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2021-09-29 Meetinig MinutesCOMMISSIONERS' COURT-9/29/2021 Richard rd H. Meyer County judge ][David Hall, Commissioner, Precinct 1 Verna ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (wary Reese, Commissioner, Precinct 4 Karla Perez, Deputy Clerk REGULAR TERM 2021 § —SEPTEMBER 29, 2021 BE IT REMEMBERED THAT ON SEPTEMBER 29, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Gary Reese Texas Flag — Vern Lyssy 4. General Discussion of Public Matters and Public Participation. 5. Hear report from Memorial Medical Center. Roshanda Thomas with MMC gave monthly report. 6. Approve the minutes of the September 15, 2021 and September 22, 2021 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 3 COMMISSIONERS' COURT-9/29/2021 Consider and take necessary action on the transition and compensation for Precinct 1 Justice of the Peace, Judge Hope Kurtz, as Judge Pro Tern to complete the unexpired term of retiring Precinct 2 Justice of the Peace Judge Calvin Anderle, beginning October 1, 2021. (RM) Hope Kurtz presented Calvin Anderle plaque for 16 years of service. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the final plat of the J.M. Turner Subdivision (part of the Lot 4 and Lot 5, Block 3 Resubdivision No. 1, FM 2760, Port Lavaca, Texas). (DH) Jake Helfner with Elite Engineering spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve proposal #21-054 from Gonzales Contracting, Inc. to complete the work on Six Mile Pier Project using GOMESA funds. Scott Mason with G&W Engineering spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the final plat of the Casarez Subdivision (a replat of part of Outlot 2 in Outblock 24 of the Port O/Connor Townsite). (GR) PASS 11. Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. (GR) PASS Page 2 of 3 COMMISSIONERS' COURT-9/29/2021 12. Accept reports from the following County Offices: i. County Auditor — August 2021 ii. County Extension Offices — August 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action on any necessary budge adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Approval of bills and payroll. (RM) MIMIC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 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: 10:28 a.m. Page 3 of 3 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, September 29, 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: FlLEO AT OCLOGK M G.o3 1. Call meeting to order. SE��Ppp2pp4pp 2021 2. Invocation. COUNTY CLERN,NCALHCU SUNTY, TExn BY: 3. Pledges of Allegiance. � uuv (/ 4. General Discussion of Public Matters and Public Participation. 5. Hear report from Memorial Medical Center. 6. Approve the minutes of the September 15, 2021 and September 22, 2021 meetings. 7. Consider and take necessary action on the transition and compensation for Precinct 1 Justice of the Peace, Judge Hope Kurtz, as Judge Pro Tern to complete the unexpired term of retiring Precinct 2 Justice of the Peace, Judge Calvin Anderle, beginning October 1, 2021. (RM) 8. Consider and take necessary action to approve the final plat of the J. M. Turner Subdivision (part of Lot 4 and Lot 5, Block 3 Resubdivision No. 1, FM 2760, Port Lavaca, Texas). (DH) 9. Consider and take necessary action to approve Proposal #21-054 from Gonzales Contracting, Inc. to complete the work on Six Mile Pier Project using GOMESA funds. (VL) 10. Consider and take necessary action to approve the final plat of the Casarez Subdivision (a repiat of part of Outlot 2 in Outblock 24 of the Port O'Connor Townsite). (GR) Page 1 of 2 j 'UI JI—Pll IC1c; � ��;1[777. 11. Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. (GR) 12. Accept reports from the following County Offices: i. County Auditor — August 2021 ii. County Extension Offices — August 2021 13. Consider and take necessary action on any necessary budget adjustments. (RM) 14. Approval of bills and payroll. (RM) 4, �f , Richard Meyer, County Jud Calhoun County, Texas tj 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 NO-nc-E OI- MEE-ruvG -s/29/ zo?1 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 I! I IC �. (��I I I I I\CI The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, September 29, 2021 at 10:00 a.m. in the Commissioners' Courtroorna in the County Courthouse at 211 S. Aran Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: FILED AT G:o3 O'CLOCK Am 1. Call meeting to order. io:oonnW FM SEP 2 4 2021 2. Invocation. DH COUNTY GLEN ANUM&M,TEXAS BY: 3. Pledges of Allegiance. Gh IVL `r 4. General Discussion of Public Matters and Public Participation. 2 M 5. Hear report from Memorial Medical Center, K Dshanda l-hornaS io,oi - io os) 6. Approve the minutes of the September 15, 2021 and September 22, 2021 meetings. VI/GI2 7. Consider and take necessary action on the transition and compensation for Precinct 1 Hope Kurtz Justice of the Peace, Judge Hope Kurtz, as Judge Pro Tern to complete the unexpired term of retiring Precinct 2 Justice of the Peace, Judge Calvin Anderle, beginning October vt-kre D H 1, 2021. (RM) 707. of salary - bginnin9 W. a 8. Consider and take necessary action to approve the final plat of the J. M. Turner DH'VL. Subdivision (part of Lot 4 and Lot 5, Block 3 Resubdivision No. 1, FM 2760, Port Lavaca,. Texas). (DH) Jake PetfWl Elite "Ineeu'�nrq 9. Consider and take necessary action to approve Proposal #21-054 from Gonzales DHIVt, Contracting, Inc. to complete the work on Six Mile Pier Project using GOMESA funds. (VL) Scat wsotl N" W 10. Consider and take necessary action to approve the final plat of the Casarez Subdivision (a replat of part of Outlot 2 in Outblock 24 of the Port O'Connor Townsite). (GR) pA Page 1 of 2 ��G`TI( :)1 IVIII_�IIIJ6-9,-'9��02J. 11. Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. (GR) PASS 12. Accept reports from the following County Offices: i. County Auditor — August 2021 VL/J S R. County Extension Offices - August 2021 13. Consider and take necessary action on any necessary budget adjustments. (RM) Cu rz /JFS 14. Approval of bills and payroll. (RM) MM G Cnun PQ'r /VL ONwL• 4, �w, Richard Meyer, County Jud Calhoun County, Texas Ad - lo: as 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 11 ( .1\I,I 111I �\!1 11\ I All Agenda Items Properly Numbered VLKContracts Completed and Signed VIE All 1295's Flagged for Acceptance (number of 1295's _) ✓All Documents for Clerk Signature Flagged On this :Zqgday of 2021 a complete and accurate packet for 22 4f b21 Commissioners Court Regular Session Day Mont was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County nudge/Assistant AT J: UO "LED O CLOCK._ L—M SgEPpp 2 (9 2gq0NN21 COUNTY CLERK CA�uSBNCOUNTY,TEXAS BY: COMMISSIONERSCOURTCHECKLIST/FORMSDEPUTY AGENDA COMMISSIONERS' COURT — 9/29/2021 ]Diehard H. Meyer County judge David Hall, Commissioner, Precinct l Vern Lyssy, Commissioner, Precinct 2 ,Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Darla Perez, Deputy Clerk CAL H OUN COUNTY COMMISSIONERS'COURT REGULAR TERM 2021 § SEPTEMBER 29, 2021 BE IT REMEMBERED THAT ON SEPTEMBER 29, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Gary Reese Texas Flag — Vern Lyssy 4. General Discussion of Public Matters and Public Participation. 5. Hear report from Memorial Medical Center. Roshanda Thomas with MMC gave monthly report. Page 1 of 10 #5 ' COMMISSIONERS' COURT —9/2.9/2021 6. Approve the minutes of the September 15, 2021 and September 22, 2021 meetings. RESULT: APPROVED [UNANIMOUS]; MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct`1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 10 #6 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct B Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, September fly, 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. ichard Meyer, Cou dge Calhoun County, Texas Anna Goodman, County Clerk 1x� i Ui Ju.� Deputy Page 1 of 1 COMMISSIONER'S COURT — 9/15/2021 Richard H. Meyer Country judge ;David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Darla Perez, Deputy Clerk piilil �.� REGULAR TERM 2021 § SEPTEMBER 15, 2021 BE IT REMEMBERED THAT ON SEPTEMBER 15, 2021, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Commissioner Gary Reese Texas Flag — Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation, Introduced Karla Perez as Deputy Clerk of Commissioners court 5. Public Hearing regarding a Petition to Vacate Outiot 2 in the Hull and Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun County Deed Records. Page 1 of 5 I COMMIS51ONER'SCOURT-9/15/2021 2 Consider and take necessary action on a Petition to Vacate Outlot 2 In the Hull and Zimmerman Subdivision in Port O'Connor Townsite situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County, Texas as recorded in Slide No. 652 B of the Calhoun County Deed Records. (GR) 7. Consider and take necessary action to approve the Preliminary Plat of the Pershall Subdivision (a replat of Lot 2 in the Hull and Zimmerman Subdivision). (GR) 8. Consider and take necessary action on a request from the Calhoun County Fair Association to obtain a permit from TABC to allow alcoholic beverages to be sold at the 2021 Calhoun County Fair (October 12t' through October 16"', 2021), pending proof of liability Insurance. (DH) 9. Consider and take necessary action to approve the bid package for Drainage and Sewer Improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held 2:00 pm, Thursday, October 7, 2021. Bids will be due before 2:00:00 pm, Thursday, October 21, 2021. (DH) Page 2 of 5 j COMMISSIONER'S COURT — 9/15/2021 10. Consider and take necessary action to approve the Calhoun County EMS Charity Care Policy and authorize the County Judge to sign. (RM) 11. Consider and take necessary action to approve the Job Description fbr the County Court - At -Law Administrative Assistant/Court Coordinator. (RM) 12. Consider and take necessary action to amend the 2021 Salary Order. (RM) 13. Consider and take necessary action to approve the Final Plat for the Chocolate Bayou Subdivision. (VL) 14. Consider and take necessary action to approve auction proceeds of $10,110.00 to be deposited into the Sheriff's Office Vehicle Maintenance account (760-60360). (RM) Page 3 of 5 I COMMISSIONER'SCOURT-9/15/2021 15. Consider and take necessary action to declare a CP4525N Printer from the Justice of the Peace, Precinct # 2 as Surplus/Salvage and remove it from inventory and Transfer a Fellows Shredder to the Sheriff's Office. (RM) 16. Consider and take necessary action to accept the attached list of donations for July and August to the Calhoun County Public Library. (RM) 17. Consider and take necessary action to declare the attached list of items from the Calhoun County Public Library for July and August as Surplus/Salvage. (RM) 18. Consider and take necessary action to declare the attached list of items from the Calhoun County Public Library for August as Waste. (RM) Page 4 of 5 COMMISSION ER'S COURT — 9/15/2021 19. Accept reports from the following County Office: I. County Clerk — August 2021 Il. Justice of the Peace, Precinct # 3 —August 2021 iii. Justice of the Peace, Precinct # 4 — August 2021 iv. Justice of the Peace, Precinct # 5 — August 2021 20. Consider and take necessary action on any necessary budget adjustments. (RM) 21. Approval of bills and payroll. (RM) Adjourned: 10:29 a.m. Page 5 of 5 Richard H. Meyer County judge David Hall, Commissioner, Precinct i Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, September 22, 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. c Richard Meyer, Co Judge Calhoun County, Texas Anna Goodman, County Clerk � U i Page 1 of 1 COMMISSIONERS' COURT — 912212021 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Karla Perez, Deputy Clerk CALHO JN COUNTY C®MMISSION ERS' C®URT REGULAR TERM 2021 § SEPTEMBER 22, 2021 BE IT REMEMBERED THAT ON SEPTEMBER 22, 2021, THERE WAS BEGUN AND HOLDEN A, REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Gary Reese Texas Flag — Vern Lyssy 4, General Discussion of Public Matters and Public Participation. Introduced Kaddie Smith as new clerk. 5, Approve the minutes of the August 18, 2021, August 25, 2021, September 1, 2021 and September 8, 2021 meetings. Page 1 of 4 I COMMISSIONERS' COURT — 9/22/2021 6. Consider and take necessary action to appoint Precinct 1 Justice of the Peace, Judge Hope Kurtz, as Judge Pro Tern to complete the unexpired term of retiring Precinct 2 Justice of the Peace, Judge Calvin Anderle, beginning October 1, 2021. (RM) Consider and take necessary action to approve the contract between Calhoun County and Kraftsman LP for the Infrastructure at Little Chocolate Bayou County Park — Playground Improvements for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-082 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the contract and all necessary documents. (DH) 8. Consider and take necessary action to renew a contract with AARC Environmental, Inc. for Spill Prevention, Control and Countermeasures (SPCC) Planning for Calhoun County Airport and authorize the County Judge to sign all necessary documents. (VL) a Consider and take necessary action to authorize Precinct 3 Commissioner Joel Behrens to propose the purchase of Calhoun County Property ID# 24170 (James A. Wisdom Estate) located in Olivia, Texas In the amount of $51,600. This property is appraised for $136,180 by the Calhoun County Appraisal District. (JB) Page 2 of 4 COMMISSIONERS' COURT — 9/22/2021 10. Consider and take necessary action to accept payment from the General Land Office in the amount of $1,000.00 for Bilge Reclamation Facilities in Seadrift, Texas and place the funds in Precinct 4 R & B account 570-53510. (GR) 11. Consider and take necessary action to accept checks from the City of Seadrift in the amount of $46,433.55 and $58,255.56 for reclaiming, compacting, and seal coating streets and place the funds added to Precinct 4 R & B account 570-53510. (GR) 12. Consider and take necessary action on the second insurance proceeds check from TAC in the amount of $4,679.42 for damages during the Winter Storm the week of February 15, 2021 and disburse $39,676.70 ($40,617.58 minus the deductible portion of $940.88) for MMC's part of the claim. (RM) 13. Accept report from the fallowing County Office: 1. Tax Assessor -Collector —August 2021 14. Consider and take necessary action on any necessary budget adjustments. (RM) Page 3 of 4 COMMISSIONERS' COURT — 912212021 15. Approval of bills and payroll. (RM) Adjourned: 10:16 a.m. Page 4 of 4 I COMMISSIONERS' COO RT--9/29/2021 7. Consider and take necessary action on the transition and compensation for Precinct 1 Justice of the Peace, Judge Hope Kurtz, as Judge Pro Tern to complete the unexpired term of retiring Precinct 2 Justice of the Peace Judge Calvin Anderle, beginning October 1, 2021. (RM) Hope Kurtz presented Calvin Anderle plaque for 16 years of service. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese Page 3 of 10 DOCUMENT NO.00500 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is dated as of the 14th day of July in the year 2021, by and between CALHOUN COUNTY (hereinafter called OWNER) and KRAFTSMAN LP (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORK: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK - PLAYGROUND IMPROVEMENTS CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. .02 ENGINEER: The Project has been designed by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 120 Calendar Days after the date when the Contract Times commence to run. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. Any day(s) in which rainfall occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site. 00500-1 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCB Perk Piaveround lmpowe.w, - GLO Contact No. 20-065.064-CI82 File No. 5310.01 le 2. Any day(s) following the above described "rain day(s)" in which the condition of the construction site, in the opinion of OWNER's representative, is not conducive to providing CONTRACTOR with a safe working environment at the site. OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days". Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. C. Liquidated Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03.a above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that, as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER FIVE HUNDRED DOLLARS ($500.00) for each day that expires after the time specified in paragraph .03.a. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR agrees to waive as against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty; (2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. 00500-2 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCB Park Plavemund Imomvements - GLO Conimct No. 20-065-064-CI82 File No. 5310.01 le .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contract Documents in current funds as per CONTRACTOR's proposal which forms a part of this contract. In no event shall the amounts payable pursuant to this Contract exceed $189,0830.00, being the TOTAL BASE BID plus the amount of any duly authorized change orders or contract amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division I - General Requirements, Section 01025 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER and as provided below. All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. Progress payments will be in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER shall determine, or OWNER may withhold in accordance with Paragraph 14.02.13.5 of the General Conditions. A. 90% of the Work completed (with the balance being retainage) B. 90% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14.02.A.I of the General Conditions). 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs. All requests for material payment shall be accompanied by CONTRACTOR's paid invoice for the material in accordance with Article 14.02.A.I of the General Conditions. 00500-3 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCH Park Plaveroepd Improvements - GLO Contract No. 20-065-064-CI82 File No. 5310.011e b. Final Payment Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph. .06 CONTRACTOR's REPRESENTATIONS: In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: a. CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data." b. CONTRACTOR has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. C. CONTRACTOR is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and furnishing of the Work. d. CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. 00500-4 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCB Park Plavemund Improvemems - GLO Contract No. 20-065-064-C182 File No. 5310.01 le e. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. £ CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. g. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The Contract Documents which comprise the entire Agreement between OWNER and CONTRACTOR are attached to this Agreement, made a part hereof and consists of the following: a. This Agreement. b. Exhibits to this Agreement. C. Calhoun County — GLO Contract No. 20-065-064-C182: Required Contract Provisions; General Affirmations and Nonexclusive List of Applicable Laws; Rules and Regulations; and Section 3 Clause d. CONTRACTOR's Proposal. e. Performance, Payment and other Bonds. f. Notice of Award. g. Notice to Proceed. h. General Conditions. Calhoun County, Texas General Conditions. j. Supplementary Conditions. k. Technical Specifications. 00500-5 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCR Park Plaverpund Improvements - GLO Contract No. 20-065-064-CI82 File No. 5330.011e Drawings numbered & titled for the different areas of work as indicated below INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK - PLAYGROUND IMPROVEMENTS CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-I. SHEET NO. DATE CLO 06/08/21 COVER SHEET C2.0 03/22/21 GENERAL NOTES C3.1 06/08/21 PLAYGROUND PLAN C4.1 03/22/21 STANDARD DETAILS in. Addendum numbers One (1) to One (1) inclusive n. The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 7. The Contract Documents may only be altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. .08 MISCELLANEOUS: a. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the parry sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. C. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. 00500-6 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCB Park Playground 1.0mements-GLO Contract No. 20-065-064-C382 File No. 5310.011e d. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. OWNER: HOUN COUNTY BY: chard H. Meyer, Co t udge CONTRACT : KWSMAN LP BY: Korey Soderberg, COO ATTEST: ATTEST: G� ADDRESS: 211 S. Ann, Suite 301 ADDRESS Port Lavaca, Texas 77979 PHONE: (361) 553-4600 FAX: (361) 553-4444 PHONE: I END OF DOCUMENT 19535 Haude Rd Spring, Texas 77388 (281)353-9599 N/A 00500-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR LCB Park Plav¢round Improvements - GLO Contract No. 20-065-064-C382 File No. 5310.033e Kraftsman LP (Legal Finn Name) , hereinafter called "BIDDER", is submitting this Proposal for Furnishing and Performing the Work specified herein as the INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARIC - PI.AYGROUND_IMPROVEMENTS FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-082 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. This PROPOSAL is Submitted to the COUNTY OF CALHOUN, hereinafter called "OWNER". ]. Terms used in this PROPOSAL are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Working Days after the date of OWNER's Notice of Award. 1. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No.: 1-060821 Date Received: 6-23-2021 b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and famishing and performing the Work. C. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. 00300-1 Addendum No. 1 — Playground nmprovemems d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. C. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terns and conditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, fair or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. C. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.13 of the General Conditions. E. BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 Addendum No. 1— Playgmund Impmvemems BASE BID BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS 1. 1 LS Furnishing Mobilization and Insurance as per plans and specifications for a lump sum price of Note: Price includes Payment and Seventeen Thousand Dollars Performance Bond - and Zero Cents. 2. 1 LS Furnishing equipment; materials and labor for the installation of the CDBG temporary and a permanent acknowledgement sign as per page 02845-1 of the specifications for a lump sum price of AMOUNT $ 17,000.00 Five Thousand Five Hundred Dollars and Zero Cents. $ 5,50D.00 3. 1 LS One (1) Centerpiece Play Structure meeting the following requirements: age group 5-12, ADA inclusive, minimum capacity of 80, approximate use zone of 45' x 45' and be made of materials and stainless -steel fasteners suitable for coastal environments, including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Seventy One Thousand Dollars and Zero Cents. $ 71,000.00 4. 1 LS Four (4) total bench seat with back rest/ support including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Four Thousand Eight Hundred Ten Dollars and Zero Cents. $ 4,810.00 00300-3 Addendum No. 1 — Pleygmund Improvements BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS ---------------- 5. 1 LS Four (4) total park trash receptacle including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of 6. Four Thousand Six Hundred Twenty and Zero Cents. LS Earthwork required to ensure stable base below playground zone including, stripping top layer organic material, subgrade preparation and excavation or imported fill to meet required slopes and elevations as necessary to ensure ADA compliancy including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of 7. 1 LS e: :e is for ADA npliant per rm 1292 - lineered Wood Fourteen Thousand and Zero ADA minimum and ADA inclusive playground surfacing with adequate curbing/containment structures as required to support the designated playground area including required ADA inclusive surfacing for ADA inclusive centerpiece play structure for a total of 7,600 SF of both ADA compliant and ADA inclusive surfacing, including labor, equipment and material for a complete installation as per plans and specifications for a lump sum price of Twenty Three Thousand Dollars and Zero Cent AMOUNT 4,620.00 $ 14,000.00 $ 23,000.00 00300-4 Addendum No. I — Playground Improvements DID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORMS 8. 1 LS Four (4) inch thick steel reinforced with perimeter grade beams as required, 4,000 psi concrete pedestrian walkway approximately 2,300 SF including labor, equipment and materials for a complete installation as per the plans and specifications for a lump sum price of Forty Six Thousand Seven Hundred Fifty Dollars and Zero _ _ _Cents 9. 1 LS Furnishing labor for the installation of approximately 2,400 _ SF of Flortam species sodding around the perimeter Note: Price sidewalk filled areas that are disturbed as per plans and includes supply specifications, for a lump sumo price of and install of sodding. Two Thousand Four Hundred Dollars and Zero Cents. AMOUNT $ 46,750.00 $ 2,400.00 TOTAL BASE BID AMOUNT, for INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK — PLAYGROUND IMPROVEMENTS FOR CALHOUN COUNTY, TEXAS TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1, being Items 1 thru 9 above is: One Hundred Eighty Nine Thousand Eighty DOLLARS Zero CENTS. $189,080.00 CALANDAR DAYS 120 +t+ 1 1 1 1 6 t-FFtttttttt-1 1 1 1 1 1-1 ............. 1 1 1 1 1 i-�Tt+4...tttt++-l-+ttt... 6 1 1-Ftt+ AWARD OF CONTRACT SHALL BE BASED ON THE "BASE BID" WITH CONSIDERATION OF THE OWNER'S OPTIONS -I-i-+tt+++-1--I-Fttti-++++++++-N-t++tt+-FF+tt++......... III! +++tt++++++t+++++..... 00300-5 Addendum No. l — Playground improvements RID RID ITEM QTY. UNIT DESCRIPTION OF ITEM WITH PRICE WRITTEN IN WORDS AMOUNT Four (4) 01. 1 LS Three-(3) Bay Powder Coated Steel Swing Set with Swings designed - with-- future -shade--intended: Two (2) being __,...._.._.__.._._...-.. _._._ Standard Belt Seats, two (2) being Bucket Seats, one (1) Nate. ADA compliant Swing and One ADA compliant wheel Qevnot Option t I is snr {ntggrafod aitadefor This chair accessible swing which shall include ADA inclusive g -dI,cn„e nw mn81 tia surfacing materials required and a deduction for the (decbunnd VnIh Owner standard ADA surfacing not required due to the increase in Option t sl dusirnd ADA inclusive surfacing for the wheel chair swing section including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Twenty Nine Thousand Dollars and Zero Cents. $ 29.000.00 02. 1 LS One (1) ADA-Compliant Zip Line between 75' to 100' in length including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Twenty Seven Thousand Five Hundred Dollars and Zero Cents. S 27,600.00 03. 1 LS One (1) ADA Compliant powder coated steel monkey bar / horizontal ladder play equipment suitable for wheel chair rE: accessibility including labor, equipment and materials for a udes ADA Poured in Place complete installation as per plans and specifications for a usivesur(a;ing mategals lump sum price Of sired and a deduction.(dr standard ADA Engineered xl Fibersur(ocing an, sired due to the increase In. Eighteen Thousand Dollars 1 PIP inclusive surfacing to, ADA Monkey ear section I and Zero Cents. $ 18,000.00 00300-6 Addendum No, 1— Playground Improvements BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 04. 1 LS One (1) standard height powder coated steel monkey bar play equipment including labor, equipment and materials »e:T..____.___._._... _'"` for a complete installation as per plans and specifications ruclure Is rm;y0ed uprights for a lump sum price of d powder coated steel to Itch play Mate1uu+. Owner Iihm n (Muslvuoro apparei Innst he Three Thousand One Hundred Sixty Dollars rcheoad it, hmctionally link sees Bid Itern 3 (Ptay and Zero Cents. $ 3,100.00 uaure) 05. 1 LS One (1) ADA Compliant wheel chair accessible merry-go- round which shall include ADA inclusive surfacing materials required and a deduction for the standard ADA surfacing not required due to the increase in ADA inclusive surfacing for the merry-go-round including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Thirty Four Thousand Dollars and Zero Cents. $ 34,000.00 06. 1 LS One (1) Motion Spring Rider for Ages 2 to 5 (theme to be determined) including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Two Thousand Seven Hundred Dollars and Zero Cents. $ 2,700.00 07, 1 LS One (1) Motion Spring Rider for Ages I-ta 2-(theme to be determined) including labor, equipment and materials for a complete installation as per plans and specifications for a Nola: ____.e___. lump sum price of Spring Riders, per ASI M and CPSC Guidelines, are not recommended for ages I Two Thousand Seven Hundred to 2. Spring rider proposeA Dollars ;are by ages 2 to 5 and Zero Cents, $ 2,700.00 00300-7 Addendum No. 1— Playground Improvements BID BID DESCRIPTION OFITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 08. 1 LS Ngtt — - __ ihia li m t z rt ymiod hurt hgrnlly Ind, c: "na Gp tin a )ton There (3) total Rubber Mushrooms including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Two Thousand Six Hundred Dollars and Zero Cents. 09. 1 LS One (1) in -ground mounted drum/bongo kit for musical play including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Two Thousand Four Hundred Dollars and Zero_ Cent 010. 1 LS One (1) climb and play wall/tunnel including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Five Thousand five Hundred Dollars and Zero Cents. Four Bay 011. 1 LS Sun Shade Canopy for Twee -Bay Swing Set in Base Bid including labor, equipment and materials for a complete Mote: ��it i- An �" installation for a lump sum price of irlagraled shade and can only be purchased at fire of original installation of four Seventeen Thousand Nine Hundred Dollars hay swing in Owner Option I ^_ and Zero Cents. 2,600.00 2,400.00 $ 6.600.00 $ 17,900.00 00300-8 Addendum No. 1— Playground Improvements BID BID DESCRIPTION OF ITEM WM ITEM QTY. (UNIT PRICE WRITTEN IN WORDS 012. 1 LS dole: VVe hevc ilWitided lu aw Cnu bay swing will, integrated shsde an ADA Inclusive Team Swing Sun Shade Canopy for One Bay Tire Swing Set in Base Bid including labor, equipment and materials for a complete installation for a lump sum price of NO BID and 013. 1 LS Triangle Sail Shade Canopy (40'x40'x4O') Structure including labor, equipment and materials for a complete installation for a lump sum price of AMOUNT NO®ID Fifty Thousand Dollars and Zero Cents. $ 50,0D0.00 014. 1 LS Hopscotch play at the proposed sidewalk including labor, equipment and materials for a complete installation for a lump sum price of One Thousand Zero 015. 1 LS Themed Steppers (5 EA) Play including labor, equipment and materials for a complete installation for a lump sum price of 016. 1 LS Note: We have included in our (ow bay swing config irelion sit ADA Inclusive Team Swing in place of a lire swing Two Thousand Nine Hundred and Zero Cent pwaubie-yard, One Single Bay Swing Set Structure including Tire Swing designed with future shade intended, including labor, equipment and materials for a complete installation for a lump sum price of NO BID 1,000.00 $ 2,900.00 and Cents per-eubie-yard $ NO BID ?iITA[. Ui"r cOhAF't ETE PftOJCCT AS OkAWRJ V IFRAFT'SIVIeeIV; INCI.l1[31h1Cd pVVN R t)PTidiii4 S Li49oT'En A8U4<E L3 Addendum No. I — Playground Improvements 6. BIDDER agrees that the Work shall be completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. 7. The following documents are attached to and made a condition of this BID: DOCUMENT NO. 00411- REQUIRED BID SUBMITTAL INSTRUCTIONS 8. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 23rd day of June 2021. Authorized Signature: I.-- l� Name: Kris Soderberg Title: Vice President Attesting Signature: r aILI � �.Si.ltehk- Name: 10dlla- he- (k2.`I3 Legal Firm Name: Kraftsman Business Address: 19535 Haude Rd Phone Number: 281-353-9599 Facsimile Number: g4j,:. / /l/� E-Mail Address (optional): info@krafismanplay.com State of Incorporation, if applicable: State Contractor License No.: END OF DOCUMENT 00300-10 Addendum No. 1— Playground Improvements Bond No. 4448796 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that: Kraftsman, LP (Name of Contractor or Company) 19535 Haude Road, Spring, Texas 77388 (Address) hereinafter called Principal, and SureTec Insurance Comnan (Name of Surety Company) 9737 Great Hills Trail Suite 320, Austin. Texas 78759 (Address) hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY TEXAS (Name of Grant Recipient) (Grant Recipient's Address) hereinafter called OWNER, In the penal sum of $ One Hundred Eighty Nine Thousand Eighty Dollars and Zero Cents Dollars ($ 189.080.00-------------------------) in lawful money of the United States, for the payment of which sum well and truly to be made we bind ourselves, successors, and assigns, jointly and severally, firmly in these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the 14th day of July. 2021 a copy of which is hereto attached and made a part hereof for the construction of: INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK - PLAYGROUND IMPROVEMENTS CALHOUN COUNTY, TEXAS — TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CIS2 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1, 00610-1 NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties in all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with ior without notice to the Surety and during the one year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in. making good any default, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the Principal shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in counterparts, each one of which shall be deemed an original, this the 29th day of July, 2021 ATTEST: Kraftsma LP (Princ'pa By (Principal 9 cretary) '�Ia UaGLL'_ (SEAL) ! 0 y' 19535 Haude Road (Witness as to Principal) (Address) 19535 Haude Road Snrina, Texas 77388 (Address) Soring. Texas 77388 ATTEST: SumTecInsuran Company (Surety) �� { By jy e (Witness as to Surety) , Randle Loin, Assistant (Attorney in Fact), Alicia Cantavella 9737 Great Hills Trail, Suite 320, Austin, Texas 78759 9737 Great Hills Trail, Suite 320, Austin, Texas 78759 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPAUCONTRACTOR is Partnership, all partners should execute BOND. Tower -of attorney for person signing for Surety Company must be attached to bond 00510-2 Bond No. 4448796 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that: Krattsman. LP (Name of Contractor or Company) 19535 Haude Aoad S r' T as 77'iRR (Address) a Partnership , hereinafter called Principal, (Corporation / Partnership) and SureTec Insurance Company (Name of Surety Company) hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY TEXAS (Name of Recipient) hereinafter called OWNER, in the penal sum of $ One Hundred Eighty Nine Thousand Eiehty Dollars and Zero Cents Dollars, $ 189,080.00---------------------------------------- in lawful money of the United States, for this payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONFIDENTIALITY OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated the lath day of July, 2021 __, a copy of which is hereto attached and made a part hereof for the construction of: INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARIC - PLAYGROUND IMPROVEMENTS CALHOUN COUNTY, TEXAS —TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI92 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. (Project Name) NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUB- CONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUB -CONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. 00620-1 PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in two (2) counter -parts, each on of (Number) which shalt be deemed an original, this the 29th day of r,i 2021 ATTEST: (Principal Secretary) (SEAL) 19535 Haude Road, Suring, Texas 77388 -__ 4 lzma 77388 (Address) ATTEST: SureTec Insurance Company (St ) ureu By (Witness as to Surety Randie Lom, Assistant (Att6 mey in Fact) , Alicia Cantavella - 9737 Great Hills Trail, Suite 320, Austin Texas 78759 9737 Great Hills Trail, Suite 320, Austin, Texas 78759 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND, *Power -of attorney for person signing for Surety Company must be attached to bond 00620-2 110A It: 4221073 SureTee Insurance Company LIMITED POWER OF ATTORNEY Know All Alert by These Presents, That SI:IR.ETEC INSURANCE COMPANY (the "Company") a corporation duly organized and existing under the laws of the State of Texas, and having. its principal office in Houston, Harris County, "texas, does by these presents make, constitute and appoint Jeffrey L, Brady, Dennis M. Descant, Jr., Cheryl A. Sanders, Alicia Cantavella its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undermkings or other instruments or contracts or suretyship to include waivers to the conditions of contracts aril consents ol''surety for, providing the bond pcnalt'y dives not exceed Fifty Million and 001100 Dollars ($50,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond wore signed by the President, sealed with the corporate seal of the Company and duty attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved that the President any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with loll power and authority to appoint any one or more suitable persons- as Auorocy(s)-in-Fact to represent and act for and on hchalf of the Company subject to the following provisions: Attorney-in-Fuw may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver, any and alf bonds, recognizances, contracts, agreements or indemnify and other conditional o' obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so l'.xeeuted by any such Attorney -in -Fact shall be binding upon the. Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature orany authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by 'facsimile, and. any power of attorney or certificate hearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted of a meeling held on 30° gfApril, 1999 ) ➢r Wirnes�v Whereqf, SURETEC.INSURANCIE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this nth day of may . A.D. 2021 . env st-B fCC INSURANCE COMPANY 1, 7t/)fit (try By: @a. t,; .' Michael C. 1Ceimig, Prestdent. ,�n ..,.( .,�.� Stale of TexNS SS:,. '•..••;t;{� County or Harris On this Ern day of may . A.D. 2021 before me personally came Michael C. ICeimig, to me known,who, being by me duly sworn, did depose and say, that he resides in PIOUS(On.'Texas, that he is President of SUKE'T'EC INSURANCE. COMPANY, the company described in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said ihsuvment is such corporate seal that it was so affixed by order of the Board of Directors ofsaid Company; and that be signed his name thereto by like order, Ir",!'ky 'I�fllNkifM1 e)r9r_:�L1 ..(` nk Mt;M,.ry f ublx;, SUNS tat fY�.DSM 1 a ;}. r .; trrnnnr. Fry>dtvra 03�31F2C23 to �m,�o-r»u•sw�.v.w,:.�*no-..m.'+awm� w.x.>wammv,swm Tanya Sneed, Notaty Public My commission expires March 30, 2023 I, M. Brent Beaty, Assistant Secretary of SURM HC INSURANCE COMPANY, do bernby certify that the above and foregoing is a true and correct copy of a Power of.Allot ney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect, Given under my hand and the seal of said Company at Houston, Texas this 29th day of _ July „_._ , _._ 2021 , A.D. �� IJ M. Breit Beaty, Assistan Settretary Any instrument issued in excess of the penalty stated above is totally void and without any validity. 4221073 For verification of the authority of this power you may call (713) 812.0300 any business day between 8:30 am and 5:00 pm CST. reTec Insurance Company IMPORTANT NOTICE Statutory Complaint Notice/Filing of Claims To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, TX 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252- 3439. You may write the Texas Department of Insurance at: PO Box 149104 Austin, TX 78714-9104 Fax#:512-490-1007 Web: hap://www.tdi.texas.00v Email: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIMS DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. Twos Rider 8@019 ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 9/3/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Brady, Chapman, Holland & Associates 10055 West Gulf Bank Houston TX 77040 CONTACT NAME: PHFAX AX ONE No Ext: 713-688-1500 A/C No: ADDRESS: ecerts@bch-insurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Oklahoma Surety Go. 23426 INSURED Kraftsman, LP Kraftsman Commercial Playgrounds and Water Parks INSURER B: Texas Mutual Insurance Co 22945 INSURER C: Navigators Specialty Ins. Co. (ATWINS) 36056 I INSURER D: Mid -Continent Casualty Co. 23418 i INSURE:R E 19535 Haude Road Spring TX 77388 INSURER F COVERAGES CERTIFICATE NUMBER: 1696928832 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF MMDD/YYYY POLICY E XP D/ MM /DYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 05GLOO1048525 10/11/2020 10/11/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE IJ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X MED EXP (Any one person) $ 1.000 BI&PD Ded PERSONAL &ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY OSCA002839526 10/11/2020 10/11/2021 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per eccid $ C UMBRELLA LIAB X OCCUR H020EXC7843781C 10/11/2020 10/11/2021 EACH OCCURRENCE $5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ a $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA 0010060303 10/11/2020 10/11/2021 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 If yes, describe under D ESCRIPTION OF OPERATIONS below D Rented & Leased Equipment 04CIM000016334 10/11/2020 10/11/2021 $300,000 $300.000 Deductibles Per Item Per Loss $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The General Liability policy includes additional insured and primary non-contributory per form ML1357(04/13) in favor of Certificate Holder. The General Liability policy includes blanket waiver of subrogation per form ML1080(07/11), as required by written contract. The Automobile policy includes blanket additional Insured per form MA2004(11/00), and blanket waiver of subrogation per form MA2003(03/10), as required by written contract. The Workers Compensation policy includes blanket waiver of subrogation per form WC420304B(06/14), as required by written contract. Additional Insureds: Calhoun County and G&W Engineers. IGPJA4a.r Calhoun County 211 S. Ann, Suite 301 Port Lavaca TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A. ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Policy No. 06-GL-001048525 OKLAHOMA SURETY COMPANY ML 13 57 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ® OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CALHOUN COUNTY 1. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused, in whole or in part, by your performance of "your work" for that insured. However: A. The insurance afforded to such additional insured only applies to the extent permitted by law; and B. If coverage provided to the additional insured is required afforded to such additional insured will not be broader tha 2. With respect to 1. above the following additional provisions apply: 4. Other Insurance n The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any other insurance available to the insured unless the other insurance is provided by a contractor other than the above named additional insured. We shall be considered as excess insurance of any other insurance provided by a contractor other than the above named additional insured. This amendment applies only when you have agreed by written "insured contract" to designate the person or organization listed above as an additional insured subject to all provisions and limitations of this policy. All other conditions remain unchanged. ML 13 57 0413 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission MI 90 00 08 99 /� OKLAH®NIA SURETY COMPANY `® 1437 S. BOULDER SUITE 200 TULSA OK 74119 GENERAL LIABILITY Policy No. 06-GL-001048525 Named Insured and Mailing Address Agency and Mailing Address KRAFTSMAN, L.P. BRADY CHAPMAN HOLLAND & ASSOC 42-0220 SEE NAMED INSURED ENDORSEMENT 10065 WEST GULF BANK 19535 HAUDE ROAD HOUSTON TX 77040 SPRING TX 77388 .POLICY PERIOD: From 10/11/2020 to 10/11/2021 at 12:01 A.M. Standard Time at your mailing address shown above. Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements, or declarations of the undermentioned Policy other than as stated below. ENDORSEMENT NO: 020 EFFECTIVE 0811712021 THIS POLICY IS AMENDED AS SHOWN Adding Additional Insured, under form # MIL 1357, in favor of: Name of Person or Organization - G&W ENGINEERS NO CHANGE IN PREMIUM: FORMS AND ENDORSEMENTS APPLYING TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THIS TIME: ML1357(04/13) Countersigned at: HOUSTON TX Date: 09/02/2021 By Pro-Rata:.150685 Authorized Representative MI 90 00 08 99 Page 1 of 1 No. 06-GL-001048525 PREMIUM Location Classification TEXAS Waiver Of Subrogation - See Form ML 1080 Flat Charge (Fully Earned) Additional Insured - See Form ML 1357 Per Each (Fully Earned) Additional Insured - See Form ML 1215 Per Each (Fully Earned) Manufacturers Representatives Machinery or Equipment - installation, servicing or repair NOC continued on next page Minimum Premiums Policy Writing $500 All Other $631 PR/CO $665 OKLAHOMA SURETY COMPANY COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS Code No. Premium Basis A)Area C)Cost P)Payroll tl)Per unit S)Gress Sales T)See Des.. MIAdmisslons ML 15 08 04 97 Rate Advance Premium Pr/Co All Other Pr/Co All Other 900459 T) 500.000 500. 900465 T) 9,800. 900464 T) 3,700. 45993 S) 12,000,000 .809 .295 9,708. 3,540. 97223 P) 550,000 17.214 13.569 9,468. 7,463, Extension of Declarations — Total Advanced Premium $ 26,894. $ 50,367. ML 15 08 04 97 Includes copyrighted material of Insurance Services Office, Inc., with PAGE 001 its permission fT:rc711111Zr7lIll PREMIUM Location Classification TEXAS Contractors - subcontracted work - in connection with construction, reconstruction, erection or repair - Not buildings NOC Contractors - Executive Supervisors or Executive Superintendents Products -completed operations are subject to General Aggregate Limit Designated Project - See ML 1097 Flat Charge (Fully Earned) OKLAHOMA SURETY COMPANY COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS ML 15 08 04 97 Code No. Premium Basis Rate Advance Premium A)Area c)cost Pr/Co All Other Pr/Co All Other P)Payroll U)Per Unit S)Gross Sales T)See eese. M)Atlmissions 91581 C) 2,250,000 3.430 3.430 7,718. 7,718. 91580 P) 610,000 incl. 28.108 incl. 17,146. 900454 T) 600.000 500. Extension of Declarations — Total Advanced Premium ML 15 08 04 97 Includes copyrighted material of Insurance Services Office, Inc., with PAGE 002 its permission Policy No. 06-GL-001048525 OKLAHOMA SURETY COMPANY ML 15 09 04 97 COMMERCIAL GENERAL LIABILITY LOCATION SCHEDULE LOCATION OF PREMISES Location of All Premises You Own, Rent or Occupy: Loc: 001 19535 HAUDE RD. SPRING TX 77388 Loc: 002 122 APRIL BREEZE MONTGOMERY TX 77356 ML 15 09 04 97 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission MI 90 09 11 97 OKLAHOMA SURETY COMPANY 1437 S. BOULDER SUITE 200 TULSA OK 74119 Policy No. 08-GL-001048525 THE NAMED INSURED FOR THIS POLICY IS: KRAFTSMAN, L.P. KPPE,LLC KRAFTSMAN EQUIPMENT, L.P. KRAFTSMAN, L.P. DBA KRAFTSMAN COMMERCIAL PLAYGROUNDS & WATER PARKS PLAYKRAFT, INC. DBA KRAFTSMAN PLAYGROUND & PARK EQUIPMENT MM REAL ESTATE INVESTMENT, LLC MM HAUDE RD. PROPERTY, LP MM CYPRESSWOOD PROPERTY, LP MM REAL PROPERTY HOLDING, LP KRAFTSMAN 401(K) AND PROFIT SHARING PLAN MI 90 09 11 97 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission Policy No. 06-GL-001048525 OKLAHOMA SURETY COMPANY ML 13 57 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: G&W ENGINEERS 1. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused, in whole or in part, by your performance of "your work" for that insured. However: A. The insurance afforded to such additional insured only applies to the extent permitted by law; and B. If coverage provided to the additional insured is required by written "insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract" to provide for such additional insured. 2. With respect to 1. above the following additional provisions apply: 4. Other Insurance The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any other insurance available to the insured unless the other insurance is provided by a contractor other than the above named additional insured. We shall be considered as excess insurance of any other insurance provided by a contractor other than the above named additional insured. This amendment applies only when you have agreed by written "insured contract" to designate the person or organization listed above as an additional insured subject to all provisions and limitations of this policy. All other conditions remain unchanged. ML 13 57 04 13 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission DOCUMENT NO.00417 TRENCH SAFETY sYs".I'1?Ms MIM LAITY AGREEMENT OWNER: Calhoun County CONTRACTOR: 1<r;nl`tsnuan IT (company name) HNGINI F,R: C, & W ItNgincers Inc., Part uivaca, Calhoun County, Texas PROJECT; 1NF'RAS'TRIJCTUIO.; AT LITHE (JIOCO'LA'IE BAYOU COUNTY PARK - PLAYAYC ROUND I• M ROYP'MENTS CALHOUN COUNTY, TEXAS - 'TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C 182 AND CALHOUN COUNTY 2020 CDIIG-DR CONTRACT WORK ORDER, NO. F-1. CONTRACTOR hits entered into a contract with OWNER for'be construction of the Project. E.NGINIiER has designed the Project on behalf, of OWNER, but has not designed any trench safety systems for the Project that may he required by applicable federal, state and/or local laws. CflN'I'1tACTOR, in its contract with OWNER, has agreed to prepare, and to conform all trenching work to plans for trench safety systems meeting the standards of applicable laws. CONTRACTOR, as part of its consideration to OWNER for the contract for the construction of the Project, agrees that it will be solely responsible far compliance with its Crouch safety plans and with all applicable standards of federal, state andlor local laws relating to trench safety. CONTRACTOR further agrees to hold harmless, indemnify, and defend OWNER and E ANH R, and all officers, agents and employees of either OWNER or ENGINEER, from and against any and all claims, demands or causes of action of unity nature, character or description in connection with the presence, or in any way arising out of, the use or construction of trenches or trench safety systems as part of the Project. EXI?C1J'I'L lJ, this 23rd _ day ol'_._._ lane 20 21 , CONTRACTOR OWNS r�Oflic'r'K N c Krim S:rcicrbcr O}'tzc a's N mi Richard act Title oi'OfGc or: vjct �rc,,iSlS� C _ Title of Officer: Calhoun C:,opni Judge. ENGINEER (emi-ractor°s-Scvtb —' 7 Eny � r' :eve: Scott P. Masi, n P I ., n`Ile' '1'ofEngineer: Er Pf.4lyctEnLline[.p END OF DOCUMENT 004117.1 DOCUMENT NO.00510 ATTORNEY'S REVIEW CERTIFICATION INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK - PLAYGROUND IMPROVEMENTS CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. I, the undersigned, 1 ► t • "t the duly authorized and acting legal representative of CALHOUN COUNTY, do hereby certify as follows: I have examined the attached contract(s) and surety bonds and am of the opinion that each of the agreements may be duly executed by the proper parties, acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the representative parties; and that the agreements shall constitute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and provisions thereof. Attorney's signature: _ r ys , �/ Date: ' ''VbZO Print Attorney's name: Texas State Bar Number: /�U v END OF DOCUMENT 00510-1 I COMMISSIONERS' COURT-9/29/2021. 8. Consider and take necessary action to approve the final plat of the J.M. Turner Subdivision (part of the Lot 4 and Lot 5, Block 3 Resubdivision No. 1, FM 2760, Port Lavaca, Texas). (DH) Jake Helfner with Elite Engineeringspoke on this. RESULT: APPROVED [UNANIMOUS], MOVER: David Hall; Commissioner Pct SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 10 zn Ad $ um$g3y €mg cn g R 9 €m•$ �� •S8 4 9g s ` C '12gq! 11gAm jig UME F gg Hl IM N °l$ fill®, .1!i so�m •;€g¢^"g TaF3� g v° 4R39c. �• bao 51,114,11m a� F 09 rimp a g RAI g€ g a g � c�� Z SHIP ggwr c 4° O mC �€ ° Igo A cz T T W" Z <�°D D C1 V CO r� z o m Y Q 38, $= 'z a €4 �a o gg �� IRA€s9 n 23F 9 fix€ °� $EApg� w uu W A amcaaww aucua N 54°62'34" E 661.00' "q N F�RF �$ a CY � ail � ona>a �8 It, N�ron o� AAA c; D frail r O T 3§13 e 'goal Z w m S - $ S �. c $ \ S 54°53'30" W 661.00' Im �N _ PwMwV -g PwWRV _ __ r PaneIN I 1 Iw 5z, y � IS Pg / I GOO Ffim H II i (all i ),ull ;o IN NIN I N 54°S3'30" E 661.00' VIt s= L � m c Z m \ ma o0O ro m 1 y / mmw c PH o a m < m p 100 T 4 m- Z 5mo� y a / G�yy r �, °�, �g S 54°53'30" W 661.00, y m O p zm I _ D rap=x. lull 11, 11 Z p ag09 4yS € 4 • 5 g3g 3IN 1 OS. Mae Belle Cassel From: jake@eliteengr.com (Jake Helfer) <jake@eliteengr.com> Sent: Tuesday, September 21, 2021 11:07 AM To: Mae Belle Cassel; David Hall Subject: Re: JM Turner Subdivision, Part of Lot 4 and Lot 5, Block 3 Resubdivision (Acosta RV) Attachments: JM Turner Resubdivision Final Plat.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Ms. Cassel, I finally got around to getting all the signatures on this final plat and would like to get it on the commissioners court agenda. Please let me know when that can be done, I will bring originals and some copies to the meeting. Thanks, Jake Helfer, P.E. Elite Engineering - Firm 15371 361-433-4988 Office 361-571-3063 Mobile www.eliteenzr.com On Thu, Aug 19, 2021 at 10:10 AM Mae Belle Cassel<MaeBelle.Casselna,calhouncotx.org> wrote: Good Morning This was on the August 11th agenda and was approved by the Commissioners. Commissioner Hall Nti as not present at that meeting and is out of his office until llonda} . Please let ine know if you need any thing further. Mae,3dI&Ca4se,L Ad*ni4�vatVve,Asi�4ta qt to- the' Cawvi ty Judge� a4II& Co,7�a% Crn,wt 211 SotA wv� Sweet ' COMMISSIONERS' COURT-9/29/1.021. 9. Consider and take necessary action to approve proposal #21-054 from Gonzales Contracting, Inc. to complete the work on Six Mile Pier Project using GOMESA funds. Scott Mason with G&W Engineering spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 10 GiirJ Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 September 21, 2021 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (361) 552-9656 Fax (361)553-6664 Please place the following item on the next Commissioners' Court Agenda • Consider and take action to approve Proposal #21-054 from Gonzales Contracting, Inc. to complete the work on Six Mile Pier Project using the Go Mesa funds. Sincerely,' Vern Lyssy VUIj GONZALES CONTRACTING, INC. P.O. Dox 987 ` 147 BreDan Rd. ` Port l.avacn,'I'X. 77979 Phone: 361-552-5323 " Fax: 361-55:3-6610 ° Email: lisaC�ill onralescontractinginc com September 7, 2021 Proposal: #21-054 Customer: Calhoun County Precinct 2 c/o G ft W Engineers Attn: Scott Mason Email: smason@ewenQineers.com Project: Six Mile Boat Ramp Gonzales Contracting, Inc. (GCI) proposes the following: • Install 8 Cleats (Provided by County) Office Phone: 361-552-4509 Mobile Phone: 361-920-4522 • Provide Et Install 3" x 16" Timbers as discussed (approx. 120 LF Top £t Side) • Provide £t Install Dock Bumpers as discussed (approx. 40 total) BID: $22,578.00 Includes: Labor, Equipment Et Materials (Exception: Cleats). Thank you for the opportunity to bid this project. We look forward to the possibility of working with you. Thank you - Felipe Gonzales, Jr. President Gonzales Contracting, Inc. GONZALES CONTI4ACTING, I P.O. Box 987 * 147 BreDan Rd. * Port Lavaca, TX. 77979 Phone: 361-552-5323 * Fax: 361-553-6610 * Email: lisaC@eonzalescontn September 7, 2021 Proposal: #21-054 Customer: Calhoun County Precinct 2 iOffice Phone: 361-552-4509 c/o G £t W Engineers Attn: Scott MasonI Mobile Phone: 361-920-4522 Email: smason@eweneineers.com Project: Six Mile Boat Ramp Gonzales Contracting, Inc. (GCI) proposes the • Install 8 Cleats (Provided by County) • Provide Et Install 3" x 16" Timbers as discussed approx. 120 LF Top Et Side) • Provide Et Install Dock Bumpers as discussed (approx. 40 total) BID: $22,578.00 Includes: Labor, Equipment Et Materials (Exception: Thank you for the opportunity to bid this project. We took forward to the possibility of working with you. 71- ank you -t onzales, Jr. Presfdent Gonzales Contracting, Inc. _� E-MAILED COMMISSIONERS' C()URT-9/29/2027. 10. Consider and take necessary action to approve the final plat of the Casarez Subdivision (a replat of part of Outlot 2 in Outblock 24 of the Port 0/Connor Townsite). (GR) PASS Page 6 of 10 # io Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend) <april.townsend@calhouncotx.org> Sent: Thursday, September 23, 2021 8:15 AM To: Mae Cassel; richard.meyer@calhouncotx.org Cc: hdanysh@gwengineers.com Subject: Agenda Request September 29, 2021 i. Consider and take necessary action to Approve the Final Plat of the CASAREZ SUBDIVISION (a replat of part of Outlot 2 in Outblock 24 of the Port O'Connor Townsite. Sent from my iPhone Calhoun County Texas COMMISSIONERS' COURT-9/29/2021. 11. Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. (GR) PASS Page 7 of 10 #11 Gary D. Reese County Commissioner County of Calhoun Precinct 4 September 22, 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 October 6, 2021. • Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. Sincerely, V') n- Gary D. Reese GDR/at P.O. Box 177 -- Seadrift. Texas 77983 email: carv.reesela.calhouncotx.ora -- (361) 785-3141 Fax (361) 785-5602 Green Lake Master Plan --Long-term A. Natural Resources and Wildlife Management 1. Repair breach to levee and construct structure to handle overflow 2. Create approximately 100 acres of waterfowl impoundments 3. Create additional rookeries for colonial waterbirds 4. Build marsh terracing in SW lake to create conditions for vegetation and prevent erosion of south shore 5. Create additional wildlife habitat L Build 15-acre freshwater marsh in old spoil area. ii. Restore freshwater marsh —2.5acres iii. Build lake structures to enhance fish productivity iv. Plant a significant butterfly garden v. Create watering stations for migratory birds at key locations B. Visitor Facilities 6. Build Fishing Piers to Lake i. off south bank —300' ii. Barge Canal Area-300' 7. Ensure bank fishing areas i. Barge Canal ii. Several lake spots b. Construct a boat ramp for lake access 8. Build observation tower 9. Construct picnic facilities i. covered picnic table —south side ii. group picnic facility iii. covered picnic table -Barge Canal 10. Construct approx. 6 miles of birding / hiking trails 11. Construct observation / photo blinds at key locations 12. Build educational / interpretive center 13. Construct restroom facilities 14. Develop a tent camping area for groups C. Infrastructure 16. Improve Park highway entrance 17. Construct an entrance station 18. Construct limestone access roads — approx. 2 miles 19. Construct parking areas in several locations 20. Ensure perimeter fencing appropriate 21. Provide potable water; Lay water distribution lines as needed 22. Bury electrical lines as needed. 23. Construct maintenance facility and equip Action required: • Preliminary Engineering study to improve understanding of costs of each to inform decisions regarding priority and phasing. Page i of 6 • Determine ability to utilize Lake water for waterfowl impoundments • Determine ACCE issues with utilization of Levee Road and Barge Canal Bank area. (Commissioner Reese advises post meeting that Corp needs a description and specific location of the proposed facilities in order to advise. Berger to develop) • Determine status of large Spoil area thru Corp Real Estate Division. Seek release. (Berger to develop.) Page 2 of 6 PW4 Green Lake Start-up Facilities 1. Install entry gate with custom Green Lake design. 2. Install self -serve entry fee kiosk. 3. Widen H35 shoulders and entrance to enhance driver safety . 4. Develop Park roads: I. Construct limestone entrance and pier access road. ii. Mow VBC Levee Access and Levee roads — unimproved; Install culvert at gate to Levee Road; use as weather permits 5. Install temporary porta potties ---frame. 6. Install water treatment facility to obtain potable water; install dispenser, lay water lines or identify alternatives for providing drinking water. 7. Upgrade stairs and banister on existing building to serve as temporary observation tower. 8. Develop hiking trails along mow -able routes; un-improved; mowed frequently 9. Build bird viewing stations at several locations (water drip, feeding stations, photo blinds). Need to determine how to provide water most efficiently during spring migration. 10. Construct boat ramp at appropriate spot with small parking area 11. Construct fishing pier on south shore. Access with walking trail from improved road 12. Identify specific bank fishing location off Barge Canal Levee Road to both VBC and Lake. Anticipate minimal improvements required. 13. Develop and install initial interpretive signage 14. Construct RV hookup for Camp Host. Address sewage needs. Startup Operating Plan • Start-up hours— Friday to Sunday— 8am to Spm; year-round with exceptions to be identified • Hire Park Manager- to oversee planning, construction, and maintenance, and startup • Identify Birding Tour Contractor and develop contractual arrangement o BirdingTours— as scheduled with Birding Guide Contractor • Develop process to identify and hire Park Hosts; develop duties Actions needed: • Finalize design and cost of Phase I as part of Prelim Engineering Study of Master Plan. • Confirm location of fishing pier with bathymetric survey • Conduct archeologic survey of Park to identify sensitive areas to be avoided by development • Determine requirements for well / potable water with TCEC2,. Calhoun County Ground Water Conservation District. • Determine best way of addressing sewage needs for Park Host (Commissioner Reese advises, post meeting, that a surface tank emptied periodically like the porta potties is the best option because a septic system will not be allowed.) • Identify legal requirements to charge entry fee. Page 3 of 6 Gk �OR % - P"M • Establish Park rules specific to Green Lake — Park Board lead. • Consult Sheriff, TPWD regarding security plans • Consult County Accounting/ Comptrollers regarding accounting procedures. • Develop budget for first 2 years Future Phases should include: • 3-5 acre water fowl impoundments as starting point. Determine best source of water. • 3 acre fresh water marsh. Delineation survey needed. • alternative use of large spoil. need to determine status with ACOE Page 4 of 6 Note: location of Boat Ramp note shown. Page 5 of 6 Ohservalinn Deck fJ Water Disp Fuser �. Gravel; Pat kinnn .P + I�inporar s _ k r p T Y ` } # fu 4 Google Earth#e N In'R COMMISSIONERS' COURT—9/29/2021 12. Accept reports from the following County Offices: I. County Auditor — August 2021 ii. County Extension Offices — August 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 10 #12 F. i r Myi tit 'qy 30,000,000.00 25,000,000.00 20,000,000.00 15,000,000.00 10,000,000.00 5,000,0100.00 m tl f� Ir Q� General Fund Revenues August 1- August 31, 2021 iTotal YTD Budget YTD Actual 1 11 Percent Received 160% 140% 120% 100% 80% 60% 40% 20% 0% General Fund Expenditures By Function August 1- August 31, 2021 30,000,000.00 25,000,000.00 ' 20,000,000.00 t=;1 I xS� 15,000,000.00 f� 10,000,000.00 Ej 1 5,000,000.00 0.00 _ `m P`\\�`cS`SP�O�J ,\LES�o�FQ- JF' aS F�LF �04, `p PLO O PODS PODS �P� QJO�� QJ POSP 91) \a�0 Go��Ja� iTotal YTO Budget YT0 Actual - Percent Used 1800% 1600% 1400% 1200% 1000% 800% 600% 400% 200 % 0% CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1I2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTO Actual Variance 1000 GENERALFUND 001 REVENUE A ESTIMATED BEGINNING CA... 17,000,000.00 1,535,420.00 18,536,420.00 0.00 0.00 (18,535,420,00) B TAXES 22,973,000.00 0.00 22,973,000.00 429,058.15 22,200,745.09 (772,254.91) C PERMITS 11,510.00 0.00 11,510.00 1,477.50 12,434.00 924.00 D INTERGOVERNMENTAL 167,502.00 8,167.00 175,669.00 4,581.75 141,866.12 (33,802.88) E FEES 1,440,534.00 0.00 1,440,534.00 181,249.56 1,582,082.51 141,548.51 F FINES 168,600.00 0.00 168,600.00 21,817.10 182,143.54 13,543.54 G INTEREST INCOME 300,000.00 0.00 300,000.00 170,127.80 451,233.48 151,233.48 H RENTS 14.100.00 0.00 14,100.00 2,425.00 11,550.00 (2,550.00) 1 MISCELLANEOUS REVENU... 204122.00 309832.00 513954.00 20932.55 312486.61 (201,468.49) Total... REVENUE 42,279,368.00 1,853,419.00 44,132,787.00 831,669.41 24,894,540.25 (19,238,246.75) 003 ADULT PROBATION Q SUPPLIES 2,600.00 0.00 2,600.00 0.00 0.00 2,600.00 R SERVICES 4,200.00 0.00 4,200.00 0.00 4,000.00 200.00 S CAPITAL OUTLAY 300.00 0.00 300.00 0.00 0.00 300.00 Total... ADULT PROBATION (7,100.00) 0.00 (7,100.00) 0.00 (4,000.00) 3,100.00 006 AIDTOAGING R SERVICES 50,000.00 0.00 50000.00 0.00 35000.00 15000.00 Total... AID TO AGING (60,000.00) 0.00 (50,000.00) 0.00 (35,000.00) 15,000.00 009 AMBULANCE OPERATIONS -GENERAL Q SUPPLIES 17,055.00 0.00 17,065.00 0.00 4,944.40 12,110.60 R SERVICES 23,272.00 0.00 23,272.00 1,267.48 9,005.63 14,266.37 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... AMBULANCE (40,328.00) 0.00 (40,328,00) (1,267.48) (13,950.03) 26,377.97 OPERATIONS -GENERAL 012 AMBULANCE OPERATIONS -MAGNOLIA Q SUPPLIES 13,700.00 0.00 13,700.00 0.00 810.67 12,889.33 R SERVICES 800.00 0.00 800.00 0.00 0.00 800.00 Total... AMBULANCE (14,500.00) 0.00 (14,500.00) 0.00 (810.67) 13,689.33 OPERATIONS -MAGNOLIA 021 AMBULANCE OPERATION -PORT O'CON Q SUPPLIES 411.00 0.00 411.00 0.00 0.00 411.00 R SERVICES 2,088.00 0.00 2,088.00 72.79 582.32 1,505.68 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total ... AMBULANCE OPERATION -PORT (2,500.00) 0.00 (2,500.00) (72.79) (582.32) 1,917.68 O'CON 024 AMBULANCE OPERATION-SEADRIFT Q SUPPLIES 1,200.00 0.00 1,200.00 0.00 0.00 1,200.00 R SERVICES 800.00 0.00 800.00 115.75 546.81 253.19 S CAPITAL OUTLAY 500.00 0.00 500.00 0.00 0.00 500.00 Total... AMBULANCE (2,500.00) 0.00 (2,500.00) (115.75) (546.81) 1,953.19 OPERATION-SEADRIFT Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 1 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/l/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 027 BUILDING MAINTENANCE 0 SALARIES 370,188.00 0.00 370,188.00 24,324.54 219,298.53 150,889.47 P BENEFITS 167,490.00 0.00 167,490.00 10,987.44 95,086.33 72,403.67 Q SUPPLIES 42,200.00 0.00 42,200.00 2,753.05 27,519.22 14,680.78 R SERVICES 525,558.00 0.00 525,558.00 55,147.06 213,203.51 312,354.49 S CAPITAL OUTLAY 19006.00 0.00 19,006.00 0.00 37148.33 (18142.33) Total... BUILDING MAINTENANCE (1,124,442.00) 0.00 (1,124,442.00) (93,212.09) (592,255.92) 532,186.08 030 COMMISSIONERS COURT 0 SALARIES 26,000.00 0.00 26,000.00 0.00 0.00 26,000.00 P BENEFITS 5,062.00 0.00 5,062.00 0.00 0.00 5,062.00 Q SUPPLIES 10,097.00 806.00 10,903.00 0.00 5,646.00 5,357.00 R SERVICES 501,051.00 2,194.00 503,245.00 2,476.20 278,602.32 224,642.68 S CAPITAL OUTLAY 17 277.00 3,000.00 20,277.00 0.00 7,731.57 12,545.43 Total... COMMISSIONERS COURT (559,487.00) (6,000.00) (565,487.00) (2,476.20) (291,879.89) 273,607.11 033 CONSTABLE-PRECINCT#1 0 SALARIES 24,508.00 0.00 24,508.00 1,885.22 16,024.37 8,483.63 P BENEFITS 4,972.00 0.00 4,972.00 381.58 3,243.46 1,728.54 Q SUPPLIES 800.00 0.00 800.00 0.00 0.00 800.00 R SERVICES 503.00 316.00 819.00 0.00 316.69 502.31 S CAPITAL OUTLAY 4,000.00 5192.00 9192.00 0.00 2483.95 6,708.05 Total... CONSTABLE-PRECINCT#1 (34,783.00) (5,508.00) (40,291.00) (2,266.80) (22,068.47) 18,222.53 036 CONSTABLE-PRECINCT#2 0 SALARIES 24,541.00 0.00 24,541.00 1,885.22 16,024.37 8,516.63 P BENEFITS 4,975,00 0.00 4,975.00 381.58 3,243.46 1,731.54 Q SUPPLIES 851.00 0.00 851.00 0.00 0.00 851.00 R SERVICES 2,403.00 0.00 2,403.00 0.00 693.84 1,709.16 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... CONSTABLE-PRECINCT#2 (32,771.00) 0.00 (32,771.00) (2,266.80) (19,961.67) 12,809.33 039 CONSTABLE-PRECINCT#3 0 SALARIES 24,508.00 0.00 24,508.00 1,885.22 16,024.37 8,483.63 P BENEFITS 4,972.00 0.00 4,972.00 381.58 3,243.46 1,728.54 Q SUPPLIES 1,626.00 (359.00) 1,267.00 0.00 0.00 1,267.00 R SERVICES 4.00 359.00 363.00 360.00 360.00 3.00 S CAPITAL OUTLAY 401.00 0.00 401.00 0.00 0.00 401.00 Total... CONSTABLE-PRECINCT#3 (31,511.00) 0.00 (31,511.00) (2,626.80) (19,627.83) 11,883.17 042 CONSTABLE-PRECINCT#4 0 SALARIES 24,508.00 0.00 24,508.00 1,885.22 16,553.07 8,954.93 P BENEFITS 4,972.00 0.00 4,972.00 381.58 3,148.05 1,823.95 Q SUPPLIES 751.00 (499,00) 252.00 0.00 109.98 142.02 R SERVICES 2,500.00 953.00 3,453.00 1,307.19 2,034.68 1,418.32 S CAPITAL OUTLAY 4000.00 (454.00) 3,646.00 0.00 3545.44 0.56 Total... CONSTABLE-PRECINCT#4 (36,731.00) 0.00 (36,731.00) (3,573.99) (24,391,22) 12,339.78 045 CONSTABLE-PRECINCT#5 0 SALARIES 24,508.00 0.00 24,508.00 1,885.22 16,024.37 8,483.63 P BENEFITS 4,972.00 0.00 4,972.00 381.58 3,243.46 1,728.54 Q SUPPLIES 250.00 0.00 250.00 0.00 0.00 250.00 R SERVICES 2,951.00 0.00 2,951.00 0.00 0.00 2,951.00 S CAPITAL OUTLAY 750.00 0.00 750.00 0.00 0.00 750.00 Date: 9122/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 2 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Originai Budget Amendments Revised Budget CurrActuai YTD Actual Variance Total... CONSTABLE-PRECINCT#5 (33,431.00) 0.00 (33,431.00) (2,266,80) (19,267.83) 14,163.17 048 CONTINGENCIES 0 SALARIES 5,000.00 0.00 5,000.00 0.00 0.00 5,000.00 P BENEFITS 219,000.00 (228,00) 218,772.00 (0.38) (12.18) 218,784.18 R SERVICES 18,002.00 0.00 18.002.00 0.00 23.33 17 978.67 Total... CONTINGENCIES (242,002.00) 228.00 (241,774.00) 0.38 (11,15) 241,762.85 051 COUNTY AUDITOR 0 SALARIES 312,904.00 0.00 312,904.00 24,069.28 204,588.88 108,315.12 P BENEFITS 120,921.00 0.00 120,921.00 9,588.20 79,048.57 41,872.43 Q SUPPLIES 4,601.00 0.00 4,601.00 474.00 1,302.27 3,298.73 R SERVICES 15,974.00 0.00 15,974.00 35.00 1,152.75 14,821.25 S CAPITAL OUTLAY 502.00 4495.00 4,997.00 0.00 0.00 4,997.00 Total... COUNTY AUDITOR (454,902,00) (4,495.00) (459,397.00) (34,166.48) (286,092.47) 173,304.53 054 COUNTY CLERK 0 SALARIES 282,799.00 1,053.00 283,862.00 20,716.92 183,592.84 100,259.16 P BENEFITS 110,405.00 0.00 110,405.00 7,424.28 63,442.52 46,962.48 Q SUPPLIES 10,225.00 (1,095.00) 9,130.00 632.01 3,142.24 5,987.76 R SERVICES 23,086.00 42.00 23,128.00 840.04 8,735.28 14,392.72 S CAPITAL OUTLAY 6951.00 0.00 6951.00 1,948.14 5394.48 1556.52 Total... COUNTY CLERK (433,466.00) 0.00 (433,466.00) (31,561.39) (264,307.36) 169,158.64 057 COUNTY COURT R SERVICES 15,750.00 0.00 15,750.00 0.00 0.00 15,750.00 Total... COUNTY COURT (15,750.00) 0.00 (15,750.00) 0.00 0.00 15,750.00 060 COUNTY COURT -AT -LAW 0 SALARIES 251,740.00 2,991.00 254,731.00 14,115.32 143,633.26 111,097.74 P BENEFITS 111,440.00 (2,991.00) 108,449.00 4,102.40 40,839.87 67,609.13 Q SUPPLIES 2,050.00 0.00 2,050.00 703.30 1,013.30 1,036.70 R SERVICES 98,060.00 1.00 98,061.00 3,545.39 66,468.47 31,592.53 S CAPITAL OUTLAY 8,295.00 0.00 8,295.00 0.00 0.00 8,295.00 Total... COUNTY COURT -AT -LAW (471,585.00) (1.00) (471,586.00) (22,466.41) (251,954.90) 219,631.10 063 COUNTYJUDGE 0 SALARIES 133,844.00 0.00 133,844.00 10,295.46 87,511.41 46,332.59 P BENEFITS 55,222.00 0.00 55,222.00 2,659.78 22,272.63 32,949.37 Q SUPPLIES 2,411.00 0.00 2,411.00 0.00 379.56 2,031.44 R SERVICES 9,650.00 0.00 9,650.00 (346.84) 2,506.44 7,143.56 S CAPITAL OUTLAY 2,000.00 0.00 2,000.00 0.00 0.00 2000.00 Total... COUNTYJUDGE (203,127.00) 0.00 (203,127.00) (12,608.40) (112,670.04) 90,45S96 066 COUNTY TAX COLLECTOR 0 SALARIES 208,462.00 0.00 208,462.00 15,443.22 131,267.37 77,194.63 P BENEFITS 72,296.00 0.00 72,296.00 5,747.18 47,468.51 24,827.49 Q SUPPLIES 5,401.00 (1,486.00) 3,915.00 25.49 1,530.36 2,384.64 R SERVICES 51,020.00 886.00 51,906.00 9,573.64 38,191.13 13,714.87 S CAPITAL OUTLAY 1,100.00 600.00 1700.00 0.00 0.00 1700.00 Total... COUNTY TAX COLLECTOR (338,279.00) 0.00 (338,279.00) (30,789.53) (218,457.37) 119,821.63 069 COUNTY TREASURER 0 SALARIES 195,806.00 1,125.00 196,931.00 15,061.76 128,024.96 68,906.04 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 3 CALHOUN COUNTY, TEXAS Summary Budget Comparison Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrAcival YTD Actual Variance P BENEFITS 74,349.00 225.00 74,574.00 6,361.34 52,352.25 22,221.75 Q SUPPLIES 3,700.00 0.00 3,700.00 1,065.24 2,736.66 963.34 R SERVICES 14,603.00 (1,350,00) 13,253.00 0.00 4,118.65 9,134.35 S CAPITAL OUTLAY 2,000.00 0.00 2000.00 0.00 663.72 1336.28 Total... COUNTYTREASURER (290,458.00) 0.00 (290,458.00) (22,488.34) (187,896.24) 102,561.76 075 DEBT SERVICE R SERVICES 42,3%00 35707.00 78,017.00 0.00 0.00 78,017.00 Total... DEBT SERVICE (42,310.00) (35,707.00) (78,017.00) 0.00 0.00 78,017.00 078 DISTRICT ATTORNEY 0 SALARIES 611,946.00 0.00 611,946.00 43,770.55 378,223.22 233,722.78 P BENEFITS 215,771.00 0.00 215,771.00 15,488.17 132,697.51 83,073.49 Q SUPPLIES 16,750.00 0.00 16,750.00 1,405.37 8,426.07 8,323.93 R SERVICES 61,621.00 0.00 61,621.00 3,970.83 10,672.79 50,948.21 S CAPITAL OUTLAY 36 700.00 0.00 36,700.00 2,059.19 18 753.11 17 946.89 Total... DISTRICT ATTORNEY (942,788.00) 0.00 (942,788,00) (66,694.11) (548,772.70) 394,015.30 081 DISTRICT CLERK 0 SALARIES 272,931.00 0.00 272,931.00 20,457.16 169,792.24 103,138.76 P BENEFITS 116,179.00 0.00 116,179.00 8,826.29 73,406.76 42,772.24 Q SUPPLIES 9,681.00 (1,753.00) 7,928.00 294.69 3,713.49 4,214.51 R SERVICES 11,702.00 683.00 12,385.00 0.00 1,282.50 11,102.50 S CAPITAL OUTLAY 13232.00 570.00 13,802.00 30.17 796.67 13005.33 Total... DISTRICTCLERK (423,725.00) 500.00 (423,225.00) (29,608.31) (248,991.66) 174,233.34 084 DISTRICT COURT 0 SALARIES 29,455.00 0.00 29,456.00 322.27 6,139.84 23,315.16 P BENEFITS 5,860.00 0.00 5,860.00 65.97 446.24 5,413.76 Q SUPPLIES 234.00 0.00 234.00 0.00 195.46 38.54 R SERVICES 211,869.00 500.00 212,369.00 8,326.26 168,799.40 43,569.60 S CAPITAL OUTLAY 2549.00 0.00 2,549.00 0.00 1892.86 656.14 Total... DISTRICT COURT (249,967.00) (500.00) (250,467.00) (8,714.49) (177,473.80) 72,993.20 087 ELECTIONS 0 SALARIES 167,626.00 0.00 167,626.00 10,456.28 85,437.46 82,188.54 P BENEFITS 74,593.00 0.00 74,693.00 3,315.60 27,213.20 47,379.80 Q SUPPLIES 25,226.00 (4,250.00) 20,976.00 37.87 3,076.98 17,899.02 R SERVICES 37,192.00 (18,322.00) 18,870.00 195.10 10,572.76 8,297.24 S CAPITAL OUTLAY 3735.00 (1300.00) 2,435.00 0.00 1,183.46 1251.54 Total... ELECTIONS (308,372.00) 23,872.00 (284,500.00) (14,004.85) (127,483,86) 157,016.14 090 EMERGENCY MANAGEMENT 0 SALARIES 95,017.00 0.00 95,017.00 7,309.00 62,126.50 32,890.60 P BENEFITS 39,289.00 0.00 39,289.00 2,820.09 23,280.75 16,008.25 Q SUPPLIES 7,250.00 0.00 7,250.00 141.19 1,013.32 6,236.68 R SERVICES 18,861.00 0.00 18,861.00 201.87 5,692.57 13,168.43 S CAPITAL OUTLAY 3,001.00 0.00 3001.00 179.00 1279.00 1,722.00 Total ... EMERGENCY MANAGEMENT (163,418.00) 0.00 (163,418.00) (10,651.15) (93,392.14) 70,025.86 093 EMERGENCY MEDICAL SERVICES E FEES 0.00 0.00 0.00 0.00 (1,699.57) (1,699,57) 0 SALARIES 2,550,752.00 (167,396.00) 2,383,356.00 173,938.24 1,461,013.87 922,342.13 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 4 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance P BENEFITS 771,318.00 (38,000.00) 733,318.00 48,132.64 405,056.18 328,261.82 Q SUPPLIES 98,918.00 (12,362.00) 86,556.00 11,032.12 82,225.02 4,330.98 R SERVICES 274,063.00 26,829.00 300,892.00 26,360.87 235,032.12 65,859.88 S CAPITAL OUTLAY 15,840.00 193,338.00 209178.00 (75000.00) 118,328.03 90849.97 Total... EMERGENCY MEDICAL (3,710,891.00) (2,409.00) (3,713,300,00) (184,453.87) (2,303,354.79) 1,409,945.21 SERVICES 096 EXTENSION SERVICE 0 SALARIES 143,366.00 0.00 143,366.00 11,013.84 93,617.64 49,748.36 P BENEFITS 35,568.00 228.00 35,796.00 1,983.18 16,510.32 19,285.68 Q SUPPLIES 15,900.00 0.00 15,900.00 797.49 3,737.42 12,162.58 R SERVICES 34,770.00 0.00 34,770.00 2,542.98 14,417.66 20,352.34 S CAPITAL OUTLAY 5500.00 0.00 5500.00 0.00 0.00 5,500.00 Total... EXTENSION SERVICE (235,104.00) (228,00) (235,332.00) (16,337.49) (128,283.04) 107,048.96 099 FIRE PROTECTION -MAGNOLIA BEACH Q SUPPLIES 999.00 1,615.00 2,614.00 0.00 2,613.12 0.88 R SERVICES 1,000.00 0.00 1,000.00 0.00 82.00 918.00 S CAPITAL OUTLAY 8,001.00 (1616.00) 6,386.00 0.00 0.00 6386.00 Total... FIRE PROTECTION -MAGNOLIA (10,000,00) 0.00 (10,000.00) 0.00 (2,695.12) 7,304.88 BEACH 102 FIRE PROTECTION-OLIVIA/PORT AL Q SUPPLIES 4,320.00 0.00 4,320.00 569.05 1,342.49 2,977.51 R SERVICES 3,653.00 0.00 3,653.00 82.95 992.12 2,660.88 S CAPITAL OUTLAY 2027.00 0.00 2,027.00 0.00 0.00 2,027.00 Total... FIRE PROTECTION-OLIVIA/PORT (10,000.00) 0.00 (10,000.00) (652.00) (2,334.61) 7,665.39 AL 105 FIRE PROTECTION -POINT COMFORT Q SUPPLIES 1,063.00 0.00 1,063.00 0.00 0.00 1,063.00 R SERVICES 6,976.00 0.00 6,976.00 0.00 29.00 6,947.00 S CAPITAL OUTLAY 1,961.00 0.00 1961.00 0.00 0.00 1,961.00 Total... FIRE PROTECTION -POINT (10,000.00) 0.00 (10,000.00) 0.00 (29.00) 9,971.00 COMFORT 108 FIRE PROTECTION -PORT LAVACA R SERVICES 206714.00 14,738.00 221452.00 0.00 214441.77 7010.23 Total... FIRE PROTECTION -PORT (206,714.00) (14,738.00) (221,452.00) 0.00 (214,441.77) 7,010.23 LAVACA 111 FIRE PROTECTION -PORT O'CONNOR Q SUPPLIES 2,500.00 0.00 2,500.00 0.00 0.00 2,500.00 R SERVICES 7,499.00 1,948.00 9,447.00 0.00 7,270.37 2,176.63 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... FIRE PROTECTION -PORT (10,000.00) (1,948.00) (11,948.00) 0.00 (7,270.37) 4,677.63 O'CONNOR 113 FIRE PROTECTION -SIX MILE Dale: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 5 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance Q SUPPLIES 3,919.00 0.00 3,919.00 56.61 640.08 3,278.92 R SERVICES 3,200.00 0.00 3,200.00 118.33 1,323.77 1,876.23 S CAPITAL OUTLAY 2881.00 0.00 2,881.00 0.00 390.60 2,490.40 Total... FIRE PROTECTION -SIX MILE (10,000.00) 0.00 (10,000.00) (174.94) (2,354.45) 7,645.55 114 FIRE PROTECTION-SEADRIFT Q SUPPLIES 5,000.00 0.00 6,000.00 0.00 2,024.85 2,975.15 R SERVICES 4,000.00 (200,00) 3,800.00 68.46 1,070.40 2,729.60 S CAPITAL OUTLAY 1,000.00 200.00 1,200.00 0.00 1,188.64 11.36 Total ... FIRE PROTECTION-SEADRIFT (10,000.00) 0.00 (10,000.00) (68.46) (4,283.89) 5,716.11 120 FLOOD PLAIN ADMINISTRATION Q SUPPLIES 1,195.00 0.00 1,195.00 21.98 207.43 987.57 R SERVICES 5,050.00 0.00 5,050.00 0.00 3,444.01 1,605.99 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... FLOOD PLAIN ADMINISTRATION (6,246.00) 0.00 (6,246.00) (21.98) (3,651.44) 2,594.56 123 HEALTH DEPARTMENT R SERVICES 80,500.00 0.00 80 500.00 6,708.33 60 374.97 20125.03 Total... HEALTH DEPARTMENT (80,600.00) 0.00 (80,500.00) (6,708.33) (60,374.97) 20,125.03 126 HIGHWAY PATROL 0 SALARIES 17,423.00 0.00 17,423.00 660.00 2,902.80 14,520.20 P BENEFITS 3,392.00 0.00 3,392.00 128.49 565.17 2,826.83 Q SUPPLIES 980.00 0.00 980.00 0.00 0.00 980.00 R SERVICES 3,163.00 0.00 3,163.00 69.95 575.60 2,587.40 S CAPITAL OUTLAY 970.00 0.00 970.00 0.00 0.00 970.00 Total... HIGHWAY PATROL (25,928.00) 0.00 (25,928.00) (858.44) (4,043.57) 21,884.43 129 HISTORICAL COMMISSION R SERVICES 4,002.00 0.00 4,002.00 0.00 1,275.00 2,727.00 S CAPITAL OUTLAY 1900.00 0.00 1,900.00 0.00 0.00 1900.00 Total... HISTORICAL COMMISSION (5,902.00) 0.00 (5,902.00) 0.00 (1,275.00) 4,627.00 132 INDIGENT HEALTH CARE R SERVICES 73,032.00 0.00 73,032.00 1961.00 42,659.71 30,372.29 Total... INDIGENT HEALTH CARE (73,032.00) 0.00 (73,032.00) (1,961,00) (42,659.71) 30,372.29 133 INFORMATION TECHNOLOGY 0 SALARIES 169,048.00 0.00 169,048.00 42,710.17 107,641.57 61,406.43 P BENEFITS 61,868.00 0.00 61,868.00 4,529.76 37,398.57 24,469.43 Q SUPPLIES 8,660.00 0.00 8,660.00 998.05 4,316.86 4,343.14 R SERVICES 43,200.00 0.00 43,200.00 3,770.07 13,784.39 29,415.61 S CAPITAL OUTLAY 25401.00 0.00 25401.00 0.00 3,621.52 21,779A8 Total... INFORMATION TECHNOLOGY (308,177.00) 0.00 (308,177,00) (22,008.05) (166,762.91) 141,414.09 135 JAILOPERATIONS 0 SALARIES 1,734,296.00 2,066.00 1,736,361.00 116,344.24 1,039,824.13 696,536.87 P BENEFITS 587,932.00 0.00 587,932.00 45,425.94 388,153.70 199,778.30 Q SUPPLIES 165,706.00 (466.00) 165,240.00 14,909.15 116,925.21 48,314.79 R SERVICES 210,514.00 (1,600.00) 208,914.00 14,166.62 128,246.21 80,667.79 S CAPITAL OUTLAY 21251.00 0.00 21251.00 9.84 2,065.43 19,185.57 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 6 Acco... Account Title Total... JAIL OPERATIONS 138 JUSTICE OF THE PEACE -GENERAL 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES Total ... JUSTICE OF THE PEACE -GENERAL 141 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 144 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 147 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... JUSTICE OF THE PEACE -PRECINCT 150 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... JUSTICE OF THE PEACE -PRECINCT 153 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES P BENEFITS Date: 9/22/21 11:22:36 AM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Original Budget Amendments Revised Budget CurrActual YTDActual Variance (2,719,698.00) 0.00 (2,719,698.00) (190,855.79) (1,675,214.68) 1,044,483.32 1,000.00 0.00 1,000ko 0.00 0.00 1,000.00 81.00 0.00 81.00 0.00 0.00 81.00 863.00 0.00 863.00 0.00 0.00 863.00 1007.00 0.00 1,007.00 0.00 0.00 1007.00 (2,951.00) 0.00 (2,951.00) 0.00 0.00 2,951.00 100,527.00 0.00 100,527.00 8,745.92 61,340.32 39,186.68 39,310.00 0.00 39,310.00 3,002.64 22,337.14 16,972.86 3,827.00 0.00 3,827,00 123.48 1,308.23 2,518.77 9,403.00 2,230.00 11,633.00 (315.00) 3,995.32 7,637.68 673.00 0.00 673.00 0.00 0.00 673.00 (153,740.00) (2,230.00) (155,970.00) (11,557,04) (88,981.01) 66,988.99 100,484.00 115.00 100,599.00 6,745.92 70,240.32 30,358.68 41,451.00 0.00 41,451.00 2,714.73 24,881.77 16,569.23 5,000.00 (115.00) 4,885.00 29.50 1,338.99 3,546.01 9,725.00 2,230.00 11,955.00 (105,00) 6,797.38 5,157.62 3,001.00 0.00 3,001.00 0.00 0.00 3,001.00 (159,661.00) (2,230.00) (161,891.00) (9,385.15) (103,258.46) 58,632.54 87,698.00 0.00 87,698.00 6,746.92 57,340.32 30,357.68 41,796.00 0.00 41,796.00 3,948.87 32,243.31 9,552.69 3,500.00 0.00 3,500.00 985.20 2,561.16 938.84 17,018.00 2,230.00 19,248.00 775.44 8,321.95 10,926.05 1571.00 0.00 1,571.00 0.00 1306.80 264.20 (151,583.00) (2,230.00) (153,813.00) (12,455.43) (101,773.54) 52,039.46 71,262.00 0.00 71,262.00 5,410.88 48,587.73 22,674.27 20,196.00 0.00 20,196.00 952.24 8,304.34 11,891.66 2,651.00 0.00 2,651.00 44.99 606.77 2,044.23 12,958.00 683.00 13,641.00 260.28 6,588.15 7,052.85 700.00 167.00 867.00 0.00 866.38 0.62 (107,767.00) (850.00) (108,617.00) (6,668.39) (64,953,37) 43,663.63 65,261.00 0.00 65,261.00 28,828.00 0.00 28,828.00 MONTHLY REPORT -CONDENSED Unaudited 5,193.92 42,918.43 2,428.89 19,692.99 Page:7 22,342.57 9,135.01 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 811/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance Q SUPPLIES 1,800.00 100.00 1,900.00 264.00 1,746.72 153.28 R SERVICES 12,350.00 1,830.00 14,180.00 393.39 6,172.35 8,007.65 S CAPITAL OUTLAY 4,000.00 0.00 4000.00 00 4,000.00 0.00 Total... JUSTICE OF THE (112,239.00) (1,930.00) (114,169,00) (8,280.20) (74,530.49) 39,638.51 PEACE -PRECINCT 159 JUVENILE COURT 0 SALARIES 12,708.00 0.00 12,708.00 977.54 8,309.09 4,398.91 P BENEFITS 4,213.00 0.00 4,213.00 287.50 2,394.12 1,818.88 R SERVICES 135654.00 0.00 135654.00 6888.58 69,020.56 66633.44 Total... JUVENILE COURT (162,575.00) 0.00 (152,675.00) (8,153.62) (79,723.77) 72,851.23 162 JUVENILE PROBATION R SERVICES 306831.00 0.00 306,831.00 0.00 306,831.00 0.00 Total... JUVENILE PROBATION (306,831.00) 0.00 (306,831.00) 0.00 (306,831.00) 0.00 165 LIBRARY 0 SALARIES 332,799.00 0.00 332,799.00 25,387.64 212,774.59 120,024.41 P BENEFITS 96,920.00 0.00 95,920.00 7,195.75 59,317.82 36,602.18 Q SUPPLIES 22,557.00 (200.00) 22,367.00 2,156.55 14,529.94 7,827.06 R SERVICES 122,801.00 (4,799.00) 118,002.00 11,022.16 44,549.28 73,452.72 S CAPITAL OUTLAY 62,593.00 9500.00 72,093.00 8652.26 39624.84 32,468.16 Total... LIBRARY (636,670.00) (4,501.00) (641,171.00) (54,414,26) (370,796.47) 270,374.53 168 MISCELLANEOUS R SERVICES 939510.00 0.00 939510.00 2078.19 825,450.99 114,059.01 Total... MISCELLANEOUS (939,510.00) 0.00 (939,510.00) (2,078.19) (825,450.99) 114,059.01 171 MUSEUM 0 SALARIES 54,790.00 0.00 54,790.00 4,196.53 36,508.84 18,281.16 P BENEFITS 22,037.00 0.00 22,037,00 1,501.63 12,583.55 9,453.45 Q SUPPLIES 6,100.00 0.00 6,100.00 0.00 584.00 5,516.00 R SERVICES 17,200.00 0.00 17,200.00 638.04 4,663.82 12,536.18 S CAPITAL OUTLAY 3,700.00 0.00 3,700.00 0.00 628.88 3,071.12 Total... MUSEUM (103,827.00) 0.00 (103,827.00) (6,336.20) (54,969.09) 48,857.91 174 NUISANCE ORDINANCE ENFORCEMENT 0 SALARIES 64,982.00 0.00 64,982.00 4,990.84 42,422.14 22,559.86 P BENEFITS 22,869.00 0.00 22,869.00 1,709.64 14,187.91 8,681.09 Q SUPPLIES 1,400.00 0.00 1,400.00 0.00 127.94 1,272.06 R SERVICES 1,701.00 0.00 1,701.00 35.00 144.05 1,556.95 S CAPITAL OUTLAY 2.00 0.00 2.00 0.00 0.00 2.00 Total... NUISANCE ORDINANCE (90,954.00) 0.00 (90,954.00) (6,735.48) (56,882.04) 34,071.96 ENFORCEMENT 175 OTHER FINANCING T OTHER FINANCING (1001.00) (110113.00) (111,114.00) 0.00 (110522.50) (591.50) Total... OTHER FINANCING 1,001.00 110,113.00 111,114.00 0.00 110,522.50 (591.50) 177 PARKS AND RECREATION Q SUPPLIES 5,001.00 0.00 5,001.00 0.00 0.00 5,001.00 R SERVICES 2.00 0.00 2.00 0.00 0.00 2.00 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 8 Acco... Account Title S CAPITAL OUTLAY Total... PARKS AND RECREATION 178 ROAD AND BRIDGE -PRECINCT #1 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... ROAD AND BRIDGE-PRECINCT#1 180 ROAD AND BRIDGE -PRECINCT #2 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... ROAD AND BRIDGE-PRECINCT#2 183 ROAD AND BRIDGE -PRECINCT #3 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... ROAD AND BRIDGE -PRECINCT 93 186 ROAD AND BRIDGE -PRECINCT #4 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total ... ROAD AND BRIDGE-PRECINCT#4 189 SHERIFF 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... SHERIFF 192 SOIL AND WATER CONSERVATION R SERVICES Total... SOIL AND WATER CONSERVATION 195 TAX APPRAISAL DISTRICT Date: 9/22/21 11:22:36 AM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8131/2021 Original Budget Amendments Revised Budget 1.00 0.00 1.00 (5,004,00) 0.00 (5,004.00) 453,680.00 23,071.00 476,651.00 188,186.00 0.00 188,186.00 185,556.00 (26,679.00) 158,877.00 109,253.00 (1,900.00) 107,353.00 145 263.00 (6 231.00) 139 032.00 (1,081,838.00) 11,739.00 (1,070,099,00) 397,970.00 738.00 398,708.00 154,666.00 0.00 154,666.00 301,950.00 (12,038.00) 289,912.00 63,529.00 2,968.00 66,497.00 48 019.00 8,332.00 56 351.00 (966,134.00) 0.00 (966,134.00) 397,153.00 2,068.00 399,221.00 138,594.00 0.00 138,594.00 163,254.00 14,661.00 177,915.00 58,015.00 14,871.00 72,886.00 110,437.00 (23,523.00) 86 914.00 (867,453.00) (8,077.00) (875,530.00) 645,994.00 0.00 645,994.00 276,716.00 0.00 276,716.00 650,389.00 (24,111.00) 626,278.00 189,190.00 93,921.00 283,111.00 346001.00 (14310.00) 333,691.00 (2,110,290.00) (55,500.00) (2,165,790.00) 2,065,999.00 10,672.00 2,076,671.00 763,898.00 0.00 763,898.00 125,860.00 0.00 125,860.00 142,981.00 68,893.00 211,874.00 210700.00 (10100.00) 200,600.00 (3,309,438.00) (69,465.00) (3,378,903.00) 0.00 0.00 1.00 0.00 0.00 5,004.00 34,636.58 301,088.32 175,562.68 13,538.71 106,287.15 81,898.85 25,456.01 101,529.32 57,347.68 4,665.42 36,401.96 70,951.04 0.00 1,257.95 137 774.05 (78,295.72) (546,564.70) 523,534.30 31,626.76 243,917.07 154,790.93 11,091.05 91,330.39 63,335.61 (39,080.31) 76,191.77 213,720.23 6,775.90 45,447.90 21,049.10 0.00 52033.46 4,317.54 (10,413.40) (608,920.59) 457,213.41 30,339.57 235,255.19 163,965.81 8,924.61 67,324.96 71,269.04 18,058.74 87,820.52 90,094.48 31,179.97 52,295.14 20,590.86 38 927.00 41 750.32 45163.68 (127,429.89) (484,446.13) 391,083.87 51,060.69 400,888.37 245,105.63 16,301.97 130,868.22 145,847.78 122,705.15 307,297.32 318,980.68 36,882.01 218,360.58 64,750.42 0.00 142.102.65 191.588.35 (226,949.82) (1,199,517.14) 966,272.86 149,267.36 1,321,089.94 755,581.06 59,451.93 490,941.07 272,956.93 14,478,40 71,221.62 64,638.38 7,638.06 77,384.76 134,489.24 899.00 3.649.00 196.961.00 (231,734,75) (1,964,286.39) 1,414,616.61 7,750.00 0.00 7,750.00 0.00 7,750.00 0.00 (7,750.00) 0.00 (7,750.00) 0.00 (7,750.00) 0.00 MONTHLY REPORT -CONDENSED Unaudited Page:9 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance R SERVICES 371,327.00 0.00 371,327.00 0.00 278,494.47 92,832.53 Total... TAX APPRAISAL DISTRICT (371,327.00) 0.00 (371,327.00) 0.00 (278,494.47) 92,832.53 198 TRANSFERS U TRANSFERSIN (600,001.00) 0.00 (600,001.00) 0.00 (634,147.80) 34,146.80 V TRANSFERS OUT 690,002.00 - 46052.00 736054.00 1010731.09 1,162,523.08 (426469.08) Total... TRANSFERS (90,001.00) (46,052.00) (136,053.00) (1,010,731.09) (528,375.28) (392,322.28) 201 VETERANS SERVICES 0 SALARIES 13,939.00 0.00 13,939.00 1,143.08 9,876.50 4,062.50 P BENEFITS 2,714.00 0.00 2,714.00 222.57 1,923.00 791.00 Q SUPPLIES 550.00 0.00 550.00 121.89 181.89 368.11 R SERVICES 4,051.00 0.00 4,051.00 814.72 1,124.66 2,926.34 S CAPITAL OUTLAY 500.00 0.00 500.00 0.00 0.00 600.00 Total... VETERANS SERVICES (21,754.00) 0.00 (21,764.00) (2,302.26) (13,106.05) 8,647.95 204 WASTE MANAGEMENT 0 SALARIES 14,867.00 0.00 14,867.00 803.00 6,462.50 8,404.50 P BENEFITS 3,177.00 0.00 3,177.00 171.11 1,342.77 1,834.23 Q SUPPLIES 2,360.00 0.00 2,360.00 0.00 1,208.50 1,151.50 R SERVICES 57,971.00 0.00 57,971.00 6,392.17 40,043.33 17,927.67 S CAPITAL OUTLAY 60,001.00 0.00 60001.00 0.00 3700.00 56,301.00 Total ... WASTE MANAGEMENT (138,376.00) 0.00 (138,376.00) (7,366.28) (52,757.10) 85,618.90 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 135.00 135.00 Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 135.00 135.00 APPLICABLE Total... GENERALFUND 16,410,271.00 1,735,272.00 18,145,643.00 (1,807,616.69) 9,111,954.00 (9,033,589.00) 2610 AIRPORT FUND 001 REVENUE A ESTIMATED BEGINNING CA... 20,000.00 29,196.00 49,196.00 0.00 0.00 (49,196.00) D INTERGOVERNMENTAL 1.00 0.00 1.00 0.00 0.00 (1.00) G INTEREST INCOME 500.00 0.00 500.00 404.19 1,298.21 798.21 H RENTS 1200.00 0.00 1200.00 100.00 800.00 (400.00) Total... REVENUE 21,701.00 29,196.00 50,897.00 504.19 2,098.21 (48,798.79) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 2,110.00 0.00 2,110.00 0.00 0.00 2,110.00 R SERVICES 36,651.00 0.00 36,651.00 386.87 11,574.36 25,076.64 S CAPITAL OUTLAY 5,494.00 0.00 5,494.00 0.00 0.00 5,494.00 U TRANSFERSIN (30,001.00) 0.00 (30001.00) 0.00 (30000.00) (1.00) Total... DEPARTMENTS NOT (14,254.00) 0.00 (14,254.00) (386.87) 18,425.64 32,679.64 APPLICABLE Total... AIRPORT FUND 7,447.00 29,196.00 36,643.00 117.32 20,523.85 (16,119,15) 2620 APPELLATE JUDICIAL SYSTEM... Date: 9122/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 10 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 001 REVENUE E FEES 1,800.00 0.00 1,800.00 160.17 1,150.44 (649.56) F FINES 1.00 0.00 1.00 0.00 0.00 (1,00) G INTEREST INCOME 3.00 0.00 3.00 6.78 10.48 7.48 Total... REVENUE 1,804.00 0.00 1,804.00 165.95 1,160.92 (643.08) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 1804.00 0.00 1,804.00 0.00 0.00 1,804.00 Total... DEPARTMENTS NOT (1,804.00) 0.00 (1,804.00) 0.00 0.00 1,804.00 APPLICABLE Total... APPELLATE JUDICIAL SYSTEM... 0.00 0.00 0.00 165.95 1,160.92 1,160.92 2660 COASTAL PROTECTION FUND (... 001 REVENUE A ESTIMATED BEGINNING CA... 2,000,000.00 (55,290.00) 1,944,710.00 0.00 0.00 (1,944,710,00) D INTERGOVERNMENTAL 500,000.00 0.00 500,000.00 0.00 731,263.94 231,263.94 G INTEREST INCOME 10,000.00 0.00 10000.00 13295.87 33,292.28 23292.28 Total... REVENUE 2,510,000.00 (55,290.00) 2,454,710.00 13,295.87 764,556.22 (1,690,153,78) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 105,466.00 302,025.00 407,491.00 0.00 357,610.50 49,880.50 S CAPITAL OUTLAY 70,000.00 46,850.00 116,850.00 0.00 0.00 116,850.00 V TRANSFERS OUT 0.00 28620.00 28620.00 0.00 48,464.80 (19844.80) Total... DEPARTMENTS NOT (175,466.00) (377,495.00) (552,961.00) 0.00 (406,075.30) 146,885.70 APPLICABLE Total... COASTAL PROTECTION FUND (... 2,334,534.00 (432,785.00) 1,901,749.00 13,295.87 35B,480.92 (1,543,268.08) 2663 COUNTY AND DISTRICT COURT... 001 REVENUE A ESTIMATED BEGINNING CA... 7,000.00 103.00 7,103.00 0.00 0.00 (7,103.00) E FEES 600.00 0:00 600.00 49.05 591.35 (8.65) G INTEREST INCOME 100.00 0.00 100.00 44.80 112.64 12.64 Total... REVENUE 7,700.00 103.00 7,803.00 93.85 703.99 (7,099.01) Total... COUNTY AND DISTRICT COURT... 7,700.00 103.00 7,803.00 93.85 703.99 (7,099.01) 2667 COUNTY CHILD ABUSE PREVE... 001 REVENUE A ESTIMATED BEGINNING CA... 680.00 (4,00) 676.00 0.00 0.00 (676.00) E FEES 10.00 0.00 10.00 34.91 45.74 35.74 G INTEREST INCOME 10.00 0.00 10.00 4.03 10.42 0.42 Total... REVENUE 700.00 (4.00) 696.00 38.94 56.16 (639.84) Total... COUNTY CHILD ABUSE PREVE... 2668 COUNTY CHILD WELFARE BOA... 001 REVENUE Date: 9/22/21 11:22:36 AM 700.00 (4.00) 696.00 38.94 56.16 (639.84) MONTHLY REPORT -CONDENSED Unaudited Page: 11 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTO Actual Variance A ESTIMATED BEGINNING CA... 5,900.00 197.00 6,097.00 0.00 0.00 (6,097,00) G INTEREST INCOME 10.00 0.00 10.00 38.31 96.36 86.36 1 MISCELLANEOUS REVENU... 500.00 0.00 500.00 80.00 520.00 20.00 Total... REVENUE 6,410.00 197.00 6,607.00 118.31 616.36 (5,990.64) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 5000.00 197.00 5197.00 6,097.33 6097.33 (900.33) Total... DEPARTMENTS NOT (5,000.00) (197.00) (5,197.00) (6,097.33) (6,097.33) (900.33) APPLICABLE Total... COUNTY CHILD WELFARE BOA... 1,410.00 0.00 1,410.00 (5,979.02) (6,480.97) (6,890.97) 2669 COUNTY JURY FUND 001 REVENUE A ESTIMATED BEGINNING CA... 50.00 108.00 158.00 0.00 0.00 (158.00) E FEES 60.00 0.00 60.00 23.78 241.58 181.58 G INTEREST INCOME 0.00 0.00 0.00 2.20 4.21 4.21 Total... REVENUE 110.00 108.00 218.00 25.98 245.79 27.79 Total... COUNTY JURY FUND 110.00 108.00 218.00 25.98 245.79 27.79 2670 COURTHOUSE SECURITY FUND 001 REVENUE A ESTIMATED BEGINNING CA... 275,000.00 (1,156.00) 273,844.00 0.00 0.00 (273,844.00) E FEES 10,600.00 0.00 10,600.00 1,697.68 14,058.22 3,458.22 G INTEREST INCOME 3000.00 0.00 3000.00 1677.60 4,287.50 1287.50 Total... REVENUE 288,600.00 (1,156.00) 287,444.00 3,375.28 18,345.72 (269,098.28) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 14,500.00 0.00 14,500.00 0.00 0.00 14,500.00 S CAPITAL OUTLAY 130,600.00 0.00 130,500.00 0.00 0.00 130,500.00 Total... DEPARTMENTS NOT (145,000.00) 0.00 (145,000.00) 0.00 0.00 145,000.00 APPLICABLE Total... COURTHOUSE SECURITY FUND 143,600.00 (1,156.00) 142,444.00 3,375.28 18,345.72 (124,098.28) 2672 COURT -INITIATED GUARDIANS... 001 REVENUE A ESTIMATED BEGINNING CA... 10,500.00 951,00 11,451.00 0.00 0.00 (11,451.00) E FEES 1,000.00 0.00 1,000.00 100.00 960.00 (40.00) G INTEREST INCOME 10.00 0.00 10.00 72.14 182.19 172.19 Total... REVENUE 11,510.00 951.00 12,461.00 172.14 1,142.19 (11,318.81) Total... COURT -INITIATED GUARDIANS... 11,510.00 951.00 12,461.00 172.14 1,142.19 (11,318.81) 2673 COURT RECORD PRESERVATI... 001 REVENUE A ESTIMATED BEGINNING CA... 33,000.00 2,654.00 35,654.00 0.00 0.00 (35,654.00) E FEES 3,000.00 0.00 3,000.00 420.00 2,962.35 (37.65) Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 12 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 811/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance G INTEREST INCOME 400.00 0.00 400.00 223.83 566.18 166.18 Total... REVENUE 36,400.00 2,654.00 39,054.00 643.83 3,528.53 (35,525.47) Total ... COURT RECORD PRESERVATI... 36,400.00 2,654.00 39,054.00 643.83 3,528.53 (35,525.47) 2674 COURT REPORTER SERVICE F... 001 REVENUE A ESTIMATED BEGINNING CA... 40.00 118.00 158.00 0.00 0.00 (158.00) E FEES 50.00 0.00 50.00 18.00 273.19 223.19 G INTEREST INCOME 0.00 0.00 0.00 2.41 4.26 4.26 Total... REVENUE 90.00 118.00 208.00 20.41 277.45 69.45 Total... COURT REPORTER SERVICE F... 90.00 118.00 208.00 20.41 277.45 69.45 2675 COUNTY CLERK RECORDS AR... 001 REVENUE A ESTIMATED BEGINNING CA... 250,000.00 15,729.00 265,729.00 0.00 0.00 (265,729.00) E FEES 40,000.00 0.00 40,000.00 4,610.00 35,930.00 (4,070.00) G INTEREST INCOME 3,400.00 0.00 3400.00 1,740.38 4325.91 925.91 Total... REVENUE 293,400.00 15,729.00 309,129.00 6,350.38 40,255.91 (268,873.09) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 50000.00 0.00 50,000.00 0.00 0.00 50,000.00 Total... DEPARTMENTS NOT (50,000.00) 0.00 (50,000.00) 0.00 0.00 50,000.00 APPLICABLE Total... COUNTY CLERK RECORDS AR... 243,400.00 15,729.00 259,129.00 6,350.38 40,255.91 (218,873.09) 2676 COUNTY SPECIALTY COURT FU... 001 REVENUE A ESTIMATED BEGINNING CA... 300.00 822.00 1,122.00 0.00 0.00 (1,122.00) E FEES 500.00 0.00 500.00 165.67 2,266.33 1,766.33 G INTEREST INCOME 0.00 0.00 0.00 18.79 32.96 32.96 Total... REVENUE 800.00 822.00 1,622.00 184.46 2,299.29 677.29 Total ... COUNTY SPECIALTY COURT FU... 800.00 822.00 1,622.00 184.46 2,299.29 677.29 2690 D A FORFEITED PROPERTY FU... 001 REVENUE A ESTIMATED BEGINNING CA... 24,000.00 0.00 24,000.00 0.00 0.00 (24,000.00) F FINES 1.00 0.00 1.00 0.00 3,450.00 3,449.00 G INTEREST INCOME 30.00 0.00 30.00 0.00 33.55 3.55 Total... REVENUE 24,031.00 0.00 24,031.00 0.00 3,483.55 (20,547.45) 999 DEPARTMENTS NOT APPLICABLE A ESTIMATED BEGINNING CA... 0.00 1,024.00 1,024.00 0.00 0.00 (1,024.00) R SERVICES 29,719.00 (4,689,00) 25,030.00 0.00 15,218.96 9,811.04 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 13 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance Total... DEPARTMENTS NOT (29,720.00) 5,713.00 (24,007.00) 0.00 (15,218.96) 8,788.04 APPLICABLE Total... D A FORFEITED PROPERTY FU... (5,689.00) 6,713.00 24.00 0.00 (11,735.41) (11,759.41) 2697 DONATIONS FUND 001 REVENUE G INTEREST INCOME 0.00 0.00 0.00 606.75 1,563.30 1,563.30 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 667.40 22449.35 22449.35 Total... REVENUE 0.00 0.00 0.00 1,273.15 24,012.65 24,012.65 999 DEPARTMENTS NOT APPLICABLE G INTEREST INCOME 0.00 0.00 0.00 3.06 3.62 3.62 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 2.26 2,502.26 2,502.26 O SUPPLIES 0.00 0.00 0.00 0.00 1,949.81 (1,949.81) R SERVICES 0.00 0.00 0.00 370.69 1,154.40 (1,154,40) S CAPITAL OUTLAY 0.00 0.00 0.00 8.95 18,617.13 (18,617.13) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 (374.32) (19,215.46) (19,215.46) APPLICABLE Total ... DONATIONS FUND 0.00 0.00 0.00 898.83 4,797.19 4,797.19 2698 DRUG/DWI COURT PROGRAM F... 001 REVENUE A ESTIMATED BEGINNING CA... 23,500.00 1,307.00 24,807.00 0.00 0.00 (24,807.00) E FEES 2,020.00 0.00 2,020.00 40.50 513.39 (1,506.61) G INTEREST INCOME 250.00 0.00 250.00 148.74 478.04 228.04 Total... REVENUE 25,770.00 1,307.00 27,077.00 189.24 991.43 (26,085.57) 999 DEPARTMENTS NOT APPLICABLE 0 SUPPLIES 10.00 0.00 10.00 0.00 0.00 10.00 R SERVICES 20.00 0.00 20.00 0.00 0.00 20.00 S CAPITAL OUTLAY 10.00 0.00 10.00 0.00 0.00 10.00 Total... DEPARTMENTS NOT (40.00) 0.00 (40.00) 0.00 0.00 40.00 APPLICABLE Total... DRUG/DWI COURT PROGRAM F... 25,730.00 1,307.00 27,037.00 189.24 991.43 (26,045.57) 2699 JUVENILE CASE MANAGER FUND 001 REVENUE A ESTIMATED BEGINNING CA... 22,000.00 (2,002.00) 19,998.00 0.00 0.00 (19,998,00) E FEES 7,010.00 0.00 7,010.00 97.80 1,423.35 (5,586.65) G INTEREST INCOME 150.00 0.00 150.00 106.39 289.30 139.30 Total... REVENUE 29,160.00 (2,002.00) 27,158.00 204.19 1,712.65 (25,445.35) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 4,001.00 0.00 4,001.00 307.70 2,615.45 1,385.55 P BENEFITS 1580.00 0.00 1580.00 124.59 1026.67 553.33 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 14 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance Total ... DEPARTMENTS NOT (5,681.00) 0.00 (5,581.00) (432.29) (3,642.12) 1,938.88 APPLICABLE Total ... JUVENILE CASE MANAGER FUND 23,579.00 (2,002.00) 21,577.00 (228.10) (1,929.47) (23,506.47) 2706 FAMILY PROTECTION FUND 001 REVENUE A ESTIMATED BEGINNING CA... 12,500.00 679.00 13,179.00 0.00 0.00 (13,179.00) E FEES 700.00 0.00 700.00 120.00 750.00 50.00 G INTEREST INCOME 100.00 0.00 100.00 80.94 206.85 106.85 Total... REVENUE 13,300.00 679.00 13,979.00 200.94 956.85 (13,022.15) Total... FAMILY PROTECTION FUND 13,300.00 679.00 13,979.00 200.94 956.85 (13,022.15) 2715 JUVENILE DELINQUENCY PREV... 001 REVENUE A ESTIMATED BEGINNING CA... 9,000.00 51.00 9,051.00 0.00 0.00 (9,051.00) E FEES 0.00 0.00 0.00 0.00 45.00 45.00 G INTEREST INCOME 100.00 0.00 100.00 53.34 138.52 38.52 Total... REVENUE 9,100.00 51.00 9,151.00 53.34 183.52 (8,967.48) Total... JUVENILE DELINQUENCY PREV... 9,100.00 51.00 9,151.00 53.34 183.52 (8,967.48) 2716 GRANTS FUND 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 66,346.47 66,346.47 G INTEREST INCOME 0.00 0.00 0.00 1,443.41 3,925.39 3,925.39 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 75 000.00 87,000.00 87 000.00 Total... REVENUE 0.00 0.00 0.00 76,443.41 157,271.86 157,271.86 999 DEPARTMENTS NOT APPLICABLE G INTEREST INCOME 0.00 0.00 0.00 142.63 142.63 142.63 0 SALARIES 0.00 0.00 0.00 6,927.32 50,785.16 (50,785.16) P BENEFITS 0.00 0.00 0.00 1,370.49 10,056.31 (10,056.31) Q SUPPLIES 0.00 0.00 0.00 827.62 8,904.84 (8,904.84) R SERVICES 0.00 0.00 0.00 3,065.51 22,846.15 (22,846.16) S CAPITAL OUTLAY 0.00 0.00 0.00 75,000.00 86,220.19 (86220.19) Total... DEPARTMENTS NOT 0.00 0.00 0.00 (87,048.31) (178,670.02) (178,670.02) APPLICABLE Total... GRANTS FUND 0.00 0.00 0.00 (10,604.90) (21,398.16) (21,398.16) 2719 JUSTICE COURT TECHNOLOGY... 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 92,575.00 92,575.00 0.00 0.00 (92,575.00) E FEES 5.00 5,002.00 5,007.00 795.61 6,663.94 1,656.94 G INTEREST INCOME 1.00 704.00 705.00 531.39 1,397.40 692.40 Total... REVENUE 6.00 98,281.00 98,287.00 1,327.00 8,061.34 (90,225.66) 999 DEPARTMENTS NOT APPLICABLE Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 15 CALHOUN COUNTY, TEXAS, Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance R SERVICES 1.00 0.00 1.00 0.00 0.00 1.00 S CAPITAL OUTLAY 5.00 98 281.00 98 286.00 0.00 7,833.05 90 452.95 Total... DEPARTMENTS NOT (6.00) (98,281.00) (98,287.00) 0.00 (7,833,05) 90,453.95 APPLICABLE Total... JUSTICE COURT TECHNOLOGY... 0.00 0.00 0.00 1,327.00 228.29 228.29 2720 JUSTICE COURT BUILDING SEC... 001 REVENUE A ESTIMATED BEGINNING CA... 6,200.00 260.00 6,460.00 0.00 0.00 (6,460.00) E FEES 1,600.00 0.00 1,600.00 39.01 339.66 (1,260.34) G INTEREST INCOME 50.00 0.00 50.00 38.02 98.71 48.71 Total... REVENUE 7,850.00 260.00 8,110.00 77.03 438.37 (7,671.63) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 275.00 0.00 275.00 0.00 275.00 0.00 S CAPITAL OUTLAY 5,725.00 0.00 5725.00 0.00 0.00 5,725.00 Total ... DEPARTMENTS NOT (6,000.00) 0.00 (6,000.00) 0.00 (275.00) 5,725.00 APPLICABLE Total... JUSTICE COURT BUILDING SEC... 1,850.00 260.00 2,110.00 77.03 163.37 (1,946.63) 2721 LATERAL ROAD FUND PRECINC._ 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 4,313.00 4,313.00 0.00 0.00 (4,313.00) B TAXES 4,230.00 180.00 4,410.00 0.00 0.00 (4,410.00) G INTEREST INCOME 50.00 0.00 50.00 25.29 65.88 15.88 Total... REVENUE 4,280.00 4,493.00 8,773.00 25.29 65.88 (8,707.12) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4460.00 0.00 4460.00 0.00 0.00 4,460.00 Total ... DEPARTMENTS NOT (4,460.00) 0.00 (4,460.00) 0.00 0.00 4,460.00 APPLICABLE Total ... LATERAL ROAD FUND PRECINC... (180.00) 4,493.00 4,313.00 25.29 65.88 (4,247.12) 2722 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 4,313.00 4,313.00 0.00 0.00 (4,313.00) B TAXES 4,230.00 180.00 4,410.00 0.00 0.00 (4,410.00) G INTEREST INCOME 50.00 0.00 50.00 25.29 65.88 15.88 Total... REVENUE 4,280.00 4,493.00 8,773.00 25.29 65.88 (8,707.12) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4460.00 0.00 4,460.00 0.00 0.00 4460.00 Total... DEPARTMENTS NOT (4,460,00) 0.00 (4,460.00) 0.00 0.00 4,460.00 APPLICABLE Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 16 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance Total... LATERAL ROAD FUND PRECINC... (180.00) 4,493.00 4,313.00 25.29 65.88 (4,247.12) 2723 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 4,313.00 4,313.00 0.00 0.00 (4,313.00) B TAXES 4,230.00 180.00 4,410.00 0.00 0.00 (4,410.00) G INTEREST INCOME 50.00 0.00 50.00 25.29 66.88 15.88 Total... REVENUE 4,280.00 4,493.00 8,773.00 25.29 65.88 (8,707.12) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4460.00 0.00 4460.00 0.00 0.00 4460.00 Total ... DEPARTMENTS NOT (4,460.00) 0.00 (4,460.00) 0.00 0.00 4,460.00 APPLICABLE Total... LATERAL ROAD FUND PRECINC... (180.00) 4,493.00 4,313.00 25.29 65.88 (4,247.12) 2724 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 4,313.00 4,313.00 0.00 0.00 (4,313.00) B TAXES 4,230.00 180.00 4,410.00 0.00 0.00 (4,410.00) G INTEREST INCOME 50.00 0.00 50.00 25.29 65.88 15.88 Total... REVENUE 4,280.00 4,493.00 8,773.00 25.29 66.88 (8,707.12) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4,460.00 0.00 4460.00 0.00 0.00 4460.00 Total ... DEPARTMENTS NOT (4,460.00) 0.00 (4,460,00) 0.00 0.00 4,460.00 APPLICABLE Total ... LATERAL ROAD FUND PRECINC... (180.00) 4,493.00 4,313.00 25.29 65.88 (4,247.12) 2726 JUROR DONATIONS COUNTY H... 001 REVENUE A ESTIMATED BEGINNING CA... 3,022.00 128.00 3,150.00 0.00 0.00 (3,150.00) G INTEREST INCOME 0.00 0.00 0.00 22.00 35.91 35.91 1 MISCELLANEOUS REVENU... 500.00 0.00 500.00 48.00 672.00 172.00 Total... REVENUE 3,522.00 128.00 3,650.00 70.00 707.91 (2,942.09) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 3,022.00 128.00 3150.00 3,150.00 3,150.00 0.00 Total... DEPARTMENTS NOT (3,022.00) (128.00) (3,150.00) (3,150.00) (3,150.00) 0.00 APPLICABLE Total ... JUROR DONATIONS COUNTY H... 500.00 0.00 500.00 (3,080.00) (2,442.09) (2,942.09) 2729 PRETRIAL SERVICES FUND 001 REVENUE A ESTIMATED BEGINNING CA... 81,500.00 1,479.00 82,979.00 0.00 0.00 (82,979.00) E FEES 1,000.00 0.00 1,000.00 200.00 650.00 (350.00) G INTEREST INCOME 1A00.00 0.00 1000.00 489.17 1270.13 270.13 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 17 Acco... Account Title Total... REVENUE CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8131/2021 Original Budget Amendments Revised Budget CurrActual 83,500.00 1,479.00 84,979.00 689.17 YTD Actual Variance 1,920.13 (83,058.87) Total... PRETRIAL SERVICES FUND 83,600.00 1,479.00 84,979.00 689.17 1,920.13 (83,058.87) 2730 LOCAL TRUANCY PREVENTION/... 001 REVENUE A ESTIMATED BEGINNING CA... 1,700.00 3,457.00 5,157.00 0.00 0.00 (5,157.00) E FEES 2,500.00 0.00 2,500.00 796.99 6,434.57 3,934.57 G INTEREST INCOME 0.00 0.00 0.00 64.19 129.85 129.85 Total... REVENUE 4,200.00 3,457,00 7,657.00 861.18 6,564.42 (1,092.58) 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 198.12 198.12 Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 198.12 198.12 APPLICABLE Total... LOCAL TRUANCY PREVENTION/... 4,200.00 3,457.00 7,657.00 861.18 6,762.54 (894.46) 2731 LAW LIBRARY FUND 001 REVENUE A ESTIMATED BEGINNING CA... 210,000.00 958.00 210,958.00 0.00 0.00 (210,958,00) E FEES 10,000.00 0.00 10,000.00 1,121.16 7,878.09 (2,121,91) G INTEREST INCOME 2000.00 0.00 2000.00 1236.20 3233.76 1233.75 Total... REVENUE 222,000.00 958.00 222,958.00 2,357.36 11,111.84 (211,846.16) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 800.00 0.00 800.00 0.00 0.00 800.00 S CAPITAL OUTLAY 25,600.00 0.00 25600.00 1149.15 8057.89 17642.11 Total... DEPARTMENTS NOT (26,400.00) 0.00 (26,400.00) (1,149,15) (8,057.89) 18,342.11 APPLICABLE Total... LAW LIBRARY FUND 195,600.00 958.00 196,558.00 1,208.21 3,053.95 (193,504.05) 2733 LEOSE EDUCATION FUND 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 1,285.04 1,285.04 G INTEREST INCOME 0.00 0.00 0.00 169.47 511.25 511.25 Total... REVENUE 0.00 0.00 0.00 169.47 1,796.29 1,796.29 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 10569.39 (10569.39) Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (10,569.39) (10,569.39) APPLICABLE Total... LEOSE EDUCATION FUND 2736 POC COMMUNITY CENTER 001 REVENUE A ESTIMATED BEGINNING CA... Date: 9/22/21 11:22:36 AM 0.00 0.00 0.00 169.47 (8,773.10) (8,773.10) 32,000.00 (10,825.00) 21,175.00 0.00 0.00 (21,175.00) MONTHLY REPORT -CONDENSED Unaudited Page: 18 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/112021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance G INTEREST INCOME 600.00 0.00 600.00 94.61 291.00 (309.00) H RENTS 17,000.00 0.00 17,000.00 3,700.00 17,150.00 150.00 I MISCELLANEOUS REVENU... 1.00 0.00 1.00 0.00 57,646.32 57645.32 Total... REVENUE 49,601.00 (10,825.00) 38,776.00 3,794.61 75,087.32 36,311.32 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 1,652.00 0.00 1,652.00 94.70 804.95 847.05 P BENEFITS 503.00 0.00 503.00 36.45 300.82 202.18 R SERVICES 45,477.00 (3,737.00) 41,740.00 2,029.72 16,416.04 25,323.96 S CAPITAL OUTLAY 3,532.00 1,349.00 4,881.00 239.98 62,527.30 (57,646.30) U TRANSFERSIN (10,000.00) 0.00 (10000.00) 0.00 0.00 (10000.00) Total... DEPARTMENTS NOT (41,164.00) 2,388.00 (38,776.00) (2,400.85) (80,049.11) (41,273.11) APPLICABLE Total... POC COMMUNITY CENTER 8,437.00 (8,437.00) 0.00 1,393.76 (4,961.79) (4,961.79) 2737 RECORDS MGMT/PRESERVATI... 001 REVENUE A ESTIMATED BEGINNING CA... 8,400.00 1,516.00 9,916.00 0.00 0.00 (9,916.00) E FEES 1,500.00 0.00 1,500.00 261.50 1,822.96 322.96 G INTEREST INCOME 100.00 0.00 100.00 51.27 138.20 38.20 Total... REVENUE 10,000.00 1,516.00 11,516.00 312.77 1,961.16 (9,554.84) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 5000.00 7750.00 12,750.00 0.00 2,750.00 10,000.00 Total ... DEPARTMENTS NOT (5,000.00) (7,750.00) (12,750,00) 0.00 (2,750.00) 10,000.00 APPLICABLE Total... RECORDS MGMT/PRESERVATI... 5,000.00 (6,234,00) (1,234.00) 312.77 (788.84) 445.16 2738 RECORDS MANAGEMENT FUN... 001 REVENUE A ESTIMATED BEGINNING CA... 170,000.00 12,597.00 182,597.00 0.00 0.00 (182,597.00) E FEES 35,000.00 0.00 35,000.00 4,650.00 36,211.23 1,211.23 G INTEREST INCOME 2000.00 0.00 2,000.00 1,213.40 3002.17 1,002.17 Total... REVENUE 207,000.00 12,597.00 219,597.00 5,863.40 39,213.40 (180,383.60) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 4,061.00 0.00 4,061.00 0.00 0.00 4,061.00 P BENEFITS 791.00 0.00 791.00 0.00 0.00 791.00 Q SUPPLIES 2,500.00 (275.00) 2,225.00 0.00 0.00 2,225.00 R SERVICES 20,000.00 275.00 20,275.00 13,261.25 20,274.25 0.75 S CAPITAL OUTLAY 14,000.00 0.00 14000.00 0.00 0.00 14000.00 Total... DEPARTMENTS NOT (41,352.00) 0.00 (41,352.00) (13,261.25) (20,274.25) 21,077.75 APPLICABLE Total... RECORDS MANAGEMENT FUN... 165,648.00 12,597.00 178,245.00 (7,397.85) 18,939.15 (159,305.85) 2739 RECORDS MANAGEMENT AND... Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 19 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 001 REVENUE A ESTIMATED BEGINNING CA... 30,000.00 2,046.00 32,046.00 0.00 0.00 (32,046.00) E FEES 4,200.00 0.00 4,200.00 450.95 4,620.94 420.94 G INTEREST INCOME 300.00 0.00 300.00 212.11 521.92 221.92 Total... REVENUE 34,500.00 2,046.00 36,546.00 663.06 5,142.86 (31,403.14) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 1,000.00 0.00 1,000.00 0.00 0.00 1,000.00 R SERVICES 1000.00 0.00 1000.00 0.00 0,00 1000.00 Total... DEPARTMENTS NOT (2,000.00) 0.00 (2,000.00) 0.00 0.00 2,000.00 APPLICABLE Total... RECORDS MANAGEMENT AND... 32,500.00 2,046.00 34,546.00 663.06 6,142.86 (29,403,14) 2740 ROAD AND BRIDGE FUND GEN... 001 REVENUE A ESTIMATED BEGINNING CA... 1,510,000.00 206,599.00 1,716,599.00 0.00 0.00 (1,716,599.00) C PERMITS 265,000.00 0.00 265,000.00 0.00 262,427.50 (2,572.50) D INTERGOVERNMENTAL 15,000.00 0.00 15,000.00 0.00 12,329.66 (2,670.34) F FINES 37,100.00 0.00 37,100.00 1,476.53 46,319.02 9,219.02 G INTEREST INCOME 12,000.00 0.00 12,000.00 9,280.80 21,963.96 9,963.96 1 MISCELLANEOUS REVENU... 200,000.00 0.00 200,000.00 20,130.00 169 589.64 (30,410.36) Total... - REVENUE. 2,039,100.00 206,599.00 2,245,699.00 30,887.33 512,629.78 (1,733,069.22) 999 DEPARTMENTS NOT APPLICABLE V TRANSFERS OUT 600 000.00 0.00 600 000.00 0.00 600,000.00 0.00 Total ... DEPARTMENTS NOT (600,000.00) 0.00 (600,000.00) 0.00 (600,000.00) 0.00 APPLICABLE Total... ROAD AND BRIDGE FUND GEN... 1,439,100.00 206,599.00 1,645,699.00 30,887.33 (87,370.22) (1,733,069,22) 2860 SHERIFF FORFEITED PROPERT... 001 REVENUE A ESTIMATED BEGINNING CA... 40,000.00 0.00 40,000.00 0.00 0.00 (40,000,00) F FINES 500.00 2,950.00 3,450.00 0.00 0.00 (3,450.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 85.07 35.07 1 MISCELLANEOUS REVENU... 2.00 0.00 2.00 0.00 0.00 (2.00) Total... REVENUE 40,552.00 2,950.00 43,502.00 0.00 85.07 (43,416.93) 999 DEPARTMENTS NOT APPLICABLE A ESTIMATED BEGINNING CA... 0.00 (2,337.00) (2,337.00) 0.00 0.00 2,337.00 Q SUPPLIES 2,750.00 0.00 2,750.00 0.00 137.96 2,612.04 R SERVICES 6,002.00 5,450.00 11,452.00 2,494.00 8,871.86 2,580.14 S CAPITAL OUTLAY 1,711.00 6,774.00 8,485.00 0.00 6,774.89 1,710.11 Total ... DEPARTMENTS NOT (10,463.00) (14,561.00) (25,024.00) (2,494.00) (15,784.71) 9,239.29 APPLICABLE Total... SHERIFF FORFEITED PROPERT... 30,089.00 (11,611,00) 18,478.00 (2,494.00) (15,699.64) (34,177.64) Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 20 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 811/2021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 2870 SMILE PIER/BOAT RAMP INSUR/... 001 REVENUE A ESTIMATED BEGINNING CA... 39,500.00 (1,205.00) 38,295.00 0.00 0.00 (38,295,00) G INTEREST INCOME 500.00 0.00 500.00 205.69 564.42 64.42 I MISCELLANEOUS REVENU... 1.00 0.00 1.00 0.00 0.00 (1.00) Total... REVENUE 40,001.00 (1,205.00) 38,796.00 206.69 564.42 (38,231.58) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 41 968.00 762.00 42,730.00 0.00 3,253.48 39 476.52 Total... DEPARTMENTS NOT (41,968.00) (762.00) (42,730.00) 0.00 (3,253.48) 39,476.52 APPLICABLE Total... SMILE PIER/BOAT RAMP INSUR/... (1,967,00) (1,967.00) (3,934.00) 205.69 (2,689.06) 1,244.94 4165 DEBT SERVICE FUND REFUNDI... 001 REVENUE A ESTIMATED BEGINNING CA... 10,000.00 14,648.00 24,648.00 0.00 0.00 (24,648.00) B TAXES 505,850.00 0.00 505,850.00 2,072.29 521,437.70 15,587.70 D INTERGOVERNMENTAL 10.00 0.00 10.00 0.00 23,75 13.75 G INTEREST INCOME 1,800.00 0.00 1,800.00 11.66 1,502.74 (297.26) Total... REVENUE 517,660.00 14,648.00 532,308.00 2,083.95 522,964.19 (9,343.81) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 515800.00 0.00 515800.00 477500.00 515000.00 800.00 Total ... DEPARTMENTS NOT (515,800.00) 0.00 (515,800.00) (477,500.00) (515,000.00) 800.00 APPLICABLE Total... DEBT SERVICE FUND REFUNDI... 1,860.00 14,648.00 16,508.00 (475,416.05) 7,964.19 (8,543.81) 4170 DEBT SERVICE FUND REFUNDI... 001 REVENUE A ESTIMATED BEGINNING CA... 16,000.00 17,771.00 33,771.00 0.00 0.00 (33,771.00) B TAXES 656,600.00 0.00 656,600.00 2,712.22 682,163.63 25,663.63 D INTERGOVERNMENTAL 10.00 0.00 10.00 0.00 31.07 21.07 G INTEREST INCOME 2,000.00 0.00 2,000.00 16.25 1,843.12 (156,88) Total... REVENUE 674,610.00 17,771.00 692,381.00 2,727.47 684,037.82 (8,343.18) 999 DEPARTMENTS NOT APPLICABLE G INTEREST INCOME 0.00 0.00 0.00 0.00 186.11 186.11 R SERVICES 672,550.00 0.00 672,550.00 650,925.00 671,850.00 700.00 Total ... DEPARTMENTS NOT (672,550.00) 0.00 (672,550.00) (650,925.00) (671,663.89) 886.11 APPLICABLE Total... DEBT SERVICE FUND REFUNDI... 2,060.00 17,771.00 19,831.00 (648,197.53) 12,373.93 (7,457,07) 5101 CPRJ-BOGGY BAYOU NATURE ... 001 REVENUE D INTERGOVERNMENTAL 0.00 86,280.00 86,280.00 0.00 0.00 (86,280.00) I MISCELLANEOUS REVENU... 0.00 38,172.00 38,172.00 0.00 0.00 (38172.00) Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 21 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposled Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CunActual YTD Actual Variance Total... REVENUE 0.00 124,452.00 124,452.00 0.00 0.00 (124,452.00) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 0.00 5,880.00 5,880.00 0.00 0.00 5,880.00 Q SUPPLIES 0.00 24,502.00 24,502.00 0.00 0.00 24,502.00 R SERVICES 0.00 122,690.00 122,690.00 0.00 0.00 122,690.00 U TRANSFERS IN 0.00 (28,620.00) (28 620.00) 0.00 (48,464.80) 19 844.80 Total... DEPARTMENTS NOT 0.00 (124,452.00) (124,452.00) 0.00 48,464.80 172,916.80 APPLICABLE Total ... CPRJ-BOGGY BAYOU NATURE... 0.00 0.00 0.00 0.00 48,464.80 48,464.80 5102 CPRJ-AMERICAN RESCUE PLA... 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 2,067,666.50 2,067,666.50 Total... REVENUE 0.00 0.00 0.00 0.00 2,067,666.50 2,067,666.50 Total... CPRJ-AMERICAN RESCUE PLA... 0.00 0.00 0.00 0.00 2,067,666.50 2,067,666.50 5111 CAP.PROJ: CDBG-DR INFRAST... 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 292,729.64 215,524.64 215,524.64 Total... REVENUE 0.00 0.00 0.00 292,729.64 215,524.64 215,524.64 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 90,945.24 (90,945.24) S CAPITAL OUTLAY 0.00 0.00 0.00 0.00 138,079.40 (138079.40) Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (229,024.64) (229,024.64) APPLICABLE Total... CAP.PROJ:CDBG-DR INFRAST... 0.00 0.00 0.00 292,729.64 (13,500.00) (13,500,00) 5117 CAP.PROJ-CHOCOLATE BAYOU... 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 200.00 (200.00) Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (200.00) (200.00) APPLICABLE Total... CAP.PROJ-CHOCOLATE BAYOU... 0.00 0.00 0.00 0.00 (200.00) (200.00) 5118 CAPITAL PROJECT -ELECTION... 001 REVENUE D INTERGOVERNMENTAL 0.00 120,000.00 120,000.00 0.00 120000.00 0.00 Total... REVENUE 0.00 120,000.00 120,000.00 0.00 120,000.00 0.00 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY 0.00 156,894.00 156,894.00 0.00 156,893.79 0.21 U TRANSFERSIN 0.00 (36894.00) (36894.00) 0.00 (36,894.00) 0.00 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 22 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8I112021 Through 8/3112021 Acco... Account Title Original Budget Amendments Revised Budget CurrAcival YTD Actual Variance Total ... DEPARTMENTS NOT 0.00 (120,000,00) (120,000.00) 0.00 (119,999.79) 0.21 APPLICABLE Total... CAPITAL PROJECT -ELECTION... 0.00 0.00 0.00 0.00 0.21 0.21 5150 CAPITAL PROJECTS ROAD BRI... 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY 0.00 0.00 0.00 50,116.64 50,116.64 (50,116.64) U TRANSFERSIN 0.00 0.00 0.00 (1000000.00) (1000000.00) 1,000,000.00 Total... DEPARTMENTS NOT 0.00 0.00 0.00 949,883.36 949,883.36 949,883.36 APPLICABLE Total ... CAPITAL PROJECTS ROAD BRI... 0.00 0.00 0.00 949,883.36 949,883.36 949,883.36 5152 CAPITAL PROJECTS COUNTY E... 001 REVENUE D INTERGOVERNMENTAL 0.00 199,619.00 199619.00 0.00 0.00 (199619.00) Total... REVENUE 0.00 199,619.00 199,619.00 0.00 0.00 (199,619.00) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 9,020.15 (9,020.15) S CAPITAL OUTLAY 0.00 221,799.00 221,799.00 55,449.00 55,449.00 166,350.00 U TRANSFERS IN 0.00 (22 180.00) (22180.00) 0.00 (31 201.00) 9,021.00 Total ... DEPARTMENTS NOT 0.00 (199,619.00) (199,619.00) (55,449.00) (33,268.15) 166,350.85 APPLICABLE Total ... CAPITAL PROJECTS COUNTY E... 0.00 0.00 0.00 (55,449.00) (33,268,15) (33,268,15) 5178 CPRJ-MAGNOLIA BEACH EROS[... 001 REVENUE I MISCELLANEOUS REVENU... 1000000.00 0.00 1000000.00 0.00 0.00 (1,000000.00) Total... REVENUE 1,000,000.00 0.00 1,000,000.00 0.00 0.00 (1,000,000.00) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 200,000.00 0.00 200,000.00 0.00 0.00 200,000.00 S CAPITAL OUTLAY 800 000.00 0.00 800 000.00 0.00 0.00 800 000.00 Total ... DEPARTMENTS NOT (1,000,000.00) 0.00 (1,000,000.00) 0.00 0.00 1,000,000.00 APPLICABLE Total ... CPRJ-MAGNOLIA BEACH EROSI... 0.00 0.00 0.00 0.00 0.00 0.00 5225 CAPITAL PROJECT -GREEN LAK... 001 REVENUE I MISCELLANEOUS REVENU... 2000000.00 (2000000.00) 0.00 0.00 0.00 0.00 Total... REVENUE 2,000,000.00 (2,000,000.00) 0.00 0.00 0.00 0.00 999 DEPARTMENTS NOT APPLICABLE R SERVICES 200,000.00 90.000ko 290,OOOA0 0.00 0.00 290,000.00 Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 23 Acco... Account Title S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 1,800,000.00 (2090000.00) (290000.00) 0.00 0.00 (290,000.00) (2,000,000.00) 2,000,000.00 0.00 0.00 0.00 0.00 Total ... CAPITAL PROJECT -GREEN LAK... 0.00 0.00 0.00 0.00 0.00 0.00 5235 CAPITAL PROJECT PORT ALTO ... 999 DEPARTMENTS NOT APPLICABLE V TRANSFERS OUT 0.00 0.00 0.00 0.00 34,147.80 (34,147,80) Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (34,147.80) (34,147.80) APPLICABLE Total... CAPITAL PROJECT PORT ALTO... 0.00 0.00 0.00 0.00 (34,147.80) (34,147.80) 5255 CPROJ-HURRICANE HARVEY D... 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 (11,004.21) (11004.21) Total... REVENUE 0.00 0.00 0.00 0.00 (11,004.21) (11,004.21) Total... CPROJ-HURRICANE HARVEY D... 0.00 0.00 0.00 0.00 (11,004.21) (11,004.21) 5285 CPROJ-MMC LOANS 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 (500000.00) (500000.00) 500,000.00 Total... DEPARTMENTS NOT 0.00 0.00 0.00 500,000.00 500,000.00 500,000.00 APPLICABLE Total... CPROJ-MMC LOANS 0.00 0.00 0.00 500,000.00 500,000.00 600,000.00 6010 MEMORIAL MEDICAL CENTER... 001 REVENUE A ESTIMATED BEGINNING CA... 6,400,000.00 0.00 6,400,000.00 0.00 0.00 (6,400,000.00) 1 MISCELLANEOUS REVENU... 104,863344.00 0.00 104863344.00 0.00 48,171,962.00 (56691382.00) Total... REVENUE 111,263,344.00 0.00 111,263,344.00 0.00 48,171,962.00 (63,091,382.00) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 12,019,284.00 0.00 12,019,284.00 0.00 6,686,357.00 5,332,927.00 P BENEFITS 4,793,133.00 0.00 4,793,133.00 0.00 42,443.00 4,750,690.00 Q SUPPLIES 4,000,848.00 0.00 4,000,848.00 0.00 2,376,868.00 1,623,980.00 R SERVICES 83,795,044.00 0.00 83,795,044.00 0.00 37,800,579.00 45,994,465.00 S CAPITAL OUTLAY 1,369,313.00 0.00 1369313.00 0.00 0.00 1,369313.00 Total... DEPARTMENTS NOT (105,977,622.00) 0.00 (105,977,622.00) 0.00 (46,906,247.00) 59,071,376.00 APPLICABLE Total... MEMORIAL MEDICAL CENTER... 6012 CAL CO INDIGENT HEALTHCARE Dale: 9/22/21 11:22:36 AM 5,285,722.00 0.00 5,285,722.00 MONTHLY REPORT -CONDENSED Unaudited 0.00 1,265,715.00 (4,020,007.00) Page: 24 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 67,298.77 67,298.77 R SERVICES 0.00 0.00 0.00 0.00 67,331.49 (67,331,49) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (32.72) (32.72) APPLICABLE Total... CAL CO INDIGENT HEALTHCARE 0.00 0.00 0.00 0.00 (32.72) (32.72) 6019 MEM MED CTR PRIVATE WAIVE... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 1.11 1.11 Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 1.11 1.11 APPLICABLE Total... MEM MED CTR PRIVATE WAIVE... 0.00 0.00 0.00 0.00 1.11 1.11 6020 MMC CLINIC CONSTRUCTION C... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 1.38 1.38 Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 1.38 1.38 APPLICABLE Total... MMC CLINIC CONSTRUCTION C... 0.00 0.00 0.00 0.00 1.38 1.38 7120 COUNTY CLERK OFFICE FUND 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 30.00 (30.00) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (30.00) (30.00) APPLICABLE Total... COUNTY CLERK OFFICE FUND 0.00 0.00 0.00 0.00 (30.00) (30.00) 7400 ELECTION SERVICES CONTRA... 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 2,278.30 2,278.30 E FEES 0.00 0.00 0.00 0.00 843.20 843.20 G INTEREST INCOME 0.00 0.00 0.00 439.73 1,253.67 1,253.67 H RENTS 0.00 0.00 0.00 0.00 3,078.00 3,078.00 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 9,390.31 9,390.31 Total... REVENUE 0.00 0.00 0.00 439.73 16,843.48 16,843.48 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 797.39 797.39 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 8,771.33 8,771.33 0 SALARIES 0.00 0.00 0.00 0.00 2,375.00 (2,375.00) P BENEFITS 0.00 0.00 0.00 0.00 185.96 (185.96) Q SUPPLIES 0.00 0.00 0.00 0.00 5,997.81 (5,997,81) Date: 9/22/21 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 25 Acco... Account Title R SERVICES V TRANSFERS OUT Total ... DEPARTMENTS NOT APPLICABLE Total ... ELECTION SERVICES CONTRA... 7730 LIBRARY GIFT/MEMORIAL FUND 001 REVENUE G INTEREST INCOME I MISCELLANEOUS REVENU... Total... REVENUE 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY Total ... DEPARTMENTS NOT APPLICABLE Total... LIBRARY GIFT/MEMORIAL FUND 9200 JUVENILE PROBATION FUND 001 REVENUE A ESTIMATED BEGINNING CA... D INTERGOVERNMENTAL E FEES G INTEREST INCOME I MISCELLANEOUS REVENU... Total... REVENUE 159 JUVENILE COURT R SERVICES Total... JUVENILE COURT 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... DEPARTMENTS NOT APPLICABLE Total... JUVENILE PROBATION FUND Report Difference CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 8/1/2021 Through 8/31/2021 Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 0.00 0.00 0.00 0.00 9,602.87 (9,602.87) 0.00 0.00 0.00 0.00 13022.00 (13022.00) 0.00 0.00 0.00 0.00 (21,614.92) (21,614.92) 0.00 0.00 0.00 439.73 (4,771.44) (4,771.44) 0.00 0.00 0.00 232.30 596.86 596.86 0.00 0.00 0.00 0.00 890.00 890.00 0.00 0.00 0.00 232.30 1,486.86 1,486.86 0.00 0.00 0.00 0.00 6,490.00 (6490.00) 0.00 0.00 0.00 0.00 (6,490.00) (6,490.00) 0.00 0.00 0.00 232,30 (5,003.14) (5,003.14) 100,000.00 247.00 100,247.00 0.00 0.00 (100,247.00) 289,539.00 20,000.00 309,639.00 5,930.70 164,156.92 (145,382.08) 1,000.00 0.00 1,000.00 0.00 445.00 (655.00) 150.00 0.00 150.00 1,515.51 4,921.84 4,771.84 306,831.00 0.00 306,831.00 45 389.59 556 647.45 249 816.45 697,520.00 20,247.00 717,767.00 52,835.80 726,171.21 8,404.21 0.00 0.00 0.00 0.00 72.13 (72.13) 0.00 0.00 0.00 0.00 (72.13) (72.13) 210,460.00 0.00 210,450.00 17,195.94 145,602.99 64,847.01 75,984.00 0.00 75,984.00 4,838.38 40,302.89 35,681.11 7,600.00 0.00 7,600.00 565.98 2,541.99 5,058.01 301,028.00 20,000.00 321,028.00 91,133.74 431,417.15 (110,389.15) 1.00 0.00 1.00 0.00 0.00 1.00 (595,063.00) (20,000.00) (615,063.00) (113,734.04) (619,865.02) (4,802,02) 102,457.00 247.00 26,619,828.00 1,606,541.00 102,704.00 28,226,369.00 (60,898.24) 106,234.06 3,530.06 (1,270,353.76) 14,295,455.85 (13,930,913.15) Date: 9/22121 11:22:36 AM MONTHLY REPORT -CONDENSED Unaudited Page: 26 r N V L �y V V .1 ram: 9 N A C01 L 00 o Qo 0 00000 0 0 000 kn IV N 00 O 00 00 M 00 V1 O .. �o CF M �O G n O N et M O � y z m O p U F U z , rA c F o N �+ U i 20 z UIs w O� 6 x a U ua< a � a a Q a x u p a U� •� m , w Q; c E U U m y Ca F OFF y `°C�} Q •� O � `� � °.� on r N U P: aCi 2 z a7 U Q � V CCFii U N4 b v o o d F x AAUU = = U A oUell o a ca v�aUU a; C7UUcn o o N N o N o b o N 0 N�ooN�oao.. N 0 N 0c,o N N N N N N 0 0 00 0 0 oo 0`0 i O L yy � L a 9 O Q Q d w T k ! y O 7 C ti R �U O T E W N Y d �x Q �C °• c E T >` F'•' o� � . ? ?G U 'o Q Y W m c a>' on 7 •� C�7Udb Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT August 2021 Miles traveled: County Vehicle 130 Personal Vehicle - 105 Selected major activities since last report 8/2-8/5 — Texas 4-H Assoc. Meeting to receive Excellence in Natural Resource Program Award 8/6 — YMCA Videography Program 8/10 — Aransas CCA Meeting with MAC Member Allan Berger 8/16 — Meet with San Antonio Bay Partnership 8/16 — Matagorda Bay Fishing Cooperative Meeting 8/17 — FlatsWorthy Meeting 8/19 — CCISD Wetlands Program planning meeting 8/19 — Lavaca Bay Foundation Meeting 8/24 — CCISD Wetlands site visit for herbicide, Pct. #3 meeting 8/27 — Green Lake meeting with TPWD, DU and Crane Foundation waterfowl biologist's 8/30 — Green Lake Committee Meeting 8/31 — CPR/First Aid Instructor Training in Houston Direct Contacts by: Office:7 E-mail/Letters:183 InstagramPosts/Followers: 6/186 Site:3 Newsletters: 0 Phone/Texts:132 Volunteers:3 Major events for next month — September 2021 Name County Coastal and Marine Agent August 2021 Title Date (Month -Year) Texas A&M AgriLife Extension - The Texas A&M University System - College Station, Texas 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT August 2021 Miles traveled: County Vehicle 490: Personal Vehicle 58 Selected major activities since last report August 1 —Achievement Night August 2-5 — TAE4-HYDP Conference (Decatur) August 6 — YMCA GoPros/Video Editing August 9 — Travis Middle School — Gardening Meeting August 10 — CCF Sheep/Goat Clinic I August 12 — Goat Project Visit August 13 — District Food Challenge Meeting (Cuero) August 14 — CCF Poultry Clinic II August 16-17 — Build LGEG Gardens at Travis Middle School August 18 — KAVU Filming Community Crossroads Feature — POC LGEG Meeting August 19 — Meeting with CCISD about Formosa Wetlands — District Food Challenge Virtual Meeting — CCF Livestock Meeting August 20 — Virtual Meeting with Travis Middle School teachers August 22-24 — Women in Ag Cotton Tour (Raleigh, NC) August 27 — Picked up CCF Roasters (College Station) August 30 — Worked in OLG Gardens Direct Contacts bv: Office: 11 E-mail: 212 Facebook Posts/Followers: 14 pasts/486 followers Site: 8 Newsletters: 1 Instagram Posts/Followers: 6 posts/172 followers Phone/Texts: 16 4-11 Enrollment: New 4-H Year Starts Maior events for next month — September 2021 September 1-2 — AgriLife Fall Faculty Conference September 7 — CCF Rabbit Tag In September 9 — Gardening at OLG September 10 — CCF Broilers Arrive September 12 — CCF Rabbit Clinic I September 14 — CCF Rabbit Clinic II September 16 — Gardening at Travis September 18 — Fair Workday/Progress Show September 20 — Virtual District Food Challenge Meeting — 4-H Night September 25 — 4-H Kayaking Trip — Boggy September 28-29 — State Fair of Texas (Dallas) Emilee S. DeForest CEA — 4-H and Youth Development August 2021 L/ Texas A&M AgriLife Extension - The Texas A&M University System • College Station, Texas Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT August 2021 Miles traveled: County Van Personal Vehicle Selected major activities since last report ➢ August 2, 9 11 & 20 Meetings with Travis Middle School on Gardening Program ➢ August 3 Texas Extension Education Association Meeting and program on Emergencies ➢ August 4, 11, 18 & 25 Healthy South Texas Evaluation meeting ➢ August 4-6 Aviation Conference ➢ August 11 & 18 Family and Community Health Strategy Sessions — Online trainings ➢ August 12 First of multiple meeting for new program "Strong People Strong Bodies" ➢ August 12-22 Worked from Home because of Covid Exposure in Household ➢ August 23 Certified for CPR because of Strong People Strong Bodies Program ➢ August 17 County Lunch and Learn — Multifunction Cookers Postponed need to reschedule ➢ August 21 Multi County Childcare Conference Victoria We had attendees from Calhoun County ➢ August 24 Early Childhood Educators Monthly Training ➢ August 27 First of a 6 session weekly program at Port O'Connor Library on Master of Memory ➢ August 30 Food Challenge 4-H Meeting Direct Contacts by: Office:8 E-mail/Letters: 573 Facebook Page Post 17 Site:2 Newsletters: 0 Followers 528 Phone/Texts:50 Volunteers:3 Major events for next month — September 2021 ➢ Sept 1-2 Regional Program Planning College Station Presented on Master of Memory ➢ Multiple meetings on Step Up Scale Down -We are piloting the new version and Strong People Strong Bodies which is a new weightlifting program. ➢ Sept 8 & 23 Food Challenge Practices ➢ Sept 9, 16, 23 & 30 Learn Grow Eat and Go Programs at Our Lady of the Guld and Travis ➢ Sept 14 -16 Texas Extension Educators Association Conference in Temple Presenting Herb Program ➢ Sept 18 Virtual Child Care Conference Sept 28 Monthly Virtual Childcare Provider Training ➢ Sept 20 Welcome to 4-11 Calhoun Agents Joint Program to introduce youth to 4-H ➢ Sept 21-22 District 11 Retreat in Rockport ➢ Sept 24 Retry the Master of Memory Program at Library in Port O'Connor ➢ Sept 27-30 Better Living for Texans Conference in San Antonio ➢ Sent 30 Food Handler class at Our Ladv of the Gulf Church- oQrs can attend Karen P. Lyssy Calhoun " ' 7 Name County CEA — Family and Community Health August 2021 Title Date (Month -Year) Texas A&M AgriLife Extension - Texas A&M University System • College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT August 2021 Miles traveled: County Vehicle (108) Personal (604) Selected major activities since last report August 1— 4H Achievement Night August 3 — Pig Clinic August 9 — State Record Book Judging — College Station August 10 — Soil Water CD Meeting — Auditorium Goat and Sheep Clinic August 11 — Check Army Worms August 12 — Treat Army Worms Site Visit Fair Board Meeting August 13 — Check Cotton August 16 — Build Raised Garden Beds — Travis Middle School August 17 — Build Raised Garden Beds — Travis Middle School August 18 — Site Visit August 19 — Jr Livestock Board Meeting August 20 — Submit Wild Pig Grant Application August 31 — Rice Dish Roundup Judge — Matagorda County Travel to College Station for Southeast Regional Meeting Direct Contacts by: Office: 4 E-mail/Letters: 59 / 0 Facebook Posts/Followers: posts 6 / 506 followers Site Visits 6 Phone/Texts:18 Volunteers:3 Maior events for next month — September 2021 Southeast Regional Meeting Harvest Cotton Crop Lonestar Healthy Streams Equine Presentation Fair Workday 4H Night Greg Baker Calhoun %�� Name County CEA- Agriculture and Natural Resources August - 2021 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas i COMMISSIONERS' (:OURT- 9/29/2C))1 13. Consider and take necessary action on any necessary budge adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9of10 #13 m m M° m; v m z Z: ZE z � 3 °< m€ m n? e OE r: Z: z a A C! E c c �' C i 1: 0: m: a: m: Z: Z: A: : N N M 0 O z rn a W r m v z m n z 0 1 0 a r 0 M W m T M0 m; mi 3 a? m T z 'j: i M: m Z? z zE a: m (� 0: m Z; z p F. c m€ In W m e a m: N 0: z N Ze m Cf m T �e 0 0 3 3 N O z m fA/) 0 O c 0 a r 0 Wow oo�T O coo N N N O O O T O coo T 2a I�f N N co O O O fA T 'AT O O O O O m z ME a= 3 � i m A- n i s 3= m A ME ZE .1= Z Z z . a= o m = '' o Z 0= O Z 3= T n (AA C O€ z=_ ME 2 y_ C 0= C=_ ME C O S �} ■� k§ d � k m ) mm �§ m § m: § ® �� m ■: z 3; B m z: $ § a) ■: 2 m| m n; o z ■) M. 2 ® a) § § c| § m| ■ ■; § 2 X \ k ) � a9 ]fje�m m ` m/ z § § a) § �= n k % 3) A k§ N z § rn §k 2 �} $ �! c � o■ § 2) § n ■ o= 2 ® §) z ® § �_ § d) ) t\ x m N 0 Z N m 0 m O a r <oo c°oo °zzZ� c�Z� cn i ;u > m m ZCZ m m D Z co m so e O O O z z z N a T � L ... mml 0 0 0 0 0 0 O O O O O O m m 3 z UN In m m E O W W W O fP W O N (T 0000co <n D D D m O D m= D x m p> Z= m r ZZ m OjmcM4 Z= 0X mE a= �!Jm� ?m 3= < c m A m =_ 3 n ch ME = Z IE -1 m o m= m m D A Z_ m Cl) N= m N D O = m vs z = Z �o �o co co co co m=_ n��_ p° m m e G Z z z z z z z 0 0 0 0 0 0 D 3 GAAS LAAB GAAS 0A GAAS 4AA) m_ y Z D D D D D D y Z Z Z Z Z Z = N ° 3 O O T = a n = r r 0= m= o 0 0 0 0 0 0 0 a= � m= o 0 0 0 0 0 0 0 O= OD W NONA O, O, EA O O O W EA = A A O O O O O A T A N O N A A W = = fR O N O 0 0 0 O m m O O O O A A a O Z Cf n O C z N c 0 n m m m c v O a m m z m m z m z y �i z a 3 m r`; O W �i z va � O N � C z O N c� D z a� m� V oa O m ti fA 0 fR O T OEM m m- z m m 1 °z, g a r m= m C. 1 C = m y= -1 n = A 0= � T �- �_ m=_ a P a= z h m= m m m=_ O C> Z = �9 0 AV �r, UVi ~ kmp0 c-0 �v r z O 0 0 m m 21 T O '- C z m= �= v I 3= m m= Zrn z g a=_ � 0= A n �_ C Z =_ z Z _ r_ s W W O W WrJ A N J f0 01 y O (T Ut N A 0 0 0 0 0 =A�m� m O > r 0 <MC C: oN�� m D U) 0 G) z mr z D t0 tD fD f0 c0 y tD (O cO c0 t0 .S e z z z z z 0 0 0 0 0 00 G70 GA) D D D D D z z z z z -1�-1-� 3 T s� O o 0 0 0 0 0 IN Ira T T dl O fA o EA &3 EA E9 f9 0 0 0 0 0 w WIN O O O O T O = O O (T O (T O O O O O O O O r W a 0 a r c 0 2 0 O O a c 0 s O a v z z v A m v m n z n 0 a r A A A O � D O no rn m Z N N m c < �z`� m m 0 m Ias W 0 0 0 000�� 1IN v; m; a; 3; m; z; z; o -4: V: O 2 0 n m m m c O COMMISSIONERS' COURT- 9/29%2021 14. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] , MOVER: David Hail, Commissioner Pct 1' SECONDER: Vern Lyssy, Commissioner Pct 2' AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS]' MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 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: 10:28 a.m. Page 10 of 10 #14 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---September 29, 2021 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 1,016,080134 " TOTAL TRANSFERS BETWEEN, FUNDS $ 160,85&04 TOTAL NURSING HOME UPL EXPENSES` TOTAL INTER•GOVERNMENTTRANSFER$ $ 1,337,275.46 ✓ $ 393,876X9 I/ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---September 29, 2021 PAYABLES AND PAYROLL 9/24/2021 Weekly Payables 605.015.04 9/2412021 Patient Refunds 610.05 9/27/2021 McKesson-340B Prescription Expense 6,787.76 9/27/2021 Amerisource Bergen-340B Prescription Expense 757.60 9/27/2021 Payroll Liabilities -Payroll Taxes 95,306.37 9/27/2021 Payroll 303.457.90 9/28/2021 Payroll Liabilities for supplemental payroll -Payroll Taxes 68T06 9/28/2021 Supplemental Payroll 2.274.36 Prosperity Electronic Bank Payments 9120-9/24121 Pay Plus -Patient Claims Processing Fee 184.21 TOTAL PAYABLES; PAYROLL AND+ELECTRONIC BANK PAYMENTS, $ 1,015,060 3ti TRANSFER BETWEEN FUNDS TO NURSING HOMES 9/24/2021 MMC Operating to Broadmoor-NH portion of QIPP deposited into MMC Operating 5,566.00 9/2412021- MMC Operating to Golden Creek -correction of NH insurance payment deposited into MMC Operating in error 31,735.69 9/24/2021 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment deposited into MMC Operating 32,518.95 9/24/2021 MMC Operating to Tuscany Village -correction of NH insurance payment deposited into MMC Operating in error and medicare recoup 14,141.33 9/24/2021 MMC Operating to Bethany-carrection of NH insurance payment deposited into MMC Operating in error and medicare recoup 24,279.77 MEDICARE ADVANCE PAYMENT RECOUP 9/27/2021 Broadmoor to MMC Operating -correction of Broadmoor medicare recoup taken from MMC Operating 1,199.51 9127/2021 Broadmoor to Bethany -correction of Broadmoor medical recoup taken from Bethany 6.961.95 9/27/2021 Broadmoor to Tuscany Village -correction of Broadmoor medical recoup taken from Tuscany Village 2,845.52 9127/2021 Crescent to MMC Operating -correction of Crescent medicare recoup taken from MMC Operating 1,199.51 9/27/2021 Crescent to Tuscany Village -correction of Crecent medicare recoup taken from Tuscany Village 2,845.52 9/27/2021 Crescent to Bethany -correction of Crecent medicare recoup taken from Bethany 6,961.95 9/27/2021 Fort Bend to MMC Operating -correction of Fort Bend medicare recoup taken from MMC Operating 397.88 9/2712021 Fort Bend to Bethany -correction of Fort Bend medicare recoup taken from Bethany 28.04 912712021 Solera to MMC Operating -correction of. Solera medicare recoup taken from MMC Operating 1,199,51 9/2712021 Solera to Bethany -correction of Solera medicare recoup taken from Bethany 6,961.95 9/2712021 Solera to Tuscany Village -correction of Solera medicare recoup taken from Tuscany Village 2,845.52 9/27/2021 Golden Creek to MMC Operating -correction of Golden Creek recoup taken from MMC Operating 1,199,51 9/21/2021 Golden Creek to Tuscany Village -correction of Golden Creek medicare recoup taken from Tuscany Village 2,845.52 912112021 Golden Creek to Bethany -correction of Golden Creek medicare recoup taken from Bethany 6,961.96 9/2112021 Tuscany to MMC Operating -correction of Tuscany medicare recoup taken from MMC Operating 1,199.51 9121/2021 Tuscany to Bethany -correction of Tuscany medicare recoup taken from Bethany 6,961.95 TOTAL TRANSFERS BETWEEN FUNDS- $: 160,856:6d'' NURSING HOME UPL EXPENSES 9/27/2021 Nursing Home UPL-Cantex Transfer 9/27/2021 Nursing Home UPL-Nexicn Transfer 9/27/2021 Nursing Home UPL-HMG Transfer 9/27/2021 Nursing Home UPL-Tuscany Transfer 9127/2021 Nursing Home UPL-HSL Transfer QIPP/RECOUP CHECKS TO MMC 9/27/2021 Ashford 9/27/2021 Broadmoor 9/2712021 Crescent 9127/2021 Fort Bend 9/27/2021 Solera 9/2712021 Gulf Pointe TOTAL NURSING HOME'UPL EXPENSES' INTER -GOVERNMENT TRANSFERS 9/27/2021 IGT UC DY10 to be paid Ocotber 01, 2021 9/2712021 IGT DSH be paid on October 01, 2021 TOTAL INTER -GOVERNMENT TRANSFERS 799,241.13 69,437.07 101,868.09 74,125.86 257,738.91 17,372.24 7,085.19 5,666.11 7,OD5.54 6,707.75 1.038.57 $ 1,337,275 AS 350,482.69 43,394.00 $,_ 393,87,&69 GRAND TOTAL:bISBURSEMENTS APPROVEDSeptember 29, 2031 $ 2,907,088c6:A 9123/21„12:36 PM tmp_cw5repon3637980897132216917.html 09/23/2021 MEMORIAL MEDICAL CENTER 0 12:34 AP Open Invoice List ap_open_involoe.template Due Dates Through: 10/0612021 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC-CENTRAL DIV M y,� Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9116999677„09/2112021 08/30/2021 09/29/2021 299.90 0.00 0.00 299.90 e"! OXYGEN 998240598009/21/2021 08/31/2021 09/25/2021 510.42 0,00 Oleo 510.42 ai OXYGEN 9982405982.0021/2021 08/31/2021 09/25/2021 84.17 oleo 0.00 84.17 Wj OXYGEN 9117053667,,09/21/2021 08/31/2021 09/25/2021 2.316.23 oleo 0.00 2,316.23 OXYGEN 9982405981 09121/2021 08/31/2021 09/30/2021 734.?4 0.00 0.00 734,24 OXYGEN 9117101092 09/21/2021 09/01/2021 09/26/2021 3,533.24 Oleo 0.00 3,533.24 OXYGEN Vendor Totals: Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - 7,478.20 0.00 0.00 - 7,478.20 Vendor# Vendor Name Class Pay Code A1715 ALCO SALES & SERVICE CO ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 286D2081N ,,,69/21120PI 09/10/2021 09/10/2021 224.00 0,00 0.00 224.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A1715 ALCO SALES & SEF 224.00 0.00 0.00 224.00 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 RPSV03659C09/2212021 09/09/2021 09/24/2021 644.61 0.00 0.00 644.01 fJ 0" SUPPLIES G Vendor Totals: Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 644.61 0.00 0.00 644.61 Vendor# Vendor Name Class Pay Code 10419 AMBU INC VF/ Invoice# Ccr 7r ment Tran DI Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 221143560 -09/20/2021 09/08/2021 09/09/2021 174.00 O.Oo 0.00 174.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10419 AMBU INC 174.00 0.00 0.00 174,00 Vendor# Vendor Name Class Pay Code A2150 ANNOUNCEMENTS PLUS TOO AG. W Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 628 ✓� 09/22/2021 09103/2021 09/13/2021 132.00 0.00 0.00 132.00 DOOR SIGNS- 632 �,� 09/22/2021 09/20/2021 09/30/2021 143.98 Oleo 0.00 143.98 �• 2 SETS OF CHECKS �,. Vendor Totals: Number Name Gross Discount No -Pay Net A2150 ANNOUNCEMENTS 275.98 0.00 0.00 275.98 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY v'' �M Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 156073 / 09012021 08/19/2021 09/13/2021 51.50 0.00 0.00 51.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE C 51.50 0.00 0.00 51,50 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay Net file:/IIC:/Users/mmckissock/cpsitmemmed.cpsinet.com/u88l 50a/data_5/imp_cw5report3637980897132216917.html 1113 9/23/21„12:36 PM tmp_cw5report3637980897132216917.html 2309960 09/15/2021 09/0612021 10/06/2021 2,755,38 0.00 0.00 2,755.38 LAB STAFFING 2309461 �/09/15/2021 09/06/2021 10/00/2021 2,680.00 0.00 0.00 ,. 2.680.00 xF LAB STAFFING 2309753 ;' 09/15/2021 09/06/2021 10/06/2021 2,785.88 0.00 0.00 2,785.88 LAB STAFFING w' Vendor Totals: Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLO( 8,221,26 0.00 0.00 8,221.26 Vendor# Vendor Name Class Pay Code B0436 BARD ACCESS / Invoice# Comment Tran Ot Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 46436369 � 09/20/2021 08/31/2021 09/20/2021 31.50 0.00 0.00 31.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B0436 BARD ACCESS 31.50 0.00 0.00 31.50 Vendor# Vendor Name Class Pay Code 61150 BAXTER HEALTHCARE ,i w Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 71832266 ,06/20/2021 08/21/20211 09/15/2021 136.22 0.00 0.00 136.22 j SUPPLIES r 72006027 09/02/2021 O9/27/2021 805.20 0.00 0.00 805.29 4,A8/20/2021 SUPPLIES vJ 72011156 169122f2D2l 09/03/2021 09/28/2021 469.71 0.00 0.00 469.71 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 61150 BAXTER HEALTHCI 1,41122 0.00 0100 1,411,22 Vendor# Vendor Name Class Pay Code 61220 BECKMAN COULTER INC M �:' Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 109275625 VOB/15/2021 09/07/2021 10/02/2021 7,965.82 0.00 0.00 7,965,82 SUPPLIES 109275896 09/15/2021 09/07/2021 10/02/2021 82.48 0.00 0.00 82.46 SUPPLIES 109275494 v 6/15/2021 09/07/2021 10/02/2021 122.51 0.00 0.00 122.51 yr' SUPPLIES 109278406,05/15/2021 09/07/2021 10/02/2021 250.96 0.00 0.00 250.96 SUPPLIES 109287098-6911512021 00/10/2021 10/05/2021 349.33 0.00 0.00 349.33 „. SUPPLIES 109270209,,,.06/21/2021 09/02/2021 O9/27/2021 2,578.04 0.00 0.00 2.578.04 SUPPLIES 109276445,,.04/21/2021 09/07/2021 10/02/2021 85.30 0.00 0.00 85.30 SUPPLIES 109279062 v6912112021 09/07/2021 10/02/2021 382.56 0.00 0.00 382.56 SUPPLIES s Vendor Totals: Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTE 11,817,00 0.00 0.00 11,817.00 Vendor# Vendor Name Class Pay Code B1320 BEEKLEY CORPORATION wr M Invoice# Conment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net INV1456766„09120/2021 08/04/2021 08/19/2021 541.45 0.00 0.00 541.45 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPOR 541.45 0.00 0.00 541.45 Vendor# Vendor Name Class Pay Cade 12792 BETHANY SENIOR LIVING `'- Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 091621 09/21/2021 09/16/2021 25.00 0.00 0.00 25.00 HEALTH FAIR BOOTH FEE v Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 25.00 0.00 0.00 25.00 file:///C:lUsefs/mmckissack/cpsl/memmed.cpsinet.com/u88150aldata_5/1mp_cw5repart3637980697132216917.html 2/13 9/23/21„12:36 PM Imp_cw5reporl3637980897132216917,html Vendor# Vendor Name Class 12600 BIOFIRE DIAGNOSTICS LLC Invoice# Comment Tran DI Inv Dt Due Dt Check DI Pay Gross 1280131827,A9/21/2021 08/23/2021 09/22/2021 20,250,00 SUPPLIES 1280132612 09/21/2021 08/23/2021 09/22/2021 40.500.00 SUPPLIES 1289021427,,00/21/2021 08/24/2021 09/23/2021 -127.71 CREDIT Vendor Totals: Number Name Grass Discount 12600 BIOFIRE DIAGNOSI 60,622.29 0.00 Vendor# Vendor Name Class 12324 BLUE CROSS BLUE SHIELD ✓f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 071621A 07/30/2021 07/16/2021 10/01/2021 -690.76 COBRA 091721 09/22/2021 09/17/2021 10/01/2021 204,829.73 INSURANCE Vendor Totals: Number Name Gross Discount 12324 BLUE CROSS BLUE 204,138.97 0.00 Vendor# Vendor Name Class 12740 BUILDING KID STEPS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross AUGUST2021)9/22/2021 08/31/2021 08/31/2021 1200,00 SPEECH THERAPY AUGUST 20,09/22/2021 08/31/2021 08/31/2021 1,026.00 SPEECH THERAPY AUGUST2020912212021 08/31/2021 08/31/2021 613.00 SPEECH THERAPY Vendor Totals: Number Name Gross Discount 12740 BUILDING KID STEF 2,839.00 0.00 Vendor# Vendor Name Class D1040 I C R BARD, INC / Invoice# Comment Tran Dt Inv DtDue Dt Check Dt Pay Gross 82922595 rr 09/21/2021 08/09/2021 09/08/2021 350.78 SUPPLIES Vendor Totals: Number Name Gross Discount 01040 C R BARD, INC 350.78 0.00 Vendor# Vendor Name Class 10988 CALHOUN SPORTS MEDICINE �f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 091721 09/21/2021 09/17/2021 09/17/2021 250,00 SPONSORSHIP Vendor Totals: Number Name Gross Discount 10988 CALHOUN SPORTS 250.00 0.00 Vendor# Vendor Name Class C1325 CARDINAL HEALTH 414, INC. 1,' w Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 8002626778,08/21/2021 08/31/2021 09/25/2021 1.453.49 SUPPLIES Vendor Totals: Number Name Gross Discount C1325 CARDINAL HEALTH 1,453.49 0.00 Vendor# Vendor Name Class A1730 CAREFUSION r Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross 9109790945,0'9/2112021 07128/2021 08/27/2021 45.47 SUPPLIES Vendor Totals: Number Name Gross Discount At 730 CAREFUSION 45.47 0.00 Vendor# Vendor Name Class 13264 CERVEY, LLC ,� 81e:///C:/Users/mmckissack/cpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5reporl3637980897132216917.html Pay Code Discount No -Pay Net 0.00 0.00 20,250.00 0.00 0,00 40.500.00 0.00 0100-127,71 _ 6� No -Pay Net 0.00 60,622.29 Pay Code Discount No -Pay Net 0.00 0.00-690.76 4, 0.00 No -Pay 0.00 Pay Code 0.00 204,629.73 Net 204,138.97 Discount No -Pay Net 0.00 0.00 1,200.00 0.00 0.00 1,026.00 0.00 0.00 613.00 No -Pay Net 0.00 2.839.00 Pay Code , Discount No -Pay Net 0.00 0.00 350,78 No -Pay Net 0.00 350.78 Pay Code Discount No -Pay Net 0,00 0.00 250.00 No -Pay Net 0.00 250.00 Pay Code Discount No -Pay Net 0.00 0.00 1,453.49-„-' No -Pay Net 0.00 1.453.49 Pay Code Discount No -Pay Net 0.00 0.00 45.47 4 j' No -Pay Net 0.00 45.47 Pay Code 3113 9123/21,g12:36 PM1mp_cw5report3637980897132216917.html Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net 12247 /' O9/15/2021 09/09/2021 10/04/2021 1.699.00 0.00 0.00 1,699.00 SPIT BILL MONTHLY LICENSING F Vendor Totals: Number Name Gross Discount No -Pay Net 13264 CERVEY, LLC 1,699.00 0.00 0.00 1,699.00 Vendor# Vendor Name Class Pay Code 10723 CLIA LABORATORY PROGRAM ✓' Invaice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 081721 08/31/2021 (18/1712021 10/01/2021 11818.00 0.00 0.00 ,,. 1,818.00 COMLIANCE CERT V Vendor Totals: Number Name Gross Discount No -Pay Net 10723 CLIA LABORATORY 1,818.00 0.00 0.00 1,818.00 Vendor# Vendor Name Class Pay Code 14104 COMPASS FLOORING INNOVATIOi. Invaice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 507 ✓' 09/22/2021 09/03/2021 09/03/2021 750.00 0.00 0.00 750.00 . a^Y CARPET CAITLIN'S OFFICE Vendor Totals: Number Name Gross Discount No -Pay 14104 COMPASS FLOORII 750.00 0.00 0.00 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 5959834 09/20/2021 09108/2021 09/20/2021 120,33 0.00 0.00 V SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay C2157 COOPER SURGICA: 120.33 0.00 0.00 Vendor' Vendor Name Class Pay Code 10368 DEWITT POTH & SON w�` invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 6511120 �/ 09/21/2021 09/01/2021 09/26/2021 38.63 0.00 0.00 SUPPLIES 6556100 , / 09/22/2021 09/09/2021 10/04/2021 71.85 SUPPLIES 6656520,/09/23/2021 09/10/2021 10/05/2021 158,48 SUPPLIES 6556580 ,✓'09/23/2021 09/10/2021 10/05/2021 121.00 SUPPLIES Vendor Totals: Number Name Gross Discount 10368 DEWITT POTH & SC 389.96 0.00 Vendor# Vendor Name Class 11011 DIAMOND HEALTHCARE CORP , Invoice# Comment Tran Dt Inv Ot Due Dt ` Check Dt Pay Gross IN20054876 ,09/01/2021 09101/2021 10/01/2021 19,166,67 CPR IN20054875,96/21/2021 09/01/2021 09/26/2021 31,144.58 BEV HEALTH Vendor Totals: Number Name Gross Discount 11011 DIAMOND HEALTH( 50,311.25 0.00 Vendor# Vendor Name Class C2510 EVIDENT i% M Invoice# Comment Tran Dt Wnv Dt Due Dt Check Or Pay Gross A210903137;09/21/2021 09/03/2021 09/28/2021 20,164,00 Vendor Totals: Number Name Gross Discount C2510 EVIDENT 20,164.00 0.00 Vendor# Vendor Name Class 10788 FIRETROL PROTECTION SYSTEM; Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 100740579 ,d9/21/2021 09/09/2021 09/19/2021 890.00 ANNUAL Vendor Totals: Number Name Gross Discount Ne:///C:/Users/mmckissack/cpsi/memmed.cpsi ne(.comlu88150aldata_5/tmp_cw5repoTt36379808971322 i 69l7.htm) 0.00 0.00 Ilxrlr=�xrl6 161114 =oxlP1 No -Pay 0.00 Pay Code Net 750.00 Net 120.33 Net 120.33 Net 38.63 .'x 71.85 4 : ' 158A8 121.00 Net 389.96 Discount No -Pay Net 0.00 0.00 19,166.67 0.00 0.00 31,144.58 s , No -Pay Net 0.00 60,311,25 Pay Code Discount No -Pay Net 0.00 0.00 20.164.00 yr` No -Pay Net 0.00 20,164.00 Pay Cads Discount No -Pay Net 0,00 0.00 890.00 No -Pay Net 4113 9123/21 012:36 PM lmp_cw5repor13637980897132216917.html 10788 FIRETROL PROTEC $90.00 0.00 0.00 890.00 Vendor# Vendor Name Class Pay Code 14092 FIRST CONNECT CENTER LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2850 ;' 09/21/2021 09/16/2021 5,453.13 0.00 0,00 15,453.13 MED SUR STAFFING Vendor Totals: Number Name Grass Discount No -Pay Net 14092 FIRST CONNECT Cl 5,453.13 0.00 0.00 5,453.13V Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 5405240 v09/20/2021 07/22/2021 08/16/2021 289.55 0.00 0.00 289.56 SUPPLIES 1151273 „/ 09J20/2021 09/03/2021 09/28/2021 1,034.44 0.00 0.00 1,034.44 SUPPLIES 1003098 t 09/21/2021 09/02/2020 09/27/2020 193.02 0.00 0.00 193.02 y,,y SUPPLIES 6696875 a/09/21/2021 05/18/2021 06/12/2021 5,205.48 0.00 0.00 5,205.48 ✓'`� SUPPLIES 8133030�, 09/21/2021 08/10/2021 09/04/2021 132.81 0.00 0.00 132.81 SUPPLIES 09/21/2021 8549189. 08/11/2021 09/05/2021 200.00 0.00 0.00 200.00 SUPPLIES 9047286 , 09/21/2021 08/13/2021 09/07/2021 742.18 0.00 0.00 742.18 f' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCA 7,797.48 0.00 0.00 7,797.48 Vendor# Vendor Name Class Pay Code 10678 FIVE STAR STERILIZER SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7457 09/21/2021 08/17/2021 09/11/2021 67.09 0.00 0.00 67,09 FPOGHT - Vendor Totals: Number Name Gross Discount No -Pay Net 10678 FIVE STAR STERILI 67.09 0.00 0.00 67.09 Vendor# Vendor Name Class Pay Code 11183 FRONTIER /, Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Not 090221 , 09/21/2021 09/02J2021 09/27/2021 1,119.56 0.00 0.00 11119.56 PHONES 36155203381222165 Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,119.56 0.00 0.00 11119.56 Vendor# Vendor Name class Pay Code 13960 G & S MANAGEMENT GROUP LLC e / Invoice# Comment Tran Dt Inv Dt Due Dl Check Dt Pay Gross Discount No -Pay Net 340383459T„A8/23/2021 08/26/2021 09/26/2021 254A2 0.00 0.00 254.42 TRASH SERVICE Vendor Totals: Number Name Grass Discount No -Pay Net 13960 G & S MANAGEME6 254.42 0.00 0.00 264,42 Vendor# Vendor Name class Pay Code 11149 GARDNER & WHITE, INC. Invoice# Comment Tran Ot Inv DI Due Dt Check Dt Pay Gross Discount No -Pay Net 100121 09/16/2021 10/01/2021 10/01/2021 4,894.41 0.00 0.00 4,894.41 4.- INSURANCE Vendor Totals: Number Name Gross Discount No -Pay Net 11149 GARDNER & WHITE 4,894.41 0,00 0.00 4,894.41 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC ems` Invoice# Comment Tran Dt Inv Dt Due Of Check Dt Pay Gross Discount No -Pay Net 6001933858 09%O7/2021 09/011P021 10/01/2021 572.33 0.00 0.00 572.33, MAINT CONTRACT � 600193385749/01/2021 09/01/2021 10/0112021 680.00 0.00 0.00 680,00 , r 51e:///C:lUserslmmckisseck/cpsi/memmed.cpsinet.com/u88150aldata_5/tmp_ew5report3637980897132216917.him1 5113 , 9123/21,a12:36 PM tmp_cw5report3637980897132216917.html MAINT CONTRACT 6001934Y21 09J01/2021 09101/2021 10/01/2021 888.16 MAINT CONTRACT 6001933934,"09/0112021 09/01/2021 10/01/2021 86.67 MAINT CONTRACT 6001933935 09/01/2021 09/01/2021 10/01/2021 61.67 MAINT CONTRACT 600133962 09/01/2021 09/01/2021 10/0V2021 5,665.83 MAINT CONTRACT Vendor Totals: Number Name Gross Discount 12404 GE PRECISION HE/ 7,934.66 0.00 Vendor# Vendor Name Class 10901 GENESIS DIAGNOSTICS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 51977 09/20/2021 03/18/2021 04/17/2021 328.38 �� SUPPLIES 52173 ✓` 09/20/2021 06/03/2021 07/03/2021 122.93 SUPPLIES Vendor Totals: Number Name Gross Discount 10901 GENESIS DIAGNOS 451.31 0.00 Ventlor# Vendor Name Class W1300 GRAINGER ✓ M Invoiced, Comment Tran DI Inv Dt Due Or Check Dt Pay Gross 9045319630 U/22/2021 09/07/2021 10/02/2021 99.60 SUPPLIES Vendor Totals: Number Name Gross Discount W1300 GRAINGER 99.50 0.00 Vendor# Vendor Name Class G1210 GULF COAST PAPER COMPANY rpA" Invoiced Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 2076777 f 09/21/2021 07/27/2021 08/26/2021 271.16 // SUPPLIES 2079953 ,✓09/21/2021 08/03/2021 09/02/2021 95.24 SUPPLIES Vendor Totals: Number Name Gross Discount G1210 GULF COAST PAPE 366.40 0.00 Ventlor# Vendor Name Class 11102 GULF COAST REGIONAL Invoiced Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 2730 //09/2312021 09/17/2021 10/01/2021 1.000.00 CONSULTING SPA CONTRACT RE Vendor Totals: Number Name Gross Discount 11102 GULF COAST REGI, 1,000.00 0.00 Vendor# Vendor Name Class 11095 GULF COAST SCIENTIFIC I- h Invoice# Comment Tran Dt Inv DI Due Dt Check Dt Pay Gross 74504 / 09/21/2021 07/23/2021 08/25/2021 295.91 SUPPLIES Vendor Totals: Number Name Gross Discount 11095 GULF COAST SCIEr 295.91 0.00 Vendor# Vendor Name Class 11552 HEALTHCARE FINANCIAL SERVICI " " Invoiced Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 100514866✓0911612021 09/07/2021 10/01/2021 7,447,86 LEASE 100514865 vObtl6/2021 09/07/2021 10/01/2021 7,154.17 LEASE t 100614864 ,0911612021 09107/2021 10/01/2021 4,919.41 LEASE 100514867 09/07/2021 10/01/2021 1,797,44 109/16/2021 LEASE file:lll C:lUsers/mmckissack/cpsi/mom med.cpsinet.com1u88150a/data_51tmp_cw5report3637980897132216917.html 0.00 0.00 868.16 ,. 0.00 0.00 88.67 V� 0.00 0.00 61.67 0.00 0.00 51665.83 No -Pay Net 0.00 7,934.66 Pay Code Discount No -Pay Net 0.00 0.00 328.38 ✓` 0.00 0.0D 122.93 u, No -Pay Net 0.00 451.31 Pay Code Discount No -Pay Net 0.00 0.00 99.50 No -Pay Net 0.00 99.50 Pay Code Discount No -Pay Net 0.00 0,00 271.16 0.00 0.00 95.24 No -Pay Net 0.00 386.40 Pay Code Discount No -Pay Net 0.00 D.00 1,000.00 L No -Pay Net 0,00 1,000.00 Pay Code Discount No -Pay Net 0.00 0.00 295,91 No -Pay Net 0.00 295.91 Pay Code Discount No -Pay Net 0.00 0,00 7,447.86 0.00 0.00 7,154,171,,,/ 0.00 0.00 4,919.41 = 0.00 0= 1.797.44 6/13 9123121,12:36 PM tmp_cw5report3637980897132216917.htm1 Vendor Totals: Number Name Gross Discount No -Pay 11552 HEALTHCARE FINA 21,318.88 0.00 0.00 Vendor# Vendor Name Class Pay Code H0416 HOLOGIC INC ✓/ - Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 9833386 d/ 09/20/2021 08/30/2021 08/30/2021 65.22 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount H0416 HOLOGIC INC 65.22 0.00 Vendor# Vendor Name Class 11260 INTOXIMEfERS INC M �, Invoice# Comment Tran DI Inv Dt Due Dt Check DI Pay Gross SO-0202691 ,Q9/09/2021 09/07/2021 10/02/2021 170.00 TEST INSTRUCTOR REFRESHER Vendor Totals: Number Name Gross Discount 11260 INTOXIMETERS INC 170.00 0.00 Vendor# Vendor Name Class J0150 J & J HEALTH CARE SYSTEMS, IN(,/f Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross 926108441 ,)00/21/2021 08/16/2021 (19/1512021 2,135.28 SUPPLIES 926124071 a09/2112021 08/18/2021 (19/1712021 62.35 SUPPLIES Vendor Totals: Number Name Gross Discount J0160 J & J HEALTH CARE 2,217.63 0.00 Vendor# Vendor Name Class 11122 K & M SPORTS Net 21,318.BB Net 65.22 u No -Pay Net 0.00 65.22 Pay Code Discount No -Pay Net 0.00 0.00 170.00 „- NaPay Net 0.00 170.00 Pay Code Discount No -Pay Net 0.00 0.00 2,135.28 0.00 0.00 $2.35 No -Pay Net 0.00 2,217,63 Pay Cade Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 114164 j 09/21/2021 09/20/2021 09/20/2021 275.00 0.00 0.00 275,00 WINTER SPRING POSTER Vendor Totals: Number Name Gross Discount No -Pay Net 11122 K & M SPORTS 275.00 0.00 0.00 275,00 Vendor# Vendor Name Class Pay Code 1410E K2 SCIENTIFIC Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 0008043IN 09/2�2021 09/07/2021 09/03/2021 7,073.50 0100 0.00 7,073.50 SUPPLIES � Vendor Totals: Number Name Gross Discount No -Pay Net 14108 K2 SCIENTIFIC 7,073,50 0,00 0.00 7.073.50 Vendor# Vendor Name Class Pay Code K0530 KCI USA ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 28831034 ✓01/1&2020 07/08/2019 09/21/2021 -172.32 0.00 0.00 -172.32 SUPPLIES a` 30428042 ,;69121/2021 0712212.021 09/2'I/2021 450.06 0.00 0.00 450.06 ,.. supplies 30425658 ,,/69/2112G21 08/03/2021 09/02/2021 655.00 0.00 0.00 655.00 SUPPLIES 30517468 ,09/211 021 08/24/2021 09/23/2021 450.06 0,00 0.00 450,06 SUPPLIES 30516502 08123/P022 09/22/2021 65.50 0.00 0.00 65.50 �/09/21/2021 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Nei K0530 KCI USA 1,448,30 0.00 0.00 1,448.30 Vendor# Vendor Name Class Pay Code 13958 KOETTER FIR PROTECTION j Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 33799 09/�I/2021 09/1012021 09/10JP021 695.00 0.00 0.00 695,00 FIRE ALRAM SERVICE Vendor Totals: Number Name Gross Discount No -Pay Nei 13956 KOETTER FIR PRO' 695.00 6= 0.00 695.00 file://IC:/UserslmmcklssacVJcpslimemmed.epainat.com/u8Bl50a/data_5/tmp_cw5reporl3637980897132216917.html 7113 9/23/21,d2:36 PM tmp_cw5report3637980897132216917,html Vendor# Vendor Name Class Pay Cade L1001 LANDAUER INC d/ W Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 100929280 09/22/2021 08/20/2021 OBP2012021 795.24 0.00 0.00 795.24 V BADGES Vendor Totals: Number Name Gross Discount No -Pay Net 1_1001 LANDAUER INC 795.24 0.00 0.00 795.24 Vendor# Vendor Name Class Pay Cade L1640 LOWE'S HOME CENTERS INC W Invoice# Comment Tran Dt Inv Ot Due Dt Check DI Pay Gross Discount No -Pay Net 01335 09/23/2021 08/02/2021 09/28/2021 186.25 0.00 0.00 188.251/ SUPPLIES 55312 09/23/2021 08/18/2021 09/2812021 395.48 0.00 0.00 395.48 SUPPLIES ✓,, 082821 09/23/2021 08128/2021 09/28/2021 52.51 0.00 0.00 52,51 l INTERST/LATE FEE *' Vendor Totals: Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CEN 636,24 0.00 0.00 636,24 Vendor# Vendor Name Class Pay Code 11796 LUBY'S FUDDRUCKERS RESTAUR Invoice# Comment Tran DI Inv Dt Due Dt C ack Ot Pay Gross Discount No -Pay Net INV000047609/21/2021 08/31/2021 08/31/2021 30,021.07 0.00 0.00 30,021.07 e,---= FOOD SUPPLY Vendor Totals: Number Name Grass Discount No -Pay Net 11796 LUBY'S FUDDRUCK 30,021.07 0.00 0.00 30,021.07 Vendor# Vendor Name Class Pay Code 11612 MASA GLOBAL BUILDING v7 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net // 10829256KN09/23/2021 09/01/2021 09/01/2021 �1{Q��,l�l 0.9d 0.00 0.00 Q,dO gwicl^I INSURANCE OCT COVERAGE Vendor Totals: Number Name Gross Discount No -Pay Net 11612 MASA GLOBAL BUII 0.00 0A) 0.00 4.0 'wit. Vendor# Vendor Name Class 1 Pay Code M2178 MCKESSON MEDICAL SURGICAL I .+ Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 18308323 /09/2112021 0710M021 07/23/2021 165.85 0.00 0.00 165.86 J SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDIC 105,86 0.00 0.00 105.86 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ,^' M Invoice# Comment Tran DI. Inv Ot Due Dt Check DI Pay Gross Discount No -Pay Net 19592722,93 D0R%20/2021 07/20/2021 08/14/2021 2,39129 0,00 0.00 2,391.29 SUPPLIES wi 1959434011,09/2012021 07/21/2021 08115/20PI 89.22 0.00 0.00 89.22 SUPPLIES 1959434018`09/20/2021 07/21/2021 08/15/2021 90.44 0.00 0.00 90.44 SUPPLIES 1960031560,,09/2012021 07/24/2021 08/18/2021 2,537.98 0.00 0.00 2,537.98,Z' SUPPLIES 1960126469 09/2012021 07/27/2021 08/21/2021 4,103.59 0.00 0.00 4,103.69 SUPPLIES ^! 1961015218,09/20/2021 08/03/2021 08/28/2021 18.82 0.00 0.00 18,82 SUPPLIES �• 1960289078109/21/2021 07/28/2021 08/22/2021 16.368.24 0.00 0.00 16,368.24 / SUPPLIES 1961146255 gi/2112021 08/04/2021 08/29/2021 307.28 0.00 0.00 �- 30T28.-' ,i SUPPLIES 1961743349 09/21/2021 08/07/2021 09/01/2021 208.65 0.00 0.00 208.65 SUPPLIES 196273012094/21/2021 08/17/2021 09/11/2021 37.43 0,00 0.00 37.43 81e:MC:/Users/mmckissack/cpsl/memmed.cpsinet.com/u88150a/data_5/tmp_cw5reporl3637960897132216917.htm1 8113 9/23/21,,12:36 PM lmp_cw5reporl3637980897132216917.html SUPPLIES 196300780509012021 08/18/2021 09/12/2021 2.62 0.00 0.00 2.62 Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTR 26,155.56 0,00 0,00 26,155.56 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 091621 09/21/2021 09/16/2021 09/16/2021 105.71 0.00 0.00 105.71- PAYROLDED Vendor Totals: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GI 105.71 0.00 0.00 105.71 Vendor# Vendor Name - Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 7329052 ; 09/22/2021 09/15/2021 09/25/2021 3.639.67 0.00 0.00 3,639.67 INVENTORY 7331333 �j 09/22/2021 09/15/2021 09/25/2021 323,02 0.00 0.00 323.02 INVENTORY 7331332 ,109/2PI2021 09/15/2021 09/25/2021 675.96 0.00 0.00 675.96 INVENTORY 5161A,,/ 09/22/2021 09/15/2021 09/25/2021 -26,94 0.00 0.00 -26,94 CREDIT 5359 09/22/2021 09/15/2021 09/25/2021 -4.99 0.00 0.00 -4.99 4- CREDIT 7331334 09/22/2021 09/15/2021 09/25/2021 385.92 0.00 0.00 3B5.92 „/ INVENTORY 7329051 ai 09/22/2021 09/15/2021 09/25/2021 5B,56 0.00 0100 58.56 ,%- INVENTORY 732905a,/ 09/22/2021 09/15/2021 09/25/2021 2,259.66 0.00 0.00 2,259.66 �. INVENTORY CM75805✓/ 09/22/2021 09/15/2021 09/26/2021 -5,732.97 0.00 0,00 -5,732.97 CREDIT 7337152 J09/2212021 09M6/2021 09/26/2021 48.83 0.00 0.00 48.83 INVENTORY 7337163 ,% 09/22/2021 09/16/2021 09/26/2021 20.63 0.00 0.00 20.63 INVENTORY 7334627,09/22/2021 09/16/2021 09/26/2021 4,23226 0,00 0.00 4,232.26 INVENTORY 7341444 „ Q9122f2021 09/19/2021 09/29/2021 4,63 0.00 0.00 4.63 INVENTORY 7341437 09/22/2021 09/19/2021 09/99/2021 4,741.89 0.00 0.00 4,741.89 --' INVENTORY 7343399 .,% 09/22/2021 09/19/2021 09/29/2021 108.62 0.00 0.00 10B.62 INVENTORY 7341442 4f 09/22/2021 09/19/2021 09/29/2021 263.45 0100 0.00 263,45 / INVENTORY 7341439 l 09/22/2021 09/19/2021 09/29/2021 15.89 0.00 0.00 15.89 INVENTORY 7343401,j' 00/22/2021 09/19/2021 09/29/2021 120.45 0.00 0.00 120.45 INVENTORY Vim; 7341438 .1 912PJ2021 09/18/2021 09/29/2021 19.69 0.00 0.00 INVENTORY 7341443 09/22/2021 09119/2021 09/29/2021 20.27 0.00 0.00 20.27 - r INVENTORY 7341440 09/22/2021 09/19/2021 09/29/2021 57.90 0.00 0.00 57.90 .- j% INVENTORY - 7343400 09/19/2021 09/29/2021 433.65 0.00 0.00 433.65 VZ09/22/2021 _• j INVENTORY 7344738 ./09/22/2021 09/20/2021 09/30/2021 84.17 0.00 0.00 64.17 INVENTORY file:/IIC:/Users/mmokissack/cpsitmemmed.opsinst,comtu88l5Oaldata_5/lmp_uw5report3637980897132216917.html 9/13 9/23/21 „12:36 PM tmp_cw5repod3637980897132216917.html 7348394 `69/2212021 09/20/2021 09/30/2021 32.49 0.00 0.00 32.49 - ; INVENTORY r 7348393 . 69/22/2021 09/2O/2021 09/30/2021 1,384.85 0.00 0.00 1,384.85 ,. INVENTORY 7348392 ,/0912PJ2021 09/20/2021 09/30/2021 4,043.65 0.00 0.00 4,043.65 INVENTORY J 7347398 A8122/2021 09/20/2021 09/30/2021 953.32 0.00 0.00 953.32 . 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SERVICE CONTRACT Vendor Totals; Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERIG 1,137.51 0.00 0.00 1,137.51 Ventlor# 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 1852027645 09/21/2021 08/1712021 09/16/2021 137.30 0.00 0.00 137.30 SUPPLIES Vendor Totals; Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL D 137.30 0.00 0.00 137.30 Vendor# Vendor Name Class Pay Code file:l//C:RJsers/mmckissack/cpsi/mommedxpsinet.carNu881SOa/data_5/tmp_pw5repon3637980897132216917.html 10113 n 9/23121„12:36 PM tmp_cw5report3637980897132216917,himl 11155 PARA ✓� Invoice# Comment Tran DI Inv DI Due Dt Check DC Pay Gross Discount 9338 0 /3V2021 09/01/2021 10/01/2021 3,084.00 0.00 REVENUE INTEGRITY PROGRAM No -Pay Net 0.00 3,084.00 - Vendor Totals: Number Name Grass Discount No -Pay 11155 PARA 3,084.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC ,,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 04000613�r 09/22/2021 09/02/2021 10/09/2021 37.43 0.00 0,00 SUPPLIES 04000524 09le2/2021 09/02/2021 10/02/2021 21.26 0100 0,00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay 10152 PARTSSOURCE, LL 58.68 0.00 0.00 Vendor# Vendor Name Class Pay Code Net 3,084.00 Net 37.43 L f•' 21.25 Net 58.68 12544 PATRICK OCHOA �.' Invoice# Comment Tran Ot Inv Dt Due DI Check Dt Pay Gross Discount No -Pay Net 01 09/22/2021 09/19/2021 09/19/2021 400.00 0.00 0.00 400.00 REMOVE VINE OVER GROWTH Vendor Totals: Number Name Gross Discount No -Pay Net 12544 PATRICK OCHOA 400.00 0.00 0.00 400.00 Vendor# Vendor Name ; Class Pay Code 13988 PAYCHEX, ADVANCE FBO 4f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 006474 09/21/2021 09/OB/2021 09/08/2021 1,485.00 0.00 0.00 1.485.00 MED BURG STAFFING 006470 09/21/2021 09/0812021 09/08/2021 2,220.00 0,00 0,00 2.220.00 MED BURG STAFFING ` 006547 09/21/2021 00/15/2021 09/15/2021 750.00 0.00 0.00 750.00 MED BURG STAFFING 006625 09/23/2021 09/22/2021 09/22/2021 3,725.00 0.00 0.00 3.725.00 STAFFING MED BURG Vendor Totals: Number Name Grass Discount No -Pay Net 13988 PAYCHEX, ADVANC 8,180.00 0.00 0.00 8.180.00 Vendor# Vendor Name Class Pay Code 11480 PORT LAVACA PLUMBING i Invoice# Comment Tran Ot Inv DI Due dl Check DI Pay Gross Discount No -Pay Net 10127 F'09012021 04/27/2021 09/21/2021 1,050.00 0.00 0.00 1,050.00 f SERVICE CALL 10128 09/21/2021 06/24/2021 09/21/2021 1,190.00 0.00 0.00 1,190.00 STOPPAGE LAB/KITCHEN Vendor Totals: Number Name Gross Discount No -Pay Net 11480 PORT LAVACA PLU 2,240.00 0.00 0.00 2,240.00 Vendor# Vendor Name Class Pay Code 13940 RN NETWORK Invoice# Comment Tran Ot Inv Dt �'Due Dt Check DI Pay Gross Discount No -Pay Net 3984183RI 9d/0wmi 09/06/2021 10/0-112021 2,81200 0.00 0.00 2,812.00 r ICU STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 1394D RN NETWORK 2,812.00 0.00 0.00 2.812.00 Vendor# Vendor Name Class Pay Code 13172 SERACARE LIFE SCIENCES, INC Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay Net 90148461 / 06/30/2021 06/02/2021 10/01/2021 1,53251 0.00 0.00 1,532.51 ` SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 13172 SERACARE LIFE Si 1,532.51 0100 0.00 1,532.51 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES Invoice# Comment Tran Ot Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net rile:///C:/Userslmmckissack/cpsilmemmed.cpsinel.comlu88150a/data Sltmp_cw5reporl3637980897132216917.html 11/13 9/23/21„12:36 PM tmp_cw5report3637980897132215917.html 5638210006(09/21/2021 09/02/2021 09/20/2021 4,038.24 0.00 0.00 4,038.24 byl LEASE Vendor Totals: Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIA f 4.038.24 0.00 0.00 4,036.24 ✓ Vendor# Vendor Name Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INVO10496 09/21/2021 09/01/2021 09/0112021 12,870,00 0.00 0.00 12,870.00 "/ BID MED SERVICES b' Vendor Totals: Number Name Grass Discount No -Pay Net 12288 SPBS CLINICAL EQ 12,870.00 0.00 0.00 12,870.00 Vendor# Vendor Name Class Pay Code 14100 STAFFING FIRST Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net 210924 09/14/2021 09/30/2021 4,562.50 0.00 0.00 4.502.50 V•09/2112021 LABOR DEL STAFFING Vendor Totals: Number Name Gross Discount No -Pay Net 14100 STAFFING FIRST 4,562.50 0.00 0.00 4,562.50 Vendor# Vendor Name Class Pay Code S3960 STERICYCLE, ING,/ Invoice# Comment Tran Dt Inv Dt Due Or Check Dt Pay Gross Discount No -Pay Net 4010352707,0610112021 09/01/2021 10/0V2021 2,536.76 0.00 0.00 2,535.76VJ DISPOSAL SERVICES Vendor Totals: Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2,535.76 0.00 0.00 2,535.76 Vendor# Vendor Name Class Pay Code 10982 TELCOR ,/ Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 0000051925 0N09/2021 00/01/2021 10/01/2021 2,950.15 0.00 0.00 2,950.15 , ANN UALSU PPORT10/O1/21.09/30/2 Vendor Totals: Number Name Gross Discount No -Pay Net 10982 TELCOR 2,950.15 0.00 0.00 2,960.16 Vendor# Vendor Name Class Pay Code 13880 TEXAS SELECT STAFFING Invoice# Comment Tran Dt Inv Dt Due Ot Check DI Pay Gross Discount No -Pay Net 0017947510�09/21/2021 08/25/2021 08/25/2021 3,091,45 0.00 0.00 3.091.45 1WI1v MEDSURG 0018086510:09/21/2021 09/16/2021 3.608.68 0,00 0.00 3,608.68 1NN STAFFING MED BURG 001813551 P 09/23/2021 09/22(2021 09/22/2021 9,081.40 0.00 0.00 9,081.40 f ')'PllW STAFFING 4 Vendor Totals: Number Name Gross Discount No -Pay Net 1388D TEXAS SELECT SL 15.781,53 0,00 0.00 15.781.53 Vantlor# Vendor Name Class Pay Code 10732 THERACOM, LLC ,J'� {�l.yvj}kq.71 Invoice# Comment Tran Ot Inv Dt Due Dt f Check Dt Pay Gross Discount No -Pay Net 2217836143(08/04/2D21 07/28/2021 10/01/2021 2,346.12 0,00 0.00 2,346.12 d1 INVENTORY 072821 08/31/2021 D7/28/2021 10/01/2021 / 2,346.12 0.00 0.00 2,34,6�12 INVENTORY II Vendor Totals: Number Name Gross Discount No -Pay Net 10732 THERACOM,LLC ai3��•�.L 4,69�3,�4 0.00 0.00 4,6192/24 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 35FK092100�/21/2021 09/01/2021 09/26/2021 1,059.50 0.00 O.OD 1,059.50 PTSTATEMENT Vendor Totals: Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDI 1,059.50 O.OD 0,00 1,059.50 Vendor# Vendor Name Class Pay Coda U1054 UNIFIRST HOLDINGS w file://IC:/Userslmmckissack/cpsi/memmed.cpsinet.com/u88l 50a(data Sltmp_cw$report3637980897132216917.html 12113 9/23/21„12:36 PM imp_ ew5report3637980897132216917.himl Invoice# Com ent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8400375653V9/16/2021 09/06/2021 10/01/2021 47.47 0.00 0.00 4T47✓~ LAUNDRY 8400375652 Pfi6/2021 09/06/2021 10/01/2021 45.15 0.00 0.00 45.15 LAUNDRY 8400375675 90/16/2021 09/06/2021 10/01/2021 1,948.15 0.00 0.00 1,948.15 -, LAUNDRY 8400376094 09/16/2021 09/09/2021 10/04/2021 41.07 0.00 0.00 41.07 ' ,= LAUNDRY $400376115 09/16/2021 09/09/2021 10/04/2021 90.23 0.00 0.00 90.23 ' LAUNDRY 840037609611, 1612021 09/09/2021 10/04/2021 121.55 0.00 0.00 121.55 % LAUNDRY 8400376098 9916/2021 09/09/2021 10/04/2021 146.25 0.00 0.00 146.25 j LAUNDRY 8400376128 Q9/16/2021 09/09/2021 10/04/2021 1,324.71 0.00 0.00 1,324.71 . LAUNDRY 8400376099 09 6/2021 09/09/2021 10/04/2021 194.90 0.00 0.00 194.90 LAUNDRY 8400376144 09/16/2021 09/09/2021 10/04/2021 128.01 0.00 0.00 128.01 tr LAUNDRY 8400376097 06/16/2021 09/09/2021 10/04/2021 191.71 0.00 0.00 191,71 LAUNDRY r' Vendor Totals: Number Name Gross Discount No -Pay Net U1054 UNIFIRSTHOLDING 4,279.20 0.00 0100 4,279.20 Vendor# Vendor Name Class Pay Code 12400 UPDOXLLC f Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV0027786('09/21/2021 08/31/2021 08/31/2021 1.600.00 0100 0.00 1,600.00 ✓`f FAXING Vendor Totals: Number Name Gross Discount No -Pay Net 12400 UPDOX LLC 1,600.00 Q00 0.00 1,600.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC , / Invoice# Comment Tran Dt Inv D1 Due Dt Check Dt Pay Gross Discount No -Pay Net 9111025906�pd/21/2021 08/13/2021 09/07/2021 708.50 0.00 0.00 708.50 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 708.50 0.00 0.00 708.50 Grand Totals: Gross Discount No -Pay Net 605,692.16 0.00 0100 605,692.16 P5 roti liwl t4$I,U0.00 al3�l. lay Ph l a un�a�h^ �< $U (wq 04 6U :�YFJe' Ic:� T i 669•i.lu 6V5•Ui:�i-i!; file:l//C:/Userslmmekissacklcpsilmemmed.cpsinet.com/u68150a/data_5/tmp_cw5report3637980897132216917.html 13113 u RUN DATE; 09/23/21 T➢4E: 09:59 PATIENT NUMBER PAYEE 1191E ARID-0001 TOTAL ------------------------------ TOTAL MEMORIAL MEDICAL CENTER PAGE 1 EDIT LIST FOR PATIENT REFUNDS 2RID0.0001 APCDEDIT PAY PAT DATE MOUNT CODE TYPE DESCRIPTION GL NUM ...................................................................... 092221 610.05 ✓ 3 REFUND FOR ........................_________....................................... 610.05 ............................................................................ 610.05 MWESSON STATEMENT As of: 09/24/2021 Gompvry'BYpp DC; 8116 MEMORIAL MEDICAL CENTED AMT DUE REMITTED VIA ACH OMIT Territory: AP Statement for information only 815 N VIRGINIA STREET PORT LAVgCh T% 77979 Customer. 83Z538 Dale: 09/26/2021 Page: 002 To ensure Pinter coral to your mrsoum, ell and Mum this slob war your aaniltanea As of: 09/24/2021 Page: 002 Mall to: Came: 6000 AMT DUE REMITTED VIA ACH DEBIT Statement for Information only Cud: 632536 PLEASE CHECK ANY Date: 09/25/2021 ITEMS NOT PAID (v) Date Due Rumider �atianal A°count Reiter 6 Cash Amount P Amount P RturNs, e Date Dale Num6or Reference Oemriptlm OlecauM Igmm) F (net) F Numhar PF column legend: P e Pest Due Kem, F = Future Due Item, blank = Comem Due Hem TOTAL National Aoot 632536 MEMORIAL MEDICAL CENTER Subtotals: 6,926.31 USD Rrlure Dug: 0.00 If Paid By 0912812021, Pad Due: 0.00 Pay This Amount: 6,]6].76 USD Lou Payment 2,451.97 If Pald After 0912812021, 08/07/2017 Pay this Amount: 6.926.31 USD 1 =203.42 23•li + 799.51 - 525.7a ,E*7G7�H For AR Inquiries please contact 800-867-0333 0. It Paw On Time: USD Q]eL]6 Disc lad it pda Mte: 98.55 Due If Pant Late: USD 6.926.31 l MSKESSON STATEMENT A. W: 0912412021 Page: 001 To..ours proper c soft 4. your 0cboum, Eatch mul mtum this (omnsm: soar dub with your remMo. DC: 8115 As al: 09/24/2021 Pegs: 001 HEB PHCY 0434/MEM M® PHS AMT DUE REMITTED VIA ACH 0®IT Territory: 400 AMT Mau to: Comp: 6000 MCKAL CENTER for Information only AMT DUE R F7ED VIA ACH DEBIT VICKY KALISEK SBt Customer. 190813 Slalement for infmmatipn only 815 N VIRGINIA ST Oate: 09/25/2021 PORT IAVACA TX 77979 Cue: 190813 PLEASE CHECK ANY Didw 09/25/2021 DENS NOT PAID IV) f3811ng Due ReceHpylretlonal AceaunlI/16 CebM1 Amount P Amount P Recelveble Date 'Me Number Reference Description Oloosent (gmes) F (am) F Number Comomer Number 190813 H® PHCY 0434/META MED MS � 09124/2021 09/28/2021 7296055494 2017035920 1151rwoice 24.56 1,227.98 1.203.42 7296056494 O PP column legend: P = Net Doe hem, F = ELtum Duo hem, Wank a Comm Dub Item TOTAL Customer Number 190813 H® PHCY 0434/MM MED MS sOWetals: 1,227.98 USD F Ure Due: 0.00 If id B B/ Due 11 Paltl On Tima: y T mount 2021, Past Due: 0.00 Pry Amount: 1,203.42 USD UsoDr. 1,203.42 Dise tool If paitl I010: 24.56 tart Payment 10.233.51 It ftiid Alta 0912812021, Due 11 PeW late: 09/06/2021 Pay this Amount: 1,227.98 USD USD 1,227.98 For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT As of: 09/24/2021 Page: 001 To eneu 0 Pieper madH to yam Basses, detach and Mum this Co,nos,,: a400 dub with yam remittance DC: 8115 As of: 09/24/2021 Pate: 001 WALMART 1098/MW MED PHS AMT DUE REMITTED VIA ACH DMIT Tenn l 400 Melt to: Coma: 8000 MEMORIAL MEDICAL CENTER Statement for intonation only ANIT DUEent REKHTTInfmafaIA ACH OMIT VICKY KALISEA Cushman 256342 n only 815 N VIRGINIA ST Date: 09/2W2021 PORT LAVACA TX 77979 C.d: 256342 PLEASE CHECK ANY Data: 09/25/2021 RBdS NOT PAID (1) Bill., Due Hecelv.b.N allonel Account V1AY6 Cash Amount P Amount P N Reavable Data Date Number Refers".. Dersomp lon Discount (9mae) F (net) F Norther Customer Number 256342 WALMARr 1090IMM NED PNS 09/20/2021 09/28/2021 7294941443 15627074 1151nvcic. 0.01 0.26 025 7294941443 09/20/2021 09/20/209.1 7294941444 15647897 115lnvolce 2.89 144.51 141.62 / 7294941444 09/20/2021 09/2812021 7294941446 15691472 1151nvolce 1.07 53.36 52.29.. 7294941445 09/20/2021 09/28/2021 7294941446 16751550 1151nv.ice 6.31 315.36 309.05� 7294941446 09/21/2021 99/28/2021 7295263147 15769356 1151nvotce 17A7 856,55 841.38'� 7295263147 09/22/2021 09/28/2021 7295520871 15849556 11 Miriam. 7.99 399.33 391,34/, 7296620871 09/22/2021 09/28/2021 7295620872 15849556 115mvolce 4.67 233.39 228.72/ , 7295520872 09/22/2021 09/2812021 7295520873 15887839 1151nvalce 11.38 56S.90 567.52 /� 7295520873 09n3/2021 09/28/2021 7295779714 15951200 115Inv01ce 20.38 11019.05 998.67 7295779714 09/24/2021 09/28/2021 7296076423 15975341 1151nv.ico 10.19 509.63 499.44i 7296076423 00/24/2021 09/20/2021 7296076424 16016674 115tnvoice 4.32 215.98 211.66 7295076424 09/24/2021 09/26/2021 7296185447 0923211119 1951nvolce 0.01 0.32 0.31 % 7296105447 09/24/2021 09/28/2021 7296185448 0923210544 1151nvaice 0.08 3.80 3.72 7206185446 J PF column legend: P : Pad Due Hem, F = Future Due than. Wank = Curtest Due Item TOTAL Customer Number 256342 WALWART 1090IMBA MED MS summation 4,322.44 USO Future Due: GM Due It Net On Ti. It Paid By 0912812021, USE, 4,235.97 Pact Due: 0.00 Pay Thi. Amount: 4,235.97 USD Mae lost it put late: 86.47 Leer Paymere 12.955.71 If Peld Alter 09/28/2021, Due If Pald late: 09/20/2021 Pay this Amount: 4,322.44 USD USD 4.322.44 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT COTpYry: tltl00 CVS PHCY 7006/MEMORIA PHS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER Statement for information only VICKY KAUSBK 815 N VIRGINIA POW LAVACA TX 77979 As of: 09/202021 Page: 001 To ensure Pro,ar dealt to your, account, dolach ael relum this pub with your remitlance OC: 8115 As of: 09/24/2021 rage: 001 Man to: Come 8000 Terdte, 400 AMT DUE REMITTED VIA ACH DEBIT statement tarr Information only C:lslamer. 262252 OMe: 09/25/2021 CuN: 262252 P SE CHECK ANY Drum 09/25/2021 ITEMS NOT PAID (�) ailing Duo NeaebaNratlo ml Account bMg,96 Cash Amount P Amount P Beml age r Date Date Number Referenda Description Dismount (grass) F (mri) F Number Customer Number 262252 CVS PHCY 7006/MEMOWA MS 09/23/2021 09/28/2021 7295762039 1366154 1151m ico D.47 23.69 23.12 c/ 7295762039 O PF malumn legend: P = Part Due Item, F = From Due It... bigar = Current Ou, Item TOTAL Customer Number 262252 CVS PHCY 70061MEdOIBA MS Sublolalr: 23.59 USD Future Due: 0.00 Due If rald On Time: ,. It Paid By 0912812021, USD 23.12 ! 11 Rest Due: Mo Pay Inle Amount: 23.12 USD Disc lost I/ ON late: I111D_�. 0.47 Last Payment 22,405.04 If rald After 09128/2021, Due It Paid We: 06/30/2021 Pay this Amount: 23.59 USD USD 23.59 For AR Inquiries please contact 800-867-0333 e MSKESSONSTATEMENT As 41: 0912412021 Page: 001 To ensure proper court to your account, aefadt and Mum 016 cem9�r e000 stub wall your mmMelse DC: 8115 As of: 09/24/2021 Page: 001 H® MY FC 490/Mda MC MS AMT DUE R2MITT® VIA ACH DEBIT Terdtwy: 400 Mall to: CZal MEDICAL CENTER Statement for information only AMT DUE RBdIT(® VIA ACH DEBIT VICKYAL KA Statement for Information Only 815 N GIINI Customer. 464450 815 N VIRAVACAA ST Dale: 09/25/2021 PORT LAVACA T% ]]W9 Cum: 464450 RE15E CHECK ANY Date: 09/25/2021 111111115 NOT PAID (rt ational Account 6 ®IIMg Due Rxeroadr�dS7T cam Amount P Amount P ReaeNede Dale Date Number Reference Deadption Diamond (gmas) F (neft F Number Customer Number 464450 H® My M 490/MM Me ME 09/23/2021 09/28/2021 7295764780 55x634853 IISlnvolce 11.76 588.02 576.26, 7295764780 09/2412021 09128/2021 7296031275 55x639407 I16Im im, 4.56 227.81 223.25✓ 7296031275 RE column legend: P = Pam Due Kem, F = Fmum Due Herr, dank = Curren Due Item TOTAL Cumomer Number 464450 H® MY PC 4901MW MC PH5 Suldwars: 815.63 USD Future Dur. 0.00 Due I/ Pad an Time: If Paid By 09/28/2021, USD Rem Due: O.OD Pay This Amount: 799.51 USD Dice led If paid late: IU111,1r` 16.32 last Payment 12.955.71 H Paid After 0912012021, Due if Paid late: 09/201ZD21 Pay tide Ammer: 815.83 USD USD 815.83 For AR Inquiries please contact 800-867-0333 D m:w=MZIW Y STATEMENT Aeof: 0912412021 DC: 8116 CVS PHCY 7475/MW MC PHS AMT DUE RWITTED VIA ACH OMIT Territory: 400 MEMORAL MEDICAL CEaTSA Statement for Information only VICKY KALISEK Customer. 835438 815 N VIROINIA ST Date: 09/25/2021 PORT tAVACA TX 77979 Pepe: 001 To ensure proper oretlh to your aamum, dd h and Mum, this dub with your statistics As oO 09/24/2021 Pale: 001 Mall to: Camp: 8000 AMT DUE fEMITT® VIA ACH OMIT statement for Intommlion only Cud: 835438 PIdMSE CHECK ANY Date: 0912612021 R6gS NOT PAID (1) Bill., Due Ileosh mblPathmal Account Vil)98 I Cash Amount P Amount P Flaoduhh, Date Date Number Ndelerwe Deac l lan Discount (9.) F (net) F Number 09/23/2021 09/28/2021 7296956913 1367097 1151nvolce 10.73 536.47 525,74 ' 7295956913 O PF column le,end: P = Past Due Item, F = Future Due Item, blank = Current Due Hem TOTAL Customer Number $35438 CVS PNCY 7475/MW MC PHS subtotals. 536.47 USO Future Due: 0.00 Due If Paid On Time: j If By 09/28@021, USD 525]q 1 Pad Due: 0.00 Payy This Amount• 525.74 USD also Lod If pale Inte: 0.73 Led Payment 12,955.71 ANer 2021, If saidthis Due If Peltl late: 09/20/2021 Pay this Amount: 538.47 USO U50 538.47 For AR Inquiries please contact 800-867-0333 D 1 of 1 U STATEMENT Statement Number: 61665591 AmerisourceBergen, Date: 09-24-2021 AMERISOURCEBERGEN DRUG CORP WALOREENS#12494340B 100135284/037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER - SUGAR LAND TX 77478.6101 1302 N VIRGINIA ST PORTLAVACAT2 77979-2509 Set -Fd Gas in 7 days D61: RA0289276 866-451-9655 AMERISOURCESERGEN P.O. Box 905223 Not Vet Due: CHARLOTTE NC 28290-5223 Current: 7.00 75.00 Past Due: 0.00 Total Due: 757.60 Account Balance: 757.60 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 09-20-2021 1001-2021 3068027702 162862 Invoice 142.27 0.00 142.27.' 09.20-2021 10.01.2021 3066027703 162868 Involve 572,27 0.00 672.27.' 00-21-2021 10.01,2021 3068279846 162921 Invoice 14.58 0.00 14.68.' 09-22-2021 10411-2021 3068421583 162928 Invoice 12.61 0.00 12.61.' 09-23-2021 tU-01-2021 3068556662 IU935 Invoice 5.93 0.00 5.93,' 09.23-2021 10.01-2021 3088556863 162936 Invoice 9.76 0.00 9.76 ' OS4?-2021 10.01-2021 3058693117 162943 Invoice 0.18 OA0 0.18 Current 1-15 Days 16-30 Days 31-60 Days 61-90 Days 91-120 Days Over 120 Days 767.60 0.00 0.00 0.00 0,00 O.OD 0.00 Thank You for Your Payment Date Amount 09-24-2021 (377.54) Reminders Due Date Amount 10.01-2021 757.60 Total Due: 757,60. TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) F7"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ED"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX 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" "l 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: 0 C 941 # L� $ 95,306,37 1 $ 49,151.12 $ 11,759.58 $ 34,395.67 IH'tt t. 5 1 CALLED IN BY: CALLED IN DATE: CALLED IN TIME: F1AP-Payrall FileslPsyroll Taxes%2021W20 R1 MMC TAX DEPOSIT WORKSHEET 09.23.21.xls 912712021 -un Date: u�; (t/L! 4_::Oa:n_ ME➢I�-:: Cc:,._.. 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'Ay 10foIj71 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) FTENTER9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1rr "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F7'9F FEDERAL TAX DEPOSIT ENTER 1 "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGITTAX 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" 7 1 1 6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #No ENTER: ### C� E3 l� $ 687.06 1 $ 364.84 $ 85.32 $ 236.90 CHECk S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: F:%AP-Payroll Files%Payrall Tazes12021%#20 R2 MMC TAX DEPOSIT WORKSHEET 09.23.21.z1s 9/2812021 ------------ --®--....-hot AT WR2 CAFE H. CAFE ; , M"Iff m S { G � asG em:heys//d^F~1 FT ; d^ \ /~+~ .... ---�-- MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- September 20, 2022 - September 26, 2021 Date Bank Description 9/20/2021 WEBFILE TAX PYMT DO 902/03572592 210000236BO 9/20/2021 PAY PLUS ACHTRANS 452579291101000698597512 9/21/2021 PAY PLUS ACHTRANS 4525792911010OD699514215 9/21/2021 MCKESSON DRUG AUTO ACH ACH04724011910000125 9/22/2021 PAY PLUS ACHTRANS 45ZS79291101000690353820 9/22/2021 IRS USATAXPYMT 220166504972439 6103601000557 9/23/2021 PAY PLUS ACHTRANS 452579291101000690981670 9/24/2021 PAY PLUS ACHTRAN5452579291101000691772010 9/24/2021 AMERISOURCE BERG PAYMENTS 0100007768 2100002 9/24/2021 WIRE OUT CBNA INCOMING SETTLEMENT ACCOUNT Jason Anglin, CEO Memorial Medical Center PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT— ESTIMATED ACHS Date Description 10/1/2021 ACH Payment STATE COMTRLR TEXNET 30/1/2021 ACH Payment STATE COMTR RTEXNET Jason Anglin, CEO Memorial Medical Center C_ MMC Notes Amount -Sales Tax 1459.84- -3rd Party Payor Fee i 2r45 - 3rd Party Payor Fee r 31.54, -3408 Drug Program Expense 12955.71* -3rd Party Payor Fee 90;B1r - Payroll Taxes "''97.32 - 3rd Party Payor Fee 48.68 r' - 3rd Party Payor Fee - 3408 Drug Program Expense 377.541 -0111tank Corporate Card Payment S56.08A- 15,630.70 September 27, 2021 MMC Notes Amount ACCRUED UC IGT 350,482.69 ACCRUED IGT DSH 43,39400 393,876,69 September 27, 2021 97.3:- - >'7'7. 54 - 555.08 184•21 :. 1 $4.21 I Roil - 0.0u Transaction Summary Transaction Complete Trace # Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total $43,394.00 Bank Routing and Account Number Settlement Date 10/8/2021 DSH Amount $43,394.00 Entered B Merle Moehri Page No:1 or 1 Run Date: 912712021 Run Time: 09:54:33 983,267 834,825 1.186,235 1,186,235 - 41.810,414 41,810,414 1,856,053,277 400,143 132,831 204,236 204,236 7.198,558 7,198,568 240,286,813 2.018.023 3,602,965 3,671,912 - 129,421,378 129.421,378 2,789,181,304 exas Health and Human Services Commission April 27, 2015 490,386,887 1,264,100,626 - 1,856,053,277 41,810.414 - 1,814,242,863 829,844 42,640,258 53,079,519 167,948,223 - 240,286,813 7198,558 - 233.088,254 106,616 7,305,174 534,850.144 892,967,263 69,543,620 2,719,637,684 127,299,170 2,122,208 2,692,338,615 1,185,749 128,484,919 exas Health and Human Services Commission April 27, 2015 21,001.918 3,598,071 4,874,008 IMD CHECK $5,927,754 58,409,608 122,051,784 122,051,784 - 67,796 122,119.580 - - 10,903,245 10.903.245 - 229,383,568 81968 10,912,213 - - 133,358,927 133,181,037 177,890 101,125 133,282,162 (58,704) 266,313,955 exas Health and Human Services Commission April 27, 2015 22,373 30,568 79.464,467 #� 2,960 - 3,601,030 229.374,599 2,803 - 4,818,108 42,655.113 122,119,580 79,464,467 7,311,183 10.912,213 3,601.030 128,464.055 133,282.162 4,818.108 266,313,955 axes Health and Human Services Commission April 27, 2015 Transaction Summary Transaction Complete Trace t'.' 41 Texas Health and Human Services Commission Memorial Medical Center Operating County Page No:1 of 1 Run Date: 9120/2021 Run Time: 14:20:24 Calculation: if in State Tab, Total DY9 Payment minus YTD IGT after Schedule 3; Calculation: olhernise, Total State Match' DY9 Payment Final Payment or minus YTD IGT Recoupment Final Payment Final IGT „ :Flndl Paymie Final IGT After Required After :00;oupm rlt� Required Accounting for Accounting for Notes Recoupments Recoupments $0.01 $1,099.507.07 $351,732.31 $1,095.600.80 $350,482.69 Application Data If Hospital Is In the 2. State Hospitals tab, the value is Yes, Calculated: It DSH PMT> DSH only casts (Medicaid SF + DSH. Only Uninsured SF) Calculated: Units then DSH PMT. SF - UC Unins DSH nalruleten Medicaid QF. n9N- Application Data Application Data Application Data Dupl In DSH Application Data Data only SF, else 0 �. 8 Mx TAI J. 01, 8 754,180.28 $ 3345158.13 $ 2,590,938.57 $ 754221.58 $ 2,848,633.99 S 908,741.20 $} 908679.91 Calculated: If UC Schedule 3 - DSH PMT attributable to Charity>0. UC Schedule 3 - DSH PMT attributable to Calculated: Sum of Schad 1, Schad 2, �dj, and Schad A j Cha rity, else 0 Application Data Application Data Application Data Application Data Application Data Adj, antl Schad 3 Atlj R8'mal�hf1nl�F! 8bbea4li r c',. i S,:jICff9N�� htRae � �� ' V�yti" AttAbuteb16 t'o Cba lid�it carobi,•t�Yeel�' $ 1,939,889.09 $ 108,013.41 $ $ Calculated: If on State Tab, Calculated: Rural hospitals get UC Calculated: If Large Public, Other LC Cost (Non-S-10) - cost, Other Hospitals get an amount ensures payment does not Schad 3 Adj; otherwise, UC equal to % of total cost times exceed UC cost excluding the Calculated: If Were Was a Charity Cost Remaining after remaining pool (Total UC Pool- Non. IGT amount If First Pass> reduction, there are no DSH offset + Other UC Cost Hospital - State & Rural Set Aside); Eligible UC Cost- DSH IGT, remaining UC Costs, (Non-S-10)+ DSH IGT for Large physician groups get %to total then First Pass -(UC Cost- otherwise UC cost - Large DSH calculation data Public times physician pool IGT), else 0 Public IGT - First Pass ;yDSH hl(„rxr7✓%lirgY? r"rap 'S'v {j ytrk� (f�> Calculated: Allocation reductions are Calculated; First distributed based on remaining UC costs as a Calculated: UC pass payment Calculated: %to total; (Remaining UC Costs after First costs remaining minus Initial Payment after Calculated: YTD Pass)/(Sum of All Remaining UC Costs after after first pass reduction plus Second Pass UC Placeholder for First Pass)•(Sum Allocation Reduction for minus second second pass times State From UC Payments -State future years; for Large Public) pass allocation payment Match Advance FMAP% now 1 v4 r T6felUd Cdald' �.._� i`ar ) ; state , hiNatWsbbatldn�Overage Redladdhngbp fieinefnlh�After'� R Hospitals: YTD ,(rfadnd�paas) 'ffAIlnEltlhmafiily K`RvFy ryt x 3�-m t n UC Payments Remaining after f,tYsd'b&Ibtoh y' kr r �{p ;@ x e. , �w , Schad Calculated: Total Calculated: YTD Eligble UC Cost- Calculated: State PaymenVState DSH IGT for Match' Max Match Large Public Total Payment '.` ra ii -. IN4xlritulH+fotil' S&Yoepit9l�IlNaxgnulnToiA11 I i' eF�fiUC.Slt�fl, � a�� (�1tY r �°�iin711 Uf $ tSmeJiilligf� �id9'dYM7y f`Fi1fiHc kD ° u ' " -� Btldws� .; s+tg3nfy�% Y16a flk h� Calculated: If provider is in State Tab, Max total payment minus YTD UC after Sched 3; otherwise Max total payment minus YTD UC payment Calculated: If in State Tab, max total IGT minus YTD IGT after Schad 3; otherwise, max total IGT minus Update with new IGT amounts $250003555.83 $537,824,333.02 $72588652.57 $863108491.85 $108152848Ab $51685183.30 120269081.60 $88136834.69 5 318.770,291 $ 687.046,101 $ 103.660,782 $ 1.002.495.418 $ 114,438,822 $ 60,058,844 $ 132,676,770 $ 113,159,716 Baser Pool Reallocation or Dallas Pool Reallocation or El Paso Pool Reallocation Hidalgo Pool Jefferson Pool Lubbock Pool MRSA Central (Reduction) (Reduction) or (Reduction) Harris Pool Reallocation or Reallocation or (Reduction) Reallocation or (Reduction) Reallocation or (Reduction( Pool Reallocation Based on IGT Based on IGT Based on IGT (Reduction) Based Based on IGT Based on IGT Based on IGT or(Reduction) Based on IGT Survey as Survey as Survey as on IGT Survey as Survey as Survey as Survey as Survey as Described In 1 Described In 1 Described In 1 Described In 1 TAC Described In 1 Described In 1 Described In 1 Described in 1 TAC 366.8212 TAC 365.8212 TAC 355.8212 355.8212 (I)(3) TAC 356'8212 TAC 355.8212 TAC 365.8212 TAC 356.8212 MM 1 (M31 (f)(3) (9(3) MM (0(3) MM $0.00 $0.001 $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $137 011.806.67 $72 697 268.30 $68 223 020,15 $328 820 611.74 $197141 514.72 Calculation: UC Calculation: Payment After Sum of Pink Second Pass Columns plus $ 192,483,672 $ 164,080,545 $ 104,956.991 $ 424.561.154 It 214,682,681 (Reallocallon/Re ReallocallonlRed ductian by SDA) uctlon MRSA Northeast MRSA West Pool Nueces Pool Tarrant Pool Travis Pool '^�7' r' Pool Reallocation Reallocation or Reallocation or Reallocation or Reallocation or or (Reduction) (Reduction) (Reduction) (Reduction) (Reduction) Total DY 10 Based on IGT Based on IGT Based on IGT Based on IGT Based on IGT _ ' i Payment (State Total DY 101GT Survey, as Survey as Surve as Y Surve as Y Survey as Y v Hospitals Described In 1 Described in 1 Described In 1 Described In 1 Described In 1 i� �� 5.10 Only TAC 355.8212 TAC 365.8212 TAC 555.8212 TAC 355.8212 TAC 355.8212 '4sjdr ~hi (f)(3) (0(3) Ifl(31 (013) (1)(3) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,818,509.98 $517,786.93 DY10 UC/SDA Allocation Form TRACE Number: 000000003681118 The Trace Number is in the receipt you mceive from the Comptroller once you have submitted your IGT into TexNet. The Trace Sheet and Allocation Form must be submitted together in the same email. All Trace Sheet submissions must be accompanied by an Allocation Form. If a governmental entity is submitting in multiple SDA's, a separate allocation form must be submitted for each SDA Marley Moehrig From: HHSC PFD RAD UC Payments <PFD UC Payments@hhs.texas.gov> Sent: Monday, September 20, 2021 2:36 PM To: Marley Moehrig subject: Read: Memorial Medical Center - DY10 Final UC Payment IGT - Trace# 000000003681118 Attachments: Read: Memorial Medical Center - DY10 Final UC Payment IGT - Trace# 000000003681118 CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Jason Analin From: Luba Kubinski <luba@ahcvcom> Sent: Tuesday, September 14, 2021657 PM To: chris.nicosia@hcahealthcare.com; sparker@rcmhospital.org;jmoehler@rcmhospital.org; Michael Healey, edc_graves@chs.net; michael tea@chs.net; Harrison, Jaciynn 1.; kdsdna.alldredge@chdstushealth.org; joel.vigil@christushealth.org; steve.king@dchstx.org; Eric.Hamon@dchstx.org; david.lee@okmh.org; Carolyn Zafereo'; Patrick Strauss; Duane.Woods@cmcvtx.org; Jason Anglin Cc: Colt Sullivan; David Elliot; Robin Daniel Subject: UC DY10 Final IGT Confirmation - Nueces SDA Attachments: 20210914 Nueces DY10 UC Final Allocation Summary - DistributionAu [WARNING -Remote attachments, VERIFY SENDER] CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content Is safe. Dear All, Hopefully, everyone received the attached updated DY10 Final UC allocation file from HHSC yesterday. Because these IGTs are collected at the SDA level, some coordination is required. The attached Allocation Summary includes a facility breakdown of all funding needs and expected funding entities within the SDA. Listed funding entities are based on historical allocations and/or previous discussions with you and your teams. Please confirm the amounts and expected funding sources within the yellow 'Nueces Allot by Hosp' tab by the deadlines listed below. Private hospitals: Please confirm your facility's DY10 Final UC non-federal share allocation and funding source(s) by EOD Tuesday, September 2101. If you believe any of the information provided in the attached schedules is incorrect, please let us know immediately. Public hospitals: Please provide a copy of the TexNet sent to HHSC by Friday, September 24a' to those copied on this email (Note: If the amount is different than the amount noted on the schedule, please explain why). If you have any questions related to the allocation or the file, please reach out to the AHCV Team Best regards, Luba Kubinski Financial Analyst AHCV - Adelanto HealthCare Ventures LLC. 401 W. 15th Street, Suite 840 Austin, TX 78701 Direct: 512-508-9545 httosll/ahcv.com/ DY10 Facility Allocation I Hospital Gownrment Entity IGTTetal 1801 CHRISTUS Spohn Hospital Beeville Nuecea Cauny Hospital Olettict S 1,029,075.87 2903 CHRISTUS Spohn Hospital And, Nuaces County Hospital District $ 1,615,785.83 121775403 CHRISTUS Spohn Hospital Corpus Chdati Nuecea Count' Hospital Oletrkl S 10,249R82,17 [Numes 6606 11364'I'P2'710 CHRISTUS Spohn Kleberg Nuecea County Hospital District $ 824,281.05 3601 Gay Area Healtheara Group Ltd Nmoss LPPF $ 3.333,947,41 205 Mandl Children's Hospital Nwces LPPF S 669,027.75 902 Dotar Hospital Webb LPPF S 917,641.17 801 Refugio County Memorial Hospital Refbglo County Memorial Hospital $ 87,981.28 710 Kamea County Hospital D]sold Kames County Hospital Dlsmet $ 477,123.4E Nuecea 137907508 CMzens Medical Center Citizens Medleal Center $ 737.041.04 Nuecea 1 13790911T IRUM091blidical Center _..; Iy7EinuWef,YWkii18a1 Cellt2t .;.,. --; d $04482 Total $ 20,172,349.49 Nwces County Hospital Dlstrkl $ 13.718.404.72 Nusces LPPF $ 3.903.775.16 Webb LPPF S 917,541.17 Relugio County Memorial Hospital 3 87,981.28 Kames County Hospital District 3 477,123.43 Citizens Medical Center E 797,OH.01 Memorial Medical Canter E 350,482.89 Total $ 20,172,349.49 Request for Transfer of Funds T..... N: Da3a Requepetl PaKr R[gYPIIW by: RYpVOMli Ynwll REgveab"P"o nu., Dknittar(aunM Malury epkaaapMuyETnmortmopmeet, pkaw pmNkfOBNweryaM dN rJeveneer®mmc nnlrvara cn n nx®mmboyil �Y. <pl, PXYnIN>me XMW9!?L WbnILMx MQLREO Od oIP Tweo/MmeN CM E Pa n eM1ownon CMYNYbtrr MbneeMel tyeMlAnfuMelr IeY �an30.t9 Na N/A X/A B ]t/i0E1 ER 726M ffT60]5063 NOAPO00O2fiB69 OMIAOMOOPAT CflEfR510E N/A N/A 911/202, EFT 990.I7 ER6037182 NDAR009036B69 4L1B BWAOMOORATCREEMIDE WA MIA 9/2/2021 m 2906 EFT6WBE30 CVWN0P.g26869 32.92 BROADMOORATCREEMIDE N/A X/A 9/22021 m 1.983.95 EFT607BCEa NWROOW26869 $2.66 BROADMOORATNEEMIOE N/A N/A 9/3/2021 ER $ 383AD ER6029202 NIINRP,q$26869 15,94 BROAOMOORATCREEMIM WA WA 9/3/l0II m $ LM5.36 EFTW29739 CVDMODCOa6869 55.9E BROADMOORATCREMIM N/A X/A 9/2/2021 EFT $ 3,3EE.it E96091460 CVDARO',NA26869 139A5 MOADMOORAIMEEMIN N/A WA 9/30/2021 EFT $ E,206.92 EF 5133 NDAR000026869 2W.22 BROADMOORATMEEMIM N/A WA 9113/2an EFT $ 1,4H 12 MM6622 NOARW0J26809 67.39 MOADMOOMMEEMIN N/A WA 9(t4/2021 EFt $ 3,216.1R EFT.Ml NDAR09[DE6869 MOM ...MOOR AT CRfEMIM N/A N/A 9(16/20II EFi $ 4,119.02 EFTW91105 CVOAR001926869 196.W BROAOMOORATMEEMIM N/A WA 9(1//2021 EfT $ 3,m.ao ERM2000 NOARDDy]$fi869 EMA9 BROAOMOOR AT CREEMIM iOTAI 1 X407A6 I1.193st To 0e 0lkdcW Mf=dal Mfdk I eAbt wk Nbma •rormea M: Ma ra none: FmmWil BROAOMOORATCREEMIOE TO fa M: M[ Al,l l- nquM:" FbmnrxxY TUFa Amwnl Request for Transfer of Funds ilanaler P: DeV!fleapesl[d vnyer .,..Y W. TANMGORDON - BUSMEh5 OFFICE MANAGER Re9unbYSemeil nnlaLelhanvirvin SpMM -.b., nvmher 361-35Y0500 UiSLtiU aF CeuMy [alnoun FAGIIry Rtlhyry Senlor Uaing PoNeMNeme P ul FD Dah ofuN MMUMEDI Oahol Ivoe eF pament A n{_ t SAeum en Nlm Numher glwnmdW.nwr MMal-I.F.drlal agry.E N/A N/A 1/21/2011 FFT FFT606107 NNARG031'i0R69 6,323.35 THE BPOAOMOPf CPfER510FAU%AWRY ADVANCE PMT N/A WA 9/E:/ID111" Ef16KW NWRCOOMfig 639.E0 TIIf MOADMOPF CPFEMIGE-AU%I11ARY ADVANCE PMi TOTAL 6,961.95 To W flloul by M—nal Medikal hnhn ITT¢ 9CM1 Gppmved hyl Mryn M,N�nea Menl llanilef:912WWD Ta NNINy: Be1haIN5y�W.IMI�g, 8.961:95 m[euN fmnder Uale el: altrnMmO T.F.61 rally: Ta F: _ AmnU,nITC a:: Request for Transfer of Funds Data R,q,etea 912M M.At — P." MEDIME Remlbamm Acl wand FDe Requaned by. WHHAAENR a.e.,buka.WNltaenwgpryment WremvpmeHplawpWXd. m WaNpod Oaaa Requeflniaemal r:v narasN uu willaeecnenel •Mont NaM awns WSe:abana/unWWNpelmnt(mm.1.nna RMi WMbtaod Wl. :daregal Req-1,1,phone numb., ]13a]033W and Rendumnaa Advltt W: emrIDmn awao DlsbM nr founry ..OR% mwv a^ 1.0. y }USGNY dn.G pMknl Neme DI ED (RMU.,1¢ R UIPFD Daln INpdVntln! fma OlpamMn � Vint GMXumM Qa1m HWnle, PNW naelW faM 1,VM.,unn fnYWRaemr ryoln 1M1O�Wr awn 9.2221 Efr 5 L815si M.7555 wO(CVWRIX91126809 $ ],ua.na Due IDaranylrom Pmadmam rare zpassz z,Rass: W taflaa Wt WMemoxamad.lEenlar: rte R'Oohnnis9 pppnaed W. M nMxlFer Data of lnml . 919 20E1 pmm EeGllry: eP ra padNM: mSa m emeunl: T&552 uepNirmYn Ynw2 Dateal[nnfler. R To ndi moun4 Arn-nn Request for Transfer of Funds naNftl4: Oale RequeeleE nyer 0.equesle0by: aheofl MyueM06 phone number Mn nrcuunq FnolF¢y paden[Xnrc Ora�1�n0/SeMee byVe E9 LwealHmi gyp( Nu... ptlbnnvNe0.Fnrer tyMpehhoo, Hl YMJRamu n41.M N/A WA 8/312@I EFT TE603 EFTW]SB63 MEGESENT NIA N1A 9/1/M2] FFi 99J.47 EFT60A182 aDAnCHM1955I NOAROHM1955E TNE..ENT NIA H/A 9/E/1112] EFi I9L16 Ff16Wna]U NJPPOp"A 19551 32.92 3E.9E iNEGESFNi N/A WA 9/2'Mil EFT 198]95 EFT07 MA NOAROOW1955I 8266 MEGESENI H/A INIA 9 2021 EFT $ 383.10 EFi6JI9707 NOMO0001955I 15.94 ]MEGESFNT N/A N/A 9/3/2021 EFT 5 1.345.36 f"079I38 NOAE0 19551 55.91 THE COUNT N/A WA 91712021 Efi $ 1344.21 EFT6081460 NOAR00.X119551 ISM THE d"EN1 N/A N/A 9110/20E1 FFT $ 4,E069I EREA851I7 CVOAROOCO19SSI 200.22 MEMSEW N/A WP 9/l3/202] EFT $ 1.411.1E EFT 0 8I NOAR00'A1955E 6T39 TxECNESENT N/A Wq 9fWW21 ER $ 122618 EFTiffi8016 NJAR9 195S] M.I. THE GE$FHT N/A N/A 9/16/E021 EFT $ 4.11902 EETMIIOS NWRWC01955I M. TNECNSENT N/A WA 9/V/2Oil=TOTA12.1.1.1 EfT60926W NPARIXFU19551 TNEC.ENi 119951 Tobe ilkdout0 MemmrlFl..d"lCenten cc 9 S4 2021 ARRYwdby: Ma .. arOnee Daleaf YaTEer: 1 Fmm FaclyiM n1ElXEstx .. Tara""'. AMC gmwrlC 1. 99.51 4 nwWeroma: WY WMn51en Tronr HdOM •. .r 4eFamlrv: AmwnC R.n Request for Transfer of Funds oMeareuened Payer ae9ueeled hY M[XSLARENA Pepuesbrs email xah hvanyegbYt`re_ aeau4br1 an9ne numhea 7139E0-530 NbWttO, fnunty BIIA2GflN iw'lily TVSC VI1tAGE N1kMXeme IRFDupF01 WIe YIYrvI[e M NI l Di[e MPmrcM TvmnlPaemenl Ige[W2ii1 [e n� sM1OY09C. []H[YNumM[ C4 MI - bYMIRe[m yg5[ 9.Ei it FFi 5 1.4552 MIMS% WD/ DAa 19557 S 3.45.5E OYeiuswnYlwm Geuenl tt3TA 3395.52 3.-5.52 IP NaIkd PYI Memorial Medlul Cenlec 0a a 9l 3033 APPmY9d hY: Ma aManinee F....UMten 9 m aNM u A Tuft NYWl1A 2, Amaun! 4 5 FmmuMNI[aten4aY e1 FadW.er. Snm Yaallq: m Yanllry AmYunF. na..- s Y... Request for Transfer of Funds TranAer p: pates queued P,E, Nepuettedby: TATOM GGAWN -BUSINESS GRKEMANAGER Ae,Motoefemol eo nmrv9 a mlinrmtm Re9ueamrS pMne number 341-SS1-0500 warkt.rmunty GIMun Faellity BeHu-'stowmi, IYenaatlwanwarPaywMHrHeepmtntWw9mYe[OfNwvpW tlaln telneneeri3 mmaomNsaza.mm m@m nrnlx Palknt Name 1 E Oateol&rvl¢mmu PL 1 FO P 9S TYpe OEPavme iaHURTd M niuuntn vHhy�mnt Ira Attl(neeetN-dm brat M1 XUTAHAH Netes N/A N/A 9RI/2431 NET ERMS107 NOAPOGC01 M 6,3E2.35 TNECRESEW-AUXI AWAWANCEPM3 N/A N/A 9/23/1@I El EFl 6091W3 NOAAOCK)DI955) 439W THE CAESENT- AOMrt1ARY AWANCE PMT TOTAL 6.96195 To be Hied out by Memo dol Madla Qnrexdn U.. Renee 9 o t Approved EY Ma ramaninea Hate MNMfer: E9 E3 NOm HtNNy: THECRC CENT Te F.6p, fttharytO,roa, ag G961.95 o�wtpdfHmlrraauvL ne F6Nln: Ammi, : TKm TpiaGli{y: Amrnrnc Request for Transfer of Funds lrzns rp: Dal. RegBB.d EaTer RequMed OY l,qRequnbl.emnll ulofs numPRPn. numhea nl.Gltlw County Fadl3y ee I"Clum 8(Qk119[Df naeedYrvke 1 Tweel9eemenl CM1e[ E i91 _ ryVm[nE kXu rp955 MJwmrzdM.dvr /un4/.IVNntls lal �Ya41.18 N/A N/A Nil/30E1 OFF ]36D3 ERW]5663e NDRRW0019556 FORT BEND HEALTHCARE N/A N/A 9/2/2021 C. 990A7 EFIW NOARCW019556 649 FORTBFNDXEALTHCARE N/A N/A 91VZ021 ER ]91.95 8470 EFIW]BE)0 NOUM19556 33.9E FORT HEALTHCARE N/A 9/L2021 ER 1EFTW]BEEC NOMPA019556 0ENO FORT HEALTHCARE N/A WA N/A 9/5/2021 ER $ W.A.3R30 ERW]9]R] NDARMOND19556 M. M. FOR] LEND N/A N/A 9/5/3v2E ER 5 1.3E5.36 EFTM NDARCW019556 55.9E BEND HEALTHCARE FORT HEALTHCARE N/A N/A 9/72021 FR 5 3,3a4.11 FFTWBIEfO R1460 NORPP:W19556 139.05 BEND FORT OFNO XFALTN[A0.F TOTAL 956A1R 397.00 To FilMdeuth Memorial Medl[al W,.,. 9 3E 30E1 APPmued W. MaYea MaelNei DabdlmMlef. 9 9SDE5 Fmm Faa011Y FDRTeFxy xFAltN F TO FatlMy: MMC AnbunC 39]H wanval.rwy u: Ortegllnnrter Fmm Mtlliry Te Fa RH -. Request for Transfer of Funds TaWy R Oa[e Pe....d 1I8/E021®9JE41E0EI Payer MfMGPE Pequnkd by: TATUM OORBON.BVSINESS OFFICE MANWEP PCyYeaael.vuil :IFySlgn@I:y�Flranv lui PagYedaYspl:ane nummr 36DSSiL500 cFw,,.rtaunW Calhoun FROiW Bnhany SeNc[RV, [aleve:ePaflmm[O Nna[i al a ee&mm Pa u xa MulRMV k< ED TYPE eI Prvnunt PomuM a m[ AaWnnaMN. [M[r Nn41.5nr NnJa1N FOR N/A 1/6/E021 'IT EFTWOUG5 CVOAROWOl95% M.D9 FOPTBFNp HEALTHCARE AURIEIPRY VORt ADVANCE PMT 9k212021- REFORM EMMI FROM GITUN TOPESENOITWA50VEREOOREO Form B.D iPba RXed Oulh Menwdal Metlbalhnt<I: Dile Re[eby Mayra MYllne[ Date 3 1 APpaPY. n ee Tubb, T1Vl93 3@I iFIn IY 8Oh.n,NONG5T11GPE.AVR1 Y• CE PMi Te Fa[ilM1y: BeIDanVSenb: Mr:R _— Amount: �m mab[P[uR: eam Hom Fadr1w li ft. le Fe[III[Y gmounC Request for Transfer of Funds T�ansler F: Pale Re9ueitM Payer ugveatM fiy: Pe9uextWsemail MOutMhpxone number WbIPI=r tvunry Fa=Illp MEM.M a e US OJPAS,p pyAduNft Tyre OF9 . 1[hPSPLf[•,1]_ MO Nwnt. ftraW,Ig'@112avgypl APlbanwMb[nNr MptleFEa Fnbinl MgIEE N/A WA R/]Ik031 EFT M03 FFt6%5R63 NOAPOOOOSBI]0 M19 SOLIRAWFS] HOUSTON N/A N/A 9/1/2021 In 990.47 HFT60]]l82 NOAROOW18170 4LI8 SOHMWE$THOUSMN N/A N A 9/1/2021 On ISHII EFT69]&]0 NOA 18170 319E SPLEMWEST HOUSTON N/A N/A 9/1/Mil In 4987.95 EFTIA784N NOMMMIS170 9166 SOLEMWEST HOUSTON N/A N/A 93/2921 On 5 MAD EHW79707 NOABOOW]BIIO 15.94 SIRENS WEST HOUSTON N/A N/A 9/3202i EFT $ 1,3e536 EFT6019738 NOMOONIRI]0 M. SOLERAWFSTHOUSTON N/A N/A 9/7/ID21 EFT $ 3,3M.xI EW698I M NOn 18170 13405 SOIEMWESTHOUSTON N/A N/A 911wo l EFT $ <,N16.9> ER0851]] MAROCC13B1]0 1012z SOUIRAWF5THOU5TON N/A N/A 9/13/202 EFT $ L611.12 EFTFAB6687 NOM0.T0181I0 67.39 SOIENSWESTHOUSTON N/A WA 9/1/2021 In 5 3,IIO.IR EFT60%Ol6 NOMWA181]0 153.50 SOIERAWFSIHOUSTON HIS N/A 9/16/2021 EFT $ e,12912 ERMI105 NINHOOUC 8330 1960C SOIEMWE5SN0U5TON N/A H/A 9I]NPT III $ l,R75.39 ER4492RW ryN IBl]0 IBe04 1 SOIEMWFSTNOISTON I.E. 2kwAO I I 4199.51 TOMfilktl Out Memarkl MCEkalhnter: A,,..e a z0z1 AppNv=a brma .amanmee wE= 3wm FaM(Ixr:C14; A x9 Oz1 RG Nw tell. To Mulx M.c Amount: 1.1995 0.1.o nr werwNn: Oale FT Nz er. INNS N, Am1. our ry Amo Request for Transfer of Funds nanuero: Pne Ryueaha Parea RopueifeC by TATUM GOROON- BUSINM OFFICE MANAGER Repuegohemall �nLpFEl�an RepueN., Pbam' numbs M-5114tW OlsMtl esCwnry CNlwn FaPllry Boh.,Sen;m wme Aa a....ewFm. 9/2430II Fil fFTG09GlW NMRO'b]lBl]0 6,3R.33 SMT WestIlpuslomAU%IILUYAOYANCE PMi$OIFa 9/22/E021 fFi FFT60976O1 NOARO:mIBI70 63960 Weal Nauslm-AII%Il1ARYAPVANCE OM] L LEU ]OTAL 6.561.95 Tpbe Rlletloulh Memmaltl MealCalCenlu: Na)e ilet9 ja ZN t ANp—d by apa aI):nee WkofM1amler. 9 Z@t F— aetn, SOIERA is Faell*. ¢el aMSenk.lmnb Ameenh 59 1.95 etaxnN nwleraYepi: Ga]e pftnmkr. Fmm nnllm. )ofaatlity. . pmwnc evil' . Request for Transfer of Funds rtmsrern: mE[rzegYanep s.x2.23 payer MEDIUPE R<quei@C Er pgCMEIRPENFlA$ PagYlilaliemai [arfYNn vvlllg[EFre_ Requenehpnone numhn neam5]m OMtlnor Uunl SWOPM FatlNy TUSUNYVIIUGE PaMeMNam< EIN OYNEpf peMa/Sexl[e EO paleolpamrM ryp[elparment � kTl1 [�[ SMwren plxLNumbe< tlaim NumYr AtSMneM[0.FIx hWrllxfwJ[Ia5 rovW[e[me HOLES 9,22.21 Ell p .1.11 En"7559 WO/CVDMW0019170 5 2.0552 Due TusteMF Snlna iOTAI 2,B<5.52 2A4552 To b[pllednYtb A4mptlal M[ERBIUO[<f: pale Re[eM 9 11 N21 AppmVeE by M eMMlnx pate pltnml[n 21 F2em Fa[IiM-SplERA. TO FBtlllty: NSCAHYNIIAGF. Amount 52 nMTrwne.wx.z: Oate O/InMlen FmMFamlzY: Tp fedliry AmWM: B E1 Request for Transfer of Funds T infer K: Oxe Re9uuma wyer ReRRezNaby: RequnmrS lnyll R69ulf]YYs pRone nYmber chma pr CeYnry f ,11% hlieMxa RF I Osle a/SeMx VIREO of OMe Rx iweMpavmeM Nmun! abmanon xum aaalYn!!ele.mN. I.iMe4lrfue �m30.19 X/A W. WB/ll/]021 j EEE ERW]5962 CVDAPG066195R0 GOIOENCREEK X A 9 Ellm Sm 991.16 EFf60])192 CVDAR00[U195a0 GOIOENCPttK WA N/A N/A 212021 9/2/2021 FR ]91.]6 ER07O ID CVOAPDO]019510 32.92 32AG GOWENCREEP N/A NIA 9/3/2021 C. L987.95 ERW16EId GOWENCREER N/A N/A 9/3/2021 EFTW $ 393.10 ERW]9]0] "MROW0195W CVMROM19540 15.91 15.91 CREEK N/A N/A 93 fii 5 L3C5.36 EfT60i9]3E CVMROWJ29510 55.94 GOWEN N/A N/A 9/]/E021 OZI Efi 5 3.3<13l CVUAR 029510 2W.05 WWENCPEEK G=MCREEK N/A N/A 9/ID/20E1 EFT 5 1.206.97 EFTOSSV60 Ei]fO95ll] CVMROW019510 IW.22 GOIOEN CREEK N/A N/A 9/14/2021 Ef] 5 IZMIR EET609669] CVMROW919510 GOIOENCREEK N/A N/A 9/IN2@t EFT 5 3.326.19 EF]WPPO16 CVMPOW]195a0 53.39 153.SC 601OEN CREEK N/P A 9/i6/30E1 Eff 51,119a2 F� FORM R19590 196.01 CREEK N/p N/P W 9/V/]O]I FFi 5 LW5.39 WORM fVNMCCW MPOWIl99E0 IBAEa EWEN GOIDFH [REEK IOTN E6<0].96 L399.51 io be f Ik0 ou[ by Manwlia Me a W I Cenla: a@Rene M 9 1 2OE1 Appmved bF: Mays arllnee I. FROM,!n — CREEK 21 Twin ilm,N: GDEOFN E TO Fadllly: MMC MwunL I,199.51 mte of minter: Amouni: : •• fYo wmcifiR, .Runt Request for Transfer of Funds irantter b: Mt. MI-AW 9.R.23 pryor MEDIURE Rey..d bt: PP[KLARENVAS wlllnve ooquPeque :Phoill Wspbone camber ..b. )13-»0.53M pl#A[tavGunty OPAZOPIA FRAIiry 1USUNY VIWGF CANNNN , 11E IEyl o (pEp5fllfEp� OtN eFVa jyeenlpal ((hRd/ERI Ge[kMmnh[ 6Rno0M.0 RYbsnWlL3Mer IYm}Iu�RRyfIE bYWR.mi N. Aymfnl [Rovmen 9.22.21 FR $ },Bf$53 FRYA155B Wp/LYMROLWl95<p 5 3.4553 Cue Tu[onVbam LONenGre4 wa 1 ; &53 i 484S.52 !ebo NIIeEuut bVMena W.odl.lonler. pate 9II p I app.old fm m M�a' Mxllne[ Fmmcillw: . )pSUMINLLA2 To ram: amou.I 3.9 0.52 R.qum..Wo'. a prom nlmt, < lll Emm Ell, TR Fetillry: anm,mr. Request for Transfer of Funds TmndrR: one xe9Relad Parer Requskdb, Rectmna.femall vuedonly4e M1m�-Mom Rehnnnors phone number 361-551,5M OIIVi. or on, CNlmun .dim, RNMnY 6enlor living H[bMHame EO O11eMRervlx NMEO eleoE Tvttel Hvntlnl eprl Arecientol Reverent Wo Rlm aMmwMM-eo:M /unnel.IrHn41a1 N/A N/A 921/202 EFT LFI 6MG107 CV00000DISS0 6,325.35 GOLOENCREERBREEIR. AO%IEIARV ADVANCE PMT N/A WA 9ntl2wl E6T EFTGppWI CVOARCLUDL9540 GnM GOLDEN CREEK 6 RFNA9 AVRIWRY ADVANCE PEAT TOTAL 6,96L95 Tobe 0lkdou{b Memedal MKdl,ol Center: ne Reeevea9MSO21 Appmvedbr "Inanxr Dale olaranslee 9 39 S S From Felililp GORRENCREEK TO KadinV: Oel am/Senial WinE Amount-4961.YS .o. ra.k:Ouan: Reuel lmmke TMm Helllry: TOFaeiRly: Z,_.. Amaunl: Request for Transfer of Funds TfiaSIN P: V..Requested fw Requnn dbr Requefbl5 emell RPqueYafs pbonP M"u DuaimeEennry Faf116Y I mmpNLyt�immmMkv¢a fom IRERDuwEG G @ nt4f ,4Um nefeM-Mlee Yq/I M21 EFTf ER4077182 NGRP00010]995 .71HA 30.19 Nsf NYYNAGE N/A 9/1/M22 EFi 9W.03 990A] EE$W]283 N.R <LIB NSCANYNLIAGE N/A 9/3/M21 ]91)6 EFTCL]80]0 7985 CVOAPW 229E NSGNYVILLAGE N/A 9/iry@L UT EFT 1.9R]95 EfttA9. 79R5 ]985 8266 IUSEAXYVIIOGLWA PN/AN/A 9/3/M22 EFT 5 38SA0 f..M7M MARO CVOARP 15.9< 9/3/M21 EFT s L9R5.36 ERG 79P5 NVAPLWWT985 55.05 WSLANYVIWUN/A NSCANYVNIAGEN/A 9PR@t EFT S S.2MM 14W EHMS177 159.05 NSCANYVILME N/A 9/2112021 EFT 5 L.2069] ERM6697 MARW 7985 2W.M NSMNYVRWGE N/A 9/13/2021 EFT s ERW8868] WMRWGW]98S 6].39 NSMYVIIWGE N/A 9/J612021 ER X44U.2MA s i1M18 EfTNPP016 M.RRIDWI98S NMRMW7995 153.5 NSfANYVILWGE N/A 9/I6/3031 ER $ 1,119.0E ERMS. NMRM 196.W NSMNYVIIWGE 9/1]/2031 EFT 5 19]5.39 ER609E800 7.H NMPW00]]9E5 IBa.iG NSGHY VIWGF TDTAL 26.a0786 1.199.51 TY be lllktl nYl Memariil MlHifal CenLen Date a 9 iC p33 Rppmvaeule aMMnee Date YltmnLlel: T. Ta 4111y: NSCAMY VI4AGE TY fatlilly: MMC AmpYM: 1I99.51 Rqux:NTmYM Ym aG 0ase 014a nslef: .. imm iaHllry: Ta fe [illly: ' AmYY:IF. Request for Transfer of Funds iedNS ee N: ..eft u.d 9/J9/2021 pay[, MEOIME Repueftedbl rAJUMKWM 0U5WE5501FICE MANAGER RPNYP.ewseman oy�sibn..aim�m RepuetmfepbOnP numb, fnf.[[fn[nn oinri[tortnunh EAU- FaNlh Belhany5enlortivint nlle_ Irt�i EU onensuex[ R O of rvw.rR.emrl E PeMYS Ch [Y a her qaM_ Num Ynw,n[..a.o- En.. M1me[41u(un4Rf N/A H/A 9/2l/202l EFi FFi60%1W CVOARMCN, 7969 6,32235 NSGNY WLIAGE.AU%Il1ARYAWAKE PMt N/A N/A 9130/20Et fFi EFr60976e1 WMROCOfV]%S 6I9.60 1VY.AHl WLIILE-AVMlURYADVANCE ME TOTAL 6961.95 lldPY!r . .-dW;JmhAILY: F Ta Ei[Illtf: Bel inY nlcr UWnR AmgYNt 6.%1315 ReR.emmrm,H, o..a Oae oElnmh= Erom H[IIIM A Ex Ampunl:.k: f'f 19123/21, 12:48 PM tmp_cw5report5242469703643883756.html , 09/23/2021 MEMORIAL MEDICAL CENTER 12:48 AP Open Invoice List ap_open_involce.templaY�, ,e Dates Through: Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PAF Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 090221A 09l21/2021 09/02/2021 10/07/2021 51565.00 0.00 0.00 51,565.00 11� 11 11 TRANSFER 4JJt'ir 1,AW� 1Vv'SO y, WL l k,Yl�.1r� . Vendor Totals: rJn\i'[�.(-�'AYi/1't�c� Number Name Gross Discount No -Pay Net 11832 BROADMOOR AT C 5,565,00 0.00 0.00 51565.00 apo;l Sr:mniary Grand Totals: Gross Discount No -Pay Net 5,565.00 0.00 0.00 5,565.00 n 81e://IC:lUsersfmmekissacktcpsitmemmed.cpsinet.com/u88150a/data Sllmp_cw5report5242469703643883756.html 1/1 19123121„2:47 PM trip_cw5report2489492743058760054.html` ,r :iEE 09/23/2021 MEMORIAL MEDICAL CENTER O 12:47 AP Open Invoice List ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice* Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount No -Pay Net 090121 09/21/2021 09/01/2021 5.407.59 0.00 0.00 5,407.69 Apt0/07/2021 1 ,,LL� TRANSFER tjo IYJJV U Lt ppi_j aq)aj1fA i"_- 0�/ VWWOIA Y0.00 0901216 O9/2112021 09/01/2021 10/07/2021 7,304.13 0.00 7.,304.13 TRANSFER it 1i 090121A 09/21/2021 09/01/2021 10/07/2021 4,217.80 0.00 0.00 4.217.80 TRANSFER it 11 090321 09/21/2021 09/03/2021 10/07/2021 10,192.62 0.00 0.00 10,192.62 .% TRANSFER it ii 090921 09/21/2021 09/00/2021 10/07/2021 4,613.55 0.00 0.00 4,613.55 it n Vendor Totals: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HE 31,735.69 0.00 0.00 31,735.69 Grand Totals: Gross Discount No -Pay Net 31,735.69 0.00 0.00 31,735.69 ..yin file://!C:/Users/mmckissack/cpsilmemmed.cpsinet.com/u88l5Ga/data_Wtmp_cwSreport2489492743058760054.html 1!1 9/23/21, 12:48 PM tmp_cw5report3ll6142961641946034.htrnI 09/2312021 MEMORIAL MEDICAL CENTER 1248 AP Open Invoice List ap_open_tnvoica.template Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 090221A 09/21/2021 09/02/2021 10/07/2021 4,520.97 0.00 0.00 4?,520.97✓ TRANSFER 7 4 tn�LVKl\IL�OtA1M1t'F �t�7t7SlA-c.Mvv— gpert+ 090821 09/21/2021 09/08/2021 10/07/2021 tll 2,070,14 0.00 ZS 0.00 2,670.14 TRANSFER It it 090921A 09/21/2021 0910912021t 10/07/2021 18,208.94 0.00 0.00 18,208.94 ✓' TRANSFER t9 090921 09/21/2021 09/09/2021 10/07/2021 7,718.90 0.00 0.00 7,718.90 TRANSFER t r 1 Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 32,518.96 0.00 0.00 32.518.95 Grand Totals: Gross Discount No -Pay Net 32,618,95 0.00 0.00 32.518.95 file:!//C:/Userslmmckissack/cpsilmemmed.cpsinet.com/u88150a/data_5/imp_cw5report3116142961641946034.html 1/1 19/23/21, 12:44 PM tmp_cw5report5755889038673481790.html 09/23/2021 MEMORIAL MEDICAL CENTER 0 12:44 AP Open Invoice List ap_open_invoice.template Dates Through; Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net 090121 09/21/2021 09/01/2021 3,076.94 0.00 0.00 3,076.94 ✓f �1!0/07/2021 TRANSFER N1r 161 gftle p51,ti1 C 4p0O' 1�\111=- tVLA, 090221 09/21/2021 09/02/2021 10/07/2021 189.09 0, 0,00 189.09 w( TRANSFER It 11 090321 09121l2021 O9103/2021 10/07/2021 3,428.88 0.00 0.00 f 3,428.88 ,,: TRANSFER I.` It 090721 09/21/2021 09/07/2021 10/07/2021 9,275.00 0.00 0.00 9,275.00,,' TRANSFER It II 090821 09/21/2021 09/0812021 10/07/2021 1,533.42 0.00 0.00 1,533.42 TRANSFER 090921 09/21/2021 09/09/2021 10/07/2021 5,750.50 0.00 0.00 5,750.50 q ,I 21 EE 091721 09/21/2021 09/17/2021 10/07/2021 1.025.94 0.00 0.00 1,025.94 a TRANSFER Pt JULOYL Yttoup gLkW4 �ur Vtyy„ t/ Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 in4,2 77 0.00 0.00 t+.69447L— t:Cnnrl $u:cnn=ry Grand Totals: Gross Discount No -Pay Net 44',364'7T' 0.00 0.00 24,204..7-'.�: 0 file:!//C:1Users/mmckissacklcpsilmemmed.cpsinet.com/u88150a/data_5/tmp_cw5report5755889038073481790.html 1/1 9l23/21, 12:48 PM tmp_cw5report5453282236801681766.httbI ' 09/23/2021 MEMORIAL MEDICAL CENTER 12:46 AP Open Invoice List ap_open_invoice.templfltc 0 Dates Through: Vendor# Vendor Name Class Pay Code 13004 ` TUSCANY VILLAGE V Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 090121 09/21/2021 09/01/2021 10/07/2021 518.52 0.00 0.00 518.52v` TRANSFER IftV1t1lZ IMi dt.�� Ih G<�L�L. O�,Itii 090821 09/21/2021 09/08/2021 10/07/2021 4,217.98 0� 0.00 4.217.98 TRANSFER (I rr 090921 09/21/2021 09/09/2021 10/07/2021 2,644.46 0.00 0.00 2,644.46 ✓'�f TRANSFER 11 0 . 090921A 09/21/2021 09/09/2021 10/07/2021 6,247.40 0.00 0,00 6,24-1.40 TRANSFER 11 1 t 091721 09/21/2021 09/17/2021 10/07/2021 512,97 OW 0.00 512.97 TRANSFER PA,ecJi(.4tYG TCLOop-�AVf 1 41)M ju,CaA) -FW WIN.(_WIN.(_Vendor Totals: Number Name Gross J Discount No -Pay Net 13004 TUSCANY VILLAGE 14,141.33 0.00 0.00 14,141.33 Grand Totals: Gross Discount No -Pay Net 14,141.33 0,00 0.00 14,141.33 file:NC:]Userslmmckissackfcpsitmemmed.upsinet.com/uBB150a/data_5/tmp_gw5report5453282236801681766.html 111 Mamulalalitflculcenrcr Nursing Home Vet WooWanlea Trimeler snu,s, ryAssm me 0/27/2021 .n2.Nx,w Rn ua ro ,.eweq w.nrXun w. .rry.rrn 11 r1.Nli. ry9C'pijy 47U ya;]IWWa ... . 1Pirj�!(V1HoyNdlt+ ]IWuu ulc]on r/Ij9A5]F vu],u9 u 14'79jL,L 26 >49X4 O M1r , s, rese 7 9 : a —ll` Iei. evr.rirr9+®.uYneaMnnwu.W venr wrrt fr. arrrNroNrrwang31Onm4u[ugrnurnnnr,ur rV.xwrrralnmfnr\tvv%uvrnlnlen+r%fIW IIYYnSw:MIP%nvMrl+gm++It ilwr Mouopnr9uwu MYlxXaunpr] ewMsew mea]wN w Wllw/] w,nrear.nem n.•s" ott, n sollo—mul—ler.e.."um MNVXire rnmx4 mr.a m MMnw N 4•mwr. .ol� WIXlweuter" elaBN rrnlWl YXrerme m nrerunnlrrr,rin cml 4N4mrvgrmrixmNugrWn Mr.lw nrrrynl aw+84 ]vrn Mr W n+rr4Xnear..rx Y MM.PM, W6rrn^m+mrv-+mr0 eMM[Mrlr Wulae-urylelrawlt Ye1X1[ZI b�wr8vlvnrr/Irvnrlvranl ae'Zoo, enuou, r.glmgq..em M4rX9 nr.Iw+.n v. ++n.M+.N . son . us MI. m.e.M+W n M1e MNX.r.r .9m )) WrNYXew4pq 4M44POYapP91Pr w1] MIWIePtll eY41M[elrt wwrevann/rnnnn.mr Y9.li].ta * i 9erW39 MN .....o,sestrum I-r O1lS arm A"qpVED rr. u trosses+Y41,ts Jlt Ox : userwm w.m..Nr. +l Jl5 n .. 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U .., %,5M33 1.OU13 LeillS 46"'1 S43IS.19 W,WN 9/27/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number l Name Groups Add Group Accounl Type iDDA Data reported as or Sep 27, 2027 Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $7.208.296.18 $7,458,175.22 $7,208,296.18 56,531,569.E '4551 CAL CO INDIGENT $7.160,01 $7,160.01 57,160.01 $7.198.E HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $72,930.47 572,930.47 $72,930.47 $65,722.`. HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $635.78 5535.78 5535,78 5535.7 2014 •4357 MEMORIAL MEDICAL 54,324,880.89 54,493,239.41 54,324,880.89 S4,189,666 CENTER - OPERATING .4373 MEMORIAL MEDICAL CENTER - PRIVATE $431,36 $431.36 5431.36 5431.: WAIVER CLEARING 4381 MEMORIAL MEDICAL 5189,411.28 5226,546.11 $189.411.28 S77,522.E CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $167,930.92 5168,21725 S167,930.92 5745.421.3 BROADMOOR '4411 MEMORIAL MEDICAL $123,483.80 5132,308.62 S123,483.80 5108,548.E CENTER INH CRESCENT '4446 MEMORIAL MEDICAL S35.193.06 $40,031.40 $35.193.06 S21,252.2 CENTER INH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $379,327.16 5398,926A0 5379,327.16 $111.825.2 WEST HOUSTON '2998 MMC-MONEY MARKET 51,108,404.74 51,108,404.74 51,108,404.74 $1,108,404,7 FUND 5506 MMC •NH BETHANY $259.159.94 5259,159.94 5259,159.94 5190,015.4 SENIOR LIVING 'S441 MMC -NH GULF POINTE PLAZA- $94,244.48 6100,650.85 594,244.48 578,967.4 MEDICARE/MEDICAID '5433 MMC •NH GULF POINTE $358,727.05 $363,157.64 $358,72T05 5341,396.E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY S86 a75.24 $86.475.24 $86,475.24 584,662.7 VILLAGE t https:llprosperity.olbanking.comtonlinaMessonger 1l1 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 9/27/2021 Rawauf Auaunt Re6innlnp Another Id m oo, A,, Golden Cmrk: Nexlon Neollh of Golden Reek Welh forge Bonk H.A. ABA 121WO20 Ar ss.194d396a0323 Nate:Gney baloome pfaver S5,000 wi08e Bran fened le the nursing M1ome. more2, Barh...., hula bar, 6Plo nreof.T1W 'hot MM.Cdep.0trd to open...m.. 1:\NH WOtNr TramingNlf UPl Ramler5ummary\xoiktkpl<mber\NN UPL Transfer Summaw 9 )).11 alu Amount to Be Tnneferred to Nun, );9M47 / Bank Balance 72,930.47 Varlame ]nve In BElance 200.0o / Medium nipapnantawed to Tmony 2,Ba5.52✓ Medium repayment owed m MMoUNIC I,399.Sia/ Mutiarerepaymendso.d.OMlony 6,961,95✓ Madlme repaymentowetlto Bethany 512.9]ais Medium fepaylnent owed to Toarany a66A6J� Medicare repayment owed to MMCUNIC 1,370.m RAY INTMM 2640 �/ AUG IMERM 1027 ✓ SFP INTEREST Atllmt Brlanu/heOAerAmt 59A3)A) ✓� Aowaved: Yl u at laps AnPlln. LEO I— 9/27/2021 WO 2 7 2021 MMCPORIION AtSM+nT 4 'FAY W��p Mll NH V # _5_I �O. d, � �, T➢5}Vi S•Qy( LI011[Gi0 WPP/Camel NPP/CanPi WPP/CtmP3 Q"T IOWON 9/i1p011 9WMPM6[ZSSSR3611]9 HMI1H HUMN SVC B 9/i1NOt1 NL3l3x NUMAN SV[MIXNiMIMil1Z60'U0O0II] 4EZ1.10 0,211.10 9/23Ii0t1 TSYJI]uN551P9i8R[OSfiMiS<16MS596169I19 a,i6v.va - 4960.W 9HJk011 CR1J3 3,v56.m 9/23/1021 WIRCOUTNpgNI1GlM>i 4010[N@{fR N5.063.11 9/1]/SOIL NOWASS0LUT*MHlCWMPMTf36W7420. 170 53.33101 a/2</Soit Oryo�il 3,690.90 - 1.690.96 9/ta/ZOA NfdtTN NUMPN SVC NCCWMPMT l]ZEW3tl110113 3,51190 - 3.911.9B 29tn3.0 306M.as / 3o,CN.as 9/27/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Arir1 Group Accounl Type Searrh All (DDA Data reporters as of Sep 27, 202 Account Number Current Balance Available Balance Collected Balance Prior Day Selene Number of Accounts: 15 $7,208,296.18 $7,458,175,22 $7,208,296A8 $6,531,569.2 •4551 CAL CO INDIGENT $7,160.01 $7.160.01 $7,160.01 $7,198.E HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $72.930.47 572,930.47 $72,930,47 $65,722 2 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5535.78 5535.78 $535.78 $535.7 2014 '4357 MEMORIAL MEDICAL 54,324,880.89 54,493,239.41 $4,324,880.89 $4,189,666.2 CENTER• OPERATING '4373 MEMORIAL MEDICAL CENTER •PRIVATE $431.36 5431.36 $43136 5431.: WAIVER CLEARING `4381 MEMORIAL MEDICAL $189,411,28 $226.546.11 $189,411.28 577,522.E CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH 5167,930.92 5168,217.25 $167,930.92 5145,421,: BROADMOOR '4411 MEMORIAL MEDICAL $123,483.80 5132,308.62 5123,483,80 5708,546.E CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL 535.193.06 540,031.40 535,193.06 521,252.1- CENTER/NH FORT BEND '4436 MEMORIAL MEDICAL CENTER ISOLERA AT $379.327.16 $398,926.40 $379,327.16 $111,825.s WEST HOUSTON '2998 MMC -MONEY MARKET $1,108,404.74 51, 108.404,74 $1,108,404.74 51,108,404,7 FUND '5506 MMC NH BETHANY $259,159.94 5259.1%94 5259,159.94 $190.015A SENIOR LIVING 441 MMC -NH GULF POINTE PLAZA- $94.244.48 5100,650.85 $94,244.48 578,967A MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE 5358,727.05 $363.157.64 $358,727.05 5341,396.E PLAZA- PRIVATE PAY '3407 MMC -NH TUSCANY 586,475.24 586.47514 $86A75.24 $84,662.7 VILLAGE https:t/prosperity,olbanking.com/onlineMessenger 1N Memorial Medical [enter Nursing Home UPt Weekly HMG Transfer Prosperity Accounts 9/27/2021 Preulava AaeYnl eeekmn3 Numar Bnana il]]35933 all 9631] Penmen Au, eunll. Be Tnntleffed. W Ok 66pntt 110.R]A) )! V] n leave. In 0apnf< IV0.00 CCHO CAM PAVMENRTB xOID 349,003.6 3ePERIORY113AD13 3A)1 ))✓ IVIYINTER43 16A1 AVGIMEREBT 9.s6 / )OIN11RBr Adjust &Im[e/Ttamll"I R[nuY+ Ameunt106[ AaPunl U'DuAss, PmNp Tlmdmedw xuM xvme NumMe Baknee Tn tl n0 1 Tn skrdn 0.a<le[nd Da IXa Tada a0e Innin &knn xunin Horne fi_' PNIId1�_ AtPdRs" iMiiQOk Iy( IIIY]SNi 39,1]86C ✓ 39A0]A9 9d.1326E i 9;SC0.fd '94,M.61 v 9ank 0)lanct 9<,3LLL✓ VaMntt leave in 00knm 300.00 PvYNneplmnvw+feeGrd]Pw'nlefbm� Nol[3: E01A d<60WIIRY)v 0Y1[M10M[of $1W IAN MMCdIPvmINmPPep vttowt IVITIN ERE6T U.. r,/j d1101NTFR4T 6.13 ✓ S} SF1, ddfYN BRNM61Tfenrl2" Ardt 96,)])FI ✓ tOtP0TRM3EfN IOlAN.M e/ n9mdued wdWEA scan Ada". 40 9f27/521 SEF 2 . CNINW-T At, I:\NNYheWinmlmWHNEennRN WmaWVO]]VePlember\HN OI T-0.1 mmary 41"3a4+ 8 -u `Oy lti 9/20/2091 HN8.ECHOHCCSABIIPMT74M411400W219924 9/20/2021 HNR-CA OHKIMMPMT]4600341144MOMI9924 W2012021 HNB-ECNONCCPAIMPMT)46003411440000219924 9/21IM21 HNB4CHO""IMP MTT46W341110MI0 19920 9/2l/ID21 PNLE[NOHCCIAIMPMT T46003<II410Wi]SB0630] . W2112021 HNB • ECHO HCCIAIMPMI 71600M11 MOOCO252995 - 9/21/2021 NUMNM CN<0158 NCMIMPMT62i9B242W001061 9/22/2021 HNB-ECHOHCCIAIMPMT]46W34114400002]W44 9/22/2021 HNB- MO HCCWMPMT 74600341144W W276444 9/22M21 GWNaWna3 CCR•3B M633110020)39W5 - 9/13/2021 WIRE WE HMO SERVICES, UC 5.170.29 9/23/2021 HNB- ECHO HCCIAIMPMT]4600A11 44WW2W914 9/2412021 HNB-ECHO HCCIAIMPMT 746NUll 44W W213708 MMCPORTION QIPP/CPmp46 NH Tr8011e110 QIPP/69mp1 QIPP/Cpmp2 QIPP/Cpmp3 lap. QIPPTI PORTION 210A2 21072 SISS - UN 1.991A9 - L991.69 978.36 979.36 71349 - 71310 36.26 - 36.26 7,401AS - 7,401.48 6431A6 k43306 202.W - 20IN L382.5) 694.56 1M.39 241.91 390.71 LOUSE 34401 S,S23.93 - 5,223.93 17,330,42 - 17.330.42 3170.29 42.9i4.17 694.56 104.39 242.91 340.71 L036.57 60190.61 ,pig +`ka ro U B..rvXr Jri'ievYz Y S.`. Y.•&Icu.- +".w.tx+i as , *Pk ' '- P TantlelAut 9/23/2021 WIRFOU]NMG SERMCE5, 0.0 i9.W)J9 9/33/2W1 NORIOMNI3AHCCWMPW 6]5892420pW1019110 - 9/24/2021 NORIO AN I3A HCCWMPMT 6759924200 IRS7249 MMC PORTON ryPP/CaMC6 NN Tar Iln emn Npplowl OIPp/Comps QIPP/Cfimp3 lapp OIPPT PORTION )8,845.58 15,2T).O3 T8,HSSB 15,27701 29.O07.79 ' 94,11).61 / f 94,133.61 M.17848 06.07638 694.56 104.38 242.9L 340.71 L038.57 135.OM.12 912712021 Treasury Center Quick View Select quick View Accounts Select Group Account Number / Name Groups Add Group Accounl Type IF Search All iDDA Data rep0rted as of Sep 27. 202' Account Number Current Balance Available Balance Collected Balance Prior Day Salanc Number of Accounts: 15 $7,208,296.18 $7,468,175.22 $7,208,296.18 $6,531,569,£ '4551 CAL CO INDIGENT S7.160.01 57,160.01 $7,160.01 57,196.E HEALTHCARE ,4454 MEMORIAL MEDICAL 1 NH GOLDEN CREEK $72,930.47 $72,930.47 $72,930.47 $65,722.: HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5535.78 S535.78 5535.78 $535.7 2014 '4357 MEMORIAL MEDICAL S4,324,880.89 54,493,239,41 54,324,880.89 54,189,666.P CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER • PRIVATE 5431.36 5431.36 $431.36 5431.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL $189,411.28 $226,546.11 $189.411.28 $77,522.E CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH 5167,930.92 5168,217.25 5167,930.92 5145,421.2 BROADMOOR '4411 MEMORIAL MEDICAL $123,483.80 5132,308.62 $123,483.80 S108,546.£ CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL $35,193.06 540,031 A0 $35.193.06 521,252.1 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT 5379,327.16 5398.926.40 5379.327.16 $111,825.i WEST HOUSTON '2996 MMC -MONEY MARKET 51,108,404.74 $1.108,404.74 51,108,404.74 51,108,4043 FUND 'S506 MMC -NH BETHANY $259.159.94 $259,159.94 5259.159.94 3190,015A SENIOR LIVING '5441 MMC •NH GULF POINTE $94.244.48 5100,650.85 $94.244.48 $78,967.4 PLAZA- MEDICARE/MEDICAID MMC -NH GULF POINTE $358.727.05 5363.157.64 5358,727.05 5341,396.E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $86,475.24 $86,475,24 $86.475.24 $84,662,7 VILLAGE r https:/Iprosperity,olbanking.com/onlinaMessonger 1/1 Memorial Medical Center Nursing Home UPL weekly Tuscany Transfer Prosperity Accounts 9/27/2021 pr.mnn. Amnnnn. Pnounl BeF'uniq pen6ne U.nllened NUMn Nnme Humber BaYnn AnnYenOut Jlnmhnln .dv and Be tN. led tB Innln 4 t Nunln Hvm. .. kx�ifdF .•.._..1 ..�.''.i 3VH3GD1 62.)43.)B 58.1]5.06 J @Rd].]E BL.q)2. )IA36-06 wnk wlana 86AIS.). ' V)el)ntt Nrveln w4nn IW.Oo Nwc 4FtybWvmn vfvm]SMOwIYGefmmpnM tvMmurnnPM1vme. Neh2: EoN onouMFvrobv¢bAvnmo/9lltl IM1or MM1I[deppnfedlP epm u¢ounl. M.aAarmpaymmtaw.dmaf]xdNY SI1.97.1O it MWIure 4prymmlawedlvMMfllNlf 3,]A.95 •yy('' edufteuprytnnt"ed ,AAMCUN1Y 6,9b195 p/ Meaiun eppvymmlPwedtvMMNNI[ Aaimt BtlMceprmdnnml ]llu.0 rJ tived: 1 4 91]] 2021 1oon.11.1 CEO S 061,M&M EC i'-r. ,T7 AJQ 1rz 9/20/2021 Mnllna NCofT HCCI IMPMTPNl27S7178944200 9/23/2021 CK1055 9/23/ZD21 WIRE OUT LINEAR ENTERPRISES, LLC 9/23/2021 NOVITM SOLUTION NCCUMMPMT 676201 42MM178 9/24/2021 DeP09l MMCPORTION QIPPJC .p4l Tmnsfar-0ot Transfer -In QIPP/Comp' QIPp/Comp2 QIPP/Comp; BWpfe QIPJ NN PORTION 17.841.36 17,841.36 8,1M.14 - 50,037.72 62,633.4Z 1,812.54 61,0342 1.812.54 58,175.86 82,28732Z 82237.32 9127/2021 Quick View Select Quick View Accounts Account Number/Name Account_Type ♦I Searoh All DDA Account Number Number of Accounts: 15 '4551 CAL CO INDIGENT HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON •2998 MMC-MONEY MARKET FUND '5506 MMC -NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID 'S433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY VILLAGE hfips://prosperity.albanking.com/ontinaMessengei Current Balance $7,208,296.18 $7,160.01 572,930.47 $535.78 54,324,880.89 $431.36 $189.411.28 $167.930.92 5123,483.80 $$5,193.06 5379,327.16 51,108,404.74 $259,159,94 594,244.48 $356.727.05 586,475.24 Treasury Center Select Group Groups Ado Group Available Balance $7,458,175.22 $7.160.01 $72.930.47 $535.78 54,493,239.41 5431.36 $226,546.11 5168,217.25 5132,308.62 $40,031.40 5398,92SA0 S1,108.404.74 5259,159.94 $100.660,85 5363,157.64 $86,475.24 Data Collected Balance $7,208,296.111 $7,160.01 $72,930.47 $635.78 $4,324,880.89 5431.36 $189,411.28 5167.930.92 5123,483.80 $35.193.06 5379,327.16 $1,108,404,74 $259,159.94 $94,244.48 5358,727.05 $86,475,24 IJ VI JC�I Lf. CVG Prior Day Balanc 56,531,569.E $7,198.E $65,722.E S535,7 54.189,666.E $431 577,522.E 5145.421 $108,546.E 521.252 5111,825.2 51,108,404.7 5190,015.4 $78,967.4 5341,396.E 584,562.7 r 111 Memorial Medical Center Nursing Home UPL Weekly HSI.Transfer Prosperity Accounts 9/27/2021 pri k Iendiiy NeGum eBe P[mw9 Bepnnn{ Meek...nl tel [o TNnunmiln MHma Nunber N_uo CY9 e[nd Be e Ted [B[ Innln I-K is ,_ .N.nee )91.)38.91G weheui n[e .9.159.91 Nrbn[e 1[neln9[Irn[e nYl[Lr1V c.Gm,a<paril<mr s}3s.99 P/Y" mlrlNURUT 33s1✓ j AUG IN ftw 3359 V WIN EMIT adJUAD41emnrarshr M1ml ..... . ✓ nare:Only Eamn ao/nvn3£OOOMYbenam/enNrorhenvnmyhome. n wed: No(e]: Forho¢wn[harabe[ebalcnn OlSlW IheIMMCdeNtil[dla oMna[[ounl. la[onM{IN, IFO 9/31f3031 RP 2 = at j I:wx wean rv.wrtmxN un rnnw mmm rrvvcuuysembx\xx w1 mwr.r mmm,ry 9.na l.w. 9/10/2031 Deposit 9/20/2021 HEALTH HUMAN SVC HCCUUMPMT 174E00341130162 9/21/2021 De'Rim 9/23/2021 HEALTH HUMAN SVC HCCIAIMPMT 174SOM1130162 9/22/2021 NOVITAS SOLUTION HCCL UMPMT 676481420W0101 9/22/2021 HEALTH HUMAN SVC HCCUUMPMT 174600341130162 9/23/2021 WIRE OUT M THANV SENIOR LIVING, LTD W23/2D21 Depofit 9/23/2021 NOVITAS SOLUTION HCCUUMPMT 576481420000178 9/23/2021 HEALTH HUMAN SVC HCCLAIMPMT 174600341130162 9/24/2021 Deposit 9/24/2021 Deposit 9/24/2021 Deposit 9/24/2021 NOVITAS SOLUTION HCCLAIMPMT 67M8142MOL79 9/24/2021 HOSPICE OF SOUTH Payments NF 113122650029987 MMCPORTION QIPP/Comps Transfer -Out Transfer -I QIPP/Comp, QIPP/Comp2 QIPP/CORP3 &lap,. QIPP TI NH PORTION 10.030.54 - 10.030.54 Bp9387 - 8.093.87 5,750.50 5,750.50 5,750.50 5.750.50 132,840.32 233.840.32 3,251.51 3,261.51 19).190.13 - 11933.00 L,823,00 13,emst. - 23,438.66 7,605.50 7160$.5O 1,217.06 - 1,21746 3,445.25 9,446.25 26,548.19 - 26,548.19 30,405.30 - 30,405.30 2,527.71 - 2.527.71 19).190.]3 25].)38.91 / 257.738.91 • , e 9127/2021 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type iDDA Data reported as of Sep 27, 202 Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $7,208,296.18 $7,458,175.22 $7,208,296.18 $6,531,569.6 '4651 CAL CO INDIGENT $7,160.01 $7.160.01 $7,160.01 $7,198.f HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK 572,930A7 $72.930.47 $72,930.47 565,722 E HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $635.78 $535.78 5535.78 5535.7 2014 '4357 MEMORIAL MEDICAL S4,324,880.89 S4,493.239.41 54,324,880.89 S4,1B9,666.E CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.36 S431.36 S431.36 $431 WAIVER CLEARING '4381 MEMORIAL MEDICAL 5189,411.28 $226,546.11 $189.411,28 577,522.5 CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $167,930,92 5768,217.25 $167,930,92 5745,421,2 BROADMOOR '4411 MEMORIAL MEDICAL 5123,463.80 $132,308.52 $123,483.80 S108,546.E CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $35.193,06 540,031.40 $35.193.06 521.252,E CENTER INH FORT BEND '4438 MEMORIAL MEDICAL CENTER/SOLERAAT $379.327.16 $398,926.40 5379,327.16 $111,825.e WEST HOUSTON '2998 MMC-MONEY MARKET $1,108,404.74 51,108,404.74 $1,108.404.74 $1,108,404.7 FUND 'S506 MMC-NH BETHANY $259.159.94 5259,159.94 $259.159.94 5190,015.4 SENIOR LIVING •5441 MMC -NH GULF POINTE PLAZA- $94.244.48 $100,650.85 594,244.48 578,967.4 MEDICARElMEDICAID '5433 MMC •NH GULF POINTE 5358,727.05 5363,157.84 S358,727.05 5341,396.E PLAZA- PRIVATE PAY '3407 MMC -NH TUSCANY $86,475.24 $86,475.24 $86,475.24 $84,662.7 VILLAGE Mips:/lprosperity.olbanking.comlonlineMessenger r 1/1 t%fl DI "tall.. (.:FN'T'c:F' MEMORIAL MEDICAL CENTER atev Requesi„ .i 09/27/21 �trnpresf Cash I ❑A/P Check �Mzlii Chedt'Lo Vendor 1Retu1 n t.l .t Lo Depi SMGuidT $17,372.24 3Ji. HUMBFR: 10255040 I:XPLANIATiOf%l: MOLINA YR 3 ADJ- $822.02 MOLINAAUGQIPP-$14,808.91 AMERIGROUP-$1,741.31 ------------ ....... __.....-_-.....-_. ....__ ....__ ._ ._.... _ }451tFw l - Mayra Martinez .: . -- I P A; V C " ; - It KE t.IC. RE0".'i1:r- MEMORIAL MEDICAL CENTER a;pR:>� r,gi,p;;j; 09/27/21 I' UdP+?'6'Oi/�ydq, T8(A5 i------------ ,'�Ar 0.1lpT $7,085.19 (-/i. PIUMhF. Rt 10255040 ' i I Xr[ AWAI-K)iv: MOLINA YR 3 ADJ- $309.19 MOLINA AUG QIPP- $6,122.21 AMERIGROUP- $653.79 +I =t` Q E TCD h Mayra Martinez NO i(I/_EBY: --- _._ -..... ..._. POP, ACCT. USE ONLY L Irnoresf Cash FA/P Check ElMail ChecL•'a Vendor I i Retuo r, Check Lip hew l MEMORIAL MEDICAL CENTER „;>p,,rl,�t,�l,,:,,i; 09/27/21 L-11mprest Cl, h I eSP 27ml I I i ��Mai! Chick toA/sn:Inr I Cojyj\^+x S, TL+F:A> jReit.tr;-i Ciil?::i'.iG 02jt is j1AIAOUINT $5,655.11 T _._._-_.—.._._._.__.. C., t. NtjMF.;F.;: 10255040 rXPLANAT:ON: MOLINA YR 3 ADJ- $236,48 MOLINAAUG QIPP-$4,914.02 AMERIGROUP-$504.61 j — ---- — ._...__._._.. .._... ------._._...—....._ ...._._.._-----_.. _------- C4CStfv�'l ! I Mayra Martinez 3 , q , 1 11 1VIEVIORIAL PIEDICAL CFN'TT'.fP MEMORIAL MEDICAL CENTER pafeequesie.d, 09/27/21 FOR ACCT. USE OINIPI Flf 1 merest Ca,:h []A/P Cher 27 2021 DMail Check m V,,ndor <� _ _ _ I � �RBt6tl'c• Ca�e:a:. iu DepP __ AMOUNT $7,005.54 cj It [-]Ufv',BEP.: 10255040 FXPLANIATION: MOLINA YR 3 ADJ- $327.55 --- - -------- MOLINA AUG QIPP- $5,980.14 ----- - - -- AMERIGROLI Mayra Martinez P A I'A E M10 R � A L "A E D 1 CA FN f t lf.f-T REL'11JES" MEMORIAL MEDICAL CENTER 09/27/21 A[VOWNT $6,707.75 -F() 71,7V - C T. U 5 F () N t. IlImprestCash ON nAlll Check SEP 1 2 2M F ] PV4, -I i I heck tcj V,,-, Haar LO De;)l CAS -ryl 1 C,',,!L NUIVS,,"0255040 E R: l:XPLAHA ON: MOLINA YR 3 ADJ- $283.83 MOLINA AUG QIPP- $5,818.51 AMERIGROUP-$605.41 ..... . ....... Mayra Martinez A, i'i � Ely: ----------- - F, A F -- _.. MEMORIAL MEDICAL CENTER DAfrt Reques,ed: 09/27/21 ANIOUiNT $1,038.57 FOR Af_C T. I ISE ON! y �� Irnpresii.asl; �Ar?Cl'r�ch I IP 2 r 2021 r1wil i:heci, io Vrindur i I jRkurr, cii(<k w Depl r1 cn. 10255040 I EXPL.AH T!Cr\ SUPERIOR YR 3 ADJ $1,038 57 « Mayra Martinez September 29, 2021 2021 APPROVAL LIST - 2021 BUDGET BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE PAYROLL FOR 10/1/21 - AVERAGE COURT MEETING OF 17 09/29/21 $149,940.03 ✓ I TOTAL VENDOR DISBURSEMENTS: $ 149,940.03 ✓ P/R TOTAL PAYROLL AMOUNT: $ 328,000.00 TOTAL AMOUNT FOR APPROVAL: S 477,940.03 P P vt r li O W N P M O ^ M M VI T N N ' ❑ I p0.. ¢zay] O OF w 7 h U� iw K d � I Q F y :] F� v F U y � y y h y h U .� � Z� ❑ '�'� > F r❑ N d' N` O - N W N N b O O O¢ g O _ d N o a w¢ oo ao rn m W m z m w oo io m co m 3 0o ry 0.: m a m F F F F 4q�z < < 'a <<F KF e <0 4�'j 6 6 6 6 ¢ ¢ 6 6 Qp dp ¢mom d y W VN1 �O ry Q M `D ❑ Z ,TO T vOi N U N N N N V1 N Vl N ^f O O N F & o 0 0 0 o g a p s �. �. o a z ¢ a x o oa o a o o O U < ¢ z z o F U U3 3 U3 U3 U3 U3 U3 cpi3 F F N w `o ❑ a p w RR w N 0 F N u 0� ux 0x 0x 0x DOa1 0x 0 a Ci M N M VI M M M M V1 V1 Vf V1 M M h Vl M N M V1 M h M Vl M N M N M M N V1 M N M �O VI N �O �O W ¢ W a m y ❑ U � o W U a F N - N N ref C � P 1 III ❑ i U 30 � CY a OF .� Q 00� Q= W �❑ W oa o oW sZ VFi pZ U0 ¢ UN U Ua } NQ nU Ow cr rnV 3U �cy.UF �F wW� W �❑ U rn W F QN zL 6 60.'S hU Q F O UQ Nj O1 'O Q 82 U6 U0.1N > N P GG O ; W � ❑ u O F F £X U.] K [c ❑ O"�' ❑a 06 OF _ � &o � �� v ❑a¢ F u aQO � O 'i Q OWW ¢¢w y� 3U ❑>> H m O w O � > 0.' fL F 9 O 1' F ,� U C U d a a CC iK m y v U vl of N �V N V� O N Vf N J Vf N N N `eF N O M M O O 9 d a° U U z Z } w H 41 ¢ F as s O a a � F 0. m a a_ cz7 W µUS KM' a ppry 0 0 & o N O d ^CO ¢ 14 a 8O z r �� 00 O O O O 00 fA� UU UU U U U U UU o' i U N N N o N N h h h O h h N N N N O O N N O O O N h i� h N O h N N O O W M W o] N O N P P N b N O r'1 K N Z N a Z WM uQ x uf- um ae '� aT uU x3 u.❑a aQ ai ac uTi =� aea o K mQ Np v�C N' m0 m6 m wa n of o�' oa op o oU a o oU o= oa oU cU oV om 0m o¢ N04 N C2 �'Y C� �Y C`� Qrn C^ C❑ rv� NF �a' . 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