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2021-02-01 Meeting Minutes20ommissioners' Court — February 01, 2021 CA]LlH[®UN COUNTY COMMISSIONERS'COURT T REGULAR TERM 2021 § FEBRUARY 01, 2021 BE IT REMEMBERED THAT ON FEBRUARY 01, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING 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 Joel Behrens 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 4. Genera/Discussion of Public Matters and Public Participation, N/A Page 1 of 6 20ommissioners' Court — February 01, 2021 S. Approve the minutes of the January 06, 2021 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Accept the 2020 Certificate of Completion for Continuing Education Hours from the District Clerk and enter into official Court Records, RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To approve a Field Internship Affiliation Agreement between Calhoun County EMS and EMS Training & Education Services of Victoria, Texas. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 20ommissioners' Court— February 01, 2021 8. CONSIDER AND TAKE NECESSARY ACTION (AGNEDA ITEM NO. 8) To acknowledge an increase in the Sheriffs Forfeited PropertyFund for 2020 as follows.- 2860-001-49086 Contribution Intergovernmental - $2,768,00, 2860-999-63920 Miscellaneous - $6,500,00 and 2860-999-70750 Capital Outlay - $565.00. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To approve the Preliminary Plat ofNeller's Landing located in Olivia, Texas. Matt Glaze and Charles Bethany presented the plat. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To declare the equipment from Precinct #3 as Surplus/Salvage and remove from the Precinct#31nventory, (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 20ommissioners' Court— February 01, 2021 11. Public Hearing concerning a Petition to Vacate a 0.775 acre tract in Port O' Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. (GR) Henry Danysh of G&W Engineers presented the petition. Commenced: 10:14 a.m. Adjourned: 10:15 a.m. 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To vacate a 0,775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records, (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pd 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To reappoint Charlene Terrell to the Parks Board effective February 1, 2021 throughJanuary3l, 2023. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pd 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 20ommissioners' Court - February 01, 2021 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To accept GLO Contract No, 21-060-013-C673 Coastal Management Program - Cycle 25 Grant for Boggy Bayou Nature Park, Phase I and authorize the CountyJudge to sign, (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) To authorize Commissioner Reese to utilize $28,690 in GOMESA funds to he used for partial CMPgrant match. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) To approve the Final Plat of the Replat of Lots 31, 32, 33, and 34 in Block 1 and the Reserve for Commercial Lot in Swan Point Landing, Seadrift, Calhoun County, Texas, (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action on any necessary budget adjustments. 2020 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 20ommissioners' Court— February 01, 2021 18. Approval of bills and payroll. MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese County 2020 RESULT: MOVER: SECONDER: AYES: County 2021 RESULT: MOVER: SECONDER: AYES: Payroll APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1 Vern Lyssy, Commissioner Pct 2 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1 Vern Lyssy, Commissioner Pct 2 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:22 a.m. Page 6 of 6 [ANA101111111IIIIWOOD ✓AII Agenda Items Properly Numbered ✓✓Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged On this ��k day of 2021 a complete and accurate packet r for I /2,L of 2 21 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMISSI ONERSCOURTCHECKLIST/FORMS AT FOCLOCK M FEB 0 4 2021 COUNTY CLERK, COUNTY, TEXAS BY: DEPUTY AGENDA PUBLIC HEARING-1/20/2021 AT 1'1� ILEDOCK� M JAN 2 7 2021 COUN C ERKNCAYHODUUN C0UNT.Y, TEXAS Richard H. Meyer BY A —D—EP-UTY County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel M. ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 1, 2021 at 10:00 in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a public hearing in the Commissioners' Courtroom, 211 S. Ann Street, in Port Lavaca, Texas, at 10:00 a.m. concerning a Petition to vacate a 0.775 acre tract in Port O'Connor, Texas as recorded in File No, 2020-03937 of the Calhoun County Official Records. The public shall have the right to be present and participate in such hearing. Itichard Meyer, County 6d Calhoun County, Texas A copy of this Notice has been placed an the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.or¢ under "Commissioners' Court Agenda' for any official court postings. Page 1 of 1 NOTICE OF MEETING — 2/1/2021 AT , Iq OCL 0CK � MK � M JAN 2 7 2021 ANNa G 7 20N Richard H. Meyer RY1P.CLERK, LHOi'N COUNT(, TEXAS County judge //lt A /i DEPUTY David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Clyde Syria, Commissioner, Precinct 3 (nary Reese, Com missioner, Precinct 4 NOTICE OF MEETING The Com missioners' Court of Calhoun County, Texas will meet on Monday, February 1, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. 2. Invocation. 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. 5. Approve the minutes of the January 6, 2021 meeting. 6. Accept the 2020 Certificate of Completion for Continuing Education Hours from the District Clerk and enter into official Court Records. (RM) Consider and take necessary action to approve a Field Internship Affiliation Agreement between Calhoun County EMS and EMS Training & Education Services of Victoria, Texas. (RM) Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund for 2020 as follows: 2860-001-49086 Contribution Intergovernmental - $2,768.00, 2860-999-63920 Miscellaneous - $6,500.00 and 2860-9999-70750 Capital Outlay $565.00. (RM) 9. Consider and take necessary action to approve the Preliminary Plat of Keller's Landing located in Olivia, Texas. (J13) 10. Consider and take necessary action to declare the equipment from Precinct # 3 as Surplus/Salvage and remove from the Precinct # 3 inventory. (JB) Page 1 of 2 NOTICE OF MEETING — 2/1/2021 11. Public Hearing concerning a Petition to Vacate a 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. (GR) 12. Consider and take necessary action to vacate 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. (GR) 13. Consider and take necessary action to reappoint Charlene Terrell to the Parks Board Effective February 1, 2021 through January 31, 2023. (GR) 14. Consider and take necessary action to accept GLO Contract No. 21-060-013-C673 Coastal Management Program — Cycle 25 Grant for Bobby Bayou Nature Park, Phase I and authorize the County Judge to sign. (GR) 15. Consider and take necessary action to authorize Commissioner Reese to utilize $28,690 in GOMESA funds to be used for partial CMP grant match. (GR) 16. Consider and take necessary action to approve the Final Plat of the Replat of Lots 31, 32, 33 and 34 in Block 1 and the Reserve for Commercial Lot in Swan Point Landing, Seadrift, Calhoun County, Texas. (GR) 17. Consider and take necessary action on any necessary budget adjustments. (RM) 18. Approval of bills and payroll. (RM) I ichard Meyer, County J g Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas,. which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 2 of 2 #5 Richard H. Meyer County judge David Hail, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel M. Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Friday, January 6, 2021, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. -,r Calhoun County, Texas Judge Anna Goodman, County Clerk 4, 4� Deputy Clerk Page 1 of 1 Commissioners' Court —January 06, 2021 CALHOUN COUNTY CO\I\I ISSI O\ES' C OUI" I REGULAR TERM 2021 § JANUARY 06, 2021 BE IT REMEMBERED THAT ON JANUARY 06, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING 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 Joel Behrens 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 4. Genera/ Discussion ofPubiic Matters and Pub/ic Participation. Page 1 of 5 Commissioners' Court - January 06, 2021 S. Approve the minutes of the Decemberl& 2020 meeting, RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Public Hearing concerning a Petition to Vacate a 4.81 acre portion ofOutlot 1, Outblock30, Port O'Connor townsite Oudots are recorded in Volume 2, Page 1 of the Deed Records of Calhoun County, Texas, (GR) Pass 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To approve the Preliminary Plat of the Texas Properties Subdivision. (GR) Pass S. Public Hearing concerning a Petition to Vacate Lots 14 and 15, Blockl, Koinonia Point asrecordedw VolumeZ. Page 778ofthe Plat Records of Calhoun County, Texas. (GR) Pass 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To approve the Preliminary Plat of Koinonia PointResubdivision No. 2. (GR) Page 2 of 5 Commissioners' Court —January 06, 2021 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To authorize the Texas Water Safari to use Bii/Sanders Memoria/Park for the finish line for the 2021 Texas Water Safari and authorize the use ofpark facilities and overnight camping from June ZZ June Z7, 2021. (GR) Allen Spells and ]ay Daniels of Texas Water Safari were present. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO 11) To declare the equipment from the District Clerk's office on the attached form as Waste. RESULT: APPROVED[UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Richard Meyer, County Judge AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To declare the equipment from the Justice of the Peace, Pct #2 on the attached form as Surplus/Salvage. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To pre -approve expenditures by incumbent County or Precinct Officer(s) underCa/houn County's Policy of Compliance with LGC230.908. (RM) Pass Page 3 of 5 Commissioners' Court —January 06, 2021 14. Acceptreports from the fo/%wing County Offices.• 1. CountyAuditor —November 1010 1, County Treasurer— November 1010 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. AcceptAuditReports for fhe 1bf1owfng County 0mces., Please see Commissioners Court Packet for reports RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Considerand take necessaryactfon on anynecessarybudgetadjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Approval ofbillsandpayroll. MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 Commissioners' Court —January 06, 2021 County — 2020 County - 2021 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 Payroll RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:34 a.m. Page 5 of 5 N O 4' U � U 3 W 4-1 Q ^ iL N C `v Q NO E j 0 0 v V ro U L 0 I� V � U Y d V v CL a u C 0 L O m J Y a -o a o. E v Y N u m Y l<< N z o!o�oo "o�ilil O'a: o;c i2212M;2 ;¢:a a Q;a.a CLA ratan cn :pp.loov,: oio cs )'000 J 'OOOOO, )!000 J!NIN N.. --!9'!B:! rO OO:O. O•C 'N N,N N 'n F!v'I$:4 5JB MiE oOO o;c )IoIoo !0 s DI 0 E� � c � i.. o: > m. V,G O..:. U'C. Obi m.0: D .O ]' m d - .. a). MM U; m"o 6i Im m aC C U. m:C •��CmmY ICo C, Cie We an In I a•• U C Nm, C C of o 0 0l m M I c of m c, o y o o. C g o, On ' 1 ut I U 1 i i o C N ' w 1 i ! j is 1 1 1 a - 1 L G 1 m < C L C U < c C d - C ! m h i a � C ml a h d co .E 2 O: .'ml m '.>._ m ,Z Nj >I o :a 12 0 tm I ' N C 17) U CI _m U m CI m m' C T is L E. IL' o; s ¢ T �14i co 1 O OIO 1 M OO I O'er Q.Q.O ; 11 I 0OI!�:N • i6.�;o N Nj N O'O O N:N:N I `O1'O�o I � � m a:m SE°' ZjW m am c mCP = m p'N:S C m'NiQ m F- F N m n FIELD INTERNSHIP AFFILIATION AGREEMENT BETWEEN Calhoun County Emergency Medical Service 705 Henry Barber Way Port Lavaca, Texas 77979 361.552.1140 AND Elizabeth Stokely EMS Training & Education Services 47 West Oaks Victoria Texas 77906 It is mutually agreed by Calhoun County Emergency Medical Service, Port Lavaca, Texas, hereinafter referred to as "affiliate" and EMS Training & Education Services hereinafter referred to as"EMS TRAINING & EDUCATION SERVICES ",that the field internship experience for students enrolled in the Emergency Medical Service Program at EMS TRAINING & EDUCATION SERVICES will be provided at Calhoun County Emergency Medical Service. It is agreed that EMS TRAINING & EDUCATION SERVICES and the affiliate will jointly select and assign learning experiences. EMS TRAINING & EDUCATION SERVICES will provide the service with a list of learning objectives and schedule of student assignments prior to the beginning of each experience. EMS TRAINING & EDUCATION SERVICES and Calhoun County Emergency Medical Service are affirmative action/equal opportunity institutions in regard to all programs and activities. No discrimination shall be made between individuals with regard to race, color, religion, national origin, sex, age, or handicap. OBJECTIVE AND SCOPE OF FIELD INTERNSHIP: The field internship is a period of supervised experience on an EMS vehicle which provides the student a progression of increasing patient care responsibilities proceeding from observation, to supportive roles, and finally acting as a team member. The affiliate must be licensed by the Texas Department of State Health Services as an EMS Provider and the vehicle must be staffed, equipped, and operate at least at the level the student is in training; i.e. BLS vehicle for EMT -Basic students, ALS for EMT -Intermediate students, and MICU for Paramedic students.This agreement supports the training of EMT- Basic students training for the Advanced level (Ex: EMT -Intermediate). The student must at all times be under the direction and supervision of an assigned preceptor. The preceptor must be currently certified to at least the level of which the student is in training. The initial student role shall be that of observer. After participating in actual patient care, the student may finally function as a patient care leader. However, the student shall not be placed in a position of being a necessary part of the regular EMS team. The team shall function without any necessary use of the student. EMS TRAINING & EDUCATION SERVICES RESPONSIBILITIES: EMS TRAINING & EDUCATION SERVICES EMS Program agrees to: a. Place only those students who are registered and academically qualified for internship experience for the purpose of learning in the field setting. b. Confer with the affiliate's administration, prior to registration for each semester, concerning the assignment of students to the service. C. Provide the affiliate with a detailed schedule including student name, date & times of assignment, and level of student training. d. Conduct administrative and educational activities of the EMS Program according to the established policies of EMS TRAINING & EDUCATION SERVICES. These include provisions for students health; keeping records of students' experiences, such as records of rotations, attendance. and proficiency; and evaluation and counseling of students with regard to performance. e. Guarantee that each student has a report of current immunizations and TB test results. The report shall include immunization history for diphtheria/tetanus, m ea s I e slmumps/rubella, and if applicable, HBV. TB tests results must be within one year of program entry and must be repeated annually throughout the program. f. Guarantee that each student and faculty member has professional liability insurance coverage. Terms of coverage or copies of the policy are available at the EMS TRAINING & EDUCATION SERVICES office. g. Guarantee that each faculty member and student agree to abide by the policies and procedures as set forth by the affiliate and EMS TRAINING & EDUCATION SERVICES. h. If student sustains injury, sudden illness,or exposure to communicable disease or bodily fluids occurs during performance of duties; said injury, illness, or exposure will be handled according to EMS TRAINING & EDUCATION SERVICES and affiliate policy. The student is responsible for any cost of medical treatment. AFFILIATE RESPONSIBILITIES: The Calhoun County Emergency Medical Service agrees to: a. Provide for EMS Program students, without compensation to the student, assignments to the affiliate for purpose of field internship experience. Provide and assign preceptors for each student experience. b. Provide overall control and supervision of patient care. C. Provide orientation of assigned EMT Program students. d. Maintain a qualified staff, vehicles, and equipment as required by the Texas Department of State Health Services. e. Evaluate student field performance and communicate the results to the EMS Program Clinical Coordinator. PRECEPTORS: The field preceptor is the person responsible for overseeing the student's activities during an ambulance rotation. Preceptors must be certified to at least the level of certification the student is currently seeking. Preceptors will bejointly approved and oriented by EMS TRAINING & EDUCATION SERVICES and the affiliate. The preceptor does not have to be present during basic, non-invasive care, but must direct and witness any invasive procedure. Preceptors are also responsible for evaluating student clinical performance and reporting to the EMS TRAINING & EDUCATION SERVICES Program Clinical Coordinator. A list of approved preceptors will be maintained by the affiliate. SCHEDULING: Date and time perimeters will be finalized prior to scheduling any rotations. If the affiliate has or establishes any other affiliations, assignments will be coordinated to avoid duplication of schedules. Students will schedule rotations through the EMS TRAINING & EDUCATION SERVICES EMS Program's Clinical Coordinator according to date/time perimeters set by the affiliate, preceptor availability, and their personal schedule. EMS TRAINING & EDUCATION SERVICES will submit to the affiliate, a schedule indicating the date,times, student name, and training level. This affiliation will be effective when all parties have signed this agreement. It will be effective for a two-year period beginning and ending 12-15-2020 until 12-15-2022; provided however, this agreement may be terminated at any time for cause and/or violations of the terms herein. Furthermore, either party may terminate this agreement upon ninety (90) days written notice to the other party. A new agreement may be initiated if major changes or revisions in policies are considered necessary by EMS TRAINING & EDUCATION SERVICES or the affiliate. EMS Training & Education Services 47 West Oaks Victoria Tx 77905 J. Dus; enkins Director Emergency Services Calhoun County EMS 705 Henry Barber Way Port Lavaca Tx 77979 01-25-'21 15:34 FROM- CALHOUN CO SHERIFF 361-553-4668 T-070 P0002/0018 F-166 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 5534646 FAX NUMBER (361) 553-4668 MEMO TO: RICHA.RD MEYER, COUNTY JUDGE SUBJECT: SHERIFF'S FORFEITED PROPERTY FUND DATE: FEBRUARY 3, 2021 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR FEBRUARY 3, 2021 • Consider and take necessary action to acknowledge an increase in Sheriff's Forfeited Property Fund for 2020 as follows: 2860-001-49086 Contribution Intergovernmental $2768.0000, 2860-999-63920 Miscellaneous $6,500.00, and 2860-999-70750 Capital Outlay $565.00. Sincerely, obbie Vickery Calhoun County Sheriff #9 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: ioel.behrens(o)calhouncotx.otx Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for February 1, 2021. • Please Consider and Take Necessary Action to approve the Preliminary Plat of Keller's Landing located in Olivia TX. Sincerely, Joel Behrens Commissioner Pct. 3 Land Surveying+Aerie) linaging slnca1981 January 25, 2021 Joel Behrens Calhoun County Commissioner Precinct #3 24627 State Highway 172 Port Lavaca, TX 77979 RE: Keller's Landing (ourjob 522614.01) Dear Commissioner Behrens, Please consider this letter as my request to have the following item placed on the February 1, 2021 Commissioner's Court agenda: Consider and take necessary action to approve the Preliminary Plat of Keller's Landing If I can provide additional information please do not hesitate to contact me. S1�cerely, r'"",p ilerryT. Rudnick, R.P.L.S. C.E.O. Victoria San Antonio Cuero 2004 N. Commerce 12661 Silicon Drive 104 E. French Street Victoria, TX 77901 San Antonio, TX 78249 Cuero, TX 77954 381-578-9837 210-267-8864 361-277-9061 Firm #: 10021100 Firm #: 10193843 Firm #: 10021101 14 Rv f z. a, y u!�geL x 4e #10 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309 Email: ioel.behrens@calhouncotx.ors 9 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for February 1, 2021. Please Consider and Take Necessary Action to declare the equipment from R & B 560, Precinct 3 assets on the attached form as Surplus/Salvage. Sincerely, Joel Behrens Commissioner Pct. 3 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Road & Bridge Pct. #3 Requested By: Commissioner Joel Behrens Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 23-0110 75'TIGER MOWER TRF75 1055 NEEDS REPAIR/ NOT USING 23-0228 KUBOTA ZERO TURN MOWER 15047 9Q2993 NOT USING 23-0239 DD:IE CHOPPER MOWER 50' 13CL2750GNGWPOI30 NEEDS REPAIR/ NOT USING 23-0189 2003 FORD F150 1FTRF17203NB48403 NOT USING #11 ill 1 FEARINIC — ]/20002- I C{ I/ FILED AT I ' � �f O'CLOCK tit ri JAN 2 7 2021 C3UNTY C ERK�CALHOUN91rC0UNTY, TEXAS Richard H. Meyer BY: UE/v� / Co unty judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel M. Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, February 1, 2021 at 10:00 in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a public hearing in the Commissioners' Courtroom, 211 S. Ann Street, in Port Lavaca, Texas, at 10:00 a.m. concerning a Petition to vacate a 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. The public shall have the right to be present and participate in such hearing. 'chard Meyer, County d Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda` for any official court postings, Page I of 1 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 25, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Public hearing on Petition to Vacate 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. Sincerely, T) -11� (\� Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: gary.reeseAkalhouncotx.ore — (361) 785-3141 — Fax (361) 785-5602 #12 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 25, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Consider and take necessary action to Vacate 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records. Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: gary.reese(a calhouncomore — (361) 785-3141 — Fax (361) 785-5602 PETITION TO VACATE 0.775 ACRE TRACT, PORT O'CONNOR, TX STATE OF TEXAS COUNTY OF CALHOUN KNOW ALL MEN BY THESE PRESENTS: That the undersigned, being the designated agent of the owner of the property described as 0.775 acre tract in Port O'Connor, Texas as recorded in File No. 2020-03937 of the Calhoun County Official Records, do hereby petition the Calhoun County Commissioners Court to vacate said 0.775 acre tract in accordance with Sections 206 and 207 of the Subdivision Regulations and Recreational Vehicle Park Regulations Adopted by Calhoun County Commissioners Court on November 29, 2004 and Amended on December 13, 2007. Property owners: Cottage Investors, LP Located on Seventh Street in Port O'Connor, Texas The property is proposed to be replatted in accordance with a plat submitted to the Calhoun County Commissioners Court. The petition will be considered by the Calhoun County Commissioners Court on January 27, 2021 at 10:00 a.m. Designated Agent: HenryA. Danysh, R.P.L.S. G & 4 Engineers, Inc. TBPLS Firm No. 10022100 205 W. Live Oak Port Lavaca, TX 77979 (361) 552-4509 #13 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 25, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Consider and take necessary action to reappoint Charlene Terrell to the Parks Board effective Feb 1, 2021 thru Jan 31, 2023. Sincerely, oq(� + �" Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: Rarv.reeseAcalhouncotx.ora — (361) 785-3141 — Fax (361) 785-5602 #14 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 25, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Consider and take necessary action to accept GLO Contract No. 21-060-013-C673 Coastal Management Program - Cycle 25 Grant for Boggy Bayou Nature Park, Phase I and authorize Judge Meyer to sign. Sincerely, Gary D. Reese GDR/at P.O. Box 177 - Seadrift, Texas 77983 email: (361) 785-3141 - Fax (361) 785-5602 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C SUBRECIPIENT GRANT AGREEMENT GLO CONTRACT No. 21-060-013-C673 COASTAL MANAGEMENT PROGRAM - CYCLE 25 This subrecipient grant agreement (the "Contract') is entered into by and between the GENERAL LAND OFFICE (the "GLO"), an agency of the State of Texas, and CALHOUN County ("Subrecipient'), each a "Party" and collectively the "Parties," to provide Texas Coastal Management Program ("CMP") Cycle 25 grant funds made available to the State of Texas by the U.S. Department of Commerce, National Oceanic and Atmospheric Administration ("NOAA"), pursuant to the Coastal Zone Management Act of 1972, 16 U.S.C. § 1451 et seq., Financial Assistance Award No. NA20NOS4190184. Subrecipient may only use CMP grant funds to implement a coastal zone management project, as administered by the GLO (CFDA No. 11.419, "Coastal Zone Management Administration Awards") and as approved by the Texas Land Commissioner. ARTICLE 1. GENERAL PROVISIONS 1.01 PURPOSE The purpose of this Contract is to set forth the terms and conditions of a subaward of CMP grant funds from the GLO to Subrecipient under CMP Cycle 25. 1.02 CONTRACT DOCUMENTS This document and the following Attachments, which are incorporated herein in their entirety for all purposes, shall govern this Contract: ATTACHMENT A: WORK PLAN AND BUDGET ATTACHMENT B: GENERAL AFFIRMATIONS ATTACHMENT C: FEDERAL ASSURANCES AND CERTIFICATIONS 1.03 DEFINITIONS "Administrative and Audit Regulations" means all applicable statutes, regulations, and other laws governing administration or audit of this Contract, including: Title 2, Code of Federal Regulations (C.F.R.), Part 200; Texas Government Code, Chapter 321; the Texas Uniform Grant Management Standards; and the requirements of Article 7 herein. "Attachment" means documents, terms, conditions, or additional information attached to this Contract following the execution page or incorporated by reference within the body of this Contract. "Budget" means the budget for the Project funded by the Contract, in Attachment A. GLO Contract No. 21-060-013-C673 Page 1 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C "CMP Rules" means Title 31, Texas Administrative Code, Chapters 501-506. "Compliant Format" means the format and standards specified in Section 4.01 and Article 9 herein. "Corn trl roller" means the Texas Comptroller of Public Accounts. "Contract" means this entire document, along with any Attachments. "Deliverable" means any unit or increment of work, including any item, report, data, document, photograph, drawing, process, computer program or code, or other submission, required to be delivered under the terns of this Contract, in whatever form. "Equi ment" means tangible personal property having a useful life of more than one (1) year and an acquisition cost of $5,000.00 or more per unit. "Event of Default" means the occurrence of any of the events set forth in Section 8.01 herein. "Federal Assurances and Certifications" means Standard Form 424B (for non - construction projects) or Standard Form 424D (for construction project), as applicable, and the Certification Regarding Lobbying — Lower Tier Covered Transactions, in Attachment C. "Federal Award" means Financial Assistance Award No. NA20NOS4190184. "Final Report' means a written report that Subrecipient must submit to the GLO upon completion of the Work Plan, as set forth therein. "Fiscal Year" means the annual accounting period for the State of Texas, beginning September 1 and ending August 31 each year. "GAAP" means Generally Accepted Accounting Principles. "GASB" means the Governmental Accounting Standards Board. "General Affirmations" means the statements in Attachment B, which, to the extent they apply, Subrecipient agrees to and affirms by executing this Contract. "Grant Administrator" means the Director of Grant Programs in the GLO's Coastal Resources Division or their designee. "HUB" means Historically Underutilized Business, as defined by Texas Government Code, Chapter 2161. "Intellectual Property" means patents, rights to apply for patents, trademarks, trade names, service marks, domain names, copyrights, schematics, industrial models, inventions, know-how, trade secrets, computer software programs, other intangible proprietary information, and all federal, state, or international registrations or applications for any of the foregoing. "Plans" mean the engineering specifications, construction plans, and/or architectural plans for the construction of improvements approved by the GLO for the Project, if any. "Progress Reports" means written progress reports that Subrecipient must submit to the GLO monthly or quarterly, as described in Section 4.03 herein. GLO Contract No. 21-060-013-C673 Page 2 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C "Project" means the activities involved in "Boggy Bayou Nature Park Improvements," and detailed in the Work Plan in Attachment A. "Subcontractor" means an individual or business that contracts with Subrecipient to perform part or all of the obligations of Subrecipient under this Contract. "Texas Public Information Act" means Texas Government Code, Chapter 552. "Travel Regulations" means all applicable statutes, regulations, laws, and Comptroller guidance related to reimbursement for Subrecipient's travel expenses, including: Title 34, Section 5.22, of the Texas Administrative Code; Chapter 660 of the Texas Government Code; the General Appropriations Act; and Textravel, the Comptroller's travel regulation guidance available on the Comptroller's website. "Work Plan" means the statement of work, including any special conditions, in Attachment A. 1.04 INTERPRETIVE PROVISIONS (a) The meaning of a defined term applies to its singular and plural forms. (b) The words "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, attachment, work order, or schedule of this Contract unless otherwise specified. (c) The term "including" means "including without limitation." (d) Unless otherwise expressed provided, a reference to a contract includes subsequent amendments and other modifications thereto executed according to the contract's terms, and a reference to a statute, regulation, or other law includes subsequent amendments, renumbering, recodification, and other modifications thereto by the enacting authority. (e) The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contract. (f) The limitations, regulations, and policies contained herein are cumulative and each must be performed in accordance with its terms without regard to other limitations, regulations, and policies affecting the same matter. (g) Unless otherwise expressly provided, reference to any action of or by the GLO by way of consent, approval, or waiver is deemed modified by the phrase "in its/their sole discretion." Notwithstanding the preceding, the GLO shall not unreasonably withhold or delay any approval, consent, or waiver. (h) All due dates and/or deadlines referenced in this Contract that occur on a weekend or holiday shall be considered as if occurring on the next business day. (i) All time periods in this Contract shall commence on the day after the date on which the applicable event occurred, report is submitted, or request is received. (j) Time is of the essence in this Contract. (k) If the provisions of this Contract and its Attachments conflict, such conflicts shall be resolved in the following order of precedence: Signed Contract; Attachment A; Attachment C; Attachment B. GLO Contract No. 21-060-013-C673 Page 3 of 23 DocuSlgn Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C ARTICLE 2. SUBAWARD AND SCOPE OF PROJECT 2.01 SUBAWARD Subrecipient applied for a subaward of CMP grant funds under CMP Cycle 25. The Texas Land Commissioner has approved this subaward based on Subrecipient's application. Subject to the terms and conditions of this Contract, the GLO shall issue a subaward to Subrecipient in an amount not to exceed $86,280.00, payable in installments as reimbursement of allowable expenses incurred by Subrecipient, to be used in strict conformance with the Budget in Attachment A. Subrecipient must contribute any Subrecipient or third -party matching funds or in -kind services in accordance with the Budget in Attachment A. The GLO may recapture and Subrecipient must reimburse any payments the GLO makes under this Contract that Subrecipient does not use in strict accordance with the terms and conditions of this Contract and the Federal Award. This recapture provision shall survive the termination or expiration of this Contract. The GLO is not liable to Subrecipient for any costs Subrecipient incurs before the effective date of this Contract or after termination or expiration of this Contract. 2.02 PROJECT SCOPE AND WORK PLAN Subrecipient shall perform the Project in strict accordance with the terms and conditions of this Contract and all provisions of the Work Plan, including any special conditions, set forth in Attachment A. Subrecipient may request an amendment to the Work Plan or scope of the Project by submitting a written request and detailed justification to the Grant Administrator. Some amendments may require NOAA's prior approval, which may cause significant delays. If there are any costs included in the requested amendment that were not previously included in the Contract, Subrecipient is solely responsible for any such costs it incurs while awaiting GLO or NOAA approval. The Grant Administrator will inform Subrecipient in writing if the amendment request is approved. ARTICLE 3. TERM 3.01 DURATION AND EXTENSION OF TERM This Contract shall be effective October 1, 2020 (the "Effective Date") and shall terminate upon the completion of the Project, in the GLO's sole determination, or on March 31, 2022, whichever occurs first. Upon receipt of a written request and acceptable justification from Subrecipient, the GLO may unilaterally amend the Contract to extend this Contract for additional time necessary for the successful completion of the Project. The term of this Contract must not extend beyond the Federal Award period. The GLO must receive any extension request at least sixty (60) days before the Contract's then - current termination date. Subrecipient may not begin work before the Effective Date. The GLO will not reimburse costs for work Subrecipient undertakes prior to the Effective Date. GLO Contract No. 21-060-013-C673 Page 4 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C 3.02 EARLY TERMINATION The GLO may terminate this Contract by giving Subrecipient written notice specifying a termination date at least thirty (30) days subsequent to the date of the notice. Upon receipt of any such notice, Subrecipient shall cease work, terminate any subcontracts, and incur no further expense related to this Contract. Such early termination shall be subject to the equitable settlement of the respective interests of the Parties, accrued up to the date of termination. 3.03 ABANDONMENT OR DEFAULT If Subrecipient abandons work or defaults on the Contract, the GLO may terminate the Contract without notice. ARTICLE 4. GRANT ADMINISTRATION 4.01 COMPLIANT FORMAT Subrecipient shall submit written reports and requests in MS -Word format, reimbursement requests and supporting documentation in portable document format (".pdf'), and photographs in Joint Photographic Experts Group (".jpg") format and form, unless otherwise agreed by the Grant Administrator. For all electronically stored information and data, Subrecipient must comply with the GLO's standards set forth in Article 9 herein. Subrecipient may submit requests provided for in the Contract in writing via email, in Compliant Format. Requests must cite the nature of the request, the section of the Contract that authorizes the request, and a detailed justification for the request. A request is granted only upon Subrecipient's receipt of the Grant Administrator's written approval. 4.02 SUBMISSIONS AND FORMS Except for legal notices that must be sent by specific instructions under Section 12.13 herein, all written reports, forms, requests, and Deliverables under this Contract must be submitted to the Grant Administrator electronically in Compliant Format via email to cmpreceipts(i4glo. texas. gov. GLO-approved standard forms that Subrecipient must use for submissions are available at: http://www.glo.texas.gov/coast/coastal-management/forms/index.html. As these forms are updated from time to time, Subrecipient should periodically check the website for updated forms. Subrecipient is responsible for using the proper, updated forms. Subrecipient must execute certain additional forms required by the Contract or the Federal Award to show that Subrecipient is in compliance with all applicable state and federal laws and regulations. Required forms include the Federal Assurances and Certifications in Attachment C. Subrecipient may check for vendor debarment exclusion records at: httns://www.sam.gov/SAMI. 4.03 PROGRESS REPORTS Subrecipient shall submit periodic Progress Reports on a monthly or quarterly basis, as required in Attachment A and commencing on the date specified therein. Monthly reporting must be submitted on or before the 1 Oth day of each calendar month during the term of this Contract. Quarterly reporting must be submitted on or before the loth day of GLO Contract No. 21-060-013-C673 Page 5 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C each calendar quarter during the term of this Contract. Subrecipient must submit Progress Reports using the Progress Report Form. Progress Reports must include: (a) a brief statement of the overall progress since the preceding Progress Report of each task identified on the Work Plan; (b) a summary of any problems encountered during the previous reporting period that will affect the Work Plan, delay the completion of any portion of this Contract, or inhibit the completion of or cause any changes to Work Plan objectives; (c) a description of any action Subrecipient plans to undertake to correct any problems that have been encountered; and (d) a status report on the Budget, as defined in this Contract. Subrecipient must submit a Project Closeout Form upon completion of the Project. 4.04 DELIVERABLES Subrecipient shall electronically submit the Deliverables set forth in the Work Plan in Attachment A, in the time and manner specified therein, to the Grant Administrator. The GLO may require Subrecipient to conform any data presentation or product funded under this Contract to reflect GLO comments. Subrecipient may request changes to Deliverable due dates by submitting a written request and detailed justification to the Grant Administrator. Such changes may require the approval of NOAA, which may cause significant delays. The Grant Administrator will inform Subrecipient in writing if the request is approved. 4.05 REIMBURSEMENT REQUESTS Subrecipient shall submit reimbursement requests either monthly, on or before the loth day of each month, or quarterly, on or before the 10th day of each quarter, as required in Attachment A. Reimbursement requests must: (a) prominently display "GLO Contract No. 21-060-013-C673'; (b) be submitted on the GLO-approved standard form to cmpreceipts(a,glo.texas.gov; (c) include details of each expense by Budget category in accordance with the Budget in Attachment A; (d) include a timesheet or a payroll clearing account spreadsheet; and (e) provide such other information as the GLO may request. Subrecipient's failure to follow the instructions in this section may significantly delay reimbursement. Reimbursement requests must be supported by actual receipts, cancelled checks, or such other documentation that, in the judgment of the GLO, allows for full substantiation of the costs incurred. If no Contract expenses have been incurred in a given period, Subrecipient shall submit a zero -dollar ($0.00) reimbursement request. Subrecipient's indirect costs may not exceed the amount for such costs set forth in Attachment A. Subrecipient may not charge "other operating costs" (i.e., administrative GLO Contract No. 21-060-013-C673 Page 6 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B426-A32B2AD3578C costs, computer usage fee, etc.) in addition to indirect costs, if such costs are already included in the calculation to determine Subrecipient's indirect cost rate. Subrecipient must submit reimbursement requests no later than sixty (60) days from the date Subrecipient incurs the expenses listed therein. The GLO may, in its sole discretion, deny reimbursement requests Subrecipient fails to submit in a timely manner. The GLO may, in its sole discretion, deny reimbursement requests if Subrecipient fails to submit Deliverables or Progress Reports by their due dates. If the GLO denies reimbursement, Subrecipient shall resubmit the reimbursement request after the date the overdue Deliverable or Progress Report is submitted. 4.06 TRAVEL EXPENSES The GLO will not reimburse Subrecipient for travel expenses of any kind that are not included in Attachment A. The GLO will only reimburse travel expenses directly attributable to Subrecipient's performance under this Contract at the rates established or adopted by the Comptroller, as outlined in the Travel Regulations. Subrecipient understands and acknowledges that any travel expense reimbursement by the GLO is not a per diem. The GLO will only reimburse actual, allowable expenses in accordance with the Travel Regulations. Subrecipient must submit itemized receipts to support any request for travel expense reimbursement. 4.07 MATCH DOCUMENTATION Subrecipient shall submit local and/or third -party match documentation to the GLO with each submitted reimbursement request. Subrecipient must submit match documentation in Compliant Format via email to the Grant Administrator. Match documentation must: (a) be submitted on the GLO-approved standard form to cmnreceiyts(&,,elo.texas.gov; (b) include details of each expense by Budget category, in accordance with the Budget in Attachment A; and (c) provide such other information as the GLO may request. Subrecipient shall clearly identify match funding documentation. Match documentation must be supported by actual receipts, cancelled checks, or other documentation that, in the GLO's judgment, allows for full substantiation of the costs incurred. If no Contract expenses have been incurred in a given period, Subrecipient shall submit a zero -dollar ($0.00) reimbursement request. The GLO may deny reimbursement requests if Subrecipient has not submitted proper match documentation. 4.08 BUDGET VARIANCE In accordance with 2 C.F.R. § 200.308, Subrecipient may re -budget within the approved direct cost Budget to meet unanticipated requirements; however, some post -award budget changes may require the GLO's prior written approval pursuant to applicable regulations. Where prior written approval is not required, Subrecipient must give notice to the GLO within thirty (30) days of any changes to the Budget. Where prior written approval is GLO Contract No. 21-060-013-C673 Page 7 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C required, Subrecipient may request permission to change the Budget by submitting a Budget Amendment Form and written justification to the Grant Administrator. Such reallocations may not increase or decrease the amount of the CMP grant funds or the total Budget amount and will be effective only upon GLO approval. Any requested changes to the total Budget amount or the Project scope or outcome may be allowed only through a formal, written amendment to the Contract. Subrecipient shall submit to the Grant Administrator a final, actual Budget no later than sixty (60) days following the expiration or termination of the Contract. 4.09 WITHHOLDING To ensure full performance, the GLO may withhold an amount equal to five percent (5%) of the Budget until Subrecipient's delivery, and GLO's approval, of all Deliverables required herein. The GLO shall make a final disbursement only upon receipt of documentation sufficient to demonstrate Subrecipient has completed the Project in accordance with the Work Plan and fulfilled all requirements of the Contract. 4.10 EQUIPMENT Subrecipient shall not purchase any Equipment or computer software not included as a reimbursable item shown on the Budget in Attachment A. Subrecipient shall retain title to and possession of any Equipment unless and until transferred to the GLO, upon written request by the GLO. Subrecipient shall furnish, with its final reimbursement request, a list of all Equipment purchased with funds under the Contract, including the name of the manufacturer, model number, and serial number. The disposition of any Equipment shall follow the Administrative and Audit Regulations. 4.11 AUDIT COMPLIANCE Subrecipient must obtain annual audits and comply with all audit requirements set forth in 2 C.F.R. Part 200, Subpart F,if Subrecipient expends $750,000.00 or more in federal awards during each of Subrecipient's fiscal years of funding. If applicable, Subrecipient shall complete and return the Audit Reporting Form no later than September 1 of each year until the Contract is terminated. All records related to this Contract, and any Deliverables produced by Subrecipient or its Subcontractors in relation to this Contract, shall be subject to the Administrative and Audit Regulations, including 2 C.F.R. Part 200. 4.12 ADDITIONAL GRANT COMPLIANCE REQUIREMENTS Subrecipient shall comply with all applicable state and federal laws, rules, regulations, and terms and conditions relating to grant administration. Subrecipient understands and agrees to the terms included in the Attachments and all other terms in this Contract that require assurances, affirmations, acknowledgments, actions, activities, and special conditions to fulfill state and federal legal requirements. The information included in this Contract is current as of its effective date. However, Subrecipient shall ensure it complies with applicable legal requirements identified in the Attachments and all other applicable laws, rules, and regulations at all times. GLO Contract No. 21-060-013-C673 Page 8 or 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C ARTICLE 5. FEDERAL AND STATE FUNDING, RECAPTURE, AND OVERPAYMENT 5.01 FEDERAL FUNDING (a) Funding for this Contract is made available to the State of Texas through a federal financial assistance award pursuant to the Coastal Zone Management Act of 1972, 16 U.S.C. § 1451 et seq. The fulfillment of this Contract is based on these federal funds being made available to the GLO as the lead administrative state agency. All expenditures under this Contract must be made in accordance with this Contract, the CMP, the terms and conditions of the Federal Award, and all other applicable laws, rules, and regulations. All funds are subject to recapture and repayment for non- compliance. (b) All participants in the CMP grants program must have a data universal numbering system ("DUNS") number and a Commercial and Government Entity ("CAGE") code. Subrecipient shall report its DUNS number and CAGE code to the GLO for use in various grant reporting documents. DUNS numbers and CAGE codes may be obtained via the System for Award Management website at: htti)s://www.sam.gov/SAM. 5.02 STATE FUNDING (a) This Contract shall not be construed as creating any debt on behalf of the State of Texas and/or the GLO in violation of Article III, Section 49, of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution, all obligations of the GLO hereunder are subject to the availability of state funds. If such funds are not appropriated or become unavailable, the GLO may terminate this Contract. In that event, the Parties shall be discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. (b) Any claim by Subrecipient for damages under this Contract may not exceed the amount due and owing Subrecipient or the amount of funds appropriated for payment, but not yet paid to Subrecipient under the annual budget in effect at the time of the breach. Nothing in this Contract shall be construed as a waiver of sovereign immunity. 5.03 RECAPTURE OF FUNDS The discretionary right of the GLO to terminate for convenience under Section 3.02 notwithstanding, the GLO may terminate the Contract and recapture, and Subrecipient must reimburse, any payments made by the GLO that (i) exceed the maximum allowable rates; (ii) are not allowed under applicable laws, rules, and regulations; or (iii) are otherwise inconsistent with this Contract, including any unapproved expenditures. 5.04 OVERPAYMENT Subrecipient shall be liable to the GLO for any costs disallowed pursuant to any audit(s) of funds Subrecipient receives under this Contract. Subrecipient shall reimburse such disallowed costs from funds which were not provided or otherwise made available to Subrecipient under this Contract. GLO Contract No. 21-060-013-C673 Page 9 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C ARTICLE 6. INTELLECTUAL PROPERTY 6.01 OWNERSHIP AND USE (a) The GLO shall own, and Subrecipient hereby irrevocably assigns to the GLO, all ownership right, title, and interest in and to all Intellectual Property acquired or developed by Subrecipient pursuant to this Contract, including, without limitation, all Intellectual Property in and to reports, drafts of reports, data, drawings, computer programs and codes, and/or any other information or materials acquired or developed by Subrecipient under this Contract. The GLO shall have the right to obtain and to hold in its name any and all patents, copyrights, trademarks, service marks, registrations, or such other protections, including extensions and renewals thereof, as may be appropriate to the subject matter. (b) Subrecipient must give the GLO and the State of Texas, as well as any person designated by the GLO or the State of Texas, all assistance and execute such documents, as required to perfect the rights granted to the GLO herein without any charge or expense beyond the stated amount payable to Subrecipient for the implementation of the Project funded under this Contract. 6.02 COPYRIGHT (a) Subrecipient agrees and acknowledges that all expressive content subject to copyright protection, including without limitation all reports, drafts of reports, drawings, artwork, photographs, video, computer programs and codes, and/or any other expressive content acquired or developed by Subrecipient pursuant to this Contract (individually, a "Work," and collectively the "Works"), will be made the exclusive property of the GLO. Subrecipient acknowledges that each Work is a "work made for hire" under the United States Copyright Act of 1976. All rights in and to each Work, including the copyright to the Work, shall be and remain the sole and exclusive property of the GLO. (b) If, for any reason, any Work or any portion of a Work is not a work made for hire, Subrecipient hereby irrevocably assigns to the GLO ownership of all right, title and interest in and to the Works or such portion of any Work, including without limitation the entire and exclusive copyright in the Works and all rights associated with the copyright, including but not limited to reproduction rights, distribution rights, the right to prepare translations and other derivative works, and the right to display the Works in all formats and media now known or developed in the future. (c) Subrecipient must give the GLO and the State of Texas, as well as any person designated by the GLO or the State of Texas, all assistance required to perfect the rights granted to the GLO defined herein without any charge or expense beyond the stated amount payable to Subrecipient for the implementation of the Project funded under this Contract. 6.03 INTELLECTUAL PROPERTY RIGHTS OF THE U.S. GOVERNMENT (a) A royalty -free, non-exclusive, fully paid -up and irrevocable license to use, reproduce, publish, and modify any intellectual property to which rights are granted or assigned GLO Contract No. 21-060-013-C673 Page 10 of 23 DocuSign Envelope ID: 943F6310-9827-471 C-134213-AKKAD3578C to the GLO under this Contract are also granted to, assigned to, or reserved by the U.S. Government. (b) In no event shall the GLO, the State of Texas, or the U.S. Government be charged or required to pay for the use of any data, intellectual property, or any other information or materials acquired or developed under this Contract. 6.04 NON -ENDORSEMENT Subrecipient shall not publicize or otherwise circulate promotional material (such as advertisements, sales brochures, press releases, speeches, still and motion pictures, articles, manuscripts, or other publications) that states or implies GLO, State of Texas, U.S. Government, or government employee endorsement of a product, service, or position that Subrecipient represents. No release of information relating to this CMP grant may state or imply that the GLO, the State of Texas, or the U.S. Government approves of Subrecipient's work products, or considers Subrecipient's work product to be superior to other products or services. 6.05 PUBLICATION DISCLAIMERS REQUIRED The specific acknowledgements and funding statements that must be included in certain publications funded in connection with this Contract are set forth in Article 10 herein. ARTICLE 7. RECORDS, AUDIT, RETENTION, AND DISCLOSURE 7.01 BOOKs AND RECORDS Subrecipient shall keep and maintain under GAAP or GASB, as applicable, full, true, and complete records sufficient to allow the GLO, the Texas State Auditor's Office, the U.S. Government, and/or their authorized representatives to determine Subrecipient's compliance with the terms and conditions of this Contract and all applicable laws, rules, and regulations. 7.02 INSPECTION AND AUDIT (a) All records related to this Contract, including records of Subrecipient and its Subcontractors, shall be subject to the Administrative and Audit Regulations. (b) The State Auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. Acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the State Auditor must provide the State Auditor with access to any information the State Auditor considers relevant to the investigation or audit. The Comptroller General, the Government Accountability Office, the Office of Inspector General, or any authorized representative of the U.S. Government shall also have this right of inspection. Subrecipient shall cooperate fully with federal and state entities in the conduct of inspection, examination, audit, and copying, including providing all information requested. Subrecipient shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through Subrecipient and the requirement GLO Contract No. 21-060-013-C673 Page 11 of 23 DocuSign Envelope ID: 943F6310-9827-471 C-B42B-A32B2AD3578C to fully cooperate with federal and state entities is included in any subcontract it awards. (c) State agencies authorized to audit and inspect Subrecipient, its records, Subcontractors, and Subcontractors' records include the GLO, the GLO's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office, the Comptroller, and their authorized designees. With regard to any federal funding, federal agencies authorized to audit and inspect Subrecipient, its records, Subcontractors, and Subcontractors' records include: U.S. Department of Commerce, any other relevant federal agency(ies), the Office of the Comptroller General of the United States, the Government Accountability Office, the Office of Inspector General, and their authorized designees. 7.03 PERIOD OF RETENTION Each Party shall retain in its records this Contract and all documents related to this Contract. Unless a longer retention period is specified by applicable federal law or regulation, the Parties may destroy the Contract and related documents only after the seventh anniversary of the date: the Contract is completed or expires; or all issues that arise from any litigation, claim, negotiation, audit, open records request, administrative review, or other action involving the Contract or related documents are resolved. 7.04 PUBLIC RECORDS hi accordance with Section 2261.253 of the Texas Government Code, the GLO may post this Contract and related documents on its website. Information, documentation, and other material related to this Contract may be subject to public disclosure pursuant to the Texas Public Information Act ("PIA"). In accordance with Section 2252.907 of the Texas Government Code, Subrecipient shall make any information created or exchanged with the State/GLO pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available in a format that is accessible by the public at no additional charge to the State/GLO. Subrecipient shall make any information required under the PIA available to the GLO in portable document file (.pdf) format or any other format agreed between the Parties. If Subrecipient believes that any of its information is confidential and should be withheld from release under the PIA, Subrecipient should clearly label that information as confidential. However, the Attorney General will ultimately determine whether any Subrecipient information may be withheld from release under the PIA. In the event that the GLO receives a Public Information Request ("PIR") for any information submitted by Subrecipient related to this Contract, the GLO will comply with Section 552.305 of the Texas Government Code by notifying Subrecipient and providing Subrecipient with a copy of the PIR and the GLO's referral of the PIR to the Attorney General. Subrecipient, not the GLO, is responsible for making arguments to the Attorney General regarding the release of Subrecipient's information under the PIA. Subrecipient shall notify the GLO's Office of General Counsel within twenty-four hours of Subrecipient's receipt of any third party written requests for information to which Subrecipient has access as a result of this Contract, and Subrecipient will forward a copy of any such written requests to PIALegal(a)glo.texas.gov. For any third party requests for information that are not written, Subrecipient shall direct third parties to PIALegal(a,glo.texas.gov. GLO Contract No. 21-060-013-C673 Page 12 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C 7.05 CONFIDENTIALITY To the extent permitted by law, Subrecipient and the GLO shall keep all information confidential, in whatever form produced, prepared, observed, or received by Subrecipient or the GLO to the extent that such information is: (a) confidential by law; (b) marked or designated "confidential" (or words to that effect) by Subrecipient or the GLO; or (c) information that Subrecipient or the GLO are otherwise required to keep confidential by this Contract. Furthermore, Subrecipient will not advertise that it is doing business with the GLO use this Contract as a marketing or sales tool, or make any press releases concerning this Contract without the GLO's prior written approval. ARTICLE 8. EVENTS OF DEFAULT AND REMEDIES 8.01 EVENTS OF DEFAULT Each of the following events shall constitute an Event of Default under this Contract: (i) Subrecipient fails to comply with any term, covenant, or provision contained in this Contract; (ii) Subrecipient makes a general assignment for the benefit of creditors or takes any similar action for the protection or benefit of creditors; or (iii) Subrecipient makes a materially incorrect or false representation or warranty in the Work Plan, any reimbursement request, or any report submitted to the GLO related to the Contract. 8.02 REMEDIES; NO WAIVER Upon the occurrence of any Event of Default, the GLO may exercise any legal or equitable right or remedy available to it. A right or remedy conferred by this Contract upon either Party is not intended to be exclusive of any other right or remedy, and each right and remedy shall be cumulative and in addition to any other right or remedy given under this Contract, or hereafter legally existing upon the occurrence of an Event of Default. The failure of the GLO either to insist at any time upon the strict observance or performance of any of the provisions of this Contract, or to exercise any right or remedy as provided in this Contract, shall not impair any such right or remedy or be construed as a waiver or relinquishment thereof with respect to subsequent defaults. ARTICLE 9. DATA COLLECTION AND DELIVERY 9.01 GEOGRAPHIC INFORMATION SYSTEMS Data, databases, and products associated with electronic Geographic Information Systems (GIS) that have been collected, manipulated, or purchased with CMP grant funds and/or local match funds will be subject to all applicable terms of Texas Administrative Code, Title 1, Rule §205.10, State Agency Geographic Information Standards, available at: htq?s•//texreg sos state tx us/public/readtac$ext TacPage?sl=R&app=9&p dil=& rloc= &p tloc=&pploc=&pg=l&p tac=&ti=1&pt=10&ch=205&rl=10. 9.02 TRANSFER OF DATA Any GIS data to be transferred or exchanged that is collected, manipulated, or purchased with CMP grant funds must be documented as specified in the Federal Geographic Data Committee's (FGDC) Content Standard for Digital Geospatial Metadata (CSDGM). The federal metadata standard is available at: htq?s://www.fgdc.lzov/metadata/csdgm . GLO Contract No. 21-060-013-C673 Page 13 of 23 DocuSign Envelope ID: 943F6310-9827-471 C-B42B-A32B2AD3578C 9.03 FORMAT Any electronic spatial data collected, manipulated, or purchased with CMP grant funds and/or local match funds shall be transferred in a mutually acceptable GIS format approved by the Parties in writing, along with appropriate documentation. Non -spatial data deliverables (textual, spreadsheet, database, etc.) must be delivered in standard text, image, or database formats, and on mutually acceptable delivery media. ARTICLE 10. PUBLICATIONS AND FUNDING ACKNOWLEDGEMENTS 10.01 PUBLICATIONS (a) If Subrecipient or its employee(s) use NOAA financial assistance to publish any reports or other materials (including website materials) completed as a result of this Contract, Subrecipient shall ensure that the publication bears the following statement, as well as the NOAA and CMP logos, on the cover or title page: "This (publication/report/website) was funded ("in part" if appropriate) by a Texas Coastal Management Program grant approved by the Texas Land Commissioner, providing financial assistance under the Coastal Zone Management Act of 1972, as amended, awarded by the National Oceanic and Atmospheric Administration (NOAA), Office for Coastal Management, pursuant to NOAA Award No. NA20NOS4190184. The views expressed herein are those of the author(s) and do not necessarily reflect the views of NOAA, the U.S. Department of Commerce, or any of their subagencies." (b) If Subrecipient or its employee(s) use NOAA financial assistance to publish a paper based in whole or in part on the work funded by this Contract, Subrecipient shall ensure that the paper bears the following statement, as well as the NOAA and CMP logos, on the cover or title page: "This paper was funded ("in part" if appropriate) by financial assistance provided by the Coastal Zone Management Act of 1972, as amended, administered by the National Oceanic and Atmospheric Administration (NOAA), Office for Coastal Management, pursuant to NOAA Award No. NA20NOS4190184. The views expressed herein are those of the author(s) and do not necessarily reflect the views of NOAA, the U.S. Department of Commerce, or any of their subagencies." (c) If Subrecipient or its employee(s) use NOAA financial assistance to produce signage, Subrecipient shall ensure that all signage bears the following statement, as well as the NOAA and CMP logos: "This project was funded ("in part" if appropriate) by a Texas Coastal Management Program grant approved by the Texas Land Commissioner, providing financial assistance under the Coastal Zone Management Act of 1972, as amended, awarded by the National Oceanic and Atmospheric Administration (NOAA), Office for Coastal Management, pursuant to NOAA Award No. NA20NOS4190184." (d) When issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing projects or programs funded in whole or in part with federal funds, including, but not limited to, state and local governments and recipients of federal research grants, Subrecipient shall clearly state (i) the percentage of the GLO Contract No. 21-060-013-C673 Page 14 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C total costs of the project or program which will be financed with federal money; (ii) the dollar amount of federal funds for the project or program; and (iii) the percentage and dollar amount of the total costs of the project or program that will be financed by nongovernmental sources. All documents and materials must contain the NOAA and CMP logos on the front cover or title page. 10.02 SIGNAGE If Subrecipient uses CMP grant funds to construct facilities or other permanent improvements, Subrecipient shall provide and erect temporary signs during the construction phase of such improvements that include the NOAA and CMP logos and contain the following language: "Construction of this facility was made possible by a grant provided under the Coastal Zone Management Act of 1972, as amended, awarded by the National Oceanic and Atmospheric Administration, Office for Coastal Management, and approved by the Texas Land Commissioner under the Texas Coastal Management Program." At the completion of construction, Subrecipient shall replace the temporary signs with permanent signs, to be provided by the GLO. Subrecipient must erect permanent signs for projects that include land acquisition. ARTICLE 11. LAND ACQUISITIONS AND IMPROVEMENTS 11.01 PROPERTY STANDARDS Any property Subrecipient improves or acquires under the Contract shall be governed by the requirements of 2 C.F.R. Part 200. The use and disposition of property acquired under the Contract must comply with 2 C.F.R. Part 200 and the terms and conditions of the Federal Award. 11.02 LAND ACQUISITION (a) If Subrecipient acquires private land with CMP grant funds, Subrecipient shall have such land surveyed in the following manner: 1. Inland Surveys. Any parcel of land that does not abut any waters and is acquired by lot and block may be surveyed by a Registered Professional Land Surveyor ("RPLS") as that term is defined in Chapter 1071 of the Texas Occupations Code. The survey must meet the requirements of a Category 1A, Land Title Survey, as defined in the Manual of Practice for Land Surveying in Texas. Any survey conducted by an RPLS under this Section must be accompanied by copies of each recorded subdivision plat that includes any portion of the area to be acquired, and appropriate deeds and other documents referenced on the survey plat. Subrecipient shall record all surveys required under this subsection in the records of the County Surveyor (or the records of the County Clerk if there is no County Surveyor) of the county in which the land is located. 2. Surveys of Land Abutting Water. Any parcel of land Subrecipient acquires with funds under the Contract, other than land described in Section 11.02(a)(1) above, must be surveyed by a licensed state land surveyor ("LSLS") as that term is defined in Chapter 1071 of the Texas Occupations Code. The survey must meet the requirements of a Category IA, Land Title Survey, as defined in the Manual GLO Contract No. 21-060-013-C673 Page 15 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C of Practice for Land Surveying in Texas. Any survey conducted by an LSLS under this Section must be accompanied by copies of each recorded subdivision plat that includes any portion of the area to be acquired, and appropriate deeds and other documents referenced on the survey plat. Subrecipient shall record all surveys required under this subsection in the records of the County Surveyor (or the records of the County Clerk if there is no County Surveyor) of the county in which the land is located. 3. Coastal Boundary Surveys. If a coastal boundary survey is required for the Project, the coastal boundary survey must be performed in accordance with Texas Natural Resources Code Section 33.136. For surveys of tracts on or adjacent to Gulf beaches, maps, surveys, and/or profiles shall not delineate or map vegetation, the line of vegetation, or the landward boundary of the public beach. Such maps, surveys, and/or profiles shall also not include any mention of the location of the line of vegetation or the boundary of the public beach. For any work funded in whole or part by CMP funds, vegetation, the line of vegetation, and/or the landward boundary of the public beach can only be mapped, delineated, or described with specific written authorization from the GLO. The coastal boundary survey, as well as surveys of land as described in Section 11.02(a)(2) above, must contain the following statement: "This survey does not, nor is it intended to be used to, identify, delineate, or fix the line of vegetation or the landward boundary of the public beach." (b) Subrecipient shall encumber land acquired with CMP grant funds with deed restrictions or a conservation easement in a form approved by the GLO that will protect the land and its natural resources and preserve the public use and benefit of the land. Subrecipient must include the language specified by the GLO. (c) Appraisals for land acquired with CMP grant funds must be completed in accordance with the Uniform Appraisal Standards for Federal Land Acquisitions ("Yellow Book"), h ://www.iustice. ov/enrd/land-ack/Unifoim-A raisal-Standards. df. (d) The survey, appraisal, deed, deed restrictions, and conservation easement (if any) must be approved by the GLO. The GLO will not "hold" an easement or accept a third -party right of enforcement. 11.03 IMPROVEMENTS (a) Prior to any construction undertaken under this Contract, Subrecipient shall deliver to the GLO one (1) copy of the final construction contract documents, including the project manual containing the technical specifications and drawings. Any construction that will be undertaken with funding from this Contract shall be completed in compliance with the final construction contract documents approved by the GLO, and all applicable codes and standards. (b) Prior to any construction undertaken under the Contract, Subrecipient shall deliver to the GLO one (1) copy of Plans to be used for the Project. Any construction to be undertaken with funding from the Contract shall be completed in compliance with final Plans approved by the GLO. GLO Contract No. 21-060-013-C673 Page 16 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C (c) Upon completion of construction, Subrecipient shall submit a set of record ("as - built") drawings to document the final construction, as well as photographs of the completed construction, in the Final Report. (d) Subrecipient may not remove any improvements constructed with funds provided under this Contract, unless the federal awarding agency is compensated in accordance with 2 C.F.R. Part 200. 11.04 DEED LANGUAGE AND RESTRICTIONS If Subrecipient uses funds under the Contract to acquire land, the acquisition deed must contain language approved by the GLO that will protect the land and its natural resources and preserve the public use and benefit of the land. Subrecipient must include language specified by the GLO in each such deed. If Subrecipient uses funds under the Contract to improve public or private real property, Subrecipient must file in the real property records of the county where the property is located, a memorandum of restrictions, conservation servitudes, or conservation easement, in a form acceptable to the GLO, that will protect the land and its natural resources, preserve the public use and benefit of the land, and notify third parties of the restrictions. Subrecipient must include language specified by the GLO in each such memorandum, easement, or other document of conservation servitudes or restrictions. 11.05 GLO APPROVAL OF REAL ESTATE DOCUMENTS Subrecipient must obtain the GLO's prior written approval of any survey, appraisal, conservation easement, memorandum of restrictions, deed, or other real estate document or deliverable required under the Contract. Subrecipient must also submit a copy of each recorded document to the Grant Administrator. ARTICLE 12. MISCELLANEOUS PROVISIONS 12.01 CONTRACT AMENDMENT Unless otherwise provided herein, any revision to this Contract must be made by formal, written Contract amendment, executed by both Parties and, if required by federal law, approved by NOAA. 12.02 LEGAL OBLIGATIONS Subrecipient shall procure and maintain for the duration of this Contract any state, county, city, or federal license, authorization, insurance, waiver, permit, qualification or certification required by statute, ordinance, law, or regulation to be held by Subrecipient for the performance of this Contract. Subrecipient shall pay all taxes, assessments, fees, premiums, permits, and licenses required by law. Subrecipient shall pay all such government obligations not paid by its Subcontractors during performance of this Contract. Subrecipient shall not commence construction of the Project until it has obtained the requisite licenses and/or permits. Subrecipient shall include copies of such licenses and permits as a part of the Progress Report, as defined in this Contract, for the period during which they are obtained. GLO Contract No. 21-060-013-C673 Page 17 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C 12.03 TAXES, WORKERS COMPENSATION, UNEMPLOYMENT INSURANCE (a) Subrecipient shall be solely liable and responsible for payment of Subrecipient's and Subrecipient's employees' taxes of whatever kind, arising out of the execution or performance of the Contract. Subrecipient shall comply with all state and federal laws applicable to any such persons, including laws regarding wages, taxes, insurance, and workers' compensation. The GLO and the State of Texas shall not be liable to Subrecipient or its officers, agents, employees, representatives, contractors, assignees, designees, or others for the payment of taxes, or the provision of unemployment insurance, workers' compensation, or any benefit available to a state employee or employee of another governmental entity. (b) To the extent permitted by law, Subrecipient shall indemnify, defend, and hold harmless the State of Texas, the GLO, and/or their officers, agents, employees, representatives, contractors, assignees, and/or designees from and against any and all liability, actions, claims, demands, damages, proceedings, or suits, and all related costs, attorney fees, and expenses arising out of, connected with, or resulting from tax liability, unemployment insurance, or workers' compensation in the execution or performance of the Contract. Subrecipient and the GLO shall furnish timely written notice to each other of any such claim. Subrecipient shall be liable to pay all costs of defense including attorneys' fees. Subrecipient shall coordinate its defense with the Office of the Attorney General if the GLO or another Texas state agency is named defendants in any lawsuit and Subrecipient may not agree to any settlement without first obtaining the written consent of the Office of the Attorney General. 12.04 INDEMNITY As required under the Constitution and laws of the State of Texas, each Party understands that it is solely liable for any liability resulting from its acts or omissions. No act or omission of a Party shall be imputed to the other Party. Neither Party shall indemnify or defend the other Party. 12.05 ASSIGNMENT AND SUBCONTRACTS (a) Subrecipient shall not assign, transfer, or delegate any rights, obligations, or duties under this Contract without the prior written consent of the GLO, and any attempted or purported assignment, transfer or delegation thereof without such consent shall be null and void. Notwithstanding this provision, it is mutually understood and agreed that Subrecipient may subcontract with others for some or all of the work to be performed. In no event may Subrecipient delegate or transfer its responsibility for use of the funds under this Contract. (b) Subrecipient is responsible for upholding the integrity of the procurement process and must comply with the organizational conflicts of interest and/or noncompetitive procurement practices as required by 2 C.F.R. Part 200, and the terms and conditions of the Federal Award in connection with any subcontract it awards. (c) In any approved subcontracts, Subrecipient shall legally bind any such Subcontractors to perform, and make such Subcontractors subject to, all the duties, requirements, and obligations of Subrecipient specified herein. Nothing in this Contract shall be GLO Contract No. 21-060-013-C673 Page 18 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C construed to relieve Subrecipient of the responsibility for ensuring that that the work performed by Subrecipient and/or any of its Subcontractors comply with all the terms and provisions of this Contract. Subrecipient must submit a copy of each subcontract to the GLO within ten (10) business days after execution. (d) The GLO and the NOAA shall have the right to initiate communications with any Subcontractor, and may request access to any books, documents, papers, and records of a Subcontractor which are directly pertinent to this Project. Such communications may be required to conduct audits and examinations and gather additional information as provided in the Administrative and Audit Regulations. 12.06 RELATIONSHIP OF THE PARTIES Subrecipient is an independent contractor of the GLO associated with the GLO only for the purposes and to the extent specified in this Contract and, in respect to Subrecipient's performance pursuant to this Contract, Subrecipient shall have the sole right to supervise, manage, operate, control, and direct performance of the details incident to its duties under this Contract. Nothing contained in this Contract shall be deemed or construed to create a partnership or joint venture, to create relationships of an employer -employee or principal - agent, or to otherwise create for the GLO any liability whatsoever with respect to the indebtedness, liabilities, and obligations of Subrecipient or any other party. Subrecipient shall be solely responsible for, and the GLO shall have no obligation with respect to: withholding of income taxes, FICA, or any other taxes or fees; industrial or workers' compensation insurance coverage; participation in any group insurance plans available to employees of the State of Texas; participation or contributions by the State to the State Employees Retirement System; accumulation of vacation leave or sick leave; or unemployment compensation coverage provided by the State. 12.07 FEDERAL REGULATORY REQUIREMENTS Subrecipient shall make itself familiar with and comply with the federal regulatory requirements for federal financial assistance awards included in the Code of Federal Regulations. 12.08 COMPLIANCE WITH C1VIP RULES In the performance of this Contract, Subrecipient shall comply with the CMP Rules and shall ensure that the performance of all Subcontractors is in compliance therewith. 12.09 FEDERAL ASSURANCES AND CERTIFICATIONS Subrecipient certifies it has reviewed the Federal Assurances and Certifications in Attachment C and that Subrecipient is in compliance with all the requirements contained therein. Subrecipient certifies that it is in compliance with any other applicable federal laws, rules, or regulations pertaining to this Contract. 12.10 GENERAL AFFIRMATIONS To the extent they apply, Subrecipient certifies it has reviewed the General Affirmations in Attachment B and that Subrecipient is in compliance with all the requirements contained therein. GLO Contract No. 21-060-013.C673 Page 19 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C 12.11 COMPLIANCE WITH LAWS In the performance of this Contract, Subrecipient shall comply with all applicable federal, state, and local laws, ordinances, and regulations. Subrecipient shall make itself familiar with and at all times shall observe and comply with all federal, state, and local laws, ordinances, and regulations that in any manner affect performance under this Contract. Subrecipient is deemed to know of and understand all applicable laws and regulations. 12.12 HISTORICALLY UNDERUTILIZED BusINESSES In accordance with State law, it is the GLO's policy to assist Historically Undemtilized Businesses ("HUBs") whenever possible, to participate in providing goods and services to the GLO. The GLO encourages Subrecipient to adhere to this same philosophy in selecting Subcontractors to assist in fulfilling Subrecipient's performance under the Contract. The GLO encourages Subrecipients to partner with certified HUBs that participate in the Comptroller's Mentor Prot6g6 Program. 12.13 NOTICES Notices required under this Contract shall be deemed delivered when deposited either in the U.S. mail, postage paid, certified, return receipt requested; or with a common carrier, overnight, signature required, to the address indicated below: GLO Texas General Land Office 1700 N. Congress Avenue, Mail Code 158 Austin, TX 78701 Attention: Contract Management Division With a copy to: Texas General Land Office 1700 N. Congress Avenue, Room 330 Austin, TX 78701 Attention: CMP Grant Administrator Subrecipient Calhoun County 211 S. Ann Street, Ste. 301 Port Lavaca, TX 77979 Attention: County Judge Notice given in any other manner shall be deemed effective only if and when received by the Party to be notified. Either Party may change its address for notice by written notice to the other Party as herein provided. 12.14 GovERNiNG LAW AND VENUE This Contract and the rights and obligations of the Parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit brought under this Contract shall be in a court of competent jurisdiction in Travis County, Texas. Subrecipient irrevocably waives any objection, including any objection to personal jurisdiction, the laying of venue, or based on forum non conveniens, which it has or may have to the bringing of any action or proceeding in GLO Contract No. 21-060-013-C673 Page 20 or 23 DocuSign Envelope ID: 943F6310-9827-471 C-134213-A32KAD3578C such jurisdiction in respect of this Contract or any related document. NOTHING IN THIS CONTRACT SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR THE STATE OF TEXAS. 12.15 SEVERABILITY If a court of competent jurisdiction determines any provision of this Contract is invalid, void, or unenforceable, the remaining terms, provisions, covenants, and conditions of this Contract shall remain in full force and effect, and shall in no way be affected, impaired, or invalidated. 12.16 DISPUTE RESOLUTION Except as otherwise provided by statute, rule, or regulation, Subrecipient shall use the dispute resolution process established in Chapter 2260 of the Texas Government Code and related rules to attempt to resolve any dispute under this Contract, including a claim for breach of contract by the GLO, that the Parties cannot resolve in the ordinary course of business. Neither the occurrence of an event giving rise to a breach of contract claim nor the pendency of such a claim constitutes grounds for Subrecipient to suspend performance of this Contract. Notwithstanding this provision, the GLO reserves all legal and equitable rights and remedies available to it. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 12.17 INFRINGEMENT (a) To the extent allowed by law, Subrecipient shall indemnify, defend, and hold harmless the State of Texas, the GLO, and/or their officers, agents, employees, representatives, contractors, assignees, and/or designees from and against any and all liability, actions, claims, demands, damages, proceedings, or suits, and all related costs, attorney fees, and expenses arising out of, connected with, or resulting from infringement of any United States patent, copyright, trade or service mark, or any other intellectual or intangible property right that occurs in the performances or actions of Subrecipient pursuant to this Contract. Subrecipient and the GLO shall furnish timely written notice to each other of any such claim. Subrecipient shall be liable to pay all costs of defense including attorneys' fees. Subrecipient shall coordinate its defense with the Office of the Attorney General (OAG) when Texas state agencies are named defendants in any lawsuit and Subrecipient may not agree to any settlement without first obtaining the written consent of the OAG. (b) Subrecipient shall have no liability under this section if the alleged infringement is caused in whole or in part by: (i) use of the product or service for a purpose or in a manner for which the product or service was not designed, (ii) any modification made to the product without Subrecipient's written approval, (iii) any modifications made to the product by Subrecipient pursuant to the GLO's specific instructions, or (iv) any use of the product or service by the GLO that is not in conformity with the terms of any applicable license agreement. (c) If Subrecipient becomes aware of an actual or potential claim, or the GLO provides Subrecipient with notice of an actual or potential claim, Subrecipient may (or in the case of an injunction against the GLO, shall), at Subrecipient's sole option and expense: (i) procure for the GLO the right to continue to use the affected portion of GLO Contract No. 21-060-013-C673 Page 21 or 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C the product or service, or (ii) modify or replace the affected portion of the product or service with a functionally equivalent or superior product or service so that the GLO's use is non -infringing. 12.18 FORCE MAJEURE Except with respect to the obligation of payments under this Contract, if either of the Parties, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected Party (collectively referred to as a "Force Majeure"), then, while so prevented, the affected Party's obligation to comply with such covenant shall be suspended, and the affected Party shall not be liable for damages for failure to comply with such covenant. In any such event, the Party claiming Force Majeure shall promptly notify the other Party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The Party claiming Force Majeure shall exercise due diligence to prevent, eliminate, or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non-performance continues for more than thirty (30) days, the GLO may terminate this Contract immediately upon written notification to Subrecipient. 12.19 PROPER AUTHORITY Each party hereto represents and warrants that the person executing this Contract on its behalf has full power and authority to legally bind its respective entity. 12.20 ENTIRE CONTRACT AND MODIFICATIONS This Contract and its Attachments constitute the entire agreement of the Parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions, and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachments shall be harmonized with this Contract to the extent possible. Unless an Attachment specifically displays a mutual intent to amend part of this Contract, conflicts in language shall be construed consistently with the terms of this Contract. Except as otherwise provided herein, this Contract may only be amended by a mutual, written agreement executed by the Parties' authorized representatives. 12.21 COUNTERPARTS This Contract may be executed in any number of counterparts, each of which shall be an original, and all such counterparts shall together constitute but one and the same Contract. 12.22 SUBAWARD OFFER SUBJECT TO CANCELLATION If Subrecipient does not return the original signed Contract to the GLO within thirty (30) days of transmittal of the Contract to Subrecipient, the GLO may cancel subaward funding for the Project and rescind the Contract. 12.23 SURVIVAL OF TERMS AND CONDITIONS The terms and conditions of this Contract related to the following subjects shall survive the termination or expiration of this Contract: definitions; interpretive provisions; subaward; federal assurances and certifications; general affirmations; grant GLO Contract No. 21-060-013-C673 Page 22 of 23 DocuSlgn Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C administration; federal funding; state funding; recapture of funds; overpayment; ownership; intellectual property; non -endorsement; publications and funding acknowledgements; records, audit, retention, and disclosure; property standards, land acquisitions, and improvements; indemnity; infringement of intellectual property rights; independent contractor relationship; compliance with laws; notices; choice of law and venue; severability; dispute resolution; and merger and integration. Terms and conditions that, explicitly or by their nature, evidence the Parties' intent that they should survive the termination or expiration of this Contract shall so survive. SIGNATURE PAGE FOLLOWS GLO Contract No. 21-060-013-C673 Page 23 of 23 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C SIGNATURE PAGE FOR GLO CONTRACT No. 21-060-013-C673 GENERAL LAND OFFICE Si d by arETEffavens, Chief Clerk/ Deputy Land Commissioner Date of execution: 11/16/2020 OGC �f0 DIV DrR & 1^� DD R SDD (gam. DGC GC !G CALHOUN COUNTY Docu3igned by: 8gA@otoArd Meyer Title: county Judge Date of execution: 11/13/2020 ATTACHMENTS FOLLOW DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment A GLO Contract No. 21-060-013-C673 Pagel of 5 Project Name: Boggy Bayou Nature Park Improvements Subrecipient: Calhoun County Reporting Frequency: Monthly Contact: Gary Reese Project Description: Boggy Bayou Nature Park, located in Port O'Connor adjacent to the Powderhom Ranch Wildlife Management Area, provides public access to Matagorda Bay and Boggy Bayou for fishing, kayaking, swimming, hiking, and birding. The park has no amenities and no habitat protection measures, except for a boardwalk over part of the marsh area. Visitors enter the park on a 1,400- foot gravel road and follow undefined sand roads and trails to reach the bay and bayou shorelines. These roads are subject to flooding by rain and bay tides. The public often drives into the surrounding sensitive marsh areas to avoid standing water, resulting in damage to marsh and intertidal areas, wetlands, salt and mud flats and the smooth cordgrass shorelines. Calhoun County (the County) will use CMP Cycle 25 funds to add amenities and protective measures in and around the park to prevent future habitat destruction. The County will install a 16' x 20' swing gate at the end of the entrance road to prevent vehicles from entering the sandy beach area during flood conditions. Bollard fencing will be placed around the gate area. The sandy roads will be elevated and extended 300 feet with clay and limestone, and a 30-foot plastic culvert pipe will be installed under the road to channel tidal water during rain events. Bollard fencing will be placed along the entrance road and around the parking area to stop vehicles from entering the marsh. Additionally, the current 10' x 15' boardwalk terminus will be expanded to 20' x 15' and covered with a pavilion. Benches, a table, and an Americans with Disabilities Act (ADA) wooden ramp will be added. At the south shoreline of the bayou, a new kayak access point will be established with signage and water markers. New signage will be added to the park. The County will install a park entrance sign and a sign to display park rules, usage and safety measures near the boardwalk. "No Vehicles" and "No Dumping" signs will be placed where needed. Educational signage on birds and coastal plant communities will be installed at the boardwalk terminus and at the kayak access point. Park directional signs will be placed on nearby roadways. ADA parking stripes and signage will be added to the concrete pad in the parking lot. All signage will acknowledge the use of CMP funding. It is anticipated that local teachers, visitors and environmental groups will be able to more fully use the park as an outdoor environmental education area once these improvements are made. It is also estimated that the improvement will increase ecotourism to the Port O'Connor area by at least 10%. DocuSign Envelope to: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment A GLO Contract No. 21-060-013-C673 Page 2 of 5 Project Budget: CMP Subrecipient Third Party Total Salaries $0.00 $5,880.00 $0.00 $5,880.00 Fringe Benefits $0.00 $0.00 $0.00 $0.00 Travel $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $23,002.00 $1,500.00 $24,502.00 Equipment $0.00 $0.00 $0.00 $0.00 Contractual $86,280.00 $28,620.00 $0.00 $114,900.00 Other $0.00 $4,290.00 $3,500.00 $7,790.00 Subtotal $86,280.00 $61,792.00 $5,000.00 $153,072.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 Total $86,280.00 $61,792.00 $5,000.00 $153,072.00 Special Award Conditions: 1. This project must be completed as described in this work plan. 2. The GLO and NOAA must approve any changes in the scope of work or budget requests that change the total project cost. 3. CMP and NOAA logos and the appropriate acknowledgment statement must be printed on education/outreach materials, signs, final reports and/or publications, etc. 4. Data must be shared in the appropriate manner as specified in the contract. 5. The subrecipient must coordinate with the GLO prior to issuing press releases, conducting media events, or otherwise engaging in media related communications for this project. 6. If historic properties are encountered during construction or disturbance activities, the County should cease work in the immediate area and contact the Texas Historical Commission's History Programs Division to consult on further actions that may be necessary to protect the historical remains. The County may continue construction in areas where no historical properties are present. 7. If buried cultural materials are encountered during construction or disturbance activities, the County should cease work in the immediate area and contact the Texas Historical Commission's Archeology Division to consult on further actions that may be necessary to protect the cultural remains. The County may continue construction in areas where no cultural materials are present. 8. The County is not authorized to expend funds in the amount of $86,280 for swing gate, bollard fencing, road improvements, or boardwalk expansion until the recipient provides to NOAA: site plans, permits, any environmental consultations, at least 90% designs, or any additional information requested to satisfy requirements for National Environmental Policy Act (NEPA) and environmental consultation, and receives approval from NOAA. DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment A GLO Contract No. 21-060-013-C673 Page 3 of 5 Task 1: Engineering Design, Permitting and Bidding The County will solicit engineering services through a Request for Qualifications (RFQ) in accordance with state and local standards and award a contract to an engineer and to a coastal environmental specialist to conduct a wetland delineation survey. The engineer will develop technical specifications and a complete set of construction drawings to be submitted to the GLO for approval. Once approved, the County will solicit bids to select a construction contractor. The GLO must review and approve the documents prior to bid solicitation. All necessary permits and environmental clearances must be obtained. Task 1 Deliverables: 1. RFQ to select engineer and coastal environmental specialist Due Date: 11/1/2020 2. Executed engineering and coastal environmental specialist contract Due Date:1/15/2021 3. Wetland delineation report Due Date: 2/l/2021 4. Copies of permits and environmental clearances, as required Due Date: 3/31/2021 5. Preliminary design review (90% designs) with GLO Due Date: 3/31/2021 6. Required documents in special award condition #8 (site plans, any environmental consultations, and any additional information requested to satisfy requirements for National Environmental Policy Act (NEPA) and environmental consultation) Due Date: 3/31/2021 7. Construction bid package, including technical specifications and construction drawings Due Date: 6/l/2021 8. Bid tabulations Due Date: 8/l/2021 9. Executed construction contract Due Date: 8/15/2021 Travel: No travel money requested for task Task 2: Construction The County will improve the Boggy Bayou Nature Park by building a swing gate at the end of the park entrance road, elevating the sandy road, constructing a culvert to divert flood water and installing 2,000 linear feet of bollards along the park road, parking area, swing gate, and other areas, determined by the engineer, to protect sensitive marsh. Additionally, the boardwalk terminus will be enlarged to 20' x 15' and covered with a wooden pavilion. The County will install temporary CMP signage at the site during construction. The GLO will provide a permanent CMP sign, which the County will install at the project site following construction. A DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment A GLO Contract No. 21-060-013-C673 Page 4 of 5 Registered Accessibility Specialist must certify the boardwalk ramp is compliant with Texas State Accessibility Standards (TAS). Task 2 Deliverables: Photos before, during, and after construction Due Date: 6/30/2021 and 1/10/2022 2. Photos of temporary CMP signage Due Date: 9/1/2021 3. Photos of permanent CMP signage Due Date: 1/10/2022 4. TAS certification of consistency Due Date: 11/31/2021 Travel: No travel money requested for task Task 3: Signage Installation The County will install new signage throughout the park. A park entrance sign and a sign to display park rules, usage and safety measures will be installed near the boardwalk. 'No Vehicles" and "No Dumping" signs will be placed where needed. Educational signage on birds and coastal plant communities will be installed at the boardwalk terminus and at the kayak access point. Park directional signs will be placed on nearby roadways. ADA parking stripes and signage will be added to the concrete pad in the parking lot. All signage will acknowledge the use of CMP funding. Conceptual designs and draft layout text of interpretive signage must be submitted and approved by the GLO prior to installation. Task 3 Deliverables: 1. Interpretive signage conceptual design and draft text layout Due Date: 11/30/2021 2. Photos of installed interpretive signage Due Date: 12/31/2021 Travel: No travel money requested for task Task 4: Kayak and Birding Trails The County will build and install a kiosk at the paddling trail access point. Additionally, the County will install road signage to identify paddling access sites. The County will design and install educational signage along the birding trail. All signage will acknowledge the use of CMP funding. Conceptual designs and draft layout text of interpretive signage must be submitted and approved by the GLO prior to installation. Task 4 Deliverables: 1. Photos of installed paddling trail kiosk DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment A GLO Contract No. 21-060-013-C673 Page 5 of 5 Due Date: 9/30/2021 2. Interpretive signage conceptual design and draft text layout for road and birding trail Due Date: 10/30/2021 3. Photos of road signage and birding trail signage installed Due Date: 12/31/2021 Travel: No travel money requested for task Task 5: Project Monitoring & Reporting The County will prepare and submit all reports, deliverables, and requests for reimbursement as required in the contract, to CMPRecei ttss@GLO.TEXAS.GOV. Monthly progress reports are due to CMPRecei ttss(cb,GLO.TEXAS.GOV on the 10th day of every month of the year starting with January 10, 2021. Requests for reimbursement are to be submitted at the same time as the progress reports to CMPReceipts@GLO.TEXAS.GOV, as specified in the contract. The County will provide a final report that summarizes activities that occurred under each task throughout the project duration and include photos of the completed project. Task 5 Deliverables: 1. Monthly progress reports and requests for reimbursement Due Date: As specified in contract 2. Draft final report Due Date: 3/15/2022 3. Final report Due Date: 3/31/2022 4. Project closeout form Due Date: 3/31/2022 Travel: No travel money requested for task DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 1 of 8 General Affirmations To the extent they apply, Subrecipient affirms and agrees to the following, without exception: Subrecipient represents and warrants that, in accordance with Section 2155.005 of the Texas Government Code, neither Subrecipient nor the firm, corporation, partnership, or institution represented by Subrecipient, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the same line of business as Subrecipient. 2. If the Contract is for services, Subrecipient shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts. 3. Under Section 231.006 of the Family Code, the Subrecipient certifies that the individual or business entity named in this Contract, bid or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate. 4. A bid or an application for a contract, grant, or loan paid from state funds must include the name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Subrecipient certifies it has submitted this information to the GLO. 5. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2), Subrecipient certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in Title 30 Texas Administrative Code Chapter 328. 6. Pursuant to Section 2155.003 of the Texas Government Code, Subrecipient represents and warrants that it has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract. 7. Payments due under the Contract shall be directly applied towards eliminating any debt or delinquency Subrecipient owes to the State of Texas including, but not limited to, delinquent taxes, delinquent student loan payments, and delinquent child support, regardless of when the debt or delinquency arises. 8. Upon request of the GLO, Subrecipient shall provide copies of its most recent business continuity and disaster recovery plans. 072220MB DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 2 of 8 9. If the Contract is for consulting services governed by Texas Government Code Chapter 2254, Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Subrecipient certifies that it does not employ an individual who has been employed by The GLO or another agency at any time during the two years preceding the Subrecipient's submission of its offer to provide consulting services to the GLO or, in the alternative, Subrecipient, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency; (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination. 10. If the Contract is not for architecture, engineering, or construction services, except as otherwise provided by statute, rule, or regulation, Subrecipient must use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 11. If the Contract is for architecture, engineering, or construction services, subject to Texas Government Code, Section 2260.002 and Texas Civil Practice and Remedies Code Chapter 114, and except as otherwise provided by statute, rule, or regulation, Subrecipient shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if the Subrecipient's claim for breach of contract cannot be resolved by the parties in the ordinary course of business, Subrecipient may make a claim against the GLO for breach of contract and the GLO may assert a counterclaim against the Subrecipient as is contemplated by Texas Government Code, Chapter 2260, Subchapter B. In such event, Subrecipient must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after the date of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount the Subrecipient seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Contract, another officer of the GLO, shall examine the claim and any counterclaim and negotiate with the Subrecipient in an effort to resolve them. The negotiation must begin no later than the 120th day after the date the claim is received, as is contemplated by Texas Government Code, Chapter 2260, Section 2260.052. c. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the parties shall reduce the agreement or DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 3 of 8 settlement to writing and each party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a party's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the parties agree in writing to an extension of time, the parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is the Subrecipient's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or immunities available to the State of Texas. The failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses, remedies, or immunities available to the State of Texas under this Contract or under applicable law shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260, subchapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the Subrecipient: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260 of the Texas Government Code. 12. If Chapter 2271 of the Texas Government Code applies to this Contract, Subrecipient verifies that it does not boycott Israel and will not boycott Israel during the term of the Contract. 13. This Contract is contingent upon the continued availability of lawful appropriations by the Texas Legislature. Subrecipient understands that all obligations of the GLO under this Contract are subject to the availability of state funds. If such funds are not appropriated or become unavailable, the GLO may terminate the Contract. The Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. 14. Subrecipient certifies that it is not listed on the federal government's terrorism watch list as described in Executive Order 13224. 15. In accordance with Section 669.003 of the Texas Government Code, relating to contracting with the executive head of a state agency, Subrecipient certifies that it is not (1) the executive head of the GLO, (2) a person who at any time during the four years before the effective date DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 4 of 8 of the Contract was the executive head of the GLO, or (3) a person who employs a current or former executive head of the GLO. 16. Subrecipient represents and warrants that all statements and information prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach of contract and may void the Contract or be grounds for its termination. 17. Pursuant to Section 2155.004(a) of the Texas Government Code, Subrecipient certifies that neither Subrecipient nor any person or entity represented by Subrecipient has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. This Section does not prohibit Subrecipient from providing free technical assistance. 18. Subrecipient represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code. 19. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section, Subrecipient represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as described by Chapter 2254 of the Texas Government Code, Subrecipient further represents and war -rants that if a former employee of the GLO was employed by Subrecipient within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Subrecipient that the employee worked on while employed by the GLO. 20. The Contract shall be governed by and construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to the GLO. 21. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 5 of 8 OF SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. 22.IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, SUBRECIPIENT, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO SUBRECIPIENT'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE SUBRECIPIENT OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO SUBRECIPIENT, OR ANY OTHER ENTITY OVER WHICH THE CONTRACTOR EXERCISES CONTROL, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. 23. TO THE EXTENT ALLOWED BY LAW, SUBRECIPIENT SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF SUBRECIPIENT PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR SUBRECIPIENT'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-06"13-C673 Page 6 of 8 SUBRECIPIENT OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT OF SUBRECIPIENT'S PERFORMANCE UNDER THE CONTRACT. SUBRECIPIENT AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. SUBRECIPIENT SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY SUBRECIPIENT WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND SUBRECIPIENT MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION, SUBRECIPIENT WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS, INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT A CONFLICT EXISTS BETWEEN ITS INTERESTS AND THOSE OF SUBRECIPIENT OR IF THE GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND SUBRECIPIENT WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL. 24. Subrecipient has disclosed in writing to the GLO all existing or potential conflicts of interest relative to the performance of the Contract. 25. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past five years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Government Code, occurring after September 24, 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code, Subrecipient certifies that the individual or business entity named in this Contract is not ineligible to receive the specified contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 26. Subrecipient understands that the GLO will comply with the Texas Public Information Act (Chapter 552 of the Texas Government Code) as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas. Information, documentation, and other material related to this Contract may be subject to public disclosure pursuant to the Texas Public Information Act. In accordance with Section 2252.907 of the Texas Government Code, Subrecipient shall make any information created or exchanged with the State/GLO pursuant to the Contract, and not otherwise excepted from disclosure under the Texas Public Information Act, available in a format that is accessible by the public at no additional charge to the State or the GLO. 27. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Subrecipient and legally empowered to contractually bind Subrecipient to the terms and conditions of the Contract and related documents. DocuSign Envelope ID: 943F6310-9827A71C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 7 of 8 28. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Government Code, Subrecipient shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect. 29. The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Subrecipient shall ensure that this paragraph concerning the authority to audit funds received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend the Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of the Texas Government Code. 30. Subrecipient certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the Contract by any state or federal agency. 31. Subrecipient expressly acknowledges that state funds may not be expended in connection with the purchase of an automated information system unless that system meets certain statutory requirements relating to accessibility by persons with visual impairments. Accordingly, Subrecipient represents and warrants to the GLO that any technology provided to the GLO for purchase pursuant to this Contract is capable, either by virtue of features included within the technology or because it is readily adaptable by use with other technology, of: providing equivalent access for effective use by both visual and non -visual means; presenting information, including prompts used for interactive communications, in formats intended for non -visual use; and being integrated into networks for obtaining, retrieving, and disseminating information used by individuals who are not blind or visually impaired. For purposes of this Section, the phrase "equivalent access" means a substantially similar ability to communicate with or make use of the technology, either directly by features incorporated within the technology or by other reasonable means such as assistive devices or services which would constitute reasonable accommodations under the Americans With Disabilities Act or similar state or federal laws. Examples of methods by which equivalent access may be provided include, but are not limited to, keyboard alternatives to mouse commands and other means of navigating graphical displays, and customizable display appearance. 32. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the Texas Health and Safety Code, Subrecipient certifies its DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment B GLO Contract No. 21-060-013-C673 Page 8 of 8 compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to the Television Equipment Recycling Program. 33. Pursuant to Section 572.069 of the Texas Government Code, Subrecipient certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Subrecipient within two (2) years after the date that the contract is signed or the procurement is terminated or withdrawn. This certification only applies to former state officers or employees whose state service or employment ceased on or after September 1, 2015. 34. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Subrecipient shall report any possible fraud, waste, or abuse that occurs in connection with the Contract to the GLO's Fraud Reporting hotline at (877) 888-0002. 35. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and Subrecipient agrees that the Contract can be terminated if Subrecipient knowingly or intentionally fails to comply with a requirement of that subchapter. 36. If Subrecipient, in its performance of the Contract, has access to a state computer system or database, Subrecipient must complete a cybersecurity training program certified under Texas Government Code Section 2054.519, as selected by the GLO. Subrecipient must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Subrecipient must verify in writing to the GLO its completion of the cybersecurity training program. 37. Under Section 2155.0061, Texas Government Code, Subrecipient certifies that the entity named in this contract is not ineligible to receive the specified contract and acknowledges that this contract may be terminated and payment withheld if this certification is inaccurate. DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment C GLO Contract No. 21-060-013-C673 Page 1 of 5 ASSURANCES -CONSTRUCTION PROGRAMS OMB Approval No. 4040-0009 LYIc-1l�Llct:]c4rlS_� Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for review instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collectior information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non-discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 at seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a) Title A of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (a) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 at seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, 0) the requirements of any other nondiscrimination statute(s) which may apply to the application. Standard Form 424D (Rev.7-97) Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102 DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment C GLO Contract No. 21-060-013-C673 Page 2 of 5 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 at seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93- 205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 at seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will comply, as applicable, with the provisions of the Davis- 17. Will assist the awarding agency in assuring compliance with Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act Section 106 of the National Historic Preservation Act of (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract 1966, as amended (16 U.S.C. §470), EO 11593 Work Hours and Safety Standards Act (40 U.S.C. (identification and protection of historic properties), and the §§327-333) regarding labor standards for federally -assisted Archaeological and Historic Preservation Act of 1974 (16 construction subagreements. U.S.C. §§469a-1 at seq.). 14. Will comply with flood insurance purchase requirements of 18. Will cause to be performed the required financial and Section 102(a) of the Flood Disaster Protection Act of 1973 compliance audits in accordance with the Single Audit Act (P.L. 93-234) which requires recipients in a special flood Amendments of 1996 and OMB Circular No. A-133, "Audits hazard area to participate in the program and to purchase of. States, Local Governments, and Non -Profit flood insurance if the total cost of insurable construction Organizations." and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (a) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 at seq.); (f) conformity of 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE 0... Slg1 ed by: KdA. 4 Lr County judge APPEfVXKTkMGANIZATION DATE SUBMITTED Calhoun County 11/13/2020 SF-424D (Rev. 7-97) Back THIS FORM MUST BE EXECUTED DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment C GLO Contract No. 21-060-013-C673 Page 3 of 5 CERTIFICATION REGARDING LOBBYING COMPLIANT WITH APPENDIX A TO 24 C.F.R. PART 871 Certification for Contracts, Grants, Loans, and Cooperative Agreements: The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance: The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Calhoun County 21-060-013-C673 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Richard Meyer County Judge SIGNATURE DATE FaocuSlgne4 by: I..,J ne...., 11/13/2020 T-DT`l° 1t00'O App. A, available at hMs://w w gpo gov/fdsys/granule/CFR-2011-title24-voll/CFR-2011-title24-voll-nan87- appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018. DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment C GLO Contract No. 21-060-013-C673 Page 4 of 5 Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 OMB Number: 4040-0013 (See reverse for public burden disclosure) Expiration Date: 02/28/2022 1. *Type of Federal Action: 2. *Status of Federal Action: 3. *Report Type: a. contract a. bid/offer/application a. initial filing In. grant b. initial award b. material change c. cooperative agreement c. post -award d. loan e. loan guarantee f loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Prime Subawardee Enter Name and Address of Prime: Name: Street 1: Street 2: City: State: Zip: Congressional District, if known: Congressional District, ifknown: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, ifapplicable: 8. Federal Action Number, ifknown: 9. Award Amount, ifknown: 10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, MI): different from No. l0a) (last name, first name, MI): 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying Signature: activities is a material representation of fact upon which reliance was placed by the tier above when this transaction Print Name: was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported Title: to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not lessthan Telephone No.: Date: $10,000 and not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Attachment C GLO Contract No. 21-060-013-C673 Page 5 of 5 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Subawardee, ' then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., "RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 4040-0013. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (4040-0013), Washington, DC 20503. DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C SUPPORTING DOCUMENTS RnvSneed Online DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Page 1 of 4 © Search... Open Market Requisition X0022760 Catalog Q Advanced Status: 1RGP-Gone to PO PJ General Items Vendors Address Accounting Routing Attachments(1) Noteshn Reminders Summary System Warn l ng(s) x New Purchase Order is EP017916 Header Information Requisition Number: X0022760 Short Description: Cycle 25 Boggy Bayou Nature Park Status: 1RGP- Improvements Gone to PO Organization: Texas General Land Office and Veterans Land Board Department: 07000- Coastal Resources Location: 07001-Grant Programs Required By Date: Entered Date: 08/1312020 Requisition Type: open Market Type Code: Requestorl Sharon Moore Purchaser: Susan Tipton -Hines Fiscal Year: 2021 Contact: Sharon Moore Contact Phone: (512)463-5819 Alternate ID: 21-060- 013-0673 Estimated Cost: $86,280.00 Print Format: Requisition print form Solicitation Enabled: No Invoice Method: Three way Match P-Card Desired: No Ship -to Address: Texas General Land Office and Bill -to Address: Texas General Land Office and Veterans Land Board Veterans Land Board Stephen FAustin Building Cash Disbursements 1700 North Congress Ave Contact Name: Roland Torres Room B-30 PO Box 12873 Contact Name: Chris Symons Austin, TX 78711 Austin, TX 78701-1495 USA USA Email: Vendorinvoices@glo.texas.gov Email: chrls.symons@glo.texas.gov Phone:(512)463-3883 Phone:(512)463-8264 Notes: SAVE BASED ON DOLLARS VENDOR: CALHOUN COUNTY 211 S. Ann St. Ste. 301, Port Lavaca, TX 77979 AUTHORIZING OFFICIAL: Richard Meyer, County)udge Richard.meyer@calhouncotx.org 361-5534600 Vendors: VendorlD Alternative ID Vendor Name Preferred Delivery Method Recommended 00039884 17460019239 Calhoun County Email No Attachments Agency Files: Work Plan -C673-FINAL.docx Agency Forms: Vendor Files: Current Org: Texas General Land Office and Veterans Land Board = I September 21, 20208:21:10 AM CST https://buy. glo.texas. gov/bso/requisition/regSummary. sdo?docId=X0022760&mode=initial 9/21 /2020 RuvSneed Online DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Page 2 of 4 Vendor Forms: OSearch... Item Information B Show 25 entries Showing 1 to 1 of 1 entries Catalog Q Advanced Item Information First Previous 1 Next Last Item#t: Calhoun County(the County)will protectthe natural environment and enhance public access to Baggy 1RGP- BayouNature Park inPon O'Connor,TX. The Counrywill install a swinggate to keep cars out ofthe area Goneto when it's flooded, install bollards to protect the marsh from being driven on, Install a kayak launch, and PO elevate the access road. NIGP Class: 962�73 Restoration and Reclamation Services: Land and Other Properties PO#/PO Item#: EP017916/1 Cry Unit Cost Net Unit Cost UOM Discount% Total Discount Amt. Tax Rate Tax Amount Freight Total Cost 1.0 $86280.00 $86280.00000 EA - Each 0.00% $0.00 0.00% $0.00 $0.00 $86280.00 Manufacturer: Brand: Model: Make: Packaging: Product Length: Product Width: Product Height: Product Weight UPC/ISBN: SKU: Tags: URL: Account Code Extended Account Code Amount 2021-07584-7612000-7612000-0027-13025-4280 --0673 $86290.00 Contract Number: Grant Number: Grant Phase: C Recommended 00039884 - Calhoun County Vendor: Richard Meyer 211 South Ann Street Suite 301 Port Lavaca, TX 77979 USA Email: richard.meyer@calhounmtx.org Current Org: Texas General Land Office and Veterans Land BoarA--a:l(3§V§ @P 21, 20209:21:10 AM CST https://buy.glo.texas.gov/bso/requisition/regSummary.sdo?docrd=X0022760&mode=initial 9/21/2020 RnvSneed Online DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Page 3 of 4 Item Information Show 25 entries Showing 1 to 1 of 1 entries Approval Paths First Previous 1 Next Last Approval Path - DIR07001 - ( Grant Programs Director Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 1 Julie 1 08/13/202008:29AM 09/17/2020075BAM Approved Oulie McEntire McEntire) Approval Path -DEP07000-(Coastal Resources Deputy Approval) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 2 Melissa 1 08/17/202007:58AM 08/17/202007:59AM Approved (Melissa Porter Porter) Approval Path - SDD-CPGRP - (Sr.Deputy Director -Coastal Protection Group) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 3 David 1 08117/202007:59 AM 08/17/202008:21 AM Approved (David Green Green) Approval Path - BUDGET- ( Budget Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 4 Kevin Paul 1 08/17/2020 08:21 AM 08/17/2020 09:11 AM Approved (Susan Wallace Botello Dow) Sarah Clawson Valerie Hooper Susan Dow Adel Barrientos Amy Minor Gayle Eiben Jason Storey 5 Angie Jason 2 081171202009:11AM 08/17/202010:27AM Approved(Angle Williams Storey Williams) Current Org: Texas General Land Office and Veterans Land Board = I September 21, 20208:21:10AM CST https:llbuy.glo.texas. govlbsolrequisitionlregSummary.sdo?docld=XO022760&mode=initial 9/21 /2020 RuvSneed Online DocuSign Envelope ID: 943F6310-9827-471C-B42B-A32B2AD3578C Page 4 of 4 oval Path -CHIEF - ( CHIEF Clerk Approval) FOrder Ap�gNrrCrAiternate Level Date Requested &}galog Action Sequence Approver 6 David Warren 1 08/17/202010:27AM 09117/202010:49AM Approved(David Repp Collier Repp) 7 Mark 2 08/17/202010:49AM 08/18/202007:28AM Approved (Mark Havens Havens) Approval Path - PROCURE - ( Procurement Approval ) Delete Order Approver Alternate Level Date Requested Date Action Comments Sequence Approver 8 Suzanne 1 OB/18/2020 07:28AM 08/18/2020 12:45 PM Approved (Suzanne Loy Loy) Clone Requisition Print Copyright 02020 Periscope Holdings, Inc. -All Rights Reserved. TXGLO GLO AWS PROD BUVSPEED 2 bso Current Org: Texas General Land Office and Veterans Land Board = I September 21, 20208:21:10 AM CST https:llbuy.glo.texas. gov/bso/requisitionlregSummary. sdo?docId=XO022760&mode=initial 9/21/2020 Certificate Of Completion Envelope Id: 943F63109827471CB42BA32B2AD3578C Subject: $86k Contract: 21-060-013-C673 Calhoun County (Texas GLO) Source Envelope: Document Pages: 47 Signatures: 4 Certificate Pages: 5 Initials: 7 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original 11 /312020 2:40:10 PM Signer Events Andrew Hawkins andrew.hawkins@glo.texas.gov Staff Attorney Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jessica Chappell jessica.chappell@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Julie McEntire Julle.MeEntire@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Melissa Porter melissa.porter@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Holder: Sandra Radosavljevic sandra.radosavljevic@glo.texas.gov Signature 1 u �n Signature Adoption: Uploaded Signature Image Using IP Address: 136.49.67.17 Liji Signature Adoption: Pre -selected Style Using IP Address: 72.177.71.200 J Ds vw� Signature Adoption: Drawn on Device Using IP Address: 165.225.34.51 ro Q 1 Signature Adoption: Uploaded Signature Image Using IP Address: 165.225.34.51 Docu5ifflsn ■SECURED Status: Completed Envelope Originator: Sandra Radosavljevic 1700 Congress Ave Austin, TX 78701 sandra.radosavljevic@glo.texas.gov IP Address: 67.204.29.235 Location: DocuSign Timestamp Sent: 11/3/2020 2:49:33 PM Resent: 11/3/2020 3:42:27 PM Viewed: 11/6/2020 3:22:32 PM Signed: 11/6/2020 3:25:26 PM Sent: 11/6/2020 3:25:29 PM Viewed: 11/6/2020 4:23:25 PM Signed: 11/6/2020 4:23:48 PM Sent: 11/6/2020 4:23:53 PM Viewed: 11/9/2020 8:57:11 AM Signed: 11/9/2020 8:57:44 AM Sent: 11/9/2020 8:57:47 AM Viewed: 11/9/202010:39:41 AM Signed: 11/9/2020 10:39:56 AM Signer Events Signature Timestamp David Green D. Sent: 11/9/2020 10:39:59 AM david.green@glo.texas.gov Viewed: 11/9/20201:02:41 PM Legal Services Signed: 11/9/2020 1:02:45 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Uploaded Signature Image (None) Using IP Address: 172.1.77.55 Electronic Record and Signature Disclosure: Not Offered via DocuSign Marc Barenblat Sent: 11/9/2020 1:02:49 PM marc.barenblat@glo.texas.gov 15 Viewed: 11/10/2020 6:06:25 PM Deputy General Counsel Signed: 11/11/2020 2:05:08 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 104.15.130.4 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeff Gordon E Sent: 11/11/2020 2:05:12 PM jeff.gordon@glo.texas.gov �G Viewed: 11/11/2020 3:24:46 PM General Counsel Signed: 11/11/2020 3:24:51 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 174.197.3.53 Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Meyer °loa ft�—�Id bnyA.,I� Sent: 11/11/2020 3:24:54 PM richard.meyer@calhouncotx.org CLu.0.v'µ hLt,�t,V' Viewed: 11/12/20202:09:14 PM County Judge F393979DAF004FE.Signed: 11/13/2020 9:44:20 AM Security Level: Email, Account Authentication (None) Signature Adoption: Pre -selected Style Using IP Address: 24.116.194.98 Electronic Record and Signature Disclosure: Not Offered via DocuSign Mark A. Havens dbl. ; Sent: 11/13/2020 9:44:25 AM mark.havens@glo.texas.gov �°acuS1 r�_ Viewed: 11/16/20202:26:18 PM Chief Clerk and Deputy Land Commissioner 7C299F4374E7497.. Signed: 11/16/2020 2:26:27 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Drawn on Device (None) Using IP Address: 162.193.135.244 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp CMD Drafting Requests Sent: 11/3/2020 2:49:33 PM d raffingrequests@GLO.TEXAS.GOV COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kelly McBride Sent: 11/3/2020 2:49:33 PM kelly.mcbride@glo.texas.gov COPIED Viewed: 11/3/2020 3:12:33 PM Director of Contract Management Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sandra Radosavljevic Sent: 11/3/2020 2:49:34 PM Sandra.Radosavijevic@GLO.TEXAS.GOV COPIED Resent: 11/16/20202:26:34 PM Contract Specialist Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Shirley DeLaCruz Sent: 11/3/2020 2:49:34 PM Shirley.DeLaCruz@glo.texas.gov COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Susan Tipton -Hines Sent: 11/3/2020 2:49:34 PM Susan.Tipton-Hines@GLO.TEXAS.GOV COPIED Viewed: 11/16120205:06:02 PM Executive Assistant II Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Andrea Walmus COPIED Sent: 11/6/2020 3:25:29 PM Andrea.Waimus@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Janette Gibreal COPIED Sent: 11/9/2020 8:57:47 AM janette.gibreal@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Gloria Maynard Sent: 11/9/2020 10:40:00 AM gloria.maynard@glo.texas.gov COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Stephanie Crenshaw Sent: 11/11/2020 2:05:12 PM Stephanie.crenshaw@glo.texas.gov COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Gary Reese Sent: 11/11/2020 3:24:54 PM gary.reese@calhouncotx.org COPIED Viewed: 11/12/2020 7:52:15 AM Commissioner PCT 4 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Angie Williams /� Sent: 11/16/2020 2:26:32 PM Angle.Williams@glo.texas.gov COPIED Interim Director, Budget and Planning Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sharon Moore Sent: 11/16/2020 2:26:32 PM sharon.moore@glo.texas.gov COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign HUB Sent: 11/16/2020 2:26:32 PM HUB@glo.texas.gov COPIED Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Angie Williams Sent: 11/16/2020 2:26:32 PM Angle.Williams@glo.texas.gov COPIED Interim Director, Budget and Planning Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/3/2020 2:49:34 PM Certified Delivered Security Checked 11/16/2020 2:26:18 PM Signing Complete Security Checked 11/16/2020 2:26:27 PM Completed Security Checked 11/16/2020 2:26:33 PM Payment Events Status Timestamps #15 Gary A Reese County Commissioner County of Calhoun Precinct 4 January 25, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 I Ira KIT43NNIW : u Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Consider and take necessary action to authorize Commissioner Reese to utilize $28,690 in GOMESA funds to be used for partial CMP grant match. Sincerely, n, 1�) 0, Q,� Gary D. Reese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: gain ieeseLtcalhouncot.x.ora — (361) 785-3141 —Fax (361) 785-5602 #16 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 26, 2021 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for February 1, 2021. • Consider and take necessary action to approve the Final Plat of the Replat of Lots 31, 32, 33 and 34 in Block 1 and the Reserve for Commercial Lot in Swan Point Landing, Seadrift, Calhoun County, Texas. Sincerely, �a,-.o Acefe Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: gary.reesaa calhouncrax.ore — (361) 785-3141 — Fax (361) 785-5602 ip a4's s£= sTsE XgPA k yU'z �92 s P-1 AlE y N g�� n� "�� 4!'PS xg lip 'e 4d> '_'Ls B 9Y a I '4`•� � � UI Z, �� x� 9 Ic �' I �m � ,d•"' . I \ I 8 x t-i 2 a � PW O s4 y MO N Z ,�I c yY I n'Sm Ctl l+] N ' of 0 C -3 ao a aNt�H �iy $ 0 Y hs' w W C o Ale A'r a S n r ag°'C e o P] ►ter W {YEST srz•rzzzw �No (q •� �� s Eta � � O y rn ttt W NE sr5!211 o x m m ��+ [^ N CO I -Rig [$� 9y 3a$� 5 FR a ��pyyO-r'z i�rn O �11P 06 q x0. �"O �� Fy�1 zC, c1 in Z ably B H n�g� o !2��m ZIP € g g r 1H! y ^ pp pgpg t7 0 ilk N G & W ENGINEERS, INC. y m �" • ENGINEERING • SURYEtlNG • PLANNING • II S O g p 205 W. UYE OAK LS FiET• PLAT P979 TBPLS PM NO.: 1002210LAVACA•0 MAS FINAL PLAT (361) 552-9509: PORT LAVACA (979) 323-7100: BAT CITY # 17 oc` i§2 ()) ml « I z ■ a\ z �■ }) %) § $ § �j ! § m § m § m= m= ■; m= m= % , ■ z§ ) 2) i§B § — z ;3 § m) § � ) �z �) ,,§ § to) & § � � § m= o §) v: m: ] P. § ■ v: m m ■ m; . Ti IN X; m % -l: ) § x ■: k: k § §: o § §: m n: § o: §; § z % k @ ©' § § G ■ m: ! § %00 | z )ƒ2 / §;; 2 k / / » r ■ r $ [ a: m; #18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 01 2021 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS' $ 972,671.44; TOTAL TRANSFERS BETWEEN FUNDS $ 17483.42 TOTAL NURSING HOME UPL EXPENSES $ 1,557,050.76 j ✓ TOTAL_;INTER-GOVERNMENT TRANSFERS $ GRAND: TOTAL DISBURSEMENTS APPROVEDFebruary 01,2021, $ 2,547,205s62 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---February 01,2021 PAYABLES AND PAYROLL 1/28/2021 Weekly Payables 550,974.29 1/28/2021 Patient Refunds 2,200.43 1/28/2021 Texas Burner and Boiler Services -temporary boiler system 5,500.00 1/28/2021 Gulf Pointe Plaza -NH Telemed Reimbursement 12,750.00 1/29/2021 Payroll Liabilities -Payroll Taxes 96,447.18 1/29/2021 Payroll 304,585.27 Prosperity Electronic Bank Payments 1/25-1/28/21 Pay.Plus-Patient Claims Processing Fee 214.27 TOTAL PAYABLES, PAYROLL AND:ELECTRONIC BANK PAYMENTS $ 972,671.44 TRANSFER BETWEEN FUNDS -NURSING HOMES 1/28/2021 MMC Operating to Ashford- NH portion of QIPP payment deposit into MMC Operating 1/28/2021 MMC Operating to Solera-NH portion of QIPP payment deposited into MMC Operating 1/28/2021 MMC Operating to Fortbend-NH portion of QIPP payment deposited into MMC Operating 1/28/2021 MMC Operating to Broadmoor-NH portion of QIPP payment deposited into MMC Operating 1/28/2021 MMC Operating to The Crescent- NH portion of QIPP payment deposited into MMC Operating 1/28/2021 MMC Operating to Golden Creek Healthcare -NH portion of QIPP payment deposited into MMC Operating 1/2812021 MMC Operating to Gulf Pointe Plaza -NH portion of QIPP payment deposited into MMC Operating 1/28/2021 MMC Operating to Tuscany Village -NH portion of QIPP payment deposited into MMC Operating TOTAL TRANSFERS BETWEEN FUNDS NURSING HOME UPL EXPENSES 1/29/2021 Nursing Home UPL-Cantex Transfer 1/29/2021 Nursing Home UPL-Nexion Transfer 1/29/2021 Nursing Home UPL-HMG Transfer 1/29/2021 Nursing Home UPL-Tuscany Transfer 1/29/2021 Nursing. Home UPL-HSL Transfer QIPP/INTEREST/RECOUP CHECKS TO MMC 1/29/2021 Ashford 1/29/2021 Broadmoor 1/29/2021 Crescent 1/29/2021 Fort Bend 1/29/2021 Solera TOTAL NURSING HOME UPL EXPENSES 4,206.56 1,637.80 1,689.52 1,741.24 1,396.44 2,731.62 1,614.92 2,465.32 $ 17,483.42 1,039,827.51 123,016.80 122,216.83 68,441.86 82,263.49 47,970.51 19.559.28 15,742.99 19,415.10 18,596.39 $ 1,557,.050.76 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED February 01, 2021 $ 2,547,205.62' 1/28/2021 tmp_cw5reportl 679333516271334194.html 01/28/202� MEMORIAL MEDICAL CENTER nn 0 .A1�1t*� j �. p; 2IJ_2 1 AP Open Invoice List 13:10 ap_open_invoice.template Due Dates Through: 02/17/2021 Ven„°Eold'1�t' �O-=`z7y1'ttufltor Vendor Name Class Pay Code A1679 AIR SPECIALTY & EQUIPMENT CO M ,/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 47542✓ 01/27/2021 01/08/2021 02/07/2021 3.965.00 0.00 0.00 3,965.00 PUMP LESS MOTOR Vendor Totals: Number Name Gross Discount No -Pay Net All 679 AIR SPECIALTY & E 3,965.00 0.00 0.00 3,965.00 Vendor# Vendor Name Class Pay Code A1705 ALIMED INC. M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net RPSV03502/01127/2021 01/13/2021 01/28/2021 37.63 0.00 0.00 37.63✓ ll3 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 37.63 0.00 0.00 37.63 Vendor# Vendor Name Class Pay Code i 10958 ALLYSON SWOPE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011921 01/27/2021 01/19/2021 01/19/2021 2,304.00 0.00 0.00 / 2,304.00,/ CONTRACT EMPLOYEE Vendor Totals: Number Name Gross Discount No -Pay Net 10958 ALLYSON SWOPE 2,304.00 0.00 0.00 2,304.00 Vendor# Vendor Name Class Pay Code 10730 AMERICAN COLLEGE OF RADIOLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2006892021'01/26/2021 01/12/2021 01/12/2021 500.00 0.00 0.00 500.00� IogtAI REGISTRATION Vendor Totals: Number Name Gross Discount No -Pay Net 10730 AMERICAN COLLEC 500.00 0.00 0.00 500.00 Vendor# Vendor Name / Class Pay Code A2271 ARTHREX, INC ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9113779211/01/27/2021 01/11/2021 02/11/2021 2,995.00 0.00 0.00 2,995.00 SUPPLIES 11 911379585..u1/27/2021 01/11/2021 02/11/2021 450.00 0.00 0.00 450.00 � SUPPLIES 911386498/ 1/27/2021 01/12/2021 01/12/2021 1,436.00 0.00 0.00 1,435.00� SUPPLIES �� 911386497 „ l/27/2021 01/12/2021 01/27/2021 4,785.00 0.00 0.00 / 4,785.00 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A2271 ARTHREX, INC 9,665.00 0.00 0.00 9.665.00 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 69422319 "1/27/2021 01/11/2021 02/05/2021 587.22 0.00 0.00 587.22 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHC/ 587.22 0.00 0.00 587.22 Vendor# Vendor Name Class Pay Code 12324 BLUE CROSS BLUE SHIELD Invoice# Comment Tran Dt Inv Dt Due Check Dt Pay Gross Discount No -Pay Net 011521A 01/28/2021 01/15/2021 02/15/2021 227,065.46 0.00 0.00 227,065.46 ✓ INSURANCE Vendor Totals: Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE 227,065.46 0.00 0.00 227,065.46 Ventlor# Vendor Name Class Pay Code 11224 CABLES AND SENSORS file://IC:/Users/mmckissack/cpsi/memmed.cpsinat.com/u88150a/data_5llmp_cw5reportl679333516271334194.html 1/10 1/28/2021 tmp_cw5reportl 679333516271334194.html r Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net / 105624 ✓ 01/28/2021 01/13/2021 01/13/2021 195.00 0.00 0.00 195.00,,- SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11224 CABLES AND SENS 195.00 0.00 0.00 195.00 Ventlor# Vendor Name / Class Pay Code 11956 CMT MEDICAL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4586218 /01127/2021 01/18/2021 02/17/2021 136.21 0.00 0.00 136.21,,-' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11956 CMTMEDICAL 136.21 0.00 0.00 136.21 Ventlor# Vendor Name Class Pay Code 01970 / CONMED CORPORATION ,/ M Invoice# omment Tran Dt Inv Dt Due Dt /C01/27/2021 Check Dt Pay Gross Discount No -Pay Net 444314 01/05/2021 01/27/2021 680.42 0.00 0.00 680.42 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1970 CONMED CORPOR, 680.42 0.00 0.00 680.42 Vendor# Vendor Name Class Pay Code L1430 CONMED LINVATEC M Invoice# CPrnment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3549418 ✓ 01/27/2021 01/12/2021 12/30/2020 37.60 0.00 0.00 37.60 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net L1430 CONMED LINVATE( 37.60 0.00 0.00 37.60 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC ,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5706280 �01/27/2021 12/22/2020 12/22/2020 66.44 0.00 0.00 66.44 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C2157 COOPER SURGICAi 66.44 0.00 0.00 66.44 Ventlor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 276627/ 01/27/2021 01/19/2021 01/27/2021 173.11 0.00 0.00 173.11 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL 173.11 0.00 0.00 173AI Vendor# Vendor Name Class Pay Code 11368 CYRACOM LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt. Pay Gross Discount No -Pay Net 1260173 ✓12/31/2020 12131/2020 02/14/2021 151.47 0.00 0.00 151.47 INTERPERTATION SERVICES Vendor Totals: Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 151.47 0.00 0.00 151.47 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6307520 ,/01/13/2021 01/22/2021 02/16/2021 41.90 0.00 0.00 41.90 SUPPLIES 6313560✓ 01/26/2021 01/15/2021 02r09/2021 28.62 0.00 0.00 28.62 SUPPLIES 6316160 /01/26/2021 01/19/2021 02/13/2021 141.27 0.00 0.00 141.27 SUPPLIES / 6310780 ✓ 01/26/2021 01/19/2021 02/13/2021 637.40 0.00 0.00 637.40 / SUPPLIES V / 6319780,, 01/26/2021 01/21/2021 02/15/2021 130.18 0.00 0.00 130.18 ✓" SUPPLIES 6319800 ✓01/26/2021 01/21/2021 02/15/2021 304.50 0.00 0.00 304.50 file:/I/C:/Users/mmckissack/cpsi/memmed.cpslnet.com/u88l5Oatdata_5/tmp_cwSreportl679333516271334194.html 2110 1/28/2021 tmp_cw5reportl679333516271334194.html SUPPLIES 6307430✓01/27/2021 01/11/2021 02/05/2021 61.89 SUPPLIES 6315340 /01/27/2021 01/18/2021 09JI212021 615.13 SUPPLIES Vendor Totals: Number Name Gross Discount 10368 DEWITT POTH & SC 1,950.89 0.00 Vendor# Vendor Name Class 10789 DISCOVERY MEDICAL NETWORK Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross MMC01152'4.01/26/2021 01/15/2021 01/15/2021 158,749.76 PRO FEES 'y^,Aµ"J 1- I C� 2✓1-I Vendor Totals: Number Name Gross Discount 10789 DISCOVERY MEDIC 158,749.76 0.00 Vendor# Vendor Name Class 12904 DSHS -VITAL STATISTICS 0.00 0.00 51.89 / 0.00 0.00 615.13 No -Pay Not 0.00 1,950.89 Pay Code Discount No -Pay Net 0.00 0.00 158,749.76 No -Pay Net 0.00 158,749.76 Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012521 01/26/2021 01/25/2021 01/25/2021 15.00 0.00 0.00 15.00 ✓ BIRTH CERTIFICATE Vendor Totals: Number Name Gross Discount No -Pay Net 12904 DSHS - VITAL STAT 15.00 0.00 0.00 15.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIO Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 39927 ✓01/26/2021 01/31/2021 01/31/2021 40,062.50 0.00 0.00 40,062.50 PRO FEES (IQ -C- K) Vendor Totals: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAF 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class/ Pay Code 10042 ERBE USA INC SURGICAL SYSTE6 ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 652633 01/27/2021 01/11/2021 01/27/2021 139.50 0.00 0.00 139,50 SUPPLIES v/ Vendor Totals: Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SUF 139.50 0.00 0.00 139.50 Vendor# Vendor Name Class Pay Code T0383 ERIN CLEVENGER ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012621 01/26/2021 01/26/2021 01/26/2021 114.03 0.00 0.00 114.03 / WIRECALLSYSTEM -fuY Lov101-1 - 012621A 01/26/2021 01/26/2021 01/26/2021 32.82 0.00 0.00 32.82 P/U HAND SANITIZER DONATION ✓ Vendor Totals: Number Name Gross Discount No -Pay Net T0383 ERIN CLEVENGER 146.85 0.00 0.00 146.85 Vendor# Vendor Name Class Pay Coda F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6293745 ,/ 01/27/2021 12/22/2020 01/16/2021 2,105.00 0.00 0.00 2,105.00 / SUPPLIES 6293749✓ 01/27/2021 12/22/2020 01/16/2021 2,028.58 0.00 0.00 2,028.58 SUPPLIES 6293734 �/01/27/2021 12/22/2020 01/16/2021 102.06 0.00 0.00 102.06 SUPPLIES 6746943 01/27/2021 1PJ29/2020 01/23/2021 169.38 0.00 0.00 / 169.38 SUPPLIES 6745949 v10112712021 12/29/2020 01/23/2021 810.22 0.00 0.00 810.22 SUPPLIES 7147466 f01/27/2021 01/04/2021 01/29/2021 1,902.46 0.00 0.00 1,902.45 j SUPPLIES ✓ 7313036 01/05/2021 01/30/2021 525.40 0.00 0.00 525.40 .1/01/27/2021 SUPPLIES file:///C:/Userslmmckissack/cpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5report1679333516271334194.html 3/10 1/28/2021 tmp_cw5reportl679333516271334194.html r r 7485872 //01/27/2021 01/06/2021 01/31/2021 46.84 0.00 0.00 SUPPLIES 7485878 / 01/27/2021 01/06/2021 01/31/2021 20.74 0.00 0.00 SUPPLIES / 7485877„/ 01/27/2021 01/06/2021 01/31/2021 46.84 0.00 0.00 SUPPLIES / 8485297 ,/ 01/27/2021 01/13/2021 02/07/2021 263.86 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay F1400 FISHER HEALTHCA 8,021.37 0.00 0.00 Vendor# Vendor Name Class Pay Code W1300 GRAINGER M Invoice# Comm nt Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 9763601052,g1% 77/2021 01/06/2021 01/31/2021 26.00 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay W1300 GRAINGER 26.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 11984 GUERBET, LLC/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 18497892 ✓01/27/2021 01/13/2021 01/07/2021 175.00 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay 11984 GUERBET, LLC 175.00 0.00 0.00 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY Ay Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 1989146 ✓01/26/2021 01/13/2021 02/12/2021 45.00 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay G1210 GULF COAST PAPE ✓ 45.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 10334 HEALTH CARE LOGISTICS INC Invoice# Ccment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 307852066✓/12712021 01/08/2021 02/02/2021 92.50 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount 10334 HEALTH CARE LOG 92.50 0.00 Vendor# Vendor Name Class M2178 MCKESSON MEDICAL SURGICAL I.,'/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 17418805 ,/u1/27/2021 01/05/2021 01/2012021 1,647.90 SUPPLIES � 17509389 , 41/27/2021 01/07/2021 01/22/2021 91.53 SUPPLIES Vendor Totals: Number Name Gross Discount M2178 MCKESSON MEDIC 1,739.43 0.00 Vendor# -1,/ Vendor Name Class M2470 MEDLINE INDUSTRIES INC M Invoice# Com ent Tran Dt Inv Dt Due Dt Check Dt Pay Gross 1935953295 /27/2021 12/29/2020 01/23/2021 29.44 SUPPLIES � 193639194U /27/2021 12/31/2020 0112SIP021 49.15 SUPPLIES 1938570693 ,l'/27/2021 01/06/2021 01/30/2021 116.98 SUPPLIES 193657069W1/27/2021 01/05/2021 01/30/2021 103.05 SUPPLIES 1936570697Z47/2021 01/05/2021 01/30/2021 108.88 SUPPLIES 1936570694 01/27/2021 01/05/2021 01/30/2021 24.57 file:/UC:/Users/mmckissack/cpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5report1679333516271334194.html No -Pay 0.00 Pay Code 46.84✓ 20.74 48.84 ✓✓ 263.86 Net 8,021.37 Net 26.00 Net 26.00 Net 175.00 ✓ Net 175.00 Net 45.00 Net 45.00 Net 92.50.".,,/ Net ✓ 92.50 Discount No -Pay Net 0.00 0.00 1,647.90 0.00 0.00 91.53 No -Pay Net 0.00 1,739.43 Pay Code Discount No -Pay Net 0.00 0.00 29.44 0.00 0.00 49.15 0.00 0.00 116.98 0.00 0.00 103.05 / 0.00 0.00 108.88,/ 0.00 0.00 24.57✓ 4/10 1/28/2021 tmp_cw5report1679333516271334194.html SUPPLIES 1936571206 OX1/27/2021 01/05/2021 01/30/2021 69.42 0.00 0.00 69.42 SUPPLIES / 1936751564 ti12712021 01/06/2021 01/31/2021 64.83 0.00 0.00 64.83 � SUPPLIES 19367515634127/2021 01/06/2021 01/31/2021 22.78 0.00 0.00 22.78 .� SUPPLIES 1936751545 P27/2021 01/06/2021 01/31/2021 661.24 0.00 0.00 661.24 SUPPLIES 1936751557 0.11b/2021 01/06/2021 01/31/2021 5,680.10 0.00 0.00 / 5,580.10 � SUPPLIES 1936751565,04/27/2021 01/06/2021 01/31/2021 111.51 0.00 0.00 111.51 SUPPLIES 1936751550 g.1 2712021 01/06/2021 01/31/2021 3.91 0.00 0.00 3.91 SUPPLIES � 1936761551 O /27/2021 01/06/2021 01/31/2021 64.90 0.00 0.00 64.90 SUPPLIES � / 193675156191/27/2021 01/06/2021 01/31/2021 1,613.74 0.00 0.00 1,613.74 � SUPPLIES 1936751547 8.1%27/2021 01/06/2021 01/31/2021 36.81 0.00 0.00 36.81 SUPPLIES 1937561831 D427/2021 01/12/2021 02/06/2021 35.29 0.00 0.00 35.29 � SUPPLIES - 1937561825 Q116/2021 01/12/2021 02/O6/2021 166.81 0.00 0.00 166.81 SUPPLIES 1937561828 Qr%27/2021 01/12/2021 02/06/2021 98.64 0.00 0.00 98.64� SUPPLIES 1937561827 & 27/2021 01/12/2021 02/06/2021 57.20 0.00 0.00 57.20 ,/ SUPPLIES 1937762209.04/ 7/2021 01/13/2021 02/07/2021 4.75 0.00 0.00 4.75 SUPPLIES � 19377622089 /27/2021 01/13/2021 02/07/2021 92.04 0.00 0.00 92.04,,' � SUPPLIES 1937762206 &142712021 01/13/2021 02/07/2021 199.67 0.00 0.00 199.67✓ SUPPLIES 1937762212 9A27/2021 01/13/20PI 02/07/P021 887.50 0.00 0.00 887.50/ SUPPLIES 1937762204 Dl/27/2021 01/13/2021 02/07/2021 4.78 0.00 0.00 4.78 ✓ SUPPLIES 1937762223 QX/27/2021 01/13/2021 02/07/2021 5,034.79 0.00 0.00 5,034.79 / SUPPLIES t/ / 1937762225 a- /27/2021 01/13/2021 02/07/2021 34.27 0.00 0.00 34.27,,,/ � SUPPLIES 1937762203.047/2021 01/13/2021 02/07/2021 50.92 0.00 0.00 50,92 � SUPPLIES 1937762202.94/27/2021 01/13/2021 02/07/2021 6.68 0.00 0.00 6.68 SUPPLIES 1936570698 /28/2021 01/05/2021 01/30/2021 96.15 0.00 0.00 96.15 SUPPLIES 19365712003,128/2021 01/05/2021 01/30/2021 292.00 0.00 0.00 292.00✓ SUPPLIES 1936571204.04'/28/2021 01/05/2021 01/30/2021 126.21 0.00 0.00 126.21 � SUPPLIES 1936571202 Q1928/2021 01/05/2021 01/30/2021 136.74 0.00 0.00 136.74 � SUPPLIES 1937206230 OV28/2021 01/08/2021 02/02/2021 -29.95 0.00 0.00 -29.95✓ CREDIT INVOICE 1919160473 1937264328 Qj 8/2021 01/08/2021 02/02/2021 96.56 0.00 0.00 96.56 SUPPLIES 1937762205 0428/2021 01/13/2021 02/07/2021 3,618.80 0.00 0.00 3,618.80,,,-' IV POLES file:///C:/Users/mmckissack/cpsi/memmed.cpsinst.com/u88l50atdata 5/tmp_"5reportl 679333516271334194.html 5/10 1/28/2021 tmp_cw5report1679333516271334194.html 1937762201 812021 01/13/2021 02/07/2021 14.03 0.00 0.00 14.03 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTR 19,685.19 0.00 0.00 19,685.19 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012121 01/26/2021 01/21/2021 01/21/2021 252.29 0.00 0.00 252.29 PAYROLLDED ✓ Vendor Totals: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GI 252.29 0.00 0.00 252.29 Vendor# Vendor Name / Class Pay Code 10536 MORRIS & DICKSON CO, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6502326 ,/ 01/26/2021 01/18/2021 01/28/2021 5.46 0.00 0.00 5.46 / INVENTORY ✓ 6502558 ,/01/26/2021 01/18/2021 01/28/2021 1,265.56 0.00 0.00 1,255.56✓ SUPPLIES 6501925/01/26/2021 01/18/2021 01/28/2021 8.07 0.00 0.00 / 8.07 INVENTORY 6600216 �01/26/2021 01/18/2021 01/28/2021 8.47 0.00 0.00 8.47✓ INVENTORY 6502557 /01/26/2021 01/18/2021 01/28/2021 394.86 0.00 0.00 / 394.86 INVENTORY �01126/2021 / 6502556 01/18/2021 01/28/2021 86.76 0.00 0.00 86.76✓ / INVENTORY 6607346 J 01/26/2021 01/19/2021 01/29/2021 755.96 0.00 0.00 755.96 INVENTORY 6507345 /01/26/2021 01/19/2021 01/29/2021 455.23 0.00 0.00 455.23 INVENTORY 6507344 ✓01/26/2021 01/19/2021 01/29/2021 768.63 0.00 0.00 768.63� INVENTORY 6612398 01/26/2021 01/20/2021 01/30/2021 57.95 0.00 0.00 57.95 SUPPLIES CM27104,/01/26/2021 01/20/2021 01/30/2021 -7.24 0.00 0.00 -7.24 INVENTORY 6512395 �01/26/2021 01/20/2021 01/30/2021 941.65 0.00 0.00 941.65 INVENTORY / 6617142 ,/ 01/26/2021 01/21/2021 01/31/2021 516.10 0.00 0.00 516.10 / INVENTORY 6517140 ✓ 01/26/2021 01/21/2021 01/31/2021, 137.98 0.00 0.00 137.98 INVENTORY 6517141 /01/26/2021 01/21/2021 01/31/2021 2,028.66 0.00 0.00 2,028.66 / INVENTORY 6513947✓ 01/26/2021 01/21/2021 01/31/2021 208.13 0.00 0.00 208.13� INVENTORY /01/26/2021 6513949 01/21/2021 01/31/2021 339.91 0.00 0.00 339.911// INVENTORY 6513948 /01/26/2021 01/21/2021 01/31/2021 318.45 0.00 0.00 318.45 INVENTORY 6521896 /01/26/2021 01/24/2021 02/03/2021 775.65 0.00 0.00 J 775.65 INVENTORY 6521897 /01126/2021 01/24/2021 02/03/2021 28.93 0.00 0.00 28.93✓ / INVENTORY 6521895,/ 01/26/2021 01/24/2021 0PJ03/2021 10.28 0.00 0.00 10.28 / INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSOI 9,095.45 0.00 0.00 9,095.45 Vendor# Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:///C:/Users/mmckissacWcpsi/memmed.cpsinet.com/u88l50atdata_5/tmp_cw5report1679333516271334194.htm1 6/10 1/28/2021 tmp_cw5reportl 679333516271334194.html 7263 01/26/2021 01/22/2021 01/22/2021 166.60 0.00 0.00 166.60 TRANSCRIPTION Vendor Totals: Number Name Gross Discount No -Pay Net 13548 NACOGDOCHESTF 166.60 0.00 0.00 166.60 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE Invoice# Comment Tran Dt Inv Dt Due Dt eck Dt Pay Gross Discount No -Pay Net 3343095 ✓01/26/2021 01/20/2021 02/01/2021 4,009.67 0.00 0.00 4,009.67 / INSURANCE ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 12388 NATIONAL FARM LI 4,009.67 0.00 0.00 4,009.67 Vendor# Vendor Name Class Pay Code 11472 / OCCUPRO LLC,/ Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 19769 01J26/2021 12/07/2020 01/06/2021 7 PROVIDER LICENSE 473.28 0.00 0.00 473.28 / V/ Vendor Totals: Number Name Gross Discount No -Pay Net 11472 OCCUPRO LLC 473.28 0.00 0.00 473.28 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 30330172 �1/27/2021 01/13/2021 02/07/2021 325.74 0.00 0.00 325.74/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01500 OLYMPUSAMERIQ 325.74 0.00 0.00 325.74 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1851728246,(1/27/2021 01/13/2021 02M2/2021 1,079.62 0.00 0.00 1,079.52 / SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL 0 1,079.52 0.00 0.00 1,079.52 Vendor# Vendor Name / Class Pay Code 11069 PABLO GARZA ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 011921 01/27/2021 01/19/2021 01/19/2021 2,340.00 0.00 0.00 2,340.00 CONTRACT EMPLOYEE L 116 - I I (� IZI ` Vendor Totals: Number Name l Gross Discount No -Pay Net 11069 PABLO GARZA 2,340.00 0,00 0.00 2,340.00 Vendor# Vendor Name Class Pay Code - 12480 PRO ENERGY PARTNERS LP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 20120600/01/26/2021 12/31/2020 01/15/2021 3.938.72 0.00 0.00 3,938.72 / GAS V Vendor Totals: Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PAR- 3,938.72 0.00 0.00 3,938.72 Vendor# Vendor Name Class Pay Code 10987 REVCYCLE+, INC.. Invoice# /Comment Tran Dt Inv Dt Due Dt ! Check Dt Pay Gross Discount No -Pay Net 42222 01/28/2021 01/06/2021 01/31/2021 1,976.50 0.00 0.00 1,976.50 CODING SER Vendor Totals: Number Name Gross Discount No -Pay Net 10987 REVCYCLE+, INC. 1,976.50 0.00 0.00 1,976.50 Vendor# Vendor Name Class Pay Code 10645 REVISTA de VICTORIA ✓ / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 12202020 /d1/27/2021 12/18/2020 1PJ18/2020 262.50 0.00 0.00 262.50 ✓ AD Vendor Totals: Number Name Gross Discount No -Pay Net 10645 REVISTA de VICTOF 262.50 0.00 0.00 262.50 Vendor# Vendor Name Class Pay Code file:///C:/Users/mmckissacWcpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5reportl679333516271334194.html 7/10 1/28/2021 tmp_cw5reportl679333516271334194.htm1 ' 11764 ROBERT RODRIQUEZ / Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012421 01/26/2021 01/24/2021 01/24/2021 279.97 0.00 0.00 279.97/ REIMBURSE ICE CREAM FREEZEF ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQU 279.97 0.00 0.00 279.97 Vendor# Vendor Name Class Pay Code S1001 SANOFI PASTEUR INC W Invoice# Comment Tran Dt Inv Dt ue Dt Check Dt Pay Gross Discount No -Pay Net 916106717/01/13/2021 12/17/2020 02/17/2021 4,149.35 0.00 0.00 4,149.35 / INVENTORY �/ Vendor Totals: Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR 1 4,149.35 0.00 0.00 4,149.35 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5638210001f01,/2J6/2021 12/30/2020 01/24/2021 1,333.33 0.00 0.00 1,333.33 4167 LEASE AND RENTAL 5638210001;�0�1/126/2021 01/02/2021 01/20/2021 4,038.24 0.00 0.00 / 4,038.24 / 1 H-t LEASE ✓✓✓ Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIP 5,371.57 0.00 0.00 5,371.57 Vendor# Vendor Name Class Pay Code 10699 SIGN AD, LTD. Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 258135 ✓01/2712021 01/16/2021 01/26/2021 400.00 0.00 0.00 400.00 / AD ✓ / 258131 ,/ 01/27/2021 01/16/2021 01/26/2021 790.00 0.00 0.00 790.00✓ AD Vendor Totals: Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD. 1,190.00 0.00 0.00 1,190.00 Vendor# Vendor Name Class Pay Code S2345 SOUTHEAST TEXAS HEALTH SYS W ,� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 26479 / 01/26/2021 01/10/2021 02/09/2021 ✓ 250.00 0.00 0.00 250.00 ✓ CREDENTIALING 26462 ✓ 01/26/2021 01/10/2021 02/09/2021 5,000.00 0.00 0.00 5,000.00,,-" QRTLY DUES Vendor Totals: Number Name Gross Discount No -Pay Net S2345 SOUTHEAST TEXA7 5,250.00 0.00 0.00 5,250.00 Vendor# Vendor Name Class - Pay Code 10094 ST DAVIDS HEALTHCARE Invoice# Comm nt Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net MMCPL2020 26/2021 01/22/2021 01/22/2021 420.00 0.00 0.00 420.00 CONNECTIVITY FEE Vendor Totals: Number Name Gross Discount No -Pay Net 10094 ST DAVIDS HEALTh 420.00 0.00 0.00 420.00 Vendor# Vendor Name Class Pay Code S2830 / STRYKER SALES CORP ,/ M Invoice# Co lent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9200917312 - /27/2021 01/11/2021 01/27/2021 187.92 0.00 0.00 187.92 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S2830 STRYKER SALES C 187.92 0.00 0.00 187.92 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY Invoice# omment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 409812 01/27/2021 01/13/2021 02/12/2021 4,169.95 0.00 0.00 4,169.9§,� SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAIN 4,169.95 0.00 0.00 4,169.95 file:///C:/Userslmmckissacklcpsi/memmed.cpsinet.com/u88l50a/data_5ltmp_m5mport1679333516271334194.html 8110 1/28/2021 tmp_cw5reportl 679333516271334194.html VeAr# Vendor Name Class/ Pay Code T1450 TEXAS ASSOCIATION OF COUNTII W ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012220 01/26/2021 01/22/2021 01/22/2021 4,606.74 0.00 0.00 4,606.74 4TH CRT UNEMPLOYMENT Vendor Totals: Number Name / Gross Discount No -Pay Net T1450 TEXAS ASSOCIATIC ✓ 4,606.74 0.00 0.00 4,606.74 Vendor# Vendor Name Class Pay Code 13224 TORCH Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 2224108 01/26/2021 01/19/2021 01/19/2021 2,516.75 0.00 0.00 2,516.75 GLOVES Vendor Totals: Number Name Gross Discount No -Pay Net 13224 TORCH 2,516.75 0.00 0.00 2,516.76 Vendor# Vendor Name Class Pay Code U1054 UNIFIRST HOLDINGS W Invoice# Comment Tran Dt Inv Dt ue Dt Check Dt Pay Gross Discount No -Pay Net 8400352503 Q7426/2021 01/07/2021 02/01/2021 139.04 0.00 0.00 139.04 � LAUNDRY 8400352501,.01/26/2021 01/07/2021 02/01/2021 121.55 0.00 0.00 121.55 � LAUNDRY 840352499 .0/26/2021 01/07/2021 02/01/2021 23.41 0.00 0.00 23.41 LAUNDRY 8400362504 1/26/2021 01/07/2021 02/01/2021 184.48 0.00 0.00 184.48✓ LAUNDRY 8400352515v01/26/2021 01/07/2021 02/01/2021 80.90 0.00 0.00 80.90 LAUNDRY � 8400352502,0 /26/2021 01/07/2021 02/01/2021 101.24 0.00 0.00 101.24 ✓ LAUNDRY �� 8400352553,.01/26/2021 01/07/2021 02/01/2021 95.29 0.00 0.00 95.29 0 LAUNDRY 840352534 01/26/2021 01/07/2021 02/01/2021 1,199.79 0.00 0.00 1,199.79 / � LAUNDRY V 8400352738,09/26/2021 01/11/2021 02/05/2021 45.15 0.00 0.00 45.15,/ LAUNDRY � 8400353181 .01/26/2021 01/11/2021 02/05/2021 75.03 0.00 0.00 75.03 v/ LAUNDRY 8400352762,01%26/2021 01/11/2021 02/05/2021 1,705.10 0.00 0.00 1,705.10 � LAUNDRY 8400352739,01/26/2021 01/11/2021 02/05/2021 50.01 0.00 0.00 50.01✓ LAUNDRY 8400353132�26/2021 01/14/2021 02/08/2021 171.44 0.00 0.00 171.44 � LAUNDRY 8400363133 UN926/2021 01/14/2021 02/08/2021 184.48 0.00 0.00 184.48 � LAUNDRY 840035313D41/26/2021 01/14/2021 02/08/2021 121.55 0.00 0.00 121.55 � LAUNDRY 8400353128,01/26/2021 01/14/2021 02/08/2021 23.41 0.00 0.00 23.4&,-- INVENTORY 8400353163,9126/2021 01/14/2021 02/08/2021 1,378.54 0.00 0.00 1,378.54 � LAUNDRY 8400353144,01/26/2021 01/14/2021 02/08/2021 80.90 0.00 0.00 80.90 LAUNDRY 8400353131✓01/26/2021 01/14/2021 02/08/2021 171.46 0.00 0.00 171.46 LAUNDRY 8400353376 1/26/2021 01/18/2021 02/12/2021 45.15 0.00 0.00 45.15✓ LAUNDRY 8400353377 Wk/2021 01/18/2021 02/12/2021 126.03 0.00 0.00 - / 126.04,/ LAUNDRY 8400353401 V011266/2021 01/18/2021 0211 PJ2021 11550.01 0.00 0.00 1,550.01✓ LAUNDRY file:///C:/Users/mmckissecktcpsi/memmed.cpsinet.com/u88l5Oa/data_5/tmp_Dw5reportl679333516271334194.html 9110 1/28/2021 tmp_cw5report1679333516271334194.html 8400353755 OJM2021 01/21/2021 02/15/2021 23.41 0.00 0.00 23.41 / LAUNDRY ✓ 8400353759V0A26/2021 01/21/2021 02/15/2021 152.04 0.00 0.00 152.04 LAUNDRY 840035376 1/26/2021 01/21/2021 02/15/2021 184.48 0.00 0.00 184.48�� LAUNDRY 84003537581p,66/2021 01/21/20PI 02/15/2021 156.94 0.00 0.00 156.94 LAUNDRY 8400353789 0026/2021 01/21/2021 02/15/2021 1,596.49 0.00 0.00 1,596.49✓ j LAUNDRY 84003537700JI26/2021 01/21/2021 02/15/2021 86.15 0.00 0.00 86.15✓ LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net U1054 UNIFIRSTHOLDINC 9,873.47 OM 0.00 9,873,47 Vendor# Vendor Name Class Pay Code 12208 WAGEWORKS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV2516823,0�/19/2021 01/15/2021 02/16/2021 674.76 0.00 0.00 674.75✓ ADMIN/COMPLIANCE FEE Vendor Totals: Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 674.75 0.00 0.00 674.75 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net WCS000040I01/26/2021 11/01/2020 11/30/2020 11,950.00 0.00 0.00 11,950.00✓ 0 WOUND CARE Vendor Totals: Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPE 11,950.00 0.00 0.00 11,960.00 Report Summary Grand Totals: Gross Discount No -Pay Net 550,974.29 0.00 0.00 550,974.29 Div 2 3 2021 file:///C:lUsers/mmckissackicpsi/memmed.cpsinet.com/u88150aldata 5/tmp_ow5mportl 679333516271334194.html 10/10 RUN DATE: 01/28/21 TIME: ljF224l it 2021 PATIENT, NAME r!tar''aec�' -------------------- ---- ---------------------------------------- ARID=0001 TOTAL ---------------------------------------- TOTAL ag7'i[Y.k'9lfl$ �y. {JAN 2 3 2021 va.$:`4f'w -kN;j4"-la MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION 7 ---------------------------------------------------------------------- 012821 1346.00 ✓ / 012021 777.83 012821 76.60.� 2200.43 2200.43 PAGE 1 APCDEDIT GL NUM 1/28/2021�1,.,,_, ,T,.! .:.-, tmp_ow5report874245006054751560.html 01/28/2021 \ MEMORIAL MEDICAL CENTER AP Open Invoice List 16:25 Dates Through: 8 � VentloflFtNP-�`-e1+=1jz15ds1`-t 1;D7' Vendor Name Class 12704 TEXAS BURNER & BOILER SERVIC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 3755 01/28/2021 01/28/2021 01/28/2021 TEMP BOILER SYSTEM Vendor Totals: Number Name Gross 12704 TEXAS BURNER & I 5,500.00 Repm4 Summary Grand Totals: Gross Discount 5,500.00 0.00 @4S JAN 2 0 ap_open_invcice.templete Pay Code Gross Discount No -Pay Net 5,500.00 0.00 0.00 5.500.00� Discount No -Pay Net 0.00 0.00 5,500.00 No -Pay Net 0.00 5,500.00 file:///C:Alsem/mmckfssack/cpsi/memmed.cpsinet.wmluB8150a/data Blimp ow5report874245006054751560.hhnl ill 1/28/2021 tmp_cw5report5127853363674807646.html O1/2812021 MEMORIAL MEDICAL CENTER 16:14 J'1 N 2 AP Open Invoice List Dates Through: $VendorName Class 12752 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 112320 12130/2020 11/23/2020 02/17/2021 NH TELEMED REIMBURSEMENT 012821 01/28/2021 01 /28/2021 01/28/2021 NH TELEMED REIMBURSEMENT Vendor Totals: Number Name Gross 12752 GULF POINTE PLAT 12,750.00 Report Summary Grand Totals: Gross Discount 12,750.00 0.00 I-M734 "M 6,eQq �sffS� 2U21 ))11llnnyy}} 3 Pit L V 0 ap_open_Invoice.template Pay Code Gross Discount No -Pay Net 11,250.00 0.00 0,00 11.250.00 ✓ / 1,500.00 0.00 0.00 1,500.00 1/ Discount No -Pay Net 0.00 0.00 12,750.00 No -Pay Net 0.00 12,750.00 file:///C:IUsers/mmckissecklcpsilmemmad.cpsinet.comlU88150a/data 51tmp_cw5mport5127853363674807646.html III TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" 0"ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" "IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGITTAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: Ell 0 941 # 0 $ 96,447.18 1 $ 50,566.20 $ 11,825.90 $ 34,055.08 CHECK CALLED IN IN BY: CALLED IN DATE: CALLED IN TIME: F:WP-Payroll FilesWayroll Taxes120211#3 R1 MMC TAX DEPOSIT WORKSHEET 1.28.21.xis 12912021 Run Date: 01/29/21 MEMORIAL MEDICAL CENTER Page 116 Time: 14:38 Payroll Register ! Bi-Weekly 1 P2R£G Pay Period 01/!5/21 - 01/28/21 Rind 1 Final Summazy *-- P a y C o d e S u m m a r y----------------------------------------- •- D e d u c t i o n s S u m m a r PayCd Description Ers OIjSRjwEjEOj C3j Gross I Code Amount ................................................................................................... ..........�. .............. 1 REGULAR PAY-S1 10029.75 N 11 14 202035.73 A/R 709.95.4 2 25.00 V.;1RP 1 REGULAR PAY-S1 1756.00 N N 11 11 77163.76 ADVANC AWARDS BOOTS 1 REGULAR PAY-51 345.75 Y N N 8947.0; CAFE E CAFE-1 CAFE-2 2 REGULAR PAY-S2 2649.25 N 11 N 59981.06 CAFE-3 CAFE-4 C;FE•5 REGULAR PAY-S2 135..0 Y 11 N 4197.03 CAFE-C CAFE-D 1730.714AFE-F 3 REGULAR. PAY-S3 1467.00 11 N N 39231.34 CAFE-H 20910.49ZF£•I CAFF-L 3 R£GUCAP, PAY•S3 101.00 Y 14 14 4366.40 CAF&P CANCER W3 D 466.63V C CALL PAY 2642J5 11 1 11 11 5285.50 CLINIC 14 0. 0 0MBIN 434. 51 EDUN D DOUBLE TIME 23.75 N 1 N 11 1346.83 ➢O ADV DENTAL DEP•LF D DOUBLE TIME 12.50 R 2 11 14 760.66 DIS-LF 2 1 qTCSN E E1(TRA RAGES N tl N N 15.00 FEDTr`3 74055.081FICA•N i912.9` •0 25283.10'✓ E EXTRA 'RAGES N 1 N N N 1062.50 FIRSTC FLEX 5 3883.92�FE / F FUNERAL LEAVE 16.00 N 1 11 11 575.84 FORT D FUTA GIFT S 263.53./ E ERTENDED•ILLNESS-BANK 311.00 11 1 N N 8013.70 GRANT GRP-III GTL P PAID•TIME•OFF 121.04 N 11 N N 4290.99 HOSP•I I IFT Lg'F P PAID -TIME -OFF 607.47 N 1 N 11 12861.95 LEGAL 280.32JSA 912.50UIEALS 1.68V R CALL PAY 2 162.00 N 1 N N 324.00 NETVIS 905.23 MISC !I Y YMCA/CURVES N H N N 15.00 WERE NATFML 1855.516 Z CALL PAY 3 96.00 N 1 11 P 286.00 PHI PH... PR FIN o PAID TIME OFF • PROBATION 32.00 N 1 11 11 395.52 RELAY REPAY SANS t PHONE & DATA 11 L' 11 N 960.00 SCRUBS SyNO14 ST-TX v COVID-FFCRA 309.25 N 1 11 11 6537.66 STCIDF 190.8MONE STONE2 STLTEI4 SURACC 824,S IILL 668.44� SUNIND 61311,11LIF 734.264� r➢ 1181.74 SUNVIS -31.1, URCHG 760.00 T A.1 TSA.2 -CA-C Te_.P / TSA-R 30704.38�3TIOt4 U'NIFOR 52.84'J d/HO£ '----------------•-•- Grand Totals: 21018.01------- ;Gross: 438655.52 Deductions: 134070.25 Net; 309585.27 I Checks Count:- FT 205 PT 6 Other 47 Female 225 Male 31 Credit OverAmt 5 ZeroN=-t Tern Total: 256 ................................................................................................................................. h- N Im E Ny o E a J � w J N cm z _` �P O N y W W W C—� « p0 N Z 0 W N IY LL O z u$ `o oo o` o N m aT x a ma a rv7� N C L- N 2 m m dSmeq O -2Ilkm N m` a m`m` N m N L N el C Z a S a j�mz c c o e IL Q le P Q 0 z z a a m CC oaQ e v c a om "'�no00 ujj a m n h u o O u N o e N M O V i+ dime `*tee a a Y O� W N a e4 O ei a-1 H m w m u m q a Q of N Ot N Of d, N N Z O N N N 7 N z Z N Z a 2 Z W LL G m�� LU U L U U U LU W a a z a a 4 Z W 0 0 00 00 O 9 O U V W N N N N N N CO w W ry 1 as C o ; cE G 1/28/2021 tmp_cw5report5912376068940744681.html MEMORIAL MEDICAL CENTER 01/28/2021 oA 2021 AP Open Invoice List 11:14 'i ,i Dates Through: Veridorll• z�tLl:itard#y5; Vendor Name Class 11816 ASHFORD GARDENS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01 /27/2021 01 /25/2021 02/18/2021 NH PORTION UHC PAYMENT (Q 1PP) Vendor Totals: Number Name Gross 11816 ASHFORD GARDEN 4,206.56 Report Summary Grand Totals: Gross Discount 4,206.56 0.00 :.":.. ALP P -OV-40 � s�t1yy ..�;'.iV ? �Ol.l � A7 0 ap_open_invoice.tempiate Pay Code Gross Discount No -Pay Net 4,206.56 0.00 0.00 4,206.56� Discount No -Pay Net 0.00 0.00 4,206.56 No -Pay Net 0.00 4,206.56 file:/I/C:IUsers/mmckissack/cpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5report5912376068940744681.html 1/1 1/28/2021 tmp_cw5report3155364121059888888.html MEMORIAL MEDICAL CENTER 11:15 AP Open Invoice List Dates Through: Vendor# Vendor Name - Class SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01 /27/2021 01 /25/2021 02/18/2021 NH PORTION UHC PAYMENT Vendor Totals: Number Name Gross 11828 SOLERA WEST HOt 1,637.80 Report Summary Grand Totals: Gross Discount 1,637.80 0.00 JAN 21 2021 0 ap_open_i nvoice.template Pay Code Gross Discount No -Pay Net 1,637.80 0.00 0.00 1,637.80r// Discount No -Pay Net 0.00 0.00 1,637.80 No -Pay Net 0.00 1,637.80 file:/I/C:lUsers/mmckissack/cpsilmemmed.cpsinet.com/u88150aidata_5/tmp_pw5report3l55364121059888888.html 1/1 1/28/2021 tmp_cw5report8499635578731525190.html :-..- .. vi i�.i MEMORIAL MEDICAL CENTER 01/28/2021 r AP Open Invoice List 11:15/-'0 LiJY Dates Through: Trn A'If •r VelidoFrJe1]i h'F,1s ;;r t�k.,,, �tc.� Vendor Name Class 11820 FORTBEND HEALTHCARE CENTEI Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01/27/2021 01 /25/2021 02/18/2021 \ NH PORTION UHC PAYMENT J Vendor Totals: Number Name Gross 11820 FORTBEND HEALTI 1,689.52 Report Sunmr;)ry Grand Totals: Gross Discount 1,689.52 0.00 i3Fd 1s�,Pd ? 3 2021 ctcpr ayr _r�rfr 0 ap_open_invoice.template Pay Code Gross Discount No -Pay Net 1,689.52 0.00 0.00 1,689.52 Discount No -Pay Net 0.00 0.00 1,689.52 No -Pay Net 0.00 1,689.52 file:///C:IUsers/mmckissacklcpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5report8499635578731525190.html 1/1 1/28/2021 tmp_cw5mport4373787314398223648.html 01/28/20214.._.a 1-ai_..._ MEMORIAL MEDICAL CENTER _I AP Open Invoice List 0 11:14 i 4�p ) ll U?q Dates Through:ap_open_invoice.template }Y,SIE� ) Vendor# Vendor Name Class Pay Code 11832 'Cl1i6a)at-it CoU ty FiaidiBRQADMOOR AT CREEKSIDE PAF Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 012521 01/27/2021 01/25/2021 02/18/2021 1,741.24 0.00 0.00 1,741.24 NH PORTION UHC PAYMENT ( QIPP� Vendor Totals: Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT C 1,741.24 0.00 0.00 1,741.24 Report Summaiy Grand Totals: Gross Discount No -Pay Net 1,741.24 0.00 0.00 1,741.24 y5 JAN 2 3 2021 flle:///C:/Users/mmckissack/cpsitmemmed.cpsinet.com/u88l50a/data_5/tmp_cw5report4373787314398223648.html 1/1 1/28/2021 tmp_cw5reportl 764173686329661151.html 7, IY �`.,_ MEMORIAL MEDICAL CENTER 01/28/20211{l - 11:15 /, ,� r J� �t 1 AP Open Invoice List - ti 2021 Dates Through: Vendor,# Vendor Name Class 11824:x;Yec"''�f'"1'--')'�""7�s-, THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01/27/2021 01/25/2021 02/18/2021 NH PORTION UHC PORTION Vendor Totals: Number Name Gross 11824 THE CRESCENT 1,396.44 Report Summary Grand Totals: Gross Discount 1.396.44 0.00 Cv'd 0 ap_openi nvoice.template Pay Code Gross Discount No -Pay Net / 1,396.44 0.00 0.00 1,396.44 Discount No -Pay Net 0.00 0.00 1,396.44 No -Pay Net 0.00 1,396.44 file:///C:/Userslmmckissacklcpsilmemmed.cpsinet.com/u88150aldata_5/tmp_cw5reportl764173586329661151.html 1/1 1/28/2021 tmp_cw5report2820704902243209290.html MEMORIAL MEDICAL CENTER 11 1fi ,� ;, .� -""�"' AP Open Invoice List Dates Through: Vendor#,iciji� I o � 71 Vendor Name Class 11836 GOLDENCREEK HEALTHCARE ter-{;1'cpt?s+InYoiesy sCG�np(pt Tran Dt Inv Dt Due Dt Check Dt Pay 012521J 01/27/2021 01/25/2021 02/18/2021 NH PORTION OF UHC PAYMENT ( &I PP) Vendor Totals: Number Name Gross 11836 GOLDENCREEK HE 2,731.62 Report Summary Grand Totals: Gross Discount 2,731.62 0.00 APIIMOM N 2 3 2021 G.'•S._'.OL•t•: BteLi'P'7, (i�q¢A0. 0 ap_open_invoice.template Pay Code Gross Discount No -Pay Net 2,731.62 0.00 0.00 2,731.62 Discount No -Pay Net 0.00 0.00 2,731.62 No -Pay Net 0.00 2,731.62 file:///C:/Users/mmckisseck/cpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5report2820704902243209290.html 1/1 1/28/2021 tmp_cw5report3461571880465793819.himl u�- MEMORIAL MEDICAL CENTER 01/28/2021„ lea<:=.� 11:16 J�4`:9l( 2ti 2021 AP Invoice List Daten es Through: Veniibr#��rL �'r.�e� Vendor Name Class ry1 , r ==0 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01 /27/2021 01 /26/2021 02118 /2021 NH PORTION OF UHC PAYMENT Vendor Totals: Number Name Gross 12696 GULF POINTE PLA2 1,614.92 Report Summery Grand Totals: Gross Discount 1,614.92 0.00 rLr pSi�'7:�6' 21021 Ai' 0 ap_open_invoice.template Pay Code Gross Discount No -Pay Net 1,614.92 0.00 0.00 1,614.92 Discount No -Pay Net 0.00 0.00 1,614.92 No -Pay Net 0.00 1,614.92 file:///C:/Users/mmekissack/cpsi/memmed.cpsinet.comfu88150a/data_5/tmp_cw5report3461571880465793819.html 1/1 1/2812021 tmp_cw5report5992484030026212789.html 01/28/2b21 > i MEMORIAL MEDICAL CENTER Y 11:16 r1 AP Open Invoice List .','; I,r r1 2u2,E Dates Through: Vendor# 11 1 Vendor Name Class 13004;i'''t''' J�;'r"tj f%-t��^pia=rc TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay 012521 01 /27/2021 01/25/2021 02/18/2021 NH PORTION OF UHC PAYMENT Vendor Totals: Number Name Gross 13004 TUSCANY VILLAGE 2,465.32 Report Summary Grand Totals: Gross Discount 2,465.32 0.00 A112%0'd;^W ,gqy ,BAN 2 0 2021 0 ap_open_invoice.template Pay Code Gross Discount No -Pay Net 2,465.32 0.00 0.00 2,465.32 Discount No -Pay Net 0.00 0.00 2,465.32 No -Pay Net 0.00 2,465.32 Tiile:I//C:lUserslmmckissack/cpsilmemmed.cpsinet.com/u88150aldata_5ltmp_cw5report5992484030026212789.html 1/1 2 O to to T N d' V (N to '0 'o N to N ql N'. 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AM wYa W Wme WmMr Mhne Px TnnX o0ut iraM<nlP.O.plan 6edmlN 4rmm1<aellanXonE[n NVMy 93,313.13 ✓ B],9}3.61 ]]L580.63 23e,94e.1e n3,610.11 Bankpbn<e 274,940.16 Vapn[e prveln plane 10000 AMIMOROUP D3PPYR 3 M3 5.710.33� M MOUNAQIPPl,ia3 345]L]3.�/ MOUxADIPP161AP36 10,737-M MOUNAyPPYR3 Ap 3,Z53.63✓ amber IMmnt NOvemberlOprM D.,OAtA1 hAPrpt Adjurt B214mOrunger Aml WISIA11✓ 99)10,01 ✓9],135.70 k/1M,726.66 ✓ 246,e00.93 1L9.16}.38 Bank DOAAne Ie5,000.97 Vatlan<a W«InpNn« 100.00 AWRI0WUPQPPYR3A03 L%3.3]✓ MOUNA DIPP 42f 3 131W." ✓ MOUNAOIPPIAME ,vPA2✓ MOUNADIPPYR3AD1 417A31 W.WlnIttM NAMmbelll WAV, De«mber IM.. Adlun B<Iante/Tnnd<rAnt 133.167.31 59,611.20 $7,570.82 /150,10326 ✓ - 151.]63.60 % 114A60.83 Bank BNarce 151.263A0✓ VaXan« Un.I.pbpl 100.00 AMBMOROUPQPPM3A03 4NL33 MM IAWPPL2l1 MA12A2.// MOUNAOIPPA64VSe 3,573.M ✓/ MOUNANPPTR3AW 960.33 OOO UIUAIUAN NepmMrinlNM Oe<embxlnMtM �� / 21,695.76 ✓2Q361.0] • 109.308.20 V Assn, BUa«e/Trankler4mt 136,M0.131/ I30,73910 / 89,893.10 Bank ealann 110,]39.PV Varlan[a L.n.iID31M« 100.00 AM3RIQROUPDIPPVR3AD1 2,335.16k/ MOUNAQIPPL263 1L250.s8 MOUNAOIPPAd.LkPSE Zara." ✓ MOUNADIPPYR3A01 L330.%� D<30BOIIMerpt November urterM De«mbar InuUmt MJurt pNMe/TranvlerPmt WA9310 ✓ 3I68M03B %,939.66✓ 95,682.50 ✓ 685,]g305 ✓ 406,506.20 / 466.696,65 pnk plx<e 416,5e6,20✓ Vatlan« SLT'i y. Mrve Maw.. 100A0 AMBMOROUP0jPPYR3AD3 L019.30✓ A f 2 31 e 6 1 (1 _ ( I _ MOUNAMPPL=83 I236I.91 2 9 ' ' ))1 L l r ( (� / J �._ MWNNACUPPY93A01 Lt33.m .BAN (� t I U- Oebahetlnlenrt o 1 ( 89 S 8 NrvemM.mteme De«mb«IMerert�1=�'' A"]� i ik % _ I '. 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WSM U UHCCOMMUXMPLH MPMT7.ma11191mm UNAMl UHCCemmuNI9PIHCCWMPMT74004119100M UMMMI HVMMMW,U45MCMIMPMT3ae6363P00a976 U15120i NGLTNHUMMISVC HCCWMIMTI>MMla13pM1 3/IWW1 nMFpcwkv FLHM nMPW?1M11M1libm. _.. 3/I6MM1 HHcm61MYMM] MPIi6PMT>2M00iQ%2Un - 1/SM1011 XHMpMp MSCOHKWMPMTImNl a6mq$ia1 U2W0Ql NHIMN.L IHMPWJ GMPME3m 79lH11 MMT V3M1Ml WAE0HDXWMIMT39M6111Qm1]MSIH UHMT Ul]MM3 WIpEOUTGNIFp XFµHICMFCFNRpf 111 ]0]6C�ygJpj,10�� nJl L M �15 . I MMCPo naN arvlrPNP{ LlN1ILU/a{ If{NQ%/0 mro/faTM1 aM/CgLPl aM/Mp) NMM Comm NNPoRMN - 6J5)J6 K - ]2,]Ilo0 - RMnlA.m ' L249A6 19K76 5.911A0 � 552I.00 Kars! 1d]LY::. maM. ma a6a _:. - lAaJe 'FISa� 30.H13B - loaaLle 6,s61A0 - Ilan 71n89 1A]/1M1.M04NNmlT11GRMa1NKffIOObMMIl000M1: %N350 . _ U37/1M1 MMNUNSIITNTMMOHNM_a36mma><_3MM11. K6430 N14M Um30 FM9.10; U3]MM1 _ I3A45.00- 6'CMi�. K3aK 3q-N.Y I9J�La $�{lE.�li UHCWMMUNM)L6 MpW7,,,M0031a!] ]M]/Eal UNCLGMMUNMPI NCCWMpMT>66p0ilII9ImA 13SlS.M HAMA W712021 VN[Cpnmunlry%XCCL31MPMf)16MM1191mm 5.115.19 s.M.19 t/7/1m1 NOVUK 301U110NNLL1/JMPM56]631013mORIM - 3"10.00 - 3AMM 93.M5.39 � M369ue FARM awzw a..Jm 3Rs96.% ac WTM asp> L_a33a,76 sL]oLa PJa.a x,�s6,a an9Je ssuxa ms3 1129/2021 Quick View Select Quick View Accounts Treasury Center Select Grouo '4381 MEMORIAL MEDICAL $274,940.14 $378,997.93 $274.940.14 $273,640.2 CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $146,000.97 $205.097.82 $146,000.97 $129.591.4 BROADMOOR *4411 MEMORIAL MEDICAL $151,263.64 $186,534.24 $151,263.64 $146,560.7] CENTER / NH CRESCENT `4446 MEMORIAL MEDICAL $110,739.14 $144.069.74 $110,739.14 $109,783.Ei'I: CENTER / NH FORT BEND •4438 MEMORIAL MEDICAL CENTER / SOLERA AT $486,546.20 $525,291.93 $486.546.20 $486,546.2'-:�.`-' 2: Page generated on Ot/29/202121 , https://prosperity.albanking.com/onlineMessonger tl1 Memorial Medical Center Nursing Nome UPL Weekly Nexion Transfer Pmnperity Accounts 1/29/2021 Prowour A¢aunt Be6lnni� NuN Noma Number arts Trend r,Dat rTroMr 691915.M / 69,BIS.ifi 12%016 Norr2: Notr2. 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LeaYrin Wbwe IW.W arrwunen(mimm.n> OttrNrinnnr! xwrmn.rlwne OrnmNllnrnn •dfun B6lrna/r nrhrMt ]SS.]16J1 TmureNxmeu UUIU3✓ .bprwrd: lA�/�A_ JAI 2 9 2021 s]twsrayv�+u6x�L snxxwxshrnnamNxumm�deeswm.rsiivtsWnu.Mlm urUnmlasumm.rvto-xwu MMCPORMON ONP/Camp66 NH Ttandal-G9t TamftM ONP/Co 1 OIPP 3 QIPP/ 1 1aPH GIIPII PO0.T10N 1/29/2G21 WI080OTNMGSERMCES,LLC 17.525.W v sss.M MMCPOPTION OIPP/6 PY NN Tnnder0ut Tnn� ONP/Cm l OIPP 3 OIPP/Can93 "M OHPV PORTION 1/25/3031 NORIOMNI9AMMWMPMI67M24100001365Wl 99,098.85 IA712021 WIREOOTHMGSERVICES,MC 3;507122 MOM 1128YOM HORIOMNI3GHC IMPMT635024 W10W537 23.117. a 13 3;803.22 32Lmu / - 1222 6A1 W,WL91. 122316A3 �'+•31669 1 /29/2021 Quick View Select Quick View Accounts Search All Treasury Center Select Group Groups Add Group MMC -NH GULF POINTE PLAZA- $122,316.83 $136,392.15 $122,316.83 $99,1984 MEDICARE/MEDICAID •5433 MMC-NH GULF POINTE $100.00 $76,883.12 $100.00 $100.C"' PLAZA -PRIVATE PAY a https:llprosperity.olbanking.com/onlineMessenger Page generated on 01/2912021 t• ill Memorial Medical Center Nursing Nome UPL Weekly Tuso my Transfer Prosperity ACcounts 1/29/2021 Pn•lew Mrmnt hClnnlry ' - �Am• TnntlenN Noer. pd]AMPnar o/mrssoromn3rtrmlandw thenuynvAmme. Nme E: EPAmaunt hnr a hme holantt a/sl %tAm MMC depu)ItM ro nym nnPUM. N ., toN I•MIN tn_mmam tsewm bu h 4 ' - e•n3a•I.nN P0.NS.ae N,NS.N/ 68Atl.a6 Vncnm 4•ve In Nhnw MhICTMOM Opabe11nb1M N .p b,lnYr•11Mumm Wam RdlurtaY•MS/}I•M1mNn1 NAISJ6 A... a: 3•wn4MhCEO �� 1/39/2Ai1 JAN ? 9 2U I I y)yv 2 ?.; 34 iy'a2 MMC PORTION QIPP/Comp1 Trans/et-0ut TmnthMn QIPP/Comp2 QIPP/Camp2 QIPP/lbmpi &lapse QIPPT NH PORTION 3/2]/2021 WIRE 0IRONBAR ENTERPRISES, 11.[ 56,963.73 - 1/26/2021 Molina HCo/TX HCCWMPMT PN3275717a944200 - 26,487.32 26,437.32 1/28/2021 NOVITAS 6OL0TION HCCLAIMPMT 67620142000 I81 41954.54 41 gU 54 55963.73 66.441.66 66.44166 t/29/2021 Quick View Select Quick View Accounts Account Number / Name Account Type___,.._._, _ Search .. All Treasury Center Select Group Groups Add Group -aaur MMC-NH TUSCANY $80,895.60 $273.482.97 $80,895.60 $12,463.7 VILLAGE indicate: Page generated on 01129/2021 0 htips:l/prosperity.olbanking.wm/onlineMessenger 1/1 r Memorial Medical Center Nursing Home ❑PL Weekly HSL7ransfer Prosperity Accounts 1/29/2021 vmnw. xnnnt xrinnty w4Wl.l,42 .Q Nme: Oriryaa]wsc yn.saxoo9 wrxowl).n.e m Menurtmaamnr. Nor. i; Ense —TAGS fwfYnsegstw Not MMcIftwom. nrvaun]. nmowamx rr.mrmem xn4 xlann WIIwR leareln xbnu ORn4.rlm.r.R aw.mxrma.mR M[nn4t14xRu] MIYRYYrc./9nmIRNn] ty]63A9 bnravM: Lmn MnIn�LEO U19/3031 Sri JAN 2 9 2021 dWiEµMiXi1I Gi:P$iN7iLirti ]:W x wR W n.mrmµx uv] rn n �w smn,..nvois W nu.Mxx un rnmM summary ia2v.m 1/25/2021 Deposit 1/26/2021 Deposit 1/26/2021 NOVITAS SOLUTION HCCIAIMPMT 67MI 420000190 1/26/2021 HEALTH HUMAN SVC HCCUUMPMT 174IHIDN1130162 1/27/2021 WIRE OUT BETHANY5TN10R LIVING, LTD IJ2712021 Deposit 1/27/2021 NOVITAS SOLUTION HCCtAIMPMT 676481420000176 1/29/2021 Deposit PANIC PORTION gIPP/Comp/ LP1 T4in6T6E4lut Tnn64emn gIPP/Cpmp2 gIPP/Camp3 ilapl6 CUPPTI NH PORTION 4,54,1.17 4,So4.17 - 21887.53 2,88T.53 • 18.099.63 28,039.63 - 2,612.42 - 2,612.42 481,24A42 - - - 26,258.58 - 26,258.0 26,233.16 - 26,238.16 - 1,623.00 - 1,623 DO 401.Z48.42 82,263A9 b 82.263 49 1,129/2021 Quick View Select Quick View Accounts Account Number / Name Account Type________ Search All Treasury Center Select Group Groups Add Group Data reoorted as of • indicale: Page generated on 01/29/2021 j r htlps:/Iprosperity.olbanking.com/onlineMessenger ill P A Y E E. MMC OPERATING AMOUNT $47,970.51 MEMORIAL MEDICAL CENTER ---..--- CHECK REQUEST Date Requested: 1/29/21 A"T JAN 2 9 2,021 U' �tK,w: A: a FOR ACCT. USE ONLY Imprest Cash nA/P Check Mail Check to Vendor Return Check to Dept GA NUMBER: 10255040 EXPLANATION: — Amerigroup QIPP YR 3 ADJ, MOLINA QIPP 1,2, & 3, AND MOLINA QIPP YR 3 ADJ REQUESTED BY: MAYRA MARTINEZ AUTHORIZED BY: m MMC OPERATING A E AMOUNT $19,559.28 MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 1/29/21 FOR ACCT. USE ONLY FI Im prest Cash �A/P Check []Mail Check to Vendor Return Chpcl( to Dept G/L NUMBER: 10255040 EXPLANATION: — Amerigroup QIPP YR 3 ADJ,,MO-LINA QIPP-1.,2,-& 3, AND MOLINA QIPP YR 3 ADJ — REQUESTED BY: MAYRA MARTINEZ AUTHORIZED BY: P, A y E E MIACOPERATING AN40UNT $15,742.99 MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 1/29/21 FOR ACCT. USE ONLY 1-1 Imprest Cash Apft"ft vi FIA/P Check JAINI 29 2021 nM@il Check to Vendor ElReturn Check to Dept a,tx,wx" vft, G/L NUMIgIfFU255040 EXPLANATION: --Amerigroup QIPP YR 3 ADJ, MOLINA QIPP 1,2, & 3, AND MOLINA QIPP YR 3 ADJ REQUESTED BY: MAYRA MARTINEZ AUTHORIZED BY: IA MEMORIAL MEDICAL CENTER CHECK REQUEST P MMCOPERATING Date Requested: 0 Y E --- AMOUNT $19,415.10 i1F'P3i:11'?R@y !a14 2 9 2021 1/29/21 FOR ACCT. USE ONLY FlImprest Cash nA/P Check Mail Check to Vendor F111etu n Check to Dept G/L NUMBER: 10255040 EXPLANATION: _ Amerigroup QIPP YR 3 ADJ, MOLINA QIPP 1,2, & 3, AND MOLINA QIPP YR 3 ADJ=�jy� REQUESTED BY: MAYRA MARTINEZ AUTHORIZED BY: MEMORIAL MEDICAL CENTER -----..-- CHECK REQUEST P MMCOPERATING Date Requested: 1/29/21 A w E E AMOUNT $18,596.39 FOR ACCT. USE ONLY FlImprest Cash m nA/P Check J? N 2 9 2021 Mail Check to Vendor .Return Check to Dept .9D;'NCxPSrZ 6itWliYi$� �-- G/L N U M B S R: 10235040 EXPLANATION: Amerigroup QIPP YR 3 ADJ, MOLINA QIPP 1,2, & 3, AND MOLINA QIPP YR 3 ADJ — Sol(v),-/ REQUESTED BY: MAYRA MARTINEZ AUTHORIZED BY: January 27, 2021 2021 APPROVAL LIST - 2020BUDGET COMMISSIONERS COURT MEETING OF 01/27/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 12 $31,485.08 TOTAL VENDOR DISBURSEMENTS: $ 31,485.08 TOTAL AMOUNT FOR APPROVAL: $ 31,485.08 January 27, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 01/27/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 13 $41,862.13 FICA P/R $ 54,295.28 MEDICARE P/R $ 12,698.26 FWH P/R $ 37,665.93 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 4,225.00 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,516.15 BANK OF TEXAS A/P $ 58,425.00 TOTAL VENDOR DISBURSEMENTS: $ 210,687.75 TOTAL AMOUNT FOR APPROVAL: 210,687.75 $