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2016-10-27Regular 2016 Term THE STATE OF TEXAS COUNTY OF CALHOUN Held October 27, 2016 BE IT REMEMBERED, that on this 27th 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 33 Consider and Take Necessary Action on specifications for Calhoun County EMS Station, Calhoun County Precinct 4, Seadrift, Texas and authorize the County Auditor to advertise for bids. A mandatory pre -bid meeting will be held at 2:00 p.m. Thursday, November 10, 2016. Sealed bids will be due on or before 10:00 a.m., Wednesday, November 30, 2016. (MP) Commissioner Finster made the motion and Commissioner Galvan seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 2 of 33 From: Jody Weaver <jweaver@gwengineers.com> Sent: Wednesday, October 26, 2016 3:23 PM To: 'Mike Pfeifer' Cc: Roger Galvan; vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org;'Kenny Finster';'Susan Riley'; 'Peggy Hall' Subject: EMS Station Bid Good afternoon. I will be in attendance with Joe Janda at the Commissioner's Court meeting tomorrow and will begin a transition into taking over the completion of this project through the construction phase. To facilitate the Court's action tomorrow, I wanted to share my understanding of the bid schedule, assuming the Court authorizes going out for bids tomorrow: Oct. 27 — Commissioner's Court approval to advertise for bids Nov. 2: Advertisement 1 by Calhoun County Nov 9: Advertisement 2 by Calhoun County Nov 10: Mandatory Pre -Bid and prepare minutes Nov 15: Last day for bidder's to submit questions for inclusion in Addendum No.1 Nov 15: Submit Addendum No. 1 to Susan for inclusion in the November 22nd Commissioner's Court agenda Nov 30: Bid Date (2:00 pm) Dec 2: Due date for Recommendation of Award to Susan for inclusion on the December 8`h Commissioner's Court meeting Dec 8: Contract Award Dec 22: Authorization for Judge to sign Construction contract (if Bonds are not ready, this may need to be pushed back to the 1" meeting in January) Addendum No. 1 has been scheduled in order to include the minutes of the Pre -Bid conference. I want to make you aware that I have actually identified an item that will need to also be included with Addendum No. 1. That is the Storm Water Pollution Prevention Plan (SWPPP). The construction site exceeds 1.0 acre, so per our agreement, G&W is to provide the SWPPP plan documents. This work is performed by an outside sub -consultant and due to a miscommunication the document will not ready for inclusion in the bid documents by tomorrow. The SWPPP will be discussed with the bidders at the Pre -bid conference and the documents will be included as part of the Addendum No. 1 that the Court will review in their packets for the November 22" d meeting. Of course the SWPPP documentation will be amended as necessary with the construction contractor's name once a contract has been awarded. Please contact me if you have any questions, or if my understanding of any of this is incorrect. Bottom line, the issue of the SWPPP is not anything that would cause the Court to delay authorizing for bids at tomorrow's meeting. As we proceed into the construction phase, I will work hard to keep the Court informed of the progress and any issues that may arise. G&W certainly appreciates Calhoun County striving to keep their dollars at home by utilizing local professionals. We realize that this project has experienced delays to date, and we will work hard to keep the project moving steadily forward from this point on. doAnna P. ".Jody" Weaver, P.E. Sr. Project Engineer/Project Manager G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 P:361-552-4509 F:361-552-4987 Cell: 361-649-6116 jweaver awengineers:com Agenda Item for Commissioners' Court — Thursday, October 27, 2016 Consider and take necessary action to approve specifications for Calhoun County EMS Station, Calhoun County Precinct 4, Seadrift, Texas and authorize the County Auditor to advertise for bids. A mandatory pre -bid meeting will be held at 2:00 PM, Thursday, November 10, 2016. Sealed bids will be due on or before 10:00 am, Wednesday, November 30, 2016. A 4-)rox ka d 0Lr e- + ke. re, v , s ; "s . 10/18/16 Peggy, The attached pages are the revisions to the Calhoun County EMS Station. The list below states what changes were made to each page. I will be delivering the revised specifications to Susan today. Thanks again for all your help! Title Page — Signed & Dated 10/17/16 Table of Contents — Added Section 02510 Asphaltic Pavement 00020-1 — Revised Mandatory Pre -Bid Meeting & time to: 2:00 pm, Thursday, November 10 Revised Bidi Date & time to: 10:00 am, Wednesday, November 30 Revised considered for award date to: Thursday, December 8 00120-4 —Revised .06.a.: Revised last day for questions to: November 15 00300- 5, 6, 7 - Revised Items 7, 8, Ol & 02 02220-3 — Took off END OF DIVISION at the bottom of the page 02510 — Added Section 02510 Asphaltic Pavement Thank you, Glynis King G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 361-552-4509 Cell: 361-920-4414 CONTRACT DOCUMENTS FOR THE CALHOUN COUNTY EMS STATION CALHOUN COUNTY PRECINCT 4 SEADRIFT, TEXAS SEPTEMER 2016 Prepared by: G & W ENGINEERS, INC. 205 WEST LIVE OAK PORT LAVACA, TEXAS 77979 (361) 552-4509 Approved By: JOSEPH A. JANOA G & W Engineers, Inc Joseph A. Janda, P.E. Texas Registered Engineering Firm F-04188 Project No.9045.014 Date: /D�rZo�G TABLE OF CONTENTS BIDDING REQUIREMENTS: 00020 Notice to Bidders 00120 Instructions to Bidders 00220 Geotechnical Data (Soil Report) CONTRACT FORMS: 00300 Proposal 00410 Bid Bond 00412 Certificate of Interested Parties (Form 1295) 00415 Contractor's Corporate Resolution 00416 Noncollusion Affidavit 00420 Bidder Qualification Statement 00500 Agreement Between Owner and Contractor 00610 Construction Performance Bond 00620 Construction Payment Bond CONDITIONS OF THE CONTRACT: 00700 General Conditions of the Construction Contract 00705 Calhoun County General Conditions 00810 Supplementary Conditions 00820 Bond and Insurance Requirements 00921 Equal Employment Opportunity 00822 Non -Segregated Facilities Requirements 00823 Statutory Requirements 00830 Prevailing Wage Rate TECHNICAL SPECIFICATIONS: DIVISION 1 - GENERAL REQUIREMENTS: 01025 Application for Payment Requirements 01340 Shop Drawings, Product Data, and Samples 01410 Inspection, Testing, and Guarantee 01500 Temporary Facilities 01700 Contract Closeout Requirements DIVISION 2 - SITE WORK: 02050 Demolition 02110 Clearing and Finish Grading 02220 Structural Earthwork 02510 Asphaltic Pavement DIVISION 3 - CONCRETE: 03100 Concrete Formwork 03200 Concrete Reinforcement 03300 Cast -In -Place Concrete 03342 Finishing, Quality Control, Tolerances Page I of 2 TABLE OF CONTENTS TECHNICAL SPECIFICATIONS DIVISION 1- GENERAL REQUIREMENTS: 01025 Application for Payment Requirements 01340 Shop Drawings, Product Data, and Samples 01410 Inspection, Testing, and Guarantee 01500 Temporary Facilities 01700 Contract Closeout Requirements DIVISION 2 - SITE WORK: 02050 Demolition 02110 Clearing and Finish Grading 02220 Structural Earthwork 02510 Asphaltic Pavement DIVISION 3 - CONCRETE: 03100 Concrete Formwork 03200 Concrete Reinforcement 03300 Cast -In -Place Concrete 03342 Finishing, Quality Control, Tolerances DIVISION 5 - METALS: 05120 Structural Steel 05500 Miscellaneous Metal 05501 Metal Fabrications DIVISION 7 - THERMAL AND MOISTURE PROTECTION: 07190 Vapor Barrier 07200 Insulation 07920 Caulking and Sealing DIVISION 8 - DOORS AND WINDOWS: 08110 Metal Doors and Frames 08211 Wood Doors and Frames 08500 Aluminum Windows 08700 Finish Hardware 08730 Weatherstripping, Seals and Thresholds DIVISION 9 - FINISHES: 09250 Gypsum Drywall 09513 Acoustical Ceiling 09900 Painting and Finishing DIVISION 10-SPECIALTIES: 10800 Miscellaneous Specialties Page I of 2 DOCUMENT NO.00020 NOTICE TO BIDDERS Notice is hereby given that the Commissioners' Court of Calhoun County, Texas will receive Bids for: CALHOUN COUNTY EMS STATION, CALHOUN COUNTY PRECINCT 4, SEADRIFT, TEXAS A MANDATORY PRE -BID MEETING shall be held at 2:00 pm, Thursday, November 10, 2016 at the site on 6084 State Hwy 185 East, Seadrift, Texas. Attendance at this meeting by all SEALED BIDS are due on or before 10:00 am, Wednesday, November 30, 2016 at the County Judge's office, 211 S. Ann Street, Third Floor, Ste. 301, Port Lavaca, Texas 77979. At that time, all bids will be publicly opened and read aloud. The bids will be considered for award on Thursday, December 8, 2016 during Commissioners' Court. All bids must be delivered in triplicate to the Office of the Calhoun County Judge in a sealed envelope and clearly marked: SEALED BID — CALHOUN COUNTY EMS STATION, CALHOUN COUNTY PRECINCT 4, SEADRIFT, TEXAS. Calhoun County does not accept faxed bids. Any bids received after the due date and time will be returned unopened. Sealed bids may be hand delivered or mailed to: Honorable Michael J. Pfeifer, County Judge Calhoun County Courthouse 211 S. Ann St. Third Floor, Suite 301 Port Lavaca, TX 77979 Bids shall be for the furnishing of all labor, materials, equipment, plant and superintendence, for performing the specified Work required to build a 50' x 80'building, access road, electrical and sewage treatment plant all in accordance with the Plans and Specifications. Specified Work is set out in Document No. 00300 of these Contract Documents. Bid documents may be examined at... 1. Calhoun County Auditor's Office, Courthouse Annex II, 202 S. Ann St., Ste B, Port Lavaca, TX 77979; 2. G & W Engineers, Inc. Office, 205 W. Live Oak St., Port Lavaca, Texas; OR said Package(s) may be purchased for $150.00 per Package from G & W Engineers, Inc., 205 W. Live Oak St., Port Lavaca, TX 77979. For those desiring shipment of the Package(s), a $35.00 SHIPPING AND HANDLING FEE per Package shall be required prior to shipping. Said FEE shall be in addition to and separate from the above mentioned purchase price. 00020 - 1 g. Reference is made to the Supplementary Conditions for the identification of the general nature of work that is to be performed at the site by OWNER or others (such as utilities and other prime contractors) that relates to the work for which a BID is to be submitted. On request, OWNER will provide to each BIDDER for examination access to or copies of Contract Documents (other than portions thereof related to price) for such work. h. The submission of a BID will constitute an incontrovertible representation by BIDDER that BIDDER has complied with every requirement of this Article 4, that without exception the BID is premised upon performing and furnishing the Work required by the Contract Documents and applying the specific means, methods, techniques, sequences or procedure of construction that may be shown or indicated or expressly required by the Contract Documents, that BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities and discrepancies that BIDDER has discovered in the Contract Documents and the written resolutions thereof by ENGINEER is acceptable to BIDDER, and that the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performing and furnishing the Work. .05 AVAILABILITY OF LANDS FOR WORK, ETC.: The lands upon which the Work is to be performed, rights -of -way and easements for access thereto and other lands designated for use by CONTRACTOR in performing the Work are identified in the Contract Documents. All additional lands and access thereto required for temporary construction facilities, construction equipment or storage of material and equipment to be incorporated in the Work are to be obtained and paid for by CONTRACTOR. Easements for permanent structures or permanent changes in existing facilities are to be obtained and paid for by OWNER unless otherwise provided in the Contract Documents. .06 INTERPRETATIONS AND ADDENDA: 4" the ENGINEER no later than 3:00 pm on November 15, 2016. Such questions may be submitted by facsimile (361-552-490) or email Ojanda@gwengineers.com). It is the Bidder's responsibility to verify receipt of such questions by the ENGINEER. Interpretations or clarifications considered necessary by ENGINEER in response to such questions will be issued by Addenda mailed or otherwise delivered to all parties recorded by ENGINEER as having received the Bidding Documents. Only questions answered by formal written Addenda, approved by OWNER by action of the Calhoun County Commissioner's Court will be binding. Oral and other interpretations or clarifications will be without legal effect. b. Addenda may also be issued to modify the Bidding Documents as deemed advisable by OWNER or ENGINEER. C. Changes to these Bid Documents can be made ONLY through issuance of a formal written Addenda, approved by OWNER by action of the Calhoun County Commissioner's Court. 00120-4 BID BID DESCRIPTION OF ITEM WITH UNIT ITEM QTY. UNIT PRICE WRITTEN IN WORDS BID AMOUNT LS Furnishing materials, labor and equipment for the construction of the 2 course asphaltic treatment with 10" crushed limestone base driveway and parking lot (approx. 15,650 SF) and 2" cold laid asphalt with 8" crushed limestone between S.H. 185 and property ROW (approx. 1,280 SF), as per plans and specifications for a lump sum price of Dollars and Cents. 8. 1 LS Furnishing material, labor and equipment for the site grading including drainage ditches and seeding of exposed areas, end treatments for existing (18") culvert at S.H. 185 and end treatments for on -site 12" culvert, as per plans and specifications for a lump sum price of and Cents. Total Base Bid, being Items 1 thru 8 above, is: Cents Total Calendar Days: +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 00300-5 OWNER'S OPTION'S BID BID DESCRIPTION OF ITEM WITH UNIT ITEM QTY. UNIT PRICE WRITTEN IN WORDS BID AMOUNT 01. 1 LS Cost for furnishing material, labor and equipment for the installation of 2" hot mix asphalt and 8" crushed limestone driveway and parking lot (approx. 16,930 SF) in lieu of Bid Item No. 7, as per plans and specifications for a lump sum price of Me 02. 1 LS Cost for furnishing material, labor and equipment for the installation of a concrete driveway and parking lot (approx. 16,930 SF) in lieu of Bid Item No. 7 above, as per plans and specifications for a lump sum price of Me 6. BIDDER agrees that the Work shall be completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions after the date when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. 7. The following documents are attached to and made a condition of this BID: a. Required Bid Security in the form of b. Document No. 00412 — Certificate of Interested Parties (Form 1295) C. A tabulation of Subcontractors, Suppliers and other persons and organizations required to be identified in the BID. d. Document No. 00415 - CONTRACTOR's Corporate Resolution. C. Document No. 00416 - Noncollusion Affidavit f. Document No. 00420 - Bidders Qualification Statement. 00300-6 8. Communications about this BID shall be directed to BIDDERS address indicated below. SUBMITTED this day of Authorized Signature: Attesting Signature: Name: Legal Firm Name: Business Address: Phone Number: Facsimile Number: E-Mail Address: State of Incorporation, if applicable: State Contractor License No.: END OF DOCUMENT 12016. 00300-7 e. Cement Stabilized Material: Material for Cement Stabilized Backfill, where designated, shall be in accordance with the requirements of Item 275, "Cement Treatment (Road -Mixed)" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). .05 COMPACTION: a. General: Place all fill and backfill in uniform layers not to exceed 8" and compact to 95% of Standard Density (ASTM D 698) at not less than 100% of optimum moisture content. Methods to secure the optimum moisture content shall be CONTRACTOR's responsibility and shall be such that uniform density will be obtained over entire area and depth of material being compacted. Fill material shall be thoroughly broken up before being spread into uniform layers. b. Compaction Equipment: Compaction equipment shall conform to the requirements of Item 210, "Rolling" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). END OF SECTION 02220-3 DIVISION 2 - SITEWORK SECTION 02510 - ASPHALTIC PAVEMENT .01 GENERAL: This Work includes the furnishing of all plant, labor, equipment and materials and performing all operations required for the placement of asphaltic pavement as indicated on the Contract Drawings and specified herein. .02 MATERIALS: a, Base Flexible base material shall be Type A, Grade 1 crushed stone as specified in Item 247, "Flexible Base" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). Material shall be deposited, mixed and shaped to provide a uniform mixture without segregation of fine and course material. b. Asphalt - as specified in Item 300, "Asphalts, Oils, and Emulsions" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). Underseal: RC-250 Cut -Back Asphalt 15` and 2"a Course: AC- 15P or CRS-21? C. Aggregate - as specified in Item 302, "Aggregates for Surface Treatments" of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). Underseal: Type B, Grade 5 Pt course: Type PB, Grade 3 2"d course: Type PB, Grade 4 .03 INSTALLATION: All work shall comply with the applicable Items of the Standard Specifications for Construction and Maintenance of Highways, Streets, and Bridges, as adopted by the Texas Department of Transportation (June 2004 edition). 02510-1 a. Subbase All subbase for asphaltic pavement with a plasticity index greater than fifteen (15) shall be stripped of all existing vegetation, roots, etc. and lime stabilized to a depth of six (6) inches with six (6) to seven (7) percent by weight lime unless laboratory tests indicate that less than six (6) percent lime will reduce the plasticity index to less than fifteen (15). Any subbase with a plasticity index less than fifteen (15) shall be stripped of all existing vegetation, roots, etc., and shall be compacted and proof -rolled in accordance TxDOT 2004 Standard Specification Items 204, 210 and 216. b. Base Flexible base material deposited upon the subgrade shall be spread and shaped the same day. Flexible base material shall be deposited, mixed and shaped in such a manner to prevent "nests" of segregated coarse or fine material. Thickness of the base material shall be not less than six (6) inches compacted in place. Material shall be compacted by approved methods to obtain a uniform compaction of 95% modified density and a smooth, graded surface satisfactory to ENGINEER, Base Material shall be watered or dried to provide a moisture content between optimum moisture and five (5) percent above optimum moisture during the compaction process. C. Underseal Before the application of underseal, the surface of flexible base shall be cleaned by sweeping or other approved methods. Underseal coat shall be applied when, in the opinion of ENGINEER, the base is thoroughly dry and satisfactory to receive underseal coat. Application rates shall be as follows: Asphaltic material: 0.20 GALLONS per SY. Aggregate material: 1 CY per 140 SY. d. Two Course Surface Treatment Asphaltic pavement shall consist of a two course surface treatment conforming to the applicable requirements of Item 316, "Surface Treatment". Application rates shall be as indicated below: First Course Second Course Gallons of Specified Asphalt Per SY 0.35 0.30 Cubic Yards Aggregate to Square Yard Ratio 1:85 1:130 02510-2 .04 TESTING: CONTRACTOR shall provide for the services of an independent soil testing laboratory to perform those compaction tests indicated above. Tests shall be performed every five hundred (500) feet at the centerline of the road and two (2) feet from the outer edge of the subbase and base and at all intersections. Test results shall be submitted to ENGINEER by the testing laboratory. No compaction testing failing by more than 5% will be acceptable and 95% of all tests shall pass the compaction requirements. END OF SECTION END OF DIVISION 02510-3 Consider and Take Necessary Action on specifications and authorize the County Auditor to advertise for bids for Road materials for the period beginning January 1, 2017 and ending June 30, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. (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 3 of 33 Agenda Item for Commissioners' Court — Thursday, October 27, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Road Materials for the period beginning January 1, 2017 and ending June 30, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. CALHOUN COUNTY, TEXAS ROAD MATERIALS BID PERIOD: JANUARY 1, 2017 thru JUNE 30, 2017 CIN PEGGY HALL CRISTINA P TUMOR 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 77979 ERICA PEREZ 1"ASSISTANTAUDITOR TREPHOHE13611553-4610FAX136115534614 ASSISTANT AUDITORS INVITATION TO BID ROAD MATERIALS JANUARY 1, 2017 thru JUNE 30, 2017 Calhoun County Commissioners' Court is accepting sealed bids for the following: • Asphalt Patch, #1801 • PE 5 Aggregate • Item 247, Limestone-3/4 Inch to Dust • Item 249, Type A Limestone, Grade 3 [1 % Inch] • Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) • Item 302, Type PE (Topping Rock), Grade 3 • Item 302, Type PE (Topping Rock), Grade 4 • Item 330, Type D (Pre -Mix Limestone) • Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement BID PACKAGES: May be obtained at the Calhoun County Auditor's Office. Peggy Hall, Assistant Auditor Calhoun County Courthouse Annex II 202 S. Ann St., Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Email: peggV.hall@calhouncotx.or� BIDS DUE: By 10:00 AM, Thursday, December 1, 2016 DELIVERY ADDRESS: Michael Pfeifer, County Judge Calhoun County Courthouse 211SAnn St 3`d Floor, Room 301 Port Lavaca TX 77979 The outside of the 9 x 12 or larger envelope must be clearly marked: WWTITb LW,1 ue = BID OPENING: Public bid opening will be conducted in the County Judge's Office, Calhoun County Courthouse, 3`d Floor, Room 301, Port Lavaca, Texas CONTENTS Return Instructions General Conditions Specifications for Road Materials Invitation to Bid Forms (Page 1, 2, 3, 4, & 5) Vendor and Order Information Form Contact Information for County Precincts Current Bid Tabulations - July 1, 2016 thru December 31, 2016 PEGGY HALL CRISTINA P TUMOR 202 S ANN ST, STE B BEMI CABRERA CANDICEVILLARREAL PORT IAVACA,TEXAS 77979 ERICAPEREZ 111ASSISTANTAUDITOR TELEPHONE (3611553-4610FAX13611553-4614 ASSISTANT AUDITORS RETURN INSTRUCTIONS For Submitting a Bid for Road Materials Return the following by 10:00 AM, Thursday, December 1, 2016: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Invitation to Bid Forms (Page 1, 2, 3, 4 & 5) 2. Form 1295 (see General Conditions, page 5) 3. Vendor and Order Information Form * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: Sealed Bid — Road Materials * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: Sealed Bid — Road Materials CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid, Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre -bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3`d Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds• If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes• Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids. Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections• Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM Wednesday the week before the Commissioners' Court meeting. Commissioners' Court meets the 2"d and 41h Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities• Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Majeure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance• Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex 11 Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.ora To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: Peggy.hall@calhouncotx.org Page 9 of 9 SPECIFICATIONS FOR ROAD MATERIALS The County of Calhoun is requesting sealed bids for Road Materials as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area - Stockpile or Jobsites Precinct #2, Six Mile Area - Stockpile or Jobsites Precinct #3, Olivia Area - Stockpile or Jobsites Precinct #4-P, Port O'Connor Area - Stockpile or Jobsites Precinct #4-S, Seadrift Area - Stockpile or Jobsites The request for a bid on a material does not guarantee that Calhoun County will purchase this material during the bid period. Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most advantageous to Calhoun County. Calhoun County Commissioners have the right to reject, at any time, any material that is undesirable for either road or stockpile/jobsite location. BID TERM The bid shall be in effect for a period of Six (6) Months beginning January 1, 2017 and ending June 30, 2017. BID MATERIALS • Asphalt Patch, #1801 • PE 5 Aggregate • Item 247, Limestone-3/4 Inch to Dust • Item 249, Type A Limestone, Grade 3 [1 % Inch] • Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) • Item 302, Type PE (Topping Rock), Grade 3 • Item 302, Type PE (Topping Rock), Grade 4 • Item 330, Type D (Pre -Mix Limestone) • Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement Materials shall meet or exceed "Texas Department of Transportation Current Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges for each listed material. Delivery shall be FOB Destination to designated stockpile or jobsite. Page 1 of 2 All charges must be included in bid price or clearly stated on bid form. Additional charges listed separately, if any, will increase the amount of the bid. No other charges, including freight, may be added to the bid price when invoiced unless these charges were noted on the bid form and awarded as such. Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended that all information submitted by the vendor on the bid forms be typed. Exceptions taken to the specifications and listed on the vendor's bid will void the bid. The award of a bid will be voided if specifications are not followed. The bid would then be awarded to the vendor which submitted the next lowest bid that met specifications. Calhoun County Commissioners have the right to stop hauling at any time due to weather, road conditions or machinery breakdowns. When required, all materials ordered will be delivered to the site designated and within 24 hours from time of order. In the event the vendor is unable to deliver the materials ordered with 24 hours from time of order, Calhoun County reserves the right to re -order the said material from the vendor which submitted the next lowest bid that met specifications and can deliver within 24 hours from time of order. All materials not conforming to the requirements of these specifications will be rejected and shall be removed immediately from the delivery site by the vendor and at the vendor's cost. Material description per bid specifications and awarded bid price per ton and other charge, if any other charge was included in award, must appear on all invoices in order to be considered for payment. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. Calhoun County representatives may sample materials from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by Calhoun County, all costs incurred for such tests shall be paid for by the vendor. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. All disputes or protests will be held in Calhoun County, Texas. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties— Form 1295.) Page 2 of 2 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2017 thru June 30, 2017 Bids Due: 10:00 AM, Thursday, December 1, 2016 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE Bid Item Precinct 1 - Fairgrounds Area - Stockpile or Jobsites Asphalt Patch, #1801 Quantity 1 = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail PE5Aggregate per Ton; Minimum Load Item 247, Limestone-3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 (11/2 Inch) per Ton; Minimum Load Item 249, Type 8 (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3 per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4 per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions . Authorized Signature & Title: Type Name & Title of Authorized Signature Date of Bid: Notes: Return this form with your bid. PAGE 1 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2017 thru June 30, 2017 Bids Due: 10:00 AM, Thursday, December 1, 2016 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE Bid Item Precinct 2 - Six Mile Area - Stockpile or Jobsites Asphalt Patch, #1801 Quantity 1 = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail PE 5 Aggregate per Ton; Minimum Load Item 247, Limestone-3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3 per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4 per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions. Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Return this form with your bid. PAGE 2 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2017 thru June 30, 2017 Bids Due: 10:00 AM, Thursday, December 1, 2016 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE Bid Item Precinct 3 - Olivia Area - Stockpile or Jobsites Asphalt Patch, #1801 Quantity 1 = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail PE 5 Aggregate per Ton; Minimum Load Item 247, Limestone-3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3 per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4 per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions. Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Return this form with your bid. PAGE 3 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2017 thru June 30, 2017 Bids Due: 10:00 AM, Thursday, December 1, 2016 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE Bid Item Precinct 4-P - Port O'Connor Area - Stockpile or Jobsites Asphalt Patch, #1801 Quantity 1 = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail PE 5 Aggregate per Ton; Minimum Load Item 247, Limestone-3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3 per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4 per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has_ _followed all s ecifications and general conditions . Authorized Signature & Title: Type Name & Title of Authorized Signature : Date of Bid: Notes: Return this form with your bid. PAGE 4 of 5 CALHOUN COUNTY, TEXAS ROAD MATERIALS - INVITATION TO BID Vendor's Name and Adddress: You are invited to submit a bid on the below items to: Michael Pfeifer, County Judge, Calhoun County Courthouse 211 S. Ann St, 3rd Floor, Room 301,Port Lavaca, TX 77979 Bid Period: January 1, 2017 thru June 30, 2017 Bids Due: 10:00 AM, Thursday, December 1, 2016 READ AND FOLLOW SPECIFICATIONS AND GENERAL CONDITIONS PLEASE TYPE - IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE Bid Item Precinct 4-S - Seadrift Area - Stockpile or Jobsites Asphalt Patch, #1801 Quantity 1 = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail Quantity = per each 5 Gallon Pail PE 5 Aggregate per Ton; Minimum Load Item 247, Limestone-3/4 Inch to Dust per Ton; Minimum Load Item 249, Type A Limestone, Grade 3 [11/2 Inch] per Ton; Minimum Load Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6) per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 3 per Ton; Minimum Load Item 302, Type PE (Topping Rock), Grade 4 per Ton; Minimum Load Item 330, Type D (Pre -Mix Limestone) per Ton; Minimum Load Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement per Ton; Minimum Load The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid Package and fully understands and has followed all Authorized Signature & Title: Type Name & Title of Authorized Signature Date of Bid: Notes: Return this form with your bid. PAGE 5 of 5 VENDOR INFORMATION Please Type. If handwritten, must be in ink and legible Vendor Name: Address: Remittance Address: Telephone: Fax• Email: Signature of Authorized Representative: Printed name of Authorized Rep: 1•G1 •► = ► •:u= •► Order Contact Name & Title: Order Contact Telephone: Order Contact Fax: Order Contact Email: Return this form with your bid. CIN PEGGY HALL CRISTINA P TOAZON 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 71979 ERICA PEREZ 1" ASSISTANT AUDITOR TELEPHONE 136115534610FAX136115534614 ASSISTANT AUDITORS CALHOUN COUNTY, TEXAS CONTACT INFORMATION COUNTY PRECINCTS Calhoun County Precinct 1 Commissioner Roger Galvan 305 Henry Barber Way (by the County Fairgrounds) Port Lavaca, TX 77979 Office: 361-552-9242 Fax: 361-553-8734 Calhoun County Precinct 2 Commissioner Vern Lyssy 5812 FM 1090 (Six Mile) Port Lavaca, TX 77979 Office: 361-552-9656 Fax: 361-553-6664 Calhoun County Precinct 3 Commissioner Neil Fritsch 24627 State Hwy 172 (Olivia) Port Lavaca, TX 77979 Office: 361-893-5346 Fax: 361-893-5309 Calhoun County Precinct 4-P Commissioner Kenneth Finster Trevor St off of Hwy 185 Port O'Connor, TX 77982 Use same numbers as Seadrift Calhoun County Precinct 4-S Commissioner Kenneth Finster 104 E Dallas St PO Box 177 Seadrift, TX 77983 Office: 361-785-3141 Fax: 361-785-5602 ROAD MA'T'ERIALS CURRENT BID TABULATIONS July 1, 2016 thru December 31, 2016 CALHOUN COUNTY, TX BID TABULATIONS: PE 5 AGGREGATE ITEM PE g AGGREGATE DEPARTMENT BMAMOUNT UNIT EXCEPTIONS LOWN SINGER BEGINNING DATE LNDIN60ATE PRECINCT $59.60 TON Awarded We Did VULCAN MATERIALS CO SW DIVISION 711/2016 1MI2016 DEPARTMENT BM AMOUNT UNIT EXCEPTIONS LOWERS BIDDER BEGUININGOATE BIRTHRATE PRECINCT2 $60.35 TON Awarded the BM VULCAN MATERIALS CO SW DIVISION 7/112016 12/312016 DEPARTMENT BRIAMOUNT UNIT EXCEPTIONS LOWmO UMBER BECINNINDUATE ENDOMBATE PRECINCT3 $61.00 TON Awarded the Bid VULCAN MATERIALS CO SW DIVISION 711/2016 12/312016 DEPARTMENT BIDAMOUNT UNIT EXCEPTIONS LOW BID BIDDER BEGINNING DATE ENDINDOATE PRECINCT4-P $60.35 TON Awarded the Bid VULCAN MATERIALS CO SW DIVISION 7112016 12/312016 DEPARTMENT BNAMOUNT UNIT EXCEPTIONS WORST BmDR1 BERIHNMG0ATE WNGDATE PRECINCT4-3 $60.35 TON Awarded the Bid VULCAN MATERIALS CO SW DIVISION 7/12016 12/312016 CALHOUN COUNTY, TX 010 TABULATIONS: ITEM 247, UMESTONE-3/41NCN TO OUST ITEM ITEM247,LIMESTONE-g/4INCHTODUST DEPARTMENT BID AMOUNT UEBT EXCEPTIONS LOWER! BIDDER BE61NNINGUATE ENDING BATE PRECINCT $24.50 TON All defomries in end dumpiraliers. 1295natnotedaed QUALITYHOTMIX 7/1/2016 ID3112016 Minimum Load =24 tons PRECINCT $25.00 TON Awarded the Bid 4C SERVICES INC 7/12016 121312016 PRECINCT $25.78 TON GRESHAM TRUCKING LLC 7112016 12/312016 DEPARTMENT BOB AMOUNT UNIT EXCEPTIONS EOWBID BDMED BECINtNN60ATE ENDINCUAIE PRECINCT2 $24.60 TON All deliveries in end dump sailers. 1295 not hundred QUALITY HOT MIX 7112016 12/312016 Minlmom Load = 24 tons PRECINCT2 $26.00 TON Awarded Me Bid 4C SERVICES INC 7112016 12212016 PRECINCT2 $26.78 TON GRESHAM TRUCKING LLC 7/12016 12131QO16 DEPARTMENT BIDAMOUNP UNIT EXCEPTIONS LOW BIB INNER BEGINNINGDATE ENDINGDATE PRECINCT3 $24.60 TON AIIde9vedesinenddumptmiiers. 1295mAmradaed QUALITYHOTMIX 71=016 12/312016 Minimum Load =24 tons PRECINCTS $25.00 TON AwaNetl the Bid 4C SERVICES INC 7112016 12/312016 PRECINCTS $25.78 TON GRESHAM TRUCKING LUG 7/12016 12/312016 DEPARTMENT BIDAMOUNP UNIT EXCEPTIONS [SWIMS UMBER BEIMMINGDATE ENDINGOATE PRECINCT4-P $26.0D TON All delNedes in and dump trailem. 1295notnoterieed QUALITY HOT MIX 7112016 12/31/2016 Minimum Load =24 tons PRECINCT4-P $26.19 TON Awardeithe81d 4C SERVICES INC 7/1/2016 12/312016 PRECINCT4P $27.65 TON GRESHAM TRUCKING LLC 7112016 12/31/2016 DEPARTMENT BID AMOUNT UNIT EXCEPTDNS LOWBm BIWER BEGINNING DATE ENDINGIMIE PRECINCT4-S $25.98 TON Awarded the Bid GRESHAM TRUCKING LUC 7112016 12/312016 PRECINCT4-S $26.00 TON All deliveries in and dump sellers. 1295notnotarized QUALITY HOT MIX 7/12016 12/3112016 Minimum Load =24 tons PRECINCT4-S $26.19 TON 4C SERVICES INC 7112016 12/312016 CALHOUN COUNTY, TX BID TABULATIONS: ITEM 246, TYPE A LIMESTONE, GRADE 3111/2INC61 ITEM ITEM249, TYPEALIMESTONE, GRADE3111127NCHI DEPARTMENT BRIAMOUNT UNIT EXCEPTIONS LOWER) BINDER BEGINNINBOATE _ MINGDATE PRECINCT PRECINCTI PRECINCT $24.50 TON $24.80 TON $25.00 TON All delivedes in anddump tra9ors. Minimum lead =24tons 1265notnotadned QUALITYHOTMIX 7112016 A.,d.d the Bid GRESHAM TRUCKING LLC 7112016 4C SERVICES INC 7112016 12/3112016 12/31/2016 12/31/2016 DEPARTMENT NO AMOUNT UNIT EXCEPTIONS [OWED) BIDDER BEGINNING DATE ENNDINGDATE PRECINCT2 PRECINCT2 PRECINCT2 $24.60 TON $24.60 TON $25.00 TON All delivedes In end dump heliars. Mlnimum load =24tops 1295 not notarized QUALITYHOTMIX 7112O16 AwaMed the Bid GRESHAM TRUCKING LLC 7112016 4C SERVICES INC 7/12016 12/31/2016 12/31/2016 12/31/2016 DEPARTMENT BID AMOUNT UNIT EXCEPTIONS lOWBU) BIDDER BEOUNNRNGBATE ENDINODATE PRECINCT3 PRECINCT3 PRECINCT3 $24.50 TON $24.80 TON $26.00 TON All delivedes in end dump trailers. Minimum food =24 tons 1295 not noladzed QUALITY HOT MIX 7/12016 AwaMed the Bid GRESHAM TRUCKING LLC 7112016 4C SERVICES INC 7112016 12/31/2016 12/312016 12/312016 UEPARTMENT WUAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BECINNINGDATE ENDINGDATE PRECINCT4-P PRECINCT4-P PRECINCT4P $26.00 TON $26.19 TON $26A3 TON All deiNedes in and dump trailers. Minimum load =24tons 1295notnota(ized QUALITYHOTMIX 711/2016 Awarded the Bid 4 C SERVICES INC 7t 2016 GRESHAM TRUCKING LLC 7/1/2016 121312016 12/312016 12/312016 DEPARTMENT BID AMOUNT OUR EXCEPTIONS DOWNS) BEER BECINNEINGOATE ENUINGUATE PRECINCT4-S PRECINCT4-S PRECINCT4-S $25.63 TON $26.00 TON $26.19 TON All deliveries In end dump trailers. Mlnimum load =24 tans Awardedti Bitl GRESHAM TRUCKING LLC 7112016 1295 nolnmadzed QUALITY HOT MIX 7112016 4C SERVICES INC 71/2016 12/31/2016 12/312016 12/31/2016 Page 1 of 1 CALHOUN COUNTY, TX BID TABULATIONS: ITEM 246, TYPE B [FLEXIBLE PROCESSED BASE), GRADE 3:DNIN PI 61 ITEM ITEM 249, TYPE B (FLEXIBLE PROCESSED BASE), GRADE 3: (MINPI 6) DEPARTMENT BIDAMOUNT UNIT EXCEPTIONS UNITED BIDDER BEGINNINGUATE ENDINODATE PRECINCTI $18.95 TON Awarded the Bid PRIHODA GRAVEL CO 7IM016 12/312016 DEPARTMENT BII AMOUNT ON EXCEPTIONS EDWON) BIDDER 6EBINNINSBATE EMINGBATE PRECINCT2 $19.25 TON AwaMed the 00 PRIHODAGRAVELCO 7112016 12/312016 DEPARTMENT BRIAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BEGINNING DATE FNDINGDATE PRECINCTS $21.50 TON AwaMed the Sid PRIHODAGRAVELCO 7/1/2016 12/312016 DEPARTMENT BW AMOUNT UNIT EXCEPTIONS LOWED BIDDER BEGINNING DATE ENUPIODATE PRECINCT4-P $21.75 TON AwaMed Me Bid PRIHOOAGRAVELCO 7112O16 12JSW016 DEPARTMENT BRIAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BESPIRENGRATE ENIDINGDATE PRECINCT4-S $19.75 TON AwaMetllhe Bld PRIHODAGRAVELCO 7/1/2016 12/312016 CALHOUN COUNTY, TX BID TABULATIONS: ITEM 302, TYPE PE [TOPPING ROCK), GRADE 3 ITEM ITEM3o2, TYPE PE (TOPPING ROCK), GRADE 3 DEPARTMENT MOAMOUNT UNIT EXCEPTIONS LOWER BIDDER BEGINNING DATE ENDINDUATE PRECINCT $58.10 TON Awarded the Bid VULCAN MATERIALS CO SW 711/2016 12/312016 DIVISION PRECINCT $65.40 TON MARTIN MARIETTA MATERIALS 7IM016 121 2016 DEPARTMENT BNAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BEGINNNRDATE ENDINCBATE PRECINCT2 $58.85 TON AwaNed1he81d VULCAN MATERIALS CO SW 7112016 12/312016 DIVISION PRECINCT2 $65.40 TON MARTIN MARIETTA MATERIALS 7/12016 12/312016 DEPARTMENT MDAMOUNT UNIT EXCEPTIONS LOW Big BIDDER BEGINNINBUATE ENUMERATE PRECINCTS $60.40 TON Awarded the Bid VULCAN MATERIALS CO SW 7/1/2016 12/312016 DIVISION PRECINCTS $66.40 TON MARTIN MARIETTA MATERIALS 7/1/2016 12/312016 DEPARTMENT BIDAMOUNf RAN EXCEPTIONS EOWBIB BRIBER BECOMING DATE EIDINRDATE PRECINCT4-P $58.86 TON Awarded the Bid VULCAN MATERIALS CO SW 7112016 12/312016 DIVISION PRECINCT4-P $66.20 TON MARTIN MARIETTA MATERIALS 7112016 12/312016 DEPARTMENT BNAMOUNT UNIT EXCEPTIONS EOWBN UMBER BEANNN6 RATE ENDINGUATE PRECINCT4.S $58.85 TON Awarded the Bid VULCAN MATERIALS CO SW 7112016 12/312016 DIVISION PRECINCT4-S $64.60 TON MARTIN MARIETTA MATERIALS 7/1/2016 12/312016 CALHOUN COUNTY, TX 1I0 TABULATIONS: ITEM 302, TYPE PE [TOPPING ROCK), GRADE 4 ITEM ITEM 3m, TYPE PE (TOPPING ROCK), GRADE 4 DEPARTMENT ROSAMUND UM' EXCEPTIONS EDWBN BIDDER BECINNMGDATE ENDINDUATE PRECINCT $58.60 TON Awarded the OW VULCAN MATERIALS CO SW 7IM016 12/312016 DIVISION PRECINCT $65AG TON MARTIN MARIETTA MATERIALS 7/12016 12/312016 DEPARTMENT UOAMOUNT UNIT EXCEPTIONS LOW DUI BRIBER BEGINNNGDATE ENDINDUATE PRECINCT2 $59.35 TON Awarded Me Bid VULCAN MATERIALS CO SW 7/112016 12/312018 DIVISION PRECINCT2 $65.40 TON MARTIN MARIETTA MATERIALS 7112016 12/312016 DEPARTMENT BIBAMOUNT UNIT EXCEPTIONS LOWON BRIBER BESUMINGUATE EIDINCOATE PRECINCT $60.90 TON Awarded the Bid VULCAN MATERIALS COSW 7/12016 12/312016 DIVISION PRECINCTS $65.40 TON MARTIN MARIETTA MATERIALS 7112016 12/312016 DEPARTMENT EOAMOUNf UNIT EXCEPTIONS TOWBN BIDDER BEGINNINGUATE ENDINGBATE PRECINCT4-P $59.35 TON Awarded Me Bid VULCAN MATERIALS COSW 7112016 12I312016 DIVISION PRECINCT4-P $6620 TON MARTIN MARIETTA MATERIALS 7/12016 12/31/2016 DEPARTMENT EDAMOUNT UNIT EXCEPTIONS fOWBN BIDDER BESINNNCOATE ENDNCDATE PRECINCT4-3 $59.35 TON Awarded me Bid VULCAN MATERIALS CO SW 7/112016 ID312016 DIVISION PRECINCT4S $64.60 TON MARTIN MARIETTA MATERIALS 7/1/2016 12/312016 CALHOUN COUNTY, TX BID TABULATIONS: ITEM 330, TYPE 0 [PRE -MIX LIMESTONE) ITEM ITEM 330, TYPED (PRE MIX LIMESTONE) DEPARTMENT BUT AMOUNT UNIT EXCEPTIONS TOWNS] BIDDEN BECINNBIUUATE ENDINSUATE PRECINCT $75.60 TON Awarded the BM VULCAN MATERIALS CO SW 7112016 12/312016 DIVISION PRECINCT 1 $81.9D TON MARTIN MARIETTA MATERIALS 7112016 121312016 DEPARTMENT BMAMOUNT UNIT EXCEPTIONS LOWBN ENDER BEGINNINDDATE E1MN60ATE PRECINCT2 $76.35 TON Awardedthelad VULCAN MATERIALS CO SW 71V2016 12/312016 DIVISION PRECINCT2 $81.90 TON MARTIN MARIETTA MATERIALS 7/12016 12/312016 DEPARTMENT BNAMOUNT UNIT EXCEPTIONS INSURER BIDDER BEANNINGDATE ENDINDDATE PRECINCTS $77.90 TON Awarded the Bid VULCAN MATERIALS CO SW 7/12016 IV31MO16 DIVISION PRECINCT3 $B1.90 TON MARTIN MARIETTA MATERIALS 7/1/2016 12/312016 DEPARTMENT BIDAMOUNT UNIT EXCEPTIONS ESWOM BIDDER BECINNINSUATE ENDINUOATE PRECINCT4-P $76.36 TON Awarded the Bid VULCAN MATERIALS CO SW 7112016 1MI2016 DIVISION PRECINCT4-P $82.70 TON MARTIN MARIETTA MATERIALS 7/4/2016 12/312016 DEPARTMENT BID AMOUNT UNIT EXCEPTIONS LBWBN BIDDER BEARMICIATE ENDUMDATE PRECINCT4-S $76.36 TON AWarded Um Bid VULCAN MATERIALS CO SW 7/12016 12/312018 DIVISION PRECINCT4-8 $81.10 TON MARTIN MARIETTA MATERIALS 7/U2016 12/312016 CALHOUN COUNTY, TX BID TABULATIONS: ITEM 334, TYPE 0, NOT MIX COLD LAID ASPHALT CONCRETE PAVEMENT ITEM ITEM 334, TYPE D, HOT MIX COLD LAID ASPHALT CONCRETE PAVEMENT DEPARTMENT MS AMOUNT UNIT EXCEPTIONS MASS) UMBER W&NNINSDATE UNDERRATE PRECINCT $64.00 TON AIIdalNedas heard dump Sellers. Minimum Load 24 tons AwaNetl the Bid- Only Bidder QUALITYHOTMIX 7112010 12/3112016 DEPARTMENT BID AMDUMT UNIT EXCEPTIONS tow BID BIDDER REANNIMBATE EIDINRUATE PRECINCT2 $64.50 TON All deliveries in end dump rollers. Minimum Load =24 tons Awarded one BW- Duty Bidder QUALITYHOTMIX 7/12016 12/31/2016 DEPARTMENT BIDAMOUNT UNIT EXCEPTIONS LOWON BIDDER BESININDBATE DOMINATE PRECINCT3 $84.00 TON All deliveries In and dump hailers. Minimum Load =24 tons Awardedtheeid. Only Bidder QUALITY HOT MIX 7112016 12/312016 DEPARTMENT TN AMOUNT UNIT EXCEPTIONS IDWBN BIDDER BEDNNN60ATE BNINRDATE PRECINCT4-P $85.00 TON All deilvedea In end dump malm. Minimum Load =24 tons AwaNetl the Bid- Only Bidder QUALITYHOTMIX T 2016 ID312016 DEPARTMENT BID AMOUNT UNIT EXCEPTIONS LOW BID UMBER BEENNUMBATE ENDING BAR PRECINCT4-S $86.00 TON All dellem.a In end dump trailers. Minimum Load -24 tons Awarded the BW- Only Bidder QUALITY HOT MIX 7/1/2016 121312016 Consider and Take Necessary Action on specifications and authorize the County Auditor to advertise for bids for Prescription Drugs for the Calhoun County Indigent Program for the period beginning January 1, 2017 and ending December 31, 2017, with the option to renew annually upon acceptance by Commissioners' Court. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. (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 4 of 33 CALHOUN COUNTY, TEXAS PRESCRIPTION DRUGS CALHOUN COUNTY INDIGENT PROGRAM BID PERIOD: JANUARY 1, 2017 thru DECEMBER 31, 2017 With Option to renew yearly PEGGY HALL CRISTINA P TUAZON 202 S ANN ST, STE B BEMI CABRERA CANDICEVILLARREAL PORT LAVACA, TEXAS 77979 ERICA PEREZ isTASSISTANTAUDITOR TELEPHONE 136115534610FAX136115534614 ASSISTANT AUDITORS INVITATION TO BID PRESCRIPTION DRUGS FOR THE CALHOUN COUNTY INDIGENT PROGRAM January 1, 2017 thru December 31, 2017 Please find the following information enclosed: ► Return Instructions ► General Conditions of Submitting Sealed Bids to Calhoun County, Texas ► Specifications for Prescription Drugs for the Calhoun County Indigent Program ► Vendor Information ► Invitation To Bid Form ► Copy of Section Four, Page 10 of the CIHCP Handbook — Prescription Drugs ► Current Fees (January 1, 2016 thru December 31, 2016) c� The Prescription Drugs Invitation to Bid Form, Form 1295, and Vendor Information Form must be returned in a Sealed 9 x 12 or larger envelope. DO NOT FOLD BID rzg- The outside of the sealed envelope must be marked: "Sealed Bid — Prescription Drugs -Indigent Program" If you send your bid by UPS, FEDEX, etc, the outside of this envelope or box must be marked: "Sealed Bid -Prescription Drugs -Indigent Program" r�§- If you would like to send additional information on your products, please send 3 copies (One original and two copies) If you have questions regarding the Bid Package, please contact: Peggy Hall Assistant Auditor 202 S. Ann St, Ste B Port Lavaca TX 77979 Telephone:361-553-4610 Fax:361-553-4614 Email: Peggv.hall@caihouncotx.org D PEGGY HALL CRISTINA P TOUGH 202 S ANN ST, STE B BEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 77979 ERICA PEREZ 1'TASSISTANT AUDITOR TELEPHONE 136115534610FAX (3611553-4614 ASSISTANT AUDITORS RETURN INSTRUCTIONS Submitting a Bid for Prescriptions Drugs for the Calhoun County Indigent Program BIDS DUE: By 10:00 AM, Thursday, December 1, 2016 DELIVERY ADDRESS: Michael J Pfeifer, County Judge Calhoun County Courthouse 211SAnn St 3`d Floor, Room 301 Port Lavaca TX 77979 Return the following: This information must be returned by the time and date due. Failure to return the following information may void your bid(s). 1. Vendor Information Form 2. Invitation To Bid Form * Do Not Fold Bid Form * Bid must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — Prescription Drugs -Indigent Program" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be marked "Sealed Bid — Prescription Drugs -Indigent Program" 3. Form 1295 * If additional information is sent in on your product and or services, please send 3 copies of the information with the Invitation To Bid Form. CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid. Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre -bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3`d Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds• If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes• Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM Wednesday the week before the Commissioners' Court meeting. Commissioners' Court meets the 2"d and 4th Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Majeure• Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.ora To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: Pexey.hall@calhouncotx.org Page 9 of 9 VENDOR INFORMATION Please Type. If handwritten, must be in ink and legible Vendor Name: Address: Remittance Address: Telephone: Fax• Email• Signature of Authorized Representative: Printed name of Authorized Rep: Billing & Other Questions — CONTACT INFORMATION Contact Name & Title: Contact Telephone: Contact Fax: Contact Email: Return this form with your bid. SPECIFICATIONS FOR PRESCRIPTIONS DRUGS FOR THE CALHOUN COUNTY INDIGENT PROGRAM The County of Calhoun is requesting sealed bids for Prescription Drugs for the Calhoun County Indigent Program. The Indigent Program is administered by Calhoun County Memorial Medical Center. The bid shall be in effect for a period of twelve (12) months, beginning January 1, 2017 and ending December 31, 2017 with the option to renew yearly if notification of renewal is accepted by Calhoun County Commissioners' Court. The CIHCP Handbook will be followed unless noted in specifications. The formula taken from Section Four, Page 10 of the CIHCP Handbook will be used for the Calhoun County Indigent Program less any additional discounts, if any given. (see attached copy of Section Four, Page 10 of the CIHCP Handbook) All charges must be included in bid price (as allowed by the CIHCP Handbook or Calhoun County). Pharmacy benefits will be limited to a maximum of three (3) prescriptions monthly not exceeding $30 per month. Only generic drugs will be paid for by the County Indigent Program, unless generic drugs are not available. No other charges may be added to the bid price when invoiced unless noted as an exception on the Invitation to Bid Form. Exceptions may disqualify your bid. Calhoun County may audit the billing and invoicing at any time deemed necessary. All costs incurred for such audits will be at the cost of the bidder. If bidder uses a billing company (processor/partner) to process payments for the billing, the name of the billing company that processes these payment must be listed on the Invitation To Bid Form. "Average Wholesale Pricing" will be made available to Calhoun County. Each monthly billing will include, at minimum, the following: • Pharmacy Name & Address • Date • Patient Name & Address • Physician Name • New or Refill • Quantity • RX# • Drug Name (Only Generic unless generic is not available) •AWPAMOUNT • PRICE THAT IS CHARGED TO CALHOUN COUNTY (INCLUDE CALCULATION & FEE) Page 1 of 2 CALHOUN COUNTY will use the below formula taken from Section Four, Page 10 of the CIHCP Handbook less any additional discounts, if any are given. (CIHCP Handbook may be updated at various time during the year) • MAXIMUM OF 3 PRESCRIPTIONS NOT EXCEEDING $30 per MONTH • ONLY GENERIC DRUGS WILL BE PAID FOR BY THE COUNTY INDIGENT PROGRAM, UNLESS GENERIC DRUGS ARE NOT AVAILABLE. Prescription Drugs: This service includes up to three prescription drugs per month. New and refilled prescriptions count equally toward this three prescription drugs per month total. Drugs must be prescribed by a physician or other practitioner within the scope of practice under law. The quantity of each prescription depends on the prescribing practice of the Physician and the needs of the patient. Payment Standard: Use the following information and formula • Utilizing any pharmaceutical company's database that provides average wholesale pricing, look -up the drug's 11-digit NDC number and the quantity dispensed to determine the average wholesale price (AWP). • Net Cost is: Generic prescription drugs is AWP minus 50% Brand name prescription drugs is AWP minus 15% • The drug dispensing fee is $3.00 • The formula for computing the TDSHS Payable is: Net Cost + drug dispensing fee = TDSHS Payable Example: Prescription is written for 34 generic tablets AWP for 25 tablets is $100,00. 1. $100.00 divided by 25 = $4.00 per tablet 2. $4.00 per tablet x 34 tablets (prescribed quantity)_ $136.00 3. $136.00 - $68.00 (50%for generic)_ $68.00 4. $68.00 + $3.00 (dispensing fee) _ $71.00 TDSHS Payable • A payment amount maybe negotiated with the provider for: Prescription compound drugs, Prescription drugs not found in any pharmaceutical database, or Prescription drugs that do not have an NDC number No person has the authority to verbally alter these specifications. Any changes to Specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. All disputes or protests will be held in Calhoun County, Texas. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) Page 2 of 2 CALHOUN COUNTY, TEXAS -INVITATION TO BID FORM PRESCRIPTION DRUGS Calhoun County Indigent Program 1ANUARY 1, 2017 Thru DECEMBER 31, 2017 ® Do Not Fold Bid Form ® Please Type • Calhoun County Indigent Program la-y' NET COST to be computed in accordance with the Department of State Health Services, County Indigent Health Care Program Handbook, Payment Standard for Prescription Drugs. (Section Four, Page 10, from the DSHS Handbook attached - Handbook may be updated at various times during the year) Fill in appropriate blanks Net Cost: Generic--> AWP Minus 50% LESS Additional Discount — Minimum Amount Additional Discount Dispensing Fee— PLUS Net Cost: Plus Dispensing Fee, if any ($3.00 maximum) Total Discount Percentage off of AWP (Minimum is 5091) Name Brand--) AWP Minus 15% LESS Additional Discount — Minimum Amount Additional Discount Total Discount Percentage off of AWP (Minimum is 15%) Dispensing Fee- PLUS Plus Dispensing Fee, if any ($3.00 maximum) The undersigned affrtns that they are duly authorized to execute this bidform, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other bidder, and that the contents of this bid as to prices, terms, or conditions ofsaid bid have not been communicated by the undersigned nor by any employee at- agent to any other pet -son engaged in this type of business prior to the official opening of this bid. The undersigned affirms that they have read the entire Invitation to Bid Package and fully understands and has followed all specifications and general conditions. Date of Bid: Company: Authorized Signature & Title: Print Name & Title of Authorized Signature: Telephone Number: Email: Contact Person: Name & Title Contact Information: Telephone Number, Fax Number & Email Fax Number: List any exceptions to the given bid specifications OR Outside Billing Cotupaity (Processor/Partner), if any, that process payments SECTION FOUR SERVICE DELIVERY Page 10 Basic Health Care Services (continued) This service includes up to three prescription drugs per month. New and Prescription refilled prescriptions count equally toward this three prescription drugs per Drugs month total. Drugs must be prescribed by a physician or other practitioner within the scope of practice under law. The quantity of each prescription depends on the prescribing practice of the physician and the needs of the patient. Payment Standard. Use the following information and formula. • Utilizing any pharmaceutical company's database that provides average wholesale pricing, look -up the drug's 11-digit NDC number and the quantity dispensed to determine the average wholesale price (AWP). • Net Cost for: o Generic prescription drugs is AWP minus 50% o Brand name prescription drugs is AWP minus 16% • The drug dispensing fee is $3.00. • The formula for computing the TDSHS Payable is: Net Cost + drug dispensing fee = TDSHS Payable Example: Prescription is written for 34 generic tablets AWP for 25 tablets is $100.00. 1. $100.00 divided by 25 = $4.00 per tablet 2. $4.00 per tablet x 34 tablets (prescribed quantity) = $136.00 3. $136.00 - $68.00 (50%for generic) = $68.00 4. $68.00 + $3.00 (dispensing fee) = $71.00 TDSHS Payable • A payment amount may be negotiated with the provider for: o Prescription compound drugs, o Prescription drugs not found in any pharmaceutical database , or o Prescription drugs that do not have an NDC number. RHC services must be provided in a freestanding or hospital -based rural Rural Health health clinic and provided by a physician, a physician assistant, an Clinic (RHC) advanced practice nurse (including a nurse practitioner, a clinical nurse Services specialist, and a certified nurse midwife), or a visiting nurse. Payment Standard: Use the Rate per Visit in the "Medicare -Approved Rural Health Clinic Rates" included in Appendix A. January2012 CURRENT FEES (January 1, 2016 thru December 31, 2016) FOR PRESCRIPTION DRUGS For the Calhoun County Indigent Program Calhoun County Indigent Program: Current bid is held by HEB Pharmacy Total Discount Percentage: Generic Drugs = 76% Total Generic Effective Rate AWP Minus 50% less additional discount 26% Plus $2.89 ($2 dispense fee and $0.89 administrative fee) Brand Name Drugs = 16.5%Total Discount Rate AWP Minus 15% less additional discount 1.5% Plus $2.89 ($12dispense fee and $0.89 administrative fee) Consider and Take Necessary Action on specifications and authorize the County Auditor to advertise for bids for Asphalts, oils and Emulsions for the period beginning January 1, 2017 and ending June 30, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. (MP) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 5 of 33 Agenda Item for Commissioners' Court —Thursday, October 27, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Asphalts, Oils and Emulsions for the period beginning January 1, 2017 and ending June 30, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. CALHOUN COUNTY, TEXAS ASPHALTS, OILS, 0 EMULSIONS BID PERIOD: JANUARY 1, 2017 thru JUNE 30, 2017 i I� PEGGY NAIL CRISTINA P TUAZON 202 S ANN ST, STE R OEMI CARRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 71979 ERICA PEREI In ASSISTANT AUDITOR TELEPHONE 136115534610FAX136115534614 ASSISTANT AUDITORS INVITATION TO BID ASPHALTS, OILS AND EMULSIONS JANUARY 1, 2017 thru JUNE 30, 2017 Calhoun County Commissioners' Court is accepting sealed bids for the following: Primer Oil AC-5 RC250 CRS-2 CRS-2P BID PACKAGES: May be obtained at the Calhoun County Auditor's Office. Peggy Hall, Assistant Auditor Calhoun County Courthouse Annex II 202 S. Ann St., Suite B Port Lavaca, TX 77979 Phone:361-553-4610 Email: peggy.hall@calhouncotx.org BIDS DUE: By 10:00 AM, Thursday, December 1, 2016 DELIVERY ADDRESS: Michael Pfeifer, County Judge Calhoun County Courthouse 211SAnn St 3`d Floor, Room 301 Port Lavaca TX 77979 The outside of the 9 x 12 or larger envelope must be clearly marked: SEALED BID - ASPHALTS, OILS AND EMULSIONS BID OPENING: Public bid opening will be conducted in the County Judge's Office, Calhoun County Courthouse, 3rd Floor, Room 301, Port Lavaca, Texas CONTENTS Return Instructions General Conditions Specifications for Asphalts, Oils and Emulsions Invitation to Bid Form Vendor and Order Information Form Contact Information for County Precincts Current Bid Tabulations —July 1, 2016 thru December 31, 2016 CIN PEGGY HALL CRISTINA P TUMOR 202 SANNST,STEB DEMICABRERA CANDICEVILLARREAL PORT LAVACA,TEXAS 77979 ERICA PEREZ 1" ASSISTANT AUDITOR TELEPHONE 136115534610FAX136115534614 ASSISTANT AUDITORS RETURN INSTRUCTIONS For Submitting a Bid for Asphalts, Oils & Emulsions Return the following by 10:00 AM, Thursday, December 1, 2016: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Invitation to Bid Form 2. Form 1295 (see General Conditions, page 5) 3. Vendor and Order Information Form * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid —Asphalts, Oils & Emulsions" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: "Sealed Bid —Asphalts, Oils & Emulsions" CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid, Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre -bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3rd Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds: If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections• Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties— Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance: Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM Wednesday the week before the Commissioners' Court meeting. Commissioners' Court meets the 2"d and 4th Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Maieure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver• No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex it Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.muelier@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: Peeggy.hall@calhouncotx.org Page 9 of 9 SPECIFICATIONS FOR ASPHALTS, OILS AND EMULSIONS The County of Calhoun is requesting sealed bids for Asphalts, Oils and Emulsions as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area —Stockpile or Jobsites Precinct #2, Six Mile Area — Stockpile or Jobsites Precinct #3, Olivia Area — Stockpile or Jobsites Precinct #4-P, Port O'Connor Area — Stockpile or Jobsites Precinct #4-S, Seadrift Area — Stockpile or Jobsites The request for a bid on a material does not guarantee that Calhoun County will purchase this material during the bid period. Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most advantageous to Calhoun County. Calhoun County Commissioners have the right to reject at any time any material that is undesirable for either road or jobsite location. BID TERM The bid shall be in effect for a period of Six (6) Months beginning January 1, 2017 and ending June 30, 201Z BID MATERIALS •Primer Oil •Item 300, Asphalts, Oils and Emulsions:[AC-5) •Item 300, Asphalts, Oils and Emulsions:(RC250) Temperature must be no lower than 130' •Item 300, Type CRS-2, Emulsified Asphalt (Cationic Rapid Setting) Temperature must be no lower than 150° and no higher than 180' •Item 300, Type CRS-213, Emulsified Asphalt (Cationic Rapid Setting) Temperature must be no lower than 150° and no higher than 180' Materials shall meet or exceed "Texas Department of Transportation Current Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges" for each listed material. Pump and hoses are to be furnished by vendor at no extra charge or shall be included in the bid. All charges must be included in bid price or clearly stated on bid form. Additional charges listed separately, if any, will increase the amount of the bid. Page 1 of 2 Demurrage charges stated separately from the bid price of the material will increase the amount of the bid price listed for the material. Delivery shall be FOB Destination to designated delivery site. No other charges, including freight, may be added to the bid price when invoiced unless these charges were noted on the bid form and awarded as such. Specifications are not being met if materials are not delivered at the required temperatures. Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended that all information submitted by the vendor on the bid forms be typed. Exceptions taken to the specifications and listed on the vendor's bid will void the bid. The award of a bid will be voided if specifications are not followed. The bid would then be awarded to the vendor which submitted the next lowest bid that met specifications. Calhoun County Commissioners have the right to stop hauling at any time due to weather, road conditions or machinery breakdowns. When required, all materials ordered will be delivered to the site designated and within 24 hours from time of order. In the event the vendor is unable to deliver the materials ordered within 24 hours from time of order, the County reserves the right to re -order the said material from the vendor which submitted the next lowest bid that met specifications and can deliver within 24 hours from time of order. All materials not conforming to the requirements of these specifications will be rejected and shall be removed immediately from the delivery site by the vendor and at the vendor's cost. Material description per bid specifications, awarded bid price per gallon and demurrage or other charge, if any were included in award, must appear on all invoices in order to be considered for payment. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. County representatives may sample materials from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by the County, all costs incurred for such tests shall be paid for by the vendor. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. All disputes or protests will be held in Calhoun County, Texas. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) Page 2 of 2 , ;2g ;2n 42� ;2» ;Q, 3 ; ° 3)� ®« § . C) ( ( (` ( ( § (0 (0 \� (\ (\ (\ (\ (\ { R® 5 > / / 2{ 2 \\ N 22� \ / ( � R §§/((/% , > q ) 0 (( § } }\ � � D � 0 2 O � 0 ■ / � \ � VENDOR INFORMATION Please Type. If handwritten, must be in ink and legible Vendor Name: Address: Remittance Address: Telephone: Fax: Email: Signature of Authorized Representative: Printed name of Authorized Rep: ORDER — CONTACT INFORMATION Order Contact Name & Title: Order Contact Telephone: Order Contact Fax: Order Contact Email: Return this form with your bid. PEGGY HALL CRISTINA P TUAION 202 SANK ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEHAS 71979 ERICA PEREZ ls'ASSISTANTAUDITOR TELEPHONE (3611553-4610FAX13611553-4614 ASSISTANT AUDITORS CALHOUN COUNTY, TEXAS CONTACT INFORMATION COUNTY PRECINCTS Calhoun County Precinct 1 Commissioner Roger Galvan 305 Henry Barber Way (by the County Fairgrounds) Port Lavaca, TX 77979 Office: 361-552-9242 Fax: 361-553-8734 Calhoun County Precinct 2 Commissioner Vern Lyssy 5812 FM 1090 (Six Mile) Port Lavaca, TX 77979 Office: 361-552-9656 Fax: 361-553-6664 Calhoun County Precinct 3 Commissioner Neil Fritsch 24627 State Hwy 172 (Olivia) Port Lavaca, TX 77979 Office: 361-893-5346 Fax: 361-893-5309 Calhoun County Precinct 4-P Commissioner Kenneth Finster Trevor St off of Hwy 185 Port O'Connor, TX 77982 Use same numbers as Seadrift Calhoun County Precinct 4-S Commissioner Kenneth Finster 104 E Dallas St PO Box 177 Seadrift, TX 77983 Office: 361-785-3141 Fax: 361-785-5602 ASPHALTS, OILS & EMULSIONS BID TABULATIONS FOR THE CURRENT BID PERIOD July 1, 2016 thru December 31, 2016 CALHOUN COUNTY, TX BIB TABULATIONS: PRIMER OIL ITEM PRIMER OIL DEPARTMENT END AMOUNT UNIT EXCEPTIONS LOWBM BIDDEN BEGINNINBDATE ENDIN60ATE PRECINCTI $1.90 GALLON AE-PRIME; 500 gallons minimum AwaNedth.Bld CLEVELAND ASPHALT 7/1/2016 12MM2016 delivery; Please cell for smaller quantity PRODUCTS INC prices; Demurrage $80.00 per hour After 2 Free Hours DEPARTMENT BDAng UNIT EXCEPTIONS LBWBM BIDDER BEGINNINSDATE ENBINCDATE PRECINCT2 $1.90 GALLON AE-PRIME; 5000 gallons minimum Awarded the BM CLEVELAND ASPHALT 7/112016 12/31/2016 tlelhi. ry; Pie sufrorsmallerquoMly paces; Demurra8e $60.U0 Perhour After PRODUCTS INC 2 Free Hours DEPARTMERf BDAMOUNT 11 EXCEPTIONS 1811819 BIDDER BEGINNINGDATE ENDINSDATE PRECINCTS $1.9D GALLON AE-PRIME; 50E gallons minimum Awarded the Bid CLEVELAND ASPHALT 7/l2016 12/312016 delivey, Please cell farama0er quonlily PRODUCTS INC Prices; Democratic $00.00 pe,h..,After 2Free Hours DEPARTMENT BUR AMOUNT UNIT EXCEPTIONS LOWS. BIDDER BEGINNIN60ATE ENDINRDATE PRECINCT4-P $1.90 GALLON AE-PRIME; 600, gallons minimum Awazdedih.Sid CLEVELANDASPHALT 7112016 12/312016 tlelNery; Please a llforsmallerquan@y prices; Demurrage $60.E perhour After PRODUCTS INC 2 Free Hours DEPARTMENT BDAMOUNT UNIT EXCEPTIONS to WINE! BIDDER BEDINNINSDATE INTIMIDATE PRECINCT4-S $1.90 GALLON AE-PRIME; 5E0 gallons minimum AwaNedthDBM CLEVELAND ASPHALT 7/12016 12/312016 active ry; Please call for Bmali.rquantlly PRODUCTS INC prices; DemurtaDo $80.00 per hourAfter 2 Free Hours CALUOUN COUNTY, TX BIB TABULATIONS: AG-5 ITEM AC-5 DEPARTMENT MOAMOUNI UNIT EXCEPTIONS LUWBIU BNDEH BEGINNIN60ATE BNUINRDATE PRECINCT $1.01 GALLON 5,000Gatia Minimum Order, Demumge $60.00 Per Hour After2 Free Homc Awarded One Bid MARTINASPHALTCO 7112016 12/312016 PRECINCT1 $2.60 GALLON 500011gums minimum deliver, Please call for smell.' quantity Demurrage CLEVELAND ASPHALT I'M2016 IM12016 Pftsea; SOON Per HDmAfter2 plan Hours PRODUCTS INC DEPARTMENT MOAMOUNT UNN EXCEPTIONS TOWBD UMBER BEGINNINBUATE ENDINSDATE PRECINCT2 $1.61 GALLON 6,000GaImn Minimum Order, Demurrage Awardedtheeid MARTIN ASPHALT CO 7/12016 12212016 SBOOD Per Hour After2 Free Hours PRECINCT2 $2.60 GALLON 6000 gallons minimum deliver, Please call CLEVELANDASPHALT 7/12016 12/312016 (Dramatis' quantityPdces; oemumge $80.00 Per Hour After2 Free Hours PRODUCTS INC DEPM1MENi BIOAMOUNi UNR EXCEPTIONS LOWED BIDDER BESINNINBDATE ENDINGDATE PRECINCTS $1.61 GALLON 5,0000ell00Minlmum Order, Demumge $60.0 Per HaurAABr 2 Free Hours Awarded the Bld MARTINASPHALTCO 71=016 121312016 PRECINCTS $2.60 GALLON 5000 theaters minimum deliver, Please can CLEVELAND ASPHALT 7/12016 12/31/2016 for smaller quantity prices; Demurrage PRODUCTS INC $80.00 Par Huu,Aft.r2 Frec Hours DEPARTMENT WDAMOUNT DART EXCEPTIONS LOWED BIDDER BESINNINSRATE ENDINGRATE PRECINCT4-P $1.61 GALLON 6,0E Galion Minimum Order, oemumge Awarded the Bid MARTINASPHALTCO 7112016 12/312016 $60.00 Per Hour After Free Hours PRECINCT4-P $2.60 GALLON EEO gallons minimum deliver, Please call CLEVELAND ASPHALT 7/1/2016 12/312016 furnace., quantity paces; Cameroon PRODUCTS INC $80.00 Per HeurAfter2 Free Hours DEPARTMENT NOR AMOUNT UNN EXCEPTIONS LTWBD BIDDER BEGINNING DATE ENDING DATE PRECINCT4-S $1.61 GALLON 5,E0 GDllan Minimum Order, Demurrage Awarded the eta MARTIN ASPHALT CO 711/2018 12272018 $60.00 Per HOurAfter2 Free Hours PRECINCT4-S $2.60 GALLON END gallons minimum deliver, Please call CLEVELAND ASPHALT 7/1/2016 12/312016 '., for smaller quantity paces Demumge PRODUCTS INC $80.00 PefHar After2 Free Hours CALHOUN COUNTY, TX 010 TABULATIONS: BC250 ITEM RC25o wenmue.I um. MU&JIMIS LOW BID BIDDER BESINNORIDATE ENDINGDATE PRECINCT $2.76 GALLON SOOOgallonsminlmumdelNery; Pieesacch Awardedthe Bid CLEVELAND ASPHALT 7/1/2018 121312016 for smeller quantity prices; Demunrage $80.0 Per HourAfter2 Free Hours PRODUCTS INC - PRECINCT $2.86 GALLON 5000 gallons minimum order, Demurrage MARTIN ASPHALT CO 7/1/2016 12/312016 $60.00 Per HourAfter2 Free He,. DEPARTMENT BUTAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BEGINNINGDATE EHRUDDATE PRECINCT2 $2.75 GALLON 5000 gallons minimum delNary; Please tall 01mam r quantitypdeas; Demurage Awarded the aid CLEVELANDASPHALT 7112018 12/312016 $80.00 Per HourAfter2 Free Hours PRODUCTS INC PRECINCT2 $2.86 GALLON 50009ailou minimum Order, Domunage $60.00 Per HourAfter2 Frea Hours MARTINASPHALTCO 7/112016 12/312016 DEPARTMENT BRIAMOUNT UNIT EXCEPTIONS LOWBID BIDDER BEGINNING DATE ENOINGDATE PRECINCTS $2.76 GALLON 6000 gallons minimum deilvery; Please call horsetails, q.shel ,or, Demurrage Awarded the Bid CLEVELANDASPHALT 7/1/2016 12/312076 $80.00 Per Hour After2 Free Hours PRODUCTS INC PRECINCTS $2.86 GALLON 5000 gallons minimum Order, 0emumago MARTIN ASPHALT CO 7/1/2076 460.00 Per HourAfter2 Free Hours 12/312076 era nmuum not[ tAgtPlluNB LOWBID BIDDER BEGINNINGUATE ENBINDOATE PRECINCT4P $2.75 GALLON 5000 9a110ns minimum degverf". Please call for smaller quantity polls; Demurrage Awarded the Bid CLEVELANDASPHALT 7112016 12J312016 S80.00 Per HOwAfter 2 Free He.. PRODUCTS INC PRECINCT4-P $2,86 GALLON 6000geilensminimumame, 0emumage $60.00 Par HourAfter2 Frea Hours MARTINASPHALTCO 7112016 12/312016 DEPARTMENT DBIAMORNT UNIT EXCEPTIONS LOWBID BIDDER BEGINNINGDATE ENUINGOATE PRECINCT4-S $2.76 GALLON 50001111huneminimumdelnery; Pieaseuli forsmaVerquamilyploes; 0emeange Awadedlhe Bld CLEVELAND ASPHALT 7l12018 12/37/2018 $80.00 Per Hour After Free Hours PRODUCTS INC PRECINCT4S $2.86 GALLON 6000gaIl0ns minimum Ome, Demurrage $60.00 Per Hour After2 Free Hours MARTINASPHALTCO 7112016 12/312016 CALHOUN COUNTY, TX 010 TABULATIONS: COS-2 ITEM CRS-2 oun, unit U15wiluNB IOWBM BIDDER BERINNINGAATE ENDINDOATE PRECINCT $1.67 GALLON 6000 gallons minimum delve, Please uil Awamedtheald CLEVELAND ASPHALT 7112016 12/312016 for smaller gdangly Ideas; Demurrage PRODUCTS INC S80.0D Pe r Hour After 2 Frea Hours PRECINCTI $1.60 GALLON 6000 gallons minimum order, Demurrage MARTIN ASPHALT CO 7/12016 $60.00 Per HourAfter2 Free Hours 12/31/2016 _ ...e. medmuunt uml t11utpilull6 IGRU BIDDER BEGINNINGDATE EBDINGOATE PRECINCT2 $1.57 GALLON SOGogallons minimum delivery; Please call for smaller quan111ypdces 0emurrage Awarded the Bid CLEVELAND ASPHALT 7112016 12/312016 $60.00 Per HourAfter2 Free Hours PRODUCTS INC '., PRECINCT2 $1.60 GALLON 50DDgmloce mlNmum a,., 0emurmge MARTINASPHALTCO 7/12076 72/372016 $60.00 Per HourAfter2 Frea Hours DEPARTMENT i DIDAAIOUNT UNIT EXCEPTIONS IOWBM BIDDER BEGINNINBOATE ENDING DATE PRECINCTS $1.57 GALLON 600098110nsminMumdeiNery;Ploosecall forsmallerqumaitypecon;Demunage AwardedtheeW CLEVELAND ASPHALT 7/1/2016 121312016 $80. 0 Per HourAfter2 Free Hours PRODUCTS INC PRECINCT3 $1.60 GALLON MOD gallons minimum order, Demurmgo MARTINASPHALTCO 7112016 12/372016 $60.OD Per"Our After Free Moore DEPARTMENT BIDAMOUNT UNIT EXCEPTIONS LOWBO BIOBFA BEGINNIN60AIE ENDING DATE PRECINCT4-P • $1.67 GALLON 5000 gotten. minimum cannery; Please call forsmal0rquantitypdces;0amumage Awardedthe Bid CLEVELANDASPHALT 7/12016 121312016 $00.00 Par H..,Afte12 Free Home PRODUCTS INC PRECINCT4-P $1.60 GALLON 5000 gallons minimum ordeq Demurrage MARTINASPHALTCO 7112016 12/312016 $60.00 Per HourAfter2 Free Hours DEPARTMENT BMAMOUNT UNIT EXCEPTIONS LOWER BIDDER BERINNINGOATE ENDINGBATE PRECINCT4-8 $1,57 GALLON 6000 gallons minimum delerery; Please call for smaller quangtylea.,, Demurrage Awarded the Bid CLEVELAND ASPHALT 7/1/2016 12/312016 $60.00 Per HourAfter2 Free Hours PRODUCTS INC PRECINCT4-S $1.60 GALLON 60011gegons minimum amer, Demurrage MARTINASPHALTCO 7/12016 $60.00 Per HourAfter2 Free Hours 12/312016 UALHUUN GUUNI r, TX BIB TABULATIONS: CBS-2P ITEM CRS-aP ---------•••--••• -•-• _.e .mae LOW BID BIDDER BE6INNIN60AlE ENDIN60R1E PRECINCT $1.89 GALLON 6000 gallons minimum ardor, Demurmge A.M.al the Bid MARTIN ASPHALT $60.00 Per HourAfter 2 Free Hours CO 7/1/2078 12I31/2018 PRECINCT $1.90 GALLON 6000 gallons minlmum delive, Please call CLEVELAND ASPHALT for smaller ..silly preen; Demurrage 711/2016 12/31/2016 $80.00 Per HourAfter 2 Free Houre PRODUCTS INC ..e• ..Wiluna InW91n gmnN ........ _- ••--•^-•- seuu guitars Minimum order, Demurmge $60.00 Per Hour After 2 Free Hours Awarded the Bid MARTINASPHALTCO 7/4/2016 12/31/2016 PRECINCT2 e $1.90 GALLON SDDD gallons minlmum deiNery; Please tag fersmallar quantity yd.; Demurrage CLEVELAND ASPHALT 7/1/2010 12/31/2016 $60.00 Per HaWARer2 Fla. Hours PRODUCTS INC DEPARTMENT BMAMDUNi UNR EACEPRONS IDWBBI BIDDER BEGINMN6DATE ENDIN60AIE PRECINCTS $1.89 GALLON 6000 Buller minlmum order. Demurrege $60.00 Per HourAfier2 Free Hours Awarded the Bid MARTINASPHALTCO 7/1/2076 12131/2018 PRECINCT3 $1.90 GALLON 50M gallons minimum delivery; Please call CLEVELAND ASPHALT 7/1/2018 for smaller quantity pdoes;Demurrage $00.00 Per Hour Agar 2 Free Hours PRODUCTS INC 12/31/2076 DEPARTMENr BIDAMDUNr uNtE E%CEPTIONS IOWB01 BIDDER BE6INNINGRATE ENDINSUAIE PRECINCT4-P $1.89 GALLON 5000 gallons minimum order, Demurmge Amused Me Bid MARTINASPHALTCO $60.00 Per Hour After Free He.. 7/1/2016 12/31/2016 PRECINCT4-P $1.90 GALLON 5000 gallons minimum deltouy; Please tail CLEVELAND ASPHALT forename, quantity press; Demurrage PRODUCTS INC 7/1/2016 12/3112016 $80.0D Per HourAfter2 Free Hours DEPARTMENT BNAMOUNi UNtf FJICEPRONS IOW BID BIDDER BEGINNINGBATE INDURATE PRECINCT4-S $1.89 GALLON 500D9e1ions minimum and.,Comurrege $60.00 Per HourAfter2 Free Hours Awartled the Bld MARTIN ASPHALT CO 7/1/2016 12/3112016 PRECINCT4-S $1.80 GALLON 6000 gallons tantrum delivery; Pines. and CLEVELANDASPHALT 7/i/201fi forsmaller quantity loam:0emumaee $00.00 Per Hour After2 Free Hours PRODUCTS INC 1?/31/2076 Consider and Take Necessary Action on specifications and authorize the County Auditor to advertise for bids for Insecticides for Mosquito Control for the period beginning January 1, 2017 and ending December 31, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. (MP) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 6 of 33 Agenda Item for Commissioners' Court — Thursday, October 27, 2017 Consider and take necessary action to approve specifications and authorize the County Auditor to advertise for bids for Insecticides for Mosquito Control for the period beginning January 1, 2017 and ending December 31, 2017. Bids will be due Thursday, December 1, 2016 and considered for award on Thursday, December 22, 2016. CALHOUN COUNTY, TEXAS INSECTICIDES MOSQUITO CONTROL BID PERIOD: JANUARY 1, 2017 thru DECEMBER 31, 2017 PEGGY HALL CRISTINA P TUAZON 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT IAYACA, TENAS 71979 ERICA PEREZ 1"ASSISTANT AUDITOR TELEPHONE (36115534610FAX13611553-4614 ASSISTANT AUDITORS INVITATION TO BID INSECTICIDES FOR MOSQUITO CONTROL JANUARY 1, 2017 thru DECEMBER 31, 2017 Calhoun County Commissioners' Court is accepting sealed bids for the following: • Mineral Oil • 1.5 ULV • Malathion • Altosid 30 Day Briquets or Equivalent • 30-30 ULV • Altosid XR Extended Residual Briquets or Equivalent • 20-20 • Fourstar Sustained Release 45/90/180 Day • 4-4 ULV Microbial Briquets or Equivalent • 4-8 • Summit BTI Briquets or Equivalent • Deltagard or Equivalent • Sustain MBG Biological Larvicide or Equivalent • ULV Mosquito Master 412 or Equivalent BID PACKAGES: May be obtained at the Calhoun County Auditor's Office. Peggy Hall, Assistant Auditor Calhoun County Courthouse Annex II 202 S. Ann St., Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Email: peggy.hall@calhouncotx.org BIDS DUE: By 10:00 AM, Thursday, December 1, 2016 DELIVERY ADDRESS: Michael Pfeifer, County Judge Calhoun County Courthouse 211SAnn St 3rd Floor, Room 301 Port Lavaca TX 77979 The outside of the 9 x 12 or larger envelope must be clearly marked: SEALED BID— INSECTICIDES FOR MOSQUITO CONTROL BID OPENING: Public bid opening will be conducted in the County Judge's Office, Calhoun County Courthouse, 3rd Floor, Room 301, Port Lavaca, Texas CONTENTS Return Instructions General Conditions Specifications for Road Materials Invitation to Bid Forms (Page 1, 2, 3, & 4) Vendor and Order Information Form Contact Information for County Precincts Current Bid Tabulations - January 1, 2016 thru December 31, 2016 PEGGY HALL CRISTINA P TUAZON 202 S ANN ST, STE B DEMI CABRERA CANDICEVILLARREAL PORT 1AYACA, TEXAS 71979 ERICA PEREZ 19 ASSISTANT AUDITOR TELEPHONE 13611553-4610FAX136115534614 ASSISTANT AUDITORS RETURN INSTRUCTIONS For Submitting a Bid for Insecticides for Mosquito Control Return the following by 10:00 AM, Thursday, December 1, 2016: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Invitation to Bid Form (Page 1, 2, 3, & 4) 2. Material Information & Safety Data Sheet for each insecticide 5 complete copies for each insecticide bidding on must be included with your bid. Failure to include the required copies may disqualify the bid. 3. Form 1295 (see General Conditions, page 5) 4. Vendor and Order Information Form * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — Insecticides for Mosquito Control" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: "Sealed Bid — Insecticides for Mosquito Control" CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid, Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre -bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid, Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., P Floor, Room 301, Port Lavaca, Texas. Page 1 of 9 The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3`d Floor, Room 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID, Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that was opened is not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid, Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's Page 2 of 9 performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds: If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes• Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections• Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testing: Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in Page 3 of 9 determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract is intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid. Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Reiections• Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state Page 4 of 9 therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties— Form 1295 Section 2252.908 was added to the Government Code by the 841h Texas Legislature through adoption of House Bill 1295. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state:tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. The form must be notarized and signed by an authorized agent of the business entity and submitted with your bid, proposal and/or contract. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven (7) business days, Form 1295 will be available for public viewing on the Texas Ethics Commission's website. Compliance• Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed and notarized Form 1295. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 5 of 9 Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office. County departments must submit their purchase orders by 5 PM Wednesday the week before the Commissioners' Court meeting. Commissioners' Court meets the 2"d and 41h Thursday of each month to approve bills. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Majeure: Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Page 7 of 9 Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. Page 8 of 9 If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Calhoun County Contact Information: To request information from Calhoun County, please contact: Calhoun County Auditor's Office Calhoun County Courthouse Annex II Attn: Cindy Mueller, County Auditor 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall, Assistant Auditor Calhoun County Auditor's Office Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: Peggy.hall@calhouncotx.org Page 9 of 9 SPECIFICATIONS FOR INSECTICIDES FOR MOSQUITO CONTROL 1. The County of Calhoun is requesting sealed bids for Insecticides for Mosquito Control as needed by the following Road and Bridge Precincts: Precinct #1, Fairgrounds Area — Precinct Barn or Jobsites Precinct #2, Six Mile Area — Precinct Barn or Jobsites Precinct #3, Olivia Area — Precinct Barn or Jobsites Precinct #4-P, Port O'Connor Area — Precinct Barn or Jobsites Precinct #4-S, Seadrift Area — Precinct Barn or Jobsites 2. The bid shall be in effect for a period of TWELVE (12) Months beginning January], 2017 and ending December 31, 2017. 3. Bid Items • Mineral Oil • Malathion Active Ingredients: Malathion 96.5%; Other 3.5% • 30-30 ULV Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30%; Other 40% • 20-20 Active Ingredients: Permethrin 20.6%; Piperonyl Butoxide 20.6%; Other 58.8% • 4-4 ULV Active Ingredients: Permethrin 4%; Piperonyl Butoxide 4%; Other 92% • 4-8 Active Ingredients: Permethrin 3.98%; Piperonyl Butoxide 8.48%; Other 87.54% • Deltagard or Equivalent Deltamethrin 2%; Other 98% • ULV Mosquito Master 412 or Equivalent Chlorpyrifos 12%; Permethrin 4%; Other 84% • 1.5 ULV Chlorpyrifos 19.36%; Other 80.64% • Altosid 30 Day Briquets or Equivalent (S) Methoprene 8.62%; Other 91.38% • Altosid XR Extended Residual Briquets or Equivalent (S) Methoprene 2.1 %; Other 97.9% • Fourstar Sustained Release 45/90/180 Day Microbial Briquets or Equivalent Bacillus sphaericus 6%; Bacillus thuringiensis subspecies israelensisl %; Other 93% • Summit BTI Briquets or Equivalent Bacillus thuringiensis subspecies israelensis serotype H-14 10.31%; Other 89.69% • Sustain MBG Biological Larvicide or Equivalent Bacillus thuringiensis subspecies iraelensis serotype H-14 5.71 %; Other 94.29% Page 1 of 2 4. Five (5) copies of the Material Safety Data Sheet listing the active ingredients and safety instructions MUST be included for each insecticide. (Example: Bids turned in for Mineral Oil and Malathion — you would Return the Original of the Invitation To Bid Form AND 5 copies of the Material Safety Data Sheet for Mineral Oil AND 5 copies of the Material Safety Data Sheet for Malathion) 5. Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing and to perform random audits of test reports. County representatives may sample material from the manufacturing plant, terminal, shipping container and any other source they deem necessary to insure reliability of the products. Regardless of results of any materials test required by Calhoun County, all costs incurred for such tests shall be paid for by the bidder. 6. Delivery shall be FOB Destination to 7obsite. All charges must be included in bid price. No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. Exceptions may disqualify the bid. 7. NO PERSON has the authority to verbally alter these specifications. Any changes to Specifications will be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a bid package. 8. All disputes or protests will be held in Calhoun County, Texas. 9. A completed Form 1295 must be returned with the bid. (See General Conditions, page 5, Certificate of Interested Parties — Form 1295.) Page 2 of 2 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID 1ANUARY 1, 2017 thru DECEMBER 31, 2017 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 5 Copies of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form Mineral Oil Price Per Gallon 50 Gallon Drum /per Drum - 50 Gallons ( per Gallon) 55 Gallon Drum /per Drum - 55 Gallons ( per Gallon) 275 Gallon Tote /per Tote - 275 Gallons ( per Gallon) Malathion Active Ingredients: Malathion 96.5%; Other 3.5% Price Per Gallon 55 Gallon Drum /per Drum -55 Gallons ( per Gallon) 4 or more 55 Gallon Drums /per Drum -55 Gallons ( per Gallon) 260 Gallon Tote /per Tote - 260 Gallons ( per Gallon) 4 or more 260 Gallon Totes /per Tote - 260 Gallons ( per Gallon) 30-30 U LV Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30%; Other 40% Price Per Gallon 2x2.5 Gallon Case /per Case - 2 x 2.5 Gallon ( per Gallon) 30 Gallon Drum /per Drum - 30 Gallons ( per Gallon) 55 Gallon Drum /per Drum - 55 Gallons ( per Gallon) 275 Gallon Tote /per Tote - 275 Gallons ( per Gallon) 31-66 ULV Active Ingredients: Permethrin 31.28%; Piperonyl Butoxide 66%; Other 2.72% Price Per Gallon 30 Gallon Drum /per Drum -30 Gallons ( per Gallon) 4 X 1 Gallon Case /per Case - 41 Gallon ( per Gallon) Page 1 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2017 thru DECEMBER 31, 2017 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 5 Copies of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form 20-20 F List Insecticide Name Active Ingredients: Permethrin 20.6%; Piperonyl Butoxide 20.6%; Other 58.8% Price Per Gallon 2 x 2.5 Gallon Case /per Case - 2 x 2.5 Gallon ( per Gallon) 4-4 ULV List Insecticide Name Active Ingredients: Permethrin 4%; Piperonyl Butoxide 4%; Other 92% Price Per Gallon 2 x 2.5 Gallon Case /per Case - 2 x 2.5 Gallon ( per Gallon) 30 Gallon Drum /per Drum - 30 Gallon ( per Gallon) 55 Gallon Drum /per Drum-55 Gallon ( per Gallon) 275 Gallon Tote /per Tote - 275 Gallons ( per Gallon) 4-8 F List Insecticide Name Active Ingredients: Permethrin 3.98%; Piperonyl Butoxide 8.4891o; Other 87.54% Price Per Gallon 5 Gallon Pail /per Pail - 5 Gallons ( per Gallon) 30 Gallon Tote /per Tote - 30 Gallons ( per Gallon) 55 Gallon Drum /per Drum - 55 Gallons ( per Gallon) OR Equivalent List Insecticide Equivalent Price Per Gallon 2 x 2.5 Gallon Case ULV Mosquito Master 412 OR Equivalent Price Per Gallon /per Case - 2 x 2.5 Gallons ( per Gallon) — List Insecticide Equivalent 55 Gallon Drum /per Drum - 55 Gallons ( per Gallon) Page 2 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2017 thru DECEMBER 31, 2017 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 5 Copies of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form 1.5 ULU <-- List Insecticide Name Active Ingredients: Chlorpyrifos 19.36%; Other 80.64% Price Per Gallon 2 x 2.5 Gallon Case /per Case - 2 x 2.5 Gallons ( per Gallon) 30 Gallon Drum /per Drum - 30 Gallons ( per Gallon) 55 Gallon Drum /per Drum - 55 Gallons ( per Gallon) Altosid 30 Day Briquets OR Equivalent List Insecticide Name Active Ingredients: (S) Methoprene 8.62%; Other 91.38% Price Per Case 400 Per Case /per case Altosid XR Extended Residual Briquets OR Equivalent —List Insecticide Name Price Per Case 220 Per Case /per case Fourstar Sustained Release 45/90/180 Day Microbial Briquets OR Equivalent F List Insecticide Name Price Per Case 45 Day ----- 200 Per Case /per case 90 Day ----- 200 Per Case /per case 180 Day-----200 Per Case /per case Summit BTI Briquets OR Equivalent — List Insecticide Name Price Per Case 100 Per Case /per case Page 3 of 4 CALHOUN COUNTY, TEXAS -INSECTICIDES FOR MOSQUITO CONTROL INVITATION TO BID JANUARY 1, 2017 thru DECEMBER 31, 2017 ► BID FORM MUST BE TYPED -- PLEASE TYPE ► 5 Copies of the Material Safety Data Sheets for each item bid on Must Be Returned with this Bid Form Sustain MBG Biological Larvicide OR Equivalent < List Insecticide Name Active Ingredients: Bacillus thuringiensis subspecies iraelensis serotype H-14 5.71%; Other 94.29% Price Per Bag 40lb Bag /per bag ► A request for a bid item does not guarantee that the bid item will be ordered by Calhoun County during the bid period. ► All charges must be included in bid price. ► No other charges may be added to the bid price when invoiced unless noted as an exception on the bid form. Exceptions may disqualify the bid. LIST ANY EXCEPTIONS TO THE GIVEN BID SPECIFICATIONS: The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire Invitation to Bid package and fully understands and has followed all specifications and general conditions. Company Name: Address: Authorized Signature & Title: Type Name & Title of Authorized Signature: Date of Bid: Remember to include the New Requirement: Form 1295 (see page 5 of the General Conditions) Page 4 of 4 VENDOR INFORMATION Please Type. If handwritten, must be in ink and legible Vendor Name: Address: Remittance Address: Telephone: Fax• Email: Signature of Authorized Representative: Printed name of Authorized Rep: ORDER — CONTACT INFORMATION Order Contact Name & Title: Order Contact Telephone: Order Contact Fax: Order Contact Email: Return this form with your bid. CIN PEGGY HALL CRISTINA P TUA20N 202 S ANN ST. STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEKAS 71979 ERICA PEREZ 1"ASSISTANTAUDITOR TELEPHONE 13611553-4619FAK13611553-4614 ASSISTANT AUDITORS CALHOUN COUNTY, TEXAS CONTACT INFORMATION COUNTY PRECINCTS Calhoun County Precinct 1 Commissioner Roger Galvan 305 Henry Barber Way (by the County Fairgrounds) Port Lavaca, TX 77979 Office: 361-552-9242 Fax: 361-553-8734 Calhoun County Precinct 2 Commissioner Vern Lyssy 5812 FM 1090 (Six Mile) Port Lavaca, TX 77979 Office: 361-552-9656 Fax: 361-553-6664 Calhoun County Precinct 3 Commissioner Neil Fritsch 24627 State Hwy 172 (Olivia) Port Lavaca, TX 77979 Office: 361-893-5346 Fax: 361-893-5309 Calhoun County Precinct 4-P Commissioner Kenneth Finster Trevor St off of Hwy 185 Port O'Connor, TX 77982 Use same numbers as Seadrift Calhoun County Precinct 4-S Commissioner Kenneth Finster 104 E Dallas St PO Box 177 Seadrift, TX 77983 Office: 361-785-3141 Fax: 361-785-5602 INSECTICIDES FOR MOSQUITO CONTROL BID TABULATIONS FOR THE CURRENT BID PERIOD January 1, 2016 thru December 31, 2016 m 0 0 0 0 0 5 m m w F F F r •- O a � C g zo 2 2 X: NF �n �n y A� w��� w O C C 0 Q o Q O <O: O W i G) 0 0 n .9 ae x x x x 'x 5.O_ 1 x � x 10 N ro *'o e D D a s n 0 -i !7 A n n n n n 00 Oc O 0 0 10 m � 0 o Z O o c c P o c c O O A O r o o o a g r a 9 O O U u o c V O O r H y r n c D Z v D D A v n N D b 3i W \I yn gq W o i 7 � � A 3 � K 2 m L C [h m N 0 rn C 0 Q m 0 CL —i tg r 1 mm 0 � N j t W 0 n N m n c w Q � m m Q m z c c m o a s > m m u m » P "' ,m.. OJ i1 N O x z x x x Mo k rn pxp o x x o0 ooZ c_ m � u 0 n u � H C w p n e N 9 ✓c O e m < � 9 o o C O r K u � D A w > m 0m ea- O on G1 O N D C Gl _ {; Y D b1' CE 3i{ w 0 S O r" 0 A r_ 0 z Y Pit 0 rTl 6.s Sd1 "-4 0 n 0 0 r-- ------------ oa s P S B+y d N n i T m m N. 3 3 D➢ A D A D D O 5 O D Z y A N D K Pi A K< A a 3 O 3S O P IP O 3 A y AA. o o 'v c0 cP 5 '0 5 A 00 9 N O o P:.O D c c =1 o c o o p a c' O O P: 3 a o r m p o c A K K $ P 2 � � G Q N 5 C 0 o5k 0 O i Oi Nv Gv r'a 0 n P X w w w w w w c p D X S°i Xn Xp P/ N 2 "c. & Y` µ p0 O N A m tp N m m m s m ➢ � G �� G � F 2 G 3 O r~ ➢ c o n n> c n o Si+ ➢ s C VOi so o $ o 6� �G D G » o D rD- ➢. NO p Gm o s Z O A O r S P'>o�oS pp n oy c➢i ci n� m ON J � C m N D *' C p n O 1 lu M. CL ca /D W y` L C O m 7 Q m�\ 0 m ca m W d N i l4 2 3< N Qf O Z< R R G< R << R R G R < O 52 o cv o O➢ o x g o n n z r m s <2 2 G y <zp N m m m< v m m m N n v�1 ➢ Z � D D i 2 R ' N W D ~ � y G A m 0 A o O O O c S g ya O O O z O r ° � D � n n � n� n n➢ O� z ii C m m ~ 3 m G O Z n A � N N n D n O 9 T M 0 to La La z C N O 08 so �q M m .m Q m n m 3 W m CD N A8 i 0 Consider and Take Necessary Action on Assignment, Agreement and Consent between Pelorus Terminal, Point Comfort, LLC and NGL Crude Terminals, LLC for the assignment of the Tax Abatement Agreement with Calhoun County, Texas dated August 27, 2015 and effective January 1, 2015 and authorize County Judge to sign documents. (MP) Anne Marie Odefey made herself present to answer any questions. Commissioner Lyssy made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 7 of 33 ASSIGNMENT AGREEMENT AND CONSENT (Tax Abatement Agreement) THIS ASSIGNMENT AGREEMENT AND CONSENT ("Assignment"), dated effective as of October 27, 2016, is entered into by and between Pelorus Terminal: Point Comfort, LLC, a Texas limited liability company ("Assignor') and NGL Crude Terminals, LLC, a Delaware limited liability company ("Assignee"). RECITALS: (a) On August 27, 2015, Pelorus Investments, LLC entered into a Tax Abatement Agreement with Calhoun County, Texas (the "Tax Abatement Agreement") relating to a tax abatement for a proposed terminal to be built at the Port of Port Lavaca - Port Comfort, Calhoun County, Texas (the "Terminal"). (b) Effective as of February 29, 2016, Pelorus Investments, LLC assigned all of its rights and obligations under the Tax Abatement Agreement to Assignor in connection with Assignor's purchase of the Terminal project from Pelorus Investments, LLC pursuant to the Assignment of Agreement attached hereto as Exhibit "A" (the "Prior Assignment"). (c) Assignor seeks the Commissioner's Court's approval with respect to the Prior Assignment. (d) Subsequent to the Prior Assignment, Assignor commenced construction of the Terminal. (e) Assignee and Assignor have entered into that certain Asset Purchase Agreement dated as of August 29, 2016 (the "Purchase Agreement"), which provides for Assignee's purchase of the Terminal assets currently under construction from Assignee. (f) In connection with and contingent upon the closing under the Purchase Agreement (the "Closing"), Assignor has agreed to assign to Assignee the Tax Abatement Agreement, and Assignee has agreed, among other matters not addressed herein, to assume and perform the obligations of Assignor under the Tax Abatement Agreement. AGREEMENT: In consideration of the foregoing recitals which are incorporated herein, and in consideration of the mutual agreements, provisions and covenants herein contained, the parties hereby agree as follows: 1. Assignment and Assumption. Effective as of the Closing, Assignor hereby assigns, and Assignee hereby assumes and agrees to perform and discharge the obligations of Assignor under and with respect to the Tax Abatement Agreement, upon the terms and subject to the conditions contained in the Purchase Agreement. Pursuant to the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones Created in Calhoun County adopted on May 28, 2015, Assignee avers that it shall be bound by all the terms, covenants and conditions contained in the original agreement entered into by Assignor's predecessor in title and that this Assignment shall be considered for all purposes to be an Amendment to the Tax Abatement Agreement. 2. Assignee Notices. Effective as of the Closing, Assignee's address to which notices shall be sent pursuant to Section 15 of the Tax Abatement Agreement is: NGL Crude Terminals, LLC Attn: Joel Gustafson 3773 Cherry Creek Drive North Suite 1000 Denver, CO 80209 Email: joel.gustafson@nglep.com With copy (which shall not constitute notice) to: NGL Crude Terminals, LLC Attn: Kurston P. McMurray 6120 S. Yale Ave., Suite 805 Tulsa, Oklahoma 74136 Email: Kurston.McMurray@nglep.com 3. Purchase Agreement. This Assignment is subject to the terms and conditions of the Purchase Agreement and nothing herein will alter any liability or obligation of Assignor under the Purchase Agreement. The terms of the Purchase Agreement, including the parties' representations, warranties, covenants, and agreements relating to the Tax Abatement Agreement, are incorporated herein by this reference and will remain in full force and effect to the fullest extent provided therein. This Assignment is not intended in any way to supersede any provision of the Purchase Agreement. If there is any conflict or inconsistency between the Purchase Agreement and this Assignment, the Purchase Agreement shall control. However, to the extent the Tax Abatement Agreement is breached by Assignee, Assignee acknowledges and agrees that Calhoun County, Texas shall have no obligation to pursue any cause of action against Assignor or its predecessor in title, as Assignee has assumed all obligations under the Tax Abatement Agreement. Any indemnity or action that Assignee may have against Assignor or Assignor's predecessor in title shall be only in the form of indemnity and Calhoun County, Texas shall not be a necessary party to those claims. 4. No Third Party Beneficiaries. Nothing expressed or implied in this Assignment is intended to confer upon any person, other than the parties hereto, or their respective successors or permitted assigns, any rights, remedies, obligations or liabilities under or by reason of this Assignment. 5. Successors and Assigns. Each of the terms, provisions, and obligations of this Assignment shall be binding upon, shall inure to the benefit of, and shall be enforceable by the parties and their respective legal representatives, successors and permitted assigns. 6. Applicable Law. This Assignment shall be governed by and construed in accordance with the laws of the State of Texas. 7. Counterparts. The parties may execute this Assignment in multiple counterparts, each of which constitutes an original as against the party that signed it, and all of which together constitute one agreement. This Assignment is effective upon delivery of one executed counterpart 2 from each party to the other parties. The signatures of all parties need not appear on the same counterpart. The delivery of signed counterparts by facsimile or email transmission that includes a copy of the sending party's signature is as effective as signing and delivering the counterpart in person. [Remainder of Page Left Intentionally Blank - Signature Page to Follow] 3 IN WITNESS WHEREOF, each of parties hereto has caused this Assignment to be executed by an authorized representative as of the date first above written. ASSIGNOR: Pelorus Terminal: Point Comfort, LLC, a Texas lirgited liability company By: A Name: Title: /cIAA�8P ASSIGNEE: NGL Crude Terminals, LLC, a Delaware limited liability company By: - tr Name: -F Title: MiA-N4A As e,' CONSENT The Commissioners Court of Calhoun County, Texas, on behalf of Calhoun County, Texas, hereby consents to the assignment and assumption of the Tax Abatement Agreement as provided in Section 1 of this Assignment. In addition, the Commissioners Court of Calhoun County, Texas, on behalf of Calhoun County, Texas, hereby consents to the Prior Assignment and waives any breach or default that occurred pursuant to the unapproved assignment under the Tax Abatement Agreement as a result of the Prior Assignment. [Signature Page to Assignment Agreement and Consent (Tax Abatement Agreement)] Commissioners Court Calhoun County, Texas By: t /., ATTEST [Signature Page to Assignment Agreement and Consent (Tax Abatement Agreement)] STATE OF TEXAS § COUNTY OF CALHOUN § ASSIGNMENT OF AGREEMENT This Assignment of Agreement (this "Assignment") is executed to be effective as of February 29, 2016 (the "Effective Date'), by and between Pelorus Investments, LLC, a Texas limited liability company ("Assignor'), and Pelorus Terminal: Point Comfort, LLC, a Texas limited liability company ("Assignee"). WITNESSETH: WHEREAS, Assignor is a party to that certain Tax Abatement Agreement with Calhoun County, Texas dated August 27, 2015 and effective January 1, 2015 (the "Tax Abatement Agreement'). WHEREAS, Assignor wishes to assign all of its rights and obligations under the Tax Abatement Agreement to Assignee, and Assignee wishes to accept all of such rights and obligations. NOW, THEREFORE, in consideration of the mutual covenants and agreements of the parties as set forth herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1. Assignment. Assignor hereby assigns, conveys and transfers all of Assignor's right, title and interest in and to the Tax Abatement Agreement, to Assignee, subject to approval from the Calhoun County Commissioner's Court. 2. Acceptance. In consideration for the right, title and interest in the Tax Abatement Agreement, Assignee hereby accepts such assignment and assumes all of Assignor's duties and obligations under the Tax Abatement Agreement and agrees to pay, perform and discharge, as and when due, all of the obligations of Assignor under the Tax Abatement Agreement accruing on and after the Effective Date. 3. Further Assurances. Each of the parties hereto shall execute and deliver, at the reasonable request of the other party hereto, such additional documents, instruments, conveyances and assurances and take such further actions as such other party may reasonably request to carry out the provisions hereof and give effect to the transactions contemplated by this Assignment. EXHIBIT nAn STATE OF TEXAS § COUNTY OF CALHOUN § 4. Miscellaneous. This Assignment shall be governed by, construed and enforced in accordance with the laws of the State of Texas, notwithstanding the principles of conflicts of laws thereof. This Assignment shall inure to the benefit of and be binding upon the parties hereto and their respective successors and assigns. below. IN WITNESS WHEREOF, Assignor and Assignee have affixed their respective signatures PELORUS INVESTMENTS, LLC (the "Assignor") By: Name:7?4AeAl Title: PELORUS TERMINAL: POINT COMFORT, LLC (the "Assignee") By: Name: —/Wg Title: [Signature Page to Assignment of Tax Abatement Agreement] STATE OF TEXAS § COUNTY OF CALHOUN § The foregoing document was acknowledged before me on this ( S+day of PAaccAA , 2016, by 1✓ 6;t ;6/1 CE 0 of Pelorus Investments, LLC, a Texas limited liability company, on behalf of said limited liability company. Notary Public in and for the State of Texas ��nvvuo� EMILY N ® Seal: �' �' NOTARY PUBLIC � STATE OF TEXAS ��FoPt4�' MY COMM. EXP, 08/2d The foregoing document was acknowledged before me on this / " day of GLrGK 20l6,by-7'i%eXe_•-, 197e*7,6rr of Pelorus Terminal: Point Comfort, LLC, a Texas limited liability company, on behalf of said limited liability company. Notary Public in and for the State of Texas Seal: EMILY N TRAN NOTARY PUBLIC 4848-0645-8414,v. 2 Public Hearing to discuss Petition to Vacate Lot 20, Block 1, Koinonia Point, as recorded in Volume Z, Page 778, of the Plat Records of Calhoun County, Texas. (KF) Opened 10:15 AM Closed 10:16 AM Page 8 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. Public Hearing to discuss Petition to Vacate Lot 20, Block 1, Koinonia Point, as recorded in Volume Z, Page 778, of the Plat Records of Calhoun County Texas. Sincerely, /` tjz( W, ;aVV Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Consider and Take Necessary Action on request to Vacate Lot 20, Block 1, Koinonia Point, as recorded in Volume Z, Page 778, of the Plat Records of Calhoun County, Texas. (KF) Commissioner Finster made the motion and Commissioner Galvan seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 9 of 33 Kenneth Vile Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. Consider and take necessary action to Vacate Lot 20, Block 1, Koinonia Point, as recorded in Volume Z, Page 778, of the Plat Records of Calhoun County Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 PETITION TO VACATE Lot 20, Block 1 Koinonia Point THE STATE OF TEXAS} THE COUNTY OF CALHOUN} KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owner of the property described as Lot 20, Block 1, Koinonia Point an addition in Calhoun County as recorded in Volume Z, Page 778 of the Plat Records of said County, do hereby petition the Calhoun County Commissioner's Court to Vacate said Lot 20, Block 1, Koinonia Point in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on October 27, 2016 at 10:00 a.m. Ter T. Ru dick, R.P.L.S. Urban Surveying, Inc. 2004 N. Commerce Victoria, TX 77901 361-578-9837 S 17708.02 Consider and Take Necessary Action on Final Plat of Koinonia Point Resubdivision No. 2. (KF) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 10 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. • Consider and take necessary action to approve the Final Plat of Koinonia Point Resubdivision No. 2. Sincerely, AYUV(W- r 4VV Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinsterocalhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Koinonia Point Subdivision PLAT Goes Here Public Hearing on Petition to Vacate Lots 9, 10 and a portion of a 30' private common area of Oyster Point Section II as recorded in Volume Z, page 683 of the Plat Records of Calhoun County, Texas. (KF) Opened 10:17 AM Closed 10:19 AM Page 11 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. • Public Hearing to discuss Petition to Vacate Lots 9, 10, and a portion of a 30' private common area of Oyster Point Section II as recorded in Volume Z, Page 683 of the Plat Records of Calhoun County, Texas. Sincerely, d w J� Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 PETITION TO VACATE Lots 9, 10, and a portion of a 30' Private Common Area Oyster Point Subdivision, Section II THE STATE OF TEXAS) THE COUNTY OF CALHOUN) KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owner of the property described as Lots 9, 10, and a portion of a 30' Private Common Area, Oyster Point Subdivision, Section II an addition in Calhoun County as recorded in Volume Z, Page 683 (Slide 437B) of the Plat Records of said County, do hereby petition the Calhoun County Commissioner's Court to Vacate said Lots 9, 10, and a portion of a 30' Private Common Area, Oyster Point Subdivision, Section II in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioners Court. The petition will be considered by the Calhoun County Commissioner's Court on October 27, 2016 at 10:00 a.m. ....ti.....................r... TERRY T. RUDDICK ..,,A�••4843..Pv ... Te T. R dick, R.P.L.S. /l� /G� y� ..... OQ Urban Surveying, Inc. ` l 2004 N. Commerce Victoria, TX 77901 361-578-9837 S21717.01 Consider and Take Necessary Action on request to Vacate Lots 9, 10 and a portion of a 30' private common area of Oyster Point Section II as recorded in Volume Z, Page 683 of the Plat Records of Calhoun County, Texas. (KF) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 12 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. • Consider and take necessary action to Vacate Lots 9, 10, and a portion of a 30' private common area of Oyster Point Section II as recorded in Volume Z, Page 683 of the Plat Records of Calhoun County, Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-560 Consider and Take Necessary Action on Final Plat of Oyster Point Section II, Resubdivision No.1. (KF) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 13 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 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 27, 2016. Consider and take necessary action to approve the Final Plat of Oyster Point Section II, Resubdivision No. 1. Sincerely, W.Joni Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Oyster Point Subdivision PLAT Goes Here Public Hearing on Petition to Vacate Outlot 4, Outblock 21, The Original Townsite of Port O'Connor as recorded in Volume 2, Page 1, of the Deed Records of Calhoun County, Texas. (KF) Opened 10:20 AM Closed 10:21 AM Page 14 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 19, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 13�IeCe7q�IUe\����5 Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for October 27, 2016. • Public Hearing to discuss Petition to Vacate Outlot 4, Outblock 21, The Original Townsite of Port O'Connor as recorded in Volume 2, Page 1, of the Deed Records of Calhoun County, Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 PETITION TO VACATE Outlot 4, Outblock 21 The Original Townsite of Port O'Connor THE STATE OF TEXAS} THE COUNTY OF CALHOUN) KNOW ALL MEN BY THESE PRESENTS: That the undersigned being the designated agent of the owner of the property described as Outlot 4, Outblock 21, The Original Townsite of Port O'Connor an addition in Calhoun County as recorded in Volume 2, Page 1 of the Plat Records of said County, do hereby petition the Calhoun County Commissioner's Court to Vacate said Outlot 4, Outblock 21, The Original Townsite of Port in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioner's Court on November 29, 2004 and amended on December 13, 2007. The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioner's Court. The petition will be considered by the Calhoun County Commissioner's Court on October 27, 2016 at 10:00 a.m. TERRY T. RUDDICK uroan surveying, inc. 2004 N. Commerce Victoria, TX 77901 361-578-9837 S21542.01 Consider and Take Necessary Action on final plat of McAfee Subdivision. (VL) Anne Marie Odefey spoke to the court about McAfee Subdivision. She advised she would bring Mylar plats when they become available. Commissioner Lyssy made the motion and Commissioner Galvan seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 15 of 33 Vern L yssy Calhoun County Commissioner, Precinct #2 McAfee Subdivision PLAT Goes Here Consider and Take Necessary Action on a Request for Variance (Personnel) between Port O'Connor Volunteer Fire Department and the Texas Department of State Health Services concerning volunteer EMS staffing and authorize County Judge to sign said variance. (KF) Mr. King spoke on behalf of EMS explaining the variance they're asking the judge to sign.Commissioner Finster made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 16 of 33 CONTRACT DOCUMENTS FOR THE CALHOUN COUNTY EMS STATION SEPTEM BER 2016 BIG BOOK GOES HERE Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 20, 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 27, 2016. • Consider and take necessary action on a Request for Variance (Personnel) between Port O'Connor Volunteer Fire Department and the Texas Department of State Health Services concerning volunteer EMS staffing and authorize Judge Pfeifer to sign said variance. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 —Seadrift, Texas 77983 —email: kfinster@calhouncotx.org — (361) 785-3141 —Fax (361) 785-5602 10/20l2016 Calhoun County PcL4 Mail - Fwd: Request forFersonnel Variance for Port O'Connor VFD Gmajiu, crCornll;� April Townsend <april@pct4.org> Fwd: Request for Personnel Variance for Port O'Connor VFD 1 message kenny.finster <kenny.finster@pct4.org> To: april townsend <apol@pct4.org> Sent from my T-Mobile 4G LTE Device — Original message — From: Carl King <ciking@att.net> Date: 10/20/16 2:20 PM (GMT-06:00) To: Kenny Finster <kenny.finster@pct4.org> Cc: Judge Pfeifer <mike.pfeifer@caihouncotx.org> Subject: Request for Personnel Variance for Port O'Connor VFD Commissioner Finster, Thu, Oct 20, 2016 at 2:59 PM I have attached the documentation that we spoke about on the phone that I would like to have on the Court agenda for October 27, 2016. The same thing needs to be on the agenda for Olivia -Port Alto VFD (see ITEM 2 below) and I believe that Richard Parrish talked to Judge Pfeifer about their documentation. This process occurs every few years so that we can maintain a transport ambulance in those areas. Judge Pfeifer would need to sign the variance form for each agency. I would need to be appointed by the court to represent Calhoun County and administer a public hearing that would include a representative of Texas Department of State Health Services, someone from both VFD's, and the general public. The hearing would be advertised in the Port Lavaca Wave in advance. This would be done in order to heighten public awareness. ITEM 1: Consider and Take Necessary Action on a Request For Variance (Personnel) between Port O'Connor Volunteer Fire Department and the Texas Department of State Health Services concerning volunteer EMS staffing. ITEM 2: Consider and Take Necessary Action on a Request For Variance (Personnel) between Olivia - Port Alto Volunteer Fire Department and the Texas Department of State Health Services concerning volunteer EMS staffing. ITEM 3: Consider and Take Necessary Action to appoint Carl King, Calhoun County EMS Director, to represent Calhoun County in administering a required public hearing in order to heighten public awareness. I have attached the documents requiring Judge Pfeifer's signature. I have also attached the Rule that explains the Variance process and the Variance Request Guidelines for more information. It is my understanding that this process is subject to annual review by the Texas Department of State Health Services and it may be necessary to follow these guidelines on an annual basis. h".,Ilmall.google.comlmailld0l?uf=2&tk=lc3d32b741&vlew=pt&search=inbox&tli=157e3adf92241560&siml=157e3adr92241560 112 10120f2016 Calhoun County Pct.4 Mail - Fwd: Request for Personnel Variance for Port O'Connor VFD Please let me know if you need more information. I will be happy to discuss any of this process with you. Thanks, Carl Port OConnor VFD Request For Variance.pdf 31K httpslimail.google.com/maiVulO17u1=2&ik=lc3d32b741&view=pt&search-inbox&th=167e3adfM41560&simi=157e3adf=415W W Request for Variance Form 0 (Revised 8/2015) You have requested a variance from minimum BLS standards as authorized by the Health and Safety Code, Chapter 773 and the Implementing rules. In order to evaluate this request, please complete this form using addltional pages if necessary. Name of EMS Firm Port O'Connor Volunteer Fire Department Address EMS Firm License Number 1029004 101 South 6th Street P.O. Box 732 City - State Zip Port O'Connor ITexas 177RO2 Telephone Email 361-963-4604 Pocvrd�8mail.cem Do you have written documentation from a sponsoring governmental entity? If yes, please attach. O Yes O No Administrator of Record Telephone Email address Medical Director Name - Telephone Don Paul Bunnell, M.D. 361-6S2-6713' Email address . Address 815 N. Virginia City State Zip Pod Lavaca ITexas 177979 Equipment variance request? O Yes O No Specify the equipment variance requested and give reason(s) this is necessary. An Equal Employment Opportunity Employer Page 2 of 4 EMS personnel variance request? O Yes ® No Specify the personnel vadance requested and give resson(s) this is necessary (add additional page(s) if needed) We are the only service available In the immediate area of Port O'Connor, Texas. Calhoun County EMS, stationed In Port Lavaca, Texas, Is simultaneously dispatched with us 24 hours per day for all medical calls, vehicle accidents, etc. It Is difficult for us to staff an ambulance with two certified personnel during the hours of 6 am to 6 pm. it Is our desire to be approved for a personnel variance after a predetermined public hearing has been scheduled and completed. Other variance request? O Yes O No Specify and give reason(s) this Is necessary. (add additional page(s) if needed). Number of residents in Service Area 1200 Number of square miles in Service Area Number of Vehicles One Name of Training site Victoria College Number of square miles in Service Area 75 Name Certification level Attached List Source and amount of monetary support (Include local government support, fiscal and other resources.) (add additional page(s) If needed) Annual EMS Budget $2500 —� Name of other EMS providers in service area and distances between stations Signature of individual completing form Date r ry l ii/ 11,6110 Title Number of Vehicles Authorized One Distance so Expiration Date Source Amount Number of dispatched per month 115 EMS 705 Henry Barber Way Port Lavaca, Texas 77979 30 miles Signature of County Judge or designee Date -I— Title An Equal Equal Employment Opportunity Employer Page 3 of 4 Port O'Connor. Volunteer Fire Department October 17, 2016 Mr. Jeffrey Duncan DSHS- EMS Compliance 7430 Louis Pasteur Drive MC 5716 San Antonio, Texas 78229-4507 Ref: Variance Dear Mr. Jeffrey Duncan Our department is requesting a personnel variance during the hours of 6 AM and 6 PM. Due to volunteer work schedules, we are unable to crew our ambulance with two certified personnel at all times. Calhoun County EMS is dispatched at the same time we are and responds. We will experience no loss of service during the time period. The following will be placed in a notice posted in the newspaper for a public hearing: *Notice is hereby given the (Port O'Connor Volunteer Fire Department) has requested a variance from the Texas Department of Health to operate their EMS service while not in compliance with the law. The variance, if approved would allow the provider to operate their emergency vehicles (Without meeting the minimum staffing requirement of at least two certified Emergency Care Attendants between the hours of 6 AM — 6PM. Calhoun County EMS responds on all of ours calls so there will be no interruption of patient care) while responding to and transporting emergency patients. The hearing is scheduled for (date, time and location). The public is encouraged to attend. Mr. Carl King has been appointed to represent Calhoun County and will administer the public hearing. Sincerely. �� Z��9o4/ Nathan O'Neill poem Ni 0 _ TEXAS DEPARTMENT OF 40 ? ;, STATE HEALTH SERVICES �<'�,• EMERGENCY MEDICAL SERVICES PROVIDER & PRO LICENSE — PERSONNEL 40 Revised 8127/2015 Fax: 512.834.8714 Email: Emscartedshs.state.tx.us Name of Legal Entity: Legal Entity Assumed Name: *� v B**,QTEXAS D partment ur Stite F{eajlh Senrlces Lie #: 029M •Igltlai.Appii4hts:..: ®Complete Roster ,` f eneNialliapdUp""de g ;:, DAddhions p Deletions Current EMS Certification/License Identification # must be included for all personnel listed. TDSHS EMS Personnel C'eitificationlLlGense ldenttR tion#` Do Not List.88N Lagf Neme, Ffrat.Neme .- drrAlphabsflcalDrder Legal. ; . Paid or ; .. Volunteer: 1 $frliMehaeFGMTynbmraar 2, 735978 Lovett. Jackie EMT Volunteer g, 28817 Monnill, Michael Lic P Volunteer 4, 71050e O'Neill, Nathan EMT Volunteer j, 114388 Rhodes, Lynn EMT Volunteer 6. 700964 Wlatrok, John EMT Volunteer i. %rI!}SUC CProN6 G-na &GR VOL 8. 9. 10. Ll. 12. 13.. 14. p. 16. .1.7. 18. Pub1lcabn#:F0143089 - EFOt-13089 Serving till nf CalHnun Cowrty Eslablislted 1980 Calhoun County Emergency Medical Services 705 County Road 101 • Port Lavaca, Texas 77979 • www.calhouncountyems.com 361-552-1140 • 361-552-6552 Fax October 17, 2016 Mr. Jeffrey Duncan TDSHS - Region 8 7430 Louis Pasteur Drive San Antonio, Texas 78229-4507 Dear Mr. Duncan, Port O'Connor Volunteer Fire Department is a volunteer agency that provides BLS EMS care in Calhoun County. Calhoun County EMS responds simultaneously on every EMS call with this Carl Lee King Director of EMS CHAPTER 773. EMERGENCY MEDICAL SERVICES SUBCHAPTER A. GENERAL PROVISIONS § 773.052. Variances (a) An emergency medical services provider with a specific hardship may apply to the bureau chief for a variance from a rule adopted under this chapter. The board may adopt a fee of not more than $25 for filing an application for a variance. (b) On receipt of a request for a variance, the department shall consider any relevant factors, including: (1) the nearest available service; (2) geography; and (3) demography (c) The bureau chief shall grant to a sole provider for a service area a variance from the minimum standards for staffing and equipment for the provision of basic life-support emergency medical services if the provider Is an emergency medical services provider exempt from the payment of fees under Section 773.0581. (d) An applicant for a variance under Subsection (c) must submit a letter to the department from the commissioners court of the county or the governing body of the municipality in which the provider intends to operate an emergency medical services vehicle. The letter must state that there is no other emergency medical services provider in the service area. (a) The department shall grant a variance under Subsection (c) if the department determines that the provider qualifies and may deny the variance if the department determines that the provider does not qualify. The department shall give a provider whose application is denied the opportunity for a contested case hearing under Chapter 2001, Government Code. (f) The department shall issue an emergency medical services license to a provider granted a variance under this, section. The license is subject to annual review by the department. A provider is encouraged to upgrade staffing and equipment to meet the minimum standards set by the rules adopted under this chapter. Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended by Acts 1991, 72nd Leg., ch. 14, § 251, eff. Sept. 1, 1991; Acts 1991, 72nd Leg., ch. 605, § 4, eff. Sept. 1, 1991. Amended by Acts 1995, 74th Leg., ch. 76, § 5.95(49), eff. Sept. 1, 1995 M Equal Employment Opportunity Employer Page 4 of 4 TEXAS DEPARTMENT OF STATE HEALTH SERVICES (Revised 8/2016) N VARIANCE REQUEST GUIDELINES Dear Provider: This document has been prepared to serve as a guide in requesting a Variance from EMS standards with the Texas Department of State Health Services. Please read the instructions carefully. The necessary form(s) are enclosed for you convenience. Should you have any questions, please contact your respective EMS Program Specialist. In requesting a variance the following documentation/forms must be submitted to the field office. 1. The EMS provider shall complete the Variance Request Form and attach a letter explaining the need and/or reason for the request. 2. A request from the EMS sole provider shall be accompanied by: a. A letter from the government, county or city entity verifying status and stating there are no other EMS services in the area; and b. In the case of a personnel variance request, a plan for compliance within a designated time frame. Upon receipt of the variance request by the field office, a mutually agreeable date for a public hearing shall be determined between the provider and the field office. The purpose of the hearing is to heighten public awareness about all ramifications of having an EMS service which is in non-compliance with the law. At such time as a hearing date is established, it will be the responsibility of the provider to have published the date and circumstances of the meeting in a local newspaper. in addition to the date and circumstances involving the variance request, the following "paragraph shall be included in the notice. *Notice is hereby given that (name of provider) has requested a variance from the Texas Department of State Health Services to operate their EMS service while not in compliance with the law. The variance, if approved would allow the provider to operate their emergency vehicles (insert applicable statement listed below) while responding to and transporting emergency patients. The hearing is scheduled for (date, time and location). The public Is encouraged to attend. Statement choices: 1. Without meeting the minimum staffing requirement of at least two certified Emergency Care Attendants 2. While not meeting the minimum equipment requirements for having an approved and functioning (insert equipment item) on board 3. If other than the above, wording must be approved by the field office. This notice shall be published at least once a minimum of 24 hours prior to the scheduled public hearing. In addition to alerting the general public, notification of the public hearing should be forwarded to city and county officials. It will be the responsibility of the provider to either conduct the hearing or designate someone to do so. The Texas Department of State Health Services will make an effort to provide a staff member to be available to answer any questions regarding the taw and receive public input. Within ten (10) days following the public hearing, the field office will forward a recommendation and/or public input to the EMS/Trauma Systems Coordination Office for final consideration. Note: The provider will need to provide a copy of the newspaper containing the notice of public hearing prior to the start of the hearing in order to validate the process. M Equal Employment Opportunity Employer Pagel of 4 Consider and Take Necessary Action on a Request for (Personnel) Variance for the Olivia - Port Alto Volunteer Fire Department concerning volunteer EMS Staffing and authorize County Judge to sign said variance. (NF) Commissioner Fritsch made the motion and Commissioner Finster seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 17 of 33 Serving all of Calhoun County Established 1980 Calhoun County Emergency Medical Services 705 County Road 101 • Port Lavaca, Texas 77979 • www.calhouncountyems.com 361-552-1140 • 361-552-6552 Fax October 17, 2016 Mr. Jeffrey Duncan TDSHS - Region 8 7430 Louis Pasteur Drive San Antonio, Texas 78229-4507 Dear Mr. Duncan, Olivia -Port Alto Volunteer Fire Department is a volunteer agency that provides BLS EMS care in Calhoun County. Calhoun County EMS responds simultaneously on every EMS call with this a cy. Carl Lee King Director of EMS OLIVIA-PORT ALTO VOLUNTEER FIRE DEPARTMENT, INC. 61 County Road 318 Port Lavaca, TX 77979 Phone: (361) 893 5622 Fax: (361) 893 5622 October 1, 2016 Mr. Jeffrey Duncan DSHS- EMS Compliance 7430 Louis Pasteur Drive MC 5716 San Antonio, Texas 78229-4507 Ref: Variance Dear Mr. Jeffrey Duncan Department is request a personnel variance during the hours of 6 AM and 6 PM. Due to volunteer work schedules, we are unable to crew our ambulance with two certified personnel at all times. Calhoun County EMS is dispatched at the same time we are and responds. We will experience no loss of service during the time period. The following will be placed in a notice posted in the newspaper for a public hearing: *Notice is hereby given the (Olivia -Port Alto Volunteer Fire Department) has requested a variance from the Texas Department of Health to operate their EMS service while not in compliance with the law. The variance, if approved would allow the provider to operate their emergency vehicles (Without meeting the minimum staffing requirement of at least two certified Emergency Care Attendants between the hours of 6 AM — 6PM. Calhoun County EMS responds on all of ours calls so there will be no interruption of patient care) while responding to and transporting emergency patients. The hearing is scheduled for (date, time and location). The public is encouraged to attend. Mr. Carl King has been appointed to represent Calhoun County and will administer the public hearing. Sincerely. Ri ardE. Parrish 0 EMS personnel variance request? O Yes O No Specify the personnel variance requested and give reason(s) this is necessary (add additional page(s) if needed) UNABLE TO STAFF WMBULSNCE 6 AM TO 6PM DUE TO VOLUNTEERS WORKING. CALHOUN COUNTY EMS WILL RESPOND AT THE SAME TIME WE SRE DISPATCHED. WE WILL PLACE THE FOLLOWING AD IN THE PORT LAVACA WAVE ADVISING THE PUBLIC. Other variance request? O Yes O No Specify and give reason(s) this is necessary. (add additional page(s) if needed). Number of residents in Service Area 2500 Number of square miles in Service Area Number of Vehicles ONE Name of Training site VICTORIA COLLEGE Number of square miles In Service Area 100 Name Certification level Source and amount of monetary support: (Include local government support, fiscal and other resources.) (add additional page(s) if needed) Annual EMS Budget 1 $2000.00 Name of other EMS providers in service area and distances between stations [ �q Number of Vehicles Authorized ONE Distance 54 Source Number of dispatched per month 110 Expiration Date Amount CALHOUN COUNTY EMS 705 COUNTY ROAD 101 PORT LAVACA, TEXAS 77979 Signature of individual completing form Date Title Olivia -Port Alto EMS Administrator Signature of County Judge or designee Date Title Calhoun County Judge An Equal Employment Opportunity Employer Page 3 of Request for Variance Form (Revised 8/2015) You have requested a variance from minimum BLS standards as authorized by the Health and Safety Code, Chapter 773 and the implementing rules. In order to evaluate this request, please complete this form using additional pages if necessary. Name of EMS Firm EMS Firm License Number OLIVIA-PORT ALTO VOLUNTEER FIRE DEPARTMENT 029002 Address 61 COUNTY ROAD 318 City State Zip PORT LAVACA ITEXAS 177979 Telephone - Email (361)8935622 OR (361) 935 5055 piano@laward.net orrepl1-01-44@laward.net Do you have written documentation from a sponsoring governmental entity? If yes, please attach. OYes O No Administrator of Record Email address Telephone Medical Director Name Telephone DON PAUL BUNNELL M.D. (361) 552-6713 Email address Address 815 North Virginia City State - Zip PORTLAVACA ITEXAS 177979 Equipment variance request? O Yes O No Specify the equipment variance requested and give reason(s) this is necessary. An Equal Employment Opportunity Employer Page 2 of TEXAS DEPARTMENT OF STATE HEALTH SERVICES (Revised 812015) -, VARIANCE REQUEST GUIDELINES Dear Provider: This document has been prepared to serve as a guide in requesting a Variance from EMS standards with the Texas Department of State Health Services. Please read the instructions carefully. The necessary forms) are enclosed for you convenience. Should you have any questions, please contact your respective EMS Program Specialist. In requesting a variance the following documentation/forms must be submitted to the field office. 1. The EMS provider shall complete the Variance Request Form and attach a letter explaining the need and/or reason for the request. 2. A. request from the EMS sole provider shall be accompanied by: a. A letter from the government, county or city entity verifying status and stating there are no other EMS services in the area; and b. In the case of a personnel variance request, a plan for compliance within a designated time frame. Upon receipt of the variance request by the field office, a mutually agreeable date for a public hearing shall be determined between the provider and the field office. The purpose of the hearing is to heighten public awareness about all ramifications of having an EMS service which is in non-compliance with the law. At such time as a hearing date is established, it will be the responsibility of the provider to have published the date and circumstances of the meeting in a local newspaper. In addition to the date and circumstances involving the variance request, the following `paragraph shall be included in the notice. *Notice is hereby given that (name of provider) has requested a variance from the Texas Department of State Health Services to operate their EMS service while not in compliance with the law. The variance, if approved would allow the provider to operate their emergency vehicles (insert applicable statement listed below) while responding to and transporting emergency patients. The hearing is scheduled for (date, time and location). The public is encouraged to attend. Statement choices: 1. Without meeting the minimum staffing requirement of at least two certified Emergency Care Attendants 2. While not meeting the minimum equipment requirements for having an approved and functioning (insert equipment item) on board 3. If other than the above, wording must be approved by the field office. This notice shall be published at least once a minimum of 24 hours prior to the scheduled public hearing. In addition to alerting the general public, notification of the public hearing should be forwarded to city and county officials. It will be the responsibility of the provider to either conduct the hearing or designate someone to do so. The Texas Department of State Health Services will make an effort to provide a staff member to be available to answer any questions regarding the law and receive public input. Within ten (10) days following the public hearing, the field office will forward a recommendation and/or public input to the EMS/Trauma Systems Coordination Office for final consideration. Note: The provider will need to provide a copy of the newspaper containing the notice of public hearing prior to the start of the hearing in order to validate the process. An Equal Employment Opportunity Employer Page 1 of 4 a Request for Variance Form (Revised 8/2015) You have requested a variance from minimum BLS standards as authorized by the Health and Safety Code, Chapter 773 and the implementing rules. In order to evaluate this request, please complete this form using additional pages if necessary. Name of EMS Firm EMS Firm License Number OLIVIA-PORT ALTO VOLUNTEER FIRE DEPARTMENT ---� 029002 Address 61 COUNTY ROAD 318 City State Zip PORTLAVACA TEXAS 177979 Telephone Email - (361)8935622 OR (361) 935 5055 ptalto@laward.net orrep11-O)-44@laward.net Do you have written documentation from a sponsoring governmental entity? If yes, please attach O Yes ®No Administrator of Record Telephone Email address C Medical Director Name Telephone DON PAUL BUNNELL M.D. (361) 552-6713 Email address Address 815 North Virginia City State Zip PORT LAVACA ITEXAS 177979 Equipment variance request? ® Yes O No Specify the equipment variance requested and give reason(s) this is necessary. An Equal Employment Opportunity Employer Page 2 of 4 EMS personnel variance request? O Yes O No Specify the personnel variance requested and give reason(s) this is necessary (add additional page(s) if needed) 1NABLE TO STAFF AMBULANCE 6 AM TO 6PM DUE TO VOLUNTEERS WORKING. ,ALHOUN COUNTY EMS WILL RESPOND AT THE SAME TIME WE ARE DISPATCHED. NE WILL PLACE THE FOLLOWING AD IN THE PORT LAVACA WAVE ADVISING THE PUBLIC. Other variance request? O Yes O No Specify and give reason(s) this is necessary. (add additional page(s) if needed). Number of residents in Service Area 2500 Number of square miles in Service Area u Number of Vehicles ONE Name of Training site VICTORIA COLLEGE Number of square miles in Service Area 100 Name Certification level Source and amount of monetary support: (Include local government support, fiscal and other resources.) (add additional page(s) if needed) Annual EMS Budget 1 $2000.00 Name of other EMS providers in service area and distances between stations Signature of individual completing form Date Title Olivia -Port Alto EMS Admistrator LIST Number of Vehicles Authorized ONE Distance 54 Expiration Date Source Amount Number of dispatched per month Ito :;ALHOUN COUNTY EMS 705 Henry Barber Way PORT LAVACA, TEXAS 77979 Signature of County Judge or designee Date i Title An Equal Employment Opportunity Employer Page 3 of 4 CHAPTER 773. EMERGENCY MEDICAL SERVICES SUBCHAPTER A. GENERAL PROVISIONS § 773.052. Variances (a) An emergency medical services provider with a specific hardship may apply to the bureau chief for a variance from a rule adopted under this chapter. The board may adopt a fee of not more than $25 for filing an application for a variance. (b) On receipt of a request for a variance, the department shall consider any relevant factors, including: (1) the nearest available service; (2) geography; and (3) demography. (c) The bureau chief shall grant to a sole provider for a service area a variance from the minimum standards for staffing and equipment for the provision of basic life-support emergency medical services if the provider is an emergency medical services provider exempt from the payment of fees under Section 773.0581. (d) An applicant for a variance under Subsection (c) must submit a letter to the department from the commissioners court of the county or the governing body of the municipality in which the provider intends to operate an emergency medical services vehicle. The letter must state that there is no other emergency medical services provider in the service area. (e) The department shall grant a variance under Subsection (c) if the department determines that the provider qualifies and may deny the variance if the department determines that the provider does not qualify. The department shall give a provider whose application is denied the opportunity for a contested case hearing under Chapter 2001, Government Code. (f) The department shall issue an emergency medical services license to a provider granted a variance under this section. The license is subject to annual review by the department. A provider is encouraged to upgrade staffing and equipment to meet the minimum standards set by the rules adopted under this chapter. Acts 1989, 71st Leg., ch. 678, § 1, eff. Sept. 1, 1989. Amended by Acts 1991, 72nd Leg., ch. 14, § 251, eff. Sept. 1, 1991; Acts 1991, 72nd Leg., ch. 605, § 4, eff. Sept. 1, 1991. Amended by Acts 1995, 74th Leg., ch. 76, § 5.95(49), eff. Sept. 1, 1995 An Equal Employment Opportunity Employer Page 4 of 4 Consider and Take Necessary Action on appointment of Carl King, Calhoun County EMS Director, to represent Calhoun County in administering a required public hearing in order to heighten public awareness. (KF) Commissioner Finster made the motion and Commissioner Galvan seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 18 of 33 Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 October 20, 2016 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 INOWIN Oki 107e1IN4& Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for October 27, 2016. o Consider and take necessary action to appoint Carl King, Calhoun County EMS Director, to represent Calhoun County in administering a required public hearing in order to heighten public awareness. Sincerely, Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Consider and Take Necessary Action to authorize a loan in the amount of $40,606 from the General Fund to the Grants Fund for the 2016 Homeland Security Grant Program approved in Commissioners Court on 10-17-2016 for the purchase of radios in the Port O'Connor, Seadrift, and Six Mile Community Volunteer Fire Departments. (MP) Commissioner Finster made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 19 of 33 Susan Riley From: Candice Villarreal<candice.villarreal@calhouncotx.org> Sent: Thursday, October 20, 2016 10:24 AM To: susan.riley@calhouncotx.org; michael. pfeifer Cc: Roger Galvan; vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org; Kenneth Finster; cindy.mueller@calhouncotx.org Subject: Agenda Item Susan, Please place the following on the next Commissioners Court agenda: Consider and take necessary action to authorize a loan in the amount of $40,606 from the General Fund to the Grants Fund for the 2016 Homeland Security Grant Program approved in Commissioners Court on 10/17/16 for the purchase of radios in the Port O'Connor, Seadrift, and Six Mile Community Volunteer Fire Department's. Thank you, Candice Villarreal Calhoun County Auditors Office Phone:(361)553-4612 Fax. (361) 553-4614 candice.villarreal@calhouncotx.org Consider and Take Necessary Action on Resolution Authorizing County Grant from the Texas Department of Agriculture Texas Feeding Texans: Home Delivered Meal Grant Program for the Calhoun County Senior Citizen's Center. (MP) Commissioner Galvan made the motion and Commissioner Fritsch seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 20 of 33 TEXAS DEPARTMENT OF AGRICULTURE TEXANS FEEDING TEXANS: HOME DELIVERED MEAL GRANT PROGRAM RESOLUTION AUTHORIZING COUNTY GRANT A Resolution of the County of Calhoun, Texas (County) certifying that the County has made a grant to the Calhoun County Senior Citizens Association (Organization) an organization that provides home -delivered meals to homebound persons in the county who are elderly and/or have a disability and certifying the County has approved the organization's accounting system or fiscal agent. WHEREAS, the Organization desires to apply for grant funds from the Texas Department of Agriculture to supplement and extend existing services for homebound persons in the County who are elderly and/or have a disability, pursuant to the Home -Delivered Meal Grant Program (Program); and WHEREAS, the Program rules require the County in which an Organization is providing home - delivered meal services to make a grant to the Organization, in order for the Organization to be eligible to receive Program grant funds; and WHEREAS, the Program rules require the County to approve the Organization's accounting system or fiscal agent, in order for the Organization to be eligible to receive Program grant funds. WHEREAS, the County recognizes Monica Pelech (Authorized Official) as an official of the Organization. BE IT RESOLVED BY THE COUNTY: SECTION 1: The County hereby certifies that it has made a grant to the Organization in the amount of $35,000 to be used between the: 1st of January, 2016 and the 311 day of December, 2016 SECTION 2: The County hereby certifies that the Organization provides home -delivered meals to homebound persons in the County who are elderly and/or have a disability. SECTION 3: The County hereby certifies that it has approved the Organization's accounting system or fiscal agent which meets financial management system requirements as set forth in Uniform Grant management Standards. Introduced, read and passed by the affirmative vote of the County of this 27th day of October, 2016. Signature of Authorized O icial Michael J. Pfeifer, Calhoun County Judge Typed Name and Title Consider and Take Necessary Action on request by the Six Mile Community Volunteer Fire Department to apply for Forestry Grants. (VL) Jon, Fire Chief of Six Mile Community Volunteer Fire Department spoke to the commissioners about grants that have been submitted. Commissioner Lyssy explained that he recommended them (Six Mile Community Volunteer FD) come to the court to make everyone aware of the grants they applied for. Commissioner Lyssy made the motion and Commissioner seconded that motion Fritsch Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 21 of 33 Vern Lyssy Calhoun County Commissioner, Precinct #2 581.2 FM 4090` (361) 552-9656 Port Lavaca, TX 77979 Fax (361) 553-6664 rY 4F ,; M1y October 7, 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 ® Consider and take necessary for Six Mile Community Volunteer Fire Department to apply for Forestry Grants. 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For CAFS equipped vehicles, the maximum grant assistance per vehicle is $218,000 Minimum Standards and Specifications for Firefighting 93p%of';he aGruai c©sE ,at to exceed .i;100,000 Vehicle= 1VfA1..f_ CP..US1-1 in grant asai.stance per vehicle. for CAFS Notice Regarding New Fire (RUCK equtppod vehicles, the maximum grant Trucks assistance per vehicle Is $11%000 i wjq *"d S p' S i o r C'1e:F ;111@ GAFF ;10%cif the actual Bost not to exceed $45,000 TRUGN C HASSiS in grant assistance per .'anali treicli c,haWz or S90,000 per large tvock ghas_`as' C10%of the aefuai Coo( nai to oxesoci'20,000 SUP-014 1-1011 In chant issistaltce. For OAFS equipped .gip- S"UquAcd Sv t, MAI K, on units. thn maxinlumranC assistance per GAF unit 3s SWt?0 FMSCti[ EUMPMEN7 includes: 9CR,A ihen"al Garnv-a Extricatinn bpapment !S /a of the actual cost rani to exceed $15,000 Cascade t,_Vsteua Coal' Lags in grant aasislince Many ntlaer items Cenuct U5 N401 reap sit ons RRE EQUIPMENT inchide's,: Hose 7 )% of the a0iii Cost not t0 exceed $15,000 Emergency Lighting in grant aa5i3lanr,@, Portable Tanis Generator Nor::ies Pl tshligh[s Small Engwe (NIMp) Dire Pkillip veriul oon Fan, venwallan u2Wd I adclels Gear Say klarly Other c)mwim us .01 quez.dOns STRUCTURAL GEAR MCP 1 C>f t€iE' ilC1,NH1 Cast n+ht to QAC�'V'tI .> 4.1 (Jill SLYt t .' SI av s z � � grG �'- C.N2 3ce 'StTmQtural PPE in grant assistance r _l 1 e t (Pp�) G.+ dll [MC"' Gumewes tar a UM of ei wI le Runs Wll_nLAIvin GEAR See VVIRIland PPS y'aslt a=; ,Pstun�,C <it,)3 �_ �..3 �.4 {f-i,}_) �..`,,� �...1? ..> sl �11;dciinss tar a rat �� oii¢lAW i€enhs ) RAINING !Wl include,: lraining1 "mmy lwgeclor rescue mannequins smake tuaclhines pivicUcc €ire shelters } R0°/, of the aetua€ cast teat la exceed S,00e C-qui€3mont 31flRiId`llOp { gr£iklt aswswrice devices compulers (tine Pei, awe l tl) Nliflny ofher 1t4Dmn- comas us With quesflKids 100OX, of the actu-,d co et of roMP01lent5 not la lRl° € IYCIRANTS (?)<ceEcl h'1,200per iKlstatlatkin t-ith a n ax11 urn Of $8,400 m gvaM aasiSkMlce '1 ifiQ/ or ll3o actual coo( Of hiltion na( to exceed S i t. I)nr flat g ❑P tO a niaxlnlonl of TPAIOING TUITION Zs2S per trainee per schoeal The ANIRVAL Trawny T1,E{tOnGuvyinw, NIMPBUP€ for all 11•a€tiInu i`u€tian wlla nssishiuce per depw bnow is M U00. The Texas Rural VFD Assistance Program provides funding to rural VFDs for the acquisition of firefighting vehicles, fire and rescue equipment, protective clothing, dry -hydrants, computer systems and firefighter training. It is a cost -share program funded by the Texas State Legislature TFS requires a 10% match for all grants received by each department on all equipment, including gear. AT this time 6 Mile Community VFD has 2 pending grants with the Texas Forest service: 1. Request 1 for a Large Brush Truck that will be used as a dual purpose truck, Vehicle Accident Response and Brush Fires as needed. Grant request is $200,000 or $218,000 with CAFS (Compressed Air Foam System) Total 10% match will be $20,000.00 or $21,800.00 with CAFS (Compressed Air Foam) *Last truck awarded to 6 Mile was the 3000 Gallon Tanker in September 2010 at a cost of $155,000* 2. Request 2 is for a small brush truck at a cost of $111,500.00. Match required would be (10%) approximately $11,500.00. ( NOTE: According to TFS, if a department receives a truck award, it will be approximately 8 years before another truck will be awarded again.) The next funding meeting with TFS is set to be held on March 8' 2017 at 0900, TFS meets quarterly. Sincerely, Jon Amaimo-6 Mile VFD Chief Consider and Take Necessary Action on Wildlife Trapper Contract with the Texas Wildlife Services Program and authorize County Judge to sign. (VL) Commissioner Fritsch made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 22 of 33 Vern Lyssy Calhoun. County Commissioner, Precinct #2 5812 FM 1090 w 'f* (361) 552-9656 Port Lavaca, TX 77979 Fax (361) 553-6664 2 a,� GNrY OF C�'� September 26, 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 13, 2016 Consider and take necessary to renew Wildlife Trapper Contract with the Texas Wildlife Services Program and for Judge Michael Pfeifer to sign said contract. Sincerely, Vern yL ssy VL/Ij Lesa Jurek From: Erskine, Deborah W - APHIS <Deborah.W.Erskine@aphis.usda.gov> Sent: Thursday, September 22, 2016 11:18 AM To: 'Lesa Jurek' Subject: RE: Contract Attachments: FY 17 MF-6.pdf Lesa, Good Morning! I have attached the FY 16 field agreement for Wildlife Damage Management and Predatory Control contract to this email. Please print three(3) copies and have the Judge sign and date all three(3) copies of the agreement on the top line at the bottom of the contract. Once I receive the three(3) signed copies, I will have the District Supervisor Gary McEwen sign them and send to the State Office for the final signature by the State Director, Mike Bodenchuk. The State Office will then return to me two(2) copies with the original signatures and I will return one (1) copy to you for your records. We look forward to working in Calhoun County. Thanks, Deborah Erskine District Office Manager Texas AgriLife Extension — WS P.O. Box 604 Bryan, Texas 77806 (979) 845-6201 deborah.w.erskine@aphis.usda.gov From: Lesa Jurek[mailto:lesa.iurek@calhouncotx.org) Sent: Wednesday, September 21, 2016 10:46 AM To: Erskine, Deborah W - APHIS <Deborah.W.Erskine@aphis.usda.gov> Subject: Contract I believe it is that time of year to renew our Predatory Control contract. Can you please send me a Field Agreement either by email or US mail I will get things going on this end. Thank you for your assistance. �&aa 3&ml Office Manager Calhoun County Pct. 2 5812 FM 1090 Port Lavaca, Texas 77979 361/552-9656 361/553-6664fax 1 W-6 (06/2008) - - Agreement No. FIELD AGREEMENT Among U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services' ' _ .. and . Texas AgriLife'Extension Service = Wildlife Services and Texas Wildlife.DamageManagement Association, Inc. and Calhoun County Cooperator In accordance with the terms of the Memorandum of Understanding between the United States Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services; The Texas A&M University System, Texas AgriLife Extension Service - Wildlife Services; and the Texas Wildlife Damage Management.Association, Inc. (collectively known as the Texas Wildlife Services Program LTWSP]) a copy of which is on file at the State Office, San Antonio, Texas, this field agreement is intended to augment the wildlife damage management activities of the TWSP. THEREFORE, It Is Mutually Agreed That: 1. The cooperative wildlife damage management program conducted under the terms of this agreement shall be under direct supervision of the U.S. Department of Agriculture, Animal and Plant Health Inspection Service, Wildlife Services. A local representative of the TWSP will frequently consult with the Cooperator relative to the extent of the TWSP's participation in the plans and procedures that are necessary to best serve the interest of the parties hereto. 2. The Cooperator will provide fonds to the Texas Wildlife Damage Management Fund for the employment of personnel, fi'inge benefits, payment of travel and other expenses as necessary to fulfill the mission of the cooperative program. The TWSP will contribute to the salary, travel costs, and all other necessary expenses to carry out aneffective program. 3. The State Director of the TWSP or designated official will certify as to the accuracy of all claims to be paid by any party to this agreement and shall perform such other administrative functions as are agreed upon from time to time; provided, that no funds of the Cooperator will be transferred to any such employee working under the terms ofthis agreement. 4. Authority exists under the Animal. Damage Control Act of March 2, 1931, (7-U_S.C. 426-4260, as amended) and the Rural Development, Agriculture, and Related Agencies Appropriations Act of 1988 .(P.L. 100-202) for Wildlife Services to cooperate with states, individuals, public and private agencies, organizations, and institutions in the control of nuisance animals injurious to agriculture, horticulture, forestry, animal husbandry, wildlife, and public health and safety. 5. The TWSP will hold the Cooperator harmless from any liability arising from the negligent'act or omission of an officer of a managing cooperative entity or employee acting within the scope of his/her employment to the extent compensation is available pursuant to the Federal Tort Claims Act (FICA), 28 USC 2671 et seq., except to the extent that aforesaid liability arises from the negligent acts or omissions- of the Cooperator, their employees, agents, or subcontractor(s). Such relief shalt be provided pursuant to the procedures set forth'in the FICA and applicable regulations. 6. Furs or other parts of monetary value.taken from wild animals will be handled inuceordance with the provision of Article 3 f. of the Memorandum of Understanding. i 7. This agreement and any continuation thereof shall be contingent upon availability of funds. It is understood and agreed. that any monies allocated for the purpose of this agreement shall be expended in accordance with its terms' and in the manner prescribed by the fiscal regulations and/or administrative policies of the appropriate managing cooperative entity that is making the funds available. 8. This agreement shall continue in force and effect until superseded or terminated. Terms and service fees may be reviewed and revised periodically. It may be amended by mutual agreement by executing a corresponding field agreement. This agreement may be terminated by either party upon thirty (30) days written notice. ' NOW, ZHEREPORR; Pursuant To Section 2 Above, It Is Mutually Agreed That: 1. The TWSP shall furnish supervision of the project and shall provide equipment and other supplies required in the operation of the project. 2. The Cooperator sk all pay the Texas Wildlife Damage Management Fund for wildlife damage management services in the amountof$200.00 Per Day /Not to Exceed $12000:00 for the period: January 1 , 2017 to December 31 , 2017 to bea.pent primarily for the purposes outlined herein: - Wildl-ife Damage Management and Predatory Control The Cooperator further agrees to make this payment to the Texas Wildlife Damage Management Fund promptly upon receipt of a monthly invoice for services provided. The TWSP will provide a report of the wildlife damage management activities. Failure of the Cooperator to make this contribution within thirty (30) days after receipt of this invoice will, at the option of the TWSP, terminate the agreement at the end of the period. -. . IN WTNESS WHEREOF, -the duly authorized officers of the parties hereto have executed this agreement on the dates opposite their Ab respective signs res. By C to District Supervisor By State Director S-rXrE OFFICE CERTIFICATE OF INTERESTED PARTIES FdRM 1295 OFFICEUSE ONLY Complete Nos. 1 . 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 3, and 6 It there are no interested parties. 1 Name of businessenttty Hiing form, and the city, state and country of the business entlty's piece of business. Texas Animal Damage Control Assn. dba Texas Wildlife Damage Management Fund - 2 Name:of governmental fly or state agency that Is a party tc the-cantraot-tor which the form Is batng filed. Calhoun County, Texas a provide the identification number used by the governmental entity or state agency to track or Identify the contract, of the or services to be provided under the contract, and provide a description. goods To be completed by Calhoun County, Texas. a City, state, Country Nature of Interest (check applicable) - Name oflnterestedParty (place of business) ;SanAntonio, Controlling tntar''m��ejdfary Michael J. Bodenchuk Texas, USA z Ej E F Q E EEl El 70E �n 1� 1 5 Check only It there Is NO Interests d Party. e AF67DAVff 1 swear, of affirm, under penalty at perjury, that the ue;diaelosura 'ittrue and correct.- T. t'- LE6 _ NoprypitbUc - hatu of aulhodzed agani c1 contras ng xds ness eni)ty State of Texas nv+n,is03„iol9 i , this iha.�.,tley Sworn tan etqabyla o�tu certify which, WHAOSS my hand a Baal Of oteae �T e— aienuluraorof}loar edminialming oath Priniadnnme o1 Deicer adminlstadng oath Trlla of tiff er administering oath ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission www.alhkastOflOA %JS Adopted101V2gi5 Accept reports of the following County Offices: Calhoun Tax Assessor/Collector- September 2016 County Treasurer County Sheriff- September 2016 District Clerk County _Clerk- June 2016 Justices of Peace County Auditor Floodplain Administration Extension Service- September 2016 Health Department Adult Detention Center SHP Medical Commissioner Judge made the motion and Commissioner Fritsch seconded that motion Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 23 of 33 SHERIFF'S OFFICE MONTHLY REPORT SEPT. 2016 BAIL BOND FEE $ 960.00 CASH BOND $ 3,500.00 CIVIL FEE $ 663.99 JP#1 $ 1,179.10 JP#3 $ 2,067.00 TOTAL: $ 8,370.09 910LBIL Zd01 slaod3U HRMS"U1919f909'0S919Dd39 MnSv Vl OW NOLOnN IHIN0VA6190d3 `Wn 99'Ol0'Z 'OL'BZS6z ` 9E'£VE'TE S ¢::N3HnSV3N101 $ ;Sd3H10013na 1Nnow Hnu Mno V 0019V6 $ 9Z'ZI8,04 $ OVL£6'9 $ 9£'0££`fE (00,0 9VIDVE'6£ 00'0V9'Z $'-,:S1d133RMIV101 $ WOUDS3 NI gldH$ONOd $ 1331031100 WINN 1V101 $ MOW d0013nn $. 95666 0666 3OV101 Ann $. 56666.0666 A133VS u3lViA 33na11M@ SXUVd 5VX31013na 00'00dZ $I 00'000Z $ V6666-0666 3311GIlM 1 SXUVd SVX3101Ann $ $ :. £6666-0666 Old 11103W031NIOd 01 AM 601 $r 601 $ Z6666-0666 ad JHIUaV9S Ana 99'£4 $: '99'£V $ :' T66660666 ad VJVAHI lU0d And 90'ZO $ 90'ZEV $ OVLOZ-OS61 31V1S- 1N3WAVd 3WI1 80'Z£6 $ 90'ZET $ OT90bOSGL A1N00J-1N3WAVd AM E9'zz $ £9'Z9 $ OVLOZ-5981 31VIS- 331 ASWAN IN39ION1 097 $ OSZ $ OT90Z-5981 A1N= 334 3SN3490 IN39IONI SEW $ S£'OL $ OPLOZ-0984 31V1S- 3NN OHIVU131VIS ZVV $ ZV'V $ 0190Z-098L Al AM- 3NH 3I33VU131V15 ZZ'SV $ ZZ'SV $ OVLOZ-LSBL 31V1S- 33J 1NAVUSUnfi11413U Alin[ COT $ EO'S $ OT90Z-LS8L ALNno73il INIVUSMOINQU Allnf 09'0 $ 09'0 $ OVLOZ-666-958L ism 1U n033SO31DI 0001-666`SSBL 3333unswislONoN OO'Wz $ oo'b VZ. ¢ 88LOMS81 31V15- S39VIUNVW IVWuod OZ'V8V $ 00'OZT $ OZ"V98 $ 99LOZ-SSHL 333 iviDlunf oV'VOV $ OV'VOI $ OUOZ-SS8L 31V1S-HIM 94'0 $. 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OI1VIl1ON003H NNV9 41489'6 9TOZ/OE/9 aONVlV9 N009 ONIONS 4 1 QZ'LEL) $ S1NMARNneSl0 - $ O3/N3OM ONnd 06'06L'0 $ 9TOZ/T4/S i 3ONVlV9 MOOS ONINNIO39 LtlL111dbD3N lUOd3N A1HINOW NN310 AlNnOD Nn0H1tl0 ONnd 1snHl'ONVH NO HSVO ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 716 Selected maior activities since last report- Sept 2016 Sept 1 —Attended Healthy South Texas Training in Kingsville. Sept 3 — 4-H had a fundraiser at annual flip flop event, 4-H sold hot wings, frozen tea, and played chicken poop bingo Sept 6 — Worked with CHS life skills class. We planted tomatoes, broccoli, and cauliflower. Sept 6 — Met with the principal at POC elementary about starting a Learn Grow Eat Go garden at the school. Sept 6 — Help a Trap and Skeet informational parent meeting to recruit volunteers and coaches. Sept 7 — Help a Junior Livestock Committee meeting. Sept 8 —Attended program planning in Rosenberg. Sept 9 — Met with students at POC Elementary to discuss the LGEG gardening program. Sept 10 — Held Fair work day to set up for fair. Sept 10 — Held a Poultry Clinic Sept 10 — Held a lamb, goat, steer, and heifer progress show. Sept 12 — Worked with life skills class to make seed tape to plant carrots radishes, and flowers. Sept 12 — Attended All Around 4-H club meeting to discuss upcoming events. Sept 13 — Held Rabbit Tag in. 43 pens of rabbits were validated. Sept 14 — Met with District 4-H specialist, to tour possible facility for 4-H spring spectacular. Sept 14 — Held registration for 4-H Dance program. Sept 14- Held Livestock judging practice. Sept 15 — Gave presentation to CHS freshman ag classes. Sept 15 — Attended Mariner 4-H meeting Sept 15 — Held Livestock judging practice Sept 15 —Attended Fair Board meeting Sept 16 — Met with Mrs. Bethany with special programs to discuss 4-H Spectacular show. Sept 17 — Took kids to Washington County Fair to compete in Livestock Judging Contest. Sept 18 — Held a rabbit clinic Sept 20 — Held a rabbit clinic Sept 21 — Held Livestock Judging practice. Sept 21 — 4-H Dance project Sept 26 — Held 4-H Council Meeting Sept 28 — Held Livestock Judging practice. Sept 28 — 4-H Dance project Sept 29 — Attended Fair Parade meeting Sept 30 — Took kids to Waller County to compete in Livestock Judging, Keegan Brumfield took High point individual in the senior division. Sept 30- Oct 1 — Held District Council Retreat in Victoria. Direct Contacts: Phone:94 E-mail/Letters:498 Office:17 Site:32 Maior events for next month — Seot 2016 Oct 2-8 — National 4-H Week Oct 11-16 — Calhoun County Fair Oct 18 — Calhoun Retired Teachers lunch Oct 24 — Council meeting Eric Taylor Calhol Name County County Extension Agent —4-H & Youth Develooment September 2016 Title Date (Month -Year) Texas AgriLife Extension Service - The Texas A&M University System - College Station, Texas ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled :707.60 Selected maior activities since last report -September 2016 September 1: Tina and her colleagues attended a HST(Healthy South Texas) Fall Meeting. Where they talked about what is planned and expected for the coming year. September 6: Tina held a HST Coalition meeting where they started planning for the upcoming diabetes expo, Tina also had a meeting for anyone interested in participating in the food challenge, September 7: Tina Attended the program planning meeting where they talked about upcoming planning year and what we are planning on accomplishing. September 12-16; tina attended the TEEA( Texas Extension Educators Association) State Conference in Plano Texas, Tina was able to bring knowable program ideas back to Calhoun county. September 19: Tina went to CHS life Skill class where they made pumpkin muffins and the students learned how to grow pumpkins and the process they go through so we can cook with pumpkin. Tina also attended a clothing and textile meeting where they made bags out of feed sacks. September 20: Tina went to assist the Victoria County Agent with the car seat check. September 22: Tina Went to travis middle school life skills class where they made pumpkin muffins and the students learned how to grow pumpkins and the process they go through so we can cook with pumpkin. September 26: Tina held a HST coalition meeting where they are working on planning and finalizing the diabetes exp September 29: Tina attended the dinner tonight run through in Victoria to get ready for the farm and ranch show. On October 20. Direct Contacts: Phone:280 E-mail/Letters:275 Office:15 Site:10 W ebsite/N ews paer:4700 Maior events for next month —October 2016 Calhoun County Fair Diabetes Expo Life Skill cooking class at travis and chs Calhoun HST Coalition meeting TEEA Meeting Travel(Personal Vehicle) In County Mileage: 12.4 Out of County Mileage:455.20 Tina Trevino fh^ � Calhoun Name County County Extension Agent -Family and Consumer Science September 2016 Title Date (Month -Year) Texas A&M AgriLife Extension Services • College Station, Texas ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled: 1108.5 Selected major activities since last report September 1: All agents were expected to attend the Healthy South Texas Fall Meeting in Kingsville, therefore, I attended. September 7: The Extension Program Planning Workshop in Rosenberg was also a required meeting which I attended. September 16: 1 took the OLG 8`h grade students on a kayaking trip up Chocolate Bayou. Our two hour trip involved looking at plants, birds, fish and collecting marine debris. The students learned to work with their partner in the tandem vessels and navigate safely to and from the boat ramp. September 21: I attended the Breakfast on the Bay meeting sponsored by Russel Cain to network with other Chamber of Commerce members and hear the presentation given by Port Director Charles Hausman. September 24: Once again, I coordinated the Adopt -a -Beach cleanup at Magnolia Beach. Approximately 2,375 pounds of trash was removed from the beach by the 121 volunteers who attended the event. September 29: I attended a workshop on managing stormwater runoff titled Gutter to Gator at the Gulf Coast Bird Observatory in Lake Jackson. September 30: With volunteer help from Charlie Jones, I installed the fast boat library at Magnolia Beach on the kiosk by the crabbing bridge. As part of the AgriLife program "Families Reading Every Day" (FRED) these free neighborhood libraries are designed to encourage more reading by both youth and adults to increase literacy in Calhoun County. A vast amount of time this month has been dedicated to preparing for the Calhoun County fair and entering 2017 plans into the computer for AgriLife Extension. I have also spent time writing an article for Sea Grant's Texas Shores magazine and began serving on a search committee for the next Sea Grant Extension team leader. Direct Contacts by: Office: 18 E-mail/Letters:369 Site:224 Newsletters:1009 Volunteers: 121 Major events for next month — October 2016 October 4: National Night Out October 6-15: traveling to Newport, RI for Sea Grant Week October I 1-15: educational exhibit at Calhoun County Fair October 19: Volunteer training with Children's Discovery Museum for Jr. Marine Exploration Week October 19: Conducting Continuing Professional Education for teachers on Coastal Ecology October 21: Attending Texas Water Day in Montgomery, TX October 27: San Antonio Bay Foundation Board meeting at Falcon Point October 30: on -site volunteer training at Lighthouse beach for Jr. Marine Exploration week Rhonda Cummins Name CEA - CMR Title Calhoun County September 2016 Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Sea Grant Metrics • Number of Events: Number of People at Events: 121 Number of Presentations: 0 o Number of People at Presentations: • Number of K-12 Educational Activities: 1 o Number of Youth: 13 o Number of Educators: 2 • Number of Certificates Issued: 0 • Number of Volunteer Hours: 321 \\ N N a a W a W a W a W W a W` s •- � � -`- - p� 3 p p 0 0 0 O C O O N a a a _a a a O a �O° a a O� a N U t` � L w �a pe ` R ry� ((a N Z _P N 0 0 0 0 0 0 0 0 0 0 0 a 0 a 0 N 0 N 0 a 0 a 0 [.� 0 13 0 a 0- O N O N P a O A7 0 a a a N ® Q a a 0 0 0 0 ro aa`, a. e. rn rn rn rn a. a °` � m rn rn a a a a a 5 St a 0 w to _w D -t W< v? 0 w sn 0 o •a n N w O H m z! r^ mm •0 O m x v_� p S Z O S q n w H n _ m �� .°ti Cl .0 o b o p ro •' .'d ° y p •o p p amC5n o o= o Ts o d re v -� w °w° �i c m N to a n a o o a �° o f r i rt m �•. 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M o 0 N Nr MC Of 1 O G O ui N cm t0 co LfO N M LO r H N 69 to Q) !!7 fA M to fA fA Vi di (/1 n r r N r n tp O M M e- N Y1 n m O O t0 n a W) N cm v to 00 11 N le O <f t0 w r 00 00 N el r r N O N t0 c' r r pj to t. 40�tR Vk 60) filk to t» to to t» to ttr to Z O F U W J J U J F 0 w LL d N N N N N Q 0) N h U U a N N❑❑ N O E> a C 7 N C)!L N O t+' O Z 0 O — E o t0 Ol Y K N O t0 ❑ U Q 'O = C> O x> N N V LL y N N 6 3 @ a C (6 a 3 O c~ Q m N N N d a _ m N 01 d p >.. O C U P xf 0 c F O m LL U C F F p> > C U N LL GvC w0 .0 ' Z' `C 42 UE U 3 o o a cUat U caN> Uo0O U U C)> a LL a0❑ 0� d N t6 t6 y N d O Q Q an �„ IL a.LL a u l0 a O a m a u t c E w v E ,c m N y O L a0 w OUa oacpi a ° o w rn F Z W w W G7 K m co Q z F 2 0 U 2 a F- N 0 a F a w U W tu Q LL Q 0 F- Consider and take necessary action to accept donations to Calhoun County. N/A Page 24 of 33 Consider and Take Necessary Action to declare certain items of County Property in the office of the County Clerk as Surplus/Salvage. (See list) (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 25 of 33 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Inventory Number Description Department Name; Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 1012712016 Serial No. Reason for Surplus Salvage 403-0113 1 EXECUTIVE U DESK, C14000LATE NONE DAMAGED N/A -2 vn W-9R 9TA-4ON4CW460n 2rTn9a NOT WORKRig N/A 3 HP KEYBOARD B93ABOAVBSSLLD NOTNEEDED N/A 4 (2)UPMOUSE -USB NONE NOTNEEDED N/A 5 PIRTSUR-5110CSCANNER 516324 OBSOLETE NIA 6 PIJITSU fi-5110C SCANNER 516294 OBSOLETE NIA 7 Vv'= COMPUTER LABELS- DOTMATRIX NONE NOT USABLE W/CURRENT PRINTERS N/A 8 AOPEN KEYBOARD 42117324 NOT NEEDED NIA } NONE NOTNLI;AED N/A 10 SMALL DESK CLACK NONE NOTNEEDED N/A 11 AOPEN MOUSE 34523146TCEI NOTNEEDED NIA 12 (2) MICROSOFT MOUSE NONE NOT NEEDED N/A 13 HP KEYBOARD BC2AA0GGAXMFNB NOTNEEDED NIA 14 VERBATIM KEYBOARD/MOUSE 2025600758B NOTNEEDED N/A 15 MICROSOPTWIRELESS KEYBOARD 779630O 99038 NOT NEEDED NIA 16 ACER 19" MONITOR 84396396140 NOT NEEDED N/A 17 ACER 19" MONITOR 84290186040 NOTNEEDED NIA 18 PHILIPS MONITOR BRILL 20OW BZ000601426422 NOT NEEDED N/A 19 SHARP CALCULATOR EL-1192BL 6DO12629 NOTNEEDED U:\Agoodman\AGENDA ITEMS\Surplus-Salvage Requestrmm.102716.Doc Page 1 Consider and Take Necessary Action to declare certain items of County Property in the office of the County Clerk as Waste and authorize disposal of same. (See list) (MP) Commissioner Fritsch made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 26 of 33 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 1012712016 Inventory Number Description Serial No. Reason for Waste/Disposal NONE 18 4—APCBACIC-UPS RS 1500 BATTERIES NONE NOT WORKING NONE 19 12 WORKSTATION XW4600 2UA945ONDD NOT WORKING -IT Approved Disposal NONE 20 HP xw4600 WORKSTATION 2UA932OV27 NOT WORKING -IT Approved Disposal NONE 21 HP xw4600 WORKSTATION 2UA9320TYT NOT WORKING -IT Approved Disposal NONE 22 HP xw4600 WORKSTATION 2UA9320TZL NOT WORKNG-IT Approved Disposal NONE 23 HP xw4600 WORKSTATION 2UA9320VOP NOT WORKING -IT Approved Disposal U:\Agoodman\AGENDA ITEMS\Waste Dedaratlon Form.102716.Doc Page 1 Consider and take necessary action on the matter of declaring certain items of County property as surplus/salvage. N/A Page 27 of 33 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 28 of 33 Approval of payroll. Commissioner Fritsch made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 29 of 33 10/24/2016 09:14 CALHOUN CO AUDITREAS (FAX)1615534614 P.0011001 CALHOUN COUNTY PAYROLL 2016 ►/ TIM. re Tj U WN Y W,/l ME Payroll through 09-09-2016 Payroll through 09-30-2016 $ 254,147.47 $ 260,505.87 APPROVED TOTAL PAYROLL $ 5145653.34 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. I certify tl e a is true and corre t tq t � best of my knowledge October 24 2016. / I RI ONDA S. KOKEN, CALHOUN COUNTY ACCEPTED AND APPROVED THIS THE DAY OF , 2016 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. Consider and take action on any necessary budget adjustments. Commissioner Fritsch made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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D mm.y 0 3 i mo 00 0 0 3 c) G) i z-i--I O i i N O T n m ��rte11 'S m ZT fA fA EA fA T 0 0 0 0 �o fA fA fA y C T e � m O C7 C O O O O p � T p O �n�rn Approval of bills. Commissioner Fritsch made the motion and Commissioner Lyssy seconded that motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Page 31 of 33 October 27, 2016 2016 APPROVAL LIST - 2016 BUDGET 35 COMMISSIONERS COURT MEETING OF 10/27/16 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 34 $394,468.50 FICA P/R $ 43,689.88 MEDICARE FIR $ 10,392.70 FWH P/R $ 38,088.46 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,655.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,401.24 RELIANCE STANDARD LIFE P/R $ 3,668.46 TMPA P/R $ 252.00 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 348.91 ANNOUNCEMENTS PLUS TOO AGAIN SHERIFF:NAME PLATES FOR 911 PLAQUE A/P $ 72.00 AT&T A/P $ 52.63 AT&T MOBILITY A/P $ 1,999.06 CABLE ONE A/P $ 341.97 CAHOUN COUNTY GENERAL FUND A/P $ 6,820.39 CENTERPOINT ENERGY A/P $ 1,920.97 FRONTIER COMMUNICATIONS A/P $ 3,158.51 REPUBLIC SERVICES #847 A/P $ 2,403.69 SHANNON E SALYER DA:TRAVEL REIMBRSEMENT A/P $ 181.70 STATE COMPTROLLER A/P $ 63,429.41 TEXAS WAVENET WIRELESS A/P $ 144.98 TOTAL VENDOR DISBURSEMENTS: $ 575,501.44 CALHOUN COUNTY INDIGENT HEALTH CARE A/P $ 92,634.97 TOTAL TRANSFERS BETWEEN FUNDS: $ 92,634.97 TOTAL AMOUNT FOR APPROVAL: $ 668,136.41 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- October 27, 2016 PAYABLES AND PAYROLL 9/1/2016 Credit Card Invoice 2,539.31 9/6/2016 McKesson Drugs 2,550.48 9/6/2016 Payroll 265,078.17 9/6/2016 Payroll by Check 1,027.79 9/7/2016 Patient Refunds 16,376.33 9/7/2016 Weekly Payables 150,936.43 9/8/2016 Payroll Liabilities 98,996.16 9/12/2016 McKesson Drugs 3,110.51 9/14/2016 Weekly Payables 410,948.08 9/1412016 Patient Refunds 3,169.09 9/1512016 TDCRS 120,293.90 9/15/2016 Weekly Payables 117,527.00 9/19/2016 McKesson Drugs 2,848.11 9/20/2016 Payroll by Check 5,001.40 9/20/2016 Payroll 262,802.23 9/21/2016 Weekly Payables 195,375.72 9/22/2016 Payroll Liabilities 98,076.21 9/26/2016 McKesson Drugs 2,922.43 9/29/2016 Credit Card Invoice 4,051.38 9/29/2016 Weekly Payables 176,470.07 9/29/2016 Credit Card Invoice 731.60 9/29/2016 Patient Refunds 245.32 9/3012016 Monthly Electronic Transfers for Payroll Expenses(nol ind above) 646.76 9/3012016 Monthly Electronic Transfers for Operating Expenses 7,121.19 Total Payables and Payroll $ 1,948,845.67 INTER -GOVERNMENT TRANSFERS Inter -Government Transfers for September 2016 1,957,922.91 IGT DSRIP Audit Cost Total Inter -Government Transfers $ 1,957,922.91 INTRA-ACCOUNT TRANSFERS from Memorial Medical Center to Private Waiver Clearing Acct 266,208.37 Total lntra-Account Transfers $ 266,208.37 SUBTOTAL MEMORIAL MEDICAL CENTER DISBURSEMENTS $ 4,172,976.95 INDIGENT HEALTHCARE FUND EXPENSES $ 92,634.97'' NURSING HOME UPL EXPENSES FOR September 2016 $ 6,466,778.71 IGT September 2016iMPAP NH Program $ MMC Construction $ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- October 27, 2016 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES Adu Sports Medicine Clinic American Home Patient Michelle M. Cummins MD HEB Pharmacy (Medimpact) MMCenter (In -patient $57,681.53 / Out -patient $70,571.02 / ER $22,774.62) Adjustment to Monthly Allowance Port Lavaca Clinic Radiology Unlimited PA Regional Employee Assistance Victoria Professional Medical SUBTOTAL Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Co -pays adjustments for September 2016 Reimbursement from Medicaid 655.53 187.52 71.93 973.33 151,027.17 (63,076.21) 1,187.81 728.68 220.19 185.02 92,160.97 1,074.00 Subtotal 93,234.97 (600.00) 0.00 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- October 27.2016 PAYABLES AND PAYROLL 9/1/2016 Credit Card Invoice 2,639.31 9/6/2016 McKesson Drugs 2,550.48 9/6/2016 Payroll 265,078,17 9/6/2016 Payroll by Check 1,027.79 917/2016 Patient Refunds 16,376.33 9/7/2016 Weekly Payables 150,936.43 9/8/2016 Payroll Liabilities 98,996.16 9/1212016 McKesson Drugs 3,110.51 9/14/2016 Weekly Payables 410,948.08 9/14/2016 Patient Refunds 3,169.09 9/15/2016 TDCRS 120,293.90 9115/2016 Weekly Payables 117,527.00 9/19/2016 McKesson Drugs 2,848.11 9/20/2016 Payroll by Check 6,001.40 9/20/2016 Payroll 262,802.23 9/21/2016 Weekly Payables 195.375.72 9/2212016 Payroll Liabilities 98,076.21 9/2612016 McKesson Drugs 2,922.43 9/29/2016 Credit Card Invoice 4,051.38 9/29/2016 Weekly Payables 176,470.07 9/29/2016 Credit Card invoice 731.60 -9/29/2016 Patient Refunds 245.32 9/30/2016 Monthly Electronic Transfers for Payroll Expenses(nol Ind above) 646.76 9/30/2016 Monthly Electronic Transfers for Operating Expenses 7,121.19 Total Payables and Payroll $ 1,948,845.67 INTER -GOVERNMENT TRANSFERS Inter -Government Transfers for September 2016 1,957,922.91 IGT DSRIP Audit Cost Total Inter -Government Transfers $ 1,957,922.91 INTRA-ACCOUNT TRANSFERS from Memorial Medical Center to Private Waiver Clearing Acct 266,208.37 Total Intra-Account Transfers $ 266,208.37 SUBTOTAL MEMORIAL MEDICAL CENTER DISBURSEMENTS E 4,172,976.95 INDIGENT HEALTHCARE FUND EXPENSES b 82,834.97 NURSING HOME UPL EXPENSES FOR September 2016 ; 5,468,778.71 IGT Septoiyi er2016 MPAP NHProgram MMC C-on , fiction' _ GRAND IDTAL OISBURSEMENTS APPROVED October 27,'201t3 S'9,732;390.63 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- October 27, 2016 INDIGENT HEALTHCARE FUND; INDIGENT EXPENSES Adu Sports Medicine Clinic American Home Patient Michelle M. Cummins MD HEB Pharmacy (Medimpact) MMCenter (In -patient $57,681.53 I Out -patient $70,577.02 / ER $22,774.62) Adjustment to Monthly Allowance Port Lavaca Clinic Radiology Unlimited PA Regional Employee Assistance Victoria Professional Medical SUBTOTAL Memorial Medical Center (Indigent Healthcare Payroll and Expenses) Co -pays adjustments for September 2016 655.53 187.52 71.93 973.33 151,027.17 (63,076.21) 1,187.81 728.68 220.19 185.02 92,160.97 1,074.00 Subtotal 93,234.97 (600.00) 0.00 0 b O C� b b V1 �D V �� o, 1(yW0 91 fL O O Chi O Ri W0 tip w W W 0 rn F FU`y Wd HU'y�+ W FU V' W FF W O H W FF WO FF H W O W d(� dQW C 0, b O kri m N b � W m vI vi z z zd zd 0 0 O O V ,a U U Ki O a U O O O O O O ZO H H [y f-I 4a C� a a o 0 o 0 Po a� o o� C7 cw7 OOU F u �OU F C7 tZ7 a d d 6 Qd> Qd F a 0 z w 0 z k w 0 N z w 0 w 0 z x w 0 z w 0 z 0 m w 0 z w a a a a a a a a a o rn " n O N U n N oN O O N W V N V1 V O O N M rui r�i r4 m 44 x rUi O O O O O O O O O O # # W GI # O O O O O O O O O 0.0i p 6 Q p h N 6 uO o.o �o rno 00 0o rno rno � o 0 0 0� W o oN o O o N o� oq oO U O " O C] %r O O O O O O Oo O Oo O� N N V q a a a a a a a a c7 c7 a a a w a a w w a µ�P7 wQ� �A�yy q DPW �Oc� {Ai7 {Qy �Q�yy p U V u U U U z O (D O O O O O C) O O ti O c7 z� O o 0 o O o 0 0 0 0 0 0 0 o O o 0 0 0 0 0 0 o O o 0 o O o 0 0 H H H Fzr H r 10 0 11 U0F0F 0F0� CU � P7 O WO O M) W G7 O W O W m O x O¢ m OO� W H F F 4 d 6 Q O 0 O O O Ny Ny N� N Pi O W O O o0 h o 0 0 a C J F O N N N M 0 3 qz o 0 � 0 � 0 a 0 b z .U. 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N 0 u a Vh h h b b b b b b b C7 0 0 U U H aw wtrZi a�i ¢p � � Q �o wS Q U M Q Q Q Q Q Q Q Q Q Q o o O o o O o z z 0 o a Q z z z z z z z z z z a q Consider and take necessary action on single source, emergency and public welfare purchases and bills. N/A Page 32 of 33 Public discussion of County matters. Commissioner Galvan told the court that this afternoon he would be doing finalization on some projects. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Meeting Adjourned 10:40 AM Page 33 of 33