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2020-04-08 CC PACKETCommissioners' Court —April 08, 2020 REGULAR 2020 TERM § APRIL 08, 2020 BE IT REMEMBERED THAT ON APRIL 08, 2020, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 A.M by Judge Richard Meyer. 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION &PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation —Commissioner David Hall Pledge to US Flag &Texas Flag —Commissioner Gary Reese/Vern Lyssy Page 1 of 4 Commissioners' Court —April 08, 2020 4. General Discussion of Public matters and Public Participation. 5. Public Hearing regarding amending the 2019 and 2020 Calhoun County budgets. Commenced —10:08 a.m. Adjourned -10.27 a.m. Candice Villarreal of the County Auditor's office presented the amendments to the 2019 and 2020 budget. 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) To authorize a loan in the amount of $240,000 from the General Fund to the Grants Fund for Operation Stone Garden FY 2019. (RM) 2019 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 2020 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To renew the Calhoun County EMS Provider License with the Texas DSHS and authorize the County Judge and the EMS Director to sign both the CCEMS Provider Application 2020 and the EMS Declaration Form. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:' David Hall, Commissioner Pct AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 2 of 4 Commissioners' Court — April 08, 2020 8. CONSIDER AND TAKE NECESSARY ACTION TO (AGENDA ITEM NO. 8) To pre -approve expenditures by incumbent County or Precinct Officer(s) under Calhoun County's Policy of Compliance with LGC 130.908. (RM) a. Vulcan Materials - $19,000 b. Martin Asphalt - $15,000 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.9) To approve the proposal for Phase II — Engineering Services for G&W Engineering for the Six Mile boat ramp upgrade and dredging to be paid with GOMESA funds and authorize Commissioner Lyssy to sign. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On a resolution declaring April as Fair Housing Month for CDBG-DR grant fair housing compliance. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct`1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To declare the attached list of items from the County Clerk's office as waste and authorize their disposal. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: i Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Commissioners' Court —April 08, 2020 12. Accept reports from the following County Offices: a. Code Enforcement — First Quarter 2020 b. Floodplain Administration — March 2020 c. Sheriff's Office — March 2020 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER:David Hall, Commissioner Pct I AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) On any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 14. Approval of bills and payroll. MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct''1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct'1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Adjourned: 10:42 a.m. Page 4 of 4 Mae Belle Cassel From: Sent: To: Cc: Subject: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Tuesday, March 3, 2020 12:43 PM Mae Belle Cassel Clyde Syma; david.hall@calhouncotx.org; Gary Reese; Richard Meyer; vern lyssy; Candice Villarreal; peggy hall; Erica Perez Budget Amendment Hearing ' Please schedule for 3/25/20 for 2019 and 2020 budgets. Cindy Mueller County Auditor Calhoun County 202 5, Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy. mueller@calhouncotx.or� Calhoun County Texas Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustit Sent: Friday, March 27, 2020 3:40 PM To: Mae Belle Cassel Cc: Lori McDowell; Donna Hall Subject: Fwd: Commissioners Court Agenda: DSHS State Provider License Renewal CCEMS Attachments: EMSDeclaration Form.pdf; CCEMSProviderApplication202O.pdf Mae Belle, Please revise and add to next Commissioners Court agenda with this additional form (both attached): DSHS "EMSDeclarationForm" & "CCEMSProviderApplication202O" forms to be signed by Judge Meyer and J. Dustin Jenkins, EMS Director. Thank you, Dustin From: "Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> To: "Mae Belle Cassel" <MaeBelle.Cassel@calhouncotx.org> Cc: "Lori McDowell"<Lori.McDowell@calhouncotx.org>, "Donna Hall" <Donna.Hall@calhouncotx.org> Date: Fri, 27 Mar 2020 15:29:55 -0500 Subject: Commissioners Court Agenda: DSHS State Provider License Renewal CCEMS Mae Belle, It is time for CCEMS to renew our Provider License with the DSHS. Please add the following to the next Commissioners Court agenda: DSHS "EMSDeclarationForm" form to be signed by Judge Meyer and J. Dustin Jenkins, EMS Director, Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas TEXAS Iful la.t l HufrtAn Sts n�sa t i UIftt #nt Of SO O servim errtsED awrortAVIf Tih a appYiction and the apptnprlate fee and tuppitytentel dccumabtt thou$d he tubmitted to EMS Certfv.*bdn and 3uc_nting Grt,up in PRIVACY AUMin. For the appropr,�4te carver sh". tand+ general mailing irntrucfior.3:tee n*tG•:"ta'a^rt dths.tir.<e.cx.uw'+rsrrauntat'vst�isrpr^v*ra sF,t�n_ ❑ NtiaH,<Aplirant 7AFenewal,APpliL'art(PP.natt Ute.7nime Servite Applitattin) :Hama of Lepal Entity or CALHOUN COUNTY EMS Federai Tax. IO IFERd1: ? 6 gift xx-xxss xxx) Perton.Applvinq fix 174�6001923 ticense� Assumed OtJfyttr - CALHOUN COUNTY EMS per�:#irg Marne ?MihmgAddre= 705 Henry Barber 'u ay City. County, state, dip: Port Lavaca, Calhoun, Texas 77979 Teler�fione: CEO1Cwateroame Richard Meyer 361-5 53-4600 Entail Address. rlchl-ardr.may4D11r@(@1,x1111ounrotx..org Adminisdrat rof Ra. Ors Dustin tln Jenkins Telephone: 361-662-1140 Name: tineludearea ocdat &n1ail Addre34: diti l(flj$r`1kins@.calhour1cCJlii,'l rg NaT0aEDire�or't ttaroa: Don Peal Bunnell Cin&� eiv 361-662-6713 (}nchxle area coda) ivft&ctJ Oire.toet E-mail Addrtst. dpaul vablovne,net .4{5plicstion Fee-tnitctl: $503 pertpplitata_n plus$1.0 cervesh to (rcnrafun3atite)- D. Make Payment to: TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS. FUND ZZ100-16& 6 Teal Amoum- S Tout P,hjmber ofvehiclet to bt operated: Fee exzmptd:�o� Prodder is MsFed »With at least 750% volzmteer pertn_nnel, hat rt• more tfisn Five fut-time staff, and it IRS 5G}1 On behatf of the above .named lega9 entity, I herel:p affirm and declare I anti aufhbr ed to mare this Emergency Medital Services Provider app:i�Laatibn andfor declaration and ba tubmiFed'on thi3 form and any tupp',erneetial doGjn`ptnt; are be and dtrs wtt. I attett aid widerttand the legal emtny and I are sotbuntable and retponsib'e for the a^turtdy & all emvwert and ttat+urtentt on thst :orat•r. I attett the legal entity' fitted on this form rnteit all. requirem ezItt for the type of Dense requested. Further, I understand it et a Clast A vnitdemeaner vitiation of Texas Perri Coetr Sea. 37,Y 0 to sutim� a keys± s#a#trmert 3o a governmtrn#al a;renCy. I nave road and understand Healin and Safety Cede Clutpter 773 and Texas Adminittrative Cfde Tula' , haptet 157, arad agree to adhere to thole ttatutes rules, and All a#her tuAtctble ttbtute3 and w4t. Slgnabrc of F.u-hii'iatraica of Rxortl ah re ai C2C71r'3rlemr_r J. Dustin Jenkins Richard Moyer e7' Frint� iWame of rtri'nfnl4t@4M rf Reaartl Ewe Pnrffi:ed Name of CECIXOwner hate NOT[FUGATION PvbH�tarl rs: FA9-Y3�F - EYca7anXPtib6'� Nn a. EFOY._i3G8F ;rt,'itn a Gcy1 exaeascr<s.. }'au nai'r arc nynt R requestand be bifarrricC abuts arlannaLm its•titr 5trx of Trfca€ �a.9Rt€ abc+�9 yr. ^rset err cntlbea to rccctrr and rcAew t+•3 Ssiaran2TY•�n t2>an rravcst. Yau also parr thr Rgtn to zsX tna scale agr:,[}• 3a o-�Rn:Y any In(arm�nilaru'7rtat }€ delerminet M br Ir�c.�rcCr. $r htee.ns•Wu•^.:: azmz stato �. us r 'anmabcn ar finvacy N7 ttP.t r. n. Cde, oeclim M2_02x,. 55e.023 and bbb 4DS) TEXAS *' €tealihand Phim n EMERGENCY MEDICAL SERVICES Tom DigarimonfefWin PROVIDER LICENSE llaalthse ykes DECLARATION FORM REVISED: 2/ 16 f 2018 Submit the completed f€�rm to the appropriate addrass and 09 the appropriate Laver sheet when mailing or upload with your online renewal application Ali Forms Ara Available: C+n The ENIS�Trauma System Webpage: htta:l��^aw,dsh s_state.tx, usfes�straurnasystemsf:srovfra.shtnB Fax Number. 512�634�671� Email: El'+iSRrc�viderFR€3t��d5hs.texas,t�av Privacy Notification: With a few exceptions, you have. the right to request and tse informed about information the State of Texas collect about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. See http://www.d5hs,state,tx.us for more information on Privacy Notification. (Reference: Government Code, Section 552.021, 552.023 and 559,004) TYPE OR PRINT Ill BLACK INK Application Types: E3 Initial Application El Renewal AppliCation 1=1 other Fill in Requested Information: DSHS License Number: 029008 (Leave blank if initial application.) Federal Employer Identification Number: 746001923 National Provider Identifier Number: 1245338433 Suction �. � name of Leal Entity J�pplying for License GALHOUN COUNTY EMERGENCY MEDICAL SERVICES Pubiic�tion #: FC31-13iF66 Page 1 of 13 Legal Entity Nameo CALHOUN COUNTY EMERGENCY MEDECAL SERVICES Section 2 � If a licable Entity attach Assumed or Operating Name(s), ilst al) if applicableq Cl ies of+a11 assumed E sIme certificates. Sectiwe* Highest I xecuv# Offic . - X Owner I Elected official Government Name:. RICHARD MEYER Title: COUNTY JUDGE Address: 211 S, ANN STREET City: PORT L4VACA County: CALHOUN State. TX Zip: 77979 Phone: (361) 553-46546 11 Email: richard.meyer(Ocalhouncotx.org rJ' @Ct,i'AYn' � � Admini�tratar of Recrrrtl Name: MENNEN 1. I3USTIN )ENKiNS Address: 4395 STATE HWY 238 City: PORT LAVACA County: CALHOUN State; TX 11 Zip; 77979 Phone: Email: {3Ei1} 552-ii�4ti duskin,jenkinscalhouncotx,arg TX EMS Certification/ID# or SSN: PL-ID#149931 & SS#:45595226.8 Date of Births 12/1011978 El A completed EMS Administrator of Record Form is attached or has been included. Government entities are exempt from submitting the additional Farm. Publication #: FiJi-13dbFi - Page 3 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MiEDICAL SERVICES Section 6 Alternate Contact The aerson Who can ansIwer 11.uestions it administrator is unavailable. Name: LORI MfCDOWELL Title; ASSISTANT DIRECTOR/TRAINING COORDINATOR Address; 705 HENRY BARBER WAY City: PORT LAVACA County: State: Zips CALHOUN TX 77979 Phone: $361j 557 1140 Email: lori,mcdowellOcalhouncotx.org Section T Designated Infection, Control officer Name: KELLY STALOCH Title: SUPERVISORiINFECTION CONTROL OFFICER Address; 705 HENRY BARBER WAY City; PORT LAVACA County: State: Zip; CALHOUN Tit 77979 Phones Email: l€elly,stalochrcalhouncotx.orr (361} 5-114t} Sectatan li � Fltysi+�aan t�ted�cal l?irector Address must be where the sician receives mail. Name: DON PAUL BUNNELL TX Medical License #: 133196 Address, 815 N. VIRGINA ST. City; PORT LAVACA County; CALHOUN Stater Zap; TX 77979 Phone: (361) 552-6713 Email: dpaul0cableone,net l}c�talic,�tan #: FQ1-i3d66 - Page 3 a� 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section Q � Vehicle Author zationi List the number of vehicle authorizations requested at each lilvel anti the total. Basic Life Support (BLS) BLS with ALS Capability BLS with MICU Capability 6 Advanced Life Support (ALS) ALS with MICU Capability Mobile Intensive Care Unit (MICUr Ground) Rotor�Wing (MICU) Fixed Wing (MICU) Specialized TOTAL NUMBER OF AUTHORIZATIONS REQUESTED 6 � Gavernniental Entity P'4ase _elect Type of Govefnment Entityr Ej city 19 County 0 ESD - Emergency Service District B Hospital District ® State Agency ® Hospital ® private p Other (Must Explain) ® Government Entity ® Other (Must Explain) 0 For profit [� Non -Profit 581c3 Pt�blicatian #: Fd]1-i�t166 - Page 4 0� 13 Legal Entity Name:CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 1QWC: Response Type: You must Ghee only One. ® Emergency/ 911 ® Non�Emergency/Nony911 Bath Does your organization offer a subscription program? Yes No *If yes, please submit all required documentation and information. Air Medical Providers are excluded from this requirement. p Yes A No (This is for Manning purposes truly. Participation not required.} Akkach a ct�py of a letter of creel"st issued by a federally inss�red bank (l'r3iC} or savintls institution, An emergency medical services provider that is directly operated by a governmental entity is exempt from this section, Institution Name:. Date of Letter: 14mount of required credit: (must select one} $1047,(iiJCF for the lnikial License and for renewal of the license on the second anniversary of 'the elate the initial license is issued © $35r000 for renewal of the license on the fourth anniversary of the date the initial license is issued © $5OrGOO for renewal of the license on the sixth anniversary of the date the initial license is issued $25,000 for renewal of the license on the eighth anniversary of the date the initial license is issued Not required, Explain Exempt - Catavernmental Entity Publication �€: FQ1-l�as6 - tJage 5 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES EMS providers are rewired to provide a surety bond as a condition of participation in the Medicaid program and as required by the Texas Health and Humans Services Commission. An EMS provider that is directly operated by a governmental entity is exempt from this section, ® Yes ® No ® Exempt T, overnmental Entity) if Nts, please explain: Bond Number: Bond Effective Date: Name of institution issuing frond and contact telephone number: Compensation Status: f� Paidfhlon-Volaanteer ❑ Vdlunteer � Mixed {'Ytau tray check ttraJ;one,,l p I attest on behalf of the legal entity mentioned atrova, that all licensed or certified EMS personnel have completed a jams prudence examination approved by DSHS. � or ., EJ I attest on behalf of the legal entity mentioned above, that all licensed or certified EMS personnel have. NOT completed a juris prudence examination approved by DSHS but will ensure that all EMS Personnel will complete upon the renewal of their EMS Personnel Certification, ® I attest on behalf of the legal entity rrtient€tined above, that the entity, applicant, management staff, medical director and/or employees are oat excluded from participation in the Medicare and/or Medicaid program, Pa�blit:aton #: F€li-1Sf76� - Fage 6 of 13 Legal Entity Name; CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10«3, Headquarters/Phyaical Primary, Location: M I attest on behalf of the legal entity mentioned above, that no other licensed EMS Provider is located at the Headquarters/Primary Physical Location Street Address. ON I attest on behalf of the legal entity mentioned above, that the entity awns or has a lease agreement for the Headquarters,/Primary Physical Location address. 911 attest on behalf of the legal entity mentioned above, that the entity understands it must have permission from DSHS to relocate from the Headquarters/Primary Physical Location address prior to moving. E1 I attest on behalf of the legal entity meat"coned above, that the entity owns or has a lease for all of the medical equipment that will be used. m I attest on behaE€ of the legal entity mentioned a'bave, that the entity has enaiigh medical equipment so that each vehicle has its oven set of medical equipment to operate at the level authorized by DSHS. � I attest on behalf of the legal entity mentioned abr�ve, that the entity owns or has a lease for all of the vehicles that will be used. T attest on behalf of the legal entity mentioned above, that the entity and/or management staff understand that authorized vehicles are con UP response ready unless the vehicle is designated as being out of service using the form provided by the department. m I attest tin behalf cif the legal entity mentioned above, that the entity l7as a plan ft�r the gating out of a�assiness tc3 ensure the maintenance trf the medical. records, 1:"ciblication >'t; Fi71-S�Q6E - Page 7 of 13 Legal Entity Narne: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 101 N: Knowiledge and:Experience* ® I attest on behalf of the legal entity mentioned above, that the applicant, including its management staff possesses sufficient professional experience and qualifications related to EMS including: having at least one year of experience each in emergency medical dispatch processes, ELMS billing processes, medical control accountability, and duality improvement processes for EMS operations. 100: Managernerlt Staff: ©i attest on behalf of the legal entity mentioned above, that the entity and/or management staff have read the Texas Emergency Healthcare Act and the Texas Administrative Code 1570 I attest on behalf of the legal entity mentioned above, that the entity or its management staff participate in a Regional Advisory Council. ;• I attest on taehaaf of the legal entity mentioned above, the entity provides 2�#/7J365 of their declared service. ®I attest tan behalf of the 'legal entity mentioned above, is N®T available 24/7/3b5 and has written agreements with outer EMS providers for coverage of their declared service area and has notified all the emergency service agencies in the designated service area. � I attest on behalf of the legal entity mentioned above, that the entity and its management staff understand that an EM15 provider i5 prohiiaited frorrr expanding operations to or stationing any EMS vehicles in a municipality or county other than the municipality or county from which the provider obtained the letter of approval under until after the second anniversary of the date the provider's initial license was issued, unless the expansion or stationing occurs in connection with: (A) a contract awarded by another municipality or county for the provision of EMS; (B) an emergency response made in connection with an existing mutual aid agreement, or (C) an activation of a statewide emergency or disaster response by the department. publication #; Ffli-13[J66 - Page 8 of 13 Legal Entity Name- CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10*S: Statiion-Locations: ® I attest on behalf of the legal entity mentioned above, the legal entity mentioned above has stations locations. 10�T: lnsuraince: ®I attest on behalf of the legal entity mentioned above, understand that the entity must maintain motor vehicle liability insurance as required under the Texas Transportation Code. EE I attest on behalf of the legal entity mentioned above, understand that the entity must maintain professional liability insurance coverage in the minimum amount of $500,000 per occurrence, or as necessary per state laud during the incense period, suction 12 service Artaa Provide the City(s) and County(s) you plan to operate inn if you need more space Please provide all of the required information on a separate piece of paper. 0 Additional Sheet(s) attached; 1. City: County; Calhoun Port Lavaca 2. City: County; Point Comfort Calhoun 3. City: Seadrift County; Calhoun 4. City: County: 5. City: County: 6. City: County: 7. City: County: 8. City: County: publication #: ECii-13(ls� - Page 9 of 13 Legal Entity Name: CALHOUH COUNTY EMERGENCY MEDICAL SERVICES Section 12 Governmental Recognition List and attach recognition from governmental entities. This section does not apply to renewal of an emergency medical services provider license or a municipality, county, emergency services district, hospital, or emergency medical services volunteer provider organization in this state that applies for an emergency medical services provider license. If you need more space, please provide all of the required information on a separate piece of paper. Additional Sheet(s) attached; El City: County: [3m City. County: City: County: 4. City: County: a. City: County: 6. City: County: 7. City: County: a. City: County: Section 13 � Rddresses Headquarter'is/Physical Primary Locution Stireet Address: Address: 705 HENRY BARBER WAY City: FORT L+ VACA County: State: TX .Zip: 77979 CALHOU:N Telephone #: (3E1) 5 2-11.40 Fax #: P'fease list the days and hours of normal operation or a designated day and time �vhen personnel are present so the public may ask ryuestions. MONDAY=FRICIAY 7:30AM=11:30AM & 12PN1 4:01OPM D I attest on behalf of the legal entity mentioned above, these hours are Posted for puCrllC viewring on the �eskside of the building, Ruttlic-anon #; FrJl-l�Li�S - Page 10 0€ 13 Legal Entity/ Name: CALHOUN COUNTY EMERGENCY ME€]ICAL SERVICES Business Mailing Address: Address: 705 HENRY BARBER WAY City: PORT LAVACA County: State: Zip: 77979 CALHOUN Telephone #: (361) 552-1140 Fax #: Records Location Street Address*,some as hoadquartem Address: city: County: State: Zip: Telephone #:E777 Fax #: Billing Office Street Address: ® 5aMe as headgtaarters Dispatching Agency: Address: City: County: State: Zip: Telephone #: Fax #: Dispatch Loci~tion Street AcdF$�s: ®S�r�� a� i1�aa��a�t,�r� Dispatching Agency: CALHOUN COUNTY SHERIFFS OFFICE Address: 211 S. ANN STREET City* PORT LAVACA County; CALHOIJlV State: TEXAS Zip; 77979 Telephone #: (351) 553-454fr Fax #: Paelziicatior+ #; F(i1-13tJ��r - Page 11 aE 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 14 � ownership & Type of Legal Entity Complete the following to indicate the type of legal entity and responsible persons: © Government Entity ® Unincorporated Association of People © Sole Proprietorship Partnership,/ General Partnership Corporation © Limited Liability Company ® Limited Partnership © Limited Liability Partnership Other (must explain) Please complete this information forte officers, general partners and limited partners of the leval entity. Government Entities should complete this information for the chief elected official (i.e, city mayor or county Judge) or appointed officials that are responsible for the entity (Le. emergency service distract or hospital district board members)_ Name: RICHARD MEYER Title: COUNTY JUDGE Mailing address: 211 S. ANN STREET City: PORT LAVACA State: Tx Zip: 77979 Name: Title: Mailing address: City: State: Zip: Names Title: Mailing address: City: State* Zip: E Additional Persons are listed on separate sheet attached. Pulslicakion #: Ftil-13C36Ei - Page 1Z of 13 Legal Entity Name: CALFIOUN COUNTY EMERGENCY MEDICAL SERVICES On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to a governmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title 25, Chapter 157, and agree to adhere to those statutes rules, and all other applica Je statutes and rules. Signature of Administrator of Record Signature of CO owner I. Dustin Jenkins, director of ECds Ftrehard Meyer, County Judge ,Printed Mama of Administrator of Record Printed Name af'GE[)/t3wner My narne is r my date of birth is and my address is street) tcFsfr) (state) (z.a code) and I declare under penalty of perjury that the foregoing is true {cmuatrg) and correct, Execvtetl in County, S-hate of r on the_day of , (odonth) (tear) Signature of Beclarant Pubiitakion # ; Ft91-1317rrC� - Page 13 of 13 TEXAS Health and Human Services Texas Department of State Health Services EMERGENCY MEDICAL SERVICES PROVIDER LICENSE APPLICATION REVISED: 09/07/2017 This application and the appropriate fee and supplemental documents should be submitted to EMS Certification and Licensing Group in Austin. For the appropriate cover sheet and general mailing instructions, see htti)://www.dshs.state,tx,us/emstraumasystems/provfro.shtm. ❑ Initial Applicant D•Renewal Applicant (Please Use Online Service Application) Federal Tax ID (FEIN): Name of Legal Entity or CALHOUN COUNTY EMS (9 Digits xx-xxxxxxx) Person Applying for License: 74-6001923 Entity ssumOpeatingNa e: CALHOUN COUNTY EMS Mailing Address: 705 Henry Barber Way City, County, State, Zip: Port Lavaca, Calhoun, Texas 77979 CEO/Owner Name Richard Meyer Telephone: code) 361-553-4600 (include area Email Address: richard.meyer@calhouncotx.org Administrator of Record J Dustin Jenkins Telephone. 361-552-1140 Name: (include area code) E-mail Address: dustin.jenkins@calhouncotx.org Medical Director's Don Paul Bunnell Telephone. 361-552-6713 Name: (include area code) Medical Directors G3196 License#: E-mail Address: dpaul@cableone.net Application Fee -Initial: $500 per application plus $180 per vehicle (nonrefundable). D Make Payment to: TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS FUND ZZ100-160 6 Total Amount: $ Total Number of vehicles to be operated: ❑ Fee exemption: Provider is staffed with at least 75% volunteer personnel, has no more than five full-time staff, and is IRS 501(c)(3). On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to rnmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title apter 1571 and agree to adhere to those statutes ru , nd all oth r applicable statutes and rules. ignature of Ad ' ' rator of Ref Signature of CEO/Owner J. Du 'n Jenkins Richard Meyer - Printed Name of Administrator of Record Date Printed Name of CEO/Owner Date PRIVACY NOTIFICATION Publication #: F01-13067 -Electronic Publication*: EF01-13067 With a few exceptions, you have the right to request and be informed about information that the State of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. See http://www.dshs,state.tx.us for information on Privacy Notification. (Reference Government Code, Section 552.021, 552.023 and 559.004) TEXAS Health and Human Texas Department of State Services Health Services EMERGENCY MEDICAL SERVICES PROVIDER LICENSE DECLARATION FORM REVISED:2/16/2018 Submit the completed form to the appropriate address and with the appropriate cover sheet when mailing or upload with your online renewal application All Forms Are Available On The EMS -Trauma System Webpage: http dshs state tx us/emstraumasystems/provfro.shtm Fax Number: 512-834-6714 Email: EMSProviderFRO aC�dshs.texas.gov Privacy Notification: With a few exceptions, you have the right to request and be informed about information the State of Texas collect about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. See http://www,dshs.state,tx.us for more information on Privacy Notification. (Reference: Government Code, Section 552.021, 552,023 and 559.004) TYPE OR PRINT IN BLACK INK Application Type: ® Initial Application � Renewal Application ®I Other Fill in Requested Information: DSHS License Number: 029008 (Leave blank if initial application.) Federal Employer Identification Number: 746001923 National Provider Identifier Number: 1245338433 Section 1 —Name of Legal Entity Applying for License CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Publication #: FO1-13066 Page 1 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 2 - Entity Assumed or Operating Name(s), list all if applicable. If applicable, attach copies of all assumed name certificates. Section 3 If different — Name(s) to from Section 1 be used on Vehicles & 2 a written explanation must be provided. Section 4 —Chief Executive Officer/Owner or Highest Elected Official Government Name: RICHARD MEYER Title: COUNTY JUDGE Address: 211 S. ANN STREET City: PORT LAVACA County: State: Zip: CALHOUN TX 77979 Phone: Email: richard.meyer@calhouncotx.org (361) 553-4646 Section 5 —Administrator of Record Name: El J. DUSTIN )ENKINS Address: 4395 STATE HWY 238 City: PORT LAVACA County: State: TX Zip: 77979 CALHOUN Phone: Email: (361) 552-1140 dustin.jenkins@calhouncotx.org TX EMS Certification/ I D# or SSN: PL-ID#149931 & SS#:455952260 Date of Birth: 12/10/1978 A completed EMS Administrator of Record Form is attached or has been included. Government entities are exempt from submitting the additional form. Publication #: F01-13066 - Page 2 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 6 - Alternate Contact The person who can answer questions if administrator is unavailable. Name: LORI MCDOWELL Title: ASSISTANT DIRECTOR/TRAINING COORDINATOR Address: 705 HENRY BARBER WAY City: IPORT LAVACA County: CALHOUN State: Zip: 77979 TX Phone: (361) 552-1140 Email: lori.mcdowell@calhouncotx.org Section 7 — Designated Infection ControlOfficer Name: KELLY STALOCH Title: SUPERVISOR/INFECTION CONTROL OFFICER Address: 705 HENRY BARBER WAY City: PORT LAVACA County: CALHOUN State: Zip: 77979 TX Phone: Email: kelly.staloch@calhouncotx.org (361) 552-1140 Section 8 -Physician Medical Director Address must be where the physician receives mail. Name: DON PAUL BUNNELL TX Medical License #: G3196 Address: 815 N. VIRGINA ST. City: PORT LAVACA County: CALHOUN State: Zip: 77979 TX Phone: (361) 552-6713 Email: dpaul@cableone.net Publication #: FO1-13066 - Page 3 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 9 — Vehicle Authorizations List the number of vehicle authorizations requested. at each level and the total. Basic Life Support (BLS) BLS with ALS Capability BLS with MICU Capability 6 Advanced Life Support (ALS) ALS with MICU Capability Mobile Intensive Care Unit (MICU- Ground) Rotor -Wing (MICU) Fixed Wing (MICU) Specialized TOTAL NUMBER OF AUTHORIZATIONS REQUESTED 6 � Governmental Entity Please Select Type of Government Entity: 8 City B County ® ESD - Emergency Service District Hospital District ® State Agency 8 Hospital 8 Private 8 Other (Must Explain) 10-B: Tax Status: You must check only one. � Government Entity ®For Profit � Non -Profit 501c3 El Other (Must Explain) Publication #: F01-13066 - Page 4 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-C: Response Type: You must check only one. 19 Emergency/ 911 ® Non-Emergency/Non-911 ® Both 10-Ds Subscription Program: Does your organization offer a subscription program? ❑ Yes No *If yes, please submit all required documentation and information. Air Medical Providers are excluded from this requirement. 10-Ec Emergency Medical Task Force (EMTF) Participant: ❑ Yes 0 No (This is for planning purposes only. Participation not required.) 10-Fs Letter of Credits Attach a -copy of a letter of credit issued by a federally insured bank (FDIC) or savings institution. An emergency medical services provider that is directly operated by a governmental entity is exempt from this section. Institution Name: Date of Letter: Amount of required credit: (must select one) 8 $100,000 for the initial license and for renewal of the license on the second anniversary of the date the initial license is issued 0 $75,000 for renewal of the license on the fourth anniversary of the date the initial license is issued 8 $50,000 for renewal of the license on the sixth anniversary of the date the initial license is issued 8 $25,000 for renewal of the license on the eighth anniversary of the date the initial license is issued 13 Not required, Explain m Exempt -Governmental Entity Publication #: F01-13066 - Page 5 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-G: Medicaid Provider Surety Bond EMS providers are required to provide a surety bond as a condition of participation in the Medicaid program and as required by the Texas Health and Humans Services Commission. An EMS provider that is directly operated by a governmental entity is exempt from this section. ❑, Yes '❑ No !'O Exempt (Governmental Entity) If No, please explain: Bond Number: Bond Effective Date: Name of institution issuing bond and contact telephone number: 10-H: EMS Personnel• Compensation Status: 8 Paid/Non-Volunteer ®Volunteer � Mixed (You may check only one.) p I attest on behalf of the legal entity mentioned above, that ail licensed or certified EMS personnel have completed a juris prudence examination approved by DSHS. 8 I attest on behalf of the legal entity mentioned above, that all licensed or certified EMS personnel have NOT completed a juris prudence examination approved by DSHS but will ensure that all EMS Personnel will complete upon the renewal of their EMS Personnel Certification. 10-I: Medicare and/or Medicaid Eligibility:.. � I attest on behalf of the legal entity mentioned above, that the entity, applicant, management staff, medical director and/or employees are not excluded from participation in the Medicare and/or Medicaid program. Publication #: FO1-13066 - Page 6 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-J: Headquarters/Physical Primary Location: 8 I attest on behalf of the legal entity mentioned above, that no other licensed EMS Provider is located at the Headquarters/Primary Physical Location Street Address. I attest on behalf of the legal entity mentioned above, that the entity owns or has a lease agreement for the Headquarters/Primary Physical Location address. p I attest on behalf of the legal entity mentioned above, that the entity understands it must have permission from DSHS to relocate from the Headquarters/Primary Physical Location address prior to moving. 10-K: Medical Equipment: � I attest on behalf of the legal entity mentioned above, that the entity owns or has a lease for all of the medical equipment that will be used. I� I attest on behalf of the legal entity mentioned above, that the entity has enough medical equipment so that each vehicle has its own set of medical equipment to operate at the level authorized by DSHS. 10-L: Vehicles: � I attest on behalf of the legal entity mentioned above, that the entity owns or has a lease for all of the vehicles that will be used. � I attest on behalf of the legal entity mentioned above, that the entity and/or management staff understand that authorized vehicles are considered response ready unless the vehicle is designated as being out of service using the form provided by the department. 10-M: Medical -Records: M I attest on behalf of the legal entity mentioned above, that the entity has a plan for the going out of business to ensure the maintenance of the medical records. Publication #: F01-13066 - Page 7 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10-N: Knowledge and Experience: LL!jj I attest on behalf of the legal entity mentioned above, that the applicant, including its management staff possesses sufficient professional experience and qualifications related to EMS including: having at least one year of experience each in emergency medical dispatch processes, EMS billing processes, medical control accountability, and quality improvement processes for EMS operations. 10-0: Management Staff: I attest on behalf of the legal entity mentioned above, that the entity and/or management staff have read the Texas Emergency Healthcare Act and the Texas Administrative Code 157. 10-P: Trauma Service Area (TSA) Regional Advisory Council (RAC): � I attest on behalf of the legal entity mentioned above, that the entity or its management staff participate in a Regional Advisory Council. 10-Q: RESPONSE HOURS OF OPERATION � I attest on behalf of the legal entity mentioned above, the entity provides 24/7/365 of their declared service. ®I attest on behalf of the legal entity mentioned above, is NOT available 24/7/365 and has written agreements with other EMS providers for coverage of their declared service area and has notified all the emergency service agencies in the designated service area. 10-R: Expansion by an EMS .Provider M I attest on behalf of the legal entity mentioned above, that the entity and its management staff understand that an EMS provider is prohibited from expanding operations to or stationing any EMS vehicles in a municipality or county other than the municipality or county from which the provider obtained the letter of approval under until after the second anniversary of the date the provider's initial license was issued, unless the expansion or stationing occurs in connection with: (A) a contract awarded by another municipality or county for the provision of EMS; (B) an emergency response made in connection with an existing mutual aid agreement; or (C) an activation of a statewide emergency or disaster response by the department. Publication #: F01-13066 - Page 8 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES 10mSm Station Locations: 0 I attest on behalf of the legal entity mentioned above, the legal entity mentioned above has stations locations. 10-T: Insurance: I attest on behalf of the legal entity mentioned above, understand that the entity must maintain motor vehicle liability insurance as required under the Texas Transportation Code. � I attest on behalf of the legal entity mentioned above, understand that the entity must maintain professional liability insurance coverage in the minimum amount of $500,000 per occurrence, or as necessary per state law during the license period. Section 11 — Service Area Provide the City(s) and County(s) you plan to operate in. If you need more space Please provide all of the required information on a separate piece of paper. El Additional Sheet(s) attached: 1. City: County: Calhoun Port Lavaca 2. City: County. Calhoun Point Comfort 3. City: County: Seadrift Calhoun 4. City: County: S. City: County: 6. City: County: 7. City: County: 8. City: County: Publication #: F01-13066 - Page 9 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 12 —Governmental Recognition List and attach recognition from governmental entities. This section does not apply to renewal of an emergency medical services provider license or a municipality, county, emergency services district, hospital, or emergency medical services volunteer provider organization in this state that applies for an emergency medical services provider license. If you need more space, please provide all of the required information on a separate piece of paper. Additional Sheet(s) attached: 11 City: County: County: [2. City: City: County: 4. City: County: S. City: County: 6. City. County: 7. City: County: 8. City: County: Section 13 —Addresses Headquarters/physical Primary Location Street Address: Address: 705 HENRY BARBER WAY City: PORT LAVACA County: State: Zip: 77979 CALHOUN TX 11 Telephone #: Fax #. (361) 552-1140 Headquarters/Physical Primary Location'Business Hours Please list the days and hours of normal operation or a designated day and time when personnel are present so the public may ask questions. MONDAY-FRIDAY 7:30AM-11:30AM & 12:PM4:OOPM El I attest on behalf of the legal entity mentioned above, these hours are posted for public viewing on the outside of the building. Publication #: F01-13066 - Page 10 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Business Mailing Address: Address: 705 HENRY BARBER WAY City: PORT LAVACA County: CALHOUN State: TX Zip: 77979 Telephone #: (361) 552-1140 Fax #: 11 Records Location Street Address: El Same as headquarters Address: City: County: State: Zip: Telephone #: Fax #: Billing Office Street Address: Same as headquarters Dispatching Agency: Address: City: County: State: Zip: E Telephone #: Fax #: Dispatch Location Street Address: ®Same as headquarters Dispatching Agency: CALHOUN COUNTY SHERIFFS OFFICE Address: 211 S. ANN STREET City: PORT LAVACA County: CALHOUN State: TEXAS 11 Zip: 77979 Telephone #: (361) 553-4646 Fax #: Publication #: F01-13066 - Page 11 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES Section 14 — Ownership & Type of Legal Entity Complete the following to indicate the type of legal entity and responsible persons: M Government Entity © Unincorporated Association of People B Sole Proprietorship ® Partnership/General Partnership 11 Corporation [D Limited Liability Company Limited Partnership © Limited Liability Partnership F1 Other (must explain) Please complete this information for all officers, general partners and limited partners of the legal entity. Government Entities should complete this information for the chief elected official (i.e. city mayor or county judge) or appointed officials that are responsible for the entity (i.e. emergency service district or hospital district board members). Name: RICHARD MEYER Title: COUNTY JUDGE Mailing address: 211 S. ANN STREET City: PORT LAVACA State: TX Zips 77979 Name: Title: Mailing address: City: State: Zip: Names Title: Mailing address: City: State: Zip: El Additional Persons are listed on separate sheet attached. Publication #: F01-13066 - Page 12 of 13 Legal Entity Name: CALHOUN COUNTY EMERGENCY MEDICAL SERVICES - Sionature Unsworn beclaration On behalf of the above named legal entity, I hereby affirm and declare I am authorized to make this Emergency Medical Services Provider application and/or declaration and all information submitted on this form and any supplemental documents are true and correct. I attest and understand the legal entity and I are accountable and responsible for the accuracy of all answers and statements on this form. I attest the legal entity listed on this form meets all requirements for the type of license requested. Further, I understand it is a Class A misdemeanor violation of Texas Penal Code Sec. 37.10 to submit a false statement to a governmental agency. I have read and understand Health and Safety Code Chapter 773 and Texas Administrative Code Title 25, Chapter 157, and agree to adhere to those statutes rules, and all other appic le statutes and rules. A lgnature dmi ator of Record ignature of CEO Owner J. Dustin Jenkins, Director of EMS Richard Meyer, County Judge Printed Name of Administrator of Record Printed Name of CEO/Owner My name is ! Ul-Lt.fJ Gy%_� my date of birth is 15 and my address is and 10� r . (Country) and correct. (Street) I/ (City) (State) (Zip Code) I declare under penalty of perjury that the foregoing is true Executed in �;tf.,e�nounty, State ofc��i(i1i, on the Q�,clay of G Month) (Year) Signature of Declarant L PRE PPROVAL OAT .a � �©■ d, � ,.y<. kP$L 4. 7V20 OV ITEM U2, Mto GRADE TOPPING ROCK w#yaRewwOIL Vern Lyssy C0101111 cvmoty C 0rarrr10stonepr, fir~+ ehlel # 5812 FTA I0967 April 2, 2020 Honorable Richard Meyer albourt COU61 Jude 211 .,Ann Port Lavaca, TX 77979 Eta: AGENDA ITEM near Judge Meyer;: 06 552=%56 Fax d361) 5514360 Please placft e following as on,the next rrrfsidnars'Court Agatd unslder and take necessary action to approve the pfoppsal for Pf nglneerrag rvis of r ngireer far the SIx Mile goat ra3mp Dredging to his paid with the GOMESA funds.and allow ccr missir sort_ Sincarety� a Vera Lyyt VU1J I �f ode and yssy to .;ENGINEERS, INL Texas Pirm Reglutntloii No. F04188 .�Inl T, ^frt d"rtlltnuta (.'nano}t'rccince �k 54t2Folvf 11190 1'nr Lavaca„ " exns 77g79 A.11n: Commissioner Vern Lyssy RL4 1'I Qj .4, ,. Phige 2 + �4jx mile Bum LUIng U ratlell? %.l t. G&W Eit,6nijieuv is ple sCti tro sachmit this pro lr tl drys Irhus • ant i6t critlt Serviays as1sL t in[id1 with the purnriltccl, Six twlitc Boat Ramp l 1pgratic C1r dgraug fattrject, ��'% unalcrsaand ttw PhaNe 2 Scupc arf Work: to be: a-s fol lows: I, 1'�tfc+rnr traltlitir+n=tl site ttr,�u};rngalrjundr'or hay i+t�ttt�nt rs:+irogrt3l�lt;�(prc-ctr€xlguj ors nt�:cahl, M' . prel•rar,.ifio r of i ulli. tnuctifrtt plus, tirrul astitrratad Volrartbc calcula<tiu*ns, 1CCO t cal s1wcir`ic011.ins, bid doctnne.rils, assis§ing with hid procccss, rand Cons ructann oversight acovitic's COT knot ramp design tural dredging for [lie Six N•tilc linal 13€mp, 1w project will alr;ra consist of uppTowinuot ly idl w IOff 1Lp of etit;ting cuncretc cap repairs, and approximately I I 1,F of fcnkieriup ,n existitrg tun bvr tneakwuicr, C"lurilcu9lants• 1. The prtatessicreta9 catf?merrirtgr: s�rt�ria;U:: r� lirtrati�9 is lruncsl arat tha; r�twrc Flto;€� Scirpt a1 t' ��'+rtli. ,hsa}actalil'rtsns ttttdrt'ir chaangcs tta the 5t.tapu erf'44rork +,vilE tcr{uitt; atdt3ltiairrnl @iratthng. ttnv. otsltlitierrps nr&tiior c.3srtngns will be usStrratictl lrnsc 3 upv to rhe. cazn' ni ratelrati:lrrlc. . An}' fees (ifany) inettrrod by public vntitias tyre troi inch€till within the 4copo of thial project. ]axcittsiirny: I, A€lea=t6ritl}!e atnV htratnnt ccrpc>+raphy as not Inclu�-1ccE tvitltira tlri l'htt.� '� �ca?Irc tr1` wcsrk, l7ris stwiititlr Carr hC pn�t=fated 'a:f re.yatiretl by +twn�r. Clcwc hnical In es.ti,trtliun may he requircd and is not arulr dod within this i'hn.ie 3 Stive of Wotk. Design ol`neiv b alkliuding, of tiny Bind, is not natchtdeA 44idiin dtis Phase 2 Se.ape car Wo& a3&.'iN isi-n,gincers, Inc. propaaws nr portornl toms 1 onsc 4 ` opo oI vork fbr 4t WN]I csntamnted cnr5t utal W cxeccd o $ 2t'fjOO1t,OfP, Work shill lx p formmacd on a flute and matemial basis and tce will be based vlaran than cairrrnt unc .96c(lalc, Any coats Qmtmoicd III be +voF :and itbove thin thrnr,um shtall be anihori:t l by the owtwr prior to eontamtt)attion ohvoyk, ,+t hreraka��rtic�ra amEc�tiet;;lt[rag fEa.�: titer. tits lialhaarti E'esfurtrr safe €taCmts�mrJ nrttl htop hottamrsa to1r7�raplap S I f,6,41SP C "im at design & pra pme consintc §on pLarmr: S f I500,00 Stw6firttdon Lind Bidding INIcn€9 ants S V100400 f.;on-SmI Ion Oversight (includes3 tm'aps)) S I,7503)0 ff,irud Clash f7k4 S i41i! [lEJ TOTAL $ 200100) I'i'iln; Irtt,f>vas;rf mt=rt ta�irla uarnr apfarc7c�;tG, ga1�a>i; se�,rt t_icfu*��attncl rciu�it taa t�c4'a�'' C-a5g[rlcea`b, fHkl ;as us:knarmvl tl emcait of Notice itr procccd aa'irlt the prtjam mac ulrhauciu4c. the t)f�{9ortunit�,r aaa wwtrrk wilh ye�tt ctitu this laraapec0, �ItYcc7x:1}', IariutCetl �+srne "Clue �i�arntur° ClmCe Mae Belle Cassel From: katy@ksbr-Ilc.com (Katy Sellers) <katy@ksbr-Ilc.com> Sent: Wednesday, April 1, 2020 5:20 PM To: Mae Belle Cassel Cc: Ladonna Thigpen; Kathy Smartt Subject: [WARNING -Remote attachments, verify sender] Fair Housing compliance Attachments: 2020-FH M-resolution.docx Hi ladies —for the CDBG-DR grant, the County said in their application they would take efforts to promote fair housing compliance. We need the Commissioner's Court to pass a resolution similar to the attached promoting April as Fair Housing month and publish the resolution on the County website when it passes please. If anyone has questions, please call me. Katy Sellers Managing Principal (903)243-0481 cell katv@ksbr-llc.com Inventory Number Description Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 0410812020 Serial No. Reason for Waste/Disposal HP Prodesk 400 (Records Room Old Computer) MXL6430L68 Replaced not Salvageable HP Workstation xw4600 (installed 2016 Records Room Old Computer) 2UA9320TXM Replaced not Salvageable C:\Users\Maebelle.Cassel\Appdata\Local\Microsoft\Windows\[netcache\Content.0utlook\OB3IJJ2X\Waste Declaration Form.040820.Computers.Doc Page 1 BRUCE BLEVNS CODE ENFORCEMENT OFFICER CALHOUN COUNTY, TEXAS. 211 S. Ann, PmtL"aae, Te 77979 361.553-4607 FAX-361553.4444 April 1, 2020 Honorable Judge Richard Meyer Pct. 1 Commissioner David Hall Pet. 2 Commissioner. Vernon Lyssy Pet. 3 Commissioner Clyde Syma Pct. 4 Commissioner Gary Reese Calhoun County Code Enforcement:. Activity report fox the p'irst Quarter, 2020. Total numbers for all precincts: Complaints received 10 Complaints received but no violation. 1 Inspections 56 Contacts or attempted contacts 21 New cases 9 Warning letters issued 17 Warning letters, trailer parks, subdivisions 1 Violation letters issued 2 Pre -complaint or Pre-trial letters 0 Court complaints filed 0 Court Appearances- 2 Cases completed and closed 12 Referrals or contacts with the Health Department 5 Active cases on December 31, 2020 , 31 Active cases on April 1, 2020 28 Show Cause Hearings, Justice Court 2 Letters or reports prepared for DA's or JP's offices 9 Structures demolished 1 • C ODI � �-,-'gyp BRUCE BLEVNS CODE ENFORCENff NT OFFICER CALHOUN COUZ`T , TEXAS. 211 S. Anp, PoxtLeaaca, Teals 77979 361553.4607 FA%•361553-4444 Statistics for individual precincts: Pct.l Pct 2 Pct 3 Pct.4 Complaints received 0 5 2 3 Complaints but no violations 1 0 0 0 Inspections 12 10 6 28 Contacts or attempted contacts 4. 6 4 7 New cases 0 4 2 3 Warning letters issued 3 5 2 7 Warning letters subdivisions 0 1 0 0 Violation letters issued 0 0 0• 2 Pre -complaint or Pre-trial % letters 0 0 0 0 Court Complaints filed 0 0 0r 0 Cases completed and closed 4 2 1 5 Referrals or contacts with Health Department 0 4 0 1 Active cases 6 6 5 11 Show Cause Hearings Justice Court 2 0 0 0 Letters or reports for DA's or JP's office 3 4 0 2 Structures demolished 1 0 0 0 Code Enforcement Officer Bruce Blevins Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: karen.rinasz@calhouncotx.org March 2020 Development Permits New Homes — 6 Renovations/Additions — 0 Mobile Homes —1 Boat Barns/Storage Buildings/Garages -1 Commercial Buildings/RV Site -0 Total Fees Collected: $480 SHERIFF'S OFFICE MONTHLY REPORT MAR. 2020 BAIL BOND FEE - - - $ 600$0 ? CIVIL FEE $ 39 E.bD $ 9 4t$,67 JP#1 JP#2 $ lJ07o50 JP#3 $ JP#A — _ $ 2& AO JP#5 $ PL AIUN. $ COUNTY COURT $ SEADRIFT MUN $ PC 14luN, 3 7137T20 QTH A PROPERTY SAt.FS $ 1,8511 01STRfCT " CASH Nb 3 1,6004m TC3TAL2 $ 71862-65 k \\ \� 2« \� \/ \� \$ \# \$ \£ \7 \� \/ \� \} \\ » \ 6 g \i \� \lu §� f : z 2 � \ ) - ■ I \£ \A \/ \\ \7 $/ {\ � �k \f �\\ � \/ \\ \\ \ � \£ \� \/ \� <* \$ (� �so I � \\ � h \ } 2 k \� \# \A /f \/ \� \/ � ƒ \ � � \ «� � � ,s � � � 2 d \ ) k $ 2 2 \\ \z \\ \� ?R \} \£ «# \f \$ \� \$ \# \� \§ \W \A ?f \ lu / lwu �$ 2� � � 8 a § a ) 2 \/ \\ \t � \ \\ £� �■ $� � \/ \$ \\ \$ \[ \� \k \� ? K /£ /A \� \$ \2 \� /( \E \( \$ \\ \% \� \� /z k� I ƒ� &� Ez $� � � i c� La Jim T �! F rf N /k � k �7 \ �# $ d k 2 § \ � \To N n n n fl n n n & G k 2 $ / /i /� �J $ �� /$ /� f d4 d� /k /k �/ R �d w� f }2� }� $ \k�y ,. }$� {$}\ \� � \k $ § | \ ¢ � {3 4 r•i £ # /$ w� � ƒ \� � k }$ d }2� / \ 4XV21 O C c7Aa _'mft P;4 d i-,l .., a 50A cok JfTr�i k7 4,70WE Awrvi Fi,.ger ikv 9 A=^,'ANi? Fla --tit « Tvp pal : s rr d,;3, Zn i �.sa; {Aen rlrr4;ak F` yrar?+ t ON I.7 prolpority. tus.ifu"Ic !9,a11k psymonts iC014"!7 M? rW'4-�4 I�'_?.4q ':+? a.,30Aa"a✓sM!4) P&I d' '3' I M1r«axrs R'rrg::rr`,§cam, d r- IE4 TR�t�FEFd �kET§PNEEEd ��1s1�t5=#�i�fdt�G HIE .5e2,020 t,%kJ?n i. "pmm g tj e f,.r s �¢ ref f we t::,,inn er!' 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