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2021-10-27 Meeting Packet.pdf✓All Agenda Items Properly Numbered ✓contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's Z ) _ZAII Documents for Clerk Signature Flagged ' 'On thisday of 124, 2021 a complete and accurate packet for Hof C,—r G 2021 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. -( V Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA I N0IICE01 10/17/202] Richard H. Meyer County judge David ball, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, **,- October 27, 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: AT oc OCKQ/ M t.Call meeting to order. OCT 2 2 2021 . Invocation. ANNA M. G0077lAAN cou n LE 0 LHO ' COUN YTS A5 Pledges of Allegiance. EY: ��PiyJ `4 General Discussion of Public Matters and Public Participation. Hear report from Memorial Medical Center. 6 Hear report from Magnolia Beach Volunteer Fire Department. 7. Approve the minutes of the October 11, 2021 and October 20, 2021 meetings. Uos.0- °1 . Public Hearing concerning the nomination of Formosa Plastics Corporation, Texas as a Texas Enterprise Zone Project. Close' Consider and take necessary action to approve an order nominating Formosa Plastics corporation, Texas for Enterprise Project status. (RM) 7r 10. Consider and take necessary action on the ballot for the election of the (5) five member Calhoun County Appraisal District Board of Directors, and authorize County Judge to sign the attached Resolution. (RM) ? 1. Consider and take necessary action to approve the Preliminary Plat for the Desilos RV Park. (VL) Page 1 of 3 N01I:_-E OF NIEE IIN6, i012712021 'f2. Consider and take necessary action to authorize Commissioner Hall to sign a Sales Order and Security Agreement with Anderson Machinery Company for the purchase of a 2019 Jo n Deere 310 SL Backhoe, Serial Number 360730 in the amount of $102,024. (DH) 13. Consider and take necessary action to authorize the CCEMS Director to re -allocate American Rescue Funds for the following allowed purchases: (DH) LifePak 15 $ 21,192.58 7 Butterfly iQ Ultrasounds 26,503.00 Equipment for Additional Unit Licensing 33,837.97 Vent/CPAP Pneupac Plus 7,286.00 Powerload for Unit 42 21,848.94 TOTAL $110,668.49 14.Consider and take necessary action to award the bid for Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services for the Calhoun County Adult Detention Center for the two-year period beginning February 15, 2022 and ending February 14, 2024 with the option to renew yearly for one-year �t rms upon Commissioners Court approval. (RM) 35. Consider and take necessary action on insurance proceeds from TAC for the MMC Business Interruption portion of the Winter Storm Claim in the amount of $45,600.00. � (RM) 16. Consider and take necessary action to approve a FY 22/23 Interlocal Agreement with the Regional Public Defender's Office for Capital Cases. (RM) 17 Consider and take necessary action to approve the Specifications and Contract Documents for Lane Road Drainage Improvements for Calhoun County, Texas —Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, November 18, 2021 in the Commissioners' Courtroom. Sealed Bids will be due before 2:00:00 pm, Thursday, December 9, 2021. (GR) Consider and take necessary action to approve the Calhoun County E9-1-1 Emergency Communication District Proposed FY 2022 budget. (RM) 19. Accept reports from the following County Offices: ,� County Extension Office Travel Report — September 2021 County Extension Office 4-H and Youth Development — September 2021 iii. County Extension Office Agriculture and Natural Resources — September 2021 w/County Extension Office Coastal and Marine — September 2021 County Extension Office Family and Community Health — September Z021 Page 2 of 3 NOTICE Of- MEET INii - 10/2i/2021 120. Consider and take necessary action on any necessary budget adjustments. (RM) 21 Approval of bills and payroll. (RM) Richard Meyer, County Jud e Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.ore under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 #5 NOTICE OF MEETING — 10/27/2021 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 [caddie Smith, Deputy Clerk I [�� Eel i s&USN 1011 The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, ry October 27, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 101, Port ]Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 9:59 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Resse Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. 5. Hear report from Memorial Medical Center. Jason Anglin spoke. Page 1 of 17 #6 David E. Hall Calhoun County Commissioner, Precinct 41 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for October 27th, 2021. Hear report from Magnolia Beach Volunteer Fire Department. Sincer , D av 4E. Hall DEH/apt NOTICE OF MEETING— 10/27/2021 6. Hear report from Magnolia Beach Volunteer Fire Department. Chief John Mayne spoke. Page 2 of 17 NOTICE OF MEETING— 10/27/2021 7. Approve the minutes of the October 11, 2021 and October 20, 2021 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 17 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 The Commissioners' Court of Calhoun County, Texas met on Monday, October 11, 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 Ri hard Meyer, Coun udge Calhoun County, Texas Anna Goodman, County Clerk [I, ME'Noffil'71A Page 1 of 1 NOTICE OF MEETING— 10/11/2021 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 (Absent) 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 Monday, October 11, 2021 at 10:00 a.m. in the Commissioners' Courtroomin the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:01 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Reese Texas Flag- David Hall 4. General Discussion of Public Matters and Public Participation. 5. Consider and take necessary action to nominate directors for the Calhoun County Appraisal District Board of Directors. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 6 NOTICE OF MEETING— 10/11/2021 6. Consider and take necessary action to adopt a resolution nominating directors for the Calhoun County Appraisal District Board of Directors. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Consider and take necessary action to approve the Specifications and Contract Documents for the Chocolate Bayou Boat Ramp — Texas Parks and Wildlife Ramp Project No. BA-2020-Calhoun County — 00038 and authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 2:00 p.m., Thursday, November 4, 2021 at the project site located at Buren Road off Highway 238 South, Port Lavaca, Texas. Bids will be due before 2:00:00 p.m. Thursday, November 18, 2021. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the biddings documents approved by Commissioner David Hall that is related to the Chocolate Bayou Boat Ramp — Texas Parks and Wildlife Ramp Project No. BA- 2020 — Calhoun County — 00038. (DH) 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 the Preliminary Plat for JANAK SUBDIVISION. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the Final Plat for JANAK SUBDIVISION. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING— 10/11/2021 11. Public Hearing on a Petition to Vacate lots 258, 259, 260 and 261 of Sunilandings, Phase I situated in the William Arnold Survey, Abstract No. 02, Calhoun County, Texas as recorded in Volume Z, Page 527 of the Calhoun County plat records. (JB) Henry Danysh spoke on this. 10:08-10:10 No action taken. 12. Consider and take necessary action on a Petition to Vacate lots 258, 259, 260 and 261 of Sunilandings, Phase I situated in the William Arnold Survey, Abstract No. 02, Calhoun County, Texas as recorded in Volume Z, Page 527 of the Calhoun County plat records. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joey Behrens, Commissioner, Pct 3 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to approve the Preliminary Plat of the BURES SUBDIVISION (A replat of lots 258, 259, 260 and 261 of Sunilandings, Phase I). (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner, Pct 3 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to authorize Commissioner Reese to submit a grant application to Matagorda Bay Mitigation Trust for Hog Bayou Improvements and authorize him to sign all documents. (GR) Alan Berger spoke on this 10:10-10:15 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Public Hearing on a Petition to Vacate part of Outlots 1 & 4 in Outblock 15 of the Port O'Connor Townsite situated in the Santiago Gonzales Survey, Abstract No. 19, Calhoun County Deed Records. (Deeds recorded in Volume 300, Page 804 and Volume 373, Page 810 of the Official Records of Calhoun County, Texas). (GR) Henry Danysh spoke on this. 10:17-10:18 No action taken. Page 3 of 6 NOTICE OF MEETING — 10/11/2021 16. Consider and take necessary action on a Petition to Vacate part of Outlots 1 & 4 in Outblock 15 of the Port O'Connor Townsite. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to approve the Preliminary Plat of the REDDING SUBDIVISION (a replat of part of Outlots 1 & 4 in Outblock 15 of the Port O'Connor Townsite). (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action on the scope of the recommended engineering study for Green Lake, both the Master Plan and Phase 1. (GR) Alan Berger spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. 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) Henry Danysh spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to accept a check from the City of Seadrift in the amount of $20,282.40 for reclaiming, compacting, and seal coating streets and have the funds added to Precinct 4 R & B account 570-53510. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NOTICE OF MEETING— 10/11/2021 21. Consider and take necessary action to authorize the Calhoun County EMS Director to apply for Phase 4 of the HRSA General Distribution and the ARP Rural Payment Program. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to amend the 2021 Salary Order. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Consider and take necessary action to declare as Waste Asset No. 24-0487 and remove from the Precinct 4 R & B Asset List. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Accept reports from the following County Office: i. Floodplain Administration — September 2021 ii. Justice of the Peace, Precinct 1— September 2021 iii. Justice of the Peace, Precinct 2 — September 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 25. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 NOTICE OF MEETING — 10/11/2021 26. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:33 a.m. Richard Meyer, County Judge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at wanv.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 6 of 6 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 The Commissioners' Court of Calhoun County, Texas met on Wednesday, October 20, 2021, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. R chard Meyer, 6ouniD2dge Calhoun County, Texas Anna Goodman, County Clerk �. � l,.: � 1►ll , illy Page 1 of 1 NOTICE OF MEETING — 10/20/2021 Richard H. Meyer County Judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (ABSENTT) Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, October 20, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3, Pledges of Allegiance. US Flag — Joel Behrens Texas Flag — Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Galen Johnson, Olivia -Port Alto Volunteer Fire Department spoke on receiving a grant for 50,000.00 to go toward a new grass truck. 10:01-10:05 5. Approve the minutes of the October 6, 2021 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 1 of 7 NOTICE OF MEETING— 10/20/2021 6. Consider and take necessary action to grant bereavement leave to Ron Langford for the month of November. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 7. Public Hearing on a Petition to Vacate Lots 4 and 5 in Block 3 of the Tilke and Crocker First Addition to Magnolia Beach, situated in the Jose Maria Mancha Survey, Abstract No. 236, Calhoun County, Texas as recorded in Volume Z, Page 126 of the Calhoun County Plat Records. (DH) Commenced: 10:07 a.m. Closed: 10:08 a.m. Henry Danysh spoke. 8. Consider and take necessary action on a Petition to Vacate Lots 4 and 5 in Block 3 of the Tilke and Crocker First Addition to Magnolia Beach, situated in the Jose Maria Mancha Survey, Abstract No. 236, Calhoun County, Texas as recorded in Volume Z, Page 126 of the Calhoun County Plat Records. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES, Judge Meyer, Commissioner Hall, Lyssy, Behrens 9. Consider and take necessary action to approve the Preliminary Plat of the Graham Subdivision (a replat of Lots 4 and 5 in Block 3 of the Tilke and Crocker First Addition to Magnolia Beach). (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 10. Consider and take necessary action to approve the Final Plat of the McPeters Subdivision (a replat of 8.12 acres being part of Lot 2, Block 150 of the Alamo Beach Subdivision). (DH) Henry Danysh 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 Page 2 of 7 NOTICE OF MEETING — 10/20/2021 11. Consider and take necessary action to approve the Preliminary Plat for the Desilos RV Park. (VI-) Judge Richard Meyer moves to table this item for next week. 12. Consider and take necessary action to approve the Preliminary Plat of the Saltwater Haven No. 2, Port O'Connor, Texas. (GR) Henry Danysh spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 13. Consider and take necessary action on Abila MIP Fund Accounting quote for one additional user license and authorize the County Auditor to accept and sign the quote. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 14. Consider and take necessary action on the first insurance proceeds check from TAC in the amount of $11,325.40 ($61,325.40 — deductible of $50,000) for damages caused by Hurricane Nicholas on September 13, 2021. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 15. Consider and take necessary action to approve Addendum Number 1 to the Annual Supply Contract for Delivered Fuel, Bid Number 2022.01 for the period beginning January 1, 2022 and ending December 31, 2022. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 3 of 7 NOTICE OF MEETING — 10/20/2021 16. Consider and take necessary action to award the bid for Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services for the Calhoun County Adult Detention Center for the two-year period beginning February 15, 2022 and ending February 14, 2024 with the option to renew yearly for one year terms upon Commissioners Court approval. (RM) PASS 17. Consider and take necessary action to accept a donation of $1,000.00 from the Inteplast Group Corporation in Memory of Dean Wade Harley to be used to benefit CCEMS in their mission of caring for the many people of Calhoun County. (RM) Dustin Jenkins spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 18. Consider and take necessary action to accept a donation of $50.00 from Lambert and Helen Wang in Memory of Dean Wade Harley to be used to benefit CCEMS in their mission of caring for the many people of Calhoun County. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 19. Consider and take necessary action to accept the attached list of donations for September 2021 to the Calhoun County Public Library. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 20. Consider and take necessary action to declare the attached list of items from the Calhoun County Public Library for September 2021 as Surplus/Salvage. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 4 of 7 NOTICE OF MEETING — 10/20/2021 21. Consider and take necessary action to declare the attached list of items from the Calhoun County Public Library for September 2021 as Waste. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 22. Consider and take necessary action on a request by Calhoun County EMS Director to transfer the Seadrift VFD 1999 Chevrolet 3500 Ambulance Chassis and Module to CCEMS and the CCEMS 2004 Chevrolet Suburban to Seadrift VFD as indicated on the attached Transfer Form. (RM) Dustin Jenkins spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 23. Consider and take necessary action on a request by Calhoun County EMS Director to transfer five (5) C3 Handheld Ultrasound Scanners to MMC as indicated on the attached Transfer form to be utilized by MMC ER, MMC Clinic and the MMC Hospitalist on duty. (RM) Dustin Jenkins spoke on this. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 24. Consider and take necessary action to declare the attached list of items from Calhoun County EMS as Waste. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 5 of 7 NOTICE OF MEETING— 10/20/2021 25. Accept reports from the following County Offices: i. County Clerk — September 2021 ii. District Clerk — September 2021 III. Justice of the Peace, Precinct 3 — September 2021 iv. Justice of the Peace, Precinct 4 — September 2021 v. Justice of the Peace, Precinct 5 — September 2021 vi. Sheriff's Office — September 2021 vii. Tax Assessor -Collector — September 2021 RESULT, APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 26. Consider and take necessary action on any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 27. Approval of bills and payroll. (RM) Image and Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 6 of 7 NOTICE OF MEETING—10/20/2021 Adjourned: 10:34 a.m. Richard Meyer, County Judge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www,calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 7 of 7 NOTICE OF MEETING— 10/27/2021 8. Public Hearing concerning the nomination of Formosa Plastics Corporation, Texas as a Texas Enterprise Zone Project. Closed public meeting at 10:34 a.m. Formosa representative Jansen spoke. Opened public meeting back up at 10:37 a.m. Page 4 of 17 PUBLIC HEARING — 10/27/2021 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Reese, Commissioner, Precinnct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County,Texas will meet on Wednesday, October 27, 2021 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that Calhoun County Commissioners' Court will hold a Public Hearing and consider an order in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, at 10:00 a.m. for the purpose of receiving public comments on the County's participation in the Texas Enterprise Zone Program pursuant to the Texas Enterprise Zone Act, Chapter 2303, Texas Government Code as revised. Also, to be discussed and considered is the nomination of Formosa Plastics Corporation, Texas, located at 101 Formosa Drive, Point Comfort, Texas 77978 as a Texas Enterprise Zone Project to the Office of the Governor Economic Development and Tourism. Possible tax incentives to be offered to projects within Calhoun County will be discussed at the meeting. This hearing will be pursuant to the order considered and voted on by the Commissioners' Court on October 27, 2021. All interested parties are encouraged to attend and present their views. For additional information, please contact County Judge Richard Meyer at 361.553.4600. t/I ;VIA FILED pp AT 1_V'O'CLOCKAL M OCT 2 2 2021 ANNAM.GOODMAN coU LE K ,AL N COUNTY,TFY.AS NY. TY Richard Meyer, County J Calhoun County, Texas A copy of this Notice has been placed an the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the counWs website at www.cdlhouncotx.ore under "Commissioners' Court Agenda" for any official court postings. Page 1 of 1 #9 NOTICE OF MEETING— 10/27/2021 9. Consider and take necessary action to approve an order nominating Formosa Plastics Corporation, Texas for Enterprise Project status. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 17 RICHARD H. MEYER Calhoun County Judge 211 S. Arm Street, Suite 301- Port Lavaca, Texas 77979 (361) 553-4600 - Fax (361) 553-4444 - Email: richard.meyer@calhouncotx.org October 25, 2021 Ms. Adriana Cruz Executive Director Office of the Governor Economic Development & Tourism 1100 San Jacinto Boulevard, 3rd Floor Austin, Texas 78701 RE: Formosa Plastics Corporation, Texas Application for Enterprise Project Designation Dear Ms. Cruz: Enclosed for your review and approval is our Application nominating Formosa Plastics Corporation, Texas as an Enterprise Project under the Texas Enterprise Zone Program for the December 1, 2021 Application cycle. Calhoun. County fully supports the nomination and approval of this Enterprise Project Application. Thank you for your prompt and thoughtful consideration of this request. Calhoun County is looking forward to the approval of this Enterprise Project Application. For additional information, please contact me at 3 61.5 53.4600. Regards, Ae Richard. Meyer County .fudge Calhoun County www.calhouncotx.org Richard H. Meyer County judge David Hall, Commissioner, Precinct I Tern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Deese, Commissioner, Precinct 4 RESOLUTION \i iifl! KWI OF CALHOUN COUNTY, TEXAS WHEREAS, Calhoun County ("County") has previously passed an Order dated November 18, 2020 electing to participate in the Texas Enterprise Zone Program, and the local incentives offered under this resolution are the same on this date as were outlined in that Order; WHEREAS, the Office of the Governor Economic Development and. Tourism ("EDC") through the Economic Development Bank ("Bank") will consider FORMOSA PLASTICS CORPORATION, TEXAS (Job Retention Project) ("FPC") as an enterprise project pursuant to a nomination and an application made by the County; WHEREAS, the County desires to pursue the creation of the proper economic and social environment in order to induce the investment of private resources in productive business enterprises located in the County and to provide employment to residents of enterprise zones and to other economically disadvantaged individuals and veterans; WHEREAS, pursuant to Chapter 2303, Subchapter F of the Texas Enterprise Zone Act, Texas Government Code (the "Act"), FPC applied to the County for designation as an enterprise project; WHEREAS, the Coimty finds that FPC meets the criteria for designation as an enterprise project under Chapter 2303, Subchapter F of the Act on the following grounds: 1. FPC is a "qualified business" under Section 2303.402 of the Act since it will be engaged in the active conduct of a trade or business at a qualified business site within the governing body's jurisdiction located outside of an enterprise zone and at least thirty-five percent (35.0%) of the business' new employees will be residents of an enterprise zone or economically disadvantaged individuals, or veterans; and 2. There has been and will continue to be a high level of cooperation between public, private, and neighborhood entities within the area; and The designation of FPC as an Enterprise Project will contribute significantly to the achievement of the plans of the County for development and revitalization of the area. Page 1 of WHEREAS, the County finds that FPC meets the criteria for tax relief and other incentives adopted by the County and nominates FPC for enterprise eroject status on the grounds that it will be located at the qualified business site, will create a higher level of employment, economic activity and stability; and WHEREAS, the County finds that it is in the best interest of the County to nominate FPC as an enterprise project pursuant to the Act; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSIONER'S COURT OF CALHOUN COUNTY: That the findings of the County and its actions approving this resolution taken at the meeting are hereby approved and adopted. BE IT FURTHER RESOLVED that FPC is a "qualified business",as defined in Section. 2303.402 of the Act, and meets the criteria for designation as an enterprise project, as set forth in Section 2303, Subchapter F of the Act. BE IT FURTHER RESOLVED that the enterprise project shall take effect on the date of designation of the enterprise project by the agency and terminate five (5) years following the designation. PASSED BY THE COMMISIONER'S COURT OF CALHOUN COUNTY, TEXAS this 27" day of October, 2021. CAL:: UNTY,TEXAS t By_ Richard Meyer, County Ju e THE STATE OF TEXAS COUNTY OF CALHOUN I, Anna Goodman, County Clerk, of Calhoun. Cotmty, Texas do herby certify that the above and foregoing is a true and correct copy of the Resolution passed by the Calhoun Court Commissioner's Court on this 27" day of October, 2021. ANNA GOODMAN, COUNTY CLERK. 4Anna Goodman, County Clerk Page 2 of 3 THE STATE OF TEXAS COUNTY OF CALHOUN BEFORE ME, the undersigned authority, on this day personally appeared Richard Meyer, Calhoun County Texas, County Judge, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed. GIVEN under my hand and seal of office this 27"' day of October, 2021. ...: My Notary ID # 132012624 +•af y+' Expires May 14, 2023 Anna Goodman, County Clerk V---a ig =41 Notary Public, State of Texas My commission expir 5 IA- 23 Richard Meyer, County Calhoun County, Texas Page 3 of 3 Office of the Governor Economic Development and Tourism Texas Enterprise Project Application Formosa Plastics Corporation, Texas XXII. FULL-TIME JOBS FOR BENEFIT ❑ New Jobs Attach a breakdown of types of new jobs to be created by six -digit Standard Occupational Code and/or title, and the salary range or hourly rate for each, (Tab 14) Total Number of New Full -Time Jobs to be Created Total Amount of Annual Payroll for New Jobs ® Rate 1nedJobs(chedconly iffor benefit) Attach a breakdown of types of jobs to be retained for benefit by six -digit Standard Occupational Code and/or title, and the salary range or hourly rate for each. Include the original request by the business to the governing body signed by the primary business representative, as well as the documentation which verifies the qualifying criteria behind Tab 15. (Tab 15) Total Number of Jobs to be Retained for Benefit 500 Total Amount of Annual Payroll for Retained Jobs $55,739,613.00 Choose all that apply and include backup documentation ❑ Permanent employees will be permanently laid off (Chapter 2303.406(a)(4)(A)) ❑ Business will permanently close down (Chapter 2303.406(a)(4)(B)) ❑ Business will relocate out of Texas (Chapter 2303.406(a)(4)(C)) ® Business is able to employ individuals in accordance with Section 2303.402 (Chapter 2303.406(a)(4)(D)) ❑ Business facility has been legitimately destroyed or impaired due to fire, flood, tornado, hurricane, or any other natural disaster (Chapter 2303.406(a)(4)(E)) I have reviewed the request for the retained job benefit under the Texas Enterprise Zone Program, and verify that it meets the criteria outlined above, as required by statute. The backup documentation has been placed under Tab 15of this application. Signature Date (Governing Body &V Printed Name Richard Meyer Title County Judoe Rev.06.01.17 (texas Enterprise Zone Program) Tab 1, Page 16 Office of the Governor Economic Development and Tourism Texas Enterprise project Application Formosa Plastics Corporation, Texas XXX" CERTIFICATION OF APPLICATION Governing Body Liaison Prefix Mr. First Name Richard Last Name Title Calhoun County Judge Organization Calhoun County Street Address 211 S. Ann Street, Suite 301 Mailing Address 211 S. Ann Street, Suite 301 City Port Lavaca State TX Zip 77979 4249 Phone Number 361.553.4600 Fax Number 361.553.4444 Email Address rlchard.meyer0calhouncotx org Community Website www.calhouncobcora To the best of my knowledge and belief, the information contained in this Enterprise Project Application is true and correct and I have read the Texas Enterprise Zone Act and the Enterprise Zone Program Rules and am familiar with the provisions contained therein, as evidenced by my signature below. Signature (Governing Printed Name Richard Meyer Liaison) Date /0--Z-7 Title County Judge GIVEN under my hand and seal of office this day of =�%qExpfms ECASSEL Notary Public, State of Texas (NotaryS 132012524 y 14, 2023 My commission expires 5 11412-3 Rev.06.01.17 (Texas Enterprise Zane Program) Tab 1, Page 27 #10 NOTICE OF MEETING — 10/27/2021 10. Consider and take necessary action on the ballot for the election of the (5) five member Calhoun County Appraisal District Board of Directors, and authorize County Judge to sign the attached Resolution. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Richard H. Meyer, County Judge SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 17 I RE;CJL,lII (31\1 - 7.0/)_712021 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- RESOLUTION Ill MAI.I 1l C RAJOI1 II:A�. WHEREAS, the Commissioners' Court of Calhoun County is entitled to cast 1,477 votes for nominated candidates to fill the five (5) positions on the Board of Directors of the Calhoun County Appraisal District as authorized by Texas Property Tax Code §6.03(g); and WHEREAS, the Commissioners' Court desires to exercise its right to cast votes for candidates to fill those five (5) positions. NOW THEREFORE, BE IT RESOLVED that the Commissioners' Court of Calhoun County, Texas does hereby cast its votes as indicated in the ballot section of this resolution for the following candidate(s) to serve on the five (5) member Calhoun County Appraisal District Board of Directors for the two-year term ending December 31, 2023: DULY ENACTED by unanimous vote by the Commissioners' Court of Calhoun County, Texas at its regular meeting held on Oct r 7, 2021, as the same appears in its official minutes. Richard Meyer, Coun udge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 OFFICIAL BALLOT FOR THE ELECTION OF THE BOARD OF DIRECTORS FOR THE CALHOUN COUNTY APPRAISAL DISTRICT 2022-2023 TERM VOTING UNIT TOTAL VOTES AVAILABLE* CALHOUN COUNTY 1,477 CANDIDATES NUMBER OF VOTES CAST BAUER, W. H.JR HILL, KEVIN --- LYSSY, VERN t� RODRIGUEZ, JESSIE SWOPE, WILLIAM TOTAL: *You may cast all your votes for one candidate or you may split your votes among any of the candidates. This ballot must be returned with the resolution or order approving the vote no later than December 14,2021. CALHOUN COUNTY APPRAISAL DISTRICT 426 West Main Street * P.O. Box 49 Port Lavaca, Texas 77979 Appraisal: (361) 552-8808 Collections: (361) 552-4560 Fax: (361)552-4787 Website: www.calhouncad.org 10/18/2021 Board of Directors William Swope, Chairman William Bauer, Vice Chairman Jessie Rodriguez, Secretary Vern Lyssy, Board Member Kevin Hill, Board Member Chief Appraiser Jesse W. Hubbell Greetings to the County Judge, President of the Board of Trustees for the Calhoun County Independent School District, Mayors of the Cities of Port Lavaca, Point Comfort and Seadrift. - It is now time for each governing body to vote for the Board of Directors for the Calhoun CoppV Mraisal District for the 2022-2023 term. Please place this on your agenda for your November meeting. Submit the official results to my office no later than December 14, 2021. I have enclosed the official ballot which includes the name of your jurisdiction, total number of votes that may be cast by your jurisdiction and the list of all candidates. You may cast all votes for one candidate or distribute any amount of your votes among the candidates. 834 votes are necessary for a candidate to be assured election to the appraisal district board. Please note the following requirements: Votes must be cast by written resolution. • A copy of the official resolution must accompany the ballot. • The Official ballot and resolution must be returned to the chief appraiser no later than December 14, 2021. Please take action now to vote and return your results to my office as soon as possible. No later than December 30, 2021, I will count the votes and declare the five (5) candidates receiving the largest cumulative vote totals as elected to the board. I will then submit the results to the governing body of each taxing unit in the appraisal district and to the candidates. Remember that I must receive the official results no later than Tuesday, December 14, 2021. Please vote and submit your official results to my office as soon as possible. Let me know if you have any questions. Your cooperation is greatly appreciated. Respectfully, Jesse W. Hubbell Chief Appraiser ihubbell ,calhouncad.org #11 NOTICE OF MEETING— 10/27/2021 11. Consider and take necessary action to approve the Preliminary Plat for the Desilos RV Park. (VL) Pass Page 7 of 17 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 ``�T60�:� a� �,,(361) 552-9656 Port Lavaca, TX 77979 Fax (361) 553-6664 �LhTi' ps cny�oJ October 14, 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 next Commissioners' Court Agenda Consider and take, necessary action to approve the Preliminary Plat for Desilos RV Park. Vern Lyssy .9£'94Z El X01MV S I I I I I I I Y mI z a I N of I I 3 I I a zjl I I a , z 4 I 1 III Q N I m I I I �LLII I J O o II J I i N 7 j I a I`\II 1 , I W 1 I II � N II I Q I I w I d I Q I I I W © m a I ,os--I Z � I G U h N W m I I 3 j JZQ w 3 F w I I ,alw CD a p 50 Pax III I i I N p d 9 wwo III zw ! N J W I I N 0Y wm z I I I a .? Q III z i I w I Z oa I I w U,r W z I O .OZ c7 N I ®� zi w m a Zs� '11 O �° I pNN i azF all W jz Ui FZZ NFN Z_w❑ —, w 4 .Sb'pBL 3.,ZO,6b,ZV N 060L W-1 a Z U a z ~ N U w a w w U N l a N z U � W X W W l d \ �oQ w m Sao F Q (r IN wK, a UK sc a zmw ' UNY <Zw 0 L W J Z 9 z v_io �o a 06% INJ I I I I I I I I I I I I I I I I I I I I I I 2 Iw I N f � 1 Z I W I 1 d I I I � � � I I W I O j m 1 I I 1 I I I I I I I I I I I � I iI I I I I I I I #12 NOTICE OF MEETING — 10/27/2021 12. Consider and take necessary action to authorize Commissioner Hall to sign a Sales Order and Security Agreement with Anderson Machinery Company for the purchase of a 2019 John Deere 310 SL Backhoe, Serial Number 360730 in the amount of $102,024. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 17 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for October 27th, 2021. Consider and take necessary action to authorize Commissioner Hall to sign Sales Order and Security Agreement with Anderson Machinery Company for purchase of 2019 John Deere 310 SL Backhoe Serial number 360730 in the amount of $102,024.00. Sincer , Da E. Hall DEH/apt ANDERSON MACHINERY COMPANY P.O Box 4806 P.O Box 662 P.0 Box 2o0380 P.O Box 140916 5309 U.S. Hwy 59 N. Corpus Christi, TX 78469 Pharr, TX 78571 San Antonio, TX 78220 Austin, TX 78714 Victoria, TX 77905 SALES ORDER & SECURITY AGREEMENT SOLD TO: Calhoun County Pct.1 ADDRESS: 202 S. Ann St CITY/STATE: Port Lavaca, Tx 77979 SHIP TO: CPU DESCRIPTION PRICE (1) 2o19 John Deere 310 SL backhoe with 1,15o approximate hours. $ 102,024.00 Serial # 360730 FREIGHT CHARGES: Customer pick up at AMCO- Victoria TRADE IN / DISCOUNTS: NET SELLING PRICE: $ 102,024.00 H EAVY EQU I PM ENT PROPERTY TAX: 0.2073% DIESEL EQUIPMENT SURCHARGE: 1.50% SALES & USE TAX /TAX ID#: 8.25% TOTAL CASH PURCHASE PRICE $ 102,024.00 DOWN PAYMENT: $ 51,012.00 UNPAID CASH BALANCE: $ 51,012.00 PAYABLE AS FOLLOWS: First payment due upon receipt of invoice and the remainder due Jan 2o22. The Buyer agrees to purchase the above products from Seller at the price set forth above and on the terms stated on the face and reverse side herto. All payments due orto become due herunder are payable atthe offices of ANDERSON MACHINERY COMPANY -Victoria, Victoria County, Texas. Buyer grants to Seller a security Interest in said products in accordance with the terms and provisions on the reverse side herto. Buyer warrants that the used machinery traded in is completely free of all liens and encumbrances except as specifically noted herein. To contact Anderson Machinery Company about this account, call (361) 575-8111, This contract is subject in whole or in part to Texas law which Is enforced by the Consumer Credit Commissioner, 2601 N Lam Blvd, Austin, Texas 78705-4207. Phone (512) 479-1285 or (800) 538-1579• Contact the commissioner relative to any in%4k4gs complaints. ANDERSON MACHI!)P Pyt COMPANY /) BU)FFR: C#houn County Pct.1 TITLE: _DA : � TITLE: DATE: `40 (Not valid unless signed by an officer of Anderson Machinery Company) CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl Complete Nos. l - 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 0 if there are no Interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-816261 Anderson Machinery Company Victoria, TX United States Date Filed: 10/25/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun Cc Precinct 1 Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. BuyBoard 597-19 Quote/Buboard 597-19 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only If there is NO Interested Party. U.1d 5 UNSWORN DECLARATION pp�J My name is soe- �• IC,'v�A �* • and my date of birth is My address is_ L• (street) (city) (slate) (zip cone) country) I declare under penaltyt of perjury that the foregoing is true and correct. i Executed in V 1 ck-oq C C^ County, State of .2 `A•5 , on the 495 day of ©C�D , 20Z (month) (year) Signature of h Ized agent of conla g business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc P;� Board® PRICING WORKSHEET FOR STANDARD Ps,erive Purchasing EQUIPMENT PURCHASES (gNDEASON NACHMENY COMPANY The following detials shall be provided with any BuyBoad purchase order (Fax Purchase Order to JBOO1211-5454 Prepared By: JOSHUASMITH BuyBoard Vendor: ANDERSON MACHINERY Vendor Phone: 210-661-2366 [Address P.O. to:] PO BOX 200380 Vendor Fax: 210-661-4971 SAN ANTONIO TX 78220.0380 Vendor Toll Free Date Prepared 10/25/2021 Government Agency: Calhoun Co. Pct. 1 Gov. Agency Calhoun Co. Pct.1 [Ship to:] Anderson Machinery Company [Bill to:] Calhoun Co. Pct. 1 5309 US Hwy 59 N. Victoria TX 77905 202 S. Ann St Pon Lavaca Tx 77979 Contacts Name: - Gov. Agn. Phone No: G. A. Fax No: Product Description: One (1) Used 2019 John Deere 3105L Backhoe w/ approx 1,150 his, SN: 360730 I: BuyBoard Contract N597-19 Price List: USED EQUIPMENT Base Price $ 104,106.12 II: Base Bid Options (Itemize Below) * w/ All standard equipment _ # # # * # i Subtotal Ill: Subtotal of I + II IV: Discount: 2% V: Non -Base Options * FOB AMCO Victoria * r * Includes Extended Powertrain plus Hydraulics Warranty, * Expires Oct 14th 2023 or 5,000 firs (whichever comes first) * (Terms & conditions based on John Deere Warranty) * (Travel time& mileage not included) # $ Subtotal $ Contract List Price Total $ => $ 104,106.12 BuyBoard Contract Price: $ 102,024.00 (Itemize below) NON -BASE = 0.00% % Subtotal $ Subtotal $ - VI Unpublished Options added to Contract Price (Subtotal of Co. 1 & Col 2) $ - vll: Total of IV+VI $ 102,024.00 VIII: Quantity Ordered Units: 1 X "E" $ 102,024.00 IX: TERMS: Customer to pay upon receipt $51,012 and pay remaining balance ($51,012) by Jan 2022 x: TOTAL PURCHASE PRICE INCLUDING VIII + IX Contract Effective Dates: 12/1/2019 through 11/30/2022 Fax all Purchase Orders to BuyBoard at (800) 211-5454 #13 NOTICE OF VEETING — 10/27/2021 13. Consider and take necessary action to authorize the CCEMS Director to re -allocate American Rescue Funds for the following allowed purchases: (DH) LifePak 15 $ 21,192.58 7 Butterfly iQ Ultrasounds 26,503.00 Equipment for Additional Unit Licensing 33,837.97 Vent/CPAP Pneupac Plus 7,286.00 Powerload for Unit 42 21,848.94 TOTAL $110,668.49 Dustin Jenkins spoke. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 17 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for October 27th, 2021. Consider and take necessary action to authorize EMS Director to re -allocate American rescue funds for the following allowed purchases: LifePak 15 $21,192.58 Butterfly iQ Ultrasounds x7 $26,503.00 Equip for Add Unit Licensing $33,837.97 Vent/CPAP Pneupac Plus $7,286.00 Powerload for Unit 42 $21,848.94 Total: $110,668.49 Sincer Ll Da E. Hal DEH/apt David Hall From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins)<Dustin.Jenkins@calhouncotx.org> Sent: Tuesday, October 12, 2021 2:44 PM To: David Hall Cc: Cindy Mueller, Lori McDowell Subject: Fwd: ARP allocation of 1st tranch Attachments: Agenda Item #10 2021.08.04 Tranch 1 allocation.pdf David, As we discussed earlier today on the phone, after speaking with Cindy, I would like to request that the $196,657.44 designated for the increase in health care insurance from the American Rescue Plan funds be "undesignated" and $110,668.49 of those funds authorized to be spent on the following expenditures: LifePak 15 $21,192.58 Butterfly iQ Ultrasounds x7 $26,503.00 Equip for Add Unit Licensing $33,837.97 Vent/CPAP Pneupac Plus $7,286.00 Powerload for Unit 42 $21.848.94 Total: $110,668.49 As you know the increase in health care insurance with out a revenue loss is not an approved expenditure as per the ARPA. The items above which I am proposing were already conditionally approved to be purchased from the second traunche of the American Rescue Plan Funds in our workshop earlier this year. The only other item we discussed for EMS is the Unit 7 Remount $94,228.00 which can wait until the second traunche of ARPA Funding. Very Respectfully, J. Dustin Jenkins, DMin, MBA, MTh, LP Director of EMS Calhoun County, TX From: "cindy.mueller@caihouncotx.org (cindy mueller)" <cindy.mueller@calhouncotx.org> To: "Dustin Jenkins" <dustin.jenkins@calhouncotx.org>, "David Hall" <david.hall@calhouncotx.org> Date: Tue, 12 Oct 2021 11:50:50 -0500 Subject: ARP allocation of 1st tranch Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy.mueiler(o)calhouncotx ora Calhoun County Texas J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361)571-0014 Calhoun County Texas #14 NOTICE OF MEETING— 10/27/2021 14. Consider and take necessary action to award the bid for Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services for the Calhoun County Adult Detention Center for the two-year period beginning February 15, 2022 and ending February 14, 2024 with the option to renew yearly for one-year terms upon Commissioners Court approval. (RM) Bobby Vickery spoke. Bid from Inmate Calling Solutions LLC awarded. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner, Pct 1 SECONDER: Vern Lyssy, Commissioner, Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 17 October 20, 2021 To: Judge Meyer From: The office of the County Auditor For the Calhoun County Adult Detention Center Please place the following item on the Commissioners Court Agenda for October 27, 2021: • Consider and take necessary action to award the bid for Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services for the Calhoun County Adult Detention Center for the two year period beginning February 15, 2022 and ending February 14, 2024 with the option to renew yearly for one yearterms upon Commissioners Court approval. COUNTY OF CALHOUN 1 SaEpFF'S OFFjr,� SHERIFF BOBBIE VICKERY 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77/979 ry' COUNI C�OmmlttEd to Community c/VEEQ1 Dear Judge Richard Meyer and Commissioner Court, I have gone through the final bid packets of the recent bids for Inmate Telephone, Banking, Commissary and Fiduciary Services for the Calhoun County Adult Detention Center. The final scoring for two of these bids (CTC and ICS) were very close, therefore my decision is based on the following information. The Minimum Monthly Guaranteed Revenue for CTC's Telephone Service is $4,500.00 and is based on an Average Daily Population of 75. If that average is below 75 for 2 months, the $4,500 guarantee is no longer valid and is then based on the sole commission of 68%. The Minimum Monthly Guarantee Revenue for ICS's Telephone Service is $6,700 and there is no minimum population clause. The commission rate is 85%. Any revenue above the $6,700 is then at an 85% rate. Due to uncontrollable circumstances, such as recent changes is bail reform legislation, and the uncertainty regarding Covid 19 or other unforeseen events, our Average Daily Population has already been below the CTC required minimum number of 75 for several months. The Minimum Monthly Guarantee Revenue for CTC's Commissary is $2,500 and 38%, while ICS's are at $2,300 and 36%. It is unclear if the Average Daily Population of 75 affects these number for CTC but it does not affect ICS. CTC has a $4.00 connect fee with $.50 per min charge for international calls. ICS has no connection fee and is $.24 per min. ICS already has equipment in the Calhoun County Adult Detention Center and this will be merely an upgrade and change of contract, meaning everything is already in place with the exception of the newly added equipment and employees are familiar with its workings. Given that there is very little difference in the scoring of these two companies, the additions of tablets (used for teleconferencing, visitation, commissary, etc) would be quick and easy as well as the above mentioned information, I as Calhoun County Sheriff am choosing to remain in contract with ICS for these services, thereby entering into a new contract for these additions. Thank You, C'Aeoun County She ' kerb Date Main Office (361) 553-4646 Facsimile (361) 553-4668 Calhoun Cowhty, Texas BID FORM Tabulation Bid Number 2021.05 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services Crown CTC ICS Correct Correctional Prodigy City Tele Coin IC Solutions Solutions Telephone Solutions Form 1295 was not Evaluation Criteria Scores -------------------------------------------------------------------------------- 80.8 -------------------- 80.4 ----------------- 77.4 ----------------- 71.8 ---------------- signed ------------- Cash Sign on Bonus to Calhoun County --------------------- $25,000 $25,000 ------------- $0 ----------- $0 Telephone Services $4,500 -------------------- $6,700 ----------------- $0 ----------------- $0 Minimum Monthly Guaranteed Revenue -------------------------------------------------------------------------------- Minimum Monthly Monthly Guaranteed Commission Percentage -------------------------------------------------------------------------------- 68% -------------------- 85% ----------------- 65% ----------------- ---------------- 68% ---------------- ---------- ------------- Collect Calling Rates --------- Local -------------------------------------------------------------- Instrastate/IntraLATA -------------------------------------------------------------------------------- - -0.21 ------- 0.21 - ---- - 0.21 -----0.21----- 0.21 -----0.20 ----- 0.20 ------------ Instrastate/InterLATA ---------- ----------------------------------------- ------------------------------ -------------------- 0.21 ----------------- 0.21 ------ ----------- 0.21 ---------------- 0.20 ------------ ----------------------------------------- ----------------------- Interstate -------------------- -------0.21------- ----------------- -- ----21----- ----------------- -----0.21----- ---------------- 0. ----- --20 - ----- ------------ ------------ Prepaid & Debit Calling Rates -21 Local ------------------------------------------------------------- ------------ Instrastate/IntraLATA --------------------------------------------------- ------------------------------ -------0.21------- 0.21 ----- - - ----- 0.21 - ----0.21----- 0.21 -----0.20 - ----- 0.20 ------------ Instrastate/InterLATA -------------------------------------------------------------------------------- -------------------- 0.21 ----------------- 0.21 ----------------- 0.21 ---------------- 0.20 ------------ Interstate -------------------- 0.21 ----------------- 0.210.21 ----------------- ---------------- 0.20 ------------ ----------------------------------------------------------------- ------- $4.00 connect fee ---------- -------- ---------------- ----------- International Debit -------------------------------------------------------------------------------- 0.50 -------------------- 0.24 ----------------- 1.00 ----------------- 0.35 ---------------- ------------ Non-Commissionable Billing Fees $5.95 $5.95 $5.95 $5.95 Payment Processing Fee (Live Agent) -------------------------------------nt ---or Processing Fee (I Processing Fee (IVR or Internet) Internet) -------------------------------------------------------------------------------- -------------------- $3.00 -------------------- ------j.-D ------ $3.00 ----- 3.-0 ------ $3.00 ----$3.0------ $3.00 ----- Bill Statement Bill Statement Fee (Collect & Direct Billing only) -------------------------------------------------------------------------------- $2.00 -------------------- ----------------- $0.00 ----------------- ----------------- n/a ----------------- ---------------- $0.00 ---------------- ------------ ------------- Commissary Services $2,500 -------------------- $2,300 ----------------- $0 $0 Inmate Self -Service Kiosks & Phone Order Entry Minimum Monthly Guaranteed Revenue -------------------------------------------------------------------------------- Minimum Monthly Guaranteed Commission Percentage -------------------------------------------------------------------------------- 38% 36% ----------------- 36% ---------------- 38% ------------ Number of Days to Deliver Items Ordered -------------------------------------------------------------------------------- -------------------- 3 -------------------- ----------------- 1 ----------------- ----------------- 2 ---------------- - --------------- - 1 ---------------- ------------ ------------- ADJUSTED GROSS SALES Total -------------------- $100,000/yr ----------------- 36% ----------------- Weekly ---------------- ------------ Commission based on Adjusted Gross Commissary Sales ---------------------------------------------------------------------------- Gross Monthly Sales -------------------------------------------------------------------------------- -------------------- $102,000/yr ----------------- ----------------- ---------------- Postage / Indigent ------------- Less Taxes postage$2,000 Sales Tax Sales -------------------------------------------------------------------------------- -------------------- Non-Commissionable ----------------- Indigent Kits/ ----------------- Nan -Commission ---------------- ------------- Less Items Items (n/a) Items Credits/ Refunds ---------------------------------- ------------------------------ ----------- ----- -------------------- Indigent Items & ----------------- ----------------- ---------------- ------------- Less ---------------------------- ____________------ _----------------------------- Calling Cards ____________________ n/a _________________ _________________ Sales Tax ________________ ____________ = Adjusted Commissionable Sales $100,000/yr % Commission Rate ------------------------------------------------------------------------------- 38% -------------------- 36% ----------------- 36% ------ ----- ----- - 38% ---------------- ------------- = Calhoun County's Commissary Profit $36,000/yr . D Inmate Calling Solutions, LLC d/b/a ICSolutions (ICS) m BID FORM FINANCIAL OFFERINGS AND RATES Bid Number: 2021.05 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services • Please Type. If handwritten, shall be in ink and legible. White out is not acceptable. BIDDER'S NAME & ADDRESS Inmate Calling Solutions, LLC d/b/a ICSolutions 2200 Danbury Street San Antonio, TX 78217 [Solution Response: In addition to the rates and County compensation listed on this form, ICSolutions proposes additional commissions and rates associated with tablets, video visitation, and messaging. Please also refer to SECTION 11: COST SUBMITTAL for a summary of our complete financial offer. TELEPHONE SERVICES SIGN ON BONUS: BIDDER may pay the DETENTION FACILITY (Payable to CALHOUN COUNTY) a CASH SIGN ON BONUS upon the execution of the awarded Contract. Cash Sign on Bonus to CALHOUN COUNTY: - $ 25,000.00 MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY COMMISSIONS From phone calling card or phone time used charges AND the Gross Billed Revenue on ALL CALLS: 1. Minimum Monthly Guaranteed Revenue: $ 6,700.00 per month 2. Minimum Monthly Guaranteed Percentage: 85 The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Section 10 - Page 35 FOR EACH CALL MADE BY AN INMATE, THE CHARGE SHALL BE: Collect Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE Local $0.00 $0.21 $0.21 Instrastate/IntraLATA $0.00 $0.21 $0.21 Instrastate/InterLATA $0.00 $0.21 $0.21 $0.00 1 $0.21 $0.21 Interstate Prepaid & Debit Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE Local $0.00 $0.21 $0.21 Intrastate/IntraLATA $0.00 $0.21 $0.21 Intrastate/InterLATE $0.00 $0.21 $0.21 $0.00 $0.21 $0.21 Interstate $0.00 $0.24 $0.24 International Debit Domestic interstate rates apply for calls to U.S. territories including American Samoa, Guam, Northern Mariana Islands, Puerto Rico and U.S. Virgin Islands. All non-U.S. destinations are rated as international. Call rates shown do not include local, city, county, state and federal taxes, regulatory fees and billing fees. Non-Commissionable Billing Fees: 1. Payment Processing Fee (Live Agent) $ 5.95 2. Payment Processing Fee (IVR or Internet) $ 3.00 3. Bill Statement Fee (Collect & Direct Billing only) $ 0.00 4. All Other Fees free or waived None The BIDDER shall pay any applicable taxes or fees accrued from inmate calls to the appropriate entity, including the State of Texas. Section 10 - Page 36 COMMISSARY SERVICES MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY IMPORTANT: All revenue and commission payable to CALHOUN COUNTY must be clearly defined for both operation options: Inmate Self -Service Kiosks and Phone Order Entry. Revenue/Commission shall reflect interfacing with the current Jail Management System INMATE SELF-SERVICE KIOSKS 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: PHONE ORDER ENTRY 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: $ 2,300 per month 36 ! days $ 2,300 per month 36 3. Number of days to deliver items ordered: 1 days I(CN NOTE: The $2,300.00 Minimum Monthly guarantee applies to all commissary sales, regardless of how the order is entered. ADJUSTED GROSS SALES Adjusted gross sales are gross sales less the sales of non-commissioned items as determined by the BIDDER. The commission will be based on the $100,000.00 / year adjusted gross commissary sales. $102,000.00 / year GROSS MONTHLY SALES LESS postage($2,000.00) LESS indigent kits / items (n/a) LESS n/a $100,000.00 / year = ADJUSTED COMMISSIONABLE SALES 36 %COMMISSION RATE $36,000.00 / year = CALHOUN COUNTY'S COMMISSARY PROFIT The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Inmates shall be charged a cost that includes applicable tax on product prices and taxes shall be paid by the BIDDER to the appropriate entity, including the State of Texas. The BIDDER shall pay any applicable taxes or fees accrued from Commissary items to the appropriate entity, including the State of Texas. Section 10 - Page 37 ACKNOWLEDGEMENT OF ADDENDUM, IF ANY: Addendum No. 1 Received Yes Yes or No OUT OF STATE CORPORATIONS: Certification of authority to conduct business as an Out -of -State Corporation in Texas shall be provided. State license number, if any, shall also be shown. Provided Yes, Filing No. 800263415 Not Applicable Yes or No The undersigned affirms that they are duly authorized to execute this BID and that this company, corporation, firm, partnership or individual has not prepared this BID in collusion with any other BIDDER, that the contents of this BID as to prices, terms or conditions of said BID have not been communicated by the undersigned nor by their employees or agents to any official, employee, or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this BID. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee, or agent of Calhoun County in connection with this BID. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID 10/1 /2021 DATE Vice President Sales & AUTHORIZED S Mike Kennedy, Vice President Sales & Marketing NAME & TITLE OF AUTHORIZED SIGNATURE (PRINT OR TYPE) rfp@icsolutions.com EMAIL (PRINT OR TYPE) (866)228-4040 PHONE NUMBER Section 10 - Page 38 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-806239 Inmate Calling Solutions, LLC San Antonio, TX United States Date Filed: 09/27/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. - Calhoun County Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. BID NUMBER: 2021.05 INMATE TELEPHONE SERVICES AND INMATE BANKING SOFTWARE, COMMISSARY SERVICE AND FIDUCIARY MANAGEMENT SERVICES 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary - - 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Mike Kennedy and my date of birth' My address is USA try) (street) (city) (state) (country) declare under penalty of perjury that the foregoing is true and correct. Executed in Bexar County, state of Texas on the �7 day of September 20 21 (month) (year) Signature of authorized ge " of contracting business entity (De •lar I) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc Section 10 - Page 40 . m City Tele Coin (CTC) BID FORM FINANCIAL OFFERINGS AND RATES Bid Number: 2021.05 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services • Please Type. If handwritten, shall be in ink and legible. White out is not acceptable. BIDDER'S NAME & ADDRESS City Tele Coin 4501 Marlena Street Bossier City. LA 71111 TELEPHONE SERVICES SIGN ON BONUS: BIDDER may pay the DETENTION FACILITY (Payable to CALHOUN COUNTY) a CASH SIGN ON BONUS upon the execution of the awarded Contract. Cash Sign on Bonus to CALHOUN COUNTY: $ 25,000 MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY COMMISSIONS From phone calling card or phone time used charges AND the Gross Billed Revenue on ALL CALLS: 1. Minimum Monthly Guaranteed Revenue: $ 41500 per month 2. Minimum Monthly Guaranteed Percentage: 68 The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. L/ Page 1 of 4 FOR EACH CALL MADE BY AN INMATE, THE CHARGE SHALL BE: Collect Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE .21 .21 Local .00 .00 .21 .21 Instrastate/IntraLATA .00 .21 .21 Instrastate/InterLATA [interstate .00 .21 .21 Prepaid & Debit Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE .00 .21 .21 Local Intrastate/IntraLATA .00 .21 .21 .21 Intrastate/InterLATE .00 .21 .00 .21 .21 Interstate 4.00 .50 .50 International Debit Domestic interstate rates apply for calls to U.S. territories including American Samoa, Guam, Northern Mariana Islands, Puerto Rico and U.S. Virgin Islands. All non-U.S. destinations are rated as international. Call rates shown do not include local, city, county, state and federal taxes, regulatory fees and billing fees. Non-Commissionable Billing Fees: 1. Payment Processing Fee (Live Agent) $ 5.95 2. Payment Processing Fee (IVR or Internet) $ 3.00 3. Bill Statement Fee (Collect & Direct Billing only) $ 2.00 4. All Other Fees free or waived The BIDDER shall pay any applicable taxes or fees accrued from inmate calls to the appropriate entity, including the State of Texas. Page 2 of 4 COMMISSARY SERVICES MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY IMPORTANT: All revenue and commission payable to CALHOUN COUNTY must be clearly defined for both operation options: Inmate Self -Service Kiosks and Phone Order Entry. Revenue/Commission shall reflect interfacing with the current Jail Management System INMATE SELF-SERVICE KIOSKS 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: PHONE ORDER ENTRY 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: ADJUSTED GROSS SALES $ 21500 per month 38 % 3 days $ 2,500 per month 38 % 3 days Adjusted gross sales are gross sales less the sales of non-commissioned items as determined by the BIDDER. The commission will be based on the total adjusted gross commissary sales. GROSS MONTHLY SALES LESS taxes LESS non-com missionable items LESS indigent items & calling cards = ADJUSTED COMMISSIONABLE SALES 38 %COMMISSION RATE = CALHOUN COUNTY'S COMMISSARY PROFIT The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Inmates shall be charged a cost that includes applicable tax on product prices and taxes shall be paid by the BIDDER to the appropriate entity, including the State of Texas. The BIDDER shall pay any applicable taxes or fees accrued from Commissary items to the appropriate entity, including the State of Texas. Page 3 of 4 ACKNOWLEDGEMENTOFADDENDUM IF ANY: Addendum No. 1 Received Ye or No OUT OF STATE CORPORATIONS: Certification of authority to conduct business as an Out -of -State Corporation in Texas shall be provided. State license number, if any, shall also be shown. Provided U £5 Not Applicable sorNo The undersigned affirms that they are duly authorized to execute this BID and that this company, corporation, firm, partnership or individual has not prepared this BID in collusion with any other BIDDER, that the contents of this BID as to prices, terms or conditions of said BID have not been communicated by the undersigned nor by their employees or agents to any official, employee, or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this BID. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, orservice to any official, employee, or agent of Calhoun County in connection with this BID. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID (PRINT OR TYPE) e �r Q C to N'e C o l ✓\ . L 0 nr1 EMAIL (PRINT OR TYPE 1\19-6ZkR - ►scis PHONE NUMBER Page L� of m Correct Solutions, LLC BID FORM FINANCIAL OFFERINGS AND RATES Bid Number: 2021.05 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services • Please Type. If handwritten, shall be in ink and legible. White out is not acceptable. BIDDER'S NAME & ADDRESS Correct Solutions, LLC 182 Bastille Lane Ruston, LA 71270 TELEPHONE SERVICES SIGN ON BONUS: BIDDER may pay the DETENTION FACILITY (Payable to CALHOUN COUNTY) a CASH SIGN ON BONUS upon the execution of the awarded Contract. Cash Sign on Bonus to CALHOUN COUNTY: $0 MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY COMMISSIONS From phone calling card or phone time used charges AND the Gross Billed Revenue on ALL CALLS: 1. Minimum Monthly Guaranteed Revenue: $ $0 per month 2. Minimum Monthly Guaranteed Percentage: 65 % The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Page 1 of 4 FOR EACH CALL MADE BY AN INMATE, THE CHARGE SHALL BE: Collect Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE Local $0 $.21 .21 Instrastate/Intral-ATA $0 .21 .21 $0 .21 Instrastate/InterLATA .21 $0 .21 .21 Interstate Prepaid & Debit Calling Rates PER CALL CHARGE EACH ADDITIONAL CALL TYPE (CONNECT FEE) 1ST MINUTE MINUTE $0 .21 .21 Local Intrastate/IntraLATA $0 .21 .21 Intrastate/InterLATE $0 .21 .21 Interstate $0 .21 .21 International Debit $0 1.00 1.00 Domestic interstate rates apply for calls to U.S. territories including American Samoa, Guam, Northern Mariana Islands, Puerto Rico and U.S. Virgin Islands. All non-U.S. destinations are rated as international. Call rates shown do not include local, city, county, state and federal taxes, regulatory fees and billing fees. Non-Commissionable Billing Fees: 1. Payment Processing Fee (Live Agent) $ 5.95 2. Payment Processing Fee (IVR or Internet) $ 3.00 3. Bill Statement Fee (Collect & Direct Billing only) $ n/a 4. All Other Fees free or waived The BIDDER shall pay any applicable taxes or fees accrued from inmate calls to the appropriate entity, including the State of Texas. Page 2 of 4 C COMMISSARY SERVICES MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY IMPORTANT: All revenue and commission payable to CALHOUN COUNTY must be clearly defined for both operation options: Inmate Self -Service Kiosks and Phone Order Entry. Revenue/Commission shall reflect interfacing with the current Jail Management System INMATE SELF-SERVICE KIOSKS 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: PHONE ORDER ENTRY 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: ADJUSTED GROSS SALES $ 0.00 per month 36 % 2 days $ 0.00 per month 36 % 2 days Adjusted gross sales are gross sales less the sales of non-commissioned items as determined by the BIDDER. The commission will be based on the 36% adjusted gross commissary sales. GROSS MONTHLY SALES LESS Sales Tax LESS Non -Commission Items LESS = ADJUSTED COMMISSIONABLE SALES 36% %COMMISSION RATE = CALHOUN COUNTY'S COMMISSARY PROFIT The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Inmates shall be charged a cost that includes applicable tax on product prices and taxes shall be paid by the BIDDER to the appropriate entity, including the State of Texas. r i The BIDDER shall pay any applicable taxes or fees accrued from Commissary items to the appropriate entity, including the State of Texas. Page 3 of 4 ACKNOWLEDGEMENT OF ADDENDUM, IF ANY: Addendum No. 1 Received yes Yes or No OUT OF STATE CORPORATIONS: Certification of authority to conduct business as an Out -of -State Corporation in Texas shall be provided. State license number, if any, shall also be shown. Provided yes Not Applicable Yes or No The undersigned affirms that they are duly authorized to execute this BID and that this company, corporation, firm, partnership or individual has not prepared this BID in collusion with any other BIDDER, that the contents of this BID as to prices, terms or conditions of said BID have not been communicated by the undersigned nor by their employees or agents to any official, employee, or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this BID. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee, or agent of Calhoun County in connection with this BID. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID NAME & TITLE OF AUTHORIZED SIGNATURE (PRINT OR TYPE) (PRINT OR TYPE) �ISr-�3a IS96 PHONE NUMBER Page 4 of 4 m Crown Correctional Telephone CArCkUVN correctional telephone BID FORM FINANCIAL OFFERINGS AND RATES Bid Number: 2021.05 Inmate Telephone Services and Inmate Banking Software, Commissary Service and Fiduciary Management Services • Please Type. if handwritten, shall be in ink and legible. White out is not acceptable. BIDDER'S NAME & ADDRESS Crown Correctional Telephone 305 W. 3rd Street Clifton, Texas 76634 TELEPHONE SERVICES SIGN ON BONUS: BIDDER may pay the DETENTION FACILITY (Payable to CALHOUN COUNTY) a CASH SIGN ON BONUS upon the execution of the awarded Contract. Cash Sign on Bonus to CALHOUN COUNTY: $ 0_00 MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY COMMISSIONS From phone calling card or phone time used charges AND the Gross Billed Revenue on ALL CALLS: 1. Minimum Monthly Guaranteed Revenue: $0.00 per month 2. Minimum Monthly Guaranteed Percentage: 68% The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. 1571Page correctional telephone (� FOR EACH CALL MADE BY AN INMATE, THE CHARGE SHALL BE: Collect Calling Rates CALL TYPE PER CALL CHARGE (CONNECT FEE) 1ST MINUTE EACH ADDITIONAL MINUTE Local $0.00 $0.20 $0.20 Instrastate/IntraLATA $0.00 $0.20 $0.20 Instrastate/InterLATA $0.00 $0.20 $0.20 Interstate $0.00 $0.20 $0.20 Prepaid & Debit Calling Rates CALL TYPE PER CALL CHARGE (CONNECT FEE) 1ST MINUTE EACH ADDITIONAL MINUTE Local $0.00 $0.20 $0.20 Intrastate/IntraLATA $0.00 $0.20 $0.20 Intrastate/InterLATE $0.00 $0.20 $0.20 Interstate $0.00 $0.20 $0.20 International Debit $0.00 1 $0.35 1 $0.35 Domestic interstate rates apply for calls to U.S. territories including American Samoa, Guam, Northern Mariana Islands, Puerto Rico and U.S. Virgin Islands. All non-U.S. destinations are rated as international. Call rates shown do not include local, city, county, state and federal taxes, regulatory fees and billing fees. Non-Commissionable Billing Fees: 1. Payment Processing Fee (Live Agent) $595 2. Payment Processing Fee (IVR or Internet) $3.00 3. Bill Statement Fee (Collect & Direct Billing only) $ 0_00 4. All Other Fees free or waived The BIDDER shall pay any applicable taxes or fees accrued from inmate calls to the appropriate entity, including the State of Texas. 1581Page CArCNkN correctional telephone COMMISSARY SERVICES MONTHLY GUARANTEED REVENUE & COMMISSION PERCENTAGE TO CALHOUN COUNTY IMPORTANT: All revenue and commission payable to CALHOUN COUNTY must be clearly defined for both operation options: Inmate Self -Service Kiosks and Phone Order Entry. Revenue/Commission shall reflect interfacing with the current Jail Management System INMATE SELF-SERVICE KIOSKS 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage 3. Number of days to deliver items ordered: PHONE ORDER ENTRY 1. Minimum Monthly Guaranteed Revenue: 2. Minimum Monthly Guaranteed Commission Percentage: 3. Number of days to deliver items ordered: ADJUSTED GROSS SALES $0.00 per month 38% One days $0.00 per month 38% One days Adjusted gross sales are gross sales less the sales of non-commissioned items as determined by the BIDDER. The commission will be based on the weekly adjusted gross commissary sales. GROSS MONTHLY SALES LESS Postage/Indigent Sales LESS Credits/Refunds LESS Sales Tax = ADJUSTED COMMISSIONABLE SALES 38% COMMISSION RATE = CALHOUN COUNTY'S COMMISSARY PROFIT The payment to CALHOUN COUNTY shall never be less than the Minimum Monthly Guaranteed. Inmates shall be charged a cost that includes applicable tax on product prices and taxes shall be paid by the BIDDER to the appropriate entity, including the State of Texas. The BIDDER shall pay any applicable taxes or fees accrued from Commissary items to the appropriate entity, including the State of Texas. 1591Page corcNov"N correctional telephone ACKNOWLEDGEMENT OF ADDENDUM, IF ANY: Addendum No. 1 Received YES Yes or No OUT OF STATE CORPORATIONS: Certification of authority to conduct business as an Out -of -State Corporation in Texas shall be provided. State license number, if any, shall also be shown. Provided NO Not Applicable ✓ NA Yes or No The undersigned affirms that they are duly authorized to execute this BID and that this company, corporation, firm, partnership or individual has not prepared this BID in collusion with any other BIDDER, that the contents of this BID as to prices, terms or conditions of said BID have not been communicated by the undersigned nor by their employees or agents to any official, employee, or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this BID. ( The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee, or agent of Calhoun County in connection with this BID. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID 10/01/2021 DATE President AUTHORIZED SIGNATURE & TITLE Ryan Bartula, President NAME & TITLE OF AUTHORIZED SIGNATURE (PRINT OR TYPE) ryan@crownphoneservice.com EMAIL (PRINT OR TYPE) 254-708-0087 ( PHONE NUMBER 1601Page #15 NOTICE OF MEETING— 10/27/2021 15. Consider and take necessary action on insurance proceeds from TAC for the MMC Business Interruption portion of the Winter Storm Claim in the amount of $45,600.00. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 17 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <ca nd ice.vi Ila rreal @cal hou ncotx.org> Sent: Monday, October 18, 2021 5:21 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer; David Hall; vern lyssy; joel.behrens@calhouncotx.org; Gary Reese Subject: Insurance Proceeds - MMC Business Interruption - Winter Storm Attachments: Business Interuption Winter Storm.pdf MaeBelle, Please add to the agenda for Commissioners Court on October 27th • Consider and take necessary action on insurance proceeds from TAC for the MMC Business Interruption portion of the Winter Storm Claim in the amount of $45,600. Thank you, Candice VilTarreaC 1slAssistantAuditor Calhoun County Auditors Office 202 S. Ann Street, Suite B (Port Lavaca, V 77979 (hone (361)553-4612 Calhoun County Texas TEXAS ASSOCIATII OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 53941 10/14/2021 PR20219650-1 .Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 $0.00 TO REORDER CALL: (706)327-9550 W14SF001014M 05/21 #16 NOTICE OF MEETING — 10/27/2021 16. Consider and take necessary action to approve a FY 22/23 Interlocal Agreement with the Regional Public Defender's Office for Capital Cases. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 17 REGIONAL PUBLIC DEFENDER FOR CAPITAL CASES P.O. BOX 2097 LUBBOCK, TX 79408 MAIN: (806)696-3740 FAX:(806)696-3750 CHIEF PUBLIC DEFENDER Edward Ray Keith Jr. DEPUTY PUBLIC DEFENDER Keri Mallon Honorable Richard Meyer County Judge County of Calhoun 211 S. Ann Street Port Lavaca, Texas 77979 Via email: richard.meyer@calhouncotx.org RE: FY2022123Interlocal Agreement Honorable Judge Meyer: CHIEF FINANCIAL OFFICER Amy Sharb SYSTEM ADMINISTRATOR Elaine Nauert The current Interlocal Agreement expires September 30, 2021. Enclosed is the new Interlocal for the FY2022/23 biennium. The Interlocal begins October 1, 2021 and expires September 30, 2022; it will automatically renew on October 1, 2022 and expire September 30, 2023. The contribution amount for this biennium have stayed the same as the current Interlocal Agreement. This allows for your contribution amount to not increase for another two fiscal years. The due date for the approved Interlocal Agreement is October 1, 2021. If you have any questions, please feel free to contact us. Sincerely, Edward Ray Keith, Jr. Angleton Austin Lubbock San Antonio Terrell (979)266-7613 (512)756-4621 (806)641-8407 (210)886-8789 (972)551-0100 INTERLOCAL AGREEMENT This interlocal agreement (the "Agreement") is made by and between the REGIONAL PUBLIC DEFENDER OFFICE LOCAL GOVERNMENT CORPORATION ("RPDO"), and CALHOUN COUNTY, TEXAS ("PARTICIPANT"), a political subdivision of the State of Texas, (also, individually, a "Party" or, collectively, the "Parties"). This Agreement is made pursuant to the Fair Defense Act, Texas Code of Criminal Procedure 26.044(b), and Texas Government Code Chapter 791. RECITALS WHEREAS, Chapter 791 of the Texas Government Code, also known as the Interlocal Cooperation Act, authorizes all local governments to contract with each other to provide a governmental function or service that each party to the contract is authorized to perform individually and in which the contracting parties are mutually interested; and WHEREAS, the RPDO is a public, non-profit corporation organized under Subchapter D, Chapter 431 of the Texas Transportation Code a "local government" pursuant to Section 791.003(4)(B) of the Texas Government Code and is authorized to participate on behalf of Lubbock County to oversee and provide defense services to indigent defendants in counties which enter into interlocal agreements with the RPDO to provide defense services; and WHEREAS, Participant has a need for and desires the RPDO to provide defense services to indigent defendants in Calhoun County, Texas outlined herein; and WHEREAS, each Party finds: 1) that the subject of this Agreement is necessary for the benefit of the public; and 2) that it has the legal authority to perform and to provide the government function or service which is the subject matter of this Agreement; and, WHEREAS, the performance of this Agreement by RPDO and PARTICIPANT will be in the common interest of the Parties; NOW, THEREFORE, the Parties agree as follows: ARTICLE I PROGRAM 1.01 Program Purpose and Term. The Regional Public Defender for Capital Cases (the "RPDO"), funded proportionately by the Texas Indigent Defense Commission Multi -Year Discretionary Grant Program Funds (the "TIDC"), will provide court -appointed counsel for individuals charged with the offense of capital murder (death -eligible) in the participating counties and who cannot afford to hire their own attorney. Inmates in units of the Texas Department of Criminal Justice within the region who are charged with capital murder will continue to be represented by the State Counsel on Offenders, or by private counsel in the case of a conflict. Capital murder cases filed against inmates in units of the Texas Department of Criminal Justice shall not be counted in the average number of capital murder cases filed in a county. Participant recognizes that counties from other Administrative Judicial Regions ("Region") are also participating in the program. Each county's participatory costs are based upon funding received from the Texas Indigent Defense Commission ("TIDC"). The remaining portion of the program's budget is cost - sharing commensurate with all eligible counties' applicable inclusion in the program. In order to provide sustainable funding for the RPDO and a fond balance for emergency situations, participating counties will contribute (with a minimum contribution of $1,000 per county) per the detailed county allocation schedule marked as Attachment 1 and incorporated herein for all purposes. Based upon this cost -sharing approach, participating counties shall provide the remaining operating costs based upon a formula taking into account the population of the county as a percentage of the whole of the participating counties (50%) and the average number of capital murder cases filed between 2011 and 2020 as a percentage of the participating counties (50%). The Interlocal Agreements shall become effective October 1, 2021 and continue through September 30, 2022. Thereafter, the agreements shall automatically renew each October 1" for a successive one-year term through September 30, 2023, unless terminated under this Agreement. 1.02 Judges Authorized to Appoint RPDO. The District Courts in the 1st 2°a 3fd 4`11, 5th, 6th, 7a 8a', 9 b,10th and 11 `s Administrative Judicial Regions in eligible counties may participate in the Program. The Program allows the Honorable Judge(s) of the Judicial District having jurisdiction within PARTICIPANT's geographic boundaries to appoint the RPDO for the trial defense of death -eligible capital murder cases. In the event of a conflict of interest among defendants or a legal liability for the RPDO to accept appointment, the trial court shall appoint an attorney or attorneys other than the RPDO at the PARTICIPANT's expense. 1.03 Duties and Responsibilities of the RPDO. Subject to the terms and conditions outlined herein, the RPDO will represent defendants at the trial or re -trial phase only. All decisions pertaining to the presentation of the case will be at the sole discretion of the RPDO and the RPDO attorney will at all times be guided by and comply with the RPDO's attorney's duties as a licensed attorney in the State of Texas and the Texas Disciplinary Rules of Professional Conduct in making these determinations. It is understood and acknowledged by the parties that the duties and responsibilities of the RPDO to provide the services and legal representation under this Agreement are subject to the application of the following, as determined at the sole and absolute discretion of the RPDO: (i) the Texas Disciplinary Rules of Professional Conduct; (ii) the State Bar of Texas Guidelines and Standards for Texas Capital Counsel; (iii) the Supplementary Guidelines and Standards for the Mitigation Function of Defense Teams in Texas Death Penalty Cases; (iv) the American Bar Association Guidelines for the Appointment and Performance of Defense Counsel in Death Penalty Cases; (v) the American Bar Association Supplementary Guidelines for the Mitigation Function of Defense Teams in Death Penalty Cases; (vi) all applicable state statutes including but not limited to Article 26.0440) of the Texas Code of Criminal Procedure; and (vii) any applicable case load management policies as may be adopted by the RPDO. 1.04 Ri¢ht to Audit. The RPDO will conduct an annual audit that, upon written request, will be made available to the PARTICIPANT. PARTICIPANT may request and be provided with an opportunity to audit any relevant and non -confidential records of the RPDO directly related to PARTICIPANT's agreement with the RPDO that support the calculations of charges invoiced to the PARTICIPANT under this Agreement. Such audits shall be conducted at PARTICIPANT's sole cost and expense and under mutually acceptable terms at RPDO's premises in a manner that minimizes any interruption in the daily activities at such premises. 1.05 Data for the Analysis. As consideration for its participation in the Program, PARTICIPANT agrees to provide the RPDO information as needed to conduct the analysis, including the current payment schedule for court -appointed counsel on capital murder cases and the previous five fiscal years' data on the amount PARTICIPANT paid for appointed counsel on capital murder cases, if available. 1.06 Additional Experts. PARTICIPANT will continue to incur the expense of additional experts as approved by the local court. 1.07 Fact Investigators and Mitigation Specialists. The RPDO will provide a fact investigator and mitigation specialist to cases assigned to the RPDO office. 1.08 No other Costs Incurred. Neither the TIDC nor the RPDO will assume any additional costs associated with representation of indigent defendants. Costs of interpreters or any other collateral cost must be absorbed by PARTICIPANT. ARTICLE II OTHER TERMS AND CONDITIONS 2.01 Notice and Addresses. Any notice required by this Agreement shall be deemed to be properly served, if (i) provided in person, by e-mail with delivery confirmation; or (ii) deposited in the United States mail by certified letter, return receipt requested, addressed to the recipient at recipient's address shown below, subject to the right of either party to designate a different address by notice given in the manner just described: If to RPDO: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases PO Box 2097 Lubbock, Texas 79408 E-Mail: rkeith(LT�rpdo.org If to PARTICIPANT: Honorable Richard Meyer County Judge Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 E-Mail: richard.meyer(a)calhouncotx.org 2.02 Governmental Function/No Waiver of Immunity. The parties to this Agreement acknowledge that the services contracted for in this Agreement relate to the governmental functions of the PARTICIPANT and the RPDO. Nothing in this Agreement shall be construed to impair or affect any sovereign or governmental immunity or official immunity enjoyed by or otherwise available to the PARTICIPANT, the RPDO, or their respective officers and employees. No waiver of sovereign or official immunity, whether express or implied, is intended or made by this Agreement. 2.03 No Partnership. Nothing contained in this Agreement is intended to create a partnership or joint venture between the Parties, and any implication to the contrary is hereby expressly disavowed. This Agreement does not create a joint enterprise, nor does it appoint any Party as an agent of the other Party, for any purpose whatsoever. 2.04 Employee Status. RPDO shall have the sole obligation to employ, direct, control, supervise, manage, discharge and compensate all of its employees. RPDO's employees will not be considered, for any purpose, employees of PARTICIPANT within the meaning or the application of any federal, state or local law or regulation, including without limitation, laws, rules or regulations regarding or related to unemployment insurance, health insurance, old age benefits, workers compensation, labor, personal injury or taxes of any kind. 2.05 Waiver. The failure of any Parry to insist upon the performance of any terms or provision of this Agreement or to exercise any right granted hereunder shall not constitute a waiver of that Party's right to insist upon appropriate performance or to assert any such right on any future occasion. 2.06 Benefit of the Parties. The terms and conditions of this Agreement are solely for the benefit of the Parties and are not intended to create any rights, contractual or otherwise, for any other person or entity. 2.07 Force Maieure. If the performance of any obligation under this Agreement is delayed by something reasonably beyond the control of the Party obligated to perform ("Force Majeure"), that Party shall be excused from performing the obligation during that period, so that the time period applicable to the performance shall be extended for a period of time equal to the period that Party was delayed due to the event of Force Majeure. 2.08 Severability. In case any one or more of the provisions contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision and this Agreement shall be construed as if the invalid, illegal, or unenforceable provision had never been contained herein. 2.09 Non -Appropriation. RPDO and PARTICIPANT recognize that any payments made for performance under this Agreement and any services provided shall be and are subject to the current revenues available to the respective parry. Either party may terminate this Agreement, without incurring any liability to the other except to pay for any services already rendered, if funds sufficient to pay the obligations hereunder or to provide the services are not appropriated by the respective governing bodies of the parties. Unless terminated pursuant to other applicable termination provisions contained in this Agreement, in the event of non -appropriation of funds by a governing body of one of the parties to this Agreement for services provided under this Agreement, this Agreement shall terminate automatically on the last day of the then - current fiscal year or when the appropriation made for the then -current fiscal year for the services covered by this Agreement is spent, whichever occurs first. 2.10 Prior Aareements Superseded. This Agreement constitutes the only agreement of the Parties and supersedes any prior understanding or written or oral agreements between the Parties respecting the within subject matter. 2.11 Amendments. In order to be binding, an amendment to this Agreement must be in writing, dated subsequent to the date of this Agreement, and executed by the Parties. 2.12 Withdrawal by Party. (a) Voluntary Withdrawal. Voluntary withdrawal by PARTICIPANT from the Agreement shall occur upon the affirmative decision by PARTICIPANT's Commissioners Court to withdraw from the Agreement and the withdrawing PARTICIPANT giving at least one hundred and eighty (180) calendar days' notice in writing to RPDO and the RPDO. The effective date of voluntary withdrawal shall be one hundred and eighty (180) calendar days after the withdrawing Participant gives written notice to RPDO. (b) Involuntary Withdrawal. PARTICIPANT shall be deemed to have involuntarily withdrawn from the Agreement upon the failure by the PARTICIPANT to pay any cost -sharing payment by the due date, as provided in a notice to the PARTICIPANT. PARTICIPANT shall be given thirty (30) days written notice of non-payment by RPDO and shall not be deemed to be in default until the expiration of thirty (30) days after receipt of the written notice. (c) In the event that PARTICIPANT withdraws under (a) or (b) and the RPDO is representing an individual or individuals after having been appointed by a court in PARTICIPANT'S county, beginning on the effective date of the withdrawal, PARTICIPANT shall be responsible for timely payment of $150.00 per hour for the first chair attorney, $125.00 per hour for the second chair attorney, $60.00 per hour for the mitigation specialist and $50.00 per hour for the investigator. Additionally, PARTICIPANT shall also timely pay upon receipt and documentation all investigative costs incurred by the RPDO including but not limited to travel, lodging, meals and records collection. SIGNED AND EXECUTED this a% T' day of 20 Z REGIONAL PUBLIC DEFENDER OFFICE LOCAL GOVERNMENT CORPORATION William Cox, Chairman ATTEST: Geoff Burkhart, Board Secretary APPROVED AS TO CONTENT: Edward Ray Keith Jr. Chief Public Defender Regional Public Defender for Capital Cases COUNTY OF CALHOUN c orable Richard Meyer County Judge ATTEST: a-17174 11JO00ihIG_ County Clerk APPROVED AS TO CONTENT: REVIEWED FOR FORM: REVIEWED FOR FORM: Matthew L. Wade Underwood Law Firm General Counsel County Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collingsworth Colorado Comal 2010 Pop 58,458 14,786 86,771 23,158 9,054 1,901 44,911 28,417 7,165 20,485 74,171 3,726 31,861 310,235 10,497 641 18,212 92,565 313,166 194,851 9,232 1,637 7,223 38,106 17,187 42,750 38,066 21,381 13,544 12,401 6,182 30,464 8,062 35,096 50,845 7,041 10,752 3,127 3,320 8,895 3,057 20,874 108,472 %Total Avg cases %Total FY22 Cost per Pop per yr Cases County 0.66% 0.9 0.69% $25,301.00 0.17% 0.4 0.31% $8,984.00 0.97% 1.3 0.99% $37,551.00 0.26% 0.2 0.15% $7,646.00 0.10% 0.0 0.00% $1,719.00 0.02% 0 0.00% $1,000.00 0.50% 0.6 0.46% $18,255.00 0.32% 0.9 0.69% $19,402.00 0.08% 0.6 0.46% $10,447.00 0.23% 0.1 0.08% $5,605.00 0.83% 0.5 0.38% $22,511.00 0.04% 0 0.00% $1,000.00 0.36% 1.6 1.22% $30,159.00 3.48% 6 4.58% $155,196.00 0.12% 0.2 0.15% $5,058.00 0.01% 0 0.00% $1,000.00 0.20% 0.3 0.23% $8,174.00 1.04% 2.9 2.21% $60,942.00 3.52% 1.2 0.92% $78,780.00 2.19% 2.7 2.06% $78,144.00 0.10% 0 0.00% $1,756.00 0.02% 0 0.00% $1,000.00 0.08% 0 0.00% $1,339.00 0.43% 1.9 1.45% $36,601.00 0.19% 0.5 0.38% $11,001.00 0.48% 0.1 0.08% $10,133.00 0.43% 0.1 0.08% $9,242.00 0.24% 0.3 0.23% $8,829.00 0.15% 0.1 0.08% $4,159.00 0.14% 0 0.00% $2,413.00 0.07% 0 0.00% $1,126.00 0.34% 0.5 0.38% $13,747.00 0.09% 0 0.00% $1,515.00 0.39% 0.2 0.15% $10,147.00 0.57% 0.4 0.31% $16,033.00 0.08% 0 0.00% $1,304.00 0.12% 0.3 0.23% $6,630.00 0.04% 0 0.00% $1,000.00 0.04% 0 0.00% $1,000.00 0.10% 0.1 0.08% $3,207.00 0.03% 0 0.00% $1,000.00 0.23% 0.1 0.08% $5,685.00 1.22% 0.4 0.31% $27,857.00 FY23 Cost per County $25,301.00 $8,984.00 $37,551.00 $7,646.00 $1,719.00 $1,000.00 $18,255.00 $19,402.00 $10,447.00 $5,605.00 $22,511.00 $1,000.00 $30,159.00 $155,196.00 $5,058.00 $1,000.00 $8,174.00 $60,942.00 $78,780.00 $78,144.00 $1,756.00 $1,000.00 $1,339.00 $36,601.00 $11,001.00 $10,133.00 $9,242.00 $8,829.00 $4,159.00 $2,413.00 $1,126.00 $13,747.00 $1,515.00 $10,147.00 $16,033.00 $1,304.00 $6,630.00 $1,000.00 $1,000.00 $3,207.00 $1,000.00 $5,685.00 $27,857.00 Comanche 13,974 0.16% 0.2 0.15% $5,760.00 $5,760.00 Concho 4,087 0.05% 0 0.00% $1,000.00 $1,000.00 Cooke 38,437 0.43% 0.9 0.69% $21,238.00 $21,238.00 Coryell 75,388 0.85% 0.8 0.61% $27,599.00 $27,599.00 Cottle 1,505 0.02% 0 0.00% $1,000.00 $1,000.00 Crane 4,375 0.05% 0.1 0.08% $2,272.00 $2,272.00 Crockett 3,719 0.04% 0.1 0.08% $2,136.00 $2,136.00 Crosby 6,059 0.07% 0.1 0.08% $2,620.00 $2,620.00 Culberson 2,398 0.03% 0 0.00% $1,000.00 $1,000.00 Dallam 6,703 0.08% 0 0.00% $1,234.00 $1,234.00 Dawson 13,833 0.16% 0 0.00% $2,709.00 $2,709.00 Deaf Smith 19,372 0.22% 0.1 0.08% $5,374.00 $5,374.00 Delta 5,231 0.06% 0.1 0.08% $2,446.00 $2,446.00 DeWitt 20,097 0.23% 0 0.00% $4,005.00 $4,005.00 Dickens 2,444 0.03% 0 0.00% $1,000.00 $1,000.00 Dimmit 9,996 0.11% 0.1 0.08% $3,435.00 $3,435.00 Donley 3,677 0.04% 0.1 0.08% $2,128.00 $2,128.00 Duval 11,782 0.13% 0 0.00% $2,285.00 $2,285.00 Eastland 18,583 0.21% 0.1 0.08% $5,211.00 $5,211.00 Ector 137,130 1.54% 3.8 2.90% $85,957.00 $85,957.00 Edwards 2,002 0.02% 0 0.00% $1,000.00 $1,000.00 Ellis 149,610 1.68% 1 0.76% $45,992.00 $45,992.00 Erath 37,890 0.43% 1.2 0.92% $25,549.00 $25,549.00 Falls 17,866 0.20% 0.8 0.61% $15,700.00 $15,700.00 Fannin 33,915 0.38% 0.5 0.38% $14,461.00 $14,461.00 Fayette 24,554 0.28% 0 0.00% $4,902.00 $4,902.00 Fisher 3,974 0.04% 0 0.00% $1,000.00 $1,000.00 Floyd 6,446 0.07% 0 0.00% $1,181.00 $1,181.00 Foard 1,336 0.02% 0 0.00% $1,000.00 $1,000.00 Franklin 10,605 0.12% 0.6 0.46% $11,158.00 $11,158.00 Freestone 19,816 0.22% 0.2 0.15% $6,986.00 $6,986.00 Frio 17,217 0.19% 0.4 0.31% $9,487.00 $9,487.00 Gaines 17,526 0.20% 0.8 0.61% $15,629.00 $15,629.00 Galveston 291,309 3.27% 3.1 2.37% $107,215.00 $107,215.00 Garza 6,461 0.07% 0 0.00% $1,184.00 $1,184.00 Gillespie 24,837 0.28% 0 0.00% $4,985.00 $4,985.00 Glasscock 1,226 0.01% 0 0.00% $1,000.00 $1,000.00 Goliad 7,210 0.08% 0.1 0.08% $2,859.00 $2,859.00 Gonzales 19,807 0.22% 0.7 0.53% $14,458.00 $14,458.00 Gray 22,535 0.25% 0.8 0.61% $16,665.00 $16,665.00 Grayson 120,877 1.36% 1.9 1.45% $53,724.00 $53,724.00 Gregg 121,730 1.37% 2 1.53% $53,971.00 $53,971.00 Grimes 26,604 0.30% 0.2 0.15% $8,390.00 $8,390.00 Guadalupe 131,533 1.48% 1.3 0.99% $45,755.00 $45,755.00 Hale 36,273 0.41% 0.5 0.38% $14,949.00 $14,949.00 Hall 3,353 0.04% 0 0.00% $1,000.00 $1,000.00 Hamilton 8,517 0,10% 0 0.00% $1,609.00 $1,609.00 Hansford 5,613 0.06% 0.1 0.08% $2,528.00 $2,528.00 Hardeman 4,139 0.05% 0 0.00% $1,000.00 $1,000.00 Hardin 54,635 0.61% 0.7 0.53% $21,786.00 $21,786.00 Harrison 65,631 0.74% 2.8 2.14% $54,139.00 $54,139.00 Hartley 6,062 0.07% 0 0.00% $1,101.00 $1,101.00 Haskell 5,899 0.07% 0 0.00% $1,066.00 $1,066.00 Hays 157,107 1.76% 0.9 0.69% $44,867.00 $44,867.00 Hemphill 3,807 0.04% 0 0.00% $1,000.00 $1,000.00 Henderson 78,532 0.88% 0.7 0.53% $26,373.00 $26,373.00 Hill 35,089 0.39% 0.5 0.38% $14,704.00 $14,704.00 Hockley 22,935 0.26% 0 0.00% $4,592.00 $4,592.00 Hood 51,182 0.57% 0.6 0.46% $19,552.00 $19,552.00 Hopkins 35,161 0.39% 0.4 0.31% $13,199.00 $13,199.00 Houston 23,732 0.27% 0.4 0.31% $10,776.00 $10,776.00 Howard 35,012 0.39% 0 0.00% $7,090.00 $7,090.00 Hudspeth 3,476 0.04% 0.25 0.19% $4,351.00 $4,351.00 Hunt 86,129 0.97% 2.8 2.14% $60,212.00 $60,212.00 Hutchinson 22,150 0.25% 0.3 0.23% $8,988.00 $8,988.00 Irion 1,599 0.02% 0 0.00% $1,000.00 $1,000.00 Jack 9,044 0.10% 0 0.00% $1,718.00 $1,718.00 Jackson 14,075 0.16% 0.3 0.23% $7,290.00 $7,290.00 Jasper 35,710 0.40% 1.5 1.14% $29,491.00 $29,491.00 Jeff Davis 2,342 0.03% 0 0.00% $1,000.00 $1,000.00 Jefferson 252,273 2.83% 4.1 3.13% $108,367.00 $108,367.00 Jim Hogg 5,300 0.06% 0 0.00% $1,000.00 $1,000.00 Jim Wells 40,838 0.46% 1.8 1.37% $34,884.00 $34,884.00 Johnson 150,934 1.69% 1 0.76% $45,143.00 $45,143.00 Jones 20,202 0.23% 1.1 0.84% $20,462.00 $20,462.00 Karnes 14,824 0.17% 0 0.00% $2,914.00 $2,914.00 Kaufman 103,350 1.16% 2.1 1.60% $53,137.00 $53,137.00 Kendall 33,410 0.38% 0.2 0.15% $9,798.00 $9,798.00 Kenedy 416 0.00% 0 0.00% $1,000.00 $1,000.00 Kent 808 0.01% 0 0.00% $1,000.00 $1,000.00 Ken 49,625 0.56% 0.3 0.23% $14,672.00 $14,672.00 Kimble 4,607 0.05% 0.2 0.15% $3,840.00 $3,840.00 King 286 0.00% 0 0.00% $1,000.00 $1,000.00 Kinney 3,598 0.04% 0 0.00% $1,000.00 $1,000.00 Kleberg 32,061 0.36% 0.7 0.53% $16,967.00 $16,967.00 Knox 3,719 0.04% 0 0.00% $1,000.00 $1,000.00 La Salle 6,886 0.08% 0.3 0.23% $5,831.00 $5,831.00 Lamar 49,793 0.56% 1.9 1.45% $38,145.00 $38,145.00 Lamb 13,977 0.16% 0.1 0.08% $4,258.00 $4,258.00 Lampasas 19,677 0.22% 0.4 0.31% $9,945.00 $9,945.00 Lavaca 19,263 0.22% 0.5 0.38% $11,360.00 $11,360.00 Lee 16,612 0.19% 0.1 0.08% $4,803.00 $4,803.00 Leon 16,801 0.19% 0.1 0.08% $4,843.00 $4,843.00 Liberty 75,643 0.85% 1.7 1.30% $40,475.00 $40,475.00 Limestone 23,384 0.26% 0.9 0.69% $18,361.00 $18,361.00 Lipscomb 3,302 0.04% 0 0.00% $1,000.00 $1,000.00 Live Oak 11,531 0.13% 0 0.00% $2,233.00 $2,233.00 Llano 19,301 0.22% 0 0.00% $3,840.00 $3,840.00 Loving 82 0.00% 0 0.00% $1,000.00 $1,000.00 Lubbock 278,831 3.13% 3 2.29% $103,114.00 $103,114.00 Lynn 5,915 0.07% 0 0.00% $1,072.00 $1,072.00 Madison 13,664 0.15% 0.8 0.61% $14,830.00 $14,830.00 Marion 10,546 0.12% 0.1 0.08% $3,549.00 $3,549.00 Martin 4,799 0.05% 0 0.00% $1,000.00 $1,000.00 Mason 4,012 0.05% 0 0.00% $1,000.00 $1,000.00 Matagorda 36,702 0.41% 1.1 0.84% $24,155.00 $24,155.00 Maverick 54,258 0.61% 0 0.00% $10,951.00 $10,951.00 McCulloch 8,283 0.09% 0 0.00% $1,561.00 $1,561.00 McLennan 234,906 2.64% 3.7 2.82% $99,650.00 $99,650.00 McMullen 707 0.01% 0 0.00% $1,000.00 $1,000.00 Medina 46,006 0.52% 0.7 0.53% $20,001.00 $20,001.00 Menard 2,242 0.03% 0 0.00% $1,000.00 $1,000.00 Midland 136,872 1.54% 1 0.76% $43,357.00 $43,357.00 Milam 24,757 0.28% 0.4 0.31% $11,047.00 $11,047.00 Mills 4,936 0.06% 0 0.00% $1,000.00 $1,000.00 Mitchell 9,403 0.11% 0 0.00% $1,793.00 $1,793.00 Montague 19,719 0.22% 0.8 0.61% $16,083.00 $16,083.00 Moore 21,904 0.25% 0.3 0.23% $8,937.00 $8,937.00 Morris 12,934 0.15% 0.2 0.15% $5,562.00 $5,562.00 Motley 1,210 0.01% 0 0.00% $1,000.00 $1,000.00 Nacogdoches 64,524 0.72% 1.7 1.30% $38,238.00 $38,238.00 Navarro 47,735 0.54% 0.6 0.46% $18,839.00 $18,839.00 Newton 14,445 0.16% 0.2 0.15% $5,875.00 $5,875.00 Nolan 15,216 0.17% 0.2 0.15% $6,016.00 $6,016.00 Ochiltree 10,223 0.11% 0 0.00% $1,962.00 $1,962.00 Oldham 2,052 0.02% 0 0.00% $1,000.00 $1,000.00 Orange 81,837 0.92% 0.7 0.53% $27,036.00 $27,036.00 Palo Pinto 28,111 0.32% 0.9 0.69% $19,130.00 $19,130.00 Panola 23,796 0.27% 0.2 0.15% $7,777.00 $7,777.00 Parker 116,927 1.31% 0.6 0.46% $33,153.00 $33,153.00 Parmer 10,269 0.12% 0 0.00% $1,972.00 $1,972.00 Pecos 15,507 0.17% 0.5 0.38% $10,653.00 $10,653.00 Polk 45,413 0.51% 1.6 1.22% $33,554.00 $33,554.00 Potter 121,073 1.36% 1.6 1.22% $49,206.00 $49,206.00 Presidio 7,818 0.09% 0 0.00% $1,465.00 $1,465.00 Rains 10,914 0.12% 0.6 0.46% $11,222.00 $11,222.00 Randall 120,725 1.36% 1.6 1.22% $49,134.00 $49,134.00 Reagan 3,367 0.04% 0 0.00% $1,000.00 $1,000.00 Real 3,309 0.04% 0.1 0.08% $2,052.00 $2,052.00 Red River 12,860 0.14% 0.5 0.38% $10,105.00 $10,105.00 Reeves 13,783 0.15% 0.1 0.08% $4,218.00 $4,218.00 Refugio 7,383 0.08% 0 0.00% $1,375.00 $1,375.00 Roberts 929 0.01% 0 0.00% $1,000.00 $1,000.00 Robertson 16,622 0.19% 0.7 0.53% $13,804.00 $13,804.00 Rockwall 78,337 0.88% 0.3 0.23% $20,343.00 $20,343.00 Runnels 10,501 0.12% 0 0.00% $2,020.00 $2,020.00 Rusk 53,330 0.60% 2 1.53% $40,299.00 $40,299.00 Sabine 10,834 0.12% 0.4 0.31% $8,167.00 $8,167.00 San Augustine 8,865 0.10% 1 0.76% $16,656.00 $16,656.00 San Jacinto 26,384 0.30% 1.1 0.84% $21,729.00 $21,729.00 SanPatricio 64,804 0.73% 0.3 0.23% $17,621.00 $17,621.00 San Saba 6,131 0.07% 0.7 0.53% $11,753.00 $11,753.00 Schleicher 3,461 0.04% 0 0.00% $1,000.00 $1,000.00 Scurry 16,921 0.19% 0.2 0.15% $6,387.00 $6,387.00 Shackelford 3,378 0.04% 0 0.00% $1,000.00 $1,000.00 Shelby 25,448 0.29% 0.9 0.69% $18,585.00 $18,585.00 Sherman 3,034 0.03% 0.1 0.08% $1,000.00 $1,000.00 Smith 209,714 2.35% 3.8 2.90% $96,235.00 $96,235.00 Somervell 8,490 0.10% 0 0.00% $1,604.00 $1,604.00 Starr 60,968 0.68% 1.5 1.14% $34,617.00 $34,617.00 Stephens 9,630 0.11% 0 0.00% $1,840.00 $1,840.00 Sterling 1,143 0.01% 0 0.00% $1,000.00 $1,000.00 Stonewall 1,490 0.02% 0 0.00% $1,000.00 $1,000.00 Sutton 4,128 0.05% 0.2 0.15% $3,740.00 $3,740.00 Swisher 7,854 0.09% 0.2 0.15% $4,511.00 $4,511.00 Taylor 131,506 1.48% 1.1 0.84% $43,766.00 $43,766.00 Terrell 984 0.01% 0 0.00% $1,000.00 $1,000.00 Terry 12,651 0.14% 0.1 0.08% $3,984.00 $3,984.00 Throckmorton 1,641 0.02% 0 0.00% $1,000.00 $1,000.00 Titus 32,334 0.36% 0.1 0.08% $8,010.00 $8,010.00 Tom Green 110,224 1.24% 0.2 0.15% $25,688.00 $25,688.00 Trinity 14,585 0.16% 0 0.00% $2,865.00 $2,865.00 Tyler 21,766 0.24% 0.5 0.38% $11,948.00 $11,948.00 Upshur 39,309 0.44% 0.9 0.69% $21,415.00 $21,415.00 Upton 3,355 0.04% 0.1 0.08% $2,061.00 $2,061.00 Uvalde 26,405 0.30% 0.4 0.31% $11,388.00 $11,388.00 Val Verde 48,879 0.55% 0.4 0.31% $16,037.00 $16,037.00 Van Zandt 52,579 0.59% 0.7 0.53% $21,361.00 $21,361.00 Victoria 86,793 0.97% 2.4 1.83% $52,742.00 $52,742.00 Walker 67,861 0.76% 0.2 0.15% $16,925.00 $16,925.00 Waller 43,205 0.49% 0.9 0.69% $22,461.00 $22,461.00 Wad 10,658 0.12% 0.1 0.08% $3,572.00 $3,572.00 Washington 33,718 0.38% 0.2 0.15% $9,862.00 $9,862.00 Webb 250,304 2.81% 1.2 0.92% $69,861.00 $69,861.00 Wharton 41,280 0.46% 1.6 1.22% $32,699.00 $32,699.00 Wheeler 5,410 0.06% 0.1 0.08% $2,486.00 $2,486.00 Wichita 131,500 1.48% 1.7 1.30% $51,571.00 $51,571.00 Wilbarger 13,535 0.15% 0.5 0.38% $10,245.00 $10,245.00 Willacy 22,134 0.25% 1.6 1.22% $28,739.00 $28,739.00 Wilson 42,918 0.48% 0 0.00% $8,726.00 $8,726.00 Winkler 7,110 0.08% 0 0.00% $1,318.00 $1,318.00 Wise 59,127 0.66% 0.5 0.38% $19,676.00 $19,676.00 Wood 41,964 0.47% 0.3 0.23% $12,995.00 $12,995.00 Yoakum 7,879 0.09% 0 0.00% $1,477.00 $1,477.00 Young 18,550 0.21% 0.2 0.15% $6,724.00 $6,724.00 Zapata 14,018 0.16% 0.1 0.08% $4,267.00 $4,267.00 Zavala 11,677 0.13% 0 0.00% $2,263.00 $2,263.00 # 17 NOTICE OF MEETING — 10/27/2021 17. Consider and take necessary action to approve the Specifications and Contract Documents for Lane Road Drainage Improvements for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Thursday, November 18, 2021 in the Commissioners' Courtroom. Sealed Bids will be due before 2:00:00 pm, Thursday, December 9, 2021. (GR) Scott Mason with G&W spoke. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner, Pct 4 SECONDER: Joel Behrens, Commissioner, Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 17 Gary D. Reese County Commissioner County of Calhoun Precinct 4 October 20, 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 27, 2021. Consider and take necessary action to approve the Specifications and Contract Documents for Lane Road Drainage Improvements for Calhoun County, Texas - Texas General Land Office Contract No. 20-065-064-C 182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise forbids. A pre -bid meeting shall be held at 10:00 am, Thursday, November 18, 2021 in the Commissioners' Courtroom. Sealed Bids will be due before 2:00:00 pm, Thursday, December 9, 2021. Sincerely, Gary D. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: aarv.reesencalhouncomore — (361) 785-3141 — Fax (361) 785-5602 Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend) <april.townsend@calhouncotx.org> Sent: Wednesday, October 20, 2021 9:10 AM To: MaeBelle.Cassel@calhouncotx.org; richard.meyer@calhouncotx.org Cc: gary.reese@calhouncotx.org Subject: Agenda Request for October 27, 2021 Attachments: 2021-10-27 Lane Rd Project.pdf Please see attached agenda request for October 27, 2021. Gary, I know you may not be able to open the attachment so here is what it is.... Consider and take necessary action to approve the Specifications and Contract Documents for Lane Road Drainage Improvements for Calhoun County, Texas —Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. B-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise forbids. A pre -bid meeting shall be held at 10:00 am, Thursday, November 18, 2021 in the Commissioners' Courtroom. Sealed Bids will be due before 2:00:00 pm, Thursday, December 9, 2021. Thank you, April May -Townsend Office Manager Calhoun County Pct. 4 361.785.3141 aoril. townsendp_calhouncotx. orq —Life's a journey, enjoy the ridel-- Calhoun County Texas z€n�;S pia fan § F � sa F°�S° e a"Yi"-§2€�_�@s e� zs ggms 29 99 3 „ A. p g° go-- U MOO � o a=€ og az a �s 6S a= p w8 "= a = a�eP� a Gae' �e ='e Jos<�s$s�s� 3scg5R sad ,1R4 �N 9M F5s a' S�9 g $m�€ '=g g as s"€l"a�N $ s p ¢^�^� 0K5 ygg y IMI gE ; R ga ' € AHNAga- u PO€§fig ; my og: ab"9 83 m b Sp,g.01 9 W91. Roo : mo€ NMI -ce g3BT ga'iyAa. P 9�2g?no ON � ffma 18.8,25 9 €g�pm g�a bIRV$: s'y'y"pp �r�Rc R g34"gig 11 Hill a 6aRsac gg��mg = m �i� a8F UP gj "E N �f LANE ROAD DRAINAGE CALHOUN COUNTY, TEXAS GLO-CDBG-DR CONTRACT # 20-065-064-Cl 82 GENERAL NOTES 6. 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LANE ROAD DRAINAGE CALHOUN COUNTY, TEXAS GLO-CDBG-DR CONTRACT # 20-065-064-C182 WINGWALL DETAILS 3q TBkB9 L+^eMLa.ea s�®°ea.ms Hero P-a<lee fq a &W ENGINEERS, INC. }� e p9/i6/PI FOR BIpCINC PU ZTUOIc sVRVEY1Np pLPNNWC ® p6/13/21 PRELIMINARY - 2OS06 N llce Cek SL Port Uvee4 Pexea 77970 (3e1)66E-46pB 1601 'I!h 34, ptlte RBB Eey CRy Teava 7Md t9]) K.119 0 ® p6/11 /21 PRELIMINARY - REv. on,E oeseRl mm;D r + _N m z cn m v v a N r VD + z V Vo -i Dm 00 , z D r N 8 m<AX r+� —o m z o m 0 v Dor D + z V U1 g9� LANE ROAD DRAINAGE^xs IeMt...6 m�;,,ee,�e Pam s-641ea CALHOUN COUNTY, TEXAS ��I°I C7 8t W /j GLO-CDBG-DR ENGINEERS, INC, ^ r�l }' eNcpEeplNc ® os/1 s] DITCH IMPROVEMENTS PLAN gas w 1:_ „ _. sOR1�""` P1NR'"c ® os/lai 9tL 9l5114 260 ge9 Crt9 T.xu ]]616 (B]B) 329- U Uti/11 /21 PRfl.IMINARY - 0 i $ `"�� ="- LANE ROAD DRAINAGE CALHOUN COUNTY, TEXAS GLO—CDBG-DR DITCH IMPROVEMENTS PLAN ENLARGED PLANS .$a° R°°"°'°'—Buee t G&W i, ENGINEERS, INC. � 0 e 09/lfi/21 FOR 91BOING P CNCP.'eceeic SVRVEYMc etNMWC ® 09/13/21 pRELIMINPRY - zos w. u.. o°x sr, e>a >ewa°, r n, rieeB (ae»sse..SBB . ofi/11/21 PRELMwARY - Rev, ogre ocsCI M r ,, �,-_`•'••,rly �'7�, ;y•9�', �^ y' •� j 4w �' sl % LANE ROAD DRAINAGE CALHOUN COUNTY, TEXAS GLO-CDBG-DR DITCH IMPROVEMENTS PLAN ENLARGED PLANS r.... Ra¢nta.:a Bov�..,Uv v-Cu00 "E'? jr'i IF ry G �� ENGINEERS. INC. q ® 08/Ifi/21 FCR RIGGING f CNCBiEO BVRV WG pLWNpIC ® 08/13/21 pREMMINPflY 205 W. U- Q� 9L v A I —', T—s 77979 (2(1)652-4300 NSv. 03/11/21 oP1E paeuMlrvnnr o3sc 1601 7 L 3l S,Ite 260 Bry City rerna 'I'161A (B99) Bzs-noo riq N of^+°9Ay _ ,% LANE ROAD DRAINAGE CALHOUN COUNTY, TEXAS GLO-CDBG-DR DITCH IMPROVEMENTS PLAN ENLARGED PLANS T"°' R`�•k'°a a°BN°.a°a P„m P-Guea h, 'W0 G w fjb ENGINEERS. INC. � � � p p ® G9/lfi/21 FOR BIDDING I RNCA'6EI1WC SURVEYING PI.FNNWC ® GB/15/pl PRELIMINARY zos R .. G°e 6L Port Lwv T°iva ]'iBfB (361)$SP�4$GB � G6/11/II PRELIMINARY I601 '/W St. SWte E80 0vy Gty Texas t]414 (B'!B) 923—t1G0 REv. GAZE GEst # Zs NOTICE OF MEETING— 10/27/2021 18. Consider and take necessary action to approve the Calhoun County E9-1-1 Emergency Communication District Proposed FY 2022 budget. (RM) Rachel Morales spoke. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: Gary Reese, Commissioner, Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 17 CALHOUN COUNTY E9-1-1 EMERGENCY COMMUNICATION DISTRICT MEMORANDUM TO: Judge Richard Meyer FROM: Raquel Morales, Executive Director SUBJECT: Fiscal Year 2022 Proposed Budget Date: October 21, 2021 Enclosed for your review and comment is the Calhoun County E9-1-1 Emergency Communication District's Fiscal Year 2022 Budget. The Calhoun County E911 Board approved this proposed budget at their regularly scheduled and properly noticed meeting held on September 24, 2021. Please address your written comments to the Chairman of the Board at the address on the bottom of this memorandum. The Calhoun County E911 Board will review your comments, make changes as necessary. Enclosed is a post card to facilitate your response. 'File contents of this post card are consistent with the provisions of the Texas Health & Safety Code, Chapter 772.309, which enables each participating jurisdiction to either approve or disapprove the Calhoun County F,911 ECD Fiscal Year 2022 Budget. Should a jurisdiction choose to take no action, budget approval is by operation of law on the sixty-first day lbllowing the jurisdiction's receipt of the proposed budget. Please call me if you have questions or require further in(firmation. 426 West Main Street. Suite Q / P.O. Box 1093 * Pat Lavaca. TX 77979 Office: (361)552-5455 * Fax: (361)552-9691 G-Mail: e91 Ikhcalhouncota.ora Calhoun County E911 ECD Post Office Box 1093 Port Lavaca, Texas 77979 Honorable Judge Richard Meyer County of Calhoun 211 South Ann Street Port Lavaca, Texas 77979 CALHOUN COUNTY E911 ECD FISCAL YEAR 2022-13UDGET APPROVAL `7\PPROVED DISAPPROVED NO ACTION TAKEN Ln' 0 a r l r 0 to o 0 o to N lA i/� V4 V O O O W iR R N W i+ A V to 0 0 0 0 0 0 0 0 tR N in to A O O O O O O O O O ff3 41 A w 0 0 mI 0 n d � C y � t� �C css cfl sus Efi ? ? W w w 00 O O 0 0 0 0 0 tJ O R y w ^O S m A A � O � fD R Q CI' y' N p �I• y O n C `" < O K p�� O Lp 0 r 'O rn m N O r `J' fD b H N w W A� 69 69 w OHO A 00 t�/i � J fA 69 d O O to to O w N A fA Vi in O iD N Oo Oo cn N O O O O O O O O O O O O O O O O O O O O N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 k @ f/r!40 2 ° El55 3\\®)®°°®-°"�� / (CA \ ICI--0 0 3 § � � \ cƒ . �) k\ /E \ m\ �� \ \ \\\ fff\\\\\\\ \ N o � � d A � m y y �Ok y zCC�yCO G)b y z0 tit)> A 0 5 m ro 0• w o ° a ~ �y n• r a (D O w `• '. • r�i. * a 0 L�.I w [D cn `� N Q N �rj `S 0 , c C rn 69 �+ b9 69 U 69 69 A 69 uP 69 65 69 b9 ,. EA EA (A N O 69 oo 69 — 69 A 69 v O O C O F+ N W N 00 O 01 O b9 0o O 69 N O N O O O W O W O 00 O 01 �l fA O O N O W �l i-- O O O 01 01 O 00 O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O #19 NOTICE OF MEETING— 10/27/2021 19. Accept reports from the following County Offices: I. County Extension Office Travel Report — September 2021 ii. County Extension Office 4-H and Youth Development — September 2021 III. County Extension Office Agriculture and Natural Resources — September 2021 iv. County Extension Office Coastal and Marine — September 2021 v. County Extension Office Family and Community Health — September 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner, Pct 2 SECONDER: David Hall, Commissioner, Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 17 e 7 00 O .,7 N tj' w v d i O N "U A, y, � p .. a p0�^�I 0 N � (p „'1 IFY11 yz ?�71 14 n' o4ro �a rg `zo z z ,o� �7 tW/1 N 0�0 ? N O N Q\ 00 v W O O In to G\ N O m A O O C C C ? CO O C G C7 C G a A IS N rA N w � oa � }� N O O r A a N N n S O 8 p 4-11 and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2021 Miles traveled: County Vehicle 1,066; Personal Vehicle 173 Selected major activities since last report 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 16 — Gardening at Travis September 15 & 17 — Helped RJ and Nicole (Matagorda County) with a "Hook Era & Cook Ent" video September 18 — Fair Workday/Progress Show September 20 — Virtual District Food Challenge Meeting — 4-H Night September 22 — District 11 TAE4-HA — Solving Bank Issues (Sinton/Odem) September 23 — Gardening at Travis September 24 — Virtual District Food Show/Challenge Meeting September 25 — 4-H Kayaking Trip — Boggy September 27 — Livestock Judging Practice - County 4-H Council Meeting September 28-29 — State Fair of Texas (Dallas) September 29 — CCF Rabbit Clinic II September 30 — Meeting with CCISD about Formosa Tejano Wetlands Field Trip - Gardening at Travis Direct Contacts by: Office: 15 E-mail: 223 Facebook Posts/Followers: 14 posts/495 followers Site: 9 Newsletters: 1 Instagram Posts/Followers: 2 posts/180 followers Phone/Texts: 47 4-H Enrollment: 161 youth; 19 adult volunteers Major events for next month— October 2021 October 1 — Mindful SELF Training — YMCA 4-H Club Meeting October 5 — Livestock Judging Practice October 6 — Commissioners' Court with 4-H Members for National 4-H Week October 7 — Gardening at Travis — Goat Project Visit October 12-17 — Calhoun County Fair Week October 19 — 4-H Sportfishing Meeting October 20 — District Program Planning Meeting — Sinton t Emilee S. DeForest Calhoun CEA — 4-H and Youth Development September 2021 Texas A&M AgriLife Extension - The Texas A&M University System - College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMM September 2021 Miles traveled: County Vehicle (108) Personal() Selected major activities since last report September 1-2 Attend Southeast Regional Meeting September 9 County Army Worms —Pick Cotton Plots September 10 Pick Cotton Plots September 14-15 Out for Hurricane September 16 Planted Gardens at Travis Middle School September 18 Fair Workday- Lamb and Goat — Heifer and Steer Progress Show September 20 4H Night September 23 Site Visit — Work on Seadrift Garden Beds. COURT September 24 Attend Matagorda Cattleman's Committee Meeting Work with Range Specialist on Herbicide test plots in Matagorda and Calhoun Counties September 27 Attend Matagorda Commissioners Court. (Calhoun Commissioners are dressed better.) September 28 Annual Leave September 30 Turn in Keys and Credit Card Direct Contacts by: Office: 7 E-mail/Letters: 80 / 0 Facebook Posts/Followers: posts 6 / 510 followers Site Visits 4 Phone/Texts:45 Volunteers:4 Major events for next month — October 2021 Soil and Water Conservation District Banquet CCF Livestock Show — Commercial Heifer Check in - Show — Commercial Heifer Sale — Load out King Ranch Institute - Symposium "Sustainable Ranching: Navigating Challenges and Embracing Opportunities" Obtain - Texas Farm Credit Certificate in Advanced Ranch Management- King Ranch Institute for Ranch Management. South Texas Farm and Ranch Show Camp Saddle Sore Instructor - Matagorda County Greg Baker Calhoun Name County CEA- Agriculture and Natural Resources September - 2021 Title Date (Month -Year) Texas A&M AgriLife Extension - The Texas A&M University System - College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT August 2021 Miles traveled: County Vehicle 102 Personal Vehicle - 118 Selected major activities since last report 9/ 1 — CPR/First Aid Instructor Training in Houston 9/2 — AgriLife Fall Faculty Meeting 9/8 — Marine Advisory Committee Meeting — Palacios Marine Ag. Center 9/9 — Texas Sea Grant Extension Team Meeting 9/14 — Sea Turtle Twitter Talk 9/15 — Shoot Hook Em and Cook Em Video 9/16 — Travis Jr High Garden Progarm 9/17 — Shoot Hook Em and Cook Em Video 9/20 — 4-H Night 9/23 — F1atsWorthy Meeting 9/27 — Aransas County Commissioners Court Interpretation — Sportfishing Day Direct Contacts by: Office: 11 E-mail/Letters: 184 Instagram Posts/Followers: 10/196 Site:4 Newsletters: 0 Phone/Texts:166 Volunteers:5 Major events for next month — October 2021 10/22 — Texas ASBPA Meeting — Galveston 10/27-10/29 — TXGLO Adopt -A -Beach Meeting Galveston Name County Coastal and Marine Aaent September 2021 L Title Date (Month -Year) 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 September 2021 Miles traveled: County Van Personal Vehicle Selected maior activities since last report ➢ 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 8 Hard Head Derby Meeting ➢ 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-H Calhoun Agents Joint Program to introduce youth to 4-H ➢ Sept 21-22 District 11 Retreat in Rockport ➢ Sept 23 Meeting with Our Lady of the Gulf ➢ 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 Sept 30 Food Handler class at Our Lady of the Gulf Church- others can attend Direct Contacts by: Office:5 E-mail/Letters: 560 Facebook Page Post 23 Site:O Newsletters: 0 Followers 531 Phone/Texts:20 Volunteers:) Mai or events for next month — October 2021 ➢ October 1, 8, 15, 22 & 29 Master of Memory Program in Port O' Connor ➢ October 4, 11, 18 & 25 Step Up Scale Down Program ➢ October 8-17 Working with the Calhoun County Fair ➢ October 12-14 State Judges and Commissioner's Conference ➢ October 19 & 20 Cooking Well With Diabetes Training ➢ October 21 United Way and Senior Citizen's Meetings ➢ October 22 Pecan Orders Due ➢ October 25 Teaching about Herbs with Victoria Agent ➢ October 6, 20 and 27 Food Challenge Practice with 4-H ➢ October 28 Food Handler's in Cuero Karen P. Lyssv Name CEA — Family and Community Health Title County September 2021 Date (Month -Year) Texas A&M AgriLife Extension • Texas A&M University System • College Station, Texas # zo NOTICE OF MEETING — 10/27/2021 20. Consider and take necessary action on any necessary budget 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 Page 16 of 17 v m O V E� H 3 T = C MIN F r i cfOo� 0 000 W M fA (q Hf T T O o 0 0 m� AWEl ,Z o cn o v ) O o c1 =ol T 0 U) m m m c 0 Z D z m z z z m m 0 D r O o 0 0 fq VI W T fA E9 T O o 0 0 N m O m T v= C z p m '0 =M O WE z A_ 3 = m 4 m=_ I tan = z z - rn Z�+ m= << 'n m C= 2 e �= o r_ z z =_ C o a= C N m= Z=_ M_ N �rnrnwrncna m Ip oaww�w� ~ Z m�•�nCN�•p ATVkp�Os a 0NOv15{mccoo ODNmm�-o AOmmcE�o OO7mcmo7 0-WOpNmcmo+ mmmc Z °TN zo O� m O m �z 7JA Ar a O mm z o°c D O m m � MCO-4X Z m O OOOO OO 0 G)G)0 G)0I�� yzzzzzz z-I-I�-4��(Of3OP 10 Z9 NN=emazoa N C H O H m 3 Y y 3 A O \ ti O r TT EA Vl Vi Vi Efl di fATT 0 0 0 0 0 0 0 JIM 0 0 0 0 0 0 0 s� s N O A N w O Vi O Vi O K O T O O O O O O O T nVi Vi Big T 9 O O Vi O Vi O t9 T T O O O O O O O range W W W Oo O EA E9 i� W T ^ O O O O O O O T v m W m m n m i0 a r -0Z A Zi z m n m D N a -o s D iy0 r r D '^ m Cn 00 zz O o 0 0 V1 E9 Vi Vi � T 0 0 0 0 O c to Z m m m a r C 0 A i =o o5 O m Oo c v N M. ca'C''y' T r m w O O zz ti O O zz 3 i v z Z ma i m; m z m Z y A: z a€ o v m o a F: n O c z N In 2 v n m m m c O A I 19 n C'! O C z N 2 O==m min m_- NN 00 3= N m 111=_ m z �l G) Z puu� z = m = v a= Cpw 3= � m= D < �= o� 0= n o= A a€ O Z=_ a A G= y W y W= Z m m Y �= m A o G)_ mzz R1= m t) iM= A ZDD gel ME m yzz ME 0 z " " 1 s n= 0 C Z _ a �+ 1 y T O O v N W O00 O ME 0= Jm= O O O O z= 0co _ N= O coo o oF»o��W O O O O W fR fF O O Q T 1 n m O m m a m m i z n Z 0 N i0 a r H O n n y raj A N y oo� 0K Z Gaj D m am)m v 0 c� � c co m T m m m cn O 0 O A N 3 3 $ G= z o m= M T m _ m A_ 3=_ m=_ ZE .4_ O z 3 Z m_ m C= 0 z ip �1 m =_ a O 0= n C O M- m=_ n= M a p= z__ c N=' c 0 n m m m r- c v www N N N H 000a n n xox zwz W A A A {o{ ci mm V N v c z , T m A N � m m a O O zz 3 rn wF»vi cn�� 0 0 0 0 0 T T f9 0 ffl 0 4A 4A 1fl 0 0 0 n C'! O C z N §k k \ / -4) M| A �E k n ME 2 Z§ ( °■ �j \ m) �k CO) � �/ / kz � )) M\ �( s; ` � k\ § z= o = o| § 2 § WE % ■ ■ v: ) ( § % ma) § k ; - � ■ ■; - ■ ■ m: Z) § \ Z ■ ` �) 2 k m( \ k §( co § m: z § s| n »; z: e S o »: 20 - § § m( § ! , e ■; = c o m: f ■ z: f � ■ : ■ | § m: ■ § § a) ,q ; �! )) ` §) Z) - �\ ■ " - �) , ` ■: m �( ; M! m! z G ■ ; „ ;r� § )) c : § § ( !«B�� !§M } ' ( k q % 2 � § � § z 0 a m a 1 m m z 1 O 1 a r to o,OI O I I3 z m G c -m z 1" O ME z mu _ o m IN n = ♦= 3 : 3= m 9 m= z E z .. a= o m_ o a z= Z OE z m= n ; a z z= f 1 (! -1 = #21 NOTICE OF MEETING — 10/27/2021 21. Approval of bills and payroll. (RM) Indigent Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese MMC 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 Adjourned 11:08 a.m. Page 17 of 17 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APRROUAL LIST FOR - October 27 2021 it 0, INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES MMCenter(In-patient$0/Out-patient$1,297.60/ER$420.48) *** 0.08 SUBTOTAL 0.08 Memorial Medical Center (indigent Healthcare Payroll and Expenses) 0.00 Subtotal 0.08 Co -pays adjustments for September 2021 0 00 Reimbursement from Medicaid 0.00 Total was incorrect when submitted to court on 10/20/2021 ***Total was entered as $1718.00 instead of $1718.08 COUNTY, TEXAS DATE: G 10127/2, VENDOR # 852 CC Indigent Health Care ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRIC TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $0.08 approved by Commissioners Conrt 6n;-10/27/2021 1 ODO-001-46010 $0.00 $0.08 COUNTY AUDITOR ggCC APPROVAL QNLY p THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME ION AND REQUEST THE COUNTY TREASURER TO PAY IN GOODaOB THE ABOATION. BY: v 10/20/2021 ® = O Q 0 � O F- 7 2 ® O D ' m x w.. DEPARTMENT HEAD DATE AW October 27, 2021 2021 APPROVAL LIST - 2021 BUDGET COMMISSIONERS COURT MEETING OF 10/27/21 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 18 $182,102.19 ANDERSON MACHINERY CO. A/P $ 4,058.40 ANNOUNCEMENTS PLUS TOO AGAIN A/P $ 388.00 AT&T MOBILITY A/P $ 361.87 BORRACHO PESCADOR A/P $ 200.00 CACHO, THANIA A/P $ 275.00 COUGAR MOATS MEMORIAL SCHOLARSHIP A/P $ 200.00 DELTA WTERFOWL FOUNDATION A/P $ 200.00 FRONTIER COMMUNICATIONS A/P $ 489.98 GARDENLAND NURSERY A/P $ 3,600.00 HERNANDEZ, LIZ A/P $ 275.00 ILES, CHRIS A/P $ 2,010.00 MCI MEGA PREFERRED A/P $ 223.21 MEMORIAL MEDICAL CENTER A/P $ 45,600.00 OMNIBASE A/P $ 120.00 SJS INDUSTRIAL, LLC A/P $ 8,325.00 VULCAN CONST. MATERIALS A/P $ 75,910.02 WHITE TRASH SERVICES AT $ 1,219.80 WILSON CONSTRUCTION AT $ 7,800.00 TOTAL VENDOR DISBURSEMENTS: $ 333,358.47 --- PAYROLL FOR 10/29/21 P/R $ 350,218.97 TOTAL PAYROLL AMOUNT: $ 350,218.97 1� CALHOUN COUNTY INDIGENT HEALTH CARE A/P $ 0.08 TOTAL INVESTMENT ACTIVITY AND TRANSFERS BETWEEN FUNDS $ 0.08 TOTAL AMOUNT FOR APPROVAL: $ 683,577.52 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---October 27 2021 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS_ _ $ 1,065,628.66 TOTAL TRANSFERS3ETWEENFUNDS $ 611,193.47 11-1� TOTAL NURSING HOME UPL EXPENSES $ 1,304,011.33 TOTAL INTER,GOVERNMENTTRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED October 27, 2021 $ 2,880,833235 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---October 27 2021 PAYABLES AND PAYROLL 10/21/2021 Weekly Payables 393,700.98 10/2112021 Blue Cross Blue Shield -Insurance and (2) Cobra 203,070.40 10125/2021 McKesson-340B Prescription Expense 9,079.18 10125/2021 Amerisource Bergen-3408 Prescription Expense 251.64 10/25/2021 Payroll Liabilities -Payroll Taxes 111,667.55 10/25/2021 Payroll 346,921.13 10125/2021 Payroll Liabilities for supplemental payroll -Payroll Taxes 63.96 10/25/2021 Supplemental Payroll 358.76 Prosperity Electronic Bank Payments 10118-10122/21 Pay Plus -Patient Claims Processing Fee 516.96 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS- $ 1,065 628.65 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 10/21/2021 MMC Operating to Broadmoor-correction of NH insurance payment deposited 480.00 into MMC Operating 10/2112021 MMC Operating to Golden Creek -correction of NH insurance payment 9,992.70 deposited into MMC Operating in error and NH portion of QIPP 1012112021 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 3,226.83 deposited into MMC Operating 10121/2021 MMC Operating to Tuscany Village -correction of MMC medicare recoup taken 19,037.53 from Tuscany 10/21/2021 MMC Operating to Bethany-corn:clion of NH insurance payment deposited 19,946,12 into MMC Operating in error MEDICARE ADVANCE PAYMENT RECOUP 10/2512021 Broadmoor to MMC Operating -correction of Broadmoor medicare recoup 1,281.70 taken from MMC Operating 10/2512021 Crescent to MMC Operating -correction of Crescent medicare recoup taken 1,281.70 from MMC Operating 10/25/2021 Solana to MMC Operating -correction of Solera medicare recoup taken from 1,281,70 MMC Operating 1012512021 Golden Creek to MMC Operating -correction of Golden Creek recoup taken 1,281.70 from MMC Operating 10125/2021 Tuscany to MMC Operating -correction of Tuscany medicare recoup taken 1,281,70 from MMC Operating TRANSFER OF FUNDS BETWEEN NURSING HOMES 10/2512021 Gulf Pointe Plaza -PP -correction of MMC and MMC Clinic insurance payment 73.279.20 deposited into Gulf Pointe Plaza -PP in error 10/25/2021 Gulf Pointe Plaza -PP -correction of Ashford Insurance payment deposited into 50.804.85 Gulf Pointe Plaza -PP in error 10/2512021 Gulf Pointe Plaza -PP -correction of Broadmoor insurance payment deposited 83,751.55 into Gulf Pointe Plaza -PP in error 10125/2021 Gulf Pointe Plaza -PP -correction of Crescent insurance payment deposited 35,229.13 into Gulf Pointe Plaza -PP In error 1012512021 Gulf Pointe Plaza -PP -correction of Fort Bend insurance payment deposited 19,768.66 into Gulf Pointe Plaza -PP in error 10f25f2021 Gulf Pointe Plaza -PP -correction of Solera insurance payment deposited into 116,171.39 Gulf Pointe Plaza -PP in error 10/2512021 Gulf Pointe Plaza -PP -correction of Golden Creek insurance payment 24,637.27 deposited into Gulf Pointe Plaza -PP in error 10/25/2021 Gulf Pointe Plaza -PP -correction of Tuscany Insurance payment deposited into 40,668.74 Gulf Pointe Plaza -PP in error 10/2512021 Gulf Pointe Plaza -PP -correction of Bethany insurance payment deposited into 7,791.00 Gulf Pointe Plaza -PP in error TOTAL TRANSFERS BETWEEN FUNDS $ 611,193.47' NURSING HOME UPL EXPENSES 1012512021 Nursing Home UPL-Cantex Transfer 745,9%70 10/25/2021 Nursing Home UPL-Nexion Transfer 55,376.62 10/25/2021 Nursing Home UPL-HMG Transfer 179,251.69 10/25/2021 Nursing Home UPL-Tuscany Transfer 12,039.44 10/2512021 Nursing Home UPL-HSL Transfer 267,437.24 QIPP CHECKS TO MMC 10/25/2021 Ashford 14,059.24 10/25/2021 Broadmoor 5,819.32 10/25/2021 Crescent 4,673.24 10/25/2021 Fort Bend 5,681.00 10/25/2021 Solere 5,513.04 10/25/2021 Tuscany 8,249.80 TOTAL NURSING HOME UPL EXPENSES $ 1;304,011.33 TOTAL INTER=GOVERNMENTTRANSFERSI GRAND TOTAL DISBURSEMENTS APPROVED 'October 27, 2021 $ 2,880,833.35 Page 1 of 19 MEMORIAL MEDICAL CENTER 10/21/2021 p - -- " AP Open Invoice List 10:38 - ap_open_invoice.tamplate Due Dates Through: 11/03/2021 Vendor# Vendor Name Class Pay Code 10950 ACUTE CARE INC V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV422 10/08/20 10/20/20 "10/30120. 1,400.00 0.00 0.00 1,400,00 RFID FEE Vendor Total: Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor# Vendor Name Class Pay Code A1660 AIRGAS USA, LLC - CENTRAL DIV ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 9118287362 " 10/16/20 10/05/20 10/30/20 177.32 0.00 0.00 177.32 ,i y; OXYGEN 9983135940 6/ 10/16/20 09/30/20 10/30/20 97.74 0.00 0.00 97.74 V" OXYGEN 9983135939 �„'� 10/18/20 09/30120 10130/20 788.75 0.00 0.00 788.75 yj OXYGEN 9983133637 10/18/20 09/30/20 10/30/20 508.89 0.00 0.00 508.89 v- RESPIRATORY . 9118123551 ✓' 10/18/20 09/30/20 10/30/20 2,316.23 0.00 0,00 2,316.23 .- OXYGEN Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 3,888.93 0.00 0.00 3,888.93 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Cheek D Pay Gross Discount No -Pay Net e93021- 10/12/2010/04/2010/29/20. 43A0 0.00 0.00 43.40 IliC3';ik SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 43.40 0.00 0.00 43.40 Vendor# Vendor Name Class Pay Cade A0400 AUREUS RADIOLOGY LLC -/ Invoice# , Comment Tran Dt Inv Dt Due of Check Or Pay Gross Discount No -Pay Net 2334522 ✓ 10/12/20 10/04/20 11/03/20 2,660.00 0.00 0.00 21680.00 LAB STAFFING . 2334881 <% 10/12120 10/04/20 11103120 2,705.13 0.00 0.00 2,705.13 LAB STAFFING 2334777 ✓" 10/121201010412011/03/20 2,785.88 0.00 0.00 2,785.88 V" LAB STAFFING . Vendor Totals Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 8,171.01 0.00 0.00 6,171.01 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE +' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 72432402 10/19/20 10109120 11/03/20 136.22 0.00 0,00 136.22 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 61150 BAXTER HEALTHCARE 13622 0.00 0.00 136.22 Vendor# Vendor Name Class Pay Code file:///C:/Users/eheimatl/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5reportl 583... 10/21 /2021 Page 2 of 19 B1220 BECKMAN COULTER INC '" M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 109333597✓" 10/05/2010103/2010/28/20. 1,050.33 0.00 0.00 1.050.33 ✓ SUPPLIES 1093333868 ✓ 10105/2010/03/20 10/28/20 102.36 0.00 0.00 102.36 t SUPPLIES . t 09334693 10/05/20 10/04/20 10/29/20 255.90 0.00 0.00 255.90 ✓ SUPPLIES 109334470✓" 10/05/20 10104/20 10129/20 82.48 0.00 0100 82.48 ✓ SUPPLIES 109334822 ✓- 10/05/20 10104/2010/29/20 7,352,94 0.00 0.00 7.352.94 ✓ - SUPPLIES 109332433 ,%' 10/18/20 10/01/20 10/28/20 506.25 0.00 0.00 506.25 v' SUPPLIES 5447518 ✓ 1011812(110/05/20 10/30/20 6,249.42 0.00 0.00 6,249.42 Lam' MAINT CONTRACT LEASE Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 15.599.68 0.00 0.00 15,599.68 Vendor# Vendor Name Class Pay Code 61320 BEEKLEY CORPORATION v' M Invoice# Comment Tran Ot Inv Or Due Dt Check D Pay Gross Discount No -Pay Net INV1474506✓ 10120/20 10113120 10/20120 411.95 0.00 0.00 411.95 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPORATION 411.95 0.00 0.00 411.95 Vendor# Vendor Name Class Pay Code 14152 BENTEC MEDICAL OPCO LLC ✓-1 Invoice# Comment Tran Dt Inv or Due or Check D Pay Gross Discount No -Pay Net 100783 11' 10/18/20 09/27/20 10/28/20 259,57 0.00 0.00 259.57 SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net 14152 BENTEC MEDICAL OPCO LLC 259.57 0.00 0100 259,57 Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, INC Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 905053800 �:' 10/18/20 09/20/20 10/28/20 9,859.74 0.00 0.00 9.859.74 Vendor Totals Number Name Gross Discount No -Pay Net 11072 BIO-RAD LABORATORIES, INC 9,859.74 0.00 0.00 9,859,74 Vendor# Vendor Name Class Pay Code 10599 BKD,LLP ✓, Invoice# Comment Tres Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SK01450202 „✓ 10/19120 08/27/20 10/19/20 4,269.20 0.00 0.00 4,269.20 AUDITSERVICES �! Vendor Totals Number Name Gross Discount No -Pay Net 10599 BKD, LLP 4,269.20 0.00 0.00 4,269.20 Vendor# Vendor Name Class Pay Code 13892 BLUE CROSS BLUE SHIELD REFUND Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0172725 10118/20 10/12120 10128/20 60.00 0.00 0.00 60.00 PATIENT REFUND file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5 report1583... 10/21 /2021 Page 3 of 19 102021 10/20/2010/2012010/20120. 70.00 0.00 0.00 70.00 PATIENT RFD RICHARD MCFA Vendor Totals Number Name Gross Discount No -Pay Net 13892 BLUE CROSS BLUE SHIELD REFUND 130.00 0.00 0.00 130.00 Vendor# Vendor Name Class Pay Code 61800 BRIGGS HEALTHCARE a%' M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 8369532 ✓ 10/11/2010/01/2010/31/20 - 142.50 0.00 0.00 142.50 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1800 BRIGGS HEALTHCARE 142.50 0.00 0.00 142.50 Vendor# Vendor Name Class Pay Code D1040 C R BARD, INC Involw# comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 83180184 v" 10/15/20 10/05/20 10/28/20 350.78 0.00 0.00 350.78 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net D1040 C R BARD, INC 350.78 0.00 0.00 350.78 Vendor# Vendor Name Class Pay Code A1825 CARDINAL HEALTH 414,LLC a! M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8002651559 ✓ 10119120 10/01/20 10/31/20 338.63 0.00 0.00 338.63 v' Vendor Totals Number Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 338.63 0.00 0.00 338.63 Vendor# Vendor Name Class Pay Code 13992 CARIANT HEALTH PARTNERS �'• Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 128542A / 10/14/2010106/2010/30120 2,096.25 0.00 0.00 2,096.25 t; MED SURG TRAVEL NURSING 128541A, 10/14/2010/06/2010/31/20. 4,820.00 0.00 0.00 4,820.00 L MED SURG TRAVEL NURSING 128730 V 10/15120 10113/20 10128/20 780.00 0.00 0.00 780.00 MED SURG TRAVEL NURSE 128729 •' 10/15/20 10/13/20 10/28/20, 1,000.00 0.00 0.00 1,000.00 v' MED SURG TRAVEL NURSE _ Vendor Totals Number Name Gross Discount No -Pay Net 13992 CARIANT HEALTH PARTNERS 8,696.25 0.00 0.00 8,696.25 Vendor# Vendor Name Class Pay Code C1992 CDW GOVERNMENT, INC. v M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net L369846 ✓/ 09/30/20 09/30/20 10/30/20 5,805.37 0.00 0.00 5,805.37 y MONITOR AND THINK PADS 1<793876. 10115120 09/15/20 10/28/20 909.89 0.00 0.00 909.89 SUPPLIES 1_446983✓/ 10/t 5/2009/28/2010/28/20 62.64 0.00 0.00 62.64 L5"U[ SUPPLIES %98956.A- 10/21/20 09/30/20 10/30/20 407.50 0.00 0.00 407.50 IT SUPPLIES . Vendor Totale Number Name Gross Discount No -Pay Net C1992 COW GOVERNMENT, INC. 7,185A0 0.00 0.00 7.185.40 fi le:///C:/Users/eheiman/epsi/memmed.cpsinet.conslu985471data_5/tmp_ew5report1583... 10/21 /2021 Page 4 of 19 Vendor# Vendor Name Class Pay Cade 12768 CHEMAQUA .J,. Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7538824 ,.; W120/20. 10/10/20 10/20/20 518.75 0.00 0.00 518.75 WATER TREATMENT Vendor Totals Number Name Gross Discount No -Pay Net 12768 CHEMAQUA 518.75 0.00 0.00 518.75 Vendor# Vendor Name Class Pay Code 13760 CIGNA Invoice& Comment Tran Dt Inv Ot Due or Check D Pay Gross Discount No -Pay Net 133025 10/20/20 10/20/20 10/30/20 177.00 0.00 0.00 177.00 PATIENT Vendor Totals Number Name Gross Discount No -Pay Net 13760 CIGNA 177.00 0.00 0.00 177.00 Vendor# Vendor Name Class Pay Code 13000 CLEARFLY V' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV378507 10/1912010106/2010115/20. 1,208.72 0,00 0.00 1,206.72 PHONE Ventlor Total: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,208.72 0.00 0.00 1,208.72 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS v1 ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 176562021090 10118/20. 09/30/2010/28120 14,067.21 0.00 0.00 14.067.21 LAB SERVICES - Vendor Totals Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 14,067.21 0.00 0.00 14,067.21 Vendor# Vendor Name Class Pay Cade C1166 COASTAL OFFICE SOLUTONS W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net OEOT186041 V' 10118/20 10/07/20 10128120 433.20 0.00 0.00 433.20 SUPPLIES W0498841 10/19/20 10/15/20 10125/20 64,23 0.00 0.00 64.23 y,% SUPPLIES Vendor Total=.Number Name Gross Discount No -Pay Net 0116B COASTAL OFFICE SOLUTONS 497.43 0.00 0.00 497.43 Vendor# Vendor Name Class Pay Code 10646 COVIDIEN ,.- Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 5864187941 1/ 10/19/20 08/18/20 08/28/20 727.68 0.00 0.00 727.68 * ,.- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 1064E COVIDIEN 72T68 0.00 0.00 727.6B Vendor# Vendor NameClass Pay Code 10509 DA&E f Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 16473 10/12/20 10/04/20 10/30/20 2,440.00 0.00 0.00 2,440.00 CAH MEDICARE REIMBURSEk Vendor TotalsNumber Name Gross Discount No -Pay Net 10509 DA&E 2,440.00 0.00 0.00 2,440,00 fileal/C:/Users/eheimanlcpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5report 1583... 10/21 /2021 Page 5 of 19 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON / Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 6682420 v' 10/11/20 10/05/20 10/30/20 25A2 0.00 0.00 25.42 SUPPLIES 6581821 b'� 10/11/20.10/06120 10/31/20 54.38 0.00 0.00 54.38 SUPPLIES 6587460,/ 10/11/20 10/07120 11101/20 25.56 0.00 0.00 25.56 ./ SUPPLIES 658839 ✓""- 10/11/20 10/07/20 11101/20. 353,00 0.00 0.00 353.00 SUPPLIES 658838 ✓ 10/11/20 10/08/20 11/02/20 29.50 0.00 0.00 29.50 a' SUPPLIES 6581820 t/ 10/12/20 10/0412010129/20 123.66 0.00 0.00 123.66 yf SUPPLIES 6588790A✓ 10115/20 10108/20 11/02/20 30,74 0.00 0.00 30.74 .� I SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 642.26 0.00 0.00 642.26 Vendor# Vendor Name Class Pay rode 11291 DOWELL PEST CONTROL >% Invoice#Comment Tran Dt Inv Dt Due Ot Check D- Pay Gross Discount No -Pay Net FW5537 10/0812009130/2010/30/20. 105.00 0.00 OAO 105.00 tom' PEST CONTROL Vendor Totals Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 105.00 0.00 0.00 106.00 Vendor# Vendor Name Class Pay Cade 12044 DRIESSEN WATER INC.(CULLIGAN) off' Invoice# Comment Tran Dt Inv DI Due Dt Check DPay Gross Discount No -Pay Net 1430270308312021 08/31/20. 08/31/2011/01/20 31.50 0.00 0.00 31.50 ' SUPPLIES 14302703093021 ..%' 10/18120A9/30(2010/28120 474.00 0.00 0.00 474.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 12044 DRIE$$EN WATER INC. (CULLIGAN) 505.50 0.00 0.00 505.50 Vendor# Vendor Name Class Pay Code W1167 ELITECH GROUP INC (WESCOR) v " W Invoicen Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 758869A/ 10/21/20 10/15120 10/15/20 841.63 0.00 0.00 841.63, " SUPPLIES 761138P✓ 10121/2010/2112010/21/20 106,33 0.00 0.00 106.33 Vendor Total, Number Name Gross Discount No -Pay Net W1167 ELITECH GROUP INC (WESCOR) 947.96 0X0 0.00 947,96 Vendor# Vendor Name Class Pay Code 10042 ERBE USA INC SURGICAL SYSTEMS invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 704944 V/ 09/29/20 09/28/20 10/28/20 139.50 0.00 0.00 139.50 SUPPLIES " Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 139.50 0.00 0.00 139Z0 fi le:///C:/Users/eheiman/cpsi/memmed.cpsinct.com/u98547/data_5/tmp_cw5reportl 583... 10/21 /2021 Page 6 of 19 Vendor# Vendor Name Class Pay Code C2510 EVIDENT ✓' M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net A2110051378 / '10120120 10/05/20 10/30/20 17,414.00 0.00 0.00 17.414,00 SUPPORT T2110081378 c/ 10/20/20 10/08/2011/02120 19,959.07 0.00 0.00 19,959.97 CONSULTING/BUSINESS SER' Vendor Totals Number Name Gross Discount No -Pay Net C2510 EVIDENT 37.373.97 0.00 0.00 37.373.97 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. V' w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 752432949 v' 10/08120 10/07/20 11/01/20 13.29 0.00 0.00 13.29 v' SHIPPING 749505581 ✓ 10/15/20 09109/2010/28/20 73.69 0.00 0.00 73.69 „--' Vendor Totals Number Name Gross Discount No -Pay Net 111100 FEDERAL EXPRESS CORP. 86.98 0.00 0.00 86.98 Vendor# Vendor Name Class Pay Code 10003 FILTER TECHNOLOGY CO, INC e/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111836 ✓ 10/18/20 09/24/20 10/28/20 681.63 0.00 0.00 681.63 v' FILTERS Vendor Totals Number Name Gross Discount No -Pay Net 10003 FILTER TECHNOLOGY CO, INC 681.63 0.00 0.00 681.63 Vendor#Vendor Name Class Pay Code 14092 FIRST CONNECT CENTER LLC ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2911 ,/ 10/06/2010/0112010/31/20 4,628.75 0.00 0.00 4,628.75 v, MEO SURG STAFFING Vendor Totals Number Name Gross Discount No -Pay Net 14092 FIRST CONNECT CENTER LLC 4,628.75 0.00 0,00 4,628.75 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# ,Comment Tran Dt Inv Or Due Dt Check D, Pay Gross Discount No -Pay Net 7800657 ✓ 1011512010/06/2010/31/20. 188.90 0.00 0.00 188.90 ✓` SUPPLIES 7800643,/" 10/15/20 10/06/20 10131120 181.44 0.00 0.00 181.44 SUPPLIES 7959944./� 10/15/20 10107120 11/01/20 1,037.51 0.00 0.00 1,037.51v, SUPPLIES 2703157 ./ 10118120 09/20/20 10MNI) 143.18 0.00 0.00 143A 8 SUPPLIES 2868786 10/18/20 09121/20 10/28/20 480.07 OM 0.00 480.07 SUPPLIES 6540352 ✓ 10/18/20 09/30/20 10/28/20 848.32 0.00 0.00 848.32 SUPPLIES 7604005 v' 10/18120 10105/20 10130/20 26.80 0.00 0.00 26.80 a' SUPPLIES 7959945 10/18/20 10/07/20 11101120. 356.18 0.00 0.00 356.18 Y SUPPLIES file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_ew5report 1583... 10/21 /2021 Page 7 of 19 ull�hhl7 H1D51;b6. 10/19/20 10/08/20 11/02120. 10,051.56 0.00 0.00 10,051.56 f SUPPLIES 8277866 6"�10/19120 10108120 11/02/20 494.68 0.00 0.00 494.68 ✓" SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 13,808.64 0.00 0.00 13,808,64 Vendor# Vendor Name Class Pay Code 10678 FIVE STAR STERILIZER SERVICES eZ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 7378 v'%� 10/18/20. 07106120 10128/20. 191.41 0.00 0.00 191.41 z FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 10678 FIVE STAR STERILIZER SERVICES 191.41 0.00 0.00 191.41 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100221 10118/20 10/02/20 10/28/20 1,178.82 0.00 0.00 1,178.82 Gy' PHONE SERVICE _ Vendor Total. Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,178.82 0.00 0.00 1,178.82 Vendor# Vendor Name Class Pay Code 14156 FUJI FILM f Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net PJIN0179246 10119/20 09/15/20 10/25/20 7,908.33 0.00 0.00 7,908.33 yam'- SMA FEE Vendor Totals Number Name Gross Discount No -Pay Net 14156 FUJI FILM 7,908.33 0.00 0.00 7,908.33 Vendor# Vendor Name Class Pay Code 13960 G & S MANAGEMENT GROUP LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 34038057T,/ 10/18120 08/09/20 10/28/20 93.66 0.00 0.00 93.66 ,. TRASH SERVICES 340383239T✓ 10/18/20 09/02120 10/28120 1,379.53 0.00 0.00 1,379.53 ,-' TRASH SERVICE 340383601T,• 10/18120 10/08120 10/28/20 332,42 0.00 0.00 332.42 w, TRASH SERVICE 340383699T ,. 10/18/2010/08/2010128/20 1,429.63 0.00 0.00 1,429.53 ir' TRASH SERVICE 340383600T ✓ 10/18/20 10108/20 10/28/20 254.42 0.00 0.00 254.42 TRASH SERVICE _ Vendor Totals Number Name Gross Discount No -Pay Net 13960 G & S MANAGEMENT GROUP LLC 3,489.56 0.00 0.00 3,489.56 Vendor# Vendor Name Class Pay Code 13980 GBS ADMINISTRATORS, INC %/ Invoice# ,Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 48100602RICT 10/15/2010/01/2010128/20 1,739.24 0.00 0.00 1,739.24 �..' INSURNACE Vendor Totals Number Name Gross Discount No -Pay Net 13980 G8S ADMINISTRATORS, INC 1,739.24 0.00 0.00 1.739,24 Vendor' Vendor Name I Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC , file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5report 1583... 10/21 /2021 Page 8 of 19 Invoice# Comment Tran Of Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 6001957159 ✓� 10/11/2010/0112010/31/20. 572.33 0.00 0.00 572.33 MAINTENANCE CONTRACT 6001957247 "/- 10/11/20 10/01/20 10/31/20 61.67 0.00 0.00 61.67 MAINTENANCE CONTRACT 6001957245 / 10/11120 10/01/20 10/31/20 31588.58 0.00 OW 3,588.586 MAINTENANCE CONTRACT 6001957246 10/11/20 10101120 10/31/20 86.67 0.00 0.00 86.67 MAINTENANCE CONTRACT 6001957158 f 10/11/20 10/01/20 10/31/20. 680.00 0.00 0.00 680.00 MAINTENANCE CONTRACT 6001957275 ✓ 10/11/2010/0112010/31/20. 5,665.83 0.00 0.00 5,665.83 MAINTENANCE CONTRACT _ Vendor Total Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 10,655.08 0.00 0.00 10,655.08 Vendor# Vendor Name Class Pay Code 13060 GENZYME CORPORATION ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7030212193 ,/. 08117120. 07/22/20 10/30/20 2,605.00 0.00 0.00 2,605.00 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 13060 GENZYME CORPORATION 2,605.00 0.00 0.00 2,605.00 Vendor# Vendor Name Class Pay Code G1001 GETINGE USA ✓� Invoice# Comment Trap Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 6991704932 % 10/15/20. 10/15/2010/28/20 48.84 0.00 0.00 48.84 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net G1001 GETINGE USA 48.84 0.00 0.00 48.84 Vendor# Vendor Name Class Pay Code W1300 GRAINGER v' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9080802409 J' 10/18/2010/08/20 I V02/20 610.30 0.00 0.00 610.30 SUPPLIES 9080389753 ,r'' 10/18/20 10/08/20 11102/20. 50.40 0.00 0.00 50.40 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net W1300 GRAINGER 660.70 0.00 0.00 660.70 Vendor# Vendor Name Class Pay Code 12948 GREAT AMERICAN FINANCIAL SVCS ,, Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 30233265 10112/20 10/06/20 10/31120 12,334.97 0.00 0.00 12,334.97 COPIER LEASE Vendor TotalENumber Name Gross Discount No -Pay Net 12948 GREAT AMERICAN FINANCIAL SVCS 12,334.97 0.00 0.00 12,334.97 Vendor# Vendor Name Class Pay Code 11984 GUERSET, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 18546942 ,i 10119/20. 08/04/20 10/19/20 350.00 0.00 0.00 350.00 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net file:///C:lUsersteheimanlcpsilmemmed,cpsinet. com/u98547/data_5/trnp_cw5report l 583... 10/21 /2021 Page 9 of 19 11984 GUERBET, LLC 350.00 0.00 0.00 350.00 Vendor# Vendor Name Class Pay Code G0401 GULF COAST DELIVERY Invoice# Comment Tran Of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 093021 09/30/20 09/3012010/30/20 75.00 0.00 0.00 75.00 t; ' DELIVERY � rill( t N 110 L%) Vendor Totals Number Name Gross Discount No -Pay Net G0401 GULF COAST DELIVERY 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY Y/ M Invoice# . Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2112135 ✓" 09/80/20 09/28/20 10/28/20 28.49 0.00 0.00 28.49 SUPPLIES 2112580 .r` 09/30/20 09/28120 10/28120 60.69 0.00 0.00 60.69 SUPPLIES 2112367 09/30/20 09128/2010/28/20 674.30 0.00 0.00 674.30 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 763,48 0.00 0.00 763.48 Vendor# Vendor Name Class Pay Code 10804 HEALTHCARE CODING & CONSULTING ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 11474 10/14120.09/30/2010/30/20 187.25 0,00 0.00 187.25 m L'f 11515 ,,f� 10114/20 09/30/20 10/30/20 286.45 0.00 0.00 286.45 Vendor Totals Number Name Gross Discount No•Pay Net 10804 HEALTHCARE CODING & CONSULTING 473.70 0.00 0.00 473.70 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES .,. Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100521808 ✓'� 09/30/20 09127/20 11/01120 4,610.52 0.00 0.00 4,610.52 PHONE/STERLIZER/GEM PREI 100527695,/ 10/11120. 10/0812011/01/20 1,797.44 0.00 0.00 1,797.44 tf-. LEASE 100527694 ../ 10/11/20 10/08/20 11/01/20 7,447.86 0.00 0.00 7,447.86 ✓' LEASE 100527693 10/11/20 10/08/20 11/01/20 7,154.17 0.00 0.00 T154.17 LEASE 100527692 ✓ 10112/2010/08/2011/01/20 4,919.41 0.00 0.00 4,919.41 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 11552 HEALTHCARE FINANCIAL SERVICES 25,929.40 0.00 0.00 25.929.40 Vendor# Vendor Name Class Pay Code 12160 CAD, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 546113 �� 10/20120 09/10120 10/21/20 7,990.00 0.00 0.00 7,990.00 SERVICE AGREEMENT Vendor Totals Number Name Gross Discount No -Pay Net 12160 [CAD, INC 7,990.00 0.00 0.00 7,990.00 Vendor#Vendor Name Class Pay Code file:///C:/Users/eheiman/cpsi/memmed.cpsinet.corn/u98547/data_5/tmp_cw5report 1583... 10/21 /2021 Page 10 of 19 11260 INTOXIMETERS INC / M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 691252 10118120 10107/20 11101/20 480.00 0.00 0.00 480.00 ` SUPPLIES v Vendor Totals Number Name Gross Discount No -Pay Net 11260 INTOXIMETERS INC 480.00 0.00 0.00 480A0 Vendor# Vendor Name Class Pay Cade 11200 IRON MOUNTAIN Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net DYK8427 ,: 09/30/20 09/30/20 10/30/20 692.96 0.00 0.00 692,96 SHRED SERVICES Vendor Total Number Name Grass Discount No -Pay Net 11200 IRON MOUNTAIN 692.96 0.00 0.00 692.96 Vendor# Vendor Name Class Pay Code 13900 IRONSIDE HUMAN RESOURCS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 2322 `/ 10/18/20. 0911312010/28/20 9,000.00 0.00 0.00 9,000.00 PLACEMENT FEE . Vendor Totals Number Name Gross Discount No -Pay Net 13900 IRONSIDE HUMAN RESOURCS 9,000.00 0.00 0.00 0,000.00 Vendor# Vendor Name Class Pay Code J0150 J & J HEALTHCARE SYSTEMS, INC yi Invoice# CoJnment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 926652019 �/ 10/15/20 10104/2011/03/20 293.20 0.00 0.00 293.20 ! �� SUPPLIES 924846846 ��' 10/18/20 05/04/20 10/28/20 2,332.50 0.00 0.00 2,932.50 SS PPLIES 926269762./ 10/1812008131/2010/28/20 2,593.83 0.00 0.00 2,593.33 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net J0150 J & J HEALTHCARE SYSTEMS, INC 5.219.03 0.00 0.00 5,219.03 Vendor# Vendor Name Class Pay Code 13956 KOETTER FIRE PROTECTION / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 33805 r' 10120/20 09/10/20 10/20120 594.00 0.00 0.00 594.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 13956 KOETTER FIRE PROTECTION 594.00 0.00 0.00 594.00 Vendor# Vendor Name Class Pay Code 11600 LEGAL SHIELD v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 101521 10/15/20 10/15120 10/28/20 541.35 0.00 0.00 541.35 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 11600 LECAL SHIELD 541.35 0.00 0.00 541.35 Vendor# Vendor Name Class Pay Code L1640 LOWE'S HOME CENTERS INC .,.' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 55903 10/07/20 09/15/20 10128120. 395.48 0.00 0.00 395.48 .! SUPPLIES 42721 10/07/20 09/23/20 10/28/20 161.46 0.00 0.00 161.46 file:/!/C:/Users/eheiman/cpsi/memmed.cpsinet. con-du98547/data_5/tmp_cw5report 15 83... 10/21 /2021 Page 11 of 19 SUPPLIES 092821 10/07/20 09/28/20 10/28/20. 40.00 0.00 0.00 40.00 - LATE FEE 100221 10/07/20 10102/20 10/28120 17.06 Witt 0.00 17.06 1, INTEREST CHARGE Vendor Total; Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CENTERS INC 514.00 0.00 0.00 614.00 Vendor# Vendor Name Class Pay Code 11796 LUBY'S FUDDRUCKERS RESTAURANTS _ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net INV00004877 ,,,� 10/15/20 09/30120 10/00/20 28,797.10 0.00 0.00 28,797.10 FOOD SUPPLY Vendor Totals Number Name Gross Discount No -Pay Net 11796 LUBY'S FUDDRUCKERS RESTAURANTS 28,797.10 0.00 0.00 28,797.10 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. ,'� A/P Invoice# Comment Tram Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 30215231 /10/19120 10115/20 10/15/20 14,29 0.00 0.00 14.29 INDIGENT Vendor TotalE Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 14,29 0.00 0.00 14.29 Vendor# Vendor Name Class Pay Code M2827 MEDIVATORS t/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 91065965 10/01/20 09/28/20 10/28/20 202.80 0.00 0.00 202.80 6' SUPPLIES Vendor TOME Number Name Gross Discount No -Pay Net M2827 MEDIVATORS 202.80 0.00 0.00 202.80 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC j M Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1968869M ✓� 10/01/20 10/05/20 10/30/20 303.96 0.00 0.00 303.96 SUPPLIES 1968869044 „' 10/01/20 10/0512010130/20 212.19 0.00 0.00 212.19 SUPPLIES 1968869048 -" 10101120 10/05120 10130/20 435.14 0.00 0.00 435.14 +--' SUPPLIES i 1968869042 10/01120 10/05/20 10/30120 11.97 0.00 0.00 11.97,,; SUPPLIES 1968869038 10/01/20 10/05/20 10/30/20 566.27 0.00 0.00 566.27 i/' SUPPLIES 1968869053,% 10/01/20 10105/20 10130120 33.92 0.00 0.00 33.92,r' SUPPLIES 1968869046 ,.'' 10/01/20 10/0512010/30/20. 923.30 0.00 0.00 923,30 ✓ SUPPLIES 1968869061 /' 10/11/20 10/0512010/30/20 153.00 0.00 0.00 153.00 "- SUPPLIES _ 1968869059 .-' 10/11/20. 10/0512010130/20 181.88 0.00 0.00 181.88 SUPPLIES 1968869057 10/11/20 10/05/20 10/30/20 69.04 0.00 0.00 69.04 SUPPLIES fi le:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5report 1583... 10/21/2021 Page 12 of 19 1968869063 ✓/ 10/11/2010/05/2010/30120 14.49 0.00 0.00 14.49 SUPPLIES V 1968869051 v' 1011PJ20 10106/20 10/30/20 56.87 0.00 0.00 56.87 vim" SUPPLIES 1969028398 ✓ 10/12/20 10/06/20 10/31/20 4.27 0.00 0.00 4.27 SUPPLIES 1969028383�/ 10/12/2010/06/2010/31/20. 103.18 0.00 0.00 103.18 SUPPLIES " 1969028390 ✓" 10/12/20 10/06/20 10/31/20 60.74 0.00 0.00 60.74 SUPPLIES 1969028369../ 10112120. 1010612010131120 44.58 0.00 0.00 44.58 SUPPLIES 1969028365 10/12/2010/06/2010131/20. 100.98 0.00 0.00 100.98 SUPPLIES 1969028396 10/12/20 10/06/20 10/31/20 186.60 0.00 0.00 186.60 ,/ i✓� SUPPLIES 19690283881/ 10112120 10106120 10/31120 63.75 0.00 a.OD 83.75,/' SUPPLIES 1969028351 ✓// 10/1 PJ20 10106/20 10/31/20 54.90 0.00 0.00 54.90 v, SUPPLIES 1969028352 ✓� 10/12/2010106/2010131/20 1,220.78 0.00 0.00 1.220,78 F,r' SUPPLIES 1969028357 y' 10/1212010/06/20 10/31/20 184.09 0.00 0.00 184.09 -- SUPPLIES 1969028361 ✓ 10112120 10/06/20 10131/20 172.45 0.00 0.00 172.45 SUPPLIES 1969028393 a% 10/12/20 10/06/20 10/31/20 147.43 0.00 0.00 147.43 4" SUPPLIES 1969028355 ✓ 10/12120 10/06/20 10/31/20 13.32 0.00 0.00 13.321✓ SUPPLIES 1969028350 / 10/12/20 10/06/20 10/31/20 527.51 0.00 0.00 527.51 SUPPLIES 1969028385✓ 10/1 PJ20 10/06/20 10/31/20 56.22 0.00 0.00 56.22 '- SUPPLIES 1969028392 ✓ 10/i2/2010/0612010/31120 59.89 0.00 0.00 59.89 SUPPLIES 1969028367 �/ 10/12/20 10/06/20 10/31/20 44.58 0.00 0.00 44.58 SUPPLIES 1969028364 10/12/20 10/06120 10/31/20 51.58 0.00 0.00 51.58 SUPPLIES i` 1968987145 .i 10/12/2010/0612010131120 26.21 0.00 0.00 26.21 SUPPLIES 1969028349,,E 10/12120 10/06/20 10/31/20 27.39 0.00 0.00 27.39 VJ SUPPLIES 1969028360 ✓/ 10/12/20. 10/0612010/31/20 277,04 OM 0.00 277.04 p,• SUPPLIES 1969028387 1/ 10/12/20 10/06/20 10/31/20 64.83 0.00 0.00 64.83 U,✓- SUPPLIES 1969028394 �/ 1011212010/06/20 10/31/20 22.36 0.00 0.00 22.36 SUPPLIES / 1969028389 �/ 10/12/2010/06/2010/31/20 27.81 0.00 0.00 27.81 t... file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data 5/tmp_cw5report1583... 10/21/2021 Page 13 of 19 SUPPLIES 1969028359 J 10/121201010612010/31/20 611.58 0.00 0.00 611.58 ' SUPPLIES 1969028381 10/15/20 10/06/20 10/31/20 116.98 0.00 0.00 116.98 1969147912„%� 1Oft 5/2010106/2010/31120 299.72 0.00 0.00 299,72 r,•' SUPPLIES 1969028363 sr " 10/15/20 10/06/20 10/31/20 9.00 0.00 0.00 9.00 SUPPLIES 1968987144 / 10/18/20. 10106/2010/31120 28,113.83 aclo 0.00 28,113.83 SUPPLIES t!, 1968268863 /' 10119120 09/30/20 10125/20 -249.85 0.00 0100 -249.85 CREDIT 1968530633 V" 1011912010/01/2010126/20. -149,89 0.00 0.00 -149.89 CREDIT 1968987153 10/19/20 10/06/20 10/31/20 -207.61 0.00 0.00 -207.61 CREDIT 1968987150 V 10/19/20 10/06/20 10/31/20 -57.14 0.00 0.00 -57.14 CREDIT 1968987151 ✓ 10119/2010/06/2010/31/20. -800,01 0.00 0.00 -800.01 CREDIT 1968967149 10/19/20 10/06/20 10/31/20 -149.89 0.00 0.00 -149.89 thEDIT 1968987152 10/19120 10/06/20 10131/20 -410.46 0.00 0.00 -410.46 ��- cReDir 1969487456 -� 10/19/20 10/08/20 11/02/20 -4.20 0.00 0.00 -4.20 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 33,646.58 M00 0.00 33,646.58 Vendor# Vendor Name Class Pay Code 10904 MERCK SHARP & DOHME CORP ,,,. ' Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 7015615307 / 09/29120 09/01120 11/01/20 4,399.09 0.00 0.00 4,399.091/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10904 MERCK SHARP & DOHME CORP 4,399.09 0.00 0.00 4,399.09 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP ✓'� w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 100721 1011512010/07/2010/28/20. 479.66 0.00 0.00 479.66 , PAYROLL DED v Vendor Totals Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 479.66 0.00 0.00 479.66 Ventlor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC V / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net CM80182 / 10/19/20 10/07/20 10/17/20 -119.87 0.00 0.00 -119.87 CREDIT 0743 f 10/19120 10/07120 10/17/20 -0.65 0.00 0.00 -0.65 CREDIT/RETURN i 0860 J' 10119/20 10/07120 10/17/20 -5.00 0.00 0,00 -5.00 _ file:///C:lUsersleheimanlepsilmemmed.cpsinet.com/u98547/data_5/tmp_ew5report 1583... 10/21 /2021 Page 14 of 19 CREDIT CM80183 ✓ 10/19/2010/0712010117/20 CREDIT 7414236 ✓ 10/19/20 10/08/2010/18120 INVENTORY 7418972 ✓ 10/19/20 10/10/20 10/20/20. 7418789 10/19/20 10/10/20 10/20/20 INVENTORY 7417379 V' 10/19/20 10/10/20 10/20/20 INVENTORY 7417380 �j 10119/20 10110/20 10/20120 INVENTORY 7417383�,, 10/19/2010/10/2010/20/20 ,INVENTORY 7418787 t' 10/19/20 1011012010120120 7418788 .; 10/19120 10/10/20 10/20/20 ,INVENTORY 7423423 10119/20. 10111/2010/21/20 INVENTORY CM80535� 10/19/201 all 1/2010/21120 CREDIT 7423422✓ 10/19/20 10/11/20 10/21/20 INVENTORY 7427683 v' 10/19/20 10/12/20 10/22/20 INVENTORY 7427245 10/19/20 10/12/20 10/22/20 INVENTORY 7425006 a 10/19/20 10/12/20 10/22/20 INVENTORY 7427684 ,j 10119/2010112/20 10/22/20 INVENTORY 7424527 ✓ 10/19/2010/12120 10/22/20. /INVENTRY CM80853 ✓ 10119/20. 10/12/20 10/22120 CREDIT 7427682 �% 10/19/20 10/12/20 10/22/20 .INVENTORY 7431607 s/ 10/19/20 10/13/20 10/23/20 INVENTORY 7429785 v% 10/19/20. 10/13/2010/23120 INVENTORY 7429787 v,` 10/19/20 10/13120 10/23120 INVENTRRY 7429786 ✓" 10119120 10/13120 10/23120 INVENTORY 7431608 ,/ 10/19/20 10/13/20 10/23/20 /INVENTORY CM81807 / 10/19/2010/15/2010125/20 SSS/// CREDIT -119,87 0.00 0.00 .119.87 v 209.03 0.00 0.00 209.03 28,18 0.00 0.00 28.18 14.51 0.00 0.00 14.51 1,237.37 0.00 0.00 1,237.37- 3.38 0.00 0.00 3.36 2,038.45 0.00 0.00 2,038.45 �. 777.75 0.00 0.00 777.75 2,406.96 0.00 0.00 2,406.96 43.05 0.00 0.00 43.05 -434.55 0.00 0.00 -434.55 4� 201.25 0.00 0.00 201.25 1'060.03 0.00 0.00 1,060.03v 282.26 0.00 0.00 282.26 720.46 0.00 0.00 720.46 39.00 0.00 0.00 39.00 ✓ 289.26 0.00 0.00 289.26 ✓' -64.90 0.00 0.00 -64.90 372.46 0.00 0.00 372.46 ,; 11,390.68 0.00 0.00 11,390.68 Vy�' 105,77 0.00 0.00 105.77 ,.•- c. 538.16 0.00 0.00 538.16 1,493.23 0.00 0.00 1,493.23 298.24 0.00 0.00 298.24 -64.65 0.00 0.00 -64.65 ✓'- file:!!/C:/Users/eheiman/cpsi/menmied.cpsinet.com/n98547/data_5/tmp_cw5report 1583... 10/21 /2021 Page 15 of 19 7443494 ✓"� 10/19/20. 10/17/2010/27120. 12027 0.00 0.00 120.27 ✓` INVENTORY 7443491 � 10/19/20 10/17/20 10/27/20 651.06 0.00 0.00 651.06 ,! :INVENTORY 7443492,% 10/19/2010/1712010/27/20 477,71 0.00 0.00 477.71 INVENTORY 7443493 d% 10/191201011712010/27120. 425.31 0.00 0.00 425.31 INVENTORY 7447986 10119/2010/18/2010/28120. 7.34 0.00 0.00 7.34-" INVENTORY 7447987 10/19/20 10/18/20 10/26/20 467.61 0.00 0.00 467.61, INVENTORY 7447988,.E 10119/2010h8/2010128/20 20.27 0.00 0.00 20.27 es. INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 24,909.56 0.00 0.00 24,909.56 Vendor# Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION ✓' Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7505 ✓ 10/12/20 10/11/20 10/30/20 546.84 0.00 0.00 546.84 TRANSCRIPTION L-' Vendor Totals Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 546.84 0.00 0.00 546.84 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC j M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 315965681/ 10/1512009/28/2010128/20. 197.92 0.00 0.00 197.92 Ls SUPPLIES 31649837 ✓ 10/20/20 10107/20 11101120 1,137,51 0.00 0.00 1,137.51 SERVICE CONTRACT Vendor Total: Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,335.43 0.00 0.00 1,335.43 Vendor# Vendor Name Class Pay Code 11155 PARA Invoice#V Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 9512 ,% 10/14/20. 10/01/2010/31/20. 3,084.00 0.00 0.00 3,084.00 REVENUE INTEGRITY PROGR Vendor Totals Number Name Gross Discount No -Pay Net 11165 PARA 3,084.00 0.00 0.00 3,084.00 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC Invoice# , Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 04039185A/ 10/21/2010/1512010/15/20 182.23 0.00 0.00 16223 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 162,23 0.00 0.00 162.23 Vendor# Vendor Name Class Pay Code 13988 PAYCHEX, ADVANCE FSO ti/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 006954 f 10/15/20 10/13/20 10/28/20 3.700-00 0.00 0.00 3,700.00 MED SURG TRAVEL NURSING file:/I/C:/Users/eheiman/cpsi/memmed.cpsinet.cons/u98547/data_S/tmp_cw5report1583..- 10/21/2021 Page 16 of 19 Vendor Total, Number Name Gross Discount No -Pay Net 13988 PAYCHEX, ADVANCE FBO 3,700.00 0,00 0.00 3,700.00 Vendor# Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. Invoice# Comment Tran Dt Inv Dt Due Di Check D Pay Gross Discount No -Pay Net. 000497918 10/07/20 09/30120 10130/20 2,523.79 0.00 0.00 2,523.79 L,•' SURVEYS Vendor Totals Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2,523,79 0.00 0,00 2,523.79 Vendor# Vendor Name Class Pay Code 10896 QIAGEN INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 998029172 10/15/20 10/04/20 11/03/20 352,69 0.00 0.00 352.69 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10896 QIAGEN INC 352.69 0.00 0.00 352.69 Vendor# Vendor Name Class Pay Code S1001 SANOFI PASTEUR INC ,/ w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 917158548 1% 09/22/2009107/2011101/20 958.51 0.00 0.00 958,51 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR INC 958.51 0.00 0.00 95851 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES ' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Olsoount NQ-Pay Net 56382200000217 y10/19/20 10/02/20 10/20/20. 4,038.24 0.00 0.00 4,038.24 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 4,038.24 0.00 0.00 4,038,24 Vendor# Vendor Name Class Pay Cade $2345 SOUTHEAST TEXAS HEALTH SYS Yam' w Invoice# Comment Tran Dt Inv or DueDt Check D Pay Gross Discount No -Pay Net 26567 v/ 10/07/20 10/01/20 10/31/20 5,000.00 0.00 0.00 5.000.00 QUARTERLY MEMBERSHIP Vendor Totals Number Name Gross Discount No -Pay Net S2345 SOUTHEAST TEXAS HEALTH SYS 51000.00 0.00 0,00 5.000.00 Vendor# Vendor Name Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC �= Invoice# Comment Tran Dt Inv Dt Due Dt Chock D, Pay Gross Discount No -Pay Net INVOI0578 10/18120,10105/2010/28/20 12,870.00 0.00 0.00 12,870.00 �'� PM CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 12.870.00 0.00 0.00 12,870.00 Vendor# Vendor Name Class Pay Code 14100 STAFFING FIRST Invoice# Comment Tran Ot Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 2109154 10/15/20 10/11/20 10/28/20 4,625.00 0.00 0.00 4,625,00 OB TRAVEL NURSE Vendor Totals Number Name Gross Discount No -Pay Net 14100 STAFFING FIRST 4,625.00 0.00 0.00 4,625.00 file:///C:/Users/eheiman/cpsi/mermned.cpsinet.corn/u98547/data_5/tmp_cw5report1583... 10/21 /2021 Page 17 of 19 Vendor# Vendor Name Class Pay Code 53960 STERICYCLE, INC j Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 4010419275 �f. 10/05/2010101/2010/31120 2,535.76 0.00 0.00 2,535.76 1 ,. DISPOSAL SERVICES Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2,535.76 0.00 0.00 2,535.76 Ventlor# Vendor Name Class Pay Code 13528 STRYKER FLEX FINANCIAL , Invoice# Comment Tian Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 223610 09/29/20 09114/20 11/01/20 1,294.26 0.00 0.00 1,294.261:' "/ RFA MACHINE Vendor Totals Number Name Gross Discount No -Pay Net 13528 STRYKER FLEX FINANCIAL 1,294.26 0.00 0.00 1.294.26 Vendor# Vendor Name Class Pay Code S2830 STRYKER SALES CORP V j M Invoice# Comment Tram Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 9201741219 10/15120 10/07120 10/28120 730.36 0.00 0.00 730.36 '-SUPPLIES "F Vendor Totals Number Name Gross Discount No -Pay Net S2830 STRYKER SALES CORP 730.36 0.00 0.00 730.36 Vendor# Vendor Name Class Pay Cade 10735 STRYKER SUSTAINABILITY v Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4280337 10/11/20 10101/20 10131/20 615.60 0.00 000 615.60 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Not 10735 STRYKER SUSTAINABILITY 615.60 0100 0.00 615.60 Ventlor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC uj w Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 47831 V/ 10120/20 08/01/20 10/25/20 495.00 0.00 0.00 495.00 YEARLY MONITORING V Vendor Totals Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 495.00 0.00 0.00 495.00 Vendor# Vendor Name Class Pay Code 11097 TEXAS A&M HEALTH SCIENCE CENT Lz Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1082021.4 10120/20. 10/08/2010/31/20 3,287.50 0.00 0.00 3,287.50 OfILIZATION MGMT - 04/15 Vendor Totals Number Name Gross Discount No -Pay Net 11097 TEXAS A&M HEALTH SCIENCE CENT 3,287.50 0.00 0.00 3,287.50 Ventlor# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 001829051079IN ,r" 10/15120 10/14/20 10/28/20 9,129.00 0.00 0.00 9,129.00 y ' MED SURG/ICU NURSE STAFF Vendor Totals Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 0,129.00 0.00 0.00 9,129.00 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS tile:///C:/Users/eheiman/cpsi/memmed.cpsiuet.com/u98547/data_5/tmp_ew5report1583... 10/21/2021 page IS of 14 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 35FK102100 10/1112010/01121110/30/20 1.769.12 0.00 0,00 1.769,12 P.I/S/ TATEMENT �, v' Vendor Total: Number Name Gross Discount No -Pay Net 11067 TRIZETI'0 PROVIDER SOLUTIONS 1,769.12 0.00 0.00 1,769.12 Vendor# Vendor Name Class Pay Code U1054 UNIFIRST HOLDINGS � W Invoice# Comment Tran Dt Inv Dt Due Ot Check D- Pay Grass Discount No -Pay Net 8400378292 10/04120 10104/20 10129120 45.15 0.00 0.00 45.15 tLAUNDRY 1" 84003783151/ 10105/2010/04/2010/29/20 2,366.31 0.00 0.00 2,366.31 LAUNDRY t.. 84003784X 10/05/20. 1010412010/29/20 47.74 0.00 0.00 47.74 LAUNDRY L 8400378616 i 10/07/20 10/07/20 11101120. 38.75 0.00 0.00 38.75 LANDRY 8400378631 �/ 10/07/20 10/07/20 11101/20 79.43 0.00 0,00 79.43 LAUNDRY . 10/07/20 10/07/20 11/01/20 8400378650 108.02 0.00 0.00 108.02�; Y LAUNDRY 8400378637 �' 10/07/20 10107/20 11101/20 1.727.38 0.00 0.00 1,727.38 LAUNDRY l" 8400378619 '- 10/08/20 10/07/20 11/01/20 175.01 0.00 0.00 175.01 LAUNDRY Vendor Totals Number Name Grass Discount No -Pay Net U1054 UNIFIRST HOLDINGS 4,587.79 0.00 0.00 4,587.79 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE ,�' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SIV11478132 111 10/15120 10113/90 10128120 144.93 0,00 0.00 144.93 SHAWNA HARTL . Vendor Total:Number Name Grass Discount No -Pay Net U1056 UNIFORM ADVANTAGE 144.93 0.00 0.00 144.93 Vendor# Vendor Name Class Pay Code U1200 UNITED AD LABEL CO INC v` M Invoice# Comment Tran Dt Inv Dt Due Ot Check D- Pay Gross Discount No -Pay Net 480711933 f' 10/1 B/2010/00/2010/31120 235.37 0.00 0.00 235.37 SUPPLIES Vendor Tatele Number Name Gross Discount No -Pay Net U1200 UNITED AD LABEL CO INC 235.37 0.00 0.00 235.37 Vendor# Vendor Name Class Pay Code 7' 14160 VERIF-Y-INC. �.'„y1Jl -i' i pl;o4j , I11C. Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 1099 "' 10/21/20 09/03120 10/03/20 1,884.40 0.00 0.00 1,884.40 CFO SEARCH 4',CQ. PW4 ..c rLvi lws Vendor Total. -Number Name Gross Discount No -Pay Net 14160 VERIF-Y INC. 1,884.40 0.00 0.00 1,684.40 Vendor# Vendor Name Class Pay Code 12548 WAGEWORKS, INC �Tran Invoice# Comment Ot Inv Dt Due Dl Check D Pay Gross Discount No -Pay Net 093021 10/18120 09/30/20 10128/20 28.53 0,00 0.00 28.53 ; file:///C:IUsers/eheiman/cpsilmemmed.cpsinet.com/u4S547/data_5/tmp_cw5report1583... 10/21 /2021 Page 19 of 19 ADMIN FEES . Vendor Totals Number Name Grass Discount No -Pay Net 12548 WAGEWORKS, INC 28.53 0.00 0.00 28.63 Vendor# Vendor Name Class Pay Cade / 11110 WERFEN USA LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 9111044662 ✓ 10/15/20 09/27/20 10/20/20 282.36 0.00 0.00 282.36 SUPPLIES 911043990 V 10/19/20 09/24/20 10128/20 2,060.08 0.00 0.00 2,060.08 SUPPLIES Vendor Total, Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 2,342.44 0.00 0.00 2,342.44 Report Summary Grand Totals: Gross Discount No -Pay Net 393,700.98 0.00 0.00 393,700.98 file:IIIC:IUsers/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_cw5report 1583... 10/21 /2021 Paae t ot' 1 MEMORIAL MEDICAL CENTER 10/26/2021 0 AP Open Invoice List 10:18 ap open inveice.template Oates Through: 11;02/2021 Vendors Vendor Name Class Pay Code 12324 BLUE CROSS BLUE SHIELD Invoices Comment Tran Ot Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 091721A 10126/2009/1712010/26/20 1,381.49 0.00 0.00 1,381.49 ✓ COBRA 10182tA 10126120 10,118120 11/01/20 1.381.49 0.00 0.00 1,381,49 ✓ COBRA 101821 10/26/20 10/18/2011101/20 200,307.4E 0.00 OMO 200,307.42 INSURANCE Vendor Total;Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE SHIELD 203,070.40 0.00 0.00 203,070,40 Report Summary Grand Totals: Gross Discount No -Pay Net 203.070.40 0.00 0.00 203,070A0 sill 0(CT 2 6 2021 ("'W3D:?'r'3 "kVrIb r V.. file:!!IC aLtsers/eheiman/cpsi/mernmed.cpsinet.comlu98547/data_5!tmp_cw5report3984... 10/26/2021 MSKESSON STATEMENT An of: 10/22/2021 Page: 002 To e e re props' credit to year account, d¢tach and return this c�u• n noun stub with your rm illanw DC: 8115 As of: 10/22/2021 Page: 002 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH OMIT Territory: Mall to: Comp: 6000 AP Statement for information only ANT DUE RBAITTED VIA ACH OMIT 815 N VIRGINIA STREET Customer: 632536 Stalemenl for iniunnalian only PORT LAVACA TX 77970 Date: 10/23/2021 Cum: 632536 PLEASE CHECK ANY Date: 10/23/2021 TTBAS NOT PAID (.�) filling Due )ele Date alional Account 6 Numberblr � Cuh Number Reference Deudptlan Discount Amount P ({Foss) F Amount P Number (net) F Number W column legend: P = Past Oue Item, F = Future Due Item, blank = Current Dun Ile. 'OTAL National Aed 632536 MFAIDWAL MEDICAL CFNTHt Subtatals: 9.334.66 USO 'Nure Due: 0.00 Due If Paid On Time: If Paid By 10126/2021, USD 9.07916 rest Due: 3,438.78- Pay This Amount: %079.18 USO Disc lost it paid late: 255.48 ast Payment 2,451.97 It Mid After 10126/2021, Due If Paid lam: 18/07/2017 Pay this Amount: 9.334.66 USD USE, 9.334.66 OCT 2 5 2021 CR1a'.'w AWQP,9. 1 695-II ' "7 1 • fi 1 =90.l r. 25.4» Fur AR InyuiTicx plcxse contact 800-867-0333 MWESSON STATEMENT Ae of: 'D/22/2D2, Page:°°, to Tccown, pmpsum credit your ao ouny daeeh and MUMthis stub wbh your raditanee DC: 8195 As of: 10/22/2021 Page: 001 WALMART 5315/MDd RL MC PHS Mall to: Camp: 6000 AMT DUE REMITTED VIA ACH DEBIT Territory: 99 MEMORIAL MEDICAL CENTER Stalenuet for information only AMT DUE HWITTED VIA ACH DEBIT A/P Statement for information only 815 N VIRGINIA ST Cmstomer. 9450)9 Dale: 10/23/2021 PORT LAVACA T% 77979 Cost: 945479 PLEASE CHECK ANY Dale: 1012312021 ITEMS NOT PAID (�) filling Due late Date Recalvebl° atonal Amount Wip" Number Relemnce Cash Descrlptlon D1.1 Amount P IS.) F Amount P Receivable (net) F Number :ustomer Number 945479 WALMART 5315/MEMRL MC PHS 011912021 IU/26/2D21 7300931393 MH10182021 1951nvoice 0-01 0.32 0.31 ✓' 7390931393 0/21/2021 10/26/2021 7301469983 MH10202021 195lnvoicc 14.18 708.98 694SO ✓ 7301469983 T column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item 'OTAL Customs Number 945479 WALMART 53157MEMB1. MC PHS Subiwals: 709.30 USO 'Word Duo: 0.00 If Paid By 1012612021, last Due: 0.00 Pay This Amount: 695A 1 USD .0 Payment 9.404.61 If Paid After 1012612021, 0/04/2021 Pay this Amount: 709.30 USD ATi�.WJVFbI 9N oci 25 2621 For AR Inquiries please contact 800-867-0333 Due It Paid On Time: USD 695.11, Disc lost II Palo late: 14,19 Due It Paid Late: USD 709.30 MSKESSAN STATEMENT As of: 10/22/2021 ( Pony: 8000 DC: 8115 H® PHCY 0434/MBA MED PHS AMT DUE REMITTED VIA ACH DEBIT Temhary: 400 MEAORIAL MEDICAL CENTM SWInemet for information only VICKY KAUSB( Customer 190813 815 N VIRGINIA ST Date: 10/23/2021 PORT LAVACA TX 7]9]9 Ailing Due Receivable National Account 9sy38 Cash %de Date Number Reference Description Discount Juctoma Number 190813 H® PHCY 04341MW MED PHS 0/20/2021 10/26/2021 7301110833 2017037473 1151moice 0.39 0122/2021 10/26/2021 7301637334 2017037658 1151nvoice 1.06 IF column legend: P = Poet Due Item, F = Future Due Item, blank = Current Due ftem 'OTAL Customer Number 190813 H!$ PHCY 0434/MBA M® PHS 9uMotals: 73.29 USD 'vlure Due: 0.00 If Paid By 1012612021. tasl Due: 0.00 Pay This Amount: AM Payment 5.348.30 If said After 10126/2021, 0/18/2021 Pay this Amount: Ay'a'.�;)YTSi7 ON 1.t, A Lse ter. OAL[SPli9'it CGFIN'Pi, `4A9EAA Page: 001 To secure Proper credit to your accnum, doteah and Mum this stub with your remittance As of: 10/22/2021 Page: 001 Mall I. Cane:6000 AMT DUE REMITTED VIA ACH DEBIT Statement! for information only Cust: 190813 PLEASE CHECK ANY Date: 10/23/2021 ITEMS NOT PAID (+) Amount P Amount P Receivable (gross) F Dul F Number 19.41 19A2✓ 7301110833 B 53.88 52.80,/ 7301637334 Due If Paid On Time: USD 71.82 71.82 USD Dice lost it paid late: 1.47 Due If Paid late: 73.29 USD USD 73.29 For AR Inquiries please Contact 800-867-0333 MCKESSON 1.d�e �v evsv WALMART 1098/MEM MED PAS MEMORIAL MEDICAL CENTER VICKY KALISEH 815 N VIRGINIA ST PORT LAVACA T% 77979 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Statement l01 information only Llling Due Racalvablo alional Account W6 late Data Number Reference lustomer Number 256342 WAIMAITT 109SIMEM MED PAS 0/10/2021 10/26/2021 7300601335 10152ID921 0/18/2021 10/26/2021 7300540301 17325034 011HI2021 10/26/2021 7300540302 17349336 0/18/2021 10/26/2021 7300540304 1737079E 0/15/2021 IOJ26/2021 7300544464 17434080 0/1812021 10/18/2021 7300818341 MFC PR CORR CA 0/1812021 10/18/2021 7300818342 MFC Pn CORR CA 0/1812021 10/26/2021 7300818343 MFC PR CORR IN 0/18/2021 10/26/2021 7300618344 MFC PH CORR IN 0/19/2021 10/26/2021 73UO569171 17493547 0/19/2021 10/26/2021 7301037021 10182ioOO2 W20/2021 10126/2021 7301149795 17536128 012012021 10/2W2021 7301285855 1019210522 0120/2021 10126/2021 7301285856 1019211051 0121/2021 10/26/2U21 7301405263 17600880 0121/2021 10/26/2021 7301556509 1020210827 0/2212021 10/26/2021 7301653679 17666713 0/22=21 10/26/2021 7301653660 17000713 W22/2021 1012W2021 7301653681 17709028 0/22/2021 10/26/2021 7301802396 1021210648 0/22/2021 10/26/2021 7301802397 1021210720 0122/2021 W12212021 7301861250 MFC PR CORR OR 0122/2021 10/22/221 7301861251 MFC PR CORR CA 0/22/2021 IGJ2612021 7301861252 MFC Pn Corm IN 0122/2U21 10/26/2021 7301861253 MFC PR CORR IN As of: 10/22/2021 Page: 001 To ensure proper credit to your account, Memeeh mo Mum this stub With your remHlanee DC: 8115 As of: 10/22/2021 Page: 001 Mall to: Camp: 8000 TeMory: 400 AMT DUE REMRT® VIA ACH DEBIT Statement for ininnnalmn only Customer: 256342 Dale: 10/231202T cum: 256342 PLEASE CHECK ANY Dale: 1012312021 ITEMS NOT PAID (+) Cash Amount P Amount P Receivable Deuripllan Discount (gross( F (net)Numb!) - F Number 1151nvoice 2.22 110.96 108.74✓ 7300601335 1151nvoice 5.39 268.84 203.46 7300540301 I I51nveice 15.19 759.32 74413 7300540302 1151nvoice 1.32 66.01 64,691 7300540304 1151nvoice 5.38 208.98 263.60 � 7300544484 Dicing Cot 569A9- P 569.99- P -' 7300818341 Pricing Cot 569-99- P 569.99 P , 7300816342 Pricing Our 0.01 0.32 0.31- 730001BJ43 Pricing Cor 0.01 0.32 0.311"' 7300818344 1151nv0ice 10.90 545.06 534.16- 7300869171 1151uv01ce 794 397,14 389.20% 7301037021 I IsImtoire 25.62 1.280.52 1,255.2O1 7301149795 1951nvoice 46.67 2.333A5 2.266.78J 73012115855 I I51nvoice 0A0 0.10 ✓ 7301285856 I Isinvoice 1.94 06.06 95A2./ 7301405263 1151nvoice 0.02 0.99 0.97 J 7301556509 I Isinvolce 29.27 1A63.41 1.434.14 i 7391653579 I IsInvoice 22,33 1.116.72 1.094,39 j 7301653680 1151nv0ice 5.32 206.10 260.78 ✓ 7301653681 1951nvoice 0.01 0,26 0.25 7301802396 1151nvoice G.97 :143.42 336.55 ✓ 7301802397 Pricing Cot 1.204.41. P 1.204.41. P./ 7301661250 Pricing Cot 1.094.39- P 1,094.39. P ✓ 7301061251 Pricing Co, 7A7 398.59 390.62 v 7301861252 Pricing Our 4.83 241.56 236.72 ✓ 7301861253 For AR Inquiries please conlacl� 00-R67-0333 MWESSON STATEMENT AB of: 10/22/2021 r;.,eaor xuse Be: 8115 WALMART 1098/MEM MED Pf1S AMT DUE REMITTED VIA ACH OMIT Territory: 400 MEMORIAL MEDICAL CB4TER Statement [or information only VICKY KALISIX Customer:256342 815 N VIRGINIA ST Dalte::10/23/202f Date: PORT LAVACA TX 77979Milln Due etmou Account 6 — Rsc¢ivabtl� Cash hieff >ate Dale Number Releronce Description Discount � column legend: P = Pest Due Item, F = Futum Due Item, blank = Cun¢nt Due Item Page: 002 To ensure PropM credit to your seemed, chosen and nature the stub with your remittance As of: 10/22/2021 Page: 002 Mall to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Statement for information only Cum: 256342 PLEASE CHEDK ANY Date: W123/2021 RBdS NOT PAID (�) Amount P (gma) F Amount P nameable (net) F Number 'OTAL Customer Number 256342 WALMART 1098IMEM MED MIS Subtleties: 6.520,54 USD idum Due: 0.00 If Paid By 10/26/2021, Mg Due: 3A38.18- Pay This Amount: 6,321, 34 USD am Peymem 5,348.30 It Paid After 10126/2021, 0/1812021 Pay this Amount: 6,520.54 USD i. Art r'0VIk) ON �c 5 2021 oro!rJT�atinsasoe For AR Inquiries please contact 800-867-0333 Due It Paid On Time: USD 6,321.34 ij Dim lost if from late: 199.20 Due If Paid Late: USD 6.520.54 MSKESSON STATEMENT AS of: 10122/2021 Page: 001 To ensure proper rredh to your ecddunt, delech end Mum this e w mom. a4cu club with your m ni tance OC: 8115 As of: 10(2212021 Page: 001 HEB MY FC 490IMEM MC MS AMT DUE REMITTED VIA ACH OMIT Territory: 400 Mail to: Camp: 8000 MWORIAL MEDICAL CENTER Solenlenl for iniconathm only AMT DUE REMITTED VIA ACH D®IT VICKY KAUSSK Customer: 46445D Statement let mtormation only 815 N VIRDINIA ST Date: 10123/2021 FY1RT tAVACA T% 77929 Cum: 464450 PLEASE CHECK ANY Date: 10/23/2021 ITEMS NOT PAID (.) filling Due RecelvabIP'Uwal Account WA5/36 Cash Amount P Amount P Recelvabla ]ale Date Number Reference Description Discount (9-W) F (net) F Number )ustomer Number 464450 H® MY FC 49011AW MC M. 0/19/2021 10/26/2021 7300855978 55x619645 I1510voice 14.88 744.22 729.34 ✓ 7100855176 0)21/2021 10/2612021 7301399539 55.6135112 1181nvoice 0.26 12.93 12.67 ✓, 7301399539 OJ2112021 10/26/2021 7301399540 5SX686537 11•vinv0lce 7.59 379.69 372.10 `" 7301399540 0/22/2021 10/2612021 7301629496 55x890176 1151nvoice 4.16 208.21 204.05 7301629496 0/22/2021 10126/2D21 7301629497 55xG90301 1151nvoicn 11.90 599.31 587,32 7301029497 +F column lualow: P = Peg Due Item, F = Future Due Item, blank = Curren Duo Item 'OTAL Customer Number 464450 H® MY FC 490/M@1.MC MS Subtmals: 1,944.36 USD :utum Due: 0.00 Due If Pdid On Time: If Paid By 10/2612021, USO 1.905.48 rest Due: 0.00 Pay This Amount: 1.905.48 USD of. lost if pald late: 38.88 Ast Payment 5.348.30 If NIC After 1012612021, Due If Paid late: 0/18/2021 Pay this Amount: 1,044.36 USO USD 1,944.36 VN 0%i '15 7.U21 For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 10/22/2021 uomnam none OCI 8115 CVS PHCY 7475/Ml3ki MC PHS AMT DUE REMITTED VIA ACH D®IT Territory: 400 MWORIAL MEDICAL CENTER Statement for information only VICKY KALISEK Customer. 835438 815 N VIMINIA ST Date: 10/23/2021 PORT LAVACA T% 77979 Page: 001 To ensure Proper cradh to your account, slouch arl0 return this stub with your remittance As of: 10122/2021 Page: 001 Mail t0: Camp: 8000 AMT DUE HE.IITTED VIA ACH DEBIT Statement for intermation only Cuel: 835438 PLEASE CHECK ANY Date: 10/23/2021 ITEMS NOT PAID filling Duo >ate pate gallWal Account Number Number 36 Refer CeN Reference Description piscounl ATW) P Amount P (gross) F (net) F ReceNebia Number :ustomer Number 835438 CVS PNCY 7475/1111EM MC PHS 0/21/2021 10/26/2024 7301580825 1408263 1151nvufce 1.74 87.17 85.43 v" 7301580825 O rF culumn legend: P = Past Due Item, F = Mum Due Item, blank = Current Due Item 'DTAL Customer Number 835438 CVS PHCV ]4]5/MEM MC PHS Subtotals: 87.17 USD 'alum Due: 0.00 II Feld By 1012612021, ast Due: 0.00 Pay This Amount: ast f2ymem 5.348.30 It Paid After 1012612021, 011812021 Pay this Amount 2ti-FADYW 41N OCT 2 5 2021 Due 11 Paid On Time: USD 85.43 85A3 USD Of. lost if paid late: 1 74 Due If Paid Late: 87.17 USD USD B7. 17 For AR Inquiries please contact 800-867-0333 1011 STATEMENT Statement Number: 81833988 Am erlsourceBergen Date: 10-22-2021 AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340E 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 1001111841037028786 SUGAR LAND T% 77478-6101 1302 N VIRGINIA ST • PORT LAVACA U 77979-2509 DEA: RA0289276 Sat -Fri Due in 7 days 866-451-9655 AMERISOURCESERGEN P.O. Box 905223 CHARLOTTE NC 28290-5223 Not Yet Due: 06 Curtenl: 251.64 Past Due: 0,00 Total Due: 251.64 Account Balance: 25164 Account Activity j Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 10-18-2021 10-29.7021 3070951448 153212 Invoice 2673 0.00 2673✓ 10-18.2021 10-29.2021 3070951449 163213 Inud. 43.81 oco 43,81 10-18-2021 10-29-2021 M70979752 183259 Invoice 30.91 0.00 30.91 10.18.2021 10-29-2021 U2809169 163124 Invoice (2,59) 0,00 (2.59)1 10-18.2021 10.293021 342809170 163124 Invoice 3.53 0.00 3.53 10-20.2021 10-29-2021 3071249562 163270 Invoice 54.22 0,00 54.22✓ 10-202021 10-29.2021 392852318 163124 Invoice (12,06) 0.00 112.Go)-- 10-20-2021 10-29.2021 342852319 163124 Invoice 12.30 0.00 72.30j, 10-21.2021 10-29-2021 3071387627 163277 Invoice 43.26 0.00 4326 10-22-2021 10-29-2021 3071527214 163284 Invoice 51,53 0.00 51,53 Current 1.15 Days 16-30 Days 31-60 Days 61-90 Days 91.120 Days Over 120 Days l 251.a4 0.60 6.0a 0.00 0,00 0.00 ana Thank You for Your Payment Reminders Date Amount Due Date Amount 10-22.2021 (267 6p 1629-2021 25166 Total Due: 25i.64 .u` 3l.1Tii> C 1c 5 c I �1 y- OCT 2 5 2021 CAle AUDu OP. D:a,x:san eoawrr. rau�s TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" 71 "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ETIF 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" FT16-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #99# ENTER: ### 74-6003411 6716 L� 9A� 21 �� 12 $ 3.11,667:55 1 $ 55,601.08 13,264.66 $ 42,801.81 CHECK > CALLED IN BY: CALLED IN DATE: CALLED IN TIME: J:1AP-Payroll FilesWayroll Taxes120211#21 R7 MMC TAX DEPOSIT WORKSHEET 10.21.21.xls 10/25/2021 Ron Ca[ m 00h Tye: 434 QW01 3021 - Vill: ab: FL.1a: Sunar\' F a Y Z z d e S u x 1 a-------------------------_....."---------- ----------- Hrs Gr^s_z I 'o�- rmnun� 1 ............................... REGV'-kR SAY- 3 1 ....... 9SI:. 75 N ...................................... N N 2C7?Se.K 0 495.Sc ,.!E; ----------__ ....... 2 5. ?o AO .-.. I REGOLPIk PAY -Si 1747.30 N N !I 1 '7 3 82 .5 F A_1VLW WRGS E007", I AEGuim PA.Y_S1 394.25 Y N 11 0679.4i CAFE F. CAFE-1 WZ_2 2 IEGaa PAY-S., 2125.00 N .1 1; 5)i7a.Q CAFE-3 CA?z - 4 CARE- i 2 R_- O-AR PAY - S2 124. n Y N f 4030 UFA mov CAFA 3 REGIZAP, PAY-3. 2 5 N 2 1 Dc.l. 7C 'AFE-E z;. E- I CA.- L HCCI�.R FAY- 5 S, 3 3 � 2 -� N 3 F . -11 F :A!"CIER CALI r.A.7 2UT35 A I N N on5l. =NT: "AK!; l!p"IZ C DOTBLE TIME 42." N' 1 ',' 11 .95i.4] 11 A,E`o, IEN?AL DIMIF D COUB-E TIME 5915 1 2 .11 !1 42E4. 5; CIS-— FAT EATCSF D DOUBLE TINE 39.15 1 1 N v 25QAE FEWR3 4280.11 AWK H303 FKAT 278CCA C CORIE :!ME 3 3 c Y 1 N I Ai A RUN REX s FU RE E `ME :.it Y ; N N Gum KET T FC:; GUT 5 1:40 IS' _RA '41GES N N N 9E82. EF HLSf.i 1, 71 '_7m.F 1AL2z LGA_ 3. K N :03.,2 VF:7TS X.75c JURY LEAVES 8,10 N I N N 20F.48 !!MCEHR NEP-1 0j,4.:R K EX3NDED-nWEK -A& NOA N 1 N N KOLE HI RE— R Ell F "AD F -T:lEz-GF, 12i5j0 N N E 320.5E X. CAL:.AY 2 .1. :T 1; 55:.r.: SCR"'__ S:Zlct; '.' YMCA, I',J.S.41E., N N N 5 411 KZN Smm z PAY 3 lc N I N N SUNY-F WRcr, TSA-C 7S.;-R IISHAI TJ-ICE C19H.-E WE .................. Grand Wak 20HEND ! 4=0 CI.IeCkS CoUn-,:- FT 194 E 12 Other 32 _',I7 22S ..................................... ___ ..................... Tw==S, 7 Net. K1. - 3 N�d4-6 1- 13 Tam 1 -ctal 0.0" :4 I. --------------- ... ..... Ads m TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "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" F"IF 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" E"6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER ##" ENTER: " 1Z $ 63,96 1 $ 51.84 $ 12.12 CHECK 5 L--J CALLED IN BY: CALLED IN DATE: CALLED IN TIME: 0 # F9 FJ J:1AP-Payroll FileslPayroll Taxes120211#21 RI MMC TAX DEPOSIT WORKSHEET 10.21.21 R2.xls 10125/2021 Ran Cate: 10125/21 MEMORIAL MEDICAL CENSER Pace 3 Iims: 13:S4 Payroll Register '. Ei-Wee%ly P2REG Pay Period 1010B121 - 1Ml 21 F.un9 2 Final S'MarV '-- P a y C 0 d e S 'a m m a r y-------------------------------------------- D e d u c t i o n s S ': m m a r v Pard CestriPcion Hrs ICTJSH WElNDICR1 --------- ---........................ ------ Gross I Code •-----------------------------.-------...- Ameunc --............................... v 40.GG N !7 t7 N 513.OG AiF MR, AIR3 ACi'ANC AWARDS BCOIS CAFE .AFE-1 ;zee-2 CAFE-3 CAFR-4 CAFE-5 CAFE-C CAFE-D CAFE-F CAFES CAFE -I CAFE-L CAFE-F CANCER CHILD CLINIC CO}BIN CREDU'N BG A31Y DENTAL DEP-LF DIS-;- EATEATCcF FEDTAX PICA-M 6.0E FICA-C FIRST, VUX 5 FIX FE FCET E ?VIA GIFI S GRANT GRP-IN GIL HOSP-I ID III SEAF LEGAL 1.17SA MEALS MEATS !-0ISC MISC' MMCSNR NATFML OTNEA .Hi PSI'*� PR KIN RELAY REPAY SA:{S SCRUBS SiGNON SI-IX STGMDF SIONE ST01732 SiLTEN SCMCC SUNILL SUNIAT 5LIT IIF SUNSTD SIDAIS SURCHG TSA-1 TSA-2 TSA-C TSA-P ISA-R 29.26 TU:ION LNIFOR UN! HOS '-------------------- Grand Totals: 40.00------- l Gross: 419.60 Deductions: 61.24 necks Count:- FT 1 PT Other Female 1 Male Credit "verAmt Zerol7et •-------------------------------------------------------------------------------------.--............ 25.92 Net: 355.?S. i Term Total: 1 1 MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- October 18, 2021- October 24, 2021 Date Clank Description MMC Notes 10/22/2021 PAY PLUS ACHTRANS 452579291101000690244590 - 3rd Party Payor Fee 10/22/2021 AMERISOURCE BERG PAYMENTS 0100007768 2100002 - 340B Drug Program Expense 10/21/2021 PAY PLUS ACHTRANS 452579291101000699524860 - 3rd Party Payor Fee 10/20/2021 WEBFILE TAR PYMT DD 902/0379726721000021482 -Sales Tax 10/2012021 PAY PLUS ACHTRANS 452579291101000698735616 3rd Party Payor Fee 10/19/2021 PAY PLUS ACHTRANS 452S79291101000697878278 -3rd Party Payer Fee 10/19/2021 MCKESSON DRUG AUTO ACH ACH04769323 910000133 3400 Drug Program Expense 10/18/2021 PAY PLUS ACHTRANS 452579291101000696831024 3rd Party Payor Fee I—, 'V Y \/I/ October 25, 2021 Anthony Richardson, CFO, Memorial Medical Center RAnnvwl �OZo21 PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT -- E5TIMATE0 ACHS Date Description MMC Notes October 25, 2021 Anthony Richardson, CFO Memorial Medical Center P�`I Ylhs Li CPI Amount 96.11�.; Itib_ 267.61'" L%130.79: ':i 1238.38:�sP'. �25.23': 5348.3 {� 319:95 Ib. 7,371.24 Amount +il 3t�Yi�i 41Y OCT 2 ,Ti 2021 CAL M C:BryT@:q' alRaar3DA Page 1 of 1 10/2112021 MEMORIAL MEDICAL CENTER 11:01 AP Open Invoice List 0 Due Dates Through: 11/04/2021 ap_opan_Invoice.template Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tmn Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100821 10/19/20. 10/1212011/04/20. 480.00 0.00 0.00 480.00 TRANSFER NJ+ jYj&Aj,,k LL jll�Kj 6(�V/5i4,j Nil ikkL C4kk-; Vendor Totals Number Name Gross Discount N ay Net 11832 BROADMOOR AT CREEKSIDE PARK 480.00 0.00 0.00 480.00 Report Summary Grand Totals: Gross Discount No -Pay Net 480.00 0.00 0.00 480.00 L�A7 UCT 2 ZULl ea, r, xaslr ��t�n��. •,;,;ins file:///C:[Users/eheiman/cpsi/menuned.cosinet.com/u98547/data 5/tmn cw5re.nnrt7197 1nnv,)rnl Page 1 of 1 10/21/2021 MEMORIAL MEDICAL CENTER AP Open Invoice List 11:02 0 Due Dates Through: 1110412021 ap_open_invoice.template Vendor# Vendor Name Class Pay Code 11806 GOLDENCREEK HEALTHCARE - Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 100721 10//.11_9/20. 10/0712011/04/20 1,7318,55 0.00 0.00 1,738.55 Y� TRANSFER NIt lfl..Wjt.(L, I K—l1 C4(4,;� Vxh 100821 WNW`U OR'KIL- 10119120. 10/08/2011101 7,811.65 0.00 0.6� 7.811.65 U� TRANSFER (( It 101221 10/19l20.10l1212011104120 442.50 0.00 0.00 442.50 TRANSFER t 1 I Vendor Total; Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 9,992.70 0.00 0.00 9.992.70 Rcpori Sumrn ry Grand Totals: Gross Discount No -Pay Net 9,992.70 0.00 0.00 9,992.70 A1<: Si _.Y50 %IN OCT z 1 2021 0" 5-G;zz file:///C:/Users/eheiman/cpsi/menimed.cpsinet.com/u98547/data 5/tmn CwSrenort1246 1 n/? 1 nm t Page I of I 10/21/2021 11:02 Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dates Through: 11/0412021 Class Pay Code 0 ap_open_Involce.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay 100821 10/15120 10/08/20 11/04/20 3,226.83 0.00 0.00 TRANSFER INfiffiUlAKV, Vendor Totals Number Name p t1� `^"tu5(iw �,ross Discount No -Pay 12696 GULF POINTE PLAZA 3.296.83 0.00 0.00 Grand Totals: laic: W) 71a0 09N OCT 2 1 ZUL'l Report Surnrrjaev Gross Discount No -Pay 3,226.83 0.00 0.00 Net 3,226.83 Net 3,226.83 Net 3,226.83 file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data 5/tmD ew5renort6275... 10/9.1/209,1 Page 1 of I 10/21/2021 MEMORIAL MEDICAL CENTER 11.02 AP Open Invoice List 0 Due Oates Through: 11/04l2021 ap_open_invoice.template Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 100721 10/19/2010107/2011104/20. TRANSFER WW 0.00 16,243.00 "1 �6,243.00 IYIIIMtY.I¢. n )WO d qv i t(.l. I0, ikil/LL- """0..00 l/Q aon y��_ 100821 10/19/20 10/08/20 11/04/20 2,794.53 0.00 0.00 0 9,794.53 TRANSFER L i 1 Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 19,037.53 0.00 0.00 19,037.53 Raporl Summary Grand Totals: Gross Discount No -Pay Net 19,037.53 0.00 0.00 19.037.53 tS7= >ri? f"i2% RnN �:ra�as-�r .'•,gym=�r�' :uU file:///C:/Users/eheiman/cpsi/memmed.cpsinet.com/u98547/data_5/tmp_ ew5report5627... 10/21/2021 Page I of I MEMORIAL MEDICAL CENTER .1012112021 71 01 � �. - : AP Open Invoice List 9 Due Dates Through: 11/04/2021 ap—open_invoice.template Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 100821 10/19/20 10/08/20 11/04/20 19,853,70 0.00 0.00 19,853.70 TRANSFER NN [,uji•,ti 6G:jiIL,1-fz� Ir,j7 IY+N,ic 101221 10/19/2010/12/2011/04120 92.42 0.00 0.00 92A2 TRANSFER rL II v% Vendor Totals Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 19,946.12 0.00 0.00 19,946.12 'ap or? Swrn!nery Grand Totals: Gross Discount No -Pay Net 19,946,12 0.00 0.00 19,946,12 file:///C:/Users/eheiman/cpsi/memmed,cpsinet.coin/u98547/data_5/tmp ew5report8515... 10/21/2021 Request for Transfer of Funds mM R[9:,[nm par[, R[OJ[rre06p Yawn cnnnar nque mall ... l::n P[a.mm� vn9:m numh[Y ]41 ssx.oxx6 ........... (alMun raWlrY Alennr: al Metllul Rmer PpknAN[_ 1 _ 1 Lhf P9s_[ii[rvl�m IR[ PEO pap of pa a mwmwr:l Ia[W[_ 4gy.a. atlulW REQBIPFO1 qHX NYmNr [IO GR4 U gLSE.l hrN Pl avOc.0E1.1 Ip1W8JrtR9d1 MW[t 01)J)1 /IB4)I Er 14104/53 94 BPOnOAIIXrx 1 10/1/)0)1 1 "IrEFZ6YW4YP [VNnXNNIter.9 a[] ] 11PonJMa'Hr 1J/V)0)] (IL -� �- 1)B61 Err 61091fi] CVIMFMX }694L r96 BP OThMP:w _ IJ/5/]J]1 "I 1]0151 LMIlfMl CVIMXO 2"O J9.P5 Ism 10/W202l Efl s I)]6WI Ifi911}Oln NIMRN¢]]EPri9 )34M li IWIMIl "I s I]rawl lEl4[Ogl Evonnpwme49 rv: ax Iw IBK/)WI IR s IX'1. 151.I1411[U) M]ai 46tl19 pP09O IGOF coral ILIPI. mI t/vm to h[Ihl[E oul�MemoaalMMlml LenlM: apgavetl hY: Oal[al va m ler: m (aXII1Y: 90 la[IIXYI P m[unl: 10 11 x031 MMLr� I.tP 1.10 ____ ___ A; cS:JY1#9} M` OCT 2 5 2021 Orte Peyueslea 10/18/2U23 Pam Mem.p,e Pewenm hr. ra,,,�[ampn, ..meAerspMne numhm ILIrySE-0E)b uI11,i[l el Cbunly (pll,oun fat1111Y Mcmoiml M,Nmil Ceme, Request for Transfer of Funds RemIEYn<e.eLvkRln: l�enae}_m{Cenlnr:!.a.!on Iph s-."m".. palknl Xame IRCQWII{O pale ol4Mee IrCQVIREp !b/pa Lweol Pawrp( CM1e[ Ra1+M'J. ehbwnon OakNumbel 1 Nu S!R_,R—T4R( ayllmnJp$G�. (nJgL lu-1l%\IV IaY �x_au� _ NOXS _ 9/2p/}p]1 EEI (]IR99 CFTGI�753 CVVaFCWY19S5i IIx99 _ CRESCENT 10/1/2.11 MR.}}1 EFT61M3AA CVDAII xl1955} _ In}] CPCSCINI _ INR/202, M EEI E351 FFIDIM CVVnIlOW01915} 2.04 @fSCEN] IN5/E021 (!I 1i935 I EF)61fOMl C 1955} INL/2021 fl, 5 111.0. EE141]203e DARIX CVOpRCRO1955] 719 rlw ]]LW Efl 5 llll.,i (vuM1N 195'i] IL.B ERI 10M11.11I2021 10/B/]021 F11 $ IxE.151 WIN l f1T411<E2] (VpRNdICO1l55] Ap 15 "B (PFSCENi .. rota! 11.]x1 rut 1.2xrru kebmh memorial mem[al Cenle.: [e P Ill ltl }011 wl MMC il;l, 'A.-,- . ". l3lJVIXJ s � OCT 2 5 2021 Request for Transfer of Funds Inr[SIe, N: - oam Iteyumled 1.11WU21 Gayer MemeJre fleyueveabv: faner cam�m Pe9ueelar mall I.yi _......._p Xeque mrY pflono number "I SU IIEIG District r Courtly CJPlouo [etllly, M--1 mide"Crone[ t 4lyyvnl:LL'@ulm[P.V!Ilav_ga_[Wy, P�{ll 0(Nay_ie (If(nNl CJ Oalee15eMm RE VI fJ leaf% fuse of%vmenl Clr e for ter, I rJy [X�n( W11X.991 C Humber NIm NYmElr _ atllenntNN Enter Iue1y_l'Oar__�, -O sbeXVAVm bow __ 9 ]II/1011 r" LFIGIUGJSI (VOAPII(XgIflUO 11. 11, S.IeX 10/I0011 frl (Vn.lq ErtGI@AM (VVAP 18110 M.E/ SUIEPA 10/9/EOEI "I (E.XPI SrT6lo93G1 [VUAPWWItl110 2XG Soli. 10/S/1W1 Ifl (E915) fFiMIPG!11 NUAPOIWOItl1E0 ]9.15 'U Ip/G/EOlI _ E(I $ I11fig1 [i1G11lOM (VVAXUIIW IPIIO )E6M1 ure 10///1011 F(1 i2firml 10/flR0E1 Erl 5 0".15) f➢1610621 CVOMUWOMIIO ee.l.' IDIEM TOTAt (1.1B1 I0) 1,281,10 To be tioul out by Merearill Medical Canter: .. ---- .1.�--- .,,.it by: byte el banner: from Faelllly: fo Faeil ,.. ..U.t: m m11m1 cl ev<nl;a'r tonmu Sio va MM( I.EXI:1U Alir.yoiiM) ar! OCT ? 5 2021 Request for Transfer of Funds mr�a.a:,mm iwwmn Nyer Mex a.a•.,aa ev: aYa::Y mmi r yn.ne n ether 14155Solxf ninamrw.::nCAboon r.nnh m=Y�mc=:x„ vonmon xim cu? ti a'r3s t?P "'Al Request for Transfer of Funds Ixn9e: P one Pe9uxlm IOAP/xpn payer MnP [!N Pe9uepetl 4Y en Gmpm Ne9uarllr null Imo. _ _ Pe9uf Ne[pPaM ' numler 3P�.tv.nvr. UlariNmCmunry CauWn FlHllry Mrn�lAal M[di[aI CCNu: mmxbxxnapllmtanwerpary:entwx[lupmeM.plxxp:xlpe [OPNnxpN/4Nn StIer3Serl`n_brn._..._ _. PatleMHdrte PF IIIRFpJ Oale [l4xlee PF I mate Of mint Tvle Wpaxnex ...I Pmmnnl lMMln C Numb!! Qum Numbs 6URlUEAA)6jIySL Ny: �[&�3L• MYWPaNOrnl NJe FF1 1]Itl.991 I116104]53 (VUAPOUIXp]9tl5 ]IU99 TUSCAXY VII.IGF '010/)ULI IU/1/ID" CFl IAn)] F"01.308 (VIMP000M7985 <a x] CFl IFT61UAJ0) (VOAPIXKKq)985 TUSCANY VIINEF TUWAXYVII.W '015/fiil IU EFI ]9.35 935 [FiU110U91 (VUgPW0.'U)905 ]9.J5 9AS n IU/6/x%1 wm FFI 5 13x6AIU) CVOAPWy%119P5 J$GW IussnlN rUlaat 113 CFI 11L.08 EFT6113331 CF361U331 (VI]APWIPp)905 U IIIIX/)NI 11.1 F. 5 I84.151 $ Ff1611JG21 IYNAPIXNXp)995 0a 15 841µ iUSCAXY VIl1AGGEA TOTAL Il�]gl.]PI Ix0)]p to be Nle0ou16yMemerlll MCEiul Cenle� AIe P!!e ! AppmxE bY: Uife 11L[analx: T.I tn[i1i11y TIFAlM; AmWM: IU IN lllil [. (IeuenFer IU x) lUxl Nually T I.Tal/U. Af.-i LJViFJ er/ OCT ! h 2021 LuIF P Memorial Medical Center Y E - AMOUNT 69,366.86 EXPLANATION: Echo payments owed from GPP Date Requested: 10/25/21 Ati l 5 2021 G/L NUMBER: R.EQUF 5rED BY: Caitlin Clevenger AUTHORIZED BY: FOR ACCT. USE ONLY ElImprest Cash F]A/P Check 1-1 Mail Check to Vendor ❑Return Check to Dept �('W P64C 04-PA-VP WEIVQf ESL hiif Cif��iL-1 ti=; C CHECK REQUES-F F' Memorial Medical Clinic Y F - -F. AMOUNT 3,912.34 EXPLANATION: Echo payments owed from GPP REQUE!"TED OY: Caitlin Clevenger Date Requested: AN,:n?Y•t�i7 VDT OCT 2 5 2021 !iwat`sal :SLIPyRpu G/L NUMBER: .AUTNORIZ.ED BY: 10/25/21 FOR ACCT. USE ONLY nimprest Cash []A/P Check FD Mail Check to Vendor Return Check to Dept ski F Foink 1j EVIEA40 tag- MEDIICALCE,sNI-T'ER HECK REQUE'51- F' Ashford -------- _�__ - Date Requested: 10/25/21 A C FOR ACCT. USE ONLY y ! DImprestCash _ OCT 2 i 2021 ❑A/'Check 0 Mail Check to Vendor c arnfi _a s�nsz � Return Check to Oep I AMOUNT 50,804.85 G/LNUMBER:�—_�u___^ EXPLANATION: Echo payments owed from GPP i ---------- 6 1 if-i2UGiEG BY: Caitlin Clevenger .AUTHORIZED BY: V i�lf I'fiC) C !1/f fir€C � C-1=-NTER ("BECK REQUEST P Broadmoor A Y AMOUNT 83,751.55 EXPLAW TION: Echo payments owed from GPP bate Requested: 10/25/21 OCT 2 5 2021 C/L NUMBER: RLQUFSTEG BY: Caitlin Clevenger AUTIiOitIZEQ BY: fOR ACCT. USE ONLY -limprest Cash F]A/P Check R Mail Check to Vendor []Return Checkto Dept i Crescent AMOUNT 35,229.23 GuIF Puivkt Plhu— CHECK REQUEST Date Requested: 10/25/21 EXPLANATION: Echo payments owed from GPP d3J OCT 2 a 2021 Cl4sWEE� A$Y_n?gEnyx G/L NUMBER: REQUFF)FED BY: Caitlin Clevenger _ _ ALTI IORIZED BY: FOR ACCT. 115E ONLY ulmprest Cash []A/PCheck 11 Mail Check to Vendor u Return Check to Dept P Fort Bend A y E E AMOUNT 19,768.66 F CHECK REQUEST Date Requested: 10/25/21 EXPLANATION: Echo payments owed from GPP REQUESTED BY: Caitlin Clevenger Af M,71W OCT 2 3 2021 G/L NUMBER: AUTHORIZED BY: FOR ACCT. USE ONLY Llimprest Cash [�A/P Check 11Mail Check to Vendor LJ Return Check to Dept N P A y F E r-u C; IECK REQUEST Solera Date Requested: 10/25/21 AMOUNT 116,171-39 EXPLANATION: Echo payments owed from GPP 4V 5 2021 GA NUMBER: REQUE4TED BY: Caitlin Clevenger AUTHORIZED BY: FOR ACCT. USE ONLY FlImprest Cash OA/P Check Mail Check to Vendor Return Check to Dept 6if Pain �L PIA-W--w M FfflefflAL-ME-D- I GAL-C-€W -E- R C;:HFCI{ REQUEST P Golden Creek _------__,—-� _-- --- fete Requested: 10/25/21 A _ 3;✓i �7'3L�e7 Y � C,<437m+�i aL4t?s'trt AMOUNT 24,637.27 _ G/L NUMBER: EHPLANADON: Echo payments owed from GPP REC{UF rEO BY: Caitlin Clevenger AUTHORIZED BY: FOR ACCT. USE ONLY L._I Imprest Cash []A/P Check Mail Check to Vendor Return Check to Dept bu CHECK REQUEST P Tuscany 10/25/21 Date Requested: A 3Pl OCT 2 5 2021 L3'�'?a;suz AW-?ZKD➢ FOR ACCT, USE ONLY imprestCash []A/P Check 111IMail Check to Vendor Return Check to Dept AMOUNT 40,668.74 G/LNUMBER: EXPLANATION: Echo payments owed from GPP RECtUF rEi3 BY: Caitlin Clevenger AUTHORIZED BY: IWE--MGRE L-M ELDIf A-1=GE PE R HECK REQUEST P Bethany I -- Date Requested: 10/25/21 A y AMOUNT 7,791.00 EXPLANATION: Echo payments owed from GPP REQUESTED BY: Caitlin Clevenger :ii°� 3r�?�Llii OCT 2 a 2021 G/L NUMBER: AUTHORIZED BY: FOR ACCT. USE ONLY LI Impr est Cash ❑A/P Check u Mail Check to Vendor 'Return Cherlc to Dept Check request rglsterdum-Oct 20 echo wymenlsmise Anthony Richardson, CFO 10/25/2021 Memorial Medical Center Nursing Home UPL Weekly Canter Transfer Prosperity Accounts 10/25/2021 rrr.mnt dean u.wx emm�ry Aix prnalpa a.u^^Iv A—nnnor�pnrnamx.ninl .r,m6.xem.1. x.me.. ee�nt. m.rnr.at .wnurolP w w+ aaLna lame AP�1(.rE�VPEd,C11S. 155.995 JI �/355,699l. ll u.plB B! 1.6,1J044 9E.$g9.69 Dam Nnhnte Varrnte 1 eMars Lea.. In eamta maaD MallnrglPPsrpumeer 34M, 1 OCIINTERIM xOVINTEREST DEC 1.11.96T Porysi Baranm/Inmin lm+ 92.181.E0 ✓� af0ad1110CT t+a39 an y;a fag a0 ✓Fr.PnS lc 134.T6 IS 162.374.14 J' can\LLabnee 169,V516 U.I.I. eaUnce 1.00 MOIine OlPP6pUmGr 5A19321/ MCOICAREREPAYMENTTOMEAC 1E.1 To OCTINTERESr xOVINTEREET OECmIIREST noµrt 0alauceTanla Ann 162,374.14 J5.)556:✓ .... Y Oa✓ IF. ty559 �' lifi laS 34 / ]]p,p9E,p$ 0anY 0alanpe I)6,1J599✓ Vuuna L..e In ad.r. 1.00 MCItm OIPPSe;nrnAtl e.61i t< v MEDICARE REPATMENTTO MMC 1,E9110 / OV INTEREST NOVINTSRElI OECIxTER[ST Atl1aa18a4ntPRMmh.1n1 ])0,091.05 ✓�� FORBeOC" / 11.195 fib �11,3956d yi5,6)elt,/ 35)]tl 11 f E9,9Wd1 penl Nalant4 3$ ]I$ 3] ✓ Yar�ante Lea.e In 0alana lie C6 MWna Capp Sep1em64r 5.6910D v OCTINTEREST NOVINTEREST OECINTEREST Molt 6aranaeUlam4x Ane E9.997.31 ✓ g010Ei`RtW Ntillitn0:. 63i76M +r t91,]5l l< E90,g56.60 ✓63,3166E5/t91.65314 eanL Galante ?],>Sl 3i laare in 9JlYnl< Icr OC :`ii � ,a Mbana OlPPs.PfrTOYI S.sw O+ ✓ E�TMt MEDICARE REPAYMENT TOMM CLINIC 1.231 NI✓ {� j '/t r/3J1 1. NOVINTEREST ._ +.%'. .. DECINTEREsr Aaavn R.IlPrrnOMrn Ann' E90.tsE CO ✓ vi<�R t: TOTAL mANSF 745.910.70 ADP ed' Anihan'Rl ands... CEO 10/25/;OES xprc. w.Xmmeu Nm.`55.0.n•.�e r^Ilrream menwnR n..ne Eernw n1b.rp"'PelwrcP)f1W PP+n3mrarPmrrrelPppnutm.nl. \NX N'ertr.lrana I.....N uel lranlle• 1ammrn.)lIIW'XPYr•1NrI VPl lranrllr 5umma•1 IDc"i rlr. `t0W111r.]rlmrrrgbn"p,.n+nPa,uMr.n JOt 11O....... Xul Ov+n 11. W-1.:1ll, 4113II.lI. MMf I. "NON 1= `: `IIIII mw MN au.nyml LJay.,_ nnrlCemol ¢gee/cemrl alvel<amvi bl+av 4vr IOROMF IFNJJIPJIPIItJI]M F11C5IMNJ I�19111 No. US"Wo2l uR]N J11UT10 xcCIaIMPMnn1 I11towbe Ia sI IOJit/.011 NJ1/I45a]IVCIUN rrCfUIMPr,ri l]5I113}pY. all11 1J 1939" UNIT 1i toll Mpna.I 3.:0513 IMJ 111.11 Aml14...P agC I CC....... )IIALI133111. 111I V IN,, I11011 .b NlS SlLUJIJN xCCUIMil.1i B]SII I3:O: T"i f )6191 - IP/j J11011 A31p tuprr.. '. NI<UrMVMi 13..IF LNl4 11t rYl 10/JOItO)1 WIACJUI IrSN;OIO LF,11II CARS 11.11. 1i0 155.199 41 IOI10)1031 R101MPIJLJLTICY M ."PUTI,.1.1.1.1.11 I-11O121i111NI LOMMUX 119 I1 xfC41M14, :1 0131511A\U to/EOp0J1 VJIC WIAMUXT R 11(CIFFA 11, JIIwSUl910Ub W, IIlq 11 IrIRI)x IIUMFM fVC IIICIPIMC I..IMMIIJII.Ii .M19/1P11 VRC WIIMUNVr Vl X[CUIMCMI )36w131191LM1p IVII91i0:1 INNr IOMIAUNR, I1 N'c,,,,MJ ]16w111J". NIIr NC IJNULNIN.11 CI NCC(n'.PIA] 11600111191. 1.11,12.71 NUMJXJ (xd ONIIICCL11MPN1i 591190 UCUPJ11J1 IOISbton CN IN Iµ2111011 Vn.rmNe3r.[rrr M((UI.iMI SIEwi111910Ji1 10/)1/$011 MOYI11itOlUilON x(CNrIAPMI41515)ISWASIPP lopy]o)i o.Pem IC/]I/]Oh unnwxeJOLUT xIC WIlnPN11 A5W111111U11 I01]]i3511 N01R154ULIIrIOIr 11CCIAIM9Mi61613311(39Pg111 I0101; 1 WIAC 001('O'Ll, MATH [Ill CCNII., III lolul10ll MOIINA NGLSKS, MOUN"c" OIm0i 4NI I] IUISPIlO:: NO: RJIIOLIISIJN N(CLSVAINIIIII15]J74000i 9 IV1191101VIIC(OMMUNII", 11CfMIMPMI]J6w111191IXW 101191101] UK'0M UuN F` TI11C(tN `1SUFnNSFN.n IIIXw ICIIIII., V11c10 M 110111 e1 MClIIIIIIII116wS+LI 11. Io11911013 PTPp3upplemenN l¢e,'UmmS]IOW]AI111AISS IVIVIII21 MJNIOIIN0XII 111A MNl I11N3( lIII11 �S lloil 0o0I:ll1 LOU, 1.;E2V, 1.1.41 0bsm5VmIVrvIxnr .ruVC¢CWc uNlSM1.rm1n11.+6:wI 1I9uM9i1p1JN0 6NCNA o15BN(CGIFVM1'He" QW001119 MINIM 01 IO 11:021 ..N", 501U11OS I¢CRIurAN 61111gwwi i l NUMM, WIACWi WI C4Tl 1XI 1kCCX11N1 I1 U./iN a,...XA l IGLMGRMWNMCXOW911911[gNllt v3i.lm.. xau1111.1 111M.111121111 L.I.19V11 UVCCOMMVNIIVPI XCCWMIMi]+1w1+119N. 10/19/loll VMC fOMMVXIry PI NCCIAIAlYM11+Nw1A11911RW IUr1 NUN mAjAM1A(IIAOI46FCCIF,IAPMIINf6l+lw[al)a3 10/IBP011 MPNRJIArvOININ KMN11AIHI I. L.lnIlOII NOV I9AI.I-NHxCCGWP.....o 11 AtwWIW IOIGI1011 4ePP tvPPVmintl xfCUTAlIMi 11d0U3!{t L1311 10/22IC I NOVIJAi SOLUTION kNOLUnFf.FT 6] 5661 A]N]OI10 IU/ll/10J1 OappVl 10I30.W1 1Y1RC ONI IINN" MAL]NCPRf CfMLNl111 10/20/2on MOUNA NtAtTOW MOONHCH 010911111=17 l0/19/i021 VOiNaxxNNmaN[[UIMIMt J+tio"It till., 101191}P2l UNC COM`U NM vl NCCIAl1ACUi ]JNMlIt191 W W U,F9/M21 'NC COAIM1IUNI3Y M1 NCIUIFi1.1 111w9112 .. 1011.II0)I HEALIII HUSSAR IVC HCCUIM9Ml lllw]HILSwo I .. ..;t�,,, �y a zy ti•t IpyrgjjiCv':iMl9xdtiNtin`A'' ��b4 , Ivrsal0v G:ns 10/3N3021 (NMOONuNUNIV n1C1AMPMIN6WIC119lbVJ IUI}}I}0:1 UN....I, uiair R XCcol.iMC "INS11.1111911vW IN 33/i011 UNCCOIA NUIN C4 CF.11UP11]1Atw11119 llo UEl Moll XO':IIASSOIO31011 xC[UNI'm, n6w.1I QII J0 IP/ll/loll 4Ri 3uCPliminlr lrC[UIMVMI IAN1UM111lIJe3 ,oil .3ll0.///ll3uoalNlCO1O0CoICrAO1 SSONOTION 1N(CMI ]11U1III NrJiI ..l..l0ollOi CNN1U [AC]NOLMM 10....S N.Mt1`NNNAIGNMONNMCSoI.1 1116WUll S.. UNCMMUNT1 VI HOILINAPAIL 11600 II. loll./SO)I TIN[ COFILI N, CI IICC WImIM].,.].I191WP1 IU/19i30]I UN(COMMUNRI PI NCIWAICNt]iIFT lilt 91WG. 10/l9/1031 UNC COMAIUNIO PI NCCPIMPAI] ".Ml, 91wN 10/1912021 `NMIIIA INS COI RCUIMYM119011, 1.111". IW19R0:1 FUNI1NI C N, 00, Ktil"UMi lw.,. 3:OOO uN, 10/19110}1 A1I,l4FPlemtnu NCCIMMIM3 746M4 I I ill ILL 10111(]011 IILOU'..NS CONCCLAN"M] 39006I RIWw' 'O, 10.116:,, Nu1,l. C.l BxCCUNAVIAI 39016111OFOL19 71 II as93J SJA991J HA591J ISN IIiJ f.335 tll I.IN a1 I B.51).1} - I61i al 01.+ ,wl IN TO 1? fl.19$ W B 191 CJ M1 B!1 sl 6 MI01 a 56 s9 ltd\ 69 ISS.III.PI _. IC6.6Y.61 1J.059u Y IJp99.1J 9L519.W MM(POIIIIOX ¢Pv/ xrI In ay ..n.rm mvp/IPmpl ¢rv9/Cump1 alrl/6om sup¢ ¢NpN Nx rOFrmx GJ6 flM1 JL991 it S B1931 S.B1911 231 1.131 OF I lot, 11 In 1 NO WI/1 1.]I9 W },al/.v Nd19.M r' " 169.ii5.16 r i' I'm IF SJSSJ S,'13S,SS5H NOW Rnok OIPP/Umor ipnnero. Inn3or In anP/Gmpl ¢rpP/rPmPt ¢NP/r mq auPIJ WPe it xx Po4Uox cAl II J INS 11 - 1111 1E 116961 19F666 o 1191, 1 Ill 19 1 fN 91 I.Ie1.s] INI,b]S JI � 10i 41311 J6'u 10 16,11P ,Sol, I, a633 la 66ZlaA. k.?"A - '.9535U 16.52) .I 16,91] ]l I1505 i3 IIpS 61 `633 V' du Sl ISNW - l,]a0M 30116 I0116 3 Si9AG J5,659➢A/ 1)b .W9 ,in H.i 117114 Jy)llir! 6]I.I Il l9 MMC pO.PON nIPP/ q N lnn0.0. OVP/(pTp] WPp([amp] 61apu ¢IPP 11 NM PORTION n 663 a1 - SI pU 81 1616 a9 I6a115 li )9a N6 Y551W SA1.00 IBOW I.LIS IV It11J ,."IW 11395N .0 3F620.11 /$"I.W 5..n OC ,. 21,111.31 MMC PoRIION wpv/mmP1 1 ngyOul I-I.Iln ¢I911(Pmel Ol pp/Cempt ¢I1I/1om0 .MP. NII11 IN IORIION aiu M ,1.71, 1. S In1 A6 e ll 1a51, 65 W 195)0` IIJ111i 1111 It III W 1.)M61 d.11145 t3 a6V 1a / IU 1.0I9 IIAIN FUTAIIII S.SIIW 5.519.M" 191 INNA 1012512021 Treasury Center Account Type Arid Grc,lp M1!y Gro�,!s DDA Data repor;eo as of Oct 25 20_' .' Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $8.177.312.61 $8,703,496.05 $8.177.312.61 $7,741.129.82 •4557 CAL CO INDIGENT S5.370.8N S5.370.86 $5,370,86 S5.370.86 HEALTHCARE '44 4 MEMORIAL MEDICAL! NH GOLDEN CREEK $56,758.32 S59,083.24 $56,758.32 S54,919.17 HEALTHCARE '436.5 MEMORIAL MEDICAL S535,85 S535.85 S 53_.85 5535.85 CENTER - CLI141C SERIES 2014 -4357 REMORIAL MEDICAL S5,214,312 49 S5.543 663 48 S5214 312 49 S5 000.494. 70 CENTER - OPERATING '4373 MEMORIAL MEDICAL S431 A i S431.41 S431 41 $43141 CENTER -PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL S106,748.84 5176,365.35 5106 746 84 S70.552.87 CENTER !NH ASHFORD '4403 IAL MEDICAL S169.5751e 5194.36081 S169,57516 S156.4:il47 CENTER IRNH BROADMOOR '4411 MEMORIAL MEDICAL S176.145.99 �j S178.269.20 S176.145.99 S161.519.72 CENTER rNH CRESCENT '4446 MEMORIAL MEDICAL $35.778.31 $37,125.91 S35,778.31 $12.134.48 CENTER I NH FORT BEND '4438 MEMORIAL MEDICAL 5297.753.34 5310.794.35 $297,753.34 5282.958.17 CENTER I SOLERA AT WESTHOUSTON '2. 998 A@IC-NIONEY MARKET 51,108,632.49 51108,632.48 S1. 108.63249 $1.108.63249 FUND 5 MIvMMC-NH BETHANY $267.537.24 5307.574.41 52157,537 24 $249.307.03 SENIOR LIVING '5441 MMC -NH GULF POINTE 3128,25148 S144.701.61 S128251.48 S39,5.12.72 PLAZA - MEDICAREWEDICAID '5433 MMC -NH GULF POINTE S587609 89 3614916.1E $587.809 89 S580,351 08 PLAZA -PRIVATE PAY -3407 MMC -NH TUSCANY S21 670.941 $2^ 670 94 $21.670 n, S17 917 80 VILLAGE S.np.nighl '0?' Prospinty bank i https itprosperity.olbariking.comlonlinetrlessenger to Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 10/25/2021 Ravlaus Aurunt 6eilnnini Pendini Tedryf ee[innlR Amount In Br Transferred to NRralni NmvySSz:ln'_ N < NumbN Bulunce Tender-0ut /Tranvler•In O... 11x 6alan[e Hume Glolwq nP ,q! 171,355 59 171.2850 V 5665332 $6.75932 J 55,316.6E Bank Baonn 56,75832 V Vunnce Nuro onN iekncez el urer55.e00wA1 be nvm/creed rotea+unmp home. No¢I Eocnoapum M1vro Wnba:en[ee)SIOO tnet nlM[eenowreE ro open a;[:nm Eeia fjC'( 7 5 2021 [care in 6nan[e 1W.00 MEDICARE AEPAYMEMTO MM CUNIC I.28170✓• OCTIMEREST NOVINTEREST RECIMERM Adjure SO ... rRtandrrAmtaa//./=�—/5.3)6:6i Anne red- 1 AntSvn, RI[Rardn.CFO v 10)R(f0S1 1 tNH WrnW W nslenuM OR Tran,trr 5ummarYt2@AC[te6er%Nrr UPI Tramlri mmmnv mn xI rAr lomn9n ran] J+a e4 ]armor nomus5aw11oN Ha1sIMPMr u'"MVIBM - 10'ttllNl xElLix xVtlJN N'C HCCuiMo411nMNla1t101It IO/llll0ll PeDeln latl/l0tl HWIi15SCWHO NHCCIll.1 16Va JIM[Olfi INIO/$NI Y.-iPE0V1n nf110N C<1111 s1 GOtNH0.1fc f]G6)f!l lat0/1@1 I1V5/iMHSf IRSI BaCO511M13J34Y553J169119 I.O0.IW I.0,. 171.2.5.61 ./56.6f9J1 ,/ SP,619.11 MMC WRIfQV NDP/mmpE61 NH Lyy1n WPA—., MM." NDD/Ce.0 W.e 11 PORTON az a94 JS1R I VJ 6.J41l t4J1 - 1 4441I p - 0.611 91 1012512021 Treasury Center Accounl Type imn Grn•,,p t:1y i,rnuas Sear6h iJi DDA Data reponeu as of Ocl 25, .20 ' Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $8,177,312.61 $8,703,496.05 $8,177,312.61 ` 57,741,129.82 '4551 CAL CO INDIGENT 55,370.66 S5.370.86 S5.370.86 $5.37086 HEALTHCARE '4454 MEMORIAL MEDICAL l NH GOLDEN CREEK S66,758.32 559.083.24 $56,758.32 $54 91917 HEALTHCARE '43 5 MEMORIAI. MEDICAL CENTER - CLINIC SERIES S53585 S535.65 S535.85 S535.85 2014 '4357 MEMORIAL MEDICAL $5,214,312.49 $5,543,66345 $5.214.31249 S5.006.494 70 CENTER - OPERATING '4373 MEMORIAL MEDICAL S431 41 $431 41 $431.41 S43141 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL S106,748.84 S176.36535 S106748,84 570552.87 CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH S169,57516 S194,36081 S169.575.16 S156.43147 BROADMOOR '4411 MEMORIAL MEDICAL 3176,14599 S178,269.20 $176.145,99 $161.549.72 CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL S35.778.31 S37.125.91 S35.778.31 S12, 13448 CENTER/NH FORT BEND -aa36 MEMORIAL MEDICAL CENTER I SOLERA AT $297.753.34 5310.794,35 S297,753.34 S282.958.'7 WESTHOUSTON '3999 MMC-MONEY MARKET S1.108.632.49 $1, 108A32,49 S1.108,632.49 $1,108.632.49 FUND '5506 MMC -NH BETHANY S267.537.24 S307,574 Ai S267,537.24 $249,307.03 SENIOR LIVING '5441 MMC-NH GULF POINTE PLAZA- S128.251 48 S144,701.61 $128.251 48 $39.542.72 MEDICARE/MEDICAID . '.5433 MMC-NH GULF POINTE S587809.89 St314,91616 S587, 805.89 $580,35108 PLAZA- PRIVATE PAY '3407 VILLAGE Cop Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 10/25/2021 V n.au{ {n Be [aoun{ ...Lenin prrWn[ Y—d—du, Nunl. Mwne Nwnlxr ity,1nnift fialwo MursiniM— Tyly%Yy[tBq , IOJ,EYl 32 IOL l9:.L ✓:1,SIa YJ :Ib1091 j12,039." BanY B{I,n<t j1,f 1091 / HO(r P+rYr'abnM o/eux 55 U]Vw.•Iberran,(errYb Nlhen�riny M1one Nom }. [armrmwJ ha. o bore manor of Annmar nrnJc aea,.,•o-d lb nren b.....nL f.i°�' ZK1VfiNJ CrSiV 01 ( L 1 .-)li%1 feces in Belan{r u"M MWlne oil fl01[m0er 1.149J0 ✓� W..E B[OnYMFNi 10 MM QuE. I,201.}0 V AGunaalerce/B Ix Gml U..". yj AO / ItVl R.nIh.,nM1onY RI{An ,o ,CiO P MMC PORTION ' .✓ !k' x 9 i8AY B� -A �I n'4's. QIPP/Comp4 Tnnsftt-0ut Trensler-In QIPP/Compl QIPP/Comp2 QIPP/Camp3 BbPse QIPP TI NN PORTION 10/22/2021 CK LOU C416.86 - - 1012212021 KS PLAN ADMINIST HCCLAIMPM3179111000029693 4,40D.00 - 4.40000 10/21/2021 Deposit 8,921.14 - 8.921-14 10/20/2D21 WIRF0117 LINEAR ENTERPRISES, ILC 103.54546 10/20/2021 MOLINA HEALTHCAR MOLINMICH OI00944942000017 81249.80 8,249.80 &249180 - 104,192.32 j 21,520.94 / 8,249.80 8,249.80 23,321.14 101252021 Treasury Center Account Type Adn i,mu�. ;.iy vraups Soa rr All DDA Dma rzpervo a, of Oct 25, 21121 2 Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $8.177,312.61 S8,703,496.05 $8,177,312.61 $1,741.129.82 '4551 CAL CO INDIGENT $5,370,86 S5,370.86 S5, 371,86 S5.370Ab HEALTHCARE '4454 MEMORIAL MEDICAL I $56,758.32 $59,083.24 S56,758.32 $54,919.17 NH GOLDEN CREEK HEALTHCARE .4365 MEMORIAL. MEDICAL S535.85 S535.85 $535,85 S535.85 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL S5,214,312 49 $5.543,66346 $5,214 312,49 $5,000.494. 70 CENTER -OPERATING '4373 MEMORIAL MEDICAL 3451.-'1 S431 41 41 $431 11 CENTER, PRIVATE .5431 WAIVER CLEARING '4381 MEMORIAL MEDICAL S106.748-84 $176,365.35 $106,748.84 $70,552.87 CENTER INH ASHFORD '4403 MEMORIAL MEDICAL S169575.is S194.300.81 S169.57518 S153,431.47 CENTERINH BROADMOOR '4411 MEMORIAL MEDICAL S176.145,99 $178.269.20 S176,14599 S161.549.72 CENTER I NH CRESCENT Y446 MEMORIAL MEDICAL S35,778.31 S37.125.9i S35,77831 S12.13448 CENTER I NH FORT BEND '4438 MEMORIAL MEDICAL S297.753.34 S310.794.35 S297753.34 $282.958.17 CENTER l SOLERA AT WEST HOUSTON '2998 MNIC-MONEY MARKET S1,10S,632.49 51'08.63248 S1, 10583249 S1.108,632.49 FUND '5506 Mrv1C-NH BETHANY S2674537.24 5307.574.41 S267,537.24 S249.307.03 SENIOR LIVING ' 5441 MMC -NH GULF POINTE PLAZA - S128,251.48 S144,701.61 S128251 48 S39,54272 MEDICARE/MEDICAID '5� 433 MMC -NH GULF POINTE S587,809 99 S614,916 16 S587 809.89 S560 351 08 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $2 i.670.94 ,�.� S21.670 0,3 s2167094 5n9,Tan VILLAGE ' mnualcs ;� I https:r/prosperity.olbanking,cbm/bnlinaMessenger 1 1 Memorial Medical Center Nursing Home UPl weekly HSLTranster Prosperity Accounts 10/25/12921 vm. vfnmry me. M[wnl B.Vnniry Wolin,. M1.ntlemdlo Hu�nN Nvm� XuxMr yllanllN Pr1 itWl.rJn 6tCkand Pea .pt I6d aR1 xnn R.I.nn NVni NYm. >o),iq s, ONFiRy_-MMSth WtN{.; `•'; f bt lol m: u: �:6)ai;.la ;oLr,p;r g6)A3i.ia Rau&tans ;start: ✓ Vnrantf anvem ntlan[t 2caM OET INTEREST NOV INTEREST "Last, Ndiun Bdrnw/!r •Mt 361A741 II,u,!v bVlanrn yam SS,WO.11 rY nominrpmPeeuran9Yo��- 9afe2E.tl.1...1 a.11 bew— N SIM"..I MMCd",v marm.... . mtFanYNrtFYdr T� Eo/iSkVll aka j�wrw3 4w OCT 2 � 2M cx�P.R>�E n�3a�vE=. 1 mn w«ro;.anaefnwu uet ua.n.r 6.m�.a.:o:ram6...xN w. u..,rn wxxw w it H.m r* 10/22/2021 NOVITAS SOLUTION HCCIAIMPMT 6)048142NN140 10122/2021 HOSPICE OF SOUTH Payments NF 113122650023221 30/22/2021 HEALTH HUMAN SVC HCCLAILIP41T 1746W141130361 10/21/2021 Deposit 10/21/202L NOVOM SOLUTION HCQAIMPMT 67MBI 4200MI91 10/21/2021 HEALTH HUMAN SVC HCCIAI MPMT 1746N34113026 2 10/20/2021 WINE OUT BE THANY SENIOR LIVING. UO 10/20/2021 Deposit 19/20/2921 NOVITAS SOLUTION HCCLAIM FIAT 626•I8142000O133 10/20/2021 NFALTH HUMAN SVC HCCLAIMPMT 1746C034113016 2 10/10/2021 ACCENTCARE INC PAYABLES 999DDDSM 21/1000225 10/19/2021 NOVITAS SOLU TION HCCLAIMPMT B)64BI 420NO146 1011812021 Depmlt MMC PORTION QIPP/ComP4 TronsfeT•Out Transfer -In QIPP/Comp) QIPP/CPmP2 QIPPfCA.P3 &UPS. DIPPTI NH PORTION 1.49141 - 1,49101 1.579 41 1.579 At 15, 159,79 15.159 79 21.571.32 21.511.32 2.252,71 2.25271 5,431.36 5.431.36 303,132.67 - 7,440,0 7.440.0 182.286,12 182.286.12 5.179.50 5,379 ED 1,314,56 3.314 56 81055,25 B4O5526 2S,476:0 25.476.20 303,182.67 26):43).24 / 26)07.24 10/252021 Treasury Center Account Type Aun Group My Grou s r Searc.n All Account Number Current Balance Available Balance Number of Accounts: 15 $8.177,312.61 $8,703,496.05 '4551 CAL CO INDIGENT S5,370.86 S5,370.88 HEALTHCARE '-1454 MEMORIAL MEDICAL $56,758.32 555,083.24 NH GOLDEN CREEK HEALTHCARE ' 4365 MEMORIAL MEDICAL S535.85 S535 05 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $5,214,312.49 S5,543,6,3346 CENTER -OPERATING '4373 MEMORIAL MEDICAL S431.41 S431.41 CENTER -PRIVATE WAIVER CLEARING '4361 MEMORIAL MEDICAL 6106.748.84 Sr76,36535 CENTER)NH ASHFORD '4403 MEMORIAL MEDICAL S169,575.16 5i911.360.91 CENTERINH BROADMOOR '4411 MEMORIAL MEDICAL S176.145.99 $178,259.20 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL S35.778.31 $37,125.91 CENTER )NH FORT BEND '4438 MEMORIAL MEDICAL CENTER 1 SOLERA AT 5297.753.34 S310.794.35 'i'EST HOUSTON '2998 �M61C-MONEY MARKET Si, 108,632.49 S1. 108.632:i9 FUND 'S506 MMC -NH BETHANY S267.537.24 1 S307,574.41 SENIOR LIVING '54a1 A1hIC -NH GULF POINTE PLAZA. 5128 251 46 $ id4.701.81 MEDICAREMEDICAID '6433 MMC -NH GULF POINTE S587.809 89 W-1.916 16 PLAZA, PRIVATE PAY 3407 MMC -NH TUSCANY S21,670.94 S21,670S4 VILLAGE Collected Balance -_ $8,177.312.61 S5,370.86 556,758.32 35 of 011 , 91"". Prior Day Balance S7,741,129.82 $5 370.86 $54.919.17 S535.85 S535.85 S5214 312 49 $5,000,494 70 5431 41 S431 41 $106,74a,84 S70552.87 5169.57516 S15643147 $176145+99 $161,549.72 S35.778.31 512.134.46 S297.753.34 S282.998.17 51,10863249 51.108A32.49 S267.537.24 S249 307 03 S 128,251 A8 $39.542.72 S587.809.89 3580.35108 S21.0'70.94 $17,91780 Pnye p¢ni!ralen nn ai 2 htlnsalprosperity, olbanking. co mIa n11neA1 as senger Memorial Medical Center Nummi; Home UPL Weekly HMG Transfer Prosperity Accounts 10/25/2021 rr.swm Am<umma A<mw,t n<uxm<p r<�amf T<x:a<..am xu.a•,<xam. .—• A,L.._ T..,.h<w. m,w<w, ma<.<a a r.a, tn, pn J✓... a„< GVy VeBI}e149'hMiphy- SS41»S] ]].bd3.N 16.3Ni6 Stl).M)I9 SE•IW.L � r` 4nI SJirn« IE1.IMb lea+<venllanx 19M IINIOEN[I .1,1NIVAYMfMS aG'ads, ✓ fWOYAYMUITSTOMW "146 6 i f,10PAW ITISW MOLUCC f11411,11 MWNIC % FGIO➢AYMFNI3TO ASNiORO f(OYAYM ENTSTO SA•lOfJ6 a." E(NOIAYMfNi51000.0MM0.M !y]SLSS/ [MOYAYMMICO LMO 35,3]Y.13 i [OiONCIIAW5IOTOMNWO 14171" i 4QIOMTOGOLIKHMM IJ4EnIf J EIXOYRYM[XT3r04gIXNCR[[E H'"M fMOYAYMFNIStOB[lNAl1V )]91A0 . W MOlftr NWln vxs,, OffofMIVSi / 0.+'urt&hwRonshe Mnt SLtEall ✓ Vnrbu Mleunl ]bN Amunt lNe-LE Y<MMJ T.NWiNNb Hm4aNmmv xumE« GW<u Yr 41-0ut T<nr[n!n CUM ... d bwub Tb4J<4tWJK4W:ra Ru HNp< fxiYPo'OIJl1Me41NkE(IfArydMli"-" ]),I31J5� 1>W>b5 JOzIstd ✓�/ � I9e351.0 3I81LS2•111 &Nkul na "INN. I20.2510 lkvgLwzzIw( 2dPolnunw<' Nar: cFhtwlenu..fmrll,nSYw✓:b<wyJx<Nto MJnwviYx.mv. Api 15r?xtyL= 4N tit' ?; 2021 fvx'A:ery I—Itl µnV<1 rv<nJn w:mm.+•.gss:M<OCNMVrt 11-V I—, IW5a3w lmxNflalanR Now OCIAIMYLIT Inn, wtmfST aEclntursr 4NuLLx<lurt<RryrelNlml ilI.I31Y 1014iPNI5rIR IA:lIW .j �� e M AA1Mxry� IO/]S1M31 OHN Pe}MPH wP]r941 S4 _ �. Tnn�nOur 30/2212011 HIRE. ECHO IICClAEMPMT Mn OOUI]44NPE22M4I 101242021 H WNH41N5 CO NCMrt. 0mv Sm. [30000523]50 I(UIVI 21 PNC-ECHOHCGAl14PMl']4600341141000i49H9U4 10/211202E HUB. fC11)HCC1)IMPMT]46003411d490002F3500 101]1120I1 INS ECHOHCCIAINIPI.IT746" N114400062656Cd 10112/I031 HNB-ECHO HCCIAIMPMT]46:O3d1104CW02B56CO 1O(21/}Ot1 NNP-ECHO lllttAIMIMT 116Oe941114=C1d56G4 l0/lo/20}I WIUE 0Of 11MG Sf4vwEs, 31C PAST 91 19g012021 NNB - ECIIO HCCLAIMPM1 744=411 g0:Op2dll.i61 W/20/201 HUB- ECHO NttNIMPMT 74SOOP1144000E246463 30/2012011 IW9[UIOIICCWMPM1IT]4b901J11 a4400014Gi¢J 1011012021 IIHO-FCNOHC<WMPMT>440J341144pppp3dMFs 101IW2021 HNO ECNONC[WMPM2L6N3J1I AEla4w B485 10/10/2021 NNB- ECHO HCCWfdWdT]460034114J0 W209173 10/19/2021 IIHO -ECHO fICCWMPMi]46003<ll M WCOI091]l 10/92021 HIIB-EC. CCW1nMT M6003411 at40002091]J {O/1B12011 NNB ECHKH O CCIAIMPMT]46003411440000242955 INI6/2011 01110 iU10 HCCWMPMT'M1t6203411 U000034]u]S 20/18/20]l 11110. ECHO HCCLSIMPMT ]460034114400 W N]9f 3 {0/M0a21 HIIa. ECHO HCCWAnAIT]46W34114a000034M5S INI412021 NNO ECHO HCCWMTMT 74603411440000247955 3M141i0]1 11N0 - f[x0 xCCWMPM2 ]46W34114N000)4]A55 MMCPoRl1ON pIPP/cempl¢ t TnnPlar-In OIVPlComPt NIP/CemP3 011P/Camil hiss NPP II PORTION 5581 3891 ],epB BO 7,400d1 a2i 91 - 02293 2373. 237.SJ :M 21 1Ba.11 413036J !TOt IN 03B ct E,336.01 1969 19. 400]A3 E.00 9AfiI ET S.lbe.69 ],18649 2x.503.10 xzsa3.m 9.00592 9Ab59: 6.O7267 6.OA.6i 7.7ae.75 ua4 1, 16.15 1 1,016.xIS 5 51 At 241991 41 I, xu4.ta 3,1.418 96I 30 - 96228 LE663.94 66.314A6 06.114.46 ��T �, is v. �'�„]�sfyMi t" K •] a Tnn aue 1N1]1M1! UOAIOW113AHKCUIMPMTE]58924]pX101412>66 1012012021 F•PeHt 1 WIHEOW NMGSEPVI[(5•pC 37,C83 S5 101]01]02I NFMTH HUMAN FVC hCCUIMPM11i 17460034111013 ] SAW PORTION plPPlo.se, NH .T.•J_P..fA,.IL I O1PFIQm l NPP/CaxPS @PPIQ.0 W. GIPPTI I PoR]WN 69•]09.26 33,7"n 35.460.66 35.40 G5 9,4E2.O6 3.9U Vv MAf4.6S l2E.fS1A6 itt,ss5.46 39]6].S9 214.465.94 fU,465.91 1012512021 Treasury Center AccountType Add Group hty Grqups Search Al Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE '4454 MEMORIAL MEDICAL i NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CUNIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING 14381 MEMORIAL MEDICAL CENTER/NH ASHFORD '44 3 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER I NH CRESCENT '4446 MEMORIAL MEDICAL CENTER 7 NH FORT BEND am MEMORIAL MEDICAL CENTER I SOLERA AT WEST HOUSTON '2998 MMC -MONEY MARKET FUND '5606 NIMC -NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - MEDICAREIMEDICAID 'S433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY 2407 MMC -NH TUSCANY VILLAGE Data Current Balance Available Balance Collected Balance $8,177,312.61 58,703,496.05 $8,177,312.61 $5,370.86 55,370,80 $5,370.86 $56,758,32 559,083.24 556,758.32 Cnpy119H 2021 Presp,+riry, Sank, https:llprosperity, olbanking.comlonlineMessenger as of Oct 25, 2021 2 Prior Day Balance 57,741,129.82 55,370.6E 554,919.17 $535,85 $535.85 5535.85 $535.05 $5,214,312.49 56,543,663.46 $5,214,312,49 $5,000,494.70 $431.41 $431.41 $431.41 5431,41 5106,748.84 5176,365.35 5106,748.84 570,552.87 S163,575.16 5194,360.81 5169,57516 5156,431A7 5176,145.99 5178,269.20 5176,145.99 $161.549.72 $35,778.31 $37,125,91 $35.778.31 S12,134A6 5297,753.34 $310,794.35 5297,75134 $282,958.17 51,108,632.49 SI.108,632.49 51,108,632.49 51.108.632.49 5267,537.24 5307,574Al $267,537,24 5249,307,03 5128,251.4E 5144,701.61 5128,251A8 539,542.72 5587,809.89 $614,916AI3 $587,809.89 $580,351.08 $21 1370.94 $21,670.94 $21,670.94 $17,917.80 ' inoicates r, Par4e gancrntaa o, 10'Y 2021 at 2 —ASHFORDpppppp - 10/25/21 01'T 2 5 2021 ldm L L 14,059.24 f P. E R: Y. 1 1 QIPP MOLINA SEPTEMBER 2021 it Caitlin Clevenger ) E\/11.-.PIA.l il. j 9ROADMOORM 10/25/21 r, 1 1( :.1.f . it I OCT 25 2021 - 1 r;i:.9i)UiJ 5,819.32�L :'IUIvES:f: QIPP MOLINA SEPTEMBER 2021 it �I Caitlin Clevenger fl `CREseEt3T-/,M / 21 OCT 2 a 2021 4,673.24 i QIPP MOLINA SEPTEMBER 2021 Caitlin Clevenger 11, It I - We, 10/25/21 — ----- ---- FOR ACU. USECDNL't AFi Uf-fW Ca I ! V%T L OCT 15 2021 A� P C't K "w AfViO,INT 5,681.00 QIPP MOLINA SEPTEMBER 2021 iV Caitlin Clevenger - - -------- ------ 'I 50tERAP ppqq 10/25/21 �3ir �I�I, �. F I i w�f°u 1 2021 f I� p. 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