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2022-11-02 Final Packet
"�C�AINIK CW\I I"I.I:II(0\ 0I All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this day of 2022 a complete and accurate packet for �of 2022 Commissioners Court Regular Session Day Month was submitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Ai."d,u Calho n County fudge/Assistant C:\Users\Maebelle.Cassel\Appdata\Local\Microsoft\Windows\Inetcache\ContentAutlook\3 CU91I QW\PACKET COMPLETION SHEET.Docx AGENDA 1,I0 FILE Of- MFEFING - .1.1121 )_01? Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Deese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, November 2, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. ,Zinn Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: nT l� FILED DIcLOGK�V �ry 'Call meeting to order. OCT 2 $ 2022 Invocation. 6; a ,coo N / t7v: t3. Pledges of Allegiance, rW 4 General Discussion of Public Matters and Public Participation. 5. Consider and take necessary action to approve an order regulating the placement of political and advertising signs on all county -owned properly. (RHM) '/ Consider and take necessary action to authorize Commissioner David Hall to purchase a Volvo EWR130 Wheeled Excavator and attachments from ROMCO Equipment Co. for $255,279.00 to be financed through Welch State Bank and authorize all appropriate /signatures. (DEH) i Consider and take necessary action to approve the contract agreement between Calhoun County and Shirley and Sons Construction Company, Incorporated for the Magnolia Beach (21st Street) and Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and authorize the County Judge to sign the contract and all necessary documents. (DEH) S Consider and take necessary action to utilize GOMESA funds to pay the balance of approximately $16,000.00 to Critendon Well Service for the new water well at Little Chocolate Bayou Park in the amount of approximately $7,000.00. (DEH) 49. Consider and take necessary action to approve placing street signs in populated areas with this information: "Development Permits Required 361-553-4455". (RHM) Page 1 of 2 NO1lCE Uf IVIEL-1 NO - 17/L/2022 BYO. Consider and take necessary action to determine which type of cost estimate to use for the jail roof in a letter to TDEM to apply for FEMA DR-4332 PW 6436 PAAP-DAC Excess Funds and authorize the County Judge to sign the letter and any other required documents. (RHM) 7i. Consider and take necessary action to approve the amended Tuition Assistance Policy and amended Payment for Enrollment form. (RHM) i2. Consider and take necessary action to remove and nullify the Calhoun County COVID Policy. However, in accordance with Bill 073, quarantine leave is still in effect for peace officers, detention officers and emergency technicians employed b Calhoun County. (RHM) 1"Approve the minutes of the October 19, 2022 meeting. i Accept Monthly Report from the following County Office: 1-1*�- i. Agrilife Extension Service - September 2022 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine i5. Consider and take necessary action on any necessary budget adjustments. (RHM) 16. Approval of bills and payroll. (RHM) P Richard H. Meyer, County u g- Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhcuncotx ore under "Commissioners' Court Agenda' for any official court postings. Page 2 of 2 NOTICE OF MEETING — 11/2/2022 Richard H. Meyer County judge David I-IaI&, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Karla Perez, Deputy Clerk CALlH[OUN COUNTY COMMISSIONERS'COURT T REGULAR TERM 2022 § November 2, 2022 BE IT REMEMBERED THAT ON November 2, 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. Happy Birthday Clarri! 5. Consider and take necessary action to approve an order regulating the placement of political and advertising signs on all county -owned property. (RHM) Sara Rodriguez read the order and discussed it with Commissioners. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 4 NOTICE OF MEETING— 11/2/2022 6. Consider and take necessary action to authorize Commissioner David Hall to purchase a Volvo EWR130 Wheeled Excavator and attachments from ROMCO Equipment Co. for $255,279.00 to be financed through Welch State Bank and authorize all appropriate signatures. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the contract agreement between Calhoun County and Shirley and Sons Construction Company, Incorporated for the Magnolia Beach (211 Street) and Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and authorize the County Judge to sign the contract and all necessary documents. (DEH) Scott Mason explained the reasoning for contracts. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to utilize GOMESA funds to pay the balance of approximately $16,000.00 to Critendon Well Service for the new water well at Little Chocolate Bayou Park in the amount of approximately $7,000.00. (DEH) Well amount 8,400.00 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve placing street signs in populated areas with this information: "Development Permits Required 361-553-4455". (RHM) Ladonna requesting signs in areas near water. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 4 i NOTICE OF MEETING — 11/2/2022 10. Consider and take necessary action to determine which type of cost estimate to use for the jail roof in a letter to TDEM to apply for FEMA DR-4332 PW 6436 PAAP-DAC Excess Funds and authorize the County Judge to sign the letter and any other required documents. (RHM) Everett Wood gave options on new roof. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve the amended Tuition Assistance Policy and amended Payment for Enrollment form. (RHM) Clarri explained changes made to policy. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to remove and nullify the Calhoun County COVID Policy. However, in accordance with Bill 073, quarantine leave is still in effect for peace officers, detention officers and emergency technicians employed b Calhoun County. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Approve the minutes of the October 19, 2022 meeting. 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 4 NOTICE OF MEETING— 11/2/2022 14. Accept Monthly Report from the following County Office: I. Texas Agrilife Extension Service — September 2022 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. 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 16. 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: 10:31 a.m. Page 4 of 4 # 05 NOTICE OF MEETING — 11/2/2022 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 Sara Rodriguez, County Attorney Karla Perez, Deputy Clerk REGULAR TERM 2022 § November 2, 2022 BE IT REMEMBERED THAT ON November 2, 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. Happy Birthday Clarri! 5. Consider and take necessary action to approve an order regulating the placement of political and advertising signs on all county -owned property. (RHM) Sara Rodriguez read the order and discussed it with Commissioners. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 12 RESOLUTION — 11/2/2022 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 WHEREAS, the Calhoun County Commissioners' Court determined that there is a need to avoid the perception of partiality in political affairs and commercial endeavors as well as to preserve the historic and aesthetic character of all County -owned property and this need requires the blanket order regulating all political and advertising signs on the main courthouse building as well as all County -owned property and its immediately surrounding lawns, grounds, walkways and parking areas; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSIONER'S COURT OF CALHOUN COUNTY, TEXAS: 1. A person may not cause or authorize a temporary sign to be installed, affixed, or maintained on or over county property including the installation of any temporary sign used for commercial or noncommercial purposes; except for temporary signs installed by the county for official county business. 2. For purposes of this order "temporary sign" means a banner, poster, or advertising display constructed of paper, cloth, place sheet, cardboard, plywood, or any other like material that appears to be intended to be displayed for a limited period of time. 3. This order is applicable to all county property including county property used as a polling place on elections, or during periods of early voting except as follows: a. All legal "electioneering" pursuant to Texas Election Code §61.003 is allowed on county property used as a polling place beyond the prohibited distance to the polling place, but said signs may not be installed on or over county property using "T-posts", re -bar, pvc piping, metal posts or pipes. Moreover, no sign larger than a total of 576 square inches or taller than 36 inches may be installed or affixed to or over county property. b. For the purpose of this order, unattended signs larger than 576 square inches affixed to, on, or over vehicles and/or trailers parked on county property shall be considered to be installed, affixed, or maintained on or over county property. Page 1 of 2 RESOLUTION — 11/2/2022 4. Any sign improperly installed, affixed or maintained on or over county property under this order will be considered abandoned and will be removed by county officials. ORDERED, PASSED AND APPROVED BY THE COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS this 2°d day of November, 2022. e000r chard H. Meyer, County udge Precinct 1 Joel ABehrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk LI . L PSi Deputy I �' 6.� 61� �� Vern Lyssy Commissioner, Precinct 2 n-/ 1-\ D. R� -� Gary D. Reese Commissioner, Precinct 4 Page 2 of 2 # 06 NOTICE OF MEETING— 11/2/2022 6. Consider and take necessary action to authorize Commissioner David Hall to purchase a Volvo EWR130 Wheeled Excavator and attachments from ROMCO Equipment Co. for $255,279.00 to be financed through Welch State Bank and authorize all appropriate signatures. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 12 5151 Cash Road, Dallas, Texas 75247 ROMCO 1350NELoop 10, Fort Worth,Texas 76106 - 1350 S.E. Loop 820 Sea Month, Texas 6106 - 2116E. Loop 281, Longview, Texas 75605 312 Park Street, Mercedes, Taxes 78570 1150 West Old Settlers Blvd., Round Rock, Texas 78681 EQYIPME IT CO. . I Mile West 0171-45 on FM 164, Buffalo, Texas 75831 - 8450 Breen, Bubble , Taxes 77064 o NAME Calhoun County Precinct 1 Nnnm Na. U Address 0 202 S. Ann Street ciy Caaary ,rue zry PortLavaca Calhoun TX 77979 CUSTOMER EQUIPMENT ORDER Date: 10/18/22 Name Calhoun County Precinct 1 Arabia, 305 Henry Barber Way city cowry sere I Zip y PortLavaca Calhoun TX 77979 Jab Name lob No. By this order, the undersigned customer requests ROMCO Equipment Co., the Company, to ship as specified above, the following equipment: "Notice is hereby given that ROMCO Equipment Co., will assign to ROMCO Exchange Co., LLC its rights under any SALE 0 R RECAPTURE PRICE sales contract to sell the equipment described herein or to purchase trade-in oronerty described herein.* QUANTITY MACHINE AND MODEL RENTAL RATE UNIT PRICE EXTENSION 1 Volvo EWR130 Wheeled Excavator with Attachments $255,279 DESCRIBE TRADE-IN: SUBTOTAL $255,279 FREIGHT SPECIAL TERMS ON TRANSACTION: AMI Hydraulic Tilt Rotator Coupler AMI 54" Ditching Bucket AMI Grapple Blue Diamond Brush Cutter TRADE-IN ALLOWANCE ( ) H EIT TAX DIESEL EQUIPMENT SURCHARGE SALES TAX NETPRICE CUSTOMER Is URDER1NU 1'HIS EQUIPMENT UNDER CONDITIONS CHECKED BELOW: ❑ Cash ❑ Note & Security Agreement ❑ Rental ❑ Lease LEASE OR RENTAL: Customer agrees to pay Company rental single shift operation at the rate of S per months, commencing plus applicable sales tax for a minimum period of ❑ With Purchase Option RENTAL RATES ARE FOR NORMAL AND REASONABLE USE (UP TO 8 HOURS PER DAY, 40 HOURS PER WEEK, OR 176 HOURS PER MONTH/4 WEEK PERIOD) AND WILL BE INCREASED PROPORTIONATELY FOR ANY GREATER USE. IF CUSTOMER HAS PURCHASE OPTION, IT MAY BE EXERCISED AT ANY TIME DURING TERM SO LONG AS CUSTOMER IS NOT IN DEFAULT, FOR CASH OR ON TERMS ACCETABLE TO COMPANY. REPAIR COSTS (EXCLUDING WARRANTY) PAID BY COMPANY DURING THE PERIOD OF LEASE OR RENTAL WILL BE ADDED TO THE PURCHASE OPTION PRICE OF THE UNIT SHOWN ABOVE UPON EXERCISE OF OPTION. THIS ORDER IS ALSO SUBJECT TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE HEREOF WHICH CUSTOMER DECLARES HE HAS READ AND UNDERSTANDS. SUCH TERMS AND CONDITIONS INCLUDE AN EXPRESS DISCLAIMER OF CERTAIN WARRANTIES AND LIABILITIES. In Dallas County, Texas on Title: Revised 5/17/06 20 Customer. v Title: �. a J2_— Print Name I �yA-ta� N /_t&9!:f settlement: Patrick Harwood TERMS AND CONDITIONS (Please Read Carefully) This order is subject to the following definitions, terms and conditions which shall apply with equal force and effect whether this order involves a SALE or RENTAL of equipment. 1. The Company reserves the right to accept or reject this order by its authorized agent at its principal office in Dallas County, Texas, and shall not be required to give any reason for non -acceptance. In the event of such rejection, Company will not be responsible or liable to customer in any manner whatsoever. 2. This order when accepted in writing by Company shall become a binding contract, but shall be subject to strikes, lockouts, accidents, fire, delays in transportation, acts of God, embargoes, or Governmental action or any other causes beyond the control of Company whether the same as, or different from the matters and things hereinbefore specifically enumerated, and any of said causes shall absolutely absolve the Company from any responsibility or liability to the customer under the terms hereof. 3. The Company's responsibility to customer for shipment ceases upon delivery to transportation company, and any claim for shortages, delays or damages occurring after such delivery shall be made by the customer direct to the transportation company. Any claims by customer for shortages in shipment shall be made within three days after receipt of shipment. 4. The Company shall not be responsible or liable for any damages, whether on account of personal injuries, death, or otherwise suffered or sustained in the operation of said machinery, nor for any damages resulting to the customer by reason of delays of any failure or alleged failure of said machine to operate. The term "damages" as used herein shall include, but is not limited to, consequential damages, including lost profits. Customer shall hold Company harmless from any claim, demand, action, or proceeding related to such damages. 5. Customer agrees on demand to execute and deliver to Company such notes and such additional forms and documents (such as Bill of Sale, Security Agreement, Lease and Rental Agreement, Financial Statement, Request for Information, and Request for Statement of Account and List of Collateral) as may be reasonably required by Company to consummate this ORDER when accepted. If payment in full for the equipment covered by this order shall not have been made within ten days of delivery, Seller may file a copy of this order as a Financing Statement to perfect Seller's Security Interest in said equipment, and Purchaser acknowledges that said equipment is being acquired by Purchaser (as Debtor) from Seller (as Secured Party), and that Seller retains a Security Interest therein in accordance with the terms and provisions of the Uniform Commercial Code. 6. Should Customer attempt to grant Company a Security Interest to secure the payment of all or any part of the Purchase Price, then any sale of equipment by Company herein intended shall be conditioned upon said Security Interest being perfected as a first and superior lien to any and all other Security Interests, liens, mortgages and encumbrances whatsoever. 7. Where terms agreed to are other than for cash settlement, Customer acknowledges that he was quoted a cash sale price and a time sale price, and has elected to make the purchase on a time sale basis. 8. All payments are due and payable to the office of Company in Dallas County, Texas or at the office of any assignee hereof in Dallas County, Texas, in lawful money of the United States, and will be subject to a late charge after maturity until paid computed at the highest legal contract rate of interest permissible in the State of Texas. 9. Customer agrees to sole responsibility for all loss or damage to equipment after delivery, and shall have the same insured in favor of Company against all hazards to the extend of the Market Value determined by Company, and shall furnish evidence of such insurance upon request of Company. 10. Customer acknowledges responsibility for all sales, use or similar taxes and except as included above, such taxes shall be added to the payments quoted, or in lieu thereof Customer shall provide Company with a tax exemption certification acceptable to the taxing authorities. 11. This order, when accepted by the Company, shall constitute the entire agreement of the parties, and Customer agrees that Company is not bound by any representations, promises or agreements made by any officer, agent or employee of Company relative to this transaction which are not embodied herein; and this order may be modified or rescinded only by a writing signed by both parties hereto. 12. COMPANY MAKES NO EXPRESS OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULLAR USE OR PURPOSE, AND SUCH WARRANTIES ARE EXPRESSLY EXCLUDED AND DISCLAIMED. �o�co EQUIPMENT CO. 1610 N. Padre Island Drive / Corpus Christi, TX 784081(361) 881-4891 / Fax: (361) 881-4897 Calhoun County October 17, 2022 Attn: Commissioner David Hall Q071 ROMCO Equipment Co. is pleased to present the following equipment for your consideration: 1- New Volvo EWR130E GPE Wheel Excavator, equipped as follows: - 2-piece Boom - Dipper Arm 6' 11" (Tilt Coupler makes up for reach) - Linkage w/ lifting eye - Single Camso 500/45-20 - Axle mounted mudguards front & rear - Outrigger rear - Divided Blade, Front (Provides additional stability on a slope/ditch) - Automatic digging brake - Drawer Type Toolbox Left hand - 35 km/h (22 mph) Equipment - Full Size CareCab w/ opening hatch - Air Suspension Seat with Heat - Seat belt, 3 inch retractable - Joystick, proportional - Steering System 2 Wheel Std. - Radio MP3&USB&Bluetooth - Travel alarm w/ 10 sec delay - Standard travel lights, LED - Additional Camera on right hand - LED Light Basic - CareTack, GSM/Satellite - CareTack Connectivity 4 yr. Subscription - Hydraulic long life oil ISO V046 - X1, Breaker/Shear Piping - Hydraulic proportional pedal - Xl flow & pressure control - Quick fit piping, SQF - Boom float hydraulics - Manual, English - Manual, safety - Counterweight standard (9,920 Ibs) - Tropical Cooling Package. - CareCab w/ fixed hatch - 8 multifunction joystick for tilt /rotator attachment. - Antitheft, code -lock - Flashing Beacon Cab LED - Add. Flash. Beacon Counterweight LED - LED Light Deluxe - Cruise Control with Creep Speed - Activation Caretrack GSM+SAT - CareTrack GSM subscription - Drain Line for Attachment - X3 Control EQUIPMENT FOR THE CONSTRUCTION, MINING AND AGGREGATE INDUSTRIES - Pilot control pattern change - Boom suspension system - AMI Tilt Rotating Quick Coupler - Ditching Bucket 54"with Bolt on Edge - Blue Diamond 60" Heavy Duty Brush Cutter - AMI Grapple - Lifetime Warranty on Frame, Boom, and Arm Sale Price F.O.B. Corpus Christi, TX Gradall 3100 Trade In Allowance $255,279 Price does not include any taxes. The above price is valid for 90 days unless specifically extended by ROMCO Equipment Cc Notice is hereby given that ROMCO Equipment Co. LLC has assigned its rights under this sales contract to ROMCO Exchange Co. LLC to sell the equipment described herein and, if applicable, to purchase trade-in property described herein. Sincerely, Patrick Harwood ROMCO Equipment Co. Sales EQUIPMENT FOR THE CONSTRUCTION, MINING AND AGGREGATE INDUSTRIES WELCH STATE BANK P.O. Box 396 S. Commercial Welch, Ok 74369 PH. 918-788-3373 FAX 918-788-3364 Member F 0 1 C DATE: October 25, 2022 TO: David, Calhoun County Precinct #1 FROM: Allison, Welch State Bank REF: Lease Purchase EQUIP: Volvo EWR130 Wheeled Excavator w/ Attachments COST #PMTs PAYMENT RATE $255,279.00 5 annual $59,151.05 5.06% This quote is good for 30 days. First payment due in one year. Quote is subject to credit approval. $300.00 doe fee is included in proposal. Simple interest with no prepayment penalties. This quote is given for a "qualified tax-exempt obligation " within the meaning of Section 265(b)(3) of the Internal Revenue Code of 1986, if this is not a "qualified tax-exempt obligation " rate(s) will be higher. David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for November 2nd, 2022. Consider and take necessary to allow commissioner David Hall to purchase a Volvo EWR130 Wheeled Excavator and attachments from ROMCO Equipment Co. for $255,279.00, finance thro,ug-hh Welch State Bank, and authorize all appropriate signatures Si eC rel', David E. Hall DEH/apt Quote Valid for 90 days Contract: 032119- VCE Date: Page 1 of 2 10/4/2022 Buying Agency: :Calhoun County s= Dealership: :Romco Equipment Co. Inc. Covtvct Perso°: David Hall Prepared By. Patrick Harwood Phone: :361-220-1751 Phone: :361-271-8862 Bona: david.hall@calhomcotx.org e.naa: :phanvood@romco.com Sour ea Product Code C - Volvo Pricing Catalog: Wheeled Hydraulic Excavators A. Catalog / Price Sheet Items being purchased Quan Unit Pr Total 1 :Volvo Wheeled Excavator Model EWR 130E $184,012: $184,012 :See next page for machine specs at List Price, Contract Discount, Machine Price ;This is a Budget Quote for Purchase in 2023 Sourcewell Machine Price:: $184,012 Additional Discount:: $0 Subtotal A:: $184,012 B. Sourced and/or Non -Contracted Items Quin Description Unit Pr Total 1 :AM1 Tilt Rotator, Coupler,& Ditching Bucket $42,464: $42,464 1 :Blue Diamond 60" Brush Cutter $22,503: $22,503 1 $0 1 $0 I $0 I $0 I $0 1 $0 Subtotal B:: $64,967 C. Freight / Installation / Ext Warranty / Trade -Ins / Other Allowances/ Miscellaneous Charges Incoming & Transfer Freight $2,000 PDI & Local Purchases $1,800 Attachments installation and mist hoses & parts $2,500 Note:. Budgetary Price quote for early 2023, prices are•.subject to: change., Subtotal C:: $6,300 Delivery Date:;' 2023' D. TOTAL PURCHASE PRICE (A+B+C): $255.279 # 07 NOTICE OF MEETING— 11/2/2022 7. Consider and take necessary action to approve the contract agreement between Calhoun County and Shirley and Sons Construction Company, Incorporated for the Magnolia Beach (211 Street) and Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and authorize the County Judge to sign the contract and all necessary documents. (DEH) Scott Mason explained the reasoning for contracts. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 12 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for November 2nd, 2022. Consider and take necessary action to approve the contract agreement between Calhoun County and Shirley and Sons Construction Company, Incorporated for the Magnolia Beach (21st Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project for Calhoun County, Texas and authorize the County Judge to sign the contract agreement and all necessary documents. S4erel/ David E. Hall D E H/apt STANDARD FORM OF AGREEMENT FOR MATERIALS CONTRACT THIS AGREEMENT made this the 21st day of September, 2022, by and between SHIRLEY 8'SONS CONSTRUCTION CO., INC. (a corporation organized and existing under the laws of the State of Texas) hereinafter called the "Contractor', and CALHOUN COUNTY hereinafter called the "County." WITNESSETH, that the Contractor and the County for the considerations stated herein mutually agree as follows: ARTICLE 1. Statement of Work. The Contractor shall furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment and services, including utility and transportation services, and perform and complete all work required for the construction of the Improvements embraced in the Project; namely, Magnolia Beach (2111 Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project, for the County, all in strict accordance with the contract documents including all addenda thereto, numbered Addendum No. 1, dated August 24, 2022, as prepared by G & W Engineers, Inc., acting and in these contract documents preparation. ARTICLE 2. The Contract Price. The County will pay the Contractor for the performance of the Contract in current funds, for the total quantities of work performed at the unit prices stipulated in the Bid for the several respective items of work completed subject to additions and deductions in amount of Eighty Thousand Dollars ($80,000.00). ARTICLE 3. The Contract. The executed contract documents shall consist of the following components: a. This Agreement b. Addenda c. Invitation for Bids d. Instructions to Bidders e. Signed Copy of Bid f. General Conditions g. Calhoun County General Conditions h. Special Conditions i. Performance Bond j. Payment Bond k. Technical Specifications I. Drawings m. Other ( ARTICLE 4. Performance. Work, in accordance with the Contract dated September 21, 2022, shall commence on or before as established in an official letter notification to the contractor called "Notice to Proceed" and Contractor shall complete the WORK within 45 consecutive calendar days thereafter. The date of completion of all WORK is therefore established by the Notice to Proceed Letter. This Agreement, together with other documents enumerated in this ARTICLE 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, forms the Contract between the parties hereto. In the event that any provision in any component part of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this ARTICLE 3 shall govern, except as otherwise specifically stated. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in four (4) original copies on the day and year first above written. SHIRLEY & SONS CONSTRUCTION CO., INC, (The Contractor) By ZZsG�/J U � Name/Title Ronald Shirley, President CALHOUN COUNTY (County) By Name/Title. Richard H. Me er Count Jud e Corporate Certifications 1, "" d SV' , certify that I am the ( 0S k)bi �— of the corporation named as Contractor herein; that I .Swy!! t who signed this Agreement on behalf of the Contractor, was then — of said corporation; that said Agreement was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. Corporate � Seal L — (Co orate Secretary) Please indicate above with N/A to all blanks above if LLC and authorized person signature at Corporate Secretary. 71,&D PROJECT NAME: i a nolia Beach 121'1 Street Rehabilitation 3 lndiano0a Bishinc/ Piers Elunican® Nicholas Project DUE DATE: Thursday. Se tember 1 2022 before 2:00:00 p.m. NAME: 7S n t - n 5, .- it n, , 61 BASE WORK SC P[ is Bids are invited for Items and quantities of work generally as follows: partial, reconstruction of magnolia beach pier including replacement of handrail, replacement of light poles, and miscellaneous decking and tightening of screws and bolts; demolition and rebuilding of Indianola Pier T-Head and miscellaneous deck repairs and tightening of screws and bolts. Item Quantity Unit Price Total Bid Price Comments 1. Furnish all necessary equipment, 'I LS !L- 161440, <<, materials, and labor for mobilization, demobilization, barricades and insurance. 2. For Magnolia Beach-218' Street 1 LS Pier, furnish all necessary C", equipment, materials and labor for the removal of damaged handrails, decking and light posts in accordance with the drawings and specifications 3. For Magnolia Beach-2'I5' Street 1 LS GO Pier, furnish all necessary equipment, 2� oau, Zc ore . materials and labor for J i the complete installation of new handrails, decking as required, an light post in accordance with the drawings and specifications. 4. For Magnolia Beach. 213t Street 1 LS Pier, furnish all necessary equipment, materials and labor to completely retighten all existing bolts for the entire pier (Walkway Soou. ` Sr oeo, and T-Head), and re -apply Vibra- Tite VC-3 or equal in accordance with manufacture's recommendations and for the complete inspection of deck screws and subsequent tightening or replacing of screws in accordance with the drawings and specifications. 'tern Quantity Unit Price Total Bid Price Comments S. nola Pier, furnish all 1 LS uipment, materials "deckinghandralling the removal of caps, joists, / railing and light posts for the 50 feet long t-head section, in accordance with the drawings and specifications. 6. For the Indianola Pier, furnish all 1 LS necessary equipment materials and labor for the complete cyc installation of double pile caps, 2� ocv 76 pac pier walkway joists, pier walkway decking, handrail posts and horizontal railing, stainless steel angle clips, stainless steel hardware and light posts for the 50 feet ling T-Head section, in accordance with the drawings and specifications. 7. For the Indianola Pier, furnish all 1 LS necessary equipment materials and labor for the complete U installation to completely retighten existing bolts for the entire pier / (Walkway and T-Head), and re- apply Vibra-Tite VC-3 or equal in accordance with manufacture's recommendations and for the complete inspection of deck screws and subsequent tightening or replacing of screws in accordance with the drawings and specifications, p0 TCiT,AL ISASE DID Fs�6,1 Gcw, � Bond No. HSHNSU0824562 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that: & Sons or P.O. Box 429. Cleveland. TX a Corporation hereinafter called Principal, and Harco National Insurance Company (Name of Surety Company) 28420 Hardy Toll Road, Suite 200 Spring TX 77373 (Address) hereinafter called Surety, are held and firmly bound unto Calhoun County (Name of Grant Recipient) 211 S. Ann Street. Suite 301, Port Lavaca TX 77979 (Grant Recipients Address) hereinafter called OWNER, in the penal sum of $ Eighty Thousand & No/100 Doily s f !Z 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 a copy of which is hereto attached and made a part hereof for the construction of: Magnolia Beach (2161 Street) & Indianola Fishina Piers Hurricane Nicholas Rehabilitation Protect for Calhoun County, Texas 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 i"`N 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. `,TPECIt-Ivd:fRON NOTES Calhoun County is receiving Bids for items and quantities of work generally as follows: Bids are invited for Items and quantities of work generally as follows: partial reconstruction of magnolia beach pier including replacement of handrail, replacement of light poles, and miscellaneous decking and tightening of screws and bolts; demolition and rebuilding of Indianola Pier T-Head and miscellaneous deck repairs and lightening of screws and bolts. County to provide: 1. Unsecured place to store contractor equipment and vehicles 2. Unsecured area to store excess materials required for construction. The BIDDER, in compliance with the invitation for bids for Magnolia Beach (21" street) & Indianola Fishing Piers Hurr6cane Nicholas Rehabilitation Project, having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all of the conditions surrounding the construction of the proposed project, Including the availability of materials and labor, hereby proposes to furnish all labor, materials and supplies in accordance with the contract documents, within the time set forth herein. These price(s) are to cover all expenses Incurred in performing the work required under the contract documents, of which this proposal Is a part. These price(s) are firm and shall not be subject to adjustment provided this Proposal is accepted within sixty (60) days after the time set for receipt of proposals. BIDDER hereby agrees to commence work under this contract on or before a date to be specified in a written "Notice to Proceed" to be issued by the County and to substantially complete within GS consecutive calendar days as stipulated in the specifications. BIDDER further agrees to pay as liquidated damages, the sum of $200.00 for each consecutive calendar day. I hereby acknowledge the receipt of the following addenda: 1. 2. -2A - 7'L SUBCONTRACTORS. The undersigned BIDDER proposes that he will be responsible to perform major portions of the work at the project site with his own forces and that specific portions of the work not performed by the undersigned will be subcontracted and performed by the following subcontractors. Type of Work Subcontracted Name of Subcontractor The undersigned hereby declares that he has visited the site and has carefully examined the contract documents rerauve zo me wont coverea Dy the acove Dta. Bidder N: Address: Phone: "Lyl EIN or Tan Signature: Name and Email Address: Ovll. V 4 , !wl 6 Lei,AI!f A 1 taer PROVIDED, FURTHER, that no final settlement between the OWNER and the Principal shall abridge the right ?►N of any beneficiary hereunder, whose claim may be unsatisfied. IN WITNESS WHEREOF, this Instrument is executed in Four counterparts, each one Mich shall be deemed an original, this the ►a. day of _ ATTEST: Shirley & Sons Construction Co.. Inc. //. (Principal) By <•%ice % s (Principal Secretary) Roh Id R. Shirley, II. President ( ) (SEAL) (Witness as to Principal) (Address) (Address) ATTEST: Harco National Insurance Company (Surety) sly (Witness a to urety A io61qy in F ct) Jars N. Berry P.O. Box 130625, Houston, TX 77219-0625 P.O. Box 130625, Houston, TX 77219-0625 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If PRINCIPAL/CONTRACTOR is Partnership, all partners should execute BOND. /MW.k Bond No. HSHNSU0824562 PAYMENT BOND ,.r� KNOW ALL MEN BY THESE PRESENTS that: Shirley & Sons Construction Co., Inc. (Name of Contractor or Company) P.O. Box 429, Cleveland, TX 77328-0428 (Address) a Corporation hereinafter called Principal, (Corporation / Partnership) and Harco National 28420 Hardy Toll Road, Suite 200, Spring, TX 77373 hereinafter called Surety, are held and firmly bound unto Calhoun Coun (Name of Recipient) 211 S. Ann Street Suite 301 Port Lavaca TX 77979 (Reciptenrs Address) hereinafter called OWNER, in the penal sum of $ Eighty Thousand & No/100 Dollars, $ _80,000.00 in lawful money of the United States, for this payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONFIDENTIALITY OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated the day of a copy of which is hereto attached and made a part hereof for the construction of: Magnolia Beach (21'Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Protect for Calhoun County, Texas (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, 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 an 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 p.� 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 counter -parts, each on of (Number) which shall be deemed an original, this the day of 0 0 W 6)(- ATTEST: (Principal Secretary) (SEAL) Shirley & Sons Construction Co., Inc. (Principal) By //�, (s) Ronald R. Shirley, II, President (Witness as to Principal) (Address) (Address) ATTEST: Harco National Insurance Company (Surety) _ By (Witness as t S rely (t(o ey In Fact" J me. .Berry P.O. Box 130625, Houston, TX 77219-0625 P.O. Box 130625, Houston, TX 77219-0625 (Address) (Address) NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR Is Partnership, all partners should execute BOND. /"\ CI•7�i9=1t•T�j�: t��1 Bond# HSHNSU0824562 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered: 702 Oberlin Road, Raleigh, North Carolina 27605 KNOW ALL MEN BY THESE PRESENTS: That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Illinois, and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint RMINTM11013-w- WA Houston, TX their true and lawful atlorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and Is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attomeys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attomeys-in-tact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2018 FIITY/p : o'P�1Nsugq'.. \0 Jp STATE of NEW JERSEY STATE OF ILLINOIS r,''proay';?0, Np0 County of Essex = �4°m o R9r ty County of Cook r ¢; :Z: SEAL $ �y,� : 01. 1904 iyp Kenneth Chapman '•,.H .""". b,3 Executive Vice President, Hamo National Insurance Company * and International Fidelity Insurance Company On this 31st day of December, 2018 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seat, at the City of Newark, New Jersey the day and year first above written. J"L a. Shirelle A.Outley a Notary Public of New Jersey CERTIFICATION My Commission Expires April 4, 2023 I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Companies asset forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand on this day, A02198 Irene Martins, Assistant Secretary IMPORTANT NOTICE To obtain information or make a complaint: You may contact Harco National Insurance Company at: 1-800-333-4167 You may also write to: Harco National Insurance Company c/o IAT Surety at: Attn: Claims Department One Newark Center, 201" Floor Newark, NJ 07102 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: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www.tdi.texas.eov E-mail: ConsumerProtection namli.texas.Loy PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent or the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document. AVISOIMPORTANTE Para obtener informacion o para presentar una queja: Usted puede comunicarse con sit Harco National Insurance Company al: 1-800-333-4167 Usted tambien puede escribir a Harco National Insurance Company c/o IAT Surety at: Attn: Claims Department One Newark Center, 20", Floor Newark, NJ 07102 Puede comunicarse con el Departamento de Seguros de Texas para obtener information acerea de companies, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www.tdi.texas.gov E-mail: Consumei-Pl-otectionta�.tdi.texas.vov DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a so prima o a on reclamo, debe comunicarse con el agente o Is companta primero. Si no se resuelve Is disputa, poetic entonces comunicarse con el departamento (TDI). UNA ESTE AVISO A SU FIANZA DE GARANTIA: Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto. acoCERTIFICATE OF LIABILITY INSURANCE OAT/10/2DIYYYYJ 10/10/2Rb® 022 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement s . PRODUCER BERRY INSURANCE AGENCY P. O. BOX 130625 NAME: Jim Berry, CPCU, CIC, ARM__ PRE HE st: (713) 266-5041 Pn c Na: (713) 797-6778 apo IE , jberry0411@gmail.com INSURER 9 AFFORDING COVERAGE NAIC0 HOUSTON, TX 77219-0625 INSURERA: Argonaut Insurance Company 19801 INSURED INSURER B: American Fire and Casualty Company 21113 INSURERC: StarStone National Insurance Company 25496 SHIRLEY & SONS CONSTRUCTION CO., INC. INSURERD: Texas Mutual Insurance Company 22945 P.O. BOX 429 CLEVELAND, TX 77328.0429 _ INSURER E: Evanston Insurance Company 35378 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR LTR TYPE OF INSURANCE ADULSUEUIm POLICY NUMBER PINEXIM FF MNUD�YIYYY LIMITS GENERALLIABILITY EACHOCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 191 OCCUR DAMAGE TO RENTED PREMISES Ea occumance $ 100,000 MEDEXP one arson S 5,000 PERSONAL S AOV INJURY 1,000,000 A Y Y 726OM251204 05/25/2022 05125/2023 _ GENERALAGGREGATE _$ S 2,000.000 GEN'LAGGREOATELIMITAPPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 $ POLICY RO Cf.LOC X PRO. AUTOMOBILE LIABILITY EevINED SINGLE LIMIT S 11000,000 BODILY INJURY (Par person) S X ANY AUTO B AUTOS NEO FUTIEDC"OSULED Y Y BAA59748260 04/3012022 04/30/2023 BODILY INJURY (Per acedenl) $ PROPERTY DAMAGE Peraacidenl $ X NON -OWNED MIRED AUTOS X AUTO$ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 C EXCESS UAe CLAIMS -MADE Y Y F74274221MAR 05/25/2022 05/25/2023 DEG I I RETENTION$ $ D WORKERS COMPENSATION ANDEMPLOYEftB'LIABILITY YINLEM ANY OFFICERIME BEB E%CLUOED7 ECUTIVE M (Mandatory in NH) NIA Y 0002022422 10/21/2021 10/2112022 X WC STATU- OETH- EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 11000,000 If ea, decenl,cunde, DESCRIPTION OF OPERATIONS beau E.L. DISEASE -POLICY LIMIT $ 1,000,060 CONTRACTORS POLLUTION E LIABILITY Y Y CPLMOL111544 05/25/2022 05125/2023 Each Pollution Condition Limit: $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORO till, Additional Remarks schedule, If more apace is requlredl Re: Magnolia Beach (21st Street) & Indianola Fishing Plats Hurricane Nicholas Rehabilitation Project General Liability, Auto Liability & Umbrella Policies Include Certificate Holder, Owner any other parties or entities as Additional Insured on a Blanket basis with Primary & Non -Contributory wording as required by written agreement. Workers Compensation, Auto, General Liability & Umbrella Policies include Blanket Waiver of Subrogation and 30-Day Notice in favor of all parties on a Blanket basis as required by written agreement. Umbrella is following form of "controlling underlying Insurance". CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CALHOUN COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 211 S. ANN ST., THIRD FLOOR, SUITE 301 ACCORDANCE WITH THE POLICY PROVISIONS. PORT LAVACA, TX 77979 AUTNORQEO REPRESENTATIVE V�/✓�/A/ ACORD 25 (2010103) ®1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DOCUMENT NO.00510 ATTORNEY'S REVIEW CERTIFICATION Magnolia Beach (21" Street) & Indianola Fishing Piers Hurricane Nicholas Rehabilitation Project 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 frill 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: 00a, Date: /UI LO 1-un z- Print Attorney's name: Sara M. Rodriguez Texas State Bar Number: 24050998 In 1: NOTICE OF MEETING— 11/2/2022 8. Consider and take necessary action to utilize GOMESA funds to pay the balance of approximately $16,000.00 to Critendon Well Service for the new water well at Little Chocolate Bayou Park in the amount of approximately $7,000.00. (DEH) Well amount 8,400.00 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 12 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for November 2nd, 2022. Consider and take necessary on utilizing GOMESA funds to pay the balance of, approximately $16,000.00, bill from Critendon Well Service for new water well at Little Chocolate Bayou Park in the amount of approximately $7,000.00. Si erel , David E. Hall DEH/apt CRITENDON DRILLING SERVICE, INC 327 CR. 310, PORT LAVACA, TEXAS 77979 (361)893-5223 NAME: CALHOUN COUNTY PCT. 1 INVOICE NO.: 103122 ADDRESS: 211 S Ann/305 Henry Barber Way CITY: PORT LAVACA, TEXAS 77979 david. hall(akalhouncotx.oro TOTAL DUE: $ 17,351,00 QTY. DATE OF WORK: 10/26/22 DESCRIPTION: REDRILL EXISTING WELL @ CHOCOLATE BAYOU PARK o%s -ika to0(0 ��.63 aW,�Sc 0-- 1 13, 3 0 Q � " Regulated By: TDLR P.O. Box 12157 • Austin, Tx.78711 1-800-803-9202 x 512-463-7880 TERMS: DUE UPON RECEIPT. A FINANCE CHARGE OF 1.5% PER MONTH (18% PER ANNUN) WILL BE CHARGED ON ANY UNPAID BALANCE. Please make checks payable to: CRITENDON DRILLING SERVICE, INC. PRICE PER I TOTAL Soles PAYMENTS PLEASE PAY THIS AMOUNT $ 17,351.00 TERMS DUE UPON RECEIPT CALHOUN COUNTY, TEXAS Normal Trial Balance - tb-Last Month-Donat/Gmt - Unposted Transactions Included In Report 2716 - GRANTS FUND From 9/1/2022 Through 9/30/2022 Account Code Account Title 10010 507 Report Total Report Difference CASH -AVAILABLE ALCOA-PONDS Total 2716 - GRANTS FUND Debit Balance Credit Rnlance 9,048.63 9,048.63 0.00 9,048.63 0.00 9,048.63 Date: 10/17/22 01:25:59 pM page: I # 09 NOTICE OF MEETING— 11/2/2022 9. Consider and take necessary action to approve placing street signs in populated areas with this information: "Development Permits Required 361-553-4455". (RHM) Ladonna requesting signs in areas near water. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 12 Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org October 26, 2022 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for November 2nd, 2022. "Consider and take necessary action on placing street signs in populated areas with this information. Development Permits Required 361-553-4455" Thank you, LaDonna Thigpen #10 NOTICE OF MEETING— 11/2/2022 10. Consider and take necessary action to determine which type of cost estimate to use for the jail roof in a letter to TDEM to apply for FEMA DR-4332 PW 6436 PAAP-DAC Excess Funds and authorize the County Judge to sign the letter and any other required documents. (RHM) Everett Wood gave options on new roof. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 12 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Wednesday, October 26, 2022 4:29 PM To: Mae Belle Cassel, Richard Meyer Cc: everett wood Subject: Agenda Item Request Attachments: Agenda binder 2022.11.02.pdf, FEMA letter draft.docx Please place the following item on the agenda for 11/2/22: • Consider and take necessary action to determine which type of cost estimate to use for jail roof in letter to TDEM to apply for FEMA DR-4332 PW 6436 PAAP-DAC Excess Funds and authorize County Judge to sign letter and any other required documents. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindv.mueller@calhouncotx.ore Calhoun County Texas CALHOUN COUNTY PENATRATIONS 77979 PROPOSAL 100% MR. EVERET WOOD Construction and Completion of the Project as Per Attacked If Applicable. Detailed Scope of Work /Bill of Materials /Design Drawing(s) /Power Point Lnages /Photos "Contractor" to supply all Materials and Labor to Complete t/ris Project. "Owner" to supply Water and Electricity to Complete this Project. ALL MATERIALS AND EQUIPMENT WASH 100% /PREPAREALL SURFACES FOR NEW FLUID APPLIED UNIFLEX SILICONE 44 FLASHALL PENATRATIONS WITH UNIFLEX ONEFLASHPRODUCT CLEAN UP THE JOBSITE NOTE: ALL MATERLALS SPECIFICATIONS AND CASE STUDIES BEING PREPARED FOR "OWNER" MATERLALS: $ 73,000.00 LABOR: $ 60,000.00 THIS PROPOSAL IS SOLEY FOR THE PURPOSE OF BUDGETING THIS PROPOSAL IS WITHIN (+ OR) S% Respectfully Submitted TOTAL: $ I33,000.00 Note: This proposal may be withdrawn by us if not Accepted within 14 days Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. rain king, inc. P.O. Box 192 3611576-0606 Victoria, TX 77902 361/576-2089 TO: Calhoun County FROM: Marcus Wright PROJECT: Calhoun County Jail Roof Coating — Port Lavaca, TX 77979 BID DATE: 09/23/22 TIME: 2:00 PM ADDN: N/A SCOPE OF WORK • Power Wash Existing Roof System • Apply a Single Pass, Rubberized, Reflective Aluminum Asphalt Coating BASE BID: $ 77,500 EXCLUSIONS • Warranty • Leak Repairs • Re -Taping Laps of Existing Roof Membrane • Coating of Parapet Walls • Sheet Metal / Sheet Metal Repairs • Structural Repairs • MEP (Electrical, Mechanical, Plumbing, Equipment Supports, Pipe Stands) • Interior Work • Sales Tax • P&P Bonds (Add $500 + 1 %) rain king, inc. P.O. Box 192 Victoria, TX 77902 361/576-0606 361/576-2089 TO: Calhoun County FROM: Marcus Wright PROJECT: Calhoun County Jail Roof Coating — Port Lavaca, TX 77979 BID DATE: 09/23/22 TIME: 2:00 PM ADDN: N/A SCOPE OF WORK • Power Wash Existing Roof System • Apply an Acrylic, Two Coat, Elastomeric Coating BASE BID: $ 88,500 EXCLUSIONS • Warranty • Leak Repairs • Re -Taping Laps of Existing Roof Membrane • Coating of Parapet Walls • Sheet Metal / Sheet Metal Repairs • Structural Repairs • MEP (Electrical, Mechanical, Plumbing, Equipment Supports, Pipe Stands) • Interior Work • Sales Tax • P&P Bonds (Add $500 + 1 %) `Read Safety Data Sheet before using this product.' DESCRIPTION: 298 Alumin-R is a PREMIUM grade, single component, SBS rubber modified asphalt reflective coating specially formulated with aluminum pigment to be used as a reflective elastomeric coating over modified bitumen membranes, BUR asphalt roofs, spray polyurethane foam roofs, properly sloped concrete roofs and metal roofs. FEATURES, BENEFITS & ADVANTAGES: • Easy to apply • 24 hour cure • Tough, flexible elastic, rubber -like film • Excellent adhesion over clean asphalt surfaces • Excellent water and water vapor resistance • Excellent weather resistance • Good resistance to salts and alkali • Aluminum reflectant characteristics USES: 298 Alumin-R is recommended as a coating for use on APP and SBS smooth or granule modified bitumen membranes, BUR roofs that have aged 90 days, spray polyurethane foam roofs, sloped concrete roofs, metal and mobile home roofs or any KARNAK emulsion roof coating that has been allowed to cure for 3-5 days. SURFACE PREPARATIONS: All surfaces to be coated with 298 Alumin-R must be clean, dry, and free from loose rust, oil, grease, and loose debris. Recommended application temperature is 50°F to 120°F. New BUR asphalt roofs should be allowed to weather 90-180 days before being coated. New metal must be allowed to weather 30 days before being coated. Modified bitumen membranes should be coated immediately after the membrane has been laid into place. Metal roofs should be cleaned with a power washer using a minimum of 3000-3500 psi to remove rust and loose flaking prior to the application of 298 Alumin-R. New metal should be allowed to weather 30 days before coating. 298 Alumin-R should be mechanically mixed for several minutes before application. Badly weathered or alligalored asphalt surfaces should be primed with 100 Non-Fibered Emulsion or 220 Fibered Emulsion prior to coating with 298 Alumin-R. Allow emulsion coating to cure a minimum of 3 to 5 days before application of aluminum coating. Sloped, poured concrete roofs should have internal relative humidity levels of 75% or less. APPLICATION: 298 Alumin-R can be applied by brush, roller or spray. If spray equipment is utilized, use a standard heavy duty spray pump. Equipment manufacturer should be consulted for more complete information. COVERAGE RATE: Apply at 1.5 to 2 gallons per 100 sq. ft. (24-32 wet mils) in one application. DO NOT THIN. Over dry concrete surfaces apply one coat at the rate of 2 to 2.25 gallons per 100 sq. ft. CAUTION: Do not use near open flame. Avoid breathing solvent fumes and prolonged contact with skin. Do not take internally. If swallowed, do not induce vomiting. Call a physician immediately. Keep out of reach of children. Store in a heated room and keep container covered when not in use. Do not thin. Dispose of in an environmentally safe manner. Cover air intakes during application and while drying. Keep out of reach of children. For exterior use only. KARNAK recommends coating torch -applied modified bitumen membranes as soon as possible after the membrane is installed. KARNAK's experience, laboratory and field tests, as well as NRCA, RCMA and ARMA reports, indicate that aluminum roof coating will reduce the combined effects of ultraviolet rays, heat and moisture, which, especially on APP modified bitumen, enhance exudation that can cause discoloring and delamination of any surface coating. After 60 days, recommended application temperatures are 50°F and rising. Coating must not come in contact with any type of moisture within 24- 48 hours after application. Cold -process systems and coatings, either emulsion or solvent -based, should only be installed on decks with positive drainage. Per NRCA (National Roofing Contractors Association), "The criteria for judging proper slope for drainage is that there be no evidence of standing water on a deck 48 hours after it stops raining:' PACKAGING: Available in 5-gallon pails, 1-gallon cans and 55-gallon drums. If further information is needed, contact KARNAK Technical services at 800-526-4236. PHYSICAL PROPERTIES & SPECIFICATIONS Weight per Gallon: 9.14 lbs. Solids by Weight: 53%Nominal Solids by Volume: 41%Nominal Elongation: 300% ASTM D412 Tensile Strength: 300 psi ASTM D412 Color: Silver Application Temp.: 50°F to 120°F Cure Time: 24-48 hrs. at 77°F and 50% Relative Humidity Service Temp (Cured Film): -40°F to 180°F VOC Content: 450 g/L MAX ASTM D2824 Type III ASTM D3805 ASTM D962 Type II Solar Reflectance: 0.68 Initial 0.61 3-Yr. Aged Thermal Emittance: 0.40 Initial 0.45 3-Yr. Aged SRI: 69 Initial 59 3-Yr. Aged GvpSS/Fi�r� �p551Fj� /��.� Crt, L C �L us -�R MfMUR FM MIAMN]A® NT' nvnnwm EM Updated: 07.07.20 330 Central Ave. I Clark, NJ 07066 1800.526.4236 1 Fax 732.388,9422 1 www.karnakcoro.com M Acrylic Top Coat - Data Sheet PRODUCT DESCRIPTION GAF Acrylic Topcoat is a water based, acrylic elastomeric top coat that is part of the GAF Acrylic Coating System. GAF Acrylic Topcoat is designed to be applied over GAF Acrylic Base Coat. OAF Acrylic Topcoat forms a monolithic coating that helps provide protection against damage from the exposure to UV and weather elements. It is also effective in sealing and encapsulating spray polyurethane foam (SPF). APPROVED SUBSTRATES New and existing metal, structural concrete, TPO, PVC, Hypalonf, SPF, EPDM, and asphaltic roofs. New TPO and asphaltic roofs should be weathered for at least 30 days. Do NOT use on gravel -surfaced roofs or shingle roofs. PACKAGING SIZES 5-gallon (18.9 liter) pail 55-gallon (208liter) drum 275-gallon (1040 liter) tote STORAGE & SHELF LIFE PRODUCT STORAGE TEMPERATURE: 50OF - 90-F (10aC - 32aC) Do NOT allow coating to freeze. SHELF LIFE: IS months from date of manufacture in unopened containers, if stored properly in a clean and well -ventilated area. PHYSICAL PROPERTIES' Solids by Weight -66% [ASTM D16441 Solids by Volume 53% [ASTM D26971 Weight per Gallon/Liter 12.31b. (1.41 kg) [ASTM D14751 Tensile Strength 200 PSI [ASTM D2370] W Elongation Initial: 230% [ASTM D2370] Post 1,000 Hrs Xenon: Passes ASTM D6083 Type 1 Hardness 55-65 Shore A [ASTM D22401 Permeance -WYMeets ASTM D6083 Low Temperature Passes Type Flexibility Bond Strength Exceeds cohesive strength of coating [ASTM C297] For application questions, contact GAF Technical Support at 1-877-GAF-ROOF voc __...,. <25 g/Lh_.�,u. Dry Time' 3 hours @ 70°F (210C), 50% R.N. White @ 16 wet mils (406 microns) 'Required time will increase at higher humidity and/or lower temperatures Accelerated 1,000 hours: Pass Weathering [ASTM D4798] High- No age hardening up Temperature to 250°F (121°C) [ASTM Stability D794] Resistance to 0.3% moisture result Wind -Driven [Federal Specification Rain TTC-555B] Service -30OF to 200°F (-35°C Temperature to 93°C) Limits (Installed Coating) u Solar y ��-WHITE Reflective Initial: 105 Index (SRI) Aged: 87 LIGHT TAN Initial: 88 Aged: 71 Standard White, Light Gray, Dove Colors Gray, Gray, Cotton, Light Tan, Desert Sand, plus nine other colors. See GAF Roof Coatings Solution Guide. "Customized tinting available L Values are approximate and subject to normal manufacturing variations. These values are not guaranteed and are provided solely as a guide. n N O U i O U C LL Q 0 N 0 N We protect what matters most" = Acrylic Top Coat - Data Sheet APPLICATION INSTRUCTIONS SUBSTRATE PREPARATION: Roof must have positive drainage, and be clean and dry with no trapped moisture. Repair damaged membrane, flashings, and penetrations. Conduct test patches to verify adhesion of coating prior to start of work. Priming of substrate is recommended and may be required. See Liquid -Applied Roofing Manual at gaf.com. MIXING: Mix uniformly for 3 minutes prior to use. Do NOT attempt to thin or self -tint. APPLICATION: Apply by brush, roller, or airless sprayer evenly at the rates specified below. Do NOT apply more than 1.5 gallons per 100 ft' (6.1 L per 10 m2) in a single coat. Apply additional coats perpendicular to the previous coat once it is dry enough to walk on. Total coverage is dependent on the substrate. See below for minimum coverage requirements. WARRANTY Refer to applicable warranties and guarantees, available at gaf.com, for complete coverage and restrictions. LIMITATIONS & PRECAUTIONS APPLICATION AIR TEMPERATURE: Min. 50OF (10°C). Do NOT heat containers. APPLICATION SURFACE TEMPERATURE: 50 - 110OF (10eC - 43e C). cool temperatures/high humidity may slow curing. Do NOT apply if rain, dew, fog, heavy moisture, condensation, or freezing temperatures are in the 8-hour forecast to ensure proper cure. Call GAF Technical Support Services for ranges outside these limits 1-877-423-7663 APPLICATION RATE FOR LIMITED WARRANTY ON GAF LIQUID -APPLIED ROOF COATINGS Limited 5 Years 7 Years Warranty Term Number of 1 2 25 Gallons Per Square Dry Film ( 17 I 21 Thickness 10 years 1 12 years 1 15 years 3 1 3.5 1 4 25 1 29 1 34 For application rates and other requirements for system guarantees and warranties, see Liquid -Applied Roofing Manual at gaf.com. SAFETY & HANDLING For specific information regarding safe handling of this material please refer to the Safety Data Sheet (BIDS). CLEAN UP Use water and soap to thoroughly flush equipment. If coating has hardened, clean with solvent. �A-P—PPROVALS I ASTM D5083 _ Tested and We protect what matters most` C WHITE Rating approved ANSI/UL790 Class UL Listed` _m A -r F4470 M FM Approved'" Factory Mutual Passes FM Severe Hail** FBC (Florida FL620 v Building Code Y20-0130.07*** Miami -Dade County NOA CRRC (Cool Roof � O N 0 U i 0 U N LL a 0 04 O CBleed -Block Acrylic Base Coat - Data Sheet PRODUCT DESCRIPTION GAF Bleed -Block Acrylic Base Coat is a water -based acrylic base coat used in a basecoat/topcoat system to improve the adhesion of GAF Acrylic Top Coat and provide bleed blocking on asphalt roof. GAF Bleed -Block Acrylic Base Coat is designed for easy application with conventional or airless spray equipment, as well as brush or roller. APPROVED SUBSTRATES New and existing metal, structural concrete, TPO, PVC, Hypalono, SPF, and asphaltic roofs. New TPO and asphaltic roofs should be weathered for at least 30 days. Do NOT use on EPDM, gravel -surfaced roofs or shingle roofs. PACKAGING SIZES 5 gallon (19 liter) pail 55 gallon (208 liter) drum 275 gallon (1041 liter) tote STORAGE & SHELF LIFE PRODUCT STORAGE TEMPERATURE: 50-F - 90-F (10aC - 32aC). Do NOT allow coating to freeze. Store in well ventilated areas. SHELF LIFE:18 months from date of manufacture in unopened containers, if stored properly. PHYSICAL PROPERTIES 1 Solids By Volume 53% [ASTM D2697] Solids By Weight 65% [ASTM E1644] 258 psi (1.83 MPo) Tensile Strength [ASTM D2370/D60831 Elongation 450% [ASTM D2370/D6083] VOC 50 g/L 3 hours @ 70°F (210C), 50% R.H. White @ 16 wet mils (406 microns) Dry Time `Required time will increase at higher humidity and/or lower temperatures I Service [ Temperature Limits 0°F-200°F (-18°C-93° (Installed C) Coating) Standard Colors Light Gray 1. Values are approximate and subject to normal manufacturing variations. These values are not guaranteed antl are provided solely as o guide. For application questions, contact GAF Technical Support Services at 1-877-GAF-ROOF We protect what matters most" ZBleed -Block Acrylic Base Coat - Data Sheet APPLICATION WARRANTY SAFETY & HANDLING INSTRUCTIONS SUBSTRATE PREPARATION: Roof must have positive drainage, and be clean and dry with no trapped moisture. Repair damaged membrane, flashings, and penetrations. Conduct test patches to verify adhesion of coating prior to start of work. Priming of substrate is recommended and may be required. See Liquid -Applied Roofing Manual at gaf.com. MIXING: Mix uniformly for 3 minutes prior to use. Do NOT attempt to thin or self -tint. APPLICATION: Apply by brush, roller, or airless sprayer evenly at the rates specified in the chart below. Do NOT apply more than 1.5 gallons per 100 ft' (6.1 L per 10 m2). Total coverage is dependent on the substrate. See below for minimum coverage requirements. Refer to applicable warranties and guarantees, available at gaf.com, for complete coverage and restrictions. LIMITATIONS & PRECAUTIONS APPLICATION AIR TEMPERATURE: Min. 50-F (10aC). Do NOT heat containers. APPLICATION SURFACE TEMPERATURE: 50 - 110OF (10aC - 43a C). Cool temperatures/high humidity may slow curing. Do NOT apply if rain, dew, fog, heavy moisture, condensation, or freezing temperatures are in the 8-hour forecast to ensure proper cure. Call GAF Technical Support Services for temperature ranges outside these limits. APPLICATION RATE FOR LIMITED WARRANTY ON GAF Limited Warranty Term 5 Years Number of Gallons Per Square 2.0 Dry Film Thickness 17 For system guarantees and warranties, see Liquid Applied Roofing Manual at gaf.com. For specific information regarding safe handling of this material please refer Safety Data Sheet (SDS). CLEAN UP Use water and soap to thoroughly flush equipment. If coating has hardened, clean with solvent. Meets or Exceed Tested and ASTM D6083 approved TANSI/UL790 Class UL Listed* A State of Florida _ FL620 W Approved (FBC) 9TMiami-Dade v20-a130.07A County "Refer to UL Product iq for actual assembles " GAF Bleed -Block Acrylic Base Coat formerly known as "United Coatings"' Roof Mate— MB Plus" We protect what matters most" LaVonia Marriott Texas Division of Emergency Management 1033 La Posada, Suite 300 Austin, Texas 78752-3824 Re: DR-4332 I Calhoun County I PW 6436 1 Excess Funds Ms. Marriott, I am requesting the excess FEMA funds in the amount of $80,492.43 that were awarded to Calhoun County under DR-4332 PW 6436. These funds will be combined with matching County funds of $8,936.60 to re -asphalt the roof of the county jail. This project will help protect county infrastructure from extensive damage due to future weather events and it will ensure a place of safety for emergency personnel during such events. The county jail was built in 2006 and is located next to the county courthouse. It is composed of concrete walls, with no windows. The roof is the only weather -compromised part of the building. The courthouse is the location of the county emergency command center. County, state and federal emergency personnel assembled and worked out of the courthouse during Hurricane Harvey. Due to a county -wide evacuation order, all inmates in the jail were evacuated except for essential workers who prepared and served food that was available all day to emergency personnel. Because the jail was a secure location and basically empty, emergency personnel slept and ate there until it was safe to leave. Due to severe winds during Hurricane Harvey, most of the asphalt points on the roof were sliced off. The smooth roof was left with little protection from the sun, allowing the underlying membrane and roof infrastructure to slowly decay. Following state and federal procurement procedures, the County will solicit and retain the services of an experienced vendor to re -asphalt the jail roof. The roof system will be prepped and a GAF acrylic base will be spread over the entire roof to provide a more protective membrane. A GAF acrylic elastomeric topcoat will be applied over the base coat to provide protection against damage from UV rays and weather elements. Barring unexpected manufacturing or weather delays, vendor selection and re -asphalting the roof will be completed within eight (8) months. As a coastal county that is subject to hurricanes and severe storms, a fortified roof is needed to keep future repair costs lower if impacted by natural disasters. The estimated cost for this project is $130,000, based on an informal estimate provided by a local vendor. See the attached proposal. However, the exact project amount cannot be determined until construction bids are received and all options are considered. Should additional funding be needed in excess of FEMA and matching funds, county funds are available and will be used to successfully complete the project. Thank you for consideration of this request. #11 NOTICE OF MEETING— 11/2/2022 11. Consider and take necessary action to approve the amended Tuition Assistance Policy and amended Payment for Enrollment form. (RHM) Clarri explained changes made to policy. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 12 Mae Belle Cassel From: clarri.atkinson@calhouncotx.org (Clarri Atkinson)<clarri.atkinson@calhouncotx.org> Sent: Thursday, October 27, 2022 8:44 AM To: MaeBelle.Cassel@calhouncotx.org Cc: Richard.Meyer@calhouncotx.org; Davfd.Hall@calhouncotx.org; Vem Lyssy Subject: Agenda Item Request Attachments: Educational Assistance Plan Tuition Assistance Policy A.11.2.22.pdf; 11.2.22 - Calhoun County Payment for Enrollmentpdf Mae Belle, Good Morning O Kindly put the following item on the agenda for November 2, 2022 Consider and take necessary action to approve the amended Tuition Assistance Policy and amended Payment for Enrollment form. Thank you kindly and have a great day. Clarri Atkinson Calhoun County Human Resources 131 N. Virginia Ste. F Port Lavaca, TX 77979 P: 361.553.4450 F: 361-551-2181 M: 361.746.2228 Calhoun County Texas CALHOUN COUNTY QUALIFIED EDUCATIONAL ASSISTANCE PLAN TUITION ASSISTANCE POLICY Approved by Commissioners Court May 25, 2022 Amended November 2, 2022 To encourage personal and professional development that improve skills, knowledge, understanding and abilities to increase productivity, the County of Calhoun has established a Qualified Educational Assistance Plan for full-time employees. (IRS Publication 5137, Fringe Benefit Guide for Federal State and Local Governments, IRC Section 127) The Qualified Educational Assistance Plan offered by the Countyto full-time employees is offered for only tuition and out of county fees under two programs Payment for Enrollment) or Reimbursement. The employee shall choose either, ,Payment for Enrollmeni� or Reimbursement. The option the employee chooses in the beginning will remain the same throughout the lifetime maximum amount that has been set by Commissioners Court. (Example: If the employee chooses Payment for Enrollment for tuition assistance for the fall semester, the employee may not choose Reimbursement for the spring semester). Under the Qualified Educational Assistance Plan, the County has set a cap of $5,250 tuition assistance per year (January 1 thru December 31) per full-time employee. The County has set a maximum lifetime tuition assistance at $10,500 per full-time employee. The availability of tuition assistance is subject to Commissioners Court approved funding in each individual department. Funding will be established annually as part of the budget process based upon anticipated participation and available funding. Each County department will be responsible for determining if funds are available in their department. If funds are not available within the department's budget, the department may request funds during annual budget workshops. To be eligible for consideration of tuition assistance, an individual must be a full-time employee that has completed a minimum of twelve months of service with the County and be in good standing with the County prior to the request for tuition assistance. In cases where an employee is currently under a designated performance improvement plan for a disciplinary matter or for performance improvement issues, the employee will not be eligible for tuition assistance while on the plan. To retain eligibility for tuition assistance, an employee must remain as an active full- time employee in good standing from the time the request is submitted to the time a course or certification program is completed and, if available, apply for FAFSA, grants, scholarships or other financial assistance. The employee must take all courses and certification programs for which tuition assistance is received on the employee's own time. The employee will not be paid by the County for any time needed during work hours for any class or certification program. (Example: Time needed to study, complete assignments, testing, attend classes or labs, etc.) If a class or certification program is only available during an employee's normal work hours, the employee must request a flexible schedule from the employee's department head (elected or appointed official). With Page 1 of 9 prior approval from the employee's department head (elected or appointed official), the employee must use vacation leave, comp time, or leave without pay in order to attend or fulfill any responsibility for the class or certification program. When there is a conflict between classes or certification programs and the employee's job responsibilities, the job responsibility must come first. A course or certification program must be offered by accredited colleges, universities, business institutes, vocational school, or trade school and must: 1. Relate to current position or prospective (new) job duties; 2. Be required by an accredited college, university, business institute, vocational school or trade school which is related to a County career field; 3. Benefit Calhoun County by increasing employee skills, knowledge, understanding and abilities needed to increase productivity and achieve County goals and objectives; 4. Be approved by the employee's department head (elected or appointed official); 5. Be recorded (detailed with amounts and receipts) and kept up to date by the employee's department head (elected or appointed official); and 6. Be on file in the Human Resources Department. All required forms must be obtained from the Human Resources Director. Forms from the employee's department will not suffice for the requirements of the Qualified Educational Assistance Plan, Tuition Assistance Policy. A course or certification program will be defined as a class of instruction taught at or by an accredited college, university, business institute, vocational school or trade school that meets on a regular basis over an extended period of time. Online courses from an accredited college, university, business institute or trade school are eligible for tuition assistance. Non-credit courses or courses containing the same or similar information as received in previous courses (repeat courses) are not eligible for tuition assistance. Tuition assistance and or reimbursement may be paid monthly, by semester, quarter or yearly] for each -approved course or certification program_. Payment may be made in_more than one calendar ye The County will not pay or reimburse for courses or certification programs for which tuition assistance has already been paid or reimbursed. Should a question arise about the administration of this policy or whether a course or certification program meets the requirements of this policy, contact the Human Resources Director. Seminars, conferences, continuing education, and any license or certification that is required by the County or by law, for the employee to maintain in order to keep their present job, salary or status will be covered by funds within each department and not by the Qualified Educational Assistance Plan. The County will provide assistance for only the cost of Tuition and Out of County fees, if any, not to exceed the yearly and maximum amounts per employee set by Commissioners Court. Tuition Page 2 of 9 and Out of County fees, if any, will be paid upon enrollment to the college, university, business institute or trade school or reimbursed to the employee only after the employee has submitted all of the required documentation. Other fees and expenses are excluded from Tuition Assistance. These fees include, but are 291 limited to, the following,: • Tools or Supplies that the employee may keep after a course is completed (IRS Publication 5137, IRC Section 127); • Education involving sports, games or hobbies (IRS Publication 5137, IRC Section 127); • Meals, Lodging, transportation (fuel, mileage or any travel expenses) (IRS Publication 5137, IRCSection 127); • Books; • E-Book Course fees; • Materials; • Supplies; • Elective fees; • Late fees; • Service fees; • Return check fee; • Deposits; • Orientation fees; • Application, Entrance and/or Registration fees for admittance and/or graduation; • Change of class or certification program fees; • Identification cards; • Uniform fees; • Health and/or Liability insurance fees; • Fees for copies of official transcripts and/or certificates; • Parking fees From the total cost of tuition and out of county fees, if any, the County will pay the difference between the amount approved by the County and the amount of financial assistance, which has been or will be received, from any source, but no more than the maximum amount allowed by the County (yearly or lifetime). If other financial assistance received by the employee is more than the amount approved by the County, no payment upon enrollment or reimbursement will be made by the County. If financial assistance is received after the County has made a payment upon enrollment or reimbursement, the employee must immediately notify and reimburse the County the amount received (up to the amount of the County's payment or reimbursement) from other financial assistance. Employees who fail to report and reimburse the County for any other financial assistance and amounts received will no longer be eligible for tuition assistance from the County and will face legal consequences from the County up to and including termination. The employee agrees that any funds due to the County will be deducted from the employee's payroll check(s). Page 3 of 9 The employee agrees that if sufficient funds are not available to satisfy any tuition assistance owed to the County, the employee will pay the balance owed to the County by cash or money order immediately. If the employee fails to voluntarily reimburse the County, the County will seek any legal options the County may have, up to and including termination. The employee agrees to pay all of the County's attorney and legal fees if the County is forced to incur any such expenses to collect the amount due to the County. If an employee resigns or is terminated, except for a reduction in force, prior to the completion of a course or certification program and the required years of service, the employee agrees to immediately reimburse the County for any tuition assistance paid on the employee's behalf or any reimbursement the employee received. The employee agrees that any funds due to the County will be deducted from the employee's final payroll check that is due to the employee at the time of the employee's resignation or termination. The employee agrees that if sufficient funds are not available to satisfy any tuition assistance owed to the County, the employee will pay the balance owed to the County by cash or money order immediately. If the amount owed to the County is not paid immediately, the County will seek any legal options the County may have, up to and including termination. The employee agrees to pay all of the County's attorney and legal fees if the County is forced to incur any such expenses to collect the amount due to the County. If an employee is injured on the job or while on military active duty and has to involuntarily leave employment (including a disability retirement with TCDRS due to injury or illness) before course or certification program completion and required years of service, a waiver would be given for any tuition assistance the employee would otherwise be obligated to reimburse to the County. Intentionally Left Blank Page 4 of 9 OPTION 1 — PAYMENT FOR ENROLLMENT PAYMENT FOR ENROLLMENT PROCEDURESI Pages 1— 4 must also be followed Within twenty days prior to the beginning date of any course or certification program for which the employee seeks the payment for enrollment option, the employee must submit to the Human Resources Director the following: 1) Proof of enrollment (schedule or other document showing enrollment status); 2) Written approval (signed and dated) from the employee's department head (elected or appointed official); 3) Payment for Enrollment Request Form (obtained from the Human Resources Director); 4) Promissory Note/Employment Agreement (obtained from the Human Resources Director). A separate Promissory Note/Employment Agreement is required for each class or certification program for which the employee applies for payment for enrollment; 5) Written explanation of how the course, courses or certification program is related to the employee's field of employment or the County's needs. The written explanation must be approved, signed and dated by the employee's department head (elected or appointed official); 6) A detailed (itemized) invoice/statement from the college, university, business institute or trade school that lists the detailed (itemized) costs, including fees (See Other Fees, page 3), for the course, courses, or certification program by clock hours, semester, quarter or year for which the employee must pay out-of-pocket (not covered by Grants, Scholarships, Veterans Program, GI Bill, other subsidies, or other financial assistance). Other financial assistance received must be disclosed and listed; 7), The County will only consider the Option for payment for EnrollrnenY, if the employee completes and submits all of the above requirements and any other documentation that is requested by the County. The County will pay directly to the college, university, business institute or trade school for an employee's approved tuition and out of county fees, if any, with an annual cap of $5,250 and a lifetime maximum amount of $10,500; payment may bel made in more than one calendar year.] 8) The Human Resources Director will calculate the amount of payment for enrollment'; create a purchase order, attach all of the required documentation received, and return to the employee's department to submit for approval to be paid directly to the college, university, business institute or trade school. Failure to submit required documentation by the published deadline dates will disqualify the employee for payment for enrollment for that approved period. Page 5 of 9 9) The County's Qualified Educational Assistance Plan, Tuition Assistance Policy and the Promissory Note/Employment Agreement set forth the terms and conditions of the agreement between the employee and the County. The employee shall agree to pay the County for all costs paid by the County, including the County's attorney and legal fees if the County is forced to incur any such expenses to collect the amount owed to the County, if: a) The employee fails to complete the course, courses or certification program during the semester, quarter or year for which payment for enrollment is made by the County; b) The employee fails to submit completion of the course, courses or certification program the original official grade slips and transcripts; c) The employee does not provide proof (official transcript) of achieving a grade of A, B, C or P (Pass) for each course; d) The employee does not provide the final original detailed (itemized) invoice/statement from the college, university, business institute or trade school that lists the detailed (itemized) costs, including any fees (see Other Fees, page 3), for the course, courses or certification program and the detailed (itemized) payments made by the employee, the County and other financial assistance sources. Other financial assistance received must be disclosed and listed; e) The employee does not provide a copy of the up to date detailed (itemized) record of tuition assistance that has been paid on behalf of the employee (kept by the employee's department head (elected or appointed official)); f) The employee does not remain employed with the County based on the following schedule (time will run concurrent): Amount Received Years of Service Required Repayment Liability Within a Calendar Year After Completion of a Course for Early Termination $1- $2,000 2 100% $2,001- $4,000 3 100% $4,000 - $5,250 4 100% The employee must pay the County for all tuition assistance paid on the employee's behalf if the employee leaves the County prior to fulfilling the required years of service; and 10) The employee agrees that any repayment due to the County will be deducted from the employee's payroll check(s) and/or the County will seek other legal options the County may have, up to and including termination. The employee agrees that if sufficient funds are not available to satisfy any tuition assistance owed to the County, the employee will pay the balance owed to the County by cash or money order immediately. The employee agrees to pay all of the County's attorney and legal fees if the County is forced to incur any such expenses to collect the amount due to the County. Page 6 of 9 OPTION 2 — REIMBURSEMENT REIMBURSEMENT PROCEDURES Pages 1 — 4 must also be followed 1) The employee will pay all costs. Within twenty (20) days after the completion of any course or certification program, the employee must submit the following to the employee's department head (elected or appointed official) for approval before submitting to the Human Resources Director: a) Reimbursement Request Form (obtained from the Human Resources Director); b) A copy of the Promissory Note/Employment Agreement (obtained from the Human Resources Director). A separate Promissory Note/Employment Agreement is required for each course or certification program for which reimbursement is requested; c) A copy of the signed approval from the department head (elected or appointed official); d) Proof (official transcript) of a grade of A, B, C or P (Pass) for each course. Grades below C or P (Pass) will not be reimbursed; e) Proof of payment (front and back of cancelled check, copy of other method of payment, etc.); f) Original detailed (itemized) invoice/statement from the college, university, business institute or trade school that lists the detail (itemized) costs, including any fees (See Other Fees, page 3), that were paid for each course or certification program and the detailed (itemized) payments made by the employee and/or other financial assistance sources. Other financial assistance received must be disclosed and listed; g) An explanation of how the completed course, courses or certification program is related to the employee's field of employment or the County's business needs; and h) A copy of the up to date detailed (itemized) record of tuition assistance that has been reimbursed to the employee (kept by the employee's department head (elected or appointed official)); The Human Resources Director will calculate the amount of reimbursement, create a purchase order, attach all of the required documentation received, and return to the employee's department to submit for approval to be reimbursed. Failure to submit required documentation by the published deadline dates will disqualify the employee for reimbursement for that approved period. 2) The County will reimburse an employee for tuition and out of county fees, if any, for each successfully completed class or certification program if submission of all required documentation is met, with an annual cap of $5,250 and a lifetime maximum amount of $10,500; Page 7 of 9 3) Reimbursement will be paid only once for each approved course or certification program. The County will not reimburse tuition and out of county fees, if any, for courses or certification programs for which reimbursement has already been received; 4) Reimbursement will be provided if an employee achieves a grade of A, B, C or P (Pass). Original official grade slips and transcripts are the only acceptable documentation; 5) No reimbursement to the employee will be made until the employee has furnished satisfactory evidence of having completed a course or certification program by the published deadline; 6) Employees requesting reimbursement will be agreeing to the terms based on the following schedule (time will run concurrent): Amount Received Years of Service Required Repayment Liability Within a Calendar Year After Completion of a Course for Early Termination $1- $2,000 2 100% $2,001- $4,000 3 100% $4,000 - $5,250 4 100% The employee must pay the County for all tuition assistance reimbursed to the employee if the employee leaves the County prior to fulfilling the required years of service; and 7) The employee agrees that any repayment due to the County will be deducted from the employee's payroll check(s) and/or the County will seek other legal options the County may have up to and including termination. The employee agrees that if sufficient funds are not available to satisfy any tuition assistance owed to the County, the employee will pay the balance owed to the County by cash or money order immediately. The employee agrees to pay all of the County's attorney and legal fees if the County is forced to incur any such expenses to collect the amount due to the County. Page 8 of 9 EMPLOYEE ACKNOWLEDGEMENT I have received a copy of the Calhoun County Qualified Educational Assistance Plan, Tuition Assistance Policy that outlines my obligations as a County employee. I understand that I am responsible for reading and familiarizing myself with the information, policies, requirements and procedures of the plan. If I need clarification on any of the information in this plan, I will contact the Human Resources Director. This form must be included with the employee's completed Request Form for either Payment for Enrollment or Reimbursement. I have read and understand the Qualified Educational Assistance Plan, Tuition Assistance Policy and I agree to abide by and adhere to these policies, requirements and procedures. Signature of Employee Printed Name of Employee Date Signed Signed acknowledgement must be on file in the Human Resources Department before any payment for enrollment or reimbursement will be considered. A copy must also be attached to the Request Form when Payment for Enrollment or Reimbursement is requested. Received by the Human Resources Director: Date Signature of the Human Resources Director Page 9 of 9 M) Calhoun County Educational Assistance Plan *PaYrrient For Enrollment Request Formj Calhoun County offers an Educational Assistance Plan to its full-time employees per the terms found in the Calhoun County Personnel Policies (Qualified Educational Assistance Plan, Tuition Assistance Policy). The employee who voluntarily and on their own time, pursues education courses or certification programs must notify and receive approval in writing from their department head (elected or appointed official) as well as approval from the Human Resources Director. Employee must submit, within twenty (20) days prior to the beginning date of any course or certification program, for which the employee seeks the Payment Upon Enrollment option, all of the documentation that is required before Payment Upon Enrollment will be considered. (See attached Qualified Educational Assistance Plan, Page 5, Option 1— Payment for Enrollment Procedures). Approved Tuition and Out of County Fees, up to a maximum of $5,250 per year (January 1— December 31) will be paid directly to the college, university, business institute or trade school. Payment for Enrollment will not be paid until all of the required documentation has been submitted and approved by the Human Resources Director, the employee's department head, the County Auditor and Commissioners Court. (Lifetime maximum amount of $10,500 per employee) I, , (print name), request approval for the Educational Assistance Plan, Payment Upon Enrollment, for the following course(s) or certification program: Name of College, University, Business Institute or Trade School: Course(s) or Certification Program: Dates of Attendance: Beginning Cost (per attached receipts): nd ending Did you apply for Grants, Scholarships, or other financial assistance? _YES _NO If NO, explain reason: Are you receiving financial assistance through Grants, Scholarships or other financial sources? _YES _NO If yes, list each one and the amount of each one that you are receiving: Employee's Signature Date Dept. Head's Signature (Elected/Appointed Official) Date ----------------------------------------------------------------------------------------------------------------------------------------------- Reviewed and Approved by Calhoun County Human Resources Director HR Director's Signature Date Calhoun County Human Resources Educational Assistance Plan, Payment Upon Enrollment Request Form - 2022 # Zz NOTICE OF MEETING — 11/2/2022 12. Consider and take necessary action to remove and nullify the Calhoun County COVID Policy. However, in accordance with Bill 073, quarantine leave is still in effect for peace officers, detention officers and emergency technicians employed b Calhoun County. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 12 Mae Belle Cassel From: clarri.atkinson@calhouncotx.org (Clara Atkinson)<clarri.atkinson@calhouncotx.org> Sent: Thursday, October 27, 2022 3:17 PM To: MaeBelle.Cassel@calhouncotx.org Cc; Richard.Meyer@calhouncotx.org; David.Hall@calhouncotx.org; Vern Lyssy; Joel.Behrem@calhouncotx.org, Gary Reese; cindy.mueller@calhouncotx.org Subject: Agenda Item Request Attachments: HBO73 Quarantine Leave Pohcy.pdf MaeBelle, Good Afternoon, kindly place the following as an agenda item for 11/2/2022 court. Consider and take necessary action to remove and nullify the Calhoun County Covid Policy. However, in accordance with Bill 073, quarantine leave is still in effect for peace officers, detention officers and emergency technicians employed by Calhoun County. Thank you kindly and have a great day. Clarri Atkinson Calhoun County Human Resources 131 N. Virginia Ste. F Port Lavaca, TX 77979 P: 361.553.4450 F: 361-551-2181 M: 361.746.2228 Calhoun County Texas Paid Quarantine Leave for Fire Fighters, Peace Officers, Detention Officers, and Emergency Medical Technicians Calhoun County shall provide paid quarantine leave for firefighters, peace officers, detention officers, and emergency medical technicians employed by Calhoun County and ordered by a physician or the health authority to quarantine or isolate due to a possible or known exposure to a communicable disease while on duty. This includes fire fighters, peace officers, detention officers and emergency medical technicians, as defined by this policy, who are employed by, appointed to or elected to their position. "Detention officer" means an individual appointed or employed by a county as a county jailer or other individual responsible for the care and custody of individuals incarcerated in a county jail. "Emergency medical technician" means an individual who is certified as an emergency medical technician under Chapter 773, Health and Safety Code; and employed by the county. "Health authority" has the meaning assigned by Section 121.021, Health and Safety Code. A health authority is a physician appointed under the provisions of Chapter 121 to administer state and local laws relating to public health within the appointing body's jurisdiction. A health authority must be: a competent physician with a reputable professional standing who is legally qualified to practice medicine in the state and a resident of the state. They must take an official oath and file with the department. For counties that do not establish a local health department or public health district, they may appoint a physician as health authority to administer state and local laws relating to public health in the county's jurisdiction. "Peace officer" means an individual described by Article 2.12, Code of Criminal Procedure, who is elected for, employed by, or appointed by the county. Off duty exposures will not be covered under this policy. #13 NOTICE OF VEETING—11/2/2022 13. Approve the minutes of the October 19, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 12 Richard H. Meyer County judge David ]Hail, Commissioner, Precinct i Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, October 19, 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. i Richard H. Meyer, C my Judge Calhoun County, Texas Anna Goodman, County Clerk vao °•° •°°�s p 0` `_° YC Deputy Clerk Is.. ° r oQj Page 1 of 1 NOTICE OF MEETING—1.0/19/2022 Richard H. Meyer (Absent) 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 CA L]HOUN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § October 19, 2022 BE IT REMEMBERED THAT ON OCTOBERT 19, 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 a.m. by Commissioner Gary Reese. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Joel Behrens Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Consider and take necessary action to declare November 2022 as National Hospice and Palliative Care Month in Calhoun County and authorize the County Judge to sign the attached proclamation. (RHM) Kathle$n with Hospice of South Texas read the:proclamation.'. RESULT:..: APPROVED [UNANIMOUS] MOVER: David Hall, CoMmIssionerNt,I 5ECON115 Vern L ss Comrnissloner PG1 2 Y y,_ /1YEE .... Commissioner Hall tyssy, Behrens, Reese, Page 1 of 4 NOTICE.: OF MEETING—10/1.9/2022 6. Consider and take necessary action to approve the Infrastructure Development Plat for D & T River Properties IDP. (DEH) 7. Consider and take necessary action to approve the attached Proposal with G & W Engineers, Inc. to perform a traffic study in Port O'Connor, Texas. (GDR) RESULT APPROVED [UNANIMOUS] M6UERr Gary Reese;:Comim over Pct9 SECaNDER . Joel Behrens, Commissioner PctB AYES Commissioner Hall, Lyssy; Behrens, Reese 8. Consider and take necessary action to approve the Preliminary Plat of Caracol Lot 41R. (GDR) Terry Ruddick explained the Preliminary'Plat. RESULT:.: , APPROVED. [UN'ANIMOUS]: MOVER Vem Lyssy, Commissioner Pct:2 SECONDE[te David Hall, Commissioner Pct 1 AYES. Commissioner Hall, Lyssy; Behrens, Reese 9. Consider and take necessary action to authorize Commissioner Reese to enter into and sign all documentation for a Lease & Rental Agreement with Anderson Machinery for rental of a Bomag BW 151AD-5 Roller. (GDR) RESULT. , APPROVED [UNANIMOUS] MOVER Joel Behrens, Commissioner Pct 3 SECONDER: David Hall,. Commissoner Pet 1 AYES. Commissioner Hall; tyssy,'B.ehrens, Reese 10. Consider and take necessary action to approve Amendment — Number One (1) for Contract No. 004: Green Lake Breach Repair with Matagorda Bay Mitigation Trust to extend the original Contract Period; the funding amount will not change; any and all expenditures of funds this Amendment shall comply with allrequirements under the original Contract, the terms and conditions herein, and the attachments hereto. (GDR) RESULT: <. APPROVED [UNANIMOUS] MOVER. Vern Lyssy, Commissioner PcC.2 SECONDER: Gary Reese, Commissioner: Pct'4 AYES: Commissioner Hall; Lyssy, :Behrens; Reese Page 2 of 4 NOTICE OF MEETING-10/19/2022 11. Consider and take necessary action on an Agreement for Arbitrage Rebate Compliance Services with Hilltop Securities Asset Management, LLA (HAAM) and authorize the County Judge to sign. (RHM) RESULT. APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 3 SECONDED: Joey Behrens, Commissioner Pet 3 AYES: Commissioner Hall; Lyssy{ Behens,Aeesel. 12. Consider and take necessary action to approve grant services with Kathy Smart at a fee of $500.00 to submit application for FEMA DR-4332 PW6436 PAAP-DAC Excess Funds and authorize the County Judge to sign any required documents. (RHM) PASS 13. Consider and take necessary action to authorize a loan in the amount of $500,000 from the General Fund to CDBG-DR infrastructure Capital Project Fund. (RHM) RESULT: APPROVED' [UNANIMOUS] . MOVER: David Hall,: Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3. AYES: Commissioner Hall; Cyssy, Behrens, Reese 14. Consider and take necessary action to authorize a loan in the amount of $500,000 from the General Fund to CDBG-M1T Infrastructure Capital Project Fund. (RHM) RESULT APPROVED [UNANIMOUS],[. hf41r•ER; David Hall, Commissioner Pct 1. SECONDER; 7, Joel Behrens, Commissioner Pct 3 AYES Commissioner Hall,`Lyssy, Behrens, Reese 15. Consider and take necessary action to approve the request to submit the application for Opioid Abatement Trust Funds for Calhoun County and authorize the County Judge and County Treasurer to sign all relevant documents. The deadline for submitting the application is October 31, 2022. (RHM) RESULT: ;APPROVED [UNANIMOUS].;` 4OVER: %'Vern Lyssy., Commissioner Pct 2 SECONDER_:. Joel Behrens, Commissioner Pet 3 AYEM - Commissioner Hall, Lyssy, Behrens, Reese 16. Approve the minutes of the August 31s, September 14th, September 21a, September 28th, and October 31d meetings. RESULT: ' . APPROVED [UNANIMOUS] -.MOVER. Vern Lyssy,.Commiss'ioner Pet Z SECONDER: David HolliZommissioner Pct >, AYES' Commissioner Hall' :Lyssy, Behrens, Reese Page 3 of 4 NOTICE OF MEETING—10/19/2022 17. Accept Monthly Reports from the following County Offices: i. County Clerk — September 2022 ii. District Clerk — September 2022 Ill. Justice of the Peace, Precinct 3 — September 2022 RESULT APPROVED [UNANIMOUS] ,. MOVER Vern Lyss' Comm ssfonerPct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES ComMIssioner Hall; Lyssy, Behrsns, Reese 18. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED -[UNANIMOUS] MOVER, ;Gary Reese] Commissioner Pct`4 SECONDER;- Joel Behrens, Commissioner -& 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese" 19. Approval of bills and payroll. (RHM) Indi ent Healthcare ;; 9 ItLSULT +. APPROVED [UNANIMOUS] David Hall;. t6tmmissioner Pct 1.; SECONDER:. Vern Lyssy :Commissioner Pct 2 AYES: Commissioner Hall, lgssy, Behrens, Reese MMC RESULT: APPROVED [UNANIMOU5] ' MOVER David Hall;'. Commissioner Oct 1- SECONDER: Vern Lyssy, Commissioner Pct 2 AYES. Commissioner Hall, Lyssy, Behrens, Reese County Bills.` RESULT: APPROVED [UNANIMOUS MOVER: David HaII, Commissioner Rct_1;, SECONDER - Vern Lyssy, Commissioner,-Pct'-2' AYES. Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:19 a.m. Page 4 of 4 #14 NOTICE OF MEETING— 11/2/2022 14. Accept Monthly Report from the following County Office: Texas Agrilife Extension Service — September 2022 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 12 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2022 Miles traveled: County Vehicle 0: Personal Vehicle 0 Selected major activities since last report September 2 — CCF Broiler distribution September 6 — CCF Rabbit Validation September 7 — Regional Fall Faculty Conference (Bryan, TX) September 11 — CCF Rabbit Clinic I September 12 — CCF Livestock Meeting September 13 — CCF Rabbit Clinic II September 14 — YMCA Planning Meeting September 17 — CCF Work Day; Sheep/Goat/Cattle Progress Show September 19 — 4-H Sportfishing Day to Aransas County Nav District (Rockport, TX) September 19-21 — D I 1 TAE4-HA Retreat (Port Aransas, TX) September 22 — Dl 1 4-H Food Challenge Meeting September 26 — PLC virtual Meeting County 4-H Council Meeting September 27 — 4-H Livestock Judging Meeting September 28 — Commissioners Court — National 4-H Week Seadrift School Planning Meeting September 29 — CHS Planning Meeting YMCA Luncheon September 30 — DI 1 4-H Food Challenge Meeting Direct Contacts by: Office: 11 E-mail: 189 Facebook Posts/Followers: 15 posts/557 followers Site: 2 Newsletters: I Instagram Posts/Followers: 2 posts/205 followers Phone/Texts: 41 4-11 Enrollment: 155 youth; 19 adult volunteers Major events for next month — October 2022 October 3 — Greenlake Site Visit with RJ October 4 — 4-H Livestock Judging Practice October 5 — Assist Lavaca County with Kid's Health Party (Hallettsville, TX) October 6 — YMCA — Mindful Self Lesson 1 October 7 — New Report System Training October 10 —Goat Project Visit October 1 I — Poultry Project Visit October 12 — CCF Livestock Show October 13 — CCF Livestock Show Auction October 14 — CCF Livestock Judging Contest Clover Kid & Spectacular Shows October 15 — Farm Bureau Pig Scramble October 16 — CCF Clean Up Day October 17 — POC Elementary Family Night October 20 — YMCA 4-H Meeting October 25 — 4-H Livestock Judging Practice October 26 — CHS Planning Meeting October 27 — 4-H Information Night October 29 — YMCA Trunk or Treat October 31 — County 4-H Council Meetine CEA — 4-H and Youth Development Sentember 2022 Texas A&M AgriLife Extension - The Texas A&M University System • College Station, Texas Agriculture and Natural Resources ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2022 Miles traveled: County Vehicle 435; Personal Vehicle 26 Selected major activities since last report September 1 — Office Conference/ First day September 2 — CCF Broiler Pick up in College Station September 6 — 9 New Agent on Boarding Training in College Station September 12 — Goat/ Pig site visit Pct.2 CCF Livestock Committee Meeting September 13 — Army Worm check on Tom Crenshaws place Planning meeting for CC Women in Ag Conference September 14 — Army Worm spraying test plot September 15 — Office Meeting CCF swine site visit Pct.2 September 16,23,30 — New Agent TEAMS meeting from 10-12 Master Gardener meeting September 17- CCF Workday September 19 — Goat/ Pig site visit Pct.2 September 20 — Master Gardener Planning September 2 1 - Meeting with Phillip Shackelford Costal Bend Classic Committee Meeting September 22- CC Texas Farm Bureau Annual Meeting September 23- Cotton to the Gin September 26- Meeting with Greg Baker over Pesticides trainings September 27- Goat/ Pig site visit Pct.2 September 28 — CC Women in Ag Conference planning September 29 — Soil Testing, YMCA Luncheon Direct Contacts by: Office: 8 E-mail: 26 Facebook Posts/Followers: 8 posts/566 followers Site: 6 Newsletters: 0 Instagram Posts/Followers: 0 Post/ 0 followers Phone/Texts: 18 Maior events for next month— October 2022 October 1 —Newsletter October 3 — Green Lake scouting October 6 — 7 CCF livestock Clipping October 10 —16 CALHOUN COUNTY FAIR October 18-19 — TCAA Meeting October 20 — Office Meeting October 24 — Row Crop Meeting 7AM Wagon Train October 25- 27 South Texas Farm and Ranch Hailey Haves Calhoun CEA — Agriculture and Natural Resources September 2022 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Family and Community Health ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2022 Miles traveled: 308 County Vehicle Personal Vehicle Selected major activities since last report ➢ Meetings 8, 9, 15, 19 & 20 Our Lady of the Gulf SAC, Healthy South Texas HUB, Senior Citizen's Board, Texas Extension Educators Association, United Way Board & Volunteer Steering Committee ➢ Sept 1 Welcomed New Agriculture and Natural Resource Agent and took her to Human Resources ➢ Sept 2, 7, 9, 12, 14-16, 19, 21-23, 26 & 28-30 — Strong People Strong Bodies morning classes at FUMC and start on the 121 in the evening at the Extension Office. New Indianola participants (9-18 participants) ➢ Sept 6, 13 & 20 Programming at the Calhoun County Library in Port Lavaca. Cooking Well with Diabetes and Cooking Well for Healthy Blood Pressure at noon. (2-5 participants) ➢ Sept 6, 13, 20 & 27 Food Challenge/Show Practices covered by me and at times volunteers. ➢ Sept 7 & 8 Regional Program Planning (7' in College Station 8' Virtual) ➢ Sept 11 Going to Town and Country 4-H to Present Food Challenge and Food Show ➢ Sept 12, 14 & 22 Canning Program Calhoun (13), Aransas and Bee with Aransas and Bee Agent ➢ Sept 20 and 23 Meeting with RPL Erika Bochat (20' -Virtual 23`d-in person in Aransas County) ➢ Sept 27 Early Childhood Educator Training (7) ➢ Sept 28 County Lunch and Learn Cooking Well for Healthy Blood Pressure (34) I hope you enjoyed it! ➢ Sept 28 & 29 4-H Agent(Emilee DeForest) and I met with Seadrift School about Healthy South Texas Recognized School and CHS about a possible Adulting 101 program for Seniors ➢ Sept 30 4-H Agent and I went to Travis Middle school to help Students (38) and Teachers with gardening Direct Contacts by: Office: 13 E-mail/Letters: Facebook Page Post 29 Site:3 Newsletters: 0 Followers 601 Phone/Texts: 40 Volunteers: 10 Facebook profile 959 friends Maior events for next month — October 2022 ➢ Meetings 11, 18, 20, 24, 26 & 28 Diabetes Workshop for the Coastal Bend area, Texas Extension Educators Association, HSTYA Road Trip, United Way Board, Senior Citizen's Board, Our Lady of the Gulf SAC, CHS about Adulting 101 & Volunteer Steering Committee ➢ Oct— 3, 5-7, 10, 12-14, 17, 19-21, 24, 26-28 & 31 Strong People Strong Bodies classes at FUMC & Office ➢ Oct 9-16 Calhoun County Fair including setting up, judging, monitoring, and breaking down the Adult and Youth Show in the Bauer Exhibit Building ➢ Oct 15 White Cane Day event for Coastal Bend Area ➢ Oct 17 Canning Program Aransas County with Aransas Agent ➢ Oct 18 Matagorda County Rice Judging ➢ Oct 19 Food Handler Class Oct 24 & 25 Possible Food Manger Class — low registration #'s currently ➢ Oct 25 Early Childhood Educator Training — Last one for the year ➢ Oct 27 4-H Information night with 4-H Agent Emilee DeForest Karen P. Lissy Calhoun Name County CEA — Family and Community Health September 2022 Title Date (Month -Year) Texas A&M AgriLife Extension - Texas A&M University System • College Station, Texas Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT September 2022 Miles traveled: County Vehicle 376 Personal Vehicle 227 Selected major activities since last report 9/7 — AgriLife Faculty Meeting — College Station 9/8 — Gulf Coast Asson, Soil & Water Conservation Annual Meeting Waterfowl Program 9/17 — Magnolia Beach Adopt -a -Beach 9/19 — Aransas Co. Navigation District Interpretation — Sporlfishing Day Program 9/20 — First Aid/CPR/AED Certification Training Program — 4-H Agents 9/21-9/23 —Texas Bays and Estuaries Meeting 9/26 — Travis Jr. High — Kayak Program for Jr. Marine Explorers Club 9/29 — YMCA Luncheon for Summer Camp Program Direct Contacts by: Office: 10 E-mail/Letters: 151 Instagram Posts/Followers: 8/314 Site:4 Newsletters: 0 Phone/Texts:93 Volunteers:0 Maior events for next month — September 2022 October — Prep for fair — move out, move in October 7 — ASBPA Meeting — Galveston ACOE, TXGLO October 18-20 — AgriLife ANR Meeting October 20 — TP WD Oyster Hearings at Bauer Exhibit Building Name County Coastal and Marine Aaent September 2022 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas #15 NOTICE OF MEETING — 11/2/2022 15. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED EUNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 12 O a z z CW C o~c a o. W Q m = m 6 = m C a v use v = sale ae =o IN =o _ =n =w =N O O O W =0 w =p a a _z "" =Z z coo o =W O o 0 0 =W �y d3 fA i9 Yl = C W fR fA fA fA = C W =a a €ate =d EL �coo 0=o 000 W F _ o F _ o O 0 = O U = Z CEO z z W = z GO z z F = CC 2 - i g z =Z C5oX a 002 0 =W ES fq 00? _ y ezzg _z Z ezzg o =Y Z w = V °�' rn m = J W V rra 5 =z z z =Z �+ a W m W W W i =W O =W O = z =2 6w =a z sa° -Z O Q a =z O a ¢ g W LU =_ F Q z _==W lu a > W a= 2NN W 0I� i W fQF. 00 =d Z Z a =d = O' ^ =-W W Q N c0 =Q a C N =Q it 6 w `o m a 2 2 k k § k 7 2 2 k :LLI § :z t 0 iz @ Z . � � ■ �LLI § � §aaEa7± §§aQeR §■■ §km §■ §§\®}\ ��saaa §� §�aaaa - :0 :z :z :§ :L :§ k k « B ,1 ; is■ §�a e B ■m ■/ \ §k §� §� 21 al ;k :0 :z :z :§ :L :§ Lu LLI :e :§� :z �2 :§ .a :LLI :z :§ :L �§ ! 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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: 10:31 a.m. Page 12 of 12 � yam y �� y� H HHHOy£x t�❑'+� t��'++� n n nn0 E H w z i.ap z O 00 00 �NtJ (�Dyn n n 00rorororo 3 x t» 0 > O H z H H H H xxxxx H H O 000 W t9 y2 a H tr" tr" tr' tt" N H t7 t] to tv m tow w z�xO trwim�zzz03z H H G O[ H PU H H Or M b] m N H w tj n�� z n d �m O N w 41 z c ro ro O 0 7y H 90 W w W wro rorororo m 4 m rob rob6 gP. a 0 ..4-41 Oz a 001000010 to to a accner+rr0 C C M 000o0 ttj m '3 m m po $dta 'X N NNNN N 0 iS 7a Sa N N N N N N N' N O W bJ N NNNw OOOO O N N N N y M n n w H as tan NNNNN r '.tl H N O H H H n a H w H r a 0 se n w w 00 °z N S00 H H m n -] w w w H x x H y L-1 m m r m H s$n1s H H O 0 L. L. w to u H w r r w w H H w P] t•] to S �] a L w K w to O O N N w � H � EO > a ro ro ro ro ro ro ro ro ro ro � zzxzxzzx L} N w at w N w w O N N N IP w N w iP iP m o ZO G W �, m O N O W O, J W W w O H w 0 O m w J N � H UI H O 01 N N O 01 01 O� 0 N N MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 02, 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC,BANK PAYMENTS $ 156,60107 TOTAL TRANSFERS BETWEEN FUNDS $ 132,759.16 TOTAL NURSING HOME UPL EXPENSES $ 1,731,177:24,' TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED November-02, 2022 $ 2;020,736:46 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 02 2022 PAYABLES AND PAYROLL 10/2712022 Weekly Payables 121,347.84 1013112022 Alpha Tec Systems -freight 13.03 1013112022 Evident -ICU Phillips Interface install 4.500.00 10131/2022 Sign Ad -advertising 410,00 10131/2022 Southeast Texas Health System -Quarterly dues 5,000X0 10131/2022 Amtec Medical Inc -supplies 175,79 1013112022 Sherwin Williams -supplies 393.70 10/31/2022 Fusion Cloud Services -telephone 1,325.13 1013V2022 Sparklight-cable 4,166.20 1013110022 McKesson-34013 Prescription Expense 15,071.40 10131/2022 Amedsource Bergen-3408 Prescription Expense 1,739.31 Prosperity Electronic Bank Payments 10/24A0/28/22 Pay Plus -Patient Claims Processing Fee 285.97 I U28/2022 ExpertPay- child support 2,371.70 TOTAL',PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS, $ 1SSA00.07- TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 10127/2022 MMC Operating to Crescent -correction of NH insurance payment deposited 10,115.50 Into MMC Operating in error 10127/2022 MMC Operating to Golden Creek -correction of NH insurance payment 39,544.46 deposited into MMC Operating in error 10/27/2022 MMC Operating to Gulf Pointe Plaza -correction of NH Insurance payment 16,184.76 deposited into MMC Operating 10/27/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 49,422.11 deposited into MMC Operating 10/27/2022 MMC Operating to Bethany -correction of NH insurance payment deposited into 17,492.32 MMC Operating In error TOTAL TRANSFERS BETWEEN FUNDS $ 132,7591.16 NURSING HOME UPL EXPENSES 10/31/2022 Nursing Home UPL-Cantex Transfer 1,120,598,71 10/3112022 Nursing Home UPL-Nexion Transfer 146,259.80 1013112022 Nursing Home UPL-HMG Transfer 162,721.16 1013112022 Nursing Home UPL-Tuscany Transfer 142,643.93 10/31/2022 Nursing Home UPL-HSL Transfer 168.265.81 QIPP CHECKS TO MMC 10/3112022 Ashford 284.58 1013112022 Broadmoor 102.61 10/31/2022 Crescent 83,83 10/31/2022 Fart Bend 116.111 10/31/2022 Solera 100.63 T.OTAL,NURSINGHOME UPL EXPENSES $ 1,731,177.24 TOTAL INTER -GOVERNMENT TRANSFERS GRAND TOTAL, DISBURSEMENTS APPROVEDNovemher02,-2022 $ ;2,020,Z36.48 RECEIVED BY THE COUNTY AUDITOR ON OCT'2 7 2022 MEMORIAL MEDICAL CENTER 10/27/2022 rC.ALH/11}1�Si000NTY,TEXAS AP Open Invoice List Due Dates Through: 11117/2022 Vendor# Vendor Name Class Pay Code At 880 AIRGAS USA, LLC- CENTRAL DIV ,t' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross i 9991821726 ✓ 10/26/20 09130/20 10/25/20 545.76 OXYGEN 9131155092 ✓ 10/26/20 10/17/20 11/11/20 326.81 OXGYEN Vendor Totals Number Name Gross A1680 AIRGAS USA, LLC -CENTRAL DIV 871.97 Vendor# Vendor Name Class Pay Code A2150 ANNOUNCEMENTS PLUS TOO AGAIN y' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross 713 ✓ 10/26/20 04/21/20 05/01/20 72.00 COPIES OLEA" 718 ✓ 10/26/20 05/02/20 05/12/20 145.00 PRINTING --WigIµ 6*7 uirviaj Vendor Totals Number Name Gross A2150 ANNOUNCEMENTS PLUS TOO AGAIN 217.00 Vendor# Vendor Name Class Pay Code 14556 APRIL KUBALA of Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross 102122 1012MO 10/2112010/31/20 60.00 CERTIFICATION 'I Un UMOr4ji;M-f'a Pthj4tOLI 11w.kH Vendor Total: Number Name Gross 14556 APRIL KUBALA 60.00 Vendor# Vendor Name Class Pay Cade B1150 BAXTER HEALTHCARE ✓ W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross 76814685 „/ 10/27/20 10/13/20 11/07/20 42,67 SUPPLIES Vendor Totals Number Name Gross 51150 BAXTER HEALTHCARE 42.67 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 110208538 of 10/19/2010/17/2011/11120 115.75 SUPPLIES 110220843 r/� 10/27/20 10/20/2011/14/20 600.54 SUPPLIES Vendor Total: Number Name Gross B1220 BECKMAN COULTER INC 716.29 Vendor# Vendor Name Class Pay Code 14064 CAPITALONE./ Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross 101922 10/27/20 10/19/20 11 /01 /20 143.31 SUPPLIES Vendor Totals Number Name 14064 CAPITAL ONE Pagel of 9 0 h ap_open_invoice.template .� Discount No -Pay Net 0.00 0.00 545.14* 0,00 0.00 326.81 v" Discount No -Pay Net 0.00 0.00 871.97 Discount No -Pay Net 0.00 0.00 72.00 ,/ 0,00 0.00 145.00 ✓ Discount No -Pay Net 0.00 0.00 217.00 Discount Nc-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 42.67 Discount No -Pay Net 0= 0.00 42,67 Discount No -Pay Net 0.00 0.00 115.75 v't t 0.00 0.00 600.54 ✓ Discount No -Pay Net 0.00 0.00 716.29 Discount No -Pay 0.00 0.00 Gross Discount No -Pay 143.31 0.00 0.00 Net 143.31 t Net 143.31 ftle:///C:/Users/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report36742... 10/27/2022 Page 2 of 9 Vendor# Vendor Name Class Pay Cade / A1825 CARDINAL HEALTH 414,LLC o/ M , Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8002966543 ✓ 10126/20 09/24/20 10/24/20 684,04 0.00 0.00 684.04 eJ SUPPLIES 8002972393✓ 10/26/2009/30/2010130120 881.87 0.00 0,00 881.87 SUPPLIES J . Vendor Total: Number Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 11565.91 0.00 0.00 1,665.91 Vendor# Vendor Name Class Pay Code 14260 CAREFUSION SOLUTIONS, LLC v Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 10019668658 v` 10/26/2010110/20 11/01/20 2.00 0.00 0.00 2.00 ,. INVENTORY 1001966864 ✓J 10126/20 10/10120 11101/20 1,788.00 0.00 0.00 1.788.00 INVENTORY , Vendor Totals Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,790.00 0.00 0,00 1,790.00 Vendork Vendor Name Glass Pay Code C1992 CDW GOVERNMENT, INC. ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0- Pay Gross Discount No -Pay Net CF13550 10/27/20 08/17/20 09/16/20 4,605.20 0.00 0100 4.605.20 SCAN 10OPPM DJO3688 ✓ 10127120 10/10/20 11/09120 219,81 0.00 0.00 219.81 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 4,825.01 0.00 0.00 4,825.01 Vendor# Vendor Name Class Pay Cade C1600 CITIZENS MEDICALCENTER ,;' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100722 10/26/201010712011101/20 55.00 0.00 0.00 55.00 11 BLS CARDS Vendor Totals Number Name Gross Discount No -Pay Not C16OO CITIZENS MEDICAL CENTER 55.00 0.00 0.00 55.00 Vendor# Vendor Name Class Pay Code 14304 COFFEE BARREL, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 102322 10/26120 10123120 11/01/20 39,375.00 0,00 0.00 39,375.00 INTERIM PRAC 11-22-12-22.22 Vendor Totals Number Name Gross Discount No -Pay Net 14304 COFFEE BARREL, LLC 39,375.00 0.00 0.00 39,375,00 Vendor# Vendor Name Class Pay Cade 10368 DEWITT POTH & SON Invoicr Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 696930 ✓ 10/2712010113/2011/07120 133.82 0.00 OAO 133,62w " SUPPLIES 6930561 , , 10/27/20 10/14/2011 /08/20 42.80 0.00 0.00 42.80 SUPPLIES 6979880 10/27/20 10120/20 11/14120 107.27 0.00 0.00 107.27 " k. SUPPLIES 6981400 Vr I W7/2010/21/2011/16/20 455.41 0.00 0.00 456,41 4 file:///C:/Users/ttrevino/epsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5repo1l36742... 10/27/2022 Page 3 of 9 SUPPLIES Vendor Totale Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 739.30 0.00 0.00 739.30 Vendor# Vendor Name Class Pay Code 12044 DRI ESSEN WATER INC. (CULLIGAN) ,f Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 14302705093022 V 10/26/20 09/30/20 10/22/20 510.30 0.00 0.00 510.30"- WATER Vendor Totale Number Name Gross Discount No -Pay Net 12044 DRIESSEN WATER INC. (CULLIGAN) 510.30 0.00 0.00 510.30 Vendor# Vendor Name Class Pay Code 14172 ESO SOLUTIONS, INC. ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ESO-91832 ✓" 10/26120 10/02120 11/01/20 1,876.00 0.00 0.00 1,875,00 tJL� TRAUMA REGISTRY t Vendor Total: Number Name Gross Discount No -Pay Net 14172 ESO SOLUTIONS, INC. 1.875.00 0.00 0100 1,875.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP, W Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 790534608 y' 10/26/2010/0612010131/20 25.25 0.00 0.00 26.25 FREIGHT 791360669 v' 10/26/20 1011312011/07/20 226.44 0.00 0.00 226.44 FREIGHT 792090880 ,/ 10/26/2010/20/2011/14/20 32.80 OZO 0.00 32.89 ✓ FREIGHT Vendor Tota6l4umber Name Gross Discount No -Pay Net F 1100 FEDERAL EXPRESS CORP. 285.58 0,00 0,00 285.58 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7191841 10127/20 10111120 11/05/20 3,411.36 0.00 0,00 3,411.36 SUPPLIES 7191842v� 10127120 10/11/20 11/05120 272.11 0.00 0X0 272.1111" SUPPLIES 7191840 J 10/27/20 10/11/20 11/05/20 82.92 0.00 0.00 82.92 w SUPPLIES 7233412 ,/ 10/27/20 10/12/20 11/06/20 89.83 0.00 0.00 89.83 % SUPPLIES 7274774 ✓ 10/27120 10113/20 11107/20 26.30 0.00 0.00 26.30 ✓ SUPPLIES 7314464 / 10/27/20 10/14/20 11/08/20 532.58 0.00 0.00 532.98 SUPPLIES 7355434./ 10/27120 10117/20 11111120 1,224,00 0.00 0.00 1,224.00 v` SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 5,639.50 0.00 0.00 5,639.50 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY Jr M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 2300963 ✓ 10/19120 10/12/20 11/11120 1,231.92 0A0 0.00 1,231.92 �. file:///C:fUsers/ltrevino/cpsi/memmed.cpsinet.coni/u88125/data 5/tmp_cw5report36742,.. 10/27/2022 Page 4 of 9 SUPPLIES 2303431 v' 10/27/20 10/18/20 11705/20 536.90 0.00 0.00 536.90 V'ti. SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,768.82 0.00 0.00 1,768.82 Vendor# Vendor Name Class Pay Code H1100 HAYES ELECTRIC SERVICE ✓� w Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount Na-Pay Net A222101301 v// 10/26/20 10/13/20 10123120 54.99 0.00 0.00 54.99 ✓'� COIL CLEANER Vendor Totals Number Name Gross Discount No -Pay Net H1100 HAYES ELECTRIC SERVICE 54.99 0.00 0.00 54.99 Vendor# Vendor Name Class Pay Code 10972 M G TRUST ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 102022 10/26/20 10/20/20 11/01120 640,86 0.00 0.00 8040.86 PAYROLLDEDUCT , Vendor Total: Number Name Gross Discount No -Pay Net 10972 M G TRUST 640.86 0.00 0.00 640.86 Vendor# Vendor Name Class Pay Code J1350 M.C. JOHNSON COMPANY INC ,✓ M Invoice# Tran Dt Inv Ot Due Dt Check D- Pay Gross Discount No -Pay Net J,Comment 00391854 V 10127/20 10/13/20 10/27/20 190.66 0.00 0.00 190.66 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net J1350 M.C. JOHNSON COMPANY INC 190,66 0.00 0.00 190.66 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 2233183369 ✓ 10/27120 10/12/20 11/06/20 7.073.47 0.00 0.00 7,073.47r,/ SUPPLIES 2233567209✓ 10127/20 10113120 11/07/20 192.26 0.00 0.00 192.26 SUPPLIES 223400863/) ✓ 10127120 10/17/20 11/11/20 2,902,37 0.00 0.00 2,902.37 r SUPPLIES U 2234008629 v/ 10/27/20 10/17120 11111120 51.83 0.00 0.00 51.83 V` SUPPLIES 2234360054./ 10/27/20 10/19/20 11/13/20 135.35 0.00 0.00 135.35y` SUPPLIES 2234360059 ✓ 10/27/2010/19/2011/13/20 8.93 0.00 0.00 ,r 8.93 ✓ SUPPLIES 2234360057 ✓ 10/27/20 10/19/20 11/13/20 32.14 0.00 0.00 32.14 SUPPLIES 2234360052 ✓ 10/27/20 10/19/2011 /13/20 86.26 0.00 0.00 86.26 ✓- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 10,482.61 0.00 0.00 10,482.61 Vendor# Vendor Name Class - Pay Code 10963 MEMORIAL MEDICAL CLINIC ✓l invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 102022 10/26120. 10/20/20 11/01/20 195.00 0.00 0.00 195.00 V file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report3 6742... 10/27/2022 Page 5 of PAYROLL DEDUCT `'I Vendor Total: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 195.00 0.00 0.00 195.00 Vendor4 Vendor Name Class Pay Cade M2621 MMC AUXILIARY GIFT SHOP .r/ 1N Invoiee4 Comment Tran Ot Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 102022 10126120 10120/20 11101120 362.64 0.00 0.00 362.64✓' PAYROLL DEDUCT Vendor Total; Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 362.64 0.00 0.00 362.64 Vendor4 Vendor Name Class Pay Cade 10536 MORRIS & DICKSON CO, LLC / Invoice4 Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8781207 ✓ 10126/20 10/1912010129120 54.2$ 0.00 0,00 54.25 ✓' INVENTORY CM74854 1� 10/26/20 10/19/20 10/29/20 -8.75 0.00 0.00 -8.75 .% CREDIT 8781205 V / 10/26/20 10/19/20 10129/20 98.43 . 0.00 0.00 98.43 INVENTORY 6783377 ..f 10/26/20 10/19/20 10/29120 88.17 0.00 0.00 88.17.r' INVENTORY 8788378 10/26/20 10/19/20 10/29/20 1,578.20 0.00 0.00 1,578.20 INVENTORY 8788789," 10126/20 10/20120 10/30/20 28.07 0.00 0.00 28.07 INVENTORY 8789094 ✓` 10/26/20 10/20/20 10/30/20 482.50 0.00 0.00 482.50 "1 INVENTORY , U795634 1012612010123/20 11/02/20 78.31 0.00 0.00 78.31 .INVENTORY 8793525a.J 10126120 10/23/20 11102120 376.45 0.00 0.00 376.45 ✓` INVENTORY 8795633./ 10/26120 10/23/20 11102/20 126.28 0.00 0.00 120.26 �'- INVENTORY 8793527s/ 10/26/20 10123/20 11/02/20 103.33 0.00 0.00 103.33,, INVENTORY , 8797070 10/26/20 10/24/20 11/03/20 2$1.60 0.00 0.00 231.60 INVENTORY , 87995991/ 10/26/20 10/24/20 11/03/20 427.41 0.00 0.00 427.41 INVENTORY 8797068 ✓ 10126/21) 10/24/20 11/03/20 277.99 0.00 - 0.00 277.99 ✓ INVENTORY 8799600 ✓� 10/26120 10/24/20 11/03/20 929.89 0.00 0.00 929.99 ✓ .INVENTORY 8797069 vl 10/26/20 10124/20 11/03/20 474,40 0.00 0.00 474.40 ✓� INVENTORY i 8799318 10/26/2010/24/2011/03/20 1,684.50 0.00 0.00 1,684.50 v' INVENTORY 6798096 ✓ 10/26/2010124/20 11/03/20 1.15 0.00 0.00 1.15 INVENTORY 8799317,/ 10126120 10/24120 11/03/20 29.14 0.00 0.00 29.14 .� INVENTORY , file:///C:/Users/itrevino/cpsi/memmed,cpsinet.conl/LigSI25/data 5/tnip_cw5report36742... 10/27/2022 Page 6 of 9 8803511 ✓ 10126/20 10/25/20 11/04120 332.36 0.00 0,00 332.36 INVENTORY , 8802030 V 10/26/2010/25/2011/04120 5,025.68 0.00 0100 5,025.68 INVENTORY 8803510 .i 10/26/20 10/25/20 11/04/20 75.83 0.00 0.00 75.83 INVENTORY V 1 Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 12,495.19 O.00 0.00 12,495.19 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE yf: Invoice# comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3802639 ,% 10/26/20 1011712011f0l/20 3,633.48 0.00 0.00 3,633A8 INSURANCE DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 12368 NATIONAL FARM LIFE INSURANCE 3,633.48 0.00 0.00 3,633.48 Vendor# Vendor Name Class Pay Code N1800 NURSES CHOICE CORPORATION W ,% Invoice!! Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0162258IN / 10/27/2010/17/2010127/20 153.33 0.00 0.00 153.33Y .. SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net N1800 NURSES CI4010E CORPORATION 153.33 0.00 0.00 153.33 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR V Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Grass Discount No -Pay, Net 2079866765✓ 10/27/20 10/13/20 11/12/20 202.17 0.00 0.00 202.17 SUPPLIES 2079886766 / 1012712010/1312011/12/20 456.51 0.00 0,00 456.51✓' SUPPLISE Vendor Totals Number Name Gross Discount No -Pay Not OM425 OWENS & MINOR 656.68 0.00 0.00 658.68 Vendor# Vendor Name Class Pay Code - 11764 ROBERT RODRIQUEZ v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 102522 10/26120 10/25/20 11/01/20 42.75 0.00 0.00 42.75 TRAVEL -I'll hKtWN Qt,i1 It fb Wllt�. Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQUEZ 42.75 0.00 0.00 42.75 Vendor# Vendor Name Class Pay Code y}I 51405 SERVICE SUPPLY OF VICTORIA INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 701155829 W' 10/191201011312011f12120 117.42 0.00 0.00 117.42 SUPPLIEE Vendor Totals Number Name Grass Discount No -Pay Net 51405 SERVICE SUPPLY OF VICTORIA INC 117.42 0.00 OAO 11Z42 Vendor# Vendor Name Class Pay Code 10979 SHAWNA HARTL I/ Invoice# Comment Tran Dt Inv Ot Due Dt Checic O Pay Gross Discount No -Pay Net 102122 10f26/20 10/21/20 10/31/20 34.50 0.00 0.00 34,50V TRAVEL+ PLU jvbIi0if G;0gt,_ tlijjgjt-L' Vendor Totals Number Name�H Gross Discount No -Pay Net file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.coin/u88125/data 5/tmp_cw5report36742... 10/27/2022 Page 7 of 9 10979 SHAWNA HARTL 34.50 0.00 0,00 34.50 Vendor# Vendor Name Class Pay Code $2,001 SIEMENS MEDICAL SOLUTIONS INC ,,�� M Invoice# Comment Tran Dt Inv Ot Due Dt Check D- Pay Gross Discount No -Pay Net 116280916 v// 10/26/20 10/17/20 11/11/20 2,193.83 0.00 0.00 2,193.83 CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 32001 SIEMENS MEDICAL SOLUTIONS INC 2,193.83 0.00 0.00 2,193.83 Ventlor# Vendor Name Class Pay Cade S2270 SMILE MAKERS -✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net , 9243062✓ 10/27/20101132011/07/20 36.80 0.00 0.00 36.80✓, SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S2270 SMILE MAKERS 36.80 0.00 0.00 36.80 Vendortr Vendor Name Class Pay Code S2694 STANFORD VACUUM SERVICE yl M Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 393045 •✓ 10126/20 10/26/20 11/15/20 540.00 0.00 0.00 r 540,00 GREASETRAP Vendor Totals Number Name Gross Discount No -Pay Net S2694 STANFORD VACUUM SERVICE 540.00 0.00 0.00 540.00 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 100122 10/27/20 10/01/20 11/10/20 11,047.22 0.00 0.00 11,047.22 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 12476 SUN LIFE FINANCIAL 11,047.22 0.00 0.00 11,047.22 Vendor# Vendor Name Class Pay Code 10982 TELGOR ,% Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 55687V 1012712009/01/2010127/20 3,218,62 0.00 0.00 3,218,62�, ANNUALSUPPORT Vendor Totals Number Name Gross Discount No -Pay Net 10982 TELCOR 3,218.62 0.00 0.00 3,218.62 Vendor# Vendor Name Class Pay Code T0420 TELEFLEX MEDICAL .- Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 9506132519 ,,." 10/27120 10/19/20 10/27/20 158.49 0.00 0,00 158.49 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net T0420 TELEFLEX MEDICAL 158,49 0,00 0.00 158.49 Ventlor# 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 8400406216 a✓" 10/26/2010/13/2011/07120 201,59 0.00 0.00 201.59 " LAUNDRY 8400406219 1/ 10126/2010113/201110720 208,13 0.00 0.00 208.13 ✓` LAUNDRY 8400406218 p' 10/20/20 10/13/20 11/07/20 195,62 0.00 0.00 195.62 ✓ file://IC:lUsers/ltrevinolepsilmemmed.cpsinet.com/u88l25/data 5/tmp_cw5report36742... 10/27/2022 Page 8 of 4 LAUNDRY 8400406242 10/26/2010/13/2011/07/20 1,732,30 0.00 0.00 1,732.30 f LAUNDRY 8400406215 ,1� 10/2612010113/20 11 /07/20 29.07 0.00 0.00 29.07 L' LAUNDRY 8400406234 V/ 10/26120 10/13/20 11/07/20 79.78 0.00 0.00 79.78 ✓ LAUNDRY 8400406411 / 10126/2010/1712011/11/20 48.15 0.00 0.00 48.15 , LAUNDRY 8400406412 ✓/ 10/26120 10/17120 11111120 44.60 0.00 0.00 44.80 LAUNDRY 8400406432 ,/" 10/26120 10/17120 11111/20 2,118.54 0.00 0.00 2,118.54 v' LAUNDRY 8400406737 ✓ 10/26/20 10/20/20 11/14120 29.07 0.00 0.00 29.07 11/ LAUNDRY 8400406758 ✓' 10/26/20 10/20/20 11/14/20 75.08 0,00 0.00 75.08 ✓ LAUNDRY 8400406741 ✓ 10/26120 10120120 11/14/20 208.13 0.00 0.00 208.13 LAUNDRY 8400406779 ✓ 10/26/20 10/20/20 11/14/20 115.12 0,00 0.00 115.12 ✓' LAUNDRY 8400406739 ✓ 10/26/20 10/20/20 11/14/20 184.16 0.00 0.00 184,16 i LAUNDRY 8400406738 r/f 10/26/2010120/2011/14120 201,59 0,00 0.00 201.59 LAUNDRY 8400406764 ✓ 10126120 10120120 11114120 1,517.90 0.00 0.00 1,517.90 LAUNDRY 8400406740 10/26/20 10/20/20 11/14/20 211.32 0.00 0.00 211.32 V/ LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 7,200.35 0.00 0100 7,200.35 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE ,.:' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SIV72802177 10/0112009/15/2009/30120 159.71 0.00 0100 159.71 /3 ✓ Vendor Totals Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 159,71 0.00 0.00 159.71 Vendor# Vendor Name Class Pay Cade U1200 UNITED AD LABEL CO INC „! M Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 006449172 J 10/27/2010/12/2011106/20 99.30 0.00 0.00 99.30 ✓' SUPPLIES Vendor Total; Number Name Gross Discount No -Pay Net U1200 UNITED AD LABEL CO INC 99.3E 0.00 0.00 99.30 Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 102222 10/26120 10/22120 11101120 2,200,00 0.00 0.00 2,200.00 w ' POSTAGE Vendor Total; Number Name Gross Discount No -Pay Net file:///C:(Users/ltrevino/cpsi/memmed.cpsinct.com/u88l 25/data_5/tmp_ew5report36742... 10/27/2022 Page 9 of 9 U2000 US POSTAL SERVICE 2,200.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 11280 VICTORIA ADVOCATE ,; / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 0248201 10/26/20 04130/20 05/30/20 40.20 0.00 0.00 NEWSPAPER Vendor Totals Number Name Gross Discount No -Pay 11280 VICTORIA ADVOCATE 40.20 0.00 0.00 Vendor# Vendor Name Class Pay Code 10793 WAGEWORKS, INC. V'' Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay 102022 10/26/2010/20/2011/01/20 3,285.40 0.00 0.00 PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay 10793 WAGEWORKS, INC. 3,265.40 0.00 0.00 Vendor# Vendor Name Class Pay Cade 10943 WALLER,LANSDEN, DORTCH &DAVIS w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 10876553 ,j 10/26/2010/0512010/31/20 333.00 0.00 0.00 PROF FEES Vendor Totals Number Name Gross Discount No -Pay 10943 WALLER,LANSDEN, DORTCH & DAVIS 333.00 0.00 0.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC „' Involco# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay 91112313516/ 10/27120 10119/20 11/13/20 1,292.15 0.00 0.00 SUPLIES Vendor Total: Number Name Gross Discount No -Pay 11110 WERFEN USA LLC 1.292.15 0.00 0.00 Report Summary Grand Totals: Gross Discount No-Pdy, 121,347.84 0.00 0.00 OCT 2 7 2022 co iv ;_X�g 2,200.00 Net 40.20 u% Net 40.20 Net 3,285.40 Net 3,285.40 Net 333.00 Net 333.00 Net 1,292.15 Net 1,292.15 Net 121,347, 84 file:///C:[Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report36742... 10/27/2022 RECEIVED BY THE COUNTY AUDITOR ON OCT 31 2022 MEMORIAL MEDICAL CENTER CALHOU11/3t iaiY, TEXAS 0 AP Open Invoice List 71:33 Dates Through: ap_open_involce,tempiate Vendor# Vendor Name Class Pay Code A1746 ALPHA TEC SYSTEMS INC X/ M Invoice# Cam/R1ant Tran DI Inv Dl Due Dt Check D Pay Gross Discount No -Pay INVO0107309A✓ 10/31/20 08116/20 09116120 13.03 0.00 0.00 FREIGHT Vendor Totals Number Name Gross A1746 ALPHA TEC SYSTEMS INC 13.03 Report Summary Grand Totals: Gross Discount 13.03 000 Awnovm ON OCT 31 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Page 1 of 1 Net 13.03 Discount No -Pay Net 0.00 0.00 13.03 No -Pay Net 0.00 13.03 tile:///C:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_51tmp_cw5report43432... 10/31 /2022 RECEIVED SY THE Page 1 of t COUNTY AUDITOR ON OCT 31 2022 era TEXAS MEMORIAL MEDICAL CENTER 0 CALHOUN11:361 AP Open Invoice List ap_open_invoice,template Dates Through: Vendor# Vendor Name Class Pay Code C2510 EVIDENT/ M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 998034 ✓ 10/31/20 05/03/20 05128/20 4,500.00 0.00 0.00 4,500.00 PHILIPS PIIC IX Vendor Totals Number Name Gross Discount No -Pay Net C2510 EVIDENT 4,500.00 0.00 0.00 4.500.00 Report Summary Grand Totals: Gross Discount No -Pay Net 4,500.00 0.00 0.00 4,500.00 s1PPROV0OIV OCT 31 2021 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:l//C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report81586... 10/31 /2022 AUDITOR ON Page I of I COUNTY OCT 31 2022 MEMORIAL MEDICAL CENTER GALHOUi`16k"0'T0C06 0 11:32 AP Open Invoice List Dates Through: ap_open invoice.template Vendor# Vendor Name Class Pay Code / 10699 SIGN AD, LTD. ✓ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 280090✓ 10131120 10/16120 10126120 410.00 0.00 0.00 410.00 ADVERTSING Vendor Totals Number Name Gross Discount No -Pay Net 10699 SIGN AD, LTD, 410.00 0.00 0.00 410.00 Report Summary Grand Totals: Gross Discount No -Pay Net 410.00 0.00 0.00 410.00 kg3Pjj0Vt-:0 om OCT 31 2022 aY COUMV AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.corn/u88125/data_5/tmp_cw5report88047... 10/31 /2022 RECEIVED BY THE COUNTY AUDITOR ON OCT 31 2022 CNNOh '4FMf}y'TMS MEMORIAL MEDICAL CENTER 11:33 AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code S2345 SOUTHEAST TEXAS HEALTH SYS w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 26692 10131/20 10/05/20 11105120 5,000.00 OTR DUES OCT -DEC 22 0 ap_open,invoice.lemplate Discount No -Pay 0.00 0.00 Vendor Total: Number Name Gross Discount No -Pay S2345 SOUTHEAST TEXAS HEALTH SYS 5,000.00 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 5,000.00 0.00 0.00 /41119 iilra cI►T� OCT 31 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Page 1 of 1 Net 5.000.00 Net 5,000.00 Net 5,000.00 file:///C:/Users/Itrevino/epsilmemmed.cpsinet.corn/u88125/data_5/tmp_cw5report32718... 10131 /2022 RECENED BY THE COUNTY AUDITOR ON OCT 31 2022 CALHOUPIWY�1EXAS MEMORIAL MEDICAL CENTER AP Open Invoice List 11:32 Dates Through: Vendor# Vendor Name Class Pay Code / A2050 AMTEC MEDICAL INC ;/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 84322✓ 10131/20 07/12/20 08/11/20 175.79 SUPPLIES Vendor TotalsNumber Name Gross A2050 AMTEC MEDICAL INC 175.79 Report Summary Grand Totals: Gross Discount 175.79 0.00 APPRO1ED 019 OCT 31 2022 DY COUNTYAUDI7'OR CALHOUN COUNTY, TEXAS Page 1 of 1 0 ap_open_invoice. template Discount No -Pay Net 0.00 0.00 175.79 ✓ Discount No -Pay Net 0.00 0.00 175.79 No -Pay Net 0,00 175.79 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report28645... 10/31 /2022 RECEIVEDBVTHE Page I of I COUNTY AUDITOR ON OCT 31 2022 MEMORIAL MEDICAL CENTER 10l31/2 0 CALHOUf� {:n3U ,TEXAS AP Open Invoice list P3 Dates Through: ap_open_invoice.templale Vendor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS W Invoice#/ Comment Tran Dt Inv Dl Due Ot Check D Pay Gross Discount No -Pay Net / 74914 ✓ 10131/2009/26/2010/11/20 393.70 0.00 0.00 393.70 f SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net S1800 SHERWIN WILLIAMS 393.70 0.00 0.00 393.70 Report Summary Grand Totals: Gross Discount No -Pay Net 393.70 0.00 0.00 393.70 APPRavEL) am OCT 31 2022 By COUNTY AUDFrOR CALHOUN COUNTY. TEXAS file:///C:/Users/Itrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report33139... 10/31 /2022 RECEIVED BY THE COUNTY AUDITOR ON Page 1 of 1 iiyy UC i 3 1 2022 TYiMNTY TEXAS MEMORIAL MEDICAL CENTER 0 C' 11:30 AP Open Invoice List Dates Through: ap. opeiijnvoice.template Vendor# Vendor Name Class Pay Code 12636 FUSION CLOUD SERVICES, LLC ✓� Invoice# Comment Tran Dl Inv or Due Dt Check D Pay Grass Discount No -Pay Net 28689976 10131/20 10/16/20 11115120 1.325.13 0.00 0.00 1,325.131/ TELEPHONE Vendor Total: Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 1,325,13 0.00 0.00 11325.13 _ Report Swnmary Grand Totals: Gross Discount No -Pay Net 1,325.13 0.00 0.00 1,325.13 file:/UC:/Users/ltrevinolcpsi/memmed.cpsinct.com/u88125ldata_5/tmp_cw5report 18689... 10/31 /2022 Page 1 of 1 RECEIVED BY THE CUNTY.�IAUOROR ON OCTV7332 2022 MEMORIAL MEDICAL CENTER /20 0 AP Open Invoice List CALHBON1 COUNTY, ap_open_invoice.template TEXAS Dates Through: Vendor# Vendor Name / Class Pay Code C1010 SPARKLIGHT✓ IN Invoice# Comment Tran IN Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 101622A 10131/20 10/16/20 10130/20 2.250.00 0.00 0.00 / 2,250.00 r/ CABLE 101622C 10131/2010/16/2010'30120 1,675.15 0.00 0.00 1,675.15✓ CABLE 101622 10/31/20 10/16/20 10/30/20 117.89 0.00 0.00 117.89 ✓ CABLE 1016228 10!31/2010/16/2010/30!20 123.16 0.00 0.00 123.16 CABLE Vendor Totals, Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 4.166.20 0.00 0.00 4,166.20 RepO.n Summary Grand Totals: Gross Discount No -Pay Net 4,166.20 0.00 0.00 4,166.20 JAPPROV0 ON OCT 31 2022 By COUNTY AUDITOR CALHOUN COUNTY tile:///C:/Users/Itrevino/epsi/memmed.cpsinet. com/u88125/data_51tmp_cw5report62510... 10/31 /2022 MSKESSONSTATEMENT As of; 10/28/2022 Page. 002 To ensure proper creditto your aeeeunt, durem aM return this wm�y: eves after.0h your m reftm. DC: 8115 As of: 10/28/2022 Page: 002 MEMORIAL MEDICAL CENTER AMT DUE term VIA ACH DEBIT Territory:Slalement Mail t« Comp: 8000 AP for r Information only AMT DUE REMITTED VIA ACH DEBIT 815 N VIRGINIA STREET Customer: 632596 Sfalemenl for information only PORT LAVACA TX 77979 Date: 10/29/2022 Cast: 632536 PLEASE CHECK ANY Date: 10/29/2022 ITEMS NOT PAID (✓') Its Due Reeelua1,14'alional A ... W r 6 cash Amount P Amount P Resolvable Date Number Reference OasMptlon Dkcount (grove) F (net) F Number � course legend: P = Past Idea Item, F = FNum Due Item, blank = Current Due Item 'OTAL National Am.1 632536 MEMORIAL MEDICAL CENTER Subtotals: 15,378.97 USD Nma Due: 0A0 Due If Red On Time: If Paid By 11/0112022, USD 15,071.40 real Due: 9.OD Pay This Amount: 15,071,40 USD Disc lost If Mid late: 307.57 Ast Payment 2,451.97 It Paid After 11/01/2022, Due If Paid Late: 08107/2017 Pay this Amount: 15.370.97 USD USD 16.378.97 APPROVED ON OCT 31 2022 BY COUNTY AUDITOR For AR Inquiries please contact 800-867-0333 (Q. 3l .ZZ MSKESSONSTATEMENT A5 of: 10/28/2022 Page: 001 To ensure proper credit to your account, detach and rehire this r mnanv; ae44 atub whh Your onalumcce WALMART 1090IM5M MED MS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER VICKY KALISIX Stalemenl for Information only 815 N IA ST DC: B115 wy: 400 Territory; Customer. 256342 As of: 10/2812022 Page: 001 Mall to: Camp: 8000 AMT DUE REMITTED VIA ACH DEBIT 6lalement for Information only PORT LAVACAVACA TX 77979 Data: 10/29/2022 Cud: 256342 PLEASE CHECK ANY Date: 10/29/2022 ITEMS NOT PAID (v) filling Due Yata Dale atbnel Account Wpa>c'36 Number l� Umat Number Reference Description each Discount Amoum P (91.) F Amount P Necalvable (net) F Number :u4omer Number 256342 WALMART 1098/MBA MEG MS 0/24/2022 11/01/2022 0/24/2022 11/01/2022 0/24/2022 11 JO112022 0/24/2022 11/01/2022 7373821751 7373821752 7373021753 7373821754 50772093 50808352 50845064 50931753 1151nvoice 1151nvoice 1151nvoice II51nv01ce 8.32 16.65 0.01 1.46 416,18 832,37 0.63 73.21 407.861/ 7373821751 815.72✓ 7373821752 0.62✓ 7373821753 71.75✓ 7373821754 0/24/2022 11/01/2022 0/24/2022 11 /0 1 f2022 0/25/2022 11/01/2022 0/26/2022 11/01/2022 0/2W2022 11/01/2022 0/26/2022 11/01/2022 0/20/2022 11/0112022 0/27/2022 11/0112022 0/27/2022 11/01/2022 0/27/2022 11/01/2022 0/28/2022 11/012022 0/28/2022 11/01/2022 0/28/2022 11/01/2022 0/28/2022 11/D1/2022 7374016077 7374016078 7374297239 7374417920 7374417921 7374576500 7374576501 7374689526 7374689527 7374GB9528 7374956842 7374956843 7375113334 7375113335 50778668 507817DO BOD76466 51127383 51196363 51134153 51139091 51264823 51264823 51336314 51387103 51457650 51398867 51393769 1951nvoice I Slnvoice tIslavuice 1151nve1ce 115lnvoice 1951nvoice 1151nvoice 1151nvoice 115Invnice 1lslnvoice 1151nvolce 1151nve1ce 1151nvoice 1951nvoice 4.06 0.03 2,63 9.38 33.29 81.58 37.85 0.46 5.33 6.82 8.32 3.86 1.14 202.77 1.27 131.35 468.99 1.664.73 4,078.98 1,B92.53 0,02 23.01 266.43 341.24 416.18 193.02 57.08 198.71✓ 7374016077 1.24✓ 7374016078 128.72✓` 7374297239 459.61✓ 7374417920 1,631.44 ✓ 7374417921 3,997.40 ✓ 7374576500 1,854.6B✓ 7374576501 0.021" 7374689526 22.55./ 7374689527 261.10✓ 7374689528 334.42 ✓' 7374950842 407.86 ✓ 7374956843 189.16 ✓ 7375113334 55,94 v/ 7375113335 IF coiumh taboret: P = Past Due Item, F = FlAum Due Item, blank = commit it Due Item "OTAU Customer Number 256342 WAIMART 109EIMEM MED PHS - _-- 8ubtaralm 11.059.99 USD 'muse Doe; 0.00 Due If Paid On Tana: 'ast Due: 0.00 D Pala BY 111/01/2022, Pay This Amount: 10,638.80 USD Use 10,838.ao f Disc lost If paid late: ast Paym7, j{(jy�ay 0/24/2022 4,144.87 If Pall After it/O112022, Pay this Amount: 11.059.99 U50 Due It Paid Late: 221.19 USD 11.069.99 OCT 31 nn BYCUUNrV AUDITOR ANouroceuNrv,nu For AR Inquiries please contact 800-867-0333 MWESSON �mo+�r sso0 HIE MY RC 490/MEM Me PIS MEMORIAL MEDICAL CENTER VICKY KAUSEK 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENTAs of; 1012MO22 Page: 001 To erwnre proper cretlH to your account, detach antl ratan this mob with your remittance DC: 8115 As of: 10/28/2022 Page: 001 AMT DUE REMITTEDVIA ACH DLBIT Territory: 400 Meg to: Comp: 8000 Statement for information only AMT DUE REMITTED VIA ACH DEBIT Customer: 484450 Statement for information only Date: 1029/2022 Cuss 464450 PLEASE CHECK ANY Date: 10/29/2022 ITEMS NOT PAID (�) Nilm Due Hxoluebla"a"Gead Account 536 )ate Data NumberReference Refe Description Description Core, Ofte"t Amount P (groae) F Amount P (nary F Perefvable Number :ustomer Number 464450 H® MY FC 490/MEM MC PIS 0/242022 11/01/2022 7373809201 82210055-104605 1151nvaice 20.55 1,027.53 1,006.98✓ 7373809201 024/2022 11/012022 7373809202 62210-05SA04648 1151nvoice 28.27 1,413.41 1.385.14✓, 7373809202 0/27/2022 11/01/2022 7374679386 M210-055-105059 1151nvalce 0.19 9.41 9.22/ 7374679386 4" column logead: P e Red Duo Item, F = Future Due Item, bleak = Curren Duo Item 'OTAL' CmAnner Number 464450 H® MY RC 490/Mm me PHS Subuehdw 2,450.35 USD Wture Duo: 0.00 H Paid By 11101/2022, Cue If Paid On Time: 'oat Due: 0,00 Pay This Amount: USD 2,401.34 USD Disc feet if poltl late: 2.401.34 eM Paymem 4.144.87 11 Peitl After 11/01/2022, Due 11 Paid late: 99.01 0/24/2022 Pay this Amount: 2.450.35 USE) USD 2.450.35 APPROVED ON OC 1 31 2022 SYCOUNTYAL)WOA CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 MSKESS®N STATEMENT As of: 10/28/2022 Paga: 001 TO emem, proper creditto your acetates, detach anal Mum this comaam� Once erW with your remittance DC: 8115 A6 of: 10/28/2022 Page: 001 CVS PBCY 8923/MBA MC pHs AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Mail to: Comp: BOD9 MEMORIAL MEDICAL CENTER Statement for information only ANT DUE REMITTED VIA ACH DEBIT VICKY KAUSEK Customer: 835454 Statement for inlannallon only 815 INVIRGINIA ST PORT LAVACA TX 77979 Date: 10/29/2022 cum: 835434 PLEASE CHECK ANY Date: 10/29/2022 ITBAS NOT PAID (�) uuetional Account 6 Mang Due Renottable' Cash )ate Date Number Relarance Description Discount Amount P (gross) F Amount P ReeeNable (not) F Number lureomer Number 835434 CVS PRICY 8923/MBA MC pHs 0/24/2022 11/01/2022 7373840679 1935173 1151nvwe. 30.98 1,848.76 1,811.78 7373840679 O W column legend: P = Pare Due Item, F = Mum Due Item, blank = Curren Due Item -OTAL Customer Number 835434 CV8 PRICY 8923/MBA MC pHs Subtotals: 1,848.76 USD iduro Due: - 0.00 11 Paid By 1110112022, Due It Pald On Time: Mel Due; 0.00 Pay This Amount: 1.811.78 USD USD 1,811.78 ✓ Dlsc lost If paid late: eat Payment 4,144.87 If PoM After 11/01/2022, 36.98 Due If Pold Laos: 0/29/2022 Pay this Amount: 1,848.70 USD USD 1,848.76 APPAMMON OCT 31 202' BY COUNTYAUMOR CA Luo0N couwY TE,TAS For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT cw,wam. esco CVS PHCY 747511A M MC PHIS AMT DUE REMITTED VIA ACH DMIT MEMORIAL MEDICAL CENTER Statement for Inlormelion only VICKY "USE( 815 N VIRGINIA ST PORT LAVACA TX 77979 As of: 10/28/2022 Page: 001 To ensure proper credit to your secant, detach and return this stub with your remittmee DC: 8115 As of: 10/20/2022 Pegs: 001 Mall tax Camp: 8000 Territory:: 400 AMT DUE Rm VIA ACH DEBIT Customer.835438 Statement forr Information only Date: 10/2912022 Cud: 835438 PLEASE CHECK ANY Date: 10/29/2022 frE4S NOT PAID (,) glang Due Rxrelvabl�ailonal Account bw6 Cash Amount P Ant P favelvable late Date Number Heferenre Description Discount (arose) F (net) F Number :ustomer Number 835438 CVS PHCY 7475/111E4 MC PHIS 0/24/2022 11/01/2022 7374067788 1935068 1151nvaice 0/26/2022 11/01/2022 7374619884 1950076 1151nvoice � column legend: P = Past Due Item, F = Future Due Item. blank = Current Due Its. 'OTAI: WC_....._. .._.M_— _—.- Cr 835438 __C4T_MCS Subtotals: -u<a. Due: 0.00 It Paid By 1110112022, Net our: 0.00 Pay This Amount: Ad Payment 4,144.87 It Paid After 1110112022, 0/24/2022 Pay We Amount: APROV@DflN OCT 31 2022 BY COUNTY AUDITOR LE . CAKILIN COUNTY, TEXAS 0.11 5.66 5.5&1 7374067788 0.20 14.21 13.93 ✓ 7374619884 19.87 USD Due If Pald On Time: USD 19.48 19.48 USD DIM lost it paid late: 0.39 Due If Paid Leta: 19.87 USD USD 19.87 For AR inquiries please contact 800-867-0333 M STATEMENT Statement Number. 63968537 AmensourceBergen- Date: 10-28-2022 I UI I AMERISOURCESERGEN DRUG CORP WALGREENS #12494 3403 12M W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 11DI35284 / M7028186 SUGAR LAND TX 77478-6101 1302 N VIRGINIA ST PORT LAVACA TX 77979-2509 Sat- Fri Due in 7 days DE& RA0289276 866-451-9655 AMERISOURCESERGEN PO Sox M223 CHARLOTTE NC 282904223 Not Yet Due: 0.00 current: 1,739.31 Past Due: 0.00 Total Due: 1.739.31 Aunt Balance: t,739.31 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 10-24-2022 11-U-W22 31102US27 168075 Invoice 204.97 o0D 204.97 10-24-2022 11-W-2022 3110240459 161H23 Invoice 135.38 0.00 136.30 10-2&2022 11-04-2022 3110373938 16B131 Invoice 80.79 0.00 80.79 10.28.2022 1144-2022 3110814576 160162 Invoice 1.280.01 0.00 1,280.01 10-28-2022 11-04.2022 3110814577 168163 Invoice 29.04 0.00 29.04 10-28-20U 11-04-2022 3110814576 165165 Invoice 9.12 0.00 9.12 Current 1.15 Days 16.30 Days 31-60 Days 61.90 Days 91-120 Days Over 120 Days 1,739,31 0.00 10.00 0.00 o.Do o.aD 0DD • k tlt !'' oc.T 31 ?P?Z DY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Reminders Due Date Amount 11-04.2022 1,73921 ✓ Total Due: 1;739<31 31. zz MEMORIAL MEDICAL CENTER PROSPERITY DANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- October 24, 2022 - October 30, 2022 Date Bank Oescriotion 10/24/2022 PAY PLUS ACHTRANS 452579291101000693051745 10/25/2022 PAY PLUS ACHTRANS 452579291101000693847588 10/25/2022 MCKESSON DRUG AUTO ACH ACH05230339 910MO131 10126/2022 PAY PLUS ACHTRAN5452579291101009694659663 10/27/2022 PAY PLUS ACHTRANS 452579293 1DION695558984 10/28/2022 PAY PLUS ACRTRANS 452579291101000696498473 10/28/2022 EKPERTPAY EKPERTPAY 74600341191000012781069 10/28/2022 AMERISOURCE BERG PAYMENTS 0100007768 2100002 10/2812022 MEMORIAL MEDICAL PAYROLL 746003411113122650 MMC Notes - 3rd Party Payor Fee - 3rd Parry Payor Fee 340E Drug Program Expense -3rd Party Payer Fee - 3rd Party Payor Fee .3rd Party Payer Fee -Child Support Payment -340H Drug Program Expense Payroll October 30, 2022 ROSHANOA THOMAS, CEO Memorial Medical Center P}'ryUYad 10•Zy.Z2 LL PROSPEHOYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- ESTIMATED ACNS Dam Memorial Medical Center Description 2022 MMC Notes �aV PIUS Amount C"0.12 4,144.87.'X -.23.69 90.43 j5TIM # r 2.320.43* fgFU`+PA✓J 368,641.95* 377.764.92- bI4.. Amount APPRDVEDOFj OCT 31 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Page I of l RECEIVED BY THE -,O,1U��++NTTTY AUDROR ON I w2-92¢WI922 MEMORIAL MEDICAL CENTER ,vi AP Open Invoice List 0 08:55 ap_open_invoice.template .:A! HQU3q COUNTY TEY Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 101722 10/2,6/2010117/2011/19120 9,355.50 0.00 0.00 9,35550 TRANSFER Wt '1"SVWVLLt p6KA Lig46-h'jc.L Iitt VIblt- L 101922 10126/20 10/19/20 11/19/20 760.00 0,00 00.00 760.00 i TRANSFER" r` Vendor Totals Number Name Gross Discount No -Pay Nei 11824 THE CRESCENT 10,115.50 0.00 0.00 10,115.50 Report Summary Grand Totals: Gross Discount No -Pay Net !� 10,115.50 0.00 0.00 10,115.60 ( APAROVED ON' OCT 2 7 2022 By COUNTY AUDITOR CALHOUN 000-\rP,', TEXAS file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report19103... 10/27/2622 Page I of 1 :j€CEIVED BY THE i.o(LW wy AUDITOR O arC Q/,2/20,22022 MEMORIAL MEDICAL CENTER 0 27 AP Open Invoice List :itL-iF)tI!': RIUNTY Dap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay 101322B 10/26/2010/1312011/19/20. 35,193.71 0.00 0.00 TRANSFER 0n IfjUVXVgL pNkj 11rpXJ1'lrcl )A.-6 M'YVLC OjtO_k+n� 101322A 10/26/2010/1312011/19/20 0.08 0.00 0.00 TRANSFER it er 101822A 10/26/20 10/18/20 11/19/20 1,145.02 0.00 0.00 TRANSFER rt n 101822 10/26/2010/18/2011/19/20 864.17 0.00 0.00 TRANSFER It r1 1018226 10/26/20 10/18/20 11/19/20 310,22 0.00 0.00 TRANSFER ` c h 101922 10/26120 10/19120 11/19/20 2,031.26 0.00 0,00 TRANSFER d it Vendor Totals Number Name Gross Discount No -Pay 11836 GOLDENCREEK HEALTHCARE 39.544.46 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 39,544.46 0.00 0.00 APPROVED ON OCT 2 7 2022 BY COUNTY AUDITOR CALHOUN Cn'JNT-/, TEXAS Net 0.08 1,145.02 864.17 ✓ 310.22 2,031.26 ✓" Net 39,544.46 Net 39,544A6 file:///C:/Users/itrevino/cpsihnenuned.cpsinct.coin/u88125/data_5/tmp_cw5report82724... 10/27/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON OCT 2 7 2022 CALHOL101272Z020Y, TEXAS MEMORIAL MEDICAL CENTER 0 16:56 AP Open Invoice List ap_open_invoics.template Dales Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Cheek D Pay Gross Discount No -Pay Net 101322E ✓ 10/26/20 10/13/20 11/19120 1,361.27 0.0'0N' 0.00 / 1,361.27 �r TRANSFER �Iltblj>A lj Pvlµt itpi"titt�l. 0 l&11 K.IRL uV'y� / 101322A ✓ 10/26/20 10113120 11/19120 746.53 0.00 [0.00 746.53 TRANSFER i1 1� 101722 ✓ 10/2612010/1712011/19/20. 2,4411.00 0.00 0.00 2,449.00 ✓ TRANSFER it tt 101722A / 10/26/20 10/1712011/19/20. 4,364.23 0.00 0.00 1,364,23 ✓ TRANSFER (t `1 101822 i 10/26/2010/18/2011/19/20. 8,903.23 0.00 0.00 8,903.23 ✓ TRANSFER tL t 1 101722E 10/27/20 10/17/20 11/19/20, 1,361.50 0.00 0.00 1,361.50 6% TRANSFER It Vendor Totals Number Name Gross Discount No -Pay Net 12698 GULF POINTE PLAZA 16,184.76 0.00 0.00 16,184.76 Report summary Grand Totals: Gross Discount No -Pay Net 16,184.76 0.00 6.3o 16,194.76 APPRnvspalV OCT 37 2022 HY COUNTY AUDITOR CALHOUrN COUNTY. TEXAS file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report13431... [0/27/2022 Page 1 of 1 RECEIVED BY THE COUNTYAUDITOR OM OCT 2 7 2022 10/27/2022 ; ?.�: tA93'�6r�C17374;'FEX. Vendor# Vendor Name 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template Invoice# Comment Tmn Dt Inv Dt Due Dt Check DPay Gross Discount 101322C 10/26/20 10/13/20 11/19/20 2,620.36 0.00 TRANSFER 00iVIS0AWLLr-ritfoyiitr! jr,-11 MIW, 1j)11LW--4 ilsJ 101322A 1012612010/13/2011/19/20 9,219.00 0.00 TRANSFER t' " 101322D 10/2612010/13/2011/19/20 5,917.40 0.00 TRANSFER 101322E 10126/20 10/13/20 11/19/20 4,390.00 0.00 TRANSFER " 101722 10126/20 10117/20 11119/20 2,358,11 0.00 TRANSFER " 101822A 10/26/20 10/18/20 11/19/20 15,365.00 0,00 TRANSFER it 101822 10/26/20 10/18/20 11/19/20 9,552.24 0.00 TRANSFER° Vendor Totals Number Name Gross Discount 13004 TUSCANY VILLAGE 49,422,11 0.00 Report Summary Grand Totals: Gross Discount No -Pay 49,422.11 0.00 0.00 JAPPROvo Oki OCT 2 7 2022 13Y COUNTY AUDITOR CALHOUN CQU TY, TEXAS No -Pay Net 0.00 2,620.36 0.00 9,219.00 ✓j 0.00 5.917.40 t tt 0.00 �r 0.00 r 0.00 n No -Pay 0.00 4,390.00 ✓f I 2,358.11 0� 15,365.00 ✓ 9,552.24 Net 49,422.11 Net 49,422.11 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.coin/u88l25/data 5/tmp cw5report88433... 10/27/2022 Page 1 of 1 RECEIVED BY THE CO UNTY .4UDiTOR ON Zt'W791072 2022 MEMORIAL MEDICAL CENTER 0 09:33 AP Open Invoice List COUNTY TEX115 ap_open invoice.template +_AWOUN Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dr Pay Gross Discount 101322A 10/26/20 10/13/20 11/19120 1,426.30 0.00 TRANSFER n O 1 nSUYltiut motl dtpli j ej 1kb %kWLL Opw, hn�) 101322 10/2812010/13/2011119/20 545.58 0.00 TRANSFER it u 101722 10/26/2010/17/2011/19120 538.59 0.00 TRANSFER t' h 102522C 10/26/20 10/25/20 11119/20 4,864.71 0.00 TRANSFER t• u 102522D 10/26/20 10/26/20 11/19/20 3,783.05 0.00 TRANSFER tt 102522B 10/26/20 10/25120 11/19120 201.84 0.00 TRANSFER It 102522 10/28/20 10/25/20 11/19/20 1,771.26 0.00 TRANSFER « 102622E 10126/20 10125/20 11/19/20 1,373.28 0.00 TRANSFER u 102522E 10/2612010/25/2011/19/20 2,921,47 0.00 TRANSFER O 102522A 10/26/20 10/25120 11/19120 66.24 0.00 TRANSFER tt Vendor Total, -Number Name Gross Discount 12792 BETHANY SENIOR LIVING 17,492.32 0.00 Report Summary Grand Totals: Gross Discount No -Pay 17,492.32 0,00 0.00 4pP$urt ON, OCT 27 2022 9Y COOWN AUDITON CALHOtN wio1 -J y, TE:UtS No -Pay Net 0.00 1,426.30 s/ 14149 r rr M 0.00 0.00 1 0.00 tt 0.00 �t 0.00 0.00 1t No -Pay 0.00 545.58 y' 536.59 ✓''� 4,664.71 r% 3,783,05 201.84 1,771.26 1,373.28 y% 2,921.47 ✓ 66.24 Net 17,492.32 t Net 17,492.32 file:///C:/Users/ltrevino/cpsi/mcmmed.cpsinet.com/u88125/data_5/tmp_cw5report73303... 10/27/2022 Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer ProsperityA=unts 10/31/2022 vein rmayr aWrmla Aawm Am rwma ealentq 6moYmme.Twnnm.MmxYmn4 x,J Wma Nuw, e.lama rmeena< rnanenm xew+na ul.ma Moms 29,661.LL 29,S69A3 233,8}6.96 133,926.96 / 133,561.3E O+nk 233.936.96 ✓ V.rt+nw .....e lawolneahnn ]00.00 AMEWGROUPYR3F013 284.58� JuM lnnwrt AVWp M.,m S4ptamenlmeren ,/ nd:uta 9atanre/3ramW.1 233Sa}3a 4/ qqayy 93,]5.27,416M.2] 121,503.85' 217,69185 / 2]]A81.24 Wne Oalanre 227.683.65 Y� VMl+ntt ICav01n3alieh view RMERIGROIJPY13R013 Sa2.61✓ IYMlnt4rell Aa4amteth4n Sapt<mherinwrtat Adlun BalmwRramfergmt 22L4124 ✓ ]3,95]96✓)},95),98 �38816.98 t+ gl II6,'N698 126.763.25 ¢ank8ilanrG 128,946.98E Vananae tammbaunre uu.W 4MFRIGRWPYR3M1W3 83.B3t/ h1Y lmben RVNrtInIMtt srotemhermtmWt 4ejun9awhRumfer Nnt 114283.ss✓ / 15,]5>.011/ S,65J.01 r/il]R]eai / 1171318.a2 V alnk BINna 11],31&81 k// varnnce - heW In Balen[e lVew Aallitk ROUP YR 3 AW 3 116.28 JayImen¢ AYNnn sePwmh.aslerw4mt Rdjmt NWnarrranara,"I II1,3a261 J � 1 ]I2.435I6 1/1}).A5>6�41s,E319.93 .a GIs,909.93 l 4351109,3E Bank BNanw 4]5,909.93✓ Varhnw xon' Poh 3m1 onar of arrr S1hO Ru be nw.fMIII re Mr nuram9 nemr. 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Ulm WQ lax 3i 0!&T3 .W73 1012WI022 MAHAOEANONETVISMM5PMXTOWWWO 248241 - "AUM ELM 30A1 -M..0 UU W/26/W13 XNB-ECHONC[WMPMT )16WM1141OOpOHO61S 5.R3m 10,40240 1012UMIZ NN6-ECHO HCIAIMPMT 76W3411 M OZM625 9,19386 - LUISS 10/20=2 UHCCNMMUN"PIHCINMPM7146W34119U - 1,54E.24 9.M2.B6 1012112022 NUMANAIxS[ONCCIAIMPM53W66xalpWO516359 - $SID.W - 3,SH,24 10/18/2022 HMLTNHUMAN SVC HCCWMPMT 1140014400012 4.2}1.W / - Q53OW ML335.T6 ✓ 95 .93 "AN 4219.W 1V 3O TOTALS 334.169A6 LI1L1B6.54 46TAt A.40 I63.W WST4 4113 LUDA.J. 10131/2022 Quick View Select Oulck View Accounts Account Number / Name Account Type Search All DDA Account Number Current Balance Number o1 Accounts: 16 $7,230,560.17 '4551 CAL CO INDIGENT $5,900,67 HEALTHCARE '3660 GULF POINTE PLAZA • $100.00 DACA '4454 MEMORIAL MEDICAL $146,359.80 NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.68 2014 '4357 MEMORIAL MEDICAL S5,193,078.88 CENTER -OPERATING '4373 MEMORIAL MEDICAL $432.05 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIALMEDICAL $233,926.96 CENTER f NH ASHFORD '4403 MEMORIAL MEDICAL $227,683.85 CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL S126,946.98 CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL $117,318.82 CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL $g15,909.93 CENTER / SOLERA AT WEST HOUSTON '2998 MMC -MONEY MARKET $295.844.90 FUND •5506 MMC-NH BETHANY $158,365.81 SENIOR LIVING '6441 MMC -NH GULF POINTS PLAZA- $162,821.16 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $2,59035 PLAZA - PRIVATE PAY hops I/prosperityolbanking,com/onlineMessenger Treasury Center Select Group Groups Adtl Group Data reported as of Oct 31, 202: Available Balance Collected Balance Prior Day Balanc $7,464,580,43 $7,230,560.77 $5,822,970.5 $5,900.67 $5,900,67 $5,900.E S100.00 $100.00 S100.0 S159,323.68 S146,359.80 $135,919.E S536.68 S536.66 $536.E S5,302,337.17 $5,193,078.88 S4,037,388,9 $43205 S432.05 S432,C $246.556.36 $233,926.96 5160,685.E $259,931.39 $227,683.85 $166.411.2 $138,226.03 $126,946.98 $113,586.1 S 124,132.95 $117,318.82 $90,074.4 S437,114,41 $415,909,93 S376,268.4 S295,844.90 S295,844.90 5295,844 c S163,137.78 S168,365.81 S151,412,2 $167.753.85 S162,821.16 $151,113.1 $2,590,35 $2,690,35 $2,590.2 r 111 Memorial Medical Center Nursing Home UPL Weekly Nation Transfer Prosperity Accounts 10/31/2022 Preen... Account Be91mm.3 Pestle, Tatlay'. Berinnlnl Amount to Be Transferred to NurnnB Hurenc Home Number Balance nmaer-0ut Tantlar-In -per" B9anee Homo ]03,6)6.33 104,576.23 Idy259.fl0 UIBMS90 / 146,369.80 Bankeamme 146,SSS.80 t/ Variance Nofe:Onlv6vlvn¢s a/over55,4W willb<rmnsjerrrd re tAenurzln4 M1ome. Natty: E0N ArrounfM1m vbaa<bvlan¢ v/$I00 ebatMM(depwiletl fa seen vnounc OCT 31 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 'ATCH Weekly rrantivrslnx UPC Transfer Summa1\1@31IX1vbegNH UPI Transfer summary Io.dl ix.aba sorvein Balance SBO.w JulTlnt... A Jorponlrstere5t Septemherintercst "lust Batance/Tranarer Amt N6.16980 ✓ A,. -ad' Ilca(Q}� A051ANOATHOMA5,rBO 10/31/201 10/75/1022 10/26/2032 W1.11t l0/26/2022 TSTS/ MN5NR5]CR CO OEP 54MUSSS6]091] 91 10/26/2022 NOVITASSOIUiIOHHttI/IMPM26]f09)d20000149 101271202i WIRE OUT NEMION NEALTI J/6/a GOLDEN CREEK NC 10/271ZD22 Deposit 10/27/2022 TSYWUNSFIUTCRCDOEP943MS5997691791 1DJ27/2022 NEGLTHHUWN WCHCCWMPMT17"W341130112 10/2812022 TSYV MNSFIMTMCDDEPMSMS5507691711 10/26/2022 NO ASR 0WTONHCCSAIMPMrlWM)430000159 mmmiffl m OIPP/Camp{ LW(S19y3 $39D31@ii OIPP/Cem 1 DIPP/C NIPi OIMCamP3 au". OIPPM NMPMON 49,510.!) 41,,5702T 13,llm 13,T/3W 4.390M - a,i9000 51,632AS 51,632a5 103,576.23 - 14,904.S5 - 16.EKNAS 163100 163.00 1,466.50 1 d66.50 R7R54 61654 9,963.63 - 9,56363 L 1113,376.21 73w..02.0 ✓' iM uy� 10/3112022 Quick View Select Quick View Accounts Account Number / Name Account Type_ _ Search All Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE *3660 GULF POINTE PLAZA - DACA •4454 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR *4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT WEST HOUSTON '2998 MMC-MONEY MARKET FUND *5506 MMC •NH BETHANY SENIOR LIVING •5441 MMC -NH GULF POINTE PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY https:Rprosperity.olbanking,wm/onlineM essenger Treasury Center Select Group Groups Add Group Data reported as of Oct 31, 202: Prior Day Balanc 55,822,970.E 5100.0 5135,918.E $100.00 $100,00 S100.00 S146.359A0 $159,323.68 S146,359.80 $536.68 S536.68 S536.68 S536.E S5,193,078A8 S5,302,337.17 $5,193,078.88 S4,037,388.E $432.05 S432.05 $432.05 $432.0 $233,926.96 $246,556.35 $233,926.96 3160.685.E $227,683.85 S259,931.39 $227,683.85 $166.411.2 $126.946.86 S138,226.03 S126.946.98 $113.586.1 $117,318.82 S124,132.95 $117,318.82 $90,074.4 $415,909.93 S437,114.41 $415,909.93 S376.268,4 $295.844.90 S295,844.90 S295,844.90 $295.844 c S158,365.81 $163,137.78 S158,365.81 S151,412, $162.821A6 $167.753.85 5162,821.16 $151.113.1 $2,590.35 S2,590.35 $2,590.35 $2.590.: r $536.68 S536.68 S536.68 S536.E S5,193,078A8 S5,302,337.17 $5,193,078.88 S4,037,388.E $432.05 S432.05 $432.05 $432.0 $233,926.96 $246,556.35 $233,926.96 3160.685.E $227,683.85 S259,931.39 $227,683.85 $166.411.2 $126.946.86 S138,226.03 S126.946.98 $113.586.1 $117,318.82 S124,132.95 $117,318.82 $90,074.4 $415,909.93 S437,114.41 $415,909.93 S376.268,4 $295.844.90 S295,844.90 S295,844.90 $295.844 c S158,365.81 $163,137.78 S158,365.81 S151,412, $162.821A6 $167.753.85 5162,821.16 $151.113.1 $2,590.35 S2,590.35 $2,590.35 $2.590.: r Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 10/31/2022 anon! Xunina Nnme Xumarr 1MF8LA'u1TN6iK5hAe1iYY.2.^d�,�� Vneka. AKounl Nde: 0.i,War. ef.N soa WNEenneroined In he i,—ylmm.. -I-1. End anwnfMna b-ne"Innre-JSS- M.MMCdepomNav apmucrounl. ATPRObir U'U 1 OCT 31 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEMS z4a"as 9ant9.hana Vni U.roln&Ima ,.am Tran.INred to lulY Iinniaf sentanherinl.rt.[ Adlutf e.lann/I'nniXldmt S.<90.3a Ainounlfa E. I -an, TnnflMedlo l.n^+If. __. iudNs MlNnln.aaWn NUNne Nene a.nt Wan. v.n.nae Leave in Enhance aM . Lnnml.ren. H"embrlmn.. •dfun aalmaRnnu.1 Pml 1ES.72LLa TmALUARIFERI OS AMU A fgved: amNA1a-1 alt7. w/31110f1 1.u.wane1.nnene..1unnnasumm.Mzazz\On.Mwv Lr'T qa, n, A.31.22,4, 4 10/24/2022 NNE-ECHOHCCWIMPMT 192202790 9220341144uloaum35 10/27/2022 AETNA WIRE OUT HMG WIMPMT 19330911905100W1430) l0/2)/1022 WIRE ECHO H 9ERVICE4l4C l0/2)/3022 HNB- ECHO MCQAIMPMT 744003011440000233788 i 10/2/2022 HNB - ECHO HCCWMPMi>46003421440pCO22i35fi 10/25/2022 Oeppsl[ 10/25/20E2 NORIDIAN J3A HCCWMPMT 67589242 1943820 10/26/2022 Depurit 10/26/2022 MERCHANT BANKCO DEPOSIT 496478518889 9100W1 10/26f2022 NORIDIAN J3A HCCIAIMPMT 675912 4200001466891 10/27/2022 WIRE OUT HMG SERVICES. ttC 10/2712OZZ ORp04I0 20/27/2022 MERCHANT BANKCO DEPOSIT 4964785JUS99100001 10/28/2022 MERCHANT 9AMKCO DEPOSIT 49R478518889910OW1 20/28/2022 NORIDIAN BA HCCIAIMPMT V58924200001439764 10/28/2022 HEALTH HUMAN S C HCCWMPMT 3246W 34I IM13 2 MM[PORTION QIPP(C..p OIPp/C..AA Transfer -Out erJn QIPP/[amps 2 Q1pP/Comp3 6lapss QIPPTI NH PORTION 2.425,93 - 1,425.93 96G41 - M6,41 10, 00.6) 98.02 - 99.01 10.140.67 ZA90.3$ MMCPORTON QIPP/Comp QIPP/Camp4 Transferout Tran eMn QIPP(Compi 1 gIPP/COmp3 &lapse QIPPTI NH PORTION - 29.66 - 19.66 - 21.551.76 - 22,552.76 93.917.62 93,711.62 - 21,311ak2 - 21,383.D2 - 1,071.26 - 1,071.16 1.349.70 - 1,348.70 9).903AS - - 11.774.45 - 11,714.65 - 136.62 - 136A2 - 2.135.00 2,135.00 - 6,943.95 - 6,943.95 2,62902 - 2A629.02 9],903.35 .! 16],R1.16 ✓ - 1621i1 Sfi 3081044.03 169,311.51 16S.211.51 10131/2022 Quick View Select Quick View Accounts Account Number/Name Account Type v Search All Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE '3660 GULF POINTE PLAZA - DACA '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL CENTER NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT WEST HOUSTON •2998 MMC MONEY MARKET FUND '5506 MMC -NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - MEDICAREIMEDICAID 'S433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY https://prosperity.albanking.comlontineMessenger Treasury Center Select Group Groups Add Group reported as of Oct 31, Current Balance Available Balance Collected Balance Prior Day Batanc $7,230,560.77 $7,464,580.43 $7,230,$60.77 $5,822,970.5 $5.900.67 $5.200.67 55,900.67 $5,900.E $100.00 5100.00 $100.00 $100.0 $146,359,80 $159,323.68 5146,359.80 $135,919.E $536.68 $536.68 $536.68 5536.E $5193,078.88 $5,302,337.17 55,193,078.88 54,037,388.E $432,05 S432.05 $432.05 5432.0 $233,926.96 $246,556.35 $233,926.96 $l%685.E $227,683.85 $259,931.39 $227,683.86 $166.411.'e $126,946.98 $138,226.03 $126,945.98 $113.586.1 5117,318.82 5124,132.95 $117,318.82 $90.074.4 $415,909.93 $437,114.41 5415,909A3 S376,26aA $295,844.90 5295,844.90 $295,844.90 S295,844 c $168,365.81 $163,137.78 $158,365.81 5151,412.E 5162,821.16 $167,753.85 $162,821.16 $151,113.1 52,590.35 • $2,590.35 $2,690.35 $2,590.3 i11 Memorial Metllcal Center Nursing Home ❑PL weekly Tuscany Transfer Prosperity Account, 10/31/2022 Rrarinus ae. newm egmnme vanaln5 Rawfen nannmmro NUNn xem Number YArce Tianaleran Tnn lIn CFa Clearttl De lu Tatla oBe nnln Winn XUNn Nwne S]a.9S3.s3 2Oa2153 1<S,6<l93 - - 1<],]e193 /193,ee3.93 Bank balanw h.,. 31� Vatlann Lease inRNnce LOIN Atlluel eaprneSpnnm! I V Nan: d,11hdal[aalorn$5.QW-Yle Lanljmn ahemm�a4hMlG JPmved: IIJ /...� .pi`,N391 LU IW! 10/31j= Nate 2 Fach acnunt has a bme bd-1[ 05100 i1nn MM[aewfrtea(o{pin a((ounE RGSH"DA'110141p,M APPROVED OM OCT 31 2022 By COUNTY AUDITOR CALHOUN COUNTY, TEXAS IW24/2022 HNB- ECHO HCCIAIMPMT746LKH41144p0002215sS 10/2412022 NOVITAS SOLUTION HCCLAIMPMT 676201420000120 10/25/2022 Deposit 10/26/2022 Deposit 10/26/2022 Deposit 10/26/2022 HNB - ECHO MCCUIMPMT746003411440000298978 10/26/2022 NOVITAS SOLUTION HCCLAIMPMT 676201420000149 1D/27/2022 WIRE OUT LINEAR ENTERPRISES, LLC 10127/2D22 Deposit 10/27/2022 HNB-ECHO HCCLAIMPMT 74SM3411440000234103 10/27/2022 HNB-ECHO HCCLAIMPMT 746003411440000233768 10/27/2022 NOVITAS SOLUTION HCCIAIMPMT 676201 420000135 10/28/2022 KS PLAN AOMIN15T HCCLAIMPMT 179111000024799 10/28/2022 HNB - ECHO HCCLAIMPMT 746003411440D0027D625 30/28/2022 NOVITA$SOLUTION HCCLAIMPMT 676201420000159 MMC PORTION gIPP(COmP gIPP/Comp CUPP/Comp Tnnsfer4lut Transfer -In 1 gIPP(C4mp2 3 4&Lapse QIPP TI NN PORTION - 1,764.15 - 1,764.18 - 12,566.44 - 12,566.44 - 34,780.47 - 34,780.47 - 22,401.85 - 22,401.85 21,060.00 - 11,050.00 - 3,251.48 - 3,251,48 - 23,859.65 - z3,859.65 274,823.53 - - - 4,899.98 - 4,899.98 - 3,912.92 - 3,912.92 • 3,594.11 - 3,584.11 - 12,524.60 - 12,524.60 - 890.00 - 880.00 - 345-69 - 345.69 6.812.56 6,812.56 274,823.53 242,543.93 14264393 10/31/2022 P' Treasury Center - - Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,230,560.77 $7,464,580.43 $7,230,560.77 $5,822,970,5 '4551 CAL CO INDIGENT S5,900.67 $5.900.67 $5.900.67 $5,900.E HEALTHCARE '3660 GULF POINTE PLAZA- $100.00 $100.00 $100.00 $100.0 DACA '4454 MEMORIAL NH GOLDENN CREEK / $146,359.80 $159.323.68 S146,359.80 $135,919.E HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.68 $536.68 $536.fi8 5536.E 2014 '4357 MEMORIAL MEDICAL S5,193.078.88 $5,302,337,17 $5,193,078.88 54,037,388.E CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE S432.05 $432.05 S432.05 $432X WAIVER CLEARING '4381 MEMORIAL MEDICAL $233.926.96 $246,556.35 $233,926.96 $160,685.E CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $227 683.85 5259,931.39 S227,683.85 $166,411.2 BROADMOOR '4411 MEMORIAL MEDICAL $126,946.98 $138,226.03 $126,946.98 $113,586.1 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $117,310.82 $124,132.95 $117,318.82 $90,074,4 CENTER/NH FORT BEND '4436 MEMORIAL SOLEEDICAL CENTER ISOLERA AT $415,909.93 $437,114A1 S415,909.93 $376,268.4 WEST HOUSTON '2998 MMC -MONEY MARKET $295,844.90 $295,844.90 S295,844.90 S295,844.< FUND "5506 MMC-NH BETHANY $158,365.81 S163,137.78 $158,365.81 5151,412.2 SENIOR LIVING '5441 MMC-NH GULF POINTS PLAZA- $162,821.16 $167,753.85 S162,821.16 $151,113.1 MEDICAREIMEDICAID •5433 MMC -NH GULF POINTE S2,590.35 $2,590.35 S2,590.35 $2,590.; PLAZA -PRIVATE PAY '3407 MMC-NH TUSCANY $142,743.93 $160,662.17 S142.743.93 S134,705.E VILLAGE '.ndirnle: Page generated on 10i31 12022 al Copyright 2022 Prosperity Bank. hops:/Iprosperity.olbanking.comlonlineMessenger 1I1 Memorial Medial [enter Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 10/31/2022 rrwl[m A[[orart BOLYrNrV XuMn[N>m 6aianm nn[IenON eeMim MedlHrt �Mmlervin CY[tlearea qe [ <nt I6q]65.L1 r/ Tech 39e InnN Balu[e 158,363X1 emeunlmee TrOml[rted to ry 10 Xmme ISB,S65.81 335,166 66 ✓ 335A6686 BanY Oabnc[ ISB,36381 Va[lana Leare In galena 1000 3Wyln1[n[r AUYw[InY<reN sew[mee.mlere.. a�a]unanan[.IyarwL[arr0 w2Ls.LY s/ XerL:aNa>Nn[we/e.erscuL ki .. 1$1.[r[.aaom.nr„nernemn Xop#:Fochacvunr hn o6>u6>1>nn oI S30]Ma[MMCd[pOnrN bop[n vu>unc 7Yyn AGj/ � ROYHPHOAIXO 10/31/2022 I:\NH W[e1NTnWVOAH NaLTramI,rI— [n\1013\OOdWUNM UPI inmin3ummm 10.13 ZIAI 10/2M202: 24,12000 1.12/2012 pOeeppppaxtih 162022 lit 1 912022 HNII-Ftt C MPM]]4WOlo290962 20/2UM22 50=ORHCP67M8142U149 ID/]/22 WERE OUT PORE AVpCR, NH, LLC M712022 OPpIt IO(2WVQ2 Cep.,11 MMCOR T- nn�I�rog TnnXea^ yPP/C4mP1 pCQPP/ R30 CRPP/fmpNpm plPP 11 NN PORTION 2.)]].63 - 2d2].63 ' 956.04 95604 - 4A1600 - 4.726.14, - 56,06332 - 55,663.3 3,4.6 - 4.474.30 03,19193.46 - 43'W'4F 3)S,Ofi6.66 - 11.7196) - 39.119,07 6.953.59 6,95359 535.066.66J 159.269.83 i 10131/2022 Quick View Select Quick View Accounts Account Number Name Account Type _ Search All Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE '3660 GULF POINTE PLAZA - DACA '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT WEST HOUSTON '2998 MMC -MONEY MARKET FUND •5506 MMC -NH BETHANY SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE PLAZA -PRIVATE PAY hops:/lprosperity.clbanking.comlonllneMessenge, Treasury Center Select Group Groups Add Group Data reported as of Oct 31, 202; Current Balance Available Balance Collected Balance Prior Day Balanc $5,622,970.f $5,900.E $7,230,560.77 $7,464,580.43 $T,230,560.77 $5.900.67 $5.900.67 $5,900.67 $100.0 $135,919.E $700.00 5100.00 5700.00 $146,359.80 5759,323.66 S746,359.80 5536.E 54,037,388 5432.0 p A Y F E MEMORIAL MEDK—'AL CTNTER MEMORIAL MEDICAL CENTER "HECle REQUEST DjtF! Requested: 10/31/22 APPROVED ON OCT 31 2022 By COUNTY AUDITOn CALHOUNICOUNTY. TEXAS FOR ACCT. USE ONLY FllrnprestCash nA/P Check PlMail Check W Vendor ITRetun I -i , Co Depl: �e'hr,d AMOUNT 284.58 G/L 11WIVIBER: 10255040 EXPLANATION: AMERIGROUP YEAR 3 ADJ 3 QIPP B"": M a yra Mard nez p A IVIENIC)RIAL NAEDIcAL CENTER CHECK' REQUEST MEMORIAL MEDICAL CENTER Date Requested; 10/31/22 APPROVED OM OCT 31 2022 By COUNTY AUDITOR CAU40UN COUNTY, TEXAS AMOUNT 102.61 EXPLANATION: AMERIGROUP YEAR 3 ADJ 3 QIPP FORACCI. USE ONLY Im prest Cash ❑A/P _heck Mail Check to Vendor F-IReturn Check to. Dept� G/I. NUMBER: 10255040 ----- i L", j E, S,QED BY: Mayra Martinez /A(,!Tl-:OfLI-ZFD BY: NAWORIAL MEW'Al- CEWER I 'HIR-K REGUTST ?- MEMORIAL MEDICAL CENTER AMOUNT Date Requested: 10/31/22 APPROVI-5i OW OCT 31 2022 ElYCOUNWAUDiTOR CALH6(JN OW NTY. TEXAS EXPLANIAT!ON: AMERIGROUP YEAR 3 ADJ 3 QIPP Mayra Martinez FOR ACCT. USE ONLY nImprest cash nA/P Cherk Mail Ched to Vendor Return check Lo Dept G/[- NUMBER: 10255040 ViEIVIORIAL MEDICAL CENTER CHECK REQUEST p MEMORIAL MEDICAL CENTER 0 Date Requested: 10/31/22 Oct 31 2022 F. --- ,y CoUt4V AUDIT0'A CALHOUN ctj 'ugw, I LaA- AMOUNT __1116118 (7/1- NUMBFR: 10255040 EXPLANATION: AMERIGROUP YEAR 3 ADJ 3 QIPP REQUES - FEE) By May ra Martinez 'kdTl,uRIZFD BY: FOR ACCT. USE ONLY ElImp. est Cash f ]A/PCheck ElMail Check :.D Vendor Return Check Lo Depi rVlFN/l0RiAi_ riAEDICAL CENTER CHECK REQUEST p MEMORIAL MEDICAL CENTER A bats Requested: 10/31/22 v APP801601 ON, OCT 31 2022 13Y COUNTY AUDITOR —,-.-..--CALHOUN COUNTY, TEXAS FOR ACCT. USE ONLY ElImprest rash nA/P Check 11M@il Check to Vendor FiReturn Che.rk tci Dep I AMOUNF 1; 10255040 1 G/I CXPLANIATION: AMERIGROUP YEAR 3 ADJ 3 QIPP - ------- -- - RLIOUESTED r3y: Mayra Martinez AUTHORIH!" 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