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2022-11-16 Final Packet✓ ,All Agenda Items Properly Numbered ✓ Contracts Completed and Signed 1 1295's Flagged for Acceptance (number of 1295's ) _ All Documents for Clerk Signature Flagged On this21344 day of /y4'y-C,+ 2022 a complete and accurate packet for I G kof 2022 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMI SS I ONERSCOURTCHECKLIST/FORMS AGENDA 'Jonr w- ivll Richar ll H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 9- NOTICE OF MEETING The Commissioners'Court of Calhoun County, Texas will meet on Wednesday, November 16, 2022 at 10:00 a.m. in the Commissioners'Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA j1 The subject matter of such meeting is as follows: V O'CLOCK_- AT —JD a OCIOCIC.___Mr is Call meeting to order. OV 10 2022 2 Invocation. Pledges of Allegiance. `General Discussion of Public Matters and Public Participation. Consider and take necessary action accept a check from CM Company Auctions for $7,096.50 for proceeds from the sale of a Festival Limited Trailer Home, a tan building and a red building located on recently purchased county property. (RHM) Consider and take necessary action on a Resolution for the nomination of candidates for the Board of Directors of the Calhoun County Appraisal District for a 2022-2023 / unexpired term. (RHM) t7 Consider and take necessary action to approve the FY 2023 SAVNS Grant Contract and authorize the County Judge to sign. (SAVNS = Statewide Automated Victim Notification Service) (RHM) 'B. Consider and take necessary action to accept a grant of $8,162.00 from the Golden Crescent Regional Advisory Council (GCRAC) Trauma funds allocation for FY 2023. (RHM) <Consider and take necessary action to approve the First Responder Organization Affiliation Agreement between the Calhoun County EMS and the Olivia -Port Alto VFD and authorize the EMS Director to sign. (RHM) Page 1 of 3 I i"I011C L or 0i i 1!i'lG - I I/-1e/zo)-) c0 10. Consider and take necessary action on DR-4332 Designation of Subrecipient Agent and authorize County Judge to sign. (RHM) 11. Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #6436 PAAP-DAC and the Duplication of Benefits form and authorize County Judge to sign. (RHM) 12. Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2023.01 for the period January 1, 2023 through December 31, �2023. (RHM) 33�. Consider and take necessary action to award the bids for Asphalts, Oils and Emulsions, Bid Number 2023.02 for the period January 1, 2023 through December 31, 2023. (RHM) i4. Consider and take necessary action to award the bids for Road Materials, Bid Number 2023.03 for the period January 1, 2023 through December 31, 2023. (RHM) i5. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2023 and ends December 31, 2023. (RHM) Consider and take necessary action to transfer a 2020 Toyota Tacoma, VIN# 3TMDZ5BN2LM080710 from a Calhoun County Criminal District Attorney Forfeiture Proceeding in Cause Number 2022-CV-4720-DC to the District Attorney's Office. (RHM) 77. Consider and take necessary action to remove a 2010 Lincoln 4-door VIN# 3LNHL2GGC2AR657885 from the District Attorney's inventory and transfer to the Port Lavaca Police Department as directed by Chapter 59.06 Texas Code of Criminal Procedures. (RHM) i8. Consider and take necessary action to accept a Law Enforcement Partners donation to the Sheriff's Office to be deposited into the Motivation account in the amount of $1,566.40. (RHM) t9�. Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: Law Enforcement Supplies 2860-999-53430 - $1,000 Miscellaneous 2860-999-63920 - $8,000 and Forfeitures — Other 2860-001-4560 � - $9,000. (RHM) "10. Consider and take necessary action on updating the members of the Flood Insurance Appeals Board for variance requests to the Calhoun County Flood Damage Prevention Order. (RHM) ';rl. Consider and take necessary action to approve an invoice to Kathy Smartt for $500.00 for preparing and submitting a letter to TDEM requesting Calhoun County's excess FEMA funds. (RHM) Page 2 of 3 NOIICLDI VIEEIING I IIIb/2022 eJ Hear and review updates on the Countywide Drainage District Consolidation. (RHM) `i3. Consider and take necessary action to approve the Canvass Report with Official Results of the Calhoun County, Texas 2022 General Election. (RHM) 64. Approve the minutes of the November 2, 2022 meeting. 2S Consider and take necessary action to replace the first page of Meeting Minutes from January 5, 2022- July 27, 2022, due to a change in wording. 26. Accept Monthly Reports from the following County Offices: --u stice of the Peace, ii. Justice of the Peace, Precinct 1— October 2022 Precinct 2 — October 2022 Z7. Consider and take necessary action on any necessary budget adjustments. (RHM) `-8. Approval of bills and payroll. (RHM) Ric and H. Meyer, County Judg 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 tot he general public at all times. This Notice shall remain posted continuously for at [east 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncctx.org under "Commissioners' Court Agenda" for any official court. postings. Page 3 of 3 NOTICE OF MEETING— 11/16/2022 Richard H. Meyer County judge ge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 (Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney [£addie Smith, Deputy Clerk REGULAR TERM 2022 § November 16, 2022 BE IT REMEMBERED THAT ON November 16, 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. Judge Richard Meyer called the meeting to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Consider and take necessary action accept a check from CM Company Auctions for $7,096.50 for proceeds from the sale of a Festival Limited Trailer Home, a tan building and a red building located on recently purchased county property. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 6 NOTICE OF MEETING— 11/16/2022 6. Consider and take necessary action on a Resolution for the nomination of candidates for the Board of Directors of the Calhoun County Appraisal District for a 2022-2023 unexpired term. (RHM) Judge Meyer read the resolution and nominated Mike Johnson, the only candidate. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the FY 2023 SAVNS Grant Contract and authorize the County Judge to sign. (SAVNS = Statewide Automated Victim Notification Service) (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to accept a grant of $8,162.00 from the Golden Crescent Regional Advisory Council (GCRAC) Trauma funds allocation for FY 2023. RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Vern Lyssy, Commissioner Pct AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve the First Responder Organization Affiliation Agreement between the Calhoun County EMS and the Olivia -Port Alto VFD and authorize the EMS Director to sign. (RHM) Dustin Jenkins explained agreement RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action on DR-4332 Designation of Subrecipient Agent and authorize County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING — 11/16/2022 11. Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #6436 PAAP-DAC and the Duplication of Benefits form and authorize County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2023.01 for the period January 1, 2023 through December 31, 2023. (RHM) Peggy explained the bids. Bid Item #1— awarded to Target Specialty Products Bid Item #5 — awarded to Target Specialty Products Bid Item #9 - awarded to Target Specialty Products Bid Item #10 - awarded to Veseris RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to award the bids for Asphalts, Oils and Emulsions, Bid Number 2023.02 for the period January 1, 2023 through December 31, 2023. (RHM) The court awarded all low bids, including P2 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to award the bids for Road Materials, Bid Number 2023.03 for the period January 1, 2023 through December 31, 2023. (RHM) The court awarded all the low bids. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 NOTICE OF MEETING — 11/16/2022 15. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2023 and ends December 31, 2023. (RHM) PASS 16. Consider and take necessary action to transfer a 2020 Toyota Tacoma, VIN# 3TMDZ5BN2LM080710 from a Calhoun County Criminal District Attorney Forfeiture Proceeding in Cause Number 2022-CV-4720-DC to the District Attorney's Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to remove a 2010 Lincoln 4-door VIN# 3LNHL2GGC2AR657885 from the District Attorney's inventory and transfer to the Port Lavaca Police Department as directed by Chapter 59.06 Texas Code of Criminal Procedures. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to accept a Law Enforcement Partners donation to the Sheriff's Office to be deposited into the Motivation account in the amount of $1,566.40. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: Law Enforcement Supplies 2860-999-53430 - $1,000 Miscellaneous 2860-999-63920 - $8,000 and Forfeitures — Other 2860-001-4560 - $9,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 i NOTICE OF MEETING — 11/16/2022 20. Consider and take necessary action on updating the members of the Flood Insurance Appeals Board for variance requests to the Calhoun County Flood Damage Prevention Order. (RHM) PASS 21. Consider and take necessary action to approve an invoice to Kathy Smartt for $500.00 for preparing and submitting a letter to TDEM requesting Calhoun County's excess FEMA funds. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Hear and review updates on the Countywide Drainage District Consolidation. (RHM) Thomas Guach with Roberts, Odefey, Witte and Wall gave a report. 23. Consider and take necessary action to approve the Canvass Report with Official Results of the Calhoun County, Texas 2022 General Election. (RHM) Rennette Todd gave the report. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Approve the minutes of the November 2, 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 25. Consider and take necessary action to replace the first page of Meeting Minutes from January 5, 2022- July 27, 2022 due to a change in wording. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 NOTICE OF MEETING — 11/16/2022 26. Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Precinct 1— October 2022 ii. Justice of the Peace, Precinct 2 — October 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 27. 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 28. 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 Indigent Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 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: 11:01 a.m. Page 6 of 6 # 05 NOTICE OF MEETING--11/16/2022 5. Consider and take necessary action accept a check from CM Company Auctions for $7,096.50 for proceeds from the sale of a Festival Limited Trailer Home, a tan building and a red building located on recently purchased county property. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 25 Seller Settlement I_- C.M. Company Auctions 500 Chestnut Street Suite 103 Abilene, TX-79602 Phone: (325) 677-3555 Tax #: 26-0299944 Seller Information Seller Name: Calhoun County Seller Number: CALHOUN Company: Calhoun County Location: 211 S. Ann Street Port Lavaca, TX 77979 Phone: invoice # CALHOUN-226930-1 Auction Information Auction: 11.01.2022 CALHOUN COUNTY PROPERTY Date: 10/28/2022 00:00 Location: 218 S. ANN PORT LAVACA, TX 77979 d. ... Oil ..4. y _,.. y. .a .. "' *3 Ji , 4 'E"A TAN BUILDING -12' X 20' BUILDING PIER & BEAM TO BE MOVED MUST REMOVE ALL Unknown Working Condition No Test Performed For more information please send and email to auctionservices@cmauctions.com All items listed in this TAN auction are to be sold AS IS WHERE IS. These items are used 1 BUILDING and may contain defects not immediately detectable. $935.00 10% ($93.50) $841.50 Information given in this catalog is to be used a guide only. It is the responsibility of the bidder to inspect units for accuracy. All information provided is believed to be correct but no warranty as such is either intended or implied. All items are sold AS IS - WHERE IS AND WITH ALL FAULTS AND DEFECTS THEREIN. RED HOUSE - 21' X 22' PIER & BEAM TO BE MOVED Unknown Working Condition No Test Performed Walk Through Video - Click Here For more information please send and email to auctionservices@cmauctions.com All items listed in this RED auction are to be sold AS IS WHERE IS. These items are used Z HOUSE and may contain defects not immediate) detectable. y Y $1,825.00 10°� ($182.50) $1,642.50 Information given in this catalog is to be used a guide only. It is the responsibility of the bidder to inspect units for accuracy. All information provided is believed to be correct but no warranty as such is either intended or implied. All items are sold AS IS - WHERE IS AND WITH ALL FAULTS AND DEFECTS THEREIN. FESTIVAL LIMITED TRAILER HOME -TO BE MOVED SEAL - RAD1 138195 SERIAL # - TXFLX1 2AS2449FD21 WEIGHT - 23,860 16' X 66' House Walkthrough - Click Here Unknown Working Condition No Test Performed For more information please send FESTIVAL and email to auctionservices@cmauctions.com All items listed 3 LIMITED TRAILER in this auction are to be sold AS IS WHERE IS. These items are used and may contain defects not immediately detectable. $5,125.00 10% ($512.50) $4,612.50 HOME Information given in this catalog is to be used a guide only. It is the responsibility of the bidder to inspect units for accuracy. All information provided is believed to be correct but no warranty as such is either intended or implied. All items are sold AS IS - WHERE IS AND WITH ALL FAULTS AND DEFECTS THEREIN. 3 1 1 $7,885.00 ($788.50) $7,096.50 Payments Total Payments:1 Auction Summary Auction Gross $7,885.00 Commissions ($788.50) Expenses ($0.00) Credits $0.00 Auction Net $7,096.50 Total Paid $7,096.50 Balance Due $0.00 C.M. COMPANY AUCTIONS 45452 FIRST FINANCIAL BANK NA 88-11211113 11/04/2022 1 5 n PAY To THE ORDER OF Calhoun County $ 7,096.50 seven thousand ninety six and 501100 nOLLARS N MEMO 11.01.2022 CALHOUN 10-28-2022 foai�o si COUNTY PROPERTY C.M. COMPANY AUCTIONS DEALER TRUST ACCOUNT 45452 C.M. COMPANY AUCTIONS DEALER TRUST ACCOUNT 45452 BBQ lm-16 4059878101 # 06 I NO-i ICE OF MEETING - 11/16/2022 6. Consider and take necessary action on a Resolution for the nomination of candidates for the Board of Directors of the Calhoun County Appraisal District for a 2022-2023 unexpired term. (RHM) Judge Meyer read the resolution and nomi only candidate. RESULT: APPROVED [UNANIMOU MOVER: Vern Lyssy, Commissioner F SECONDER: Joel Behrens, Commissionei AYES: Judge Meyer, Commissionei Page 3 of 25 11/16/2022 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 A RESOLUTION OF THE COMMISSIONERS' COURT OF CALHOUN COUNTY TEXAS FOR THE NOMINATION OF CANDIDATES FOR THE BOARD OF DIRECTORS OF THE CALHOUN COUNTY APPRAISAL DISTRICT 2022-2023 UNEXPIRED TERM WHEREAS, the untimely passing of the chairman for the Board of Directors of the Calhoun County Appraisal District; and WHEREAS, the Board of Directors consists of five (5) members who serve two- year terms, beginning January 1, 2022 through December 31, 2023; and WHEREAS, Calhoun County Commissioners' Court is entitled to nominate candidates to the Calhoun County Appraisal District Board of Directors, if so desired. NOW THEREFORE BE IT RESOLVED BY THE PRESIDING BOARD OF THE COMMISSIONERS' COURT OF CALHOUN COUNTY THAT: The following individual is nominated and submitted as exhibited in the attached list to the Calhoun County Appraisal District for election to fulfill the unexpired term of the Calhoun County Appraisal District Board of Directors. PASSED AND APPROVED by the Commissioners' Court of Calhoun County this 16th day of November, 2022. Page 1 of 2 11/16/2022 Richard H. Meyer, Co ty Judge David Hall Commissioner, Precinct 1 Joel fBehrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk I�Owy1Y1N�V By: Deputy Clerk Vern Lyssy Commissioner, Precinct 2 Gary Re se Commissioner, Precinct 4 Page 2 of 2 OFFICIAL NOMINATION FOR THE CALHOUN COUNTY BOARD OF DIRECTORS 2022-2023 UNEXPIRED TERM TAXING UNIT: CA4 NOMINEE # 07 NOTICE OI- MEETING — 1.1/1(>/2022 7. Consider and take necessary action to approve the FY 2023 SAVNS Grant Contract and authorize the County Judge to sign. (SAVNS = Statewide Automated Victim Notification Service) (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 25 Office of the Attorney General Grants Administration Division Office of the Attorney General Statewide Automated Victim Notification. Services (SAVNS) Fiscal Year 2023 Invoice Select Invoice Quarter st Quarter Place an "X" to the right of the end Quarter 3rdQuarter Li applicablequarter(s) 4th Quarter - To submit your reimbursement request Date.oflnvoice:.. tLi I'I �t-i-I,rh•ra✓ Invoice #: EQ-INV111939 save the Invoice, FSR, and Salary Detail Texas TIN: 1-74-6001923-9 Sheet as one PDF document and send via Organization Name: Calhoun County email to: Grants-Financial@oag.tezas.gov Mailing Address: 202 s.. Ann St. City: Pon Lavaca State: Texas- Zip: Code: 77979 . 'The Contact Person must belisted asa Contact on the Grant (financial Contact,Email Contact Person: Candice Villarreal Contact's Title: 1st Asst. Auditor Address: candice.villarreal calhouncotx.pr etc.) Telephone: 1361 5534611 Month of Service Grant Number: PCA Code: Amount of Claim Nov-22 C-00121 10352 $1,996.68 Description of Services: Note 2: Reimbursement for services rendered on a contract basis under the Statewide Automated Victim Notification Service (SAVNS) Grant to the Office ofthe Attomey General(Term: September 1, 2022 to August 31, 2023). _ Note= 3: By signing this statement,1, acting in my official capacity as the Authorized Official or AlternateDesigneefor the above stated Grantee, certify the following: Note -1: Invoice must be received for the prior quarter by the 5th of the next month following the end of each quarter. By signing this document, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the state award.I am aware that any false, fictitious, or fraudulent infomration, or the omission of any material fact,may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. Note - 4: The amount of claim must not exceed the amount stated in "Total Due" line on the Certified Vendor Invoice. Noneof the costs billed under this invoice have been charged to any other state or federal grant, contract, or any other funding .source. l certify that the expenses being requested for reimbursement are correct and unpaid. Authorized Official or fi ` Z Designee Signature Signatuk of Authorized .Offici I o .Alternate Designee Date Note - 5: Must be signed by the Authorized Official or Alternate Designee Typed Name of Authorized Official or Alternate Designeeg and Title For OAG Use Onl Date Received by Grants GAD Fiscal Approval / Date Date Received by.OAG-Accounting: Administration Division of the OAG. WWd A y Prip x4 KEN PAXTON A'1"fORN11Y (11"THML.OF THAAS. Texas Statewide Automated Victim Notification Service (SAVNS) FY 2023 Quarterly Verification of Continuing Production Record The purpose of this record is to establish a regular schedule for the Grantee to provide art update regarding the Texas SAVNS Program. The intent is to ensure that the Grantee is aware of the ongoing status of its Texas SAVNS Program functionality and continuing production. The OAG will crosscheck Grantee verifications with those of the Certified Vendor. 11 II - .,r Yes;: No ! N/A Grantee Res onslbili As of the date below, SAVNS jail Records are on production and available. d t As of the date below, SAVNS Court Records are on production and available. g County SAVNS Problem Log notes all problems and resolutions. Program Coordinator/Grant Contact keeps a SAVNS grant file. Check `Yes', `No' or `N/A' for each box. Unchecked or checked `No' boxes require an explanation in die Explanation/Comments Box. Explanation/Comments: County Vet ficatitt ngaiature Pr n ed Name 4LTor title - Date *** Tlus completed and signed document must be submitted as an attachment to the quarterly invoice in order for payment to be made on your County's behalf, for costs ,associated with Amoral Maintenance. Please ]seep a copy in your grant file: SAWS Quarterly Verification of Continuing Production Record pY. 2023 o�Nrr� ICPN PAXTON K.i,.rnizNcY <aaNUAL or rFxns Invoice Certification Required by Texas Grant Management Standards This completed and signed form is required to be included with each reimbursement request submitted to the Grants Administration Division. Grant Program y?' j 1�s + �r V/ Grant Number Grantee Name Invoice Month and Year % By signing this statement, 1, acting, in my official capacity as the Authorized Official or Alternate Designee for the above stated Grantee, certify the following: By signing this document, I certify to the, best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the state award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. Authorized Official or Alternate Designee Printed Name: rn iy !Sj Authorized Official or Alternate Designee Title: VP S 44 44� Authorized Official or Alternate Designee Signature: Date: PARTICIPATING ENTITY SERVICES AGREEMENT FOR THE STATEWIDE AUTOMATED VICTIM NOTIFICATION SERVICE (SAVNS) Contract No. 20222344900 —326— 01 WHEREAS, the Office of the Attorney General (OAG) is the Texas State agency tasked with certifying a statewide vendor to provide a Statewide Automated Victim Notification Service (SAVNS) to a variety of political subdivisions of the State of Texas, including counties, county Sheriffs, clerks and attorneys, district attorneys, and courts ("Participating Entities"); WHEREAS OAG solicited offers to perform the development, implementation and execution of a Statewide Automated Victim Notification System (SAVNS) on behalf of the various Participating Entities and accepted the offer of Appriss Inc. ("Original Entity") in response to the Request for Offer (RFO) for SAVNS, RFO 4302-19-SAVNS, dated March 11, 2019; WHEREAS on or about October 1, 2021, Original Entity's subsidiary, Appriss Insights, LLC ("Vendor"), was acquired by TALX Corporation and OAG Contract #2002525 was assigned to Vendor by Original Entity to continue to provide the SAVNS following the acquisition; WHEREAS OAG has certified and contracted with the newly formed Vendor as the statewide vendor to provide SAVNS to each of the Participating Entities ("OAG Certification Agreement") a copy of which is attached hereto as Exhibit A; NOW, THEREFORE, THIS CONTRACT is entered into by and between Calhoun County, Texas ("Named Entity") as a Participating Entity and VENDOR. Named Entity and VENDOR may be referred to in this Contract ("Contract") individually as "Party" or collectively as "Parties." The Parties, in consideration of their respective promises, agreements, and covenants contained and recited herein, hereby agree to the mutual obligations and performances described in this Contract as follows: SECTION 1: CONTRACT TERM. This Contract shall commence on September 1, 2022 or on the date the final signature is affixed hereto, whichever is later ("Effective Date') and shall terminate on August 31, 2023 ("Initial Term"). This Contract may be renewed for one (1) additional one (1) year renewal term ("Renewal Term"), only to the extent the OAG Certification Agreement, attached hereto as Exhibit A, remains in effect, and in the sole and absolute discretion of Named Entity. If renewed, any Renewal Term shall begin on September 1 and end on August 31, always coinciding with the State's fiscal year. Each such Renewal Term shall be subject to all specifications and terms and conditions of this Contract, the OAG Certification Agreement, and the Incorporated Documents as defined in Section 2 below. The Initial Term collectively with all Renewal Terms and all total extensions of services hereunder shall constitute the "Tenn" of the Agreement. SECTION 2: CONTRACT DOCUMENTS. Vendor and Named Entity agree to be bound by the provisions contained in the following documents ("Incorporated Documents"), which describe the required performances in more detail and are incorporated by reference herein in their entirety in the following order of precedence: 1. Special Provisions and Negotiated Terms ("Special Provisions") attached hereto and incorporated by reference; 2. This Contract; 3. OAG Certification Agreement including all attachments, and Addenda not attached hereto but known to and in the possession of both Parties and incorporated herein by reference; 4. Updated versions of the following forms as attached hereto and herein incorporated by reference: (a) Form A: Execution of Offer and Vendor Assurances; (b) Form F HUB Subcontracting Plan; (c) Form G: Vendor Information Form; (d) Form H: Cloud Security Questionnaire; and Form I: Business Continuity/Disaster Recovery Questionnaire; 5. OAG Standard Terms and Conditions as attached to the RFO, not attached hereto but known to and in the possession of both Parties and incorporated herein by reference; 6. The RFO #302-19-SAVNS, dated March 11, 2019 including all posted documents, attachments, and Addenda ("RFO"), not attached hereto but known to and in the possession of both Parties and incorporated herein by reference; and 7. Vendor written response in submission to the RFO, as accepted, not attached hereto but known to and in the possession of both Parties and incorporated herein by reference ("Vendor Response"); however, the Vendor Response as incorporated herein shall be considered to exclude Table 8 of the Response (p. 31) and the Proposed Exceptions to Exhibit A, Exhibit B, and Exhibit C of the Response (pp.35-125). If there is, and to the extent of, any conflict between the Incorporated Documents, such conflict will be resolved according to the order of precedence as set forth above. Capitalized terms used herein and not otherwise defined shall have the same meaning as in the applicable Incorporated Document. SECTION 3: SERVICES TO BE PERFORMED BY VENDOR. 3.1 Project. Vendor agrees to configure, operate, maintain, support and provide Named Entity access to the SAVNS system as set forth in the RFO and the Vendor Response, (collectively the "Scope of Work" or "SOW") which shall meet all of the requirements set forth in Section 4 of the RFO and Section 2 of the OAG Certification Agreement, all in accordance with the requirements of the Incorporated Documents referenced in Section 2 ("Project"). 3.2 Scope of Services. This Project includes but is not limited to the following services (collectively the "Participating Entity Services"): (a) VINE® (Victim Information and Notification Everyday). VINE makes it easy for victims and concerned citizens to obtain timely information about criminal cases and the custody status of offenders held in local jails or state prisons. There are two versions of VINE that are currently supported by the Vendor: "Classic VINE" and "Enhanced VINE." Original Entity and now Vendor have been in the process of migrating states from the Classic VINE platform to the entirely new Enhanced VINE platform since 2016. Enhanced VINE offers a new experience, going beyond notifications, and facilitating a greater degree of information sharing between public servants, victims, and service providers. It offers a suite of new and augmented features, incorporating self-service functionality, and providing the end -user with the ability to select preferred pathways of communication. The new platform brings transformative benefits to victims and victim service providers alike. Vendor's long-term plan is to migrate all states to the Enhanced VINE technology platform to better serve the growing needs of victims of crime, victim advocates, law enforcement and criminal justice professionals. (b) VINE® Courts. VINE Courts is a fully automated service that keeps crime victims and criminal justice professionals informed regarding the progress of their court cases. Users can access court information around the clock by calling a toll -free telephone number or logging on to www.vinelink.com. They can also register to be notified by phone, e-mail, text message, or TTY about upcoming court and hearing dates related to criminal justice proceedings, cancellations, continuances, disposition changes, and other events. (c) "VINE Software" means VINE® and VINE® Courts (as detailed above and within the Vendor Response), including all designs, documents, inventions, software, copyrightable material, patentable and unpatentable subject matter, and all modifications, improvements, upgrades and derivative works made thereto. (d) Vendor shall provide Named Entity access to VINE® and VINE® Courts pursuant to the requirements of the Incorporated Documents and at the rate included in the Pricing Index, incorporated herein as Exhibit B, for the term of this Contract. Vendor shall ensure Named Entity has access to the Classic VINE Platform upon commencement of this Contract but shall migrate Named Entity to the Enhanced VINE platform within the Tenn of this Contract pursuant to the schedule agreed by Vendor and OAG under the terms of the OAG Certification Agreement. 3.3 Ownership of Vendor Intellectual Property; Licenses. Vendor retains all ownership rights in the VINE Software and all documents, designs, inventions, copyrightable material, patentable and unpatentable subject matter and other tangible materials authored or prepared by the Vendor (the "Intellectual Property") in connection with the Services. Vendor hereby grants the OAG during the term of this Agreement, a limited, non- exclusive, non -transferable, non-sublicensable license to use the VINE Software in connection with the provision by Vendor of the VINE Services for the OAG's internal purposes only. Nothing herein shall grant the OAG a license to the source code of the VINE Software. Notwithstanding the foregoing, all documents, reports, plans, copyrightable material, patentable and unpatentable subject matter and other tangible materials authored or prepared by the Vendor and required to be delivered to OAG by the Incorporated Documents shall be subject to Article V of the OAG Standard Terms and Conditions. SECTION 4: SCHEDULE 4.1 Time is of the Essence. Time is of the essence in rendering of Participating Entity Services required by this Contract. 4.2 Performance Schedule. The Project shall be performed by Vendor according to a schedule to be mutually agreed by the Parties ("Schedule") which shall set forth the required delivery dates of each report, plan, or other deliverable as required by the Incorporated Documents. SECTION 5: COMPENSATION AND INVOICING 5.1 Payments for Services Rendered. The Parties stipulate and agree that OAG is the statutory party charged with administering and providing grant funds to Participating Entities on a reimbursement basis for the Participating Entity Services rendered by the Vendor. Accordingly, OAG shall not be directly responsible for any payment to Vendor for Participating Entity Services provided to Named Entity hereunder. All payments for such Participating Entity Services shall be made by Named Entity in accordance with the agreed pricing index ("Agreed Pricing Index") incorporated herein as Exhibit B and pursuant to the terms of this Contract. 5.2 Recurring Fees. The Parties stipulate and agree that the Named Entity's total amount of compensation to be paid to Vendor in consideration of full, satisfactory performance of all Vendor's duties, services and obligations as set forth in this Contract, shall be billed on a recurring quarterly basis, in accordance with the Agreed Pricing Index, and not to exceed $1,645.28 per calendar quarter. ("Quarterly Fee"). 5.3 Invoicing. The Participating Entity Services for the Project shall be performed for the Quarterly Fee, which will be billed and invoiced in accordance with the Agreed Pricing Index and pursuant to the terms of this Contract and the RFO. Invoices will contain all pertinent information such as this Contract number, the dates of Services rendered, and any outages or performances issues as identified in Section 7 of this Contract. 5.4 Invoice Submission. Prior to authorizing payment to Vendor, Named Entity shall evaluate Vendor's performance using the performance standards set forth in the SOW. Vendor shall provide invoices for Participating Entity Services no later than the 15th day following the end of the prior billing quarter in which the Participating Entity Services are rendered. No payment whatsoever shall be made under this Contract without the prior submission of detailed, correct invoices. By submission of the invoices, Vendor is warranting the following: (1) its invoices have been carefully reviewed to ensure that all invoiced services have been performed or delivered; (2) that the Participating Entity Services have been performed in compliance with all terms of the Contract and Incorporated Documents; and (3) all relevant performance and deliverables associated with such invoice have been successfully completed, accepted and all supporting documentation is attached. Upon the request of Named Entity, Vendor agrees to submit any additional documentation or explanation Named Entity may reasonably require. Subject to the foregoing, Named Entity must make all payments in accordance with the Texas Prompt Payment Act. 5.5 Appropriated Funds. Payments under this Contract are subject to the availability of appropriated funds. Whereas OAG provides grant dollars to the Named Entity as a reimbursement of the Quarterly Fees due hereunder, Vendor acknowledges and agrees that payments for Participating Entity Services provided under this Contract are contingent upon OAG's receipt of funds appropriated by the Texas Legislature. SECTION 6: ADDITIONAL SERVICES 6.1 Additional Services. Named Entity may require the Vendor to perform additional services from among the optional services that are set forth in the SOW which are not included in the Participating Entity Services required under this Contract ("Additional Services"). Vendor shall offer any such Additional Services at the same rate as proposed in Vendor's Pricing Submission as attached and incorporated into the Vendor's Response. 6.2 Additional Services to be Mutually Agreed. No work or services shall commence, or products provided, unless and until the applicable fees, and all other impacts on the Project and Schedule as specified by Vendor are mutually agreed upon, in writing, by Named Entity and Vendor. No Additional Services or any applicable fees associated therewith shall be deemed to modify this Contract or obligations between Named Entity and Vendor except to the extent the Additional Services are mutually agreed upon, in advance in writing, and by both Named Entity and Vendor. 6.3 Liability for Additional Services. Vendor acknowledges and agrees that any Additional Services provided under this Contract are the sole responsibility of Named Entity. Any grant dollars issued by the OAG to Named Entity shall be utilized solely as a reimbursement for the Quarterly Fees incurred for Vendor's provision of the Participating Entity Services. OAG grant funds may not be used or obligated for any Additional Services provided hereunder. SECTION 7: PERFORMANCE REPORTING AND REMEDIES 7.1 Performance Reports. 7.1.1 Project(s) Reporting. Pursuant to Section 4.2 of this Contract, Named Entity and Vendor shall agree on a Schedule to perform the Project which shall set forth the dates of each report, plan, or other deliverable as required by the Incorporated Documents. Notwithstanding the foregoing, Vendor shall provide Named Entity and/or the OAG with monthly written progress reports ("Progress Reports") of the Project's performance, which shall, at minimum, identify any problems encountered or still outstanding with an explanation of the cause and resolution of the problem or how the problem will be resolved. Additional performance related measurables shall be agreed upon between Named Entity and Vendor. For the avoidance of doubt, Vendor shall only provide Progress Reports related to implementation of the Project or unique projects for Named Entity. Progress Reports shall not be required for any portion of the Project already implemented as of the Effective Date. 7.1.2 Service Reporting. Upon Named Entity's written request, the Vendor, shall provide a report that includes the following national platform data for the prior month: SAVNS system down time, including the SAVNS core system, interface services, and notification interfaces. 7.2 Performance Remedies. In the event the Participating Entity Services provided by Vendor hereunder do not maintain a reliable 99.9%uptime-performance each calendar month for the SAVNS core system, Named Entity interface services, and notification interfaces, the Named Entity may withhold any Quarterly Fee due to the Vendor funds under Section 5 of this Contract based on a pro-rata amount equal to the duration of the outage for any prior billing quarter. The amount of withholding shall be calculated on a proportional amount for all Participating Entity Services provided to Named Entity in the billing quarter in which the monthly 99.9% uptime-performance requirement was not met. Accordingly, any outage in any portion of the SAVNS core system, Named Entity interface services, and notification interfaces for registered parties, shall be counted against the 99.9% uptime performance requirement. 91 Notwithstanding the foregoing, the Vendor shall not be responsible due to any delay caused by, and shall not have its uptime-performance impacted by: schedule amendments requested by the OAG (including any requests of Named Entity and any third party vendors of the OAG or the Named Entity); delays as the result of activity that is the responsibility of the OAG; delays that are otherwise agreed upon by the parties; any other delay not specifically addressed herein but that is otherwise caused by the acts or omissions of the OAG, Named Entity or any third party vendors of the OAG and Named Entity; and any delays caused by a Force Majeure Event as defined in the Section 15.10 of the OAG Standard Terms and Conditions. SECTION 8: WARRANTIES 8.1 Vendor Warranties. In addition to any warranty obligations in the Incorporated Documents, Vendor hereby represents and warrants: (a) that Vendor shall perform the Project with the professional skill and care ordinarily provided by comparable professionals in the same industry; (b) that each of the Vendor employees and agents assigned to perform Vendor's obligations under this Contract and Incorporated Documents, shall have the skill and training to perform the Project in accordance with the foregoing standard of care, and that all work shall be produced in a professional and workmanlike manner; (c) that the SAVNS system shall materially conform to the requirements as set forth in this Contract, and in the SOW and Incorporated Documents; (d) that all deliverables provided hereunder shall materially conform to the requirements as set forth in this Contract, and in the SOW and Incorporated Documents; (e) that all Project performance and deliverables provided under the Contract are, and will be, free of all liens, claims and other restrictions, and that Named Entity's use and possession of such deliverables will not violate the terms or conditions of any license, confidentiality agreement, non - competition agreement, employment agreement or any other agreement to which Vendor, its agents, officers, employees or subcontractors may be subject; (f) that Vendor has the right to develop and assign all ownership rights in the deliverables to OAG as contemplated under this Contract, free from infringement claims, free from violations of unfair competition law, and free from violations of any other contract or law; and (g) that Vendor will implement reasonable and appropriate measures to prevent unauthorized disclosure or exposure of Named Entity Protected Data during Vendor's performance of the Participating Entity Services due under this Contract and the Incorporated Documents. These representations and warranties are essential and material to Named Entity's willingness to enter into this Contract. 8.2 Warranty of Law. Vendor warrants and represents that to the best of its knowledge: (i) Vendor has full authority to enter into this Contract and to consummate the transactions contemplated hereby and (ii) this Contract is not prohibited by any other agreement to which Vendor is a party or by which it may be bound (the "Legal Warranty"). In the event of a breach of the Legal Warranty, Vendor shall indemnify and hold harmless Named Entity from and against any and all losses, damages, causes of action, claims, demands, and expenses (including reasonable legal fees and expenses) incurred by Named Entity, directly arising out of or resulting from said breach. SECTION 9: DATA PROTECTION AND INFORMATION SECURITY 9.1 Definitions. Capitalized terms used herein shall have the meanings set forth in this Section 9 (a) "Authorized Employees" shall mean Vendor's employees who have a need to know or otherwise access Named Entity Protected Data to enable Vendor to perform its obligations under this Contract or any of the Incorporated Documents. (b) "Authorized Persons" shall mean (i) Authorized Employees; and (ii) Vendor's contractors or agents, as each is specified on Exhibit C to this Contract who have a need to know or otherwise access Named Entity Protected Data to enable Vendor to perform its obligations under this Contract or any of the Incorporated Documents, and who are bound in writing by confidentiality obligations sufficient to protect Named Entity Protected Data in accordance with the terms and conditions of this Contract. (c) "Named Entity Protected Data" shall mean all documents, reports, data, records, forms, and other materials obtained by Vendor from the Named Entity or is otherwise received by Vendor from any person or entity registered to receive notifications from the SAVNS system, as a result of providing the Participating Entity Services as required under this Contract or any of the Incorporated Documents which includes personally identifiable information, federal tax information, personal health information, criminal justice information, or any information that is classified as confidential or sensitive by federal or state law, by agency policy, or is defined as 'Personal Identifying Information" under Texas Business and Commerce Code §521.002(a)(1) or "Sensitive Personal Information" as defined by Texas Business and Commerce Code §521.002(a)(2) or any other data or information which (i) has been marked as confidential by any party; (ii) whose confidential nature has been made known to the Vendor by the Named Entity or any individual registered to receive notifications under the SAVNS system; or (iii) that due to their character and nature, a reasonable person under like circumstances would treat as confidential. (d) "Personal Identifiable Information" shall have the meaning set forth in Texas Business and Commerce Code §521.002(a)(1). (e) "Named Entity's Data" shall mean all documents, reports, data, records, forms, and other materials obtained by Vendor from Named Entity or is otherwise received by Vendor as a result of providing the Participating Entity Services as required under this Contract or any of the Incorporated Documents, without regard to whether such data includes the type of information included in the definition of Named Entity Protected Data. (f) "Security Breach" means (i) any act or omission that materially compromises either the security, confidentiality or integrity of Named Entity Protected Data, or the physical, technical, administrative or organizational safeguards put in place by Vendor or any Authorized Persons that relate to the protection of the security, confidentiality or integrity of Named Entity Protected Data, (ii) receipt of a complaint in relation to the privacy practices of Vendor or any Authorized Persons or a breach or alleged breach of this Contract relating to such privacy practices. (g ) "Sensitive Personal Information" shall have the meaning set forth in Texas Business and Commerce Code §521.002(a)(2). 9.2 Standard of Care. (a) Vendor acknowledges and agrees that, during the course of its engagement by Named Entity, Vendor may receive or have access to Named Entity Protected Data. Vendor shall comply with the terms and conditions set forth in this Contract, the RFO, and OAG Information Security Standards (Attachment 4 to the RFO) in its collection, receipt, transmission, storage, disposal, use and disclosure of both Named Entity Protected Data and be responsible for the unauthorized collection, receipt, transmission, access, storage, disposal, use and disclosure of Named Entity Protected Data under its control or in its possession by all Authorized Employees and/or Authorized Persons. Vendor shall be responsible for and remain liable to Named Entity for the actions and omissions of all Authorized Persons that are not Authorized Employees concerning the treatment of Named Entity Protected Data as if they were Vendor's own actions and omissions. (b) In recognition of the foregoing, Vendor agrees and covenants that it shall: (i) keep and maintain all Named Entity Protected Data in strict confidence, using such degree of care as is appropriate to avoid unauthorized access, use or disclosure; (ii) use and disclose Named Entity Protected Data solely and exclusively for the purposes for which the Named Entity Protected Data, or access to it, is provided pursuant to the terms and conditions of this Contract, and not use, sell, rent, transfer, distribute, or otherwise disclose or make available Named Entity Protected Data for Vendor's own purposes or for the benefit of anyone other than the OAG or Named Entity in each case, without Named Entity's prior written consent or as permitted in subsection (c) below: and (iii) not, directly or indirectly, disclose Named Entity Protected Datato any person or entity other than its Authorized Employees and/or Authorized Persons ("Unauthorized Third Party") without the prior express written consent from Named Entity, unless and to the extent required by applicable law or court order in which case, Vendor shall (1) use best efforts to notify OAG before such disclosure or as soon thereafter as reasonably possible; (2) be responsible for and remain liable to OAG for the actions and omissions of any Unauthorized Third Party concerning the treatment of such Named Entity Protected Data as if they were Vendor's own actions and omissions; and (3 ) require the Unauthorized Third Party that has access to Personal Information to execute a written agreement agreeing to comply with the terms and conditions of this Contract, the RFO, and the OAG Information Security Standards (Attachment 4 to the RFO) relating to the treatment of Named Entity Protected Data. (c) Notwithstanding anything in the foregoing subsection (b), Vendor is authorized by Named Entity to utilize Named Entity Protected Data only to the extent such Named Entity Protected Data is related to a Defendant or to a Defendant Status Change (hereinafter "SAVNS Defendant Data") for the limited purpose of providing or improving Vendor's own existing products and services identified in the Appriss Data Overview to Law Enforcement Agencies and Government Agencies. For the purposes of this paragraph, "utilize" includes, but is not limited to, receiving, maintaining, disseminating, retaining, or otherwise providing access to any information obtained or extrapolated from SAVNS Defendant data obtained under the SAVNS program. "Government Agency" means an organization created by or pursuant to the Constitution of the United States or the constitution of state of the United States and operated for public purposes. The term "Government Agency" shall not include any quasi -governmental entity or government -sponsored enterprise or corporation. "Law Enforcement Agency" means a Government Agency or an organizational unit within a Government Agency with authority to enforce state or federal criminal laws, which includes, but is not limited to, prevention, detection, and investigation of crime, and the apprehension and incarceration of alleged offenders; (d) Nothing in this Section 9.2 shall be construed to limit Vendor's use of non -confidential data made available to the public or otherwise in the public domain. 9.3 Information Security. (a)Vendor represents and warrants that its collection, access, use, storage, disposal and disclosure of Named Entity Protected Data does and will comply with all applicable federal, state, and local privacy and data protection laws, as well as all other applicable regulations and directives, including but not limited to Texas Business and Commerce Code Chapter 521, Texas Administrative Code Chapter 202 and the Health Insurance Portability and Accountability of 1996 (HIPAA) and all amendments thereto. (b) Without limiting Vendor's obligations under Section 9.3(a) above, Vendor shall implement administrative, physical and technical safeguards to protect Named Entity Protected Data. Vendor shall, upon request, submit to Named Entity security framework implemented in Vendor's organization, such as International Organization for Standardization's standards: ISO/IEC 27001:2013, Code of Practice for International Security Management, the Information Technology Library (ITIL) standards, the Control Objectives for Information and related Technology (COBIT) standards or other applicable industry standards for information security, and shall ensure that all such safeguards, including the manner in which Named Entity Protected Data is collected, accessed, used, stored, processed, disposed of and disclosed are in compliance with and in addition to the OAG Information Security Standards (Attachment 4 to the RFO). (c) In addition to and inclusive of the requirements set forth in OAG Information Security Standards (Attachment 4 to the RFO), at a minimum, Vendor's safeguards for the protection of Named Entity Protected Data shall include: (i) limiting access of Named Entity Protected Data to Authorized Employees/Authorized Persons; (ii) securing business facilities, data centers, paper files, servers, back-up systems and computing equipment, including, but not limited to, all mobile devices and other equipment with information storage capability; (iii) implementing network, device application, database and platform security; (iv) securing information transmission, storage and disposal; (v) implementing authentication and access controls within media, applications, operating systems and equipment; (vi) encrypting Sensitive Personal Information stored on any mobile media; (vii) encrypting Sensitive Personal Information transmitted over public or wireless networks; (viii) strictly segregating Named Entity Protected Data, and information from its other customers so that Named Entity Protected Data is not commingled with any other types of information; (ix) implementing appropriate personnel security and integrity procedures and practices, including, but not limited to, conducting background checks consistent with any applicable state or federal law; and (x) providing appropriate privacy and information security training to Vendor's employees, contractors, or agents. (d) During the term of each Authorized Employee's employment by Vendor, Vendor shall at all times cause such Authorized Employees to abide strictly by Vendor's obligations under this Contract, the RFO, and the OAG Information Security Standards (Attachment 4 to the RFO). Upon Named Entity's written request, Vendor shall promptly identify for Named Entity in writing all Authorized Employees as of the date of such request. 9.4 Security Breach Procedures. (a) Vendor shall: (i) provide Named Entity with the name and contact information for an employee of Vendor who shall serve as Named Entity's primary security contact and shall be available to assist Named Entity twenty-four (24) hours per day, seven (7) days per week as a contact in resolving obligations associated with a Security Breach; (ii) notify Named Entity of a Security Breach as soon as practicable, but no later than twenty-four (24) hours after Vendor becomes aware of it; and (iii) notify Named Entity of any Security Breaches by telephone at the following number: and by e-mailing Named Entity with a read receipt at and with a copy by e-mail to Vendor's primary business contact within Named Entity. (b) Immediately following Vendor's notification to Named Entity of Security Breach, the parties shall coordinate with each other to investigate the Security Breach. Vendor agrees to reasonably cooperate with Named Entity in Named Entity's handling of the matter, including, without limitation: (i) assisting with any investigation; (ii) providing Named Entity with physical access to the facilities and operations affected; (iii) facilitating interviews with Vendor's employees and others involved in the matter; and (iv) making available all relevant records, logs, files, data reporting and other materials required to comply with applicable law, regulation, industry standards, this Contract, the RFO, and the OAG Information Security Standards (Attachment 4 to the RFO) or as otherwise reasonably required by Named Entity. (c) Vendor shall use best efforts to immediately remedy any Security Breach and prevent any further Security Breach at Vendor's expense in accordance with applicable privacy rights, laws, regulations and standards. Vendor shall reimburse Named Entity for actual costs incurred by Named Entity in responding to, and mitigating damages caused by, any Security Breach, including all costs of notice and/or remediation pursuant to Section 9.4(d). (d) Vendor agrees that it shall not inform any third party of any Security Breach without first obtaining Named Entity's prior written consent, except to the extent required under Texas Business and Commerce Code Chapter 521 or any other applicable law, or as is otherwise required by the DAG under the OAG Certification Contract. Notwithstanding the foregoing, Vendor shall provide prior written notice to Named Entity of its intent to inform any third -party other than the OAG of any Security Breach and identify the applicable law the Vendor believes requires such disclosure. (e) In the event of any Security Breach, Vendor shall promptly use its best efforts to prevent a recurrence of any such Security Breach. 9.5 Oversight of Security Compliance. Upon Named Entity's written request, to confirm compliance with this Contact, the RFO, the OAG Information Security Standards (Attachment 4 to the RFO) as well as any applicable laws and industry standards, Vendor shall promptly and accurately complete a written information security questionnaire provided by Named Entity or a third party on the Named Entity's behalf regarding Vendor's business practices and information technology environment in relation to all Named Entity Protected Data being handled and/or services being provided by Vendor to Named Entity or any of the Participating Entities pursuant to this Contract or the Incorporated Documents. Vendor shall fully cooperate with such inquiries. Named Entity shall treat the information provided by Vendor in the security questionnaire as Vendor's confidential, proprietary information under Section 10.1 below. 9.6 Return or Destruction of Named Entity Protected Data. At any time during the term of this Contract at the Named Entity's written request or upon the termination or expiration of this Contract for any reason, Vendor shall, and shall instruct all Authorized Persons to, promptly return to the Named Entity all copies, whether in written, electronic or other form or media, of Named Entity in its possession or the possession of such Authorized Persons, or securely dispose of all such copies, and certify in writing to the Named Entity that such Named Entity Protected Data has been returned to Named Entity or disposed of securely. Vendor shall comply with all reasonable directions provided by Named Entity with respect to the return or disposal of Named Entity Protected Data. 9.7 Equitable Relief. Vendor acknowledges that any material breach of its covenants or obligations set forth in this Section 9 may cause Named Entity irreparable harm for which monetary damages may not be adequate compensation and agrees that, in the event of such breach or threatened breach, Named Entity may be entitled to seek equitable relief, including a restraining order, injunctive relief, specific performance and any other relief that may be available from any court, in addition to any other remedy to which Named Entity may be entitled at law or in equity. Such remedies shall not be deemed to be exclusive but shall be in addition to all other remedies available at law or in equity, subject to any express exclusions or limitations in this Contract to the contrary. 9.8 Material Breach. Vendor's failure to comply with any of the provisions of this Section 9 is a material breach of this Contract. In such event, Named Entity may terminate the Contract for cause, effective immediately upon written notice to the Vendor without further liability or obligation to Named Entity. This immediate termination for cause shall be in addition to any rights to termination contemplated under Section 11.2(a) below and shall not be subject to any written notice or cure period required therein. 9.9 Indemnification. In addition to any of the other indemnification or hold harmless obligations of Vendor provided for within this Contract, the RFO or the OAG's Standard Terms and Conditions, Vendor shall also defend, indemnify and hold harmless the State of Texas and GAG, the Named Entity and/or their officers, agents, employees, representatives, contractors, assignees, and/or designees (collectively the "Named Entity Indemnitees") from and against all losses, damages, deficiencies, actions, judgments, interest, awards, penalties, fines, reasonable costs or expenses, including reasonable attorneys' fees, the cost of enforcing any right to indemnification hereunder and the cost of pursuing any insurance providers, arising out of or resulting from any third party claim against any Named Entity Indemnitee arising out of or resulting from Vendor's failure to comply with any of its obligations under this Section 9. 9.10 Ownership and Use of Named Entity's Data. Notwithstanding anything in this Contract to the contrary, nothing contained herein shall be construed to grant the Vendor any ownership rights in any Named Entity's data provided to Vendor in connection with this Contract, the SOW, or any of the Incorporated Documents. With the exception of information in the public domain, Vendor shall not sell, provide, or otherwise commercialize Named Entity's Data without the prior written consent of Named Entity. Vendor shall only use the Named Entity's Data in connection with the Participating Entity Services required hereunder and otherwise consistent with this Contract and the Incorporated Documents. Notwithstanding the foregoing, Vendor is authorized by Named Entity to utilize Named Entity Data only to the extent such Named Entity Data is related to a Defendant or to a Defendant Status Change (hereinafter "SAVNS Defendant Data") for the limited purpose of providing or improving Vendor's own existing products and services identified in the Appriss Data Overview to Law Enforcement Agencies and Government Agencies as attached to the Special Provisions. For the purposes of this paragraph, "utilize" includes, but is not limited to, receiving, maintaining, disseminating, retaining, or otherwise providing access to any information obtained or extrapolated from SAVNS Defendant data obtained under the SAVNS program. "Government Agency" means an organization created by or pursuant to the Constitution of the United States or the constitution of a state of the United States and operated for public purposes. The term "Government Agency" shall not include any quasi - governmental entity or government -sponsored enterprise or corporation. "Law Enforcement Agency" means a Government Agency or an organizational unit within a Government Agency with authority to enforce state or federal criminal laws, which includes, but is not limited to, prevention, detection, and investigation of crime, and the apprehension and incarceration of alleged offenders. SECTION 10: CONFIDENTIALITY 10.1 Named Entity's Responsibilities, Named Entity hereby agrees that (i) specific identified methodologies, materials, plans, or other proprietary information related to the development and implementation of the SAVNS system as provided by Vendor under this Contract shall be treated as confidential in nature and shall be subject to the various ownership provision of the Incorporated Documents; (ii) Named Entity shall implement reasonable and appropriate measures designed to secure the confidentiality of such confidential information, and (iii) except as permitted by the SOW and Section 10.2 of this Contract, none of such materials shall be in any way disclosed by Named Entity to any third party, in whole or in part, without the prior written consent of Vendor. If Named Entity becomes aware of the unauthorized possession of such materials, it shall promptly notify Vendor. Notwithstanding anything in this Contract to the contrary, any report, plan, or other deliverable required to be provided to Named Entity pursuant to the Incorporated Documents shall not be considered to be confidential in nature and Named Entity is under no obligation to maintain the confidentiality thereof. 10.2 Named Entity Compliance and Vendor Cooperation with Texas Public Information Act Requests. Notwithstanding any provisions of this Contract to the contrary, Vendor understands that Named Entity will comply with the Texas Public Information Act, Texas Government Code, Chapter 552 as interpreted by judicial opinions and opinions of the Attorney General of the State of Texas. Named Entity agrees to notify Vendor in writing within a reasonable time, of a request for information related to Vendor's work under this Contract. Vendor will cooperate with Named Entity in the production of documents responsive to the request. Named Entity will make a determination whetherto submit a request for a ruling to withhold documents to the Attorney General. Vendor will notify Named Entity General Counsel within twenty-four (24) hours of receipt of any 10 third -party requests for information that was provided by the State of Texas for use in performing this Contract and all data and other information generated or otherwise. Vendor is required to make any information created or exchanged with Named Entity, the State of Texas, or any of its agencies pursuant to this Contract, and not otherwise excepted from disclosure under the Texas Public Information Act, available in a format that is accessible by the public at no additional charge to the state. 10.3 Vendor's Responsibilities. Vendor hereby agrees that (i) any information related to the official business of Named Entity that Vendor obtains from Named Entity in the course of the performance of this Contract is the confidential and proprietary information of Named Entity, (ii) Vendor shall implement reasonable and appropriate measures designed to secure the confidentiality of such information, and (iii) such information shall not be in any way disclosed by Vendor to any third party, in whole or in part, without the prior written consent of Named Entity, which may be granted or withheld in its sole discretion. If Vendor becomes aware of the unauthorized possession of such information, it shall promptly notify Named Entity. Vendor shall also assist Named Entity with preventing the recurrence of such unauthorized possession and with any litigation against the third parties deemed necessary by Named Entity to protect its proprietary rights. 10.4 Exclusions. Each party shall be a receiving party ("Receiving Party") relative to the other parry's confidential information. The provisions of this Section 10 ("Confidentiality") shall not apply to any information (i) that is in the public domain prior to the disclosure or that becomes part of the public domain, or otherwise becomes publicly known, by publication or otherwise, other than by way of a breach of this Contract by the Receiving Party, (ii) that was known to, or in the lawful possession of the Receiving Party without obligation, as the case may be, prior to the disclosure in connection with the Contract, (iii) that was disclosed to the Receiving Party by a third party who was in lawful possession of the information and who had the right to make such disclosure at the time of the disclosure, (iv) that was independently developed by the Receiving Party outside the scope of this Contract, or (v) that Receiving Party, is required to disclose by law or legal process, in which case Receiving Party shall notify the owning party so that action may be taken to protect the affected confidential information. Notwithstanding any other provision herein to the contrary, all provisions in this Section 10 are subject to the Public Information Act, as further described in the Contract. Further, nothing in this Section 10.4 shall be deemed to alter, limit, or otherwise modify any of Vendor's obligations related to the use and protection of Named Entity Protected Data pursuant to Section 9 of this Contract, the RFO, and OAG Information Security Standards (Attachment 4 to the RFO). SECTION 11: TERMINATION 11.1 Termination by Vendor. Vendor may terminate this Contract if Named Entity commits any material breach under this Contract and fails to remedy such breach within (30) days after written notice of such breach is delivered by Vendor to Named Entity. 11.2 Termination by Named Entity. (a) ForCause. Named Entity shall have the right to terminate this Contract (reserving cumulatively all other rights and remedies under this Contract, the RFO, and the Incorporated Documents, in law and/or in equity) without further obligation or liability to Vendor if Vendor or any subcontractor to Vendor commits any material breach of this Contract and fails to remedy such breach within thirty (30) days after written notice by Named Entity to Vendor of such breach. Named Entity shall have the right to terminate this Contract effective immediately and without prior notice if Vendor goes into liquidation or files for bankruptcy. (b) Non -appropriations. Named Entity may terminate this Contract if funds sufficient to pay its obligations under the Contract are not appropriated: i) by the governing body on behalf of local governments; ii) by the Texas legislature on behalf of the OAG; or iii) by budget execution authority provisioned to the Governor or the Legislative Budget Board as provided in Chapter 317, Texas Government Code. In the event of non -appropriation, Vendor will be provided ten (10) calendar days written notice of intent to terminate. In the event of such termination, the Named Entity will not be considered to be in default or breach under this Contract, nor shall Named Entity be liable for any further payments ordinarily due under this Contract, nor shall it be liable for any damages or any other amounts which are caused by or associated with such termination. (c) For convenience. Notwithstanding the foregoing or anything in this Contract or the 11 Incorporated Documents to the contrary, Named Entity reserves the right to terminate the Contract at any time, in whole or in part, withoutpenalty, by providing thirty (30) calendar days advance written notice to the Vendor, subject to the advance written approval of such termination by the OAG or in the event OAG determines that such termination is in its best interest or the best interest of the State of Texas or the Named Entity. In the event of such a notice of termination, Vendor shall, unless otherwise mutually agreed upon in writing, cease all work immediately. Named Entity shall be liable for payments limited only to the portion of work Named Entity authorized in writing and which the Vendor has completed, delivered to Named Entity per the Contract requirements, and which has been accepted by Named Entity as of the date of termination. Named Entity shall have no other liability or obligation to Vendor, including, without limitation, no liability for any costs of any kind associated with the termination. 11.3 Effect of Termination. Termination of this Contract shall not affect any rights and/or obligations of the parties which arose prior to any such termination and such rights and/or obligations shall survive any such termination. Upon termination, each party shall return the confidential property of the other patty obtained under this Contract or the Incorporated Documents, as applicable, however excluding all Work Product as that is defined in OAG Standard Terms and Conditions, Article I, Definitions, produced pursuant to this Contract which shall remain the property of Named Entity. In addition, the confidentiality obligations of the parties in Section 10 ("Confidentiality") shall survive the termination of this Contract. SECTION 12: LIMITATIONS ON LIABILITY AND INDEMINITIES 12.1 Limitation of Liability. NOTWITHSTANDING ANY OTHER PROVISION OF THIS CONTRACT, NEITHER PARTY SHALL BE LIABLE TO THE OTHER FOR ANY INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES OR LOSS OF ANTICIPATED PROFITS OR REVENUES IN CONNECTION WITH OR ARISING OUT OF THE SUBJECT MATTER OF THIS CONTRACT. 12.2 Indemnification. In addition to the indemnification and hold harmless obligations of Vendor in this Contract included in Section 8.2 and Section 9.9 above, Vendor shall: (a) DEFEND, INDEMNIFY AND HOLD HARMLESS NAMED ENTITY AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, LOSSES, DEMANDS, OR SUITS, AND ALL REASONABLE COSTS, ATTORNEY FEES, AND EXPENSES DIRECTLY ARISING OUT OF, IN CONNECTION WITH, OR RESULTING FROM ANY ACTS OR OMISSIONS, NEGLIGENCE, OR WILLFUL MISCONDUCT OF THE VENDOR OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, SUPPLIERS, OR SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE TO ANY SUCH ACTION, CLAIM, DEMAND, OR SUIT SHALL BE COORDINATED BY VENDOR WITH NAMED ENTITY AND VENDOR MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE ADVANCE, WRITTEN CONCURRENCE FROM NAMED ENTITY. THE VENDOR AND NAMED ENTITY AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. (b) DEFEND, INDEMNIFY AND HOLD HARMLESS NAMED ENTITY AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL THIRD PARTY CLAIMS INVOLVING INFRINGEMENT OF UNITED STATES PATENTS, COPYRIGHTS, TRADEMARKS, SERVICE MARKS, TRADE SECRETS AND ANY OTHER INTELLECTUAL PROPERTY OR INTANGIBLE PROPERTY RIGHTS IN CONNECTION WITH ANY DELIVERABLE PROVIDED HEREUNDER, THE WORK OR PERFORMANCE OR ACTIONS OF VENDOR PURSUANT TO THIS CONTRACT, OR NAMED ENTITY'S USE OF ANY DELIVERABLE OR WORK PRODUCT PROVIDED BY VENDOR. VENDOR AND NAMED ENTITY AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. VENDOR SHALL BE LIABLE TO PAY, AND/OR REIMBURSE NAMED ENTITY FOR, ALL JUDGMENTS, CLAIMS, DAMAGES, LOSSES, AND COSTS OF DEFENSE INCLUDING WITHOUT LIMITATION ATTORNEYS' FEES, COURT COSTS AND SIMILAR EXPENSES. THE DEFENSE TO ANY SUCH ACTION, CLAIM, 12 DEMAND, OR SUIT SHALL BE COORDINATED BY VENDOR WITH NAMED ENTITY AND VENDOR MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE ADVANCE, WRITTEN CONCURRENCE FROM NAMED ENTITY. THE VENDOR AND NAMED ENTITY AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. VENDOR SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS NAMED ENTITY AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LOSSES, LIABILITIES, DAMAGES, CAUSES OF ACTION, CLAIMS, DEMANDS AND EXPENSES INCURRED BY NAMED ENTITY AND/OR THE STATE OF TEXAS ARISING OUT OF OR RESULTING FROM BREACH OF ANY WARRANTY OBLIGATION HEREUNDER. THE FOREGOING SHALL NOT APPLY TO ANY INFRINGEMENT ARISING OUT OF: (I) USE OF THE VINE SOFTWARE OTHER THAN IN ACCORDANCE WITH APPLICABLE DOCUMENTATION OR INSTRUCTIONS SUPPLIED BY THE VENDOR OR FOR OTHER THAN THE NAMED ENTITY'S INTERNAL PURPOSES; (II) ANY ALTERATION, MODIFICATION OR REVISION OF THE SOFTWARE NOT EXPRESSLY AUTHORIZED IN WRITING BY THE VENDOR; OR (III) THE COMBINATION OF THE VINE SOFTWARE WITH SOFTWARE, DATA, PRODUCTS AND/OR SERVICES NOT PROVIDED BY THE VENDOR. SECTION 13: GENERAL 13.1 Waiver, Amendment or Modification. The waiver, amendment or modification of any provision of this Contract or any right, power or remedy hereunder shall not be effective unless made in writing and signed by both parties. No failure or delay by either party in exercising any right, power or remedy with respect to any of its rights hereunder shall operate as a waiver thereof. Neither the execution of this Contract by Named Entity, any provision herein, nor any other conduct of Named Entity relating to this Contract or any of the Incorporated Documents, will be considered a waiver of sovereign or governmental immunity. 13.2 Notice. All notices under this Contract shall be in writing and shall be deemed to have been duly given if delivered in person, by commercial overnight courier or by registered or certified mail, postage prepaid, return receipt requested, and addressed as follows: To VENDOR: Appriss Insights LLC ATTN: Client Relations, Victim Services 9901 Linn Station Road Suite 200 Louisville, KY 40223 To NAMED ENTITY: ATTN: 13.3 No Third -Party Beneficiaries. This Contract is not intended to create any right in or for the public, or any member of the public, any subcontractor, supplier or any other third party, or to authorize anyone not a party to this Contract to maintain a suit to enforce or take advantage of its terms. 13.4 Successors and Assigns. Neither party may assign this Contract in whole or part without the prior written consent of the other party. Any attempt to assign this Contract without the prior written consent of the other party is void and without legal effect, and such an attempt constitutes a material breach and grounds for termination by the other party. Subject to the foregoing, all of the terms, conditions, covenants and agreements contained herein shall inure to the benefit of, and be binding upon, any successor and any permitted assignees of the respective parties hereto. It is further understood and agreed that consent by either party to such assignment in one instance shall not constitute consent by the party to any other assignment. A transfer of corporate control, merger, sale of substantially all of a party's assets and the like shall be considered an 13 assignment for these purposes. 13.5 Dispute Resolution. [Intentionally left blank]. 13.6 Governing Law. The validity, construction and performance of this Contract and the legal relations among the parties to this Contract shall be governed by and construed in accordance with the laws of the State of Texas without giving effect to its conflict of law principles. The venue of any suit arising under this Contract is fixed in any court of competent jurisdiction of Calhoun County, Texas. 13.7 Independent Contractor. Vendor, in performance of this Contract, is acting as an independent contractor. Vendor personnel (including personnel supplied by subcontractors) hereunder are not Named Entity's personnel or agents, and Vendor assumes full responsibility for their acts. Vendor shall be solely responsible for the payment of compensation of Vendor employees and contractors assigned to perform services hereunder, and such employees and contractors shall be informed that they are not entitled to the provision of any Named Entity employee benefits. Named Entity shall not be responsible for payment of worker's compensation, disability or other similar benefits, unemployment or other similar insurance or for withholding income or other similar taxes or social security for any Vendor employee, and such responsibility shall solely be that of Vendor. 13.8 Severability. In the event any one or more of the provisions of the Contract shall for any reason be held to be invalid, illegal or unenforceable, the remaining provisions of this Contract shall be unimpaired, and the invalid, illegal or unenforceable provision shall be replaced by a provision, which, being valid, legal and enforceable, comes closest to the intention of the parties underlying the invalid, illegal or unenforceable provision. 13.9 Entire Agreement; Inconsistent Terms. This Contract, all exhibits, appendices, and schedules attached hereto and/or otherwise incorporated by reference herein, and the Incorporated Documents are the complete and exclusive statement of the agreement between the Named Entity and the Vendor, and supersede any and all other agreements, oral or written, between the parties. This Contract may not be modified except by written instrument signed by the Named Entity and by an authorized representative of the Vendor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate the Vendor. 14.10 Counterparts. This Contract and other Incorporated Documents which are required to be duly executed, may be executed in counterparts and by the exchange of signatures by facsimile or PDF. Signature page follows 14 Participating Entities: County Jail x District Court x County Court_ Appriss Insights LLC BY: J/V/GG C ^^ t.f Signature Date Lalla O'Bryan Name Named Entity BY: Signature Name EXHIBITS TO THIS CONTRACT: Vice President, Victim Services Title Date Title EXHIBITA -Executed OAG Certification Agreement EXHIBIT B —Agreed Pricing Index not attached hereto but known to and in the possession ofboth Parries and incorporated herein by reference EXHIBIT C — Vendor's List of Authorized Persons, not attached hereto but known to and in the possession of both Parties and incorporated herein by reference. 15 • 1: I NOTICE OF MFF FIND—11/16/2022 8. Consider and take necessary action to accept a grant of $8,162.00 from the Golden Crescent Regional Advisory Council (GCRAC) Trauma funds allocation for FY 2023. RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Vern Lyssy, Commissioner iPct AYES: judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 25 Mae Belle Cassel From: Sent: Lori.McDowell@calhouncotx.org (Lori McDowell) <Lori.McDowell@calhouncotx.org> Monday, November 7, 20221:14 PM To: Mae Belle Cassel Cc: Dustin Jenkins; Donna Hall Subject: GCRAC Grant Funds FY 2023 Attachments: 20221007 GCRAC FUNDS FY 2023.pdf Hi Mae Belle, Could you please place the following on the next available Commissioners Court Agenda? T To accept a grant of $8162.00 from the Golden Crescent Regional Advisory Council (GCRAC) Trauma funds allocation for FY23. A scan of the check is attached to this email. Thanks! Lori McDowell, BS, LP, EMS Coordinator, CADS Assistant EMS Director Calhoun County EMS 705 Henry Barber Way Port Lavaca, TX 77979 (361)552-1140 lori.mcdowell@calhouncotx.org CONFIDENTIALITY NOTICE: The contents of this email message and any attachments are intended solely for the addressee(s) and may contain confidential and/or privileged information and may be legally protected from disclosure. If you are not the intended recipient of this message or their agent, or if this message has been addressed to you in error, please immediately alert the sender by reply email and then delete this message and any attachments. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying, or storage of this message or its attachments is strictly prohibited. Calhoun County Texas TRAUMA SERVICE AREA-S GOLDEN CRESCENT REGIONAL ADVISORY COUNCIL October 5, 2022 GCRAC EMS Provider: Please find enclosed your FY23 EMS Provider grant funding. The contract period for this grant expenditure is 09/01/22— 08/31/23. We ask that you have your reports of spending returned to the RAC no later thank 07/15/23 so we may prepare the final reports to be sent to the Texas Department of State Health Services. As in previous years, along with your reports we will need you to send proof of expenditure in the form of invoices, cancelled checks, etc. The electronic version of your spending report will be emailed to you from Susan Morrison, RAC Administrative Assistant. As always, if you have any questions, please do not hesitate to contact a RAC officer or Susan Morrison. Thank you for your continued commitment to excellent care of our regional patients. Sincerely, cah� �V,4 Carolyn Knox, RN, CEN, LP RAC Chair enclosure 2701 Hospital Drive m Victoria, Texas 77901-5749 a (361) 574.1519 GOLDEN r-RESCENT RAC �r 1821 37-65/11191109 Pay to the x ��I'�(` IL 1 �iT �L! p- ir�f I oil Orde�r/y(of �-��t� � ��1�t� / 1 f (� � r �/ 1�� 1 �/l.� { �+ I'W eL.�Y r•4+'/�V�� Ph.W Dollars sprp �POeila / ML85CWrh Welts Fargp Bank. N.h. � 11Aa5 g`�' uefsfar9v.rom For C4'('i!i! l ! "2If{!L'S cT,CP.2fl 1YII;LS£t� Ici I�aYGS 9 i� t }4.ltt�n 4 M,atcl.??rn nou."d witi neck llugl;er .-.. -Oil o8Ll(r?atNntW �..3 il, r,• gE'}. ...t i i SC�StBt:�$iiC �Sl?tt{?< J j GSiI 9CGi iicc+ Lo r!;(lisate,. a..v le" l st f4eem Piincii ' mr ri.l Cc - Eilf l {" i'd48U?. ^,3i}Gf,> n ;+ +Fa (hSen to War Apt! _er t,ir o Gtl'_S,. -ORIGINAL DQ _+.1_iJi - t.J$: r}= i_C:: ' i -0. Moo .Scli0-.l {il3S[iSIce(-{NNtB=, Be MW cash H: - v An .1:.. i' +4 Sia?is obgje &`t 'lSSMr; ry. Brop-at. allew. - s Fagl� tic, mnk un E..rlc Si oks pink fiel,£;ti iia a+s t ?n f sty; ldren ::a ;Sftow atdiS?� C }74QY4'G II t3E� p) 7?i +l.??+'?r{ t�R 'l8i i . M # 09 NOTICE OF MEETING-- 1.1/1.6/2022 9. Consider and take necessary action to approve the First Responder Organization Affiliation Agreement between the Calhoun County EMS and the Olivia -Port Alto VFD and authorize the EMS Director to sign. (RHM) Dustin Jenkins explained agreement RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 25 Mae Belle Cassel From: Dustin.Jenkins@calhonncotx.org (Dustin Jenkins)<Dustin.Jenkins®calhouncotx.org> Sent: Wednesday, November 9, 202211:29 AM To: Mae Belle Cassel Cc: Richard Parrish, Lori McDowell Subject: Comissioners Court: Provider Agreement Attachments: Ohvia-Port Alto —FRO Affiliation Agreement Calhoun County_2022.doc Mae Belle, Please place the following Calhoun County EMS and Olivia -Port Alto First Responder Organization Affiliation Agreement on the next Commissioners Court agenda for approval to sign. Also, I will bring an agreement signed by Dr. Bunnel and Richard Parrish (already signed) to Court. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas Calhoun County Emergency Medical Services First Responder Affiliation Agreement (FRO) The purpose of this document is to provide verification of support for First Responder Organizations within Calhoun County as required by TEXAS DEPARTMENT OF STATE HEALTH SERVICES rule 15Z14 (c) (1) (2) (Reouirements for First Responder Organization Registration.). Continuum of standards of care shall be the responsibility of the FRO and the EMS provider. The FRO personnel shall be held to the same standards of professional ethics, behavior and demeanor as EMS provider personnel. FRO personnel shall be held to the same standards of patient care as the EMS provider personnel. (c) (1) The FRO shall have an agreement with all licensedproviders and their medical directors who routinely transport patients stabilized by the FRO's personnel. The agreement shall be approved by the responsible person for the first responder, the service director and the medical director of the licensed EMSprovider. This agreement addresses the following criteria that shall be followed by the FRO and/or submitted by the FRO to the EMS provider. The FRO / provider agreement. I understand that, as FRO I will: • Submit and update a list of certified medical personnel that respond. • Require as a minimum for patient care that anyone rendering care hold a current ECA or greater Certificate or License (Exception: Responder CPR, a Current Healthcare provider card) Upon recertification the FRO personnel must maintain a minimum of 70 overall score on the TEXAS DEPARTMENT OF STATE HEALTH SERVICES exam. Copies of shall be submitted to the EMS provider. • Submit evidence that TEXAS DEPARTMENT OF STATE HEALTH SERVICES certified/licensed responders are participating in the on-line continuing education program and are current with TEXAS DEPARTMENT OF STATE HEALTH SERVICES continuing education requirements. (minimum hours in 2 year period) Continuing education records shall be submitted to EMS provider once per month. • Adopt and utilize the county wide BLS protocols provided by Calhoun County EMS and the medical director. • Medical equipment must be approved by the EMS provider (Standardize within county) • A schedule shall be provided to the EMS provider that specifies the number of certified/licensed personnel available to respond. The FRO shall provide the EMS provider the schedule once a month. • The FRO shall be responsible for Quality Improvement (QI) of the medical records. The EMS provider will QI the reports upon receipt. • The FRO and the EMS provider will develop a process for assessment of care provided by the FRO personnel (Criteria based on: On scene observation, Continuing Education and QI of run reports. • FRO personnel shall run emergency when responding in a designated Emergency Response Vehicle Only. On scene chain of command: The highest certified FRO personnel shall be in command of patient care until arrival of EMS provider personnel. Command shall be relinquished at that time to the EMS provider. The FRO personnel shall continue to assist as needed. The FRO personnel shall not cancel the EMS provider except under the following conditions: .1. The patient has been evaluated by an ECA or greater and the patient does not wish to be treated or transported. 2. The patient has left the scene. 3. False Alarm Note: On scene deaths are not an exception. The EMS provider shall continue response and assess the scene/patient. • The FRO personnel may accompany the patient during transport upon request or approval of the EMS provider. • Patient confidentiality shall be observed at all times. Discussion of patient care delivered shall be restricted to those certified/licensed individuals on scene or to administrative personnel of the FRO or EMS provider. No patient information shall be provided to the news media or others making a request without permission of the EMS provider administration. (Health and Safety Code, Chapter 773, Subchapter D, 773.091-773.096) The FRO shall develop departmental polices that address the criteria above and submit copies to the EMS provider. Responsibilities of the FRO. Durine the registration Period the FRO's responsibilities shall include: 1. Assuring ongoing compliance with the terms of the provider agreement 2. Assuring that all personnel, when on -scene , are prominently identified by name, certification level and organization 3. Monitoring and taking appropriate action regarding the quality of patient care provided by FRO personnel 4. Monitoring personnel compliance with medical protocols 5. Maintaining confidentiality of patient information according to the Health and Safety Code, Chapter 773, Subchapter D, 773.091-773.096 6. Carrying proof of first responder registration in all vehicles belonging to the FRO 7. Maintaining compliance with all applicable laws and regulations 8. Monitoring and enforcing general safety policies including at least personal protective equipment, immunizations and communicable disease exposure and emergency vehicle operation 9. Notify Texas Department of State Health Services within five (5) days if: The FRO ceases to exist or merges with another FRO There is a change in the: 1. Official business address and /or phone number 2. Level of service 3. Declared service area 4. Physical location of the first responder organization 5. Physical location of patient report file storage 6. Administrator 7. Email address 8. EMS Providers associated with the FRO 10. Notify Texas Department of State Health Services within one (1) business day if: • There is a change in the: 1. Medical Director The FRO / provider agreement. I understand that, as EMS provider I will: • Provide off line Medical Direction • BLS protocols • Provide continuing education through established continuing education programs currently in place. • Assist FRO with resolving medical issues that may arise • Provide medical supplies to the FRO at provider cost. Any supplies that the provider bills for will be at no charge. • Assist FRO personnel with certification issues and interact with TEXAS DEPARTMENT OF STATE HEALTH SERVICES personnel to answer any questions. • Act as a liaison between the FRO and the Medical Director • Act as liaison between the FRO and the hospital • Act as liaison between the Sheriffs Department on Medical Dispatch issues. • Allow active participation by the FRO personnel in the treatment of the patient. • Respect the FRO's ability and role played in the Healthcare system. Calhoun County EMS agrees to assume the responsibility of the EMS provider for the following First Responder organizations. First Responder Olivia -Port Alto VFD Provider Calhoun County EMS Effective: December 16, 2022 Dr. Paul Bunnell, MD. Medical Director r. Jo ep11 D. Jen nj DO. ocumGCenens Med4cdl Director Dusti��nKins, D.Mi ., ThM, MBA, LP Director of EMS Calhoun County EMS ��Lrc� �C�i/L-G�9✓Lc Olivia -Port Alto VFD Richard Parrish Administrator of Record #10 NOTICE W MEETING — 11/16/2022 10. Consider and take necessary action on DR-4332 Designation of Subrecipient Agent and authorize County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 25 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Tuesday, November 8, 2022 3:37 PM To: Mae Belle Cassel Cc: ladonna thigpen, Richard Meyer Subject: Agenda Item Request Attachments: Designation of Subrecipient Agent 2022.pdf Please place the following item on the agenda for 11/16/22 Consider and take necessary action on DR-4332 Designation of Subrecipient Agent and authorize County Judge to sign. 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 Texas Division of Emergency Management Designation of Subrecipient Agent Primary Contacts Subrecipient: Calhoun Count Disaster Number(s): DR-4332 Grant Program: PA Primary Agent Serves as the primary point of contact for projects. Name: LaDonna Thigpen Office Number:361-553-4400 Position/Job Title: EMC Fax Number: 361.553-4444 Organization/employer: Calhoun County Cell Number: Email* ladonna.thigpen@calhouncotx.org The Primary Agent will have full GMS access Secondary Agent Serves as the secondary point of contact for projects. Name: Cindy Mueller Office Number: 361-553-4611 Position/Job Title: County Auditor Fax Number: 361-553-4614 Organization/employer: Calhoun County Cell Number: Email* cindy.mueller@calhouncotx.org The Secondary Agent will have full GMS access Primary Finance Agent Serves as the primary point of contact for financial matters. Name: Cindy Mueller Office Number:361-553-4611 Position/Job Title: County Auditor Fax Number:361-553-4614 Organization/employer: Calhoun County Cell Number: Email* cindy.mueller@calhouncotx.org The Primary Finance Contact will have full GMS access Certifying Official Serves as the official representative of the organization. Must possess the authority to obligate funds & enter into contracts for the organization. Name: Richard H. Meyer Office Number:361-553-4600 Position/Job Title: County Judge Fax Number: 361-553-4444 Organization/employer: Calhoun County Cell Number: Email* richard.meyer@calhouncotx.org GMS Access (pick 1) Full ® Read Only ❑ None ❑ The above Primary and Secondary Agents are hereby authorized to execute and file the application on behalf of this organization for the purpose of obtaining certain state and federal financial assistance under the RobertT. Stafford Disaster Relief & Emergency Assistance Act, (Public Law 93-288 as amended) or otherwise available. Primary Financial Agent and the Certifying Official are authorized to represent and act for this organization in all financial operations pertaining to this grant with the State of Texas. The Primary Agent will have authority to add or remove users within the Texas Division of Emergency Management (TDEM) Grant Management System (GMS) for all grants. *Note: All email addresses must be unique to user RichardH. Meyer, CMnty ge ji Z� Signature of Certifying Official Print Name Date (Must be a Mayor, Judge, or Executive Director with the authority to obligate funds & enter into contracts for the organization) September 2019 Texas Division of Emergency Management Designation of Subrecipient Agent Alternate Contacts (Optional) Subrecipient: Calhoun County Disaster Number(s): DR-4332 Grant Program: PA Alternate Contact List any additional contact here Name: Candice Villarreal Office Number: 361-553-4612 Position/Job Title: First Assistant County Auditor Fax Number:361-553-4444 Organization/employer: Calhoun County Cell Number: Email* candice.villarreal@calhouncotx.org GMS Access (pick 1) Full @ Read Only ❑ None ❑ If this contact replaces an existing contact, write their name below. Otherwise, leave blank or mark N/A Alternate Contact List any additional contact here Name: Office Number: Position/Job Title: Fax Number: Organization/employer: Cell Number: Email* GMS'Access (pick 1) Full ❑ Read Only ❑ None ❑ If this contact replaces an existing contact, write their name below. Otherwise, leave blank or mark N/A Alternate Contact List any additional contact here Name: Office Number: Position/Job Title: Fax Number: Organization/employer: Cell Number: Email* GMS Access (pick 1) Full ❑ Read Only ❑ None ❑ If this contact replaces an existing contact, write their name below. Otherwise, leave blank or mark N/A Alternate Contact List any additional contact here Name: Office Number: Position/Job Title: Fax Number: Organization/employer: Cell Number: Email* GMS Access (pick 1) Full ❑ Read Only ❑ None ❑ If this contact replaces an existing contact, write their name below. Otherwise, leave blank or mark N/A Additional Contacts are authorized to represent and act far this organization in all op a ' s pertaining to this grant with the State of Texas. *Note: All email addresses must be unique to user Richard R Meyer, County Judge Signature of Certifying Official Print Name Date (Must be a Mayor, Judge, or Executive Director with the authority to obligate funds& enter into contracts for the organization) September 2019 Instructions: • The Designation of Subrecipient Agent (DSA) form is divided into two pages, the Primary Contacts page and the optional Alternate Contacts page. The second page is not required if there are no additional contacts to list. • In the header of the document, list the name of the subrecipient (the organization applying for the grant), as well as the disaster numbers and grant program this DSA applies to (the disaster number is 4 digits long and assigned by FEMA. For example, Hurricane Harvey is 4332. The grant program is either PA for Public Assistance or HMGP for Hazard Mitigation Grant Program.) • Multiple disasters maybe listed on one DSA as long as specific disaster numbers are indicated. • None of the positions on the primary contact page may be left blank. However, the same person may hold multiple positions. Contacts may be left blank on the additional contact page. • If a third party consultant/contractor is listed on the DSA, the agency that they are employed by should be listed in the Organization/Employer field. • All contacts require a unique email address. Additionally, contacts on the DSA cannot share the same email address. • All contacts must have a phone number listed. • Granting a contact full Grants Management System (GMS) access will allow them to perform tasks such as submitting quarterly reports and requesting reimbursements, time extensions and scope/cost modifications within the State of Texas Grant Management System on behalf of the subrecipient. Granting a contact Read Only access will allow a contact to view information in GMS, but they will not be able to edit any existing information themselves. • The Primary, Secondary, and Finance Agents will always be granted full GMS access for all grants within the program selected. • The subrecipient can request that GMS access be added or revoked from a contact at anytime if the need arises. • The Certifying Official must bean individual who possesses the authority to obligate funds and enter into contracts on behalf of the subrecipient. • Both pages, if applicable, of the DSA must be signed and dated by the certifying official. • If a new DSA is submitted with a different person listed for a position on the primary contact sheet, the old contact holding that position will be removed. If a new contact is added on the additional contacts page, no old contacts will be removed unless they are specified in the field provided. #11 I NOTICE OF MEETING—11./16/2022 11. Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #6436 PAAP-DAC and the Duplication of Benefits form and authorize County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 25 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Tuesday, November 8, 2022 3:30 PM To: Mae Belle Cassel Cc: lacionna thigpen; Richard Meyer Subject: Agenda Item Request Attachments: Project Cost Summary PW 6436 PAAP-DAC.pdf Please place the following item on the agenda for 11/16/22: • Consider and take necessary action on FEMA-4332-DR-TX Project Completion and Certification Report for Project Worksheet #6436 PAAP-DAC and the Duplication of Benefits form and authorize County Judge to sign. 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.org Calhoun County Texas Page 1 of 3 LARGE PROJECT Category Title Project Z PAAP DAC 39493 Cost Direct Administrative Costs Type Labor and fringe (Request for Payment of Funds #1 for period September 2017 through $ 39,699.33 November 30, 2019) Force Account Ineligible (County Auditor straight time hours; $(15,125.00) fringe was not found ineligible) Force Account $ 24,574.33 Total ell' gible-costs-RFR-#1 FEMA gross cost for 32 projects FEMA gross cost adjusted for total of 34 projects Total FEMA gross eligible project cost PAAP DAC (4% plus 1% prompt close out incentive) = 5% PAAP DAC (4% plus 1% prompt close out incentive) = 5% Total PAAP DAC 5% 8/12/2019 FEMA PW 6436 90% 10/13/2021 FEMA PW 6436 90% Reimbursement #1 County cost to date Large project net revenue (expense)to date Balance of PW available for 90% of eligible costs or pre -approved projects County Auditor Progress Notes: 8/6/19 CM signed scope and cost. Will trigger final RTM handoff from FEMA to TDEM. 8/13/19 TDEM advised that Cat Z is handled as a large project. Payment of funds request must be accompanied with supporing documents for compliance review. 12/9/19 Sent agenda item request for reimbursement #1 12/19/19 Sent signed payment request #1 with link Google Drive folder (shared links via direct email to all recipients) 1/29/20 Responded to request for additional supporting documents. 3/3/20 TDEM notification of RFR #1 eligible amount $ 2,280,207.37 $ 40,874.14 $ 2,321,081.51 $ 114,010.37 FEMA PW FEMA PW 6436 Version 2,043.71 116,054.08 102,609.33 1,839.34 (22,116.90) $ 22,116.90 $ (24,574.33) 82,331.77 $ (2,457.43) V-0 V-1 V-0 V-2 V-0 V-1 Project Cost Summary; Cat Z-39493 11/8/2022, 2:59 PM Page 2 of 3 LARGE PROJECT Category Title Z PAAP DAC Cost Direct Administrative Costs 10/30/20 Discussed with Judge Meyer the Use of Excess Funds and procedure to submit proposed projects(s) for pre -approval. Schedule workshop 11/18/20 for discussion. 11/18/20 Workshop discussion of proposed projects. 7/21/21 Authorized contract with Kathy Smartt of Smartt Grants to complete application to FEMA. 7/22-30/21 Kathy Smartt advised of her communications with Rolando Cisneros about deadline for letter request to use the available funds and what will be required to justify the request. 8/17/21 Email from PDMG to review, sign & submit to FEMA in portal; after review, advised LaDonna okay to sign & submit. V-1 still in FEMA review process but will increase amount available. 10/13/21 TDEM advised FEMA amended to reflect 5% of actual costs for PWs. FEMA now needs recovery transition meeting to hand off this re -opened PW in portal to TDEM. 10/20/21 RTM conducted via phone with PDMG & TDEM. Signed RTM form in portal. Reconciliation of FEMA eligible cost used to calculate PAAP DAC to DS: Eligible cost total Project Worksheet Report D1 total Difference Donated resources excluded for eligible cost calculation No insurance reductions for eligilble cost calculation Project 39493 Type FEMA PW FEMA PW 6436 Version Project PW 2,321,081.51 2,174, 650.09 146,431.42 (43,416.14) 3483 3241 $ 41,229.15 3486 3686 $ 13,356.30 3513 951 $ 142,340.00 3558 3548 $ 53,005.95 4476 3997 $ 4,462.00 4493 4044 $ 23,585.12 4495 959 $ 14,494.82 4496 2576 $ 4,197.12 4503 940 $ 9,231.18 8054 872 Project Cost Summary; Cat Z-39493 11/8/2022, 2:59 PM Page 3 of 3 LARGE PROJECT Category Title Project Z PAAP DAC 39493 Cost Direct Administrative Costs Type Total adjustments $ 262,485.50 Difference between eligible cost & D1 $ (146,431.42) PAAP DAC $ 116,054.08 6/22/22 Email from Rolando Cisneros with deadline of 11/7/22 to submit request to use excess funds; forwarded his email to Kathy Smartt, Richard Meyer, Everett Wood, Ron Reger. 10/6/22 Requested agenda item for approval of grant services with Kathy Smartt for $500.00 fee for submittal of request (charge invoice to 230-62740.) 10/12/22 Emailed Kathy to proceed. 10/26/22 After discussion with Everett, sent agenda item request for decision about which type of jail roof cost estimate to use in letter to FEMA. 11/2/22 Agenda Item #10 warranty option selected; fowarded signed letter and warranty cost estimate to Kathy Smartt for submission to TDEM. 11/3/22 Kathy Smartt submitted request to TDEM. 11/4/22 TDEM sent request for closeout documents. 11/8/22 TDEM acknowledged receipt of request to use excess fund; spoke with Rae Marbley about P.4 required now and he advised only the admin actual costs should be shown; additional closeout after completion of excess funds project. 11/8/22 Agenda item request for cloeout docs and updated designation of subrecipient agent. FEMA PW FEMA PW 6436 Version 3493 6436 Project Cost Summary; Cat Z-39493 11/8/2022, 2:59 PM #12 NOTICE OF MEETING — 11/16/2022 12. Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2023.01 for the period January 1, 2023 through December 31, 2023.(RHM) Il 1 r• DER: Is. to Tar v CDCI ID ) [UNANIMi Commissioni Page 9 of 25 November 8, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for November 16, 2022: Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2023.01 for the period January 1, 2023 through December 31, 2023. el. 4 Court 11/16/22 Agenda Item #12 November 8, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for November 16, 2022: Consider and take necessary action to award the bids for Insecticides for Mosquito Control, Bid Number 2023.01 for the period January 1, 2023 through December 31, 2023. o m o w g m m m 0 0 D O m W m m m �. <. 3 0 3 p. w N a c N T .mom. y M x x a w Z m O Z O r 0 0 N � N O N m N V 2 INIt INII 0 0 o EL C m m w C S O C 9 d O C C V 3 3 m 3 "• m m 3 3 d• w 'a < - a � m w H N o N iR N Y• o7 N S. w N w N o p O] u y- > O O O W n N A m O 'W W IN •�' O N W N 3 c d_ W O W m O W O W J W O m y C a < C r 3£ o w a 0 w w 3 0 o m � = o O a m 3 x m 0O O z z z z z z z , z z F, 0 O O o o O O O A O o 4+ I O C p W 0 W 0 W 0 W 0 W 0 W 0 W 0 N W 0 W 0 N 0 m �• 0 C 0 a = 0 m z0 0 0 O _ _ z y A O r a y A T y 2 m � m m - yr z z z z z z ? +^ "^ v. w m 0 O O O O O O N m C O y W W W C° Pl pJ O O 0 0 0 0 0 0 0 0 o W o 3 c m o> 0- _ z 0 y� N 9 � S 3 G N x O m i� ry � n 3 H" c 0 z O z O o n o o O z O z O Z O A F.+ o '• to ar r to `+r N 2 O w �e !^ ?m ry n W W II N O W W W J N C X °1 W l0 N O O w N O N C 0 o o o 0 o A 3 3 a& N w . 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N O p x CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR INSECTICIDES FOR MOSQUITO CONTROL Bid Number: 2023.01 January 1, 2023 through December 31, 2023 Vendor's Name & Address ADAPCO,LLC 100 Colonial Center Parkway Suite 170 Lake Mary, FL 32746 • Please Type or Print. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS INSECTICIDES FOR MOSQUITO CONTROL (Bid Item Listed or Equivalent) Item #1: Mineral Oil BVA13 or Calpar Mosquito Larvicide Oil - MC30 - or Equivalent ULV Mineral Oil 5 Gallon Pail $ 108.50/pail /per 5 Gallon Pail BVA13 50 Gallon Drum $ 1,071.00/drum /per 50 Gallon Drum BVA13 55 Gallon Drum $ 1,182.50/drum /per 55 Gallon Drum Calpar 80 275 Gallon Tote $ 6,185.50/tote /per 275 Gallon Tote Calpar 80 $ /per .-- List Name of Mineral Oil Page 29 of 57 Invitation To Bid Form -Annual Supply ControctforinsecticidesforMosquito Control -- CONTINUED Bad Item #2: Malathion or Equivalent F yfarion ULV —List Insecticide Name Active Ingredients: Malathion 96.5%; Other 3.5% 2 x 2.5 Gallon $ 447.25/oase /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ No Bid /per 5 Gallon Pail 55 Gallon Drum $ 4,682.70/drum /per 55 Gallon Drum 260 Gallon Tote $ 21,450.00/tote /per'260 Gallon Tote $ /per $ /per $ /per Bid Item #3: Malathlon EW - or Equivalent Fyfanon EW —List Insecticide Name Active Ingredients: Malathion 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ 2,048.10/drum /per 30 Gallon Drum 2.5 gl jug $ 180.38/jug /per 2.5 gl jug $ /per $ /per $ /per $ /per Page 30 of 57 Invitation To Bid Form -Annual Supply Contract for Insecticides for Mosquito Control --CONTINUED Bid Item #4: 30-30 ULV - or Equivalent PermaSease 3030 — List Insecticide Name Active Ingredients: Permethrin 30°%; Piperonyl Butoxide 30% 2 x 2.5 Gallon $ 475.00/case /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ No Bid /per 5 Gallon Pail 30 Gallon Drum $ 2,850.00/drum /per 30 Gallon Drum 55 Gallon Drum $ No Bid /per 55 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per Bid Item #5: 31-66 ULV - or Equivalent No Bid — List Insecticide Name Active Ingredients: Permethrin 31.28%; Piperonyl Butoxide 66%; 4 x 1 Gallon $ No Bid /per Case (Case = 4x1 Gal Jugs) 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per $ /per Page 31 of 57 Invitation To Bid Form -Annual Supply ControctforinsecticldesforNlosquitoControl -- C01MAJUED Bid item #6. 3.1-67 ULV -car Equivalent PermaSei_ase 31-67 ^ List Insecticide Name Active Ingredients: Permethrin 31.15%; Piperonyl Butoxide 66.35% 4 x 1 Gallon $ No Bid /per Case (Case = 4x1 Gal Jugs) 2 x 2.5 Gallon $ 825.00/case /per Case (Case = W.5 Gal Jugs) 30 Gallon Drum $ 4,950.00/drum /per 30 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per $ /per Bid item W: 4-4 ULV - or Equivalent Permasease 4-4 4.6% List Insecticide Name Active Ingredients: Permethrin 4.0%; Piperonyl Butoxide 4.0% 2 x 2.5 Gallon $ 293.30/Case /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ No Bid /per 30 Gallon Tote 55 Gallon Drum $ 3,318.70/drum /per 55 Gallon Drum 275 Gallon Tote $ 7,334.25/tote /per 275 Gallon Tote $ /per $ /per $ /per Page32 of57 Invitation To Bid Form -Annual Supply Contract far Insecticides for Mosquito Control --CONTINUED Bid Item #8: 4-8 ULV - or Equivalent No Bid F- List Insecticide Name Active Ingredients: Permethrin 3.98%; Piperonyl Butoxide 8.48% 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ No Bid /per 30 Gallon Tote 55 Gallon Drum $ No Bid /per 55 Gallon Drum 275 Gallon Tote $ NO Bid /per 275 Gallon Tote $ /per $ /per Bid Item #9 Altosid 30 Day Briquets - or Equivalent NO Bid — List Insecticide Name Active Ingredients: (5) Methoprene 8.62% 400 Per Case $ NO Bid /per case $ /per $ /per Bid Item #10: Altosid XR Extended Residual Briquets - or Equivalent — List Insecticide Name Active Ingredients: (5) Methoprene 2.1% 220 Per Case $ No Bid /per case $ /per $ /per Page 33 of 57 Invitation To Bid Form -Annual Supply ContractforinsecticidesforMosquito Control -- CONTINUED Bid Item #11: DeltaG and •• or Equivalent NO Bid - List Insecticide Name Active Ingredients: Deltamethrin 2% 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Galion Drum 250 Gallon Tote $ No Bid /per 250 Gallon'rote $ /per $ /per Bid Item #12- Four5tar Sustained Release 45/90/180 lay Microbial Briquets or Equivalent: —List Insecticide Name Active Ingredients: Bacillus sphaericus 6%; Bacillus thuringiensis subspecies israelensls 1% 45 Day ----- 200 Per Case $ No Bid /per case 90 Day ----- 200 Per Case $ No Bid /per case 180 Day-----200 Per Case $ No Bid /per case $ /per $ /per Additional Bid Item: List Insecticide Name Active Ingredients: Please see labels and safety data sheets for actives. 2x2.5 gl case $ 375.00/cs /per Case PermaSease 3-15 55 gl drum $ 4,125.00/dr /per Drum PermaSease 3-15 2x2.5 gi case $ 875.00/cs /per Case PermaSease UC 2020 30 gl drum $$5,250.00/drum /per Drum PermaSease UC 2020 Page 34 of 57 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item: Ingredients: List Insecticide Name Metalary XRP (contains 4.25% 200 WSP per case $ 463.50/cs /per 200 WSP per case S Methoprene) e a aarvARP 800 WSP per case $ $1,812.80/cs /per 800 WSP per case (contains 4.25% S Methoprene) Vectomax WSP 800 WSP per case $ 1,573.84/cs /per (800 Water Soluable Pouches per Ca 1 $ /per The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 10/27/2022 Authorized Signature & Title: Printed Name & Title of Authorized Signature: Andy Pierce, Sr. VP of Sales Phone Number: (407) 328-6519 or (800) 367-0659 Email: bidsAnnyadapco.com Exceptions and/or Variations from Specifications and/or additional Notes: Please see labels and safetv data sheets for actives on additional items. Page 35 of 57 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR INSECTICIDES FOR MOSQUITO CONTROL Bid Number: 2023.01 January 1, 2023 through December 31, 2023 Vendor's Name & Address Clarke Mosquito Control Products Inc. 675 Sidwell Court St. Charles IL 60174 • Please Type or Print. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS INSECTICIDES FOR MOSQUITO CONTROL (Bid Item Listed or Equivalent) Item #1: Mineral Oil CocoBear Larvicide Oil .— List Name of Mineral Oil i Mosquito Larvicide Oil - MC30 - or Equivalent 5 Gallon Pail $ No Bid /per 5 Gallon Pail 50 Gallon Drum $ No Bid /per 50 Gallon Drum 55 Gallon Drum $ 2475.01) /per 55 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote 2.5 gallon Jug $ 112.50 /per _2.5 gallon Jug Page 29 o 57 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control --CONTINUED Bid Item #2: Malathion - or Equivalent No Bid —List Insecticide Name Active Ingredients: Malathion 96.5%; Other 3.5% 2 x 2.5 Gallon $ No gid /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ No gid /per 5 Gallon Pail 55 Gallon Drum $ No Bid /per 55 Gallon Drum 260 Gallon Tote $ No Bid /per 260 Gallon Tote. $ /per $ /per $ /per Bid Item #3: Malathion EW - or Equivalent No Bid List Insecticide Name Active Ingredients: Malathion 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum $ /per $ /per $ /per $ /per $ /per Page 30 a 57 Invitation To Bid Form -Annual Supply Contract far Insecticides for Mosquito Control -- CONTINUED Bid Item #4: 30-30 ULV - or Equivalent Perm-X 30-30 — List Insecticide Name Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30% 2 x 2.5 Gallon $ 492,75 /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ No Bid /per 5 Gallon Pail 30 Gallon Drum $ 2898.00 /per 30 Gallon Drum 55 Gallon Drum $ 5313.00 /per 55 Gallon Drum 275 Gallon Tote $ 26,565,00 /per 275 Gallon Tote $ /per $ /per Bid Item #5: 31-66 ULV - or Equivalent No Bid List Insecticide Name Active Ingredients: Permethrin 31.28%; Piperonyl Butoxide 66%; 4 x 1 Gallon $ No Bid /per Case (Case = 41 Gal Jugs) 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per $ /per Page 31 a 57 Invitation To Bid Form -Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #6: 31-67 ULV - or Equivalent No Bid List Insecticide Name Active Ingredients: Permethrin 31.15%; Piperonyl Butoxide 66.85% 4 x 1 Gallon $ No Bid /per Case (Case = 41 Gal Jugs) 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per $ /per Bid Item #7: 4-4 ULV - or Equivalent Perm-X4-4 List Insecticide Name Active Ingredients: Permethrin 4.0%; Piperonyl Butoxide 4.0% 2 x 2,5 Gallon $ 169.40 /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ 857.40 /per 30 Gallon Tote 55 Gallon Drum $ 1567.50 /per 55 Gallon Drum 275 Gallon Tote $ 7507.50 /per 275 Gallon Tote $ /per $ /per $ /per Page 32 a 57 Invitation To Bid Form -Annual Supply Contract for Insecticides for Mosquito Control --CONTINUED Bid Item #8: 4-8 ULV - or Equivalent No Bid —List Insecticide Name Active Ingredients: Permethrin 3.98%; Piperonyl Butoxide 8.48% 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ No Bid /per 30 Gallon Tote 55 Gallon Drum $ No Bid /per 55 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote $ /per $ /per Bid Item #9 Altosid 30 Day Briquets - or Equivalent Altosid 30 Day Briquets —List insecticide Name Active Ingredients: (S) Methoprene 8.62% 400 Per Case $ 520.00 /Per case $ /per $ /per AltOSId XK LxtendeCtesl ua rique s Bid Item #10: Altosid XR Extended Residual Briquets - or Equivalent - List Insecticide Name Active Ingredients: (S) Methoprene 2.1% 220 Per Case $ 818.40 /per case $ /per $ /per Page 33 a 57 Invitation To Bid Form -Annual Supply ContractforinsecticidesforMosquito Control -- CONTINUED Bid Item #11: DeltaGard - or Equivalent No Bid — List Insecticide Name Active Ingredients: Deltamethrin 2% 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum 250 Gallon Tote $ No Bid /per 250 Gallon Tote $ /per $ /per Bid Item #12: FourStar Sustained Release 45/90/180 Day Microbial Briquets or Equivalent FourStar Sustained Release Microbial Briquets List Insecticide Name Active Ingredients: Bacillus sphaericus 6%; Bacillus thuringiensis subspecies israelensis 1% 45 Day ----- 200 Per Case $ 317.90 /per case 90 Day ----- 200 Per Case $ 528.43 /per case 180 Day-----200 Per Case $ 823.15 /per case $ /per $ /per Additional Bid Item: Duplex-G Dual Action Larvicide List Insecticide Name Active Ingredients: Bacillus thuringiensis israelensis Strain BMP 144 53S% S Methoprene 1.60% Duplex-G 28 day granules $ 622.40 /per an Ih_ hag $ /per $ /per $ /per Page 34 a 57 Invitation To Bid Form -Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED itional Bid Item: Natular Larvicide List Insecticide Name Ingredients: Spinosad Natular XRT 180 Day $ 860.44 /per 7?n rt raea tahlntc Page 25 0 57 Invitation To Bid Form - Annual supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item: Fourstar MBG Multi Brood Granule . List Insecticide Name Ingredients: Bacillus sphaericus 2362 3.0% Bacillus thuringiensis israelensis 3.0% u• r- �- �� . ..• ... u: . it err r1,11TIMMIFIRTIMI $ /per The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: _October 20th, Authorized Signature & Title: Printed Name & Title of Phone Number: 800-323-5727 Julie Reiter, VP HR & Sustainable Development Email: customercare@clarke.com Exceptions and/or Variations from Specifications and/or additional Notes: Page 35 a 57 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR INSECTICIDES FOR MOSQUITO CONTROL Bid Number: 2023.01 January 1, 2023 through December 31, 2023 Vendor's Name & Address E5 OpCO L�SW L-1-C DBE Ve ser2I Ar-:1 t'D � :tq 015 - Please Type or Print. If handwritten, must be in ink and legible. White out is not acceptable. - SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS INSECTICIDES FOR MOSQUITO CONTROL (Bid Item Listed or Equivalent) Bid Item #1: Mineral Oil BVA Mosquito Larvicide Oil - MC30 - or Equivalent 5 Gallon Pail $ N R /per 5 Gallon Pail 50 Gallon Drum $ 1 4;Z , 00 /per 50 Gallon Drum 55 Gallon Drum $ 11 . jj R /per 55 Gallon Drum 275 Gallon Tote $ 11 • � 3 /per 275 Gallon Tote $ /per $ /per — List Name of Mineral Oil Dena 70 of C7 Invitation To Bid Form- Annual Supply ContractforinsecticidesforMosquito Control -- CONTINUED Bid Item #2: Malathion - or Equivalent —List Insecticide Name Active Ingredients: Malathion 96.5%; Other 3.5% 2 x 2.5 Gallon $ y Jr . I /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ N W /per 5 Gallon Pail 55 Gallon Drum $ N 14 /per 55 Gallon Drum 260 Gallon Tote $ N A /per 260 Gallon Tote 1000rt9AIIOyu 5 S ( 1).00 /per !IAnon) 13u�K $ /per $ /per Bid Item #3: Malathion EW - or Equivalent List Insecticide Name Active Ingredients: Malathion 2 x 2.5 Gallon $ N A /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ tJ A /per 30 Gallon Drum $ /per $ /per $ /per $ /per $ /per Invitation To Bid Form -Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #4: 30-30 ULV - or Equivalent — List Insecticide Name Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30°% 2 x 2.5 Gallon $ y 00. 610 /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ N A /per 5 Gallon Pail 30 Gallon Drum $ C+ 35 i . I Q /per 30 Gallon Drum 55 Gallon Drum $ LI q 3 Jr. $S /per 55 Gallon Drum 275 Gallon Tote $ 0212 5 -46. 5 0 /per 275 Gallon Tote $ /per $ /per Bid Item #5: 31-66 ULV - or Equivalent — List Insecticide Name Active Ingredients: Permethrin 31.28%; Piperonyl Butoxide 66%; 4 x 1 Gallon $ tj A /per Case (Case = 44 Gal Jugs) 2 x 2.5 Gallon $ � 11 . I 0 /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ J, L 3 0 . Q Q /per 30 Gallon Drum 275 Gallon Tote $ 33 000.00 /per 275 Gallon Tote $ /per $ /per $ /per Den. 11 of C7 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #6: 31-67 ULV - or Equivalent List Insecticide Name Active Ingredients: Permethrin 31.15%; Piperonyl Butoxide 66.85% 4 x 1 Gallon $ Pj W /per Case (Case = 41 Gal Jugs) 2 x 2.5 Gallon $ m Iq /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ r.f q /per 30 Gallon Drum 275 Gallon Tote $ A) q /per 275 Gallon Tote $ /per $ /per $ /per Bid Item #7: 4-4 ULV - or Equivalent List Insecticide Name Active Ingredients: Permethrin 4.0%; Piperonyl Butoxide 4.0% 2 x 2.5 Gallon $ NO . 00 /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ 6 93, Q Q /per 30 Gallon Tote 55 Gallon Drum $ 1 a- 6q. 95 /per 55 Gallon Drum 275 Gallon Tote $ W 3 q. /per 275 Gallon Tote r KK I � 1 %rytj/l 52�1 e, ( $ ��g• �LJ /perlr_�ase= �J�a.s l3Al Tjf) $ /per $ /per Re6151AY V-A: 0 V 0 A 61.)0 C o r r OS o a Donn 11 of C7 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #8: 4-8 ULV - or Equivalent List Insecticide Name Active Ingredients: Permethrin 3.98%, Piperonyl Butoxide 8.48% 2 x 2.5 Gallon $ nl A /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ rJ q /per 30 Gallon Tote 55 Gallon Drum $ N 6 /per 55 Gallon Drum 275 Gallon Tote $ (V 144 /per 275 Gallon Tote $ /per $ /per Bid Item #9 Altosid 30 Day Briquets - or Equivalent List Insecticide Name Active Ingredients: (S) Methoprene 8.62% 400 Per Case $ 5a ©, 00 /per case 100 12el2 C—Rle $ 191i. 59 /per C-1452 \\ 100 oe12ct4Se $ I �l.'I3 /per C-45f (6uN 10 orz Mo✓2P CAse-5) Bid Item #10: Altosid XR Extended Residual Briquets - or Equivalent <—List Insecticide Name Active Ingredients: (5) Methoprene 2.1°% c G 220 Per Case $ p I p , y Q /per case $ /per $ /per Dann 13 of C7 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #11: DeltaGard - or Equivalent «— List Insecticide Name Active Ingredients: Deltamethrin 2°% 2 x 2.5 Gallon $ /J Y} /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ N /per 30 Gallon Drum 2/510 Gallon Tote $ Al A /per 250 Gallon Tote �jrt `o p S rR $ �, 0Q0 . 0 0 / /per S S $ /per Bid Item #12: FourStar Sustained Release 45/90/180 Day Microbial Briquets or Equivalent List Insecticlde Name Active Ingredients: Bacillus sphaericus 6%; Bacillus thuringiensis subspecies israelensis 1% 45 Day ----- 200 Per Case $ h( K} /per case 90 Day ----- 200 Per Case $ , j /per case 180 Day-----200 Per Case $ Al 14 /per case $ /per $ /per Additional Bid Item: List Insecticide Name Active Ingredients: a+k m Pr a Al 2 nm l�lSP PeIle}5 $ J& .0Q /per CA6e%lAct PHf S//'wSf) $ /per $ /per $ /per Den. 2A ..4 S7 Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CON77NUED Additional Bid Item: y I List Insecticide Name Active Ingredients:.25 B u 5 e o fL o cQ a K C o nl4ro t w� 1 Fk q,j o ,j LA L.. �S5eWjr,e-J H a. ti $ 1�$.0Co /per _ F 1('o.J $ /per $ /per $ /per The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: Authc Printed Name & Title of Authorized Signature: T e. I4-� L . U Phone Number: 9-13-2,03-0q.3(D Email: k,+h.hwa'seLlew;s.00Yv� Exceptions and/or Variations from Specifications and/or additional Notes: Dena 2 S . f S7 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR INSECTICIDES FOR MOSQUITO CONTROL Bid Number: 2023.01 January 1, 2023 through December 31, 2023 Vendor's Name & Address Rentokil North America Inc, DBA Target Specialty Products 1225 N. Post Oak Road, Houston, TX 77055 • Please Type or Print. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS INSECTICIDES FOR MOSQUITO CONTROL (Bid Item Listed or Equivalent) Bid Item #1: Mineral Oil BVA 13 BVA Mosquito Larvicide Oil - MC30 - or Equivalent 5 Gallon Pail $ $ 87 50 /per 5 Gallon Pail 50 Gallon Drum $ $810.00 /per 50 Gallon Drum 55 Gallon Drum $ $ 880.00 275 Gallon Tote $ $ 4,262.50 N/A $ N/A /per 55 Gallon Drum /per 275 Gallon Tote /per N/A $ N/A /per .— List Name of Mineral Oil Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #2: Malathion - or Equivalent —List Insecticide Name Active Ingredients: Malathion 96.5%; Other 3.5% 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ No Bid /per 5 Gallon Pail 55 Gallon Drum $ No Bid /per 55 Gallon Drum 260 Gallon Tote $ No Bid /per 260 Gallon Tote N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per Bid Item #3: Malathion EW - or Equivalent List Insecticide Name Active Ingredients: Malathion 2 x 2.5 Gallon $ No Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No bid /per 30 Gallon Drum N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per N/A Invitation To Bid Form - Annual Supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #4: 30-30 ULV - or Equivalent Permanone 30-30 (5,30,275 gal) � List Insecticide Name Perm-X 30-30(2x2.5, 55gal) Active Ingredients: Permethrin 30%; Piperonyl Butoxide 30% 2 x 2.5 Gallon $ 130.00 /per Case (Case = 2x2.5 Gal Jugs) 5 Gallon Pail $ 365.00 /per 5 Gallon Pail 30 Gallon Drum $ 2,190.00 /per 30 Gallon Drum 55 Gallon Drum $ 4,015.00 /per 55 Gallon Drum 275 Gallon Tote $ 20,075.00 /per 275 Gallon Tote N/A $ N/A /per N/A $ N/A /per Bid Item #5: 31-66 ULV - or Equivalent Permanone 31-66 (1, 30, 275 gal) List Insecticide Name Perm-X 31 -66 (2x2.5 gal) Active Ingredients: Permethrin 31.2E%; Piperonyl Butoxide 66%; 4 x 1 Gallon $ 480.00 /per Case (Case = 41 Gal Jugs) 2 x 2.5 Gallon $ 600.00 /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ 3,600.00 /per 30 Gallon Drum 275 Gallon Tote $ 33,000.00 /per 275 Gallon Tote N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per Invitation To Bid Form -Annual supply Contract for Insecticides for Mosquito Control -- CONTINUED Bid Item #6: 31-67 ULV - or Equivalent List Insecticide Name Active Ingredients: Permethrin 31.15%; Piperonyl Butoxide 66.85% 4 x 1 Gallon $ NO Bid /per Case (Case = 41 Gal Jugs) 2 x 2.5 Gallon $ NO Bid /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Drum $ No Bid /per 30 Gallon Drum 275 Gallon Tote $ NO Bid /per 275 Gallon Tote N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per Bid Item #7: 4-4 ULV - or Equivalent Perm- x 4 - 4 List Insecticide Name Active Ingredients: Permethrin 4.0%; Piperonyl Butoxide 4.0% 2 x 2.5 Gallon $ 130.00 /per Case (Case = 2x2.5 Gal Jugs) 30 Gallon Tote $ 660.00 /per 30 Gallon Tote 55 Gallon Drum $ 1,155.00 /per 55 Gallon Drum 275 Gallon Tote $ No Bid /per 275 Gallon Tote N/A $ N/A /per N/A $ N/A /per N/A $ N/A /per ir W p q N N N m O U p 2 J N Q 0 O... ..O O epi b N O O O O N Ow Am conip.-iti p `u > u' o a O ,. ti O O O o: o O z O z o 0 N aitE E E;. _ xo. �..=12 � Op p° a pc.. r U 0 Z � 00 rca 3 00 po uoi- 0 0 0 0 o O LC �'. m m m m m m z z z z z N m Y w O K Z r � p a J z U U - Z v O z Q S Ipn,' o 0 0 ❑ 0 ❑ O O 0 0 ',' U 0 Wd m N: N n m O] N m 0 m N W u c N. 0 O O a O O O O O O O O O O .� vr. 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N/A $ N/A /per. The undersigned affirms that they are duly authorized to execute this Bid and that this firm, partnership or individual has not prepared this company, corporation Bid this Bid as to prices, terms or conditions in collusion with any said Bid have not been communicated by the undersigned nor by their y other vendor, that the contents of employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. loan, undersigned affirms that they have not given, offered to give,, gratuity, nor intends to give at any time hereafter any economic opportunity, future employment, gift, special discount, tri official, employee or agent of Calhoun County in connection with this Bid. p, favor, or service to any The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 10/07/2022 �! T Authorized Signature & Title: // ( 21z' T>^ { Printed Name & Title of Authorized Signature: Dav Kl sti F 3113-254-3330 David Phone Number: 225-999-8307 Ki sti o Vector Customer Service Rep Vector Field Specialist Vector Customer Service david. herter@target-specialty.c Email: kirsti.rodne fng t Exceptions and/or Variations from Specifications and/or additional Notes: El Eg et-s oeClalt .com lid Item #2: P2 Prime Concentrate or Equivalent 'Ice Per gallon / delivery price to County Stockpile and/or Jobsite LOCATION Unit PRODUCT/ MATERIAL DELIVERY TOTAL DEMURRAGE BIDDER AND REMARKS, IF ANY Included :t 1 Gallon $2.24 SEE REMARKS $2.24 $80 per hour after 2 free hours P SQUARED Included EMULSION PLANTS, LLC It 2 Gallon $2.24 SEE REMARKS $2.24 $80 per hour after 2 1. MINIMUM TANKER DELIVERY: 5000 GAL. free hours 2. DELIVERY OVER 250 MILES SUBJECT TO Included ADDITIONAL CHARGES. t 3 Gallon $2.24 SEE $80 per hour after 2 3. PUMP CHARGE (TRUCKING CHARGE)$80 REMARKS $2.24 free hours 4. PUSH CHARGE(TRUCKING CHARGE)$80/HR Included 5,RETURN LOADS (TRUCKING CHARGE): 4-P Gallon SEE $80 per hour after 2 SUBJECT TO CHARGE FROM DELIVERING $2.24 REMARKS $2.24 free hours FREIGHT LINE. 6. SMALLER QUANTITIES AVAILABLE, Included SUBJECT TO FREIGHT DIFFERENTIAL OF $0.25/GAL LESSI 4-$ Gallon $2.24 SEE $80 per hour after 2 THAN 5000 GAL. REMARKS $2.24 free hours **SEEATTACHEDLETTERS** lid Item #3: RC-250 or Equivalent 'ice per gallon /delivery price to County Stockpile and/or Jobsite LOCATION Unit PRODUCT/ MATERIAL DELIVERY TOTAL DEMURRAGE BIDDER AND REMARKS, IF qNy rrecinct 1 Gallon $3.50 $0.25 $3.75 570 per hour after 2 free hours Precinct 2 Gallon $3.50 $0.25 $3.75 $70 per hour after 2 free hours Precinct 3 Gallon $3.50 $0.25 $3.75 $70 per hour after 2 free hours Precinct 4-P Gallon $3.50 $0.25 $3.75 $70 per hour after 2 free hours Precinct 4-S Gallon $3.50 $0.25 $3.75 $70 per hour after 2 free hours Precinct 1 Gallon $4,40 $0.20 $4.60 $80 per hour after 2 free hours Precinct 2 Gallon $4.40 $0.20 $4.60 $80 per hour after 2 free hours Precinct 3 Gallon $4.40 $0.20 $4.60 $80 per hour after 2 free hours Precinct 4-P Gallon $4,40 $0.20 $4.60 $80 per hour after 2 free hours Precinct 4-S Gallon $4,40 $0.20 $4.60 $80 per hour after 2 free hours MARTIN ASPHALT COMPANY REMARKS: 5000 GALLON MINIMUM CLEVELAND ASPHALT PRODUCTS, INC. REMARKS: PRICES BASED ON MINIMUM 5000 GALLON LOAD, FOR SMALLER QUANTITIES PLEASE CALL 800-334-0177. DILUTED MATERIAL CANNOT BE RETURNED FOR CREDIT. PAGE 2 OF 3 Bid Item #4: CRS-2 or Equivalent Temperature must be no lower than'150- and no higher than ISO - Price per gallon / delivery price to County Stockpile and/or Jobsite LOCATION Unit PRODUCT/ MATERIAL DELIVERY TOTAL DEMURRAGE BIDDER AND REMARKS, IF ANY rrecinct 1 Gallon $2.65 $0.20 S80 per hour after 2 $2.85 free hours Precinct 2 Gallon $2.65 $0.20 $80 per hour after 2 $2.85 free hours CLEVELAND ASPHALT PRODUCTS, INC. Precinct 3 Gallon Precinct 4-P Gallon Precinct 4-S Gallon $2.65 $0.20 $2,65 $0.20 $2.65 $0.20 $80 per hour after 2 $2.85 free hours $80 per hour after 2 $2.85 free hours $80 per hour after 2 $2.85 free hours REMARKS: PRICES BASED ON MINIMUM 5000 GALLON LOAD, FOR SMALLER QUANTITIES PLEASE CALL 800-334.0177. DILUTED MATERIAL CANNOT BE RETURNED FOR CREDIT. Precinct 1 Gallon $2,70 $0.25 $70 per hour after 2 $2.95 free hours Precinct 2 Gallon $2,70 $0.25 $70 per hour after 2 $2.95 free hours Precinct 3 Gallon $2.70 $0.25 $70 per hour after 2 $2.95 free hours MARTIN ASPHALT COMPANY REMARKS: Precinct 4-P Gallon _ 70 $2.$0.25 $70 per hour after 2 $2.95 free hours 5000 GALLON MINIMUM Precinct 4-S Gallon $2,70 $0.25 $70 per hour after 2 $2.95 free hours Bid Item #5: P2 CWE-2 or Equivalent Price per gallon/ delivery price to County Stockpile and/or Jobsite LOCATION Unit PRODUCT/ MATERIAL DELIVERY TOTAL DEMURRAGE BIDDER Included AND REMARKS, IF ANY Precinct 1 Gallon Precinct 2 Gallon Precinct 3 Gallon Precinct 4-P Gallon Precinct 4-S Gallon SEE $3.29 REMARKS Included SEE $3.29 REMARKS Included SEE $3.29 REMARKS Included SEE $3.29 REMARKS Included SEE $3.29 REMARKS $80 per P SQUARED $3,29 free hours hour after 2 EMULSION PLANTS, LLC REMARKS: $80 per hour after 2 1. MINIMUM TANKER DELIVERY: 5000 GAL. $3.29 free hours 2. DELIVERY OVER 250 MILES SUBJECT To ADDITIONAL CHARGES. $80 per hour after 3. PUMP CHARGE (TRUCKING CHARGE)$80 $3.29 free hours 4. PUSH CHARGE(TRUCKING CHARGE)$80/HR 5. RETURN LOADS (TRUCKING CHARGE): $3.29 f$80 per hour after 2 SUBJECT TO CHARGE FROM DELIVERING free hours FREIGHTLINE. 6. SMALLER QUANTITIES AVAILABLE, SUBJECT $8TO FREIGHT DIFFERENTIAL OF $0.25/GAL LESS 0 per hour after 2 $3.29 free hours THAN SDDD GAL. **SEE ATTACHED LETTERS** Page 3 of 3 c U.S. F,nergyInformation eia Administration PETROLEUM & OTHER LIQUIDS OVERVIEW I DATA I ANALYSIS 8 PROJECTIONS Weekly Retail Gasoline and Diesel Prices (Dollars Per Gallon, Including Taxes) Area: Gulf Coast (PADD 3) v Period: Weekly v Area: Gulf Coast October 31, 2022 Ce Product C Area Gasoline -Al Gretl,a /;11 ,,,, View _. !<� History All Gredes-Conventional �- --' - 3.374 _3401 3.300 3.261i 7993- Areas O 3239 .. ___ 2022.1 01 9.164 All GIdes - Rafa mulcted__.. Areas ..._Regular __. O_I. _.. ConvenlonalAreas - 0-- Refomlulate Mi- -'- _ O Conven8anel Are as I on -- O Reformulated Areas .... Cj ...Premium Corwentional Areas ( 0 �-- Reformulated Areas -_ghi i... 0 Diecsl (On-Xiphwey) -All Type,'. � _„ 3.420 _ _ 3.429 3.345 3.304, 1994.2022. 1 _ - 90 8 --- 3.2 3,338 3.199 i 3,163 I 1994-2022 3.294 84 - _ _ .._„ 3.183 --" 3,319 3.218 3 177! 1992.2022 _ _ __ 9138 3.348 3.364 3.268 3.228-� 1992-2a22-I 3010i 2.944 3170 3535 _ - _ _3.238 _ 9.098 3.080, 1994-- _ _ 9501 3690 3.722 3.890 3.SB21 3.573 3 762 _ 3,767 1s84-2022„I -- 342I- 3.3671 3.630 _._, __.__.__1994.2022 3.865{ _.--j _____ 3.576 _ 3.638 3.503 3.473j 1994-2022 37 �__ _ 3.990 4.0261 3.931 , 3.89T 4.068 4.0821 3.8851 1984-2022 1 3.92 _ 4.010 3.971' ----- 1994-2022.1 _._ 3663i 8875 3.890 3.812'. _. _.. 3.7811 — 79gdsroc 4.897 Click on the worts 4 987 key Iwn to learn Ilpwta downbad seder Into Exwl, ortc embed a chart or map on yourrM1,111% -No Date Reported; _=Notgppliceble', NA-NotAvallable; Wo WBhheldto Mid disclosure o(I1MNItluelm Notes: ConventionalBreaear,was met roes .. Many data. Release Data: 10/31/2022 Next Release Date: 1177/2022 requires the use of elbr nulet d gasoline,W RFO use fewwatab'ons were Tiling LSD as e result of I evel Average All Types Ann Wall July 282010, -SO) Price baesme fully rePrennted by & Olesel Is sold is IlLSD as mandated by EPA on-hlgbway I January 14, 1091. Monthly and annual average, ily and/or annual anregN am not available. On gasoline Ades estimates As a result of these npareble In those Published for May 72016. On on -highway decal fuel pnn astimakii As a result are not directly Comparable to Moen published for GLOSSARY, FAOS� $4.965 Baseline Price for Diesel Fuel Adjustment CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ASPHALTS, OILS AND EMULSIONS Bid Number: 2023.02 January 1, 2023 through December 31, 2023 Cleveland Asphalt -Products, INC. PO Box 1449 Shepherd, TX 77371 o Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS o PRODUCTS/MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ASPHALTS, OILS AND EMULSIONS Item 300, Asphalts, Oils and Emulsions (Bid Item Listed or Eaulvalpnt► Item #1: Primer Oil or Equivalent Price per gallon / delivery price to county: PRODUCT/ LOCATION Unit MATERIAL ? 11 Gallon 1 $2.65 2 1 Gallon 1 $2.65 3 1 Gallon 1 $2.65 Precinct 4-P I Gallon 1 $2.65 1 1 $2.65 Gallon Diluted material can not be returned for credit. e and/or Jobsite D=VER=TOTAL $0.20 $2.85 $0.20 1 $2.85 i $0.20 $2.85 i $0.20 ; $2.85 $0.20 $2.85 DEMURRAGE, IF ANY 0.00 Per Hour After _ Free Hours 0.00 Per Hour After Free Hours O.00Per Hour After Free Hours ).00 Per Hour After Free Hours I_-OO Per Hour After Free Hours Page 30 of 61 lnvitatlon To Bid form -Annual Supply Contract forAsphalts, Oils and Emulsions -- CONTINUED Bid Item #2e P2 Prime Concentrate or Equivalent Price per gallon / delivery price to County Stockpile and/orJobsite PRODUCT/ LOCATION Unit MATERIAL DELIVERY I 70TAL i Precinct 1 1 Gallon 1 Ng NB I NB I I s I Precinct 2 I I NB I I Gallon I NB I 1 I NB , Precinct I NB I I Gallon I I NB I NB Precinct4-P 1 Gallon I NB 1 NB 1 I I NB I ' Precinct 4-S , Gallon 1 NB I I 1 NB rks: Item #3: RC-250 or Equivalent Temperature must be no lower than 1400 Price per gallon / delivery price to County Stockpile and/orJobsite LOCATION Unit PRODUCT/ MATERIAL ELIVERY=TOTAL 1 I I I Precinct 1 Gallon I I I $4.40 I , $0.20 I $4.60 I Precinct 2 Gallon 1 $4.40 ; $0.20 ; $4.60 r I i i Precinct 3 Gallon I $4.40 $0.20 i $4.60 Precinct4-P 1 Gallon $4.40 $0.20 $4.60 i 1 Precinct 4-S I Gallon ' $4.40 = $0.20 I $4.60 Diluted material can not be returned for credit. DEMURRAGE, IFANY Per Hour After _ Free Hours Per Hour After Free Hours Per Hour After Free Hours Per Hour After Free Hours Per Hour After Free Hours DEMURRAGE, I_ F® S 80.00 Per Hour After 2 Free Hours 80.00 per Hour After 2 Free Hours .80 00 Per Hour After Free Hours 80.00 __ Per Hour After Free Hours M nn Per Hour After _ Free Hours Page 31 of 61 Invitation To Bid Form -Annual supply Contract for Asphalts, Oils and Emulsions -- CONTINUED I Item #4: CRS-2 or Equivalent Tempserature must be no lower than 150° Price per gallon / delivery and no higher than 180° price to County Stockpile and/or Jobsite LOCATION Unit PRODUCT/ MATERIAL DELIVERY DEMURRAGE, UnR f TOTAL Precinct 1 1 Gallon ' $2.65 I 1 1 ' $0.20 ; $2.85 I$ 80.00 Per Hour After I , 1 1 , , 12 Free Hours Precinct 2 I Gallon $2.65 ; $0.20 1 $2 85 I$ 80.00 Per Hourgfter I 1 2 Free Hours Precinct 3 i Gallon i $2.65 $0.20 1 $2.85 ;$ 80.0 Per Hour After —� � Free Hours Precinct4-P1 Gallon 1 $2.65 1 ' i ' $0.20 1 $2.85 !$ 0M0 Per Hour After 1 ' 12 Free Hours Precinct4-S 1 Gallon $2.65 $0.20 1 $2.85 �$ 800 Per Hour After ' 1 2 Free Hours rks: Prices based on minimum 5000 gallon load, for smaller Diluted material can not be returned for credit. guantitfes please call 800-334-0177. Item #5: P2 CWE-2 or Equivalent Price per gallon / delivery price to County Stockpile and/or lobsite PRODUCT/ LOCATION Unit MATERIAL DELIVERY =MUNY 1 1 TOTAL Precinct 1 Gallon i 1 NB 1 NB 1 ` NB '$ Per Hour A 1 1 I 1— Free Hours Precinct2 1 Gallon 1 NB ' NB' 1 NB -I$ Per Hour A. Free Hours Precinct3 I Gallon 1 NB I NB ; NB Per Hour Af I I ' 1 I_ Free Hours Precinct4-P 1 Gallon I 1 NB 1 NB , ' I I NB 1 IS Per Hour Af ' I I_ Free Hours Precinct4-S Gallon j NB i NB I NB I$ Per Hour Aft 1_ Free Hours Be sure to read, complete, sign and date the next page Page 32 of 61 Invitation To Bid Form -Annual supply Contract for Road Materials and Asphalts, Oils and Emulsions --CONTINUED The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date:_20/20/2022 Authorized Signature & Title: Type Name & Title of Authorized Signature: ccmcapco@msn.com Phone Number: 832-655-2827 Email: clavton.moore@clevelandasohaltorod_ _t_ __ Exceptions and or Variations from Specifications and/or additional Notes: Diluted material can not be returned for credit. Page 33 of 61 C41HOUN COUNTY, TEXAS INVITATION TO RID FORM ANNUAL SUPPLY CONTRACT FOR ASPHALTS, OILS AND EMULSIONS Bid Number: 2023.02 January 1, 2023 through December 31, 2023 Vendor's Name & Address Q� - / i - �Pq/ • • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • PRODUCTS/MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ASPHALTS, OILS AND EMULSIONS Item 300, Asphalts, Oils and Emulsions (Bid Item Listed or Equivalent) lid Item #1: Primer Oil or Equivalent Price per gallon /delivery price to County Stockpile and/orlobsite PRODUCT/ LOCATION Unit MATERIAL DELIVERY TOTAL vrecinct 1 Precinct 2 'recinct 3 'recinct 4-P Gallon v • UL I q�s I 3. Q0 Gas Gallon Gallon i 3, U'p � a Gallon 1 3.Uo Precinct4-5 : Gallon ' . (o D ° P5- I SJ DEMURRAGE, IF ANY .�_ Per Hour After i- Free Hours 30— Per Hour After el`ree Hours IL Per Hour After /-Free Hours !� Per Hour After Free Hours o Per Hour After _ Free Hours Invitation TO Bid Form -Annual Supply Contract for Asphalts, Oils and Emulsions -- CONTINUED Bid Item #2: P2 Prime Concentrate or Equivalent Price per gallon / delivery price to County stockpile and/orJobsite PRODUCT/ LOCATION Uni4 MATERIAL DELIVERY TOTAL Precinct 1 I Gallon �%� , ! I 1414 f tt 2, i_Gallor i 3 I Gallon —I I i 4-P ; Gallon I 4-5 I Gallon arks: Bid Item #3: RC-250 or Equivalent AJji- DEMURRAGE, IF ANY Per Hour After Free Hours Per Hour After Free Hours _ Per Hour After FreelHours Free Free Temperature must be no lower than 1400 Price per gallon / delivery price to CMs unty Stockpile and/orJobsite N Unit PRODUCT/ MATERIAL DELIVERY TOTAL DEMURRAGE, 1 Gallon I ��D I °O I 3,�5/PerHourAfter IF ANY -7O iI ,i a Free Hours Gallon �� r i 'a J3r-7�I$ II! rPer Hour After LFree Hours I I Gallon ; 3 • I; ; I ✓,� I $___I.L Per Hour AfterI I Free HoursI I Gallon I ` J� I j �� ; ;5--1=Per Hour After' I r2-Free HoursII 1 Gallon I I I S �$ ® Per Hour After I IZ Free Hours A-- Page 31 of 61 Invitation To Bld Form -Annual Supply Contract for Asphalts, Oils and Emulsions --CONTINUED Bid Item #4t CRS-2 or Equivalent Temperature must be no lower than 1500 and no higher than 1800 Price per gallon / delivery price to County Stockpile and/or Jobsite LOCATION Unit ' I PRODUCT/ MATERIAL DELIVERY TOTAL Precinct 1 I Gallon. . Precinct 2 ' Gallon I .�% j ' � $ ; � S I _ Precinct 3 1 Gallon 1 a •�� 1 , a� I Precinct4-P { Gallon n I I$- I Precinct 4-S Gallon I , c;�,� 1 i Remarks: Bid Item #5: P2 CWE-2 or Equivalent Price per gallon / delivery price to County Stockpile and/or Jobsite PRODUCT/ Lt!Ga MATERIAL DELIVERY TOTAL Pre i/V/t Pre I ------------- ' i i I 3 Gallon � j I ^ ,/�Precinct v Precinct 4-P ; Gallon I , i J marks: 4-S I Gallon Be sure to read, complete, sign and date the next page DEMURRAGE, IFANY _Pelf/ ,Hour After �-Free�eHours l PrHour After Free Hours Per Hour After .Free Hours ;� Per Hour After •free Hours � Per Hour After Free Hours DEMURRAGE, IF ANY Per Hour After Per Hour After Free Hours Per Hour After Free Hours _ Per Hour After Free Hours Per Hour After Free Hours Page 32 of 61 Invitation To Bid Form -Annual Supply Controctfor Road Materials and Asphalts, Oils and Emulsions --CONTINUED The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid, The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: Authorized Signature & Title: Type Name & Title of Authorized Signature: Y W,tJ t^'x/w ao 6akj � �1�s�1 Phone Number: �133�0 095a Email: Y�( / a' eDP/��ro/�fnJ l Exceptions and or Variations from Specifications and/or additional Notes: Page 33 of 61 CALHOUNCOUNTY, TEXAS ANNUAL SUPPLY CONTRACT FOR ASPHALTS, OILS AND EMULSIONS Bid Number: 2023,02 January 1, 2023 through December 31, 2023 Vendor's Name & Address P Squared Emulsion Plants, LLC 516 S. McLennan Loop Elm Mott, Texas 76640 • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS a PRODUCTS/MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ASPHALTS, OILS AND EMULSIONS Item 300, Asphalts, Oils and Emulsions (Bid Item Listed or Equivalent) 3id Item #1: Primer Oil or Equivalent Price per gallon / delivery price to County Stockpile and/or Jobsite PRODUCT/ DEMURRAGE, LOCATION unit_ MATERIAL DELIVERY TOTAL IF ANY Precinctl ; Gallon I ; IS Per Hour After i I ;_ Free Hours Precinct 2 Gallon Gallon ' a Per Hour After I I Free Hours :Ga:llnn I� PeccIIl I ;$ Per Hour After I _ Free Hours 4-P Gallon I PrHourAfter HorsPrecinct Free u I Precinct4-S Gallon Il iI'I i' l$ Per Hour After ' I —Free Hours Page 30 of 61 Invitation To Bid Form -Annual Supply Contract forAspholts, Oils and Emulsions --CONTINUED Bid Item #2: P2 Prime Concentrate or Equivalent Price per gallon / delivery price to County Stockpile and/or Jobsite PRODUCT/ LOCATION Unit MATERIAL DELIVERY TOTAL DEMURRAGE, IF ANY I Precinct I Gallon 1 $2.24 1 Included { j`� ') '$ HO Per Hour After I i I I_Z Free Hours Precinct 2 1 Gallon I2•4 InCltlded2,2✓-�. 1$o Per Hour After 1 1_2 Free Hours Precinct 2.24 1 inct3 1 Gallon I � I Included ,Q_ 2.24 , 1$ 80 Per Hour After 1-2 Free Hours I G.L4 Precinct 4-P 1 Gallon 1 I Included 1 2.24 i 1$ 80 Per Hour After 1 i ' I 1-Free Hours , Q i 1 $2.24 1 Included 1 Precinct 4-S I Gallon 1 I rt $2.24 is 80 Per Hour After 1 ' 1 1_ZFree Hours m #3: RC-250 or Equivalent Temperature must be no lower than 1400 Price per gallon / delivery price to County Stockpileand/orJobsite PRODUCT/ LOCATION Unit MATERIAL DELIVERY J:!�IF7A7NY AGE, 1 T07AL 1 1 PrecinctI Gallon 1 1 1$ Per Hour After 1 I 1 I — Free Hours 1 1 1 1 Precinct 1 Gallon ' 1 1$ Per Hour After I _ Free Hours Precinct , Gallon 1 1$ Per Hour After. I , , 1 1 1_ Free Hours Precinct 4-P 1 Gallon 1 1$ Per Hour Aker I _ Free Hours Precinct4-S I Gallon 1 1 15 Per Hour After 1_ Free Hours Page 31 of 61 Invitation To Bid Form -Annual Supply Contract for Asphalts, Oils and Emulsions --CONTINUED Item #4: CRS-2 or Equivalent Temperature must be no lower than 1500 and no higher than 1500 Price per gallon / delivery price to County Stockpile and/or Jobsite PRODUCT/ DEMURRAGE, LOCATIONI Unit MATERIAL DELIVERY TOTAL IF ANY ! I , Precinct ! Gallon I l5 Per Hour Af 2 I Gallon i i 3 Gallon 4-1) 1 Gallon 4-S j Gallon Remarks: Item #!5: P2 CWE-2 or Equivalent Price per gallon / delivery price to County Stockpile and/orJobsite RODUCT/ Unit MATERIAL DELIVERY TOTAL i $3.29 ! IncludedGallon $3.29 t Gallon Cj I $3,•29 I Mpn II I Included I.' 3,29 Gallon � $ 3.29 iII I Included iI $3.29 Gallon l $3,29 ' Included I li $3.29 Gallon I I $3'2^' iQ ,` ;Included ; $329 rks: Be sure to read, complete, sign and date the next page Free Hours Per Hour After Free Hours Per Hour After Free Hours Per Hour After' Free Hours _ Per Hour After free Hours DEMURRAGE, IF ANY DD((0� )t/ Per Hour After `('Frriee Hours Per Hour After Free Hours 7/^�y LV Per Hour After /Frree Hours QPer Hour After, Free Hours Pre Per Hour After Free Hours Page32 of 61 Invitation To Bid Form -Annual Supply Contract for Road Materials and Asphalts, Oils and Emulsions --CONTINUED The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said Bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands and has followed aH requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 26 October 2022 Authorized Signature & Title: M McGinnis - Partner/VP Emall: officePp2emulsions com Exceptions and or Variations from Specifications and/or additional Notes: **Please see the attached price sheet and Sole Source affidavit for all P2 products **P2 is Type Name & Title of Authorized Signature: Phone Number: 254-829-0330 nized and approved by Tarrant County Co-O Page 33 of 61 P2 Emul"s-l"ORS Service. Performance. Commitment. P Squared Emulsion Plants ® October 1, 2022 Prices subject to change with written notice P2Salesman - PAVIP Wfllww Contact Phone - 3b 677 96D Product Tanker FOB Plant Tanker FOB County Drum/Tote Plant P2 Stabilizer $2.68 $2.96 $2.90 Seal) --tau listed prices are per U.S, gallon **Minimum Tanker Delivery: 5,000 Gallons **Delivery over 250 miles subject to additional charges **Demurrage (trucking charge): First 2 hours free, $80.00 per hour thereafter **Pump Charge (trucking charge): $80.00 **Push Charge (trucking charge): $80.00 per hour **Return Loads (trucking charge): Subject to charge from delivering freight line **Smaller Quantities Available, Subject to Freight Differential of $0.25/gal less than 5,000 gal Containers available for smaller product amounts "Tote" Containers (275 gallons size each) cost $100.00 per container "Drum" Containers (55 gallons size each) cost $35.00 per drum Containers are re -usable and can be rinsed out, brought back and re -filled at customer discretion Containers priced individually and sold only with orders for material fou and we look forward to servin allrour emulsion PHrnulsions.com , 516 South McLennan Loop Elm Mott, Texas 76640 - 254-829-0330 P2 Emul'stans Service. Performance. Commitment. Date. October 26, 2022 To: Calhoun County, Texas Subiect: P Squared Emulsion Plants LLC Sole Source Products This communication serves as certification that all products listed below are produced in accordance with the State of Texas' Sole Source requirements according to the proprietary formulas and specifications of P Squared Emulsion Plants LLC. Our proprietary products conform to the formal definition of "a confidential formulation usually containing two or more ingredients and about which information is not in the public domain" and as such, P Squared Emulsion Plants LLC is the only manufacturer and distributor of said products. P Suuared Emulsion Plants LLC Products: "P2 Stabilizer" Our P2 Stabilizer is an asphalt emulsion that is incorporated into existing soil or base material to provide increased base strength and stability. P2 Stabilizer eliminates the need for additional material such as aggregates, time, cement or other additives. The utilization of P2 Stabilizer results in increased base density and hardness without sacrificing the flexibility and waterproof properties of asphalt. "P2 Rejuvenator" Our P2 Rejuvenator is engineered to rejuvenate old asphalt roads, RAP and other millings with residual asphaltic content. A one-time application will rejuvenate the existing material through softening oxidized pavement materials and re -binding asphalt to revitalize the road base. "P2 ROC" Our P2 ROC is engineered to seal and protect existing road surfaces. Our "Road Over Coat" is a proven sealing solution that locks down loose chip seal aggregate while sealing oxidized and cracked surfaces. ROC is designed to be traffic safe in under an hour resulting in a uniform, black road surface. "CWE-2-No Bleed Chip Seal" Our unique chip seal formula exhibits superior performance when compared to commodity type CRS-2 emulsions. CWE-2 can be applied in a broader range of temperatures (10-20 degrees below other products) and WILL NOT BLEED under extreme summer temperatures. "CWP — Pothole Patch" This emulsion is specifically formulated to work in ALL patch machines, ALL year round with the exact same results. Smooth consistency, no bleed finish and extremely low clog rates differentiate CWP from all other patch materials. "P2 Prime Concentrate" We have several proprietary "ready -to -use" formulas that include prime, tack and dust control products that all derive from our P2 Prime Concentrate. Based on application, customer needs and dilution rates; we have something for literally every road across the state of Texas. n"All P Squared Emulsion Plants LLC ptopeicon, pmd.na full!II the furmal requltemenls found in Terns Local 00vanceent Codes regarding county purchasing. Section 262.024J.A. (Available Upon request) M-All P Squared Eawlaon Plants LLC papriemrypmducts are fully PCEQ and EPA wmplionl All of us at P Squared thank you for the opportunity and we look forward to serving all your emulsion needs! P2Emulsions.com , 516 South McLennan Loop Elm Mott, Texas 76640 , 254-829-0330 P2 Emulsions Service. Performance. Commitment. SOLE -SOURCE PURCHASE AFFIDAVIT KNOW ALL MEN BY THESE PRESENTS THAT: Before me, the undersigned authority duly authorized to take acknowledgements and administer oaths on this day personally appeared Seth McGinnis, on sworn oath stated the following: My name is Seth McGinnis and I serve as the Chief Executive Officer of P Squared Emulsions Plants, LLC. I respect the required compliance of Calhoun County to the competitive bidding requirements outlined under Chapter 262 of the Texas Local Government Code; however, the purchase of an item that can be obtained from only one source is exempted from said statutory competitive bidding provisions. The authority to purchase P Squared Emulsion Plants, LLC's proprietary products as defined as "Sole -Source" may be found under Texas Local Government Code § 262.024a (7)(A). a) A contract for the purchase of any of the following items is exempt from the requirement established by Section 262.023 if the commissioners court by order grants the exemption: (7) an item that can be obtained from only one source, including: (A) items for which competition is precluded because of the existence of patents, copyrights, secret processes" I represent and assert to the Purchasing Department of Calhoun County and hereby warrant that P Squared Emulsion Plants, LLC is the sole -source manufacturer and supplier of the following item(s): P2 Stabilizer, P2 Rejuvenator, ROC, CWE-2, CWP & all P2 Road Primes. Each of our asphalt emulsion products is manufactured on site to the specifications of our proprietary formulas which are solely owned and manufactured by P Squared Emulsion Plants, LLC. I likewise assert that should P Squared Emulsion Plants, LLC cease to be the sole -source supplier of these proprietary products; I shall immediately make full disclosure in writing of all relevant facts and circumstances. IN WITNESS WHEREOF, the undersigned has executed this Affidavit on the twenty-seventh day of October 2022. Seth McGinnis, C.E.O. (Signature) (Printed Name) (Title) SWORN TO o c ber 27, 2022 by Seth McGinnis. %rEl � LINDIN TEAKELLoeNotary Public, State of TexasComm. Expires 04-30-2024 Notary ID 924782929 Notary Public, S ate of Texas PHnmisions.com - 516 South McLennan Loop � Elm Mott, Texas 76640 • 254-829-0330 #14 ' NOTICE OF MEETING—11/16/2022 14. Consider and take necessary action to award the bids for Road Materials, Bid Number 2023.03 for the period January 1, 2023 through December 31, 2023. (RHM) The court awarded all the low bids. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 25 November 8, 2022 To: Judge Meyer From: The office of the County Auditor Peggy Hall, Assistant Auditor Please place the following item on the Commissioners Court Agenda for November 16, 2022: Consider and take necessary action to award the bids for Road Materials, Bid Number 2023.03 for the period January 1, 2023 through December 31, 2023. CALHOUN COUNTY, TEXAS BID TABULATION ROAD MATERIALS ANNUAL SUPPLY CONTRACT, BID NUMBER: 2023.03 For the Period Beginning January 1, 2023 and Ending December 31, 2023 4.965 BASELINE PRICE ON OCTOBER 31, 2022 FOR DIESEL FUEL ADJUSTMENT ON DELIVERY PRICE (www.eia.gov/petroleum/gasdiesel) (Gulf Coast Area) Bids that appear to be Low Bid are highlighted in Yellow - Please Review Tie Bids: In the event of Tie Bids, the winning bid is determined per Texas Local Government Code 262.027(b). ROAD MATERIALS Bid Item #1: Limestone - 1/2 Inch to Dust or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton NO BID NO BID NO BID NO BID MAREK & MAREK TRUCK WASH, INC. DBA FRANK MAREK TRUCKING Precinct 2 Ton NO BID NO BID NO BID NO BID Precinct 3 Ton NO BID NO BID NO BID NO BID Precinct 4-P Ton $4.50 $33.95 $38.45 25 TONS Precinct 4-S Ton $4.50 $29.95 $34.45 25 TONS Precinct 1 Ton $6.75 $29,10 $35.85 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $6.75 $29.10 $35.85 25 TONS Precinct 3 Ton $6.75 $30.10 $36.85 25 TONS Precinct 4-P Ton $6.75 $32.60 1 $39.35 1 25 TONS Precinct 4-S Ton $6.75 $29.60 $36.35 25 TONS Precinct 1 Ton $6.00 $38.06 $44.06 24 TONS MIDTEX MATERIALS, LLC Precinct 2 Ton $6.00 $38.06 $44.06 24 TONS Precinct 3 Ton $6.00 $38.06 $44.06 24 TONS Precinct 4-P Ton $6.00 $38.06 $44.06 24 TONS Precinct 4-5 I Ton $6.00 $38.06 $44.06 24 TONS Page 1 of 10 Bid Item #2: Limestone - 3/4 Inch to Dust or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton NO BID NO BID NO BID NO BID MAREK & MAREK TRUCK WASH, INC. DBA FRANK MAREK TRUCKING Precinct 2 Ton NO BID NO BID NO BID NO BID Precinct 3 Ton NO BID NO BID NO BID NO BID Precinct 4-P Ton $4.50 $33.95 $38.45 25 TONS Precinct 4-S Ton $4.50 $29.95 $34.45 25 TONS Precinct 1 Ton $12.00 $23.00 $35.00 24 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $12.00 $23.00 $35.00 24 TONS Precinct 3 Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-P Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-S Ton $12.00 $23.00 $35.00 24 TONS Precinct 1 Ton $7.00 $29.10 $36.10 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $7.00 $29.10 $36.10 25 TONS Precinct 3 Ton $7.00 $30.10 $37.10 25 TONS Precinct 4-P Ton $7.00 $32.60 $39.60 25 TONS Precinct 4-S Ton t $7.00 $29.60 $36.60 25 TONS Precinct 1 Ton $6.00 $32.50 $38.50 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct 2 Ton $6.00 $32.50 $38.50 24 TONS Precinct 3 Ton $6.00 $34.50 $40.50 24 TONS Precinct 4-P Ton $6.00 $38.50 $44.50 24 TONS Precinct 4-S Ton $6.00 $34.50 $40.50 24 TONS Precinct 1 Ton $6.00 $38.06 $44.06 24 TONS MIDTEX MATERIALS, LLC Precinct 2 Ton $6.00 $38.06 $44.06 24 TONS Precinct 3 Ton $6.00 $38.06 $44.06 24 TONS Precinct 4-P I Ton 1 $6.00 1 $38.06 1 $44.06 1 24 TONS Precinct 4-S Ton 1 $6.00 $38.06 $44.06 24 TONS Page 2 of 10 Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton NO BID NO BID NO BID NO BID MAREK & MAREK TRUCK WASH, INC. DBA FRANK MAREK TRUCKING Precinct 2 Ton NO BID NO BID NO BID NO BID Precinct 3 Ton NO BID NO BID NO BID NO BID Precinct 4-P Ton $4.00 $33.95 $37.95 25 TONS Precinct 4-S Ton $4.00 $29.95 $33.95 25 TONS Precinct 1 Ton $12.00 $23.00 $35.00 24 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $12.00 $23.00 $35.00 24 TONS Precinct 3 Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-P Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-S Ton $12.00 $23.00 $35.00 24 TONS Precinct 1 Ton $6.15 $29.10 $35.25 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $6.15 $29.10 $35.25 25 TONS Precinct 3 Ton $6.15 $30.10 $36.25 25 TONS Precinct 4-P Ton $6.15 $32.60 $38.75 25 TONS Precinct4-S Ton $6.15 $29.60 $35.75 25TONS Precinct 1 Ton $24.00 $13.00 $37.00 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: NURSERY, TX Precinct 2 Ton $24.00 $12.00 $36.00 24 TONS Precinct Ton $24.00 $14.00 $38.00 24 TONS Precinct4-P Ton 1 $24.00 $15.00 $39.00 24TONS Precinct 4-S Ton $24.00 $13.00 $37.00 24 TONS Precinct 1 Ton $6.00 $38.06 $44.06 24 TONS MIDTEX MATERIALS, LLC Precinct Ton $6.00 $38.06 $44.06 24 TONS Precinct 3 Ton $6.00 $38.06 $44.06 24 TONS Precinct 4-P I Ton 1 $6.00 1 $38.06 1 $44.06 1 24 TONS Precinct 4-S I Ton $6.00 $38.06 $44.06 24 TONS Page 3 of 10 Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct Ton $12.00 $23.00 $35.00 24TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $12.00 $23.00 $35.00 24 TONS Precinct 3 Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-P Ton $12.00 $23.00 $35.00 24 TONS Precinct 4-5 Ton $12.00 $23.00 $35.00 24 TONS Precinct 1 Ton $24.00 $13.00 $37.00 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: NURSERY, TX Precinct Ton $24.00 $12.00 $36.00 24TONS Precinct Ton $24.00 $14.00 $38.00 24TONS Precinct 4-P Ton $24.00 $15.00 $39.00 24 TONS Precinct 4-S I Ton $24.00 $13.00 $37.00 24 TONS Bid Item #5: Item 265-2.2 Fly Ash or Equivalent Fly Ash that meets the requirements of DMS 4615 "Fly Ash for Soil Treatment" Class CS or FS Delivered in pneumatic tankers with spreader bar LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1, 2, 3, Ton NO BIDS RECEIVED 4-P & 4-S Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275.2-1, Hydraulic Cement Type 1, 47 Ib Bag (Cost per Pallet) List # of 47 lb Bags on a Pallet LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1, 2, 3, Ton 4-P & 4-S NO BIDS RECEIVED _ of 47 Lb Bags on Pallet Page 4 of 10 Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $64.00 $14.00 $78.00 25 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 1 Ton $64.00 $14.00 1 $78.00 25 TONS Precinct 3 Ton $64.00 $14.00 $78.00 25 TONS Precinct 4-P Ton $64.00 $14.00 $78.00 25 TONS Precinct 4-S Ton $64.00 $14.00 $78.00 25 TONS Precinct 1 Ton $50.00 $32.50 $82.50 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct 2 Ton $50.00 $32.50 $82.50 24 TONS Precinct 3 Ton $50.00 $34.50 $84.50 24 TONS Precinct 4-P Ton $50.00 $38.50 $88.50 24 TONS Precinct 4-S Ton $50.00 $34.50 $84.50 24 TONS Precinct 1 Ton $36.00 $53.90 $89.90 24 TONS VULCAN CONSTRUCTION MATERIALS, LLC Precinct 2 Ton $36.00 $55.00 $91.00 24 TONS Precinct 3 Ton $36.00 $57.20 $93.20 24 TONS Precinct 4-P Ton $36.00 $55.00 $91.00 24 TONS Precinct 4-S Ton $36.00 $55.00 $91.00 24 TONS Precinct 1 Ton $50.00 $45.15 $95.15 24 TONS MIDTEX MATERIALS, LLC Precinct 2 Ton $50.00 $45.15 $95.15 24 TONS Precinct 3 Ton $50.00 $45.15 $95.15 24 TONS Precinct 4-P Ton $50.00 $45.15 $95.15 24 TONS [Precinct 4-S Ton $50.00 $45.15 $95.15 24 TONS Page 5 of 10 Bid Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $65.50 $14.00 $79.50 25 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 1 Ton $65.50 $14.00 1 $79.50 25 TONS Precinct 3 Ton $65.50 $14.00 $79.50 25 TONS Precinct 4-P Ton $65.50 $14.00 $79.50 25 TONS Precinct4-S Ton $65.50 $14.00 $79.50 25TONS Precinct 1 Ton $50.00 $32.50 $82.50 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct 2 Ton $50.00 $32.50 $82.50 24 TONS Precinct 3 Ton $50.00 $34.50 $84.50 24 TONS Precinct 4-P Ton $50.00 $38.50 $88.50 24 TONS Precinct 4-S Ton $50.00 $34.50 $84.50 24 TONS Precinct Ton $35.00 $53.90 $88.90 24TONS VULCAN CONSTRUCTION MATERIALS, LLC Precinct 2 Ton $35.00 $55.00 $90.00 24 TONS Precinct 3 Ton $35.00 $57.20 $92.20 24 TONS Precinct 4-P Ton $35.00 $55.00 $90.00 24 TONS Precinct 4-S Ton $35.00 $55.00 $90.00 24 TONS Precinct 1 Ton $52.00 $45.15 $97.15 24 TONS MIDTEX MATERIALS, LLC Precinct 2 Ton $52.00 $45.15 $97.15 24 TONS Precinct 3 Ton $52.00 $45.15 $97.15 24 TONS Precinct 4-P Ton $52.00 $45.15 $97.15 24 TONS Precinct 4-S Ton $52.00 $45.15 $97.15 24 TONS Page 6 of 10 Bid Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton NO BIDS RECEIVED Precinct 2 Ton Precinct 3 Ton Precinct 4-P Tan Precinct 4-S Ton Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL TMINIMUMLOAD/ORDER BIDDER AND REMARKS, IF ANY Precincts Ton NO BIDS RECEIVED Precinct 2 Ton Precinct 3 Ton Precinct 4-P I Ton Precinct 4-S I Ton Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non Coated Limestone Only) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $18.48 $29.10 $47.58 25 TONS K-C LEASE SERVICE, INC. dba MATAGORDA CONSTRUCTION & MATERIALS Precinct 2 Ton $18.48 $29.10 $47.58 25 TONS Precinct 3 Ton $18.48 $30.10 $48.58 25 TONS Precinct 4-P Ton $18.48 $32.60 $51.08 25 TONS Precinct 4-S Ton $18.48 $29.60 $48.08 25 TONS Precinct 1 Ton $30.00 $32.50 $62.50 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, TX Precinct 2 Ton $30.00 $32.50 $62.50 24 TONS Precinct 3 Ton $30.00 $34.50 $64.50 24 TONS Precinct 4-P Ton $30.00 $38.50 $68.50 24 TONS Precinct 4-S Ton $30.00 $34,507 $64.50 24 TONS Precinct 1 Ton $35.00 $30.00 $65.00 24 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 Ton $35.00 $30.00 $65.00 24 TONS Precinct 3 Ton $35.00 $30.00 $65.00 24 TONS Precinct 4-P Ton $35.00 $30.00 1 $65.00 24 TONS Precinct 4-5 Tan $35.00 $30.00 $65.00 24 TONS Page 7 of 10 Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $70.00 $53.90 $123.90 24 TONS VULCAN CONSTRUCTION MATERIALS, LLC Precinct Ton $70.00 $55.00 $125.00 24TONS Precinct 3 Ton $70.00 $57.20 $127.20 24 TONS Precinct 4-P Ton $70.00 $55.00 $125.00 24 TONS Precinct 4-S Ton $70.00 $55.00 $125.00 24 TONS Bid Item #13: Item 330, Type D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY NO BID NO BID NO BID NO BID Precinct 1 Ton 50 lb Bag $17.00 $0.00 $17.00 62 BAGS 1 PALLET Ton NO BID NO BID NO BID NO BID Precinct 2 50Ib Bag $17.00 $0.00 $17.00 62 BAGS 1 PALLET Ton NO BID NO BID NO BID NO BID Precinct 3 BLADES GROUP LLC 50 lb Bag $17.00 $0.00 $17.00 62 BAGS 1 PALLET Ton NO BID NO BID NO BID NO BID Precinct 4-P 50 lb Bag $17.00 $0.00 $17.00 - 62 BAGS 1 PALLET Ton NO BID NO BID NO BID NO BID Precinct 4-S F50 Ib Bag $17.00 $0.00 $17.00 62 BAGS 1 PALLET Intentionally Left Blank -- Continued on next page Page 8 of 10 Bid Item #14: Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $100.00 $14.00 $114.00 25 TONS QUALITY HOT MIX, INC. REMARKS: ALL DELIVERIES ARE IN END DUMP TRAILERS. BELLY DUMP TRAILERS CAN BE REQUESTED & PROVIDED IF AVAILABLE Precinct 2 1 Ton $100.00 $14.00 1 $114.00 25 TONS Precinct 3 Ton $100.00 $14.00 $114.00 25 TONS Precinct 4-P Ton $100.00 $14.00 $114.00 25 TONS Precinct 4-S Ton $100.00 $14.00 $114.00 25 TONS Precinct Ton $86.00 $37.50 $123.50 24 TONS COLORADO MATERIALS, LTD REMARKS: PICKUP LOCATION: HUNTER, Tx Precinct 2 Ton $86.00 $37.50 $123.50 24 TONS Precinct 3 Ton $86.00 $39.50 $125.50 24 TONS Precinct 4-P Ton $86.00 $43.50 $129.50 24 TONS Precinct 4-S Ton $86.00 $39.50 $125.50 24 TONS Precinct 1 Ton $95.00 $46.55 $141.55 25 TONS WALLER COUNTY ASHPALT, INC. Precinct 2 Ton $95.00 $47.08 $142.08 25 TONS Precinct 3 Ton $95.00 $42.35 $137.35 25 TONS Precinct 4-P Ton $95.00 $53.55 $148.55 25 TONS Precinct 4-S Ton $95.00 $52.85 $147.85 25 TONS Intentionally Left Blank -- Continued on next page Page 9 of 10 Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $105.00 $46.55 $151.55 25 TONS WALLER COUNTY ASHPALT, INC. Precinct 1 Ton $105.00 1 $47.08 $152.08 25 TONS Precinct 3 Ton $105.00 $42.35 $147.35 25 TONS Precinct 4-P Ton $105.00 $53.55 $158.55 25 TONS Precinct 4-S Ton $105.00 $52.85 $157.85 25 TONS Bid Item #16: Item 432 Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent LOCATION Unit MATERIAL DELIVERY TOTAL MINIMUM LOAD/ORDER BIDDER AND REMARKS, IF ANY Precinct 1 Ton $28.00 $79.98 $107.98 24 TONS MIDTEX MATERIALS, LLC Precinct 1 I Ton $28.00 1 $79.98 $107.98 24 TONS Precinct Ton $28.00 $79.98 $107.98 24TON5 Precinct 4-P Ton $28.00 $79.98 $107.98 24 TONS Precinct 4-S Ton $28.00 $79.98 $107.98 24 TONS Page 10 of 10 U.S. Energy Information eia Administration PETROLEUM & OTHER LIQUIDS OVERVIEW 7DATA7 ANALYSIS & PROJECTIONS GLOSSARY, FADS, Weekly Retail Gasoline and Diesel Prices (Dollars par Gallon, Including Taxes) Area: Gulf Coast Area: Gulf Coast (PADD 3) V Period: Weekly V October 31, 2022 show Data By: Wew 0 Product CAMS Gasoline -All Grades ❑ j 3.201 3.164 3.374 3.401 3.300 3.281 1993- 022. AIGredee-Conven8on el AM -_ A �. ❑ � 3.239 3216 3.420 3.429 9 345 1 3 3041 AIIGredes•Reformuleted - - r t_._.._ _.__.. _1994-2022_7 Areas ❑ 31131 3048',..___... 3.272 3.336! 3.199 3.16& 1994-2022 .___._._.. __ _o Regular 0 _ ___ 31% __ 3081; 3294 3.3191 3218 3.1771992-2022 Conventional Areas - - ! 3138� - 3.346 3.354 3.268 32261 1992.2022 Reformulated Areas ❑ 3.0101 2944 _- __. 3170 3.236 3.098. 3.060 1994-2022 Midgrade _ 1 3501 3.690 . _. 3.72213.630 _. .._ 3.598 16942022 Conventional Areas ,, ❑ 9592 3.5731 3.762 3.767 3.689. 3.6651 1994-2022 I Reformulated Areas ❑ 1 _ 3.4281 3.3671 3.576 3.6381 3.503 3.473 1994-2022I Premlum ❑ 3837L_._ 3809 3990 4.025 3.931 3.885. 19e4-2022 Conventional Arose 0 3 912;_ 3.8971 4.086 4.082 4.010 3.9711 1994-2022 - - Reformulated Areas ❑ 3.72C - 3.6531 3.875 3.940 3.812. 3.7811 1994-2022 . Diesel (On-Nlghway) - All Types ❑ 4.623' 4 557 4 8971 5.018; 4.987 4.965 1994-2022 -_ ._..._Ultra Low Sulfur(15ppmantl � Under) ❑ 4623! 4567! 4.897 6.018; 4.987 411M 2007-2022 j Click on 8w source key Icon to learn haw to download varies into Excel, or to embed a then or map an your welom. -No Data Reported;--NotApplimble; NA -Not Available; W=WnhhotdtoawlddisclmumoflndMdualmmpanydeta. Reims Data: 10/31/2022 Next Release 13m: 11M2022 $4.965 Baseline Price for Diesel Fuel Adjustment CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address it CAA k,` -x —I 8 S o I • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS - MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent); Bid Item #1: Limestone -1/2 Inch To oust or Equivalent Price per ton / delivery price to County Stockpile and/or lobslte MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton I I I Precinct 2 I Ton Precinct 3 I Ton I ' I Precinct 4-P I Ton Precinct 4-S I Ton I 1 Remarks: Bid Item #2: Limestone - 3/4 inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I Precinct 1 j Ton i Precinct 2 1 Ton I I t I Precinct 3 I Ton I I Precinct 4-P ; Ton 1 I I I I i I Precinct 4-S I Ton I I I Remarks: Page 31 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Item #3: Item 247, Type A Limestone, Price per ton / delivery price to County Sto LOCATION Unit MATERIAL I I Precinct 1 ; Ton I I Precinct 2 I Ton I I I Precinct Ton I I I Precinct 4-P ' Ton i I Precinct 4-5 Ton I Item #4: Item 247, Type A.Limestone, S Price per ton / delivery price to County Sto LOCATION Unit MATERIAL I i I Precinct 1 I Ton I I Precinct 2 Ton I I Precinct 3 Ton I I I Precinct 4-P j Ton I I Precinct 4-S 1 Ton 1 rade 2 [13/4 Inch] or Equivalent kpileand/orlobsite MINIMUM DELIVERY TOTAL LOAD/ORDER e 3 [13/4 Inch] or Equivalent and/or lobsite MINIMUM DELIVERY TOTAL LOAD/ORDER n #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite LOCATIO I MATERIAL I DELIVERY TOTAL I Precinct 1 Ton Precinct 2 i Ton Precinct 3 Ton Precinct4-P I Ton I Precinct 4-S Ton MINIMUM LOAD/ORDER Page 32 of 65 Invitation To Bid Farm-Annual5upply Contract for Road Materials --CONTINUED Item #6: Item 275, Cement or Equivalent 275-2.1,,Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 Ib Bag(Cost per Pallet list If of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER i I I i Precinct 1 Ton 7 E Remarks: —of 47 lb Bags on Pallet Ton of 47 lb Bags on Pallet _ of 47 lb Bags on Pallet Ton —of 47 lb Bags on Pallet Ton of 47 lb Bags on Pallet Bid Item #7: item 302,1 Price per ton / c LOCATION I Precinct 1 I Precinct 2 very price to County Stockpile and/or Jobsite Unit ( MATERIAL I DELIVERY I I I Ton i Ton I 1 I Ton I I I I Ton I I I Ton TOTAL alent MINIMUM LOAD/ORDER Page 33 of 65 Invitation To Bid Form - Annual Supply Contract for Rood Materials -- CONTINUED Item #8: Item 302, Type PB, Grade 4 (P Price per ton / delivery price to County Sto LOCATION Unit MATERIAL I ' Precinct 1 I Ton I i Precinct 2 I Ton 1 I Precinct Ton I Precinct 4-P I Ton Precinct 4-S Ton Remarks: Bid Item #9; Price per ton / delivery LOCATION Unit I Precinct 1 Ton Precinct 2 I Ton I Precinct 3 Ton T I Precinct 4-P I Ton I Precinct 4-S ; Ton arks: Item #10: ;'Item 302, Type 7 *Material Sourc Price per ton / delivery LOCATION Unit I Precinct 1 I Ton I Precinct 2 ' Ton Precinct 3 1 Ton I Precinct 4-P I Ton I Precinct4-S Ton gated Rock) or Equivalent nd/or Jobsite MINIMUM DELIVERY TOTAL LOAD/ORDE Df County Stockpile and/orJobsite MATERIAL I DELIVERY it of x to County Stockpile and/or Jobsite MATERIAL I DELIVER MINIMUM TOTAL LOAD/ORDER r Equivalent' MINIMUM TOTAL LOAD/ORDER Page 34 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Item #11: Item 302, Type E, Grade 5, Ice or Equivalent Price per ton / delivery price to County Sto LOCATION Unit MATERIAL i I Precinct 1 I Ton i Precinct 2 I Ton I Precinct 3 Ton I I Precinct 4-P I Ton I I I Precinct 4-S i Ton I arks: Item #12: Item 339, Type D (Pre-Mi)i Lirr Price per ton / delivery price to County Stogy LOCATION Unit I MATERIAL 2 ; Ton 3 Ton 4-P I Ton 4-S ; Ton (Non -Coated Uml ind/or Jobsite DCLIVERYT TOTAL stone:Only) MINIMUM me) or Equivalent and/or lobsite MINIMUM DELIVERY TOTAL LOAD/ORDER Intentionally Left Blank Page 35 of 65 Invitation To Bid Form- Annual supply Contractfor Road Materials --CONTINUED Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or 50 lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I 50 lb Bag Precinct 2 ; Ton i 50 lb Bag I 117. on Q \ P 1\ 1 I I Precinct 3 1 Ton 1 1 1 1 1 L 50 lb Bag 1 i'L00 I Q 1 �1 Precinct 4-P I Ton 50 lb Bag 1 1 1 Precinct 4-S ' Ton I I I ' I 1 I 1 I SO lb Bag 1 Remarks: Bid Item #14: Item 334, Type D!Hot Mix -Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I I I 1 , Precinct 2 1 Ton I I I Precinct 3 1 Ton I I 1 1 Precinct 4-P 1 Ton 1 1 I I Precinct4-S ; Ton 1 1 1 Remarks: Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER. I I I I Precinct 1 1 Ton I I 1 I Precinct 2 j Ton I I I I Precinct 3 j Ton I Precinct4-P ; Ton I I I I Precinct 4-S I Ton 1 I I I Remarks: Page 36 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Item #16: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton i I , I Precinct 2 1 Ton I i i i , , i I i I i Precinct 3 i Ton i i i I Precinct 4-P j Ton ' I I , , Precinct 4-S Ton The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 0- a I, ;:p- Authorized Signature -t n ` Type Name &Title of Authorized Signature: ` LVAINS'OQN'atJ f-IOdettyliaeu Phone Number: aw-3\b' Email: �VN'yrt �COc 1C0.S QAsr` C, �a�^ Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address COWL,. Ob t'. a. vim. Zlefi S� Ma�•�� --c-� 't��b`1 • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton Precinct Ton I I 1 Precinct 3 I Ton j Precinct4-P 1 Ton I I { I I Precinct 4-S I Ton I Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct1 Ton I .%•Gp 2$O .� N5 Precinct 1 Ton 0zi I y•cjU , Precinct 3 I Ton , 00 3,A •ie:;0 go , go ' Precinct 4-P ; Ton •S� I �t; , SO Precinct 4-S I Ton (0 • 010 ' , SO 1 `{0 • J O Remarks: 'iSGVjjV3 I pce' '-t Page 31 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 inch] or Equivalent Price per ton / delivery price to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I Precincts I Ton , 00 0o Precinct 2 ; Ton I , DO ! \7- ; 3 6 .00 Precinct3 Ton % I I I I Precinct4-P I Ton oz7 I 3q Precinct4-S I Ton I Z�. �O ( „�, 13?•o;) I Remarks: to Cyt Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 I Ton I �• OD i �S . o3 � �Z .I- I Z 4, '("or5, i I I Precinct I Ton 7.�Il,a-0 ; \2.a0 I 6.0a ' Precinct3 1 Ton 12. , D'J I 1(4.00 I Precinct 4-P ; Ton I , 00 It C. -6 D Precinct4-Si Ton 24.aZ) I (3•rJ(7 I ��•D(7 I Remarks: 10 GoG W45 Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precincts I Ton I I I I I I I I Precinct ' Ton I I i Precinct 3 I Ton ; I Precinct4-P I Ton I I I I Precinct4-S II Ton I I I Remarks: Page 32 of 65 Invitation To Bid Form - Annual Supply Controct for Road Materials -- CONTINUED Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List # of 47 lb Bags on a Pallet Price per unit/ delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I � ' Precinct 1 i Ton I I I 2 3 4-S Remarks: of 47 Ib Bags on Pallet Ton of 47 lb Bags on Pallet Ton of 47 lb Bags on Pallet Ton _ of 47 lb Bags on Pallet Ton —of 47 lb Bags on Pallet Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 Ton ' 3Z.4&7o ALSO I Z I Precinct 2 I Ton 0z) Z • SAD Precinct Ton SL),Cyr�"l•.S� ��•50 Precinct 4-P I Ton I �. I .�� I �n soI D Precinct 4-5 ( Ton �O.Ot7 -z+k .So ig%4 •�;D ' Page 33 of 65 Invitation To Bid Form - Annual Supply Contractfor Rood Materials -- CONTINUED Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct Ton 5b.00 3Z �Z.SO 2�k-p I Precinct 2 I P Ton I i I Precinct 3 Ton S'0 i Precinct 4-13 I Ton 1 Precinct 4-S 1 Ton j x ozO i 3�(.y�c Qt-k•� Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ; Ton j i I I I j I I Precinct I Ton I A I i ALi I I i Precinct 3 i Ton I I i I Precinct 4-P I Ton I i I I i I Precinct 4-S 1 Ton 1 Remarks: Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I i i I I I I Precinct 1 I Ton I Precinct 2 I Ton I i i i I i I Precinct I Ton I 1 1 1 i Precinct4-P I Ton I Ii i I I Precinct 4-5 ! Ton I I I Remarks: Page 34 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/or J obsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 Ton 3`J •00 13Z. s 6Z. -a Precinct2 ; Ton 32, Z. 50 Precinct3 Ton I 30,pc) I I I Precinct 4-P I Ton I �a. LYJ ��, 5� ��• $ I ; Precinct 4-5 ` Tan I, ' �� (•� 6(4 so Remarks: ?6c"wV GtC_4r Wl%,A- Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I i Precinct 1 j Ton I Precinct 2 = Ton I j I I Precinct 3 I Ton I I I Precinct 4-P ' Ton I i I i I Precinct4-5 ; Ton ' Remarks: Intentionally Left Blank Page 35 of 65 Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or 50 lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 Precinct 1 I Ton 1 1 1 1 I I 50 lb Bag I 1 Precinct 2 ; Ton 1 50 lb Bag I 1 1 1 Precinct 1 Ton ' 50 lb Bag I i Precinct4-P; Ton I I 1 50 lb Bag i I Precinct4-S 1 Ton I i i 50 lb Bag I 1 Remarks: Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct1 Ton I 6.f,. 3�•7 I �ZJ•b I 2� -%t:,Ag ' 1 1 i Precinct I Ton 1 �6, Orgy 1 "r •5c) 1 2 .� Precinct 3 1 Ton • e9't7 I "O 1 Z S p 1 Precinct4-P; Ton G-VD I (A I t2 •SO Precinct4-S Ton ro •Li0t ' 39 -1 '0 Remarks: t2Z h - w Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 1 1 Precinct 1 1 Ton I Precinct2 1 Ton 1 Precinct 3 Ton 1 1 Precinct4-P 1 Ton 1 I Precinct4-S 1 Ton I 1 ' Remarks: Page 36 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I i i Precinct 1 Ton I 1 I I I 1 Precinct I Ton ' I I I I Precinct Ton I IIV Precinct 4-P Ton Precinct 4-S ; Ton I j Remarks: The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: Eat. . 1-6, 72>22- Authorized Signature & Title: Type Name & Title of Authorized Signature: W�+AY� �"�h1M+J ��} C✓AL;a Phone Number: Q2 ` 516 ' (SSA Email: _&tkAWXV R1XVVtX_,h - c� Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's NarR AHress ease ervice, Inc DBA Matagorda Construction & Materials • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT R'OAD�NfPiTERtAL��{B�d Iterri Listed of Equlua��la#)f } � � � � kS r d ✓ ' f, vfi � Y i ., Bid Item #1: Limestone f2 Irish To Dust or E,q�llval rTt K L Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct { Ton 1615 1 9,/ID 135•S5 1 a51L,on Precinct 1 Ton ,75 135,85 I a2Jr 63 r6 Precinct 3 1 Ton 1 5 ; 30. 1 1 c?5 -tons i 10,75 Precinct 4-P 1 Ton '3 a5 ' a5+0(15 �j Precinct 4-S' Ton , (5 ;a 136,,35 C L Ia,5-.Q Remarks: Bid Item #2: i Limestone 3/4 lnch To.Dust or fquiyaleni Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct Ton ; c?q.1Q ;3(o.10 a5-Eons Precinct 2 1 Ton 17,00 ' A is 1 3(o. 10 1 Precinct 3 ' Ton j 7, 00 I .Id 13740 1 95 -j0115 Precinct 4-P; Ton ; O ; 3 39.0 1 95 LiJ Precinct 4-S I Ton 17.00 129,66 13LW 1 a5for5 Remarks: Page 31 of 65 Invitation To Bid Form -Annual Supply Contract for Rood Materials --CONTINUED IBid Item#3: Remarks: Bid Item Remarks: Bid Item Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct I Ton I t+5 1I .jV 135,a fCIJ UL5 Precinct Ton 1 15 '/ 135-a} 'R5-60f1.{ Precinct t Ton 1b. 5 I ; .(x5 IRSforf i Precinct 4-P 1 Ton 1 �l(J,,®/� 138� ,2 ' Z-LY1 S P4-S 1 Ton l v ' � � R }„recinct I , Gn 5✓C• � 5 I Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TAL LOAD/ORDER I Precinct 1 1 To I ' I 1 ! Precinct 2 Ton in Precinct 3 Ton 1 1 1 1 Precinct 4-P i Ton I 1 I Precinct 4-51 Ton 1 i , See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY L LOAD/ORDER I I Precinct 1 I on I I I 1 I Precinct 2 I n ' I I I I Precinct 3 To h 11 ! I A-Prl Ton 1 4-S ! Ton Page 32 of 65 Invitation To Rid Form -Annual Supply Contract for Road Materials --CONTINUED Remarks: Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM OCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct Ton I 1 of 4716 I ' Bag n Pallet 1 Precinct 2 1 Ton i I i 1 of 47 lb � Bags on Pallet' Precinct 3 1 Ton i 1 I _ of 47 lb 1 Bags on Pallet 1 1 i Precinct 4-P; Ton I i i i ' i of 47 lb 1 1 Bags on Pallet 1 Precinct 4-S I Ton 1 1 1 1 of 47 lb � I Bags on Pallet Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit I MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 To 1 I 1 1 I I I Precinct 2 Ton 1 ' Precinct 3 1 Ton I 1 Precinct 4-P I Ton I 1 I I i 1 I Precinct 4-S i Ton 1 1 i 1 Page 33 of 65 Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #8: Items3Q2,vTypE> PB, Grade 4 jPre Coated Rgckj or Eduivalent ' Price per ton kdelivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I I Precinct 1 I To ; I ; v I I Precinct 2 i Ton I I I I Precinct 3 ; Ton I O ' 1 Precinct 4-P I Ton I I I I I I I I Precinct 4-5 ; Ton ' Remarks: Bid Item #9: *tem 302, Tyke PE, Grade, 3 (PrOX6 to i *i Ma'erjal Source out of orgialvalgnt,': ,`; e per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION it MATERIAL DELIVERY TOTAL LOAD/ORDER I ' I I Precinct 1 I Ton All Precinct 2 1 Ton I Precinct 3 i Ton O I � I I f Precinct 4-P I Ton f I I 1 I I Precinct 4-5 ; Ton I I I 1 Remarks: Iter>3 30,fiype R,E, Grade4 jPre Coated Rock) Bid Item #10:', * aterial Stirce au# of or Equlvaletit ; Price p n / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 I I I I I I Precinct 1 ' Ton ' i I I Precinct 2 Ton I I 1 1 I Precinct 3 Ton I I 1 I 1 I Precinct 4-P I Ton 1 I I I I 1 Precinct 4-5 ; Ton Remarks: Page 34 of 65 Invitation To Bid Form -Annual Supply Controctfor Road Materials --CONTINUED Bid Item #11: Item 30 4, Type E, Grades"5, Ice`Rock {No�L Coated Limestone Only) Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Cy I 1p.,�� I 1a5 ton Precinct Ton ;� l.�Q ;q(t50 Precinct Ton ��j j ;��/Q��5$ 3 ;a5ion ![$ /n59,� IS,gS 13o.'O IcI a5 ion Precinct Ton I /S,58 �Ip.40 13�•(Vo 15`.02 K torL5 inct4-PI Ton r{ c�inct 18, -`s I Or�O I �5 4-S Ton /�bo Remarks: Bid Item #12:, _Item 33Q, T,ype,D (Pre Mix Gmes£Qhe) or,Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM 106ATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER , I Precinct I I I Precinct 2 ; Ton I I I i Precinct 3 I Ton I ! I ' Precinct 4-P 1 Ton I i I I I I Precinct 4-S ; Ton , , I I Remarks: Intentionally Left Blank Page 35 of 65 It wuunI �uypry wnuou JUr noun FWUi(frfUn wry InvUCU Bid Item #11 . IWMI330 D, 06tk I Repatr, Gmestd Remarks: Bid Item Bid Item See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or 50 Ib Bag) MINIMUM LOCA Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I 50lbBag Precinct 2 ; Ton 50 lb Bag I Precinct 3 Ton I 50 lb Bag Precinct 4-P ; Ton I 50 lb Bag I precinct 4-5 I Ton 50 lb Bag See fications, Bid Item #14 for more information on this materia. Price per ton livery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit ERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton i I Precinct 2 1 Ton I I Precinct 3 I Ton I I I I Precinct 4-P ; Ton I Precinct 4-S { Ton Price pe,ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Un MATERIAL ' DELIVERY ' TOTAL LOAD/ORDER Precinct 1 I Ton I I Precinct 2 Ton I Precinct 3 Ton I I � I I Precinct 4-P I Ton 1 i I I i Precinct 4-S I Ton I I ; i, Page 36 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Bid Item #16: ! Item 432, Rlprap,=Section 2,3 Store RSprap "Z`' Llrrrs£ane or Egti?lent , .. . Price per ton / delivery price to County Stockpile and/or Jobsite ., .. MINIMUM LOCATIO Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ; TO, � I ; j I Precinct 2 1 Ton I I I I ' I I I Precinct 3 Ton I Precinct 4-P Ton I ' ' Precinct 4-5 I Ton i I 1 I I Remarks: The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: /O/II Authorized Signature & Title: Type Name & Title of Authorized Signature: Glenn I.YIQ,lnUm "aL I v IQWf PhoneNumberq1+3a3-agi1 Email: g1en QmrYYI6tulu,(Aryl J Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Nan)e & Address tM cc ri -- PA eL,ek Trek Lt wk. the . ct6a - lma,r ranpk 7�k Tr�cicincr 0. Lm EI Curn On ►"X -7-?-13 / • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Rid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 Ton ; I I I Precinct Ton Precinct 3 I Ton I N.So 33•`15 39,Li5 j a5 Trs Precinct 4-P I Ton 11 ,�I Precinct 4-5 ; Ton _I . S t7 ; q 1 .15 3 Li - N 5 11a 5 llh S Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton I I I Precinct 2 Ton I I I Precinct 1 Ton Precinct 4-P; Ton 38.u5 I �5 TIi ,S Precinct 4-S I Ton I ,so I �, c(. 5 13 Li. Li 5 i 2 S Tns Remarks: Page 31 of 65 Invitation To Bid Form- Annual Supply Contractfor Rood Materials --CONTINUED IBid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I ' Ton 1 I Precinct 2 I Ton I I I Precinct 3 Ton Precinct4-P Ton 95 ! 3 7.9-5 Precinct 4-S' Ton ' L{•Oa 1 615 I33.9s 'A5 TnS Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I I I Precinct 1 I Ton I I I Precinct 2. Ton I I I Precinct I Ton i I I I Precinct4-P I Ton I I I i Precinct4-S I Ton , i Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton , I Precinct 2 I Ton I I iI I Precinct 3 I Ton I Precinct4-P I Ton i I Precinct4-5 1 Ton I I , Remarks: Page 32 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List It of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 i Ton I I I I I I _0f 471bi Bags on Pallet I ' ' Precinct 2 Ton 1 1 1 i of 47 lb 1 I I Bags on Pallet I i i i i i Precinct 3 1 Ton I 1 1 i I _ of 47 lb Bags on Pallet Precinct 4-P; Ton I of 47 lb I I I I Bags on Pallet Precinct 4-S I i Ton I of 47 lb i I � Bags on Pallet Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 I Ton 1 I 1 I 1 Precinct 2 1 Ton 1 II I Precinct 3 ; Ton Precinct 4-P I Ton I I I 1 Precinct4-S I Ton I ) � i I Page 33 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite LOCATIO I MATERIAL I DELIVERY I TOTAL I Precinct 1 ; Ton I Precinct 2 1 I Ton Precinct 3 Ton I Precinct 4-P I Ton Precinct 4-S Ton Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite Remarks: MINIMUM LOAD/ORDER MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ; Ton I I I Precinct 2 Ton I I iI I ' I Precinct 3 Ton I I I I I Precinct 4-P I Ton I I I I Precinct 4-S Ton I I I Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton I I I Precinct 2 Ton I I I i I ' i Precinct 3 Ton i i i i I i I Precinct 4-P I Ton I ' I I Precinct 4-S I Ton I i I I I Page 34 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER , Precinct 1 ; Ton I I Precinct 2 ' Ton I , I i I Precinct 3 Ton i I I I Precinct4-P 1 Ton i I Precinct4-S I Ton Remarks: Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER , I Precinct 1 1 Ton I I I I Precinct 2 I Ton I I i I Precinct 3 Ton I Precinct4-P Ton I I ; I Precinct4-S I Ton , I I I , Intentionally Left Blank Page 35 of 65 Invitation To Bid Form -Annual Supply Contractfor Rood Materials --CONTINUED Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or lobsite (Ton and/or 50 lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 Ton 1 50 lb Bag I i Precinct 2 Ton 50 Ib Bag I Precinct 3 1 Ton iI , I I 50 lb Bag I Precinct4-P I Ton I I 50 lb Bag I I Precinct 4-5 I Ton I I 50 lb Bag I j Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton iI I Precinct 2 Ton I ' I Precinct Ton � I I I Precinct4-P i Ton I I Precinct4-S ! Ton I I Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / del ivery price to County Stockpile and/or Jobs ite Remarks: MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton I I I I I I Precinct 2 Ton I I Precinct 3 Ton t Precinct4-P I Ton i I Precinct4-S I Ton I I Page 36 of 65 Invitation To Bid Form -Annual Supply Contractfor Road Materials --CONTINUED The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: 1 n - 31 - a 7 Authorized Signature & Title; Type Name & Title of Authorized Signature: F C (arn I< i J 01N� C'k PC e. S i GQ east - Phone Number: q-)ct-SLi3 -DIaa Email: m_'marceVCA @5AC�'l0o_C DM Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address %n �k 1 CZ4,4L LG C /R7 Eat //R JrY 78 7/o • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct l Ton I •�� cr Precinct ; Ton ; ; �,� I �{'-�,0� D Precinct Ton g, db L/Y. O� Precinct 4-P Ton 0 Precinct 4-S i Ton 06 Yy ©6 Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton 00 3106 C% 6 ; ;ci� S 6. CT i Precinct 2 ' Ton i v '31,o6 i 1 Q� 1 Precinct ; Ton 6 0� I o ; ' Y, D, ;'Lj ; / Precinct 4-P ; Ton I �j, d0 0 (J h f 1. 01 i ; / a Precinct 4-S ; Ton ; 6. av ; .3 U• Q 6 I 7 Y r ( ; Remarks: Invitation To Bid Form -Annual Supply Contract for Road Materials — CONTINUED Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDEF 1 Precinct 1 I 1 0 Ton 'V p ' ay rC Precinct 1 v 1 Ton I �. S Q6 I i //� b/, Q I I Precinct ; I Ton i 6- ; 3g,o ! 66 1 /� 1 / � l Precinct 4-P O Ton 0- I O I q l% y 1 Precinct4-S I Ton,l )) 1 Pb i7 �i_ I Remarks: Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I i I I I Precinct 1 I Ton I I I I I Precinct 2 1 Ton I ; 1 1 1 1 I 1 1 I Precinct 3 1 Ton I I 1 1 I I I I Precinct 4-12 I Ton I I 1 I I I I 1 I I Precinct4-S I Ton 1 1 I 1 I I I I I Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 1 Ton I I I i I I I I I I I I I I I I i Precinct I Ton I I I I I 1 Precinct 3 1 Ton I I I I I 1 I t I i i I Precinct 4-1) I Ton i iI � I 1 1 I Precinct 4-S 1 Ton I I I I 1 i I 1 I ! i I Remarks: Invitation To Bid Form - Annual supply Contractfor Road Materials -- CONTINUED Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List # of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ' Ton I ' of 471b l Bags on Pallet l Precinct 2 Ton I I _ of 47 lb Bags on Pallet I t l I Precinct 3 Ton of 47 lb I i l Bags on Pallet i I i Precinct 4-P ; Ton ; of 47 lb Bags on Pallet i Precinct 4-S i Ton { ' i _ of 47 lb ; Bags on Pallet I I Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 ' Ton G � U � I yS,lJ'� g y Precinct 2 Ton oG �C% i I �, f s q5,15 i l I Precinct Ton I I l Precinct 4-P ; Ton Precinct 4-S i Ton i Sai. I I rks: Invitation To Bid Form - Annual Supply Contract for Road Materials --CONTINUED Bid Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite LOCATION Unit MATERIAL DELIVERY TOTAL Precinct 1 Ton I ,� ° �' 95,15 I l q 7, 15 I I p I O Precinct I Ton IGa. I I I v I Precinct 3 Ton S $ ; q7,15 I i i DC i Precinct 4-P I Ton 1 5 I i $ 15 I q t 7, / 5 i I Precinct4-S I Tan 15.. [ IfS. /i 77- IRemarks: Bid Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite LOCATION Unit MATERIAL DELIVERY TOTAL Precinct 1 Ton I I I I Precinct 2 I Ton I' I I I I Precinct 3 I Ton Precinct4-P I Ton , Precinct 4-S I Ton I I I I I I I ; arks: Al ✓ f5 / �/ Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite LOCATION Unit MATERIAL DELIVERY TOTAL I I Precinct 1 ; Ton i i Precinct 2 1 Ton I I I I i i I i i Precinct 3 I Ton I I I I I I I I I Precinct 4-P I Ton I I I I i Precinct 4-S I Ton I I I MINIMUM D_ MINIMUM MINIMUM LOAD/ORDER Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/orlobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton Precinct 2 j Ton I Precinct 3 I Ton I 1 Precinct 4-P I Ton i I Precinct 4-S Ton I Remarks: � f) Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 Ton I I Precinct 2 Ton i i i Precinct 3 1 Ton I i I I I I I I I I I I Precinct 4-P I Ton iI I I I I I I Precinct 4-5 ; Ton I Remarks: Intentionally Left Blank Invitation To Bid Form -Annual Supply Contract for Road Materials --CONTINUED Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/orJobsite (Ton and/or 50lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct i t Ton I I I I 50lb Bag 1 1 1 i Precinct 2 Ton SO lb Bag I Precinct 3 1 Ton I I 50 lb Bag Precinct 4-P; Ton I 50lb Bag c 1 I I Precinct4-S I Ton i II I I SO lb Bag Remarks: cj Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or lobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I 1 Precinct 1 I Ton 1 Precinct 2 I Ton 1I I I I Precinct 3 1 Ton 1 I I Precinct 4-P ; Ton I Precinct 4-5 ; Ton I Remarks: Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 Precinct 1 1 Ton I I 1 I I I Precinct 2 1 Ton i i i i Precinct 3 Ton i Precinct 4-P ; Ton _ I I I I I Precinct 4-5 1 Ton I I I 1 Remarks: c Invitation To Bid Form -Annual supply Contract for Road Materials -- CONTINUED Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ; Ton �-g, oG .7 jp / ?2 LI I Precinct 2 , Ton , i Precinct 3 Ton I I �'�, Oa qp 1 �, ( p i i 10 7, [ c I I Precinct4-P ; Ton I I Precinct 4-S I Ton r -7 q, / %, / 1 d-7e / ri � i Remarks: The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: ze) 16", A- :)— Authorized Signature & Title: Type Name & Title of Authorized Signature: Za - ,-&r y % ^ -, , n- — r Phone Number: �! %f' %%rr' �,�`%� Email: rHr o/te 7e ,ifs Q lr. o�. cc, Exceptions and or Variations from Specifications and/or additional Notes: CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address *NOTE* k I L ALL DELIVERIES ARE IN END DUMP Ux 11�q I TRAILERS. BELLY DUMP TRAILERS CAN P `� BE REQUESTED & PROVIDED IF �R, nnpcl Tx 7 f 37 AVAILABLE. • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I I 1 I I I Precinct 2 1 Ton I I I Precinct 1 Ton i I i I Precinct 4-P I Ton I I ; I 1 I Precinct 4-51 Ton i , , 1 Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 Ton f ,Gti 1 3.� I �j7-,Cv Precinct 2 1 Ton 1 , 50 3, co ,iS Precinct I, Ton 1 L 01 �3,� I 7 3Sw I 1 oS I Precinct4-P I Ton 1 �a--GL 'a 60 I SC) gq tv-S Precinct4-S I Ton 3,00 , 3.57&0 Remarks: Page 31 of 65 Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ; Ton 1 I u L Precinct 2 I Ton Precinct 3 1 1 Ton ' - 7-1 ' Precinct4-P I Ton [Precinct 4-5 1 Ton 1 (�,� , q 1 d-3,Gt; 1 3 Sw 1 9-L( 1-vivis Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 Precinct 1 I j Ton n 1 Precinct 2 i Ton 1 Precinct 3 1 I Ton I ( C) CAJ 1 3 s, Lu ' � C{ tw Precinct 4-P 1 Ton , W Precinct4-S 1 Ton I �a-.� I �.7,,� S ,W I n `�.0 irmc Remarks Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER 1 1 1 I Precinct 1 Ton 1 1 1 1 1 � i I 1 Precinct 2 1 Ton , Precinct 1 Ton 1 1 1 I 1 1 1 Precinct4-P 1 Ton 1 1 Precinct4-S I Ton I Page 32 of 65 Invitation To Bid Form - Annual Supply Contract for Road Materials --CONTINUED Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(Cost per Pallet List It of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 Ton I ' _ of 47 lb 1 t�'- ' I 1 1 Bags on Pallet 1 , 1 1 I 1 Precinct 2 ' Ton I , I _of 47lb 1 1 ' 1 1 1 Bags on Pallet i i I 1 i 1 i Precinct 1 Ton 1 1 1 _ of 47 lb 1 i 1 Bags on Pallet 1 i I F Ton I i I I of 47 lb 1 Bags on Pallet I 1 1 1 i I Ton I , 1 ' i _of 47 lb� 1 Bags on Pallet ; I i Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to county Stockpile and/orJobsite LOCATION Unit MATERIAL DELIVERY TOTAL NI MUM LOAD/ORDER I r,i PrTon 1 ! 1 Vy.� .UU 1 19 ' Precinct 2 Ton 1 (JJ i I 7 �. u% 1 n dS_$,-A( I Precinct Ton I �4.(� 1 1 I 1�.� 1 ?�.� I ' �1 y 1 Precinct 4-P ; Ton 1 6 q• Ui I � Gt 2-7- t4.S I Precinct4-SI Ton Remarks: Page 33 of 65 Invitation To Bid Form- Annual Supply Controctfor Road Materials --CONTINUED Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDEI I I Precinct I Ton (-F�S u I I 14,00 I Precinct I Ton ,i-Tj ; Precinct I Ton �jS,Zi ' (,(,� j Z j7i r A} I ' S c� I Precinct4-P I Ton �(,c+l I 74. SZ 1 2 iz�r Precinct 4-S; Ton I 63,5-0 6,� —I q,S� I e)T�FCiIi Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ; Ton I I I ' I I Precinct 2 Ton i I i I Precinct 3 I Ton I I I Precinct 4-P Tan I iI , I Precinct 4-S 1 Ton I I I I ; (Remarks: (Bid Item #10• Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price Der ton / delivery nrire to cnunN ct,r nuo Remarks: MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ' Ton ; I I I I I Precinct 2 I Ton I I I , I ' Precinct 3 Ton I I , ' 1 Precinct 4-PI Ton I I I , I Precinct 4-S ; Ton _ _ I � , I I Page 34 of 65 Invitation To Bid Form -Annual Supply Contractfor Road Materials --CONTINUED Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton G,C.C1 6S ocl 1 02 S ' 1 1 Precinct2 Ton r, 1 b-(jj ,G(J (d Precinct 1 Ton (�i _ 6,C,tl 1 I 1 _ I ' Precinct 4-P I Ton I S ,GIJ17J%IS Cr� - Precinct4-S II Ton Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 Ton 1 1 A J 1 Precinct Ton 1 I 1 I Precinct 3 Ton I 1 1 1 I 1 Precinct4-P 1 Ton I 1 1 1 I 1 Precinct 4-S ; Ton 1 1 ; Intentionally Left Blank Page 35 of 65 „.................--LUNIMMU Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item 413 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or SO lb Bag) MINIMUM f LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I Precinct 1 Ton ' 5016 Bag ' Precinct 2 1 I Ton I ' 50lb Bag I ' I Precinct i Ton I 50 lb Bag 1 ; , ' I Precinct 4-P ; Ton I , 50 lb Bag I I Precinct 4-S I Ton I ; I 50lb Bag Remarks: Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL, DELIVERY TOTAL LOAD/ORDER I I Precinct Ton -(,() Precinct ' Ton I (Q .” ' An ' 0,tio I `�.S�y7ins Precinct I Ton I Precinct 4-P ; Ton I d to //`` Precinct 4-5 I I Ton (� v .G� ; [ —I,t/D ; ` I `}t'in1 Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 I Ton I Precinct ' Ton ; ' I Precinct Ton I I 1 I Precinct 4-P I Ton I ; I I I I I I Precinct 4-S 1 Ton I ; ; I Page 36 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED 116: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM :TOTAL LOCATION Unit MATERIAL DELIVERY LOAD/ORDER I I Precinct 1 Ton I I I I ' Precinct 2 Ton II 1 1 ; ' I I Precinct 3 Ton I I I I I I I Precinct 4-P Ton I ' I � I I I I I I I Precinct 4-S ; Ton ; I The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment gift loan, gratuity, special discount trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: (6 Authorized Signature & Title: ['eSld��i1 �dType Name &Title of Authorized Signature: _ � e 1�-� � R C'� PPS i P11 Phone Number: 1S t} � Llgn Email: 4 �� CP /glj �,tli lIll it Goirvt u Exceptions and or Variations from Specifications and/or additional Notes: A J Oyi e Page 37 of 65 CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address i�� ? 6 i MAW, _fir �� G�i� � aftmG I "rL y 1-m(x • Please Type. If handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite LOCATION UNIT MATERIAL DELIVERY MINIMUM TOTAL LOAD/ORDER Precinct 1 Ton Precinct 2 Ton I I 1 ; Precinct 3 Ton I i Precinct 4-P 1 Ton 1 I 1 Precinct4-S Ton 1 1 , Remarks: Bid Item #2: Limestone - 3/4 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 1 Ton I ' I 1 1 , i Precinct 2 1 Ton 1 1 I 1 ' I I Precinct 3 Ton I I 1 I Precinct 4-P I Ton I I I ' I , 1 I I Precinct 4-S 1 Ton 1 I Remarks: N C Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I Precinct 1 Ton , Precinct 2 1 Ton I I I I I I I Precinct 3 I Ton I I 1 ' I Precinct 4-P 1 Ton I I I 1 I I I Precinct 4-S ; Ton I Remarks: Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton 1 I 1 Precinct 2 ; Ton I I I , i Precinct 3 1 Ton I I 1 I , Precinct 4-P 1 Ton I I I 1 I I I Precinct 4-S Ton I 1 I I (Remarks: Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item t#5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 I Ton I I I Precinct 2 1 Ton 1 , I I I Precinct 3 1 Ton I I I I I I I 1 I I Precinct 4-P 1 Ton I i J1 i 1 , , I 1 Precinct 4-5 ; Ton 1 I I I I Remarks: Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(cost per Pallet List # of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I Precinct 1 ' Ton I I I I of 47 lb I I Bags on Pallet I i i Precinct 2 I Ton I I I I i I I of 47 lb I I ' Bags on Pallet i Precinct 3 Ton I j of 47 lb j Bags on Pallet I � Precinct 4-P I Ton � I _of 4716 Bags on Pallet 1 I i i Precinct 4-5 ; Ton i _of471b; j 1 I Bags on Pallet Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER i Precinct 1 Ton 3�, I I Precinct I 2 Ton I Precinct 3 Ton �� _ I ��-2,(� I ��) .ZU I (� 2� l J(MS Precinct 4-P ; Ton �� _ ; $ �5 —f 1 � 1 2-((XlS may f 1 L Precinct 4-S I Ton CSCC , j Remarks: Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Bid Item #8: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile a nd/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL/\ LOAD/ORDER Precinct 1 1 Ton J> lA63 �pD I$gb 1 2H cv)1 .qo Precinct ; Ton 1 y1� { Precinct 3 I Ton 163S 1 M-7 10 2 I ;42. ; Precinct 4-P I Ton 1 , y1� ` Precinct 4-5 ; Ton ; V/� I I f;I ,Z—t }S ' Cr� II T(X Remarks: Bid Item #9: Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ' I Ton I ; I I Precinct 2 I Ton i I ' 1 Precinct 3 i Ton I I ; I Precinct 4-P 1 Ton I 1 Precinct 4-S ; Ton Remarks: Bid Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/orJobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER i Precinct 1 Ton I ; , Precinct 2 Ton i I 1 , I I I I Precinct 3 I Ton I i 1 1 I Precinct 4-P I Ton I i � I , 1 1 i I I Precinct 4-5 ; Ton i , Invitation To Bid Form -Annual Supply Contract for Road Materials —CONTINUED Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite :MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 1 Ton iI I I I Precinct 2 I Ton i; I I I , I � I i Precinct 3 1 Ton iI I I I Precinct 4-P I Ton I I Precinct 4-S ; Ton Bid Item #12: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 Ton /b Td 14 �"z� . TD ; ZLI f�5 I, Precinct 2 Ton It•�� ' iT> �� IZS ; 'Ll�-�-(Y�S i ' I I ' Precinct3 I Ton I �Vn ; �J_7,Zc) , IZ-7 ZD 2H -)� i ' '�55 Precinct4-P I Ton I� IZ5" li7 t� L�_ C d C LL "1tA'I Precinct 4-5 j Ton `LIA +WC Remarks: J Intentionally Left Blank mwcuumr ruomrorm-AnnuaioupplyconrractlOf Hoax Materials --CONTINUED Bid Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or So lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I Precinct 1 I Ton I , i I 50lbBag Precinct 2 Ton 50 lb Bag Precinct 3 I Ton 50 lb Bag Precinct 4-P j Ton 50 lb Bag Precinct 4-S 1 Ton 50 lb Bae Remarks: Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materla. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE I Precinct 1 I Ton , I 1 I 1 Precinct 2 I Ton I I I I Precinct 3 I Tan I ; Precinct 4-P ; Ton 1 I I . Precinct 4-S I Ton ; 1 Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to county Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct 1 ! Ton Precinct 2 1 T Ton Precinct 3 Ton Precinct 4-P ; Ton Precinct 4-S 1 Ton Remarks: Invitation To Bid Form - Annual Supply Contract for Road Materials -- CONTINUED Bid Item #16: Item 432, Riprap, Section 2.3 Stone Riprap, 12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I i i i 1 1 1 1 Precinct 1 I Ton 1 ' Precinct 2 I Ton 1 1 1 1 Precinct 3 1 Ton ' 1 , 1 1 1 1 , 1 1 1 Precinct 4-P ; Ton 1 1 1 1 Precinct 4-5 ' Ton 1 1 1 1 Remarks: The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: t Authorized Signature & Title: Type Name & Title of Authorized SVaattuu�re: Phone Number: Exceptions and or Variations from Specifications and/or additional Notes: t\16 I tl CALHOUN COUNTY, TEXAS INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR ROAD MATERIALS Bid Number: 2023.03 January 1, 2023 through December 31, 2023 Vendor's Name & Address 1'.�L i`t ' ► o. � a • Please Type. if handwritten, must be in ink and legible. White out is not acceptable. • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • MATERIALS BID MUST BE BROKEN DOWN INTO PRICE PER UNIT AND DELIVERY PRICE PER UNIT ROAD MATERIALS (Bid Item Listed or Equivalent) Bid Item #1: Limestone -1/2 Inch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION UNIT MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ' Ton I i Precinct ; Ton 1 , Precinct Ton , 1 t Precinct 4-P I Ton i ; I i Precinct 4-S I Ton I 1 Remarks: Bid Item #2: Limestone - 3/41nch To Dust or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER , Precinct 1 1 Ton j 1 I I ' Precinct 2 i Ton 1 Precinct 3 ; Ton Precinct 4-P ; Ton i I ; Precinct 4-5 I Ton ' Remarks: Page 31 of 65 Invitation To Rid Form -Annual Supply Contract for Road Materials -- CONTINUED Item #3: Item 247, Type A Limestone, Grade 2 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 I Ton I I I I I I Precinct 2 1 Ton I I I I Precinct 3 1 Ton I I I I I I I Precinct 4-P I Ton I I I I I I I Precinct 4-S Ton I I I Remarks: Bid Item #4: Item 247, Type A Limestone, Grade 3 [13/4 Inch] or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I Precinct 2 I - Ton I Precinct_33 Ton Precinct 4-P I Ton Precinct4-S i Ton Remarks: Bid Item #5: Item 265-2.2 Fly Ash or Equivalent See Specifications, Bid Item #5 for more information on this material Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I I I I I Precinct Ton I I I I I ' 1 I Precinct 3 1 Ton I I i I I I I I Precinct 4-P I Ton I I I I I I I I I Precinct4-S i Ton I I I 1 I I Page 32 of 65 Invitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Bid Item #6: Item 275, Cement or Equivalent 275-2.1, Hydraulic Cement Type 1, Bulk (Pneumatic Tankers, Spreader Bar Needed) 275-2.1, Hydraulic Cement Type 1, 47 lb Bag(cost per Pallet List If of 47 lb Bags on a Pallet Price per unit / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I I I Precinct 1 I Ton i of 47 lb 1 Bags on Pallet I , Precinct 2 1 Ton 1 of 47 lb 1 Z Bags on Pallet Precinct 3 I Ton I of 47 lb; j I Bags on Pallet i i I i i Precinct 4-P = Tan i of 47 lb Bags on Pallet i Precinct 4-S ; Ton 1 + i of 47 lb; 1 I I Bags on Pallet Remarks: Bid Item #7: Item 302, Type PB, Grade 3 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I I 1 I I Precinct 1 Ton I I I I Precinct 2 I Ton 1 I I Precinct 3 1 Ton I Precinct4-P; Ton I I Precinct 4-S I Ton 1 1 I Remarks: Page 33 of 65 Invitation To Bid Form -Annual Supply Contract far Road Materials -- CONTINUED Item #S: Item 302, Type PB, Grade 4 (Pre -Coated Rock) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE I I I Precinct 1 Ton I I 1 Precinct 2 1 Ton I I ' Precinct 3 { Ton I Precinct4-P I Ton I I Precinct 4-S ; Ton 1 ' (Remarks: (Bid Item #9• Item 302, Type PE, Grade 3 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I I I Precinct 2 1 Ton I I I I Precinct 3 I Ton Precinct4-P i Ton Precinct 4-S Ton I ; Item #10: Item 302, Type PE, Grade 4 (Pre -Coated Rock) *Material Source out of * or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ; Ton I Precinct 2 Ton I I I I I I Precinct 3 1 Ton I 1 I I I I 1 I Precinct 4-P I Ton 1 Precinct 4-5 ; Ton Page 34 of 65 Invitation To Bid Form -Annual Supply Contractfor Road Materials — CONTINUED Bid Item #11: Item 302, Type E, Grade 5, Ice Rock (Non -Coated Limestone Only) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 1 Ton I I I I I I I Precinct 2 Ton j I I i i i I Precinct 3 I Ton I I I Precinct 4-P I Ton I I I I Precinct 45 ' Ton iI ; Remarks: Bid Item #22: Item 330, Type D (Pre -Mix Limestone) or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER Precinct 1 ; Ton I i Precinct 2 I Ton I I ; Precinct 3 Ton Precinct 4-P I Ton I I Precinct4-S I Ton 1 ' I Remarks: Intentionally Left Blank Page 35 of 65 nvitation To Bid Form -Annual Supply Contract for Road Materials -- CONTINUED Item #13: Item 330 D, Pothole Repair, Limestone Rock Asphalt (LRA) or Equivalent See Specifications, Bid Item #13 for more information on this material Price per unit / delivery price to County Stockpile and/or Jobsite (Ton and/or 50 lb Bag) MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 IITon _I 50 lb Bag 1 1 1 1 Precinct 2 1 Ton 1 1 I I 1 ' 50 lb Bag Precinct t Ton I 1 I I i I I 1 1 ' 50 Ib Bag 1 1 I Precinct 4-P 1 Ton 1 50 lb Bag 1 1 1 Precinct 4-S Ton I 1 SO lb Bag Bid Item #14: Item 334, Type D Hot Mix Cold Laid Asphalt Concrete Pavement or Equivalent See Specifications, Bid Item #14 for more information on this materia. Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE Precinct 1 1 Ton 1 t� 1✓� 1 `'� 1 Z5 7'�5 Precinct 1 Ton I y •OS 1 c% 08 1 To..LS Precinct 3 Ton q5 ro ' ci/ 3S Precinct4-P 1 Ton 1 q S, as 7-15 Precinct4-S 1 Ton 5,� 1 Z?S 'Z$ Tu15 Remarks: Bid Item #15: ASPPM 9202 Grade IV High Performance Cold Mix or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDE I Precinct 1 Ton ' QS QD I 'I 1 I 7 $� I �S•ST ' 1 2—,5 -ra-ks Precinct 2 1 Ton 1 10960 '. 11721 O9 ; / & 1 Z-`j ?wZ5 Precinct 1 Ton ; p w i 17--f15' ; 1 -2—'j -raMJ Precinct4-P; Ton 1 OS AD 53: 1 /58.� 1 5To�5 Precinct4-S Ton 1 105.10 � SZ 8S ! �57.� �25To,u Page 36 of 65 Invitation To Bid Form -Annual supply Contract for Road Materials — CONTINUED Bid Item #26: Item 432, Riprap, Section 2.3 Stone Riprap,12" Limestone or Equivalent Price per ton / delivery price to County Stockpile and/or Jobsite MINIMUM LOCATION Unit MATERIAL DELIVERY TOTAL LOAD/ORDER I Precinct l j Ton I I I I Precinct 2 1 Ton I I I I I I I I ' I I I I Precinct I Ton I I I ' I Precinct 4-P j Ton i I I I I I Precinct 4-S ; Ton I I I Remarks: The undersigned affirms that they are duly authorized to execute this Bid and that this company, corporation, firm, partnership or individual has not prepared this Bid in collusion with any other vendor, that the contents of this Bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by their employees or agents to any official, employee or agent of Calhoun County or any other person engaged in this type of business prior to the official opening of this Bid. The undersigned affirms that they have not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to any official, employee or agent of Calhoun County in connection with this Bid. The undersigned affirms that they have read the entire Invitation to Bid Packet and fully understands all requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: /a 113 I aoaa Authorized Signature&Title: Type Name & Title of Authorized Signature: Ro b 17ANISOJ V 1CL 4ncbipwr Phone Number: 97q-8Z-70%,5- Email: _ 7a Fb6W@ASPlWCr. CoM Exceptions and or Variations from Specifications and/or additional Notes: Page 37 of 65 #15 NO FICE OF MEETING — 11/1E/2022 15. Consider and take necessary action to approve the renewal to the Health Services Agreement between Calhoun County and Southern Health Partners, Inc., dba SHP Vista Health Management, Inc. for medical care of inmates in the Calhoun County Adult Detention Center and authorize the County Judge to sign all necessary documents. The renewal begins January 1, 2023 and ends December 31, 2023. (RHM) PASS Page 12 of 25 #16 NOTICE OF MEETING- 1.1/16/2022 16. Consider and take necessary action to transfer a 2020 Toyota Tacoma, VIN# 3TMDZ5BN2LM080710 from a Calhoun County Criminal District Attorney Forfeiture Proceeding in Cause Number 2022-CV-4720-DC to the District Attorney's Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 25 Criminal District .Attorney RANDY R. CRIDER Investigator ALICIA F. GONZALES Victim Assistance Coordinator November 9, 2022 MaeBelle Cassel Calhoun County Judge's Office Calhoun County, Texas DAN W. HEARD P. 0. Box 1001.211 South Ann Street Port Lavaca, Texas 77979 (361) 553-4422 • Pax (361) 553.4421 RE: Item for Commissioners Court Agenda Dear MaeBelle SARA M. RODRIGUEZ Assistant Criminal District Attorney CHRISTY BROWN DUNN Assistant Criminal District Attorney W.A. (BILL) WHITE Assistant Criminal District Attorney I am requesting that the following items be placed on the next available Commissioners Court agenda, for their approval: Transfer of one 2020 Toyota Tacoma, VIN# 3TMDZ5BN2LM080710 to the District Attorney inventory. This vehicle was awarded to the Calhoun County Criminal District Attorney through a forfeiture proceeding in Cause number 2022-CV-4720-DC. Removal of the 2010 Lincoln 4dr VIN# 3LNHL2GC2AR657885 from the District Attorney's inventory. This vehicle will be transferred to the Port Lavaca Police Department, as directed by Chapter 59.06 Texas Code of Criminal Procedures. I have included a copy of the Judgments rendered on each vehicle and the application for Texas title, as well as the application for exempt license plates. Thank you for your assistance. Very truly yours, SARA M. RODRIGUEZ, Assistant Criminal District Attorney for Calhoun County, Texas SMR:Iy f+ 0 NO. 2022-OV 4720-DC STATE OF TEXAS § IN THE[ L°�.URT Plaintiff, § § V. § 24TH JUDICIAL DISTRICT § 2020 TOYOTA TACOMA § VIN# 3TMDZ5BN2LM080710, § - CALHOUN COUNTY, TEXAS DEFAULT JUDGMENT BE IT REMEMBERED that on this day, came on to be heard the above entitled and numbered cause wherein The State of Texas as Plaintiff alleged that it had seized one 2020 TOYOTA TACOMA, VIN# 3TMDZSBN2LM080710, in the Original Notice of Seizure and Intended Forfeiture filed herein. Plaintiff, The State of Texas, appeared by and through SARA M. RODRIGUEZ, Assistant Criminal District Attorney for Calhoun County, Texas. It appears that citation and certified copy of Plaintiffs Original Notice of Seizure and Intended Forfeiture was served personally on KATE MARIE DELEON, owner ofsaid.pmperty and in whose possession said property was found. The return of said citation having been on file for more than ten (10) days, the said KATE MARIE DELEON came not in person or through counsel and wholly made default Plaintiff, The State of Texas, presented its petition as prima facia evidence that the said property involved herein was 2020 TOYOTA TACOMA, V1N# 3TMDZ5BN2LM080710. The Court, after duly considering the evidence and the law involved herein, is of the opinion that said property is contraband as defined in the Texas Code of Criminal Procedure, Article 59.01(2) in that said 2020 TOYOTA TACOMA, VIN# 3TMDZ5BN2LM080710, was being used, intended to be used orwas proceeds gained from the commission ofa felony under Chapter481 of the Texas Health AISCCCCFILED %D'CLOCKfM aala.cv.enaoc `2022 r DIS IE-KCALNOUNCOUNTY.TEXAS BY DEPUTY end Safety Code, to -wit: Possession of a Controlled Substance Penalty Group 1 >=4 Grams, <200 Grams. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED by the Court that said property as identified in said Original Notice of Seizure and Intended Forfeiture on file herein be and is hereby found to be liable to forfeiture under said statute. THEREFORE, said 2020 TOYOTA TACOMA, VIN# 3TMDZSBN2LM080710, is hereby forfeited to the Calhoun County Criminal District Attorney's Office as provided in Chapter 59 of the Texas Code of Criminal Procedure. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that costs shall be assessed against the party incurring same. IT IS FURTHER ORDERED that Plaintiff shall have all writs of execution and other process necessary to enforce this judgment. All relief not expressly granted hereinisdenied. SIGNED this dZwA day of *DOE 2022. PRESIDING AS TO FORM: Assistant Criminal District Attorney for Calhoun County, Texas P.O. Box 1001 Port Lavaca, Texas 77979 (361) 553-4422 State Bar No. 240509998 2022-CV4720•DC Application for Texas Titlp and/nr Qnnic+rnfinn �••�. �• •�V Applying for (please check one): •V ■ ❑ Title & Registration ❑ Title Only ® Registration Purposes Only ❑ Nontitle Registration TAX OFFICE USE ONLY County: For a corrected title or registration, check reason: Doc #: ❑ Vehicle Description ❑ Add/Remove Lien ❑ Other: ❑ SPV El Appraisal Value $ 5. Model 6. Major Color 7. Minor Color 1. Vehicle Identification Number 3TMDZ5BN2LM080710 2. Year 3. Make 4. Body Style 2020 TOYOTA PK TAC GRY 8. Texas License Plate No. 9. Odometer Reading (no tenths) 10. This is the Actual Mileage unless the mileage is: IL Empty Weight 12. Carrying Capacity (if any) RZX0697 27809 ❑ Not Actual ❑ Exceeds Mechanical Limits ❑ Exempt 13. Applicant Type ❑ Individual ❑ Business ® Government ❑ Trust ❑ Non -Profit 14. Applicant Photo ID Number or FEIN/EIN 15. ID Type ❑ U.S. Driver License/ID Card (issued by: ❑ NATO ID ❑ U.S. Dept. of State ID ❑ Passport (issued by: ) ❑ U.S. Military ID ❑ U.S. Dept. of Homeland Security ID ❑ U.S. Citizenship & Immigration Services/DOJ ID ❑ Other Military Status of Forces Photo ID 16. Applicant First Name (or Entity Name) Middle Name Last Name Suffix (if any) Calhoun County Criminal District Attorney 17. Additional Applicant First Name (if applicable) Middle Name Last Name Suffix (if any) 18. Applicant Mailing Address City State Zip 211 S. Ann Street, Suite 302 Port 19. Applicant County of Residence Lavaca TX 77979 Calhoun 20. Previous Owner Name (or Entity Name) City State 21. Dealer GDN (if applicable) 22. Unit No. (if applicable) Kate Marie Deleon 23. Renewal Recipient First Name (or Entity Name) (if different) Middle Name Last Name Suffix (if any) 24. Renewal Notice Mailing Address (if different) City State Zip P. O. Box 1001, Port Lavaca, Texas 77979 45. Applicant Phone Number (optional) 26. Email (optional) 27. Registration Renewal eReminder 28. Communication Impediment? 361-553-4422 ❑ Yes (Provide Email in #26) ❑ Yes (Attach Form VTR-216) 29. vehicle Location Address (if different) City State Zip Port Lavaca, Texas 77979 30. Multiple (Additional) Liens ❑ Yes (Attach Form VTR-267) 31. Electronic Title Request ❑Yes (Cannot check #30) 32, Certified/eTitle Lienholder ID Number (if any) 33. First Lien Date (if any) 34. First Lienholder Name (if any) Mailing Address City State Zip 35. Check only if applicable: MOTOR VEHICLE TAX STATEMENT ❑ 1 hold Motor Vehicle Retailer (Rental) Permit No. and will satisfy the minimum tax liability (V.A.T.S., Tax Code §352.046[c]) ❑ I am a dealer or lessor and qualify to take the Fair Market Value Deduction (V.A.T.S., Tax Code, §152.002[c)). GDN or Lessor Number 36. Trade -In (If any) Year Make Vehicle Identification Number 37, Additional Trade-In(s) El Yes (complete) El Yes 38. Check only if applicable: SALES AND USE TAX COMPUTATION ❑ (a) Sales Price I$ rebate has been deducted) $ ❑ $90 New Resident Tax - (Previous State) (b) Less Trade-in Amount, described in Box 36 above $ ( ) ❑ $5 Even Trade Tax (c) For Dealers/Lessors/Rental ONLY- Fair Market Value ❑ $10 GiftTax- Attach Comptroller Form 14-317 Deduction, described in Box 36 above $ ( ) ❑ $65 Rebuilt Salvage Fee (d) Taxable Amount (Item a minus Item b or Item c) $ ❑ 2.5% Emissions Fee (Diesel Vehicles 1996 and Older> 14,00016s.) (e) 6.25%Tax on Taxable Amount (Multiply Item d by.0625) $ ❑ 1 % Emissions Fee (Diesel Vehicles 1997 and Newer> 14,00016s.) (t) Late Tax Payment Penalty ❑ 5%or ❑ 10% $ ❑ Exemption claimed under the Motor Vehicle Sales and Use Tax Law because: (g) Tax Paid to (STATE) $ -PENALTY (h) AMOUNT OF TAX AN DUE ❑ $28 or$33 Application Fee for Texas Title (Item a plus Item f minus Item g) $ (Contact your county tax assessor -collector for the correct fee.) CERTIFICATION -State law makes falsifying information a third degree felony I hereby certify all statements in this document are true and correct to the best of my knowledge belief, and and I am eligible fortitle and/or registration (as applicable). ❑ (Check only if applicable) I certify I am applying for a corrected title and the original Texas Certificate of Title is lost or destroyed. Signature(s) of Seller(,), Dono l(s), or Trader(s) Pnn[ed Names) (Same as Signature(,)) Date • Sara M. Rodriguez 11/09/2022 Signature of Applicant/Owner Printed Name (Same as Signature) Date Signature(s) of Additional Applicants)/Owner(s) Printed Name(s) (Same as Signature(,)) Date Form 130-U Rev02/22 Y..........._o_u_ __�:_ _ _. _ _. -.. orm avanauie Online at www.ixDMV.gov Page 1 of 2 Application for Texas Title and/or Reaistration General Instructions With a few exceptions, you are entitled to be informed about the information the department collects about you. The Texas Government Code entitles you to receive and review the information and to request that the department correct any information about you that is incorrect. Please contact the Texas Department of Motor Vehicles at 1-888-368-4689 or 512-465-3000 for details. This form must be completed and submitted to a county tax assessor -col lector's office accompanied by any required application fee, supporting documents, registration fee, if applicable, and any motor vehicle tax due. An application form may be reproduced or faxed. A completed form must contain the original signature of the buyer. The seller's signature may be reproduced or faxed. All title applications must include one of the government -issued photo IDs listed in Box 15. Detailed instructions for completing this form are located in the Detailed Instructions for Application for Texas Title and/or Registration (Form VTR-130-UIF). AVAILABLE HELP • For assistance in completing this form, contact your county tax assessor -collector. • For information about motor vehicle sales and use tax or emission fees, contact the Texas Comptroller of Public Accounts, Tax Assistance Section, at 1-800-252-1382 toll free nationwide or call 512-463-4600. • For title or registration information, contact your county tax assessor -collector or the Texas Department of Motor Vehicles at 1-888-368-4689 or512-465-3000. Additional Details Title Only: License plates and registration insignia previously issued for this motor vehicle must be surrendered in accordance with Transportation Code §501.0275, if applicable, unless this vehicle displays a license plate under an applicable status of forces agreement. The following types of vehicles are not eligible for Title Only: construction machinery (unconventional vehicles), water well drilling units, machinery used exclusively for drilling water wells, construction machinery not designed to transport persons or property, implements of husbandry, farm equipment (including combines), golf carts, slow moving vehicles, or any vehicle with a suspended or revoked title. Registration Purposes Only: Do not surrender an original out of state title with this application. A Texas title will NOT be issued for a vehicle applying for Registration Purposes Only. The receipt issued upon filing this application will serve as the registration receipt and proof of application for Registration Purposes Only. • Foreign Vehicles: Foreign vehicles applying for Registration Purposes Only must attach DOT Form HS-7 or U.S. Customs Form CF-7501 to indicate the vehicle is: 1) over 25 years old, or 2) complies with Federal Motor Vehicle Safety Standards, or 3) is being imported in the United States for a temporary period by a nonresident or a member of the armed forces of a foreign country on assignment in the U.S., and does not conform to the Federal Motor Vehicle Standards and cannot be sold in the U.S. Nontitle Registration: Certain trailers, farm equipment, construction machinery, oil well servicing machinery, water well drilling units, etc. are either exempt from, or not eligible for title, but are eligible for, or required to, obtain registration or a specialty plate in order to operate on the highway. Applicants should mark this box only when applicable. Note: A lien cannot be recorded on this type of application. Out of State Vehicles: If the applicant certifies the vehicle is located out of state, self -certification of the Vehicle Identification Number (VIN) is allowed if a VIN verification form issued by a Texas state -approved safety inspection station is not included with the submission of this application. See Vehicle Identification Number Certification (Form VTR-270) for more information. Notice • The sales and use tax must be paid to the county tax assessor -collector within 30 days from the date of purchase or entry of the vehicle into Texas. • A $2.50 transfer fee is paid to transfer current registration to the new owner in addition to the title application fee and other applicable fees. If the registration is not current, full registration fees are due unless applying for Title Only. • A 6.25 percent motorvehicle sales and use tax is imposed on the sales price (less trade-in allowance) of motor vehicles for use in Texas or a motor vehicle purchased outside of the state and later brought into this state by a Texas resident. • Standard Presumptive Value (SPV) applies to private -party sales of most used motor vehicles purchased or brought into Texas. The tax is computed on the greater of the sales price or 80 percent of the SPV on the day of title application. • New Texas residents are subject to a $90 use tax on a vehicle brought into this state that was previously registered to the new resident in another state or foreign country. This is in lieu of the 6.25 percent use tax imposed on a Texas resident. • A $10 gift tax is due when a person receives a motor vehicle as a gift from an immediate family member, guardian, or a decedent's estate. A vehicle donated to, or given by, a non-profit service organization qualifying under IRC 501(c)(3) is also taxed as a gift. Both donor and recipient must sign the Comptroller's joint affidavit, Affidavit of Motor Vehicle Gift Transfer (Form 14-317). The affidavit and the title application must be submitted in person by either the donor or recipient. • A transaction in which a motor vehicle is transferred to another person without payment of consideration and one that does not qualify as a gift described above is a sale and will be subject to tax calculated on the vehicle's standard presumptive value. • A late penalty equal to 5 percent of the tax will be charged if the tax or surcharge is paid from 1 to 30 calendar days late. If more than 30 calendar days late, the penalty will be 10 percent of the tax; minimum penalty is $1. • In addition to the late tax payment penalty, Texas Transportation Code provides for an escalating delinquent transfer penalty of up to $250 for failure to apply for title within 30 days from the date of title assignment. Submit this application along with proper evidence of ownership and appropriate valid proof of financial responsibility such as a liability insurance card or policy. • All new residents applying for a Texas title and registration for a motor vehicle must file at a county tax assessor-collector's office within 30 days of establishing residency. Texas law requires that all vehicles previously registered and titled or registered in another state or country be inspected for safety and the vehicle identification number verified before such vehicles may be registered in Texas. These inspections must be made by a state appointed safety inspection station that will complete a Texas Vehicle Inspection Report. This form must be submitted to a county tax assessor -collector with your application for registration and Texas title. Form 130-U Rev 02/22 Form available online at www.TxDMV.gov Page 2 of 2 �r. Texas Departtncrtt u/ Motor Vehicles Application for Standard Texas Exempt License Plates County Use Only License No Mo/Yr of Exp Date Issued ructions a completed application for vehicles operated or leased by a qualifying governmental entity to your local county tax rSubmit sor-collector's office. This application may be used for up to six (6) vehicles. If the vehicle is leased, attach a copy of the lease ment. entity is a volunteerfire department or emergency ambulance service, complete one of the applications listed below in lieu s application: • Volunteer fire department— Application for Exempt Registration of Certain Rescue Vehicles (Form VTR-62-F) • Emergency ambulance service —Application for Exempt Registration of an Emergency Medical Services Vehicle (Form VTR- 62-EMS) NOTE: A federal tax exemption status or the assignment of a Comptroller I.D. number does not qualify a vehicle for exempt license plates. VehicleRequirements Exempt vehicles must ensure proper inscription as required by Texas Transportation Code Chapter 721. United States government owned vehicles are exempt from the inscription requirements in Chapter 721. Exempt Organization Information Name of Governmental Entity Department/Office Calhoun County Criminal District Attorney Criminal District Attorney Authorized Agent First Name Middle Name Last Name Suffix Sara M. Rodriguez , Address 211 S. Ann Street, Suite 302 City State ZIP Port Lavaca Texas 77979 Email -Number da@calhouncotx.org Phone (361)653-4422 Exempt Vehicle Information Year Model Vehicle Make Body Style Vehicle Identification Number Empty COUNTY USE Weight (lbs.) ONLY Plate Issued 1 2020 Toyota PK 3TMDZSBN2LM080710 2 3 4 5 6 Certification - State law makes falsifying information a third degree felony. I certify I am authorized to sign this application on behalf of a qualifying governmental entity, and the vehicle(s) display the name of the governmental entity on each side ofthe vehicle as specified above. V V1 l - T 11/9/2022 Authorized Agent Signature Date Form VTR-62-A Rev. 1/2020 Form available online at www.TxDMV.gov Page 1 of 1 #17 NOTICE OF MEETING-11/16/2022 17. Consider and take necessary action to remove a 2010 Lincoln 4-door VIN# 3LNHL2GGC2AR657885 from the District Attorney's inventory and transfer to the Port Lavaca Police Department as directed by Chapter 59.06 Texas Code of Criminal Procedures. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 25 FILED ATI - 'CL0Ct'&M NO.2020-CV-4076—DC AhffiIA fvlEEL4 DIS:e"T r.+.__HO^'U--N,,WN?Y,Tyhs THE STATE OF TEXAS § IN THE DISTRIOT- 0'I�U=o purr Plaintiff, § VS. § 135TH JUDICIAL DISTRICT 2010 LINCOLN 4 DOOR, VIN# § 3LNHL2GC2AR657885 § Defendant. § OF CALHOUN COUNTY, TEXAS DEFAULT JUDGMENT BE IT REMEMBERED that on the / 71 day of S6p7-- , 2020, came on to be heard the above entitled and numbered cause wherein The State of Texas as Plaintiff alleged that it had seized ONE 2010 LINCOLN 4 DR, VIN# 3LNHL2GC2AR657885, in the Original Notice of Seizure and Intended Forfeiture filed herein. Plaintiff, The State of Texas, appeared by and through SARA M. RODRIGUEZ, Assistant Criminal District Attorney for Calhoun County, Texas. It appears that citation and certified copy of Plaintiff's Original Notice of Seizure and Intended Forfeiture was served personally on Ashleigh Nicole McKenzie, the person in whose possession said property was found. The return of said citation having been on file for more than ten (10) days, the said Ashleigh Nicole McKenzie came not in person or through counsel and wholly made default. Plaintiff, The State of Texas, presented its petition as prima facia evidence that the said property involved herein was ONE 2010 LINCOLN 4 DR, VIN# 3LNHL2GC2AR657885. The Court, after duly considering the evidence and the law involved herein, is of the opinion that said property is contraband as defined in the Texas Code of Criminal Procedure, Article 59.01(2) in that said 2010 LINCOLN 4 DR, VIN# 3LNHL2GC2AR657885 was used in the commission of or proceeds acquired from the commission of a felony under Chapter 481 of the Texas Penal Code, to -wit: Manufacture/Delivery of a Controlled Substa=4 in Penalty Group 1, greater than or equal to 4 grams, but less than 200 grams and Possession of a Controlled Substance in Penalty Group 3, greater than or equal to 4 grams.. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED by the Court that said property as identified in said Original Notice of Seizure and Intended Forfeiture on file herein be and is hereby found to be liable to forfeiture under said statute. THEREFORE, said 2010 LINCOLN 4 DR, VIN# 3LNHL2GC2AR657885 is hereby forfeited to the Calhoun County Criminal District Attorney's Office as provided in Chapter 59 of the Texas Code of Criminal Procedure in accordance witli its Local Agreement with the Port Lavaca Police Department. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that costs shall be assessed against the party incurring same. IT IS FURTHER ORDERED that Plaintiff shall have all writs of execution and other process necessary to enforce this judgment. All relief not expressly granted herein is denied. SIGNED this f 7"0' day of S-&-Pft 2020 41 ilt I, A�sl 1) 1 N -G APPROVED AS TO FORM: SARA M. RODRIGUEZ, Assistant Criminal District Attorney for Calhoun County, Texas P.O. Box 1001 Port Lavaca, Texas 77979 (361) 553-4422 State Bar No. 240509980 #18 I NO"110E OF MEF_ FING 11/1.6/2022 18. Consider and take necessary action to accept a Law Enforcement Partners donation to the Sheriff's Office to be deposited into the Motivation account in the amount of $1,566.40. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 25 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4669 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: NOVEMBER 16, 2022 Please place the following item(s) on the Commissioner's Court agenda for the datc(s) indicated: AGENDA FOR NOVEMBER 16, 2022 r Consider and take necessary action to accept Law Enforcement Partners donation to the Sheriffs Office to be deposited hito the Motivation account in the amount of $1566.40. Sincerely, DPW Bobbie Vickery Calhoun County Sheriff #19 I NO-1 ICE OF MEETING—11/16/2022 19. Consider and take necessary action to acknowledge an increase in the Sheriff's Forfeited Property Fund 2022 budget as follows: Law Enforcement Supplies 2860-999-53430 - $1,000 Miscellaneous 2860-999-63920 - $8,000 and Forfeitures — Other 2860-001-4560 - $9,000. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 25 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: SHERIFF FORFEITED PROPERTY FUND 2022 ADJUSTMENT DATE: NOVEMBER 16, 2022 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 16, 2022 • Consider and take necessary action to acknowledge an increase in Sheriff's Forfeited Property Fund 2022 budget as follows: Law Enforcement Supplies 2860-999-53430 $1,000, Miscellaneous 2860-999-63920 $8,000, and Forfeitures - Other 2860-001-45060 $9,000. Sincerely, Bobbie Vickery Calhoun County Sheriff # 20 NOTICE OE MEETING - 11/16/2022 20. Consider and take necessary action on updating the members of the Flood Insurance Appeals Board for variance requests to the Calhoun County Flood Damage Prevention Order. (RHM) PASS Page 17 of 25 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 November 10, 2022 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for November 16th, 2022. "Consider and take necessary action on updating the members of the Flood Insurance Appeals Board for variance requests to the Calhoun County Flood Damage Prevention Order." Thank you, LaDonna Thigpen #21 NOII(.E (DE MEETING—1.1./I(i/202) 21. Consider and take necessary action to approve an invoice to Kathy Smartt for $500.00 for preparing and submitting a letter to TDEM requesting Calhoun County's excess FEMA funds. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct'2 SECONDER: Joel Behrens, Commissioner Pct 3' AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 25 Smartt Grants 3801 Menchaca #7 Austin, Texas 78704 (512) 800-4740 November 9, 2022 Richard H. Meyer 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 Re: Invoice for Services for DR-4332 I Calhoun County I PW 6436 1 Excess Funds Judge Meyer: I prepared and submitted a letter to the Texas Division of Emergency Management on behalf of Calhoun County to request the County's excess FEMA funds. I am now requesting compensation in the amount of $500 for those services. Thank you. Kathy Smartt # zz I NOTICE OF MEETING -11/16/2022 22. Hear and review updates on the Countywide Drainage District Consolidation. (RHM) Thomas Guach with Roberts, Odefey, Witte and Wall gave a report. Page 19 of 25 Mae Belle Cassel From: sissy®portlavacalaw.com (Sissy Durham) <sissy®portlavacalaw.com> Sent: Thursday, November 10, 2022 9:33 AM To: Mae Belle Cassel Subject: November 16th Agenda CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Mae Belle, Could you please add "discuss and take any action necessary on the Countywide Drainage District Consolidation" to the November 16th Agenda. Thanks. Sissy Si55t Pi4rAxPn Legal Assistant Roberts, Odefey, Witte & Wall, LLP Attorneys at Low P. O. Box 9 2206 N. Highway 35 Bypass Port Lavaca, Texas 77979 361-552-2971(Telephone) 361-552-5368 (Fax) sissy@portlavocalaw.com ROBERTS, ODEFEY, WITTE & WALL, LLP -- CONFIDENTIALITY NOTICE: This electronic message is intended to be viewed only by the individual or entity to whom it is addressed. It may contain information that is privileged, confidential and exempt from disclosure under applicable law. Any dissemination, distribution or copying of this communication is strictly prohibited without our prior permission. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, or if you have received this communication in error, please notify us immediately by return e-mail and delete the original message and any copies of it from your computer system. NOT INTENDED AS A SUBSTITUTE FOR A WRITING: Notwithstanding the Uniform Electronic Transactions Act or the applicability of any other low of similar substance and effect, absent an express statement to the contrary hereinabove, this a -mail message, its contents, and any attachments hereto are not intended to represent an offer or acceptance to enter into a contract and are not otherwise intended to bind the sender, Roberts, Odefey, Witte & Wall, LLP any of its clients, or any other person or entity. # 23 NOTICE OF MEETING - 1.1/16/2022 23. Consider and take necessary action to approve the Canvass Report with Official Results of the Calhoun County, Texas 2022 General Election. (RHM) Rennette Todd gave the report. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner'Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 20 of 25 CALHOUN COUNTY ELECTIONS DEPARTMENT 211 S. ANN ST, PORT LAVACA, TX 77979 • PH: 361-553-4440 • FAX 361-553-4443 November 10, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann St. Port Lavaca, Texas 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for November 16, 2022. * Consider and take necessary action to approve the Canvass Report with Official Results of the Calhoun County, Texas 2022 General Election. Thank You, Mary Ann Orta Calhoun County Elections Administrator AW9-2 Prescribed by Secretary of State Section 67.004, Texas Election Code 3/07 CANVASS OF GENERAL ELECTION I, Richard Meyer, County Judge of Calhoun County, Texas, met with the Commissioner's Court sitting as the canvassing board to canvass the General Election of November 08, 2022 at Port Lavaca, Texas. I certify that the figures on the tally sheets correspond with the figures on the returns. Witness my hand this —A day of /0,2 l) �sr� 6� y , 2022 Presiding Officer anvassing Authority AWM. Prescribed by Secretary of State Seedons 67.00(b)(2) and 97.1231, Texas Eleodon Cade 3/07 SUMMARY OF PRECINCT RETURNS I, the undersigned, the presiding officer of the canvassing authority for General Election, held on the Oath day of November 20 22 Calhoun County, Texas do hereby certify that the following is a total of all votes received by each candidate and votes received "for" and "against' each measure as shown by the precinct returns. I further certify that the following vote totals include early voting votes by precinct received under Section 87.1231 of the Texas Election Code. Name of Office/ or Proposition US Rep District #27 Us Rep Dist 927 Governor Governor Governor Governor Lieutenant Governor Lieutenant Governor Lieutenant Governor Attorney General Attorney General Attorney General Comptroller of Public Accounts Comptroller of Public Accounts Comptroller of Public Accounts Commissioner of GLO Commissioner of GLO Commissioner of GLO Commissioner of Agriculture Commissioner of Agriculture Railroad Commissioner Railroad Commissioner Railroad Commissioner Railroad Commissioner Name of Candidate Michael Cloud Maclovio Perez Jr. Greg Abbott Beto O'Rourke Mark Tippetts Delilah Barrios Dan Patrick Mike Collier Shanna Steele Ken Paxton Rochelle Mercedes Garza Mark Ash Glenn Hagar Janet T. Dudding V. Alonzo Echevarda-Garza Dawn Buckingham Jay Kleberg Alfred Molison Jr. Sid Miller Susan Hays Wayne Christian Luke Warlord Jaime Andres Diaz Hunter Wayne Crow Total Votes Received DATED, th' 6"/ o I ,20�L 1 Presiding. AW9.1. Prescribed by see bo, ofstete Seedens 67.00(b)(2) and 87IM, Texas Election Code 3/07 SUMMARY OF PRECINCT RETURNS I, the undersigned, the presiding officer of the canvassing authority for General Election, held on the 08th day of November 20 22 Calhoun County, Texas do hereby certify that the following is a total of all votes received by each candidate and votes received "for" and "against' each measure as shown by the precinct returns. I further certify that the following vote totals include early voting votes by precinct received under Section 87.1231 of the Texas Election Code. Name of Office/ Name of Candidate or Proposition Justice, Supreme Court, Place 3 Debra Lehrmann Justice, Supreme Court, Place 3 Erin A. Nowell Justice, Supreme Court, Place 3 Thomas Edward Oxford Justice, Supreme Court, Place 5 Rebeca Huddle Justice, Supreme Court, Place 5 Amanda Reichek Justice, Supreme Court, Place 9 Evan Young Justice, Supreme Court, Place 9 Julia Maldonado Judge, Court Criminal Appeals PL 5 Scott Walker Judge, Court Criminal Appeals PL 5 Dana Huffman Judge, Court Criminal Appeals PL 6 Jesse F. McClure, III Judge, Court Criminal Appeals PL 6 Robert Johnson Member, State Board of Education Dist. 2 LJ Francis Member, State Board of Education Dist. 2 Victor Perez State Senator, District 18 Louis W. Kolkhorst State Senator District 18 Josh Tuft Justice, 13th Court of Appeals Dist. PL. 3 Aaron Pena Justice 13th Court of Appeals Dist. PL. 3 Leticia Hinojosa Justice of the Peace, Precinct 1 Hope D. Kurtz Justice of the Peace, Precinct 1 Louis Rubio DATED, this of �0 U 20 Z- 1 Presiding Officer Total Votes Received v'viv v v v-:v v v v;v �i�p'W V P�f.n A W NIA N V IBC: W O NO'UiO �I V IP UI A.P A W-U1 N � A'N de de eS dB 0 0 91910A z N 0 D N G D N (n cn go N m m o m M N O fD � A � O n D 2 O z z n O C z O N N VINiN O O",W N A.W10.0'�W N dl A N O PTV a w..o w:w w.w 'zaiad all C A C2 m'm m m A0 Z N (') 0 o y N n A N N m ^� m O N p C) CJ � o' �I ! N UiVPVi N Ora W O o'A �,',.P 'SL SOD *1100 RIM W3a- � c 0 OIaalS Nieuueusan m N a A i. V11 , o; V ,uOIXed UO)I ddN 2neg sapamayy SL N V!o �o A w A ao V P of N e w cn P V V ae m� A A� ialla4�o8 W30 i I� oip '»lo lco YISv veNJ 81l a N P( V A W E b W W W W eNn VIA.c,ari.!m..Wo,�,�la.a''.��SeO salon le101 m u 0 0 O T T 0 r m m N C r "'PPo0 n�i P N m iai'a o i.Pi �!m rn oi'l}aosp W30 N m VIIa N'. GO WW VI: O.aIW NI i ,ruosiiopy Co A P W P N A W W: oaljH NNB +loio o', olo o.o_�o', olo a 0 i n O 3 sI 3 n a x 0 z z n O C z 0 y -1 -1 74 -1 -1 � O L i m P W j P N N N OJ P i m W V m'O �O V A AIN WV P �P_N_NIWWP, N.N'. O P��O m A-O A P (nIP mIm A PiPNN', WW VII VI'N.Ni saipuy -f 81l auFeM lsaluoD Z N () D m N < A Cf) m N m o N �p m 0 0 n T a _ n 0 c Z m � m 0 0 c z --I< w N A P V A w m W w W w. W N �O Pim m A'.N A m P:P O''.O N N P 0 3soluoo V 0 !1 A z N 0 o N D p N Z c 0 D CD N N m m N 0 D .Z7 ti 1 0 n D 2 C z z CJ O C z V,� v� v lm n;c� o 0 0;o c� oiololc� � a0 W VIP N A WIN! :. j Mar Via N N N uosugor O V Pub m N',a V V P'O Oi, Ueq`f0a W3Q n. '.. m I �10 N ' L m1Se0S910A1e101'''.. �.. SIDOeI JM dR Q'... I d 'Hawed V O �O Aa w A b � V P o 1 �ilola!A W30 i m N O I -W. �-.. m i o � '', � m � . � � w w 7Se0 salon Iwo � � � �•'',. P, A w b b w w S, ie1o11Sa1e00 m 0 n 2 O z z n 0 z z C) T T_ n D r m m c r N � b M V'P VI a'WIN— �.O IN S 4QJu4lluA ai o rn mew Pawl.,"" MSIOld38 O�W N=m O,OAW�VIjO PIP N.N.W..'': WVNI. P.NiN:.O N N ( 1 P to l�O W P A N �0 N) W ISO V P-P N N WIW P PIN N. 0 N N o,. co y < 'm 0 N o m -, C �.,'. 0-: A p n. MIN Tn U:OLm z N 0 N Z N D (n y m N m N N m m N 0 fD � n D 2 0 c z 0 0 c z 0 ti v v vi z N 0 a 7�7i tii N Z N lJ IJ 3 N m cn a CO N N T m C) I N O A s o i.d. adoH d38 o !O a � � oigq sinol W3U � w m y old A A Nry N m m. wJ 15a:1 Sal0A 18101''.P. .� 0 n D 2 0 z z c') O z z 0 Q T T 0 D r m m N C r # 24 NOTICE (.)I MEETING—11/16/2022 24. Approve the minutes of the November 2, 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 21 of 25 NO I ICE OF MEETING—11/1E/2022 25. Consider and take necessary action to replace the first page of Meeting Minutes from January 5, 2022- July 27, 2022 due to a change in wording. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 22 of 25 Richard ]H[,Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners'Court of Calhoun County, Texas met on Wednesday, November 2, 2022, at 10:00 a.m. in the Commissioners'Courtroom in the County Courthouse at 211 S. Ann Street, Smite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, Cou Judge Calhoun County, Texas Anna Goodman, County Clerk 0" Deputy Clerk Page 1 of 1 NOTICE OF MEETING— 11/2/2022 Richard H. Meyer County judge David -tall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney ]Karla Perez, Deputy Clerk ��I I"I��I 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 (211t 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 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 # 25 Mae Belle Cassel From: Kaddfe.Smfth@calhouncotx.org (Kaddie Smith) <Kaddie.Smith@calhouncctx.org> Sent: Monday, November 7, 202211:17 AM To: MaeBelle.Cassel@calhouncotx.org Cc: anna.goodmm@calhouncotx.org Subject: Commissioners' Court Minutes packet Attachments: DOC110722.pdf Hey MaeBelle, Please put on the agenda: Approve to replace the first page of Meeting Minutes from January 5, 2022- July 27, 2022 due to a change in wording. See attached supporting documentation. I_iitpfi �, ilatrlc C.Oirii ul:,;:a ill ie s' i,UUI' Calhoun Countv Clerk's Office 211 S Ann Street. Ste 102 Port Lavaca, Texas 77979 Phone: 361.553.4417 Fax: 361.553.4420 CONFIDENTLILTTY NOTICE: The information contained in this transmission may be strictly confidential. If you are not the intended recipient of this message, you are notified that you may not disclose, print, copy or disseminate this information. If you have received this transmission in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail may be a violation of criminal law. Calhoun County Texas Calhoun County Texas NOTICE OF MEETING — 1/5/2022 C'U (td Richard H. Meyer C®unly judge David HaU, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 ][caddie Smith, Deputy Clerk REGULAR TERM 2022 § January 5, 2022 BE IT REMEMBERED THAT ON January 5, 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- Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Judge Richard Meyer wishes everyone a Happy New Year! 5. Hear a report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 5 NOTICE OF MEETING—1./12/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern ]Lyssy, Comnnissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (Video)Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CAJ4.e]H[®UN COUNTY C®MMISSIONERS9 COUR C REGULAR TERM 2022 § January 12, 2022 BE IT REMEMBERED THAT ON 78nuary 12, 202Z 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 called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Joel Behrens Texas Flag- Commissioner Vem Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Approve the minutes of the December 1, 2021, December 8, 2021, December 15, 2021, December 22, 2021, December 29, 2021 and January 5, 2022 meetings. RESULT APPROVED[UNANIM.OUS]. INOVER. ':David Hall.commissioner Pct 1 . SECONDER: Joel Behrens; Commissioner Pct 3 AYES: Judge Meyer; Commi§sioner Hall,'Lyssy, Behrens, Reese Page 1 of 7 NOTICE OF MEETING—1/19/2022 (ABSENT) Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CALH®UN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § January 19, 2022 BE IT REMEMBERED THAT ON 7anuary 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 10:00 a.m. by Commissioner Gary Reese. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation, David Hall explains Commissioners' Court will continue to meet publicly. Sherriff Bobby Vickery warns the public of the ice storm that may strike the coast later this week. 5. Approve the minutes of the January 12, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER:. Vern Lyssy, Commissioner Pct 2 . SECONDER: , Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall,.Lyssy, Behrens, -Reese Page 1 of 3 NOTICE OF MEETING— 1/26/202) Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CALH O UN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § January 26, 2022 BE IT REMEMBERED THAT ON Ianuary 26, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting toorder. Meeting was called to order by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Reese Texas Flag — Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the repork Page 1 of 4 NOTICE OF MEETING — 2/2/2022 Richard H. Meyer County judge dge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk 1\ OTICE OF MEETING \.G REGULAR TERM 2022 § -- February 2, 2022 BE IT REMEMBERED THAT ON February 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- Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear report from Calhoun 911 regarding NG 9-1-1 grant program. PASS Page 1 of 4 NOTICE OF MEETING-2/9/2022 Richard H. Meyer County judge David ]Full, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4- iKaddie Smith, Deputy Clerk CALHOUN COUNTY COMMISSIONERS'COURT REGiTLAR TERM 2022 § February 9, 2022 BE IT REMEMBERED THAT ON February 9, 202Z 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 -Gary Reese Texas Flag -Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Happy Birthday Cindy! Page 1 of 4 NOTICE OF MEETING — 2/16/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Crary Reese, Commissioner, Precinct 4 ]Kaddie Smith, Deputy Clerk CA]LHO UN COUNTY C®MMISSION ERS' C®URT REGULAR TERM 2022 § February 16, 2022 BE IT REMEMBERED THAT ON February 16, 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. by Judge Richard Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. GLo was present to speak on vessel program. Page 1 of 6 NOTICE OF MEETING.- 3/2/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 (ABSENT)Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 ]Kaddie Smith, Deputy Clerk CA LHOUN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § March 2, 2022 BE IT REMEMBERED THAT ON MARCH 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 Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a report from MMC. Roshanda Thomas gave the report. Page 1 of 5 NOTICE OF MEETING — 3/9/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Conunissioner, Precinct 4 IKaddie Smith, Deputy Clerk REGULAR TERM 2022 § MARCH 9, 2022 BE IT REMEMBERED THAT ON MARCH 9, 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 called to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Public Hearing regarding the proposed adoption of the Guidelines and Criteria of the Commissioners' Court of Calhoun County for Granting Tax Abatement as a Business Incentive in Reinvestment Zones created in Calhoun County for the period of March 9, 2022 through March S, 2024. (RHM) Closed regular meeting at 10:01 and opened the Public Hearing. Opened Regular meeting at 10:01 Page 1 of 7 NOTICE OF MEE1ING-3/16/2.022 Richard H. Meyer Connrnt y judge David Hall, Commissioner, Precinct l Vern ]Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 ]Kaddie Smith, ][Deputy Cleric (� 11 \ i ill 1 I 1 REGULAR TERM 2022 § MARCH 16, 2022 BE IT REMEMBERED THAT ON MARCH 16, 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 called to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Approve the minutes of the February 2, 2022, February 9, 2022 and February 16, 2022 meetings. RESULT. `> APPROVEb [UNANIMOUS] .: MOVER Vern Lyssy, Commissioner Pct 2 SECONDERo- Joel Behrens, Commissioner Pct 4 AYES. Judge Meyer, Commissioner Hall, Lyssy, Behrens; Reese Page 1 of 5 NOI10E OF MEETING.- 3/23/2022 (ABSENT)Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Cleric REGULAR PERM 2022 § MARCH 23, 2022 BE IT REMEMBERED THAT ON MARCH 23, 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 Joel Behrens Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Hear MMC report from Roshanda Thomas S. Public Hearing regarding a Petition to Vacate Lots 1, 2, and 3, Pelicans Landing as recorded in Volume Z, Page 6.98 (slides 449 A&B). Closed riWeting at 10 09 TerryRuddick ezpla ned Petition'th Vacate.. Opened meeting at 10.11 Page 1 of 5 NOTICE OF MEETING — 3/30/2022 Richard H. Meyer County judge ][David Haft, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk REGULAR TERM 2022 § MARCH 30, 2022 BE IT REMEMBERED THAT ON MARCH 30, 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. Welcome back Judge Meyer! Naomi Cruz's retirement party. 5. Approve the minutes of the March 2, 2022 and March 9, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 5 I NOTICE OF MEETING— 4/6/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 (ABSENT)Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 1Kaddie Smith, Deputy Cleric CALHOUN COUNTY C®MMISSION ERS' C®URT REGULAR TERM 2022 § APRIL 6, 2022 BE IT REMEMBERED THAT ON APRIL 6, 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 Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A S. Consider and take necessary action to authorize the Calhoun County Area Go -Texan Committee to allow alcohol to be consumed at the County Fair Grounds during their Texas Bar-B-Que Cook -off on April 22 and 23, 2022. Any alcohol on the premises will be brought in by the teams participating in the cook -off as the Committee will not be selling alcohol. (RHM) F2ESULT. APPROVED [UNANIMOUS]- MOVER: Gary Reese, Commissioner PCt4 SECQNDER: Joel Behrens, Commissioner Pet 3 AYES: `Jydae McVer, Commissioner Hall, Behrens, Reese: Page 1 of 5 NOTICE OF MEETING -- 4/1.:3/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 ]Kaddie Smith, Deputy Clerk REGULAR TERM 2022 § APRIL 13, 2022 BE IT REMEMBERED THAT ON APRIL 13, 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. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag -Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Sheriff Bobbie Vickery presented*plaque to;dspa#char Patrick Schuberts 5. Approve the minutes of the March 16, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER;%. 'Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct4 AYES: Judge Meyer, Commissloner Hall, Lyssy,;Behrens, Reese Page 1 of 5 NOTICE OF MEETING — 4/20/1.022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Anna Goodman, County Clerk Kaddie Smith, Deputy Clerk CAL H OUN COUNTY COMMISSIONERS'COURT T REGULAR TERM 2022 § APRIL 20, 2022 BE IT REMEMBERED THAT ON APRIL 20, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Cali meeting to order. Meeting was called to order at 10:00a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Read an invitation from the University of Houston to attend the "2022 Fueling the Future Summit" at the UHV Northwest Center on April 27, 2022 From 9 am to 4 pm. Judge Richard Meyer read invitation. Page 1 of 4 NOTICE OF MEETING-4/27/2022 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 ]Kaddie Smith, Deputy Clerk CALHOUN COUNTY C®MMISS][ONJL: RS9 COURT REGULAR TERM 2022 § APRIL 27, 2022 BE IT REMEMBERED THAT ON APRIL 27, 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 called to order at 10:00a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear report from Memorial Medical Center. [tosharidaThomas gave the report 6. Consider and take necessary action to approve an Order Prohibiting Outdoor Burning. (RHM) Pass Page 1 of 4 NOTICE OF MEETING —5/4/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CA L]H OUN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § MAY 4, 2022 BE IT REMEMBERED THAT ON MAY 4, 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 called to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Joel Behrens 4. General Discussion of Public Matters and Public Participation. Cindy Krause with Intracoastal Republican Woman of Texas gave information on the County History Fair taking place May 28, 2022. 5. Approve the minutes of the March 23, 2022, March 30, 2022, April 6, 2022, April 13, 2022 and April 20, 2022 meetings. RESULT: ;APPROVED [UNANIMOUS]: MOVER." Vern-Lyssy, Commissioner Pct2 SECONDER:: Jod:Behreris,Commissioner Pct3 AYES. Judge Meyer, Commissioner Hall, Lyssy; Behrens, Reese Page 1 of 5 NOTICE OF MEETING — 5/18/2022 Richard H. Meyer County judge David HIaH, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 ,Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CA]LHOLLJN COUNTY COMMISSIONERS'COURT REGULAR TERM 2022 § MAY 18, 2022 BE IT REMEMBERED THAT ON MAY 18, 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 Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Public Hearing regarding a Petition to Vacate and Abandon a portion of unconstructed public road in Alamo Beach described as a 0.069-acre tract, a 0.099-acre tract, a 0.307- acre tract, and a 0.310-acre tract, Alamo Beach Townslte further described in the Application. Property Owners are: Eddie Moore and David and Glenda Duncan. Closed regularMeeting at 10:01a.m.. Anne`Marle, pdefey explained the abandonment. Opened regular meeting at 10:03aw'm Page 1 of 4 I NOTICE OF MEETING - 5/25/2022. 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 § MAY 25, 2022 BE IT REMEMBERED THAT ON MAY 25, 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. by Judge Richard Meyer 2. Invocation. Commissloner David Hail 3. Pledges of Allegiance. US Flag — Commissioner Vern Lyssy Texas Flag — Commissioner Gary Reese 4. General Discussion of Public Matters and Public Participation, Bobbie Vickery requested prayers for Uvalde. 5. Hear reports from the AgrlLife Extension Office: I. Coastal and Marine ii. 4-H and Youth Development M. Family and Community Health RJ Shellley, Emiiy, and Karen Lyssy with the AI rlLifeextension Offlce'and Amy: with C.CISD gave updates on past events including crab trap c►eanup, adapt -a - beach cleanup; earth day, partnership with the, Formosa TejanD iMetlands anti ;. 1CCISDi. livestock shows, and community outreach Page 1 of 4 NOTICE OF MEETING — 6/1/2022 Rich2rd H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney ]Karla Perez, Deputy Clerk CA L]H OUN COUNTY C®MMISS][ON ERS' C®URT REGULAR TERM 2022 § JUNE 112022 BE IT REMEMBERED THAT ON 3UNE 1, 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 Vern Lyssy Texas Flag — Commissioner Gary Reese 4. General Discussion of Public Matters and Public Participation. Commissioner Vern Lyssy invited everyone to the $ixrMile yolunteer Fire: Deparkment fundraiser on Saturday, June 4, 2022. 5. Hear report from Memorial Medical Center. Roshanda.Thomas;gave the monthly report and presented Commissioners.` and Judge Meyer with,a token of appreciation for Continuous support. Page 1 of 3 NOTICE OF MEETING—C/8/2022 Richard H. Meyer County judge David Hail, Commissioner, Precinct l 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 § JUNE 812022 BE IT REMEMBERED THAT ON TUNE 8, 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 called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag — Commissioner Gary Reese Texas Flag — Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation, N/A 5. Approve the minutes of the April 27, 2022, May 4, 2022, May 11, 2022 and May 18, 2022 meetings. RESULT: APPROVED [UNANiMOUSJ. (OVER: Vern Lyssy, Commissioner Ptt:2 SECONDER. Gary. Reese, Commissioner Pct:4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behren'si Reese Page 1 of 6 NOTICE OF MEETING - 6/13/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Anna Goodman, County Clerk CAL H[OUN COUNTY C®MMISSION ERS' COURT REGULAR TERM 2022 § JUNE 13, 2022 BE IT REMEMBERED THAT ON JUNE 13, 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. 2. Invocation. 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Burn ban retained per judge Richard Meyer. Page 1 of 5 I NOTICE OF MEETING — 6/22_/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Tern Lyssy, Commissioner, Precinct 2 (Zoonn)Jocl Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Xaddie Smith, Deputy Clerk Sara Rodriguez, County Attorney CAIe]E- O UN COUNTY C®MMISSION ERS' C®1CJRT REGULAR TERM 2022 § JUNE 229 2022 BE IT REMEMBERED THAT ON TUNE 22, 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 9:59 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag -Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Burn ban'retained.per]udge Richard Meyer. Page 1 of 5 I NOTICE OF MEETING—6/29/2022 Richard H. Meyer County judge David )[hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Anna Goodman, County Clerk ]Kaddic Smith, Deputy Clerk CA]LHOUN COUNTY C®M[M ISSIONERS' C®URT REGULAR TERM 2022 § JUNE 299 2022 BE IT REMEMBERED THAT ON JUNE 29,.2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting was called to order at 9:59 by Judge Richard Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Judge Meyer entourages:all to be cautious with emails and online websites, as Guadalupe County, was just hacked. 5. Hear report from Memorial Medical Center. RosNanda Thomas:.gave the monthly report; Page 1 of 4 NO-1ICE OF MEETING — 7/f/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 (ABSENT)Vern ILyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Anna Goodman, County Clerk ]Kaddie Smith, Deputy Clerk - i - A � \ (i l l `1, I �1 < REGULAR TERM 2022 § JUL'Y 612022 BE IT REMEMBERED THAT ON 3ULY 6, 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 Joel Behrens 4. General Discussion of Public Matters and Public Participation. N/A 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer reinstated the burn ban, declared state of local disaster and banned alf'fireworks. Page 1 of 4 NOTICE 01- MEETING— 7/1.3/207.2 Richard H. Meyer County judge David H4 Commissioner, Precinct 1 Vern Lyssy, Conumissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Kadldlie Smith, Deputy Clerk CA L]H O UN COUNTY COMMISSION ERS' C®URT REGULAR TERM 2022 § - JULY 13, 2022 BE IT REMEMBERED THAT ON 3ULY 13, 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 9:59 a.m. by Judge Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag -Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Hear a presentation from the Calhoun County Health Department. Texas Department of State Health. Services Introduced new location and'gave a brief `c description of their. services. Page 1 of 4 NOTICE OF MEETING— 7/20/2022 Richard H. Meyer County judge David ]Flail, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 &ddic Smith, Deputy Clerk ` ALHOlJN COUNTY `L®Mlm ISSI®NERS9 C®'I. RT REGULAR TERM 2022 § JULY 20, 2022 BE IT REMEMBERED THAT ON JULY 20, 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 called to order at 10 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Gary Reese Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer decided'tco leave the burn ban In place. Page 1 of 6 I NOTICE OF MEETING — 7/27/2022 Richard H. Meyer County judge David Hall, Conunissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CAL H[OUN COUNTY C®MMISSION ERS' C®URT REGULAR TERM 2022 § JULY 27, 2022 BE IT REMEMBERED THAT ON JULY 27, 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. by Judge Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation, N/A 5. Consider and take necessary action to lift or retain the county burn ban. (RHM) Judge Meyer explained he was going to retain the burn ban. 6. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 4 # 26 I NOTICE OF MEETING—11/1612072 26. Accept Monthly Reports from the following County Offices: i. Justice of the Peace, Precinct 1— October 2022 ii. Justice of the Peace, Precinct 2 — October 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 23 of 25 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/3/2022 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 0 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 8,858.13 CR 1000-001-44190 SHERIFF'S FEES 764.27 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 50.00 CHILD SAFETY 0.00 TRAFFIC 137.56 ADMINISTRATIVE FEES 863.96 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 1,051.52 CR 1000-001-44010 CONSTABLE FEES -SERVICE 300.00 CR 1000-001-44061 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 226.20 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,083.64 TOTAL FINES, ADMIN. FEES & DUE TO STATE $12,283.76 CR 2670-001-44061 COURTHOUSE SECURITY FUND $440.20 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $4.50 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $366.32 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $18.16 CR 2730-001-44061 LOCAL TRUANCY PREVENTION & DIVERSION FUND $435.42 CR 2669-001-44061 COUNTYJURYFUND $8.71 CR 27287001-44061 ='_ JUSTICE:000RTSUPPORTFUND $300.00 CR 267T,-001-44061 " COUNTY DISPUT&RESOLUTION FUND $60t00 CR 2725-001-44061 LANGUAGE ACCESS FUND:. $3600'' STATE ARREST FEES DPS FEES 44.58 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 44.58 CR 7070-999-20610 CCC-GENERAL FUND 17.98 CR 7070-999-20740 CCC-STATE 161.86 DR 7070-999-10010 179.84 CR 7072-999-20610 STATE CCC- GENERAL FUND 541.92 CR 7072-999-20740 STATE CCC- STATE 4,877.32 DR 7072-999-10010 5,419.24 CR 7860-999-20610 STF/SUBC-GENERAL FUND 3.33 CR 7860-999-20740 STF/SUBC-STATE 63.23 DR 7860-999-10010 66.56 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 87.26 CR 7860-999-20740 STF- EST 9/1/2019- STATE 2,094.13 DR 7860-999-10010 2,181.39 Page 1 of 3 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/3/2022 COURT NAME: JUSTICE OF PEACE NO. 1 CR 7950-999-20610 CR 7950-999-20740 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 0 TP-GENERAL FUND TP-STATE DR 7950-999-10010 31.06 Page 2 of 3 15.53 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/3/2022 COURT NAME: JUSTICE OF PEACE NO. 1 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 0 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.90 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 8.10 DR 7865-999-10010 9.00 CR 7970-999-20610 TL/FTA-GENERAL FUND 32.19 CR 7970-999-20740 TL/FTA-STATE 64.37 DR 7970-999-10010 96.56 CR 7505-999-20610 JPAY - GENERAL FUND 2.68 CR 7505-999-20740 JPAY - STATE 24.15 DR 7505-999-10010 26.83 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 1.80 CR 7857-999-20740 JURY REIMB. FUND- STATE 16.18 DR 7857-999-10010 17.98 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 0.20 DR 7856-999-10010 0.22 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND -STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 4.48 7998-999-20701 JUVENILE CASE MANAGER FUND 4.48 DR 7998-999-10010 8.95 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 252.00 252.00 TOTAL (Distrib Reg to Oper Acct) $22,287.27 DUE TO OTHERS (Distrib Reg Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 2,851.75 WATER SAFETY FINES 96.90 TOTAL DUE TO OTHERS $2,948.65 TOTAL COLLECTED -ALL FUNDS $25,235.92 LESS: TOTAL TREASUER'S RECEIPTS $25,235.92 REVISED 02/02/2022 OVER/(SHORT) $0.00 Page 3 of 3 CALHOUN DISTRIBUTION REQUEST COUNTY 201 West Austin DR# 450 A 44868 PAYEE Name: Calhoun County Oper. Acct. Address City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 1 ACCOUNT NUMBER '. DESCRIPTION AMOUNT 7541-999-20759-999 JP1 Monthly Collections - Distribution $22,287.27 OCTOBER 0 V# 967 r Signature of Official Date TOTALI 22,287.27 ENTER.COURT NAME: .. <:. JUSTICE.OF.PEACE NO.2 ENTER MONTH OF. REPORT Octobef `- ENTER YEAR OF REPORT 2022 CODE AMOUNT CASH BONDS 0.00 - ADMINISTRATION FEE -ADMF 20.00 BREATH ALCOHOL TESTING - BAT 0.00 CONSOLIDATED COURT COSTS -CCC 9.75 STATE CONSOLIDATED COURT COST-2020 1,250.28 LOCAL CONSOLIDATED COURT COST-2020 282.30 COURTHOUSE SECURITY -CHS 0,97 CJP 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR 0.03 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0.00 ,.CR 0.00 CHILD SAFETY -CS 0.00 CHILD SEATBELT.FEE -CSBF 0.00 CRIME VICTIMS COMPENSATION-CVC 0.00 - DPSC/FAILURE TO APPEAR -OMNI-DPSC 7.30 ADMINISTRATION FEE FTAfFTP (aka OMNI)- 2020 100.00 ELECTRONIC FILING. FEE -EEF ODD FUGITIVE APPREHENSION -FA ODD GENERAL REVENUE -OR 0.00 CRIM - IND LEGAL SVCS SUPPORT -IDF 0.49 JUVENILE CRIME & DELINQUENCY -JCD 0.00 JUVENILE CASE MANAGER FUND-JCMF 11.24 JUSTICE COURT PERSONNEL TRAINING -JCPT 0.00 JUROR SERVICE FEE -JSF 0.97 LOCAL ARREST FEES -LAF 95.84 LEMI 0.00 LEDA 0.00 LEOC 0.00 OCL DAD PARKS& WILDLIFE ARREST FEES -PWAF O.OD STATE ARREST FEES -. SAF 6.22 - SCHOOL CROSSING/CHILD SAFETY FEE-SCF DOD SUBTITLE C- SUBC 7.32 STATE TRAFFIC FINES -EST 9.1.19-STF 406.57 TABC ARREST FEES -TAF 0.00 TECHNOLOGY FUND-TF 0.97 TRAFFIC -TFC 0.75 -'LOCAL-TRAFFIC FINE-2020 26.20 TIME 'PAYMENT -TIME 6.09 TIME PAYMENT REIMBURSEMENT FEE-2020 190.58 TRUANCY PREVENTIOWOIVERSIONFUND -TPDF 0.49 LOCAL& STATE WARRANT FEES -WRNT 362.19 - COLLECTION SERVICE FEE-MVSA-CSRV 1,332.76 DEFENSIVE DRIVING.COURSE -DOC 0.00 DEFERRED FEE -DFF 48.67 - DRIVING EXAM FEE- PROV DL 0.00 FILING 'FEE -FFEE 0.00 STATE CONSOLIDATED CIVIL FEE-2022 168.00 LOCAL CONSOLIDATED. CIVIL FEE -2022 264.00 -FILING FEE SMALL CLAIMS-FFSC 0.00 JURY FEE -JF 0.00 COPIES/CERTIFEDCOPIES - CC 0.00 INDIGENT FEE -CIFF or INDF 0.00 JUDGE PAY RAISE FEE -JPAY 1.46 SERVICE FEE -SFEE 75.00 'OUT -OF -COUNTY SERVICE FEE 0.00, ELECTRONIC FILING: FEE -EEF CV 0.00 EXPUNGEMENTFEE-EXPG 0.00 EXPIRED RENEWAL -EXPR 0.00 ABSTRACT OF JUDGEMENT-AOJ 0.00 ALL WRITS WOP/WOE 0.00 UPS FTA FINE -: DPSF 40.03 'LOCAL FINES -FINE 3,897.18 - LICENSE&WEIGHT FEES -LWF 0.DO `. PARKS & WILDLIFE FINES -PWF 0.00 . SEATBELT/UNRESTRAINED CHILDFINE-SEAT 0.00 -JUDICIAL &' COURT PERSONNEL TRAINING-.JCPT 0.00 . OVERPAYMENT (OVER $10)-OVER 0.00 OVERPAYMENT($10 AND LESS) - OVER 0.00 RESTITUTION - REST 0.00 PARKS & WILDLIFE -WATER SAFETY FINES-WSF 0.00 - MARINE: SAFETY PARKS & WILDLIFE -MSO 0.00 TOTAL ACTUAL MONEY RECEIVED ,$8,613.55` TYPE. AMOUNT TOTAL WARRANT FEES 362.19 - ENTER LOCAL WARRANT FEES 250.00 NLCORD ON TOTAL RAGEOF wU.000KRV SOMARE MO. REPORT STATE WARRANT. FEES ,$112.19. NECORDON TOTAL PAGEOF HRLCOUPW SOMANE MO. NEPONT DUE TO OTHERS: AMOUNT DUE TO. CCISD-50% of Fine. on JV cases 0.00 F ASE INCLUDE OR REQUEUNG DISBURSEMENT DUE. TO DA RESTITUTION FUND: 0.00 Fi MTNCLUOE D.R.REQUESTINGOISBUNBEMLNT REFUND OF OVERPAYMENTS 0.00 PLFASEINCLUDE DKIREQUESTINGDISBUNSEMENT. �IOUT-OF-COUNTY SERVICE FEE 0.00 PIPASEINCLUDERRREQUESnNGDOBURSEMENT- CASHBONDS 0.00 PLEASEINCLUDE ORREWE8nNGDIWNWMENT(IFFEQUIFED) TOTAL OUE TO OTHERS (TREASURERS $0.00 RECEIPTS. FOR. MONTH: AMOUNT CASH, CHECKS, M.O.s & CREDIT CARDS $8,873.55 Calculate from ACTUAL Treasurers Receipts TOTAL TREAS. RECEIPTS $8613.55 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/1/2022 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: October YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 3,937.21 CR 1000-001-44190 SHERIFF'S FEES 440.57 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 26.95 ADMINISTRATIVE FEES 168.57 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 195.52 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44062 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 190.58 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,332.76 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,171.64 CR 2670-001-44062 COURTHOUSE SECURITY FUND $99.53 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $0.24 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $81.63 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $11.24 CR 2730-001-44062 LOCAL TRUANCY PREVENTION & DIVERSION FUND $100.82 CR 2669-001-44062 COUNTY JURY FUND $2.02 CR 2728-001-44062 JUSTICE COURT SUPPORT FUND $200.00 i CR 2677-001-44062 COUNTY DISPUTE RESOLUTION FUND $40:00-, CR 2725-001-44062 LANGUAGE ACCESS FUND $24.00' STATE ARREST FEES DPS FEES 23.68 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 23.68 CR 7070-999-20610 CCC-GENERAL FUND 0.97 CR 7070-999-20740 CCC-STATE 8.78 DR 7070-999-10010 9,75 CR 7072-999-20610 STATE CCC- GENERAL FUND 125.03 CR 7072-999-20740 STATE CCC- STATE 1,125.25 DR 7072-999-10010 1,250.28 CR 7860-999-20610 STF/SUBC-GENERAL FUND 0.37 CR 7860-999-20740 STF/SUBC-STATE 6.95 DR 7860-999-10010 7.32 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 16.26 CR 7860-999-20740 STF- EST 9/l/2019- STATE 390.31 DR 7860-999-10010 406.57 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUT►ONS 11/1/2022 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: October YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 3.05 CR 7950-999-20740 TP-STATE 3.04 DR 7950-999-10010 6.09 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.05 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 0.44 DR 7865-999-10010 0.49 CR 7970-999-20610 TL/FTA-GENERAL FUND 2.43 CR 7970-999-20740 TL/FTA-STATE 4.87 DR 7970-999-10010 7.30 CR 7505-999-20610 JPAY - GENERAL FUND 0.15 CR 7505-999-20740 JPAY - STATE 1.31 DR 7505-999-10010 1.46 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.10 CR 7857-999-20740 JURY REIMB. FUND- STATE 0.87 DR 7857-999-10010 0.97 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.00 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.03 DR 7856-999-10010 0.03 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 0.25 7998-999-20701 JUVENILE CASE MANAGER FUND 0.25 DR 7998-999-10010 0.49 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 168.00 168.00 TOTAL (Distrib Req to OperAcct) $8,613.55 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $8,613.55 LESS: TOTAL TREASUER'S RECEIPTS $8,613.65 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN COUNTY 201 West Austin DISTRIBUTION REQUEST' DR# 450 A 44866 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Title: Hope Kurtz Justice of the Peace, Pct. 2 ACCOUNT NUMBER DESCRIPTIONS - AMOUNT 7542-999.20759-999 JP2 Monthly Collections - Distribution $8,613.55 October 2022 V# 967 Signature of Official U Date //O TOTALI 8,613.55 I NOTICE OF MEEEI-ING — 11/:1.6/2022 27. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 24 of 25 # 2s NOTICE OF MEETING—11/1G/2022 28. 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 Indigent Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDERe 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: 11:01 a.m. Page 25 of 25 M C M ro lO O1 l0 r m ro W l0 N of N N � pip pip O O M M 1p OJ W l0 Ul M f� Vl N N 0 0 � R P O O O i0 N IO M � ti ti ry z aaaa l"IaaIa aaaar.0 a a w F O w � Qti Fcoo N N N w N N N w Pi W N N N N 7 N 1 G W b w D w N F N F N � O H H H H H a 000aam a O z aaaNNrvw x � � � a rn ry 000waw°a ad. � d iN. w HH H0.1 UTA H F E. S w d O p aaaowoa wwwzazh F v a O o a F G4 a w El N z H 14 N C'SQii ti F Q' a x 4 O O UWj � d W c� x a o Y C4 G W E Z W F VWiF °C � zazz z wH OFO z a DQ O F Oz� p V V w > r1 pdp�� Z UAxw�EH2 wwau w ww W U,Wz,V w MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR --=- November 16 2022 by:CT INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES HEB Pharmacy (Medimpact) Pharmacy Reimbursement 14.33 MMCenter (in -patient $0/ Out -patient $85.60 / ER $0) 85.60 Memorial Medical Clinic 120.00 SUBTOTAL 219.93 Memorial Medical Center (indigent Healthcare Payroll and Expenses) 4,166.67 Subtotal 4,386.60 Co -pays adjustments for October 2022 O.00 Reimbursement from Medicaid 0.00 COUNTY, TEXAS DATE: CC Indigent Health Care VENDOR # 852 ACCOUNT NUNEER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRICE TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $4,386.60 approved by Commissioners Court ondll/16/M2 1000-001-46010 October 31, i2022 Interest ($1.95) ti 1 $4,384.65 COUNTY A[�y_TOR 2mvROVAL gyyvLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD 2 ON AND REQUEST THE COUNTY TREASURER TO PAY THE ABO IGATION. t BY: 11/16/2022 p m 0 �^- 0'j cl = 0 S DEPARTMENT HEAD DATE ©IHS Issued 11/10/22 Source Totals Report Calhoun Indigent Health Care Batch Dates 11/01/2022 through 11/01/2022 For Source Group Indigent Health Care For Vendor: All Vendors Amount Billed 02 Prescription Drugs 08 Rural Health Clinics 14 Mmc - Hospital Outpatient Expenditures Reim6/Adjustments Grand Total 14.33 120.00 163.00 297.33 297.33 Expenses Co -Pays Total APPROVED ON BY CA?HOUN CC2LIlM AUDITOR e...^11n+ oftid 14.33 120.00 85.60 219.93 219.93 $4.166.67 <$ 0.00> $4,386.60 ©IHS Issued 11/10/22 Source Description Source Totals Report Calhoun Indigent Health Care Batch Dates 02/01/2022 through 11/01/2022 For Source Group Indigent Health Care For Vendor: All Vendors Amount Billed 01 Physician Services 01-2 Physician Services -Anesthesia 02 Prescription Drugs 08 Rural Health Clinics 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills Expenditures Reimb/Adjustments Grand Total 17,623.80 2,834.00 642.54 4,096.00 74,997.82 77,261.04 61,087.00 228,850.81 -308.61 228,542.20 Expenses Co -Pays Total Amount Paid 1,766.52 583.13 637.20 3,364.43 44,807.79 32,135.06 20,970.84 104,573.58 -308.61 104,264.97 $ 69,303.71 $173,568.68 <$ 490.00> $173.076.01 Calhoun County Indigent Care Patient Caseload 2022 Approved Denied Removed Active Pending January 1 0 0 7 5 February 1 0 1 7 4 March 0 0 0 7 6 April 0 1 0 7 3 May 0 0 0 7 3 June 1 0 1 7 3 July 0 1 0 7 2 August 0 1 1 6 1 September 0 1 2 4 1 October 0 0 1 3 1 November December YTD Monthly Avg 0 0 1 6 3 December 2021 Active 6 Number of Charity patients 204 Number of Charity patients below 50% FPL 75 Number of Charity patients who meet State Indigent Guidelines 48 Calhoun County Pharmacy Assistance Patient Caseload 2022 Approved Refills Removed Active Value January 2 6 0 28 $16,676.00 February 2 5 0 30 $14,616.00 March 12 7 0 42 $34,978.00 April 5 7 0 47 $42,159.00 May 8 3 0 55 $21,252.00 June 2 3 0 57 $12,186.00 July 7 3 0 64 $18,666.00 August 2 8 0 59 $16,358.00 September 1 5 0 60 $10,241.00 October 2 4 0 62 $24,078.00 November December YTD PATIENT SAVINGS $211,210.00 Monthly Avg 4 5 December 2021 Active 26 50 $21,121.00 0 ►��7IZZ- Bill To: Calhoun County 815 N. Virginia St. Port Lavaca, Texas 77979 (361) 552-6713 Date: 11/8/2022 Invoice # 375 For: Oct-22 DStPTiCEN77AMOUNT Funds to cover Indigent program operating expenses. $ 4,166.67 ROb IANDA THOMAS` CEO Total $ 4,166.67 APPROVED ON NOV BY t:.ALHOUN COUNTY AJDITOP �v16 144,,4� THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 13287 Statement Date 10/31/2022 Account No ""4551 Page 1 of 3 MENT SUMMARY Public Fund Contractual Ckg w Int"Account No 10/01/2022 Beginning Balance $12,353.93 4 Deposits/Other Credits 13 Checks/Other Debits MM 10/31/207.2 Ending Balance Total Enclosures 31 Days in Statement Period 10/11/2022 Deposit 10/17/2022 Deposit 10/25/2022 Deposit 10/31/2022 Accr Earning Pymt Added to Account Check Number Date Amount Check Number Date Amount 12555 10-17 $104.87 12560 10-19 $239.64 12556 10-12 $4,166.67 12561 10-14 $47.85 12557 10-12 $78,86 12562 10-17 $135,06 12558 10-12 $1,471.00 12563 10-12 $4, 166.67 12559 10-12 $815.81 12564 10.12 $62.12 $27,754.11 $34,205.42 $5,902.62 16 $27,632.16?JAt $70.00 PV' $50.00 S[ $1.95 Check Number Date Amount 12565 10-12 $22,640.42 12566 10-1 $200.00 12568' 10-19 $76.45 r. Date Balance Date Balance Date Balance 10-01 $12,353.93 10-14 $6,336.69 10.25 $5,900.67 10-11 $39,986.09 10-17 $6,166.76 10-31 $5,902.62 10-12 $6,384.54 10-19 $5,850.67 O n I9s 3 U U W U U U U U U U W U U W W W W W W W W W W W N N N N N N N N N N N N N O O O O O O O O O O O O O <xn o<�0x <3 <� <� o3 og <g 83 <g o3 <x o<ngooC) o8> no�o8 o oo0oop0 � yoo� ma ooo ma mD mD ma mD m9 ma m9 mD mD mD mS mD F ro Fco F w F W F W Fm Fm F� Fop Ftp F W F� Fw m m m m m m m m m m m m n n n n n n n n n n n o n x x x x x x x x x z x x x u u u u u u u u u u u u u P P P P P P P P P P P P P J J J J J J J J J J J J J W A b Ww W P p N O O W N W O' A N W U P 00 W pp 33 c3 c33 �3 p� '�3 33 �3 Fg mS F3 DNFg ncai ,",cai mcai mn 70F> ro0 �cai �� cai �3n 3n Kai 'tlgca� a m m w C m Z m Z m m a w W m w w w w w w w W 3a a ba pa Boa a Ka 3a n a a a a mn n n ?n cn cn '�n Wn Hn -, o oo En >n cx> x x „yxy mx y>x> Cyyx �x nx o>x> W>x �x ,x mm m m nm m w mw m mw m ym nw nm a T J J W P N b Oi V�i T A N tNn O N Co O U P U U O U W O O N 9 O O O rO O N N p 6 rt zy < Cm <m c o Fi F-0 m � a n a O O G 0 n G oo nn�o� m m nmm nmm 3 Ngm y�m 0 o� o� ro ro e N P N O � 0 0 0 0 SJ 00 2tc jC m0 a Z0 20 S>c -i -p13 y z� z0 zg z z z a m m 3 h z 0 O G J p p � 0 o 0 n m �b zy 0 O z m n m 0 0 G Co O v r v v O Cd y H m y � y m 9 a z H 0 w W W W N N tPA VPi W w W W Ci O O O O U U A O O O O O O O p G >m Ym >m Dma v -aG O 3z n? nC AC rm 0Y rzz m8 mo mo mo m am s o-� n 0 o m o a D Y D Dxl f] �-zl O yNi A a a a a a D D n w m T n z m n 0 a 0 P P P P U W O N J O J P o 3 y D y�� Ooz-z n-i z-1 r l ti m 00 N N m� OD OD A O r r D C) C) n n y y0 mH mr �p py u s fb m r" 0 z h C o tD- h w .DZ C 'a 'C J W A N N W W J U W N O J A J O A T J J P VPi P A W M O O O O NU N O pJ J O L W W W V p P o 0 0 0 W J d N Q a n nn O C nn 0 0 n 0 n n n nn O SJ0 K nz z n n y �n a N O O O p p O p d N N n y z v C x0 H M m m O C r m y 0 r O C P P U A U W P w U U wPp A wn � W _ P Y O O O O O P �p O b O W N U O Vi O N O r p A a n m r rt n an rt Cq A m Om-q 3 m n yp o r [n m U 0 G z r,q N W GO P m J P G_e Ga N P '3 p 3 3 O w O W Y O 0 O 0 �D U T ^'y �'i �-yyi> NG,^i 'T�p zr0 N N mfDA �yk yX 9C G 94 C C N n .D`O.� Nrc� yn n n �mn C� �� AOA r, 97� 9w� A o• m y= c> 9 y oc A� yW n� o 3 n�> Ox m '3z u 3b A Z� m m On W A m w•yy'� y r v, 0 P ^ U N b CO P W W W W W P Y GO N O U O O W N W W W Oi b A W O pp�� P N P N O O p O T O n 0 0 0 0 0 0 0 0 j d J O r m a D < j nC t n� O Z m o y A < m a P W N W N W W O O O O O o p am am Om a m0 m0 �n mm mRp a a w H ^AC S v 2 v W N U W W W 0 O Q n v N N N N N N `O Op p OP p 3r 0r Myer Or N� CNO Oo- m m� Z�n mn by y zhy z^ mZ 0 9� AY P.- aaa oaa Mo z .�j�{Z L z 2 z m p N A d W W Jo O nzU A� vn vn vn A ,iz; z O O m A C y C n C Om yo zn x y y m y w N T U = O U J U � O b O O P O O O U O tJA p O W O I O I pO O O O O H y y� n- 0C� v O C m O r m m Z z y m zr C F r m9 � o z < m � m O c O r'- m y Y w A AW m W O O O NO NO Q� a C W �p J O W W O N Lg J O O T T O U fn T N N N N O O O V 9 S m m y m yzy� m O n n a n y y Z m Z M Z n m m n n a U d O q P n w 0 m A y r A ZE p m q n y y m 3 y 0 3 n z a z -zi m b c X m Z y C m H z lmA y y y y W N N N N W u W U U W N yV'j n O O O O O O O O O O O O O O p 6 O no ng n3 0 o xn xn n n n n n n0 �O qa < mm� mm zzM y c r) �c z an m m m 0 m p a a M G m m H o z n n n n n n y cm ay Ay? asy n n yo �o 0 0 0 o m na ny z m m m 3 m m r qyyo yvy y9y „ai n .moo y 0 n n M m m a a a m m z 0 0 O o n W U U w P W N N N N P N P W W N U U N Y J J N W N N J N O Z d P w W O O O O b b U J U C n O J P O J J U W �p Oa M W W O A 3 b m Om Om n'om omm gxm nm HOm nm wm qom m m Cy C��i+ mjw zyO9a3y m �wS 04 OM3 3 A; -i OviyMK a3 Omr -;AC FTn•K3y(0Oy Oy mAy y Ow rF��y I;x M�- M, r3mO ;M, C) n3a0iz+ AtZ3 a n C mxzZ Z Zaz0 �z z 0 ym mr �' m� Aw w mn 3p y z m y z R. m a z 0 N N A O O U O O U U O O A W M J U P O O O O n a 6 O O O hJ C m mm v m� Z < m z a n m < n ti w Oe N N O O O O O O w w w w w O W W W W W r O O O O O 0 a rt g E nA nm ZyC) 0 0 0 0 o O o 0 0 0 < a m m m n 2 n n m tDi, a D a a a a D a D a 3 y y y C C C C C C G C C C �" " z° Z n ro ro -a ro ro ro ro ro ro ro m A N N W U U U U U U U U U U T 41 J lA VI U U U lA lA l/i U C fS W O J J J J J J J J J J n J U W U U U U U N U U U U 33 r33 00 °� z=3 3 m3 3 yZ3 c3 c3m' mm Gm ym 0-m D-am -� o W W OW W y� W A,rW W W W jp W pCe W mW yDr�i. mN py nmy Wy w0� w0 Y ;no rN`o roo mo o �o yo 20 Ct�-o mo Go mZo m W c o -zel WWy omy�y �ow r�o N$G NtAO oD oD corn nWxSa AAm.e 30 0W m" Z �yS �� 3 �otnj Son am0 mm ro mp v 9 3@v Wi. m ,j�0 wOGm O m m OnNi-7 O„W,-� r r9 m m.e r•D �"D wrm C amr2 ZD �a.,C yyC m=u mA'� ZZ m ca roW AA AA 'nA v0 m nm WH W W N- W 6 W o nmm A r ;y�V mm W W mM -i r mxR� yam o' v N N N U W W W b O N W b U T J N U O O O. 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CtRANp TOTAL'AiSB'QRSEMENTS.APRROVEDrNovemh�r 16; 2tl'22 Page 1 of 9 RECEIVED BV THE COUNTY AUDITOR oN NOV 10 2022 MEMORIAL MEDICAL CENTER 11 /10/2022 AP Open Invoice Lisi. CALHDWI%UNTY, TEXAS 0 ap_open_invoice.template Due Dates Through: 12/01/2022 Vendor# Vendor Name Class Pay Code 13180 ADVANCED STERILIZATION PRODUCT / Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 8020391826 of 1110912011109120 11/09/20 868,68 0.00 0.00 868.68 f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 13180 ADVANCED STERILIZATION PRODUCT 868.68 0.00 0.00 868.68 Vendor# Vendor Name Class Pay Code A1660 AIRGAS USA, LLC - CENTRAL DIV f M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9131369386 t/' 11110/2010/25/2011119/20 3.089.81 0.00 0.00 3,089.81 OXYGEN Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 3,089.81 0.00 0.00 3,089.81 Vendor# Vendor Name , Class Pay Code 14028 AMAZON CAPITAL SERVICES Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 1K36MLNWKY66 i/ 10/31120 10/29/20 11128190 62.32 0.00 0.00 / 62.32 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 62.32 0.00 0.00 62.32 Vendor#Vendor Name Class Pay Cede A1360 AMERISOURCEBERGEN DRUG CORP v/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 3109570845 r/ 11/10/20 10/18/20 10124/20 24.31 0.00 0.00 24.31 INVENTORY . Vendor Totals Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 24.31 0.00 0.00 24.31 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY �' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount Na-Pay Net 231635. ,.� 1111012010/31/2011/15/20 101.91 0.00 0.00 101.91 �"- WATER Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 101.91 0.00 0.00 101.91 Vendor# Vendor Name Class Pay Cade A0400 AUREUS RADIOLOGY LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2795657 ✓.. 10/31/20101252011/30/20 3,123.75 0.00 0.00 3,123.75 t% LAB STAFFING (to jl• w(13jgt)S-�bU�� Vendor Totals Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 3,123.75 0.00 0.00 3,123.75 Vendor# Vendor Name Class Pay Code 12600 AUTHORITYRX �/ Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 1670 „% 11/10/20 11/02/20 11/0320 18,973.00 0.00 0.00 18,973.00 340E 1584 11/10/2011/0512011/06/80 1,254.00 0.00 0.00 1,254.00 file:///C:/Users/ltrevino/epsi/memmed.epsinet.com/u88]25/data 5/tmp_cw5report28789... 11/10/2022 Page 2 of 9 CVS CLAIMS Vendor Totals Number Name Gross Discount No -Pay Net 12800 AUTHORITYRX 20,227.00 0.00 0.00 20,227.00 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE �� w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 12572528 �J' 11 /10120 100120 11101120 16.12 0.00 0.00 16.12. ✓'� LATE FEES Vendor Totals Number Name Gross Discount No -Pay Net 0115o BAXTER HEALTHCARE 16.12 0,00 0.00 16.12 Vendor# Vendor Name Class Pay Cade M2485 BAYER HEALTHCARE v1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6010254564 ✓ 10131120 10/25/20 11/30/20 1,424.64 0.00 0.00 1,424.64 v"r SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 1,424.64 0.00 0.00 1,424.64 Vendor# Vendor Name Class Pay Code 81220 BECKMAN COULTER INC ✓� M Invoice# Comment Tram Dt Inv Dt Due Dt Check D, Pay Grass Discount No -Pay Net 5464882 �/' 10131120 10125/20 11/30/20 1,337.05 0.00 0A0 1,337.05 LEASE 1102$8532 v/ 10131/20 10131/20 11/30120 3,874.83 0.00 0.00 3,874.83 f CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 51211.88 0.00 0.00 6,211.88 Vendor# Vendor Name Class Pay Cade 12740 BUILDING KID STEPS Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 103122E 11 /10/20 10/31120 11/15/20 1,062.00 0.00 0.00 1,052.00 ✓ SPEECH THERAPY 103122A 11/10/20 10131/20 11/15/20 1,026.00 0.00 0.00 1,026.00 ✓- SPEECH THERAPY . 103122 11/10/20 10/31/20 11/15/20 1,013.00 0.00 0.00 1,013.00 SPEECH THERAPY . 103122C 11/10/2010/31/2011/15120 71300 0.00 0.00 713.00 ✓ SPEECH THERAPY , Vendor Totals Number Name Gross Discount No -Pay Net 12740 BUILDING KID STEPS 3,804,00 0.00 0.00 3,804A0 Vendor# Vendor Name / Class Pay Code 13264 CERVEY, LLC ✓ Invoice#/. Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1385 V 11/10/20 11/05/20 11/20120 1,699.00 0.00 0.00 1,699.00 LICENSE FEE Vendor Totals Number Name Gross Discount No -Pay Net 19264 CERVEY, LLC 1.699.00 0.00 0.00 1.699.00 Vendor# Vendor Name Class Pay Code / 10212 CLINICAL PATHOLOGY LABS ✓ ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 17656202210 � / 11/10/20 1013112011/30/20 1827S.45 0.00 0.00 18,275.45 �11 LAS SERVICES , file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp cw5report28789... 11/10/2022 Page 3 of 9 Vendor Totals Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 18,275,45 0.00 0.00 18,275.45 Vendor# Vendor Name Class Pay Code 11029 COASTAL REFRIGERATION Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5113812 ✓ 11/10/20 03/10/20 04/10/20 263.90 0.00 0.00 263.90 �f WATER LEAK/ICE MACHINE Vendor Totals Number Name Gross Discount No -Pay Net 11029 COASTAL REFRIGERATION 263.90 0.00 0.00 263.90 Ventlor# Vendor Name Class Pay Code / ✓ 10060 DETAR HOSPITAL ICP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net DTR2210020 ./ 11/10/2011/01/2011/15120 784.06 0.00 0.00 784.08 LAB SERVICES OCT 22 Vendor Totals Number Name Gross Discount No -Pay Net 10060 DETAR HOSPITAL 784.08 0.00 0.00 784.08 Vendor# Vendor Name Class Pay Code / 10368 DEWITT POTH & SON ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6986770E 11110120 10128120 11/22/20 104.38 0.00 0.00 104.38 ✓' SUPPLIES 6986771 �/� 11/10/2010/31/2011/25/20 28.25 0,00 0.00 28.25 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 132.63 0.00 0,00 132,63 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 41673 11/10/20 10/31/2011/10/20 6,240.00 0.00 0.00 6,240.00 ✓'' PHYSICIAN SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 6,240.00 0.00 0.00 6,240.00 Ventlor# Vendor Name Class Pay Code / F1050 FASTENAL COMPANY,! M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net TXPOT254454 ✓ 10/31/20 10/19/20 11/30/20 144.00 0.00 0.00 144.00 ✓1 SUPPLIES Vendor TotalsNumber Name Gross Discount No -Pay Net F1050 FASTENAL COMPANY 144.00 0.00 0.00 144.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. ✓W Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 792792793 ✓f 1111012010/27120 11/21/20 15.30 0.00 0.00 15.30 SHIPPING 793448881 JJ 11/10/20 11/03/201111512D 12.68 0.00 0.00 12.68 FREIGHT Vendor Totals Number Name Grass Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 27.98 0.00 0.00 27.98 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE,// M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Not file://!C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report28789... 11/10/2022 Page 4 of 9 751936011/10/20. 10/21/2011/15120 30.07 0.00 0.00 30.07 , SUPPLIES 7558096y/I V10/2010/24/2011118/20 69.40 0.00 0.00 69.40 SUPPLIES 7558097 f' 11/10/2010/24/2011/18/20 585.00 0.00 0.00 585.00 f ,SUPPLIES 7599969 11110/20 10125/20 11/19/20 280.71 0.00 0.00 280.71 /,SUPPLIES 7599970 V 11/1012010/25/2011/19/20. 12,242.88 0,00 0.00 12,242.BB SUPPLIES 7642138 v'l 11/10/2010126/2011/20/20 326.34 0.00 0.00 326.34 SUPPLIES 7684904 ✓ 11/10/20 10/27/20 11/21/20 275.25 0.00 0.00 275.25 fir, SUPPLIES 7684903 ✓ 1111012010/27/2011/21/20 218.75 0.00 0.00 218.75 ,F SUPPLIES i 7720314 11/1012010/2812011/22/20 468.20 0.00 0,00 468.20 SUPPLIES ,+ 7766431 u 11/10/20 10/31120 11/25/20 2.060.46 0.00 0.00 , 2.060.46 /SUPPLIES 7809310 ✓ 11/10/20 11/01/20 11/26/20 339.84 0.00 0.00 339.84 SUPPLIES . Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 18,890.90 0.00 0.00 16,896.90 Vendor# Vendor Name Class Pay Code 10599 FORVIS Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net BKO1678620 V 11110/20 10/28/20 11/22/20 315,00 0.00 0.00 315.00 BEYI HAVORIAL HEALTH ANAL / BKO1682638 ✓ 11/10120 10/31/20 11125120 10,500.00 0.00 0.00 10,500.00 r` COMPLIANCE AUDIT , Vendor Totals Number Name Gross Discount No -Pay Net 10599 FORMS 10,815.00 0.00 0.00 10,815.00 Vendor# Vendor Name Class Pay Code 13960 G & S MANAGEMENT GROUP LLC ✓! Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 340373113 „f 10/31/20 01/04/20 11/30/20 // 168d1I 0.00 0.00 / 168:86 3403840428E 10/31/20 01104/20 11/30/20 58� 0.00 0.00 58? DISPOSAL 340386319 ✓ 11110/2011102/2011/12/20 374.72 0.00 0.00 374.721/'� DISPOSAL Vendor Totale Number Name Gross Discount No -Pay Net 1.3960 G & S MANAGEMENT GROUP LLC S14.7 -60y.61 0.00 0.00 601'�1 Vendor# Vendor Name Class Pay Code W1300 GRAINGER ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 9493626650 ✓ 11/10/20 10/27/20 11/21120 174,60 0.00 0.00 174.60 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 174.60 0.00 0.00 174.60 file:/UC:/Users/ltrevino/epsi/memmed,cpsinet.com/u88125/data 5/tmp_cw5report28789... 11/10/2022 Page 5 of 9 Vendor# Vendor Name Class Pay Code 12380 HEALTH SOLUTIONS DIETETICS ✓ Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Grass Discount No -Pay Net 103122 11/10/20 10/31/20 11/15/20 3,400.00 0.00 0.00 3,400.00 DIETARY SERV , Vendor Total; Number Name Grass Discount No -Pay Net 12380 HEALTH SOLUTIONS DIETETICS 3,400.00 0.00 0.00 3,400.00 Vendor# Vendor Name Class Pay Code H0031 HEB CREDIT RECEIVABLES DEPT308 ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9210 ,/ 11/10/2011/02/2011115/20 5.00 0.00 0.00 5.00 ✓" RECEIPT REPRINT _ Vendor Total: Number Name Gross Discount No -Pay Net H0031 HEB CREDIT RECEIVABLES DEPT308 5.00 0.00 0.00 5.00 Vendor# Vendor Name Class Pay Code 14540 JINDAL X LLC �j Invoice# Comment Tran Dt Inv Dt Due or Check DPay Gross Discount No -Pay Net P02223011 , / 11/10/2011/1012011/24/20 9,000.00 0.00 0.00 9,000.00 REVENUE CYLE MGT Vendor Totals Number Name Gross Discount No -Pay Net. 14540 JINDAL X LLC 9,000.00 0.00 0.00 9.000.00 Vendor# Vendor Name Class Pay Code 11203 MEDI-DOSE, INC v1 Invoice# Comment Tran Ot Inv Dt Due Dt Check Pay Gross Discount No -Pay Net / 0867566 J 10/31/20 10/26/20 11/30/20 315.00 0.00 0100 315.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11203 MEDI-DOSE, INC 315.00 0.00 0.00 315.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓/ M Invoice# Comment Tran Ot Inv or Due Dt Check D Pay Gross Discount No -Pay Net 2216478005,/ 1013112006/22/2011/30/20 6,150.94 0.00 0,00 6.150.94 SUPPLIES 2235748717 f 11/10120. 10/26/2011/20/20 159.57 0.00 0.00 159.57 ✓'- SUPPLIES 2235784116 11/10/20 10/27/20 11121120 24.55 0,00 0.00 24.55 ✓'� SUPPLIES 2235784119 J 11/10/20 10/27/20 11121/20 718.92 0.00 0.00 718.92 +% SUPPLIES 2235784112 .✓ 11/10/2010/27/2011/21/20 43.50 0.00 0.00 43.50 SUPPLIES 2235784118 ✓' 1111012010127120 11/21/20 106.65 0.00 0.00 106.651 SUPPLIES 2235819182 11/1012010/27/2011121120 11.60 0.00 0.00 . 11.60 ✓� SUPPLIES 2235784i15 „! 1111012010/27/2011/21/20 3.09 0.00 0.00 3.89 ✓ SUPPLIES 2235784111 y'' 11/1012010127/2011/21/20 81.88 0.00 0.00 81.88 ✓' SUPPLIES 2235784117 ✓r 11110/20 10/27/20 11/21/20 40.62 0.00 0.00 40.62 SUPPLIES file://!C:/Users/ltrevino/cpsi/memmed.cpsinef.com/u88125/data_5/tmp_cw5report28789... I 1 /10/2022 Page 6 of 9 223.9784114 �,% 11110/20 10127120 11/21120 282.79 0.00 0.00 282.79 SUPPLIES 2235983008 ✓ 11/1012010128/2011/22/20 23.75 0.00 0.00 23.75 SUPPLIES / 2235983010 ✓ 11/10120 10/28/20 11122120 227.89 0.00 0.00 227.89 SUPPLIES 2236206065✓ 11110/2010/28/2011/22/20 197.91 0.00 0.00 197.91 ✓� SUPPLIES 2235983011 �/ 11110/20 10/26/20 11/22/20 448.50 0.00 0.00 448.50 ✓ SUPPLIES / 2236447192 J 11110/2010/31/2011/25120 370.96 0.00 0.00 . 370.96 SUPPLIES 22,96447191 ✓ 11110/20 10/31120 11/25/20 55.82 0.00 0,00 55.82 SUPPLIES Vendor Total -Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 8,949.94 0.00 0.00 8.949.94 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC j Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 8823635 „j 11/10/2010/31120 11/10/20 74.69 INVENTORY 8825900 vj 11/10/2010/31/2011/10/20 239.32 INVENTORY 8825901 �/' 11/10/2010/31/2011/10120 302.51 INVENTORY CM76909 �:' 11/10/20 10/31/20 11/10/20 -363.02. CREDIT 8831798 � 11/10/20 11/01/20 11/11/20 11.25 INVENTORY i Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 8832119 11/10/2011 /01 /20 11 /11120 1,046.71 0.00 INVENTORY 8828819 11/1012011101/2011111/20 49.54 0.00 INVENTORY 8832118 ✓ 11/10/20 11/01120 11/11/20 14.08 0.00 NVENTORY 88288220 ,% 11/10/2011101/2011111120 313.82 0.00 INVENTORY 8834505,/ 11/10/2011/02/2011112120 188.20 0.00 JNVENTORY 8834510 ,/ 11110/2011/02/20 11/12/20 12.35 0.00 ,INVENTORY 8834511 ✓ 11/10120 11/02/20 11/12/20 204.96 0.00 INVENTORY 8836668 ✓ 11/10/20 1110212U 11/12120 98.23 0.00 INVENTORY 8834507w/ 11/10/20 11102/20 11/12120 239,32 0.00 INVENTORY 6834506 11/101201110PJ2011/12/20 2.66 0.00 INVENTORY 8834509 i,% 1 Ili 0/2011/0212011/12/20 228.71 0.00 INVENTORY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,00 Net 74.69 y/' 239.32� 302.51 -363.02 r " 11.25 ✓ 1,046.71 49,54 / 14.08 f 313.82 ✓! 188.20 12,35 ✓ 204,96 f 98.23 ✓ 239.32 ✓ 2.66 f 228.71 file:///C:lUsers/itrevinolcpsi/memmed.cpsinet.com/u88125/data 5/tmp_pw5report28789... 11/10/2022 Page 7 of 9 8836669 f 11/10/20 11102120 11112120 517.46 0.00 0.00 517.45 /INVENTORY 8834508 ,/ 11/10120 11/02/20 11/12/20 74.69 0.00 0.00 74.69 ✓ INVENTORY 8839976 �� 11/101201110312011/13/20 147.07 0.00 0.00 147.07 INVENTORY 8841739 / 11/10/2011/03/2011/13/2o 1,772.93 0,00 0.00 1,772.93 ✓ INVENTORY 8839977 ✓ 11/10/2011/03/2011/13/20 74.69 0.00 0,00 74,69 ✓� INVENTORY . 8839975 .� 1 Ill 0120 11103/20 11 /13120 202.65 0.00 0.00 202,65 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 5,452.81 0.00 0.00 5,452.81 Vendor# Vendor Name Class Pay Code 12708 FOG ELECTRIC, LLC / Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 3649 J 11/10/20 11/02/20 11/10/20 1,178.75 0,00 0.00 1,178.75 600 VOLT INSTALL Vendor Totals Number Name Gross Discount No -Pay Net 12708 POO ELECTRIC, LLC 1,178,75 0100 0.00 1,178.75 Vendor# Vendor Name Class Pay Code 10372 PRECISION DYNAMICS CORP (PDC) ✓ Invoica# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 9351309600 „/ 11/10/20 10/17/20 11/16/20 15.05 0.00 0.00 15.05 .J SUPPLIES 9351346823 ✓ 11/10/2010/20/2011119/20 21.42 0.00 0.00 21.42 y--!- SUPPLIES 9351360899 ✓ 11/10/20 10121120 11/20/20 6.02 0.00 0.00 6.02 ✓� SUPPLIES 9351432381 +/ 11/10/2010/29/20 11/15/20 33.30 0,00 0.00 33.30 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10372 PRECISION DYNAMICS CORP (PDC) 75.79 0.00 0.00 75,79 Vendor# Vendor Name Class Pay Code P1725 PREMIER SLEEP DISORDERS CENTER „/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 103122 10/3112010/31/2011/30120 2,225.00 0.00 0.00 2,225.00,,,,' SLEEP STUDY Vendor Total: Number Name Gross Discount No -Pay Net P1726 PREMIER SLEEP DISORDERS CENTER 2,225.00 0.00 0.00 2.225.00 Vendor# Vendor Name Class Pay Code / 10986 SIEMENS FINANCIAL SERVICES ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay Net 56382300004897 ,/ 11/1012010/3112011/20/20 1.333.33 0.00 =0 1,333.83 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 10930 SIEMENS FINANCIAL SERVICES 1,333.33 0,00 0.00 11333.33 Vendor# Vendor Name Class Pay Code 11 12472 SOMETHING MORE MEDIA, INC. 1% Invoice# Comment Tran Dt Inv Dt Due DI Check DPay Gross Discount No -Pay Net file:/l/C:/Users/ltrevino/cpsilniemmed.cpsinet.colnln88l25/data_5/tmp_ew5report28789... 11/ 10/2022 Page 8 of 9 1884 11110120 11101/20 11/16/20 2,225.00 0.00 0.00 2.225.00 ADVERTISING Vendor Totals Number Name Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC, 2,225.00 0,00 0.00 2,225.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran Dt Inv Dt Due Ot Check DPay Gross Discount No -Pay Net , CM8086 �/ 10131120 10/31/20 11/30120 -3,318,00 0.00 0.00 31318.00 CREDIT 107026317 10/31/20 10/31/20 11/30/20 11,803.00 0.00 0.00 11,803.00 "BLOOD Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE DEN 8,48500 0.00 0.00 8,485.00 Vendor# Vendor Name , Class Pay Cade 12288 SPBS CLINICAL EQUIPMENTSRVC V' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 045841022 ✓ 10131/20. 10/01/20 11/30/20 13,384.80 0.00 0.00 13,384.80 ✓ PM CONTRACT . Vendor Totals Number Name Gross Discount No -Pay Net 12288 SPSS CLINICAL EQUIPMENT SRVC 13,384.80 0.00 0.00 13,384.80 Vendor# Vendor Name Class Pay Code S3960 STERICYCLE, INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -.Pay Net 4011306104 11110/20 11/01/20 11/15/20 2,662.55 0.00 0.00 2.662.55 WASTE DISPOSAL Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2,662.56 0.00 0.00 2.662.55 Vendor# Vendor Name Class Pay Code 12704 TEXAS BURNER & BOILER SERVICES f' Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 223126 ,/` 11110/20 11/04/20 11/04120 2.080.00 0.00 0.00 2,080.00 IGNITOR FAILURE , Vendor Totals Number Name Gross Discount No -Pay Net 12704 TEXAS BURNER & BOILER SERVICES 2,080,00 0.00 0,00 2,080.00 Vendor# Vendor Name Class Pay Code 13616 TRIOSE, INC ✓l Invoice# Comment Tran Dt Inv Dt Due Ot Check 0' Pay Gross Discount No -Pay Net TRI132478 V/ 11/10/20 09/15/20 09/30/20 92.44 0.00 0.00 92.44 FREIGHT TRI135943 ,/ 11/10/20 10/27/20 11/11/20 83.36 0.00 0.00 83.36 FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 175.80 0.00 0.00 175,80 Vendor# Vendor Name Class Pay Code / U1064 UNIFIRST HOLDINGS INC �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 8400407456 ✓ 10131120 10/31/20 11/25/20 44.80 0.00 0.00 44.80 ✓� LAUNDRY 8400407476 10/31120 10131/20 11/25/20 2,219.62 0.00 0.00 2,219.62 v,! .� LAUNDRY 8400407455 �% VV21/2010/31/2011/25/20 48.15 0100 0.00 48.15 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report28789... 11 /10/2022 Page 9 of 9 OO4 LAUNDRY 8400407301 v/ 11/10/2010/27/2011/21120 120.02 0.00 0.00 120.02 LAUNDRY 8400407798 11/10/20 11/0$/20 11/15/20 75.08 0.00 0.00 ., 75,06 ✓ LAUNDRY 8400407804 ✓r 11/10/20 11/03/20 11115/20 1.682.40 0.00 0.00 1,682.40 ✓ LAUNDRY 8400407f,77711/10/20 11/03/20 11/15/20 191,60 0.00 0.00 191.69 LAUNDRY 8400407779 „/ 11110/20 11/03/20 11115/20 209.12 0.00 0.00 209.12 LAUNDRY 8400407780 11110/20 11/03120 11/28120 211.73 0.00 0,00 211.73 v LAUNDRY 8400407776 �/,' 11110/2011/03/2011/28/20 32.01 0.00 0.00 32.01 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 4.834.62 0.00 0.00 4,834.62 Vendor# Vendor Name Class Pay Cade U1056 UNIFORM ADVANTAGE ,% W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SIV12793311✓ 11101/20 09113120 09/28/20 36B34 0.00 0d00 368.74 SIV12802169 ✓ 11/10120 09/16120 09130/20 138.12 0.00 0.00 138.12 UNIFORMS Vendor Total: Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 506.86 0.00 0.00 506.86 Vendor# Vendor Name Class Pay Code / 14612 WAGEWORKS ,/ jtfgwZ p0ruy,, Invoice# C/omment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net INV4206311 1Ill 0/2009/15/2010115120 ✓ 50.00 0.00 0,00 50.00 ✓+" AUG COMPLIANCE FEE INV4231998 f 11/10120 09123/20 10123120 50.00 0.00 0.00 50.00 ✓- COMPLIANCE AUG 22 INV4242934q/ 11110/2009/23/2010123120 396.50 0.00 0.00 396.50 COMPLIANCE FEE SEPT 22 INV4356149 ,% 11/10/2010/25/2011/15/20 580.25 0.00 0,00 580.25 OCT 22 COMPLIANCE , Vendor Total_ Number Name Grossj Discount No -Pay Net 14612 WAGEWORKS 1,076/05 0.00 0,00 1,0,75.75 Report Summary Grand Totals: Gross Discount No -Pay Net 161,376.57 0.00 0.00 qq �J � CU YYtt,"Il i'Vl f161.376.57 `7 ��d�•(t�� NOV 10 2022 � ��U't�.�s•7 - Ib61U7a.93 BNiYgY CALHOUNOUN C®U�f`}r +, file:///C:/Users/Itrevino/epsi/memmed.cpsinet.coin/u88125/data_5/tmp_cw5report28789... 11 / 10/2022 MSKESSON STATEMENT As of: 11111/2022 Page: 002 To emme proper amdl{ to YW account, Ueteph soil retltln this Cwnpary: soao dub wfar your romit(edee DC: ails As of: 11/11/2022 Page:002 MEMORIAL MEDICAL CENTHi qMT DUE REMITTED VIA ACH DEBIT Territory: to: ComF 8000 AP Slatomont for Inlormallon only AMT DUE REMITTED VIA ACH DEBIT N CINIA STREET Customer: 632536 Statement for infomtatlon only PO RT IAV POACA T% 779]9 DOW 1111PJ9022 CUM: 632536 PLEASE CHI931(ANY Dale: 11/12/2022 ITEMS: Ndr,PAID (+) gplllg Due Race vadj4atlonat Account WPj65 Cyb late Dam Amount P Amaum P Rule Num Rolerxmo Oomlplbn Dlaoeant (Soso) F (not) F Number rP ewumn Na0M1: P = Past Duo Item, F- M m Duo Dws, blank = CunaM Duo Item 'OTAL• NMbrat Acet 6=538 MEtAOHAL MEDICAL CBn6t summelw 2.288.16 USD room am. 0.00 Due If Paid On Timm It Paid By 1111512022, USD 2,242.30 'ant Due; 0.00 PiyTale Amount: 2,242.38 USO Dix Not 6 pant late: 45.78 oat Peyineld 2,451.97 If Pad ADer 11116/2022, - Duo N Wd LOW - Pal071201] Pay'tNe AMGUM 2,288.16 USD` 'USD- 2,288.16 14.03 il�/�l 002 2.,.242• snv+. APFROVOON NOV 14 2022 ALOUNCOCCOUNTYTWO For AR Inquiries please contact 800-867-0333 MWESSON fammem: eeoa WALMAT7 1098/MESM MED PHS MEMORIAL MEDICAL CENTER VICKY HAUSE( 816 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT An of. 11/11/2022 Page: 001 Td .ream limpor oredn-to your,. accaurd, "a oft and. MUbl thlB...... etub',yuh Your mmummor, VC: 8115 As of: 11/11/2022 Poge: 001 Mall to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Territory: 400 pMT DUE REMITTED VIA ACH 0®IT ITTE VIAtion AMID E Slatama l for Infamiatlon only for only Cuetomx. 256342 Data: 11/12/2022 Cual: 256342 PLEA68: CHIRCK AN Date: 11/12/2022 ITEMWNCT PAIOIH% alional Aocount 8 9I6rg Daa ReceNabl� Caeh Aboard P Ammmt F RRue lvable /ata Dab Number. rate". Daeoiption Dheawt (9rao) F (roll :uMomo, Number 2116342 WALMAIfr 109EfMD8 MED RNS 1/07/2022 11/16/2092 1376724378 52384959 i/07/2022 11/15/2022 7376724377 52464103 1/07/2022 11/15/2022 7376918740 52507465 1/0612022 1t/15/2022 7377042797 62,604494 1/09/2022 11/15/2022 7377042798 52604494 1/08/2092 11/15/2022 7377042799 52674943 1/0012622 11/15121122 7377205718 S2616726 110912022 11/15/2022 713773110750 52768023 1109/2022 11/15/2092 7377494426 52760565 1110/2022 11/1S/2022 7377590740 52RO3107 1110/2022 11/15/9022 7377598742 62995309 1110/2022 11/15/2022 737775.4631 52910667 1/11/2022 11/15/2022 73778592,80 63034687 1111/2022 It/15/2022 7377059281 $3034687 1/11/2022 11/16/2022 7377859282 53105563 1/11/2022 1111 S/2022 7378%5785 53041499 I If 112022 11/15/2022 7378015786 53047498 W ceiume WWMI P = Past Due Item, P'= Tatum Due Item, blank = 1151maica 1151nvolce 1951nvolce 1151nvolce 1151nvolce 1151nvolce 1151nvoice 1151nvoice /151nv91te 1151nvolce 1151nvolce 1951nvolco 1151mmice 1151nvolce 1/6lnveloo 1951nvoloe 1151nvoloe Cumant'aw ftfam 10.02 7.90 0.92 2.20 1.10 1.47 6.06 0.96 0.01 0.01 2,70 4.15 0.01 7.92 0101, 500.85 394.91 46.00 109.96 56.06 0.16 73.61 302.79 47.27 0.32 0.63 138.00 207.42 0.16 0.49 395.87 6.32 490.83✓ 387.011/ 45.08✓ /07.76✓ 53.96✓ 0.16✓ 72.14✓ 296.73 ✓ 46.321/ 0.3l✓ O.62 " 135.24 ✓ 203.27 ✓ 0.16 ✓ 0.48 ✓ 387.95✓ 0.31 ✓ 73716724376 7370724377 7376918740' 7377042797 7377042798 7377042799 7377205718 7377310750 7377494426 7377598740 7377598742 7377764631 7377869280 7377859281 7377850282 7378015785 7378015786 'DTAL• Cumomer Number 258342 WALMARF 109E/LIEM M® "PITS -I Bubwdle: 2,273.84 USO rutu , IN 0.00 Duo If Pald :On Turn. It. Paid BY1111012022, USD 2,228.35 vj NIA pae: 0,00 Pay This Amount: 2,228..35 USD pile law If paid late: 45.4E ad' Paymam 7,233.38 It Pald After 11111012022. Due If Paid late: 1/07/2022 olm Pay thle Amo mn 2,273.84 USD USD 2,273.84 NOV 14 2022 CALLHOUN COUP TE�XIRIS For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT As at: 11/11/2022 Page: 001 To ensure proper mei8 to year aawunt, Aeraeh an&Ietum this mnP.nr. two Mob wHh your mmfCenee DC: 8115 As al: 11/11/2022 Pegs: 001 CVS PHCY 7475/MEM MC PHS AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Men lot 0= 8000 MEMORIAL MEDICAL CENTER Statement for information only AMT DUE REMITTED VIA ACH DEBIT VICKY KALISEK 835438 Statement for information only 815 N VIRGINIA SIT PORT LAVACA. TX 7797E Grow.Cust11/mer 212022 Data: H/12/2022 Curl: 835438 PLEASE CHECK ANY Date: 11/12/2022 ITEMS X0T•;AAiO:(p) XIBnS Dun alonnl AccountRefy98 smaller cash Amount P Amount P lietloeble ' I late Date Numberller Reference,DesolationDiscount (gross) F (Per) F Number I ' .W mn Number 836410 CVS PRO 7476/MElM MC PHS O 11091ZD22 11/15/2022 73T7523171 1974643 1151naalce 0.29 14.32 14.03 7377523171 W oolumm legan8: P = Net Due Item, F = Futma Due ttmn, blank a Ctment Due Item "OTAU Customer NuM1er 835438 DVS PHCY 7476/MEM MC FHS Suhtatels 14.32 USD iutura Duo: 0.00 Due If Pala On Time; If Pahl By ,11/1512022, U60 14,03 ✓ Yu Dom 0.00 Ny iMa Amount:. 14.D8 USD Disc not If paid late: 0.29 Ast Paymer8 7.233.38 H And After 11115/2022, Dun 0 Pold late: 1/07/9022 Pay this Amount: 14.32 USD USD 14.32 APPROVEDOW NOV 14 2022 BYCOUMTYAWITOfl CALHOUN COUNTY. TMS For AR Inquiries please contact 800-867-0333 1 011 Amerl50urceBergen- STATEMENT Statement Number: 64067886 Date: 11-11-2022 AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 3408 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 1001352841037028196 SUGAR LAND T% 77478.6101 13D2 N VIRGINIA ST • PORT LAVACA TX 77979-2509 Sat-Fd Dua In 7 days 276 866451-9655 - ANIERISOURCEBERGEN Not Yet Due: 0.00 PO Box 905223 CHARLOTTE NO 282903223 Current 2,318.16 Pasta": 694.48 Total Due: 3.012.54 Acewn Balance: 3.012.64 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Data Number Number Type Amount 1041-2022 11-11-2022 W10967690 168173 Invoke 117.23 0.00 117.28v 1031-21M 11-11-2022 3110967691 186174 Invoice 230.56 0.00 230. 1031-2022 11.11-2022 3110907692 108176 Invoice 11.84 0.00 11.84,.' 10-31-20M 11.11.20U 3111OM54 168223 Invoke 24.60 0.00 24.50 10.31.2022 11-11.2022 M1003455 168224 Invoke 10814 0.00 108.04, 11-01-2022 11-11-2022 3111139782 166233 Involve 110.67 0.00 110.67 11-04.2022 11-11-2022 3111588141 168259 Invoke 90.99 0.00 80.98 11-08-2022 11-VM22 3111924906 16025 Invoke 1,743.10 0.00 1,743.10 11-08-2022 11-18.2022 311192006 168327 Imole 22.97 0.00 22,97 � 11-10.2022 11.18-2022 3112224676 108345 Invoke 333.56 0.00 333.56,' 1140-2022 11.18.2022 3112224876 168348 Invoke 3.50 0.00 3.56 . 11-11-2022 11-18-2022 3112374494 168354 Invoke 209.15 0.00 200.15 ' 1141-2022 11-1"022 3112374495 168355 Invoke 6.82 0.00 6.82 Current 146 Days 16.30 Days 31.60 Days 61.90 Days 91420 Days Over 120 Days 8.161. 694.48 0.00 0.00 0.00 0.00 0.00 Reminders APPROVED68 Due Date Amount 11.11.2022 694AB NOV 14 11-18-2022 2,318.16 Total Due., 3 OM64 CeCOUNTY AUDI9 _ WN COUNTY, TBxAeit fit{-�Zo2Z MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONICTRANSFERS FOR OPERATING ACCOUNT— November07,2022- November 23,2022 Data Bank Desafo0on 11/7/2022 PAY PLUSACHTRANS 452579291 101000692931589 11/7/2022 FOMS FIRMS PYMT 052-2000500-0004100012286134 11/7/2022 FDMS FOMS PYMT 052-16D1830A00410001228322S 12/8/2022 PAY PLUS ACHTRANS 452579291 101000694097587 11/8/2022 MCKESSON DRUG AUTO ACH ACHOS244363910000138 11/9/2022 PAY PLUS ACHTRANS 452579291 101000695157941 12/9/2022 CLEARGAGE LLC CLEARGAGE, GBN5YIF03YR7VY9242 11/10/2022 PAY PLUS ACHTRANS 452579MI 10100069 W183 10 11/10/2022 TSYS/RIorrisr T DISCOUNT 393009825416166110 W10/2022 TSYS/TOANSNRST DISCOUNT 393009825899466110 11/10/2022 TSYSJFRANSFIR5TOISCOUNT413998013683976110 12/10/2022 TSYS/rRAN5FIR5TDISCDUNT413998013324196310 11/10/2022 TSYStrRANSFIRSr DISCOUNT 413998013323856110 11/10/2022 TSYS/TRANSFIRSTDISCOUNT41399B013324016110 11/10/2022 TSyS/rRANSFIRST015COUNT41399801391837 6110 11/10/2022 TSYS/TRANSFIRSTDISCOUNT41399801332393 6110 11/10/2022 MEMORIAL MEDICAL PAYROLL 74MG341111312265D MMC Notes -3rd Party Payor Fee - Credit Card Processing Fee -Credit Card Processing Fee -3rd Party Payor fee -340B Drug Progmm Expense -3rd Party Payor Fee - Patient Financing Service -3m Parry Payor Fee -Credit Card Processing Fee -Credit Card Processing Fee -CttWit Card Proceuing Fee -Credit Card Processing Fee - credit Card Processing Fee -Credit Card Processing Fee - Credit Card Processing Fee -Credit Card Processing Fee -payroll ` `RMV10.n-. ✓� 1`-��"r'9Q November7,2022 ROSHANDA THOMAS, CEO ww Memorial Medical Center Cc, PROSPERRYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT- ESTIMATED ACHS Data Description 11/30/2022 IGT 11/20/2022 Saks Tax Memorial Medical Center SON NOV 14 2022 BYCOUNTYAUOROR CALHOUN COUNTY, TEXAS 1I -IGT 405,005. 18 + -SalesTax 7,2_"a.38 _ 39 ,6 i9•yy .- November 7, 2022 4.692.21b* 4+692. 21 . 0.00u- u Amount wj ' 81.03 32.45 >3g6.21 31[57 572. 10 496.64 415.09 225.02 789.15 5999 145258 393079.59* 405,005.18 PAV VMS 0.91 + 336.2U + 31.57 + 1.52 3x7,,0 • c:U w CL uts 81•u3 + 32.45 572.86 + 129+U0 + 496+64 415.09 + 225.0 + 789+15 + 59.99 + 452.58 + 4.255.81U+ �ILAypnlad, 68.20 + AmWnt A 4i it (trt j I LjR13;39: ,.xs�'3"^` 1,450.24 USA63.63 3 7 0. 2 U 4. 253. 81 + 68.20 + 4.692.21u+ Transaction Summaa Transaction Complete Trace ##: Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total $117,013.39 Bank Routina and Account Number 11/30/2022 Settlement Date RAPPS Amount $117,013.39 Entered By Marley Moehrt Page No: i of t Run Date: nrs =2 Run Time: 15A7:te Marley ODonnell From: Texas Health and Human Services Commission <txhhs@public.govdelivery.com> Sent: Wednesday, November 09, 2022 3:01 PM To: Marley ODonnell Subject. RAPPS IGT Notification Second Half of Year 2 (SFY23) CAUTION: TEXAS y Health and Human Services RAPPS IGT Notification Second Half of Year 2 (SFY23) HHSC is providing notification of the Intergovernmental Transfers (IGT) call for the second half of the Rural Access to Primary and Preventive Services program (RAPPS) Year 2. The calculations for IGT amounts by Service Delivery Area (SDA) and by provider can be found on the RAPPS weboage under "SPY 2023 (Year 2) — Suggested IGT". The IGT must be entered into TexNet no later than close of business November 29th, 2022 with a settlement date of November 30th, 2022. This settlement date is non-negotiable. The funds need to be placed in the "RAPPS" Bucket. The amount that needs to be entered Into TexNet is on Column E of the tab named "IGT by Provider" of the "Second Half Year 2 (SFY2023) Suggested IGT Transfer" spreadsheet provided in the link above. The IGT will be processed at that time and there will be no further revisions or redistributions of IGT suggestions should the aggregate IGT amount not fully utilize the available pool. Please ensure you double check the number while entering to ensure the correct number has been entered. 1 • TexNet instructions are available here. After entering your IGT into TexNet, email a screen shot or PDF of the confirmation/trace sheet to PFDRAPPSPayments(a)hhs.texas.gov. Please email any questions about this process to PFD Hosoitals&hhsc.state.tx.us. You have subscribed to get updates about Texas Health and Human Services (HHS). For more information about HHS, please visit our website. Stay Connected Xf ten espeflo0 SHARE Subscriber Services Manage Preferences I Unsubscribe I Help This email was sent to madonneii@mmcportiavam.com using govDalivery Communications Claud an behalf of. Texas Health and gi>?/DEY1YERyP Human Services Commission • 707 171h St, Suite 4000- Denver. CO 80202 2 nAPPS Year 2 IGT by Provider Rural Access to Primary and Preventative Services Year 2 (State Fiscal Year 2023) IGT by Provider MediealCenter- Nueoes $ 149,559,24 Page 1 of 1 Updated June I4, 2022 0 Confirmation: You Have Filed Successfully Sales and Use Tax Taxpayer ID: User ID Reference Number: Date and Time of Filing: 11/08/2022, 10:46:89 AM PAYMENT SUMMARY Electronic Check State Amount: $1,098.67 Local Amount: $351.57 Amount to Pay: $1,450.24 Electronic Check: $1,450.24 Period Ending 10/31/2022 (2210) Taxpayer Name: MEMORIAL MEDICAL CENTER Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA, TX 77979-3025 UP Address: Payment Reference Number: Trace Number: Entered By: Email Address: Telephone Number. (361) 552-0342 Type of Bank Account: Checking Accountholder Name: Bank Routing Number. Bank Account Number: Payment Effective gate: 11/20/2022 CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? No Licensed Customs Broker Exported Sates Did you refund sales tax for this Ming period on items exported outside the United States based on a Texas Licenced Customs No Broker Export Certifications? LOCATION SUMMARY Total Texas Taxable Subject to State Subjectto Loa# Taxable Sales Sates Purchases Tax(Rate.0625) State Tax Due Local Tax Rate Local Tax LocalTax Due 00004 17667 17667 0 17667 1104.19 17667 0.02 353.34 SubribUt 17667 17667 0 176ST 1104.29 1T66T 3S3.34 Total Tax for Locations $1,457.53 Total Tax Due: $1,457.53 Timely Filing Discount: . $7.29 Balance Due: $1,45024 Pending Payments: • $0.00 Total Amount Due and Payable: $1,450.24✓` ( State amount duels $1.098.67) ( Local amount due is $361.57 ) Page 1 of I RECEIVED BY THE COUNTY AUDITOR ON NOV 10 2022 11/10/2022 CALHOIPWOUNTY, TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_involce.template Vendor# Vendor Name Class Pay Code / 11828 SOLERA WEST HOUSTON J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 110422 11/10/2011/04/2012104/20 9,635.17 0.00 TRANSFER Wkt'IV1S81M1u5tlt, V*Lj dtV"j,d Ih-}7 1NIµt, 6ftWby1P. 110822 11110/20 11/08120 12/02120 18,846.33 00 TRANSFER I' Vendor Total=Number Name Gross Discount 11828 SOLERA WEST HOUSTON 28,481.60 0.00 Report Summary Grand Totals: Gross Discount No -Pay 28,481.50 0.00 0.00 NOV 10 2022 BY COUNTY AUOI CALK CdUNfi, J No -Pay Net 0.00 9,635.17,,." 0.00 18.846.33 v' tl No -Pay Net 0.00 28,481.50 Net 28,481.50 file:///C:/Users/]trevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report75489... 11/10/2022 Page 1 of I '-IECEIVED BY THE t,,OUNTY AUDITOR ON INOV 10 2022 11/10/2022 O;iLmouffwml', TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_involce.template Vendor# Vendor Name Class Pay Cade 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount 103122A 10/31/2010/3112011/28120 4,279.00 0.00 TRANSFER NII 111SlIALL VIMI clt.po�ndcJ. ikil kik(_ 0p4Fw- Vendor Total;Number Name Gross Disco Lh 11820 FORTBEND HEALTHCARE CENTER 4,279,00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 4,279.00 0.00 0.00 APMRwDom NOV 10 2022 @YCOUNTYAUDITOR MHOUN COU M, TWAS No -Pay Net 0.00 4,279.00 No -Pay Net 0.00 4,279.00 Net 4,279.00 file:/1/C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report84926... 11 / 10/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON °`AXOI&22022 MEMORIAL MEDICAL CENTER 12:16 AP Open Invoice List CALHOUN COUNTY, TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 11832 BROADMOORATCREEKSIDE PARK Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 103122A 2,723.00 �1!0/31/2010/31/2011/28/20. TRANSFER " 1lnQ t.tt N I VV�0 dt�1061' d Mt+ tmvLc Vendor Totals Number Name Gross 11832 BROADMOOR AT CREEKSIDE PARK 2,723.00 Report Summery Grand Totals: Gross Discount 2,723.00 0.00 NOV 10 2022 BY GOUNiYAUDi f1LN CALHOUN COUNTY, Trtt�7iwaBB 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 2,723.00 01ih Disc nt No -Pay Net 0.00 0.00 2.723.00 No -Pay Net 0,00 2,723.00 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_51tmp_cw5report61043... 11 / 10/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON Nn�yjo &� 022 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 12:14 COUNTY TEXAS ap_open_Invoice.template CALHOUN Dates Through. Vendor# Vendor Name Class - Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tren Dt Inv Dt Due Dt Check D- Pay Gross Discount 102922 10/31/20 10/29/20 11/28/20 8,360.25 0.00 TRANSFER qq iKuv" FOAL¢ J),g)*}/.l ii, + jtiAtL Q W. 103122A 10/31/2010/31/2011/28/ 0 2,334.0V0 0.10 TRANSFER It u 103122E 10/3112010/3112011/28120 6.922.36 0.00 TRANSFER It if 103122C 10/31/20 10/31120 11128/20 4,685.61 0.00 TRANSFER it u 110122 11110/20 11/01120 12102120 332.00 0.00 TRANSFER 11 Ir 110222 11/10/20 11/02/20 12/02/20 1,361.50 0.00 TRANSFER 110322 11/10/20 11/03/20 12/03/20 0.02 0.00 TRANSFER 4 q 110822 11/10/20 11/08/20 12/02/20 11,348.27 0.00 TRANSFER it 'I Vendor Totals Number Name Gross Discount 11836 GOLDENCREEK HEALTHCARE 35,344.01 0.00 Report Summary Grand Totals: Gross Discount No -Pay 35,344.01 0.00 0.00 Nov 10 202 No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 No -Pay 0.06 Net 8,360.25 ✓ 2,334.00 6.922,36 ✓'r 4.685.61 ++�� 332.00 V/ 1.361.50 of 0.02 11,348.27 Net 35.344.01 Net 35,344.01 file:HIC:lUsers/ltrevinolepsilmemmed.cpsinct.com/u88125/data 5/tmp_cw5report45807.., 11/10/2022 Page 1 of I RECEIVED BY THE COUNTY AUDITOR ON NQVI1J/2923022 MEMORIAL MEDICAL CENTER 12:10 AP Open Invoice List 0 CALHOUN COUNN,7E%AS Dates Through: ap_open_involce.template Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 102922E 10131120 10129/20 11128/20 1,725.45 0.00 0.00 1,725.45 TRANSFER 0 '1111 ?%1 hfi6i.L Ih� 111%IIiL- Uht4K�f` . 103122C 10/31120 10131/20 11/28/20 6,392.78 0.00 0.00 6.392,78� TRANSFER Ll it 103122A 10/31/20 10/31/20 11/28/20 2.866.45 0.00 0.00 2.886.45 TRANSFER U n 103122E 10/31/2010/31/2011/28120 3,468.21 0.00 0.00 3,468.21 TRANSFER it tr 103122D 10/31/2010/31/2011/30/20 1,950.00 0.00 0.00 1.950.00 TRANSFER 1L It 110122 11/10/20 11/01/20 12/02/20 10,523.17 0.00 0.00 10,52$.17 TRANSFER ` I. 110222 11/10/2011/02/2012/02/20 3,764.60 0.00 0.00 3,764.60 ./ TRANSFER 1, it 110322 11/10/2011P03/2012/03/20 389.00 0.00 OAO 389.00 TRANSFER II 11 110822 11/10/20 11/08/20 12/02/2o 169.79 0.00 0.00 159.79 1,-" TRANSFER It r� 110822A 1111012011/08/2019/02/20 15,090.00 0.00 0.00 15,096.00 f TRANSFER It If Vendor Total: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 46,355.45 0.00 0.00 46,355.45 Report Summary Grand Totals: Grass Discount No -Pay Net 46,855.45 0.00 0.00 46,355.46 Nov 10 2022 BYCOWMAUD CA LHOUN COU",,_MM I file:///C:/Userslltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report53197... 11 / 10/2022 Pane 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON N 0�121022 MEMORIAL MEDICAL CENTER 0 12:21 AP Open Invoice List Dates Through: ap_open_invoice.template �r11I�J(;t) y TF p UA�VelndoL#UVendor FTa'me Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Of Due 01 Check D Pay Gross Discount No -Pay Net 102922 10/31120 10/29/20 11/28/20 'IYIS6 1,562.92 0.00 0.00/ 1,562.92 r' TRANSFER �, wutU_ p�1- dr gust {'t„� iA* Kp_L Opq);,:J V1 r 103122F 10/31120 10/31/20 11/28/20 6,224.00 0.00 0. 6,224.00 ✓/ TRANSFER II tt 1031220 10/31/2010/31/2011/28/20 3,512.00 0.00 0.00 3,512.00 TRANSFER `t t 103122D 10/3112010131120 11/28/20 16,424.95 0.00 0.00 16,424.95 ,! TRANSFER it 1` 103122A 10131120 10131/20 11/28120 1,365.00 0.00 0.00 1,365.00 ✓ TRANSFER It if 103122E 10/31120 10/31120 11/28/20 583.50 0.00 0.00 583.50 ✓ TRANSFER It u 103122B 10/31/20 10/31120 11/28120 3,266.90 0.00 0.00 3,266.90 vf' TRANSFER It 103122G 10/31/20 10/31120 11/30/20 3,822.77 0.00 0.00 3,822.77 TRANSFER I` 1t 110122A 11/10/2011/0112011/02/20 9,949.38 0.00 0.00 9,949.38 TRANSFER it 110122 11/10/20 11/01120 12/02120 778.00 0.00 0.00 778.00 TRANSFER If 1t 110222 11/10/20 11/02/20 12/02/20 7,023.00 0,00 0.00 7,023.00 TRANSFER 110222A 11/10/20 11/02/20 1210PJ20 6,029.50 0.00 0.00 6,029,50 �f TRANSFER It It 110322 11/10/20 11103/20 12103/20 7,002.00 0.00 0.00 7,002.00 ✓ TRANSFER it it 110322A 11/10/20 11/03/20 12103120 28.98 0.00 0.00 / 28.98 t/ TRANSFER it h 110422A 11/1012011/04/2012/04/2O 8,947.00 OAO 0.00 8.947,00 yr TRANSFER t. It 110422 1 1110/20 11104120 12104/20 3,112.00 0.00 0.00 3,112.00 ✓� TRANSFER 1i it 110722 11/10/20 11/07/20 12/07/20 3,968.00 0.00 0.00 3,968.00 t,r"_ TRANSFER It It 110822 11/10/20 11/08120 12102/20 3,512.OD 0.00 0.00 3,512A0 ,f TRANSFER t t 1, Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 87,111.90 0.00 0.00 87,111.90 Report Summery Grand Totals: Gross Discount No -Pay Net 87,111.90 0.00 0.00 87,111.90 NOV 10 2022 BY COUNTY AUDIMM OALHOUN 001lN1C', TW8 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp cw5report13402... 11/10/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON N 1((ryj1V1J2921022 MEMORIAL MEDICAL CENTER 2�1 CALtipUN7COUNTY,TEXA$ AP Open Invoice List 0 ap_open_Involce.template Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Pay Gross Discount No -Pay Net 102922 6,029.50 0.00 0.00 6.029.50 '10/31/201012912011/28/20 TRANSFER f✓}i'IWUVkRLQ. V,%LjA(Vo0ijed 'Wh It.K upt.w. yl� 103122A 10/31120 10/31120 11128/20 135.04 0.00 0.00 135.04 r/ TRANSFER " 1. 103122B 10/31/20 10/31/20 11/26/20 28,863.34 0.00 0.00 28,863.34 TRANSFER tr " 103122 10/31/2010/3112011/28/20 4,473.50 0.00 0.00 4,473.50 ✓ TRANSFER 11 " 103122c 100/2010/31/2011/28/20 52,846.89 0.00 0.00 f 52,846.89 1 TRANSFER 1031220 10/31/20 10/31/20 11/28/20 5,068.10 0.00 0.00 5,068.10 TRANSFERh h 103122E 10/31/20 10/31/20 11128/20 3,990.45 0.00 0.00 3,990.45 ✓ TRANSFER h n 110122 1i1/10/2011101/2012/02/20 2,723.00 0.00 0.00 2,723.00 TRANSFER itN 110222 11/10/20 11/02/20 12/02/20 2,302.97 0.00 0.00 2,302.97 TRANSFER " r' 110822 I 1110120 11108/20 12102/20 16,304.80 0.00 0.00 16,304.80 yf TRANSFER '' �r Vendor Totals Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 122,737.59 0.00 0.00 122,737.69 Report Summary Grand Totals: Gross Discount No -Pay Net 122,737.59 0.00 0.00 122,737.59 NOV 10 2022 .,.. ,. hC L lI u: '. file:///C:/Userslit evino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp cw5report28427... 11/10/2022 Memorial m"W Cemer NurAng Home.UPL Weekly CantexTmnsfer Pmsperlty Accounts 2;/14/2022 h.w T,v,ah /mcR ay4ab{ !m M1nCn{ BgkNq M>uipp HTnpMniYNun6K xanN xaee xankr M9eY T�a9.arc vrnwrm /warm Mwr xeie. �� I6.}31w !].1et19 59,169.M SII.»e.05 1 83,W26 BmkblanY If)A)Fe! V Vatlann Ymabiaram Moo MOa1NAMOIM !R)61.1i 917 __ Momaspaemeerwrr iswtw✓/ O[bkYbtamt 31A11 — Nwanbarb6aam 0.vmhrinbrtE _ m(xawWenMw✓crone FTPa19y BmkBJarce Vrp s {gaveb BaWee MouNkwmw MWLpepllmOrgiP> ambrlMaerc N9abBNIlNlrrt 9ameorimratt ��_pp / WixtBJ.xx/ra.Mrart :] — 9A61FA a�96.}P633 ✓ W?19A) Bank BJaroa wel W bftW 960ama"Wp MBWSepu OYP 6ssaul ✓ 1W.939R9 / 1m.919a9 ✓ MW aose.}s0�1 3aa).W V 94737M aNnkmmarae ssn ./ xevamemineoNN 9eenmMlinerrs AgWrc B»amyfreWaMnt a;mu✓ 3f,BT136 /}6,1W.93✓ }}Nl.z3 ✓. }46Wa9 % 17.%9.W ✓ Bank6Jan )AFmn vMNnY IeMmaaYUB BtNwAMCNB 100.00J 6a6F69�a$ NBwa MPYmAY{yBP 6�LN✓ Owb.lehmm wa ✓ Nremrbbra _ 9rYMar1F A6WrceaimY/rrxwveme v?>s.6o ry f' IB}.iI496 ✓95.)35.E Y•.Y9.9} _... .. ,._ �:. >Bp1F65 a/ j s},ibtn BadcBaMer vrMnr TlAb35 amaeMUMr 1WW 8 3+ 8 8 H^ 2 6 APPROVEDOM 45,581 ° 4. 1 + Maugkr6yFP 6aFF160h NOV 14 2922 93+737->zs + VAr7Tnx BxY/e�mfem' 17 959 .. 60 + BY COUNTY AUDIT 62, 1 6 8^ 77 * CAU40UN COUNTY 303,535 62- 6Kaa:o Wl�mN..er5t9v.v6rur7r.rmrewme�mx. xme(wemmnanaemekJreagLmama knttaowu>mnpwme F.."KWft* mRd bM unirambgv nMiwryt MW%NKuitT "Sw jl .II T 8 6kbWlY U17✓ NavemkrinlaRrc DY.MOr bhtpt atllreeebre}ryanyn. aml ey6q.7}✓ TmuTBAxsrus 16 lsAt A9WwadF RMAN0AIIII6/2022 mry„�ef x�YPm,eK WPWnWu4Wa•e,aCe/WXYb1YwNNiIl--LM9W x1•Y•ZOaYY PIaPI WON a..ri Inmf]e4Ys IDm.¢a to%/wPw 1VIP/CwP: P9a/wmw ov9/wMSFu,w. m%n Px9oellav IVIa/IGx MmlourMxmmxEu]xwFtMlulm ayaFa90 .. 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VYP/GXMl 009/Gmn} XP'FiGpN POP/PIKP1f:IEYM N%n NNVPMHN fY1MM}VM[IWII]JXOIX[LLM l'alIYNPNIP 94.}pe.a1 - lI/1Wmn Mnx1.PFaxonFnnEMxsiMNTaoa000Pooao]xaeal e,uyoo sAFym 1YIP/}an XXB-®IONNAIMPMF)Kml3aalmmnMH - 3i Yp:31 - Kam IY}WIOI3 PEVOTm MGIMPNIX3A1MKn ]Iallm°A193NM 1PAP9.Pa - 10.1Pam iY1P11Pp 0aVP1FPNfxIMPNWIIMIM} n}3gnK9T}W f;aaOP 44MOD W10/mix PFVOttON41MI1KCWM9MT 1]Il1a1A1911a1 S,HPw 5APppP MMSmW M 4aN1ID IY9(1�ttllCNxl, tYwaPloK,O{p 41a15 luxAx. Ilii9: P,9fI0"p 319AI I1/9110]2 UMC[OMNUNMKMClPM11�LRTIEm]IEt91mm - ]9JiA52 - f9iN93 MIYN}}NWMXPWIIHCNmlImlW II1o?'Wllia9] - P,PWI - 9¢]40 L/i/Wn HNN•E(110H IMIMTf<EOM/M aWOmIUldi - 37yl:15 - 17.151.35 31/71mn UMI1axKllhertXCMIMIMT]16PHI1391mm 1469 no / l / / 9E.m8]i 9l.'ne9] ✓ 1P]la 539.]5 P1IACt'ONNG•1 5a>J . / %Tl]A • M ��IOPOa9P1 ICMilUffi G%/CeNI OIPf/[eyi PR!/tamp! 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Jmm 411A11 11fuz 5E),1f. l5N/SOn NnaNPapIIISCxCMIYPMr1Haa(191110m S1.M% "An" IL9/10]1 uNCCOMMUxmrtx(YLVMIMI'116Ua5f33P141'm IT91a.G 11,91CH Sl/IJSm1 HNS-LCNONUWMPMi)IHM1ll'IHma62m1 7AH93 )ARMS 1117/Im] NNB-ECIOXCCIAIMPMT)aW0]IISMmmIiMlS - lw)-t1 1w,,P1 9;TlSE J f9919JR CMF.Y LGLn 1a6I5 Gym" lOTa9 n0.TIf91 9l]]944 91IllL 69515A a4Mam "ialn9dl 11/1412022 Treasury Center Quick View Select Quick Yew Accounts Select Group Account Number/Name Groups r "" �J All Search � DDA Data reported as of Nov 14, 2022 91's�. Account Number Current Balance Available Balance Collected Balance Prior Day Balance ;l Number of Accounts; 15 $6,030,660.79 $6.342,089.66 $6,030,860.79 $7,033 724A2 ; a; 13660 GULF POINTE PLAZA- $100.00 S100.00 $100.00 s100.00 DACA MEMORIAL MEDICAL I NH GOLDEN CREEK $68,516.33 $96,351.10 $68,516.33 $181,603.24 Ir-: HEALTHCARE •4 MEMORIAL MEDICALl CENTER -CLINIC SERIES $53639 $536.79 $536.79 $53879 t..,a 2014 '4357 i MEMORIAL MEDICAL $5,165,798.37 $5.100.325.85 S5,155,798.37 S5,448670.28 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.14 $432.14 $432.14 S432.14 WAIVER CLEARING '4381 f MEMORIAL MEDICAL Si13,378A3 S194,357.80 $113,378.43 S144093.31 ; CENTER I NH ASHFORD a ME MEMORIAL MEDICAL CENTER lNH S55,728.28 $122,476.99 $55,723.28 $104 152.92 , BROADMOOR '4411 MEMORIAL MEDICAL $100,929.89 S156,873.74 $100,929.89 S148,793.88 'f CENTER I NH CRESCENT 444 MEMORIAL MEDICAL $28,607.79 $57,400.79 $28,607.79 $5010578 CENTER I NH FORT BEND MEMORIAL " MEDICAL CENTER I SOLERA AT $73,428.35 $119.124.56 $73.428.35 S160,613,60 ^i WEST HOUSTON r=: '2998 MMC-MONEY MARKET $296,157.77 $298,157.77 $296,157.77 $296,167.77 fie FUND •5506 '! MMC-NH BETHANY $27,515.91 $26,579.01 $27.515.91 S17474071 SENIOR LIVING • MC -NH GULF POINTS PLAZA- 539,557.59 $69,916.86 $39,557.59 $107,387.73 MEOICAREIMEDICAID '5433 MMC -NH GULF POINTE S38,435-03 $59,546.29 $38.435.03 $64.486.92 PLAZA -PRIVATE PAY '3407 MMC-NH TUSCANY $31,538A2 $42.909.97 $31,538.12 S151.853.95 VILLAGE https:l/pmsperity.olbankinp,mmlonllnaMessenper 111 Memorial Mediml Center Nursing Home UPL Weekly Nezion Transfer Prosperity Aunts 11/14/2022 Pmwow Rmunt sew" 4 wnaMr wwwo Nwmar extn<e Tnndm.ouc nb, o 35P,9I0.33 IIP,9]a.P6. ,� 35,S/0.0D rote: oN/WbnmraJawa.;MOwN4ewn•)medmtMnuedpAamr.. Nnrc3:6dawauntAwv6varlxibntsafSlaOthotAlsf[drvotRedrooymamunt NOV 14 2022 SYCOUMYAUDITOR CNIMN COUNTY, TMMg TnaaykeeabmMg nnturtm BeTrantiertedmxuNny - 6P$16.33 Bmkek ®$16.3a Vaaa.me mwrM Betrnw 1r31.00 SUPMOR44NPP 31=m 014 ombatmleax xvuem Mw= nrumbminnrm YIDS AOiva BalaxeRnnoerM�Ot`{`�� (//�� 0.0511RNDAlxONaf,RO j WIaRR33 F.\xxw«W rrrnrenWxuPkrruxxrsummrNw3\xawb�.Wxuakrr.�ansmm.ry s3saaa.. ,� fulaoam,ai Qrpnu w @RVfG$R I2=d%!6 dfPlmnms OVYNe@z �P/qmp! Wm QOPn xxPWnal 11>,91f9B - ;39i.6] 4ALf> • f5%30 ffpL>0 • lrs.n s>f.v l3AW1 falral - -?VAI - f,919J1 • >19A> - fa9ff x19A sx� f.x)l.f0 Lu sl.v • zf s,9elzx m.4nt9 f w 11 3fSxOM 11/1412022 Quick View Treasury Center Selact Group Groups Atltl Group Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 S0;030,860.79 $6,342,089.86 $6,030,669.79 Y"! $7,033,729.02 x •3660 GULF POINTE PLAZA - S100.00 $100.00 $100.00 S100 00 ill DACA •4454 AN MEMORIAL MEDICAL 1 NH GOLDEN CREEK S68,516.33 $96,351.10 $68.516.33 $181 603 24 ; HEALTHCARE q' MEMORIAL MEDICAL CENTER -CLINIC SERIES $536.79 5536.79 5536.79 S536 T9 2014 •4357 'T MEMORIAL MEDICAL S5,156;798.37 $6.100,325.85 $5,155,798.37 $6,44867028 CENTER -OPERATING -4373; MEMORIAL MEDICAL CENTER -PRIVATE $432.14 $432.14 S432.14 $432 14 - WAIVER CLEARING t# • MORIAL MEDICAL $113,378.43 $194,357,80 $113,378A3 $144,09331 CENTER / NH ASHFORD *4403 MEMORIAL MEDICAL CENTER ! NH S55,728.28 $122.476.99 $55,728.28 $104152 92 „t'. BROADMOOR �M is MEMORIAL MEDICAL $100,929.89 S156,873.74 $100,929.89 $148,793.88 CENTER / NH CRESCENT s* -4446 MEMORIAL MEDICAL $28.607.79 $67,400.79 S28:607.79 $50,105.78 z , CENTER I NH FORT BEND *4438 MORTAL MEDICAL CENTER I SOLERA AT $7428 3..35 5119.124.Sfi $73,428,35 t i 516061380 1-4 WEST HOUSTON rF,j *2998 MARKET $206.157.77 $296.157.77 $296.157.77 $296,167.77 FUNDMC-MONEY 'S506 #j � MMC -NH BETHANY $27.515,91 $25.579.01 $27.515.91 $174 740 71 SENIOR LIVING -. Ir -5441 MMC-NHGULF POINTE PLAZA- $39,557,59 $69,916.66 S39,557.59 $107,387.73 4 j MEDICARE/MEDICAID •5433 a MMC-NH GULF POINTE $38A35.03 $59.546.29 $38.435.03 $64,486.92 PLAZA -PRIVATE PAY *3407 MMC -NH TUSCANY $31.538.12 $42,909.97 $31,638.12 $151.853.95 VILLAGE https://pmapedtl.otbanking.com/ontinaMessonger 1N Memorial Medical Center Nursing Home UPL Weekly HMGTransfer Prosperity Accounts 11/14/2022 ?f� aawnc �"lg7`a�Aif�4`�"N14911�"6Xa. nti.ni%y NMI PrMaa AaeuM s.ekudi! N Nm. NmWr 6A�Ni YY ��J�g fie}�I B1A..' GYMMI. AcgNYtibmmlu le/6ull/e/nUNern Mac aN'HmnwaarrS6llpwrtlbaem/mrcGm m.nw+M!!�w Nmea:lzh mtmmtlw admeaabNegfiOOrlmrMMCemm4rOmPPw�![taar. tif911.8> Fi 34.436•86 51<14,8.21 * NOV 14 2022 BY CALHOUN UN1TY Y,IMg Pmmn o.P.4u - iaixw e+W&Wm 34USD3� VMbnm mawNBLMoe lQle] mMmxme. TmMNm4m W Oa QIQMP Amu* IdOPATMFNRINATBMWIQTOMM[ afrilfO'y ravea.ramras tli NavNRM IMUffI OemvLUNwrnt AQmtBYwM/rr.eAerAnn 11.aWf r/ Ammnttlae TeG.W NimnbearWe. NwNellum erNtakM. NSsiSf Vnfanx miwbBinma IWw dieWrNmwm M.>i rJ gawm6er4il.rart OameherarYmt. V1Wre�emirrMaM1rP1Rt :iA3Mi f Tmum�wtses 1 smeArrQATx ao //r^sJy�u�An,' uflVmn rf xx w.r11/TtupeANN cot namrw sv�wxNitrvave�wrW r un r�rt.. w�wn tuaaT�n 117x/302I 1MRE Ou7HMc 9EM EnCES„IIL 11HI/M33 XNB•ECNOHCCWMPM7746p7341144a00D104239 11/AO= NXSWEEPFACH261 210WM61389EBSWEEPFA 13/8/2022 HNB-ECHOHCOAHPPM7716003421410M0262501 lf/6I= HNB-ECXOXCQAIMPMT7a0MU 41660026u61 IV?I 032 NN9-ECXOH=MPMT746663431440o0p216100 MaKPOB WP/Camp WP/Cam" TnalfaMu3 Tr00Nape WPT NHPOMN 26,OS389 _ 203M - 2M.M I1,136A5 - WOW 274.0 - 27159 2352 2352 2352 - 33.52 26ASYB9. ✓ SI.737.93 `/ MM" MMCMMN WPP/Comp WP/Campt 7onAmaue ] ndpft WP/Camps 2 WP/famP3 Max Wen NNPOA71ON 67,830.M - 7,7SSa7 - 7,785A7 3.577.95 $57745 27.49657 27,496$ 606.87 60647 93,1B2.a3 31, MI 3t14B.n 11/14/2022 Quick View Select Quick View Accounts Search 11 All Treasury Center Select Group Grou s Add Group ` Account Number Current Balance Available Balance Collected BalancevYV ,aV Prior Day Balance Number of Accounts: 15 $6,030,660.79 $6,342,089.86 $6,030,600,79 $7,033,729.02 GULF POINTE PLAZA- 5100.00 S100.00 5100.00 $100.00 DACA '4464 MEMEDICAL NH GOLDENOLDEN CREEK $68.516.33 $96.351.10 $68,516.33 Si81,603.24 HEALTHCARE •4365 MEMORIAL MEDICAL CENTER • CLINIC SERIES $536.79 $536.79 5636.79 $538.79 2014 '4357 MEMORIAL MEDICAL $6,156,798.37 $5,190,325.85 $5.155,798.37 CENTER —OPERATING '4373 MEMORIALMEDICAL CENTER - PRIVATE $432,14 $432.14 $432.14 WAIVER CLEARING '4381 MEMORIAL MEDICAL $113,378.43 $194.357.80 5113,378.43 CENTER I NH ASHFORD •4403 MEMORIAL MEDICAL CENTER NH S55,728.28 $122.476.99 $55.728.28 BROADMOOR •4411 MEMORIAL MEDICAL $100,929.89 $156,873.74 $100.929.89 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $28.607,79 $57,400.79 $28.607.79 CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL I CENTER / SOLERA AT $73,428.35 $119,124.56 $73.428.36 WEST HOUSTON '2998 MMC-MONEYMARKET $296,157.77 $296,157.77 $296,157.77 FUND '5506 MMC •NH BETHANY 527,515.91 $25,579.01 $27.615.91 SENIOR LIVING '6"1 MMC -NH GULF POINTE PLAZA - $39,557.59 $69.916.86 $39.557.59 MEDICAREIMEDICAID •5433 MMC -NH GULF POINTE $38,435.03 $59,546.29 $38,435.03 PLAZA - PRIVATE PAY •3407 MMC-NH TUSCANY 531,638.12 $42,909.97 $31,538.12 VILLAGE https://prosperity.olbanking.com/0nlineMnsenger $5,448.670.28 S $432.14 $144.093.31 k. $104,152.92 $148,793.88 $50,105.78 s� $160,613.60 $296,167.77 S174,740.71 !, $107,387.73 $64,486.92 5151,853.95 111 Memorial Medical Center Nursing Home UPL Weeldy'ruscanyTransfer Prosperity Accounts 12/14/2022 Pm Mmnsna scams BgbP�nP Mndnt >mxtemam wr. xa4S� a.we >.mr ww coma aw.s m.a1u rr.na..xnsm P _sEU� e�cr..: �=_ '"I LL� .v..ssxee y na.um ✓ ssmsm ,/ swe.ss sym>a wnsubnm asssass vaxna ,aa..NeWnee room xeuxa Doper mwn.xw.mw.ope +,uan✓ rwr. chMeaamo/Pwss.Puon,.r&emr/yrgrorhenvamp Mao xwozLOW arnowrRat PdaeAJuue efSIM rMrsarc*taeateeaxn ermwr. NOV 14 2022 QABuOIINf .� p fil f. MMCPOATION i a. .'' i l i ,y#,'I ��• 7� OIPP/Comp NPPICMP NPP/OmP h4ndfi a0 Tmnsfem 1 QIPP/WmP2 3 461aM QIPP71 NH POR710N 11/10/2022 WIRE OUT UNOARENTERPRISES, LLC 120,315.33 - _ - 11/9/1021,WLIMH6ALTHCARMOUWA 011473224MM19 - 30,16038 %200.48 2,054.70 85 9.2.30,33 1068.5 13/9/202i HN8•ECHO HCCWMPMf746003411440000304235 - 5,06851 - 5,O6B31 12/7/2022 HNa-ECHOHCCLAIMPMT746003411440000214097 - 3.87238 _ 3872.38 120315.83 19,203.0] 8.2CM48 2A59.10. 9,23033 / 93/0.74 11/1412022 Treasury Center Quick View Select Quick View Accounts Search 11 All Select Group Groups Add Group L""^ Data i Account Number Current Balance Available Balance Collected Balance Number of Accounts: 15 $6,030,660.79 $6,342,08%66 $6,030,660.79 '3660 GULF POINTE PLAZA- $100.00 $100,00 $100.00 DACA '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK 568,596.33 $96,351.10 $68,516.33 HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.79 S536.79 $536.79 2014 '4357 MEMORIAL MEDICAL S5,155,798.37 S5,100,325.85 S5,155,798.37 CENTER —OPERATING '437 MEMORIAL MEDICAL. CENTER -PRIVATE $432.14 $432.14 $432.14 WAIVER CLEARING •4381 MEMORIAL MEDICAL $113,378.43 S194,357.80 $113,378.43 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER! NH $55,728.28 $122.476.99 S55,728.28 BROADMOOR '4411 MEMORIAL. MEDICAL $100.929.89 S156.87374 $100,929.89 CENTER /NH CRESCENT '4446 MEMORIAL MEDICAL $28,607,79 $57,400.79 $28.607.79 CENTER I NH FORT 13END �4438 MEMORIAL MEDICAL CENTER / SOLERA AT $73,428.35 5119,124.56 $73,428.35 WEST HOUSTON MMC-MONEY MARKET $296,157.77 $296,157.77 $296,157.77 FUND '5506 MMC-NH BETHANY $27,515.91 S25,579.01 $27.515.91 SENIOR LIVING •5441 MMC-NH GULF POINTE PLAZA. $39,557,59 $69,916.86 $39.557.59 MEDICAREIMEDICAID •5433 MMC -NH GULF POINTE PLAZA -PRIVATE PAY S38;435.03 $59.546.29 $38,435.03 '3407 MMC -NH TUSCANY VILLAGE $31,538.12 ,/ S42,909.97 $31,536.12 hops:!/prosperity,olbanking.comtonllneMessenger Prior Day Balance $7,033,729.02 S100.00 S181,603.24 „j S536.79 S5,448,670.28 >; S432 14 i S144,093.31 ?. $104.152.92 €,'.- $148 793 88 I ,r 4 SSD 105>8 t`,j $160,613.60 S296,157.77 t,M $174,740.71 I s S107,387.73 Y'I1 $64,486.92 S161.853.95 1!1 Memorial Medial Center Nursing HMO UPL Weemymaransw PrmpedtVAccounts 11/14/2022 PM rrar. abmw�ge�sts000wuaw,gen.aroarnwrxPm.z wxef:rcd,ecaw,rnmee®rm'waNzmawrwnreta�+u+roronaevnr. NOV 14 2022 W. g PmLry ar kh. VL uuaw bi IXIOMrIn1eM NPP HmmmGfrNleRN nittTe111MrM1N A4mtarWn/rruekr lIJNM:✓ meroved: �('Y\ now,wwtxo ao s9rya/mP: uW i w..ursmdnµxuxmwasvam.ryVmrvr«www uxsMa..9umm.g u.suxa a1 v 'rd4. ,.: .11 1 Y BBNCIONNIXi iMhlll hi �,$',�`T)'^ "�' * incuttln amimwi afro/vnuz mn/Eomw aw +w mRn nnrognax 1Y"n YNBEdNM111TMv1GM11 UC ilBA65.i} 1V1WID}2 wpYt zseise Ysxce UnaJ - 3 a2m, !U&mu wro«I !1/BJtu} nxe-Ecnoxawmonrt}emmaualaawxBa01 }ae,m }saw li/7/BB}i BmeNt. Km." - Sa.MW ith/10}2.XNB•F1110NCGAINVM!}16�13141WW1113!! - U72 a72 If/}/}B}2 NN0-EOp N[ONMYMf}atQya115PWW}1I1E0 - !!.B} - nAl 1V}/}4II NWNKlCIVfNIN NIXVJMVAeIc}WµydBp0101' / 6pWi8 f BA 18 vaaBsz}a05 .+ B}—� asn 1111412022 Quick View Select Quick View Accounts Treasury Center Select Group Groups Adtl Group - - vv,v apv ,vv as o vuY v NGL a!il9+1 Account Number Currant Balance Available Balance Collected Balance Prior Day Balance ¢ "i Number of Accounts: l5 $6,030,660.79 $6,342,099.88 $6,090,860.79 $7,095,729.02 l 'li GULF POINTE PLAZA- $100.00 $100.00 $100.00 $10000 DACA '4454 MEMORIAL MEDICAL /r".� NH GOLDEN CREEK $68,516.33 $96,351A0 S68,516.33 $181,603.24'_,, HEALTHCARE MEMORIAL MEDICAL CENTER - CLINIC SERIES 9 3 556:7 $538.79 $53@.79 $53fi.791"' 7i 2014 •4357 yk . MEMORIAL MEDICAL $6.155,798,37 $5,100,325.85 $5,155.798.37 $5,448 670 28 �'�1 CENTER -OPERATING =,. .4373 MEMORIAL MEDICAL CENTER -PRIVATE S432.14 S432.14 $432.14 $432.14 WAIVER CLEARING „.; ,4381 MEMORIAL MEDICAL $113,378.43 $194,387.80 $113.378.43 $144093.31 CENTER / NH ASHFORD , •4403 MEMORIAL MEDICAL CENTER/NH $55,728.28 $122.476.99 $55,728.28 8104 152 92 : BROADMOOR e.ra zs •4411 MEMORIAL MEDICAL S100,929.89 $156,873.74 $100,929.89 $14879388� CENTER/NH CRESCENT - `4446 MEMORIAL MEDICAL $28,607.79 $57.400.79 $28.607.79 $50,105.78 CENTER/NH FORT BEND •4438 MEMORIAL MEDICAL CENTER/SOLERA AT $73.428.35 $119,124.56 573.428.35 5160,613.60 WEST HOUSTON =x •2998 MMC-MONEY MARKET $296,157.77 $296.157.77 $296,157.77 $29815777 FUND 15506 MMC-NH BETHANY S27,515.91 $25,579.D1 $27,515.91 $174,740.71 SENIOR LIVING ,.. '9441 MMC -NH GULF POINTE PLAZA. $39,557.69 $89,916;86 $39,557,69 S107,387,73 t �. MEDICARE/MEDICAID •5433 MMC-NH GULF POINTE $38,435.03 $59.546,29 $38,436,03 $64,486.92 PLAZA- PRIVATE PAY •3407 MMC-NH TUSCANY S31,538.12 $42,909.97 $31,638.12 S151,853.95 VILLAGE https://pmapedryoibanking.mm/onilooMessonger Ill P A Y E MEMORIAL RAEDICAL CENTER CHECK REQUEST— Rsvf-" Memorial Medical Center 11/14/2022 Uat..a Requested: AMOUNT 15,601.03 EXPLANATION: Molina Qipp Payment September FOR ACCT. USE ONLY ® APPROVED ONImprest Cash FIA/P Check NOV 14 2022 ❑ Mail Check toVendor BY COUWY AUDITOR ❑Return Check: to Dept CAL{OUN COUNTY, TEXAS G/L NUMBER: 10255040 �' REQUESTED BY: Caitlin Clevenger AUTHORIZED 67r_'t5Vk� MEMORIAL MEDICAL CENTER -! P Memorial Medical Center A Y :w c AMOUNT 5339.26 EXPLANATION: Molina Qipp Payment September Date Requested: 11/14/2022 FOR ACCT. USE ONLY APPRI NMON glmprestCash []A/PCheck NOV 14 2022 Mail Check to Vendor BYCOUNTYAUDrrOR DReturn Check to Dept CALHOUN COUNTY, TEM G/L NUMBER: 10255040 1 REQUESTED BY: Caltlln Clevenger AUTHORIZED BY.. €V€EiltlORIAL MEDICAL CENTER CHECK REQUEST t(wm+ P Memorial Medical Center A Y E c AMOUNT 3982.09 EXPLANATION: Molina Qlpp Payment September Date Requested: 11/14(2022 FOR ACCT. USE ONLY APPRIMIOQ ❑ImprestCash NOV 14 2022 ❑A/PCheck Mail Check to Vendor CAAL&UGOOUANTTYO,WYURUR TEXAS ❑Return Check toDept GJL NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY-' IMEEK/10RI t! MEDICAL CEWER CHECK REQUEST T: r+6uX P Memorial Medical Center Date Requested: 11/14/2022 A AFP%iovaoN NOV 14 2022 BYGOUNTYI: CALHOUN COUN y � "c g FOR ACCT. USE ONLY 1'�Imprest Cash []A/P Check Mail Check to Vendor Return Check to Dept AMOUNT 4871.43 G/L NUMBER; 10255040 EXPLANATION: Molina Qipp Payment September REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: MEMORIAL MEDICAL. CENTER CHECK REQUEST Wtnv P Memorial Medical Center 11/14/2022 Date Requested: A Y APPRINMONB Nov 14 2022 BY COUNiYAUDITOR CALHOUN COUNTY, TaM AMOUNT 4670.25 EXPLANATION: Molina Qipp Payment September FOR ACCT. USE ONLY F�Imprest Cash ❑A/P Check Mail Check to Vendor ❑Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED MEMORIAL MEDICAL CENTER CHECK REQUEST Tuscany P Memorial Medical [enter Date Requested: 11/14/2022 A 1 APPROVEDON NOV 14 2022 E CAL ODUN C UAU TT%A9 AMOUNT 9230.33 EXPLANATION: Molina Qipp Payment September FOR ACCT. USE ONLY nimprest Cash ❑A/P Check []Mail Check to Vendor Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: