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2022-03-30 Final Packet
_ All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance .V/(number of 1295's ) AII Documents for Clerk Signature Flagged On this -W,'— day of 2022 a complete and accurate packet for 3 v of 2022 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. fia/� Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA NOTICE OF MEETING — 3/30/2022 6. Public Hearing regarding amending the 2021 and 2022 Calhoun County budgets. Closed regular meeting at 10:02 a.m. Candice Villarreal gave a report. Regular meeting opened at 10:19 a.m. 7. Consider and take necessary action to amend the 2021 and 2022 Calhoun County budgets. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action on a Mott MacDonald proposal on the scope of work for engineering services to Calhoun County Precinct 3 for assistance with the feasibility study and alternative analysis of the Olivia Haterius County Park Shoreline Protection and Restoration Phase 1 Project. Services are to be billed on a time and materials basis, not to exceed $48,000.00 and be paid out of GOMESA funds. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to authorize the County Judge to sign the proposal and all necessary documents between Calhoun County and CFI Mechanical, Inc. for the Calhoun County Courthouse Annex Rooftop Air Conditioner Replacement that was awarded on March 23, 2000. Form 1295 was included when the bid was awarded. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to accept an anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $350.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 NOTICE OF MEETING-3/30/2022 11. Consider and take necessary action to approve and amend the County Covid-19 Policy. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the Sullivan/Lucas wedding to be held on King Fisher Beach April 23, 2022 with setup to begin with self-contained restrooms as early as Thursday, April 21, 2022; tent setup on Friday, April 22, 2022 with removal on Monday, April 25, 2022. Liability insurance will be provided with Calhoun County listed on the policy. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to appoint LaDonna Thigpen as the Labor Standards, Section 3 and Civil Rights Officer for the CDBG-MIT contract number 22-085- 014-D245 and authorize the County Judge to sign the appropriate forms. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action on a resolution of Commissioners Court authorizing signatories for the Community Development Block Grant — Mitigation (CDBG-MIT) grant from the Texas General Land Office CDBG-MIT contract number 22-085-014-D245. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to execute service provider contracts for the CDBG- MIT contracts related to the GLO CDBG-MIT contract 22-085-014-D245. The previously awarded providers are G&W engineering for engineering services and KSBR LLC as grant administrator and environmental service provider. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 NOTICE OF MEETING — 3/30/2022 16. Consider and take necessary action to designate April as Fair Housing Month. (RHM) Judge Richard Meyer read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to update the Flood Damage Prevention Order to explain in detail the requirements for construction of (such as but not limited to) certain fences, separation walls, partitions, or barriers in VE zones and AE zones adjacent to. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to accept an insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages dring 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, Reese 19. Consider and take necessary action to declare the attached list of items from the Emergency Management department 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, Reese 20. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 5 NOTICE OF MEETING — 3/30/2022 21. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:40a.m. Page 5 of 5 I I�Iu11( r i-)F l'Vll l !l'j(! "; Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern JLyssy, Commissioner, Precinct 2 Joel (Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, March 30, 2022 at 10:00 a.m. in the C;om miissioners' 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: �;� FILED AT_O'CLOCK a, M Y""Call meeting to order. MAR 2 5 2022 L. 1nVOCatIOn, / AN IAM.000OMAN CO V LE ( �LHOU I�OUMY. BY: 11�Pledges of Allegiance. h./General Discussion of Public Matters and Public Participation. Approve the minutes of the March 2, 2022 and March 9, 2022 meetings. �lose- of-06'Public Hearing regarding amending the 2021 and 2022 Calhoun County budgets. R cla e oyi.-�onsider and take necessary action to amend the 2021 and 2022 Calhoun County budgets. (RHM) `ff. Consider and take necessary action on a Mott MacDonald proposal on the scope of work for engineering services to Calhoun County Precinct 3 for assistance with the feasibility study and alternative analysis of the Olivia Haterius County Park Shoreline Protection and Restoration Phase 1 Project. Services are to be billed on a time and materials basis, not to exceed $48,000.00 and be paid out of GOMESA funds. (JMB) 9. Consider and take necessary action to authorize the County Judge to sign the proposal and all necessary documents between Calhoun County and CFI Mechanical, Inc. for the Calhoun County Courthouse Annex Rooftop Air Conditioner Replacement that was awarded on March 23, 2000. Form 1295 was included when the bid was awarded. (RHM) Page 1 of 3 NO I I(:E 01 IVIf I DING A/30/101) 10. Consider and take necessary action to accept an anonymous donation to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $350.00. (RHM) 11. and take necessary action to approve and amend the County Covid-19 Policy. (RHM) ` i Consider and take necessary action to authorize the Sullivan/Lucas wedding to be held on King Fisher Beach April 23, 2022 with setup to begin with self-contained restrooms as early as Thursday, April 21, 2022; tent setup on Friday, April 22, 2022 with removal on Monday, April 25, 2022. Liability insurance will be provided with Calhoun County listed /on the policy. (GDR) `1'�. Consider and take necessary action to appoint LaDonna Thigpen as the Labor Standards, Section 3 and Civil Rights Officer for the CDBG-MIT contract number 22-085- 014-D245 and authorize the County Judge to sign the appropriate forms. (RHM) Y4/Consider and take necessary action on a resolution of Commissioners Court authorizing signatories for the Community Development Block Grant — Mitigation (CDBG-MIT) grant from the Texas General Land Office CDBG-MIT contract number 22-085-014-D245. (RHM) 75. Consider and take necessary action to execute service provider contracts for the CDBG- MIT contracts related to the GLO CDBG-MIT contract 22-085-014-D245. The previously awarded providers are G&W engineering for engineering services and KSBR LLC as grant administrator and environmental service provider. (RHM) 16�Consider and take necessary action to designate April as Fair Housing Month. (RHM) Consider and take necessary action to update the Flood Damage Prevention Order to explain in detail the requirements for construction of (such as but not limited to) certain fences, separation walls, partitions, or barriers in VE zones and AE zones adjacent to. � HM) 8. Consider and take necessary action to accept an insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages dring the Winter Storm the week of February 15, 2021. (RHM) Y9. Consider and take necessary action to declare the attached list of items from the Emergency Management department as Waste. (RHM) 70. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) Page 2 of 3 I IUUTIt I of IVII E l iNC; (I2I consider and take necessary action on any necessary budget adjustments. (RHM) ' 12. Approval of bills and payroll. (RHM) /-% Richard H. Meyer, tour Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 3 of 3 #5 NOTICE OF MEETING — 3/30/2022 5. Approve the minutes of the March 2, 2022 and March 9, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 19 Richard H. Meyer County judge David Ha➢l, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, March 2, 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. Attached are the true and correct minutes of the above referenced meeting. t Richard H. Meyer, Coun Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOTICE OF MEETING — 3/2/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 (ABSENT)Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Conunissioners' Court of Calhoun County, Texas will meet on Wednesday,T March 2, 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. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a report from MMC. Roshanda Thomas gave the report. Page 1 of 5 NOTICE OF MEETING — 3/2/2022 6. Consider and take necessary action to approve a grant management proposal between Kathy Smart and Calhoun County to manage CMP grant paperwork for the Magnolia Beach and Indianola Pavilions and authorize all appropriate signatures. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judqe Mever, Commissioner Hall, Behrens, Reese 7. Consider and take necessary action to approve utilizing the Calhoun County Recycling Center for a cooperative program with the Texas General Land Office and Calhoun County partnership for the TXGLO VTIP (Vessel Turn In Program). (DH) GLO spoke in regard to the VTIP. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 8. Consider and take necessary action to approve the Preliminary Plat of the Replat of Lots 4 & 5 in Block 5 of the Tilke and Crocker First Addition to Magnolia Beach. (DH) Henry Danysh spoke on the prelim plat. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 9. Consider and take necessary action to remove a 2014 Ford Explorer, VIN 1FM5K8AR3EGB90852 from the Sheriff's Office fleet due to being totaled in an accident. CoPart has been assigned to pick up the vehicle/title after all equipment has been removed. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 10. Consider and take necessary action to approve a lease agreement with Quadient Leasing for a iX-3 postage meter and authorize the County Clerk to sign the agreement. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Page 2 of 5 NOTICE OF MEETING - 3/2/2022 11. Consider and take necessary action to approve a contract with Certified Payments, a new credit card processing provider for the County Clerk's Office and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 12. Consider and take necessary action to approve Addendum Number 1 to the Invitation to Bid and Specifications for the Calhoun County Courthouse Annex Rooftop Air Conditioner Replacement, Bid Number 2022.05. (RHM) Everett explained Addendum No. 1 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 13. Consider and take necessary action to continue participation in TAC HEBP ARTS Program and authorize the County Judge to sign the agreement. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 14. Consider and take necessary action to approve a Blanket Access Easement Agreement between Calhoun County and the Calhoun County Independent School District as described in the attached document and authorize the County Judge to sign all relevant documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 15. Consider and take necessary action on the Special Road Use Indemnity Agreement and Permit from Tres Bahias Solar Power, LLC., and authorize the County Judge and Commissioner Behrens to sign all relevant documents. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Page 3 of 5 NOTICE OF MEETING — 3/2/2022 16. Consider and take necessary action regarding the expiration of the MMC Underground Storage Tank Policy on March 13, 2021 which is no longer renewable. (RHM) Roshanda Thomas explained the situation. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 17. Consider and take necessary action to extend the Interlocal Agreement with the following agency and authorize the County Judge to sign the contract and purchase order. (RHM) Calhoun County Soil and Water Conservation District No. 345 $ 7,750.00 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 18. Consider and take necessary action to accept an insurance proceeds check from TAC in the amount of $7,969.71 for damages incurred during the Winter Storm the week of February 15, 2021. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 19. Consider and take necessary action to accept an insurance proceeds check from TAC in the amount of $2,095.70 for damages from a windstorm to the Port O'Connor Community Center Pavilion roll up doors on January 31, 2022. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 20. Accept Monthly Reports from the following County Offices: i. District Clerk — January 2022 ii. Justice of the Peace, Precinct 3 — January 2022 iii. Justice of the Peace, Precinct 4 — January 2022 iv. Tax Assessor -Collector — January 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Page 4 of 5 NOTICE OF MEETING — 3/2/2022 21. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021 RESULT: APPROVED [UNANIMOUS) MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES, Judge Meyer, Commissioner Hall, Behrens, Reese 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 22. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 2021 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 2022 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Adjourned: 10:38 a.m. Page 5 of Richard H. Meyer County judge David Hail, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners'Court of Calhoun County, Texas met on Wednesday, March 9, 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. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, County Judge Calhoun County, Texas Anna Goodman, County Clerk VLYII�""l, Deputy Clerk Page 1 of 1 NOTICE OF MEETING — 3/9/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, March 9, 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 called to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Public Hearing regarding the proposed adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2022 through March 8, 2024. (RHM) Closed regular meeting at 10:01 and opened the Public Hearing. Opened Regular meeting at 10:01 Page 1 of 7 NOTICE OF MEETING — 3/9/2022 6. Consider and take action necessary action to adopt the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2022 through March 8, 2024. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the 2022 Calhoun County Resolution for the Indigent Defense Grant Program. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Public Hearing on a Petition to Vacate Lots 4 & 5 in Block 5 of the Tilke and Crocker First Addition to Magnolia Beach. (DH) Closed regular meeting at 10:05 and opened the Public Hearing. Opened Regular meeting at 10.06. Henry Danysh explained the reason to vacate. 9. Consider and take necessary action to Vacate Lots 4 & 5 in Block 5 of the Tilke and Crocker First Addition to Magnolia Beach. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to authorize the appropriate County Commissioner, upon the recommendation of G & W Engineering, to approve and execute any change orders for all current General Land Office CDBG funded projects related to GLO Contract 20-065-064-C182, when determined necessary or beneficial to the County. (DH) Peggy Hall stated the contract number is to read 20-065-064-C182 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 7 NOTICE OF MEETING — 3/9/2022 11. Consider and take necessary action to approve the purchase and installation of a reverse osmosis unit from Aqua Purification, Inc. for the Calhoun County Airport (Gateway Flight Center) and authorize Commissioner Lyssy to sign all relevant paperwork. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to accept a check from GEICO Secure Insurance in the amount of $1,700.12 for property damages to Precinct 3 Building #4, and deposit the proceeds to Road & Bridge account 560-60520. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to accept the resignation of Rhonda Kokena, County Treasurer, from the REDAC committee. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to nominate Anna Goodman, County Clerk, to the REDAC committee. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to adopt a Resolution appointing the Chief Appraiser (or his/her designee) of the Calhoun County Appraisal District to calculate the tax rates for the 2022 tax roll. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 7 NOTICE OF MEETING— 3/9/2022 16. Consider and take necessary action to approve the Homestead Exemptions for 2022 with no changes. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to authorize a loan in the amount of $240,000 from the general fund to the grants fund for the 2021 Operation Stone Garden — eGrant Award #3192807. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to approve a grant management proposal between Kathy Smartt and Calhoun County to manage CMP grant paperwork for the King Fisher Park, TPWD Recreational Trails grant for Boggy Bayou, and GLO CEPRA grant for Swan Point. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Consider and take necessary action on Amendment — Number One (1) for Contract No. 017: Green Lake Park Development with Matagorda Bay Mitigation Trust to extend the original Contract Period; the funding amount will not change; any and all expenditures of funds under this Amendment shall comply with all requirements under the original Contract, the terms and conditions herein, and the attachments hereto and authorize the County Judge to sign all documentation. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to approve the Order and Release for the Johnson & Johnson/Janssen Texas Settlement and authorize the County Judge to sign all paperwork. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 7 NOTICE OF MEETING — 3/9/2022 21. Consider and take necessary action to declare as Waste and remove from the Precinct 4 Road & Bridge inventory item 20-0350 Wireless for Internet access. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to transfer to Precinct 2 Road & Bridge the following items from Precinct 4 Road and Bridge and remove from inventory: (GR) a. 24-0459 2005 Ford F150 1FTRX12W75FB28444 b. 24-0382 2007 ChevroletC2500 1GCHC24K87E594349 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Consider and take necessary action to declare as Surplus/Salvage and remove from Precinct 4 Road & Bridge inventory the following: (GR) a. 24-0410 2011 Chevrolet 4WD 3GCPKSE31BG131248 b. F541-0187 2007 Chevrolet Kodiak C4500 1GBC4C1G07F417595 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action to declare as Waste the following items from the County Treasurer's office: (RHM) a. Box of Miscellaneous broken office supplies b. Telephone cords c. 2 broken Brother Desk Printers RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 7 NOTICE OF MEETING-3/9/2022 25. Consider and take necessary action to transfer the following items from the County Treasurer's office: (RHM) a. 2 Kodak Scanners to Narcotics Department b. 1 ID Armor Shredder to Narcotics Department c. 1 desk organizer to Narcotics Department d. 2 ergonomic seat cushions to Narcotics Department e. Miscellaneous box of ink pens to Narcotics Department f. 2 APC Battery Backup to Library g. 2 staplers to Library h. 3 Inspirational canvas prints to Juvenile Probation Department RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 26. Consider and take necessary action to transfer 3 office chairs from the County Auditor's office to Precinct 3 Road & Bridge. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 27. Accept Monthly Reports from the following County Offices: I. County Clerk — January 2022 ii. Floodplain Administration — February 2022 iii. Justice of the Peace, Precinct 2 - February 2022 iv. Justice of the Peace, Precinct 5 — February 2022 v. Sheriff's Office — February 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 7 NOTICE OF MEETING — 3/9/2022 28. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 29. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 2021 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese 2021 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Behrens, Reese Adjourned: 10:32a.m. Page 7 of 7 NOTICE OF MEETING — 3/30/2022 6. Public Hearing regarding amending the 2021 and 2022 Calhoun County budgets. Closed regular meeting at 10:02 a.m. Candice Villarreal gave a report. Regular meeting opened at 10:19 a.m. Page 3 of 19 PUBLIC HEARING — 3/30/2022 Richard H. Meyer County judge David .Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, March 30, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing in the Commissioners' Courtroom, 211 S. Ann Street, Suite 104, in Port Lavaca, Texas, regarding The Calhoun County Commissioners' Court will hold a Public Hearing on amending the 2021 and 2022 Budgets, in the Calhoun County Commissioners' Courtroom, 211 South Ann Street, Suite 104, Port Lavaca, Texas, on March 30, 2022 at 10:00 a.m. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government code. A0;,,/I (1 FILES CLOCK I PA MAR 2 5 2022 AN .GO NMAN �' UN 5 CO BY: AH. Meyer, ' my Judge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. Foryour convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 1 of 1 I NOTICE OF MEETING — 3/30/2022 7. Consider and take necessary action to amend the 2021 and 2022 Calhoun County budgets. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 19 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Monday, March 21, 2022 9:45 AM To: Mae Belle Cassel Cc: Richard Meyer, Candice Villarreal; Peggy hall; Erica Perez Subject: Budget Amendment Hearing Agenda Items Please include the following items on the agenda for 3/30/22: • Public Hearing regarding amending the 2021 and 2022 Calhoun County budgets. • Consider and take necessary action to amend the 2021 and 2022 Calhoun County budgets. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy.mueller@calhouncotx.org Calhoun County Texas Mae Belie Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Wednesday, March 9, 2022 1:13 PM To: Mae Belle Cassel Cc: Richard Meyer; Candice Villarreal; peggy hall; Erica Perez Subject: Budget Amendment Hearing Please schedule for 3/30/22 for 2021 and 2022 budgets and publish notice required by Local Government Code. Sec. 111.0075. SPECIAL NOTICE BY PUBLICATION FOR BUDGET HEARING. (a) A commissioners court shall publish notice before a public hearing relating to a budget in at least one newspaper of general circulation in the county. (b) Notice published under this section is in addition to notice required by other law. Notice under this section shall be published not earlier than the 30th or later than the loth day before the date of the hearing. (c) This section does not apply to a commissioners court required by other law to give notice by publication of a hearing on a budget. (d) Notice under this section must include, in type of a size at least equal to the type used for other items in the notice, any statement required to be included in the proposed budget under Section 111.003(b). Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindv.mueller[@calhouncotx.ore Calhoun County Texas 1 0 I In C v Z H N 7 O a � Y! rn � O y C SL re IAD 2 C O W� v o m 19 R ra :s0000�oo i cn o o u> to o tn, FOR t�0 f0 � _f00 90. I a 2 m zA Y/ j O a m n o A- n a O n � o''SO n° o � N C n w x a 3 � T Z°m M 3 m 'o y W 3'10 r� � C z o v X N Q N 2k / *■ i� � ( k § m £ « £ * mE m �ZE Cl) $ | \ #o z $ z /o �.. \� 0 \ 0 1ME niz �/ - ¥\\) 91 14 0 _ / § q( \ z .\ :) /.. \ £- o§ \§§ 14 �) , �� \ ■\�� �` k\��\: 1\ ... c § 2 m � d � t � a■©^ \z |/\ : 2 GOD\ may. 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O Rd aae "tt p� X W e W s W-O W O N W 0..GO M W -0 ` O v M tO W M � 60 O O O O O O W � V3 f9 E9 M EA (A C 0 0 0 0 0 0 to «A to fA ui = 4 C rxxxx 0 U' U' U' U' J D :) D D 00000 - J J J J J Q 'Z ZZ Z'Zrn Z Q Q Q Q W =WWWWW �xxxxxi �wwwww z_'. z z z. z g 01300�Z O 9 0 0 9 W e � a u�. in Un u, , rn rn rn rn rn 6V V V Vd' ewe I W W U r Z �> 6 L OV W Co Z W > W 2MWM W Q > Z9�ZOaI (>za, Z Z L W W = i r F M N N N M Z LU Go W m N O N F'- = M _ ca CO CDs Go 661 JU Z _W GOD '=8 00 _W 3 _ ui BE rK O P Ot 4 a -Z` v V =W' Z W _� OC - = FLL NC 6' F LO to h O Z 2 =.O v,C 6 Off'. vc LA 661, Z t0 N rn Las GOD 3 W LU V I Z!W LU ='Z 0 NOTICE OF MEETING — 3/30/2022 8. Consider and take necessary action on a Mott MacDonald proposal on the scope of work for engineering services to Calhoun County Precinct 3 for assistance with the feasibility study and alternative analysis of the Olivia Haterius County Park Shoreline Protection and Restoration Phase 1 Project. Services are to be billed on a time and materials basis, not to exceed $48,000.00 and be paid out of GOMESA funds. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 19 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 - Office (361) 893-5346 — Fax (361) 893-5309 Email: jml.behrensAcalhmmcotx.or4 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 March 30, 2022. • Please Consider and Take Necessary Action on Mott MacDonald proposal on scope of work for engineering services to Calhoun County Precinct 3 for assistance with the feasibility study and alternative analysis of the Olivia Haterius County Park Shoreline Protection and Restoration Phase 1 Project. Services are to be billed on time and materials basis, not to exceed $48,200 and be paid out of GOMESA funds. Sincerely, Joel Behrens Commissioner Pct. 3 M MOTT M MACDONALD March 16, 2022 Joel Behrens Calhoun County County Commissioner for Precinct 3 24627 State Highway 172 Port Lavaca, Texas 77979 361-893-5346 802 North Carancahua, Suite 300 Corpus Christi TX 78401 T (361) 6613061 mottmac.com RE: OLIVIA HATERIUS COUNTY PARK SHORELINE PROTECTION AND RESTORATION - PHASE 1: SCOPE OF WORK Commissioner Behrens: Mott MacDonald is pleased to submit this scope of work for engineering services to Calhoun County Precinct 3 for assistance with the feasibility study and alternative analysis of the Olivia Haterius County Park Shoreline Protection and Restoration Phase I Project. The work shall be performed as a time and materials not to exceed task based on the rates found in the attached Mott MacDonald Manhour and Fee Estimate document. The work outlined in this scope of work consists of data collection, performing coastal engineering analysis, developing and analyzing shoreline protection alternatives, and developing the preferred alternative components (bulkhead, breakwater, revetment, living shoreline, etc.) to a conceptual level of design. Task 1. Project Initiation and Data Collection Mott MacDonald as the Professional Service Provider (PSP) will organize and attend a project kickoff meeting in Port Lavaca to discuss project site history, goals and expectations, schedule, and milestones. PSP will develop meeting agenda, provide handouts, and compile the kickoff meeting minutes for distribution to the project team. Meeting minutes will be included within a Technical Memo of Understanding. Existing and new data collection is required to develop a comprehensive database of physical data and available knowledge relevant to the Olivia Haterius County Park shoreline that will be used as the basis for the coastal engineering and alternatives analysis. PSP shall gather and review publicly available geotechnical data within the project vicinity. Publicly available historic aerial photographs will be collected to quantify historical shoreline morphology. PSP shall perform a literature review and database search for information pertaining to oil and gas infrastructure including wellheads, superstructures, and pipelines in the project vicinity. M MOTT M MACDONALD An assessment of the existing infrastructure will be conducted on the rubble revetment, boat ramp, vinyl sheet pile breakwater, concrete panel bulkhead and natural shoreline features. New topographic and bathymetric data will be collected at the project site for purposes of the feasibility study. This data will be combined with existing topographic and bathymetric data for Matagorda, Lavaca and Keller Bays to form a robust set of topographic features which will be used in the coastal engineering analysis. GPS-RTK will be utilized for the upland portion of this survey. Shore normal transacts will be spaced between 200 and 300 feet and will extend to overlap the single beam bathymetric data. Typical shot spacing will be 5 to 10 feet, but shot spacing will be tightened, as necessary, to capture significant grade breaks. Mangrove and smooth cordgrass will be noted in point descriptors where transacts cross the vegetation types. Bathymetric data will be reduced to a spacing of 10 feet along transects. The horizontal datum for the project is North American Vertical Datum of 1983 (NAD 83) and the vertical datum is North American Vertical Datum of 1988 (NAVD88), Texas State Plane, South Central, US Survey Feet. PSP will review existing information on coastal processes including data on winds, waves, tides, currents, sediment budgets, sediment characteristics as available. The work conducted in Task 1 will be documented in a technical memorandum as part of Task 3. Task 1 Schedule: 2 months from Notice to Proceed (NTP) Task 1 Deliverables: • Memorandum of Understanding Olivia Haterius County Park Shoreline Protection Project i Mr. Behrens I Page 2 i 03/16/2022 M MOTT M MACDONALD Survey Data including AutoCAD (*.dwg) file that includes points, descriptors and elevation contours and an ASCII file containing all surveyed points (Northing, Easting, Elevation, Descriptor, and Station). Task 2. Alternatives Analysis and Conceptual Design Coastal Enaineerina Analvsis A coastal engineering analysis will be developed to reflect current conditions at the project site. The coastal engineering will include an analysis of tidal fluctuations, extreme water levels, winds, wind -generated waves, circulation, and storm activity. Typical and extreme value statistics of winds, waves, and water levels will be evaluated for development of performance criteria. Hydrodynamic modeling of the project site will be performed using the MIKE 21 hydrodynamic and spectral wave model or similar. MIKE 21 simulates water level fluctuations and current velocities based on the fully nonlinear shallow water equations forced by tides, winds, river flows, hurricanes and other natural processes. Coastal engineering analysis will result in a qualitative understanding of sediment transport, flow rates, and wave energy affecting the project site. Alternatives Development and Evaluation PSP will conduct an analysis of the three (3) conceptual level alternative combinations based on results of the coastal engineering analysis. Conceptual level alternatives will be focused on increasing the resiliency of the shoreline while maintaining boating access and park infrastructure. Shoreline structures to be included in the alternatives include revetments, bulkheads, jetties, and living shorelines. PSP will develop a set of project goals and performance criteria for the alternative solutions in coordination with the project stakeholders. Conceptual level cost estimates will be developed for each alternative and will include initial construction quantities and costs estimates of maintenance requirements related to the project lifetime. Conceptual sketches showing plan view layout and typical cross section geometry will be developed for each alternative. A desk -top level review of potential U.S. Army Corps of Engineers (USAGE) permitting requirements, potential NEPA requirements, and other state, federal, and local permitting requirements will be conducted for the three conceptual level alternatives. The results of the evaluation of the alternatives will be placed in an alternatives analysis matrix that will compare all alternatives based on the evaluation criteria. Evaluation criteria is anticipated to include performance, longevity, benefits, impacts (and ease of permitting), and project lifetime cost factors. PSP will organize and attend an in -person meeting at Calhoun County offices to present the alternative concepts and a preferred alternative will be selected. Prior to the meeting, Olivia Haterius County Perk Shoreline Protection Projett I Mr. Behrens I Page 3 103/162022 M moT M MACDONA D PSP will prepare and submit to project stakeholders a draft presentation describing the alternative concepts and proposed evaluation criteria for internal review and comment. The comments will be incorporated into the final presentation. This work as a part of Task 2 will be documented in a memo in Task 3. Task Schedule: 6 months from NTP Task 2 Deliverables: • Draft PowerPoint Presentation on conceptual level alternatives analysis (electronically, by conference call) • Final Presentation on conceptual level alternative analysis (in person presentation) Task 3. Technical Memorandum PSP shall prepare and submit a First Draft Technical Memorandum to project stakeholders for review and comment. The report shall provide details of the data collection efforts, coastal engineering analyses, alternative development and alternative analysis, conceptual design of preferred alternative, and next steps recommendations. The conceptual drawing design shall include site layout and vicinity maps; preliminary plans and cross sections of the preferred coastal structure, cross-section geometry, locations of oil and gas infrastructure, locations of potential obstructions, and volume estimates. Upon receipt of written comments following project stakeholder's review of the First Draft Technical Memorandum, PSP shall evaluate and address the comments and provide written responses to project stakeholders for review. With concurrence by the project stakeholders and the design team of the comment responses, PSP shall prepare and submit the Final Technical Memorandum. Task 3 Schedule: 6 months from NTP Task 3 Deliverables: • Draft and Final Technical Memorandum on existing data collection, coastal engineering analysis, alternative development and alternative analysis, and conceptual design of preferred alternative (delivered electronically). Task 4. Project Management This task consists of the management of the effort described herein. The project manager will be responsible for the execution of the project and its tasks in a timely and organized manner. She will be responsible for developing invoices, progress reports, and other documentation per the requirements of the PSP. Task 3 Schedule: This task progresses through the duration of the project Task 3 Deliverables: Olivia Hatenus Cowry Park Shoreline Protection Project I Mr. Behrens I Page 4103/162022 M MOTT M MACDONAW • Documentation as described above Assumptions The following assumptions were used in the development of this scope of work: • Proposed project schedule assumes 2 weeks for stakeholder comments between draft and final deliverables. • This scope of work does not include geotechnical, environmental and/or cultural resources surveys or studies. • No cultural resources assessment or coordination with the Texas Historic Commission is included. • No formal waters and wetlands delineation and habitat characterization, regulatory permitting, or NEPA environmental documents, including Environmental Assessment Report, will be prepared as part of this Scope of Work. • No coastal boundary survey is included within this scope of work. The information that will be provided in the Phase 1 of this analysis will be the basis for presenting the project and the goals to the Texas General Land Office or other potential funding sources. The information compile under this phase will also serve as the base for potential grant applications on several potential programs. Phase 2 will consist of the regulatory data collection and regulatory clearance of the preferred set of alternatives or single alternative. O&via Hateriw County Park Shoreline Protection Project i Mr. Behrens I Page 5 i 03/16/2022 M MOTE M MACDONALD Fee Estimate Task 1. Project Initiation and Data Collection........................................................ $7,691 Task 2. Alternatives Analysis and Conceptual Design .......................................... $29,991 Task 3. Technical Memorandum............................................................................ $7,923 Task 4. Project Management................................................................................. $2,595 Total................................................................................................................... $48,200 Services are to be billed on a Time and Materials basis, not to exceed $48,200. Mott MacDonald will invoice for the work monthly throughout the duration of the work based on the rates found in the attached Mott MacDonald Standard Rates 2022. All invoices shall be paid within 30 days of submission. Fees and schedule are valid for 60 days from the date of this Scope of Services. Mott MacDonald will begin work immediately upon Notice to Proceed. Please contact me with any questions. Sincerely, Mott MacDonald, LLC Aaron Horine, PE. Principal Coastal Engineer 802 North Carancahua, Suite 300 Corpus Christi TX 78401 T (361) 6613061 Aaron.horine@mottmac.com Attachments: 1. Mott MacDonald Manhour and Fee Estimate Olivia Haterius County Park Shoreline Protection Project i W Behrens I Page 6103/162022 FIM, ®_®_®_®_■as®__®®_®_■_■_■_0_®_®_OM_M__ME__� #9 NOTICE OF MEETING — 3/30/2022 9. Consider and take necessary action to authorize the County Judge to sign the proposal and all necessary documents between Calhoun County and CFI Mechanical, Inc. for the Calhoun County Courthouse Annex Rooftop Air Conditioner Replacement that was awarded on March 23, 2000. Form 1295 was included when the bid was awarded. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 19 March 23, 2022 To: Judge Meyer From: The office of the County Auditor For Everett Wood, Building Maintenance Please place the following item on the Commissioners Court Agenda for Wednesday, March 30, 2022: Consider and take necessary action to authorize the County Judge to sign the proposal and all necessary documents between Calhoun County and CFI Mechanical, Inc. for the Calhoun County Courthouse Annex Rooftop Air Conditioner Replacement that was awarded on March 23, 2022. Form 1295 was included when the bid was awarded. CFI MECHANICAL, INC. www.cfiimechanical.com To: Calhoun County Courthouse 211 South Ann Street 3rd floor, suite 301 Port Lavaca, TX 77979 Attn: Judge Richard H Meyer Date: Proposal: Location: Job: 6109 Brittmoore • Houston, TX 77041 P: (832) 467.8200 • F: (832) 467-8203 3-15-2022 2022.05 Calhoun County Court Annex Calhoun County Courthouse Annex rooftop air conditioner replacement CFI Mechanical, Inc. ("CFI") proposes to install and/or furnish the following described material/labor for the above Project in accordance with the terms and conditions on the reverse side of this Service Proposal Form (this "Proposal"). Purchaser's execution and return of this Proposal, or Purchaser's written or verbal direction to CFI to proceed, or Purchaser's acceptance of any such material or labor furnished by CFI Mechanical, Inc., whichever occurs first, shall constitute Purchaser's agreement to and acceptance of this Proposal and the terms and conditions on the reverse side of this Proposal ("Terms"). Scope of work: CFI Mechanical shall provide one (1) each complete packaged rooftop heating/cooling unit of equal capacity with the existing unit. Package unit shall include comparable controls, remote panel and roof mounting frame. Complete package unit materials and installation shall meet the requirements of the Texas Department of Insurance (TDI) Windstorm Inspections Division, for Calhoun County, Texas. This packaged rooftop heating/cooling unit shall ( be "Carrier Part Number 50A2B030-NT641ER" or equivalent, and shall have the following minimum parameters: \ _ Includes: 1. Factory startup and f year parts and labor warranty. 2. Configuration: Constant Volume (CV) Vertical Configuration with ComfortLink 3. Electric Heat Options: Low Electric Heat 020-050 4. Unit Size - Nominal Tons: 30 Tons 5. Voltage:460-3-60 6. Economizer: EconoMizer 7. Stainless Steel Drain Pan 8. Coil Options: "E-Coated Al/Cu Condenser, AI/Cu Evaporator with Hot Gas Bypass" 9. 2-inch Filter Track 10. Motor Options: 10 Hp Supply fan motor with Variable Frequency Drive (VFD) without VFD Bypass 11. Control Options: No Features 12. Non -Fused Disconnect 13. 115v Conv Outlet: Factory Wire: 115v Convenience Outlet: Factory Wired 14. Standard Ambient 15. Reuse of the electrical circuit and disconnect, controls circuits and conduit. 16. New curb adapter connected to the original roof curb with screws. The new RTU will be screwed down to the curb adapter. Any roofing work or roofing anchors will be the responsibility of the customer. 17. Windstorm inspection and city inspection. 18. Crane and rigging. Disposal of the old equipment off site per EPA regulations. 19. Salvage of the old equipment is factored into the price below and will be retained by CFI Mechanical. 20. All work is priced for straight time hours. Price for above scope of work: $78,800.00 (This Proposal, including any pricing contained in die Proposal, will only be valid for 15 days) Exclusions: No drawings will be provided or engineering, Overtime tabor; Sales Tax, Electrical, Roofing, Curing, Patching, Painting, Ceiling Work, Asbestos Abatement, Hazardous Material Removal/Disposal, nCov Volatility (see below), and any other services, materials, labor or work 7X License # TACLA A016286C -Regulated by the 7X Dept oftimm, 8, Registration, P.O. Box 12157, Austin, TX 78711, 1-800-8033202 7X License 9 MPL 40777- Regulated by TX Dept. of License & Registration, P.O. Box 4200 Austin, Texas 78766.4200 CFIMECHANICAL9 INC. www.cfiimechanical.com 6109 Brittmoore • Houston, TX 77041 P: (832) 467-8200 r F: (832) 467-8203 not expressly outlined in the Scope of Work set forth above. This Proposal does not include responsibility for the design of the systems, obsolescence, safety test, removal and reinstallation of valve bodies and dampers, repair or replacement necessitated by freezing weather, electrical power failure, low voltage, burned -out main or branch fuses, low water pressure, vandalism, misuse or abuse of the system(s), negligence of others (including Purchaser), failure of Purchaser to properly operate the system(s), requirements of governmental, regulatory or insurance agencies, or other causes beyond control of Seller. THIS ABOVE PROPOSAL AND TERMS ARE ACCEPTED: CALHOUN COUNTY e'Purchaser'] BY: TITLE: CFI MECHANICAL. INC. ("Seller") BY: SYIattSolomon TITLE: Account Manager DATE: DATE: 3-15-2022 The price(s) shown above in the Scope of Work is due to CFI in full, lawful money of the United States of America within 15 days after date of invoice. Purchaser shall pay interest on any late payment froin the date due until the date paid at the rote of 6% per annum, or the maximum rate allowed by law, whichever is less. Any alteration to, or deviation from this Proposal involving extra work, cost of materials or labor will become an extra charge (fixed price amount to be negotiated or on a time and material basis at Seller's rates then in effect) over the sum stated in this Proposal. No additional work or repairs shall be required to be perforated by Seller without a separate written agreement between Purchaser and Seller describing in detail the scope and costs of the work to be performed which is signed by both parties. nCov Volatility; In addition, the Novel Comnavinrs (nCov) has caused volatility, unavailability, delays, increased costs for the protection of workers and the general public, and uncertainty of labor, materials, equipment, and other commodities necessary for the Worts Therefore, this Proposal and any subsequent contract price for the Work or Project covered by or related to this Proposal shall be subject to time and cost adjustment for any delay or price increase arising out of or relating to the effects of the Novel Coronevims (nCov) outbreak (1,--- TERMS AND CONDITIONS - - "-' The acceptance of f ils Proposal is expressly limited to the following terms and conditions (the'Terffe). No attempted acceptance which varies or adds to the Tenn shall be effective and any such counterproposal are hereby deemed rejected. Setershall notbe bound by terms additional to on ifferenttrom those contained in these Terms unless such terms are expressly agreed to in writing and signed by Seller. These Terms represents the entire agreement between the parties and supersedes any prior or contemporaneous written or oral agreements, representafions, orwananties. 1. Purchaser shall provide Seller with fimely access to areas and damage or defects caused by normal wear and tear, improper use or equipment and a safe environment in which to pedorrn the Work, which maintenance of the material by Purchaser, accident, fire, flood, natural shall be performed during normal working hours of Seller. Purchaser disaster, act of vandalism or terrorism, or other causes beyond Seller's represents that it is not aware of any asbestos -containing or other reasonable control. This warranty does notcoverreplacemeMof lefts or hazardous materials at the Project, Seller has no responsibility or fitter maintenance. SELLER HEREBY EXPRESSLY DISCLAIMS ANY liability for the Investigation, detection, testing, removal, remediation AND ALL IMPLIED OR STATUTORY WARRANTIES, INCLUDING and/or encapsulation of any and all asbestos -containing or other BUT NOT LIMITED TO ANY WARRANTY OF MERCHANTABILITY hazardous materials at the site of the Project., Any investigation, OR FITNESS FOR INTENDED USE. detection, testing, removal, remediation and/or encapsulation of any 3. Purchaser and Seller hereby waive any and all claims for incidental, and all asbestos -containing or other hazardous material will be the indirect, special, consequential, punitive or exemplary damages against responsibility of and at the expense of Purchaser, the Owner or others, the other party, arising out of or related to the Work hereunder or any If Sellerencounters any material believed to be asbestos -containing or breach of the Tens hereof. The Seller will not be liable for any delays, other hazardous material, Seller may stop all wort in the affected area costs, loss or damages caused by or any delays due to fire, strikes, labor unfit Purchaser notifies Seller in willing that it is safe to proceed. Seller troubles, governmental regulations (including orders, recommendations shall have no responsibility or liability arising out of or related to, and or guidelines), the elements, vims, epidemic pandemic (including the PURCHASER HEREBY WAIVES AND RELEASES ANY CLAIMS Novel Comnavims), transportation delays, or any other causes beyond OR CAUSES OF ACTION FOR, THE PRESENCE, GROWTH OR its reasonable cantrol. DEVELOPMENT OF MOLD OR MILDEW AT THE PROJECT, OR 4. TO THE FULLEST EXTENT PERMITTED BY LAW, PURCHASER FOR THE REMEDIATION OF ANY SUCH MOLD OR MILDEW, OR SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS SELLER, ITS ANY COSTS, EXPENSES, DAMAGES, OR LIABILITIES RELATED AGENTS AND EMPLOYEES (EACH AN "INDEMNIFIED PARTY') THERETO, EVEN IF SUCH MOLD OR MILDEW IS CAUSED IN FROM AND AGAINST ALL CLAIMS, DAMAGES, LOSSES AND WHOLE OR IN PART BY ANY DEFECTIVE LABOR OR MATERIAL EXPENSES, INCLUDING BUT NOT LIMITED TO ATTORNEYS FEES, FURNISHED HEREUNDER OR ANY BREACH OF THIS ARISING OUT OF OR RESULTING FROM THE PERFORMANCE OF AGREEMENT. WORK HEREUNDER, PROVIDED THAT SUCH CLAIM, DAMAGE, 2. Any Work found to be defective for a period of ninety (90) days from the LOSS OR EXPENSE IS CAUSED IN WHOLE OR IN PART BY AN date the material is installed or the Work is completed, shall at Sellees ACTIVE OR PASSIVE ACT OR OMISSION OF PURCHASER, option, be repaired or replaced and such repair or replacement shall be ' ANYONE DIRECTLY OR INDIRECTLY EMPLOYED BY PURCHASER, Purchaser's sale and exclusive remedy, This warranty does not cover OR ANYONE FOR WHOSE ACTS PURCHASE MAY BE LIABLE, TX License # TACLA A016286C -Regulated by the 7X Dept of License & Registration, P.O. Box 12157, Austin, TX 78711, 1-800-803-9202 7X License # MPL 40777- Regulated by 7X Dept. of License & Registration, P.O. Box 4200Austin, Texas 78765-4200 CHMECHANICAL9 INC. www.cfiimechanicai.com %-�-, REGARDLESS OF WHETHER IT IS CAUSED IN PART BY THE NEGLIGENCE OF SELLER, 5. NOTWITHSTANDING ANYTHING TO THE CONTRARY, SELLER'S TOTAL LIABILITYFOR WORKUNDER THE PROPOSALOR FOR ANY OTHER WORK PROVIDED TO PURCHASER BY SELLER SHALL BE LIMITED TO AND SHALL NEVER EXCEED THE AMOUNT PAID TO SELLER UNDER THIS AGREEMENT, 6. If by any act or omission on Purchasers pad or any act beyond the reasonable control of Seller, the Sellers performance is delayed for a period of 90 days or more, Seller shall have the option of terminating the Work, and in case of such termination after Seller has partially performed the Work, Purchaser agrees to pay Seller the portion of the total contract price attributable to the Work installed, ordered ordelivered as of the date of termination, as well as any and all costs of termination, Including but not limited to costs of terminating subcontracts orpurchase orders, costs of work -in -progress, and costs of demobilization, and any and all delay damages incurred by Seller. 7. Purchaser shall be responsible for securing the Work from loss and protecting from damage and shall bear the risk of loss with respect to all material installed and all material delivered to the Project Notwithstanding the foregoing, the We to all material shall remain in the Seller until payment in full is made by Purchaser. Pumhasershall insure such materials against loss or damage in amount and manner sufficient to protect the interest of the Seller, and Seller shall be named as an additional insured under such insurance. 8. It is agreed the Seller reserves a contractual lien and security interest in all material fumished hereunder until the entire price to be paid and all othersums due Sellerhave been fully paid. Pumhasershall execute such financing statements or other documents requested by Seller ss necessary to perfect Sellers security interest In the event of default In the making of any such payment, or in the event Purchaser becomes insolvent makes an assignmentforthebenefit of creditors or in the event that a proceeding in bankruptcy or insolvency be instituted against - Purchaser, or voluntarily by Purchaser, then at Sellers option, Seller, ifs agents, successors and assigns may, without notice or demand, resell - the material or any pad thereof at either public or private sale, If the unpaid balance due Seller under this agreement Including any interest due and damages resulting from Purchasers default, including any attorneys' fees incurred and the expenses of resale, are not satisfied by proceeds of the sale, Purchaser agrees promptly to pay such deficiency. If there is a surplus from the proceeds of the sale afterthe payment of the above items, it shall be paid to Purchaser. 9. In the event of any default by Seller, Purchaser shall give Seller written notice of default and shall give Seller five (5) days from the date of Sellers receiptof such notice to cure orcommence and diligently pursue cure of such default. 10. The rights, duties and obligations of the parties hereunder shall be governed and construed In accordance with the laws of the State of Texas, excluding any conflicts or laws or rules which would refer its interprelaffon to the laws of another jurisdiction. 11. At Sellers option, all claims, disputes, and other matters in question arising out of or relating to this Agreement or the breach thereof, may be decided by arbitration, which shall be conducted in accordance with the Construction Industry Arbitration Rules of the American Arbitration Association then in effect, with a single arbitrator under regular track procedures unless otherwise elected by Seller. All arbitration proceedings or other legal proceedings will be in Houston, Texas. This agreement to arbitrate shall be specifically enforceable. it Is agreed that the Work performed, and labor and/or materials furnished pursuant to this Agreement affects and involves Interstate commerce. Any legal action against the Seller relating, or the breach of these Terms, shall be commenced within one (1) yearfrom the date of the completion of the Work. The award rendered by the arblualors shall be final and judgment may be entered upon it in accordance with the applicable law In the court having jurisdiction thereof. 6109 Brittmoore - Houston, TX 77041 P: (832) 467-8200 • F: (832) 467-8203 TX License #TACLAA016286C-Regulated by the TX Oept ofLicense & Registration, P.O. Box 12157, Austin, 7X78711, 1-800,803-9202 TX License # MPL 40777-Regulated by TX Dept. of License & Registration, P.O. Box 4200Austin, Texas 787654200 CAI MECHANICAL, INC. www.efimechanical.com To: Calhoun County Courthouse 211 South Ann Street 3rd floor, suite 301 Port Lavaca, TX 77979 Attn: Judge Richard H Meyer 6109 Briltmoore • Houston, TX 77041 P: (832) 467-8200 - F: (832) 467-8203 Date: 3-15-2022 Proposal: 2022.05 Location: Calhoun County Court Annex Job: Calhoun County Courthouse Annex rooftop air conditioner replacement CFI Mechanical, Inc. ("CFI") proposes to install and/or furnish the following described material/labor for the above Project in accordance with the terms and conditions on the reverse side of this Service Proposal Form (this "Proposal"). Purchaser's execution and return of this Proposal, or Purchaser's written or verbal direction to CFI to proceed, or Purchaser's acceptance of any such material or labor furnished by CFI Mechanical, Inc, whichever occurs first, shall constitute Purchaser's agreement to and acceptance of this Proposal and the terms and conditions on the reverse side of this Proposal ("Terms"). Scope of work: CFI Mechanical shall provide one (1) each complete packaged rooftop heating/cooling unit of equal capacity with the existing unit. Package unit shall include comparable controls, remote panel and roof mounting frame. Complete package unit materials and installation shall meet the requirements of the Texas Department of Insurance (TDI) Windstorm Inspections Division, for Calhoun County, Texas. This packaged rooftop heating/cooling unit shall ( be "Carrier Part Number 50A2B030-NT641ER" or equivalent, and shall have the following minimum parameters: Includes: 1. Factory startup and 1 year parts and labor warranty. 2. Configuration: Constant Volume (CV) Vertical Configuration with ComfortLink 3. Electric Heat Options: Low Electric Heat 020-050 4. Unit Size - Nominal Tons: 30 Tons 5. Voltage:460-3-60 6. Economizer: EconoMizer 7. Stainless Steel Drain Pan 8. Coil Options: "E-Coated AUCu Condenser, AI/Cu Evaporator with Hot Gas Bypass" 9. 2-inch Filter Track 10, Motor Options: 10 Hp Supply fan motor with Variable Frequency Drive (VFD) without VFD Bypass It. Control Options: No Features 12. Non -Fused Disconnect 13. 115v Conv Outlet: Factory Wire: 115v Convenience Outlet: Factory Wired 14. Standard Ambient 15. Reuse of the electrical circuit and disconnect, controls circuits and conduit. 16. New curb adapter connected to the original roof curb with screws. The new RTU will be screwed down to the curb adapter. Any roofing work or roofing anchors will be the responsibility of the customer. 17. Windstorm inspection and city inspection. 18. Crane and rigging. Disposal of the old equipment off site per EPA regulations. 19. Salvage of the old equipment is factored into the price below and will be retained by CFI Mechanical. 20. All work is priced for straight time hours. Price for above scope of work: $78,800.00 (This Proposal, including any pricing contained in the Proposal, will only be valid for 15 days) f Exclusions: No drawings will be provided or engineering, Overtime Labor, Sales Tax, Electrical, Roofing, Cutting, Patching, Painting, Ceiling Work, Asbestos Abatement, Hazardous Material RemovaVDisposal, nCov Volatility (see below), and any other services, materials, labor or work TX License # TACLA A016286C - Regulated by the TX Dept Of License 3 Registratoa, P.O. Box 12157, Austin, TX 78711, 1-800039202 7X License # MPL 40777- Regulated by TX Dept. ofUcense 4 Registration, P.O, 81x 4200Austin, Texas 787654200 CFI MECHANICAL9 INC. www.cfimechanical.com 6109 Brittmoore - Houston, TX 77041 P: (832) 467-8200 • F: (832) 467-8203 not expressly outlined in the Scope of Work set forth above. This Proposal does not include responsibility for the design of the systems, obsolescence, safety test, removal and reinstallation of valve bodies and dampers, repair or replacement necessitated by freezing weather, electrical power failure, low voltage, burned -out main or branch fuses, low water pressure, vandalism, misuse or abuse of the system(s), negligence of others (including Purchaser), failure of Purchaser to properly operate the system(s), requirements of governmental, regulatory or insurance agencies, or other causes beyond control of Seller. THIS ABOVE PROPOSAL AND TERMS ARE ACCEPTED: CALHOUN COUNTY CFI MECHANICAL. INC. ("Purchaser") ("Seller") BY: BY: 911att Soromon TITLE: TITLE: Account Manager DATE: DATE: 3-15-2022 The price(s) shown above in the Scope of Work is due to CFI in full, lawful money of the United States of America within 15 days after date of invoice. Purchaser shall pay interest on any late payment from the date due until the date paid at the rate of 6%per arum, or the maximum rate allowed by law, whichever is less. Any alteration to, or deviation from this Proposal involving extra work, cost of materials or labor will become an extra charge (fixed price amount to be negotiated or on a time and material basis at Seller's rates then in effect) over the sum stated in this Proposal. No additional work or repairs shall be required to be performed by Seller without a separate written agreement between Purchaser and Seller describing in detail the scope and costs of the work to be performed which is signed by both parties. nCov Volatility: In addition, the Novel Coronavinrs (nCov) has caused volatility, unavailability, delays, increased costs for the protection of workers and the general public, and uncertainty of labor, materials, equipment, and other commodities necessary for the Work. Therefore, this Proposal and any subsequent contract price for the Work or Project covered by or related to this Proposal shall be subject to time and cost adjustment for any delay or price increase arising out of or relating to the effects of the Novel Cororvints (nCov) outbreak TERMS AND CONDITIONS The acceptance of this Proposal is expressly limffed to the following tams and conditions (the'Tems"). No attempted acceptance which varies or adds to the Tems shall be effective and any such counterproposal am hereby deemed injected. Seiler shall not be bound by terns additional to or different from those contained in these Tens unless such terms are expressly agreed to in writing and signed by Seller. These Terms represents the entire agreement between the parties and supersedes any prior or contemporaneous written or oral agreements, representations, or warranties. 1. Purchaser shall provide Seller with timely access to areas and equlpmentand a safe environment in which to perform the Work, which shall be performed during normal working hours of Seller. Purchaser represents that it is not aware of any asbestos.containing or other hazardous materials at the Project Seller has no responsibility or liability for the investigation, detection, tesfing, removal, remediation and/or encapsulation of any and all asbestos -containing or other hazardous materials at the site of the Project, Any investigation, detection, testing, removal, remediation and/or encapsulation of any and all asbestos -containing or other hazardous material will be the responsibility of and at the expense of Purchaser, the Owner or others, If Seller encounters any material believed to be asbestos-contalning or other hazardous material, Seller may stop all work In the affected area until Purchaser notifies Seller in writing that it is safe to proceed. Seller shall have no responsibility or liability arising out of or related to, and PURCHASER HEREBY WAIVES AND RELEASES ANY CLAIMS OR CAUSES OF ACTION FOR, THE PRESENCE, GROWTH OR DEVELOPMENT OF MOLD OR MILDEW AT THE PROJECT, OR FOR THE REMEDIATION OF ANY SUCH MOLD OR MILDEW, OR ANY COSTS, EXPENSES, DAMAGES, OR LIABILITIES RELATED THERETO, EVEN IF SUCH MOLD OR MILDEW IS CAUSED IN WHOLE OR IN PART BY ANY DEFECTIVE LABOR OR MATERIAL FURNISHED HEREUNDER OR ANY BREACH OF THIS AGREEMENT. 2. Any Wort found to be defective for a period of ninety (90) days from the date the material Is Installed or the Work Is completed, shall at Sellers option, be repaired or replaced and such repair or replacement shall be Purchasers sole and exclusive remedy. This warranty, does not cover damage or defects caused by normal wear and hear, improper use or maintenance of the material by Purchaser, accident, fire, flood, natural disaster, act of vandalism or terrorism, or other causes beyond Seller's reasonable control. This warranty, does notcoverreplacementof belts or fitter maintenance. SELLER HEREBY EXPRESSLY DISCLAIMS ANY AND ALL IMPLIED OR STATUTORY WARRANTIES, INCLUDING BUT NOT LIMITED TO ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR INTENDED USE. 3. Purchaser and Seller hereby waive any and all claims for incidental, indirect special, consequential, punitive or exemplary damages against the other party, arising out of or related to the Work hereunder or any breach of the Terms hereof. The Seller will not be liable for any delays, casts, loss or damages caused by or any delays due to fire, strikes, labor troubles, governmental regulations (including orders, recommendations or guidelines), the elements, vitas, epidemic pandemic (including the Novel Coronavims), hanspodatioodelays, or any other causes beyond Its reasonable control. 4. TO THE FULLEST EXTENT PERMITTED BY LAW, PURCHASER SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS SELLER, ITS AGENTS AND EMPLOYEES (EACH AN 'INDEMNIFIED PARTY') FROM AND AGAINST ALL CLAIMS, DAMAGES, LOSSES AND EXPENSES, INCLUDING BUT NOT LIMITED TO ATTORNEYS FEES, ARISING OUT OF OR RESULTING FROM THE PERFORMANCE OF WORK HEREUNDER, PROVIDED THAT SUCH CLAIM, DAMAGE, LOSS OR EXPENSE IS CAUSED IN WHOLE OR IN PART BY AN ACTIVE OR PASSIVE ACT OR OMISSION OF PURCHASER, ANYONE DIRECTLY OR INDIRECTLY EMPLOYED BY PURCHASER, OR ANYONE FOR WHOSE ACTS PURCHASE MAY BE LIABLE, 7X License # TACLA A016286C - Regulated by the TX Dept of License & Registration, P.O. Box 12157, Austin, TX 78711, 1-800-803-9202 TX License # MPL 40777-Regulated by TX Dept. of License & Registration, P.O. Box 4200Austin, Texas 767654200 CFI MECHANICAL9 INC. www.cfimechanical.com REGARDLESS OF WHETHER IT IS CAUSED IN PART BY THE NEGLIGENCE OF SELLER. 5. NOTWITHSTANDING ANYTHING TO THE CONTRARY, SELLER'S TOTAL LIABILITY FOR WORKUNDER THE PROPOSALOR FOR ANY OTHER WORK PROVIDED TO PURCHASER BY SELLER SHALL BE LIMITED TO AND SHALL NEVER EXCEED THE AMOUNT PAID TO SELLER UNDER THIS AGREEMENT, 6. If by any act or omission on Purchaser's part or any act beyond the reasonable control of Seller, the Sellers performance is delayed for a period of 90 days or more, Seller shall have the option of terminating the Work, and in case of such tennination after Seller has partially pedormed the Work, Purchaser agrees to pay Seller the Portion of the total contact price attributable to the Work installed, ordered or delivered as of the date of terminator, as well as any and all costs of termination, including but not limited to costs of terminating subcontracts or purchase orders, costs of work -in -progress, and costs of demobilization, and any and all delay damages incurred by Seller. 7. Purchaser shall be responsible for securing the Work from loss and Protecting from damage and shall bear the risk of loss with respect to all material installed and all material delivered to the Project Notwithstanding the foregoing, the title to all material shall remain in the Seller until Payment in full is made by Purchaser. Purchasershollinsure such materials against loss or damage in amount and manner sufficient to protect the interest of the Seller, and Seller shall be named as an additional insured mdersuch insurance. 6. It is agreed the Seller reserves a contractual lien and security interest in all material furnished hereunder unfil the entire price to be paid and all other sums due Seller have been fully paid. Pwchasershall execute such financing statements or other documents requested by Seller as necessary to perfect Sellers security interest In the event of default in the making of any such payment, or In the event Purchaser becomes insolvent, makes an assgnmantforlhe benefitofcreditors orinthe event that a proceeding in bankruptcy or insolvency be instituted against Purchaser, or voluntarily byPurchaser, then at Sellers option, Seller, its agents, successors and assigns may, wthout notice or demand, resell the material or any part thereof at either public or pdvale sale. If the unpaid balance due Seller under this agreement, Including any interest due and damages resulting from Purchasets default Including any attorneys' fees incurred and the ezpenses of resale, are not satisfied by proceeds oftte sale, Purchaser agrees promptly to pay such deftclenoy. It there's a surplus from f h e proceeds of the sale after the payment of the above toms, it shall be paid to Purchaser. 9. In the event of any default by Seller, Purchaser shall give Seller written notice of default and shall give Seller five (5) days from the date of 3ellees rece1001'such notice to cure orcommence and diligently pursue cureofsuch default 10. The rights, duties and obligations of the parties hereunder shall be govemed and construed in accordance with the laws of the State of Texas, excluding any conflicts or laws or rules which would refer its interpretation tothe laws of another jurisdiction. 11. At Settees option, all claims, disputes, and other matters in question arising out of or relating to this Agreement, or the breach thereof, may be decided by arbitration, which shall be conducted in accordance with the Construction Industry Arbitration Rules of the American Arbitration Association then in effect, with a single arbitrator under regular tack Procedures unless otherwise elected by Seller. All arbitration Proceedings orother legal proceedings will be in Houston, Texas, This agreement to arbitrate shall be specifically enforceable. It is agreed that the Work performed, and labor and/or materials furnished pursuant to this Agreement affects and involves interstate commerce. Any legal action against the Seller relating, or the breach of these Terms, shall be commenced within one (1) yearfrom the date Of the completion of the Work. The award rendered by the arbitrators shall be final and judgment may be entered upon it in accordance with the applicable law in the court having jurisdiction thereof. 6109 Brittmoore - Houston, TX 77041 P: (832) 467-8200 • F: (832) 467-8203 7X License # TACLA A016286C-Regurated by the TXDBPt ofLlcense & Regisrrafion, P.O. Box 12157, Austin, 7X78711, 1-800-803.9202 7XLrcem;e # MPL 40777-Regulated by 7XDept. oflicenl, & Registration, P.O. Box 4200Austin, Texas 787654200 #10 NOTICE OF MEETING — 3/30/2022 10. Consider and take necessary action to accept an anonymous donation to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $350.00. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 19 ■ { �{\ ) }�§ g .] k '.§ � Q \ a . \7 k) ) \ri \� \ 2 A 4� #11 NOTICE OF MEETING — 3/30/2022 11. Consider and take necessary action to approve and amend the County Covid-19 Policy. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 19 Mae Belle Cassel From: Sent: clarri.atkinson@calhouncotx.org (Clarri Atkinson) <clarri.atkinson@calhouncotx.org> Thursday, March 24, 2022 11:57 AM To: Mae Belle Cassel; Richard Meyer; David.Hail@calhouncotx.org; vern lyssy; Joel Behrens; Gary Reese Cc: cindy.mueller@calhouncotx.org Subject: Agenda Item Request Attachments: Amended Covid return to work Policy 3.22.22.docx Please place the following item on the agenda for March 30, 2022: Consider and take necessary action to approve and amend the County Covid-19 Policy. Thank you kindly and have a great day. Clarri'Atkinson Calhoun County Human Resources 131 N. Virginia Ste. F Port Lavaca, TX 77979 P: 361.553.4450 F: 361-551-2181 M: 361.746.2228 Calhoun County Texas COVID-19 Return to Work Guidelines for Calhoun County Personnel Approved Commissioners Court September 16, 2020 and Amended on January 18, 2021, 'March 30, 2022 Purpose: To assist employees, administration, and supervisors in making decisions about returning to work for employees with confirmed COVID-19, or who have suspected COVID-19 (e.g., developed symptoms of a respiratory infection such as cough, sore throat, shortness of breath, or fever but did not get tested for COVID-19), or for employees who have been deemed a close contact of a COVID-19 positive person. Policy: Any employee who has tested positive for COVID-19, been notified by their physician that they most likely have COVID-19, or who have been notified that they are a close contact of a person who has tested positive for COVID-19 will need to meet the return to work criteria listed in this policy prior to being allowed to return to work. Although the employee may receive a release from their healthcare provider or by the Texas Department of State Health Services, the criteria outlined in this policy will have to be met before returning to work at Calhoun County, Texas. Procedure: Criteria For COVID-19 Positive or suspected positive employees: - _- o At least 5 days have passed since symptoms first appeared and o At least 24 hours have passed since last fever without the use of fever - reducing medications and o Symptoms (e.g. cough, shortness of breath, headaches) have improved L For employees who did not test positive but have hp o Conduct daily symptoms o Monitor and or wear a mask around others for 5 days Utilize the "COVID-19 Employee Return to Work Form" to determine the date the employee will be able to return to work. Forward a copy of the form to the Human Resources Coordinator once it is completed. II. Return to Work Practices and Work Restrictions After returning to work, the employee should: • Wear a facemask for source control at all times while in the Courthouse facilities until all symptoms are completely resolved or at baseline. A facemask instead of a cloth face covering should be used by the employee for source control during this time period while in the facility. III. Strategies to Mitigate Staffing Shortages As the COVID-19 pandemic progresses, staffing shortages may occur due to employee exposures, illness or need to care for family members at home. It is possible that Calhoun County will have to use the following criteria to allow employees with an unavoidable contact with a positive test for COVID-19 to return to work. The employee shall monitor for symptoms, wear a face mask and should be restricted from direct contact with the public. This decision will solely be at the Department Heads discretion. Effective Date: September 16, 2020 COVID-19 Return to Work Guidelines for Calhoun County Personnel Purpose: To assist employees, administration, and supervisors in making decisions about returning to work for employees with confirmed COVID-19, or who have suspected COVID-19 (e.g., developed symptoms of a respiratory infection such as cough, sore throat, shortness of breath, or fever but did not get tested for COVID-19), or for employees who have been deemed a close contact of a COVID-19 positive person. Policy: Any employee who has tested positive for COVID-19, been notified by their physician that they most likely have COVID-19 will need to meet the return to work criteria listed in this policy prior to being allowed to return to work. Although the employee may receive a release from their healthcare provider or by the Texas Department of State Health Services, the criteria outlined in this policy will have to be met before returning to work at Calhoun County, Texas. Procedure: Criteria • For COVID-19 positive or suspected positive employees: o At least 5 days have passed since symptoms first appeared and o At least 24 hours have passed since last fever without the use of fever - reducing medications and o Symptoms (e.g. cough, shortness of breath) have improved • Utilize the "COVID-19 Employee Return to Work Form" to determine the date the employee will be able to return to work. Forward a copy of the form to the Human Resources Coordinator once it is completed. • For employees exposed to someone with Covid-19 conduct daily symptom monitoring and wear a mask around others for 10 days. If possible, test on day 5 and/or if symptoms develop. II. Return to Work Practices and Work Restrictions After returning to work, the employee should: • Wear a facemask for source control at all times while in the Courthouse facilities until all symptoms are completely resolved or at baseline. A facemask instead of a cloth face covering should be used by the employee for source control during this time period while in the facility. • Self -monitor for symptoms, and seek re-evaluation from a provider if respiratory symptoms recur or worsen. Amended: March 23, 2022 #12 NOTICE OF MEETING— 3/30/2022 12. Consider and take necessary action to authorize the Sullivan/Lucas wedding to be held on King Fisher Beach April 23, 2022 with setup to begin with self-contained restrooms as early as Thursday, April 21, 2022; tent setup on Friday, April 22, 2022 with removal on Monday, April 25, 2022. Liability insurance will be provided with Calhoun County listed on the policy. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 19 Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 24, 2022 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear judge Meyer: Please place the following item on the Commissioners' Court Agenda for March 30, 2022. • Consider and take necessary action to authorize the Sullivan/Lucas wedding to be held on King Fisher Beach April 23, 2022 with setup to begin with self- contained restrooms as early as Thursday, April 21, 2022; tent setup on Friday, April 22, 2022 with removal on Monday, April 25, 2022. Liability insurance will be provided with Calhoun County listed on the policy. Sincerely, Gary D. Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: agar y.rcese4realhouncom ore - (361) 785-3141 - Par (361) 785-5602 Tammy Rigamonti PO Box 478 Port O'Connor, TX 77982 (361) 212-0984 Mr. Gary Reese, Commissioner March 7, 2022 Calhoun County Precinct #4 PO Box 177 Seadrift, TX 77983 Mr. Reese, My name is Tammy Rigamonti and I am a party planner in Calhoun County. I am planning a beach wedding ceremony and tented reception to be held on King Fisher Beach in Port O'Connor on Saturday April 23, 2022.1 would like more information about the rules pertaining to using the public beach for a private event, for future use. For the Sullivan/Lucas Wedding April 23, 2022 1 would like guidance and permission for a Rental Contractor to set up an event tent and self-contained restrooms as early as Thursday (4/21) and remove the tent on Monday (4/25). Ideally, these contractors will be able to deliver and set up the day of, or no earlier than the day before, and they would like to remove their property as soon as possible. However, with staffing shortages these providers have plenty of inventory but are very limited with the manpower they have available. I will assure that liability insurance is provided and that no small items will be left overnight. All equipment used for the event will be on location for the event only. We will of course ensure that all trash is disposed of properly and that our beautiful beach is left clean for the next guests. Thank you for your time, I look forward to talking with you. Tammy Rigamonti %-;tK FIFICATE OF LIABILITY INSURANCE PRODUCER ISSUE DATE (MM/DD/YYY K&K Insurance Group, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON. 03/10/2022 1712 Magnavox Way AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TF Fort We IN 46804 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEN EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICII BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING 1 SURERIsr_ eunne,.. NSURED _ REaaeseur..,.. __ ____.. _ O Connor, TX 77982 1 IMURER A: HONOREE(S) James Lucas 1�bUk:[) TO THE ABOVE NAMED CERTIFICATE Ina E MAY ANY REQUIREMENT, TERM OF CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W TH OLICY RESPECT PERIOD IN IC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE RAIL LIABILITY GENERAL LIABILITY CLAIMS MADE XQOCCUR HOST LIQUOR INCL TPPD 2AL AGGREGATE LIMIT iS PER: POLICY ❑PROJECT ❑L1 IOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS LIABILITY %NY AUTO LIABILITY )CCUR CLAIMS MADE IEDUCTISLE lETENTION S iS COMPENSATION AND ERS' LIABILITY POLICYNUMBER I EFFECTIVE DATE 12:01 AM EDT EXPIRATION DATE 12:01 AM ONLY LIMITS DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Event Type: Wedding; Wedding Couple: James Lucas, Kimberly Hallmark; Event Date: 04/23/2022; Location: 409 Park St.. If the event continues past 12:00 am at the location named on the Declarations Page, such continuation shall be considered as the ev date. Event includes set up and break down and the scheduled rehearsal or rehearsal dinner scheduled within 48 hours of the event if event is a wedding. Set up and Break down means decoration and removal of decoration at the event location that Occurs no more than hours prior to the event and 24 hours after the event. The certificate holder is included as an insured under the Hosting Facility Liability Coverage, but only in respects to claims arising out of 1 ne li enceatOf the Named Insured. CERTIFICATE HOLDER Calhoun County CANCELLATION 202 S Ann, Suite B SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Port Lavaca, TX 77979 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTII Dwner, manager or lessor of the premises where all or part of your event is being WAILL E DELIVERED IN ACCORDANCE WITH THE POLII field EV500.0810 Calhoun County Security Agreement 211 S. An St., Port Lavaca, TX 77979 Ph:361-553-4646 Fax:361-553-4668 CCSO will be working In conlunction with the Port Lavaca Police Dent Personal Information: Name: Phone#: 3�¢� v2� — OC\F`} Event Information: Address: �Z� l� I J. 1 a v� MIL P TM Z Work/Cell: Type of Event: Wf'GxCx l All �e6C �'1 Location: 1� �ylL, �iS61f� B eedn 0k, Date of Event: ! \DI ce'20 )-a`-- Time: Start f d0 End %ot: d6&*^ Number of Guests Expecting: l.ZJ5 All Events: 50 — 300 Attendants — 2 Officers 301— 400 Attendants — 3 Officers 401— Over Attendants — 4 Officers The current rate for the Calhoun County Sheriffs Office & Port Lavaca Police Dept. personnel is.§M per hour, per man with a 4 hour minimum. When your event is over and our officers have to stay past the contracted time because they are having difficulties getting guests to leave the premises, you will be requh to pay them the extra time they are there. raoHOME,+ Officer #1 Officer #3 Officer #2 Officer #4 "Calhoun County Sheriff's Office shall not be liable or responsible for, and shall be saved and helped harmless to Injury to or death of any person or persons and for damages to or loss of property, arising out of or attributed, directly or indirectly, to the operations or performances under the agreement." Applicant's CCSO Employee (only): Date: J — ; Any questions about this agreement or any security please contact Sgt. Tyrone Harris at the Calhoun County Sheriff's Office @ 361-553-4646. IDUCER — "' ISSUE DATE (MM/D Insurance Group, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF I ORMATII Magnavox Way AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD Mayne IN 46804 CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY EXTEND OR ALTER THE COVERAGE AFFORDED By THE I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS1 THE ISSUING rNRuoeeie. IRED CONTRACT BETWEEN ..._ Port O Connor. TX 77982 rrvsURER A: HONOREES) James Lucas i NrvUIN6 ANY REQUIREMENT, TERM OF CONDITION NDI ON OF TO THE ABOVE NAMED INRO SURED FOACTR THE POLICY PERIOD INDICATED. CTHIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE �NSUTRANCE A ORDEN R THE POLICIES DESCRIBED HEREIN ES RESPECT T WHICH TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE RAL LIABILITY S MADE EDOCCUR LIQUOR INCL 6 AUUKEGATE LIMIT PER: ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AUTO UCCUR CLAIMS MADE RETENTION $ POLICY NUMBER I EFFECTIVE DATE 12:01 AM EDT EXPIRATION 12:01 AM ONLY LIMITS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECOLICY LIMIT IAL PROVISIONS Event Type: Wedding; Wedding Couple: James Lucas, Kimberly Hallmark; Event Data: 04/23/2022; Location: Kingfisher Beach. If the event continues past 12:00 am at the location named on the Declarations Page, such continuation shall be considered as the even date. Event includes set Up and break down and the scheduled rehearsal or rehearsal dinner scheduled within 48 hours of the event N thI event is a wedding. Set up and Break down means decoration and removal of decoration at the event location that occurs no more than 2e hours prior to the event and 24 hours after the event. The certificate holder Is included as an insured under the Hosting Facility Liability Coverage, but only in respects to claims arising out of the ne li enee of the Namad Insured. CERTIFICATE HOLDER Tammy Rtgamonti CANCELLATION PO Box 478 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ILL 8 Port OConnor, TX 77982 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Owner, manager or lessorof the premises where all or part of your event is being PROVISIONS ELIVERED IN ACCORDANCE WITH THE POLICY held EV500.0810 #13 NOTICE OF MEETING — 3/30/2022 13. Consider and take necessary action to appoint LaDonna Thigpen as the Labor Standards, Section 3 and Civil Rights Officer for the CDBG-MIT contract number 22-085- 014-13245 and authorize the County Judge to sign the appropriate forms. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 19 COMMUNITY DEVELOPMENT & REVITALIZATION J The Texas General Land Office Appointment of Labor Standards Officer ISubrecipient: (Calhoun County Icontract Number: I 22-085-014-D245 Labor Standards Officer: I, Richard Meyer hereby appoint LaDonna Thigpen Name of Mayor/County Judge Name of Designated Officer as the Labor Standards Officer for the aforementioned contract. The appointed Labor Standards Officer is assigned to oversee the labor portion of the contract and will be responsible for assuring compliance with all requirements under Title I of the Housing and Community Development Act of 1974 which requires the payment of Davis -Bacon Act prevailing wage rates (which are determined by the DOL) to all workers on GLO-CDR construction projects exceeding $2,000 (42 USC §5310) and all other governing regulations. The appointed Labor Standards Officer's 211 S. Ann Street Suite 301, Port Lavaca, TX Address, City, State, and Zip Code (361)553-4400 1 ladonna.thigpen@calhouncotx.or¢ Phone Number Signature of Labor Email - 3o as Appointed Alternate Labor Standards Officer for the aforementioned contract. Note that an Alternate Labor Standards Officer is optional, but recommended. The appointed Alternate Labor Standards Officer is: Code Phone Number Email I acknowledge the appointment and duties of Labor Standards Officer. Signature of Alternate Labor Standards Officer Date Signature of ElektA Official Title: V Date (Mayor/County Judge) Effective June 2020 Page 1 of 2 Disclaimer., The Texas General land Office has made every effort to ensure the information contained on this form is accurate and in compliance with the most up-to-date CDBG-DR and/or CDBG-MIT federal rules and regulations, as applicable. it should be noted that the Texas General Land Office assumes no liability or responsibility for any error or omission on this form that may result from the interim period between the publication of amended and/or revised federal rules and regulations and the Texas General Land Offce's standard review and update schedule. Effective June 2020 Page 2 of 2 v`Nen � c.ryo COMMUNITY DEVELOPMENT & REVITALIZATION The Texas General Land Office Appointment of Civil Rights Officer Subrecipient: Calhoun County Contract Number: 22-085-014-D245 Address, City, State, and Zip Code 361.553.4600 richerd.meyer@caIhouncotx.org Civil Ri hts OPhone Number Off' Phone Address g cer. I, Richard Meyer Printed Name of Elected Official as the Civil Rights Officer do hereby appoint LaDonna Thigpen Printed Name of Designated Civil Rights Officer The appointed Civil Rights Officer shall be responsible for the oversight of and compliance with civil rights laws including fair housing, equal Opportunity, and Section 504 as required by the Texas General Land Office (GLO) contract identified above. The Civil Rights Officer is responsible for maintaining familiarity with and adhering to all civil rights laws and regulations pertaining to the U.S. Department of Housing and Urban Development (HUD) CDBG-DR and GLO program funding. The appointed Civil Rights Officer's contact information is: 361-553-4400 ladon na.th igpen @ca I h o un cotx.org Phone Number Email Address I acknowledge the appointment and duties of Clvtl Rights Officer. Signature of I Rights Officer Appointed Alternate Civil Rights Officer for the aforementioned contract. Note that an Alternuaie ate Civil Rights Officer is optional, but recommended. The appointed Alternate Civil Rights Officer is: Name of Designated Alternate Officer Phone Number I acknowledge the appointment and duties of Civil Rights Officer. Email Address Signature of Alternate Civil Rights Officer Date Signature of EI .teri n i.i County Judge Date ursciaimer. The Texas Genera/ Land Office has made every effort to ensure the information contained on this form is accurate and in compliance with the most up-to-date CDBG-DR and/or CDBG-MlTfederal rules and regulations, as applicable. It should be noted that the Texas General Land Office assumes no liability or responsibility for any error or omission on this form that may result from the interim period between the publication of amended and/or revised federa/rules and regulations and the Texas General Land office's standard review and update schedule. Effective September 2020 Page 1 of 1 COMMUNITY DEVELOPMENT & REVITALIZATION The Texas General Land Office Appointment of Section 3 Coordinator Economic Opportunities for Low and Very Low -Income Persons Subrecipient: Calhoun County Contract Number: 22-085-014-D245 Contract Award Date: Appointed Section 3 Coordinator: La Donna Thigpen I will serve as the Section 3 Coordinator for the aforementioned contract. I understand Sect e Section 3of the Housing and Urban Development Act of 1968, as amended (12 U.S.C. 1701 u) and the GLO-CDR Section 3 Policy. My contact information is as follows: Address: 211 S. Ann Street City: Port Lavaca Phone Number: 361-553-4400 Section 3 Coordinator Signature: Authorized Subrecipient State: TX Zip: 77979 E-mail Address: 3 -30 (Print Nan-k) Authorized Subrecipient Representative --i Date: (Sig atur Disclaimer: The Texas General Land Office has made every effort to ensure the information contained on this form is accurate and in compliance with the most up-to-date CDBG-DR and/or 08G-MIT federal rules and regulations, as applicable. It should be noted that the Texas General Land Office assumes no liability or responsibility for any error or omission on this form that may result from the interim period between the publication Of amended and/or revised federal rules and regulations and the Texas General Land office's standard review and update schedule. Effective September 2020 Page 1 of 1 #14 NOTICE OF MEETING — 3/30/2022 14. Consider and take necessary action on a resolution of Commissioners Court authorizing signatories for the Community Development Block Grant — Mitigation (CDBG-MIT) grant from the Texas General Land Office CDBG-MIT contract number 22-085-014-D245. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 19 1 3/30/2022 Richard H. Meyer County judge dge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 A RESOLUTION OF THE COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS, AUTHORIZING SIGNATORIES FOR THE COMMUNITY DEVELOPMENT BLOCK GRANT --DISASTER RECOVERY GRANT FROM THE TEXAS GENERAL LAND OFFICE FOR LOCAL INFRASTRUCTURE PROGRAMS WHEREAS, the Commissioners Court of Calhoun County was awarded a Community Development Block Grant -Disaster Recovery (CDBG-DR) grant from the Texas General Land Office (GLO) to develop a viable urban community, including decent housing and a suitable living environment and expanding economic opportunities, principally for persons of low -to -moderate income; and WHEREAS, certain condition exists related to Hurricane Harvey, an eligible federally declared disaster in 2017, which represents a threat to the public health, safety and welfare; and WHEREAS, it is necessary to authorize signatories for various GLO documents for Calhoun County to receive funding under the CDBG-DR grant. NOW THEREFORE, BE IT RESOLVED: Section 1. That the Commissioners Court directs and designates the County Judge and County Judge Pro-Tem as contractual signatories and the County Auditor and First Assistant County Auditor as financial signatories. Section 2. This resolution shall become effective immediately upon adoption. Page 1 of 2 3/30/2022 APPROVED AND ADOPTED THIS THE 30th DAY OF MARCH, 2022. H. Meyer, C u ty Judge Commissioner, Precinct 1 Joel behrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk By: Deputy Clerk Vern Lys y Commissioner, Precinct 2 Gary Rees Commissioner, Precinct 4 Page 2 of 2 'a COMMUNITY DEVELOPMENT & REVITALIZATION The Texas General Land Office . - Depository/Authorized Signatories Designation Form Subrecipient: Calhoun County Contract Number: 22-085-014-D245 The individuals below are designated by resolution as authorized signatories for contractual documents. At least two signatories required. Richard Meyer Gary Reese Name Name County Judge I County Commissioner/ Judge Pro Tern I Title Title Subrecipient: Calhoun County Contract Number: I 22-085-014-D245 The individuals below are designated by resolution as authorized signatories for contractual documents. At least two signatories required. Name Name I // Title Title I The financial lending institution listed here will serve as depository for the Texas General Land Office -Disaster Recovery Program Community Development Block Grant (CDBG) funds Prosperity Bank Name of Lending Institution 1107 N. US Hwy 35 Bypass Address Port Lavaca, TX 77979 State, Zip Code Fund Account Number: 1 216844470 1 The individuals below are designated by resolution as authorized signatories for financial documents. At least two signatories required. Cindy Mueller Candace Villareal Name Name County Auditor I First Assistant Auditor Title Title Effective September 2021 Page 1 of 2 n° COMMUNITY DEVELOPMENT & REVITALIZATION The Texas General Land Office Depository/Authorized Signatories Designation Form ivame r IT - Signature Signature NOTE: A copy of a Resolution passed by the city council or county commissioner's court authorizing the signatories must be submitted along with this form. Disclaimer. The Texas General Land Office has made every effort to ensure the information contained on this form is accurate and in compliance with the most up-to-date CDBG-DR and/orCDBG-MIT federal rules and regulations, as applicable. It should be noted that the Texas General Land Office assumes no liability or responsibility for any error or omission on this form that may result from the interim period between the publication of amended and/or revised federal rules and regulations and the Texas General Land Office's standard review and update schedule. Effective September 2021 Page 2 of 2 #15 NOTICE OF MEETING — 3/30/2022 15. Consider and take necessary action to execute service provider contracts for the CDBG- MIT contracts related to the GILD CDBG-MIT contract 22-085-014-D245. The previously awarded providers are G&W engineering for engineering services and KSBR LLC as grant administrator and environmental service provider. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 19 GRANT ADMINISTRATION SERVICES FOR Non -Housing UNDER THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT MITIGATION PROGRAM CONTRACT NO.22-085-014-D245 Calhoun County (the "Subrecipient") and KSBR, LLC, Tax Identification Number 81- 140276 1 ("Provider"), each a "Party" and collectively, "the Parties," enter into the following contract for grant administration services (the "Contract") pursuant to Local Govt. Code 252 and 2 C.F.R. Part 200. WHEREAS, the Subrecipient has received U.S. Department of Housing and Urban Development Community Development Block Grant - Mitigation funds, administered by the Texas General Land Office ("GLO") for their CDBG MIT program; and WHEREAS, the CDBG-MIT program is funded under the with funds appropriated under the Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Public Law 115-123), enacted on February 9, 2018, for necessary expenses for Activities authorized under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. § 5301 et seq.) Now, THEREFORE, the Parties agree to the following terms and conditions: 1.01 DEFINITIONS "Activi " means a defined class of works or services authorized to be accomplished using CDBG-MIT grant funds. Activities are specified in Subrecipient Budgets as `Category,' and the terms are interchangeable under this Contract. "Administrative and Audit Regulations" means the regulations included in Title 2, CFR, Part 200. Chapter 321 of the Texas Government Code; Subchapter F of Chapter 2155 of the Texas Government Code; and the requirements of Article VII herein. With regard to any federal funding, agencies with the necessary legal authority include: the relevant federal agency, ,the Comptroller General, the General Accounting Office, the Office of Inspector General, and any of their authorized representatives. In addition, state agencies and/or designee's with the authority to audit and inspect include, the Subrecipient, the GLO, the GLO's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office and the Texas Comptroller of Public Accounts. "Activity" means a defined class of works or services authorized to be accomplished using CDBG-MIT grant funds. Activities are specified in Subrecipient Budgets as 'Category,' and the terms are interchangeable under this Contract. "Attachment" means documents, terms, conditions, or additional information physically added to this Contract following the execution page, or incorporated by reference, as if physically. "Amendment" means a written agreement, signed by the parties hereto, which documents alterations to the Contract. "Benchmark" or "Billing Milestone" means a clearly defined set of incremental services that must be performed; or an interim level of accomplishment that must be met by Provider in order to receive periodic incremental and final reimbursement for services under this Contract. "CDBG—DR" means the Community Development Block Grant —Disaster Recovery Program administered by the U.S. Department of Housing and Urban Development, in cooperation with the GLO. "CDBG-MIT" means the Community Development Block Grant —Mitigation Program administered by the U.S. Department of Housing and Urban Development, in cooperation with the GLO. "Certificate of Construction Completion" means a document submitted by an engineer or, if none, a construction contractor, to a Grantee which, when executed by the Grantee, indicates acceptance of the non -housing project, as built. "Contract" means this entire document, along with any Attachments, both physical and incorporated by reference; and any Amendments. "Contract Period" means the period of time between the effective date of a contract and its expiration or termination date. "Deliverable" means a unit or increment of work to include, any item, report, data, document, photograph, or other submission required to be delivered under the terms of this Contract, in whatever form =. "Federal Assurances" means Standard Form 424B (Rev. 7-97) (non -construction projects); or Standard Form 424D (Rev. 7-97) (construction projects), in Attachment A, attached hereto and incorporated herein for all purposes. "Federal Certifications" means U.S. Department of Commerce Form CD-512 (12-04), "Certifications Regarding Lobbying — Lower Tier Covered Transactions," also in Attachment A, attached hereto and incorporated herein for all purposes. "Final Inspection Report" means the document submitted by the housing contractor to a Subrecipient under a CDBG-DR Housing grant contract, indicating the completed construction of one Housing Unit. "Fiscal Year" means the period beginning September 1 and ending August 31 each year, which is the annual accounting period for the State of Texas. "GAAP" means "Generally Accepted Accounting Principles." "GASB" means the Governmental Accounting Standards Board. "General Affirmations" means the statements in Attachment B, attached hereto and incorporated herein for all purposes, which Provider affirms by executing this Contract. "GLO" means the Texas General Land Office, its officers, employees, and designees. "GLO-Vendor Contract" means the contract or contracts between the GLO and Provider procured through the Solicitation; such GLO-Vendor Contract is hereby incorporated herein by reference, for all purposes. "Grant Administration Fee" means the amount to be paid to Provider for all services performed for a Subrecipient. "Housing" refers to a project involving home repair, home reconstruction, and new home construction; including housing for single-family and multi -family rental units under a CDBG-DR program grant. "Housing Unit" means one house, or one multi -family rental unit. "HSP" means HUB Subcontracting Plan, as outlined by Chapter 2161 of the Texas Government Code. "HUB" means Historically Underutilized Business, as defined by Chapter 2161 of the Texas Government Code. "HUD" means the United States Department of Housing and Urban Development. "Mentor Protege" means the Comptroller of Public Accounts' leadership program found at: http://www.window.state.tx.us/procurement/prog/hub/mentorprotege/ "Non -housing" refers to a project involving the restoration and/or repair of infrastructure facilities and the economic revitalization activities approved under a CDBG-DR program grant. "Performance Statement" means Provider's detailed scope of work hereby incorporated for all purposes as Attachment C. "Project" means the grant administration services described in SECTION 1.03 of this Contract and in any applicable Attachments. "Project Completion Report" means a report containing an "as built" accounting of all projects completed under a CDBG-DR non -housing or housing grant, and containing all information required to completely close out a grant file. "Project Implementation Manual" means a set of guidelines for the CDBG-DR Program, incorporated herein by reference for all purposes in its entirety. "Project Period' means the stated time for completion of a Project assigned by Work Order, if any. "Prompt Pay Act' means Chapter 2251, Subtitle F of Title 10 of the Texas Government Code. "Provider" means KSBR, LLC, selected to provide the services under thisContract, if any. "Public Information Act" means Chapter 552 of the Texas Government Code. "RFP" means the Request for Proposal put out by the Subrecipient and responded to by the Provider. "Setup" means documentation, submitted by a Subrecipient, necessary for the GLO to determine that housing sites meet minimum eligibility criteria, resulting in approval for the Subrecipient to move forward with the projects. "Solicitation" means Subrecipient's Request for Proposals. "Solicitation Response" means Provider's full and complete response to the Solicitation, including any Addenda. "State of Texas TexTravel" means Texas Administrative Code, Title 34, Part 1, Chapter 5, Subchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any. "Subcontractor" means an individual or business that signs a contract to perform part or all of the obligations of Provider under this Contract. "Subrecipient" means, the City of Port Lavaca, a local governmental body or political subdivision that receives funds under HUD's CDBG—DR Program for housing projects. Any Work Order issued for services to a recipient of a housing grant shall refer to "Subrecipient" as the party served. "Subrecipient Agreement" means the contractual agreement for a CDBG-DR housing or non -housing grant between the GLO and the Subrecipient for which Provider performs services assigned by the Subrecipient, if any. "Technical Guidance Letter or `TGL"' means an instruction, clarification, or interpretation of the requirements of the CDBG-DR Program, issued by the GLO to specified recipients, applicable to specific subject matter, to which the addressed Program participants shall be subject. 1.02 INTERPRETIVE PROVISIONS (a) The meanings of defined terms are equally applicable to the singular and plural forms of the defined terms; (b) The words "hereof .. "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, attachment, work order, or schedule of this Contract unless otherwise specified; (c) The term "including" is not limiting and means "including without limitation" and, unless otherwise expressly provided in this Contract, (i) references to contracts (including this Contract) and other contractual instruments shall be deemed to include all subsequent amendments and other modifications thereto, but only to the extent that such amendments and other modifications are not prohibited by the terms of this Contract, and (ii) references to any statute or regulation are to be construed as including all statutory and regulatory provisions consolidating, amending, replacing, supplementing, or interpreting the statute or regulation; (d) The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contract; (e) All attachments within this Contract, including those incorporated by reference, and any amendments are considered part of the terms of this Contract; (f) This Contract may use several different limitations, regulations, or policies to regulate the same or similar matters. All such limitations, regulations, and policies are cumulative and each shall be performed in accordance with its terns; (g) Unless otherwise expressly provided, reference to any action of the Subrecipient or by the Subrecipient by way of consent, approval, or waiver shall be deemed modified by the phrase "in its/their sole discretion." Notwithstanding the preceding sentence, any approval, consent, or waiver required by, or requested of, the Subrecipient shall not be unreasonably withheld or delayed; (h) Time is of the essence in this Contract. (i) In the event of conflicts or inconsistencies between this contract and its attachments, such conflicts or inconsistencies shall be resolved by reference to the documents in the following order of priority: Signed Contract; Attachments to the Contract: Attachment A; Solicitation Documents; and Provider's Response to Solicitation. 1.03 PROJECT Provider shall perform, or cause to be performed at the direction of the Subrecipient, in assistance to Subrecipient, comprehensive administration services necessary to facilitate activities for the disaster relief, recovery, restoration, and economic revitalization in areas impacted under the mitigation program; and will assist the Subrecipient in fulfilling State and Federal CDBG-MIT statutory responsibilities not limited to, performing grant administration services for non -housing projects. Grant administrative services must be performed in compliance with (i) HUD requirements, (ii) the Non- Exclusive List of Laws, Rules, and Regulations in Attachment D; Scope of Services in Attachment C; (iv) any Amendments to this Contract; (v) any Technical Guidance Letter, program requirements, or program guidance that may be issued by the GLO. Provider shall be responsible at all times for maintaining close oversight of approved projects and record -keeping including, but not limited to, obtaining and maintaining, through Provider's own efforts, the Subrecipient's current Performance Statement / Implementation Schedule, and Budget, including Revisions approved and Technical Guidance Letters issued by the GLO; and any other information that may be required for the satisfactory performance by Provider of the services herein described or assigned under a Work Order, as discussed below. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 1.04 REPORTING REQUIREMENTS Provider shall assist the Subrecipient to timely submit all reports and documentation that are required under this Contract and any Subrecipient Agreement. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 2.01 DURATION This Contract shall be effective as of the date signed by the last party, and shall terminate on April 30, 2025. The Subrecipient, at its own discretion, may extend any contract awarded pursuant to the Solicitation for up to (2) additional year terms or until the time the grant funding expires, whichever comes first. Any extension will be subject tc terms and conditions mutually agreeable to both parties. 2.02 EARLY TERMINATION The Subrecipient may terminate this Contract by giving written notice specifying a termination date at least thirty (30) days subsequent to the date of the notice. Upon receipt of any such notice, Provider shall cease work, undertake to terminate any relevant subcontracts, and incur no further expense related to this Contract. Such early termination shall be subject to the equitable settlement of the respective interests of the parties, accrued up to the date of termination. 2.03 ABANDONMENT OR DEFAULT If the Provider defaults on the Contract, the Subrecipient reserves the right to cancel the Contract without notice and either re -solicit or re -award the Contract to the next best responsive and responsible vendor qualified under the Solicitation. The defaulting provider will not be considered in the re -solicitation and may not be considered in future solicitations for the same type of work, unless the specification or scope of work significantly changed. The period of suspension will be determined by the Subrecipient based on the seriousness of the default. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK CONSIDERATION 3.01 CONTRACT LIMIT, FEES, AND EXPENSES Provider will be compensated on at the negotiated fee basis, for an amount not to exceed, $837,424.00, for grant administration and $50,000 for environmental services. These fees are reimbursable in increments allowed in the Subrecipient Performance Statement. The Grant Administration Fee shall not exceed the maximum amount available for such services as prescribed by the Subrecipient Agreement, the GLO, HUD or any governing law, for the term of this Contract. The Subrecipient agrees to pay Provider in accordance with The Prompt Pay ActTex. Govt. Code Ch. 2251. The form of invoice will be prescribed by the Subrecipient and made available to Provider in a separate submission from the Subrecipient. _�_� ii �• inn i� •�. �•.�.• i_ .�i�_� .UI _iI M-1.ii Reimbursement for services may be requested based on the Benchmarks, according to the type of services authorized, contingent upon Provider's facilitation of the timely submission of each Quarterly Report required, as discussed in SECTION 1.04, above. At a minimum, invoices must clearly reflect: (a) Provider's Contract Number; (b) the name and GLO Contract Number (12 digits) of the Subrecipient Agreement to which services have been provided; (c) the current amount being billed; (d) the cumulative amount billed previously; (e) the balance remaining to be billed; and (f) an itemized statement of services performed, including documentation as required under the Contract, such as invoices, receipts, statements, stubs, tickets, time sheets, and any other which, in the judgment of the Subrecipient, provides full substantiation of reimbursable costs incurred. Subject to the maximum Contract amount authorized herein, upon specific, prior, written approval by the Subrecipient, lodging, travel, and other incidental direct expenses may be reimbursed under this Contract for professional or technical personnel who are (a) away from the cities in which they are permanently assigned; (b) conducting business specifically authorized by the Subrecipient; and (c) performing services not originally contemplated in the Scope of Services. The limit for such reimbursements shall be the rates established by the Comptroller of the State of Texas, as outlined in the State of Texas travel guidelines, TexTravel. If a rate within the limits set forth in TexTravel is not available, Provider shall use its best efforts to obtain the lowest available room rate. Provider shall obtain prior approval from the Subrecipient. NOTICE TO PROyiDF.R: Failure to include all of the information required in SECTioN 3.01 with each invoice may result in a significant delay in processing payment for the invoice. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK PRoviDFRIs WARRANTY. AFFiRmATioNs. :.D ASMMAMM 4.01 Provider represents that all services performed under this Contract will be performed in a manner consistent with a degree of care and skill ordinarily exercised by members of the same profession currently practicing under similar circumstances. Provider represents that all work product, including Deliverables if any, under this Contract shall be completed in a manner consistent with standards in the applicable trade, profession, or industry; shall conform to or exceed the specifications set forth in the incorporated Attachments (if any); and shall be fit for ordinary use, of good quality, and with no material defects. If Provider fails to submit Deliverables timely or to perform satisfactorily under conditions required by this Contract, the Subrecipient may require Provider, at its sole expense, to the extent such defect or damage is caused by the negligence of Provider, to (a) repair or replace all defective or damaged Deliverables; (b) refund any payment received for all defective or damaged Deliverables and, in conjunction therewith, require Provider to accept the return of such Deliverables; and/or (c) take necessary action so that future performance and Deliverables conform to the Contract requirements. 4.02 GENERAL AFFIRMATIONS To the extent that they are applicable, Provider further certifies that the General Affirmations in Attachment B have been reviewed, and that Provider is in compliance with each of the requirements reflected therein. 4.03 FEDERALAssURANCEs To the extent that they are applicable, Provider further certifies that the Federal Assurances in Attachment A have been reviewed and that Provider is in compliance with each of the requirements reflected therein. The Federal Assurance form must be executed by Provider's authorized signatory. 4.04 FEDERAL CERTIFICATIONS To the extent that they are applicable, Provider further certifies that the Federal Certifications also in Attachment A have been reviewed, and that Provider is in compliance with each of the requirements reflected therein. The Federal Certifications form must be executed by Provider's authorized signatory. In addition, Provider certifies that it is in compliance with any other applicable federal laws, rules, or regulations, as they may pertain to this Contract including, but not limited to, those listed in Attachment C. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 5.01 FEDERAL, FUNDING (a) Funding for this Contract is appropriated under the Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Division B, Subdivision 1 of the Bipartisan Budget Act of 2018) (Public Law 115-123), enacted on February 9, 2018, for necessary expenses for Activities authorized under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. § 5301 et seq.) related to disaster relief, long-term recovery, restoration of infrastructure and housing, economic revitalization, mitigation, and affirmatively furthering fair housing, in accordance with Executive Order 12892, in the most impacted and distressed areas resulting from major declared disasters that occurred in 2015, 2016, and 2017 pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. § 5121 et seq.). The fulfillment of this Contract is based on those funds being made available to the GLO as the lead administrative state agency. All expenditures under this Contract must be made in accordance with this Contract, the rules and regulations promulgated under the CDBG-MIT Program and any other applicable laws. All funds disbursed under this Contract are subject to recapture and repayment for non- compliance (b) All participants in the CDBG-MIT grant program must have a data universal numbering system (DUNS) number, as well as a Commercial And Government Entity (CAGE) Code. (c) The DUNS number and CAGE Code must be reported to the GLO for use in various grant reporting documents. 5.02 STATE FUNDING (a) This Contract shall not be construed as creating any debt on behalf of the State of Texas and/or the GLO in violation of Article III, Section 49, of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution, it is understood that all obligations of the GLO hereunder are subject to the availability of state funds. If such funds are not appropriated or become unavailable, the Subrecipient, in its sole discretion, may terminate this Contract. In that event, the parties shall be discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. (b) Furthermore, any claim by Provider for damages under this Contract may not exceed the amount of funds appropriated for payment, but not yet paid to Provider, under the annual budget in effect at the time of the breach. Nothing in this provision shall be construed as a waiver of sovereign immunity. 5.03 RECAPTURE OF FuNDs Provider shall conduct, in a satisfactory manner as determined by the Subrecipient, the Project as set forth in the Contract. The discretionary right of the Subrecipient to terminate for convenience under SECTION 2.02 notwithstanding, it is expressly understood and agreed by Provider that the Subrecipient shall have the right to terminate the Contract and to recapture, and be reimbursed for any payments made by the Subrecipient (i) that exceed the maximum allowable HUD rate; (ii) that are not allowed under applicable laws, rules, and regulations; or (iii) that are otherwise inconsistent with this Contract, including any unapproved expenditures. 5.04 OVERPAYMENT Provider understands and agrees that it shall be liable to the Subrecipient or the GLO for any costs disallowed pursuant to financial and/or compliance audit(s) of funds received under this Contract. Provider further understands and agrees that reimbursement of such disallowed costs shall be paid by Provider from funds which were not provided orotherwise made available to Provider under this Contract. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK LL 6.01 OWNERSHIP AND THIRD PARTY RELIANCE (a) The Subrecipient shall own, and Provider hereby assigns to the GLO, all right, title, and interest in all services to be performed; all goods to be delivered; and/or all other related work product prepared, or in the course of preparation, by Provider (or its subcontractors) pursuant to this Contract, together with all related worldwide intellectual property rights of any kind or character (collectively, the "Work Product"). Under no circumstance will any license fee, royalty, or other consideration not specified in this Contract be due to Provider for the assignment of the Work Product to the GLO or for the GLO's use and quiet enjoyment of the Work Product in perpetuity. Provider shall promptly submit all Work Product to the GLO upon request or upon completion, termination, or cancellation of this Contract for any reason, including all copies in any form or medium. (b) Provider and the Subrecipient shall not use, willingly allow, or cause such Work Product to be used for any purpose other than performance of Provider's obligations under this Contract without the prior written consent of either party and the GLO. Work Product is for the exclusive use and benefit of, and may be relied upon only by the parties. Prior to distributing any Work Product to any third party, other than the GLO, the parties shall advise such third parties that if it relies upon or uses such Work Product, it does so entirely at its own risk without liability to the GLO, Provider, or the Subrecipient. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 7.01 BOOKS AND RECORDS Provider shall keep and maintain under GAAP or GASB, as applicable, full, true, and complete records necessary to fully disclose to the Subrecipient, the GLO, the State of Texas Auditor's Office, the United States Government, and/or their authorized representatives sufficient information to determine compliance with the terms and conditions of this Contract and all state and federal rules, regulations, and statutes. 7.02 INSPECTION AND AUDIT (a) Provider agrees that all relevant records related to this Contract and any Work Product produced in relation to this Contract, including the records and Work Product of its Subcontractors, shall be subject to the Administrative and Audit Regulations. Accordingly, such records and Work Product shall be subject, at any time, to inspection, examination, audit, and copying at any location where such records and Work Product may be found, with or without notice from the Subrecipient, the GLO, HUD, or other government entity with necessary legal authority. Provider agrees to cooperate fully with any federal or state entity in the conduct of inspection, examination, audit, and copying, including providing all information requested. Provider will ensure that this clause concerning federal and state entities' authority to inspect, examine, audit, and copy records and Work Product, and the requirement to fully cooperate with the federal and state entities, is included in any subcontract it awards. (b) Provider understands that acceptance of state funds under this Contract acts as acceptance of the authority of the State Auditor's Office to conduct an audit or investigation in connection with those funds. Provider further agrees to cooperate fully with the State Auditor's Office in the conduct of the audit or investigation, including providing all records requested. Provider will ensure that this clause concerning the State Auditor's Office's authority to audit state funds and the requirement to fully cooperate with the State Auditor's Office is included in any subcontracts it awards. Additionally, the State Auditor's Office shall at any time have access to and the rights to examine, audit, excerpt, and transcribe any pertinent books, documents, working papers, and records of Provider relating to the Contract for any purpose. HUD, the Comptroller General, the General Accounting Office, the Office of Inspector General, or any authorized representative of the U.S. Government shall also have this right of inspection. PROVIDER SHALL ENSURE THAT ALL SUBCONTRACTS AWARDED REFLECT THE REQUIREMENTS OF THIS SECTION 7.02, AND THE REQUIREMENT TO COOPERATE. (c) Provider will be deemed to have read and have knowledge of all applicable federal, state, and local laws, regulations, and rules including, but not limited to those identified in Attachment D, governing audit requirements pertaining to the Project. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 7.03 PERIOD OF RETENTION All records relevant to this Contract shall be retained for a period subsequent to the final closeout of the State of Texas CDBG-DR grant program, in accordance with federal regulations. The Subrecipient will notify all Program participants of the date upon which local records may be destroyed. 7.04 CONFIDENTIALITY To the extent permitted by law, Provider and the Subrecipient agree to keep all information confidential, in whatever form produced, prepared, observed, or received by Provider or the Subrecipient to the extent that such information is: (a) confidential by law; (b) marked or designated "confidential" (or words to that effect) by Provider or the Subrecipient; or (c) information that Provider or the Subrecipient is otherwise required to keep confidential by this Contract. Furthermore, Provider will not advertise that it is doing business with the Subrecipient, use this Contract as a marketing or sales tool, or make any press releases concerning work under this Contract without the prior written consent of the Subrecipient. 7.05 PUBLIC RECORDS Information related to the performance of this Contract may be subject to the Public Information Act ("PIA") and will be withheld from public disclosure or released only in accordance therewith. Provider shall make any information required under the PIA available to the Subrecipient in portable document file (".pdf') format or any other format agreed between the Parties. Failure of Provider to mark as "confidential" or a "trade secret" any information that it believes to be excepted from disclosure waives any and all claims Provider may make against the Subrecipient for releasing such information without prior notice to Provider. Provider shall notify the Subrecipient within twenty-four (24) hours of receipt of any third party written requests for information, and forward a copy of said written requests to the Subrecipient. If the request was not written, Provider shall forward the third party's contact information to the Subrecipient. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 8.01 INSURANCE Provider shall acquire for the duration of this Contract insurance with financially sound and reputable insurers licensed by the Texas Department of Insurance, in the type and amount and in the form required by Attachment E of this Contract, REQUIRED INSURANCE AND FORM. Furthermore, Provider shall submit a certificate of liability insurance as required under this Contract, including (if requested) a schedule of coverage (or "underwriter's schedules") establishing to the satisfaction of the Subrecipient the nature and extent of coverage granted by each policy. Provider shall submit certificates of insurance and endorsements electronically, in the manner requested by the Subrecipient. In the event that any policy is determined to be deficient to comply with the terms of this Contract, Provider shall secure such additional policies or coverage as the Subrecipient may reasonably request or that are required by law or regulation. Provider will be responsible for submitting renewed certificates of insurance and endorsements, as evidence of insurance coverage throughout the term of this Contract. Provider may not be actively working on behalf of the Subrecipient if the insurance coverage does not adhere to insurance requirements. Failure to submit required insurance documents may result in the cancellation of this Contract. 8.02 TAXES/WORKERs' COMPENSATION/UNEMPLOYMENT INSURANCE PROVIDER AGREES AND ACKNOWLEDGES THAT DURING THE EXISTENCE OF THIS CONTRACT, PROVIDER SHALL BE ENTIRELY RESPONSIBLE FOR THE LIABILITY AND PAYMENT OF PROVIDER'S AND PROVIDER'S EMPLOYEES' TAXES OF WHATEVER KIND, ARISING OUT OF THE PERFORMANCES IN THIS CONTRACT. PROVIDER AGREES TO COMPLY WITH ALL STATE AND FEDERAL LAWS APPLICABLE TO ANY SUCH PERSONS, INCLUDING LAWS REGARDING WAGES, TAXES, INSURANCE, AND WORKERS' COMPENSATION. THE SUBRECIPIENT SHALL NOT BE LIABLE TO THE PROVIDER, ITS EMPLOYEES, AGENTS, OR OTHERS FOR THE PAYMENT OF TAXES OR THE PROVISION OF UNEMPLOYMENT INSURANCE AND/ OR WORKERS' COMPENSATION OR ANY BENEFIT AVAILABLE TO A STATE EMPLOYEE OR EMPLOYEE OF ANOTHER GOVERNMENTAL ENTITY CUSTOMER. 2)PROVIDER AGREES TO INDEMNIFY AND HOLD HARMLESS THE SUBRECIPIENT, THE GLO, THE STATE OF TEXAS AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, AND/OR ASSIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALLRELATED COSTS, ATTORNEYS' FEES, AND EXPENSES, RELATING TO TAX LIABILITY, UNEMPLOYMENT INSURANCE AND/OR WORKERS' COMPENSATION IN ITS PERFORMANCE UNDER THIS CONTRACT. PROVIDERSHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE INCLUDING ATTORNEYS'FEES. THE DEFENSE SHALL BE COORDINATED BY PROVIDER WITH THE SUBRECIPIENT NAMED AS A DEFENDANT IN ANY LAWSUIT AND PROVIDER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE SUBRECIPIENT. PROVIDER AND THE SUBRECIPIENT AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. 8.03 LEGAL OBLIGATIONS Provider shall procure and maintain for the duration of this Contract any state, county, city, or federal license, authorization, insurance, waiver, permit, qualification or certification required by statute, ordinance, law, or regulation to be held by Provider to provide the goods or services required by this Contract. Provider will be responsible for payment of all taxes, assessments, fees, premiums, permits, and licenses required by law. Provider agrees to be responsible for payment of any such government obligations not paid by its subcontractors during performance of this Contract. 8.04 INDEMNITY EXCEPT FOR DAMAGES DIRECTLY OR PROXIMATELY CAUSED BY THE GROSS NEGLIGENCE OF THE SUBRECIPIENT OR THE GLO, PROVIDER SHALL INDEMNIFY AND HOLD HARMLESS THE SUBRECIPIENT, THE STATE OF TEXAS, THE GLO, AND THE OFFICERS, REPRESENTATIVES, AGENTS, AND EMPLOYEES OF THE SUBRECIPIENT, THE STATE OF TEXAS, AND THE GLO FROM ANY LOSSES, CLAIMS, SUITS, ACTIONS, DAMAGES, OR LIABILITY (INCLUDING ALL COSTS AND EXPENSES OF DEFENDING AGAINST ALL OF THE AFOREMENTIONED) ARISING IN CONNECTION WITH: THIS CONTRACT; ANY NEGLIGENCE, ACT, OMISSION, OR MISCONDUCT IN THE PERFORMANCE OF THE SERVICES REFERENCED HEREIN; OR ANY CLAIMS OR AMOUNTS ARISING OR RECOVERABLE UNDER FEDERAL OR STATE WORKERS' COMPENSATION LAWS, THE TEXAS TORT CLAIMS ACT, OR ANY OTHER SUCH LAWS. PROVIDER SHALL BE RESPONSIBLE FOR THE SAFETY AND WELL BEING OF ITS EMPLOYEES, CUSTOMERS, AND INVITEES. THESE REQUIREMENTS SHALL SURVIVE THE TERM OF THIS AGREEMENT UNTIL ALL CLAIMS HAVE BEEN SETTLED OR RESOLVED AND SUITABLE EVIDENCE TO THAT EFFECT HAS BEEN FURNISHED TO THE SUBRECIPIENT. THE PROVISIONS OF THIS SECTION 8.03 SHALL SURVIVE TERMINATION OF THIS CONTRACT. 8.05 ASSIGNMENT AND SUBCONTRACTS Provider shall not assign, transfer, or delegate any rights, obligations, or duties under this Contract without the prior written consent of the Subrecipient. Notwithstanding this provision, it is mutually understood and agreed that Provider may subcontract with others for some or all of the services to be performed. In any approved subcontracts, Provider shall legally bind such subcontractor to perform and make such subcontractor subject to all the duties, requirements, and obligations of Provider as specified in this Contract. Nothing in this Contract shall be construed to relieve Provider of the responsibility for ensuring that the goods delivered and/or the services rendered by Provider and/or any of its subcontractors comply with all the terms and provisions of this Contract. Provider will provide written notification to the Subrecipient of any such subcontractor performing fifteen percent (15%) or more of the work under this Contract, including the name and taxpayer identification number of subcontractor, the task(s) being performed, and the number of subcontractor employees expected to work on the task. 8.06 RELATIONSHIP OF THE PARTIES Provider is associated with the Subrecipient only for the purposes and to the extent specified in this Contract, and, with respect to Provider's performance pursuant to this Contract, Provider is and shall be an independent contractor and, subject only to the terms of this Contract, shall have the sole right to supervise, manage, operate, control, and direct performance of the details incident to its duties under this Contract. Nothing contained in this Contract shall be deemed or construed to create a partnership or joint venture, to create relationships of an employer -employee or principal -agent, or to otherwise create for the Subrecipient or the GLO any liability whatsoever with respect to the indebtedness, liabilities, and obligations of Provider or any other party. Provider shall be solely responsible for, and the Subrecipient shall have no obligation with respect to: (a) withholding of income taxes, FICA, or any other taxes or fees; (b) industrial or workers' compensation insurance coverage; (c) participation in any group insurance plans available to employees of the State of Texas; (d) participation or contributions by the State to the State Employees Retirement System; (e) accumulation of vacation leave or sick leave; or (f) unemployment compensation coverage provided by the State. 8.07 COMPLIANCE WITH OTHER LAWS In the performance of this Contract, Provider shall comply with all applicable federal, state, and local laws, ordinances, and regulations. Provider shall make itself familiar with and at all times shall observe and comply with all federal, state, and local laws, ordinances, and regulations that in any manner affect performance under this Contract including, but not limited to, those attached hereto and incorporated herein for all purposes as Attachment D. Provider will be deemed to have knowledge of all applicable laws and regulations and be deemed to understand them. 8.08 NOTICES Any notices required under this Contract shall be deemed delivered when deposited either in the United States mail, postage paid, certified, return receipt requested; or with a common carrier, overnight, signature required, to the appropriate address below: SubreciRient Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 Provider KSBR, LLC 430 Church Street Sulphur Springs, TX 75482 Notice given in any other manner shall be deemed effective only if and when received by the party to be notified. Either party may change its address for notice by written notice to the other party as herein provided. 8.10 GOVERNING LAw AND VENUE This Contract and the rights and obligations of the parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit between Subrecipient and Provider under this Contract shall be in a court of competent jurisdiction in Calhoun County, Texas; irrevocably waives any objection, including any objection to personal jurisdiction or the laying of venue or based on the grounds of forum non conveniens, which it may now or hereafter have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any document related hereto. 8.11 SEVERABILITY If any provision contained in this Contract is held to be unenforceable by a court of law or equity, this Contract shall be construed as if such provision did not exist and the non - enforceability of such provision shall not be held to render any other provision or provisions of this Contract unenforceable. 8.12 FORCE MAJEURE Except with respect to the obligation of payments under this Contract, if either of the parties, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected party (collectively referred to as a "Force Majeure"), then, while so prevented, the affected parry's obligation to comply with such covenant shall be suspended, and the affected party shall not be liable for damages for failure to comply with such covenant. In any such event, the party claiming Force Majeure shall promptly notify the other party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The parry claiming Force Majeure shall exercise due diligence to prevent, eliminate, or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non- performance continues for more than thirty (30) days, the GLO may terminate this Contract immediately upon written notification to Provider. 8.13 DISPUTE RESOLUTION The parties hereto agree to resolve all disputes arising hereunder in accordance with this section. If a dispute arises out of or relates to this Agreement or any alleged breach hereof, including determination of responsibility for any costs disallowed as a result of non- compliance with federal, state or CDBG-DR program requirements, the party desiring to resolve such dispute shall deliver a written notice of the dispute, including the specific claim in the dispute to the other party. Following the delivery of such notice, the parties involved in the dispute shall meet at least twice within the thirty (30) day period commencing with the date of the notice and in good faith shall attempt to resolve such dispute through negotiation. If any dispute is not resolved or settled by the parties as a result of such negotiation, the parties in good faith shall submit the dispute to non -binding mediation before a retired judge of a federal district court or Texas district court or a similarly qualified, mutually agreeable individual. The parties shall bear the costs of such mediation equally. If is not resolved through such mediation, either party may proceed to file suit. 8.14 ENTIRE CONTRACT AND MODIFICATION This Contract, its integrated Attachment(s), and any Technical Guidance issued in conjunction with this Contract, if any, constitute the entire agreement of the parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions, and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachment(s), Technical Guidance Letter shall be harmonized with this Contract to the extent possible. Unless such integrated Attachment, Technical Guidance Letter, or Revision specifically displays a mutual intent to amend a particular part of this Contract, general conflicts in language shall be construed consistently with the terms of this Contract. 8.14 COUNTERPARTS This Contract may be executed in any number of counterparts, each of which shall be an original, and all such counterparts shall together constitute but one and the same Contract. If the Contract is not executed by the GLO within thirty (30) days of execution by the other party, this Contract shall be null and void. In the sole discretion of the GLO, Work Orders issued, if any, may be executed by the parties in counterparts exchanged by electronic mail. 8.15 THIRD -PARTY BENEFICIARY The Parties agree that the GLO, as the administrator of the CDBG-DR program, is a third - party beneficiary to this Contract and that the GLO shall have the right to enforce any provision of this Contract. Provided, however, that GLO shall only enforce a provision Contract after notifying the Parties, in writing, of a potential breach or default of the Contract and allowing the Provider sixty (60) days to cure the breach or default. Venue of any suit under this Section 8.17 shall be in a court of competent jurisdiction in Travis County, Texas. Provider irrevocably waives any objection, including any objection to personal jurisdiction or the laying of venue or based on the grounds of forum non conveniens, which it may now or hereafter have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any document related hereto. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 8.16 PROPER AUTHORITY Each party hereto represents and warrants that the person executing this Contract on its behalf has full power and authority to enter into this Contract. Provider acknowledges that this Contract is effective for the period of time specified in the Contract. Any services performed by Provider before this Contract is effective or after it ceases to be effective are performed at the sole risk of Provider. SIGNATURE PAGE FOLLOWS Signature This contract is effective on the date of the last parry's signature. Calhoun o ty KSBR, LLC Y Richard Meyer, County Ju ge Katy Sellers, President DATE: �.�/ & (2 1?- z- OMB Approval No. 0348-0042 ASSURANCES - CONSTRUCTION PROGRAMS blic reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing tructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of )rmation. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for lucing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the Slate, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property squired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§47284763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will .comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 at seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (a) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 el sec.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, 0) the requirements of any other nondiscrimination statute(s) which may apply to the application. Standard Form 424D (Rev. 7-97) Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501.1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13, Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 16. 333) regarding labor standards for federally -assisted construction subagreements. National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of food hazards in foodplains in accordance with EO 11988; (a) assurance of project consistency with the approved Stale management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 at seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 at seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L, 93-205). Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 at seq.) related to protecting components or potential components of the national wild and scenic rivers system. 14. Will comply with food insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 17. Will assist the awarding agency in assuring compliance (P.L. 93-234) which requires recipients in a special flood with Section 106 of the National Historic Preservation hazard area to participate in the program and to purchase Act of 1966, as amended (16 U.S.C. §470), EO 11593 food insurance if the total cost of insurable construction (identification and protection of historic properties), and and acquisition is $10,000 or more. the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 at seq.). 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of 18. Will cause to be performed the required financial and environmental quality control measures under the compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19, Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. SF424D (Rev. 7.97) Back THIS FORM MUST BE EXECUTED FORM CD-512 U.S. DEPARTMENT OF COMMERCE (REV 12.04) CERTIFICATION REGARDING LOBBYING LOWER TIER COVERED TRANSACTIONS Applicants should review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 15 CFR Part 28, "New Restrictions on Lobbying." LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 15 CFR Part 28, for persons entering into a grant, cooperative agreement or contract over $100,000 or a loan or loan guarantee over $150,000 as defined at 15 CFR Part 28, Sections 28.105 and 28.110, the applicant certifies that to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,' in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996. Statement for Loan Guarantees and Loan Insurance The undersigned stales, to the best of his or her knowledge and belief, that: In any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required state- ment shall be subject to a civil penalty of not less than $10,000 and not more than $100.000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification. PRINTED NAME SIGNATURE PROJECT NAME THIS FORM MUST BE EXECUTED DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046 (See reverse for public burden disclosure.) 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a. contract �a. bid/offerlapplication a. initial filing b. grant - b. initial award b. material change c. cooperative agreement c. post -award For Material Change Only: d.loan year quarter e. loan guarantee date of last report f. loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name ❑ Prime ❑ Subawardee and Address of Prime: Tier , if known: Congressional District, if known: 4c Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: 10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, MI): different from No. 10a ) ( last name, first name, Ml ): 11. re Information quested through this form is authorized by title 31 U.S.C. asel Signature: 1352. This disclosure of lobbying activities is a material representation of fact Print Name: upon which reliance was placed by the her above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This Title: information will be available for public inspection. My person who fails to file Me required disclosure shall be subject to a civil penalty of not less than$10,000 and Telephone No.: Date: not more than $100.000 for each such failure. Federal Use Only: - Authorized for Local Reproduction Standard Form LLL(Rev. 7-97) THIS FORM SHOULD BE EXECUTED ONLY WHEN REPORTING LOBBYING ACTIVITIES UNDERTAKEN WITH GRANT FUNDS INSTRUCTIONS FOR COMPLETION OF SF•LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to lille 31 U.S.C, section 1352. The fling of a form is required for each payment or agreement to make Payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employeeof a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report, Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by Ihis reporting entity for this covered Federal action. 4. Enter the full name, address, city, Stale and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks 'subawardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizalionallevel below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number avatlablefor the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g.,'RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, Slate and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified In item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and dale the farm, print his/her name. title. and telenhone „.,rare. According to the PaperworkReduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporling burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503. Attachment B Grant Administration Services Page 1 of 2 GENERAL AFFIRMATIONS Provider agrees without exception to the following affirmations: 1. Provider certifies that he/she/it has not given, offered to give, nor intends to give at anytime hereafter, any economic opportunity, future employment, gift, loan gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract. 2. Provider certifies that neither Provider nor any firm, corporation, partnership, or institution represented by Provider or anyone acting for such firm, corporation, partnership, or institution has (1) violated the antitrust laws of the State of Texas under Texas Business & Commerce Code, Chapter 15, or federal antitrust laws; or (2) communicated the contents of the Contract or proposal either directly or indirectly to any competitor or any other person engaged in the same line of business during the procurement process for the Contract or proposal. 3. Provider certifies that if its business address shown on the Contract is a Texas address, that address is the legal business address of Provider and Provider qualifies as a Texas Resident Bidder under Texas Administrative Code, Title 34, Part 1, Chapter 20. 4. Section 2155.004 of the Texas Government Code prohibits the award of a contract that includes proposed financial participation by a person who received compensation from the Subrecipient to participate in preparing the specifications or request for proposals on which the Contract is based. Under Section 2155.004, Government Code, the vendor [Provider] certifies that the individual or business entity named in this bid or Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. 5. Under Texas Family Code section 231.006, a child support obligor who is more than 30 days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least 25 percent is not eligible to receive payments from state funds under a contract to provide property, materials, or services. Under Section 231.006, Texas Family Code, the vendor or applicant [Provider] certifies that the individual or business entity named in this Contract, bid, or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate. 6. Provider agrees that any payments due under the Contract will be applied towards any debt, including but not limited to delinquent taxes and child support, Provider owes to the State of Texas. The Subrecipient is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, blocking property and prohibiting transactions with persons who commit, threaten to commit, or support terrorism and any subsequent changes made to it. The Subrecipient will cross-reference Providers/vendors with the federal System for Award Management (httns://www.satn.gov/), which includes the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. 8. Provider certifies: 1) that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state, or local governmental entity; 2) that Provider is in compliance with the State of Texas statutes and rules relating to procurement; and 3) that Provider is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at httns://www.sain.gov/. Attachment ** GLO Contract No. **** Page 2 of 2 Under Section 2155.006(b) of the Texas Government Code, the Subrecipient may not enter into a contract that includes proposed financial participation by a person who, during the five year period preceding the date of the bid or award, has been: (1) convicted of violating a federal law in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005; or (2) assessed a penalty in a federal civil or administrative enforcement action in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005. Under Section 2155.006 of the Texas Government Code, Provider certifies that the individual or business entity named in the Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. 10. The state auditor may conduct an audit or investigation of any entity receiving state funds directly under the Contract or indirectly through a subcontract under the Contract. Acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Provider shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through Provider and the requirement to cooperate is included in any subcontract it awards. 11. Provider understands that the neither the Subrecipient nor the GLO tolerate any type of fraud. The Subrecipient's policy is to promote consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Providers are expected to report any possible fraudulent or dishonest acts, waste, or abuse affecting any transaction with the GLO to the GLO's Internal Audit Director at 512.463.5338 or to tracey.hall alo.texas.gov. NOTE: Information, documentation, and other material related to this Contract may be subject to public disclosure pursuant to the "Public Information Act," Chapter 552 of the Texas Government Code. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AGREEMENT FOR GRANT ADMINISTRATION SERVICES Attachment C - SCOPE OF WORK TEXAS GENERAL LAND OFFICE GRANT ADMINISTRATION SERVICES SCOPE OF WORK SCOPE OF SERVICES REQUESTED..................................................................... DESCRIPTION OF SERVICES AND SPECIAL CONDITIONS ................................ GRANT ADMINISTRATION SERVICES — INFRASTRUCTURE .............................. Grant Administration Services SCOPE OF SERVICES REQUESTED Providers will help Client and the GLO fulfill State and Federal Community Development Block Grant Mitigation ("CDBG-MIT") statutory responsibilities related to recovery in connection with any federally declared disaster. Providers will assist in completion of CDBG-MIT qualified housing or non -housing projects. Respondents may be qualified to provide Grant Administration services for housing projects, non -housing projects, or both. Grant administrative services must be performed in compliance with the U.S. Department of Housing and Urban Development ("HUD") and guidelines issued by the GLO. DESCRIPTION OF SERVICES AND SPECIAL CONDITIONS Consultant shall furnish pre -funding and post -funding grant administrative services to complete the disaster recovery projects, including, but not limited to the following: Pre -Funding Services Grant Administrator will develop project scope and complete CDBG-DR application. The provider will work with the subrecipient and Engineering, if applicable, to provide the concise information needed for submission of complete disaster recovery funding application and related documents. The required information shall be submitted in a format to be described by the GLO. Post -Funding Services Grant Administrator will administer and complete infrastructure, utilities, housing and eligible projects approved for disaster recovery funding. The selected administrative firm must follow all requirements of the Texas CDBG Disaster Recovery program. Grant Administration Services Grant Administration Services — General (a) Administrative Duties: i. Coordinate, as necessary, between subrecipient and any other appropriate service providers (i.e. Engineer, Environmental, etc.), contractor, subcontractor and GLO to effectuate the services requested. ii May assist in public hearings. iii Will work with GLO's system of record. iv. Provide monthly project status updates. v. Funding release will be based on deliverables identified in Section 3. vi. Labor and procurement duties: a. Provide all Labor Standards Officer (LSO) Services. b. Ensure compliance with all relevant labor standards regulations. c. Ensure compliance with procurement regulations and policies. d. Maintain document files to support compliance. vii Financial duties: a. Prepare and submit all required reports (Section 3, Financial Interest, etc.). b. Assist subrecipient with the procurement of audit services. c. Assist subrecipient in establishing and maintaining a bank account for disaster recovery funds. d. Implementation and coordination of Affirmatively Furthering Fair Housing ("AFFH") requirements as directed by HUD and the GLO. e. Implementation and coordination of Section 504 requirements. f. Program compliance. g. Ensure that fraud prevention and abuse practices are in place and being implemented. h. Prepare and submit all closeout documents. i. Submit all invoices no later than 60 days after the expiration of the contract. All outstanding funds may be swept after 60 days. The provider may request an extension of this requirement in writing. j. Assist in preparation of contract revisions and supporting documents including but not limited to: • Amendments/modifications, • Change orders. (b) Construction Management i The provider will assist the subrecipient in submitting/setting up project applications in the GLO's system of record. ii The provider may compile and collate complete contract/bid packages that meet GLO program requirements. The packages will contain supporting documentation that meets or exceeds the requirements of the GLO's program. If applications do not have the necessary forms, the provider may assist the subrecipient by coordinating to acquire the necessary documentation. iii The provider may monitor, report, and evaluate contractor's performance; notify the subrecipient if the contractor(s) fails to meet established scheduled milestones. Receive, review, recommend, and process any change orders as appropriate to the individual projects. Grant Administration Services iv. The provider may assist the subrecipient with project Activity Draws/Close Out. v. The provider may assist the subrecipient by submitting all the necessary documentation for draws and to close a project activity in the GLO's system of record. The provider will compile, review for completeness, and collate complete contract/closeout packages that meet GLO program requirements for draw requests. If applications do not have the necessary forms, the provider may assist the subrecipient by coordinating to acquire the necessary documentation. vi Reassignment scope alignment (if necessary). Grant Administration Services — Infrastructure a) Administrative Duties: i Ensure program compliance including all CDBG-DR requirements and all parts therein, current Federal Register, etc. ii Assist subrecipient in establishing and maintaining financial processes. iii Obtain and maintain copies of the subrecipient's most current contract including all related change requests, revisions and attachments. iv. Establish and maintain record keeping systems. v. Assist subrecipient with resolving monitoring and audit findings. vi Serve as monitoring liaison. vn. Assist subrecipient with resolving third party claims. viii.Report suspected fraud to the GLO. ix Submit timely responses to the GLO requests for additional information. x Complete draw request forms and supporting documents. A Facilitate outreach efforts, application intake, and eligibility review. xiiL Perform any other administrative duty required to deliver the project. xiR Utilize and assist with GLO's system of record to complete milestones, submit documentation, reports, draws, change requests, etc. xiv.Submit change requests and all required documentation related to any change requests. (b) Acquisition Duties': i Submit acquisition reports and related documents. ii. Establish acquisition files (if necessary). iii. Complete acquisition activities (if necessary). (c) Environmental Services i Assist detailed scope of services a Review each project description to ascertain and/or verify the level of environmental review required: Exempt, Categorical Exclusion not Subject to 58.5, Categorical Exclusion Subject to 58.5, Environmental Assessment, and Environmental Impact Statements; b. Prepare, complete and submit HUD required forms for environmental review and provide all documentation to support environmental findings; c. Consult and coordinate with oversight/regulatory agencies to facilitate environmental clearance; d. Be able to perform or contract special studies, additional assessments, or permitting Grant Administration Services to secure environmental clearance. These may include, but are not limited to biological assessments, wetland delineations, asbestos surveys, lead -based paint assessments, archeology studies, architectural reviews, Phase I & II ESAs, USACE permits, etc.; e. Prepare all responses to comments received during comment phase of the environmental review, including State/Federal Agency requiring further studies and/or comments from public or private entities during public comment period; f. Maintain close coordination with local officials, project engineer and other members of the project team to assure appropriate level of environmental review is performed and no work is conducted without authorization; g. Complete and submit the environmental review into GLO's system of record; h. At least one site visit to project location and completion of a field observation report i. Prepare and submit for publication all public notices including, but not limited to the Notice of Finding of No Significant Impact (FONSI), Request for Release of Funds floodplain/wetland early and final notices in required order and sequence; j. Provide documentation of clearance for Parties Known to be Interested as required by 24 CFR 58.43; k. Process environmental review and clearance in accordance with NEPA; 1. Advise and complete environmental re-evaluations per 24 CFR 58.47 when evidence of further clearance or assessment is required; m. Prepare and submit Monthly Status Report; and n. Participate in regularly scheduled progress meetings. *Acquisition Activities may not be required in each project other than the submittal of an "acquisition report" documenting no activities. KSBR, LLC will assist in facilitating additional acquisition services that may be required, including any or all of the following activities: obtaining documentation of property ownership, correspondence and notifications to property owners, negotiations between the Client and property owners, requesting signatures, filing records, CAD -based fair market value estimates, coordinating the services of appraisers, surveyors, or other third parties. Costs for any third -party acquisition services shall be paid from the Acquisition line item. Grant Administration Services DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 1 of 4 NONEXCLUSIVE LIST OF APPLICABLE LAWS, RULES, AND REGULATIONS If applicable to the Project, Subrecipient must be in compliance with the following laws, rules, and regulations; and any other state, federal, or local laws, rules, and regulations as may become applicable throughout the term of the Contract, and Subrecipient acknowledges that this list may not include all such applicable laws, rules, and regulations. Subrecipient is deemed to have read and understands the requirements of each of the following, if applicable to the Project under this Contract: GENERALLY The Acts and Regulations specified in this Contract; Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Division B, Subdivision 1 of the Bipartisan Budget Act of 2018) (Public Law 115-123); The Housing and Community Development Act of 1974 (12 U.S.C. § 5301 et seq.); The United States Housing Act of 1937, as amended, 42 U.S.C. § 1437f(o)(13) (2016) and related provisions governing Public Housing Authority project -based assistance, and implementing regulations at 24 C.F.R. Part 983 (2016); Cash Management Improvement Act regulations (31 C.F.R. Part 205); Community Development Block Grants (24 C.F.R. Part 570); Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Community Development Block Grant Disaster Recovery and Mitigation Implementation Manual; and State of Texas CDBG Mitigation Action Plan, dated March 31, 2020, as may be amended. CIVIL RIGHTS Title VI of the Civil Rights Act of 1964, (42 U.S.C. § 2000d et seq.); 24 C.F.R. Part 1, 'Nondiscrimination in Federally Assisted Programs of the Department of Housing and Urban Development - Effectuation of Title VI of the Civil Rights Act of 1964'; Title VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972 (42 U.S.C. § 2000e, et seq.); Title VIII of the Civil Rights Act of 1968, "The Fair Housing Act of 1968" (42 U.S.C. § 3601, et seq.), as amended; Executive Order 11063, as amended by Executive Order 12259, and 24 C.F.R. Part 107, "Nondiscrimination and Equal Opportunity in Housing under Executive Order 11063"; The failure or refusal of Subrecipient to comply with the requirements of Executive Order 11063 or 24 C.F.R. Part 107 shall be a proper basis for the imposition of sanctions specified in 24 C.F.R. 107.60; The Age Discrimination Act of 1975 (42 U.S.C. § 6101, et seq.); and Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794.) and 'Nondiscrimination Based on Handicap in Federally -Assisted Programs and Activities of the Department of Housing and DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 2 of 4 Urban Development", 24 C.F.R. Part 8. By signing this Contract, Subrecipient understands and agrees that the activities funded shall be performed in accordance with 24 C.F.R. Part 8; and the Architectural Barriers Act of 1968 (42 U.S.C. § 4151, et seq.), including the use of a telecommunications device for deaf persons (TDDs) or equally effective communication system. LABOR STANDARDS The Davis -Bacon Act, as amended (originally, 40 U.S.C. §§ 276a-276a-5 and re -codified at 40 U.S.C. §§ 3141-3148); 29 C.F.R. Part 5; The Copeland "Anti -Kickback" Act (originally, 18 U.S.C. § 874 and re -codified at 40 U.S.C. § 3145): 29 C.F.R. Part 3; Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (originally, 40 U.S.C. §§ 327A and 330 and re -codified at 40 U.S.C. §§ 3701-3708); Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction (Also Labor Standards Provisions Applicable to Non -construction Contracts Subject to the Contract Work Hours and Safety Standards Act) (29 C.F.R. Part 5); and Federal Executive Order 11246, as amended. EMPLOYMENT OPPORTUNITIES Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u): 24 C.F.R. §§ 135.3(a)(2) and (a)(3); The Vietnam Era Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. § 4212); Title IX of the Education Amendments of 1972 (20 U.S.C. §§ 1681-1688); and Federal Executive Order 11246, as amended. GRANT AND AUDIT STANDARDS Single Audit Act Amendments of 1996, 31 U.S.C. § 7501; Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Uniform Grant and Contract Management Act (Texas Government Code Chapter 783) and the Uniform Grant Management Standards, issued by Governor's Office of Budget and Planning; and Title 1 Texas Administrative Code § 5.167(c). LEAD -BASED PAINT Section 302 of the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. § 4831(b)). HISTORIC PROPERTIES The National Historic Preservation Act of 1966 as amended (16 U.S.C. § 470, et seq.), particularly sections 106 and 110 (16 U.S.C. §§ 470 and 470h-2), except as provided in §58.17 for Section 17 projects; Executive Order 11593, Protection and Enhancement of the Cultural Environment, May 13, 1971 (36 FR 8921), 3 C.F.R., 1971-1975 Comp., p. 559, particularly section 2(c); DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 3 of 4 Federal historic preservation regulations as follows: 36 C.F.R. Part 800 with respect to HUD programs; and The Reservoir Salvage Act of 1960, as amended by the Archeological and Historic Preservation Act of 1974 (16 U.S.C. § 469, et seq.), particularly section 3 (16 U.S.C. § 469a-1). ENVIRONMENTAL LAW AND AUTHORITIES Environmental Review Procedures for Recipients assuming HUD Environmental Responsibilities (24 C.F.R. Part 58, as amended); National Environmental Policy Act of 1969, as amended (42 U.S.C. §§ 4321-4347); and Council for Environmental Quality Regulations for Implementing NEPA (40 C.F.R. Parts 1500- 1508). FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION Executive Order 11988, Floodplain Management, May 24, 1977 (42 FR 26951), 3 C.F.R., 1977 Comp., p. 117, as interpreted in HUD regulations at 24 C.F.R. Part 55, particularly Section 2(a) of the Order (For an explanation of the relationship between the decision -making process in 24 C.F.R. Part 55 and this part, see § 55.10.); and Executive Order 11990, Protection of Wetlands, May 24, 1977 (42 FR 26961), 3 C.F.R., 1977 Comp., p. 121 particularly Sections 2 and 5. COASTAL ZONE MANAGEMENT The Coastal Zone Management Act of 1972 (16 U.S.C. § 1451, et seq.), as amended, particularly sections 307(c) and (d) (16 U.S.C. § 1456(c) and (d)). SOLE SOURCE AQUIFERS The Safe Drinking Water Act of 1974 (42 U.S.C. §§ 201, 300(f), et seq., and 21 U.S.C. § 349) as amended; particularly section 1424(e)(42 U.S.C. § 300h-3(e)); and Sole Source Aquifers (Environmental Protection Agency-40 C.F.R. part 149.). ENDANGERED SPECIES The Endangered Species Act of 1973 (16 U.S.C. § 1531, et seq.) as amended, particularly section 7 (16 U.S.C. § 1536). WILD AND SCENIC RIVERS The Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1271, et seq.) as amended, particularly sections 7(b) and (c) (16 U.S.C. § 1278(b) and (c)). AIR QUALITY The Clean Air Act (42 U.S.C. § 7401, et seq.) as amended, particularly sections 176(c) and (d) (42 U.S.C. §7506(c) and (d)). Determining Conformity of Federal Actions to State or Federal Implementation Plans (Environmental Protection Agency-40 C.F.R. Parts 6, 51, and 93). FARMLAND PROTECTION Farmland Protection Policy Act of 1981 (7 U.S.C. § 4201, et seq.) particularly sections 1540(b) DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 4 of 4 and 1541 (7 U.S.C. §§ 4201(b) and 4202); and Farmland Protection Policy (Department of Agriculture-7 C.F.R. part 658). HUD ENVIRONMENTAL STANDARDS Applicable criteria and standards specified in HUD environmental regulations (24 C.F.R. Part 51)(other than the runway clear zone and clear zone notification requirement in 24 C.F.R. § 51.303(a)(3); and HUD Notice 79-33, Policy Guidance to Address the Problems Posed by Toxic Chemicals and Radioactive Materials, September 10, 1979. ENVIRONMENTAL JUSTICE Executive Order 12898 of February 11, 1994—Federal Actions to Address Environmental Justice in Minority Populations and Low -Income Populations, (59 FR 7629), 3 C.F.R., 1994 Comp. p. 859. SUSPENSION AND DEBARMENT Use of debarred, suspended, or ineligible contractors or subrecipients (24 C.F.R. § 570.609); General HUD Program Requirements; Waivers (24 C.F.R. Part 5); and Nonprocurement Suspension and Debarment (2 C.F.R. Part 2424). OTHER REQUIREMENTS Environmental Review Procedures for Entities Assuming HUD Environmental Responsibilities (24 C.F.R. Part 58). ACQUISITION / RELOCATION The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. § 4601, et seg.), 24 C.F.R. Part 42, and 24 C.F.R. § 570.606. FAITH -BASED ACTIVITIES Executive Order 13279 of December 12, 2002 - Equal Protection of the Laws for Faith -Based and Community Organizations, (67 FR 77141). REMAINDER OF PAGE INTENTIONALLY LEFT BLANK Attachment E 2 pages plus form and certificates REQUIRED INSURANCE GENERALLY. Provider shall, at its sole expense, acquire, maintain, and keep in force for the duration of this Contract, insurance in the amounts attached herein and under the requirements specified herein. Furthermore, unless specified or otherwise agreed to by the Subrecipient, the required insurance shall be in effect prior to the commencement of work by Provider and shall continue in full force until the earlier as appropriate of (i) the expiration of this Contract; or (ii) such time as the Subrecipient notifies Provider that such insurance is no longer required. Any insurance or self-insurance available to the Subrecipient shall be in excess of, and non-contributing with, any insurance required from Provider. Provider's insurance policies shall apply on a primary basis. If, at any time during the Contract, an insurer or surety fails to provide insurance to Provider or otherwise fails to comply with the requirements of this Contract, Provider shall immediately notify the Subrecipient and replace such insurance or bond with an insurer meeting such requirements. General aggregate limits of Provider's Commercial General Liability policy shall apply per project. Provider's auto insurance policy shall apply to "any auto." Approval. Prior approval of the insurance policies by the Subrecipient shall be a condition precedent to any payment of consideration under this Contract and insurance must be submitted for review and approval by the GLO prior to the commencement of work. Any failure of the Subrecipient to timely approve or failure to disapprove the insurance furnished by Provider shall not relieve Provider of Provider's full responsibility to provide the insurance required by this Contract. Continuing Coverage. The Subrecipient's approval of any changes to insurance coverage during the course of performance shall constitute an ongoing condition subsequent to this Contract. Renewal. Provider shall provide the Subrecipient with renewal or replacement certificates no less than thirty (30) days before the expiration or replacement of the required insurance. Additional Insured Endorsement. The Subrecipient, the GLO, and each entity's officers, employees, and authorized agents shall be named as additional insureds for all liability arising under this Contract except on Workers' Compensation and Professional Liability policies. An original additional insured endorsement signed by an authorized insurance company representative must be submitted to the Subrecipient to evidence the endorsement of the Subrecipient as an additional insured on all policies, and the certificate(s) must reference the related Subrecipient Contract Number. Subrogation. Each liability insurance policy, except Professional Liability, shall provide for a waiver of subrogation as to the Subrecipient, the State of Texas, the GLO, and their officers, employees, and authorized agents, and shall be issued by insurance companies authorized to do business in the State of Texas, and currently rated by A.M. Best as "A-" or better. Policy Cancellation Endorsement. Except for ten (10) days' notice for non-payment of premium, each insurance policy shall be endorsed to specify that without 30 days' prior Attachment E 2 pages plus form and certificates written notice to the Subrecipient, the policy shall not be canceled, non -renewed, or coverage and/or limits reduced or materially altered, and shall provide that notices required by this paragraph shall be sent by certified mail to the address specified in this Contract. A copy of this signed endorsement must be attached to this Contract. Alternative Insurability. Notwithstanding the requirements of this Attachment; the Subrecipient reserves the right to consider reasonable alternative methods of insuring the contract in lieu of the insurance policies and/or bonds required. It will be Provider's responsibility to recommend to the Subrecipient alternative methods of insuring the Contract. Any alternatives proposed by Provider should be accompanied by a detailed explanation regarding Provider's inability to obtain insurance coverage as described in this Contract. The GLO shall be the sole and final judge as to the adequacy of any substitute form of insurance coverage. INSURANCE REQUIRED: $1 MILLION COMMERCIAL GENERAL LIABILITY (EACH OCCURRENCE) $2 MILLION COMMERCIAL GENERAL LIABILITY (AGGREGATE LIMIT) $1 MILLION ERRORS AND OMISSIONS STATUTORY WORKERS' COMPENSATION & EMPLOYERS LIABILITY - $1 MILLION EACH ACCIDENT - $1 MILLION DISEASE EACH EMPLOYEE - $1 MILLION DISEASE POLICY LIMIT NOTE: Insurance certificates must be in the form approved by the Texas Attorney General, a sample of which follows this page. Insurance Certificates must: (a) be submitted the Subrecipient; (b) prominently display "Subret (c) Name the Subrecipient and the Name as an additional insured. Failure to submit required insurance forms as instructed may significantly delay the start of work under the Contract. REQUIRED FORM OF CERTIFICATE FOLLOWS THIS PAGE Revised 9/2/2016 ^—, Contract No.******* A1i DATE(MMIDDY CERTIFICATE OF LIABILITY INSURANCE YVY) 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(les) must 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 endorsement(s). PRODUCER ACT NAME: Required form of Insurance INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AODL SUER ILTR TYPE OF INSURANCE INSR Me POLICY NUMBER MM 010 YYVY MMIOO/YEYYY f LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY `TDAMAGC_TO RENT€6 '., PREMISES (Ea occurrence) _$ $ CLAIM S MADE OCCUR 17 I MED EXP (Any one person) $ _ I PERSONAL_& ADV INJURY S I I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: 'I PRODUCTS. COMPIOP AGGJE $ _-.. POLICY PRO- _i LOC ...,.5 AUTOMOBILE LIABILITY MS NED SINGLE LIMI ". ', ANYAUTO 'I_' BODILY INJURY (Par person) $ ALL OWNED SCHEDULED AUTOS 'AUTOS BODILY INJURY (Per aceidenq $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS 11peracodenl) $ UMBRELLA LIAR 1 OCCUR EACH OCCURRENCE $ EXCESS LIA CLAIMS -MADE j AGGREGATE $ DEpRETEN IONS $ 'WORKERS COMPENSATION WOR WC STATU- OTH- ERS AND EMPLOYERS' LIABILITYYIN TORY LIMITS- FIR ANY IETORIPARTNERIEXECUTIVE EL EACHACCIDENT S OFFICE/MEMBER EXCLUDE07 NIA --- - ---- (Mandatory In NH) F. L. DISEASE -EA EMPLOYE Al yce.p,;Tr0a under __ _$ _-- E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACO RD 101, Additional Rama rim Schedule, If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OO 1988.2010 ACORD CORPORATION. All rinhtq ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PROFESSIONAL ENGINEERING SERVICES FOR NON -HOUSING PROJECTS UNDER THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACT No. 22-085-014-D245 THE County of Calhoun County (the "Subrecipient") and G&W Engineers, Inc. Tax Identification Number 74-2051265 ("Provider"), each a "Party" and collectively, "the Parties," enter into the following contract for professional engineering services (the "Contract") pursuant to the Professional Services Procurement Act, TEx. GOVT. CODE 2254 and 2 C.F.R. Part 200. WHEREAS, the Subrecipient has received U.S. Department of Housing and Urban Development Community Development Block Grant — Mitigation ("CDBG-MIT") funds, administered by the Texas General Land Office ("GLO") for damage sustained from Hurricane Harvey; and WHEREAS, the CDBG-MIT program is funded under the Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Public Law 115-123), enacted on February 9, 2018, for necessary expenses for Activities authorized under Title I of the Housing and Community Development Act of 1974 (42 U.S.C. §5301 et seq.) Now, THEREFORE, the Parties agree to the following terms and conditions: I. DEFINITIONS / INTERPRETIVE PROVISIONS / PROJECT DESCRIPTION 1.01 DEFINITIONS "Activity" means a defined class of works or services authorized to be accomplished using CDBG-MIT grant funds. Activities are specified in Subrecipient Budgets as `Category,' and the terms are interchangeable under this Contract. "Administrative and Audit Regulations" means the regulations included in Title 2, CFR, Part 200. Chapter 321 of the Texas Government Code; Subchapter F of Chapter 2155 of the Texas Government Code; and the requirements of Article VII herein. With regard to any federal funding, agencies with the necessary legal authority include: the relevant federal agency, the Comptroller General, the General Accounting Office, the Office of Inspector General, and any of their authorized representatives. In addition, state agencies and/or designees with the authority to audit and inspect include, the Subrecipient, the GLO, the GLO's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office and the Texas Comptroller of Public Accounts. "Attachment" means documents, terms, conditions, or additional information physically added to this Contract following the execution page, or incorporated by reference, as if physically. "Benchmark" or "Billing Milestone" means a clearly defined set of incremental services that must be performed; or an interim level of accomplishment that must be met by Provider in order to receive periodic incremental and final reimbursement for services under this Contract. "CDBG—MIT" means the Community Development Block Grant —Disaster Recovery Program administered by the U.S. Department of Housing and Urban Development, in cooperation with the GLO. "Certificate of Construction Completion" means a document submitted by an engineer or, if none, a construction contractor, to a Subrecipient which, when executed by the Subrecipient, indicates acceptance of the non -housing project, as built. "Contract" means this entire document, along with any Attachments, both physical and incorporated by reference; and any Amendments, Revisions, or Technical Guidance Letters that may be issued by the GLO, to be incorporated by the GLO, to be incorporated by reference herein for all purposes as they are issued, if any. "Contract Period" means the period of time between the effective date of a contract and its expiration or termination date. "Deliverable" means a unit or increment of work to include, any item, report, data, document, photograph, or other submission required to be delivered under the terms of this Contract, in whatever form. "Federal Assurances" means Standard Form 424B (Rev. 7-97) (non -construction projects); or Standard Form 424D (Rev. 7-97) (construction projects), in Attachment A, attached hereto and incorporated herein for all purposes. "Federal Certifications" means U.S. Department of Commerce Form CD-512 (12-04), "Certifications Regarding Lobbying — Lower Tier Covered Transactions," also in Attachment A, attached hereto and incorporated herein for all purposes. "Fiscal Year" means the period beginning September 1 and ending August 31 each year, which is the annual accounting period for the State of Texas. "GAAP" means "Generally Accepted Accounting Principles." "GASB" means the Governmental Accounting Standards Board. "General Affirmations" means the statements in Attachment B, attached hereto and incorporated herein for all purposes, which Provider affirms by executing this Contract. "GLO" means the Texas General Land Office, its officers, employees, and designees. "HSP" means HUB Subcontracting Plan, as outlined by Chapter 2161 of the Texas Government Code. "HUB" means Historically Underutilized Business, as defined by Chapter 2161 of the Texas Government Code. "HUD" means the United States Department of Housing and Urban Development. "Mentor Protdgd" means the Comptroller of Public Accounts' leadership program found at: http://www.window.state.tx.us/procurement/prog/hub/mentorprotege/ "Non -housing" refers to a project involving the restoration and/or repair of infrastructure facilities and the economic revitalization activities approved under a CDBG-MIT program grant. "Performance Statement" means Provider's detailed scope of work hereby incorporated for all purposes as Attachment C. "Project" means the professional engineering services described in SECTION 1.03 of this Contract and in any applicable Attachments. "Project Completion Report" means a report containing an "as built" accounting of all projects completed under a CDBG-MIT non -housing grant and containing all information required to completely close out a grant file. "Project implementation Manual" means a set of guidelines for the CDBG-MIT Program, incorporated herein by reference for all purposes in its entirety. "Project Period" means the stated time for completion of a Project assigned by Work Order, if any. "Prompt Pay Act" means Chapter 2251, Subtitle F of Title 10 of the Texas Government Code. "Provider" means G&W Engineers, Inc, selected to provide the services under this Contract, if any. "Public Information Act" means Chapter 552 of the Texas Government Code. "Quarterly Report" means a document submitted by Provider to Subrecipient for approval and submission to the GLO as a condition of reimbursement, as discussed in SECTION 1.05 and ARTICLE III, below. _RFQ" the Subrecipient's Request for Qualifications No. RFQ 2020-07.08-E, or the Solicitation, as defined below. "Scope of Work" means Provider's detailed scope of work hereby incorporated for all purposes as Attachment C. "Solicitation" means Subrecipient's Request for Qualifications No. RFQ 2020-07.08-E, including any Addenda. "Solicitation Response" means Provider's full and complete response to the Solicitation, including any Addenda. "State of Texas TexTravel" means Texas Administrative Code, Title 34, Part 1, Chapter 5, Subchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any. "Subcontractor" means an individual or business that signs a contract to perform part or all of the obligations of Provider under this Contract. "Subrecipient" means The County of Calhoun County, a local governmental body or political subdivision that receives funds under HUD's CDBG—MIT Program for non - housing projects. "Subrecipient Agreement" means the contractual agreement for a CDBG-MIT non -housing grant between the GLO and the Subrecipient for which Provider performs services assigned by the Subrecipient, if any. "Technical Guidance Letter or `TGL"' means an instruction, clarification, or interpretation of the requirements of the CDBG-MIT Program, issued by the GLO to specified recipients, applicable to specific subject matter, to which the addressed Program participants shall be subject. 1.02 INTERPRETIVE PROVISIONS (a) The meanings of defined terms are equally applicable to the singular and plural forms of the defined terms; (b) The words "hereof," "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, attachment, work order, or schedule of this Contract unless otherwise specified; (c) The term "including" is not limiting and means "including without limitation" and, unless otherwise expressly provided in this Contract, (i) references to contracts (including this Contract) and other contractual instruments shall be deemed to include all subsequent amendments and other modifications thereto, but only to the extent that such amendments and other modifications are not prohibited by the terms of this Contract, and (ii) references to any statute or regulation are to be construed as including all statutory and regulatory provisions consolidating, amending, replacing, supplementing, or interpreting the statute or regulation; (d) The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contract; (e) All attachments within this Contract, including those incorporated by reference, and any amendments are considered part of the terms of this Contract; (f) This Contract may use several different limitations, regulations, or policies to regulate the same or similar matters. All such limitations, regulations, and policies are cumulative and each shall be performed in accordance with its terms; (g) Unless otherwise expressly provided, reference to any action of the Subrecipient or by the Subrecipient by way of consent, approval, or waiver shall be deemed modified by the phrase "in its/their sole discretion." Notwithstanding the preceding sentence, any approval, consent, or waiver required by, or requested of, the Subrecipient shall not be unreasonably withheld or delayed; (h) Time is a material condition in this Contract. (i) In the event of conflicts or inconsistencies between this contract and its attachments, such conflicts or inconsistencies shall be resolved by reference to the documents in the following order of priority: Signed Contract; Attachments to the Contract: Attachment A, Attachment B, Attachment C, Attachment D, Attachment E; Solicitation Documents; and Provider's Response to Solicitation. 1.03 PROJECT Provider shall perform, or cause to be performed, professional engineering services as required for coastal resiliency projects in Calhoun County, Texas, as authorized under GLO Contract No. 22-085-014-D245 ("Subrecipient's Contract"), as may be amended from time to time, and as outlined in detail in the Performance Statement, attached hereto and incorporated herein for all purposes as Attachment C ("the Project"). Provider is responsible for obtaining Subrecipient's most current performance statement and Implementation Schedule, Budget ("Subrecipient's Documents"), and any other documentation which may be required to accomplish the Project that is the subject of this Contract. Such documents are incorporated herein by reference in their entirety for all purposes. No work may begin and no charges may be incurred prior to the effective date of Subrecipient's Contract and/or Amendment, to which this Contract is related, with the exception of assistance to Subrecipient in completing the grant application as necessary, and other pre -execution services authorized by prior, written approval of the Calhoun, County, if any. Subrecipient Documents may be obtained from the Subrecipient or the Subrecipient's Grant Administrator, and their effective date and status as executed documents must be confirmed by Provider prior to commencement of any services. 1.04 REPORTING REQUIREMENTS Provider shall assist the Subrecipient to timely submit all reports and documentation that are required under this Contract. Monthly and QUARTERLY REPORTS — APPLICABLE TO NON -HOUSING P ROJECTS' Monthly and QUARTERLY REPORTS ARE REQUIRED AS A CONDITION OF REIMBURSEMENT TO ALL SUBRECIPIENTS. It is incumbent upon Provider to facilitate the submission of each Quarterly Report in a timely manner to Subrecipient for submission to the GLO. Each Quarterly Report shall include progress made since the prior reporting period, current Benchmarks achieved, projected quantities, problems encountered and detailed plans to correct them, goals to be accomplished in the subsequent reporting period, and any other information as may be reasonably required by the GLO. The GLO may review the Monthly and Quarterly Report(s) and may request revisions to be made. Subrecipient shall make Provider aware of such revision requests and shall assist the Subrecipient in making appropriate revisions. Upon acceptance of the Quarterly Report and submission of a properly prepared invoice, appropriate payment shall made to Subrecipient and to Provider. In the sole discretion of the GLO, reports may be requested more often than quarterly, and Provider shall facilitate the timely submission to Subrecipient of such additional information by the Subrecipient. Reimbursement may be withheld if a Monthly or Quarterly Report is delinquent or deficient, in the sole discretion of the GLO or Calhoun County. Provider shall submit to the Subrecipient all reports, drawings, surveys, designs, and such other work products as required by the Scope of Services in Attachment C of this Contract, and in accordance with the GLO Project Implementation Manual, and any Technical Guidance Letters or Revisions issued by the GLO, if any. FINAL DOCUMENTATION: By the close of business no later than thirty (30) days after completion of a construction project, Provider shall submit to the Subrecipient and to Subrecipient's Grant Administration firm, if any, a copy of the executed Certificate of Construction Completion ("COCC") for the project which must include a final, as built report of quantities, drawings, and specifications used during the course of the project, with justification as to why any variances from original plans, approved pursuant to SECTION 1.04(c) of Provider's Contract, were required. Notwithstanding the preceding the GLO, in its sole discretion, may approve extensions to this Deliverable due date. Such approvals must be in writing, and may be delivered by regular mail, electronic mail, or facsimile transmission. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK II. 2.01 DURATION TERM This Contract shall be effective as of the date signed by the last party and shall terminate on April 30, 2025. The Subrecipient, at its own discretion, may extend any contract awarded pursuant to the Solicitation for up to (3) additional (1) year terms or until the time the grant funding expires, whichever comes first. Any extension will be subject to terms and conditions mutually agreeable to both parties. 2.02 EARLY TERMINATION The Subrecipient may terminate this Contract by giving written notice specifying a termination date at least thirty (30) days subsequent to the date of the notice. Upon receipt of any such notice, Provider shall cease work, undertake to terminate any relevant subcontracts, and incur no further expense related to this Contract. Such early termination shall be subject to the equitable settlement of the respective interests of the parties, accrued up to the date of termination. 2.03 ABANDONMENT OR DEFAULT If the Provider defaults on this Contract, the Subrecipient reserves the right to cancel the Contract without notice and either re -solicit or re -award the Contract to the next best responsive and responsible vendor qualified under the Solicitation. The defaulting provider will not be considered in the re -solicitation and may not be considered in future solicitations for the same type of work, unless the specification or scope of work significantly changed. The period of suspension will be determined by the Subrecipient based on the seriousness of the default. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK CONSIDERATION 3.01 CONTRACT LIMIT, FEES, AND EXPENSES Provider will be compensated on a negotiated fee basis, for an amount not to exceed the amount of One Million, Three Hundred Fifty -Eight Thousand, Eight Hundred Forty -Four DOLLARS and Seventy -Five CENTS ($1,358,844.75), reimbursable in increments as shown in the Benchmarks in Attachment C for the type of work to be performed. The Professional Engineering Services Fee shall not exceed the maximum amount available for such services as prescribed by the Subrecipient Agreement, the GLO, HUD or any governing law, for the term of this Contract. The Subrecipient agrees to pay Provider in accordance with The Prompt Pay Act, Tex. Govt. Code Ch. 2251. The form of invoice will be prescribed by the Subrecipient and made available to Provider in a separate submission from the Subrecipient. Reimbursement for services may be requested based on the Benchmarks, according to the type of services authorized, contingent upon Provider's facilitation of the timely submission of each Quarterly Report required, as discussed in SECTION 1.04, above. At a minimum, invoices must clearly reflect: (a) Provider's Contract Number; (b) the name and GLO Contract Number (12 digits) of the Subrecipient Agreement to which services have been provided; (c) the current amount being billed; (d) the cumulative amount billed previously; (e) the balance remaining to be billed; and (f) an itemized statement of services performed, including documentation as required under the Contract, such as invoices, receipts, statements, stubs, tickets, time sheets, and any other which, in the judgment of the Subrecipient, provides full substantiation of reimbursable costs incurred. Subject to the maximum Contract amount authorized herein, upon specific, prior, written approval by the Subrecipient, lodging, travel, and other incidental direct expenses may be reimbursed under this Contract for professional or technical personnel who are (a) away from the cities in which they are permanently assigned; (b) conducting business specifically authorized by the Subrecipient; and (c) performing services not originally contemplated in the Scope of Services. The limit for such reimbursements shall be the rates established by the Comptroller of the State of Texas, as outlined in the State of Texas travel guidelines, TexTravel. If a rate within the limits set forth in TexTravel is not available, Provider shall use its best efforts to obtain the lowest available room rate. Provider shall obtain prior approval from the Subrecipient. NOTICE TO PROVIDER: Failure to include all of the information required in SECTION 3.01 with each invoice may result in a significant delay in processing payment for the invoice. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK IV. PROVIDER'S WARRANTY, AFFIRMATIONS, AND ASSURANCES 4.01 PERFORMANCE WARRANTY Provider represents that all services performed under this Contract will be performed in a manner consistent with a degree of care and skill ordinarily exercised by members of the same profession practicing under similar circumstances at the time, and in the general vicinity where, the services are performed ("Standard of Care"). Provider represents that all work product, including Deliverables if any, under this Contract shall be completed in a manner consistent with standards in the applicable trade, profession, or industry; shall conform to or exceed the specifications set forth in the incorporated Attachments (if any); and shall be, of good quality, and in accordance in accordance with the Standard of Care. If Provider fails to submit Deliverables timely or to perform satisfactorily under conditions required by this Contract, the Subrecipient may require Provider, at its sole expense, to the extent such defect or damage is caused by the negligence of Provider, to (a) repair or replace the defective or damaged Deliverables; (b) refund any payment received for the defective or damaged Deliverables and, in conjunction therewith, require Provider to accept the return of such Deliverables; and/or (c) take necessary action so that future performance and Deliverables conform to the Contract requirements. 4.02 GENERAL AFFIRMATIONS To the extent that they are applicable, Provider further certifies that the General Affirmations in Attachment B have been reviewed, and that Provider is in compliance with each of the requirements reflected therein. 4.03 FEDERAL ASSURANCES To the extent that they are applicable, Provider further certifies that the Federal Assurances in Attachment A have been reviewed and that Provider is in compliance with each of the requirements reflected therein. The Federal Assurance form must be executed by Provider's authorized signatory. 4.04 FEDERAL CERTIFICATIONS To the extent that they are applicable, Provider further certifies that the Federal Certifications also in Attachment A have been reviewed, and that Provider is in compliance with each of the requirements reflected therein. The Federal Certifications form must be executed by Provider's authorized signatory. In addition, Provider certifies that it is in compliance with any other applicable federal laws, rules, or regulations, as they may pertain to this Contract including, but not limited to, those listed in Attachment D. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK V. FEDERAL AND STATE FUNDING, RECAPTURE OF FUNDS, AND OVERPAYMENT 5.01 FEDERAL FUNDING (a) Funding for this Contract is appropriated under Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Division B, Subdivision 1 of the Bipartisan Budget Act of 2018) (Public Law 115-123), enacted on February 9, 2018, for necessary expenses, and to affirmatively further fair housing in accordance with Executive Order 12892, which are Presidentially - declared major disaster areas under Title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.). The fulfillment of this Contract is based on those funds being made available to the GLO as the lead administrative state agency. All expenditures under this Contract must be made in accordance with this Contract, the rules and regulations promulgated under the CDBG-MIT Program, and any other applicable laws. Further, Provider acknowledges that all funds are subject to recapture and repayment for non- compliance. (a) All participants in the CDBG-MIT grant program must have a Unique Entity ID (UEI) number, as well as a Commercial And Government Entity (CAGE) Code. (b) The UEI number and CAGE Code must be reported to the GLO for use in various grant reporting documents, and may be obtained by visiting the Central Contractor Registration web site at: htt_ps://www.bpn. ovg /ccr/ Assistance with this web site may be obtained by calling 866-606-8220. 5.02 STATE FUNDING (a) This Contract shall not be construed as creating any debt on behalf of the State of Texas and/or the GLO in violation of Article III, Section 49, of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution, it is understood that all obligations of the GLO hereunder are subject to the availability of state funds. If such funds are not appropriated or become unavailable, the Subrecipient, in its sole discretion, may terminate this Contract. In that event, the parties shall be discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. (b) Furthermore, any claim by Provider for damages under this Contract may not exceed the amount of funds appropriated for payment, but not yet paid to Provider, under the annual budget in effect at the time of the breach. Nothing in this provision shall be construed as a waiver of sovereign immunity. 5.03 RECAPTURE OF FUNDS Provider shall conduct, in a satisfactory manner as determined by the Subrecipient, the Project as set forth in the Contract. The discretionary right of the Subrecipient to terminate for convenience under SECTION 2.02 notwithstanding, it is expressly understood and agreed by Provider that the Subrecipient shall have the right to terminate the Contract and to recapture, and be reimbursed for any payments made by the Subrecipient (i) that exceed the maximum allowable HUD rate; (ii) that are not allowed under applicable laws, rules, and regulations; or (iii) that are otherwise inconsistent with this Contract, including any unapproved expenditures. 5.04 OVERPAYMENT Provider understands and agrees that it shall be liable to the Subrecipient or the GLO for any costs disallowed pursuant to financial and/or compliance audit(s) of funds received under this Contract. Provider further understands and agrees that reimbursement of such disallowed costs shall be paid by Provider from funds which were not provided or otherwise made available to Provider under this Contract. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK VI. OWNERSHIP 6.01 OWNERSHIP AND THIRD PARTY RELIANCE (a) The Subrecipient shall own, and Provider, upon receipt of payment for its Work Product, hereby assigns to the GLO, all right, title, and interest in all services to be performed; all goods to be delivered; and/or all other related work product prepared, or in the course of preparation, by Provider (or its subcontractors) pursuant to this Contract, together with all related worldwide intellectual property rights of any kind or character (collectively, the "Work Product"). Under no circumstance will any license fee, royalty, or other consideration not specified in this Contract be due to Provider for the assignment of the Work Product to the GLO or for the GLO's use and quiet enjoyment of the Work Product in perpetuity. Provider shall promptly submit all Work Product to the GLO upon request or upon completion, termination, or cancellation of this Contract for any reason, including all copies in any form or medium. (b) Provider and the Subrecipient shall not use, willingly allow, or cause such Work Product to be used for any purpose other than performance of Provider's obligations under this Contract without the prior written consent of either party and the GLO. Work Product is for the exclusive use and benefit of, and may be relied upon only by the Parties. Prior to distributing any Work Product to any third party, other than the GLO, the parties shall advise such third parties that if it relies upon or uses such Work Product, it does so entirely at its own risk without liability to the GLO, Provider, or the Subrecipient. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK VII. RECORDS, AUDIT, RETENTION, CONFIDENTIALITY, PUBLIC RECORDS 7.01 BOOKS AND RECORDS Provider shall keep and maintain under GAAP or GASB, as applicable, full, true, and complete records necessary to fully disclose to the Subrecipient, the GLO, the State of Texas Auditor's Office, the United States Government, and/or their authorized representatives sufficient information to determine compliance with the terms and conditions of this Contract and all state and federal rules, regulations, and statutes. 7.02 INSPECTION AND AUDIT (a) Provider agrees that all relevant records related to this Contract and any Work Product produced in relation to this Contract, including the records and Work Product of its Subcontractors, shall be subject to the Administrative and Audit Regulations. Accordingly, such records and Work Product shall be subject, at any time, to inspection, examination, audit, and copying at any location where such records and Work Product may be found, with or without notice from the Subrecipient, the GLO, HUD, or other government entity with necessary legal authority. Provider agrees to cooperate fully with any federal or state entity in the conduct of inspection, examination, audit, and copying, including providing all information requested. Provider will ensure that this clause concerning federal and state entities' authority to inspect, examine, audit, and copy records and Work Product, and the requirement to fully cooperate with the federal and state entities, is included in any subcontract it awards. (b) Provider understands that acceptance of state funds under this Contract acts as acceptance of the authority of the State Auditor's Office to conduct an audit or investigation in connection with those funds. Provider further agrees to cooperate fully with the State Auditor's Office in the conduct of the audit or investigation, including providing all records requested. Provider will ensure that this clause concerning the State Auditor's Office's authority to audit state funds and the requirement to fully cooperate with the State Auditor's Office is included in any subcontracts it awards. Additionally, the State Auditor's Office shall at any time have access to and the rights to examine, audit, excerpt, and transcribe any pertinent books, documents, working papers, and records of Provider relating to the Contract for any purpose. HUD, the Comptroller General, the General Accounting Office, the Office of Inspector General, or any authorized representative of the U.S. Government shall also have this right of inspection. PROVIDER SHALL ENSURE THAT ALL SUBCONTRACTS AWARDED REFLECT THE REQUIREMENTS OF THIS SECTION 7.02, AND THE REQUIREMENT TO COOPERATE. (c) Provider will be deemed to have read and have knowledge of all applicable federal, state, and local laws, regulations, and rules including, but not limited to those identified in Attachment D, governing audit requirements pertaining to the Project. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 7.03 PERIOD OF RETENTION All records relevant to this Contract shall be retained for a period subsequent to the final closeout of the State of Texas CDBG-MIT grant program, in accordance with federal regulations. The Subrecipient will notify Provider of the date upon which records may be destroyed. 7.04 CONFIDENTIALITY To the extent permitted by law, Provider and the Subrecipient agree to keep all information confidential, in whatever form produced, prepared, observed, or received by Provider or the Subrecipient to the extent that such information is: (a) confidential by law; (b) marked or designated "confidential" (or words to that effect) by Provider or the Subrecipient; or (c) information that Provider or the Subrecipient is otherwise required to keep confidential by this Contract. Furthermore, Provider will not advertise that it is doing business with the Subrecipient, use this Contract as a marketing or sales tool, or make any press releases concerning work under this Contract without the prior written consent of the Subrecipient. 7.05 PUBLIC REcORDs Information related to the performance of this Contract may be subject to the Public Information Act ("PIA") and will be withheld from public disclosure or released only in accordance therewith. Provider shall make any information required under the PIA available to the Subrecipient in portable document file (".pdf ') format or any other format agreed between the Parties. Failure of Provider to mark as "confidential" or a "trade secret" any information that it believes to be excepted from disclosure waives any and all claims Provider may make against the Subrecipient for releasing such information without prior notice to Provider. Provider shall notify the Subrecipient within twenty-four (24) hours of receipt of any third party written requests for information, and forward a copy of said written requests to the Subrecipient. If the request was not written, Provider shall forward the third party's contact information to the Subrecipient. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK VIII. MISCELLANEOUS PROVISIONS 8.01 INSURANCE Provider shall acquire for the duration of this Contract insurance with financially sound and reputable insurers licensed by the Texas Department of Insurance, in the type and amount and in the form required by Attachment E of this Contract, REQUIRED INSURANCE AND FORM. Furthermore, Provider shall submit a certificate of liability insurance as required under this Contract, including (if requested) a schedule of coverage (or "underwriter's schedules") establishing to the satisfaction of the Subrecipient the nature and extent of coverage granted by each policy. Provider shall submit certificates of insurance and endorsements electronically, in the manner requested by the Subrecipient. In the event that any policy is determined to be deficient to comply with the terms of this Contract, Provider shall secure such additional policies or coverage as the Subrecipient may reasonably request or that are required by law or regulation. Provider will be responsible for submitting renewed certificates of insurance and endorsements, as evidence of insurance coverage throughout the term of this Contract. Provider may not be actively working on behalf of the Subrecipient if the insurance coverage does not adhere to insurance requirements. Failure to submit required insurance documents may result in the cancellation of this Contract. 8.02 TAXES/WORKERS' COMPENSATION/UNEMPLOYMENT INSURANCE PROVIDER AGREES AND ACKNOWLEDGES THAT DURING THE EXISTENCE OF THIS CONTRACT, PROVIDER SHALL BE ENTIRELY RESPONSIBLE FOR THE LIABILITY AND PAYMENT OF PROVIDER'S AND PROVIDER'S EMPLOYEES' TAXES OF WHATEVER KIND, ARISING OUT OF THE PERFORMANCES IN THIS CONTRACT. PROVIDER AGREES TO COMPLY WITH ALL STATE AND FEDERAL LAWS APPLICABLE TO ANY SUCH PERSONS, INCLUDING LAWS REGARDING WAGES, TAXES, INSURANCE, AND WORKERS' COMPENSATION. THE SUBRECIPIENT SHALL NOT BE LIABLE TO THE PROVIDER, ITS EMPLOYEES, AGENTS, OR OTHERS FOR THE PAYMENT OF TAXES OR THE PROVISION OF UNEMPLOYMENT INSURANCE AND/ OR WORKERS' COMPENSATION OR ANY BENEFIT AVAILABLE TO A STATE EMPLOYEE OR EMPLOYEE OF ANOTHER GOVERNMENTAL ENTITY CUSTOMER. 2) PROVIDER AGREES TO INDEMNIFY AND HOLD HARMLESS THE SUBRECIPIENT, THE GLO, THE STATE OF TEXAS AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, AND/OR ASSIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, REASONABLE ATTORNEYS' FEES, AND EXPENSES, RELATING TO TAX LIABILITY, UNEMPLOYMENT INSURANCE AND/OR WORKERS' COMPENSATION IN ITS PERFORMANCE UNDER THIS CONTRACT. PROVIDER SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE INCLUDING REASONABLE ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY PROVIDER WITH THE SUBRECIPIENT NAMED AS A DEFENDANT IN ANY LAWSUIT AND PROVIDER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE SUBRECIPIENT. PROVIDER AND THE SUBRECIPIENT AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. 8.03 LEGAL OBLIGATIONS Provider shall procure and maintain for the duration of this Contract any state, county, city, or federal license, authorization, insurance, waiver, permit, qualification or certification required by statute, ordinance, law, or regulation to be held by Provider to provide the goods or services required by this Contract. Provider will be responsible for payment of all taxes, assessments, fees, premiums, permits, and licenses required by law. Provider agrees to be responsible for payment of any such government obligations not paid by its subcontractors during performance of this Contract. 8.04 INDEMNITY AND RISK ALLOCATION EXCEPT FOR DAMAGES DIRECTLY OR PROXIMATELY CAUSED BY THE GROSS NEGLIGENCE OF THE SUBRECIPIENT OR THE GLO, PROVIDER SHALL INDEMNIFY AND HOLD HARMLESS THE SUBRECIPIENT, THE STATE OF TEXAS, THE GLO, AND THE OFFICERS, REPRESENTATIVES, AGENTS, AND EMPLOYEES OF THE SUBRECIPIENT, THE STATE OF TEXAS, AND THE GLO FROM ANY LOSSES, CLAIMS, SUITS, ACTIONS, DAMAGES, OR LIABILITY (INCLUDING ALL COSTS AND EXPENSES OF DEFENDING AGAINST ALL OF THE AFOREMENTIONED) TO THE EXTENT CAUSED BY: THE NEGLIGENCT, ACTS, ERRORS, OR OMISSIONS, OR MISCONDUCT IN THE PERFORMANCE OF THE SERVICES REFERENCED HEREIN.. PROVIDER SHALL BE RESPONSIBLE FOR THE SAFETY AND WELL BEING OF ITS EMPLOYEES, CUSTOMERS, AND INVITEES. THESE REQUIREMENTS SHALL SURVIVE THE TERM OF THIS AGREEMENT UNTIL ALL CLAIMS HAVE BEEN SETTLED OR RESOLVED AND SUITABLE EVIDENCE TO THAT EFFECT HAS BEEN FURNISHED TO THE SUBRECIPIENT. THE PROVISIONS OF THIS SECTION 8.03 SHALL SURVIVE TERMINATION OF THIS CONTRACT. The Parties waive their rights to any and all claims against each other for incidental, special, indirect or consequential damages of any nature whatsoever, including but not limited to loss of use, lost profits, economic loss, delay, liquated damages or business interruption type damages arising out of or in any way related to the services or work, from any cause or causes, including but not limited to joint and several liability or strict liability and whether arising in contract, warranty, tort, negligence (including strict liability) or otherwise and no matter how claimed, computed or characterized. The Parties have evaluated the risks and rewards associated with the services to be performed under this Contract, including Provider's fee relative to the risks assumed, and agree to allocate certain of the risks as set forth herein. Accordingly, to the fullest extent permitted by law, the total aggregate liability of Provider (and its related corporations, subconsultants, and employees) to Subrecipient is limited to the insurance amount required to be maintained for services provided under this Contract, for any and all injuries, damages, claims, losses, or expenses (including attorney and expert fees) arising out of Provider's services under this Contract, regardless of cause(s) or the theory of liability, including negligence, indemnity, or other recovery. 8.05 ASSIGNMENT AND SUBCONTRACTS Provider shall not assign, transfer, or delegate any rights, obligations, or duties under this Contract without the prior written consent of the Subrecipient. Notwithstanding this provision, it is mutually understood and agreed that Provider may subcontract with others for some or all of the services to be performed. In any approved subcontracts, Provider shall legally bind such subcontractor to perform and make such subcontractor subject to all the duties, requirements, and obligations of Provider as specified in this Contract. Nothing in this Contract shall be construed to relieve Provider of the responsibility for ensuring that the goods delivered and/or the services rendered by Provider and/or any of its subcontractors comply with all the terms and provisions of this Contract. Provider will provide written notification to the Subrecipient of any such subcontractor performing fifteen percent (15%) or more of the work under this Contract, including the name and taxpayer identification number of subcontractor, the task(s) being performed, and the number of subcontractor employees expected to work on the task. 8.06 RELATIONSHIP OF THE PARTIES Provider is associated with the Subrecipient only for the purposes and to the extent specified in this Contract, and, with respect to Provider's performance pursuant to this Contract, Provider is and shall be an independent contractor and, subject only to the terms of this Contract, shall have the sole right to supervise, manage, operate, control, and direct performance of the details incident to its duties under this Contract. Nothing contained in this Contract shall be deemed or construed to create a partnership or joint venture, to create relationships of an employer -employee or principal -agent, or to otherwise create for the Subrecipient or the GLO any liability whatsoever with respect to the indebtedness, liabilities, and obligations of Provider or any other party. Provider shall be solely responsible for, and the Subrecipient shall have no obligation with respect to: (a) withholding of income taxes, FICA, or any other taxes or fees; (b) industrial or workers' compensation insurance coverage; (c) participation in any group insurance plans available to employees of the State of Texas; (d) participation or contributions by the State to the State Employees Retirement System; (e) accumulation of vacation leave or sick leave; or (f) unemployment compensation coverage provided by the State. 8.07 COMPLIANCE WITH OTHER LAWS In the performance of this Contract, Provider shall comply with all applicable federal, state, and local laws, ordinances, and regulations. Provider shall make itself familiar with and at all times shall observe and comply with all federal, state, and local laws, ordinances, and regulations that in any manner affect performance under this Contract including, but not limited to, those attached hereto and incorporated herein for all purposes as Attachment D. Provider will be deemed to have knowledge of all applicable laws and regulations and be deemed to understand them. 8.08 NOTICES Any notices required under this Contract shall be deemed delivered when deposited either in the United States mail, postage paid, certified, return receipt requested; or with a common carrier, overnight, signature required, to the appropriate address below: Subrecipient Calhoun County 211 S. Ann St. Port Lavaca, Texas 77979 Attention: Richard Meyer, County Judge Provider G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 Attention: Brian Novian, P.E., President Notice given in any other manner shall be deemed effective only if and when received by the party to be notified. Either party may change its address for notice by written notice to the other party as herein provided. 8.10 GOVERNING LAW AND VENUE This Contract and the rights and obligations of the parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit between Subrecipient and Provider under this Contract shall be in a court of competent jurisdiction in Calhoun County, Texas. Provider irrevocably waives any objection, including any objection to personal jurisdiction or the laying of venue or based on the grounds of forum non conveniens, which it may now or hereafter have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any document related hereto. 8.11 SEVERABILITY If any provision contained in this Contract is held to be unenforceable by a court of law or equity, this Contract shall be construed as if such provision did not exist and the non - enforceability of such provision shall not be held to render any other provision or provisions of this Contract unenforceable. 8.12 FORCE MAJEURE Except with respect to the obligation of payments under this Contract, if either of the parties, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected party (collectively referred to as a "Force Majeure"), then, while so prevented, the affected party's obligation to comply with such covenant shall be suspended, and the affected party shall not be liable for damages for failure to comply with such covenant. In any such event, the party claiming Force Majeure shall promptly notify the other party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The party claiming Force Majeure shall exercise due diligence to prevent, eliminate, or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non- performance continues for more than thirty (30) days, the GLO may terminate this Contract immediately upon written notification to Provider. 8.13 DISPUTE RESOLUTION The parties agree to negotiate all disputes between them in good faith for a period of thirty (30) days from the date of notice prior to exercising their rights at law. If the parties fail to resolve a dispute through negotiation, either party may seek to have the dispute resolved through a court of competent jurisdiction. Unless otherwise prohibited by law, Subrecipient and Provider waive their rights to a trial by jury in any litigation resulting from this Contract. 8.14 ENTIRE CONTRACT AND MODIFICATION This Contract, its integrated Attachment(s), and any Technical Guidance issued in conjunction with this Contract, if any, constitute the entire agreement of the parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions, and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachment(s), Technical Guidance Letter shall be harmonized with this Contract to the extent possible. Unless such integrated Attachment, Technical Guidance Letter, or Revision specifically displays a mutual intent to amend a particular part of this Contract, general conflicts in language shall be construed consistently with the terms of this Contract. 8.15 COUNTERPARTS This Contract may be executed in any number of counterparts, each of which shall be an original, and all such counterparts shall together constitute but one and the same Contract. If the Contract is not executed by the Subrecipient within thirty (30) days of execution by the other party, this Contract shall be null and void. In the sole discretion of the Subrecipient, Work Orders issued, if any, may be executed by the parties in counterparts exchanged by electronic mail. 8.16 THIRD -PARTY BENEFICIARY The Parties agree that the GLO, as the administrator of the CDBG-MIT program, is a third - party beneficiary to this Contract and that the GLO shall have the right to enforce any provision of this Contract. Provided, however, that GLO shall only enforce a provision of this Contract after notifying the Parties, in writing, of a potential breach or default of the Contract and allowing the Provider sixty (60) days to cure the breach or default. Venue of any suit under this Section 8.16 shall be in a court of competent jurisdiction in Calhoun County, Texas. Provider irrevocably waives any objection, including any objection to personal jurisdiction or the laying of venue or based on the grounds of forum non conveniens, which it may now or hereafter have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any document related hereto. NOTHING IN THIS CONTRACT SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 8.17 PROPER AUTHORITY Each party hereto represents and warrants that the person executing this Contract on its behalf has full power and authority to enter into this Contract. Provider acknowledges that this Contract is effective for the period of time specified in the Contract. Any services performed by Provider before this Contract is effective or after it ceases to be effective are performed at the sole risk of Provider. SIGNATURE PAGE FOLLOWS IN WITNESS WHEROF, the Parties hereto have signed this Contract in duplicate. One counterpart each has been delivered to Subrecipient and Provider. Executed in duplicate originals this the 30 T'� day of Ek(, , 2022. CALHOUN COUNTY Richard Meyer County Judge 211. S. Ann, St, Suite 301 Calhoun County, TX 77979 PHONE: (361) 553-4400 G&W ENGINEERS, INC. Brian Novian, P.E. President ATTEST: �Hw� MISSION ;cf� • O. DD' O ' :C r• ?� i;D y 205 W. Live Oak Port Lavaca, TX 77979 PHONE: 361-552-4509 titi y � �. .. , OMB Approval No. 0348-0042 ASSURANCES - CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances, if such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970 (42 U.S.C. §§47284763) relating to prescribed (including funds sufficient to pay the non -Federal share standards for merit systems for programs funded of project costs) to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of the project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration (5 C.F.R. 900, Subpart F). 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property aquired in whole or in part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non- discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S,C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing: (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, 0) the requirements of any other nondiscrimination statute(s) which may apply 10 the application. Standard Form 4240 (Rev. 7-97) Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis - Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327- 16 333) regarding labor standards for federally -assisted construction subagreements. National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in fioodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 14. Will comply with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 17. Will assist the awarding agency in assuring compliance (P.L. 93-234) which requires recipients in a special flood with Section 106 of the National Historic Preservation hazard area to participate in the program and to purchase Act of 1966, as amended (16 U.S.C. §470), EO 11593 flood insurance if the total cost of insurable construction (identification and protection of historic properties), and and acquisition is $10,000 or more. the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.). 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of 18. Will cause to be performed the required financial and environmental quality control measures under the compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations." 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE APPLICANT ORGANIZATION DATE SUBMITTED SF-424D (Rev. 7-97) Back THIS FORM MUST BE EXECUTED FORM CD-512 U.S. DEPARTMENT OF COMMERCE (REV 12.04) CERTIFICATION REGARDIPN'G LOBBVIP�'G LOWER TIER COVERED TRANSACTIONS Applicants should review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 15 CFR Part 28, "New Restrictions on Lobbying." LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 15 CFR Part 28, for persons entering into a grant, 000pembve agreement or contract over $100,000 or a loan or loan guarantee over $150,000 as defined at 15 CFR Part 28, Sections 28.105 and 28.110, the applicant certifies that to the best of his or her knowledge and belief, that (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress in connection with the awarding of any Federal oontract, the making of any Federal grant, the making of any Federal loan, the entering into of any 000peralive agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, ban, or cooperative agreement (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this Federal contract, grant, ban, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this trarwdion imposed by section 1352, title 31, U.S. Code. Any person who fags to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: In any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a ban, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required state- ment shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure occurring on or before October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such failure occurring after October 23, 1996. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification. NAME OF APPLICANT AWARD NUMBER ANDIOR PROJECT NAME PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE SIGNATURE DATE THIS FORM MUST BE EXECUTED DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046 (See reverse for public burden disclosure.) 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: L— j a. contract :a. bid/offer/application a. initial filing = b. grant -b. initial award b. material change c. cooperative agreement c. post -award For Material Change Only: d.loan year quarter e. loan guarantee date of last report f. loan insurance 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Name ❑ Prime ❑ Subawardee and Address of Prime: Tier if known: Congressional District, if known: 4c Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if known: 10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, MI ): different from No. 10a ) ( last name, first name, MI): 11, lnlo oration requested through this form is authorized by lille 31 U.S.C. section Signature: 1352. This disclosure of kM*ng aclnnties is a material representation of fad upon ~ reliance was placed by the tier allows when an transaction was made Print Name: or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be available for public inspection. My person who fails to file the Title: required disclosure shall be subled to a dvil penalty of not less than $70.00o and Telephone No.: Date: not more than $100.00o for each such failure. Federal Use Only: Authorized for Local Reproduction Standard Form LLL (Rev. 7-97) THIS FORM SHOULD BE EXECUTED ONLY WHEN REPORTING LOBBYING ACTIVITIES UNDERTAKEN WITH GRANT FUNDS INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreemenito make payment to any lobbying entity for influencing or attempting to influence an officer or employeeof any agency, a Member of Congress, an officer or employee of Congress, or an employeeof a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1 Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously repotted, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city. State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g.. the first subawardee of the prime is the 1 sl tier. Subawards include but are not limited to subcontracts, subgranls and contract awards under grants. 5. If the organization filing the report in item 4 checks 'Subawardee,'then enter the full name, address, city, Slate and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizalionallevel below agency name, if known. For example, Department of Transportation, United Stales Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., 'RFP-DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, Stale and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and dale the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503. Attachment B Engineering Services Page 1 of 2 GENERAL AFFIRMATIONS Provider agrees without exception to the following affirmations: 1. Provider certifies that he/she/it has not given, offered to give, nor intends to give at anytime hereafter, any economic opportunity, future employment, gift, loan gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract. Provider certifies that neither Provider nor any firm, corporation, partnership, or institution represented by Provider or anyone acting for such firm, corporation, partnership, or institution has (1) violated the antitrust laws of the State of Texas under Texas Business & Commerce Code, Chapter 15, or federal antitrust laws; or (2) communicated the contents of the Contract or proposal either directly or indirectly to any competitor or any other person engaged in the same line of business during the procurement process for the Contract or proposal. 3. Provider certifies that if its business address shown on the Contract is a Texas address, that address is the legal business address of Provider and Provider qualifies as a Texas Resident Bidder under Texas Administrative Code, Title 34, Part 1, Chapter 20. 4. Section 2155.004 of the Texas Government Code prohibits the award of a contract that includes proposed financial participation by a person who received compensation from the Subrecipient to participate in preparing the specifications or request for proposals on which the Contract is based. Under Section 2155.004, Government Code, the vendor [Provider] certifies that the individual or business entity named in this bid or Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. Under Texas Family Code section 231.006, a child support obligor who is more than 30 days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least 25 percent is not eligible to receive payments from state funds under a contract to provide property, materials, or services. Under Section 231.006, Texas Family Code, the vendor or applicant [Provider] certifies that the individual or business entity named in this Contract, bid, or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate. 6. Provider agrees that any payments due under the Contract will be applied towards any debt, including but not limited to delinquent taxes and child support, Provider owes to the State of Texas. The Subrecipient is federally mandated to adhere to the directions provided in the President's Executive Order (EO) 13224, blocking property and prohibiting transactions with persons who commit, threaten to commit, or support terrorism and any subsequent changes made to it. The Subrecipient will cross-reference Providers/vendors with the federal System for Award Management (https://www.sam.gov/), which includes the United States Treasury's Office of Foreign Assets Control (OFAC) Specially Designated National (SDN) list. Provider certifies: 1) that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state, or local governmental entity; 2) that Provider is in compliance with the State of Texas statutes and rules relating to procurement; and 3) that Provider is not listed on the federal government's terrorism watch list as described in Executive Order 13224. Entities ineligible for federal procurement are listed at https:Hw-ww.sam.gov/. Attachment ** GLO Contract No. **** Page 2 of 2 Under Section 2155.006(b) of the Texas Government Code, the Subrecipient may not enter into a contract that includes proposed financial participation by a person who, during the five year period preceding the date of the bid or award, has been: (1) convicted of violating a federal law in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005; or (2) assessed a penalty in a federal civil or administrative enforcement action in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005. Under Section 2155.006 of the Texas Government Code, Provider certifies that the individual or business entity named in the Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. 10. The state auditor may conduct an audit or investigation of any entity receiving state funds directly under the Contract or indirectly through a subcontract under the Contract. Acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Provider shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through Provider and the requirement to cooperate is included in any subcontract it awards. 11. Provider understands that the neither the Subrecipient nor the GLO tolerate any type of fraud. The Subrecipient's policy is to promote consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Providers are expected to report any possible fraudulent or dishonest acts, waste, or abuse affecting any transaction with the GLO to the GLO's Internal Audit Director at 512.463.5338 or to tracey.hall@glo.texas.gov. NOTE: Information, documentation, and other material related to this Contract may be subject to public disclosure pursuant to the "Public Information Act," Chapter 552 of the Texas Government Code. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK Attachment C ENGINEERING SCOPE OF WORK SCOPE OF SERVICES REQUESTED ......... :...................................................................... 2 DESCRIPTION OF SERVICES AND SPECIAL CONDITIONS.......................................2 ENGINEERINGSERVICES................................................................................................2 -I- SCOPE OF SERVICES REQUESTED Providers will help the City of Port Lavaca fulfill State and Federal Community Development Block Grant Mitigation ("CDBG-Mitigation") statutory responsibilities related to disaster recovery for presidentially declared disasters in Texas. Providers will assist the GLO and grant recipients in the completion of CDBG qualified housing or non -housing projects. Respondents may be qualified to provide Engineering services for housing projects, non -housing projects, or both. Engineering services must be performed in compliance with the U.S. Department of Housing and Urban Development ("HUD") and guidelines issued by the GLO. Providers will be bound to specific terms and conditions found in the sample general terms and conditions. DESCRIPTION OF SERVICES AND SPECIAL CONDITIONS Respondents will be required to show the ability to provide all the Engineering services described below. Respondent shall then provide a detailed description of how they meet the requirement, describing their knowledge and experience, as well as providing discrete examples of previous work where applicable. General Requirements (a) Coordinate, as necessary, between subrecipient and its service providers (i.e., Engineer, Environmental, Contracted Construction Company, Grant Administrator, etc.) and GLO. regarding project design services. (b) Provide monthly project status updates. (c) Funding release will be based on deliverables identified in the contract. Initial Engineering and Design Support Respondents will be required to show the ability to provide all the Engineering services described below: (a) Assist with the development of grant applications, as necessary. (b) Provide all project information necessary to ensure timely execution of the environmental review. (c) Provide preliminary engineering, investigations, and drawings sufficient to achieve the preliminary design milestone, including at a minimum: i. Cross sections/elevations ii. Project layout/staging areas -2- iii. General notes iv. Special notes v. Design details vi. Specifications vii.Utility relocation designs viii. Construction limits, including environmentally sensitive areas that should be avoided during construction ix. Required permits x. Quantities xi. Estimate of construction costs to within +/- 25% xii.Schedules for design, permitting, acquisition and construction (d) Design surveying, topographic and utility mapping. (e) Perform subsurface explorations for project sites, as necessary. (f) Prepare horizontal alignments/layouts for all proposed project alternatives necessary to fully describe the project scope, anticipated limitations, and potential project impacts. (g) Recommend value engineering options (alternative design, construction methods, procurement, etc.) that may improve efficiency, expedite the schedule, or reduce project costs for the subrecipient. (h) Identify, acquire and submit all necessary permits and approvals required for design approval and construction. (1) Submit all necessary deliverables to the appropriate entity for review and comment. Adjust project and/or design to satisfactorily address any comments, as necessary. 0) Prepare plans and profiles, including vertical design information for the selected alternative. (k) Identify and address potential obstacles to project implementation (i.e., pipelines, easements, permitting, environmental, etc.) prior to moving forward with the final design. (I) Support subrecipient with acquisition or property/servitudes/right-of- way documentation as required by the City to facilitate the project, preparing right of way surveys and/or property boundary maps and legal WIE descriptions of parcels to be acquired. (m) Provide project schedules from cradle to grave in MS Project format or equal as approved by the subrecipient based on GLO guidance. Engineering and Final Design Support Respondents will be required to show the ability to provide all the Engineering services described below as they relate to final design support: (a) Prepare plans and profiles, including necessary design information for the selected alternative sufficient to achieve all detailed design milestones. Examples include, but are not limited to: i. Cross sections/elevations ii. Project layout/staging areas iii. General notes iv. Special notes v. Design details vi. Specifications vii.Utility relocation designs viii. Construction limits, including environmentally sensitive areas that should be avoided during construction ix. Required permits x. Quantities xi. Estimate of construction costs to within +/- 20% xii. Schedules for design, permitting, acquisition and construction (b) Provide information to appropriate individuals for the development of environmental fund release reports and floodplain maps. (c) Identify, acquire and submit all necessary permits and approvals required for design approval and construction. (d) Provide hard copy, if necessary, reproducible plan drawings and bid documents, in addition to electronic copies to the subrecipient, upon design completion, and as requested during design. Electronic copies should be in the native format (AutoCAD DWG) along with PDF packages and should contain all corresponding references, databases, or -4- files associated with the completed design documents. (e) Assist the subrecipient and any service provider related to the project with all necessary documentation to ensure compliance with all Program requirements and regulations. Bid and Award Support Respondents will be required to show the ability to provide all the Engineering services described below as they relate to bid and award support. (a) Submit appropriate items and support subrecipient in the development of complete bid package. (b) Prepare and assist subrecipient in the advertisements for bid solicitation. (c) Support development and issuance of bid -related documents necessary to complete bid process (e.g., bid proposal form, bid addenda and supporting documentation). (d) Attend and support subrecipient at pre -bid conference and bid opening. (e) Support subrecipient with ongoing communication during bid process. (� Support subrecipient to complete bid tabulation and evaluation of responses and provide recommendation for award. (g) Support subrecipient to negotiate and finalize contract documents, including issuance of the Notice to Proceed, in accordance with program and subrecipient requirements. (h) Support subrecipient in the conducting of a preconstruction conference. Contract Management and Construction Oversight Respondents will be required to show the ability to provide all the Engineering services described below as they relate to contract management and construction oversight. (a) Ensure delivery of subrecipient project in accordance with contract. (b) Provide ongoing Construction Oversight Reports detailing the status of construction for subrecipient project. (c) Review all service provider submittals to ensure compliance with construction contract documents and provide recommendations to subrecipient. (d) Provide periodic and final inspections and tests reports, as required for the project. (e) Provide on -site supervision and oversight of construction activities at a minimum on a bi-weekly basis or as directed by the GLO or subrecipient. -5- (fl Review Construction Change Orders and provide recommendation to subrecipient as to appropriate action. (g) Review invoice/draw requests subrecipient as to appropriate construction contract documents. and provide recommendation to action, in compliance with the (h) Obtain independent cost estimates for validation purposes, as required. (1) Review and respond to requests for information/clarification. 0) Support subrecipient with issue identification and claims resolutions. (k) Enter all requisite information into the GLO system of record in accordance with established policies and procedures. (I) Develop a final "as built" report of quantities, drawings, and specifications. (m) Issue to the subrecipient, for execution, a Certificate of Construction Completion within 30 days of final inspection approval. (n) Deliver "as -built" drawings to the subrecipient within 30 days of project completion. (o) Host and/or attend project coordination meetings in person, by phone, or by video conference, which may or may not fall during normal business hours. (p) Perform other contract management and construction oversight duties as required to ensure success of the subrecipient project. (q) Provide necessary certifications to regulatory agencies of project completion and compliance (ex. TCEQ). (r) Submit all final invoices within 60 days after contract or work order expiration. Specialized Services Respondents will be required to show the ability to provide all the Engineering services described below as they relate to specialized services. (a) Provide Geotechnical Investigations as may be required for a project. (b) Provide Detailed Surveying as may be required for a project. (c) Provide Site Specific Testing as may be required for a project. (d) Provide Archeological Studies as may be required for a project. (e) Provide Planning Studies as may be required for a project. -6- (0 Provide Feasibility Studies as may be required for a project. (g) Provide Legal documentation for properly and/or easements to be acquired (i.e., field notes, etc.). (h) Provide Phase I and Phase II environmental site assessments as requested. Benchmarks, Actions, Deliverables Not -To -Exceed Budget Gate Percentages by Category Action: Commencement of Engineering Phase Deliverable: Executed engineering service provider contract in PDF format provided during start-up phase as applicable. Not to Exceed Budget Percentage: 0-30% Action: Completion of Design Phase Deliverable: Complete signed and sealed 100% construction plans in PDF accepted by the City Not to Exceed Budget Percentage: 30.01-60% Action: Commencement of Bid Phase Deliverable: First published bid notice and publisher's affidavit Not to Exceed Budget Percentage: 60.01-70% Action: Commencement of Construction Phase Deliverable: Signed Notice to Proceed (NTP) Not to Exceed Budget Percentage: 70.01-85% Action: Completion of Construction Phase Deliverable: Signed and sealed complete As -Built Plans in PDF format; executed COCC accepted by City; signed FWCR accepted by GLO Not to Exceed Budget Percentage: 85.01-100% -7- DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page I of 4 NONEXCLUSIVE LIST OF APPLICABLE LAWS, RULES, AND REGULATIONS If applicable to the Project, Subrecipient must be in compliance with the following laws, rules, and regulations; and any other state, federal, or local laws, rules, and regulations as may become applicable throughout the term of the Contract, and Subrecipient acknowledges that this list may not include all such applicable laws, rules, and regulations. Subrecipient is deemed to have read and understands the requirements of each of the following, if applicable to the Project under this Contract: GENERALLY The Acts and Regulations specified in this Contract; Further Additional Supplemental Appropriations for Disaster Relief Requirements Act, 2018 (Division B, Subdivision 1 of the Bipartisan Budget Act of 2018) (Public Law 115-123); The Housing and Community Development Act of 1974 (12 U.S.C. § 5301 et seq.); The United States Housing Act of 1937, as amended, 42 U.S.C. § 1437f(o)(13) (2016) and related provisions governing Public Housing Authority project -based assistance, and implementing regulations at 24 C.F.R. Part 983 (2016); Cash Management Improvement Act regulations (31 C.F.R. Part 205); Community Development Block Grants (24 C.F.R. Part 570); Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Community Development Block Grant Disaster Recovery and Mitigation Implementation Manual; and State of Texas CDBG Mitigation Action Plan, dated March 31, 2020, as may be amended. CIVIL RIGHTS Title VI of the Civil Rights Act of 1964, (42 U.S.C. § 2000d et seq.); 24 C.F.R. Part 1, "Nondiscrimination in Federally Assisted Programs of the Department of Housing and Urban Development - Effectuation of Title VI of the Civil Rights Act of 1964"; Title VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972 (42 U.S.C. § 2000e, et seq.); Title VIII of the Civil Rights Act of 1968, "The Fair Housing Act of 1968" (42 U.S.C. § 3601, et seq.), as amended; Executive Order 11063, as amended by Executive Order 12259, and 24 C.F.R. Part 107, "Nondiscrimination and Equal Opportunity in Housing under Executive Order 11063"; The failure or refusal of Subrecipient to comply with the requirements of Executive Order 11063 or 24 C.F.R. Part 107 shall be a proper basis for the imposition of sanctions specified in 24 C.F.R. 107.60; The Age Discrimination Act of 1975 (42 U.S.C. § 6101, et seq.); and Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794.) and "Nondiscrimination Based on Handicap in Federally -Assisted Programs and Activities of the Department of Housing and DocuSign Envelope ID: 76003FE2-361F-46FA-6182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 2 of 4 Urban Development", 24 C.F.R. Part 8. By signing this Contract, Subrecipient understands and agrees that the activities funded shall be performed in accordance with 24 C.F.R. Part 8; and the Architectural Barriers Act of 1968 (42 U.S.C. § 4151, et seq.), including the use of a telecommunications device for deaf persons (TDDs) or equally effective communication system. LABOR STANDARDS The Davis -Bacon Act, as amended (originally, 40 U.S.C. §§ 276a-276a-5 and re -codified at 40 U.S.C. §§ 3141-3148); 29 C.F.R. Part 5; The Copeland "Anti -Kickback" Act (originally, 18 U.S.C. § 874 and re -codified at 40 U.S.C. § 3145): 29 C.F.R. Part 3; Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (originally, 40 U.S.C. §§ 327A and 330 and re -codified at 40 U.S.C. §§ 3701-3708); Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction (Also Labor Standards Provisions Applicable to Non -construction Contracts Subject to the Contract Work Hours and Safety Standards Act) (29 C.F.R. Part 5); and Federal Executive Order 11246, as amended. EMPLOYMENT OPPORTUNUTIES Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u): 24 C.F.R. §§ 135.3(a)(2) and (a)(3); The Vietnam Era Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. § 4212); Title IX of the Education Amendments of 1972 (20 U.S.C. §§ 1681-1688); and Federal Executive Order 11246, as amended. GRANT AND AUDIT STANDARDS Single Audit Act Amendments of 1996, 31 U.S.C. § 7501; Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Uniform Grant and Contract Management Act (Texas Government Code Chapter 783) and the Uniform Grant Management Standards, issued by Governor's Office of Budget and Planting; and Title 1 Texas Administrative Code § 5.167(c). LEAD -BASED PAINT Section 302 of the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. § 4831(b)). HISTORIC PROPERTIES The National Historic Preservation Act of 1966 as amended (16 U.S.C. § 470, et seq.), particularly sections 106 and 110 (16 U.S.C. §§ 470 and 470h-2), except as provided in §58.17 for Section 17 projects; Executive Order 11593, Protection and Enhancement of the Cultural Environment, May 13, 1971 (36 FR 8921), 3 C.F.R., 1971-1975 Comp., p. 559, particularly section 2(c); DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B92B9257F2 Attachment D GLO Contract No. 22-087-001-D226 Page 3 of 4 Federal historic preservation regulations as follows: 36 C.F.R. Part 800 with respect to HUD programs; and The Reservoir Salvage Act of 1960, as amended by the Archeological and Historic Preservation Act of 1974 (16 U.S.C. § 469, et seq.), particularly section 3 (16 U.S.C. § 469a-1). ENVIRONMENTAL LAW AND AUTHORITIES Environmental Review Procedures for Recipients assuming HUD Environmental Responsibilities (24 C.F.R. Part 58, as amended); National Environmental Policy Act of 1969, as amended (42 U.S.C. §§ 4321-4347); and Council for Environmental Quality Regulations for Implementing NEPA (40 C.F.R. Parts 1500- 1508). FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION Executive Order 11988, Floodplain Management, May 24, 1977 (42 FR 26951), 3 C.F.R., 1977 Comp., p. 117, as interpreted in HUD regulations at 24 C.F.R. Part 55, particularly Section 2(a) of the Order (For an explanation of the relationship between the decision -making process in 24 C.F.R. Part 55 and this part, see § 55.10.); and Executive Order 11990, Protection of Wetlands, May 24, 1977 (42 FR 26961), 3 C.F.R., 1977 Comp., p. 121 particularly Sections 2 and 5. COASTAL ZONE MANAGEMENT The Coastal Zone Management Act of 1972 (16 U.S.C. § 1451, et seq.), as amended, particularly sections 307(c) and (d) (16 U.S.C. § 1456(c) and (d)). SOLE SOURCE AQUIFERS The Safe Drinking Water Act of 1974 (42 U.S.C. §§ 201, 300(f), et seq., and 21 U.S.C. § 349) as amended; particularly section 1424(e)(42 U.S.C. § 300h-3(e)); and Sole Source Aquifers (Environmental Protection Agency-40 C.F.R. part 149.). ENDANGERED SPECIES The Endangered Species Act of 1973 (16 U.S.C. § 1531, et seq.) as amended, particularly section 7 (16 U.S.C. § 1536). WILD AND SCENIC RIVERS The Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1271, et seq.) as amended, particularly sections 7(b) and (c) (16 U.S.C. § 1278(b) and (c)). AIR QUALITY The Clean Air Act (42 U.S.C. § 7401, et seq.) as amended, particularly sections 176(c) and (d) (42 U.S.C. §7506(c) and (d)). Determining Conformity of Federal Actions to State or Federal Implementation Plans (Environmental Protection Agency-40 C.F.R. Parts 6, 51, and 93). FARMLAND PROTECTION Farmland Protection Policy Act of 1981 (7 U.S.C. § 4201, et seq.) particularly sections 1540(b) DocuSign Envelope ID: 76003FE2-361F-46FA-B182-45B9269257F2 Attachment D GLO Contract No.. 22-087-001-D226 Page 4 of 4 and 1541 (7 U.S.L. §§ 4201(b) and 4202); and Farmland Protection Policy (Department of Agriculture-7 C.F.R. part 658). IIITD ENVIRONMENTAL STANDARDS Applicable criteria and standards specified in HUD environmental regulations (24 C.F.R. Part 51)(other than the runway clear zone and clear zone notification requirement in 24 C.F.R. § 51.303(a)(3); and HUD Notice 79-33, Policy Guidance to Address the Problems Posed by Toxic Chemicals and Radioactive Materials, September 10, 1979. ENVIRONMENTAL JUSTICE Executive Order 12898 of February 11, 1994—Federal Actions to Address Environmental Justice in Minority Populations and Low -Income Populations, (59 FR 7629), 3 C.F.R., 1994 Comp. p. 859. SUSPENSION AND DEBARMENT Use of debarred, suspended, or ineligible contractors or subrecipients (24 C.F.R. § 570.609); General HUD Program Requirements; Waivers (24 C.F.R. Part 5); and Nonprocurement Suspension and Debarment (2 C.F.R. Part 2424). OTHER REQUIREMENTS Environmental Review Procedures for Entities Assuming HUD Environmental Responsibilities (24 C.F.R. Part 58). ACQUISITION / RELOCATION The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. § 4601, et seg.), 24 C.F.R. Part 42, and 24 C.F.R. § 570.606. FAITH -BASED ACTIVITIES Executive Order 13279 of December 12, 2002 - Equal Protection of the Laws for Faith -Based and Community Organizations, (67 FR 77141). REMAINDER OF PAGE INTENTIONALLY LEFT BLANK Attachment E 2 pages plus form and certificates REQUIRED INSURANCE GENERALLY. Provider shall, at its sole expense, acquire, maintain, and keep in force for the duration of this Contract, insurance in the amounts attached herein and under the requirements specified herein. Furthermore, unless specified or otherwise agreed to by the Subrecipient, the required insurance shall be in effect prior to the commencement of work by Provider and shall continue in full force until the earlier as appropriate of (i) the expiration of this Contract; or (ii) such time as the Subrecipient notifies Provider that such insurance is no longer required. Any insurance or self-insurance available to the Subrecipient shall be in excess of, and non-contributing with, any insurance required from Provider. Provider's insurance policies shall apply on a primary basis. If, at any time during the Contract, an insurer or surety fails to provide insurance to Provider or otherwise fails to comply with the requirements of this Contract, Provider shall immediately notify the Subrecipient and replace such insurance or bond with an insurer meeting such requirements. General aggregate limits of Provider's Commercial General Liability policy shall apply per project. Provider's auto insurance policy shall apply to "any auto." Approval. Prior approval of the insurance policies by the Subrecipient shall be a condition precedent to any payment of consideration under this Contract and insurance must be submitted for review and approval by the GLO prior to the commencement of work. Any failure of the Subrecipient to timely approve or failure to disapprove the insurance furnished by Provider shall not relieve Provider of Provider's full responsibility to provide the insurance required by this Contract. Continuing Coverage. The Subrecipient's approval of any changes to insurance coverage during the course of performance shall constitute an ongoing condition subsequent to this Contract. Renewal. Provider shall provide the Subrecipient with renewal or replacement certificates no less than thirty (30) days before the expiration or replacement of the required insurance. Additional Insured Endorsement. The Subrecipient, the GLO, and each entity's officers, employees, and authorized agents shall be named as additional insureds for all liability arising under this Contract except on Workers' Compensation and Professional Liability policies. An original additional insured endorsement signed by an authorized insurance company representative must be submitted to the Subrecipient to evidence the endorsement of the Subrecipient as an additional insured on all policies, and the certificate(s) must reference the related Subrecipient Contract Number. Subrogation. Each liability insurance policy, except Professional Liability, shall provide for a waiver of subrogation as to the Subrecipient, the State of Texas, the GI,O, and their officers, employees, and authorized agents, and shall be issued by insurance companies authorized to do business in the State of Texas, and currently rated by A.M. Best as "A-" or better. Policy Cancellation Endorsement. Except for ten (10) days' notice for non-payment of premium, each insurance policy shall be endorsed to specify that without 30 days' nrinr Attachment E 2 pages plus form and certificates written notice to the Subrecipient, the policy shall not be canceled, non -renewed, or coverage and/or limits reduced or materially altered, and shall provide that notices required by this paragraph shall be sent by certified mail to the address specified in this Contract. A copy of this signed endorsement must be attached to this Contract. Alternative Insurability. Notwithstanding the requirements of this Attachment, the Subrecipient reserves the right to consider reasonable alternative methods of insuring the contract in lieu of the insurance policies and/or bonds required. It will be Provider's responsibility to recommend to the Subrecipient alternative methods of insuring the Contract. Any alternatives proposed by Provider should be accompanied by a detailed explanation regarding Provider's inability to obtain insurance coverage as described in this Contract. The GLO shall be the sole and final judge as to the adequacy of any substitute form of insurance coverage. INSURANCE REQUIRED: $1 MILLION COMMERCIAL GENERAL LIABILITY (EACH OCCURRENCE) $2 MILLION COMMERCIAL GENERAL LIABILITY (AGGREGATE LIMIT) $1 MILLION ERRORS AND OMISSIONS STATUTORY WORKERS' COMPENSATION & EMPLOYERS LIABILITY - $1 MILLION EACH ACCIDENT - $1 MILLION DISEASE EACH EMPLOYEE - $1 MILLION DISEASE POLICY LIMIT NOTE: Insurance certificates must be in the form approved by the Texas Attorney General, a sample of which follows this page. Insurance Certificates must: (a) be submitted the Subrecipient; (b) prominently display "Subrecipient Name (c) Name the Subrecipient and the General Land Office as an additional insured. Failure to submit required insurance forms as instructed MM , significantly delay the start of work under the Contract. REQUIRED FORM OF CERTIFICATE FOLLOWS THIS PAGE Revised 9/2/2016 �.�1 Contract No. ******* .4CC_>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMMD/YYYY) 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 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 endorsementis). PRODUCER ACT NAME "ONE - FAX--- 1" 144.M; (A1C�NR)_ Required form of Insurance l_. INSURERIS) AFFOAOIW COVERAGE -- - INSURERA: INSURED INSURER B : INSURERC: INSURER D : IN8URER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - AI POI.IoY EXP I�TR TYPE OF INSURANCE wvn POLICY NUMBER MM/D IYYYYY UtiA1T3 —JaR GENERAL LIABILITY EACH OCCURRENCE t REFiT£D- COMMERCIAL GENERAL LIABILITY - i-PREMISES jE :A CLAIMSAOE � OCCUR q MED EXP (Any arse person) J i ' PERSONAL & ADV INJURY i_ - F ( GENERAL AGGREGATE t GEML AGGREGATE LIMIT APPLIES PER: ; PRODUCTS - COMP/OP AGG f POLICY O- PRCT LOCUUMNINED i 1(-AUTOMOBILELIABILITY i� SINGLE LIMIT - I ANY AUTO BODILY INJURY (Per Poem) S _ ALL ONMED SCHEDULED BODILY MUURY AUTOS AUTOS (Per ecc4m) S ^_ NED dtf _ HIRED AUTOS AUTOSUTOS SPerPclm6x — s UMBRELLA LAB OCCUR EACH OCCURRENCE i AGGREGATE - l— EXCESS LIAR_ F 1 CLAIMSaNABE S --•-- _.. _. DEDT-1 RETENTION $ ---! VVORK TI AND EMPLLOYERS' LIABILITY YIN A NY PROPRIETORIpMtTNER/EXECUnVE A — + r Y C- ER - - FICEIMEM8ER OCCLUDED? N I A E.EACH ACCIDENT_ S (Mandatory In NH) j E.L. DISEASE -EA EMPLOYE i If yp. describe under'- 1 E.L. DISEASE -POLICY LIMIT $ i i I I I tt! DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks ScMdule, It more space Is required) CFRTIFICATF HCH nFR CANCFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD #16 NOTICE OF MEETING — 3/30/2022 16. Consider and take necessary action to designate April as Fair Housing Month. (RHM) Judge Richard Meyer read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 19 1 3/30/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct i Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (wary Reese, Commissioner, Precinct 4 IN THE COMMISSIONERS'COURT OF CA]L]H OUN COUNTY, "][`]EXITS Calhoun County Fair Housing siring Month Designation WHEREAS, April 2022 is Fair Housing Month, and marks 54 years since the passage of the federal Fair Housing Act (Title VIII of the Civil Rights Act of 1968), signed by U.S. President Lyndon Baines Johnson on April 11, 1968; WHEREAS, the Fair Housing Act provides that no person shall be subjected to discrimination because of race, color, national origin, religion, sex, disability, or familial status in the sale, rental, financing, or advertising of housing and charges the Secretary of the U.S. Department of Housing and Urban Development (HUD) with administering HUD programs in a manner that meets the requirements of the law and purposes of the Fair Housing Act; WHEREAS, the County administers HUD programs that promote the development and supply of safe, decent, affordable housing for qualifying Texans; WHEREAS, it is the policy of the County to support equal housing opportunity in the administration of all of its programs and services, including encouraging compliance with Fair Housing rules and guidelines where applicable; and WHEREAS, the County and the State of Texas support equal housing opportunity and housing choice in accordance with the Fair Housing Act not only during Fair Housing Month in April, but throughout the entire year; NOW, THEREFORE, IT IS HEREBY RESOLVED, that the Commissioner's Court of Calhoun County, Texas (1) recognizes the significance of Fair Housing Month as an important time to acknowledge, better understand, and support equal housing opportunity, and encourages the continued commitment to fair housing in the State of Texas; and Page 1 of 2 1 3/30/2022 (2) recognizes that in the pursuit of the goal and responsibility of providing affordable housing and equal housing opportunities for all, Calhoun County does hereby celebrate April 2022 as Fair Housing Month in Texas and encourages all Texas individuals and organizations, public and private, to join and work together in this observance of the impact and importance of affordable housing and equal housing opportunity to the success of all Texans. PASSED AND APPROVED BY THE CALHOUN COUNTY COMMISSIONERS' COURT this 30th day of March, 2022. Z,-toz�� — Richard H. Meyer, C4niAtv Judge Calhoun County Commissioner Precinct aa—rv\ aAt-,�� Joel Behrens Calhoun County Commissioner Precinct 3 Anna Goodman, County Clerk By: W 1 (I Deputy Clerk Vern Lyssy Calhoun Count Commissioner Precinct 2 Gary Rees Calhoun C unty Commissioner Precinct 4 Page 2 of 2 #17 I NOTICE OF MEETING—3/30/2022 17. Consider and take necessary action to update the Flood Damage Prevention Order to explain in detail the requirements for construction of (such as but not limited to) certain fences, separation walls, partitions, or barriers in VE zones and AE zones adjacent to. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 19 Mae Belle Cassel From: ladonna.thigpen@calhouncotx.org (Ladonna Thigpen) <ladonna.thigpen@calhouncotx.org> Sent: Thursday, March 24, 2022 3:19 PM To: Mae Belle Cassel Subject: Agenda Item 3-30-22 Page 25 of the Floodplain Damage Prevention Order has been changed to define the building of fences in a VE Floodzone. These changes are highlighted in yellow. Thank you LaDonna Thigpen 211 S. Ann St., Suite 301 Port Lavaca, TX 77979 361-553-4400 Emergency Mgmt. 361-553-4455 Floodplain Admin. ladonna.thigpen@calhouncotx.org Calhoun County Texas Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org March 24, 2020 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for March 30, 2020. "Consider and take necessary action on updating the Flood Damage Prevention Order to explain in detail the requirements for construction of (such as but not limited to) certain fences, separation walls, partitions, or barriers in VE zones and AE zones adjacent to." Thank you, LaDonna Thigpen Flood Damage Prevention Order SECTION I. CERTIFICATION OF ADOPTION APPROVED: / Richard H. Meyer Calhoun County Judge Precinct # 1 Calhoun County Commissioner L621v-\ o Joel ehrens Precinct #3 Calhoun County Commissioner &//A, .i I I/ Vern Lyssy Precinct #2 Calhoun County Commissioner Gary Rees Precinct Calhoun County Commi ioner ORDER BECOMES EFFECTIVE ON: March 30, 2022 I, the undersigned, County Clerk, do hereby certify that the above is a true and correct copy of an order duly adopted by the Calhoun County Commissioners' Court, at a regular meeting duly convened on March 30, 2022. ATTEST: Anna Goodman County Clerk By: 0 d Lt \ Deputy 27 required by applicable State or local building standards. Such enclosed space shall be useable solely for parking of vehicles, building access, or storage. Such space shall not be used for human habitation. (5) Prohibit the use of fill for structural support of buildings. (6) Prohibit man-made alteration of sand dunes and mangrove stands that increase potential flood damage. irtitions / S, VE and adjacent{' Prohibit the in of fenwater or serve as a darn rice- that can divert ' either by the type of fence or the pile-up of flood -carrying debris (such as but not flimited to solid wood, metal, masonry, or chain link). Fences mumeet the ollowing requirements and be permitted-!st M. r) Fences must be open and may not be higher than five (5) feet (u) must have no more than one (1) horizon_tal strand per foot of height (iii) first strand starts (1) foot above ground) (iv) strand can be no wider than three (3) inches and an one (1) inch M each strand separated by one (1) foot. no thicker th (vi} vertical posts for strands are a minimum of (6) s,X fPPir�ar (8) Manufactured Homes/Mobile Homes/Trailers - Prohibit the placement of manufactured homes/mobile homes/trailers in UE Zones. (8) Recreational Vehicles - Require that recreational vehicles placed on sites within Zones V1-30, V, and VE on the community's FIRM (i) be on the site for fewer than 180 consecutive days, (ii) be fully licensed and titled as an RV with valid license plates, permanent lighting and ready for highway use, or iii meet the requirements in Article 3, Section C of this order and paragraphs (1))through (6) of this section. A recreational vehicle is ready for highway use if it is on its wheels or jacking system, is attached to the si , and has te only by quick disconnect type utilities and security devicesno permanently attached additions. An RV that is on blocks is considered a structure and must met the floodplain regulations for that flood zone. SECTION G. SEVERABILITY If any section, clause, sentence, or phrase of this Order is held to be invalid or 25 W n 0 10 6k NOTICE OF MEETING — 3/30/2022 18. Consider and take necessary action to accept an insurance proceeds check from TAC in the amount of $209.96 for storage fees related to damages dring 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, Reese Page 15 of 19 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal) <candice.vi Ila rreal @calhou ncotx.org> Sent: Friday, March 18, 2022 10:55 AM 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 Ins Proceeds - Winter Storm - 031522.pdf Good Morning MaeBelle, Please add the following to the Commissioners Court agenda for October 30th. • 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 ViClarreaf Is'AssistantAuditor CaCFioun CountyAud tors Office 202 S. Ann Street, Suite B Port Lavaca, 2X 77979 Phone (361)5534612 Calhoun County Texas #19 NOTICE OF MEETING — 3/30/2022 19. Consider and take necessary action to declare the attached list of items from the Emergency Management department 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, Reese Page 16 of 19 Inventory 55 HP Elite book HP Pro book Kodak 1- 4400 Photo 406-01 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Emergency Management Requested By: LaDonna Thigpen 1-40 # 20 NOTICE OF MEETING—3/30/2022 20. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 17 of 19 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Nagle: Memorial Medical Center Storage Units - April 2022 page 1 Requested BY: Roshanda Thomas, Interim Inventory #21 NOTICE OF MEETING — 3/30/2022 21. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 19 z m z m m O D r 0 O A A A A lid O O O O O mm�mm� (T A W N z T T m m m gmmmmm m m m m m Z W fn m cn co L L L L L cn (4 co co cn f o o o o o 9mmmmm n0000os < -0m v v v yz O DDDDD 3 n 0 0 0 0 0 m m m m m m -u -0 v v mmmmm 0 0 0 0 0 0000oz- 000000 DOOCA)cA)G)G)7 D D D D zzzzzz N all N (11 N W pp oo�J O O O T EA EA f9 EA lA IT 0 0 0 0 0 � EA f9 N N I I IF fOT fNT N W W m d O z m C a m O 0 m 0 m 3 m m X N N x G m z c m O 0 0000� z z z z z 00000 7001717 z���� i -i -i -I --III 10 (fl (A N (�J Ipye V N N W Illw v>fs f»EslI1 Coco N N I 11011! roV v FF m c 0 m I O 0 m m m 3 m m z ro N m G m z c m A g y N V r to c n \§g 2 2 k G) k � ) %■tl« 0: m: »| �| s; m: z. 1; z; o| ■i o. k v ( k q m 2 ) § � k k k # 22 NOTICE OF MEETING — 3/30/2022 22. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 19 March 30, 2022 2022 APPROVAL LIST - 2022 BUDGET COMMISSIONERS COURT MEETING OF 03/30/22 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 13 AT&T MOEILITY T MOBILE PAYROLL FOR APRIL 1, 2022 $52,551.80 SO CELL BILL A/P $ 1,523.96 TOWER DUMP FOR SO A/P $ 50.00 TOTAL VENDOR DISBURSEMENTS: $ 54,125.76 ✓ P/R $ 335,300.91 TOTAL PAYROLL AMOUNT: $ 335,300.91 ✓ TOTAL INVESTMENT ACTIVITY AND TRANSFERS BETWEEN FUNDS: TOTAL AMOUNT FOR APPROVAL: $ 389,426.67 ✓ I MEMORIAL MEDICAL CENTER TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TOTAL TRANSFERS BETWEEN FUNDS TOTAL NURSINGHOME UPL,EXPENSES $ 1,319599;82.. TOTALINTER 9WRNMENTTRANSFERS / $ 13T415.76 ✓ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---March 30 2022 PAYABLES AND PAYROLL 3/24/2022 Weekly Payables 373.820.02 3124/2022 Patient Refunds 19,626.66 3/28=22 McKesson-340B Prescription Expense 8,256.21 3/28I2022 Amerisource Bergen-340B Prescription Expense 344.83 312WO22 Payroll Liabilities -Payroll Taxes 102.215.81 3/28/2022. Payroll 321,880.95 Prosperity Electronic Bank Payments 3/2512022 Credit Card & Lease Fees 60.19 31213/25122 Pay Plus Pabent Claims Processing Fee 705.93 TOY,4L PiyYA13LES, PpS ROLLQND FI'iSCTRONIG;BANfC PA1"MENTS $ 826;910.60 . TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 3/24/2022 MMC Operating to Soles -correction of NH insurance payment deposited into 215.77 MMC Operating in error 312412022 MMC Operating. to Broadmoor- correction of NH insurance payment deposited 12,129.05 Into MMC Operating 3/2412022 MMC Operating to Crescem-correction of NH insurance payment deposited 3,881.43 Into MMC Operating In error 3/24/2022 MMC Operating to Golden Creek-cmreetlon of NH insurance payment W,209.79 deposited into MMC Operating in error 3124/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 9.502.15 deposited into MMC Operating 3124/2022 MMC Operating to Tuscany Village -correction of NH Insurance payment 29,617.03 deposited Into MMC Operating 3124/2022 MMC Operating to Bethany -correction of NH insurance payment deposited 21.780.75 Into MMG Operating in error MEDICARE ADVANCE PAYMENT RECOUP 3128/2022 Broadmoor to MMC Operating -correction of Broadmoor medicare recoup 2,423,32 taken from MMC Operating 3/28/2022 Crescent to MMC Operating -correction of Crescent medicare recoup taken 2,423.32 from MMC Operating 3/28/2022 Crescent to Tuscany Village -correction of Crecent medicare recoup taken from 27,905.78 Tuscany Village 3/28/2022 Sclera to MMC OpemUN-correction of Sclera medicare recoup taken from 2.423.32 MMC Operating tt1TAL,tRANFEE2S BENVRN`FUNDS•, $ 749i.71„ NURSING HOME UPL EXPENSES 3128/2022 Nursing Home UPL-Cantex Transfer 636,072.87 =812022 Nursing Home UPL-Nexion Transfer 102,963.84 3128/2022 Nursing Home UPL-HMG Transfer 168;457.58 3/28/2922 Nursing Home UPL-Tuscany Transfer 164,058-80 3/2812022 Nursing Home UPL-HSL Transfer 244,235.65 TRANSFER BETWEEN FUNDS TO MMC OPERATING 3128/2022 Golden Creek-MMC insurance payment deposited into Goldencreek In error 2,454.37 3/28/2022 Gulf Pointe PP-MMC Insurance payment deposited info Gulf Pointe in error 356.51 +TOTALNbRsIhe ME GfP,L;E2pEN$ES� - 1.,318 599;�2; INTER -GOVERNMENT TRANSFERS 3/2812022 IGT UC DY10 to be paid April 08, 2022 137,415.76 iTOTJk1 INT51'"OVSRNMONT:TRAN3FEEES GRAND TOfiAL!DISBOA$gMEN` $ APP OVEO March8d, 2012: $ 2;432 437 69 RECEIVED OR ON 04922022 MEMORIAL MEDICAL CENTER 10:36 AP Open Invoice List CALWLINcoutM,TFglA$; 0 Due Dates Through:04/14/2022 Vendor# Vendor Name ap-open_Invoice.templale Class Pay Code. 14348 2022 MIDCOAST HURRICANE AND Invoice# Comment Tran Dt Inv of Due DI Check D Pay Gross 031122 03/16/20 03/11/20 03/11/20 Discount No -Pay CONFERENCE REGISTRATIO1 125.00 ��1ey/'llS, 0.00 0.00 I111k nV Vendor TotalENUmber Name 14348 2022 MIDCOAST HURRICANE AND Gross Discount No -Pay Vendor# Vendor Name 126.00 0.00 0.00 Class Pay Code A1100 ABBOTT LABORATORIES ,' Invoice# M Comment Tran Dt Inv Ot Due Ot Check D Pay Gross 615111469 °/ Discount 03/22/20 03/04/20 04/03/20 No -Pay SUPPLIES 6'79 0.00 0.00 Vendor TotalENumber Name A1100 ABBOTT LABORATORIES Gross Discount No -Pay Vendor# Vendor Name 5•79 0.00 0.00 91200 ADT COMMERCIAL „/ Class Pay Code Invoice# Comment Tran or Inv Dt Oue Dt Check D Pay Gross 144403785 Discount ��� 03/22/20 03/02/20 03/27/20 No -Pay FIREMONITORING 48.78 0.00 0.00 Vendor Totals Number Name R1200 ADT COMMERCIAL Gross Discount No -Pay Vendor# Vendor Name 49.18 0.00 0.00 14344 AETNA / Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 03/16/20 12/14/20 01/14/20 PTREFUND 34.77 0.00 0.00 VendorTotalE Number Name 14344 AETNA Gross Vendor# Vendor Name 34.77 CIMs Pay Code A1680 AIRGAS USA, LLC -CENTRAL DIV Invoice# Comment 9886774475 ,./- Tran DI. Inv Dt Due Dt Check D pay Gross r 03/21/20 02/28/20 03/30/20 OXYGEN 224,60 9986774474 ✓ 0,90/20 02/28/20 03/30/20 OXYGEN 942.46 9123340681 v-11 03121 /20 03/01/20 03/31/20 0,XYGEN 58.47 912329i 168 v 03/21/20 03/03/20 04/02/20. O'�XYGEN 2,940.09 9986774473 ✓ 03/21/20 03/14/20 04/08/20 RENT CYL 494.14 9123439411 v, 03/22/20 03/07/20 04/01/20 OXYGEN 319.42 Vendor Total: Number Name A1680 AIRGAS USA, LLC- CENTRAL DIV Vendor# Vendor Name Gross 4,979.18 10282 ALLIED HEALTHCARE PRODUCTS INC /Class Pay Code V Invoice# Comment Tran D( Inv DtDue Dt Check D- Pay Grass Discount No -Pay 0,00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Page 1 of 19 Net 125.00 L./ Net 125.00 Net 5.79 Net 5.79 Net 49.1a ram, Not 49.18 Net 34.77 r/ Net 34.77 Net 224.60 % 942.46 58.47 &/' 2,940.09 ✓° 494.14wr 319.42 Net 4,979.1E Discount No,Pay Net _ew5report309211... 3/24/2022 1722167 ✓� 03/16/2003/03/2004/02/20 SUPPLIES 759.25 0.00 0.00 Vendor Totals Number Name Gross 10282 ALLIED HEALTHCARE PRODUCTS couM 0.0 Ventlor# Vendor Name INC 5925 .0 0.00 0.000 / 1✓ 2060 AQUA PURIFICATION INC. Class Pay Code Invoices {Commerlt Tran Dt Inv DI Due Dt Check D-Pay Gross 432178A v/ Discount 03123/20 01/01/20 01101/20 No -Pay CP216 REPAIR 5,000.OD 0.00 0.00 Vendor Total,. Number Name 12060 AQUA PURIFICATION INC. Gross Discount No -Pay Ventlor# Vendor Name 51000.00 0.00 0.00 A0400 AUREUS RADIOLOGY LLC Class Pay Code Invoices ,Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross 2519481 ✓ Discount 03/22/20 03/14/20 04/13/20 No -Pay TRAVEL LAB STAFFING (311-3131ya 1,086.75 C1US�1'Ntct- 0.00 0.00 2517335 v ! 03/22/20 03/14/20 04/13/20 00 . TRAVEL LAB STAFFING I of.2D02-) r 5la - 3 3 0 � Si 0.00 0.00 �� w 2517278 ✓ tn4nita, 03/22/20 03/14/20 04/13/20 TRAVEL LAB STAFFING i �7-1as. h lddb 31r _ 2,880.00 2517365✓+ / 3�a�3a� Si'r.hU� 0.00 0.00 03/22/20 03/14120 04/13/20 TRAVEL LAB STAFFING i,2Id5_ a'ayPaa�. 2S 12.00 Vendor 0.00 0.00 Totals Number Name A0400 AUREUS RADIOLOGY LLC Gross Discount No -Pay Vendors Vendor Name 8,179.75 0.00 0.00 A2600 AUTO PARTS & MACHINE ✓� Class Pay Cade CO. Invoices w Comment Tran Dt Inv Dt Due Dt Check D Pay Gross "0828 03/16/20 03/08/20 03/23/20 "l rt le76 93.20 Discount No -Pay SUPPLIES 0.00 0.00 Ventlor Totals Number Name A2600 AUTO PARTS & MACHINE CO. Gross Discount No -Pay Vendors Vendor Name 93.20 0.00 0100 14088 AZALEA HEALTH ✓, Class Pay Code Inv0Ic8# Comment Tran Dt Inv of Due Dt Check D Pay Gross 72336 ✓ 03/22/20 Discount 03/01/20 03/01/20 MONTHLY PROCESSING FEE,'55p.00 Vendor Totals Number Name 14088 AZALEA HEALTH Gross Vendors Vendor Name 560.00 81150 BAXTER HEALTHCARE,'IN Class Pay Code Invoices Comment Tran Dt Inv of Due Dt Check D- Pay Grass 742964901/03/22/20 03/11/20 04/05/20 SUPPLIES 897,58 74320130✓� 03/23/20 03/14/20 04/08/20 SUPPLIES 21.33 Vendor Totals Number Name 131150 BAXTER HEALTHCARE Gross Vendors Vendor Name 718.91 81220 BECKMAN COULTER INC a:/ Class Pay Code M Invoices Comment Tran Dt Inv Dt DUE Dt Check D Pay Gross 5454805 ✓ 03/22/20 03/13/20 04/07/20 5;016,58 0.00 No -Pay 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet, com/u88125/data_5/tmp_cw5report309211 Page 2 of 19 759.25 Net 759,25 Not S,oao.00 Net 5.000.00 Net 1,086.75 ✓'J 2,001.00 2.680.00 L/ 2,412.00 Net 8,179.75 Net 93.20 I Z Net 93.20 Net 550.00 Net 550.00 Net 697.58 ✓ 21.33 4/ Net 718.91 Net 51016.58 tr 3/24/2022 Page 3 of 19 SUPPLIES 109758512 ✓ 03/22/20 03/14/20 04/08/20 SUPPLIES Vendor Tolale Number Name B1220 BECKMAN COULTER INC Vendor# Vendor Name/ 14272 BESTICA ✓ Class Pay Code Inv 1.288.45 0.00 0.00 1,288.45 , ' Gross Discount No -Pay Net 61305.03 0.00 0.00 6.305.03 onc e# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not MMM006 ✓z 03/21/20 03/05/20 04/05/20 TRAVEL NURSE STAFFING 1 i 19,30875 p.00 0.00 19,308J5 ✓`Jf Vendor TotalE Number Name _ �IIt- &'2KaJ T� B14�i6 14272 BESTICA Gross Discount No -Pay Net Vendor* Vendor Name 19,308.75 0.00 0.00 Class Pay Coda 19,308,75 81601 BOHLS BEARING &POWER TRANS ✓/ Invoice# M Comment 272092 J Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 03/21/20 03/07/20 03/17/20 SUPPLIES 197.70 0.00 0.00 197.70 �./• Vendor Total; Number Name B1601 SOHLS BEARING & POWER TRANS Gross. Discount No -Pay Net Vendor# Vendor Name 197,70 0.00 0.00 197,70 B1650 BOSART LOCK & KEY INC , r" Class Pay Code Invoice# 123814 , Comment Tran Dt Inv Dt Due Dt Check D Pay Gross. Discount No -Pay Net ,/� 03/21/20 03/15/20 04/14/20 LOCK 429.95 0.00 0.00 429.95 Vendor Tote4Number Name B1650 BOSART LOCK &KEY INC Gross Discount No -Pay Net Vendor# Vendor Name 429.95 0,00 0.00 429.95 Class Pay Code B1655 BOSTON SCIENTIFIC CORPORATION r� M Invoice# Comment Train Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 983574100 ✓ 03/23/20 02/25/20 03/25/20 379.00 0.00 0.00 379.00 ✓i Vendor TotalE Number Name B1655 BOSTON SCIENTIFIC CORPORATION Gross Discount No -Pay Net Vendor# Vendor Name 379.00 0.00 0.00 379.00 12740 BUILDING KID STEPS f Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay, Net FEB2022A 03/23/20 03/23/20 04/07/20 PEDI OCCUPATIONAL THERAI 1,126.00 0.00 0,00 1,126.00 FES2022D 03/23/20 03/23/20 04/07/20 PEDI OCCUPATIONAL THERAI 663.OD 0.00 0.00 563.00 �,•�"` FE82022B 030120 03/23/20 04/07/20 PEDI OCCUPATIONAL THERAI 1,p39,00 0'00 0.00 1.039.00 FES2022C 03123/2003/23/2004/07/20 - PEDI OCCUPATIONAL THERAI 1,073.00 0.00 0.00 1,013.00 Vendor TotalsNumber Name 12740 BUILDING KID STEPS Gross Discount No -Pay Nat Ventlor# Vendor Name 3,741.00 0.00 0,00 14340 BUSINESS VIEW MAGAZINE f Class Pay Code 3,741,00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D pay Gross 11120 �/ 03/16(20 03/02/20 03/03/20 Discount No -Pay Net PAGE IN MAGAZINE 11550.00 0.00 0,00 1,550,00 4.. fi le :///C:/Users/Itrevino/cpsi/memmed.cpsinet,com/u88125/data_5/lmp_cw5report309211,,. 3/24/2022 fi le :///C:/Users/Itrevino/cpsi/memmed.cpsinet,com/u88125/data_5/lmp_cw5report309211,,. 3/24/2022 Vendor Totals Number Name 14340 BUSINESS VIEW MAGAZINE Gross Vendor# Vendor Name 1,550.00 30437 C R BARD INC „i Class Pay Code Invoice# M Comment Tran Dt Inv Dt Due of Chock D-Pay Gross 83842725 / 03/15/20 02/25/20 03/27/20 149.02 Vendor Totals Number Name 80437 C R BARD INC Gross Vendor# Vendor Name 149.02 13992 CARIANT HEALTH PARTNERS „i' Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Grass 133165 03/21/20 03/02/20 04/02/20 TRAVEL NURSE STAFFING �ZjSa P�,t,�o✓hw 322.50 133433 ✓ 03/21/20 03/09/20 04/09/20 15 TRAVEL NURSE STAFFING I311- 4.165.00 Vendor Totale Number Name 13992 CARIANT HEALTH PARTNERS Gross Vendor# Vendor Name 4,987.50 C1992 COW GOVERNMENT, INC./ Class Pay Code Invoice# M Comment Tran Ot Inv Dt. Due Dt Check D, Pay Gross 5817855 1/ 03/21/20 02/28/20 03/30/20 REPLACEMENT PC IN CS 1,334,31 S848918 �/� 03/21/2003101/2003131/20 IT SPARE/PC UPGRADES 939.76 8997247 ✓ 03/21/20 0310312004/02/20 ANNUAL SUBSCRIPTION 4,061.40 T009580 03/21/20 03/03/20 04/02/20 6VkL%d A_ � � 1,304.97 T212978 / 03/21/2 3/09/2004/08/20 Dtll or 1,4e1.79 Vendor Total: Number Name C1992 CDW GOVERNMENT, INC. Gross Vendor# Vendor Name f 91132.23 12768 CHEMAOUA ./ Class PayCode Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 7713501 t,% 03/23/20 03/10/20 03/20/20 WATER TREATMENT 5Y8.75 Vendor Total: Number Name 12768 CHEMAQUA Gross Vendor# Vendor Name 13760 CIGNA Invoice# 186856 518.75 Class Pay Code Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 03122/20 10/31/20 04/01/20 60.02 PATIENT Vendor Total: Number Name 13760 CIGNA Gross Ventlor# Vendor Name 60.02 C1730 CITY OF PORT LAVACA f Class Pay Cade Invoice# W Comment Tran Dt Inv Dt Due Dt Check Dpay Gross 031422B 03/21/20 03/14/20 04/05/20 171.78 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 0.00 0.00 Discount No -Pay 0,00 0,00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Page 4 of 19 Net 1,550.00 Net 149,02 Net 149,02 Net 822.50 1", 4,165.00,j Net 4,987.50 Net 1,334.31 ✓' 939.76 4,061,40 y ^' 1,304.97✓ 1,491.79 ✓. Net 9,132.23 Discount No -Pay Net 0.00 0.00 518.75 r% Discount No -Pay Net 0.00 0.00 518.75 Discount No -Pay Net 0.00 0.00 60.02 ✓'�- Discount No -Pay Net 0.00 0.00 60.02 Discount No -pay Net 0.00 0.00 171.78 �Z file:///C"Users/ttrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report309211... 3/24/2022 Page 5 of 19 WATER 031422 o3/21/20 03/14/20 04/06/20 WATER SERVICE 27.04 031422C 03/21/20 03/14/20 0- WATER /20 72.64 Vendor Totals Number Name C1730 CITY OF PORT LAVACA Gross Vendor# Vendor Name 271,46 Class Pay Code 10723 CLIA LABORATORY PROGRAM ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check D 030122A Pay Gross 03/2412003/01/2004/01/20 CERTIFICATE FEE 180.00 Vendor Totals Number Name 10723 CLIA LABORATORY PROGRAM Gross Vendor# Vendor Name 180,00 10786 CLINICAL PATHOLOGY �/ Class Pay code Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross 176562022020 03/16/20 02/28/20 03/25/20. LAB SERVICES 13,507.48 Vendor Totals Number Name 10786 CLINICAL PATHOLOGY Gross Vendor# Vendor Name 13,507.48 11029 COASTAL REFRIGERATION ' Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 031022 03/21/2003/10/2004/01/20 LABOR /CAFE FREEZER 1,071,02 031622 03/21/2003/15/2004/01/20 LABOR ROOFTOP A/C 900.50 031522A 03121/2003/1512004/01/20 LABOR i1 tC w0q(. i,l_ 626.5, 031522N 03/21/2003/15/2004/01/20 LABOR I j40ial lug 272.95 Vendor Totals Number Name Ifty 11029 COASTAL REFRIGERATION Gross Vendor# Vendor Name 2,870,98 11030 Class Pa Cod COMBINED INSURANCE �/- y a Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 030122 03/16/2003/0112003/31/20 INSURANCE 657.70 Vendor Toial,Number Name 11030 COMBINED INSURANCE Gross Vendor# Vendor Name 657,70 14080 CORROHEALTH, INC. ✓ Class Pay Code Invoice# Comment Tran of Inv Dt Due Dt Check D Pay Gross 711498 ✓ 03/21/20 03/02/20 04/01/20 HIM SERVICES 1,652.00 Vendor Totals Number Name 14080 CORROHEALTH, INC. Gross Vendor# Vendor Name 1,652.00 14292 DEARBORN LIFE INSURANCE COMPAN „lass Pay Code Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross 0.00 0.00 27.04 0.00 0.00 72.64 y�r Discount No -Pay Net 0.00 0.00 271.46 Discount No -Pay Net 0.00 0.00 180.00 f Discount No -Pay Not 0.00 0.00 180,00 Discount No -Pay Net 0.00 0.00 43,507.48 Discount No -Pay Net 0.00 0.00 13,50T48 Discount No -Pay Net 0.00 0.00 1,071.02 f 0.00 0.00 900.50 0.00 0.00 026,51 �^^ 0.00 0.00. 272.95 ✓`- Discount No -Pay Net 0.00 0.00 2.870.98 Discount No -Pay Net 0.00 0.00 657.70 ✓ Discount No -Pay Net 0.00 0.00 W.70 Discount No -Pay Net 0.00 0.00 1,652.00^� Discount No -Pay Net 0.00 0.00 1,652,00 Discount No -Pay Net file:///C:/Users/ltrevino/eVsi/memmed,cPsinet.cOm/U88125/data 5/tmp_cw5report309211... 3/24/2022 Page 6 of 19 0301228 03124/20. 03/01/2004/01/20 PAYROLL DEDUCTS IRD 3;720.73 030122 0.00 000 P � IhIL jYlSVV01-L� 3,720,73 03124/20 03101/20 04/01/20 PAYROLL DEDUCTS IL 31581.89 0.00 It Vendor 0.00 ' 3,581.B9 Total. Number Name 14292 DEARBORN LIFE INSURANCE COMPAN Gross Discount No -Pay Net Vendor# Vendor Name 7,302.62 0.00 10368 DEWITT POTH & SON v`J Class Pay Code 0.00 7,302.82 Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross 6752240✓ Discount 03/21/20 03/10/20 04104120 No -Pay Net SUPPLIES. 88.78 0.00 6752241 ✓" 0.00 88.78 v� 03/21/20 03/11/20 04/05/20 SUPPLIES 7:00 0.00 0.00 7.00 6752860✓' 03/21/2003/11/2004/05/20 SUPPLIES 18.96 0.00 0,00 16,98 ✓'� 6756810✓ 03/21/20 03/15/20 04/09/20 SUPPLIES 92.84 0.00 0,00 92.B4 6714710 d/ 08/24/20 02/07/20 03/04/20 v% SUPPLIES 76.29 0.90 6715870 ✓/ 0.00 76.29 03/24/20 02/08/20 03/05/20 SUPPLIES 1,443,24 0.00 0.00 1,443:24 ✓ 671,97,90 v// 03/24/20 02/08/20 03/05/20 SUPPLIES $95.00 0.00 / 6722260 0.00 395,00 ✓ 03/24/2002/14/2003/11/20 SUPPLIES 89;58 0.00 0.00 89.59 6723540 V 03/24/20 02118/20 03/13/20 SUPPLIES 378,28 0.00 0.00 378.28 ✓ 6728690✓% 03/24/20 OW18/2003115/20 SUPPLIES 197.50 0100 0.00 187.50 ,: Vendor Total; Number Name 4 10366 DEWITT POTH & SON Gross Discount Vendor# Vendor Name 2,785.50 No -Pay Net 0.00 11011 DIAMOND HEALTHCARE CORP .% Class Pay Code 0.00 2,785,50 Invoice# Comment Tram Dt Inv Dt Due Dt Check D' pay Gross IN20055230./ Discount 03/21/2o o3/o1/20 03/26/20 No -Pay Net BBEHAV HEALTH FEB 22 31,144,58 0.00 IN20055231✓ 0.00 31,744,58 03/21/20 03/01/20 OW26/20 Mf CPR FEB 2022 19,166.67 0.00 0.00 19,166.87 v" Vendor Totals Number Name 11011 DIAMOND HEALTHCARE CORP Gross Discount No -Pay Net Vendor# Vendor Name 50,311.25 0.00 10842 DOOR CONTROL SERVICES, ' Class Pay Code 0.00 50,311.25 INC i Invoice# Comment Tran of Inv Dt Due Dt SMINV306388 Check D Pay Gross Discount �' 03/22/2o o3/08/2004/07/20 No,Pay Net SUPPLIES 3,205.77 0.00 0.00 3,205,77 Vendor Totals Number Name 10842 DOOR CONTROL SERVICES, INC Gross Discount Vendor# Vendor 3,205.77 No -Pay Net Name 0.00 12044 DRIESSEN WATER INC. / Class Pay Code 0.00 3.205.77 (CULLIGAN) Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass 143027030222 Discount j' 03/23/20 02/28/20 03/22/20 No -Pay Net 32:50 m on file:///C:l users/Itrevino%psi/memmed,cpsinet.com/u88125/data 5/tmp_cw5report3092] 1... 3/24/2022 Page 7 of 19 SUPPLIES Vendor Totals Number Name 12044 DRIESSEN WATER INC. (CULLIGAN) ZGross Discount No -Pay Net Vendor#Vendor Name 0.00 0.00 32.50 1104E E-MDS, INC ✓ Class Pay Code Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Grass 495337 03/22/2003/21/2003/2i/20 HOSTING SUBSCR MMC. CLIN 1,110.30 Vendor Totals Number Name 11046 E-MDS, INC Gross Vendor# Vendor Name 1,110,30 C251D EVIDENT,% Class Pay Catle Invoice# M Comment Tran Dt Inv Dt Due Dt Check D Pay Gross T2203071378 , 03/22/20 03/07/20 04/01/20 BUSINESS SERVICES 10,622.76 Vendor Totaie Number Name C2510 EVIDENT Gross Vendor# Vendor Name 10,522,78 14336 FIRETRON, INC ,.f Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 192646 03/16/20 03/08/20 04/07/20 UIIGy q .�Ri r4+4(0 f; 1,400.06 Vendor Totals Number Name -i1Y� a(et YYVj mpB7-fgyrn/`�_ 14336 FIRETRON, INC C�foss Vendor# Vendor Name 1,400.00 14092 FIRST CONNECT CENTER LLC , Z Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass 4101 Vj Due Dt TRAVEL NURSE STAFFING (ZI=1 -p),)j ), 4,500.00 Vendor TOIAIENumber Name RvrKkwr . 14092 FIRST CONNECT CENTER LLC Gross Vendor# Vendor Name 4,500,00 F1400 FISHER HEALTHCARE �� Class Pay Code Invoice# M Comment Tran Dl Inv of Due Dt Check D Pay Gross 0438642 Z 03/22/20 03/08/20 04/02/20 SUPPLIES 830.31 060807B,/ 03/22/20 03/11/20 04/05/20 SUPPLIES 14.90 Vendor Totals Number Name F1400 FISHER HEALTHCARE Gross Vendor# Vendor Name 84521 11184 FLOR DESIGNS LLC Class Pay Code Invoice# Comment Tran Dt Inv Ot Due Dt 75424 ✓ Check D Pay Gross 03/16/2002/25/2003/27120 MAILERS 3,938.60 Vendor Totals Number Name 11184 FLDR DESIGNS LLC Gross Vendor# Vendor Name 3,938,60 Class 13960 G & S MANAGEMENT GROUP LLC Pay Code r✓ Invoice# Comment Tran Ot Inv Dt Due Dt 340384697 Check 0-Pay Gross ,/, 03/21/20 03/15/20 03/25/20 2,229.87 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 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 Discount No -Pay. 0.00 0.00 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 Discount Na-Pay 0.00 0.00 Net 1.110.30 / Net 1.110.30 Net 10,522.78 Net 10,522,78 Net 1,400.00 Net 1.400.00 Net 4,500.00 Net 4,500.00 Net 830.31 e% 14.90 J' Net 845.21 Net Net 31938.60 Not 2.229.87 y^ � file:///C:/Users/ltrevinolepsilmemmed.cpsinet.com/u88125/data 5/tmp_cw5report309211..• 3/24/2022 Page 8 of 19 RASH SERVICE 340384698 03/21/20 03/15/20 03/25/20 35123 TRASH SERVICE 0100 O.OD 351.23 �;' 340384699 v03/21/20 03/15/20 03/25/20 260:55 040 0.00 260.55 1'' Vendor Totals Number Name Gross 13960 G & S MANAGEMENT GROUP LLC Discount No -Pay Net 2,841.65 0.00 Ventlor# Vendor Name 0,00 2,841.65 W1300 GRAINGER Class Pay Code M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 9240487638 ✓ 03/23/20 03/10/20 04/04/20 No -Pay Net 472.20 SUPPLIES 0.00 0.00 472.20 ✓�, Vendor Totals Number Name Gross W1300 GRAINGER Discount No -Pay Net 472.20 Vender# Vendor Name 0 0.0 0.00 472.20 . Class Pay Code 12948 .GREAT AMERICAN FINANCIAL SVCS v" Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount -Pay 31197874 V,� 03/23/20 03/07120 03/31 /20 No Net 11,142.84 COPIER LEASE 0,00 0,00 11,142.84 Vendor Totals Number Name Gross 12948 GREAT AMERICAN FINANCIAL SVCS Discount op unt 0.0 Net 111. 14284 Vendor# Vendor Name 0.000 11,142.84 11984 GUERBET, LLC V . Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross � Discount 18598171 ✓03/1512003/i4/2004/O7l20 No -Pay Net 35040 SUPPLIES 0.00 0.00 350.00 j Vendor Total= Number Name r Gross 11984 GUERBET, LLC Discount No -Pay Net 350.00 Vendor# Vendor Name 0.00 0.00 350.00 class s Pay Cade G1210 GULF COAST PAPER COMPANY r j' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 2201761 <<� 03/27/20 03/15/20 04/14/20 No -Pay Net 470.11 SUPPLIES 0.00 0.00 470.11 Vendor Totals Number Name ✓^ Gross G1210 GULF COAST PAPER COMPANY Discount NO -Pay Net Vender# Vendor Name 470.11 0100 0.00 470.11 H0032 H + H SYSTEM, INC. ', Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D pay Gross Discount 037174.,/ 03/21/2003/08/2004/OB/20 No -Pay Net 63,81 SUPPLIES 0.00 0.00 63.81 y' Vendor Totals Number Name Gross H0032 H + H SYSTEM, INC. Discount No -Pay Net Vendor# Vendor Name 63.81 0.00 0.00 60,81 / Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES y Invoice# (Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 100590037,/' Discount No -Pay 03/16/20 03/08/20 03/08/20 Net 7,447.86 LEASE ST 0.00 0.00 7,447.86 100590038 �/ 03/18/20 03/08/20 03/08/20 ' 1,797.44 LEASE 0,00 0.00 1,797.44 100590035 ✓ 03/22/20 03/08/20 04/01/20 LEASE 4,919.41 0.00 0.00 4.919,41 ✓� file:///C:/Users/ltrevino%psi/memmed.cpsinet-com/u88125/data 5/tmp_cw5report309211... 3/24/2022 Page 9 of 19 100590036 ✓ 03/22/20 03/06/20 04/01/20 LEASE Vendor TOWENumber Name Vendor# Vendor Name 11552 HEALTHCARE FINANCIAL SERVICES H0416 HOLOGIC INC ✓ Class Pay Code 7.154.17 0.00 0.00 7,154.17 �,r Gross Discount No -Pay 21,318.88 0.00 0.00 Invoice# Comment Tran Ot Inv Dt Due Dt Check Pay Gross 10050652 1/ 03/22/20 03/09/20 03/16/20 SUPPLIES 238.25 Vendor Totals Number Name H0416 HOLOGIC INC Gross Vendor# Vendor Name 236.25 14352 HSU PT DEPARTMENT ,r' Class Pay Code Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Grass 030822 03/16/20 03/08/20 03/os/20 CONFERENCE. R EG ISTRATIOI 250.00 Vendor Tota4Number Name 14352 HSU PT DEPARTMENT Gross Vendor# Vendor Name 250.00 14216 HUMANA CLAIMS OFFICE � / Class Pay Cade Invoice# Comment Tran Dt Inv Dt 032222 Due Dt .Check D Pay Gross 03/22/20 03/22/20 04/01 /20 PATIENT 106.43 Vendor Totals Number Name 14216 HUMANA CLAIMS OFFICE Gross Vendor# Vendor Name 106,43 14256 INFICARE HEALTH, INC. ,!� Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross MMCO224 ,i 03/21/20 02/24/20.03/1 v20 NURSE STAFFING1,488.00 Vendor Totals Number Name�� z�L��Z�'NLS�OAay 14256 INFICARE HEALTH, INC. Gross Vendor# Vendor Name 1,488.00 11260 INTOXIMETERS INC Class Pay Code M Comment ment Tran Dt Inv Dt Due Dt Check D pay Gross 697918 03/21/2001/19/2002/13/20 OMNIBUS 2,824.00 Vendor Totals Number Name 11260 INTOXIMETERS INC Gross Vendor# Vendor Name 2,824.00 J0150 J & J HEALTH CARE SYSTEMS, INC `j Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 928253454y1 03/15/20 02/16/20 03/18/20 SUPPLIES 1,541.38 928286956 ,/' 03/15/20 02/18/20 03/20/20 SUPPLIES 800,00 Vendor Totals Number Name Gross J0150 J & J HEALTH CARE SYSTEMS, INC Vendor# Vendor Name 2,141.38 10834 JACKSON & CARTER, PLLC,` Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross 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 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 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0,00 Discount No -pay 0.00 0.00 Discount No -Pay Net 21,318.88 Net 236,25 s' Net 236.25 Net 250.00 l/ Net 25D.00 Net 106,43,/ Net 106.43 Not 1,466.0c % Net 1,488.0D Net 2,824,00 Net 2,824.00 Net 1,541.38 600.00 Net 2,141.38 Net file:///C:/Users/ltrevino%psi/memmed.cpsinet.com/U88125/data_5/tmp_cw5report309211.., 3/24/2022 Page 10 of 19 2876 .✓/ 03/16/20 03/06/20 04/05/20 LEGAL SERVICES 1,817.50 Vendor Total. Number Name 10834 JACKSON& CARTER, PLLC Gross Vendor# Vendor Name 1,917.50 14316 JUNXION MED STAFFING ,.i Class Pay Code Invoice# Comment _, Tran Dt Inv Dt Due Dt Check D Pay Gross REVMMCWE022022 ✓ 03/21/2002/25/2003/27/20 ICU NURSE STAFFING 9,067.50 Vendor Totals Number Name I ) �eSbo Fci 14316 JUNXION MED STAFFING Gross Vendor# Vendor Name 9,067.50 01710 KEEP-U-NEAT CLEANERS ✓' Class Pay Code INInvoice# Comment Tran Dt Inv Dt Dus Dt Check D Pay Gross MAR22 03/21/20 03/03/20 03/13/20 LAUDRY 690.30 Vendor Total. -Number Name D1710 KEEP-U-NEATCLEANERS Grass Vendor# Vendor Name 690.30 L0700 LABCORF OF AMERICA HOLDINGS Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 72076080 03/16/20 02/26/20 03/23/20 LAB SERVICES 15.00 Vendor Total; Number Name L0700 LABCORP OF AMERICA HOLDINGS Gross Vendor# Vendor Name 15.00 L1001 LANDAUER INC Class Pay Code Involca# Comment Tran Dt Inv Dt D eDt Check O-Pay Gross 100962528'/ 03/16/200211612003/18/20 DOSE BADGES 762.50 Vendor Totals Number Name L1001 LANDAUER INC Gross Vendor# Vendor Name 762.50 M2178 MCKESSON MEDICAL SURGICAL INC Class Pay Cade Invoice# Comment Tran Dt Inv Dt Due Di Check D Pay Gross 2193667 1/ 03/16/20 02/16/20 03/02/20 CHARGEBACK 783.86 Vendor Totals -Number Name Gross Vendor# Vendor Name M2178 MCKESSON MEDICAL SURGICAL INC 83.86 12580 MEDICAL TECHNOLOGY ASSOCIATES ,"Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross INVI98063 ,r 03122/2003117/2004/11/20 VACUUM GAUGES 1,393.15 Vendor Totals Number Name Gross Vendor# Vendor Name 12588 MEDICAL TECHNOLOGY ASSOCIATES 1,393.15 10613 MEDIMPACT HEALTHCARE SYS, INC. ✓Class A/P Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 30285603 / 03/21/20 02/28/20 04/01/20 INDIGENT CARE 18.95 0.00 0.00 1,917.50 L .. 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 Discount No -Pay 0,00 0.00 Net 1,917,50 Net 9.067,50 Lr' Net 9.067.50 Net 690.30 Net 690.30 Discount No -Pay Net 0.00 0.00 15.00 "� ~ Discount No -Pay Net 0.00 0.00 15.00. Discount No -Pay Not 0.00 0,00 762.50 Discount No -Pay Net 0.00 0.00 762.50 Discount No -Pay Net 0.00 oxo 793.86 y../ Discount No -Pay Net 0.00 0.00 783.86 Discount No -Pay Net 0•00 0.00 1.393.15 Discount No -Pay Net 0.00 0.00 1.393.15 Discount No -Pay Net 0.00 0.00 18.96,l� file:///C;/Usersl'trevino%psilmemmed.cpsinat.com/u88125/data 5/tmp_cw5report3O9211... 3/24/2022 Page 11 of 19 Vendor Totals Number Name Gross 10613 MEDIMPACT HEALTHCARE SVS, INC. Discount No -Pay Net Venddr# Vendor Name 16.95 0.00 0.00 18.95 M2470 MEDLINE INDUSTRIES INC CIlaass Pay Code Invoice# Comment Tran of Inv Dt Due Dt Check D Pay Gross 2201013035 � / 03/17/20 03/06/20 03/31/20 Discount No -Pay Net CREDIT - SUPPLIES -171.78 0.00 0.00 •171.78 2201422247,/ 03/21/2003/09/2004/03/20 ' SUPPLIES 171.78 0.00 0.00 171.78 ✓" 2201422248 „i' 03/21/20 03/09/20 04/03/20 SUPPLIES 35,32 0.00 0,00 35.32 2201422249 y% 030/20 03/09/20 04/03/20 ' SUPPLIES 322.36 0.00 0.00 322.36 2201581345 ✓ 03/21 /20 03/10/20 04/04/20 SUPPLIES 101.16 0.00 0.00 101.16 2201610993 r/ 03/21/20 03/10/20 04/04/20 ' SUPPLIES 149.76 0.00 0,00 149.76 ✓ 2201581342 V/ 03121/2003/10/2004/04/20 ' SUPPLIES 19'90 0.00 0.00 19.90' 2201581346 ,/' 03/21/20 03/10/20 04/04/20 SUPPLIES 230.39 0.00 0.00 230,39 2201691388 i,'1' 03/22/20 03/10/20 04/04/20 SUPPLIES 259.89 0.00 0.00 259.89 d!' 2201802225 `r_. 03/22/2003111/2004/05/20 ' ,I PPLIES da.�U 41.72 0.00 0.00 41.72 2204428896GM1 03/22/20 03/11/20 04/05,20 ' CFjEDIT 2201905305 -149.76 0,00 0.00 -149.76 ✓/ 03/22/20 03/12/20 04/oa/20 SUPPLIES 185:91 0.00 0.00 185.91 2201905306 ✓ 03/22/20 03/12/20 04/06/20 ' SUPPLIES 128,86 0.00 0.00 128.86 ./ 2201905302 /' 03/22/20 03/12/20 04/08/20 ' SUPPLIES 91.95 OM 0.00 91.95 ✓'� 2201905308 0312PJ20 03/12/20 04/06/20 tSUPPLIES 51.58 0.00 0,00 51.56 2201905309 „/ 03/22/20 03/12/20 04/06/20 SUPPLIES 186.60 0.00 0.00 186.60 v' 2202149020 ,.� 03/22/20 03/15/20 04/09/20 ' SUPPLIES 25.80 0.00 0.00 25.80h 2202152378 / 03/22/2003/15/20 oV09/20 27.80 SUPPLIES 0.00 0.00 27,80� 2202149021 �/ 03/22/20 03/15/20 04/09/20 SUPPLIES 250.53 0.00 0.00 250.5 3�r' 2202149022 ✓/ 03/22/20 03/15/20 04/09/20 SUPPLIES 41,72 0.00 0.00 41.72 22024272291 / 1 03/22/20 03/16/20 04/10/20 SUPPLIES 57.52 0,00 0.00 57.52 22OP427233 03/22/20 03/16/20 04/10/20 ' SUPPLIES 50.10 0.00 0.00 50.10 2202427228 03/22/20 03/16/20 04/10/20 SUPPLIES 18.45 0100 0.00 18,45 _cw5report309211... 3/24/2022 Page 12 of 19 2202427234 V 03/22/2003/16/2004/10/20 19.46 0.00 SUPPLIES 0.00 2202427232 �/ 03/22/20 03/16/20 04/10/20 21064.22 0.00 SUPPLIES 0.00 2202378187 v/ 0323/20 03/15/20 04/09/20 59.71 0.00 SUPPLIES 0.00 f 2202444915 03/23/20 03/16/20 04/10120 44.46 0.00 0.00 SUPPLIES 2202444912 i ✓ / 03/23/20 0316/20 04/10/20 144.30 0100 0.00 SUPPLIES 2202444914 e% 03/23/20 03/16/20 04/10/20 19,466.66 0.00 0.00 SUPPLIES 2202444913 J� 0323120 03/16/20 04/10/20 35.32 SUPPLIES 0.00 0.00 Vendor Totale Number Name M2470 MEDLINE INDUSTRIES INC Gross Discount No -Pay Vend V # 23,963.71 0.00 0.00 0r endor Name Class Pay Code 12248 MEMORIAL MEDICAL CENTER v// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 030722 03/16/20 03/07/20 03107/20. 5.00 PETTY CASH REIMBURSEMEP Vendor Totals Number Name Gross 12248 MEMORIAL MEDICAL CENTER 5.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC / Invoice# Comment Tran.Dt Inv Dt Due 01 Check D Pay Gross 7986941 ✓ 03/22/20 03/15/20 03/25/20 698.28 SUPPLIES 7983461 03/22/20 03/15/20 03/25/20 198.94 SUPPLIES 7986942 ,.� 0312PJ20 03/15/20 03/25/20 218,41 SUPPLIES 7984849 v/ 03/22/20 03/15/20 03/25/20 9D,90 SUPPLIES 9838 / 03/22/20 03/15/20 03/25/20 -67,51 CREDIT 7983462 i/ 03/22/20 03/15/20 03/25/20 214.03 SUPPLIES 7986940 ,./ 032220 03/15/20 03/25/20 32.51 ,SUPPLIES 7990184 ./ 03/22/20 03/1620 03/26/20 156.24 SUPPLIES 7989966 v' 03/22/20 03/16/20 03/26/20 241.25 SUPPLIES 7990948 f 03/22/20 03/18/20 03/2620 22.64 SUPPLIES 7990436 ef' 03/22/20 03/18/20 03/26/20 6.85 SUPPLIES 7991143,/ 03/22/20 03/16/20 03/26/20 14.48 SUPPLIES 7990945 Y`. 03/22/20 03/16/20 0326/20 47.22 Discount NO -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 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 0.00 WID 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 19,48 Y 2,064.22 f% 59.71 y 44.46 1/ 19,488.66 35.32 Not 23.983.71 Not 5100 Net 5.00 Net 698.28 bj 198.94 218.41 90.90 ✓' -67.51 �. 214.03 v 32.51 156.24 241.25 j 22.64 6.85 ✓ = ` 14.48 U 47.22 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/U88125/data_5/ttnp_ew5report3O9211... 3/24/2022 Page 13 of 19 SUPPLIES 7991142 y% 03/22/20. 03116/2003126/20 4.62 0.00 0.00 4.62 SUPPLIES 7993769 , / 03/22/20 03/17/20 03/27/20 46.32 0.00 0.00 46.32 SUPPLIES v , 7993770 ✓ 03/22/20 03/17/20 03/27/20 214.03 0.00 0100 214.03 V1 SUPPLIES 7993771 03/22/20 03/17/20 03/27/20 134.78 0.00 0.00 134.78 ✓ SUPPLIES 7993127 L/ 03/22/20 03/17/20 03/27/20 787.80 0.00 0.00 787.80 SUPPLIES 8003254 v,% 03/22/20 03/20/20 03/30/20 159.92 0.00 0.00 159.92 SUPPLIES �r 8003255 `/' 0312212003/20/2003130/20 9,526.83 0.00 0,00 9.526.83 SUPPLIES 8001507 v` 03/22/20 03/20/20 03/30/20 63.69 0.00 0.00 63,69 SUPPLIES 8001508 4/ 03/22/20 03/20/20 03/30/20 553.52 0.00 0.00 553.52 •. SUPPLIES 8007500`j` 03122/20 03/21/20 03/81/20 333.68 0.00 0.00 333,68 JUht SUPPLIES _ 8006169" 03/22/20 03/21/20 03/31/20 74.69 0.00 0.00 74.69 SUPPLIES 6009652,/' 03123/2003/2212004/01/20 185.52 0.00 0.00 185.52 SUPPLIES 8009654 03123/2003/22/2004/01/20 1,653.98 0.00 0100 1.653.98 SUPPLIES �.^'"• 8012760 Ji' 03/23/20 03/22/20 04/01/20 113.09 0.00 0.00 113.09 SUPPLIES 8012761 �/` 03/23/2003/2212004/01/20 11166,65 0.00 0.00 1.166.65 i SUPPLIES CM26149 �% 0312312003/22/2004/01/20 -32.32 0.00 0.00 -32.32 tA4 CREDIT 8009651-,/ 03/23120 03/22/20 04101/20 74.69 0.00 - 0.00 74.69 SUPPLIES 4/ 8011856 v, WOO 03122/2004/01/20 3,002,90 0.00 0.00 3,002.90 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10636 MORRIS & DICKSON CO, LLC 19,938.63 0.00 0.00 19,938,63 Vendor# Vendor Name Class Pay Code 14124 MSH HEALTH SERVICES LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net MMC0053 03/21/20 03/07/20 03122/20 5,580.00 0.00 0.00 51580.00 t% TRAVEL NURSE STAFFINd?-)Zg- 31Z4'2-Z) -1�,wnl yMb,, MMC0054 03/21/2003/0712003/22/20 41'�,250.00 0.00 0.00 4,250.00 TRAVEL NURSE STAFFING ('2 Zs �_ 3,{,� 13! 21� -, MMC0056 03/21/2003115120.03/30/20 3,487.50 0.00 0.00 3,487.60 TRAVEL NURSE STAFFING (314- 3pf Io1Zz) MMC0055 03/21/2003/15/2003 0/20 2940.00 0.00 0.00 2,940.00 % TRAVEL NURSE STAFFING C'3 �'r' 311J �Z2)Vv v' Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report309211... 3/24/2022 Page 14 of 19 14124 MSH HEALTH SERVICES LLC 16,257,50 0.00 0.00 16,257.50 Vendor#Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION ,/ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 7647 ✓ 03M 6/20 03/16/20 03/25/20 351.26 0.00 0.00 351.26 TRANS SERVICES 1 71 it?-3141-n) Vendor Totals Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 351.26 0.00 0,00 351.26 Vendor# Vendor Name Class Pay Code 14252 OLOOP TECHNOLOGY SOLUTIONS y� Invoice# Comment, Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVAJONES0016 ,% 03/22/20 03108/20 03107120 6,098.25 0.00 0.00 6,098.25 1 TRAVEL NURSE STAFFING i. ��Z$'-313122).ui,fs INVAJONES0017 03/2212003/08/2004/07/20 6,184.75 0.00 0.00 6.184.7.5 TRAVEL NURSE STAFFING t 314- 3) lol Z't) A w Vendor Totals Number Name Gross Discount No -Pay Net 14252 OLOOP TECHNOLOGY SOLUTIONS 12,283,00 0.00 0.00 12,283,00 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC , f M Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 32314848 r` 03/21/20 03/07/20 04/01/20 1,137.51 0.00 0.00 1,137.51 a//' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,137.61 0.00 0.00 1,137.51 Vendor# Vendor Name I Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS ✓ Invoice# Comment Tian Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 1652312325✓ 03117/2003/09/2004/08/20 1,040.06 0.00 0.00 1,04006 SUPPLIES 1852312982 03/21/20 03/10/20 04/09/20. 179.93 0.00 0.00 179.93 ' SUPPLIES 1852251253 03/22/20 02/22/20 03/24/20 769.58 0.00 0.00 769,58 SUUpPLIES 1852303708 ✓ 0312PJ2003/03/2004/02/20 752,16 0.00 0.00 752.16 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 2,741.73 0.00 0.00 2.741,73 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR „f Invoice# Comment Tian Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 2073528292 ✓ 03/17/20. 03/10/20 04/09/20 138.00 0.00 0.00 138.00 SUPPLIES 2073528297 ,/I 03/17/20 03/10120 04109/20 275.99. 0.00 0.00 275.99 SUPPLIES ; Vendor Totals Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 413.99 0.00 0.00 413.99 Vendor# Vendor Name. Class Pay Code 10152 PARTSSOURCE, LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 04257606 ti/ 03/21/20 03/04/20 04/03/20 99.05 0.00 0.00 f 99.05 `% file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report309211... 3/24/2022 Page 15 of 19 Vendor Totals Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 99.05 0.00 0.00 99.05 Vendor# Vendor Name Class Pay Code 13988 PAYCHEX, ADVANCE FBO ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 006103 03123120 08/04/20 08/04120 2,220.00 0.00 0.00 2,220.00 MED/SURG STAFFING LTI23- -112S) ?J i Sctistuy L._ 007210 03/23/20 10/27/20 10/27/20 3,675.00 0.00 0.00 3,675.00 MED/SURG STAFF (10I15-1411112t) SLL1 a1LA-L 007501 03/2312011110/2011/10/20. 1,575,00 0.00 0.00 1,575.00 I,_' MED/SURG STAFFING Vendor Totals Number Name Gross Discount No -Pay Net 13988 PAYCHEX, ADVANCE FBO 7,470.00 0.00 0.00 7,470.00 Vendor# Vendor Name Class Pay Cade P1800 PITNEY BOWES INC W Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 102D257619 03/23/2003/1012004/09/20 223,92 0.00 0.00 223.92 POSTAGE Vendor Totals Number Name Gross Discount No -Pay Net P1800 PITNEY BOWES INC 223.92 0.00 0.00 223.92 Vendor# Vendor Name Class Pay Code P2200 POWER HARDWARE ✓ W Invoice# Comment Tran Ot Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 934628 03/21/2o 03/16/2004/01120 3.99 0.00 0.00 / 3.99 V' A996 N SUPPLIES 484A22 03/21/20 03/17/20 04101/20 2.29 0.00 0,00 2.29 1346°ILIO SUPPLIES 932122. 03/21/20 03/2l/20 04/01/20 81.55 0.00 0.00 81.55 AU-I14 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 87.83 0.00 0.00 87.83 Vendor# Vendor Name Class Pay Code 11024 REED, CLAYMON, MEEKER & HARGET 4 . Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 25321 ,% 03/16/20 03/14/20 03/14/20 217.50 0.00 0,00 217.50 LEGAL FEES , Vendor Totals Number Name Gross Discount No -Pay Net 11024 REED, CLAYMON, MEEKER &HARGET 217.50 0.00 0.00 217.50 Vendor# Vendor. Name Class Pay Code 11764 ROBERT RODRIQUEZ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 031422 03/22/20 03/14/20 03/24/20 jp'-w 180,14 0.00 0.00 180�.f14 16'1 �J SEMINAR/TRAVEL , Vendor Totals Number Name Oroaii Discount No -Pay Net t 11764 ROBERT RODRIQUEZ WAG 180 4 0.00 0.00 18D.14 Vendor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS ✓ W Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 0=22- 03/22/20 03/02/20 03/17/20 6.48 0.00 0.00 8AB tj . 61IJ50-�-5 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net file:(//C:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5 report309211... 3/24/2022 Page 16 of 19 S1800 SHERWIN WILLIAMS 8.48 0.00 0.00 8.48 Vendor# Vendor Name Class Pay Code 10936 SIEMENS FINANCIAL SERVICES r` Invoice# Comment Tran Dt Inv or Due or Check D Pay Gross Discount No -Pay Net 56382200024792 , / 03/16/20 03/02/20 03/22/20 4,038,24 0.00 0,00 4.038.24 LEASE AND RENTAL; , 56382200024351 �j 03/22120 02/28/20 03120/20 1,333.33 0.00 0.00 11333.33 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 5,371.57 0.00 0.00 5,371.57 Vendor# Vendor Name Class Pay Code S2270 SMILEMAKERS v`� M Invoice# ,Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 9124952 t/ 03121/20 03116/20 04/10120 31.96 0.00 0.00 31.96 STICKERS Vendor Total: Number Name Gross Discount No -Pay Net S2270 SMILE MAKERS 31.96 0.00 0100 31.96 Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT ✓ W Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 031622A 03/22/20 03116120 03/30120 1,675.15 0.00 0.00 1,675.15 INTERNET HOSP MAR 22 031622B 03/22/20 03/16/20 03/30/20 14.02 0.00 0.00 14,02 INTERNET CLINIC MAR 22 031622 0312PJ20 03/16120 03/30/20 2,250,00 0.00 0.00 2,250.00,,- CABLE Vendor Total: Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 3,939.17 0.00 0.00 3,939.17 Vendor# Vendor Name Class Pay Coda 10094 ST DAVIDS HEALTHCARE v. Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nat MMCPL20212 �/`� 03122/20 03/21/20 04/01/20 570.00 0.00 0.00 570.00 CONNECTIVITY FEE FES 22 Vendor Total: Number Name Grass Discount No -Pay Net 10094 ST DAVIDS HEALTHCARE 570.00 0.00 0.00 570.00 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION ,% M Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 9959262 03/23/20 03/14/20 04/08/20 193.10 0.00 0.00 193.10 Vendor Totals Number Name Gross Discount No -Pay Net $3940 STERIS CORPORATION 193.10 0.00 0.00 193.10 Vendor# Vendor Name Class Pay Code 13528 STRYKER FLEX FINANCIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 243781 ,% 03/23120.03115/2004/14/20 1,368.97 0,00 0.00 1,358.97 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 13528 STRYKER FLEX FINANCIAL 1,358,97 0.00 0.00 1,356.97 Vendor# Vendor Name Class Pay Code 14212 SURGICAL DIRECT SOUTH I` file:///C:/Users/itrevino/cpsi/memmed,cpsinet:com/u88125/data_5/tmp_ew5report309211... 3/24/2022 Page 17 of 19 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 8704 y/ 03123/20 02/22/20 03/24/20 1,620.00 0.00 0.00 1,620.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 1,620.00 0.00 0.00 1,620.00 Vendor# Vendor Name Class Pay Code 11944 TALX CORPORATION ✓' Invoice# Comment Tran Ot Inv DI Due Dt Check DPay Grass Discount No -Pay Net 2051092788 . 03/16/20 01/08/20 02/07/20 10.99 0.00 0,00 10.99 rj ✓' EMPLOYEE VERIFICATION , 2051159109 V1 03/16/20 02/08/20 03/10/20 10.99 0.00 0.00 10.99 r,� EMPLOYEE VERIFITCATION , Vendor Totals Number Name Gross Discount No -Pay Net 11944 TALXCORPORATION 21.98 0.00 0.00 21.98 Vendor# Vendor Name Class Pay Code 14168 TEXAS HHSC r✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 030822 03/16/90 03/08/20 03/08/20 500,00 0.00 0.00 500.00 ✓ STATE INSPECTION _ Vendor Totah Number Name Gross Discount No -Pay Net 14168 TEXAS HHSC 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO ✓' W Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 1003526934 ✓ 03/22/20 03/15/20 04/04/20 10.00 0,00 0.00 10.00 �✓ � LATE FEE Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 10.00 0.00 0.00 10.00 Vendor# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 001945151079IN✓ 03/21/2003/10/2003/11/20 4.070,00 0.00 0100 4,070.00 i TRAVEL NURSE STAFFING , 001951151079IN J1 030/2003/16/2003/17120 3,960.00 0.00 0.00 %960.00 TRAVEL NURSE STAFFING Vendor Total: Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 8,030,00 0.00 0.00 8,030.00 Vendor# Vendor Name _ Class Pay Code T2235 TEXAS SOCIAL SECURITY PROGRAM,% W Invoice# Comment. Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 020422 03/21/20 02104120 03101/20 42,00 0.00 0.00 42.00 ANNUALFEE Vendor Total: Number Name Gross Discount No -Pay Net T2235 TEXAS SOCIAL SECURITY PROGRAM 42,00 0.00 0.00 42.00 Vendor# Vendor Name Class Pay Code T2198 TEXAS STATE BOARD OF PHARMACY✓'1 W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 031622 03/23/20 03/16/20 03/23/20 513.00 0.00 0.00 513.00 LICENSE RENEWAL Vendor Total: Number Name Gross Discount No -Pay Net T2198 TEXAS STATE BOARD OF PHARMACY 613.00 0.00 0.00 513.00 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5report309211... 3/24/2022 Page 18 of 19 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS ✓ IhvoiC99 Comment Tran Dt Inv Dt Due Dt Check or Pay Gross Discount No -Pay Net 35FK032200 03/22/20 03/01/20 03/26120 1,733.78 0.00 0.00 1,733.78 r,1/ PATIENT STATEMENTS ✓% Vendor Totals Number Name Gross Discount No -Pay Net. 11067 TRIZETTO PROVIDER SOLUTIONS 1,733.78 0.00 0.00 1,733.78 Vendor# Vendor Name. Class Pay Code 14208 TRUSTED HEALTH, INC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV8667i 03/21/20 03105/20 04/04120 9,830.00 0.00 0.00 9,830.00 TRAVEL NURSE STAFFING INV8837 ✓`� 03/21/20 03/12/20 04/11120 11,961.88 0.00 0.00 11.961.881✓ Vendor Totals Number Name Gross Discount No -Pay Net 14208 TRUSTED HEALTH, INC 21,791.88 0.00 0.00 21,791,88 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net. B400389914 ,% 031`16/20 03/10/20 04104/20. 215.91 0.00 0.00 215.91v, ' 84003899t1 y�� 03/16/20 03/10/20 04/04120 42.62 0.00 0.00 42.a2 !,r' LAUNDRY 8400389915 �/ 03116120 03/10/20 04104/20 199,32 0.00 0,00 199.32 .-.% LAUNDRY /3400389912 ✓ 03/16/20. 03/10/20 04/04/20 137.15 0.00 0.00 137.15 SUPPLIES 8400389932✓� 03116120 03/10/20 04/04120 1,730.53 0.00 0.00 1,730.53✓� LAUNDRY 8400389927 03/16/20 03/10/20 04/04/20 80.90 0,00 0.00 80.90 f LAUNDRY 8400390117 03116/20 03114/20 04/08/20 2,39302 0.00 0.00 2,393.02 e.f Y 6j 0lI,N61 vj Ij LAUNDRY 8400390099- �/ 03/16/20 03/14/20 04/08/20 45.15 0.00 0.00 45.15 LAUNDRY 8400390091 � 03/16/20 03/14120 04108/20 48.46 0.00 0.00 48.46 LAUNDRY 8400889946 �� 03/22/20 03/10/20 04/04/20 111.56 0.00 0.00 111.55 8400389913 f 0312PJ20 03110/20 0404/20 151.72 0.00 0.00 151.72 ✓� 8400390430 f 03/22/20 03/17/20 04/11/20 227.30 0.00 0.00 227.30 LAUNDRY 1 8400390428 ,/ 03/22/20 03/17/20 04/11/20 42.82. 0.00 0.00 42.82 �U%NDRY 8400390431' 03/22/20 03/17/20 04/11/20 209.37 0.00 0,00 209.37 4 ; LAUDDRY 8400390463 1/ 03/22/20 03/17/20 04/11/20 107.01 0.00 0.00 107.01 SUPPLIES 8400390432 �/' 03/22/2003/17/2004/11/20 199.32 0.00 0.00 199.32 % LAUNDRY file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report309211... 3/24/2022 Page 19 of 19 8400390449 ✓ 03/22/20 03/17/20 04/11/20 2,447.01 0.00 0.00 2,447.01 LAUNDRY 8400390429 1/ /03/22/20 03117/20 04/11/20 137,15 0.00 0.00 137.15�,/ LAUNDRY 8400390443 03/22/20 03/17/20 04/11/20 80.90 0.00 0.00 80.90 LAUNDRY �../ Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 8,607,41 0.00 0.00 8,607.41 Vendor# Vendor Name Class Pay Code 12208 WAGEWORKS ✓,. - Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV3496985 ,/ 03/16120 02124/20 03/28/20 50.00 0.00 0.00 50.00 -' COMLIANCE FEE / INV3481158 ✓ 03116/2002124/2003/28120 85.48 0.00 0.00 85.48 COMPLIANCE FEE INV3644775 / 03/22/20,03/1512004/14/20 501.50 0.00 0.00 501.50 ✓,/ MONTHLY ADMIN/COMPLIANC Vendor Totals Number Name Gross Discount No -Pay Net 12208 WAGEWORKS 636.98 0.00 0.00 636.98 Vendor# Vendor Name Class Pay Cade 12548 WAGEWORKS, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0222DR46779 / 03/22/2003101/2003/31120 155.52 0.00 0.00 155.52 Z COBRA Vendor Total: Number Name Gross Discount No -Pay Net 12548 WAGEWORKS, INC 155.52 0.00 0.00 155.52 Vendor# Vendor Name Class. Pay Code 10943 WALLER,LANSDEN, DORTCH & DAVIS j Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10845971 ✓/ 03/22/20 03/07/20 03/07/20 666.00 0.00 0.00 666.00 LEGAL FEES Vendor Totals Number Name Gross Discount No -Pay Net 10943 WALLER,LAN80EN, DORTCH & DAVIS 666.00 0.00 0.00 666,00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC N/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9111130386 03/22/20 03/15/20 04/09/20 346.06 0.00 0.00 346.08 SUPPLIES 9111129387 03122/20 03/15/20 04/09/20 1,571.67 0.00 0.00 1,571.67 -- -f SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,917.75 0.00 0.00 1.917.75, Report Summary Grand Totals: Gross Discount 373,812.76 0.00 0•C 180°Ira 187°4i_i r ?:7:3 t 8 � IJ ° it on MAR 2 4 2022 11111"=1 COMM No -Pay Net 0.00 373,812.76 p fn L ! Igta. N 1 J G41 Y'Ve�'i'en� i- j07.g(_) -z- file:///C:/Users/]trevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report309211... 3/24/2022 RUN DATE: 03/24/22 TIMEPB:G16WE) 13V'Wl co LINTV A,WFOA ON PATIENT Ap p � NUMBER M oa 14EMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION 030122 136,28 ✓ 2 REFUND FOR 631952366 030122 77979 030122 400310589 032222 77979 032222 77983 032222 77957 030122 100.00 Z 3 REFUND FOP 599.87 ✓ 2 REFUND FOR 791.49 �% 2 REFUND FOR 55.00 -1/ 5 REFUND FOR 499.07 , / 2 REFUND FOR 4184.68 ✓ 3 REFUND FOF 00.00 /3 REFUND FOR 200.40 d 2 REFUND FOR 550.93 ,./ 1 REFUND FOR 200.00 ✓' 3 REFUND FOR 31.64,/ 3 REFUND FOR 16.49 ,/ 2 REFUND FOR 20.01 ` / 5 REFUND FOP 64.08 „,,2 REFUND FOR PAGE 1 APCDEDIT GL NUM RUN DATE: 03/24/22 TIME: 11:03 PATIENT MEMBER PAYEE NAME ARID=OOO1 TOTAL --------- ---- TOTAL APB WWa ON MAR 24 2022 MEMORIAL 14EDICAL CEI4TER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE ----------------- AMOUNT CODE TYPE DESCRIPTION 010122 -------------------------- 121,8V 2 REFUND FOR 631952366 030122 / 9319, 60 ✓ 3 REFUND FOR 631952366 030122 20.00 �j 3 REFUND FOR 77950 032222 2154,47 ✓ 1 REFUND FOI 77979 030122 146.00 2 REFUND FOR 78880 030122 50,00 .� 2 REFUND FOR 77979 030122 11B.49 2 REFUND FOR 77465 030122 166.33 �% 2 REFUND FOR 77971 030122 20.00 J 2 REFUND FOR " 77979 19626.66 ------------ 19626.66 PAGE 2 APCDEDIT GL No MSKESSON STATEMENT As of: 03/25/2022 Poge; 002 Ta U Mpe Aar amtlD to :Y« axaunt, tleleeh atl0 Mum MEMORIAL MEDICAL CENTER DC: 8115 00o whh You, mmManp AP 815 N VIRGINIA STREET AMT DUE REMITTED VIA ACH DEBIT Statement to' Inlarmallon Territory: As of! 03/25/2022 An 002 M.0 to: PORT LAVACA T% 7]9)9 only Cufnmen 632536 Comp; 8000 DEBIT AMT DUEumt REMITT eI IA A only Date: 03/28/2022 Dstee Due Date RocNaabiLatlmal Account ?6 CM: 632536 PLEASE CHECK ANY Dnte: 03/26/2022 LT6g3 NOT PAID (,) Number Ralemnca Innmiptlon Dl�wrount m a Amount P ReeeivnaM PF oolumn IegeM; P = Pool Due Ibm, F = Futum ow Dam, TOTAL Nank = CurmM Ow Item Natbnel qcn 632836 M@AOPogL MEDICAL CB4Tl0L Fulum Due: Subtatew 8,429.43 USD 0.00 Past Dw: 231.40- It Peltl By 03129/2022, PoY This Amount: Loot Poymanl 9] 2,481. 8.256.21 USD 08/0]/201) If Poltl ANm 03/29/2022, Pry this Amount: 0.499.43 USO 742 L tt� hL pf� 3.8, , 676-28 148.54 + 8'256.21 a: APPROVEDON MAR 28 2022 BYCOUNTYAUDITOR CALHOUN COUNTY, TEMS For AR Inquiries please contact 800-867.0333 .._. rvumlar Dun It Paid an Thou. USD 8.28821 Dim bat K mid Iota: Dw II fyltl Let=: 173.22 USD 8.429.43 �Izs (z-,- MWESSON mmvmr: e04o STATEMENT LNALMAST 1098/MEM Mm pHs MEMORIAL MEDICAL CENTER VICKY KAUSE( 815 N VIRGINIA ST PORT LAVACA TX 77979 AMT DUE REAITTED VIA ACH OMIT Statement Tor Inlormwion only As W.- 03/25/2022 OC: ails Territory; 400 Cuebmm: 256342 Dale: 03/26/2022 Daia"9 Dug ReCBiVe Netbnpl Accoum bTb9 38 Data Number Raralenoe Oeacdptbn Di�eroant 03/27/2022 -03/29/2022 ..wunwNT 1098/MEN mat, pHs 03/21/2022 03/29/2022 73SIS211587 ]33152158] 27765229 1151nvalce OU2 03/29/2022 7331667868 031822/004 11 12022 03/22/2022 03/29/2022 ]331657860 03 Sinvoice 1151nuolce 03/22/2022 03/29/202P 733185786a 2T946528 7946520 Ilfilnv4ice 03/23/2022 03/29/2022 ]33192230q 27999408 1151nvoice 03/23/2022 03/29/2022 7332105658 2311p114 /151nvoice OW24/2022 09/29/2022 733217ot2S 0322220807 195invo1ce 03/202022 03/29/2022 ]332170125 2814>96a 1151nvwce 03/24/2022 03/29/2022 7332170127 28 05393 1151nv01co 03/24/2022 03/29/2022 7332170129 28205303 il51nv01ra 03/25/2022 D3/29/2C22 7332430609 28242968 1151nvoice 0325/2022 03/29/2022 7332604443 28242966 1151nvoic, OW25/2022 03/29/2022 733280g4g3 28242966 i1510volce 0324220730 1951nvoice PP cdumn la9entl: P = plan Data Nam, F = Futum Dee Sam, bleak = Caw, Due Item TOTAL.• Customer Number 256342 WAIMAW 1098/MEM M® PNS SYMMYto :Lture Oar, Paw Due: Lew Payment 03/21/2022 APPROVED ON MAR 28 2022 0.00 0.00 N Paid By 0312912022, PaY TIN- Amaum: 5,500.05 If Paid After 0312912022. Pay thl3 Amman: Pass: not TO anepm Pm9er nmaY to yam, eccou^t, elements and as,w, tMe stab With your mmYlanm Aa OF: OW25/2022 P. 001 MeY t4: Comp: 8000 ANT DUE REMITTED VIA ACH DEBIT Statement for Information Only Cum: 256342 PIEASE CHECK ANY Date: 03/26/2022 rrBRS NOT PAID (v) Atmutt P Amcunt P m.vu.-.� - -• r rumlWr 6,62 0.04 330:83 324.21✓ 7331338580 1.18 2.03 1.99✓ 733152,587 0.01 69.02 57.B4� 16,98 0-78 7331657888 7331657860 3.19 848.]e 831,80 .� 1X0✓ ]331857880 3026 159.28 166.W✓ 7331922300 2.21 1,513.17 1,482.91✓ 73321 13.93 110.60 .39✓' 7332170120123 2. 696,32 82 682.39 ✓ 7332170125 27.SS 85 1102E 1.392.63 t0B.07 ✓ 7332170127 45.31 1,364.78 ✓ 7332170129 1.09 2.266.72 2.220.41 ✓ 7332430609 0.10 84,]3 83.04 ✓ 7332430610 5.12 5.02 ,/ 7332604443 7,579,12 UsD tip Dee It Paid On Tlme: 7.427.64 USO USD 7,427.54 Dian few Y Paid Tale: Duo If POW Late: 151.5E ),579./2 U50 USO 7.579.12 CBy COUNTY AUDrrOpS For AR Inquiries please contact 800-867-0333 m=RC,DVIY STATEMENT Aeof. 03Y25/2D22 w v: eooe DC; 6115 CVS PHCY 70U6/MWORA MS AMT DUE REMITTED VIA ACH DEBIT Territory: 400 MEHORIAL MEDICAL CENTER Statement for inimmmlon only VICKY KAUSIX 282252 Cute: 815 N VIRGINIA Data 3/ 03126/2022 PORT IAVACA TX 77979 Page: 001 To enure proem craft t9 your acmuM. EeMeh and imam able stub with Your I mNlence Ae of; 03/25/2022 page: 001 Man to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Statement for information only CUR: 262252. PIPASE CHECK ANY Data: 03/26/2022 ITEMS NOT PAID (+) SInOg Due Rembablpmlmat Aeoomd V2536 Cash Amount P Amount P Mplvada Owe DO. Number Referrence Description Oleemed (gross) F (rm) F Number Customer Number 262252 CVS FNCY T006/M8M0111A MS 03/23/2022 03/29/2022 7331904865 1620831 1151nv01ce 0.08 3.88 3.80 ✓ 73SI904865 O PF to. IegarM: p = Pent Due Item, F = Anu a Dun Nam, blank = Current Due Item TOTAL Customer Number 262252 CVS PHCY 7006/111kT1CNA PHS Summate 3.88 USD Future Due: 0.00 Om If Pahl On Three: If Pald By 03/2912022. USE) 3.80 Peal Due: 0.00 Pay This Amount: 3.80 USD at= Isal N paid late: 0.08 Nan Payment 5.500.05 If Paid After 03/2912022. Um If Pam We: 03121/2022 Pay this Amount: 3.88 USD USD 3.68 APPROVEOON MAR 2 8 2022 6Y COUNTY AUDFrOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 STATEMENT w=arrv: e000 HEB MY FC 490/MW MC PHS ANT DUE (TWITTED VIA ACH DEBIT MEMORIAL MEDICAL CE4TEI Statement for Intension only VICKY KALISE( 815 N VIROINIA ST PORT IAVACA TX 77979 As of: 03/25/2022 Page: 001 To metre issuer cr.dN to your moment. delecb seal netum this pub whh your remNlmm. DC: oils As ol: 03/25/2022 Pape: 001 Mall to: Comp: 8000 Terrilmy: 400 AMT DUE frm VIA ACH OMIT Cupormr. 484450 Statement foror Information only Data: 03/26/2022 Cup: 464450 PLEASE CHECK ANY Dole: 03/26/2022 IT34S NOT PAID (v) ailing Due Receivablmloml Account MB4y96 Drum Amount P Amount P ReceWwok, ise Dole Data Number Rs. Deacd9tion Discount (grog) IF(nut) F Number Customer Number 464450 H® MY ED 4901MU MC ME 03/2l/2022 03/29/2022 7331325247 55099406 1151moice 6.14 306.78 300.64VI 7331325247 03/22/2022 03/29/2022 7331631493 65.401660 1151nv41ee 1.10 54.88 63.78 ✓ 7331631493 03/23/2022 03/29/2022 7331896250 S6x404312 1151nvolca 4.67 233.39 228.72 ✓ 7331896250 03/23/2022 03/29/2022 7031896262 56x404346 1151nvoics 0.36 18.10 17.74 ✓ 7331896252 03/24/2022 03/29/2022 7332148590 56.406706 1151nvow. 1.56 78.14 76.50 ✓ 7332148590 03/25/2092 03/25/2022 7332657450 MFC PR CORK OR Pricing Cor 231.40- P 231.40- P ✓ 7332657450 03/25/2022 03/29/2022 7332657451 MFC PR CORR IN Pricing Coy 4.70 234.92 230.22 ✓ 7332657451 PF column legmtl: P = Net Due Item, F = Future Due Nam, blank = Cmmnt Due Nam TOTAL Customer Number 464450 HER MY PC 490/MBA Me PHS SuMolels: 694.81 USD Notes Due: 0.00 Duo it Paid O. Time: 1t Paul By 0=9/2022, us0 676.28 Pep Due: 231,40- Pay Tale Amount: 676.28 USD .Z Diem lop N Peld We: 18,53 lam Paye mt 5,500.05 If Peld After 03/29/2022, Oust It Pold Late 03/21/2022 NY MIS Amount: 694.81 USD USO 694.81 MAR 28 2022 CTOR AIHODUNC COUNTY. IfIXAS For AR Inquiries please contact 800-861-0333 MSKESSON STATEMENT As of 03/26/2022 Rage: Out To meal voider eretllt to your soeaunt, Eefeeh am morn ands aenwm: woo stub with your m ollumse DC: 8115 A. of: 03/26/2022 Page: 001 CVS PHCY )9]5/MEM MC PH$ ANT DUE REMITTED VIA ACH OMIT Territory: 400 Mail to: Camp: GOOD MEMORIAL MEDICAL CENTER Statement for mlormatlon only VICKY KAUSEK AMT DUE REMITTED VIA ACH DEBIT 615 N IA ST Customer. 835938 Statement for inlormation only POflT LAVACAVACA TX ])W9 Date: 03/26/2022 Cast: 835438 PLEASE CHECK ANY Data: 03/26/2022 ITEMS NOT PAID (+) &Biim pus RweWabl�atlomi Account bwe Cash Dale OMe Number Refemlwe Dewflinkm DlscouM Amount P (tames) F Amount P fkceWablo (W) F Number Customer Number 835438 CVS PHCY 7475/MM MC PHS 03/2W2022 03/29/2022 7332089916 1621194 1151moice 3.03 151.62 148.59 / 7532089916 O PF column legentl: P = Past Due Item, F = IRdme that Nam, blank = Curmm Due Item TOTAL Cu War Number 835436 CVS PHCY 747SIUM MC MS Sublotato: 151.62 USD FW" Due: 0.00 Duo If Paid On Time: If Paltl By 03/29/2022, USE) 148.69 PaV Due: 0.00 Pay This Amount; 148.59 USD Diw lost 9 paid late: tact Payment 5.500.05 N Pant After 03129/2022, Doe 11 Pant Late: 3.03 03/21/2022 Pay this Amount: 151.62 USE) USE) 751.62 APPROVED ON MAR 28 2022 BV COUNH AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 STATEMENT statement Number: 62731864 AmensourceBergen, Date: 03-25-2022 1 of AMERISOURCEBERGEN DRUG CORP WALGREENS e12494 340E 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGAR LAND TX 77478-6101 13M N VIRGINIA ST PORT t VACA Ti( 77979-2509 DFA: RA0289276 Sat - Fit Due in 7 days 866461-9655 AMERISOURCESERGEN P.O. Boa 905223 ` Not Vet Due: 0.00 CFIARLOTTE NC 28290-5223 \� Current: Pan Due: WA3 0.0a 3\� Total Due: 344.63 Account Balance: 344.63 Account Activity - Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 0321-2022 0F01-2022 3087048770 165188 Invoice 51.66 0.00 51.66; 0321-2022 04-01-2022 3087048771 165189 Invalm 101.30 0.00 101.38 03-21-2022 04-01-2022 3087ON731 165236 Invoice 12.50 0.00 12.50 03.22-2022 04-01-2022 W87202956 10245 Invoice 9.95 0.00 9.05 ' 0322-2022 04.01-2022 345499342 lW509 imoice (54A2) 0.00 (64.42) 03.22-2022 04-m-2022 34SOMM3 163809 Invoice 42.21 0.00 42.21 03-242022 04-01-2022 3087429288 5214798102 Invoice 28.60 0.00 28.60 e 0324-2022 04-m-2022 3087500816 165261 Invoice 2265 0.0 22.65 ' 03244NIM 0401-2022 3087500817 165262 Invoke 0.20 0.00 0.29 0325-2022 04-01.2022 3087638103 165270 Invoice 129.92 0.00 129.92 ' 03252032 IWW-2022 3067631104 165271 Imoice 0.09 0.00 0.09 Current 1.15 Days 1630 Days 3160 Days 61.90 Days 91-120 Days Over 120 Days 344.83 0.00 0.60 0.00 0.00 call 0.00 Thank You for Your Payment Reminders Date Amount Due Date Amount 03232022 (880.72) 04-01-2022 344.83 ,ya Af71Rt1J1D Total Due: '.3, A3'-. w WAR 2 8 ton ae.rwtr TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" "IF FEDERAL TAX DEPOSIT ENTER 1" El "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" F-T6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #k" ENTER: ### E- Eli 941 # $ 102,215.81 1 $ 53,358.54 $ 12,478.98 $ 36,378.29 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: FMP-Payroll ResTayroll Taxes1202247 R1 MMC TAX DEPOSIT WORKSHEET 3.28.22,x1s 312812022 %:a Ca[e::3?3G2 V2lMA- IIED:G: CEN:EE Paae :. Tice: 1'_:07 Pay.OL P.egisre: I Si -Weekly 'I P29EG Pray per10d l3IGL'3 - 03!24 .'.an- Flna. SCRAaR' .., p a y C o d e S u c. r� a ry ............................................ I e 9 a c t; c z s 5 v n o a. y .............' iaVCd .....---------------- Description ... Hrs jMs,.4jX3jgcjcBj G.e_c I CDT ST^anc 1 ............... RECUX, PnY-51 .............. 9 IAC N ......----------- N !; .--._._...................... Zn4.401.68 A/F. 625.00 .------ AlB2 .............. AIE? ..._._.. 1 REGULAR PAY-51 17E4.CC !; N it N 74885.22 ADVA(C KKAP.DS BCBS1ii 99E.95 2 EMU PnY-52 ?i0;.75 N N .• _ %;, i.._ rose-_ C.A?:. CiFi-i 2 REGUM PAM., 135.00 Y N N 4645.7E CAFE-5 CAFE-C CAFE-D 1598.0E ^M REc_.AaT P...AY_: S. 12 S 5. .75 .� !N n 3E024S5 "_nn-F CAT-.F 22351.3 CnH FCC:: 4 PAY-S3 82.75 ., .. 3u:... CAFE-t CA CdICEB. C CALL PAY a.10 N N N N IE•00 CEILD E05.70 CLINIC 155.00 CCMEIN 306.09 ^. CALL PAY 2C14.29 .' ., 4928.5C CREDli31 GC nDS Dc TAI: :2ME 25, CC ., !: ., 5?9.8C GEP-:F Drc: F - .. DCL?LE :IME i.i'P N 2 N N 82.72 ZrCSE FEDTAC 3137-.2% F2U-M 523P.49 D %UBLE T@:E 5.5C 'i 1 N N 203.55 FMA-0 N679.27 FIRM FLS.Y S AC4.81 _ D^J_? -NE v 2 :; !i 1225E FLY. c FCA? P FLin. E EXT?_ "nACES .. N N N -554.19 GW7 S 215.90 Gina: CEP -IN E EXTRA WAGES N ! S N N 24432.00 GTL BCS?•! ^ TF? F .',n'Sn '79.Si i!iSERi:CE 31... .� '. N N 302.Oc F1,14 TC7.5i RM:E M25C Y. ENTEADED-ILLUESS-SANK 24.00 N Y 11 N 306.72 M35c1 MUSE NAML 1927.71 E SR:ESDED•ILL!iESS-SFj M.0C S N 9 .'_:E, 26 .. _?. PaI c?!i••• •' F PAID-TIXE•CFF 1359.20 !. i !: !( 16671.51 SA45 SM17BS S:GNBN Y CALI PAT 2 95.ec L S N :SZ.CC .:-T1 STCNDF 540.8E S?ONE S:11NE2 SiuTc' S11.'ACC 770._2 L -rEO!IE 4 DATA N S N 1.1 340.00 SMML 805.6, 82171) ;99.71 SLSLIF 791.02 CCVID-FFCRA 9.00 `! ! S N 98 95 S?TISTD :220A; S@IVIS S2c?.0 :05.00 ._... 75A-2 .. . :SA•? TSA-R 32343.51 TUMN UNIFOP 17203 PnIRCS <..................• Grand ?Deals: 15UI.10 ------- Grass: 452L145, 07 Dedu•aacns: 1; DL58.1: Net: 1219F0:E5.1 P4,1 d0v. Checks CD¢n[:• 57 195 P? 9 Ocher 39 Female 220 Male 22 Credic OverAnt 10 2er0ec Tern Tatar: 242 0`i'0�'22- '----...............'..._...._.................-'._...._............._....................................................._-_.. 3Ia-% I aq- 941 REGTAX DEPOSIT FOR MMC PAYROLL PAY PERIOD: BEGIN -3r1112022- y4 PAY PERIOD: END 3I2412022, PAY DATE: '41112022 GROSS PAY: 5 462,049.07 DEDUCTIONS: AIR S 625.00 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS S 804.64 SUNLIFEACCIOENT S 770.12 SUNLIFE VISION 5 - SUNLIFE SHORT TERM DIS 5 1,220.35 BCBS VISION $ 998.56 CAFE-D $ 1,590.00 CAFE-H S 22.301.15 S S - CAFE-P CANCER CHILD 5 609.70 CLINIC S 155.00 COMBIN 5 306,09 CREOUN DENTAL S DEP-LF SUNLIFE TERM LIFE S 791.02 SUNLIFE HOSP INDEM $ 499.71 FED TAX S 36.378.29. FICA-M $ 6.239.49 FICA-0 S 26,679.27 FIRST C $ - FLEX S S 3,404.01 FLX-FE $ - GIFT S $ 215.80 GRP4N GTL HOSP-1 LEGAL S 975,02 OTHER S 278.77 NATIONAL FARM LIFE $ 1.927.79 MED SURCHARGE S 405.00 PR FIN S RELAY REPAY STONEDF S 640.86 STONE STONE 2 STUDEN TSA-R $ 32,343.61 UWIHOS $ - TOTAL DEDUCTIONS: 5 140.167.18 S NET PAY: -wuuio321 S =J2181.89 I S -eio�iu -&Ku,CwTCllavdiT^ TOTAL CAFE 125 PLAN: S 31,737.75 LE $ aM01K0 MATM M:Pd,P•.YKGPD WTp1 PPFCRT"a AXABLE PAY: $ 430,311.32 S 430.311.32 "CALCULATED" From MMC It"01 Difference ICA-MED(ER) +sa S 6.239.51 ICA-MED(EE) tn+r S 6,239.51 $ 6.239.49 $ 0.01 ICA-SOC SEC (ER) 670N $ 26,679.30 ICA - SOC SEC (EE) e2m+ $ 26.679.30 S 26,679.27 $ OA: ED WITHHOLDING 5 36,378,29 S 36.378.29 TAX DEPOSD: 5 102.215.91 5 102215 81 FICA -MEDICARE 2so., $ 12,479,02 $12,478.98 FICA -SOCIAL SECURITY awx $ 53,358.60 $53,358.54 PREPARED BY: FED WITHHOLDING $ 36,378.29 $36,378.29 PREPARED DATE: TOTAL TAX: $ 102,215.91 $102,215.81 $ 0.10 07 RI MMC TAX DEPOSIT WORKSHEET 328.22.2Is. TAX DEPOSIT WORKSHEET 3292022 REVISED 3/192014 INgL CK H1 TOTALS $ 462.049.07 625.00 804.64 770.12 1,220.35 998.56 1,598.06 22.301.16 609.70 155.00 306,09 791.02 498-71 36,378 29 6.239.49 26,679.27 3,404.01 215.80 975.02 279.77 1.927.76 405.00 640.86 5 32.34151 5 S id0,167.18 $ 321,881.89 Exempt Amt: Employees over FICA-55 Cap: S - S - Payooda S - Employee Reimd.: TOTAL: $ Ca81in Clevenger 3/2812022 . a +.me.. w«z,. page : m:«z P2DISTP a Nan :yaDATE mU,MAI; j , c az mama _ . s 2 _ e_z ma ma;r. SMS a,_e ma 0 » « OONI # LEE m ce =gym u MENDMA ._= o« _;; 00132 m;. BRAUN mz =0 « m52 _e c ae D: m; m;, r ma = ; , Imom ._ s mz = a . :mom rye wz =mom ,ate e m as DDm _ , 7 e« _, . ,c »z :: mz5 u c ws DD �0423m. z as =m. a, _ FIKAC 1127.92 DO : _. »a = m ,:� m az DO ; ; a,� ,« « wz =.a= _a, ar =.«_ , FARIAS »_ ; m 00707, e,», a :; , SlAILLEY aw =;.. SHARON e az = u e s a= _ m 01791 __;KIM wa = a 02011 _. CLEVENGER as =; w A a: WMIJ W. _ _ : MWMA j CRIOS me = < _ + :AM , a: _ , GAINES as DD , S.4,7c7K m± _ « _, + mUR wa = a 02271 _,_w ma : _ ;m »ate » mw =� « o= m e x, = we mew n L. .315 a.J a, RIFFLE mz = m J m,F , w, ; m S _:; s, _. _ _» m wa = u = m 2150.54 M' « Arg Cate: c3r29i is XD'OR:AL YSDID.AL CENTER E:-WHV-' F3ge i .'ice: 12:33 •••• Check. R^9i5[er •••• Fi➢:STF Fay -nod Oi!lli 22-•0?121i 22 Rer: 1 T}se=11E' i0CCG5:4 :FS+ATI!12 piCSF3F3^i CEEIR NEW DAIS 02679 MELISSA VESLONEY 253C.35 ED ^.410I/22 M01 RONDA DAoNLLE GVALKE 7.072.68 DO 04/01/22 C2719 DALN 11 NCCLELLAV 20M.9C OD 1rh?3/22 C2135 ZMRA A GARC:A E56.11_ CD :,/2:!22 527E3 JESSICA COFFIN .2794 FMIN'ER L i&uMLE.•I 1793.3E OD . 'CV22 C2612 iiPY 77 EUDD2C5: 2085.6E DD 22 02907 F!A.RIA F MORIA 1150.6E DD ii!03/22 D2927 MICF.AEL L GAINES 3041.35 DD 041 C1/22 123E3 DBR^.2E3' " EEGD'J11 :57.36 CD .; l01J2a O257n DI DIAIE GVA".KIIISCN 1956.91 DD .4i air 22 C3 BE4 JACy!-Lifts F'r.SER i2ii.V OD 3{!C1CC2 ;5003 ;'UR7 5 ➢ :r,'d'?L°I:L 2e92.ii DD ;yi)!/i2 j5H REGINA A MARIA%'e 1; 51.37 DD 05007 JA82E K NEYLALT 1705.75 DD 04/01/22 55E4! AN.M. R ICY 23E3.2C' OD 041,1/22 �25757 SF.A.RCY I RDIDER 1?C6.S3 DB '#!7!722 i7055 ^.ELFRISE FAPRO!1 '2 io79 DIFJ!F. CSA!'CEDA 1f10.1S ➢D '.:122 103i9 MAR2SSA LYNN MITT 3:94.fS DD 0•.1 ^1/22 11141 CATEE NE A S.AEN2 4542.52 DD 54/111122 .:412 CO RTNE'Y L I{ORKCM 7:5.97 DD 'f41 O1)2E .ZS'.i 7 2SA J E;!iDJOSA 2C57,?0 DD i;iOi MAR:A E ARREDia:D '..... __ ... °v07 KYG . DAIil- 2353.72 CC .4r Jl is 15131 e tAIDIFF. RARLE'f 21-2.29 DD iWI;:i 5286 DAWN M FARES 2034.:7 CD 04141122 'SSSS STEFRAVIE MA MN 701.E5 OD 04/01/22 15E55 EIMESRLY STAMM 1269.45 DC 0431/22 :5915 ?R:.W..'T . KEY 1516. EO CC i0i!22 2011: MIX, ,ATRiCA R..➢RIGy'2 3C22.66 C: J4 h7>122 2014; SOFEiE Y. MIKA ::101/22 20155 SR1M A3FLEY RISM., 265E 51 DD :;ra1122 2020. KELL: S GOFF 1322.27 DD 011I01/22 20207 SFAnNA G MRIL 1546.75 DO 041/nl/22 21243 N.E6rNIT CORIE2 1734.:. ED _:•2S: JESSICA C WA"LTEER 954.5i JD :';i.":'22 27455 SA'Y➢3 A 57 C_.I,. 231.35 P9 :4,'0!!22 2?53; ER2AINA. 5 FASSRCRE 255.53 DO [iFii'22 20512 JAYES D AKIN 1249.39 ED 04/C2/22 2C567 JESSICA L P.UDDICK 337.34 DD C4/F1/22 20742 CYN7dIA LDPE2 342.7i rn r{!.1i!,. 29'5e JA1<iE SAOLER :221.54 ^? .... . 20631 OA2S'3 9ACRIGAI 3150.12 DD :;i C1lu 20895 DAfMA CX+ACFO 113:.12 DD 14/01122 20977 OHM' L iESCR I823.34 DO 64/01/22 .c:60 DIANA S REAL i33E.74 ➢D i; W,12 ? n^A .112 ..,.. ALL:5DN GOC:DF.': 2;7;? _12RA11i2 'i CI RZi 317.0 T'j `i L312a MOO JESSICA. l' SEL'7EP.A 665.1E On 04101/22 F.un Date: 03i 26!12 AEhARTM I-IMCAL MWER SI4"MY VleC.. Eeglsle:.... 1 um. Name Amur: CHECK Mull. NaE 3•_CJ:' i TAIM L EEPLEY i?E 1. ai DB '1;I1!Ii( 3:u:; _CRA. LAMED: LLi.:. DD r•?1 H2 iA399 A7ACELY Z GARC A 2031.7Y DD Cr'I'3j 122 32185 JERRY A FII4DLEY 292.96 DD 14/01/12 312:9 LAUR.!7 PE'LLIPS 556. 84 DD 041P / 1, 22 iL313 7'i-KINE L'?LY DIEENEZ IN3.34 DD 0;(P!Y2 __.-- STACY :. .Ail?E2 ii9F. 59 DD ,i•i'.i 2. 3.11 3 eCi;=A9 E MUTTLA i2?i. i2 ➢C ; pii S; 3:5iE itnC:-'El. n -FFEER 2iC'7,7: DD 3r'i 21!22 3La21 'SAYLA R ALVABEZ 1651.07 CD N dl/22 31a32 SFM_ D META 1;19.4; DD C401/12 _ uURD: 2MA9 3611COCY ? RRYS'.D:ri 3a4ii DEWI; CRT, 22C1.64 DD NI11:122 3a702 OU VANEM PEMiELL 599.2E DD C4/0i/22 41112 MAS?ASIA L PEREZ MAP DD 4:111 MN'M Y. 7._i'IIi'D i5D.33 m C;r Ci 112 4:tH JEAIiETTE A YARN -U 779.3; DD 43225 LESLIE A CRAIGEN 971.!C' DC 74i'-i!22 4i235 Pr.MELA R VAITIOY 135ME DD D4101122 41242 EDUARDO TURES 599.d3 DD 011/01/21 4:27i xq 4:3J9 7JRE7TA`A LEAI jit , c4 M 43415 ABGEL ,v, CASSEL 952.35 41507 DIGA I EE?AVCOUR.? S67. of Du ".;ld!fi2 .:a L' ...• A A GDl7;9?r :-EI7 JACTTLD8 M YAR7 NIEZ 5:2.1'3 Mir " 4!=.iE REAasE DELEDspI ;9;.EE L .11�:lLL CM EEISSY R TAYLOR 597.74 DD 04/01/22 4:M REFAE N•IC3ELLE EMERY 615.40 ➢D 04/D1/22 4:697 ROXAINA .WTI112Z 735.22 P�" C<I P1121 ' :SC! OiA!IITA 3 :?I.IER i:72..5 :D l'r r-- :' lur:a v':92; BR3;T:7EY V STRLC.L" I?. si3.7; DC "Ai `1172 42M CR.R:STY SILVAS 796.1; PD C4,'01122 42112 SOCDPAD C COMI.S 755.23 DD C4/02122 42522 LE: AAA 1546.6; DD N4 1/2Z 42125 ;Cq CA.'Zr' A. 755.c7 -- ;i304 XIE: ? 4232C XTCRASL A. FF52I 30C4.1; DD ;; 03i22 42820 K:?IA D CPAVEZ 837.?3 DD 04/01/22 42642 SEMIA S D WM7EIL - 3214,61 DD 0;/OI/22 dEss.c. BUSH 179.5- 30143 ?D?:� GDULDES 3126.6C DD 2i ID1/__ 56161 BR-i"sl' :4ICHEik ZAMORA 226.69 ➢D 54/01/22 SC24E ECr:EtIYA l'Ll EGAS 557.6i ➢D NiO1122 S6'eS2 ,IACDE n _%Xli'Ri 2;89.`. DL C!�.. 5'i3!C dASY.LiE G2TGS3Y Ii 9CE73 DEA3G R545.. DAVISDAvts 15u.25 DD L;;mrt1 5059; 2-77 S Mis HUM ➢D N/01122 5C7IP MRA is Y'STEREC 216fi.20 CD :i iM!22 Page _ . -DISTP =maa; . z z : � » @ : w.w. e — , m ,ems _ ! ;m _m ma = m m=,RARTL ma = m 55025 s:R m I C. aM., s: :mom », HERNA11DEZ __ m »a DOm e, ; ma ; m : m m: = m me m a. = m:= e: nR m m« _ m i » se =mom u mm w« _ m LOLA.R m er = I ; _ate as = ;r . aLnrc sw =aau ID e, m s�e : m : +.»z;a= «1 _ _ C e m; mm DOm ;.GARM ca ! e wa e m F m= «c. ; . o ; W.57 = mw, e a «m =C- ; «, LOPEZ DE _, c. _ m C'MIM,G . as = m me . u _ mw z u u , a: _ « , RoshV m c; =>:e ; se = » 15705 » _, c: _ 54101122 Mr !, MAS a, m m ;: ; 6: _ a zM.U., =cam a rlii: s mz =,,, ,162C ROSIN STEELE e, _ 64101122 — o c »z : m -m « Mit 7 ER em :ate : ,m «M E, s! =azu a m S : e. CA=K s: DD . : , , DOu , _ , . m m = o4iNi22 — m s, _ m — : v: _ .\ // \ \ — _sm as =mom 09 SHOORY. XORALT e c, _ m , . sa =m 74251, + m !e _s— ; a DOm . . e e = m . . .P e am = o _ . m; DO m _,_m ma :,,, AMEBA ,COOK ». _ m . _, s- DO,r, amp a, as = _ ,mom ;: GLOVER ma : « , a._ se = < ;mom o . as = I'll ill, — a,= az : lllicli22 ;a „ s »z DO NWIV m mr , m= : a — _;ae mz I: a 7H57 DAYLE . 1 »: az DO z. :e =m : C :,sue, wz =mom a : , CO mom XEG . ! e. _5 _ �m u _ e s m ems : m 1437.4i :AiWa G «!_; ez DOm e: _n_, ca =,, 9 _. co, z = m 3 e MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONICTRANSFERS FOR OPERATING ACCOUNT-- March 21, 2022 - March 27, 2022 Date Bank Description 3/21/2022 WESFILE TAX PYMT OD 902/0533968721000022099 3121/202Z PAY PLUS ACHTRAN5452579291101000697730883 3/21/2022 IRS USATAXPYMT 220248014100115 61036010ODS22 3/21/2022 IRS USATAXPYMT 2202490555561076103601000517 3/22/2022 PAY PLUS ACHTRAN545257929110100069849032 3/22/2022 MCKESSON DRUG AUTO ACH ACH04955030 910000137 3/23/2022 PAY PLUS ACHTRANS 452579291101000699300957 3/24/2022 PAY PLUS ACHTRAN5452579291101000690127244 3/24/2022 WIRE OUT CBNA INCOMING SETTLEMENT ACCOUNT 3/25/2022 PAY PLUS ACHTRAN5452579291101000691004089 3/25/2022 FOMS FDMS PYMT 052-1743547-000 41OW12669998 3/25/2022 AMERISOURCE BERG PAYMENTS OIN0077682100002 MMC Notes -Sales Tax - 3rd Party Payer Fee -Payroll Taxes - Payroll Taxes -3rd Party Payer Fee -3408 Drug Program Expense - 3rd Parry Payer Fee -3rd Party Payer Fee -CIOBdnk Corporate Card Payment - 3rd Party Payer Fee -Credit Card Machine Lease Expense -3408 Drug Program Expense Roshantla Thomas March 28, 2022 Memorial Medical Center'AvfvwA 8313'2-7. Cc PROSPERITY BANK Dz.,VU1,L U3. lie- Z Z- C& ELECTRONICTRANSFERS FOR OPERATING ACCOUNT -ESTIMATED ACHS,��II Date 4/8/2022 UC IGT Descdol ACCRUED UC IGT 28, 2022 MMCNotes PeiM16 CPR 208•'-/I + Amount Z988U.Y%` 62 • 0 3 + 1 5 5• 6 6 ` 100,371.34.ZE 273. 34 ;. 550.05,�r. 6 �6 L L ht- 1,090.02r- 60 . 19 b0-19 x 880,729 705 • 9 3 109,863.89 60.19 766. 1'r. .. 1 OC, Gt.J.&y I I b 3 - 8 4 9 1 • 8U - Amount 1 0 0, >'I 1, 4 - 137AIS.76 5, j 0 0- U 7 - 890•7 137,40.76 766 1 % + Memorial Medical Center 7 6 6- 12 ;. 766. 1. 0.00 Transaction Summary Transaction Complete Trace Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total I $137 415.76 _ 4/8/2022 Bank Routing and Account Number Settlement Date UC Hospital Amount $137,415.76 Entered By Marley Moehri Page No:1 or 1 Run Date: 3ntreo22 Run Time: 11e09:23 DY10 UC/SDA RURAL Allocation Form TRACE Number: 000000005508910 The Trace Number is in the receipt you receive from the Comptroller once you have submitted your IGT Into TexNet. The Trace Sheet and Allocation Form must be submitted together in the same email. All Trace Sheet submissions must be accompanied by an Allocation Form. If a governmental entity Is submitting in multiole SDA's. a senaraM allocation form moat be WAY � � .�miaMM Imrwnm ignM rr. u. M �WW�M .. M�+M P z � Row Labels Sumof Final Payment After Accounting for Reccupments Sexar $ 1,641,726.99 Dallas $ 857.783.72 Hams $ 1,728,638.69 Hidalgo $ 1,236,875.82 Jefferson $ 2,557,944.72 Lubbock $ 3,102,901.08 MRSA Central $ 7,858,926.84 MRSA Northeast $ 18,913,902.45 MRSA West $ 32,502,671.05 Nueces $ 5,243,197.05 Tarrant $ 3,474,275.04 Travis $ 4,467,188.97 Grand Total $ 83,586,030.42 Check 83,586iO3O.42 TRUE Sum of Final IGT Required After Accounting for Reccupments $ 625,188.44 $ 274,405.01 $ 552,990.86 $ 395,676.57 $ 818,286A8 $ 992.618.01 $ 2,514,070.58 $ 6,050,567.30 $ 10,397,604.15 $ 1,677,298.71 $ 1,111,420.58 $ 1,429,063.73 $ 26,739,170.42 26.739.170.42 TRUE Page I of 1 RECEIVED BY THE COUNTY AUDITOR ON MM2024 2022 MEMORIAL MEDICAL CENTER 08:59 9AP Open Invoice List CAUiOUN COUNTY, TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 031822 03/23/20 03/18/20 04/15/20 2155,77 TRANSFER NH')VI ` KUL Y1fi L �ept>srh�l (' 1Gross Vendor Totals Number Name 11''ll// YY 11828 SOLERA WEST HOUSTON 215.77 Report Summary Grand Totals: Gross Discount 215.77 0.00 ArTUS"M dw MAR 2 h 2022 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 215.77 v (V Wt<L OVOI,1 Discount No -Pay Net 0.00 0.00 215.77 No -Pay Net 0.00 215.77 file:///C:/Users/]trevino/cpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5report874644... 3/24/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON MAR 2 4 2022 03/24/2022 CAIM IXINCOUNTY,TE%A5 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK 0 ap_openinvoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 032122 ..0/3/23120 03/21/20 04/16120. 12L129.05 0.00 1 0.00 TRANSFER NJ4 11'SUMMt(p �pj (_JgoW44CA jr, p tAMt- Ulx.j13 Vendor TotalE Number Name Gross Discount lNo-Pay 11832 BROADMOOR AT CREEKSIDE PARK 12,129.05 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 12,129.05 0.00 0.00 Arr""M on MAR 2 M 2022 Net 12,129.05 Net 12,129.05 Net 12,129.05 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report352987... 3/24/2022 Page 1 of 1 COUNTYYAUDrr RON MAR 2 4 2022 MEMORIAL 03/24/2022 MEDICAL CENTER 0 qp Open Invoice list CAuid �7(A$ COUNTY, ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gress Discount No -Pay 031522 03123120. 03115/2004/15/20 3.520.00 0.00 0.00 TRANSFER N 1i iv),Mx a- lava atptipi U KIN rw*1(- bvi, .- \1 - 032122 03123/2003121/2004/15/20. 361,43 0.00 0. TRANSFER tt R Vendor Totals Number Name Gross Discount No -Pay 11824 THE CRESCENT 3,881.43 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 3,881.43 0.00 0.00 AMOWM ex MAR 2 4 2022 Net 3,520.00 361.43 ✓ Net 3,881.43 Not 3,881.43 file:///C:/Userslltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_pw5repoit790032... 3/24/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON MAR 2 4 2022 03/24/2022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List CAL!'ICOUNiY TEX:18 ap_open_involce.template ' Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 031522A 03/23/20 03115/20 04/15/20 0.00 0.00 12,651.65 t12,651,65 TRANSFER �� l k�!-tllL- tin11t1 ,1 00 A jli, 1 W& 00,IM1-il' 031522 03123/20 03/15120 04/15/20 7,999.84 0.00 0.00 7,999.84 TRANSFER It 11 . 031822 03/23/20. 03/18/20 04/15/20 10,423.33 0.001I 0.00 10.423.33 TRANSER It 032122 03/23/20. 03121/2004/15120 6,134.97 0.00 0.00 6.134.97 -� TRANSFER 1. I . Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE $7,209.79 0.00 0.00 37.209,79 Report Summary Grand Totals: Gross Discount No -Pay Net 37,209.79 0.00 0.00 37,209.79 MAR 2 M 2022 file:///C:/Users/ltrevino/cpsi/memmed.cpsinct.com/u88125/data_5/ttnp_cw5report856654... 3/24/2022 Page 1 of 1 RECEIVED HY THE COUNTY AUDITOR ON MAR 2 4 2022 03/24/2022 CALH&WOUNTY,TENAB Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 031522 03/23120 03/15120 04/15/20 212.32 0.00 0,00 212.32 TRANSFER NN lyl�tknta, p6yet Jepli t A IYt'1 JWVY L opuk-h V& 031722 03/23/20 03/17/20 04/15/20 194.61 0.00 0.00 194.61 TRANSFER " t' 031722A 03/23/20 03/17/20 04/15/20 0.32 0.00 0.00 0.32 TRANSFER It tt 032122 03/23/20 03/21/20 04/15/20 972.50 0.00 0.00 972.50 t% TRANSFER 1' h 032122A 03/23/20 03121/20 04115/20 8,122.40 0.00 It 0.00 8,122.40 TRANSFER 11 Vendor Total; Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 9,502A 5 0.00 0,00 9,502.15 Report Summary Grand Totals: Gross Discount No -Pay Net 9,502.15 0.00 0.00 9,502.15 W-Y#6"M am MAR 2 4 2022 file:///C: /Users/ltrevino/cpsi/memmed. cpsinet. com/u88125/data_51tmp_cw5report107914... 3/24/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON M�"21022 CN.liOMQW�a`ir d3We 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template InvoiceR Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 031522A 03/23/20 03115/20 04115/20 1,669.50 0.00 0.00 TRANSFER NVV Wquaw yti JR.pu�-61 Ikh990.60 PAWU- Olteyh 031522 03/23/20 03/15/20 0 / 20 B, 0.00 0.00 TRANFER 11 tI 0311622A 03/23/20 03/16/20 04/15/20 2,690.28 0.00 0.00 TRANSFER It it 031622 03/23/20 03/16/20 04/16/20 1,063.03 0.00 0.00 TRANSFER I 11 031822 03/23/20 03/18/20 04/15/20 13,603.59 0.00 0.00 TRANSFER N 11 031822A 03/23/2003118/2004/15/20 772,56 0.00 0.00 TRANFER 't 11 032122 03/23/20 03/21/20 04/15/20 827,47 0.00 0.00 TRANSFER AL it Vendor Total: Number Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 29,617.03 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 29,617.03 0.00 0.00 APPWV"w 4110 MAR 2 4 2022 Net 1,669.50 t�/ 8.990.60 ✓ 2,690.28 1,063.03 ✓ 13,603.59 772.56 827.47 Net 29,617.03 Net 29,617.03 file:///C:/Usersiltrevino/cpsi/meimned.cpsinet.com/u88125/data_51tmp_cw5report484372... 3/24/2022 Page 1 of 1 RECEIVED THE COUNTY AUDITOR ON W 420t22022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 06:57 ap_open_invoice.template Dates Through: CALH UN 6end9I, �1i % O Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net % 031122 0.00 0.00 9,428.64 ✓ '013'/t23/2003/11/2004/15/20 19',428.64 TRANSFER N1t InSUliVitV._Ut'Al LlCfllih �%� IVt 1U MWU. Uhl.Yr`IV�,._- 031722A 03/23/20 03/17/20 04/15/20 194.50 0.00 /l\J 0A0 194.50 a✓ TRANSFER (l II 031722 03/23/2003117)2004/15/20 4.631.02 0.00 0.00 4,631.02 TRANSFER V 11 031822 03/23/2D.03/18/20 04/15/20 7,526.59 0.00 0.00 7,526.59 TRANSFER 4 t Vendor Total: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 21,780.75 0.00 0.00 21,780.75 Report Summary Grand Totals: Gross Discount No -Pay Net 21,780.76 0.00 0.00 21,780.75 MAR 2 4 2022 file:///C:/Userslltrevino/epsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report805929... 3/24/2022 Request for Transfer of Funds naMre.«: W. R ..d wyer ReWeneaby: flequntariamall Requablspllone numbw wNNngrv.m Femur Pollen[Nenr D pYeWYr:he jgpMwme aural_ � PmY....eaa.im.. pMalleM1Ma mum WP N/A 3/91202i ER ULB EM271628 EVOM0.W . R.11 BRMOMONATMEEMIDE WA N/A 3/I0ME2 Ep2 1,0f0.61 EET6232935 NMp%%26969 6938 BRMOMOMATEXFERIOf N/P WA 3Jt5/EIIEE EFT M.M. E9022%0 NOP11000016%9 LE05.3T BRMOMOMATMEEMIM NIA WA N/A HA 3/13/IOE2 16/2021 FFT on 9E.0 958.w FR6E22067 EFE6E286% NMR00%26%9 N0M%M169% 6.51 "Lo BIIOAOMOMATEREWIOE MMOMOMATMEMDE N/A N/A 3/16R0t2 EFi 485.E2 EFT6178614 NOPR00.'VE6869 9>.% BROMMOORATCACMDE N/A NA 3/17/2022 M $ 1,1%.63 EM2B0312 NOAR 26869 E%.32 BI MMOORATEAEE"DE N/A NA 3/I3/202E EFT $ %A1 EFE6281%3 NOARBLip16869 19.28 WOMMOORATEREEMIOE WA NA 3/31/E022 EFT' $ 389.29 EFL6224N4 NOAR%W26869 15283 BRWP RATEREEMIOE N/P N/A 3/z]/E012 FFT S 3A4e33 1F26)H314 MAR0W92%69 40882 BROAWWRATEREEMIOE T11TAE 25,Ot¢4C i 23al TOB MWYut Mam HalMedlWhn3ea: Da t 33 Appmue6 by. M RONFz Dona dliw. 3 azz FMmiatllily: Tp ix111M AmpYllh 1, PapwWlha:ulae4vua2: ^�;( Date 9fhawhr. '7�pyl%1L TmmwtlNly: ✓�) is wtMry APPROVEDO N Amw MARL 8 2022 CAALHOUN COUNTY, TEXAS namfmN: Request for Transfer of Funds M!! 0.lquesk0 PRyer Re,Mn by: Rlqupwfsemall Requntofzpbw¢ numbr W.mm.cnunry gxnry pgkmxlme plM1el4rvlrc Iz4lNplmnm n' dal. Aillenn![JMPn.. 6mavu. w. xn wrpuRwrm.N x N/A N/A N/A 22/A N/A N/A N/A N/A N/A NA N/A N/p Np NA Np A N/q N/A 1 = 3/ 10II 3/ 023 3/352022 i6/ZD22 3 W22 3/1]/3@2 3 I8/20S2 3/iUM ffi err- FFE W EF] EFT EFT n FR N"2 1,0[N62 H.W. 97,69 950.M 485.27 $ 1,396.63 $ 96A2 S 739,19 EH6272915 fF)62]2915 EFf62"MO EF162]]O6] Fii61]8696 EFT62)86]0 FF26]00312 EF36L2983 EFf62]03tl NONNM MW NOMWOJ1955) NOPXW ISS5) NOARW901955) NDMMI9551 NDMD 19551 NOMb]DOI9551 NWWWW1955] NOgP0WY1959 69.30 9.38 I,IOS.3] b.51 191,fip 9)OS 259.32 19R0 IS]83 MF[PfSFNT INECRESENT MECRESFNi MECflESENT MEfflFSFM iXF[pFSfHT )NECPFSENT MECRfSFNT MfCRESENi NA x/p 3I]/2022 EFT $ 1,D14.33 FFT6280310. NOAPWW1955) i0p-0) MFCflESENT iOTAI 25ptO.lq 2p23.31 To 6nfllx66u1 R1 FllMe6x614n1[r. rtC R,_ 032 App[ovlE by: AR INEZ immfiNlXy: CPESbI f LO FMIRIy: M1IMNINC ��y Amount .: t4i:3 RpunkJxwln om¢ 1 a.HI O'✓ akn 3 F.Will m. H[IIIK ro ]a[Illry: PmR�nt MAR 8 2022 BV COUNTYAUOITOR CAU'OUN COUNTY, TEXAS Request for Transfer of Funds mnrnp: pan Rry letod 315]E Payer MEDIWE MpueXe00y: gPCHELPgFXPEPS Requnbh NMfl asPilussanwlll#en enel Requeabrs Phone number 713-07053E0 Dlbwo.,Gun, 11WOReq loony Ifis.1,nh.h bXantNamel"Cl paYOSYn Taneel Ferman! P Rn4»eeMen M. W IRFOWpFpI paleMPevmene (CM[Wj[n ybahppd ryne4Num6er tleMMumbt bi00Rememetal !!ahL 3.1323 Efi 5 30AE3.N 6FF6E66305 .0/UDAADX)0t9553 6 i .. MCTurtan f—Gannt 3.53.22 EFT 5 7489.10 EMN7633 w0 NmgIXODt955] s rAq2.10 pneTniOm/han Cr¢tent TOTAL evema— 3790570 pT 05A6 to be filled put bv Memadal Me61ol Cohnn Ee qt A,,..d le, MAYRA MARTINEZ Gbof.,ler, poz Fmm Fatlll,: lfi.lfiohl TOhrAMy need.. . 19,905A6. Bold, of e.M.I. Flnm htllXy: Tn Fa.h Anpunt APPROVED ON MAR 2 8 2922 RY COUN'fYAUDROR CALHOUN COUNTY, TLXAS Request for Transfer of Funds rnns]e: x: oal Rleuenea flyer Mqueemrs em.0 MRueemes Poona nun er ..4 —EouM .aut, 7NAPltlenlMw WYM4n4e R O b➢GaFPIxMM �. Nu Mllgl nlMM.[nl qutlilrlwtllY a¢Sf NA NA' 39/3N3 Inla...EFl62i]638 NOP.NRL]O SM 601EMWESTHOUMN WP 3/1012m ER tA10.63 FFl6E]3915 NOAROONISIM 0.38 SOLFMWESFHOUSTON WA NIA 315/2WC EFT MOSCOW EFT6!]]090 NOABOOC91B110 1305.3] SOLEMWESYNOUStON N/A N/A 3/15/2W EFL 97.0 EF163]]06] NOAPgXI01Bli0 6.51 SOLEFAVYWHOU$TON X/P N/A 3/16/2023 FFL 952.W EFT0378096 NOARW0011170 ]9160 WLEBAWESTHOUSTgI X/A N/A 3/1WW2E EFL 185.]] EFTbi]86]! MA.181i0 97.0 SOLEMWESTNOUiipl N/A WA 3/17/2M EFT $ IR98.63 EFi614311 WOAPOW318170 259.3E 501EMWESTHOU5M WA TIM 3/18/2W] ET! $ 9&42 E96E91983 (VOM11W]]8ll0 19.28 SOLEM WE3TNON5lON NIA N/A 3/A/1032 EFT 6 709.19 EM274W NMRWATBVO I5713 SOLEMWFSTHOUSTOH N/A N/A 3/21/2p2E EFT $4ON.33 IM284314 ..XII II8V0 40.67 SOLEMWESTNMISION maRSBLLlR 2333 TO bl filled e0eB Menwrill Me01o1Qmer. OaM Mm 32!30E A;,, v'6 by: gYMMARTIXEZ Od1eo11nRy}!f. W30,2022 BmmF.d .--.SOLEM Tefetl6ty: .MM CLINIC Amfrm g(aS Izz M9uMMi..nN..en. n. 0!1lallnW Ton nW. Te Tulllm PA... MAR 28 2022 BY COUNTY AUDITOR CAINOUN COUNTY, T(mAAS Memorial Medical Center Nursing Home UPL Weekly CantexTransfer ProsperityAccounts 3/28/2022 nrrau. Amm�e sya.In3 Aa v,naa4 xorw lam. rwm,n mAme awlnaua 3mnmin oemw. Te4ry+a enanlM Am,vntme. rnmrerneaexanl.s Maera Iamr 1;SAD>.){ 115,619.0 1]1A63.59 1)1AMS) / 1]136E.59 sank ealan4e V1A9e5iV wllanw Mere in e,bnm 109m IMIN33x[S) M12 ✓ FESNOEA65T u.36 ✓ MMIM[REST Mjart BalanmRnndar Amt 1)136159 ✓ M,SW.eS/ 61.n35.11 MS),916Aa / YYY _ 3}•;06,In 49,555.20 Sank Balance 5MW.14 Vatlmtt WveMUNna 100.w Mmoom 115,1515E 'ti5.03>.91 a 11,134.66 / 61,543.35 /,439.9x 1e,66RA 1/ ANNomfflow ie9ffi4e S/N,Tf9.16 NS/4101.1) it 9, C [11 0 p�8T 6br�'ir 636,C.7z',r7 ,utinan,me MN}: ean.aovMmaamumlMnaslwn:orMMtaanowaem.een.aaw,nr Inxx w,eurrwnaraAxx u){umHnsumm.mmnWaawgx wl.mnuermmmaNa3.luken MEOIG0.[PAVEA[NTOMIDTOMMMNIC MUM ✓ }ANIWKEST me ReI1TnR55T "36 % MARINrtREST ✓ Adlvat e+nnuRamattt Am[ 4505.10 131,35na6 / E00�R05.56 S,nk Balmm }31,5036 V/ VaNanee wr4M eel,nw looaa M[OIG0.F0.LPAYM[NTTOMMOl111C // 1,413d1✓ M6OIGREREPAYMFNTTO"E V / 13,905.)[ / LININIEREFF 031, )3e INNRFST 1An/ MMRRFREST A41wtB N.fr.lft, me ID0.t0656 pi 1A)9e.;0 2&663.]T B,nk Balance ]9]BLIO VaH,ne4 Ominede+N4 10040 IANINNRPST Lu1 Fee IMl[RM 6.m f MR INRREST A41m3 eaxnaeRr+mfttAmt 11.66e>7 ` 1138,343.4R ig5,6B9g5 emte,lante 1e6.341.49 V Varlanm EMreMe4DMe 100.00 APPROVEOOfi9 MEDICARE REPAYMEN[TO MM WNIC 1A13.33 ✓ MAR 2 8 2022 WRR[RIO ovco TOMMC leo.56 BY COUNTY AUDITOR IANH41T 6r uCAl,HOuN COUNTY, TTYCAS flaimFR[n 20.30 MARIN)ERFST AenatEalan..m,nat..Alnt us,6ea13 V TOEAL Men." RDSNANDATND�AT 3/E9/10}l W21/N032 UKCWMMUN9CNCWIMPMT31]5311 Ull50E 312l,101i YNC COMMUNITY PLNCCUIMPMT i46E341193E1 3121/20" HOVHA61MAN SVC HMIIMFMT 1516003400030E 12 3/22/2022 NMIN) HUMAN SVC MCCUIMPMT V16E31113E53 3/242022 MIN) 3/11/2012 MAVAGIA)MOC IMPMT74MUll4b00p05p9p9311 3/27/2022 NNa-EON]HCCUIMPMT]460 IURR9W? 111042 3122/2022 AnarigioUHCCOM pUNM PI.CWMIMNAT74500141119E 112212WI UHCCOMMUNIT' PLH[CWMPMT)16EN119ID01 3/13/i@3 UNCAssowIIYPLNCLIAIMPMi)4W0343191WM 31231291E NOVOASSOLUOONHCCWMPMT3)3413150420) W2312012 MPlina HC 9f TN HCCWMPMT PN13EM9618943E 3/23/2022 UHCWMN9NETll18MMMP TD4M34 191MOl Sgy1022 WIRE OURAS ORD NCCWMPMi MfiTERtV 0E0 3/24/2022 WMfa HC of IN HEMTHGHIL2643109 3/24/2022 VIA00 HC of U HCCUIMPMT pN332M961894m 3/24/Z012 MnRna x4AWCKCWMPMT PH131613615 AlI 3/la/=UHCCO MUNI NCCWMPMPMT56012141XOIC0 3124120ZS HMTHHUUNITIPLHCCUIMPMTIIO 3 19174E 3/24/2021 HEALTH HUMMSVC xCCWMPMT 111630M113E5 Z 3/254022 U4CWM UNIWttWMPMT312525b311111000 3/13/1022 UHCWMMUNIWPLHCOAIMPW74M 1119XWM 3/23/]O2E UNCCOMMUNITY PLHCC MPMT3 M6113411 izzi 31WZ02Z HUUTNH UMIN SVC HCMMPMT321B 141041322E 3/15/102i HMITH HUMAN SVC NftUIMPMi 17460031113005 E 3/2212021 COO? 3/23Jro21 CX30 3191/202Z NOMTA3 SQLUIION HCCWMPMi6)635] 420000100 W21/E022 1NMM4 CNA O08 ryCCMI MPMT 31%14300E1934 3/12/2022 G1% 312ZF2022 Gl% 31WNZZ M VffMSOON6U19WIMP M00000042OW193U 3)]LIOii NOVOA95GLG1N)N NCCIAIMPM] W635] tl%001)4 3/23/2912 Moiln4M9ITKHCCWMPWPNlb6%E M4200 3/M/2021 MPIina NCA]TKNCCWMPMTPN41144E331EO 3/33/2031 NOB-EGIONCCWMCCUIMPMTOIBIS742MI3 294/2022 HOVITA$501UIWN NC[UIMPMT R]895]g0740131 3/2412022 WIRE OUTGNTE%HFAITNGRf CENIFP9111 24/222 Molina Co1TK 2/NCC MPMTPNI%99601334100 24202! MollnbH[aTT%XCOAIMPMT INI0698b01)31200 3174117401E NNR f[NOHC[UIMPMT>I6E39I1 MEE331664 3/34/Z012 M MANSCONCCWMPMT390881830000512M 91351301E MPOAGUGGN0NFT1)19MX5 PMNT00Ea0EE%Z%Il 3/21/2022 Mai 31211203E M01Ma NC of TR NCCLTIMIMT PN166996p129420 3/21/2033 MANAGEANONET11111 MKS PMM OOOEOGEE032611 41 3/21/2022"M- COO HCCWMPMT 74SOOMIJ 441W) E3 912LIZOU NUMAMA CHA OIS9 HCCWMPMT 35E64 424E019M 3/21/20E2 O INA HCCUIMPMT I669BRO12$ 9100E1211166 3/2Z/2022 CK224 9nzOan CKU3 3/U/2012 MANAGPAH9NET321BMNS PMKTO KKKNOMN329B 41 3/22n@Z PRO -ECHO HCVAVAPMTMEO3411/10E0$9%Z 3/22/2022 NMITMWLMIONNCCUIMPMT6]6]23.2 114 3/23/2021 UMCC MMUN NFLHOCC INPN1669604,34 4SE 3/2312022 UNCCOMMtiNL1YPL H[CIAIMIMi T460O34119L0000 W23/2012 NOVRA950lMI0N H[WIMPMTg6#31101E31 3/fb/2011 WMEOUIGMM M.LLtNGREttNTFRs111 3/21/l022 IMNA6FANpNO111R MMPMHTOWE00E0E10B41 3114PON UIWH HONCCWMWMPMWMi1MII134 6fi4 3/0/2022 UHRe6NeMUhM FLHC M MTMPAO31122192 3/24/2022 UryCCOMOLUTIOPLHCCWIPMTT116E4200 OE 31211202E HOVITASSOLMIO mPIAT IM0MT 01644000( 00020E 3/Z$2022 UNCCUl-CCOMMUNCWMPMTT460OUM600000$156'3 3/25/1E1 NMTM LUTIOUNC[ MPMT]662p311191001 31MOZ0 NOWTN ADMtNIO HCaAI MPMT6)65111E00121 3/1f/10Z1 KS PUN AOMIHISTXCWIMPMT 11995 ]110EOZII 3/21/1012 XOVrtA550LU110HH[CWNPMT 6]56634300E1E 3/73/4 C175 .1 / d I= L6diM9W T1F9131340OIPP/CINA01 QIPP/Cemp2 OIPP/@m93 OIPP/COmplLlapu OMPII NNPORTON • 534.39 - 534.39 Z11.21 - nl,21 - 276.0 236ss II,125d3 - 11,125.3E - - to". 3.927.50 - 300A9 - 18.49 - 41308.50 - I.M8.50 - 355.93 - 355.96 - 1,62S.54 1,635.5E 7.060.21 - 44.24 4414 - 3,514.50 - 3.514.10 - 1,398.54. 711.420.85 - - - 2mv, - 1,1ELLS - Ik60141 - 16,60341 - 7,,315.72 - 1;31532 - 1222450 - 12]20.50 S,M9.51 - 5,M9.52 - 31.152.2E - 31.15LM - 46,749.18 46,749.10 - 5,059.35 - 5,059.35 - 1,174.74 - I.IE.E - 11.9293E 1192533 1366M.T3 IMM2.59 .1 22Y36L59 MMCIORIION To,neg1_4u1 Tnnaff"0 O1PP/Cnoll Qlpp/CPmP2 OIPp/cloop gPP/Cp8allUs'e OI9Pl1 NNPORTION 1.831.06 tsSnin 1,%8.68 11991.60 4,604.3E 4.6003E 19,50.E 1M.T0 - S,T48,50 - S.14B.% 9,313AO 9,313A0 - 112.62 111.5E 591.49 521.49 - L950.10 - 1,95010 9MA9 ],961A9 61I.M.84 - - 2,491.24 1A98.24 MMCPORPOH rT�9era,1 p T.�nAeMn OIPP/Umn NPP/C0mP2 CuPP/6om03 y11/Cpnpl8llp3e QIPPT Nx POROOH 1.all.E 112.98 I128B - 51115.05 S.126.fi - 233R15 gfi 1,539M - 1,739.0 I,M9.b6 - 4.aE,E 1'�'E 15,69640_ t]9]8 6,411.20 6.415.20 3,989.01 3199901 - 118,594.8E 8's"A1 - 118,591.8E - 3,234.HS 3,]3485 2,]]9.60 }TI95) 3960.63 3,9606E 9],315.68 1,wi - 1,E6.50 A94972 8,9133E - 22,91Op0 12,910.E - 21,54LB9 31,SIL81 - 4,733.51 4,>33 S! - 6,317,84 6,3U.84 - 1:10M ],1E.15 - •421.95 - 421J5 MMCPORTION TEm4krAM 1111, fJn OIPp/Cempl OIPP/Cemp2 CIIP/E901m3 QIPp/GOM2M U QIPPO NN/ORVON 5)A] 19,105.9I - 219.0 313/3021M IE HCEIIX XCCWIMPMi PN1A05))503NE 3/24/2022 WIREOMGMMNM WN REaNTEASNI Ip3].3! 42324.E ' 1,037.37 3/24120il MANAGER URU])19MNSPMMIEEE9W139441 47AE 3124/2022Un0eVNetllhPaN HCCIAIMPMT]46EM11124384 - 4,3Ep0 1t10] 3/24/3022 UHCCOMMYNIWPLHCWIMPMTTA0 411910E - 8.095.59 6,374.E 1/1S/E174 XOVRA550LUIION N[WIMPMi6]5683430Eo1Z1 - 1060114 8,E6,59 61Am" 2 w;R . / 30E3.34 =66R H MMCPORHON T TnMxln I QIPP/[EMpI QIPP/bmpx appicamP3 OIPP/CemplW p1/PT NRPORRON 3/21/IOZ2 G12]] iR31.E - l:\NNW«WVv Itmiaaak A—nloa4 WPdlhaHaL10E21Wnh%hH Gant Download oLibn NIu W'n,0,ua Pge3 111119OIZ NNB- ECHO HCCWMPMT I46W3411MOA0211503 - 1.101.52 1,205.52 *21/2022 NOVITASMLUVONNCCWM91AT6763104200W100 - 16972 169.72 3/`22/2022 CXI2T5 ULMQ4B - 3/2P/2932 CX1226 119.n - 312L2022 UnO"KtaltMHa NCMIMPMTi4600141191W00 - 9.1239S - 9.723.95 3122122E NOWTAS30WVON HC[WMPMTIST631042000O1n - 7;262.54 - I2,26254 3/22/W2 HUMANA INS END HCCWMPMT 39086E 83003 1H5 - 3,SSS.W - 31SSS.W 3122/M22 HUMARACHA01311HCCIAIMPMT3WI624T90W1113 - 2,255.0 - S255.011 3/22/2022 HEALTH HUMAN SIX NCMIMPMTI7460114113WJ 2 2,059.29 - 2,039.29 3123/20U Molina HCoETXHCCAMPMT P014971,132194200 - 5,146.39 - 51I411.39 3/23/223 Molina HCniTXNCCWMFMTPB149i1433942W - 6,494.96 - 6,4W.96 3123/2O22 MANAGEANINETVISMN5PMNTW000W000021B341 - 319.50 - 319S0 3/23/2022 HNB-EMONCMIMPMT04M34114400W2PT638 - 4,822.09 - I,1121.09 3/23/2022 UHCCOMMUNOYPLHCMIMPMT746W3411910YW 9,924A4 - 9,914.H 9/24/2022 WIRE 02CANTEX HEALTH CARE CENTERS HE 0,203,84 - 3/244!22 MANAGEANONRI718MN5PMNTWOW 445241 - 11917.0 1,917.E 3/24/2022 UnttMNeaM1hnu HCO.MMPMT 74602411124Wo, 131RO.W 131102 3/24/2022 VHCCOMMUWTYPLHQ IMPMT7460934119t0W0 2,I3385 - 2111i115 3/14/M22 UNCCOMMUNOYPIHCMIMPMT146003411910000 - 22,477.73 - 22,427.23 3/34/EOn M011na HCoETXHODAMPMTPN149i1432594M 650.W - 650,8E 3/15/2022 MANAGMDNU1718 MRS PMNTWW00000024Q41 4,1S3.50 - 4,153.50 3/25/2022 NNB-ECNOHCCLIIMPMT74MULI4W000161569 1,30,16 - ]i6026 J/2$MN AmeNOmIPTXSC OCCWMPW327575042 IIIW0 - 12,"A9 - 12,564.99 M25/2022 UHC COMMUNITY Pl.HCMIMPMT 74fi003411 SIWW 1O 356A4 , I0356.04 b.RL16 TEB.101.V III 1231 MEANS 467330.81 G31,TAI.$9 6I124159 3/28/2022 Treasury Center Quick View Select Ouick View Accounts Select Group Account Number/Name Groups Add Grnup Account Type. (DDA Oat. reported as of Mar 28 202: Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts; 15 $9.154,087.01 $9,302,912.68 $9,154,087.01 $8,849,492.2 '4551 CAL CO INDIGENT S5.717.60 $5,717.60 $5,717.60 S5,717.E. HEALTHCARE *4454 MEMEDICAL NH GOLDENOLDEN CREEK / $105,542.96 $105.542.96 S105,542.96 S145,721.1 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER • CLINIC SERIES S536.19 S536.19 $536.19 $536A 2014 •4357 MEMORIAL MEDICAL CENTER -OPERATING $6.678.298.07 $6,761,063.52 S6,678,298.07 S6,515,580.E '4373 MEMORIAL MEDICAL CENTER -PRIVATE S431.66 S431.66 5431.66 S431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER / NH ASHFORD $171,490.67 y $177,499,86 S171,490,57 $75.500.4 •4403 MEMORIALMEDICAL CENTERINH $52,104.14 % $68,085.75 $52,104,14 $47,631.1 BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT $231,258.26 $246,659.26 S231,258.26 S212,606.e' *4446 MEMORIALMEDICAL CENTER/NH FORT BEND $28.782.20 ✓ $28.782.20 $28,782.20 $18,178.E '6438 MEMORIAL MEDICAL CENTER/SOLERAAT $18834249„ $213.552.52 S188,342.49 S159,507.7 WEST HOUSTON '2998 MMC-MONEY MARKET FUND $1,10079.55 $1,109,779.55 51,109,779.55 $t,109,779.5 '5506 MMC-NH BETHANY SENIOR LIVING $244,385.72 $244.385,72 $244,385.72 5238,857.E •5441 MMC -NH GULF POINTE PLAZA- $168,573.65 S168,643.33 $168,573.65 $168;573.E MEDICAREIMEDICAID '5433 MMC•NH GULF POINTE PLAZA - PRIVATE PAY S4,685A5 $4.685,15 $4,685.15 $22,509.? '3407 MMC-NH TUSCANY VILLAGE $164,158.80 $167.547.41 $164,158.80 $126,380,1 hllps://prosperlly.olbanking.com/onlineMessanger 1/1 Memorial Medical Center Nursing Home UPI. Weekly NeAlon Transfer Prosperity Accounts 3/28/2022 PrcN9oe A[munt acafn.lnE Number U4. 115,396.35 105,419.21 Noh:OnM 6abncn a/ever SS,BW wWbe fmm/emdro MenuelnP bame. Nafe1: EA[b enaunfheledavbekmeo/$IM fho[MMCdepwffed n Ppen c[seynl, APPROVED ON MAR 2 6 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 3:1nx wnxr mndenlNx uP1 n,nd.rl.,mmen�lBmM, Rn�xx IIP1 rnnuer snm m.�Y o3.ze.:z.al. Pendit Amnum to B e Tnm4N<d to NunN6 Benk Ralson 105,90$.96 y/ Vedrn[e leave In Balan[e 100.00 MMC PAYMENT TRAN9E11EO IN ERROR Z4V31 {/ 1AN INIERW na✓ TEBINi6RE5T 13.71 ✓ MMIMMEV Atl1uNBabnn/rnnsierAmt 10T,963dR / Ano"d' f\ R05NANOATNOMA$ 3128A 32 MMCPOILIION gIPP/W pP L!ffitc493 T62.2".12 [UII/fnmpl @PP/Ceng2 q4P/Camp) BM @Illl NHMRVM 6i�3Y.li � 6S.iN.li 2.20,1 ' 3,303.i9 3.M6.M 36A1].]0 29].]3 297.73 I.M7.79 1,261.]9 I,I60.GS Las.: 96,403.36 , 36,I43.73 36,MV3 40MO.M . 3/1113011 NWOASSOMON NCC4IMPMT6360931100pp100 3/2l/1@3 "MIN HOM6N NCHCCIAIMPW ANO 0341130112 SAW023 C6153 3/2212022 HN6. ECHONCCWMpw 246MMAI aE0000269M2 3/21/3022 HOINASSOLIRION HCCWMPMT63602742=1i6 3/33/3032 Hum NOLMNNCNRLpI W 136600341H0112 3/M/ID22 WIPECRANNIONHML]NATGON3ENCNEEN V2412022 D—", 3/15/2033 COISS 3/3SM22 TSVS/INPHYI0.9T B9CO STlM29a36Y595g691Pp / 662,a0 66L10 L75.2610 30LZMZI M,L 3/28/2022 Quick View Select Quick View Accounts Account Number l Name Account Type Treasury Center Select Group Groups Add Group Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: l5 $9,154.087.01 $9,302,912.68 $9,164,087.01 $8,849,492.2 •4551 CAL CO INDIGENT HEALTHCARE 55,717.60 $5,717.60 $5,717.60 $5,717.E '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $105,542.96 f' 5105,542.96 5105,542.96 $146,721.1 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES 5536.19 5536.19 $536,19 5536.1 2014 '4357 MEMORIAL MEDICAL $6,678.298.07 $6,761,063.52 56,678,298.07 $6,515,580.E CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE $431.66 $431.66 $431.66 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER/NH ASHFORD $171,490.57 S177,499.66 $171.490.57 575,500.4 '4403 MEMORIAL MEDICAL CENTER/NH $52.104.14 $68.085.75 $52.104.14 $47,631.1 BROADMOOR '4411 MEMORIAL MEDICAL CENTER INH CRESCENT $231,268.26 5248,659.26 5231,258.26 S212,606.2 '4446 MEMORIAL MEDICAL CENTER INH FORT BEND $28.782.20 $28.782.20 $28.782.20 518,178.E 438 MEMORIAL MEDICAL CENTER / SOLERA AT $186,342.49 5213,552.52 $188.342.49 5159,507.7 WEST HOUSTON •2998 MMC-MONEY MARKET FUND S1.109,779.55 $1,109,779,55 $1,109,779.55 $1,109,779.E •5506 MMC -NH BETHANY SENIOR LIVING $244,385.72 $244,385.72 $244.385.72 5238,857.E 'S441 MMC -NH GULF POINTS PLAZA- g168,573.65 $168.643.33 $168,573.65 5168,573.E MEDICARE/MEDICAID '5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY $4,685.15 $4,685.15 $4.685.15 $22,509.E 407 MMC-NH TUSCANY VILLAGE $164,158.80 S167,547.41 S164,158.80 $128,360.1 hltps:/Iprosperity.albanking,com/onlineMessenger r i/1 Memorial Medical Center Nursing Home UPL Weekly HMO Transfer Prosperity Accounts 3/28/2022 Pmlau. 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R �s 1W111� R 09LHCAlIu 3(rEilOrl MAR 2 8 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 1:lxxxnSry n.mhnlxxunrnnnnsuMmnW]RIM.nn\xn unrnnSrxsumm.nba6ri.ha MMCPOAMM QIIp/C9mp OIPI([ampl Tnn�ifel ,H rl30924 QIPP/Cgnlpl Z QIPI/Cmmp3 Haply QIPITI N"PQRlnON 30.2 30934 309.14 15.896.74 , 3/211202Z HNB4CHONCCIAIMPME)46003411440000221503 3/22/M22 CIf10]S 3/22/2022 XHB•[dOMCCWMPMT)46M3aU.0000269.E - 10241 - 102.91 31221202E HNS-ECHOHCCWMPMP746MS41IMIMI169943 220.52 22052 3/22/2021 XUMPNAWSCOHCCIAIMPMT6Z4ESZ8iIWWS53792 - 2,817.18 2,817.28 3/13/2022 NN0-ECNOX[[1AIMPMf )460N411mOW0i9)mi - 999.14 - 999.14 3/24/3022 WIRCOW HMG SERVICES, UC 30.419,71 - / - 3/25/1022 C61076 1).f2435 64.18 0 4A98.99 4AS8W MMC PmT2OH QIPP/Cp.p Qt"/0,004 ran f but T.nrtervin (Opp/CamPL 3 Qlpp/fp O flap. QIPPTI NHMAMON • 3,Om.9l - S m.91 29.)4 29.74 - 3,695.So - 3,695.50 - JEWESS - "0'439.05 - 1f812.25 18.81].28 25.76530 - - - 12.071.32 - 12.071.32 318.98 / - 318.98 25,76S30 168AS]38 1045756 NMI 3/2U2MZ HNS-Ed0 HCC2AIMPMT246003411a40 221S03 3/22/2WZ NNB-ECHOHCCWIMPW741W141I440M031IS03 3/12/20M WPS-MEHCWNTAH=WMPMT222518112721M 3122IM22 NORIOIANI3AXCCWMPMT625B9242a=IGIMM 3/23JM22 NORIOUNI3AHCCWMPMT6)5892m00M1152594 3/24IM22 WIRE GUT HMG SERVICES, UC 3/24/M22 O ,,k 3/24/M22 WPS-TOEPiC COMM HCCWMPM22MZ1901721000 B"26.10 172.91657 I]29165) 3/28/2022 Quick View Select Quick View Accounts Account Number / Name AcGeunl Type Treasury Center Select Group Groups Add Group -vuuum numoer Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $9,154,087.01 $9,302,912.68 $9,154,007.01 $8,849,492.2 '4551 CAL CO INDIGENT HEALTHCARE $5,717.60 $5,717.60 $5,717.80 $5,717.E `4454 MEMORIAL MEDICAL I NH GOLDEN CREEK S105,542.95 S105,542.96 $106,542.96 $145 721 1 HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.19 S535,18 $536.19 5536.1 2014 '4357 MEMORIAL MEDICAL CENTER - OPERATING S6,678,298.07 S6,761,063.52 58,678,298.07 56.515,580.E '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING $431.66 $431.66 $431.66 $431.E '4381 MEMORIAL MEDICAL CENTER / NH ASHFORD $171,490.57 $177,499.88 5171,490.57 $75.500.4 '4403 MEMORIAL MEDICAL CENTER / NH BROADMOOR $52,104.14 $68,085.75 $52,104.14 $47,63L1 '4411 MEMORIAL MEDICAL CENTER / NH CRESCENT $231,258.26 S246,659,26 $231,258.26 S212,606.2 4446 MEMORIAL MEDICAL CENTER / NH FORT BEND $28,782.20 $28,7B2.20 $28,782.20 518,178.E '4436 MEMORIAL MEDICAL CENTER /SOLERA AT WEST HOUSTON $188,342.49 $213.552.52 $188,342A9 $169,507.7 '2998 MMC-MONEY MARKET FUND $1,109,779,55 S1,109,779.55 $1,109,779.55 e S1,109,779., '5506 MMC-NHBETHANY SENIOR LIVING $244,385.72 S244,385J2 $244,385.72 $238,857.E '5441 MMC -NH GULF POINTE PLAZA• MEDICARE/MEDICAID $168.573.65 $168,643,33 $168,573,65 $168,573,E '5433 MMC-NH GULF POINTE PLAZA - PRIVATE PAY S4,685.15 „/ $4,685.15 $4,685.15 $22,509.. '3407 MMC-NH TUSCANY VILLAGE $184,158.80 $167,54741 $164,158.80 $128,360.1 https://prosperity.olbenMng.mm/onilneMessenger r yr Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 3/28/2022 romn gmwmm4 .Nwm 4plwn. r.n!Ins Tnal.n.am NUNn Nan. Numb.[ 41an<. }nm4 I /fnndmin 6 MM e. lu Tetl aB. Iwln BN rrp Nunl Nome IIa,B[SAl IU.)ISAI 6AOSi.00 / 1."ISBN 1K05B." Sa S/ w0blana jsmss l VaNn[e mw.m4Nn[e IOO.W "Pew. dargm[ I 04W ./ xp[e:OrJr4fnn[aglvw Ss.000w104umShmd[rl4nunlpv4me. 820rme0�� [ / Net!]: Evd vavwtAv[eOmlBWenttgE[W IhRMMCMpa[IWmepn vnvun�. pWNN10gT1pM APPROVED ON MAR 2 8 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 3/21/2022 Deposit 3/21/2022 HNB-ECHO HCCLAIMPMT 746003411440000221503 3/22/2022 CK1096 3/23/2022 NOVITAS SOLUTION HCCL41MPMT 676201420000131 3/24/2022 WIRE OUT LINEAR ENTERPRISES, LLC 3/24/2022 Deposit 3/24/2012 NOVITAS SOLUTION HCCLAIMPMT 676201420000103 3/24/2022 Molina HC of TX HCCIAIMPMT P1412757178944200 3/25/2022 HNB-ECHO HCCIAIMPMT 746003411440=261814 3/25/2022 NOVITAS SOLUTION HCCL41MPMT 6762024200D0121 3/25/2022 KS PLAN ADMINIST HCCLAIMPMT 179111000022217 MMC PORTION QIPP/Comp QIPP/Comp QIPP/Comp Transfer-0ut Tnnsferdn 2 QIPP/Cnmp2 3 461apse QIPPTI NHPORTION - 8,098.41 - 8,098.41 - 362.64 - 362.64 27,721.44 - - - 76,494.08 - 76,494.08 89,023.97 , - 24,235.03 - 24,235.03 - 14,964.18 - 14,964.18 - 4,105.81 - 4,105.61 - 3,872.38 - 3,872.38 - 22,256.27 - 22,256.27 - 9,670.00 q A>n m 116,741.41 164.058.80 164.058.80 3/2812022 Quick View Select Quick View Accounts Account Number/Name Account Type__ _ Treasury Center Select Group Groups Atltl Group Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $9.154,087.01 $9,302,912.6B $9,154,087.01 $8,849,492.2 '4551 CAL CO INDIGENT HEALTHCARE $5,717.60 $5.717.60 $5,717.60 $5,717,E '4454 MEMORIAL MEDICAL NH GOLDEN CREEK $105,542.96 5105,542.98 5105,542.96 S145,721 1 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.19 $536.19 $536.19 5536.1 2014 •4357 MEMORIAL MEDICAL CENTER - OPERATING S6,678,298.07 56,761,063.52 56,678,298.07 56,515,580.E '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.66 $431.66 $431.65 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER 1 NH ASHFORD 5171,490.57 $177.499,86 $171,490.57 $75,500.4 03 MEMORIAL MEDICAL CENTER/NH BROADMOOR $52.104.14 $68,085.75 $52,104.14 $47,631.1 '4411 MEMORIAL MEDICAL CENTER / NH CRESCENT $231,258.26 $246.65926 $231,258.26 $212,606.2 •4446 MEMORIAL MEDICAL CENTER / NH FORT BEND $28,782.20 $28.782.20 $28,782.20 $18,178.E `4438 MEMORIAL MEDICAL CENTER t SOLERA AT $188,342.49 5213,552.52 5188.342.49 $159,507.7 WEST HOUSTON '2998 MMC-MONEY MARKET FUND $1.109,779,55 51,109,779.55 51,t09,779.55 c 51,109,779.E '5506 MMC -NH BETHANY SENIOR LIVING $244.385.72 5244,385.72 5244,385.72 5238,857.E '5441 MMC -NH GULF POINTE. PLAZA- MEDICARE/MEDICAID $168,573.65 5168,643.33 5768,573.65 5766,573.E 'S433 MMC-NH GULF POINTE $4,685.15 $4,685.15 PLAZA - PRIVATE PAY $4,685.15 c 522,509.E '3407 MMC-NH TUSCANY VILLAGE $164,158.80 S167,547.41 5164,158.80 5128,360,1 h0pal/prosperity.olbanking.com/onlineMessenger r 1/1 Memorial M0101 Center Noraing Home UPL Weekly HSLTransfer Prosperity AaoounU 3/28/2022 ..nmrxc e.3b.I.s .. CnlyhAW. to. $S.dae winar b.n.ArrNio M..uxnyh— N .2: Fxh.—Ih- nla..bAanaefSlW Maf MMCILL ,WfpWm.,.. MAR 2 8 2022 BY COUNTY AUDrrOR CALHOUN COUNTY. TEXAS Ln uu... Vatlan larva In Balanq INN m�..ouoe. ir.mr.nfdM MIMAW "5✓ i30M33mVI 3U3 / MM W1FAkY3 •djwted. 14hfAT\ )2i5�.65 ✓ aapr.0 : NnfNN1OGT "AW l�r l/tlflell 4Wx N4ethir.mrmVPlwunmr.rmmm.ry\iW iW.M\xxuna.nnnswm.nm.3u3.Ju 3/$J/MSI pepeY< J/21/SD23 OpppYt 3/P/2022 OepeN9 3/3]/2013 NONIRSfiOWpgy HCCWMPM}61618t 02000P1b1 3/23/lD23 N2AlnINYMRN 3YC HCCWMPMII]B6pp39113D16! 3/23/1012 NWRgi501V110N NGCWMPMv b]69et 6300W231 3/N/ID22 WIRF DIIf BfiNgNv 6FNI0R WIH4,lM l/1M2Oi3 pcpoN 3/M022 NOv2PMok"ONHCCWMPM267WRl42 103 3/412022 N,,[, l/3S/303E Dlpmlt 3/26/2023 NOVI3A53p1V11M MPM)b)692t Rt0000 3/II/$022 Mp3P1[6 pF bVJN PPrynPIM-mbHf 1131I363001p]16 MMCPORXON fn ntlm.ln DIM/CpmPl yP1/CsmPE n111/CpmP3 nP1/(ymPN3aP1! 6,33i.6i n1PPn XN IUR}IpV 5,03.11 6,35},B1 ' 3.fO6.i5 3,03.11 ' 6,B1R63 1]],iifl]6 4.310.03 6,fNB.63 36,010.71 ' 6]L66 KOMI ' },6)t.2 62yu 62)O6 39t29 j3Q.29 3RAB 693 8 lA14.80 3/28/2022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Add Group Account Type_ Search All DDA Data reported as of Mar 28 202; Account Number Current Balance Available Balance Collected Balance Prior Day Belane Number of Accounts: 15 $9,154,087.01 $9,302,912,68 $9,154,1187.01 $8,849,492.2 "4551 CAL CO INDIGENT $5.717.60 $5,717.60 $5,717.60 $5,717.E HEALTHCARE *4454 MEMEDICAL NH GOLDENOLDEN CREEK $105,542.96 $105,542.96 3105,542,96 5145,721.E HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.19 $536.19 5536.19 $536.1 2014 '4357 MEMORIAL MEDICAL 56,678,298.07 $6,761,063.52 $6.678,298.07 $6,515,580.E CENTER - OPERATING "4373 MEMORIAL MEDICAL CENTER -PRIVATE $431.66 5431.66 5431.66 $431.6 WAIVER CLEARING '4381 MEMORIAL MEDICAL $171,490.57 $177,499.86 5171,490.57 $75,500.4 CENTER/NH ASHFORD "4403 MEMORIAL MEDICAL CENTER/NH $62,104.14 $68,085.75 $62.104.14 $47,631.1 BROADMOOR '4411 MEMORIAL MEDICAL $231.258,26 S246,659.26 5231,258.26 $212,606.2 CENTER INH CRESCENT *4446 MEMORIAL MEDICAL $28.782.20 $28,782.20 $28,782.20 $18,178.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER/SOLERA AT $188,342.49 $213.552.52 $188,342.49 $159,507.7 WEST HOUSTON ' 998 MMC-MONEY MARKET $1.109,779.55 $1,109.779.55 51,109,779.55 $1,109,779.E FUND *5506 MMC -NH BETHANY $244.385.72 J ' $244,385.72 $244,385.72 5238.857.E SENIOR LIVING •5441 MMC -NH GULF POINTE PLAZA- $168,573.65 $168,643.33 5168,573.65 5168,573.E MEDICARE/MEDICAID "5433 MMC -NH GULF POINTE $4,685.15 $4,685.15 $4,685.15 $22.509.E PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY VILLAGE $164,158.80 $167,547.41 5164,158.60 5128,360.1 https.*I/prosperity.olbanking.com/onlinaMoseenger 1/1 GULF POINTE PLAZA CHECK REQUEST PAYEE MEMORIAL MEDICAL CENTER DATE: 3/28/22 APPRMED ON PAAR 2 9 2022 By COUNTY AUDITOR CAU40UN COUNTY, TEXAS AMOUNT $115.21 G/L NUMBER: EXPLANATION: PAYMENT THAT WAS TRANSFERRED TO HMG IN ERROR REQUESTED BY: Matra Martinez AUTHORIZED I Mayra Martinez From: Sandra Suarez <Sandra.Suarez@healthmarkgroup.com> Sent: Wednesday, March 23, 2022 7:36 AM To: Mayra Martinez Cc: Chloe Martinez; Krystal Balsamo Subject: transfer support Attachments: NH Transfer HMG 03.14.22.pdf; WELLMED 030422 $115.21.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, There is an Echo transfer on here dated 03/10/22 for $115.21 that's not our patient. I attached the remit. Thanks Sandra From: Mayra Martinez <mmartinez@mmcportlavaca.com> Sent: Friday, March 18, 202212:30 PM To: Bill Dohn<Bill.Dohn@health markgroup.com>; Chloe Martinez <Chloe.Martinez@healthmarkgroup.com>; Krystal Balsamo <Krystal.Balsamo@healthmarkgroup.com>; Sandra Suarez <Sandra.Suarez@heaithmarkgroup.com>; Shannin DeLong <Shannin.DeLong@healthmarkgroup.com> Subject: transfer support This message comes from outside the HMG organization. Do not open attachments or click on links unless you are sure of the sender. Good afternoon, Please see attached support for this week's transfer. Let me know if you have any questions. Thank you, MayrWMa#VWW1k Memorial Medical Center Accountant 815 N Virginia. St Port Lavaca, TX 77979 Phone:361.552,0450 Fax: 361.551.4504 PAYEE GULF POINTE PLAZA CHECK REQUEST MEMORIAL MEDICAL CENTER AMOUNT $241.30 G/L NUMBER: EXPLANATION: PAYMENT THAT WAS TRANSFERRED TO HMG IN ERROR REQUESTED BY: Mayra Martinez DATE: 3/28/22 MAR 2 8 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Mayra Martinez From: Krystal Balsamo<Krystal.Balsamo@healthmarkgroup.com> Sent: Wednesday, March 23, 2022 9:34 AM To: Mayra Martinez Subject: Deposit not for Gulf Pointe Plaza Attachments: GP Dep Correction.pdf ICAUTION: 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. Mayra, On the deposit dated 3/11/22, there is a request for $241.30 that does not belong to Gulf Pointe Plaza. I attached the request from the deposit you sent over. Regards, XY)ata L 8a4a+no- Banking Associate e HE ALi H C ARE. 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