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2017-01-12
Regular 2017 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held January 12, 2017 BE IT REMEMBERED, that on this 12th day of January, A.D., 2017 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 David Hall Vern Lyssy Clyde Syma Kenneth W. Finster Anna Goodman Farleigh Sutton CountyJudge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 1. Call meeting to order (Agenda Item No. 1) January 12, 2017. Michael Pfeifer, County Judge called to order the Commissioners Court Meeting at 10:00 a.m. 2. Invocation (Agenda Item No. 2) Commissioner Lyssy opened the meeting with prayer. 3. Pledge of Allegiance (Agenda Item No. 3) Commissioner Finster led the Pledge to the US Flag and Commissioner Lyssy led the Pledge to the Texas Flag. Page 1 of 29 4. Approve Minutes of October 17, 2016, October 27, 2016 and November 10, 2016 Meetings. MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 2 of 29 Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held October 17, 2016 BE IT REMEMBERED, that on this 17th day of October, A.D., 2016 there was begun and holden in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W, Finster Anna Goodman Desiree Garza County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Page 1 of 52 Regular 2016 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held October 2i, 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 #t 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. Pagel of 33 Regular 2016 Term THE STATE OF TEXAS COUNTY OF CALHOUN Held November 10, 2016 BE IT REMEMBERED, that on this 10th day of November, 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 44 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 30 S. Hear Report from Memorial Medical Center. (Agenda Item No. 5) Jason Anglin gave the Memorial Medical Center Report. Page 3'of 29 Memorial Medical Center - Port Lavaca, Texas CEO Report December 21, 2016 Financial Results: In November we had a Net Income of $25,286 our Income for the year to $2,053,826. Physician Recruiting Continue to work with Merritt Hawkins on the OBGYN search. John Self from John G Self Partners Inc. was on site December 1911 and 20th meeting with us for his on- site visit to start the physician search. Nursing Home Program updates: Please see attached email forwarded from Michael Oatman and letter from Texas Health and Human Services Commission regarding updates with MPAP program. In summary HHSC is attempting to restart the MPAP Program in February and targeting September for start-up of QIPP Program. Radiologist transition Our new group starts December 301H Emergency Room / Hospitalist To redesign our service to lower cost we are looking at moving from our current model of having a hospitalist physician and emergency room physician during the day shift and emergency room physician at night to a "hybrid" model of having a physician and mid-level during the day shift (to cover both ER and hospitalist) and have a physician covering the emergency room at night. Over the past month we have talked to multiple ER groups along with our existing ER group regarding various models. I have on the agenda for us to approve a contract format where we would "employ" the various physicians and mid -levels for our ER/Hospitalist program thru Discovery Medical Network. With the new model MMC will also bill for the ER Physician services. We are targeting implementing the new model in February and we anticipate utilizing physicians from our current ER and Hospitalist programs. Formosa Trust — We had a meeting of The Formosa Trust. They are donating $24,000 to MMC this year. We plan to use the funds to purchase a Bladder Scanner, 4 defibrillators and a vital signs monitor. Information on Board Items: 1. Health / Dental Insurance Renewal - The Insurance renewal consist of: A.) TPA administrator B.) Reinsurance C.) Plan Design D.) Employee Rates A.) TPA- Our current annual cost based on current enrollment in the plan is $61,694. We have a renewal quote from Allied with no increase in the per member cost. B.) Reinsurance Our best option is to renew with our current carrier QBE. The renewal cost is up approximately 4.1% at $320,774.04 vs current year of $307,990.56. C.) Plan Design— In plan design deductibles and max out of pocket are increasing along with co - pay for oral specialty drugs. D.) Employee Rates- We are recommending adding a wellness component to our health plan. If employees participate in the wellness program along with nonsmoking or participate in a smoking cession program employee per pay period rates are recommended to be the same. Wellness Program This year we would like to add a wellness program in conjunction with our health insurance. Approximate cost to add the program is $7,100. Equipment Purchases- I have on the agenda for the purchase of a Bladder Scanner approved by the Formosa Trust. The cost is $10,135. As we move to implement our new model for ED/Hospitalist coverage ED Coverage Agreements — We are working with DMN on the contracts. ED Mid -Level Agreements — We are working with DMN on the contracts. Closed Session — I have a closed session posted for Legal. Respectfully, Jason Angli , CEO Memorial Medical Center E F 'n eu ti C O O O w w m � 7 p C N O N C u O S m a ro xV � x ^ � u o U � m � m s c U� u @a t w 00 V C 4 � 7 w q o o � oU a q b o ti ti m o. w o Eli p � L � o d C v o 4 F � c S P ll ro UcWy o T v O ro E ^ M O N U d w Q N L J 4 Q d ri .u0 C ti o ro o 5 O � p o EN w o m yG6ro ^ .0 O 00 o 4 3 P U V O N N v 3 O q o— iF yy O O o vWY yo J 4 4 Q, �C " os ��uroCNti7 T � h m �` Cv E. > o �,m vu > vo amid v o o= m 4,ti m E'a y v ro" ro �+ mb� NU 00 ��VlyS OVJ tT N lyOro �owooawvCw O C o E N N 'zp' toi > T N d 'iaN L Y fJ do'O ..Px m� o�`d Smm Ey6 3y o >S Ao o.E >^� o yd E> �z°O .= a—airo aU _E cyEy m 'N O:y N c ''>'w v yE `teavw o q ti v QL7 U�ay oy d y� v .. E m aroi aEi m ti cf r;dvi .6 du a q: a.5�3�c3.E draw TEXAS HEALTH AND HUMAN SERVICES COMMISSION CHARLESSMITH EXECUTIVE COMMISSIONER November 23, 2016 Ms. Vikki Wachino Deputy Administrator and Director Centers for Medicare and Medicaid Services Center for Medicaid and CHIP Services 7500 Security Boulevard, Mail Stop; 32-26-12 Baltimore, Maryland 21244-1850 Dear Ms. Wachino: On August 19, 2016, the Health and Human Services Commission (HHSC) sent a letter to your attention strongly disagreeing with and demonstrating the flawed reasoning underlying CMS's denial of federal funding for the Minimum Payment Amounts Program (MPAP). Specifically, HHSC disagreed that federal law prohibits conditioning an enhanced Medicaid payment on an intergovernmental transfer. We did not receive a response to that letter. As noted in the August 19, 2016, letter, the rationale used by CMS to disapprove the program is based on a misplaced interpretation of the provisions in the Social Security Act and implementing regulations having to do with the "amount, duration, scope, and quality of care and services." These provisions are meant to ensure that reliance on the use of local funds as the non-federal share of overall funding does not reduce the amount, duration, scope or quality of services. In contrast, the MPAP provides all enhancement to existing nursing facility rates and is meant to improve the services delivered by participating nursing facilities. The MPAP is a vitally important part of the state's nursing facility financing -- one the state needs to preserve as we transition to the replacement Quality Incentive Payment Program (QIPP), which your staff is currently reviewing. While we fully expect to receive approval of that program shortly, we cannot implement it until September 1, 2017. As was understood with the initial approval of the program, the MPAP provides an essential funding bridge to that date. Because of the hardship this misplaced interpretation has caused to the participating nursing facilities and the failure of CMS to respond to my request for reconsideration, I am compelled to submit amended Medicaid managed care contracts that will reinstate the MPAP effective February 1, 2017. As was initially approved, the MPAP will remain in effect until September 1, 2017, or until CMS grants approval of the QIPP, whichever occurs last. P. O. Box 13247 a Austin, Texas 78711 e 4900 North Lamar, Austin, Texas 78751 o (512) 424.6500 Ms. Vikki Wachino November 23, 2016 Page 2 Thank you for consideration of this letter. If you have any questions, please contact Gary Young, Special Advisor to the Associate Commissioner for MedicaidlCHIP Services at HHSC, by telephone at (512) 707-6095 or by email at gary.young(4thhsc.state.tx.us; or Pam McDonald, Director of Rate Analysis, by telephone at (512) 707-6079 or by email at pam.mcdonald@hhsc.state,tx.us. Sincerely, 4941 Charles Smith Memorial Medical Center Financial Report For the Month of: November 2016 Overview: Net Income for all entities in November was $25,286 compared to a Budget of $226,191. This is a variance of $200,905. Most of the variance is due to the discontinuation of the MPA Program, which we budgeted to be $184,524 each month through August 2017. Year to Date Net Income is now $2,053,826 compared to a Budget of $2,488,102 and to a Net Profit of $1,833,760 for all of 2015. Total Operating Expenses, excluding the nursing homes, are $23,933,339 so far in 2016 which is $682,452 lower than our budget. The only areas exceeding Budget at this point in the year are Group Health and Insurance — every other expense category is under budget. Inpatient volume continued at a reduced pace in November compared to the previous 11 months with 76 Admissions (up 2 from October) and only 240 patient days. As a result, the hospital recorded the lowest Average Daily Census that we have seen all year at 8.00. The OB Department did have 15 deliveries in November, which is the highest all year and Observation cases rebounded to 45, which is average for the 11 preceding months. Statistics: Volume in the clinics was strong, at 1,970 visits, despite the loss of PA Dobbins and were only 31 lower than October's total for MM Clinic and the Surgery Clinic. Dr. Rojas moved across the street November 1st and this should help our reimbursement. Surgeries increased to 109, which would have been a great month before our record months in August and September. Emergency room volume dropped to 635 visits, the lowest all year and all on the other ancillary departments struggled with reduced volume as well except for the Laboratory. Laboratory procedures increased slightly from Octobers low, but still are below the average for the first 9 months of 2016. Balance Sheet Highlights: ASSETS Bank Accounts Cash and Investment balances fell to $5,055,248 at the end of November, still the second highest reserves we had all year. The Private Waiver account has $1,897,991 in it and our Operating account fell to $1,411,911. The hospital still has a $500,000 CD and $100 left in the Clinic Construction account just to keep it open. In addition to funds available to the hospital for operations, there is a $1,245,245 balance in the nursing home accounts. The hospital did make its second payment on the County's loans and will make a $953,000 payment in December. Days Cash on Hand was 32.8 for operating funds at the end of November. Accounts Receivable Hospital Accounts Receivable fell slightly to $10.2 million and the clinic is now at the lowest point in a year. While some of this is due to lower charges, we are also seeing improved collections on old accounts. On the hospital side, Blue Cross and Medicaid are now at our standard of 90% less than 90 days old, Medicare is at 86% less than 60 days old, and Commercial continues to struggle at 77%. The Commercial struggles are mainly due to slow processing at the VA and we had our congressman's office send an official inquiry to their central office to try and get some relief. The clinic agings have some opportunities left, but we are continuing to work those daily. Gross Days Revenue in A/R was 60.5 at the end of November. Accounts Receivable — Other The balance in Other A/R is $3,783,846 as of November 30th. This is comprised mostly of Waiver 1115 receivables, a large portion of which will be paid in January with the payment of all of our October DSRIP achievements. Accounts Receivable Nursing Home There is a balance of $5,142,514 in accounts receivable on the five nursing home books, the highest we have seen since February. Accounts Receivable Est. 3rd Party Paver Settlements We continue to show a payable to the program at this time so the balance in this account is zero. LIABILITIES Accounts Payable Accounts payable decreased to $506,630 at the end of November. This is more consistent with our usual payment schedule. Due to Cantex The balance due to Cantex fell slightly to $4,865,174 due to lower cash balances in the nursing home cash accounts. That balance feel by almost $600,000. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,440,506. Accrued Intergovernmental Transfers IGT liability increased to $696,350 on the expectation of continued funding of UC/DSH, but we have ceased to add dollars for the Community Benefit program. Accrued Payable — Est. 3rd Party Paver One of the few benefits of our reduced volume over the past two months is the reduction of our liability to pay back the Medicare program. We are currently only showing a balance of $18,398 due back on 11 months of payments. Notes Payable The hospital's note payable to Calhoun County decreased to $2,428,379 due to the second payment made in November. This will drop to slightly under $1.5 million by year end. Leases Payable The hospital has $634,755 in long term debt of which $22,157 is due in December. Current Ratio The ratio between our current assets and current liabilities improved to 1.75 compared to a 2.3 benchmark. Other Proiects We continue to work with Patrick E. Carroll and Associates to identify and implement non -salary cost saving ideas, with about $200,000 identified so far. earn moo �o a m a �o •-1 a rt1 -: N N rl F `w m na'mo� m.m-i tia m.+ rvry � w � Y m `a ac "O G O 3 N O S L M > Q Q n0 0 0` o 0 0 m E ~ a LL O F OI N 1� l0 r h N� Z v G o ° o z � w � Y m `a ac "O G O 3 N O S L M > Q Q n0 0 0` o 0 0 -1- I G 0 E t m E ~ Z O F v G o ° o z 8 m m `w 3 O E ® E m a v m � v m W n Q � w d a u v "m a � x 0 U �� O FRI V m �yF ❑ N � Q o� O U � 2 k N p I 9 a -1- I G 0 E t c N w N N w a iZ, w in m m =t v m v m w Z N �t o m N n m m V w r N .-1 io m to N w m m m o io o v to w w m m °p ( N n rl b Omi N ^ vmi m tMO a m m mLr N t00 .Ni N N m N W tOO c U t0 O tD t0 w N N n C M n lr O M N W 'E ++ N w M O rl n t/J N m m V1 O V1 w w I(1 w w Ill O O rl d' O U1 - n rf N N O n tO tD O M t0 Ill tO lO M N ul N n O m tMD U p O O O O O n l0 t0 t0 t0 t0 w t0 lD ww W - to to �o �o l6 n m m m ai of vi of m vi N N rl ri N rl N M ri ri c -I ri 'i N N c -I c -I ri W f1 W V h h n t0 vl m m vt N m M n vl W N N N m h0 M m w O O O ll m w m M Vl O m t0 m m m C C C O N N ci O t0 M M n N O Ll�0 m C Vl N O N I(1 m N m 'np m n O O N vl M vl W m' O O C C v O lO vl N C O M N M n O m N O w 0 0 ri rl rl O N� w N Z� R !Z O O m N w M O O M N N N O m n N l0 m N O v N N V M 6 M M m V h Ol O N m a cl�m O al Ol w N O N m N w w M t0 V l0 v a m w m rl n t0 N v M m M M V M M tYl M m v w N N m d' a W V' m l0 m N N N N w O n n N h n m m m N y m O m d' N N rl d' N v C ti Ot O1 W n O N' O N N N Oi O m m p) N N m d' M O N I N ~ N 0 O w K n n n t0 W V m w N h m N N O M N m N M t0 n n N N N N m pl v M Z K o2f In to N n cN w o m iv In m o N to m o N a w io w N .+ n n O m C c llN of n c w N. d m w w w m O e M l0 3❑ m N N N M m N N N w w M N N N N N N N N n O ry v ci a m tp T N ti h. -I N N N M tO a+ rl rl V N N N m N m m n O W C v .� -N m N > N Q w a v C O r (Y O N nm m C lmO o a m om£ io M r,7 N vi vi v v to M W G v N t0 tO m m w N N O w y' rl rl N M m m w n Q j m a N m N N w w N N ll a U1 C N M m lM Ill N W tp m V M IO v N M O M m V N N M l0 M w jp � N V N d' N N m N lD Ifl a N a m vi 9 ,OO � ❑ C 9 cO l6 G T b0 O p> V 2 Q -3, -�, Q vii O Z F - N N cI n N W W Obi twO N N N� N N m W N ei N n rl b Omi N N M N 'i N cI m O M O M M tp N rl rl N N N N N N V n o Flo M m N M m m l0 l0 N w V m ww m m M N v V U U U U U U U V U U N m W a0+m N B VI N 0 w N �2 0 Medical/Surgical/ICU BObstetrics iSSwing Bed Average Length of Stay 9211 - - 10.00 8.00 T. 6.00 368—a. 14001 F 4.00 2.56 2.35 � Z 30. 2.00 2014 YID 2015 VTO 2016 YID ® Medical/Surgical/ICU ®Obstetrics HSwing Bed -3- Memorial Medical Center Operating Statistics 12 -Month Trends Outpatient Statistical Trends !. 2,500 - ... - 2,348. _ 2,015 11 2,126 2,082 2,102 21016 21121 2,029 2,015 z .�� __ 2,000 1,720 1,8]] . S,SJ4 �. 1,500 1,000 -' 686 - 691 ' 738 - - 802 732 .821 718 - 748 726 - 743 684 635 500 476 - 456 502 485 573 532 525 516 564 518 510 462 Dec -15 lan-16 Feb -16 M,16 Apr -16 May -16 Jun -16 Jul 16 Aug -16 Sep -16 Oob16 Nov -16 Outpatient Visits B Emergency Room Vlalts . -Specialty Clum Visits Total Surgery & Endoscopy 200 0 110._..8].... 95 105 111 96.. 98 108 _. .132 _.-92.. 109... Dea-15 Jan -16 Feb16Mar-16 Apr -16 May -16 Jun -16 Ju1-16 Aug -16 Sep -16 Oct -16 Now16 Radiology Procedures 2,000 1,000 ---- ---1,881 --- 1,543 -1,593'" _ -- - "1,636 - 1 -1,7]3 - - 1;650 - - 1,338 1,381 1,451 1,604 1,470 ,516 1,464 0 Dec -15 Jae -16 Feb -16 Mar -16 Apr -16 May -16 Jun -16 Jul 16 Aug -16 Sep -16 Oct -16 Now16 Total Laboratory Procedures 40,000 .... 20,00026,4 5 -0 - 29,725 32,514.._32,61] - -29,218 31,675 _. 31,471 --29,601 - 32,002 -. 32,504 - - 28,929" 29,586 - 0 Deo15 Jan -16 Feb -16 Mar -16 Apr 16 May -16 Jun -16 Ju1-16 Aug -16 5ep-16 Oct -16 Nov -16 Physical Therapy Procedures 4,090 2,000 0 1,739 1,803 1,726..... 1,891. ,1,805 2,052 11861 1,558-- 1,592.....1,535 1111 - 1111- 1,367----1324- Dec15 Jan -16 Feb -16 Mar -16 Apr -16 May -16 Jun -16 Ju1-16 Aug -16 Sep -16 Oct -16 Nov -16 III O O T W V1 N i� N W m V N ei N 01 N N V M fl 'I N 0 0 b h ti H m rl W VI pt V Ip V N b I� O N O N O M V W V IO N M OI ID lO � M M Vl l0 M N N V W N Ol O N W N O ei W N VI N M � O lO O pl O ei N M M 'i al b O 'i l0 N O O O V Ill N O O M N OI N M O N d' O O V IO O O Oi IO V O V W N N N O W Iq emi VI O O V N h m ID O N O N M N h V IO O t0 N N V fl 1� V N ~ h m M N M 1� IO rl O W m Ol ID V ei ri a4 'i Ol (Vl � •i N N V M t0 VI N M N Ol ID O OI V O N Ol h M O N N W h N lO N h O M N I� O M V O b V IO O f� M M rtl V C, N ul M M h N M N Ol N V E N N 1� N V� N fl N 'I m m N O V ei N ♦i M h M O I� n M O N ei O N N N V N N I\ M Ill ID r N M O W ei m O ti d' ti M N N N IO l0 m N OI M N h h m CO O In N CO O N V ei M O ei O h ti n v1 h N N N N OI M m fl 'i m O] N OI V p O O N d' O ei 'i h VI VI N N e-1 fi rl emi N h N V f� fl N N M N M IO T N N M O 'i % m I� N Vl M IO V ei O lO n N Ol O W O Ol N N i� IO N O M al ll1 Ol Ol O rl N M QI e'I M N M N O h M N h O O Vl M 1� a W W t0 M rl m K N N M W N Ol O h VI 1� O N O IO O O IO W t OI V h N Ol ei r V W ri V O O N VI � N ei I� V M N t0 N � O Ol O r W 1l1 Ol W N M V M M Oi O O 'i ml O h ei tp N N rt .i N N V m ei O V„ N N rl h M m 01 N Ol V m N OJ N W O N M N ID vl h VI tO W N O VI O fi 01 O N V Ol N T M CO N, O N, h W III N Ol O N N OI r V m N 'i O N VI DI N N N IO M r N 01 h N O m N V i� OJ V O O] N m OI fl fi lV M OJ ei h Vl V N h ei ei N O Vl N li V O V O1 V Ol N N N ID I11 h 1� N Vl m M al Ol V r T O [O O V OI ♦-1 IO M lYl QI 1� O r V1 V W OJ N N Ol h n O ei N M V Vl O] N b N O N M N N O IR Ol r V O ei 'i V O fi V m O O W l0 1� ei N `i CO 1 ei N m N O O O O] IO O O V N fi OJ N N 1� O] V V 1� O 'i Ill IO Ol O V V N O m N W VI m V VI V V V N W N N N V h M O ul m O OI M M O N O M M M N M w ti V 'Ni W N 1� V O N M h N Ol IO N N Vl 1� V O ei N V1 In OI ^ M OM M O O^ m O M m O h V 1� O V, Ol VI N m h N O OJ O ei m m N N Ol V m W tnYl N p VI V M V h N V '1 O N V M ei W V N IO N I� ei N N V1 a4 H ei � V1 M{ ei r4 ei m h l0 N 1� [0 O N M N m N CO V ti V N M N OI m M lO rl O lD m Iq m O n M r O l0 m l0 N Vl O m V 'i W OI N M O Ol O ei % w M� V N O N W to O N M Ol Ill m M•i m N VI N r 'i N � W m rl N ri N d' ei N N m M M V y y yl M 1� h h N Ip 1� V1 p1 N O d' N V N N ei m W ID O OI V O m O O n O O IO N b m N h m V h N h Ol M W N M N N O O V W N m h O N N O m V O h OJ m W N OI N p O O e1 IVI M M M M a � 'i N fi 'i ei N N OI N 'i rl ei N M O h N O N N 1� h O O O O m% O O Ol m M O nl N Ol ei O Ol h O OJ N IO !ll eNi Ol O W h Il'1 Ol N V rl O 1� N W h VI ei 'i Ol M M V m M V Vl n h m O N N N T O1 O N N m O N N V ei V N N N m fi O N rl ei ry p o a a h a u¢ « s E> o 12 o w E E 3 0 Z `o ov uoi E o C 'ui lYil n C y m E v 'vo n T s z>>l`I��¢ svlww s Lw muno -5- Memorial Medical Center YTD YTD YTD 11/30/2016 4.7% Statistical Comparison 11/30/14 11/30/15 11/30/16 OVER (UNDER) % OF Swing Bed (11 months) (11 months) (11 months) 11/30/2015 CHANGE Total Admissions 11214 991 1,045 54 5.4% ER Admissions 843 831 660 (171) -20.6% Total Patient Days 4,745 4,103 4,040 (63) -1.5% AVERAGE DAILY CENSUS Medical/Surgical/ICU 11.14 9.55 9.69 0.47 4.7% Obstetrics 0.96 0.79 0.78 (0.17) -18.0% Swing Bed 2.06 1.91 1.59 (0.47) -22.3% Total AVG Daily Census 14.16 12.25 12.06 (0.17) -1.3% Total AVG LOS -Acute Care 3.56 3.80 3.61 (0.08) -2.2% Observation - Patients 439 441 521 80 18.1% Newborns -births 107 109 105 (4) -3.7% MM Clinic Visits 8,213 10,594 20,532 9,938 93.8% Surgical Clinic Visits 636 527 927 400 75.9% Outpatient Visits 22,193 20,071 22,605 2,534 12.6% Emergency Room Visits 9,353 9,073 8,038 (1,035) -11.4% Specialty Clinic Visits 4,718 5,186 5,643 457 8.8% Total Surgery & Endoscopy 1,065 1,094 1,184 90 8.2% Total Laboratory Procedures 301,046 298,264 339,842 41,578 13.9% Radiology Procedures 8,739 8,610 7,691 (919) -10.7% RadiologyOP- Clinic 0 0 1,362 1,362 #DIV/0! Bone Density 134 135 169 34 25.2% Nuclear Medicine 206 168 215 47 28.0% Ultrasound 2,081 2,238 2,122 (116) -5.2% Ultrasound -Clinic 0 0 494 494 #DIV/01 CT Scans 2,649 2,439 2,831 392 16.1% MRI 1,084 1,013 1,238 225 22.2% Mammograms 942 775 959 184 23.7% Total Radiology Procedures 15,835 15,378 17,081 1,703 11.1% Respiratory Therapy Procedures 10,172 10,000 8,221 (1,779) -17.8% Stress Test 98 65 81 16 24.6% EKG Exams 3,284 3,445 3,414 (31) -0.9% EEG Exams 14 20 0 (20) -100.0% Sleep Studies 99 69 160 91 131.9% Total Respiratory 13,621 13,599 11,876 (1,723) -12.7% Physical Therapy Total 23,081 17,972 18,514 542 3.0% Occupational Therapy Total 0 542 2,237 1,695 312.7% Speech Therapy Total 0 211 607 396 187.7% Behavioral Health Billable Units 0 0 3,559 3,559 #DIV/01 Cardiac Rehab Procedures 0 0 86 86 #DIV/01 Pharmacy Total 101,694 132,842 129,253 (3,589) -2.7% Dietary Total 116,575 122,535 50,399 (72,136) -58.9% Pounds of Linen 233,666 223,413 137,121 (86,292) -38.6% j -7- d16 )))//,:�9®)�G -7- Memorial Medical Center Payer Mix Payer Mix Memorial Medical Center As of November 30, 2016 Payer Mix YTD 50.0 45.0 40.0 35.0 30.0 25.0 20.0 10.0 5.0 0.0 E > 0 z E v o - E q w E > 0 z —me—Medicare Medicaid .�=Blue Cross --Commercial Private Other ^"' aw rvoo �nllaia r .a-I-Im.m+ m In voio °.�' om nn" -m lom o � v v m yy 'i rtnl ,-1 um1 O,n-I v01 M On y} � 00 "m c r vi mom ^'' ro0 min vm bm.=1 o O1 i m m veo o o w w m n m o n o ry o lmu a o mN ao mo neon nmmm o m � .-I m"�m r m m o o N ul '1 O O nmlo n O W Ino n ,Nil W O V O nmv ul N th m t \ tl' O N OI V V n m' N M m N W O E rnl' O m N V n e b lmYl eai V N ti 'i O O N ,-1 Oml m m N W n Ill n W m V N O T t N Vl' N 1/1 T C N OI 6 ✓1 d' O W' M O 11 rl N 1� v01 M O m C O m l0 V ,n-1 N „mi '1 ei l n `i mry n o � mm m lNilw omoo lno� m � m c vS „o e v r r of .i ri m � mN own mno� m umime o Ino'n mo n °+ � m n 000 mon wwOt° oo vlmoe .m -I .+m v,mmm NON a Iowa ro N .i c vN olo oom mmmo r mm N N 111 .pi .�+n N Vl W b .=1 N V v'ii ,m -I N m W N N n ei n n W N T m V V \ N 1l1 VI RI O V' I� .6 O VI 6 V Oi n N rn N N M V IOp' m Ill Cl N ~ Ol t( M ti N m lm(1 O n N V N Ill yyll uNl N N O m~ Po N lD `i n w 1� N Q M 'i ti ei W M n VI Oi ,-1 1� 'i M O rl n N O n n m NO l l lO O N N O VI O n m K •i n m � O m Vl O O O n D] V O N W m O n V N Rf h C N V N aNv loll VOI N M M b O b V m N � r b O V O N 1� 0 V b O N l+pl N m 0� rtMl tO V N P N m n b O n N O m lMll b O V N ,-I h \ N 'i dt O1 ei VI O N W M V N N � b m Ol m 9 m m O N N O M W O� N tO N N O M n O n =� M m N N Omi O O � loll N N m O„ � V ti nm'1 N INo E G c c c -9- { —10— ,y tim mm .y n � V VI m tm0 (!1 Vl � n pM1 YI N W m n � ro m n °1 o m 1O IO1il m m m N Eby W n V N N m n VI eNil b N N 1� ei r � O rl rtl b W um1 O N Ibll 1101 W OJ W N N H n Ol n Ill . N 1� T N n vTl m emi ebi N n N V O r b W emi Vl Imll �-f 0 tO VI O N .iN N V � ti m c no ry In llOn r O nl IO N C � .T+n liom v`"imme mn � IO1ll n l6 '.-i ry weoi� ri o m� m ,y m lO1il ti� ry m� 1� V1 O a n m N Ol V1 v N .'i N Ill w am T N M VI N N N N b b N OT W N Ill � m IO N " N N Imll O O O N NO N V N N� al IO n VI N V rl V OI N ^ c3'I N n 14 YI N m � VMI` Oai` ~ MO T t0 rl � 1VI " n N V N n O b 1O mV N N o�� n 1n v m n b o M ✓1 o a o a o No m 1° a ti Inn m mm 'r of riom .-1 mm vinci om •i NT tMil V ti N N ti e h V n V NN v\ rnnnm n my my vi m « Vl rl N b N O N rl ei H �„I 3 � M O b N b b INl1 m IO y E A c En.n =_ 1i u ° v m > - - u w P o u v a x v a s w.. w E m = 0 8 v b rc &Q b m �m<ao<<ao°<<<<< o % o { —10— 4,955,803 433,041 3,464,283 8,853,128 3,416,902 289,800 Current Period 148,262 - - 148,262 Nursing - (7,153) iospital Clinics Homes Combined 1,054,651 - - 1,054,651 2,354,567 433,041 - 2,787,609 1,546,585 - - 1,546,585 - - 3,464,283 3,464,283 4,955,803 433,041 3,464,283 8,853,128 3,416,902 289,800 - 3,706,702 148,262 - - 148,262 (7,153) - - (7,153) (18,712) 18,712 - - (278,428) - - (278,428) 204,831 - - 204,831 3,465,702 308,512 - 3,774,214 1,490,101 124,529 3,464,283 5,078,913 Memorial Medical Center Income Statement by Operating Unit For the Month Ended November 30, 2016 Revenue Revenue Deductions Contractuals Charity Indigent Care Overhead DSH Bad Debt Total Revenue Deductions Net Patient Revenue 27,664 42,917 - 70,581 Other Operating Revenue 1,517,765 167,446 3,464,283 5,149,494 Total Operating Revenue Current Period Year to Date 1,330,015 - Nursing Nursing Hospital Clinics Hospital Clinics Homes Combined Inpatient Revenues 14,131,716 - - 14,131,716 Outpatient Revenues 28,390,219 5,586,411 - 33,976,630 ER Revenues 19,436,097 - - 19,436,097 Resident Revenues - - 38,270,774 38,270,774 Total Patient Revenue 61,958,033 5,586,411 38,270,774 105,815,217 Revenue Deductions Contractuals Charity Indigent Care Overhead DSH Bad Debt Total Revenue Deductions Net Patient Revenue 27,664 42,917 - 70,581 Other Operating Revenue 1,517,765 167,446 3,464,283 5,149,494 Total Operating Revenue 59,699 19,622 - 79,322 1,764,604 287,164 3,464,283 5,516,051 (246,839) (119,718) - (366,557) 4,165 - - 4,165 (2,492) - - (2,492) 243,589 146,581 - 390,169 245,262 146,581 - 391,843 (1,577) 26,863 25,286 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation 37,067,193 Current Period - 38,828,315 1,330,015 - Nursing 433,936 Hospital Clinics Homes Combined 731,370 85,610 - 816,980 242,718 24,658 - 267,376 215,100 146,581 - 361,681 243,012 (6,171) - 236,841 168,737 13,515 - 182,252 5,712 - - 5,712 40,398 - - 40,398 57,855 3,349 - 61,205 - - 3,464,283 3,464,283 1,704,905 267,542 3,464,283 5,436,729 59,699 19,622 - 79,322 1,764,604 287,164 3,464,283 5,516,051 (246,839) (119,718) - (366,557) 4,165 - - 4,165 (2,492) - - (2,492) 243,589 146,581 - 390,169 245,262 146,581 - 391,843 (1,577) 26,863 25,286 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation 37,067,193 1,761,123 - 38,828,315 1,330,015 - - 1,330,015 433,936 - - 433,936 (226,003) 226,003 - - (2,687,772) - - (2,687,772) 6,754,008 - - 6,754,008 42,671,376 1,987,126 - 44,658,502 19,286,657 3,599,285 38,270,774 61,156,716 370,518 230,827 - 601,345 19,657,175 3,830,112 38,270,774 61,758,061 754,847 215,844 - 970,691 Total Expenses 20,878,606 4,035,424 38,270,774 63,184,804 Net Operating Income / (Loss) Non Operating Income/ (Exp) Investment Income Interest Expense Contributions and Grants IGT Expense Service Contribution by SOSET Nursing Home MPAP Total Non -Operating Revenue Total Net Income / (Loss) -11- (1,221,431) (205,312) - (1,426,743) 5,384 - - 5,384 (33,052) - - (33,052) 600 - 600 (1,477,517) (1,038,347) - (2,515,864) 2,460,723 1,803,853 - 4,264,576 - - 1,758,924 1,758,924 956,138 765,506 1,758,924 3,480,568 (265,293) 560,194 1,758,924 2,053,826 Year to Date Nursing Hospital Clinics Homes Combined 8,368,894 1,101,303 - 9,470,197 2,690,712 342,853 - 3,033,565 2,150,140 1,803,853 - 3,953,994 2,955,234 359,758 - 3,314,992 2,644,269 163,680 - 2,807,949 62,055 - - 62,055 466,367 - - 466,367 786,088 48,133 - 834,221 - - 38,270,774 38,270,774 20,123,759 3,819,580 38,270,774 62,214,113 754,847 215,844 - 970,691 Total Expenses 20,878,606 4,035,424 38,270,774 63,184,804 Net Operating Income / (Loss) Non Operating Income/ (Exp) Investment Income Interest Expense Contributions and Grants IGT Expense Service Contribution by SOSET Nursing Home MPAP Total Non -Operating Revenue Total Net Income / (Loss) -11- (1,221,431) (205,312) - (1,426,743) 5,384 - - 5,384 (33,052) - - (33,052) 600 - 600 (1,477,517) (1,038,347) - (2,515,864) 2,460,723 1,803,853 - 4,264,576 - - 1,758,924 1,758,924 956,138 765,506 1,758,924 3,480,568 (265,293) 560,194 1,758,924 2,053,826 8,853,128 5,931,257 8,933,996 3,706,702 Current Period 2,756,573 Actual This Budget This 143,734 Month Month Last Year 1,054,651 1,382,702 894,286 2,787,609 2,816,424 2,516,319 1,546,585 1,732,131 1,422, 750 3,464,283 - 4,100,641 8,853,128 5,931,257 8,933,996 3,706,702 2,851,261 2,756,573 148,262 92,545 143,734 (7,153) 50,631 68,374 (278,428) (112,561) (248,781) 204,831 901,088 179,276 3,774,214 3,782,964 2,899,176 5,078,913 2,148,293 6,034,820 70,581 64,313 39,142 5,149,494 2,212,606 6,073,962 79,322 62,800 65,833 5,516,051 2,300,599 6,083,852 (366,557) (87,993) (9,890) 4,165 Current Period 30 Actual This Budget This (3,354) Month Month Last Year 816,980 896,933 801,336 267,376 259,207 232,692 361,681 516,313 298,860 236,841 149,610 270,854 182,252 273,199 206,320 5,712 4,273 4,260 40,398 52,401 45,795 61,205 85,863 57,261 3,464,283 - 4,100,641 5,436,729 2,237,799 6,018,019 79,322 62,800 65,833 5,516,051 2,300,599 6,083,852 (366,557) (87,993) (9,890) 4,165 103 30 (2,492) (2,445) (3,354) 3,953,994 2,843 2,677,504 - (311,997) (159,325) 390,169 441,157 227,607 - 184,524 - 391,843 314,184 64,958 25,286 226,191 55,068 Memorial Medical Center Income Statement - Combined For the Month Ended November 30, 2016 Revenue Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Total Patient Revenue Revenue Deductions Contractuais Charity Indigent Care Overhead DSH Bad Debt Total Revenue Deductions Net Patient Revenue Other Operating Revenue Total Operating Revenue Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Year to Date Actual YTD Budget YTD Last Year YTD 14,131,716 15,209,726 13,935,493 33,976,630 30,980,659 28,770,698 19,436,097 19,053,440 18,403,380 38,270,774 - 33,804,096 105,815,217 65,243,824 94,913,667 38,828,315 31,363,874 34,344,813 1,330,015 1,017,992 1,263,200 433,936 556,945 414,219 (2,687,772) (1,238,176) (1,844,214) 6,754,008 9,911,969 6,456,965 44,658,502 41,612,604 40,634,983 61,156,716 23,631,220 54,278,684 601,345 707,447 590,927 61,758,061 24,338,667 54,869,611 Year to Date Actual YTD Budget YTD Last Year YTD 9,470,197 9,866,266 8,657,784 3,033,565 2,851,277 2,835,967 3,953,994 5,679,447 2,677,504 3,314,992 1,645,714 3,194,293 2,807,949 3,005,186 2,827,476 62,055 46,998 78,981 466,367 576,413 485,950 834,221 944,491 775,537 Nursing Home Fee 38,270,774 - 33,804,096 Total Operating Expenses 62,214,113 24,615,791 55,337,588 Depreciation 970,691 690,799 852,220 Total Expenses 63,184,804 25,306,590 56,189,808 Net Operating Income / (Loss) Non Operating Income / (Exp) Investment Income Interest Expense Contributions and Grants IGT Expense Service Contribution by SOSET Nursing Home MPAP Total Non -Operating Revenue Total Net Income / (Loss) -12- (1,426,743) (967,923) (1,320,197) 5,384 1,133 1,240 (33,052) (26,895) (40,248) 600 31,268 350 (2,515,864) .(3,431,971) (1,947,282) 4,264,576 4,852,725 2,774,727 1,758,924 2,029,764 250,261 3,480,568 3,456,025 1,039,048 2,053,826 2,488,102 (281,149) Memorial Medical Center Capital Acquisitions For the Month Ended November 30, 2016 Month Description Reticular Equipment Total 01/16 IF Elvemems Lab Interface -ELR - 4,475 4,475 2,770 January 2016- Computer Purchases - 6,317 6,317 - WebPTSeftwam - 7,524 7,524 - Holter Recorders (4) - 6,299 6,299 - Clinic- CIP - Various Equipment - 18,401 18,401 - Sub Total January 8,790 43,015 43,015 02/16 February 2016- Computer Purchases - 1,271 1,271 Clinic -CIP -Various Equipment 11,042 133,730 144,771 154,794 Sub Total February 11,042 135,001 146,042 03116 Samsung Lease -X-Ray He..2 - 206,040 206,040 Soo Evident - Lab Interface - 4,554 4,554 165,823 Exebridge Intranet Posted -CIP - 1,500 1,500 June 2016- Computer Purchases Clinic - CIP -K&T Pay App 277,983 - 277,983 Sub Total lune Clinic-CIP-ACI/8cland 18,535 - 18,535 Clinic-CIP-Various Equipment - 24,079 24,079 -13- Sub Total March 296,518 236,173 532,691 04/16 Clinic -CIP -ACI/Boland 2,770 - 2,770 Clinic -CIP -Various Equipment - 5,363 5,363 Oeposot on Voice Recognition Interface - 3,000 3,000 April 2016- Computer Purchases - 4,044 4,044 EMDS Sofhvare License -0r. Andrus - 8,790 8,790 Sub Total April 2,770 21,197 23,967 05/16 Clonic- CIP -K&T Pay App 154,794 - 154,794 Cardio Rehab Equipment - 10,529 10,529 PACS Interface - Downpayment - Soo Soo Sub Total May 154,794 11,029 165,823 06/16 June 2016- Computer Purchases - 4,043 4,043 Sub Total lune 4,043 4,043 07/16 Surgical Eye Miaoscepe - 31,500 31,500 CR -E Class Control Station for Radiology - 9,750 9,750 Sub TotalJuty - 41,250 41,250 08/16 August2016- Computer Purchases - 5,109 5,109 CIP - Air Conditioning Unit for Lab - 4,965 4,965 Sub Total August 10,074 10,074 09/16 Defibrillator - Liberal, 20e - 7,406 7,405 Network5witchss - 6,679 6,679 September 2016- Computer Purchases - 11,382 11,362 PACS Storage - Downpayoumm - 5,058 5,058 Sub Total September 30,525 30,525 10/16 October 2016- Computer Purchases - 3,430 3,430 PACS Storage - Backup Tapes - 1,545 1,545 EMUS License -50%of Invoice - 4,425 4,425 Fence and Ramps at Clinic 7,550 - 7,550 Concrete Improvements 11,050 - 11,050 HVAC Fan Coll - 8,700 8,700 Bailer - 8,250 8,250 Sub Total October 18,600 26,350 44,950 11/16 CIP - Voice Fusion Product - 6,730 6,730 CIP- Evident interface Management System - 450 450 CIP- Evident Bl Directional Interface- Radiology Partners - 900 900 CIP- Evident Interface Wstodeal Data Retrieval - 750 750 Air Conditioning Unit for Lab- Installation Costs - 10,200 10,200 PACS Storage - 41,544 41,544 Sub Total November 60,574 60,574 Total $ 483,723 $ 619,231 $ 1,102,954 -13- Physician Revenue Trend Memorial Medical Center As of November 2016 Memorial Medical Center Clinic 011005 William Crowley 019000 Ric Arroyo -Diaz 022000 Peter Rojas 009293 Serina Danielson 000966 Thao Truong 041743 Angela Dobbins 005966 Carol Andrus 058001 CourtThurlkill 002099 Traci Shefcik 009294 John Durst 009292 Charles Fillingane Hospitalist 130006 Hospitalist Port Lavaca Clinic 013000 Don Paul Bunnell 050001 John Wright 019000 Ric Arroyo -Diaz 013001 Leigh Anne Falcon 008800 Nirtas Kwi Timu 001500 Jewel Lincoln 320001 Sharma Odonnell 012000 Jeannine Griffin 700003 Bludua/Bunnell 320000 John Lee Specialty Clinic 022000 Peter Rojas 012100 Donald Breech 000404 Ayo Ad 070002 Richard Steinberg 525225 Azhar Malik MD 900000 Dakshesh Parikh 057006 A Qadri November 2016 2016 YTD PRIOR YEAR TO $ 475,624 $ 5,515,127 $ 5,919,124 $ 376,739 $ 4,560,686 $ - $ 161,922 $ 2,801,437 $ 858,970 $ 207,696 $ 2,273,124 $ 2,491,374 $ 169,978 $ 1,582,346 $ 550,182 $ 24 $ 951,907 $ 515,960 $ 163,711 $ 694,596 $ - $ 42,320 $ 466,074 $ 68,473 $ 45,577 $ 677,794 $ 66,558 $ 146,250 $ 232,051 $ - $ - $ - $ 243,396 $ 1,789,842 $ 19,755,143 $ 10,714,035 32% 29% 18% $ 549,948 $ 7,495,999 $ 2,756,888 $ 549,948 $ 7,495,999 $ 2,756,888 10% 11% 5% $ 41,254 $ 369,637 $ 3,223,321 $ 366,359 $ 4,100,523 $ 4,130,890 $ - $ - $ 2,827,972 $ 193,787 $ 2,471,061 $ 2,362,517 $ 141,194 $ 2,053,289 $ 2,178,921 $ 184,020 $ 2,485,238 $ 1,530,962 $ 39,371 $ 424,907 $ 406,038 $ 44,829 $ 241,676 $ 363,324 $ - $ 53,964 $ - $ - $ - $ 35,860 $ 1,010,813 $ 12,200,294 $ 17,059,804 18% 18% 29% $ - $ - $ 849,215 $ 77,025 $ 856,268 $ 866,582 $ 33,571 $ 860,287 $ 884,272 $ 26,166 $ 210,548 $ 150,478 $ 2,571 $ 73,059 $ 80,018 $ - $ 59,422 $ - $ - $ - $ 57,290 $ 139,333 $ 2,059,584 $ 2,887,855 2% 3% 5% -14- Physician Revenue Trend Memorial Medical Center As of November 2016 Total E/R Physicians November 2016 1,505,813 2016 YTD 17,482,225 PRIOR YEAR TD Coastal Medical Clinic $ 1,505,813 $ 17,482,225 011000 Tim McFarland $ 74,734 $ 880,322 $ 489,788 000806 William McFarland $ 23,796 $ 272,669 $ 199,162 $ 98,529 $ 1,152,991 $ 688,950 $ 4,033,868 2% 3,656,663 2% Neese/Twin Foun 1% Independent $ 174,054 $ 396,754 000359 Earnest Alsop 006000 M S Lin $ 81,201 $ 1,634,597 $ 1,554,017 004000 G A Williams $ - $ 20,257 $ 97,954 310001 Michelle Cummins $ 49,096 $ 618,584 $ 807,396 330000 Nhi Le MD $ 1,506 $ 31,291 $ 85,385 $ $ 131,802 $ 2,304,729 $ 2,544,752 108,592 $ 2% 000077 3% $ 4% Other Medical Staff 58,337 $ - 900116 Sabbagh Mohamme $ 065002 George Boozalis $ 17,439 $ 251,051 $ 171,928 075000 Laborator Ramos $ - $ - $ 604 Greg Cowart $ 17,439 $ 251,051 $ 172,532 0% 369,241 0% 5,156,625 0% Total E/R Physicians $ 1,505,813 $ 17,482,225 $ 17,461,144 $ 1,505,813 $ 17,482,225 $ 17,461,144 27% 26% 29% Other Ordering Physicians Other Ordering Physicians $ 303,678 $ 4,033,868 $ 3,656,663 004004 Neese/Twin Foun $ 4,663 $ 174,054 $ 396,754 000359 Earnest Alsop $ 4,472 $ 4,472 $ 22,656 000080 Marcus Caughron $ - $ 33,768 $ - 807077 Nilesh Patel $ 28,025 $ 621,923 $ 865,691 800003 Bryan Kestler $ - $ 45,056 $ 11,272 900327 Dharmendr Verma $ 16,199 $ 108,592 $ 137,723 000077 Scott Stein $ 8,665 $ 58,337 $ - 900116 Sabbagh Mohamme $ 3,539 $ 50,959 $ 31,052 012102 lerr Followwill $ - $ 25,595 $ 69,031 142001 Greg Cowart $ - $ - $ 115,725 $ 369,241 $ 5,156,625 $ 5,306,567 7% 8% 9% Totals $ 5,612,761 $ 67,858,641 $ 59,592,529 -15- Memorial Medical Center Hospital Accounts Receivable Quality Indicators Accounts Receivable by Payor Sz,am,0oo I. 'v.. B.WO.WO Aug 11 1,15 C[t-15 Nov -15 Oec-11 )an -16 fxbib Ma[16 Apr -15 May -i6 lOn-36 1,116 MI. s¢µ16 OQ-]6 Nov -16 Oxcl6 •Metll[afe Medl[aId ¢Blue Cmis OCommerclal ®Private Pay Medicare Aging< 60 Days Blue Cross < 90 Days 9t% 89i 9Jie Igg.Ott 91% 6Y{a 91Yo 91% IWAYe e6K gAya did Bih ]]W 91K e]% B6K B6S5 a5% 8396 S]% Bl..M. BO.OY 80A:5 ]0.0% ]0096 60.% WA9'. m.0% mos <0.0% a0ott mon 9oor. xo.m5 Io0% 100% IO.MS 0.0A OOK M1b 4¢ U �`s.yG Ip y M1G M1G .ab 'Yp .O-,:,IAo.M1b 6 `M1S 16 oyG 4 1 ,:+s' 1 ; :vG g'vU Q1 1 Uis°M1G 1G l I.G Medicaid Aging< 90 Days Commercial< 90 Days U35_ sos rood . - a4x 600b as 84°d ]9% ]BK. ]6K ]6Y..- ]3x '4% ... �. 9005 X93'0- _]Yd 01 IM .80AU ]1K 73% 73N ]� W U6 A'.b mA% 00031 ma,5 0.0% z0 oa 2.=u - toms 5 � loox -16- Memorial Medical Center Clinic Accounts Receivable quality Indicators Accounts Receivable by Payor 1,Wo,WoWA 9W W0 7W,OW.Wm SW OW AMEW NOW W O 1W W0 Sep16 Ocl-16 Nav-16 Oecl6 ®MeOia'a �e Metl ieaiE Mo0ac—S .Co—TUT 4Pmltepay Medicare < 60 Days Blue Cross < 90 Days iW o°s 90015 6o.aX saoX 34.695 40.0% 30.1 0.0 1Q0X 00 Sep16 I'll Nov16 Oec-i6 I Medicaid< 90 Days - - - 67.5% U6 50031 4 0 3p 0% zoo; 1a.os ooi o.¢s Sep 16 OQ-i6 Nov -]6 Oecl6 '. DA 464`5 54.3% 4.1 zo.o% I Sepl6 Ott -16 Novl6 Oec-]6 Commercial <90 Days iN.O% ''.. WO% 449X 7003: 30 0U 400% 300nM ZZA as vh O.Olu SeRi6 Ocl-36 Nov -16 Oec-36 �y� T RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER TIME:15:46 CHECK REGISTER 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE M40UNT PAYEE --------------------------------------------------------------- A/P 000839 11/01/16 879,81 ECKERSON A/P 000840 11/01/16 880.67 MCKESSON A/P 000841 11/01/16 1,438.23 MCKESSON A/P 000842 11/07/16 442.95 MCKESSON A/P 000843 11/07/16 725.74 MCKESSON A/P 000844 11/07/16 759.12 MCKESSON A/P 000845 11/15/16 460.41 MCKESSON A/P 000846 11/15/16 750.02 MCKESSON A/P 000847 11/15/16 1,290.19 MCKESSON A/P 000848 11/21/16 403.29 MCKESSON A/P 000849 11/21/16 846.67 MCKESSON A/P 000850 11/21/16 1,340.10 MCKESSON A/P 000851 11/28/16 804.79 MCKESSON A/P 000852 11/28/16 443.18 MCKESSON A/P * 000853 11/28/16 483.48 MCKESSON A/P * 168032 11/28/16 160.0008 AORN A/P 168569 11/02/16 2,609.95 US FOOD SERVICE A/P 168570 11/02/16 3,173.16 BE HEALTHCARE A/P 168571 11/02/16 750.00 JAMES A DANIEL A/P 168572 11/02/16 2,001,34 PRINCIPAL LIFE A/P 168573 11/02/16 10.16 DEWITT POTH & SON A/P 168574 11/02/16 .00 VOIDED A/P 168575 11/02/16 15,061.72 MORRIS & DICKSON CO, LLC A/P 168576 11/02/16 9,750.00 AMERICAN PROFICIENCY INSTITUTE A/P 168577 11/02/16 113.54 GLOBAL EQUIPMENT CO. INC. A/P 168578 11/02/16 2,240.00 PHI CARES MEMBERSHIP A/P 168579 11/02/16 307.50 FIRETROL PROTECTION SYSTEMS A/P 168580 11/02/16 54,996.92 MMC EMPLOYEE BENEFIT PLAN A/P 168581 11/02/16 14,081.49 HUNTER PHARMACY SERVICES A/P 168582 11/02/16 662.27 MARLIN BUSINESS BANK A/P 168583 11/02/16 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 168584 11/02/16 379.58 WEST INTERACTIVE SERVICES CORP A/P 168585 11/02/16 28,328.09 TXU ENERGY A/P 168586 11/02/16 7,780.00 JACKSON & COKER LOCUM TENENS, A/P 168587 11/02/16 2,141.75 AMN HEALTHCARE ALLIED, INC. A/P 168588 11/02/16 11,756.51 PICA A/P 168589 11/02/16 346.11 CARDINAL HEALTH A/P 168590 11/02/16 20,580.67 BECKMAN COULTER INC A/P 168591 11/02/16 43.81 CABLE ONE A/P 168592 11/02/16 14.77 COASTAL OFFICE SOLUTONS A/P 168593 11/02/16 7,636.09 CITY OF PORT LAVACA A/P 168594 11/02/16 17,453.10 EVIDENT A/P 168595 11/02/16 78.30 DOWNTOWN CLEANERS A/P 168596 11/02/16 143.50 EAGLE FIRE & SAFETY INC A/P 168597 11/02/16 54.95 FEDERAL EXPRESS CORP. A/P 168598 11/02/16 1,426.38 FISHER HEALTHCARE A/P 168599 11/02/16 25.00 GULF COAST DELIVERY A/P 168600 11/02/16 14,522.75 ROBERTS, ROBERTS & ODEFBY, LLP A/P 168601 11/02/16 454.06 GULF COAST PAPER COMPANY A/P 168602 11/02/16 298.90 H E BUTT GROCERY PAGE 1 GLCKREG RUN DATE:12/19/16 MEMORIAL 61EDICAL CENTER TIME:15:46 CHECK REGISTER 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE N31DER DATE AMOUNT PAYEE -------------------------------------- A/P 168603 11/02/16 258.52 METLIFE A/P 168604 11/02/16 266.67 MERRY X-RAY/SOURCEONE HEALTHCA A/P 168605 11/02/16 113.93 OWENS & MINOR A/P 168606 11/02/16 365.62 RECEIVABLE MANAGEMENT, INC A/P 168607 11/02/16 14.49 SHERWIN WILLIAMS A/P 168608 11/02/16 398.85 UNIFORM ADVANTAGE A/P 168609 11/02/16 24.80 THE VICTORIA ADVOCATE A/P 168610 11/02/16 422.00 AMERICAN FAMILY INS A/P 168611 11/09/16 4,592.40 US FOOD SERVICE A/P 168612 11/09/16 83.68 MERCEDES 618DICAL A/P 168613 11/09/16 212.00 WHOLESALE ELECTRIC SUPPLY A/P 168614 11/09/16 1,466.71 CENTURION MEDICAL PRODUCTS A/P 168615 11/09/16 1,470.01 DEWITT POTH & SON A/P 168616 11/09/16 106.63 PRECISION DYNAMICS CORP (PDC) A/P 168617 11/09/16 .00 VOIDED A/P 168618 11/09/16 16,619.81 MORRIS & DICKSON CO, LLC A/P 168619 11/09/16 295.00 RADIOLOGY UNLTD PA - PRINT1099 A/P 168620 11/09/16 20.00 EMPLOYEE ACTIVITIES TEAM A/P 168621 11/09/16 122.53 PENLON, INC A/P 168622 11/09/16 120.00 REVISTA de VICTORIA A/P 168623 11/09/16 56.28 GLOBAL EQUIPMENT CO. INC. A/P 168624 11/09/16 1,275.00 SIGN AD, LTD. A/P 168625 11/09/16 3,165.13 STRYKER SUSTAINABILITY A/P 168626 11/09/16 307.50 FIRETROL PROTECTION SYSTEMS A/P 168627 11/09/16 225.00 WAGEWORKS A/P 168628 11/09/16 45,474.64 MMC E61PLOYEE BENEFIT PLAN A/P 168629 11/09/16 8,774.14 ACCLARENT, INC. A/P 168630 11/09/16 175.16 PHYSICIAN SALES & SERVICE A/P 168631 11/09/16 112.24 ROSHANDA GRAY A/P 168632 11/09/16 536.80 DERRI HART A/P 168633 11/09/16 150.00 REED, CLAYMON, MEEKER & HARGET A/P 168634 11/09/16 2,646.78 COMBINED INSURANCE CO A/P 168635 11/09/16 39,253.70 E -MDS, INC A/P 168636 11/09/16 540.00 PABLO GARZA A/P 168637 11/09/16 1,667.00 RADSOURCE A/P 168638 11/09/16 3,690.52 TEXAS ADVANTAGE COMMUNITY BANK A/P 168639 11/09/16 8,336.61 PAETEC A/P 168640 11/09/16 .00 FRONTIER A/P 168641 11/09/16 3,033.00 AN HEALTHCARE ALLIED, INC. A/P 168642 11/09/16 165.00 AHRMM/AHA A/P 168643 11/09/16 39.57 AIRGAS USA, LLC - CENTRAL DIV A/P 168644 11/09/16 286.11 ALPHA TEC SYSTEMS INC A/P 168645 11/09/16 3,198.20 AFLAC A/P 168646 11/09/16 1,529.91 BAXTER HEALTHCARE CORP A/P 168647 11/09/16 28,363.63 BECKPIAN COULTER INC A/P 168648 11/09/16 457.00 BOSTON SCIENTIFIC CORPORATION A/P 168649 11/09/16 488.00 CAD SOLUTIONS, INC A/P 168650 11/09/16 587.68 CARDINAL HEALTH 414, INC. A/P 168651 11/09/16 264,00 CYGNUS MEDICAL LLC A/P 168652 11/09/16 496.00 CONNED CORPORATION A/P 168653 11/09/16 1,728.50 COW GOVERNMENT, INC. -19- PAGE 2 GLCKREG RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER TIME:15:46 CHECK REGISTER 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE --------------------------------------------------- - A/P 168654 11/09/16 2,100.00 EVIDENT A/P 168655 11/09/16 1,544.80 CPSI A/P 168656 11/09/16 371.80 DYNATRONICS CORPORATION A/P 168657 11/09/16 280.00 EAGLE FIRE & SAFETY INC A/P 168658 11/09/16 47.47 CENTERPOINT ENERGY A/P 168659 11/09/16 3,290.48 FISHER HEALTHCARE A/P 168660 11/09/16 700.00 D HARRIS CONSULTING LLC A/P 168661 11/09/16 63.16 INDEPENDENCE MEDICAL A/P 168662 11/09/16 1,703.67 WERTEN USA LLC A/P 168663 11/09/16 141.25 INTEGRATED MEDICAL SYSTEMS A/P 168664 11/09/16 438.75 INTOXI14ETERS INC A/P 168665 11/09/16 1,120,57 SHIRLEY KARNEI A/P 168666 11/09/16 2,883.29 MCKESSON MEDICAL SURGICAL INC A/P 168667 11/09/16 900.51 MERRY X-RAY/SOURCEONE HEALTHCA A/P 168668 11/09/16 103.27 MMC VOLUNTEERS A/P 168669 11/09/16 276.24 MICROTEK MEDICAL INC A/P 168670 11/09/16 61.74 OFFICE DEPOT A/P 168671 11/09/16 1,272.19 ORTHO CLINICAL DIAGNOSTICS A/P 168672 11/09/16 .00 VOIDED A/P 168673 11/09/16 .00 VOIDED A/P 168674 11/09/16 .00 VOIDED A/P 168675 11/09/16 15,441.22 OWENS & MINOR A/P 168676 11/09/16 811.60 POLYMEDCO INC. A/P 168677 11/09/16 107.69 POWER ELECTRIC A/P 168678 11/09/16 151.38 R & D BATTERIES INC A/P 168679 11/09/16 832.25 SIEMENS MEDICAL SOLUTIONS INC A/P 168680 11/09/16 477.82 SMITH & NEPHEW A/P 168681 11/09/16 2,121.12 SO TEX BLOOD & TISSUE CENTER A/P 168682 11/09/16 1,225.78 SYSCO FOOD SERVICES OF A/P 168683 11/09/16 132.84 ERIN CLEVENGER A/P 168684 11/09/16 218.00 TEXAS GLASS & TINTING A/P 168685 11/09/16 142.11 UAL A/P 168686 11/09/16 214.84 UNIFIRST HOLDINGS A/P 168687 11/09/16 112.94 UNIFORM ADVANTAGE A/P 168688 11/09/16 3,683.23 UNIFIRST HOLDINGS INC A/P 168689 11/09/16 1,006.08 UPS A/P 168690 11/09/16 110.88 UTAH MEDICAL PRODUCTS INC A/P 168691 11/09/16 238.67 VERI20N WIRELESS A/P 168692 11/09/16 147.66 GRAINGER A/P 168693 11/09/16 62.08 FRONTIER A/P 168694 11/18/16 10,864,70 US FOOD SERVICE A/P 168695 11/18/16 284.00 PHARMEDIUM SERVICES LLC A/P 168696 11/18/16 8,333.33 HITACHI MEDICAL SYSTEMS A/P 168697 11/18/16 1,244.76 CENTURION MEDICAL PRODUCES A/P 168698 11/18/16 1,297.08 DEWITT POTH & SON A/P 168699 11/18/16 .00 VOIDED A/P 168700 11/18/16 31,524.68 MORRIS & DICKSON CO, LLC A/P 168701 11/18/16 110.00 AMERICAN PROFICIENCY INSTITUTE A/P 168702 11/18/16 2,754.70 BKD, LLP A/P 168703 11/18/16 12,040.00 TELE -PHYSICIANS, P.A. (TX) A/P 168704 11/18/16 10,362.17 GLAXOSMITHKLINE PHARNACUETICAL will PAGE 3 GLCKREG RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER PAGE 4 TIME:15:46 CHECK REGISTER GLCKREG 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE __ ------------------------------' A/P 168705 11/18/16 450.00 ALLIED FIRE PROTECTION SA, LP A/P 168706 11/18/16 400.00 SIGN AD, LTD. A/P 168707 11/18/16 328.70 STRYKER SUSTAINABILITY A/P 168708 11/18/16 52,618.21 PRIVATE WAIVER CLEARING ACCT A/P 168709 11/18/16 110,664.64 MMC EMPLOYEE BENEFIT PLAN A/P 168710 11/18/16 104.30 GENESIS DIAGNOSTICS A/P 168711 11/18/16 1,577.98 MERCK SHARP & DOHME CORP A/P 168712 11/18/16 14,055,47 HUNTER PHARMACY SERVICES A/P 168713 11/18/16 610.00 CALHOUN CO INDIGENT ACCT A/P 168714 11/18/16 2,718.04 AIRESPRING INC A/P 168715 11/18/16 1,371.00 TRIZETTO PROVIDER SOLUTIONS A/P 168716 11/18/16 36.11 JERRY PICKETT A/P 168717 11/18/16 3,690.52 TEXAS ADVANTAGE C0181UNITY BANK A/P 168718 11/18/16 281.09 RS CLARK & ASSOCIATES, INC A/P 168719 11/18/16 75.18 NORTH COAST MEDICAL INC A/P 168720 11/18/16 2,272.00 ANN HEALTHCARE ALLIED, INC. A/P 168721 11/18/16 50.00 RAPID PRINTING LLC A/P 168722 11/18/16 634.55 RX WASTE SYSTEMS LLC A/P 168723 11/18/16 589.95 BLUEPRINT PUBLISHING A/P 168724 11/18/16 12.45 GULF COAST HARDWARE / ACE A/P 168725 11/18/16 109.28 AMERISOURCEBERGEN DRUG CORP A/P 168726 11/18/16 425.34 AIRGAS USA, LLC - CENTRAL DIV A/P 168727 11/18/16 2,026.50 ALCON LABORATORIES, INC. A/P 168728 11/18/16 121,48 NADINE GARNER A/P 168729 11/18/16 1,156.36 BECKMAN COULTER INC A/P 168730 11/18/16 476,689.73 CALHOUN COUNTY A/P 168731 11/18/16 308.74 CALHOUN COUNTY A/P 168732 11/18/16 255.00 CENTRAL DRUGS A/P 168733 11/18/16 13,303.05 EVIDENT A/P 168734 11/18/16 42,163.20 CPSI A/P 168735 11/18/16 30.50 DOWNTOWN CLEANERS A/P 168736 11/18/16 573.19 DYNATRONICS CORPORATION A/P 168737 11/18/16 280.00 EAGLE FIRE & SAFETY INC A/P 168738 11/18/16 38.46 FEDERAL EXPRESS CORP. A/P 168739 11/18/16 2,075.07 FISHER HEALTHCARE A/P 168740 11/18/16 1,213.25 GULF COAST PAPER COMPANY A/P 168741 11/18/16 12.79 H E BUTT GROCERY A/P 168742 11/18/16 46.27 INDEPENDENCE MEDICAL A/P 168743 11/18/16 5,909.84 RICOH USA, INC. A/P 168744 11/18/16 48.25 INTEGRATED MEDICAL SYSTEMS A/P 168745 11/18/16 404.13 J & J HEALTH CARE SYSTEMS, INC A/P 168746 11/18/16 179.36 MMC AUXILIARY GIFT SHOP A/P 168747 11/18/16 .00 VOIDED A/P 168748 11/18/16 4,728.37 GERMS & MINOR A/P 168749 11/18/16 261.10 R & D BATTERIES INC A/P 168750 11/18/16 684,30 CULLIGAN OF VICTORIA A/P 168751 11/18/16 647.70 SANOFI PASTEUR INC A/P 168752 11/18/16 18.67 SHERWIN WILLIAMS A/P 168753 11/18/16 1,476.82 SMITH & NEPHEW A/P 168754 11/18/16 770.00 STANFORD VACUUM SERVICE A/P 168755 11/18/16 1,211.07 SYSCO FOOD SERVICES OF -21- RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER TIME:15:46 CHECK REGISTER 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ---- - ------ ----- A/P 168756 11/18/16 64.65 STERIS CORPORATION A/P 168757 11/18/16 6,110.00 TEXAS MUTUAL INSURANCE CO A/P 168758 11/18/16 137.90 TEXAS WIRED MUSIC INC A/P 168759 11/18/16 76.46 UNIFIRST HOLDINGS A/P 168760 11/18/16 3,624.44 UNIFIRST HOLDINGS INC A/P 168761 11/18/16 1,000.00 US POSTAL SERVICE A/P 168762 11/18/16 72.64 VERATHON INC A/P 168763 11/18/16 120.00 VCS SECURITY SYSTEMS A/P 168764 11/18/16 20.19 WATERMARK GRAPHICS INC A/P 168765 11/18/16 51.71 GRAINGER A/P 168766 11/18/16 921.25 CARMEN C. ZAPATA-ARROYO A/P 168761 11/18/16 2,003.19 MSC 410836 A/P 168768 11/22/16 304.79 CUSTOM MEDICAL SPECIALTIES A/P 168769 11/22/16 2,724.64 DSHS CENTRAL LAB MC2004 A/P 168770 11/22/16 549.70 PHARMEDIUM SERVICES LLC A/P 168771 11/22/16 5,524.45 CLINICAL PATHOLOGY LABS A/P 168772 11/22/16 750.00 JAMES A DANIEL A/P 168773 11/22/16 525.69 DEWITT TOTE & SON A/P 168774 11/22/16 511.09 PRECISION DYNAMICS CORP (PDC) A/P 168775 11/22/16 827.01 GE HEALTHCARE IITS USA CORP A/P 168776 11/22/16 7,367.60 MORRIS & DICKSON CO, LLC A/P 168777 11/22/16 19,550.00 WOUND CARE SPECIALISTS A/P 168778 11/22/16 1,785.69 LUMINANT ENERGY COMPANY LLC A/P 168779 11/22/16 36.67 AMERICAN PROFICIENCY INSTITUTE A/P 168780 11/22/16 2,104.60 BED, LLP A/P 168781 11/22/16 600.00 TELE -PHYSICIANS, P.A. (TX) A/P 168782 11/22/16 4,728.32 GLAXOSMIITHKLINE PHARMACUETICAL A/P 168783 11/22/16 385.32 FIVE STAR STERILIZER SERVICES A/P 168784 11/22/16 495.00 FASTHEALTH CORPORATION A/P 168785 11/22/16 4,280.64 THERACOM, LLC A/P 168786 11/22/16 495.00 OSCAR TORRES A/P 168787 11/22/16 30,750.70 ALLIED BENEFIT SYSTEMS A/P 168788 11/22/16 407.96 GENESIS DIAGNOSTICS A/P 168789 11/22/16 2,693.28 WAGEWORKS A/P 168790 11/22/16 1,333.33 SIEMENS FINANCIAL SERVICES A/P 168791 11/22/16 756.00 WALLER,LANSDEN, BURTCH & DAVIS A/P 168792 11/22/16 200.00 MEMORIAL MEDICAL CLINIC A/P 168793 11/22/16 1,382.50 M G TRUST A/P 168794 11/22/16 558.00 SHIFTHOUND A/P 168795 11/22/16 7,682.67 CSI LEASING INC A/P 168796 11/22/16 6,771.60 WEBPT, INC A/P 168797 11/22/16 75.00 FIRST CLEARING A/P 168798 11/22/16 750.00 PABLO GARZA A/P 168799 11/22/16 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 168800 11/22/16 211.24 DIANNE ATKINSON A/P 168801 11/22/16 3,353.32 MEDICAL DATA SYSTEMS, INC. A/P 168802 11/22/16 331.72 WEST INTERACTIVE SERVICES CORP A/P 168803 11/22/16 500.00 LAMAR COMPANIES A/P 168804 11/22/16 252.90 IRON MOUNTAIN A/P 168805 11/22/16 150.00 SERJ INSTRUMENTS A/P 168806 11/22/16 600.00 NARHC -22- PAGE 5 GLCKREG RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER PAGE 6 TIME:15:46 CHECK REGISTER GLCKREG 11/01/16 THRU 11/30/16 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ---------------------------------------------------------------------------------------------------- A/P 168807 11/22/16 3,450.00 ROLANDO REYES A/P 168808 11/22/16 18.54 GULF COAST HARDWARE / ACE A/P 168809 11/22/16 4,686.40 AIRGAS USA, LLC - CENTRAL DIV A/P 168810 11/22/16 3,258.00 ALCON LABORATORIES, INC. A/P 168811 11/22/16 325.00 AMERICAN COLLEGE OF HEALTHCARE A/P 168812 11/22/16 29.09 AQUA BEVERAGE COMPANY A/P 168813 11/22/16 34.56 NADINE GARNER A/P 168814 11/22/16 19.20 AUTO PARTS & MACHINE CO. A/P 168815 11/22/16 216.75 BARD ACCESS A/P 168816 11/22/16 2,957.50 BAXTER HEALTHCARE A/P 168817 11/22/16 25.00 CAL CON FEDERAL CREDIT UNION A/P 168818 11/22/16 165.00 COASTAL OFFICE SOLUTONS A/P 168819 11/22/16 467.55 CARDINAL HEALTH 414, INC. A/P 168820 11/22/16 321.18 COLLEGE OF AMERICAN PATHOLOGIS A/P 168821 11/22/16 8,894.85 CDN GOVERNMENT, INC. A/P 168822 11/22/16 651.76 COOK MEDICAL INCORPORATED A/P 168823 11/22/16 633.33 SIEMENS HEALTHCARE DIAGNOSTICS A/P 168824 11/22/16 47.95 DUE PAPER & PACKAGING A/P 168825 11/22/16 862.48 FIRESTONE OF PORT LAVACA A/P 168826 11/22/16 15,356.53 FISHER HEALTHCARE A/P 168827 11/22/16 530.00 FORT BEND SERVICES, INC A/P 168828 11/22/16 11.25 HOSPIPA WORLDWIDE, INC A/P 168829 11/22/16 31.04 INDEPENDENCE MEDICAL A/P 168830 11/22/16 299.54 J & J HEALTH CARE SYSTEMS, INC A/P 168831 11/22/16 1,401.07 SHIRLEY KARNEI A/P 168832 11/22/16 88.20 LANGUAGE LINE SERVICES A/P 168833 11/22/16 395.71 MARKETLAB, INC A/P 168834 11/22/16 105.65 MARTIN PRINTING CO A/P 168835 11/22/16 353.90 MCKESSON MEDICAL SURGICAL INC A/P 168836 11/22/16 166.95 MEDISAFE AMERICA LLC A/P 168837 11/22/16 530.63 MERRY X-RAY/SOURCEONE HEALTHCA A/P 168838 11/22/16 3,000.00 NUTRITION OPTIONS A/P 168839 11/22/16 149.14 OFFICE DEPOT A/P 168840 11/22/16 884.22 ORTHO CLINICAL DIAGNOSTICS A/P 168841 11/22/16 .00 VOIDED A/P 168842 11/22/16 2,731.26 OMENS & MINOR A/P 168843 11/22/16 160.00 PHILIP THOMAE PHOTOGRAPHER A/P 168844 11/22/16 153.18 EVOQUA WATER TECHNOLOGIES LLC A/P 168845 11/22/16 4,423.23 SO TEX BLOOD & TISSUE CENTER A/P 168846 11/22/16 189.60 STRYKER SALES CORP A/P 168847 11/22/16 1,863.46 STERICYCLE, INC A/P 168848 11/22/16 95.97 TG A/P 168849 11/22/16 4,555.00 T -SYSTEM, INC A/P 168850 11/22/16 77.19 UNIFIRST HOLDINGS A/P 168851 11/22/16 233.70 UNIFORM ADVANTAGE A/P 168852 11/22/16 2,023.53 UNIFIRST HOLDINGS INC A/P 168853 11/22/16 215.00 US POSTAL SERVICE A/P 168854 11/22/16 82.24 GRAINGER TOTALS: 1,503,751.19 -23- RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER TIM8:15:46 CHECK REGISTER 11/01/16 THEN 11/30/16 BANK --CHECK------_--------------------------------' CODE NUMBER DATE AMOUNT PAYEE ---------------------------------------------------------------- ICP 011888 11/30/16 151.05 COPMUNITY PATHOLOGY ASSOCIATES ICP 011889 11/30/16 165.89 MICHELLE M. CUMMINS, M.D. ICP 011890 11/30/16 785.60 PORT LAVACA CLINIC ASSOC, PA ICP 011891 11/30/16 385.26 RADIOLOGY UNLIMITED PA ICP 011892 11/30/16 265.54 REGIONAL EMPLOYEE ASSISTANCE ICP 011893 11/30/16 401.81 VICTORIA ANESTHESIOLOGY, LLP ICP 011894 11/30/16 1,074.00 MEMORIAL MEDICAL CENTER ICP 011895 11/30/16 40,110.25 MEMORIAL MEDICAL CENTER ICP 011896 11/30/16 537.52 MEDIMPACT HEALTHCARE SYS, INC. ICP 011897 11/30/16 5,230.08 MEMORIAL MEDICAL CLINIC ICP 011898 11/30/16 279.36 ADU SPORTS MEDICINE CLINIC ICP 011899 11/30/16 705.85 DR. WILLIAM CROWLEY ICP 011900 11/30/16 47.85 RICHARD ARROYO-DIA2 TOTALS: 50,140.06 -24- PAGE 7 GLCKREG RUN DATE:12/19/16 MEMORIAL MEDICAL CENTER TIME:15:46 CHECK REGISTER 11/01/16 THRU 11/30/16 BANK --CHECK------- ------------------------------ CODE NUMBER DATE AMOUNT PAYEE PR- 061824 11/03/16 68.46 PAY -P.10/14/16 10/27/16 PR- 061825 11/03/16 966.21 PAY -P.10/14/16 10/27/16 PR- 061826 11/17/16 374.91 PAY -P.10/28/16 11/10/16 PR- t 061827 11/17/16 704.93 PAY -P.10/28/16 11/10/16 PR- 999999 11/03/16 522,159.86 TOTALS: 524,274.37 -25- PAGE 8 GLCKREG RUN DATE: 12/20/16 MEMORIAL MEDICAL CENTER TIME: 14:18 DEFAULT FORMAT FROM DB025 PRTitle PRDeptName PRTotGross --------------------------- REGISTBRED NURSE - EMERGENCY ROOM 4905.48 DEPARTMENTAL ASSIST MAINTENANCE 2496.00 ASST PURCHASE BUYER CENTRAL SUPPLY 2212.78 CENTRAL STERILE TECH SURGERY .00 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2375.52 PURCHASING SUPERVISR CENTRAL SUPPLY 4241,44 IP/BH/RM NURSE INFECTION PREVENTION 5862.26 REGISTERED NURSE MED/SURG 1614.25 FOOD SERVICE STAFF DIETARY 1578.61 ES AIDE ENVIRONMENTAL SERVICES 1924.80 CPR-REGISTERED NURSE CARDIAC REHAB .00 REGISTERED NURSE SURGERY 1196.25 MANAGER-SURGERY-OPC SURGERY 6723.20 PAYROLL CLERK ACCOUNTING 5351.10 REGISTERED NURSE MED/SURG 5081.14 LICENSED VOCATIONAL OBSTETRICS 4838.21 LICENSED VOCATIONAL MBD/SURG 3403.80 REGISTERED NURSE ICU 1884.38 REGISTERED NURSE OBSTETRICS 3324,69 REGISTERED NURSE EMERGENCY ROOM 5624.15 DIRECTOR OF INPT SVC MED/SURG 6452.20 REGISTERED NURSE OBSTETRICS 4992.02 LICENSED VOCATIONAL MED/SURG 2539.16 ADMINIST ASSISTANT ADMINISTRATION 3497.80 REGISTERED NURSE EMERGENCY ROOM 470.38 REGISTERED NURSE ICU 4827.69 PRE-ADMISSION NURSE SURGERY 3695.05 REGISTERED NURSE SURGICAL CLINIC 5682.45 LICENSED VOCATIONAL SURGERY 3912.65 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5132.87 REFERRAL SPECIALIST MEMORIAL MEDICAL CLINIC 2352.56 MEDICAL LAB TECH LABORATORY 733.50 LAB DIRECTOR LABORATORY 4969.00 LAB ASSISTANT LABORATORY 3706.18 MEDICAL LAB TECH LABORATORY 4181.96 MEDICAL TECHNOLOGIST LABORATORY 4163.40 REGISTERED NURSE EMERGENCY ROOM 4496.45 REGISTERED NURSE MED/SURG 1169.75 TRANSCRIPTIONIST-RIC HEALTH INFORMATION MANAGEMENT 2217.60 REGISTERED NURSE OBSTETRICS 5223.32 REGISTERED NURSE OBSTETRICS 4729.00 REGISTERED NURSE OBSTETRICS 5389.61 CLINICAL IT SPCLST ADMINISTRATION-CLINICAL SERVIC 4804.41 MEDICAL LAB TECH LABORATORY 760.13 REGISTERED NURSE OBSTETRICS 226.25 REGISTERED NURSE OBSTETRICS 2315.39 REGISTERED NURSE OBSTETRICS 4081.96 CNO-DIRECTOR OF QA QUALITY ASSURANCE 7432.20 REGISTERED NURSE SURGERY 5429.66 REGISTERED NURSE MBD/SURG 4127.68 LICENSED VOCATIONAL MED/SURG 1133.75 PRACT ADMINISTRATOR MEMORIAL MEDICAL CLINIC 7332.20 REGISTERED NURSE ICU 672.37 9URSE PRACTIONER MEMORIAL MEDICAL CLINIC 7538.40 -26- 4ove- 'ber- 0� PAGE 1 RUN DATE: 12/20/16 MEMORIAL MEDICAL CENTER PAGE 2 TIME: 14:18 DEFAULT FORMAT FROM DB025 PRTitle LICENSED VOCATIONAL CERTIFIED NURSE AIDE SUPERVISOR LVW/RPhT CASE MANAGER/UR/DP REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE CERTIFIED NURSE AIDE LICENSED VOCATIONAL REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE LICENSED VOCATIONAL LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL REGISTERED NURSE LICENSED VOCATIONAL CERTIFIED NURSE AIDE CERTIFIED NURSE AIDE NURSE SUPERVISOR CERTIFIED NURSE AIDE NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE TECHNICIAN REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE REGISTERED NURSE 0 R TECH TRANSCRIPTIONIST REGISTERED NURSE RN -PERIOPERATIVE OR TECHNICIAN CENTRAL SUPPLY TECH REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE PRDeptName ----------------------------- MRD/SURG MED/SURG PHARMACY UTILIZATION REVISE MED/SURG MED/SURG MBD/SURG OBSTETRICS MED/SURG MED/SURG MED/SURG MBD/SURG MED/SURG MED/SURG ICU MED/SURG MBD/SURG MED/SURG MED/SURG ICU MED/SURG MED/SURG MBD/SURG MBD/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG EMERGENCY ROOM MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MEMORIAL MEDICAL CLINIC EMERGENCY ROOM ICU ICU BEHAVIORAL HEALTH ICU ICU ICU ICU ICU SURGERY SURGERY SURGERY HEALTH INFORMATION MANAGEMENT SURGERY SURGERY SURGERY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM PRTotGxoss 572.50 386.75 3235.85 4326.03 3685.29 2528.00 5418.47 4906.75 1190.76 970.00 1510.43 1734.94 1149.75 4445.96 4273.27 718.13 3604.04 1792.05 4167.50 4810.33 6530.56 .00 2197.29 34.00 3401.68 1550.38 3815.12 2499.38 4432.48 777.75 1376.88 2194.89 2803.53 1081.16 7538.40 4642.54 4794.21 3761.09 .00 4081.19 4156.18 6072.33 477.50 4148.55 4723.80 5540.03 3797.04 .00 5903.21 6107.83 1813.60 1799.12 1692.00 4874.23 848.38 -27- RUN DATE: 12/20/16 MEMORIAL MEDICAL CENTER TIME: 14:18 DEFAULT FORMAT FROM DB025 PRTitle PRDeptName PRTotGross ---------------- REGISTERED NURSE --- EMERGENCY ROOM 1195,64 REGISTERED NURSE EMERGENCY ROOM 4337.50 REGISTERED NURSE EMERGENCY ROOM 496.06 REGISTERED NURSE EMERGENCY ROOM 506.70 REGISTERED NURSE EMERGENCY ROOM 2151,57 REGISTERED NURSE EMERGENCY ROOM 5990.80 REGISTERED NURSE EMERGENCY ROOM 4493.01 CLINIC COORDINATOR SPECIALTY CLINIC 4466,16 GENERAL SUPERVISOR LABORATORY 9884.01 TECHNICAL SUPERVISOR LABORATORY 4481.21 MEDICAL LAB TECH LABORATORY 1498.76 REGISTERED NURSE MED/SURG 4068.04 MEDICAL LAB TECH LABORATORY 3519.32 TECHNICAL SUPERVISOR MMC CLINIC - LABORATORY 3511.81 LABORATORY ASSISTANT LABORATORY 2352.69 MEDICAL TECHNOLOGIST LABORATORY ,00 MEDICAL TECHNOLOGIST LABORATORY 3890.01 LAB ASSISTANT LABORATORY 2263.51 LABORATORY ASSISTANT LABORATORY 1584.25 LABORATORY ASSISTANT LABORATORY 371.38 LAB ASSISTANT LABORATORY 1131.25 LABORATORY ASSISTANT LABORATORY 778,88 MEDICAL TECHNOLOGIST LABORATORY 279.00 LAB ASSIST/SECRETARY LABORATORY 2364.80 MEDICAL LAB TECH LABORATORY 3316.95 MEDICAL LAB TECH LABORATORY 4878.85 CERTIFIED NURSE AIDE MED/SURG .00 REGISTERED NURSE MED/SURG 531.75 REGISTERED NURSE EMERGENCY ROOM 4719,82 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5336.71 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RECEPT/SECRETARY DIAGNOSTIC IMAGING 2059,17 RADIOLOGY SUPERVISOR DIAGNOSTIC IMAGING 6675.10 RADIOLOGY TECH MMC CLINIC - DIAGNOSTIC IMAGIN 5979,19 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1326.99 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5202.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4218.05 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2845,20 NUCLEAR MED TECH DIAGNOSTIC IMAGING 6240.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3883.82 RADIOLOGICAL TECH DIAGNOSTIC IMAGING .00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1694.25 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4478.51 LVN-CHG-CHART AUDITR PHARMACY 2833.47 REGIST PHARMACY TECH PHARMACY 4268.78 REG PHARMACY TECH PHARMACY 2785.71 REG RESP THERAPIST RESPIRATORY CARE .00 RECEPTIONIST MEMORIAL MEDICAL CLINIC 2245.13 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1718,05 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 3011.47 INSURANCE CLERK MEMORIAL MEDICAL CLINIC 1860.03 RECEPTIONIST MEMORIAL MEDICAL CLINIC 344,38 RECEPTIONIST MEMORIAL MEDICAL CLINIC 1733.40 OPERATOR MEMORIAL MEDICAL CLINIC 1713.34 -28- PAGE 3 RUN DATE: 12/20/16 MEMORIAL MEDICAL CENTER TIME: 14:18 DEFAULT FORMAT FROM DB025 PRTitle PRDeptName PRTotGxoss ---------------------------------------------------------------------------- LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 351.36 INSURANCE CLERK MEMORIAL MEDICAL CLINIC 2284.23 RECEPTIONIST MEMORIAL MEDICAL CLINIC 1884.11 OUT PT COORDINATOR PATIENT FINANCIAL SERVICES 1751.81 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2492.10 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2004.66 RECEPTIONIST MEMORIAL MEDICAL CLINIC 1574.13 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 3175.79 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1704.99 RESP THERAPIST RESPIRATORY CARE .00 CERT RESP THERAPIST RESPIRATORY CARE .00 RESP THERAPIST RESPIRATORY CARE .00 RESPIR THERAPIST RESPIRATORY CARE .00 RESP PRACTITIONER RESPIRATORY CARE .00 DIRECTOR OF CARDIO RESPIRATORY CARE .00 CERT RESP THERAPIST RESPIRATORY CARE .00 REG RESPIR THERAPIST RESPIRATORY CARE .00 REG RESPIR THERAPIST RESPIRATORY CARE .00 REG RESP THERAPIST RESPIRATORY CARE .00 PT ASSISTANT PHYSICAL THERAPY 3936.66 PT ASSISTANT PHYSICAL THERAPY 4040.18 OCCUPATION THERAPIST PHYSICAL THERAPY 5993.14 TEAM LEAD PTA PHYSICAL THERAPY 4707.50 REGISTERED NURSE OBSTETRICS 6612.03 PT ASSISTANT PHYSICAL THERAPY 3542.50 DIRECTOR PHYSICAL THERAPY 8906.46 PT TECH PHYSICAL THERAPY 1906.85 DIRECTOR BEHAVIORAL HEALTH .00 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 1626.89 HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 1754,38 HIM SPECIALIST PFS - REGISTRATION 1471.25 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2529.26 TECHNICIAN CARDIAC REHAB .00 PHYSICAL THERAPIST PHYSICAL THERAPY .00 REGISTERED NURSE ICU 90.00 FOOD SERVICE STAFF DIETARY 1647.72 RECEPTIONIST -PBX MEMORIAL MEDICAL CLINIC 1702.35 FOOD SERVICE STAFF DIETARY 1853.45 DIRECTOR OF DIETARY DIETARY 3121.04 FOOD SERVICE STAFF DIETARY 1745.10 FOOD SERVICE STAFF DIETARY 1766.84 FOOD SERVICE STAFF DIETARY 1935.45 GROUNDSKEEPER-PAINTR MAINTENANCE 2165.84 SECURITY OFFIER SECURITY 1547.76 BIO -MED TECHNICIAN BIO MEDICAL ENGINEERING 1842.75 BIO -MBD TECHNICIAN BIO MEDICAL ENGINEERING 4082.46 DIRECTOR MAINTENANCE 6092.20 SECURITY SUPERVISOR SECURITY 2222.06 ES AIDE ENVIRONMENTAL SERVICES 903.04 ES AIDE ENVIRONMENTAL SERVICES 1888.00 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1902.15 ES AIDE ENVIRONMENTAL SERVICES 2005.19 ES AIDE ENVIRONMENTAL SERVICES 1396.13 ES AIDE ENVIRONMENTAL SERVICES 1512.06 BE AIDE ENVIRONMENTAL SERVICES 1726.86 -29- PAGE 4 RUN DATE: 12/20/16 MEMORIAL MEDICAL CENTER TIME: 14:18 DEFAULT FORMAT FROM DB025 PRTitle PRDeptName PRTotGross -------------------------- LICENSED VOCAT NURSE MED/SURG 1903.30 ES AIDE ENVIRONMENTAL SERVICES 1738.32 REGISTRATION CLERK PFS - REGISTRATION 1912.28 ES AIDE ENVIRONMENTAL SERVICES 1823.19 ES AIDE ENVIRONMENTAL SERVICES 1726.40 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1825.27 ES AIDE ENVIRONMENTAL SERVICES 1651.20 BS AIDE ENVIRONMENTAL SERVICES 928.00 OR AIDE SURGERY 1793.90 SECURITY OFFICER SECURITY 1916.98 SECURITY OFFIER SECURITY .00 PLANT OPS SPECIALIST MAINTENANCE 3297.75 THERAPIST CARDIAC REHAB .00 REGISTERED NURSE ICU .00 OUTPATIENT THERAPIST BEHAVIORAL HEALTH 4015.00 FIN CNSLR-COORDINATR INDIGENT CARE PROGRAM 2812.30 SELF PAY CLERK PATIENT FINANCIAL SERVICES 1898.47 OFFICE MANAGER MEMORIAL MEDICAL CLINIC 2650.50 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1494.92 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1985.12 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1701.02 INSUR COORDINATOR PATIENT FINANCIAL SERVICES 1958.69 BILLING CLERK PATIENT FINANCIAL SERVICES 1948.66 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 772,97 RECEPTIONIST MEMORIAL MEDICAL CLINIC 2090.95 TEAM LEADER PATIENT FINANCIAL SERVICES 2581.81 REGISTRATION CLERK PFS - REGISTRATION 2126.28 PFS DIRECTOR PATIENT FINANCIAL SERVICES 3546.20 REGISTERED NURSE EMERGENCY ROOM 1282.70 OFFICE COORDINATOR PHYSICAL THERAPY 1884.36 REGISTRATION CLERK PFS - REGISTRATION 863.58 SECURITY OFFICER SECURITY 1865.81 FINANCIAL COUNSELOR INDIGENT CARE PROGRAM 2372,09 REGISTRATION CLERK PFS - REGISTRATION 2070.50 DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT. 3091.40 MEDICAID COORDINATOR PATIENT FINANCIAL SERVICES 2547.00 REGISTRATION CLERK PFS - REGISTRATION 773.15 REGISTRATION CLERK PFS - REGISTRATION 945.53 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES 2169.34 TRAUMA COORDINATOR EMERGENCY ROOM 4326.07 DIRECTOR DIAGNOSTIC IMAGING 5124.40 REGISTRATION CLERK PFS - REGISTRATION 1684.17 I.T. DIRECTOR INFORMATION TECHNOLOGY 5755.40 IT SYSTEM ANALYST INFORMATION TECHNOLOGY 4328.19 REGISTERED NURSE EMERGENCY ROOM 5137.84 PAYROLL AP ASSISTANT ACCOUNTING 2677.51 CONTROLLER ACCOUNTING 4621.00 ACCOUNTANT ACCOUNTING 3590.80 ASSIST ADMINISTRATOR ADMINISTRATION 9137.00 C.F.O. ADMINISTRATION 10794.23 C.B.O. ADMINISTRATION 26311.53 ADMIN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC 2232.15 SPECIAL PROJECTS MGR ADMINISTRATION 2970.66 ;rand totals 779491.29 Total lines = 272 -30- PAGE 5 ©iHs Source Totals Report Issued 12/14/16 Calhoun Indigent Health Care Batch Dates 12/01/2016 through 12/01/2016 For Source Group Indigent Health Gare For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 16,996.90 3,378.40 01-2 Physician Services- Anesthesia 1,170.00 265.96 02 Prescription Drugs 858.90 674.90 08 Rural Health Clinics 5,752.85 4,702.61 14 Mmc - Hospital Outpatient 111,466.89 37,064.16 15 Mmc - Er Bills 10,609.36 3,501.09 Expenditures 147,163.78 49,896.00 Reimb/Adjustments -308.88 -308.88 Grand Total 146,854.90 49,587.12 Expenses +1,074.00 Copays <-520.00> TOTAL 50,141.12 —31— Calhoun County Indigent Care Patient Caseload Monthly Avg December 2015 Active 7 2 Approved Denied Removed Active Pending January 4 5 3 58 6 February 7 2 8 57 7 March 2 3 5 51 9 April 5 2 14 46 8 May 4 3 3 47 3 June 6 2 6 55 2 July 13 2 4 66 3 August 5 1 5 66 5 September 13 0 6 73 2 October 5 0 11 66 3 November 9 0 19 56 0 December YTD 73 20 84 641 48 Monthly Avg December 2015 Active 7 2 8 58 4 57 -32- 6. Award bids for Fuel to be delivered for the period January 16, 2017 through February 15, 2017. (MP) (Agenda Item No. 6) Commissioner Lyssy made a motion to approve the bulk fuel to be delivered from Diebel Oil which is diesel in the amount of $2.21 and also regular and unleaded in the amount of $2.20. Commissioner Finster seconded his motion. MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 4 of 29 AGENDA ITEM THURSDAY, JANUARY 12, 2017 Consider and take necessary action to award bid for Bulk Fuel to be Delivered for the period beginning January 16, 2017 and ending February 15, 2017. T e N � Z IJ O y � p 00 8 c c <• z o, r 0 m Fn e v 03 G) 0 Cl) 0 0 r 0 Z m z n 0 0, m e 0 0 0 z N -n C m r C r 0 m r m r� L7 CALHOUN COUNTY, TEXAS BID SHEET - BIDDER DIEBEL OIL CO INC SAM OIEBEL PO BOX 71 PORTLAVACA TX 77070 BID ITEM FUEL -BULK DELIVERED -I PETIIBBFABM: JANUARY 16, 2017 PEMOBTO: FEBRUARY 15, 2017 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL PFEIFER, CALHOUNCOUNTYJUDGE, 211 SANNST. 3RD FLOOR, ROOMJ01, PORTLAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- ULKDELIVERED'� BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.00AM, THURSDAY, JANUARYS, 2017 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, JANUARY 12, 2017 THE CLOCK IN THE COUNTY JUDGE'S OFFICE 1S THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN BID ITEM.• FUEL -BULK DELIVERED DEPARTMENT. VARIOUS DELIVERY FOB COUNTY FUEL TANKS DESTINATION VARIOUS DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE _—______GALLON_W sPEcocArms: REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT UNIT PRICE GALLON :2 s�2 V PLEASE LIST ANY EXCEPTIONS TOTE ABOVE SPECVICAHONS: Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 l of l Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2016-149420 Diebel Oil Company, Inc. Port Lavaca, TX United States Date Filed: 12/29/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 02/27/2017 3 Provide the identification number used by the governmental entity or state agency to track or identify description of the services, goods, or other property to be provided under the contract. the contract, and provide a 2017 Monthly Fuel Bids Bulk fuel delivered to various county departments Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Diebel, Sam Port Lavaca, TX United States X Krueger, Sarah Port Lavaca, TX United States X s 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2016-149420 Diebel Oil Company, Inc. Port Lavaca, TX United States Date Filed: 12/29/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Monthly Fuel Bids Bulk fuel delivered to various county departments 4 Nature of interest Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary Diebel, Sam Port Lavaca, TX United States X Krueger, Sarah Port Lavaca, TX United States X V 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT wear, or affirm, under penalty of perjury, that the above disclosure is true and correct. BERTHA& OALINDO ;.; My Notary ID # 128041482 W?.Y„ ExplmsJuy3,2020 Signature o authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn and subscribed before me, by the said this the day of Glg %tp 1& 20 , to certify which, witness my hand and seal of office. ZO,-,7 Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 7. Consider and take necessary action on the following 2017 Interlocal Agreements and authorize payment of purchase orders, and authorize County Judge to sign. (MP) (Agenda Item No. 7) (1) Calhoun County Soil and Water Conservation District No. 345 $7,750 (2) Gulf Bend Center $26,000 (3) Rabies Control, City of Port Lavaca $65,000 (4) Fire Protection, City of Port Lavaca $185,177.53 (5) Calhoun County Senior Citizen's Association, Inc. $35,000 (6) The Harbor Children's Alliance & Victim Center $28,500 (7) The ARC of Calhoun County $10,000 (8) Calhoun County Crimestoppers $1,000 MOVER: Michael Pfeifer, County Judge SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 5 of 29 CALHOUN SOIL and WATER CONSERVATION DISTRICT NO. 345 Post Office Box 553 Port Lavaca, Texas 77979 December 20, 2016 Michael Pfeifer, Judge Calhoun County Commissioners Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Dear Judge Pfeifer and Commissioners: Enclosed are the two signed original copies of the contract between the County and District. Also enclosed is a copy of District's proof of insurance and letter requesting the 2017 allocation funds. Thank you for your support of the district and our natural resources. Sincerely, Dennis Klump Chairman DK/jm Yom v �7 �� �� ��� � ���-�✓ �a-�.ss � �� eel WA INTERLOCAL AGREEMENT between CALHOUN COUNTY and CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. Having found the above elements fully satisfied, COUNTY may contract with the CALHOUN SOIL & WATER CONSERVATION DISTRICT so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, hereinafter referred to as CALHOUN SOIL & WATER CONSERVATION DISTRICT #345, is engaged in various functions involving agricultural production - including livestock, crops, aquaculture, horticulture and forestry and providing services for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY, said services being considered by both parties to this contract as fair consideration from CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall be entitled to a sum not to exceed $7,750.00 per annum. Such amount shall be disbursed by COUNTY to CALHOUN SOIL dam' WATER CONSERVA77ON DISTRICT #345 after January 1, 2017, upon written request from CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345. 2. Insurance: CALHOUN SOIL & FATER CONSERVATION DISTRICT #345 shall at all times maintain a policy of liability insurance for premises liability for personal injury. The County will requite documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: CALHOUN SOIL & WATER CONSERVA77ON DISTRICT #345 shall provide services to the residents of COUNTY by providing diverse services including the following: providing secretarial help to the Natural Resource Conservation Service, which in turn provides technical time for assistance to our local government, drainage districts, industry, local businesses, farmers and ranchers, in addition to developing and carrying out programs for the conservation, protection and development of soil, water, and related plant and animal resources and shoreline erosion projects with the County. 4. Most Recent Financial and Performance Reports: CALHOUN SOIL d� WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 fiscal year ending in calendar year 2016, within 30 days of the approval of this contract. CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALI-IOUN SOIL & WATER CONSERVA77ON DISTRICT #345 gives details of services provided and clients served for the previous COUNTY fiscal year, within 30 days after the approval of this contract. 6. Prospective Financial and Performance Reports: CALHOUN SOIL d� WATER CONSERVATION DISTRICT #345 shall submit to COUNTY Auditor and COUNTY Judge each a copy of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's independent financial audit or end -of -year financial report of all expenditures and income for the period of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2016, by the earliest of thirty days following its receipt by CALHOUN SOIL & WATER CONSERVATION DISTRICT #345.or by September 30, 2017. CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 gives details of services provided and clients served for CALHOUN SOIL & WATER CONSERVATION DISTRICT #345's fiscal year ending in calendar year 2016, by September 30, 2017. 7. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017, unless earlier terminated by either party on thirty days written notice. 8. Books and Records: All books and records of CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 shall be open for inspection during normal business hoes to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: CALHOUN SOIL ems' WATER CONSERVATION DISTRICT #345 agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on CALHO UN SOIL & WATER CONSERVATION DISTRICT #345. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 may not assign this contract without COUNTY's prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN SOIL & WATER CONSF.RVA77ON DISTRICT #345, and CALHO UN SOIL & WATER CONSERVA77ON DISTRICT #345 shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345 by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and CALHOUN SOIL dam' WATER CONSERVATION DISTRICT #345, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY By: f�%C % y d'`?/Z J Date: /— / 2 - / CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 By: / Date: / Z - a = v2 0 /lv NOTICES COUNTY: CALHOUN SOIL & WATER CONSERVATION DISTRICT #345 Calhoun County Judge 211 S. Ann Street, Suite 301 P.O. Box 553 Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on fu '2017. By: acf� Deputy Clerk Date: C' r Ito t man f 7 98 (Policy Provisions: WC 00 00 00 s) 09 EX INFORMATION PACE WEC WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER: HARTFORD UNDERWRITERS INSURANCE COMPANY ONE HARTFORD PLAZA, HARTFORD, CONNECTICUT 06155 NCCI Company Number: 10456 Company Code: 6 POLICY NUMBER: 165 WEC Ex0998 Previous Policy Number: 165 WEC EX0998 HOUSING CODE: SC 1. Named Insured and Mailing Address: CALHOUN SOIL & WATER CONSERVATION (No., Street, Town, State, Zip Code) DISTR #345 FEIN Number: 746223695 State Identification Number(s): UIN: P.O. BOX 553 PORT LAVACA, TX 77979 The Named Insured IS: NON-PROFIT ORGANIZATION Business of Named Insured: SOIL & WATER CONSERVATION DIST Other workplaces not shown above: 38 COUNTY RD 101 PORT. LAVACA TX 77979 2. Policy Period: From 05/24/16 To 05/24/17 12:01 a.m., Standard time at the insured's mailing address. Prod UCer's Name: PURIFOY INSURANCE AGENCY LTD PO BOX 1088 TEMPLE, TX 76503 Producer's Code: 812615 Issuing Office: THE HARTFORD 3600 WISEMAN BLVD. SAN ANTONIO TX 78251 (800) 447-7649 Total Estimated Annual Premium: $218 Deposit Premium: Policy Minimum Premium: $192 TX Audit Period: ANNUAL Installment Term: The policy is not binding unless countersigned by our authorized representative. Countersigned by Authorized Representative Suffix LARS RENEWAL F -FIG 04/09/16 Date Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page) Process Date: 04/09/16 Policy Expiration Date: 05/24/17 ,INFORMATION PAGE (Continued) Policy Number: 65 WEC EX0998 3.A. Workers Compensation Insurance: Part one of the policy applies to the Workers Compensation Law of the states listed here: TX B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily injury by Accident $100,000 each accident Bodily injury by Disease $500,000 policy limit Bodily injury by Disease $100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any , listed here: ALL STATES EXCEPT ND, OH, WA, WY, US TERRITORIES, AND STATES DESIGNATED IN ITEM 3.A. OF THE INFORMATION PAGE. D. This policy includes these endorsements and schedule: WC 00 04 22B WC 00 04 14 WC 42 03, 01G WC 42 04 07 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. 8810 21,800 .18 39 CLERICAL OFFICE EMPLOYEES NOC TOTAL PREMIUM SUBJECT TO PREMIUM INCENTIVE 39 SMALL EMPLOYER PREMIUM INCENTIVE - 9885 .850 PREMIUM ADJUSTED BY APPLICATION OF PREMIUM INCENTIVE 33 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 33 EXPENSE CONSTANT (0900) 180 TERRORISM (9740) _ 21,800 .024 5 TOTAL FESTIMATED ANNUAL PREMIUM 218 Total Estimated Annual Premium: $218 Deposit Premium: Policy Minimum Premium: $192 TX Interstate/Intrastate Identification Number: / 000000000 NAILS: 541990 Labor Contractors Policy Number: SIC: 8999 UIN: NO. OF EMP: 1 Form WC 00 00 01 A (1) Printed in U.S.A. Page 2 Process Date: 04/09/16 Policy Expiration Date: 05/24/17 Premium Basis Classifications Total Estimated Rates Per Estimated Code Number and Annual $100 of Annual Description Remuneration Remuneration Premium 8601 IF ANY .32 SURVEYOR 8810 21,800 .18 39 CLERICAL OFFICE EMPLOYEES NOC TOTAL PREMIUM SUBJECT TO PREMIUM INCENTIVE 39 SMALL EMPLOYER PREMIUM INCENTIVE - 9885 .850 PREMIUM ADJUSTED BY APPLICATION OF PREMIUM INCENTIVE 33 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 33 EXPENSE CONSTANT (0900) 180 TERRORISM (9740) _ 21,800 .024 5 TOTAL FESTIMATED ANNUAL PREMIUM 218 Total Estimated Annual Premium: $218 Deposit Premium: Policy Minimum Premium: $192 TX Interstate/Intrastate Identification Number: / 000000000 NAILS: 541990 Labor Contractors Policy Number: SIC: 8999 UIN: NO. OF EMP: 1 Form WC 00 00 01 A (1) Printed in U.S.A. Page 2 Process Date: 04/09/16 Policy Expiration Date: 05/24/17 AFFIDAVIT Annual Financial Report/Review/Audit TO: Texas State Soil and Water Conservation Board We certify that we have inspected and reconciled to bank statements the attached Combined Statement of Financial Position for all Funds, Combined Statement of Revenues, Expenditures, Changes in Fund Balances, Schedule of Bonded Officials and Employees, Fixed Assets/Equipment Schedule, and to the best of our knowledge and belief hereby certify that they are a hue, correct, and complete representation of the financial condition of the Conservation District # 34 -5 - Chairman's Signature b Vice I Chairman's Signature Secretary's Signature li as of August 31, 2016. Sept. da, 20/4 Date Date �Ed7( ;/&,..®� , Date � Revised 07/01/15 Soil and Water District Name Calhoun District # Combined Statement of Revenues, Expenditures, and Changes in Fund Balances for the Fiscal Year Ended August 31, 2016 REVENUES: Interest Income Sale of Materials Donations Building & Equipment Rental Fund Transfers Director Mileage & Per Diem Supplemental Mileage & Per Diem (prior year) Matching Funds Supplemental MF / TA Combined (prior year) Conservation Implementation Asst. (TA) NRCS Clerical Assistance (TSP) Information Technology Assistance Grant Other Income (please lis st - CAP insurance refund, works. d, insurance refund TOTAL REVENUES EXPENDITURES: Salaries/Wages Conservation Implementation (TA) NRCS Clerical Assistance (TSP) Other (please list) clerical Payroll Taxes Federal Withholding OASDI & Medicare Worker's compensation insurance Employee Travel Director Mileage Director Per Diem Awards Bonds and other insurance Conferences/Registrations Educational Program Fund transfers Computer / Printer / Internet Service Materials purchased for resale Meals/Banquets NACD Dues Professional fees Building & Equipment Rentals State Association quota Supplies and Postage Other Expenses (please list) quota, contributions, memorial STATE LOCAL FUND FUND 1,633.81 299.07 5,250.00 3,525.00 9,366.00 1,413.91 TRUST FUND FUND 182.67 20.00 10,200.00 1,350.00 9.00 468.60 22,846.79 106871.27 9,366.00 1,589.00 1,976.43 1,339.36 975.00 120.00 2,400.83 241.78 218.00 448.67 235.30 767.72 1,220.00 1,539.30 280.00 1,028.95 1,061.02 1,573.93 314.20 TOTAL EXPENDITURES 20,616.87 Excess (Deficiency) Revenue over Expenditures 2,229.92 Fund Balance September 1, 2014 1,044.42 FUND BALANCE AUGUST 31, 2016 3,274.34 1. Fund Balances must reconcile to Bank Statements 797.50 300.00 425.00 8,196.01 2,675.26 76,202.88 78,878.14 345 FUND Revised 07/01/15 District Name Calhoun District # 345 Combined Statement of Financial Position for all Funds for the Fiscal Year Ended August 31, 2016 STATE LOCAL TRUST FUND FUND FUND FUND ASSETS Cash in Bank Accounts Cash on hand Certificates of Deposit Accounts Receivable Prepaids Due From Other Funds Subtotal Current Assets FIXED ASSETS Land / Buildings Furniture / Equipment Rental Equipment Vehicles Subtotal Fixed Assets TOTAL ASSETS LIABILITIES AND FUND EQUITY LIABILITIES Accounts Payable Due to Other Funds Total Liabilities FUND EQUITY Investment in Fixed Assets Unreserved Fund Balance 3,274.34 10,896.29 3,274.34 74,978.14 0.00 3,900.00 3,274.34 78,878,14 0.00 0.00 3,900.00 74,978.14 Total Fund Equity 3,274.34 78,878.14 TOTAL LIABILITIES AND FUND EQUITY 3,274.34 78,878.14 1. May prepare on cash or modified accrual basis District Name Calhomi District # 345 Fixed Assets/Equipment Schedule As of August 31, 2016 COST Date Trust Description Acquired State Fund Local Fund Fund Fund Fund HCON Copier 08/17/2004 3,900.00 TOTAL 3,900.00 1. Please include any computer / printer purchases made through Information Technology Assistance Grant District Name Calhoun District # 345 Schedule of Bonded Officials and Employees As of August 31, 2016 INSURER INSURED BONDED AMOUNT (Name of bonding co., policy number, (Blanket policy or list positions (Amount of coverage per policy) and effective dates of the policy) covered not names) Purifoy & Company Insurance Blanket policy $10,000 per loss 4 South 9th Street P O Box 1088 Temple, Texas 76503-1088 Pol # 65BPEBV9503 01/01/2015 - 01/01/2018 Revised 07/01/16 Submission #574 1 Texas State Soil and Water Conservation Board Page I of 3 TEXAS STATE SOIL 1 WATER CONSERVATIONBOARD Protecting and Enhancing Natural Resources, since 9939 Programs Agencv Reports About Us Media & Press SWCDs Employment Contact Us Board Meetings Staff Directory Agency Organization Regional Offices Calendar Rules Links search Home >> Conservation Implementation - Technical Assistance Grant Program Performance Report Submission #574 View !, Edit Delete 1 Print SWCD Name Calhoun SWCD Number # 345 Employee Name a Joyce M May Employee Name b Employee Name c Employee Name d Employee Name e Employee Name f ill%Number of contacts with owners and operators —421 III iEstimated number of other contacts. 502 1. Developing farm plans Yes 2. Farm ponds No 3. Terraces No 4. Waterways No 5. Irrigation systems No 6. Grazing systems No 7. Mapping Yes 8. Brush management Yes 9. Conservation tillage systems No User menu a My account g Log out https://www.tsswcb.texas.gov/en/node/1141/submission/4530 12/1/2016 Submission #574 1 Texas State Soil and Water Conservation Board 10. Servicing existing plans Yes 11. Critical area treatment No 12. EQIP (Environmental Quality Incentives Program) Yes 13. RC&D No 14. Windbreak trees (conservation materials) No 15. Roadside erosion No 16. FSA (Food Security Act) No 17. Range and pasture improvement Yes 18. Water Quality Management Plans Yes 19. Wetlands Program No 20. Water Enhancement Program No 21. Conservation Reserve Program No 22. Land & Pasture Judging No 23. Conservation tourstactivities Yes 24. Low tillage agriculture No 25. Conservation education Yes 26. Annual plan Yes 27. Wildlife management No 28. Livestock watering pipelines No 29. Grade stabilization structures Yes 30. Rainfall monitoring No 31. Prescribed burns No 32. Maintain drainages No 33. Sodbuster program No 34. Forage testing No 35. Woodland management No 36. Watershed operations Page 2 of 3 https://www.tssweb.texas.gov/en/node/1141/submission/4530 12/1/2016 Submission #574 1 Texas State Soil and Water Conservation Board Yes 37. Post wildfire management No 38. Waste oil collection activity/waste management systems No Programs Agency Reports About Us Media & Press SWCOs Endid vmen[ Contact Us Board Meatless Staff Directory Agencv Organization Rational Offices Calendar Rules Links Page 3 of 3 Compact with Texans Fraud Policy Privacy Policy Accessiblity Policy Open Records Policy Complaints Negotiated Rulemaking Alternative Dispute Resolution Texas Homeland Security Texas Online Statewide Search Texas Veterans Portal Webmaster Site Mater En Espanol https://www.tsswcb.texas.gov/en/node/l 141 /submission/4530 12/1/2016 CALHOUN COUNTY 201 West Austin Pori Lavaca, Texas 77979 VENDOR I ' Name:����6csa rje end t.,)�t+- Cs+JSQfUaAd" D%stir'. c4 No.3�F5 Address: _T06_0) City: Coc+ L-AVAcA State: Zip: Phone: ACCOUNT NO. Purchase Order No. 9 CHECK REQUISITION/ PURCHASE ORDER Department: -S I-4-LJ.o itf ��Sw urs Address: City: _ State: Phone: DESCRIPTION Q d Zip: UNIT PRICE QTY. TOTAL TBEITEMSORSERVICESSHOWNABOVEARENEEDEDINTMDISCHARGE Taxes - State/County Deducted OF MY OFITCIAL DUTIES AND I CERTIFYTHAT FUNDS ARE AVAILABLE TO PAYTIUS OBLIGATTON.I CERTIFY THAT THE ABOVE ITEMS OR SERVICES 'DOTAL WERE RECEIVED BY ME IN GOOD CONDITIONAND REQUEST TBE COUNTY �I Sa DO TREASURER TO PAY THE ABOVE OBLIGATION. / SIGNATUR'E�- DATE SIGNATURE DA'PE AFFIDAVIT Annual Financial Report/Review/Audit TO: Texas State Soil and Water Conservation Board We certify that we have inspected and reconciled to bank statements the attached Combined Statement of Financial Position for all Funds, Combined Statement of Revenues, Expenditures, Changes in Fund Balances, Schedule of Bonded Officials and Employees, Fixed Assets/Equipment Schedule, and to the best of our knowledge and belief hereby certify that they are a true, correct, and complete representation of the financial condition of the Conservation District # 3,LS Chairman's Signature d Vice Chairman's Signature Secretary's Signature as of August 31, 2016. Sep 2. -2o,14 Date Date C,9P127" �d,. `&0O� Date Revised 07/01/15 Soil and Water District Name Calhoun District # 345 Combined Statement of Revenues, Expenditures, and Changes in Fund Balances for the Fiscal Year Ended August 31, 2016 REVENUES: Interest Income Sale of Materials Donations Building & Equipment Rental Fund Transfers Director Mileage & Per Diem Supplemental Mileage & Per Diem (prior year) Matching Funds Supplemental MF / TA Combined (prior year) Conservation Implementation Asst. (TA) NRCS Clerical Assistance (TSP) Information Technology Assistance Grant Other Income (please lis st - CAP insurance refund, works. d, insurance refund TOTAL REVENUES Salaries/Wages Conservation Implementation (TA) NRCS Clerical Assistance (TSP) Other (please list) clerical Payroll Taxes Federal Withholding OASDI & Medicare Worker's compensation insurance Employee Travel Director Mileage Director Per Diem Awards Bonds and other insurance Conferences/Registrations. Educational Program Fund transfers Computer / Printer / Internet Service Materials purchased for resale Meals/Banquets NACD Dues Professional fees Building & Equipment Rentals State Association quota Supplies and Postage Other Expenses (please list) quota, contributions, memorial STATE LOCAL TRUST FUND FUND FUND FUND FUND 182.67 20.00 10,200.00 1,633.81 299.07 5,250.00 3,525.00 9,366.00 1,413.91 1,S3U.UU 9.00 22,846.79 9,366.00 1,589.00 1,976.43 975.00 2,400.83 218.00 448.67 767.72 1,220.00 280.00 1,061.02 �IEWAIi TOTAL EXPENDITURES 2Q61W Excess (Deficiency) Revenue over Expenditures 2,229.92 Fund Balance September 1, 2014 1,044.42 FUND BALANCE AUGUST 31, 2016 3,274.34 1. Fund Balances must reconcile to Bank Statements 468.60 10,871.27 1,339.36 120.00 241 7R GJJ.JU l,� sy.su 1,028.95 1,573.93 797.50 300.00 �-srimM 594.89 8,196.01 2,675.26 76,202.88 78,878.14 Revised 07/01/15 District Name ASSETS Cash in Bank Accounts Cash on hand Certificates of Deposit Accounts Receivable Prepaids Due From Other Funds Calhoun District # 345 Combined Statement of Financial Position for all Funds for the Fiscal Year Ended August 31, 2016 STATE LOCAL TRUST FUND FUND FUND FUND 3,274.34 10,896.29 Subtotal Current Assets FIXED ASSETS Land / Buildings Furniture / Equipment Rental Equipment Vehicles Subtotal Fixed Assets TOTAL ASSETS LIABILITIES AND FUND EQUITY LIABILITIES Accounts Payable Due to Other Funds Total Liabilities FUND EQUITY Investment in Fixed Assets Unreserved Fund Balance 3,274.34 741978.14 3,900.00 0.00 3,900.00 3,274.34 78,878,14 0.00 0.00 3,274.34 3,900.00 74,978.14 Total Fund Equity 3,274.34 78,878.14 TOTAL LIABILITIES AND FUND EQUITY 3,274.34 78,878.14 1. May prepare on cash or modified accrual basis District Name Calhoun District # 345 Fixed Assets/Equipment Schedule As of August 31, 2016 COST Date Trust Description Acgnired State Fund Local Fund Fund Fund Fund IKON Copier 08/17/2004 3,900.00 TOTAL 3,900.00 1. Please include any computer / printer purchases made through Information Technology Assistance Grant District Name Calhoun District # 345 Schedule of Bonded Officials and Employees As of August 31, 2016 INSURER INSURED BONDED AMOUNT (Name of bonding co., policy number, (Blanket policy or list positions (Amount of coverage per policy) and effective dates of the policy) covered not names) Purifoy, & Company Insurance Blanket policy $10,000 per loss 4 South 9th Street P O Box 1088 Temple, Texas 76503-1088 Pol # 65BPEBV9503 01/01/2015 - 01/01/2018 Revised 07/01/16 Submission #574 1 Texas State Soil and Water Conservation Board Page i of 3 rTEXAS STATE SOIL AND WATER CONSERVATION O. Protecting and Enhancing Natural Resources, since 9939 Programs Agency Reports About Us Media & Press SWCDs Employment Contact Us Board Meetings Staff Directory Agency Organization Regional Offices Calendar Rules Links E::=Search Home » Conservation Implementation - Technical Assistance Grant Program Performance Report Submission #574 View ! 1 Edit I I Delete Print SWCD Name Calhoun SWCD Number # 345 Employee Name a Joyce M May Employee Name b Employee Name c Employee Name d Employee Name e Employee Name f CIljlNumber of contacts with owners and operators 421 '(Ijl,%Estimated number of other contacts. 502 1. Developing farm plans Yes 2.Farm ponds No 3. Terraces No 4. Waterways No S. Irrigation systems No 6. Grazing systems No 7. Mapping Yes 8. Brush management Yes 9. Conservation tillage systems No User menu e My account o Leg out https://www.tssweb.texas.gov/en/node/1141/submission/4530 12/1/2016 ' Submission #574 1 Texas State Soil and Water Conservation Board Page 2 of 3 10. Servicing existing plans Yes 11. Critical area treatment No 12. EQIP (Environmental Quality Incentives Program) Yes 13. RC&D No 14. Windbreak trees (conservation materials) No 15. Roadside erosion No 16. FSA (Food security Act) No 17. Range and pasture improvement Yes 18. Water Quality Management Plans Yes 19. Wetlands Program No 20. Water Enhancement Program No 21. Conservation Reserve Program No 22. Land & Pasture Judging No 23. Conservation tourslactivities Yes 24. Low tillage agriculture No 25. Conservation education Yes 26. Annual plan Yes 27. Wildlife management No 28. Livestock watering pipelines No 29. Grade stabilization structures Yes 30. Rainfall monitoring No 31. Prescribed burns No 32. Maintain drainages No 33. Sodbuster program No 34. Forage testing No 35. Woodland management No 36. Watershed operations https://www.tssweb.texas.gov/en/node/1141 /submission/4530 12/1/2016 Submission #574 ( Texas State Soil and Water Conservation Board Yes 37. Post wildfire management No 38. Waste oil collection activitylwaste management systems No Page 3 of 3 Programs Agency Reports About Us Media & Press SWCDS Employment Contact Us Board Meetings Staff Directory Aaency Organization Regional Offices Calendar Rules Links Compact with Texans Fraud Policy Privacy Policy Accessibility Policy Open Records Policy Complaints Negotiated Rulemaking Alternative Dispute Resolution Texas Homeland Security Texas Online Statewide Search Texas Veterans Portal Webmaster Sites En Espanol https://www.tssweb.texas.gov/en/node/1141/submission/4530 12/1/2016 NJ November 8, 2016 ulf Bend Center IMPROVING LIFE THROUGH RECOVERY. The Honorable Judge Michael J. Pfeifer Calhoun County Courthouse 211 South Ann Street, Suite 301 Calhoun, Texas 77979 Dear Judge Pfeifer, f Please find attached all the required documents including the two contracts signed by Mr. Tunnell, a copy of the statement emailed on November 1, 2016 as well as the notarized form 1295 now required for the requested funds. If you required additional information, please contact me and I will provide any additional items needed. Sincerely, Melissa Garcia Executive Administrative Assistant 6502 Nursery Drive, Ste. 100 - Victoria, Texas 77904 • 361-575-0611 • 361-578-0506 Fax - www.gulfbend.org CONTRACT between CALHOUN COUNTY and GULF BEND CENTER. STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infix. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, GULF BEND CENTER, hereinafter referred to as GULF BEND CENTER is engaged in providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services, and renders support to the county and district courts in the determination of competency and case disposition involving persons with mental illness and mental retardation who are involved in the criminal justice system, as well as multiple community support services for persons with mental retardation. GULF BEND CENTER is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY, said services being considered by both parties to this contract as fair consideration from GULF BEND CENTER to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, GULF BEND CENTER shall be entitled to a sum not to exceed $26,000.00 per annum. Such amount shall be disbursed by COUNTY to GULF BEND CENTER after January 1, 2017, upon written request for GULF BEND CENTER. 2. Insutance: The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Services: GULF BEND CENTER, hereinafter referred to as GULF BEND CENTER is engaged in providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services, and renders support to the county and district courts in the determination of competency and case disposition involving persons with mental illness and mental retardation who are involved in the criminal justice system, as well as multiple community support services for persons with mental retardation. 4. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017, unless earlier terminated by either party on thirty days written notice. 5. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 6. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of GULF BEND CENTER, and GULF BEND CENTER shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to GULF BEND CENTER by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 7. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and GULF BEND CENTER, except as herein otherwise provided. CALHOUN COUNTY By:%/l /% �-Irl z ez Date: %" 1 2 GULF BEND CENTER By: i Dae: eV7/%� NOTICES COUNTY: GULF BEND CENTER Michael J. Pfeifer Jeffery Tunnell Calhoun County Judge Executive Director 211 S. Ann Street, Suite 301 6502 Nursery Drive Port Lavaca, Texas 77979 Victoria TX 77901 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on �r I a, 12017. By: cs s. a J Deputy Clerk Date: 0 'h.?, f e-1 PTODEC05 TCDECII TEXAS COUNCIL RISK MANAGEMENT FUND TCRMF DECLARATIONS OF COVERAGE Member Name: Gulf Bend Center Contract Number: 00009 Declarations Effective Date: 09/01/16 12:01 AM Fund Year: 2016-2017 Declarations of Coverage Number: 1:16-17 A. WORKERS' COMPENSATION Coverage Basis Statutory Volunteers Yes Elected / Appointed Officials Yes Piece -Rate Client Workers No Wage -Earning Client Workers (less than minimum wage) No Annual Contributions (Estimated) $ 46,525 Per Claim Deductible N/A Annual Aggregate Deductible N/A Effective Date 09/01/16 12:01 AM Expiration Date 09/01117 12:01 AM Original Inception Date 11/01/8812:01 AM B. LIABILITY COVERAGES Effective Date ------------------------------------------------------------------------------ Automobile Liability Coverage ----------.._..---- -------------------- ------ Per Occurrence Limit of Liability $1,000,000 Annual Aggregate N/A Deductible $ 1,000 Annual Contribution $ 23,389 Effective Date 09/01/1612:01 AM Expiration Date 09/01/17 12:01 AM Original Inception Date 10/01/88 12:01 AM Additional Per Occurrence and Annual Aggregate Limit of Liability $ 1,000,000 in Excess of $1,000,000 $ 0 Additional Contribution Excess Layer(s) Effective Date Expiration Date Notes $1M xs $11M $1M xs $1M 09/01/16 12:01 AM 09/01/17 12:01 AM 09/01/16 Original Eff Date ENDORSEMENTS (ENDA) Non -Owned AL Endorsement See Endorsement Worksheet Uninsured/Underinsured Motorists - New Rates Eff 12/31/01 See Endorsement Worksheet 51710 Amendment 16-17.4 Page I of 6 ptodW52 TCDEC12 B. LIABILITY COVERAGES (continued) Gulf Bend Center 00009 -------------------....._--- - - ---...-- General Liability Coverage Per Occurrence Limit of Liability Annual Aggregate Deductible Annual Contribution Effective Date Expiration Date Original Inception Date Additional Per Occurrence and Annual Aggregate Limit of Liability in Excess of $1,000,000 Additional Contribution $ 1,000,000 $ 1,000,000 $ 1,000 $ 905 09/01/1612:01 AM 09/01/17 12:01 AM 10/01/8812:01 AM $ 1,000,000 $ 0 Excess Layer(s) Effective Date Expiration Date Notes $1M xs $1M 09/01/16 12:01 AM 09/01/17 12:01 AM 09/01/16 Original Eff Date ENDORSEMENTS (END -1) Professional Liability Coverage Per Claim Limit of Liability $ 1,000,000 Annual Aggregate (Increased Annual Aggregate Effective 09/01/01) $ 3,000,000 Deductible $ 1,000 Annual Contribution $ 10,855 Retro Active Date 09/01/1991 12:01 AM Effective Date 09/01/1612:01 AM Expiration Date 09/01/1712:01 AM Original Inception Date 10/01/8812:01 AM Additional Per Claim and Annual Aggregate Limit of Liability in Excess of $1,000,000 Additional Contribution $1,000,000 $ 0 Excess Layer(s) Effective Date Expiration Date Expiration Date $1 M xs $1M 09/01/16 12:01 AM 09/01/17 12:01 AM 09/01/16 Original Eff Date ENDORSEMENTS (END -1) Sexual Misconduct Endorsement See Endorsement Worksheet Expanded Professional Liability Professional Defense Endorse See Endorsement Worksheet Page 2 of 6 51710 Amend..nt 16-17.4 (LB -1) Gulf Bend Center B. LIABILITY COVERAGES (continued) 00009 Errors and Omissions Liability Coverage Per Claim Limit of Liability $ 1,000,000 Annual Aggregate $ 1,000,000 Deductible $ 2,500 Annual Contribution $ 27,373 Retro Active Date 10/01/198812:01 AM Effective Date 09/01/1612:01 AM Expiration Date 09/01/1712:01 AM Original Inception Date 10/01/88 12:01 AM Additional Per Claim and Annual Aggregate Limit of Liability in Excess of $1,000,000 Additional Contribution $ 1,000,000 $ 0 Excess Layer(s) Effective Date Expiration Date Notes $1M xs $1M 09/01/1612:01 AM 09/01/1712:01 AM 09/01/16 Original Eff Date ENDORSEMENTS(END'1) Expanded Employment Practices C. PROPERTY COVERAGES See Endorsement Worksheet Coverage Basis All Risk (PR -1) Valuation Method for Loss Adjustment Real and Personal Property Replacement Cost (PH -2) Mobile Equipment & Automobile Physical Damage Catastrophe Coverage Actual Cash Value Blanket Limit Each Occurrence Blanket Per Occurrence Deductible Annual Contribution Effective Date Expiration Date Original Inception Date ENDORSEMENTS (eND-1) Boiler & Machinery Endorsement ptcde053 TCDEC13 Page 3 of 6 $17,131,146 $ 5,000 (PR -1) $ 33,192 09/01/16 12:01 AM 09/01/17 12:01 AM 09/01/88 12:01 AM Not Elected 51710 Amendment 16-17.4 D. AUTOMOBILE PHYSICAL DAMAGE COVERAGES Gulf Bend Center 0000s Valuation Method Actual Cash Value Property Coverage As Scheduled Collision Deductible per Vehicle Varies by vehicle (APD 1) Comprehensive Deductible per Vehicle Varies by vehicle (APD 1) Specified Causes Deductible per Vehicle N/A (APO 1) Rental Reimbursement Coverage No (APD -1) Annual Contribution $ 24,050 Effective Date 09/01/16 12:01 AM Expiration Date 09/01/17 12:01 AM Original Inception Date 09/01/89 12:01 AM E. CRIME Per Occurrence Limit of Liability See Attachment (CR -1) Deductible See Attachment (CR -1) Annual Contribution $ 0 Effective Date 09/01/16 12:01 AM Expiration Date 09/01/17 12:01 AM Original Inception Date ENDORSEMENTS ,tode054 51710 Amendment 16-17.4 TCDEC14 Page 4 of 6 Footnotes Gulf Bend Center 00009 END -1 Reference individual endorsement worksheet for additional information. LB -1 GL Annual Aggregate Applicable to Products, Completed Operations, Contractual and Personal Injury Coverages. PR -1 Windstorm Coverage — Named Storm Wind: 1. Tier 1 Windstorm: Windstorm coverage is excess of the maximum amount of coverage available from the Texas Windstorm Insurance Association (TWIA) in the 14 eligible counties designated as Tier 1, subject to a $4,424,000 minimum deductible per occurrence per Location (Total TIV at location). 2. Harris County and Fort Bend County Windstorm: 3% per occurrence per Location (Total TIV at location) deductible, subject to a $100,000 minimum deductible per Location (Total TIV at location) shall apply for all locations in Harris County and Fort Bend County. 3. Location shall mean all properties, regardless as to the number scheduled with the Fund, at the same physical address. Total insured values (TIV) at the location shall mean the sum of all replacement cost values for buildings, contents and property in the yard without regard to the sublimit, at the location. 4 For properties not located in Tier 1 or in Harris County or in Fort Bend County, the Wind/Hail Coverage Deductible — Other than Named Storm Wind would apply. 5. Named Storm Wind is defined as the direct action of wind, including wind driven rain, storm surge, and flood when associated with or occurring in conjunction with a storm or weather disturbance, which is named, by the National Weather Bureau, National Hurricane Center or any other recognized meteorological authority as a numbered catastrophe. Wind/Hail Coverage Deductible — Other than Named Storm Wind: The deductible for wind or hail losses from weather events other than Named Storm Wind as defined above is 1% of the building TIV, subject to a $25,000 per building maximum and $50,000 aggregate maximum per occurrence. Flood Coverage: 1. Flood Coverage is excluded for property located in the 100 year flood zone A, zone V and zones prefixed A or V as shown in the most recent documentation published by the Federal Emergency Management Agency (FEMA), or other qualified and recognized authority in the absence of FEMA. 2. For property at locations other than the 100 year flood zones, the member's standard deductible will apply for flood coverage. 3. The aggregate limit for loss by flood in any single Fund Year shall not exceed $10,000,000 at all locations not situated within the 100 year flood zone A, zone V, and zones prefixed A or V as shown in the most recent documentation published by the Federal Emergency Management Agency (FEMA), or other qualified and recognized authority in the absence of FEMA. PR -2 Coverage for buildings is provided on a replacement cost basis unless otherwise noted on the building and contents schedule. PR -3 Coverage for mobile equipment is provided on an actual cash value basis unless otherwise noted on the mobile equipment schedule. ptcde055 TCDEC15 Page 5 of 6 51710 Amendment 16-17.4 Footnotes Gulf Bend Center 00009 PR -4 The following types of property must be scheduled to be covered: Fences, Gates, Retaining Walls, Flag Poles, Radio or Television Antennas and their lead in wiring, Masts or Towers, Signs, Swimming Pools, Bulkheads, Piers, Wharves or Docks, Sidewalks, Driveways, Curbs, Patios, Parking Lots and other paved surfaces and free standing Lights and Light Poles. APD -1 Coverages and deductibles may vary by vehicle. The automobile physical damage vehicle schedule should be referenced to determine specific coverages and deductibles on a particular vehicle. APD -2 The Limit per vehicle for Hired Auto APD Coverage is $35,000. The deductible for comprehensive and collision coverage under Hired Auto APD coverage is $500. CR -1 Refer to the Crime Coverage Contribution Worksheet for specific coverages, limits and deductibles. ptcde056 TCDEC16 Page 6 of 6 51710 Amendment 16-17.4 Gulf Beed Cer'ter a "E: TJ lgOUGq PEeoVEPv. 6502 Nursery Drive, Ste 100 Attn: Accounts Receivable Dept Victoria, TX 77904 Phone: (361) 575-0611 Calhoun County Courthouse The Honorable Judge Michael J. Pfeifer 211 South Ann Street, Ste 301 Port Lavaca, TX 77979 STATEMENT .9tatem ,g e. 9/1/2016 2016110100006 ,, '3 .,s ; Ami Calhoun County Courthouse ',�•<":-�.£ Gugn(`:�yID, � 6 ' L} de rh 'YYiil�l 100053 N/A ,, '3 .,s ; Ami $26,000.00 FINE WHO.f3IES"s-:.v t' i"& "m1-1 ., ` 1...ze`� ..� ...r�vea __ _ _ _ _ _ _ _ _ _ _ _ _ ______....... _ _ _ _ _ Please detach and reNm Wis Portion,vithywrremittaa a ----------------- _ I(.e $0.00 � .' 2 ,i� vu fs_°3aara..4' dmg a+ Bim;' °'t A"_ ¢ e cacbr _.,.� k "r- Yt7 '" w' t . S 333���sae��'(�"g,"';�-a'rh��. ss�-G,u9`'a \ :4..{ St 'e��i?.ul f . .i-':.-�� �t '}' "tif....�i i"& "m1-1 ., ` 1...ze`� ..� ...r�vea _ - Fes. MIN We 2 s�YF " ee� s� s 1 $0.00 Calhoun County Courthouse 1 $26,000.00 9/1/2016 Invoice Calhoun County Courthouse $26,000.00 $26,000.00 FY17 Calhoun County Local Funds Subtotal- Calhoun County Courthouse $26,000.00 Statement Summar, Calhoun County Courthouse Charges $26,000.00 $26,000.00 _ I(.e $0.00 . "ti ' n +:L $0.00 '." 3 -WHO 0..M � 1 9F rvz.fi._ 1 $26,000.00 .i—�..'a 'd-y,'s Ss*f4 �'c�-f �Xvifl&�x0.5Y: i L, S 4 1' sL t . d e We 2 s�YF " ee� s� s 1 $0.00 1 $0.00 1 $26,000.00 Due upon receipt Page 1 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-133282 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Gulf Bend Center Victoria, TX United States Date riled: 11107/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services. 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. i�&Y P�� TYLER J BELCIK , Notary Public sState of Texas My Comm, Expires 09.26.2017 Sign of authorized agent of contracting business entity AFFIX NOTARY STAMP/ SEAL ABOVE ��t�n Sworn to and subscribed before me, by the said �iGi- f -w ( [.(Atlee k , this the. _ day of ()O 61 hc[; 20%( ,_, to certify which, witness my hand and seal of office. .fie! << Noy bi. ignatur of officer dministering oath Printeb name of officer administering oath Title of offi er administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 VENDOR /1 Address: L,, -4 d e, S% I 0 0 City: State: �f Y Zip: :�7?96q Phone: of to 1-575--- 06 /1 Purchase Order No.3 6-0 - CHECK REQUISITION/ PURCHASE ORDER Department: 371w " ,eA14 P"f Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL 0 - d of . ,✓ 0;q' d v+5 - Od0.00 Gu t 3e, -V uC,'j -DoC a� g THE ITE MS OR SERVICES SHOWNABOVEARE NEEDED INTHE DISCHARGE Taxes -State/County Deducted OF MY OFFICIAL DUTIES AND L CERTIFY THAT FUNDS ARE AVAILABLE TO MYTIHS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES `OTA WERE. RECEIVED BY ATE IN GOOD CONDITIONAND REOUEST THE COUNTY ^ d TREASURER TO PAY THE ABOVE OBLIGATION. SIGNATURE DATE Forms provided by Texas Ethics Commission www.emics.siace.tx.us �_�_���� •�•�•�� CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-133282 Date Filed: 11/07/2016 Date Acknowledged: 01!31/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Gulf Bend Center Victoria, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Providing services to persons with chronic and persistent mental illness and mental retardation, including crisis response and stabilization services, outpatient mental health services. 4 Name of Interested Party CIIY. State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.emics.siace.tx.us �_�_���� •�•�•�� INTERLOCAL AGREEMENT FOR ANIMAL CONTROL SERVICES STATE OF TEXAS § COUNTY OF CALHOUN § THIS Interlocal Agreement, entered into to be effective on the lst day of January, 2013, by and between the CITY of PORT LAVACA, Texas; a Texas Home Rule City, of Calhoun County (hereinafter "CITY"), by and through its duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY"), such governments acting herein under the . authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WHEREAS, the COUNTY to secure for unincorporated areas of the County the benefits of Animal Control; and, WHEREAS, the CITY being in possession of equipment, trained personnel and licensed facilities for the use in small animal control, and WHEREAS, CITY has authority to enter into contracts providing for small animal control services for citizens outside its jurisdictional limits; and WHEREAS, COUNTY is desirous of obtaining said animal control services to protect the health and safety of residents in the unincorporated areas of County; and WHEREAS, for the small animal control services rendered hereunder, the COUNTY shall pay to CITY the amount of ($65,000) for the below described small animal control services in the unincorporated areas of Calhoun County; and, 1 NOW, THEREFORE, for and in consideration of the mutual benefit to be derived by each of the parties hereto, said parties agree and covenant as follows: 1. SERVICES AND CONDITIONS 1.1 The CITY will provide personnel, equipment and facilities for the control, impoundment and euthanasia of animals according to the laws of the State of Texas. 1.2 The CITY shall maintain its equipment and facilities in accordance with all laws applicable to such.and shall train its Animal Control Officer(s) as required by law, all of which are at CITY expense. 1.3 The CITY shall respond to calls from County residents and the Calhoun County Sheriff's Office for detainment, impoundment and euthanasia of small animals. 1.4 The CITY shall maintain applicable insurance coverage on each of its motor vehicles and personnel. 1.5 It is the intent of the parties that this Agreement covers small animals such as dogs, cats, etc. Large animals, like livestock, are not covered by this Agreement. 2. INDEMNITY CLAIMS 2.1 All claims for workers compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the general employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting party under this agreement. 2 3. TERM and TERMINATION 3.1 This Agreement shall be for one (1) year beginning January 1, 2013. This agreement shall automatically be renewed for a one year period unless any party hereto shall give the other party written notice on or before October 1st of each year. 3.2 Notwithstanding any notice to terminate, all rights, duties, and responsibilities of the parties are unaffected for the remainder of the term. 4. ENTIRE AGREEMENT This agreement shall take the place of and supersede any previous agreements; it shall only be amended in writing and signed by all parties. Approved at a duly called meeting of the City of Port Lavaca on the 15 day of October, 2012. ATTEST: MANDY GRANT CI; Y SBCRETAR 'i I D. LOW, MAYOR i Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the _Q$ day of Q�CC , 2012 ATTEST: Anita Fricke, Calhoun CountyC erk By: ��. a . c► ..o—r... Deputy Cl MinnIT, I FIRIM III 91 �, 11 /11► r 11� CALHOUN COUNTY 201 West Austin Port Lavaca, Texas 77979 VENDOR Name: D (-I- L 44ijACA- Address: 2 N . U : (q; N City: Y O�'I` Lfl ltC/r -r'b Zip: 'nti')q Phone: 3 6 1 --YS 7. —4i'7 9 3 XT i3 tl Purchase Order No. 936-L? I' oto CHECK REQUISITION/ PURCHASE ORDER Department: Address: City: State: Zip: Phone: TREASURER TO PAY TBE ABOVE OBLICATION SIGNATURE U 0 1 DATE SIGNATURE DATE DESCRIPTION UNIT PRICE QTY. TOTAL VAC,COUENTNO. rj3E mBoxsERvicEssaowNAso-mARENEEDEDINTaEDrscHmGE Taxes - State/County Deducted OFMYOMC7ALDUIMSANDICF.RTIFYTHATFUNDSAREAPAM"LETO - MYTIBSOBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES TOTAL {VERS RECEIVED BY ME IN GOOD CONDITIONAND REQUEST THE COUNTY /Sd (� TREASURER TO PAY TBE ABOVE OBLICATION SIGNATURE U 0 1 DATE SIGNATURE DATE INTERLOCAL AGREEMENT FOR FIRE SERVICES BY AND BETWEEN THE CITY OF PORT LAVACA AND CALHOUN COUNTY STATE OF TEXAS § COUNTY OF CALHOUN § THIS INTERLOCAL AGREEMENT, approved by each party at a duly called meeting of each entity as shown below, by and between the CITY of PORT LAVACA, Texas, a home rule city located in Calhoun County, by and through their duly authorized City Manager or Mayor, (hereinafter "CITY") and the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY") such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act. WHEREAS, the COUNTY desires to provide for fire protection and emergency services for life and property of its residents that live outside the jurisdiction of the CITY, and, WHEREAS, the CITY owns certain trucks and other equipment designed for and capable of being used in the protection of persons and property from and in the suppression and the fighting of fires and has assigned individuals trained in the use of such equipment; and, WHEREAS, the CITY has authority to enter into contracts providing for the use of fie trucks and other fire protection and fire -fighting equipment for citizens outside of its jurisdiction; and WHEREAS, in exchange for the fire services to be provided by CITY hereunder, the COUNTY shall provide funds with an annual adjustment each year using the Municipal Cost Index ("MCP') as measured from June 1 st of each year to the prior June 1st of each year. If there is a decrease in the MCI, there shall be no adjustment for that year; and, NOW, THEREFORE, for and in consideration of the mutual benefits to be derived by each of the parties hereto, said parties agree and covenant as follows: 1 n .4 ; Section 1: SERVICES AND CONDITIONS The CITY shall provide to the COUNTY fire suppression services and to dispatch equipment and/or personnel in accordance with and subject to the terms and conditions hereinafter set forth. It is specifically agreed that: 1.1 - The CITY agrees to furnish emergency fire suppression services upon a request for assistance from the 911 dispatcher or county volunteer fire departments within the County. 1.2 The CITY'S Public Safety Director or his designee shall be the sole judge of the type and amount of equipment and manpower dispatched in response to a request for assistance. 1.3 Any request for aid hereafter shall include a statement of the amount and type of equipment and number of personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched. 1.4 The CITY shall report to the officer in charge of the requesting party at the location to which the equipment and/or personnel is dispatched and there, to render the assistance required. 1.5 The CITY shall be released by the requesting party when such services of the CITY are no longer required or when the CITY must respond to another emergency. The authorized official of the CITY, may determine in the official's own discretion that the health, safety and welfare of the CITY'S personnel may be endangered by any order of the requesting party, and may withdraw all of CITY'S personnel from the scene. 1.6 Although the CITY shall endeavor to respond to all requests for assistance, nothing herein is to be interpreted as imposing any duty or obligation upon the CITY to respond to any fire emergency. The provision of fire protection service to each party's own area of responsibility shall always remain the primary function of that party. 1.7 In the event the CITY cannot or is unable to respond to a request for assistance, the CITY'S authorized official shall immediately notify the party requesting such assistance. 1.8 The CITY'S Director of Public Safety, in accordance with the terms of this agreement, shall consult with COUNTY as necessary with respect to the implementation of additional policies and procedures for improving the provision of fire protection services in response to requests for assistance. 2 1.9 The CITY shall maintain insurance coverage on each of its motor vehicles and personnel. Section 2: INDEMNITY CLAIMS 2.1 All claims for worker compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting party under this agreement. Section 3: TERM and PAYMENT 3.1 This agreement shall remain in effect through December 31, 2013, provided that it shall automatically be renewed for a one year period unless any party hereto shall give the other party written notice on or before ninety (90) days prior to the renewal date, at which time this agreement shall terminate at the end of the ninety (90) day period. 3.2 COUNTY shall pay CITY the sum of $178,500.00 on or before March 31, 2013 for the provision of fire services by the CITY for the COUNTY budget year January 1, 2013 to December 31, 2013. On or before July 1, 2013, the CITY shall calculate the annual adjustment for the 2014 budget year using the change in the Municipal Cost Index ("MCP') as measured from June 1, 2012 to June 1, 2013 and said percentage change shall be multiplied by $178,500.00. The COUNTY shall be notified of the new amount as soon as practicable after the calculation is determined. If there is a decrease in the MCI, there shall be no adjustment for that year. A like calculation shall be made by the CITY and provided to the COUNTY for budgeting purposes as soon as practicable after the June 1st index is published each year. The percentage increase, if any, shall be multiplied by the then rate in effect under this Agreement. Following the calculation, said amount shall be the amount charged under this Agreement for the subsequent year. Section 4: GENERAL TERMS 4.1 The parties hereto may terminate this Agreement without recourse or liability, upon ninety (90) days written notice of their intent to terminate to the other party. 4.2 This agreement shall supersede any previous agreements. It may only be amended in writing and signed by all parties. Approved at a duly called meeting of the City of Port Lavaca on the 15 day of October, 2012. QVD. WHI OW, MAYOR ATTEST: MANDY GRANT CITY SECRET.AR Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the a 6- day of Oc ba.0 12012 �►. .6 , ., .:IV; L41610 ATTEST: Anita Fricke, Calhoun County Clerk By: Deputy Cl rk FIRST AMENDMENT TO INTERLOCAL AGREEMENT FOR FIRE SERVICES BY AND BETWEEN THE CITY OF PORT LAVACA AND CALHOUN COUNTY STATE OF TEXAS § COUNTY OF CALHOUN § THIS First Amendment to Interlocal Agreement, approved by each parry at a duly called meeting of each entity as shown below, by and between the CITY of PORT LAVACA, Texas, a home rule city located in Calhoun County, by and through their duly authorized City Manager or Mayor, (hereinafter "CITY") and the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY') such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act. The parties hereto hereby amend the measurement period described in paragraph 3.2 in the original Agreement with regard to Municipal Cost Index ("MCP') to reflect that the measurement period shall be from April 1 to April 1 of each year of the Agreement. Approved at a duly called meeting of the City of Port Lavaca on the 9`" day of September, 2013. ohn D. Whitt , Mayor i Attest: Mandy Grant, 1 Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the 12th day of September, 2013 Attest: Anita Fricke, Calhoun County Clerk mvirmr, No UT MA, v%.-e� A47zi Michael J. Pf ifer, C unty Judge 2 City Manager Ext, 222 City Secretary Ext. 224 Code Enforcement Ext, 229 Finance Lrxt. 234 Inspec8ous/Permits Ext, 229 Municipal Court Ext. 226 Personnel Ext. 224 Utility Billing Ext 238 Animal Control 361-552-5726 Bauer Center 361-552-1234 Fire Station 361-552-3241 Public Warks Direetor 361-5523347 Parks & Recreation 361-552-1234 Ponce 361-552-3788 Streets 361-552-3347 utilities Operation 361-552-3347 CITY of TLAVACA 202 N. Virginia, Port Lavaca, Texas Main Number: 361-552-9793 July 26, 2016 Judge Pfeifer County Judge Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 Dear Judge Pfeifer, '979-0105 www porilavacaom Main Facsimile: 361-552-6062 Per Interlocal agreement, the City shall notify the County for the amount due for fire services based on changes in the Municipal Cost Index (measured from April 2015 to April 2016). The calculation is shown below regarding the 2017 payment. $185,165.55 (Previous 2016 Payment) x .00647% (MCI change)=11.98 $185,165.55 (Previous 2016 Payment) + 11.98 = $185,177.53 (DUE FOR JAN -DEC 2017) if you have any questions, please call me. Respe ully 5 bmi tty Jones Finance Director City of Port Lavaca 361-552=9793 x234 uSusan Riley From: Scotty Jones <sjones@ponlavaca.org> Sent: Tuesday, July 26, 2016 12:32 PM To: susan.riley@calhouncotx.org; slrfmriley@gmail.com Subject: FW: Interlocal Fire Service Agreement Attachments: 20160726124338414. pdf From: Scotty Jones [mailto:sjones@portlavaca.org] Sent: Tuesday, July 26, 2016 12:45 PM To: 'mike.pfeifer@calhouncotx.org' <mike.pfeifer@calhouncotx.org> Subject: Interlocal Fire Service Agreement Judge Pfeifer, Attached please find a letter showing the MCI change for payment 2017. It's a huge change over prior year O - $11.98. If you have any questions, let me know. Have a blessed day. Scotty Crow Jones Director of Finance City of Port Lavaca 361-552-9793 x234 CALHOUN COUNTY p-0-16 201 West Austin. Pori Lavaca, Texas 77979 VENDOR Name:/ i� 1� ✓ r) ' _Pc) riL}j�NG� Address: /n7 o a �! • (J �4, w `A - City: Po tom— A -VAC R State: 7VR Zip: 1-?q7F Phone: 36 /'SS o1' `� �3 YTO-3(/ Purchase Order No. 6-7o — 9 // V(f CHECK REQUISITION/ PURCHASE ORDER Department: 0 Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION UNrr PRICE QTY. TOTAL 6 70 - G IAJ50 CoAj -r: b u --No yv 4-o &-y THEITEMS oR SERVICEs SHoWNABoVEARE NEEDLDTNTHEE DISCHARGE Taxes-State/County Deducted OF MY OFFICIAL DVITEs AND I CERTHYTHATFUNDSAREAVAH.ABLE TO PAYTMSOBILIGATION.I CERENYTHAT T'HEABOVE ITEMS OR SERVICES `OPAL rnr nnnn nnimimennTdNdl AT2lTT1T:CT TAT: !"l1TiNTV _. YYPr1VAU•W'.avuv vx ivl+'+uvv�.. ......... �.....--.� _—,� TREASURER To PAY T$EABOVE OBLIGATION. SIG— NATURe �' SIGNATURE 9ATR CONTRACT Between CALHOUN COUNTY and THE CALHOUN COUNTY SENIOR CITIZENS ASSOCIATION, INC. STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, The Calhoun County Senior Citizens Association, Inc., a Texas nonprofit corporation, hereinafter referred to as SENIOR CITIZENS, is engaged in restoring and providing an economic development area for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from SENIOR C17TZENS to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, SENIOR C17TZE-NS shall be entitled to a sum not to exceed $35,000.00 per annum. Such amount shall be disbursed by COUNTY to SENIOR CITIZENS on or after January 1, 2017, upon written request by SENIOR CITIZENS. 2. Insurance: The County will require documentation of General Liability insurance coverage with adequate limits to be determined individually, depending on exposure. 3. Services: SENIOR CITIZENS shall provide services at the Heritage Center and two satellite centers in the County a network for individualized assistance including meals, meal delivery for shut-ins, transportation, minor home repairs, life -line telephones when funding allows, preparing application forms, counseling, advocacy, check writing and various other needs. 4. IRS Classification: SENIOR CITIZENS' Internal Revenue Service, non-profit classification is 501(c)(3) and its IRS EIN is 74-192-1482. 5. Most Recent Financial and Performance Reports: SENIOR CI77ZENS shall submit to COUNTY Auditor and COUNTY Judge each a copy of SENIOR CITIZENS' most current independent financial audit or end -of -year financial report of all expenditures and 'income for the period of SENIOR CITIZENS fiscal year ending in calendar year 2014, within 60 days of the approval of this contract. SENIOR CI77ZENS shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which SENIOR CITIZENS gives details of services provided and clients served for the previous COUNTY fiscal year ending on December 31, 2016, on or before March 1, 2017. 6. Prospective Financial and Performance Reports: SENIOR CI77ZENS shall submit to COUNTY Auditor and COUNTY Judge each a copy of SENIOR CITIZENS' independent financial audit or end -of -year financial report of all expenditures and income for the period of SENIOR CITIZENS' fiscal year ending in calendar year 2016, within thirty days following its receipt by SENIOR CITIZENS. SENIOR CITIZENS shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which SENIOR CITIZENS gives details of services provided and clients served for SENIOR CITIZENS' fiscal year ending in calendar year 2016, by March 1, 2017. 7. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017, unless earlier terminated by either party on thirty days written notice. 8. Books and Records: All books and records of SENIOR CITIZENS shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 9. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 10. Non -Discrimination: SENIOR CI77ZENS agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 11. Sexual Harassment Prohibited: SENIOR CITIZENS agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 12. Applicable Laws: SENIOR CITIZENS agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on SENIOR CITIZENS. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 13. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 14. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that SENIOR CITIZENS may not assign this contract without County's prior written consent. 15. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 16. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 17. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 18. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTYhave any obligation or liability whatsoever with respect to any debts, obligations or liability of SENIOR CITIZENS, and SENIOR CITIZENS shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to SENIOR CI77ZENS by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 19. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and SENIOR CITIZENS, except as herein otherwise provided. 20. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY CALHOUN COUNTY SENIOR CITIZENS ASSOCIATION, INC. I �pl,�tAJ�Q� By: 4{r �� � 'xc.� r - - By: Yv-\0- � P/2QSla-\ Qjiw� -- Date: / ' / 2 - 17 _ Date: I IC�l (gyp NOTICES COUNTY: SENIOR CITIZENS: Calhoun County Judge Chairman of the Board Michael J. Pfeifer P.O. Box 128 211 S. Ann Street, Suite 301 2104 W. Austin Street Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on By: 4'.Q- Deputy Clerk Date: 0 1 it d- tag i l CERTIFICATE OF INTERESTED PARTIES 1295 FORM t of l Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-152401 Calhoun County Senior Citizens Assoc., Inc. Port Lavaca, TX United States Date Filed: 01/10/2017 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Yearly Allocation Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. V1r`{it IC i.i f k3S[ (V� } ij IL(i )ii nF f Z 111 , s Signature of authorized agent of contracting business entity NCi'.? HFFI OTARY STAMP /SEAL ABOVE ('� Sworn to and subscribed before me, by the said C" i}.._ this the k C3 day of Yc.§V c.o.rrl , �F— 20 to certify which, witness my hand and seal of office. (`�_, {i 1. J�^"J PCN Iw.k6 _e( r4%tYi'ppt`1`i 6L�1 �-. Signature of officer administering oath Printed name of officer admi istering oath Title of o icer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 Forms provided by Texas Ethics Commission www.ethics.state.tx,us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES 1295 FORM loft Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-152401 Calhoun County Senior Citizens Assoc., Inc. Port Lavaca, TX United States Date Filed: 01/10/2017 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 16 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Yearly Allocation Nature of interest 4 Name of Interested Party City, State, Country (place of business)(check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 AFFIDAVIT 1 swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. SUSAN R{CEYNotary Public, State of Sexas � L !I 1 eyl.f 0 Comm. Expires 04-18-2020- — 910TARY of authorized agent of contracting business entity Nof 7A BOVESignature SClD Y STAMP/SEAL ABOVE Sworn to and subscribed before me, by the said 1�.1m+-t�.�. ��� '%1.� , this the k(.2 day of YOWL , 20i_, to certify which,my hand and seal of office. witness IG&", Ju-S A'vJ lZe ®v} Ili mi pfd Ya.�o i Signature of officer administering ath Printed narne of officer admi tistering oath Title of o icer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx,us Version V1.0.277 CALHOUNN COUNTY) ..,!)-y_ 201 West Austin Port Lavaca, Texas 77979 VENDOR Name: &ikl.lcm! 00,,.J'E4 se,,�p�r G's A:, S ad, Address: P•• a. 66x i 24 City: I' 6 r -k- L��� State: Zip: i 7ri9 Phone: G /- -55ra =3 -3-';-C) Purchase Order No. 17® -(?Il o CHECK REQUISITION/ PURCHASE ORDER Department:/4-00 40ea!T4/7 Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL 0 - /OwoCa e �w_ li r. Oar S rrErraWSORSERVICESSaowm*ABOVEARENEEDED INTHE DISCHARGE Taxes - State/County Deducted 3F MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO 'AY THIS OBLIGATION. I CERTIFY THAT TEE ABOVE ITEM OR SERVICES TOTAL rETVFT)BYMINGOODCONDITIONANDREOUESTTEECOUNTY � � XF.kw.uFF. ��-� � _. TREASURER TO PAY TBE ABOVE OBLIGATION. AL SIGNATURE DATE SIGNATURE DATE 1 Forms provided by Texas Ethics Commission www.etnlcs.state.tx.us version CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-152401 Calhoun County Senior Citizens Assoc., Inc. Port Lavaca, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/10/2017 being filed. Calhoun County Date Acknowledged: 01/31/2017 16 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Yearly Allocation Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.etnlcs.state.tx.us version The HarborChildrews AllianceVictim r December 9, 2016 Judge Mike Pfeifer 211 S. Ann Street Port Lavaca, TX 77979 Judge Pfeifer; Thank you for allowing me to submit this request for support for The Harbor Children's Alliance & Victim Center. Our request is for $ 28,500 to support the operation of the center to enable us to provide services for victims of child abuse, sexual assault and domestic violence. [have enclosed the proof of insurance and will send the financial report and performance review as soon as the reports are completed. Abuse touches all of us. It can occur among people of all ages, genders, races, educational background and socioeconomic groups. The crimes of child abuse, sexual assault, and family violence do not just affect those to whom the violence is directed, but affect all of society as well. We strive to be a non-profit victim center that meets the needs of the community. We see our task as offering services to victims who have been abused, and also facilitating an environment of awareness, prevention and safety. Assessment of our community has led us to revise our program by expanding our services, education and outreach to the underserved members of our community. As a small rural center with a staff of five, we are cross trained to allow each member to provide services to anyone who seeks assistance whether it is for child abuse, domestic violence, sexual abuse and any other need. We sincerely appreciate the county leaders assisting us in; providing services to citizens in Calhoun County. Thank you again for your support. Sincerely, on, Executive Director 215 W. Railroad Port Lavaca, Texas 77979 Bus. Office 361/552-1982 e Fax 3617552-4309 , Hotline 3611552-4357 N« R_ CONTRACT between CALHOUN COUNTY and THE HARBOR CHILDREN'S ALLIANCE AND VICTIM CENTER STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, ittfia. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, COUNTY, a political subdivision of the State of Texas, has the authority and duty to conduct necessary investigations, enforce the laws and under legislative mandate, through its district attorney, assist all victims of crime, and further, pursuant to 264.402, Texas Family Code, the authority to establish children's advocacy centers, which centers shall provide certain services to and support of the children of COUNTY who are victims of child abuse and neglect, and FURTHER, that COUNTY has determined such activities serve valuable public purposes and constitutes county business, and WHEREAS, COUNTY, pursuant to ' ' 264.403 and 264.406, Texas Family Code, has the authority to develop, maintain and support, through the children's advocacy center, an environment that emphasizes the best interests of abused and neglected children and that provides investigatory and rehabilitative services, and further, to enter into contracts to provide certain services to and support of the children of COUNTY who are the victims of child abuse and neglect, and FURTHER, that COUNTYhas determined such activities serve valuable public purposes, and constitute county business, and WHEREAS, The Harbor Children's Alliance and Victim Center, a Texas nonprofit corporation, hereinafter referred to as THE HARBOR, is engaged in providing investigations of child abuse and assisting the child victims of abuse and neglect, along with their families, and desires to enter into such a contract for the provision of certain services to and support of the children and adults of COUNTY who are victims of physical/sexual abuse and neglect; said services being considered by both parties to this contract as fair consideration from THE HARBOR to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, THE HARBOR shall be entitled to a sum not to exceed $28,500.00 per annum. Such amount shall be disbursed by COUNTY to THE HARBOR after January 1, 2017, upon written request for THE HARBOR. 2. Insurance: The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. follows: 3. Services: THE HARBOR shall provide services to the residents of COUNTY as a. To provide the children and adults residing in COUNTY and surrounding counties with a facility where children and adults who are the victims of sexual and/or physical abuse and their non -offending family members can go for evaluation, intervention and counseling. b. To provide the agencies and professionals of COUNTY and surrounding counties who work with abused children with a forum where they can gather and work together in assisting victims and their families. c. To provide a resource center for training and education in the area of child abuse, domestic violence and victimization. d. To provide a warm, non -threatening environment in which the victims of physical/sexual abuse and victimization and their families can work with law enforcement or protection services in preparation for their court appearances. e. To provide a location where local and area law enforcement agencies and those assisting them may obtain evidence to be used to investigate and prosecute those accused of child abuse, domestic violence, family violence and neglect. 4. IRS Classification: THE HARBOR's Internal Revenue Service, non-profit classification is 501(c)(3) and its IRS EIN is 74-2578679 5. Most Recent Financial and Performance Reports: THE HARBOR shall submit to COUNTY Auditor and COUNTY Judge each a copy of THE HARBOR's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of "IHE HARBOR's fiscal year ending in calendar year 2016, within 60 days of the approval of this contract. THE HARBOR shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which THE HARBOR gives details of services provided and clients served for the previous COUNTY fiscal year ending on December 31, 2016, on or before March 1, 2017. 6. Prospective Financial and Performance Reports: THE HARBOR shall submit to COUNTY Auditor and COUNTY Judge each a copy of THE HARBOR's independent financial audit or end -of -year financial report of all expenditures and income for the period of THE HARBOR's fiscal year ending in calendar year 2016, within thirty days following its receipt by THE HARBOR. THE HARBOR shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which THE HARBOR gives details of services provided and clients served for THE HARBOR's fiscal year ending in calendar year 2016, by March 1, 2017. 7. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017, unless earlier terminated by either party on thirty days written notice. 8. Use of Funds: No moneys paid to THE HARBOR shall be expended for any purpose other than for the provision of certain services to and support of the victims of COUNTY who are victims of physical/sexual abuse and neglect; provides, however, that no exception of the person who shall conduct all of the child interviews and provide training to volunteers. 9. Books and Records: All books and records of THE HARBOR shall be open for inspection during normal business hours to any member of the public, the Calhoun County. Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 10. Non -Exclusion: This contract is not exclusive and COUNTY reserves the right to contract with additional parties for the provision of certain services to and support of the victims of COUNTY who are victims of physical/sexual abuse and neglect in the area covered by this contract. 11. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 12. Non -Discrimination: THE HARBOR agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 13. Sexual Harassment Prohibited: THE HARBOR agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 14. Applicable Laws: THE HARBOR agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on THE HARBOR. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 15. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 16. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that THE HARBOR may not assign this contract without COUNTYs prior written consent. 17. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 18. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mad, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 19. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 20. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of THE HARBOR, and THE HARBOR shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to THE HARBOR by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 21. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and THE HARBOR, except as herein otherwise provided. 22. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY Date: L COUNTY: Calhoun County Judge 211 S. Ann Street, Suite 301 Port Lavaca, Texas 77979 THE HARBOR CHILDREN'S ALLIANCE AND VICTIM CENTER By: "' �R�( Date: �' T NOTICES THE HARBOR: President of the Board P.O. Box 1300 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on to 2017. By: u,� Deputy Clerk Date: o f l f.' / au f 7 6 M1iE oop TE\ MICHAEL J. PF'EIFEII Calhoun County Judge 2115. Ann Sheet, Suite 301- Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org November 1, 2016 The Harbor Children's Alliance and Victim Center President of the Board P.O. Box 1300 Port Lavaca TX 77979 Re: Contract Between Calhoun County and The Harbor Children's Alliance and Victim Center Dear Sirs, Enclosed please find two originals of a contract between Calhoun County and the Harbor Children's Alliance and Victim Center for the year 2017. Please sign both contracts where appropriate and return to this office. In addition, please return a copy of the Harbor's proof of insurance and a letter requesting the 2017 funds. The contract will be placed on the Commissioners' Court agenda for January 12, 2017. At the time the contract is approved, the funds will be approved to be released and the Harbor will receive the 2017 allotment within a few days' time. In addition to the contract, a Form 1295 must be submitted. I have enclosed information regarding this Policy of Compliance which was adopted by Commissioners' Court on January 28, 2016. This form MUST be completed online, then printed and signed before a Notary Public. If you do not have access to a Notary, my Administrative Assistant can notarize the document. Please do not sign the Form 1295 until ,you appear before a Notary. Should you have any questions regarding this procedure, do not hesitate to contact me. Sincerely yours, Michael J. Pfeifer Calhoun County Judge MJP/sr Enc(S) www.calhouncotx.org CERTIFICATE OF INTERESTED PARTIES FORM 1295 101`1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2016-148740 The Harbor Children's Alliance & Victim Center Port Lavaca, TX United States Date Filed: 12/22/2016 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Contribution The Harbor will provide services to victims of crime and their non -offending family members as well as a place for them to go for assistance. Nature of interest 4 Name of Interested Party Ci ty,State, Count ry (Place of business) (check applicable) Controlling Intermediary The Harbor Children's Alliance & Victim Center Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. 6 AFFIDAVIT I swear, or affirm, under penalty of perjury,, that the above disclosure is true and correct. j}1 ° 4 niE' i'EKCi, signature of authorized agent of contracting business entity �g,, rtut ro AF B VE M Sworn to and subscribed before me, by the said [ t C a" i (, A^ L40 A.) , this the day of Dec Pr%,)3 20lam, to certify which, witness my hand and seal of office. SeasAw i� il�v P P" C, Signature of officer admihi ring oath Printed name of officer administering oath Title of o ficer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us versiun Vi.u.0 r CALll®lJN COUNTY 'a -;7L01 Purchase Order No. (936— 91►Y-3 201 West Austin Port Lavaca, Texas 77979 CHECK REQUISITION/ PURCHASE ORDER VENDOR Name: -Fk e Het6orr r id rens A It" 0,y -Ge aN a Address: 6 9 City: n r, LAVA( -A State: Fro W10 Zip: 7751`1 Department:( -r%Ili .55;osv¢cs ' Cd LA, r4 Address: City: State: Zip: Phone: .ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL. o,j 4 r, 6J iou --6 Exl ,,se - � mil t 14&t b or L1 66 a 3G-G(aSSL C'or*r buAlor- ko e>G eNsc - 3 �. oo tl ..l —#--4--c- ti I Lj e t Qosc C THEITFm oR SERVICES SHOWNABOVE ARE NEEDED IN THE DISCHARGE Taxes - State/Counfy Deducted OF MY OFFICIAL DUTIES AND I CERTIFYTHAT FUNDS AREAVAH.ABLE TO MYTHS OBLIGAWON.I CERTIFYTHAT TM ABOVE ITEMS OR SERVICES TOTAL WERE RECEIVED BY ME IN GOOD CONDITTONAND REQUEST THE COUNTY TREASURER TO PAY THEABOVE OBLIGATION. SIGNATURE jf DATE SIGNATURE DATE Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vi.u.cr r CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos, 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-148740 Date Filed: 12122/2016 Date Acknowledged: 01/31/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. The Harbor Children's Alliance & Victim Center - Port Lavaca, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Contribution The Harbor will provide services to victims of crime and their non -offending family members as well as a place for them to go for assistance. 4 Name of Interested Party city, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary The Harbor Children's Alliance & Victim Center Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vi.u.cr r CONTRACT between CALHOUN COUNTY and The Arc of Calhoun County STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTYthe authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infra. Having found the above elements fully satisfied, COUNTY may contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, The Arc of Calhoun County, hereinafter referred to as The Arc of Calhoun County is engaged in providing services to persons with chronic and persistent mental illness and mental retardation. The Arc of Calhoun County is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from The Are of Calhoun County to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, The Are of Calhoun County shall be entitled to a sum not to exceed $10,000.00 per annum. Such amount shall be disbursed by COUNTY to The Arc of Calhoun County after January 1, 2017, upon written request for The Are of Calhoun County. 2. Insurance: The County will require documentation of General Liability insurance coverage, with adequate limits to be determined individually, depending on exposure. 3. Most Recent Financial and Performance Reports: The Arc of Calhoun County shall submit to COUNTY Auditor and COUNTY Judge each a copy of The Arc of Calhoun County's most current independent financial audit or end -of -year financial report of all expenditures and income for the period of The Arc of Calhoun Count' fiscal year ending in calendar year 2016, within 30 days of the approval of this contract. The Arc of Calhoun County shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which The Air of Calhoun County gives details of services provided and clients served for the previous COUNTY fiscal year ending on December 31, 2016, within 30 days after the approval of this contract. 4. Prospective Financial and Performance Reports: The Arc of Calhoun Count' shall submit to COUNTY Auditor and COUNTY Judge each a copy of The Arc of Calhoun County's independent financial audit or end -of -year financial report of all expenditures and income for the period of The Arc of Calhoun Counts fiscal year ending in calendar year 2016, by the earliest of thirty days following its receipt by The Arc of Calhoun County or by September 30, 2017. The Arc of Calhoun County shall provide to COUNTY Auditor and COUNTY Judge each a performance review by which The Arc of Calhoun Count' gives details of services provided and clients served for The Arc of Calhoun Counys fiscal year ending in calendar year 2016, by September 30, 2017. 5. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017, unless earlier terminated by either party on thirty days written notice. 6. Books and Records: All books and records of The Arc of Calhoun Count' shall be open for inspection during normal business hours to any member of the public, the Calhoun County Auditor, and such persons as may be given that authority, in writing, by the Commissioners' Court, provided, however that this clause shall in no way be construed to override the provision of the Federal Privacy Act or other state or federal law or regulation concerning the disclosure of confidential or privacy matters. 7. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 8. Non -Discrimination: The Air of Calhoun Count' agrees to operation under a policy of non-discrimination with regard to the provision of said services. Such policy shall prohibit discrimination on the basis of race, sex, age, religion, color, handicap, disability, national origin, language, political affiliation or belief or other non -merit factor. Any act of discrimination shall constitute a material breach of this contract. 9. Sexual Harassment Prohibited: The Are of Calhoun Count' agrees to adopt and maintain a policy that prohibits sexual harassment. Any act of sexual harassment constitutes a material breach of this contract. 10. Applicable Laws: The Arc of Calhoun Count' agrees to comply with any and all applicable laws, local, state and federal, regarding work hours, safety, wages, social security benefits, and/or workers compensation. This clause places a duty to meet the requirements of such laws only if the law itself places such a duty on The Are of Calhoun Count'. Any act in violation of any of those laws or ordinances shall constitute a material breach of this contract. 11. Default: a. In the event either party shall fail to keep, observe or perform any covenant, contract, term or provision of this contract to be kept, observed or performed by such party, respectively, and such default shall continue for a period of ten days after notice thereof by the non -defaulting party to the other, then in any such event the non -defaulting party shall be entitled to terminate this contract. b. No delay on the part of either party in exercising any right, power or privilege shall operate as a waiver thereof, not shall any single or partial exercise of any right, power or privilege constitute such a waiver nor exhaust the same, which shall be continuing. No notice to or demand on either party in any case shall entitle such party to any other or further notice or demand in similar or other circumstances, or constitute a waiver of the rights of either party to any other or further action in any circumstances without notice or demand. 12. Successors and Assigns: This contract shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and assigns; provided that The Are of Calhoun County may not assign this contract without COUNTY's prior written consent. 13. Governing Law: This contract shall be governed by and construed and interpreted in accordance with the laws of the State of Texas and shall be enforceable in, and venue shall be in, Calhoun County, Texas. 14. Notices: Any notice or communication hereunder must be in writing, and may be given by registered or certified mail; if given by registered or certified mail, same shall be deemed to have been given and received when a registered or certified letter containing such notice, properly addressed, with postage prepaid, is deposited in the United States mail; and if given otherwise than by registered mail, it shall be deemed by haven been given when delivered to and received by the party to whom it is addressed. Such notices or communications shall be given to the parties hereto at the addresses set forth below. Any party hereto may at any time by giving ten days written notice to the other party hereto designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 15. Severability: If any term, covenant or condition of this contract or the application thereof to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder of this contract or the application of such term, covenant or condition to persons or circumstances other than those as to which it is invalid or unenforceable, shall not be affected thereby, and each term, covenant or condition of this contract shall be valid and shall be enforced to the fullest extent permitted by law. 16. Relationship: The parries hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of The Are of Calhoun Count', and The Air of Calhoun Count' shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to The Arc of Calhoun Count' by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 17. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNTY and The Arc of Calhoun County, except as herein otherwise provided. 18. Total Agreement: This contract is a total and complete integration of any and all undertakings existing between the parties hereto and supersedes any prior oral or written agreements, promises or representation between them. The headings of the various paragraphs of this contract are for convenience only, and shall not define, interpret, affect or prescribed the meaning and interpretation of the provisions of this contract. CALHOUN COUNTY The Arc of Calhoun County By: t C �y .c By: Date: / �l _�� Date: 13%7 NOTICES COUNTY: THE ARC OF CALHOUN COUNTY Calhoun County Judge Ms. Deana Bethany 211 S. Ann Street, Suite 301 P.O. Box 1204 Port Lavaca, Texas 77979 Port Lavaca, Texas 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on a 2017. By x Deputy Clerk Date: at1 P 17 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-149890 The Arc Of Texas, Calhoun County Port Lavaca, TX United States Date Filed: 01/03/2017 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Contribution to Expenses Nature of interest 4 Name of Interested Party City, State, Count ry (Place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. ature of authorized agent of contractin usiness entity _ 742{0? -4 AFFIX. EAL ABOVE f t Sworn to and subscribed before me, by the said 3 e- A-�% d --eh a7ere/ ,this the day of a.c , 20 E (a , to certify which, witness my hand and seal of office. r")o P116 Signature of officer administering oath Printed name of officer ad inistering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 4;12 PM THE ARC OF TEXAS, CALHOUN COUNTY INCOME AND EXPENSE Accrual Basis January 1 through November 1, 2016 Type Date Name Amount Ordinary Income/Expense Income Contributions Income Deposit 02/2212016 CALHOUN COUNTY 10,000.00 Deposit 04/14/2016 CITY OF PORT LAVACA 2,500.00 Total Contributions Income 12,500.00 TRANSFER Check 01/25/2016 ARC -500.00 Deposit 01/25/2016 TRAINING CTR 500.00 Total TRANSFER 0.00 Total income 12,500.OD Expense Dues Check 02/0312016 ARC OF US 350.OD Total Dues 350.00 PERSONNEL Check 09/16/2016 GULF BEND CENTER 20,000.00 Check 09/16/2016 REBECCA VARGAS 2,475.00 Total PERSONNEL 22,475.00 Reconciliation Discrepancies General Journal 01/06/2016 305.00 General Journal 03/06/2016 -150.00 Total Reconciliation Discrepancies 165.00 SERVICE CHARGE Check 08125/2016 IBC 5.00 Check 09/25/2016 IBC 6.00 Total SERVICE CHARGE '� 10.00 Total Expense 22,990.00 Net Ordinary Income -10,490.00 Net Income 40,490.00 CALHOUN COUNTY 1- 3 "' � 201 West Austin Port Lavaca, Texas 77979 VENDOR Name: AR. L V -e ClAou..J %udf Address: P •D. &K fzAq City: ivy LfcJ 4 cP State: Zip: 'Y7l7 T Phone: Purchase Order No. 3(,•a _9) / q CHECK REQUISITION/ PURCHASE ORDER Department: fwd ami 4tafi'A Gx< Address: City: State: Zip: Phone: ACCOUNT NO. DESCRIPTION UNIT PRICE QTY. TOTAL Ex Case— 401. i d e �c-}- Q.^) co-op ( 3 3 (o TBEITEMS oRSERvicES s$owNABOVEARENEEDEDINTEEDIScHARGE Taxes - State/County Deducted OFMY OFFICIAL DUTIES AND I CERTIEYTHAT FUNDS AREAVAH.ABLE TO. PAYTHIS OBLIGATION. I CERTIFY THAT TREABOVE ITEMS OR SERVICES 'DOTAL WERE RECEIVED BY ME IN GOOD CONDITIONAND REQUEST THE COUNTY / TREASURER TO PAY TBR AB ME OBLIGATION. APPROVAL SIGNATURE DATE SIGNATURE DATE Forms provided by Texas Ethics Commission www.emlcs.suue.0cus veiawn vl.V.<, , CERTIFICATE OF INTERESTED PARTIES FORM 1295 left Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-149690 Date Filed: 01/03/2017 Date Acknowledged: 01/31/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. The Arc Of Texas, Calhoun County Port Lavaca, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form Is being filed. Calhoun County 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017 Contribution to Expenses 4 Name of Interested Par ry City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.emlcs.suue.0cus veiawn vl.V.<, , AGREEMENT between CALHOUN COUNTY and CALHOUN COUNTY CRIMESTOPPERS STATE OF TEXAS COUNTY OF CALHOUN WHEREAS, Calhoun County, hereinafter COUNTY, a political subdivision of the State of Texas, has determined that the expenditure of county funds proposed herein is one which serves a public purpose and has further determined that the State of Texas, by its Constitution or by its state statutes, either implicitly or explicitly, has conferred upon COUNTY the authority, the power and the jurisdiction to accomplish the uses for said funds as proposed herein, infer. Having found the above elements fully satisfied, COUNTYmay contract with a private nonprofit corporation so that they may use said public funds for the purposes contemplated herein, but only if the expenditure is to accomplish "county business" (which encompasses matters of general concern to county residents) and only if COUNTY assures itself that the funds to be transferred by this contract are subject to adequate contractual or other controls to ensure that expenditure of said county funds for the public purpose stated herein will be accomplished and so long as COUNTY received adequate consideration for the county funds to be provided by this contract. WHEREAS, CALHOUN COUNTY CRIMESTOPPERS, hereinafter referred to as CRIMESTOPPERS is engaged in providing services to Law Enforcement, offering rewards for information helpful to Law Enforcement personnel. CRIMESTOPPERS is thereby providing for the betterment of Calhoun County, and desires to enter into such a contract for the provision of certain services for the COUNTY; said services being considered by both parties to this contract as fair consideration from CRIME -STOPPERS to COUNTY in exchange for the funds transferred hereby. IT IS THEREFORE AGREED THAT: 1. Payment by County: In consideration that the services described below to the residents of COUNTY, CALHOUN COUNTY CRIMESTOPPERS shall be entitled to a sum not to exceed $1,000.00 per annum. Such amount shall be disbursed by COUNTY to CRLMESTOPPER4 after January 1, 2017, upon written request for CRIMESTOPPERS. 2. Bond: The County will require documentation of a Surety Bond, with adequate limits to be determined individually, depending on exposure. 3. Services: CALHOUN COUNTY CRINIESTOPPERS, hereinafter referred to as CRIMESTOPPERS is engaged in providing services to Law Enforcement, offering rewards for information helpful to Law Enforcement personnel. 4. Term: The Term of this contract is to begin on January 1, 2017 and end on December 31, 2017 unless earlier terminated by either party on thirty days written notice. 5. Effectiveness: This contract is effective upon approval by Order of the Calhoun County Commissioners' Court. 6. Relationship: The parties hereby agree that this is a contract for the administration of the Program and hereby renounce the existence of any other relationship. In no event shall COUNTY have any obligation or liability whatsoever with respect to any debts, obligations or liability of CALHOUN COUNTY CRIMESTOPPERS, and CRIMESTOPPERS shall have no authority to bind COUNTY to any contract, matter or obligation. No duties of COUNTY are delegated to CALHOUN COUNTY CRIMESTOPPERS by this contract and any provision which is or may be held to be such a delegation shall be of no force or effect. 7. Modification; Termination: This contract may be amended, modified, terminated or released only be written instrument executed by COUNIYand CALHOUN COUNTY CRIAIIESTOPPERS, except as herein otherwise provided. CALHOUN COUNTY By: a//w/ - � I& Date: / - i Z" - I CALHOUN COUNTY CRIMESTOPPERS ByAladwec4 Date: �J/�� NOTICES COUNTY: CALHOUN COUNTY CRIMESTOPPERS Calhoun County Judge Attn: Tania French 211 S. Ann Street, Suite 301 P.O. Box 342 Port Lavaca, Texas 77979 Port Lavaca TX 77979 CLERK'S CERTIFICATION I, Anna Goodman, County Clerk of Calhoun County, Texas, certify that the above contract was accepted and agreed to by the Commissioners' Court of Calhoun County on 1.7- 12017. By: cj� —j Deputy Clerk Date: orIjI-(a ry Forms provided by Texas Ethics Commission www.emics.state.tx.us vc, aivn VU. CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-150062 Calhoun County Crime Stoppers Port Lavaca, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/04/2017 being filed. Calhoun County Date Acknowledged: 01/31/2017 16 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. PO # Operation of local Crime Stoppers program. Nature of interest 4 Name of Interested Party City, State, Count ry(place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.emics.state.tx.us vc, aivn VU. 8. Consider and take necessary action on appointment/re-appointment to E911 Board. (MP) (Agenda Item No. 8) Commissioner Finster made a motion to appoint Commissioner Lyssy. Judge Pfeifer seconded his motion. MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Michael Pfeifer,County Judge AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 6 of 29 E911 BOARD Andrew Chambers Appointment expires January 2018 Kenny Finster Appointment expires January 2017 Each January one appointment to E911 Board 9. Consider and take necessary action to appoint Judge Pro -Tem for 2017. (MP) (Agenda Item No. 9) Commissioner Lyssy made a motion to appoint Commissioner Finster. Judge Pfeifer seconded his motion. MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Michael Pfeifer, County Judge AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 7 of 29 JUDGE PRO -TEM 2005 Commissioner Galvan 2006 Commissioner Balajka 2007 Commissioner Finster 2008 Commissioner Fritsch 2009 Commissioner Lyssy 2010 Commissioner Galvan 2011 Commissioner Finster 2012 Commissioner Fritsch 2013 Commissioner Lyssy 2014 Commissioner Galvan 2015 Commissioner Finster 2016 Commissioner Fritsch 2016 Commissioner Lyssy (05-26-2016) 10. Consider and take necessary action to establish pay for Grand Jurors and Petit Jurors for County, District and Justice of the Peace Courts. (MP) (Agenda Item No. 10) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 8 of 29 Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Friday, January 06, 2017 8:40 AM To: Susan Riley Subject: JUROR PAY Importance: High Prospective Jurors / $8.00 Chosen Jurors / First Day $12.00 & every day thereafter is $40 State reimburses the County $32.00 for every day we pay out $40 RHONDA S. KOK.ENA Covwlti Trea/ltwelr C Al mtiw Coi h y Amr�ew It 202 S. Awa Sf:, Su bte2 A Qo+L-avaca, Te"3, 77879 (361)553-4619 office (361)553-4614 fay, 11. Consider and take necessary action to pass Order Placing Officials on Salary Basis. (MP) (Agenda Item No. 11) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 9 of 29 CALHOUN COUNTY ORDER PLACING OFFICIALS ON SALARY BASIS On ,Motion by Commissioner Lyssy, seconded by Commissioner Finster, and carried, that the following order be entered: At a regular term of the Commissioners' Court in and for Calhoun County, Texas, held in the regular meeting of said Court in the County Courthouse in Port Lavaca, Texas, on the 12th day of January 2017, with County Judge Michael J. Pfeifer presiding and Commissioners Vern Lyssy, and Kenneth Finster present and with Josie Sampson, Deputy County Clerk, in attendance, there having come on for hearing the matter of determining whether county and precinct officers shall be compensated on a salary basis for the calendar (fiscal) year 2017, it was ordered that all county and precinct officers and their deputies, clerks and assistants be compensated on a salary basis for the calendar (fiscal) year 2017, and the County Clerk is hereby ordered and directed to file a certified copy of this order with the State Comptroller of Public Accounts in Austin, Texas, on or before January 31, 2017. IT IS SO ORDERED this 12th day of January 2017. ATTEST: Anna Goodman COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS By: /��1C f Michael J. Pfeifer, Cal oun County Judge By: x .,� Josie Sampson, Deputy , '■ .Complete Items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the Tailpiece, or on the front if space permits. 1. Article Addressed to: iAApd.Cu MP7"Ru tc.zk oP L4 A r =. O •J N "i.3 p,c�,13v+1IW?d, eAPtTVt JrA Att3 rl rJ.a i X 7 fi+ 71 f --3 2 d' A. Signature X 13 Agent ❑ AddresE Rt a O. Dateof Deliv, D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No U9 02 2017 II I IIIIII IIII VI I I I I I I I IIII I II IIIIII I II I II I III Adult Restrl o Adult Signature ted Delivelry ❑ Re�letered MallRestricted 9590 9403 0502 5173 9130 65 ❑Certified Mall® ❑ Certified Mail Restricted Delivery Del'very D Return Recelptfor ❑ Collect on Delivery Merchandise 2. Article Number. (Transfer from Sensfee IabeD. 0 Collect on Delivery Restricted Delivery awLesrdctedDelivery 0 Signature Conflunelonuv ❑ Signature Confirmation 7007 0220 0004 6113 5398 RsstdtedDelvery Ps Form 3811, April 2015 PSN 7530,02.000;9053 Domestic Return Receipt 12. Consider and take necessary action to declare the Unified Communication System Project complete and authorize the release of retainage to Infinity Communications Technologies in the amount of $17,696.60 (MP) (Agenda Item No. 12) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 10 of 29 Susan Riley From: Ron Reger <ron.reger@calhouncotx.org> Sent: Thursday, January 05, 2017 11:29 AM To: 'Susan Riley' Cc: 'Peggy Hall' Subject: Agenda Item Request Attachments: Scanned4.pdf Susan, Please add the following to the agenda for Commissioner's Court 1/12/2017. Declare the Unified Communication System project complete and authorize the retainage release to Infiniti communications Technologies in the amount of $17,696.60. Do I need to bring 5 copies of the invoice and PO to you? Thanks, Ron Ron Reger IT Coordinator Calhoun County IT 117 W. Ash St. Port Lavaca, TX. 77979 361.553.4606 Office 361.553.4444 Fax 361.553.9776 Cell http://www.caIhouncotx.org/support.htmI VENDOR DEPARTMENT Infiniti Communications Technologies . IT Department PO Box 3407 Victoria, TX. 77903-3407 ACCOUNT NUMBER TOTAL DESCRIPTION PRICE 171-72850 New Telephone System (retainage release) $17,696.60 V# TOTAL $17,696.60 COUNTY AUDITOR APPROVAL ONLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION I ALSO CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. 1/5/2017 DEPARTMENT HEAD DATE Infiniti Communications Technologies PO Box 3407 z" Victoria, TX 77903-3407 361-576-1153 Invoice DATE INVOICE NO. 11/30/2016 10-20018 BILL TO SHIP TO Calhoun County SHIP Attn: Ron Reger- IT Director. 211 South Ann Street LO Port Lavaca, TX 77979 ITEM P.O. NO. TERMS REP SHIP Due on receipt LO 11/30/2016 ITEM - DESCRIPTION QTY RATE AMOUNT 270 - Network Ca.'.. Calhoun County Unified Communications System RFP No. 2016-06-09 To provide and install a ShoreTel WIP Telephone System in accordance with the specifications called for in RFP No. 2016-06-09 Total Installed Price 0.1 176,966.00 17,696.60 Sales Tax (8.25%) $0.00 Total $17,696.60 Payments/Credits $0.00 Phone4 Fax E-mail 361-576-1153 361-570-1298 Kristi.Heidrich@vcscompanics.com Balance Due $17,696.60 13. Consider and take necessary action on request by the Port O'Connor Chamber of Commerce to use King Fisher Beach Park on April 29, 2017 for their Crawfish Festival. (KF) (Agenda Item No.13) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page i l of 29 3617855602 CALHOUN COUNTY PCT4 10:41:00 01-06-2017 2/9 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 2115, Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda forJanuary 12, 2017. • Discuss and take necessary action to allow the Port O'Connor Chamber of Commerce to use King Fisher Beach Park April 29, 2017 for their Crawfish Festival. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 -Seadrift, Texas 77983 - email: kfinster@calhouncotx.org - (361) 785-3141- Fax (361) 785-5602 855602 CALHOUN COUNTY PCT4 January 4th, 2017 Calhoun County Commissioners Court Commissioner Kenny Finster, Precinct 4 211 S. Ann St. Port Lavaca, Texas 77979 Dear Commissioner Finster: 10:40:32 01-06-2017 1/9 Port O'Connor Chamber of Commerce P.O. Box 701 Port O'Connor, Texas 77982 www.portoconnorchamber.com The Port O'Connor Chamber of Commerce would like to request permission to use King Fisher Park on the following dates during the calendar year of 2017. Saturday, April 29th 2017 for the 5th Annual Crawfish Festival and Cook off. This event would be held from 7:00 am to 8:00 pm, which includes the time for set up, deliveries, and clean up afterwards. The Chamber would be selling alcohol and will have insurance and permits in place per requirements of Texas State Laws and TABC. We would respectfully request a letter from the County for use of the property, to obtain a temporary license from TABC. The Crawfish Festival and Cook off will also include food and craft vendors, children and adult activities, as well as live music. 2. Saturday, July 1, 2017 for the Annual Fireworks Display, King Fisher Park would be utilized as a vendor area during the hours of 10:00 am to 9:00 pm., and use of the pier for the Fireworks Display to begin at dark (approximately 8:00-9:00 pm). The Chamber will NOT be selling alcohol at this event, and will have insurance in place per requirements of state laws. For the above events, The Chamber of Commerce will be coordinating volunteers, set up, clean up and required security, as well as working with Mr. Finster to meet all the County requirements as needed. We would also, at this time, request that Park Ave be maintained as a one way street, during this event, as to deter traffic hazards. Sincerely, /s/ Darla Parker Darla Parker Port O'Connor Chamber of Commerce cc: Mary Jo Walker 14. Consider and take necessary action on request by Port O'Connor Chamber of Commerce/ Crawfish Fest to sell alcohol at their annual fundraiser to be held April 29, 2017 at Kingfisher Beach in Port O'Connor, Texas and authorize County Judge to sign letter of approval to the TABC. (KF) (Agenda Item No. 14) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 12 of 29 3617855602 CALHOUN COUNTY PCT4 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 10:41:14 01-06-2017 Please place the following Item on the Commissioners' Court Agenda for January 12, 2017. • Discuss and take necessary action to allow the Port O'Connor Chamber of Commerce/Crawfish Fest to sell alcohol at their annual fundraiser to be held April 29, 2017 at Kingfisher Beach in Port O'Connor, TX and authorize County Judge to sign letter of approval to the TABC. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 3/9 *9s MICHAEL J. PFEIFER Calhoun County Judge (a�S.�PTE OprF op��'° 211 S. Ann Street, Suite 301 - Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: mike.pfeifer@calhouncotx.org January 12, 2017 Texas Alcoholic Beverage Commission Victoria, Texas TO WHOM IT MAY CONCERN: RE: PORT O'CONNOR CHAMBER OF COMMERCE CRAWFISH FEST On January 12, 2017, Calhoun County Commissioners' Court heard and approved a request by the Port O'Connor Chamber of Commerce Crawfish Fest to sell alcohol at their annual fundraiser. Mary Jo Walker of the Port O'Connor Chamber of Commerce is authorized to hold a Temporary License - Special Three Day Wine and Beer Permit for a Non -Profit Charitable Organization for the Crawfish Festival to be held on April 29, 2017 from 7:00 am to 8:00 pm at Kingfisher Beach and Park located at Highway 185 and Park Street in Port O'Connor, Texas 77982. Please do not hesitate to contact this office if you require any further information. Sincerely, Michael J. Pfeifer Calhoun County Judge MJP/sr www.cathouncotx.org 15. Consider and take necessary action to designate Park Ave. as a One Way street during the Crawfish Fest being held April 29, 2017, between the hours of 7 a.m. and 8 p.m. in order to deter traffic hazards. (KF) (Agenda Item No. 15) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 13 of 29 3617855602 CALHOUN COUNTY PCT4 10:41:30 01-06-2017 4/9 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda forJanuary 12, 2017. • Discuss and take necessary action to designate Park Ave. as a One Way street during the Crawfish Fest being held April 29, 2017, between the hours of 7 am and 8 pm in order to deter traffic hazards. Sincerely, Etz�W. jfix2tcv Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 -- email: kfinster@calhouncotx.org — (361) 785-3141 —Fax (361) 785-5602 16. Consider and take necessary action on request by Port O'Connor Chamber to hold the Fire Works display at Kingfisher Beach/Park on July 1, 2017. (KF) (Agenda Item No. 16) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 14 of 29 F,617855602 CALHOUN COUNTY PCT4 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 10:41:45 01-06-2017 5/9 Please place the following item on the Commissioners' Court Agenda forJanuary 12, 2017. • Discuss and take necessary action to authorize Port O'Connor Chamber to hold the Fire Works display at Kingfisher Beach/Park on Juty 1, 2017. Sincerely, Amcd W. Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: k5nster@calhouncotx.org— (361) 785-3141 — Fax (361) 785-5602 � 855602 CALHOUN COUNTY PCT4 January 4th, 2017 Calhoun County Commissioners Court Commissioner Kenny Finster, Precinct 4 211 S. Ann St. Port Lavaca, Texas 77979 Dear Commissioner Finster: 10:40:32 01-06-2017 119 Port O'Connor Chamber of Commerce P.O. Box 701 Port O'Connor, Texas 77982 www.portoconnorchamber.com The Port O'Connor Chamber of Commerce would like to request permission to use King Fisher Park on the following dates during the calendar year of 2017. 1. Saturday, April 29th 2017 for the 5th Annual Crawfish Festival and Cook off. This event would be held from 7:00 am to 8:00 pm, which includes the time for set up, deliveries, and clean up afterwards. The Chamber would be selling alcohol and will have insurance and permits in place per requirements of Texas State Laws and TABC. We would respectfully request a letter from the County for use of the property, to obtain a temporary license from TABC. The Crawfish Festival and Cook off will also include food and craft vendors, children and adult activities, as well as live music. 2. Saturday, July 1, 2017 for the Annual Fireworks Display. King Fisher Park would be utilized as a vendor area during the hours of 10:00 am to 9:00 pm,, and use of the pier for the Fireworks Display to begirt at dark (approximately 8:00-9:00 pm). The Chamber will NOT be selling alcohol at this event, and will have insurance in place per requirements of state laws. For the above events, The Chamber of Commerce will be coordinating volunteers, set up, clean up and required security, as well as working with Mr. Finster to meet all the County requirements as needed. We would also, at this time, request that Park Ave be maintained as a one way street, during this event, as to deter traffic hazards. Sincerely, /s/ Darla Parker Darla Parker Port O'Connor Chamber of Commerce cc: Mary Jo Walker 17. Consider and take necessary action to designate Park Ave. as a One Way street during the Fourth of July Fireworks Event being held July 1, 2017, between the hours of 10 a.m. and 9 p.m. in order to deter traffic hazards. (KF) (Agenda Item No. 17) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 15 of 29 3617855602 CALHOUN COUNTY PCT4 10:41:59 01-06-2017 6/9 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item on the Commissioners' Court Agenda for January 12, 2017. Discuss and take necessary action to designate Park Ave. as a One Way street during the Fourth of July Fireworks Event being held July 1, 2017, between the hours of 10 am and 9 Pm in order to. deter traffic hazards. Sincerely, W J�m'r"w Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — emnil: kfinster@calhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 18. Consider and take necessary action on resignation of Jayson Amason as Commissioner from the Westside Navigation District. (KF) (Agenda Item No. 18) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 16 of 29 3r617855602 CALHOUN COUNTY PCT4 10:42:15 01-06-2017 719 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 Please place the following item an the Commissioners' Court Agenda forJanuary 12, 2107. • Discuss and take necessary action to accept resignation of Jayson Amason as Commissioner from the Westside Navigation District. Sincerely, 8 ry ztd W. Kenneth W. Finster KWF/at P.O. Box 177 - Seadrift, Texas 77983 -email: kfinster@calhouncotx.org — (361) 785-3141 — Fm (361) 785-5602 <617855602 CALHOUN COUNTY PCT4 10:42:29 01-06-2017 8/9 Jayson Amason 154 Jordan Lane Seadrift, TX 77983 (361)655-0508 12-29-16 To Commissioners of Calhoun County: My wish is for this to be read aloud during Commissioners Court. Commissioners, I have had great pleasure in serving the people of Calhoun County during my term as a Navigation commissioner. You have entrusted in me the duties that require integrity and honesty and the ability to understand the fundamentals of waterways and the importance of these waterways and to guide our community in a moral direction that benefits the economic future of our County. I want to thank each of you for the chance to serve and be a part of accomplishments this district has encountered and achieved. I am resigning this position, not for any problems internally, as the navigation district has truly great leaders with the interest of the county in mind, but to spend my time on other adventures and to allow someone with new and brighter ideas to continue guiding in the right direction. You have given me an opportunity to learn and understand the'importance of maintaining our navigation district so that the ones that follow us will be able to enjoy the districts harbors and waterways. Thank you and God bless you, Jayson Amason 19. Consider and take necessary action on appointment to the West Side Navigation District. (KF) (Agenda Item No.19) Teddy Hawes was appointed to the West Side Navigation District. MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 17 of 29 9 '517855602 CALHOUN COUNTY PCT4 January 4, 2017 Honorable Michael Pfeifer Calhoun County Judge 2115. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM DearJudge Pfeifer: Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 10:42:45 01-06-2017 919 Please place the following item on the Commissioners' Court Agenda for January 12, 2017. • Discuss and take necessary action on appointmentto the West Side Navigation District. Sincerely, W c�t�x2'Ct+ Kenneth W. Finster KWF/at P.O. Box 177—Seadrift, Texas 77983 —email; kfinster@calhouncolx.org— (361) 785-3141—Fax(361) 785-5602 West Side Calhoun County Navigation District And Development Corporation Long Mott, Texas Jack Campbell, Jr. P.O. Box 633 Seadrift, Texas 77983 361/785-4111 Original appt: 6/00 Term expires: 6/17 Jayson Amason P.O. Box 866 Seadrift TX 77983 361/785-5665 Original appt: 7/08 Term expires: 6/16 Rayburn Haynie Original Appt. 07/14 Term expires 06/16 D Th L}aw�Oafflmyo}f� �J/\�` �J/\�J'�' }}5/�D�y �ry }p llJ1cCA1.J1lLe 3y �/JL®lyJLllle ril.C. 121 S. Main, Suite 300, Victoria, Texas 77901 Duane G. Crocker Attomey At Law February 23, 2017 Ms. Anna Goodman Calhoun County Clerk 211 S. Ann St. Port Lavaca, TX 77979 Email Address: dcrocker@duanecrockerlaw.com Re: West Side Calhoun County Navigation District Oath of Navigation and Canal Commissioner – Theodore Hawes Dear Ms. Goodman: 0 Enclosed please find an original and one copy of Oath of Navigation and Canal Commissioner by Mr. Theodore Hawes, as Navigation and Canal Commissioner of West Side Calhoun County Navigation District. Please file the original Oath of Navigation and Canal Commissioner, file stamp the copy and return same to me in the self-addressed stamped envelope which I have provided. Thank you for your assistance in this matter. DGC:mdr Via First Class U.S. Mail Aloor? s� ,• FILED ATG'GLOGF — A COUNTY GLE.RI( CN W p uPdiY TEXAS P.O. Box 2661, Victoria, Texas 77902 Telephone: (361) 574-8898 Facsimile(361)574-8881 www.duanecrockerlaw.com OATH OF NAVIGATION AND CANAL COADUSSIONER THE STATE OF TEXAS § P)y COUNTY OF CALHOUN § I, THEODORE HAWES, do solemnly swear that I will faithfully discharge the duties of the Office of Navigation and Canal Commissioner of the West Side Calhoun County Navigation District without favor or partiality, and I will render a true account of my doings to the Commissioners Court of Calhoun County, Texas, whenever required to do so. THEODORE HAWES SUBSCRIBED AND SWORN TO BEFORE ME by the said THEODORE HAWES, this the _�yr'day of February, 2017. Mich asl J. Pfe' . , o ty J ge of Calhoun County, Tei as 20. Consider and take necessary action to acknowledge amendment of Calhoun County District Attorney 2017 Forfeiture Fund in the amount of $14,618.96 for Salary Supplements and FICA for James D. Henderson. (MP) (Agenda Item No. 20) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 18 of 29 Criminal District Attorney :`, Calhoun County, Texas . &3 __ Half Moon Reef Lighthouse RANDY R. CRIDER Investigator ALICIA FLORES Victim Assistance Coordinator January 6, 2017 Hon. Mike Pfeifer Calhoun County Judge DAN W. HEARD P.O. Box 1001.211 South Ann Street Port Lavaca, Texas 77979 (361) 553-4422 • Fax (361) 553-4421 Calhoun County Commissioners Court RE: Forfeiture Fund Dear Judge Pfeifer and Commissioners: SHANNON E. SALYER Assistant Criminal District Attorney JAMES D. HENDERSON Assistant Criminal District Attorney SARA M.RODRIGUEZ Assistant Criminal District Attorney This letter is to advise you that I need to amend the 2017 budget of the Forfeiture Fund in the amount of $14, 618.96 for salary supplements and FICA for James D. Henderson for the year 2017. These supplements are for the period of January 1, 2017 through December 31, 2017. This is a continuation of the supplements he has been receiving that has previously been approved by Commissioner Court. Chapter 59 of the Code of Criminal Procedure requires that I advise Commissioner's Court of a change in the forfeiture budget. Accordingly, please place this on the Commissioner's Court agenda of January 12, 2017. Thank you for your attention to this matter. Vrzi4y,� ours, m N W.HEARD Criminal District Attorney For Calhoun County, Texas ipme, 21. Consider and take necessary action to accept TAC final insurance settlement in the amount of $1,500.00 for Tropical Storm Bill piers and bulkhead repair. (MP) (Agenda Item No. 21) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 19 of 29 Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Wednesday, January 04, 2017 4:12 PM To: 'Susan Riley' .. Cc: Donald K. Gray, ARM; Clyde Syma; david.hall@calhouncotx.org; Kenny Finster; mike pfeifer; vern lyssy Subject: Agenda Item Request Attachments: Auditor recap Pct 1 damage claim Final.pdf Please place the following item on the agenda for January 12, 2017: • CATNA to accept TAC final insurance settlement in amount of $1,500.00 for Tropical Storm Bill piers and bulkhead repair. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 _ 1 Precinct 1 Tropical Storm Bill Damages and Insurance Recovery Engineering $ 43,126.00 Shirley & Sons 871,420.00 Total expended to date 914,546.00 Policy deductible named storm (50,000.00) TAC's adjustments * (37,311.17) Insurance recovery to date $827,234.83 *Adjustments to repair bid (upgrades not existing before storm) 1) 350 LF bulkhead sidewalk not replaced 11,508.00 2) 168 additional LF vinyl bulkhead (47,199.17) 3) 12 light poles (1,620.00) 1/4/2017,4:10 PM Auditor recap Pct 1 damage claim 22. Accept reports of the following County offices: (Agenda Item No. 22) i. Calhoun Tax Assessor/Collector— November 2016 ii. County Treasurer iii. County Sheriff iv. District Clerk V. County Clerk vi. Justices of Peace -s1P1 December 2016, JP2 December 2016, J05 December 2016 & Revised JP5 2016 Report. vii. County Auditor viii. Floodplain Administration December 2016 MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 20 of 29 F O a W } J r zm O N LU0 m y J Z O U O N w W N XQX F F O O M 00 b O O O O O O O NM, O r O O O O O N (O 0) O 00 (O 1O O d' (O O r O r 10 N n Z ' � � W 4 to (M r of LO O N M O 0 1 (O CO (O Of M n (CI 00 w 00 r n0 N (O 00 0) d' O M (O Cl) N M r O W 00 N0) n Net co M OM N� r N N M N 7 M N r N D m 0) F3 (A (H (H fA H! 4F! 4% 40 (A V). V} 61) (f! (A (H Q). Y? 09-09. (N to YT O to O N (D O O 0) r O O N O 00 b (O IO O O 00 r N O Z()i":00 N M O(6 N OV N O O 0) 00 O V CO N (D r n �:. O 00 co M 0) O r W 00 co M le N N J r N J O U <n v> us en to 09. 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N U C N C C OM O r c d @ d 3 7 10 @ N> > > 00 O O C X,, p p 0 0 0 y 0 0 y t4 O O 0 0 U 0 U U 9 U U a �@, „d, w c c U U U ] U U E U U U CD CS ;O y X 'O U y > > "0 -0 ;O M M O ;O c 'O a ;0 E m y o v m m m c @ m LL m m o m m U) a li a 10 p y otf c QQap-a .+ o da a d > C R_+' U Baa d @ (D L N y N a a_T+ v U •N c@ d E L O d C •_ c — >1 d r d U 7 X > 7 0) N 4) O @ Q O > 0 m w O L) (L ❑ a U a to 2 O w w LL 0) LU O LL a a 3 J = ENTER COURT NAME:111-11111' ! JUSTICE OF PEACE N0.1 RTH MEPORT ENTEMONO '�] DECEMBER EN4'ERYROF,REPORT, �"j,CODE ",.2016 r s AMUUNT^. " .. CASH BONDS. 0.00 REVISED 03/Oq/16, . ADMINISTRATION.FEE-ADMF 0.00 ' BREATHALCOHOLTESTING BAT 0.00 t rr 'CONSOLIDATE&,,COURT OASTS-CCC 647.10 ' sv' COURT.HOUSE SECURITY, CHS 64.74 CJP 0.00 I CIVIL41U8710E DATA REPOSITORY`FEE -CJDR 1.12 r+�GORREGTIOf�}AL MANAGEMENT INSTITUTE - OMI 0.00 0.00 OHIL`D SAFETY-O$ 0.00 'CHILD SEATBELT FEE•-CSBF 0.00 r' .. r CRjME VICTIMS COMPENSATION - CVC' COMPENSATION- 0.00 II TO APPE,Ak OMNI-DPSC 39.14 ' [ LELECTRONIC FILING FEE -' EEP 0.00 �- FUGITIV&AP,PREHENSION-FA 0.00 ':GENERAL REVENUE GR 0.00 cR1M,.- If1DLEGAL'SVCS$UPP,ORT UDF 32.36 JWENILE CR IMEADEONQUENCY'JCD 0.00 r h.IUVENILE CASE `MANAC Ek0, UNO-,JCMF 0.37ft ' JUr$IICECOURT PERSONNELTRAINING-JCPT 0.00 I - dGROR'SERVICP FEE - JSF 64.74 _ LOCAL ARREST.FEES, IAF 49.19 ;} ' it LEMI 0.00 t LEDA 0.00 I LEOC OCL 0.00 0.00 ARREST PARKSa$ WILDSTAWAF, 1.09 TIE ARR T FEES SSAF 27.69 rf SOHOCL CROSSING/C HILDSAFETY,FEE-SCF, 0.00 r iti _ SUBTITLED -SUBC 362.86 t.> ' BCARREST FEES -TAF 0.00 ECHNOLOGVFUND-TF 64.74, f` {•' TRAFFIC-TRC 36.23 - TIMEPAYMENT-TIME 59.28 TRI'�ANOY PREVENTION/D IVERSION,FUND-TPDP 3204. - r WARRANT FEES - WRNT 41.33 ` COLLECTION,SERVICE,FEE-MVBA-CSRK 73.00 DEFENSIVE,DRIVINGCOURSE-DDC 0.00 DEFERRED FEE-DFF 279.80 LjRIVING EXAM FEE- PROV DL- 0.00 FILINQFEE-FFEE 75.00 FILING FEESMALL CLAIMS FFSC 0.00 1 JURYFEE-JF. 0.00 QOPIES/CERTIFEDCOP.IES -CC 0.00 > '. INDIGENT FEE,; `CUFF of INDF., 18.00 if PAY RAI SE FEE--JPAY--, 89.13 '. SERVICEFEE -SFEE 75.00 OUT OF COUNTY SERVICE 0.00 x ELECTRONIC FILING F'EP.-FEF CV 30.00 n ' N'bEMENT{PEE ;EXPG 000 , a}rsrr EXPIREDRENEWAL -EXPR 10.00 ABSTRgCTOFJUDO0ENT AOJ 0.00 'ALLWRITS'-,WOPfWOE 0.00 n DRS-FTA FINE - DPSF 0.00 LOCAL .FINES -FINE 1,973,10 Q ,^ ) LICENSE &,WEIGHT'*EE3 LWP 0,00 r+t o-rPARKS VWII.DLIFEFINES;3PWF 0.00 SEATBELIIUNRESTRAINED CI11L IME SEAT 0.00 a �. I*�OVERPAYj]ENT (OVER $16) ;OVER 0.00 ` Ot7ERpAYMENT($10 AND LESS) -OVER 0.00 ' 1 - r �' ` RESTITUTION -REST 0.00 } PARKS $ VWILDLIFE WATER SAFETY.-FINES WSF "RPr MAR INE SAFETY,PARKS&WILpLIFE=MSO 0.00 4r� , ',, TOTAL ACTUALMONEYRECEIVED 4,1$7.04 ` r � S iM+PE,, as r -AMOUNT" ` 1,0;7AL VWARRANTFEES� .' i ENTERILOCAL WARRANT FEES 0.00 RECOR60N TOTALPAGEOF HILL OOUNTRYSOFiWARE MO. REPORT (a1`i Sa'i:_.' 3 STATE WARRANT`FEES $41,33 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT h AMOUNT-�.', pU,E TO CCI$D 50°/of Flpeort JVQeses,� 0.00 PLEASE INCLUDE D.R.REQUESTING DISBURSEMENT DUIu,LT,00DA RESTITUTION FUND-O,OO' PLEASE INCLUDE D REQUESTING DISBURSEMENT ,nRPFUNP OF OVERPAYMENRS O:QO] PLEASE INCLUDE D.R REQUESTING DISBURSEMENT C `OFrCOUNTY SERUICESFEEO O0, PLEASE INCLUDE D.R REQUESTING DISBURSEMENT CASIi;BONDS+ „ ,, 5r :0,00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT(IF REQUIRED) -^'rr, TOTALDUETO OTHERS. TRfA7SURERS'REOEIPT,&FOR MONTH.'::, .AMOUNT' CASH;CHECKS, M.Os&CREDIT CARDS $4,157.04 Calculate from ACTUAL Treasurer's Receipts ?r;" TOTALTREAS.i;'RECEIPTS 4,157.04 ', MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/3/2017 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2016 Page 1 of 2 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45011 FINES 1,973.10 CR 1000-001-44190 SHERIFF'S FEES 105.28 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 36.23 ADMINISTRATIVE FEES 289.80 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 326.03 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44061 JP FILING FEES 75.00 CR 1000-001-44090 COPIES /CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 73.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,627.41 CR 2670-001-44061 COURTHOUSE SECURITY FUND $48.56 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $16.19 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $64.74 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $0.37 STATE ARREST FEES DPS FEES 13.80 P&W FEES 0.22 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 14.02 CR 7070-999-20610 CCC -GENERAL FUND 64.71 CR 7070-999-20740 CCC -STATE 582.39 DR 7070-999-10010 647.10 CR 7860-999-20610 STF/SUBC-GENERAL FUND 18.14 CR 7860-999-20740 STF/SUBC-STATE 344.72 DR 7860-999-10010 362.86 CR 7950-999-20610 TP -GENERAL FUND 29.64 CR 7950-999-20740 TP -STATE 29.64 DR 7950-999-10010 59.28 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 0.90 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 17.10 DR 7480-999-10010 18.00 Page 1 of 2 Page 2 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/3/2017 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2016 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS -GEN FUND 3.24 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS -STATE 29.11 DR 7865-999-10010 32.35 CR 7970-999-20610 TL/FTA-GENERAL FUND 13.05 CR 7970-999-20740 TL/FTA-STATE 26.09 DR 7970-999-10010 39.14 CR 7505-999-20610 JPAY - GENERAL FUND 9.91 CR 7505-999-20740 JPAY - STATE 89.22 DR 7505-999-10010 99.13 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 6.47 CR 7857-999-20740 JURY REIMB. FUND- STATE 58.27 DR 7857-999-10010 64.74 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS, GEN FUND 0.11 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 1.01 DR 7856-999-10010 1.12 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 32.04 DR 7998-999-10010 32.04 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 30.00 DR 7403-999-22889 30.00 TOTAL (Distrib Req to OperAcct) $4,157.04 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $4,157.04 LESS: TOTAL TREASUER'S RECEIPTS $4,157.04 REVISED 03/04/16 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 42738 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 1 ACCOUNT NUMBER DESCRIPTION AMOUNT ' 7541-999-20759-999 JP1 Monthly Collections - Distribution $4,157.04 DECEMBER 2016 V# 967 TOTAL 4,157.04 -D:Y-oVi7 Signature of Official Date 0.09 0.00 1,245.42 124.56 0.00 1.36 0.00 0.00 0.00 0.00 0.00 197.50 30.00 0.00 0.00 62.29 0.00 10.09 0.00 0.00 124.56 38.31 0.00 0.00 0.00 0.00 20.54 76.82 0.00 208.11 0.00 124.56 20.81 168.64 54.35 481.66 1,299.90 0.00 99.90 0.00 116.00 0.00 0.09 18.00 186.81 225.00 0.00 0.00 10.00 0.00 0.00 594.00 3,910.80 0.00 824.00 0.00 0.00 0.00 0.00 0.00 D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT D.R. REQUESTING DISBURSEMENT(IF REQUIRED) MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/3/2017 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 4,628.40 CR 1000-001-44190 SHERIFF'S FEES 551.15 Page 1 of 2 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 20.81 ADMINISTRATIVE FEES 109.90 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 130.71 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44062 JP FILING FEES 116.00 CR 1000-001-44090 COPIES/ CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE -SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,299.90 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,951.16 CR 2670-001-44062 COURTHOUSE SECURITY FUND $93.42 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $31.14 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $124.56 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $10.00 STATE ARREST FEES DPS FEES 62.07 P&W FEES 4.11 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 66.18 CR 7070-999-20610 CCC -GENERAL FUND 124.54 CR 7070-999-20740 CCC -STATE 1,120.88 DR 7070-999-10010 1,245.42 CR 7860-999-20610 STF/SUBC-GENERAL FUND 10.41 CR 7860-999-20740 STF/SUBC-STATE 197.70 DR 7860-999-10010 208.11 CR 7950-999-20610 TP -GENERAL FUND 84.32 CR 7950-999-20740 TP -STATE 84.32 DR 7950-999-10010 168.64 CR 7480-999-20610 CIVIL INDIGENT LEGAL -GEN. FUND 0.90 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 17.10 DR 7480-999-10010 18.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/3/2017 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 CR 7998-999-20740 CR 7403-999-22889 REVISED 03/04/16 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: 0 YEAR OF REPORT: 2016 TOTAL (Distrib Req to OperAcct) $9,573.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD CRIM-SUPP OF IND LEG SVCS -GEN FUND 6.23 0.00 CRIM-SUPP OF IND LEG SVCS -STATE 56.06 DR 7865-999-10010 62.29 CASH BONDS 0.00 TL/FTA-GENERAL FUND 65.83 WATER SAFETY FINES TL/FTA-STATE 131.67 DR 7970-999-10010 197.50 JPAY - GENERAL FUND 18.68 JPAY - STATE 168.13 DR 7505-999-10010 186.81 JURY REIMB. FUND- GEN. FUND 12.46 JURY REIMB. FUND- STATE 112.10 DR 7857-999-10010 124.56 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.14 CIVIL JUSTICE DATA REPOS.- STATE 1.22 DR 7856-999-10010 1.36 TRUANCY PREY/DIV FUND - STATE 54.35 DR 7998-999-10010 54.35 ELECTRONIC FILING FEE - STATE 30.00 DR 7403-999-10010 30.00 TOTAL (Distrib Req to OperAcct) $9,573.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 700.40 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $700.40 TOTAL COLLECTED -ALL FUNDS $10,273.90 LESS: TOTAL TREASUER'S RECEIPTS $10,273.90 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42739 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Calvin Anderle Justice of the Peace, Pct. 2 �ACGOUNT NUMBER * _ >ggpIPTION 7542.999.20759-999 JP2 Monthly Collections - Distribution $9,573.50 0 2016 V# 967 Signature of Official Date TOTAL 9,573.50 01-03-17;12:53PM;From:Ca1houn County JP5 justice Court Pct. S Calhoun. County Fax Transmittal Form To Judge Mike Pfeifer & County Commissioners Attn: Susan Fax: 361-553-4444 To:5534444 3619832461 # 1/ 8 Date: JANUARY 3 2017 Time: 12Z PM Pages including cover; gj $08 W Main St P.O. Box 454 Port O'Connor, TexaS 77982 From Judge Nancy Pomykal Phone: 361-983-2351 Fax: 361-983-2461 E-mail, jp5@tisd.net Phone; 361-983.2351 Fax: 361.583-2461 E-mail: jpS@11Ad.net Subject: DECEMBER 2016 MONEY DISTRIBUTION REPORT Message; Susan, I am faxing the above report. Have a greatweek! Call me if you have any questional Thank you, THE CONTENT5 OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) NAMED IN THIS MESSAGE, THIS COMMUNICATION IS INTENDED TO BE AND TO REMAIN CINFIDENTIAL AND MAY BE SUBJECT TO APPLICABLE ATTORNEY/CLIENT AND/OR WORK PRODUCT PRIVILEGES. IF YOU ARE NOT THE INTENDED RECIPIENT OF THIS ME65AGE, OR IF THIS MESSAGE HAS BEEN ADDRESSED TO YOU IN ERROR, PLEASE IMMEDIATELY ALERT THE SENDER BY FAX AND THEN DESTROYTHIS MESSAGE AND ITS ATTACHMENTS, DO NOT DELIVER, DISTRI9- UTE OR COPY THIS MESSAGE AND/OR ANY ATTACHMENT$ AND IF YOU ARE NOT THE INTENDED RECIPIENT, DO NOT DISCLOSE THE CON- TENTS OR TAKE ANYACTION IN RELIANCE UPON THE INFORMATION CONTAINED IN THIS COMMUNICATION OR ANY ATTAOHMENTS. 01-03-17;12:53PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 2/ 8 money Dintribuaon Report 01-03-2017 Pago CALHOUN COUNTY JP5 DECEMBER 2016 Racaipt Caumc/DaBendamt Codco\Amounts Total 375937 1606-0225 12-01-2016 JSF 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAY 5.00 140,00 SINGLETON, MARVIN EDWARD TF 4,00 JCSF 1.00 JPAY 6.00 IDF 2.00 SUBC 30.00 Company Check TPDF 2.00 AFF 40,00 25::00,;:'1:: ;EFF.:.: .:::1:0;.00.::;,;!':; f •.j <' �' 116.00 : 375939 1611.0373 12-06.2016 JSF 4.00 CCC 40.00 CHS 3.00 LAY 5.00 TV 4.00 260.00 JARAMILLO, BENDICTO HUERTA JCSF 1.00 JPAY 6.00 IDP 2.00 TPDF 2.00 PWT 103.00 Cash ;�.12*06-2016':OS.F.',""4t 00; .., ;CCC '.'�-0u:0'0' �, 'iCHH':�": �:, 3'.OD.�..4.:Oe.'�� „ 19600 MUNOZ,:'ATiFREDO:'S.. .. ..0.6. 6;:00: ,0T 09.00:. . Cash . .. ... .: .:... �.:...:... : .... :. 375941 1611.0372 12-06-2016 J5F 4,00 CCC 40.00 C14S 3.00 PWAV 5.00 TF 4,00 270,00 TOVAR-TORRES, VCNANCIO JCSF 1.00 JPAY 6,00 IDF 2,00 TPOF 2.00 PWF 203.00 Cash .... ....:....::.. ...... 0375.y<j;':^.. ... ::. T2'-CHS':..`....:,.:3OOi;�'P.WAF. ..... .... .... ...... .... ....: ..... ........:' ..:.. .. .. ,..:: .. ;;,'S;)'5': 00',::.TF4:!'00'...',;..;20)100 .. .. PAYiQ"0:;:;(SnF:.'..;.':r:2�:00:;��.:::TPDFi:;�I .. "Cash ••..•' .. ..... ... ..::. .. 375943 1612-0381 12-06-2016 79F 4.00 CCC 40.00 CHS 3.00 PWAF 5.00 TR 4.00 250.00 TOVAR-TORRES, ALVARO JCSF 1.00 JPAY 6.00 IDF. 2.00 TPDF 2.00 PWF 183.00 Cash .. ... 375944. 1.646„0227 •'...' .. 1�2=12-20.1'6 JSr•'. ��2;;,02.. :TFC 1:50 CCC. �20�.02�':. CHS:::.; �:: 1•;50r'.<!:L'AI'��'"�;, �2 ':YOPEZ LOM);;: CO�RNELTO;,�.;',,;;; ;,; ,,, ;, , TIME ,25; 0.0.. "TY; ",:;2'. O'0':;gCSF!; :.,.A::5�0:',:JBAY..7%".":3',0'0' .,....:IDF; ...:.: ,.1 0.0.' �".... .: .. ,. 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'TD;';,'. 1:'2:'0;0 �..:"TR OF y:,:..'2:' ..,00":: . FINE� :. ':.; :..'..... ... ....: .. ....::. .. 375949 1612.0309 12-20-2016 J5F 4,00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4,00 250.00 MENDER, CRISTOBAL JCSF 1.00 JPAY 6.00 SDP 2.00 TPDF 2.00 PWF 183.00 Cash ..:..... .. 375950: '1612037 W.;';::'.:..::'1211•1 '..2016. ..0, :JS,F. ' .,':',1'4:j p.0'i :".:CCC:..;:<,4: ... 10 ;• 40 00„ ,OHS:"" .. '8.:00:1pWn'R;:::','+00Tr .:.. .. .: <......:.q. .. oo, .: 2S0, 0 . :.. ... ..::' fiERNT11NpEF,,-FLORGS,:"I..RRAI%1(i;�:::i:.: lT .....:.. .:. .. .. .::.::. .. .::...: .:: ... DFf, ,.:. Card. ........:� .:: ..: ... . . 375951 1612-0384 12-20-2016 JSF 4.00 CCC 40.00 CHS 3,00 PWAF 5.00 TF 4.00 250.00 HERNANDEZ-FLORES, NOR JCSF 1.00 JPAY G.00 IDF 2.00 TPDF 2.00 PWF 183.00 Credit Card 375952 15.05r0221.':''•12-2,1-2016 ;JSF'..' '4,00 ,@bC.'..;':4'0;00.:.CHS..;';,.2.3.;00 .. ;.. SAF %'y :';=,!S' ..:00'::'.: .[-0RNT!:.:'.:50:00•;. .. ,2'a.2��:1,0 MTRELES, VICTOR HUGO �'� .� ". TV � �,� '4;00. :"JCSF+ "5'.00'" ..:... :JPT.Y� "'.6:00': ;;;YPF;' ::/:���a 00,: °::!TPDF,."'� �, 2,00: Company Chock .:.; d•, :'.':(..:':...FINE 10'0':0,0. .'CSR V(:: ;'.65.10 . .:.. .: .... ... .:.: .... ,... ... .. . 375953 1612-0387 12-21-2016 JSF 3.00 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5100 300,00 VELASWUEZ-GONZhLEZ, JOSE CECTLIO TF 4.00 JCSF 1.00 JPAY 6.00 TDR 3.00 MVF 0,10 Cash - TRNC 2.00 FINE 199,90 SUBC 30.00 : .... :. 375954: ., .16120308'...;.;',::: ..,.: .. X13.-21'^2016,J51?;'.'::''."4.,0'0':.:;'CCC.':.'.!4'0.0'0:'."CHS.,.:':'..3,.O.o,..:.:LAF:... ..•. :.4. ..:. .. :.... .. .. ... .'':: ?';OO:.:i.:.T.p'.::..: .. �'. A':00 T70':00 .:;; V17LA9QUE2-GON7,ALEZ;; 1705E %CECILTO,,J,CSFf:"';:1'.;G.D"..JPAY;: .. 6..00: ".::; IDF ,... f; •' 2.0;0;:!-MVF..:'!.:..0>1D"ra'TPDF :21:00 .. � ..,C,A�sh"::'..:! ...:'.:.:::'.:'.':•..:.:: �::.::::::':':':. ':'�.: ! .FINE":::.102190 � : �.:: :' �':...::. ..:....:..: : .. .... . .:.... . ... � .... .. .. .. .. ... :.: 375955 1606-0196 12-22-2016 J$F 4.00 TFC 3.00 CCC 40.00 CHS 3.00 LAF 5.00 195.00 ROY, MARK ANDREW TIME 25.00 TR 4.00 JCSF 1.00 JPAY 6.00 YDF 2.00 Comm Service MVF, 0.10 SUBC 30.00 TPDF 2.00 FINE, 69.90 37595E .: ;1609x0348': J: `!i-"i12i-27.=�2'o16 •, JSF ''['. ,_,,,, •.ati::00,: `i `TFC' "<.; :. :,'3;;;00.x'r'.CCC.if::2::n0::00:..'::.CL15; ,i:�..i is ..; ,. ;..;,! 3.04 .: .. 5AF::"','...::'S:Doi::':,;, ... ........ .. .. ...:..... .T. S�; o. . .:... .. . RTLEY;. MELVIN. BRIAN ., :. T'lMG, � TF •4':O�CSk•.;1-007RAY. , G,Q: ID ... .-6hc: :FeYeondl'. , :TPF':'. -INC: :2'9.10 375957 1612-0385 12-27.2014 JSF 4.00 CCC 40.00 CNS 3,00 PWAF 5.00 TF 4.00 170.00 JONCS, JOHN Q JCSF 1.06 JPAY 6100 IDF 2,00 TPDP 2,00 PWF 103.00 Credit Card 375950 ;1611-03'69 •' . 12-20;-.2016"JSF , 4..00... CCC' ,:,4'0:.:00''; 'CB ..S.;::;;:':3::'00:. :; 'LrF,:00�:: TF:;4; 00 JCSR ..:':. 'S�.00 .: r..UPAY: ��y,'�:;6�. IDF;: •�,'.: � 1.:'.2.00.: 0;;:',D i"..13;:00 Money:04d.'er'i:'i:.: i::.;:.. .:.: �.::: .. ... �..: f:. "..: .. :: •..: .7':; T:::::'D.F'� 375959 1612.0383 12.28-2016 JSF 4,00 CCC 40.00 CHS 3.00 PWAF 5.00 TF 4.00 250.00 CUELLAR, ASCENCION H JCSF 1.00 JPAY 6,00 IDF 2,00 TPDF 2.00 PWF 183.00 Credit .. ....•.. . .;.�.:. ,Card.. ... 3 CxS,, 3'229�2016;JSF;i:3.00j:;TG :51'0.00• GOFALESrMARTH.A;'©ARC.:,I.A;: 0.. 0.... .,...1...1.1..0000: �.. �(....CP ..: "'6'.bo:i%;�TD,F,f::::�:�:72.;o0':'f.;;:MVF':�:::.�0:1.0,; ';:' :'••...... .. 01-03-2017 Pago 01-03-17;12:53PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 3/ 8 Money Diatr$.butioa Report CALHOUN COUNTY J85 D=C ER 2016 Recaipt Cauae/DCRondant Ccdea\Am to Total ... ... . �:Parsbna4:Ch'ecik .;:, ,r:i..:"''��:: �.�:�': ..:.:SUB.C�:.::30:.00.:.TPDk'.:::;::..i2:.0'0".:::DD6. 2017 01-03-17;12:53PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 8 Money Distribution Report CALHOUN COUNTY JP5 DECEMBER 2016 Type Code Description Counh Retained Disbuaaed Money -Totals Tho following tet&In VePr*Oent - Cash and Checks Co110Cted COST CCC CONSOLIDATED COURT COSTS 13 52.00 468.00 520,00 COST CNS COURTHOUSE SECURITY 13 39.00 0.00 19.00 COST DPSC UPS FAILURE. TO APPEAR /OMNI FEES 0 0,00 0.00 0.00 COST TDF INDIGENT DEFENSE FUND 13 2.70 24.30 27.00 COST JCSF JUSTICE COURT SECURITY FUND 13 13.00 0.00 13.00 COST JPAY JUDGE PAY RAISE FEE 13 7.00 70,20 78.00 COST JSP JUROR SERVICE FUND 13 5.10 45.90 51,00 COST LAP SHERIFF'S FEE 5 25.00 0.00 25.00 COST MVF MOVING VIOLATION FEE 4 0.04 0.36 0.40 COST PWAF TEXAS PARKS & WILDLIFE 5 20.00 5.00 25.00 COST SAF DPS 3 12.00 3.00 15.00 COST SUBC SUB TITLE C 3 90.00 0.00 90.00 COST IF TECHNOLOGY FUND 13 52.00 0.00 52,00 COST TFC TFC 4 12.00 0.00 12.00 COST TIME TIME PAYMENT FEE 1 12.50 12.50 25.00 COST TPDF TRUANCY PREVENTION & DIVERGION FUND 12 0.00 24.00 24.00 COST TRNC:TRUANCY COURT COST 1 2.00 D.00 2.00 COST WRNT'`WARBANT FEE 1 50.00 0.00 50.00 FEES AJFF ABSTRACT OF JUDGMENT FILING FEE 1 5.00 0.00 5.00 FEES CSRV COLLECTION SERVICES FEE 1 65.10 0.00 65.10 FEES DDC DRIVER SAFETY COURSE - 2013 1 9.90 0.00 9.90 FEES DFP DEFERRED FEE 2 203.00 0.00 203.00 FEES EFF ELECTRONIC FILING PEE 1 0,00 10.00 10.00 FEES FILI FILING FEE 1 25.00 0.00 7.5.00 FEES IFER INDIGENT FEE 1 0.30 5.70 6.00 FEES SPEP SERVICE FEE 1 75.00 0.00 75.00 FEES $UBC SUB TITLE C 1 1.50 20.50 30.00 FINE FINE FINE 4 432.70 0.00 432.70 FINE PWF PARKS & WILDLIFE FINE 5 132.75 752.25 885.00 FINE NSF WATER SAFETY FINE 1 15.45 07.55 103.00 Money Totals 15 1,360.04 1,537.26 21998.10 The following CGCA1a topreaent - TxansfarE CCIlected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CRS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00 COST TDP INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0100 0.00 0.00 COST JPAY JUDGE PAY RAISE PEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAF SHERIFF'S FEE 0 0.00 0100 0.00 COST MVF MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE D 0.00 0.00 0.00 COST $AF DPS 0 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0,00 0100 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 0.00 COST TRNC TRUANCY COURT COST 0 0.00 0,00 0.00 COST WENT WARRANT FEE - 0 0.00 0,00 0.00 FEES RUFF ABSTRACT OF JUDGMENT FILING FEE 0 0,00 0,00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0100 0100 0,00 FEES DDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0100 FEES OFF DEFERRED FEE 0 0.00 0.06 0.00 FEES EFF ELECTRONIC FILING FEE 0 0.00 O.OD 0.00 FEES FILI FILING FEE 0 0.00 0,00 0.00 FEES IEEE INDIGENT FEE 0 0.00 0.00 0.00 FEES SPED SERVICE FEE 0 0.00 0.00 0.00 FEES SUBC SUB TITLE C 0 0.00 0.00 0.00 FINE EINE PINE 0 0.00 0.00 0.00 PINE PEP PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0,00 0.00 TraneEer TOtA10 0 0.00 0.00 0.00 3 01-03-17;12:53PM;From:Calhoun County JP5 To;5534444 ;3619832461 # 5/ 8 Money DinCribution Report CALHOUN COUNTY JPS DECEMBER 2016 Tygo Code DesOription Count Retained Dioburoed Money-Totala The following totals reprenent - Jail Credit And Comnunihy Service COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAY SHERIFF'S FEE COST MVP MOVING VIOLATION FEE COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST SUBC SUB TITLE C COST IF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION R DIVERSION FUND COST TRNC TRUANCY COURT COST COST WENT WARRANT FEE FEES AJFF ABSTRACT OF JUDGMENT FILING FEE FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES DFF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES FILI FILING FEE FEES IFEE INDIGENT FEE FEES SFEE SERVICE FEE FEES SUDC SUB TITLE C FINE FINE FINE FINE PWF PARKS A WILDLIFE FINE FINE WSF WATER SAFRTY FINE Credit Totals The following tetale repr000n4 - Credit Cord Payments COST CCC CONSOLIDATED COURT COSTS COST CRS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDP INDIGENT DEFENSE FUND COST UCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S PER COST MVC MOVING VIOLATION PEE COST PRAY TEXAS PARKS & WILDLIFE COST SAF UPS COST SUBC SUB TITLE C COST IF TECHNOLOGY FUND COST TFC TPC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST TRNC TRUANCY COURT COST COST WRNT WARRANT FEW FEES AJFF ABSTRACT OF JUDGMENT FILING FEE FRES CSRV COLLECTION SERVICES FEE PEES DDC DRIVER SAFETY COURSE - 2013 FEES DFF DEFERRED FEE FEES EPP ELECTRONIC FILING FEE FEES FILI PILING FEE FEES IPEE INDIGENT FEE FEES SFEE SERVICE FEE FEES SUBC SUB TITLE C FINE PINE FINE FINE PEP PARKS & WILDLIFE FINE FINE ESP WATER SAFETY PINE Credit Totals The following totolo ropresont . Combined Money and Crodita 01-03-2017 1 4.00 36.00 00,00 1 3.00 0.00 3100 0 0.00 0100 0.60 1 0.20 1.00 2.00 1 1.00 0.00 1.00 1 0160 5.40 6.00 y 0,00 3,60 4.00 1 $.00 0.00 5.00 1 0,01 0.09 0.10 0 0100 0.00 0.00 0 0,00 0.00 0.00 1 30.00 0.00 30,00 1 4.00 0.00 0,00 1 3.00 0.00 3.00 1 12.50 12.5D 25.00 1 0.00 2.00 2100 0 0,00 0100 0100 0 0.00 0.00 6.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 0 0,00 0.00 0.00 0 0.00 0,00 0.00 0 0,00 0.00. 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 1 69.90 0100 69.90 0 O.DO 0.00 0.00 0 0.00 0.00 0.00 1 133.61 61,39 195.00 8 30.00 270.02 300,02 0 22.50 6.00 22. so 1 9.90 20.10 30.00 8 1.50 13.50 15.00 P 7.50 0100 7.50 e 4.50 00.50 05.00 B 3.00 27.02 30.02 3 12.50 0100 12,50 1 0.00 0105 0.05 5 20,00 5.00 25.00 0 0.00 0.00 0.00 1 15.01 0.00 15,01 0 30.00 0.00 30.00 1 1.50 0.00 1.50 l 12.50 12,50 25.00 0 0,00 15.00 15,00 0 0.00 0.00 0.00 0 0.00 0100 0100 0 0.00 0100 0.00 1 59.10 0100 59.10 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0,00 0.00 0.00 2 169,90 0.00 169.90 6 152.70 065.30 11018.00 0 0.00 0.00 0.00 0 552.11 11268.99 1,821.10 01-03-17;12:53PM;From:Calhoun County JPS To:5534444 ;3619832461 # 6/ 8 Money DiOtributi0n Rogort 03-2017 papa CALHOUN COUNTY 0`105 DECEEBER 2016 Typa Coda D riPticn Count Retained Diubuasad money -Totino COST COOCONSOLIDATED COURT COSTS 27. 86.00 774.02 060.02 COST CHS COURTHOUSE SECURITY 22 64.50 Oleo 64.50 COST DP$C DPS FAILURE TO APPEAR /OMNI PEES I P.50 20.10 30.00 COST TDP INDIGENT DEFENSE FUND 22 4.40 35.60 44.00 COST JCSF JUSTICE COURT SECURITY FUND 22 21.50 0,00 21.50 COST JPAY JUDGE PAY RAY$E FEE 22 12.90 116.10 129.00 COST JSF JUROR SERVICE FUND 22 8.50 76.52 85.02 COST TAF SHERIFF'S FEE 9 42.50 0.00 42..50 COST MVF MOVING VIOLATION FEE 6 0.05 0.50 0.55 COST PWAP TEXAS PARKS & WILDLIFE 10 40.00 10.00 SO.DO COST SAF DPS 3 12.00 3.00 15.00 COST SUBC SUB TITLE C 5 135.01 0.00 135.01 COST TF TECHNOLOGY FUND 22 86.00 0.00 86.00 COST TFC TFC 6 16.50 0.00 16.50 COST TIME TIME PAYMENT FEE 3 37.50 37.50 75.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 21 0.00 41.00 41.00 COST TRNC TRUANCY COURT COST 1 2.00 0.00 2.00 COST WRNT WARRANT PEE 1 50.00 0.00 50.00 FEES AJFF ABSTRACT OF JUDGMENT FILING FEE 1 5.00 0.00 5.00 FEES CSRV COLLECTION SERVICES FEE 2 124.20 0.00 124.20 FEES DDC DRIVER SAFETY COURSE - 2013 1 9.96 0.00 9.90 FEES DFF DEFERRED FEE 2 203.00 0.00 203.00 FEES ERF ELECTRONIC FILING FEB I 0.00 10.00 10.00 FEES PILI FILING FEE 1 25.00 0.00 25.00 FEES IF49 INDIGENT FEB 1 0.30 5.70 6.00 FEES OF= SERVICE FEE 1 75.00 0.00 75.00 FEES SUBC SUB TITLE C 1 1.50 28.50 30.00 FINE FINE FINE 7 672.50 0.00 672.50 FINE PWF PARKS & WILDLIFE FINE 11 285.45 11617.55 1,903.00 FINE WSF WATER SAFETY FINE 1 15.45 67.S5 103.00 Report Totals 24 2,046.56 2,867.64 4,914.20 03-2017 papa 01-03-17;12:53PM;From:Calhoun County JPS To:5534444 ;3619832461 # 7/ 8. Money Distribution RODDrt 03-2017 Page 6 MHOON COUNTY JPS DrCEMBBR 2016 Data Pe eat Typo Pines Court Casts Peen Hands Restitution Othmr TOtsl 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards 6& Transfers 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01.1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of 411 C01100tions 0.00 0,00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Cheeks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Chocks Collected 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Chocks Collected 0.00 0.00 0.00 6.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 Me 0.00 Credit Cards & Transrors 0.00 0.00 0.00 0.00 0.00 D.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.06 0.00 0.00 0.00 0.00 09-01-2001 Cash & Checks Collected 0100 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & TranaCer9 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Callooted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Cradica & Comm Service 0.00 040 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Of all Collections 0.00 0.00 0.00 0.00 0.00 .0.00 0.00 01-01-2004 Cash & Checks Collected 1,420.70 1,048.40 429.00 0.00 0.00 0.00 2,898.10 Jail Credits & Comm Service 69.90 125.10 0.00 0.00 0.00 0.00 195.00 Credit Cards & TransEcrs 1,187.90 574.10 59.30 0.00 0.00 0.00 1,821.10 Total of all Collections 2,678.50 1,747,60 480.10 0.00 0.00 0.00 4,914.20 TOTALS Cash & Checks Collected 1,420.70 1,048.40 429.00 0.00 0.00 0100 2,098.10 Jail Credits & Comm Service 69.90 125.10 0.00 0.00 0.00 0.00 195.00 Credit Cards & Transfers 1,187.80 574.10 59.10 0.00 0.00 0,00 1,021.10 Total of all Collections 2,678.50 11747,60 480.10 0.00 0.00 0.00 4,914.7.0 03-2017 Page 6 01-03-17;12:53PM;From:Ca1houn County JP5 To:5534444 ;3619832461 Money Distribution Report CALHOUN COUNTY JPS DECEMER 2016 65.00 # 8/ 8 Description Count Collectod Rehained Disbursad State of Texas Quarterly Reporting Totals 20.10 Judicial Fund - Const County Court 0 0.00 State Comptroller Cost and Fees Report 0100 Judicial Fund - Statutory County Court 0 0,00 Station Y, Report for 044enNon Committed 0.00 Motor Carrier Weight Violations 0 0.00 01-01.04 Forward 25 925.03 925.03 0.00 09-01-01 - 12-31-03 0 0.00 0.00 0100 08-31-99 - OS -31-01 0 0.00 0.00 0.00 09.01-97 ^ 08-30-99 0 0.00 0.00 0.00 09-01-91 08-31.97 0 0.00 0.00 0.00 Bail Bend Fee 0 0.00 0,00 0.00 DNA Tooting Fee - Convictions 0 0100 0.00 0.00 DNA Tenting Fee - COMM Supvn 0 0.00 0.00 0.00 DNA Testing Fee - Juvenilo 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 D.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursement Fee 21 81.02 8.10 72.92 Indigent Defense Fund 21 42.00 4.20 37.00 Moving Violation Fees 5 0.45 0.04 0.41 State Traffic Fine 1 30.00 1.50 28.50 Section II. As Applicable Peace Officer Free 13 65.00 52,00 13.00 Failure to Appoar/Pay Fees 1 30.00 9.90 20.10 Judicial Fund - Const County Court 0 0.00 0.00 0100 Judicial Fund - Statutory County Court 0 0,00 0.00 0.00 Motor Carrier Weight Violations 0 0.00 0.00 0.00 Time Payment Feen 2 50.00 25.00 25.00 Driving Record Fee 0 0.00 0.00 0.00 Judicial Support Fee 21 123.00 12.30 110,70 Truancy Prevention and Diversion Food 0 0100 0.00 0.00 Report Sub Total 110 1,346.50 1,030.07 308.93 State Comptroller Civil Fees Report CF; Birth Certificate Fees 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 0.00 0,00 CF! Nondisclosuto Foes 0 6.00 0.00 0.00 CF: Juror Donations 0 0,00 0.00 0.00 CF: Justice Court Tndig Filing Foes 1 640 0.30. 5.70 CF; Stat Prob Court Indig Filing Foos 0 0.00 O,OD 0.00 CF: 9cat Prob Court Judie Filing Fees 0 0100 0.00 0.00 CF: Stat Cnty Court Indig Filing Fees 0 0,00 0.00 0100 CF; Stat Cnty Court audio Filing Foes 0 0.00 0.00 0.00 CF: Cast Cnty Court Sndig Filing Fec9 0 0.00 0.00 0,00 CF; Cnsa Cnty Court Judie Filing Pass 0 0100 0100 0.00 CF: Diet Court Divorce & Family Law 0 0.00 0.00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0100 CF: Dist Court Indig Legal Services 0 0.00 0.00 0,00 CF, Judicial Support Foe 0 0.00 0.00 0100 Report Sub Total 1 6100 0,30 5,70 Total Due For This Period 111 1,352.50 1,030.37 314.13 THE STATE OF TEXAS Boforo me, the undersigned authority, this day County of Calhoun County personally Appoared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, TeXAs, who being duly sworn, deposes and says that the above M9 foregoing re ort is true and covrect. Witness my hand this flay of 'Cate, it ebinCt No 5 1exas 01-09-17;11:44AM;From:Ca1houn County JP5 Justice Court Pct. 5 Calhoun County hpa Fax Transmittal Form To Judge Mike Pfeifer & County Commissioners Attn: Susan Fax: 361-553-4444 To:5534444 508 W Main St P.O. Box 454 Port O'Connor, Texas 77982 ;3619832461 # 1/ 8 Date: JANUARY 9, 2()17 Time: 11M PM Pages including coven o From Judge Nancy Pomykal Phone; 361-983-2351 Fax: 361-983-2461 E-mail: jp5Qtisd.net Phone: 361-983-2351 Fax: 361.963-2461 E-mail: jp5@tisd.net Subj jj. EDITED ECEMBER 2016 MONEY DISTRIBUTION REPORT Message: Susan, l amfaxingthe above edited report. Have a greatweek! Call me ifyou have any questions! Thank you, H CONTENTS TO 9E ATO RMAINR IAND S FAX ECCINFIDENTIAL COMMUNICATION ARE INTENDED SOLELY FOR THE ADDREssCE(S) NAMED IN THIS MESSAGE, THIS AND MAY BE SUBJECT TO APPLICABLE ATTORNEY/CLIENT AND/OR W K PROD SINTENDED CT PRIVILEGES. IF YOU ARE NOT THE INTENDED REOIPIENT OF THIS MESSAGE. OR IF THIS MESSAGE HAS BEEN ADDRESSED TO YOU IN ERROR, PLEASE IMMEDIATELY ALERT THE SENDER BY FAX AND THEN DESTROY THIS MESSAGE AND ITS ATTACHMENTS, DO NOT DELIVER, DISTRIB- UTE COPY ANY ACTON MESSAGE RELIANCE UPON THEIINFORMATION CONTAINED I IN THISENTS AND IF YOU ARE NOT THE NTENDED RECIPIENT, DO NOT COMMUNICATIONOR ANYATTAO THE CON- TENTS 01-09-17;11:44AM;From:CalhoUn COWY JP5 To:5534444 ;3619832461 # 2/ 8 Munny Distribution Report 375953 1612-0307 VEL,ABOURZ-OONZALUZ, Cash 37585.4 Z 3759E5 1606-03.96 ROY, MARK ANDREW Comm $orvica *6 - 1,16'0.9,';03,05';'.;;•;-. 3751)5. ''*k Person i a3L.- -V 376957 1612-0305 JONES, JOHN 0 12-21.2016 USP JOSH CtCYLIO TV 3,00 TFC 4.00 JCSF 12-22-2016 GSF 4100 TFC TIME 25,00 TV 3.00 coo 40.00 CHS 1.00 JPAY 6.00 SAF 9190 SURC 30.00 3.00 CCU 40.00 CHS 4.00 JCSF 1.00 JPAY ...... :i'TPDP" 5.00 w 5.00 300.00 3.00 MVF 0.10 A'S 00-'t .TE :::•":4!.06.1..•.;:::.170.00 3.00 LAF .9.00 195.00 6.00 XDF 2.00 12-27-203.6 JSF 4.06 coo 40.00 CHS 3.00 PWAP 5.00 TV 4.00 190.00 JCSF 1.00 JPAY 6.00 TOP 2.00 TPDF 2.00 PWP 103,00 375959 1612-030 12-26.2016 OUF 4.00 UCC 40.00 CNS CUELLAR, AACENCTON H JCSF 1.00 JPAY (;.so IDV 375960:': ' ".I( . - Z614ZALcs' :-.:-3A*0 PLAF- A<:00: 2.:.0..00: CALHOUN COUNTY JPS EDITED DECEMBER Raoaiph Caupa/Dufandant Codafl\AMoUftPa 3.00 PWAP 5.00 Total 175937 1600.0225 12.01-2016 aSV 4.00 TPC 3.00 coo 40.00 CHS 3.00 LAY 6.00 140.00 SINGLETON, MARVIN EDWARD TV 4.00 JCSF 1.00 JPAY 6.00 EDP 2.00 SUBC 30.00 Company Chock TPDF 2100 DFF 40.00 OU 3759.39 1611.0373 12-0�-�016 3SF 4.00 coo 40.00 CHS 3.00 LAP 5.00 TV 4.00 250,00 JARAMXLLO, DONOICTO HURRTA JCSF 1.00 JPAY 6.00 XDF 2.00 TPDF 2.00 PWP 183.00 • !: :16;$2=03,0"':..P ... 0:�!. . : 4V'CCC: op. .. .;*.-%.12"0 MUNOZ 'ALPR�;DQ.S P. ..0 D f 10-4 0 Caoh• 376941 1611.0372 12.06-2016 ds1l 4.00 Coo 40.00 CHB 3.00 PWAV 5.00 TV 4.00 270.00 TOVAR-TORRE$, VENANCIO JCSF 1.00 JPAY 6.00 EDP 2.00 TPDr 2.00 PWP 20.00 cash t -37$P'42 '4 .; ... 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''*k Person i a3L.- -V 376957 1612-0305 JONES, JOHN 0 12-21.2016 USP JOSH CtCYLIO TV 3,00 TFC 4.00 JCSF 12-22-2016 GSF 4100 TFC TIME 25,00 TV 3.00 coo 40.00 CHS 1.00 JPAY 6.00 SAF 9190 SURC 30.00 3.00 CCU 40.00 CHS 4.00 JCSF 1.00 JPAY ...... :i'TPDP" 5.00 w 5.00 300.00 3.00 MVF 0.10 A'S 00-'t .TE :::•":4!.06.1..•.;:::.170.00 3.00 LAF .9.00 195.00 6.00 XDF 2.00 12-27-203.6 JSF 4.06 coo 40.00 CHS 3.00 PWAP 5.00 TV 4.00 190.00 JCSF 1.00 JPAY 6.00 TOP 2.00 TPDF 2.00 PWP 103,00 375959 1612-030 12-26.2016 OUF 4.00 UCC 40.00 CNS CUELLAR, AACENCTON H JCSF 1.00 JPAY (;.so IDV 375960:': ' ".I( . - Z614ZALcs' :-.:-3A*0 PLAF- A<:00: 2.:.0..00: 3.00 PWAP 5.00 TV 4.00 260.00 2.00 TPDF 2.00 PWF 1$3.00 031-09-20117 Pg. 01-09-17;11:44AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 3/ 8 Money DiOtribution ReporC CALHOUN COU= OPS L"DYTBD DECEMBVR AocciHt Cauoe/DeEenflenC Codea\AmeunCa Total '. PeiacnAl'''Chock:(, :'r; i''".�:. •`. `.:':.i.'`:'SOBC..::�i:30:00.`'.RPbP�.'.:',r 2.r0:0':�>:'DDG:0.;: ':9 �.90 ^I:'' ,.. r: s,.• .:: ... ::.. ... .. ,,..• .. . . 375966 1312-0601 12.30-2016 WRNT $0.00 TIME 25.00 DPSC 30.00 pWP 65.00 •CSRV 51.00 221..00 BOCANL•Okh, JOSS MIGUEL Credit Cara Page 01-09-17;11:44AM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 8 Nonay Distribution Report CALHOUN COUNTY JP5 EDITED DECMMRR Typa Sod* Dcourip4ion count Retained Diobur"ed MeaeyTotwio The following total" represent - CAah and Check" Collected COST CCC CONSOLIDATED COURT COSTS 13 52.OD 469.00 520.00 COST CHS COURTHOUSE SECURITY 13 39.00 0.00 39.00 COST DPSC DPS FAILURE TO APPEAR (OMNI FEES 0 0.00 0.00 0.00 COST IDP INDIGENT DEFENSE FUND 13 2.70 24.30 27.00 COST JCSF JUSTICE COURT SECURITY FUND 13 13.00 0.00 13.00 COST JPAY JUDGE PAY RAISE FEE 13 7.80 70.20 70.00 COST JSF JUROR SERVICE FUND 13 5.10 45.90 51,00 COST LAP SHERIFF'S FEE 5 25.00 0.00 25.00 COST MVP MOVING VIOLATION FEE 4 0.04 0.36 0.40 COST PWAF TEXAS PARKS & WILDLIFE 5 20.00 5.00 25.00 COST SAF DPS 3 12.00 3.00 15.00 COST SUBC SUB TITLE C 3 90.00 0.00 90.00 COST TF TECHNOLOGY FUND 13 52.00 0.00 .52.00 COST TFC TFC 4 12.00 0.00 12.00 COST TIME TIME PAYMENT FEE 1 12.50 12.50 25.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND - 12 0.00 24,00 24.00 COST TRNC TRUANCY COURT COST 1 2.00 0.00 2.00 COST WRNT WARRANT FEE 1 50.00 0.00 50.00 FEES AJPF ABSTRACT OF JUDGMENT FILING FEE 1 5.00 0.00 5.00 PEGS CSRV COLLECTION SERVICES FEE 1 65.10 0.00 65.10 FEES DOC DRIVER SAFETY COURSE • 2013 1 9.90 0.00 9.90 FEES OFF DEFERRED FEE 2 203.00 0100 203.00 FEES EFP ELECTRONIC FILING FEE 1 0.00 10.00 10.00 FEES PILI FILING PEE 1 25.00 0.00 25.00 FEES IFSL` INDIGENT FEE 1 0.30 5.70 6.00 FEES SFEE SERVICE FEE 1 75.00 0.00 75.00 FEES SUBC SUB TITLE C 1 1.50 28.50 30.00 FINE FINE FINE 4 432.70 0.00 432.70 FINE PWF PARKS & WILDLIFE FINE 5 132.75 752,25 085.00 FINE WSF WATER SAFETY FINE 1 15.45 87.55 103.00 Monoy Totals 15 1,360.04 1,537.26 2,098.10 The following totals roprooant - TYanatoro Collaated COST CCC CONSOLIDATED COURT COSTS 6 0.00 0,00 0.00 COST GHS COURTHOUSE SECURITY 0 0.00 0,00 0.00 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0100 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0100 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE 0 0,00 0.00 0.00 COST MVP MOVING VIOLATION FEE 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAF DPS 0 0.00 0.00 O.OD COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION F. DIVERSION FUND 0 0.00 0.00 0.00 COST TRNC TRUANCY COURT COST 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES AJPF ABSTRACT OF JUDGMENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0,00 FEES DOC DRIVSR SAFETY COURSE. - 2013 0 0.00 0.00 0.00 FEES DFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC FILING FEE 0 0.00 0.00 0.00 FEES FILT FILING FEE - 0 0.00 0.00 0.00 FEES %FEE INDIGENT FEE 0 0.00 0.00 0.00 FEES $FEE SERVICE FEE 0 0,00 0.00 0.00 PEES SUBC BUD TITLE C 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0,00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Tran"for Totals 0 0.00 0.00 0.00 01-09-2017 Pago 3 01-09-17;11:44AM;From:Caihoun County J'b io:bb34444 ;3619832461 # b/ 8 .. Money Dintribntion Report CALHOUN COUNTY JPS EDITED DECEMBER Type Code DoBcriPtion Count Retained Dioboreed Money-Totald The following tOtalo repreoont - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHRRIFP'S FEE COST MVP MOVING VIOLATION FEE COST PWAF TEXAS PARRS 4 WILDLIFE COST SAF DPS COST $UBC SUB TITLE C COST TP TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST TRNC TRUANCY COURT COST COST WRNT WARRANT FEE FEES AJFP ABSTRACT OF JUDGMENT FILING FEE FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2013 FEES DFF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES FSLI FILING FEE FEES IFEE INDIGENT PEE FEES OPEN SERVICE FEE FEES SUBC SUB TITLE C FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE FINE WSF 91ATER SAFETY FINE Credit Totals The following totale represent.- Credit Cnrd Payments COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST TDF INDIGENT DEFUNBE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FOND COST LAI? SHERIFF'S FEE COST MVP MOVING VIOLATION FEE COST PWAF TEXAS PARKS & WILDLIFE COST SAF DPS COST $UBC SUB TITLE C COST TP TECHNOLOGY FUND COST TBC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST TRNC TRUANCY COURT COST COST WRNT WARRANT FEE FEES AJFF ABSTRACT OF JUDGMENT FILING FEE FEES CSRV COLLECTION SERVICES FEE FEES DOC DRIVER SAFETY COURSE - 2013 FRES DPF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES FSLI FILING FEE PEES IFEE INDIGENT FEE FEES SFES SERVICE FEE FEES 6UBC SUR TITLE C PING FINE FINE FINE POP PARKS L WILDLIFE FINE FINE WSP WATER SAFETY FINE Credit Totals The following totals rapreaent - Combined Money and Credits 1 4.00, 36.00 40.00 1 3.00 0,00 3.00 0 0,00 0.00 O.QQ 1 0,20 1.00 2,00 1 1.00 0,00 1.00 1 0160 5.40 6.00 1 0.40 3.60 4.00 1 5.00 0,00 5.00 1 0.01 0.09 0.10 0 0.00 0.00 0,00 0 0.00 0.00 0.00 1 30.00 040 30,00 1 4.00 0.00 4.00 1 3100 O.OD 3100 1 12,50 12.50 25.00 1 0.00 2,00 2.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0100 0.00 0.00 0 0,00 0.00 0.00 0 0100 0.00 0,00 0 0.00 0.00 0.00 0 0.00 0.00 0,00 0 0.00 0100 0.00 0 0.00 0,00 0.00 0 0,00 0.00 0100 0 0.00 0.00 0.00 1 69.90 0.00 69.90 0 0.00 0,00 0.00 0 0,00 0.00 040 1 133.61 61.39 195.00 0 30.00 270.02 300,02 0 22.50 0,00 22.50 2 19.00 40,20 60.00 0 1.50 13.50 15.00 6 7.50 0.00 7.50 0 4.50 40.50 45.00 B 3100 27.02 30.02 3 12.90- 0.00 12.50 1 0.00 0.05 0.05 5 20.00 5.00 25.00 0 0.00 0100 0.00 1 15.01 0.00 15.01 0 30.00 0.00 30.00 1 1,50 0.00 1.50 2 25.00 25.00 E0.00 B 0.00 15.00 15100 0 0.00 0.00 0.00 1 $0.00 0.00 $0.00 0 0.00 0.00 0.00 2 110.10 0.00 410.10 0 0.00 0,00 0.00 0 0.60 0,00 0.00 0 0.00 0,00 0,00 0 0.00 0.00 0.00 0 0,00 O.OD 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0,00 2 169.90 0.00 169.90 7 162.45 920,55 1,083.00 0 0.00 0.00 0.00 9 605.26 1,356.04 2,042,10 01-09-2017 Pau. 01-09-2017 Palo 01-09-'17;11:44AM;F'rom:Calhoun County JP6 To:5534444 ;3619832461 # 6/:,8, „ .... .. Money Diotribution Raport - - - CALHOVN COUNTY 17115 EDITED DECEMDER Typo Code Deaeri2tioa Count Retained Diehuracd Money-Totalo COST CCC CONSOLIDATED COURT COSTS 22 06.00 774.02 860.02 COST CHS COURTHOUSE SECURITY 22 64.50 0.00 64.50 COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 2 19.60 40.20 60.00 COST IDF INDIGENT DEFENSE FUND 22 4.40 39.60 44.00 COST JCSF JUSTICE COURT SECURITY FUND 22 21.50 O,OD 21.50 COST JPAY JUDGE PAY RAISE FEE 22 12.90 116.10 129,00 COST JOF JUROR SERVICE FUND 22 9.50 70.52 85.02 COST LAP SHERIFF'D FEE 9 42.50 0.00 42.50 COST MVP MOVING VIOLATION PER 6 0,05 0.50 0,55 COST PWAF TERAS PARKS & WILDLIFE 10 40.00 10.00 50.00 COST SAF UPS 2 17..00 3,00 15.00 COST SUBC SUB TITLE C 5 135.07. 0100 135.01 COST TF TECHNOLOGY FUND 22 86.00 0,00 86.00 COST TFC TPC 6 16,50 0.00 16.50 COST TIME TIME PAYMENT FEE 4 50.00 50.00 100.00 COST TFDF TRUANCY PREVENTION & DIVERSION FUND 21 0.00 41.00 41.00 COST TRNC TRUANCY COURT COST 1 2.00 0.00 2,00 COST WANT WARRANT FEE 2 100.00 0,00 100.00 FEES AJFF ABSTRACT OF JUDGMENT rILING PEE 1 5.00 0.00 5,00 FURS CSRV COLLECTION SERVICES FEE 3 175.20 0.00 175.20 FEES DDC DRIVER SAFETY COURSE - 7.013 1 9.90 0.00 9.90 FEES DFF DEFERRED FEE 2 203.00 0.00 203.00 FEES EFF ELECTRONIC FILING FEE 1 0.00 10.00 10.00 FEES PILI FILING FEB 1 25.00 0.06 25.00 FEES IFEE INDIGENT FEE 1 0.30 5.70 6.00 FEES SPEE SERVICE PER 1 95.00 0.00 75.00 FEES $UDC SUB TITLE C 1 1.S0 28.50 30.00 FINE PINE FINE 7 672,50 0.00 672.50 FINE PWF PARKS & WILDLIFE FINE 12 295.20 1,672,90 1,968.00 FINE WSF WATER SAFETY FINE 1 1$145 87.55 103.00 Raport Totals 25 21179.71 2,955.49 51135.20 01-09-2017 Palo 01-09-'17;11:44AM;From:Calhoun County JP5 To:5534444 ,;,3619832461, # 7/ 8 :, NO.OY Distribution Report BA9e CALHOUN COUNTY JP5 EDITED DZC14UDDA Date Payment Tyge - 91400 Covrt Ceara Pees Donde R_oatitution Othac TOtal 00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards S. Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collection" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01.1991 Cash & Chooko Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 D.00 0.00 Credit Cards & Transfer" 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Total of all Colleetiono 0.00 O.OD 0.00 0.00 0,00 0.00 0.00 09-01-1933 Cash & Check" Collected 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Jail Credito & Comm Service D.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cando & Transfers 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Total of all Collections 0.00 0.00 0,00 0.00 0.00 0.00 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0,00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0,00 0100 0.00 0,00 0,00 0.00 0.00 09-01-1997 Cash & Cheeks Collected 0100 0.00 0.00 0.00 0.00 0.00 0.00 Sail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Trana£ar" 0.00 0.00 0.00 0.00 0.00 0.00 0,00 Total of all Collections 0.00 0.00 0.00 0.06 0.00 0.00 0.00 09-01-1999 Cash & Chooks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm SarViO0 0.00 0.00 0.00 Me 0.00 0.00 0.00 Credit Cards & TranO£ers 0.00 0,00 0.00 0,00 0.00 0.00 0.00 Total Of all Collections 0.00 0.00 0.00 0.00 0.00 0,00 0.00 09-01.2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.06 0.00 0.00 0,00 0.06 0.00 09-01-2003 Cash & Checks Collected 0.00 0,00 0.00 6.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Credit Cards & Transfers 0.00 0.00 0100 0,00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 of -OS -2004 Cash & Checks Collected 1,420.70 1,049,40 429.00 0.00 0,00 0.00 2,096.10 Jail Credits & Comm Service 69.90 125.10 0.00 0.00 0.00 0,00 195.00 Credit Cards & Transfers 1,252.90 679.10 110,10 0.00 0.00 0.00 2,042.10 Total of all Collections 2,7,13.50 1,852.60 539,10 0.00 0.00 0.00 5,135.20 TOTALS Cash & Checks Collected 1,420.70 1,040,,10 429.00 0.00 0,00 0.00 2,896.10 Jail Credits & Comm Service 69.90 12$.10 0.00 0.00 0,00 0.00 195.00 Credit Cards & Transfers 1,252.90 679.10 110.10 0.00 0.00 0.00 2,042.10 Total of all Collections 2,743.50 1,852.60 539.10 0.00 0.00 0.00 5,135,20 BA9e 01-09-17;1'1:'44AM;From,:Calhoun County JP5 To:5534444 - 1;3619832461 # 8/ 8 Money Distribution Report CALUOON COUNTY JP5 EDITED DMCMMMBR Deacripticn Count Co1lecCefl Retained Disbursed State OE TeX&0 Quarterly Reporting Totals State Comptroller Cost and Fees Report - Section 1: Report for Offenses Committed 01-01-04 Foxward 25 925.03 925.03 0.00 09-01-01 - 12-31-03 0 0.00 0.00 0.00 00-31-99 - 06-31-Oi 0 0.00 0.00 0.00 09-01-97 - 00-30-99 0 0.00 0.00 0.00 09-01-91 - 08.31-97 0 0.00 0.00 0.00 Bail Bond Foo 0 0.00 0.00 0.00 -DNA Teating Foe - Convictions 0 0.00 0.00 0.00 DNA Testing Fee - Comm Supvn 0 0,00 0,00 0.00 DNA Testing Foe - Juvenile 0 0.00 0100 0.00 CMS Trauma Fund (MMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Poon 0 0.00 0.00 0.00 Jury Reimbursement Fee 21 81.02 0.10 72.92 indigent Defense Fund 21 42,00 4,20 37.80 Moving Violation Foes 5 0.43 0.04 0.41 State Traffic Fine 1 30.00 1.50 28.50 Section Tl: As Applicable Peace Officer Fees - 13 65.00 52.00 13.00 Failure to Appear/pay Fee, 2 60.00 19.80 40.20 Judicial Fund -'Const County Court 0 0.00 0.00 0100 Judicial Fund - Statutory County Court 0 0.00 0100 0.00 Motor Carrier Weight Violations 0 O.DO 0.00 0,00 Time Payment Fsea 3 75.00 37.5D 37.50 Driving Record Foo 0 0.00 0.00 0.00 Judicial Support Fee 21 123.00 12.30 110.70 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Sub Total. 112 11401.50 1,060.47 341.03 State Comptroller Civil Fees Report CF_ Birth Certificate Fee, 0 0.00 0,00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of informal Marriage 0 0.00 0,00 0.00 Cr, NOndiaclonure Fee, 0 0.00 0.00 0.00 CP; Juror Donations 0 0.00 0.00 0.00 CP: Justice Court Indig Filing Fees 1 6.00 0.30 5,70 CF: Stat Proh Court Indig Filing Foes 0 0.00 0.00 0.00 CF. Stat Prob Court JUdic Filing Fees 0 0.00 0.00 0.00 CF; Seat Cnty Court Indig Filing Be09 0 0.00 0.00 0.00 CF: Stat Cnty Court Judic Filing Pees 0 0,00 0.00 0.00 CFi Cast Cnty Court Indig Filing Foca 0 0,00 0.00 0.00 CF; Cnst Cnty Court Judie Filing Fees 0 0.00 0.00 0,00 er! Dist Court Divorce fl Family Law 0 0.00 0.00 0.00 CF; Dist Court Other Divorce/Family Law 0 0.00 0,00 0.00 CF: Dist Court Indig Legal Services 0 0.00 0.00 0.00 CP: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 1 6.00 D.30 5.70 Total Due -Por This Period 113 1,407.50 1,060.77 346.72 TN& STATE OF TEXAS Bofors me, the undersigned authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, T@Xaa, who being duly sworn, deposea and says that the above `O."ouu",,,, d , 1 foregoing report is true and correct. ,`yd"5'f�`C`trtr. CO Witness my hand thiD ay, of A,D` ;.l Justice of he Peace, P nut CalhoU 0 ncy, Texas Calhoun Co untyFlo odplain Administration 211 South Ann Street, Suite 301 Pott Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail• ladonna.thigpen@calhouncotx.org December 2016 Development Permits New Homes -2 Renovations -0 Mobile Homes -1 Boat Barns/Storage Buildings/Garages-3 Commercial Buildings -0 Total Fees Collected: $360.00 W 0 Q z O rt N n fD C O O.. 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O O �q N O U) O M N lq' O O r N 1- 0 O O O O O r t0 V 0.. co r N O M Q (r Q r co O 0 (V M o o N It N N O o O o O O O o P•) N O O m O O n m r0 N 0 6 0 0 0 q W r LL N O M N O O 't O O N w M 0 0 N O r � N M r 0 M lTT Q r 7 c U @ .z co @ V U `� '� N N N @ C .4 .� N 0 E 0 Q .0 U O Q V= N d C Z a ro o o u c U a 0 0 c 0° y c@ N O C p N rf) .�' @ 'p U C N _@ (n >. @ N O N Q1 O @ UJ N O X p C f1. (n N U @ d EL U@ a N N U a Q aC a X N (> c �y c u o 'm a) to CL LL Mo° •.. Ma W C i-• 'v IJ O N a o p m Q n n o L a@@ Un ca. 0) (L O +-• M@ �° i C C N C N 0- t @ E E (y6 v> E E E @ z C 7-2 C N (D O N T IY (� C C P 0) 0- S C C C j O Cn O U O (n In 0) O U O o O O O O O O O O, O O C u 4k 4k U U -k u I zk :u: u rAw 7 1 Brace Blevins Constable Precinct 3 Calhoun County Texas 211. South Ann, Suite 303 Port Lavaca, Texas 77979 January 3, 2017 361-553-4607 Dear Sirs: The following information is data collected from traffic stops that occurred from January 1, 2016 thm December 31, 2016. During this time period 197 traffic stops were made. The following are categories with information about the traffic stops. Drivers Traffic stops Warnings Citations White Males 78 78 0 Hispanic Males 40 37 3 Black Males 7 7 0 Asian Males 5 4 1 White Females 36 36 0 Hispanic Females 25 25 0 Black Females 3 3 0 Asian Females 3 3 0 Totals 197 193 4 S Bruce Blevins Constable Precinct 3 Calhoun County Texas 211 South Ann, Suite 303 Port Lavaca, Texas 77979 361-553-4607 A list is given below with specific information for each category where a citation was issued: Hispanic male's Invalid Drivers License Speeding: 87 mph in a 55 mph zone Speeding: 122 mph in a 55 mph zone Asian male Speeding: 90 mph in a 55 mph zone The average speed of the drivers who were issued citations for speeding was 45 M.P.H. over the posted speed limit. Written or verbal warnings were given in 99% of the violations. No vehicle searches were conducted in any of these traffic stops. Sincerely Yours, Bruce Blevins 23. Consider and take necessary action to accept donation in the amount of $13,685.87 to the Calhoun County Historical Commission from the Matagorda Island Foundation, Inc. (MP) (Agenda Item No.23) MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Michael Pfeifer, County Judge AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 21 of 29 MATAGORDA ISLAND FOUNDATION, INC 2450 Fondren, Suite 105 Houston, TX 77063 713-974-5550(o) 713-974-6818 (f) dewey@petroguard.com December 19, 2016 Mary Bell Meitzer Calhoun County Historical Commission 202 S. Ann, Suite A Port Lavaca, TX 77979 Dear Ms. Meltzer, It is with great, pleasure that the Matagorda Island Foundation, Inc. presents this check in the amount of $13.685.87 to the Calhoun County Historical Commission. The restoration of the Matagorda Island Lighthouse was a fine example of the Calhoun County Historical Commission's commitment to preserving the history'of Calhoun County and we know this contribution will be used to continue your excellent work. Sincerely, IL Deweytringer. Matagorda Island Foundation, Inc Board Member MATAGORDA ISLAND FOUNDATION INC 88-2316/1131 1807 E WARREN VICTORIA TX 77901 ��if. ( z 11 First National Bank In Port Lavaca f 3J 695. 87 LLRS t B3 �. j r B PO Drawer 7, Port Lavaca, TX 77979 www.f,bP.n avaca.com The Bank that's Good as Gold FOR // ,r�fiJ�Gt�Csc.1�211-�dL2� Krzn 24. Consider and take necessary action to accept donations to Calhoun County. (Agenda Item No. 24) N/A Page 22 of 29 25. Consider and take necessary action on the matter of declaring certain items of County property as surplus/ salvage. (Agenda Item No. 25) N/A Page 23 of 29 26. Consider and take necessary action on matter of transferring certain items of County property from one County department to another County department. (See List) (Agenda Item No. 26) N/A Page 24 of 29 27. Approval of payroll. (Agenda Item No. 27) Commissioner Lyssy made a motion to approve payroll dated 12/2/2016 in the amount of $249,884.81 payroll dated 12/16/2016 in the amount of $291,419.82 and payroll dated 12/30/2016 in the amount of $281,809.36 for a total amount of $823,113.99. MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 25 of 29 CALHOUN COUNTY PAYROLL 2016 MONTH / DECEMBER Payroll throw h 12-02-2016 $ 249,884.81 Payroll through 12-16-2016 $ 291,419.82 Payroll through 12-30-2016 $ 281,809.36 APPROVED TOTAL PAYROLL $ 823,113.99 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 that the above is true and correct to the best of my knowledge January 3, 2017. VIA S. KOKENA, CALHOUN COUNTY TREASURER ACCEPTED AND APPROVED THIS THE DAY OF , 2017 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. 28. Consider and take action on any necessary budget adjustments. (Agenda Item No. 28) MOVER: Kenneth Finster, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 26 of 29 i0 i� ;O :z` �r z W a iW �0 Q F z m O V a z O ul W O z O to F z W N 19 C Z Z Z 99� 000 z z z z as r z R W m D O W W U Q z Q C Z O zop O W m U O i0 :M pN :O :Lz :F :z :W AL :W U) z m O Q z O a w W � W1� 6 Z 0 z I i0 ;co iN O O O O 2 Z LL i0 :.awJ y, :O :Z :z :W i� CL iW W F. 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Approval of bills. (Agenda Item No. 29) Commissioner Lyssy approved all bills. Commissioner Finster seconded his motion. The 2016 Road and Bridge Precinct 3 in the amount of $9,970.00 was not approved at this time, he stated he would leave that to Commissioner Syma to decide if he wants to pay this and keep this product. MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Kenneth Finster, Commissioner Pct 4 AYES: Pfeifer, Hall, Lyssy, Syma, Finster Page 27 of 29 January 12, 2017 2017 APPROVAL LIST - 2016 BUDGET 39 COURT MEETING OF 01/12/17 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 38 $312,804.93 FICA P/R $ 48,253.81 MEDICARE P/R $ 11,531.28 FWH P/R $ 43,731.68 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,750.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 2,317.85 AT&T A/P $ 154.95 AT&T MOBILITY A/P $ 2,782.59 ATZENHOFFER CHEVROLET CO RB2: WIPER MODULE A/P $ 264.93 CABLE ONE A/P $ 116.50 CALHOUN COUNTY COMMUNITY MINISTRIES INDIGENT: REIMBURSE RX A/P $ 366.64 CENTERPOINT ENERGY A/P $ 122.50 CINTAS RB3: UNIFORMS & JANITORIAL SUPPLIES A/P $ 219.62 CITY OF POINT COMFORT A/P $ 115.12 CITY OF PORT LAVACA A/P $ 438.11 CITY OF SEADRIFT A/P $ 175.59 CONSTELLATION NEW ENERGY A/P $ 22,608.19 DEWITT POTH & SON AUDITOR: COPY PAPER A/P $ 387.50 FRONTIER COMMUNICATIONS A/P $ 2,451.17 GBRA A/P $ 201.00 JACKSON ELECTRIC COOP, INC. A/P $ 388.76 Mll I:VMM ShKVIUh A/P $ 30.27 MCI MEGA PREFERRED A/P $ 246.27 O' REILLY AUTO PARTS RB3: WASHERS, OIL FILTERS & MISC PARTS A/P $ 329.50 OMNICARE SAN ANTONIO CCJPD: MEDICATIONS A/P $ 445.84 PORT O'CONNER IMPROVEMENT A/P $ 382.50 QUILL TREAS: DESK ORGANIZERS & AUDITOR: MISC SUPPLIES A/P $ 3,339.05 REPUBLIC SERVICES 9847 A/P $ 4,510.41 SPRINT A/P $ 36.19 VERIZON WIRELESS A/P $ 165.01 VICTORIA ELECTRIC CO-OP A/P $ 2,533.80 VOYAGER A/P $ 10,168.21 WASTE MANAGEMENT A/P $ 1,149.08 WEX BANK A/P $ 244.30 TOTAL VENDOR DISBURSEMENTS: $ 475,763.63 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 475,763.63 JANUARY 12TH, 2017 2016 APPROVAL LIST - 2016 BUDGET C(DMMISSIONERS COURT MEETING OF 01/12/17 (2016) Road & Bridge #1 AUTO PARTS & MACHINE CO OIL FILTERS & MISC $ 562.97 DIEVEL OIL CO 500 GAL UNLEADED GAS & 695 GAL DIESEL $ 2,570.10 JOHNNIE GRESHAM OP GRADE 3 LIMESTONE $ 34,740.59 MELSTAN CULVERTS $ 6,614.88 QUALITY HOT MIX 128.98 TONS HOT COLD MIX $ 10,918.32 UNIVAR 50 GAL OIL $ 1,977.00 Subtotal: $ 57,383.86 (2016) Road & Bridge #3 GREEN PRO SOLUTIONS 702 EZ DEGREASER/ 20 GAL DRUMS/ 5 GAL PA $ 9,970.00 Subtotal: $ 9,970.00 (2016)Jail & Sheriff's Department BEN E KEITH FOODS GROCERIES FOR INMATES & MISC $ 4,613.26 BEN E KEITH FOODS GROCERIES FOR INMATES $ 1,058.12 BOB BARKER COMPANY INC MATRESS COVERS & MISC GROCERIES $ 659.77 CDW 3 COMPUTERS $ 1,973.02 CORNERSTONE SERVICE & SUPPLY REPAIR OF VIOLENT CELL $ 5,372.40 ANNOUNCEMENTS PLUS STAMPS/STATIONARY & ENVELOPES $ 1,619.00 ANNOUNCEMENTS PLUS RECEIPT BOOKS & CARD FILE CARDS $ 1,503.00 GLOBAL TRAINING ACADEMY K9 RICO $ 1,424.50 GULF COAST PAPER CO INC DETERGENT & MISC SUPPLILES $ 950.06 HEB CREDIT RECEIVABLES MISC GROCERIES $ 525.39 QUILL PAPER & CUPS & MISC $ 816.41 FIRESTONE UNIT#26 REPLACE FAN MOTOR $ 515.00 SINGLETERRY BRUCE A OIL CHANGES FOR UNITS $ 529.17 TASER INTERNATIONL BATTERY PACKS & CARTRIDGE $ 951.42 VCS SECURITY CAMERA CONTROLLERS & MONITORS $ 5,698.27 VCS SECURITY RADIOS & BATTERIES $ 3,447.25 WALMART PHONE CORDS & MISC SUPPLIES $ 1,140.07 Subtotal: $ 32,796.11 Total Vendor Disbursements: $ 100,149.97 January 12, 2017 2017 APPROVAL LIST - 2017 BUDGET 16 COMMISSIONERS COURT MEETING OF 01/12/17 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 15 $4,716,887.85 FICA P/R $ 555.06 MEDICARE P/R $ 129.80 FWH P/R $ 583.17 TEXAS ASSOCIATION OF COUNTIES - UNEMPLOYMENT FUND P/R $ 7,002.85 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 205,396.16 CABLE ONE A/P $ 440.42 FRONTIER COMMUNICATIONS A/P $ 521.42 LA WARD TELEPHONE EXC. INC. A/P $ 324.56 RICOH USA, INC. TAX A/C: COPY MACHINE LEASE A/P $ 135.45 TISD, INC A/P $ 199.97 TOTAL VENDOR DISBURSEMENTS: $ 4,932,176.71 PURCHASE OF CERTIFICATE OF DEPOSIT AIP TRANSFER TO POC COMMUNITY FUND A/P CALHOUN COUNTY GRANTS FUND A/P 'TRANSFER TO GENERAL FUND A/P EFT - TRANSFER FROM MONEY MARKET ACCT TO OPERATING ACCT (NOW) A/P COUNTY OF CALHOUN REFINANCING I&S SERIES 2012 A/P CALHOUN COUNTY INDIGENT HEALTH CARE A/P CALHOUN COUNTY OPERATING ACCOUNT A/P CAPITAL PROJECT COUNTY ROAD 101 A/P TOTAL TRANSFERS BETWEEN FUNDS: S - TOTAL AMOUNT FOR APPROVAL: $ 4,932,176.71 GREEN PRO SOLUTIONS "We Live In The Solution" PO BOX 772727 Coral Springs, FL 33077 (954)990-0694 greenprorep@gmall.com http://www.greenprochomicalsolutions.com BILL TO Calhoun County Precinct # 3 Attn: Accounts Payable 24627 Ste Hwy 172 Port Lavaca, TX 77979 SHIP TO Calhoun County Precinct # 3 Neil Fritsch 24627 Ste Hwy 172 Port Lavaca, TX 77979 INVOICE # 8202 DATE 12106/2016 DUE DATE 01/05/2017 TERMS Net 30 SHIP VIA ORDERED BY: PO # Warehouse A Neil Fritsch V/0 DESCRIPTION QTY UNIT PRICE AMOUNT .may 702 EZ 110 89.50 9,845.00 Hybird -Soy/ D,Limonene Super Concentrated Emulsfiable Degreaser ...Industrial„EPA & OSHA Approved All Surface We accept Vlsaf MC/ Amex and Discover We appreciate your business. All returns must have prior authorization. A 35 % restocking fee & all shipping fee's will be charged on returns. No returns accepted after 30 days. Please contact customer service @ 954-9900694. Thank you. SUBTOTAL SHIPPING TOTAL BALANCE DUE S S nee Its Weis _J e, , ve recd Oo-i A S__`i-.'+ c.LLe .�.7_._..__. Z_ Yh,pnK _.. I.1D-_q.c� 0.-S t>_�_\ Oc<J_s. e _ a 5I k DY,_ Pa is - [gal_ J - 2.0 Go -f Ion ja�_. -' payable: l Green Pro Solutions C 9,845.00 125.00 9,970.00 $9,970-00 Peggy Hall From: Mike St. George <stgeo@milwpc.com> Sent: Thursday, December 15, 2016 8:14 AM To: peggy.hall@calhouncotx.org Subject: RE: Asphalt patch Good Morning Peggy #702 Pure EZ Degreaser would be $28.78 per Gal, in a 20 Gal Drum In a 5 Gal. Pail $28.30 per Gal. So you would be better off getting in all pails. You could go with a 30 Gal. drum for $27.78 per Gal. 3x30 & 45 =110 Shipping would be $220.00 via Averitt Thanks n c >Thanks! >On another note, Commissioners' Court will be awarding the bids for >asphalt patch on December 22, 2016. >I should have the award letters out hopefully by the end of the year. >Peggy Hall >Assistant Auditor >Calhoun County Courthouse Annex II >202 S Ann St, Ste B >Port Lavaca TX 77979 >Office: 361-553-4610 >Fax: 361-553-4614 1 7a�c�h GC.�rv� Ca Q-Q-- rl.c_c-e_� ---- Original Message ---- ! 011 From: Peggy.hall@calhouncotx.org To: mike@dawnchemical.com Subject: RE: Asphalt patch Date: Wed, 14 Dec 201616:56:14 -0600 b 30 10' _ >Hil 2 3 0 0 .. >Helpi > ?�; J0 >I am needing help on getting prices for the following: _ n >702 EZ Degreaser (Hybird ..Soy/D,Limonene Super Concentrated ' ` 3.6 " 0 >Emulsifiable Degreaser (the packing slip has Orange Power) >Need price for 5 - 20 Gallon Drums >Need price for 2 - 5 Gallon Pails >Any help on what this product normally costs would be greatly >appreciated. >Thanks! >On another note, Commissioners' Court will be awarding the bids for >asphalt patch on December 22, 2016. >I should have the award letters out hopefully by the end of the year. >Peggy Hall >Assistant Auditor >Calhoun County Courthouse Annex II >202 S Ann St, Ste B >Port Lavaca TX 77979 >Office: 361-553-4610 >Fax: 361-553-4614 1 7a�c�h GC.�rv� Ca Q-Q-- rl.c_c-e_� Po -i 560 _121612016 4 COUNTY COMMISSIONERS COURT PAYMENT OATS 12/22/2016 DATE DUE IN TREASURERS UMCE 12/15/2016 VENDOR CODE AND NAME 7030 GREEN PRO SOLUTIONS P.O. BOX 772727 CORAL SPRINGS FL 33077 ACCOUNT NUMBER INVOICE NO. INVOICE DATE PURCHASE DESCRIPTION INVOICE AMOUNT 1000 560 53640 8202 12/6/2016 ORANGE POWDER 702 EZX $9,970,00 HYBIRD..SOY/D,LIMONENE SUPER CONCNETRATD EMULSFIABLE DEGREASER INDUSTRIAL, EPA )AN 10 2911 g 06C 16 �)616 ,e3s;�1,� TOTAL $9,970.00 I CERTIFY THAT THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES, THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION AND THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND I REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. HEAD OR AUTRORUB SIGNATURE 15, 2016 DATE INVOICE GREEN PRO SOLUTIONS "We Live In The Solution" PO BOX 772727 Coral Springs, FL 33077 (954)990-0694 greenprorep@gmaii.com http://www.greenprochomicalsolutions.com BILL TO Calhoun County Precinct # 3 Attn: Accounts Payable 24627 Ste Hwy 172 Port Lavaca, TX 77979 SHIP TO Calhoun County Precinct # 3 Neil Fritsch 24627 Ste Hwy 172 Port Lavaca, TX 77979 SHIP VIA ORDERED BY: PO # Warehouse A Neil Fritsch V/O [DESCRIPTION 01'' 702 EZ 110 Hybird ..Soy/ D,Limonene Super Concentrated Emulsfiable Degreaser ...Industrial„EPA & OSHA Approved All Surface We accept Visa/ Mc! Amex and Discover SUBTOTAL SHIPPING We appreciate your business. All returns must have prior TOTAL authorization. A 35 % restocking tee & all shipping tee's will be BALANCE DUE charged on returns. No returns accepted after 30 days. Please contact customer service @ 954.990-0694. Thank you. INVOICE # 8202 DATE 12/06/2016 DUE DATE 01/05/2017 TERMS Net 30 UNITPRICE AMOUNT 89.50 9,845.00 Fed Tax ID /f 2735915421 Please Make all checks payable:1 Green Pro Solutions 9,845.00 125.00 9,970.00 $9,970-00 m O0 LU Z D 0 0 O C) z Z -lio 0 Z 30 F- Z > l M W Ofuj U) 10) z U) -0 j., IL Z Z < 0 Z 0 z 2i 0 Q/ Z, O 0 L U) 0) a 0 0 m m O0 K LU 0 I ,S LU Z 3: Z -lio 0 Z LU F- Z > l M W Ofuj U) 10) z U) -0 K LU 0 I ,S Z 3: Z -lio 0 Z C2 P l M W lor 10) z O >1 -0 IL Z Z < w LU 2i K LU 0 I ,S 0951072193 AE 0014 AVERITTRECEIPT DELIVERY THINK RED INSTEAD ND. averittexpress.com 095-1072193 P.OKEVILLE, AVRT DUNS C.O.BOX 314 TN 365023145 AVRTD NS IIII IIIIIIIIII VIII IIIIIIIIIIIIIII III I 0951072193 RPIRMS AGE. 1 DATE RON SHIPPER BEEN 8/09/16 See below 23307 9,PREPAID CONSIGNEE: 9999101 CALHOUN COUNTY PRECINT #3 SHIPPER: 0421080 GREEN PRO SOLUTIONS SPECIAL NSTRUCTIONS: 1 24627 ST HWY 172 7855 H FAULKNER RD PORT LAVACA, TX 77979 MILWAUKEE, WI 53224 CONSIGNEE CONTACT: CONSIGNEE PHONE NUMBER: ORIGIN 0E5T. TRAILER OSCAC OflIS. CARRIER FOY DATE TH 0SORG CONSIGNEE HOURR RECEIVING HDURS MWK SAT L536414 D UNITS HM DESCRIPTION OF ARTICLES CLASS WEIGHT IN L05 HATE CHARGES Appt. 09/06/16, 08:00 TO 17,00 Contact, LVM TO SET DA Date, 09/05/16 Time: 22:11 Phone. (361)893-5346 OFFLOAD? 53'1 PLS DELIVER BETWEEN 08;UO AND 17.00 REFERENCE ORDER# 815590 2 DRVR SIGNED FOR, 1SK CLEANING, SCOURING OR WASHING 78 5 NMFC ITEM 48580-03 CLEANING, SCOURING OR WASHING 800 NMFC ITEM 48580-03 815590 ARRIVAL NOTIFY RE -DELIVERY CHGS - STORAGE CHGS RATED AS CLASS 50 FUEL SURCHARGE Purchase Order number... CALHOUN COUNTY Shipper's number... 815590 TOTAL HANDLING UNITS: 1 TOTAL PIECES, 7 878 AE Pro#. 095-1072193 Dale: Seel No: ADDITIONAL SERVICES PERFORMED _ INSIDE DELIVERY _LIFTGATE _.HESIOENTKL DELIVERY _CONSTRUCTION SITE _NON COMMERICAL DELIVERY SORT B SEGREGATE THIS IS NOT AN INVOICE ForCeslaner Servka Acelatanco Call 1-800-283-7408 Lmi imy of Awfint Expmas Is 11miletl b Aa fls+e.nfu? fmiils Seem Del: PCS OeI; TOTAL FREKiHT CHARGEE COLLECT C.O.D.FEE STRETCHWRAP INTACT: O YES ONO [I NIA —SECURITY INSPECTION (InNiol to ILC Rof the Abo 3ervtesj ADDITIONAL CHARGES MAY APPLY TOtAL COLLECT DUE BOVESHIPNENTRECEIVEDIN GOOD ORDER ERCEPTNHERE NOTED COLOR: O BLUE ❑CLEAR OOTHEfl Time W Time oat: Pon'CUSTOMER COPY ONLY Name: O.O.D.AMOUNT (IN ADDITION TOTOTALSHOWNABOVE) Delay Tlma (hhmm} Ggnamre: ONO, Orme, CUSTOMER COPY ONLY canoany Name: CUSTOMER COPY ONLY ' 30. Consider and take necessary action on single source, emergency and public welfare purchases and bills. 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