The URL can be used to link to this page

2022-05-11 Final PacketI NOTICE OF MEETING-5/11/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (ABSENT)Gary Reese, Commissioner, Precinct 4 Kadldlie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, May 11, 2022 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 was called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Joel Behrens Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Consider and take necessary action to approve an Order Prohibiting Outdoor Burning. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 1 of 4 NOTICE OF MEETING-5/11/2022 6. Consider and take necessary action to authorize Commissioner Behrens to sign a lease and rental agreement with Anderson Machinery for a Kobelco SK210 Excavator. (JMB) PASS Consider and take necessary action to approve the contract with Lester Contracting, Inc. for drainage and sewage improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 and authorize the County Judge to sign. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 8. Consider and take necessary action on insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages during the Winter Storm the week of February 15, 2021. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 9. Consider and take necessary action on insurance proceeds from TAC in the amount of $12,133.08 ($14,633.08 - $2,500 deductible) for damages to a Sheriff's Office vehicle on 3/30/22. (RHM) RESULT: APPROVED[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 10. Consider and take necessary action to approve the Technology Plan for the Calhoun County libraries in Port Lavaca, Port O'Connor and Seadrift. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 11. Consider and take necessary action to approve a county credit card with a credit limit of $2,500 for the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens NOTICE OF MEETING — 5/11/2022 12. Consider and take necessary action to approve the ECF program to fund 50 Chromebook computers. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 13. Consider and take necessary action to authorize the Calhoun County Children's Librarian, Kelley Ashley, to apply for the Lewis R. and Juaniece Madden Foundation grant in the amount of $25,000. (RHM) 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 to accept the attached lists of donations to the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 15. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Surplus/Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 16. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 3 of 4 NOTICE OF MEETING — 5/11/2022 17. Accept Monthly Reports from the following County Offices: i. Floodplain Administration — April 2022 ii. Justice of the Peace, Precinct 1— April 2022 iii. Justice of the Peace, Precinct 2 — April 2022 iv. Justice of the Peace, Precinct 4 — April 2022 v. Sheriff's Office — April 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens 18. Consider and take necessary action on any necessary budget adjustments. (RHM) None. 19. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct I SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Adjourned at 10:15 a.m. Page 4 of 4 ✓ II Agenda Items Properly Numbered /contracts Completed and Signed ✓All 1295's Flagged for Acceptance (number of 1295's I ) �!I Documents for Clerk Signature Flagged On this .day of 2022 a complete and accurate packet for -A of 2022 Commissioners Court Regular Session Day Mont was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. &/"24U Calhoun County Judge/Assistant COMMISSI ONERSCOURTCHECKLIST/FORMS AGENDA NO-FICE OF MEETING — 5/_L7./2.022 Richard H. Meyer County judge ge David Fall, 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, May 11, 2022 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: (' . C.� FILED AT O'CLOCK__ C � ... ' T."'Call meeting to order. MAY 0 8 2022 '2. Invocation. cou "' U& `3/Pledges of Allegiance. BY 41 General Discussion of Public Matters and Public Participation, 3 Consider and take necessary action to approve an Order Prohibiting Outdoor Burning. (RHM) pp 16. Consider and take necessary action to authorize Commissioner Behrens to sign a lease /and rental agreement with Anderson Machinery for a Kobelco SK210 Excavator. (JMB) 77 Consider and take necessary action to approve the contract with Lester Contracting, Inc. for drainage and sewage improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 and authorize the County Judge to sign. (DEH) 8. Consider and take necessary action on insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages during the Winter Storm the week of February 15, 2021. (RHM) '9. Consider and take necessary action on insurance proceeds from TAC in the amount of $12,133.08 ($14,633.08 - $2,500 deductible) for damages to a Sheriff's Office vehicle on 3/30/22. (RHM) Page 1 of 2 ,Itrn(E ( )r- yl!E l I iN - ',,1 1.1/� BYO. Consider and take necessary action to approve the Technology Plan for the Calhoun County libraries in Port Lavaca, Port O'Connor and Seadrift. (RHM) `11. Consider and take necessary action to approve a county credit card with a credit limit of �$2,500 for the Calhoun County Library. (RHM) 12. Consider and take necessary action to approve the ECF program to fund 50 Chromebook computers. (RHM) 41.-Eonsider and take necessary action to authorize the Calhoun County Children's Librarian, Kelley Ashley, to apply for the Lewis R. and Juaniece Madden Foundation grant in the amount of $25,000. (RHM) e4. Consider and take necessary action to accept the attached lists of donations to the Calhoun County Library. (RHM) 75. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Surplus/Salvage. (RHM) Y. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Waste. (RHM) 17. Accept Monthly Reports from the following County Offices: 'Floodplain Administration — April 2022 `U Justice of the Peace, Precinct 1— April 2022 5 Justice of the Peace, Precinct 2 — April 2022 Iv Justice of the Peace, Precinct 4 — April 2022 / 7! Sheriff's Office — April 2022 78. Consider and take necessary action on any necessary budget adjustments. (RHM) '6. Approval of bills and payroll. (RHM) Richard H. Meyer, County'Qj�fge 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 �svra{_calh�uncpc:;.cn� under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 NOTICE OF MEETING — 5/11/2022 Ricbard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 (ABSENT)Gary Reese, Commissioner, Precinct 4 ][caddie Smith, Deputy Cleric NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, May 11, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Smite 104, Port ]Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting was called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Joel Behrens Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Consider and take necessary action to approve an Order Prohibiting Outdoor Burning. ( RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 1 of 15 #5 BURN BAN ORDER —5/11/202-2 Richard H. Meyer County judge David ]flail, Commissioner, Precinct i Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 WHEREAS, on the 1 lth day of May, 2022, the Commissioners' Court finds that circumstances present in all unincorporated areas of the County create a public safety hazard that would be exacerbated by outdoor burning. IT IS HEREBY ORDERED by the Commissioners' Court of Calhoun County that all outdoor burning is prohibited in the unincorporated area of the County for 90 days from the date of adoption of this Order. The County Judge may rescind this Order upon a determination that the circumstances that required the Order no longer exist Household Trash may be burned in a closed or screened container. This Order is adopted pursuant to Local Government Code §352.081, and other applicable statutes. This Order does not prohibit outdoor burning activities related to public health and safety that are authorized by the Texas Commission on Environmental Quality for: (1) firefighter training: (2) public utility, natural gas pipeline or mining operations; (3) planting or harvesting of agricultural crops; or, (4) burns that are conducted by a prescribed burn manager certified under Section 153.048, Natural Resources Code, and meet the standards of Section 153.047, Natural Resources Code. In accordance with Local Government Code §352.081(h), a violation of this Order is a Class C misdemeanor, punishable by a fine not to exceed $500.00. ADOPTED this 1 lth day, of May, 2022 by a vote of — ayes and �Z nays. � f Richard H. Meyer Calhoun County Judge ATTEST: Anna Goodman, County Clerk I �� ' ' 1�1�� Page 1 of 1 NOTICE OF MEETING — 5/11/2022 6. Consider and take necessary action to authorize Commissioner Behrens to sign a lease and rental agreement with Anderson Machinery for a Kobelco SK210 Excavator. (JMB) PASS Page 2 of 15 um I Lpo- -11 I Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 -- Office (361) 893-5346 — Fax (361) 893-5509 Email: iceLbehrens(dca)houncotx.om Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for May 11, 2022. • Please Consider and Take Necessary Action to allow Commissioner Behrens sign lease and rental agreement with Anderson Machinery for a Kobelco SK210 Excavator. Sincerely, *0� ua. Joel Behrens Commissioner Pet. 3 Anderson Machinery Co. 5309 U.S. Highway 59 North P. O. Box 37 Victoria, TX 77905 Tel: (361)575-8111 Fax:(361)573-3164 Rental Quotation For: wn Co Pct.3 Joel Date: 4/21/2022 Qty Description Doy, Week- AAonth . 1 Kobel=SK210 excavator $ 806.40 $ 2,016.00 $ 5,040.00 1 Delievery $ 425.00 $ 425.00 S 425.00 1 Pick u $ 425.00 $ 425.00 $ 425.00 Sub Total $ 1,656.40 $2OOM $ 5,690.00 HE Tau $ 3.43 Ter Tax $ 24.85 Sale. Tax. $ 136.65 $ 238.45. $ 485.93 Eanmaled $ 1.821.33 $ 3,151.38 $ 8,478.48 I AM Sales Person: Jusitn Boyd-361.571.6929 See Important inlorme6on An CERTIFICATE OF INTERESTED PARTIES FORM 1295 Soft 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. 2022-842693 Anderson Machinery Company Victoria, TX United States Date Filed: 01/24/2022 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: a 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. 1234 Rental Equipment 4 Name at interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Anderson, Machinery Victoria, TX United States X 5 Check only if there is NO. interested Party, ❑ 6 UNSWORN DECLARATION My time is aJCt7i �• +h4 and my date of birth is My address is (street) Tu (city) (state) (zip mite) (country) I declare under penaky/of perjury that the foregoing is true and correct. Executed in V t 4,kor. c . County, State of � a5 on the day of SnUnc f 20 e , (mmth) f (year) /(� /] Wl Signature of rIzed agentof ntr tin siness entity (Declarant) anus pruvweu by texas Ethics commission www.etmcsstate.tx.us Version V1.1.191b5cdc NOTICE OF MEETING — 511112022 Consider and take necessary action to approve the contract with Lester Contracting, Inc. for drainage and sewage improvements in Alamo Beach for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 and authorize the County Judge to sign. (DEH) 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 15 DOCUMENT NO.00500 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is dated as of the 13th day of April in the year 2022, by and between CALHOUN COUNTY (hereinafter called OWNER) and LESTER CONTRACTING, INC. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORK: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. .02 ENGINEER: The Project has been designed by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 230 Calendar Days after the date when the Contract Times commence to run. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. Any day(s) in which rainfall occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site. 00500-1 AGREENIEN'r aE'I'WEEN OWNER AND CONTRACTOR Drainage & Saver Improvcmcnts in Alamo Beach - GLO Contract No. 20-065-063-Cl82 (5310.01 Id) 2. Any day(s) following the above described "rain day(s)" in which the condition of the construction site, in the opinion of OWNER's representative, is not conducive to providing CONTRACTOR with a safe working environment at the site. OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days". Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. C. Liquidated Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03.a above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that, as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER THREE HUNDRED DOLLARS ($300.00) for each day that expires after the time specified in paragraph .03.a. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR agrees to waive as against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty; (2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. 00500-2 AGREENIEN'r aE'1'WEEN OWNER AND CONTRACPOR Dminnga & S.., Impmvemenis in A[. Bench GLO Comma No. 20-065-06,1-CIR2 (5310.01 Id) .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contract Documents in current funds as per CONTRACTOR's bid which forms a part of this contract. In no event shall the amounts payable pursuant to this Contract exceed $1,046,011.50, plus the amount of any duly authorized change orders or contract amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division 1 - General Requirements, Section 01025 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER and as provided below. All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. Progress payments will be in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER shall determine, or OWNER may withhold in accordance with Paragraph 14.02.13.5 of the General Conditions. A. 90% of the Work completed (with the balance being retainage) B. 90% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14.02.A.I of the General Conditions). 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs. All requests for material payment shall be accompanied by CONTRACTOR's paid invoice for the material in accordance with Article 14.02.A.1 of the General Conditions. 00500-3 AGREEMENT BETWEEN OWNER AND CONTRACTOR Drainage & Sewer linprovements in Aline Beach - GLO Contract No. 20-065-064-CIS2 (5310.01 Id) b. Final Payment Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph. .06 CONTRACTOR's REPRESENTATIONS: In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: a. CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data." b. CONTRACTOR has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. C. CONTRACTOR is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and furnishing of the Work. d. CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTOR's purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. 00500-4 AGREEMENTBETWEEN OWNER AND CONTRAC'roR Drainage & Server hnprovemmnK in Alatno Bench -OLO Contract No. 20-065A64-C182 (5310.01 Id) e. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. f. CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. g. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The Contract Documents which comprise the entire Agreement between OWNER and CONTRACTOR are attached to this Agreement, made a part hereof and consists of the following: a. This Agreement. b. Exhibits to this Agreement. C. Calhoun County — GLO Contract No. 20-065-064-C182: Required Contract Provisions; General Affirmations and Nonexclusive List of Applicable Laws; Rules and Regulations; and Section 3 Clause d. CONTRACTOR's Bid. e. Performance, Payment and other Bonds. f. Notice of Award. g. Notice to Proceed. h. General Conditions. i. Calhoun County, Texas General Conditions. j. Supplementary Conditions. k. Technical Specifications. 00500-5 AGREEMENT RE-rWEEN OWNER AND CONTRACTOR Drainage R So= hnprovemems in Alain. aaach - OLO Contract No. 20.065-064-CI82 (5310.01 id) Drawings numbered & titled for the different areas of work as indicated below: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. SHEET NO. DATE DESCRIPTION G1.0 08/13/2021 COVER SHEET Gl.l 08/13/2021 GENERAL NOTES CIVIL DRAWINGS: G2.0 08/13/2021 INDEX SHEET FOR OUTFALL LOCATIONS G2.1 08/13/2021 INDEX FOR OUTFALL #1 G2.2 08/13/2021 INDEX FOR OUTFALL #2 G2.3 08/13/2021 INDEX FOR OUTFALL #3 G2.4 08/13/2021 INDEX FOR OUTFALL #4A & 4B G2.5 08/13/2021 INDEX FOR OUTFALL #5 G2.6 08/13/2021 INDEX FOR OUTFALL #6 G2.7 08/13/2021 INDEX FOR OUTFALL #7 & 7B CIA - C1.14 08/13/2021 OUTFALL 1 PLAN AND PROFILE C2.1 - C2.9 08/16/2021 OUTFALL 2 PLAN AND PROFILE C3.1 - C3.2 08/13/2021 OUTFALL 3 PLAN AND PROFILE C4.1 — C4.6 08/13/2021 OUTFALL 4 PLAN AND PROFILE C5.1 - C5.7 08/13/2021 OUTFALL 5 PLAN AND PROFILE C6.1 - C6.6 08/13/2021 OUTFALL 6 PLAN AND PROFILE C7.1 - C7.6 08/13/2021 OUTFALL 7 PLAN AND PROFILE C8.1 —C8.3 08/13/2021 OUTFALL DETAILS C8.4 08/13/2021 OUTFALL I DEMOLITION C9.1 08/13/2021 STANDARD NOTES M. Addendum numbers One 1 to One 1 inclusive n. The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 7. The Contract Documents may only be altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. 00500-6 AGREEMENT BETWEEN OWNER AND CON'rRACTOR Drainage & Sewer Improvenmnts in Alamo Bench - OLD C..1=1 Nc. 20-065-064-062 C5310.011 d) .08 MISCELLANEOUS: a. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor fronr any duty or responsibility under the Contract Documents. C. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. d. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. OWNER: NOUN COUNTY t BY: ichard H. Meyer, Coun udge ATTEST: iKaAjA-,VJA0Z6V ADDRESS: 211 S. Ann, Suite 301 Port Lavaca, Texas 77979 PHONE: (361) 553-4600 FAX: (361) 553-4444 CO=6terLJrTPn R CONTRACTING, INC. BY:sident ATTEST: � JJ �)U-7A-- ADDRESS: P.O. Box 986 Port Lavaca, Texas 77979 PHONE: (361) 552-3024 FAX: (361) 552-4049 END OF DOCUMENT 00500-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR D.innge S. S.., Wpmvcmenls in Alamo Bench - GLO Conuoct No. 20-065-064.C182 (53 M011d) .rl L E572e-R 617VIO',e4e% 1416 Z/(K . hereinafter called "BIDDER", (Legal Firm Name) is submitting this Bid for Furnishing and Performing the Work specified herein as the DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064- C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO, D- 1. This BID is Submitted to the COUNTY OF CALHOUN, hereinafter called "OWNER". 1. Terms used in this BID are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and perform all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated. in this BID and in accordance with the other terms and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, Including all required documents indicated by the Bidding Requirements, within Fifteen (15) Working Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No.: 0.40 - Date Received: 110- M-Z) b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. c. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. 00300-1 d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. e. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. S. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. C. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices: d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.03.11 of the General Conditions. e. BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 BASE BID Item # Item Description Quantity Unit Price Total Bid Price 1 Furnishing Mobilization and Insurance as per 1 LS 5U UUC? 5b /JGL�i, fans andspecific ions .0 2 Furnishing, implementing and maintaining I LS Storm Water Pollution Prevention Plan (SWPPP) for the duration of the entire project per plans and ILI), s ecifications �a d BUD, o0 3 Furnishing, implementing and maintaining l LS signage, barricading and traffic control for the lbOGY�. entire project. oo Q UUU e OUTF'ALL W 4 Outfall # 1: Regrading and digging of existing 16,820 LF roadside ditch including labor, equipment and materials fora complete installation as per plans andspecifications00 jam% i Gj o0 5 Outfall # 1: HDPE Storm Sewer Pipe of 18" 444 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per / �f. fans andspecifications 66,00 2q,3U 00 6 Outfall # 1: HDPE Storm Sewer Pipe of 24" 542 LF Diameter Including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete Installation complete in place as per tans andspecifications a o 7 Outfall # 1: HDPE Storm Sewer Pipe of 30" 40 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per tans andspecifications 8 Outfall # 1: HDPE Storm Sewer Pipe of 36" 515 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials far a complete installation complete in place as per tans andspecifications lt' �. u o CPi Soo 9 Outfall # L• Modifications to existing outfall I LS structure Including, but not necessarily limited to, demolition of existing structure and concrete, installation of newjunction boxes, concrete rip - rap including labor, equipment and.materials for a complete installation in place as per plans and specifications. 33 nOU, o 33OUooa 10 Outfall # L Hydromulch seeding of roadside I6,820 LF ditches per plans and specifications including labor, equipment and materials for a complete installation, 23U.00 00300-3 BASE BID CONTINUED Item # Item Description Quantity Unit Price Total Bid Price 11 Outfall # 1: Disposal of waste spoil material from 16;820 LF roadside ditch work to Owner's designated.disposal area per plans and specifications including labor and equipment for a complete removal. .25 205, 0� TOTALOUTFALL#I I 3-4q,2 0� CALANDER DAYS FOR OUTFALL #1 U OUTFALL #2 12 Outfall # 2: Regrading and digging of existing 10,452 LF roadside ditch including labor, equipment and materials for a complete installation as per plans ands eciflcations 0.06 13 Outfall # 2: HDPE Storm Sewer Pipe of 18" 527 LF Diameter including, but not necessarily limited to necessary earthwork, embedment and grading Including labor, equipment and materials for a complete installation complete in place as per plans and specifications 66.00 14 Outfall # 2: HDPE Storm Sewer Pipe of 24" 889 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans andspecifications p 15 Outfall k 2: HDPE Storm Sewer Pipe of 36" 768 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans and s ecifications 16 Outfall # 2: Installation of outfall structure l LS including, but not necessarily limited to, demolition of existing structure and concrete, installation of new Junction boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and specifications. �1 I7 Outfall # 2: Hydromulch seeding of roadside 10,452 LF ditches per plans and specifications including labor, equipment and materials for a complete installation. SU p �S(t 70. o0 00300-4 Item # Item Description Quantity Unit Price Total Bid Price 18 Outfall # 2: Disposal of waste spoil material from 10,452 LF roadside ditch work to Owner's designated disposal area per plans and specifications including labor & and equipment for a complete removal. ( e TOTAL OUTFACE #2 $ �54: oa CALANDER DAYS FOR OUTALALL #2 OUTFALL#3 19 Outfall # 3: Regrading and digging of existing 2,131 LF roadside ditch including labor, equipment and materials for a complete installation as per plans and specifications oo ' O d 20 Outfall # 3: HDPE Storm Sewer Pipe of 18" 227 LF Diameter Including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans 14, Cf andspecifications& . oo . o� 21 Outfall # 3: HDPE Storm Sewer Pipe of 24" 106 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans OSf q ands eciflcations oo 22 Outfall # 3: Installation of outfall structure I LS including, but not necessarily limited to, demolition of existing structure and concrete, installation of new junction boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and specifications. 23 Outfall # 3: Hydromulch seeding of roadside 2,131 LF ditches per plans and specifications including labor, equipment and materials for a complete _ �' U J (�.7 installation. c, 24 Outfall # 3: Disposal of waste spoil materialfrom 2,131 LF roadside ditch work to Owner's designated disposal area per plans and specifications including labor 2 S 5 3 2. 5- and a ui ment for a complete removal, n TOTAL OUTFALL #3 $ 72 7&q. ZS CALANDER DAYS FOR OUTFALL #3 (p 00300.5 BASE BID CONTINUED Item # Item Description Quantity Unit Price Total Bid Price OUTFALL #4 25 Outfall # 4: Regrading and digging of existing 6,138 LF roadside ditch including labor, equipment and materials for a complete installation as per plans and s ecitcations OLD lo. 00 26 Outfall # 4:.HDPE Storm Sewer Pipe of 18" 380 LF Diameter Including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for complete installation complete in place as per plans " Z��•oo and specifications ([ ,00 27 Outfell # 4: HDPE Storm Sewer Pipe of 24" 871 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials fora complete installation complete in place as per plans r� S 71 andspecifications r5 00 28 Outfall # 4: Installation of outfall structure I LS including, but, not necessarily limited to, demolition of existing structure and concrete, installation of new junetion.boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and �� dd0. 2 Orin specifications. o 0 oa 29 Outfall # 4: Hydromulch seeding of roadside 6,138 LF ditches per plans and specifications including labor, equipment and materials for a complete installation, z07, o0 30 Outfall # 4: Disposal of waste spoil material from 6,138 LF roadside ditch work to Owner's designated disposal area per plans and specifications including labor i .534. and a ui ment for a complete removal. So TOTALOUTFALL#4 $2�jy�t�•so CALANDER DAYS FOR OUTFALL #4 00300-6 BASE BID CONTINUED Item # Item Description Quantity Unit Price Total Bid Price OUTFALL #5 31 Outfall # 5: Regrading and digging of existing 7,333 LF roadside ditch including labor, equipment and materials for a complete installation as per plans andspecifications 32 Outfall # 5: HDPE Storm Sewer Pipe of 18" 500 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans and specifications /', 64� . Oa I1 �� DU�• UU 33 Outfall # 5: HDPE Stone Sewer Pipe of 24" 412 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading Including labor, equipment and materials fora complete installation complete in place as per plans andspecifications as—.. S! D06, 34 Outfall,# 5: HDPE Storm Sewer Pipe of 48" 88 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans C� / ands ecifications a G t9 ZU • G b 35 Outfall # 5: Installation of outfall structure 1 LS including, but not necessarily limited to, demolition of existing structure and concrete, installation of new junction boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and specifications, _ 36 Outfall # 5: Hydrorriulch seeding of roadside 7,333 LF ditches per plans and specifications including labor, equipment and materials for a complete installation, %, 56 1& qqq. �r o 37 Outfall # 5: Disposal of waste spoil material from 7,333 LF roadside ditch work to Owner's designated disposal area per plans and specifications including labor and equipment for a complete removal. 2 s 33. 2S TOTAL OUTFALL #5 $18l Z3(,. 7S CALANDER DAYS FOR OUTFALL #5 46 00300-7 BASE, BID CONTINUED Item # Item Description Quantity Unit Price Total Bid Price OUTFALL #6 38 Outfall # 6: Regrading and digging of existing 8,597LF roadside ditch including labor, equipment and materials for a complete installation as per plans .7,l"e0 andspecifications vo J" 39 Outfall # 6: HDPE Storm Sewer Pipe of 18" 330 1,17 Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials fora complete installation complete in place as per plans andspecifications o o z , o0 40 Outfall # 6: HDPE Storm Sewer Pipe of 24" 443 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans andspecifications 41 Outfall # 6: HDPE Storm Sewer Pipe of 30" 691 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans (d, andspecifications on 7 42 Outfall # 6: HDPE Storm Sewer Pipe of 36" 164 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans ands ecifications Z S'w, on Zz . 0o 43 Outfall # 6. Installation of outfall structure 1 LS including, but not necessarily limited to, demolition of existing structure and concrete, installation of new junction boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and specifications. i�ODU. oo 2`5 060.00 44 Outfall # 6; Hydromulch seeding of roadside 8,597 LF ditches per plans and specifications including labor, equipment and materials fora complete Installation. -So 45 Outfall # 6: Disposal of waste spoil material from 8,597 LF roadside ditch work to Owner's designated disposal area per plans and specifications including labor and eq ui mentforacomplete removal, Z�� 2140t.25- TOTAL OUTFALL 06 $Ok& 5-M 75- CALANDE,R DAYS FOR OUTFALL #6 140 00300-8 BASE BID CONTINUED Item # Item Description Quantity Unit Price Total Bid Price OUTFALL#7 46 Outfall # 7: Regrading and digging of existing 6,181 LF roadside ditch including labor, equipment and materials for a complete installation as per plans p ands ecifiaations 47 Outfall # 7: HDPE Storm Sewer Pipe of 18" 267 LF Diameter including, but not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans and specifications o0 /- 7 7(L�G o0 48 Outfall # 7: HDPE Storm Sewer Pipe of 24" 648 LF Diameter including, but not necessarily limited to: necessary carthwork, embedment and grading Including labor, equipment and materials for a complete installation complete in place as per plans �Sf _ and specifications o s 5 o8b oa 49 Outfall # 7: HDPE Storm Sewer Pipe of 30" 90I,F Diameter including, bid not necessarily limited to: necessary earthwork, embedment and grading including labor, equipment and materials for a complete installation complete in place as per plans �� c06,o and specifications u a 50 Outfall # 7: Installation of outfall structure 1 LS including, but not necessarily limited to, demolition of existing structure and concrete, installation of new junction boxes, concrete rip -rap and flume structure including labor, equipment and materials for a complete installation in place as per plans and stienifications. 5 0. 0 3 00 51 Outfall # 7: Hydromulch seeding of roadside 6,181 LF ditches per plans and specifications including labor, equipment and materials for a complete installation. 52 Outfall # 7: Disposal of waste spoil material from 6,181 LF roadside ditch work to Owner's designated disposal area per plans and specifcations including labor and equipment for a complete removal L r S� S, Z 5 TOTAL OUTFALL #7 $ 1% 96675 CALANDERDAYS FOR OUTPALL#7 3ct> TOTAL BASE BID $' 014791-,00 TOTAL CALANDER DAYS 360 -+++++++++++++++-F+++++++++++F++++++++++++++.++++++++++-F•1-4-F++++i++++ ^ � �, 7� 00300-9 6. BIDDER agrees that the Work shall be completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions when the Contract Times commences to run. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. The following documents are attached to and made a condition of this BID: DOCUMENT NO. 00411- REQUIRED BID SUBMITTAL INSTRUCTIONS &. Communications about this BID shall be directed to BIDDER's address indicated below, SUBMITTED this f/ sf day of e�961�)bf' , 2021. Authorized Signature: Name:ir✓I Title:_ R—e-.5'A'1? Attesting Signature: .0 ( A/� ��]] Name: Yam,+ ArA 600q�. Title:_ �Curki -�\'f Legal Firm Name: _ Z(f5 roc r / f5//7 rGi' wit -Z;r ' Business Address: I/ 1��0 /f �i dGCG 77 F �'� Phone Number: Facsimile Number: �j�p(/ a S 2- 4644? E-Mail Address (optional): State of Incorporation, if applicable: State Contractor License No.: END OF DOCUMENT 00300-10 DOCUMENT NO.00417 TRENCH SAFETY SYSTEMS INDEMNITY AGREEMENT OWNER: Calhoun County CONTRACTOR: (_ e5le (company name) ENGINEER: G & W Engineers, Inc., Port Lavaca, Calhoun County, Texas PROJECT: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORTS ORDER NO. D-1. CONTRACTOR has entered into a contract with OWNER for the construction of the Project. ENGINEER has designed the Project on behalf of OWNER, but has not designed any trench safety systems for the Project that may be required by applicable federal, state and/or local laws. CONTRACTOR, in its contract with OWNER, has agreed to prepare, and to conform all trenching work to plans for trench safety systems meeting the standards of applicable laws. CONTRACTOR, as part of its consideration to OWNER for the contract for the construction of the Project, agrees that it will be solely responsible for compliance with its trench safety plans and with all applicable standards. of federal, state and/or local laws relating to trench safety. CONTRACTOR further agrees to hold harmless, indemnify, and defend OWNER and ENGINEER, and all officers, agents and employees of either OWNER or ENGINEER, from and against any and all claims,. demands or causes of action of any nature, character or description in connection with the presence, or in any way arising out of, the use or construction of trenches or trench safety systems as part of the ProJect. EXECUTED, this — day of CONTRACT By: 7/,% Officer's Name: , q S r; fie. Title of Officer: Title of Officer: Calhoun Count. Judge ENGINEER (Contractor's Seal) By: ei•'s Name: Scott P. Mason, E, Title of Engineer: Sr. Ptoiect En ineer END OF DOCUMrNT 00417.1 DOCUMENT NO.00510 ATTORNEY'S REVIEW CERTIFICATION DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. I, the undersigned, r�1 Y Y I • Cal t(7� { Z. the duly authorized and acting legal representative of CALHOUN COUNTY, do hereby certify as follows: I have examined the attached contract(s) and surety bonds and am of the opinion that each of the agreements may be duly executed by the proper parties, acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the representative parties; and that the agreements shall constitute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and plovisio_as thereof. Attorney's signature: Date: Z1 Print Attorney's naive: wr4- t y 1 odr►!jue L Texas State Bar Number: 14 o 5�/9 k END OF DOCUMENT 00510-1 Bond # 30158432 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that: Lester Contracting, Inc. (Name of Contractor or Company) 3677 Highway 35 South Port Lavaca Tx 77979 (Address) a Corporation hereinafter called Principal, and Continental Casualty Company (Name of Surety Company) 151 N. Franklin Street Chicago IL 60606 (Address) hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY TEXAS (Name of Grant Recipient) 211 S. Ann Suite 301 Port Lavaca Texas 77979 (Grant Recipient's Address) hereinafter called OWNER, in the penal sum of $ One Million Forty Six Thousand Eleven Dollars & 50/100 Dollars ($ 1,046,011.50 ) in lawful money of the United States, for the payment of which sum well and truly to be made we bind ourselves, successors, and assigns, jointly and severally, firmly in these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the 13th day of April, 2022 a copy of which is hereto attached and made a part hereof for the construction of: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS — TEXAS GENERAL LAND OFFICE CONTRACT NO. 20.065-064-CISZ AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORT( ORDER NO. D-1. 00610-1 NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties in all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without notice to the Surety and during the one year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the Principal shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in Four counterparts, each one of which shall be deemed an original, this the day of April 2022 13th ATTEST: Lester Contra ting. Inc. (Princip F Al By (s) (Principal Secretary) Ken Lester Jr Presiden (SEAL) J �iJ\ i�;l��,�'r, 3677 Highway 35 South (Witness`a0o Principal) (Address) Port Lavaca,'fx 77979 (Address) ATTEST: Continental Casualty Company (Surety) Um By (Witness as to Surety) <imberly Flores (Attorney in Fact) rrsue ngu 202 E Jackson El Campo Tx 77437 202 jacksQn Can Tx 77437 _ (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPAUCONTRACTOR is Partnership, all partners should execute BOND. *Power -of attorney for person signing for Surety Company must be attached to bond 00610-2 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurmree company, acid American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Gary Grissom, Randy Reynolds, Laurie J Barnes, Ronda Brown, Denise Dugan, James Russell, Ana Rodriguez, Kristle Rodriguez, Shanna Wagner, Coy Sunderman, Individually of Austin, 3'X, their true and lawful Attorncy(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duty adopted, as indicated, by the Boards of Director of the insurance companies. In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 22nd day Of June, 2021. pgsuq�r tNSURq �ArANY OP Continental Casualty Company �' 1• ,rxP� NSF M1AC 'r'"7i� National Fire Insurance Compaq of Hartford poaPoagre { c" A„coarosgrfe American Ca lty Company of Re ing, Pennsylvania real NAaiF� • - Paul T. Bruflat Yrce President State of South Dakota, County of Mimrehalm, ss: On this 22nd day of June, 2021, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; (hat he knows the seals of said insurance companies; that the seals affixed to the said instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deer) of said insurance companies. M.•BENT�+� '+ '�NOTAAY PUBLIC 5 L f SOUTH OAKOTA My Commission Expires March 2, 2026 M. Bent Notary Public CERTIFICATE I, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 13th day of April, 2022. CAMS tNSURq AAroo Continental Casualty Company �pE Nqk+�°� q+o� National Fire Insurance Company of Hartford OOPPOaAtp i ,eGOPPOagr�e American Casualty Company of Reading, Pennsylvania s� / >< _ ♦ a IUIY il. �, oU SEAL g �dy t trot � a'° real � HAarte� � • S D. Johnson Assistant Secretary Form F6853-4/2012 Go to www.cnasuretV.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Authorizing By -Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company at it meeting held on May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senioror Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Brnflat, Vice President, who has been authorized pu suanl to the above resolution to execute power of ationreys on behalf of Continental Casualty Company. This Power of Attorney is signed and sealed by facsimile under mid by the authority of (lie following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251^ day of April, 2012: "Whereas,. the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various Policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIREINSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous wrilum consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of die Company provided that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary, of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. BmRaf, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under wad by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 251s day of April, 2012: "Whereas, the bylaws of Ilse Company or specific resolution of the Board of Directors has authorized various officers (file "Authorized Oficers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy fomrar, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officer shall be valid and binding on lire Company. " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Allomey is made mid executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of the Company by unanimous written consent doled May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided flint the name of such authorized officer and a description of the documents, agreements or instruments Ihflt such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This. Power of Attorney is signed by Paul 'I. Brnflat, Vice President, who has been authorized pursuant to the above resolulion to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed mid seated by facsimile under and by die authority of the following Resolution adopted by the Board of Directors of the Company by unanimous wriften consent dated the 25a' day of April, 2012: "Whereas, the bylaws of Ilic Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertahings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy formal, may be provided via facsimile or otherwise in an electronic formal (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of any Authorized Officm' shall be valid and binding on the Company. " Bond # 30158432 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that: Lester Contracting Inc (Name of Contractor or Company) 3677 Highway 35 South, Port Lavaca, Tx 77979 ,,, 11 a _ Corporation hereinafter called Principal, (Corporation / Partnership) and Continental Casuals Company (Name of Surety Company) 151 N. Franklin hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY TEXAS (Name of Recipient) (Recipient's hereinafter called OWNER, in the penal sum of $ One Million Forty Six Thousand Eleven Dollars & 50/100 Dollars, $ 1,046,011.50 in lawful money of the United States, for this payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONFIDENTIALITY OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated the 13th day of April, 2022 , a copy of which Is hereto attached and made a part hereof for the construction of: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS — TEXAS GENERAL LAND OFFICE CONTRACT NO. 20.065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. (Project Name) NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUB- CONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUB -CONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain In full force and effect. 00620-1 PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in Four (4) counter -parts, each on of (Number) which shall be deemed an original, this the 13thday of April, 2022 ATTEST: , Lester Contracting ( e I) (Principal Secretary) ICen Lester Jr President (SEAL) 3677 Highway 35 South (Witness as to Port Lavaca, Tx 77979 (Address) ATTEST: Continental Casualty Company (Surety) 3�Bys�v�® (Witness as toSurety Krm erly Flores (Attorney In Fact) Kristie Rodrig ez 202 E Jackson El Campo, Tx 77437 202 E Jackson, El Campo, Tx 77437 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract, If CONTRACTOR Is Partnership, all partners should execute BOND. *Power -of attorney for person signing for Surety Company must be attached to bond 00620-2 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are duly organized and existing insurance companies having their principal offices in the City of Chicago, and State of Illinois, and that (hey do by virtue of the signatures and seals herein affixed hereby make, constitute and appoint Gary Grissom, Randy Reynolds, Laurie J Barnes, Ronda Brown, Denise Dugan, James Russell, Ana Rodriguez, Kristie Rodriguez, Shanna Wagner, Coy Sunderman, Individually ol'Austin, TX, their hue and lawful Attorney(s)-in-Pact with full power and authority hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - air(] to bind them thereby as (ally and to the same extent as if such lost,uments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duty adopted, as indicated, by the. Boards of Directors of the insurance companies. In Witness Whereof, Ilse CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 22nd day of June, 2021. cAsugtT tasUggN srapNro< Continental Casualty Company National Fire Insurance Company of Hartford pOPFoagiE vg rpeaPPORgTFO American Ca Ity Company of Re ding, Pennsylvania SEAL Y � < taisoz �' s a* 16aT � NAat4�� b • � Paul T. Bruflat Ace President State of South Dakota, County of Minnehaha, as: On this 22nd day of June, 2021, before me personally came Paul T. Bruflat to me known, who, being by me duly sworn, did depose and say: that he resides in the. City of Sioux Falls, State of South Dakota; that he is a Vice President of Continental Casually Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company described in and which executed the above instrument; that lie knows the seals of said insurance companies; that the seals affixed to the said insnvment are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance companies. M. BENT ��NOiAHY VUBLIC iV;`yWSOUTH aAHMA 5 i My Commission Expires March 2, 2026 M. Bent Notary Public CERTIFICATE 1, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance companies printed of the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 13th day of April, 2022. OfA, � Hpatf� • � Form F6853-4/2012 Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading, Pennsylvania I j akvvo,---� D. Johnson Assistant Secretary Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, If you want to verify bond authenticity. Authorizing By -Laws and Resolutions ADOPTED BY TIIE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is nnadc and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors ofthe Company at a meeting held out May 12, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that the name of such authorized officer and a description of lire documents, agreements or instruments (hat such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. BruMl, Vice President, who tins been authorized pursuant to life above resolution to execute power of attorneys on behalf of Continental Casually Company. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent rioted the 2511' day of April, 2012: "Whereas, (he bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")to execute various policies, bonds, undertakings and other obligatory instruments of like nature; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy formal, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that die Electronic Signature Offaly Authorized Officer shall be valid and binding on the Company. " ADOPTED BY THE BOARD OP DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: - 'Hits Prover of Attorney is made aid executed pursuant to and by authority of the following resolution duly adopted by (he Board of Directors of lire Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provider) that the name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President to the Secretary ofthe Company prior to such execution becoming effective." This Power of Attorney is signed by Paul 1'. Bmflat, Vice Presider, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of National Fire Insurance Company of Hartford. This Power of Attorney is signed and sealed by facsimile under and by (he authority of the following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 25s' day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of (he Board of Directors has authorized various officers (tine "Authorized Officers")to execute various pod icies, bonds, undertakings and other obligatory instruments of like nahn e; and Whereas, from time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided via facsimile or otherwise in an electronic format (collectively, "Electronic Signatures"); Now therefore be it resolved: that the Electronic Signature of may Authorized Officer shot] be valid and binding on the Company. " ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of lire following resolution duly adopted by (lie Board of Directors of the Company by unanimous written consent dated May 10, 1995: "RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents, agreements and instruments on behalf of the Company provided that lire name of such authorized officer and a description of the documents, agreements or instruments that such officer may sign will be provided in writing by the Senior or Group Vice President Ia file Secretary ofthe Company prior to such execution becoming effective." This Power of Attorney is signed by Paul T. Bmflat, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on behalf of American Casualty Company of Reading, Pennsylvania. This Power of Attorney is signed and sealed by facsimile under mid by the authority of One following Resolution adopted by the Board of Directors ofthe Company by unanimous written consent dated the 25", day of April, 2012: "Whereas, the bylaws of the Company or specific resolution of the Board of Directors has authorized various officers (the "Authorized Officers")m execute various policies, bonds, undertakings and other obi igatory instruments of like naive; and Whereas, front time to time, the signature of the Authorized Officers, in addition to being provided in original, hard copy format, may be provided viafaesintile or otherwise in an electronic formal (collectively, "Elcctronic Signatures"); Now therefore be it resolved: that the Electronic Signature Offaly Authorized Officer shal I be valid and binding on the Company. " LESTCON-01 CERTIFICATE OF LIABILITY INSURANCE KRODRIGUEZ DA4119/2022YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Texas Associates Insurers 1120 Capital of TX Hwy South Bldg 3-300 Austin, TX78746 c rnCT Kristie L Rodriguez, ACSRWRA PHOONNo, ExO: (979) 475-1173 E-MAIL Ess: kristier@txassoc.Com - INSURERlSIAFFORDING COVERAGE NAICN INSURER A:Bitco National Insurance Company_ _ 20109 INSURED Lester Contracting, Inc. P.O. Box 986 Port Lavaca, TX 77979 INsuRERB _Bitco General, Insurance Corp 20095 lnSuaERC:TO xas Mutual Insurance Company 22945 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NHMRFR- REVISION NUMBER: V THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I-TRTYPE OFINSURANCE ADDL SUER POLICY NUMBER POIooY EFF POMIDDIYYYYI LICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR Lmtd Wksite Poll$1M X X CLP3712134 _ 12131/2021 12/31/2022 EACH OCCURRENCE S 1,000,000 DAMAGES RENT rED e -EREMMX S 300,000 MED EXP(Anycne parson)-_ $ 5,000 PERSONAL &ACV INJURY It 1,000,000 GEN'L _ AGGREGATE LIMIT APPLIES PER: POLICY m 171 LOC OTHER: GENERAL AGGREGATE 2,000'000 _ PRODUCTS-COMPIOPAGG 8 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED X AUTOS ONLY AUTOS ATSOp X X CAP3712661 1213112021 12/31/2022 COMBINED SINGLE LIMIT accident),. 1,000,000 _(Ea BODILY INJURY?Per person]_ $ BODILY INJURY Per accident) S Pe�aiNJryAMAGEE _- $AT00NLY 13 LXUMBRELLALIAB ss LIAR X OCCUR CLAIMS -MADE X X CUP2820141 12/31/2021 12131/2022 EACH OCCURRENCE S 5,000,000 AGGREGATE 6,000,000 X RETENTIONS 10,000 C WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PROPRIIETgO�RR PARTNFMEXECUTIVE Y� jMenrClalory In NNI EXCLUDED? If yyae, dosc"m ender OESCRIPTION OF OPERATIONS below NIA X TSF0001298772 12131/2021 12/31/2022 X PER E OTH- STATUT E.L. EACH ACCIDENT_ 1,000,000 E.L. DISEASE -EA EMPLOYE_ 1,000,000 E.L. DISEASE - POLICY LIMIT _$ S 1,000,000 A Leased/Rented CLP3712134 1213112021 12/31/2022 Per Item 360,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) LCI Job # 22105 Calhoun County, Texas - Drainage & Sewer Improvements In Alamo Beach for Calhoun County, Texas Texas General Land Office Contract No. 20-065.064-C182 & Calhoun County CDBG-OR Contract Work Order No. D-1 Calhoun County, Texas 211 S. Ann, Suite 301 Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTICE OF MEETING — 5/11/2022 8. Consider and take necessary action on insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages during the Winter Storm the week of February 15, 2021. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 4 of 15 eq Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <cand ice.vi llarreal @cal hou ncotx.org> Sent: Friday, April 29, 2022 12:23 PM To: maebelle.cassel@calhouncotx.org Cc: Richard H. Meyer; David Hall; vern lyssy;joel.behrens@calhouncotx.org; Gary Reese Subject: Agenda Item - Winter Storm Attachments: TAC Winter Storm -Library 0322.pdf Good Afternoon MaeBelle, Please add the following to the Commissioners Court agenda for May 11th. Consider and take necessary action on insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages during the Winter Storm the week of February 15, 2021. Have a Blessed Day! O Candice `Villarrear PAssistantAuditor Calhoun County Auditors Office 202 S. Ann Street, Suite B (Port Lavaca, VC77979 None (361)553-4612 Calhoun County Texas TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS 57333 4/26/2022 PR20219650-1 $0.00 57333 Psso�, y TEXAS X J ASSOCIATION OF ry%MQTIE FR05TBANK w T o RISK MANAGEMENT P06L-CLAIMS - 30-911140 z '1210 SAN ANTONIO STREET dr * AUSTIN, TX 78701 (512)478-8753 - Couv: PAY TWO HUNDRED NINE AND 96 / 100 DOLLARS TO THE Calhoun County ORDER 202 S Ann St Ste 6 OF: Port Lavaca, TX 779794204 1120S7333111 TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste 8 Port Lavaca, TX 77979-4204 DATE AMOUNT sE 4/26/2022 $ 209,96 d t VOID AFTER 1800 DAYS - ,9 4111 57333 TO REORDER CALL: (708) 327-0550 W148F001014M 05121 NOTICE OF MEETING — 5/11/2022 9. Consider and take necessary action on insurance proceeds from TAC in the amount of $12,133.08 ($14,633.08 - $2,500 deductible) for damages to a Sheriff's Office vehicle on 3/30/22. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 5 of 15 #9 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <ca nd ice.vi Ila rreal @ca Ihou ncotx.org> Sent: Monday, May 2, 2022 2:39 PM To: maebelle.cassel@calhouncotx.org Cc: Richard H. Meyer, David Hall; vern lyssy; joel.behrens@calhouncotx.org; Gary Reese Subject: Agenda Item - Insurance Proceeds - SO Attachments: TAC Ins Proceeds - SO 033022.pdf MaeBelle, Please add the following agenda item for the next available Commissioners Court. Consider and take necessary action on insurance proceeds from TAC in the amount of $ 12,133.08 ( 14,633.08- 2,500 deductible) for damages to a Sheriff Office vehicle on 3/30/22. Thank you, O Candice ViCCarreaC In AssistantAuditor Calhoun County Auditors Office 202 S. Ann Street, Suite B rPortLavaca, VC77979 Phone (361)553-4612 Calhoun County Texas 9 7 Z A r TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Chevrolet Tahoe VIN 1411 of $14,633.08 less the 4/28/2022 APD20220159-1 &RO&SPedeductible $-2500.00 F 57385 "S8,°', TEXAS FROST BANK a e RISK MANAGEMENT POOL CLAIMS. 30-s/n40 F z 1210 SAN ANTONIO STREET f; -?e ;F AUSTIN, TX 78701 E5 (512) 478-8753 DATE AMOUNT 4/28/2022 $ 12,133.08 PAY T WEL V E THOUSAND ONE HUNDRED THIRTY-THREE AND 08 / 100 DOLLARS TO THE Calhoun County ORDER 202 S Ann St Ste B OF. - Port Lavaca, TX 77979-4204 II'05738511' 1: TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St Ste B Port Lavaca, TX 77979-4204 VOID AFTER ISO DAYS ♦'IA�(]I 57385 TO REORDER CALL: (708) 327-9550 W14SFO01014M G5121 NOTICE OF MEETING — 5/11/2022 10. Consider and take necessary action to approve the Technology Plan for the Calhoun County libraries in Port Lavaca, Port O'Connor and Seadrift. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 6 of 15 # Zo Mae Belle Cassel From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Wednesday, May 4, 2022 5:22 PM To: MaeBelle.Cassel@calhouncotx.org (Mae Belle Cassel) Subject: RE: Agenda items for Commissioners' Court meeting May 11th CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recoenize the sender and know the content is safe. I'm so sorry 6) approve the Technology plan for the Calhoun County libraries in Port Lavaca, Port 0' Connor, and Seadrift. Thank you From:"MaeBelle.Cassel@calhouncotx.org (Mae Belle Cassel)" <MaeBelle.Cassel@calhouncotx.org> To: <dsanchez@cclibrary.org> Date: Wed, 4 May 2022 13:26:12 -0500 Subject: RE: Agenda items for Commissioners' Court meeting May lath CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good Afternoon, Dina!! What, would you like me to do with your Technology Plan? Is this for the Commissioners to review or is it for their approval? Please let me know so I will know how to phrase the agenda item. Thanks. Mae,13eU&Came/ Ad4n6nd0rarwe1,4as,i4ta nt tothe/ Cownty Ju dg& ands Comwti%ovt s Cocurt 211 south Awwstreet SuWe,301 Port LaNa.ca,, TX 77979 361.553.4600 From: dsanchez@cclibrary.org (Dina Sanchez) [mailto:dsanchez@cclibrary.org] Sent: Wednesday, May 4, 2022 12:32 PM To: Mae Belle Cassel <MaeBelle.Cassel@calhouncotx.org> Subject: Agenda items for Commissioners' Court meeting May 11th CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon MaeBelle, Please add the following to the next Commissioners' Court Meeting (May 11th): 1) to approve a county credit card with a credit limit of $2500 for the Calhoun County Library 2) approval for the ECF program to fund 50 Chromebooks 3) to accept and approve the donations for March 2022 and April 2022 4) to accept and approve the surplus/salvage for March 2022 and April 2022 5) to accept and approve the waste for March 2022 and April 2022 Thank you, Dina Calhoun County Texas Calhoun County Texas Calhoun County Texas Technology Plan Forthe Calhoun County Public Library System 6/1/22to 6/1/25 Mission Statement The mission of the Calhoun County Public Library Is to provide free library service to all citizens. We provide information, research, and technology services to meet the needs of the community. The library encourages children, young adults, and adults to continually educate themselves through the use of library facilities. The library provides guidance in the use of books, newspapers, periodicals, databases, technology services and other materials which will enlighten and enrich the lives of all citizens in the community. Main Library Current Technology Public Computers 20 Internet workstations for public 2 Touch screen computer stations with age appropriate educational games for children 2 Laptops for online public access catalog 8 Laptops for public use 1 Laptop to access genealogy 1 Computer workstation to access Westlaw Library Staff Computers 2 Circulation workstations 4 Desktop computers 1 laptop dedicated for 3D printer and Glowforge Laser Printer 1 laptop dedicated for Genealogist 1 laptop dedicated to ESL class 1 !pad pro Printers 1 Network all in one color copier, scan, print, fax and email 4 Laserjet black & white printer 2 Inkjet all -in -one printers Networking Equipment 1 Server 2 Wireless access point 1 Content filter with anti -virus program 2 Ethernet switches Other Equipment 1- 8-port charging station for public use 1- 7-port charging station for staff use 1-10-port charging station for staff use 1- DVD/CD disc repair machine 6 Barcode Scanners 1- Book Security System with door counter 1- 3D Printer 1— 3D Glowforge Laser Printer 2 web cams 1 Digital Camera 8 — Camera Security System with DVR 1 Cell phone signal booster 1— UV Book Sanitizer 1- 3M Security System 1— Door traffic counter TIMELINE 2022 Replace 5 computer stations for patron use. Replace 3 laptops for patron use. Replace security camera DVR to 16-camera unit at Main location Install additional cameras at Main location. Replace security camera DVR to 16-camera unit at POC location (???) Install additional cameras at POC location. Move Westlaw computer to more visible location. Set up public Genealogy laptop securely in designated area. Design and publish new website. Replace phone system Update content filter Obtain hotspots for patron use Hold monthly basic technology skill courses Staff training for onsite computer and software assistance to the public Compose dual language training materials Provide information to the public about available home broadband and wireless services Update accessibility technology as needed Review and update User Privacy Plan Review and update disaster/community emergency process 2023 Replace 5 computer stations Replace 3 laptops Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Update content filter Hold monthly basic technology skill courses Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed 2024 Replace 6 computer stations Replace 3 laptops Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed Seadrift Branch library Current Technology Public Computers 10 Internet workstations for public use 1 Laptop for online public access catalog Staff Computers 2 Circulation workstations 1 Laptop Printers 1 Network all -in -one color copier, scan, print, fax and email Networking Equipment 1 Wireless access point 1 Content filter with anti -virus program 1- 24-port Patch panel switch 1- 24-port switch Other Equipment 1- 8-port charging station for public use 1- 7-port charging station for staff use 2 Library traffic counter 3 Barcode scanners 1- 4-channel outdoor camera system with DVR 1 Cell phone signal booster 1- 65" Television 1- 50" Television 2 — DVD players 2 Webcams i Digital camera TIMELINE 2022 Add fiber line Replace 2 computer stations Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Staff training for onsite computer and software assistance to the public Compose dual language training materials Provide information to the public about available home broadband and wireless services Update accessibility technology as needed Review and update User Privacy Plan Review and update disaster/community emergency process 2023 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed 2024 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed Point Comfort Branch Library Current Technology Public Computers 9 Internet workstations for public use 1 Laptop for public access catalog Staff Computers 1 Circulation workstation 1 Laptop Printers 1 Network all -in -one color copier, scan, print, fax and email Networking Equipment 1 Wireless access point 1 Content filter with anti -virus program 2 switches 1 Modem Other Equipment 1- 8-port charging station for public use 1 Library traffic counter 2 Barcode scanners 1 webcam 1 Digital camera Timeline 2022 Add fiber line Replace 2 computer stations Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Staff training for onsite computer and software assistance to the public Compose dual language training materials Provide information to the public about available home broadband and wireless services Update accessibility technology as needed Review and update User Privacy Plan Review and update disaster/community emergency process 2023 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Hold Intermediate and advanced technology courses Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed 2024 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic, intermediate, and advanced technology skill courses as interest dictates Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed Port O'Connor Branch Library Current Technology Public Computers 4 Internet workstations for public use 2 Laptops for public use 1 Touch screen computer station with age appropriate educational games for children 2 Tablets for children with age appropriate educational games for children 1 Laptop for online public access catalog Staff Computers 1 Circulation workstation 1 Laptop Printers 1 Network all -in -one color copier scan, print, fax and email Networking Equipment 1 wireless access point 1 Content filter with anti -virus program 1 - 24-port Ethernet switch Other Equipment 1 - 7-port chagrining station for staff use 2 Library traffic counter 2 Barcode scanners 1— 8 - Channel Camera System 1 Cell phone signal booster 1 webcam 1 laptop for use in meeting room 1 wireless handheld microphone I wireless microphone clip on 1 Blu-Ray player 1 speaker system 1— 90" Television 6 speakers installed in the meeting room ceiling Timeline 2022 Add fiber line Replace 2 computer stations Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic technology skill courses Staff training for onsite computer and software assistance to the public Compose dual language training materials Provide information to the public about available home broadband and wireless services Update accessibility technology as needed Review and update User Privacy Plan Review and update disaster/community emergency process 2023 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic, intermediate, and advanced technology skill courses as interest dictates Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed 2024 Replace 2 computer stations Replace 1 laptop Update content filter Review and adjust resource subscriptions as needed Review and adjust hotspot program as needed Hold monthly basic, intermediate, and advanced technology skill courses as interest dictates Ongoing staff training for onsite computer and software assistance to the public Update dual language training materials Update accessibility technology as needed NOTICE OF MEETING — 5/11/2022 11. Consider and take necessary action to approve a county credit card with a credit limit of $2,500 for the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner PcL 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 7 of 15 #11 Mae Belle Cassel From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Wednesday, May 4, 2022 12:32 PM To: Mae Belle Cassel Subject: Agenda items for Commissioners' Court meeting May 11th Attachments: Technologyplan22-25.pdf, surplussalvage, waste, donations march2022.pdf,- Surplussalvage, waste, donations april2022.pdf, Emergency Connectivity Fund.docx CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon MaeBelle, Please add the following to the next Commissioners' Court Meeting (May 11th): 1) to approve a county credit card with a credit limit of $2500 for the Calhoun County Library 2) approval for the ECF program to fund 50 Chromebooks 3) to accept and approve the donations for March 2022 and April 2022 4) to accept and approve the surplus/salvage for March 2022 and April 2022 5) to accept and approve the waste for March 2022 and April 2022 Thank you, Dina Calhoun County Texas NOTICE OF MEETING — 5/11/2022 12. Consider and take necessary action to approve the ECF program to fund 50 Chromebook computers. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 8 of 15 # 12 �k PUBLIC NOTICE Federal Communications Commission 45 L Street NE News Media Information 202-418.0500 Washington, DC 20554 Internet: www.fcc.aov TTY: 888.835.5322 DA 22-309 Released: March 23, 2022 WIRELINE COMPETITION BUREAU ANNOUNCES THIRD APPLICATION FILING WINDOW FOR THE EMERGENCY CONNECTIVITY FUND PROGRAM WC Docket No. 21-93 By this Public Notice, the Wireline Competition Bureau (Bureau) announces that a third application filing window for the Emergency Connectivity Fund (ECF) Program will open on Thursday, April 28, 2022, and close on Friday, May 13, 2022. We anticipate that a minimum of $1 billion will be available for commitment and disbursement for this third window.' In view of outstanding demand, eligible schools and libraries may request funding during this 15-day filing window for a maximum of 12 months of eligible services and equipment that will be received or delivered between July 1, 2022, and December 31, 2023. Accordingly, we also modify section 54.1711(e) of the Commission's rules to establish December 31, 2023 as the service delivery date for equipment, other non -recurring services, and recurring services requests submitted during the third application filing window. As part of the American Rescue Plan Act of 2021, Congress appropriated $7.171 billion to the Emergency Connectivity Fund and directed the Federal Communications Commission (Commission) to promulgate rules providing for the distribution of funding to eligible schools and libraries for the purchase of eligible equipment and/or advanced telecommunications and information services for use by students, school staff, and library patrons at locations that include locations other than a school or library.' On May 10, 2021, the Commission adopted a Report and Order establishing the rules for the Emergency Connectivity Fund Program to distribute the funding to eligible schools and libraries' The Commission and the Universal Service Administrative Company (USAC) opened an initial 45-day application filing window from June 29, 2021 to August 13, 2021,4 and a second 15-day application filing window from i The $1 billion estimate takes into account the connected device cap of $400 per device and Wi-Fi hotspot cap of $250 per hotspot, and reflects amounts remaining once requests from the first and second windows are fully committed and administrative expenses are covered. It also reflects application cancellations as of Wave 12, though these may increase in connection with the ongoing application reviews. ' American Rescue Plan Act, 2021, H.R. 1319, Pub. L. No. 117-2, 117th Cong., tit. VII, § 7402(a)(1)-(2) (2021) (enacted), available at httns•//www congress govlbi1V117thcongress/house bill/1319/text (American Rescue Plan Act) (enrolled bill). 3 See generally Establishing the Emergency Connectivity Fund to Close the Homework Gap; WC Docket No. 21-93, Report and Order, 36 FCC Red 8696 (2021) (Emergency Connectivity Fund Report and Order). 4 News Release, FCC, FCC Announces Emergency Connectivity Fund Application Window Will Open on June 29 (June 15, 2021), hMs://www.fcc.avov/documentlemeraency-connectivity-fund-application window ovens June 29 (First ECF Application Window News Release). Federal Communications Commission DA 22-309 September 28, 2021 to October 13, 202 L' During the first two application filing windows, applicants could request funding for eligible equipment and services received or delivered between July 1, 2021 and June 30, 2022' On December 2, 2021, the Bureau established June 30, 2022 as the service delivery date for Emergency Connectivity Fund requests for equipment, other non -recurring services, and recurring services submitted for the July 1, 2021 through June 30, 2022 funding period.' Subsequently, in February 2022, the Bureau extended the service delivery date from June 30, 2022 to June 30, 2023 for funding requests for equipment and services submitted during the first and second application filing windows, recognizing that multiple factors outside of the applicants' control resulted in them having less time to use the funded equipment and services.' Pursuant to the authority delegated to the Bureau in the Emergency Connectivity Fund Report and Order,' we will open a third application filing window to provide ECF support for eligible equipment and services received or delivered between July 1, 2022 and December 31, 2023 in light of the continuing demand for prospective equipment and services and ECF stakeholders' concerns about meeting the persisting unmet connectivity needs of students, school staff, and library patrons during the upcoming school year.10 Specifically, the Schools, Health & Libraries Broadband (SHLB) Coalition and the State E-rate Coordinators' Alliance (SECA) urged the Commission to open a third prospective filing window this spring to enable schools and libraries to receive "additional funding needed to continue engaging in 5 News Release, FCC, FCC Announces Over $5 Billion in Funding Requests Received in Emergency Connectivity Fund Program (Aug. 25, 2021), hgps://www.fcc.gov/documentlfcc-announces-over-5-billion-emergency- connectivity-fund-requests (Second ECF Application Window News Release). 6 See 47 CFR § 54.1710; Emergency Connectivity Fund Report and Order, 36 FCC Red at 8734, 8737, paras. 78, 83. ' See Establishing the Emergency Connectivity Fund to Close the Homework Gap; WC Docket No. 21-93, Order, DA 21-1499, 2021 WL 5759736 (WCB Dec. 2, 2021) (ECF Service Delivery Date Order). 8 See Establishing the Emergency Connectivity Fund to Close the Homework Gap; WC Docket No. 21-93, Order, DA 22-176, 2022 WL 544369, para. 8 (WCB Feb. 22, 2022) (ECF Service Delivery Date Extension Order). 9 See Emergency Connectivity Fund Report and Order, 36 FCC Red at 8735, 8738, paras. 80, 85 (providing that the Commission should consider if demand for prospective support appears to be far short of meeting current needs for a future filing window and delegating authority to the Bureau to open additional application filing windows until the Emergency Connectivity Fund is exhausted or the COVID-19 emergency period ends, whichever is earlier). We find the substantial remaining unmet need for connectivity among students, school staff and library patrons during the ongoing pandemic to be persuasive in our decision to open another prospective window. 10 In addition to the outstanding demand indicated by applications filed after the close of the second application filing window, we have also heard from a number of stakeholders who urged us to open a third application filing window to meet the continuing unmet needs of students, school staff, and library patrons. See Universal Service Administrative Company, Emergency Connectivity Fund FCC Form 471, hMs://oi)endata.usac.or mer encv- Connectivity-Fund/Emergencv-Connectivity-Fund-FCC-Form-471/i5i4-3rvr (last visited Mar. 22, 2022) (detailing the out -of -window ECF funding applications submitted after the close of the second application filing window); see also Letter from John Windhausen, Jr., Executive Director, SHLB, et al., to Jessica Rosenworcel, Chairwoman, FCC, et al., WC Docket No. 21-93, at 2-3 (filed Jan. 28, 2022) (SHLB Ex Parte) (recommending that a third funding window be opened in Spring 2022 to allow schools to obtain funding going forward); Letter from Debra M. Kriete, Chairperson, SECA, to Jessica Rosenworcel, Chairwoman, FCC, et al., WC Docket No. 21-93, at 3-4 (filed Feb. 11, 2022) (SECA Ex Parte) (recommending the funding period for a third window to be prospective); Letter from Sam Liccardo, Mayor, City of San Josd, to Jessica Rosenworcel, Chairwoman, FCC, et al., at 1-2 (Jan. 24, 2022) (encouraging the Commission to open a third window to address ongoing remote leaming needs due to the pandemic). When coupled with the fact that many schools and libraries have procured alternative funding for purchases made early in the pandemic that were considered when the Report and Order was adopted, we agree with stakeholders that a prospective window to meet the continuing unmet needs of students, school staff, and library patrons is the best use of the limited remaining ECF funds. Federal Communications Commission DA 22-309 online instruction to students and patrons in need"11 because it makes the "best policy sense to be forward looking and consider the future rather than the past needs of school students, educators, and library patrons.s12 In the third application filing window, applicants can request support and reimbursement for a maximum of 12 months of costs associated with eligible equipment or services during the 18-month funding period (i.e., July 1, 2022 to December 31, 2023). In establishing an 18-month funding period, we seek to maximize flexibility for applicants, allowing first and second window applicants the full benefit of their 12-month ECF funding commitments and ensuring continuity of service, regardless of their term of service. We expect that this approach will address requests by S14LB and SECA to tailor third window ECF funding requests based on the service end dates of existing ECF-supported services,13 while facilitating the efficient administration of the program by establishing a firm service delivery end date. We believe these actions will maximize the use of the limited ECF funds and allow applicants to continue to provide eligible equipment and services to their students, school staff, and library patrons who would otherwise be unable to fully engage in remote learning without the continuation of the ECF-supported services. We also establish December 31, 2023 as the service delivery date for equipment, other non- recurring services, and recurring services funding requests submitted in the third application filing window. As a result, the invoice filing deadline for these third window funding requests will be 60 days from the date of the funding commitment decision letter; a revised funding commitment decision letter approving a post -commitment change or a successful appeal of previously denied or reduced funding; or February 29, 2024 (i.e., 60 days after December 31, 2023), whichever is later.14 We remind applicants seeking support for the construction of new networks or the provision of customer premises equipment for datacasting services that they will continue to have one year from the date of their funding commitment decision letter to demonstrate that construction is completed and the services have been provided." Recognizing that the service delivery date for many first and second window ECF funding requests was extended to June 30, 2023,16 we emphasize that applicants are not allowed to request duplicative funding during the third application filing window for equipment or services that are committed and were or will be funded through the applicant's first or second window funding requests.17 To avoid duplicative support and expedite the review of the third filing window applications, applicants should include in the narrative section of the ECF FCC Form 471 application information regarding services funded during the first or second filing windows, including the ECF FCC Form 471 application number(s) and the service end date(s) for any services funded during the first or second window that an 11 SHLB Ex Porte at 2-3 (explaining that spikes in cases and the rise of a new variant of COVID-19 demonstrates that the need for broadband connectivity for students at home remains strong). 12 SECA Ex Porte at 3 (arguing that a third prospective window is "the most effective use of ECF funds"). 13 See SECA Ex Porte at 2-3 (urging the Commission to coordinate the extended service delivery date for first and second window funding requests with the service dates for funding requests submitted in a third filing window); SHLB Ex Parte at 2-3. 14 See 47 CFR § 54.1711(d). 15 Emergency Connectivity Fund Report and Order, 36 FCC Red at 8717, para. 41. 46 ECF Service Delivery Date Extension Order, DA 22-176, at 4, para. 8. 17 See 47 CFR §§ 54.1712 (prohibiting applicants and service providers from seeking ECF support or reimbursement for eligible equipment or services that have been purchased and reimbursed in full); 54.1710(a)(1)(ix) (requiring that applicants certify that they are not requesting funding for eligible equipment or services that have been purchased and reimbursed in full); 54.1711(a)(1)(vii) (requiring that applicants certify that they are not requesting reimbursement for eligible equipment and/or services that have been purchased and reimbursed in full). Federal Communications Commission DA 22-309 applicant is seeking to continue between July 1, 2022 through December 31, 2023. If an applicant does not have any first or second window funding commitments that will be used to fund eligible equipment or services during the July 1, 2022 through December 31, 2023 funding period, the applicant should provide the service start and end dates for up to 12 months of service that will be requested on their ECF FCC Form 471. Applicants may only request support for up to 12 months of eligible services during the third application filing window that covers eligible equipment and services received or delivered between July 1, 2022 and December 31, 2023. The Commission received over $6.4 billion in funding requests during the first and second ECF application filing windows." Therefore, in the event that demand exceeds available funding during the third ECF application filing window, we remind applicants that requests will be prioritized based on applicants' E-Rate Program discount rate for category one services, adjusted to provide a five percent increase for rural schools and libraries.19 Appendix A attached to this Public Notice reflects the procedural rule modification for section 54.171 l(e). We make this modification without notice and comment in accordance with the exception to the Administrative Procedure Act (APA) for procedural rules 20 The updated rule will become effective upon publication of this Order in the Federal Register." Additional Information. For further information regarding this Public Notice, please contact Molly O'Conor, Attorney Advisor, Telecommunications Access Policy Division, Wireline Competition Bureau, Molly.00onor@fcc.gov or (202) 418-0578. For additional information about the Emergency Connectivity Fund Program, please refer to the Commission's website at hLtps://www.fcc.izov/emerizenU- connectivity-fun . — FCC — See First ECF Application Window News Release; Second ECF Application Window News Release. 9 See 47 CFR § 54.1708(c); Emergency Connectivity Fund Report and Order, 36 FCC Rcd at 8740-41, para. 91. 20 5 U.S.C. § 553(b)(3)(A). This amended rule is not subject to the APA requirements because it is a procedural rule setting a service delivery date for equipment, non -recurring, and recurring services purchased between July 1, 2022 and December 31, 2023. " 47 CFR § 1.427(b) (allowing procedural rules to take effect upon publication in the Federal Register). The APA's requirement that rules must be published in the Federal Register at least 30 days before their effective date, subject to certain exceptions, applies only to "substantive rules." See 5 U.S.C. § 553(d); see also Neighborhood TV Co. v. Federal Commc'ns Comm'n., 742 F.2d 629, 637 (D.C. Cir. 1984) (recognizing that "[tjhe FCC has maintained ... that its interim processing procedures are procedural rules, and therefore are not subject to the APA's notice and comment, or advance publication requirements."). Federal Communications Commission DA 22-309 /_199 DO 13 ►-1 Final Rules For the reasons set forth above, section 54.1711(e) is amended and reads as follows: (e) Service delivery date. (1) For the initial filing window set forth in § 54.1708(b) and second application filing window, the service delivery date for equipment, other non -recurring services, and recurring services is June 30, 2023. (2) For the third application filing window and any subsequent filing windows covering funding for purchases made between July 1, 2022 and December 31, 2023, the service delivery date for equipment, other non -recurring services, and recurring services is December 31, 2023. NOTICE OF MEETING — 5/11/2022 13. Consider and take necessary action to authorize the Calhoun County Children's Librarian, Kelley Ashley, to apply for the Lewis R. and Juaniece Madden Foundation grant in the amount of $25,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 9 of 15 #13 Mae Belle Cassel From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Thursday, May 5, 2022 10:22 AM To: Mae Belle Cassel Subject: Fwd: Additional Commissioners' Court agenda item for the library Attachments: CCLBScan.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning MaeBelle, Can you please add this to the agenda for the next Commissioners' Court meeting (May 11th): 7) Permission for the Calhoun County Library to apply for the Lewis R and Juaniece Madden Foundation grant in the amount of $25,000. Thank you, Dina Sanchez Calhoun County Texas Calhoun County Texas LEWIS R. AND JUANIECE MADDEN FOUNDATION PURPOSE OF THE FOUNDATION This foundation was established by Lewis R. and Juaniece Madden to continue, even into perpetuity, their long-standing support of charitable organizations and activities in Calhoun County, Texas and the surrounding area. The Foundation seeks to provide grants to qualified charitable organizations to assist those organizations in meeting the charitable purposes for which they were created. This support will comply with Sections 501 (c) (3), 170 (c) (2), 2055 (a) (2), and 2522 (a) (2) of the Internal Revenue Code of 1986 as amended. MECHANISM FOR AWARDING GRANTS Grant applications shall be submitted to the Foundation as outlined below. Applications will be accepted from November I through August 31 of the next calendar year. Applications shall be delivered to: BY MAIL: Lewis R. and Juaniece Madden Foundation CIO Dee Harkey 602 Hengst Road Port Lavaca, Texas 77979 BY EMAIL: Dee Harkey dharkey(q)tisd.net Applicants for grants from this Foundation shall provide the following information: (1) A full description of the reason for the grant request, the activity or project to be undertaken, and the amount of grant funds being requested. (2) A detailed budget and timeline for the project or activity, as well as the name(s) of the person, or persons, who will be responsible for the project's completion. (3) Background information on the requesting organization including its history, mission and purpose; organizational information, including its current leadership; current financial information for the organization; and the organization's current address and telephone number. (4) The application must include proper authority for the person signing the application. If the entity is a corporation, a Corporate Resolution must be included. (5) A copy of the organization's 501 (c) (3) determination letter or information relating to the above listed Internal Revenue Code Sections. (6) A statement by the applicant must be included in the application that a complete accounting will be kept by the applicant at all times of all grant funds received from the Foundation; that a full and complete accounting will be provided to the Foundation upon completion of the project, to include funds received, funds disbursed, and funds on hand, if any remain following the completion of the project; and any other information that may be reasonably requested by the Foundation. Failure to provide this final accounting will result in the applicant becoming ineligible for future grants. (7) A statement in the application that all funds received from the Foundation will be expended for the purposes submitted, and that any funds not properly expended will be returned to the Foundation. Applicants are encouraged to be succinct and to limit the body of the application (exclusive of background of the organization) to no more than ten pages. NOTICE OF MEETING — 5/11/2022 14. Consider and take necessary action to accept the attached lists of donations to the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 10 of 15 #14 Calhoun County Public Library w'7v crhhrary erg 200 W. Mahan I Part Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361,552.5218 Report March 2022 The following materials have been donated to the Calhoun County Public Library System during the month of March 2022 Books Donor 2 Susan Wallace 43 Leroy Jurek 1 Kaleigh McCauley 19 Dollar General 1 Jody Thorne 67 Unknown Paperbacks Donor 24 Lavern Henley 30 Unknown Others 12 VHS 1 PC,1 Printer 5 Cassettes 4 Bags of candy 4 Bags of candy 4 Boxes of creamers 1 can of coffee $12 donated to summer reading $50 donated to summer reading $100 donated summer reading $5 to Calhoun County Library $50 donated to summer reading 900 coffee cups Donor Unknown Donor Unknown Adela Flores unknown Unknow Riley Sutherland Cynthia Medina Stanley Lester Charles and Morgan Debusk William Reagan Tania Pyssen Unknown Unknown 7/11 Calhoun County Public Library www cdibWy.org 200 W. Mahan I Port Lavaca, TX 77979 Ph: 361,552.7323 Fax: 361.552.5218 Report April 2022 The following materials have been donated to the Calhoun County Public Library System during the month of April 2022 Books Donor 6 Charles Willoughby 27 Unknown Paperbacks Donor 2 Carrie Rouse 13 Unknown DVD Donor Others Donor 42 VHS Unknown 3 Bags of Candy Taylor Ruelas 4 Bags of Candy Cynthia Medina 55 Boo Boo Bunnies Crochet Club Donations from Walmart. 4/21/22 9 sports nest eggs $1.98 ea. 17.82 6 stickers/eggs $1.98 ea 11.88 13 cupcake decorating kits $2.98 ea 38.74 4 icing decorations $1.98 ea 7.92 2 candy bunny ears kits $.98 ea 1.96 5 designer cake decor kits $3.98 ea 19.90 10 glittery decorating kits $3.98 ea 39.80 79 egg coloring kits $2.24 ea 176.96 24 packs if Easter pencils $.98 ea 23.52 1 Lol chocolate tin $2.98 2.98 4 Easter cutting ribbons $1.98 7.92 2 mermaid pouches $2.44 ea 4.88 2 Mandalorian stamp sets $4.44 ea 8.88 1 basket $5.98 1 pack filled eggs $3.98 1 Easter baby rattle $3.98 1 EASTER KEY FOB $4.88 1 SPRINKLES $1.25 1 empty eggs bag $1.98 11 misc Easter decor $.98 ea 10.78 1 pop it Easter $1.98 1 solar rabbit $1.98 1 mesh tube $.48 1 egg cookie cutter $.98 11 shrink Art keychain kits .99 ea 10.89 8 Easter frisbees .98 ea 7.84 1 easier banner $2.99 2 4 pk wooden egg kits $.98 ea 1.96 9 peeps play dough .98 ea 8.82 1 carrot decor $4.99 1 frozen bubble wand .98 5 jelly tote attachments $5.98 ea 29.90 2 Easter bucket decals $2.98 ea 5.96 24 Easter footprint kits .98 ea 23.52 1 ruffle tray $1.98 2 egg glitter decor $2.48 ea 4.96 1 gift bag 2 in set $.98 ea Total $483.56 NOTICE OF MEETING — 5/11/2022 15. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Surplus/Salvage. (RHM) RESULT: APPROVED[UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 11 of 15 #15 r Calhoun County Public Library wenj ttLbr rt org 200 W. Mahan I Port Lavaca, 7X 77979 Ph: 361.552.7323 Fax: 361.552.5218 Report March 2022 I would like the following to be declared Surplus/Salvage 46 Books 35 Paperbacks 8 DVD Calhoun County Public Library wmj Wihrary org 200 W. Mahan I Port Lavaca, TX 77979 Ph; 361.552.7323 Fax: 361.552.5218 Report April 2022 I would like the following to be declared Surplus/Salvage 2 Paperbacks NOTICE OF MEETING — 5/11/2022 16. Consider and take necessary action to declare the attached lists of items from the Calhoun County Library as Waste. (RHM) RESULT: APPROVED[UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 12 of 15 #16 Calhoun County Public Library vmw cclibrary org 200 W. Mahan I Port Lavaca, TX 77979 Ph:361.552.7323 Fax: 361,552.5218 Report March 2022 I would like the following items to be declared waste 8 Books 12 vhs 1 PC 1 Printer Calhoun County Public Library Nv,WCt4hf ,)r/Ora 200 W Mahan I Port Lavaca, TX 77979 Phi 361 552.7323 Fax: 361.552.5218 Report April 2022 I would like the following items to be declared waste 42 VHS NOTICE OF MEETING — 5/11/2022 17. Accept Monthly Reports from the following County Offices: i. Floodplain Administration — April 2022 ii. Justice of the Peace, Precinct 1— April 2022 iii. Justice of the Peace, Precinct 2 — April 2022 iv. Justice of the Peace, Precinct 4 — April 2022 v. Sheriff's Office — April 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Page 13 of 15 # 17 Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: karen.rinaszCcalhouncotx.org April 2022 Development Permits New Homes — 5 Renovations/Additions — 0 Mobile Homes —1 Boat Barns/Storage Buildings/Garages - 0 Commercial Buildings/RV Site - 0 Tower Addition - 0 Total Fees Collected: $360 ENTER COURT NAME: - : -- JUSTICE OF PEACE NO.1 ENTER MONTH OF REPORT - - - APRIL ENTER YEAR OF REPORT - COOS AMOUNT CASH BONDS 0.00 REVISED 02/07J2022 ADMINISTRATION FEE -ADMF 90.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED: COURT COSTS -CCC 300.03 STATE CONSOLIDATED COURT COST-2020 4,431.29 LOCAL CONSOLIDATED COURT COST-2020 1,014.62 COURTHOUSE SECURITY '-CHS 23.79 CJP 0.00 --CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 0.12 CORRECTIONAL .MANAGEMENT IINSTITUTE -CMI 0.00 CR 0.00 CHILD SAFETY - CS 0.00. - CHILDSEATBELTFEE -CSBF 0.00 CRIME VICTIMS COMPENSATION -CVC 0.00 DPSC/FAILURE TO APPEAR - OMNI -DPSC 166.42 ADMINISTRATION FEE FTAIFTP (aka-OMNI). 2020 83.21 - - - ELECTRONIC FILING: FEE -EEF 0.00 FUGITIVE APPREHENSION -FA 0.00 GENERAL REVENUE -OR 0.00 GRIM -END LEGAL SVCS SUPPORT -IDF 11.90 JUVENILE CRIME B DELINQUENCY -JCD 0.00 - -- JUVENILE CASE MANAGER FUND -JCMF 16.74 JUSTICE COURT PERSONNEL TRAINING --JCPT 0.00. JUROR SERVICE FEE -JSF 23.79 LOCAL: ARREST, FEES -LAP 273.08 LEMI 0.00 -LEDA 0.00 ' LEGG 0.00 . OCL 0.00 PARKS&. WILDLIFE ARREST FEES -PWAF 15.00 STATE ARREST FEES -SAP 94.02 i SCHOOL CROSSING/CHILD SAFETYFEE -SCF 0.00 -SUBTITLE C-SUBC 0.00 STATE TRAFFIC FINES -EST 9.1.19-: STF 2,262.20 TABC.ARREST FEES-TAF 0.00 TECHNOLOGY FUND-TF 23.79 -: TRAFFIC-TFC 0.00 LOCAL TRAFFIC.FINE-2020 135.75 '. TIME PAYMENT -TIME 105.46 ' TIME PAYMENT REIMBURSEMENT FEE. 2020 178.85 TRUANCY PREVENTION/DIVERSION FUND -TPDF 10.34 LOCAL&. STATE WARRANT FEES-WRNT 509.71 - COLLECTION SERVICE FEEMVBA-C$RV 1,220.36 DEFENSIVE DRIVING COURSE -DOC 80.10 '-DEFERRED FEE `-DFF 512.24 DRIVING EXAM FEE- PROV GIL 0.00 FILING FEE - FREE 0.00 STATE CONSOLIDATED CIVIL FEE - 2022 188.00 LOCAL CONSOLIDATED. CIVIL FEE -2022 264.00 - FILING FEE SMALL CLAIMS .-: FFSC 0.00 - JURY FEE -JF 0.00 COPIES/CERTIFED COPIES - CC 0.00 - INDIGENT FEE -CIFF or INDF 0.00 JUDGE PAY RAISE FEE -JPAY 40.28 SERVICE FEE -SFEE 225.00 - OUT -OF -COUNTY SERVICE FEE 0.00 ELECTRONIC FILING FEE -EEF CV 0.00 - - EXPUNGEMENTFEE -EXPG 0.00 - EXPIRED RENEWAL -EXPR 0.00 -. ABSTRACT OF JUDGEMENT -AOJ 0.00 ALLWRIT$ WOP/WOE 150.00 - - DPS PTA :FINE -DPSF 1,662.00 - - - LOCAL. FINES -FINE 6,615.11 LICENSE & WEIGHT FEES --LWF 0.00 .PARKS &WILDLIFE FINES -PWF 782.00 j. R CHILD FINE -SEAT SECIAL 0.00 I' ; - & COURT P JUDICIAL&COURT PERSONNEL TRAINING-JCPT SON 0.00 " OVERPAYMENT (OVER $10) OVER 0.00 ' " OVERPAYMENT($10 AND LESS) OVERI 10.00 RESTITUTION - REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSF 0.00 MARINE SAFETY PARKS & WILDLIFE MS0 0.00 TOTAL ACTUAL MONEY RECEIVED TYPE - AMOUNT - TOTALWARRANTFEES' 509.71 ..ENTER LOCAL WARRANT FEES 343.89 RECORDONTOTALPAGE OF HILL COUNTRY SGmvaREMO. REPORT STATE WARRANT FEES $168.111 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFMARE MO. REPORT DUE TO OTHERS AMOUNT DUE TO CCISD- 50% Of Fine QG JV CASES - 0.00 PLEASE INCLUDE DRREQUESTMGDISBURSEMENT DUE TO DA RESTITUTION FUND - 0.60 PIPASE INCLUDE D R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS '. -0.00 PLEASEINCLUDE D.RREQUESTINGDISBURSEMENT OUT -OF -COUNTY SERVICE FEE-- -0.00 PLEASE INCLUDE 0 R REQUESTING DISBURSEMENT GASH BONDS -- 0.00 FLFASEINCWCE DR REQUESTING DISBURSEMENT (IF KQUIRED). " TOTAL DUE TO OTHERS 0.00 TREASURERS RECEIPTS. FOR MONTH .AMOUNT - CASH CHECKS, M.O.s&CREDIT CARDS $21,489.20 Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS $21 4BB.20 5/5/2022 ACCOUNTNUMBER CR 1000-001-45011 CR 1000-001-44190 bb0kY NAME: JUSTICE OF PEACE NO. 1 MONTH OF DEPORT: APRIL YEAR OF REPORT: 0 ADMINISTRATIVE FEES: DEFENSIVE DRIVING CHILD SAFETY TRAFFIC ADMINISTRATIVE FEES EXPUNGEMENT FEES MISCELLANEOUS CR 1000-001-44361 CR 1000-001-44010 CR 1000-001-44061 CR 1000-001-44090 CR 1000-001-49110 -CR 1000-001-44322 CR 1000-001-44145 CR 1000-999-20741 CR 1000-999-20744 CR 1000-999-20745 CR 1000-999-20746 CR 1000-999-20770 -CR 2670-001-44061 CR 2720-001-44061 CR 2719-001-44061 CR 2699-001-44061 CR 2730-001-44061 CR 2728-001-44061 CR 2677-001-44061 CR_ 2725-001-44061 CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7072-999-20610 CR 7072-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7860-999-20610 CR 7860-999-20740 STATE ARREST FEES DPS FEES P&W FEES TABC FEES DR 7070-999-10010, DR 7072-999-10010 DR 7860-999-10010 DR 7860-999-10010 ACCOUNT NAME FINES SHERIFF'S FEES fSTRIBUTIONS AMOUNT 8,384.41 836.80 80.10 0.00 135.75 685.45 0.00 0.00 TOTAL ADMINISTRATIVE FEES 901.30 CONSTABLE FEES -SERVICE 375.00 JP FILING FEES 0.00 COPIES / CERTIFIED COPIES 0.00 OVERPAYMENTS (LESS THAN $10) 10.00 TIME PAYMENT REIMBURSEMENT FEE 178.85 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 DUE TO STATE -DRIVING EXAM FEE 0.00 DUE TO STATE-SEATBELT FINES 0.00 DUE TO STATE -CHILD SEATBELT FEE 0.00 DUE TO STATE -OVERWEIGHT FINES 0.00 DUE TO JP COLLECTIONS ATTORNEY 1,220.36 TOTAL FINES, ADMIN. FEES & DUE TO STATE $11,906.72 COURTHOUSE SECURITY FUND $372.96 JUSTICE COURT SECURITY FUND $5.95 JUSTICE COURT TECHNOLOGY FUND $313.68 JUVENILE CASE MANAGER FUND $16.74 LOCAL TRUANCY PREVENTION & DIVERSION FUND $362.36 COUNTY JURY FUND $7.25 JUSTICE COURT SUPPORT FUND $200.00 COUNTY DISPUTE RESOLUTION FUND $40.00 LANGUAGE ACCESS FUND $24.00 1 52.01 3.00 0.00 TOTAL STATE ARREST FEES 55.01 CCC-GENERAL FUND 30.00 CCC-STATE 270.03 300.03 STATE CCC- GENERAL FUND 443.13 STATE CCC- STATE 3,988.16 4,431.29 STF/SUBC-GENERAL FUND 0.00 STF/SUBC-STATE 0.00 0.00 STF- EST 9/1/2019- GENERAL FUND 90.49 STF- EST 9/1 /2019- STATE 2,171.71 2,262.20 Page 1 of 3 MONTHLY REPORLAF COLLECTIONS AND DISTRIBUTIONS 5/5/2022 GOURTNAME: JUSTICE OF PEACE NO. 1 MONT{ OF REPORT: APRIL YEAR OF REPORT: 0 CR 7950-999-20610 TP-GENERAL FUND 52.73 CR 7950-999-20740 TP-STATE 52.73 DR 7950-999-10010 105.46 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/5/2022 661JO NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: APRIL YEAR OF REPORT: 0 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 + CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 ' 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.19 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 10.71 DR 7865-999-100�10' 11.90 CR 7970-999-20610 TL/FTA-GENERAL FUND 55.47 CR 7970-999-20740 TL/FTA-STATE 110.95 DR 7970-999-10010 166.42 CR 7505-999-20610 JPAY-GENERALFUND 4.03 CR 7505-999-20740 JPAY-STATE 36.25 DR 7505-999-10010 40.28 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.38 CR 7857-999-20740 JURY REIMB: FUND- STATE 21.41 DR 7857-999-10010 23.79 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.11 DR 7856-999-10010 0.12 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 5.17 7998-999-20701 JUVENILE CASE MANAGER FUND 5.17 DR 7998-999-10010 10.34 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 ' 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 168.00 168.00 TOTAL (Distrib Req to OperAcct) $20,824.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT; 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 864.70 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $664.70 TOTAL COLLECTED -ALL FUNDS $21,489.20 LESS: TOTAL TREASUER'S RECEIPTS $21,489.20 REVISED 02/02/2022 OVE-R/(SSHORT) $0.00 r Page 3of3 CALHgYN COUNTYJ;!:. 201 West Austin PAYEE Name:; Calhoun County Oper. Acct. Address: City: State: Zip: Phone: DISTRIBUTION REQUEST DR# 450 A 44686 PAYOR Official: Hope Kurtz .Title: Justice of the Peace, Pct. 1 ACCOUNT NUMBER DESCRIPTION. .AMOUNT.. 7541.999-20759-999 JP1 Monthly Collections - Distribution $20,824.50 APRIL 0 V# 967 TOTAL 20,824.50 Signature of Official - Z'-z- Date M ENTER COURT NAME: - JUSTICE OF PEACE N0-2 ENTER MONTH OF,REPORT April ENTER YEAR OF REPORT 2022 CODE AMOUNT- CASH BONDS. 0.00 REVISED 021O2022 ADMINISTRATION FEE '-ADMF 30.OD ' BREATH ALCOHOL TESTING - BAT 0.OD CONSOLIDATED COURT COSTS -CCC 92.04 STATE CONSOLIDATED COURT COST 2020 1,166.52 LOCAL CONSOLIDATED COURT COST 2020 240.17 'COURTHOUSE SECURITY -CHS 9.21 - CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -:CJDR 0.12:: -..CORRECTIONAL MANAGEMENT .INSTITUTE -CMI 0.00 .CR 0.00 CHILDSAFETY-"CS 0.00 CHILD SEATBELT FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION CVC 0.00 DPSC/FAILURE TO APPEAR '-:OMNI-DPSC 64.24 ADMINISTRATION FEE FTAAFTP (aka OMNO 2020 48.04 ' - fELECTRONIC FILING FEE =EEF 0.00 - FUGITIVE APPREHENSION '-FA 0.00 GENERACREVENUE -GR 0.00 CRIM IND LEGAL SVCS SUPPORT- IDF 4.60 - JUVENILE :CRIME & DELINQUENCY -. JCD OJX) JUVENILE CASE MANAGER FUND -JCMF O.OD JUSTICE COURTPERSONNEL TRAINING -JCPT O.OD - JUROR. SERVICE FEE -JSF 9.21 LOCAL ARREST FEES -"LAF 75.76' - LEMI 0.00 LEOA 0.00 LEOC 0.00 OCL 0.00. PARKS& WILDLIFE ARREST FEES -PWAF 0.00 ' STATE ARREST FEES -SAF 15.81 '. SCHOOL CROSSING/CHILDSAFETY FEE '-SCF 0.00 SUBTITLE C-SUBC 34.83 STATE TRAFFIC FINES -EST 9.119-STF 620.29 TABC ARREST FEES-TAF 0.00 TECHNOLOGY FUND TF 9.21 - TRAFFIC-: TFC 3.48 LOCAL TRAFFIC FINE 2020 37.21 TIME PAYMENT -TIME 25.00 TIME PAYMENT REIMBURSEMENT FEE 2020 73.43 TRUANCY PREVENTION/DIVERSION FUND -TPDF 4.60 LOCAL & STATE WARRANT FEES WRNT 308.61 - COLLECTION SERVICE FEE-MVBA:-CSRV 472.80 DEFENSIVE DRIVING:COURSE -DOC 20.00 DEFERRED FEE - OFF 418.00. DRIVINGEXAM.FEE- PROV:DL 0.00 FILING FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE 2022 63.00 LOCAL CONSOLIDATED CIVIL FEE --2022 99.00 " FILING FEE SMALLCLAIMS -FFSC 0.00 :JURY FEE -:JF 0.00 COPIES/CERTIFED COPIES =CC 0.00 r. INDIGENT FEE --CIFF pr1NDF 0.00 JUDGE PAY RAISE FEE JPAY 13.82 SERVICE FEE -SFEE 0.00 OUT -OF -COUNTY SERVICE. FEE 0.00 ELECTRONIC FILING FEE -EEFCV 0.00.' ,EXPUNGEMENTFEE-EXPG 0.00' EXPIRED RENEWAL -EXPR 0.00 'ABSTRACT OF JUDGEMENT-AOJ 0.00 ALLWRITS-WOP/WOE 0.00 DPSFTA FINE -DPSF 399.32 LOCAL FINES - FINE 2,092.48 LICENSE & WEIGHT FEES -LWF 000 PARKS & WILDLIFE FINES -PWF 0.00 SEATBELT/UNRESTRAINED CHILD FINE -SEAT 0.00 T- JUDICIAL .& COURT PERSONNEL TRAININGJCPT 000 OVERPAYMENT (OVER $10)-OVER 0.00 • OVERPAYMENT ($10AND .LESS) OVERI 100.00 _RESTITUTION RESTI 0.00 PARKS& WILDLIFE -WATER SAFETY FINES-WSFI 0.00 '. MARINE SAFETY PARKS &:WILDLIFE -MSO 0.00: TOTAL ACTUAL MONEY RECEIVED'. $8:560.80:` TYPE: AMOUNT', TOTAL WARRANT FEES 308.61 ENTER LOCAL WARRANT FEESr 50.00 1PcomOm TOTAL PACE OF HILLCOUNTW SOFTl%W MO REPORT STATE WARRANT FEES.' $258.61:'. PECORMON TOTAL PAGE OFHILLCOUNT" WFIWARE MO. IEroaT. DUE: TO OTHERS: - AMOUNT: DUE TO CCISO -50% Of Fine on JV Cases 0.00 PLEASE INGLUCE OR REQUESTING GIMURSEBfM _ DUE. TO DA RESTITUTION FUND PLEASE INGIBM OR REQUESTING DISSURSEWHT REFUND OF OVERPAYMENTS 0.00 PLEASE INCLUDE G.R PEQUESTING DIRIVRSEWNT. OUT-OF-COUNTYSERVICE FEE L^0.001 0.00 PHMA INCLUDE OR REQUESTING DISBURGLIENT CASH BONDS 0.00 PLEASE INCLUDE OR REQUESTING TSBURSEMEW(IFREQUIFUM) TOTAL DUE TO OTHERS $0.00' TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M:_O.s & CREDIT CARDS $8;550.80 Calculate from ACTUAL Treaeurere Receipts " TOTAL TREAS. RECEIPTS $8550.80 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2022 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: April YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45012 FINES 2,491.80 CR 1000-001-44190 SHERIFF'S FEES 345.30 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 20.00 CHILD SAFETY 0.00 TRAFFIC 40.69 ADMINISTRATIVE FEES 496.04 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 556.73 CR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 CR 1000-001-44062 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 100.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 73.43 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 472.80 TOTAL FINES, ADMIN. FEES & DUE TO STATE $4,040.06 CR 2670-001-44061 COURTHOUSE SECURITY FUND $90.97 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $2.30 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $77.83 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $0.00 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $85.78 CR 2669-001-44061 COUNTY JURY FUND $1.72 CR 2728-001-44061 JUSTICE COURT SUPPORT FUND $75.00 CR 2677-001-44061 COUNTY DISPUTE RESOLUTION FUND $15.00 CR 2725-001-44061 LANGUAGE ACCESS FUND $9.00 STATE ARREST FEES DPS FEES 54.88 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 54.88 CR 7070-999-20610 CCC-GENERAL FUND 9.20 CR 7070-999-20740 CCC-STATE 82.84 DR 7070-999-10010 92.04 CR 7072-999-20610 STATE CCC- GENERAL FUND 116.65 CR 7072-999-20740 STATE CCC- STATE 1,049.87 DR 7072-999-10010 1,166.52 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.74 CR 7860-999-20740 STF/SUBC-STATE 33.09 DR 7860-999-10010 34.83 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 24.81 CR 7860-999-20740 STF- EST 9/1/2019- STATE 595.48 DR 7860-999-10010 620.29 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2022 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: April YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 12.50 CR 7950-999-20740 TP-STATE 12.50 DR 7950-999-10010 25.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.46 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 4.14 DR 7865-999-10010 4.60 CR 7970-999-20610 TL/FTA-GENERAL FUND 21.41 CR 7970-999-20740 TL/FTA-STATE 42.83 DR 7970-999-10010 64.24 CR 7505-999-20610 JPAY - GENERAL FUND 1.38 CR 7505-999-20740 JPAY - STATE 12.44 DR 7505-999-10010 13.82 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.92 CR 7857-999-20740 JURY REIMB. FUND- STATE 8.29 DR 7857-999-10010 9.21 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.01 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.11 DR 7856-999-10010 0.12 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 2.30 7998-999-20701 JUVENILE CASE MANAGER FUND 2:30 DR 7998-999-10010 4.60 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 63.00 63.00 TOTAL (Distrih Req to OperAcct) $6,550.80 DUE TO OTHERS (Distrih Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $6,550.80 LESS: TOTAL TREASUER'S RECEIPTS $6,550.80 REVISED 02/02/2022 OVER/(SHORT) $0.00 (� Page 2 of 2 CALF OUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 450 A 44685 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Address: Title: City: State: Zip: Phone: Hope Kurtz Justice of the Peace, Pct. 2 ACCOUNT NUMBER - '. - - ` DESCRIPTION' - AMOUNT- - - 7541-999.20759.999 JP2 Monthly Collections - Distribution $6,550.80 April 2022 V# 967 Signature of Official Date TOTAL 6,550.80 05-04-22;10:49 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 1/ 5 FAX COVER SHEET May 4, 2022 FROM: JUSTICE COURT PCT. 4, CALHOUN COUNTY 103 W. Dallas Street, P.O. Box_520 Seadrift, Texas 77983 PHONE: 361-785-7082 FAX: 361-785-2179 TO: County Judge Office Ref: APRIL MoneV Distribution Report FAX:361-553-4444 Please give me a call if You have any nuestions PAGES TO FOLLOW: _5_ INCLUDING THIS COVER PAGE Thank you, JUNE CANTRELL, CLERK ,Cudge'Wesley J. 3-Cunt 05-04-22;10:49 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 2/ 5 a,m ?a'm ISM N,m 70.9 uae moo NaN NH MaE WIMOMRUPPEMEMi MPmUOOWIOMMIYPOMIN, M WOUB MGMIPU1.IPMPNP M KOUNVOMPUMMPN, 05-04-22;10:49 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 3/ 5 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2022 COURT NAME: JUSTICE OF PEACE NO.4 MONTN OF REPORT: APRIL YEAR OF REPORT: 0 ACCOUNT NUMBER ACCOUNT NAME AMOUNT OR 1000-001.45011 FINES 1.294.79 OR 1000-001-44190 SHERIFF'S FEES 378.04 ADMINISTRATIVE FEES: DEFENSIVE DRIVING P0.00 CHILD SAFETY 3.00 TRAFFIC 27,99 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000.001-44361 TOTAL ADMINISTRATIVE FEES 60.19 OR 1000-00144010 CONSTABLE FEE$-$ERVIQE 150.00 OR 1000-001-44061 JP FILING FEES 0.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 10OD-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 33.12 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE•ORIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATESEATBELT FINES 12.45 OR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999.20740 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999.20770 DUE TO JP COLLECTIONS ATTORNEY 427.50 TOTAL FINES. ADMIN. FEES & DUE TO STATE $2,346.09 OR 2670-001-44061 COURTHOUSE SECURITY FUND $72.17 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $5.75 OR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $72.83 OR 2599.001-44061 JUVENILE CASE MANAGER FUND $15.00 OR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $56.04 OR 2669-001-44081 COUNTYJURYFUND $1.12 .OR:.. 2728.001-44061. JUSTICE COURT SUPPORT FUND CR::287.001:44081 ,. COUNTY DISPUTE ,RESOLUTION FUND CR",27ZO.01.44061 LANGUAGE ACCESS FUND STATEARRESTFEES DPS FEES 13.00 P&W FEES 0.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 13.00 OR 7070-999-20610 CCC-GENERAL FUND 28.00 OR 7070-999.20740 CCC-STATE 252.00 DR 7070-999-10010 280.00 OR 7072-999-20610 STATE CCC• GENERAL FUND 69.49 OR 7072-999-20740 STATE CCC- STATE 625.43 DR 7072-999.10010 694,92 OR 7660.999.20610 STF/SUSC-GENERAL FUND 3.00 OR 7860-999.20740 STF/SUBC-STATE 57.00 DR 7860-999.10010 50.00 OR 7860-999-20610 STF- EST 9/l/2019- GENERAL FUND 14.13 OR 7860-999.20740 STF- EST 9/l/2019- STATE 339.11 DR 7860.999-10010 353.24 Page 1 of 3 05-04-22;10:49 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 4/ 5 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2022 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: APRIL YEAR OF REPORT: 0 CR 7950-999.20610 TP-GENERAL FUND CR 7950-999-20740 TP-STATE 50.00 DR 7950-999.10010 50.00 TQQ Page 2 of 3 05-04-22;10:49 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 5/ 5 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 5/4/2022 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: APRIL YEAR OF REPORT: 0 OR 7480.999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 OR 7480.999.20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480.999.10010 0.00 OR 7865-999.20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1A0 CR 7865-999-20740 CRIM-SUPP OF IND LEG $VCS-STATE 12.60 DR 7865-999.10010 14.00 CR 7970.999-20610 TUFTA-GENERAL FUND 53.33 OR 7970 999.20740 TUFTA-STATE 106.67 OR 7970-999.10010 160.00 CR 7505-999-20610 JPAY-GENERALFUNO 4.20 CR 7505-999-20740 JPAY-STATE 3780 DR 7605-999-10010 42.00 CR 7857-999.20610 JURYREIMB. FUND-GEN. FUND 2.60 CR 7857-999-20740 JURY REIMB. FUND -STATE 23.40 DR 7857-999-10010 26.00 CR 7856.999-20610 CIVIL JUSTICE DATA REPOS,- GEN FUND 0.04 CR 7856-999.20740 CIVIL JUSTICE DATA REPOS: STATE 0 36 DR 7855-999-10010 0.40 CR 7502-999.20740 JUO/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7602-999-10010 0.00 7998-999.20740 TRUANCY PREVENT/DIV FUND - STATE 4.00 7998-999-20701 JUVENILE CASE MANAGER FUND 4.00 OR 7998-999.10010 8.00 7403-999-22889 ELECTRONIC FILING FEE -CV $TATE 0.00 DR 7403-999-22889 0.00 7858-999.20740 STATE CONSOLIDATED CIVIL FEE G3.00 63.00 TOTAL (D/strib Req to OperAccy $4,383.57 r DUE TO OTHERS (Distrih Req Atichag CALHOUN COUNTY ISD DA - RESTITUTION 0.00 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE F1 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 0.00 WATER SAFETY FINES 0 00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $4,383.57 LESS: TOTAL TREASUER'S RECEIPTS $4.486.57 REVISED 02/02/2021 OVER/(SHORT) $� 10�� s lel�l-�--z-- Page 3 of 3 SHERIFF'S OFFICE MONTHLY REPORT ApF22 BAIL BOND FEE $ 945.00 CIVIL FEE $ 467.25 JP#1 $ 593.00 JP#2 $ 3,188.10 JP#3 $ 507.00 JP#4 $ - JP#5 $ 833.50 PL MUN. $ COUNTY COURT $ SEADRIFT MUN. $ PC MUN. $ 4,626.70 OTHER $ PROPERTY SALES $ DISTRICT $ CASH BOND $ TOTAL: $ 11,160.55 NOTICE OF MEETING — 5/11/2022 18. Consider and take necessary action on any necessary budget adjustments. (RHM) None. Page 14 of 15 #18 NOTICE OF MEETING-5/11/2022 19. Approval of bills and payroll. (RHM) MMC Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner PcL I SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens Adjourned at 10:15 a.m. Page 15 of 15 #19 May 11, 2022 2022 APPROVAL LIST - 2022 BUDGET COMMISSIONERS COURT MEETING OF 05/11/22 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 20 $348,466.12 WASTE MGMT, RB2, FIRE VICTORIA ELECTRIC COOPERATIVE PROTECTION -SIB MILE A/P $ 670.08 VOYAGER FUEL USAGE A/P $ 25,600.33 RB2 WATER USAGE MAR GERA 2022 A/P $ 86.58 WASTE MGMNT MAY 2022 FRONTIER PRONE BILL A/P $ 152.49 AIRPORT & WASTE MGMT REPUBLIC SERVICES MAY 2022 A/P $ 3,565.15 TOTAL VENDOR DISBURSEMENTS: $ 378,540.75 61 PAYROLL FOR MAY 13, 2022 P/R $ 333,748.64 AMOUNT: - $ 333,748.64p___ '1'0'1'AL INVES'I'MEN1'AC'1'1VC1'Y ANDIRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 712,289.39 1 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 11 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS' TOTAL'TRANSFERS BETWEEN FUNDS: TOTAL NURSING HOME UPL EXPENSE5 $: 063,639.04 $223;831570 1/ $' 9178,6961¢;; TOTAL INTER -GOVERNMENT TRANSFERS $ 26,32886 ✓ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 11, 2022 PAYABLES AND PAYROLL 5/5/2022 Weekly Payables 204.692.08 5/9/2022 Authority RX-340B Prescription Expense 20,509,00 5/9/2022 McKesson-340B Prescription Expense 4,006.10 519/2022 Amarisource Bergen-3406 Prescription Expense 2,155.09 5/9/2022 Payroll Liabilities -Payroll Taxes 116,354.45 5/9/2022 Payroll 354,833.74 Prosperity Electronic Bank Payments 513-515122 Credit Card &Lease Fees 663.59 5/15/2022 TCDRS April Retirement 260,040.99 5/2-515/22 Pay Plus -Patient Claims Processing Fee 359.10 5/15/2022 Authnet Gateway Billing-3rd Party Payor Fee 23.90 tOLAL�PAY.ABLE$i PAYROLL AND ELECTRQNIC BANK.PAYMENTS? TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 5/5/2022 MMC Operating to Solera-correction of NH insurance payment deposited into 389.00. MMC Operating 5/512022 MMC Operating to Fort bend -correction on NH insurance payment deposited 399.31 Into MMC Operating 5/512022 MMC Operating to Broadmoor-correction of NH Insurance payment deposited 1,945.00 into MMC Operating 5/5/2022 MMC Operating to Crescent -correction of NH insurance payment deposited 5,446:00 into MMC Operating in error 5/5/2022 MMC Operating to Golden Creek -correction of NH insurance payment 81,540.31 deposited Into MMC Operating in error 6/5/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 12,386.07 deposited into MMC Operating 5/5/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 20,717.56 deposited into MMC Operating 5/5/2022 MMC Operating to Bethany -correction of NH insurance payment deposited 101,008.46 Into MMC Operating in error TOTAL TRANSFERS BETWEEN!FUNDS NURSING HOME UPL EXPENSES 5/912022 Nursing Home UPL-Cantex Transfer 616,649A2 5l9/2022 Nursing Home UPL-Nexion Transfer 208,360.90 5/912022 Nursing Home UPL-HMG Transfer - 86.527.16 5/9/2022 Nursing Home UPL-Tuscany Transfer 52,507.43 5/9/2022 Nursing Home UPL-HSL Transfer 106,391.26 Nursing Home Electronic Bank Payments 5/612022 Bethany -returned check 1,93SA0 QIPP CHECKS TO MMC 6/9/2022 Ashford 30,343.46 5IM022 Broadmoor 12,470.58 5/9/2022 Crescent 10,051.29 5/9/2022 Fort Bend 12,249.09 5/9/2022 Solera 11,884.89 5/9/2022 Golden Creek 76,658A5 519/2022 Gulf Pointe 35,905.65 5/912022 Tuscany 17,759.36 TOTAL NUR81'NGHOME UPL EXPENSES III 223ilim-70, INTER -GOVERNMENT TRANSFERS 516/2022 IGT RAPPS was submitted to be ACHed before court approval on 515122 25,328.85 T.OTALJNTER=GOVERNMENT TRANSFERS $ Z5a32$;S6;j GRAND T,OTALDISSURSEMENTS APP.ROVED'Ma 1l 2022. $' :2;A91;d94 X5i' Page 1 of 12 IRECEM BY THE CO�Un�N`y7YAUDRROON >a.7/05/Pok 2022 MEMORIAL MEDICAL CENTER AP Open Invoice List 11:19 0 CiALF10l1N GQUNfY TEXAS Due Dates Through: 05/26/2022 ap_open_involce.template Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE 15521 ✓ Invoice# Comment Tran Dt. Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 043022 04/30/2004130/2005/P5/20 932.08 0.00 O.OD 932.08 1"" SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 932.08 0.00 0.00 932.08 Vendor# Vendor Name ,Class Pay Code 13180 ADVANCED STERILIZATION PRODUCT ✓j Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8020265491 g/� 04129/20 03/18/20 04118/20 8,yu v1 o.00 0.00 8AO. £{.ail Vendor Totals Number Name Gross Discount No -Pay Net 13180 ADVANCED STERILIZATION PRODUCT 8.¢o 8' 0.00 0.00 8.9b &&j Vendor# Vendor Name Class Pay Code A1679 AIR SPECIALTY & EQUIPMENT CO V" M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 504550 04127/20 04/25/20 05/26/20 2,417,65 0.00 0.00 2,417.65 j V SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1679 AIR SPECIALTY & EQUIPMENT CO 2,417.65 0.00 0.00 2,417.65 Vendor# Vendor Name Class Pay Code �r At 68D AIRGAS USA, LLC-CENTRAL DIV ✓ M Invoice# Ca ment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net 9124473454 t� 04/29/20 04/21/20 05/16/20 2,505.42 0.00 0.00 / 2.505.42 y OXYGEN Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 2,505.42 0.00 0.00 2.505.42 Vendor# Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1 NM46HPWL7W1✓ 04129/200412PJ2005/22/20 118.93 0,00 0.00 11e.93 1"r SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 118.93 0.00 0.00 118.93 Ventlor# Vendor Name Class Pay Code A0400. AUREUS RADIOLOGY LLC ✓ Invoice# Comment Tran Ot Inv Dt Due Ot Check DPay Gross Discount No -Pay Net 2575097 >/ 041/29/2004125/2005125/20 2,760.00 0.00 0.00 2,760.00 STAFFING L411f_[I-�1�'�27-�SIF;t6Yli 2575126+% 04129/20. 04/26/2005/25/20 2.445,50 0.00 0.00 2,445.50 LABSTAFFING (4jg_4jlo121)+k;tW1Um y/ P576681 v✓ 04129/200412MO 05/25/20 2,208.00 0.00 0.00 2,208.00 r! LAi3STAFFING t4111-'lj1412z) GNl.L-1;t1+ Vendor Total: Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 7,413.50 0.00 0.00 7,413.50 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO. v W file:///C:/Users/ltrevino/cpsi/memtned, cpsinet,com/u 88125/data_5/tmp_cw5report7506964... 5/5/2022 Page 2 of 12 Invoice# Comment Tram Dt Inv Dt Due Dt Chock D Pay Gross Discount No -Pay Net 04/29/20. 04/29/20 05/14/20 17.99 0.00 0.00 17.99 t� 1=2 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 17.99 0.00 0.00 IT99 Vendor# Vendor Name Class Pay Code M2485 BAYER HEALTHCARE i/ M Invoice# Cc ment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 6009794847.7 04/30/20 04/20/20 05/15/20 1,196.08 0.00 0.00 1,196.08 ✓� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 11196.08 0.00 0.00 11198.08 Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC M Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 109849853 04/29/20 04/26120 05121/20 77,25 0.00 0.00 77.25 ✓ SUPPLIES 109853820 6// 04/29/20 04/27/20 05/22/20 618.00 0.00 0.00 618.00 ✓' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 695.25 0.00 0.00 695.25 Vendor# Vendor Name Class Pay Cade B1320 BEEKLEY CORPORATION ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV1520048 ✓1 04/20/20 04/12120 04/20120 431.95 0.00 0.00 431.95 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPORATION 431.95 0.00 0.00 431.95 Vendor# Vendor Name / Class Pay Code B0437 C R BARD INC ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 84123246 04130/20 04/22/20 05/22/20 85.00 0.00 0.00 85.00 SUPPLIES VendorTotaleNumber Name Gross Discount No -Pay Net B007 C R BARD INC 85.00 0.00 0.00 85.00 Vendor# Vendor Name Class Pay Code 11224 CABLES AND SENSORS v/ Invoice# Comment Tran Ot Inv Dt Due Ot Check D-Pay Gross Discount No -Pay Net 6192 f 01/12/20 01107/20 02107/20 -150.00 0.00 0.00 -160.0011/ CREDIT 130370 .+� 0412MO 04/27/20 05/25/20 246.00 0.00 0.00 246.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11224 CABLES AND SENSORS 96.00 0.00 0.00 96,00 Vendor# Vendor Name % Class Pay Code 01048 CALHOUN COUNTY ✓ w Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 042422 04/29/20 04/24/20 05118/20, 202,42 0.00 0.00 202.42 FUEL Vendor Totals Number Name Gross Discount No -Pay Net C1048 CALHOUN COUNTY 202,42 0.00 0.00 202.42 file:///C:/Users/ttrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report7506964... 5/5/2022 Page 3 of 12 Vendor# Vendor Name Class Pay Code f C1325 CARDINAL HEALTH 414, INC. ✓ W Invoice# Cginment Tran Dt Inv Dt Due Dt Check D Pay Gress Discount No -Pay Net 8002819749 04/29/20 04/09/20 05/04/20 741.59 0.00 0.00 741.59 SUPPLIES 8002824953 04/29/20 04l16/20 05111 /20 253.20 0.00 0,00 253.20 ✓� SUPPLIES Vendor Totals Number Name - Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 994.79 0.00 0.00 994.79 Vendor# Vendor Name Class Pay Code 13028 CAVALLO ENERGY TEXAS LLC V1 Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 17261949 04/29/20 04/21 /20 05/23/20 ✓ 10.17 0.00 0.00 10.17 ELECTRICITY Vendor Totals Number Name Gross Discount No -Pay Net 13028 CAVALLO ENERGY TEXAS LLC 10.17 0.00 0.00 10.17 Vendor# Vendor Name Class Pay Cade / C1992 COW GOVERNMENT, INC. ✓ M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net R411033 ✓ 04/29/20 01/27/20 02/26/20 607A2 0.00 0.00 607.42 ✓ (2-) Levi aV6 Tvu�v xtr� Yy wtiti hr5 W188074 (Z) 1.e.1\V0 ,0 IM20 04/20/20 05/20/20 4,086.35 0.00 0.00 4,086.35 ✓ Cl-kvi- Pc: y Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 4,693.77 0.00 0.00 4.693.77 Vendor#Vendor Name Class Pay Code r 10105 CHRIS KOVAREK ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount NaPay Net 62 ✓J 04/29/2O 05/03/20 05/15/20 80.00 0.00 0.00 80.00 PURCHASED SERVICES , Vendor Totals Number Name Gross Discount No -Pay Not 10105 CHRIS KOVAREK 80.00 0.00 0.00 80.00 Vendor# Vendor Name f Class Pay Code 13000 CLEARFLY ✓ Invoice# C mment. Tran Dt Inv Dt Due Ot Check D' Pay Gross Discount No -Pay Net INV42322404129/20 05101/20 05/20/20 1,194.79 0.00 0.00 1,104.79 TELEPHONE , Vendor Total: Number Name Gross Discount No -Pay Net 13000 CLEARFLY 1,194.79 0.00 0.00 1.194.79 Vendor#Vendor Name Class Pay Code / C1970 CONMED CORPORATION ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 867763 / 04/30/20 04/28t20 05/04/20 87.50 0.00 0,00 87.50 v' SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net C1970 CONMED CORPORATION 87.50 0.00 0.00 87.50 Vendor# Vendor Name Class Pay Code / 1036E DEWITT POTH & SON y' Invoice# ,Comment Tran Dt Inv Ot Due Dt Check D' Pay Gross Discount No -Pay Net 6798150 ✓(04/20/20 0412212D 05/17/20 26.08 0.00 0.00 26.08 SUPPLIES file:///C:/Users/Itrevinolcpsilmemmed.cpsinet.comlu88125/data_5/tmp_cw5report7506964... 5/5/2022 Page 4 of 12 6802720 ✓ 04/29/20 04/27/20 05/22/20 450.00 0.00 0.00 450.00 ✓' J /SUPPLIES 6802600 ✓ 04/29/20 04/27/20 05/22/20 45.52 0.00 0.00 r 45,52 t/ SUPPLIES 6802520 ./ 04/29/2004/27/20. 05/22/20 76.62 0.00 0.00 76.62 ✓- SUPPLIES 6802601 04/29/20 04/28/20 05/23/20 49.92 0.00 0.00 / 49,92 ✓ /SUPPLIES �1 68027X0✓ 04/29/20 04/28/20 05/23/20. 33.45 0.00 0.00 33.45 +✓� SUPPLIES % 6802680 04/29/20 04/28/20 05/23/20 25.46 0.00 0.00 25.46 ✓ /SUPPLIES 6803210 , 04129/20 04/28/20 05/23/20 140.77 0.00 0.00 140,77 v� SUPPLIES 6802650 ✓ 04129/2004128/2005/23(20 11,15 0.00 0.00 11.15 SUPPLIES / ✓ 68033B0 04/29/20 04/28/20 05/23/20 281,00 0.00 0.00 261.00 v� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,119.97 0,00 0.00 1,119.97 Vendor# Vendor Name Class Pay Code 10842 DOOR CONTROL SERVICES, INC ✓ Invoice# Com ant Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SMINV3109907 04/29120 04/22120 05/15/20 268.50 0.00 000 268.50. 1CVwkV L1(VAw dwv hoi' Cleunn "rl� Vendor Totals Number Name Gross Discount No -Pay Net 10842 DOOR CONTROL SERVICES, INC 268,50 0.00 0.00 268.50 Vendor# Vendor Name Class Pay Code 12044 DRIESSEN WATER INC,(CULLIGAN) I/'/ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 03312022 ✓ 05/04/20 03/31/20 04/22/20 31.60 0.00 0.00 31,50✓ WATER Vendor Totals Number Name Gross Discount No -Pay Net 12044 DRIESSEN WATER INC. (CULLIGAN) 31,50 0.00 0.00 31.50 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS t,1 Invoice# Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net f/Comment 41159 ' 04/29/20 04/29/20 05/09120 40,062.50 0,00 0.00 40,062.50 TRAVEL NURSE STAFFING t14-Eotk) Vendor Totals Number Name Gross Discount No -Pay Not 11284 EMERGENCY STAFFING SOLUTIONS 40.062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code $0501 EVOQUA WATER TECHNOLOGIES LLC Invoice# Comment Tran DI Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 904340738 V/A 04/30/20 04125/20 05/20/20 1.421.96 0.00 0.00 1,421.96 r SUPPLIES V Vendor Total: Number Name Gross Discount No -Pay Net S0501 EVOQUA WATER TECHNOLOGIES LLC 1.421.96 0.00 0.00 1.421.96 Vendor# Vendor Name , Class Pay Code F1100 FEDERAL EXPRESS CORP, �,/� W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Userslitrevinolepsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report75O6964... 5/5/2022 Page 5 of 12 764899005 ✓ 04/30/20 02/03/20 02/28/20 36.13 0.00 0.00 36.13 r% SHIPPING 766368115 y" 04/30/2002/17/2003/14/20 45.30 0.00 0.00 45,30 S 41PPING 772364464 �,/ 04/30/20 04/14/20 05/09/20 12.37 0.00 0.00 /. 12.37 ,r SHIPPING 773132579 } / 04/30/20 04/21/20 05/16/20 37.42 0.00 0.00 37.42 SHIPPING Vendor Total; Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 131.22 0.00 0.00 131.22 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ,� M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2206149 ✓ 04/30/20 04/26/20 05/21/20 795.60 0.00 0.00 795.60 /SUPPLIES 2206146 V 04/30/20 04/26/20 05121/20 795.60 0.00 0.00 795.60 y✓'� fSUPPLIES 2206147✓ 04130/20 04/26/20 05/21/20 1.441.47 0.00 0.00 1,441.47✓ SUPPLIES 2251418 f'�� 04/30/20 04/27/20 05/22/20 397.80 0.00 0.00 397.80 y/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 3,430.47 0.00 0.00 3,430.47 Vendor# Vendor Name Class Pay Code 11183 FRONTIER ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 041922 04/29/20 04/19/20 05/15/20 67.19 0.00 0.00 67.19 TELEPHONE V: . Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 67.19 0.00 0.00 67A9 Vendor# Vendor Name Class Pay Code 11984 GUERBET, LLC Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 18609422 ✓ 04/29/20 04/27/20 05/03/20 700.00 0.00 0.00 700.00 SUPPLIES Vendor Total! Number Name Gross Discount No -Pay Net 11984 GUERSET, LLC 700.00 0.00 0.00 700.00 Vendor# Vendor Name Class Pay Code G0401 GULF COAST DELIVERY i Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net APR2022 04/29120 04129/20 05/20/20 75.00 0.00 0.00 75.00 DELIVERY SERVICES . Vendor Totals Number Name Gross Discount No -Pay Not G0401 GULF COAST DELIVERY 75.00 0.00 0100 75.00 Vendor# Vendor Name. Class Pay Code G1210 GULF COAST PAPER COMPANY , j ' M Invoice# rComment Tran of Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 2220280 t,/ 04/29/20 04/19/20 05/19/20 130.90 0.00 0.00 f 130.90 r/ SUPPLIES 2220279 / 04/29/20 04/19/20 05/19/20 370.16 0.00 0.00 370.16 -- 1% SUPPLIES L _ file:///C:lUsers/ltrevino/cpsi/memmed. cpsinet.com/u88125/data_5/tmp_cw5report7506964... 5/5/2022 Page 6 of 12 Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 501.06 0.00 0.00 501.06 Vendor# Vendor Name Class Pay Code H0031 HEB CREDIT RECEIVABLES DEPT308 f/ Invoice# Comment - Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 042722 04/29/20 04/27120 05/25120 1,226.37 0.00 0.00 1,226,37 ✓; SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net , H0031 HEB CREDIT RECEIVABLES DEPT308 1,226.37 0.00 0.00 1,225,37 Vendor# Vendor Name Class Pay Code 11260 INTOXIMETERS INC ,% M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 705179 //' 04129/20 04111120 05/06/20 145.80 0.00 0.00 145.80U'- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11260 INTOXIMETERS INC 145.80 0.00 0.00 146.80 Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 711461 / 04/29/2003/01/2004/01/20 250.00 0.00 0.00 250.00 J SUPPORT SERVICES MAR 22 10000517 04/29120 04105120 05105/20 1,403.33 0100 0.00 1,403.33 711482 04/29/20 05/01/20 05/25/20 250.00 0.00 0.00 250.00 L SUPPORT SERVICES MAY 22 Li Vendor Totals Number Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 1,903.33 0.00 0.00 1,903.33 Vendor# Vendor Name Class Pay Code J0150 J & J HEALTH CARE SYSTEMS, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 928941475 ✓C04/29/20 04/06120 05/06/20 600.00 0.00 0.00 600,00 f SUPPLIES Vendor Totals Number Name - Gross Discount No -Pay Net J0150 J & J HEALTHCARE SYSTEMS, INC 600.00 0.00 0X0 600.00 Vendor# Vendor Name Class Pay Code 11812 JACOB HAMILTON,. PT, OPT ✓/ Invoice# Comment Tran Dt Inv Dt Oue Ot Check D Pay Gross Discount No -Pay Net 040122 04129/20 04101/20 05/01120 482.00 0.00 0.00 482.00�y% ANATOMY REVIEW Vendor Totals Number Name Gross Discount No -Pay Net 11812 JACOB HAMILTON, PT, OPT 482.00 0.00 0.00 482.00 Vendor# Vendor Name Class Pay Code 14364 JACQUELINE HERRERA - ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 042922 04/29/20 04/29/20 05115/2O 34.10 0.00 0.00 34.10 r TRAVEL t, 4I.2q - N�(lG lft pj(,(L p) Vendor Totals Number Name Gross Discount No -Pay Net 14364 JACQUELINE HERRERA 34.10 0.00 0.00 34.10 Vendor# Vendor Name Class Pay Code 14316 JUNXION MED STAFFING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report7506964... 5/5/2022 Page 7 of 12 MMCWE041622 V` 04/2912004/26/2005/11/20t 7.362.50 0.00 0.00 7,362.50 el t TRAVEL NURSE STAFFING (4110 - [} B0 i ucsV t f Vendor Total;Number Name Gross Discount No -Pay Net 14316 JUNXION MED STAFFING 7,362.50 0.00 0.00 7,362.50 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2204984690 ✓ 04/29/20 04/02/20 04/27/20 286.10 0.00 0.00 286.10 ✓ SUPPLIES 2206658234 ,% 04/29/20 04/13/20 05/08/20 302.60 0100 0.00 302.60 SUPPLIES 2206743010 / 04/29/20 04/13/20 05/08/20 223.51 0.00 0.00 J 223.51 / SUPPLIES 2206743011 j 04129/20 04/13/20 05108120 126,38 0.00 0.00 126.38 SUPPLIES 2207809247 ✓ 04/29120 04/20/20 05/15/20 125.41 0100 0.00 125.41 SUPPLIES 2207705474 ✓ 04/29/20 04/20/20 05/15/20 931.40 0.00 0.00 931.40 SUPP IES 2207705468 04/29/20 04/20/20 06/1.5/20 29.79 0.00 0.00 29.79 SUPPLIES 2207705462 04/29/20 04/20/20 05/15/20 32.77 0.00 0.00 32,77 -' SUPPLIES 2207809248 04/29/20 04/20/20 05/15/20 258.97 0.00 0.00 258.97 ,__,i SUPPLIES 2207809245 V/ 04/29/20 04/20/20 05/15/20 297,60 0.00 0.00 297.60 S/UPPLIES 2207705480 ✓ 04/29/20 04/20/20 05/15/20 52.68 0.00 0.00 52.68 SUPPLIES 2208016080 V. i 04/29/20 04/21/20 05/16/20 28.80 0.00 0.00 28,80 ✓'� SU/PPLIES 2207607401 04/30/20 04/18/20 05/13/20 ✓ 49.69 0.00 0.00 49.69 SU/Pp LIES 2207520129 ,,S 04/30/20 04/19120 05/14/20 4,523.77 0.00 0.00 4,523,77 SUP LIES 2207520130 04/30/20 04/19/20 05/14/20 584.66 0.00 0.00 584.66 ✓l SUPPLIES 2207520128 04/30/20 04/19/20 05/14/20 561.00 0.00 0.00 561.00 �„✓' SUPPLIES 2207620127 % 04/30/20 04/19120 06/14/20 11.60 0.00 0.00 11.60 •S(UPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 8,426.73 0.00 0.00 8,426,73 Vendor# Vendor Name Class Pay Code M2621 MIMIC AUXILIARY GIFT SHOP W Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 042722 04/29l2004/27/2005/15/20 21y,Lfa 61.6y 0.00 0.00 6 3 .71�i iiV PAYROLL DEDUCT Vendor Totals Number Name Gros Discount No -Pay Net/ M2621 MIMIC AUXILIARY GIFT SHOP o't144 D 6173 0.00 0.00 663 Vendor# Vendor Name Class Pay Code file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report7506964.,. 5/5/2022 Page 8 of 12 10536 MORRIS & DICKSON CO, LLC � Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross SC9885 ,/ 04/29/20 04/25/20 05/05/20 49.27 /SERVICE CHARGE SC9886 04/29/20 04/25/20 05/05/20 18.39 INVENTORY $143647 04/29/20 04/27/20 05/07/20 0.08 �,' INVENTORY 8143644 04/29/20 04/27/20 05/07/20 66.77 INVENTORY 8145549 ✓ 04/29/20 04/27/20 05/07/20 825.36 INVENTORY 8143648 04/29/20 04/27/20 05/07/20 61.76 INVENTORY 8144994 % 04/29/20 04/27/20 05/07/20 92.64 INVENTORY 8145371 04/29/20 04/27/20 05/07/20 92.64 INVENTORY / 9359 1 0029/20 04/27/20 06/07/20 -5.00 Discount No -Pay Net 0.00 0.00 49.27 ✓ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CREDIT 8143646 ✓ 04/29/20 04/27/20 05/07/20 54.82 0.00 JNVENTORY 8143645�i 04/29/20. 04/27/20 05/07/20 815.62 0.00 INVENTORY ✓ 8144995 04/29120. 04/27/20 05/07/20 975.62 0.00 INVENTORY 8150845 d 04/29/20 04/28/20 05/08/20 906.67 0.00 )INVENTORY 8150622 04/29/20 W28/20 05/08/20 278.12 0.0D INVENTORY 8151663 04/29/20 04/28/20 05/08/20 78.86 0.00 INVENTORY 8151664 / 04/29/20 04/28/20 OSIDW20 1,43625 0.00 INVENTORY 8149814 f 04/29/20 04/28/20 05/08/20 214.03 0.00 INVENTORY Vendor Totals Number Name Gross Discount 10536 MORRIS & DICKSON CO. LLC 5,951.54 0.00 Vendor# Vendor Name Class Pay Code 14124 MSH HEALTH SERVICES LLC Invoice# C mment Tran Dt Inv Dt. Due Dt Check D Pay Gross Discount MMC0068 04/29/20 04/26/20 06/11/20 3,470.00 0.00 TRfj.VELNURSESTAFFING t4flm- DUn11` MMC0067 ,„,// 04/29/2004/26/2006/11/20 61374.38 0.00 TRAVEL NURSE STAFFING c 4115 - 41 A I.1-J-) S na-+�M----- Vendor ToolaNumber Name Gross Discount 14124 MSH HEALTH SERVICES LLC 9.844.38 0.00 Vendor# Vendor Name / Class Pay Code M2659 MXR IMAGING, INC V M Invoice# Co Mont Tran Dt Inv Ot Due Dt Check D Pay Gross Discount 8800891347 04/29/20 04/19/20 05/19/20 146.84 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 No -Pay 0.00 18.33 ✓! 0.08 V/ 56.77 825.36 y� 61.76 92.64 / 92.64 i -5.00 54.82 815.62 j 975.62 906.8z ' 278.12 78.36 f 1,436.25 214.03 Net 5,951.54 No -Pay Net 0.00 3,470.00 0.00 6.374.38 1` No -Pay Net 0.00 9,844.38 No -Pay Not 0.00 146.84 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.corn/u88125/data_5/tmp_pw5report7506964... 5/5/2022 Page 9 of 12 SUPPLIES 88008928257 04/29/20 04/22/20 05/22/20 895,70 SUPPLIES Vendor Totals Number Name Gross M2659 MXR IMAGING, INC 1,042.54 Ventlor# Vendor Name Class Pay Code 14252 OLOOP TECHNOLOGY SOLUTIONS i,✓ J Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross INVAJONES0021 ✓ 04/2912004/2012005/20120. 61141.50 TRAVEL NURSE STAFFING 1419-41 ItiI 22) juiruj INVAJONES0022 % 04/29/20 04/20/200 05/20/20 6226.00 TRAVEL NURSE STAFFING {, 4115- 3w6 Vendor Total: Number Name Gross 14252 OLOOP TECHNOLOGY SOLUTIONS 12,369.50 Vendor# Vendor Name Class Pay Code 12544 PATRICKOCHOA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 050122A 05/05/20 05/01 /20 05/02/20 380.00 LAWN SERVICES 050122E 05/05/20 06/01/20 05/02/20 200.00 LAWN SERVICES 050122 05/05/20 05101 /20 05/02/20 520.00 LAWN SERVICES Vendor Totals Number Name Gross 12544 PATRICK OCHOA 11100.00 Vendor# Vendor Name Cass Pay Code P1725 PREMIER SLEEP DISORDERS CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 042922 0412912U 04/29/20 05/14/20 5,650.00 SLEEP TEST Vendor Totals Number Name Gross P1725 PREMIER SLEEP DISORDERS CENTER 51650.00 Vendor# Vendor Name Class Pay Code 13460 RELIANT, DEPT 0954 L! Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 3050011406214 04/29/20 04/17/20 05/25/20 27,021.10 ELECTRICITY Vendor Totals Number Name Gross 13460 RELIANT, DEPT 0954 27,021.10 Vendor# Vendor Name Class Pay Code 14428 SHEILA ABIGAIL LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 000042 05/05/20 04/25/20 05/01 /20 80.00 SEWING SERVICES Vendor Totals Number Name Gross 14428 SHEILA ABIGAIL LLC 80.00 Vendor# Vendor Name �- Class Pay Code $1800 SHERWIN WILLIAMSv W Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross 040122 04/29/20 04/10/20 04/25/20 142.33 SUPPLIES 0.00 0.00 895.70 Discount No -Pay Net 0.00 0.00 1,042.54 Discount No -Pay Net 0.00 0.00 0,141,50 0.00 0.00 6,228.00 Discount No -Pay Net 0.00 0.00 12,369.50 Discount No -Pay Net f- 0.00 0.00 380.00 0.00 0.00 200.00 0.00 0.00 520.00 Discount No -Pay Net 0.00 0.00 11100.00 Discount No -Pay Net 0.00 0.00 5,650.00 Discount No -Pay Net 0.00 0.00 5,650.00 Discount No -Pay 0.00 0,00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Net 27,021.10 V 'f Net 27,021.10 Net 80.00 Not 80.00 Discount No -Pay Net 0.00 0.00 142.33 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/ttnp_cw5report7506964... 5/5/2022 Page 10 of 12 14290 V 04/29/20 04/19/20 05/04/20 11981.38 0,00 0.00 1.981.38 ✓ SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net S1800 SHERWIN WILLIAMS 2,123.71 0.00 0.00 2,123.71 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES „/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 116201163 S 04/29/20 04116/20 05/06/20 2,193.83 0.00 0.00 2,193,83 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 2,193.83 0.00 0.00 21193.83 Vendor# Vendor Name Class Pay Code 12472 SOMETHING MORE MEDIA, INC. V/ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 1751 V/ 04/29/20 04/29/20 2,225.00 0.00 0.00 2,225.00 MARKETING Vendor Total€Number Name Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC. 2,225.00 0.00 0.00 2,225.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net CM6861 ✓ 04129/20 04130/20 05/25/20 -3,318.00 0.00 0.00 .3,318.00 Gam/ C EDIT 1070P2359 04129/2004/30/2005/25/20 91818.00 0.00 0.00 9,618.00 BLOOD Vendor Totals Number Name Grass Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 6,500.00 0.00 0.00 6,500.00 Vendor# Vendor Name Class Pay Code 10094 ST DAVIDS HEALTHCARE Invoice# Comm nt Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net MMCPL20213 7 0412912004/27/2004127/20 420.00 0,00 0.00 420.00�,' MARCH 22' CONNECTIVITY FE Vendor Totals Number Name Gross Discount No -Pay Net 10094 ST DAVIDS HEALTHCARE 420.00 0.00 0.00 420.00 Vendor# Vendor Name Class Pay Code 52834 STRYKER SALES CORP ✓ M Invoice# Co ment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3747367M 04/29/20 04/26/2o 05/25/20 166.15 0.00 0.00 186.15 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 52834 STRYKER SALES CORP 186.15 0.00 0.00 186,15 Vendor# Vendor Name Class Pay Code / T2539 T-SYSTEM, INC ,/ W Invoice# ,Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 754600A rf 05/05/20 04/30/20 05/15/20 6.130.42 0.00 0.00 6.130.42 L%" PHYSICIAN TRACKING Vendor Totals Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,130.42 0.00 0.00 6,130.42 Vendor# Vendor Name i Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO v' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u881251data_5/tmp_crv5report7506964... 5/5/2022 Page 11 of 12 1003637739 1% 04/29/20 04/26/20 05/16/20 20.00 0.00 0.00 20.00 LATE FEE Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 20.00 0.00 0.00 20.00 Vendor# Vendor Name Class Pay Code 14224 THE TACT CORPORATION OF NYC Invoice# Comment Tian Dt Inv of Due of Check D Pay Gross Discount No -Pay Net 9266704724 s%/ 04/29/20 04/22/20 05/22/20 6,228.00 0.00 0.00 6,228,00 L,r' ER TRAVEL NURSE STAFFINC (4110-4II4IZ-2) UjU Vendor Totals Number Name Gross Discount No -Pay Net 14224 THE TACT CORPORATION OF NYC 6228.00 0.00 0.00 6.228.00 Vendor# Vendor Name Class Pay Code 10732 THERACOM, LLC v✓ Invoice# Comment Torn Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 223008746301 ✓ 04/29/20 04/19/20 05/01/20 11995.10 0.00 0.00 1,995.10 Vendor Totals Number Name Gross Discount No -Pay Net 10732 THERACOM, LLC 1,995.10 0.00 0.00 1,995,10 Vendor# Vendor Name Class Pay Code T2250 TK ELEVATOR CORPORATION �% M Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 3006591159 l/ 04/30/20 05/01/20 05101/20 1.398,81 0.00 0.00 1,39B.81 ELEVATOR SERVICE 1// Vendor TotalENumber Name Gross Discount No -Pay Net T2250 TK ELEVATOR CORPORATION 1,398.81 0,00 0.00 1.398.81 Vendor# Vendor Name Class Pay Code 14372 TRIAGE, LLC Invoice# Comment Tran Dt Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net INV1796479165 V/ 04129120 04/15/20 05/15120 4,320,00 0.00 0.00 4.320.00 lJ RADIOLOGY STAFFING L411 - 41417?-)&UtlJ INV1796487988 04129120 04/22120 05/22120 4,212.00 0.00 0.00 4,212.00 t,f RADIOLOGYSTAFFING (. 411J-- 411y1 nj 30-J Vendor Totals Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 8,532.00 0.00 0.00 8,632.00 Vendor# Vendor Name Class Pay Cede 11246 TROEMNER, LLC Invoice# Go}nment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 2204222JEA ✓ 04/29/20 04/22/20 04/22/20 205.40 0.00 0.00 205.40 THE/RM REPAIR 2204221JEA + 04/29/20 04/22120 04122120 66.80 0,00 0.00 86.80 PIPETTE REPAIR Vendor Totals Number Name Gross Discount No -Pay Net 11246 TROEMNER,LLC 292.20 0.00 0.00 292.20 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC invoice# Com ant Tran Dt Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net $400393528 04/20/20 04/28/20 05/23/20 199.32 0.00 0.00 199.32 Ii'� LAUf1DRY 8400383551 ✓� 04/28/2004/28/2005/23/20 1,791,79 0.00 0.00 1,791.79 LAUNDRY / 8400393525 J 04/29/20 04/28/20 05/23/20 198.59 0.00 0.00 198.59 ✓ ff le:///C:fUserslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report75O6964... 5/5/2022 Page 12 of 12 LAUJJDRY 8400393566 04/29/20 04/28/20 05/23/20 95.71 0.00 0.00 95.71 LA NDRY 8400393543 04/29/20 04/28/20 05/23/20 80.90 0.00 0.00 80.90 ✓-' LAUNDRY 8400393524 ✓ 04/29/20 04/28/20 05/23/20 73.82 0.00 0.00 73.82 LA,IINDRY 8400393527 ✓/ 04/29I20 04128/20 05/23/20 205.11 0.00 0.00 205.11 LAUNDRY 8400393626 V / 04/30/20 04/28/20 05/23/20 183.84 0.00 0.00 183.84 ✓ LAUNDRY Vendor Tolak Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 2,829.08 0.00 0.00 2,829.06 Vendor# Vendor Name Class Pay Cade 12400 UPDOX LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVO03267751/ 04/29/20 03131/20 04/25/20 880.01 0.00 0.00 880.01 -' FAX / INVO0333628 / 04/29/200413012005/20/20 880.01 0.00 0.00 880.01 FAX Vendor Total: Number Name Gross Discount No -Pay Net 12400 UPDOX LLC 1,760,02 0.00 0.00 1,760.02 Vendor# Vendor Name / Class Pay Code 12208 WAGEWORKS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV3659311 114129120 04115120 05/16/20 496.25 0,00 0.00 496.25 NTHLY ADMIN/COMPLIANC INV3705640 U% 04/29120 04/25120 05120/20 396.50 0.00 0.00 396.50 MONTHLY ADMIN/COMPLIANC Vendor Total. Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 892.75 0.00. 0.00 892.75 Vendor# Vendor Name Class Pay Code 14424 WILLIAM F ISOM Invoice# Mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2022098 ,/ 04/29/20 04/10/20 04/10/20 6,360.00 0.00 0.00 0.360.00 f% 7FIW✓5u%tut FuY ILA)suovply +4,alY1r-Lvn'-6 Vendor Total: Number Name Gross Discount No -Pay Net 14424 WILLIAM F ISOM 6.360.00 0.00 0.00 61360.00 Report Summary Grand Totals: Gross Discount 204,379.25 0.00 APPROVEn Aso R•CI I1 - B.06 + 61-69 - 274.4u + 204 592-,.a MAY 0 5 2022 OY COUNTY At1DtTOR CALHOUN COUNTY, TUAS No -Pay Net 0.00 204.379,25 <g.0o-�? �� I LuYYLL-FiI+YL -F tUll z w-U37 p� `t tovywb0t- yu�,tiHv-ull file:///C:/Users/Itrevino/epsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report7506964... 5/5/2022 RECENEDBYTHE COUNTY AUDITOR ON MAY 0 Z2 MEMORIAL MEDICAL CENTER r992o 0 AP Open Invoice List 12:1q TE)tV1S ap_open_invoice.template CAt.HOUN C.001NtY, Dates Through: 05126/2022 Vendors Vendor Name Class Pay Code 12800 AUTHORITYRX InvoicaM Comment Tran Dt Inv DI Duo Dt Check D Pay Gross Discount No -Pay 1353 / V 05/09/20 04/02/20 04/03/20 10,094.00 0.00 0.00 aaoe 1374 V 05/09120 05/02i20 05/03i20 10.415.00 0.00 0.00 340E Vendor Tolals Number Name Gross Discount No -Pay 12800 AUTHORITYRX 20,509.00 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 20.509.00 0.00 0.00 Page I of 1 Net 10,094.00 10.415.00 Net 20.309.00 Net 20.509,00 file:l!!C:lUsers!I trevinolcpsi/memmed.cpsinetcom/u8 8125/data_5/tmp_cw5report6541782... 5 /4/2022 MSKESSON STATEMENT A. at: 05/06/2022 Page: 002 To ensure Prefer stand to your Slocum, detach And!relum MIS Q..'; eaeo pub w0h your resonance DC: Bl 15 As of: 05/0Gn022 Page: 002 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACM DEBIT Territory: Man to: ComP: 8600 AP Statement for Information only REMITTED pMT DUE REMITTED ACH DEBIT VIA VIA 815 N VIRGINIA STREET Customer: 632538 Statement for only PORT LAVACA TX ]]9]9 Date: 05/07/2022 Cup: 632536 RUEASE CHECK ANY Data: 0SA17/2022 ITEMS NOT PAID (+) Biting Due Dale Rxalvabliational Account SUPS Cash Amount P Ammml P Rxelvehb Dole Number Referenn Oecmiptbn IXxounl (grace) F (rat) F Number PF column legenl P = Pap Due Item, F = 11dum Due Item, blank = Current Dud Item TOTAL National Axt 632636 MEMORIAL MEDICAL CENTED Sufficient: 4,087.87 USE) Mum Duo: D.00 Due If Pad On Inms It Mid BY 0611012022, USD 4,006.10 Not Does 0.00 Pay This Amount: 4,006.10 USD Dix log 0 l,aN use: !AN Payment 2.451.97 N Mid After 05110/2022, 81.77 Due It Paid late: 08/07/2017 My INS Ammml: 4.087.87 USD USD 4,087.87 r A21�8'i = 211.2 2. 9'!�'rh APPROVED ON MAY 0 9 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As of: 05/06/2022 Paw. 001 To amountpmper dead to your account, tlem9h anal not. Ihh rota stub with your ,m18e1Ha OC: 8115 As of: 05/06/2022 Page: 001 H® MY FC 490/MEN MC PHS AMT DUE ED HEATTVIA ACH D®IT Temtory: 400 Mail to. Comp: 8000 MEMORIAL MEDICAL CENTER Statement for information only AMT D OMIT FB41 M VIAflon VICKY KAUSEK Cudomo: 464450 nE only 816 N VIRGINIA ST Data: 05/07/2022 IiORt IAVACA TX ]]978 Cud: 464450 PLEASE CHECK ANY Date: 05/07/2022 R6MS NOT PAID (r) Mllrg Due Iyttkadriltman Auatu, 5?G Cash Amount P Amount P 1@ceivablo Ode Date Number Reference Deattlptbn Omeaunt (gross) F (re) F Number Customer Number 464450 H® MY FC 490IMEM MC PHS 05/02/9022 06/10/2022 7339576924 55074090 1151nvoice IA8 54.02 52.84'/ 7319:78924 05/03/2022 05/10/2022 7339909261 55x476556 1151nvaice 0.93 46.53 45.60 f 7339909281 05/03/2022 DS/10/2022 7339909282 55x476651 116owdee 0.22 10.79 10.57 7339909282 05/04/2022 05/10/2022 05/04/2022 05110/2022 7340160171 7340160172 55x479190 II51nvo1ce 0.07 3.72 3.65 j 7340160171 05/06/2022 05/10/2022 7340672164 55x479354 55x483777 1151nvoice IIsmeuice 0.09 14.15 4.38 707.54 4.29 693.39 7340160172 7340672164 05/08/2022 05/10/2022 7340672165 55x483991 11516vo1ca 0.23 11.66 11.43 % 7340672165 PF autumn legend: P = Past Due (mm, F = Mum Due Item, blank = CareM Due Ile, TOTAL Custemm Number 4644SO H® MY FC 490IMFM MC ME Subtotals: 838.64 USD Future Due: 0.00 Due D Paid On Thre: If Peitl By 05/10MG22, USD 821.87 Pest Due: 0.00 Pay Thly Amount: 821.87 U50 DI. and 0 psttl late: Lad Payment 12,635.52 It A05/t012022, 6.77 M Paltl faWe.Ob/02/2022 h Am Payy this Amount: 838.84 USD LE USD 838.84 APPROVED ON MAY 0 9 2022 13Y COUNT/ AUDITOR CALHOUN COUNTY, TPRAI) For AR Inquiries please contact 800-867-0333 MSKESSt?N STATEMENT As or: D5/06/2022 Page: 001 To assume proper dwat to your accmlM, delsah ad return this wmw�y esoo stab with Your mmMemm DC: 8115 As ot: 06/06/2092 Page: 001 CMS FiICY 19v1 MC RIB AMT DUE REAMED VIA ACH DEBIT TerrHery: 400 Mail to. Camp: 8000 MEDIC MEDICAL Cl84THf Statement for inbrmallon only ANT DUE RBUTTED VIA ACH O®IT VICMEMORIAL HALISIX Customer. 835438 Slnement for information only 815 N 815 N IA ST Date: 05/07/2022 AVACVIRGI PORT LAVACA T% ]]9]9 Cud: 835436 PLEASE CHECK ANY Data; 05/07/2022 RIMS NOT PAID (w) BIIin9 Due �ua Receivable lbnn Acwunl WipeC A Amount P Amount P Rexivel8e Date Del, Nadler Relemnce Deeenption Discount (9mm) F (not) IFNumber Customer Number 835438 DVS PNCY 7475/MFA1 MC PNS 05/04/2022 05/10/2022 7340365570 1679076 1151nvaice PF Column legentl: P = Peel Due Item, F = A.M., pus Item, hank = Conant Drm Item TOTAL Customer Novi 035438 CMS PHCY 7475/MBA MC MS SYMolala Fmum Due: 0.00 1t PaM By O VI OJ2o22, Past Due: 0.00 Pay This Amount: Led Payment 12,635.52 N Pea After 05/1=022, 05/02/2022 Pay this AmeuM: APPROVED ON MAY 0 9 2022 BYCOUNTYAUDYrOR CALHOUN COUNTY, TEAS 4.31 216.56 215.56 USD 211.25 ,4340365570 O Due If Paid 0. Time: USD 211.25 Y/ 211.25 USO Of. lost 6 Rid We: 4.31 Due It Paid We: 215.56 UUSS'D USD 215.56 (/ I V - (/Lt-,, For AR Inquiries please contact 800-867-0333 MSKESSON Cr,' eo00 WALMART 10911 MED PHS MEMORIAL MEDICAL GHWM VICKY KAUSEA 815 N VIRGINIA, ST POW IAVACA TX 77979 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Statement for Information only AS of: 05106/2022 Page: DOI To ensure praiser med0 to your rostrum, c1dumh aM rehire mia stub With your mmiltams, OC: 8115 As t: 05/06/2022 Pape: 00 Terdory: 400 Mail t0: Comp: 8000 ANT DUE REMITTED VIA ACH DEBIT Cudume: 256342 Statement for information only Date: 05/07/2022 Cud: 256342 PLEASE CHECK ANY We: 06/07/2022 TEAS NOT PAID (�) Billing Dae Wwivabl�dbnsl Account 45138 cad, Amount P Amountp Reeeivabk Oem Dde Number Rdee. Description, Dlxaunt 19.) F (m4) F Number Customer Number 256242 WAtMART 1098/1S9.t MED PNS 04/30/2022 05/10/2022 7339654770 0429220904 1151nvaice 0.01 0.03 ✓ 05/02/2022 05/10/2022 7339608534 31974867 11 shmmice 0.02 0.62 0.02 ✓ 7339654770 05/02/2022 05/1012OU 7339608535 32007984 1151nvoice 2.31 115.38 ✓ )33980B534 05/02/2022 05/10/2022 7339608536 32061330 1151nvoice 2.01 140.53 113.07 "� 7339608535 05102MO22 05#1012022 7339803622 0429220749 1951m01ce 1.05 52.26 137.72 51.21 ✓ 7339600536 05/03/2022 05/10/2022 7340100236 0502221135 11 alroolco 0.01 0.32 ✓ 7339803622 05/04/2022 05/10/2022 7340186936 32372627 115lnvoiee 19.79 91 1 0.31 ✓ 7340100236 06/04/2022 05/10/2022 7340365663 0503220825 1951nv0ice 16.89 849.74 969.52 827.85 7340186935 05/05/2022 05/10/2022 7340942128 32490919 1151nvoice 2.31 115.38 1/ 7340365053 05/05/2022 06/10/2022 7340442127 32549297 1151nvoice 0.98 48.82 113.07 1/ ✓ 7340442126 05/06/2022 05/1012022 7340608828 32567457 1151nvofoe 2.93 146.45 47.84 ✓/ 7340442127 95106/2022 05/ID/2022 7340608829 32608499 1151mmme 143.52 7340688828 11.60 579.83 568.23 1/ 7340808829 PF column legend: P = Pam Due Item, F = Future Due Item, blank = Current Due it" TOTAL Customer Number 266342 WAMBAW 109ell MED PX3 Subtmals: 3,033.67 USD furore Due: 0.00 Due II Pald On Time: Past Due: 0.00 If Ptkl By 05110/2022, Pay This Amount: 2,972.98 USD USD 2,972.98 St. led 8 paid ate: lad laymen 12,635.52 05/02/2022 N Paid After 05/1012022, 60.69 Due U Paid lam: Pay 1Am Amount: 3.033.67 USD/rrTJ�/L USD 3.033.67 APPRDVW()N MAY 0 9 2922 BY COUNTY AUDITOR CALHOUN For AR Inquiries please contact 800-867-0333 COUNTY, 7EXAS AMERISOURCEBERGEN DRUG CORP 12727 W. AIRPORT BLVD. SUGAR LAND TX 7747B4i191 DEA: RA0289276 866451.9655 STATFMPAIT Statement Number. 62986668 7ot1 Date: 05-06-2022 W GREENS#12494 MOB MEMORIAL MEDICAL CENTER 1302 N VIRGINIA ST PORT LAVACA TX 77979-2500 AMERISOURCEBERGEN P.O.Boa905223 CHARLOTTENC 28290-5223 1001350MI037028180 Sat- Fri Due In 7 days Not Yet Due: Cement Pan Dee: Total Due: Account 0alance: Document Date Due Date Reference Number Purchase Order Number Document Type Original Amount Last Receipt Amount Received 05-02-2022 0&13.2022 3091456353 166724 Invoice 855.93 0.00 05.02-2022 0&1&2022 3091456354 165725 Invoice 0.09 ON O&u2-2022 0513.2022 3091456365 166727 Invoice 114.94 0.00 05-02-2022 05.13-2022 30915NIDI 165773 Involve t7,56 0,00 13 A2-2022 05-13.2022 309ION102 165774 Invoice 0.29 0.00 05-012= 05.112022 3091604304 165781 Invoice 104.00 0.00 O&O4-2022 0&13-2022 3091779283 165792 W.I. 429.16 0.00 05.0&2022 05.112022 309 O(Rip5 IW512 Invelce 601.06 0.00 OS Ik2022 055132022 309M68,16 165B13 Involve 30.0 0.00 0.00 2.155.09 0.00 2,10.09 2,155.09 Balance 0.09 114.94 17.50 0.29 104.00 429.18 601.06 3OA3 Current I 1.16 Days 1 1640 Days I 31.60 Days 61-91) Days I 91-120 Days Over 120 Days r 2.15S09 0.001 0.00l 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 05-0 2022 (89D.53) APPROVED ON MAY 0 9 202Z ByCUNTYAUDfrOR CAI1IODUN C UMY, TEXAS Reminders Due Date Amount OS-132022 2,155,09 Total Due: 2,155.09 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572.8683) a --ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" El "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" FTIF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR -06 (JUNE) -Apr, May, June 3RD QTR- 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" FT6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ### A L.� 0 $ 116,354.45 1 $ 59,404.68 $ 13,893.00 $ 43,056.77 CHe�h 5 CALLED IN BY: CALLED IN DATE: CALLED IN TIME: PAP -Payroll FIIeslPayroll TaxesU022X#10 R1 MMC TAX DEPOSIT WORKSHEET 5.5.22,xIs 51912022 .._::ate:._ .... FcgCEI:S F:i.Si:AL CV17E2 __. ._:.......- Payroll Ee�ist2r E: leeily ?2F.EG Pay Zen od 1:/27, 22 - 05/0Sl22 F.une : •-- P a y C o d e E .j r c. a : " ................ --------------- -•------'-- = c _ , ' ^ • ' a � . ...... --"-' ?ayCd .....---------- Gesmoc:rn 3s C'LIS"INV GIC3i Gron ......... CodeA"n". 1 .----------- .......................... EPGDLAR PAY-61 9Pi7.25 R ...................... N 11 2115;3.65 .----------- A/P ia.3G ..._..__................... A/R2 AIP.3 ._.. 1 RKTUT:9 PAY•S1 19 .2L N N : .. 51£55.22 ;L;a =.4.422E _Ea'!ii.A 2Ai'•sC ir'S2.3> .. .. .. :_Glia. ?nl•:: .... .. .. a . ... �ti� : L.ti P: ln:: .a:... .'r_ai_ 5 PAY-s 1B.i'i Y N it HH.?e CAeE-P Cn?3-F. 223:3.57 CAF i 7 EEGUTJR PAY-S3 1I53.2i N N II 0455.61 Ct,?5-L CA:.-? CANI E 3EGIP_fiP. PAM, ]70.in Y :1 r 7291.in CEILC £P2.77 CLINIC ;^.S.CC CC:!EIK 20.03 :IRE 2:.2°- .! .. .....- Ce?•_. _.. _E _ YI.-KE TIRE 7.,W. . _ N .,,._. :.+-_... :1. .._ r .IRc 1.l'r. A .:'i.Y; :.GA-. L: .a. [.E..1' _ ^C'L'HC:_E TIRE .22.56 _ criTRA WAGES :7 li !1 S 7E9S.5 GCEi S Cr5.3 GPxT GRP•II; E Ex_RA WAGES N 2 I; I; 120,0C G7L PIGS2•i IC TPP ., D'.7A SAGES N P .• I?P65. SS LF'-3 !i"F3 2CS.CC F415}. 7£i.5C LEA:," 651.55 X! _s ,....1 9KVIS ".:K ?AIQ-TlidE-GEE iE5.25 N 1 N N JY,S;... SR?S SC.=.r.� ::?7_rv' S:CS L ?: CAL: ?A'f 2 250.P0 A 1 ii :; i20.CC ST-T:S si9NCi £15.5£KCRE _ CAL.' Pnf 3 96.CCr 3 1 :1 V 2283C STCNH2 MITI' s!1JA,CC 75E.SG FEGNE S CAiA. N N .. N ...... SL1iI' '74,T5 ST'll C TEAR 35745.J? 771CN L11ffCE ;1:. i3 !741E9s •-------------------- Grard Tota S: 2062.25 ------- Grass: 5H612.52 Deductions: 15581,2,78 Get: 35033.7; 1 :TCla C63 i:- FT iSJ PJ t.•. 7t'ner 5P Eerie 7$ 'lals 33 ,rEl r rDyerl=,t S Zervilet Teri" Total; 24H ................................................................................................................................. �Aw 941 REGTAX DEPOSIT FOR MMC PAYROLL "E PAY PERIOD: BEGIN 4=022 DO PAY PERIOD: END 51512022 PAY DATE: 1511312022 GROSS PAY: $ 510,642.52 DEDUCTIONS: AIR S 540.00 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS $ 770.75 SUNLIFE ACCIDENT S 755.30 SUNLIFE VISION S SUNLIFE SHORT TERM DIS S 1.210.76 BCBS VISION S 994.30 CAFE•D S 1.606.19 CAFE-H S 22,329.67 S - S CAFE-P CANCER CHILD S 602.77 CLINIC 5 405.00 COMBIN $ 297.05 CREDUN $ DENTAL S - DEP-LF SUNLIFE TERM LIFE 5 760.62 SUNLIFE IIOSP INDEN S 511,72 FED TAX S 43.056.77 FICA-M S 6,946.50 FICA-0 5 29.702.34 FIRST C $ FLEX S S 3,291.42 FLX-FE S GIFT S S 2A6,78 GRP-IN GTL HOSP-1 LEGAL S 966.00 OTHER S 2,215.89 NATIONAL FARM LIFE S 1.854.02 MED SURCHARGE S 385.00 PR FIN 5 RELAY REPAY STONEDF S 615.86 STONE STONE STUDEN TSA-R $ 35.745.08 UWiHOS 6 TOTAL DEDUCTIONS: S 155.808.78 S "81101MeI.KN REPoAM EXOL4 NET PAY: S 154873.74ris I -afdaoWianmen*- LI TOTAL CAFE 125 PLAN; 5 31.574.24 V0IOEDCK121 ADDITIONALCKII S 5 S Jxrr.L�z•�fcravi NAL CK f11 TOTALS $ 510,642.52 "a 540.00 5 5 7-0.7' 55 50 .ID 7c S 994.30 S 1.606.19 5 22.329.67 S S S 5 602.77 5 a0S.00 297.05 760.62 $11.72 43,086.77 6,946.50 29,702.34 3,291.42 245.78 966.00 2,215.89 1.854.02 385.00 615.86 a 31745.08 5 S 155.800.78 wK1- $ 364,833.74 TAXABLE PAY: S 479,068.28 $ 479,068.28 Exempt Amt: •'CALCULATED" Frem MMC Report Difference Employees aver FICASS Cap: FICA - MED(ER) usx S 6.946.49 S - FICA - MED(EE) +ux S 6,946.49 $ 6.946.50 5 (0.01) S - FICA -SOC SEC (ER) E:ca 5 29,702.23 $ - FICA - SOC SEC (EE) sm. 5 29.702.23 $ 29,702.34 S (0,11) Paycode S • Employee Relmb.: FED WITHHOLDING S 43.056.77 $ 43,056.77 TOTAL: $ TAX DEPOSIT: 5 116.354.22 5 116.36445 FICA -MEDICARE :m. $ Magma S13.893.00 FICA -SOCIAL SECURITY +:+ S 59,404.46 $59,404.68 PREPARED BY: CaBlin Clevenger FED WITHHOLDING S 43,056.77 S43.056.77 PREPARED DATE: 51512022 TOTAL TAX: $ 116,364.21 $110,364.45 $ (0.24) 1Joni MMC TAX DEPOSIT WORKSHEETS 622.15. TAX DEPOSIT WORKSKEET 53 022 i_nE: 1C:37 • •• ,.._... e:iete: •••• Pay ;ir_2d CS'2.: 22-•Cd l05122 TJ.^.; 1 02335 CF?l"c'f 11XI ' 10➢ lit 70 rt0>3'_iC Si 1512 2 615 HEATHER L SNIiH 6E7.67 00053151 C5i 33/22 20102 F.AYA HAWN..C3 1367,11 DOC'S3152 G5;'13M C0.75 SF.3ILA a?Y HSA:aCOCR 1Ecl.C'y 400E3:53 v.'l?!:: GOs.. ':AEL _.: FTNI 00056 SYLVIA.. A 1007A S3E.73 :D OSi:31'2 04113 .ACL'84 CAJIR30N 972.91 DD 05$lh2 54122 S?r2;.A BRAUN x5°... GC :V iti: :i!K 5R"s'OA: PEA, 03E' anti Bill'..F DCCtin„c.r.. •>a.:S :5i i.,.G 60352 t{C34:CA ? CARE 13-17.75 DD 33i13122 00399 :IAA J i3Cu"RH2A 410DA2 CO 0tl3/22 OW: LELY.. J FI31?. 23E7.91 DD ^5i13 /22 00411 _...qY L YINF :t377 .riin ?n?:Ili :2i:. 3i L1I• 2.C.:]!_i C0551 Ckv::IA L 2i2Sr.ISG 1°57.32 CC 25; 13;f HE3I 3 REN33 F"DD 2326. P. D^_ :;j 13I22 00652 DEEDIIAS S FITTN33EK, 3NE33 DD Won: SOSi7 ^nR:A C FA2IA5 559.32 D: ^.5i:3!:2 02IS1 SF3i.4`I 3' S?:_'RsS 3C73.7; CC 35/13!C2 7:234 JE•4ISS N A'3IG'f. 3S37.26 DD 55i13/22 2:367 Nki212IN A SMITER.S 2E50. 2 DD 45/13/22 C:191 1494.93 :: tiiR!:i C3 Jli .... CLEt'3NG_r. .._.. i_ .., .... )2064 ?A7;A L?w'RA GAiCIA 3;7. ;i CD 0`v 21'22 02097 3ILIS F GAINES 1664.03 :D G5i'13122 sioc ra;rr X. SH:FCIE 2913.71 DD 35i13/:I ..... %T;Z .. 34V.:4 :: ..... ._!Il :ni131 J KBB:ND: L6'37.'E C!1 L.:1:/2G 02301 34AICOLA3 T:J?iiA 2430.19 DD 05;'13122 .23C2 .-. HRIDn ?si:5 C3C1.35 552.23 DD ;!g',: .:t C'3 . eTi. }: L6:A 3C39. 3C' :'C ...3l:: :2A-' "SSICA. S SIFF'_e 0234E J3e2GIT: L FAL1,31 0241E SQ E: SCGIY 1144.45 2 toffs A2 5'"9` . SISIP Rua :ate: 05109;22 NSSIOR AL V.EDIGi C"ITER EI-141E"LR3 Faaz 2 :...z: Iia i7 •,,• Check E.- iste: •••• PZ: SCf Na-.- ,7.cu: 'FEZ-' Yj7 ,'ATE G2512 SAGIALE11A s-MVIEDA 772.25 DD 051li122 i5t.22 DI' CA C2V1 NEI 7 SSA IIEEL:'ii:Y 247LE3 DD ..i..,.. U-ICI RCNJA DONESLE GOELK: 21o5.9e DO 05/13/22 .9 DAKN f1 D.CCI.Si M 1?,9..9 fD 0. _., .. 421:5 I,R:Rd A GARC:A I279; REA:HEt i 1f-CC3ER :a25.6I ? tSl'li i 02E12 312::A6'i 11 RUDDIC3 2250.aa DD '6i 1?12'G 02907 YARIA F _CVGORIA M.99 DD CIV" 22 :05;.!i :L:. D:AIISE F C336: JAG;L1hY E i27335 i] 6511!%2t DS003 CC'OR7NE 9 arJRLR2A. 2052.57 DD e5i13i22 0S00S REEGINA A YARMU 11096.99 DD 05/131112 .500T. .T1Le is :iEY_A!T 2:13. 31 ._ ......: . _..: SA, R::I:_. ._. _ i}AI., R F3t ...... _: ... .... ._;: MAE.,!; I ?J:DER 2>03.0: DD ,7C'6E DEL?HNE RA➢R211 1077.6i DD ;511312" 1,7121 CY:":'RU. ;nJEF.RA, 1E;a.d9 DD 0Ei I3 (27 C76 i6 DIANA _ EAE::EDA UD2.4- DD ...... :14:2 C 27NEY L�MIALVE'rY 225.12 DE' :^113/i. 12023 RIM L'Y G REYUA. 3669.51 DD 15(1312: 12115 ..2SA.J'r::lltiC'S}. 95i.72 DD 75/13 i2i :z97 i:l'LR : DAME 2^75.91 DD 5P ]+•,. 2]1 ANNAti. LEi 27.1 .E266 DMI !1 LAiEl 2s92.1. Cs 15i 2i r22 55 S PAP. AE MA'7:V 171i.57 DD 05/13/:2 159:5 5R:ANIE : KEY 2539.39 DD 05/13/22 20112 ':JLu?. ?es:."-.ICn .DIC4IGL22 79?.?? ng .3156 ERIN ASRLc: :C151 l:EL:SSA Z,t:' A.2 7?LE7 DD ... .... 20206 CELL: D VFF 20?3.;, DD DSil-1122 20207 SEAnTI, G 3d'nTL 2;Se. +; DD C511??22 ]02i3 X!L 1E'CRT EZ :Fi3 S6 D: ..�i3112 .... _ ._. A _. Ci,... E PASSROr.E 70,:1 ni 20i;E JAMES D ARRI 13i6.":: DD OE113/22 !1742 CYL:dlt, LOEEZ 595.?; DD CE112; C2 ..-.. .n..._ .ABLER. 605.5. DD -.,. eaaTY1 k. ' ,CBI-'20:E : 'F!;A 329.;: CD 20?37 DAISY YjDP.IGAL 106D.a7 DD 15113i22 :0a5= S,L'OIV GR.EE:7 65..EE _ C9;13122 dC'c 96 DF1•.E"x. C2:?A::. l...-p __ ...., .. •` -� _;.m # :Kul,\}` — e _ _' Num. +: CHEK _ DATE :ems z =� z . :. w z = «w _ ; w« = m;= a.S s mm = O m — ,a= se =wma � , / DO/ I . . m, _ « _ _ . E ma : m . KSH a IRMWEP ma = m F.e az = u :a � ;2 KRYS-MLA risla _ m » w m m11122 J / \ y\ \ %\2 1122-5 n; ms e m mU, VAININCY ma . m — _— m ms = mae , . av : s,z ,m ! a; = e: . 4130 m:MKOS e: s . _:. a, = saa l' %2 \ /0 . « m, _, : _ J _; « a: :,»u " e : w = sm= e ms = as 'I ZZ7 KI \ MILIER 41924 RR77711EY •S c ws =o m ; :KLMS a; AL d/ } \ 123 c._. az z a _.Fzc ma = m " 7`m 13H.45 /}\\ ; ce = e Run :ate: 05, 05, 22 70MIAL YZ:!, L " Y ER Ei•'AmKiY ;age ._..o. IO:IT •.. Ch2[R P.?v =:?. ••• ;2CISiP 91EI ERiii93Y ;}IDILLE ZAMDEJ, 37}0.23 D9Lu ?c11Y22 _"I JASY.I!z . IG337 ...:. M:ua-- C SA u.A 2053.}. LC O$l1I122 30573 D_RIA 3 DAVIS 1626.05 DD :Sii!22 SC'S56 3E71i 3 DAVIS 1957.17 nD 9S!'_3i 22 BF; F 'l.4_:EP=: i.025 LEA C tiSE:iDi2 523.32 DD 0ai'3r'22 902i I3ED2 3 9EP.3E 511.65 DD ?SJ?3k2 :_l0i CRY$"v M CN;7EZ 7Yi. C5 CC [ii 13 '22 ._._ ...F -Z 317.32 DD ... 22 .... 3E41ND., .. TM 1933.03 PD :''i113/:2 55ii2 '-ALUM KLEE E62.0E PIS :-, 1ui22 .351C RiT; :. ?OLOSIKY 7}9.95 DD 25j1V22 602:2 ROBERT A MR:O.H 20021E S 0S/13l:2 .u.:: :bC3A O7FWIF }9i.i. CC ii.13'23 2 •v 1E_ liICL�:I; CLi4^, .'.iE ._ .. __ __ 403iS :EdES; A CC C5i1 .0271 MEW. GEP.YE 57E.R 00 OSi 23,122 i0}k CR.SISTMER =,TWO 560.73 D: gc!3?;s2 cOE:i CC.+.:CE!k' A. JSGTSn 52:.4 DC .%2352 i31& eF].T.wS :! G�4CS; I25}. i3 DD 3i�it 3122 63265 JASOI' R113:0 562.72 DD 03/131I2 i5100 FELICI?A 30!FJ2 565.0E D? p:; Ll22 Y::G1 'i: ti:F1:f.: N�!11• il]CI;.. Li '._-.. _c i.zl3 :EEn5NERLY 1283.31 DD 53133/22 ..2}3 :UJ ELF. LOFEZ DE G'JZFNI 5}6.35 CD 05i13.i32 5.3EE CLIsI; CARC3A i70.3} PG S51'?132 654H3 Y;RIA 17EM2 77... CD fill?i 22 55}e'i RDSA ROD?,MM Si3.42 C?` C'S113k2 ii313 F-2:; ERALES 35 i.:3 co 4526E tiA3:A CELEYN=. i2163 CnYS7A2'}:4RIlEE2 1;2I °5 00 CSi:3 /32 i6752 YAZARIO D:AZ EE?_1'AMU 109.05 CC CSi:3132 CC':c S _?; `1 3'E':0: 2!12.S CC :5!1:!22 76110 TAM-.' SI L=t1 EE6.65 OD 03i11122 7i1IS JEED3FE.? P. C:M"IC{ 06.61 CD C5!13!:2 .IIC .•_4Ii:..e.L_:. .313... CC .5r 1.... ..w, Met %_ a . » + A: a:07 We AT , NRUA ce = w: AIM : \\ /\: m:= , e: _ a ,;03 az = «c ; %/ } \/\ . . : e� _ m } % . a as = m�a ! = as - z m, \ / M . e az =D m q= 2/ CC — JESUCA:G .. 1510 = ec — smuMmu ma 2m1: . _: Rualo wa :78879 « _U +a ma z m — : a: = m,« :_ »z =w6 60141 H0 am DO a G E �j \ \ . ._, w: !»w m.— : mz = a MCF c,,. »z =»« _,. m as =0 a : __, = CC m c: e , = sa 90756 a+._, na ED u MEMORIAL MEDICAL CENTER f'"'{ vub PROSPERITY BANK e v h . ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT- May 02, 2022-May 08, 2022 t E 2 4 6 Date Bank Desniotbn MMC Notes Amount24 5'I 5/2/2022 PAY PLUS ACHTRANS 4525792911010006959909M - 3rd Party Payor Fee 5/3/2022 PAY PLUS ACHTRANS 452579291103000697246162 - 3rd Parry Payor Fee 5/3/2022 MERCHANT BANKCD INTERCHNG 97126091388791000 - Credit Card Processing Fee 156.89, CL 5/3/2022 MERCHANT BANKCD DISCOUNT 97116D91088391000D - Credit Card Processing Fee 19.95 IS6. 13; 5/3/2022 MERCHANTSANKCD DISCOUNT97126091388791NOO - Credit Card Processing Fee 245.22` I`) 1) 5/3/2022 MERCHANT BANKCD FEE 97116091389791000012614 - Credit Card Processing Fee 199.13 5/3/2022 MERCHANT BANKCD FEE 971160910883910NO12614 - Credit Card Processing Fee 9,95 24`."<' 5/3/2022 MCKESSON DRUG AUTO ACH ACH0500754191ON0176 -3408 Drug Program Expense 12,635.52t 199. 19 + 5/3/2022 AUTHNET GATEWAY BILLING 1225896491040W0131 - 3rd Party Payor Fee 5/4/2022 PAY PLUS ACHTRANS 452579291101009698781253 -3rd Party Payor Fee 9 y �$ 5/5/2022 PAY PWS ACHTRAN5452579291101000699746275 - 3rd Party Payor Fee 12 • 4 "J 5/5/2022 FOMS FOMS PYMT O52-1601830-0004100012254154 - Credit Card Processing Fee 32AS4'-'W,y 653 5/6/2022 STATE COMPTRLR TEKNET 05990426/205052100002 -RAPPSIGT j5328,8igaMi. 5/6/2022 STATE COMPTRLR TEKNET 05912867/205052100002 -CHIRP IGT 6443964'}r,11 N•}'4N0-- 5/6/2022 AMERISOURCE BERG PAYMENTS OIDD0077682100002 .3400 Drug Program Expense 690,53* 23•yCi May 9,2022 2S �LH f1S Anthony Richardson - A}'N1O^d D5• dc?'a1 Ca �` � e H ?5 ` ,� + Memorial Medical Center 359 t o ELECTRONIC TRANSFERS FOR OPERATING ACCI fi23 5� lj 1 pppaFd D4'al c + LYL 5�5 %�, JI',1` 7i YIi6dlbyrieQ W1QIOLA"r aov ,,I�� MO+^T 1YIDl i1Y1YWu� - 23 JLI * LN3I. ditl ND1.;.•—t+:LatV1J. It�T uR•fi15�5. 1�fA'1 �y1 y�eeNct.. 2 6 + i7It 4 ' Date RECEIDaeodVABLE ACH Payment TEXAS COUNTY ORSRECEIVABLE �/L �'1 of 4,urla V 04-1- j Amountd r_' r� ', � 1iCf'rf, Tins 5/15/2022 C6+3/; 44 -R � ereme 2G0,04D99.. •M -tu y (/1V, 11L 1'1,11BR.a. • -N 11lf W ll lnl Palua 1 U 4 +:54 1 RAfUVIs Vtpw F'iW GviryliU4.Q. • 5c -� 260,NO.99 It, C 4 . h Jd h. i! May 9, 2022 Anthony RBhardson 390, y Memorial Medical Center 2E•b75. 44 .. MAY 0 9 2022 26+i7.s: iw .. 2 6• 5 7 F 4 0 — RYCCAIHOOUN CO ", ITEYAS U • CI tl ,. 51'5122 T ePnwemvnt Date/Time 05-04-2022/09:02AM Submitted By ' Pay Date 04-30-2022 Employee Deposits $102,783.18 Employer Contributions $157,257.81 Group Term Life Premiums $0.00 Total $260,040.99 Comments Payroll File April 2022 Retirement Upload.xlsx Transaction Summary Transaction (mmnlatn Texas Health and Human Services Commission Memorial Medical Center Operating County 746003411 Payment Total $25..q9A AS Bank Routing and Account Number Settlement Date 5/612022 RAPPS Amount $25.328.85 Entered B Marley Moehri Page No: 1 or 1 Run Date: 5/612022 Run Time: 12.34:49 May 27, 2022 Texas Health and Human Services - Rural Access to Primary and Preventative Services (RAPPS) Suggested Intergovernmental Transfer (IGTJ by Provider A. can w2AA fac m. na a voc m. m NPI SDA Provider DPP-IGT First Suggested I Second Suggested IGT Payment 3497153589 Nuecea MEMORIAL MEDICAL CENTER- $ 50,657.69 $ 25,328.84 15 25328.85 Page 1 of 1 Marley ODonnell From: Texas Health and Human Services Commission <txhhs@public.govdelivery.com� Sent Thursday, May 05, 2022 10:22 AM To: Marley ODonnell Subject: (BULK) REMINDER: Rural Access to Primary and Preventive Services (RAPPS) IGT Notification — Settlement Deadline is May 6, 2022 CAUTION: This email originated from outsidemfthe organi atien. Do not click links or open attachments unless you �t TEXAS 11� 61 `F Health and Human Services ,. REMINDER: Rural Access to Primary and Preventive Services (RAPPS) IGT Notification - Settlement Deadline is May 6f 2022 The original settlement date for RAPPS was set to be April 16th, 2022 (21 days following receipt of federal approval from CMS). The settlement date for this program was extended from Monday, April 18, 2022, to Friday, May 6, 2022. HHSC received federal approval from the Centers for Medicare and Medicaid Services (CMS) to move forward with the Rural Access to Primary and Preventive Services (RAPPS) program on March 25, 2022. The purpose of the Rural Access to Primary and Preventive Services (RAPPS) is to incentivize primary and preventive services for persons with Medicaid in rural areas of the state enrolled in STAR, STAR+PLUS, and STAR Kids. Two types of rural health clinics (RHC) are eligible to participate: (1) hospital -based RHCs, which include non -state government -owned and private RHCs, and (2) freestanding RHCs. This is a follow-up notification to the Intergovernmental Transfer (IGT) suggestions for the 2"d Half of Year 1 (SFY 2022) sent via email to participating providers on November 4, 2021, which noted that IGTs would be due 21 days following receipt of federal approval from the Centers for Medicare and Medicaid Services. The original settlement date for this program was set to be April 16th 2022 (21 days following receipt of federal approval from CMS). The settlement date for this program was extended from Monday, April 18, 2022, to Friday, May 6, 2022. The calculations for IGT amounts by provider can be found on the Provider Finance RAPPS website under "Suggested IGT Transfer Amounts per provider." Suggested IGT amounts are listed in cells G5:G185 on tab IGT by Provider of the posted file. Please transfer funds through TexNet following these instructions, and email a screenshot or PDF of the confirmation/trace sheet to PFDRAPPSPavments(cbhhs texas aov. Please email any questions regarding this change or the calculation in general to PFD Hospitals(5 hhsc.state.tx.us. You have subscribed to get updates about Texas Health and Human Services (HHS). For more information about HHS, please visit our website. Sta Connected (en espadoU Q SHRRE Subscriber Services Manage Preferences I Unsubscribe i Help This entail was sent to rimdonnel[Ca?mincponlavaca.com using govDehvery Camm1111"It"I1S Cloud on behalf of. Texas Health arid Human Services Commission 707 17th St, Suile 4000 Denver CO 00202 90VOELI 2 Page 1 of 1 05/05/2022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:27 ap_open Involce,template Dates Through: Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay 042722 00f4/29/20 04/27/20 05/27/20 389.00 0100 0.00 TRANSFER NH j05U YU.RIL � JA'ju WV- Vendor Total; Number Name Gross Discount No -Pay 11828 SOLERA WEST HOUSTON 389.00 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 369.00 0.00 0.00 MAY 0 5 2022 �BY COUWAUDROR A�G?411Vi (� OJllll!!fiY„ TEXA S Net 389.00 Net 389.00 Net 389.00 file:///C:lUserslltl-evinolepsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report5791077... 5/5/2022 Page 1 of 1 U�ADCOUITO ON MA05*40R22 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:31 ap_open invoice.template Dates Through: CALHOUN UNiv Vendork-V`efi�s�me Class Pay Code 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 042822 04/30/20 04/28/20 05/27/20 399.31 0.00 0.00 399.31 TRANSFER UHIR,wttM MItl{ 4gJ4 Kn jkWkL / Vendor Totals Number Name Gross Disc nt No -Pay Net 11820 FORTSEND HEALTHCARE CENTER $99.31 0.00 0.00 399.31 Report Summary Grand Totals: Gross Discount No -Pay Net 399.31 0.00 0.00 399.31 APPROVEOOM MAY 0 5 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u881251data_51tmp_cw5report1399143... 5/5/2022 NEGSVE08V HON COUNTY FZ MAY 0 5 2022 05/05y0UN couto"FWAS MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11832 t3ROADMOOR AT CREEKSIDE PARK 0 ap open_invoice.template Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay 042722 04/29/20 04/27/20 05/27/20 1.945.00 0.00 0.00 TRANSFER M It WIIIkVLU, QV,W.i 41(106 1LL 1KId allL Dntkfirt Vendor Totals Number Name Gross Discount t�-Pay 11832 aROADMOOR AT CREEKSIDE PARK 1,945.00 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 1,945.00 0.00 0.00 APPROvED01W MAY 0 5 2022 13Y COUNTY AUDITOR CALHOUN COUNTY, TEXAS Page 1 of 1 Net 1,945.00 Net 1,945.00 Net 1,945,00 fife:///C:/Users/ltrevino/cpsi/menuned.cpsinet.com/u88125/data_5/tmp_cw5report6210984... 5/5/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON NPRP58o322022 MEMORIAL MEDICAL CENTER 0 11:32 AP Open Invoice List ap_open_invoice.templale Oates Through: A�W7��r4 r�n11��u1�tnY�[t vq��5y[e�a� CAU1q tt001'g"A61IPa% Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 042822 04/30/20 04/28/20 05/27/20 5,446.00 0.00 0.00 5,446.00 TRANSFER N} +YIWVWV_ p�PvF 4q)Dbl+,j inh KVKL UpCYh-6'ft ,,- Vendor Totals Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 5,446,00 0.00 0.00 5.446.00 Report Summary Grand Totals: Gross Discount No -Pay Net 5,446.00 0.00 0.00 5,446.00 APPnoveo ON MAY 0 5 2022 BY COUNTY AUDITOR CALHOUN COUNTy,'rWS file://(C:/Userslltrevino/epsi/memmed.cpsinet.com/u88125/data_5Amp_cw5report8525767... 5/5/2022 Page 1 of 1 TAUDRCOUNYITOON 05/AA 2022 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 i Y:40 l.Al}YQUN COUNTY, TE(,qg Oates Through: ap_open_ avoice.template Vendor# Vendor Name Class Pay Code 11636 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv DI Due Ot Check DPay Gross Discount No -Pay Net 042622A 04/29/20 04/26120 05/27/20 1.787.91 om 0.00 1,787.91 TRANSFER NN IViWYttn(a. P�Kj jfp*+,A jKh WWL opt'*-Hi'�; 042622C 04/29/20 04/26/20 05/27/20 9,906.03 0.00 (� 0.00 ll. 9,908.03 ✓ TRANSFER (t II 042622B 04/29/20 04126/20 05/27/20 3,225.81 0.00 0.00 3,225.81 TRANSFER (` 1, 042622 04/29/20 04/26/20 05/27/20 18,993.87 0.00 0.00 18,993.87 TRANSFER N u 042622D 04/29/20 04/26/20 05/27/20 13,242.33 0.00 0.00 13,242,33 e// TRANSFER 042722 04/29/20 04/27/20 05/27/20 2,946.02 0.00 0.00 2,946.02 �s TRANSFER (k t1 042722A 04/29/20 04127/20 06/27/20 6,120.72 0.00 0.00 f 6,120,72 TRANSFER t( 11 042822 04/30/20 04/28/20 05/27/20 3,306.50 0.00 0.00 3.306,60 ✓ _ TRANSFER a j1 042822A 04/30120 04128/20 05/27/20 1,945.00 0.00 0.00 1,945.00 t% TRANSFER l( I• 042822C 04/30/20 04/28/20 05/27/20 9,297.52 0.00 0.00 9,297,52 TRANSFER , 0428228 04/30/20 04/28/20 05/27/20 949.09 0.00 0.00 949.09 TRANSFER 042922 04/30/20 04/29/20 05127/20 3,020.55 0.00 0.00 3,020,55 TRANSFER 0428220 05105/2004/28/2005127/20. 6,798.96 0.00 0.00 6,798.96 TRANSFER Vendor Totals Number Name Grass Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 81,540.31 0,00 0.00 81,540.31 Report Summary Grand Totals: Gross Discount No -Pay Net 81,540.31 0.00 0.00 81,540.31 APPROVEDOM MAY 0 5 2022 13Y COUNTY AUDITOR CALHOUN COUNTY, TF-.NAS file:///C;/Users/]trevino/cpsi/memmed.cpsinet,com/u88125/data_5/tmp_cw5report73643 79... 5/5/2622 RECEIVED 13Y THE COUNTY AUDITOR ON MAY 0 5 2022 CALH MINI Y,TWS 11:27 Vendor# Vendor Name / 12696 GULF POINTE PLAZA ✓ MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invcice.template Invoice# Comment Tran of Inv Dt Due Dt Check D Pay Gross Discount No -Pay 042622 04/29/20 04/26/20 05/27/20 1L,,129.60 0.00 0.00 TRANSFER NN insuwa.l� P�Kj d�4 ltta- k� kAli Opt& 042822 0413012004/2e/2005/27120 2,334.00 0.00 0.00 TRANSFER tt it 042822A 04/30/20 04/28/20 05/27/20 2,723.00 0.00 0.00 TRANSFER tt If 0428228 04/30/20 04/28/20 05/27/20 745.47 0.00 0.00 TRANSFER I` I, 042822C 04/30/20 04/28/20 05/27/20 5,454.00 0.00 0.00 TRANSFER fc 1 i Vendor Totals Number Name Gross Discount No -Pay 12696 GULFPOINTEPLAZA 12,386.07 0.00 0.00 Grand Totals: MAY 0 5 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Page 1 of 1 Net 1,129.60 / 2,334.00 ✓,// 2,723.00 745.47 ✓ 5,454.00 Net 12.386.07 Report Summary Gross Discount No -Pay Net 12,386.07 0.00 0.00 12,386.07 file:!/IC:/Userslltrevinolcpsilmemmed.cpsinet.com/u88125/data_5/tmp_gw5report3603172... 5/5/2022 Page 1 of 1 05/05/2022 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 11:28 ap_open_invoice.template Dates Through: Vendor# Vendor Name / Class Pay Cade 13004 TUSCANY VILLAGE I/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net D42722A 0,4r/2912004/27/2005/27/20 6,585.00 0.00 0.00 6,585.00 TRANSFER lY iViij0V( _U_ MMI dtpoMtta )t 11 kM(, lipakjTn) 042722 04/29/20 04/27/20 05/27/20 2.546.92 0.00 .00 2,546.92 ✓ TRANSFER 042622 04/29/20 04129/20 05127/20 10,418.64 0.00 0.00 l 10418.64 1.-" TRANSFER 042822 04/30/20 04/28/20 05/27/20 1,167.00 0.00 0.00 1,167.00 TRANSFER Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 20,717.56 0.00 0.00 20,717,56 Report Summary Grand Totals: Gross Discount No -Pay Net 20,717.56 0.00 0.00 20,717.56 APPROVED ON' MAY 0 5 2022 BY COUNTY ALIWOR CALHOUN COUNTY, TEXAS file:/!/C:/Users/ltrevino/cpsihnemmed.cpsinet.com/u88125/data_5/tmp_cw5report4961948... 5/5/2022 Page 1 of 1 DHYTHE AlNAEORQUDRON MAYWMEMORIAL MEDICAL CENTER ° 1!4�°�'022 11:40 AP Open Invoice List ap_open_ihvoice.templa[e Dates Through: CALHOWQaWWMff6D0&e Class Pay Cade 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 042622A 04/29/20 04/26/20 05/27/20 6,029.50 0.00 0.00 6,029,50 TRANSFER �" i rlsuu pqt pyMi Ckpw ,'4[d iKb l%kKL s, — ontMAV X/ 042622 04/29/20 04/26/20 05/27/20 258.44 0.00 0.00 258.44 TRANSFER It 11 042722A 04/29/20 04/27/20 05/27/20 13,815,75 0.00 0.00 13.815.75 *� TRANSFER " 11 042722 04129/20 04127/20 05/27/20 1,863,16 0.00 0.00 1,863.16 +� TRANSFER Ir it 042922 04/30/2004/2812005127120 25,691.25 0.00 0.00 25,691.25 V TRANSFER k It 042822 04/30/20 04128/20 05/27/20 16,177.17 0.00 0.00 16,177.17✓ TRANSFER 042822A 04/30/20 04/28/20 05/27/20 TRANSFER Vendor Total$ Number Name 12792 BETHANY SENIOR LIVING Report Summary Grand Totals: Gross Discount 101,008.45 0.00 APPROVED OIL MAY 0 5 2022 C4'3IJiOOUN COUAU imp NTY, TWI§ 37,173.18 0.00 0.00 37,173,18 Gross Discount No -Pay Net 101,008.45 0.00 0.00 101,008.45 No -Pay Net 0.00 101,008.45 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u881251data_51tmp_cw5report3363567... 5/5/2022 Memorial Medial Center Nursing Home VPL Week1Y Cane• Transfer Prosperity Accounts 5/9/2022 Frm3P/s I.V, YmvM BHMYS Ad IrMN) YHlnnb) AmcunllP BelnulenNIPXUNN Nunln Xeme Xumin ReYrce ianJenG,t irm,Nnle � Yp MYrce IHme It l ;{!t)Abli "1m 414.133]6 M.018)4 0),]39.9d 101.04,95 73.3%.e8 Bank&lance IO3.BSt96 Va11wH ltrvPBNww 1W.M / AMFNOROUIMARgIPP 30,343.<6 [/ )AN INY REST 3693 ✓ FE6IWEREST WRLTIIA)ST Adjust W.—IT—de, Amt MUM 4/ ' 150.414.16 1 114)01.50 �avo 27 y r6;wel / 158.005.69 Benk Oalanm 1Bt,S51.91 J V3tlus. !live M lwl.rw AMFRIOROUPMARAMP 10100 12.410.SB MIOKAREREPAYMFNT706010FNCR!!R IANINIEREST 11.66 e/ fAIN) m MARIMlAEST Adjust BalansRnmSa Amt su,"69 ,:g�,}y`� 4 ✓ 1B.nynpEwty_`S> '--',i 55.77F3.51 c/155.66RB5 yi]3.9m.A1 173,102.48 / 16I,939.L3 BmkBalanm sn,l0aa6 wmm. leawme3Ynw AMIRIORWfM P0.gIPP W.O 10,011. 29 V MNICAR! RIPAYMEW TO GOIpFN LREFR rayy W-51 "g„4y.' 111,056.06 ,1IBI910.8] /E393..82 I% l Aw"Alowl 110.911d9 310.I61.35 y2/M363 / 73.396.45 150,00j) 65, 1623939.1% , wX/Brmdm,v 70, 150- 19 160R15'/e1�4 6169649.4_: ImN: WremamsA/Pm$SIXOmX/Xe tmntlmed Mt6enwrn9NmP. NMe T'[PMeMluntAOlneefa Odonno/SIW Ihat MNC depwtedm[pwnVnwt. I:VIN W<e3N tramltl[\XN IWSL13nsYt3ummeM3n31V.13Y\XXUPITtantlec SYmmIryMM]Leln IAN INIEPERY FEB INRNEST MARIMMT Adjust Wla=mAmdlt Amt 16A e"12 ✓ BZmtN1 Bent BRlanw ey905.0t Vast— InPw In OaYnw AMERIGROUPWROIPP IANINTEREST FEB INTEREST MARIWMT Adjust Balance/TmiN.r A. Bank Yalamu w0antt love In Ylmte AMERIGRWIMNR@PI MURCAR E REPAYMENT TOOOIIIFN CREEK 70,150.29 o0.00 I3.30,63 Yo,lso.0 ✓ 1,156.1 / 360.151.% 372R,156.7l 140,00 11,BM.a9 ✓' RPPROVEOOM MAY 0 9 2022 lAN3WLRE5T 13.90 BY•GOUNTYAUDITOR ;r rtExur AWQWrtI 000NW— TEXAS, rMjvee RaUntsneem3a 6mt L60,uT.9a � �� IOfALTMNSi 616.g9.43 APormved: ANTN— ONLY FI IAR050N, INTERI CFO 5/9/2022 PM.I Y�6 � t,P .,'':� jT19MAr i 5�4,1 OIPNCP of DIPP/EGm01 DIP"/Cnmp) DIPP/COrnpIWPu W"n I MHPORTION CX1174 15,05.04 UHCCOMMUNITYPLMCUUMP1,4746003411910GW - 2,712.42 2,»3A1 UHCCOMMUNMPLH MPM 74M341191WW 4,162.46 46 AM[AI6NDUPCI2Rb E�%�MIENCEFST35S)3j S11000.. 35,S1k.A1 }1.t19•!9, 44 5E,1t 39,34a.JE MAIN MAIN AE WIREOUT AlHFORD NEIITNCMFCfXRPLTO 398,343.7O UnhedNuhhnnll[CUIMPMT)AWp)1119IOW0 - 59.10 5010 UNCCOMMUNMFLHCCWMPMT746Wa4I19ID000 - 21'saw, 21,51299 WHAGEANONU1718 MNS PMNi90WWOW00009341 - 56440 5S4W AmedgMp WC NCCLAIMPMT 317661149711100 - 650,97 - 650.97 UK COMMUNM PL HCCUOMPMT)46003111SHADOW - 11,104.63 - 11.1066E Molhb HCn5T3 HCMIMPMT FNI32RJ6139420 - 4916.90 2,91sm WNMEANONU170 MRS PMMRWLLW00.W64311 - 3.735.66 - 3,I9S.66 UNCCOMMUNM PL NCCWMPMT 746W141191=0 - AX212AG 12.21246 UHC COMMUNM PL HCCLAIMPMT 746WI421 910000 - 165." 105.76 UK COMMUNITY PWH:CWMPMt)460omil 91W00 O11.10 %� ABUT 41A41a.T4 1W,T29.et +' 2L11O.10 6,166.11 30}y.46 TELEXES ;vr _.. 5dn1ti< 5/622 20 5/6/So1IDU il C%206 stallon dpaN 5/61=6/W12 YNM INCCWMPMI]I6W0M1 5/811W1 HEALTH UI)460aILM2 S15S(81/23002'!1`WIRE CUTCAWIDI AbAIRCA ECENTUNSS5III V5/1022 MANAGFANDMffI71AMHSPMNtW29341 5/5W2URNAM;IRWroFCCIAIMPIVIT7461,01411124384 5/5URCCOMMUNOMPILWCUMMI'W14621910000 5/51=1 UNCMMUNMPLHCAIMPM74M341191W 5(4/2021 UHCMMMUNMPLMPMT74o 52 UHCCOMMUNMPLHMPMT24GDU41I9oS0 52t=l UHCCOMMUNM PS XCCWMPMIY460N341191PAP MIVn ' 316IW22 W37 5/6/WU CR238 S/6/1013 OPPONt 515/2022M MEANON6)1)IEMNSPMNT0pN0000000326643 S/6/2022 UHCMMMUNINPLHC MPMTII6W1411910000 S/6/I013 NOWAS50LUTONHODU MPM36)6323420W016) S/6t1D22 HFALTHHUMANiKKCIAIMPMT1746003111]0082 5(6/1021 AW9RIRWPQ*RME4AYMtN(l0US5)HESS.WO- 5/5/1022 MU OM CAHTC% HEALTH URI CENTERS III WN/2022 MOlIna NLRtt%N[tlNMPMTPNIfi5916d1StlW 5/5/1022 UHCCOMMUXIIYPLNCCMIMPM2)46C03411910W0 5/I/]OII UnX4exsAMhurt HCMIMPMT]I6O0311112,0414 5/4/2022 MPllo.HC.fT%HCCWMPMTPNIdNMO42S4200 5/412022 UHCCUMMUXI)YPI HCtl.VMPMt]I6W34I19100W 513/2OI2 MoRnsKofURCdRIMPMEP1416E9160425AM 5/3/3022 UPIIWHLaMRMn HCC WW746W341191WW S/3/2021 UHCCOMMUMM PL HCCIMMPMT 7460011319100W 51212ON SlMNOVNA9 SOlU11OX H[UAIMPM26)6323aiCW2ll8 01E NNS-ECHONCCMIMPMT i46W]41141W W21S)f9 512/1022 UNOFOHFAITMGRF X[CIAIMPMi146W3111124389 5/2/202) UNCCOMMUNMPCCIAIMPMPMT74 11i114SI 5/2/2D22 UHCCOMMUMM PL NCL AIMPM) ]16003tl191 W W 5/2/3022 HU 0TEDHHADDOHCCU MPMT 3121104MM141 5(2/1D21 OEVOTFDNELLTXPMCCIAIMPMt 1LIM396052934 it MARC PORTION TM0,40 Tma ot,-M I QIPP/C9mp1 WRICO"I QIPPICpmP3 QIPp/Ump4&up. QIPPT "PORTION g439.53 I1,372.66 - - ];192.55 - 72,19255 - 2A4%07 - 2.449,07 55.)1 SSel - 13,72848 ii,212/0 2�f1546 12ATO.68 1;a5Y;)A I32,690,II - , - Ms.W e4s.W - 9}ea.05 - 9,591.05 - 35,66x.61 - 35.652.61 - 18,19O.W t&190.06 x.31261 233161 40.30250 162,g6.2] ✓+� ISdR.10 1535.36 +]I>0 Sl i90 W569 MMCPORCON i,9A,clN TnrdaI4 appium91, DIPP/Cp,,z DIFP/C:q R3 OIPP/Cammalryu DIPPn NN PORTION 5.19247 ]22T166 9),>15.39 - 10p66 - 28B.T0 4,93249 4,216.95 139,1907 - 2351.98 2149.9E 4.2 248.62 73 1.65 )3 101.00 6,730.50 VIOL 2196A 5$ ,9W.W 6,19490 2,129,27 >,436.0 UMUI6 Z691:9t • 8),)15.39 280.66 2,367.70 5,932.49 4,226.95 >p,OS129 3Aw"m 2,352.96 2,49691 MO.W 248.62 ASW71 7.731.65 208.03 6,1)8.26 6•]30,50 5,43935 29W.W 6,210.00 MMCPOROON 4au. "._: „ , tnnNeM,D ♦.,n.T.4n QIPP/CPIRPL IOP"/Comp] QMP/COmp3 11IFPKOmPR81uN WPPT NHPORTION S/6/W22 "It0 6,31L16 . 5161301E DeppfH - 33,6M.Il - 33.6M.Ll S/6%Nl22 AMEAIOADUFmRPa FA4YNE3/iEE521S33N WOOL 93}3618' 'A',,]D Z"2a 7;21MA9. L2a6A4 SOME WHO OUTCANTERIIEMTH OIRECENT2RS III 114,61361 - SISIM22 UK COMMUNITY PL HC"IMPMT 146W3A1191PW0 19A7241 11,432A1 514IZ022 UnhMHMRht.m XCCWMPMT 74MS411 EPSOM - Ae6W - "SAO 5/3I2021UHC COMMUMM PL HCMIMPMT)46001411 SHOW - 11,185,98 - 21,185.98 5/2/2022 MRS-ECHO HCCIAIMPMT 746WHII v ocamuSt69 2531MA 2,53664 S12IM22 UXC COMMUNITY PL HCCUMMPMT 146W341191W W 2S17.50 2 5) 0 MASS." WEIM1 / IQ962,20 25)196 >;MS69 7O15013 1:\NHWed4Tran0nel&nl W Wsl WorMNvlq]0]11MaNNN&n10 MI,Ad0FOhArlrvl5NH0IItln 5/6/1012 CA196 5/6/1012 CAV3T 5/6/1022 D*`Nh SIW2022 U IA.8*MLON HCUAIMPMT 146001611124384 S/6i= HHB - ECHO HOUL MIPMT 74MMII 440000116923 5102012 UHCCOMMURM PL HCCWMPW"WIM11 SUNNI) S/6/3W9 HEALTH HUMAN 5W ROMAM PMT 174MI41130072 5/6jW31 IMAUNGROUPOCAPO"AYMENSEENAN 22U= 5/5/1922 WIRE OUT CANTEX HEAITN ME[ENRNS III 5/9/ID31 MPllpe NCa9WHC0. MPMTPN149114325942W 5/S/1022 MAMA NIAN9NETV IB MNS PMNTOPIWWWO9248241 5/S/1022 UARadHeaNhtaNHCCUMIPMT1460 MII 124M 515142E UHCCOMMUNIO'PLHCCWMPMT74MM11910000 5/5/W12 UHCCOMMUNitt PL NCCWMPMifl6W341191000O 5/4r422 HNB- ECHO HCUAIMPMTIHIM 4114400WfA5fi1 5/4/1022 Amerkmup TASCHCCUIMPMT3118831498 111CW S/4/W22 UnNe4Heallhrere HCC1AMPMT MINIMS NNW 5/e/2022 U11CCOMMUNOTPLHCCWMPMT146W34119100W 5/3/1012 HNB-ECHO HCOOINIPMT74SW30114400002W01 5/3/2022 UHCCOMMUNM PLHCCW MPMTT4WN4ll91W W 5/3/XQ2 HUMANA INS CO HCCWMPMT 39062 ASHOWS46929 5/31M22 HEALTH HUMAN WC HCCW MPMT 174600341130O7 2 5/21X22 AmarymuPT25CHCCWMPMT378S551511110W 5/212022 UHCCOMMUNO9P1 HCCWMPMP14W03411930000 TOTALS 1".1 MMCPOBTgN 7OdIVC9W 1 OIPP/MN QIPP/Comp2 MPEIMIP3 NPP/Cemp18ANA CENTS NNPORUION fi,138. IIRR.66fi6 - 141285.34 94,2853E - EASE= 1,OW.W 4.018.41 4,OI8.4I 2.739.0 2,719.89 152437 - 1.5".31 - "'In." WAum 1496,111 imam 1,14ESA1 1W.849.81 1,1M.16 1,279.15 - S•145.69 - S1245.99 - 520.W - S20.W - 4.462.82 - 4,46182 - 7,290.2E - 3,190.21 • ;512.89 - ;81199 - 2,111.50 2.113.50 - 192% - 191.% 12.3" - 22,286.39 - 3,15170 - 3,192.70 - 2,547.22 2.543.22 - 6,715.W - 6.11S.W 8,9116E 8,919.6E 3,2B.80 - 3,223.90 292164 39 21AM)A 2t0Afi115 122.OAU3 L 10,636.60 14%.V %13M 89 IWi9 1051,191.2E 693,641b fi83L.W 181433E 1699991 61664912 5/0/2022 Quick View Select Quick View Accounts Account Number / Name Account Type Search All Account Number Current Balance Number of Accounts! 15 $6.775,950.79 '4551 CAL CO INDIGENT $59,788.07 HEALTHCARE -4454 MEMORIAL MEDICAL / OLDEN K $285,136.61 NH G CREE HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4361 MEMORIAL MEDICAL CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER I NH FORT BEND -4438 MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON '2998 MMC -MONEY MARKET FUND '5506 MMC -NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- MEDICARE/MEDICAID 'S433 MMC-NH GULF POINTE PLAZA - PRIVATE PAY •3407 MMC-NH TUSCANY VILLAGE htips://prosperity.olbanking.com/onlineMessenger $536.33 $4.327,078.16 $431.76 $103,854.96 $162,587.93 ✓ $173,102A8 $82,505.01 $172,156.73 ✓� S1,110.243.27 $105.518.85 $61.626.35 $61.017.47 $70.366.81 Treasury Center Select Group Groups Add Group Available Balance $7,018,927.29 $59.788.07 $289,065.64 S536.33 34,439,403.28 $431.76 S158,937.88 $169,814.64 5201,487.16 $82,505.01 S194,372.36 $1,110,243.27 S110,202.33 $67.095.95 $61.606.73 $73,416,88 Data Collected Balance $6,775,950.79 $59,788.07 S285,136.61 S536.33 S4,327,078,16 S431.76 S103,854.96 9162,587.93 S173,102A8 $82,505,01 $172.156.73 $1,110,243.27 S105.518.85 $61,626.35 S81,017A7 $70,366.81 as of May 9. 202: Prior Day Salanc $6,853,709.0 $52,6977 $27,402.'. S536.3 S4,754,6702 $431.7 $78,913.E $91,874 $77,415.E $41.631 c $81,813.1 S1,110,243.2 $494,436.7 $3,298.7 $2,531.2 $35,8119 - 111 Memorial Medical Center Nursing Home UPR Weekly Nezion Transfer Prosperity Accounts 5/9/2022 PreMaua Auoant B4lnning 457.998.18 V 285.019.05 Non: 0.0 Mtances ayaa<r Ss= WIAM ulmf rred to Ina nunhry name. Non 2. Each oceaun t here bon baton ce a[$IW thol MMC depaglnd to open aoavun 1. MAY 0 9 2022 BY COUNTY AUDITOR CALHOUN COUNTY, MS PendNg TadaY eB[Llnn(a6 Amount to Be Trandarrad to Nualn9 - 295,136.61 20SAJOA0 Beek Balance 285,186,61 Vadance terve in 8a1.wa 108.00 SNPERIORM&MARglPP 36,W8.35! 2ANIt1TEREU 1T.56 ✓ Ria INTEREST MAR INUR6Sr N Adlurz Balann/rnnafnrAml 12/0)8�23{rA." Am.ed: A.1/ �a' V✓ ANmoNYRITNABO50N..... — _ 777 50/1022 I:\NH WeeNY lramlen\NH UK wander Summary\102AMaV\NH aPl TnnHNSummary05.6B.2LHa 5/6/roix DeMsft ~ 5/6/2012 HMLW 5/6)]0]3 HFAIiN NYMAN SVCHUUIMPMl 11160B3e113011i LN2D22 WIRLOW NEMON HEALTHATWUDIN CREE�IGE03�1 5/5/x0}} WIAEODTNENION MFPMXRTWID[N CREEK 3/5/}021 GOUDERCHEEKHEALT MERC DIP I22D3S55p16 E $14/2022 TS lO CAFFNHULT D $TWFP 11ID356 B?6 WI6e5 5H/2022 TSYWRANSHAST BNCO fiT M3665S55B1691T9 5/312022T DINNiRHMTMEKDEP3220560191T9 S/3/30]3 fAIDfNCPFFIM4LTMFRCDFP I]x03560]0000116A S/L1032 TSYSRRAHSHRSi BNC0311MTSU6YSS3836909 5/1R022 TSYSRMNSi1R5i BNCOSTIMi H36&5550]691T9 MMCPORTIDX OPPj pmp T^SIiSL'Qtll i!L^IIM'. OIPP/Wmpi NPP/COm01 QIPP/mmpl 6dpu DIWII NHPORTION 33.316TR 33,917.70 98 31.163.72 33,61T.9R - 1.a63A1 1,as" • 323,IIYA1 3A,192O T,119:10 i468EA0. 39,199E 146s0.0 Was" ISL99816 18198 285.96 - 4.%0.00 a,968A0 3.113.81 3,423.81 &969.59 6,969.59 1,SO9.ET 1.9060 6.600.w 'fi00.W 1540.00 �151 00 --497,986.16 225,018.05 .AAL9211 7,118.10 26393.80 39.b9.M ]f.658.15 pA083F090 5/9f2022 Quick View Select Quick View Accounts Account Number / Name Account Type Search All DOA Account Number Current Balance Number of Accounts: 15 $6,775,950.79 '4551 CAL CO INDIGENT $59.788.07 HEALTHCARE •4454 MEMORIAL MEDICAL/ NH GOLDEN CREEK $285.136.61 , HEALTHCARE '4365 MEMORIAL MEDICAL $536.33 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL S4,327,078.16 CENTER -OPERATING '4373 MEMORIAL MEDICAL $431.70 CENTER - PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL $103.854.96 CENTER INH ASHFORD '440 MEMORIAL MEDICAL $162.567.93 CENTER / NI•I BROADMOOR '4411 MEMORIAL MEDICAL $173.102.48 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $82.505.01 CENTER INH FORT BEND '4438 MEMORIAL MEDICAL S172,156.73 CENTER I SOLERA AT WEST HOUSTON '2998 MMC-MONEY MARKET $1.110,243.27 FUND '5506 MMC NH BETHANY $105.518.85 SENIOR LIVING 441 MMC -NH GULF POINTE S61,626.35 PLAZA- MEDICAREIMEDICAID •5433 MMC -NH GULF POINTE $61,017.47 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY S70,366.81 VILLAGE https:i/prosperity.olbanking,com/onlinaMessonger Treasury Center Select Group Groups Add Group Data reported as of May 9, 2021 Available Balance Collected Balance Prior Day Balanc $7,018,927,29 $6,775,950.T9 $6,853,7091C $59,788.07 $59,788.07 $52.697.7 S289,085.64 $285.136.61 S27,402.' $536,33 S535.33 $536.2 S4.439,403.28 64.327,078,16 S4,754,670.: S431,76 $431.76 S431.7 S158,937.88 $103,854.96 $78,913.E S169,814.64 S162,587.93 $91,874.E S201,487.16 $1 T3,102.48 $77,415.E S82,505.01 $82.505.01 $41,631.E S194,372.36 $172,156.73 S81,813.1 S1,110,243.27 S1,110,243.27 S1,110.243.2, $110.202.33 S105,518.85 S494,436.7 S67,095.95 $61.626.35 $3,296.7 $61,606.73 $61,017.47 52.531,2 $73,416.88 $70,366.81 $35.813S r 1/1 Memorial Media[ Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 5/9/2022 Prod... f ..1 BosInNM None Nu,.br Monte 1.59"s A<eouM GBImIM Xunlm Nomt Nlmn fi3BiU��fR'ffiz.¢; 1)Iaf559 N9r9; MIYbAtooto afatnsfAwMv)6ebvmmnto IN, n.., hang. Nae 3: FUN —.,tot.. 6ousIXm<.e)ff90 tM mhtcdno.NN [ogvna«aunt. MAY 0 9 2022 By COUNTY AUDITOR CALHOUN COUNTY, T€M,§ ]nxNwefipu.nn.nlxx-1 u.nnn S--1 11111VM MUtnensumm.goslNv..h. MMIM BRn40.lRnm WNan lore VO R[hnro SUPERIOR @EMCRy1P ANointto B. lryn]hmtllo INN ,-5b5 J M tons 5T last! HE IMBR. ARMINTG1f] Atliutl8.hnz.(frNubunl 11—OPA6 A..on to R. 61,61616 bn461.636]f Vuia— nu W-1.6]Ima 30pAR J.INT1RF5l IBBIXIFRfST ✓✓✓ FLRINRRsiT ASIN][B]Nnn/Tnn.k<gm] bLSV.Is t/ sR 93)I6 f TOTAl1MX5PFRf . n..NInUUM 6O 5/9/2031 y MM[PORIION w+ks r I�nk HAM r ?, s tal, DIPP/Camp QIIPI[pnp4 e s rv9iA.E SrYn ,,x .Y%/ s tAinnNBMut yT sfervin DIIP/Can I 2 DIPP(GOmP3 &UP56 IUPPT NN PORTON 5/S/2022 GO-ECHOPC6r SS,�C6:16 13,32fAf ),1Llll 13;M9]6 16,56I./T 33,9p3.65 33.SE0.61 MPMT74=341144U 20Di41 5/5/3032 HNB•FCHDHCCWMPMTA60034114400ppE8E049 - HOW - 3900E 9/4/2022 HNI-ECHONM~WIT74W03411M0000244573 - 521.0E - 521.0E 5/2/2022 HNR-ECHOHMWMPW7460034114'0009245)69 - 2952 / - 23.5E • 59,420.8E -I 3UM 3,147,7E 1SM9.28 16,1M.17 35AO3A5 V ]3S19.0 MMCPORTON '7< '` „(. 3Si IfiiFP��p pA: £ 4 1� J m 'PFµ'.I DIPP/Camp gIPP/Cpmp6 TInmIQNn QVP/CanPl 2 QIPPICamp3 &up'4 OIPPT NHPORTON 5/1/2022 Npolit - 2g681A6 - I8.68246 5/6/2022 MERMANTUNRCO OEPOSWON7851888991ON01 3g1W.45 - 30,180A5 5161203E WPS•IOEFICCONF RI IMPMT222580599)21000 - 1,486.7E - 1,466.7E 5/5/20E2 WIREOOTNM03FRVICIS," 274,176.94 5/3/2022 NOBIDIAN I3AHCCWMPMT67589141=01686002 - 1,159A7 - 1,258A 7 5Q/2022 NO9IOW113AHCCWMPM267S%2242D0001809689 - 1675.01 - 1.676.01 SMIOP2 PNOECHOHCCWM"74003411410001205)0M4 25359 253.59 2I4,11096 2.517.70 61S17.70 n7 76.94 120.93652 13,325A) 3,147.77 IS.M9.29 16,664.1) 3$.N5.65 85A33A7 5IM022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number l Name Groups Add Group Acceunl Type Searrh All IDDA Data reported as or May 9. 2021 Account Number Current Balance Available Balance Collected Balance Prior Day Salanc Number of Accounts: 15 $6.775,950.79 $7,018,927.29 $6.775,950.70 $6,863,709.0 '4551 CAL CO INDIGENT $59.788.07 $59.788.07 S59,788.07 S52,697.1 HEALTHCARE '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $285.136.61 $289.085.64 $285.136.61 $27,402.' HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536,33 3536.33 S536.33 S536.e 2014 •4357 MEMORIAL MEDICAL $4,327,078.16 S4,439,403.28 S4,327,078.16 $4,754,670.1 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.76 $431.76 S431.76 $431.7 WAIVER CLEARING 381 MEMORIAL MEDICAL S103.854.96 S158.937.88 $103.854.96 $78,913.E CENTER I NH ASHFORD 14403 MEMORIAL MEDICAL CENTER/NH $162,587.93 S169,814,64 S162,587.93 S91,874! BROADMOOR '4411 MEMORIAL MEDICAL $173,102.48 S201,487.16 S173,102.48 S77.415.E CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL $82.505.01 $82.505.01 $82.505.01 $41,631,E CENTER I NH FORT BEND '4438 MEMORIAL CENTERR t SOLE SOLERA AT S172,156.73 S194,372.36 S172.156.73 $81,813A WEST HOUSTON '2998 MMC-MONEY MARKET $1,110.243.27 $1.110.243.27 S1,110,243.27 $1,110.243.2 FUND '5506 MMC -NH 13ETHANY $105,518.85 $110202.33 $105,518.85 S494,436.7 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $61.626.35 $67.095.95 $61.626.35 $3,296.7 MEDICARE/MEDICAID S MMC -NH GULF POINTE S61,01747 ✓ S61,606.73 $61.017.47 S2.531.2 PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY $70,366.81 $73.416.88 $70,366,81 .535.813.E VILLAGE https:liprosperity.olbanking.com/onlineMessonger i11 Memorial Medial Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 5/9/2022 vmvbw &..we &auwnP NUNru Name "' &Lace ! mAeo.pL Nplc pW 6obnm y pvM$5,000wlllAtumr/meG ro thenursliphan. NM.JIFn[hp[(puM pOtnEYr.anlMttp$$lGethotMML2.p.tlHdbppTMtpYM. MAY 0 9 2022 BYCOUNTY AUDITOR CALHOUN COUNTY. TEXAS &nA Mbnm 70.316e1 Van—. Umin&Irate to.. AMGI6MNP MMOPP Adfutt&IIntt1.YA 6J.fpJ.93 AHINONYpItlINb30e. MMCiO 5/6/2022 M1099 5/6/2022 Deposit 5/6/2022 AMERIGROUPCORPOE-PAYMENTEE52355325111000 5/5/2022 WIRE OUT UNBAR ENTERPRISES, LLC 5/5/2022 HNB- ECHO HCCLAIMPMT 746003411 44MO282043 5/4/2022 NOVITAS SOLUTION HCCIAIMPMT 6762014211000164 5/3/2022 NOVITAS SOLUTION HOWIMPMT 676201420000138 5/2/2022 HNB - ECHO HCCLAIMPMT 746003411 440D00245189 MMCPORTION OIPP/Comp QIPP/COMP OIPP/Cemp Ymnsfer47ut Transfer -In 1 QIPP/Demp2 3 461apse OIPPTI NMPORTION 9,173.22 - 24,104.82 - 24,104.81 - 19,621.15 15,897." 3,723.55 17,75938 1,861.78 268.207.30 - 7,314.49 - 7,314.49 12,664.83 - 12,664.83 444.46 - 444A6 - 6,117.07 - 6,117.07 5/9/2022 Quick View Select Quick View Accounts Account Number / Name Account Type Search All ODA Account Number Current Balance Number of Accounts: 15 $6,775,950.79 '4551 CAL CO INDIGENT $59.788.07 HEALTHCARE '4454 MEMORIAL MEDICAL I S285.136.61 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL $536.33 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL S4.327,078.16 CENTER -OPERATING '4373 MEMORIAL MEDICAL $431.76 CENTER - PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL $103,854.96 CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL S162.587.93 CENTER/NH BROAOMOOR '4411 MEMORIAL MEDICAL $173.102.48 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL 582.505.01 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL $172.156.73 CENTER I SOLERA AT WEST HOUSTON '2998 MMC-MONEY MARKET $1,110,243.27 FUND '5506 MMC-NH BETHANY S105,518.85 SENIOR LIVING •5441 MMC -NH GULF POINTE $61,626.35 PLAZA- MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $61.017.47 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $70,366.81 / VILLAGE V https:llprosperity.olbanking.com/onlineMessonger Treasury Center Select Group Groups Add Grcup Data reported as of May 9. 202: Available Balance Collected Balance Prior Day Belanc $7,018,927.29 $6,775,960.79 $6,853,709.c $59,788.07 $59,788.07 $52.697.7 S289.085.64 $285,136.61 $27.402.1 $636.33 $536.33 S536.2 $4,439,403.28 S4,327,078.16 54.764,670.E $431.76 $431.76 S431.7 $158,937.88 S103,854.96 578,913,E S 169.814.64 $162,587.93 $91,874.f $201.487.16 S173.102.48 $77.415.E $82,505.01 $82.505.01 $41,631 c $194,372.30 $172,156.73 $81,813.1 S1,110,243.27 S1,110,243.27 S1,110,243.2 $110.202.33 S105,518.85 S494,436.7 S67,095.95 $61.626.35 $3.296.7 $61,606.73 $61,01T47 $2.531,'a S73,416.88 $70,366.81 $35,813.£ + 1/1 Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 5/9/ioaa ern i Amunt pepn . Nem Onl y hobn[e NOVN $S,Ke w+U M Irwgmed m Me nwpnv a[mt. Nors): fa[hw[ew[hn]ohmehabn[ea/Sloo[IrINMMClwu1M [oepmn[[eunv APPROM ON MAY 0 9 2022 By COMP AUbi— Q' --� CAIHOUN COUNTY, O's mcoma '.. M .la a. YnuA.d. Oank vabn[e W[In[O lerveN BalanM ]11V1 murr iFBIMFRfST N EST NLiwlBabn<e/rr 4rI4ny ]O iv].E6 uepe.reE: '� L aMXONYflIMPRD)OMINI{NMCiO 5/g/Spll I:VIX WmUv 7ramfas" Nl]rmafer 5u ANVOIIWAYVIX UPI Ma11WSUTm,r,010s11."X Y pc q; r 'rliRf{cvY. A%� -,I YdY' LI+6`'% -T:i MMCPa{nw kiy raS ti Mn S/6/10120PEOUTallftmNANYSE 1IS. - pqR/EOM01 piPP/GmpS aPP/UmOI aeolWMp00YP54 aPPTI MNgM1pH 5/6/1012 W PEOYTBflNRNYS[NIOPIIVINfi. Rp 5.61 S/6/ID22 3Q296-" - 30,234 50/201, N,.Iil 10,116.4{ H" 2p556.4E 5/3/3013 M w - 16.556.50 - 10,460.44 NMI" NGLTN NIIIMNSVCNC<MIMPMi 12<600H3130161 556.5p • 556.50 VU2022 3/2/2022 1p410.06 10,40.6d 5/2/2p21 M0.0, - 36,46B.26 - 16,168.26 RNA-t 5/2/I021 NNB�ECNON[CIAIMPMil460016p 44000pNi189 3,053.03 - 1.053.03 4{9,uss1 ]M.i28.16 / 1�2A16 519/2022 Quick View Select Quick View Accounts Account Number/Name Account Type v $eamh All DDA Account Number Current Balance Number of Accounts: 15 $6,775,950.79 •4551 CAL CO INDIGENT $59.788.07 HEALTHCARE '4454 MEMORIAL MEDICAL / $285.136.61 NH GOLDEN CREEK HEALTHCARE '4355 MEMORIAL MEDICAL $536.33 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $4.$27,078.16 CENTER -OPERATING '4373 MEMORIAL MEDICAL $431.76 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL $103,854.96 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL $162,587.93 CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL $173.102,48 CENTER! NH CRESCENT '4446 MEMORIAL MEDICAL $82.505,01 CENTER / NH FORT BEND *4438 MEMORIAL MEDICAL $172,156.73 CENTER /SOLERA AT WEST HOUSTON. •2998 MMC-MONEY MARKET $1,110,243.27 FUND •5506 MMC -NH BETHANY 5105.518.85 SENIOR LIVING '5441 MMC -NH GULF POINTE $61.626.35 PLAZA- MEDICARE/MEDICAID *5433 MMC -NH GULF POINTE S61,017.47 PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY $70,366.81 VILLAGE https:l/prosperity.olbanking.comfonlineMessenger Treasury Center Select Group Groups Add Group Data reported as of May 9. 202: Available Balance Collected Balance Prior Day Salanc $7,018,927.29 $6.775,950.79 $6,053,709.0 $59.788.07 $59.788.07 S52,697.7 $289,085.64 5285,136.61 S27,402.' $536.33 S536.33 S536.12 84,439,403.28 $4,327.078.16 $4,754,670.E S431.76 S431.76 S431.7 $158.937.88 $103.854.96 $78,913.E $169,814.64 $162,587.93 $91,874.5 S201.487.16 S173,102AB $77.415.f S82.505.01 $82.505.01 $41,631 S194,372.36 S172,156.73 $81,813.1 $1,110,243.27 S1,110,243.27 $1.110.243.2 $110,202.33 $105.518.85 B494,436.1 S67,095.95 S61.626.35 - $3,296.7 $61,606.73 $61,017.47 $2,531.2 $73,416.88 $70.366.81 S35,813 111 I v I E M OR i A L F\ A E D I C' A 1. C. E N'11' E. R H F - '. REQUEST - P6" C1 MEMORIAL MEDICAL CENTER Da1F Requested: 5/9/22 A APPROVM— ON rOR ACCT. USE ONLY -I Imprest Cash MAY 0 9 202) L FA/P Che-L By COUNTY AUDITC R Mail Check to Vendor CALHOUN COUNTY, TE) A p1 � etu-r-a -ki _- qL3.46 tfummp�: 10255040 FXOILANAT�ON: AMERIGROUP MARCH QIPP PAYMENT --- ---- ---- Mayra Martinez 11 C R F -------- --- ----- - - ------- - --------- t p A Y is 1\/! F-PA(DR I A L Nritc DO]AL (TN'TER w"y- MEMORIAL MEDICAL CENTER 5/9/22 FOR ACCT. USE' ONLY APPROVED ON []A/P Chewk MAY 0 9 2022 I ElMall Ched(to Vendor etui n Cht.ck Lo Dep; ----BY COUNTY DITOR 03R-- CALHOUN COUNTY, TEXAS AfVOUNT NUKAREF": 10255040 C.XrLANlAT!ON: AMERIGROUP MARCH QIPP PAYMENT Mayra Martinez 7F) WIEVIORIAL rAEDWAI CENITIR p MEMORIAL MEDICAL CENTER A Y APPROVED ON MAY 0 9 2022 Our. Requested: 5/9/22 FORAW. USE C)HILY 11 Imprest Cash []A/P "'heck IlMail Check to Vendor 1.11leturn Check to Depl DT UVUIVI I AUDITOR Un CALHOUN COUNTY, TEXAS AN40UNT 10255040 LXPLANIATION: AMERIGROUP MARCH QIPP PAYMENT Mayra Martinez t 7 A MEMORIAL MEDICAL CENTER lateR? uesee+: 5(9(22 _._---------- ._...._......._._ �.— — A `OR kCC I. U)E CN(1' ----_---- PPPROVE@ON IJA(P(-he.dk MAY 0 9 2022 i El Mail Check to Vendur E'. __—__----------------- BY COUNTY AUDITOR I Return Che.d:, io neat CALHOUN COUNTY, TEXAS AMACUNT-,512�249:69 G(e NUM6C_R: 10255040 Y -------- -- R� C fA 1 3 EL C'-r !al J 1 MEMORIAL MEDICAL CENTER 5/9/22 APPROVEDON MAY 0 9 2022 0 1 m pre st Casil F.iA/P Check BYCOUNTYAUDITOR Pkloll :heck to Vendor CALHOUN COUNVO fExAs E'/t NUMBER: 10255040 AMERIGROUP MARCH QIPP PAYMENT Mayra Martinez _j F1 A PAENAORWL k/lEDIC"A L C E N'll 'E R MEMORIAL MEDICAL CENTER pate Requos!,ed: 5/9/22 FOR ACCT. USE ONLY APPROVMOM ClImprest Cash MAY 09 2022 0-A/P Checi; rL] Mail Check to VFl-,d0r BY COUNTYAUDITOR 0A0q0WNWt,JNV,T'EYA'8 f F7 j Retui r.. Chc,:t: to Dep I AIVIOLINT 76658.15 GA 1,1MOBFR: 10255040 Lxpl-,M!ATION: SUPERIOR MARCH AND Q2 QIPP PAYMENTS ---- --- ---- - ----- Mayra Martinez I F' MEMORIAL MEDICAL CENTER �aPe R 1,�e5l:;ci, 5/9/22 A APPROVE00m MAY 0 9 2922 _. BYCOUNTYAUDITOR CALHOUN COUNTY TENAB FOR ACCT. USE ONLY i Lllmpresl: Cash FA/P Check Mail Check �o Vendor FRerurri Check a Depl AMOUNT _$35�905.65G/LNUMBE.R: 10255040 ENPLANAT'.OKL SUPERIOR MARCH AND Q2 QIPP PAYMENTS v Ji I:I; B Mayra Martinez F ._._..._........ _..-...... ... ...__ _...._. I\/iEM+:: MAL !',AEDG Ch.(_ CINTER CHECK MEMORIAL MEDICAL CENTER :)aT4. Re.que,rad. 5/9/22 FOR ACCT, USE ONLY APPROVED ON ( LimprestCash 0,A{P Che�_k El MAY 0 9 2022 Mail Check to Vendor BY COUNTY AUDITOR j Return Cnec ik Le. Depi CALHOUN COUNTY, i "A9 ------------------- - AMOUPdT 17,754.38 GIL NUMBER; 10255040 j ! FXPLANAT;.ON: AMERIGROUP MARCH QIPP PAYMENT I Ma ra Martinez L 9 Y r.Itl.%F� Br P P P P q P P P P q P q P q Vi P P P P q P P P P P P q P P W O O O O O O O O O O O O O O N N N N N IJ N N N N N N N N O my mj mj mj m> mj m> m> m> m> m> m> m> mn 9 < x< x< < x< < < < < < < x<< x< c y� y�� >> >a a >> a >> rr rr rr rr rr rr rcr- rtr- r� rrr- r� rrr- r� r� A n0 np n0 np f7p np np np np np np np np np y m m m m m m m m m m m m m m Z Z Z z Z Z z Z Z z z Z Z z '_ m m m m m m m m m m m m m m > A A A F 7� 7� A w A A F A a F F K { K { < K { C) { < < K z N N b - � N N N N N N N N N N N N N N N N 0 IJ N N N N p IJ y = N N m ga 3v �O 3z b" 3m �m 3m 3m 3m 3m 3m 3D 3D nm m0 rn> mr' mm mn mn mn m0 mD mma m> mD m 0 0 mn Or m� m� i0 aay MMm M C iC -3C r -j, p Zoo =p a= aS uS Se aAn u mm mp mm m'° mo mo nn �o N o e 9 N m F N a0 Z-I = W n egj mn c- ,O°O Sao A -i P 1�3 G o N V F O A n w N P J > O O O O N C P W W tOA N O W N O O O z ( \\ �\ \\ /w \ \ \ \k ) \0 ] | (\�\ \ /\ ` \ k \ \ ƒ / ` { . \\j - - [ | ( \ \ \ \ \ \\ C - - - �( / 2 K#!! m-2K§ !;(\( /\2 E \ 0 !ie ! 777: - ;(k§ \ !]§ § �j( l`�` \ �( ( E O 0 y 0 C 0 ,00p x z a cai .z�..]] yzy D D a tn' F F y S A vDi C c 7AC m 1 m m � a 0 O O O p 00 m > a y O r0- O j -i zz n m y Z D D O z y m Z r h 9 O D y m y m m O t m o c n � R R L (R rt r0 nF_ 'nO 9m �-1 a tm- k F k A D-7 �xxm rp n 9 Zz n7C) D rO rp _O < rn0 D n`G r) D o 'aa o z n n n zp g rm D z no o � �m c o yR s 0 a = x z n D m 9 vo,v O p y 3 z R° R y y D n z z z z Z z c r z r � p ti y, YJ N U S `O J G O O np rp yp D p D gmp � y o C mp No a7�p F - m -7 'on man m�-zj on on Dn a N ^' D-7 an y-] yo a Mm"' D Om`^ O K O a u * D D O-i <W K Dr ^�-Z3 r3 K K m mn nA zca DSO CmN Onm rm� pyrn-r Ar yn o so\. yA zo ym jA9 mmJJ!! A_AO �mm NyO pA mDo 3Do 8=o igN m� r8 `°� nS Zo mA p .o a u my 3 o �yyn morn m >,o 0.o '� N39 D O 5°°° Am.-3 a On mn ° vp �O Am AOn Do Zz Fn O ao a m' y �' N = -m72 > ^N' 00 mK N� o 'z a N m m z =a i 9 m m mm Z N aM1' ya z z r y y a nN+ D O N N O W I I I V O O A O J A O U O p R R n A L ! N2 >2 >2 E ( \ /\ \ �\ \ z� \ \ \ \ :�!_!_ ,r \\§\ / §/ ` / \ ` � } rm § § (2 P =Rr= -` \))Z) }§ /9\ ( ( tv 9;9w\/; \\ \}po 2:; ` )E/� `[ ) ( \ ® d ) | \\\}\\ �\ \ �\\\ \ ; )!/ §§7 / §§ ! , \ | ) � | )}(//;!( \) \ ! _ §kE � )) - \/j �)) _ $&§ ®`§!2!§;§ ®®§ E ~ 42( §\\)\\9§! �)! § §!§ \/; 3 / } \0 \0 \ ;@! ! :E \ �j\/)\ ( �)( §)k/$ (` \ ))\. ( ( { ( \ \)� } \ o r r me mC Amp �� nm x a A A O A p m O y O y O 9 O O Y y 0 mm �FO 7+M AM M 2 S 7w7aa -Di 7�m�tb '�" '<<n rn z z dmi tmii n 0 m m n 0 o P P P P P P P A P P r P O O N W W O O N N O N N Q n A W n O zn zn -l0 nn -4 r) -l0 nm nm Y nz nz m�'a 3< < �m yyx6 30 3p 3 0 30 a ' > a Y Y �' ra- O p y m y 3 .Z] -z-1 " z y o= m n n rr ,�'+� rr r rr Cm Cm n n Cm z o o' p a m m r 0 -j 'a r0 n r0 z,v z A C z F G m m m nz z nz m n z 9 D m D �' M� Z ? a D m D n O Z Z Fi n < n O O tm7 p 7ma A O 3 z z m U NO NO N O N J N VV'i VV'i W P Vi � Q 3 Z J J N y OW P A W P C 0 � N m r r r m w M -i m P- ma- O FD D Y mY m�0 W 0 CoD mD Mw> mwD p> A0 'mav a w �{ K -AC u< Nn3 m+3i moot via Ok'j Oa'j -i� W A A N JW O m0� A� f7 Nr NOV SN m�N mn IAOn O t �S m N t o o' W A W goo co D � >e�D Ama r <o 'mow v O o Wp z F F < 'A �F C� „< mu'� mu•x m W W m a a W N O b'n W A O O O O O C C m D C C y a o a 3 3 yy3M n Z n Z z x y A p O b O U e y 0 '� 9 $ Dp <zD �'ZD zD ZD as nn C n vc Z m Fn �m NCn nCn On 0a0m _i r 00 ZDC 9DC cvn a�an cC ma o y z cm zm nzm YC Zm aC zm'�m .njb y <o m0 mm� m0 m0 pm 3 �z m r m y r p c n m m S C Z C w r m' N gym, m r a o z m y m -ni z m O r r m Z OC N z G m N F O O N O O J O J O J A y P J P W P O N p 6 rt Tn rn rn an C D 7A m 0 m 0 O 0D mn < nn n m n nX n n a < c N N nm nm 0 ON CN 0N VDi �N QN Nr O ao wn wn o n as Da z� za zD zD za za rr z my O O �7 r� r< N yy =N y yy r0 nm m -I F O0�a, A <m mp, D r m z< m Z< mo N fj m0 n m0 wn m0 mn m w�j m0 Nn m n n D-3 y n y n -D-i .a-{ � � rm, � z° °z z° z° °z °z G z z y U U W N N J J J J J J O ry �O CO W N P U lA U U J Oi J LG J % J W J U J W N y I O = Z O U J J b A y N O O S O O O 3 n AQA O=m C.'a Zm CA ZW X W x mmm 0NF mcw mb- w w a a n aD bn Aa bn �D bn 'tea ^m Cm-n zmg Og .n Og Db- �?g 8 O A m� 3n m� 3n mr gn mr �n mr 3n mr 3n yy mm o CZ.O CO CO CO N3 N.� x� W aamp NfmA W N N 3� 3O $U 3U 3u E3 O Off= b'mif0 GG ��G O O Na NU N� Np N� Np bC Q mX0 -ai y N'�N -W, r a2 DT DT DT ax n n mW Am a� y r��[ Z bZA �n-1 H_ r'b l"'b P'b rb fob Pb C m F� Z z o 0 0 0 0 0 z n N N N N N N N N N N b w P N W N N A A W O � VAi VWi N U N W b N N b �O C C J IJ IJ O Ca O O O O O O p n c c 3 mn m c n D A O z r y H S n m m n OW y O r 5 y S a n x 0 r P P P P P P P P P P P P P w n n rt n< On9<nn nn -1n n< nn A p n nOlOn cm mD Scm mDmm zO- Onyrm' 08n D19r+n+ tn6, ny0 X< n pDa -q rD D m w F w Om aF 3 n m w D () A n n { 22 m_A 1"JEa -ova gn 3ma g�a 3� ma na -��a _-�z mma Ca ca -� ANp y W Oyu -40 C m� a.D'7� y"'� j W Om 9Nm pDm yCr W Zm.Zm ZDZrn1"Dnu m'YOZNrmn-a <mna ,<n awv A •mC na D uow- F`Nn rz l<n0n Ap�PD A a`�' sO0 w ZN wtA9D mDmn n nD D n <D 0 D p O m mDa '9mu tip H w DA OA Dn_ Dn_ m O 0 v O P J J to O J w w .P to w b A to Vi C\ 1n N �D to A O P o O J o In 9 W Ic 0 o- Wa WA AO x0 nv pv ma my A O Au n n n z -i -] a a w N a N V� N pW J O M N P A c c N b3 r � y a 3 y Cm H 3 by r � n m m w r r a z m O C N P W W W W W V�i N N O O ma oz ac oa a �z < p A r z �O 3 wD r rr o> w� y0 y Sm ZvAi ZO ZO n A n ni n r O m N •A•• T O O Vbi J N N O p O mQ gym OA r W mD.b mAm 0 x >ow - Zro p�R n z n Fwm D W a �+ W n mD y y 0 0 0 0 0 0 0 0 AO a0 Q �o nd mD mD �z �oz m m n n n n y H A W J O O � y U n P O A c a m 3 m o y M> O D m n a r n an -_; ym m N a m z 3 a m Z -zi m n n m o .z.7 A z m r ur m r H O y H P W W W W W W W P W P P P P P p O O O O O O O O O N O N N N O O p 6 !Am via Nm wa wM ma Vim v,a rnj u,D wyy Dx nX nZ zzr-mDyyy3 wyar wran a0O Hran ,mwai,PO mnOw �0 m O< o n0 Cm 0 00 nDpnapnDpOaryi.mm a0 0AO a a O m Z Z0Z O a a yyy yyy N N N 'C a p a z N n'a n a °z y m oz °z o y 2 m zp m m O O O A A A T P V� Ca P P P A J O ry A A a A N N N N N N U A W W Oa �O W O O O O W U 3 I N O O N N N W N A W U tJn tJn 9 p � Z 0 C O NN N J b W W N oe U co U oe U u O eo �• w U N W O O N d V� O '3 a.'A am� soNJ am>�., aP 0 mwmmwmwW m mx mmm wa m tP a p wow m� oNV ma� osJ m o m O O <zO z o ao M:Et O v t�J N N a N mnmn O na Ny D Um =P O U R. Za Gy zma O n n O O ZD ZD m9 <n wyn wzjn p w y nn w m m m •a- r r m c m 7a ,v a a a Ony v, m y 3 ec Oaa �mc A�'•'' PmO -iZ Z a o D D tivw, y y� O 0 y y y y p p o o n y m m rt c J W N U T IA W J J J J A A A J N A J W CO O d U O U O U O U O O O O O O O J U P O Oa J J N J -• A N J �O P O O O O O O O 0 -i o- P P P P P P P P P P P P P P P P n O O O O O O O O O O O O O N O O p 6 yy p n G n< n< 00 v0 A-7 A-lAa, "3n m-ImyDn mtian m-ian myan Orzn O 00 jjj D D nmA DNTmI DNTm. < y D y 9 y D n-7 z tNnA m F o 0m<n O<ZO 3O<O Nr w r. w r. N rm Nrm N rm ooe H Zt3�mr Oyw Ko w- ma Z 0 0 rn 0 m nA O m A� n -nl A A A A A A A p O ~ A n < < < -nC < y y x Z N N N w N W t! N N Po m O O O< _ �. Rn U U U J J J N N N N N N N A A O O O p 0 u N N N � P W -.z u U o a V G G G q w WJ V w S E m`2 -N.7rA m[NnJA a EA �A 3 A �b on A �A AA A A O0m m am }9m < m m mm m'n mn n mn m m mm mm A j A m A A w A A o A (} y A A y A ... "i -{ - j ,,.� -I A A Z A Z P O <Jo no <Po <oo mo mo m= m= ? mAiG mA O PoO mo mo v O A i A O A O U U U G G c! mO N A� ma N m VAi O AO Aa R'� RG R A m Ii C� O U U U N_ N A - A O O a! U W U 9 J 9 J O >y �p ym 'C)�<<utoO aN cay A rA j� z n m m O Oom m o ;'• N -Ni a A m 0O O O W N N n a n a O N m A �O C7 ; z _ A O n 3 fZj -1 a A 0 O � 9 o � 0 N m [tl rt < bD A m 3 � w D � A N b a n n r n w rt z z Z O j m y n n n0y nrrs mC mC9 mN A <X< OnOO< O0n8< OnO< Cm'b9 O 0 D D O O OD m9m r r r D S D D > A A A Z w n� n� m m D 3 H e m m m m m m a a a m a A m n n z o O W W N W N M P P P W = P P OJ N W N W N EO N W N y N < 0= ? Y N O 3 a N a N O O O O O N N O O O O O O O N N N 30 DVi 3 b 3'p N A b A NOD 'JJ NCO 7,� NGp N V A N b A N�OA y N O O O z 0 O y -1 ,ml - D y a' Z ,D. y W A N W A N� A N A N W A NW A N W o N 0 25 a p� Fn <mOO A<m OO mO n A# 01iAn bO NA f Nm0°° m<O0 mOG P UA nOn N ZZzn7 '< x<OO �5a f F<OO n 0 mnmny m o u o O n U �a Zn n-n_-77 � •Nin Kyny � y�y p9 iJ y ,-tn ,ao O D z y a A n y w m 2 AO r j Z0 r m m D�z D O n mo { y m ° � z z a O m 0 O W Or ao on n> A Ao N O <�n0N O yzAO �z9 mD0 A J 51 J O w N �p O U O lW/1 O t/i O VWi O � O W O W O r p a ZC O D H W m 0m zd m3 D ^n H nn j n mA nF m m m ym wm m3 n0 -Zi3 mo Drmii n-a O m o Ar m n A0 '9O ZO rm A n 3 0 c `n 3 n0 A w n n n [Cnn r m D > F J N V F = < 0 W W N to O W C O N n N DO A V l m0 - i N ;�O w y0 w O N O W m a'0 Q w AO A R w OAO N r0 - 3 'm a 0 ci\ - 0o ozF .-jo (1'jF O C b W n N O O N J x� 0 A J n w mr Z~ z z y Az ZO o m0 > mD '9D zm o n Zj a> _ -1 m A r -! n 7W� D a' z mn z b z z m O 71 U O O U N J �O O� O n 6 ry O O b D D H m m w e e a a a n 0 o g 0 o c 6 Ana nj mj < >> D> r 0 r 0 r 0 C - G R h ^- \ \ � ! £ §(\\\(\\§ K� \j $ ) » `� i o O O O � m v e a p D � A 3 3 o � n b my <za 2D za n XC yyn yn yn r Z L� z c C C n m m m m yy �o A no R m m O m Z z C > n > r a A n n 0 0 0 o z O p p a N p .a O m u � m 3 � Z o � O b nc A rzD ZD zD �, DD On 0 r 3F z mC ccO cn c0 Z y r o z m z m z m p m p Zn 0 n 0 n 0 O n" m c- m m m m C A r n m T T T W V V 1I I r 0 O ;0 z.mn aOm O�n m 0�n m O�nya 0D D DZm .�e ZD n m zm�mH"m 0 m`0`m � m0 A o n 3 -Di 'n O W W J J J J J I p< W VJi vJi 9 J o O o 0 0 o O maro nam roDro pro ron ron ron n ti rp Ono a00 m0 AD nD wD AroD a nn KQn < n n mn mr; mr m mr �r ,o0 ��O r10 zO c0 CO CO CO 9 n oo3 y�n3 O�n3 $ -,}v 3u 3� 3u o mNa $a w� -Ai bm >m oM vm o O aca pm Am �'m v' �`"� �ai o� m Pro Fro Fro rro o n E o_ > o_ ro o 0 0 0 m m m N N N N .ro A p g a O O O O g a D y 3 S Z m o e � rt m � a n no n OC r < m y z° 3� m 2 zm r � > n O> >> z r < r 0 oz z 4c °z0 o d m A N O ry O rn zo >yyy oN> FX -� �A X nN mn xo " ^ n icy -gym nm -1m 'v y n y x n a 0 c 0 c � N m z o j z 0 0 m 3 y S mZi 0 e 0 e - - ;am <-a r-a a 9 9a n -Zi yya �;..n �n n yn yn C7n r Am ZOr3 OAC�mA =9 rp AA AC,y A CA nA Z y C y y C y C C C Z- J-n n0 nnO nO n0 OO _t0 00 m mm m m 9- ZRp A O p z a '°z r a r Z N > r n -7 A ryO 0. n O GFe � b b J A J J w P n c � 6 �A my m Ap 0 -n 0H OH 0-1 0 < No H Wm xym mI'.] mm mm mm D O Z 9 r n= A H< 0vi o> ON 0" 0> C 9 r Z y m y 3 a z m Z y Z H Z w z y Z y Z < O r m m N-3 O A [D y y :J y '`'S H y y N 3 Z OO Z <O p Y vi�j umiOn ON m� v'00 �'00 m > n m O H w z Z Z z D K H O r m O N L J N L O J J J V J j Z n 0 0 o � m O m O m O x. � o N m O m m O m m n Q W O_ O u U U � ry _O VOi VOi pazc omc C77a q aA`c Cvaic P,0C pn mD �n an �n N m0< py< py< <0< m<m nm< ncm rZ< m� fnr m> m> m> NWm A<m C7 A<m Otm-O w=�p rmm NrX 3n Cp 3n cp �n CO �n Cp 3n CO oa0 oe D n8 W n H M p �00 mm W O ypC9 ��.1y W �'� � u 30 o O o Z O O O O O O N O 9 p a N O N O N O N O N O � mm W m,�$ ��bmm> CAI N,mb zm� bm mm "DOm Sm 9m n W `< N H m z O n 0< z z al. m N N" a r�ZA? O a r m r' A v F: r m 9 H no < < C3 0 0 0 0 0 O m O� ut W N O O N O W O W W W O W O O O C O O o O O O W R P N N P N P J - IJ n c