contact their Extension Regional IT Specialist or the First Call Help desk operation for support. Expected Minimum Workstation management L Microsoft Windows and Office patches maintained as current. ii. Adobe Acrobat patches maintained as current. iii. Chrome, Firefox, Flash and Java maintained as current when present. iv. Anti -Virus ! Anti-Malware application installed; active and maintained as current. 4. Registration of computer workstatio s:s: Where AgriLife IT is the primary support provider all computer systems in the AgriLife County Office will be registered for support. This registration includes collecting basic inventory information and installing software applications necessary for remote support on all computers in the office. S. Warranty and Maintenance Costs: a. Computer systems provided by Extension are provided with an extended parts and service warranty (normally 3 years) through state vendor purchasing contracts. These computer systems will be maintained by AgriLife IT for warranties, parts, and cost and third -.party maintenance if used per normal operation standards. b. Computer systems provided by County will be maintained by County for warranties, parts, and cost and third -party maintenance if used per normal County operation standards. c. Computers purchased by a third party or personal computers are neither Extension or County responsibility with regard to warranty, parts, costs or maintenance. 6. Ownership: Computer systems provided by Extension are the property of Extension. These systems will remain in the County Extension Office for its useful life or until determined obsolete. At that time, the County has the following three options: i. Return equipment to the property office of Extension for appropriate disposal. ii. Arrange with Extension for transfer of equipment to County. iic .Equipment may: be donated to local charitable organizations in. coordination with the Extension property office. Computers provided by County are property of County and ownership will be maintained according to County operational standards. Computers provided by a third party or a personal computer, unless formally transferred to Extension or County, will remain with that party's ownership. D. COMPUTER SOFTWARE Extension will facilitate trouble -shooting of computer software, lssuep outside of Extension scope of expertise will be referred to County IT. County Extension Office staff will contact their Extension Regional IT Specialist or the First Call Help desk operation for support. E. ANTI -VIRUS AND SECURITY INCIDENCE REPORTING Texas Administrative Code (Chapter 202 B 202.26) requires state agencies to report significant security incidences through the State Department of Information Resources (DIR). Extension provides centrally managed and monitored Anti -Virus and Anti-Maiware protection. All monitoring and incidence logging is centrally managed and state required reporting is maintained by the AgriLife Information Security Officer. County has no responsibility. 1V. FINANCIAL PROVISIONti There will be no exchange of funds or other resources among the parties that effectively alter the set contribution of each party in the context of this MOU. Specifically, each party will be responsible for its own costs in connection with all matters relating to any work and collaborations performed under this MOU, Except as may be provided for in Section III.B. above, or in a separate written agreement between the parties, or an amendment to this MOU, there will be no exchange of funds or other resources among the parties. The parties agree that nothing in this MOU shall compel or be interpreted so as to compel any of the parties to provide more resources than those available, without a written amendment to this MOU. V. MISCELLANEOUS This MOU will not be construed to create any partnership, joint venture or other similar relationship between the parties, nor shall either party enter into obligations or commitments on behalf of the other party. The construction, validity, performance, and effect of this MOU will be governed by the laws of the State of Texas. This MOU may be executed in any number of counterparts, including facsimile or scanned/emailed PDF documents. Each such counterpart, facsimile, or scanned/emailed PDF document shall be deemed an original instrument, all of which, together; shall constitute one and the same executed MOU. Texas A&7/e:A ife Extension S rvfoe Printed a K urk Title: AgriLife IT Director Date: OCT 2 4 20W COUNTY Primed N GAdrl Pfcs P Title: e ort N P1 midst Date: rly _ 1) ` ��:� Consider and Take Necessary Action on adoption of Calhoun County Indigent Care Application and Fraud Polity & Procedures and authorize County Judge to sign. (MP) Motion made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 19 of 52 Susan Riley From: Cristy Tuazon<crislina.tuazon@calhouncotx.org> Sent: Friday, October 07, 2016 8:14 AM To: mike pfeifer; susan.riley@calhouncotx.org Subject: Revised CCPolicy and Procedure; MMC Proposed Financial Assistance Attachments: CalColndigent PolicyProcedure.docx; MMC Proposed Financial Assistance Policy.docx Good Morning. Please let me know your thoughts on MMC Proposed Financial Assistance Policy, On Cal Co Indigent Policy and Procedure, Jerry requested to increase ER copay to $20.00 Thank you and have a wonderful day. eMA&a0we Jim eada" &aww 7exad 361553 4615 CALHOUN COUNTY INDIGENT HEALTH CARE PROGRAM 815 N. Virginia St., Port Lavaca, Texas 77979 (361) 552-0340 Calhoun County Indigent Health Care Program Approved by Commissioner's Court October 17, 2016 Policy & Procedure Purpose: Calhoun County will cover Basic Indigent Health Care Services, including local Physician services, In -Patient, Out -Patient & Emergency Room services provided only at Memorial Medical Center for its eligible Indigent residents up to the County's defined financial capacity. Policy: Coverage for Indigent patients consists of the listed Basic County Indigent Health Care Program (CIHCP) services as stated in the Indigent Handbook; limited to local Physician Services, Prescription Coverage with dollar amount cap and hi -Patient, Out -Patient & Emergency Room services provided at Memorial Medical Center only. Memorial Medical Center has the responsibility for coordinating the management of the Indigent Care Program up to the County's defined financial capacity. Application Processing To provide the application for the County Indigent Health Care Program to the applicant with instructions for completion. Requesting an application- Residents of Calhoun County may request an Indigent Application from the Indigent Care office Monday through Friday during normal business hours. The application can be mailed to the resident or can be given to them in person. Applications may also be given by the Emergency Room department after hours. Applicant Responsibilities The applicant is responsible for filling out the application in its entirety and providing the Indigent office with all documents needed. By signing the Indigent application the applicant swears to the truth of the information supplied. All requirements set by Calhoun Indigent Care must be provided before the applicant can be determined eligible. Intentional Misrepresentation Persons who intentionally misrepresent information to receive assistance to which they are not entitled are responsible for reimbursing the County for the cost of assistance they were ineligible for and may be subject to appear at a Fraud Hearing held by the County or subject to prosecution under the Texas Penal Code. IIPage Accepting an Indigent Application An Indigent application will be accepted only if it is complete. A complete application includes: *Application for Health Care Assistance, Form 100, and *The applicant's full name and address both mailing and physical *The applicant's social security number (if no Social Security # must be here under a sponsor) *Names of all other household members and their relationship to the applicant *The applicant's county of residence — (must prove to be Calhoun County resident by providing current ID/DL or current utility bill) *The type and value of the applicant(s) household's resources, *The applicant's household's monthly gross income, *Information about any health care assistance that household members may receive *Proof of Medical coverage of all household members *Proof of Food Stamp Benefits for the household *Proof of Registration with the Texas Workforce Commission *Women Only- if between the ages of 18-44- must apply for the Women's Health Program through Medicaid & provide proof of eligibility *If applicable the applicant may be referred to apply with the DARS (Department of Assistive & Rehabilitative Services) Program to check for eligibility and provide approval/denial *Apply for the Prescription Assistance Program through Memorial Medical Center & cooperate with paperwork *The applicant's/spouse's signature with the date the Form 100 is signed, and *All other required information, such as verifications. Eligibility Determination Purpose: To establish parameters to determine eligibility, place responsibility for reporting changes, review eligibility and the right to appeal. Interviews Eligibility may be determined with an interview with the applicant. The interview shall be face to face. Allowable Processing Time to Determine Eligibility Determine if the applicant is eligible or ineligible within 14 days after the application completion date. A decision must be made by the 141h day, a notice of approval or denial sent by mail or given in person. Determining Eligibility Determining eligibility by deciding whether or not the household applying meets the requirements of the program which include: Calhoun County Residence, Household Income & Resources. 21Pa�-c Completing the Application Process Verify all questionable information Document information used to determine eligibility If household is eligible then provide Form 109, Notice of Eligibility. This explains the date the eligibility began and the services the household is entitled to receive and the right to appeal. Exception, Form 109 is not necessary if eligibility is continued after a case review. If the household is in -eligible then provide Form 117, Notice of Ineligibility, which tells the household the reason for denial and the right to appeal. When eligibility begins An approved household is entitled to services beginning on the earliest date in which the household met ALL eligibility factors and had unpaid medical bills for covered services in: the month of the application Changes Reporting Requirements - Households must report changes that affect eligibility, including: Income Household Ownership of property Available cash, stocks, bonds or money in the bank such as Savings/Checking Accounts Residence Address New employment Health Insurance Coverage Receipt of any lump sum payments or settlements State Assistance Changes may be reported in writing by mail, verbally by telephone or in person. Households must report a change within 14 days. Failure to timely report changes may result in immediate eligibility termination from the Indigent Program and repayment of any assistance inappropriately received during the period affected by the change in information. Action on Changes Give the household at least 14 days fiom the date a change is submitted to provide proof of a reported change, unless the household agrees to a shorter time. Determine if the change will affect the household and document the change and the date it was reported. If the change results in a denial, send out Form 117 to the household. Denial Effective Date Denials are effective as follows: If the household does not report the change within 14 days then the denial is effective the date the change occurred. If the household reports the change within 14 days then the denial is effective the date Form 117 is sent to the household. If the household fails to report a change and the Indigent office knows of the change then there will be a penalty applied to the household's application depending on the type of change. 3 1 P a g e Notification and Appeals Right to Appeal Households have the right to appeal an eligibility denial. Right to Notification- Households are entitled to notification if eligibility is denied unless the household's location is unknown. Send the household Form 117, Notice of Ineligibility that includes information about appeals. Services Received Pending Appeal- If the household is determined eligible after the appeals process the county must then pay for medical services the household received during the pending period. 90- Day Time Frames- Households have the right to appeal within 90 days from the effective date of the denial action. The request may be oral or written. Explaining Appeal Procedures- If the household does not clearly understand English, ensure, that if it is possible the appeal procedures can be explained in a language the household understands. Guideline for Processing Appeals- The following procedures may be used for processing appeals. Eligibility Staff- Within 5 days after a household requests an appeal, send the following information to the county hearing authority: Appeal fi•om the household Form 100 and Form 101 All other material related to the point at issue A brief summary of the point at issue (evidence, actions taken, handbook references, &/or relevant dates) County Hearing Authority- Make a decision within 30 days and send all proper notification to the household and to the Eligibility Staff to notify of the decision. Eligibility Staff- Follow the hearing authority's instruction within 14 days of receiving the notification. Fraud Policy Definition Fraud is the deliberate misrepresentation of a material fact for the purpose of acquiring benefits one is not entitled to. Procedure When the Indigent Care staff has reason to believe that fraud may have occurred the following procedure is to take place: The IHC Coordinator shall investigate ALL cases suspected of fraud and is to collect and document all evidence. Upon a finding of fraud, the client shall be administratively ineligible from IHC as follows: First Offense 24 months from the date the fraud was discovered Second Offense No longer eligible to apply with Calhoun Indigent Care 41Pagc IHC Coordinator shall contact the client who is suspected of fraud by sending a certified letter informing the client of the withdrawal of eligibility and explaining the allegations. If the client disputes the allegations the client will be allowed to submit applicable supporting documents/verifications for further consideration. If the dispute remains unresolved, IHC Staff shall schedule an administrative hearing to allow the client to defend themselves by confronting any adverse witness by presenting his own argument and evidence. The IT -IC Staff must disclose any evidence used to prove its case to the client so that the client has an opportunity to dispute it. The client shall be given 10 business days written notice of the date of the administrative hearing. If the client does not appear at the hearing, the IHC Coordinator may still present all evidence and documentation of the case. A decision must be made within 14 business days of the hearing. Consequence of Fraud- If, after due process, a person is found to have intentionally misrepresented information in order to receive benefits, he/she: Shall reimburse Calhoun County for the cost of benefits they were ineligible to receive Shall be ineligible for Calhoun NC Assistance in accordance with the Calhoun County Policy & Procedure guidelines May be subject to prosecution under the Texas Penal Code Reviews Re -determining Eligibility- Re -determine a household's continuing eligibility for County Indigent Care assistance every month by sending out a Monthly Report each month with a due date. Household Responsibilities- Household's must cooperate with the review process. A household's failure to cooperate is a basis for denial. Review Procedures- At the end of each month a Monthly Report is to be mailed to each household. The household may return the Report by mail or in person. Review the Report for: Completion of all questions Changes in the household Any questionable information that needs verification Change in Eligibility (including change in income, residency, etc.) Assist the household in completing the Report or with getting the required verification needed. A household that does not cooperate in getting the necessary verifications by a reasonable date may be denied. Make any necessary changes, documenting in IHS (Indigent Healthcare Solutions) Client Management Notes &/or Clients file in Memorial Medical Center's system. Payment and Provisions of Services Purpose: To establish guidelines for provision of services and payment to Providers. 5 1 P a g e Emergency Situation- Indigent Patient will register at the Memorial Medical Center Emergency Room and be treated by Emergency Room Physician on staff. Calhoun County Indigent Program will not be responsible for any out of County visits to other emergency facilities. Covered Services Calhoun County will only covet the Basic CIHCP Services Primary and preventative services, including one annual physical examination, including Immunizations and Medical screening services Inpatient hospital services Outpatient hospital services, including Emergency Room Services Local Rural health clinics Laboratory and x-ray services Family planning services Local Physician services Payment for not more than three prescription drugs per month Coverage Limitations include: • Only local Physician services upon payment of a $10.00 cc -pay for each appointment • Prescriptions up to 3 per month, not to exceed $30.00 in total prescriptions per month per participant • Inpatient and outpatient services performed at Memorial Medical Center only • Annual exams to include yearly immunizations and medical screenings • Emergency Room visits at Memorial Medical center upon payment of a $10.00 co -pay for each visit Unfunded Indigent Services If funds are exhausted each month the following will apply Medical Vouchers will not be issued for Physician appointments Emergency Room services is still available with the $20 co -pay at the time of service All Routine Lab services will require a $50 payment at the time of service All orders for Routine Radiology will require a $75 payment at the time of service All orders for Surgery will require a $150 payment at the time of service Not Covered Any medical service NOT listed above. 61Page Requirements of Calhoun Indigent Care All applicants must: Register with the local Texas Workforce office if applicable & provide proof of registration Women Only -if between the ages of 18-44- Must apply for the Women's Health Program through Medicaid & provide proof of eligibility Apply for Food Stamp Benefits & provide Approval/Denial Apply for the Prescription Assistance Program through Memorial Medical Center & cooperate with paperwork If applicable the applicant may be referred to apply with the DARS (Department of Assistive and Rehabilitative Services) Program to check for eligibility and provide Approval/Denial Must successfully complete and pass a Drug Screen at Memorial Medical Center Laboratory within the required time frame & further random testing while on the Indigent Program Penalties on Calhoun County Requirements - Failure to comply with registering/applying for all of the Requirements listed for Calhoun Indigent Care in a timely manner will result in an incomplete Indigent Application and will be denied. Failure to pass a mandatory drug screen prior to eligibility shall make the applicant ineligible for assistance as follows: First offense- Ineligible for 6 months from date of the drug screen Second offense- Ineligible for 12 months from date of drug screen and subsequent failures 7 1 P a g e POLICIES PROCEDURES DEPARTMENT OF PATIENT FINANCIAL SVCS. MEMORIAL MEDICAL CENTER EFFECTIVE: REVISED: REVIEWED: PORT LAVACA, TEXAS APPROVED BY: POLICY NAME: Financial Assistance PURPOSE: Patients who do not qualify for indigent health care assistance under the State of Texas' County Indigent Health Care Program (CIHP) may qualify for discounted care at Memorial Medical Center (MMC). To qualify, the patient must be determined to be financially or medically indigent as defined below. Only services provided directly by Memorial Medical Center and its clinics are covered by this policy. POLICY: Discounted care is provided to income eligible patients or guarantors who meet the poverty guidelines issued by the U.S. Department of Health and Human Services and who currently receive care at Memorial Medical Center. MMC Financial Assistance is for hospital services only and does not apply to services provided by independent physicians or other service providers. MMC Financial Assistance will be provided to all patients who present themselves for care at Memorial Medical Center without regard to race, creed, color, or national origin and who are classified as financially indigent or medically indigent according to the hospital's eligibility system. DEFINITIONS: Financially indigent patient: An uninsured or underinsured person who is accepted for care with no obligation or discounted obligation to pay for the services rendered based on the hospital's eligibility system. A person whose income is above 200% of the federal poverty guidelines may not be designated as financially indigent. Medically Indigent Patient: A person who's medical or hospital bills exceed a specified percentage of the patient's annual gross income determined in accordance with the hospital's eligibility system and the person is financially unable to pay the remaining bill. Medically Indigent Insured Patient: A person whose medical expenses, after payment by all third party insurance exceeds forty percent (40%) of their annual income as evidence by a completed Financial Assistance application. This percentage may be adjusted periodically by the hospital CEO. Special Provision for Medicaid/CIHCP Beneficiaries: All current Medicaid beneficiaries and Calhoun County Indigent Health Care Program (CIHCP) clients are deemed medically indigent for purposes of this policy. This provision may apply, at the discretion of the senior team, to services not covered by Texas Medicaid or CIHCP. Unfunded Indigent Client: CIHCP clients who have exceeded the County's individual limit for the current year will be treated as medically indigent until the beginning of the next program year. If the County exceeds its annual budget during the current year, all CIHCP clients will be treated as medically indigent until the beginning of the County's next budget year. Requirements for participation in the program are not waived during this time. Specific copay amounts apply to Unfunded Indigent Clients. Page 1 PROCEDURE: To be considered for participation in MMC's Financial Assistance program, a patient must meet at least one of the following criteria: A. The patient must not have any third -party insurance of the services required are not covered by the patient's third party payer. B. The patient does not meet the eligibility requirements for Texas Medicaid. C. The patient is not eligible for the County Indigent Health Care Program. � D. The patient is a resident of Calhoun County or has a bona fide emergency visit and/or inpatient admission E. The patient is not eligible for insurance coverage under an employer -provided group health program and has not obtained coverage through an insurance exchange. 2. The applicant must provide all of the following to initiate the process. A. Completed application B. Proof of year to date income C. Copy of the most recent tax return D. Medicaid denial letter if applicable E. Medicaid spend down verification if applicable F. Proof of residency in Calhoun county — ex. Utility bill, Texas driver's license 3. The U.S. Department of Health and Human Services Federal Poverty Guidelines (FPG) that provide the poverty income guideline level and size of family unit are utilized in determining eligibility. The hospital eligibility sliding scale will not exceed 200% of the federal poverty guidelines. Current levels of discount and patient liability (subject to copayment requirements) are: Family Income as a % of FPG Up to 100% of FPG Over 100% of FPG Discount 95% off of billed charges Sliding Scale per Attachment B Patients whose income exceeds 200% of the Federal Poverty Guidelines are not eligible for Financial Assistance under this policy unless qualified under the medically indigent guideline. The hospital sliding scale will be adjusted annually at the time the Federal Poverty Guidelines are released, and the amount of discount will be reviewed and approved by the hospital's Board of Directors. 4. All applications must contain all the documentation necessary to verify family size and income. Falsification of data by the patient will be grounds for the rejection of the application and immediate collection activity on all unpaid balances will be initiated. 5. Applications are approved for a three (3) month time period. Subsequent hospital dates of service and accounts will require a new application. 6. Approval periods may include service dates retroactive three (3) months prior to application unless a longer period is approved by the hospital's CEO/CFO. 7. MMC staff will screen patient for other appropriate financial health care resources prior to the financial application process. The financial screening outcome and account updates are entered into the account by hospital staff. Page 2 All applications are reviewed by the Patient Financial Services Director for accurate and complete information. The patient will be notified in writing as to the disposition of the application. Copayment amounts A. Financial Assistance patients will pay the lesser of the Private Pay price for elective services or the copayment amount listed below: i. All Memorial Medical Clinics ii. Emergency Room Visits iii. Laboratory tests iv. X-ray, Ultrasound, Mammogram v. MR[ & CT Scans vi. Surgery (non -emergency) $10.00 $50.00 $50.00/visit $75.00/procedure $100.00/procedure $150.00/procedure B. Unfunded Indigent Clients, as defined above will pay the lesser of the Private Pay price for elective services or the copayment amount listed below: i. All Memorial Medical Clinics ii. Emergency Room Visits iii. Laboratory tests iv. X-ray, Ultrasound, Mammogram v. MRI & CT Scans vi. Surgery (non -emergency) $10.00 $20.00 $50.00/visit $75.00/procedure $100.00/procedure $150.00/procedure C. All copayment amounts are due and collectible before services are rendered. D. Copayments may be waived by the Patient Financial Services Director if the services are ordered as "Stat" by the physician ordering the service. The percentage of "Star" orders to total orders fox each physician will be reviewed periodically by hospital personnel. E. Certain procedures may be exempted from the copayment requirement at the discretion of the hospital's senior team. Memorial Medical Center shall always be the payer of last resort and is secondary to all other financial resources available to the patient, including group or individual medical plans, workers' compensation, Medicare, Medicaid or medical assistance programs, other state, federal, or military programs, third party liability situations (e.g., auto accidents or personal injuries), or any other situation in which another person or entity may have a legal responsibility to pay for the costs of medical services. Page 3 °N' T Verifier ID: V—Date: Outcome: A U# UO RD: WSV BWE: c c L a t rn L toto t Z a Z v L Z Z Z y+ S K O 2 Q O 2 Q O 2 Q19 O S b Q O I H I 1 1 w I I 1 I I I h I I I ti I I q YO N YO YO O L W m W m m W O .9 jg C C Vc K o T � LL C T I K N T tKp c N T I N 6i W IL W RI W H Q] W lL GI W LL O'] W LL a I I 1 a I I I a I I I d 1 I I a 1 I I ci C d d N O as a N V.- F> i d O Ca d 02 H Y 0. :' N 0 W ak ae a ae a G (D W o N t _¢ N + t FZi + t Za 9 d 9 E 9 16 W y U Z E i d E i o1Oi E o E v r m 2 Q (U Q Z Q U Q Z Q U Q Z Q U Q Z Q <J Q fL.1 o c A e d W L y � u 0 N 3E 0 p U N U .0 E a y Y a Q « Q W Q to ' Q Q Q Y d d y pWj 0 Q pW, Y O T v � p � F- F- ;n. Cl Y 0 Consider and Take Necessary Action on Location Agreement with Good Eats Vending LLC (Charli Donoghue) and authorize County Judge to sign. (MP) Motion made by Commissioner Fritsch and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 20 of 52 Location Agreement Date 8/1/2016 The parties to this agreement are: Calhoun County Everett Wood, Maintenance Supervisor Port Lavaca, TX 361-553-4499 Email: Everett.wood@calhouncotx.org And: Good Eats Vending LLC Charli Donoghue 303 N. William St. Victoria, TX 77901 361-485-0471 Terms and Conditions: 1. Location hereby agrees to allow placement of a Good Eats Vending Snack and Drink Machine on the business premises. 2. It is mutually agreed that the machine shall remain at the said Location as long as it is satisfactory for both parties. 3. This agreement may be terminated by either party at any time, upon reasonable notice (30 days). 4. The location is not to be held responsible for any losses due to fire, Theft, vandalism, etc. S. Good Eats Vending LLC agrees to service the machine on a regular Basis and to provide all maintenance and repairs needed. 6. Good Eats Vending LLC will agree to pay 5% gross profit if the machine makes up to $500 sales per month and 10% thereafter. Locations Signature Location Authorized Location Contact Pe Affiliate Signature -- Time zone: (GMT-06:00) Central Standard Time (America/Chicago) Customer Vending Realtime Sales Report Filters From 08/01/2016 to 08/31/2016 For Customers (Calhoun County Courthouse) For Branches (Good Eats Vending LLC - Charlotte Donoghue) 267160 Solo V Calhoun County Courthouse 110 110 $136.75 $136.75 C 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: 2016-110475 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Good Eats Vending LLC Victoria, TX United States Date Filed: 09/12/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Courthouse Date Acknowledged: 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 services, goods, or other property to be provided under the contract. 32060416792 Healthy Vending of Drinks & Snacks 4 Name of Interested Party City,State, Country (Place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT 1 swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. KASSIDY HUTDON f Notary Public, StateMy Commission Py f p MARCH 21, 2': i y- � Signature of authorized agent of contracting`f)usiness entity AFFIX NOTARY STAMP f SEAL ABOVE � Sworn to and subscribed before me, by the said l� �' � e ' �-,t-, this the F day of {' t 20—U-0— to certify which, witness my hand and seal of office. u VSSi CJS� Si nature of o1ficgr 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 V1.0.277 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: 2016-110475 Date Filed: 09/12/2016 Date Acknowledged: 11/16/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Good Eats Vending LLC Victoria, 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 Courthouse 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 services, goods, or other property to be provided under the contract. 32060416792 Healthy Vending of Drinks & Snacks 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. ❑ 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.u.0 r Location Agreement Date 8(27f15 The parties to this Agreement are: Calhoun County t11 S. Ann St., Everett Wood, Maintenance Supervisor Phone: 361-553-4499 Email: Everett.wood@acalhouncotx.org And Wealthier 4 U Vending Affiliate Terms and Conditions: 1. Wcation herby agrees to allow placement of a Healthier 4 U Snack and Drink Machine on the business premises. 2, It is mutually agreed that the machine shall remain at the said location as long as it is satisfactory to both parties 3. This Agreement may be terminated by either party at any time, upon reasonable notice (30 days). 4. The location is not to be held responsible for any losses due to fire, theft, vandalism etc. S. Service representative agrees to service the machine on a regular basis, and to provide all maintenance and repairs needed. 6. Service representative will agree to pay 5% gross profit if the machine makes up to $500 sales per month,10% if over $500 to $1,000, 15% If over $1,000, or if over $2,000, 20% of gross profit to your location. Locations Signature Location Authorized by Michael J. Pfeifer, Calhoun County Judge Location Contact Person Everett Wood, Maintenance Affiliate Signature v L Cod.. t i m mnrtv�cz,� y-� Canrpct AJtllfote for machine related issues or requests. H4U Fax # : 800-685-0592 4 Time zone: (GMT-06:00) Central Standard Time (America/Chicago) Customer Vending Realtime Sales Report Filters From 08/01/2016 to 08/31/2016 For Customers (Calhoun County Courthouse) For Branches (Good Eats Vending LLC - Charlotte Donoghue) 267160Solo V Calhoun County Courthouse 110i $136.75 110 $136.75 Consider and Take Necessary Action on Texas Department of Transportation Grant for Routine Airport maintenance Program (TxDOT Project No. M1713PTLA) and authorize all appropriate signatures. (VL) Motion made by Commissioner Lyssy and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 21 of 52 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 September 19, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: a (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for October 13, 2016. • Consider and take necessary action regarding Texas Department of Transportation Grant for Routine Airport Maintenance Program (TxDOT Project No. M1713PTLA) and authorize all appropriate signatures. Sincere , Vern Lyssy VL/Ij PORTLAVACA- CALHOUN COUNTY RAMP Grant Form Airport Project ID Sponsor(s) Attachment A - Scope of Services General Maintenance Scope of Services for Special Projects Agreement Sponsor Signed Copy Executed Agreement Miscellaneous Documentation RAMP M1713PTLA PORTLAVACA- CALHOUN COUNTY M16M1713PTLA County of Calhoun $30,000.00 $15,000.00 $15,000.00 TOTAL $30,000.00 $15,000.00 $15,000.00 09/19/2016 TEXAS DEPARTMENT OF TRANSPORTATION GRANT FOR ROUTINE AIRPORT MAINTENANCE PROGRAM (State Assisted Airport Routine Maintenance) TxDOT Project ID: M1713PTLA Part I - Identification of the Project TO: The County of Calhoun, Texas FROM: The State of Texas, acting through the Texas Department of Transportation This Grant is made between the Texas Department of Transportation, (hereinafter referred to as the "State"), on behalf of the State of Texas, and the County of Calhoun, Texas, (hereinafter referred to as the "Sponsor"). This Grant Agreement is entered into between the State and the Sponsor shown above, under the authority granted and in compliance with the provisions of the Transportation Code Chapter 21. Airport. The project is for airport maintenance at the PORT LAVACA - CALHOUN COUNTY Part II - Offer of Financial Assistance 1. For the purposes of this Grant, the annual routine maintenance project cost, Amount A, is estimated as found on Attachment A, Scope of Services, attached hereto and made a part of this grant agreement. State financial assistance granted will be used solely and exclusively for airport maintenance and other incidental items as approved by the State. Actual work to be performed under this agreement is found on Attachment A, Scope of Services. State finacial assistance, Amount B, will be for fifty percent (50%) of the eligible project costs for this project or $50,000.00, whichever is less, per fiscal year and subject to availability of state appropriations. Scope of Services, Attachment A, of this Grant, may be amended, subject to availability of state funds, to include additional approved airport maintenance work. Scope amendments require submittal of an Amended Scope of Services, Attachment A. Services will not be accomplished by the State until receipt of Sponsor's share of project costs. 9/19/2016 Page 1 of 12 Only work items as described in Attachment A, Scope of Services of this Grant are reimbursable under this grant. Work shall be accomplished by August 31, 2017, unless otherwise approved by the State. 2. The State shall determine fair and eligible project costs for work scope. Sponsor's share of estimated project costs, Amount C, shall be as found on Attachment A and any amendments. It is mutually understood and agreed that if, during the term of this agreement, the State determines that there is an overrun in the estimated annual routine maintenance costs, the State may increase the grant to cover the amount of the overrun within the above stated percentages and subject to the maximum amount of state funding. The State will not authorize expenditures in excess of the dollar amounts identified in this Agreement and any amendments, without the consent of the Sponsor. 3. Sponsor, by accepting this Grant certifies and, upon request, shall furnish proof to the State that it has sufficient funds to meet its share of the costs. The Sponsor grants to the State the right to audit any books and records of the Sponsor to verify expended funds. Upon execution of this Agreement and written demand by the State, the Sponsor's financial obligation (Amount C) shall be due in cash and payable in full to the State. State may request the Sponsor's financial obligation in partial payments. Should the Sponsor fail to pay their obligation, either in whole or in part, within 30 days of written demand, the State may exercise its rights under Paragraph V-3. Likewise, should the State be unwilling or unable to pay its obligation in a timely manner, the failure to pay shall be considered a breach and the Sponsor may exercise any rights and remedies it has at law or equity. The State shall reimburse or credit the Sponsor, at the financial closure of the project, any excess funds provided by the Sponsor which exceed Sponsor's share (Amount Q. 4. The Sponsor specifically agrees that it shall pay any project costs which exceed the amount of financial participation agreed to by the State. It is further agreed that the Sponsor will reimburse the State for any payment or payments made by the State which are in excess of the percentage of financial assistance (Amount B) as stated in Paragraph II-l. 9/19/2016 Page 2 of 12 5. Scope of Services may be accomplished by State contracts or through local contracts of the Sponsor as determined appropriate by the State. All locally contracted work must be approved by the State for scope and reasonable cost. Reimbursement requests for locally contracted work shall be submitted on forms provided by the State and shall include copies of the invoices for materials or services. Payment shall be made for no more than 50% of allowable charges. The State will not participate in funding for force account work conducted by the Sponsor. 6. This Grant shall terminate upon completion of the scope of services. Part III - Sponsor Responsibilties 1. In accepting this Grant, if applicable, the Sponsor guarantees that: a. it will, in the operation of the facility, comply with all applicable state and federal laws, rules, regulations, procedures, covenants and assurances required by the State in connection with this Grant; and b. the Airport or navigational facility which is the subject of this Grant shall be controlled by the Sponsor for a period of at least 20 years; and C. consistent with safety and security requirements, it shall make the airport or air navigational facility available to all types, kinds and classes of aeronautical use without discrimination between such types, kinds and classes and shall provde adequate public access during the period of this Grant; and d. it shall not grant or permit anyone to exercise an exclusive right for the conduct of aeronautical actvity on or about an airport landing area. Aeronautical activities include, but are not limited to scheduled airline flights,_ charter flights, flight instruction, aircraft sales, rental and repair, sale of aviation petroleum products and aerial applications. The landing area consists of runways or landing strips, taxiways, parking aprons, roads, airport lighting and navigational aids; and e. it shall not enter into any agreement nor permit any aircraft to gain direct ground access to the sponsor's airport from private property adjacent to or in the immediate area of the airport. Further, Sponsor shall not allow aircraft direct ground access to private property. Sponsor shall be subject to this prohibition, commonly known as a "through -the -fence operation," unless an exception is granted in writing by the State due to extreme circumstances; and 9/19/2016 Page 3 of 12 f. it shall not permit non -aeronautical use of airport facilities without prior approval of the State; and g. the Sponsor shall submit to the State annual statements of airport revenues and expenses when requested; and h. all fees collected for the use of the airport shall be reasonable and nondiscriminatory. The proceeds from such fees shall be used solely for the development, operation and maintenance of the airport or navigational facility; and i. an Airport Fund shall be established by resolution, order or ordinance in the treasury of the Sponsor, or evidence of the prior creation of an existing airport fund or properly executed copy of the resolution, order, or ordinance creating such a fund, shall be submitted to the State. The fund may be an account as part of another fund, but must be accounted for in shuch a manner that all revenues, expenses, retained earnings, and balances in the account are discernible from other types of moneys identified in the fund as a whole. All fees, charges, rents, and money from any source derived from airport operations must be deposited in the Airport Fund and shall not be diverted to the general revenue fund or an other revenue fund of the Sponsor. All expenditures from teh Airport Fund shall be solely for airport purposes. Sponsor shall be ineligible for a subsequent grant or loan by the State unless, prior to such subsequent grant or loan, Sponsor has complied with the requirements of this subparagraph; and the Sponsor shall operate runway lighting at least at low intensity from sunset to sunrise; and k. insofar as it is reasonable and within its power, Sponsor shall adopt and enforce zoning regulations to restrict the height of structures and use of land adjacent to or in the immediate vicinity of the airport to heights and activities compatible with normal airport operations as provided in Tex. Loc. Govt. Code Ann. Sections 241.001 or seq. (Vernon and Vernon Supp.). Sponsor shall also acquire and retain aviation easements or other property interests in or rights to use of land or airspace, unless sponsor can show that acquisition and retention of such interest will be impractical or will result in undue hardship to Sponsor. Sponsor shall be ineligible for a subsequent grant or loan by the State unless Sponsor has, prior to subsequent approval of a grant or loan, adopted and passed an airport hazard zoning ordinance or order approved by the State. 1. mowing services will not be eligible for state financial assistance. Sponsor will be responsible for 100% of any mowing services. 9/19/2016 Page 4 of 12 2. The Sponsor, to the extent of its legal authority to do so, shall save harmless the State, the State's agents, employees or contractors from all claims and liability due to activities of the Sponsor, the Sponsor's agents or employees performed under this agreement. The Sponsor, to the extent of its legal authority to do so, shall also save harmless the State, the State's agents, employees or contractors from any and all expenses, including attorney fees which might be incuired by the State in litigation or otherwise resisting claim or liabilities which might be imposed on the State as the result of those activities by the Sponsor, the Sponsor's agents or employees. 3. The Sponsor's acceptance of this Offer and ratification and adoption of this Grant shall be evidenced by execution of this Grant by the Sponsor. The Grant shall comprise a contract, constituting the obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the project and the operation and maintenance of the airport. If it becomes unreasonable or impractical to complete the project, the State may void this agreemetn and release the Sponsor from any further obligation of project costs. 4. Upon entering into this Grant, Sponsor agrees to name an individual, as the Sponsor's Authorized Representative, who shall be the State's contact with regard to this project. The Representative shall receive all correspondence and documents associated with this grant and shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor, and coordinate schedule for work items as required. 5. By the acceptance of grant funds for the maintenance of eligible airport buildings, the Sponsor certifies that the buildings are owned by the Sponsor. The buildings may be leased but if the lease agreement specifies that the lessee is responsible for the upkeep and repairs of the building no state funds shall be used for that purpose. 6. Sponsor shall request reimbursement of eligible project costs on forms provided by the State. All reimbursement requests are required to include a copy of the invoices for the materials or services. The reimbursement request will be submitted no more than once a month. 7. The Sponsor's acceptance of this Agreement shall comprise a Grant Agreement, as provided by the Transportation Code, Chapter 21, constituting the contractual obligations and rights of the State of Texas and the Sponsor with respect to the accomplishment of the airport maintenance and compliance with the assurances and conditions as provided. Such Grant Agreement shall become effective upon the State's written Notice to Proceed issued following execution of this agreement. 9/19/2016 Page 5 of 12 Part IV - Nomination of the Agent 1. The Sponsor designates the State as the party to receive and disburse all funds used, or to be used, in payment of the costs of the project, or in reimbursement to either of the parties for costs incurred. 2. The State shall, for all purposes in connection with the project identified above, be the Agent of the Sponsor. The Sponsor grants the State a power of attorney to act as its agent to perform the following services: a. accept, receive, and deposit with the State any and all project funds granted, allowed, and paid or made available by the Sponsor, the State of Texas, or any other entity; b. enter into contracts as necessary for execution of scope of services; C. if State enters into a contract as Agent: exercise supervision and direction of the project work as the State reasonably finds appropriate. Where there is an irreconcilable conflict or difference of opinion, judgment, order or direction between the State and the Sponsor or any service provider, the State shall issue a written order which shall prevail and be controlling; d. receive, review, approve and pay invoices and payment requests for services and materials supplied in accordance with the State approved contracts; e. obtain an audit as may be required by state regulations; the State Auditor may conduct an audit or investigation of any entity receiving funds from TxDOT directly under this contract or indirectly through a subcontract under this contract. Acceptance of funds directly under this contract or indirectly through a subcontract under this contract acts as acceptance of the authority of the State Auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. An entity that is the subject of an audit or investigation must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. f. reimburse sponsor for approved contract maintenance costs no more than once a month. Part V - Recitals This Grant is executed for the sole benefit of the contracting parties and is not intended or executed for the direct or incidental benefit of any third party. 2. It is the intent of this grant to not supplant local funds normally utilized for airport maintenance, and that any state financial assistance offered under this grant be in addition to those local funds normally dedicated for airport maintenance. 9/19/2016 Page 6 of 12 Part VI - Acceptances Sponsor The County of Calhoun, Texas, does ratify and adopt all statements, representations, warranties, covenants, agreements, and all terms and conditions of this Grant. Executed this _1- day of r¢/ v. 20-�,. -"— A Witness Signature ,0mlo:64a, ; c- 4s5;s4n J� Witness Title The County of Calhoun Texas Sponsor Sponsor Signature C�u.vti-� c� sae. Sponsor Title Certificate of Attorney I, S 110 n �t;�-J' er , acting as attorney for the County of Calhoun, Texas, do certify that I have fully examined the Grant and the proceedings taken by the Sponsor relating to the acceptance of the Grant, and find that the manner of acceptance and execution of the Giant by the Sponsor, is in accordance with the laws of the State of Texas. Dated at 10 r+ GA/y-t,,A—, Texas, this /7 day of D"��_> 20�. Witness Signature orney's Signature SLCr��c�Rti� Witness Title 9/19/2016 Page 8 of 12 Acceptance of the State Executed by and approved for the Texas Transportation Commission for the purpose and effect of activating and/or carrying out the orders, established policies or work programs and grants heretofore approved and authorized by the Texas Transportation Commission. STATE OF TEXAS TEXAS DEPARTMENT OF TRANSPORTATION M Date: 9/19/2016 Page 9 of 12 Attachment A Scope of Services TxDOT Project ID: M1713PTLA Eligible Scope Item Estimated Costs State Share Sponsor Share Amount A Amount B Amount C GENERAL MAINTE NANCE $30,000.00 $15,000.00 $15,000.00 TOTAL $30,000.00 $15,000.00 $15,000.00 Accepted By: The County of Calhoun, Texas ",ff&, ::�/— Signature Title: Cps+y �ot� Date: GENERAL MAINTENANCE: As needed Sponsor may contract for services / purchase materials for routine maintenance / improvement of airport pavements signage drainage AWOS systems, apuroach aids lighting systems utility infrastructure fencing, herbicide / application sponsor owned and operated fuel systems hangars terminal buildings and security systems; professionalservices for environmental compliance approved project design Special projects to be determined and added by amendment. SPECIAL PROJECT: Only work items as described in Attachment A, Scope of Services of this Grant are reimbursable under this grant. 9/1912016 Page 10 of 12 CERTIFICATION OF AIRPORT FUND TxDOT Project ID: M1713PTLA The County of Calhoun does certify that an Airport Fund has been established for the Sponsor, and that all fees, charges, rents, and money from any source derived from airport operations will be deposited for the benefit of the Airport Fund and will not be diverted for other general revenue fund expenditures or any other special fund of the Sponsor and that all expenditures from the Fund will be solely for airport purposes. The fund may be an account as part of another fund, but must be accounted for in such a manner that all revenues, expenses, retained earnings, and balances in the account are discernible from other types of moneys identified in the fund as a whole. The County of Calhoun. Texas (Sponsor) By: w Title: l U Date: Certification of State Single Audit Requirements I, ,n ls` k4d, LP- do certify that the County of Calhoun, Texas, (Designated Representative) will comply with all requirements of the State of Texas Single Audit Act if the County of Calhoun, Texas, spends or receives more than the threshold amount in any grant funding sources during the most recently audited fiscal year. And in following those requirements, the County of Calhoun, Texas, will submit the report to the audit division of the Texas Department of Transportation. If your entity did not meet the threshold in grant receivables or expenditures, please submit a letter indicating that your entity is not required to have a State Single Audit performed for the most recent audited fiscal year. Signature Cnw�l�-Iy Audi--�6Y Title to-,1-1b Date 911912016 Page 11 of 12 DESIGNATION OF SPONSOR'S AUTHORIZED REPRESENTATIVE TxDOT Project ID: M1713PTLA The County of Calhoun, Texas, designates, y_ A� I�umiy.f ilgrie-r irl . Z- (Name, Title) as the Sponsor's authorized representative, who shall receive all correspondence and documents associated with this grant and who shall make or shall acquire approvals and disapprovals for this grant as required on behalf of the Sponsor. The County of Calhoun, Texas (Sponsor) / By:_ (14 a Title: C�, cJ 11G it 1 P� Date:_/�� l DESIGNATED REPRESENTATIVE Mailing Address: 5812- rN l M Porl LaVaCa , TY 77g71 Overnight Mailing Telephone Number: Fax Number: 3&l - .5253 Email Address: Ver(AkUyA '�-lj')ow)(�yix-orl 9/19/2016 Page 12 of 12 Consider and Take Necessary Action on Wildlife Trapper Contract with Texas Wildlife Services Program and authorize County Judge to sign. (VL) PASS Page 22 of 52 Consider and Take Necessary Action on the engagement of Armstrong, Vaughan and Associates, PC Certified Public Accounts to perform the audit of the County's Financial statements for the year ending December 31, 2016 and estimated fee of $43,500 and authorize County Judge to sign. (MP) Motion made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 23 of 52 Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Monday, October 03, 2016 9:17 AM To: 'Susan Riley' Cc: Fraser@avacpa.com; Josie Sampson; Desiree Garza; shannon salyer; Kenny Finster; mike pfeifer; neii fritsch; roger galvan; yarn lyssy Subject: Agenda Item Request Attachments: 2016 Audit Engagement AVA.pdf Please place the following item on the agenda for October 17, 2016 s Consider and take necessary action to approve the engagement of Armstrong, Vaughan and Associates, PC, Certified Public Accountants, to perform the audit of the County's financial statements for the year ending December 31, 2016 at an estimated fee of $43,500 and authorize the County Judge to sign. Note., Estimated additional fee for CAFR is $3,075 and is included in the engagement. I will request the court to make a decision about CAFR preparation at a later date. Susan, Please send me a scan of the signed document. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361,553.4610 Fax 361.553.4614 SHAREHOLDERS: Nancy L. Vaughan, CPA Deborah F, Fraser, CPA 40 Phil S. Vaughan, CPA September29,2016 Calhoun County, Texas County Courthouse Annex II; 202 S. Ann, Suite B Port Lavaca, Texas 77979 Armstrong, Vaughan & Associates, PC, Certified Public Accountants The following represents our understanding of the services we will provide Calhoun County. You have requested that we audit the financial statements of the governmental activities, each major fund, and the aggregate remaining fund information of Calhoun County, as of December 31, 2016, and for the year then ended and the related notes to the financial statements, which collectively comprise Calhoun County's basic financial statements as listed in the table of contents. We are pleased to confirm our acceptance and our understanding of this audit engagement by means of this letter. Our audit will be conducted with the objective of our expressing an opinion on each opinion unit. Accounting principles generally accepted in the United States of America require that management's discussion and analysis, budgetary comparison information, and schedule of contributions and changes for defined benefit pension plans be presented to supplement the basic financial statements. Such information, although not a part of the basic financial statements, is required by Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. As part of our engagement, we will apply certain limited procedures to the required supplementary information (RSI) in accordance with auditing standards generally accepted in the United States of America. These limited procedures will consist primarily of inquiries of management regarding their methods of measurement and presentation, and comparing the information for consistency with management's responses to our inquiries. We will not express an opinion or provide any form of assurance on the RSI. The following RSI is required by accounting principles generally accepted in the United States of America. This RSI will be subjected to certain limited procedures but will not be audited: 1. Management's Discussion and Analysis 2. Budgetary Comparison Schedule — General Fund 3. Schedules of Contributions and Changes — Defined Benefit Pension Plans Supplementary information other than RSI will accompany Calhoun County's basic financial statements. We will subject the following supplementary information to the auditing procedures applied in our audit of the basic financial statements and perform certain additional procedures, including comparing and reconciling the supplementary information to the underlying accounting and other records used to prepare the financial statements or to the financial statements themselves, and additional procedures in accordance with auditing standards generally accepted in the United States of America. We intend to provide an opinion on the following supplementary information in relation to the financial statements as a whole: 1. Comparative Balance Sheets and Statements of Revenues, Expenditures and Changes in Fund Balance for Each Major Fund 2. Combining Balance Sheets and Statements of Revenues, Expenditures and Changes in Fund Balance — Nonmajor Funds 3. Comparative Statements of Net Position, Statements of Revenues, Expenses and Changes in Net Position, and Statements of Cash Flows — Discretely Presented Enterprise Fund 941 West Byrd Blvd., Suite 101 • Universal City, Texas 78148 Phone: 210-658-6229 • Fax: 210-659-7611 .Fntaih vaughaiWavacpa.cour • www.avacpa.com 4. Budgetary Comparison Schedules —Nonmajor Special Revenue Funds, Debt Service Fund 5. Combining Statement of Fiduciary Assets and Liabilities The Objective of an Audit The objective of our audit is the expression of opinions as to whether your basic financial statements are fairly presented, in all material respects, in conformity with generally accepted accounting principles and to report on the fairness of the supplementary information referred to in the second paragraph when considered in relation to the financial statements as a whole. Our audit will be conducted in accordance with auditing standards generally accepted in the United States of America and will include tests of the accounting records and other procedures we consider necessary to enable us to express such opinions. We cannot provide assurance that unmodified opinions will be expressed. Circumstances may arise in which it is necessary for us to modify our opinions or add emphasis -of -matter or other -matter paragraphs. If our opinions on the financial statements are other than unmodified, we will discuss the reasons with you in advance. If, for any reason, we are unable to complete the audit or are unable to form or have not formed opinions, we may decline to express opinions or to issue a report as a result of this engagement. General Audit Procedures We will conduct our audit in accordance with auditing standards generally accepted in the United States of America (U.S. GAAS). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the basic financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to error, fraudulent financial reporting, misappropriation of assets, or violations of laws, governmental regulations, grant agreements, or contractual agreements. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. Internal Control Audit Procedures Because of the inherent limitations of an audit, together with the inherent limitations of internal control, an unavoidable risk that some material misstatements may not be detected exists, even though the audit is properly planned and performed in accordance with U.S. GAAS. In making our risk assessments, we consider internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. However, we will communicate to you in writing concerning any significant deficiencies or material weaknesses in internal control relevant to the audit of the financial statements that we have identified during the audit. Compliance with Laws and Regulations As part of obtaining reasonable assurance about whether the financial statements are free of material misstatement, we will perform tests of Calhoun County's compliance with the provisions of applicable laws, regulations, contracts, and agreements. However, the objective of our audit will not be to provide an opinion on overall compliance and we will not express such an opinion. Management Responsibilities Our audit will be conducted on the basis that management acknowledge and understand that they have responsibility: a. For the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America; b. For the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to error, fraudulent financial reporting, misappropriation of assets, or violations of laws, governmental regulations, grant agreements, or contractual agreements; and c. To provide us with: i. Access to all information of which management is aware that is relevant to the preparation and fair presentation of the financial statements such as records, documentation, and other matters; ii. Additional information that we may request from management for the purpose of the audit; and iii. Unrestricted access to persons within the entity from whom we determine it necessary to obtain audit evidence. d. For including the auditor's report in any document containing financial statements that indicates that such financial statements have been audited by the entity's auditor; e. For identifying and ensuring that the entity complies with the laws and regulations applicable to its activities; and f. For adjusting the financial statements to correct material misstatements and confirming to us in the management representation letter that the effects of any uncorrected misstatements aggregated by us during the current engagement and pertaining to the current year period(s) under audit are immaterial, both individually and in the aggregate, to the financial statements as a whole. With regard to the supplementary information referred to above, you acknowledge and understand your responsibility: (a) for the preparation of the supplementary information in accordance with the applicable criteria; (b) to provide us with the appropriate written representations regarding supplementary information; (c) to include our report on the supplementary information in any document that contains the supplementary information and that indicates that we have reported on such supplementary information; and (d) to present the supplementary information with the audited financial statements, or if the supplementary information will not be presented with the audited financial statements, to make the audited financial statements readily available to the intended users of the supplementary information no later than the date of issuance by you of the supplementary information and our report thereon. As part of our audit process, we will request from management, written confirmation concerning representations made to us in connection with the audit. Reporting We will issue a written report upon completion of our audit of Calhoun County's basic financial statements. Our report will be addressed to the governing body of Calhoun County. We cannot provide assurance that unmodified opinions will be expressed. Circumstances may arise in which it is necessary for us to modify our opinions, add an emphasis -of -matter or other -matter paragraph(s), or withdraw from the engagement. Other We understand that your employees will prepare all confirmations we request and will locate any documents or invoices selected by us for testing. If you intend to publish or otherwise reproduce the financial statements and make reference to our firm, you agree to provide us with printers' proofs or masters for our review and approval before printing. You also agree to provide us with a copy of the final reproduced material for our approval before it is distributed. Provisions of Engagement Administration, Timing and Fees During the course of the engagement, we may communicate with you or your personnel via fax or e-mail, and you should be aware that communication in those mediums contains a risk of misdirected or intercepted communications. We anticipate conducting year-end audit procedures in mid -April and issuing a draft report for management's review in June. Deborah F. Fraser is the engagement partner and is responsible for supervising the engagement and signing the report or authorizing another individual to sign it. We estimate our fee for these services to be $43,500 plus an additional $3,075 for the CAFR. The above fee is based on anticipated cooperation fiom your personnel and the assumption that unexpected circumstances will not be encountered during the audit. If significant additional time is necessary, we will discuss it with you and arrive at a new fee estimate before we incur the additional costs. During the course of the audit we may observe opportunities for economy in, or improved controls over, your operations. We will bring such matters to the attention of the appropriate level of management, either orally or in writing. We agree to retain our audit documentation or work papers for a period of at least five years from the date of our report. At the conclusion of our audit engagement, we will communicate to Commissioners' Court the following significant findings from the audit: • Our view about the qualitative aspects of the entity's significant accounting practices; • Significant difficulties, if any, encountered during the audit; • Uncorrected misstatements, other than those we believe are trivial, if any; • Disagreements with management, if any; • Other findings or issues, if any, arising from the audit that are, in our professional judgment, significant and relevant to those charged with governance regarding their oversight of the financial reporting process; • Material, corrected misstatements that were brought to the attention of management as a result of our audit procedures; • Representations we requested from management; • Management's consultations with other accountants, if any; and • Significant issues, if any, arising from the audit that were discussed, or the subject of correspondence, with management. The audit documentation for this engagement is the property of Armstrong, Vaughan & Associates, P.C. and constitutes confidential information. However, we may be requested to make certain audit documentation available to regulators pursuant to authority given to it by law or regulation, or to peer reviewers. If requested, access to such audit documentation will be provided under the supervision of Armstrong, Vaughan & Associates, P.C.'s personnel. Furthermore, upon request, we may provide copies of selected audit documentation to regulators. The regulators may intend, or decide, to distribute the copies of information contained therein to others, including other governmental agencies. If any dispute arises among the parties hereto, the parties agree to first try in good faith to settle the dispute by mediation administered by the American Arbitration Association under its Rules for Professional Accounting and Related Services Disputes, before resorting to litigation. The costs of any mediation proceeding shall be shared equally by all parties. Client and accountant both agree that any dispute over fees charged by the accountant to the client will be submitted for resolution by arbitration in accordance with the Rules for Professional Accounting and Related Services Disputes of the American Arbitration Association. Such arbitration shall be binding and final. In agreeing to arbitration, we both acknowledge that, in the event of a dispute over fees charged by the accountant, each of us is giving up the right to have the dispute decided in a court of law before a judge or jury and instead we are accepting the use of arbitration for resolution. We appreciate the opportunity to be of service to the Calhoun County and believe this letter accurately summarizes the significant terms of our engagement. If you have any questions, please let us know. If you agree with the terms of our engagement as described in this letter, please sign the enclosed copy and return it to us. Respectfully, 1""7, 4 ( A Cc,,, T, �,. Armstrong, Vaughan & Associates, P.C. RESPONSE: This letter correctly sets forth the understanding of the Calhoun County. By: Title: County Judge Date: %P l 7 ` ad �� CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll 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: 2016-100236 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Armstrong, Vaughan & Associates, P.C. Universal City, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 08116/2016 Date Acknowledged: 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 services, goods, or other property to be provided under the contract. Professional Audit Services Professional Audit Services Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary 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. I1E N EWALD + Notary Public State of Tens My Comm. ap. OS-01.2018 tk�4gnature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE sworn to and subscribed before me, by the said /l re r r "�` U , this the day of //�' � Gf Af , 20/�,, to certify which, witness my hand and seal of office. Signature r administering oath Printed name of officer administering oath Title of officer administering oath v.....;.... va o ono Forms provided by Texas Ethics Commission www.emics.sta1e.Mua -� � �^ - �•�•• 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: 2016-100236 Date Filed: 08/16/2016 Date Acknowledged: 09/19/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Armstrong, Vaughan & Associates, P.C. Universal City, 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 services, goods, or other property to be provided under the contract. Professional Audit Services Professional Audit Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 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.U.2f i Consider and Take Necessary Action on 2017 Silver Choice United Healthcare Renewal and authorize County Judge to sign. This is a supplemental insurance policy for retirees with no costs to the County. (MP) Motion made by Commissioner Finster and seconded by Commissioner Galvan. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 24 of 52 Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Wednesday, October 05, 2016 12:59 PM To: Susan Riley Subject: NEXTAGENDA Attachments: 2017 SILVER CHOICE HEALTH RENEWAL.pdf Importance: High Please place on the next agenda for approval. TO ACCEPT AND APPROVE the 2017 Silver Choice United Healthcare Renewal and approve Judge to sign. This is a supplemental insurance policy for retirees with no costs to the County. RHONDA S. KOKENA Ca+."4V Treasurer C tko ww Cov wly A"wex 11 202 S. Aww, Sf:, Sv-ifv A Po*+Larat4,, Tega 77479 (361)553-4619 offit,& (361)553-4614 faw 1 s%lvea- Choice. Texas Association of Counties Retiree Medical Program UnitedHealthcare 2017 Renewal Notice and Benefit Confirmation Group: 4439 - Calhoun County Anniversary Date: 1/01/2017 Return to TAC by: 10/17/2016 Please initial and complete each section confirming your group's renewal. Fax to 1-512-481-8481 or email to laurenh@county.org. RETIREE MEDICAL 2016 Rates: $235.68 2017 Rates: $244.71 Initial to accept 2017 Retiree Medical Rates. 2016 Rates: $206.34 2017 Rates: $222.85 Initial to accept 2017 Retiree RX Rates. BILLING METHOD Direct ill — The Employer pays $0 premium. The bill is sent to the Retiree monthly. Initial to accept Billing Method. • Rates effective from 1/1/2017 through 12/3112017. • Signature on the following page is required to confirm and accept your group's renewal. 2017 CCS-UHC Direct Bill RNBC CountyChoice Silver Unitedflealthcare Member Contact Designations Contracting Authority: As specified in the Interlocal Participation Agreement, each Member hereby designates and appoints a Contracting Authority of department head rank or above and agrees that TAC HEBP shall NOT be required to contact or provide notices to ANY OTHER person. Further, any notice to, or agreement by, a Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member. Each Member reserves the right to change its Contracting Authority from time to time by giving written notice to TAC HEBP. Please Name: Title: Addre; Phone: /L D� - l -3 Fax: Email: Primary Name: Title: Address: Phone: Fax: Email: Signature of Countd1Judge Contracting Authority Please PRINT Name and Title CCS —UHC Member Contact Designation Form Direct Bill 1012016 to the retiree benefits. � /%' /7'�i� Date Consider and Take Necessary Action on Health Services Agreement between the Calhoun County Adult Detention Center and SHP in the amount of $126,693.24 annually ($10,557.77 per month) and authorize County Judge to sign. (MP) Motion made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 25 of 52 September 27, 2016 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: We, at SHP, are proud to be working in partnership with the Sheriff's Office as the on -site provider of inmate medical care. The Health Services Agreement is coming up soon to rollover in January, and we look forward to beginning a new year of services. SHP remains committed to providing a cost-efficient quality program. Remember for the past two years, with approval for increasing the nurse staffing plan, we let the contract go without an annual price increase for renewal. For the new period beginning in January, however, we will need an adjustment to help us keep up with the costs of doing business and providing medical services, which continue to rise each year. We must allow for higher fixed costs for items such as employee wages and benefits, plus many of our other operating costs have increased over time, including those related to insurance, administration and travel. We have planned on a 2% inflationary increase for the 2017 contract year. This is a difference of $207.02 more per month on the base rate. Please look for the monthly billings to adjust accordingly, effective January 1, 2017. The new per diem and base contract amount are noted below for your records. Contract period: January 1, 2017, through December 31, 2017 Base annualized fee: $126,693.24 ($10,557.77 per month) Per diem greater than 80: $1.53 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, should you have any questions or wish to discuss the contract, feel free to give me a call. I can be reached directly in our NC/SC Regional Office at 803-802-1492. I'll be happy to assist with anything you may need. Otherwise, please keep this letter for your file and return a signed copy to me at your earliest convenience. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email ). Except as modified above, or as may be further amended or modified by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. Calhoun County is a valued customer. We hope to have the privilege of doing business together for many years to come. S' cer y, V44 Carmen Hamilton Contracts Manager /cph CALHOUN COUNTY, TX BY � I CERTIFICATE OF INTERESTED PARTIES FORM 1295 1af1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos.1, 2, 3, 5, and 6 it (here are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016.123153 1 Name of business entity filing form, and the city, state and country. of the business entity's place of business. Southern Health Partners Chattanooga, TN United States Date Filed: 10/12/2016 Date Acknowledged: 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, TX 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 services, goods, or other property to be provided under the contract. 2017 Contract Inmate Healthcare Services Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 6 AFFIDAVIT I swear, or affirm, under penally of perjury, that the above disclosure is true and correct, o\ tFttttriturou(rrrrr �%sue✓ ...............OF m /n { sTENNESS , E� ature of authorized age f contracting business entity f-: (N�NC�{ipT{�Ag@,R�Y AFFiOj}CfTV'SEAL ABOVErn j Swo'r�} to a#di614NWl&d before me, y the said ! i! r� ,this the �t day of 20 Il 0 to certify which, witness my hand and seal of office. ignature f car im ering oath Printed n me'of officer administering oath Title of officer administering oath 277 Farms provided by Texas Ethics Commission www.ethlcs.state.tx.us Version V1.0. 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: 2016-123153 Date Filed: 10/12/2016 Date Acknowledged: 11/16/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Southern Health Partners Chattanooga, TN 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, TX 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 services, goods, or other property to be provided under the contract. 2017 Contract Inmate Healthcare Services 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 V1.0.277 Southern Health Partners Your Partner In Affordable Inmate Healthcare October 8, 2015 Rachel Martinez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak Port Lavaca, TX 77979 Re: Health Services Agreement Dear Rachel: This fetter serves to acknowledge SHP's request for a change in the contract staffing provided under the Health Services Agreement. We are asking for the County's support in adjusting the base price to account for an increase in the contract staffing plan at the facility to a new average schedule of thirty hours each week (covering weekdays). /Again, It Is our full expectation that, going forward, a full-time status 30-hour a week position will be essential to keeping a consistent staff member in place at the facility and Improving the overall stability of the program. We are requesting an increase in base contract compensation to account for the additional nursing hours. The cost we Initially offered to incorporate 10 hours into the regular staffing plan, bringing the MTA position up from 20 hours to a new average of 30 hours per week, was $19,326.00 annualized. We have now agreed to reduce this amount by $3,000.00 to $16,326.00 ($1,360.50 per month) with approval of the enclosed Amendment making the rate adjustment effective January 1, 2016, The change will Increase the County's annualized contract price to the new amount of $124,209.00 ($10,360.75 per month). Please review the Amendment at your earliest opportunity and contact me if you have any questions. Notice the Amendment includes several other sections with recent updates we have trade in our standard contract language_ We would like to take the opportunity. while amending the contract to incorporate these updates. As a part of our offer, with the County's approval of the Amendment, we will agree to continue under the same terms and pricing for another year, under the increased staffing plan, without an overall annual or inflationary price increase for the 2016 renewal period. You'll find this covered in Section No. 7.3. Please be advised, however, without the approved change for the staffing increase, SHP will need at a minimum a 10% fee increase for 2016 to help us with operating costs over this next contract year. Otherwise, we would need to discuss the contract options with the County further, and make a determination whether it will be feasible to continue services. We hope to avoid such a circumstance and want to continue working with the County to provide a quality, efficient program of care for the inmates. Please do feel free to give me a call with any questions or concerns. I can be reached directly In our NC/SC Regional Office at 803-802-1492. Thank you in advance. We appreciate your time and assistance. S ' cereiy, marl` arrdffon Contracts Manager AMENDMENT #2 TO HEALTH SERVICES AGREEMENT This AMENDMENT #2 to Health Services Agreement dated- November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delauy� Corporation, (hereinafter referred to as "SHP"), with services commencing on January 1, 4, is entered into as of this 19 day of October , 2015, WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19, 2013, between County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 2.1 is hereby replaced in its entirety by the following: 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that, effective January 1, 2016, the amount of base contract compensation to SHP shall be adjusted to account for an increase in the on -site nurse staffing plan at the facility, to a new average schedule of thirty hours per week (covering weekdays). Section 4.1 is hereby replaced in Its entirety by the following: 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County will take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. It is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion, to the extent that if, in SHP's sole discretion, the safety and security of SHP personnel are compromised, SHP may exercise its right to Immediately terminate services, in accordance with the provisions of Section No. 6.2(b) of this Agreement. Section 6.1 is hereby replaced in its entirety by the following: 2016 6.1 Term. This Agreement shall commence on January 1, =t4. The term of this Agreement shall end on December 31, 2016, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. Section 6.2 is hereby replaced in its entlrety by the following: 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: (a) Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. (b) Termination for Cause. SHP shall have the right to terminate this Agreement at any time for Cause, which may be effected immediately after establishing the facts warranting the termination, and without any further obligation to County, by giving written notice and a statement of reasons to County in the event: (i) the safety and security of SHP personnel is determined by SHP, in its sole discretion, to be compromised, either as a direct, or indirect, result of County's failure to provide adequate security services, the provision of which is a continuing precondition of SHP's obligation to perform work under this Agreement, or (ii) County fails to compensate SHP for charges or fees due, either in whole, or in part, under this Agreement, according to the terms and provisions as stated herein. Cause shall not, however, include any actions or circumstances constituting Cause under (i) or (ii) above if County cures such actions or circumstances within a specified period following delivery of written notice by SHP setting forth the actions or circumstances constituting Cause, during which period SHP may permit County, solely by express agreement, time to provide sufficient remedy to SHP's satisfaction. In all cases, this Agreement may be terminated immediately by SHP, without notice, if, in SHP's sole discretion, such immediate termination of services is necessary to preserve the safety and well-being of SHP personnel. Upon such a termination for Cause, County acknowledges that, SHP shall be entitled to all compensation fees and charges due for services rendered hereunder, without penalty or liability to SHP, up through and including the last day of services, and further that, County shall be obligated to compensate SHP accordingly for such services rendered up 2 through and including the last day of services, consistent with the terms and provisions of this Agreement. if any costs relating to the period subsequent to such termination date have been paid by County in the case of (1) above, SHP shall promptly refund to County any such prepayment. (c) Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. (d) Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement, County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. Section 7.1 is hereby replaced in its entirety by the following: 7.1 Base Compensation. Effective January 1, 2016, County will compensate SHP based on the twelve-month annualized price of $124,209.00 during the term of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement based on the twelve-month annualized price of $124,209.00 will be in the amount of $10,350.75 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will -be prorated accordingly for the shortened month. Section 7.3 Is hereby re-inserted and replaced in its entirety by the following: 7.3 Future Years' Compensation. The amount of compensation (i.e., annual base price and per diem rate as defined in Sections 7.1 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2016, to account for additional nursing hours incorporated as a part of the on -site staffing plan, and that, for the twelve-month renewal period effective January 1, 2016, the parties have agreed to continue the terms of this Agreement, under the increased staffing plan of an average of 30 hours. each week, at the same price as stated in Section No. 7.1, without any further overall annual or inflationary price increase on the base contract compensation or per diem rate. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1, 2017, or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. 3 IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. ATTEST:�� h epwri MAN NNp 2b CtilIN4nt,u uNiy CLe"- Date: i a Is /a o 015 CALHOUN COUNTY, TX BY:: �} Y IA.��I Date: SOUTHERN HEALTH PARTNERS, INC. d/b/a SHP VISTA HEALTH MANAGEMENT, INC. BY: Jennifer Hairsine, President and CEO Date: 4 HEALTH SERVICES AGREEMENT. THIS AGREEMP14T between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partriers, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware corporation, (hereinafter referred to as "SHP"), is entered into as of the _ day of _, 2U1 . Services under this Agreement shall commence on,]esembeL10; taaZWY # ,,q..a 144 204, and shall continue through �, In acco dance with Section 6.1. oewwey>: ereo rq WITNESSETH: WHEREAS, County is charged by law with the responsibility for obtaining and providing reasonably necessary medical care for Irimates or detainees of the Calhoun County Adult Detention Center facility (hereinafter called "Jail") and, WHEREAS, County and Sheriff desire to provide for health care to inmates In accordance with applicable law; and, WHEREAS, the County, which provides funding as approved by the Calhoun County Commissioners' Court for the Jail, desires to enter into this Agreement with SHP to promote this objective; and, WHEREAS, SHP is In the business of providing correctional health care services under contract and desires to provide such services for County under the express terms and conditions hereof. NOW THEREFORE, in consideration of the mutual covenants and promises hereinafter made, the parties hereto agree as follows: ARTICLE 1: HEALTH CARE SERVICES. 1.1 General gngarrement. County hereby contracts with SHP to provide for the delivery of ail medical, dental and mental health services to inmates of Jail. This care is to be delivered to individuals under the custody and control of County at the Jail, and SHP enters into this Agreement according to the terms and provisions.hereof. 1.2 Scope of General Serulces, The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said Inmate into the Jail, The health care services provided by SHP shall be for all persons committed to the custody of the Jail, except those identified In Section 1.7. SHP shall provide and/or arrange for all professional medical, dental, mental health and related health care and administrative services for the inmates, regularly sohoduled sick call, nursing care, regular physician care, medical specialty services, emergency medical care, emergency ambulance services when medioolly necessary, medical records management, pharmacy services management, administrative support services, and other services, all as more specifically described herein. SHP shall be financially responsible for the costs of all physician and nurse staffing, over-the-counter medications, medical supplies, on -site clinical lab procedures, medical hazardous waste disposal, office supplies, forms, folders, files, travel expenses, publications, administrative services and nursing time to train officers In the Jail on various medical matters. SHP's financial responsibility for the costs of all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (Inside and outside the Jail) and all medicaf and mental health services rendered outside the Jail will be limited by an annual cost pool described in Section 1.5 of this Agreement. Costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail in excess of the annual cost pool limit shall be the financial responsibility of the County, or shall not othe►wise be the financial responsibility of SHP. 1.3 Sneciafty Sery ces. in addition to providing the general services described above, SHP by and through its licensed health care providers shall arrange and/or provide to inmates at the Jail specially medical services to the extent such are determined to be medically necessary by SHP. in the event non -emergency specialty care Is required and cannot be rendered at the Jail, SHP shall make arrangements with County for the transportation of the inmates in accordance with Section 1.9 of thin Agreement. 1A Fmergeencv Services, SHP shall arrange and/or provide emergency medical care, as medically necessary, to Inmates through arrangements to be made by SHP. 1.5 Limitations On Costs - Cost POOL. SHP shall, at Its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such ears. SHP's maximum liability for costs associated with all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical .and mental health services for inmates rendered outside of the Jail will be limited by a pool established in the amount of $30,000.00 in the aggregate for all Inmates in each year (defined as a twelve-month contract period) of this Agreement. If the costs of all care as described In this $action 1.5 exceed the amount of $30,000.00 in any year, SHP will either pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (400%) of the costs in excess of $3000.00 or, in the alternative, will refer all additional qualifying Invoices to County for payment directly to the provider of care, For all invoices payable to SHP as reimbursement for pool excess costs, such amounts shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool Amount will be prorated fof any contract period of less or more than twelve months. If the costs of all care as described in this Section 1.5 are less than $30,000.00 In any year (defined as a twelve-month contract period), SHP will repay to County eighty'percent (80"/0) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the end of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the now contract period begins and prior to issuing any such refund to County for unused cost pool funds. Specifically, the cost pool out -off will be mid -February based on a contract period schedule ending In mid -December each year, SHP will continue to process cost pool payments applicable to the prior contract period through mid -February and apply those amounts toward the prior year's cost pool limit. Any additional cost pool charges received subsequent to the out -off date which are applicable to the prior contract period will either be rolled over Into the pool for the current contract period or be referred to County for payment directly to the provider of care, The Intent of this Section 1.6 is to define SHP's maximum financial liability and limitation of costa for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. 1.6 jjlJUrIe2 Incurred Prior to Incarceration1 Preananov. SHP shall not be financially responsible for the cost of any medical treatment or health care services provided to any Inmate prior to the Inmate's formal booking and commitment Into the Jail. Furthermore, SHP shall not be financially responsible for the cost of medical treatment or health care services provided outside the Jail to medically stabilize any inmate presented at booking with a life threatening injury or illness or in Immediate need of emergency medical care. Once an inmate has been medically stabilized and committed to the Jail, SHP will, commencing at that point, then become responsible for providing and/or arranging for all medical treatment and health care services regardless of the nature of the Illness or injury or whether or not the illness or Injury occurred prior or subsequent to the individual's Incarceration at the Jail. An Inmate shall be considered medically stabilized when the patient's medical condition no longer requires immediate emergency medical care or outside hospitalizatlon so that the inmate can reasonably be housed Inside the Jail. SHP's financial responsibility for such medical treatment and health care services shalt be In accordance with, and as limited by, Sections 1.2 and 1.6 of this Agreement. It is expressly understood that SHP shall not be responsible for medical costs associated with the medical care of any infants born to Inmates. SHP shall provide a and/or arrange for health care services to Inmates up to, through, and after the birth process, but health care services provided to an infant following birth, other than those services that may be delivered in the Jail prior to transport to a hospital, shall not be the financial responsibility of SHP. in any event, SHP shall not be responsible for the costs associated with performing or furnishing of abortions of any kind. 1.7 Inmates Outside the Faciitties. The health care services contracted In the Agreement are Intended only for those inmates in the actual physical custody of the Jail and for inmates held under guard In outside hospitals or other medical facilities who remain in official custody of the Jail. Inmates held under guard in outside hospitals or other medical facilities are to be Included in the Jail's daily population count. No other person(s), including those who are In any outside hospital who are not under guard, shall be the financial responsibility of SHP, nor shall such person(s) be included in the daily population count. Inmates on any sort of temporary release or escape, including, but not limited to Inmates temporarily released for the purpose of attending funerals or other family emergencies. Inmates on escape status, Inmates on pass, parole or supervised custody who do not steep in the Jail at night, shall not be included in the daily population count, and shall not be the responsibility of SHP with respect to the payment or the furnishing of their health care services, The costs of medical services rendered to inmates who become IIi or who are Injured while on such temporary release or work -release shall not then become the financial responsibility of SHP after their return to the Jail, This relates solely to the costs associated with treatment of a particular illness or injury incurred by an Inmate while on such temporary release. In all cases, SHP shall be responsible for providing medical oars for any inmate who, after return to the Jail, presents to SHP medical staff on -site at the Jail to the extent such care can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary. The costs of medical services associated with a particular illness or injury Incurred by an Inmate while on temporary release or work -release may be the personal responsibility of the Inmate, or covered by watkers' compensation, medical Insurance, accident Insurance, or any other policy of insurance which may provide payment for medical and hospital expenses. In the absence of adequate Insurance coverage, such costs may, at the election of the County, be 'appiled toward the annual cost pool described in Section 1.6, but shall not otherwise be the financial responsibility of SHP. Persons in the physical custody of other police or other penal jurisdictions at the request of County, by Court order or otherwise, are likewise excluded from the Jails population count and shall not be the responsibility of SHP for the furnishing or payment of health care services. 1.8 Elective Medical Care. SHP shall not be responsible for providing elective medical care to inmates, unless expressly contracted for by the County. For purposes of this Agreement, "eleotive medical care" means medical care which, if not provided, would not, in the opinion of SHP's Medical Director, cause the Inmate's health to deteriorate or cause definite harm to the inmate's well-being. Any referral of inmates for elective medical care must be reviewed by County prior to provision of such services. 1.9 Transportation Services. To the extent any inmate requires off -site non - emergency health care treatment including, but not limited to, hospitalization care and specialty services, for which care and services SHP is obligated to arrange under this Agreement, County shall, upon prior request by SHP, Its agents, employees or contractors, provide transportation as reasonably available provided that such transportation is scheduled in advance. When medically necessary, SHP shall arrange all emergency ambulance transportation of Inmates in accordance with Section 1A of this Agreement. ARTICLE It: PERSONNEL, 2.1 §tafflng, SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to Inmates at the Jail as described In and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. 2.2 Licensure Certification and Registration of Personnel All personnel provided or made available by SHP to render services hereunder shall be .licensed, certified or registered, as appropriate, in their respective areas of expertise as required by applicable Texas law. 2.3 County's Satisfaction with Health Care Personnel. If County becomes dissatisfied with any health care personnel provided by SHP hereunder, or by any Independent contractor; subcontractors or assignee, SHP, in recognition of the sensitive nature of correctional services, shall, following receipt of written notice from County of the grounds for such dissatisfaction and in consideration of the reasons therefor, exercise its best efforts to resolve the problem. If the problem is not resolved satisfactorily to County, SHP shall remove or shall cause any Independent contractor, subcontractor, or assignee to remove.the individual about whom County has expressed dissatisfaction. Should removal of an Individual become necessary, SHP will be allowed reasonable time, prior to removal, to find an acceptable replacement, without penalty or any prejudice to the Interests of SHP,,. 6 2.4 Vag of inmgtes In the Provislon of Health Care Servicesi Inmates shall not be employed or otherwise engaged by either SHP or County In the direct rendering of any health care services. 2.5 Subcontracting and Delegation, in order to discharge its obligations hereunder, SHP shall engage certain health care professionals as independent contractors rather than as employees, County consents to such subcontracting or delegation. As the relationship between SHP and these health care professionals will be that of Independent contractor, SHP shall not be considered or deemed to be engaged in the practice of medicine or other professions practiced by these professionals. SHP shall not exercise control over the manner or means by which these Independent contractors perform their professional medical duties. However, SHP shall exercise administrative supervision over such professionals necessary to insure the strict fulfillment of the obligations contained in this Agreement. For each agent and subcontractor, including -all medical professionals, physicians, dentists and nurses performing duties as agents or Independent contractors of SHP under this Agreement, SHP -shall provide County proof, if requested, that there is in effect a professional liability or medical malpractice Insurance policy, as the case may be, in an amount of at least one million dollars ($1,000,000.00) coverage per occurrence and five million dollars ($5,000,000.00) aggregate. 2.0 Dlscrimination. During the performance of this Agreement, SHP, its employees, agents, subcontractors, and assignees agree as follows: a. None wilt discriminate against any employee or applicant fot employment because of race, religion, color, sex or national origin, except where religion, sex or national origin Is a bona fide occupational qualification reasonably necessary to the normal operation of the contractor. b. In all solicitations or advertisements for employees, each will state that it is an equal opportunity employer. c, Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be. deemed sufficient for the purpose of meeting the requirements of this section. ARTICLE IiI REPO T3 AND RECORDS 3.1 Medical R000rds. SHP shall cause and require to be maintained a complete and accurate medical record for each inmate who has received health care services, Each medical record will be maintained in accordance with applicable laws 7 and County's policies and procedures. The medical records shall be kept separate from the Inmate'e confinement record. A complete legible copy of the applicable medical record shall be available, at all times, to County as custodian of the person of the patient. Medical records shall be kept confidential. Subject to applIcabler law regarding confidentiality of such records, SHP shall comply with Texas law and County's policy with regard to access by inmates and Jail staff to medical records. No Information contained In the medical records shall be released by SHP except as provided by County's policy, by a court order, or otherwise in accordance with the applicable law. SHP shall, at its own cost, provide all medical records, forms, jackets, and other materials necessary to maintain the medical records. At the termination of this Agreement, all medical records shall be delivered to and remain with County. However, County shall provide SHP with reasonable ongoing access to all medical records even after the termination of this Agreement for the purposes of defending litigation. 3.2 Regular Reports by SHP to County. SHP shall provide to County, on a date and in a form mutually acceptable to SHP and County, monthly statistical reports relating to services rendered under this Agreement. 3.3 inmate Information. Subject to the applicable Texas law, in order to asslat SHP In providing the best possible health care services to inmates, County shall provide SHP with information pertaining to inmates that SHP and County mutually Identify as reasonable and necessary for SHP to adequately perform its obligations hereunder. 3.4 SHP Records Available to County witb limitations on Disclosure SHP shall make available to County, at County's request, records, documents and other papers relating to the direct delivery of health care services to inmates hereunder. County understands that written operating policies and procedures employed by SHP in the performance of its obligations hereunder are proprietary In nature and shall remain the property of SHP and shall not be disclosed without written consent. Information concerning such may not, at any time, be used, distributed, copied or otherwise utilized by County, except In connection with the delivery of health care services hereunder, or as permitted or required by law, unless such disclosure is approvad In advance writing by SHP.' Proprietary Information developed by SHP shall remain the property of SHP. 3.5 County Records Available to SHP with I.imltations on Disclosure, During the term of this Agreement and for a reasonable time thereafter, County shall provide SHP, at SHP's request, County's records relating to the provision of health care services to Inmates as may be reasonably requested by SHP or as are pertinent to the Investigation or defense of any claim related to SHP's conduct. Consistent with applicable law, County shall make. available to SHP such inmate medical'records as are s maintained by County, hospitals and other outside health care providers Involved in the care or treatment of Inmates (to the extent County has any control over those records) as SHP may reasonably request. Any such information provided by County to SHP that County considers confidential shall be kept confidential by SHP and shall not, except as may be required by law, be distributed to any third party without the prior written approval of County. ARTICL_ lV: SECURiiY 4.1 General, SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County shall take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described In this Agreement. It Is expressly understood by County and SHP that the provision of security and safety for the SHP personnel Is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion. 4.2 Loss of Eauipment and Supplles. County shall not be liable for toss of or damage to equipment and supplies of SHP, its agents, employees or subcontractors unless such loss or damage was caused by the negligence of County or its employees. 4.3 Security During Transportation Off -Site. County shall provide prompt and timely security as medicaiFy necessary and appropriate in connection with the transportation of any Inmate between the Jail and any other location for off -site services as contemplated herein. 5.1 General County agrees to provide SHP with reasonable and adequate office and medical space, facilities, equipment, focal telephone and telephone line and utilities and County will provide necessary maintenance and housekeeping of the office space and facilities. 5.2 Delivery of Possession. County will provide to SHP, beginning on the date of commencement .of this Agreement, possession and control of all County medical and office equipment and supplies in place at the Jail's health care unit. At the termination of this or any subsequent Agreement, SHP will return to County's possession and control all supplies, medical and office equipment, in working order, reasonable wear and tear excepted, which were in place at the Jail's health care unit prior to the commencement of services under this Agreement. 9 5.3 Maintenance and Replenishment of Eautpment, Except for the equipment and Instruments owned by County at the inception of this Agreement, any equipment or instruments required by SHP during the term of this Agreement shall be purchased by SHP at its own cost. At the end of this Agreement, or upon termination, County shall be entitled to purchase SHP's equipment and Instruments at an amount determined by a mutually agreed depreciation schedule, 5.4 General Maintenance Services. County agrees that it Is proper for SHP to provide each and every inmate receiving health care services the same services and facilities available to, and/or provided to, other inmates.at the Jail. \\\� ARTICLE VI: TERM AND TERMINATION OF Af3REEMENT � � 2A rN 6.1 Term, This Agreement shall commence on . The Initial term of this Agreement shall end on December a, 2014, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of Its Intent to terminate at the end of the period. 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: a. Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. b. Termination by Cancellation, This Agreement may be canceled without cause by either party upon sixty (00) days prior written notice in accordance with Section 9.3 of this Agreement. c. Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, In the event funds are not appropriated for this Agreement, County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service, 6.3 Responsibility for Inmate Health Care upon termination of this Agreement, all responsibility for providing health care services to all Inmates, including Inmates receiving health care services at sites outside the Jail, shall be transferred from SHP to County. to ARTICLE VII, COMPENSATION. 7.1 Base Qomnensatlon. County will pay to SHP the annualized price of $98,220,00 during the Initial term of this Agreement, payable in monthly Installments. Monthly installments during the initial term of this Agreement will be in the amount of $8,185.00 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. in the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. 7.2 Increases In Inmateat County and SHP agree that the annual base price is calculated based upon an average daily inmate population of up to 80. if the average daily Inmate population exceeds 80 inmates for any given month, the compensation payable to SHP by County shall be Increased by a per diem rate of $1.50 for each Inmate over 80. The average daily Inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, if any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. in all cases where adjustments become necessary, the invoice adjustment will be made on the Invoice for a subsequent month's services. For example, If there is an average population for any given month of 85 Inmates, resulting in an excess of five (5). inmates, then SHP shall receive sdditional compensation of five (5) times the per diem rate times the number of days In that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, short-term changes In the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any additional fixed costs, such as new fixed staffing positions that might prove necessary if the inmats.population grows significantly and if the population increase is sustained. In such cases, SHP reserves the right to negotiate for an Increase to Its staffing complement and Its contract price In order to continue to provide services to the Increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Jail Administrator, 'Sheriff .and other Involved County officials, and following appropriate notification to County. �� ``(t �} 7.3 utur ea s' omnensation. T unt of cum eneattofr`(�.d., annual base price and per dIe`m`Veq&d"MTIn Sections 7.1 and 7.2, respectively) to SHP shall increase gl!,ho-begMning—of-e-fth-wntrwAyear. The amount of compensation shall inure y two percent (2%) for the renewal Ve_r-UftKectIv4 December 16, 2014, and by two pert 01,(2°fo) for Wthe re shall provide written tics to Cc requested for renewal per d . otherwise negotiate mutuall gre each annual renewal perlo . I ed effective December 18, 2015. SHP of the amount of compensation Increase on or after December 16, 2016, or shall terms with County prior to the beginning of 7.4 Inmates From Other Jurisdictions. Medical care rendered within the Jail to Inmates from Jurisdictions outside Calhoun County, and housed In the Jell pursuant to written contracts between County and such other jurisdictions will be the responsibility of SHP, but as limited by Section 1.7. Medical care that cannot be rendered within the Jail will be arranged by SHP, but SHP shall have no financial responsibility for such services to those inmates. 7.5 Responsibility For Work Release Inmates. SHP and County agree that SHP will be responsible for providing on -site medical services as reasonable and appropriate to County inmates assigned to work release and/or release for community service work for government or nonprofit agencies upon an Inmate's presentation to SHP medical staff at the Jail, Notwithstanding any other provisions of this Agreement to the contrary, SHP and County agree that County Inmates assigned to work release, including work for County agencies, are therimselves personally responsible for the costs of any medical services performed by providers other than SHP, when the Illness or Injury is caused by and results directly or indirect►y from the work being performed, or when such illness or Injury Is treated while the inmate is on work release. The costs of medical services associated with a particular illness or injury incurred by an inmate while on worWelease may be covered by workers' compensation, medical Insurance, accident insurance, or any other policy of Insurance which may provide payment for medical and hospital expenses but shall not otherwise be the financial responsibility of SHP. in all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on•site at the Jail, including any Inmate Injured or Infirmed vvhlle on work release.or release for community service, to the extent such oars can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary, ARTICLE Vill: LIABILITY AND RISK MANAGEMENT. 8.1 InsULance. At all limes during this Agreement, SHP shall maintain professional liability Insurance covering SHP for Its work at County, Its employees and Its officers in the minimum amount of at least one million dollare ($1,000,000.00) per occurrence and five million dollars ($5,000,000.00) In the aggregate. SHP shall provide County with a Certificate of Insurance evidencing such coverage and shall have County named as an additional insured. In the event of any expiration, termination or modification of coverage, SHP will notify County in writing. 12 8.2 Lawsuits Against County. In the event that any lawsuit (whether frivolous or otherwise) is filed against County, its elected offlclals, employees and agents based on or containing any allegations concerning SHP's medical care of Inmates and the performance of SHP's employees, agents, subcontractors or assignees, the parties agree that SHP, Its employees, agents, subcontractors, assignees or Independent contractors, as the case may be, may be joined as parties defendant in any such lawsuit and shall be responsible for their own defense and any judgments rendered against them in a court of law. Nothing herein shall prohibit any of the parties to this Agreement from joining the remaining parties hereto as defendants in lawsuits filed by third parties. 8,3 Hold Harmless. SHP agrees to indemnify and hold harmless the County, Its agents and employees from and against any and all claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the aforementioned program of health care services provided by SHP. This duty to indemnify shall Include all aftcrneys' fees and litigation costs and expenses of any kind whatsoever. County or Sheriff shall promptly notify SHP of any Incident, claim, or lawsuit of which County or Sheriff becomes aware and shall fully cooperate in the defense of such claim, but SHP shall retain sole control of the defense while the action is pending, to the extent allowed by law. in no event shall this agreement to indemnify be construed to require SHP to Indemnify the County, its agents and/or employees from the County's, its agents' and/or employees' own negligence and/or their own actions or inactions, SHP shall not be responsible for any claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the operation of the facility and the negligence and/or action or Inaction of the Sheriff, County or their employees or agents. SHP shall promptly notify the County of any incident, claim, or lawsuit of which SHP becomes aware and shall fully Cooperate In the defense of such claim, but the County shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shalt this agreement be construed to require the County to Indemnify SHP, its agents and/or employees from SHP's, Its agents' and/or employees' own negligence and/or their own actions or inactions. ARTICLE IX; MISCELLANEOUS. 9.1 independent Contractor Status The parties acknowledge that SHP is an Independent contractor engaged to provide medical care to Inmates at. the Jail under the direction of SHP management. Nothing in this Agreement Is Intended nor shall be construed to create an agency relationship, an employer/employee relationship, or a joint venture relationship between the parties. 13 9.2 Assignment and Subcontractina. SHP shall not assign this Agreement to any other corporation without the express written consent of County which consent shall not be unreasonably withheld. Any such assignment or subcontract shall include the obligations contained in this Agreement. Any assignment or subcontract shall not relieve SHP of its independent obligation to provide the services and be bound by the requirements of this Agreement. 9.3 Notice. Unless otherwise provided herein, all notices or other communications required or permitted to be given under this Agreement shall be in writing and shall be deemed to have been duly given if delivered personally in hand or sent by certified mail, return receipt requested, postage prepaid, and addressed to the appropriate party(s) at the following address or to any other person at any other address as may be designated in writing by the parties: a. County: . Calhoun County Commissioners' Court 211 South Ann Street, Suite $01 Port Lavaca, Texas 77979 b. SHP: Southern Health Partners, Inc. 2030 Hamilton Place Boulevard, Suite 140 Chattanooga, Tennessee 37421 Attn: President Notices shall be effective upon receipt regardless of the form used. 9A Oovernina Law and Disputes. This Agreement and life rights and obligations of the parties hereto shall be governed by, and construed according to, the lavers of the State of Texas, except as specifically noted. Disputes between the Parties shall, first, be formally mediated by a third party or entity agreeable to the Parties, in which case the Parties shall engage in good faith attempts to resolve any such dispute with the Mediator before any Claim or suit arising out of this Agreement may be filed In a court of competent jurisdiction. 9.15 Entire Agreement. This Agreement Constitutes the entire agreement of the parties and is intended as a complete and exclusive statement of the promises, representations, negotiations, discussions and agreements that have been made in connection with the subject matter hereof. No modifications or amendment to this Agreement shall be binding upon the parties unless the some Is in writing and signed by the respective parties hereto. All prior negotiations, agreements and understandings with respect to the subject matter of this Agreement are superseded hereby. 14 9.6 Amendment. This Agreement may be amended or revised only in writing and signed by all parties. 91 Waiver of Breach. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as, or be construed to be, a waiver of any subsequent breach of the same or other provision hereof. 9.8 Other Contracts and Third -Party Beneficiaries. The parties acknowledge that SHP Is neither bound by nor aware of any other existing contracts to which County Is a party and which relate to the providing of medical care to inmates at the Jail. The parties agree that they have not entered into this Agreement for the benefit of any third person o*t persons, and It is their express Intention that the Agreement Is intended to be for their respective benefit only and not for the benefit of others who might otherwise be deemed to constitute third -party beneficiaries hereof. 0.9 Seyerabillty. In the event any provision of this Agreement Is held to be unenforceable for any reason, the unenforceabllity thereof shall not affect the remainder of the Agreement which shall remain in full force and effeot and enforceable in accordance with its terms. 0.10 liaison. The Calhoun County Sheriff or his designee shall serve as the liaison with SHP. 9.11 Cooperation. On and after the date of this Agreemant, each party shall, at the request of the other, make, execute and deliver or obtain and deliver all Instruments and documents and shall do or cause to be done all such other things which either party may reasonably require to effectuate the provisions and intentions of this Agreement. 9.12 Time of Essence. Time is and shall be of the essence of this Agreement. 9,13 Authority, The parties signing this Agreement hereby state that they have the authority to bind the entity on whose behalf they are signing. 0,14 A1Cis W Effect. This Agreement shall be binding upon the parties hereto, their heirs, administrators, executors, successors and assigns. 9.16 Cumulative Powers, Except as expressly limited by the terms of this Agreement, all rights, powers and privileges conferred hereunder shall be cumulative and not restrictive of those provided at law on In equity, Is IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities With legal authority to do so. ATTEST: Date: CALHOUN COUNTY, TX BY: 1-�� M, G I,A41 k • II-p4e'-� ✓ Date: } t 19 J} SOUTHERN HEALTH PARTNERS, INC. dlbla SHP VISTA HEALTH MANAGEMENT, INC. BY: _ (j;#47w. ifasons, Chief Executive Officer Date: 1 f . 7 / K Susan Riley From: Michelle Velasquez <michelle.velasquez@calhouncotx.org> Sent: Thursday, October 08, 20161:03 PM To: Susan Riley; rachel.martinez@calhouncotx.org; Cindy Mueller Subject: FW: Message from "RNP002673958BF5" Attachments: 201510081349. pdf YEAR Total Annual Cost Monthly Cost Nurse Hours Cost Pool Stayed within Cost Pool 2014 SHP 99098,21 20 $30,000 Yes, received Refund 2015 SHP 8,990.25 20 $30,000 2016 SHP $5,537.76.00/yr difference from 10%) 10,350.75 30 $30,000 2016 1 SHP w/ 10% increase 19,889.27 120 Adding SHP nurse hours to 30 hours will remain In budget for inmate medical for 2016. Previous accounts to pay for inmate medical prior to 2014. 64910 Prisoner Medical Services 613.70 Contract Medical Services 53957 Infirmary Supplies Michelle -----Original Message ----- From-, michelle.velasquez@calhouncotx.org (mailto:michelle.velasquez@calhouncotx.org] Sent: Thursday, October 08, 2015 1:49 PM To: MICHELLE Subject: Message from "RNP002673958BF5" This E-mail was sent from "RNP002673958BF5" (Aficio MP 5002). Scan Pate: 10.08.201513:49:27 (-0500) Queries to: michelle.velasquez@calhouncotx.org Consider and Take Necessary Action on request for a one-year extension; January 1, 2017 through December 31, 2017 on the current food contract between Calhoun County and Ben E. Keith. This is the second of two yearly extensions as allowed by the current contract. (MP) Motion made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 26 of 52 �gC'bbDSE RVEC E. blsff R36 UTO Rs {�. Ben E Keith would like to offer a one year extension, January 1, 2017 thru December 31, 2017 on the current food contract with the Calhoun County Adult Detention Center. If approved, this is the second of two yearly extensions as allowed by the current contract Name/Title t1V��L'1 Savl �i3tnS11l�S5 Pc-c�eSS An�yS�. Signature t Date fc5 / iz I Ito BEN E. KEITH FOODS PAGE 1 10/12/2016 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of l Complete P os. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete os. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of 6 isiness entity filing form, and the city, state and country of the business entity's place of business. 2016-123213 Ben E. KG th Foods San ANto io, TX United States Date Filed: 10112/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filer] Calhoun i'i ounly, Adult Detention Center Date Acknowledged: 3 Provide th'. identification number used by the governmental entity or state agency to track or identify the contract, and provide a descriptio' i of the services, goods, or other property to be provided under the contract. 2017 Food forte kitchen 4 Nature of Interest Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Ben E Keith oods San Antonio, TX United States X I 5 Check only If there is NO Interested Party. ❑ 6 ArFIDAVIJ, I swear, or affirm, under penalty of perjury, thatthe above disclosure is true and correct. 11, SYLVIA ANN RODARTE �=Notary Public, State of Texas �/ '9 //✓�� / - :;'•' •} Comm. Expires 08-09-2020U/ydj Notary ID 12020573 Signature of thorized agent of contracfir6 business entity l AFFIX NO RY STAMP / SEAL ABOVE vvc Sworn to at d subscribed before me, by the said �L` �' A 1 (A.Ef so tA, , this the Z;Q dayof 20 to certify which, witness my hand and seal of office. Signature of officer administering oath Printi6d name of officer administering oath Tide of officer administering oath Forms provid I d by Texas Ethics Commission www.ethics.state.tx,us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Intl 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: 2016-123213 Date Filed: 10/12/2016 Date Acknowledged: 11/16/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Ben E, Keith Foods San ANtonio, 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 Adult Detention Center 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 services, goods, or other property to be provided under the contract. 2017 Food for the kitchen 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary Ben E Keith Foods San Antonio, 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 I 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 V1.0.277 r ; f`u}Sf€Ybr i}y 4f a�u�kt'�}71.Yn�f Pms .. ._.. .. ....... ' ........ ._... .....: ' _ ,V ....... 26 S Ili PJ `il, ;'t t: i3 lifferl HOUR, R, 4,ii?fJ[L'1':)I€ftll,Pil1¥ i'r9fiEd.l1.lJr:Ci11, (klirl8 aom 0113AKRU1 lsr� `.fhtir 's txiiF?llttli r li€EPRON G-1611I't3-11610 VAN CHIN v5i3AGftd fts;;3[fitdt liGt�1.8©�€ October IS, 201.5 BON f: KEl IJ FOODS WE R WthNG DIS I RIC1' SALTS iMA NA6I:R 5505 KA[PA COURT SAN ANONIO IX 78218 Re: C,tliilOUn County Adult. Detention Center Food SerWa s lyontma t'f FXTLNSION of two yearly extensions as aflrrrvfad by the Con hAct beginning January I, 20:1..; all ending December 31, 201S J." i. Extension: January:1,JC)l.6ihrrcDecember J:l,%O1G Dear Mr. Fierning: On Monday, October :12, 2015, Con) rnif'sioners' Court approved the first of (1i) to I.Wo allowable extensions of the contact between Calhoun County and Reel I: Keith Foods. The first extension of the contract still begin January 1, 20:16 and end December 31, 2616. I have included a copy of the following: • Ben E Keith? letter dated SafAmabu 30, 2015 offedug to extend the current. contnrct • The cu rent conhod r 1'lle current food list p If you have anv questions, pfease call our office. Ben E KAM vwuld like; [a uVor a one year oamism, mmy 1, 20 W MW DOWMWr 31, 2016 On Iho current on[ fco.j col Iliad will I Illo Galhom I Goul ILY Adult Uolnj lion Gonl(x. If aivrow" 06 Is the first of Wo yearly ummomw as nwww"I Um mmos mmmot NamotTiOu 11 P14 Sig I I Hit I w . ........ .......... ITEN KFJ III FOODS CONIFfoR I flAt. PACT 1 91,1W2015 I CONTRAG'r gr--cm FOOD CALIHOUN COUNTY ADI.A."i'DE" BvITION CENTER 8TA!r--- 01-1 1,-XA,3 COON 1Y 01" GAI-1-10UN This agromnoritisby and I retch totter called 'provider" " cil rd Gallboul I Gow ity t,,iciii I!:) though their Adult DrAention Center heirehnaPer cWWd the Nall" surd is h) provkJo for tilt,, furnishing of food arld food stijiffs to Hir, iafl. The offoctivc dain of this agreement is JawaT 1, N 15 and k for a pmhd of one year fmni Mat dnh. This arlmorriont vA and on Decornber 31, 2015. This Each of tilt' two ophorial Innawak, I'll u,"'t b:.app rovnd by Coln niscione Is' Col tit prior to it In end daip orlho procee'ding contract, Thu Wil and non400d Rove is to he providud ave, set or in tire ath-,chod Food 1,310 Pdo-Ing List and said pikes w1H be honored for tire one yc',,ar period, Any fl-on-re orriored net on the aitachad Food Rid Pdoing Ufsi -Arall ho jrovl(ed at Cost Pius 911 has'Is. 7'he Jail viamea to pay for said food, not -food Rolym or goods upon presentation of an invoice, and Vafifir"ation fliat s"H(j food, not) food inns or goodo hava born delivered and Providerwill u;3o, ii,,: host offofts to provide quality taoduots ',Ind good and hoaldry food but makea no mar(rintin's express of linplind about fileit, fitnn'ssfor 1.18n. Providor kvill piovide products that am nowind for hwoles W high bhotj prossure, diabokc;; or flat rnliqioui joi4soir". Provk1or will offor ollinor ociuliNyov, sorvices or prodimins unsmi 4 Won M five of darga 01 Cost /0 -% hu-Sis 11 am"lilable. The! ',(' prodir(;[;6 include disponso'n; for thenah and other piodriots hood in tdffchon. Paul 102 Deliveries will he made at specifc times (at I^rast t1mice a vreek) and in sufficient yuentities to ensure fiat there will he suMdurit fiend on hand at the jail in mace snd pruvid(z all meals - Lclbrcis, +trill ho rnicle heh�? an Monday and Friday bcW,een the hour, of 7:00 ,a.rn. to 10:00 ami and 1 M p-ro. to 4 p.m. in ord-1 not to disnlpt the jail kiteh�ai in pr«psrinit meals, titnaulli an orrlercd ifi=iiY not arrivo ,.is ordrrl,il, or a v9iolYg ite:mr is de:bored, providoi will doliver the coirm! or smisiituie item %.Millie 241 hour's from the. date tho missing itc.ni .vas supposed to ho dclivcicd. A salon representative froln tho provider _stall cunlauL the ,fail Administrnlor or Jail Kitchen offirr:r monthly in I' Orson, to tircussmy Was or now jump eta offerod. Si�,'NE.D A D A l E P IM this iiie«j��hi<ry o, iry, `,F' _^:.^ fI ?�c. �....... 61 M, t}ElOVII)E R: j% :iil:naU�r.� ARM Or Puma HIM. CAi...i i.3lJM cC)I„jSiYY, T ✓di„i Liallin9 AJJmss � �r +`. .._—_ 1`11 S Ann 9t fM Floor, Sto 34.1 , n.if tL 311 all roun4/ hniy °y-irr1 svica, fv r�y79 .t i 02of2 Boil EKelth Foods -January 1, 20116 thm December M, 2015 ist Extension Approved October 12, 2015 by Commissioners' Court- January 1, 2016thru December 31, 2016 F 11 600022 6 �11101��Kth/Cho Apple Sliced N.W. Fancy $41.73 2 600033. 61410 !Kth/Excl Applesauce Fcy Unsweetened $31.47 3 600030 61H10 Kth/Exd Applesatuce Fancy Nw $31:40 41 101756 1 30 Lb iTyson Bacon Slab Random $5 -9.9 9 51 696005 6j5Lb !Clabgirl 1BakingPowder $54.40 6` 696130 2411 Lb i (Husptlty 1Baking Soda $18.151 71 18004 i 1140 Lb Packer 113anamir Green Tip j $20.45 8` 8111961 217 Lb jKth/Home I Base Beef Granular $31.45 91 8111941 219 Lb Kth/Home Base Chicken Flavor Paste 10i 7740101 115 Oz Mcormick Basil Leaves $5.41 111 774014: 112 Oz Mcormick Bay Leaves Laurel $8.64 1 12 1 546263: CS Lb Tu jEddy Bbq Beef Chopped W/Sauce 1 $81.08 13i 650061; 6 , #10 Aliens Bean Baked Oven Prepared $37.15 ;51 IiM Lin Mrkn/rc Bean Green Regular Cut $18.13 15 141 6 #10 Kth/Excl Bean Green Cut BI 4 Sv Mw $18.49 16j 6521501 1 2OLb Kth/Excl Bean Baby Lima $28.24 171 6522401 1j20 Lb KthfExci Bean Navy Pea $19.52 18j "Moo 1,501,b Bean Pinto Triple Clean $40.061 19 No 61410 lRanchsty Bean Ranch Style $31.67 20_ 650090! 6 #10 Happychf Been Pork& Beans Fancy $25.78 21 5002451 5113lb avg ibp Brisket #120 $3.63 22 5047501 31:i4Lb (Cargill Beef Shoulder Clod $3.39 23i 5010041 21711b [Tyson I Roast Beef Top Rnd $4.19 241 25 506084 5061041 8 11-09 Avg. !Packer 40 14 �Ozi _1 iFloilten jBeef Grnd Fine 80/20 Fzri Beef Patties 4/1 W/Tvp j $3.14 $23.33 2 61 40 4 Oz lAdvance Beef Steak Fritter Nat 4/1 $30.28 271 526882 ;50;93 4- 28 5! IT 10 102 0 90 3 01z Advance ;Advance,_ lVeal IV 1Beef Steak Italian Brd Nitles Charbroiled $41.32 $60.75 29T 111073 1 101b Packer Beef Stew Meat $37.89 301. 510225 160 102 Bek0 18eef Steak Vinger 102 Ckd $31.60 31. 3994821 6 204 BrichlfM jwsu �rt Biaterwiiilk`klit sliced 131scintbuttermllk 10 C t TurlMy t.kinchnimat Combo . . .... ....... ... ------ 11roccoll Cuts Broth Chicen -- $18.56 6950041 A 80z erico 331 4929r,4, 1?1 1, h Buttorbl 141 IM,201! 1. 20 Lb Wrknn _07 --IV ,9022' 12 bmwe 361 371 691455: S 385A 0 920 5 �1 'i S C, 69140 615 9 ... .. ... . ..... '50LI) Ct L_b__ 11) - full) jFemando Paclnr Pth/Piom 'CooLIvIIJI ;Cako B - jownle Mix Fudge, 6uiiRoBMIuiRedChIIi rcon joillbo510.99 Mix chorolato %'A's $45.91 ---- ---- nkc f\,Iix Vylesi("j 1) Orvils Food $27,64 42 ,13j 44 Si ,16, 694 -- 1,401; 691e!00� iwosi 3361%j 650 I'SW: 61,51T - --- 5lb t .50 H)S I fInkn/R, -1 20 ih i Mrkn/Fr. Allon� co AIX �IMLe MIX Yellow !('arroi Jumbo Usfil lCirmt rmooth Sliced !Cat (ot SlicedI'viodilool Fancy $2.4.42 ti2fi.28 $18.96 '24 M Ben EKellh Foods -January 1, P015thru December3l, 2015 let Extension Approved October 12, 2015 by Commissioners! Court -January 1, 2W6 thin Deoember3l, 2016 r g --gv qj N 47 102012 140 Lb jMrkn/FC Celery Med Foodservice Pack $26.74 -48 337112i 1 20Llo Mrkn, Cauliflower lqf j $21.94 -49 50 7991161 7991201 4 4 45 Oz 46 Oz MOM MOM Cereal Frosted Flakes Cereal Fruit Dyno Bites $31.96 $34.20 51 7991141 6136 Oz MOM Cereal Raisin Bran $35.74 52 7991211 41340z MOM Toastle, O's $30.851 531 799276! 4139oz 1Gen Mills Honey Cheen . os $42.91 54 7991081 4 27oz Gen Mills -Nut Rice Krispies $30.43 55 7610101 C6TI5 �-Lb I hrvst Cheese Malting Loaf Yellow $92A8 S6 7306341 415 Lb jSchrelbr Cheese Amer Imit 160 Ct j $42-97 57; 735043i 6j5 Lb iLandolak Cheese Amer Slice:1,60 Ct $95.31 581 730002! 415 Lb IMenu Cheese CheddarShred Imit $34.51 59'1 7400781 2 5 Lb ;Gldhrvst Cheese Ched/Jack Shred Reg $33.26 601 6605051 6 #10 iM[pueblo Cheese Sauce Cheddar Aged $34.881 611 6605581 6 290z 11(th/Prern Cheese Sauce Cheddar Mix $44.771 62; 2851961 4 5 Lb IDalryfrs Cottage Cheese Sm Curd 40/. $43.84 63f 742002 10 3 Lb iGidhrvst Cheese Cream Loaf Grade A $67.56 _64L 747050 4 5 Lb ICortona Cheese Mozz Shred Lmps $67.22 651 759001 2151b -----fGldhyvsi - Cheese Pimento Spread $37.34 661 487103 41101b jCarls Chicken Fajita Breast Marinated $1mog -CA 487608 1 -201b ;Dixie Chicken Nugget fritter $22,73 68' 480422 5 Lb Iplathvst Chicken Diced All White Fe $35.28 69 487701 60,30Z )Advance Chicken Breast Patty Breaded $25.74 701 488182 2,Slb 1D Vaiey 1Chicken Fritter Tender $18.01 711 487156 4 IOLb jPacker lChicken Thigh Meat Raw Fzn $42.22 721 4870801 110 Lb Supreme Chicken Fajita Thigh Mt Fz $25.67 73 74i 75j 1021971 488404 546651 2 2 4 Sib 5 Lb 4 Lb GranSabor Naftst Campbell lChicken Fajita Slice raw Chicken Fajita Strip Fc Chili Roadhouse W/Beans $3713 $41.08 $39.93 76 46709 6 5 Lb Chillbwl lChIll Homestyle No Beans $60.87 77 782018 6 910 1(th/&cl (Chili WithWith Beans $61.36 78 782009 6 010 Kth/Excl jChIll No Beans I $75.43 79 699399 8 ILb Irritolay IChip FrIto Corn Bulk --$14.46 80 699514 G 16 Oz Rays IChip Potato Regular Bulk $13.73 81 699048 6 2 Lb Mission IClilp Tortilla Yellow Round $20.97 82 699199 104 1 Oz Cheetos IChip Cheetos $31.44 83 699615 2 SO Ct Fritolay IChip Variety Lss Lays Fritos $25.26 ,84 774022 1 51-b Ispicecls ICInnamon Ground.. $23.89 85 692113 1 10 Lb Snowflak fCo �onutSnowflake Bulk $28.06 86 640555 42 1.25 Oz S&D lCoffee Todays Gmt W/Fliter $26,80 87 640405 64 2oz jElgton Coffee traditional FIR $55.36 88 92071 4 5 Lb Ct IMrkn/Rss Cole Slaw Mx Shred Orn 3 Pt j $14.77 89- 772015 110 Lb, !Nabisco Cookie Chocolate Chip Homstyl $22.39 901 772021 110 -Lb:INablsco Cookie Oatmeal Homestyle, $19.75 911 772023 1110 to INabisco Cookie Sugar Homestyle $19.73 1- -213244 32011 Oz !Valuzone Dough Cookie Choc Chip $42.07 Ban E Kelih Foods-Jarmiry 1, Mfithru Deoembor3l, 2016 1st Extension Approved October 12, 2016 by Commissioners` Court -January i, 2018thru December 31, 2016 1160.onWW t 93 432442 320 1 Oz Val Zone Dough Cookie Oatmeal RaIsn $47.40 94 432215 320 10z Val Zone Dough Cookie Peanut Butter $45.61 95 molo 1 51b Keebler Cookie Vanilla Wafejs $1214 96 656.72 61010 Aliens Corn Cream Style $31.91 97 338602 1120 Lb Markon Corn Cut $16.94 981 782020 6 1110 Kth/Excl chill hotdog sauce w/meat . 991 338836 6 2 Lb (ildnersta Corn Nugget Sweet Battered-- $27,25 100 650176 6 H10 Aliens Icorn Whole Kernel Fcy $28.09 101 370122 240 .67 Oz Kth/Excl Corn Dogs Turkey Mini $30.59 IOZ 691349 6 Sib hospitafty Corn MUM Mix $26.33 103 690010 1125 Lb Kth/Excl Corn Meal Yellow $9.72 104 772080 200 2 Ct 1Nabisco Cracker Graham Honey Maid $21.73 1051 771314i 12 16oz !Nabisco Crackersaltine $32.18 1061 771332 500 2 Pk dance Cracker Saltine Supreme $12.66 107 771303 300 2 Ct 'Sunshine cracker cafe Club -Like $18.10 108 639071 24 12 Oz N Joy Creamer Non Dairy Canister $36.89 109 774055 14.5 Lb SpIceds Cumin/Comino Ground $26.18 110 6620401 4 IGal Kth/E)(cl Dressing Coleslaw $33.30 111 674077'1 200 12 GM Ppi Dressing Italian Pc $14.35 212 662067 4 1 Gat Kth-/ExcI Dressing Itallait -Golden Re $23.37 113i 6625501 18 3.2 Oz 11(th/Excl Dressing Mix Ranch I Gal Yld $25.03 114 6741461 20012 Gm Ipp! Dressing Ranch Buttermilk $15.35 115 674081i 200 12 Gm jKthfExcI Dressing Salad Pc $14.64 1161 630421 ! 12,24 Oz 11(th/Excl Drink Mix Lemonade Powdered $26.35 117 630426;1 121240z Kth/ExcI Drink Mix Grape Powdered $26.35 118 1191 _ 6304201 6304221 12124 12124 Oz Oz Kth/Excl Kth/Excl Drink Mix Fruit Punch Drink Mix Peach Powdered $26.35 $26.35 6304231 12j240z Kth/Excl Drink Mix Strwhry Powdered r Drink Mix $26.35 121 630425 12 24 Oz Kth/Excl Drink Mix Pink Lemonade Pwd $26.35 122 630281 12 IJIOZ Crystlgt Fri; Punch SIF $40.50 173 630296 12 1.80Z Crystfgt Drink Mix Raspberry Ice S/F $40.50 124 393123 IS 21b pappettl IL Egg Scramble Mix Select $45.99 125 380307 72 3oz Lee Egg Roll pork $19.77 126 250025 115 Dz Packer Egg Fresh Shell Med Usda An $18.22 127 777035 1 Pt IMcormick Extract Vanilla Imitation $3.09 128 688090 150 Lin Goldmedl Flour H&R Medallion $14.36 129 5361111 90 2 Oz Farmland Frank All Meat 8/1 $18.95 130 31530711 6 Sib jFarmqb French Fry,$14 sq $16.89 131 106369 6 #10 Orch Nat Fruit Cocktall Choice Ls $42.36 132 600092 6910 Kth/Cho Fruit Mix Choice In Ls 42.21 133 774865 1 1 �Lb Txcustom Garlic Granulated i $34.17 134 7670441 12 24 Oz Kth/Excl Gelatin MIX AsstCitrus - -------- $30.35 -�26.631 135 7670431 -- 12 24oz Royal Food_ Gelatin Mix Lime i 136 7670371 12124 Oz 11(th/Excil Gelatin Mix Asst Red $30.35 137 7970581 6113 Oz I Morrison Gravy Mix Brown Country Style $20.40 6 140z _ Pioneer t �Ixchlcken Ban E Keith Vbods-January 1, 2015 WrUt)ecember3l, 2016 191 extension Approved October 12,2016 by Commissloners'Court- January 1, 2016thru December3l, 2016 139 7972311 6 24oz Conestoga Gravy Mix Pepper 4 $15.97 140 7972371 6 11.3 Or Gravy Mix Pork Roast $25.25 141 7972401 1 6 113 Oz -Pioneer Pioneer Gravy Mix Turkey $20.58 142i 6501931 6910 Bruce Green Cut Leaf Mustard Fcy $21.67 143 7994191 8 36oz Quaker Cereal Grit Instant i $30.75 144 538008i 2110-121b Tyson Ham Buffet Style $2.10 145 5382171 211310 Tyson Ham Deli Style $65.30 146 5380371_ 413 Lb Farmland--- Ham Sliced 3940.5 Oz $43.18 147 3610651 6j3 Lb Lamb Sup Hashbrown lqf Shredded $20.31 148 650337j 612.5 Lb Goldngrl Potato Hashbrown Redi Shred $38.01 149 405128 415 Lb Hagys Hushipupple Homestyle $28.78 1501 766108 1112115 Richs licing Choc Spread & Shine $22.09 b Richs Icing Vanilla Heat n ice $19.57 1521 677095 200 I .5 Oz Heinz Jelly Asst IQ Plastic Pc $13.26 153 677034 200 .5 Oz Kth/Excl Jelly Grape Pc Cup $9.80 154 318011 70 4oz Ard Fran Juice Apple iGO% $11.76 155 318058 70 4oz VItamost Juice Apple 100% $12.17 318043 70 4oz Ard Frm, Juice Orange Pure 1001/6 $14.58 157 318012 70 4oz Vitamost Juice orange Pure 1000/6 $14.99 158 674024i 1000 9 Gr Red Gold Ketchup individual 9 Gram Pc 1 $17.92 159i 650479 6910 Kth/Home Ketchup Standard 2604 Solids $22.98 1601 123001 1 CS Fleldsel Lettuce Iceberg 24 Ct $35.29 161 _ F779200 .30 1 Lb ]Kth/Excl Margarine Solid Pure Vag $21A1 162 8007111 12 16OZ 1Kraft Marshmallow let Puffed $19.36 163i 662037 4f 1 Gal fKth/Home Mayonnaise Hvy Duty $28.43 164 674060 200 12 Gm Kth/Excl Mayonnaise Pc $16.76 165 104374 320 .5 Oz Bonic; Meatball Beef And Chicken $22.73 1661 798001 24 12 Oz Velvet Milk Evaporated $22.09 167. L_798022 24 14 Oz Magnolia MllkCondensod Sweetened $46.94 1681 691073 4 5 Lb Kth/Prern Muffin Mix Blueberry K $44.20 169t 674050 500 5.5 Gm Kth/Excl Mustard Pc Poly Pouch $12.62 1701 664005 4 1 Gal Kth/Cho Mustard Prepared $11.66 1711 799200 3 16ct quaker Cereal oatmeal Inst reg $9.49 172 1' 779020 6 lea[ lKth/Fxci Oil Butter Pan and Grill ..--.-.$.47.63 173 325205 120 Lb jBeko Okra Cut Brd Heavy $15,93 1741 342131 12011, 1 Pictswt Okra Cut l/ 2 In Grade A $13.31j 1751 155030 1 501-lo Fleldsel Onion Yellowlumbo $11.94 1761 wollo 6910 Horizon Mandarin Orange Broken $33.80 1771 774929, 1 12 Oz__ Txcustom-- Oregano Ground $9.44 1781 6980071 6 170z Pain Food Release Pam Saute & Grill $16.94 179r 401352 144 .2 Oz Mbtrwrth Pancake Original $15.99 180 174727 1110 Oz Mcormlck Parsley Flakes $11.79 181 700267 12 16 Oz Cortona Pasta Lasagna 10" Curly Ribbed $14.47 182 .700020 2 10 Lb Cortona Pasta Macaroni Elbow $18.28 1831 7000331 11 Lb Cartons Pasta fee Noodle Med 1/4 Inch $12. 9 184f 7000871 2 10 Lb Cortona [Pasta Spaghetti Thin 10 In $18.218 Ben E Keith Foods 4anuary 1; 2016 thru December 31,20-15 1st Extension Approved October 12, 2016 by Commissioners' Court- January 1, 2016 thru December 31, 2016 rpe PA,,Akq. 185 104144 2 sib Dutchqlt Chicken Waffle Slider 2oz $43.17 186 600133 trio Kth/Home Peach Sliced Ls $40.53 ----- --- 187 794006 ----6 - - 6 5LIJ Kth/EKcl Peanut Butter Creamy $51;18 188 600262 6 #10 j Kth/Cho Pear Halves 30-35 Ct In Ls $45.80 189 349712 120 Lb lMrkn/Fc Vegetable Blend Peas&Carrots $17.83 190j 650260 6 #10 Alens Pea Blackeye Fresh Shelled $26.20 191j 650291 6 #10 Kth/Cho Pea Sweet Mix Sieve Xstd $32.41 192 685008 12127 Oz Em $40.06 193 685023 61#10 KII $23.78 194 687006 4;1 Gal Cal Chef Relish Dill Premium $25.23 195 680058 115 Gal 11(th/Home Pickle Dill Slice Hamburger j $20.01 196 W 430075I j 60379 6143 6 Oz 'fZ Ichef P !Dole Pie Pumpkin - 10" Prebaked Pineapple Chunks in Juice $34.00 $31.49 198j 600387j 6 1110 Worfdhrzn Tidbits in Juice $30.06 199 3840291 128 3.3oz _Pineapple Tonys Pizza Brkfst Saus&Chs Cn $49.89 200 201 202 '264 2d5 206 3844181 384420 451711 4557791 544240 7740801 96 9614.48 4 110 40 1128oz 4.6oz Oz 16 Lb Lb 3.7.5 Oz Tonys; Tonys Packer Seastar -Advance-Pork Imcormick [Trurecip Pizza Cheese 4 X 6 Cn Pizza Pepperoni 4 X 6 Cn Pollock Fillet 4-6 Oz PollockStflp 1.5 Oz Brd Parties Breaded Cn Pepper lemon Seasoning Potato Inst W/Mllk 40132 $51.08 $52.33 j $60,89 f $33.49 $23.62 $936 $45.18 207i 170017 1 501.1a Ct IFIeldsel Potato Russet 42 Idaho 10 Oz $12,891 208 169190j 150 Lb Fleldsel Potato Red #2 "A" Size $15.511 209 360811 6 5 Lb Ore Ida Potato Tate-rTots $31.87 210 765086 6 #10 Can Myhmtwn Pudding Banana Rts $24.75 211 765085 6 #10 Can Myhmtwn Pudding Chocolate Rts $24.45 2121 765007 64110 Kth/Excl Pudding Lemon Rts $32.37 213 7650116#10 Pudding Tapioca Rts $33.71 214 765084 6 It Can Myhmtwn Pudding Vanilla Rts $24.46 215 800058 24 15 Oz Sundlamd Raisin Golden Seedless $47.37 216 800042 24611.50 Vlypride Raisin Inchr Packs $34.691 217 654044 1501.1) Bamboo Rice Long Grain $18.52 218 654060 1 50Lb Ct comet Rice Parboiled $19.92 219 660714 1 240z Mcormick Seasoning Taco $9.37 220 398435 96 1.55 Oz Rotellas Roll Dinner Thaw & Serve $23.76 - 221 3 98435 96 1.55 Oz Rotellas Roll DirmerThaw &serve $23.76 222 127018 A 5 Lb.Ba,_ Mrkn/Rss SaladMIxW/Bag $18.12 223 768025 130 Lb Resers Salad Potato Homestyle $45.46 224 676026 1 25 Lb Morton Salt Iodized Table $4.86 225 660017 4 Igal Lil Pig Sauce BBQ $15,23 226 660505 6411 Mipueblo Cheese Sauce Cheddar Aged $34.88 227 600065 24 14oz cuspray sauce cranberry jewed $37.48 228 660400 4 1 Gal Kth/Excl Sauce Enchilada Mild Rtu -T-$25.08 229 1 Gal Kth/N�Sauce Picante Mild $32.26 230 77� #10 Kth/Exci ISauce Pizza W/Basil $24.92 Ben E Keith Foods -January 1, 2015 thm Dadember3l, 2016 I st Extension Approved Odober 12,2015 by Commissioners' Court- January 1, 2016 that Dacembor3l, 2016 231 661093 4 1 Gal 11(th/Excl Sauce Soy $17,94 232 674714 -900 ea 11(imiam Sauce Soy PC $11.08 M 660103 6 410 Kth/Excl Slice Spaghetti Rtu $25.49 234 674097 500 9 Gm Kth/Excl Sauce Taco Pc $25.37 235 674812 20017/16 Oz Kraft Sauce Tartar Creamy Pc $14.48 2361 6505201 6F#-10 Kth/Excl Tomato Sauce Fancy Calif $20.44 2371 660298 4 1 Gal 6a-jChef Sauce Worcestershire $15.63 2381 541029 2 SLb Laxson Sausage Chorizo Pork $21.63 239t 541092 2001,80z ate o1c: Sausage Link Nat,8 6z $30.11 2401 2411 5415871 539067;% 19211 2,5 Oz Lb Beko ITenn Prd Sausage Link I Oz Pc Sausage Bulk Raw Mild $26.81 $25.86 2421 541170i 110 Lb 15 Maid Sausage Smoked Rope Cooked $24.71 243 4922891 10013oz iiennie 0 Turkey Sausage smoked $35.98 244 7744661 417 Lb lChachere Seasoning Creole Original $47.82 2.45 7741841 1112 Oz livicarmick Seasoning Poultry No Msg $10.92 246 774396 14.5 Lb Mcormick Seasoning Salt Traditional $14.69 247 779123 135 Lb Kth/Home Shortening Clear Fry Liquid $27.20 248 --808040 12 500z Campbell Soup Chicken Noodle $40.53 249 808100 12 50 Oz Campbell Soup Vegetable $49.18 250 0 iiigkl- 3 12 WO-z Campbell Soup cream Of -Potato $49.58 251 808030 12 50 Oz Campbell Soup Cream Of Chicken $45.12 252 808060 12 50 Oz Campbell Soup Cream Of Mushroom $44.71 253j 808090 12 50 Oz Campbell Soup Tomato $33.91 254 669027 4 5 Lb Daisy Sour Cream Cultured $29.37 255 650395 6 #10 Popeye Spinach Chopped Fancy -,-.-$2,7..38 256 345103 120 Lb MrIm/Fc Squash Yellow Sliced $18.67 257 697100 24- -IL-b---fArgo -- Starch Corn $18.59 258 654300 6 3.51b jUncle ben Cornbread Stuffing Mix $69.20 259 780009 12 2 Lb----- Imperial- Sugar Brown Light In Bags T- -$23,87 260 780034 150 Lb Coppasa Sugar Granulated Cane $29.69 261 ---MSO-02�-- I -3-Cb--- Wormi,1k----- Onion $11.91 262 7810051 12 2 Lb •Imperial Sugar Powdered White 10X $23.92 263 677005 100 loz ppi Syrup pancake pc $10.02 264 793036 100 loz smuckers Syrup pancake diet $15.11 265 640225 100110z M Club Tea Iced Select Filter Pouch $ iO77-6 266 211111 1 251b Frsh/Kth Tomato Balk Caf6 2671 650452 6 #10 Kth/Cho Tomato Diced nJulce $21.09 7681 650547 1�, 28 Oz Red Gold Tomato Diced W/Green Chiles. $19.33 -69-r --- Mow 12 1 Lb Ktb/Excl Topping Whip Mix W/Water $31.06 270 783217 6 66,5 Oz IChicsea Tuna Chunk Light In Water $65.74 271 582274 4 10-121b Farmland Pork Loin Whole --$18.99 272165010 111/9 B Packer Pepper Bell Gm Chopper 2731 774160 1 18 Oz Mcormick Pepper Black Ground Pure $13.51 274 I 492291 2 9-9.54C Carolina Turkey Breast Smkd Slads $2.78 100167 410Lb Carolina Turkey Ground Mst:80/2,0 $33.98 2761 492954 12 2 Lb Butterbi Turkey LunchmeatComba $23.84 Ban E Keb Foods -January 1, 2016 thru December 31,2015 1st Extension Approved October 12,2015 by Commissioners' Court- January 1, 2016thm December 31, 2016 �V -%i-..0'r,,'P Q'w F h 2771 492309 5 Sib Carolina Turkey Roasted medallions 2781 492681 1 10 Lb Carolina Turkey Ham Diced Cured $19.42 2751- ..:650740 6 #10 Kth/Excl Vegetable Mixed Fancy -$29,23 280 349136 1 20 Lb Mrkn/k Vegetable Mixed (5 Way) 1 $19.15 281 650250 6 fflo Kth/Excl Vegetables For Stew $28.33 282 349198 12 2 Lb Mrkn/Fc lVegetable Blend Ss Stir Fry $34.82 283 401176 W .8 Oz Mbtrwrth lWaffle Square Regular $13.82 284 650384 61110'Bruce Potato Cut Sweet $34.66 285 697001 20 1 Lb isaf YeastSaf Instant $54.69 286 823001 2 75 Ct lYth/Essn Cont Foam Hngd 3-C Mod $15.59 287 860041 40,25 Ct Dart Cup Foam 12OZ 12J12 $24.38 288 860060 40 25 Ct Kth/Fss.n_ Cup Foam 160z $35,23 289 860045 10 100 Ct ___ ._ Dart Llcl Plas 1251 Slotted Trans $13.69 290 860055 10 100 Ct Dart Lid Plas 1651 Slotted $13.99 291 873802 4 500 Ct Kth/Essn Straw 7.75in Jumbo Clear $12.50 292 883615 1 100 Ct Kth/Essn Apron Plastic White Md $25.63 2913 883595 10 100 Ct Disco Apron Plastic 2042 Inch $85.85 294 885915 6132oz ssdc Sanitizer red!-san $21.28 295 887056 115 Gal Kth/Essn Detergent Speed Clean $88.97 296 8870781 1 5 Gal Ktb/Essn Rinse Aid Fast Dry z $115,341 297 887097 2 1 Gal Ssdc Detergent Paramount $68.55 298 8852251 128 2oz ssdc ICleaner Floor Super Excellent $35,51 299 8810431 1 ISO Ct Brawny Towel Wiper A/P 13X24 $44,88 300 875406]1 2' r2OOO Reynolds Bag Reclosable Qk seal 1GI $23.83 C agSandwlch Poly FlJpTop $35.71 302 8754261 Ij500 Ct Zipgards Bag Sandwich Reclosable $21.28 303 8753951 111250Ct Zipgards Bag Reclosable Gallon Zip $27.49 303 875323! 1100 Ct Reynolds Bag Storage Reclosable 2 Gal $19.58 305 8770171 1 Roll Durable Film 12X2000 Clear Wrap $14.64 306 8760541 1 Roll IDurable Foil Roll Hd 18XSCIO $32,63 307 8837081 1 144Ct (Disco Hair Net Black $20,91 309 4128721 210 1,2 Oz jPfllsbry Dough Biscuit Southern Style $27.93 310 4923151 761.b Briarstr Turkey Bacon Raw $55-78 311 451162 1 151b packer Swal Fillet 5-7oz $30.86 312 650061 6 fill Aliens Bean Baked Oven Prepared $37.15 .313 492773 128 1.25 Oz J Dean TurkeySausagoPatties $40.08 314 No Bid Chicken Breakfast Sausage 315 No Bid Beef Breakfast Sausage 316 492078 1 10 Lb Butterb] Turkey Frank 1611 $14,431 .317 487856 4 10 Lb Packer Chicken Leg Meat Blsl $40.001 318 799224 12 28oz Quaker Cereal Cream Of Wheat Farina $25.11 819 284454 25 1/2 Pin oakfarms Milk 2% Reduced Fat 112 Pt $9.78 920 - 2-8.60-13 --i I Ga I Oakfayms MilkHomoGallon K $2:1,34 321 28417 25 1/2 pt Oakfarms Milk Homo half pint $mlo - 322 �84464 25 1/2 pt Trumoo Mflk �Choc 1% $10.08 323f 878231 1 250ct Daynnark jLabel DIS21vable 2X3 $13.50 Ben E Keith Foods -January 1, 2015thru Oeoombof3l, 2015 1st Extension Approved October 12, 2016 by Commissioners' Court- January 1, 2010 thin December 311, 2016 .......... 110, 324 8837901 101100ct jAmericare 2 OV $21.76 _32s 88390301�lne io:looct JAMericare iyl PF LG $21.76 Consider and Take Necessary Action on aerobic septic system service contract for Precinct #2 with Geigle's Utilities and authorize County Judge to sign. (VL) PASS. Page 27 of 52 Consider and Take Necessary Action on Grant Award from the Office of the Governor Homeland Security Grant Program in the following amounts and authorize County Judge to accept the awards: (MP) (1) Port O'Connor VFD Portable Radio Purchase in the amount of $10,189.00 (2) Seadrift Volunteer Fire Dept. Portable Radio Purchase in the amount of $10,189.00 (3) Six Mile Community VFD Portable Radio Purchase in the amount of $20,228.00 Motion made by County Judge Michael Pfeifer and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 28 of 52 Office of the Govemor Page 1 of 2 Statement of Grant Award (SOGA) The Statement of Grant Award is the official notice of award from the Office of the Governor (OOG). This Grant Agreement and all terms, conditions, provisions and obligations set forth herein shall be binding upon and shall inure to the benefit of the Parties and their respective successors and assigns and all other State of Texas agencies and any other agencies, departments, divisions, governmental entities, public corporations, and other entities which shall be successors to each of the Parties or which shall succeed to or become obligated to perform or become bound by any of the covenants, agreements or obligations hereunder of each of the Parties hereto. The approved project narrative and budget for this award are reflected in eGrants on the `Narrative' and `Budget/Details' tabs. By accepting the Grant Award in eGrants, the Grantee agrees to strictly comply with the requirements and obligations of this Grant Agreement including any and all applicable federal and state statutes, regulations, policies, guidelines and requirements. In instances where conflicting requirements apply to a Grantee, the more restrictive requirement applies. '.. The Grant Agreement includes the Statement of Grant Award; the COG Grantee Conditions and Responsibilities; the Grant Application in eGrants; and the other identified documents in the Grant Application and Grant Award, including but not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Chapter 783 of the Texas Government Code, Title 34, Part 1, Chapter 20, Subchapter I of the Texas Administrative Code, and the Uniform Grant Management Standards (UGMS) developed by the Comptroller of Public Accounts; the state Funding Announcement or Solicitation under which the grant application was made, and for federal funding, the Funding Announcement or Solicitation under which the COG was awarded funds; and any applicable documents referenced in the documents listed above. For grants awarded from the U.S. Department of Justice, the current applicable version of the Department of Justice Grants Financial Guide and any applicable provisions in Title 28 of the CFR apply. For grants awarded from the Federal Emergency Management Agency (FEMA), all Information Bulletins and Policies published by the FEMA Grants Program Directorate apply. The OOG reserves the right to add additional responsibilities and requirements, with or without advance notice to the Grantee. By clicking on the 'Accept' button within the'Aceept Award' tab, the Grantee accepts the responsibility for the grant project, agrees and certifies compliance with the requirements outlined in the Grant Agreement, including all provisions incorporated '., herein, and agrees with the following conditions of grant funding. The grantee's funds will not be released until the grantee has satisfied the requirements of the following Condition(s) of Funding and Other Fund -Specific Requirement(s), if any, cited below: Grant Number: 3121501 Date Awarded: PREVIEW - AWARD NOT ACTIVE Grant Period: 09/01/2016 - 02/28/2017 Liquidation Date: 05/29/2017 Program Fund: HS-Homeland Security Grant Program (HSGP) GranteeName: Calhoun County Project Title: Port. O'Connor VFD Portable Radio Purchase 2016 Award Amount: $10,189.00 Grantee Cash Match: $0.00 Grantee In Kind Match: $0.00 Total Project Cost: $10,189.00 Grant Manager: Jaclyn Coles DUNS Number: 087309324 CFDA: 97.067 - Homeland Security Grant Program (HSGP) Federal Awarding U.S. Department of Homeland Security, Federal Emergency Management Agency Agency: Federal Award 8/6/2016 Date: Federal/State Award ID EMW-2016-SS-00056 Number: Total Federal Award/State $80,593,000.00 Funds Appropriated: Pass Thru Entity Texas Office of the Governor —Homeland Security Grants Division (HSGD) Name: https:Hegrants.gov.texas.gov/project/accept.aspx?il-9&gh=41-72-OC-C9-5A-F4-1 C-EE-S... 10/5/2016 Office of the Governor Page 2 of 2 Is the Award No R&D: The propose of the HSGP is to support state and local efforts to prevent terrorism and other catastrophic events and to prepare the Nation for the threats and hazards that pose the greatest risk to Federal/State the security of the United States. The HSGP provides funding to implement investments that build, Award sustain, and deliver the 31 core capabilities essential to achieving the National Preparedness Goal (the Description: Goal) of a secure and resilient Nation. The building, sustainment, and delivery of these core capabilities are not exclusive to any single level of government, organization, or community, but rather, require the combined effort of the whole community. List of Application Errors and Incomplete Information Item(s) that Need to be Resolved Tab Name List of Post -Award Conditions of Funding and Other Fund -Specific Requirements Hold Hold Condition of Funding / Project Requirement Dte Created Date Met Project Line Funds Funds https://egrants.gov.texas.gov/project/accept.aspx?i1=9&gh=41-72-OC-C9-5A-F4-1 C-EE-5... 10/5/2016 Office of the Governor Page 1 of 2 Statement of Grant Award (SOGA) The Statement of Grant Award is the official notice of award from the Office of the Governor (OOG). This Grant Agreement and all terms, conditions, provisions and obligations set forth herein shall be binding upon and shall inure to the benefit of the Parties and their respective successors and assigns and all other State of Texas agencies and any other agencies, departments, divisions, governmental entities, public corporations, and other entities which shall be successors to each of the Parties or which shall succeed to or become obligated to perform or become bound by any of the covenants, agreements or obligations hereunder of each of the Parties hereto. The approved project narrative and budget for this award are reflected in eGrants on the `Narrative' and `Budget/Details' tabs. By accepting the Grant Award in eGrants, the Grantee agrees to strictly comply with the requirements and obligations of this Grant Agreement including any and all applicable federal and state statutes, regulations, policies, guidelines and requirements. In instances where conflicting requirements apply to a Grantee, the more restrictive requirement applies. '.. The Grant Agreement includes the Statement of Grant Award; the OOG Grantee Conditions and Responsibilities; the Grant Application in eGrants; and the other identified documents in the Grant Application and Grant Award, including but not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Chapter 783 of the Texas Government Code, Title 34, Part 1, Chapter 20, Subchapter I of the Texas Administrative Code, and the Uniform Grant Management Standards (UGMS) developed by the Comptroller of Public Accounts; the state Funding Announcement or Solicitation under which the grant application was made, and for federal funding, the Funding Announcement or Solicitation under which the OOG was awarded funds; and any applicable documents referenced in the documents listed above. For grants awarded from the U.S. Department of Justice, the current applicable version of the Department of Justice Grants Financial Guide and any applicable provisions in Title 28 of the CFR apply. For grants awarded from the Federal Emergency Management Agency (FEMA), all Information Bulletins and Policies published by the FEMA Grants Program Directorate apply. The OOG reserves the right to add additional responsibilities and requirements, with or Without advance notice to the Grantee. By clicking on the'Accepf button within the'Accept Award' tab, the Grantee accepts the responsibility for the grant project, agrees and certifies compliance with the requirements outlined in the Grant Agreement, including all provisions incorporated herein, and agrees with the following conditions of grant funding. The grantee's funds will not be released until the grantee has satisfied the requirements of the following Condition(s) of Funding and Other Fund -Specific Requirement(s), if any, cited below: Grant Number: 3083701 Award Amount: $10,189.00 Date Awarded: PREVIEW - AWARD NOT ACTIVE Grantee Cash Match: $0.00 Grant Period: 09/O1/2016 - 02/28/2017 Grantee In Mail Match: $0.00 Liquidation Date: 05/29/2017 Total Project Cost: $10,189.00 Program Fund: HS-Homeland Security Grant Program (HSGP) Grantee Name: Calhoun County Project Title: Seadrift Volunteer Fire Dept Portable Radio Purchase 2016 '.. Grant Manager: Jaclyn Coles DUNS Number: 087309324 CFDA: 97.067 - Homeland Security Grant Program (HSGP) Federal Awarding U.S. Department of Homeland Security, Federal Emergency Management Agency Agency: 'i. Federal Award 8/6/2016 ''. Date: Federal/State Award ID EMW-2016-SS-00056 Number: Total Federal Award/State $80,593,000.00 Funds Appropriated: "'. Pass Thrn Entity Texas Office of the Governor — Homeland Security Grants Division (HSGD) Name: https://egrants.gov.texas.gov/project/accept.aspx?i 1=9&gh=FE-2A-CE-14-5C-DB-OA-76-... 10/5/2016 Office of the Governor Page 2 of 2 Is the Award No R&D: The propose of the HSGP is to support state and local efforts to prevent terrorism and other catastrophic events and to prepare the Nation for the threats and hazards that pose the greatest risk to Federal/State the security of the United States. The HSGP provides funding to implement investments that build, Award sustain, and deliver the 31 core capabilities essential to achieving the National Preparedness Goal (the Description: Goal) of a secure and resilient Nation. The building, sustainment, and delivery of these core capabilities are not exclusive to any single level of government, organization, or community, but rather, '.. require the combined effort of the whole community. List of Application Errors and Incomplete Information Items) that Need to be Resolved JTab Name List of Post -Award Conditions of Funding and Other Fund -Specific Requirements Hold Hold Condition of Funding / Project Requirement te DCreated Date Met Project I m Funds Funds https://egrants.gov.texas. gov/proj ect/accept.aspx?i 1=9&gh=FE-2A-CE-14-5 C-DB-OA-76-... 10/5/2016 Office of the Governor Page 1 of 2 Statement of Grant Award (SOGA) The Statement of Grant Award is the official notice of award from the Office of the Governor (OOG). This Grant Agreement and all terms, conditions, provisions and obligations set forth herein shall be binding upon and shall inure to the benefit of the Parties and their respective successors and assigns and all other State of Texas agencies and any other agencies, departments, divisions, governmental entities, public corporations, and other entities which shall be successors to each of the Parties or which shall succeed to or become obligated to perform or become bound by any of the covenants, agreements or obligations hereunder of each of the Parties hereto. The approved project narrative and budget for this award are reflected in eGrants on the 'Narrative' and 'Budget/Details' tabs. By accepting the Grant Award in eGrants, the Grantee agrees to strictly comply with the requirements and obligations of'., this Grant Agreement including any and all applicable federal and state statutes, regulations, policies, guidelines and requirements. In instances where conflicting requirements apply to a Grantee, the more restrictive requirement applies. The Grant Agreement includes the Statement of Grant Award; the COG Grantee Conditions and Responsibilities; the Grant Application in eGrants; and the other identified documents in the Grant Application and Grant Award, including but not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Chapter 783 of the Texas Government Code, Title 34, Part 1, Chapter 20, Subchapter I of the Texas Administrative Code, and the Uniform Grant Management Standards (UGMS) developed by the Comptroller of Public Accounts; the state Funding Announcement or Solicitation under which the grant application was made, and for federal funding, the Funding '.. Announcement or Solicitation under which the COG was awarded funds; and any applicable documents referenced in the documents listed above. For grants awarded from the U.S. Department of Justice, the current applicable version of the Department of Justice Grants Financial Guide and any applicable provisions in Title 28 of the CFR apply. For grants awarded from the Federal Emergency Management Agency (FEMA), all Information Bulletins and Policies published by the FEMA Grants Program Directorate apply. The COG reserves the right to add additional responsibilities and requirements, with or without advance notice to the Grantee. '.. By clicking on the'Accept' button within the'Aceept Award' tab, the Grantee accepts the responsibility for the grant project, agrees and certifies compliance with the requirement's outlined in the Grant Agreement, including all provisions incorporated herein, and agrees with the following conditions of grant funding. The grantee's funds will not be released until the grantee has satisfied the requirements of the following Condition(s) of Funding and Other Fund -Specific Requirement(s), if any, cited '.below: GrantNumber: 2962602 Award Amount: $20,228.00 Date Awarded: PREVIEW - AWARD NOT ACTIVE Grantee Cash Match: $0.00 Grant Period: 09/01/2016 - 08/31/2017 Grantee In Kind Match: $0.00 Liquidation Date: 11/29/2017 Total Project Cost: $20,228.00 Program Fund: HS-Homeland Security Grant Program (HSGP) Grantee Name: Calhoun County Project Title: Six Mile Community VFD Portable Radio Purchase 2016 Grant Manager: Jaclyn Coles DUNS Number: 087309324 CFDA: 97.067 - Homeland Security Grant Program (HSGP) Federal Awarding U.S. Department of Homeland Security, Federal Emergency Management Agency Agency: Federal Award 8/6/2016 Date: Federal/State Award ID EMW-2016-SS-00056 Number: Total Federal Award/State $80,593,000.00 Funds Appropriated: ''. Pass Thru Entity Texas Office of the Governor —Homeland Security Grants Division (HSGD) Name: https://egrants.gov.texas.gov/project/accept. aspx?i 1=9&gh=17-C7-1 A-D6-3A-61-95-AB-5... 10/5/2016 Office of the Governor Page 2 of 2 Is the Award No R&D: The purpose of the HSGP is to support state and local efforts to prevent terrorism and other catastrophic events and to prepare the Nation for the threats and hazards that pose the greatest risk to Federal/State the security of the United States. The HSGP provides funding to implement investments that build, Award sustain, and deliver the 31 core capabilities essential to achieving the National Preparedness Goal (the Description: Goal) of a secure and resilient Nation. The building, sustainment, and delivery of these core capabilities are not exclusive to any single level of government, organization, or community, but rather, require the combined effort of the whole community. List of Application Errors and Incomplete Information Item(s) that Need to be Resolved ITab Name List of Post -Award Conditions of Funding and Other Fund -Specific Requirements Hold Hold Condition of Funding/ Project Requirement Date aeated Date Met Project Line Funds Funds https://egrants.gov.texas.gov/projectlaccept.aspx?i l=9&gh=17-C7-lA-D6-3A-61-95-AB-5... 10/5/2016 W�61W 103 John Stockbauer Drive wI O Box 3246 � Victoria,, Texas 77901901 ! 77903 Phn: (361) 578-4091 COMMUNICATION$ SERVICES Fax: (361) 572-8510 E-mail: gccs@tisd.net PROPOSALFOR: CALHOUN COUNTY - POC VFD Peter DeForest 361-746-0037 RFJA NO ig � ar 11Y E-Ne. Remus PE IPPON UNIT PRICE ONE TOTAL A ? 3 H98KGF9PW6AN APX6000- VHF MODEL 2.5 PORTABLE RADIO $ 2,898.75 $ 8,696.25 WITH OPTIONS: Q806(ASTRO DIGITAL CAI) 1135(CONVENTIONAL OPERATION) QA01837(DION BATFERY)QA01222(BELT A ad CLIP) QA09000(DIGITAL TONE SIGNALING - FOR 2TONE ENCODE) (STANDARD ANTENNA 7 AND ADP ENCKYPTION)LIST-$3865.00 B 3 WPLN7080 CHARGER LIST-$125.00 $ 93.75 $ 781.25 C 3 NMN6274A IMPRES XP RSM LIST - $335.00 $ 251.25 $ 753.75 D 3 NNTN703813 IMPRES BATTERY LIST -$142.00 $ 106.50 $ 3i9.50 E 1 FREIGHT INBOUND $ 12.00 $ 12.00 F R 1 LABOR LABOR TO BUILD TEMPLATE AND PROGRAM $ 126,00 $ 126.00 PORTABLES. J2' G .. 41 $ I $ $ J $ $ K $ $ EQUIPMENTTOTAL $ 10,188.75 ,r $ $.. - TOTAL�r✓_�n $ 10,186,75 DATE: 1/28/2016 Price based on HGAC discounts -- TERMS: 25% off list price. QUOTATION: Good through - 4-28-2016 \I� UD 103 John Stockbauer Drive RCS POBs 3246 0LGAi 77901 {J [: `�� Victoria, Texas 77801 / 77903 , Gox Phn: (361) 578-4091 COMMUNICATIONS SERVICES Fax;il:gc @tisd.10 E-mail: gccs@tisd.net PROPOSALFOR: CALHOUN COUNTY - SEADRXFT VFD Peter Deforest 361-746-0037 ff- NO 'IOU i v Itt MCVEL NUMBER OESMIP➢ON UNR PRICE UNE TOTAL y w $ 2,898.75 $ 8,696,25 A 3 H98KGF9PW6AN APX6000- VHF MODEL 2.5 PORTABLE RADIO WITH OPTIONS: Q806(ASTRO DIGITAL CAI) H35(CONVENTSONAL OPERATION) T y§ QA01837(LIION BATTERY)QAOi222 (BELT 'i CLIP) QA09000(DIGrFALTONE SIGNALING - FOR 2 TONE ENCODE) (STANDARD ANTENNA AND AOP ENCRYPTION)LIST-$3865.00 B �j 3 WPLN7080 CHARGER LIST-$125.00 $ 93.75 $ 281.25 C Z 3 4MN6274A IMPRESXPRSMLIST-$335.00 $ 251.25 $ 753,75 a D 3 NNTN7038B IMPRESBATIERY LIST-$142.00 $ 106,50 $ 319.50 E I FREIGHT INBOUND $ 12.00 $ 12.00 F L LABOR LABOR TO BUILD TEMPLATE AND PROGRAM $ 126.00 $ 126.00 t PORTABLES. G H $ $ $ $ KH EQUIPMENTTOTAL $ 10188.75 TOTAL L $ 10,188.75 DATE: w 1/28/2016 Price based on HGAC discounts -- TERMS: 25% off list price. QUOTATION: Good through - 4-28-2016 103 Jahn Stockbauer Drive A C 246 Box 901 Victoria,, Tee xas 77907 / 77903 Phn: (361) 578-4091 COMMUNICATIONS SERVICES Fax: (381) 10 E-mall: gccs@ti@tlsd.sd.nel PROPOSALFOR: CALHOUN COUNTY - 6 MILE VFO Jon Amalmo ionamaimo@Vahoo.com ]l oanNr MO]EL NIIMPF.R ffESLWPRON NNff PRILE LINE TOTAL APX6000- VHF MODEL 2.5 PORTABLE RADIO $ 2,898.75 $ 17,392.50 A 6 H98KGF9PW6AN WITH OPTIONS: Q806(ASIRO DIGITAL CAI) H35(CONVENTIONAL,OPERATION) QA01837(LIION BATTERY)QA01222 (BELT CLIP) QA09000(DIGITAL TONE SIGNALING - FOR 2 TONE ENCODE) (STANDARD ANTENNA AND ADP ENCRYPTION)LIST-$3865,U0 B r _6 6 WPLN7080 NMN6274A CHARGER LIST-$125.00 IMPRES XP RSM LIST -$335.00 $ 93.75 $ 251.25 $ 562.50 $ 1,507.50 C Y .D 6 NNTN703813 IMPRES BATTERY LIST -$142.00 $ 106.50 $ 639.00 E $ $ F 1 LABOR LABOR TO BUILD TEMPLATE AND PROGRAM $ 126.00 $ 126.00 PORTABLES. H $ $ =i! J $ $ 7 K $ $ u P ' �G4 Mt.� EQUIPMENTTOTAL I $ 2022750 TOTAL...$-->$ 20,227.50 DATE: 1/28/2016 Price based on HGAC discounts -- TERMS: 25% off list price. QUOTATION: Good through - 4-28-2016 ru-� '4 QO , q fo.oct Dw-Q Consider and Take Necessary Action to accept payments of $10,270.50; $5,478.22; $1,165.64 and $3,238 for a total of $20,152.36 from the City of Seadrift for street repair and have said funds deposited into Precinct 4 Road & Bridge account 570-53510. (KF) Motion made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 29 of 52 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 4, 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 October 17, 2016. • Discuss and take necessary action to accept payments of $10,270,50; $5,478.22; $1,165.64; $3,238 for total of $20,152.36 from City of Seadrift for street repair and have said funds deposited into Precinct 4 Road & Bridge account 570-53510. Sincerely, Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 -n W, CD CU CL C (D I� cn 0 s w a rnn z m S0 n0 N Dy r•n o N awn °y 0 c Wa o (D m m b C Cl 0CD CD r+ O U � D OV �O(D X Ki 10 D O o 3 iv O Cy 0 0) O.O N O O OC:) 0 o .. a ru w m m c CL r� o C s °c O I,_ ��; m 00 a n. (D CD .. -i r 1 CD `=1 ,. CL Cyl 0 O 0 (n rw �... p� Y M - w s s G� yp , y� y� i.0 y� ym 0 C D 0 -om a,0 m t�XC �H ? J�p W I n H I ff Its T a O O O ca -J mga. D0164S M WCB_ fA mo m �O -n N r 97 z p� o rn o m_<c) CD m °c � x � 0 iD m ((D A m �: Q (D Q m m 0 a. 70 m 0 1 CD Cl) co D � N ar p y 4 coco W O w X, -.o W .i m I• I■ YU 0 -n CD m 0 � o o c u )- o � o = I r` 0-,- L p �q TI nM m 0 c 0 0 M m 0 c � zvm 0 q�m" iI w 00 o ao G O 3 o m L cs :0 a ya � O SC.urlh' NOW- DOWIls un Wlk. 5 X DO n CO a (D C7 C (D 9 N r no m O N o m� z�t o vD� C W� 0 N C 0 w m 3D� CL c�i CD m CD (O O O O O CC) w L� �w 0 nJ p� (D w (J9 � 3 .P (D A" y 9 � n N p p � � C:) O 0) 0) cn of w 1.. m., i 'm O (D i a pcn CIL w CO c n o 0 m n c `m M Q. @ �. c -n m T 9 :P W ate N j \ 7 N W g 7 i �m M � O C) N R C) o w Hodatily loaloma Dotalls oa twk. oo mO -n m � PU 0 N W CD� rtn Z N N o O— zm o . rn o � c �1 m nw o 0 CJ � W —oi. 2 N co m m m W w w� O N N W W � � O N tD X � D 0 00 3 N N C C O 7 c0003 0 0010 00 w 0 0 CJi O O O O ru ru n O i j 0 C o O C i h I m V wpgc, r� N 7> Z , NOD W N i `" O O Cl ' m 1 Q? 5ecVrlly InalUius. DO W S uV back. Consider and Take Necessary Action on Resolution Providing for the Sale of Property Acquired by the County of Calhoun at Delinquent Tax Sale and authorize County Judge to execute Tax Resale Deed. Property described as Lot 1, The Sanctuary Subdivision, Phase 1, Port O'Connor, Calhoun County, Texas being that property more particularly described in Document #102963 of the Official Records, Calhoun County, Texas, according to the map or plat thereof recorded as assessed on the tax rolls under the jurisdiction of Calhoun County, Texas (Account #73747). (MP) Motion made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 30 of 52 RESOLUTION PROVIDING FOR THE SALE OF PROPERTY ACQUIRED BY THE COUNTY OF CALHOUN AT DELINQUENT TAx SALE WHEREAS, Lot 1, The Sanctuary Subdivision, Phase 1, Port O'Connor, Calhoun County, Texas being that property more particularly described in Document #102963 of the Official Public Records, Calhoun County, Texas, according to the map or plat thereof recorded as assessed on the tax rolls under the jurisdiction of Calhoun County, Texas (Account #73747), was offered for sale by the Sheriff of Calhoun County, Texas at a public auction pursuant to a judgment of foreclosure for delinquent taxes by the District Court; Cause No 2011-9-5967; Calhoun County et at vs. Edward Derek Schaper et al; and WHEREAS, no sufficient bid was received and the property was struck off to the County of Calhoun, Texas, for the use and benefit of itself and Calhoun County Independent School District and La Salle Water Control & Improvement District, pursuant to TEx. PROP. TAx CODE §34.010); and WHEREAS, TEx PROP. TAx CODE §34.05(a), (h) and (i) provide that a taxing unit may accept a sufficient bid. A bid of ONE THOUSAND AND No HUNDREDTHS DOLLARS ($1,000.00) having been received from Ralph Weathersby would be a sufficient bid for this property; THEREFORE, BE IT HEREBY RESOLVED by the County of Calhoun that the County Judge is hereby authorized to convey Lot 1, The Sanctuary Subdivision, Phase 1, Port O'Connor, Calhoun County, Texas, according to the map or plat thereof recorded as assessed on the tax rolls under the jurisdiction of Calhoun County, Texas (Account #73747) for the sum of ONE THOUSAND ND No HUNDREDTHS DOLLARS ($1,000.00) payable to the Calhoun County Appraisal District for distribution as provided by law and to execute a deed to Ralph Weathersby. . 1 ay of©C,1bai ,2016. TAX RESALE DEED NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIDE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER. DATE: December 1, 2015 GRANTOR: County of Calhoun, in trust for the use and benefit of itself and the Calhoun Independent School District and the La Salle Water Control & Improvement District No, 1A GRANTOR'S MAILING ADDRESS: 426 W. Main, Port Lavaca, Texas, 77979 GRANTEE: Ralph Weathersby GRANTEE'S MAILING ADDRESS: PO Box 737, Port O'Connor, Texas 77982 CONSIDERATION: One Thousand and No Hundredths Dollars ($1, 000.00) PROPERTY: Lot 1, The Sanctuary Subdivision, Phase 1, Port O'Connor, Texas, Calhoun County, Texas being thatproperty more particularly described in Document 4102963 of the Official Public Records, Calhoun County, Texas (Account #73747). TAX FORECLOSURE LAWSUIT: Cause No. 2011-9-5967; Calhoun County Appraisal District v. Edward Derek Schaper et al GRANTOR, for and in consideration of the amount set out above, and subject to the reservations from and exceptions to conveyance, and other good and valuable consideration paid by the GRANTEE, the receipt and sufficiency of which are acknowledged by GRANTOR, has GRANTED, SOLD AND CONVEYED, and by these presents does GRANT, SELL AND CONVEY to the GRANTEE all of the right, title and interest, of GRANTOR in the PROPERTY acquired by the tax'foreclosure sale held under the TAX FORECLOSURE LAWSUIT referenced above. TO HAVE AND TO HOLD all of its right, title and interest in and to the PROPERTY unto the said GRANTEE, the GRANTEE'S successors and assigns forever without warranty of any kind, so that neither the GRANTOR, nor any person claiming under it and them, shall at any time hereafter have, claim or demand any right or title to the PROPERTY, premises or appurtenances, or any part thereof. GRANTOR excludes and excepts any warranties, express or implied, regarding the PROPERTY, including, without limitation, any warranties arising by common law or Section 5.023 of the Texas Property Code or its successor. GRANTOR has not made, and does not make any representations, warranties or covenants of any kind or character whatsoever, whether express or implied, with respect to the quality or condition of the PROPERTY, the suitability of the PROPERTY for any and all activities and uses which GRANTEE may conduct thereon, compliance by the PROPERTY with any laws, rules, ordinances or regulations of any applicable governmental authority or habitability, merchantability or fitness for a particular purpose, and specifically, GRANTOR does not make any representations regarding hazardous waste, as defined by the Texas Solid Waste Disposal Act and the regulations adopted thereunder, or the U.S. Environmental Protection Agency regulations, or the disposal of any hazardous or toxic substances in or on the property, The PROPERTY is hereby sold, transferred, and assigned to GRANTEE "as is" and "with all faults". This conveyance is expressly made subject to property taxes for the tax year 2014 and subsequent years. This conveyance is expressly subject to any existing right or redemption remaining to the former owner of the PROPERTY under the provisions of law. This conveyance is expressly subject to all easements and restrictions of record. When the context requires, singular nouns and pronouns include the plural. IN TESTIMONY WHEREOF the GRANTOR, pursuant to Section 34.05 of the Texas Property Tax Code, has caused these presents to be executed on the date set forth in the acknowledgement attached hereto, to be effective as of DATE. County of Calho4Couny Achael J. Pfeifer, Judge THE STATE OF TEXAS COUNTY OF CALHOUN Before me, the undersigned authority on this day personally appeared Michael J, Pfeifer, County Judge of Calhoun County, known to me to be the person whose name is subscribed to the foregoing document and acknowledged to me that he executed the same for the purposes and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE this the J1 day of0 , her , 2016 „ SUSAN RILEY Notary Public, State of Texas c� � a Nofory Public, Stole of Texas i /�,�;e Comm Exphes 04182�2e My Commission expires: ''�"Eoix�'��° Notary ID 7424094 Consider and Take Necessary Action on Reimbursement from TAC Legislative Session and deposit in Pct #3 Road and Bridge account. (NF) Motion made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 31 of 52 CALHOUN COUNTY COMMI&SIt�N�1�, PRECINCT 24627 State Hwy. 172 — Olivia, Port Lavaca, Texas 77979 Office (361) 893-5346 — Fox (361) 893.5309 Neil F. Fritsch, Commissioner, Pet. 3 Email; neil.fritsch(�Ocalhnuncotx.org September 19, 2016 To: Honorable Judge Michael Pfeifer From: Neil Fritsch Re: Agenda Item Please place the following item on the Commissioner's Court Agenda for October 13, 2016: "Consider and Take Necessary Action to Accept the Reimbursement froth 7ACLegislative Session and Deposit in the PC'T 3 Road and Bridge AVeount. " Respectfully, :.r . cc: Roger Galvan Vern Lyssy Kenneth Finster Susan Riley 5067 9/12/2016 005067: FRITSCHNEIL Neil Fritsch DAI INVOI11i N10 ANAJUNII 8/26/2016 09/07/16 CHK REQ 2016 Leg Cont Speaker Reimb $230.00 $230.00 5067 TAC PRIVATE SOURCE, FUND 11 AWMIN (X PAY Two Hundred Thirty Dollars and 00 Cents 10 Mi Neil Fritsch coa)r�i Calhoun County Commissioner 24627 State Highway 172 Port Lavaca TX 77979 0AIt 9112/2016 AMOUH 1 $230.00 vainAt I I 8W JAYS ........ ....... f/1(,P4flVA;! IIWM5067 Neil Fritsch Calhoun County Commissioner 24627 State Highway 172 Port Lavaca TX 77979 Consider and Take Necessary Action to accept TAC Insurance Settlement in the amount of $201,320.00 for Tropical Storm Bill piers and bulkhead repairs. (Mp) Motion made by Commissioner Galvan and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 32 of 52 Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Friday, September 30, 2016 3:44 PM 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 October 17, 2016: • CATNA to accept TAC insurance settlement in amount of $201,320.00 for Tropical Storm Bill piers and bulkhead repair. Below for, your information is 7AC's analysis of the claim. Depreciation is withheld pending completion of repairs Structure Estimated Depreciation Estimated Amount ID Description RCV Pending ACV Claimed paid to Date NA Port Alto 8,000.00 0.00 8,000A0 8,000.00 8,000,00 403 Six Mile Pier 709.67 0:00 709,67 709.67 709.67 NA Flamingo St, Bulkhead (Pa 3 N Port Alto) 27,00000 0.00 27,000.00 27,000.00 27,000,00 399 Courtesy Dock at Magnolia Beach goat Ramp 62,000:00 0.00 37,200.00 62,000W 62,000,OD NA Disposal of two piers and two courtesy docks 30,000:00 0,00 0.00 30000.00 30,0DM00 NA Magnolia Beach Br tkhead (demo and recon) 109,308.83 (48,72333) 65,585.30 65,585.30 65,585,30 400 Crabbing Bridge at Magnolia Beach 48,000.00 ,1*9,2v ,.oa} 28,800,00 29,800.00 28,8woo 401 tndaanotofistrtngPier, 218,500.00 187.00-00) 131,100.00 131,100.00 131,100,00 NA Ughtpr tes 0,00 0.00 0.00 0.00 0.00 40: 21stWeet fishing Pier 324,200.00 0,00 194,520.00 524,20040 324,200.00 398 CRurtesti Dock at A' aano $each Boat Ramp 42,100:00 0.00 25,2%00 42;100.00 42,100,00 Totals 869,818.50 (150,323,53) $19,174.97 719,494.97 719,494,97 Extra Expenses Estimated Estimated Estimated Amount ID Description RCV Depreciation ACV Claimed Paid to Date Engineering Fees 100,000.00 (59,371 501 40,629.50 40,628,50 36,646.00 Repairs by Sh=rley and Sons Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 Totals 969,818.50 ( ,9,695G3p 558,903,47 760;123A7 756,140.97 Less Deductible (50,0�.` 03) (50,0';r= 00) Net 710,123A7 706,140.97 1 Consider and Take Necessary Action to authorize a loan in the amount of $167,861.46 from the general fund to the grants fund for the 2015 Operation Stone Garden Grant Award #EMW-2015-SS-00080. The 2015 OSG Grant was approved in Commissioners' Court on 09/22/2016. (MP) Motion made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 33 of 52 Susan Rile From: Candice Villarreal <candice.villarreal@calhouncotx.org> Sent: Wednesday, October 05, 2016 11:25 AM To: susan.riley@calhouncotx.org; michael. Pfeifer; Roger Galvan; vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org; Kenneth Finster; cindy.mueller@calhouncotx.org Subject: RE: Agenda Item - 10/17/16 Susan, Please change the Grant Award # to EMW-2015-SS-00080 for the agenda item request below so it will be: Consider and take necessary action to authorize a loan in the amount of $167,861.46 from the general fund to the grants fund for the 2015 Operation Stone Garden Grant Award # EMW-2015-SS-00080. Realized I used the operation order number instead of the original Grant ID number. Thank you, Candice From: Candice Villarreal [mailto:candice.villarreal@calhouncobc.org] Sent: Wednesday, October 05, 2016 10:34 AM To: susan.riley@calhouncotx.org; michael. pfeifer (michael.pfeifer@calhouncotx.org); Roger Galvan (roger.galvan@calhouncotx.org); vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org; Kenneth Finster (kenny.finster@pct4.org); cindy.mueller@calhouncotx.org Subject: Agenda Item - 10/17/16 Please place the following on the next Commissioners Court agenda: Consider and take necessary action to authorize a loan in the amount of $167,861.46 from the general fund to the grants fund for the 2015 Operation Stone Garden Grant Award # 16-RGVRGV-12-005 V1. The 2015 OSG Grant was approved in Commissioners Court on 9/22/16. Thank you, Candice Villarreal Calhoun County Auditors Office Phone: (361)553-4612 Fax: (361) 553-4614 candice villarrealOcalhouncotx org Accept reports of the following County Offices: i. Calhoun Tax Assessor/Collector ii. County Treasurer iii. County Sheriff iv. District Clerk vii. County Auditor viii., Floodplain Administration- (August'2016 & September 2016) ix. Extension Service x. Health Department xi. Adult Detention Center SHP Medical County Judge Michael Pfeifer made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 34 of 52 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION DULY 2076 DISC GL CODE CIVIL CRIMINAL : OFFItIAI PUBLIC RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 1000-44020 $ 327.05 $ 327.06 COUNTY CLERK FEES 1000-44030 $ 571.00 $ 522.86 $ 9,508.38 $ 284.00 $ 10,886.24 JURY FEE 1000A4140 $ 40.00 $ 4000 ELECTRONIC FILING FEES FOR E-FILINGS 1000-44058 $ 100.00 $ - $ 2.00 $ 34.00 $ 136.00 JUDGE'S EDUCATION FEE 1000-44160 $ - $ 30.00 $ 30.00 JUDGE'S ORDER/SIGNATURE 100044180 $ 14.00 $ - $ 26.00 $ 40.00 SHERIFF'S FEES 100"4190 $ - $ 244.63 $ - $ 175.00 $ 419.63 VISUAL RECORDER FEE 100044250 $ 51.65 $ 51.65 COURT REFPORTER FEE 1000A4270 $ 120.00 $ 00.00 $ 210.00 ATFORNEY FEES -COURTAPPOINTED 100049030 $ - $ - APPELLATEFUND(TGC)FEE 262044030 $ 55.00 $ 30.OD $ 85.00 TECHNOLOGY FUND 2663.44030 $ 52.34 $ 52-34 COURTHOUSE SECURITY FEE 2670-44030 $ 55.00 $ 39,22 $ 337.00 $ 30.00 $ 461.22 COURT INITIATED GUARDIANSHIP FEE 2672-44030 $ 120.00 $ 120.00 COURT RECORD PRESERVATION FUND 2673-44030 $ 110.00 $ 60,00 $ 170.00 RECORDS ARCHIVE FEE 2675.44030 $ 3,225.00 $ 3,225.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030-005 $ 109.01 $ 109.01 JUVENILE CASE MANAGER FUN D 2699.44031 $ - $ - FAMILY PROTECTION FUND 2706-44030 $ 30.00 $ 30.00 PRE-TRIAL DIVERSON AGREEMENT 2729A4034 $ 250.00 $ 250.00 LAW LIBARY FEE 273144030 $ 280.00 $ 210.00 $ 490.00 RECORDSMANAGEMENT FEE -CO CLK 2738-44380 $ 32.71 $ 3125.00 $ 3,157.71 RECORDS MANGEMENT 2739-10999,44030 $ 55.00 $ 294.33 $ 160.00 $ 30.00 $ 539.33 BOND FORFEITURE 2740-001-45DSO $ - $ - FINES - COUNTY COURT 2740AS040 $ 2,228.00 $ 2,226.00 STATE POLICE OFFICER FEES 702040740 $ 1.21 $ 1.21 CONSOLIDATED COURT COSTS 7070-10895 $ - $ - CONSOLIDATED COURT COSTS .COUNTY 7070.20510 $ 104.27 $ 10C27 CONSOLIDATED COURT COSTS -STATE 7070-20740 $ 937.78 $ 937.78 DRUG& ALCOHOL COURT PROGRAM - COUNTY 7390-20610-999 $ 21.81 $ 21,81 DRUG& ALCOHOL COURT PROGRAM - STATE 7390-20740-999 $ 87.26 $ 87.28 STATE ELECTRONIC FILING FEE 7403.999.22897 $ 240.00 $ 180.00 $ 420,06 STATE ELECTRONIC FILING FEE OR 7403.999-22990 $ 66.42 $ 65.42 EMSTRAUMA 7405-999-20740 $ 148.05 $ 148.05 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ 6.50 $ 3.00 $ 8.50 CIVILINDIGENTFEE -STATE 7480-20740 $ 104.50 $ 57.00 $ 461.50 JUDICIAL FUND COURT COSTS 7495-20740 $ 196.22 $ 196.22 JUDICIAL SALARY FUND -COUNTY 7505-20610 $ 7.85 $ 7.05 JUDICIAL SALARY FUND -STATE 7505-20740 $ 70.64 $ 70.64 JUDICIAL SALARY FUND 7505-20740 005 $ 336.00 $ - $ 252.00 $ 6BB.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538.22884 $ 14.70 $ 14.79 BIRTH -STATE 7855.20780 $ i18.80 $ 118.80 JUDICIALFEE 7855.20786 $ 320.00 $ 240.00 $ 560.00 FORMAL MARRIAGES -STATE 7855.20798 $ 300.00 $ 300.00 NONDISCLOSURE FEE 7855.999-20790 $ - $ - TCLEOSECOURT COST 7856.999-20740 $ 0.76 $. 0.76 JURY REIMBURSEMENT FEE -COUNTY 7857-20610 $ 5.24 $ 5.24 JURY REIMBURSEMENT FEE -STATE 7857-20740 $ 47.10 $ 47.10 STATE TRAFFIC FINE -COUNTY 7860-20610 $ 7.42 $ 7A2 STATE TRAFFIC FINE - STATE 7860.20740 $ 140.58 $ 140.58 INDIGENT DEFENSE FEE -COUNTY 7865-20610 $ 2.64 $ 2.64 INDIGENT DEFENSE FEE - STATE 7865-20740 $ 23.63 $ 23.53 TIME PAYMENT -COUNTY 7950-20610 $ 151.02 $ 161.02 TIME PAYMENT - STATE 7950.20740 $ 161.02 $ 15l.02 DUE PORT IAVACA TO - 9990'99991 $ 25.19 `. $ 26,11) DUE SEADRIFT PC 9990.99992 $ 0.30 $ D$0'. DUE TO POINT COMFORT PI) 9990,99993 $ - '$ DUE TO TEXAS PARKS&WILDLIFE 9990-99994 $ - -$ DUE TO TEXAS PARKS& WILDLIFE WATER SAFETY 9990-99995 $ DUE TOTABC 9990-99996 DUE TO.OPERATING/NSF CHARGES I $ 1 $ - I I $ - $ 2,436.00 $ 6,361.00 $ 16,788.68 $ 1,861,00. $ 27437.68 TOTAL FUNDS COLLECTED $ 27,437.68 FUNDS HELD IN ESCROW: $ (3.00) AMOUNT DUE TO TREASURER: '+$ 27,412A9` TOTAL RECEIPTS ':$ 27,4306- AMOUNT DUE TO OTHERS: $ 22,49 1 OP3' U:W.REP0RT8WNTHLYNUDITOR AND TR$ASUER REPORTSR016.073110 TREASURER REPORTS SR72014 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION CASH ON HAND, TRUST FUND BEGINNING BOOK BALANCE 7/31/2016 $ 5,000.00 FUND RECEIVED $ - DISBURSEMENTS ENDING BOOK BALANCE ';:..8/3112076.. _$ BANK RECONCILIATION TRUST FUND ENDING BANK BALANCE 8/31/2016 5 5,000.90 OUTSTANDING DEPOSITS" $ - OUTSTANDING CHECKS" $ (0,90) RECONCILED BANK BALANCE 8/31/2016 $ 6,000.00 CERTIFICATES OF DEPOSITS HELD IN TRUST -IBC BANK CD'S Date Issued Balance Purchases/ i Withdrawals Balance 42131/2016 Interest 08131116 74926 11/19/2009 $ 1,846.54 $ 1,840.54 49460 1/30/2013 $ 10,642.10 $ 40.09 $ 19,691.19 50782 1/15/2015 $ 0,370.58 $ 23.44 $ 9,402.02 60790 1/15/2015 $ 9,378.58 $ 23.44 $ 9,402.02 60804 1/1512015 $ 9,371L58 $ 23.44 $ 9,402.02 60863 2/2/2015 $ 3,500.00 $ 8.75 $. 3,508.75 $0871 2/2/2015 $ 3.500,00 $ 8.76 $ 3,608.75 61134 6/28/2015 $ 38.558.20 $ 42.26 $ 38,SOD 46 TOTALS: $ 95,182.58 $ 130.91 $ b 96,361.76 01,' �l l!'l /�"'1'"`i''a-4f/1 9/2712016 eby: Anna M Goodman, County Clerk Date 2OF3 ❑:S.REPORTSMOTMILIMUDITOR ANO TREASUER REPORTSEOIS.073116 TREASURER REPORTS 827n018 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION AUGUST2016 DISC GLCODL CIVIL CRIMINAL ' OFFICIAL PUBLIC RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 100044020 $ 281.76 $ 281.75 COUNTYCLERKFEES 100044030 $ 417.00 $ 450.94 $ 12,648.50 $ 403.00 $ 13,919.44 JURY FEE 1000-44140 $ - $ - ELECTRONICFILINGFEESFORE-FILINGS 1000-44050 $ 78.00 $ - $ 4.00 $ 4200 $ 124,00 JUDGE'S EDUCATION FEE 1000-44160 $ - $ 40.00 $ 40.00 JUDGE'S ORDER/SIGNATURE 1000-44180 $ 18.00 $ - $ 34,00 $ 62.00 SHERIFF'S FEES 1000.44190 $ 75.00 $ 182.35 $ - $ 200.00 $ 457.35 VISUAL RECORDER FEE 10DOA4250 $ 48.22 $ 48.22 COURT BEEFEATER FEE 1000A4270 $ 135.00 $ 120.00 $ 255.00 ATTORNEY FEES -COURT APPOINTED IOOD-09030 $ 36.00 $ 36.00 APPELLATE FUND(TGC) FEE 2620-44030 $ 50.00 $ 40.00 $ 90.00 TECHNOLOGY FUND 2663A4030 $ 46.08 $ 45.08 COURTHOUSE SECURITY FEE 2670-44030 $ 50.00 $ 33.01 $ 432.00 $ 40,00 $ 556.81 COURT INITIATED GUARDIANSHIP FEE 2672-44030 $ 160.00 $ 160.00 COURT RECORD PRESERVATION FUND 2673A4030 $ 100.00 $ BOAO $ 180.00 RECORDS ARCH IVE FEE 2675.44030 $ 4,170.00 $ 4,170.00 DRUG& ALCOHOL COURT PROGRAM 2698+14030.005 $ 162.13 $ 162.13 JUVENILE CASE MANAGER FUND 2699414033 $ - $ - FAMILY PROTECTION FUND 2706+14030 $ 00.00 $ 60.00 PRE-TRIAL DIVERSON AGREEMENT 2729A4034 $ Boom $ 800,00 LAW DEASY FEE 2731-44030 $ 315,00 $ 280.00 $ 595.00 RECORDSMANAGEMENT FEE -CO CLK 273844380 $ 28.18 $ 4,220.00 $ 4,248.18 RECORDS MANGEMENT 2739-10899,44030 $ 50.00 $ 253.60 $ - $ 40.00 $ 343,60 BOND FORFEITURE 2740001-45050 $ - $ - FINES -COUNTY COURT 274045040 $ 3,016.70 $ 3,016.70 STATE POLICE OFFICER FEES 7020a0740 $ 1,17 $ 1.17 CONSOLIDATED COURT COSTS 7070-10899 $ - $ - CONSOLIDATED COURT COSTS -COUNTY 7070-20610 $ 80.65 $ 80.65 CONSOLIDATED COURT COSTS -STATE 7070.20740 $ 721.82 $ 72L82 DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390-2U610-999 $ 32.43 $ 32.43 DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740-999 $ 129.72 $ 129.72 STATE ELECTRONIC FILING FEE 7403-999-22897 $ 270.00 $ 240.00 $ 510.00 STATE ELECTRONIC FILING FEE CH 7403-999-22990. $ 56.33 $ 56.33 EMSTRAUMA 7405-999-20740 $ 325.39 IS $25.39 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ 5.00 - $ 4.00 $ 9.00 CIVIL INDIGENT FEE -STATE 7480-20740 $ 96.00 $ 76,00 $ 171.00 JUDICIAL FUN D COURT COSTS 7495-20740 $ 169.05 $ 169.05 JUDICIAL SALARY FUN D-COUNTY 75OS-20610 $ 6-78 $ 6.78 JUDICIAL SALARY FUND -STATE 7505-20740 $ 60.85 $ 60.85 JUDICIAL SALARY FUND 7505-2074"05 $ 378.00 $ - $ 336.00 $ 714.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 753R-22884 $ BAD $ 9.18 BIRTH -STATE 7855-20780 $ 135.00 $ 135.00 JUDICIAL FEE 7855-20796 $ 360.00 $ 320,00 $ 680.00. FORMAL MARRIAGES -STATE 7855-20788 $ 600.00 $ 600.00 NON DISCLOSURE FEE 7855-999-20790 $ 28.00 $ 28.00 TCLEOSE COURTCOST 7856-999-20740 $ 0,08 $ 0.68 JURY REIMBURSEMENT FEE -COUNTY 7857-20610 $ 4.49 $ 4.49 JURY REIMBURSEMENT FEE -STATE 7857-20740 $ 40.58 $ 40.58 STATE TRAFFIC FINE -COUNTY 7860-20610 $ 4.59 $ 4.59 STATE TRAFFIC FINE - STATE 7860-20740 $ 87.21 $ 87.21 INDIGENT DEFENSE FEE -COUNTY 7865-20610 $ 2.28 $ 2.28 INDIGENT DEFENSE FEE -STATE 7865-20740 $ 20.28 $ 20428 TIME PAYMENT -COUNTY 7950-20610 $ 90.88 $ 90,88 TIME PAYMENT -STATE 7950-20740 $ 00.88 $ 90.88 DUE PORT LAVACA PD 9990-99991 ;.. $ 28.60 $. 26.80: DUESEADRIFTPD 9990-93992 $ $ DUETO POINT COMFORT PD 9990-99993 $ $ DUE TO TEXAS PARKS & WILDLIFE 9990.99994 $ 1,600.00 $; 1,600,00.. DUE TO TEXAS PARKS& WILDUFE WATER SAFETY 9990,99995 $; DUETOTAOC 9990-99996 $: DUE TO OPERATING/NSF CHARGES $` ' $ $-- $ 2,484,60 $ 8,902.60 $ 22,222.00 $ 2,456.00 $ 36,063.60 TOTAL FUNDS COLLECTED $ 36,063.60 - FUNDS HELD IN ESCROW: $ (8.00) AMOUNT DUE TO TREASURER:. $ -..... 34,435.00' TOTAL RECEIPTS: $. 36,05580: AMOUNT DUE TO OTHERS: $ 1,620.60 lore U:1LBEPCRTS%WNTHLYAUDIPOR ANUTREASUER REPORT8I 016.063116TREASURER REPORTS INI?2816 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION AUGUST2016 is CASH ON HAND, TRUST FUND BEGINNING BOOK BALANCE=7131/2016 7. $ 9,661.17 FUND RECEIVED $ - DISBURSEMENTS $ (4,661.17) ENDING BOOK BALANCE j8/31/2016 $ 6,000.00 BANK RECONCILIATION TRUST FUND ENDING BANK BALANCE 3/31/2016 OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" RECONCILED BANK BALANCE 9/31/2016 $ 7,583.72 $ (2,583.72) $ 6,000.00 CERTIFICATES OF DEPOSITS HELD IN TRUST -IOC BANK CD'S `. Dale Issued " Balance purchases/ Withdrawals - Balance 1203112015 2 interest s 08/31116 74926 11/19/2009 $ 1.046.64 $ 1.846.54 49466 1/30/2013 $ 19,642.10 $ 49,09 $ 19,891.19 60782 1/15/2015 $ 9,378.68 $ 23.44 $ 9.402.02 60790 1/15/2016 . $ 9.378.58 $ 23.44 $ 9,402.02 60804 1/15/2016 $ 9378.58 $ 23.44 $ 9,402,02 60863 2/2/2D15 $ 3,500.00 $ 8.75 $ 3,508.76 60871 2/2/2015 $ 3,500.00 $ 8.75 $ 3,508.76 61134 5/2&2015 1 $ 38,558.20 $ 42.26 $ 38,800.46 TOTALS; $ 95,182.58 $ 130.91 $ $ 96,301.76 5ubinilted by: Anna M Goodman, County Clerk Dale 20F2 U:WREPORTSPAONAILMUDITOR AND TREASUER REPOR RIMOSE3110 TREASURER REPORTS RUPWO10 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION SEPTEMBER Z016 OESC - GLCODE CIVIL CRIMINAL OFFICIAL PUBLIC RECORDS PROBATE TOTAL DISTRICT ATTORNEY FEES 1000-44020 $ 301.24 $ 301.24 COUNTY CLERK FEES LORD 44030 $ 468.00 $ 482.08 $ 12,162.20 $ 563.00 $ 13,676.28 JURY FEE 1000-44140 $ - $ ELECTRONIC FILING FEES FOR E-FILINGS 1000-44058 $ 110.00 $ - $ - $ 48.00 $ 158.00 JUDGE'S EDUCATION FEE 100044160 $ - $ 50,00 $ 50.00 JUDGE'S ORDER/SIGNATURE 1OW44180 $ 10.00 $ - $ 62.00 $ 72.00 SHERIFF'S FEES 1000-44190 $ - $ 270.72 $ - $ 250.00 $ 520.72 VISUAL RECORDER FEE 100044250 $ 45.07 $ 45,07 COURT REFPORTER FEE 1000A4270 $ 135,00 $ 150.00 $ 285.00 ATTORNEY FEES -COURT APPOINTED 1000-49030 $ 338.00 $ 338.00 APPELLATE FUND(TGC) FEE 2620-04030 $ 55.00 $ 50.00 $ 105.00 TECHNOLOGY FUND 2663-44030 $ 48.20 $ 48.20 COURTHOUSE SECURITY FEE 2670-44030 $ 55.00 $ 36.15 $ 420.00 $ 55.00 $ 566.15 COURT INITIATED GUARDIANSHIP PEE 2672-44030 $ 200.00 $ 200.00 COURT RECORD PRESERVATION FUND 267344030 $ 110.00 $ 100.00 $ 210.00 RECORDS ARCHIVE FEE 2675 44030 $ 3.960.00 $ 3,960.00 DRUG& ALCOHOL COURTPROGRAM 269844030 IRIS $ 143.59 $ 143.59 JUVENILE CASE MANAGER FUND 2699A4033 $ - $ - FAMILY PROTECTION FUND 2706-44030 $ 30.00 $ 30.00 PRE-TRIAL DIVBRSON AGREEMENT 272944034 $ 550.00 $ 550.00 LAW LIBARY FEE 2731-44030 $ 315.00 $ 350,00 $ 665.00 RECORDSMANAGEMENT FEE - CO CLK 273844380 $ 30.13 $ 4,070.00 $ 4,100.13 RECORDS MANGEMENT 2739-10899,44030 $ 55.00 $ 271.10 $ - $ 55.00 $ 381.10 BOND FORFEITURE 2740001-45050 $ - $. - FINES -COUNTY COURT 274045040 $ 2,012,90 $ 2,012.90 STATE POLICE OFFICER FEES 7020-20740 $ 0.11 $ 0.11 CONSOLIDATED COURT COSTS 7070-10899 $ - $ - CONSOLIDATED COURT COSTS -COUNTY 7070-20610 $ 91.41 $ 91.41 CONSOLIDATED COURT COSTS -STATE 7070-20740 $ 826.90 $ 826.90 DRUG& ALCOHOL COURT PROGRAM -COUNTY 7390-20610-999 $ 28.71 $ 28.71 DRUG& ALCOHOL COURT PROGRAM -STATE 7390-20740-999 $ 114.84 $ 114.84. STATE ELECTRONIC FILING FEE 7403-999-22887 $ 270.00 $ 300.00 $ 570,00 STATE ELECTRONIC FILING FEE CR 7403-999-22990 $ 60,25 $. 60.25 EMSTRAUMA 7405-999-20740 $ 293.61 $ 293.01 CIVIL INDIGENT FEE -COUNTY 7490-20610 § 6.50 $ 5.00 $ 10.50 CIVIL INDIGENT FEE -STATE 748p20740 $ 104.50 $ 95.00 $ 199.50 JUDICIAL FUND COURT COSTS 7495-20740 $ 00074 $ 160,74 JUDICIAL SALARY FUND -COUNTY 7505.20610 $ 7.21 $ 7,21 JUDICIAL SALARY FUND -STATE 7505-20740 $ 65.08 $ 65.08 JUDICIAL SALARY FUND 7505.20740 005 $ 378.00 $ - $ 420.00 $ 798.00 TRAFFIC LOCAL (ADMINISTRATIVE FEES) 753842884 $ 6.36 $ 6.36 BIRTH - STATE 7855.20780 $ 91.80 $ 91.80 JUDICIAL FEE 7855-20786 $ 360.00 § 400.00 $ 760.00 FORMAL MARRIAGES -STATE 7855-20788 $ 480,00 $ 480.00 NONDISCLOSURE FEE 7855-999-20790 $ - $ - TCLEOSE COURT COST 7856-999.20740 $ 0.61 $ 0.61 JURY REIMBURSEMENT FEE -COUNTY 7857-20610 $ 4.81 $ 4.81 JURY REIMBURSEMENT FEE -STATE 7857-20740 $ 43,37 $ 43.37 STATE TRAFFIC FINE -COUNTY 7860.20610 $ 3.18 $ SAS STATE TRAFFIC FINE - STATE 7860-20740 $ 60.42 $ 60.42 INDIGENT DEFENSE FEE -COUNTY 7865-20610 $ 2.39 $ 2.39 INDIGENT DEFENSE FEE -STATE 7865-20740 $ 21.70 $ 21.70 TIME PAYMENT -COUNTY 7950-20610 $ 125.59 $ 125.59 TIME PAYMENT -STATE 7950-20740 $ 125,59 $ 125.59 DUE PORT IAVACA Pr) 9990-99991 $ 31.54. $; 31.54'. DUESEADRIFT PD 9990-99992 $ 0.75.. $. 0.75. DUE TO POINT COMFORT PD 9990-99993 - $ $:. DUE TO TEXAS PARKS & WILDLIFE 9990.99994 < $ $1: - DUE TOTEXAS PARKS& WILDLIFE WATER SAFETY 9990-99595 $. - DUETOTABC 9990-99996 $': DUE TO OPERATING/NSF CHARGES $ $ $Y $ 2,461.00 $ 6,624.35 $ 21,209.00. $ 3,153.00 $ 33,447.36 TOTAL FUNDS COLLECTED $ 33,447.36 - FUNDS HELD IN ESCROW: $ (5.00) AMOUNT DUE TO TREASURER: $; 33,415.06: TOTAL RECEIPTS: $I: $3,442,351`. AMOUNT DUE TO OTHERS: $ 27,29 I OF2 UM REPORTSWONTHLYADOITOR ANOTREASUER REPORT612019.093014 TREASURER REPORTS 10/12II01R CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION 3GINNING BOOK BALANCE (8/31/2016 1. $ 6,000.00 FUND RECEIVED $ - DISBURSEMENTS $ ENDING BOOK BALANCE '9/3012016. d $ 6,000.00 BANK RECONCILIATION TRUST FUND ENDING BANK BALANCE 9/30/1016 OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" RECONCILED BANK BALANCE 9/30/2016 $ 5,000.90 $ 6,000.00 CERTIFICATES OF DEPOSITS IIELD INTRUST -10C BANK CD'S + Date Issued Balance Purchases(: Witbdrawalsl Balance _ 4 1213112015 [ interest ; 00130116 74926 11/19/2009 $ 1,846.54 $ 1,846.84 49466 1/30/2013 $ 19,642.10 $ 49.09 $ 19691.19 60782 1/1512016 $ 0,378.58 $ 23.44 $ 9:402.02 80790 1/15/2015 $ 8,378.58 $ 23.44 $ 9.402.02 50804 1/15/2015 $ 9,378-68 $ 23.44 $ 9,402.02 60883 2/2/2015 $ 3,500.00 $ 8.75 $ 3.508.75 60871 __ 2/2/2015 $ 3,5 00.00 $ 8.75 _$ 3.508.75 61134 5/28/2015 $ 38.658.20 $ 42.26 $ 38,600,40 TOTALS: $ 95.182.58 $ 136.91 $ $ 05,361.7b 10/1212016 -Submitted by: Anna M Goodman, County Clerk Date 2OP2 U:bREP0RT$VA00DIL"U0n0RAUD TREAWER REPORToV(n6e930fe TREASURER REPORT$ 101 Yd016 00'OZi$ :pa}aajjoD saa,d jejol 0-6ujpjmra g jezawwoD 0-sa�ieaeD/s2uipjjng a,9eaojS/suaeg }eog 0-sauzojg ajjgoW 0-up ppy/su014enouag - Z-sauzoH MON S4!wJOd juauidojanaa gjOZ 4snSnV �io•xgoaunogleaauadSiql-euuopej gjetu-a bbbfi £SS L9£ 3/SSbb £SS i9£ .auoq(l 61,ZV-6L6LL YWEDEeE-I azol I0£ a;mS `4aasQS uuV tpnoS IIZ uorpv isrururpV urvjdpoo[j-fjanoq unogfvg Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org September 2016 Development Permits New Homes-3 Renovations/Add On-1 Mobile Homes-0 Boat Barns/Storage Buildings/Garages-1 Commercial Buildings-0 Total Fees Collected: $300.00 ENTER COURT NAME: JUSTICE OF PEACE NO.1 ENTER MONTH OF REPORT SEPTEMBER ENTER YEAR OF REPORT ' 2016 COUE S AMUUNT CASH BONDS 0.00 REVISED 03/04116 ADMINISTRATION .FEE -ADMF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 CONSOLIDATED COURT COSTS -CCC 1,346.61 COURTHOUSE SECURITY -CHS 134.68 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE CJDR ' 1.77 CORRECTIONAL MANAGEMENT INSTITUTE -CMI >. :0.00 CR,` 0.00 CHILD SAFETY -CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION CVC '0.00 OPSCIFAILURE TO APPEAR - OMNI - DPSC. 170.45 ELECTRONIC FILING FEE EEF 0.00 FUGITIVE APPREHENSION FA 0.00 GENERAL REVENUE -GR 0.00 CRIM IND LEGAL SVCS SUPPORT -IDF 65.32 JUVENILE CRIME & DELINQUENCY JCD. 0.00 JUVENILE CASE MANAGER FUND - JCMF:. 7.28 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE -JSF 132.68 LOCAL ARREST FEES - LAF 95.03 LEMI 0.00' LEDA 0.00 LEDO '. 0.00 OCL 0.00. PARKS& WILDLIFE ARREST FEES - PWAF'. -.0.00 STATE ARREST FEES -SAF 56.09 SCHOOL CROSSINGICHILD SAFETY FEE - SCF 0.00 SUBTITLE C -SUBC. `461.88. TABC ARREST FEES - TAF 0.00 TECHNOLOGY FUND TF 134.68 ...TRAFFIC -TFC l 46.15. TIME PAYMENT -TIME ''. 427.50. TRUANCY PREVENTIONIDIVERSION FUND -TPDF -: 56.19. ' LOCAL & STATE WARRANT FEES - WRNT `- 770.28 COLLECTION SERVICE FEE-MVBA-CSRV :1,590.60. DEFENSIVE DRIVING COURSE - ODC '. 29.70. DEFERRED FEE - OFF 0.00' DRIVING EXAM FEE- PROV DL : 0.00 FILINGFEE -FFEE 200.00: FILING FEE SMALL CLAIMS -FFSC 0.00: JURYFEE-JFC ';0.00 COPIES/CERTIFED COPIES -CC '' 0.00 INDIGENT FEE, CIFF or INDF ': 50.00. JUDGE PAY RAISE FEE -JPAY `. `204.61. SERVICE iFEE -SFEE 225.00 OUT -OF COUNTY SERVICE FEE 0.00J ELECTRONIC FILING FEE -EEF CV ;'. 80.00: EXPUNGEMENT'FEE-EXPG 0.00 EXPIRED RENEWAL EXPR I' 0.00 ABSTRACT OF JUDGEMENT -AOJ - '0.00. :ALL WRITS - WOP / WOE ', 0.00' DPS FTA FINE DPSF 0.00 LOCAL FINES - FINE 4,314.10: LICENSE & WEIGHT FEES -LWF 7: 0.00 PARKS'&WILDLIFE FINES PWF 49.00 SEATBELT/UNRESTRAINED CHILD: FINE -SEAT i' <0.00. '. " OVERPAYMENT (OVER $10) OVER '. 0.00. OVERPAYMENT ($10AND LESS) OVER '.. 0.00: RESTITUTION REST '. 0.00' PARKS & WILDLIFE -WATER SAFETY iFINES WSF '10.00: MARINE SAFETY PARKS & WILDLIFE MSO 0.00 TOTAL ACTUAL MONEY RECEIVED $10,659.60 TYPE: AMOUNT TOTAL WARRANT FEES I ^ 770.28 i I ENTER LOCAL WARRANT FEES 458.63 RECORD ON TOTAL PAGE OF HILL COUNTRYSOFIWARE MO.REPORT '. STATE WARRANT FEES : $311.65RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT DUETOCCISD-SDIof Fineoft JVCeeeS: 0.00 PLEA BE INCLUDE ORREQUESTINGDISBURSEMENT DUE TO DA RESTITUTION' FUND 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF. OVERPAYMENTS 0,00 i PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 1 0.00'. PLEASE INCLUDE D.R REQUESTING DISBURSEMENT CASH BONDS 0.00 ` PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT (IF REQUIRED) TOTAL DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH:.. AMOUNT; CASH, CHECKS, M.O.S&CREDIT CARDS $10,859.60 Caloulate from ACTUAL Treasurer's Receipts TOTAL TREAS RECEIPTS ': 3166b9.60 ':: MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/4/2016 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 4,322.96 CR 1000-001-44190 SHERIFF'S FEES 847.85 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 29.70 CHILD SAFETY 0.00 TRAFFIC 46.15 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 75.85 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44061 JP FILING FEES 200.00 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 1,590.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $7,262.25 CR 2670-001-44061 COURTHOUSE SECURITY FUND $101.01 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $33.67 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $134.68 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $7.28 STATE ARREST FEES DPS FEES 73.55 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 73.55 CR 7070-999-20610 CCC-GENERAL FUND 134.66 CR 7070-999-20740 CCC-STATE 1,211.95 DR 7070-999-10010 1,346.61 CR 7860-999-20610 STF/SUBC-GENERAL FUND 23.09 CR 7860-999-20740 STF/SUBC-STATE 438.79 DR 7860-999-10010 461.88 CR 7950-999-20610 TP-GENERAL FUND 213.75 CR 7950-999-20740 TP-STATE 213.75 DR 7950-999-10010 427.50 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 2.50 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 47.50 DR 7480-999-10010 50.00 Page 1 of 2 10/4/2016 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 6.53 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 58.79 DR 7865-999-10010 65.32 CR 7970-999-20610 TL/FTA-GENERAL FUND 56.82 CR 7970-999-20740 TL/FTA-STATE 113.63 DR 7970-999-10010 170.45 CR 7505-999-20610 JPAY - GENERAL FUND 20.46 CR 7505-999-20740 JPAY - STATE 184.15 DR 7505-999-10010 204.61 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 13.27 CR 7857-999-20740 JURY REIMB. FUND- STATE 119.41 DR 7857-999-10010 132.68 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.18 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.59 DR 7856-999-10010 1.77 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 56.19 DR 7998-999-10010 56.19 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 80.00 DR 7403-999-22889 80.00 TOTAL (Distrib Req to OperAcct) $10,609.45 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 41,65 WATER SAFETY FINES 8.50 TOTAL DUE TO OTHERS $50.15 TOTAL COLLECTED -ALL FUNDS $10,659.60 LESS: TOTAL TREASUER'S RECEIPTS $10,659.60 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 42647 PAYEE PAYOR Name: Calhoun County Oper. Acct, Official: Hope Kurtz Address: Title: Justice of the Peace, Pct. 1 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7541.999-20759-999 JP1 Monthly Collections - Distribution $10,609.45 SEPTEMBER 2016 V# 967 TOTAL 10,609.45 W)Ir® of Official Date 0.00 0.00 935.49 94.85 0.00 0.94 0.50 0 00 0.00 0.00 15.00 233.84 40.00 5.00 0.00 45.94 0.50 10.00 2.00 0.00 91.85 45.47 0.00 0.00 0.00. 0.00 8.37 41.48. 0.00 235.47 0.00 95.85 `.'23.52 240.78 34.83 1,029.34 1,589.40. 9.90 0.00 0.00 100.00 " 0.00 0.00 24.00! 137.78 300.00 0.00 0.00 20.00 0.00 450.001 396.001 4,246.40 0.00 206.00 0.00 522.50 0.00' 0.00 0.00 ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT ON TOTAL PAGE OF HILL COUNTRY SOFT WARE MO. REPORT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT (IF REQUIRED) 10/3/2016 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT OR 1000-001-45012 FINES 4,673.30 OR 1000-001-44190 SHERIFF'S FEES 1,015.70 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 9.90 CHILD SAFETY 0.00 TRAFFIC 23.52 ADMINISTRATIVE FEES 20.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 53.42 OR 1000-001-44010 CONSTABLE FEES -SERVICE 750.00 OR 1000-001-44062 JP FILING FEES 100.00 OR 1000-001-44090 COPIES I CERTIFIED COPIES 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,589.40 TOTAL FINES, ADMIN. FEES & DUE TO STATE $8,181.82 OR 2670-001-44062 COURTHOUSE SECURITY FUND $71.14 OR 2720-001-44062 JUSTICE COURT SECURITY FUND $23.71 OR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $95.85 OR 2699-001-44062 JUVENILE CASE MANAGER FUND $10.00 STATE ARREST FEES DPS FEES 107.29 P&W FEES 1.67 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 108.96 OR 7070-999-20610 CCC-GENERAL FUND 95.85 OR 7070-999-20740 CCC-STATE 862.64 DR 7070-999-10010 958.49 OR 7860-999-20610 STF/SUBC-GENERAL FUND 11.77 OR 7860-999-20740 STF/SUBC-STATE 223.70 DR 7860-999-10010 235.47 OR 7950-999-20610 TP-GENERAL FUND 120.39 OR 7950-999-20740 TP-STATE 120.39 DR 7950-999-10010 240.78 OR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20 OR 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 10/3/2016 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 4.59 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 41.35 DR 7865-999-10010 45.94 CR 7970-999-20610 TL/FTA-GENERAL FUND 77.95 CR 7970-999-20740 TL/FTA-STATE 155.89 DR 7970-999-10010 233.84 CR 7505-999-20610 JPAY - GENERAL FUND 13.78 CR 7505-999-20740 JPAY - STATE 124.00 DR 7505-999-10010 137.78 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 9.19 CR 7857-999-20740 JURY REIMB. FUND- STATE 82.66 DR 7857-999-10010 91.85 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.09 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.85 DR 7856-999-10010 0.94 CR 7998-999-20740 TRUANCY PREWDIV FUND - STATE 34.83 DR 7998-999-10010 34.83 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 40.00 DR 7403-999-10010 40.00 TOTAL (Distrib Req to OperAcct) $10,535.40 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 522.50 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 175.10 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $697.60 TOTAL COLLECTED -ALL FUNDS $11,233.00 LESS: TOTAL TREASUER'S RECEIPTS $11,233.00 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42647 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 $10,535.40 SEPTEMBER 2016 V# 967 TOTAL 10,535.40 /t� - 4 --1. Signature of Official Date BER From ACTUAL MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2016 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 4,184.55 CR 1000-001-44190 SHERIFF'S FEES 517.71 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 49.20 ADMINISTRATIVE FEES 174.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 243.90 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44063 JP FILING FEES 25.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-99�-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 771.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,817.16 CR 2670-001-44063 COURTHOUSE SECURITY FUND $124.36 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $41.45 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $166.81 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 31.09 P&W FEES 9.73 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 40.82 CR 7070-999-20610 CCC-GENERAL FUND 166.82 CR 7070-999-20740 CCC-STATE 1,501.39 DR 7070-999-10010 1,668.21 CR 7860-999-20610 STF/SUBC-GENERAL FUND 24.60 CR 7860-999-20740 STF/SUBC-STATE 467.43 DR 7860-999-10010 492.03 CR 7950-999-20610 TP-GENERAL FUND 166.29 CR 7950-999-20740 TP-STATE 166.28 DR 7950-999-10010 332.57 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.30 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 5.70 DR 7480-999-10010 6.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/3/2016 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 CR 7998-999-20740 CR 7403-999-22889 REVISED 03/04/16 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT: 2016 DR 7865-999-10010 DR 7970-999-10010 DR 7505-999-10010 150 DR 7857-999-10010 DR 7856-999-10010 DR 7998-999-10010 DR 7403-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND 8.74 CRIM-SUPP OF IND LEG SVCS-STATE 78.68 87.42 TL/FTA-GENERAL FUND TL/FTA-STATE 50.00 100.00 150.00 JPAY - GENERAL FUND 25.02 JPAY - STATE 225.22 250.24 JURY REIMB. FUND- GEN, FUND JURY REIMB. FUND- STATE 163.81 16.38 147.43 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.22 CIVIL JUSTICE DATA REPOS.- STATE 2.03 2.25 TRUANCY PREVENT/DIVERSION FUND 73.42 73.42 ELECTRONIC FILING FEE TOTAL (Distrib Req to Oper Acct) DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMI 0.00 OUT -OF -COUNTY SERVK 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE! 1,187.45 WATER SAFETY FINES 0.00 10.00 $9,431.55 TOTAL DUE TO OTHERS $1,187.45 TOTAL COLLECTED -ALL FUNDS $10,619.00 LESS: TOTAL TREASUER'S RECEIPTS $10,619.00 OVER/(SHORT) $0.00 Page 2 of 2 10-.05-16;07:47 ;From:Calhoun County JP4 To:5534444 ;3617852179 I # 2/ 4 ENTBRt- ...,,%1;. ..... 'r"Di«}95i�.`,i�,iii u;": if,��ii ri pl? i; 1;,'!.i'(�tiy"i ;;llllj".'n. JUSTiCIt OF PEACE NO.4 ENTERSMONTR OFtREPORTIn, r{' Jorrr '1+ ,1 { fj SEPTEMBER kNTf'<'R.YEARrOF REPORT I '� J Iw I r v Ir t l 2016 !ila. 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[1 � ✓•I S bATA REP„ MVF/O.IDR r`COpRECT10NAL MANAgEMENTIINSTITUTE 111{J't",, j'tf y41, •j ,4�S)J'S(4,'Y,1+r, 1, 1 .'11 J {rJil (iltfn,,t(" 5 1JI� I I ul4t r'h' II••r !r � .' p:l r r it f� r, 1 /, J n r I'+, ?rCRIME to MIS OPSCIFAICUREL70 P.PEA134WMNI tOPSCSLE SUOITIVEYNOXXIINGIFEEN'EMA ,, ')ly J' LCRIMrINd liE0AL5VC8 SUPPORSr`IDF• ,gc,,;'.:;n,r,,YWENILE;;GASE; MAP(AGE�i,FUND;="JCMF :. 5.00' ,., .':::' .: %: ,:a •:: ci;;JUSTICF.!000R7•.:P �SO NE .:'27F=`'iir:,:".i!nrlj��'I',(sii;:,i�aY.';5�11i!n'i;�p»;•y',':•'yii.::::;'-, •:!il,: 188:40 D•,• ^;:n:,..yle::>,:<;i,,,u,;.p,.,,4y.y; .±I,'.;p.`y.,,,"' + � y, LOCAL,ARREST)FEE9 LAF 123.00 LEMI na.:.,:.:6.�..t:rr,. np'.:y. :. ::I;LEOq,;:,..:i;4Ci(p.;:.::,li�t:..�iY',Ij�;;..r„L:.,;.1 ,:..1 .,L. • 1 `,t Jl. /if 1ur'. 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I't{ Y i' i lLlay`ix rL, J nr r s,, >io4ttyl Ltl Jd>. tAl + lffn JFIC1NGiF,EEQfFFEE � 5000 I It h'�E'sMALLYCLA.'IMS,r,`p.FBp 1� s' I r ' r`. .4 ✓ k !v 1 ,h x f L I (' . 'J (I�) Itr JTF IJJ i x^tWIND.IO�NT FB2r FIFF„onINOF> r. '1200, �i 4, `r III 1. L.>-y� t ^ f, i:A`S',• (. 1 1'^i$;'. eJGT•;;;..:.", .•, JUDC)E:PA'%W,AI&EiFEE',"AJ?!AV . �...207.00, i%aana'x?:,:`•at^%;�!:n%:•:');x.,,:(;),j:;9,e��?);,:'.sL•�^:u:!s:� .::L^,."'.,:-, ;,i ^X458RV111 E BF,EE .:' 180A0 /t + r°'i•' vq OUT.OF-0d0NTYSE it.fCEyFEE :,::�t�),:r , �i':'f::i: Y,.i.:�•�{., ii,:nli,: ):y-.:iT r I• '. .. 01=MEN7;JrE�;. , ,. ;Ph';i^r::"arty, :::j� li•�;' •eYr;{d?t?.i'(i h,'t%:%'�. NEVYAL;EXXW. ::a'r•, .,«�.,., .;r,.,, •:'••;•;,,w•�•rr.l''' I AHSTRAC70FJUDOEME „.I,,,.�..:,:+�.,..: ✓I. ,:• I.. N AOJ �� r; v'. t:r�ll'^"zc:' 7r;{ax••!;; _•?:>; '.;';�}:?%�c,...; �..rn,.{..fnrpli;'..G.`.'•.• .:.•..............e,.., .., 7i�/N' :;',Y �'; �'::','�;�'A, r..: r: :A....,4.`t.. RI?:�;F.WDP,r.•.w,o,E , .:''I;a::....,-,_;,:�� :.r.. 'a 9 425:10: I.. „1>! . f,:; flat. ryxk+L'OGAL'4F . ., al yr'J%:.,.... �i`•i�! .-n:.,.:.•.,... ., .:)NF51•,F..INE .� � y(:'''1::;ibrii�;:,p.:bd•>;�T:'lt`;!.::ar:•4s'.e9;�•Iai;:._•a;';';ji :!A / >; Y L r rLICENSEf& WEIGHT F:EESLJLVJF 'tit ' k 'PARKS,i&jWILD):IFE'FINES PWF : 28S.tl0 ':' ' 'Ir (1 , p v t �,y SEA78BLT/UNRE57RAINED,CNIID RINEs 3EAT `� t J xx rh ,r, ` , . •i':.OUEHPAY,MEthT.'t(b.10,i&OVI:F,i)!:iAV,ER :' afC'r:;`i34`;t!,�'J i�d:,•;.i;,•�c .rty. • .. ';A1J:d!'(�,,,t ,';r9', ..,,r'li;;: ( tAa� ii'•:i'-'i n;�;.;;:::d..:.OVERPAYMENTjC68SVTRAPlI$10 'r.'?OVER' .'1 ,.•r'iti(.:...... ....::d:., ii :,�(';r,',`:'I`_,y;: ;i.';`:�`::'�:.;�':j4?i'!ii,' r I vil.r IFv j'kd�`RESY�TLITION�'IREST U�I `rrd, ,,i ,. IM^YR '.1 ', I ,rIPARIlSI$WILDLIFE Vf/AT�RJSAFETrY,RINF�5•�VSF'.v".:�yg..:',-'-Y,:`,,^,;1,dm:b,:r�st':r.,1E'-+:?�.:%,.t•:-:.••::,:.r•Y �.•....:..:. �'.'.� , 41n WCR Ijr 1, a .I r 7J t ^''YTO'FAL ACTUAL"MOf•!EY'REf1'EIVED I_, �y ,...� r : I +, " ! rl �'.� ,1y7,"S :' rOT t f, V , I r l r.fs.:, .yr.'•ri 1.:\Lan;/ra`y.!'.;.r._;,...:....:�;-<isL,.e�'^r.:4!i�%''.:'d;•�l^ii'L:�i::^s7x,:i:./,,.rx.l.,(I,,. ;.. �L.,.,.: c..;':Fr: .: r•• •. E !'1..i v,yM4:Fl;l:n: ::'.,, rt:.!„i':1"';'4I::,:'?:��:'ii?.`.`SLn:,£.'arl"'•';iu:)o+'. iFa'irnn;�i�. ;: i:.:).:'::� X1fP ' ` , J ; AMOUNT • ,' rl .I t f + ,; r A WARRANTF +ENT2R{I,OCALIWARRANT PEES 800 RUCOROON TVTALPAOE OF HILL COUNTRY 80FTWARE MC RFPORY H I I. $iAT 1 I; IIr„ ly. , y,x,i,�EWALiRANT FEES : r .RECORDONTOTAI, PM0E0f NI0.COUNYRYSOF1WAgEN0. REPORT .,.,. n,1�/"l;?:`tNw:!%f,1LLj{�� . ..... ......: ......,.,ym.:nY.'ISb"::; �-:;;.^'1`^:."I:.^:'e'n,p:t::;'a.:.,�;.:.n;;py:.,; :•ig•..a.,..;.:.;.,-...... . 5 ! r' 45 1 1 v'}j! T; o'll s J f r ' r it I r p. ( e ' 1 .' OUE;TOrCCISD�}8J1,°(o:0, IF10P[OR4JV 00a0'J•f`»jl�;�`yYp; '. µ+'OO.r PLFA9EINCLUOE O.fl. RC OUCO➢NOd0AIJAMMEM DUE'70'DAeRESTJ74UT10fJ!FjUNJD �Jyl i}^U,r,]Itt lZ ,, q.�Iy �1DOO)PLGa@INCI,UOE PR. REOUEORNONAOUROEMENT REFUNDrOFIOUERQAYf•AEN'f$.,,r�.,,,:,,p4„'`jl{ ryyh�.j "iy4,pt,yjj!Oi00J P1W041NCLUDE Oh REOUE5NNO013DUHAEMENf OUTOF^COUN7YSERVICE.FEE ', ! It7 'J,�}0,,00!Ptr'lAOO1MOLU0E UM.NEOUEOYIN010I511UNallm9w CASH BONDS (, ws11af k.;l,,O:OOJ PLIMSVIN01.014D.R.REOUE5YINOOISSURSEMEF(IFREOVIREO) •n3"'J•"•^•i�,l,,(';;:r: �'' :!:'TOTANIDUP.aTO':OTHER$s°:i::.:::;rsp;.( 1;:•l;:^^9?'":'iY%("i•,'i;6.'fyi!:iq::i(la't1l!::,.Yzi;F';: J lu f r JI P,, ! ;I ' I r ,. .MII a4 dY,....,f. 1'OJ �Iv ri i�lfi'r ll.C� 1 /IY j/t,,i r.ltl'. : dt r� w.r'': r ' ' Ir,. ri t TREASUR¢RB RECEIP79rFOR MON7W.•r .. •�rd; AMOUNT, S ,40CelCulal ...,.11,-,U ... a from olpla ^^.. ,:::TOTAL,SREdB!'REcei''. - "�' 'b � ACTUALTraeeOr .., ::'.r.,•' PSSf. ,.:, 509:20.,r;.;:�;..,. ..;.'%:errs;....-.,,.;�..er aaa 10-05-16;07:47 i ;From:Caihoun County JP4 To;5534444 ;3617852179 # 4/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 10/4/2016 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: SEPTEMBER YEAR OF REPORT; 2016 CR 7865-999-20010 CRIM-SUPP OF IND LEG SVCS-GEN FUND 6.92 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 62.28 DR 7865-899-10010 69,20 CR 7970-999-20610 TL/FTA-GENERAL FUND 40.00 CR 7970-999-20740 TL/FTA-STATE 80.00 DR 7970-999-10010 920.00 CR 7505-999-20610 JPAY - GENERAL FUND 20.76 CR 7505-999-20740 JPAY - STATE 186 84 DR 7505-999-10010 207.60 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 13.84 CR 7857-999.20740 JURY REIMB. FUND. STATE 124.56 DR 7857-999-10010 938.40 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 021 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 1.86 DR 7856-999.10010 2.06 CR 7998-999-20740 TRUANCY PREV/DIVFUND -STATE 6320 DR 7998.999-10010 53.20 CR 7403-999-22889 ELECTRONIC FILING FEE 20.00 DR 7403-989-10010 20.00 ' TOTAL (Distrib Req to OPer Acct) $7,$20.40 DUE TO OTHERS (D/strib Req AtiChd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 244.80 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $244.80 TOTAL COLLECTED -ALL FUNDS $7,565.20 LESS: TOTAL TREASUER'S RECEIPTS $7,665.20 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 10-05-16;10:01AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 7 Money Distribution Report CALHOUN COUNTY PCT. 9, SEPT. 2016 REPORT Ril,0011Pt CaUo*/D*ReAd&Ah Codan\Amounto Total, 375092 1608-0328 09.06-2016 JSF 4.00 TFC 3,00 CCC 40.00 C14$ 1.00 SAP 5100 130.00 DAVIS, IRENE ROSE TF 4,00 JCSF 1.00 JPAY 6.00 IDF 2.00 mvp 0.10 Personal check $USC 30.00 TPDF 2.00 DFF 29.90 .41,60 40:iw0O:: CHS:: . �TP :. 14 .. ....... , V ., Z . -V . A , S :: 1 :J& 1'.;':0)F!:! :: z.o. b 375894 1607-0231 09-07-20IG JSF 4.00 CCC 40.00 CHS 3,00 LAP 6100 TF 4.00 315.00 DILLARD, LARRY GLEN JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 FINE 248.00 caohierla.Check 37 ',3X5.9.0: RO5R98GN,1:-�JU X Ch6ckw . .. ... . q p 375896 1608-0116 09-07-2016 17sp 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAP 9.00 110.00 SHIELD, ALM JR TB 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVF 0.10 Parnonal Check SUDC 30.00 TPDF 2.00 DDC 9.90 37 i:;6 !:Tit PC :: t'"' I .-LAF! ..... 00' PhYtionb:1 Zheck- J.: gUffc: :::.So:. oo,::. T ;TPDF m ....... 375098 1607-0252 09-00-2016 JSF 4.00 TFC 3.00 CCC 40.00 C145 3.00 LAP 5.00 130.00 TUCK: TRAVIS BROWNING TF 4.00 JCSF 1,00 JPAY 9.00 Inv 2.00 mvr 0.10 Personal Check SOBC 30.00 UPI, 31.90 iTP6 , 110 CCC; ja. LAP j oO: :.:a so t a-0$r JPAX. -20F.:1 . .. .... .•.. av ... ..... ...... . .......... 375900 1600.0332 09-12-2016 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAP 9.00 130.00 WELLS, COY FRANKLIN TF 4.00 JCSF 1.00 JPAY 6.00 IDF 2.00 mVF 0.10 Personal check SUBC 30.00 TPDF 2.00 FINE 29,90 I -. . � .- . : , . ..: . 1 .. 3'75PO�1. ., . . .; . - . a .�JSF. : ::., 6*0 :,::1 jlir��:, :.: �.:. 6� �:. .:.: BLAIR-. 0 OWEN TJ7 4 00;, 1 S�,� l a0K!:-: 375902 1510-0543 OP-13-2016 TFC 3.00 CHS 3.00 LAF 5,00 IF 4.00 DPSC 30.00 231.40 SCALISE, P11ILLIP MICHAEL JCSF 1.00 TPDF 2.00 FINE 100,00 CSRV 53.40 SUBC 30.00 Cria.d.it. Card ..... zf. �40, D F 375904 1609-0342 09-14-2016 JSF 4.00 CCC 40.00 CHS 3,00 TF 4.00 JCSF 1.00 170.00 SANDERS, ROBERT W. III JPAY 6.00 IDF 2.00 TPDF 2.00 WSF 103,00 PWAF 5.00 Personal Check a 1 9 1 0 . S. t, - I i : I W.9 i7: LAP, o: . t 5.0 I;Srov .60: 4 C� - arsopa aak TIPUr 375906 1609-0337 09-22-20IG JSF 4,00 TFC 3.00 CCC 40.00 CHS 3.00 LAP .5.00 130.00 DETTMER, SALLY MILLER TV 4,00 JCSF 1.00 JPAY 6.00 IDF 2.00 MVP 0.10 Pernonal Check 8UBC 30.00 TPDF 2.00 FINE 29.90 X:: XARONI Lri .::!;.t q, 375900 4609-0343 09-21-2016 JSF 4.00 CCC 40.00 CBS 3100 PWAF 5.00 TF 4.00 95.00 DAUGHERTY, STEVEN PAUL JCSF 1.00 JPAY 6.00 IDF 2.00 TPDF 2.00 WSF 28.00 Personal Check o G 75,909,; XGOl94OGd . ... ..1.1 !89- . .... i3: ... Oo.. yui 00 . i DYE EL -�rngEMY t 1 - 1 .... :.:.! �j 375930 1608-0334 09-26-2016 44F 1.22 TFC 0190 CCC 12.03 CHS 0.90 LAP 1150 100.00 PEREZ, JOAN ANTONIO TF 1.20 JCSF 0.30 JPAY 1.80 Inv 0.60 MVP 0.03 Cash SUBC 9.02 TPDF 0.60 FINE 69.90 ............ ........ . ...... .... .. .. 1CCC. 1 i:40 .,DO . .. . ... CHS' -13`0 :4_ryo, 00,';' . .. . ..... ;-.1 TF 1 . 4 .00 q-.1 2719,t5.0, ..:..JCS - . .... . . .... 00; !x.,GQ, : Sp .. 6'.4 50::: *,*,:.,.::: .:. : X .. .... 37.5912 1503-0193-A 09-30-2016 JSF 4.00 CCC 40.00 CHS 3.00 SAF 6.00 WRNT 50.00 392.60 ALFARO, RICARDO TF 4.00 DpSC 30.00 JCSF 1.00 JPAY 6.00 IDF 2.00 Credit Carlo TPDF 2,00 FINE 159.00 CqRV 90,60 3 oo•CCO::--: oo;<;SAF 5 00 ALjPA 0' IRIQA�DO;-: W RD .. .. . . .... .. ... ......... .. .. �tl C, St.. Aar, ... ..... 01 01 . .......... TPD ... ... . 2.00 . .. "INS: Be. go ... ............ ............... 375914 1310-0531 09.30-2016 JSF 4.00 CCC 40,00 CHS 1.00 9AF 5.00 WPNT 50.00 260.00 YBARRA, JASON JAY TF 4.00 OPSC 30.00 JCSF 1.00 JPAY 6.00 IDF 2.00 CashioV's Check FINE 5$.00 CSRV 60.00 Pago 10-05-16;10:01AM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 3/ 7 Meney Distribution ROBniGt CALHOUN COUNTY PCT. 5, SEPT. 2016 REPORT Tygo Code Dencription Count Rotained Dinburned MOney-Totala The Collowing tetaln ropxomont - Cash And Chocks ColleCted BOND BOND ➢OND 1 315.00 0100 315.00 COST CCC CONSOLIDATED COURT COSTS 16 60,00 640.00 600.00 COST CHS COURTHOUSE SECURITY 16 45.00 0.00 45.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 1 9190 20.10 30.00 COST IDF INDIGENT DEFENSE FUND 16 3.00 27.00 30.00 COST JCSF JUSTICE COURT SECURITY FUND 16 15.00 0.00 15.00 COST JPAY JUDOS PAY RAISE FEE 16 9.00 81.00 90.00 COST JSF JUROR SERVICE FUND 16 6.00 54.00 60.00 COST LAF SHERIFF'S FEE 11 50.00 0100 $0.00 COST MVP MOVING VIOLATION FEE 9 0.00 0.72 0.00 COST PWAF TEXAS PARKS & WILDLIFE 3 12.00 3.00 19.00 COST OAF DPS 2 8100 2,00 10.00 COST SUBC SUB TITLE C 10 270.00 0.00 270.00 COST TV TECHNOLOGY FUND 16 60.00 0.00 60.00 COST TFC TFC 10 27.00 0.00 27,00 COST TIME TIME PAYMENT PEE 1 12.50 12.50 25,00 COST TPDP TRUANCY PREVENTION & DIVERSION FUND 14 0.00 26.00 26.00 COST WRNT WARRANT PEE 1 50.00 0.00 50.00 FEES CSRV COLLECTION SERVICES FEE 1 60.00 0.00 60,00 FEES DDC DRIVER SAFETY COURSE - 2013 2 19.60 0.00 19.80 FEES OFF DEFERRED FEE 3 91.70 0.00 91,70 FEES EPP ELECTRONIC PILING FEE 1 0,00 10.00 10,00 FEES FILL FILING FEB 1 25.00 0.00 2S.00 FEES IFEE INDIGENT FEE 1 0.30 5.70 6.00 FEES SPEE SERVICE FEE 1 75.00 0.00 75.00 FINE FINE PINE 8 690.70 0.00 690.70 FINE PWF PARKS 1, WILDLIFE FINE 1 49.95 283.0$ 333.00 FINE WSF WATER SAFETY FINE 2 19.65 111.35 131.00 Monty Totals 19 1,994.58 1,176.42 31161.00 The Collowing tetBIV rcgronent - TrAnAXorn Collected BOND BOND ➢OND 0 0.00 0.00 0100 COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CBS COURTHOUSE SECURITY 0 0.00 0100 0.00 COST DPBC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST ZDF INDIGENT DEFENSE FUND 0 0.00 0.00 0,00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEB 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVP MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0100 0.00 0.00 COST SAP DPS 0 0.00 0.00 0.00 COST SUBC SU➢ TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0100 COST TIME TIME PAYMENT FEB 0 0.00 0.00 0100 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0,00 0.00 0.00 COST WANT WARRANT FEE 0 0,00 0.00 0.00 FEES CSRV COLLECTION SSIQVICES PEE 0 0.00 0.00 0,00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FEES DFF DEFP.RRRD FEE 0 0.00 0.00 0100 FEES EPP ELECTRONIC FILING FEE 0 0.00 0.00 0.00 FEES FILI FILING FEE 0 0.00 0.00 0.00 P'EE$ IFEE INDIGENT PEE 0 9.00 0100 0100 FEES SFEE SERVICE FEE 0 0.00 0.00 0,00 FINE FINE FINE 0 0.00 0.00 0.00 FINE POP PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Transfer Totals - 0 0.00 0.00 0.00 Th. Bellowing totals represent - Jail Crodit and Community Scrvioa UOND BOND BOND 0 0.00 0.00 0.00 COST CCC CONSOLIDATED COURT COSTS 0 0.00 0100 0.00 Page 10-05-16;10:01AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 7 Money Distribution Report CALUOUN COUNTY PCT. 5, SEPT. 2016 REPORT Typo Code Description Count Retained Disbursed Money-T t la COST CHS COURTHOUSE SECURITY 0 _ 0.00 0.00 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST IDP INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 040 COST JPAY JUDGE PAY RAISE. FEB 0 0.00 0.00 Oleo 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 Oleo 0.00 0,00 COST PWAF TEXAS PARKS & WILDLIFE 0 Oleo 0.00 0.00 COST SAP DPS 0 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0,00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND o 0.00 Oleo 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 FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FEES DFF DEFERRED FEE 0 Oleo 0.00 Oleo FEES EFF ELECTRONIC FILING FEE 0 0.00 0.00 0,00 FEES FILI FILING FEE 0 0.00 0.00 0.00 FEES IFEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 0.00 0.00 0,00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PEP FARES & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 Oleo 0.00 0.00 Credit Totals 0 0.00 0.00 Oleo The following totala represent - Credit Card payments BOND BOND BOND 0 0.00 Oleo 0.00 COST COD CONSOLIDATED COURT COSTS 3 12.00 100.00 120.00 COST CHS COURTHOUSE SECURITY 4 12.00 0.00 12.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 3 39.60 E0.40 120.00 COST IDF INDIGENT DEFENSE FUND 3 0.60 5.40 6.00 COST JCSF JUSTICE COURT SECURITY FUND 4 4.00 0.00 4.00 COST JPAY JUDGE PAY RAISE FEE 3 1,8D 16.20 19.00 COST JSF JUROR SERVICE FUND 3 1.20 10.80 12.00 COST LAP SHERIFF'S FEE 1 5_00 0.00 5.00 COST MVP MOVING VIOLATION PER 1 0.01 0.09 0.20 COST PWAF TEXAS PARKS & WILDLIFE 1 4,00 I.eo 5100 COST RAF DPS 2 8.00 2.00 10.00 COST SUBC SUB TITLE C 2 60.00 0.00 60,00 COST TF TECHNOLOGY FUND 4 19.00 0.00 19.00 COST TFC TPC 2 6.00 0.00 6.00 COST TIME TIME PAYMENT FEE 0 oleo 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 3 0.00 6.00 6.00 COST WENT WARRANT FEE 3 150.00 0.00 150.00 FEES CSRV COLLECTION SERVICES FEE 4 297.60 0.00 297.50 FEES DDC DRIVER SAFETY COURSE - 2013 0 Oleo 0.00 0.00 FEES DFF DEPERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC FILING FEE, 0 0.00 0.00 0.00 FEES FILI FILING FEE 0 0.00 0.00 O.DO FEES IEEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SFEE SERVICE FEE 0 O.DD 0.00 0.00 FINE FINE FINE 3 341.90 0.00 341.90 FINE PWF PARKS & WILDLIFE FINE 0 0,00 0.00 Oleo FINE WSF WATER SAFETY FINE 1 15.00 85.00 100.00 Credit Totals 4 974,71 314.09 11209.90 The following Cota10 rePreocnt - Combined Money and Credita BOND BOND BOND 1 319.00 Oleo 315.00 COST CCC CONSOLIDATED COURT COSTS 19 72.00 648.00 720.00 COST CHS COURTHOUSE SECURITY 20 57.00 0.00 57.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 4 49,50 100.50 150.00 COST IDF INDIGENT DEFENSE FUND 19 3.60 32.40 36.00 COST JCSF JUSTICE COURT SECURITY FUND 20 19.00 0,00 19.00 COST JPAY JUDGE PAY RAISE FEE 17 10.80 97.20 108.00 Page 10-05-16;10:01AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 5/ 7 Money'Diatribution RapOrt CALHOUN COUNTY PCT. 5, SEPT. 2016 REPORT 7ypa Coda Dedeription cou t Retained Diaburoed Neaey-Ta talo COST IS JUROR SERVICE FUND 19 7.20 Gd,00 72.00 COST LAF SHERIFF'S FEE 12 55.00 0.00 55.00 COST MVP MOVING VIOLATION FEE 10 0.09 0.01 0.90 COST PWAF TEXAS PARKS & WILDLIFE 4 16.00 4.00 20.00 4 16.00 4.00 20.00 COST SAF UPS 12 330.00 0.00 330.00 COST SUBC SUB TITLE C COST TV TECHNOLOGY FUND 20 16.00 0.00 76.00 COST TPC TFC 12 33.00 0.00 33.00 COST TIME. TIME PAYMENT FEE 1 12.50 12.50 25.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 17 0.00 22.00 32.00 COST WRNT WARRANT FEE 4 200.00 0.00 200.00 PEES CSRV COLLECTION SERVICES FEE 5 357.60 0.00 357.60 VERB DDC DRIVER SAFETY COURSE - 2013 2 19.00 0.00 19.50 FEES DFF DEFERRED FEE 3 91.70 0.00 91.70 PEES EFF ELECTRONIC FILING FEE 1 0.00 10.00 10.00 FEES FILI FILING FEE 1 25.00 0.00 25.00 1 0.30 5.70 6.00 FSES 1'FEE INDIGENT FEE 0.00 75.00 FEES SFEE SERVICE FEE 1 11 79.00 1,032.60 0.00 1,032.60 PINE FINE FINE 1 45.95 203.05 333.00 FINE PWF PARKS & WILDLIFE FINE PINE WSF WATER SAFETY FINE 3 34.65 190.35 231.00 Report TOtAld 23 2,959.29 1,491.31 4,450.60 10-04-2016 Page 10-05-16;10:01AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 6/ 7 Money Dlotribution Rnport 5, SEPT. 2016 BPORT CALHOUN COUNTY Fees pCT. DOnda ReoCitution Other Total Date payment T a Pinao Court Costa 0.00 0.00 0,00 0.00 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 D.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 O.oO 0.00 0.00 Total Of all C01100Cions 0.00 0.00 0.00 Cash & Checks Collected 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-OS-1991 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfer$ 0.00 O.OD 0.00 0 0.00 0.00 0.00 Total Of all Collections 0.00 0100 0.00 .00 0.00 0.00 0.00 0.00 0.00 D.00 09-01-1903 Cash & Checks Collected o.DO 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0-00 0.00 0.00 0.00 0.00 Credit Card$ & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of 411 Collections 0.00 0.00 0.00 0,00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0100 0.00 0.00 Jail credits & Comm Service 0.00 0.00 0.00 0,00 0,00 0.00 Credit Cards & Transfers o.00 0.00 0.00 0,00 0.00 0.00 0.00 Total 0£ ail Collections 0.00 0,00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 09-01.1997 Cash & Checks Collected 00 0, 0.00 0100 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 . 000 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 CO11eCticn" 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 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 Card" & Transfers 0.00 0.00 0.00 0,0D o.oa 0.00 0.00 Total 04 all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected 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 Credit Cards & Transfer" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0. 00 Total of all Collections 0.00 0.00 09-01-20" Caeh & Checks Collected 0.00 0.00 D.00 0,00 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 Card" & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0100 01-01-2004 Cash & Checks Collected 1,154.70 1,403 .80 287.50 31 0.00 0,OD 00 0.00 3,1G 1.00 0.00 Jail Credits & Comm Service 0.00 0.00 0100 0.00 0.00 1,259.60 Cards & Transfers 553.90 205.10 5.00 315.00 0.00 0.00 4,450.60 Total of 0.11 Co110CCicna Total 599.60 1,599.60 1,953.90 505.10 TOTALS Cash & Checks Collected 1,154.70 1,403.80 297.50 315.00 0.00 0.000.00 0.00 0.00 00 3,161.00 Jail Credits & Comm Service D.00 0.00 0.00 0.00 0.00 0.00 1,269.60 Credit Cards & Trans Ecrs 441.90 550,10 297.60 315.00 0.00 0.00 4,450.60 Total of all Collections 1,596.60 1,953.90 585.10 Page 10-05-16;10:01AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 7/ 7 Money Distribution Report CAL}IODN COONTY PCT. 5, .SEPT. 2016 REPORT Count Co11eCCefl Rotaince Disburood Doonri Lion state of Texas ouartorly Reporting Totalo State Comptroller Cost and FOOO Report Section I: Report for Offenses Committed 105.OD 945 01-01-04 Forward 31 0 1,050,00 0.00 0.00 .00 0.00 09-01.01 12-33-03 0 0.00 0.00 0.00 08-31.99 - 00-31.01 0 0.00 0.00 0.00 09.01-97 - 08-30.99 0.00 0.00 0.00 09-01-91 - 08-31-97 0 0 0100 0.00 0.00 Bail Bond Foe 0 0.00 0.00 0.00 DNA Toating Fee - ConviOtiOns 0.00 DNA Tasting Fee - Comm SUPVn 0 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion room 0 0.00 64.80 Jury Reimbursement Fee 19 72.00 7.20 5.60 32.40 Indigent Defense Fund 19 36.00 0.01 Moving Violation Fees 10 0.90 0.09 State Traffic Fine 0 0.00 0.00 0.00 Soction II: AS Applicable 0 40.00 32.00 8.00 PeaCOfficer Fans e. 4 260.00 49.50 100.50 Failure to Appear/Pay Fees 0.00 0.00 0.00 Judicial Fund - Comet County Court 0 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 Motor Carrier Weight violations 0 0.00 0.00 12.50 Time payment Feed 1 25.00 12.50 0 0.00 0.00 0.00 Driving Record Fee 19 108 .00 10,80 97,20 Judicial Support Fee 0.00 0.00 0.00 Truancy Prevention and Diversion Fund 0 111 1,a01.90 220.69 1,261.21 Report Sub Total State Comptroller Civil Fees Report 0 0,00 0.00 0.00 CF: Birth Certificate Feed 0 0.00 0,00 0.00 CF: Marriage Licanse Fees 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 Cr: Nondiaolooere Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0,00 0.00 0.00 CP: Justice Court Indig Filing Feed 1 6.00 0.30 5.70 CF: Stet Prob Court Indig Filing Fooa 0 0.00 0.00 0.00 Cr, Stat Prob Court Judic Filing Fees 0 0.00 0.00 O.Oo CF: Stat CnCy Court Indig Filing Fees 0 0.00 0.00 0.00 CF! Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Cnat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Diet Court DiVOXOe L Family Law 0 0.00 0.00 0.00 CFc Dist Court Other Divorac/Family Law 0 0.00 0.00 0.00 CF: Dist Court Tndig Legal Services 0 0.00 0.00 0.00 CF: Judicial Support pee 0 0.00 0.00 0.00 Report Sub Total 1 6.00 0.30 S.70 Total Duo For This Period 112 1,487.90 220.99 1,266.91 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun County per9onally appoarod Nancy Pomykal, Justice of the Peace, Precinot No 5, Calhoun County, Toxae, who being duly Sworn, deposes and anys that the above ,// a50 foregoing report is true and correct'. Witness my hand this .tWi7/_7 flay of A•D•' No S �•°SLICE C""'" Q /•��yCi ,D�C 1 N �' �, y� Consider and take necessary action to accept donations to Calhoun County. PASS Page 35 of 52 Consider and Take Necessary Action on donation of pavilion at Kingfisher Park in Port O'Connor, Texas with a value $75,607.48. (KF) Mary Jo Walker came to speak to the court and share her gratitude for the courts support. Motion made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 36 of 52 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 11, 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 October 17, 2016. • Discuss and take necessary action to accept donation of pavilion at Kingfisher Park in Port O'Connor, Texas with a value of $75,607.48. Sincerely, l"/ �[ix¢rov Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 10/11/2016 ' I Re: tong Fisher Park Project -aprif@pct4.org- Calhoun County Pct4Mail On Tue, Oct 11, 2016 at 10:08 AM, kenny.finster <kennv.f1nster(cDpct4.org> wrote: Sent from my T-Mobile 4G LTE Device — Original message From: Donna Vu!chard <oodishngal(&aol.com> Date: 10/11/16 9:59 AM (GMT-06:00) To: kennv.finster0oct4.oro Subject: King Fisher Park Project Mary Jo said I need to send a total cost of the pavilion for the county's insurance purpose. The total was $75,607.48. If you need it broken down, or any additional info, please let me know. Have a great day! Donna Vuichard htlpsJ/mail.google.com/mail/u/0l?tab=wmMnbmdl57b4acb606d282b 1/1 Consider and Take Necessary Action on Donation to EMS in the amount of $50.00 from Jamie Wehmeyer. (MP) Motion made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 37 of 52 Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Thursday, October 13, 2016 9:22 AM To: 'Susan Riley' Subject: DONATION FOR AGENDA I was given a donation for EMS that needs to be added to the list. Donation: Jamie Wehmeyer in the amount of $50.00 for the EMS Department Thanks RHONPA S. KOKENA Co-v Treat' re - Cal tov. Cot�w}y AK.K.ex,11 202 S. AKA, St., Sai O, A Porf-Law44,, Te4ta 77979 (361)553-4G19 offi.c2 (361)553-4614 fnx From: Susan Riley [mailto:susan.riley@calhouncotx.org] Sent: Thursday, October 13, 2016 11:01 AM To: 'Rhonda Kokena' Subject: RE: Form 1295 Thankyou Susan Susan Riley Administrative Assistant to Calhoun County Judge Michael J. Pfeifer and Commissioners' Court 361-553-4600 Phone 361-553-4444 Fax From: Rhonda Kokena [mailto:rhonda.kokena@calhouncotx.ora] Sent: Thursday, October 13, 2016 8:12 AM To: 'Susan Riley' <susan.riley@calhouncotx.org> Subject: RE: Form 1295 Iknow It is on the way. I will forward to you as soon as 1 get it. RHONPA S. KOKENA Cou.K.}y Treayurer C t4 owK Cou Ktf9 AK.Kzw It 1 Consider and Take Necessary Action to accept donations made to the Calhoun County Library. (See Lists) (MP) Motion made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 38 of 52 Susan Riley From: Noemi Cruz <ncruz@cclibrary.org> Sent: Thursday, October 06, 2016 3:29 PM To: 'Susan Riley' Subject: Agenda Item # 1 Hi Susan, Please add the following to the next Commissioners' Court meeting: 1) To accept donations Noemi Cruz, Library Director Calhoun County Public Library 200 W. 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(See lists) (MP) Motion made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 39 of 52 Susan Riley From: Gloria Ochoa <gloria.ochoa@calhouncotx.org> Sent: Tuesday, September 27, 2016 11:26 AM To: Susan Riley Subject: Salvage Equipment Attachments: Office Equipment Deletion.doc Hi Susan, I am attaching a letter to get rid of some old, not working items to be deleted from my office equipment. I kind of remember it has to go through Commissioners Court. It's not big items that have equipment numbers. Let me know if I can get the maintenance people to pick up now or after CC court. I have a letter I was going to take up but if this can work it might be faster. Thanks, Gloria CALHOUN COUNTY TAX ASSESSOR/COLLECTOR GLOR/A A. OCHOA TAX ASSESSOR/COLLECTOR P. O. DRAWER 6, 211 S. ANN ST. PORT LAVACA, TEXAS 77979 September 27, 2016 Calhoun County Judge Michael Pfeifer 211 S. Ann St. Port Lavaca, Texas 77979 RE. Office equipment to Salvage Dear Sir: Phone: 361-553-4433 Fax. 361-553-4442 I have several small items that need to go to auction or salvage. The following items need to be removed from my office list of equipment. 1 HP Photosmart 7660 printer 1 HP Photosmart 7150 printer 1 ViewSonic monitor & keyboard 5 Canon calculators 1 set speakers Sincerely, Gloria A. Ochoa, Tax Assessor Collector Calhoun County 3 Desk Chairs (blue) 2 Paper shredders 3 Computer/typewriter stands 1 Wooden Shelf CC: Mrs. Cindy Mueller, Chief Auditor, 202 S. Ann St., Port Lavaca, Texas Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Tax Assessor Collector Requested By: Gloria Ochoa Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration HP Photosmart 7660 MY3AS332WR Replaced with 1 Laserjet printer HP Photosmart 7150 MY36S542HX Replaced with 1 Laserjet printer View Sonic Monitor/keyboard &speakers n/a Does not work Canon Calculator 20266925 Does not work properly Canon Calculator 60005004 Does not work properly Canon Calculator 708456 Does not work properly Canon Calculator 2338815 Does not work properly Canon Calculator 2034253 Does not work properly Fellowes Paper Shredder CRC32167 Does not work properly ID Guard Paper Shredder SN091507 Does not work properly 3 Computer/Typewriter Stands n/a Do not need any longer 3 Blue Desk Chairs n/a Do not need any longer Consider and Take Necessary Action to declare certain items of County Property in the office of the County Treasurer as Surplus/Salvage and remove from inventory. (See list) (MP) Motion made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 40 of 52 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: (l0(, *—T-e- -6u-ffj~ Requested By: �( Consider and Take Necessary Action to declare broken trolley (Fixed Asset #505-0006) as salvage and remove from Waste Management's Fixed Asset Inventory. (VL) Motion made by Commissioner Lyssy and seconded by Commissioner Galvan. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 41 of 52 Vern Lyssy Consider and Take Necessary Action to declare certain items of County Property in the office of Calhoun County District Attorney as Surplus/Salvage and remove from inventory. (MP) Motion made by Commissioner Fritsch and seconded by Commissioner Galvan. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 42 of 52 Calhoun County Criminal District Attorney's Office Equipment to be discarded as either waste or surplus October 7, 2016 Surplus (this equipment works but is either old and outdated) Epson flatbed scanner Digital Video Recorder 16 X External DVD read/write drive HP DVED 840 Burner Compact Parvallel Auto Switch equipment no longer works or is Dell stro 420 Computer Dell Vo ro 420 Computer Dell Dim sion E520 Computer Homemad computer p4 proc IBM memo pewriter IBM memory ewriter Kodak i40 scann HP laserjet 1300 p in HP deskjet 6988 pr er HP office jet pro 5 rinter/s HP desk jet 69 print HP laser jet P 05 print HP laser je 1505 printer Neovo in for F417 Acer in itor Neovo 419 monitor Neov F419 monitor Ac monitor 1.4 s monitor tronix monitor Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: District Attorneys office Requested By: Shannon Salyer Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 5-drawer, brown metal, file Salvage cabinet Consider and Take Necessary Action to declare certain items of county property in the office of the Calhoun County District Attorney as Waste and authorize disposal of same. (See list) (MP) Motion made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 43 of 52 Susan Riley From: Kathy Matsis <kathy.matsis@calhouncotx.org> Sent: Monday, September 26, 2016 1:39 PM To: Susan Riley Subject: Inventory Items for Salvage and/or Waste Susan, Per our conversation, the following items need to be considered as waste by the Commissioner's Court at its next meeting. A secretarial desk & hutch A secretarial Chair The following item can be salvaged and we would ask the Commissioner's Court for its consideration. A 5-drawer, brown metal file cabinet. These items are listed on the forms recently provided to your office. Thank you for your assistance in this matter. Kathy Matsis, Secretary Calhoun County District Attorney's Office (361)553-4422 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: District Attorney's Office Requested By: Shannon Salyer Inventory Number Description Serial No. Reason for Waste Declaration _ Secretarial desk & hutch, new in Old/particle board, one side of hutch is loose, 2000 cardboard back is loose Secretarial Chair Filthy, stained, unable to sufficiently clean to be of value Calhoun County Criminal District Attorney's Office Equipment to be discarded as either waste or surplus October 7, 2016 works but is either 9JA4ffd outdated) Epson fla 40 scanner Digital Vide"Npwu er 16 X Exter read/write drive HP D 840 Burn Parvallel Waste (this equipment no longer works or is extremely old) Dell Vostro 420 Computer Dell Vostro 420 Computer Dell Dimension E520 Computer Homemade, computer p4 processor IBM memory typewriter IBM memory typewriter Kodak i40 scanner HP laserjet 1300 printer HP deskjet 6988 printer HP office jet pro K550 printer/scanner HP desk jet 6940 printer HP laser jet P1505 printer UP laser jet P1505 printer Neovo monitor F417 Acer monitor Neovo F419 monitor Neovo F419 monitor Acer monitor Hsus monitor Etronix monitor Consider and Take Necessary Action to declare certain items of County Property in the Calhoun County Library as Surplus/Salvage and remove from inventory. (See lists) (MP) Motion made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 44 of 52 Susan Riley From: Nosmi Cruz <ncruz@cciibrary.org> Sent: Thursday, October 06, 2016 3:31 PM To: 'Susan Riley' Subject: Agenda Item #3 Susan, Please add the following to the next Commissioners' Court meeting: 3) To accept items to be declared salvage Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fax 361.552.4926 Email ncruz@cclibrary.org Calhoun County Public Library System (361) 552-7323 200 W. Mahan Port Lavaca, Texas 77979 APR 2016 — SEP 2016 I would like the following items to be declared Salvage 110 BOOKS 286 PAPERBACKS AUDIO BOOKS MUSIC CD'S 7 CD-ROMS 43 VHS 2 DVD'S 186 MAGAZINES OTHERS 17 Color Books Vizio E320VL 32-inch flatscreen TV VideoSecure Ultra Slim flatscreen mount Nabi 2 (NAB12-NV7A) s/n N2SAWH0007D057141008 Nabi 2 (NAB12-NV7A) s/n N2SAWH0006E253141004 Acer Sapire One D257 Laptop s/n 11804755325 Vizio 40-inch flatscreen TV Flatscreen mount Sony DVD Player 6 Binders Susan Riley From: Noemi Cruz <ncruz@cclibrary.org> Sent: Thursday, October 06, 2016 3:29 PM To: 'Susan Riley' Subject: Agenda Item #2 Susan, Please add the following to the next Commissioners' Court meeting: 2) To accept items to be declared surplus Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fax 361.552.4926 Email ncruz@cclibrary.org Web www.cclibra!y.org Calhoun County Public Library System (361)552-7323 200 W. Mahan Port Lavaca, Texas 77979 APR 2016 — SEP 2016 I would like the following items to be declared Surplus 2231 BOOKS 3148 PAPERBACKS 37 AUDIO BOOKS 11 MUSIC CD'S 1 CD-ROM'S 525 VHS 69 DVD'S 714 MAGAZINES OTHERS 2 Color Books CPU Dell Dimension 5150 8NJ6M91 CPU Dell Dimension 5150 45WTN91 CPU Dell Dimension 5150 4PJ6M91 2 Records 1 Sketch Book Typewriter Smith Corona Model NA31-11-1 Serial # 50992223900 2 Writing Pads TV Zenith Electronics Model SG3541T SIN 091-32390051 TV Sony Trinitron Model KV-27TS SIN 7490237 TV GE Remote Model 25GT503 SIN 549663449 1 Word Search Puzzle Book 1 Puzzle 1 Board Game Consider and take necessary action on the matter of declaring certain items of County property as surplus/salvage. N/A Page 45 of 52 Consider and Take Necessary Action to transfer certain items of County Property from the Calhoun County Treasurer to various departments, (See list) (MP) Motion made by Commissioner Lyssy and seconded by County Judge Michael Pfeifer. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 46 of 52 Z. :� Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Inventory Number Description Requested By4��ji CQ r r I Serial No. Transfer From/To Department WHOM �f� '► ',�C•1i�'M[ ljjvm�[y+Xtc . ; s r�t�►' i' �[lT�tl1��'�41?liL3i� [ c'+ in -WIN Consider and take necessary action on matter of transferring certain items of County property from one County department to another County Department. (See List) N/A Page 47 of 52 Approval of payroll. N/A Page 48 of 52 Consider and take action on any necessary budget adjustments. Commissioner Fritsch made the motion and Commissioner Finster seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 49 of 52 O 0 O Q Z j c%�wmrn rnornm u7 M W W W O O O m a y w W 6J N I� O V m �N p � � Ui fii ER EFi F%3 � � W g 2 Cy�� E9 f9 fA E/-T� 6. 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"� C c 7 � z a z W 2 o =W 2 o Qt W W 0 =� W W IL c zz =N =a z ZN W W W ° mW uw ° ti 0 a n 4R : O :z` :r :z ;LW : r i� a iW :C 0 a °x Lu Z W z 0 z i m W T ;a :z ;z �§ .CL :§ \ k k « § \ �k� §o m © \Ln / k §§ Bz )Z w _ ■■ 2 \� \ /k m \ z �B § § 2 § § kk k A § ; t - § kB k , \� k (\ S § ;o § 2 0 )3 )2 le w (� (■ k B �} Lu \� § - !� & § . 5 ■ §§ 11 ■ H I Z J uj uj 0 LLJ Z Z LL i� ;N : O :z r :z ;LW r 'sd :W Me 7 Z 0 0 0 0 � ff3 fR i9 fR m C J 0 0 u U Z U LLI IL w C7 ❑ K ro 0 z 6 0 0 w o rn o o� o 0 D o 0 o m o 0 OC y w M V M W O C v v C� W Z p OC W fA bT fA fA fA b3 H3 o w o o rn o 0 0 0 ow�r�v co'� rorn� 0 0 0 0 0 0 0 W � U�f9 di HT E9 fR fA i W �o 0 0 0 0 0 o a Ww f» En f» Ev yr v� e> W v OC = z zzzZz z z K QK QK QQQ 00000000 00000000 Z Z Z z z z z z z rn rn rn rn rn rn rn rn m�m�mmm� w o) aLU co j U o w C) W o a w U Z U w Q)D NgZof 6 a W O d U F g N U? a K K F ❑ � w CoC) Z ai U 0 U J o 2❑ J U a-U)z w G U1 a ) §ee\\2 2 ) ■B§®J ) B)\"/ �o ) � § ■ 2 §z m e \ § _ / }§ _ s �)&&a \� k to, ul ) § �W �22� k EL /o z§ �� § k )B § §o § cl )3 § 0 E0 § o \ )� § ® ;RU 2 / ( \) �y§ § K E ;e « «R ® §� a m §E $ E 2 ` z )[ . \ (§ % § §� -4 mz- � :§ ;o ;z ;z �§ .a :§ a§a_, §§ §E§[ §)) ;o :z ;z :§ :IL :§ O = W CJ W Z =C o5" Z =Z W z 8 _ =Z u� m m =_a =WQ o0 m = m z _ W = W = Z z z =V 00 z z x z =W W O W W 0 =W J = 0 J W=Q H 6J> a N cD C lu w 0 UCl z_ LL C 'G Q =Z 1-4 Z W o o c =a Zoe � =G W w LL o N � O - = � M O _ = as N N N O � M Z =0 Z q Z � = =F =Z 0 0 _W =_a =W J 0 O r- w U uj w N N zz W w w U) 'W O z au c U) C O LL >� a L Wa O w c W c 0 ❑ =oc m M � 4 � � � = o N to cq = a N Z =p _Z Z =ZZ W =_a =W n 50 a 0 O r z z w F- a w 0 O z i� i� Kx :LZ :I- :z :W a :W iG I q Fn W [to i m z z 00 z z LLJ O Q Q K� z z z zw _ aw of d' W =oo Z 6 � � -lama 0 r Approval of bills. Commissioner Fritsch made the motion for the approval of bills in the amount of $1,927,047.90 and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 50 of 52 October 17, 2016 2016 APPROVAL LIST - 2016 BUDGET 41 COMMISSIONERS COURT MEETING OF 10/17/16 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 40 $ 748,624.61 ELECTION PAYROLL FOR MAY 7, 2016 ELECTION P/R FICA P/R $ 87,855.42 MEDICARE P/R $ 20,650.92 FWH P/R $ 75,104.75 AFLAC P/R $ 4,325.27 COMBINED INSURANCE C/O PEOPLES UNITED BANK P/R $ 2,214.52 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 5,361.96 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 3,003.71 PRINCIPAL FINANCIAL GROUP P/R $ 2,214.13 TEXAS ASSOCIATION OF COUNTIES - UNEMPLOYMENT FUND P/R $ 6,977.64 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 131,536.24 TMPA P/R $ 238.00 1RUS1'MARK P/R $ 3,327.98 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 697.82 ANNA M GOODMAN CO CLERK: REIMBURSEMENT FOR SUPPLIES A/P $ 134.68 AT&T MOBILITY A/P $ 1,444.40 BEN E KEITH FOODS JAIL: INMATE GROCERIES A/P $ 7,155.39 CABLE ONE A/P $ 288.84 CAHOON COUNTY GENERAL FUND A/P $ 699,971.60 CARDMEMBER SERVICE - SHERIFF/JAIL A/P $ 3,442.16 CARDMEMBER SERVICE - COUNTY A/P $ 4,744.16 CENTERPOINT ENERGY A/P $ 75.15 CITY OF POINT COMFORT -POSTAGE JP3: POSTAGE A/P $ 42.32 CITY OF POINT COMFORT A/P $ 117.07 CITY OF PORT LAVACA A/P $ 9,236.66 CITY OF SEADRIFT A/P $ 173.94 CONSTELLATION NEW ENERGY A/P $ 26,661.77 CPL RETAIL ENERGY A/P $ 39.23 FRONTIER COMMUNICATIONS A/P $ 2,292.69 GBRA A/P $ 227.32 GRAY BENJAMIN DAVID CRT AT LAW: ATTORNEY FEES A/P $ 575.00 GREATAMERICA FINANCIAL SERVICES TREAS: COPIER LEASE A/P $ 175.00 GULF COAST PAPER JAR,: TOILET TISSUE & MISC SUPPLIES AN $ 477.29 INFINITI COMMUNICATIONS TECHNOLOGIES IT: NEW TELEPHONE SYSTEM A/P $ 53,089.80 JACKSON ELECTRIC COOP, INC. A/P $ 512.63 JAMES HENDERSON DA: TRAVEL REIMBURSEMENT A/P $ 553.51 LA WARD TELEPHONE EXC. INC. A/P $ 601.86 MCI COMM SERVICE A/P $ 32.13 MCI MEGA PREFERRED A/P $ 353.79 NEIL FRITSCH R133: TRAVEL REIMBURSEMENT A/P $ 129.00 PORT O'CONNER IMPROVEMENT A/P $ 387.03 QUILL DA: INK & MISC SUPPLIES A/P $ 116.45 REPUBLIC SERVICES #847 A/P $ 1,396.83 RHONDA S KOKENA A/P $ 4,760.00 ROBERTS ROBERTS ODEFEY WITTE CRT AT LAW: ATTORNEY FEES A/P $ 321.00 SPRINT A/P $ 36.19 TEXAS COMMISSION ON ENVIRONMENTAL QUALITY CALCO: ONSITE COUNCIL FEE A/P $ 220.00 TEXAS ASSOC. OF COUNTIES TREASURER: REG FEE -INVESTMENT CONFERENCE A/P $ 160.00 TISD, INC A/P $ 619.92 VERIZON WIRELESS A/P $ 165.23 VICTORIA ELECTRIC CO-OP A/P $ 3,067.76 VOYAGER A/P $ 8,769.70 WALLIS THOMAS D A/P $ 150.00 WASTE MANAGEMENT A/P $ 1,374.67 WEX BANK A/P $ 159.25 TOTAL VENDOR DISBURSEMENTS: $ 1,927,047.90 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 1,927,047.90 October 17, 2016 2016 APPROVAL LIST - 2016 BUDGET COMMISSIONERS COURT MEETING OF 10/17/16 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 40 ELECTION PAYROLL FOR MAY 7, 2016 ELECTION FICA MEDICARE FWH AFLAC COMBINED INSURANCE C/O PEOPLES UNITED BANK NATIONWIDE RETIREMENT SOLUTIONS OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PRINCIPAL FINANCIAL GROUP TEXAS ASSOCIATION OF COUNTIES - UNEMPLOYMENT FUND TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM TMPA TRUS'1'MAKK UNITED WAY OF CALHOUN COUNTY WILLIAM E. HEITKAMP, TRUSTEE ANNA M GOODMAN AT&T MOBILITY CO CLERK: REIMBURSEMENT FOR SUPPLIES BEN E KEITH FOODS JAIL: INMATE GROCERIES CABLE ONE CAHOUN COUNTY GENERAL FUND CARDMEMBER SERVICE - SHERIFF/JAIL CARDMEMBER SERVICE - COUNTY CENTERPOINT ENERGY CITY OF POINT COMFORT -POSTAGE CITY OF POINT COMFORT CITY OF PORT LAVACA CITY OF SEADRIFT CONSTELLATION NEW ENERGY CPL RETAIL ENERGY FRONTIER COMMUNICATIONS GBRA GRAY BENJAMIN DAVID JP3: POSTAGE CRT AT LAW: ATTORNEY FEES GREATAMERICA FINANCIAL SERVICES TREAS: COPIER LEASE GULF COAST PAPER JAIL: TOILET TISSUE & MISC SUPPLIES INFINITI COMMUNICATIONS TECHNOLOGIES IT: NEW TELEPHONE SYSTEM JACKSON ELECTRIC COOP, INC. JAMES HENDERSON DA: TRAVEL REIMBURSEMENT LA WARD TELEPHONE EXC. INC. MCI COMM SERVICE MCI MEGA PREFERRED NEIL FRITSCH PORT O'CONNER IMPROVEMENT QUILL REPUBLIC SERVICES #847 RHONDA S KOKENA ROBERTS ROBERTS ODEFEY WITTE RB3: TRAVEL DA: INK & MISC SUPPLIES CRT AT LAW: ATTORNEY FEES SPRINT TEXAS COMMISSION ON ENVIRONMENTAL QUALITY CALCO: ONSITE COUNCIL FEE TEXAS ASSOC. OF COUNTIES TREASURER: REG FEE -INVESTMENT CONFERENCE TISD, INC VERIZON WIRELESS VICTORIA ELECTRIC CO-OP VOYAGER WALLIS THOMAS D WASTE MANAGEMENT WEX BANK P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P 41 748,624.61 87,855.42 20,650.92 75,104.75 4,325.27 2,214.52 5,361.96 3,003.71 2,214.13 6,977.64 131,536.24 238.00 3,327.98 10.00 697.82 134.68 1,444.40 7,155.39 288.84 699,971.60 3,442.16 4,744.16 75.15 42.32 117.07 9,236.66 173.94 26,661.77 39.23 2,292.69 227.32 575.00 175.00 477.29 53,089.80 512.63 553.51 601.86 32.13 353.79 129.00 387.03 116.45 1,396.83 4,760.00 321.00 36.19 220.00 160.00 619.92 165.23 3,067.76 8,769.70 150.00 1,374.67 159.25 TOTAL VENDOR DISBURSEMENTS: $ 1,927,047.90 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 1,927,047.90 F r r r r r r m m m m m m m d H $ � o b 0 0 0 0 0 0 0 o H tj 0 0 0 0 0 0 0 0 0 0 0 0 0 on a y y � O rn rn rn rn z �y ��r 0r �0r r r �r om 0t� ym gym �y g9m oym �H y n R0 �0xH yry0Hx HH wH 0H 0� 0�-+ Oo m tro" w o 0,yro o O�' O �' Hw OHw W V W m Mrnm w�+arm v�m yzm y 0n xNm F o� CNOm M ma�o gd nNi Y' m'r O i' O o � O� .Cw '�•- 7j w b n mn O� ti yn z I d V ow�vi I� m o r r r r r r r r r r r C7 b t7 v � �n � �n roro+7 O ro ro ro ro ro ro ro O O n r H H H H H H H M y O O O O O O O n C m w 0. r 0. o �< �< no p yy�{ m m ti � � � � OS�b n n Oy� O y d O roO y0� yO� ov Ov y0 °Z O ,roO a A O V� J b O A A A Y Y u W N 3Q F H N L� J a O�65 65 j W yogi .myo� C� bU� b � bwbd .how bi w O7. rn BAN p� r� N N N N �' O N O N 4i J T%% % ��'' N N N N N N •+ ow ° 9 x0 O CNJO n0 C C C yxyC ;yyT,C M(7 v,0 0 w� M � •�- y� u q a COriu �3 t7 v aoo88m��_m�a� M n k O O O O J O O O J O O tAn tAi� tAii tAi� A tAn tAi� A A tAn U Po C ti � H 0 7 C A A b `AO O O O O Ct �D O 0 0 0 o o 0 0 0 0 0 0 0 o z z z z z z z z z z z z z z H H ryOp� C) f) C] fryry�]Oy Cyyr)� Cyyr�] fryryy]yfy) 'H fyyyy] CyyJ]fOy H y G� t7 C7 t7 C7 C7 C7 C7 tJ C4 C4 d C7 C7 41 4l ro ro ro ro ro ro ro ro ro ro ro ro ro �o+r r r r r r r Por r r! r roar Por r r ��r Poor � O � O r. 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N/A Page 51 of 52 Public discussion of County matters. Peggy Hall asked the commissioners to check their e-mails. She sent an e-mail regarding specs that they need to review and get back to her with corrections. Calhoun County Clerk Anna Goodman introduced the new employee Janice Holladay to the court. Meeting adjourned: 11:17 AM Page 52 of 52