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2022-08-03 Final PacketII Agenda Items Properly Numbered _ Contracts Completed and Signed ✓AII 1295's Flagged for Acceptance / (number of 1295's —_) ✓All Documents for Clerk Signature Flagged On this JrX day of 2022 a complete and accurate packet for � of 2022 Commissioners Court Regular Session Day Moroll was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMISSI ONERSCOURTCHECKLIST/FORMS AGENDA Richard H. Meyer County judge David ]Wall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Cary Deese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, August 3, 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: all meeting to order. 2' InInvocation, 4` . Pledges of Allegiance AT 3-, C9" FILED V) -- OIGLOCiI-- " JUL 2 8,2022 BY: cou rE, %.�' General Discussion of Public Matters and Public Participation. 45. Hear a report from Ron Langford, Veteran Services Officer, concerning VA expenditures ,for FY 2021 in Calhoun County. b/. Consider and take necessary action to lift o retain he county burn ban. (RHM) �XApprove the minutes of the June 8, 2022, June 22, 2022 and July 20, 2022 meetings. (8! Consider and take necessary action to approve the contract with Clyde Kazmir Construction, Inc. for Rebid — Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign. (DEH) - Consider and take necessary action to approve the Coastal Surface Lease No. 1 SL20210034 agreement between the Texas General Land Office and Calhoun County that proposes to plant 2.4 acres of sea grass and oysters to mitigate for wetland impacts that occurred during road restoration and improvement. (JMB) 10.. Consider and take necessary action to authorize the EMS Director to sign the maintenance contract with Hurt's Wastewater Management for the EMS South Station. (RHM) Page 1 of 3 '11. Consider and take necessary action to approve the use of $18,384 in GOMESA funds for an Archeological Survey, if required, under GLO CEPRA Project 1716 Swan Point, and authorize the County Judge to sign all GLO legal documents associated with this project. (GDR) 12. Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all ,documentation. (GDR) T3. Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: K-9 Services/Supplies 2860-999-63150 - $1,500; Miscellaneous 2860-999-63920 - $6,000; Capital Outlay — 2860-999-70750 - $4,000; and Forfeitures — Other — 2860-001-45060 - $11,500. (RHM) Consider and take necessary action to approve a fund raising event (bar-b-que, silent auction and street dance) in Port O'Connor in October to raise awareness for Domestic Violence Awareness. (RHM) M'` consider and take necessary action on billing/collections recommendations provided by CCEMS' billing company, Emergicon, regarding discounts, no activity, and small balances. (RHM) 1Consider and take necessary action to authorize the County Judge to sign a Workplace Solutions Agreement with Ameriprise Financial. (RHM) 17. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Surplus/Salvage. (RHM) I8. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) 19. Consider and take necessary action to declare the attached list of items from R & B Precinct 4 as Surplus/Salvage. (GDR) 20. Accept Monthly Reports from the following County Offices: Pounty Treasurer — February 2022 Tax Assessor -Collector — June 2022 `� Consider and take necessary action on any necessary budget adjustments. (RHM) t2. Approval of bills and payroll. (RHM) Richard H. Meyer, CounV�3dge Calhoun County, Texas Page 2 of 3 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 continuouslyfor at least 72 hours precedingthe scheduled meeting time. Foryour convenience, you may visitthe county's website at www.calliouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 3 of 3 NOTICE OF MEETING—8/3/2022 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 Kaddie Smith, Deputy Clerk REGULAR TERM 2022 § AUGUST 3, 2022 BE IT REMEMBERED THAT ON AUGUST 3, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting 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 Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a report from Ron Langford, Veteran Services Officer, concerning VA expenditures for FY 2021 in Calhoun County. Ron Langford gave the report. 6. Consider and take necessary action to lift or retain the county burn ban. (RHM) Burn ban retained per Judge Richard Meyer. Page 1 of 5 NOTICE OF MEETING-8/3/2022 7. Approve the minutes of the June 8, 2022, June 22, 2022 and July 20, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to approve the contract with Clyde Kazmir Construction, Inc. for Rebid — Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve the Coastal Surface Lease No. SL20210034 agreement between the Texas General Land Office and Calhoun County that proposes to plant 2.4 acres of sea grass and oysters to mitigate for wetland impacts that occurred during road restoration and improvement. (JMB) PASS 10. Consider and take necessary action to authorize the EMS Director to sign the maintenance contract with Hurt's Wastewater Management for the EMS South Station. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve the use of $18,384 in GOMESA funds for an Archeological Survey, if required, under GLO CEPRA Project 1716 Swan Point, and authorize the County Judge to sign all GLO legal documents associated with this project. (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 2 of 5 NOTICE OF MEETING — 8/3/2022 12. Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all documentation. (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 acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: K-9 Services/Supplies 2860-999-63150 - $1,500; Miscellaneous 2860-999-63920 - $6,000; Capital Outlay — 2860-999-70750 - $4,000; and Forfeitures — Other — 2860-001-45060 - $11,500. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to approve a fund raising event (bar-b-clue, silent auction and street dance) in Port O'Connor in October to raise awareness for Domestic Violence Awareness. (RHM) Cathy Pullin & Nancy Pomykal explained the reasoning for wanting to host the event. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action on billing/collections recommendations provided by CCEMS' billing company, Emergicon, regarding discounts, no activity, and small balances. (RHM) Dustin Jenkins explained and introduced Brent and Brant with Emergicon. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to authorize the County Judge to sign a Workplace Solutions Agreement with Ameriprise Financial. (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 3 of 5 NOTICE OF MEETING — 8/3/2022 17. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Surplus/Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) 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 to declare the attached list of items from R & B Precinct 4 as Surplus/Salvage. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Accept Monthly Reports from the following County Offices: i. County Treasurer — February 2022 ii. Tax Assessor -Collector — June 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action on any necessary budget adjustments. (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 — 8/3/2022 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 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:43 a.m. Page 5 of 5 # 05 NOTICE OF MEETING—8/3/2022 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 ][caddie Smith, Deputy Clerk REGULAR TERM 2022 § AUGUST 3, 2022 BE IT REMEMBERED THAT ON AUGUST 3, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting 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 Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a report from Ron Langford, Veteran Services Officer, concerning VA expenditures for FY 2021 in Calhoun County. Ron Langford gave the report. Page 1 of 18 Mae Belle Cassel From: Ron.Langford@calhouncotx.org (Ron Langford) <Ron.Langford@calhouncotx.org> Sent: Wednesday, July 20, 2022 2:55 PM To: MaeBelle.Cassel@calhouncotx.org Subject: Veteran Services Officer Report Hi MaeBelle, Can I get on the Commissioners Court agenda for 3 August to present my VSO Report concerning VA Expenditures for FY 2021 in Calhoun County. Thanks, Ron Langford Veteran Services Officer (VSO) 201 W. Austin St Port Lavaca, Tx 77979 361-553-4685 Fax: 361-553-4694 Email: ron.langford@calhouncotx.org Calhoun County Texas # 06 NOTICE OF MEETING-8/3/2022 6. Consider and take necessary action to lift or retain the county burn ban. (RHM) Burn ban retained per Judge Richard Meyer. Page 2 of 18 # 07 NOTICE OF MEETING — 8/3/2022 7. Approve the minutes of the June 8, 2022, June 22, 2022 and July 20, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 18 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, June g, 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. c Richard H. Meyer, Co Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOTICE OF MEETING — 6/8/2022 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 Sara Rodriguez, County Attorney ]Karla Perez, Deputy Clerk NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, June 8, 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. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Commissioner Gary Reese Texas Flag — Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Approve the minutes of the April 27, 2022, May 4, 2022, May 11, 2022 and May 18, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 6 NOTICE OF MEETING - 6/8/2022 6. Consider and take necessary action to lift or retain the county burn ban. (RHM) Bum ban retained per Judge Richard Meyer. 7. Public Hearing regarding amending the 2022 Calhoun County budget. Closed meeting at 10:01 a.m. Candace Villarreal with the Calhoun County Auditor's office explained the amendments to the 2022 budget. Opened meeting at 10:06 a.m. 8. Consider and take necessary action to approve the; amendments to the 2022 Calhoun County budget. (RHM) RESULT. APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens; Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to renew the aerobic septic system service contract for Six Mile Volunteer Fire Department with Victoria Precision Products. (VL) RESULT: APPROVED [UNANIMOUS] MOVER; Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese; Commissioner Pct 4 AYES: 1Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to accept proceeds in the amount of $247.12 from Texas Port Recycling for scrap metal and place funds in Precinct 3 Road & Bridge account 72400. (JMB) RESULT: APPROVED [UNANIMOUS]. MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING — 6/8/2022 11. Consider and take necessary action on permission to submit pre -application to the GLO for park improvements at Haterius Park. (JMB) RESULT: APPROVED[UNANIMOUS] MOVERh David Hall, Commissioner Pct I SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to approve proposal #9100 from D & P Coastal Marine Construction LLC for emergency work repairs on the breakaway bulkhead located at Haterius Park using GOMESA funds. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct.3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Public Hearing concerning a petition to vacate and abandon a portion of unconstructed public road in the Olivia Townsite described as a 0.08 acre tract 1/2 of C Street at 5th Street, the other 1/2 previously abandoned further described in the application. Closed meeting at 16:09 a.m. Anne Marie Odefey spoke on behalf of the Riley's to explain the petition to vacate. Opened the meeting at 10:11 a.m. 14. Consider and take necessary action to vacate and abandon a portion of unconstructed public road in the Olivia Townsite described as a 0.08 acre tract 1/2 of C Street at 5th Street, the other 1/2 previously abandoned further described in the application. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 NOTICE OF MEETING — 6/8/2022 15. Consider and take necessary action to authorize the Calhoun County Library Director to sign the attached Summer Earn and Learn Worksite Agreement with Texas Workforce Solutions. (RHM) Dina Sanchez with the Calhoun County Library explained the agreement with Texas Workforce Solutions. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pict 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to authorize the Calhoun County Library Director to sign a contract with PSI Testing Excellence to proctor tests for the United States Postal Service. (RHM) Dina Sanchez spoke about the contract. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pict 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to approve the proposed Oil, Gas & Mineral Lease and Memorandum for the eastern half of the "Frank D Boyd" tract in Calhoun County, between Initial Energy Services, LLC and Memorial Medical Center. (RHM) Roshanda Thomas with MMC spoke about the mineral lease. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Oct 4 SECONDER: Joel Behrens, Commissioner Ott 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NOTICE OF MEETING-6/8/2022 18. Consider and take necessary action to approve the Specifications and Contract Documents for Rebid - Magnolia Beach Fire Station Project for Calhoun County, Texas — Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. C-1 and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, July 12, 2022 at the existing Fire Station at 873 Margie Tewmey Road No. 1 , Port Lavaca, Texas. Sealed bids will be due before 2:00:00 pm, Tuesday, August 2, 2022 at the County Judge's Office. (DEH) Scott Mason with G&W.Engineering explained the rebid. 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 to approve the use of GOMESA funds to further enhance the public access for Bill Sanders Memorial Park by adding three covered picnic tables and one ADA covered picnic table, not to exceed $45,000. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to accept construction estimate from Victoria Electric Cooperative in the amount of $2,832.81 to install a street light at State Highway 185 and Lane Road in Precinct 4 and authorize Commissioner Reese to sign the agreement. (GDR) RESULT: APPROVED [UNANI.MOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to declare Surplus/Salvage Asset No. 547-0086, 2012 Dodge Ram 3500, VIN 3C7WDTCL4CG332686 and remove from Port O'Connor Volunteer Fire Department Inventory. (GDR) Nathan O'Neil with the Port O'Connor VFD spoke about the vehicle. RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 NOTICE OF MEETING-6/8/2022 22. Consider and take necessary action to accept donation of 2022 Chevrolet Pick -Up, VIN 1GC4YTEY4NF197141, value of $92,759.66 from Port O'Connor Volunteer Fire Department. (GDR) Nathan O'Neil spoke on the replacement truck for the POCVFD. RESULT: APPROVED [UNANIMOUS] MOVERd Gary Reese, Commissioner Pct 4 SECONDER:. Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Accept Monthly Reports from the following County Offices: I. County Clerk — May 2022 ii. Floodplain Administration — May 2022 ill. SherifYs Office — May 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 25. Approval of bills and payroll. (RHM) MIMIC . RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 . AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge. Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned at 10:32 Page 6 of 6 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County Texas met on Wednesday, Jenne 22, 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. Rickard H. Nfeyer, my Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOVICE OF MEE_IING—6/22/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 (Zoom)Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk Sara Rodriguez, County Attorney NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas win meet on Wednesday, June 22, 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 9:59 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag -Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation, N/A 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Burn ban M: tained,perJradge Richard Meyer. Page 1 of 5 NOTICE OF MEETING -- 6/22/2022 6. Consider and take necessary action to approve an application to the Texas Department of Emergency Management for the Hazard Mitigation Grant Program Funding related to FEMA-DR-4485 (COVID 19 Pandemic) for a generator for the Magnolia Beach Fire Station which is due June 30, 2022. (DEH) ft SI�LTK APPROYeD [.UNANIMiDU$] MOVERo Devid Halh Commissioner Pet 1, 3EONI��R. Vern Lyssy, Commissioner Ptt 2 AXES ]udge'Meyer, ComriissionerHall, Lyssy, Behrens, Reese. 7. Consider and take necessary action to approve the amended plat for the J. M. Turner Subdivision. (DEH) 8. Consider and take necessary action to approve the Final Plat of Pelicans Landing Resubdivision No. 1. (GDR) 9. Consider and take necessary action to approve a request from Maeghen Strahan to use the Port O'Connor Community Center property for a benefit Clay Shoot on October 8, 2022 to raise funds for the Port O'Connor Community Center upgrades. (GDR) wininiasiuulul nau; uys: Page 2 of 5 NOTICF OF MEETING -- 6/2" /2022 10. Consider and take necessary action to accept the Matagorda Bay Mitigation Trust Contract No. 031 for the Green Lake Park Development Phase 1 Engineering Services and authorize Judge Meyer to sign all documentation. (GDR) RESULT APPROVEi7'[UN74NIMOUS] T Verns LyssyraCommissione r pct 2" SECONDER' ` Gary Reese; Commissioner Fct r: A11lES judge Meyer, Eommissioner Hdll, LySBy, Behrens, Reese 11. Consider and take necessary action to approve the Texas Association of Counties (TAC) Property Insurance renewal for the period 7/1/22 — 7/1/23 as recommended by Gray & Company, LLC. (RHM) R ESULT APPROVED [UNANIMOUS] 1MOVER..': Cary Reese, CommissionerPct SEC- NDER' David Mall; Co1 AYES fudge Meyer, Commissioner,, Haii, Lys -Sy, Behrsns, Reese, 12. Consider and take necessary action to approve the FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #3548 Six Mile Park and the Duplication of Benefits form and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: :' David Hall; Commis€tarter Pck SECONDER: Dory ;tteese, Ctlmmissi4ner Pct 4 AYES. Judgef eyer, Ctlmt tsstoner Hatl, Lyssy, BehreFiS, Reese" ; 13. Consider and take necessary action to authorize Anna Kabela, District Clerk, to sign Kofile's proposal for the preservation and Imaging of historical records. (RHM) RESULT, APPROVED [UNANIMOUS] MOVER Vern Lj+ssy, Commissioner Pet 2 E.CONDEit David Halt,_ Commtssloher Pet 1 AS. Judge Meyer, Commissioner hall, Lyssy, Behrens, Reese` 14. Consider and take necessary action to authorize Anna Goodman, County Clerk, to sign a Data Use Agreement with the Texas HHS System. (RHM) PASS Page 3 of 5 NOTICE OF MEETING -- 6/22/2022 15. Consider and take necessary action to authorize Dustin Jenkins, EMS Director, to sign a credit application with the Goodyear Tire and Rubber Company. (RHM) RESULT• -APPROVED [UNANIN1 USj MOVER. . Vern Lyssy; CommissionerPci; 2 SECONDER• David`Hall;Commissioner`PcC 1 AYES• Judge Meyer; C6MM18sioner=H611, Lyssy, Behrens, Reese. 16. Consider and take necessary action to accept a second Insurance proceeds payment from TAC in the amount of $3,566.47 for damages to a Sheriff Office vehicle on 3/30/22. (RHM) RESULT APPROVED [UNANIMOUS] MOVER. _ ^Gary Reese, Commissloner Pct 4 SECONDER: David Hail, Conimissloner Pet 1 .. AYES Judge Meyer, Corntnissioner Hall, Lyssy, BehrensFReese 17. Consider and take necessary action to approve the attached Calhoun County Library Electronic Device Lending Agreement and Hotspot Rental Agreement. (RHM) RESULT APPROVER [UNANIMOUS] MOVER. ' Vern Lyssy, Comrmssioner'l 2 SECONDER: pavid HaIf;Comm.issionoer_Pct.1 AYCS Judge Meyer, Commissioner.Hall, Lyssy, Behrens, Reese: 18. Accept Monthly Reports from the following County Offices: I. Justice of the Peace, Precinct 5 — May 2022 ii. Tax Assessor -Collector — June 2021, Revised M. Tax Assessor -Collector — July 2021, Revised iv. Tax Assessor -Collector — December 2021, Revised v. Tax Assessor -Collector — March 2022 vi. Tax Assessor -Collector —April 2022 RESULT., APPROVED [UNANIMOUS] er MbVER Vern Lyssy, GomrnissiOner Pct 2 SECONDER Gary Reese;.: Commissioner Pct4 AYES. Judge Meyer,'Commssigner Haab, Lyssy, <3ehrens, R. 19. Consider and take necessary action on anv necessary budget adiustments. (RHM) RESULT:, APPROVED [UNANIM,OUS] MOVER: GaryReese, Commissiorierv:Pct 4 SECONDER: Vern Lyssy, Commissioner PcLI AYES. Judge Meyer, Commisslgner all, Lyssy, Eehrens, Reese:; ; Page 4 of 5 NOTICE OF MEETING — 6/22/2022 20. Approval of bills and oavroll. f RHMI Adjourned: 10:20 a.m. Page 5 of 5 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners'Court of Calhoun •c�County, Texas met on Wednesday, July 20, 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. RIVIchard H. Meyer, my Judge Calhoun County, Texas Anna Goodman, County Clerk Deputy Clerk Page 1 of 1 NOTICE OF MFETING--7/20/2022 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 Cleric NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will -meet on Wednesday, July 20, 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 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Consider and take necessary action to lift or retain the county bum ban. (RHM) Jrti & Meyer decided to leave the purrti ban in plaoe Page 1 of 6 NOTICE OF MEETING--.7/20/2022 6. Consider and take necessary action to award the Request for Proposal, RFP 2022.07 for updating Calhoun County's Hazard Mitigation Plan Development and Grant Management Services in support of Calhoun County State and Federal Grants. (RHM) CgrYlmisslofierDavid'Ha11 awarded the Request for Proposal to KSBR RESULT. ` APPROVED,[UNANYMOU5j wIQVER: , David Hall, Commissioner Pct 1 SE�ONfy61': Vern Lyssy, Commissioner Pct 2 AYES Judge. Meyer, Cornmissioner' Hall, Lyssy, Behrens,:.lteese'r 7. Consider and take necessary action to award the bid for Rebid — Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and _ then_. ,tidge to the _entf_K. (DEH) GIIG GG411VIIZ{--11"1� 8. Consider and take necessary action on a proposal from LaWard Telephone Exchange to construct a buried fiber optic telecommunications cable to cross County Road 306 at Enchanted Lane, located in Port Alto, Texas. (JMB) RESULT AkPPROVED [UNANIMOU5] MOVER Joel Behrens, Commissioner;:Pct 3 SEC4i�DE[t: Gary.Reese, Commissioner Fact 4 Alt<E5' Judge Meyer, ComfnissiOndPHall, Lyssy, Behrens, Reese.' 9. Public Hearing regarding a Petition to Vacate Lots 57 and $8, Block 1, Bay Club at Falcon Point Ranch — Phase III and Lots 59, 60, and 61, Block 1, Replat of Bay Club at Falcon Point Ranch — Phase III. (GDR) 10. Consider and take necessary action on a Petition to Vacate Lots 57 and 58, Block 1, Bay Club at Falcon Point Ranch — Phase III and Lots 59, 60, and 61, Block 1, Replat of Bay Club at Falcon Point Ranch — Phase III. (GDR) RESI.LT 2= gPPROVED [UNANIMOUS] NIOV-Gary Reese, ComrrilssionO Pct 4 SECQNQER: Joel Behrens, Commissioner. per 3 AYES. Judge Me)+er, Commissioner Hall, LySSy, Behrens, Reese' '< Page 2 of 6 NOTICE OF MEETING -- 7/20/2022 11. Consider and take necessary action to approve the Final Plat of Bay Club at Falcon Point Ranch — Resubdlvision No. 2. (GDR) RESULT APPROVED [UNAIiMOUS] MOVE�t: • iary Reese, Commissioner ict 4 gECQNDER, )del Behrens, Comrnissionef-Pct 3 7AYES, Badge Meyer, Comri55foner Halltyssy, Behrens, Reese.'; 12. Consider and take necessary action to approve the Preliminary Plat of Willow Cay Subdivision. (GDR) 13. Consider and take necessary action to approve the Final Plat of Harbor Vista Subdivision, Phase 1. (GDR) 14. Consider and take necessary action to accept GLO Contract No. 22-045-014-DIII — Expansion of King Fisher Beach Park and authorize Judge Meyer to sign all documentation. (GDR) RESULT APPROVED[UNANIMOUS] MOVER. _ Gary Reese, Commissioner Pct 4 ECONDERp Joel Behrens, Commissioned: Pct 3 AYES. Judge Meyer, Cominissiont:P,Hall, Lyssjr, Behrens, Reese'`:' 15. Consider and take necessary action to contract with Brett E. Weatherbie to prepare a Yellow Book Appraisal CMP Cycle 26 Grant/GLO Contract No. 22-045-014-Dlll — Expansion of King Fisher Beach Park in the amount of $7,500 and authorize Commissioner Reese to sign all documentation. (GDR) RESULT. APPROVED [UNANIMOUS MOVER. Gary Reese, Commissioner Pet 4 5E+CONI)ER: Joel Behrens, Commissioner Act 3 AYES Judge Meyeri Commissioner Hall, Lyssy, Behrens, Reese; Page 3 of 6 NOTICE OF MEETING — 712.01202.2 16. Consider and take necessary action to accept the attached list of donations to the Calhoun County Library. (RHM) RESIMi APPROVED [UNANIMOUS] t <MOVER . ° Vern Lyssy;1 Commissioner Oct-2 SECONDER: David Hall` Commissioner Pck 1 AYES" Judge Meyer, Cominvponer,Hall, Lyssy, Behrens, ReQse - 17. Consider and take necessary action to declare the attached list of items from the Calhoun County Library as Surplus/Salvage. (RHM) �tESULT; _ APPROVED [UNANIMOUS9 M'dVER Vern Lyssy, Commissioner Pot 2 SECONDER. David Hall; Commissioner Pet 1 A1fEM `Judge Meyer, Commissioner'M1, Lyssy, Behrens, Reese, . 18. Consider and take necessary action to declare the attached list of items from the Calhoun County Library as Waste. (RHM) RESULT APPROVED [UNANIMOUS] MOVEI�. Gary-Reese,..Commissioner Pct 4 „ SECONDER: Joel Behrens, Commi5sioner.;pct 3 AYES Judge Meyer, Co rniriissionerHall, Lyssy, Behrens, Reese.` Page 4 of 6 ' NOTICE OF MEETING — 7/20/2022 19. Accept cash audits from the following County Offices: a. Sheriff — Narcotics Buy Money b. Port O'Connor Community Center c. Museum Gift Shop d. Seadrift Library e. Port O'Connor Library f. Tax Assessor -Collector g. Juvenile Probation h. Justice of the Peace, Precinct 1 i. Justice of the Peace, Precinct 2 j. Justice of the Peace, Precinct 3 k. Justice of the Peace, Precinct 4 I. Justice of the Peace, Precinct 5 m. Adult Detention Center n. Floodplain Administration o. Fairground Facility Rentals p: EMS q. Elections r. District Attorney s. County Clerk t. Calhoun County Library u. Sheriff — Petty Cash RESULT, APPROVED [UNANIMOUS? MSYER; Uern`Lyssy ComniSsionec:Pc�2 SECONDER; Davitl Hall;% ommissione-r PctI AYES Tudge Meyer, Commissioner Hall, Lyssy, Behrens, Reese- 20. Accept Monthly Reports from the following County Offices: 1. County Auditor — March 2022 ii. County Auditor — April 2022 M. County Auditor —May. 2022 iv. Justice of the Peace, Precinct 5 — June 2022 RESULT• APPROVED CUNAN�MOUS] MOVER Vern Lyssy; Commissioner-Pct`2 SECiVDER; David Halle Commissioner Fct1 . AYES} Judge Meyer, Commissioner Hail, Lyssq,.Behrens, Reese 21. Consider and take necessary action on any necessary budget adjustments. (RHM) RI5ULT. APPROVED,[UNANIMOUS] MOVER - Gary Reese, Commission6ii c 4 SECONDER: 10ell Behrens, Commissioner Pct 3 AYES. Judge Meyer, Comrissioner Hall, Lyssy, Behrens, Reese - Page 5 of 6 NOTICE OF MEETING-7/20/2022 22. ADnroval of bills and Davroll. (RHM) ADJOURNED: 10:22 a.m. Page 6 of 6 • 1., NOTICE OF MEETING — 8/3/2022 8. Consider and take necessary action to approve the contract with Clyde Kazmir Construction, Inc. for Rebid — Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 18 Mae Belle Cassel From: Sent: To: Subject: Attachments: Sent from David's iPhone David Hall Commissioner Precinct 1 Calhoun County Office 361-552-9242 Cell 361-220-1751 Begin forwarded message: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Wednesday, July 27, 2022 6:32 PM Mae Belle Cassel Fwd: Request for Agenda Item Untitled attachment 00003.pdf From: smason@gwengineers.com Date: July 27, 2022 at 6:16:15 PM CDT To: David Hall <david.hall@calhouncotx.org> Cc: angela.torres@calhouncotx.org, peggy hall <peggy.hall@calhouncotx.org>, Cindy Mueller <cindy.mueller@calhouncotx.org>, sara.rodriguez@calhouncotx.org, Katy Sellers <katy@ksbr- llc.com>, Ladonna Thigpen <ladonna.thigpen@calhouncotx.org>, Glynis King <gking@gwengineers.com> Subject: Request for Agenda Item 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. David, We would like to request an agenda item for court on August 03, 2022 commissioner's court: Consider and take necessary action to approve the contract with Clyde Kazmir Construction, Inc. for Rebid - Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to Sign. (DH) Respectfully Submitted, Scott P. Mason, P.E. Lead Project Engineer G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, Texas 77979 P: (361) 552-4509 F: (361) 552-4987 smason@gwengineers.com Calhoun County Texas DOCUMENT NO.00510 ATTORNEY'S REVIEW CERTIFICATION REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS -TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. I, the undersigned, Sara M. Rodriguez, the duly authorized and acting legal representative of CALHOUN COUNTY, do hereby certify as follows: I have examined the attached contract(s) and surety bonds and am of the opinion that each of the agreements may be duly executed by the proper parties, acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the representative parties; and that the agreements shall constitute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and provisions thereof. Attorney's signature: Date: 3 �Z Print Attorney's name: Sara M. Rodriguez Texas State Bar Number: 24050998 END OF DOCUMENT 00510-1 DOCUMENT NO.00500 AGREEMENT BETWEEN OWNER AND CONTRACTOR THIS AGREEMENT is dated as of the 20th day of July in the year 2022, by and between CALHOUN COUNTY (hereinafter called OWNER) and CLYDE KAZMIR CONSTRUCTION, INC. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: .01 THE WORK: CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. .02 ENGINEER: The Project has been designed by G & W Engineers, Inc., 205 West Live Oak, Port Lavaca, Texas, 77979, who is hereinafter called ENGINEER and who will assume all duties and responsibilities and will have the rights and authority assigned to ENGINEER in the Contract Documents in connection with completion of the Work in accordance with the Contract Documents. .03 CONTRACT TIMES: a. Calendar Days The Work shall be complete and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 120 Calendar Days after the date when the Contract Times commence to run. b. Rain Days CONTRACTOR may be allowed an adjustment to the CONTRACT Times for "rain days", which are defined as follows. Any day(s) in which rainfall occurs prior to 12:00 p.m. (noon), of such quantity that, in the opinion of OWNER's representative, would prevent a safe working environment for CONTRACTOR at the construction site. 00500-1 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - 7n&asoucture at Little Chocolate Bayou County Park - GLO Coubact No. 20-065-064-C182 (File 5310.01 le) 2. Any day(s) following the above described "rain day(s)" in which the condition of the construction site, in the opinion of OWNER's representative, is not conducive to providing CONTRACTOR with a safe working environment at the site. OWNER shall only consider an adjustment in Contract Times if CONTRACTOR submits a written request for "rain days" to OWNER's representative for review, by 10:00 a.m. on the Monday following the week in which the day(s) occurred. Failure to submit such a written request shall be a representation by CONTRACTOR that additional days are not warranted. OWNER's representative shall review all requests when submitted and will have final on site determination for "rain days". Disagreements between CONTRACTOR and OWNER's representative shall be submitted to OWNER. C. Liquidated Damages OWNER and CONTRACTOR recognize that time is of the essence in this Agreement and that OWNER will suffer financial loss if the Work is not substantially complete within the time specified in paragraph .03.a above, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal proceeding the actual loss suffered by OWNER if the Work is not substantially complete on time. Accordingly, instead of requiring any such proof, OWNER and CONTRACTOR agree that, as liquidated damages for delay (but not as a penalty), CONTRACTOR shall pay OWNER THREE HUNDRED DOLLARS ($300.00) for each day that expires after the time specified in paragraph .03.a. CONTRACTOR hereby agrees that said sum per day is a fair estimate of the pecuniary damages which will be sustained by OWNER in the event that the Work is not complete within the agreed time, or within extensions of time properly granted in accordance with the Contract Documents. Said sum shall be considered as liquidated damages only and not a penalty, said damage being caused by loss of timely use of the Work other injury difficult to quantify. For purposes of applying this liquidated damages clause, the CONTRACTOR agrees to waive as against the OWNER any defense to enforcement of said clause based on any of the following claims: (1) that the clause is a penalty; (2) that the daily amount stated in the clause is not a reasonable estimate and approximation as of the time of contracting of OWNER's actual damages; (3) that the damages caused to OWNER by reason of delay were not difficult to estimate at the time of contracting. 00500-2 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - I t ast.cture at Little Chocolate Bayou County Park - GLO Contract No. 20-065-064-C 182 (File 5310.011 e) .04 CONTRACT PRICE: OWNER shall pay CONTRACTOR for performance of the Work in accordance with the Contract Documents in current firnds as per CONTRACTOR's bid which forms a part of this contract. In no event shall the amounts payable pursuant to this Contract exceed $695,770.00. being the Base Bid Amount minus Bid Items 3, 5 & 9 plus Owner's Option 05, plus the amount of any duly authorized change orders or contract amendments executed by OWNER. .05 PAYMENT PROCEDURE: CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions unless otherwise amended by the Contract Documents. Applications for Payment shall also include all required documentation indicated in Division 1 - General Requirements, Section 01025 of these Specifications. ENGINEER shall process Applications as provided in the General Conditions. a. Progress Payments OWNER shall make progress payments on account of the Contract Price on the basis of CONTRACTOR's Applications for Payment as recommended by ENGINEER and as provided below. All progress payments will be on the basis of the progress of the Work measured by the schedule of values provided for in Article 2 of the General Conditions. Progress payments will be in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as ENGINEER shall determine, or OWNER may withhold in accordance with Paragraph 14.02.13.5 of the General Conditions. A. 90% of the Work completed (with the balance being retainage) B. 90% (with the balance being retainage) of materials and equipment not incorporated in the Work (but delivered, suitably stored and accompanied by documentation satisfactory to OWNER as provided in Paragraph 14.02.A.1 of the General Conditions). 2. Request for Payments All requests for payments shall be divided into materials costs and labor/equipment costs. All requests for material payment shall be accompanied by CONTRACTOR's paid invoice for the material in accordance with Article 14.02.A.I of the General Conditions. 00500-3 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - hkastrochtre at Little Chocolate Baym Comty Park - GLO Contract No. 20-065-064-CI82 (File 5310.011.) b. Final Payment Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, OWNER shall pay the remainder of the Contract Price as recommended by ENGINEER as provided in said paragraph. .06 CONTRACTOR's REPRESENTATIONS: In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: a. CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 7 herein) and the other related data identified in the Bidding Documents including "technical data." b. CONTRACTOR has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. C. CONTRACTOR is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and famishing of the Work. d. CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR accepts the determination set forth in the Supplementary Conditions to the extent of the "technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in Paragraph 4.02.A of the General Conditions. CONTRACTOR acknowledges that such reports and drawings are not Contract Documents and may not be complete for CONTRACTORrs purposes. CONTRACTOR acknowledges that OWNER and ENGINEER do not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so) all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and underground facilities) at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by CONTRACTOR and safety precautions and programs incident thereto. CONTRACTOR does not consider that any additional examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. 00500-4 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - Infrastructure at Little Chocolate Bayou County Park - GLO Contract No. 20-065-064-C 182 (File 5310.011.) e. CONTRACTOR is aware of the general nature of the Work to be performed by OWNER and others at the site that relates to the Work as indicated in the Contract Documents. f. CONTRACTOR has correlated the information known to CONTRACTOR, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. g. CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing of the Work. .07 CONTRACT DOCUMENTS: The Contract Documents which comprise the entire Agreement between OWNER and CONTRACTOR are attached to this Agreement, made a part hereof and consists of the following: a. This Agreement. b. Exhibits to this Agreement. C. Calhoun County — GLO Contract No. 20-065-064-C182: Required Contract Provisions; General Affirmations and Nonexclusive List of Applicable Laws; Rules and Regulations; and Section 3 Clause d. CONTRACTOWs Bid. C. Performance, Payment and other Bonds. f. Notice of Award. g. Notice to Proceed. h. General Conditions. i. Calhoun County, Texas General Conditions. j. Supplementary Conditions. k. Technical Specifications. 00500-5 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - lnfrastaucna a at Little Chocolate Hayou County Park - GLO Contraet No. 20-065-064-C182 (File 5310.01le) Drawings numbered & titled for the different areas of work as indicated below: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. SHEET NO. DATE DESCRIPTION C1.0 10/12/21 COVER SHEET CIVIL DRAWINGS: CLI 10/12/21 GENERAL NOTES & CURVE/LINE TABLES C2.1 10/12/21 TOPOGRAPHIC SURVEY C2.2 10/12/21 DEMOLITION PLAN C3.0 10/12/21 OVERALL SITE PLAN C3.1 10/12/21 PARTIAL SITE PLAN C3.2 10/12/21 PARTIAL SITE PLAN C3.3 10/12/21 PARTIAL SITE PLAN C3.4 10/12/21 PARTIAL SITE PLAN C3.5 10/12/21 PARTIAL SITE PLAN C3.6 10/12/21 PARTIAL SITE PLAN C3.7 10/12/21 PARTIAL SITE PLAN C3.8 10/12/21 PARTIAL SITE PLAN C3.9 10/12/21 PARTIAL SITE PLAN C3.10 05/10/22 PARTIAL SITE PLAN C3.11 10/12/21 PARTIAL SITE PLAN C3.12 10/12/21 PARTIAL SITE PLAN C4.1 10/12/21 ENLARGED SIDEWALK PLAN C4.3 05/10/22 ENLARGED PARKING PLAN @ PLAYGROUND C4.4 10/12/21 BRIDGE WALKWAY PLAN & DETAILS C5.1 05/10/22 STANDARD DETAILS C5.2 05/10/22 PICNIC TABLE & CABLE FENCE DETAILS C5.3 05/10/22 STANDARD DETAILS C5.5 10/12/21 STANDARD DETAILS ELECTRICAL DRAWING - ELL 10/12/21 LIGHTING PLAN 00500-6 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - Infrastructure at Little Chocolate Bayou County Park - GLO Contmet No. 20-065-064-Cl92 (File 5310.01 to) in. Addendum numbers One 1 to One I inclusive n. The following of which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents pursuant to Paragraph 3.04 of the General Conditions. There are no Contract Documents other than those listed above in this Article 7. The Contract Documents may only be altered, amended or repealed in accordance with the appropriate provisions of Article 3 of the General Conditions. .08 MISCELLANEOUS: a. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. b. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. C. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. d. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon OWNER and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. 00500-7 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - Infrastructure at Little Chocolate Rayon County Park - GLO Contract No. 20-065-064-CI82 (File 5310.011.) IN WITNESS WHEREOF, the parties hereto have signed this Agreement in triplicate. One counterpart each has been delivered to OWNER, CONTRACTOR and ENGINEER. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR or by ENGINEER on their behalf. OWNER: CALHOUN COUNTY BY: ichard H. Meyer, C Judge ATTEST: ADDRESS: 211 S. Ann, Suite 301 Port Lavaca, Texas 77979 CONTRACTOR: CLYDE KAZMIR CONSTRUCTION, INC. BY: KeK Kazmfr, Vice President ATTEST: lD S�Ct ADDRESS: 1001 West Main Street Edna, Texas 77957 PHONE: (361) 553-4600 PHONE: (361) 782-3594 FAX: (361) 553-4444 EMAIL: kelly@kazmirconst.com END OF DOCUMENT 00500-8 AGREEMENT BETWEEN OWNER AND CONTRACTOR Rebid - Infootructuce at Little Chocolate Bayou County Park - GLO Contract No. 20-065-064-C182 (File 5310.01le) ADDENDUM NO.. 1 06/20/22 BID Clyde Kazmir Construction, Inc. hereinafter called "BIDDER", (Legal Firm Name) - is submitting this Bid for Furnishing and Performing the Work specified herein as the REBID INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. This BID. is Submitted to the COUNTY OF CALHOUN, hereinafter called "OWNER". 1. Terms used in this BID are defined in the General Conditions or Document No. 00120 - Instructions to Bidders and shall have the meanings indicated in the General Conditions or Instructions. 2. BIDDER proposes and agrees, if this BID is accepted, to enter into an Agreement with OWNER in the form included in the Contract Documents to furnish and pelTorm all Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this BID and in. accordance with the other terns and conditions of the Contract Documents. 3. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This BID will remain subject to acceptance for Sixty (60) Calendar Days after the Bid Opening. BIDDER shall sign and deliver the required number of counterparts of the Agreement, including all required documents indicated by the Bidding Requirements, within Fifteen (15) Working Days after the date of OWNER's Notice of Award. 4. In submitting this BID, BIDDER represents, as more fully set forth in the Agreement, that: a. BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date): Addendum No.: Addenda'1 Date Received: 6120/2022 b. BIDDER has visited the site and is familiar and satisfied with the general, local and site conditions that may affect cost, progress, and furnishing and performing the Work. C. BIDDER is familiar and satisfied with all federal, state and local Laws and Regulations that may affect cost, progress, and furnishing and performing the Work. 00300-1 ADDENDUM NO. 1 06/20/22 d. BIDDER is aware of the general nature of work, if any, to be performed by OWNER (or others) at the site in relation to the Work for which this BID is submitted. C. BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. f. BIDDER has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that BIDDER has discovered in the Contract Documents, and the written resolution thereof by ENGINEER is acceptable to BIDDER, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for furnishing and performing the Work for which this BID is submitted. g. This BID is GENUINE and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation. BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham BID. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding. BIDDER has not sought by collusion to obtain for itself any advantage over any other BIDDER or over OWNER. 5. BIDDER agrees to complete the Work in accordance with the Contract Documents. a. BIDDER acknowledges that the amounts are to be shown in both words and figures, and in case of discrepancy, the amount in words shall govern. b. BIDDER acknowledges that the quantities are not guaranteed and final payment will be based on the actual quantities determined as provided in the Contract Documents. C. BIDDER acknowledges that, at OWNER's option and/or at OWNER's request, any of the quantities may be deleted, reduced, or increased based upon the respective Unit Prices. d. BIDDER acknowledges that Unit and Lump Sum Prices have been computed in accordance with paragraph 11.033 of the General Conditions. e. BIDDER agrees to furnish all necessary labor, superintendence, plant, machinery, equipment, tools, materials, insurance, services and all other requirements deemed necessary to complete the items of Work indicated on the following pages for the specific dollar amounts stated. 00300-2 ADDENDUM NO. 1 06/20/22 BASE BID ---- --------------------- -------- ------------------------------------------ ------------------ BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 1. 1 LS Furnishing Mobilization, Insurance and Bonds as per plans and specifications for a lump sum price of Fifty two thousand, five hundred Dollars and zero Cents. 2. 1 LS Furnishing equipment, materials and labor for the installation of the CDBG temporary and a permanent acknowledgement sign as per page 02845-1 of the specifications fora lump sum price of 791 S One thousand, two hundred Dollars and zero Cents. LS Six (6) foot wide HMAC (2 Course Chip Seal) walk/jog trail approximately 7,734 LF including, but not necessarily limited to: subgrade prep with lime treatment, base, fill as required to intercept slope as specified, culvert(s) installation, removing and replacing . fence sections, concrete trail markers including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Three hundred seventv five thousand. eight hundred Dollars $ 52,500.00 1200.00 and zero Cents. $ 375,800.00 LS Parking lot and roadway improvements approximately 760 SY including, but not necessarily limited to: subgrade prep, base material, two course chip seal, striping for one (1) new parking area at playground and necessary earthwork and grading including labor, equipment and materials for a complete installation complete in place as per plans and specifications for a lump sum price of Sixty one thousand, eight hundred ninty- five Dollars and zero Cents. 00300-3 $ 61,895.00 ADDENDUM NO. 1 06/20/22 BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 5. I LS Reinforced concrete sidewalk approximately 120 SY including, but not necessarily limited to: grading and earthwork, subgrade preparation, thicken edge/beam including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Nineteen thousand, six hundred eighty-five Dollars and zero Cents. $ 19,685.00 6. 1 LS Solar park lighting including, but not necessarily limited to: pole foundation, pole and light fixture(s) (I1 single and 2 double) as specified in the base bid indicated on the plans including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of Eighty three thousand, five hundred Dollars and zero Cents. $ 83,500.00 7. 1 LS Modify existing timber vehicular and pedestrian bridge including, but not necessarily limited to: remove pedestrian rail, out and remove portion of deck planks, install new walkway deck planks, install new timber curb, new pedestrian rail, wingwall boards including all labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Sixteen thousand, two hundred fifty Dollars and zero Cents. 00300-4 $ 16,250.00 ADDENDUM NO. 1 BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS 8. 1 LS Two (2) Floating dock systems including, but not necessarily limited to; 20'x10' dock with 20' long x 4' wide walkway, with composite deck boards, aluminum frame, ADA compliant railing around deck and walkway, installed and anchored, and hardware, including labor, equipment and material for a complete installation as per plans and specifications for a lump sum price of os/20/22 AMOUNT Seventy seven thousand Dollars and zero Cents. $ 77,000.00 9. 1 LS One (1) Covered picnic table and foundation including labor, equipment and materials for a complete installation as per the plans and specifications for a lump sum price of Sixteen thousand, nine hundred five Dollars and zero Cents. $16,905.00 10. 1 LS Three (3) picnic tables surface mount type including labor, equipment and materials for a complete installation as per the plans and specifications for a lump sum price of Eleven thousand, two hundred fifty Dollars and zero Cents. $ 11,250.00 11. 1 LS Demolition of piers, fencing, and drain pipes as shown on the demolition plan including labor, equipment and materials for complete removal and disposal as per the plans and specifications for a lump sum price of Twelve thousand Dollars and zero Cents. $12,000.00 14 00300-5 ADDENDUM NO. 1 BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS. 12. 1 LS Prepare, Implement and Maintain a storm water pollution prevention plan as per the plans and specifications for a lump sum price of Thirty nine thousand, five hundred Dollars and zero Cents. 06/20/22 AMOUNT $ 39,500.00 TOTAL BASE BID AMOUNT, for REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1, being Items 1 thru 12 above is: Seven hundred sixty-seven thousand, four hundred eighty-five DOLLARS zero CENTS. $ 767,485.00 CALANDAR DAYS 120 ++++++-r+Tr-F-rT+-1-+-!...++++++Trrr+rrH-rrT-F+-h-hFrrTi-F-(-H+++-I-+++++++-F++++++-hF H + AWARD OF CONTRACT SHALL BE BASED ON THE "BASE BID" WITH CONSIDERATION OF THE OWNER'S OPTIONS OWNER'S OPTIONS BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 01. 1 LS One (1) Solar park light fixture including, but not necessarily limited to: pole foundation, pole and light fixture as specified as owner's option indicated on the plans including labor, equipment and materials complete in place as per plans and specifications fora lump sum price of Seven thousand, five hundred Dollars and zero Cents. $ 7,500.00 CALANDAR DAYS 14 00300-6 ADDENDUM NO. 1 06/20/22 BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 02. 1 LS Cross walk striping and signage including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of Five thousand, five hundred Dollars and zero Cents. $ 5,500.00 CALANDAR DAYS 3 03. 1 LS Striping and 'Curb Stops at park entrance per sheet C4.1 including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of Six thousand, eight hundred Dollars and zero Cents. $ 6,800.00 CALANDAR DAYS 5 04. 1 LS Three (3) Cantilever Sun Shade Canopies including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of Sixty one thousand, five hundred seventy-five Dollars and zero Cents. $ 61,575.00 CALANDAR DAYS 5 05, 1 LS Six (6) foot wide HMAC (2 Course Chip Seal) walk/jog trail approximately 7,734 LF including, but not necessarily limited to: subgrade prep with moisture conditioned and ett ogrid, base, fill as required to intercept slope as specified, culveit(s) installation, removing and replacing fence sections, concrete trail markers including labor, equipment and materials for a complete installation as per plans and specifications for a lump sum price of Three hundred forty -thousand, six hundred seventy-five Dollars zero Cents. $ 340,675.00 CALANDAR DAYS 120 00300-7 ADDENDUM NO, 1 06/20/22 BID BID DESCRIPTION OF ITEM WITH ITEM QTY. UNIT PRICE WRITTEN IN WORDS AMOUNT 06. 1 LS New cable fencing approximately 845 LF including, but not necessarily limited to: new post, cable, foundation and hardware including labor, equipment and materials complete in place as per plans and specifications for a lump sum price of Twenty two thousand, five hundred Dollars and zero CALANDARDAYS $ 22,500.00 7 +++T-F;-I H I...4- + +++++44++-1 1' 1 1 1 1-1-+1.......+++++-k-I-F-l...++++-hl-;-rH-;-F-FT-F-F+- ! 6. BIDDER agrees that the Work shall be completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions when the Contract Times commences to tun. BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work within the times specified in the Agreement. The following documents are included and made a condition of this BID: a. Required Bid Security in the form of Bid Bond b. Certificate as to Corporate Principal C. Affidavit d. Certificate of Interested Parties, Form 1295 C. System for Award Management — (sam,gov) f. Certification Regarding Debarment & Suspension and Other Responsibility Matters g. Certification Regarding Lobbying h. Disclosure of Lobbying Activities i. Conflict of Interest Questionnaire, Form CIQ j.. House Bill 89 Verification k. Residence Certification 1. GLO — Contractor Certification of Efforts to Fully Comply with Employment and Training Provisions of Section 3 in. Document No. 00416 - Noncollusion Affidavit n. Document No. 00420— Bidder Qualification Statement o. Document No. 00450 - Certification of Bidder Regarding Civil Rights Laws and Regulations 00300-8 ADDENDUM NO. 1 06/20/22 Submit one orieinal and three conies of this bid and forms listed above. Please do not fold, bind or staple sets. Bids must be returned in a Sealed 9 x 12 or larger envelope clearly marked: SEALED BID: REBID INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO.20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. Submit Sealed Bid Before 2:00:00 PM, Thursday, June 30, 2022 to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 South Ann Street, 3`a Floor, Suite 301 Port Lavaca, TX 77979 8. Communications about this BID shall be directed to BIDDER's address indicated below. SUBMITTED this 30th day of June , 2022. Authorized Signature: rA a• Kelly Kazmir Title: Vice - President Attesting Signature: r�r L4JL lA a Name: Jasmine Callis Title: Office Assistant Legal Firm Name: Clyde Kazmir Construction, Inc. Business Address: 1001 West Main Street Phone Number: 361.782.3594 Facsimile Number: E-Mail Address (optional): kelly@kazmirconst.com State of Incorporation, if applicable: State Contractor License No.: END OF DOCUMENT 00300-9 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that: Bond NO. EACX4026874 Clyde Kazmir Construction, Inc. (Name of Contractor or Company) 1001 West Main Street, Edna, Texas 77957 (Address) a Corporation hereinafter called Principal, and Endurance Assurance (Name of Surety Company) 1221 Avenue of the Americas, 18th Floor, New York, NY 10020 (Address) hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY. TEXAS (Name of Grant Recipient) 211 S. Ann, Suite 301, Port Lavaca, Texas 77979 (Grant Recipient's Address) hereinafter called OWNER, in the penal sum of $ Six Hundred Ninety -Five Thousand Seven* *Hundred Seventy and NO/100 Dollars ($ 695,770.00 ) in lawful money of the United States, for the payment of which sum well and truly to be made we bind ourselves, successors, and assigns, jointly and severally, firmly in these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the � day of Du- �u o� D a o2 a copy of which is hereto attached and made a part hereof for the construction of: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. 00610-1 NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties in all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without notice to the Surety and during the one year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the Principal shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in Four (4) counterparts, each one of which shall be deemed an original, this the 2 6' day of 7) "t \ Lt ;? n Q� ATTEST: Clyde Kazmir Construction, Inc. (Principal) Lyn+..� C`aC4 By l (s) (PTincipal Secretary) (SEAL) C 9.Q2� fitness as to Principal) IDO ()0a.06ak5sy (rA�ddress) �^ n (Address) ATTEST: Endurance Assurance Corporation urety)— SIU By —7P ` J v. (Witness as to Surety) Sam Duckett (Attorney in Fact) Sean McCain , Jr. 5710 LBJ Fwy, St. 235, Dallas, TX 75240 5710 LBJ Fwy, St. 235, Dallas, TX 75240 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPAUCONTRACTOR is Partnership, all partners should execute BOND. 'Power -of attorney for person signing for Surety Company must be attached to bond 00610-2 INSURANCE POWER OF ATTORNEY 15524 KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware corporation, Endurance American Insurance Company, a Delaware corporation, Lexon Insurance Company, a Texas corporation, and/or Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company" and collectively, "Sompo International," do hereby constitute and appoint: Sean McCauley, Jr., Claudia Nunez, Benjamin K. Farley, Sam Duckett, Katie Rooney as true and lawful Attomey(s)-In-Fact to make, execute, seal, and deliver for, and on its behalf as surety or co -surety; bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking so made, executed and delivered shall obligate the Company for any portion of the penal sum thereof in excess of the sum of ONE HUNDRED MILLION Dollars ($100,000,000.00). Such bonds and undertakings for said purposes, when duly executed by said attorney(s)-in-fact, shall be binding upon the Company as fully and to the same extent as if signed by the President of the Company under its corporate seal attested by its Corporate Secretary. This appointment is made under and by authority of certain resolutions adopted by the sole shareholder of each Company by unanimous written consent effective the 15s' day of June, 2019, a copy of which appears below under the heading entitled "Certificate". This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by unanimous written consent effective the 1511' day of June, 2019 and said resolution has not since been revoked, amended or repealed: RESOLVED, that the signature of an individual named above and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signature or seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, each Company has caused this instrument to be signed by the following officers, and its corporate seal to be affixed this 15^ day of June, 2019. Endurance Assurance Corporation Endurance American Lexon Insurance Company Bond Safeguard In/4uray c pa Jp (,I n� j} In ura ce Co pai By.-C°,r'/T;*+( `11F..r� gy:c�l�rf,� g �, By�%L�T:+.( `1V f J By'r_r Richard Appel; �,NR,r4r,r,S,enior ounsel Ric{rard Appeh,SMp•8., enior Counsel Ric and An�Sounsel Ric and I ppelF,$VP 8.,„§eni, an Iryso, JPRO/g9tie�fl ORq�P'P�fj^l;xC�'3011TH oAxorAw 1SB$l°= qq wsuaANce On this 15s' day of June, 2019, before me, personally came the above signatories known tome, who being duly sworn, did depose and say that he/thsY10hoffjcer of each of the Companies; and that he executed said instrument on behalf of each Company by authority of his office under th by ws of each Company,�� >?;........... Vora giK E t By. Amy aylor, No +ublicMymmissign EXpires 5/9/23Z CERTIFICATE %, Qvy,�ppt�,•` I, the undersigned Officer of each Company, DO HEREBY CERTIFY that: 1. That the original power of attorney of which the foregoing is a copy was duly executed on behalf of each Company and has not since been revoked amended or modified; that the undersigned has compared the foregoing copy thereof with the original power of attorney, and that the same is a true and correct copy of the original power of attorney and of the whole thereof, 2. The following are resolutions which were adopted by the sole shareholder of each Company by unanimous written consent effective June 15, 2019 and said resolutions have not since been revoked, amended or modified: "RESOLVED, that each of the individuals named below is authorized to make, execute, seal and deliver for and on behalf of the Company any and all bonds, undertakings or obligations in surety or co -surety with others: RICHARD M. APPEL, BRIAN J. BEGGS, CHRISTOPHER DONELAN, SHARON L. SIMS, CHRISTOPHER L. SPARRO, MARIANNE L. WILBERT ; and be it further RESOLVED, that each of the individuals named above is authorized to appoint attorneys -in -fact for the purpose of making, executing, sealing and delivering bonds, undertakings or obligations in surety or co -surety for and on behalf of the Company." 3. The undersigned further certifies that the above resolutions are true and correct copies of the resolutions as so recorded and of the whole thereof. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this day of �, 202-2. By: Dame S. L rie, retary NOTICE: U. S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONT`'R�IOL (OFACI No coverage is provided by this Notice nor can it be construed to replace any provisions of any surety bond orother surety coverage provided. This Notice provides informationconceming possible impact on your surety coverage due to directives issued by OFAC. Please read this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential declarations of "national emergency". OFAC has identified and listed numerous foreign agents, front organizations, terrorists, terrorist organizations, and namotics traffickers as "Specially Designated Nationals and Blocked Persons'. This list can be located on the United States Treasury's website —htt7/ treasurvaov/resource-cent isa dons/SDN-List In accordance with OFAC regulations, 8 it is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S. sanctions law or is a Specially Designated National and Blacked Person, as identified by OFAC, any coverage will be considered ablocked arfrozen contract and all provisions of any coverage provided are immediately subject to OFAC. When a surety bond or other form of surety coverage is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments may also apply. Any reproductions are void. Surety Claims Submission: LexonClaimAdministrationO-somoo-intl.com Telephone: 616463-9600 Mailing Address: Sompo International; 12890 Lebanon Road; Mount Juliet, TN 37122-2870 PAYMENT BOND Bond No. EACX4026874 KNOW ALL MEN BY THESE PRESENTS that: Kazmir Construction, Inc. or Company) 1001 West Main Street, Edna, Texas 77957 (Address) a Corporation hereinafter called Principal, (Corporation / Partnership) and Endurance Assurance Corporation (Name of Surety Company) 1221 Avenue of the Americas, 1 Sth Floor, New York, NY 10020 (Address) hereinafter called Surety, are held and firmly bound unto CALHOUN COUNTY. TEXAS (Name of Recipient) 211 S. Ann Suite 301, Port Lavaca Texas 77979 (Recipient's Address) hereinafter called OWNER, in the penal sum of $ Six Hundred Ninety -Five Thousand Seven* `Hundred Seventy and NO/100 Dollars, $ 695,770.00 in lawful money of the United States, for this payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONFIDENTIALITY OF THIS OBLIGATION is such that whereas, the Principal entered into a s certain contract with the OWNER, dated the day of }U an q a a copy of which is hereto attached and made a part hereof for the construction of: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. (Project Name) NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUB- CONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUB -CONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. 00620-1 PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the SPECIFICATIONS. PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this instrument is executed in Four (4) counter -parts, each on of � Number) which shall be deemed an original, this the a day of 'e "kI4 " DQ as ATTEST: Clyde Kazmir Construction, Inc. (Principal) e l2V By (s) rincipal Secretary) (SEAL) as to Principal) bb I C,) mNn PC) g b4 55�1 (Address) (Address) r ATTEST: Endurance Assurance Corporation (Buret By J (Witness as to Surety) Sam Duckett m Fact) Sean McCaul$ , Jr. 5710 LBJ Fwy, St. 235, Dallas, TX 75240 5710 LBJ Fwy, St. 235, Dallas, TX 75240 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND. *Power -of attorney for person signing for Surety Company must be attached to bond 00620-2 INSURANCE POWER OF ATTORNEY W-1-tV KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware corporation, Endurance American Insurance Company, a Delaware corporation, Lexon Insurance Company, a Texas corporation, and/or Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company" and collectively, "Sompo International,' do hereby constitute and appoint: Sean McCauley, Jr., Claudia Nunez, Benjamin K. Farley, Sam Duckett, Katie Rooney as true and lawful Altorney(s)-In-Fact to make, execute, seal, and deliver for, and on its behalf as surety or co -surety; bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking so made, executed and delivered shall obligate the Company for any portion of the penal sum thereof in excess of the sum of ONE HUNDRED MILLION Dollars ($100,000,000.00). Such bonds and undertakings for said purposes, when duly executed by said attorney(s)-in-fact, shall be binding upon the Company as fully and to the same extent as if signed by the President of the Company under its corporate seal attested by its Corporate Secretary. This appointment is made under and by authority of certain resolutions adopted by the sole shareholder of each Company by unanimous written consent effective the 15^ day of June, 2019, a copy of which appears below under the heading entitled 'Certificate". This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by unanimous written consent effective the 15^ day of June, 2019 and said resolution has not since been revoked, amended or repealed: RESOLVED, that the signature of an individual named above and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signature or seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, each Company has caused this instrument to be signed by the following officers; and its corporate seal to be affixed this 15'^ day of June, 2019. Endurance Assurance Corporation _ Endurance American Lexon Insurance Company Bond Safeguar, [,!I �}I % In ura ce�yCPnpa/Jry `',��f� p,I I t}( `^j ,t j,/ Tard n uragce Co pa By. ♦�111) �:.'�f r✓ i1 � Counsel ��r,� �/ / It "L�:,i4. gy./f,.C.n�t!`.,f"�/�" 44 By �4Richard Appel; PAAn eniorounsel Richard Appeh,$MP,&,§enior Counsel Ric and Appel; S Seni Counsel Rippelj,,SVP BE„$en `s" sllranc A'•c .'"Gan rns • , OINSUR^/ �' e,...., s ra ON4r'•. Nyv "AMC,c >e'JpR r �*at'yLPrOA�RTT, .C�•••• i' ,�S`: O(�('QR.gf,V�,?�c, d p ?{E ;� 0 : q , C e mcf, 4u+:1��.r-r P'i '"alc F }N ,4 �as'Gwtnr� y� aW; SOUTH ol, 2002 '�!. �; i0'Fi.Z! O= .ci E A L { `qq' INSURANCE rq . 1995� ix my 1t =Z, COh1PANY PELAWARE�'Jo'a` 1`7p, PELAWARE 0 . w Rt,r re,ao- P O "•,ea nnnu,m••°J' •"6n,..,,,r...... ao ACKNOWLEDGEMENT a op i,nn, On this 15s' day of June, 2019, before me, personally came the above signatories known to me, who being duly sworn, did depose and say that he/tOY',4;3.Noffj�cer of each of the Companies; and that he executed said instrument on behalf of each Company by authority of his office under th by- we of each Company;` a?Y•..-�0q e, re lF`*N696rE By: � Amy aylor, Not ublic My C.Tmh ssign Expims� 5-/�9w/+23, CERTIFICATE 12Q, o—c`" ,°, I, the undersigned Officer of each Company, DO HEREBY CERTIFY that: 1. That the original power of attorney of which the foregoing is a Copy was duly executed on behalf of each Company and has not since been revoked, amended or modified; that the undersigned has Compared the foregoing copy thereof with the original power of attorney, and that the same is a true and correct copy of the original power of attorney and of the whole thereof; 2. The following are resolutions which were adopted by the sole shareholder of each Company by unanimous written consent effective June 15, 2019 and said resolutions have not since been revoked, amended or modified: "RESOLVED, that each of the individuals named below is authorized to make, execute, seal and deliver for and on behalf of the Company any and all bonds, undertakings or obligations in surety or co -surety with others: RICHARD M. APPEL, BRIAN J. BEGGS, CHRISTOPHER DONELAN, SHARON L. SIMS, CHRISTOPHER L. SPARRO, MARIANNE L. WILBERT ; and be it further RESOLVED, that each of the individuals named above is authorized to appoint attorneys -in -fact for the purpose of making, executing, sealing and delivering bonds, undertakings or obligations in surety or co -surety for and on behalf of the Company." 3. The undersigned further certifies that the above resolutions are true and correct Copies of tit a resolutions as so recorded and of the whole thereof. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this �O/�5✓ day of � 20-'P�.l, By: Dame S. �,etlry NOTICE' U. S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL (OFACI No coverage is provided by this Notice nor can it be construed to replace any provisions of any surety bond or other surety coverage provided. This Notice provides information conceming possible impact on your surety coverage due to directives issued by OFAC. Please mad this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based. on Presidential declarations of "national emergency". OFAC has identified and listed numerous foreign agents, front organizations, terrorists, terrorist organizations, and narcotics trafficker. as "Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treasury's website -httos //www treasury aov/resource-centedsanctions/SON-List. In accordance with OFAC regulations, if it is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, anycoveragewill Ee.considered a blocked orfrozen contractand all provisions of any coverage provided are immediately subject to OFAC. When a surety bond or otherform of surety coverage is considered to be such a blocked orfrozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments may also apply. Any reproductions are void. Surety Claims Submission: LaxonCialmAdminlstratlont&.somo0-Intl.com Telephone: 615-553-9600 Mailing Address: Sompo International; 12890 Lebanon Road; Mount Juliet, TN 37122-2870 Texas Department of Insurance Amended Certificate of Authority License no. 96259 Licensed since: December 27, 2007 Department Certification Endurance Assurance Corporation (foreign stock fire and casualty company) organized under the laws of the state of Delaware This entity has complied with the laws of the state of Texas, as applicable, and is authorized to transact the following lines of insurance: Accident, Aircraft Liability, Aircraft Physical Damage, Allied Coverages, Auto Physical Damage, Automobile Liability, Boiler & Machinery, Burglary & Theft, Credit, Employers' Liability, Fidelity & Surety, Fire, Forgery, Glass, Hail, Health, Inland Marine, Liability Other than Auto, Livestock, Ocean Marine, Rain, Workers Comp and Emp Liability This amended certificate of authority is in full force and effect until it is revoked, canceled, or suspended according to law. Given under my hand and official seal of office in the city of Austin, September 29, 2016 DAVID C. MATTAX COMMISSIONER OF INSURANCE BY Jeff Hunt, Director Company Licensing and Registration Commissioner's order no. 3632 Policyholder Notice TEXAS - IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una You may call the company's telephone number for queja: information or to make a complaint at: Usted puede Ilamar al numero de telefono de la compania para informacion o para someter una queja al: 1.877-676.7575 You may write the Company at: Endurance Assurance Corporation Attention: Surety 1221 Avenue of the Americas, 18th Floor New York, NY 10020 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800.252-3439 You may write the Texas Department of Insurance PO Box 149104 Austin, TX 78714-9104 FAX#(512)490-1007 Web: http://www.tdi. texas.xov E-mail: ConsumerProtectionLaltdi. texas.eov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance, ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. 1-877-676-7575 Usted tambien puede escribir a: Endurance Assurance Corporation Attention: Surety 1221 Avenue of the Americas, 18th Floor New York, NY 10020 Puede communicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas PO Box 149104 Austin, TX 78714-9104 FAX# (512) 475-1771 Web: http://www.tdi. texas.eov E-mail: ConsumerProtectionL@tdi. texas.eov DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con la compania primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de informacion y no se convierte en parte o condition del documento adjunto. CLYDKAZ-01 KFLORES 1 CERTIFICATE OF LIABILITY INSURANCE DATE(M/2022 MM/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES. NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Texas Associates Insurers 1120 Capital of TX Hwy South Bid gg 3.300 AuBt10, TX 76746 CONTACT Kimberly S Flores 'a"cNNu, Est: 979 475-1172 Fax ( ) IAIC, No): aoogEss: kimberlyf@txassoc.com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: New York Marine and General Insurance Company 16608 INSURED INSURERB -Texas Mutual Insurance Company 22945 INSURER C:Tokio Marine Specialty Insurance Company _ 23850 Clyde Kazmir Construction, Inc INSURER D 1001 W Main/P. O. Box 554 Edna, TX 77957 INSURER E INSURER F: COVFRAGFS 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. INSR I TYPE OF INSURANCE ADDLSUBR S POLICY NUMBER POLICY EFF MMIODIYYY POLICY EXP MMIDDM'Y LIMITS A X COMMERCIAL GENERAL LIABILITY CI-AIMS-MADE[X]DAMAGE GccuR GL PD Ded $1,000 PK202100015400 72/31/2021 12/31/2022 EACH OCCURRENCE $ 1,000,000 TO RENTED EMI E E oc urrence 100,00 $ X X GEN'LAGGREGATE X X MED EXP (Any oneperson) S 5,000 EBL Ded$1,000 PERSONAL &ADV INJURY $ 1,000,000 LIMITAPPLIES PER: POLICY jECT LOC OTHER: Empl Benefits Liability GENERA -AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG 2,000,000 Each Empl/Agg 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -AWNED AUTOS ONLY AUTOS ONLY AU202100016542 12/31/2021 12/31/2022 COMBINED SINGLE LIMIT Ea eccitlen[ 1,000,000 $ BOD ILV INJURY Perperson) S BODILY INJURY Per accitlant S PROPERTY DAMAGE Per accident $ 3 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UM202100007642 12/31/2021 12/31/2022 EACH OCCURRENCE S 5,006,000 AGGREGATE $ 5,000,000 DEO I X RETENTION$ 10,000 P & A S 5,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/NTI/A ANY PER/MEIETO�RgIEXCLUDRIEXECUTIVE �Mentla[oryln NER EXCLUDED? N� It yes, describe under DESCRIPTION OF OPERATIONS below 0001154242 12/31/2021 12/31/2022 X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 $ A C Leased/Rented Equip Pollution Liability PK202100015400 SAE03171 12/31/2021 12/31/2021 12/31/2022 12/31/2022 Any One Item Each Claim/Agg 500,000 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Calhoun Count Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 211 S. Ann Street Port Lavaca, TX 77979 AUTHORIZED REPRESENTATIVE 9� ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLYDKAz-n1 KFLORES r CERTIFICATE OF LIABILITY INSURANCE DATE A E(MMIDYI D22 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 poltcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER Texas Associates Insurors 1120 Capital of TX Hwy South Bldg 3-300 CONTACT Kimberly S Flores NHCONIi EzO: (979) 475-1172 FAX No): -EMqIL ADDRESS: kimberlyf@txassoc.com Austin, TX 78746 INSURERS AFFORDING COVERAGE NAIC # INSURERA: New York Marine and General Insurance Company 16608 INSURED INSURER B: Texas Mutual Insurance Company 22945 INSURERC:Tokio Marine Specialty Insurance Company 23B50 Clyde Kazmir Construction, Inc INSURER D: 1001 W Main/P. 0. Box 554 Edna, TX 77957 INSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR IN30 MDyylA POLICY NUMBER POLICY EFF POLICY EXP 12/31/2022 LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL PD Ded$1,000 PK202100015400 12/31/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES lggrgg0 X X GEN'LAGGREGATE X X MED EXP(My one aarson $ 5,000 EBL Ded $1,000 PERSONAL &ADV INJURY $ 1,000,000 LIMITAPPLIES PER: POLICY MOT LOG OTHER: Empl Benefits Liability GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG 2,000,000 $ Each Empl/Agg $ 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY _ AUTO ONLY AU20210D016542 12131/2/21 12/31/2022 OMBBINED SINGLE LIMIT fE.dX 1�000,000 BODILY INJURY Per p ersan $ BODILY INJURY Per accident $ Perracc gt AMAGE ll A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UM202100007642 12/31/2021 12/31/2022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 IP&A 5,000,000 B WORKERS COMPENSATION AND EMPLOYERS'. LIABILITY YIN ONFFFICEgqOIMEMBBR/ EXCWDEDE7 ECUTIVE ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 0001154242 12/31/2021 12/31/2022 X STATUTE ER E.L. EACH ACCIDENT 1,006 000 $ E.L. DISEASE-EAEMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,D00 A C Leased/Rented Equip Pollution Liability PK202100015400 SAE03171 12/31/2021 12131/2021 12/31/2022 1213112022 Any One Item Each Claim/Agg 500,000 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) G&W Engineers, Inc. 205 W. Live Oak Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD 25 (2016103) © 19BB-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF INTERESTED PARTIES FORM 1295 i of 4 Complete Nos. 1-4 and g it there are Interested parties. OFFICE USE ONLY Complete Nos:'1. 2, s, 5, and 6 if there arteno.lnterestedparties• CERTIFICATION OF FILING Certificate Number: d, Name of business: entity filing form and the city, state: aml country of the business entity's place of business. 2022-904652 Clyde KazmirConstruction', Inc. �Edna;TX United States Date Filed: 2 Name of governmental entityoragency that is a party to the contract for Which the forms 0612812022 beingfile4 Calhoun County, Texas. Date Acknowledged: 3 'Provide the- identification number used by the governmental entity or state agency to track or identify the contract, and provide ,description of the. services,, goods, or other property to: be provided under the. contract. TX. GLO - 20•065-064-C162 Rebid - Infrastructures at Little Chocolate Bayou County Park 4 Nome of Interested Party City,. state, Country (place of business) Nature of interest (check applicable) Controlling Intermediary. 5 Check only if there is NO interested Party. ❑ X 8 ... UN51iVOPN DECLARATION -r . "'� n f My name is Kelly KazMjr and my dale of birth is i rm.,4 a. My address is t:"E`�k°i,_, Edna TX 77957- , USA . (street) (city) (slate) (zipcodo)' (country) 1:. declare under penalty, of perjury that the foregoingistrue.. andcorrect. executed in. Jackson County,. stateof_,_ Texas on the 25thday of JN(Y ,.2022 (month) (year) �SiFafore of auth ized agent of contracting business entity Maciarong Forms prevlded by Texas Ethics.. Commission www.ethics.state.tx.us Version V1.1.191b5cdc ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 4040.0009 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 projector 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 project described in this application, 2. WIII give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system In accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of; or change the terms of the real property title or other Interest in the site and facilities without permission and Instructions from the awarding agency. Will record the Federal awardingagency directives and will Include a covenant In the title of real property acquired In whole or In part with Federal assistance funds to assure non- discrimination during the useful life of the project. 4. WIII 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 progressive reports and such other Information as may be required by the assistance awarding agency or State. 6. Will Inlllate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. WIII establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of Interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763)relating to prescribed standards of 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. WIII comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 at seq.) which prohibits the use of lead -based point 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. §§16B1 1683, and 1686-1686), 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 nondlscdmination 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 as 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 at seq.), as amended, relating to nondiscrimination In the sale, rental or financing of housing; (1) any other nondiscrimination provisions In the specific statue(s) under which applicallon for Federal assistance is being made; and 0) the requirements of any other nondiscrimination stalue(s) which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D.(Rev. 7-97) 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. WIII 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. WIII 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 Safely Standards Act (40 U.S.C. §§327- 333) regarding labor standards for federally -assisted construction subagreements, 14. Will comply with flood Insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93.234) which requires recipients In a special flood hazard area to participate in the program and to purchase flood Insurance if the total cost of insurable construction and acquisition is $10,000 or more. 16. Will comply with environmental standards which may be. prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (ED) 11614; (b) notification of violating facilities pursuant to ED 11738; (c) protection of wetlands pursuant to ED 11990; (d) evaluation of flood hazards in floodplains in accordance with ED 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 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). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 at seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), ED 11593 (IdenllOcationand protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 at seq). 18, Will cause tote performed the required financial and 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 requirementsof all other Federal laws, executive orders, regulations, and policies . governing this program. 20. WIII comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging In severe forms of trafficking in persons during the period of time that theaward is In effect. (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor In the performance of the award or subawards under the award. SIGNATURE OF AUTHO$)ZED CERTIFYING OFFICIAL TITLE Vice -President G,f APPLICANT GANIZ TION DATE SUBMITTED Clyde Kazmir Construction, Inc. July 25, 2022 SF-424D (Rev. 7-97) Back DOCUMENT NO.00415 CONTRACTOR'S CORPORATE RESOLUTION I hereby certify that it was RESOLVED by a quorum of the directors of Clyde Kazmir Construction, Inc. (Name of Corporation) meeting on the 25th day of July , 2022 , that Kelly Kazmir Vice - President be, (Name of Principal) (Title) and hereby is, authorized to execute all documents necessary for the transaction of business in the State of Texas on behalf of the said Clyde Kazmir Construction, Inc. and (Name of Corporation) That the above resolution was unanimously ratified by the Board of Directors at said meeting and that the resolution has not been rescinded or amended and is now in frill forme and effect; and in authentication of the adoption of this resolution, I subscribe my name this day of July 25 , 2022 Secretary If you are not a corporation, please check the box and sign below Company Name: Signed By: Print Name/Title: END Or DOCUMENT 00415-1 DOCUMENT NO. 00417 TRENCH SAFETY SYSTEMS INDEMNITY AGREEMENT OWNER: CONTRACTOR: ENGINEER: Calhoun County Clyde Kazmir Construction, Inc. (company name) G & W Engineers, Inc., Port Lavaca, Calhoun County, Texas PROJECT: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS- TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. CONTRACTOR has entered into a contract with OWNER for the construction of the Project. ENGINEER has designed the Project on behalf of OWNER, but has not designed any trench safety systems for the Project that may be required by applicable federal, state and/or local laws. CONTRACTOR, in its contract with OWNER, has agreed to prepare, and to conform all trenching work to plans for trench safety systems meeting the standards of applicable laws. CONTRACTOR, as part of its consideration to OWNER for the contract for the construction of the Project, agrees that it will be solely responsible for compliance with its trench safety plans and with all applicable standards of federal, state and/or local laws relating to trench safety. CONTRACTOR further agrees to hold harmless, indemnify, and defend OWNER and ENGINEER, and all officers, agents and employees of either OWNER or ENGINEER, from and against any and all claims, demands or causes of action of any nature, character or description in connection with the presence, or in any way arising out of, the use or construction of trenches or trench safety systems as part of the Project. EXECUTED, this CONTRACTOR 25th By: �G�✓G Officer' ame: Kelly Kazmir Title o Officer: vice - President day of July 2022 OW ANE Off Richar . Mever Title of Officer: Calhoun County Judge ENGINEER. (Contractor's Seal) By: E is Name: Scott P. Mason, P.E. Title of Engineer: Sr. Project Engineer END OF DOCUMENT 00417-1 DOCUMENT NO.00430 CONTRACTOR'S LOCAL OPPORTUNITY PLAN Clyde Kazmir Construction, Inc. agrees to implement the following specific affirmative action steps directed at increasing the utilization of lower income residents and businesses within CALHOUN COUNTY, hereinafter called OWNER. A. To ascertain from OWNER's CDBG-DR program official the exact boundaries of the project area and where advantageous, seek the assistance of local officials in preparing and implementing the affirmative action plan. B. To attempt to recruit from OWNER the necessary number of lower income residents through local advertising media, signs placed at the proposed site for the project, and community organizations and public or private institutions operating within and servicing the project area such as Service Employment and Redevelopment (SER), Opportunities Industrialization Center (OIC), Urban League, Concentrated Employment Program, Hometown Plan, or the U.S. Employment Service. C. To maintain a list of all lower income residents who have applied either on their own or on referral from any source, and to employ such persons, if otherwise eligible and if a vacancy exists. D. To require all subcontracts to have an affirmative action plan including utilization goals and the specific steps planned to accomplish these goals. E. To insure that subcontracts (greater than $10,000) which are typically let on a negotiated rather than a bid basis in areas other than the covered project area are also let on a negotiated basis, whenever feasible, in a covered project area. F. To formally contact unions, subcontractors, and trade associations to secure their cooperation in this effort. G. To insure that all appropriate project area business concerns are notified of pending sub - contractual opportunities. H. To maintain records, including copies of correspondence, memoranda, etc., which document that all of the above affirmative action steps have been taken. To appoint or recruit an executive official of the company or agency as Equal Opportunity Officer to coordinate the implementation of this plan, J. To maintain records concerning the amount and number of contracts, subcontracts, and purchases which contribute to objectives. 00430-1 K. To maintain records of all projected work force needs for all phases of the project by occupation, trade, skill level, and number of positions and to update these projections based on the extent to which hiring meets these Local Opportunity objectives. As officers and representatives of Clyde Kazmir Construction, Inc. we, the undersigned, have read and frilly agree to this Plan, and become a party to the full implementation of the program and its provisions. r Signatur Kelly Kazmir Printed Name Vice - President Title Date July 25, 2022 END Or DOCUMENT 00430-2 DOCUMENT NO.00440 CONTRACTOR'S SUBCONTRACT/WORICFORCE BREAKDOWN .01 PROPOSED CONTRACTS BREAKDOWN Type of Contracts. Number of Contracts Estimated Total Dollar Amount 'Estimated % to Local Business Estimated $ Amount to . Local Business Tables 1 $7,500 0 0 Lighting 2 $68 000 40% $27,200 Lumber 1 $1,800 100% $1,800 Floating Dock 1 $57,645 0 0 Chip Seal 1 $62,000 0 0 Concrete 1 $7,000 0 0 Totals: .02 ESTIMATED PROJECT WORKFORCE BREAKDOWN Work Classifications Total Estimated: Positions No. Positions .Current) h'illed No. Positions Not Pilled No. .Positions to Fill with L/M. Residents HSA 1 1 0 0 SWPPP 4 2 2 2 Superintendent 1 1 0 0 Operators 3 3 0 0 Totals: END OF DOCUMENT 00440-1 SECTION 504 CERTIFICATION POLICY OF NONDISCRIMINATION ON THE BASIS OF DISABILITY The Clyde Kazmir Construction, Inc. does not discriminate on the basis of disability status in the admission or access to, or treatment or employment in, its federally assisted programs or activities. (Name) Kelly Kazmir (Address) 1001 West Main Street Edna Texas 77957 City State Zip Telephone Number ( 361) _ 82 - 3594 Voice ( ) TDD Kelly Kazmir has been designated to coordinate compliance with the nondiscrimination requirements contained in the Department of Housing and Urban Development's (HUD) regulations implementing Section 504 (24 CFR Part S. dated June 2, 1988). U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACTOR'S CERTIFICATION CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS TO (appropriate recipient) Calhoun County, Texas DATE July 25, 2022 PROJECT NUMBER (if any) TXGLO20-065-064-C182 C/O PROJECT NAME Rebid - Infrastructure at Little Chocolate Ba ou County, Park 1. The undersigned, having executed a contract with Calhoun County Texas for the construction of the above -identified project, acknowledges that: (a) The Labor Standards provisions are Included in the aforesaid contract, (b) Correction of any infractions of the aforesaid conditions; including Infractions by any subcontractors and any lower tier subcontractors, Is Contractor's responsibility. 2. Certifies that: (a) Neither Contractor nor any firm, partnership or association in which it has: substantial Interest Is designated as an Ineligible contractor by the Comptroller General of the United States pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR, Part 5) or pursuant to Section 3(a) of the Davis -Bacon Act, as amended. (b) No part of the aforementioned contract has been or will besubcontracted to any subcontractor If such subcontractor or any firm, corporation, partnership or association in which such subcontractor has a substantial Interest is designated as an ineligible contractor pursuant to any of the aforementioned regulatory or statutory provisions. 3. Contractor agrees to obtain and forward to the aforementioned recipient within ten days after the execution of any subcontract, including those executed by subcontractors and any lower tier subcontractors, a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements executed by the subcontractors. 4. Certifies that: (a) The legal name and the business address of the undersigned are: Clyde Kazmir Construction, Inc. c The name, title and address of the ownerpartners or omcers or the uncersl nec are: NAME TITLE ADDRESS Clyde Kazmir President 168 PR 1211, Edna, Texas 77957 Linda Kazmir Secretary 168 PR 1211, Edna, Texas 77957 Kelly Kazmir Vice - President 162 CR 404, Edna, Texas 77957 Dale July 25, 2022 Clyde Kazmir Construction, Inc. (Contractor) c By Kelly K r, Vice- resident # 09 NOTICE OF MEETING-8/3/2022 9. Consider and take necessary action to approve the Coastal Surface Lease No. SL20210034 agreement between the Texas General Land Office and Calhoun County that proposes to plant 2.4 acres of sea grass and oysters to mitigate for wetland impacts that occurred during road restoration and improvement. (JMB) PASS Page 5 of 18 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy, 172—Olivia, Fort Lavaca, Texas 77979 —Office (361) 893-5346 —Fax (361) 893-5309 Email: icel.behrensQ@,calhmmcotx.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 August 3, 2022. Please Consider and Take Necessary Action to approve the Coastal Surface Lease NO. SL20210034 agreement between the Texas General Land Office and Calhoun County for the propose to plant 2.4 acres of sea grass and oysters to mitigate for the wetland impacts that occurred during road restoration and improvement. And allow Judge Meyer to sign all necessary documents. Sincerely, Joel Behrens Commissioner Pct. 3 DocuSign Envelope ID: 3717AEE8-C7E3-4888.9F18-98BF00009875 d MEMORANDUM J. j• TEXAS GENERALLANDOFFICE • GEORGE P. BUSH • COMMISSIONER Date. June 22, 2022 To: Commissioner George P. Bush From: Steve Rodriguez:(512) 463-5027 Through: Russell May, Brian Carter, Mark Havens Subject: Surface Lease No. SL20210034 (New Application) Attached is Surface Lease No. SL20210034 for your approval and signature on the pages indicated. This contract is issued under Chapter 51 of the Texas Natural Resources Code that authorizes the Commissioner of the General Land Office to issue grants of interest for use of the surface estate of unsold Permanent School Fund Lands under management authority of the General Land Office. Chapter 51 leases and easements do not require approval of the School Land Board. Authorization will be consistent with past action by the agency on similar structures. This proposed use of state land has been reviewed by technical, supervisory and legal staff who routinely process easement and permit applications, and has been determined to be consistent with existing GLO rules and policies. Document Number SL20210034 Lessee Name Calhoun County County Calhoun Location Keller Bay, Blind Bayou Purpose Mitigation, Breakwater Encumbrance 2.47 acres Consideration $0.00 Term Twenty (20) years Summary Lessee is proposing to plant 2.4 acres of sea grass and oysters to mitigate for wetland impacts that occurred during road restoration and improvement. SL20210034 Custome11D:0000000686 srodrigu SigComMemo_SL_011615 DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009875 ��gAAI �9H < - " TEXAS GENERAL LAND OFFICE m : �( J; jl' n COASTAL SURFACE LEASE NO. SL20210034 STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN This Coastal Surface Lease SL20210034, ("Lease"), is granted by virtue of the authority granted in Section 51.121, et seq., TEX. NAT. RES. CODE ANN., 31 TEX. ADMIN. CODE, Chapter 13, Land Resources, et sea, and all other applicable statutes and rules, as the same may be amended fiom time to time, and is subject to all applicable regulations promulgated from time to time. ARTICLE I. PARTIES 1.01. In consideration of the mutual covenants and agreements set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the STATE OF TEXAS, acting by and through the Commissioner of the General Land Office, on behalf of the Permanent School Fund of the State of Texas (the "State"), hereby grants to Calhoun County, whose address is 202 S. Ann, Port Lavaca, TX, 77979, (361) 552-9242 ("Lessee"), the right to use the surface estate of certain Permanent School Fund land (the "Leased Premises") for the purposes identified in Article V below. ARTICLE H. PREMISES 2.01. The Leased Premises is described below and further described or depicted on Exhibits A -I, A-2, B-1, B-2, C-1, C-2, attached hereto and collectively incorporated by reference for all purposes: Adjacent to: Mitigation sites - Keller Bay (State Tract 77) and Blind Bayou, Calhoun County, Texas 2.02. LESSEE HAS INSPECTED THE PHYSICAL AND TOPOGRAPHIC CONDITION OF THE LEASED PREMISES AND ACCEPTS SAME "AS IS" IN ITS EXISTING PHYSICAL AND TOPOGRAPHIC CONDITION. LESSEE IS NOT RELYING ON ANY REPRESENTATION OR WARRANTY OF THE STATE REGARDING ANY ASPECT OF THE PREMISES, BUT IS RELYING ON LESSEE'S OWN INSPECTION OF THE PREMISES. THE STATE DISCLAIMS ANY AND ALL WARRANTIES OF HABITABILITY, MERCHANTABILITY, SUITABILITY, FITNESS FOR ANY PURPOSE, AND ANY OTHER WARRANTY WHATSOEVER NOT EXPRESSLY SET FORTH IN THIS LEASE. THE STATE AND LESSEE HEREBY AGREE AND ACKNOWLEDGE THAT THE USE OF THE TERMS "GRANT" AND/OR "CONVEY" IN NO WAY IMPLIES THAT THIS LEASE OR THE LEASED PREMISES ARE FREE OF LIENS, ENCUMBRANCES AND/OR PRIOR RIGHTS. LESSEE IS HEREBY PUT ON NOTICE THAT ANY PRIOR GRANT AND/OR ENCUMBRANCES MAY BE OF RECORD AND LESSEE IS ADVISED TO EXAMINE ALL RECORDS OF THE STATE AND COUNTY IN WHICH THE LEASED PREMISES ARE LOCATED. THE PROVISIONS OF THIS SECTION SHALL SURVIVE THE EXPIRATION OR EARLIER TERMINATION OF THIS LEASE. ARTICLE III. TERM 3.01. This Coastal Surface Lease No. SL20210034 is for a term of twenty (20) years, commencing on July 1, 2022 and terminating on June 30, 2042, unless earlier terminated as provided herein. The State reserves the right to review, amend, cancel or otherwise modify this agreement at any time during its term upon 30-day written notice to Lessee as prescribed in 3.01. Renewal of this agreement is at the sole discretion of the State, and no right to renew is implied or provided for herein. SL20210034 1 Customerm: 0000000686 srodriau SL New Comm-0 11615 DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009875 ARTICLE IV. CONSIDERATION 4.01. 1n consideration of the mutual covenants and conditions set forth herein and the public benefits to be derived therefrom, State and Lessee acknowledge that no rental fees shall be assessed for the described use of the Leased Premises provided that Lessee is not in default of the terms agreed upon herein. ARTICLE V. USE OF THE PREMISES 5.01, The Leased Premises may be used by Lessee solely for a mitigation project consisting of 2.4 acres of Spartina altemiflora marsh creation and 2,889 square feet of oyster shell breakwaters, for a total encumbrance of 2.47 acres of coastal public land, and for no other purpose. The Leased Premises are to remain in their current topographical and hydrologic condition during the term of the Lease. Lessee is specifically prohibited from modifying the premises in any manner not authorized herein, and from using, or allowing the use by others, of the Leased Premises for any other purpose. 5.02. Lessee shall not use, or permit the use of, the Leased Premises for any illegal purpose. Lessee will comply with, and will cause its officers, employees, agents and invitee to comply with, all applicable federal, State and local laws, ordinances and rules concerning the use of the Leased Premises. 5.03. The State reserves the exclusive right to grant easements, rights -of way and/or other grants of interest authorizing use of the Leased Premises, provided such use does not unreasonably interfere with Lessee's use thereof. 5.04. Lessee shall not grant other rights in or to the Leased Premises to any other person or entity, and any attempt to do so shall be void and of no effect and shall constitute a default by Lessee hereunder. 5.05. State reserves the right to enter upon the Leased Premises at any time with or without prior notice to Lessee to inspect the condition thereof and/or take action authorized by this Lease. 5.06. The Leased Premises are subject to prospecting, production and development of oil, gas and other minerals and other materials of commercial value by the State, its lessees, permittee, licensees or other agents, assigns or representatives. Lessee shall not interfere with such use of the Leased Premises and shall allow any lessee, permit holder, licensee or other agent, assignee or representative of the State and/or the School Land Board the right of ingress and egress over, across and through, and the use of, the Leased Premises for any and all purposes authorized by State. 5.07. Lessee may not charge State's authorized lessees, permit holders, licensees or other agents, assigns or representatives surface damages, or any other fee, for use of the Leased Premises; provided, however, the foregoing shall not limit the liability of any person or entity to Lessee for damages caused to property owned by Lessee. 5.08. Lessee's use of the Premises is subject to and contingent upon compliance with the following covenants, obligations and conditions (the "Special Conditions") 1. Breakwaters shall be built of sufficient height above the substrate to be visible above the water surface at mean high tide. Permanent markers/pilings shall be installed to U.S. Coast Guard specifications. 2. No work may commence until a Coastal Boundary Survey, in compliance with TEX. NAT. RES. CODE Section 33.136, for the Mitigation Sites and any other portion of the project that may involve state-owned land has been approved and notification published as required. 3. Lessee is responsible for maintaining all structures authorized under this contract in good repair and safe condition, and in compliance with all existing state and federal regulations governing such work. 4. Any buildup of sediment resulting from the activities authorized by this contract will be property of the State of Texas, as determined by the GLO. Lessee waives any right to claim ownership of any land created by the project. SL20210034 2 CustomedD: C000000686 srodrigu SL New Comm 011615 DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009375 ARTICLE VI. ASSIGNMENTS 6.01. Lessee shall not assign the Premises or the rights granted herein, in whole or part, to any third party for any purpose without the prior written consent of the State, which may be granted or denied in the State's sole discretion. Any unauthorized assignment shall be void and of no effect and such assignment shall not relieve Lessee of any liability for any obligation, covenant, or condition of this Agreement. This provision, and the prohibition against assignment contained herein, shall survive expiration or earlier termination of this agreement. For purposes of this agreement, an assignment is any transfer, including by operation of law, to another of all or part of the property, interest or rights herein granted. ARTICLE VH. PROTECTION OF NATURAL AND HISTORICAL RESOURCES 7.01. Lessee shall take no action on the premises which results in the discharge of any solid or liquid material. Lessee shall use the highest degree of care and all appropriate safeguards to: (i) prevent pollution of air, ground, and water in and around the Premises, and (ii) to protect and preserve natural resources and wildlife habitat. Lessee shall comply with all applicable rules and regulations of the General Land Office and other governmental agencies responsible for the protection and preservation of public lands and waters. In the event of pollution or an incident that may result in pollution of the Premises or adjacent property which is the result of Lessee's (or Lessee's employees, contractors, invitees and agents) acts or omissions, Lessee shall immediately notify the State, use all means reasonably available to recapture any pollutants which have escaped or may escape, and mitigate for any and all natural resources damages caused thereby. 7.02. LESSEE IS EXPRESSLY PLACED ON NOTICE OF THE NATIONAL HISTORICAL PRESERVATION ACT OF 1966, (PB-89-66, 80 STATUTE 915; §470) AND THE ANTIQUITIES CODE OF TEXAS, CHAPTER 191, TEX. NAT. RES. CODE ANN. IN THE EVENT THAT ANY SITE, OBJECT, LOCATION, ARTIFACT OR OTHER FEATURE OF ARCHEOLOGICAL, SCIENTIFIC, EDUCATIONAL, CULTURAL OR HISTORIC INTEREST IS ENCOUNTERED DURING ANY ACTIVITY ON THE PREMISES, LESSEE WILL IMMEDIATELY CEASE SUCH ACTIVITIES AND WILL IMMEDIATELY NOTIFY STATE AND THE TEXAS HISTORICAL COMMISSION, P.O. BOX 12276, AUSTIN, TEXAS 78711, SO THAT ADEQUATE MEASURES MAY BE UNDERTAKEN TO PROTECT OR RECOVER SUCH DISCOVERIES OR FINDINGS, AS APPROPRIATE. ARTICLE VHI. INDEMNITY 8.01. LESSEE SHALL BE FULLY LIABLE AND RESPONSIBLE FOR ANY DAMAGE, OF ANY NATURE, ARISING OR RESULTING FROM ITS OWN ACTS OR OMISSIONS RELATED TO ITS EXERCISE OF THE RIGHTS GRANTED HEREIN. LESSEE AGREES TO AND SHALL INDEMNIFY AND HOLD THE STATE, THE STATE'S OFFICERS, AGENTS, AND EMPLOYEES, HARMLESS FROM AND AGAINST CLAIMS, SUIT, COSTS, LIABILITY OR DAMAGES OF ANY KIND, INCLUDING STRICT LIABILITY CLAIMS, WITHOUT LIMIT AND WITHOUT REGARD TO CAUSE OF THE DAMAGES OR THE NEGLIGENCE OF ANY PARTY, EXCEPT FOR THE CONSEQUENCES OF THE NEGLIGENT ACTS OR WILLFUL MISCONDUCT OF THE STATE, THE STATE'S OFFICERS, AGENTS, EMPLOYEES, OR INVITEES, ARISING DIRECTLY OR INDIRECTLY FROM LESSEE'S USE OF THE PREMISES (OR ANY ADJACENT OR CONTIGUOUS PSF LAND) OR FROM ANY BREACH BY LESSEE OF THE TERMS, COVENANTS OR CONDITIONS CONTAINED HEREIN. THE PROVISIONS OF THIS SECTION SHALL SURVIVE EXPIRATION OR EARLIER TERMINATION OF THIS AGREEMENT. ARTICLE IX. DEFAULT, TERMINATION AND EXPIRATION 9.01. If, following 30 days prior written notice from the State specifying a default or breach, Lessee fails to pay any money due hereunder or is in breach of any term or condition of this Agreement, the State shall have the right, at its option and its sole discretion, to terminate this Agreement and all rights inuring to Lessee herein by sending written notice of such termination to Lessee in accordance with ARTICLE XI of this Agreement. Upon sending of such written notice, this Agreement shall automatically terminate and all rights granted herein to Lessee shall revert to the State. Such termination shall not prejudice the rights of the State to collect any money due or to seek recovery on any claim arising hereunder. SL20210034 3 CustomerlD: C000000686 srodrigu SL New Comm 011615 DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F78-988F00009875 9.02. If Lessee fails to remove its personal property from the Leased Premises within the time specified in Section 9.01 above, or if Lessee fails to remove improvements placed or constructed on the Leased Premises by or behalf of Lessee pursuant to a notice by the State to do so pursuant to Section 9.01. above, then State may, at its sole option, remove and dispose of such property (with no obligation to sell or otherwise maintain such property in accordance with the Uniform Commercial Code), at Lessee's sole cost and expense, or the State may elect to own such property by filing a notice of such election pursuant to Section 51302, et seq., TEXAS NATURAL RESOURCES CODE ANNOTATED. If the State elects to remove Lessee's property and dispose of it pursuant to this section, then in such an event Lessee shall be obligated to reimburse the State for the reasonable costs of such removal and disposal within ten (10) days of State's demand for reimbursement. THE TERMS OF THIS SECTION SHALL SURVIVE EXPIRATION OR EARLIER TERMINATION OF THIS LEASE. 9.03. In addition to the above, Lessee shall pay and discharge any and all taxes, general and special assessments, and other charges which during the term of this Agreement may be levied on or assessed against the Premises or the Improvements constructed thereon, provided such taxes result from Lessee's use of this easement. Lessee shall pay such taxes, charges, and assessments not less than five (5) days prior to the date of delinquency thereof directly to the authority or official chargedwith the collection thereof. Lessee shall have the right in good faith at its sole cost and expense to contest any such taxes, charges, and assessments, and shall be obligated to pay the contested amount only if and when finally determined to be owed. 9.04. LESSEE AGREES TO AND SHALL PROTECT AND HOLD THE STATE HARMLESS FROM LIABILITY FOR ANY AND ALL SUCH TAXES, CHARGES, AND ASSESSMENTS, TOGETHER WITH ANY PENALTIES AND INTEREST THEREON, AND FROM ANY SALE OR OTHER PROCEEDING TO ENFORCE PAYMENT THEREOF. ARTICLE X. HOLDOVER 10.01. if Lessee holds over and continues in possession of the Premises after expiration or earlier termination of this Agreement, Lessee will be deemed to be occupying the Premises on the basis of a month -to -month tenancy subject to all of the terms and conditions of this Agreement, except that as liquidated damages by reason of such holding over, the amounts payable by Lessee under this Agreement shall be increased such that the Consideration payable under Section 4.01 of this Agreement and any other sums payable hereunder shall be two hundred percent (200%) of the amount payable to the State by Lessee for the applicable period immediately preceding the first day of the holdover period. Lessee acknowledges that in the event it holds over, the State's actual damages will be difficult, if not impossible, to ascertain, and the liquidated damages herein agreed to be paid are reasonable in amount and are payable in lieu of actual damages and are not a penalty. Lessee further acknowledges that acceptance of hold over Consideration does not imply State consent to hold over. 10.02. The tenancy from month -to -month described in Section 10.01 of this Agreement may be terminated by either party upon thirty (30) days written notice to the other. 10.03. The Consideration due after notice of termination has been given is to be calculated according to Section 10.01 hereinabove on a pro rata basis. If upon notice of termination by the State, Lessee pays Consideration in excess of the amount due and payable and the State accepts such payment, the acceptance of such payment will not operate as a waiver by the State of the notice of termination unless such waiver is in writing and signed by the State. Any such excess amounts paid by Lessee and accepted by the State shall be promptly refunded by the State after deducting therefrom any amounts owed to the State. ARTICLE Xi. NOTICE 11.01. Any notice which may or shall be given under the terms of this Agreement shall be in writing and shall be either delivered by hand, by facsimile, or sent by United States first class mail, adequate postage prepaid, if for the State to the Deputy Director of Asset Enhancement, addressed to 1700 North Congress Avenue, Austin, Texas 78701- 1495, Fax (512) 463-5304, and if for Lessee, to Calhoun County, 202 S. Ann, Port Lavaca, TX 77979. Any party's SL20210034 4 Customerll): C000000686 srodrigu SL New Comm 01161 i DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009875 address may be changed from time to time by such party by giving notice as provided above, except that the Premises may not be used by Lessee as the sole notice address. No change of address of either party shall be binding on the other party until notice of such change of address is given as herein provided. 11.02. For purposes of the calculation of various time periods referred to in this Agreement, notice delivered by hand shall be deemed received when delivered to the place for giving notice to a parry referred to above. Notice mailed in the manner provided above shall be deemed completed upon the earlier to occur of (i) actual receipt as indicated on the signed return receipt, or (ii) three (3) days after posting as herein provided. ARTICLE XII. INFORMATIONAL REQUIREMENTS 12.01. A. Lessee shall provide written notice to the State of any change in Lessee's name, address, corporate structure, legal status or any other information relevant to this Agreement. B. Lessee shall provide to the State any other information reasonably requested by the State in writing within fifteen (15) days following such request or such other time period approved by the State (such approval not to be unreasonable withheld). ARTICLE XM. MISCELLANEOUS PROVISIONS 13.01. With respect to terminology in this Agreement, each number (singular or plural) shall include all numbers, and each gender (male, female or neuter) shall include all genders. If any provision of this Agreement shall ever be held to be invalid or unenforceable, such invalidity or unenforecability shall not affect any other provisions of the Agreement, but such other provisions shall continue in full force and effect. 13.02. The titles of the Articles in this Agreement shall have no effect and shall neither limit nor amplify the provisions of the Agreement itself. This Agreement shall be binding upon and shall accrue to the benefit of the State, its successors and assigns, Lessee, Lessee's successors and assigns (or heirs, executors, administrators and assigns, as the case may be); however, this clause does not constitute a consent by the State to any assignment by Lessee, but instead refers only to those instances in which an assignment is hereafter made in strict compliance with Article VI above, or in the case of a deceased natural person Lessee, refers to the instances previously referred to in this sentence and also circumstances in which title to Lessee's interest under this Agreement passes, after the demise of Lessee, pursuant to Lessee's will or the laws of intestate succession. The words "hereof," "herein," "hereunder; "hereinafter" and the like refer to this entire instrument, not just to the specific article, section or paragraph in which such words appear. 13.03. Neither acceptance of Consideration (or any portion thereof) or any other sums payable by Lessee hereunder (or any portion thereof) to the State nor failure by the State to complain of any action, non -action or default of Lessee shall constitute a waiver as to any breach of any covenant or condition of Lessee contained herein nor a waiver of any of the State's rights hereunder. Waiver by the State of any right for any default of Lessee shall not constitute a waiver of any right for either a prior or subsequent default of the same obligation or for any prior or subsequent default of any other obligation. No right or remedy of the State hereunder or covenant, duty or obligation of Lessee hereunder shall be deemed waived by the State unless such waiver be in writing, signed by a duly authorized representative of the State. 13.04. No provision of this Agreement shall be construed in such a way as to constitute the State and Lessee joint ventures or co-partners or to make Lessee the agent of the State or make the State liable for the debts of Lessee. 13.05. In all instances where Lessee is required hereunder to pay any sum or do any act at a particular indicated time or within an indicated period, it is understood that time is of the essence. 13.06. Under no circumstances whatsoever shall the State ever be liable hereunder for consequential damages or special damages. The terms of this Agreement shall only be binding on the State during the period of its ownership of the Premises, and in the event of the transfer of such ownership interest, the State shall thereupon be released and S1.20210034 5 CustomerlD: C000000686 srodrigu SL New Comm 011615 DocuSign Envelope ID: 3717AEE8-G7E3-4888-9F18-988F00009875 discharged from all covenants and obligations thereafter accruing, but such covenants and obligations shall be binding during the Agreement term upon each new owner for the duration of such owner's ownership. 1107. All monetary obligations of the State and Lessee (including, without limitation, any monetary obligation for damages for any breach of the respective covenants, duties or obligations of either party hereunder) are performable exclusively in Austin,'rravis County, Texas. 13.08. The obligation of Lessee to pay all Consideration and other sums hereunder provided to be paid by Lessee and the obligation of Lessee to perform Lessee's other covenants and duties tinder this Agreement constitute independent, unconditional obligations to be performed at all times provided for hereunder, save and except only when an abatement thereof or reduction therein is expressly provided for in this Agreement and not otherwise. Lessee waives and relinquishes all rights which Lessee might have to claim any nature of lien against, or withhold or deduct from or offset against, any Consideration or other sums provided hereunder to be paid to the State by Lessee. Lessee waives and relinquishes any right to assert, either as a claim or as a defense, that the State is bound to perform or is liable for the nonperformance of any implied covenant or implied duty of the Lessor not expressly set forth in this Agreement. 13.09. In the event any provision of this Lease is more restrictive than any administrative rule promulgated by the General Land Office and/or the School Land Board, this Lease shall control. ARTICLE XIV. TILING 14.01. Lessee shall, at its sole cost and expense, record a memorandum of lease in the Calhoun County Real Property Records and provide a file marked copy of same to Lessor within 60 days after this Lease is executed by all parties. ARTICLE XV. ENTIRE AGREEMENT 15.01. This Lease, including any exhibits to the same, constitutes the entire agreement between the State and Lessee; no prior written or prior oral contemporaneous oral promises or representations shall be binding. The submission of this Lease for examination by Lessee or the State and/or execution thereof by the Lessee or the State does not constitute a reservation of or option for the Leased Premises and this Lease shall become effective only upon execution of all parties hereto and deliver of a fully executed counterpart thereof by the State to the Lessee. This Lease shall not be amended, changed or extended except by written instrument signed by both parties thereto. SL20210034 6 CustomeriD: C000000696 srodrigu SL New Comm_011615 DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009875 IN TESTIMONY WHEREOF, witness my hand and the Seal of Office. LESSOR: THE STATE OF TEXAS to GEORGE P. BUSH Commissioner, General Land Office Date: APPROVED: Contents: Legal: ScA Director: Executive: SL20210034 7 Customer1D: C000000686 srodrigu SL New Comm011615 DocuSign Envelope 10: 3717AEE8-C7E3-4888-9F18-98BF00009875 LESSEE: Calhoun County By: (Si.anature) (Printed Name) (Title) Date: ACKNOWLEDGMENT STATE OF COUNTY OF This instrument was acknowled.aed before me on the Calhoun Countv. day of Notary Public, State of My commission expires: 20 , by S1,20210034 8 CustomerlD: C000000686 srodrigu SL New Comm o11615 DocuSign Envelope ID: 37I7AEE8-C7E3-4888-9F18-98BF00009875 `w "a TEXAS GENERAL LAND OFFICE MEMORANDUM OF SURFACE LEASE NO. SL20210034 t+ STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN This Memorandum of Surface Lease is made on February 1, 2022 to record the agreement (the "Agreement") heretofore entered into by the State of Texas (the "Lessor"), acting by and through the Commissioner of the General Land Office (the "GLO") as Chairman of the School Land Board (the "Board) on behalf of the Permanent School Fund (the "PSF"), and Calhoun County, (the "Lessee"), which affects certain lands located in Calhoun County, Texas (the "Premises"), which property is more particularly described on Attachments to the Agreement. WITNESSETH That for, and in consideration of, the mutual promises and undertakings recited therein, the parties have executed Surface Lease No. SL20210034 (the "Agreement"), an original of which is in the records of the GLO. The Lessee has been granted the use of certain submerged land (the "Premises") located i t Keller Bay (State Tract 77) and Blind Bayou, Calhoun County, Texas, being more particularly described in the Agreement and its Attachments. The littoral property of Lessee that is adjacent to the Premises is described in the Agreement as Mitigation sites - Keller Bay (State Tract 77) and Blind Bayou, Calhoun County, Texas, as recorded in the Real Property Records of Calhoun County, Texas. The Premises encumbered by the Agreement to Lessee contain approximately 2.47 acres. The term of the Agreement is for a period of twenty (20) years, which term begins on July 1, 2022. The Agreement sets forth Lessee's limited right to use and occupy the property described for a mitigation project consisting of 2.4 acres of Spartina altertiflora marsh creation and 2,889 square feet of oyster shell breakwaters, for a total chargeable encumbrance of 2.47 acres of coastal public land. The Agreement is not assignable without the prior written consent of the Lessor. Use of state property without the requisite consent may subject the user to the assessment of a civil penalty of $200.00 per day, as provided in Chapter 33 of the Texas Natural Resources Code, and/or a penalty of up to $1,000.00 per day as provided in Chapter 51 of the Texas Natural Resources Code. SL20210034 I CustomerlD: C000000686 srodrigu CntMemorandumAUS DocuSign Envelope ID: 3717AEE8-C7E3-4888-9F18-98BF00009875 IN TESTIMONY WHEREOF, witness my Band and the Seal of Office. LESSOR: THE STATE OF TEXAS 1-2 GEORGEP.BUSH Commissioner, General Land Office Chairman, School Land Board Date: APPROVED: os Contents: 5 os Legal: cA Director: Executive: SL20210034 2 CLISIOrnerlD: C000000686 srodrigu CnrMemorandurnAUS DoouSign Envelope ID: 3797AEE8-C7E34888-9F18-98BF00009875 LESSEE: Calhoun County By: Signature Printed Name Title Date: ACKNOWLEDGMENT STATE OF § COUNTY OF § This instrument was acknowledged before me on the day of 20 by (Lessee representative signing this document) Notary Public, State of My commission expires: SL20210034 3 CustomerlD: C000000686 srodrigu Cn[NlemorendurnAUS #10 NOTICE OF MEETING-8/3/2022 10. Consider and take necessary action to authorize the EMS Director to sign the maintenance contract with Hurt's Wastewater Management for the EMS South Station. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 18 Mae Belle Cassel From: Donna.Hall@calhouncotx.org (Donna Hall) <Donna.Hall@calhouncotx.org> Sent: Monday, July 25, 2022 11:20 AM To: Mae Belle Cassel; Dustin Jenkins Subject: Hurt's Wastewater Management Contract Attachments: 7-22 to 7-23 Contract.pdf Good morning Mae Belle, Can you please put this contract for maintenance on sewer system at EMS South Station on the next Commissioner's Court? Thank you in advance, Donna Hall Donna Hall Admin Asst Calhoun Co EMS Calhoun County Texas 21) urnp atuoH © -40W UoD paupls eylqlw luawAetl moA. apnloul asaald pOP!AcUd auuolyo gjlm )02'jUOO a01A.19S 00"004^�,� (aty.1O!go uMO !lelsul Isms) JOUMOaulap auuolyo ou :AµlO loe11t OO 001AMS 00:06oa — :aaua.ia;ajd)oeJluoa.mok- ayo OSVOICI A2JVSS303N JI .LINn WOiIJ _mcinlS ONldvgnd i(inIONl lON S300 A0110d 6I1-11 *Ao!lod SIyI JO SLUJOI ayl o) 0GAe Ja UMOawOg PUS Jap!noJd a0ULUa1t1ILU1 gloq 'wJo; sly) bu!u6!s 40 sAwl Jo suollLu!gwoo mau ag) ap!nald Pue sa6uego Aue qpm Ala1e!pawun luawa6eue!V .1aleMalseAA s,Unl-I Amon pier. 1oegnm snp 10 elop 11e19 ag) of Joud speo 001A,10C J0 suOgOadmit Oupnal SuponpuOo 10 asodmd ag1 Jul utelsns eql ul SSLOOL u10 01 AJLSSEMU'o10 SAaj 'SUMILUlqulo0 ale6 lle gLM Pll luaul@CMuLW JejumalseAA s,1JnH apnwd of sa9.16e JOUMOawoq aq) asnge lensnun 10 uuo) JagiO Aue.lo'utalsAs atp olu! 1011Lut In;tUJeg 10 Slunoule 0AISsaoxa 6u1311poJlu1 'AyoedeO pe)w sl! 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Jaumoawoy ayl ( z 'anp 0.10 suopoadsu1 8y1 t0uoul ag) Jape pue Mjaq Pouad OMB > OOM om) e g)lm'anp we Aatp gluoul eql 6uunp auylAue palJuo;Jad aq Aeul suopoadsu) 'I)auodw 6waq ulalgoJd e;O SJnog gq ultp!M ills atll pSIA Ipm aaAolduta 'pll luaula6LueW JalemalseM s,UnH y 'Jaumoawotl ag1 0) AI)0a.np pa6Jeyo ay p!m s1soO Jledw/luawaoeldaN 'SJa)I6 pue SJOIRJae'19ULd IoJJUOo ay1 Bupoadsul sapnlou) sly) v0pounJ JadoJd wnsua 01 sluauodwoo alge0pdde Jag)o PuL leoulOala 'Ie31uey3aU1 9g110 6wOIAJas pue luaugsnfpe apnpu! sumloadsul *(stpuoyy I, AJaAO auo )seal le) JeaA Jad suopoadsu! (£) awyl ( 1, )WJluop a0ueuaJUwvq JO stum-L Pil'luawe5eueW JalemelseAA s,pnl-I SypiGul p A,C- a auo -,LoA rod upein ti LIOZ/9/L 'Palleml ZL9oloZ 01 alid uo lleuy ON 91, VL W :# PWABd 610Z/9/L :PaJ1dX9 AlueneM EZOZ191L :ale(] PUB ZZOZ/91L :aleO Ve)S Pouad 13e4U100 -pd6 009-096 03@WON- :pueJgl61W leRmwuolmu3 - lda0 ypaaH Alunop etlolo!A :AOuafiv LISOWIOW IPSSfl�l :Jallelsul unogleo :AlunoO £96LL X.L '1JupLaS " 3 981. Aemtl6!i-I ale)S b909 :el!S :UOIsIAIPgns 04I I-Z99 (19£) :auogd £86LL Xi `1JPPe0S -3 98L AeM46!H alelS 4809 u0nels SW3 Alunop unogluo :ol woo Jalemalsems1ing'mmm Z9V£-6LL(l,9E) XLJ L4b£-4b8(009) auogd Z96LL X1 'Opeuee ZL6 AMH 1,Z£ / Z99 X08 'O'd pl-1 `}ueumBaueW aajemaiseAA s,;anH ZZOZ/9/9 :ale0 CERTIFICATE OF INTERESTED PARTIES FORM 1295 l of l Complete Nos. 1- 4 and 6 if there are Interested parties. OFFICE USE ONLY Complete Nos,1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2022-916423 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Hurt's Wastewater Management, LTD Ganado, TX United States Date Filed: 07J2912022 2 Name of governmental entity or state agency that is a party tot the contract for which the form is being filed. Calhoun County EMS Date Acknowledged: 3 Provide the Identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2017.115 Septic System Maintenance 4 Name of Interested Parry City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only If there is NO Interested Party. X 6 UNSWORN DECLARATION /� My name is-- t�2 Pc-- U_ and my date of birth Is My address Is (street) (city) (state) (zip code) (country) I declare under penalty perjury that the foregoing is true and correct. �of 7y��,c Executed in J /-KlilS�t--' County, State ofL'�"r'-' _J , on the 2� day of -� _; 20 �' (month) (year) -AJPure of authorized agent of contracting business e-nrity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc #11 NOTICE OF MEETING — 8/3/2022 11. Consider and take necessary action to approve the use of $18,384 in GOMESA funds for an Archeological Survey, if required, under GLO CEPRA Project 1716 Swan Point, and authorize the County Judge to sign all GLO legal documents associated with this project. (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 7 of 18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 26, 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 August 3, 2022. Consider and take necessary action to approve the use of $18,384 in GOMESA funding for an Archeological Survey, if required under GLO CEPRA Project 1716 Swan Point, and to authorized the County judge to sign all GLO legal documents associated with this project. Sincerely, f) 1�) Gary D. Reese GDR/at P.O. Box 177 — Seadri8. Texas 77983 — email: earmccsyi calhouncou.ore — (361) 785.3141 — Fax (361) 785-5602 # Zz NOTICE OF MEETING — 8/3/2022 12. Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all documentation. (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 8 of 18 Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend) <april.townsend@calhouncotx.org> Sent: Monday, July 25, 2022 11:51 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Amended Petition for Annexation Attachments: 22-0803 Amended Petition for Annexation.pdf When you make copies for signatures please make two copies, one for the County Clerk's office and one for the Improvement District. They need an original signature for their files. Thank you, April From: Sara.Rodriguez@calhouncotx.org (Sara Rodriguez)[mailto:Sara.Rodriguez@calhouncotx.org] Sent: Monday, July 25, 2022 11:39 AM To: Mae Belle Cassel <MaeBelle.Cassel@calhouncotx.org> Cc: Gary.Reese@calhouncotx.org; april.townsend@calhouncotx.org Subject: Amended Petition for Annexation Dear Maebelle, Please include this on the next Agenda Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all documentation. I have attached the document. Wawa /ff leai w�aez Sara M. Rodriguez Assistant District Attorney 211 S. Ann Street Port Lavaca, Texas 77979 Tel.: 361.553.4422 Fax.: 361.553.4421 Sara.rodri uez ,calhouncotx.org Calhoun County Texas Calhoun County Texas Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend) <april.townsend@calhouncotx.org> Sent: Monday, July 25, 2022 11:51 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Amended Petition for Annexation Attachments: 22-0803 Amended Petition for Annexation.pdf When you make copies for signatures please make two copies, one for the County Clerk's office and one for the Improvement District. They need an original signature for their files. Thank you, April From: Sara.Rodriguez@calhouncotx.org (Sara Rodriguez)[mailto:Sara.Rodriguez@ca[houncotx.org] Sent: Monday, July 25, 2022 11:39 AM To: Mae Belle Cassel <MaeBelle.Cassel@calhouncotx.org> Cc: Gary.Reese@calhouncotx.org; april.townsend@calhouncotx.org Subject: Amended Petition for Annexation Dear Maebelle, Please include this on the next Agenda Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all documentation. I have attached the document. Yawa X Bdw�uez Sara M. Rodriguez Assistant District Attorney 211 S. Ann Street Port Lavaca, Texas 77979 Tel.: 361.553.4422 Fax.: 361.553.4421 Sara.rodriguez@calhouncotx.org Calhoun County Texas Calhoun County Texas Mae Belle Cassel From: Sara.Rodriguez@calhouncotx.org (Sara Rodriguez)<Sara.Rod rig uez@calhouncotx.org> Sent: Monday, July 25, 2022 11:39 AM To: Mae Belle Cassel Cc: Gary.Reese@calhouncotx.org; april.townsend@calhouncotx.org Subject: Amended Petition for Annexation Attachments: 22-0803 Amended Petition for Annexation.pdf Dear Maebelle, Please include this on the next Agenda Consider and take necessary action to approve the Amended Petition for Addition of Certain Land to the Port O'Connor Improvement District to be incorporated into the Port O'Connor Improvement District and authorize the County Judge to sign all documentation. I have attached the document. sawa N 1padt-�aez Sara M. Rodriguez Assistant District Attorney 211 S. Ann Street Port Lavaca, Texas 77979 . Tel.: 361.553.4422 Fax.: 361.553.4421 Sara.rodriguez&calhouncotx. org Calhoun County Texas AMENDED PETITION FOR ADDITION OF CERTAIN LAND TO PORT O'CONNOR IMPROVEMENT DISTRICT THE STATE OF TEXAS § COUNTY OF CALHOUN § TO: THE BOARD OF DIRECTORS OF PORT O'CONNOR IMPROVEMENT DISTRICT: Calhoun County, Texas (the "Petitioner), a political subdivision of the State of Texas, acting pursuant to the provisions of Chapter 49, Texas Water Code, particularly Section 49.301, together with all amendments and additions thereto, petition this Honorable Board to add the approximate 32.22 acres of land, more or less, comprised of five tracts of land, depicted and/or described by metes and bounds in Exhibits A, B, C, D, E, F, and G (the "Land"), attached hereto and incorporated herein for all purposes, to Port O'Connor Improvement District (the "District"), as such District has been enlarged due to a consolidated election held on November 2, 2021, and in support of this petition the Petitioner represents, covenants, and agrees as follows: Section 1: The Land lies entirely within Calhoun County, Texas, and each parcel is accurately described by metes and bounds in Exhibits B, C, D, E, and F. Two plats are attached hereto as Exhibits A and G. Section 2: As indicated by the certificate of ownership provided by the Calhoun County Central Appraisal District, Petitioner holds fee simple title to the Land. Section 3: None of the Land is within the corporate or extraterritorial Iimits of any incorporated city, town, or village. Section 4: The addition of the Land to the District is feasible and practical and will be to the advantage of and a benefit to the District and the water supply, sanitary sewer, and drainage systems and other improvements of the District are sufficient or will be sufficient to supply the added Land without injuring the land already within the District. Section 5: The Petitioner acknowledges, consents to, and affirmatively requests the assumption by the Land, and all improvements thereon presently existing or to be constructed hereafter, of a pro rata share of all present and future obligations of the District, and of the taxes levied or hereafter to be levied by the District. Without limiting the generality of the foregoing, the Petitioner hereby agrees that the Land, and all improvements thereon presently existing or to be constructed hereafter, hereby Petition for Annexadon,doc assumes its share of liability for the payment of any and all bonds or other obligations of the District, (i) that are currently outstanding or hereafter issued; and (ii) that are currently or hereafter voted but unissued. This petition shall further be considered as consent and authorization of the Petitioner, its successors and assigns, for all the Land and all improvements now existing or to be constructed thereon, to be taxed uniformly and equally on an ad valorem basis with all other taxable property within the District for: (1) the payment of principal of and interest on any and all of the District's outstanding unlimited tax and/or revenue bonds and unlimited tax and/or revenue refunding bonds, (2) the payment of principal of and interest on any and all of the District's unissued bonds that have been or may hereafter be authorized by the voters; (3) a maintenance tax not to exceed the amount per $100 of assessed valuation that has been heretofore authorized by the voters or as may hereafter be authorized by the voters; and (4) all other purposes for which the District may lawfully levy taxes. Section 6: The Petitioner hereby certifies that there are no qualified voters residing on the Land. Section 7: The Petitioner hereby certifies that there are no holders of lien on the Land. Section 8: This document amends the petition approved by the Commissioner's Court for Calhoun County, Texas on March 16, 2022 to include the Iegal descriptions and plats of the Calhoun County property to be annexed. WHEREFORE, the Petitioner prays that this Petition be granted; that the Land be added to and become a part of the District; and that this Petition, if granted, be filed for record and be recorded in the Official Public Records of Calhoun County, Texas, and filed with the Texas Commission on Environmental Quality. [EXECLYTION PAGE FOLLOWS] -2- Petition for Mnexation.doe RESPECTFULLY SUBMITTED on this L Kay of 2027 CALHOUN COUNTY, TEXAS ATTEST: n, By: 1 County Clerk THE STATE OF TEXAS § COUNTY OF CALHOUN § This instrument was and attested to b 1 subdivision of the MAEBELLECASSEL My Notary ID# 132012524 Expires May 14 2023 (NOTARY SEAL) By: County Judge Texas. me on this 2kZ day of Uy�f- inty Judge of Calhoun u i1* Clerk, on behalf of said Notary Public, State of Texas Attachments: Exhibit A, B, C, D, E, F, and G: Plats and/or Descriptions of the Land After recording, return to: Sara M. Rodriguez, Attorney for Calhoun County, Texas. -3- Petition for Annexation.doc File Vol ai I EXHIBIT t3®RA DSOINNINO m a = inch Iron rod head in 64 *rho n Sa er dw ahimapiwad91.73aoapaa ortlaSowhamaaaordda2OA0aft Ma k*g doanMd SWdhard$Mkahk nmdekobriapdaNw*Am=.rarer.69Same drat of kad mdow9ld M SnWlk •A"ofadad �ecwdad M Vakme 191, Pogm SID•513erd4CAxxao Caumy OSkw 14cKft THS21C&S IPSr IT' Fm aSA kwh kw and hadan daoeWAtiei tla Ntlwbwen cmarofda a1MeWd 493 mmDaa mW Dm *TOTAL DISTANCS of993.11 fan a a Shc lack imn lod al Ondw Nodbwam mnaofdda 20AOmm wp: THSNC& N 96' 093D' W,a dMom9af 11N.13 kn as 3A indf iree rod rm for dw arm Natllww maw or ddo moo act. kaa in da Nmdnwm on of dm aiaamdd 01.73 are Ilan: TMNC& N COW Sr & whit he Nw&wm Smaf dm.hrtwW 91.73 aaa kmd, adkWaraofSA12 ha a a 54Inch I=md drawl roron mat NoNaly Mw efWtaaW whichkake tla w~y eamm ordaakamawwoolol.73 mmamr, TNSNC&S 26.OY Sr S, wMdaNwd mN haofda ahmmld91.73 ramUlA a dkW mof390A6 hnloaM kah imnmd sa Ibrno w is tla Nmdaw liaof dw aaa 91.73 awe eau TNBNCI.3630MOr W.■&Nm of23Mhdass4kahkooanddarm on'I krcameroftldowan: T71RNC4,S26.0YSr S.adhlawer3oM fora. SM kdi kw mdaa &ran kaadmamarofdlbbaa: TH&IC& N 63' 36' Or & odMmm of 2XZ hm a o AS Wcb km rod brad &r Omar mwpdmorandukthe Nmdaml SnroflMafonanmlkmad91.73aarecaw; THRNC& S 2r 37' 24• & a dldam of SIL20 ha a da PLACS Or SSO3NNINc71 CD W'MMNO wWdn dam man mn bomdc 2DAD apes, bddn d"W"MdmTINCfTWO. darned6andaponddmSaadgpOeandmSway, Ad9,CMhMCoaary,Tepa 00896r►6 8s1 PaRt File # Vol Pq_ @#A9W7 01 359 STATE OF TEXAS COUNTY OF CALHOUN DESCRIPTION of a Matt or pared of lend cordalning 2.16 acres, situated In and a part of the SenSatp Gonzales Survey, M19. Calhoun County, Texas. Seld 2.18 acres deacnbed es "in ands partof a 91.73 acre bsal of tand deseAbed In Exhmll'A' of a deed recorded In Volume 18% Pagan 440447 of Ire Ce8I00 County OWN Records. This 2.18 some is more fully described by mates and bouMe as follows. BEGINNING at a 54 Inch Iron rod set In the Northeast ono Of the afaemenfbned 91.73 acre tract for the North carrier of Oft 2.18 Done tract being described. Sold set 54 Ines Iron rod bear$ 8 28' 03' S2' E. 390.05 teat fmm a found 5M Inch Iron rod marking the most Northerly comer of the aforesaid 01.73 acre but THENCE S W 03' 52 E. a distance of 398.811 feet to a 5181nch Iron rod found far comer at a point of angle In the Northeast We of the afereseld 91.73 we tract THENCE. S 83' W 08' W. a distance of 238.20 feet to a 518 Inch Iron rod senor the South owner of this tract THENCE, N 25' 03' Sr W, a distance of 398.55 Teel to a 518 inch iron rod 90 for the wash coma of this tract, THENCE, N 67 son' 08' E. a defenoe of 238.20 feet to the PLACE OF BEGINNING; CONTAINING within Mm metes and bounds 2.18 acres, herein desgna0ed as TRACT THREE, OIWW In and a Pal of the Sendap Gamabe Survey, M19, Calfaun County, Taxes. NOTE. 1. Bearings based on the recorded deal of 01.73 we tact In Vol.185. Pages 440-447, Calhoun County CMdal Records. 2. Sul*ct tract Is Meted 'TRACT THREE' on the attached drawing EXHIBIT 1 •. • 8 MWrA 6.09 Ad" leas rloddan%e saaslOsla Snake of locus Cooney of Collapse NIXON a 0.00 are rest so Idea 644antod in the sostlngs Sasculas Sorter. "street 10 e04 being a settle* of that true% donolbd t0 seatbaat Tome Corperstico goardad In Valued 1/1, hp 40a d %be toed Roaoro et Salacto Most7. Verde asd minebales a "set"It a 0.11 a'M tcudt forteyed by an As p6brSdw7, 1990 .(Not ae regarded)ad tact e Nis lan NO"Mettetlarlr 4aonflbd t7 ware* and bassda as Reliant a mm" Olt aw exiting its took lea pipe me to, OO•oowtatest•t•t **dose If 0 4.91 are &raft da• ibea to Co1b&a dead regarded 4, V M as the Offi41 81 Record• a Cotbeet Severe. V•eea � being In the teat botst•r7 !ton of the port *'Career outlets MMNd /s Velva s. pap 001 et the Data accord. *1 culbaga bdivision nuked din $4140 lit/D 't the Ofl t """01 add. Did Oatbe" SawtV, laces, Sold 1/d tech lea ekes baked %be acrslw• s, earua of tea shoe* ueuelrad 0.11 ape erase, tar the northeast career of the hotels describedtwee/ 79=1 s a0' 11' 14w a, with %he vast 1Ino of the told 7tevest waae fret 00•rysteeloa trat�nead the cot0 line Of e llsesaid at the said G." so" Croat, for & distance of 4.77 tat to an 0ex14ting 1/8 lamb Iran ad is the north rlaht"rwq Its& ad dtet* Rldwq 181 deaselbd to the State at Veat if blase fat, puss 409-412 as %be Mod Deaetdo of cathode •myIfeet sad r she pemttisut dsoftera d b teal Mrels 40sorlbed tteti TIN" 0 Od' 50' 10" W. with tee "web rANe-sS+Sr leas of sets 0.93 nametun craft. r a d tuwnaof 4!l.11 tonnow e the to a Cote 1/0 lush it" red is th, death It" at the meld 0.11 act tot tad is the month olsht-ef"way lit at the Note state Rdhwy U0. Ode UN Southwest Meer of new, %"&I* daerlkea lost{ VOaOg ■ 00' 00' 30" V to a diseases of 4.11 toff to as existing $/I Gob free and 1a the "Pak lief off on fold o.H sego it"% ad at the a*etbwonR ooraor of the cued 4.N were treat Saw. %be sattbreft coanor as the hOMID described treat VDUOS a 11' 11' 20" a, with %be death lase as tea alAd 4'" oft %raft lea the North lino of the "Ad 0.S► apt !nose. for a "nodded 09 610.00 Sat to %be Plead pS dsatcutng is all "staining 0." segos OS lad. SaswlIM ape band an the rush lire t the 4.911 span treat Needed" As Volumes its. page $40 of the valAe!&1 Rsar4 of Collocate Safety. grad. f , r • f i l pen. Caddm%CIA* OWq Cchaw Carr r.a., m ew,.py ewdy Metro rctwaN mmetaawo P&MNVANO de�0. Zdcee.��.w�MMwdr eOMset " aAfimed Nllsd a,Et.w Node.aegOwA71 FI EXHIBIT F Pon e=- #13 NOTICE OF MEETING — 8/3/2022 13. Consider and take necessary action to acknowledge an increase in the Sheriffs Forfeited Property Fund 2022 budget as follows: K-9 Services/Supplies 2860-999-63150 - $1,500; Miscellaneous 2860-999-63920 - $6,000; Capital Outlay — 2860-999-70750 - $4,000; and Forfeitures — Other — 2860-001-45060 - $11,500. (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 9 of 18 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: SHERIFF FORFEITED PROPERTY FUND 2022 ADJUSTMENT DATE: AUGUST 3, 2022 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR AUGUST 3, 2022 • ' Consider and take necessary action to acknowledge an increase in Sheriff's Forfeited Property Fund 2022 budget as follows: K-9 Services/Supplies 2860- 999-63150 $1,500, Miscellanous 2860-999-63920 $6,000, Capital Outlay 2860-999- 70750 $4,000 and Forfeitures -Other 2860-001-45060 $11,500. Sincerely, Bobbie Vickery Calhoun County Sheriff #14 NOTICE OF MEETING — 8/3/2022 14. Consider and take necessary action to approve a fund raising event (bar-b-clue, silent auction and street dance) in Port O'Connor in October to raise awareness for Domestic Violence Awareness. (RHM) Cathy Pullin & Nancy Pomykal explained the reasoning for wanting to host the event. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 18 Mae Belle Cassel From: jp5@tisd.net Sent: Wednesday, July 27, 2022 11:19 AM To: Mae Belle Cassel Subject: Fundraiser for Domestic Violence Awareness - Agenda (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 Mae Belle. I am requesting to be put on the Commissioner's Court Agenda for Wednesday. August 3, 2022. 1 spoke to Commissioner Reese about the event and he is agreeable. October is Domestic Violence Awareness month and we want to have a Domestic Violence Awareness fund raiser. It will be a Bar-B Que, silent auction and street dance. October will be here soon. If you have any questions, please give me a call. Best Regards, Judge Nolna� Pow,&CIL Justice of the Peace, Pct.S P.O. Box 454 Calhoun County, TX. 77982 Ph.361-983-2351 Fax: 361-983-2461 Jp5@tisd.net #15 NOTICE OF MEETING — 8/3/2022 15. Consider and take necessary action on billing/collections recommendations provided by CCEMS' billing company, Emergicon, regarding discounts, no activity, and small balances. (RHM) Dustin Jenkins explained and introduced Brent and Brant with Emergicon. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 18 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Wednesday, July 27, 2022 3:03 PM To: Mae Belle Cassel Cc: Donna Hall; Lori McDowell Subject: Fwd: Calhoun County Recommendations Attachments: Calhoun County Revenue Increasing Recommendations.pptx Mae Belle, Please add the following recommendations from Emergicon to the next Commissioners Court Agenda for approval, Thanks, Consider and take necessary action on billing/collections recommendations provided by CCEMS billing company, Emergicon, regarding discounts, no activity, and small balances. Please see attached PowerPoint presentation. Thanks, Dustin From: "support@emergicon.com (Kassi High)" <support@emergicon.com> To: dustin.jenkins@calhouncotx.org Cc: blynch@emergicon.com, bstovall@emergifire.com Date: Fri, 10 Jun 2022 17:47:31 +0000 Subject: Calhoun County Recommendations CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon Dustin, I spoke with Brant and he let me know that you would like our recommendations regarding prompt pay discounts and write-offs. I have attached the recommendations. Please let me know if you need anything else. Thanks, Kassi High — Client Success Manager khigh(cbemergicon.com I p. 972-602-2060 ext. 493 This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. This document may contain information covered under the Privacy Act (5 USC 552(a)), the Health Insurance Portability and Accountability Act (PL 104-191) and/or the Texas Medical Privacy Act (Tex. Health & Safety Code §181) and the various implementing regulations and must be protected in accordance with those provisions. Healthcare information is personal and sensitive and must be treated accordingly. If this correspondence contains healthcare information it is being provided to you after appropriate authorization from the patient or under circumstances that don't require patient authorization. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner in accordance with applicable law. Disclosure without patient consent as permitted by law is prohibited. Unauthorized disclosure or failure to maintain confidentiality subjects you to application of appropriate sanction. If you have received this correspondence in error, please notify the sender at once, delete this email from your system and destroy any copies you have made. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361)571-0014 Calhoun County Texas #16 NOTICE OF MEETING — 8/3/2022 16. Consider and take necessary action to authorize the County Judge to sign a Workplace Solutions Agreement with Ameriprise Financial. (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 12 of 18 Mae Belle Cassel From: rhonda.kokena@calhouncotx.org (rhonda kokena) <rhonda.kokena@calhouncotx.org> Sent: Thursday, July 28, 2022 9:58 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Workplace Solutions Agreement Attachments: Workplace Solutions Agreement 07.28.22.pdf Good Morning Mae Belle, Attached is the contract from Samuel Vaughn. Judge said to put this back on the agenda for action. Melissa Mcl<issack for jZA'Cp i x S. 7 else- .a Oxtj�, n Co Tremmer ,ZO,Z S. Ann Street, Suite � f ort LaUaca, Texas 77f7T 1-ff3--4.6M Calhoun County Texas D000103115742 Ameriprise Financial Services, LLC 70100 Ameriprise Financial Center Minneapolis, MN 55474 Workplace Solutions Agreement Ameriprise Financial Advisor ID 359848 OComplete each section in its entirely and sections as appropriate (missing information may result in processing delays). Once form is received, please allow 24-48 hours for processing of agreement. Advisor Information Advisor Name 'Justin Montandon Phone Number Ext (512) 744-4800 Are you enrolled in the Workplace Solutions Financial Wellness program? (o Yes (- No -•. Is there an additional advisor or AFA who will provide service on this agreement? (. Yes (- No Additional Advisor Name Samuel Vaughan Advisor Email Samuel.Vaughan@ampf.com Franchise Owner Name Advisor ID 395648 Franchise Number NOTE: The agreement on file cannot be held in AFA name (franchisee restrictions). Completed agreements will be sent to the advisor listed in this '.. section. Associate Financial Advisors will be able to view, add new, cancel or renew agreements on behalf of the Franchise Owner. Organization Information Is this organization a government agency or contractor? (e Yes (' No Gifting guidelines may apply. Organization Name Phone Number Calhoun County (361) 553-4600 © 2020 Ameriprise Financial, Inc. All rights reserved. 115742 Page 1 of 3 C (11/20) 0 C] D00O203115742 n Street Address 211 S Ann St City 'Port Lavaca '.. Industry Classification (e.g., Health care, Retail, etc.) '.'.Local Government Contact First Name Richard Contact Title County Judge Estimated number of eligible employees/participants 260 Your Workplace Program Slate TX MI Last Name Meyer Contact Phone Number (361) 553-4600 Contact Email richard.meyer@calhouncotx.org The Workplace services we provide include • Ameriprise educational seminar(s) and promotional material • Financial wellness website • Complimentary initial consultation Optional Workplace services 0 Financial planning discount Please enter discount amount: $ 3 0 0 Terms and Conditions Program Communications ll You will assign an individual who will approve the content of communications ('Program Communications') to be sent to your participants as well as how those Communications will be sent. You agree that all Program Communications that refer in any way to Ameriprise require our approval prior to use. While the Program Communications are the property of Ameriprise, you retain the rights to !, any of your names, logos, protected marks, and your proprietary information. We grant you a non-exclusive, non -transferable revocable right to use our name, service marks and trademarks and to use and distribute our copyrighted materials only for the purpose of distributing Program Communications. You agree that we may include the name of your business on our list of clients. Hyperlinking You may create hyperlinks on your website that link directly to the Ameriprise website (with a current URL of www.amedprise.com) or '.. such pages within the website of Ameriprise or its affiliates as we agree. The license granted to you in the above paragraph applies to these hyperlinks. Zip Code 77979 Scope of Services Financial and retirement planning services provided under this Agreement are intended as general financial education and guidance for your participants. They are not intended as fiduciary investment advice under the Employee Retirement Income Security Act. Not all services will be available in every Program. Availability will vary based on structure of the specific Program. Restrictions Because you are not a broker -dealer, you may not legally engage in any of the following activities: (i) provide descriptions of Ameripdse's products or services that exceed the fact that such products or services are available through Ameriprise; (ii) recommend or endorse any specific investment product or service offered by Ameriprise; or (iii) take part in the financial services offered by Ameriprise, such as answering questions involving Ameriprise accounts or handling customer funds related to transactions with Ameriprise. Related questions from your participants must be referred to the Advisor. 115742 Page 2 of 3 C (11/20) 0 IIIIIIIIIIIIIIIIIIIIIIII IIIIIIII D000303115742 Confidentiality Neither party will disclose the other's confidential information to any third party unless agreed to in writing or we are required to do so by law or regulation. Confidential Information includes, but is not limited to, program materials, customer lists, personally identifiable information concerning any individual, and proprietary information such as strategies and business methods. Confidential Information does not include information that is rightfully known to the receiving party prior to entering this Agreement, independently developed by the receiving party without relying on the other parry's Confidential Information, or public knowledge. We will not use personally identifiable information except as necessary under this Agreement unless authorized or required by law. We will not disclose to you any participant's information we receive in providing financial services to that individual. Indemnification and Hold Harmless If a negligent or intentional act performed by one party under this Agreement causes the other party to suffer damages, the party committing the act will indemnify and hold the other party harmless only as it relates to those damages. Neither of the parties will be liable to the other for any incidental, indirect, consequential, or punitive damages of any kind that may arise out of this Agreement. Term of Agreement This Agreement is effective as of the dale it is signed and will continue for a period of two years. The Parties may extend the term of this Agreement via electronic mail and affirmatively forego any requirement for mutual signatures only for the purposes of extension. Any electronic mail used to renew or extend the term of this Agreement is incorporated into this Agreement. Either party may terminate this Agreement for any reason by providing at least thirty (30) days' written notice to the other party. Additional Terms This Agreement is governed by the laws of the state of Minnesota. Except as provided in the section entitled "Term of Agreement,' neither party may modify or amend this agreement without the written consent of the other party. This Agreement may not be assigned without consent of both parties. Contact Alliances and Institutional Programs Ameriprise Financial Services, LLC 977 Ameriprise Financial Center Minneapolis, MN 55474 Electronic Signatures You agree that this Agreement may be electronically signed. Electronic signatures are the same as handwritten signatures for purposes of validity, enforceability, and admissibility. Electronic signatures should be affixed in the form "IS/ [name of signer." Required Signatures - 1 Contact First Name MI Last Name Richard - Meyer Contact Signa r r Date (MMDDYYYY) 115742 - Page 3 of 3 C (11/20) 0 #17 NOTICE OF MEETING — 8/3/2022 17. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Surplus/Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 18 Calhoun County, Texas Surplus/Salvage Declaration Request Form Department Name: Memorial Medical Center Storage Units - County A c ion -JULY 2022 Requested By: Roshanda Thomas, Interim CEO - `_\r ` - '4 -I �-i INV# DESCRIPTION SERIAL# REASON FOR SURPLUS/SALVAGE 20- Bedside drawers Replaced/Good condition Diana Sauceda From: Jason Rubio Sent: Monday, July 11, 2022 1:27 PM To: Diana Sauceda Subject: Disposal 20 bedside drawers Thank You, Jason Rubio 832-687-4909 # Zs NOTICE OF MEETING — 8/3/2022 18. Consider and take necessary action to declare the attached list of items from Memorial Medical Center as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 18 Calhoun County, Texas Waste Declaration Request Form Department Name: Memorial Medical Center Storage nits—JXUL/�022 page 1 Requested By: Rosh@nda Thomas, Interim CEO �sj O�Z 04 DESCRIPTION• 1— Partial wood side table FOR WASTE No Longer Used/Broken 1— Old battery Pack No Longer Used/Over 10 yrs old 1— Table top No Longer Used 1— Warming blanket Not working/broken 1— Desk Broken 2 — Draw chair Broken 12 — Bedside tables Won't adjust to bedside 1— black Office fabric chair Hazard from Lab 1— Rocker Hazard from Lab 1—Tall office chair Hazard from Lab 1— Backup Hazard from Lab 1— Lab Testing equipment Hazard from Lab 1—Temperature Monitor Hazard from Lab 1— Computer equipment Hazard from Lab #19 NOTICE OF MEETING—8/3/2022 19. Consider and take necessary action to declare the attached list of items from R & B Precinct 4 as Surplus/Salvage. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 18 Gary D. Reese County Commissioner County of Calhoun Precinct 4 July 28, 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 August 3, 2022. • Consider and take necessary action to declare attached items as Surplus/Salvage to be sold at auction and remove from Precinct 4 Road & Bridge inventory. Sincerely, � Gary � Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: am.rccse r calhouncax.om - (361) 785-3141 - Fax (361) 785-5602 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: 570 — Pct 4 R&B Requested By: Commissioner Gary Reese Inventory Number 24-0409 Description 2002 Int'I 8 yd Dump Truck Serial No. 1HTSDAAL82H406868 Reason for Surplus/Salvage Declaration To be sold at auction 24-0396 2008 Big Tex Trailer Model 24E To be sold at auction 24-0294 1999 Case IH Tractor JJE1009943 To be sold at auction 24-0278 Rhino Post Hole Digger SPHD-16177 To be sold at auction 24-0438 Harrow — Athen 127 Offset 8' To be sold at auction 24-0155 Gopher Machine To be sold at auction 24-0423 50 I<W Generator To be sold at auction 24-0389 Mosquito logger Phoenix 1880 047 To be sold at auction 24-0309 Trailer:1992 Bels To be sold at auction # 20 NOTICE OF MEETING — 8/3/2022 20. Accept Monthly Reports from the following County Offices: I. County Treasurer — February 2022 ii. Tax Assessor -Collector — June 2022 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 18 0712212022 14:04 CALHOUN CO AUDITREAS (FAX)3615534614 P.0011003 CALHOUN COUNTY TEXAS COUNTY TREASURER'S REPORT MONTH OF. FEBRUARY MI BEGINNING BNDINO FUND FUND BAIANCR RECEIPTS DISBURSEMENTS FUNDBAIANCE FUNDS:OPERATING GENERAL S 34,590,640.16 $ 7.870.283.29 S 3,379,313.70 S 39.091AC9.75 AIRPORT MAINTENANCE 86,903.17 115.15 15,342.46 71.47516 APPELLATE JUDICIALSYSTEM 307.85 130,05 222.37 215.53 COURT FACILITY FOR FUND - 400.00 - 490.00 COASTAL PROTECTION FUND 2.219.126.30 386.90 221.588.00 1.996,925.10 COUNTY AND DIST COURT TECH FUND 9.196.34 67.22 - 6.253.56 COUNTY CHILD ABUSE PREVENTION FUND 735.49 0.21 - 735.70 COUNTY CHILD WELFARE BOARD FUND 1.047.07 0.18 1.047.25 COUNTY JURY FUND 555.21 136.39 691160 COUR7ROUSE SECURITY 275.115.35 1.723.63 - 276,89L98 COURT INITIATED GUARDIANSHIP FUND 13419231 92.32 - 13,384.63 DIST CLK RECORD PR69ERVATION FUND 40.865.15 117.13 - 40.982.99 COURT REPORTERS SERVICE FUND 612.56 36.39 - 649.45 CO CLK RECORDS ARCRIVB FUND 330ASAA4 4,087.63 - 334576.07 COUNTY SPECIALTY COURT FUND 5,037.78 317.98 - 5.355.76 COUINTY DISPUTE RESOLUTION FUND 454.26 454.26 DONATIONS 137,439.73 11706.90 118.14 119,028.49 DRUOIDWI COURT PROGRAM FUND -LOCAL 26,181,75 40.00 26,221.75 JUVENILE CASE MANAGER FUND 16,633.81 198.90 35462 16,477.99 FAMILY PROTECTION FUND 14.40125 2.51 - 14,483.78 JUVENILE DELINQUENCY PREVENTION FUND 9.267.31 1.62 - 9269,93 GRANTS 400.745.34 33,976.26 10,596.77 423,834.83 JUSTICE COURTTECHNOLOOY $9.737.97 547.63 - 90,309.60 JUSTICECOURT BUILDING SECURITY FUND 6.603.37 22.70 - 6.626,07 LATERAL ROAD PRECINCT81 4,340,06 0.76 4.340.92 LATERAL ROAD PRRCINCTB2 4.340,06 0.76 - 4340.92 LATERAL ROAD PR=NCTB3 4.340.06 0.76 - 040.92 LATERAL ROAD PRFK219CTB4 4.340.06 0.7E - 4340.82 LANGUAGE ACCESS FUND 128.56 - 128.56 JUROR DONATIONS. HUMANE SOCIETY 1.024.16 40.00 1,064,19 JUROR DONATIONS- VETERANS SERVICES 152.00 40.15 192.15 JUSTCE COURT SUPPORT FUND 471.30 471.30 PRETRIAL SERVICES FUND 66440.79 15.11 86455.90 LOCAL TRUANCY PREVENTTONIDIVERSION FUND 15.641.6E 559.93 16.201.61 LAW LIBRARY 213,041.45 047.15 1,149.15 212.859.45 LAW ENF OFFICERS STD. BDUC. (LEOSS) 29,452.42 S.14 29A57.56 POC COMMUNITY CENTER 29.329.35 205.11 1.096.01 28A37.85 RECORDS MANAGEMENT -DISTRICT CLERK 4,483A6 111.57 2,730.0D 11845.03 RECORDS MANAOEMENT•COUNTY CLERK 223336.99 4.131.45 3,513.0D 223,955A3 RECORDS MOMT D PMXRVATTON 40.019.06 1.125.01 - 41,141.07 ROADABRIDORGENRRAL 1.254.617.79 98,543.67 - 1.353,161.66 6MILE FIERMOAT RAMP INSUR)MAI4T 34377,62 5.99 34.383.61 CAPITAL FEW - BOGGY BAYOU NATURE PARK 198,733.00 - 198.73350 CAPITAL PROJ AMEIICAN RESCUE PLAN ACT OF 202 1,905.655.56 1.058.452.53 217.203.03 CAP PROD - MAGNOLIMNDIANOLA BEACH PA VR,10 316.010,00 316.010,00 CAPITAL FEW KING FISHER PARK 60.000,00 - 60,0DODO CAPITAL PROF- CDBO DR INFRASTRUCTURE 22,045.93 91,62413 50,558.72 63,111.61 CAPITAL PRO] CHOCOLATE BAYOU BOAT RAMP 231025.01 200.00 232,82S.01 CAPITAL PRO) • ELECTION MACHINES 0.21 - - 0.21 CAPITAL PROD -RB MFRASTRUCTURE 568.149.59 - - 568.149.59 CAPITAL FRO] ENERGY TRZR1 156.506.49 - - 156.588A9 CAPITAL FIND AIRPORT RUNWAY IMPROVEMENTS 14972.13 - 14.972.13 CAPITAL PROJ MAGNOLIA BEACH EROSION CONT 175.00D.00 - 175.000B0 CAPITAL PRO] EVENT CENTER 125.927.09 - I25,927D9 CAPITAL PROI FIRE TRUCKS @ SAFETY EQUIP 6,448.69 5,448.68 CAPITAL PROI-GREEN LAKE PARK 7.160.74 19AS7.50 19A57.50 7,160.74 CAPITAL PROI HATERIQS PARWROAT RAMP 13.241.49 - 13.245.49 CAPITAL PRO] FORT ALTO PUBLIC BEACH 1.494.79 - 1.434.78 CAPITAL PROD HURRICANE HARVEY FBMA 54,914.69 54,914.68 CAPITAL PRO) IMPROVEMENTS PROJECTS 344369.10 - 346.369.10 CAPITAL PRO] HOSPITAL IMPROVEMENTS 2,739.036.41 - 263.203.75 2A90,352.66 CAPITAL PRO] •MMC LOANS 40D0.00D.00 4,000,000.00 ARREST FF: S 1,134.22 16435 659.74 639.83 BAD. BOND FEES FHB 1940) 2,580.00 255AO 2,550D0 293.00 CONSOLIDATED COURT COSTS (4EW) 5.000.76 1.305.14 5.970.75 1.338.15 CONSOLIDATED COURT COS732020 37.003.05 9,580.40 37,002AS 9,580.60 DNATM77NGFUND 235.57 0.41 3537 250.41 DRUG COURT PROGRAM FUND -STATE 3513 35.99 .7 SUBTOTALS Sl0896248.92 7 4 7 PRSc 1 of 3 0712212022 14:04 CALHOUN CO AUDITREAS Q:A1g3615534614 P.0021003 COUNTY TREASURER'S REPORT MONTH OF. FEBRUARY2022 BEGINNING ENDING PUND PUNDBAIwN RECE/PlS DISBURSEMAl fS PUND MMN OPERATING FUNDS -BALANCE FORWARD S 50,896,248.92 $ 8.439.754,5 5,709,56231 S 53,646,"1.39 ELECTION SERVICES CONTRACT ELECTRONIC FILING FEE FUND 32,740.66 0.00 14.37 326.55 - - 82,733.03 326.55 EMSTRAUMAFUND 2.493.31 731.23 2.366.75 857.79 FINES AND COURT COSTS HOLDING FUND INDIGENT CIVI.LEGAL SERVICE JUDICIAL FUND(ST. COURT COSTS) JUDICIAL 66 COURT PERSONNEL TRAINING FUND JUDICIAL SALARIES FUND JUROR DONATION -TX CRIME VICTIMS FUND JUVENILE PROBATION MMTUOON LIBRARY GIFT AND MEMORIAL MISCELLANEOUS CLEARING REFUNDABLE DEPOSITS STATE CIVIL "S FUND CIVIL JUSTICE DATA REPOSITORY FUND JURY REIMBURSEMENT FEE STATE CONSOLIDATED CIVIL FEE FUND SUBTITLE C RIND SUPP OF CRIM INDIGENT DEFENSE TIME PAYMENTS TRAFFIC LAW FAILURE TO APPEAR UNCLAIMED PROPERTY TRUANCY PREVENTION AND DIVERSION FUND BOOT CAMPDUAHP JUVENILE PROBATION 7.847.31 112.40 33.95 19.49 727.66 369.00 62,57 40,683.92 10,436.71 2,000.00 165.03 5.94 483.47 O.OD 13,783.37 269.62 091.56 1.319.67 12.774.73 31OA3 147A3 418.596AD - 15.00 45.00 60L47 7.09 239.64a.23 660.20 0.91 91.17 3.077.35 3.332.03 65.60 214.23 329.02 11.18 36.2E 10 83.34 37.10 33.95 721.16 - - 239.076.77 136,03 6.03 483.9E 11.03.04 267.78 1.029.51 1.135.91 1 197AO 41.79996 7.847.31 75.30 15,00 64.49 610.91 369.00 62.57 40.691.01 11.004.21 2JD0.00 689.20 0.52 00,6E 3,077.88 3.472.36 67A4 120.28 29258 12.715.91 149.31 147,43 SUBTOTALS TAXES W ESCROW 51.552.622.82 0.00 S 8,719,3 ,7 0.00 $4.251,203.70 0.00 TOTAL OPERATING FUNDS / 7 OTHER FUNDS D A FORFEITED PROPERTY FUND SIHIUFF NARCOTIC FORFEITURES CERT OF OB-CRTHSR REF SERIES 2010 CERT OF OB-CRTHOUSE IRS SERIES 2012 CAL. CO. FEES Q PINES 12.339.45 16.006.90 37I39D.94 484,203.71 110651.23 0.482.23 17,474.16 147.152.63 190,257.22 M226.9S 1.578.19 26.700.00 11,4750 21,341.6E 31.903.57 489,843.S7 662.995.93 107049.75 MEMORIAL MEDICAL CENTER OPERATING MONEY MARKET INDIGENT HEALTHCARE PRIVATE WAIVER CLEARING FUND CLINIC CONSTRUCTION SERIES 2014 NH ASFORD NH BROADMOOR NH CRESCENT NH FORT BEND NH SOLRRA NH GOLDEN CREEK NH SOLERA OACA NN ASHFORDDACA NHBROADMOORDACA NH GULF POINTE-PRIVATE PAY NH GULF POINT PLAZA MEDICARE IMEDICAID NH BETHANY SENIOR LIVING NH TUSCANY VILLAGE TOTAL MEMORIAL MEDICAL CENTER FUNDS 5393.921.75 1.100.966.76 41.173.74 431,41 536.13 167.960.52 102984.23 79.494.30 83,123A9 145,612.40 64,SB2S7 0.00 ODO 0.00 10.973.70 75.085.63 241.953.09 M.M.32 4263,067,73 212.79 10.164,50 0.03 0.06 376.343.49 379,343.64 303,80d.60 119.490.55 560.268.46 463.359.28 - - 101.671.62 402.339.76 851.513.94 429342.15 3A84,990.03 - 36.154.67 - 357.745.93 225.781,56 167,719.30 148.193.59 319.585.30 208.872.66 - 44.307.18 2M,802.84 745,223.26 380072.63 S 6,172.099.45 S 1,109,779.15 15,18347 4316E 536.19 386,558.08 256.549.29 215,579.19 116,407.44 386.301.48 319,269.10 0.00 0.00 D,00 d9X&14 232.622.55 348.243.77 254.509.94 5 7 3,321,114.62 DRAINAGE DISTRICTS NO.6 NO.8 NO, 10•MAI TBNANCE NO. II.MAINTSNANCEIOPERATING NO, I7•RESERVE TOTAL DRAINAGE DISTRICT FUNDS 33,039.87 147,112.15 2D9,225.36 219,672.DO 229662.11 S 335.22 4.335.07 9.693.60 56,339A1 W7 $ 94.50 100.62 2.121.37 32.258.40 8 33380.59 15IJ66.60 215,787.79 243.923.01 225688.11 1. 604,89 S 870046. CALHOUN COUNTY WCID 01 OPERATING ACCOUNT PAYROLLTAX S 176.403.85 5 621.93 240.594.91 0.00 40.52 0.00 S 416.%874 S 177 03 TOTAL WCM FUNDS CALHOUN COUNTY PORT AUTHORITY a 7 MAINTENANCE AND OPERATING 237.10 S 2,192,51 S339.61 CALHOUN COUNTY FROST BANK . 7 $ S 5.0pi 993.87 41.31 6 6,378,004.97 11 S 67.14 TOTAL MMC. DR. DISC, NAY. DIST, WCID a: FROST 8 61,350373,65 6 18,070.679.56 6 12,588,357.07 S 648324i95.31 TOTAL ALL FUNDS Page 2 of 07/2212022 14:04 CALHOUN CO AUDITREAS TAX9615534614 P.0031003 COUNTY TREASURER'S REPORT I MONTHOF: FEBRUARY 2022 RANKRECONCIUlATfON tz$$ICERT.OFDEP/ FUND OUTSTNOG OEM PLUS. CHECKS SANK FUND BALANCE OTHER!TESTS OUTSTANDINO RAMNCE OPERATING" $ 54,261,203.70 S 15.000.708,86 S 53.599.61 3 39,314,093.45 OTHER D A FORFEITED PROPERTY FUND 21341.68 - 21,341.63 SHERIFF NARCOTIC FORFEITURES 31.903.57 185.00 32.088.37 CERT OF Oa•CRTH$E REP SEEMS 2019 489.843.57 - 489.84337 CERT OF OR•CRTHOU3E HIS SERFS 3012 662,913.93 662,995.93 CAL. CO FEES & PINES 107.049-75 16,290.83 11.961.36 102,721.29 MEMORIAL MEDICAL CENTER OPERATING 2 6,172,099.45 - 411.57A.10 6383,623,55 MONEY MARKET 1,109,779.55 - 1,109,779.55 INDIGENT HEALTHCARE 15,133.57 10,073.69 351.59 5,451.47 PRIVATE WAIVER CLEARING FUND 431.66 - 431.66 CLINIC CONSTRUCTION SERIES 2014 536.19 536.19 NH ASHFORD 386338D8 - 38635108 NHBROADMOOR 256.949.29 - 256348.29 NH CRESCENT 215.$79.I9 - - 215379.19 NHFORTBBND 116.407,44 - - 116,407.44 NH SOLERA 386.301A8 - - 386301A8 NH GOLDEN CREEK 319.269.19 - 319.259.19 NHSOLERADACA 0.00 - 0,00 NH ASHFORD DACA GAD - 0.00 NH BROADMOOR DACA 0.00 0.00 NH GULF POINT PRIVATE PAY 68,33B.14 69,338.14 NH GULF POINTE PLAZA MEDICARE I MEDICAID 252.622.55 - 252,622.55 NH BETHANY SENIOR LIVING 348,243,77 - 348.243.77 NH TUSCANY VILLAGE 254,509.84 - 254.509.84 DRAINAGE DI$TRRCr, NO.6 33,290.59 94.50 33.373.09 NO.8 131,366.60 - 100.62 ISIA67-22 NO, 10 MAINTENANCE 215,767.79 - 121.37 215.909.16 NO, 11 MAINTENANCP/OPBRAMNO 243.923.01 - 534.10 244A77,I NO, I RESERVE 225.088.11 - 225.589.11 CALHOUN COUNTY WCm 01 OPERATING ACCOUNT 416.948.24 416".21 PAYROLL TAX 628.93 628.93 CALHOUN COUNTY PORT AUTHORITY MAINTENANCBIOPERATINO "'" 66339.61 - 66,339.61 CALHOUN COUNTY FROST BANK 1,995.87 - - 1,99517 4 •"•" THE DEPOSITORY FOR CALHOUN COUNTY WCID IS INTERNATIONAL BANK OF COMMERCE- PORT LAVACA x4rr THE DEPOSITORY FOR CALHOUN W. NAVIGATION DISTRICT IS FIRST NATIONAL BANK -PORT LAVACA xxx" THE DEPOSITORY FOR CALHOUN COUNTY FROSTIS FROST BANK - AUSTIN. TEXAS xxx4 BASTWEX BANK COS. OPERATING FUND 515,000,000.00 THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS PROSPERITY BANK, PORT LAVACA \ Court costs and fees collected and reported may not be current to ate ue to nomDl[ cc y other cc my offices. 1 hereby certify that the current balances are correct to all moni that ave ee receive y th 1 unt Treasurer Jos of the date of this report. I A TREASURER Page 3 of3 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT JUNE 2022 COLLECTIONS DISBURSEMENTS Tide Certificate Fees 580 $ 7,800.00 Title Fees Paid TXDMV $ 4,900.00 Title Fees Paid County Treasurer Salary Fund $ 2,900.00 Motor Vehicle Registration Collections $ 193,075.23 Disabled Person Fees $ 85.00 Postage $ Global Additonal Collections $ 31.77 Paid TXDMV $ 167,846.81 Paid TXDMV SP $ 25,614.08 Paid County Treasurer $ - Paid County Treasurer Salary Fund $ 7,288.70 DMV CCARDTRNSFEE $ 2,411.64 4 - GL Additonal Collections $ 31.77 $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 1,776.74 GLOBAL Fees In Excess of Collections $ 667.67 MERCH SERVICES STATEMENT $ - Additional Postage -Vehicle Registration $ - PaidCountyTreasurer-Additional Postage $ - Motor Vehicle Sales & Use Tax Collections $ 682,142.84 Paid State Treasurer $ 682,142.84 Special Road/Bridge Fees Collected $ 26,340.00 Paid County Treasurer- RIB Fees $ 26,340.00 Texas Parks & Wildlife Collections $ 5,012.00 TPW GLOBAL CC TRANSACTION FEES $ 86.02 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 4,510.80 Paid County Treasurer Salary Fund $ 501.20 P&W CCARDTRNSFEE $ 86.02 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fees $ 104.06 GLOBAL In Excess/Shortage of Collections $ (18.04) Boat/Motor Sales & Use Tax Collections $ 42,319.08 Paid State Treasurer $ 40,203.13 Paid County Treasurer, Salary Fund $ 2,115.95 TABC 5% CO COMMS FOR MONTH OF $ - TABC 5% CO COMMS FOR MONTH OF DECEMBER 2020 $ - Paid County Treasurer, Salary Fund $ - County Beer & Wine Collections $ 1,226.00 Paid County Treasurer, County Beer& Wine $ 1,102.50 Paid County Treasurer, Salary Fund $ 122.50 INTEREST EARNED ON OFFICE ACCOUNT $ 24.18 Paid County Treasurer, Nev. East $ 0.02 Paid County Treasurer, all other districts $ 24.16 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 1.83 Paid County Treasurer, Interest on P&W Ace $ 1.83 INTEREST EARNED ON REFUND ACCOUNT $ 0.05 Paid County Treasurer, Interest on Refund Ace $ 0.06 Business Personal Property - Misc. Fees $ 27.59 Paid County Treasurer. $ 27.59 Excess Funds $ - Paid County Treasurer $ - Overpayments $ 3.06 Current Tax Collections $ 155,745.19 Penalty and Interest - Current Roll $ 14,884.86 Discount for early payment of taxes $ - Delinquent Tax Collections $ 3,228.53 Penalty&Interest - Delinquent Roll $ 3,495.49 Collections for Delinquent Tax Attorney $ 2,036.02 Advance - FM & L Taxes $ 115.23 Advance- County AdValorem Taxes $ 173,018.74 Paid County Treasurer -Nev. East $ 255.66 Paid County Treasurer- all other Districts $ 3,967.59 Paid County Treasurer- Delinq Tax Atty. Fee $ 2,036.02 Payment in Lieu of Taxes $ - Paid County Treasurer - Navig. East $ - Paid County Treasurer -All other Districts $ - Special Farmers Fees Collected $ 65.00 Paid State Treasurer, Fanners Fees $ 66.00 Hot Check Collection Charges $ 15.00 Paid County Treasurers, Hot Check Charge $ 16.00 Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunded $ - Escheats $ - Paid County Treasurer -escheats $ TOTAL COLLECTIONS $ 1,137,643.73 TOTAL DISBURSEMENTS $ 1,137,643.73 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 1,137,643.73 KERRI BO D Tax Assessor -Collector 461 Lt #-I-- RICHAF9YH MEYER County Judge #21 NOTICE OF MEETING — 8/3/2022 21. Consider and take necessary action on any necessary budget adjustments. (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 18 i ly O v N O fT m ml Z u: a; m a: m Z m Z N .1i z 3€ C m Z m m r: m mE 3 O` z C fZA i � � E 0 N O O N 0 O =o n C o� n� 00 za m o p � z a n N 3 o co D 0 z m a 3�z O e T 0 O z 0 r m A x O D r CZ O A m �P 0 a 1 3 Z 0 N C z �W p rz z e �00 zZZ j a r Y m m z mu, m m z zi i � 3 � m �J: Z � a 3: °< m m O? p OE C: Z: Z �e �' pnl �'• � C CAE C m: rn n c O a m m m a r c O v: m: a: 3 m: Z: o O it a N O O p mac m0-0 2Zm N m m < O m (mJA� Nm -,o p m m aZ m NN m m a m 2 0 w p i 0� n�= O a 0 o o o a 30�0 r A m a co m 2 1 -Z -Z < o m o N � N O O a n r r 4� aZ 0 0 0 0 0 0 0 0 0 M T T O V coo o N O O o 0 0 4 V :l O O O O O T f9 E9 !A O O O C3 O O o 0 0 n 0 c m N M O m m Z ° a€ m m m: m Z. -I z Z': 3€ mE m m@ � F. m mE 3 O° OE Z: m y m= a: me z: o Ve 0: Z v Z m m m n r C v - ■ z ■ ■ 0; k ■ % z; ■ Z § § §; m § ; § »; P: k \ 3 § m B ) ■■� ;■| ) k( ■� 7§� /§ 2 m� m ) !® ° ) §§ | >) � | o! m: §§ m `| _ §§� § ■� - cn $ | ON- § § n §® � m | ` m r � | §§� - §B ; §■ ' ■ - ) | § � § ?BB § k 0 0 z O X A G) m M m n 1 N 0 a r a m0 = � m m=_ V 0 J q z v a=_ 3 m �= n3<o Z D - D m $_ :;0> m Z= � -off y 1=_ �zZD O ZB -� 0 D m ? ae C { A eaa < (p 0 O M_ � a m 3 v O� D X G= 0 z a= Z 0 0 0 0 0 m=_ o AA .b - Z ;o M= y Z Z Z Z ME =_ Z A y y y Z_ a o z �- O O = pzp x 9 0 0 0 0 0 0 m=ag m_ o 00000 Z= O O O O O O T N= O 00000 T = e Rum PA F Wy O O O O 6i T = O O O O O O m z a < m O C Z U) OD O c 0 n m m Z n r C 0 c 0 2 Q 0 0 010�0 ololo UI W .100 O O o o�olo c 0 0 O # zz NOTICE OF MEETING — 8/3/2022 22. Approval of bills and payroll. (RHM) MIMIC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:43 a.m. Page 18 of 18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---August 03, 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLLAND. ELECTRONIC BANK PAYMENTS $ 968,271.03 TOTAL TRANSFERS BETWEEN FUNDS $ 153,160:19 TOTAL NURSING HOME,UPL EXPENSES $ 1,531,743182' TOTAL INTER-GOVERNMENTTRANSFERS$ _ 12,629421, ✓ GRAND TOTAL DISBURSEMENTS APPROVED Au ust 03, 2022 $ 2,656;604 26s, `� MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---August 03, 2022 PAYABLES AND PAYROLL 7/28/2022 Weekly Payables 448,652.91 8/1/2022 McKesson-340B Prescription Expense 6,069.67 8/1/2022 Amedsource Bergen-340B Prescription Expense 514.71 8/1 /2022 Payroll Liabilities -Payroll Taxes 126,545.20 8/1/2022 Payroll 370,170,37 Prosperity Electronic Bank Payments 7/25-7/29/22 Pay Plus -Patient Claims Processing Fee 318.17 TOTAL PAYAB,LES, PAYROLL ANQ ELECTRONIC BANK PAYMENTS $ 9611,271.03, TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 7/2812022 MMC Operating to Solera-correction of NH insurance payment deposited into 13.829.09 MMC Operating 7128/2022 MMC Operating to Crescent -correction of NH insurance payment deposited 4,180,00 into MMC Operating in error 7/28/2022 MMC Operating to Golden Creek -correction of NH. insurance payment 9,887.10 deposited into MMC Operating in error 7/28/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 8,131.59 deposited into MMC Operating 7/28/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 76,093.74 deposited into MMC Operating 7/28/2022 MMC Operating to Bethany -correction of NH insurance payment deposited 38,826.67 into MMC Operating in error TRANSFER OF FUNDS BETWEEN NURSING HOMES/MMC 8/112022 Crescent to Tuscany -correction of Tuscany insurance payment deposited into 2,212.00 Crescent in error TOTAL TRANSFERS�BETWMWFUNRIS $ 153,16019- NURSING HOME UPL EXPENSES 8/1/2022 Nursing Home UPL-CanLm Transfer 1,097,586.30 8/1/2022 Nursing Home UPL-Nexion Transfer 86,533.91 8/1/2022 Nursing Home UPL-HMG Transfer 106,672.94 8/1/2022 Nursing Home UPL-Tuscany Transfer 172,901.02 8/112022 Nursing Home UPL-HSL Transfer 69,150.65 TOTAL NURSING HOME UP,L EXPENSES $: 1,531l743i82, INTER -GOVERNMENT TRANSFERS 81112022 IGT CHRIP PGY1 to be paid on August 09, 2022 12,629.21 TOTAL INTER=GOVERNMENT TRANSFERS $ 124,62921; GRANQTOTigLDISBURSEMENTSAPPROVEDAU ust03,2022 $,'2,655,80425 Page 1 of 12 RECEIVED BY THE COUNTY AUDITOR ON JUL 2 8 ZOZZ MEMORIAL MEDICAL CENTER 07/28/2022 0 CAL -Hai COUNTY, TEXAS AP Open Invoice List ap_open_invoica.template Due Dates Through: 08/18/2022 Vendor# Vendor Name Class Pay Cade 11980 ALAMO SCIENTIFIC, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 922938 , " 07/28/20 07/12/20 07/28/20 135.00 0.00 0,00 135.00 r/ SUPPLIES 922949 ✓ 07/28/20 07/13/20 07/28/20 74.00 0.00 0.00 74.00 .� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net t 11960 ALAMO SCIENTIFIC, INC 209.00 0.00 0.00 b 209.00 Vendor# Vendor Name Class Pay Code 14028 AMAZON CAPITAL SERVICES ,/ Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1K3JDDTRRT49 ✓/ 07/28120 07/15120 08/14/20 284.40 0.00 0.00 284.40 SUPPLIES 1 YVJY307DF64✓ 07/28/20. 07119/2008/15/20 622.20 0.00 0.00 622.20 f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 906.60 0.00 0.00 906.60 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 2586148 ✓ 07/27/20 05/01/20 05/31/20 483.00 0.00 0.00 483.00 ✓f LAB STAFFING (4-13-'1^I'ljj' )Gtvs}t A- 2574673 07/27/20 05/02/20 06/01/20 2,705,13 QA0 0.00 2,706.13 „! LABSTAFFING I1WIUK9 2584636 07/27/20 05/02/20 06/01/20 2,760.00 0.00 0.00 2,700.00 LAB STAFFING �LillS-"1'I1112�-�$�YWNirJ�. 2594044 07/27/20 05/09/20 06/08/20 2,412.00 0.00 0.00 2.412.00 w^ l LAB STAFFING C41 Zy- vl- j J-'112-b) Rku) U.itn.S 28238781/ 07l27/2005l30/2006/29120 3,400.00 0.00 0.00 3,400.00 ✓ LAB STAFFING (5 113- 5114144) ShMI / 2665426 ✓ 07/27/20 07/04/20 08/03/20 3,400.00 0,00 0.00 3,400.00 LAB STAFFING L4111- ttI a1=) S6b4i Vendor Total; Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 15,160.13 0.00 0.00 15,160.13 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE GO../w Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 987603 ✓` 07/26/20 06/29/20 07/14/20 79.47 0.00 0.00 79.47 SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO, 79.47 0.00 0.00 79A7 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE w Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1 /Comment 76689016 i/ 07/13/20 06/25/20 07/20/20 591,50 0.00 0.00 $91.50 S / t Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/Itrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report525785... 7/28/2022 Page 2 of 12 B1150 BAXTER HEALTHCARE 691.50 0,00 0.00 591.50 Vendor# Vendor Name r Class Pay Cade B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 109996374 1/07/27/20 07/05/20 07/30/20 163.49 0.00 0.00 163.49 ✓ SUPPLIES 7320386 w/ 07/27/20 07/05/20 07/30/20 7,460,31 0.00 0.00 7,460.31 SUPPLIES 110008456 v1 07/27/20 07/06/20 07/31/20 164.96 0.00 0100 i 164.96 ✓ SUPPLIES 110000490 07/27/20 07/06/20 07/31/20 822.72 0.00 0.00 822.72 /SUPPLIES 109998703 ✓ 07/27/20 07/06/20 07/31 /20 327.98 0.00 0,00 327.98 ✓'� SUPPLIES 110002286 ,/ 07/27/20 07/07/20 08/01/20 2,813.79 0.00 0.00 2.813.79 ✓'� 110008723 ✓ 07/27/20 07/11/20 (18/05/20 12,443.10 0.00 0.00 12,443.10 SUPPLIES 110008465 ✓ 07/27/20 07/11/20 08/05/20 991.88 0.00 0.00 991.88 „f SUPPLIES 110008582 07/28/20 07/06/20 07/31/20 136.48 0.00 0.00 136.48 ✓� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 25,324.71 0.00 0,00 25,324.71 Vendor# Vendor Name Class Pay Code 61320 BEEKLEY CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check D'Pay Gross Discount No -Pay Net INV1536037 ./ 07/27/2006/15/2007/27/20 541.45 0.00 0.00 541,45 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 61320 BEEKLEY CORPORATION 541.45 0.00 0.00 54145 Vendor# Vendor Name Class Pay Cade / 12324 BLUE CROSS BLUE SHIELD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071822 07/27/20 07/18/20 08/01120 221,861.97 0.00 0.00 221,861.97 PAYROLL DEDCUT , Vendor TotalE Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE SHIELD 221,861,97 0.00 0.00 221,861.97 Vendor# Vendor Name Class Pay Code J 14260 CAREFUSION SOLUTIONS,LLC ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 10019128925 �/ 07/27/2007111/2008/01/20 2.00 0.00 0.00 2,00 MAINT 10019128917,/ 07127120 07111/20 08101/20 1,788.00 0.00 0.00 / 1,788.00✓ MAINT Vendor TotalENumber Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1.790.00 0.00 0.00 1,790.00 Vendor# Vendor Name Class Pay Code 11030 COMBINED INSURANCE/ Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 070122 07/27/20 07/01120 07/31/20 612.18 0,00 0.00 612.18 ✓� file:///C;/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report525785... 7/28/2022 Page 3 of 12 PAYROLLDEDUCT , Vendor Totals Number Name Gross Discount No -Pay Net 11030 COMBINED INSURANCE 612.18 0.00 0.00 612.18 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 296733 „/'� 07/27120 07/14/20 07/27/20 188.82 0.00 0.00 188,82 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 188.82 - 0.00 0.00 188.82 Ventlor# Vendor Name ass Pay Code 14292 DEARBORN LIFE INSURANCE COMPAN Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 071322 07/27/20 07/13/20 08/01/20 3,806.81 0.00 0.00 3,806.81 VISION & VOLUNT LIFE Vendor Totals Number Name Gross Discount No -Pay Net 14292 DEARBORN LIFE INSURANCE COMPAN 3.806.81 0.00 0.00 3,806.81 Vendor# Vendor Name Class Pay Code 10060 DETAR HOSPITAL ✓ ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net DTR2206022✓ 07/27120 07/01120 08/01/20 611.00 0.00 0.00 611.00 LAS SERV Vendor Total; Number Name Gross Discount No -Pay Net 10060 DETAR HOSPITAL 611,00 0.00 0.00 611.00 Vendor# Vendor Name Class Pay Code / 10368 DEWITT POTH & SON ,!' Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Grass Discount No -Pay Net 6878390✓ 07/27/20 07/15/20 08109120 727.50 0100 0.00 727.50 SUPPLIES 6876670 ✓ 07/27/20 07/15/20 08/09/20 221.48 0.00 0.00 221.48 J� SUPPLIES 6876690 07127/20 07/16/20 08/09120 139,46 0.00 0.00 139.40 SUPPLIES / r 6878591 J 07/27/20 07/1 W20 0811 V20 1.40 0.00 0.00 1.40 SUPPLIES 6878970 07/27/20 07/19/20 08/13/20 50.62 0.00 0.00 50.62 V' SUPPLIES 6881870 ✓ 07/27/20 07119/20 08/13/20 137.41 0.00 0.00 137.41 -� SUPPLIES 6882040 ✓ 07/27/20 07/20/20 08/14/20 181.90 0100 0.00 181.90 ✓� SUPPLIES 6882320✓ 07/27/20 07/20/20 08/14/20 45.85 0.00 0.00 45.85 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,505.62 0.00 0.00 1,505.62 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS f Invoice#✓ / Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 41403 07/27/2007/31/2008/10/20 40.062.50 0.00 0.00 40,062.50 ✓� ER PHYSICIAN STAFFING Llti-6p1K) Vendor Totals Number Name Gross Discount No -Pay Net file://!C:/Users/ltrevino/cpsihnenuned,cpsinet.con/u88125/data_5/tmp_cw5report525785... 7/28/2022 Page 4 of 12 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name .Class Pay Code 10042 ERBE USA INC SURGICAL SYSTEMS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net . 765039 f 07/27/20 07/13/20 07/27/20 139.50 0.00 0100 139,50 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 139.50 0.00 0.00 139,50 Vendor# Vendor Name Class Pay Code R1185 FARAHJANAK ✓ Invoice# Comment Tran Dt Inv or Due Dt Check D' Pay Gross Discount No -Pay Net 072022 07/27120 07/20/20 08/01/20 12.56 0.00 0.00 12.56 TRAVEL REIMB tit CDUKt y Kiltxgt.- rAArt4t4jnJ J Vendor Total¢ Number Name Gross Discount No -Pay Net R1185 FARAHJANAK 12.56 0.00 0.00 12.56 Vendor# Vendor Name Class Pay Cade t / F1400 FISHER HEALTHCARE v' M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 4440377 ✓/ 07/28/20 071O8/20 08/02/20 106,54 0.00 0.00 106.54 SUPPLIES / 4482212 ✓ 07/28/20 07/11/20 08/05/20 2,498,14 0,00 0.00 2,498.14 ✓ SUPPLIES 4525608 v// 07/28/20 07/12/20 08/00/20 504.26 0.00 0.00 $04.26 SUPPLIES 4525607 07/28/20 07/12/20 08/06/20 32&68 0,00 0.00 323.68 ✓� ,SUPPLIES , 4,968723 ✓ 07/28/20 07/13/20 08/07/20 23.30 0.00 0.00 23.30 ✓' SUPPLIES 4614040 ✓ 07/28/20 07/14/20 08/08120 213.82 0.00 0.00 213.82 f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 3,669.74 0.00 0.00 3,869.74 Vendor# Vendor Name Class Pay Code 12636 FUSION CLOUD SERVICES, LLC Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 071622 07/27120 07/16120 08/15/20 1,0%72 0,00 0.00 1,069.72 ..' TELEPHONE , Vendor Totals Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 1,069.72 0.00 0.00 1,069,72 Vendor# Vendor Name Class Pay Cade /, 13960 G & S MANAGEMENT GROUP LLC Invoice# Comment Tran Ot Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net $40385503 "/ 07/13/20 07/12/20 08/12/20 qA ^ytr:"q 2,07�76 0.00 0.00 2,07/76 0-44 '! t+ DISPOSAL Vendor Totals Number Name Gross Discount No -Pay Net 13960 G & S MANAGEMENT GROUP LLC TOWI!i2,0706 0.00 0.00 2,07/.76 `kli-A,'14 Vendor# Vendor Name Class Pay Code 11149 GBS ADMINISTRATORS, INC ,/- Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 649008088714 07/27/20 06/30/20 07/31/20 2,738.55 0.00 0.00 2,738.55 INSURANCE file:///C:/Userslltrevino/epsi/memmed.cpsinet.com/u88125/datB_5/tmp_cw5report525785... 7/28/2g22 Page 5 of 12 Vendor Totals Number Name Gross Discount No -Pay Net 11149 GSS ADMINISTRATORS, INC 2,738.55 0.00 0.00 2,738.55 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6002164660 07/28/20 07/01/20 07/31/20 3.588.58 0.00 0.00 3.588.68 CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, LLC 3,588.58 0.00 0.00 31588.58 Vendor# Vendor Name Class Pay Code W1300 GRAINGER „% M Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 9375017026 07/28/20 07/13/20 08/07/20 120,08 0.00 0.00 120.08 ✓� S PLIES 9375017010 07/28/20 07/13/20 08/07/20 104.45 0,00 0.00 104.45 .% SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 224.53 0100 0.00 224.53 Vendors Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY % M Invoice# ,Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2258465 ✓ 07/27/20 07/12/20 08/11/20 172,24 0.00 0.00 172.24 /SUPPLIES 2260989 ✓ 07/27/20 07/19/20 08/15/20 481.32 0.00 0.00 481.32 ✓� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01210 GULF COAST PAPER COMPANY 653.56 0.00 0.00 653.56 Vendor# Vendor Name Class Pay Code H1399 HILL -ROM COMPANY, INC ✓� M Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 151 P901 „% 07/28/20 07/14/20 07/28/20 177,56 0.00 0.00 177.66 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net H1399 HILL -ROM COMPANY, INC 177.56 0.00 0.00 177.56 Ventlor# Vendor Name / Class Pay Code H0416 HOLOGIC INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 10193682 07/28/20 07/08/20 07/28/20 236.25 0.00 0.00 236.25 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 236.25 0.00 0.00 236.25 Ventlor# Vendor Name Class Pay Code 12868 HOLT CAT ,/' Invoices Gam ant Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net WIEZo033913 7 07127120 00/28/20 07/13120 559.50 0.00 0.00 559.50 ✓r 250/HOUR MAINT W IEZ0033912 ✓ 07/27/20 06/28/20 07/13/20 569.50 0.00 0.00 559.50 260 HOUR MAINT Vendor Totals Number Name Gross Discount No -Pay Net 12868 HOLT CAT 11119.00 0.00 0.00 11119,00 Vendor# Vendor Name Class Pay Code file:///C:/Users/ltrevino/cpsi/memmed.epsinet.com/u88125/data 5/tmp`cw5report525785... 7/28/2022 Page 6 of 12 11312 INRAD Invoice# /, Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 936470 �/ 07/28/20 07/12/20 07/28/20 286,00 0.00 0.00 286.00/ SUPPLIES Vendor TotalENumber Name Gross Discount 11312 INRAD 286.00 0.00 Vendor# Vendor Name Class Class Pay Code 12932 INTRADO ,/ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount / 281196 ,/ 07/27/20 06/30/20 07/30/20 822,29 0.00 HOUSE CALLS Vendor Total, Number Name Gross Discount 12932 INTRADO 822.29 0.00 Vendor# Vendor Name Class Pay Code 14316 JUNXION MED STAFFING V/ Involce# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount MMCWE030522 ,/ 07/27/2003/11/2004/1=0 9.145.00 0.00 ICUSTAFFING DtS6},A MMCWE043022 ✓ 07/27/20 05/13/20 05/28120 9,222,50 0.00 ICU NURSE STAFFING (, 4114- 4I3e 1 ^) nCZk.H LI MMC061122 4f/07127/20 06115/20 06130/20 6,463,75 0.00 ICU NURSE STAFFING L419 -4I1ilz-) "6kl Vendor Totals Number Name Gross Discount 14316 JUNXION MED STAFFING 23,831.25 0.00 Vendor# Vendor Name Class Pay Code / K1049 KENTEC MEDICAL INC ,/ Involce# /Comment Tran Dt Inv Dt Due of Check D Pay Gross Discount 1133610 ✓ 07/28120 07/13/20 07/28/20 39.60 0.00 SUPPLIES Vendor TolalE Number Name Gross K1049 KENTEC MEDICAL INC 39.60 Vendor#Vendor Name Class Pay Cade 11600 LEGAL SHIELD Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross 071522 07/27/20 07/15120 08/01/20 410.75 PAYROLL DEDCUT Vendor Total: Number Name Gross 11600 LEGALSHIELD 410.75 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Dt DueDt Check D Pay Gross 19.978953 ✓ 07/27/20 07/1212D 07/27/20 36.37 SUPPLIES 19500065 r% 07/27/20 07/15/20 07/30/20 85.12 /SUPPLIES 19598784 ✓ 07/27/20 07/18/20 08/02/2o 588.09 SUPPLIES 19598715 / 07/27/20 07/18/20 08/02/20 78.68 SUPPLIES I 19598875 „i 07/27/20 07/1 B/20 08/02/20 472.50 0.00 SUPPLIES No -Pay Net 0.00 286.00 No -Pay Net 0.00 822.29 No -Pay Net 0.00 822.29 No -Pay Net { 0.00 9,145.00 ✓` 0100 9,222.50 .,X 0.00 5,463.75 ✓ No -Pay Net 0.00 23,831.25 No -Pay Net 0.00 39.60 Discount No -Pay Net 0,00 0.00 39.60 Discount No -Pay Net 0.00 0.00 410.75 Discount No -Pay Net 0.00 0.00 410.75 Discount No -Pay Net 0.00 0.00 36.37. '( 0.00 0.00 85.12 ✓'� 0.00 000 588.09 0.00 0.00 78.68 ✓ 0.00 472.50 y./' file:///C:lUsers/ltrevinolcpsilmemmed,cpsinet.com/u88125/data 5/tnip_cw5report525785... 7/28/2022 Page 7 of 12 Vendor Totals Number Name Gross Discount No -Pay M2178 MCKESSON MEDICAL SURGICAL INC 1,260.76 0.00 0.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Cofmment Tran Dt Inv Dt Due Dt Check D Pay Gross 2218013655 ✓ 07/19/20 07/04/20 07/29/20 68.87 SUPPLIES 2217619765 07/27/20 07/01/20 07/26/20 212.95 SUPPLIES ✓ 2217619764 07/27/20 07/01/20 07/26/20 212.95 SUPPLIES 2217816804 .,f 07/27/20 07/01/20 07/26/20 52.30 SUPPLIES 2217619762 ✓ 07/27/20 07/01/20 07/26/20 212.95 SUPPLIES 2217619763 ✓ 07/27/20 07/01 /20 07/26/20 212.95 SUPPLIES 2217619761 J 07/27/20 07/01/20 07/26/20 212.95 SUPPLIES 2218209169 ,% 07127/20 07/06/20 07M1/20 30.69 SU PLIES 2218209167 07/27/20 07/06/20 07/31/20 303.22 SUPPLIES 2216209165 ,% 07/27/20 07/06/20 07/31/20 192.00 SU PLIES 2218209166 07/27/20 07/06/20 07/31/20 349.80 SUPPLIES Net 1,260.76 Discount No -Pay Net 0.00 0.00 68.87 1/ 0:00 0.00 212.95 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 0.00 2218209161 07/27/20 07/06/20 07/31/20 305,41 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay M2470 MEDLINE INDUSTRIES INC 2,367,04 0.00 0.00 Vendor# Vendor Name Class Pay Cade / M2499 MEDTRONIC USA, INC. J w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 2663462261 07/27/20 07/13/20 08/10/20 198.90 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay M2499 MEDTRONIC USA, INC. 198.90 0.00 0.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC / Invoice#'Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay 8435025 07/27/20 07/17120 07/27/2o 650.31 0.00 0.00 /,INVENTORY M7222 107/27/20 07/17/20 07/27/20 434.86 0.00 0.00 INVENTORY 8437223 f ,% 07l27/20 07/17/20 07/27/20 915.20 0.00 0.00 )NVENTORY 8435024 ✓' 07/27/20 07/17/20 07/27/20 26.58 0.00 0.00 INVENTORY / 84,95028 ,/ 07/27/20 07/17/20 07/27/20 115.20 0.00 0.00 INVENTORY 212.95 ,% 52.30 ,i 212.95 ✓ 212.95 ✓ / 212.95 ✓ 30.69 % 303.22 192.00 f 349.80 % 305.41 Net 2,367.04 Net 198.90 Net 198.90 Net 656.31 434.86 915.20 26.58 115.20 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet,com/u88125/data_5/tmp_cw5report525 785... 7/28/2022 Page 8 of 12 8436262 ,% 07/27/20 07/17/20 07/27/20 749.92 0.00 0.00 749.92 f' INVENTORY / 8435026 ✓ 07/27/20 07/17/20 07/27/20 9.65 0.00 0.00 9.66 INVENTORY / 8440719 ,/ 07/27/20 07/18/20 07/28120 129.62 0.00 0.00 129.62 v^� INVENTORY 8440716 �/ WP27/20 07/18/20 07/28/20 543.60 0.00 0.00 643.60 r'r INVENTORY 7500 / 07127/20 07/18/20 07/28/20 -519.09 0.00 0.00 -519.09 CREDIT 7499 ✓ 07/27/20 07/18/20 07/28/20 -3.09 0.00 0.00 -mg," CREDIT 8438654„ 07/27/20 07/18/20 07/28/20. 609.91 0.00 0.00 609.91 f INVENTORY 7781 ,,% 07/27/20 07/19/20 07/29/2o -58.32 0100 0.00 -58.32 v✓/ CREDIT 8445342 �/ 07/27/20 07/19/20 07/29120 131.67 0.00 0.00 131,67 INVENTORY 8443689 07/27/20 07/19/20 07/29/20 874.39 0.00 0.00 / 874.39 INVENTORY 8446830 ✓ 07/27/20 07/19/20 07/29/20 315.89 0.00 0.00 , 315.89 INVENTORY 8445631 ,� 07/27/20 07/19/20 07/29/20 412.73 0.00 0.00 412.73 )INVENTORY 8451383 07/27/20 07/20/20 07/30/20 920.72 0.00 0100 920.72 /INVENTORY 8450150 f 07/27/20 07/20/20 07/30/20 6,971.08 0.00 0.00 6,971.06 J INVENTORY 8448888 ,/ 07/27/20 07/20/20 07/30/20 5.63 0100 0100 5.63 ,,,/ NVENTORV 8448890 ,%) 07/27/20 07/20/20 07/3G/20 69.98 0.00 0.00 69.98_,"/ INVENTORY 8451384 ,/ 07/27/20 07/20/20 07/30/20 7,892.79 0.00 0.00 7.892.79 INVENTORY 8448889 V/ 07127/200712012007/30/20 76.52 0.00 0.00 76,52 ✓Z ,NVENTORY , 8450149 �/ 07127/20 07/20/20 07/30120 261,90 0.00 0.00 261.90 INVENTORY , Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 21,543.63 0.00 0.00 21,543.63 Vendors, Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION f,I/ Invoicsk` Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7765 ✓ 07/27/20 07/20/20 07/30/20 230.86 0.00 0.00 230.86 TRANSCRI SERV(ii 115-- 11 % 1-41) 7753 07/28/20 07/05/20 07/15/20 314.30 0.00 0.00 314,30 TRANS SERV a4l I-L) , Vendor Totals Number Name Grass Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 545.16 0.00 0,00 WAS Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE file:///C:/Users/ltrevino/cpsi/niemmed. cpsinet.com/u88125/data_5/tmp_cw5report525785... 7/28/2022 Page 9 of 12 Invoice# Comment Tran Dt Inv Dt Due of Check D Pay Gross Discount No -Pay Net 3732232 07/27/20 07/01/20 08/01/20 3,633.4E 0.00 0.00 3,633.48 ✓- PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 12388 NATIONAL FARM LIFE INSURANCE 3,633.46 0.00 0.00 3,633.48 Vendor# Vendor Name Class Pay Code 12096 NEOGENOMICS LABORATORIES �„i Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5498876 07/27/20 06/30/20 07/30/20 810,00 0.00 0.00 810.00 W/ LAB SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 12096 NEOGENOMICS LABORATORIES 810.00 0.00 0.00 810,00 Vendor# Vendor Name Class Pay Code N1235 NFPA PROFESSIONAL DEVELOPMENT Invoice# Comment Tran Dt Inv Ot Due Dt Check DPay Gross Discount No -Pay Net 3442115 ,/ 07/28/20 07/01/20 07/31/20 175.00 0.00 0.00 175,00 1 YEAR MEMBERSHIP Vendor Totals Number Name Gross Discount No -Pay Net N1235 NFPA PROFESSIONAL DEVELOPMENT 175.00 0.00 0.00 175.00 Vendor# Vendor Name I Class Pay Cade 01416 ORTHO CLINICAL DIAGNOSTICS /' Invoice# C9mment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 1852488581 ✓ 07/28/20 o7,1/20 08/10120. 318.87 0.00 ).OD 316.87 f' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 318.87 0.00 0.00 318.87 Vendor#Vendor Name Class Pay Code P1260 PENTAX MEDICAL COMPANY M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 92244762 ✓ 07/28120 07101/20 07126/20 1,671A4 0.00 0.00 1,671.44 CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net P1260 PENTAX MEDICAL COMPANY 1,671.44 0.00 0.00 1.671.44 Vendor# Vendor Name Class Pay Code 13584 QUANTUM WORLD TECHNOLOGIES INC Invoice# Comment Tran Ot Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net OWT04559 f 07/27/20 12/04120 01103/20 2,405,00 0.00 0.00 2,405.00 ✓ AGENCY STAFFING ICU t 1141 1 p.13 i U ) NuN l , Vendor Totals Number Name Grass Discount No -Pay Net 13584 QUANTUM WORLD TECHNOLOGIES INC 2,405.00 0.00 0.00 2,405,00 Vendor# Vendor Name jClass Pay Code 11024 REED, CLAYMON, MEEKER & HARGET Invoice# Comment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net 26385 ,/r 07/27/20 07/14/20 08/01/20 9.950.00 0.00 0.00 9,960.00 LEGAL 26436 � 07/27/20 07/18/20 08/01/20 134.50 0.00 0.00 134.50 LEGAL 4' ; Vendor Totals Number Name Gross Discount No -Pay Net 11024 REED, CLAYMON, MEEKER & HARGET 10,084.50 0.00 0.00 10,084.50 Vendor# Vendor Name Class Pay Code 11252 RX WASTE SYSTEMS LLC ✓/ file:///C:/Users/ltrevinolepsi/memrned.cpsinet.com/u88125/data 5/tmp_pw5report525785... 7/28/2022 Page 10 of 12 Invoice#/ Comment Tran of Inv Dt Due of Check D- Pay Gross 3735 107/27/20 07/01 /20 07/26/20 60.00 WASTE SUBSCRIP Vendor TotalENumber Name Gross 11252 FIX WASTE SYSTEMS LLC 60.00 Vendor# Vendor Name Class Pay Cade S0900 SAM'S CLUB DIRECT W Invoice# Comment Tran Dt Inv of Due Ot Check D Pay Gross 072022 07/27120 07120120 08/08/20 1,239.07 SUPPLIES Vendor TotalE Number Name Gross 80900 SAM'S CLUB DIRECT 1,239.07 Vendor# Vendor Name Class Pay Code 14148 SPECTRUM HEALTH PARTNERS, LLC ✓ Invoice# Comment Tran Of Inv of Due Of Check D Pay Gross �/ JULY29MM029 07/27/20 07/18/20 08/17/20 15,771.00 CFO STAFFING FEES 7If 9 - -i I1A I Z:j { ",wr s Vendor Total. -Number Name Grass 14148 SPECTRUM HEALTH PARTNERS, LLC 15,771.00 Vendor# Vendor Name Class Pay Code S2594 STANFORD VACUUM SERVICE ,% M Invoice# Comment Tran of Inv Dt Due Dt Check D Pay Gross 484824 ✓r 07/28/20 07/22/20 08/01/20 545.00 GREASE TRAP Vendor TofalE Number Name Gross S2694 STANFORD VACUUM SERVICE 646.00 Vendor# Vendor Name Class Pay Code J S3940 STERIS CORPORATION „/ M Invoice# JComment Tran of Inv Of Due Of Check 0 Pay Gross 10251332 ,f 07/28/20 0711 PJ20 08/05120 1.851.12 SPPLIES 10256601 v✓ 07/28/20 07/14/20 08/08/20 202.80 SUPPLIES Vendor Total.- Number Name Gross 83940 STERIS CORPORATION 2,053.92 Vendor# Vendor Name Class Pay Code 13528 STRYKER FLEX FINANCIAL Invoice# Fpomment Tran of Inv Of Due of Check D Pay Gross 256864 / 07/2712007/12/2008/11/20 1,294.26 LEASE Vendor Total; Number Name Gross 13528 STRYKER FLEX FINANCIAL 1,294,26 Vendor#Ventlor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Of Inv Dt Due of Check D Pay Grass 070122 07127120 07/01/20 08/10120 9,082.52 JULY 22 PAYROLL DEDUCT Vendor Total: Number Name Gross 12476 SUN LIFE FINANCIAL 9,082.52 Vendor# Vendor Name Class Pay Code 14212 SURGICAL DIRECT SOUTH ✓/ Discount No -Pay Net 0.00 0.00 60.00 ✓� Discount No -Pay Net 0.00 0.00 60.00 Discount No -Pay Net 0.00 0.00 1,239.07 Discount No -Pay Net 0.00 0.00 1,239.07 Discount No -Pay Net 0.00 0.00 15,771.00 f^' Discount No -Pay Net 0.00 0.00 15,771.00 t Discount No -Pay Net 0.00 0.00 545.00 Discount No -Pay Net 0.00 0.00 545.00 Discount No -Pay Net/ 0.00 0.00 1,851A2✓ 0.00 0.00 202.80 Discount No -Pay Net 0.00 0.00 2,053.92 Discount No -Pay Net O.00 0.00 1294.26 ✓� Discount No -Pay Net 0.00 0.00 1.294.26 Discount No -Pay Nat 0.00 0.00 9,082.52� Discount No -Pay Net 0.00 0.00 9,082.52 fi le:///C:/Users/ltrevino/cpsi/memmed.cpsiriet.com/u88125/data_5/tmp_cw5report525785... 7/28/2022 Page 11 of 12 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 9532 N 07/27/20 07/12120 08/11120 1.140.00 0.00 0.00 1,140.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14212 SURGICAL DIRECT SOUTH 1,140.00 0.00 0.00 11140.00 Vendor# Vendor Name Class Pay Code f 10758 TEXAS SELECT STAFFING, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 072022 07/27/20 07/20/20 08/01/20 72.60 0.00 0.00 72,60 AGENCY STAFFING -SHORT P. Vendor TotalENumber Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 72.60 0.00 0.00 72.60 Vendor# Vendor Name Class Pay Code 12688 THE STRETCHER PAD CO. Invoice# Comment Tran Dt Inv Ot Due D7 Check D Pay Gross Discount No -Pay Net 20210829 ✓ 07/27/20 11124/20 12/24/20 217.00 0.00 0.00 217.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 12688 THE STRETCHER PAD CO. 217,00 0.00 0.00 217.00 Vendor# Vendor Name Class Pay Code 13616 TRIOSE, INC Invoice# Comment Tran Dt Inv Dt Due of Check D- Pay Gross Discount No -Pay Net TRI118476 1% 07/27/20 07/07/20 07/22/20 624.94 0.00 0.00 / 624.94 / FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 624.94 0.00 0.00 624.94 Vendor# Vendor Name Class Pay Code / 14208 TRUSTED HEALTH, INC r/ , Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV10958 07/27/20 07/09/20 08/08/20 3,720.00 0.00 0.00 3,720.00 AGENCYSTAFFING (, "+ t.�h1 L'i) `I4SgL'65 - VendorTotalsNumber Name Gross Discount No -Pay Net 14208 TRUSTED HEALTH, INC 3,720.00 0,00 0.00 3,720.00 Vendor# Vendor Name Class Pay Code 11001 ULINE / Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 151229210 0712812007/11/2008/10/20 39.54 0.00 0A0 39.54 „% FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 11001 ULINE 39.54 0.00 0.00 39,54 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6400399029 V' 07/27120 07111/20 08/05120 1,845,38 0.00 0.00 1,845.38 LAUNDRY 8400399008 07/27/20 07/11/20 08/05/20 302.91 0100 0.00 302.91 LAUNDRY 8400399007 07/27120 07/11/20 08/05/20 48.15 0.00 0.00 48.15 LAUNDRY 8400399325 ,/ 07/27/20 07/14/20 08/08/20 201.59 0.00 0.00 201.59 LAUNDRY file:///C:[Users/ltrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report525785,,, 7/2812022 Page I2 of 12 8400399324 f 07/27/20 07/14/20 08/08/20 30.71 0.00 0.00 30.71 LAUNDRY 8400399343 / 07/27/20 07/14/20 08/08/20 85.37 0,00 0.00 85.37 f LAUNDRY 840D399364 / 07/27/20 07/14120 08108120 68.15 0.00 0.00 68.15 LAUNDRY 8400399350 07/27/20 07/14/20 08/08/20 ✓ 2,164.41 0.00 0.00 2,164.41.i LAUNDRY 8400399328 ✓ 07/27/20 07/14/20 08/08/20 208.13 0.00 0.00 208.13 j LAUNDRY 8400399327 ,/ 07/27/20 07/14/20 08/08/20 191.48 0.00 0.00 191.48 ✓- LAUNDRY 6400399326 4% 07/27/20 07/14/20 08/08/20 143.75 0A0 0.00 143.75 LAUNDRY / 8400399541 v! 07/27/20 07/18/20 08/12/20 51.67 0.00 0.00 51.67 LAUNDRY 8400399540 / 07/27/20 07/18/20 08/12/20 48.15 0.00 0.00 48.15 ✓ LAUNDRY 8400399564 07/27/20 07118/20 0B/12/20 2,236.25 0.00 0.00 2,236.25 ✓ LAUNDRY Vendor Totals Number Name Grass Discount No -Pay Net U1064 UNIFIRST HOLDINGS ING 7,626.10 0.00 0.00 7.626.10 Vendor# Vendor Name Class Pay Code ' 10943 WALLER,LANSDEN, DORTCH & DAVIS .I Invoice# Comment Tran of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10862838 07/27/2007/08/2008/01/20 555,00 0.00 0.00 565.00 ' LEGAL Vendor Totals Number Name Grass Discount No -Pay Net 10943 WALLER,LANSDEN, DORTCH & DAVIS 555.00 0.00 0.00 555.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ` 9111184400 / 07113/20 07111/20 08/05120 11026.11 0.00 0.00 1,028.11 ./ SUPPLIES 9111194400 07127120 07/11/20 08/05/20 1,028.11 0.00 0.00 1.028.11 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 2,056.22 0.00 0.00 2,056.22 Vendor# Vendor Name I Class Pay Code 11400 WEST COAST MEDICAL RESOURCES.,' Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net INVO87584 ,/ 07/28/2D 07120/2008/15/20 1,194.00 0.00 0.00 1,194.00 SUPPLIES Vendor Total;Numbor Name Grass Discount No -Pay Net 11400 WEST COAST MEDICAL RESOURCES 1,194.00 0.00 0.00 1,194.00 Report Summary Grand Totals: Gross Discount No -Pay Net ON 446,652.91 0.00 0.00 446,652.91 JUL 2 8 2022 C�` W A!•ypilrC(yq yfto ft le:///C:/Users/ltrevino/epsi/memmed.cpsinet.conl/u88125/data_5/tmp_cw5repoil525785... 7/28/2022 WKESSON As of 07/29/2022 Page: 001 10 ensure proper treat to your STATEMENT acccunt, detach and return this :o•wm:.... stub with your remittance DC: 8115 As of: 07/2912022 Page: 001 CVS PHCY 7475/MEM MC PHS CARR: NICK INITIATED ACH DEBIT Mail to: Comp: 6000 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Tertiary: 400 CARR: MCK INITIATED ACH DEBIT 815 N VIRGINIA ST Statement for information only Customer Location: AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 USA Customer: 835438 Statement for information only USA Date: 07/30/2022 USA Cast: 835438 PLEASE CHECK ANY Date: ITEMS NOT PAID Billing Due Receivable Order DescdptIot Caeh Amount P Amount P Recalvabla a ate Number .fare'.. .count F at F e 07/27/2022 08/02/2022 7356508128 1798507 1151nvolce 0.36 11112 1].86 7356506128 F column legend: P = Past Can Item, F Future Due item, blank = Current Due It.. 'OTAL uture Due: 0.00 Subtotals: 18.02 USD Due If Paid On Time: Y 4�.66 USD .at Due: 0.00 If Paid By 0810212022 0.36 Pay This Amount: 17.66 USD Disc east if paid Hie: USD eat Payment. 6,017.08 18.02 7/2512022 If Paid After 00/0212022 18.02 USD Due if pald late: Pay This Amount: USD 'otal Discount: 0.30 APPROMON AUG 0 1 Z022 BY COUNW AUDITOR CALHOUN COUNTY, TEI(A8 For AR Inquiries please contact 800-667-0333 MSKessoa. A. °'� 07/29/2922 Page: °°' to ensure proper to your 4rettum STATEMENT account dataeh and this mmwnr aaca stub with your mention. DC: 8115 As of: 07/29/2022 Page: 001 HEB PHY FC 4901MEM MC PHIS CARR: MCK INITIATED ACH DEBIT Mail to: Camp: 8000 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: 400 CARR: MCK INITIATED ACH DEBIT 815 N VIRGINIA ST Statement for information only Customer Location: AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 USA Customer: 464450 Statement for information only USA Dale: 0713012022 USA Cast: 464450 PLEASE CHECK ANY n.,.. Mean NnT porn Billing Data Due Data Recelvable Order eeenca 55x626272 Description 1491nvoice Cash D 0.21 Amount os 10,60 P Amount 10.39 P ReeeWable Number 7355702621 07/2512022 08102/2022 7355702621 07/2512022 06/02/2022 7355774377 55x626272 1151mmice 19.81 990.65 970.84 7355774377 07/25/2022 08102/2022 7355774379 55x626355 1151nvoica 0.26 13.03 12.77 / 7356774379 07/25/2022 07125/2022 7356043940 MFC PR CORR CR Pricing Co, 0.00 399.33- P 399.33- P 4366043940 07/2512022 08/02/2022 7356043941 MFC PR CORR IN Pricing Car 1.91 95.53 93.52 7356043941 07/2612022 08/02/2022 7350054118 55x628825 1151nvoice 0.11 SAB 5.37 7356054116 07/28/2022 08/02/2022 7356668832 55.634316 1151nvGce 1.12 55.83 54.71 356568832 07/28/2022 08/0212022 7356568833 55x634320 1151nvoice 0.52 26.08 25.54 7358568833 07128/2022 08/02/2022 7356568834 55x634329 1151nvoice 0.51 25.63 25.12 7356568B34 07/2912022 0712912022 7357071553 MFC PR CORR CR Pricing Car 0.00 14.91- P 1 14.91- P ]35]071553 07/29/2022 08/02/2022 7357071554 MFC PR CORR IN Pricing Car 0.29 14.70 14.41 3570]1559 For AR Inquiries please contact 800-857-0333 MSKESSON As of: 07/29/2022 Page: 002 to ensure Proper credit to your r..nr,.*s.n. �•,:,,. STATEMENT account, detach and return this mmamr: rare stub with your remittance DC: 8115 As of: 07/29/2022 Page: 002 HER PHY FC 490/MEM MC PHS CARR: MCK INITIATED ACH DEBIT Mail to: Comp: 8000 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: 400 CARR: MCK INITIATED ACH DEBIT 815 N VIRGINIA ST Statement for information only Customer Location: AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 USA Customer. 464450 Statement lox information only USA Data: 07130/2022 USA CusE 464450 PLEASE CHECK ANY Date: ITEMS NOT PAID Billing Due RecelyabN Order Oescdp8on Cash Amount P Amount P Receivable Dale Date Number Discount rose F net Number F column legend: P = Past Due Item, F o Future Don Item, blank = Current Due Item OTAL inure Due: 0.09 Subtatals: 623.27 USD Duo If Paid On Time: USO eat Due: 414,24- If Paid By 08/0212022 24.74 Pay This Amount: 798.53 USD Died last If Paid late: USD eat Payment: 6.017.08 823.27 7/25/2022 If Paid After 08/0212022 823.27 LED Due if Paid late: Pay This Amount: USD 'otal Discount: 24.74 APPROVEDON AUG 0 12022 BYCOLIWYAUDROR C"DUN COUNTY, TE3fA9 For AR Inquiries please contact 800-867-0333 MSKESSON As of: 07/29/2022 Page: 001 account delme h a d returrn this STATEMENT -,Y: 8000 stub with your remittance DC: 8115 As of: 071291204E Page: 001 WALMART 1098IMEM MED PHS CARR: MCK INITIATED ACH DEBIT Mail to: Comp: 8000 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: 400 CARR: MCK INITIATED ACH DEBIT 815 N VIRGINIA ST Statement for information only Customer Lowtlam AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 USA Customer: 256342 Statement for information only USA Out.: 07/30/2022 USA Cusb 256342 PLEASE CHECK ANY Date: rFEMS NOT PAID BiWng Date Due Date Receivable Number Order Refemn Description Cash Discount Amount a P F Amount P Receivable Number 07/25/2022 08/02/2022 7355773780 40653868 1151nvoice 0.00 0.16 0.16 f 73557737BO 07/25/2022 08102/2022 7355773789 40688697 1151nvoice 10.82 540.83 530.01 7355773789 07/25/2022 08/02/2022 7355773791 40729380 115lnvoice 11.41 570.37 558.96 '7355773791 07/25/2022 08102/2022 7355773792 40729380 1161nvoice 1,27 63.70 62.43 V7355773792 0712512022 08102/2022 7355773793 40836999 1151nvoice 0.01 0.32 0.31 ,7 7355773793 07/25/2022 08102/2022 7355773794 40865738 1151nvoice 5.70 285.18 279.48 7355773794 07/26/2022 08/02/2022 7356232031 0726221014 1151nvoice 0.01 0.63 0.62 7356232031 O7/27/2022 08/02/2022 7356329885 41067323 1151nvoice O.OU 0.16 0.16 ✓ 7356329885 B712712022 09102/2022 7356329887 41067323 1151nvoks 16.86 842.88 826.02 7356329887 07027/2022 08J0212022 7356329888 41137098 1151mmice 5.70 285.18 279.48 4356329888 07/27/2022 08102/2022 7356329889 41144512 1151nvoice 0.01 0.49 0.48 q356329889 07/27/2022 O810212022 7356487424 0726220846 1151nvolce 0.02 0.95 0.93 7355487424 07/2812022 08/02/2022 7356606381 41206539 1151nvoice 0.01 0.20 0.25 7350605381 07/29/2022 08/02/2022 7356860243 41321923 1151nvoice 19.36 967.93 946.57 ,7356060243 07/49/2022 0610212022 7356981746 0728220853 1951mmice 0.01 0.32 0.31 R356981746 07/29/2022 08102/2022 7356981747 0728220858 1151mmica 34.92 1,745.79 1,710.87 1 4,713569817,17 For AR Inquiries please contact 800.867.D333 WKESSON As of: 07129/2022 Page: 002 to ensure proper union to your " STATEMENT account, detach and mtum this ;=paw. coca stub with your remittance OC: 8115 As of: 07129/2022 Page: 002 WALMART 10981MEM MED PHS CARR: NICK INITIATED ACH DEBIT Mall to: Camp: GOOD MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Tomtory: 400 CARR: MCK INITIATED ACH DEBIT 815 N VIRGINIA ST Statement for information only Customer Location: AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 USA Customer. 256342 Statement for information only USA Date: 07/30/2022 USA Cost: 250342 PLEASE CHECK ANY Date: ITEMS NOT PAID Billion Due Recolva6le Order Oescdp9an Cash Amount P Amount P Receivable Oa O to Number Re/erence Discount rasa not F Nu F column legend: P e Past Due Item, F = Future Due Item, blank Gunmen Due Item _ OTAL uture Due: 0.00 Subtotals: 5.305.15 USD Due N Paid On Time: .O USD list Due: 0.00 If Paid By 08/0212022 106.11 Pay This Amount: 5,199.04 USD Disc lost If paid late: USD ant Payment: - 6,017.08 5,305.15 7125/2022 If Paid After 0810212022 5,305.15 USD Due if paid late: Pay This Amount: USD 'otal Discount: 106.11 APPRIMITEDON AUG 0 12022 BY CALHO�UN u � For AR Inquiries pleas¢ Contact 800-867-0333 WKESSON .amr.nr: soon HEB PHCY 0434/MEM MED PHS MEMORIAL MEDICAL CENTER 816 N VIRGINIA ST PORT LAVACA T% 77979 USA STATEMENT CAM; MCK INITIATED ACH DEBIT AMT DUE REMITTED. VIA ACH DEBIT Statement for Information only USA As c/: 0712912022 DC: 8115 Territory: 7001 Customer Location: Customer: 190813 Data: 07/30/2022 Page: 001 to ensure proper molt to your account, default and return this stub with your remittance As of: 07/29/2022 Page: 001 Mall to: Comp: 8000 CARR: MCK INITIATED ACH DEBIT AMT DUE REMITTED VIA ACH DEBIT Statement for information only USA Cust: 190813 PLEASE CHECK ANY Billing Data Due D Receivable Number Onkr Terence Description Cash Diswunl Amount resc P F Amount et P F ReMvabie Number 07127/2022 OBiD/2022 7356308000 2017057362 1151nvoice 0.97 48.33 47.36 7 56308000 07/29/2022 08/02/2022 7356844122 2017057656 115lnvoice 0,14 7.22 7.08 7358844122 'F calumn legend: P = Pest Due Item, F = Future Due Item, blank = Current Due Item OTAL uture Due: 0.00 Subtotals: 55.55 USD � Due If Paid On Time: 4.44 USD eat Due: 0.00 If Paid By 0810212022 1.11 Pay This Amount: 54.44 USD Disc lost If paid late: USD net Payment: 6.017.08 55.55 7125/2022 It Paid After 08/0212022 65.55 USD Due if paw late: Pay This Amount: USO 'atal DhsounF 1.11 AFIFIWIPIEDIC" AUG 0 1 2022 BY COUNTY AUMM CALHDUNCOUNTY.Ts" For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number: 63438373 AmensourceBergen` Date: 07-29-2022 I or AMERISOURCEBERGEN DRUG CORP WALGREENS a12494 340E 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 1001352841037028186 • SUGAR LAND TX 77478.6101 1302 N VIRGINIA ST PORTLAVACAU 77979-2509 Sal- Fri Due in 7 days DEA: RA0289276 866-451-0655 AMERISOURCEBERGEN Not Yet Due: CurnrM: 0.00 51471 P.O. Box 905229 CHARLOTTE INC 28290-5223 Peet Due: 0.00 Total Due: 514,71 Account Balance: 514.71 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 07-254022 08.05-2022 3100418252 10830 InWim 22.39 0.00 22.39 07-25.2022 08.05-2022 3100418253 166831 Invoice 0.29 0.00 0.29, 07-25-2022 08-0&2022 3100453827 165878 Invoice 80.79 0.00 80.79,{ 07-26-2022 0&05-2022 3100574009 lm886 Invoice 121.16 0.00 121.16jly., 07-26-2022 08-05.2022 31OD574160 166887 Invoice 0.09 0.00 0.09y 07-2&2D22 0&05.2022 31NS74161 166888 Invoice 9.12 0.00 9.12,IF 07-2&2022 08-05-2022 3479I9054 166649 Invoice (211.74) 0.00 (211,74)I 0746-2022 08-05.2022 347919055 166649 Invoice 121s9 0.00 121.89 07-27-20M OB-05-2022 31M734180 losses Invoice 61.78 0.00 61.78 07-29-2022 08.05-2022 3100998091 166912 Invoice 308.94 0.00 308.94 Currant 1-16 Days 16-30 Days 31-60 Days 61-90 Days 91420 Days Over 120 Days 514.]I 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 07-29-2022 APPROVPDON AUG 0 12022 BY COUNfY AUDITOR CALHOUN COUNTY, TEXAS Reminders Due Date unt 0a-0&2022 514.71 Total Due: 514.71 ✓ TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ❑ "IF FEDERAL TAX DEPOSIT ENTER 1" El "ENTER 2-DIGITTAX FILING YEAR" "ENTER 2-DIGITTAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) -Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" 11 6-DIGIT SETTLEMENT DATE" "l TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ### 0 L 941 # 0 1 $ 63,472.02 $ 14,844.16 $ 48,229.02 CHECK 7 CALLED IN BY: CALLED IN DATE: CALLED IN TIME: JMP-Payroll FileslPayrall Taxes@0221#16 R1 MMC TAX DEPOSIT WORKSHEET 7.28.22 R1 8/112022 941 RECITAX DEPOSIT FOR MMC PAYROLL .1 PAY PERIOD: BEGIN 711612D22 V9 PAY PERIOD: END 712SQ022 PAY DATE: 81512022- GROSS PAY: $ 543.706.17 DEDUCTIONS: AIR S 62S.D0 ADVANC 500TS SUNLIFE CRITICAL ILLNESS S 856.46 SUNLIFE ACCIDENT $ 750.86 SUNLIFE VISION SUNLIFE SHORT TERM DIS S 1,216.65 SCSS VISION S 993.99 CAFE•D $ 1,597.67 CAFE-H S 22,626.33 $ CAFE•P CANCER CHILD 5 2,281.01 CLINIC 5 111100 CONISIN 5 280,87 CREDUN 5 DENTAL S DEP-LF SUNLIFE TERN? LIFE 5 $40,92 SUNLIFE HOSP WDEM S 537.74 FED TAX $ 48,229.02 FICA-M $ 7,42108 FICA-0 S 31,73SOi FIRST C $ FLEX S $ 3,263.26 FLX-FE 5 GIFT S $ 112.11 GP.P-IN CTL HOSP-I LEGAL $ 964.48 OTHER S 467.02 NATIONAL FARM LIFE 5 1.667.92 MED SURCHARGE $ 365,00 PR FIN $ RELAY REPAY STONEDF $ 040.86 STONE STONE2 STUDEN TSA-R 5 38,059.55 UW/HOS S TOTAL DEDUCTIONS: 5 165.536.80 S -s«av1Pw.Tamwar^ — NET PAY: $ 378,170.3T $ �1cHe r- TOTAL CAFE 126 PLAN: S 31.839.67 Lot TAXABLE PAY: $ 611,870.10 $ 511,870.10 "CALCULATED" From MMC 11000 Difference FICA - MED(ER) ,s. S 7.422,12 FICA - MED(EE) „sw, S 7,422,12 S 7,422-08 S 0.04 FICA - SOC SEC (ER) exs S 31,735.95 FICA - BOG SEC (EE) o:m, S 31,735.95 S 31,735.01 $ (0.06) FED WITHHOLDING $ 48,229.02 S 48,229.02 S TAX DEPOSIT: 4 126.545.16 5 126,54520 FICA -MEDICARE :nr. S 14,844.24 S14.844.16 FICA -SOCIAL SECURITY vrz• S 63.471.90 $63A72.02 PREPARED BY: FED WITHHOLDING $ 48,229.02 S48,229.02 PREPARED DATE: TOTAL TAX: $ 128,545.16 $126.645.20 $ (0.04) 5 REVISED 3/782014 TOTALS $ 543.706.17 � 1i25.U0 5 c S 856.YG 5 750.3G S 5 1,216.65 S 993.99 $ 1,697.67 $ 22.626.33 s - s - S - $ 5 2.281,01 $ 111.00 5 280.87 8-00.52 537.74 48.229.02 7,422.ne 31,736.01 3.253.26 1I2. 11 96.1.48 467.02 1,6671 365.00 640.86 5 38.059.56 rcnr^ S 378,170.37 Exempt Amt: Employees over FICA -SS Cap: S S Paycode S - Employee RelmD.: TOTAL: $ Caillin Clevenger 7/2912022 PI5Ri MMCTMOEPOSITWORKSHEETT2622R1: TAX DEPOSIT WORKSHEET W1022 Pun Gate: CBi02/22 XSXORI?: Me-D"CAL C7T8R Page Ni Time: 00:59 Payroll Rsister i 3i-Weekly I P2REG j Persd 0VIE122 - 07126/22 BUN i Final SWIMHY •-- P a y C o d e S u m m a r y ..................... Pay'd •.._.._________________ Cessris:icn iv JOTISRInEI1 ...................... KGULAF. PAY-S., 9'A.75 N N I REGULAR PAY-S! 19i3.00 N 11 i REGULAR PAY -Si 512.50 Y N 2 REGULAR PAY-S2 2162.75 N N 2 HGUI.AR PAY-S2 2.00 N N 2 P.EGULAB PAY-S2 220,00 Y N 3 REGULAR PAY-51 1412.00 N 11 3 RSGDLAx PAY-S! 2.00 N 1 11 3 REGULAR PAYv3 2i6.50 Y 11 11 CALL BACK PAY -3,50 N i N 41 CALL BACK PAY i5.50 N 2 N CALL BACK PAY 2.00 N 3 N CAL BACK PAY 0.50 Y 2 N C CALL PAY 2540.75 1; ! N D DOUBLE TIR; 32.25 11 ! N DOUBLE TIM' 2C.00 11 2 N C DOUBLE TIME 7.00 N 3 N _ DOUBLE TIES ?0.75 Y II D DOUBLE TIME 1.50 Y 2 N 2 S.KT4 RAGES ti i U FLNERAL LEAVE 49,00 N i 11 " INSEP.VTIS 4.25 N '. N J JURY LAVE 8.00 N N K El.1ENDB'D-ILLISS-SS 72.00 N 2 11 P PAID-TlIn-OFF 201.56 N N PAID-TIIXE.OFF 3C99.D0 i. 1 N K CALL PAY 2 i44.00 N S N! 2 CALL PAY 3 48.00 11 i N I P PAID TIME OF." - PROBATION 10.00 N 3 N 1 FHQ1E i DATA N N ------------ _------- ___ D e d u c t i o r, s S u m- a *B1 __one ; C_-de _ Ar,,.,zt --------------- _---- 2059B5.70 --- __............................ A. 625.00 AIR2 ____________________ AIR3 N 95464.53 ADVANC AWARDS BCBSVI 993.99 .6734.92 BCOTS CAFE H CAFE-1 6237a.05 CAFE-2 CAFS-3 CAFE-4 ?1 c6.64 CA.7.5 CAFE-C CAFE-D 159-,67 3552.37 CAFE-e' CAFE-F. 22526.33 CAPE -I 1400.71 CAF: L CAFE-P CANCER 83.06 CHILD 2282.03 CLINIC 313.00 CCMBiN 290.87 3818.64 C.IZDD.i CD ?.D'i HI TLI l Y 563.2R DEP•Ly Cd5•L.^ =?T I Y 5R2.57 Ee.TCSH HUNK 48229.02 FCCA.•M 7422.02 T 85.-2 FIG-O 317)5.01 3iRS7C Fci( S 3253.25 Y 406.11 P_C FB i7P.T D •^.TA. 5091-SC G'Fr B S12.L $Sidi: GAP- N 886.25 GIL BOSP-I CD TF1 595.5: L-_3 ui,L 2D).98 Xa5A. 7>4S0 216.3C MEALS 467.02 MrNIS Misc 45%9: X25C1 ACSHP. "ATiY.L 1667.92 342.OT OTPW'R '"'RI PHI•'• t4 6'217.5C PS Fit; RELuEBPAY i458.00 SAME SCRUBS STREW 144.2C 5;-71 BTGiT W1.6E STD'+c N 280.00 8TONE2 STUDeN SURACC 750.86 1738.n_S STULL BS5A6 "11D 53-.74 SRiilF R43.92 N 2497.95 SUNSTD 1216.65 SLNVIS SURCNG 36:40 2?512.29 TSA-1 'SA-"< "BA-C 288.00 7SA-P TSA-R 39059.55 TUTION 144.00' UNIFOR cdJHOS 720.00 / •-------------------- Grand Totals: 20634.06------- I Goss: 943706.i7 Deds:timns: i6553S.60 Net: ChechS Count:- FT e96 PT 8 0ther 51 Female 225 Male 25 Credit OVerArt 20 Zerollet Tee •-----------------------------------_--.......--------.-__-------__...._..-___-_-._------...............----- 37BI70J71 / Total: 253 E7n Daze: 0B101i22 MEM RM V.Ea:: L CEMER K-4EE73'i Me: ME .... C..... Fae•=.e:.... Fay F9:A 07i15,'22-07/2Ei22 'in: 1 ezz, .:1,,r:_.6_c DFa _ATIN2 n-gnn: IHMV. !;T1 .d E CZ79F MY E SHUGLU.. 1563.09 0005320; HAS i22 1E139 SERUM; NICELE E; USI 63 AC 0ousai v6i0Ei2: 26156 VIRGIX:d :dAET C.RDLTIC 1038.22 0006322E C5'?6l;2 65165 NCA, 9. EELES 6E5.26 0006320' UNIT 65 i E i M7:4.h PL1:f. 500.1a ON 63 LG! DIMEi:L 75584 NARY;;THRSC!i 65617 00015109;10/2: OAD41 CUL LEE FIN;] 773.IE CC LIVERIED DEC;,. � SIL JLn n VARZE 4.5 .., OM:1:2 00C94 SYLVII. ; MEMOZA 669.35 It 0a1n6!a 0113 JdCLIT1 CkFFE-2i 1611U,6i DL Y6l'.r9 (2: 00132 Sti17Fh X EF.4LTi 6 i. E", N HVD5/22 C0!5: 276.9E .. 03!CE!:2 00210 d71GELT M KIRGIN BB2.47 DO HAS Crf3;; SAKDFn LEE US... ER -Z 0E12F CC357 EILLIE F DCCNOF.Ti 2B!6.5'. DD CB)OS/22 0C. e2 Kil::F. T DUB. !S :.25 ._ .iVIN 00395 LIND; J TIJERUM 'M4.42 D^. OVER1., ^040i .CLVA. � Mll. __ CJi y, Dm17 SEE£FY L KL`1G ?9!7.65 DD 0SA5 Emil Pf.M FIRC Hum SD OVDV21 COST :!'AT L i..ERM HUM .. .... . O0615 SECi_i yw r nr '.i°.iT3.G�... 12Ii.7i `� .. Q61Aci"e2 39M. F. EE!rE xcaD A C,_!;'v1: C0692 DEB^ 49 E SIYIDESEET 191,93 DD 000512 r!fr54^ IIJiSIn . FARM 5 99 . l'.:,.. .. 00707 FIMBEELY E BLINF7, ME. 94 EE OVOS122 2,E S- EMILIIE 'D-10--'CUEY BEE.:_ .. ..�_:.. 0114E SnSkl E SFI4LLEY, F11 3229.3E CD O M5i2: D I : ? i STIMI: M SMKS "..-52 6 rr MEN, N, 01234 JENISE !i SVETLIN 2460.60 BE OB105i22 C4367 S4[1S1P ;, S.'!^EFP 3EBC,B' a .' o: O1E43 JACFIE E '4ILLI;<MS 1641.67 DO OBIOE122 02011 EF,ID E CLU NGER 3289AB Ec 001PSf2, .2D22 EFil- CSE't1Rn-EfiiC3E2 t 6v.d4 ._ .. ... :. 02022 ATUD.4 J GRIGGS 2466.15 DD o5 OR 0: D6; aaT1:, Lars, c:;5:cia ., ..- __ 02C'97 MiE M G;-YES 1863.7a cE O6l05i22 • 021::2 LESLIE 7R-X;S l9E2.1E DD OEi 05J22 .._22 DMA; 11 L.. MEG .D EN05 ; Cu 93 TIES Ya^. MAR, 27,63.15 DE 06i C5t2. 0u7'. DFnI1 ?aE,l`2'i. - 205i 9i .. ME 2: 023C: 11ICOLS SIJEE2Nr. 3310.6E 9D NAB6 22 26E2..02 .. HIM 0:316 !M:.. 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ED 63a_12. 03664 JACQL2 me R .'E➢m 1326.9i :D 03iC51'2: ON3 MME C TERZILL 2642.57 ED WHO OEM REGRIA A MARTIIIEZ 1302.36 CC O6!OShd 05345 ERICA I,_YEM 2527, 31 CC Di ME M, W;, cs4277 T FOLDER Lv._. DD 03 05122 ... 12s'. A S ERl'A.q 2L: -.91 :: Oil OE .. CRSD A ,� z333.12 oD o61a5;22 :"i'S _:r27.; . EAL'CECA. 1'26.6, .._ ._15, : IDEI9 514?:>Fi LIM'PT! ED 0E!95! 2 M'2 CCURMIEY L MOR&C'7Ez'Y 15 i4.?T on ni!05:'22 ..012 . BE -KY. "E14G a44e.49 :: '7-. . 12iii LZEA, J EP'AJOSA 61. MS3 JULU MOMTEE 21;2.63 DD 06i 25i22 0131 5A ZAR b:ARLEY 4121.62 D:: 08150.1 :.:is ; dRT:ie:.. SALAZAR ::6.11, .. 0;./1.5 .. 1529i Dw4y M MAREF, 3111.85 CD HIM!22 ... _ SMIUU PAR.TZ 1i:9.3_ Z. .e'9e.. HMO jCL?: M E1.111 iHi.,: E7 06f05i22 .-..: EF7}!2T J KEY .244.Y3 C': 0ils <: 201G2 !C;YA. 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RANUES «: _ « SHE RA: m re BE — JAKE .,a m,am : % », ALWNZW, as = ate ; SHE jHmm:W : ae =,e« -m XMIRA,a w; _ opmg2 ON AEREY z , cm BE_ ,n m, mm = m ,aF ,! z as = « IPF F : m= :O m , . w, = ONE It _ ADAX , EESM na =,a« .« : « a« BE 3 • m.a, me =saa 66482 _._, »; =e, : ,w L.SA . ; wa BE aas ems e_c «e =ems. ,ate : EAREZZ c» BE a !ems A.%l_ LITTIF »_ BE eem ems =,mw as BE u ' ARIVIF M FOUS ma =Ham am.m; aw = DN5« « ! =e MEMORIAL MEDICAL CENTER PROSPERITY BANK FOR OPERATING ACCOUNT--- 3ULY 25, 2D22 - JULY 31, 2022 Date Bank Description 7/25/2022 PAY PLUS ACHTRANS 452579291101GM692102641 7/25/2022 IRS USATAKPYMT 220260600135097 6103601MU431 7/25/2022 WIRE OUT CBNA INCOMING SE17LEMEW ACCOUNT 7/26/2022 PAY PLUS ACHTRAN5452579291101000693065535 7/26/2022 MCKESSON DRUG AUTO ACH ACH0511505591DOW143 7/27/2022 PAY PLUS ACHTRANS 452579291101000593973992 7/28/2022 PAY PLUS ACHTRANS 452579291101000694772080 7/29/2022 PAY PLUSACHTRAN5452579291101000695798141 7/29/2022 AMERISOURCE BERG PAYMENTS 0100DD77682100002 MMCNotes - 3rd Party Payor Fee -Payroll Taxes -CIOBank Corporate Card Payment - 30 Parry Payor Fee - 340B Drug Program Expense - 3rd Party Payor Fee - 3rd Parry Payor Fee - 3rd Parry Payor Fee -340B Drug Program Expense August 1, 2022 William Little, CFO Memorial Medical Center 3 B,,,,,n� 07.21 •'Z1, CE. PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACHS T A rypv✓� �7•�•Ty U` Date Description 8/9/2022 CHIRP IGT CP51 "Handwrl0en Amount CAerk"A 6:19; QF� YVua 123,738.19 �- 357.50 u ;(f30014 �sB6lS5 1 ` 2 1,877.67- ! 86 . L i.. I V I I 132,298.61 1>: I " MMCNotes Amount -CHIRP IGT '12i629.21. l August 1, 2022 W Iliam Little, CFO Memorial Medical Center 5184 11 12,629.21 I �; I UIfl AMAOVEd0" AUG 01 2022 SY COUWAUplfi7p CALHOUNCOUNry 7t %, Transaction Summary Transaction Complete Trace Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total 1 $12AH21 Bank Routing and Account Number Settlement Date 8/9/2022 CHIRP Amount $12,629.21 Entered By Marle Moehri Page No: t of f Run Date: wv=22 Run Time: 11:17:34 Marlev Wonnell From: Corbin Pefanis <corbin@ahcv.com> Sent: Tuesday, July 26, 2022 5:27 PM To: Dalfonso Hilda; Nicosia Chris; Evans Eric; Johnson Leesa - Corpus Christi; Steve King; Eric Hamon; Harrison, Jaclynn J;joel.vigil@christushealth.org; kristina.alldredge@christushealth.org; Marley ODonnell; Roshanda S. Thomas; William Little; sparker@rcmhospital.org; czafereo@cmcvtx.org; pstrauss@cmcvtx.org; Duane.Woods@cmcvtx.org; Roshanda S. Thomas, Anthony Richardson; Marley ODonnell; sparker@rcmhospital.org;jmoehler@rcmhospital.org; Jared Konczal; eric_graves@chs.net; michael tea@chs.net; mike_healey@chs.net; david.lee@okmh.org; ramsey@gl-law.com Cc: Colt Sullivan; Robin Daniel; David Elliot; Justin Flores; Alex Russell Subject: CHIRP PGY1 Additional Call Nueces SDA Attachments: CHIRP PGY1 Additional Allocation Summary - Nueces SDA.pdf CAUTION This em*originated from outside okthe organization. Do not click links aropen attachments unless.you Hello, Based on HHSC's notification email below, the PGY1 Additional CHIRP IGT submission deadline is Monday, August 8th, and the Nueces SDA will need to Identify $7,495,823 in available funding, To ensure 100%funding of the SDA prior to the August Sth deadline, we are requesting confirmation of the amounts and funding sources within the attached 'CHIRP PGY1 Additional Allocation Summary' as soon as possible, sources for your facilitylbyrECIMMondiky,Augustlst,2022. Ifyou believe any ofthe information provided inthe attached summary is incorrect, please let us.know immediately. If we: do not hear from you, we will assume you.ageee with,the,figures. PUBLIC. HOSPITALS-- Please -,provide a,copy of the TexNet sent to HHSC by,Monday, August,ist,,2022, to those copied on this email, .If you expect theartlount will be different than the amount notedwithinthe attached Allocation Summary, please let us know as soon -as-possible. Thank you for your part in ensuring that your facility, and the other hospitals in the SDA continue to receive the maximum payments from CHIRP. If you have any questions or concerns, please don't hesitate to reach outl Best regards, Corbin Pefanis i Senior Financial Analyst Adelanto HealthCare Ventures L.L.C. 174 Saundersville Road, Suite 202 Hendersonville, TN 37075 Cell: 615-830-2025 http: /lwww.a hcv.com/ From: Texas Health and Human Services Commission aa Sent: Thursday, July 21, 202212,11 PM To: Corbin Pefanis <corbiniaahcv.com> Subject: Additional IGT Required for Comprehensive Hospital Increase Reimbursement Program Year I (SFY22) ••• This email is from an external address. If it looks like It is from an AHCV employee, please forward as attachment to ITSu000rtCLAHCV.com as it is likely a harmful email. •" `v TEXAS La,,f Health and Human Services Additional IGT Required for Comprehensive Hospital Increase Reimbursement Program Year 1 (SFY22) Caseload has increased at a greater rate than initially projected at the beginning of the fiscal year which has increased Comprehensive Hospital Increase Reimbursement Program (CHIRP) payments. Due to this increase in caseload, the HHS Provider Finance Department now requires additional intergovernmental transfers (IGT) from participating providers for the remainder of Program Year 1 (State Fiscal Year 2022). CHIRP providers will receive commensurate increases in the payments received from Managed Care Organizaiions (MCO). Please refer to the Suggested Intergovernmental Transfer (IGT) amounts file located in the Suggested IGT Section of the CHIRP weboaoe under the "Additional Year 1 (SPY 2022) Suggested IGT Transfer" heading. The IGT amounts can be found in column AU. This file has been updated as of 7/14/2022. The IGT must be entered into TexNet no later than close of business August 8, 2022 with a settlement date of August 9, 2022. • This settlement date is non-negotiable. • The funds need to be placed in the "CHIRP" Bucket. • Please transfer funds through TexNet and send an email with a screen shot or PDF of the confirmation/trace sheet to NHSCPFDCHIRPPayments(ibhhs texas.00v. • TexNet instructions are available here. For additional information, please visit the CHIRP weboaae. You have subscribed m gat updates abcu[ Tans HeaIt;. and h:un•,an Sande=; (H:.HS). Fer more inforansdon 2beut HH5, Please visit our e site. stay connected a� ;� ten esGa6all 0 SHARE Subscriber Servicas Manage Preferences j Unsubscribe I HeIP z<ic St s. i,. ,r a n a. 0 2 LQ9OVDELIVERY" 3 CHIRP SFY2022 Payment Calculation PGY1 CHIRP - Nueces SDA WORKING DRAFT SUBJECT TO CHANGE Fundinq Nueces Coun Entity LPPF Facility Chnstus S ohn Hos ital Corpus Christi Additional Non -Federal Share Amount 958,137.52 Nueces CountyLPPF Ca us Christi Medical Center 1,339,308.37 Nueces Coun LPPF Driscoll Children Has ilal 4.264.507.12 Nueces Coun LPPF Chrlatua S ohn Hoa Itel A9ce 81,375.64 Nueces Counl LPPF Christus S ohn Hospital Beeville 65,126.68 Nueces CountyLPPF Christus S ohn Hospital Kle6e 80,172.64 Nueces LPPF Total $ 6,788,625.95 GreggCountyLPPF Deter Hospital Navarro IN "7.97 Gregg LPPF Total $ 532,307.97 Self -Funded Citizens Metlical Center 146,483.56 Self -Funded Memorial Metlical Center 12,629.21 Self -Funded Karnes Count Hospital District 7,632.74 Self -Funded Refu io CountyMemorial Motional District 0,143.10 Self -Funded Total $ 174,88B.61 Nueces SDA.Iot4l' $ 7.4 5 $2$i53 Check Confidential For Discussion Purposes Only 7262022 Page 1 of 1 RECEIVED BY THE COUNTY//22 UITOR ON MEMORIAL MEDICAL CENTER O7 0 JA62 8 20N AP Open Invoice List Dates Through: ap_open_invoice.template �e dd��rr�1 Class Pay Code 0U CASOL�ERWEST 11828 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071822 0712712007/18/2008122/20 6,779.09 0.00 6,779.09 L TRANSFER 1 kli 111SU YILW !l- V61ikt L4o40 7t,1 10.00 IK'� jp-K- / 071822A 07/27/20 07/18/20 08/22/20 6,760.00 0.00 O. 6,760.00 j TRANSFER U I� 071922 07/28120 07/19/20 08/22/20 300.00 0.00 0.00 300.00 TRANSFER tt 1. Vendor TOIaIE Number Name Gross Discount No -Pay Net 11828 SOLERA WEST HOUSTON 13,829.09 0.00 0.00 13,829.09 Report summary Grand Totals: Gross Discount No -Pay Net 13,829.09 0.00 0.00 13,829.09 JUL 2 8 2022 BY COUNTY AUDINDR CALHOUN COUNTY, TEM file:///C:/Users/ltrevino/cpsilmemi-ned.cpsinet.com/u88125/data_5/tmp_cw5report53 8810... 7/28/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON 07{�g 20a2 MEMORIAL MEDICAL CENTER d18 ZQZZ ;G 0 13:27 AP Open Invoice List ap_open_invoice.template Dates Through: CA7/ R&QVWURNIFRA8 Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071422E 07/27/20 07/14/20 08/22/20 4.180.00 0.00 0.00 4,180.00 TRANSFER NR jK0"(L A, 0LjkCd j&t ilnkac. aPQ—'/ Vendor Totals Number Name Gross Discount No -Pay Not 11824 THECRESCENT 4,180.00 0.00 0.00 4,180.00 Report Summary Grand Totals: Gross Discount No -Pay Net 4,180.00 0= 0.00 4,180.00 AON JUL 28 2022 BYCOUNiV AU9ITAR CALHOUN GMWl 5 file:///C:/Userslitrevinolcpsi/memmed.cpsinet, comlu88125/data_5/tmp_cw5report234106... 7/28/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON JV.LB/4(1t220e�. i MEMORIAL MEDICAL CENTER 0 13:25 AP Open Invoice List Dates Through: ap_open_invoice.template CALII9A64) bi a e Class Pay Code 11836 GOLDENCREEK HEALTHCARE / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071822 07/27/20 07/18/20 08/22/20 631.21 0.00 0.00 J 631.21 ff,, TRANSFER 1✓R igW(i ?6k+ dtgoh'te, w la%1 jV\tkl or�YKI 071822A 07127/20 07/18/20 08122/20 3,243.00 0.00 0 3,243.00 TRANSFER It 1, �,✓ i 071922 07/28/20 07/19/20 08/22/20 87.89 0.00 0.00 87.89 ✓ � TRANSFER L' It 071922A 07128/2007/19/2008/22/20 5,926,00 0.00 0.00 5,925.00 TRANSFER I' - N ' Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 9,867.10 0.00 0.00 9,887.10 Report Summary Grand Totals: Gross Discount No -Pay Net 9,887.10 0.00 0.00 9,887.10 y..:f ��, fll JUL 2 8 2022 BY OOUNiY AUDITOR CALHOUN COUNTY, TEW file:///C:/Users/ltrevino/cpsi/memmed.opsinet.coin/u88125/data 5/tmp cw5report596805... 7/28/2022 Page 1 of I 07/28/2022 MEMORIAL MEDICAL CENTER 13:25 AP Open Invoice List p ap_open invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 071522 07/27/20 07/15/20 08/22/20 1,761.59 0.00 0.00 1,761.59 TRANSFER Will 11M1 qA%U. IP5hL%q o4.poAta iw`6 W-N,IL. owt.", 071822 0712712007/1812008/22/20 6,120.00 0.00 0. 0 6,120.00✓ TRANSFER It it 072022 07/27/20 07/20/20 08/22/20. 250.00 0.00 0.00 / 250.00 r/ TRANSFER t' I Vendor Total: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 8,131.59 0.00 0.00 8,131.59 Report Summary Grand Totals: Gross Discount No -Pay Net 81131.59 0.00 0.00 8,131.59 JUL 2 8 2r_ , BY COUNTY AUDf= CAWOUN COUNTY, TEXAS file://!C:lUserslltrevinolepsilmemmed.cpsinct.com/u88125/data_5/tmp_cw5report4O6961... 7/28/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 0�u7/28/2022 0 ah 2 8 2022 AP Open Invoice List n/ Dates Through: ap_open_involce.template I-ALHUunr &YOV Y9ft Class Pay Cade 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 071522A 07/27/20 07/15120 08/22/20 1,086.47 0.00 0.00 1,086.47„--- TRANSFER NA l MQ VkKW VOKI t qo't 4 tj IVL � MVAL apt` 071522 07/27/20 07/15/20 08/22/20 3,771.38 0.00 0, 0 3,771.36 f TRANSFER tt I , 071622A 07127/20 07118/20 08/22/20 2,644.46 0.00 0.00 2,644,46 TRANSER I` I, 071822 07/27/20 07/18/20 08/22/20 5.020.20 0.00 0,00 5,02020 TRANSFER u „ 072022 07/27/20 07/20/20 08/22/20 15,232.83 0.00 0.00 15,232.83 ✓ TRANSFER I• If 072122 07/27/20 07/21/20 08/22/20 24.085.00 0.00 0.00 24.085.00 TRANSFER u it , 071922 07/28/20 07/19/20 08/22/20 81881.39 0.00 0.00 8,881.39 ✓ TRANSFER I� rr 071922A 07/28/20 07/19/20 08/22/20 15,372.03 0.00 0.00 15.372.03 TRANSFER Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 76,093.74 0.00 0.00 76,093.74 Report Summary Grand Totals: Gross Discount No -Pay Net 76,093.74 0.00 0.00 76,093.74 APPRovMopj JUL 2� 2022 8Y COUNTY A'4tDi�9p LHOUN,;, 2 T 9h�3 file:/!/C:/Users/ltrevino/cpsi/memmed.cpsinct.com/u88125/data_5hmp_cw5report573562... 7/28/2022 Page I of 1 INECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 07/28/2022 0 ,iY& 2 8 2022 AP Open Invoice List ap_opan Invoice.template Dates Through: eAuNPAA9rtYW44.(,L4aAlfti Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 072022A 07/27/20 07/20/20 08/22/20 6,029.50 0.00 TRANSFER No'IyISUVkK(L 961KI &V06i lw-6 hk" abtn+%,Y— u 072022 07/27/20 07/20/20 08/22/20 5,083.89 0.00 TRANSFER tt tt 072022E 07/27/20 07/20/20 08/22120 14,135.03 0.00 TRANSFER It rl 072122 07/27/20 07/21/20 08/22/20 13,578,25 0.00 TRANSFER It 1` Vendor Total; Number Name Gross Discount 12792 BETHANY SENIOR LIVING 38,826.67 0.00 ReportSummary Grand Totals: Gross Discount No -Pay 36,826.67 0.00 0.00 a r. e JUL 2 8 2022 BY COUNTY AUD1= CALHOUN COUNTY, TIM No -Pay Net 0.00 6.029.50 y 0.00 0.00 0.00 No -Pay 0.00 5,083.89 L 14,135.03 t,i 13,578.25 Net 30.826.67 Net 38,826.67 file:///C:/Users/ltrevino/cpsi/rnemmed.cpsinet.com/u88125/data 5/tmp_ cw5report869617... 7/28/2022 F' Tuscany A v f: E AMOUNT-_624212_00 MEMORIAL MEDICAL CTNTER Date Requested: 8/1/22 AMOVMON AUG 0 12022 6Y COUN4IY AUDITOR CALHOUN COUNTY, TWS Gjt NUMBER: LXPLANAT!ON: Devoted payment made to Crescent, but belongs to Tuscany trt EI' ri Mayra Martinez ---------------- FOR ACCT. USE ONLY LImprest Cash []A%P Check []Mail Chetic to Vendor Return Chvc k to Depi Memorial Medical Center Nursing Home UPL Weekly Camex Transfer Prosperity Accounts 8/1/2023 P.. inaaY+ Ymom eylnnlry ACN 9mtlIN egNnU6 Meunt106aTnmre,rttlluNunin{ NunN Name Xum6w 41aro [ pa nniwrin .Peq[ar 44nee xem. W,N3.62 6P.E131S 196,BIS.1a 398,91518 NAM.. 199.915.1a ✓ vaNano Lgx.me.unq 1a0.p0 15 IuNlnlenQ / alas AYturtingrW SW.berinteren Mjuet 4NneeRru,uerAmt 19at%.N a/ -, Ift � / �32,2]6.01 3237600 L/]91,61E.9S{/ }W,9R.93 / 2%,T9B.58 Bank Balame 2UP12.93✓ VaNan[a Rweln etlmq ]OO.W JOYM1.nn Icas ANwtimerwt Sepnmbwlniaen / Atllm[6alanq/}[anuw Pmt 3Nr]BB3B ✓ / ]9.617.02174,56].02 J.,76196 ✓ 1u,867,96 / 162,M0.69 Bahl Balance 1q,96i.% v WNan[e m.eln enanq 190,00 Pwoua PaYlnent l9TuuanY l,1U.00� mNimemt U.x] AM" mglu6 SePlember inlwM Aaiv+t4onmRnmin nml 1gsw.69 // 2s,196.aB I ]5,010.8Br/310,3>9.81 / _ 110.479.61 110,373.86 4nY a,.... 11ge19m Vlelin[e 4wemui.nm 100.00 mrymtmwt 545 A. ... MW t Se0lembw lntwwl / Adimt 4lanm/rr+nnerAml 110,37196 ✓ �\1,609.]3 B1,109J1 ✓a61,09LII ✓ 151.1912} / 351,0]5.66 4nl U... 351.193.121A Vwiana lw.eln 44nq 100.00 196>7't L6 APPRMWOR 29q 3 7ct 'r1 1 /I C i /I 1.1 ` b :% &ne]uoeenew' yy qqqq AUG 0 1 2OLG 5 5 1 , L, r `1 t% t_ [ AYNif InlwM SLpgm6.anlergl E3 CQU �L(fD Al+l Adlun4l+mr/Tgnno Amt CA�1N�� 3sLON.66 --`-^'1t'VIM Ge'>tCGrAG3R TprMTMNsiFRs 1.%tfIS.N xwe Onryequnmelvrwfs,pra.narinnWnmrowenmun9 no-nc WILLIAM LML CFO 6/1/20}2 Note 1' Fo[A onwm[6o+o4re0e�m[<e/SIW[nee MM1Ktle{vaiMloopenm[oun[ 1:\xNweelNTrwN[n\NNU9Lnamin fumm.M20SEUu{mnNNOVLTranuer5ummary0l.Otll.au IWxµe.0, 11.mkn19m54oNM0.e wenu.a.5]WJU.LunWM e.M on.nk.e0].]xM m.u0f.1YM]S.tlu P.L<I MMCPWVOH jLx01{xf_OJI[ [ m qln/fnmel mpp/Gmpx "Ill., flue.Lm CLN µ glppll N.IOxnON ]RShR, Meln.NC 1CIS ]]AM.9! ]/ESIµ]E 4neXIM.p]NSI NLUMM}MTIlf611N11111[ib] TPIC C mmlmr Il'sli p]]%$1 - ])A5491 3 "IS1x UHEWMMYXIWVLXCMMMPMTNWH1111UMD - IAVse 119485I ]h5hu11 NOMTM 90LV]IOX X112""..HNSO UWWISI 1.91)A6 ]/13h4E}[I4X1X[QYM]M1131N16M911WWIl%161) � I]EI.11 2,911A1 1/1W10I31MCL4MMUMryll11CC1AIMIM1111W 1iil91lOW PUPPIS, 5,216.]f I/3W3011 NFALM NUMLN]VCXCGYMPM]I]IYOI[MIW92 - ]ASIµ 29.I49.H 141/JW3 MWnl NCOITNfUAIMPMTPN11JM16119 L1W 1.119A0 2,99].4L lk)(MR UnI H.vNMaexffLAEAPMTTIM:0f111114H - I]EW 1,1x94 .HE ]/D/MIS UNCCOMMVNIrvvI xCGYMVMTN6Wlflx 9lL0b - 6].SIeA] I09/1011 WIµ OU]MN%BONMIMWpf UWtNtw K.143 63.9]4.x1 M/N64F.W4N[T{]II NNSlAINTINN ]II - Ii).N ":ORE ]/i9/tWJ UNCCONMYNIITP1NGg4MIMi]IGWM1191mi 11,11I,M i)2.50 'mAmJ MMMUNWIL NCUMMPMT)IHaNNW 9 p 3i6555 / IJ,4IIO0f 444791 �U�HCC MMCIOMION IhDI/SLgYI T.n.Ce..M qIA/Camel glpl/[om03 WIP(f0mpl gIPI/Camp6Wprt 011191 NNIONTION ]111h01E MgMe HC 01111NC[IMMPMi IX161M%1]SµW ),E99J6 JRS/10:2 MaWvxf 011x N[[WMIMTPXIµ9Li01111SW - I.µLH ),2%.36 )RS/102 PHS.FWB K.SPOMI..Pll µ0m}]2571 - I.E."962.66 2.0JL]] MORE NOVNµ IW,LIIµ J/M/iW2 NNC-[UIONUWMIMTlMHHT7SM1t 50},10 IJO,0S.S6 ]h6U01S YNCCOMMUNOTILHOW41APMT]f6W111191UW CX - 1].13066 90EA0 lh6/10U VNCfOMMYNIIYPLNCgMMPMt116WlIlI91UW - 4M]A1 11,120.41 1PUR11 NVMMMIN]CONCIWMPM]1WI91gWpz1p91 6µ9W - 8.64191 )/t5/]pUN[LLM NYM.W ]VCNUWMIM3 )l1EWM...... - 4.SHIA 6.0I5.W XC0IIMPMTl )1261201 II1 Ie9,10 6.30A.56 SJKCPWWWFV` U63*U J/!J/M]2YM[WMMVNNI'ILNCWIMIMi MIMH11910.N IS9A,61 15911 I/1'ARE NOWIMf41NI0NMLUMMIAIT¢ti131ItRNi59 31.}¢I.IL 11.9A,62 Ihry1Wi 1]NINS, Wli 110.W ICHILS1 WHIC.IM.VISVCN[EACm CP ]h4IWx W19[gYl4NMx X[ALM LMEQNILMIII 32.276.0E 100% ]/xIhOE! 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MMOR WMFOV] LQ1HPN C'MLMFfIX4GI4I IA1haJ2 NOVICµ MLVO4N Mt[WMIMiP%6HEWUlb 2/19RYR VHCCOMMVIIIM1MN[[W WMC 11M01.1191Wb .N 50991 MASS 11 31,033.19 1.691µ 099Ji 9l37f 119.ai xWue 4Md.1e a,191.16 - 7,211.I6 t,.]ml 2.11101 MMCK"ON 'tYl Tmnlfenln UIPPfC6mp1 OlbPICpmpi glpp/Campl gIOP/Cvm LLU ql rll NHIONOON I,U¢¢l BAEBA] b]1.14 6125fi ' 4696.6> 4896b] I.0U.90 6.Of3.IS - UAZifI 113S, 41 14.111.99 uPn,ep 1,]1).M 2,3UM ' 1,v00.W 4.14P&W 30,IIL10 - 11..211.10 Msm.az 3,036.36 3,96U6 i 41.0]].93 x.4aooa ].400W 41WA0 410OW 9,M0.00 ]L60 ' SJW,00 - >AELiI I6.10 - ss40.0e - ],661s3 "Im 9tst.r�::6�. .,:.: .._. S.SOI.W '. nano MMcr09ngx rI.IIa-ml T-lf&,I, gMP(Campl Qpp/Cpmp2 (UPP/CINNO wr/COmp4Ypµ q11/T NN"DICEON ' "Awl. Awl. - 55.030.54 IµW 10900 ' 1,9.1.]6 0.9d1.16 ]5.010.B0 29,v¢!E 14.R9.9N IgSp@] Mµ441ANONfl1111 MN91MNTIHM00pW. i4iM TM]/EO)Z....... SCNCU.Mlml lain IT'. ]hsllou uMROx[MwfMR[xf[14MIMT T4P0pMll IMIM TRsp@2 UNIROxULMUNIKKLWMiMT]Ym.."WRI Th9h0}3 MOVtttl 501YNONNCMIMIMEpH W C1Cxµ1)E ]/19p0]i HEMMMVMLX9VC U.P.I,.I.,YVMItlw]] )/]6h9E! MMW Mf OI T. MfgAIMPMIIXIL9l1f5159Mw T/Sf/1@2 MwwMCMrHHCCUIMPMIPMIC9]ILfIb9f1@ ]hph@i UIIC WMMYXIryIl Nf64MIM]116099L1191OID >n9h@2 xgnTMlnwlwx xcwlMvmrlRnoemmiso Il]bl]@! MUMµ41N9COMCOYMIMCSWRMMwf19)CI )h71=2 g4NAEY@ IPN KKV,IMPMTMOWI4LI)f if9 ]]I]/ffi3 YM[wMMW11Rp5N<q.YMpMT]fif01f1i 91pW 1/2TAHM W.K.IJIMIRP MCCIMMUIT"UR Of1My1N WI/I@I WINEOUTUNIT.I.IrNWIECSXRN510 I/]I/lwl M.SX4f]µ0N[I1f IN MNf IMXTwIw]N(WTfe$M Illlh@I Mn«IMwpEASCNC uURpw,ww9]55192)Iw 9]IP= UNtedWeaNOMMINxmeN IRCUUvMTT 061194TOCCU T/19/1w1 NOVrt45904V110NM(fU1MPMTf)ESIOf1L�XYJ ]/29/2012 UKWMMCNR1]U MX9IMXl gVAd0.p11E$fl 1/29/2022 VMCwMMYMNTILXf4NMIM]]S9w]M5910.W 1/19/N2$ UNCwMMUNIry PLNCC4IMMR TfMpN3l93w]0 1/2f/MIi uX[tOMMUNMpLHCCUIMPMf ]16wM1910w1 VI A", NUMSIMIXtfp H[CWMpMr]90661SIgYYl919fN mlrmt3:rIR7z421M I WMw.nlvmm9«n9.M U.N.. MMR.uvmIWu"PR....L D.— ... ...xlm..maw@L.w =gyly3Q_I MMCPORTION gIPP/Gmpl ObP/GmpA `UPP/6UmP1 Off"10.0aum UIPIT a,bM.w I.11Lw X.M. l.&O.N ff1.K ue.lt - I,f.L14 f}w.fi - R.691.14 tus.eT I..M iw WHIST - WHIST IKfY.91 11b09.]3 W.i0 V. STUDIO R111LnI117 U A4R.w Lfllfl E.M2ff A21.13 Raw NN PORTION 4.64f.w ZA?c 0 1R .. ACO.W 1,967.06 u1.11 I. 4,201f 13690.991.10 L441.H. JAW. ,wLw 0,901.9E 194aaa 9a 99L30 8734 5.330. 123XI1] AHIL50 4,514IT 2.34249 TOTMS __ 2)4.I39.w LOMAu.90 M 811/2022 Treasury Center Quick View Select Quick View Accounts Account Number I Name Account Type Select Group Groups Add Group �DDA Data reported as of Aug 1 202; Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $3,403,141.18 $5,520,256.62 $3.403,141.18 $3,201,526.0 '4551 CAL CO INDIGENT $%954.68 S9.954,68 $9,954.68 $9,953.4 HEALTHCARE '4454 MEMORIAL MEDICAL ! NH GOLDEN CREEK $86,645.94 $88.004.02 $86,646.94 $84,887 c HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES $536.54 $536.54 S536.54 $536.4 2014 '4357 MEMORIAL MEDICAL S1.656,431.20 S3,912,124.77 $1.866,431.20 S1,780,388.0 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $431.03 S431.93 S431.93 $431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $198.915.18 ✓ $198.915.18 S198,9115.18 S183,183.9 CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL CENTERlNH $294,912.93 ✓ S297,863.03 S294,912.93 $235,458.; BROADMOOR '4411 MEMORIAL MEDICAL $144,867,96 ✓ $157,688.91 $144,867.96 $125,434.2 CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL $110.479.61 ✓ $129,556.44 $110,479.61 S102.436.8 CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT $351,193.22✓ S365,774.10 5361,193.22 S333,832.E WEST HOUSTON '2998 MMC -MONEY MARKET FUND $703.78 $703.78 $703.78 S703.E '5506 MMC -NH BETHANY SENIOR LIVING $69,281.08 S76,125.98 $69,281.08 S69,250.E '5441 MMC -NH GULF POINTE PLAZA- $92.813.09 $92,813.09 $92,813.09 $89.094.E MEDICARE/MEDICAID '5433 MMC -NH GULF POINTE PLAZA -PRIVATE PAY $12,972.02 $13.601.74 $12,972.02 S12,946.1 '3407 MMC-NH TUSCANY VILLAGE $173.001.02 S176,162.43 S173,001,02 5172,98fi.0 httpsa/prosperity.olbanking.comlonlineMessenger 1r1 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 8/1/2022 Preelous Amount ao3lnnln0 Panel., Amount to 0e Tra nderred to N uMne 61,33e.53✓ 59,194,93 t/ 84,496.9e ✓ 86,w.9a Bank Balame 86,616.9a r Vadancr leave In War. 300.00 JB'u' 1W91amnst 13.03 I AuBuatlnternt Septemberintuen adlvn6alance/IranaterAmt BL333.91 Note: , Each eea/aver$;W0 wU@r/$100M.IM eM1e nu oinp homy. Note 2: Fenh account M1ase beae belentt o/$IGO MoaMMC deawbrdm open amount. LNWAMurtIE, CFO AUG 01 2022 I:ytH Wedlr Trvnlen NHURTranafer5unmaN\1W1Wu6mAHH UPI fontlrr summary N 01,22.111. MMCMX}ION Olp//Gmpb El HON 3611Npp0K jIWi9LQ4,( r.AUS4.Em6 pIP➢KOmpl DIM(GmpS pIP1(Cpmp3 [IIpY GIP/ll MN P5Oi1,,IS3sITM51I999.dNi1fi96 IT120E NOWASSnONHCK.AIMPMib)609>61QOO2 51,39.9 7/16101HEALTH HUMNSUCHCCWM0361330112 - 119.36 7116/2012 HND-ECHOMKMMPMi746034IU"000W14W NOVRAS SOW NCN HCCWMPMT61609]ROWO{56 9,530.W 1,0D1.53 7/E6/SO)1 /21/20E2 TSYS/IPGNSNRH BNCOSlIMf 5g6g59561691)9 13,N]5.16 MR? /IJROEE AMAAS01 HKWMPMi 15Y0]19663100ID1633) 5E.66 13.705.16 ]/19/2OEE WIRE OUT NEXION HERINI IT GIXOCN CREEL 19,19f.53 S1W 7/20/1011 NW.IHNUMMI SVCNKWMIMi 11NW16113011E 1,939,90 J/19)IOE) ISY!/)MHS]IRiTp¢oSTW]H36N5556)69119 - 1,<BG.W L93666 >(]9/3ml TSYS/IMNSIIRSi 0[[DSiIM)Sa16N5556)fi9119 9 / 160.W f 1,6M00 16a.0e l9.U[63 6i.N691✓ mAlli 811/2022 Treasury Center Quick View Select Quick View Accounts Account Number l Name Select Group Groups Account Type Add Group Data reported as of Aug 1 202: Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $3,403.141.18 $5,520,256.62 $3.403,141.18 $3,201,52&0 '4551 CAL CO INDIGENT 59.954.68 $9.954,68 $9,954.68 $9,953.4 HEALTHCARE '4454 MEMORIAL MEDICAL 1 NH GOLDEN CREEK $86,646,94 S88,004.02 $86.646.94 c 584,811TS HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES $536.54 $536.54 $536,54 5536.4 2014 '4357 MEMORIAL MEDICAL $1,856,431.20 53,912,124.77 $1,856,431.20 $1,780,388.0 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE 5431.93 3431.93 $431.93 $4311 WAIVER CLEARING '4381 MEMORIAL MEDICAL $198,915.18 $198,915.18 S198,915.18 $183,183.9 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER! NH $294,912.93 5297,863.03 $294,912.93 5235,458.E BROADMOOR '4411 MEMORIAL MEDICAL $144,867.96 S157,668.91 5144,867.96 S125,434.: CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $110.479.61 5129,556.44 $110,479.61 5102,436.E CENTER l NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $351193,22 5365,774.10 $351.193.22 S333,632.E WEST HOUSTON '2998 MMC -MONEY MARKET $703.78 $703.78 $703.78 5703.E FUND '5506 MMC-NH BETHANY $69.281.08 $76,125.98 $69,281.08 569.250.E SENIOR LIVING •5441 MMC -NH GULF POINTE $92.813.09 592.813.09 $92.813.00 $89,094.E PLAZA- MEDICARElMEDICAID '5433 MMC -NH GULF POINTE $12,972.02 $13,601.74 $12.972.02 $12.945.1 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $173,001.02 5176,162.43 5173,001.02 5172,986.0 VILLAGE htrps:l/prosperity.olbanking.comlonlineMessenger 1f7 Memorial Medlul Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 8/1/30E3 prcubu' Amounlm Bn M[pw[ B[310Mry MNIy inmhnetl[n NUNne Xeme bneve pmlu TeGf NmeEH,9 Y.411P ,, 1},e9[)4LmO][ 6N9a.im0 Wearruenmm 6abn[e IM,pp lulylntneu 1.11 r% Ru[uRlnMre[1 91PRmberintenat Pdlmt Bah�w}TnntlrfMll 13.169.1p [/ Pnvbm 4neunllPBe A[rounl B4lnnlq Prndinl TrwfertlplP Nunl Name Num6u Pabnte Tnml Ramfmin 4CbuW mlb Tola [ev Nnln Btlute xuMn Nume 6].131.33 61J9139 91}13.69 pU16M 9Lla3.ld VarunnV.n ..hn[e 9},BI3.W NorcFNlYbolancnymee93.6L}wll Behan/med[Ptlenwnn90wne. Nele1: EBchxrounlhmobPMbNar[ee(S[eBMaMMCdrpeufNleeomacmunr. AUG 0 12022 lend. G4n[a ]BB.W "IVlnlemt NY[Ye1101arM SephmMrinlFlNl ftl1Yn BFbn[a/Tnmlerlml 9LEp3.t1 '� LOTAITMNFfFBf -3p�53}},91 BPPnnd / /� WIWPM Yf11F,CF0 B/3/}p}1 7/25/2022 NNB-EWOHC IMPMT74600S411440000272578 7/25/2022 NNB•ECH0HCCLWA&PMT746009411440000292336 7/26120Z HUMANA INS CO HCCWMPMT 62408Z V W581130 7/2712022 AETNA ASO1 HCCIAIMPMT 192202790 92000p13015 2/2812D22 WIRE OUT HMG SERVICES, LLC ]/28/2022 INB -ECHO HCCWMPMT 746003411 MOM264460 1/29IM22 HN9- ECHO HCCIAIMPMI 14WMtl 4 222290 MMC P00.TION QIPP/Come QIPP/Tnm0 Tnmler-Out Tr+nxtervin QIPP/Cpmp2 2 OIPP/Comp3 6bp]9 QIPPTI NN PORTION 177.69 177.69 12.94 - 12.74 4,174.00 4,17410 3,150.00 3.15000 I6.fi13.05 - - - 60316 - W3.75 • l3 SE 23.53 •t 232f;5 _ • Ehi 16d13.05 Y 8,1M.02 814002 MMCPORTION QIPP/C4mP QIPP/cOMP4 TMnsM-Oue. Tensfe.-tn QIPp/Comp! 2 QIPP/[amp3 SLAP]t QIPPTI NN PORTION 7/25/3022 MERCHANTMN6CDDEPOSIt49M7e51B889910 l - 1,134.91 7/1S/HQ2 MFpCNANT0AN0t0 DEPONT4961]M1M8991WW1 2A0200 1.2M.91 7/2612022 WPS.71VEPCONTMCHCCIAIMPMT23D131673121W0 - - 5,835.W 2,402.00 7/26/2022 NORIDIANSMHCTIAIMPMT61589242M0013820m - - 58.6M.41 5,835d0 7p7/2022 NORIONNI3•SHCWIMPMTS]5891420000L685196 - 22,755.14 56,684Ay 7/29/2022 WIRE OUT HMO Vlft 8S, LLC 61,151.35 22.755.14 7128/2022 WPS-TMEP CONTRAC HCCWMPMT 23013MIS221000 $3.22 2/M/2011 MERCHANTBANNCDOEPOSIT4966165188899100001 370836 83.22 617513V 92.7MI9 / 2273309 T8.364,40 100d5).13 IOQ85311 811/2022 Treasury Center Quick View Select Quick View Accounts Select Group Account. Number/Name Groups Account Type Add Group [DDA Data reported as of Aug 1 202; Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $3,403,141.18 $5,520,256.62 $3,403,141.18 $3,201,526.0 '4551 CAL CO INDIGENT 59,954.68 $9,954.68 $9,954.08 $9,953,4 HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK 586,646.94 $88,004.02 $86.646.94 $94,887 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.54 5536.54 5536,54 5536,4 2014 '4357 MEMORIAL MEDICAL 51,856,431.20 53,912,124.77 51,656,431.20 51,780,388.E CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.93 S431.93 $431.93 5431.E WAIVER CLEARING '4381 MEMORIAL MEDICAL $198,915.18 S198,915.18 S198,915.18 5183,183.E CENTER/NH ASHFORD *4403 MEMORIAL MEDICAL CENTER/NH $294 912 93 5297.863,03 $294,912.93 5235,458 c BROADMOOR '4411 MEMORIAL MEDICAL $144,867.96 $157,688.91 5144,667.96 5125,434.; CENTER/NH CRESCENT *4446 MEMORIAL MEDICAL $110,479.61 $129,556.44 $110,479.61 5102.436.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER/SOLERA AT $351,193.22 $365,774.10 $351,193.22 5333,832 c WEST HOUSTON •2996 MMC -MONEY MARKET 5703.78 5703,78 $703.78 5703.E FUND •5506 MMC-NH BETHANY $69,281.08 $76,125.96 $69.281.08 $69,250.E SENIOR LIVING '5441 MIMIC -NH GULF POINTE PLAZA. S92.813.09 $92.813.09 $92.813,09 589,094.E MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE $12,972.02 $13.601.74 $12,972.02 $12,946.1 PLAZA -PRIVATE PAY •3407 MMC-NH TUSCANY $173,001,02 $176,162.43 5173,001.O2 5172,986.0 VILLAGE https:ltprosperity.olbanking.com/onlineMessenger 1/1 Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperityacmunts 8/1/2022 raarrmm .mauneroea •uoum Bry1mF[ Pandin0 hiWamdfa Nunl Nome NunW. Mn afhneeb5230PGa db ivb a0a I9Ax Ban. b4nu Vadanrt leare.nblurce lOp.Oe uir,.bunaallraMrrwnl ux9a.9x ✓ vma: Bnrvearan.RoJ=.ass,wordeermn./nredra.h.nanm9aX+nr. „ree, I NOfr]: FO[hv[[OunfhO, a00ueeknca v(SlW IfwIMMCtlKnNINiOtVm ac<ovnt WI WMI IIiTtF.IFO AUG 0 12022 BY COUNTY AUDITOR CALHOUN COUNTY, 7MS 7/25/1022 NOVITAS SOLUTION HCCIAIMPMT676201420000L28 7/26/2022 Molina HCoETR HCC IMPMT PN12757178944200 7/27/2022 Molina HC OU HCCNIMPMT PNU75717SN 42M 7/27/2022 HNB- ECHO HCCWMPMT 74GW341144W00250012 7/27/2022 NOVOAS SOLUTION HCCUIIMPMT 6762DI 420/]00159 7/28/2022 WIRE OUT UNBAR ENTERPRISES. LLC 7/28/2022 NOVITAS SOLUTION HCCLAIMPMT 67620142"0150 7/31/2022 Addedto AtnOunt MMCPORTION QIPP/COMP QIPP/Comp QIPP/Camp Transfer -Out Tnnsfer4a 1 QIPP/[ompt 3 4&Lapse QIPP 71 NH PORTION - - 70.810.46 - 70,810.46 - 618,10 - 618.10 - 1,889.92 1,889.92 • 904.11 - 904.11 - 24.845.78 - 24.845.78 29,926.53 - - - 79,817J2 73,817.72 - 14.93 14.93 29,916.53 1]2.901.0 172,901 02 8/1/2022 Quick View Select Quick View Accounts Account Number / Name Account Type •I Search All DDA Account Number Current Balance Number of Accounts: 15 $3.403,141.18 '4551 CAL CO INDIGENT 59,954.68 HEALTHCARE '4454 MEMORIAL MEDICAL / $86,646.94 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.54 2014 '4357 MEMORIAL MEDICAL 51,856,431.20 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.93 WAIVER CLEARING '4 81 MEMORIAL MEDICAL $198.915.18 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $294,912.93 BROAOMOOR '4411 MEMORIAL MEDICAL $144,867.96 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $110,479.61 CENTER/NH FORT BEND '443 MEMORIAL MEDICAL CENTER I SOLERA AT $351,193.22 WEST HOUSTON '2998 MMC -MONEY MARKET 5703.78 FUND 'S506 MMC -NH BETHANY $69,281.08 SENIOR LIVING 'S441 MMC -NH GULF POINTE PLAZA- $92,813.09 MEDICARElMEDICAIO '5433 MMC -NH GULF POINTE $12,972.02 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $173,001.02✓ VILLAGE hops://prosparity.olbanking.comlonllneMessenger Treasury Center Select Group Groups Add Group Data reported as of Aug 1, 202: Available Balance Collected Balance Prior Day Balant $5.520,256.62 $3,403,141.16 $3,201,526.0 $9,954.68 $9.954.68 $9.953.4 S88,004.02 $86.646.94 $84,867.£ $536.54 $536.54 $536.4 $3,912,124.77 $1.866.431.20 51.780,388.0 5431.93 5431.93 S431.E $195,915.18 5198,915.18 $183,183.£ $297,863.03 $294,912.93 5235,458.E $157,688.91 $144,867.96 $125.434 $129,556.44 $110,479.61 5102,436.E $365,774.10 $361,193,22 5333,832E 5703.78 $703.78 5703.E $76,125.98 $69.281,08 $69,250.E $92,813,09 $92.813.09 $89.094.£ $13,601.74 $12.972.02 $12,946.1 $176,162.43 $173.001,02 S172,986.0 1/1 Memorial Medical [enter Nursing Nome UPL Weekly NSLTransfer Prosperity Accounts 8/1/2022 rrtNoue vaM.B nmewthea nuew! Be(MNn1 M.dlnn e...n .. 69,181.08 dnBBlbnn 69ABLOP Vari tNVNnMhna IWO IvlYlntenrt lMl ✓ >W+allnl[M1[t Seple�mBnlnun 1 •dlmeeJann/lra h[Rmt l��J re .150.65 J/ NWI: QIfyD91MtX OlOe'n55.W0nvllde4om/m[dlo tMnwln98ane. pppraved: I� NOUa:Fa<0aaount8ma6a[eMbn¢eIS[MIM1ptMMCdemn[M[a elMro¢owc WIWd61 nTn6R0 � 1/1/]pli AUG 0 12022 ACAL WN COUNTY, LINx W[e[hivmlmgll UptLmOnSummarv1101iNulu[N1NVIl1nmM Samm.ryO101]]Yv T/25/20]I ftim IRS/1032 Clplut 7/21/1022 NOVIOWLUTION UTION NKWMPM36TW ll,,I 71361302E HOVITH HUMANSVCHCWMDPMT 114MKIAI 0151 ]/26/E022 HEALTH NUMANSV[N[CUIMPMi 1H6W381]30163 ]/I]/20]2 WPput 3/3WNU2OZ2 O REO PA I!3&ID)E N1pEOl1TIOPTUVAUHN, l!C !/]giio3] NONTi22OlMOHNIXIAIMPMi6]6pp11100%150 MMcvopnoN Tn.vW,CNt iranWMn Oppl wl Q"jmmp3 oIM/6mp3 Ow/6OMPO6ApM Q"n NNImm 8,133.63 6.11363 13,7,. 5 '317M 15 SI,Ai,D I.I.A.A75].13 '.HA 01 • 8A 7.33 8•p523i ZU5253 21,082.5, ' 116OC25 260,134.14 1.606.15 1213 6p6.65 811/2022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number / Name Groups Add Group Aocounl Type iDDA Data reported as of Aug 1 202: Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 15 $3.403,141.18 $5,520,256.62 $3,403,141.18 $3,201,526.0 '4551 CAL CO INDIGENT $9.954,68 $9,954.68 $9,954.68 $9,953.4 HEALTHCARE '4454 MEMORIAL MEDICAL/ NH GOLDEN CREEK $86,646.94 $88,004.02 $86,646.94 $84,887£ HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5536.54 S536,54 S536.54 $536.4 2014 '4357 MEMORIAL MEDICAL $1.656,431.20 $3.912,124.77 51,856,431.20 51,780,388.0 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431.93 $431.93 $431.93 $431,E WAIVER CLEARING '4381 MEMORIAL MEDICAL $198,915.18 $198,915,18 5198,915.18 5183,183.5 CENTER/NH ASHFORD ,4403 MEMORIAL MEDICAL CENTER/NH $294,912.93 5297,863.03 5294,912.93 5235,458.5 BROADMOOR '4411 MEMORIAL MEDICAL $144.867.96 $157,688,91 5144,867.96 5125,434.3 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $110.479.61 $129,556,44 $110,479.61 5102,436.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT $351,193.22 S365,774.10 5351,193.22 5333,832.5 WEST HOUSTON '2998 MMC -MONEY MARKET $703.78 5703,78 5703.78 5703.E FUND •6506 MMC -NH BETHANY 569,281.08/ $76,125.98 $69.281.08 $69,250.E SENIOR LIVING 'S441 MMC -NH GULF POINTE PLAZA- $92,813.09 $92,81109 $92,813.09 $89,094,E MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE 512,972.02 $13,601.74 $12,972.02 512,946,1 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY 5173,001..02 5176,162.43 5173,001.02 5172,986.E VILLAGE https:/lprosperily.olbanking.com/onlineMessenger 1/1 ro n b n (7 m H mmmn H H H O r P 00 0 ° O W til t9 W H O 0 0000 0 0° 0 a ro ro a O H H H H H Z zmtom'ror C tiryn� CLl .ro #7 7a yb y N ro Cz � ro Cz n 0 0 7 P] 7 N z� ro m rz ° 10 � r � m m m z Cm z H tl m tl ►j N N"� N"� N N N N "Do G z tl z d tl tl b tl tl[ r10 C 10 C o C p C 0 Cy'�dd 1010100 Q 4 C H Do p H H H H H H o H y O 7tl w e"7 Sd SW w Sd N N N N N N N N N r O O O O O O O O SV $0 Y N N N N N N N N w N N N N N N N N' O n tl m w m m tl n d H 90 H H H r N H 3 z H 4] H H H n 0 H w .� rnweaw��r M O n n n 0 0-4 w C 0 w N 0 C m m H Dc$� 0 H w H H H M y y b H m m o r r o w w H w n n n 0 0 0 0 a w m w H H H w w pl w w" w w w �. w w m � J ?� b b b ro ro ro ro ro rorororo�a+zzz m N U1 01 H 61 01 N Ol U� m 1p m 01 N N w W 0� m 01 l0 w l0 w O1 W N 10 " 0 0 0 0 Xw a_ gW aS Oa °3 c c c �Zc m --33 -cii mZ yr n a A c m g N U O �p O O O as n 3 n -c z-ci ma m nv m = F Or bP m Z '3 m Y n m Q l- O m g r O vmi �" vm, n A +mi. a z >_ m O m n m c y OO C m m 7� { O Z < 9 r z n m m R1 m m y N Vmi O P P P P P O O O J O U O O O T tOn T A OP. 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