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2022-11-23 Final PacketIVI Agenda Items Properly Numbered i/ Completed and Signed �Contracts 1295s Flagged for Acceptance number of 1295's ) _ All Documents for Clerk Signature Flagged On this 2rqday of xi 2022 a complete and accurate packet for ,32-cnof 7 lt"� 2022 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. ( i Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, November 23, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: `l Call meeting to order. `' Invocation. Pledges of Allegiance. AT OLED o , Icr I-t M NOV 18 2022 e.� General Discussion of Public Matters and Public Participation. oLlnPublic Hearing regarding amending the 2022 and 2023 Calhoun County budgets. o� . Consider and take necessary action to amend the 2022 and 2023 Calhoun County Budgets. (RHM) ''Consider and take necessary action to approve the Final Plat of the Crisp Subdivision (a replat of Lots 10 and 11 in Block 41 and a portion of the abandoned Alamo Beach Boulevard and the Park of the Alamo Beach Townsite recorded in Volume V, Page 1 of the Calhoun County Deed Records). (DEH) e-Consider and take necessary action to authorize Judge Meyer to sign the Texas Historical Commission Antiquities Permit Application Form Archeology for the Green Lake Enhancement Project Survey. (GDR) § Consider and take necessary action to authorize Commissioner Reese to utilize GOMESA funds, not to exceed $130,000, to purchase playground equipment from Kraftsman for Bill Sanders Memorial Park; and authorize to sign all documents. (GDR) Page 1 of 3 N -r(Fr)f RIEEfING -11f7 iL�22 i0. Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-005-D364, CEPRA Project No. �1716 for the Swan Point Shoreline Restoration, Phase 1. (GDR) JI Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-013-D377, CEPRA Project No. 1730 for the Boggy Nature Park Shoreline Protection, Phase 2. (GDR) �+" big 12. 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) 13. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Annual Supply Contract for Inmate Food Services, for the Calhoun County Adult Detention Center, Bid Number 2023.04 for the period January 1, 2023 through December 31, 2023 with the option to renew yearly if agreeable with both the successful bidder and Calhoun County and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Wednesday, December 14, 2022. (RHM) 491�consider and take necessary action to acknowledge overpayment in amount of $24,529.49 on FEMA DR-4332 PW 3548 Six Mile Park and authorize refund to Texas Division of Emergency Management. Insurance proceeds received were in excess of eligible project costs resulting in withdrawal of project by TDEM. (RHM) 8 Consider and take necessary action to accept insurance proceeds in the amount of $2,500 from Texas Farm Bureau Mutual Insurance Company and $9,102 from VFIS for claim regarding a stolen EMS Motorola APX8000 Radio - Serial Number 581-CXZ0334. (RHM) 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) 17. Consider and take necessary action on a request by Roshanda Thomas from Memorial Medical Center to draw $3,000,000 from their Line of Credit to for QIPP IGT payment. (RHM) t8. Consider and take necessary action to increase the Calhoun County Library's credit card limit to $10,000.00. (RHM) V9. Consider and take necessary action to remove a 2010 Dodge Pickup, VIN # �1D7RV1CTSAS178289 from the Sheriff's Office fleet as it will be going to auction. (RHM) 20. Consider and take necessary action to Transfer a Court Reporter Chair from the District Clerk's Office to the County Court -at -Law Office. (RHM) I'll. Consider and take necessary action to declare the attached list of equipment from the District Clerk's Office as Waste. (RHM) Page 2 of 3 72. Consider and take necessary action to Transfer a 2015 Chevrolet Tahoe VIN # IGNLC2EC2FR526788 from the Juvenile Probation Department to the Extension Service Department. (RHM) Consider and take necessary action to place seized vehicle 2005 Nissan PK VIN # 1N6AA06B35N508478 to the Sheriff's Office fleet. (RHM) ,r/ 24, Approve the minutes of the November 9, 2022 meeting. `Z5. Accept Monthly Reports from the following County Offices: i. County Clerk — October 2022 —i Justice of the Peace, Precinct 3 — October 2022 Justice of the Peace, Precinct 4 — October 2022 26. Consider and take necessary action on any necessary budget adjustments. (RHM) 27. Approval of bills and payroll. (RHM) Richard H. Meyer, County J Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.or2 under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 NOTICE OF MEETING— 11/23/2022 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct l Vern Lyssy, Commissioner, Precinct 2 ,noel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk CA1]L]H OUN COUNTY C®MIM ISSION] RS9 COURT REGULAR TERM 2022 § November 23, 2022 BE IT REMEMBERED THAT ON November 23, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: I. Call meeting to order. Meeting was called to order at 10 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 Thanksgiving! 5. Public Hearing regarding amending the 2022 and 2023 Calhoun County budgets. Closed regular meeting at 10:01 Candice Villarreal read the changes/amendments. Peggy Hall read her resignation. Commissioner David Hall read a Statute. Opened regular meeting at 1l Page 1 of 6 I NOTICE OF MEETING— 11/23/2022 6. Consider and take necessary action to amend the 2022 and 2023 Calhoun County Budgets. (RHM) 2022: Court moved to accept all amendments except amendment numbers 6163 and 6164. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2023 Court moved to accept all amendments except amendment numbers 6180, 6181, 6182, 6183 and 6188. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to approve the Final Plat of the Crisp Subdivision (a replat of Lots 10 and 11 in Block 41 and a portion of the abandoned Alamo Beach Boulevard and the Park of the Alamo Beach Townsite recorded in Volume V, Page 1 of the Calhoun County Deed Records). (DEH) Henry Danysh explained the Final Plat of the Crisp Subdivision. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese B. Consider and take necessary action to authorize Judge Meyer to sign the Texas Historical Commission Antiquities Permit Application Form Archeology for the Green Lake Enhancement Project Survey. (GDR) Matt Glaze explained the Permit. RESULT: APPROVED [UNANIMOUS] MOVER: SECONDER: Gary Reese, Commissioner Pct 4 AYES: David Hall, Commissioner Pct 1 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING— 11/23/2022 9. Consider and take necessary action to authorize Commissioner Reese to utilize GOMESA funds, not to exceed $130,000, to purchase playground equipment from Kraftsman for Bill Sanders Memorial Park; and authorize to sign all documents. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-005-13364, CEPRA Project No. 1716 for the Swan Point Shoreline Restoration. Phase 1. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-013-D377, CEPRA Project No. 1730 for the Boggy Nature Park Shoreline Protection, Phase 2. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to 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 13. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Annual Supply Contract for Inmate Food Services, for the Calhoun County Adult Detention Center, Bid Number 2023.04 for the period January 1, 2023 through December 31, 2023 with the option to renew yearly if agreeable with both the successful bidder and Calhoun County and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Wednesday, December 14, 2022. (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 3 of 6 NOTICE OF MEETING— 11/23/2022 14. Consider and take necessary action to acknowledge overpayment in amount of $24,529.49 on FEMA DR-4332 PW 3548 Six Mile Park and authorize refund to Texas Division of Emergency Management. Insurance proceeds received were in excess of eligible project costs resulting in withdrawal of project by TDEM. (RHM) 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 to accept insurance proceeds in the amount of $2,500 from Texas Farm Bureau Mutual Insurance Company and $9,102 from VFIS for claim regarding a stolen EMS Motorola APX8000 Radio — Serial Number 581-CXZ0334. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action on updating the members of the Flood Insurance Appeals Board for variance requests to the Calhoun County Flood Damage Prevention Order. (RHM) Wayne Mims, Karen Rinasz, Kenneth Reese and Ron Crain. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action on a request by Roshanda Thomas from Memorial Medical Center to draw $3,000,000 from their Line of Credit to for QIPP IGT payment. (RHM) Roshanda Thomas explained her request. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to increase the Calhoun County Library's credit card limit to $10,000.00. (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 4 of 6 NOTICE OF MEETING— 11/23/2022 19. Consider and take necessary action to remove a 2010 Dodge Pickup, VIN # 1D7RV1CTSAS178289 from the Sheriff's Office fleet as it will be going to auction. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Clerk's Office to the County Court -at -Law Office. (RHM) 20. Consider and take necessary action to Transfer a Court Reporter Chair from the District RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to declare the attached list of equipment from the District Clerk's Office as Waste. (RHM) [RESULT: APPROVED[UNANIMOUS] VER: Gary Reese, Commissioner Pct 4CONDER: Joel Behrens, Commissioner Pct 3 ES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to Transfer a 2015 Chevrolet Tahoe VIN # 1GNLC2EC2FR526788 from the Juvenile Probation Department to the Extension Service Department. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Consider and take necessary action to place seized vehicle 2005 Nissan PK VIN # 1N6AA06B35N508478 to the Sheriff's Office fleet. (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 5 of 6 NOTICE OF MEETING— 11/23/2022 24. Approve the minutes of the November 9, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 25. Accept Monthly Reports from the following County Offices: i. County Clerk — October 2022 ii. Justice of the Peace, Precinct 3 — October 2022 iii. Justice of the Peace, Precinct 4 — October 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 26. 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 27. 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: 11:07 Page 6 of 6 # 05 NOTICE OF MEETING - 11/23/2022 5. Public Hearinq reaardino amendina the 2022 and 2023 Calhoun Countv budgets. Closed regular meeting at 10:01 Candice Villarreal read the changes/amendments. Peggy Hall read her resignation. Commissioner David Hall read a Statute. Opened regular meeting at 10:25 Page 2 of 24 NOTICE OF MEETING, -- 11%23/2022 6. Consider and take necessary action to amend the 2022 and 2023 Calhoun County Budgets. (RHM) 2022: Court moved to accept all amendments except amendment numbers 6163 and 6164. RESULT:- APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2023 Court moved to accept all amendments except amendment numbers 6180, 6181, 6182,'6183 and 6188 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 24 AT - I I MASCK_,, NOV 18 2M CDUN 0Richard H.Meyer T �_ BY: Q7Rnnnrtnficr lfnnrllcre 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 will meet on Wednesday, November 23, 2022 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse, 211 S. Ann Street, Suite 1O4, Port Lavaca, Calhoun County, Texas. The Calhoun County Commissioners' Court will hold a Public Hearing on the 2023 Proposed Budget. This notice is in accordance with Section 111.007 and Section 111.0075 of the Texas Local Government code. Rlhard H. Meyer'Counioadge Calhoun County, Texas Anna Goodman, County Clerk By ty Clerk A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at ww w.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 1 of 1 # 06 Mae Belle Cassel From: cindy.mueller@calhouncoN.org (cindy mueller) <cmdy.mueller@calhouncotx.org> Sent: Thursday, November 10, 2022 5:22 PM To: Mae Belle Cassel Cc: Richard Meyer; Candice Villarreal; peggy hall, Erica Perez, Denu Cabrera Subject: Budget Amendment Hearing Agenda Items Please include the following items on the agenda for 11/23/22: • Public Hearing regarding amending the 2022 and 2023 Calhoun County budgets. • Consider and take necessary action to amend the 2022 and 2023 Calhoun County budgets. Cindy Mueller County Auditor Calhoun County 202 S. 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Consider and take necessary action to approve the Final Plat of the Crisp Subdivision (a replat of Lots 10 and 11 in Block 41 and a portion of the abandoned Alamo Beach Boulevard and the Park of the Alamo Beach Townsite recorded in Volume V, Page 1 of the Calhoun County Deed Records). (DEH) Henry Danysh explained the Final Plat of the Crisp Subdivision. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 24 Mae Belle Cassel From: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Tuesday, November 15, 2022 3:00 PM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Agenda item for Nov. 23rd Attachments: 10584-001 FINAL PLAT.PDF From: hdanysh@gwengineers.com (Henry Danysh) [mailto:hdanysh@gwengineers.com] Sent: Tuesday, November 15, 2022 2:18 PM To: 'David Hall' <David.Hall@calhouncotx.org> Subject: Agenda item for Nov. 23rd 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. Commissioner Hall, Please place the following item on the agenda for November 23, 2022: 1) Consider and take necessary action to Approve the Final Plat of the CRISP SUBDIVISION (a replat of Lots 10 & 11 in Block 41 and a portion of the abandoned Alamo Beach Blvd. and the Park of the Alamo Beach Townsite recorded in Volume V, Page 1 of the Calhoun County Deed Records) If you have any questions or comments, please do not hesitate to contact me. Thank you HENRY A. DANYSH Registered Professional Land Surveyor State of Texas No. 5088 G & W ENGINEERS, INC 205 W. Liveoak Street Port Lavaca, Texas 77979 Office: 361-552-4509 Cell: 361-920-4524 Calhoun County Texas s s I N m -7 W p yN78MWE 321.25' N F ------------------------------ m 0 1 C < _ pS O 4 (n F y ZO my n { 3]3'SJ'S5'W - J2B.5i 1J Ig R ________________________________________ 2]9.9] ___________________________ ________ j. 5 0 ^ { S3��gA Nn W% N W^ r i � .Df� .0 p ------------------- .WtlJI ,Qoae .rl'os o n ,.. M,SS.[S.BLS � p p 133US NINNV3 \ � n r m 1M�y RN gg gg 8 x yB.] RRp 9 N �.y 'p9p�•T•�'9 � tJ zo y oo�mo e 99 tO � C oa�ns Ul I.I.i v� RV en iaaS$W g e�m i �gi �g�g�� zKy�mo � d 3 � vai3A e e BA v �- Wnj Ctl B` A¢ dB RW g®°6g Y�p�N C7 I"I n e Rz 8R Cg3@ a .9 z a> 0 pg9 � gp¢• � 8� 3 6 9ggR $ p R R §" R 5 0 �4 N $a $ C n' z p Y GG ppp 88 9 �� Fl 9i9i � e < 2� If. -A e �z pq{ 3 € p R� F e€@9. a.•:x G & W ENGINEERS, INC. _ a x o m m m • ENGINEERING • SURVEYING • PLANNING • Ii n'" y 205 W. LIVE OAK 5]REET. Pgii LAVACA, lE%AS A919 u rm !7! b o MPEL5 nRM NO.: 1WR100 FINAL PLAT `�" (35t) 552-40a: PORT LAVACA (979) 333-II00: BAY ptt • 1: ' NOTICE OF MEETING 11/23/2022 8. Consider and take necessary action to authorize Judge Meyer to sign the Texas Historical Commission Antiquities Permit Application Form Archeology for the Green Lake Enhancement Project Survey. (GDR) Matt Glaze; explained the Permit. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 24 Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend)<april.townsend@calhouncotx.org> Sent: Wednesday, November 16, 2022 3:12 PM To: MaeBeBe.Cassel@calhouncotx.org; richard.meyer@calhouncotx.org Cc: gary.reese@calhouncotx.org Subject: RE: Green Lake "Consider and take necessary action to authorize Judge Meyer to sign the Texas Historical Commission Antiquities Permit Application Form Archeology for the Green Lake Enhancement Project Survey." Thank you, April From: MaeBelle.Cassel@calhouncotx.org (Mae Belle Cassel) [mailto:MaeBelle.Cassel@calhouncotx.org] Sent: Wednesday, November 16, 2022 3:00 PM To: april.townsend@calhouncotx.org Subject: FW: Green Lake Good Afternoon. April!!: Does the Commissioner want this on next creek's agenda or do you know Nvhen? How does he want the request Nvorded???? Mae, 3eU.e, Ca aseL Adanu w4tratwe Ayaa sta vtt to -the, Cocwtty Judge, a.veel CoTn,w Ls-s,Uynes-y Cocuft 211 Sotctk 4wrt,Street SaWei301 Port Lavacc, 7X 77979 361.553.4600 From: Richard.Mever@calhouncotx.ore (Richard Meyer) [mailto:Richard.MeverCa@calhouncotx.orel Sent: Wednesday, November 16, 2022 2:57 PM To: Mae Belle Cassel<maebelle.cassel@calhouncotx.org> Subject: FW: Green Lake You might want to ask April how they want this worded. From: mglaze@urbanvictoria.com (Matt Glaze) <mglaze@urbanvictoria.com> Sent: Wednesday, November 16, 2022 12:40 PM To: Gary Reese <Gary.Reese@calhouncotx.ore>; April Townsend<april.townsend@calhouncotx.ore>; Richard Meyer <Richard.Meyer@calhouncotx.ore> Subject: Green Lake 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. Gary, Can we have this placed on the agenda for next week's meeting? We need this to complete the archeological permit process. Calhoun County Texas Calhoun County Texas Calhoun County Texas ANTIQUITIES PERMIT APPLICATION FORM ARCHEOLOGY GENERAL INFORMATION I. PROPERTY TYPE AND LOCATION Project Name (and/or Site Trinomial) Green Lake Enhancement Project Surve County (ies) Calhoun USGS Quadrangle Name and Number Green Lake. TX (28096-E7) UTM Coordinates Zone 14R E 713889.74 in N 3156552.03 an Location South bank of Green Lake between Goff Bayou, TX 35, and Victoria Barge Canal Federal Involvement El Yes ❑ No Name of Federal Agency USACE Agency Representative Jerry Androv IL OWNER (OR CONTROLLING AGENCY) Owner Calhoun County Representative The Honorable Richard Meyer Address 211 S. Ann Street, Suite 301 City/State/Zip Port Lavaca, Texas 77979 Telephone (include area code) 361-553-4600 Email Address Richard.mever(a calhountx.org III. PROJECT SPONSOR (IF DIFFERENT FROM OWNER) Sponsor Address Telephone (include area code) Email Address PROJECT INFORMATION I. PRINCIPAL INVESTIGATOR (ARCHEOLOGIST) Name Tony Scott Affiliation Gray & Pane, Inc. Address 110 Avondale Street City/State/Zip Houston, Texas 77006 Telephone (include area code) 713-541-0473 Email Address tscott(c yraygape.com (OVER) ANTIQUITIES PERMIT APPLICATION FORM (CONTINUED) II. PROJECT DESCRIPTION Proposed Starting Date of Fieldwork December 9, 2022 Requested Permit Duration 5 Years Months (1 year minimum) Scope of Work (Provided an Outline of Proposed Work) Archaeological Pedestrian Survey III. CURATION & REPORT Temporary Curatorial or Laboratory Facility Gray & Pape. Inc. Houston, Texas Permanent Curatorial Facility Center for Archaeological Studies (CAS) in San Marcos, Texas IV. LAND OWNER'S CERTIFICATION I, Richard Meyer , as legal representative of the Land Owner, Calhoun Count do certify that I have reviewed the plans and research design, and that no investigations will be preformed prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that th)r.Ovner, Sponsor, and Principal Investigator are responsible for completing the terms of the permit. Signature V. SPONSOR'S CERTIFICATION Date /�— 2-3 — Z— Z— I, Richard Meyer , as legal representative of the Sponsor, Calhoun County do certify that I have review the plans and research design, and that no investigations will be performed prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that tlle'S`�pZmsor, Owner, and Principal Investigator are responsible for completing the terms of this permit. Signature VI. INVESTIGATOR'S CERTIFICA' Date / / — Z 3 — ZZ_ I, Tony Scott , as Principal Investigator employed by Grape, Inc. (Investigative Firm), do certify that I will execute this project according to the submitted plans and research design, and will not conduct any work prior to the issuance of a permit by the Texas Historical Commission. Furthermore, I understand that the Principal Investigator (and the Investigative Firm), as well as the Owner and Sponsor, are responsible for completing the terms of this permit. Signature Date Principal Investigator must attach a research design, a copy of the USGS quadrangle showing project boundaries, and any additional pertinent information. Curriculum vita must be on file with the Division of Antiquities Protection. Reviewer Permit Number Type of Permit Texas Historical Commission Archeology Division P.O. Box 12276, Austin, TX 78711-2276 Phone 512/463-6096 www.thc.state.tx.us FOR OFFICIAL USE ONLY Date Permit Issues Permit Expiration Date _ Date Received for Data Entry 9�P4S TEXAS ' HISTORICAL COMMISSION The State Agencrfor Htstw•ic Preservation # 09 NOTICE OF MEETING — 11/23/2022 9. Consider and take necessary action to authorize Commissioner Reese to utilize GOMESA funds, not to exceed $130,000, to purchase playground equipment from Kraftsman for Bill Sanders Memorial Park; and authorize to sign all documents. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner`Pct 2 SECONDER: David Hall, Commissioner.Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy; Behrens, Reese Page 6 of 24 Mae Belle Cassel From: april.townsend@calhouncotx.org (April Townsend) <april.townsend@calhorm otx.org> Sent: Thursday, November 17, 2022 8:33 AM To: MaeBelle.Cassel@calhouncotx.org; richard.meyer@calhouncotx.org Cc: cindy.mueller@calhouncotx.org Subject: Agenda Request Attachments: 11172022_D. Reese.pdf Good chilly morning! Please see attached agenda request for November 23, 2022. Thanks, April Calhoun County Texas Gary D. Reese County Commissioner County of Calhoun Precinct 4 November 17, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for November 23, 2022. Consider and take necessary action to authorize Commissioner Reese to utilize GOMESA funds, not to exceed $130,000, to purchase playground equipment from Kraftsman for Bill Sanders Memorial Park; and authorize to sign all documents. Sincerely, Gary A Reese GDR/at P.O. Box 177 — Seadrifl, Texas 77983 — email: Rary.reeseamcalhouncotr ore — (361) 785-3141 — Fax (361) 785-5602 #10 NO1lCE OF MEETING--1I./23/2022 10. Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-005-D364, CEPRA Project No. 1716 for the Swan Point Shoreline Restoration, Phase 1. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, CommissionerPct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 24 Gary D. Reese County Commissioner County of Calhoun Precinct 4 November 17, 2022 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for November 23, 2022. • Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-005-D364, CEPRA Project No. 1716 for the Swan Point Shoreline Restoration, Phase I. Sincerely, n 101114� Gary D. Reese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: Sarv.reesencalhouncomore — (361) 785-3141 — Fax (361) 785-5602 DocuSign Envelope ID; 621361 C2A-A95B-4998-AE0C-D071E09EF7A0 COASTAL EROSION PLANNING AND RESPONSE ACT PROJECT COOPERATION AGREEMENT GLO Contract No. 22-113-005-D364 CEPRA Project No. 1.716 The Texas General Land Office (the "GLO") and Calhoun County, the Qualified Project Partner ("QPP"), each a "Party" and collectively "the Parties," enter into this project cooperation agreement (the "Contract") under the Coastal Erosion Planning and Response Act, Texas Natural Resources Code Sections 33.601-.613 ("CEPRA" or the "Act"). 1. DEFINITIONS, INTERPRETIVE PROVISIONS AND PROIFCT DESCRIPTION 1.01 DEFINITIONS "Account" means the coastal erosion response account established under Section 33.604 of the Texas Natural Resources Code. "Administrative and Audit Regulations" means all applicable statutes, regulations, and other laws governing administration or audit of this Contract, which may include Title 2, Part 200, Code of Federal Regulations, Chapter 33 of the Texas Natural Resources Code, and Chapter 321 of the Texas Government Code. "Amendment" means a written agreement, executed by the Parties' authorized representatives, that documents changes to the Contract. "Attachment" means documents, terms, conditions, or additional information attached to this Contract after the execution page or incorporated by reference herein. "Budget" means the cost share budget for the Project detailed in the Project Work Plan and Budget attached to this Contract as Attachment A. "CEPRA" or the "Act" means the Coastal Erosion Planning and Response Act, Texas Natural Resources Code Sections 33.601-.613. "Coastal Surface Lease" means the Texas School Land Board lease applicable to the Project. "Contract' means this entire document and its Attachments and Amendments. "Fiscal Year" means the period beginning September 1 and ending August 31 each year, which is the annual accounting period for the State of Texas. "GAAP" metros "generally accepted accounting principles." _GASB" means the Governmental Accounting Standards Board. "General Affirmrations" means the teens and conditions attached hereto as Attachment B that QPP affirms and agrees to by executing this Contract. GLO Contract No. 22-113-005-D364 Page 1 of 12 nocu5ign Envelope to: 62B61C2A-A95B-4998-AEOC-1)071E09EF7AO "GLO" means the Texas General Land Office and its officers, employees, and designees, acting in their official capacities. "Intellectual Property means patents, rights to apply for patents, trademarks, trade names, service marks, domain names, copyrights and all applications and worldwide registration of such, schematics, industrial models, inventions, know-how, trade secrets, computer soltware programs, intangible proprietary information, other commercially valuable products of the human intellect, and all federal, state, or international registrations or applications for any of the foregoing. "Partner Match" or "Match" means the amount contributed by QPP and all funding sources other than the Cl PRA Account, to pay the shared Project costs set forth in the Budget. "Proiect" means the activities described in Section 2.01 and detailed in the Project Work Plan and Budget attached to this Contract as Attachment A. "Project Manager" means the person each Party designates as primarily responsible for coordinatin, the Project on behalf of that Party. "Public Information Act" means Chapter 552 of the Texas Government Code. "Qualified Project Pannier" or "QPP" means Calhoun County. Subcontractor" means an individual or business that signs a contract, or enters into an agreement with QPP, to perform part or all of the obligations Of QPP under this Contract. "Travel Regulations" means all applicable statutes, regulations, laws, and Comptroller guidance related to reimbursement for QPP's travel expenses, including: Title 34, Section 5.22, of the Texas Administrative Code; Chapter 660 of the Texas Government Code; the General Appropriations Act; and Tertranel, the Comptroller's navel regulation guidance available on the Comptroller's website. "Work Plan" means the Project Work Plan and Budget attached to this Contract as Attachment A, which describes the methodology, means, and manner in which the Project shall be accomplished. 1.02 INTERPRETIVE PROVISIONS (a) The meanings of defined terms apply to the singular and plural Forms of the defined terms; any term used in this Contract that is defined in the Act has the meaning defined in the Act; (b) The words "hereof," "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, Attachment, work order, or schedule of this Contract unless otherwise specified; (e) The term "including" means "including, without limitation." (d) Unless otherwise expressly provided, references to contracts include subsequent amendments and other modifications thereto, to the extent such amendments and modifications are not prohibited by the tetras of this Contract, and a reference to a statute or regulation includes statutory or regulatory provisions consolidating, amending, replacing, supplementing, or interpreting the statute Or regulation; (e) The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contract; GLO Contract No. 22-113-005-D364 Paige 2 of 12 DocuSign Envelope ID: 62B6rC2A-A9584998-AEOC.DO71EO9EF7AO (f) All Attachments to this Contract, including those incorporated by reference, and any amendments are considered part of the terms of this Contract; (g) This Contract may use several limitations, regulations, or policies to regulate the same or similar matters. Each such limitation, regulation, and policy is cumulative and shall be performed in accordance with its terms; (h) Unless otherwise expressly provided, reference to any action of or by the GLO by way of consent, approval, or waiver is deemed modified by the phrase "in its/their sole discretion." Notwithstanding the preceding, the GLO shall not unreasonably withhold or delay any approval, consent, or waiver required or requested of it; (i) Time is of the essence in this Contract; (j) Conflicts between this Contract and its Attachments shall be resolved in the following order of precedence: first, the Signed Contract; then Attachments to the Contract in this order: Attachment A, Attachment B, then the Coastal Surface Lease. 1.03 PURPOSE This Contract sets forth the terms and conditions for the cooperation of the Parties in the Project. The Project will be led and managed by the GLO. Match is included in this Contract. 11. SCOPE OF PROJECT 2.01 PROJECT (a) The Parties shall cooperate to complete CEPRA Project No. 1716 for data collection, survey, analysis, preliminary design, dredge material source investigation, permitting, and administration of the restoration and protection of the Swan Point shoreline Project. The Parties shall complete the Project in accordance with this Contract and its Attachments. (b) The Parties may amend the Work Plan or Budget by written agreement. QPP may request such an amendment by submitting a written request and detailed justification to the GLO Project Manager. Amendments to the Work Plan or Budget may delay performance of the Project. If there are any costs included in the requested amendment that were not previously included in the Contract, QPP is solely responsible for such costs it incurs while awaiting amendment. 2.02 STATE OWNED SUBMERGED LANDS The Project will take place on state-owned submerged lands and requires a Coastal Surface Lease or Special Document from the Texas School Land Board authorizing the placement of the Project. The QPP shall apply for each required Coastal Surface Lease and Special Document within 30 days of the completion of the 30 percent design phase of the Project. Each applicable Coastal Surface Lease and Special Document shall, upon final execution, be incorporated into this Contract by reference. 2.03 PROJECT MANAGERS Following the execution of this Contract, each Party must designate a Project Manager and provide the other Party with the Project Manager's name, contact information, and any other necessary information. If a Parry's Project Manager changes, that Party must GLO Contract No. 22-113-005-D364 Page 3 of 12 DocuSign Envelope ID: 621361 C2A-A956-4998-AEOC-DO71 E09EF7AO notify the other Party's Project Manager and provide the new Project Manager's contact information via email. Each Party shall maintain the other Party's Project Manager information in its Project files. III. TERM 3.01 DURATION (a) This Contract is effective as of the date executed by the last Party (the `Effective Date's and shall terminate on August 31, 2027. The Parties may extend this Contract for up to two additional year(s) by mutual, written agreement executed by the Parties' authorized representatives. (b) This Contract is effective for the term specified herein. If QPP performs services or incurs costs before the Effective Date or after the Contract's termination or expiration, QPP does so at its sole risk and the GLO may choose to not compensate QPP for such services or costs. 3.02 EARLY TERMINATION The GLO may terminate this Contract by giving QPP written notice specifying a termination date at least thirty (30) days after the date of the notice. Upon receipt of such notice, QPP shall cease any work, terminate any subcontracts, and incur no further expense related to this Contract. Early termination shall be subject to the equitable settlement of the Parties' interests accrued up to the date of termination. 3.03 ABANDONMENT OR DEFAULT If QPP abandons work or defaults on the Contract, the GLO may terminate the Contract without notice. IV. FUNDING 4.01 TOTAL PROJECT BUDGET The Parties must pay all expenses associated with the performance of this Contract in accordance with the Budget in Attachment A. 4.02 GLO FUNDS The GLO shall expend an amount not to exceed $148,164.00, as detailed in the Budget in Attachment A. 4.03 PAYMENT OF SHARED PROJECT COSTS AnyQPP, third -party, or Partner Match required for the Project must be provided in accordance with the Budget in Attachment A. QPP must pay the Partner Match amount indicated in Attachment A, which meets or exceeds the minimum percentage of shared project costs prescribed in the Act for the Project. QPP shall pay its Match amount in full to the GLO no later than thirty (30) days after receiving the GLO's written request for payment, which may be delivered by electronic mail, regular mail, or facsimile transmission. QPP must send payments) to the following address: GLO Contract No. 22-113-005-D364 Page 4 of 12 DocuSign Envelope ID: 62861 C2A-A95B-4998-AE0C-D071 MEMO GLO — For Partner Match Texas General Land Office Coastal Erosion Planning and Response Act (CEPRA)-MATCH Mail Code 151 P.O. Box 12873 Austin, TX 78711-2873 Partner Match payments must prominently display "GLO Contract No. 22-113-005- D364." QPP's failure to submit payment as instructed may significantly delay the project. 4.04 ALTERNATIVE SOURCE FUNDING The Parties shall cooperate to investigate and secure funding from sources other than the Account for the Project and its maintenance. QPP may use alternative sources of funding it acquires after the execution of this Contract toward the Partner Match. V. AVAILABILITY OF FUNDS, AFFIRMATIONS, ASSURANCES AND CERTIFICATIONS 5.01 STATE FUNDING (a) This Contract shall not be construed as creating any debt on behalf of the State of Texas and/or the GLO in violation of Article III, Section 49, of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution, all obligations of the GLO hereunder are subject to the availability of state funds. If such funds are not appropriated or become unavailable, this Contract may be terminated and the Parties discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. (b) Any claim by QPP for damages under this Contract may not exceed the amount due and owing QPP or the amount of funds appropriated for payment, but not yet paid to QPP, under the annual budget in effect at the time of the breach. Nothing in this provision shall be construed as a waiver of sovereign immunity. 5.02 GENERAL AFFIRMATIONS To the extent they apply, QPP certifies it has reviewed Attachment B, General Affirmations, and that QPP is in compliance with all the requirements contained therein. 5.03 RECAPTURE OF FUNDS The GLO may terminate the Contract and recapture and be reimbursed by QPP for any payments the GLO makes that: (i) exceed maximum allowable rates; (ii) are not allowed under applicable laws, rules, or regulations; or (iii) are otherwise inconsistent with this Contract, including any unapproved expenditures. 5.04 OVERPAYMENT QPP shall be liable to the GLO for any costs disallowed pursuant to financial or compliance audit(s) of funds QPP received under this Contract. QPP shall reimburse such disallowed costs from funds other than those QPP receives pursuant to this Contract. GLO Contract No. 22-113-005-D364 Page 5 of 12 DocuSign Envelope ID: 62Be1 C2A-A95B4998-AE0C•D071E09EF7A0 6.01 BOOKS AND RECORDS QPP shall keep and maintain full, true, and complete records in accordance with GAAP or GASB, whichever is applicable, as necessary to fully disclose to the GLO, the Texas State Auditor's Office, the United States Government, and/or their authorized representatives sufficient information to determine compliance with the terms and conditions of this Contract, other applicable agreements, and all state and federal rules, regulations, and statutes. 6.02 INSPECTION AND AUDIT (a) All records related to this Contract, including records of QPP and its Subcontractors, shall be subject to the Administrative and Audit Regulations. (b) The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. Acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. QPP shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through QPP and the requirement to cooperate is included in any subcontract it awards. (c) State agencies authorized to audit and inspect QPP, its records, subcontractors, and subcontractors' records include the GLO, the GLO's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office, the Texas Comptroller of Public Accounts, and their authorized designees. 6.03 PERIOD OF RETENTION Each Party shall retain in its records this Contract and all documents related to this Contract. Unless a longer retention period is specified by applicable law or regulation, the Parties may destroy the Contract and related documents only after the seventh anniversary of the date: the Contract is completed or expires; or all issues that arise from any litigation, claim, negotiation, audit, open records request, administrative review, or other action involving the Contract or related documents are resolved. 6.04 CONFIDENTIALITY To the extent permitted by law, QPP and the GLO shall keep all information, in whatever form produced, prepared, observed, or received by QPP or the GLO, confidential to the extent that such information is: (a) confidential by law; (b) marked or designated "confidential" (or words to that effect) by QPP or the GLO; or (c) information that QPP or the GLO is otherwise required to keep confidential by this Contract. QPP must not make any communications or announcements relating to this Contract through press GLO Contract No. 22-113-005-D364 Page 6 of 12 DocuSign Envelope ID: 62B61C2A-A95B.4998-AEOC.DO71E09EF7AO releases, social media, or other public relations efforts without the prior written consent of the GLO. 6.05 PUBLIC RECORDS The GLO shall post this Contract to the GLO's website. QPP understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted byjudicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. 1n accordance with Section 2252.907 of the Texas Government Code, QPP is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf') format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that QPP believes to be excepted from disclosure as "confidential" or a "trade secret," QPP waives any and all claims it may mike against the GLO for releasing such information without prior notice to QPP. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. QPI' shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to P1ALeea1(12alo.tcxas.eov. if a request for information was not written, QPP shall forward the third party's contact information to the above -designated e-mail address. VII. INTELLECTUAL PROPERTY 7.01 OWNERSHIP The GLO and QPP shall jointly own, without limitation, all right, title, and interest in and to all reports, drafts of reports, data, drawings, computer programs and codes, and/or ally other information or materials acquired or developed under this Contract with each Party having an unlimited right to access and use, and authorize or license third parties to access and use, all such information and materials without the necessity of obtaining authorization from the other Party and without expense, charge, or accounting to the other Party. 7.02 INTELLECTUAL PROPERTY (a) The GLO and QPP shall retain, both during and after the tenor of this Contract, exclusive ownership of all rights, title, and interest in and to, their respective pre- existing Intellectual Property as of the effective date of this Contract. This Contract will not be interpreted or deemed as causing the parties to become joint owners of any such pre-existing Intellectual Property. (b) The GLO and the State of Texas each has the right to use, reproduce, publish, publicly display, distribute and create derivative or new works and otherwise use, exploit, or authorize others to use or exploit for government purposes all reports, drafts of reports, data, drawings, computer programs, codes and any other work associated with this Contract, and exercise any intellectual property rights, without obtaining authorization from the other Party and without expense, charge, or accounting to the other Party. GLO Contract No. 22-113-005-D364 Page 7 or 12 DocuSign Envelope ID: 62B61C2A-A95B-4998-AEOC-DO71E09EF7AO (c) The QPP may obtain intellectual property rights for any work that is subject to intellectual property rights and was developed, or for which ownership was purchased, under this Contract, only if the GLO and the State of Texas each are granted a worldwide, royalty free, non-exclusive, fully paid -up, and irrevocable license to reproduce, publish, publicly display, distribute and create derivative or new works and otherwise use, exploit, or authorize others to use or exploit for government purposes all reports, drafts of reports, data, drawings, computer programs, codes and or any other work associated with this Contract. (d) QPP must give the GLO and the State of Texas, as well as any person designated by the GLO or the State of Texas, all assistance required to perfect the rights granted to the GLO and the State of Texas herein without any charge or expense beyond the stated amount payable to QPP for the work authorized under this Contract. (e) The Contract in no way creates an obligation on behalf of the GLO or the State of Texas to obtain or enforce any intellectual property right that may be created under this Contract. 7.03 NON -ENDORSEMENT QPP shall not publicize or otherwise circulate promotional material (such as advertisements, sales brochures, press releases, speeches, still and motion pictures, articles, manuscripts, or other publications) that states or implies State of Texas or government employee endorsement of a product, service, or position that QPP represents. No release of information relating to this Project may state or imply that the GLO or the State of Texas approves of QPP's work products or considers QPP's work product to be superior to other products or services. 7.04 PUBLICATION Reports, publications, presentations, and all other materials produced by QPP with funding provided in whole or in part under this Contract shall carry on the front cover or title page of such items, appropriate acknowledgement of financial or other support by the GLO and, if applicable, all federal entities providing funds or other support for the Project. VHL MISCELLANEOUS PROVISIONS 8.01 INSURANCE Pursuant to Chapter 2259 of the Texas Government Code entitled, "Self -Insurance by Governmental Units," QPP is self -insured and, therefore, is not required to purchase insurance. 8.02 LEGAL OBLIGATIONS QPP shall procure and maintain for the duration of this Contract any license, authorization, insurance, waiver, permit, qualification, or certification required by federal, state, county, or city statute, ordinance, law, or regulation to be held by QPP to provide the goods or services required by this Contract. QPP shall pay all taxes, assessments, fees, premiums, permits, and licenses required by law. QPP shall pay any such government obligations not paid by its subcontractors during performance of this Contract. GLO Contract No. 22-113-005-D364 Page 8 of 12 DocuSign Envelope ID: 62B6lC2A-A95B-4998-AEDC.D07iEO9EF7AO 8.03 INDEMNITY As required under the Constitution and laws of the State of Texas, each Party understands that it is solely liable for any liability resulting from its acts or omissions. No act or omission of a Party shall be imputed to the other Party. Neither Party shall indemnify or defend the other Party. 8.04 TAXES, WORKERS' COMPENSATION, UNEMPLOYMENT INSURANCE QPP shall be solely liable and responsible for payment of QPP's and QPP's employees' taxes of whatever kind, arising out of the execution or performance of the Contract. QPP shall comply with all state and federal laws applicable to any such persons, including laws regarding wages, taxes, insurance, and workers' compensation. The GLO and the State of Texas, by entering into this Contract, shall not be liable to QPP or its officers, agents, employees, representatives, contractors, assignees, designees, or others for the payment of taxes, or the provision of unemployment insurance, workers' compensation, or any benefit available to a state employee or employee of another governmental entity. 8.05 INFRINGEMENT If QPP becomes aware of an actual or potential claim of infringement of any United States patent, copyright, trade or service mark, or any other intellectual or intangible property right that occurs in the execution or performance of the Contract, or the GLO provides QPP with notice of such claim, QPP may (or in the case of an injunction against the GLO, shall), at QPP's sole expense either: (i) procure for the GLO the right to continue to use the affected portion of the product or service, or (ii) modify or replace the affected portion of the product or service with a functionally equivalent or superior product or service so that the GLO's use is non -infringing. 8.06 RELATIONSHIP OF THE PARTIES QPP is associated with the GLO only for the purposes and to the extent specified in this Contract. QPP is and shall be an independent contractor and, subject only to the terms of this Contract, shall have the sole right to supervise, manage, operate, control, and direct performance of the details incident to its duties under this Contract. Nothing contained in this Contract creates a partnership or joint venture, employer -employee or principal -agent relationships, or any liability whatsoever with respect to the indebtedness, liabilities, or obligations of QPP or any other party. QPP shall be solely responsible for, and the GLO shall have no obligation with respect to: withholding of income taxes, FICA, or any other taxes or fees; industrial or workers' compensation insurance coverage; participation in any group insurance plans available to employees of the State of Texas; participation or contributions by the State to the State Employees Retirement System; accumulation of vacation leave or sick leave; or unemployment compensation coverage provided by the State. 8.07 COMPLIANCE WITH OTHER LAWS In its performance of this Contract, QPP shall comply with all applicable federal, state, county, and city laws, statutes, ordinances, and regulations. QPP is deemed to know of and understand all applicable laws, statutes, ordinances, and regulations. GLO Contract No. 22-113.005-D364 Page 9 or 12 DocuSign Envelope to: 62B61C2A-A95B-4998-AEOC-DO71EO9EF7AO 8.08 NOTICES Any notices required under this Contract shall be deemed delivered when deposited either in the United States mail (postage paid, certified, retum receipt requested) or with a common carrier (overnight, signature required) to the appropriate address below: GLO Texas General Land Office 1700 N. Congress Avenue, 71' Floor Austin, Texas 78701 Attention: Contract Management Division QPP Calhoun County 211 S. Ann Street Port Lavaca, TX 77979 Attention: County Judge Notice given in any other manner shall be deemed effective only upon receipt by the Party to be notified. Either Party may change its address for notice by written notice to the other Party as herein provided. 8.09 GOVERNING LAW AND VENUE This Contract and the rights and obligations of the Parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit brought under this Contract shall be in a court of competent jurisdiction in Travis County, Texas. QPP irrevocably waives any objection, including any objection to personal jurisdiction, the laying of venue, or based on forum non conveniens, it has or may have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any related document. NOTHING IN THIS CONTRACT SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR THE STATE OF TEXAS. 8.10 DISPUTE RESOLUTION Except as otherwise provided by statute, rule, or regulation, QPP shall use the dispute resolution process established in Chapter 2260 of the Texas Government Code and related rules to attempt to resolve any dispute under this Contract, including a claim for breach of contract by the GLO, that the Parties cannot resolve in the ordinary course of business. Neither the occurrence of an event giving rise to a breach of contract claim nor the pendency of such a claim constitute grounds for QPP to suspend performance of this Contract. Notwithstanding this provision, the GLO reserves all legal and equitable rights and remedies available to it. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 8.11 ENTIRE CONTRACT AND AMENDMENT This Contract, its Attachment(s), and any purchase order(s) issued in conjunction with this Contract constitute the entire agreement of the Parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions, and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachment(s) and/or purchase order(s) shall be harmonized with this Contract to the extent possible. Unless such Attachment or purchase GLO Contract No. 22-113-005-11364 Page 10 of 12 DocuSign Envelope ID: 62B61 MA-A95B-4998-AEOCG10071 E09EF7AO order specifically displays a mutual intent to amend a particular part of this Contract, general conflicts in language shall be construed consistently with the terms of this Contract. This Contract and its Attachments may only be amended by a mutual, written agreement executed by authorized representatives of the Parties. 8.12 PROPER AUTHORITY Each Party hereto represents and warrants that: (1) it has authority to perform its obligations under this Contract in accordance with Chapter 33, Texas Natural Resources Code, and (2) the person executing this Contract on its behalf has full power and authority to enter into this Contract on behalf of the Party they represent and bind such Party to the terms and condition herein. 8.13 COUNTERPARTS This Contract may be executed in any number of counterparts, each of which shall be an original, and all such counterparts shall together constitute but one and the same Contract. If the Contract is not executed by QPP within thirty (30) days of receipt, this Contract may be declared null and void, in the sole discretion of the GLO. 8.14 SEvERARiLTTY If a court of competent jurisdiction determines any provision of this Contract is invalid, void, or unenforceable, the remaining terms, provisions, covenants, and conditions of this Contract shall remain in full force and effect, and shall in no way be affected, impaired, or invalidated. 8.15 FORCE MAJEURE Except with respect to the obligation of payments under this Contract, if either Party, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected Party (collectively referred to as a "Force Majeure), then, while so prevented, the affected Parry's obligation to comply with such covenant shall be suspended, and the affected Party shall not be liable for damages for failure to comply with such covenant. In any such event, the Party claiming Force Majeure shall promptly notify the other Party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The Parry claiming Force Majeure shall exercise due diligence to prevent, eliminate, or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non- performance continues for more than thirty (30) days, the GLO may, at its sole discretion, terminate this Contract immediately upon written notification to QPP. 8.16 SURVIVAL OF TERMS AND PROVISIONS The terms and conditions of this Contract related to the following subjects shall survive the termination of this Contract: definitions; interpretation; warranties; affirmations; prohibition on debts created on behalf of the State of Texas and/or the GLO; limitation of any QPP claim for damages to the amount of funds appropriated for payment but not yet paid to QPP; ownership; intellectual property; third -party, reliance; books and records; inspection and audit; records retention period; confidentiality; public records; insurance; taxes; workers' compensation; unemployment insurance; QPP's obligation to procure and maintain, at its sole expense, all government licenses, authorizations, insurance, waivers, GLO Contract No. 22-113-005-D364 Page 11 or 12 DocuSign Envelope ID: 62861C2A-A95B4996-AEOC.DO71E09EF7AO permits, and/or qualifications necessary for QPP or any subcontractors to provide the goods or services described in this Contract; indemnity; assignment and subcontracting; relationship of the Parties; compliance with laws; notices; governing law and venue; severability; dispute resolution; merger and integration; invoice and fee verification; property rights; default; and amendment. SIGNATURE PAGE FOLLOWS GLO Contract No. 22413-005-D364 Page 12 or 12 DocuSign Envelope ID: 62B61C2A-A95B-4998-AEOC-DO71EO9EF7AO SIGNATURE PAGE FOR GLO CONTRAcT No. 22-113-005-D364 GENERAL, LAND OFFICE 0ocu51DnoJ by: �. j°(iivens, Chief Clerki Deputy Land Commissioner Date of execution: 11/10/2022 DS OGC -,4-,o as PNI JV as DIV DIR �JYVON DD � t SD� DD DGC GC 9G Attachments to this Contact: CALHOUN COUNTY Docuslpnod by: y I�44 �Lr ceit��f-Nr3i ' Meyer : Title: county Judge Date of execution: 11/10/2022 Attachment A: Project Work Plan, Budget, and Map(s) Attachment B: General Affirmations Contract Documents Incorporated by Reference: GLO Coastal Surface Lease Attachments Follow DocuSign Envelope ID: 82B81C2A-A98B4998-AEOC4D071E09EF7AO WORK PLAN Attachment A GLO Contract No. 22-113-005-D364 Page 1 of 4 Swan Point Shoreline Restoration PH I CEPRA PROJECT No.1716 Survey, Analysis, Preliminary Design, Permitting, and Administration 1. To conduct data collection, survey, analysis, preliminary design, dredge material source investigation, permitting, and administration for Swan Point Shoreline Restoration PH I (the "Project"), the GLO shall fulfill the following tasks as lead partner: a. Expend Cycle 12 funds from the CEPRA account in an amount not to exceed $148,164.00 (60 %) of the Project budget. This satisfies the minimum CEPRA match requirement for shoreline protection. b. Manage the Project, identify, document, and confer with the QPP regarding the scope of the work. c. Contract with a professional services provider (the "PSP") to: - Document existing conditions. - If necessary, conduct a coastal boundary survey in accordance with Texas Natural Resources Code §33.136. - Review and summarize historical data and engineering studies. - Collect data required to evaluate Project feasibility and alternatives for shoreline protection, including, without limit, topographic, bathymetric, hydrodynamic, and geotechnical survey data. - If necessary, conduct a borrow source investigation related to the identified alternative. - Provide the GLO and Calhoun County an alternatives analysis and feasibility study report. - Provide 30% design and opinion of probable construction cost. - Conduct public outreach as necessary. - Aid the QPP in completing any required permits or authorizations, including USACE Section 10/404 permit application. d. Serve as the point of contact for communication and coordination with the PSP and any other GLO contracted entities. e. Communicate Project status to QPP and confer with QPP on relevant decision points during the Project. DocuSlgn Envelope ID: 62B61C2A-A95B-4998-AEOGDO71E09EF7AO Attachment A GLO Contract No. 22-113-005-D364 Page 2 of 4 f. Serve as the source for all media advisories, inquiries and press releases regarding the Project. g. Provide financial point of contact. h. Comply with all applicable federal, state, and local regulations. 2. To conduct the Project, the QPP shall fulfill the following tasks: a. Provide the GLO at least $98,776.00 in Partner Match funds constituting a minimum of 40% of the shared Project costs. b. Confer with the GLO on the location, extent of the Project area, scope of work, and goals of the Project. C. Confer and cooperate with the GLO on the selection of the PSP and the PSP's scope of work. d. Assist the GLO with the collection of Project information. e. As necessary, assist the GLO with obtaining and documenting any local support required to complete the Project. f. As necessary, provide the GLO cooperative review and approval of all products provided by GLO's contracted PSP. g. Participate in Project meetings with the GLO. h. Maintain all permits and coastal lease instruments required to effectuate the scope of work for the Project. Comply with all general and special conditions contained in all permits and coastal lease instruments required to effectuate the scope of work for the Project. j. Provide property access agreements for all work required by the scope of the Project. k. Apply for, hold, and maintain all necessary permits to implement the Project, including a USACE Section 10/404 permit, state-owned submerged lands, and any other authorizations required by state, federal or local law. Provide financial point of contact. M. Comply with all applicable federal, state, and local regulations. Docu3ign Envelope ID: 62B61CZA•A958-4999-AE0C-0071 E09EF7A0 Attachment A GLO Contmer No. 22-113-005-D364 Page 3 of BUDGET Swan Point Shoreline Restoration PA I CEPRA PROJECT NO. 1716 PROJECT COSTS CONTRACTUAL AMOUNT Data collection, preliminary analyses, and design $246,940.00 TOTAL PROJECT COST NOT TO EXCEED $246,940.00 COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP): QPP Cash Commitment (40%) $98,776.00 PP's TOTAL CONTRIBUTION* $98 776.00 CEPRA Cycle 12 (60%) CEPRA TOTAL CONTRIBUTION* $148164.00 TOTAL PROJECT CONTRIBUTIONS $246,940.00 Please specify when using historically undmutilizcd business as requited by state law. Swan Point Resiliency and Restoration �llnu ha �f • s �SataAhXOnaC1'Bay,�fF,.: ti 1 7 �" � + �� }r a r -,�' � a�it�'r�.. '•40..R1. y1, l�A�i Sri Poinl^Park ii p '+� - d4 > Location Swan Po nt r` ua. �. GUf of Mexico A DoctiSign Envelope ID: 62B6tC2A-A95B4998-AEOC-DO71E09EF7Ao Attachment B GLO Contract No. 22-113-005-D364 Page 1 of 10 GENERAL AFFIRMATIONS TO THE EXTENT APPLICABLE, Qualified Project Partner affirms and agrees to the following, without exception: 1. Qualified Project Partner represents and warrants that, in accordance with Section 2155.005 of the Texas Government Code, neither Qualified Project Partner nor the firm, corporation, partnership, or institution represented by Qualified Project Partner, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the same line of business as Qualified Project Partner.* 2. Qualified Project Partner shall not assign its rights under the Contract or delegate the performance of its duties under the Contract without prior written approval from the GLO. Any attempted assignment or delegation in violation of this provision is void and without effect. This provision does not apply to subcontracting. 3. If the Contract is for services, Qualified Project Partner shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only to the extent such compliance is consistent with 2 CFR 200.319. 4. Under Section 231.006 of the Family Code, the vendor or applicant [Qualified Project Partner] certifies that the individual or business entity named in this Contract, bid or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate, in addition to other remedies set out in Section 231.006(f) of the Family Code.* 5. A bird or an application for a contract, grant, or loan paid from state funds must include the name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Qualified Project Partner certifies it has submitted this information to the GLO.* 6. If the Contract is for a "cloud computing service" as defined by Texas Government Code Section 2157.007, then pursuant to Section 2054.0593(d)-(f) of the Texas Government Code, relating to cloud computing state risk and authorization management program, Qualified Project Partner represents and warrants that it complies with the requirements of the state risk and authorization management program and Qualified Project Partner agrees that throughout the term of the Contract it shall maintain its certifications and comply with the program requirements in the performance of the Contract. 7. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2), Qualified Project Partner certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in Title 30 Texas Administrative Code Chapter 328. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61 C2A-A95B4998-AE0C-D071E09EF7A0 Attachment B GLO Contract No. 22-113.eo5-D364 Page 2 of 10 8. If the Contract authorizes Qualified Project Partner to access, transmit, use, or store data for the GLO, then in accordance with Section 2054.138 of the Texas Government Code, Qualified Project Partner certifies that it will comply with the security controls required under this Contract and will maintain records and make them available to the GLO as evidence of Qualified Project Partner's compliance with the required controls. 9. Qualified Project Partner represents and warrants that it has 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 a public servant in connection with the Contract. 10. Qualified Project Partner agrees that any payments due under the Contract shall be applied towards any debt or delinquency that is owed by Qualified Project Partner to the State of Texas. 11. Upon request of the GLO, Qualified Project Partner shall provide copies of its most recent business continuity and disaster recovery plans. 12. If the Contract is for consulting services governed by Texas Government Code Chapter 2254, Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Qualified Project Partner certifies that it does not employ an individual who has been employed by the GLO or another agency at any time during the two years preceding the Qualified Project Partner's submission of its offer to provide consulting services to the GLO or, in the alternative Qualified Project Partner, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency, (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination.* 13. If the Contract is not for architecture, engineering, or construction services, then except as otherwise provided by statute, rule, or regulation, Qualified Project Partner must use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY QUALIFIED PROJECT PARTNER. 14. If the Contract is for architecture, engineering, or construction services, then subject to Texas Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter 114, and except as otherwise provided by statute, rule, or regulation, Qualified Project Partner shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY QUALIFIED PROJECT PARTNER. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61C2A-A96B-4998-AEOC-DO71E09EF7AO Attachment B GLO Contract No. 22.113-005-D364 Page 3 or 10 a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if Qualified Project Partner's claim for breach of contract cannot be resolved by the Parties in the ordinary course of business, Qualified Project Partner may make a claim against the GLO for breach of contract and the GLO may assert a counterclaim against Qualified Project Partner as is contemplated by Texas Government Code, Chapter 2260, Subchapter B. In such event, Qualified Project Partner must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after the date of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount Qualified Project Partner seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Contract, another officer of the GLO, shall examine the claim and any counterclaim and negotiate with Qualified Project Partner in an effort to resolve them. The negotiation must begin no later than the 120th day after the date the claim is received, as is contemplated by Texas Government Code, Chapter 2260, Section 2260.052. c. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the Parties shall reduce the agreement or settlement to writing and each Party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a Patty's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the Parties agree in writing to an extension of time, the Parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is Qualified Project Partner's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the Parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity, or, if applicable, the governmental immunity of Qualified Project Partner. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or immunities available to the State of Texas or Qualified Project Partner. The failure to enforce, or any delay in the enforcement, of any privileges, rights, defenses, remedies, or immunities available to the State of Texas or, if applicable, of Qualified Project Partner under this Contract or under applicable law shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. Qualified Project Partner does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260, subchapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the < This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID; 62B81C2A.A95B-4998-AEOC.DO71EO9EF7AO Attachment 9 GLO Contract No. 22.113-005-D364 Page 4 of 10 Qualified Project Partner: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260 of the Texas Government Code. 15. If Chapter 2271 of the Texas Government Code applies to this Contract, Qualified Project Partner verifies that it does not boycott Israel and will not boycott Israel during the term of the Contract.* 16. This Contract is contingent upon the continued availability of lawful appropriations by the Texas Legislature. Qualified Project Partner understands that all obligations of the GLO under this Contract are subject to the availability of funds. If such funds are not appropriated or become unavailable, the GLO may terminate the Contract. The Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. 17. Qualified Project Partner certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, "Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism", published by the United States Department of the Treasury, Office of Foreign Assets Control. 18. In accordance with Section 669.003 of the Texas Government Code, relating to contracting with the executive head of a state agency, Qualified Project Partner certifies that it is not (1) the executive head of the GLO, (2) a person who at any time during the four years before the effective date of the Contract was the executive head of the GLO, or (3) a person who employs a current or former executive head of the GLO. 19. Qualified Project Partner represents and warrants that all statements and information prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach of contract and may void the Contract or be grounds for its termination. 20. Pursuant to Section 2155.004(a) of the Texas Government Code, Qualified Project Partner certifies that neither Qualified Project Partner nor any person or entity represented by Qualified Project Partner has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Qualified Project Partner certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. This Section does not prohibit Qualified Project Partner from providing free technical assistance.* 21. Qualified Project Partner represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code.* 22. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section, Qualified Project Partner represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61C2A-A95B4998-AEOC-D071E09EF7AO Attachment B GLO Contract No. 22-113-005-13364 Page 5 of 10 described by Chapter 2254 of the Texas Government Code, Qualified Project Partner further represents and warrants that if a former employee of the GLO was employed by Qualified Project Partner within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Qualified Project Partner that the employee worked on while employed by the GLO.* 23. The Contract shall be governed by and construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to any Party. 24. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, QUALIFIED PROJECT PARTNER, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS OF QUALIFIED PROJECT PARTNER OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 25, IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, QUALIFIED PROJECT PARTNER, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO QUALIFIED PROJECT PARTNER'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE QUALIFIED PROJECT PARTNER OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO QUALIFIED PROJECT PARTNER, OR ANY OTHER ENTITY OVER WHICH QUALIFIED PROJECT PARTNER EXERCISES CONTROL, OR SUPPLIERS OF * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61 C2A-A9584998-AE0C-D071 E09EF7A0 Attachment B GLO Contract No. 22-113-005-D364 Page 6 of 10 SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 26. TO THE EXTENT ALLOWED BY LAW, QUALIFIED PROJECT PARTNER SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF QUALIFIED PROJECT PARTNER PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR QUALIFIED PROJECT PARTNER'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY QUALIFIED PROJECT PARTNER OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT OF QUALIFIED PROJECT PARTNER'S PERFORMANCE UNDER THE CONTRACT. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. QUALIFIED PROJECT PARTNER SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION, QUALIFIED PROJECT PARTNER WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS, INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT A CONFLICT EXISTS BETWEEN ITS INTERESTS AND THOSE OF QUALIFIED PROJECT PARTNER OR IF THE GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND QUALIFIED PROJECT PARTNER WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL.* 27. Qualified Project Partner has disclosed in writing to the GLO all existing or known potential conflicts of interest relative to the performance of the Contract. 28. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past five years, has been convicted of violating a federal * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62861=49594998-AEOC-DO71 E09EF7AO Attachment B GLO Contract No. 22-113.005-D364 Page 7 of 10 law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Government Code, occurring after September 24, 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code, Qualified Project Partner certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 29. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Qualified Project Partner and legally empowered to contractually bind Qualified Project Partner to the terms and conditions of the Contract and related documents. 30. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Government Code, Qualified Project Partner shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect.* 31. The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Qualified Project Partner shall ensure that this paragraph concerning the authority to audit funds received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend the Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of the Texas Government Code. 32. Qualified Project Partner certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the Contract by any state or federal agency. 33. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the Texas Health and Safety Code, Qualified Project Partner certifies its compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to the Television Equipment Recycling Program. 34. Pursuant to Section 572.069 of the Texas Government Code, Qualified Project Partner certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Qualified Project Partner within two (2) years after the date that the contract is signed or the procurement is terminated or withdrawn. This certification only applies to former state * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61C2A-A95B-4998-AEOC-DO71E09EF7AO Attachment B GLO Contract No. 22-113-005-D364 Page 8 er 10 officers or employees whose state service or employment ceased on or after September 1, 2015. 35. The GLO shall post this Contract to the GLO's websitc. Qualified Project Partner understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. In accordance with Section 2252.907 of the Texas Government Code, Qualified Project Partner is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf') format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that Qualified Project Partner believes to be excepted from disclosure as "confidential" or a "trade secret," Qualified Project Partner waives any and all claims it may make against the GLO for releasing such information without prior notice to Qualified Project Partner. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. Qualified Project Partner shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to PIALegal@glo.texas.gov. If a request for information was not written, Qualified Project Partner shall forward the third party's contact information to the above -designated e-mail address. 36. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Qualified Project Partner must report any possible fraud, waste, or abuse that occurs in connection with the Contract to the GLO in the manner prescribed by the GLO's website, http://glo.texas.<,ov. 37. If Qualified Project Partner, in its performance of the Contract, has access to a state computer system or database, Qualified Project Partner mast complete a cybersecurity training program certified under Texas Government Code Section 2054.519, as selected by the GLO. Qualified Project Partner must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Qualified Project Partner must verify in writing to the GLO its completion of the cybersecurity training program. 38. Under Section 2155.0061, Texas Government Code, Qualified Project Ptlruter certifies that the entity named in this Contract is not ineligible to receive the specified Contract and acluiowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 39. Qualified Project Partner certifies that it does not require its customers to provide any documentation certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to, to gain access to, or to receive service from Qualified Project Partner's business. Qualified Project Partner acknowledges that such a vaccine or recovery requirement would make Qualified Project Partner ineligible for a state-finded contract. This section does nol apply to a contract with a "governmental entity' as defined in Texas Govemment Code Chapter 2251. Rev. May 6. 2022 DowSlgn Envelope ID; 62B01C2A-A95B4998-AEOC-DO71E09EF7AO Attachment B GLO Contract No. 22-113.005-D364 Page 9 of 10 40. Pursuant to Government Code Section 2274.0102, Qualified Project Partner certifies that neither it nor its parent company, nor any affiliate of Qualified Project Partner or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Government Code Section 2274.0103, or (2) headquartered in any of those countries.* 41. If Qualified Project Partner is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Qualified Project Partner verifies that Qualified Project Partner does not boycott energy companies and will not boycott energy companies during the term of the Contract. If Qualified Project Partner does not make that verification, Qualified Project Partner must notify the GLO and state why the verification is not required.* 42. If Qualified Project Partner is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Qualified Project Partner verifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a "firearm entity" or "firearm trade association" as those terms are defined in Texas Government Code section 2274.001 and (2) will not discriminate during the term of the Contract against a firearm entity or firearm trade association. If Qualified Project Partner does not make that verification, Qualified Project Partner must notify the GLO and state why the verification is not required.* 43. If Qualified Project Partner is a "professional sports team" as defined by Texas Occupations Code Section 2004.002, Qualified Project Partner will play the United States national anthem at the beginning of each team sporting event held at Qualified Project Partner's home venue or other venue controlled by Qualified Project Partner for the event. Failure to comply with this obligation constitutes a default of this Contract, and immediately subjects Qualified Project Partner to the penalties for default, such as repayment of money received or ineligibility for additional money. In addition, Qualified Project Partner may be debarred from contracting with the State. The GLO or the Attorney General may strictly enforce this provision.* 44. To the extent Section 552.371 of the Texas Government Code applies to Qualified Project Partner and the Contract, in accordance with Section 552.372 of the Texas Government Code, Qualified Project Partner must (a) preserve all contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO for the duration of the Contract, (b) no later than the tenth business day after the date of the GLO's request, provide to the GLO any contracting information related to the Contract that is in Qualified Project Partner's custody or possession, and (c) on termination or expiration of the Contract, either (i) provide to the GLO at no cost all contracting information related to the Contract that is in Qualified Project Partner's custody or possession or (ii) preserve the contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO. Except as provided by Section 552.374(c) of the Texas Government Code, the requirements of Subchapter J, Chapter 552, Government Code, may apply to the Contract and Qualified Project Partner agrees that the Contract may be terminated if Qualified Project Partner knowingly or intentionally fails to comply with a requirement of that subchapter.* 45. If the Contract is for consulting services governed by Chapter 2254 of the Texas Government Code, Qualified Project Partner, upon completion of the Contract, must give the GLO a * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 62B61C2A-A95B-4998-AEOC.DO71E119EF7AO Attachment B G1.0 Contract No. 22-113-005-D364 Page 10 of 10 compilation, in a digital medium agreed to by the Parties, of all documents, films, recordings, or reports Qualified Project Partner compiled in connection with its performance under the Contract.* 46. If subject to 2 CFR 200.216, Qualified Project Partner shall not obligate or expend funding provided under this Contract to: (a) procure or obtain; (b) extend or renew a contract to procure or obtain; or (c) enter into a contract to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services, as defined in Public Law 115-232, Section 889, as a substantial or essential component of any system, or as critical technology as part of any system. 47. To the extent Texas Government Code Chapter 2252, Subchapter G applies to the Contract, any iron or steel product Qualified Project Partner uses in in its performance of the Contract that is produced through a manufacturing process, as defined in Section 2252.201(2) of the Texas Government Code, must be produced in the United States. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 Certificate Of Completion Envelope Id: 62B6lC2AA95B4998AEOCD071E09EF7AO Subject: S148k New CEPRA Contract: 22-113-005-D364 Calhoun County (Texas GLO) Source Envelope: Document Pages: 35 Signatures: 2 Certificate Pages: 4 Initials: 8 AutoNav: Enabled Enveloped Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original Holder: Sandra Radosavljevic 11/9/2022 10:31:42 AM sandra.radosavljevic@glo.texas.gov Signer Events Signature Andres Duri os Andres.Dura@GLO.Texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure; Not Offered via DocuSign Johanna Valente Johanna.Valente@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kevin Frenzel kevin.frenzel@glo.texas. gov CEPRA Program Manager Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Julie McEntire Julie.McEntire@glo.texas.gov Director of Grant Programs Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre -selected Style Using IP Address: 136.226,13.80 l VV Signature Adoption: Pre -selected Style Using IP Address: 136.226.12.174 Signature Adoption: Uploaded Signature Image Using IP Address: 136.226.12.215 os J n Signature Adoption: Drawn on Device Using IP Address: 136.226.12.57 DocuSign- Status: Completed Envelope Originator: Sandra Radosavijevic 1700 Congress Ave Austin, TX 78701 sandre.radosavijevic@glo.texes, gov IP Address: 104,247,127.166 Location: DocuSign Timestamp Sent: 11 /9/2022 11:23:42 AM Viewed: 11/9/2022 11:45:24 AM Signed: 11/9/2022 11:46:43 AM Sent: 11 /9/2022 11:46:50 AM Viewed: 11/9/2022 12:51:13 PM Signed: 1119/2022 2:08:57 PM Sent: 11/912022 2:09:04 PM Viewed: 11/9/2022 2:09:57 PM Signed: 11/9/2022 2:10:11 PM Sent: 11/9/2022 2:10:17 PM Viewed: 11/9/20222:11:31 PM Signed: 11/9/2022 2:11:54 PM Signer Events Signature Tirnestamp Melissa Porter 05 Sent: 11/9/2022 2:11:59 PM melissa.porter@glo.texas.gov Viewed: 1119/20222:13:10 PM Texas General Land Office Signed: 11/9/2022 2:13:37 PM Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 136.226.12.188 Electronic Record and Signature Disclosure: Not Offered via DocuSign David Green 05 Sent: 11/912022 2:13:42 PM david.green@glo.texas.gov Viewed: 1119/2022 2:14:34 PM Legal Services Signed: 11/9/2022 2:14:53 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Uploaded Signature Image (None) Using IP Address: 172.56.27.127 Electronic Record and Signature Disclosure: Not Offered via DocuSign Marc Barenblat Sent: 11/9/2022 2:14:58 PM marc.barenblat@glo.texas.gov 15 Viewed: '11/101202211:13:57 AM Deputy General Counsel Signed: 11/10/2022 11:15:31 AM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 136.226.13.59 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeff Gordon °- Sent: 11/10/2022 11:15:38 AM jeff.gordon@glo.texas.gov Viewed: 11/10/2022 11:16:06 AM General Counsel Signed: 11/10/2022 11:16:13 AM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 136.226.12.197 Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Meyer oa<+si°�eue,: Sent: 11/10/202211:16:21 AM richard.meyer@calhouncotx.org C�'4 A"Lf Viewed: 11/10/2022 1:20:06 PM County Judge ``"-�LviS"' Signed: 11110/2022 1:20:37 PM Security Level: Email, Account Authentication (None) Signature Adoption: Pre -selected Style Using IP Address: 24.116.194.98 Electronic Record and Signature Disclosure: Not Offered via DocuSign Mark A. Havens II tl°" Sent: 11/10/2022 1:20:42 PM mark.havens@glo.texas.gov f Viewed: 11/10/2022 1:34:16 PM Chief Clark and Deputy Land Commissioner Signed; 1 i/10/2022 1:34:23 PM Texas General Land Office Signature Adoption: Drawn on Device Security Level: Email, Account Authentication (None) Using IP Address: 136.226.12.213 Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Tinlestamp Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Lance White lance.while@glo.texas.gov Manager, Contracts Management Division Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status Status Status Status Status C 0 PliE -- CMD Drafting Requests draftingreq uests@G LO.TEXAS.GOV Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kelly McBride kelly. mcbride@glo.texas. gov Director of CMD Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sandra Radosavljevic Sandra.Radosavljevic@GLO.TEXAS.GOV Contract Specialist Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Tamika Hobby COPIED Tamika.HOL)t)y@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Susan Tipton -Hines Susan.Ti pton-Hines@G LO.TEXAS. GOV Project Manager Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign 53 A'll : 1_- Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 11/9/2022 10:40:20 AM Resent: 11/9/2022 11:23:41 AM Sent: 11/9/2022 10:40:19 AM Sent: 11/9/2022 10:40:19 AM Sent: 11 /912022 10:40:19 AM Resent: 11/10/2022 1:34:33 PM Sent: 11/9/2022 10:40:20 AM Sent: 11 /9/2022 10:40:20 AM Viewed: 11/10/2022 1:35:39 PM Carbon Copy Events Linda Galindo linda.galindo@glo.texes.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status I COPIED Gloria Maynard gloria.maynard@glo.texes.gov COPIED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Gary Reese gary.reese@calhouncotx.org COPIED Commissioner PCT 4 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign HUB COPIED HUB@glo.tezas.gov �6 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Timestamp Sent: 11/9/2022 11:46:49 AM Sent: 11/9/2022 2:13:42 PM Sent: 1 VI012022 11:16:20 AM Viewed: 11/ 14/2022 7:21:37 AM Sent: 11/10/2022 1:34:29 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/9/2022 10:40:20 AM Certified Delivered Security Checked 11/10/2022 1:34:16 PM Signing Complete Security Checked 11/10/2022 1:34:23 PM Completed Security Checked 11/10/2022 1:34:29 PM Payment Events Status Timestamps #11 i NOTICE OF MEETING — 11/23/2022 11. Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-013-D377, CEPRA Project No. 1730 for the Boggy Nature Park Shoreline Protection, Phase 2. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 24 Gary D. Reese County Commissioner County of Calhoun Precinct 4 November 17, 2022 Honorable Richard Meyer Calhoun County judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear judge Meyer: Please place the following item on the Commissioners' Court Agenda for November 23, 2022. • Consider and take necessary action to accept Coastal Erosion Planning and Response Act Project Cooperation Agreement, GLO Contract No. 22-113-013-D377, CEPRA Project No. 1730 for the Boggy Nature Park Shoreline Protection Phase 2. Sincerely, Gary Deese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: ZaQ reese&lr calhouncoix org — (361) 785-3141 — Fax (361) 785-5602 DocuSign Envelope ID: 3A95334B-F5F7-4155-62ED-128D461 CA1 BB COASTAL EROSION PLANNING AND RESPONSE ACT PROJECT COOPERATION AGREEMENT GLO Contract No. 22-113-013-D377 CEPRA Project No. 1730 The Texas General Land Office (the "GLO") and Calhoun County, the Qualified Project Partner ("QPP"), each a "Party" and collectively "the Parties," enter into this project cooperation agreement (the "Contract") under the Coastal Erosion Planning and Response Act, Texas Natural Resources Code Sections 33.601-.613 ("CEPRA" or the "Act"). I DEFINITIONS INTERPRETIVE PROVISIONS AND PROJECT DESCRIPTION 1.01 DEFINITIONS "Account" means the coastal erosion response account established under Section 33.604 of the Texas Natural Resources Code. "Administrative and Audit Regulations" means all applicable statutes, regulations, and other laws governing administration or audit of this Contract, which may include Title 2, Part 200, Code of Federal Regulations, Chapter 33 of the Texas Natural Resources Code, and Chapter 321 of the Texas Government Code. "Amendment" means a written agreement, executed by the Patties' authorized representatives, that documents changes to the Contract. "Attachment" means documents, terms, conditions, or additional information attached to this Contract after the execution page or incorporated by reference herein. "Budxtet" means the cost share budget for the Project detailed in the Project Work Plan and Budget attached to this Contract as Attachment A. "CEPRA" or the "Act" means the Coastal Erosion Planning and Response Act, Texas Natural Resources Code Sections 33.601-.613. "Contract" means this entire document and its Attachments and Amendments. "Fiscal Year" means the period beginning September 1 and ending August 31 each year, which is the annual accounting period for the State of Texas. "GAAP" means "generally accepted accounting principles." "GASB" means the Governmental Accounting Standards Board. "General Affirmations" means the tennis and conditions attached hereto as Attachment B that QPP affirms and agrees to by executing this Contract. "GLO" means the Texas General Land Office and its officers, employees, and designees, acting in their official capacities. GLO Contract No. 22-113-013-D377 Page 1 of l l DocuSign Envelope ID: 3A95334B-F5F7-4155-B2ED-1280461CA1BB "Intellectual Property' means patents, rights to apply for patents, trademarks, trade names, service marks, domain names, copyrights and all applications and worldwide registration of such, schematics, industrial models, inventions, know-how, trade secrets, computer software programs, intangible proprietary information, other commercially valuable products of the human intellect, and all federal, state, or international registrations or applications for any of the foregoing. -'Partner Match" or ":Match" means the amount contributed by QPP and all Funding sources other than the CEPRA Account, to pay the shared Project costs set forth in the Budget. "project' means the activities described in Section 2.01 and detailed in the Project Work Plan and Budget attached to this Contract as Attachment A. -`Project M<na'*er" means the person each Party designates as primarily responsible for coordinating the Project on behalf of that Party. "Public information Act" means Chapter 552 of the Texas Government Code. Qualified Projccl P�ruler" or-QPP" means Calhoun County. "Subcontractor" means an individual or business that signs a contract, or enters into an agreement with QPP, to perform part or all of the obligations of QPP under this Contract. "Travel Rcuolations" means all applicable statutes, regulations, laws, and Comptroller guidance related to reimbursement for QPP's travel expenses, including: Title 34, Section 5.22, of the Texas Administrative Code; Chapter 660 of the Texas Government Code: the General Appropriations Act; and Tertravel, the Comptroller's travel regulation guidance available on the Comptroller's website. "Work Plan" means the Project Work Plan and Budget attached to this Contract as Attachment A, which describes the methodology, means, and manner in which the Project shall be accomplished. 1.02 INTERPRETIVE PROVISIONS (a) The meanings of defined terms apply to the singular and plural forms of the defined terms; any term used in this Contract that is defined in the Act has the meaning defined in the Act; (b) The words "hereof," "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, Attachment, work order, or schedule of this Contract unless otherwise specified; (c) The term "including" means "including, without limitation." (d) Unless otherwise expressly provided, references to contracts include subsequent amendments and other modifications thereto, to the extent such amendments and modifications are not prohibited by the terms of this Contract, and a reference to a statute or regulation includes statutory or regulatory provisions consolidating, amending, replacing, supplementing, or interpreting the statute or regulation; (a) The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contact; (t) All Attachments to this Contact, including those incorporated by reference, and any amendments are considered part of the terms of this Contract; GLO Contract No. 22-1 u3-013-D377 Page 2 of I I DocuSign Envelope ID: 3A953348-F5F7.4155-B2ED-128D461 CAI BB (g) This Contract may use several limitations, regulations, or policies to regulate the same or similar matters. Each such limitation, regulation, and policy is cumulative and shall be performed in accordance with its terms; (h) Unless otherwise expressly provided, reference to any action of or by the GLO by way of consent, approval, or waiver is deemed modified by the phrase "in its/their sole discretion." Notwithstanding the preceding, the GLO shall not unreasonably withhold or delay any approval, consent, or waiver required or requested of it; (i) Time is of the essence in this Contract; (j) Conflicts between this Contract and its Attachments shall be resolved in the following order of precedence: first, the Signed Contract; then Attachments to the Contract in this order: Attachment A, then Attachment B. 1.03 PURPOSE This Contract sets forth the terms and conditions for the cooperation of the Parties in the Project. The Project will be led and managed by the GLO. Match is included in this Contract. 11. SCOPE OF PROJECT 2.01 PROJECT (a) The Parties shall cooperate to complete CEPRA Project No. 1730 to address protection of Boggy Nature Park Shoreline. The Parties shall complete the Project in accordance with this Contract and its Attachments. (b) The Parties may amend the Work Plan or Budget by written agreement. QPP may request such an amendment by submitting a written request and detailed justification to the GLO Project Manager. Amendments to the Work Plan or Budget may delay performance of the Project. If there are any costs included in the requested amendment that were not previously included in the Contract, QPP is solely responsible for such costs it incurs while awaiting amendment. 2.03 PROJECT MANAGERS Following the execution of this Contract, each Party must designate a Project Manager and provide the other Party with the Project Manager's name, contact information, and any other necessary information. If a Parry's Project Manager changes, that Party must notify the other Party's Project Manager and provide the new Project Manager's contact information via email. Each Party shall maintain the other Party's Project Manager information in its Project files. III. TERM 3.01 DURATION (a) This Contract is effective as of the date executed by the last Party (the "Effective Date") and shall terminate on August 31, 2027. The Parties may extend this Contract for up to two additional years by mutual, written agreement executed by the Parties' authorized representatives. (b) This Contract is effective for the term specified herein. If QPP performs services or incurs costs before the Effective Date or after the Contract's termination or GLO Contract No. 22-113-013-D377 Page 3 of It DocuSlgn Envelope ID: 3A95334B-F5F74155-92ED-126D461CA1BB expiration, QPP does so at its sole risk and the GLO may choose to not compensate QPP for such services or costs. 3.02 EARLY TERMINATION The GLO may terminate this Contract by giving QPP written notice specifying a termination date at least thirty (30) days after the date of the notice. Upon receipt of such notice, QPP shall cease any work, terminate any subcontracts, and incur no further expense related to this Contract. Early termination shall be subject to the equitable settlement of the Parties' interests accrued up to the date of termination. 3.03 ABANDONMENT OR DEFAULT If QPP abandons work or defaults on the Contract, the GLO may terminate the Contract without notice. 1V. FUNDING 4.01 TOTAL PROJECT BUDGET The Parties must pay all expenses associated with the performance of this Contract in accordance with the Budget in Attachment A. 4.02 GLO FUNDS The GLO shall expend an amount not to exceed $231,000.00, as detailed in the Budget in Attachment A. 4.03 PAYMENT OF SHARED PROJECT COSTS Any QPP, third -party, or Partner Match required for the Project must be provided in accordance with the Budget in Attachment A. QPP must pay the Partner Match amount indicated in Attachment A, which meets or exceeds the minimum percentage of shared project costs prescribed in the Act for the Project. QPP shall pay its Match amount in full to the GLO no later than thirty (30) days after receiving the GLO's written request for payment, which may be delivered by electronic mail, regular mail, or facsimile transmission. QPP must send payment(s) to the following address: GLO — For Partner Match Texas General Land Office Coastal Erosion Planning and Response Act (CEPRA)-MATCH Mail Code 151 P.O. Box 12873 Austin, TX 78711-2873 Partner Match payments must prominently display "GLO Contract No. 22-113-013- D377." QPP's failure to submit payment as instructed may significantly delay the project. 4.04 ALTERNATIVE SOURCE FUNDING The Parties shall cooperate to investigate and secure funding from sources other than the Account for the Project and its maintenance. QPP may use alternative sources of funding it acquires after the execution of this Contract toward the Partner Match. GLO Contract No. 22-113-013-D377 Page 4 of 11 DocuSign Envelope ID: 3A95334B-F5F7-4155-132ED-128D481 CAI BB V. AVAILABILITY OF FUNDS; AFFIRMATIONS, ASSURANCES, AND CERTIFICATIONS 5.01 STATE FUNDING (a) This Contract shall not be construed as creating any debt on behalf of the State of Texas and/or the GLO in violation of Article III, Section 49, of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution, all obligations of the GLO hereunder are subject to the availability of state funds. If such funds are not appropriated or become unavailable, this Contract may be terminated and the Parties discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. (b) Any claim by QPP for damages under this Contract may not exceed the amount due and owing QPP or the amount of funds appropriated for payment, but not yet paid to QPP, under the annual budget in effect at the time of the breach. Nothing in this provision shall be construed as a waiver of sovereign immunity. 5.02 GENERAL AFFIRMATIONS To the extent they apply, QPP certifies it has reviewed Attachment B, General Affirmations, and that QPP is in compliance with all the requirements contained therein. 5.03 RECAPTURE OF FUNDS The GLO may terminate the Contract and recapture and be reimbursed by QPP for any payments the GLO makes that: (i) exceed maximum allowable rates; (ii) are not allowed under applicable laws, rules, or regulations; or (iii) are otherwise inconsistent with this Contract, including any unapproved expenditures. 5.04 OVERPAYMENT QPP shall be liable to the GLO for any costs disallowed pursuant to financial or compliance audit(s) of funds QPP received under this Contract. QPP shall reimburse such disallowed costs from funds other than those QPP receives pursuant to this Contract. VI. RECORDS, INSPECTION AND AUDIT, RETENTION, PUBLIC INFORMATION AND CONFIDENTIALITY 6.01 BOOKS AND RECORDS QPP shall keep and maintain full, true, and complete records in accordance with GAAP or GASB, whichever is applicable, as necessary to fully disclose to the GLO, the Texas State Auditor's Office, the United States Government, and/or their authorized representatives sufficient information to determine compliance with the terms and conditions of this Contract, other applicable agreements, and all state and federal rules, regulations, and statutes. 6.02 INSPECTION AND AUDIT (a) All records related to this Contract, including records of QPP and its Subcontractors, shall be subject to the Administrative and Audit Regulations. (b) The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. Acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the GLO Contract No. 22-113-013-D377 Page 5 of 11 DocuSign Envelope ID: 3A95334B-F5F7-4155-B2ED-128D461CA1BB authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. QPP shall ensure that this clause concerning the authority to audit funds received indirectly by subcontractors through QPP and the requirement to cooperate is included in any subcontract it awards. (c) State agencies authorized to audit and inspect QPP, its records, subcontractors, and subcontractors' records include the GLO, the GLO's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office, the Texas Comptroller of Public Accounts, and their authorized designees. 6.03 PERIOD OF RETENTION Each Party shall retain in its records this Contract and all documents related to this Contract. Unless a longer retention period is specified by applicable law or regulation, the Parties may destroy the Contract and related documents only after the seventh anniversary of the date: the Contract is completed or expires; or all issues that arise from any litigation, claim, negotiation, audit, open records request, administrative review, or other action involving the Contract or related documents are resolved. 6.04 CONFIDENTIALITY To the extent permitted by law, QPP and the GLO shall keep all information, in whatever form produced, prepared, observed, or received by QPP or the GLO, confidential to the extent that such information is: (a) confidential by law; (b) marked or designated "confidential" (or words to that effect) by QPP or the GLO; or (c) information that QPP or the GLO is otherwise required to keep confidential by this Contract. QPP must not make any communications or announcements relating to this Contract through press releases, social media, or other public relations efforts without the prior written consent of the GLO. 6.05 Punic RECORDS The GLO shall post this Contract to the GLO's website. Qualified Project Partner understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. In accordance with Section 2252.907 of the Texas Government Code, Qualified Project Partner is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not otherwise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf ") format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that Qualified Project Partner believes to be excepted from disclosure as "confidential" or a "trade secret," Qualified Project Partner waives any and all claims it may make against the GLO for releasing such information without prior notice to Qualified Project Partner. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. Qualified GLO Contract No. 22-113-013-D377 Page 6 of I DocuSign Envelope ID: 3A95334B-F5F7-4155-82ED-12aD461CA1BB Project Partner shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to PIr1Lc�al(6)Rlo texas trov. It' a request for information was not written, Qualified Project Partner shall forward the third party's contact information to the above -designated c-mail address. VII. INTEU.EC1'UAL PR011E11TY 7.01 OWNERSHIP The GLO and QPP shall jointly own, without limitation, all right, title, and interest in and to all reports, drags of reports, data, drawings, computer programs and codes, and/or any Other information or materials acquired or developed under this Contract with each Party having an unlimited right to access and use, and authorize or license third parties to access and use, all such information and materials without the necessity of obtaining authorization from the other Party and without expense, charge, or accounting to the other Party. 7.02 INTELLECTUAL PROPERTY (a) The GLO and QPP shall retain, both during and after the term of this Contract, exclusive ownership of all rights, title, and interest in and to, their respective pre- existing Intellectual Property as of the effective date of this Contract. This Contract will not be interpreted or cleemed as causing the parties to become joint owners of any such prc-existing Intellectual Property. (b) The GLO and the State of Texas each has the right to use, reproduce, publish, publicly display, distribute and create derivative or new works and otherwise use, exploit, or authorize others to use or exploit for government purposes all reports, drafts of reports, data, drawings, computer programs, codes and any other work associated with this Contract, and exercise any intellectual property rights, without obtaining authorization from the other Party and without expense, charge. or accounting to the other Party. (c) The QPP may obtain intellectual property rights for any work that is subject to intellectual property rights and was developed, or for which ownership was purchased, under this Contract, only if the GLO and the State of Texas each are granted a worldwide, royalty free, non-exclusive, filly paid -up, and irrevocable license to reproduce, publish, publicly display, distribute and create derivative or new works and otherwise use, exploit, or authorize others to use or exploit for government purposes all reports, drafts of reports, data, drawings, computer programs, codes and or any other work associated with this Contract. (d) QPP must give the GLO and the State of Texas, as well as any person designated by the GLO or the State of Texas, all assistance required to perfect the rights granted to the GLO and the State of Texas herein without any charge or expense beyond the stated amount payable to QPP for the work authorized under this Contract. (e) The Contract in no way creates an obligation on behalf of the GLO or the State of Texas to obtain or enforce any intellectual property right that may be created Under this Contract. GLO Contract No. 22-113-013-1)377 Page 7 off1 DocuSign Envelope ID: M953346-W74155-82ED-128D461 CAI Be 7.03 NON -ENDORSEMENT QPP shall not publicize or otherwise circulate promotional material (such as advertisements, sales brochures, press releases, speeches, still and motion pictures, articles, manuscripts, or other publications) that states or implies State of Texas or government employee endorsement of a product, service, or position that QPP represents. No release of information relating to this Project may state or imply that the GLO or the State of Texas approves of QPP's work products or considers QPP's work product to be superior to other products or services. 7.04 PUBLICATION Reports, publications, presentations, and all other materials produced by QPP with funding provided in whole or in part under this Contract shall carry on the front cover or title page of such items, appropriate acknowledgement of financial or other support by the GLO and, if applicable, all federal entities providing funds or other support for the Project. VIII. MISCELLANEOUS PROVISIONS 8.01 INSURANCE Pursuant to Chapter 2259 of the Texas Government Code entitled, "Self -Insurance by Governmental Units," QPP is self -insured and, therefore, is not required to purchase insurance. 8.02 LEGAL OBLIGATIONS QPP shall procure and maintain for the duration of this Contract any license, authorization, insurance, waiver, permit, qualification, or certification required by federal, state, county, or city statute, ordinance, law, or regulation to be held by QPP to provide the goods or services required by this Contract. QPP shall pay all taxes, assessments, fees, premiums, permits, and licenses required by law. QPP shall pay any such government obligations not paid by its subcontractors during performance of this Contract. 8.03 INDEMNITY As required under the Constitution and laws of the State of Texas, each Party understands that it is solely liable for any liability resulting from its acts or omissions. No act or omission of a Party shall be imputed to the other Party. Neither Party shall indemnify or defend the other Party. 8.04 TAXES, WORKERS' COMPENSATION, UNEMPLOYMENT INSURANCE QPP shall be solely liable and responsible for payment of QPP's and QPP's employees' taxes of whatever kind, arising out of the execution or performance of the Contract. QPP shall comply with all state and federal laws applicable to any such persons, including laws regarding wages, taxes, insurance, and workers' compensation. The GLO and the State of Texas, by entering into this Contract, shall not be liable to QPP or its officers, agents, employees, representatives, contractors, assignees, designees, or others for the payment of taxes, or the provision of unemployment insurance, workers' compensation, or any benefit available to a state employee or employee of another governmental entity. GLO Contract No. 22-113-013-D377 Page 8 of 11 DocuSign Envelope 10: 3A95334B-F5F74155-B2ED.128D461 CAI BB 8.05 INFRINGEMENT If QPP becomes aware of an actual or potential claim of infringement of any United States patent, copyright, trade or service mark, or any other intellectual or intangible property right that occurs in the execution or performance of the Contract, or the GLO provides QPP with notice of such claim, QPP may (or in the case of an injunction against the GLO, shall), at QPP's sole expense either: (i) procure for the GLO the right to continue to use the affected portion of the product or service, or (ii) modify or replace the affected portion of the product or service with a functionally equivalent or superior product or service so that the GLO's use is non -infringing. 8.06 RELATIONSHIP OF THE PARTIES QPP is associated with the GLO only for the purposes and to the extent specified in this Contract. QPP is and shall be an independent contractor and, subject only to the terms of this Contract, shall have the sole right to supervise, manage, operate, control, and direct performance of the details incident to its duties under this Contract. Nothing contained in this Contract creates a partnership or joint venture, employer -employee or principal -agent relationships, or any liability whatsoever with respect to the indebtedness, liabilities, or obligations of QPP or any other party. QPP shall be solely responsible for, and the GLO shall have no obligation with respect to: withholding of income taxes, FICA, or any other taxes or fees; industrial or workers' compensation insurance coverage; participation in any group insurance plans available to employees of the State of Texas; participation or contributions by the State to the State Employees Retirement System; accumulation of vacation leave or sick leave; or unemployment compensation coverage provided by the State. 8.07 COMPLIANCE WITH OTHER LAWS In its performance of this Contract, QPP shall comply with all applicable federal, state, county, and city laws, statutes, ordinances, and regulations. QPP is deemed to know of and understand all applicable laws, statutes, ordinances, and regulations. 8.08 NOTICES Any notices required under this Contract shall be deemed delivered when deposited either in the United States mail (postage paid, certified, return receipt requested) or with a common carrier (overnight, signature required) to the appropriate address below: GLO Texas General Land Office 1700 N. Congress Avenue, 7'" Floor Austin, Texas 78701 Attention: Contract Management Division Opp Calhoun County 211 S. Ann Street Port Lavaca, TX 77979 Attention: County Commissioner Notice given in any other manner shall be deemed effective only upon receipt by the Party to be notified. Either Party may change its address for notice by written notice to the other Party as herein provided. GLO Contract No. 22-113-013-D377 Page 9 of I DocuSign Envelope ID: 3Ag53346-F5F7-0155-B2ED-126D461CA1BB 8.09 GOVERNING LAW AND VENUE This Contract and the rights and obligations of the Parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit brought under this Contract shall be in a court of competent jurisdiction in Travis County, Texas. QPP irrevocably waives any objection, including any objection to personal jurisdiction, the laying of venue, or based on forum non conveniens, it has or may have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any related document. NOTHING IN THIS CONTRACT SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR THE STATE OF TEXAS. 8.10 DISPUTE RESOLUTION Except as otherwise provided by statute, rule, or regulation, QPP shall use the dispute resolution process established in Chapter 2260 of the Texas Government Code and related rules to attempt to resolve any dispute under this Contract, including a claim for breach of contract by the GLO, that the Parties cannot resolve in the ordinary course of business. Neither the occurrence of an event giving rise to a breach of contract claim nor the pendency of such a claim constitute grounds for QPP to suspend performance of this Contract. Notwithstanding this provision, the GLO reserves all legal and equitable rights and remedies available to it. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO. 8.11 ENTIRE CONTRACT AND AMENDMENT This Contract, its Attachment(s), and any purchase order(s) issued in conjunction with this Contract constitute the entire agreement of the Parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions, and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachment(s) and/or purchase order(s) shall be harmonized with this Contract to the extent possible. Unless such Attachment or purchase order specifically displays a mutual intent to amend a particular part of this Contract, general conflicts in language shall be construed consistently With the terms of this Contract. This Contract and its Attachments may only be amended by a mutual, written agreement executed by authorized representatives of the Parties. 8.12 PROPER AUTHORITY Each Party hereto represents and warrants that: (1) it has authority to perform its obligations under this Contract in accordance with Chapter 33, Texas Natural Resources Code, and (2) the person executing this Contract on its behalf has full power and authority to enter into this Contract on behalf of the Party they represent and bind such Party to the terms and condition herein. 8.13 COUNTERPARTS This Contract may be executed in any number of counterparts, each of which shall be an original, and all such counterparts shall together constitute but one and the same Contract. If the Contract is not executed by QPP within thirty (30) days of receipt, this Contract may be declared null and void, in the sole discretion of the GLO. GLO Contract No. 22-113-013-D377 Page 10 of 11 DowSign Envelope ID: 3Ag5334B.FSF7-4155-B2ED-128D461CA1BB 8.14 SEVERABILITY If a court of competent jurisdiction determines any provision of this Contract is invalid, void, or unenforceable, the remaining terms, provisions, covenants, and conditions of this Contract shall remain in full force and effect, and shall in no way be affected, impaired, or invalidated. 8.15 FORCE MAJEURE Except with respect to the obligation of payments under this Contract, if either Party, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected Party (collectively referred to as a "Force Majeure), then, while so prevented, the affected Parry's obligation to comply with such covenant shall be suspended, and the affected Party shall not be liable for damages for failure to comply with such covenant. in any such event, the Party claiming Force Majeure shall promptly notify the other Party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The Party claiming Force Majeure shall exercise due diligence to prevent, eliminate, or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non- performance continues for more than thirty (30) days, the GLO may, at its sole discretion, temtinate this Contract immediately upon written notification to QPP. 8.16 SURVIVAL OF TERMS AND PROVISIONS The terms and conditions of this Contract related to the following subjects shall survive the termination of this Contract: definitions; interpretation; warranties; affirmations; prohibition on debts created on behalf of the State of Texas and/or the GLO; limitation of any QPP claim for damages to the amount of funds appropriated for payment but not yet paid to QPP; ownership; intellectual property; third -party reliance; books and records; inspection and audit; records retention period; confidentiality; public records; insurance; taxes; workers' compensation; unemployment insurance; QPP's obligation to procure and maintain, at its sole expense, all government licenses, authorizations, insurance, waivers, permits, and/or qualifications necessary for QPP or any subcontractors to provide the goods or services described in this Contract; indemnity; assignment and subcontracting; relationship of the Parties; compliance with laws; notices; governing law and venue; severability; dispute resolution; merger and integration; invoice and fee verification; property rights; default; and amendment. SIGNATURE PAGE FOLLOWS GLO Contract No. 22-113.013-D377 Page 11 of 11 DocuSign Envelope ID: 3A95334B-F5F74155-62ED-126D461 CA1 BB SIGNATURE PAGE Foe GLO CONTRAcr No. 22-113-013-D377 GENERAL LAND OFFICE, ��0...S(.Slgf�d by---- WI'�tl'fC"�l"Ni'avens, Chief Clerk/ Deputy Land Commissioner Date of execution: 11/17/2022 OGC PNt V DIV f� 7- DIR J DD �.9 SDD DGC ftta GC J� CALDOUN COUNTY �9 Q.c.S gn d by: esRdf±'kci!"�.. Meyer Till,- County Judge Date or execution: 11/16/2022 Attachments to this Contract: Attachment A: Project Work Plan, Budget, and Map(s) Attachment B: General Affirmations Attachments Follow DoouSign Envelope ID: 3A95334B.F5F7-0165-B2ED-129D461CA1BB Attachment A GLO Contract No. 22-113-013-13377 Page 1 of BOGGY NATURE PARK SHORELINE PROTECTION PHASE 2 CEPRA PROJECT #1730 1. To address protection of Boggy Nature Park Shoreline (the "Project"), the GLO shall act as lead Project partner to fulfill the following tasks: a) Expend from the CEPRA account an amount not to exceed $231,000 in Project costs. b) Confer with Calhoun County representatives (the Qualified Project Partner or "QPP") on the location and extent of the Project area, scope of work, and goals of the Project. c) Manage the Project and contract with a professional services provider (PSP) to: 1. Continue development of feasible alternatives for shoreline protection with conceptual construction cost estimates and recommendation of a preferred alternative, if needed, 2. Collect additional data required for a US Army Corps of Engineers (the "USACE") permit, if needed, 3. Provide 30% design and opinion of probable construction cost, 4. Assist in completing any required permits or authorizations including, but not limited to, the USACE section 10/404 permit application. d) Serve as the point of contact for communication with the PSP and any other contracted entities under the terms of GLO's respective contracts with those vendors. The GLO may communicate generally with QPPs contracted parties during the Project. e) Serve as the source for all media advisories, inquiries and press releases regarding the Project. f) Provide financial point of contact. g) Comply with all federal, state, and local regulations, where applicable. 2. The QPP will aid the GLO and fulfill the following tasks: a. Provide financial point of contact and a minimum of $154,000 in Project match funds to the GLO. b. Confer with the GLO on the location and extent of the Project area, scope of work, and goals of the Project. c. Provide cooperative review and approval of all products provided by GLO's contracted PSP as necessary or required. d. Apply for, hold, and maintain permits as necessary, including state-owned submerged lands and any other authorizations required by state, federal, or local law. e. Maintain all permits and coastal lease instruments necessary or required to authorize the scope of work for the Project and ensure compliance with all general special conditions contained therein. f. Provide property access agreements for all work required by the scope of the Project. g. Assist GLO with the collection of information and obtaining/documenting local support as necessary to complete the Project. h. Comply with all federal, state, and local regulations, where applicable. DocuSlgn Envelope ID: 3A05334B-FSF7-4155-92ED-1280481CA1BB BUDGET Attachment A GLO Contract No. 22-113.013-D377 Page 2 of 3 Boggy Nature Park Shoreline Protection Phase 2 CEPRA PROJECT NO.1730 PROJECT COSTS COST SHARING SUMMARY QUALIFIED PROJECT PARTNER (QPP): 40% of Total Project Costs QPP Cash Commitment PP's TOTAL CONTRIBUTION $154,000.00 CEPRA: 60% of Total Project Costs CEPRA's TOTAL CONTRIBUTION $231 000.00 TOTAL PROJECT CONTRIBUTIONS $385,000.00 DocuSign Envelope ID: 3Ag5334B-F5F7.4155-B2ED-128D451CA18B Attachment B GLO Contract No. 22-113.013-13377 Page 1 of 10 GENERAL AFFIRMATIoNc TO THE EXTENT APPLICABLE, Qualified Project Partner affirms and agrees to the following, without exception: I . Qualified Project Partner represents and warrants that, in accordance with Section 2155.005 of the Texas Government Code, neither Qualified Project Partner nor the firm, corporation, partnership, or institution represented by Qualified Project Partner, or anyone acting for such a firm, corporation, partnership, or institution has (1) violated any provision of the Texas Free Enterprise and Antitrust Act of 1983, Chapter 15 of the Texas Business and Commerce Code, or the federal antitrust laws, or (2) communicated directly or indirectly the contents of this Contract or any solicitation response upon which this Contract is based to any competitor or any other person engaged in the same line of business as Qualified Project Partner.* 2. Qualified Project Partner shall not assign its rights under the Contract or delegate the performance of its duties under the Contract without prior written approval from the GLO. Any attempted assignment or delegation in violation of this provision is void and without effect. This provision does not apply to subcontracting. 3. If the Contract is for services, Qualified Project Partner shall comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts, but for contracts subject to 2 CFR 200, only to the extent such compliance is consistent with 2 CFR 200.319. 4. Under Section 231.006 of the Family Code, the vendor or applicant [Qualified Project Partner] certifies that the individual or business entity named in this Contract, bid or application is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate, in addition to other remedies set out in Section 231.006(f) of the Family Code.* 5. A bid or an application for a contract, grant, or loan paid from state funds must include the name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity submitting the bid or application. Qualified Project Partner certifies it has submitted this information to the GLO.* 6. If the Contract is for a "cloud computing service" as defined by Texas Government Code Section 2157.007, then pursuant to Section 2054.0593(d)-(f) of the Texas Government Code, relating to cloud computing state risk and authorization management program, Qualified Project Partner represents and warrants that it complies with the requirements of the state risk and authorization management program and Qualified Project Partner agrees that throughout the term of the Contract it shall maintain its certifications and comply with the program requirements in the performance of the Contract. 7. If the Contract is for the purchase or lease of computer equipment, as defined by Texas Health and Safety Code Section 361.952(2), Qualified Project Partner certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code, related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in Title 30 Texas Administrative Code Chapter 328. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 3A95334B-F5F7-4155-B2ED-126D461CA18B Attachment B GLO Contract No. 22-113.013-D377 Page 2 or 10 8. If the Contract authorizes Qualified Project Partner to access, transmit, use, or store data for the GLO, then in accordance with Section 2054.138 of the Texas Government Code, Qualified Project Partner certifies that it will comply with the security controls required under this Contract and will maintain records and make them available to the GLO as evidence of Qualified Project Partner's compliance with the required controls. 9. Qualified Project Partner represents and warrants that it has 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 a public servant in connection with the Contract. 10. Qualified Project Partner agrees that any payments due under the Contract shall be applied towards any debt or delinquency that is owed by Qualified Project Partner to the State of Texas. 11. Upon request of the GLO, Qualified Project Partner shall provide copies of its most recent business continuity and disaster recovery plans. 12. If the Contract is for consulting services governed by Texas Government Code Chapter 2254, Subchapter B, in accordance with Section 2254.033 of the Texas Government Code, relating to consulting services, Qualified Project Partner certifies that it does not employ an individual who has been employed by the GLO or another agency at any time during the two years preceding the Qualified Project Partner's submission of its offer to provide consulting services to the GLO or, in the alternative Qualified Project Partner, in its offer to provide consulting services to the GLO, disclosed the following: (i) the nature of the previous employment with the GLO or other state agency; (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination.* 13. If the Contract is not for architecture, engineering, or construction services, then except as otherwise provided by statute, rule, or regulation, Qualified Project Partner must use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve any dispute arising under the Contract. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY QUALIFIED PROJECT PARTNER. 14. If the Contract is for architecture, engineering, or construction services, then subject to Texas Government Code Section 2260.002 and Texas Civil Practice and Remedies Code Chapter 114, and except as otherwise provided by statute, rule, or regulation, Qualified Project Partner shall use the dispute resolution process provided for in Chapter 2260 of the Texas Government Code to attempt to resolve all disputes arising under this Contract. Except as otherwise provided by statute, rule, or regulation, in accordance with the Texas Civil Practice and Remedies Code, Section 114.005, claims encompassed by Texas Government Code, Section 2260.002(3) and Texas Civil Practice and Remedies Code Section 114.002 shall be governed by the dispute resolution process set forth below in subsections (a)-(d). NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE GLO OR, IF APPLICABLE, OF GOVERNMENTAL IMMUNITY BY QUALIFIED PROJECT PARTNER. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter2251. Rev. May 6, 2022 Docusign Envelope ID: 3A95334B-F5F7.4155-82ED-1280461 CAI BB Attachment B GLO Contract No. 22-113-013-D377 Page 3 of 10 a. Notwithstanding Texas Government Code, Chapter 2260.002(3) and Chapter 114.012 and any other statute or applicable law, if Qualified Project Partner's claim for breach of Project Partner may make a claim against the GLO for breach of contract and contract cannot be resolved by the Parties in the ordinary course of business, Qualified the GLO may assert a counterclaim against Qualified Project Partner as is contemplated by Texas Government Code, Chapter 2260, Subchapter B. In such event, Qualified Project Partner must provide written notice to the GLO of a claim for breach of the Contract not later than the 180th day after the date of the event giving rise to the claim. The notice must state with particularity: (1) the nature of the alleged breach; (2) the amount Qualified Project Partner seeks as damages; and (3) the legal theory of recovery. b. The chief administrative officer, or if designated in the Contract, another officer of the GLO, shall examine the claim and any counterclaim and negotiate with Qualified Project Partner in an effort to resolve them. The negotiation must begin no later than the 120th day after the date the claim is received, as is contemplated by Texas Government Code, Chapter 2260, Section 2260.052. C. If the negotiation under paragraph (b) above results in the resolution of some disputed issues by agreement or in a settlement, the Parties shall reduce the agreement or settlement to writing and each Party shall sign the agreement or settlement. A partial settlement or resolution of a claim does not waive a Party's rights under this Contract as to the parts of the claim that are not resolved. d. If a claim is not entirely resolved under paragraph (b) above, on or before the 270th day after the date the claim is filed with the GLO, unless the Parties agree in writing to an extension of time, the Parties may agree to mediate a claim made under this dispute resolution procedure. This dispute resolution procedure is Qualified Project Partner's sole and exclusive process for seeking a remedy for an alleged breach of contract by the GLO if the Parties are unable to resolve their disputes as described in this section. e. Nothing in the Contract shall be construed as a waiver of the state's or the GLO's sovereign immunity, or, if applicable, the governmental immunity of Qualified Project Partner. This Contract shall not constitute or be construed as a waiver of any of the privileges, rights, defenses, remedies, or immunities available to the State of Texas or Qualified Project Partner. The failure to enforce, or any delay in the enforcement, of any prividies, or immunities available to the State of applicable, ble, of Qualified ges, rights, defenses, ePartner under his ContractTexas or under applicablelaw shall not constitute a waiver of such privileges, rights, defenses, remedies or immunities or be considered as a basis for estoppel. The GLO does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. Qualified Project Partner does not waive any privileges, rights, defenses, or immunities available to it by entering into this Contract or by its conduct, or by the conduct of any representative of the GLO, prior to or subsequent to entering into this Contract. f. Except as otherwise provided by statute, rule, or regulation, compliance with the dispute resolution process provided for in Texas Government Code, Chapter 2260, subchapter B and incorporated by reference in subsection (a)-(d) above is a condition precedent to the This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 3A953348-F5F7-4155.B2ED-128D481CA16B Attachment B GLO Contract No. 22-113-013-D377 Page 4 of 10 Qualified Project Partner: (1) filing suit pursuant to Chapter 114 of the Civil Practices and Remedies Code; or (2) initiating a contested case hearing pursuant to Subchapter C of Chapter 2260 of the Texas Government Code. 15. If Chapter 2271 of the Texas Goverment Code applies to this Contract, Qualified Project Partner verifies that it does not boycott Israel and will not boycott Israel during the term of the Contract.* 16. This Contract is contingent upon the continued availability of lawful appropriations by the Texas Legislature. Qualified Project Partner understands that all obligations of the GLO under this Contract are subject to the availability of funds. If such funds are not appropriated or become unavailable, the GLO may terminate the Contract. The Contract shall not be construed as creating a debt on behalf of the GLO in violation of Article III, Section 49a of the Texas Constitution. 17. Qualified Project Partner certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, "Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism", published by the United States Department of the Treasury, Office of Foreign Assets Control. 18. In accordance with Section 669.003 of the Texas Government Code, relating to contracting with the executive head of a state agency, Qualified Project Partner certifies that it is not (1) the executive head of the GLO, (2) a person who at any time during the four years before the effective date of the Contract was the executive head of the GLO, or (3) a person who employs a current or former executive head of the GLO. 19. Qualified Project Partner represents and warrants that all statements and information prepared and submitted in connection with this Contract are current, complete, true, and accurate. Submitting a false statement or making a material misrepresentation during the performance of this Contract is a material breach of contract and may void the Contract or be grounds for its termination. 20. Pursuant to Section 2155.004(a) of the Texas Government Code, Qualified Project Partner certifies that neither Qualified Project Partner nor any person or entity represented by Qualified Project Partner has received compensation from the GLO to participate in the preparation of the specifications or solicitation on which this Contract is based. Under Section 2155.004(b) of the Texas Government Code, Qualified Project Partner certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that the Contract may be terminated and payment withheld if this certification is inaccurate. This Section does not prohibit Qualified Project Partner from providing free technical assistance.* 21. Qualified Project Partner represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code.* 22. In accordance with Section 2252.901 of the Texas Government Code, for the categories of contracts listed in that section, Qualified Project Partner represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the contract, were employees of the GLO during the twelve (12) month period immediately prior to the date of execution of the contract. Solely for professional services contracts as ' This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSlgn Envelope ID: 3A95334B-F5F7-4155-B2ED-128D461CA1BB Attachment B GLO Contract No. 22-113.013-D377 Page 5 or 10 described by Chapter 2254 of the Texas Government Code, Qualified Project Partner farther represents and warrants that if a former employee of the GLO was employed by Qualified Project Partner within one year of the employee's leaving the GLO, then such employee will not perform services on projects with Qualified Project Partner that the employee worked on while employed by the GLO.* 23. The Contract shall be governed by and construed in accordance with the laws of the State of Texas, without regard to the conflicts of law provisions. The venue of any suit arising under the Contract is fixed in any court of competent jurisdiction of Travis County, Texas, unless the specific venue is otherwise identified in a statute which directly names or otherwise identifies its applicability to any Party. 24. IF THE CONTRACT IS NOT FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, QUALIFIED PROJECT PARTNER, TO THE EXTENT ALLOWED BY LAW, SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES ARISING OUT OF, OR RESULTING FROM ANY ACTS OR OMISSIONS OF QUALIFIED PROJECT PARTNER OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, OR SUPPLIERS OF SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT AND ANY PURCHASE ORDERS ISSUED UNDER THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 25.IF THE CONTRACT IS FOR ARCHITECTURE OR ENGINEERING SERVICES GOVERNED BY TEXAS GOVERNMENT CODE CHAPTER 2254, QUALIFIED PROJECT PARTNER, TO THE EXTENT ALLOWED BY LAW, SHALL INDEMNIFY AND HOLD HARMLESS THE STATE OF TEXAS AND THE GLO, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED DAMAGES, COSTS, ATTORNEY FEES, AND EXPENSES TO THE EXTENT CAUSED BY, ARISING OUT OF, OR RESULTING FROM ANY ACTS OF NEGLIGENCE, INTENTIONAL TORTS, WILLFUL MISCONDUCT, PERSONAL INJURY OR DAMAGE TO PROPERTY, AND/OR OTHERWISE RELATED TO QUALIFIED PROJECT PARTNER'S PERFORMANCE, AND/OR FAILURES TO PAY A SUBCONTRACTOR OR SUPPLIER BY THE QUALIFIED PROJECT PARTNER OR ITS AGENTS, EMPLOYEES, SUBCONTRACTORS, ORDER FULFILLERS, CONSULTANTS UNDER CONTRACT TO QUALIFIED PROJECT PARTNER, OR ANY OTHER ENTITY OVER WHICH QUALIFIED PROJECT PARTNER EXERCISES CONTROL, OR SUPPLIERS OF * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 3A95334B-F5F7-4155-B2ED-128D461CA1BB Attachment B GLO Contract No. 22-113-013-D377 Page 6 of 10 SUBCONTRACTORS IN THE EXECUTION OR PERFORMANCE OF THE CONTRACT. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM THE OFFICE OF THE TEXAS ATTORNEY GENERAL. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM.* 26. TO THE EXTENT ALLOWED BY LAW, QUALIFIED PROJECT PARTNER SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE GLO AND THE STATE OF TEXAS FROM AND AGAINST ANY AND ALL CLAIMS, VIOLATIONS, MISAPPROPRIATIONS OR INFRINGEMENT OF ANY PATENT, TRADEMARK, COPYRIGHT, TRADE SECRET OR OTHER INTELLECTUAL PROPERTY RIGHTS AND/OR OTHER INTANGIBLE PROPERTY, PUBLICITY OR PRIVACY RIGHTS, AND/OR IN CONNECTION WITH OR ARISING FROM: (1) THE PERFORMANCE OR ACTIONS OF QUALIFIED PROJECT PARTNER PURSUANT TO THIS CONTRACT; (2) ANY DELIVERABLE, WORK PRODUCT, CONFIGURED SERVICE OR OTHER SERVICE PROVIDED HEREUNDER; AND/OR (3) THE GLO'S AND/OR QUALIFIED PROJECT PARTNER'S USE OF OR ACQUISITION OF ANY REQUESTED SERVICES OR OTHER ITEMS PROVIDED TO THE GLO BY QUALIFIED PROJECT PARTNER OR OTHERWISE TO WHICH THE GLO HAS ACCESS AS A RESULT OF QUALIFIED PROJECT PARTNER'S PERFORMANCE UNDER THE CONTRACT. QUALIFIED PROJECT PARTNER AND THE GLO SHALL FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. QUALIFIED PROJECT PARTNER SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE, INCLUDING ATTORNEYS' FEES. THE DEFENSE SHALL BE COORDINATED BY QUALIFIED PROJECT PARTNER WITH THE OFFICE OF THE TEXAS ATTORNEY GENERAL (OAG) WHEN TEXAS STATE AGENCIES ARE NAMED DEFENDANTS IN ANY LAWSUIT AND QUALIFIED PROJECT PARTNER MAY NOT AGREE TO ANY SETTLEMENT WITHOUT FIRST OBTAINING THE CONCURRENCE FROM OAG. IN ADDITION, QUALIFIED PROJECT PARTNER WILL REIMBURSE THE GLO AND THE STATE OF TEXAS FOR ANY CLAIMS, DAMAGES, COSTS, EXPENSES OR OTHER AMOUNTS, INCLUDING, BUT NOT LIMITED TO, ATTORNEYS' FEES AND COURT COSTS, ARISING FROM ANY SUCH CLAIM. IF THE GLO DETERMINES THAT A CONFLICT EXISTS BETWEEN ITS INTERESTS AND THOSE OF QUALIFIED PROJECT PARTNER OR IF THE GLO IS REQUIRED BY APPLICABLE LAW TO SELECT SEPARATE COUNSEL, THE GLO WILL BE PERMITTED TO SELECT SEPARATE COUNSEL AND QUALIFIED PROJECT PARTNER WILL PAY ALL REASONABLE COSTS OF THE GLO'S COUNSEL.* 27. Qualified Project Partner has disclosed in writing to the GLO all existing or known potential conflicts of interest relative to the performance of the Contract. 28. Sections 2155.006 and 2261.053 of the Texas Government Code prohibit state agencies from accepting a solicitation response or awarding a contract that includes proposed financial participation by a person who, in the past five years, has been convicted of violating a federal * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSlgn Envelope to: 3A953348-F5F7-4155.82ED-128D461 CAI BB Attachment B GLO Contract No. 22.113-013-D377 Page 7 of 10 law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by Section 418.004 of the Texas Government Code, occurring after September 24, 2005. Under Sections 2155.006 and 2261.053 of the Texas Government Code, Qualified Project Partner certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 29. The person executing this Contract certifies that he/she is duly authorized to execute this Contract on his/her own behalf or on behalf of Qualified Project Partner and legally empowered to contractually bind Qualified Project Partner to the terms and conditions of the Contract and related documents. 30. If the Contract is for architectural or engineering services, pursuant to Section 2254.0031 of the Texas Government Code, which incorporates by reference Section 271.904(d) of the Texas Local Government Code, Qualified Project Partner shall perform services (1) with professional skill and care ordinarily provided by competent engineers or architects practicing under the same or similar circumstances and professional license, and (2) as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect.* 31. The state auditor may conduct an audit or investigation of any entity receiving funds from the state directly under the Contract or indirectly through a subcontract under the Contract. The acceptance of funds directly under the Contract or indirectly through a subcontract under the Contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the state auditor must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Qualified Project Partner shall ensure that this paragraph concerning the authority to audit funds received indirectly by subcontractors through the Contract and the requirement to cooperate is included in any subcontract it awards. The GLO may unilaterally amend the Contract to comply with any rules and procedures of the state auditor in the implementation and enforcement of Section 2262.154 of the Texas Government Code. 32. Qualified Project Partner certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the Contract by any state or federal agency. 33. If the Contract is for the purchase or lease of covered television equipment, as defined by Section 361.971(3) of the Texas Health and Safety Code, Qualified Project Partner certifies its compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code, related to the Television Equipment Recycling Program. 34. Pursuant to Section 572.069 of the Texas Government Code, Qualified Project Partner certifies it has not employed and will not employ a former state officer or employee who participated in a procurement or contract negotiations for the GLO involving Qualified Project Partner within two (2) years after the date that the contract is signed or the procurement is terminated or withdrawn. This certification only applies to former state a This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSign Envelope ID: 3A95334B-F5F7-4155-B2ED-128D461CA18B .Attachment B GLO Contract -No. 22-113-1113-D377 Page 8 or In officers or employees whose state service or employment ceased on or after September 1, 2015. 35. The GLO shall post this Contract to the GLO's website. Qualified Project Partner understands that the GLO will comply with the Texas Public Information Act (Texas Government Code Chapter 552, the "PIA"), as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas (the "Attorney General"). Information, documentation, and other material in connection with this Contract may be subject to public disclosure pursuant to the PIA. In accordance with Section 2252.907 of the Texas Government Code, Qualified Project Partner is required to make any information created or exchanged with the GLO or the State of Texas pursuant to the Contract, and not othet-tise excepted from disclosure under the PIA, available to the GLO in portable document file (".pdf") format or any other format agreed upon between the Parties that is accessible by the public at no additional charge to the GLO or the State of Texas. By failing to mark any information that Qualified Project Partner believes to be excepted from disclosure as "confidential" or a "trade secret," Qualified Project Partner waives any and all claims it may make against the GLO for releasing such information without prior notice to Qualified Project Partner. The Attorney General will ultimately determine whether any information may be withheld from release under the PIA. Qualified Project Partner shall notify the GLO's Office of General Counsel within twenty-four (24) hours of receipt of any third -party written requests for information and forward a copy of said written requests to PIALegal@glo.texas.gov. If a request for information was not written, Qualified Project Partner shall forward the third party's contact information to the above -designated c-mail address. 36. The GLO does not tolerate any type of fraud. GLO policy promotes consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Any violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Qualified Project Partner mist report any possible fraud, waste, or abuse that occurs in connection with the Contract to the GLO in the manner prescribed by the GLO's website, http://t lo.texas tsov. 37. If Qualified Project Partner, in its performance of the Contract, has access to a stale computer system or database, Qualified Project Partner must complete a cybersecurity training program certified under Texas Government Code Section 2054.519, as selected by the GLO. Qualified Project Partner must complete the cybersecurity training program during the initial term of the Contract and during any renewal period. Qualified Project Partner must verify in writing to the GLO its completion of the cybersecurity training program. 38. Under Section 2155.0061, Texas Government Code, Qualified Project Partner certifies that the entity named in this Contract is not ineligible to receive the specified Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate.* 39. Qualified Project Partner certifies that it does not require its customers to provide ally documentation certifying the customer's COVID-19 vaccination or post -transmission recovery on entry to, to gain access to, or to receive service from Qualified Project Partner's business. Qualified Project Partner acknowledges that such it vaccine or recovery requirement would make Qualified Project Partner ineligible for a state -funded contract. e This section does not apply ton contract with it "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. ivlav 6. 2022 DocuBign Envelope ID: 3A95334B-F6F7-4155-B2ED-128D461 CA1 BE Attachment B GLO Contract No. 22-113-013-D377 Page 9 or 10 40. Pursuant to Government Code Section 2274.0102, Qualified Project Partner certifies that neither it nor its parent company, nor any affiliate of Qualified Project Partner or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Government Code Section 2274.0103, or (2) headquartered in any of those countries.* 41. If Qualified Project Partner is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Qualified Project Partner verifies that Qualified Project Partner does not boycott energy companies and will not boycott energy companies during the term of the Contract. If Qualified Project Partner does not make that verification, Qualified Project Partner must notify the GLO and state why the verification is not required.* 42. If Qualified Project Partner is required to make a verification pursuant to Section 2274.002 of the Texas Government Code, Qualified Project Partner verifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a "firearm entity" or "firearm trade association" as those terms are defined in Texas Government Code section 2274.001 and (2) will not discriminate during the term of the Contract against a firearm entity or firearm trade association. If Qualified Project Partner does not make that verification, Qualified Project Partner must notify the GLO and state why the verification is not required.* 43. If Qualified Project Partner is a "professional sports team" as defined by Texas Occupations Code Section 2004.002, Qualified Project Partner will play the United States national anthem at the beginning of each team sporting event held at Qualified Project Partner's home venue or other venue controlled by Qualified Project Partner for the event. Failure to comply with this obligation constitutes a default of this Contract, and immediately subjects Qualified Project Partner to the penalties for default, such as repayment of money received or ineligibility for additional money. In addition, Qualified Project Partner may be debarred from contracting with the State. The GLO or the Attorney General may strictly enforce this provision.* 44. To the extent Section 552.371 of the Texas Government Code applies to Qualified Project Partner and the Contract, in accordance with Section 552.372 of the Texas Government Code, Qualified Project Partner must (a) preserve all contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO for the duration of the Contract, (b) no later than the tenth business day after the date of the GLO's request, provide to the GLO any contracting information related to the Contract that is in Qualified Project Partner's custody or possession, and (c) on termination or expiration of the Contract, either (i) provide to the GLO at no cost all contracting information related to the Contract that is in Qualified Project Partner's custody or possession or (ii) preserve the contracting information related to the Contract in accordance with the records retention requirements applicable to the GLO. Except as provided by Section 552.374(c) of the Texas Government Code, the requirements of Subchapter J, Chapter 552, Government Code, may apply to the Contract and Qualified Project Partneragrees that the Contract may be terminated if Qualified Project Partner knowingly or intentionally fails to comply with a requirement of that subchapter.* 45. If the Contract is for consulting services governed by Chapter 2254 of the Texas Government Code, Qualified Project Partner, upon completion of the Contract, must give the GLO a This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 DocuSlgn Envelope to: 3A95334B-F5F7.4155-B2ED-128D451CA1BB Attachment B GLO Contract No. 22-113.013-D377 Page 10 or10 compilation, in a digital medium agreed to by the Parties, of all documents, films, recordings, or reports Qualified Project Partner compiled in connection with its performance under the Contract.* 46. If subject to 2 CFR 200.216, Qualified Project Partner shall not obligate or expend funding provided under this Contract to: (a) procure or obtain; (b) extend or renew a contract to procure or obtain; or (c) enter into a contract to procure or obtain equipment, services, or systems that uses covered telecommunications equipment or services, as defined in Public Law 115-232, Section 889, as a substantial or essential component of any system, or as critical technology as part of any system. 47. To the extent Texas Government Code Chapter 2252, Subchapter G applies to the Contract, any iron or steel product Qualified Project Partner uses in in its performance of the Contract that is produced through a manufacturing process, as defined in Section 2252.201(2) of the Texas Government Code, must be produced in the United States. * This section does not apply to a contract with a "governmental entity" as defined in Texas Government Code Chapter 2251. Rev. May 6, 2022 Certificate Of Completion Envelope Id: 3A95334BF5F74155B2ED12813461 CAI BB Subject: $231k New CEPRA Contract: 22-113-013-D377 Calhoun County (Texas GLO) Source Envelope: Document Pages: 33 Signatures: 2 Cedificate Pages: 4 Initials: 8 AutoNav: Enabled Enveloped Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original Holder: Sandra Radosavljevic 11191202210:06:16 AM sandra.radosavljevic@glo.texas.gov Signer Events Signature McKenzie Speich O5 McKenzie.Speich@glo.texas.gov Security Level: Email, Account Authentication (None) Signature Adoption: Pre -selected Style Using IP Address: 136.226.12.61 Electronic Record and Signature Disclosure: Not Offered via DocuSign Carver Wray cawer.wray@glo.texas.gov Project Manager Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kevin Frenzel kevin.frenzel@glo,texas.gov CEPRA Program Manager Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Julie McEntire Julie.McEntire@glo.texas.gov Director of Grant Programs Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign GW Signature Adoption: Drawn on Device Using IP Address: 96.8.253.71 AA os Signature Adoption: Uploaded Signature Image Using IP Address: 136.226.13.63 r .s [J wN Signature Adoption: Drawn on Device Using IP Address: 136.226.13.89 DocuSign Status: Completed Envelope Originator: Sandra Radosavjjevic 1700 Congress Ave Austin, TX 78701 sandra.radosavljevic@glo.texas.gov IP Address: 104,247,127.166 Location: DocuSign Timestamp Sent: 11/9/2022 10:09:44 AM Viewed: 11/16/2022 9:58:10 AM Signed: 11/16/2022 12:16:50 PM Sent: 11/16/2022 12:16:57 PM Viewed: 11/16/2022 12:18:30 PM Signed: 11/16/2022 12:18:45 PM Sent: 11/16/2022 12:18:50 PM Viewed: 11/16/2022 12:30:28 PM Signed: 11/16/2022 12:31:08 PM Sent: 11 /16/2022 12:31:13 PM Viewed: 11116/2022 12:33:46 PM Signed: 11/16/2022 12:34:00 PM Signer Events Signature Timestamp Melissa Porter °s Sent: 11/16/2022 12:34:07 PM melissa.porter@glo.texas.gov Viewed: 11/16/2022 12:52:54 PM Texas General Land Office Signed: 11/16/2022 12,53:10 PM Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 136,226.12.192 Electronic Record and Signature Disclosure: Not Offered via DocuSign David Green Sent: 11/16/2022 12:53:14 PM david.green@glo.texas.gov n°s Viewed: 11/16/2022 12:54:42 PM Legal Services Signed: 11/16/2022 12:55:13 PM Texas General Land Office Signature Adoption: Uploaded Signature Image Security Level: Email, Account Authentication (None) Using IP Address: 136,226.12.193 Electronic Record and Signature Disclosure: Not Offered via DocuSign Marc Barenblat °s Sent: 11/16/2022 12:55:20 PM marc.barenblat@glo.texas.gov E15 Viewed: 11/16/2022 3:49:02 PM Deputy General Counsel Signed: 11/16/2022 4:06:12 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 136.226.13.55 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeff Gordon °s Sent: 11/1612022 4:O6:18 PM jeff.gordon@glo.texas.gov Eo Viewed: 11/16/20224:11:21 PM General Counsel Signed: 11/16/2022 4:11:29 PM Texas General Land Office Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style (None) Using IP Address: 136.226.12.196 Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Meyer °""s""/Ie° "" Sent: 11 /16/2022 4:11:38 PM richard.meyer@calhouncotx.org Viewed: 11/16/2022 4:13:08 PM County Judge Signed: 11/16/2022 4:14:05 PM Security Level: Email, Account Authentication (None) Signature Adoption: Pre -selected Style Using IP Address: 24.116.194.98 Electronic Record and Signature Disclosure: Not Offered via DocuSign Mark A. Havens [ \/�� Sent: 11/16/2022 4:14:12 PM mark.havons@glo.texas.gov Viewed: 11/17/202210:22:43 AM Chief Clerk and Deputy Land Commissioner ``' Signed: 11/17/2022 10:22:51 AM Texas General Land Office Signature Adoption: Drawn on Device Security Level: Email, Account Authentication (None) Using IP Address: 204.65.82.76 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Lance White COPIED Sent: 11/9/2022 10:09:41 AM lance.white@glo.texas.gov Manager, Contracts Management Division Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign CMD Drafting Requests Sent:. 11/9/202210:09:41 AM draftingrequests@GLO.TEXAS.GOV ED Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kelly McBride COPIED Sent: 11/9/2022 10:09:42 AM kelly. mcbride@g lo.texas.gov Director of CMD Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sandra Radossvljevic COPIED Sent: 11/9/2022 10:09:42 AM Sandra.Radosavljevic@G LO.TEXAS.GOV Contract Specialist Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Tamika Hobby COPIED Sent: 11/9/2022 10:09:43 AM Taniika.Hubby@glo,texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kimberly LaPointe Kimberly.LaPointe@glo.texas.gov Procurement Manager Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign COPIED-] Sent: 11 /9/2022 10:09:43 AM Carbon Copy Events Linda Galindo linda.galindo@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign 21 ;C! 1 A : P Gloria Maynard ®�� gloria.maynard@glo.lexas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Gary Reese gary.reese@calhounco(x.org E D Commissioner PCT 4 Security Level: Email. Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign HUB HUBQglo.texas.yov COPIED Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Timestamp Sent: 11/16/2022 12:16:56 PM Sent: 11/16/2022 12:53:15 PM Sent: 11/16/2022 4:11:38 PM Viewed: 11/16/2022 4:30:22 PM Sent: 11/17/2022 10:22:58 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/9/2022 10:09:43 AM Certified Delivered Security Checked 11/17/2022 10:22:43 AM Signing Complete Security Checked 11/17/2022 10:22:51 AM Completed Security Checked 11/17/2022 10:22:58 AM Payment Events Status Timestamps # Zz NO11CF OF MFFTING—11%23%2022 12. 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 9 of 24 #13 NOTICE OF MEETING — 11/23/2022 13. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Annual Supply Contract for Inmate Food Services, for the Calhoun County Adult Detention Center, Bid Number 2023.04 for the period January 1, 2023 through December 31, 2023 with the option to renew yearly if agreeable with both the successful bidder and Calhoun County and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Wednesday, December 14, 2022. (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 10 of 24 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Tuesday, November 22, 202212:36 PM To: MaeBelle.Cassel@calhouncotx.org; richard.meyer@calhouncotx.org; David Hall, angela.torres@calhouncotx.org, Vern Lyssy; Lesa.Jurek@calhouncotx.org; joel.behrens@calhouncotx.org; Lynette.Adame@calhouncotx.org, Gary Reese; April Townsend Cc: Rachel.Martinez@calhouncotx.org; philip.dennis@calhouncotx.org; Katie.Dennis@calhouncotx.org; Bobbie.Vickery@calhouncotx.org; peggy.hall@calhouncotx.org; cindy.mueller@calhouncotx.org; candice.Villarreal@calhouncotx.org, Erica.Perez@calhouncotx.org; sara.rodriguez@calhouncotx.org Subject: Re: Inmate Food Invitation to Bid Attachments: 2023 - Agenda Item with Backup - Approve Specs and Invitation to Bid Pack for Inmate Food Services.pdf Re: Inmate Food Invitation to Bid January 1, 2023 — December 31, 2023 With the option to extend yearly if approved by Commissioners Court Please put the attached behind agenda item # 13 for court tomorrow, November 23, 2022. Ben E. Keith was going to renew but misunderstood the contract and could not raise prices, so the county is having to seek bids. Thank you, fl¢mi Cabrs?ra Calhoun County -Oz6istant,Oudifor 361-553-4615 561-553-4614 (fax) Calhoun County Texas Mae Belle Cassel From: peggy.haB@calhouncotx.org (peggy hall) <peggy.hall@calhouncotx.org> Sent: Wednesday, November 16, 2022 4:41 PM To: MaeBelle.Cassel@calhouncotx.org, Richard H Meyer Cc: Rachel.Martinez@calhouncotx.org; philip.dennis@calhouncotx.org; Katie Dennis; Bobbie Vickery; demi.cabrera@calhouncotx.org, Erica Perez; Cindy Mueller; Candice Villarreal Subject: Agenda Item for Wednesday, November 23, 2022 Attachments: Agenda Item - Approve Specs and Invitation to Bid Pack for hunate Food Services.docx Mae Belle, Please put the attached on the agenda for November 23rd Thank you! Assistant Auditor Calhoun County 202 S. Ann St., Ste B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Calhoun County Texas November 16, 2022 To: Judge Meyer From: The office of the County Auditor For the Calhoun County Adult Detention Center Please place the following item on the Commissioners Court Agenda for November 23, 2022: Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Annual Supply Contract for Inmate Food Services, for the Calhoun County Adult Detention Center, Bid Number 2023.04 for the period January 1, 2023 through December 31, 2023 with the option to renew yearly if agreeable with both the successful bidder and Calhoun County and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Wednesday, December 14, 2022. November 16, 2022 To: Judge Meyer From: The office of the County Auditor For the Calhoun County Adult Detention Center Please place the following item on the Commissioners Court Agenda for November 23, 2022: Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Annual Supply Contract for Inmate Food Services, for the Calhoun County Adult Detention Center, Bid Number 2023.04 for the period January 1, 2023 through December 31, 2023 with the option to be extended yearly if agreeable with both the successful bidder and Calhoun County and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Wednesday, December 14, 2022. CALHOUN COUNTY, TEXAS INVITATION TO BID FOR THE ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY BID NUMBER: 2023.04 BID TERM: JANUARY 1, 2023 THROUGH DECEMBER 31, 2023 With the option to be extended yearly if agreeable with both the successful bidder and Calhoun County SEALED BIDS ARE DUE BEFORE: 2:00:00 PM, Wednesday, December 14, 2022 AT THE OFFICE OF: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 31 Floor, Suite 301 Port Lavaca, Texas 77979 Public Opening of the Bids will be conducted immediately after the closing of the 2:00:00 PM deadline, Wednesday, December 14, 2022 in the County Judge's office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas 77979. Bids will be considered for award at a future meeting of the Calhoun County Commissioners Court. Award information will be sent to all vendors that submitted a Bid and, as time permits, will be posted on the County's website (www.calhouncotx.org) under Public Notices, Bid Notices and Results, Results, 2023. CONTENTS • Invitation to Bid • Return Instructions • General Conditions • Specifications • Required Forms to be returned when submitting a Bid If any Required Form is "Not Applicable", mark "NA" and include when submitting a Bid 1. Invitation to Bid Form 2. Contract Agreement On page 1, fill out the two blanks in the contract agreement On page 4, Do Not Date — Date on page 4 will be filled in when awarded by Commissioners Court On page 5, complete the Provider and Attest to Provider's signature section 3. Bidder Information Form 4. Affidavit 5. Certificate of Interested Parties Form 1295 Only Instructions are included with the Invitation to Bid Packet — Form 1295 must be completed online, submitted online, printed, signed and returned with the bid 6. Conflict of Interest Questionnaire Form CIQ 7. Certification Regarding Debarment & Suspension and Other Responsibility Matters 8. Certification Regarding Lobbying 9. Disclosure of Lobbying Activities 10. House Bill 89 Verification 11. Residence Certification OTHER INFORMATION INCLUDED WITH THE INVITATION TO BID PACKET • Current (2022) Awarded Contract Agreement and Food and Non -Food Pricing List For the Annual Supply Contract Agreement for Inmate Food Services At the Calhoun County Adult Detention Facility For the period January 1, 2022 through December 31, 2022 INVITATION TO BID Notice is hereby given that the Commissioners Court of Calhoun County, Texas will receive SEALED BIDS for the annual supply contract agreement for furnishing food and non-food items to the Calhoun County Adult Detention Facility. Bid Number 2023.04, Annual Supply Contract Agreement for Inmate Food Services at the Calhoun County Adult Detention Facility Bids are for a one (1) year period: January 1, 2023 through December 31, 2023, with the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County. Each yearly extension must be approved by Commissioners Court prior to the end date of the contract agreement. The complete Invitation to Bid Packet can be downloaded from the County's website, www.calhouncotx.org (under Public Notices, Bid Notices and Results, Bid Notices 2023), or by contacting Peggy Hall, Assistant Auditor, peggy.hall@calhouncotx.org or 361-553-4610. SEALED BIDS (ONE ORIGINAL AND THREE COPIES) ARE DUE BEFORE 2:00:00 PM, WEDNESDAY, DECEMBER 14, 2022. Immediately after the closing of the 2:00:00 PM deadline, all bids will be publicly opened in the Judge's office in the Calhoun County Courthouse at 211 South Ann Street, 31d Floor, Suite 301, Port Lavaca, Texas. Bids will be considered for award at a future meeting of the Calhoun County Commissioners Court. It is the responsibility of the submitting bidder to ensure that the sealed bid is received in a timely manner. Calhoun County does not accept faxed or emailed bids. Calhoun County accepts no financial responsibility for any cost incurred by any bidder in the course of responding to the bid. Bids received after the deadline will not be opened and will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative will be the official clock that shall be used in determining the time the bid is received and the 2:00:00 PM deadline. Bids shall include all requirement of the Invitation to Bid Packet for Bid Number 2023.04, Annual Supply Contract Agreement for Inmate Food Services at the Calhoun County Adult Detention Facility. All bids (one original and three copies) must be delivered to the office of the Calhoun County Judge before 2:00:00 PM, Wednesday, December 14, 2022 in a SEALED 9 x 12 or larger envelope and CLEARLY MARKED on the outside on the envelope: SEALED BID NUMBER 2023.04 ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Page 1 of 2 SEALED BIDS may be hand delivered or mailed to: Honorable Richard H. Meyer, County Judge Calhoun County Courthouse 211 South Ann Street 3rd Floor, Suite 301 Port Lavaca, TX 77979 If the SEALED BID is sent by Ups, FedEx, or other delivery service, the outside of this envelope must be clearly marked: BID NUMBER 2023.04 ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Calhoun County Commissioners Court reserves the right to waive technicalities, reject any or all bids, to accept the bid deemed most advantageous to and in the best interest of Calhoun County. The award of the Bid and Contract Agreement shall be made to the responsible bidder, whose bid is determined to be the most beneficial to Calhoun County and the Calhoun County Adult Detention Facility, taking into consideration the relative importance of price and other factors set forth in the Invitation to Bid Packet. Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and Labor Surplus Area Firms are encouraged to submit bids. Cindy Mueller County Auditor Calhoun County, Texas Page 2 of 2 RETURN INSTRUCTIONS For Submitting a Bid for the ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Bid Number: 2023-04 Bid Period: January 1, 2023 thru December 31, 2023 With the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County Return the following BEFORE 2:00:00 PM, WEDNESDAY, DECEMBER 14, 2022 Check List for submitting your Bid: Return One (1) Original and Three (3) Copies of all of the below forms: Invitation to Bid Form Contract Agreement On page 1, fill out the two blanks in the contract agreement On page 4, Do Not Date — Date on page 4 will be filled in when awarded by Commissioners Court On page 5, complete the Provider and Attest to Provider's signature section Bidder Information Form Affidavit Certificate of Interested Parties, Form 1295 Only Instructions are included with the Invitation to Bid Packet— Form 1295 must be completed online, submitted online, printed, signed and returned with the bid Conflict of Interest Questionnaire, Form CIQ Certification Regarding Debarment & Suspension and Other Responsibility Matters Certification Regarding Lobbying Disclosure of Lobbying Activities House Bill 89 Verification Residence Certification Do Not Fold any of the above information. Bid must be returned in a SEALED 9 x 12 or larger envelope clearly marked: SEALED BID NUMBER 2023.04 ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY If you send your bid by UPS, FeclEx or other delivery service, the outside of this envelope must be clearly marked: SEALED BID NUMBER 2023.04 ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY BID MUST BE SEALED (with the glue on the envelope or tape) SEALED BID MAY BE HAND DELIVERED OR MAILED TO: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street, V Floor, Suite 301 Port Lavaca, TX 77979 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS General Conditions apply to all advertised Invitations to Bid (hereinafter called Bid), Request for Proposals (hereinafter called RFP), Request for Qualifications (hereinafter called RFQ), Contracts/Agreements/Leases (hereinafter called Contract); however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder/Vendor is advised that the Bid, RFP, RFQ and/or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Bid, RFP, RFQ and/or Contract. All parties agree that the venue for any litigation arising from this Bid, RFP, RFQ and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Completion of Bid. RFP. RFQ, and/or Contract Forms: Once the Bid, RFP, RFQ and/or Contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Calhoun County Commissioners Court or at a mandatory pre -bid meeting. Complete, sign, and return to the Calhoun County Judge's Office the required number of Bid forms, RFP forms, RFQ forms, and/or Contracts, and any other required information by the day and time the Bid, RFP, RFQ and/or Contract is due. The Bid, RFP, RFQ and/or Contract must be signed and dated by an officer, employee or agent who is duly authorized to execute this Bid, RFP, RFC, and/or Contract, and affirms that this company, corporation, firm, partnership or individual has not prepared this Bid, RFP, RFQ, and/or Contract in collusion with any other bidder/vendor or any official or employee of Calhoun County, and that the contents of this Bid, RFP, RFQ, and/or Contract as to prices, terms or conditions of said Bid, RFP, RFQ and/or Contract have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business orto any official or employee of Calhoun County prior to the official opening of this Bid, RFP, RFQ and/or Contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bidders/vendor's Bid, RFP, RFQ and/or Contract. If an error is made, the bidder/vendor must draw a line through the error and initial each change. All responses typed or handwritten in ink must be clear and legible. Submission of Sealed Bid, RFP, RFQ, and/or Contract: All Bids, RFPs, RFQs, and/or Contracts must be delivered to the County Judge's Office in a SEALED envelope. When submitting a SEALED Bid, RFP, RFQ and/or Contract the envelope must be taped and/or glued closed in order for it to be accepted as a SEALED Bid, RFP, RFQ and/or Contract. The bidder/vendor must submit the original and required number of copies of their completed Bid, RFP, RFQ and/or Contract and any additional required information/forms in a SEALED envelope to the Calhoun County Judge's Office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas. The Bid, RFP, RFQ and/or Contract will specify the date and time due. Page 1 of 11 The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative is the official clock that will be used in determining the time the Bid, RFP, RFQ and/or Contract is received and the time deadline that the Bid, RFP, RFQ, and/or Contract will be opened. A late delivery with an early postmark or delivery of the Bid, RFP, RFQ and/or Contract to the wrong office will not suffice. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder/vendor. The door to the County Judge's office will be closed once the due date and time has been reached and no other bids will be accepted. Calhoun County will not be responsible for the delivery of your Bid, RFP, RFQ, and/or Contract to the office of the Calhoun County Judge. Calhoun County is not responsible for late deliveries due to postal mail or other mail delivery services delays. Calhoun County is not responsible for the delivery of the Bid, RFP, RFQ, and/or Contract to the wrong office. Calhoun County does not accept faxed or emailed Bids, RFPs, RFQs, and/or Contracts. If the bidder/vendor would like to confirm the delivery of their Bid, RFP, RFQ, and/or Contract, the bidder/vendor may call the Calhoun County Judge's office at 361-553-4600. Late Bids, RFPs, RFQs, and/or Contracts will not be accepted. Bids, RFPs, RFQs, and/or Contracts received after the deadline will not be opened and shall be considered void and unacceptable. Bids, RFPs, RFQs, and/or Contracts must be submitted in a SEALED 9 x 12 or larger envelope, addressed as follows: Richard H. Meyer, County Judge, Calhoun County Courthouse, 211 S. Ann St., Suite 301, Port Lavaca, TX 77979. The outside of the SEALED envelope must be clearly marked: SEALED BID (RFP, RFQ or Contract) and the name of the Bid, RFP, RFQ or Contract. If the Bid, RFP, RFQ and/or Contract is sent by UPS, FedEx or other delivery service, the outside of this envelope must be clearly marked: SEALED Bid (RFP, RFQ, or Contract) and the name of the Bid, RFP, RFQ or Contract. Withdrawal of Bid, RFP, RFQ, and/or Contract: A bidder/vendor may withdraw their Bid, RFP, RFQ and/or Contract before Calhoun County's acceptance of the Bid, RFP, RFQ and/or Contract without prejudice to the bidder/vendor, by submitting a written request for its withdrawal to the Calhoun County Judge and mail or hand deliver to the address the Bid, RFP, RFQ and/or Contract was submitted to. A Bid, RFP, RFQ and/or Contract that was opened are not subject to amendment, alteration, or change for the purpose of correcting an error in the Bid, RFP, RFQ and/or Contract price. Bids, RFPs, RFQs, and/or Contracts containing an error may be offered "as is" or withdrawn by the bidder/vendor in accordance with applicable State Laws. Opening and Award of Bid. RFP, RFQ, and/or Contract: Bidders/vendors are invited to be present at the opening and awarding of the Bid, RFP, RFQ and/or Contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions, the Bid, RFP or RFQ specifications or contract, if applicable, shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each bidder/vendor that received a Bid, RFP, RFQ and/or Contract packet the addendum once it has been approved by Calhoun County Commissioners Court. No addendum can be sent out until Calhoun County Commissioners Court has approved the addendum or approved the addendum to be sent out by the Engineer with the approval from the County Commissioner or County Department in charge of the project. Page 2 of 11 Indemnification/Hold Harmless: The successful bidder/vendor shall defend, indemnify and hold Calhoun County and its officials, agents, and employees harmless from all suits, actions, orfor personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from bidder's/vendor's performance. Bidder/vendor shall procure and maintain, with respect to the subject matter of this Bid, RFP, RFQ, and/or Contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employer's liability and auto insurance with adequate limits to cover bidder's/vendors liability as may arise directly or indirectly from work performed under terms of this Bid, RFP, RFQ and/or Contract. Certification of such coverage shall name, by policy endorsement, Calhoun County as an additional insured and be provided to Calhoun County upon request. Waiver of Subrogation: Bidder/vendor and bidder's/vendor's insurance carrier shall waive any and all rights whatsoever with regard to subrogation against Calhoun County and its respective officials, employees, and insurers as an indirect party to any suit arising out of personal or property damages resulting from bidder's/vendor's performance under this Bid, RFP, RFQ and/or Contract. Insurers and all policies of insurance provided shall contain a provision and/or endorsement stating that the insurance carriers and underwriters waive all rights of subrogation in favor of Calhoun County and its respective officials, employees, and insurers. Bonds: If the Bid, or RFP, requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or RFPs submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all sales tax (state, city and county sales tax) and federal excise taxes under Section 151.309 of the Texas Tax Code. Tax exempt forms will be furnished upon request to the bidder/vendor. Tax exempt forms can be obtained from the Calhoun County Auditors Office. Bidder/vendor is to issue its Texas Resale Certificate to vendors and subcontractors for such items qualifying for this exemption, and further, bidder/vendor should state these items at cost. Pricing: Prices for all products/goods, services, and/or contracts shall be firm for the duration of the Bid, RFP, and/or Contract and shall be stated on the Bid, RFP, and/or Contract form. Prices shall be all inclusive. All prices must be written in ink or typewritten and must be legible. Pricing on all transportation, freight, and other charges are to be prepaid by the bidder/vendor and included in the Bid, RFP, and/or Contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, bidder/vendor must indicate the items required and their costs or forfeit the right to payment for such items. Additional charges added to the Bid, RFP, and/or Contract prices may void the Bid, RFP, and/or Contract. Where unit pricing and extended pricing differ, unit pricing prevails. Inspections: Calhoun County reserves the right to inspect any products/goods or service location for compliance with specifications and requirements and needs of the using department before accepting them. When applicable, Calhoun County reserves the right to enter upon any County leased premises at any time to inspect said premises. Page 3 of 11 Testing: Calhoun County reserves the right to test equipment, supplies, materials, and products/goods bid, proposed, and/or agreed upon for quality, compliance with specifications and ability to meet the needs of the user. Should the equipment, supplies, materials, products/goods and/or services fail to meet requirements and/or be unavailable for evaluation, the Bid, RFP, and/or Contract is subject to rejection. Material Safety Data Sheets: Under the "Hazardous Communications Act", commonly known as the "Texas Right To Know Act", a bidder/vendor must provide to Calhoun County with each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the bidder/vendor to furnish this documentation will be cause to reject any Bid, RFP, and/or Contract applying thereto. Awards: Calhoun County reserves the right to award this Bid, RFP, RFC, and/or Contract on the basis of lowest and/or best Bid, RFP, RFQ and/or Contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one bidder/vendor, to reject any or all Bids, RFPs, RFQs, and/or Contracts and to be the sole judge in determining which Bid, RFP, RFQ, and/or Contract will be most advantageous to Calhoun County. Calhoun County will evaluate and may award a Bid, RFP, RFQ, and/or Contract based on lowest and/or best Bid, RFP, RFQ, and/or Contract meeting specifications. "Lowest and/or best Bid, RFP, RFQ and/or Contract" means a bid or offer providing the best value considering associated direct and indirect costs, including transport, maintenance, reliability, life cycle, warranties, the county's past experience with the bidder/vendor and customer service after a sale. Calhoun County reserves the right to accept and/or reject any/all of the options Bid, any/all of the RFPs, any/all of the RFQs, and/or any/all of the Contracts as it deems to be in the best interest of the County. An award is final only upon formal execution by Calhoun County Commissioners Court. Per Local Government Code, Sec. 262.027, Calhoun County reserves the right to reject all Bids, RFPs, RFQs, and/or Contracts and to go out for new Bids, RFPs, RFQs, and/or Contracts. In the event of tie Bids, RFPs, RFQs, and/or Contracts, the winning Bid, RFP, RFQ, and/or Contract is determined perthe Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Section 3 Residents, Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and labor surplus area firms are encouraged to submit Bids, RFPs, RFQs, and/or Contracts. Assignment: The successful bidder/vendor may not assign, sell, sublease or otherwise transfer the Bid, RFP, RFQ and/or Contract without first obtaining the written approval of Calhoun County Commissioners Court. A change in ownership or management shall cancel the Bid, RFP, RFQ and/or Contract unless a mutual agreement is reached with the new owner or manager to continue the Bid, RFP, RFQ and/or Contract under the awarded provisions and approved by Calhoun County Commissioners Court. Term of the Bid. RFP, RFQ, and/or Contract: If the Bid, RFP, RFQ and/or Contract is intended to cover a specific time period, said time will be given in the specifications, instructions, and/or contracts. Page 4 of 11 Obligation of the Bid, RFP, RFQ, and/or Contract: Bids, RFPs, RFQs, and/or Contracts are awarded only upon formal execution by Calhoun County Commissioners Court. If a contract is required, the Calhoun County Judge or other person authorized by Calhoun County Commissioners Court must sign the contract before it becomes binding on Calhoun County. No person is authorized to sign contracts until authorized by Calhoun County Commissioners Court. Calhoun County is not responsible for any contract signed without Commissioners Court approval. Delivery: All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes Calhoun County to purchase supplies from the next lowest bidder/vendor that met specifications. Resections: Articles not in accordance with samples and specifications must be removed by the bidder/vendor at the bidder's/vendor's expense. All disputes concerning quality of equipment, supplies, materials, products/goods, and/or services delivered under this Bid, RFP, RFQ and/or contract will be determined by Calhoun County Commissioners Court or their designated representative. Termination: Calhoun County reserves the right to terminate the Bid, RFP, RFQ and/or Contract for default if the bidder/vendor breaches any of the terms therein, including warranties of bidder/vendor or if the bidder/vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper products/goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, Ups, RFQs, and/or Contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The bidder/vendor or Calhoun County must state therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled Bid, RFP, RFQ and/or Contract to the next lowest and best bidder/vendor that met specifications and is deemed to be in the best interest of Calhoun County. Delinquent Property Taxes: Calhoun County reserves the right to reject any Bid, RFP, RFQ and/or Contract submitted by a bidder/vendor owing delinquent property taxes to Calhoun County, Texas. If the bidder/vendor subsequently becomes delinquent in the payment of Calhoun County taxes this may be grounds for cancellation of the Bid, RFP, RFQ and/or Contract. Despite anything to the contrary, if the bidder/vendor is delinquent in payment of Calhoun County taxes at the time of invoicing, bidder/vendor assigns any payments to be made under this Bid, RFP, RFQ and/or Contract to the Calhoun County Tax Assessor Collector for the payment of delinquent taxes. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84`" Texas Legislature through adoption of House Bill 1295. Senate Bill 255 adopted by the 85'" Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Page 5 of 11 Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 ofthe Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf—info—forml295.htm. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners Court. The term "business entity' includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (Bids, RFPs, and/or RFQs also require Form 1295). The law does not apply to a Bid, RFP, RFQ and/or Contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract, and/or awarding a Bid, RFP, RFQ and/or Contract with a business entity. Governmental transparency is the objective of the law. A business entity must generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. An authorized agent of the business entity must sign and complete the bottom portion of the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. Calhoun County Commissioners Court will not consider for action any Contract with a business entity unless it is accompanied by a completed and signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. A business entity will generate Form 1295 online and submit with their signed contract. No laterthan thirty (30) days after Calhoun County Commissioners Court approves a contract with a business entity, the Calhoun County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. Debarment: Bidder/vendor certifies that at the time of submission of its (their) Bid, RFP, RFQ, and/or Contract, the bidder/vendor, as well as the bidder's/vendor's principals, are not on the federal government's list of suspended, ineligible or debarred bidders/vendors and that the bidder/vendor and its (their) principals have not been placed on this list between the time of the Bid, RFP, RFC, and/or Contract submission and the time of execution of the Bid, RFP, RFQ and/or Contract. A print out of the search results that includes the record date showing that the Company, and its Principals, if any, have an active registration with the System for Award Management (www.SAM.gov) AND are not Page 6 of 11 debarred or suspended nor otherwise on the Excluded Parties List System (EPLS) in the System for Award Management (SAM) must be included with the bidder's/vendor's Bid, RFP, RFQ and/or Contract. If bidder/vendor or its (their) principals are placed on this list during the term of the Bid, RFP, RFQ and/or Contract, the bidder/vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the Bid, RFP, RFQ, and/or Contract for default. Invoices and Payments: All invoices are subject to approval by the Calhoun County Auditors Office. Invoices shall be billed to Calhoun Countyto the attention of the County Department that the invoice pertains to and, if applicable, have all necessary backup information needed. Invoices shall be itemized (detailed) and free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable. Invoices that are not billed to Calhoun County to the attention of the County Department that the invoice pertains to, not itemized (detailed) and/or free of sales tax (state, city and county sales tax) and federal excise taxes, if applicable, maybe returned to the bidder/vendor for corrections. Calhoun County will not incur any fees and/or charges for this request and/or delay in payment of the invoice(s) that was originally submitted incorrectly. Approval of payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the Calhoun County Treasurers Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the Calhoun County Treasurer's Office by the deadline time and date set forth by the Treasurer's office. No payment can be made or mailed out until approved by Calhoun County Commissioners Court. Purchase order due dates/times and Commissioners Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the bidder/vendor, cancel any order and/or service without liability, if it is determ fined by Calhoun County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the bidder/vendor, or any agent or representative of the bidder/vendor to any official, employee, or agent of Calhoun County with a view toward securing a Bid, RFP, RFQ, Contract, order, and/or service. In the event a Bid, RFP, RFQ Contract, order, and/or service is canceled by Calhoun County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by bidder/vendor in providing such gratuities. Warranty Product: Bidder/vendor warrants that products/goods sold to and/or services provided to Calhoun County shall conform to the highest commercial and/or professional standards in the industry and laws established by the U.S. Department of Labor, U.S. Department of Homeland Security, Occupational Safety and Health Administration and OSHA Act of 1970. In the event products/goods sold and/or services provided do not conform to OSHA Standards, where applicable, Calhoun County shall return the product/item for correction or replacement at the bidders/vendor's expense. In the event that services do not conform to OSHA Standards, Calhoun County Page 7 of 11 may immediately stop the services and seek reimbursement for said services at the bidder's/vendor's expense. In the event the bidder/vendor fails to make the appropriate correction within a reasonable time, correction made by Calhoun County shall be at the bidder's/vendor's expense. Bidder/vendor shall not limit or exclude any implied warranties and any attempt to do so shall render this Bid, RFP, RFC, and/or Contract voidable at the option of Calhoun County. Bidder/vendor warrants that the products/goods and/or services furnished and/or performed will conform to the specifications, scope of work, general conditions, drawings, and/or descriptions listed in the Bid, RFP, RFC, and/or Contract and to the sample(s) furnished by bidder/vendor, if any. In the event of a conflict between the specifications, scope of work, general conditions, drawings, and/or descriptions, the specifications shall govern. All products/goods must be new, in first class condition, unless otherwise specified. The design, strength and quality of materials must conform to the highest standards of manufacturing practice. Products/goods, and/or services supplied and/or performed under this Bid, RFP, RFC, and/or Contract shall be subject to Calhoun County's approval. Successful bidder/vendor shall warrant that all products/goods and/or services shall conform to the proposed specifications and/or all warranties as stated in the Uniform Commercial Code and be free from all defects in material, workmanship and title. Any products/goods and are services found defective or not meeting specifications shall be picked up and promptly replaced or corrected to Calhoun County's satisfaction by the successful bidder/vendor at no expense to Calhoun County. Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if bidder/vendor breaches any of the terms hereof including warranties of bidder/vendor, or if the bidder/vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Calhoun County shall not incur any fees and/or charges related to the cancellation. The bidder/vendor shall be responsible for any fees and/or charges that are related to the cancellation. Force Maieure• Force Majeure means a delay encountered by a party in the performance of its obligations under this Bid, RFP, RFC, and/or Contract, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Bid, RFP, RFQ and/or Contract, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Bid, RFP, RFQ and/or Contract from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Page 8 of 11 Waiver: No claim or right arising out of a breach of any Bid, RFP, RFQ and/or Contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: To the extent it is applicable, this Bid, RFP, RFQ and/or Contract shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the "Uniform Commercial Code" as adopted in the State of Texas as effective and in force on the date of this Bid, RFP, RFQ, and/or Contract. Otherwise, Texas state and federal law shall apply. Prohibition against Personal Interest in Bids RFPs RFQs and/or Contracts: No official, employee, or agent of Calhoun County shall have financial interest, direct or indirect, in any Bid, RFP, RFQ, and/or Contract with Calhoun County, or shall be financially interested, directly or indirectly, in the sale/lease to Calhoun County of any land, materials, supplies, or service, except on behalf of Calhoun County as an official, employee, or agent. Any willful violation of this section shall constitute malfeasance in office, and any official, employee, or agent guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the company, corporation, firm, partnership, or individual contracting with Calhoun County shall renderthe Bid, RFP, RFC, and/or Contract involved voidable by the Calhoun County Commissioners Court. Insurance: Proof (copy of bidder's/vendor's current insurance) of the below listed insurance may be required to be returned with the Bid, RFP, RFQ and/or Contract. As additional security for Calhoun County and as separate obligations of bidder/vendor not in conjunction with any other provisions of the Bid, RFP, RFQ, and/or Contract, bidder/vendor agrees to carry and maintain during the term of the Bid, RFP, RFC, and/or Contract the minimum insurance coverages stated below. Before commencing work, the successful bidder/vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate(s) of liability insurance (Form ACORD 25 or equivalent) showing, at least, the following minimum insurance coverage to be in force throughout the term of the Bid, RFP, RFQ, and/or Contract. Higher rates and/or additional coverage may apply depending upon type of Bid, RFP, RFQ and/or Contract. o General Liability ($100,000/$300,000 or greater) o Workers' Compensation (at Statutory Limits) o Employer's Liability ($1,000,000 or greater) o Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) o Professional Liability Insurance (if applicable) o Farm Liability Insurance (if applicable) Coverages shall apply on an occurrence basis. The certificate(s) must reflect, by policy endorsement, that Calhoun County, Texas is an additional insured on all required policies. Each certificate of liability insurance (Form ACORD 25 or equivalent) to be furnished by successful bidder's/vendor's insurance agent shall include, by endorsement to the policy, a statement that a notice shall Page 9 of 11 be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation, material change, or non -renewal in coverage. Calhoun County's receipt of or failure to object to any insurance certificates or policies submitted by the bidder/vendor does not release or diminish in any manner the liability or obligations of the bidder/vendor or constitute a waiver of any of the insurance requirements for the Bid, RFP, RFQ and/or Contract. Replacement certificate(s) of liability insurance (Form ACORD 25 or equivalent) evidencing continuation of such coverage and naming, by policy endorsement, Calhoun County as an additional insured, shall be furnished to the Calhoun County Auditor's office prior to the expiration of the current policies. Should bidder/vendor at any time neglect, refuse to provide, or cancel the insurance required, Calhoun County shall have the right to terminate the Bid, RFP, RFQ, and/or Contract or pursue any remedy available by law. The insurance coverage requirements in the Bid, RFP, RFQ, and/or contract will in no way be construed as limiting the scope of indemnification. OSHA Requirements: Bidder/vendor must meet all Federal and State OSHA requirements. The bidder/vendor hereby guarantees to Calhoun County that all materials, supplies, equipment and/or services listed on the Bid, RFP, RFQ Contract, Purchase Order or Invoice shall conform to the requirements, specifications and standards promulgated by the U.S. Department of Labor under the Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective bidder/vendor who believes they are aggrieved in connection with or pertaining to a Bid, RFP, RFQ, and/or Contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: o Name, mailing address and business phone number of the protesting party; o Appropriate identification of the Bid, RFP, RFQ and/or Contract being protested; o A precise statement of the reasons for the protest; and o Any documentation or other evidence supporting the protest and any alleged claims. The Calhoun County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Calhoun County Commissioners Court. If the Calhoun County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Calhoun County Commissioners Court. Applicable documentation and other information applying to the protest will be forwarded to Calhoun County Commissioners Court, who will promptly review such documentation and information. If additional information is required, Calhoun County Commissioners Court will notify the protesting partyto provide such information. The decision of Calhoun County Commissioners Court will be final. Page 10 of 11 Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Bidder/Vendor waives any obligation to the release to the public of any documents submitted in accordance with the Bid, RFP, RFQ, and/or Contract. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. CALHOUN COUNTY AUDITOR To request information from Calhoun County, please contact: Calhoun County Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 The Packet, Invitation for Bids, Request for Proposals and/or Request for qualifications are posted on Calhoun County's website, www.calhouncotx.org, under Public Notices, Bid Notices and Results. Page 11 of 11 BID SPECIFICATIONS ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY BID NUMBER 2023.04 Commissioners Court of Calhoun County, Texas is requesting SEALED BIDS for the Annual Supply Contract Agreement for Inmate Food Services at the Calhoun County Adult Detention Facility, located at 302 West Live Oak Street in Port Lavaca, Texas. The Calhoun County Adult Detention Facility is hereinafter called "DETENTION FACILITY". INVITATION TO BID PACKET The complete Invitation to Bid Packet can be downloaded from the County's website, www.calhouncotx.org (under Public Notices, Bid Notices and Results, Bid Notices 2023) or by contacting Peggy Hall, Assistant Auditor, at peggy.hall@calhouncotx.org or 361-553-4610. The complete Invitation to Bid Packet must be used in preparing the bid. Calhoun County does not assume any responsibility for errors or misinterpretations resulting from the use of incomplete sets of the Invitation to Bid Packet. SUBMISSION OF SEALED BIDS SEALED BIDS (ONE ORIGINAL AND THREE COPIES) ARE DUE BEFORE 2:00:00 PM, Wednesday, December 14, 2022 in the County Judge's Office, Calhoun County Courthouse, 211 South Ann Street, 3rd Floor, Suite 301, Port Lavaca, Texas. ALL BIDS (one original and 3 copies) shall be delivered to the office of the Calhoun County.ludge in a SEALED 9 x 12 or larger envelope and clearly marked on the outside of the envelope: BID NUMBER 2023.04, ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY If the SEALED BID is sent by Ups, FedEx, or other delivery service, the outside of this envelope must be clearly marked: BID NUMBER 2023.04 ANNUAL SUPPLY CONTRACT AGREEMENT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY The SEALED BID must be sealed with the glue on the envelope or tape. INTENTIONALLY LEFT BLANK Page 1 of 12 SEALED BIDS may be hand delivered or mailed to: Honorable Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 3rd Floor, Suite 301 Port Lavaca, Texas 77979 A late delivery with an early postmark will not suffice. Calhoun County is not responsible for the delivery of your bid to the office of the County Judge or delivery to the wrong office. If you choose to send your bid by postal delivery, it is recommended that you call the County Judge's office at 361-553-4600 to verify receipt of your bid prior to the bid due date and time. It is the responsibility of the submitting bidderto ensure that the sealed bid is received in a timely manner. Calhoun County does not accept faxed or emailed bids. Calhoun County accepts no financial responsibility for any cost incurred by any bidder in the course of responding to the bid. Bids received after the deadline will not be opened and will not be considered for award, regardless of whether or not the delay was outside of the control of the submitting bidder. The cell phone in the County Judge's office or the cell phone of the County Auditor's Representative is the official clock that shall be used in determining the time the bid is received and the 2:00:00 PM deadline. No bids will be accepted after the due date and 2:00:00 PM deadline has been reached. BID TERM The bid shall be in effect for a period of one (1) year: January 1, 2023 through December 31, 2023 with the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County. The request for the contract agreement extension from the successful bidder must be provided in writing to Calhoun County by October 111 of each year and the contract agreement extension must be approved by Commissioners Court prior to the end date of the preceding contract agreement. BID INFORMATION To submit a valid bid (one original and three copies of all required forms), read the entire Invitation to Bid Packet for all required forms that must be returned with your bid. Calhoun County is always very conscious and extremely appreciative of the time and effort you have expended to submit a bid. If you will not be submitting a bid, we would appreciate you indicating on your "No Bid" response any requirements of this bid request which may have influenced your decision to "No Bid". Page 2 of 12 Calhoun County is not responsible for errors if the Bid Forms are handwritten. It is recommended that all information submitted by the bidder on the Bid Forms be typed. If handwritten, must be in ink and legible. White out is not acceptable. The bidder may request the Invitation to Bid Form be emailed to them in the Excel Format. If the bidder requests the Invitation to Bid Form be sent to them in the Excel Format, the bidder understands that the form and format shall not be changed in any way. The bidder shall not delete or add food or non-food items to the Invitation to Bid Form. The bidder understands that by changing the form and format in any way shall disqualify their bid. The Excel Format may be requested only as a means to enter the required information. Requests for the Excel Format of the Invitation to Bid Form must be sent to Peggy Hall, Assistant Auditor, at peggy.hall@calhouncotx.org or by calling 361-553-4610. Bidder must request the Excel Format. The Excel Format will not be sent with the Invitation to Bid Packet. It must be requested from the County Auditor's office, Peggy Hall, Assistant Auditor. BID REQUIREMENTS 1. All charges, fees, delivery fees, or fuel surcharges must be included in the bid price unless listed separately on the Invitation to Bid Form. 2. All bid prices and charges, fees, delivery fees, or fuel surcharges, if any, shall be firm for the entire bid period and approved extensions, if any. 3. Once awarded, if an item(s) is substituted with a different brand or comparable (alternate, different pack size, quantity) item(s), the item(s) shall be the same awarded bid price or lower. The price of the substituted item(s) shall not be more than the awarded bid price for that item(s) taking into consideration the pack size and quantity. The price of the substituted item(s) may be lower than the awarded bid price. 4. Bids submitted in any other Invitation to Bid Form format shall not be considered. Any alterations to the Invitation to Bid Form shall disqualify the bid. 5. Bids submitted must be legible. 6. Deliveries will be made at specific times (at least twice a week) and insufficient quantities to ensure that there will be sufficient food on hand at the DETENTION FACILITY to make and provide all meals. 7. Deliveries shall be made between Monday and Friday between the hours of 7:00 AM to 10:00 AM and 1:00 PM to 4:00 PM in order not to disrupt the DETENTION FACILITY'S kitchen in preparing meals. 8. Should an ordered item(s) not arrive as ordered, wrong item(s) is delivered, or item(s) is delivered damaged, the successful bidder will deliver the correct or substitute item(s) within 24 hours from the date the missing or damaged item(s) was supposed to be Page 3 of 12 delivered. No extra charges, fees, delivery fee or fuel surcharge shall be billed to correct the error or damaged food and/or non-food items(s). 9. Should the successful bidder not be able to supply an item(s) to the DETENTION FACILITY, the DETENTION FACILITY may purchase the item(s) from another source without being in conflict with the awarded bid and contract agreement. 10. Liquid food and/or non-food items shall be delivered in plastic crates to prevent damages when stacked. 11. A sales representative from the successful bidder shall contact the DETENTION FACILITY'S Jail Administrator, Assistant Jail Administrator, their appointed representative, or kitchen officer at least monthly, in person, to discuss any issues or new food or non-food items offered. New food or non-food items shall be offered to the DETENTION FACILITY at the lowest possible cost or cost plus percentage as stated on the Invitation to Bid Form and successful bidder shall provide information to the DETENTION FACILITY on the calculation of this cost. 12. All food and non-food items on the Invitation to Bid Form are speculative and should not be considered as firm food and non-food items to be purchased during the term of the contract agreement. 13. Bidder shall provide food items that are needed for inmates with high blood pressure, diabetes or for religious reasons. 14. If bidder cannot supply a food or non-food item, mark "NA" on the Invitation to Bid Form in the price column next to that item or leave blank. If a bidder marks a food or non-food item "NA" or leaves the price column blank, the DETENTION FACILITY may purchase this food and/or non-food item(s) from another source without being in conflict with the awarded bid or contract agreement. 15. Equipment, services or other items available from the successful bidder but not listed on the Invitation to Bid Form shall be available free of charge, at a discounted price, cost, or cost plus the percentage stated on the Invitation to Bid Form on such non-food items and services used in the DETENTION FACILITY'S kitchen, such as dispensers for coffee, chemicals, etc. 16. Food and Non -Food items not listed on the Invitation to Bid Form shall be provided at Cost or Cost plus the Percentage stated on the Invitation to Bid Form and successful bidder shall provide information, if requested, to the DETENTION FACILITY on the calculation of this cost. The Calhoun County Auditor's Office and the Detention Facility may audit the Cost or Cost plus Percentage at any time and the successful bidder shall provide the documentation necessary for this audit at no additional charge. 17. Order processing shall be made available by in person, phone, fax and/or website. Page 4 of 12 18. All bids received will be considered final, no changes accepted. 19. Bidders are prohibited from offering, giving, selling, supplying, or conveying in any way or form, food, non-food items or services for personal use to any official, employee or agent of Calhoun County. Samples may be provided to the DETENTION FACILITY for use within the DETENTION FACILITY for evaluation purposes. 20. Bidder agrees to notify the Sheriff and Jail Administrator of any solicitations from any official, employee or agent of Calhoun County for services not officially associated with the DETENTION FACILITY operations. 21. Once the Invitation to Bid Packet is approved by Calhoun Count's Commissioners Court and Commissioners Court has authorized the Calhoun County Auditor's Offices to advertise for bids, no questions may be answered unless in the form of an addendum that is approved by Commissioners Court. All addendums are released by the County Auditor's Office. 22. REQUIRED FORMS TO BE RETURNED WHEN SUBMITTING A BID Return one (1) original and three (3) copies of all of the required forms listed below: 1) Invitation to Bid Form 2) Contract Agreement On page 1, fill out the two blanks in the contract agreement On page 4, Do Not Date — Date on page 4 will be filled in when awarded by Commissioners Court On page 5, complete the Provider and Attest to Provider's signature section 3) Bidder Information Form 4) Affidavit 5) Certificate of Interested Parties, Form 1295 Only instructions are included with the Invitation to Bid Packet — Form 1295 must be completed online, submitted online, printed, signed and returned with the bid 6) Conflict of Interest Questionnaire, Form CIQ 7) Certification Regarding Debarment & Suspension and Other Responsibility Matters 8) Certification Regarding Lobbying 9) Disclosure of Lobbying Activities 10) House Bill 89 Verification 11) Residence Certification Page 5 of 12 GENERAL INFORMATION Addenda No oral statement from any person shall modify or otherwise change or affect the terms, conditions or specifications stated in the bid. Any interpretations, corrections or changes to this bid will be made by addenda and approved by Commissioners Court. Once the addendum is approved by Commissioners Court, the Calhoun County Auditor's Office will send the addendum to each bidder that received an Invitation to Bid Packet and posted on the County's website, www.calhouncotx.org, under Public Notices, Bid Notices and Results, Bid Notices 2023. No addendum can be sent out until Commissioners Court has approved the addendum. Assignment The successful bidder shall not sell, assign, transfer or convey any contract agreement resulting from this bid, in whole or in part, without the prior written consent of the Calhoun County Commissioners Court. Audit Bidder shall permit the DETENTION FACILITY, their representative and/or the County Auditor's office to read, review, audit, and copy all records pertaining to this bid at no additional charge. The DETENTION FACILITY, their representative and/orthe County's Auditor's office may audit the Cost plus Percentage at any time and the successful bidder shall provide the documentation necessary for this audit at no additional charge. Award of Bid Calhoun County reserves the right to waive technicalities, to reject any or all bids, including without limitation, the rights to reject any or all nonconforming, nonresponsive, unbalanced or conditional bids and to reject the bid of any bidder if the County believes that it would not be in the best interest of the DETENTION FACILITY, whether because the bid is not responsive or the bidder is unqualified or of doubtful financial ability or fails to meet any other pertinent standard or criteria established by Calhoun County. The award of the bid and contract agreement shall be made to the responsible bidder, whose bid is determined to be the most beneficial to Calhoun County and the DETENTION FACILITY, taking into consideration the relative importance of price and other factors the County deems necessary. Calhoun County Commissioners Court shall be the sole judge in determining which bid shall be the most advantageous to Calhoun County and the DETENTION FACILITY. Calhoun County may conduct such investigations as Calhoun County deems necessary to assist in the evaluation of any bid and to establish the responsibility, qualifications and financial ability of bidder. Page 6 of 12 Bid Form The Invitation to Bid Form is included in the Invitation to Bid Packet. All blanks on the Invitation to Bid Form shall be completed by printing in ink or typed. The Invitation to Bid Form shall be signed and dated. Bids by corporations shall be executed in the corporate name by the president or a vice-president (or other corporate officer accompanied by evidence of authority to sign). The corporate address and state of incorporation shall be shown below the signature. Bids by partnerships shall be executed in the partnership name and signed by a partner, whose title shall appear under the signature and the official address of the partnership shall be shown below the signature. All names shall be printed or typed in ink below the signature. Evidence of authority to conduct business as an out-of-state corporation in Texas shall be provided. State license number, if any, shall also be shown. Bidders / Bids All bidders and the bid each bidder submits shall comply with all Federal, State, County and local laws governing or covering this type of service. Certificate of Interested Parties (Form 1295) Calhoun County Commissioners Court WILL NOT consider for action any bid and contract agreement with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. Certificate of Liability Insurance Once the bid is awarded and before commencing work, the successful bidder shall be required, at their own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a certificate(s) of liability insurance (Form ACORD 25 or equivalent) showing, at least, the minimum required insurance coverage and naming Calhoun County as an additional insured, as stated in the Calhoun County's General Conditions. If successful bidder at any time neglects, refuses to provide, or cancels the insurance required, Calhoun County shall have the right to terminate the bid and contract agreement or pursue any remedy available by law. Insurance coverage requirements in the bid and contract agreement or if the awarded bidder fails to provide a certificate of liability insurance to the County, will in no way be construed as limiting the scope of indemnification. Page 7 of 12 Conflict of Interest No official, employee, or agent of Calhoun County shall have financial interest, direct or indirect, in this bid except on behalf of Calhoun County as an official, employee, or agent. Any willful violation of this section shall constitute malfeasance in office, and any official, employee, or agent guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the company, corporation, firm, partnership, or individual contracting with Calhoun County shall render the bid voidable by the Calhoun County Commissioners Court. Contract Agreement This entire request for bid and submitted documents, including the contract agreement, when properly accepted by Calhoun County, shall constitute the contract agreement equally binding between the successful bidder and Calhoun County. No different or additional terms will become a part of this bid and contract extension with the exception of an addendum or amendment approved by Calhoun County Commissioners Court. Disclosures of Fees and/or Charges No other charges, fees, delivery fees, or fuel surcharge shall be billed to the DETENTION FACILITY unless noted on the Invitation to Bid Form and awarded as such. Equal Employment Opportunity Bidder shall ensure that no discrimination will occur against employees and applicants for employment because of their ethnic background, gender, age, religious practice, familial status, disability, or limited English language proficiency. General Conditions Calhoun County's General Conditions (Calhoun County, Texas — General Conditions) are a part of the Bid Specifications and Contract Agreement. Governing Law The bid shall be governed and construed according to the laws of the State of Texas. For any disputes, Calhoun County, Texas shall be the County of venue for any suit involving any dispute that may arise under this bid and contract agreement. The bid and contract agreement is performable in Calhoun County, Texas. Invoices Invoices will be paid within sixty (60) days once the DETENTION FACILITY has been presented with an invoice and the invoice has been verified that said food and/or non-food items have been delivered and received. Page 8 of 12 Minimum Standards for Responsible Prospective Bidders A prospective bidder shall affirmatively demonstrate their responsibility. A prospective bidder shall meet the following requirements: • Have adequate financial resources, or the ability to obtain such resources as required • Be able to comply with the required or proposed delivery schedule • Have a satisfactory record of performance • Have a satisfactory record of integrity and ethics • Be otherwise qualified and eligible to receive the award Calhoun County may request representation and other information sufficient to determine bidder's ability to meet these requirements listed above. Notices Any notice required to be given under the provisions of this bid shall be in writing and shall be delivered in person or sent by registered or certified mail, return receipt requested to the County at the following four (4) addresses: 1. CALHOUN COUNTY Attn: Calhoun County Judge Richard H. Meyer 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Telephone: 361-553-4600 Fax: 361-553-4444 2. CALHOUN COUNTY ADULT DETENTION FACILITY Attn: Rachel Martinez, Jail Administrator 302 West Live Oak Street Port Lavaca, Texas 77979 Telephone: 361-553-4475 3. CALHOUN COUNTY SHERIFF Attn: Bobbie Vickery 211 South Ann Street, Suite 105 Port Lavaca, Texas 77979 Telephone: 361-553-4646 4. CALHOUN COUNTYAUDITOR 202 South Ann Street, Suite B Port Lavaca, Texas 77979 Telephone: 361-553-4610 Page 9 of 12 Performance of Bid / Contract Agreement Calhoun County reserves the right to enforce the performance of this bid and contract agreement in any manner prescribed by law or deemed to be in the best interest of the County and the Inmates in the DETENTION FACILITY in the event of breach or default of award. If the successful bidder cannot or will not fulfill the contract agreement, the County has the right to go with the next bid received that is in the best interest of the County and the inmates of the DETENTION FACILITY without being in conflict with the contract agreement. If no other bid is available, the County has the right to purchase food and non-food items from any source without being in conflict with the contract agreement. Public Information Act All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. Under the Public Information Act, the County will release, when requested, the complete Invitation to Bid Form and the Contract Agreement. Bidder waives any obligations to the release to the public of any documents submitted in accordance with the bid. Sales Tax Calhoun County is by statute exempt from State, City and County Sales Tax and Federal Excise Taxes on food and non-food items provided for use by Calhoun County; therefore the bid shall not include these taxes. Calhoun County's Sales and Use Tax Exemption Certification form will be supplied upon request. Signing of Contract Agreement by Calhoun County When the award of the bid is approved by Commissioners Court, the Calhoun County Auditor's Office shall issue a Notice of Award with a copy of the approved signed contract agreement and the request for the successful bidder to submit their certificate of liability insurance, naming Calhoun County, Calhoun County Adult Detention Facility as an additional insured per the General Conditions, Bid Specifications and Contract Agreement. Submittal of Confidential Material Any material that is to be considered as confidential in nature shall be clearly marked as such by the bidder and will be treated as confidential by Calhoun County as allowed by the Local Government Code. The Contract Agreement and the Invitation to Bid Form is not considered confidential material. SUCCESSFUL BIDDER Successful bidder shall defend, indemnify and hold Calhoun County and all its officers, agents and employees harmless from all suits, actions orother claims of any character, name and description brought forth for or on account of injuries or damages received or sustained by any person, persons, or property on account of any direct or indirectly negligent act or fault of the successful Page 10 of 12 bidder or of any agent, employee, subcontractor or supplier in the execution of, or performance under, any contract agreement which may result from the award of the bid. Successful bidder shall pay any judgement with cost which may be obtained against Calhoun County growing out of such injury or damages. Successful bidder shall procure and maintain, with respect to the subject matter of this bid and contract agreement, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation and employer's liability insurance with adequate limits to cover bidder's liability as may arise directly or indirectly from work performed under terms of this bid and contract agreement. Certification of such coverage shall name Calhoun County as an additional insured and be provided to the County. Term and Termination The term of the bid shall be for a one (1) year period: January 1, 2023 through December 31, 2023 and continue in full force and effect for the one (1) year period unless terminated in accordance with the terms of this bid. Before the end of the initial bid and contract agreement term, the bid and contract agreement has the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County. The request for the contract agreement extension from the successful bidder must be provided in writing to Calhoun County by October 11 of each year. Each yearly extension must be approved by Commissioners Court prior to the end date of the contract agreement. Each yearly approved extension will be honored at the same prices and terms of the original contract agreement. The bid and contract agreement may be terminated by either party at any time for any reason upon giving sixty (60) days written notice to the other party of such termination. The successful bidder shall state therein the reasons for such cancellation. Prior written notice shall be delivered in person or sent by registered or certified mail, return receipt requested, proper postage paid and properly addressed to: 1) Calhoun County Adult Detention Facility, Attn: Rachel Martinez, Jail Administrator, 302 West Live Oak Street, Port Lavaca, Texas 77979; 2) Calhoun County Sheriff, Attn: Bobbie Vickery, 211 South Ann Street, Suite 105, Port Lavaca, Texas 77979; 3) Calhoun County Judge, Attn: Richard H. Meyer, Calhoun County Courthouse, 211 South Ann Street, Suite 301, Port Lavaca, Texas 77979; and 4) Calhoun County Auditor, 202 South Ann Street, Suite B, Port Lavaca, Texas 77979. Either party has immediate termination rights for cause. Venue The bid will be governed and construed according to the laws of the State of Texas. All disputes shall be held in Calhoun County, Texas. This bid is performable in Calhoun County, Texas. IT IS UNDERSTOOD THAT the Commissioners Court of Calhoun County, Texas reserves the right to waive any formality or irregularity, accept or reject any and/or all bids, to accept the bid deemed most advantageous to and in the best interest of Calhoun County. The award of the bid Page 11 of 12 shall be made to the responsible bidder, whose bid is determined to be the most beneficial to Calhoun County and Calhoun County Inmates, taking into consideration the relative importance of price and other factors set forth in the Invitation to bid. BIDS SHALL include the Invitation to Bid Form, Contract Agreement and all Required Forms. Any interlineations, alterations, or erasures made before receiving time shall be initialed by the signer of the bid, guaranteeing authenticity. The Invitation to Bid Form, Contract Agreement and all Required Forms shall be manually signed in ink by a person having the authority to bind the bidder in a contract agreement and placed in a sealed envelope. The outside of the sealed envelope shall clearly be marked with the bid number and name. BIDS will be received and publicly acknowledged at the location, date and time stated in these specifications. Bidders, their representatives and interested persons may be present at the bid opening. Bids will be reviewed by the DETENTION FACILITY and once completed, their recommendation will be presented to Commissioners Court for the award. After the award, each bidder that submitted a bid will be notified of the award and the award will be available, as time permits, on the County's website (www.calhouncotx.org, under Public Notices, Bid Notices and Results, Results 2023) or by contacting Peggy Hall in the Auditor's office at 361-553-4610 or peggy.hall@calhouncotx.org. Calhoun County, Texas is an Affirmative Action/Equal Opportunity Employer. The County does not discriminate on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age or handicapped status in employment or the provision of services. Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, and Labor Surplus Area Firms are encouraged to submit bids. Page 12 of 12 REQUIRED FORMS FORMS REQUIRED TO BE RETURNED WHEN SUBMITTING A BID BID MUST BE SEALED WITH THE GLUE ON THE ENVELOPE OR TAPE BIDDER MUST RETURN THE FOLLOWING FORMS: If any Required Form is "Not Applicable', mark "NA" and include when submitting a Bid 1. Invitation to Bid Form 2. Contract Agreement On page 1, fill out the two blanks in the contract agreement On page 4, Do Not Date — Date on page 4 will be filled out when awarded by Commissioners Court On page 5, complete the Provider and Attest to Provider's signature section 3. Bidder Information Form 4. Affidavit S. Certificate of Interested Parties Form 1295 Only Instructions are included with the Invitation to Bid Packet Form 1295 must be completed online, submitted online, printed, signed and returned with the bid 6. Conflict of Interest Questionnaire Form CIQ 7. Certification Regarding Debarment & Suspension and Other Responsibility Matters 8. Certification Regarding Lobbying 9. Disclosure of Lobbying Activities 10. House Bill 89 Verification 11. Residence Certification Calhoun County, Texas Calhoun County Adult Detention Facility INVITATION TO BID FORM FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY Bid Number 2023.04 January 1, 2023 thru December 31, 2023 With the option to be extended yearly, if agreeable with both the successful bidder and Calhoun County Bidder's Name and Address • PLEASE TYPE. IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE. WHITE OUT IS NOT ACCEPTABLE ITEM OR ITEMS NOT BIDDING: MARK "NA" UNDER COST OR LEAVE BLANK SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • BE SURE TO COMPLETE, SIGN AND DATE THE LAST PAGE OF THE INVITATION TO BID FORM PLEASE NOTE: The bidder may request the Invitation to Bid Form be emailed to them in the Excel Format. If the bidder requests the Invitation to Bid Form be sent to them in the Excel Format, the bidder understands that the form and format shall not be changed in any way. The bidder shall not delete or add items to the Invitation to Bid Form. THE BIDDER UNDERSTANDS THAT BY CHANGING THE FORM AND/OR FORMAT OF THE INVITATION TO BID FORM IN ANY WAY SHALL DISQUALIFY THEIR BID. The Excel Format may be requested only as a means to enter the required information. Requests for the Excel Format of the Invitation to Bid Form must be sent to Peggy Hall, Assistant Auditor, at peggy.hall@calhouncotx.org or by calling 361-553-4610. Page 1 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed Mow often Used: 1 / 40 lb Apples Sliced Solid Pack Fresh Weekly 24 / 2 oz Apple Slice Red weekly 6/#10 Apple Sauce Unsweet weekly 6/#10 Apple Sauce Sweet Weekly 1 / 300 ct Bacon Precooked Thin Weekly 1 / 30 lb Bacon Slab Sliced Raw weekly 12 / 6 ct Bagel Plain Sliced 2.3 oz weekly 6 / 5lb Baking Powder quarterly 24 / 1 lb Baking Soda quarterly 1 / 40 lb Bananas green tip Weekly 2 / 7 lb Base - Beef Granular quarterly 219 lb Base - Chicken Flavor Paste Quarterly 1 / 5 oz Basil Ground Quarterly 1 / 5 oz Basil Leaf Quarterly 1 / 1 lb Bay Leaves Quarterly 6/#10 Bean Baked Oven Prepared weekly 6 / #10 Bean Chili Homestyle Weekly 6 / #10 Bean Chili Chuck Wagon Max weekly 1 / 20 lb Bean Cut Green Bean - Frozen Weekly 6 / #10 Bean Cut Green Bean - Canned weekly 1 / 20 lb Bean Green Regular Cut weekly 6 / #10 Bean Great Northern Fancy Quarterly 6/#10 Bean Kidney Dark Red Quarterly 1 / 20 lb Bean Baby Lima Bean - Dry Quarterly 1 / 20 lb Bean Navy Pea Dry Quarterly 6/#10 Bean Pinto Fancy weekly 1 / 50 lb Bean Pinto Triple Clean Dried weekly 6 / #10 Bean Pork and Beans Fancy Weekly 6/#10 Bean Ranch Style Fancy weekly Page 2 of 20 Pack/Size Item If Pack/Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 6 / #10 Bean Refried Weekly 6 / #10 Bean Vegetarian Baked Beans Weekly 4 / 5 lb tub Beef BBQ Beef Chopped with Sauce Weekly 5 / catch Beef - Brisket Boneless 120 No Roll quarterly 2 / 7 lb avg Beef - Roast Top Round Cooked quarterly 8 / 10 lb avg Beef Ground Fine 73/27 Weekly 40 / 4 oz Beef - Patty 4/1 with Tvp Weekly 40 / 4 oz Beef - Patty Breaded Weekly 90 / 3 oz Beef - Patty Flame Broiled quarterly 160 / 3 oz Beef & Chicken Patty 3 oz Ckd Weekly 102 / 2.5 oz Beef Patty Charbroiled pre-cooked quarterly 54 / 3oz Beef Salisbury Steak Cooked Weekly 3 / 24 lb avg Beef Shoulder Clod quarterly 40 / 4 oz Beef Steak Fritter Natural 4/1 Raw Weekly 2 / 5 Ib Beef Stew Meat Weekly 5/6 lb Beef Steak Finger .97 oz Weekly 160 / 1 oz Beef Steak Finger Breaded Cooked 1 oz Weekly 240 / 1oz Beef Steak Finger Breaded Cooked Wg Weekly 24 / 8 oz Biscuits Buttermilk 10 ct Monthly 96 / 1.55 oz Biscuits Dinner Rolls Thaw & Serve Weekly 216 / 2.2 oz Biscuits Dough Southern Style Weekly 216 / 2.2 oz Biscuit Dough Butter Flavored Weekly 72 / 3oz Bagel Cinnamon Raisin Sliced Weekly 180 / 1 oz Bread Roll Dinner Par -Baked Weekly 8 / 24 oz Bread Sandwich Wheat Loaf Weekly 8 / 24 oz Bread Sandwich White Loaf Weekly 6 / 12 doz Bread Tortillas Corn weekly 18 / 24ct Bread Tortillas Flour Weekly 12 11 lb Bologna Turkey Club Weekly 1 / 20 lb Broccoli Cuts Weekly Page 3 of 20 Pack/Size Item# Pack/Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 12 / 49 oz Broth Chicken Quarterly 2 / 20 ct Bun Crustini Sandwich 4.5 in weekly 6 / 8 ct Bun Crustini Sandwich 4.5 in weekly 2 / 20 ct Bun Hamburger Wheat weekly 6 / 8 ct Bun Hamburger Wheat weekly 2 / 20 ct Bun Hamburger White weekly 6 / 8 ct Bun Hamburger White weekly 6 / 12 ct Bun Hot Dog weekly 72 / 4 oz Burrito Beef & Bean weekly 64 / 4 oz Burrito Beef & Bean Red Chili weekly 1 / 50 lb Cabbage Green Monthly 6 / 5 lb Cake Mix Chocolate Monthly 6 / 5 lb Cake Mix Devils Food Monthly 6 / 5lb Cake Mix White Monthly 6 / 5 lb Cake Mix Yellow Monthly 1 / 12 ct Cantaloupe Fresh weekly 1 / 50 lb sack Carrots Jumbo weekly 12 / 2 lb Carrots Diced weekly 6 / #10 Carrots Sliced Canned weekly 1 / 20 lb Carrots Smooth Sliced weekly 6 / #10 Carrots Sliced Medium weekly 1 / 1511b Catfish Nugget Breaded 2-4oz weekly 1 / 20 lb Cauliflower LQF Monthly 1 / 40 lb Celery Fresh weekly 4 / 26 oz Cereal Bulk Corn Flakes weekly 4 / 32 oz Cereal Bulk Crispy Rice weekly 12 / 28 oz Cereal Cream of Wheat weekly 12 128 oz Cereal Farina Enriched weekly 4 /45 oz Cereal Bulk Frosted Flakes weekly Page 4 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 4 / 46 oz Cereal Bulk Fruit Dyno Bites weekly 4 / 50 oz Cereal Bulk Granola Lowfat Weekly 4 / 39 oz Cereal Bulk Honey Nut Cheerios Weekly 4 / 44 oz Cereal Bulk Honey Nut Scooters Weekly 1 / 50 lb Cereal Oats Rolled #5 Weekly 6 / 36 oz Cereal Bulk Raisin Bran Weekly 4 / 35 oz Cereal Rice Tootie Fruitie Weekly 6 / 5 lb Cheese American Melt Loaf Monthly 6 / 5 Ito Cheese Product American 120 Slices Weekly 4 / 5 lb Cheese American 184 Slices Weekly 4 / 5 lb Cheese Cheddar Shredded Imitation Quarterly 2 / 5 lb Cheese Cheddar Jack Shredded Weekly 2 / 5 lb Cheese Cheddar & Mont. Jack Shreeded Weekly 2 / 5 lb Cheese Cottage Cheese Sm Curd 4% Weekly 10 / 3 lb Cheese Cream Cheese Loaf Grade A Monthly 100 / 1 oz Cheese Cream Pc Cup Monthly 6 / 5 lb Cheese Melting Loaf Yellow Monthly 4 / 5 lb Cheese Mozzarella Reg Shredded Monthly 2 / 5 lb Cheese Pimento Cheese Spread Monthly 6 / 29 oz Cheese Powdered Cheese Mix Weekly 6 / 5 lb Cheese Queso Melt Weekly 4 / 10lb Chicken Boneless Skinless Chicken Thighs - Plain Weekly 1 / 10lb Chicken Boneless Skinless Chicken Thighs - Flavored weekly 4 / 5 lb Chicken Breast BIRD Slinger Weekly 2 / 5 lb Chicken Breast Diced Grilled weekly 60 / 3.1 oz Chicken Breast Patty Breaded weekly 52 / 3.07 oz Chicken Breast Patty CNWG Weekly 2 / 5 lb Chicken Breast Pulled Cooked Weekly 2 / 5 lb Chicken Breast Fritter Weekly 160 / 3 oz Chicken Patty Breaded Cooked Weekly Page 5 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost Estimate on from Listed How often Used: 2 / 5 lb Chicken Breaded Chicken Fritter weekly 107 / 1.5 oz Chicken Breakfast Patty quarterly 2 / 5 lb Chicken Diced All White Cooked weekly 52 / 3 oz Chicken Breast Fillet Fajita Monthly 1 / 10 lb Chicken Fajitas Sliced Chicken Raw weekly 2 / 5 lb Chicken Fajita Strip Cooked Monthly 2 / 5 lb Chicken Fajita Meat Lacocina Monthly 1 / 10 lb Chicken Fajita Thigh Meat Frozen Monthly 4 / 10 lb Chicken Leg Meat Bonless weekly 2 / 5 lb Chicken Meat Diced 1/2 in weekly 1 / 20 lb Chicken Nuggets Raw Monthly 4 / 10 lb Chicken Thigh Meat Raw Frozen Monthly 4 / 5 lb Chicken Thigh Diced - Raw Monthly 4 / 4lb Chili Frozen -With Beans weekly 6 / 5 lb Chili Frozen - Without Beans weekly 6 / #10 Chili Canned - With Beans weekly 6 / #10 Chili Canned -Without Beans weekly 6 / #10 Chili Hot Dog Sauce w/meat Monthly 8 / 1 lb Chip Frito Corn Bulk weekly 10 / 16 oz Chip Potato Kettle weekly 6 / 16 oz Chip Potato Regular Bulk weekly 8 / 16 oz Chip Potato Ridged Ruffled weekly 6 / 2 lb Chip Tortilla Yellow Round weekly 3 / 50 ct Chip Variety weekly 1 / 5 lb Cinnamon Ground Monthly 1 / 10 lb Coconut Sweetened Coconut Monthly 12 / 2 lb Coffee Traditional weekly 12 / 2 lb Coffee Can weekly 42 / 1.25 oz Coffee Todays Gourmet w/Filter weekly 4 / 5 lb ct Coleslaw Mix Shredded weekly Page 6 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost Estimate on Often HowUsed: 1 / 10 lb Cookie Chocolate Chip weekly 1 / 10 lb Cookie Oatmeal Homestyle weekly 1 / 10 lb Cookie Sugar Homestyle weekly 1 / 5 Ib Cookie Vanilla Wafers weekly 320 / 1 oz Cookie Dough Chocolate Chip weekly 320 / 1 oz Cookie Dough Oatmeal Raisin weekly 320 / 1 Oz Cookie Dough Sugar weekly 6 / #10 Corn Cream Style Monthly 1 / 20 lb Corn Cut weekly 6 / 2 lb Corn Corn Nuggets Sweet Battered weekly 6 / #10 Corn Whole Kernel Fancy Canned weekly 240 / .67 oz Corn Dogs No Sticks weekly 240 / .67 oz Corn Dogs Turkey Mini - No Sticks - weekly 6 / 5 lb Cornbread Mix Homestyle Weekly 6 / 3.5 lb Cornbread Stuffing Mix Monthly 1 / 25 lb Cornmeal quarterly 200 / 2 pk Crackers Graham Honey Mid - Individually Wrapped Monthly 12 / 16 oz Crackers Saltine - Bulk weekly 500 / 2 pk Crackers Saltine - Individually Wrapped Monthly 300 / 2 pk Crackers Cafe Club Monthly 24 / 12 oz Creamer Non Dairy Canister weekly 1 / 4.5 Ib Cumin Ground quarterly 4 / 1 gal Dressing Coleslaw quarterly 200 / 12 gm Dressing PC Italian Packets Monthly 4/1 gal Dressing Lt Italian Dressing Gallon Monthly 4 / 1 gal Dressing Ranch Buttermilk Gallon quarterly 200 / 12 gm Dressing PC Ranch Buttermilk weekly 18 / 3.2 oz Dressing Ranch Mix weekly 60 / 1.5 oz Dressing PC Thousand Island Monthly 4/1 gal Dressing Honey Mustard Monthly 12 / 24 oz Drink Mix Fruit Grape Powdered Weekly 12 / 24 oz Drink Mix Strawberry Powdered weekly Page 7 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost Estimate on Flow Often Used: 12 / 24 oz Drink Mix Fruit Punch Powdered weekly 12 / 24 oz Drink Mix Pink Lemondade Powdered weekly 12 / 24 oz - Drink Mix Peach Powdered weekly 12 / 1.8 oz Drink Mix Sugar Free Fruit Punch Powdered weekly 12 / 2.2 oz Drink Mix Sugar Free Pink Lemonade Powdered weekly 15 / 2 lb Egg Mix Scrambled w/2% Milk weekly 1 / 20 lb Eggs Whole Liquid w/citric weekly 2 / 20 lb Egg Whole Liquid w/citric weekly 200 / 1 oz Egg Scrambled Patty Round weekly 1 / 10 lb Egg Hard Cooked Peeled weekly 1 / 200 ct Egg Fresh Shell Jumbo USDA weekly 36 / 3 oz Egg Roll Pork & Veg Roller Grl Monthly 80 / 2 oz Egg Roll Vegetable Monthly 90 / 1.75 oz Enchilada Cheese IQF weekly 90 / 1.75 oz Enchilada Chicken weekly 1 / pt Extract Vanilla Imitation quarterly 1 / 15 lb Fillet Swai Fillet 5-7 oz weekly 1 / 1011b Pollock Stick Bird 1 oz Monthly 1 / 10 lb Fish Strip 1.5 oz Breaded weekly 4 / 10 lb Fish Pollock Fillet 4-6 oz weekly 1 / 10 lb Fish Pollock Rect Breaded Wg weekly 1 / 10 lb Fish Pollock Rect Brd wgcn 3.6 weekly 1 / 101b Fish Tilapia Fillet 3-5 oz weekly 1 / 101b Fish Tilapia Fillet Iqf 5.5-6oz weekly 1 / 50 lb Flour All Purpose Monthly 80 / 2 oz Franks All Meat 8/1 Monthly 2 / 5 lb Franks Turkey Monthly 6 / 5 lb French Fries RC 3/8 IN weekly 6 / 5 lb French Fries CC 1/2 inch weekly French Toast Plain weekly 5 / 2 lb French Toast Stick weekly 6 / #10 Fruit Cocktail X Lt Syrup weekly 6 / #10 Fruit Mix Lt Syrup weekly Page 8 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often used: 1 / 7 Ib Garlic Granulated Monthly 24 / 3.14 oz Gelatin Cup Monthly 12 / 24 oz Gelatin Mix Mixed Assorted Citrus Monthly 12 / 24 oz Gelatin Mix Lime Monthly 12 / 24 oz Gelatin Red Variation Monthly 1 / 35 Ito Grapefruit Ruby Choice 40 weekly 6 / 13 oz Gravy Mix Brown Country Style Monthly 6 / 14 oz Gravy Mix Chicken Monthly 6 / 24 oz Gravy Mix Peppered Monthly 6 / 11.3 oz Gravy Mix Pork Roast Monthly 6 / 11.3 oz Gravy Mix Turkey Roasted Monthly 6 / 3 lb Greens Mustard Greens weekly 2 / 14 lb Ham Boneless Pit Style weekly 2 / 10-12 lb Ham Buffet Style weekly 6 / 5 lb Ham Chopped quarterly 4 / 3 lb Ham Pre -Sliced quarterly 2 / 13 Ib Ham Shaving Cooked 4 x 6 Deli weekly 2 / 10-12 lb Ham Shaving Smoked Boneless quarterly 4 / 3lb Ham Sliced Smoked quarterly 4 / 2 lb Ham Sliced Smoked quarterly 2 / 20 ct Hamburger Buns weekly 120 / 2.2 oz Hashbrowns Golden Patty weekly 6 / 3 lb Hashbrowns Redi Shred weekly 6 / 3 lb Hashbrowns Lqf Shredded weekly 1 / 30 to Honey Dew Melon US #1 8 ct weekly 6 / 12 ct Hot Dog Buns weekly 2 / 5 lb Hushpuppies Regular Round weekly 4 / 5 lb Hushpuppies Homestyle weekly 1 / 12 Ito Icing Chocolate quarterly 1 / 12 lb Icing Vanilla quarterly 200 / .5 oz Jelly PC Assorted Cup Monthly 200 / .5 oz Jelly PC Grape Cup weekly 70 / 4 oz Juice Apple 100% Carton Carton weekly 70 / 4 oz Juice Orange 100% Carton weekly Page 9 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How Often used: 1000 / 9 gr Ketchup Individual Packets weekly 6 / #10 Ketchup Standard weekly 1 / case Lettuce Iceberg weekly 4 / 5 Ib Lettuce Shred 1/4 Inch weekly 900 / 5 gr Margarine PC Cup Spread Monthly 432 / 14 gr Margarine pcks 30 / 1 lb Margarine Solids Pure Vag Monthly 12 / 16 oz Marshmallows Jet Puffed quarterly 4/1 gal Mayonnaise Heavy Duty Gallon Monthly 200 / 12 gm Mayonnaise PC weekly 1 / 30 lb Melons Honey Dew US #1 8 ct weekly 2 / 5 lb Meatballs Beef & Chicken weekly 320 / .5 oz Meatballs Flame Broiled weekly 320 / .5oz Meatballs Italian weekly 37 / 4.25 oz Meatless Black Bean Burger quarterly 48 / 4.25 oz Meatless Black Bean Burger quarterly 200 / .75 oz Meatless Chicken Nugget quarterly 2 / 5 lb Meatless Chicken Tender quarterly 4 / 2.51b Meatless Chorizo Crumble quarterly 48 / 3.4 oz Meatless Garden Burger Blk Bn quarterly 48 / 3.4 oz Meatless Garden Patty quarterly 112 / 1.3 oz Meatless Sausage Patty quarterly 4 / 8 ct Meatless Veggie Griller 5 oz quarterly 76 / 3.15 oz Meatloaf Patty Deluxe weekly 4 / 15 oz Meatloaf Pull Apart weekly 14 / 15 oz Meatloaf Pull Apart weekly 24 / 14 oz Milk Condensed Sweetened Monthly 24 / 12 oz Milk Evaporated Monthly Page 10 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How often Used: 1 / 25 lb Milk Powdered Skimmed NF Monthly Milk Powdered Homo Vitamin D Monthly 4/1 gal Milk 2% Reduced Fat 1 Gallon Weekly 4/1 gal Milk Homo Vitamin D 1 gallon Weekly 25 / 1/2 pt Milk 1% Reduced Fat 1/2 pint cartons Weekly 25 / 1/2 pt Milk 2% Reduced Fat 1/2 pint cartons Weekly 25 / 1/2 pt Milk Homo Vitamin D 112 pint cartons Weekly 25 / 1/2 pt Milk Skim Nonfat 1/2 Pint Weekly 4 / 1 gal Mustard Prepared Gallon Quarterly 500 / 5.5 gr Mustard PC Pouch Weekly 6 / 1 gal Oil Butter Flavored Monthly 6/1 gal Oil Pan & Grill Trans Fat Free Monthly 6 / 17 oz Oil Pan Spray Monthly 1 / 35 lb Oil Shortening Clear Fry Monthly 1 / 20 lb Okra Cut 1/2 inch Grade A Weekly 1 / 20 lb Okra Cut Heavily Breaded Weekly 6 / 2 lb Okra Cut Breaded Southern Style Weekly 1 / 3lb Onion Dried Flakes Chopped Monthly 4 / 5lb Onion Sliced Monthly 1 / 50 lb Onion Yellow Jumbo Sack Monthly 1 / 35 lb Oranges Fresh Weekly 1 / 35 lb Orange Choice Weekly 6 / #10 Oranges Mandarin Oranges Broken Lt Weekly 6 / #10 Oranges Mandarin Orange Whole Segments Weekly 1 / 12 oz Oregano Ground Quarterly 144 / 1.2 oz Pancake Original - Frozen Weekly 1 / 10 oz Parsley Flakes Quarterly 2/5 lb Pasta Egg Noodle Wide 1/2 Inch Monthly Page 21 of 20 Pack/Size Item# Pack/Size if different Brand Description Cost ESTIMATE on from Listed Now often Used: 2 / 10 Ib Pasta Elbow Macaroni Monthly 12 / 16 oz Pasta Lasagna Ribbed Monthly lb Pasta Panne Rigate Monthly lb Pasta Spaghetti Thin 10 Inch q#10 Monthly Peaches Sliced Extr Lt Syrup Weekly Peaches Diced Extra Lt Syrup Weekly 6 / 5 lb Peanut Butter Creamy Weekly 200 / 0.75 oz Peanut Butter Pc Weekly 6 / #10 Pears Sliced Light Syrup Weekly 6 / #10 Peas Blackeyed Weekly 1 / 20 lb Peas Peas & Diced Carrots Frozen Weekly 1 / 20 lb Peas Green Weekly 6 / #10 Peas Sweet Mixed Weekly 1 / 18 oz Pepper Black Gound Fine Pure Monthly 12 / 27 oz Peppers Chili Diced Green Monthly 1/1 1/9 Bulk Pepper Bell Green Chopper Monthly 6 / #10 Pepper Jalapeno Nacho Sliced Quarterly 1 / 7 lb Pepper Lemon Seasoning Quarterly 4 / 1 gal Pickles Dill Relish Monthly 4 / 1 gal Pickles Dill Relish Premium Monthly 1 / 5 gal Pickles Dill Sliced Hamburger Monthly 6 / 43 oz Pie Pumpkin 10 Inch PreBaked Quarterly 6 / 81 oz Pineapple Chunks in Extra Lt Syrup Weekly 6 / #10 Pineapple Sliced in Juice Weekly 6 / #10 Pineapple Tidbits in Juice Weekly 128 / 3.31 oz Pizza Breakfast Turkey Sausage Monthly 96 / 4.48 oz Pizza Pepperoni Whole Grain Monthly 36 / 8 oz Popcorn Kit All In One Monthly 6 / 6-8 lb Pork Loins Boneless Monthly 40 / 3.75 oz Pork Patty Breaded Cooked Monthly 52 / 3.1 oz Pork Patty Rib Shape Cooked Monthly Page 12 of 20 Pack/Size Item# Pack/Size if different Brand Description Cost ESTIMATE on from Listed How often Used: 46 / 3.5 oz Pork Rib Patty Monthly 80 / 3 oz Pork Rib Patty w/BBQ Sauce Monthly 2 / 5 lb Pork Tip for Taco Especial Monthly 6 / 2.5 lb Potato Hashbrown Redi Shred weekly 6/#10 Potato Instant with milk weekly 1 / 50 lb Potato Idaho #2 weekly 1 / 50 lb Potato Red #2 weekly 1 / 50 lb Potato Russet 10 oz US #2 weekly 1 / 50 lb Potato Russet 80 ct IDA weekly 1 / 50 lb Potato Russet 90 ct IDA weekly 6/#10 Potato Sweet Cut Fancy weekly 8 / 5 lb Potato Tater Bites Seasoned weekly 6 / 5 lb Potato Tater Tots weekly 6 / #10 Potato White Diced weekly 6 / #10 Pudding Banana weekly 6/#10 Pudding Chocolate weekly 6 / 112 oz Pudding Chocolate Rtu Pouch weekly 24 / 3.625 oz Pudding Chocolate Sugar Free weekly 6 / #10 Pudding Lemon weekly 6/#10 Pudding Tapioca weekly 6/#10 Pudding Vanilla weekly 6 / #10 Pudding Vanilla Sugar Free weekly 6 / 112 oz Pudding Vanilla Rtu Pouch weekly 24/6/1 oz Raisins Individual Packs weekly 24 / 15 oz Raisins Golden Seedless weekly 6 / #10 Ravioli Beef RTU weekly 1 / 50 Ito Rice Long Grain weekly 1 / 50 lb Rice Long Grain Parboiled 4% Broken weekly 4 / 3 lb Rice Vegetable Fried weekly 4 / 5 Ito Salad Mix Lettuce in Bag weekly 1 / 30 lb Salad Potato Homestyle Monthly Page 13 of 20 Pack/Size Item # Pack / Size if different Brand Description from Listed Cost ESTIMATE on How often Used: 384 / .5 oz Salami All Meat Sliced Weekly 4 / 4.3 lb Salisbury Steak w/ Mush GRV Weekly 1 / 25 lb Salt Iodized Table Quarterly 4/1 gal Sauce BBQ Monthly 6 / #10 Sauce Cheese Weekly 6 / #10 Sauce Cheese Nacho Weekly 24 / 14 oz Sauce Cranberry Jellied Quarterly 4/1 Gal Sauce Enchilado Mild RTU Weekly 6 / #10 Sauce Enchilada Mild RTU Weekly 4 / #10 Sauce Manwich Sloppy Joe Weekly 4/1 Gal Sauce Picante Mild Gallon Monthly 6 / #10 Sauce Pizza Weekly 4/1 gal Sauce Soy Sauce Gallon Monthly 6 / #10 Sauce Spaghetti RTU Weekly 200 / 9 gr Sauce PC Taco Weekly 500 / 9 gr Sauce PC Taco Weekly 200 / 7/16 oz Sauce Tarter Creamy Packets Weekly 1 / 1 gal Sauce Teriyaki Monthly 6 / #10 Sauce Tomato Fancy Weekly 4 al Sauce Worcestershire Quarterly 2b Sausage Beef Breakfast Chorizo j/1.5 Weekly 107 oz Sausage Chicken Patty CookedWeekly 128 5 oz Sausage Turkey Cooked Weekly 2 / 5 lb Sausage Chorizo Pork Raw Weekly 2 / 5 lb Sausage Ground Bulk Raw Mild Weekly 200 / .8 oz Sausage Link Natural .8 oz Cooked Weekly 92 / 1 oz Sausage Link Mild 1 oz Cooked Weekly 2 / 5 lb Sausage Pork Topping Cooked Weekly 1 / 10 lb Sausage Smoked Rope Cooked Weekly 154 / 1.25 oz Sausage Patty Cooked Weekly 12 / 17 oz Seasoning Creole Quarterly Page 14 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How often Used: 154 / 1.25 oz Sausage Patty Cooked Weekly 12 / 17 oz Seasoning Creole quarterly 1 / 8lb Seasoning Creole Original Quarterly 1 / 24 oz Seasoning Mexican Rub Mix Quarterly 1 / 23 oz Seasoning Montreal Quarterly 1 /4.5lb Seasoning Salt Traditional Monthly 6 / 15 oz Seasoning Sloppy Joe Mix Weekly 1 / 24 oz Seasoning Taco Quarterly 1 / 35 lb Shortening Clear Fry Liquid Monthly 12 / 50 oz Soup Chicken Noodle Monthly 12 / 50 oz Soup Cream of Chicken Monthly 12 / 50 oz Soup Cream of Mushroom Monthly 12 / 50 oz Soup Cream of Potato Monthly 12 / 50 oz Soup - Tomato Monthly 12 / 50 oz Soup - Vegetable Monthly 4 / 5 lb Sour Cream Cultured Monthly 6 / #10 Spinach Chopped Fancy weekly 400 / .88oz Spring Roll Vegetable Mini Quarterly 200 / 1.76 oz Spring Roll Vegetable 1.76oz Quarterly Vol Fill Squash Zucchini Mad 18-25 weekly 24/1 lb Starch Corn Quarterly 6 / 3.5 lb Stuffing Mix Cornbread weekly 12 / 2 lb Sugar Brown light in Bag Monthly 1 / 50 lb Sugar Pure Cane Extra Fine Weekly 1 / 50 lb Sugar Pure Cane Granulated weekly 12 / 2 lb Sugar Powdered White Quarterly 100 / 1 oz Syrup PC Pouch -Cup weekly 100 / 1 oz Syrup PC Pouch -Cup Sugar Free 1 oz Monthly 120 / 1.5 oz Tamale Beef in Husk 1.5 oz Monthly 341 / 0.75 oz Taquito Shredded Beef weekly 96 / 1 oz Tea Bags 1 oz weekly 96 / 1 oz Tea Iced Filter Pouch 1 Gal weekly Page 15 of 20 Pack/Size Item # Pack / Size if different Brand Description Cost ESTIMATE on from Listed How Often Used: 1 / 25 lb Tomatoe Bulk Caf6 weekly 6 / #10 Tomatoe Diced in Juice weekly 12 / 28 oz Tomatoe Diced With Green Chills Monthly 1 / 25 lb Tomato Roma #2 weekly 6 / #10 Topping Chocolate Fudge Monthly 12 / 1 lb Topping Whip Mix Add Water quarterly 6 / 66.5 oz Tuna Chunk Light in Water Monthly 12 / 1 lb Turkey Breast Lunchmeat Combo weekly 2 / 8-9 lb Turkey Breast Oven Roasted Monthly 2 / 9.9.5lb c Turkey Breast Smoked Skinless Monthly 1 / 10lb Turkey Burger Homestyle Monthly 30 / 5.33 oz Turkey Burger Mediterranean Monthly 2 / 101b Turkey Ground Bulk Chub weekly 4 / 10lb Turkey Ground Tubes 80/20 weekly 2 / 5lb Turkey Diced White weekly 2 / 7-8 lb Turkey Ham Buffet Deluxe weekly 12 / 1 lb Turkey Lunchmeat Combo weekly 5 / 5 lb Turkey Medallion Roasted Monthly 2 / 5 lb Turkey Ham - Diced Cured weekly 128 / 1.25 oz Turkey Sausage Patty Cooked weekly 6 / 2 lb Turkey Sliced Smoked .70 weekly 1 / 40 lb Turkey Thighs Bnls Skinless Monthly 6 / #10 Vegetables - Mixed Fancy weekly 1 / 20 lb Vegetables - Blend Peas & Carrots weekly 6 / #10 Vegetables For Stew Fancy Chunky Monthly 12 / 2 lb Vegetables - Blend Stir Fry Monthly 1 / 20 lb Vegetable Blend California Monthly 1 / 20 lb Vegetable Blend Capri Mix Monthly 1 / 20 lb Vegetable Blend Oriental Mix Monthly Page 16 of 20 Pack/Size Item# Pack/Size if different Brand Description Cost ESTIMATE on from Listed How often Used: 12 / 2 lb Vegetable Blend Scandinavian Monthly 1 / 20 lb Vegetable Blend Winter Mix Monthly 1 / 20 lb Vegetables - Mixed 5 Way Weekly 12 / 12 ct Waffles Weekly 6 / #10 Yams - Cut Monthly 20 / 1 lb Yeast Saf Instant Red Label Quarterly 1/8 lb Yogurt Greek Plain Weekly 6 / 32 oz Yogurt Plain Original Lowfat Weekly 4 / 61b Yogurt Vanilla Dannon Pro Weekly 6 / 32 oz Yogurt Vanilla Low Fat Weekly 48 / 4 oz Yogurt Variety Pack Light Weekly 48 / 4 oz Yogurt Variety Pack Weekly 48 / 4 oz Yogurt Variety Rasp/Peach Ong Weekly NON-FOOD ITEMS BEGIN ON THE FOLLOWING PAGE Page 17 of 20 Item # Pack / Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on wow often Used: NON FOOD ITEMS: 10 / 100 ct Apron, Plastic Full Length Med Wt 24x42 quarterly 1 / 100 ct Apron, Plastic White Disposable Quarterly 1 / 500 ct Bag Ice 10 lb Draw String 1 / 2000 ct Bag Sandwich w/Flip Top Quarterly 1 / 500 ct Bag Sandwich Reclosable 6.5x6 Quarterly 1 / 500 ct Bag Zip Seal Quart Quarterly 1 / 200 ct Bag Freezer Reclosable 1 Gallon Quarterly 1 / 250 ct Bag Reclosable Zip 1 Gallon Quarterly 1 / 100 ct Bag Freezer Reclosable Zip 2 Gallon quarterly 11500 ct Bag - White Paper Bag 128 / 2 oz Cleaner Floor Degreaser Quarterly 64 / 2 oz Coffee Filter Packs Monthly 2 / 100 ct Container Foam Hngd 3-c White quarterly 40 / 25 ct Cup, Foam 12 oz Monthly 40125 ct Cup, Foam 16 oz Monthly 10 / 100 ct Cup Lids for 12 oz Monthly 10 / 100 ct Cup Lids 12L Trans Slotted Monthly 10 / 100 ct Cup Lids for 16 oz Monthly 10 / 100 ct Cup Lidis for 16L Trans Slotted Monthly 2 / 1 gal Detergent Paramount Heavy Duty weekly 1 / 5 gal Detergent Speed Clean Weekly 1 / 5 gal Detergent Dishwasher weekly Page 18 of 20 Item# Pack/Size Pack/Size if different from Listed Brand Description Cost ESTIMATE on now Often Used: 1 / roll Film 18 x 1000 Clear Wrap Monthly 1 / roll Foil 18 By 1000 1 / roll Foil 24 x 500 #633 EX H Monthly 4 / 10 ct Grill Cleaning Pad weekly 10 / 100 ct Gloves Clear Plastic Large weekly 10 / 100 ct Gloves Vinyl Powder Free Large weekly 10 1100 ct Gloves Vinyl Powder Free Xlarge weekly 1 / 144 ct Hairnet Dark Brown Light Weight weekly 1 / roll Label 100% Dissolvable weekly 1 / 250 ct Label 2 x 3 Dissolvable Use By weekly 1 / 1000 ct Liner Pan Lift Off Grease Monthly 1 / 250 ct Meal Kit (K F S Napkin) MW W quarterly 1 ea Mitt - Oven Mitt Black 17 1 / roll Plastic Wrap Monthly 1 / 5 gal Rinse Aid Fast Dry weekly 6 / 1 qt Sanitizer Redi San Rtu weekly 4 / 500 ct Straws 7.75 Jumbo Clear Wrap Monthly BE SURE TO COMPLETE, SIGN AND DATE THE NEXT PAGE Page 19 of 20 Food and Non -Food Items not listed on this Invitation to Bid Form shall be provided at: Cost Plus % Bidder understands that Calhoun County or their representative may audit the Cost Plus Percentage at any time and the documentation necessary for this audit will be provided at no additional charge to Calhoun County or their representative. Other charges, fees, delivery fee and or fuel surcharge must be listed here. $ Charge: Amount or NA Type of Charge per invoice Fee: per invoice Amount or NA Type of Fee Delivery Fee per invoice Amount or NA Fuel Surcharge per invoice Amount or NA 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 bidder, 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: Print Name & Title of Authorized Signature: Phone Number: Email: Page 20 of 20 CONTRACT AGREEMENT FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES AT THE CALHOUN COUNTY ADULT DETENTION FACILITY STATE OF TEXAS COUNTY OF CALHOUN This contract agreement is by and between CALHOUN COUNTY acting through their ADULT DETENTION FACILITY (hereinafter called the "DETENTION FACILITY") and (hereinafter called "PROVIDER") and is for the furnishing of food and non-food items to the DETENTION FACILITY. The effective date of this contract agreement is January 1, 2023 and is for a period of one year from that date. This contract agreement will end at 11:59 PM on December 31, 2023. This contract agreement has the option to be extended yearly, if agreeable with both the DETENTION FACILITY and the PROVIDER and approved by Calhoun County Commissioners Court. The request for the contract agreement extension from the PROVIDER must be provided in writing to the DETENTION FACILITY by October 1st of each year and the contract agreement extension must be approved by Commissioners Court prior to the end date of the preceding contract agreement. The food and non-food items to be provided are set out in the attached Invitation to Bid Form and said prices, plus any charges, fees, delivery fee and/or fuel surcharge, if any were awarded, will be honored for the one year period and approved extensions, if any. If a food or non-food item(s) is substituted with a different brand or comparable (alternate, different pack size, quantity) item(s), the item(s) shall be billed at the awarded bid price or lower. The price of the substituted item(s) shall not be more than the awarded bid price for that item(s) taking into consideration the pack size and quantity. The price of the substituted item(s) may be lower than the awarded bid price. Any food or non-food items ordered not on the attached Invitation to Bid Form shall be provided at Cost plus %. The DETENTION FACILITY, their representative and/or the County Page 1 of 5 Auditor's office may audit the cost plus percentage at any time and the PROVIDER will provide the DETENTION FACILITY, their representative and/or the County Auditor's office with the paper and/or electronic documentation necessary for this audit at no additional charge. DETENTION FACILITY agrees to pay for said food and/or non-food items within sixty (60) days once the DETENTION FACILITY has been presented with an invoice and verification that said food and/or non-food items have been delivered and received. PROVIDER will use its best efforts to provide quality food items and good and healthy food but makes no warranties express of implied about their fitness for use. PROVIDER will provide food items that are needed for inmates with high blood pressure, diabetics or for religious reasons. PROVIDER will offer equipment, services or other items not listed on the Invitation to Bid Form to the DETENTION FACILITY free of charge, at discounted prices, cost or cost plus percentage. Other items and equipment may include dispensers for coffee, chemicals and other items used in the DETENTION FACILITY'S kitchen. Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the DETENTION FACILITY to make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 AM to 10:00 AM and 1:00 PM to 4 PM in order not to disrupt the DETENTION FACILITY'S kitchen in preparing meals. Should an ordered item(s) not arrive as ordered, wrong item(s) is delivered, or item(s) is delivered damaged, PROVIDER will deliver the correct or substitute item(s) within 24 hours from the date the missing or damaged item(s) was supposed to be delivered. No extra charges, fees, delivery fee and/or fuel surcharge will be allowed to be billed to correct the error or damaged item(s). Page 2 of 5 Should the PROVIDER not be able to supply an item(s) to the DETENTION FACILITY, the DETENTION FACILITY may purchase the item(s) from another source without being in conflict with the awarded bid and this contract agreement. Liquid items will be delivered in plastic crates to prevent damages when stacked. A sales representative from the PROVIDER shall contact the DETENTION FACILITY'S Jail Administrator, Jail Administrator's appointed representative and/or Jail Kitchen Officer at least monthly, in person, to discuss any issues or new food or non-food items offered. New food or non-food items shall be offered to the DETENTION FACILITY at the lowest possible cost or cost plus the percentage listed on the Invitation to Bid Form and awarded by Commissioners Court and PROVIDER shall provide information to the DETENTION FACILITY on the calculation of this cost and shall be subject to audit by the DETENTION FACILITY, their representative and/or the County Auditor's office at no additional charge. All food and non-food items listed on the Invitation to Bid Form are speculative items and should not be considered as firm items to be purchased during the term of this contract agreement or approved extensions, if any. Order processing shall be made available by fax and / or website. By acceptance of this contract agreement PROVIDER agrees to notify the DETENTION FACILITY'S Jail Administrator and the Calhoun County Sheriff of any solicitations from employees of Calhoun County for services not officially associated with the DETENTION FACILITY'S operations. PROVIDER is prohibited from offering, giving, selling, supplying, or conveying in any way or form, food or non-food items for personal use to employees of Calhoun County. Samples may be provided to the DETENTION FACILITY for use within the facility for evaluation purposes. Intentionally Left Blank Page 3 of 5 This Contract Agreement documents shall include the following documents, and this Contract Agreement does hereby expressly incorporate same herein as if fully set forth verbatim in this Contract Agreement: L This Contract Agreement 2. Invitation to Bid Form 3. Bid Specifications 4. General Conditions — Calhoun County, Texas All disputes or protests will be held in Calhoun County, Texas. IN WITNESS WHEREOF, the undersigned have executed this contract agreement to be effective as of January 1, 2023. SIGNED AND ACCEPTED this the day of 2022. Intentionally Left Blank Acknowledgements on Next Page Page 4 of 5 DETENTION FACILITY: Calhoun County, Texas Calhoun County Adult Detention Facility LIN Richard H. Meyer Calhoun County Judge Calhoun County Courthouse 211 South Ann Street 3`d Floor, Suite 301 Port Lavaca, TX 77979 PROVIDER: Print Name of Provider By: Print Name: Title: Address: Date ATTEST: Calhoun County Clerk Anna Goodman Print Name: Title: ATTEST: By: Print Name: Title: Page 5 of 5 BIDDER INFORMATION Please Type. If handwritten, must be in ink and legible Bidder's Name: Address: Remittance Address: Telephone: Fax: Email: Signature of Authorized Representative: Printed name of Authorized Rep: ORDER — CONTACT INFORMATION Order Contact Name & Title: Order Contact Telephone: Order Contact Fax: Order Contact Email: INVOICES — CONTACT INFORMATION For Invoice Inquiries: Contact Name & Title: Contact Telephone: _ Contact Fax: Contact Email: STATE OF TEXAS {} COUNTY OF {} (Type or Print Name) the of (Type or Print Title) principal address at AFFIDAVIT being first duly sworn, deposes and says: that he or she is (Type or Print Name of Company/Firm) (Type or Print Physical and Mailing Address) having its who submits herewith to Calhoun County the attached bid/proposal; that he or she is the person whose name is signed to the attached bid/proposal; that said bid/proposal is genuine; that the same is not sham or collusive; that all statements of fact herein are true; and that such bid/proposal was not made in the interest or behalf of any person, partnership, company, association, organization or corporation not herein named or disclosed. Affiant further deposes and says: that the bidder/proposer has not directly or indirectly by agreement, communication or conference with anyone, attempted to induce action prejudicial to the interests of Calhoun County, or of any other bidder/proposer, or anyone else interested in the bid/proposal contract; and that the bidder/proposer has not in any manner sought by collusion to secure for himself/herself/itself/themselves an advantage over any other bidder/proposer. Affiant further deposes and says: that prior to the public opening and reading of bids/proposals, said bidder/proposer: a) did not, directly or indirectly, induce or solicit anyone else to submit a false or sham bid/proposal; b) did not, directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder/proposer or anyone else would submit a false or sham bid/proposal, or that anyone should refrain from submitting a bid/proposal or withdraw their bid/proposal; c) did not, in any manner, directly or indirectly, seek by agreement, communication or conference with anyone to raise or fix the bid price/proposal of said bidder/proposer or of anyone else, or to raise or fix any overhead, profit or cost element of their price/fee or of that of anyone else; d) did not give, offer 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 the submitted bid/proposal; and e) did not, directly or indirectly, submit their bid/proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative hereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent, thereof, to any individual or group of individuals, or to any official, employee or agent of Calhoun County prior to the official opening of this bid/proposal. Affiant further deposes and says: that the bid price(s) or proposed fees contained in this bid/proposal have been carefully checked and is submitted as true and correct, agrees to furnish any and/or all items/services upon which bid prices or proposed fees are awarded and upon the conditions and requirements contained in the bid/proposal. Signature of Affiant Printed Name and Title of Affiant SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath, states that the facts contained in the above are true and correct, this day of ZD Signature of Notary Public Notary Stamp/Seal CERTIFICATE OF INTERESTED PARTIES, FORM 1295 • Form 1295 must be filled out online, submitted online, printed, #6 completed including signature and returned with bidder's bid. The copy included is a Sample Copy Only. • Return completed Form 1295 with your bid #1 Bidder's Name, City, State and Country #2 Calhoun County, Texas Calhoun County Adult Detention Facility #3 Bid Number 2023.04 Annual Supply Contract Agreement for Inmate Food Services At the Calhoun County Adult Detention Facility January 1, 2023 thru December 31, 2023 On #4 and #5, complete only the one that applies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only', Page 1 of 4 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Form 1295 must be filled out online, submitted online, printed, signed and returned with the bidder's Bid The copy included is a Sample Copy Only. See Calhoun County, Texas — Policy of Compliance (behind the sample copy of the form) TO FILL OUT FORM 1295: Go to: https://www.ethics.state.tx.us/File 1. If you have an account, log in and proceed with the process or if you do not have an account, follow the instructions to set up an account and then proceed with the process. 2. Submit and print a copy of the form which will contain a unique certification number and date submitted in the upper right hand box that is marked "Office Use Only". 3. The Respondent or an authorized agent of the Respondent must sign and date the printed copy of the form (making sure all of #6 is completed). 4. The completed Form 1295 must be included with your Agreement, Contractor Lease, when it is submitted to Calhoun County. For help in filling out the form• #1 Name of Business Entity filing the form, and the City, State and Country of the Entity's place of business #2 Calhoun County, Texas Calhoun County Adult Detention Facility #3 Bid Number 2023.04 Annual Supply Contract Agreement for Inmate Food Services At the Calhoun County Adult Detention Facility January 1, 2023 through December 31, 2023 On #4 and #5, complete only the one that applies to you #4 Fill in the correct information if this applies OR #5 Mark an X in the Box if this applies #6 Fill in the correct information, submit and print After printing, the respondent or an authorized agent of the respondent must sign and date (making sure all of #6 is completed) When you print you should see a Certificate Number and Date in the upper right hand box that is marked "Office Use Only". Page 2 of 4 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 and September 14, 2022 BACKGROUND Section 2252.908 was added to the Government Code by the 84' Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for -profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 85" Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unswom statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info _forml295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Texas Ethics Commission. Page 3 of 4 CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. ♦`� 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. ♦ 3 Provide the identification number used by the governmental entity or state agency to tyyyyykD identify the contract, and provide a description of the services, goods, or other property to be provided ue contract. 4 Name of Interested Party City, State, Country ature of Interest (check applicable) Controlling Intermediary (place of business) ♦ 5 Check only if there' IffirterestedParty. G UNSWORN DE�il N My name is and my date of birth is My addrelllr (street) (city) (state) (zip code) (country) �d under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) ADD ADDITIONAL PAGES AS NECESSARY Form provided by Texas Ethics Commission v✓ww.ethics.state.bcus Revised 12/22/2017 Page 4 of 4 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code 4 176.001(1 -a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code & 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (1) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code S 176.006(a) and (a-1) (a) Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www, ethics.state.tx. us Revised 11/30/2015 Page 1 of 2 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the Date Received vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? ElYes 1-1 No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? 0Yes E—]No 5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 6 ❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). 7 Signature of vendor doing business with the governmental entity Date • r•3••W=U..r I=nos EwIcs wrnmission www.ethics.state.tx.us Revised 11/30/2015 Page 2 of 2 DEBARMENT & SUSPENSION Executive Order 12549--Debarment and Suspension Source: The provisions of Executive Order 12549 of Feb. 18, 1986, appear at 51 FR 6370, 3 CFR, 1986 Comp., p. 189, unless otherwise noted. By the authority vested in me as President by the Constitution and laws of the United States of America, and in order to curb fraud, waste, and abuse in Federal programs, increase agency accountability, and ensure consistency among agency regulations concerning debarment and suspension of participants in Federal programs, it is hereby ordered that: Section 1. (a) To the extent permitted by law and subject to the limitations in Section 1(c), Executive departments and agencies shall participate in a system for debarment and suspension from programs and activities involving Federal financial and nonfinancial assistance and benefits. Debarment or suspension of a participant in a program by one agency shall have government -wide effect. (b) Activities covered by this Order include but are not limited to: grants, cooperative agreements, contracts of assistance, loans, and loan guarantees. (c) This Order does not cover procurement programs and activities, direct Federal statutory entitlements or mandatory awards, direct awards to foreign governments or public international organizations, benefits to an individual as a personal entitlement, or Federal employment. Sec. 2. To the extent permitted by law, Executive departments and agencies shall: (a) Follow government -wide criteria and government -wide minimum due process procedures when they act to debar or suspend participants in affected programs. (b) Send to the agency designated pursuant to Section 5 identifying information concerning debarred and suspended participants in affected programs, participants who have agreed to exclusion from participation, and participants declared ineligible under applicable law, including Executive Orders. This information shall be included in the list to be maintained pursuant to Section 5. (c) Not allow a party to participate in any affected program if any Executive department or agency has debarred, suspended, or otherwise excluded (to the extent specified in the exclusion agreement) that party from participation in an affected program. An agency may grant an exception permitting a debarred, suspended, or excluded parry to participate in a particular transaction upon a written determination by the agency head or authorized designee stating the reason(s) for deviating from this Presidential policy. However, I intend that exceptions to this policy should be granted only infrequently. Sec. 3. Executive departments and agencies shall issue regulations governing their implementation of this Order that shall be consistent with the guidelines issued wider Section 6. Proposed regulations shall be submitted to the Office of Management and Budget for review within four months of the date of the guidelines issued under Section 6. The Director of the Office of Management and Budget may return for reconsideration proposed regulations that the Director believes are inconsistent with the guidelines. Final regulations shall be published within twelve months of the date of the guidelines. Page 1 of 3 Sec. 4. There is hereby constituted the Interagency Committee on Debarment and Suspension, which shall monitor implementation of this Order. The Committee shall consist of representatives of agencies designated by the Director of the Office of Management and Budget. Sec. 5. The Director of the Office of Management and Budget shall designate a Federal agency to perform the following functions: maintain a current list of all individuals and organizations excluded from program participation under this Order, periodically distribute the list to Federal agencies, and study the feasibility of automating the list; coordinate with the lead agency responsible for government -wide debarment and suspension of contractors; chair the Interagency Committee established by Section 4; and report periodically to the Director on implementation of this Order, with the first report due within two years of the date of the Order. Sec. 6. The Director of the Office of Management and Budget is authorized to issue guidelines to Executive departments and agencies that govern which programs and activities are covered by this Order, prescribe government -wide criteria and government -wide minimum due process procedures, and set forth other related details for the effective administration of the guidelines. Sec. 7. The Director of the Office of Management and Budget shall report to the President within three years of the date of this Order on Federal agency compliance with the Order, including the number of exceptions made under Section 2(c), and shall make recommendations as are appropriate further to curb fraud, waste, and abuse. Implementation in the SRF Programs A company or individual who is debarred or suspended cannot participate in primary and lower -tiered covered transactions. These transactions include SRF loans and contracts and subcontracts awarded with SRF loan funds. Under 40 C.F.R. 32.510, the SRF agency must submit a certification stating that it shall not knowingly enter into any transaction with a person who is proposed for debarment, suspended, declared ineligible, or voluntarily excluded from participation in the SRF program. This certification is reviewed by the EPA regional office before the capitalization grant is awarded. A recipient of SRF assistance directly made available by capitalization grants must provide a certification that it will not knowingly enter into a contract with anyone who is ineligible under the regulations to participate in the project. Contractors on the project have to provide a similar certification prior to the award of a contract and subcontractors on the project have to provide the general contractor with the certification prior to the award of any subcontract. In addition to actions taken under 40 C.F.R. Part 32, there are a wide range of other sanctions that can render a party ineligible to participate in the SRF program. Lists of debarred, suspended and otherwise ineligible parties are maintained by the General Services Administration and should be checked by the SRF agency and all recipients of funds directly made available by capitalization grants to ensure the accuracy of certifications. Additional References C 40 C.F.R. Part 32: EPA Regulations on Debarment and Suspension. Page 2 of 3 CERTIFICATION REGARDING DEBARMENT & SUSPENSION AND OTHER RESPONSIBILITY MATTERS In accordance with the Executive Order 12549, the prospective primary participant certifies to the best of his / her knowledge and belief, that its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification. d. Have not within a three-year period preceding this application / proposal had one or more public transactions (federal, state, or local) terminated for cause of default. e. Acknowledge that all sub -contractors selected for this project must be in compliance with paragraphs (1) (a— d) of this certification. Name and Title of Authorized Agent Signature of Authorized Agent I am unable to certify to the above statements. My explanation is attached. Date Page 3 of 3 Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000) The undersigned certifies, to the best of his or her knowledge and belief, that (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (c) The undersigned shall require that the language paragraph 1 and 2 of this anti -lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). The Contractor, , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 at seq., apply to this certification and disclosure, if any. Signature of Contractors Authorized Official Printed Name and Title of Contractor's Authorized Official uate INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether sub awardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the sub awardee, e.g., the first sub awardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Sub awardee;' then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitations for Bid (IFS) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., 'RFP-DE-90-0o1" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services,and include full address if different from 10(a). Enter Last Name, First Name, and Middle Initial (MI). 11. The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no Persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 0348- 0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046). Washington, DC 20503 Approved by OMB 0348-0046 Page 1 of 2 Approved by OMB Disclosure of Lobbying Activities 0348-0046 Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See rev f bl' rse or u is burden disclosure I.f Federal Action: 2. Status of Federal Action: 3. Report Type: ontract a. bid/offer/application rant a. initial filing b. initial ooperative agreement c. post -award award b. mateda! change oan guarantee For material chan a onlan g Y: an insurance Year quarter Date of last report 4. Name and Address of Reporting Entity: Prime 5. If Reporting Entity in No. 4 is Subawardee, Enter _ Subawardee Name and Address of Prime: Tier_, if Known: Congressional District, if known: 6. Federal Department/Agency: Con ressional District, if known: 7. Federal Program Name/Description: CFDA Number, ifapplicable: S. Federal Action Number, ifknown: 9. Award Amount, ifknown: 10. a. Name and Address of Lobbying Registrant (if individual, last name, fast MI): b. Individuals Performing Services (including address name, different fi-on, No. 1 oa) (last name, first name, MI): 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This Signature: disclosure of lobbying activities is a material representation of fact upon which reliance was placed Print Name: by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 Title: U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public Telephone No.: Date: inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) Page 2 of 2 HOUSE BILL 89 VERIFICATION FORM Certification Required by Texas Government Code Section 2270.001 The 85' Texas Legislature approved new legislation, effective September 1, 2017, which amends Texas Local Government Code Section 1, Subtitle F, Title 10, Government Code by adding Chapter 2270 which states that a government entity may not enter into a contract (which includes contracts formed through purchase orders) with a company for goods or services unless the contract contains a written verification from the company that it: 1) Does not boycott Israel; and 2) Will not boycott Israel during the term of the contract Pursuant to Section 2270.001, Texas Government Code: I. "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli - controlled territory, but does not include an action made for ordinary business purposes; and 2. "Company" means a for profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. I, (authorized official) , do hereby verify the truthfulness and accuracy of the contents of the statements submitted on this certification under the provisions of Subtitle F, Title 10, Government Code Chapter 2270 and that the company named below: 1) Does not boycott Israel currently; 2) Will not boycott Israel during the term of the contract; and 3) Is not currently listed on the State of Texas Comptroller's Companies that Boycott Israel List located at https://comptroller texas gov/purchasing/publications/divestment php Company Name oigirdwre OTHumorizea utticial Printed Name of Authorized Official nit uT,vumorizea utticial Date RESIDENCE CERTIFICATION Pursuant to Texas Government Code §2252.001 et seq., as amended, Calhoun County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contract; pertinent provisions of §2252.001 are stated below: Sec. 2252.001(3) "Nonresident bidder" refers to a person who is not a resident. ❑ 1 certify that (4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state. is a "Nonresident Bidder" Texas (Company Name) of as defined in Government Code §2252.001 and our principal place of business is (City and State) ❑ 1 certify that (Company Name) defined in Government Code §2252.001. Signature of Authorized Agent Printed Name and Title of Authorized Agent Date is a "Resident Bidder" of Texas as CURRENT INFORMATION CURRENT CONTRACT AGREEMENT AND CURRENT FOOD AND NON-FOOD PRICING LIST January 1, 2022 thru December 31, 2022 AGREEMENT FOR THE ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES FOR THE CALHOUN COUNTY ADULT DETENTION CENTER STATE OF TEXAS COUNTY OF CALHOUN This agreement is by and between CALHOUN COUNTY acting through their ADULT DETENTION FACILITY (hereinafter called the "DETENTION FACILITY") and Ben E Keith (hereinafter called "PROVIDER") and is for the furnishing of food and non-food items to the DETENTION FACILITY. The effective date of this agreement is January 1, 2022 and is for a period of one year from that date. This agreement will end on December 31, 2022. This agreement has the option to renew yearly if agreeable with both the PROVIDER and the DETENTION FACILITY and approved by Calhoun County Commissioners Court. Written request for renewal from the PROVIDER must be approved by Commissioners Court prior to the end date of the preceeding contract. The food and non-food items to be provided are set out in the attached Invitation to Bid Form and Attachment to Invitation to Bid Form — Additional Bid Items and said prices will be honored for the one year period. Any items ordered not on the attached Invitation to Bid Form or the Attachment to Invitation to Bid Form — Additional Bid Items shall be provided at Cost Plus 12 % basis. The DETENTION FACILITY, their representative and/or the County Auditor's office may audit the Cost Plus 12% basis at any time and the PROVIDER will provide the DETENTION FACILITY, their representative and/or the County Auditor's office with documentation necessary for this audit at no additional charge. The DETENTION FACILITY agrees to pay for said food and/or non-food items upon presentation of an invoice and verification that said food and/or non-food items have been delivered and received. PROVIDER will use its best efforts to provide quality products and good and healthy food but makes no warranties express of implied about their fitness for use. PROVIDER will provide products that are needed for inmates with high blood pressure, diabetics or for religious reasons. Page I of 4 PROVIDER will offer other equipment, services or products used in kitchen at free of charge, discounted price, or Cost Plus _% basis if available. These products include dispensers for coffee, chemicals and other products used in kitchen. PROVIDER may not add any other charges and/or fees to the bid price. All bid prices shall be good for the entire bid period. If an item(s) is substituted, the item(s) must be of equal or lower in price. The substituted item cannot go over the bid price for that item taking into consideration the pack size and quantity. Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the jail to make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 AM to 10:00 AM and 1:00 PM to 4 PM in order not to disrupt the jail kitchen in preparing meals. Should an ordered item(s) not arrive as ordered, wrong item(s) is delivered, or item(s) is delivered damaged, PROVIDER will deliver the correct or substitute item(s) within 24 hours from the date the missing or damaged item(s) was supposed to be delivered. No extra charges and/or fees will be allowed to be billed to correct the error or damaged item(s). Should the PROVIDER not be able to supply an item(s) to the DETENTION FACILITY, the DETENTION FACILITY may purchase the item(s) from another source without being in conflict with this agreement. Liquid items will be delivered in plastic crates to prevent damages when stacked. A sales representative from the PROVIDER shall contact the Jail Administrator, the Jail Administrator's appointed representative and/or Jail Kitchen Officer at least monthly, in person, to discuss any issues or new products offered. New products shall be offered to the DETENTION FACILITY at the lowest possible cost plus 12% and PROVIDER shall provide information to the DETENTION FACILITY on the calculation of this cost and shall be subject to audit by the DETENTION FACILITY, their representative and/or the County Auditor's office at no additional charge. All products on the Invitation to Bid Form and Attachment to Invitation to Bid Form — Additional Bid Items are speculative products and should not be considered as firm products to be purchased during the term of the agreement. Order processing shall be made available by fax and / or website. Page 2 of 4 By acceptance of this agreement PROVIDER agrees to notify the Jail Administrator and/or Sheriff of any solicitations from employees of Calhoun County for services not officially associated with the DETENTION FACILITY'S operations. PROVIDER is prohibited from offering, giving, selling, supplying, or conveying in any way or form, products for personal use to employees of Calhoun County. Samples may be provided to the DETENTION FACILITY for use within the facility for evaluation purposes. Agreement Documents consist of the following: 1. This Agreement 2. Invitation to Bid Form 3. Attachment to the Invitation to Bid Form —Additional Bid Items 4. Bid Specifications 5. Calhoun County, Texas — General Conditions All disputes or protests will be held in Calhoun County, Texas. IN WITNESS WHEREOF, the undersigned have executed this agreement to be effective as of January f, 2022. SIGNED AND ACCEPTED this th%�� / day of �2 c e�,r a er , 2021. ACKNOWLEDGEMENTS ON FOLLOWING PAGE Page 3 of 4 DETENTION FACILITY: CALHOUN COUNTY, TEXAS CACOUNTY ADULT DETENTION CENTER 211 S Ann St, Yd Floor, Ste 301 4RchaardH. Meyer, Cal o n County Judge Port Lavaca, TX 77979 xa&5qa-- Title: 1,':1Jet 1,1A PROVIDER: BEN E KEITH COMPANY District Sales Manaaer Signature &� `Titl Emily Lynch Typed or Printed Name Attest: Title: District Sales Representative 17635 Ben E Keith Way Mailing Address Selma, TX 76154 City, State, Zip Code Page 4 of 4 Calhoun County, Texas Calhoun County Adult Detention Center INVITATION TO BID FORM ANNUAL SUPPLY CONTRACT FOR INMATE FOOD SERVICES Bid Number 2022.04 January 1, 2022 thru December 31, 2022 With the option to renew yearly (one year terms) if agreeable with both the successful bidder and Calhoun County. Bidder's Name and Address Ben E Keith 17635 Ben E Keith Way Selma, TX 78154 • PLEASE TYPE. IF HANDWRITTEN, MUST BE IN INK AND LEGIBLE. • WHITE OUT IS NOT ACCEPTABLE • ITEM OR ITEMS NOT BIDDING: MARK "NA" UNDER COST OR LEAVE BLANK • ADDING ITEMS: LIST ON A SEPARATE PAGE AND NOTE AS AN ATTACHMENT TO THE INVITATION TO BID FORM • SEE SPECIFICATIONS AND GENERAL CONDITIONS FOR COMPLETE REQUIREMENTS • BE SURE TO COMPLETE, SIGN AND DATE THE LAST PAGE OF THE INVITATION TO BID FORM PLEASE NOTE: The bidder may request the Invitation to Bid Form be emailed to them in the Excel Format. If the bidder requests the Invitation to Bid Form be sent to them in the Excel Format, the bidder understands that the form and/or format shall not be changed in any way. The bidder shall not delete and/or add items to the Invitation to Bid Form. THE BIDDER UNDERSTANDS THAT BY CHANGING THE FORM AND/OR FORMAT OF THE INVITATION TO BID FORM IN ANY WAY SHALL DISQUALIFY THEIR BID. The Excel Format may be requested only as a means to enter the required information. Requests for the Excel Format of the Invitation to Bid Form must be sent to Peggy Hall, Assistant Auditor, at peggy.hall@cafhouncotx.org or by calling 361-553-4610. Page 1 of 17 Invitation to Bid Form -Annual Supply Contract forinmate Food Services _CONTINUED ack Size Item # Pack /Size ff different Brand from Usted 136576 1 140 ib 4/31b Sunrich 25048 756 8004 1196 774010 774911 123884 650070 334355 650010 334355 158788 122432 122437 650082 652031 111698 650085 24/2oz 6 / #10 6 /#10 1 / 300 ct 1,10 /30 lb 12/6ct 6/5lb 24/1Ib 1140 lb 217lb 2/9lb 1/5oz 1/5oz 1/1lb 6 / #10 6/#10 6/#10 1 / 20 lb 6/#10 1120 lb 6/#10 1 ! 20 lb 1 / 20 lb 6/#10 11501b 6410 6/#10 Lenders Hosptlty Kth/Home Ellington Aliens Mrkn/Fc Aliens Mrkn/Fc Bushbest Ellington Bushbest Lakeside Ranchsty Description is Sliced Solid Pack Fresh Slice Red Sauce Unsweet Sauce Sweet 'Bacon Precooked Thin Bacon Slab Sliced Raw Bagel Plain Sliced 2.3 oz 3aking Powder 3aking Soda lananas green tip ease - Beef Granular ase - Chicken Flavor Paste as!] Ground rsil Leaf iy Leaves an Baked Oven Prepared an Chili Homestyle an Chili Chuck Wagon Max in Cut Green Bean - Frozen in Cut Green Bean - Canned n Green Regular Cut n Kidney Dark Red i Baby Lima Bean - Dry r Navy Pea Dry i Pinto Fancy Pinto Triple Clean Dried Pork and Beans Fancy Ranch Style Fancy cost n I ATE on How Often Used; $15.27 $31.69 $33.18 r $11.67 $5.91 $11.88 $38.68 $70.48 $30.88 $22.18 $22.18 $28.78 $25.47 $18.28 $26.39 $35.78 $27.37 $39.69 Page 2 of 17 Invitation to Bid form -Annual Supply Contract jorinmate Food Services — CONTINUED Pack/Size Item # Pack / Size Ljdfj/eient Brand Description ESVMATE from listed cost on Now Often 782002 6410 eve Ailens Bean Refrietl used: $37.07 117441 s/#t0 BUshbest Bean Vegetarian Baked Beans $38 28 weekly 546001 4 / 5 lb tub Tx Chill Beef BBQ Beef Chopped with Sauce $55.59 Weekly 504853 5 / catch $Witt Beef -Brisket Boneless 120 No Roll $3.69/1b Weekly 501004 z 17lb avg Wilson Beef- Roast Top Round Cooked $4.99/Ib Quarterly 506080 8 110 lb avg Packer Beef Ground Fine 73/27 Quarterly 506104 4014 oz Hoiten Beef- Patty 411 with Tvp $2.25/Ib weekly 168480 40 / 4 oz HOlten Beef- Patty Breaded $25 79 weekly 509345 90 /3 oz Tndrbri BeeF- Patty Flame Broiled $51.54 weekly 509306 102 / 2.5 oz Tndrbrl Beef Patty Charbroiled pre-cooked $92.32 $88.24 Quarterly 504750 3124 lb avg Cargill Beef Shoulder Clod $3.47II6 Quarterly 508013 40 / 4 oz Beko Beef Steak Fritter Natural411 Raw $35.77 Quarterly 154223 2 / 5 lb 4l51b Texas Fd Beef stew Meat weekly 510413 160 / 1 oz Advance Beef Steak Finger Breaded Cooked 1 oz $93.38 $41 9g Weekly 24 / 8 OZ Biscuits Buttermilk 1Oct NA Weekly 398435 96 / 1.55 oz Rotellas Biscuits Dinner Rolls Thaw & Serve $28 79 Monthly 140607 216 / 2.2 oz Ellingtn Biscuits Dough Southern Style weekly 290073 8 / 24 oz Frsh/Kth Bread Sandwich Wheat Loaf $36.49 Weekly 290020 8 124 oz Frsh/Kth Bread Sandwich White Loaf $16.67 Weekly 106047 s / 12 doz Gransabr Bread Tortillas Com $14 49 weeny 408617 18 / 24ct Max Orig Bread Tortillas Flour $25 27 Weekly 547106 12 11 lb Farmind Bologna turkey Club $23 97 Weekly 32019 3L5Mrkn/Fc 1 / 2016 Broccoli Cuts $42 27 Weekly 808022 12 149 oz Vanee Broth Chicken $19 27 Weekly 2 / 20 d $35.89 Quarterly Bun Hamburger Wheat NA 161826 6 / 8 et Orowheat Bun Hamburger Wheat weekly 155868 2120 ct Mrsbaird Bun Hamburger White $13.87 Weekly 106518 6 / 8 d 5/12ct Frsh/Kth Bun Hamburger white $9.37 weekly 290220 6112ct Frsh/Kth Bun Hot Dog $11.22 Weekly 168497 72 / 4 oz 64/4oZ Tinas Burrito Beef &Bean $13.98 $23.68 Weekly 385147 64 / 4 oz Eimohtry Bunrito Beef &Bean Red Chili $36.89 weekly Weekly Page 3 of 17 Invitation to Bid Form -Annual Supply Contract forinmate Food Services— coN71NUED Ltem I Pack If Size Pack/Ske if different from listed Brand Description Cost AT on How Often uses: 092005 1 150 lb Packer Cabbage Green 691402 6 / 51b Contmill Cake Mix Chocolate $26.67 Monthly 691402 6 / 51b Contmill Cake Mix Devils Food $29.29 Monthly 691401 615 lb Contmill Cake Mix White $29 29 Monthly $29.36 Monthly 591400 6151b Contmill Cake Mix Yellow $29.38 117566 1 / 12 a Mrkn/Fc Cantaloupe Fresh $33.38 Monthly 098010 1 / so Ib sack Packer Carrots Jumbo weekly 336335 12 12 lb Mrkn/Fc Carrots Diced $20.88 Weekly $24.37 Weekly 113583 61#10 Lakeside Carrots Sliced Canned $28.88.88 336151 1 / 201b Mrkn/Fc Carrots Smooth Sliced $22.47 Weekly 113583 6 / #10 Lakeside Carrots Sliced Medium $28 88 weekly 337112 1 / 20 lb Mrkn/Fc CauliflowerLQF $2398 weekly 102012 1 / 40lb Mrkn/Fc celery Fresh $26.67 Monthly 799100 4126 oz Kelloggs Cereal Bulk Com Flakes $25.68 Weekly 799224 12128 oz Quaker Cereal Cream of Wheat $26.88 Weekly 799226 12 / 28 oz Hosptity Cereal Farina Enriched $23.28 Weekly 799116 4145 oz MOM Cereal Bulk Frosted Flakes $34 78 weekly 799120 4146 oz MOM Cereal Bulk Fruit Dyno Bites $35.49 Weekly 799276 4139 oz Cheerios Cereal Bulk Honey Nut Cheerios $53.19 weekly 799204 1 / 50 lb, Quaker Cereal oats Rolled #5 $26.52 Weekly 799114 6136 oz MOM Cereal Bulk Raisin Bran $37.07 Weekly 799103 4 135 oz MOM Cereal Rice Tootie Fruitie $32.09 Weekly 761010 615lb Gldhrvst Cheese American Melt Loaf $74.67 weekly 133070 6 / 5 lb Hilldale cheese Product Americant20Slices $69.99 MontnN 121802 415 lb SChreibr Cheese American 184 Slices $46.47 Weekly 121801 4 Is lb Schreibr Cheese Cheddar Shredded imitation $34.86 Weekly 740078 215 lb Gldhrvst Cheese Chedder Jack Shredded $26.08 Quarterly 01618t 2l51b Schreibr Cheese Chedder & Mont Jack Shreeded $58.37 Weekly 158931 215 lb 4/51b Daisy Cheese Cottage Cheese Sm Curd 4% $2g,gg Weekly Weekly Page 4 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services — CON71NUED Pock/Size Item# Pack/Size ifdifferent Brand Description ESTIMATE from Listed Cost on !bw lNten 742022 10 / 3 lb Gldhrvst Cheese Cream Cheese Loaf Grade A $60.29 Usetl: 761010 6 15 lb Gldhrvst Cheese Melting Loaf Yellow $74.67 Monthly 107524 41 s lb 6/5Ib 1950-127 Cheese Mozzarella Reg Shredded $75.67 Monthly 759001 215 lb Gldhrvst Cheese Pimento Cheese Spread $40.58 Monthly 121922 6129 oz Gldhrvst Cheese Powdered Cheese Mix $44 27 Monthly 158882 615 lb Welcomed Cheese Queso Melt Weekly 487156 4 / 101b Packer Chicken Boneless Skinless Chicken Thighs - Plain $85.27 167546 1 110 lb 1/40Ib Martin Chicken Boneless Skinless Chicken Thighs - Weekly Flavored $81.78 487831 so 13.1 oz 67/2.40z Brkbush Chicken Breast Patty Breaded Weekly 115457 1so / 3 oz Mjnutemn Chicken Patty Breaded Cooked $32.88 Weekly 114922 2 15 lb Tyson Chicken Breaded Chicken Fritter $62 87 weekly 122494 10711.6 oz Jones Chicken Breakfast Patty $26 78 Weekly 88422 215lb Plathvst Chicken Diced All White Cooked $35.38 $43.67 Quarterly 487431 52 13 oz Smrtsrve Chicken Breast Fillet Faille $46.83 weekly 122391 1110lb 4/101b Texas Fd Chicken Fajitas Sliced Chicken Raw $111.17 Monthly 487365 215lb Perdue Chicken Falb Strip Cooked weekly 102198 2 / 5 lb Gransabr chicken Fajita Meat Lacocina $41.67 $3.59/Ib Monthly 487080 1110 lb Supreme Chicken Fajita Thigh Meat Frozen $44,38 Monthly 487856 4 110 lb Packer Chicken Leg Meat Bonless $77.38 Monthly 126814 1 / 2016 Dixie Chicken Nuggets Raw $20.89 weekly 487156 4 / 10 Ib Packer Chicken Thigh Meat Raw Frozen $85 27 Monthly 123884 4 / 41b 6/#10 Ellingtn 9 Chili Frozen - With Beans Monthly 106559 s 15 1b Cocinagr Chili Frozen - Without Beans $70.48 weekly 123884 61#10 Ellingtn Chili Canned -With Beans $60.28 weekly 123883 6/#10 Ellingtn Chill Canned -Without Beans $70 48 weekly 123885 6 /#10 Ellingtn Chili Hot Dog Sauce wlmeat $91 78 Weeky 699399 8/1 lb Fritos Chip Frito Com Bulk $57.57 Monthly $16.24 149126 10 / 16 oz DeepriVr Chip Potato Kettle $32.48 weeky Weekly Page S of 17 Invitation to Bid Form -Annual Supply Contract forinmate Food Services —CONTINUED Item# ck/Sue ri)fFoodifferent Pack/Size Brand Description cost m listed &Lima an Now often Used: 699514 6 / 16 oz Lays Chip Potato Regular Bulk $15.41 699253 8116 oz Ruffles Chip Potato Ridged Ruffled $21.06 weekly 106058 612lb Gransabr Chip Tortilla Yellow Round $19.09 Weekly 168684 3 ISO ct 2/50ct Fritolay Chip Variety $33.14 weekly 774022 1 / 51b Spicecls Cinnamon Ground $27.67 weekly 692113 1 / 10 Ib Snownak Coconut Sweetened Coconut $27.88 Monthly 640345 12 /2 lb 6/21b Elgtncof Coffee Traditional $87 7g Monthly Weekly 12 12 lb Coffee Can NA 640556 4211.25 oz S&D Coffee Todays Gourmet wlFilter $19.89 weekly 92071 a / 5 lb ct Mrkn/Fc Coleslaw Mix Shredded $19.48 weekly 772015 1 / 10lb Homestyl Cookie Chocolate Chip $23.28 Weekly 772021 1110 It, Homestyl Cookie oatmeal Homestyle $21 22 weekly 772023 1110 lb Homestyl Cookie Sugar Homestyle $20.57 Weekly 772010 115lb 6/13.3oz Keebler Cookie Vanilla Wafers $14.47 Weekly 432441 320 / 1 oz Valuzone Cookie Dough Chocolate Chip $46.19 Weekly 432442 320 / 1 oz Valuzone Cookie Dough Oatmeal Raisin $49.98 Weekly weekly 432443 32011 oz Valuzone Cookie Dough Sugar $43 28 650172 6 /#10 Aliens Com Cream style $37.29 Weekly 338602 1 / 20lb Mrkn/Fc Com Cut $21.29 Monthly 338837 6 12 lb Freds Com Com Nuggets Sweet Battered $31 38 Weekly 125734 6 /#10 Ellingtn Com Whole Kernel Fancy Canned $29.98 weekly 124525 24o/.67 cz Ellingtn Com Dogs No Slicks $38.67 weekly Weekly 240 / .67 cz Com Dogs Turkey Mini - No Slicks NA 691056 6 / 5 lb Pioneer Cornbread Mix Homestyle $32.68 Weekly 117439 6 13.5 Ib Ellingtn cornbread Stuffing Mix $58.69 Weekly 119165 1125 lb Ellingtn Cornmeal $10.09 Monthly Quarterly 772080 20012 pk Honymaid Crackers Graham Honey Mid - Individually $21.48 Wrapped Monthly 771314 12 116 oz Nabisco Crackers Saltine - Bulk $36.18 771332 500 / 2 pk Lanec Crackers Saltine - Individually Wrapped $12.57 Weekly 771510 30012 pk 500/2ct Lance Crackers Cafe Club $17,38 Monthly 639071 24 112 oz N Joy Creamer Non Dairy Canister $40 29 Monthly 104930 1 14.5lb Gransabr Cumin Ground $24.07 Weekly Quarterly Page 6 of 17 Invitation to Bid Form -Annual Supply Contract for !note food Services - CONTINUED Ltem# #Pack/Size Pack/Size if different from Usted Brand Description cost Estimate un Now often used: 119441 4 / 1 gal Ellingtn Dressing Coleslaw $41.75 674077 200 / 1z m 9 PPI Dressing PC Italian Packets $14.78 Quarterly 119440 411 gal Ellingtn Dressing Lt Italian Dressing Gallon $24.98 Monthly 119442 4 / 1 gal Ellingtn Dressing Ranch Buttennlik Gallon $47.74 Monthly 200 / 12 gm ppl Dressing PC Ranch Buttermilk $16.49 Quarterly 122557 122557 18 / 3.2 oz Ellingtn Dressing Ranch Mix $26.18 weekly 164879 60 / 1.5 oz Ellingtn Dressing PC Thousand Island $13.87 Weekly 662323 4/1 gal Select Dressing Honey Mustard $55.38 Monthly 122648 12 124 oz Ellin to Drink Mix Fruit Grape Powdered $33.68 Monthly 122645 12 124 oz Ellingtn Drink Mix Strawberry Powdered $33.68 Weekly 122642 12 /24 oz Ellingtn Drink Mix Fruit Punch Powdered $33.68 Weekly 122647 12 / 24 oz Ellingtn Drink Mix Pink Lemondade Powdered $33.68 Weekly 122644 12 / 24 oz Ellingtn Drink Mix Peach Powdered $33.68 Weekly 630281 12 11.8 oz Crystlgt Drink Mix Sugar Free Fruit Punch Powdered $46.97 Weekly Weekly 630280 12 / 2.2 oz Crystlgt Drink Mix sugar Free Pink Lemonade Powdered $46.97 weekly 118454 15 12 lb Ellingtn Egg Mix Scrambled w/2% Milk $40.67 118455 1 / 20Ib Ellingtn Eggs Whole Liquid w/citric $49.08 Weekly 118455 2 / 20 Ib weekly Egg Whole Liquid w/citric $49.08 Weekly 016522 200 / 1 oz 153/1.25o Echolake Egg Scrambled Patty Round $33.98 138229 1 / 101b Papettis Egg Hard Cooked Peeled $24.07 weekly 122785 11200 ct Packer Egg Fresh Shell Jumbo USDA $31.07 Weekly 385417 90 11.75 oz Femando Enchilada Cheese IQF $26.17 Weekly 777035 1 /pt MCOrmick Extract Vanilla Imitation $4 10 Weekly Quarterly 117880 1115 lb Admiral Fillet Swai Fillet 5 7 oz $58.36 455779 1110 lb FPi Fish SVip 1.5 oz Breaded $39.29 weekly 451711 4 110 lb Packer Fish Pollock Fillet 4f oz $103,17 weekly 151727 1110 lb Highline Fish Pollock Rect Breaded Wg $37.71 Weekly 119163 1/50to Ellingtn Flour All Purpose $16.07 Weekly 536111 80 12 oz Farmland Franks All Meat 8/1 $26.59 Monthly 492029 P 15 lb Butterbl Franks Turkey $20.27 Monthly 137957 6 / 5lb Farmers French Fries RC 318 IN $21.58 Monthly 125647 6 / #10 Kth/Valy Fruit Cocktail X Lt syrup $49.99 Weekly 125646 s / #10 KthNaly Fruit Mix Lt Syrup $49.47 weekly Weekly Page 7 of 17 Invitation to Sid Form -Annual Supply Contract far Inmate Food Services — CON77NUED Pack/Size Item# Pack/Size ffd/fferent Brand fTom Usted 104929 1/71b 1/6.51b Gra nsabr 767052 24 13.14 oz Jello 122655 12 / 24 oz Ellingtn 767043 12124 oz Royal Fd 122654 12124 oz Ellingtn 027120 1/35lb Packer 797058 6 / 13 oz Morrison 797060 6114 oz Pioneer 797246 6 / 24 oz Morrison 797237 6 / 11.3 oz Pioneer 797240 6111.3 oz Pioneer 012362 613lb Packer 538680 2 / 10-12 lb Menumstr 127801 6 / 5 1b 4/101b Hormel 538043 4/31b 6/21b Breadrdy 2113lb 2 / 10-121b 128886 4/3lb Hilshire 155869 2 /20 ct Mrsbaird 361069 12012.2 oz Ore Ida 650337 6/3lb Goldngrl 361030 6/3lb Traditni 1130 lb 290220 6112 ct Frsh/Kth 123003 2 15 lb Ellingtn 405128 415lb Hagys 766108 1 / 121b Richs 766107 1112 to Richs 677036 318011 200 1.5 oz 200 / .5 oz 7014 oz 70/4 oz Heinz Smuckers Ard Frm Description in Cup n Mix Mixed Assorted Citrus n Mix Lime n Red Varladon fruit Ruby Choice 40 Mix Brown Country Style ravy Mix Peppered revy Mix Pork Roast ravy Mix Turkey reens Mustard Greens im Buffet Style im Chopped m Pre -Sliced m Shaving Cooked 4 x 6 Deli m Shaving Smoked Boneless Ti Sliced Smoked nburger Buns chbrowns Golden Patty lhbrowns Red! Shred hbrowns Lqf Shredded ey Dew Melon US #1 8 ct Dog Buns hpuppies Regular Round ]puppies Nomestyle Chocolate Vanilla PC Assorted Cup PC Grape Cup Apple 100% Carton Carton Orange 100%Carton Cost I MATE on Now often Used; $29.77 $10.08 $34.67 $28.17 $34.67 $39.78 $26.29 $21.58 $20.78 $146.78 $43.07 NA NA $59.67 $9.97 $29.69 $46.09 $26.27 NA $13.98 $17.97 $34.69 f3 12.38 Page 8 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services—CON77NUED Item # Pack / Size Pack/Size if different from listed Brand Description cost ESTIMATE on How Often Used: 146968 1000 19 gr 1906 Ketchup individual Packets $16.76 Weekly 122416 6 /#10 Kth/Home Ketchup Standard $26.57 Weekly 138201 1 / case Mrkn/Fc Lettuce Iceberg $39.67 weekly 123065 4 15 lb Mrkn/RSs Lettuce Shred 1/4 Inch $29.18 weekly 148179 90015 gr 912/5gr Landolak Margarine PC Cup Spread $ 22.97 Monthly 129724 432114 gr GldhrVst Margarine pcks $29.49 119460 30 / 1 lb, Ellingtn Margarine Solids Pure Vag $34.39 Monthly 800711 12 / 16 oz Jetpufed Marshmallows Jet Puffed $24.68 Quarterly 111293 4/1 gal Kens Mayonnaise Heavy Duty Gallon $40.97 Monthly 170220 200112 gm Flavrfrs Mayonnaise PC $18.47 Weekly 1 / 30 lb Melons Honey Dew US #1 8 ct NA Weekly 104374 2 / 5 lb Bonici Meatballs Beef & Chicken $4228 Weekly 522410 320 / .5 oz Advancep Meatballs Flame Broiled $53.68 weekly 509618 76 13.15 oz Smartpic Meatloaf Patty Deluxe $88.28 weekly 798022 24114 oz Magnolia Milk Condensed Sweetened $48.87 Monthly 798001 24 / 12 oz Velvet Milk Evaporated $24.59 Monthly 798059 1 / 25lb Ramsen Milk Powdered Skimmed NF $57.78 Monthly Milk Powdered Homo Vitamin D NA Monthly 171984 4/1 gal Oakfarms Milk 2% Reduced Fat 1 Gallon $19.69 Weekly 71983 411 gal Oakfarms Milk Homo Vitamin D 1 gallon $20.67 weekly 284410 25 1112 pt Oakfarms Milk 1% Reduced Fat 1/2 pint cartons $9.47 Weekly 119825 251112 pt Dairypur Milk 2% Reduced Fat 112 pint cartons $9.37 Weekly 119826 2511/2 pt Dairypur Milk Homo Vitamin D 1/2 pint cartons $9.67 Weekly 124165 4/1 gal Kth/Valy Mustard Prepared Gallon $12.99 Quarterly 160130 50015.5 gr Frenchs Mustard PC Pouch $12.69 Weekly Page 9 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services—CON77NUED Item# Pack/Size Pock/Size ifdifferent from Listed Brand Description cost ETkI"^I on Bow Often Used: 119462 6 / 1 gal Ellingtn Oil Butter Flavored $83.30 Monthly 119462 6 / 1 gal Ellingtn Oil Pan & Grill Trans Fat Free $83.30 Monthly 698007 6 117 oz Pam Oil Pan Spray $21.47 Monthly 779032 1 135 lb Bunge Oil Shortening Clear Fry $43.08 Monthly 342131 1 120lb Pictswt Okra Cut 112 inch Grade A $17.99 Weekly 325205 1 120lb Beko Okra Cut Heavily Breaded $20.47 Weekly 124370 6 / 2 lb Ellingtn Okra Cut Breaded Southern Style $13.88 weekly 775002 1 / 3 lb Mcormick Onion Dried Flakes Chopped $13.48 Monthly 155091 415lb Taylorfm onion Sliced $49.59 Monthly 155030 1 / 50 lb Packer Onion Yellow Jumbo Sack $24.77 1 Monthly 031111 1 /35lb Mrkn/Esn Oranges Fresh $34.17 Weekly 031112 1 / 35lb Mrkn/Esn Orange choice $43.09 weekly 134842 6 / #10 Ewimport Oranges Mandarin Oranges Broken Lt $51.07 weekly 774929 1 112 oz Txcustom Oregano Ground $9.69 Quarterly 168088 144 11.2 oz Krusteaz Pancake Original - Frozen $21.30 Weekly 774727 11locz Mcormick Parsley Flakes $14.47 Quarterly 151773 215 lb Bellacib Pasta Egg Noodle Wide 1/21nch $15.46 Monthly 151772 2110 lb Bellacib Pasta Elbow Macaroni $19.98 Monthly 151784 12 / 16 oz Bellacib Pasta Lasagna Ribbed $15.97 Monthly 151778 2 / 10 It, Bellacib Pasta Spaghetti Thin 10 inch $19.98 Monthly 125643 6 / #10 KthNaly Peaches Sliced Extr Lt Syrup $47.77 Weekly 125648 6 / #10 KthNaly Peaches Diced E&a Lt Syrup $47.77 Weekly 165099 615 lb Ellingtn Peanut Butter Creamy $49.39 Weekly 170314 200If 0.75 oz Jif Peanut Butter Pe $40.99 weekly 125641 6 / #10 Kth/Valy Pears Sliced Light Syrup $48.39 weekly 113580 6 /#10 Lakeside Peas Blackeyed $28.59 Weekly 104049 1 120 lb 12/21b Sunfield Peas Peas & Diced Carrots Frozen $22.19 Weekly 343503 1 /20lb Simplegd Peas Green $23.57 weekly Page 10 of 17 Invitation to Bid form -Annual Supply Contract for Inmate Food Services - CONTINUED Item# 125740 774165 685214 Pack/Size s/#to 1 / 18 oz 12127 oz Pack/Size ifdifferent from Listed Brand Kth/Valy S iceCls Rosarita Description Peas sweet Mixed Pepper Black Gound Fine Pure Peppers Chili Diced Green Cost $34.28 $9.47 $51.27 EmMA1Eon Now often Used: Weekly Monthly 1 Monthly 165010 110417 Ill 1/9 Bulk s / #10 Mrkn/Esn Gransabr Pepper Bell Green Chopper Pepper Jalapeno Nacho Sliced $23.38 $28.07 Monthly quarterly 774829 1 / 7 lb TXCUstom Pepper Lemon Seasoning $23.58 Quarterly 100059 411 gal Bstmdpro Pickles Dill Relish $24.09 Monthly 680023 1 / 5 gal Chefsupr Pickles Dill Sliced Hamburger $20.59 Monthly 430075 600379 134844 6 / 43 oz 6181 oz 6 /#10 Chef P Dote Ewimport Pie Pumpkin 10 Inch PreBaked Pineapple Chunks in Extra Lt Syrup Pineapple Sliced in Juice $39.88 $39.55 52.98 Quarterly Weekly Weekly 600373 s / #10 Dole Pineapple Tidbits in Juice $47.38 weekly 384029 384420 128 13.31 oz 9614.48 oz Tons Tonys Pizza Breakfast Turkey Sausage Pizza Pepperoni Whole Grain $52.97 $54.19 Monthly Monthly 653001 36 / 8 oz Fan rm Popcorn M All In one $26.77 Monthly 153400 6 / 6-81b Smithfid Pork Loins Boneless $2.13/Ib Monthly 544251 40 13.76 oz Advance Pork Patty Breaded Cooked $35.87 Monthly 532351 5213.1 oz Qtf Pork Patty Rib Shape Cooked $447 Monthly 532010 532421 4613.5 oz 8013 oz Advance Kingcmnd Pork Rib Patty Pork Rib Patty w18BQ Sauce $51.38 $58.27 Monthly Monthly 650337 650332 6 12.5 lb 6/#10 615.31lb GOidngrl Basic Potato Hashbrown Redi Shred Potato Instant with milk $46.09 $56.17 weekly weekly 170105 169149 170050 1 150 lb 1150lb 1 / 50 Ib Mrkn/Esn Mrkn/Fc Mrkn/Fc Potato Idaho #2 Potato Red#2 Potato Russet 10 oz US #2 $24.17 $22.27 $22.27 Weekly weekly Weekly 170048 Mrkn/Fc Potato Russet 80 ct 1OA $25.28 Weekly 650380 6 /#to Princela Potato Sweet Cut Fancy $37.58 Weekly 123013 815 lb Madeira Potato Tater Bites Seasoned $41.19 weekly 360811 6 15 Ito Ore Ida Potato rater Tots $47.28 weekly 650314 6/#10 Aliens Potato White Diced $32.57 weekly 765086 6 / #10 Myhmtwn Pudding Banana $29.07 Weekly 765085 61#10 Myhmtwn Pudding Chocolate $29.57 weekly 765037 2413.625 oz JeilO Pudding Chocolate Sugar Free $13.08 Weekly 148023 6 / #10 Thankyou Pudding Lemon $39.29 Weekly 123296 61#10 Ellin to Pudding Tapioca $37.19 Weekly 765084 61 #10 Myhmtwn Pudding vanilla $2869 weekly 168464 6 / #io 3/#10 LUCkif Pudding Vanilla Sugar Free $24.18 Weeky Page 12 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services - CON7INUED Pack/Size Item# Pack/Size if different Brand Description cost EMMATE an from Listed Now often Used: 800042 2416 / 1 oz Vlypdde Raisins Individual Packs 38.89 Weekly 800058 24 / 15 oz Sunmaid Raisins Golden Seedless $53.98 Weekly 786203 61910 Chefboy Ravioli Beef RTU $59.97 654044 1 150 lb Producer Rice Long Grain $19.17 weekly Weekly 654060 1 1501b Comet Ri Rice Long Grain Parboiled 4% Broken $21.77 Weekly 100059 4 / 1 gal 8stmdpro Relish Dill Premium $24.09 Monthly 127018 415 Ib Mrkn/Rss Salad Mix Lettuce in Bag $30.18 Weekly 768119 1 / 301b 1/321b Rons Salad Potato Homestyle $49.73 Monthly 547118 384 / .5 oz Smithfid Salami All Meat Sliced $45.97 Weekly 676026 1 / 25Ib Morton Salt Iodized Table $7.07 Quarterly 660017 4 / 1 gal UI Pig Sauce BBQ $19.39 Monthly 660556 6 /#10 Gehls Sauce Cheese $40.27 Weekly 660583 6 /#10 Mipueblo Sauce Cheese Nacho $40.17 Weekly 600060 24 / 14 oz 6/#10 Oceanspr Sauce Cranberry Jellied $39.89 Quarterly 168550 4/1 Gal 2/.5gal Gransabr Sauce Enchilada Mild RTU $14.98 Weekly 60220 6 /#10 Lavictor Sauce Enchilada Mild RTU $39.28 Weekly 785065 4 / #10 Manwich Sauce Manwich Sloppy Joe $29.09 Weekly 168549 4/1 Gal 2/.59al Gransabr Sauce Picante Mild Gallon $14.67 Monthly 125659 6/#10 Ellingtn sauce Pizza $29.58 Weekly 124163 4/1 gal Ellingtn Sauce Soy Sauce Gallon $20.77 Monthly 125660 61910 Ellingtn Sauce Spaghetti RTU $31.07 Weekly 169281 20019 gr Flavfrs Sauce PC Taco $8.78 Weekly 674096 500 19 gr Heinz Sauce PC Taco $28.07 Weekly 674812 200/7/16 oz Kraft Sauce Tarter Creamy Packets $16.17 Weekly 125658 6 / #10 Ellingtn Sauce Tomato Fancy $25.17 Weekly 660298 4/1 gal Caj Chef Sauce Worcestershire $19.09 Quarterly 541205 2 15 lb Alamo Sausage Beef Breakfast Chorizo $25.49 Weekly 122494 107 11.5 oz .hones Sausage Chicken Patty Cooked $35.38 Weekly Page 12 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services-CON77NUED Item # Pack / Size Pack/Size lfdifferent from Usted Brand Description Cost ESi1MA7Eon Haw Often Used. 492773 12811.25 oz J Dean Sausage Turkey Cooked $39.88 weekly 1029 215 lb Alamo Sausage Chorizo Pork Raw $26.68 weekly 539067 2 15 lb Tenn Prd Sausage Ground Bulk Raw Mild $24.47 weekly 541578 2001.8 oz 256/.75oz Tenn Prd Sausage Link Natural .8 oz Cooked $37.29 Weekly 541587 9211 oz 192/1 oz Beko Sausage Link Mild 1 oz Cooked $35.17 weekly 549125 2 / 5 lb Pizzano Sausage Pork Topping Cooked $25.61 weekly 158485 1 110lb J Bar B Sausage Smoked Rope Cooked $23.78 Weekly 540018 15411.25 oz Tenn Prd Sausage Patty Cooked $36 07 Weekly 774458 12117 oz Chachere Seasoning Creole $32.37 quarterly 115570 118 to Chachere Seasoning Creole Original $13.69 quarterly 774434 1 124 oz 1/30oz Mcormick Seasoning Mexican Rub Mix $11.78 quarterly 774460 1123 oz Mcormick Seasoning Montreal $9.63 Quarterly 774396 1/4.51b MCormick Seasoning Salt Traditional $13.30 Monthly 60606 6115 oz Mcormick Seasoning Sloppy Joe Mix $26.77 Weekly 660714 1 124 oz Mcormick seasoning Taco $10.67 Quarterly 779032 1135 lb Bunge Shortening Clear Fry Liquid $43.08 Monthly 808040 12/50 oz Campbells Soup Chicken Noodle $45.69 Monthly 808030 12150 oz Campbells Soup Cream of Chicken $48 81 Monthly 808061 12150 oz Heinz Soup Cream of Mushroom $47.07 Monthly 12150 oz Soup Cream of Potato NA Monthly 808090 12 / 50 oz Campbells Soup - Tomato $36.59 Monthly 808100 12150 oz Campbells soup - Vegetable $51.77 Monthly 669027 415 lb Dalsv Sour Cream Cultured $23.27 Monthly 6/ #10 Spinach Chopped Fancy NA weekly 200098 Vol Fill Packer Squash Zucchini Mad 18-25 $25.09 Weekly 697100 24 / 1 lb Argo Starch Com $19.97 Quarterly 117439 613.5 lb Ellin to Stuffing Mix Cornbread $58.69 weekly 780009 12 12 lb Imperial Sugar Brown light in Bag $27.88 Monthly 140073 1 150 lb Unitedsu Sugar Pure Cane Extra Fine $30.97 Weekly 140073 1 / 50lb Unitedsu Sugar Pure Cane Granulated $30.97 weekly 781005 1212 lb Imperial Sugar Powdered White $27.88 quarterly 677255 too/ 1 oz SMUckerS Syrup PC Pouch -cup $13.59 Weekly 793036 low i oz I SmuckerS Syrup PC Pouch -Cup Sugar Free 1 oz $16.17 Monthly Page 13 of 17 Invitation to Bid Form -Annual Supply Contract for Inmate Food Services — CONTINUED Item# Pack/Size Pack/Size if different from Usted Brand Description Cost EM"^^TEon Now men Used: 168936 96 / 1 oz Elgtntea Tea Bags 1 oz $18.27 Weekly 167861 96 / 1 oz Ceylonat Tea Iced Filter Pouch 1 Gal $23.87 Weekly 211111 1 / 25lb Packer Tomatoe Bulk Cafe $26.67 weekly 125654 6 / #10 Ellingtn Tomatoe Diced in Juice $25.87 Weekly 171913 12 128 oz Del Sol Tomatoe Diced With Green Chills $24.57 Monthly 210114 1125 lb Packer Tomato Roma 92 $23.38 Weekly 791075 1 6 / #10 Jubilee Topping Chocolate Fudge $71.59 Monthly 122650 1211 lb Ellingtn Topping Whip Mix Add Water $36.07 Quarterly 134852 6 166.5 oz Ewimport Tuna Chunk Light in Water $70.29 Monthly 492954 12 / 1 lb Butterbi Turkey Breast Lunchmeat Combo $32.18 Weekly 492131 218-9lb Jennie O Turkey Breast Oven Roasted $2.19/lb Monthly 492291 2 / 9.9.5 lb c Carolina Turkey Breast Smoked Skinless $2.00/lb Monthly 100167 4110 lb Carolina Turkey Ground Tubes B0/20 $40.17 Weekly 492682 2 / 7-8 lb Carolina Turkey Ham Buffet Deluxe $1.78/lb Weekly 5 15 lb Turkey Medallion Roasted NA Monthly 492681 2 15 lb Bufterbl Turkey Ham - Diced Cured $23.27 weeky 492773 128/1.25 oz J Dean Turkey Sausage Patty Cooked $39.88 weekly 139312 6 / #10 Lakeside Vegetables - Mixed Fancy $32.39 Weekly 104049 1 / 20lb Sunfield Vegetables - Blend Peas & Carrots $22.19 Weekly 125737 6 / #10 Ellingtn Vegetables For Stew Fancy Chunky $31.77 Monthly 349198 1212lb Mrkn/Fc Vegetables - Blend Stir Fry $45.69 Monthly 344137 1120 lb Mrkn/Fc Vegetables - Mixed 5 Way $21.78 weekly 127425 12112 at Ego Waffles $23.19 weekly 650380 6 / #10 Princela Yams - Cut $37.58 Monthly 697001 2011 lb Saf Yeast Saf Instant Red Label $63.57 quarteAy Page 14 of 17 Invitation to Bid Form -Annual Supply Contractfor Inmate Food Services —CONTINUED Item# Pack/Size Pock/Size If different from listed Brand Description cost ESi1MATEon How often used: NON FOOD ITEMS: 883595 10 / 100 ct Disco Apron, Plastic Full Length Mad Wt 24x42 $105.27 quarterly 883597 1 / 100 ct Disco Apron, Plastic White Disposable $11.99 Quarterly 875379 11500 ct Wet Pak Bag Ice 10 lb Draw String $65.87 875027 112000 at Essntial Bag Sandwich wiFlip Top $33.27 Quarterly 875403 11500 ct Reynolds Bag Sandwich Reclosable 6.54 $17.66 quarterly 875405 11600 ct Reynolds Bag Zip Seal Quart $33.59 Quarterly 875321 1 / 200 at Reynolds Bag Freezer Reclosable 1 Gallon $23.78 quarterly 129707 1 / 250 ct Essntial Bag Reclosable Zip 1 Gallon $37.56 Quarterly 875322 11100 ct Reynolds Bag Freezer Reclosable Zip 2 Gallon $24.07 Quarterly 114852 11 Soo a Duo Bag - White Paper Bag $28.09 885225 12812 oz SSDC Cleaner Floor Degreaser $44.08 Quarterly 6412 oz Coffee Filter Packs NA Monthly 138524 2 1100 ct PaCtit/ Container Foam Hngd 3-c White $27.77 Quarterly 860041 40126 at Dart Cup, Foam 12 oz $45.48 Monthly 860060 40 / 25 ct Essntial Cup, Foam 16 oz $65.67 Monthly 860042 10 I too ct Dart Cup Lids for 12 oz $29.39 Monthly 860045 to / loo ct Dart Cup Lids 12LTrans Slotted $28.77 Monthly 860117 10 / 100 ct Dart cup Lids for 16 oz $34.98 Monthly 860055 10 / 100 ct Dart Cup Lidis for 16L Trans Slotted $29.39 Monthly 887097 2/1 gal SSDC Detergent Paramount Heavy Duty $81.98 Weekly 887056 115gal Essntial Detergent Speed Clean $104.79 Weekly 887056 115gal V�t� iGll Detergent Dishwasher $104.79 Weekly Page 15 of 17 Invitation to Bid Form -Annual Supply Controct far Inmate Food Services — CONTINUED Item# Pack/Size Pack/Sue ifdifferent from Listed Brand Description Cost ESTIMATEon Now often Used: 877019 11 roll Reynolds Film 18 x 1000 Clear Wrap $27.18 Monthly 876063 1 / roll Medallon Foil 18 By 1000 $81.07 876111 1 / roll Durable Foil 24 x 500 #633 EX H $151.18 Monthly 888048 4110 at SCOtChbr Grill Cleaning Pad $64.69 weekly 883860 10 / 100 ct Cellucap Gloves Clear Plastic Large $18.08 Weekly 883757 10/100ct Valugard Gloves Vinyl Powder Free Large $46.99 weekly 883769 101100 ct Valu and Gloves Vinyl Powder Free Merge $46.99 Weekly 883708 11144 ct DISCO Helmet Dark Brown Light Weight $17.89 Weekly 117334 11 roll Cambro Label 100%Dissolvable $17.09 Weekly 878231 1 i 25o ct Daymark Label 2 x 3 Dissolvable Use By $16.09 weekly 875476 111000 ct Dixie Liner Pan Lift Off Grease $46.28 Monthly 162196 1 / 25o ct Wallace Meal Kit (K F S Napkin) MW W $19.77 quarterly 115577 1ea Johnritz Mitt - Oven Mitt Black17 $10.07 877036 1 / roll Reynolds Plastic Wrap $22.47 Monthly 887078 1is gal Essntial Rinse Aid Fast Dry $137.47 weekly 885915 6 / 1 qt SSDC Sanitizer Redi San Rtu $26.19 weekly 154099 41500 ct 10/500ct Cellocor Straws 7.75 Jumbo Clear Wrap $51.89 Monthly BESURETO COMPLETE, SIGNAND DATE THENEKT PAGE Page 16 of 17 Invitation to Bid Form -Annual Supply Contract far Inmate Food Services —CONTINUED Food and Non -Food Items not listed on this Invitation to Bid Form shall be provided at: Cost Pius 12 % Basis Other equipment, services or products used In the DETENTION FACILITY'S Kitchen will be offered at: Free of Charge, a Discounted Price, or Cost Plus % Basis Example: Dispensers for coffee, chemicals and other products Bidder understands that Calhoun County or their representative may audit the Cost Plus Percentage Basis at any time and the documentation necessary for this audit will be provided at no additional charge to Calhoun County. Attachment(s) to Invitation to Bid Form: X YES NO ---------------------------------------------------------------------------- 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 bidder, 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 ail requirements. FAILURE TO SIGN BELOW SHALL DISQUALIFY THE BID Date: October 11th, 2021 Authorized Signature & Title: Type Name & Title of Authorized Signature: Emily Lynch. DSM Phone Number 361-205-4070 Email: eslynch@benekeith.com Exceptions and/or Variations from Specifications and/or Additional Notes: Page 17 of 17 Attachment to Invitation to Bid Form- Additional Bid Items Item # Pack/Size if different from Listed Brand Description Cost ESTIMATE on How Often Used: d Menu Analysis, Dietician, etc No charge 398824 Lenders Bagel Cinnamon Raisin Sliced $21.89 115464 Minutemn Beef & Chicken Pa 3 Oz Ckd $114.87 509403 Beko Beef Salisbury Steak Cooked $43.06 510193 240/10z Kin cmnd Beef Steak Finger Brd Ckd W $64.17 290306 6/8ct Mrsbaird Bun Crustini Sandwich 4.51n $10.18 455030 1/151b Harvest Catfish Nugget Breaded 2-40z $38.67 799855 4/32oz MOM Cereal Bulk Crispv Rice $26.09 799116 4/45oz MOM Cereal Bulk Frosted Flakes $34.78 799127 4/50oz Kellog s Cereal Bulk Granola Lowfat $56.29 799080 4/440z MOM Cereal Bulk Honeynut Scooters $48.09 132429 300/loz Gidhrvst Cheese Cream PC Cup $18.67 134206 2/51b Tyson Chicken Breast Diced Griled $37.27 11064G 2/516 ITyson Chicken Breast Pulled Cooked $42.08 104890 2/51b Tyson Chicken Meat Diced 1/21n $40.29 487529 4/51b Tyson Chicken Thigh Diced Raw $43.18 115169 36/3oz Minh Egg Roll Pork & Veg Roller Gr1 $27.79 380264 80/2oz Le Gourm Egg Roll Vegetable $23.77 401205 5/21b Farmrich French Toast Stick $24.07 600116 6/#10 Celebrty Mandarin Orange Whole Segments $46.37 149335 37/4.25oz Dr rae r Meatless Black Bean Burger $44.07 372073 48/4.25oz Mornstar Meatless Black Bean Burger $75.58 372090 200/.75oz livornstar Meatless Chicken Nugget $60.88 172464 2/Slb Beyond Meatless Chicken Tender $68.38 165031 4/2.5lb Hormel Meatless Chorizo Crumble $60.57 372084 48/3.4oz Gardnbrg Meatless Garden Burger Blk Bn $58.58 372081 48/3.4oz Gardnbrg Meatless Garden Pa $58.58 372100 112/1.3oz Mornstar Meatless Sausage Pa $55.47 372067 4/8ct Ratners Meatless Veggie Griller 5 Oz $35.49 100855 14/i5oz Kin cmnd Meatloaf Pull Apart $59.29 151786 2/101b Bellacib Pasta Penne Rigate $20.39 145785 1/101b Trident Pollock Stick Brd 10z $36.67 532421 80/3oz Kin cmnd Pork Rib Patty W/Bbq Sauce $58.27 107369 2/51b Gransabr Pork Tip For Taco Especial $3.37/lb 157429 4/31b Gldnti r Rice Vegetable Fried $41.07 111495 180/loz Schubert Roll Dinner Par -Baked $26.07 660122 1/1 al Kikkoman Sauce Teriyaki $11.97 164128 200/1.76oz Gokou'u Spring Roll Vegetable 1.760z $40.07 167053 400/.88oz Gokou u SpHng Roll Vegetable Mini $37.78 385792 120/1.5oz Rodri uz Tamale Beef In Husk 1.5 Oz $35.87 385179 341/.75oz Posada Ta uito Shredded Beef $71.29 451914 1/101b Sea Best Tilapia Fillet 3-5 Oz $28.89 128990 1/101b Westedge Tila is Fillet igf5.5-6Cz $25.59 105126 1/101b Perdue Turkey Burger Homestyle $32.89 492254 30/5.33oz Butterbi Turkey Burger Mediterranean $30.89 492949 2/51b Butterbl Turkey Diced White $30.59 492990 2/101b Butterbi Turkey Ground Bulk Chub $36.67 492954 12/11b Butterbi Turkey Lunchmeat Combo $32.18 150188 1/401b Shendoah Turkey Thighs Bnls Skinless $97.78 349245 1/201b Mrkn/Fc Vegetable Blend California $22.88 349350 1/201b Mrkn/Fc Vegetable Blend Capri Mix $26.67 349450 1/201b Mrkn/Fc Vegetable Blend Oriental Mix $28.57 349609 12/2lbs Mrkn/Fc Ve etable Blend Scandinavian $29.69 349650 1/201b Mrkn/Fc Ve etable Blend Winter Mix 1$22.88 Attachment to Invitation to Bid Form- Additional Bid Items 164989 1/Slb Whitemtn Yo urt Greek Plain $24.78 256776 6/32oz Dannon Yo urt Plain Ori inal Lowtat $17.38 108099 4/61b Dannon Yo urt Vanilla Dannon Pro $36.27 283934 6/32oz Dannon Yo urt Vanilla Low Fat $17.38 113016 48/4oz Yo lait Yo urt Variety Pack Li ht $23.19 283861 48/4oz Li ht&Ft Yo urt Variety Pack $20.37 283256 48/4oz Yoplait Yo urt Variety Rasp/Peach Ori $22.30 #14 NOTICE OF MF. FTING—11/23/2022 14. Consider and take necessary action to acknowledge overpayment in amount of $24,529.49 on FEMA DR-4332 PW 3548 Six Mile Park and authorize refund to Texas Division of Emergency Management. Insurance proceeds received were in excess of eligible project costs resulting in withdrawal of project by TDEM. (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 11 of 24 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Thursday, November 17, 202211:10 AM To: Mae Belle Cassel Cc: ladonna thigpen, Richard Meyer; vem lyssy Subject: Agenda Item Request Attachments: DR-4332_Calhoun County_PW3548_Receivable-Letter.pdf; PW 3548 Six Mile Park Refund.pdf Please place the following item on the agenda for 11/23/22: 1. Consider and take necessary action to acknowledge overpayment in amount of $24,529.49 on FEMA DR- 4332 PW 3548 Six Mile Park and authorize refund to Texas Division of Emergency Management. Insurance proceeds received were in excess of eligible project costs resulting in withdrawal of project by TDEM. 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 Y TDEM TIMTEUSA&M UNMRSITYSYSTr\t CY MPN November 15, 2022 LaDonna Thigpen EMC Calhoun County 211 S Ann St. Port Lavaca TX, 77979 Subject: FEMA-DR-4332-TX; Recoupment of Funds Now Due Dear LaDonna Thigpen, The Texas Division of Emergency Management (TDEM) has performed a comprehensive reconciliation of funds disbursed to date to Calhoun County for FEMA Public Assistance Projects related to Texas Hurricane Harvey. The results of this reconciliation indicate that Calhoun County has received funds in excess of the approved federal share. Please reference the table below for a summary of the project's funding and a brief description of the corresponding overpayment issue. FEMA-DR-4332-TX; Calhoun County; (ID: 057-99057-00); Catalog of Federal Domestic Assistance (CDFA) 97.036 Federal Award Identification Number (FAIN) 4332DRTXP0000001; FEMA Project: 3548 Project Title: Six Mile Park DR PW Project Title Federal Share' Amount Disbursed Repayment Amount Description of Issue Eligible Due 0003558 - Six The applicant has 4332 3548 Mile Park $0.00 $2q529gg .. ($24,529.49) chosen to withdraw this project. Federal law (44 CFR §13.52) requires that TDEM act to identify and recover these funds for the reasons listed in the table above. In accordance with the executed Grants Terms & Conditions, Calhoun County is required to repay TDEM within 30 days after receipt of this notice. "Subrecipient shall refund to TDEM any sum of these Grant funds that has been determined by TDEM or DHS/FEMA to be an overpayment to Subrecipient or that TDEM determines has not been spent by Subrecipient in accordance with this Grant. 1033 La Posada Dr Ste 300 Austin Texas 78752 24 Hours: 512-424-2208 TDEM Fn'C Mn TIR TEMSA&M UNIVCRSMSY>MM Subrecipient shall make such refund to TDEM within thirty (30) calendar days after TDEM requests such refund." (Grant Terms and Conditions) This recoupment of funds request is not a FEMA determination and therefore not an appealable action. Any future payments for other projects under the purview of your organization within this disaster may be offset until the total overpaid balance is reduced to zero if the amount due is not repaid within 30 days. If you have any questions, please do not hesitate to contact Charles S. Smith at 512- 499-1401 or by email at Charles.s.smith@cohnreznick.com. Sincerely, Bruce Digitally signed by Bruce Clements Clements Date: 2022.11.15 15:14:28-06'00' Bruce Clements Section Chief Texas Division of Emergency Management 1033 La Posada Dr Ste 300 Austin Texas 78752 24 Hours: 512-424-2208 W,TMDEMTII[TLSNIV[R V uPH INSTRUCTIONS FOR CHECK PAYMENT Please make your check payable to the Texas Division of Emergency Management. In the memo field of the check, please include: Disaster Number and Project Numbers or include a copy of this letter. Mail the check to: Texas Division of Emergency Management Finance Division 1033 La Posada Suite 300 Austin. TX 78752 Before wiring funds, please email: funds.transfer@cpa.texas.gov and include the Dollar Amount and State Agency Name the funds are intended for. Financial Institution (short name): TX COMP AUSTIN Address: 208 E. loth Street Austin TX 78701-2436 Routing Number: 114900164 Account Name: Comptroller of Public Accounts — Treasury Operations Account Number to Credit: 463600001 Reference: (i.e. — Remitter's name) Attention: 575; Texas Division of Emergency Management Jessica Hilton 512-578-5762 To inquire on receipt of funds, please contact your Unit Chief or Recovery Coordinator. 1033 La Posada Dr Ste 300 Austin Texas 78752 24 Hours: 512-424-2208 Page 1 of 4 Category Title Project FEMA PW G Six Mile Park 3558 3548 Cost Type $ 22,845.00 Repair pavilions (3) and 1 picnic shelter Contract $ 7,105.00 Pavilion lights, boat ramp light, meter loop Contract Bulkhead (at boat ramp) Contract $ 14,221.17 Parking area (4887 gals RC250) Materials $152,000.00 Pier $152,000 bid awarded to Fowler Contract ** $ (52.67) Pier Change Order No. 2 ($104.00 reduction prorated) Contract ** $ 11,404.81 Engineering services (prorated) Contract *** $ 163,352.14 Total for pier only (completed 12/12/18) $207,523.31 Total for.Proj' c Work complete 5/11/22 Proceeds Insurance Deductible 2,380.38 Pavilions (3) $ 120.00 19,684.62 Picnic Shelter $ 660.00 42,459.65 Bulkhead (invoices will be submitted) $ 3,296.62 153,692.12 Pier (invoices submitted) 9,660.00 218,216.77 Proceeds received to date Total deductible 13,726.62 FEMA gross cost: Pier $ 152,000.00 Parking area $ 10,655.55 Picnic shelter/pavilions $ 4,270.40 Bulkhead $ 2,669.04 FEMA total gross cost $ 169,594.99 Insurance reductions $ (142,340.00) FEMA net cost $ 27,254.99 7/18/2019 FEMA PW 3548 Award 90% $ 24,529.49 7/25/2022 Rounding adjustment $ 0.01 TDEM notice of recoupment of funds due within 30 days as result of insurance proceeds reducing project 11/15/2022 cost to $0 and project withdrawn $ (24,529.49) County net revenue (expense) to date for this PW 10,693.47 $ Invoices in drop box & capital project file; not duplicated ** in PW file. *** Invoices in capital project file; not duplicated in PW file. County Auditor Progress Notes: 10/18/18 Email bid, specs, plans to Emily Foote with 406 mitigation along with PDMG & TDEM. 11/14/18 During weekly meeting, LT advised per Comm. Lyssy: Pier work perhaps complete Project Cost Summary; Cat G-3558 (3) 11/17/2022, 11:03 AM Page 2 of 4 Category Title G Six Mile Park Cost by end of November; no specs or bids for bulkhead; parking lot (likely force account) will be scheduled after pier complete; pavilion/ picnic shelters are complete. 12/12/18 Pier work complete; retainage released. 12/26/18 Emailed LT 2 hazard mitigation proposals to discuss with Vern. 1/4/19 Forwarded LT's response to PDMG. 2/25/19 PDMG sent several EHP questions; forwarded to Vern (cc LaDonna) with request to help answer. 3/6/19 Vern attended weekly meeting with PDMG to provide answers. but continue to gather supporting documentation for pier. 3/29/19 per phone call form LT: No Nationwide 3 Corps of Engineers permit. Alcoa obtained permit for original construction prior to county owning the pier. G&W relied on original Alcoa plans but no changes done in water with this project. Still need to submit contractor's draws as construction sequencing for pier. 4/1/19 LT emailed PDMG google map with locations of damages as requested. 4/10/2019 TDEM extended completion date to 8/25/19. 4/10/2019 Need to scan Fowler Construction draws when able to access the file. 5/3/19 Emailed Fowler invoices and change orders to PDMG. 5/23/19 Emailed letter from G&W regarding pier permit to PDMG. 6/28/19 Pending scope & cost approval by applicant. 7/2/19 Emailed Vern to get approval of cost. 7/3/19 Vern confirmed agreement verbally; CM signed in portal. 9/19/19 Submitted time extension request to extend PoP to 2/25/2020 after discussion with Commissioner Lyssy. 9/26/19 Notice of approval Pop extended to 2/25/2020. 2/26/20 Vern needs another 6-month extension. Does not want to begin parking lot or bulkhead repair until separate GOMESA boat ramp dredging is completed. Project FEMA PW 3558 3548 Type Project Cost Summary; Cat G-3558 (3) 11/17/2022, 11:03 AM Page 3 of 4 Category Title Project G Six Mile Park 3558 Cost Type 3/2/2020 Vern's plan now is to do the paving work since he already has the material. Will wait to repair bulkhead after dredging is finished. As discussed with Vern, Richard & LaDonna this date, will not mention dredging in extension request. 3/2/2020 Confirmed with Vern okay to keep status quo on request to extend Pop to 8/25/2020. Submitted in TDEM portal. 7/14/20 Replied to TDEM request for project status: 80% complete. 7/30/20 CohnReznick called to remind of Pop date. 8/6/20 Talked with Vern; dredging bid not to be considered for award until 9/23; he agreed to requesting 6-mo. time extension with same verbiage as prior request. 8/6/20 Submitted request for time extension. 8/7/20 TDEM notification Pop extended to 2/25/21. 1/25/21 TDEM request for % completion. 2/8/21 Per Vern, request another time extension. 2/22/21 Replied to TDEM status request. 2/23/21 Submitted time extension request to extend Pop to 8/25/21. 3/1/21 TDEM notification PoP extended to 8/25/21. 9/1/21 TDEM request for status. 9/2/21 Submitted time extension to extend PoP to 10/25/21 after discussion with Commissioner Lyssy. 10/20/21 FEMA notification of Poll extended to 10/25/21. 10/27/21 TDEM notification PoP extended to 10/25/21. 11/1/21 Emailed Vern with request to call on status of completion. 11/4/21 After discussion with Vern, request 6 month extension because of non -Harvey improvement contractor problems. 11/5/21 TDEM request for status. Submitted time extension request to extend PoP to 4/25/22. 11/15/21 TDEM returned time extension request for milestones for each month. Edited in GMS portal and resubmitted. 5/11/22 Vern advised paving work is done and project complete. 5/17/22 Notice of Pop 4/25/22 time extension approved. FEMA PW 3548 Project Cost Summary; Cat G-3558 (3) 11/17/2022, 11:03 AM Page 4 of 4 Category Title Project FEMA PW G Six Mile Park 3SS8 3548 Cost Type 5/18/22 Notified TDEM of completion date and attemped to request another time extension in GMS but account is locked; repeated requests to unlock unsuccessful. 5/31/22 TDEM notified time to prepare closeout documents even though no time extension request submitted. 6/16/22 Sent agenda item request with closeout docs. 6/22/22 Sent TDEM signed closeout docs and advised no further attempt to submit time extension request will be made as still locked out of GMS. 7/11/22 CohnReznick requested documentation for insurance proceeds; replied with multiple files. 11/3/22 Notice of PoP 5/11/22 time extension approved. 11/14/22 CohnReznick email request to verify accuracy of insurance proceeds on DOB reduction of project to $0 and confirm county withdraws the project. Sent affirmative reply. 11/15/22 TDEM sent notice of receivable in amount of $24,529.49 due within 30 days. 11/17/22 Agenda item request to acknowledge overpayment and authorize refund. Project Cost Summary; Cat G-3558 (3) 11/17/2022, 11:03 AM #15 NOTICE OF MEETING—11%23J2022 15. Consider and take necessary action to accept insurance proceeds in the amount of $2,500 from Texas Farm Bureau Mutual Insurance Company and $9,102 from VFIS for claim regarding a stolen EMS Motorola APX8000 Radio — Serial Number 581-CXZ0334. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner'Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 24 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreal)<candice.villarreal@calhouncotx.org> Sent: Wednesday, November 16, 2022 4:31 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer; David Hall, vem lyssy; joel.behrens@calhouncotx.org; Gary Reese Subject: Agenda Item - Insurance Proceeds - EMS Stolen Radio Attachments: Tx Farm Bureau Mutual - EMS Radio.pdf; VFIS - EMS Radio.pdf MaeBelle, Please add the following to the next available agenda: • Consider and take necessary action to accept insurance proceeds in the amount of $2,500 from Texas Farm Bureau Mutual Insurance Company and $9,102 from VFIS for claim regarding a stolen EMS Motorola APX8000 Radio —Serial Number 581CXZ0334. O Candice'ViClarreal 1st Assistant Auditor Calhoun County Auditors Office 202 S. Ann Street, Suite B Port Lavaca, `LY77979 (Phone (361)553-4612 Calhoun County Texas Texas Farm Bureau Mutual Insurance Company Check No.: 7789670 Date: Amount Paid: 10/12/2022 $2,500.00 Claim Number: Policy Number: 045855 41099700 Payee Name and Address: CALHOUN COUNTY EMS 705 COUNTY RD 101 PORT LAVACA, TX 77979 Illlhrrlllmllhhlllplrgpllllllllllrlingrlglluqrrdl Texas Farm Bureau Mutual Insurance Company Check No.: 7789670 Date: Amount Paid: 10/1212022 $2,500.00 Claim Number: Policy Number: 045855 41099700 Payee Name and Address: T'w BUREAU INSURANCE' CALHOUN COUNTY EMS 705 COUNTY RD 101 PORT LAVACA, TX 77979 111111-1'fill [III [III IIlllgprrlr,dlllrlllllll�llhw6�rlh Texas Farm Bureau Mutual Insurance Company 6s-382 P.O. Box 2689 / Waco, Texas 76702-2689 412 in Full Payment For MOTOROLA RADIO -SUB LIMIT Policy No.: 41099700 Claim No.: 045865 Wells Fargo Bank, N.A. PAY TO CALHOUN COUNTY EMS THE 705 COUNTY RD 101 ORDER PORT LAVACA, TX 77979 OF I9PrIIlulhhh I IiIIIP i d91 hugt,glluqrrlh NOT VALID AFTER ONE YEAR OATk 10/12/2022 Pay Onip 7789670 $2,500.00 SOURCE 7-CLAIMS-CHECK EAA Texas Fam Sureau Mutual Inswance Company � Authorizez tl signature III 77896?Oils sazsa CHECK NO. 0000043471 313 CHECK DATE 11/10/2022. 'S F- TBank ' >:Void 90 days after this date. - 7�Itaone PA CLAIM NUMBER POLICY NUMBER PAYEE TAXPAYER ID AG ENT POLICY DATES TXTR22110317 VFNUTR0002359-02 •=......• WlnStar Insurance Group LLC 1112022-11112023 AGENT - POLICYHOLDER CLAIMANT DATE OF LOSS GSM Insurore CALHOUN COUNTY CALHOUN COUNTY 09/09/2022 rHT: Nine I nousand Une Hundred Two Dollars And 00/100 Dollars TO THE CALHOUN COUNTY ORDER OF 202 S ANN STREET, SUITE B PORT LAVACA, TX 77979 I'0000043 P "`9,102.00 #16 NOTICE OF MEETING—11/23/202) 16. 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) Wayne Mims, Karen Rinasz, Kenneth Reese and Ron Crain. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, CommissionerlPct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 24 Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 c-mail: Iadonna.thigpen@calhouncotx.org November 10, 2022 Comtnissioner'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, d'10. NGDlthac.. LaDonna Thigpen Flood Insurance Appeals Board Name Address Phone Number Term Expires Wayne Mims 11-23-24 Karen Rinasz 11-23-24 Ron Crain 11-23-24 Kenneth Reese 11-23-24 # 17 NOTICF OF MFF FING -- 11/23/2022 17. Consider and take necessary action on a request by Roshanda Thomas from Memorial Medical Center to draw $3,000,000 from their Line of Credit to for QIPP IGT payment. (RHM) Roshanda Thomas explained her request. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner>Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 24 Memorial Medical Center Calhoun County Loan Payment Schedule Date Of Request: November 17, 2022 Loan Amount: $3,000,000.00 Loan Payment Term (In Months):18 Months Payment Frequency: Monthly Beginning / Remaining Payment # Payment Due Date Repayment Amount Balance 0 $3,000,000.00 1 7/25/2023 $150,000.00 $2,850,000.00 2 8/15/2023 $150,000.00 $2,700,000.00 3 9/15/2023 $150,000.00 $2,550,000.00 4 10/15/2023 $150,000.00 $2,400,000.00 5 11/15/2023 $150,000.00 $2,250,000.00 6 12/15/2023 $150,000.00 $2,100,000.00 7 1/15/2024 $150,000.00 $1,950,000.00 8 2/15/2024 $150,000.00 $1,800,000.00 9 3/15/2024 $150,000.00 $1,650,000.00 10 4/15/2024 $150,000.00 $1,500,000.00 11 5/15/2024 $150,000.00 $1,350,000.00 12 6/15/2024 $150,000.00 $1,200,000.00 13 7/15/2024 $200,000.00 $1,000,000.00 14 8/15/2024 $200,000.00 $800,000.00 15 9/15/2024 $200,000.00 $600,000.00 16 10/15/2024 $200,000.00 $400,000.00 17 11/15/2024 $200,000.00 $200,000.00 18 12/15/2024 $200,000.00 $0.00 N N O N r M M Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Friday, November 18, 20221:04 PM To: Mae Belle Cassel Subject: FW: MMC Loan Repayment Schedule and Cash Flow Projection Worksheets (2022 -2023) Attachments: MMC Loan from County.pdf From: rthomas@mmcportlavaca.com (Roshanda S. Thomas) [mailto:rthomas@mmcportlavaca.com] Sent: Friday, November 18, 2022 12:27 PM To: cindy.mueller@calhouncotx.org Cc: rhonda kokena <rhonda.kokena@calhouncotx.org> Subject: MMC Loan Repayment Schedule and Cash Flow Projection Worksheets (2022 -2023) CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless the sender and know the content is safe. Hello Ms. Cindy, I have attached the loan repayment schedule and cash flow projection worksheets. Please let me know if you have any questions. Thank you. Roshanda S. Thomas, MHA I Chief Executive Officer Memorial Medical Center 815 N. Virginia St., Port Lavaca, TX 77979 Ph(361)552-0240 Fax(361)552-0220 rthomas@mmcportlavaca.com Calhoun County Texas Memorial Medical Center Calhoun County Loan Payment Schedule Date Of Request: November 17, 2022 Loan Amount: $3,000,000.00 Loan Payment Term (in Months):18 Months Payment Frequency: Monthly Beginning / Remaining Payment# Payment Due Date RepaymentAmount Balance 0 $3,000,000.00 1 7/15/2023 $150,000.00 $2,850,000.00 2 8/15/2023 $iS0,000.00 $2,700,000.00 3 9/15/2023 $150,000.00 $2,SS0,000.00 4 10/15/2023 $150,000.00 $2,400,000.00 5 11/15/2023 $150,000.00 $2,250,000.00 6 12/15/2023 $150,000.00 $2,100,000.00 7 1/15/2024 $150,000.00 $1,950,000.00 8 2/15/2024 $150,000.00 $1,800,000.00 9 3/15/2024 $150,000.00 $1,650,000.00 10 4/15/2024 $150,000.00 $1,500,000.00 11 5/15/2024 $150,000.00 $1,350,000.00 12 6/15/2024 $150,000.00 $1,200,000.00 13 7/15/2024 $200,000.00 $1,000,000,00 14 8/1S/2024 $200,000.00 $800,000.00 15 9/15/2024 $200,000.00 $600,000.00 16 10/15/2024 $200,000.00 $400,000.00 17 11/15/2024 $200,000.00 $200,000.00 18 12/15/2024 $200,000.00 $0.00 N N O N W N e\i M #18 ' NOTICE OF MEETING-11./)3/2022 18. Consider and take necessary action to increase the Calhoun County Library's credit card limit to $10,000.00. (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 24 Mae Belle Cassel From: dsmchez@cclibrary.org (Dina Sanchez) <dsanchez®cchbrary.org> Sent: Thursday, November 10, 20221:26 PM To: Mae Belle Cassel Subject: Commissioners Court agenda Attachments: CCLBScm.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon, can you please add this to the Commissioners' Court Agenda for 11/23/22 Consider and take necessary action to increase the Calhoun County Library's credit card limit to $10,000 Please see the attached POs that show the last three amounts spent on Amazon. Our current credit card limit is $2000. This month we came about $100 short of reaching that limit on Children's Programs supplies. I believe the $10,000 limit will allow us to meet the needs of the children's programs, and our patrons' requests that we purchase from Amazon. We also purchase office supplies and other miscellaneous items from Amazon. If this amount is not feasible, we will be happy with the increase you find acceptable. Thank you for your consideration in this matter. Thank you MaeBelle Calhoun County Texas #19 NOTICE OF MEETING-- 11/23/20Z2 19. Consider and take necessary action to remove a 2010 Dodge Pickup, VIN # 1D7RV1CTSAS178289 from the Sheriff's Office fleet as it will be going to auction. (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 16 of 24 11-14-'22 08:34 FROM- 361-553-4668 T-084 P0001/0001 F-112 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVA,CA., TEXAS 77979 PHONE NUMBER (361) 553-1646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: REMOVE VEHICLE FROM INVENTORY DATE: NOVEMBER 23, 2022 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 23, 2022 * Consider and take necessary action to remove 2010 Dodge Pick up, V1N 1D7RV 1CTSAS178289 from the Sheriffs Office fleet as it will be going to auction. Sincerely, # 20 ' NOTICE OF MEETING—11/23/20"22 20. Consider and take necessary action to Transfer a Court Reporter Chair from the District Clerk's Office to the County Court -at -Law 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 17 of 24 Mae Belle Cassel From: anna.kabela@calhouncotx.org (Anna Kabela) <anna.kabela@calhouncotx.org> Sent: Wednesday, November 16, 202211:12 AM To: 'Mae Belle Cassel' Cc: candice.villmeal@calhouncotx.org Subject: WASTE AND TRANSFER REQUEST FORMS Attachments: WASTE AND TRANSFER REQUEST FORMS.pdf Good morning, Mae Belle, Please see my attached waste and transfer request forms. Will you please place these on the next available Commissioners' Court's agenda for approval. Thank you! ANNA KABELA District Clerk Calhoun Counbj District Clerk's Office anna.kabe[a@calhouncodx.org (361) 553-4631 Phone (361) 553-4637 Fax 211 S. Ann - Courthouse, Suite 203 Port Lavaca, Texas 77979 Calhoun County Texas Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM (2022) Requested By: Anna Kabela, Calhoun County District Clerk Inventory ,Number Description Serial No: Transfer From/To Department Court Re orter Chair (mauve upholstery) District Clerk/Count Court -at -La #21 NOTICE OF MEETING -- 11/23/2022 21. Consider and take necessary action to declare the attached list of equipment from the District Clerk's Office as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner+Pet 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 24 Calhoun County, Texas WASTE DECLARATION REQUEST FORM (2022) Department Name: District Clerk's Office Requested By: Anna Kabela Inventory Number Description Serial No. Reason for Waste Declaration 'Westin house Microwave WCM660B182900994 no longer works # 22 NOTICE OF MEETING — 1.1/23/2022 22. Consider and take necessary action to Transfer a 2015 Chevrolet Tahoe VIN # 1GNLC2EC2FR526788 from the Juvenile Probation Department to the Extension Service Department. (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 19 of 24 Luis Leija Chief Juvenile Probation Officer November 16, 2022 CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 West Austin Port Lavaca, Texas 77979 Telephone (361) 553-4670 To: Richard Meyer Calhoun County Judge From: Luis Leija & Chief Juvenile Probation Officer Re: Commissioner's Court Agenda Please place the following item on the next Commissioner's Court Agenda Consider and take necessary action to transfer the item on the attached transfer form from the Juvenile Probation Department to the Extension Service Department. Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Inventory Number Description Serial No. Transfer From/To Department 972-0068 2015 Chevrolet Tahoe 1GNLC2EC2FR526788 Juvenile Probation / Extension Service # 23 NOTICE OF MEETING — -11./23/2022 23. Consider and take necessary action to place seized vehicle 2005 Nissan PK VIN # 1N6AA06B35N508478 to the Sheriff's Office fleet. (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 20 of 24 11-16-'22 13:42 FROM- 361-553-4668 T-091 P0001/0001 F-128 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 5534668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ABANDONED VEEE[CLE TO SHERIFF'S OFFICE FLEET DATE: NOVEMBER23,2022 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 23, 2022 • Consider and take necessary action to place seized vehicle 2005 Nissan PK VIN 1N6AA06835N508478 to the Sheriffs Office Fleet. Sincerely, lclolleA Bobbie Vickery Calhoun County Sheriff # 24 NOTICE OF MEETING — 1.1/23/2022 24. Approve the minutes of the November 9, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 21 of 24 Richard H. Meyer County judge David Hail, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (wary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, November 9, 2022, at 10:00 a.m. in the Commissioners' Courtroonn in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. R chard H. Meyer, Co Judge Calhoun County, Texas Anna Goodman, County Clerk al 0 1 M INICIFIFAMM4=9 Page 1 of 1 Mae Belle Cassel From: Kaddie.Smith@calhouncotx.org (Kaddie Smith) <Kaddie.Smith@calhouncotx.org> Sent: Tuesday, November 15, 2022 9:23 AM To: MaeBelle.Cassel@calhouncotx.org; Richmd.Meyer@calhouncotx.org; david.hall@calhouncotx.org; Angie Tones; Lesa.Jurek@calhouncotx.org; Joel Behrens; Lynette.Adame@calhouncotx.org; Gary Reese; april.tow end@calhouncotx.org; peggy,hall@calhouncotx.org; cindy.mueller@calhouncotx.org; Vern Lyssy Subject: November 9 Minutes Attachments: Nov 9.pdf Good morning, please see attached minutes needing approval. Thanks! �ir;luv C:iai b: �,1}if 311115t;f vli Gi'i.6ll li. Calhoun County Clerk's Office 211 S Ann Street. Ste 102 Port Lavaca, Texas 77979 Phone: 361.553.4417 Fax:361.553.4420 CONFIDENTIALITY 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—11/9/2022 Richard H. Meyer County judge David Hall, Commissioner, Precinct l Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney Kaddlie Smith, Deputy Clerk REGULAR TERM 2022 NOVEMBER 9, 2022' BE IT REMEMBERED THAT ON NOVEMBER 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. Judge Richard Meyer called the meeting to order at 10:00 a.m. 2. Invocation. Commissioner David Hail 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 Commissioner Lyssy! 5. Consider and take necessary action to approve the Final Plat of the Crisp Subdivision (a replat of Lots 10 and it in Block 41 and a portion of the abandoned Alamo Beach Boulevard and the Park of the Alamo Beach Townsite recorded in Volume V, Page 1 of the Calhoun County Deed Records). (DEH) PASS Page 1 of 5 NOTICE OF MEETING— 11/9/2022 6. Consider and take necessary action to approve the Final Plat of the Coyote Trails Subdivision (a replat of 44.73 acres situated in the Valentine Garcia Survey, Abstract No. 17, Calhoun County, Texas as recorded in File N. 2021-00759 of the Calhoun County Official Records). (VLL) Henry Danysh explained the changes that were made. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to deposit proceeds of $99.50 from the online auction sale in Precinct 3 Road & Bridge account 560-53992. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Public Hearing concerning a Petition to Vacate Lots 41 and 42, Caracol Subdivision as recorded in Volume Z, Pages 71 and 713, Plat Records of Calhoun County, Texas. Closed regular meeting at 10:03 a.m. Terry Ruddick explained petition. Regular meeting opened 10:05 a.m. 9. Consider and take necessary action on a Petition to Vacate Lots 41 and 42, Caracol Subdivision as recorded in Volume Z, Pages 71 and 713, Plat Records of Calhoun County, Texas. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to approve the Final Plat of Caracol Lot 41R. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pet 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 5 NOTICE OF MEETING — 11/9/2022 11. Consider and take necessary action to award the bid for the Calhoun County Boggy Bayou Nature Park Improvements, Phase 1, Coastal Management Program, Cycle 25 Texas General Land Office Contract No. 21-060-013-C673 Port O'Connor, Texas. (GDR) Court awarded the bid to Shirley and Sons, Inc. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to approve the draft of an Interlocal Agreement with Harris County Institute of Forensic Sciences for performing postmortem examinations. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to approve the MF6 Field Agreement with the Texas Agrilife Extension Service — Wildlife Services for Wildlife Damage Management and Predator Control. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER:. Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to accept a check for $1,824.05 from Janik Alligators LLC for 2022 Green Lake Alligator project payment. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to update the fees charged for the 2009 On -Site Sewage Facility (OSSF) order from $34.00 to $80.00 and authorize the Victoria Health Department to collect these new fees. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 5 NOTICE OF MEETING— 11/9/2022 16. Consider and take necessary action to accept on an insurance proceeds check from TAC in the amount of $2,376.10 ($4876.10 - $2,500 deductible) for damages to a Sheriff Office Vehicle on 10/7/2022. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to authorize the Calhoun County Librarian to apply for an Amazon Business Credit Card. (RHM) NO ACTION TAKEN 18. Approve the minutes of the October 26, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Accept Monthly Reports from the following County Offices: i. Auditor's Office — August 2022 ii. Auditor's Office -- September 2022 iii. Auditor's Office — October 2022 iv. District Clerk — October 2022 v. Floodplain Administration — October 2022 A. Justice of the Peace, Precinct 4 — October 2022 vii. Justice of the Peace, Precinct 5 — October 2022 viii. Treasurer's Office — April 2022 ix. Treasurer's Office — May 2022 x. Treasurer's Office — June 2022 xi. Treasurer's Office — Investment Report, Quarter Ended June 30, 2022 xii. Treasurer's Office — Quarterly Statement of Balances All. Sheriff's Office — 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 4 of 5 I NOTICE OF MEETING— 11/9/2022 20. 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 21. 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: 10:19 a.m. Page 5 of 5 # 25 NOTICE OI- MEETING -- 1.1/23/2022 25. Accept Monthly Reports from the following County Offices: i. County Clerk — October 2022 ii. Justice of the Peace, Precinct 3 — October 2022 iii. Justice of the Peace, Precinct 4 — October 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner'Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 22 of 24 Anna Goodman From: Anna Goodman <Anna.Goodman@calhouncotx.org> Sent: Wednesday, November 9, 2022 3:46 PM To: MaeBelle.Cassel@calhouncotx.org Subject: COUNTY CLERK MONTHLY REPORT - OCTOBER 2022 Attachments: 2022.103122.0OUNTY CLERK REPORT.CC111622.pdf Good afternoon, Will you please add to next available agenda? I'll bring up original later. Thanks! Anna M Goodman Calhoun County Clerk 361-553-4416 "Every day may not be good, but there's something good in every day." CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION OCTOBER 2022 . OFFICIAL PUBLIC DESC GLCODE CIVILIFAMILY CRIMINAL RECORDS PROBATE TOTAL D15TRICT ATTORNEY FEES 1000-44020 $ 217.96 $ 217.96 BEER LICENSE 1000-42010 $ - $ - COUNTY CLERK FEES 3000-44030 $ 517.00 $ 435.92 $ 11,776.50 $ 425.00 $ 13,154.42 APPEAL FROM JP COURTS 1000-U030 $ - $ - COUNTY COURT ATLAW #1 JURY FEE 1000-44140 $ JURY FEE 1000-44140 $ 80.00 $ - $ 80.00 ELECTRONIC FILING FEES FOR E-FILINGS 1000-44058 $ - $ - IS - $ - $ - JUOGE'SEDUCATIONFEE 1000-44160 $ - $ - IS - IS 30.00 $ 30.00 JUDGE'S ORDER/SIGNATURE 1000-44180 $ 14.00 $ - $ - $ 80.00 $ 94.00 SHERIFF'S FEES 1000-44190 $ 375.00 $ 257.12 $ - $ 200.00 $ 832.12 VISUAL RECORDER FEE 3000-44250 $ 66.05 $ 66.05 TIMEPAYMENTFEE. COUNTY"'NEW2020" 1000-M32 $ 90.00 $ 90.00 COURT REFPORTER FEE 1000-44270 $ 200.00 $ - $ - $ 150.00 $ 350.00 RESTITUTION DUE TO OTHERS 1000-49020 $ - ATTORNEYFEES- COURTAPPOINTED 1000-49030 $ - $ - APPELLATE FUND (TGC) FEE 2620-44030 $ 40.00 $ 30.00 $ 70.00 COURTFACILITYFEE FUND 264844030 $ 160.00 $ - $ - $ 120.00 $ 280.00 TECHNOLOGY FUND 2663-44030 $ 43.59 IS 43.59 COUNTYJURYFUND •'NEW2020" 2669-44030 $ 80.00 $ 10.90 $ $ 60.00 $ 150.90 COURTHOUSE SECURITY FEE 2670-44030 $ 160.00 $ 108.98 $ 435.00 $ 120.00 $ 823.98 COURT INITIATED GUARDIANSHIP FEE 2672A4030 $ 180.00 $ 180.00 COURT RECORD PRESERVATION FUND 2673-44030 $ - $ - $ - IS - COURTREPORTERSERVICEFUND"NEW2020" 2674-0030 $ 32.69 $ 32.69 RECORDS ARCHIVE FEE 2675-44030 $ 4,130.00 $ 4,130.00 COUNTYSPECIALTY COURT •-NEW2020-- 2676-44030 $ 217.96 $ 217.96 COUNTYDISPUTE RESOLUTION FUND 2677-0 030 $ 120.00 $ - $ - $ 90.00 $ 210.00 DRUG& ALCOHOL COURT PROGRAM 2698-44030-005 $ - $ - JUVENILE CASE MANAGER FUND 269944033 $ - $ - FAMILY PROTECTION FUND 270644030 $ - $ - JUVENILE CRIME & DELINQUENCY FUND 2715-44030 $0.00 $ - LANGUAGEACCESSFUND 2725-44030 $ 24.00 $ - $ $ 18.00 $ 42.00 PRE-TRIALDIVERSON AGREEMENT 2729-44034 $ - $ - IAW LIBARY FEE 273144030 $ 280.00 $ 210.00 $ 490.00 RECORDS MANAGEMENT FEE -COUNTY CLERKK 273944380 $ - $ 4,170.00 $ 4,170.00 RECORDS MANGEM ENT FEE - COUNTY 2739-44030 $ 240.00 $ 272.45 IS 90.00 $ 602.45 FINES - COUNTY COURT 2740-45040 $ 4,184A7 $ 4.184.17 BOND FORFEITURE 274045050 $ - $ - STATE POLICE OFFICER FEES - STATE (DES) (20%) 7020-20740 $ 1.80 $ 1.80 CONSOLIDATED COURTCOSTS- COUNTY 7070-20610 $ - $ - CONSOLIDATED COURTCOSTS-STATE 7070-20740 $ - $ - CONSOLIDATED COURT COSTS .COUNTY •-NEW20207072-20610 $ 87.46 $ 87.46 CONSOLIDATED COURTCOSTS-STATE "NEW2020•"7072-20740 $ 787.16 $ 787.16 JUDICIAL ANDCOURT PERSONNEL TRAINING - ST (100% 7502-20740 $ - IS - IS - $ - DRUG & ALCOHOL COU RT PROGRAM - COUNTY 7390-20610 $ - $ - DRUG & ALCOHOL COU RT PROGRAM - STATE 7390-20740 $ - $ - STATEELECTRONICFILINGFEE -CIVIL 7403-22887 $ - $ - IS - $ - STATE ELECTRONIC FILING FEE CRIMINAL 7403-22990 $ - $ - EMSTRAUMA- COUNTY (10%) 7405-20610 $ 594.00 $ 594.00 EMSTRAUMA- STATE (90%) 7405-20740 $ 66.00 $ 66.00 CIVIL INDIGENT FEE -COUNTY 7480-20610 $ - $ - $ - CIVILINDIGENTFEE -STATE 7480-20740 IS - $ - $ - JUDICIALFUNDCOURTCOSTS 7495-20740 $ - $ - JUDICIALSAIARYFUND -COUNTY (10%) 7505-20610 $ - $ - JUDICIAL SALARY FUND -STATE (90%) 7505-20740 $ - IS - JUDICIAL SALARY FUND (CIVIL&PROBATE) -STATE 7505-20740-005 $ - $ - $ - TRAFFIC LOCAL (ADMINISTRATIVE FEES) 7538-22884,1000-44359 $ 5.77 $ 5.77 COURT COST APPEAL OF TRAFFIC REG(JP APPEAL) 7538-22885 $ - BIRTH -STATE 7855-20780 $ 81.00 $ 81.00 INFORMAL MARRIAGES -STATE 7855-20782 $ 12.50 $ 12.50 JUDICIALFEE 7855-20786 $ - $ - $ - $ - FORMAL MARRIAGES -STATE 7855-20788 $ 450.00 IS 450.00 NONDISCLOSURE FEE -STATE 7855-20790 $ - $ - $ - $ - $ - TCLEOSECOURT COST - COUNTY (10%) 7856-20610 $ - $ - TCLEOSECOURT COST -STATE (90%) 7856-20740 $ - $ - IURYREIMBURSEMENTFEE -COU NTY (10% 7857-20610 $ - $ - JURYREIMBURSEMENTFEE -STATE (90%) 7857-20740 $ - $ - CONSOLIDATED CRTCOSTS- STATE (PR, FAM, CV) S8417858-20740 $ 548.00 $ $ 648.00 STATE TRAFFI C FINE -COU NTY(5%) 7860-20610 $ - $ - STATE TRAFFIC FINE - STATE (95%) 7860-20740 $ - $ - STATE TRAFFICFINE-COUNTY(4%) 91112019 7860-20610 $ 2.85 $ 3.85 STATE TRAFFIC FINE. 57ATE(96%)91112019 7860-20740 $ 92.38 $ 92.38 1 OF 2 TREASURER REPORTS 11IS.20 CALHOUN COUNTY CLERK MONTHLY REPORT RECAPITUATION OCTOBER 2022 OFFICIAL _. .:PUBLIC. DESC GLCODE OVIL/FAMILY CRIMINAL RECORDS PROBATE. TOTAL INDIGENT DEFENSE FEE - CRIMINAL- COUNTY (10%) 7865-20610 $ - $ - INDIGENT DEFENSE FEE - CRIMINAL- STATE (90%) 7865-20740 $ - $ - TIME PAYMENT- COUNTY (50%) 7950-20610 $ - $ - TIME PAYMENT -STATE (509') 7950-20740 $ - $ - SAILIUMPINGANDFAILURETOAPPEAR- COUNTY 7970-20630 $ - BAILIUMPINGANDFAILURETOAPPEAR -STATE 7970-20740 $ - DUEPORTLAVACAPD. 9990-99991 $. 20.80 $. 20.80 DUE SEADRIFT PD 9990-99992 $ - $ - DUE TOPOINT COMFORT PD 9991199993 $ $ - DUE TOTEXAS PARKS &WILDLIFE 9990-99994. $ - $ - DUE TOTEXAS PARKS& WILDLIFE WATER SAFETY 9990-99995 $ - DUETOTABC 9990-99996 $ - DUE TOATTORNEY ADLITEMS 9990-99997 $ - DUE TOOPERATING/NSF CHARGES/DUE TO OTHERS 7120-20759 $ $ 100.00 $ 184.00 $ $ 284.00 $ 2,838.00 $ 7.697.00 $ 21.239.00 $ 1,803.00 $ 33,577.00 TOTAL FUNDS COLLECTED $ 33,577.00 (0.00) FUNDS HELD IN ESCROW: $ - AMOUNT DUE TO TREASURER(2DR'Sk $ 33,27220 TOTAL RECEIPTS: 1:$. 33.577.00 AMOUNT DUE TO OTHERS(LESS SF3): $ 304.80 FUND RECEIVED DISBURSEMENTS ENDING ENDING BANK BALANCE 10/31/2022 OUTSTANDING DEPOSITS" OUTSTANDING CHECKS" $ 78,964.62 $ 1,000.00 1 "BALANCE OF CASH BONDS" "OTHER REGISTRY ITEMS" 'IBC CASH BOND CHECKS" $ 80,617.12 I "TOTAL REGISTRY FUNDS" $ R.PDC/1e4: $ HELD INTRUST -PROSPERITY BANK WS Date Issued Balance.. Purchases/ WRhdrewals Balance 19/30/2022 Interest - 10/31/22 10440 1/24/2018 $ - $ - $ - 10"1 1/24/2018 $ $ 10442 1/24/2018 $ 1,276.83 $ 0.16 $ 1,276.99 10443 1/25/2018 $ 1,276.83 $ 0.16 $ 1,276.99 10444 1/25/2018 $ 9,642.22 $ 1.22 $ 9,643.44 10445 1/25/2018 $ 9,642.22 $ 1.22 $ 9,643.44 10446 1/25/2018 $ 9,642.22 $ 1.22 $ 9,643.44 10449 6/9/1955 $ 20,366.27 $ 20,366.27 10454 1 3/2/2018 1 $ 3,596.59 $ 3,596.59 10455 3/2/2018 $ 3,596.59 $ 3,596.59 10486 8/26/2020 $ 5, 923.03 $ 5,923.03 10495 1 12122/2021 $ 34,159.29 1 $ 34,159.29 10496 12/22/2021 IS 34,159.28 1 $ 34,159.28 TOTALS: $ 133,281.37 1 $ 3.98 1 $ $ 133,286.36 /l Submitted by: Anna M Goodman, County Clerk Date ichard Meyer, Calhoun County Judge Date 2 OF S:\ REPDRTSIAIONTHLttAUDROR AND TREASURER REPORT512022. 103122 TREASURER REPORTS 1R91W22 (ENTER COURT NAME: '.ENTER MONTH OF REPORT ENTER YEAR OFAEPORT 2022` CODE '. AMOUNT JUSTICE OF PEACE NO.3 `. OCTOBER 2022 REVISED 02/02/2021 < CASH BONDS: " ADMINISTRATION FEE ADMF 20.00: :. BREATH ALCOHOL TESTING = BAT CONSOLIDATED COURT COSTS -'COG 240.00' STATE CONSOLIDATED COURT COST-2020 - 751.34' LOCAL CONSOLIDATED COURT COST-.2020 169.66 COURTHOUSE SECURITY CHS 24.00` Cip CIVIL JUSTICE DATA REPOSITORY FEE CJDR 0.30 CORRECTIONAL MANAGEMENT INSTITUTE -:CMI CR CHILD.SAFETY - CS CHILD SEATBELT FEE CSBF CRIME VICTIMS COMPENSATION-CVC DPSC/FAILURE TO APPEAR :-OMNI DPSC 50.00` ADMINISTRATION FEE FTA/FTP (aka OMNI) 2020 12.56 ELECTRONIC FILING FEE -EEF FUGITIVE APPREHENSION FA GENERAL iREVENUE : OR CRIM- IND LEGAL SVCS: SUPPORT: -:OF 12.00 JUVENILECRIME&DELINQUENCY -JCD JUVENILE CASE MANAGER FUND -:JCMF : 20.00 JUSTICE COURT PERSONNEL TRAINING -JCPT ` JUROR. SERVICE FEE :-JSF 24.00' LOCAL ARREST FEES -LAF 45.00' LEMI LEOA- LEOC OCL PARKS& WILDLIFE ARREST FEES -:PWAF STATE ARREST FEES SAP 45.58. SCHOOL CROSSING/CHILD SAFETY FEE SCF SUBTITLE C SUBC 150.00: STATE TRAFFIC FINES -EST 9.1.19- STF '. 504.83 TABC ARREST FEES TAP TECHNOLOGY FUND -.TF 24.00. TRAFFIC TFC 15.00 '. LOCAL TRAFFIC FINE-2020 30.29' TIME PAYMENT TIME 25.00: '.TIME PAYMENT REIMBURSEMENT FEE- 2020 11.04: TRUANCY PREVENTION/DIVERSION FUND -TPDF 10.00. LOCAL &.STATE WARRANT FEES - WRNT 212.82' COLLECTION SERVICE FEE-MVBA-CSRV 529.50.. DEFENSIVE DRIVING COURSE -DDC 20.00' DEFERRED FEE -OFF DRIVING EXAM FEE- PROV OL FILING FEE 'FFEE STATE CONSOLIDATED CIVIL FEE=2022 -. 84.00 LOCAL CONSOLIDATED CIVIL FEE -202$ 132.00 FILING FEE SMALL CLAIMS FFSC JURY FEE JF 'COPIES/CERTIFED COPIES CC INDIGENT FEE' OFF or INDF :JUDGE PAY RAISE FEE JPAY' 36.00 SERVICE FEE SFEE 225.00 OUT OF COUNTY SERVICE FEE `ELECTRONIC FILING FEE EEF:CV 1 EXPUNGEMENTFEE EXPG EXPIRED RENEWAL EXPR ABSTRACT OF JUDGEMENT -AGO - ALL WRITS WOP / WOE DPS:FTA FINE -DPSF- 290.00: LOCAL FINES FINE' 1,564.58 ' LICENSE & WEIGHT FEES -LWF PARKS & WILDLIFE FINES - PWF SEATBELT/UNRESTRAINED CHILD FINE -SEAT J- JUDICIAL & COURT' PERSONNELTRAINING-JCPT OVERPAYMENT (OVER $10) OVER OVERPAYMENT($10 AND LESS) OVER -RESTITUTION - REST -PARKS &WILDLIFE WATER SAFETV FINES-WSF' MARINE SAFETY PARKS & WILDLIFE MI TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES `ENTER LOCAL WARRANT FEES STATE WARRANT FEES — DUE TO OTHERS: 5,285.50 AMOUNT" 212.82 K_ DUE I V DA RE SITU _11ON FUND C2826 DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT -OF -COUNTY SERVICE FEE CASH BONDS TOTAL. DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: AN CASH. CHECKS. M:O.s&CREDIT : CARDS -. $5:1 PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT PLEASE INCLUDE D.R. REQUESTINGDISBURSEMENi PLEASE INCLUDE D.R. REQUEST INGOISBUMEMENT PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT PLEASE INCLUDE OR REDURTING DISBURSEMENT(IF REQUIRED) Calculate from ACTUAL TreasUrers Receipts MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/7/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 1,854.58 CR 1000-001-44190 SHERIFF'S FEES 281.72 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 20.00 CHILD SAFETY 0.00 TRAFFIC 45.29 ADMINISTRATIVE FEES 32.56 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 97.85 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44063 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 11.04 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 529.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,999.69 CR 2670-001-44063 COURTHOUSE SECURITY FUND $77.38 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $6.00 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $72.47 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $20.00 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $60.59 CR 2669-001-44063 COUNTY JURY FUND $1.21 CR 2728-001-44063 JUSTICE COURT SUPPORT FUND $100.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $20.00 CR 2725-001-44063 LANGUAGE ACCESS FUND $12.00 STATE ARREST FEES DPS FEES 21.68 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 21.68 CR 7070-999-20610 CCC-GENERAL FUND 24.00 CR 7070-999-20740 CCC-STATE 216.00 DR 7070-999-10010 240.00 CR 7072-999-20610 STATE CCC- GENERAL FUND 75.13 CR 7072-999-20740 STATE CCC- STATE 676.21 DR 7072-999-10010 751.34 CR 7860-999-20610 STF/SUBC-GENERAL FUND 7.50 CR 7860-999-20740 STF/SUBC-STATE 142.50 DR 7860-999-10010 150.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 20.19 CR 7860-999-20740 STF- EST 9/1/2019- STATE 484.64 DR 7860-999-10010 504.83 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/7/2022 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 12.50 CR 7950-999-20740 TP-STATE 12.50 DR 7950-999-10010 25.00 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 1.20 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 10.80 DR 7865-999-10010 12.00 CR 7970-999-20610 TUFTA-GENERAL FUND 20.00 CR 7970-999-20740 TUFTA-STATE 40.00 DR 7970-999-10010 60.00 CR 7505-999-20610 JPAY-GENERALFUND 3.60 CR 7505-999-20740 JPAY-STATE 32.40 DR 7505-999-10010 36.00 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 2.40 CR 7857-999-20740 JURY REIMB. FUND- STATE 21.60 DR 7857-999-10010 24.00 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.03 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.27 DR 7856-999-10010 0.30 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 6.00 7998-999-20701 JUVENILE CASE MANAGER FUND 5.00 DR 7998-999-10010 10.00 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 84.00 84.00 TOTAL (Distrib Req to OperAcct) $5,288.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FI 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 $5,288.50 LESS: TOTAL TREASUER'S RECEIPTS $5,288.50 REVISED 02/02/2021 OVER/(SHORT) $0.00 Page 2 of 2 11-10-22;11:34 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 1/ 6 FAX COVER SHEET November 10, 2022 FROM: JUSTICE COURT PCT. 4, CALHOUN COUNTY 103 W. Dallas Street, P.O. Box 520 Seadrift, Texas 77983 PHONE: 361-785-7082 FAX: 361-785-2179 TO: County Commissioner Court Office Attn: Mae Belle Cassel FAX: 361-553-4444 Fax Cover: Pages to Follow: —5_ Ref. OCTOBER 2022—JP4 Monthly Money Distribution Report (revision#2) Please give me a call if you have any questions. Thank you, Patsy Spence, Court Clerk judge Wesley J. Llunt n 11-10-22;11:34 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 2/ 6 lREVISEo.oioag0xta,c,:'.: :St.00 0.20 r... ,.ti::. ( P. 1 0.00 MOO I 30ar ,i MDO 4.89 MOD Oar 10000 45300 t I l i I n 20T.00 - .1Car ` I j f 1 I 1 a•, .:•:.'...'4r ld"..n .4'• .: ��' :pi.C�..r J.v. ': +L.:I:':..i:i...��:'..: , 1 � ' , a..e• nvL; .ii "'% '�""rl`.r:".: i:,::l l':�::j:.'a::;•,�'.::'.'il,. ,:,.:; .;. :' 100100 RECORD NT01'gL PAGE OF FALL COUNTRY90FTNgREMO.REPORT ':'':•','�'�k RO ON TOTAL PAGE OF HILL Cd1NTRYSOFTWARENo, REPORT ':AMOUNT ;1 r •+' 0p0 PLEASE'INCLUOE DR.REQOESTMGOISOURSEMfNT MW INCLUDE O.R. REOUESTINOOISWREEMENT UDE D.R.REQUIS11TINGOISIBURSEMENT ' �,R 0"PLEASE INCItuO[,INCOISSURSEMINT O.R, REOUESTINCLUDE D.R. TINDOMMEMFNTIIFREOUIRED), P�000 1 ' Ii. ' 04TG10g: i".�i••r„Tysa,,- ,r.. ..,. ..,ReC11PN E24P0.3B GleulelpipmACTUA1Troeeumfe 11-10-22;11:34 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 3/ 6 .Y1 ' MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/10/2022 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2022 ACCOUNTNUMBER ACCOUNTNAME AMOUNT OR 1000-001-45014 FINES 851.14 CR 1000-001-44190 SHERIFF'S FEES 120.00 ADMINISTRATIVE FEES. DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 7.89 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44364 TOTAL ADMINISTRATIVE FEES 7.89 OR 100D-001-44010 CONSTABLE FEES -SERVICE 0.00 OR 1000-001-44064 JP FILING FEES 0.00 OR 7000.001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001.49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 0.00 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 SEATSELT FEE 0.00 CR 1000-999.20749 DUE TO STATE -OVERWEIGHT FINES sv 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 453.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $1, 332.63 OR 2670-001-44064 COURTHOUSE SECURITY FUND 1$14.65 CR 2720-001-44064 JUSTICE COURT SECURITY FUND $3.25 OR 2719-001.44064 JUSTICE COURT TECHNOLOGY FUND $16.00 CR 2699-001.44054 JUVENILE CASE MANAGER FUND $5.00 OR 273MD1-.440B4 LOCAL TRUANCY PREVENTION & DIVERSION FUND $5.00 OR 2969-001.44064 COUNTY JURY FUND $0.10 OR. 272"01-44064 JUSTICE COURT SUPPORT FUND, $225.00 CR;', 2677-001.44064 COUNTY DISPUTERESOLUTION-FUND $46.00 CR` $72&001-44084 LANGUAGE ACCESS FUND $'27..00 STATEARRESTFEES DPS FEES 0.00 P&W FEES 0.00 TABC FEES 0.00 OR 7020-999.20740 TOTAL STATE ARREST FEES 0.00 OR 7070-999.20610 CCC-GENERAL FUND 18.20 OR 7070-900.20740 CCC-STATE '163.80 DR 7070.999.10010 182.00 `• OR 7072-999-20610 STATE CCC- GENERAL FUND 0100 OR 7072-999.20740 STATE CCC- STATE 0.00 DR 7072-999-10010 0.00 , CR 786N99.20610 S'F/SUBC-GENERAL FUND ?.50 OR 7860-999-20740 STF/SUBC-STATE 28.50 DR 7860-999.10010 30.00 ''. OR 7860-999-20810 STF- EST 9/1/2019- GENERAL FUND , �.26 CR 7860-999-20740 STF- EST 9/1/2019- STATE 78.30 DR 7860-999-10010 81.56 Page 1 of 3 11-10-22;11:34 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 4/ 6 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS. 11/1012022 COURT NAME: j! ;STICE OF PEACE NO. A MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2022 - CR 7950.999.20510 T P-GENERAL FUND 25.00 CR 7950-999-20740 TP-STATE 25.00 DR 7950-999.10010 50.00 I u Page 2 of 3 11-10-22;11:34 ;From:Calhoun County JP4 To:3615534444 ;3617852179 # 5/ 6 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/10/2022 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2022 OR 7480.999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480.999.2074p CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480.999.10010 0.00 OR 7865-999-20610 '. CF;IM-SUPP OF IND LEG SVCS-GEN FUND 0.60 CR 7866-999-20740 GRIM-SUPP OF IND LEG SVCS•STATE 5.40 OR 7865-999.10010 6,00 CR 7970.999-20610 TUFTA-GENERAL FUND 26.67 CR 7970-999-20740 TUFTA-STATE 5333 DR 7970-999.10010 C00 CR 7505-999-20610 JPAY. GENERAL FUND 1.80 CR 7505.999-20740 JP AY - STATE 16.20 DR 7505-999-10010 18.00 OR 7867-999-20610 JURY REIMB. FUND-GEN. FUND 1.10 OR 7857-999-20740 JURY REIMB. FUN0. STATE g 90 DR 7857-999-10010 11.00 CR 7866-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.18 DR 7656.999-10010 0.20 CR 7502-999.20740 JUD/CRT PERSONNEL TRAINING FUND. STATE .... O.Od DR 7502-999-10010 0.00 7998-999-2D740 TRUANCY PREVENT/DIV FUND - STATE 2,00 7998.999-20701 JUVENILE CASE MANAGER FUND .._...... d0 DR 7998.999.10010 4.00 7403-999.22889 ELECTRONIC FILING FEE - CV STATE A.00 DR 7403.899-22889 0.00 ' 7858-999.20740 STATE CONSOLIDATED CIVIL FEE 1189.00 ' 189.00 •• - TOTAL (DWdb Req to Oper Acct) $2.425.$9 DUE TO OTHERS (Distr/6 Raq Attchq 0 OD CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE P1 0.00 CASH BONDS 0.00 . . PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES TOTAL DUE TO OTHERS TOTAL COLLECTED -ALL FUNDS $2,425.39 LESS: TOTAL TREASUER'S RECEIPTS $2,425.39 REVISED 02/02/2021 OVER/(SHORT) $ p Page 3 of 3 0.. 11-10-22;11;34 ;From;Calhoun County JP4 PAYEE Name: Address: City: State: Zip: Phone: Signature of CALHOUN COUNTY 201 West Austin Calhoun County Oper. Acct. To;3615534444 ;3617852179 # 6/ 6 I DISTRIBUTION REQUEST DR# 450 A 44875 PAYOR Official: Title: Wesley Hunt Justice of the Peace, Pct, 4 # 26 NOTICE OF MEETING—11/23/2022 26. 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 23 of 24 A A O ti 000e y ° N9� zDm 0 m v 0Zv o0N m m o 3 m i 5mw, C' O z 3 Q/ .� I�aS m no 3 m z', al 3 m' 3 c ° m a, r C m N c 3 o m 'A 0000 O O Zzzz� m O 0 N g m m 0 0 0 z �a jo00 v: m: a: 3 m: Jz: l� z: cc: O: m A W eC% A J N N y �os�� A 0 y D D co n p r m m O m i D m o am 0 0°El c �m9 G m O C m r 0 1 0 N O a r 0 A O O m m 3 m -Zi m 0) z a r m m m i ro m m 3 � ppm O z C y m m O n O {� m m x m 10 U) m v m a m z A z O N V O es =_ N � N � N N N N W W O 0 00 00 00 T c v n m m m n r C 0 Loll v€ m:, a: J3: Z: a m€ M: m: m€ ze Ce m: a � coo T T T 1�C1� i C w !�I fR EA fA T O O o T 2 a O E9 E9 W �Z 000 N O O N O O m O` m: o s �i m z i W m Z y -jB z ZE a 3 0 m: E O r O z z 0 O fp a i m 3 v: m: 10: Ja: m: JZJ: tel: z€ o€ i; Ae Oe C 0 n m m Z A n r C O m N m $ ygpoa T T r NO 0 m N N N R W W W W (O N N N y N W fp OJ vKz-1v_ O n Cl) m �RC)C m n z 0 Oeaa Cl) c mm N m 0 z z z z i0000 p) p) G) Q D D D D • z z z z ax +ri � m &i [fl EA fA T O O O o fA EA fA fA � 'C O O O O � � e 4» in in O0 v: m: a: m: z: W o� Et N N N x=x T C T a �il m m J T T Of N T 'A MR O 00 O m m z ma a m �, m z mi m ZE y iE z zE a: 3€ 0 m: X ;0E z m: w <E c m: zE a 0 o m` m m N m 0 o Z � e v= m: Ja: me JzJ:. tel: z o= c v n m m m n c O 4 m 9 a 3 T m Rma RON T v= m: �o a: 3@ m: Z Z: 0: Oe n f�D t0 A A Z 00 N (P O p ;u m D m r G m -4 -0 M=�0 O O 3 D C z m A 0 C0 K { T m v 0 50 c7 j z cmm a ZN N z z z z p 5 0 0 0 0 O O O O s D D D D y z z z z ' a ' 3 y �+ a m m Z m m 'L Mi m Z Z Z: a: 3€ °a m: m X; � v€ � a Z a Zi C! g 0: W 0 z v N M m Mi m: s 0 � z c)i v m m z 1 m to O Z C'! 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O O O O O O a a cn 0 z mm 3 z CD In m A 0 C1 0 m k 9 m z W m °� a= z = n 3=_ m m= Z= C— �= C Z= m m=_ Z= O_ � v= n m=_ a- i q= c m v Z i O 2 O v ME m= z= c -I= z Z=__ o O_ O WE CO _ = 0 m R a N z O z p z O Z O N m 2 3 z ti C A a u zg 9 O T O O O z nN a � OVf O O T T T Cy*+ pzp fA d1 T T 0 0 O I^+ Ix T i N m A A N N 9 p N p T W N O o W w W v; m! a. m; z; Z; O, o; c v n m m m n C O \� « I m� § k z / !§ \ ■ §( : z ) z �§ ( ■■ m ' m B z| t �■ k §§ �/ '■ ; m§ § |m ; z■ § M °- k - • m- 'a) ` k § 2 - I § �) � m) 0 § § � ■ _ \§ § )� M ) ■ I ° � § § k■ ; ) M _ 'n 2 Z§ c ; z■ § ■ @| § ; m WE.. m (a ( m ;® ■ ) § ;§§■ ;8■= ■ �§�r | # 27 NOTICE OF MEETING 11/23/2022 27. 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 APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1 Vern Lyssy, Commissioner Pct 2 Judge Meyer, Commissioner Hall, Lyssy, Behi Adjourned: 11:07 Page 24 of 24 N M M M N N P M 01 S L} b9 b9 b9 69 fA N N N ti Iv Qy Mae Belle Cassel From: Amber.New@calhouncotx.org (Amber New) <Amber.New@calhouncotx.org> Sent: Tuesday, November 22, 202211:52 AM To: Richard Meyer; David Hall; Mae Belle Cassel; Angela Torres; vem lyssy, Less Jurek; Joel Behrens; Lynette Adame; Gary Reese; April Townsend, cindy mueller, candice villarreal; peggy hall; rhonda kokena; Erica Perez; Clarri Atkinson; Anna Goodman; karina. menchaca; anna kabela, teresa garcia; kerri boyd, Azalia Bonuz; mary orta; Ladonna Thigpen; Bobbie Vickery; Joe Garcia; Jenny McGrew; Jill Hendrickson; Sara Rodriguez; letti johnson; everett wood; hope kurtz, Tanya Dimak; wesley hunt, nancy. pomykal, leis leija; Margaret Servantes, Dustin Jenkins; Lori McDowell; Karesh Kartchner; PHILIP DENNIS; RACHEL MARTINEZ; katie.dennis@calhouncotx.org; Melissa McKissack, dsanchez@cclibrary.org; ellen.heiman@ag.tamu.edu Subject: Approval List for Commissioner's Court on November 23, 2022 Attachments: APPROVAL LIST - COMM CRT-11.23.22.pdf Good morning! Attached you will find the approval list for Commissioner's Court on November 23, 2022. Let me know if you have any questions. Thank you, Amber New Accounts Payable Clerk Calhoun County Treasurer's Office 202 S Ann St., Suite A Port Lavaca, TX 77979 (361)553-4620 Calhoun County Texas Calhoun County Texas 0 N u �W 3m Oyy oyy Ooa Ooy> O �- aS aS 'O3 '=3 rib3 ti '=3 z7m7s� '� ! aH rC- n n � ym ym tim ym F 7� m m H H o m o m o g V W n O O O ac ac C yyC coc w H n zzH zH H zH rH m m r A O z x a H 0 rt a R r R N 6 R z Z n n z o N c y y z� n r r r r m a a a a z a z z z o c � r m ti U U U U P P = n y ti :08z 71 rnS'a Mom E,oz �r gF 7+r M-c vC NW NC a,D Jn = m .om m_m a- a- m>A N� wr OiW N �D off o �. .9 y3 0 o= oY AP A> > 80wqu �Co m W o mD mD $= rnHx mDRp rnD R O A W N O n A a 0 0 A 00 0 A.�G A C00 Z Z yZ hhy K K H a a m Y O O =7 z n H A O O O d p O d O O m 0 a O z m m m h 0 0 0 0 0 U U U U U V�i O O O O O O �OO �0 0 -0 m mA mA m� � yy N O ra �O F-O ra-O �O rp rp rp rp rp N N N N N N O O O O O Q U A W N rnn <nn onn rnn g0n ynn ncc' xa- .cc-i-1 <=H atty �y $� Ama a 3my �NF D NG 5NG �G bc. 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S � Oa z Z mY n�0 � O O zfD7 wn o 9 � S� w H •'7 y [if w W f N � � C y m n to A O X m N w O n v N b O O V� to W P O W P r �p to U N N w O b A .F P 9 C O O O A Aa y A V O V J W A J b P b lA N Y P b b Ge N P J IN �O N Oa a 0 0 o � 0 r m and �O n n ^n1 H x u a a a � n 0 0 y 3 0 O m O O n m n H y � rn p tr-• � n z b � O C w w y 0 a a n U U O O O O O U P A N O n r m 6 rt ,0 a a biz 3 0 zn ax a? sz 6 rr- w n a n n A r r y m•a� �r � N 3 3 A Q P IDJ N N b a a � O O N W �1 0 0 m 0� rA m z tP za '*1 °W Rl DO W W W W O W a N A A m y a fJ L A a a A r A J y J EJ Zi y V z.`•Zr M K W ymp W N A U J N N G C nC n mm yj m �yi O W Oo N'nn ^1 .00i n�i A y ti Cf�" n U �O G� L O •O �O U O W O A A n a O ry 0 O y N v b ^ rt 7Y� Fy 3 a o e a e n e y n m r M � 9 x 0 z m m n m y e� 8 E o � O b .e b b n m� Oyr r AN Zz O �O n m o z � y C� z K a a a o p z rt n � O N : mx 8 G 3z �m n x � a o w � m W t!i b N J W I O ry z zo N N M1 3 A mWb <' zo a o 3 o ° Og3 x a3 m muy ,ny a� o W � � y N x 0 b J A N O W J T O N N O O _6 O O O ! § 3 f ) 2 ` ) } \ \ d zo 4 ) § ) (( §)! §)! +:! \/( { /� \ \ \ 2 § \ § \ \ \ # B k 7 a z ° o o e y H 'md y9 3 3 - m m o e O � n b y v i r 2 0 m— mro y zy°zy D zm r < C7 m< m m y H U O O O O O O O p R m y10 G C C C C � t D rr F r r rr- �� n< n n n n n 3 H^ m m C) ZC" m a n O o 0 00 o IG< cc mNc `c g[ c`c yG c `c A < O N < < w < b < < < < o nn �=A n b n n>A A OF A 0� 7� D H a D 0 O m 0 O m 0 0 O O m� mnco co bm m 'gym co a � n N y n y O � w J U A a W IJ W N IJ N A U A P J W O O O O O O� N W in O n N A � N A O �O �O O O Mae Belle Cassel From: Erica.Perez@calhouncotx.org (Erica Perez) <Erica.Perez@calhouncotx.org> Sent: Tuesday, November 22, 202211:04 AM To: Angela Torres, April Townsend; David Hall; Gary Reese; Judge Richard Meyer; Lesa Jurek, Lynette Adame; Mae Belle Cassel, Peggy hall; vem lyssy, demi.cabrera@cathouncotx.org; joel.behrms@calhouncotx.org; jjenkins®mmcportlavaca.com; mcphersonkay056Qgmail.com Cc: rarroyo-diaz@m portlavaca.com; chavanm2®dow.com, sdierschke®fnbportlavaca.com; ddowns®conmetalinc.com, dallas@dallasfranklin.net; rtuazon07l7@gmail.com; jackwu@ftpc.fpcusa.com,, eagleguerra@gmail.com Subject: MMC Approval List for November 23, 2022 Attachments: MMC Approval List for November 23, 2022.pdf Please see attached copy to place in Agenda Packet behind item #27. Best regards, Erica Perez Calhoun County Assistant Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone: 361. 553.4463 Fax: 361.553.4614 Calhoun County Texas MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 23 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS' _ $ 1,058,015.49 Ll TOTAL TRANSFERS BETWEEN FUNDS, ✓ $ 146,517.18 TOTAL NURSING',, HOMEUPLEXPENSES:. $ 1532,682.30 TOTAL INTER -GOVERNMENT TRANSFERS_ GRAND TOTAL DISBURSEMENTS APPROVED November 23;:2022 $ 2,737,214.97 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 23, 2022 PAYABLES AND PAYROLL 11/17/2022 Weekly Payables 11/17/2022 Patient Refunds 11117/2022 Citibank Credit Card -see attached 1112l/2022 Discovery Medical Network -Physician services 11/21/2022 McKesson-340B Prescription Expense 1112112022 Amedsource Bergen-340B Prescription Expense 11/21/2022 Payroll Liabilities -Payroll Taxes 11/21/2022 Payroll 1112112022 Payroll Liabilities for supplemental payroll -Payroll Taxes 1112112022 Supplemental Payroll 11/21/2022 Payroll Liabilities for supplemental payroll -Payroll Taxes 11/21/2022 Supplemental Payroll Prosperity Electronic Bank Payments 11/15/2022 Credit Card & Lease Fees I IIt 4-11118122 Pay Plus -Patient Claims Processing Fee 11/15/2022 ExpertPay- child support TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 11/17/2022 MMC Operating to Ashford -correction of NH QIPP payment deposited into MMC Operating 11117/2022 MMC Operating to Solera-correction of NH QIPP payment deposited into MMC Operating 1111712022 MMC Operating to Fort bend -correction of NH QtPP payment deposited into MMC Operating 11/17/2022 MMC Operating to Brcadmocr-correction of NH QIPP payment deposited into MMC Operating 1111712022 MMC Operating to Crescent -correction of NH insurance and QIPP payment deposited into MMC Operating in error 11/17/2022 MMC Operating to Golden Creek -correction of NH insurance and QIPP payment deposited into MMC Operating in error 1111712022 MMC Operating to Gulf Pointe Plaza -correction of NH QIPP payment deposited into MMC Operating 11117/2022 MMC Operating to Tuscany Village -correction of NH Insurance and QIPP payment deposited Into MMC Operating 11/17/2022 MMC Operating to Bethany -correction of NH insurance and QIPP payment deposited into MMC Operating In error TRANSFER OF FUNDS BETWEEN NURSING HOMESIMMC 11/21/2022 Crescent to Tuscany -correction of Tuscany insurance payment deposited into Crescent in error TOTAL TRANSFERS BETWEEN FUNDS NURSING HOME UPL EXPENSES 11/21/2022 Nursing Home UPL-Cantex Transfer 11/2112022 Nursing Home UPL-Nexion Transfer 1112112022 Nursing Home UPL-HMG Transfer 1112112022 Nursing Home UPI. -Tuscany Transfer 1112112022 Nursing Home UPL-HSL Transfer NURSING HOME BANK FEES 11/15/2022 Ashford -Enhanced analysis fee Nursing Home Electronic Bank Payments 1111412022 Bethany -returned check QIPP CHECKS TO MMC 11/21/2022 Ashford 1112112022 Broadmoor 11/21/2022 Crescent 11/21/2022 Fort Bend 11121/2022 Balers 1112112022 Golden Creek 11121/2022 Gulf Pointe 11/21/2022 Tuscany 411,728.64 3,578.92 593.00 99,716.50 10,247,02 2,055.93 129,183.33 393,822.30 6.34 35.33 3,407.34 915.42 240.18 112.54 2,371.70 6,040.32 1,813.76 1,880.32 743.26 2,954.67 33,018-35 2,293.62 29,718.17 57,703.71 10,351.00 866,384.70 102,45724 99,259.14 131,211.50 121,880.66 86.06 1,936.90 54,267.38 18,587.34 13,078.45 19,548.69 20,563.91 24,941.58 18,912.98 39,565.77 $ 1,05%015,49' $. 146,517,18 TOTAL NURSING HOME UPL EXPENSES $ 1,632,682.30' TOTAL INTER -GOVERNMENT TRANSFERS GRAND TOTAL DISBURSEMENTS APPROVED, November 23, 2022 $ 2,737,214.97 Page 1 of 15 FigrEiv€D 13Y THE COUNTY AUDITOR ON ,IYYa 7/2422 2022 MEMORIAL MEDICAL CENTER 12:45 AP Open Invoice List CALHOUN GOUNTY.TEXAF Due Dates Through: 12108/2022 Vendor# Vendor Name Class Pay Code 10995 ABILITY NETWORK (SHIFTHOUND) ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 22MO166670,/ 11 /16120 11/04/20 11/30120 64T28 SCHEDULING Vendor Totals Number Name Gross 10995 ABILITY NETWORK (SHIFTHOUND) 647.28 Vendor#Vendor Name Class Pay Cade 10950 ACUTE CARE INC f Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross I N V 1003 11/16/20 11 /02l20 11/30/20 1,400.00 a ap_open_invoice.templale Discount No -Pay Net 0.00 0.00 647.28 ✓ Discount No -Pay Net 0100 0.00 647.28 Discount No -Pay Net 0.00 0.00 1.400.00 r% RFID FEE Vendor Totals Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor# Vendor Name Class Pay Code 14620 AETNA,% Invoice# Comment Tran Dt Inv Or Due Dt Check D Pay Gross Discount No -Pay Net 101822 11/17/2010/1812011/18/20 163.89 0.00 0.00 163.89 Vendor Totals Number Name Gross Discount No -Pay Net 14620 AETNA 163.89 0.00 0.00 163.89 Vendor# Vendor Name Class Pay Cade Al 680 AIRGAS USA, LLC - CENTRAL DIV r/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9992542115 r/ 11/16120 10131120 11/25/20 542.11 0.00 0.00 542.11 r'f OXYGEN 9131585851 ✓ 11/16/20 10/31/20 11125/20 2,385.72 0.00 0.00 2.385.72 ..' RENTALBULK Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 2,927.83 0.00 0.00 2,927.83 Vendor# Vendor Name Class Pay Code 10592 AMERICAN PROFICIENCY INSTITUTE Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net / 639205✓ 11/01/20 10/21/20 11/15/20 1,770.00 0.00 OAO 1,770.00 N` SUPPLIES 639219 ✓ 11/01120 10/25/20 11/19120 16,293,00 0.00 0.00 16,293.00 ✓' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10592 AMERICAN PROFICIENCY INSTITUTE 18,063.00 0.00 0.00 18,063.00 Vendor# Vendor Name Class Pay Code 14616 AMERIGROUP ✓ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 092622 11l17/2009/26/2010/26/20 �i3�r� 208/00 0.00 0.00 JJ 20&!00 D Vendor Totals Number Name Gross Discount No -Pay Net // 14616 AMERIGROUP r4D/. 1�3'�0 208fi0 0.00 "0.00 ff pp 208P0 Vendor# Vendor Name Class Pay Code 11 A1360 AMERISOURCEBERGEN DRUG CORP ✓/ W file:///C:/Users/Itrrevino/ct)si/meiTimed.cDsinet.com/u88125%data 5/tmD cw5renort25953... 11/17/2022 Page 2 of 15 Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3112155119 11116/20 11110/20 11/16/20 9.24 0,00 0.00 9,24 ✓ INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 9.24 0.00 0.00 9,24 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY ✓` M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 235344,/^ 11/16/20 10/31/20 11/25/20 25.99 0.00 0.00 25.99 y' WATER 23163111/16/20 10131120 11/25/20 35.97 0.00 0.00 35.97 Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 61.96 0.00 0.00 61.96 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC '' Invoice# Comment Tran or Inv Dt Due Dt Check a Pay Gross Discount No -Pay Not 2803898 ✓ 1111612010/31/2011/30/20 3,400.00 0.00 0.00 3,400.00 b+' LAB STAFFING (I1(14_ to(I4 Vendor Totals Number Name Gross Discount No -Pay Net A0406 AUREUS RADIOLOGY LLC 3,400.00 0.00 0.00 3,400.00 Vendor# Vendor Name Class Pay Cade A2600 AUTO PARTS & MACHINE CO. ✓�` W Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 994964 ✓f 11116120 10/19/20 11103/20 38.49 0.00 0.00 3649 4^' SUPPLIES 995083 ✓� 11/16/2010/20/2011/04/20 123,65 0.00 0.00 123.65 ✓` SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 162.14 0.00 0.00 162.14 Vendor#Vendor Name Class Pay Code 61150 BAXTER HEALTHCARE v' W Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 76967447,/ 11/1512010/31/2011125/20 702,96 0.00 0.00 702.96 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 702.96 0.00 0.00 702.96 Vendor# Vendor Name Class Pay Code 11544 BAY STORAGE 1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 20220260r,/ 1111612011/0712011/30/20 2,070.00 0.00 0.00 2,070.00 a--^ UNIT 1751180/191 ()eLtKjar '�#-1,7-� N,Fy •U013 . Vendor Totals Number Name Gross Discount No -Pay Net 11544 BAY STORAGE 2,070.00 0.00 0.00 2,070,00 Vendor# Vendor Name Class Pay Code _ B1220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110142635 vr` 11/16/20 09/15/20 10/10/20 1,288.45 0.00 0,00 1,288,45 F^' CONTRACT 64743US 11 OP41874 ✓/11/16/2011101/2011/26/20 92.57 0,00 0.00 92,57 ,..! SUPPLIES file:///C:/Users/Itrevino/ci3si/menuned.cpsinet.com/u88125/data Mini) cw5report25953.., 11/17/2022 Page 3 of 15 73 a-1 gV7 440255816' 11/16/2011/01/2011126/20 6,570.64 0.00 0.00 6.570.64 SUPPLIES 110242711 v 11/16/2011102/2011/27120 1,047,70 0.00 0.00 1.047.70�' SUPPLIES 110243030✓/11/16/2011/0212011127/20 13,877.31 OAO 0.00 13,877.31 ✓ SUPPLIES 110243796 w/ 11/16120 11102120 11127/20 1,539.26 0.00 0.00 1,539.20 ✓ SUPPLIES 110242891 ✓ 11/16/20 11/02/20 11/27/20 827.20 0.00 0.00 827.20 ✓ SUPPLIES 110245094 1/ 11/16120 11/05/20 11130120 1,538.42 0.00 0.00 1,538.42 w.! SUPPLIES 54653641/ 11/16/2011/05/2011130/20 6,249.42 0.00 0.00 6,249.42 ✓ LEASE 110256514.E 1111612011/08/2012103/20 71.47 0.00 0.00 71.47 �r SUPPLIES Vendor Totals Number Name Gross Discount No�Pay Net B1220 BECKMAN COULTER INC 33,102.44 0.00 0.00 33,102,44 Vendor# Vendor Name Class Pay Code 11072 BIO-RAD LABORATORIES, INC r/ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 905921678 �/' 11/15/20 11102/20 11/15/20 6,815,88 0.00 0100 6,815.88 ,. SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11072 BIO-RAD LABORATORIES, INC 6,815.88 0.00 0.00 8,815.88 Vendor# Vendor Name Class Pay Code B1800 BRIGGS HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not B410832 ✓ 1111512011/03/2011115/20 259.60 0.00 0.00 259.60 ER REIGISTER BOOK Vendor Totals Number Name Grass Discount No -Pay Net B1800 BRIGGS HEALTHCARE 259.60 0.00 0.00 259.60 Vendor# Vendor Name Class Pay Cade 14120 CALHOUN COUNTY EMS f Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 22100010 r/ 11/16/20 11/01/20 11/30/20 3520.00 0.00 0.00 3,520,00 OCT 22 TRANSPORT t (0 l 1 Vendor Totals Number Name Gross Discount No -Pay Net 14120 CALHOUN COUNTY EMS 3,520,00 0.00 0.00 3,520.00 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, INC. f w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8002997241V/ 11/1612010122/2011/16/20 337.24 0.00 0.00 337.24 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 337.24 0.00 0.00 337.24 Vendor# Vendor Name Class Pay Code 10650 CAREFUSION 2200, INC ,% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9110249812 / 11/15/20 10/28/20 11/27/20 199.65 0.00 0.00 199.85 Va' SUPPLIES file:///C:/Users/Itrevino/cpsi/memmed.opsinet.com/u88125/data 5/tmp cw5report25953... 11/17/2022 Page 4 of 15 Vendor Totals Number Name Gross Discount No -Pay Net 10650 CAREFUSION 2200, ING 199.85 0.00 0.00 199.85 Vendor# Vendor Name Class Pay Code 13992 CARIANT HEALTH PARTNERS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 131471A ,.%11/15/20 01/12/20 02/22120 2,520,00 0.00 0.00 2,520.001, SHANNON FORBUS { I' Q - It 27-} FwI'uS Vendor Totals Number Name Gross Discount No -Pay Net 13992 CARIANT HEALTH PARTNERS 2,520.00 0.00 0.00 2.520.00 Vendor# Vendor Name Class Pay Code C1992 CDW GOVERNMENT, INC. v` M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net DO68058 V/ 11116120 10/25/20 11/24120 243.93 0.00 0.00 243.93 WEB CAM Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 243.93 0.00 0.00 243.93 Vendor# Vendor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVERAGES . Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 24165201360 ,% t 1/15/2011/02/20 11/30/20 600.92 0.00 0.00 600.92 BEVERAGES 24165201361/ 11/15/2011/02/2011/30/20 -125.00 0.00 0.00 -125.00 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 13336 COCA COLA SOUTHWEST BEVERAGES 475.92 0.00 0.00 475.92 Vendor# Vendor Name Class Pay Code 13572 COMMUNITY INFUSION SOLUTIONS Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 20221120v' 11/16/2011/03/2011113/20 17,076.41 0.00 0.00 17,076,41 yr INFUSION SERV Vendor Totals Number Name Gross Discount No -Pay Net 13572 COMMUNITY INFUSION SOLUTIONS 17,076.41 0.00 0.00 17,076.41 Vendor# Vendor Name Class Pay Cade 14080 CORROHEALTH, INC. / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 895624 ✓ 1111712010/31/20 11/30/20 2,138.75 0.00 0.00 2,136.75 CODING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 14060 CORROHEALTH, INC. 2,138.75 0.tl0 0.00 2,138.75 Vendor# Vendor Name Class Pay Code 14608 COTIVITI ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 091222 11 /17120 09/1 PJ2010/12/20 132.01 0.00 0.00 132.01 +� 101822 11/1712010118/2011/18120 92.67 0.00 0.00 92.57,✓ 101822A 11/17120 10/18120 11118/20 75.89 0.00 0.00 75,89 Vendor Totals Number Name Gross Discount No -Pay Net 14608 COTIVITI 300,47 0.00 0.00 300.A7 Vendor# Vendor Name Class Pay Code file:///C:/Users/(trevino/ct)si/niemmed.cpsinet.com/u88125/data 5/tmp ew5report25953... 11/17/2022 Page 5 of 15 14400 CULINARY CONCESSIONS LLC ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check D'Pay Gross Discount INVD0000074 /' 11/1612008131/2009/30120 32,793.02 0.00 AUG 22 INVOo000206 11/1612010/31120 11/30/20 26,216.79 0.00 DIETARY SERVICES Vendor Totals Number Name Gross Discount 14400 CULINARY CONCESSIONS LLC 59,009.81 0.00 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES , Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay 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Net 0.00 17,537.00 •' file:///C:/Users/Itrevino/cosi/memmed.cnsinet.coln/u88125/data 5/tmD cw5renort25953... 11/17/2022 Page 6 of 15 / MONTHLY SUBSCRIP 1005354✓ 11117/2011/0412011104/20 332.50 0.00 0,00 ENVELOPE/LASER COPY 109£ Vendor Totals Number Name Gross Discount No -Pay C2510 EVIDENT 17,869.50 0.00 0.00 Vendor# Vendor Name Class Pay Code R1185 FARAH JANAK Invoice# Comment Tran DI Inv Dt Due Dt Check D Pay Gross 111422 11/1612011114/2011/24/20 323,00 TRAVEL REIMB Vendor Total<Number Name Grass R1185 FARAH JANAK 323.00 Vendor# Vendor Name Class Pay Cade 10689 FASTHEALTH CORPORATION t/ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross 11 A22MMO/ 11/16/2011/0112011/16/20 495.00 WEBSITE Vendor Total; Number Name Gross 10669 FASTHEALTH CORPORATION 495.00 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross 6780548✓ 11/01/20 09127120 10/22120 80.00 SUPPLIES 7439161 ✓ 1 V01/20 10/19/20 11/13/20 128.54 SUPPLIES 7851628 r� 11/15/20 11/02/20 11/27/20 339.42 SUPPLIES 7851630 ✓i 1Ill 5/2011=12011/27/20 211.06 SUPPLIES 7861627 ✓ 11115/20 11/02/20 11/27120 379.08 SUPPLIES 7851629 ✓'� 11/1512011/02/2011/27/20 848.55 SUPPLIES 7893768 ✓� 11/15120 11/03120 11126/20 189.07 SUPPLIES i Discount No -Pay 0.00 0.00 Discount Na-Pay 0.00 0.00 332.50 ✓- Net 17,869.50 Net 323.00 Net 323.00 Discount No -Pay Net 0.00 0.00 495.00 v' Discount No -Pay Net 0.00 0.00 495.00 Discount No -Pay Net 0.00 0.00 80.00 0.00 0.00 128.54 0.00 0.00 339.42 0.00 0.00 211.06 ✓' r rt 7893769 ✓ 11/16/20 11103120 11128120 14,040.00 0.00 SUPPLIES 7893767 ✓ 11/15/20 11/03120 11/28/20 131.57 0.00 SUPPLIES 7893766 ✓r 11/15/20 11/03/20 11/28/20 104.65 SUPPLIES 7935900 „i 1 Ill 5/20 11/04/20 11/29/20 4,292.73 SUPPLIES 7766429 U/ 11/16/20 10/31/20 11/25120 9,72 SUPPLIES 7809309 f 11/16/2011101/2011126/20 450.67 SUPPLIES r rr r rr rr 0.00 379.08 ✓ 0.00 848.55 ✓� 0.00 189.07 / 0.00 0.00 0.00 O.DO 0.00 14,040.00 ✓ 131.57 ✓ 104.65 4,292.73 L. 9.72 y `` 450.67 Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 21,205,06 0.00 0.00 21,205.06 Ventlor# Vendor Name Class Pay Code file:///C:/Users/Itrevino/ensi/memmed.cusinet.com/u88125/data 5/tmo cw5renort25953... 11/17/2022 Page 7 of 15 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 110222 11116120 11/02/20 11128/20 1,193.74 0.00 0.00 1,193.74 ,.•" TELEPHONE Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,193.74 0.00 0.00 1,193.74 Vendor# Vendor Name Class Pay Code 14156 FUJI FILM t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net PJIN01923971/ 11/1612005/15/2006/25/20 7,908.33 0.00 0.00 7,908.33 ✓ SMA FEE Vendor Totals Number Name Gross Discount No -Pay Net 14156 FUJI FILM 7,908.33 0.00 0.00 7,908.33 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 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9503791551 ✓ 11/15/20 11/07/20 12/02/20 361.23 0.00 0.00 361.23 s SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 813.63 0.00 0.00 813.63 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY .% M Invoice# Comment Tran Dt Inv Dt Duo Dt Check D- Pay Gross Discount No -Pay Net 2288677 f 11/15/2009/16/2010116/20 31.75 0.00 0.00 31.75 SUPPLIES 2293334 11/15/2009/27/2010/27/20 43.93 0.00 0,00 43.93 s" file:///C:/Users/Itrevino/cnsi/memmed.ensinet.com/uRRI25/data 5/tmn ew5renort25953... 11/17/2022 Page 8 of 15 SUPPLIES 2309883,.E 11115/20 11/01/20 12101120 539.59 0.00 0.00 529.59 4/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay No( 01210 GULF COAST PAPER COMPANY 615.27 0.00 0.00 615.27 Vendor# Vendor Name Class Pay Code 11784 HALF LEAGUE STORAGE I I Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110122 11117/2011/0112012/01/20 360.00 0.00 0.00 360.00 UNIT 11-12135 NOVJAN23 .✓ Vendor Totals Number Name Gross Discount No -Pay Net 11784 HALF LEAGUE STORAGE 360.00 0.00 0.00 360.00 Vendor# Vendor Name Class Pay Code H1100 HAYES ELECTRIC SERVICE W InvoiceH Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net A222091904 11/16/20 09/19/20 09129/20 180,00 0.00 0.00 180.00 ,,/� ELECTRICAL LABOR Vendor Totals Number Name Gross Discount No -Pay Net H1100 HAYES ELECTRIC SERVICE 180,00 0.00 0.00 180.00 VendorH Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES ,/ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 100679760 v/ 11/16/20 10/27/20 11/30/20 4,610.52 0.00 0.00 4,610,52 ✓ LEASE 100witin v/ 11/16/20 11/01/20 11/01/20 89.87 0,00 0.00 89.87 LATE FEE 100681627 w/ 11/16120 11101/20 11101120 372.39 0.00 0.00 372.39 ✓' LATE FEE 100681626 ✓ 11/16/20 11101/20 11/01/20 357,71 0.00 0.00 357.71+/- LATE FEE 100681625 ✓ 11/16/2011/01/2011/01120 230.53 0.00 0.00 230.53 „% LATE FEE Vendor Totals Number Name Gross Discount No -Pay Net 11562 HEALTHCARE FINANCIAL SERVICES 6,661.02 0.00 0.00 5,661.02 VendorH Vendor Name Class Pay Cade H1227 HEALTHSURE INSURANCE SERVICES,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3272 , 11/16/20 11/02/20 12101/20 500.00 0.00 0.00 500.00 '% BETHANY RENEWAL f Vendor Totals Number Name Gross Discount No -Pay Net H1227 HEALTHSURE INSURANCE SERVICES 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code 11264 ITA RESOURCES, INC ✓ - W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MMC112022 f 11/17/2011/14/2011125/20 26,23026 0.00 0.00 26,230.25 RESPIRATORY SERV Vendor Totals Number Name Gross Discount No -Pay Net 11264 ITA RESOURCES, INC 26,230.25 0.00 0.00 26,230.25 Vendor# Vendor Name I Class Pay Code L0700 LABCORP OF AMERICA HOLDINGS ✓/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file)//CJ11mr�/Itrevinn(cnci/memmed.r.n.cinet_ennt/u�R125/data 5/tinn cw5renort25953... 11/17/2022 Page 9 of 15 74594270 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SUPPLIES 2235784110� 11/1012010/2712011121120 307.52 0.00 0.00 307.52 ✓'� SUPPLIES 1981168245A ✓ 11/15/2001/0512001/30/20 85.04 0.00 0.00 85.04 SUPPLIES 1982144051A v'� 11115120 01/12120 02106120 505,86 0.00 0.00 505.86 ✓ SUPPLIES 222557593011/15/20. 08/2312009/17/20 80.44 0.00 0.00 80.44 SUPPLIES 2235885909 ,% 11/15120 10/27/20 11/21120 -40.82 0.00 0.00 -40.8211: CREDIT 2236482124 ✓ 11/15120 10131/20 11/25/20 -92,83 0.00 0,00 -92.83.-' CREDIT 2236795423t/ 11/1512011/02/2011/27/20 143.76 0.00 0.00 143.76 SUPPLIES 2236795424 ,/ 11/15/20 11102/20 11/27120 97.51 0,00 0.00 97,51 SUPPLIES 2237735915 J/ 11/15/20 11/02/2D 11/27/20 -67.41 0.00 0.00 -67.41 U: file:///C:/LJsers/Ih-evino/cosi/memmed.cosinet-com/u88125/data 5/tmn ew5renort25953... 11/17/2022 Page 10 of 15 CREDIT 1702777295 11/16/20 06/25/20 07/20/20 331.17 0.00 0.00 331.17 INTEREST W/ 1702770785 11/16/20 06/25/20 07/20120 340.08 0.00 0.00 340,08 �% INTEREST 1702790760.1 11116/20. 07/23/20 08/17/20 307.75 0.00 0.00 307,75 INTEREST i 1702797733 11/16/20 07/23/20 08/17/20 249.01 0.00 0.00 249.01 INTEREST Vendor Total= Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 2,339.91 0.00 0.00 2,239.91 Ventlor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC Invoice# Comment Tran Dt Inv Dt Due DL Check D Pay Gross Discount No -Pay Net 110322 11/16/20 11/03/20 11/15/20 195.00 0.00 0.00 195.00 % PAYROLL DEDUCT L� Vendor Totals Number Name Grass Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 195.00 0.00 0.00 195.00 Vendor# Vendor Name Class Pay Code 13952 MLB CONSULTING GROUP % Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111722 11/17/20 11/17/20 11/17/20 14,835.00 0.00 0.00 14,835.00 HVAC PROJECT Vendor Totals Number Name Gross Discount No -Pay Net 13952 MLB CONSULTING GROUP 14,835.00 0.00 0.00 14,835.00 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP yJ w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111522 11/16/20 11115/20 11/25/20 399.83 0.00 0.00 399.83, PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay Net M2821 MMC AUXILIARY GIFT SHOP 399.83 0.00 0.00 399.83 Vendor# Vendor Name Class Pay Code 10535 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 8053912 �' 11116/20 11107/20 11/17/20 375.79 0.00 0,00 375.79v' INVENTORY 8851186 ✓/ 11/16/20 11/07/20 11/17/20 74.69 0.00 0.00 74.69 INVENTORY 8859631 �r 11/18120 11108120 11118/20 295.19 0.00 0.00 295.19,: ^� INVENTORY 8856537 ,� 11/16/20 11/06/20 11/18/20 3.22 0.00 0.00 3.22 ✓ .INVENTORY / CM78820 ✓'. 11/16120 11108/20 11/18/20 -151AO 0.00 0.00 .151AU � CREDIT CM78646 of 11/16/20 11/08/20 11/18/20 -426.28 0.00 0.00 -426.28 �- L i CREDIT 8859630 ✓�� 11/16120 11/08/20 11/18/20 57.55 0.00 0.00 57.55 ✓i INVENTORY 8856538 11/16/20 11/06120 11118120 118,51 0.00 0.00 116.51 INVENTORY file:///C:/Users/itrevino/cDsi/memmed.cDsinet.com/u88l25/data 5/tmD cw5revort25953... 11/17/2022 Page l I of 15 8862000 11/16/20. 1110912011119/20 51.47 0.00 0.00 51,47 ' V' INVENTORY 8861997 �, � 11/16/20 11/09/20 11/19/20 194.44 0.00 0.00 194.44 INVENTORY 8861999 ✓ 11/16120 11/09120 11/19/20 51.47 0.00 0.00 51A7 INVENTORY 8861998 / 11/16120 11/09/20 11119120 118.22 0.00 0.00 116,22 .' INVENTORY . 8864549,/ 11116/20 11/09120 11/19/20 1,135.37 0.00 0.00 1,135.37 ..' INVENTORY $864560 �- 11/1612011/09/2011/19/20 121.99 0.00 0.00 121.99 INVENTORY 8870650 v' 11/16/2011/10/2011/20/20 43.81 0.00 0.00 43.81 INVENTORY 8867628 11/16/201111012011120/20 376.31 0.00 0100 376.31 Y INVENTORY 8867627 w` 11/16/20 11/10/20 11/20/20 42.37 0100 0.00 42.37 INVENTORY 8870679 y' 11110120 11/10/20 11/20/20 23.41 0.00 0.00 23.411�' INVENTORY 8867629 Fj" 11/16/20 11/10/20 11/20/20 291.23 0.00 0.00 291.23 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net 10530 MORRIS & DICKSON CO, LLC 2,79�.36 0.00 0.00 2,79(7.36 Vendor# Vendor Name Class Pay Code 1131'1{� 14196 NATIONAL ASSOCIATION OF RURAL s` Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MEM119282 f� 1111612011108/2012/01120 450.00 0.00 0= 450.00 y,.= MEMBERSHIP Vendor Total Number Name Grass Discount No -Pay Net 14196 NATIONAL ASSOCIATION OF RURAL 450.00 0.00 0.00 450,00 Vendor# Vendor Name Class Pay Cade 13624 NEXION HEALTH AT NAVASOTA INC ,r Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 20221102 11/16/2011/02/2011/30/20 11000.00 0.00 0.00 1,000.00 TELEMEDICINE Vendor Total: Number Name Gross Discount No -Pay Net 13624 NEXION HEALTH AT NAVASOTA INC 11000.00 0.00 0.00 1,000.00 Vendor# Vendor Name Class Pay Code 1147P OCCUPRO LLC // involce# Comment Tran Ot Inv Dt Dus Dt Check D Pay Gross Discount No -Pay Net 28324 ,! 11/16/20 11107/20 11130/20 502.11 0.00 0.00 502.11 LICENSE Vendor Total; Number Name Gross Discount No -Pay Net 11472 OCCUPRO LLC 502.11 0.00 0.00 502.11 Ventlor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D` Pay Gross Discount No -Pay Net 33494660 f 11/15120 11101/20 11/26/20 1,125.00 0.00 0.00 1,125.00 SERVICE CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/Itrevino/ci)si/memrned.ci)sinet.com/u88125/data 5/tinp cw5repolt25953... 11/17/2022 Page 12 of 15 01500 OLYMPUS AMERICA INC 1,125.00 0.00 0.00 1,125.00 Vendor# Vendor Name Class Pay Code 11155 PARA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12447 ,✓' 11/16/20 11/01/20 11/30/20 3,084.00 0.00 0.00 3,084.00 REVENUE INTEGRITY b` Vendor Totals Number Name Gross Discount No -Pay Net 11155 PARA 3,084.00 0.00 0.00 3.084.00 Vendor# Vendor Name Class Pay Code S0905 PERFORMANCE HEALTH Uj M Invoice# Comment Tran Dt Inv D1 Due Dt Check DPay Gross Discount No -Pay Net IN95707737 i/' 11115/20 10/25/20 11/19/20 46.63 0.00 0.00 46.63 t; ` SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S0905 PERFORMANCE HEALTH 46.63 0.00 0.00 46.63 Ventlor# Vendor Name Class Pay Code 14536 QUVA PHARMA INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 76952527448 ✓� 11/16/20 10/28/20 11/28/20 188.28 0.00 0.00 188.28 INVENTORY t'T Vendor Totals Number Name Gross Discount No -Pay Net 14535 QUVA PHARMA INC 188.28 0.00 0.00 188.28 Vendor# Vendor Name Class Pay Code 14060 RADCOM ASSOCIATES, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net INVO01088 v.. 11/16/20 10/3V20 11/30/20 900.00 0.00 0.00 900.00 , MEDICAL PHYSICS Vendor Totals Number Name Gross Discount No -Pay Net 14060 RADCDM ASSOCIATES, LLC 900.00 0.00 0.00 900.00 Vendor#Ventlor Name Class Pay Code 11764 ROBERT RODRIQUEZ J� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110922 11/16/20 11109/20 11/19/20 42.75 0.00 0.00 42,75 TRAVEL REIM t if C,(,rr •5 j ttF6) Vendor Totals Number Name Gross Discount No -Pay Net 11764 ROBERTRODRIQUEZ 42.75 0.00 0.00 42.75 Ventlor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS .� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 81281 11/16/20 10/12/20 10/27/20 67.87 0.00 0.00 67.87 SUPPLIES '�- VendorTotahNumbei Name Gross Discount No -Pay Net S1800 SHERWIN WILLIAMS 67.87 0.00 0.00 67.87 Vendor# Vendor Name Class Pay Code S2362 SMITH & NEPHEW L i Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 981132706 11115/2011/0112011115/20 1,190.80 0.00 0.00 11190.80 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net $2362 SMITH & NEPHEW 1,190.80 0.00 0.00 1,190.80 Vendor# Vendor Name Class Pay Code file:///C:/Users/Itrevino/cnsi/memmed.cDsinet.com/U88125/data 5/tmD cw5renort25953... 11/17/2022 Page 13 of 15 S2694 STANFORD VACUUM SERVICE V-' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 484537 11 /16120 08/16/20 09/18/20 550.00 0.00 0.00 550.00 " GREASETRAP L! Vendor Totals Number Name Gross Discount No -Pay Net S2694 STANFORD VACUUM SERVICE 550.00 0.00 0.00 550.00 Vandor# Vendor Name Class Pay Code 10845 STAPLES ADVANTAGE V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3522095360 ✓'` 11/15/20 10131120 10131/20 171,06 0.00 0.00 171.06 SUPPLIES 35222095352 „ 11/15/20 10131/20 11115120 154.09 0.00 0.00 154.09 SUPPLIES 3522095347 �r' 11/15/2010/31/2011115120 116,48 0.00 0.00 116.484.,' SUPPLIES 3522095355 „% 11115120 10/31120 11115/20 89.27 0.00 0.00 89,27 SUPPLIES 3622095353 V/ 11/15/20 10/31/20 11/16/20 219.99 0.00 0.00 219.99 "; ' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Nei 10845 STAPLES ADVANTAGE 760.89 0.00 0.00 750.89 Vendor# Vendor Name Class Pay Code 53940 STERIS CORPORATION V M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10566799 V/. 11/15/20 10/31/20 11/25/20 5,809.90 0.00 0.00 5,609.90 ✓ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 83940 STERIS CORPORATION 5,609.90 0.00 0.00 6,609.90 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 4552600E 11101/20 10/20/90 11119/20 140.88 0,00 0.00 140,88 SUPPLIES 4555889 ./ 11/01120 10/25120 11124/20 2,234.11 0.00 0100 2,234.11 "- SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAINABILITY 2,374.99 0.00 0.00 2,374.99 Ventlor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC �.' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 890886 ✓ 11/16/2011101/2011130120 6,130.42 0.00 0.00 6.130.42 LICENSE 891087 .%- 11 /16/20 11101/20 11/30/20 83.33 0.00 0.00 83.33 INBOUND INTERFACE Vendor Totals Number Name Gross Discount No -Pay Net T2539 T-SYSTEM, INC 6,213.75 0.00 0.00 6,213.75 Vendor# Vendor Name ,Class Pay code T1450 TEXAS ASSOCIATION OF COUNTIES ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 101122A 11/16/20 10/1IJ20 10/11/20 4,559.43 0.00 0.00 4,559.43 v-'1 3RD OTR CONTRIBUTION file:///C:/Users/Itrevino/cosi/inemmed.cpsinet.coin/u88125/data 5/tmp cw5report25953... 11/17/2022 Page 14 of 15 Vendor Totals Number Name Gross Discount No -Pay Net T1450 TEXAS ASSOCIATION OF COUNTIES 4,559.43 0.00 0.00 4,659.43 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO ,/� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1004126669 11/1012010/31/2011/20/20 160.00 0.00 0.00 160.00 WORKERS COMP v' Vendor Totals Number Name Gross Discount Na-Pay Net T2204 TEXAS MUTUAL INSURANCE CO 160.00 0.00 0.00 160.00 Vendor# Vendor Name Class Pay Code T2250 TK ELEVATOR CORPORATION �� M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 3006922261 �' 11116/2011/01/2011/01120 11398.81 0.00 0.00 1,398.81 BRONZE/OIL/GREASE Vendor Totals Number Name Gross Discount No -Pay Net T2250 TK ELEVATOR CORPORATION 1,398.81 0.00 0.00 1,398.81 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tian Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400407778 �' 11/16/20 11/03120 11/28/20 171.12 0.00 0.00 171.12 LAUNDRY 8400407818 1111612011103/2011/28/20 95.03 0.00 0.00 95.03 LAUNDRY 8400407981 v,,' 11/16/2011/03/2011/28/20 48.15 0,00 0.00 40.15 LAUNDRY ,. 11/16/20 11/07/20 12/02/20 8400408003 2,247.98 0.00 0.00 2,247.98 V LAUNDRY 8400407982 „' 11116120 11/07/20 12102/20 44.80 0.00 0.00 44.80 / LAUNDRY 8400408344✓11116/2011/10/2012105/20 129,04 0100 0.00 129.04 LAUNDRY 8400408303 �% 11/16/20 1111012012105/20 219.13 0.00 0.00 219.13 LAUNDRY 8400408329 /, 11/16/20 11/1012012/05/20 1,738.88 0.00 0.00 1,736.88 LAUNDRY 8400408304 V 11/16/2011/10/2012/05/20 197.12 0.00 0.00 197,12 LAUNDRY V 8400408302,% 11/16/20 11110120 12105120 201.59 0.00 0.00 201.50 LAUNDRY 8400408305 ✓ 11/16/20 11/10/20 12/05/20 211.73 0.00 0.00 211.73 LAUNDRY $400408301 yf 11/16/2011/1012012/06/20 32.01 0.00 0.00 32.01", LAUNDRY 8400408321 , / 11/16120 11110/20 12/05/20 75.08 0.00 0,00 75,08 ✓' LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,411.66 0.00 0.00 5,411.66 Vendor# Vendor Name Class Pay Code V1471 VICTORIA RADIOWORKS, LTD ✓ W Involce# Comment Tran or Inv or Due Dt Check D Pay Gross Discount No -Pay Net 22100244 1iJ 11116/20 10131/20 11130/20 160.00 0.00 0.00 160.00 file:///C:/UsersAtrevino/cosi/tnemmed.cnsinet.coin/u88125/data 5/tmo cw5reDort25953,., 11/17/2022 Page 15 of 15 004 ADVERTISING Vendor TotalE Number Name Gross Discount No -Pay Net V1471 VICTORIA RADIOWORKS, LTD 160.00 0.00 0.00 160.00 Vendor# Vendor Name Class Pay Code 11110 WERFENUSALLC Invoice# Comment Tran DI Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 9111221128 / 11/10/20 09/29120 10/24120 944.00 0.00 0.00 944.00 v� SUPPLIES Vendor TotalMumber Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 944.00 0.00 0.00 944.00 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS j Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net WCS00005599 `/' 11/16/20 11/01/20 11/30/20 4,500.00 0.00 0.00 4,500.00 WOUND CARE SERV Vendor TotalENumber Name Gross Discount No -Pay Net 10556 WOUND CARE SPECIALISTS 4,500.00 0.00 0.00 4,500.00 Report Summary Grand Totals: Gross Discount No -Pay Net 411,601.76 0.00 0.00 411,601.76 411.601.76 *' 2086OU 183.48 +'' 151.40 + 411+728.64 * L Us 00� P� 1 [Arret}iWl t IB3-wg pv� 16 , Y1 c. vyi 4151.go- file:///C:/Users/itrevino/cpsi/1nemmed.cpsinet.com/it88l25/data 5/tnip cw5report25953... 11/17/2022 RON DATE: fitlt7WED BY THE MERORIAL MEDICAL CENTER TIMID@ UN AUDITOR ON EDIT LIST FOR PATIENT REFUNDS ARIM001 PA6mrr NOV 17 2022 INNBER PAYEE NAME DATE 111712 111722 111722 111722 082322 111722 111722 111722 111722 111722 111722 111722 111722 111722 111722 111722 111722 PAY PAT AMO@IT CODE TYPE DESCRIPTION H.46✓/, 2 212.86 2 249.95 / 2 346.62 ,% 2 95.58 / 2 36.76 ✓ 2 105,08✓- 1 32.49 / 2 143.21 ✓ 3 86.25 j 2 926.91 ✓ 2 390.00 / 2 250.00✓ 2 511, 05v 2 25.00✓' 2 50.002 18.80 2 ARID-0001 TOTAL 3518.92 TOTAL AAOMcm NOV 17 2022 SYCOUNTYAUMTOA C.ALHOUN COU",jFyA3 3578.92 PAGE 1 APCDEDIT GL PNM CITIBANK CORPORATE CAR® Account Statement C4mmomlal CaN4snaM R09HANDA 3INOMA3 Account In uUies: e u Toll Free: q 1-(800)-2484553 lllaii Illl International: 1-(934)- -7314 Account Number: XXXX-,'(XXX-XX)(X-8457 TODRTV: 1-(B77)505-7276 Send NOeee of Billing Errors and Customer Service Inquiries to: CITIBANK, N.A., PC BOX 6125. SIOUX FALLS SD 5717743125 Transactions Not an invoice. For your records only. Credit Limit $15,000 Cash Advonae Limit SO Statement Closing Date 1110312022 Days in Billing Period 31 --- --- -- cnnemruwcaeaa Amount """"""""""' NOTICE MEMO ITEM(S) LISTED BELOW •'•••••'••^.•••••• 10/04 10103 9399 0513437227]6111142504 1 NPDB NPOBARSA,GOV 000-767-6732 VA 220M USA �250 N87616192 10*1 10/03 0399 051343722776DOW6742WG 2 NPDBNPDB.HRSA.GOV BOIL-767-6732 VA 22033 USA ,m N87818713 10104 10103 9399 0513437227760OM6742769 3 NPDB NP03.HRSA.GOV 800-787-ltn2VA 22033 USA 5p N87619211 ID04 10103 9399 051343722776=674IN13 4 NPOBNPDB.HRSA.GOV 8130-767417321% 22M USA V%ha N870195R5 1W04 10/03 9399 05134372277000036742926 5 NPDB NPOSARSA.COV 800.767.6732 VA 22033 USA 5p NB76199M KIN 1NO3 9399 051343722776W036743007 6 NPDB NPOB.HRSA.GCV 800-7674732 VA 22M USA NB7620467 ,f2,59 10104 10103 9399 05134372277000036743181 1 NPOSNPO8.HRSA.GOV 890-767-6732 VA 22033 USA , N87620780 "YM , 10104 10/03 8399 051343722]7600036]43262 8 NP08NPOB.HRSA.GOV SM-7676732 VA 22033 USA VILso N87621019 101" 10103 9399 OSIM3722776MO38743MS 9 NPDB NPDB.HRSAGOV 8ow67.6732 VA 220M USA // c N87621214 1/2.50 10/04 10103 9399 051343722776MOW43429 10 NPOS NPDB,HRSA.GOV 800-767-6732 VA 2233 USA V .n M87621339 10104 10103 9399 05134372277600036743593 11 NPDB NP08.HRSA.GOV 800,767-0732VA 22033 USA y2.50 ' N87621MO 1OM4 10103 9399 0513437227760OD36743576 12 NPOS NPDB.HRSA.GOV 600-767.6732 VA 220M USA V-2.50 N87B21720 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION CITIBANK N,A. PO BOX 6125 SIOUX FALLS SO 57117.6125 ROSHANDA S THOMAS 202 S ANN ST PORT LAVACA TX 77979-4204 Page 10(4 Account Number XXXX-XXXX-XXXX-9457 Statement Closing Date November 03, 2022 00007905040 Not an Invoke, For your record$ only. Account: X7000-XXX#-XXXX.9457 TransactIons (con't) Post T2ns Pale D310 MCC Reference Nemher Dmaptlanl.aaWn Amount 10'04 10N3 9399 05134372277600036743759 13 NPOBNP0B.HRSA.GOV 800.7876732 VA 22033 USA ,j1,5p N87622016 1OM4 10103 B39B 05134372277600036743833 14 NPOB NPDB.HRSA.GOV 800.7676732 VA 22033 USA 2.60 '+ N87622612 10104 10103 9399 05134372277600036743916 15 NPDa NPOB.HRSA.GOV B004676732 VA 220M USA ; N67623144 v250 10104 1=3 9399 0513437227766003674409E 16 NPDBNPOB.HRSAGOV 600467-6732 VA 22033 USA N87623654 1@04 10103 9399 05134372277500036744179 17 NPDS NPDB.HRSA,GOV 000-787.6732 VA 22033 USA N87629239 dim 1=4 10f03 9399 05134372277600036744252 18 NPOB NPD13ARSA.GOV S00-767-6732 VA 22033 USA SO N87628861 1094 70103 9'S9 051 U3722776MO36744336 19 NPDB NPDS.HRSAGOV 800.7676732 VA 22033 USA .; N87630422 �180.00 10114 tCfl3 8999 25247702287013QM16MS 20 SOCIETYFORHUAIANRESOURC ALEXANORm 22314 USA A9,00 CS1588192 10114 10113 8999 26247702237013428910252 21 SOCIETYPORHVMANREBOURC ALEXANDRIA 22314 LIISA ;229.00 b CS7588198 """""""""" TOTAL AMOUNT OF MEMO ITEM(5): 6603.00 APPROVED LIN NOV 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY. 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Eandere Time, B sill be c mini d .1 that day, Madame Vendor, o0e ACH Cosh WK d any), m diamond by the Company and h a paid, of Me kml Ca Memy Cheat We. deep deb%, andapha "do' W Ms nY umbefdp M! fort Ne sblem-Nfor mean.. • So, M M. Or liCYlnmle a Com,se,2, CmffthlC' fuMtt and TYRE n maY rdudt one pony ngd la ttmA llms by Dpned'ng Cut Celppmfe tam euSlDmer ° ComppnyR oreame n: BY as had mane a, mry amoura"harOM to Me KCOun( em Comp.y (1) means nm natural Applies. fur the AUmhard,mthe autMmy of all eiallOd- 0-1Mammas find In olan.,ery day, I hmrsp day a Me tee m, IxCl6ttl on NCllanl Dl Ma6l2fER1nL perxnsat"ll..l Mee ATnNO end, MMealhn,"'p1mmadms lh. mown. use 0 Me Account under all M. 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Page2ofd m Account: XXXX-)OqX-XXXX.9457 Page 4 of 4 r MEMORIAL, MEDICAI, CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (361) 552-0312 Vendor Name: -b/J/yU - Vendor Address: Vendor Phone #: Vendor Fax #: Ship To: 815 N. VIRGINIA ST, PORT LAVACA, TX 77979 PHONE: (361)552-6713 FAX: (361) 552-0312 11 Date: P.O. # Account# Initiated Date Required Expense tl Department Fot IMot Deliver To Line No. Qty. Catalog Numbar Description Unit Cost Unit Extended X 11 Mom• Cost z 0 5 1 IQ��VnY,,vnuC, ��`�• oo ^,,,,n^ u �1 �l'Ul4 '' 6 IF `� O 0 + 9(),OU y 2 2 9 t1 0 r ft 1/ °'✓ t �b 229.OG + g - AwLAl¢t-Wos 9 -Ili # lu NnTFV- Est. Freight Est. Total Cost TOTAL COST 595. CC S' Contact: Quoted By: Date: Dept, Direct, Dir. Naming Buyer. I E.T.A. I I Dir, Clinical Services Page 1 of 1 RECEIVED 13Y THE COUNTY AUDITOR ON NOV 21 2022 CALIIOVi IQ61b p TEXAS MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:33 0: ap_open invoice.template Dates Through: Vendort Vendor Name / Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net MMCII1522 ✓ 11/211201111512011/16120 99,716.50 0.00 0.00 99,716.50 ✓ PHYSICIAN SERVICES { 1'I(3�) Vendor Total: Number Name Gross Discount No -Pay Not 10789 DISCOVERY MEDICAL NETWORK INC 99,716.50 0.00 0.00 99,716.50 Report Summary Grand Totals: Gross Discount No -Pay Net 99,716.50 0.00 0.00 99,716.50 file:///C:/Users/Itrcvino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report56744... 11/21/2022 MSKESSaN STATEMENT As of: 11/18/2022 Page: 002 TO ensue proper emd0 to your account, detach and mlum title comp..on: eeoo stub with your mmgrams, DC: Sits As of: 11/18/2022 Pogo: 002 MEMORIAL MEDICAL CB4TEA ANT DUE RBdITT® VIA ACH OMIT Territory: Mall to: Comp: 8000 AP Statement for Information only ANIT DUE VIA Inform only OMIT 81 STREET 815 N Customer.632536 Statement loci Ilan AVACVIRGINIA FORt LAVACA TX 77979 Date: 11/19/2022 Curd: 632536 PLEASE CHECK ANY Date: 1I/19/2022 n S NOT PAID (v) Billing Due t,Utional Aunount ReceNabb WIPE Amount P Amount P Beeeimble Dale Date Number Retemnea Deeanption Distorter!Distorter!(g.) F (rml)F Hoodam PF wlumn legend P = Past Due Item, F = Futum Due Item, blank = Current Due Item TOTAL National A et 632536 MEMORIAL MEDICAL CENTER Summate: 10.453.17 USD Fut. Due: 0.00 Due If Paid On Time: It Paid By 1112212022, USD 10.247.02 Past D. 0.00 Pay This Amount; 10,247.02 USD Diu Iasi g pale Mte: 206A5 Lard Payment 2.451.97 If paid After 11122/2022, Due It paid Late: 0810712017 pay this Amount: 10,453.17 USD USD 10,453.17 1U+034.5F '• 145. 54 + 67. 1% + 003 10+24'I°0 a: APPRMON NOV 2'1 2022 BYCOUNVALIDfTOR CALHOUN COUNTY. TEXAS For AR Inquiries please contact 800-867-0333 MSKESSON �e�m: esas WALMART 1098/1,1101 MED PHIS MEMORIAL MEDICAL CBJTEF1 VICKY KALISEK 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT As of; 11/18/2022 Page: 001 To ensure proper crod8 to your eccaum, dalaofl add mlum this stub with your donatance OC: 8115 As 0: 11/18/2022 P.O.: 0Ui Mali to: Comp: 8000 AMT DUE REMITTED VIA PCH DEBIT Territory: 400 Statement for information only AMT DUE REMITTED VIA DEBIT Customer, 256342 Statement 10r information only Date: 11/19/2022 Cost: 256342 PLEASE CHECK ANY Date: I1/19/2022 I11E315 NOT PAID (d) B lmll Due ammu.bkNatlonal Account rb3m265) li Cash Amount P Amount P Receivable Data Data Number Women Oeamfirlen Discount (groa) F (net) F Number Customer Number 256342 WALMART 1098IMEM MED PHS 11/14/2022 11122/2022 7376220705 53173853 1151nvoice lAo 55.ti 54.01✓ 7378220706 11/14/2022 11/22/2022 7376220706 53255440 1151nvoice 0.01 0.32 0.31✓ 7378220706 11/14/2022 11122MO22 7378220707 53285556 115Immice 7.03 351.68 344.65 ✓ 7379220707 11/14/2022 11/22MO22 7378220709 53292287 1151nvoice 76.99 3.849.57 3.772.58/ 7378220708 11/1412022 11/22/2022 7378220709 53393946 1151nvoice 0.16 0.16 ✓ 7378220709 11/14/2022 11/22/2022 7378220710 53393946 11 Sovoice 32.47 1,623.62 1,591.t5 ✓ 7370220710 11/14/2022 11/22/2022 7378371023 53180309 1951nvaiee 0.72 36.06 35.34 ✓ 7378371023 11/14/2022 11/22/2022 7378371024 53335619 1951nvaice 0.02 0.95 0.93 ✓ 73711371024 it/15/2022 11/22/2022 7376488436 53432137 1151nvoice 10.72 535.68 525.16✓ 7379488436 11/16/2022 11/22/2022 7378770808 53597688 1151nvotce 24.10 1.204.92 1.180.82 ✓ 7378770808 11/1612022 11/22/2022 7378770809 53597688 1151nvoice 0.92 46.00 45.08 1/ 7378770809 11/16/2022 11/22/2022 7378770810 53666401 11 Slmnkce 24.10 1.204.92 1,180.82✓ 7378770610 I Ift 6/2022 11/22/2022 7378949495 S3604380 I951nv0lce 2.77 138.63 135.86 ,✓ 7379948495 11/1712022 11122/2022 7379039496 53812327 11 SImm ce 12.11 605.73 593.82 ✓, 7379039496 11/17/2022 11122/2022 7379196553 53746392 195fimmice 1.55 77.39 75.84 1/ 7379198553 11/18/2022 11/22/2022 7379318769 53865669 1151mmice 6.06 302.79 29673 7379318759 11/18/2022 11/22/2022 7379495378 53872535 1951nyalc0 4.11 205.41 201.30 ✓ 7379495378 PIP column lateral; P = Past Due Item, F = Future Due Item, blank = Current Due Nam TOTAL Customer Number 211 WAUMART 1095IMEM MED PIPS Subtotab: 10.239.14 1150 Palma Due: 0.00 Due N Pala On Trans, It Pak By 1112212022, USD 10,034.36 Pest Due: 0.00 Pay This Amount: 10.034.36 USD Disc bat 8 Paid let.: 204.78 Last Payment 2.242.38 If Pak Alter 1112212022. Due If Paid Late: 11/1412022 Pay this Amount: 10,239.14 USD USD M239.14 `I IZZ- Per AR Inquiries please contact 800-867-0333 STATEMENT fampany: 8000 HEN MY FC 490/MEM MC MS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER Statement lot information only VICKY KALISEA 815 N VIRGINIA ST PORT LAVACA TX 77979 As of: 11/1812022 Page: 001 To enure proper aedd to your sacount, "ach and Mum this mule with your mmdtance DC: 8115 A. of: 11/18/2022 Page: 001 Mel f0: Comm 8000 Territory: 400 AMT DUE ifoVIA ACH D®IT Customer.464450 Statement far for information only Date: 11/19/2022 Cuel: 404450 I EASE CHECK ANY Date: 11/19/2022 ITEMS NOT PAID (d) otknol Account 6 Dlaing Due Numbab �181T Cash (9—) P (ranAmount P Number Data Date Number RMcronce Description Discount (grog) F (net) F Number Customer Number 464450 HES MY PC 490/MEM MC PHS 11/15/2022 11/22/2022 6901094406 0000020834 Addbill INV 145.54 14S.54 6901094405 O PF column legend: P = Past Due Rem, F = Mum Due Item. blank = commit Due Item TOTAL' Customer Number 464450 HIM MY FC 490/MEM MC PNS Subtotal. 145.54 USD Future Due: 0.00 Due If Pald On Time: If Peld By 1112212022, USD 145.54 Pest Due: 0,00 Any This Amount: 145.54 USD M. fast l told Tote: 0.00 last Payment 7,233.38 If Pald After 1112212022, Due If Paid late: 11/07/2022 Pry this Amount: 145.54 USD USD 145.54 For AR Inquiries please contact 800-867-0333 m=nc�w� STATEMENT As of: 11/18/2022 Al 001 To aneme proper creep to your account, dstach and return this ComOa^v e000 stub with your r patial Ce oC: 8115 As of: 11/1812022 Pogo: 001 CVS PRCY T4T5AMEM MC PHS AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Mail to: Camp: 8000 MB8ONAL MEDICAL CENTER Statement for inlomlalion only AMT DUE REMITTED VIA ACH DEBIT VICKY KAUSEK Customer: 835438 Statement tot intonation only 815 N VIRGINIA ST Data: 11/19/2022 PORT LAVACA TX 77979 Curt: 835438 PLEASE CHECK ANY Dale: 11/19/2022 I'll NOT PAID (.r) Billin Due R�va alional Account fi g �ereence t Amount Date Date Number Description Discount (grocad F F N fb1e Customer Number 835438 CVS PHCY 747SAMEN MC PHS 11/16/2022 11/22/2022 7378972294 1987923 ti Slnvaice 1.37 68.49 67.12 ✓ 7378972294 O PF column legend: P = Pest Due Rem, F = Future Due item, blank = Current Due Item TOTAL- Cusomer Number 635438 CVS PHCY 7475IMEM MC PHS Suboptimal 68.49 USD Raure Due: 0.00 Due It Paid On Time: It Pold By 11122/2022, USD 67A2 Past Due: 0.00 Pay This Amount: 67.12 USD Diu lad 9 paid late: L3T Lad Payment 2,242.36 H Paid After 11/22/2022, Due It Pad late: 11/14/2022 Pay title Amoud: 68.49 USD USD 68.49 For AR Inquiries please contact 800-867-0333 U STATEMENT Statement Number, 64113394 AmerisourceBer jen, Date: 11-18-2022 1 Of t AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340E 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGARIANDTX 774786101 1302 N VIRGINIA ST PORT LAVACA TX 77979-2509 Sal- Fri Due in 7 days DEA: RA0289276 866451-9655 AMERISOURCEBERGEN PO Box 905223 NotYet Due: 0.00 CNARLOTTE NC M290-5223 Current: 2.056.93 Paul Due: oull Total Due: 2,056.93 Acoounlealance: 2.055.93 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 11-15-2072 11-25-2022 3112706837 168421 Invoice 125.69 0.00 125.59 11-16-2022 1145-2022 3112OW561 168432 Invoice 800.17 0.00 800.17 11-16-2022 11-26-2022 3112OW562 168433 Invaice 17.46 0.00 17A6 11-16-2022 11-25-2022 31MISID563 168434 Invoice 1DA5 0.00 10.05 11-18-2022 11-25-2022 311316MBB 168454 Invoice 1,103.65 0.00 1,103.66 1-15 Days 16.30 Days 3160 Days 61-90 Days 91-120 Days Over 120 Days FCurrent 2.05G.93 0,00 — 0.00 GAO 0.00 O.pp 0.00I Thank You for Your Payment Date Amount 11-14-20M (694.48) 11-18-2022 (2.318.16) APMovEn ON NOV 21 Z02Z BY COUNTY AUDITOR CALHOUN COUNTY. T17"13 Reminders Due Date ll-M 022 Amount) ,1I2Z 1zz TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-672-8683) Q"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" 17"ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" E"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" ❑ "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #t�## ENTER: 0 9R1 # $ 129183.33 1 $ 65,499.84 $ 15,318.44 $ 48,365.05 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: 13 i0 J:l4P-Payroll FilesTayroll Taxes12022W24 R1 MMC TAX DEPOSIT WCRKSHEET 11.1722.)ds 11/2112022 941 RECITAX DEPOSIT FOR MMC PAYROLL REVISED 3M82014 "ENIENVWOGK80.4 tEWTVENU40ERC PAY PERIOD: BEGIN 1114@022 VOIDEOCKIII VOIDEDCK121 ADDITIONALCKIII ADDITONALCK111 TOTALS PAY PERIOD: END 11117/2022 PAY DATE: 11/2512022 GROSS PAY: $ 538.938.21 $ - $ 550,838.21 DEDUCTIONS: AIR $ 676.02 S $76.02 ADVANC $ BOOTS S SUNLIFE CRITICAL ILLNESS $ 068.50 $ 868.58 SUNLIFE ACCIDENT $ 718.36 5 718.38 SUNLIFE VISION $ SUNLIFE SHORT TERM CIS $ 1,172.84 $ 1,172.84 SCBS VISION $ 960.92 S 960.92 CAFE-D S 1,527.66 $ 1.527.66 CAFE-H $ 21,451.55 $ 21,4SI.55 - CAFE-P $ CANCER $ CHILD $ 602.77 $ 602.77 CLINIC $ 115.00 $ 116.00 COMBIN $ 280.87 5 280.87 CREDUN DENTAL $ - $ .. DEP-LF SUNLIFE TERM LIFE S 865.92 $ 866.92 SUNLIFE HOSP INDEM It 624.73 $ 524,73 FED TAX $ 48,365.05 S 48,365.06 FICA-M $ 7,659.22 $ 7,669.22 FICA-0 $ 32.749.92 $ 32,749.92 FIRST C $ - $ FLEX $ 3.273.68 $ 3,273.58 FLX-FE GIFTS $ 297.06 $ 297.06 GRP-IN $ GTL $ HOSP4 $ LEGAL $ 958.98 $ 958.98 OTHER $ 338.50 $ 338.60 NATIONAL FARM LIFE S 1,628.74 $ 1.628.74 MED SURCHARGE $ 320.110 $ 320.00 PR FIN $ $ RELAY $ REPAY $ STONEDF $ 640.86 $ 640.86 STONE $ STONE 2 $ STUDEN $ TSA-R $ 39,118.76 $ 39,118.76 UWIHOS S - $ - TOTAL DEDUCTIONS: $ 136,015.91 $ $ $ $ $ 165,019.99 `«rfiiN,:teNw 'wttiiarria+e'sslroanuaraAwar"soraiwar�aa--Aial2olEa NET PAY: 393 822,30 $ S $ S S 393,822.30 ..v,....,._..„ `. •. iii� 91.ev!!LTci"!'NwI.7I+lYF1VIlq�lclYieYARA1B�fi[t^,�d6@84`RNi41i1'i TOTAL CAFE 125 PLAN: S 30,614.37 Less Exempt: TAXABLE PAY: 9 528,223.84 $ 528 223.84 Exempt And: 'CALCULATED- Fmm MMCRaoort DUfamfice Employees over FICA -SS Cep: FICA -MED(ER) 1L5x S 7.669.28 $ - FICA -MED(EE) $ 7.659.25 $ 7.659.22 $ 0.03 $ FICA -SOO SEC (ER) e2Ex $ 32.749.88 $ - FICA- SOC SEC (EE) aa11 S 32.749.88 S 32,749.92 $ (0.04) Payeade S - Employee Relm6.: FED WITHHOLDING $ 48,385.05 $ 48,36S.05 TOTAL: $ TAX DEPOSIT; 3 129,163.31 S 129,153.33 FICA -MEDICARE xwN $ 16,318.50 $15,318.44 FICA -SOCIAL SECURITY 1x.5w $ 65,499.76 $65,499.84 PREPARED BY: Mayra Martinez FED WITHHOLDING $ 48,365.09 $48.385.06 PREPARED DATE: 1112112022 TOTALTAX: $ 129,183.31 $129,183.33 $ (0.02) 424111 WC TAX DEPOSIT WORKSHEET ll.1722.Na: Ron Date: 11/18/22 MENDRIAL MEDICAL CRMISR Page 108 Time: 14:29 Payroll Register ( Si -Meekly ) P2REG Pay Period 11/D4/22 - 11117/22 Ru # 1 Final Summary *-- P a y C o d e S u m m a r y----------------------------------------- *-- D e d u c t i o n s $ u m m a r PayCd Description Nrs IOTISRIWEIHOICBI gross I Code ' Amount y -------------� RBGW PAY-81 9347.50 N N N 265681.51 A/R 576.92 A/R2 AJR3 REM= PAY-S1 1916.00 N N N N 8609.33 ADVANC AWARDS BCBSVI 960.92 ROOM PAY-S1 312.50 Y N N 11662.15 HOOTS CAPE H CAPS-1 AEGD1Jd2 PAY-S2 2612.75 N N N 65137.78 CAPS-2 CAPE-3 CAFE-4 REGULAR PAY-82 122.75 Y N 11 4632.02 CAPE-5 CAPS-C CAPE-D 1527.66 REGULAR PAY-S3 1583.5D H N H 47854.62 CAYB-P CAPE-H 21451.55 CAIB-I REGULAR PAY-93 105.75 Y 11 N 4566.77 CAFE-L CAFE-P CANCER CALL BACK PAY 2.00 N N N Y 64.78 CHILD 602.77 CLINIC 115.00 COGS 260.87 CALL BACK PAY 37.00 N 1 N H Y 1533.95 CREDUN DO ADV DENTAL CALL RACK PAY 32.25 N 2 N N Y 1301.26 DRP-LF DIS-LF EAT CALL BACK PAY 2.00 N 3 N N Y 48.19 BATCH PRETAX 46365.05 FICA-H 7659.22 CALL PAY 2284.00 N 1 N R 4568.00 FICA-0 32749.92 PIRSTC FEET S 3273.56 DOUBLE TINE 52.00 N 1 N N 1470.30 FIX RE FORT D FUTA DOUBLE TIM 30.50 N 2 N N 1616.25 GIFT 8 297. DE GRANT MP -IN DOUBLE TIRS 15.75 N 3 N N 1482.77 GTL HOSP-I ID TFT DOUBLE TINE 9.75 Y 1 N R 415.35 LEAF LEM 209.98 HASA 749.00 DOUBLE TINE 6.00 Y 2 N U 291.42 HSALS 155.54 HMIS RISC DOUBLE TIHB 13.75 Y 3 N R 691.76 HISC/ WHOSE BRIM 1628.74 EXTRA WAGES H N H N 7542.50 OTHER PHI PUT*** EXTRA HAGRS H 1 N N N 66805.75 PR FIN RRLAY REPAY FORM LEAVE 16.00 H 1 N N 510.72 SANS SCRUBS SIMON JURY LEAVE 24.00 H 1 N N 944.40 ST-TX STOMP 640.06 STWE EXTENDED-ILLNIESS-HANK 562.00 N 1 N 11 13652.88 SRHB2 STUDEN St= 718.38 PAID -TIRE -OFF 358.33 N N N N 7732.69 FORM 069.58 SONIND 524.73 SUMIF 869.92 PAID -TINE -OFF 1144.75 N 1 N N 26038.O5 SGNSTD 1172.84 SONVIS SURC9G 320.00 CALL PAY 2 96.00 N 1 N H 192.00 TSA-1. TSA-2 TSA-C CALL PAY 3 96.00 N 1 N N 288.00 TSA-P TRA-1 39118.76 TUTION G131FOR 182,96 UA/EOS ------ ------- -------- Grand Totals: 2DB63.83------- ( Grose: 55881B.21 Deductions: 165015.91 Checks Cmmt:- FT 197 PT 6 Other 55 Decals 231 Nale 25 Credit OverAmt 22 2eroNet Term Net: 383822336 ) Total: 256 ------------- -..... * 1 a JD --a- Run Date: 11/21/22 NBMORIAL MEDICAL CENTER BI-R2EFLY Page 1 Time: 00:49 , �... Check Register --�- P2DISTP Pay Peria0 11/04/22--11/17/22 Run: 1 Type=NST 10000001 OPERATING - PROSPERITY Hum. Name Amount CHECK. NUM DATE 12392 BIANCA CADY 208.4B 00063262 11/25/22 00041 CARL LEE KING 1779.23 DD 11/25/22 00083 SYLVIA A VARGAS 1872.10 DO 11/25/22 00094 SYLVIA A MENDOZA 845.11 OD 11/25/22 00113 JACLYN CHARM 1232.45 DD 11/25122 00132 SANDRA A BRAWN 866.01 D➢ 11/25/22 00192 BRENDA D PER 3751.81 D➢ 11/25/22 00270 ANGELA H BURGIN 1648.77 ON 11/25/22 00344 SANDRA LEE RUDDICK 2685.24 DO 11/25/22 00387 HILLIS F DUCM4ORTH 1728.01 DD 11/25/22 00392 MONICA T CARR 2426.01 DD 11/25/22 00399 LINDA J TIJERIHA 2695.88 DO 11/25/22 00401 VELMA J PINA 2101.27 DD 11/25/22 00417 SHERRY L KING 2286.42 DD I1/25/22 OD423 BONN V STRINGO 2114.88 DD 11125/22 00482 PAN PIFAC 1323.92 DO 11/25/22 00581 CYNBNIA L RUSHING 1534.43 DO 11/25/22 00676 SHEILA FAY REAATRCOCK 1168.49 DD 11/25/22 00691 RILLS REBER HOOD 1628.84 DO 11/25122 00692 DEBORAH E PITINEBERT 436.56 DD 11125/22 00697 FARIA C FARIAS 1140.57 DD 11/25/22 00707 WIMBERLY R BLINKA 1684.48 DO 11/25/22 00895 ENILIA DIANE WILKEY 869.71 DO 11/25/22 01015 SUSAN E SMALLEY 1043.27 OD 11/25/22 01151 SHARON M, SPARKS 2309.48 DD 11/25/22 01234 JENISE N SVMIK 2002.18 DD 11/25/22 01367 NARILYN A SANDERS 3011.28 DD 11/25/22 01543 JAMIE B WILLIAMS 3675.65 DO 11/25/22 01731 HAUSMAN J MONDAY 2130.45 DD 11/25/22 02011 ERIN R CLEVERISH 3897,14 DD 11/25/22 02021 ERIKA OSORNIA-SANCHEZ 2257.21 DD 11/25122 02022 AMAINDA J GRIGGS 2408.15 DO 11/25122 02064 AM (AURA GARCIA 1174.48 DD 11/25/22 02097 RYLIS M GAINERS 2019.59 DO 11/25/22 02099 MCI M SHEFCIK 2913.71 DD 11/25/22 02112 LESLIE THOMAS 3117.98 DD 11/25/22 02122 DARIN IM 1215.94 DD 11/25/22 D2145 BIND VALDEZ 3348.94 DD 11/25/22 02154 JUSTINE STRVXZYK 351.54 DO 11/25/22 02162 MIRIAM PALM 6606.08 DD 11/25/22 02168 JESSICA MIGHT 4903.68 DO 11/25122 02193 TIKI VENGLAR 1553.99 DD 11/25/22 02271 DAWN J BUHENIK 1970.99 DO 11/25/22 02301 NICOLAS TIJERINIA 3219.79 DD 11/25/22 02302 CATHERINE MARIE DECILOS 116.92 GO 11/25122 02303 CONNIE M LUHA 2416.74 DO 11/25/22 02315 NINA M GREEN 4516.42 DO 11/25122 02322 RICK OSORNIA 2936.70 DD 11/25/22 02331 JESSICA B BIFPLE 2180.31 DO 11/25/22 02346 JRPIM L FALCON 1534.76 DO 11/25/22 02356 CHALEY HAMILTON 1770.50 DO 11/25/22 02416 JANELLE SCOTT 1427.61 OD 11/25/22 02511 MAGDALENI SEPULVEDA 3119.95 OD 11/25/22 Run Date: 11/21/22 MENORIAL MEDICAL CENTER BI-WEEKLY Page 2 Tine; 08:49 •*•* Check Register **** P2DISTP Pay Period 11/04/22--11/17/22 Run: 1 Type=NET 10000001 OPERATING • PROSPERITY Hum. Name Amount CHECK WIN DATB 02535 STEFANIE M SOLTZ 1627.85 DD 11/25/22 02552 VERONICA RACISTS 2425.10 OD 11/25/22 02678 MELISSA NESLONEY 2663.66 DD 11/25122 02701 RONDA DAWNELLE GOSLKE 2789.61 DD 11/25/22 02719 DARN M MCCLELIAIN 1055.34 DD 11/25122 02735 ZAMBIA A GARCIA 1535.47 DD 11126/22 02763 JESSICA MARQUEZ 1719.12 DD 11/25122 02794 NEITHER L HOTCMLER 1733,73 DD 11/25/22 02812 BRITTANY N RUDDICK 3019.98 DD 11/25/22 029D7 MARIA F LONGORIA 1144.56 DD 11/25/22 02927 MICBAEL L GAME 3041.39 DD 11/25/22 02963 DOROTHY J REM 1426A7 DD 11/25/22 02970 ➢IAM G ATKINSON 1996.41 DD 11/25/22 03864 JACQIIALINH R DINNER 1324.70 00 11/25/22 05003 LtlURINE D TIRRLKILL 2692.57 DO 11/25/22 05006 REGINA A MARTINEZ 3336,94 DO 11/25122 05122 ItARISSA HANGEL 1685.66 DD 11/25/22 05195 KIMBERLY HALL 680.24 DO 11/25/22 05345 ERICA NGDYEN 2541.11 DD 11/25/22 05641 AMANDA R KEY 1725.10 DO 11/25/22 05757 SHARON T HOLDER 2529.01 DD 11/25/22 07007 DEEM S BRYAU 954.91 DD 11125/22 07123 CYNTHIA GUERRA 1512,48 DD 11/25/22 07147 CHAD A VORCH 2356.76 DD 11/25/22 07878 DIABA C SAUCEDA 1313.03 DD 11/25/22 11197 CATHERINE A SABNZ 3880.58 DD 11/25/22 11412 COURTNEY L MORKOVSKY 2331.51 DD 11/25/22 12011 KIMBERLY J REYNA 1690.23 DD 11/25/22 22115 LISA J HINWDSA 933.12 DD 11/25/22 12353 JULIA NONTSS 2021.99 DD 11/25/22 15097 KYLE L DANIEL 3376.50 DO 11/25/22 IS131 SAVANNAH BARLEY 1390.79 DO 11/25/22 15139 KRISTEN HIWIE BALIA.RD 1534.44 DO 11/25122 15171 JESSICA BARRON 1752.88 Do 11/25/22 15256 COURTNEY A SALAZAR 082.47 DO 11/25122 15286 DAWN M MARSK 2231.36 DO 11/25/22 15555 STEPHANIE MARTIN 2475.34 DO 11/25/22 15909 JULIE NGUYEN 980.53 DD 11/25/22 15915 BRiANNE J KEY 1B78,23 DO 11/25/22 20102 MAYA HARKINS 1329.05 DD 11/25/22 20112 YULNA PATRI A RO➢RIGUEZ 806.42 DO 11/25/22 20144 SOPHIE M PECERA 1273.08 DD 11/25/22 20145 NATALIE SOTO 711.44 DD 11/25/22 20156 ERIN ASHLEY WISDOM 1856.01 ➢D 11/25/22 20178 ANY GARCIA 676.62 DD 11/25/22 20104 MELISSA ZARORANO 1100.76 DD 11125/22 20206 BELLI B GOPF 1222.21 DD 11/25/22 20207 SHAATIA G BASIL 2814.11 DD 11/25122 20243 HEW. IZ CORTEZ 971.50 DO 11/25/22 20294 JESSICA D NALTINR 740.09 UD 11/25/22 20456 SAYDI A ST CLAIR 119.30 ➢D 11/25/22 20484 BRIANNA S PASSHDR13 70.60 DD 11/25/22 20742 CYNTHIA LOPEZ 203.55 OD 11/25/22 20159 JAMIE SADLER 1363.29 DD 11125/22 Run Date: 11/21/22 MEMORIAL MEDICAL CENTER BI•WERKLY Page 3 Time: OBu49 •.• Check Register *'" P2DISTP Pay Period 11/04/22-•11/17/22 Run: I TYP-MT 10000001 OPERATING - PROSPERITY Num. Name NWunt CHECK HID; DATE 20788 JAYLIN IWIIREZ 574.16 DO 11/25/22 20797 BBTRANN N DIGGS 1434.88 DD 11/25122 20916 JOIE L PENA 811.87 DO 11/25/22 20837 DAISY MADRIGAL 1060.03 DO 11/25122 20BS4 JALYNN GREEN 191.18 DD 11/25/22 20917 CHERYL L TISCH 1748.77 OD 11/25/22 21450 DIANA E LEAL 1398A9 OD IIJ25122 21629 JACOBY R CRAWFORD 1484.25 OO 11/25/22 26186 JANET ORDUNO 2756.22 DD 11/25/22 28034 KRISTINA A BUENGBR 836.31 ED 11/25/22 28120 JESSICA V SELVERA 1544.06 OD 11/25/22 29199 BILLY A SCHOTT 1767.50 DD 11/25/22 31035 STACIB L EPLEY 1889.45 OD 11/25/22 31054 LORA L WEEDER 841.64 DE 11125/22 31099 ARACBLY E GARCIA 2537.16 DD 11/25/22 31219 LAUREN PHILLIPS 720.0 DD 11/25/22 31251 CYNTHIA L BIAS 2179.32 DO 11/25122 31313 KATHERINE LYNN JIMENEZ 1898.89 DO 11/25/22 31319 STACY L PARMER 1725,43 DO 11/25122 31463 SDRARD E NATULA 1062.80 00 11/25122 31508 RACHEL A Impm 2465.71 DO 11/25/22 31821 KAYL9 M ALVAREZ 1891.15 DD 11/2S122 31032 SHANE D BRBSTA 331.58 DD 11/25/22 31849 CO➢Y L JUROR 257.43 DO 11/25/22 3B110 KRYSTELLA F KISIAH 917.70 DO 11/25/22 I1168 14EGM M CANO 1033.12 DO 11/25/22 IB702 AM VANESSA PEINIELL 986.13 DO 11/25/22 41012 MRRIA SANDOVAL 048.55 DD 11/25/22 41112 ANASTASIA L PEREZ 684A3 DD 11/25/22 41171 TOMB M WIND 432,95 OD 11/25/22 41205 JEANETTE ALVARADO 780.61 DO 11/25/22 41225 LESLIE A CRAIGEN 1517.55 DO 11/25/22 41236 PP.MELA K VANROY 1343.56 DO 11/25/22 41274 KAREN GANN 982.78 DD 11/25/22 41279 PAMRLA R NABPAN B15.05 DD Il/25/d2 41347 ADRIA.NNA ➢ STRAWS 656.62 DD 11/25/22 41369 LORETTA A LEAL 569.67 DD 11125/22 41418 ANGEL M CASSEL 976.85 DD 11125/22 41506 JOSEFAT LUGO TORAHS 667.58 OD 11/25/22 41507 OLGA I BETAH07URT 688.16 DD 11/25/22 41612 SONJA A GUAJARDO 816.44 DD 11/25122 41617 JACQUELINE M MARTINEZ 937.24 DD 11/25/22 41896 RP27AE HICHELLE EMERY 636.60 DO 11/25/22 41897 MARNP. MUNOZ 793.B3 DO 11/25/22 41901 JUANITA R MILLER 1212.D8 DD 11/25122 42106 CHRISTY SILVAS 766.36 DO 11/25/22 42112 SOCORRO C GONZALES 761.82 ➢D 11/25/22 42122 LEI ANA MYRNA 1549.22 DD 11/25122 U125 LUCY CALZADA 794.03 GO 11125/22 42304 MINI T NGM 1825.69 ➢➢ 11/25/22 42320 MICHAEL A PFEIL 3738.45 D➢ 11/25/22 42820 MIA D CHAVEZ 820.25 DD 11/25122 42842 SNANNA S 0 DONNELL 3400.1E OD 11/25/22 48680 JESSICA BUSH 63.60 DO 11/25/22 Run ➢ate: 11121/22 MEMORIAL MEDICAL CENTER BI-WEEKLY Page 4 Time: 08:49 •'•* Check Register `**• WIRTP Pay Period 11/04/22- 11/17/22 Run: I Type=NET 10000001 OPEWING - PROSPERITY Nam. Name Amount CNECE NUN ➢ATE 50018 MICHELLE M MORALES 1494.25 DO 11/25/22 50022 REGINA A JOHNSON 402.86 DO 11/25/22 50148 PEW GOULDEN 3207.?1 DD 11/25/22 50161 ERITINBY MICHELLE ZAMORA 1390.46 DO 11/25/22 50248 MCK,E3HPA VILLEGAS 600.06 DO 11/25/22 50282 JACOB W HAMILTON 2577.76 DD 11/25/22 50310 J1,9WIlE4 GRIGSBY 362.39 US 11/25/22 50546 MELANIN R SAMAYOA 2167.20 D➢ 11/25/22 50573 DM R DAVIS 1594.11 DD 11/25/22 50596 BETTY S DAVIS 1991.62 DD 11/25/22 50719 DEBRA R MUSTERED 2954.06 OD 11/25/22 $0920 ADINA RODRIGUEZ 647.62 DO 11/25/22 53541 JACLYN B RARTL 1568.40 OD 11125/22 54024 MONICA A ESCALRNTE 894.09 DO 11125/22 55025 LEA C RESENOEZ 537.13 DO 11/25/22 55026 IRENE B PEREZ 447.35 DD 11/15/22 55106 CRYSTAL H CHAVEZ 409.26 DO 11/25/22 55127 APRIL N MAU 2669.92 DD 11/25122 55382 SHARRON JACILDO 1564.93 DO 11/25/22 55658 LAAAN WILES 707.09 DO 11/25122 58115 BECKY MARIE SALINAS 955.80 DO 11/25/22 58510 RITA L POLENS.RY 619.14 DO 11/25/22 60112 ROBERT A RODRIQUEZ 1903.71 DO 11/25122 60131 NORA OVALLE 543.84 DD 11/25/22 60156 DANI2LLE N TAGLE 890.14 DO 11/25/22 60163 19UPALIA CLARO 498.11 DD 11/25/22 60165 TERESA A BENITEZ 1541.02 DO 11/25/22 60412 CHRISTOPNBR GALINDO 871.23 DU 11/25f22 60616 DOROTHY A LONGORIA 769.63 DD 11/25122 60867 RUDOLPHO VASQUEZ 1430.57 ➢D 11/25/22 62322 ALAN KNIGHT 1149.31 DD 11/25/22 63124 SANJUAN M GARCIA 996.16 D➢ 11/25/22 63289 JASON RUBIO 595.69 GO 11/25/22 65100 FELICITA BONDS 548.09 DO 1112$122 65125 MARTHA CWHAN B63.34 DO 11/25/22 65136 TINh WHERE 1122.22 DO 11125/22 65151 ELIA OLACNIA P92.81 DO 11/25/22 6SI62 CLAUDIA RUIZ 625.02 OD 11/25/22 65168 NORA MIRELES 679.28 DD 11/25f22 a'5189 ELVIRA SANCHEZ 810.83 D➢ 11125122 65213 LEE SINERLY 912.50 DO 11/25/22 65269 NATALIE BAREFIELD 938.04 DD 11125/22 65393 RAMONA A PEREZ 1537.47 DD 11/25/22 65453 ANALIA L FL0.REB 716.16 DO 11/25/22 65463 MARIA I VBLOZ 705.09 ➢O 11/25/22 65486 ROSA RODRIGUEZ 025.80 DD 11/25/22 65513 MANIA MORALES 902.43 DO 11/25/22 65705 DOHITILA HERRERA 889.68 DO 11/25122 65715 M.ARIA R GO.MEZ 042.07 DD 11/25/22 SS865 MARIA F LRDEZNA 645.34 ➢O 11/25/22 68368 DOMITILA GARCIA 90.47 DD 11/25/22 68568 CHRISTOPHER RUTHF.RFOBD 978.52 DO 11/25/22 68792 NAZARIO DIAZ HERNANDEZ 2017.17 DO 11/25/22 70119 SARA N BLEDSOE 2201.06 DO 11/25/22 Run Date: 11/21/22 MWRIAL MEDICAL CENTER 81-WEEKLY Page 5 Time: 08:49 "" Check Register **** P2DISTP Pay Period 11/04/22--11111/2i Run: 1 Type=NET 10000001 OPERATING - PROSPERITY SM. Name Amount CHECK NUM DATE 72127 CNRISANDRA LYE ROWSE 136.56 ➢➢ 11/25/22 73749 GIORIA N REID 2463.67 DD 11/25/22 74159 CAROL VILLARREAL 958,75 DO 11/25/22 75190 RIKA MILLER 1754.35 DD 11/25/22 76003 IRMA DELEON 717.83 DD 11/25/22 76067 PAIGE GEORGIA CHATRAA 783.90 DD 11125/22 76110 TARAH SUBLETT 763.21 DD 11125/22 76115 JENNIFER R CARLOCK 7T6.35 DO 11/25/22 76120 RACHEL CLIMES 1292.64 DD 11/25/22 16138 KAM D GARCIA 644.48 DD 11/25/22 76210 ZOE VILLARREAL 450.85 DD 11/25/22 76300 AIDA JIMENEZ 638.50 DD 11/25/22 76313 PAMELA L PARTON 705.16 OD 11/25/22 76403 KATRINA A POKLUDA 1554.00 DD 11/25/22 76647 CHERYL A SSE 1263.3E DD 11/23/22 76706 GREGORY E MORALES 674.91 ➢➢ 11/25/22 76854 MY PATTERSON 656.5E DD 11/25/22 76985 VANESSA TRISTAN 300.54 DO 11/25/22 77646 FAREN A GONZALES 1051,17 DD 11/25/22 70020 MISTY R PASSMORE 1212.94 DD 11/25/22 78050 KYANN J POWER 433.48 DD 11/25/22 78072 DONNA N RAWLINGS 1301.11 D➢ 11/25/22 78186 ANDREA P COOK 181.18 DO 11125/22 78191 JNQE J GRASSE 799.68 DD 11/25/22 78287 NARISSA ➢ ALMANZAR 1611.07 DO 11/25/22 78336 JESSICA L GLOVER 1470.69 DO 11/25/22 70566 MELISSA K GEE B33.20 DO 11/25/22 78764 ASHLEY D HADLEY 1852.70 DO 11/25/22 7877E SARA N RUBIO 2074.27 DO 11/25/22 78781 METER R MACHICRK 1994.84 00 11/25/22 78787 FARAH I JAPAN 2554,02 DO 11/25/22 78897 GAYLE J ROBINSON 654.04 DO 11/26/22 00008 ADAM D BESIO 2305.05 DO 11/25/22 00141 JEAINNIE ORTA 1695.02 DD 21/25/22 82227 CAITLIN A CLEVENGER 947.92 DO 11/25/22 86402 KEDAH M HARPER 759.68 DD 12/25/22 83125 LISA H TREVINO 1085.58 0D 11/25/22 89321 ANDRES DE LOS SANTOS 2646.22 DD 11/25/22 89808 KARL& R ODONNBLL 1570.43 DO 11/25/22 88904 MAYRA K MARTINEZ 1347.01 ➢D 11/25/22 90320 ROSNANDA S THOMAS 5618,13 DO 11/25/22 93231 AERIE M FLORBS 105939 DD 11/25/22 9BI56 ADRIANNA H GALVAN 1522.36 DD 11/25/22 393822.30 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1.800.572-8683) Fi"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" F—j"ENTER YOUR 4-DIGIT PIN" ❑"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ❑"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGITTAX FILING YEAR" "ENTER 2-DIGITTAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) -Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ■111 $ 634 1 $ 5.14 $ 1.20 CHECK J CALLED IN BY: CALLED IN DATE: CALLED IN TIME: J:WP-Payroll Fi mWayroll Taxes12022W24 R1 MMC TAX DEPOSIT WORKSHEET 11.17.22 R2.xis 1112112022 941 RECITAX DEPOSIT FOR MMC PAYROLL PAY PERIOD: BEGIN PAY PERIOD: END PAY DATE: GROSS PAY: DEDUCTIONS: AIR ADVANC BOOTS SUNLIFE CRITICAL ILLNESS SUNLIFE ACCIDENT SUNLIFE VISION SUNLIFE SHORT TERM CIS BCDS VISION CAFE•D CAFE.H CAFE-P CANCER CHILD CLINIC COMBIN CREDUN DENTAL DEP-LF SUNLIFE TERM LIFE SUNLIFE HOSP INDEM FED TAX FICA-M FICA-0 FIRST C FLEX S FLX-FE GIFT S GRP4N GTL HOSP4 LEGAL OTHER NATIONAL FARM LIFE MED SURCHARGE PR FIN RELAY REPAY STONEDF STONE STONE 2 STUDEN TSAR UWIHO$ TOTAL DEDUCTIONS NET PAY: TOTAL CAFE 125 PLAN: TAXABLE PAY: $ 41.40 $ 41.40 "CALCULATED" Fram MMCReAee Difference 9CA - MED (ER) ,ass $ 0.60 :ICA - MED (EE) , asw $ 0.60 S 0.60 $ :ICA -SOC SEC (ER) e2pw $ 2.57 :ICA - SOC SEC (EE) 020% $ 2.57 5 2.57 $ - :ED WITHHOLDING S S TAXOEPOSIT: $ 6.34 S 6.34 FICA -MEDICARE zoo. $ 1.20 $1.20 FICA -SOCIAL SECURITY ,z.o-. S 5.14 $5.14 PREPARED BY: FED WITHHOLDING $ $0.00 PREPARED DATE: TOTAL TAX: $ 6.34 $6.34 $ - REVISED 3/18/1014 TOTALS $ 41.40 0.60 2.67 5 2.90 5 5 6.07 $ 36.33 Exempt Aml: Employees over FICA -SS Cap: S - S - 5 - PaycoOe S - Employee Relm6.; TOTAL: $ Maym Martinez 11/21/2022 x24 Rl MMC TAX DEPOSIT WORKSHEET 11 1T.22 AZAk : TAX DEPOSIT WORKSHEOU112022 Rua Cate: EJ21/22 I4Et{ORIAL MEDICAL CMER Page 3 T'me: 12:46 Payroll Register I Bi-Weekly 1 P2REG Pay Period 11/64/22 - 11/17/22 Ror.9 2 Fins' Suemary "-- P a y C o d e S u m m a r y -------------------------- I Paycd Description Hrs OTISHIREIEOICEI •-------------------------------------------'_-.-..-.-....-_ P 4AG N A If N ------------- _----- __ Gland Totals: 4.00------- I Gross; Checks Coant:- PT 1 PT Other Ferale 1 }I;lo :- ---------------------- ----------------------------- ------- ---------'-- D e d u c t i o r. s S u m m a r y------------- � Gross f Ccde Anaav ..__.____•.__................................ __............. " 41.40 AIR A/R2 A/R3 AENANC AnARDS BCBSVI BOOTS CAFE F. CAFE-1 CA-2 CAF 3 CHAFE-; CAFE-5 CUM CAFE-D CAFE-F CAP.-H CAFs-I CAFE-L CAFE-P CAVCE.R CRILD CLINIC OVISIN CREOUN DO AM OMI DEP-oF Di5-LF EX" EATCSE FEDTA% FICA-F. .60 FICA-O 2.51 FIP.STC FLEX S FLE FE FDP.T D FUTA GIFP S GRANT, GRP-IN GTL HOSP-I ID TFT LEAF LEGAL NASA MMS HEMS MISC I6ISC/ HXCSHR NATPML MEN FHI PHIi"• PR FIN RELAY MAY SAMS SCRUBS SIGNON S}TY STCNDF STONE KOM EUDEN SUNACC SUNILL SUNINO SUNLIT SUNsm SUN^lIS SINCE TSA-1 7SA-2 TSA: C TSA-P rSA-R 2.90 TUTION UIIIFOR Ud/HOS 41.40 Deductiens: 6.07 Net: 35.33 1 Credit OverAnt YeroNat Term Total: 1 ............................................................... ""L4"IVYMS l-3 (-a I- Run Date: 11,21122 '.4RMORiA'_ %£ICAL CRNIEP. EI-X'EE!CY Page - Time: 13:03 ...I Chad Eegieter '.. P2DISTP Pay Period 1-002--111't/22 RV.: 2 Tyoe=trT i>000001 OPERATIYG - PROSPERITY Num. Name Mount CHECK NUX. DATE 60163 MIGDADIA CWO 35.33 00063263 11/25/22 35.33 Run Date: 11/22/22 NEY,ORI.4L HEDICAL CENTER Pane 4 Time: 09:29 Payroll Register ! Bi-weekly 1 P2REG Pay Perod 11/04/22 - 11/17/22 Run: 4 Final sumry *-- P a y C o d e S u e. n a r y-------------------------------------------- D e d u c t i o n s S u m Ri a r y -------------- PayCd --------------------------------------------------------------- Description its OTISE1NB1HOIC51 Gross I Code AMOUt .--------------------------- ...........--........... 1 REGULAR. PAY-Sl 232.25 N N N 7 -------------- 4102.98 A/E A/R2 A/A3 C CALL PAY 162.10 N Y' N B 364.00 ADVA4C AX.ARDS MEW 24.52 X EXTENDED -ILLNESS -BAIZE 8.00 M N it 21 MAO SOOTS CAF5 E CA?"vl P PAID-TI.r-OFF 54.00 N :1 It 9 1002.00 CA?2-2 GAPE-S CA?E-4 CAFE-5 CAFE-C ✓ CA?B•D 40.63 ✓ CAPE-F CAFE-F. 558.62 CAFE -I CAFE--L ✓ CAFE-? CANCER GILD 443.08 CLINIC COMBIN CUR MIN DD AM DENTAL DEP-u O25-LF ✓EAT EATCSF. ✓I'MAX 175.06 M.Y. 70.16 FICA-0 300.02 FIP.STC FLEX S 38.36•✓ FIX FE FORT D FOTA G.IT E GRANT GRP-IN GTL ROSP-I 3D TFT LEAF LEGAL MASH 7.00 ME.ALE NE VIS M:SC M:SCj M:CSHR NATFMi. OTHER PHI pRI�,* PR FIN RELAY REPAY SA.98 SCRUBS SIGNON Si•TX STONDF STOVE STONE2 M. IN 5.38 •� ✓SUNI1d. 13.50 SNNIND fSICIACC 13. 01 SUN IF 36.90'� SDNSTD SONVIS SGRCRG TSA-1 TSA-2 TSA-C TSA-2 TSA-R MAD LTi1V VIFOR 'Sn1HOE '--•--•••-•---•----•• Grand Totals: 476.23 ------- ( Gross: 5519,96 Deductions: 2112.64 Net: 3407.34 1 1 Checks .............................. Count:- FT 4 IT ...................................... Other Female hale 4 Credit ...... OverArt ....... ._---------------------- 2eroMet Tern Total: 4 1 .------- .-----------. Run Date: 1,;22/22 AE1:OR_§L MrICAL CE717ER M-WETLY Time: 09:47 •••+ Check Register '••' Pay Pesigd 1110;122--11/17/22 R•m: ; Tyna=STET/0000001 OpERAtIN - FROSPERIII Num. Nane Amount CHECK Ntry DATE 631M S.SNJGAK M. GARCIA 926.20 000632E4 13/25/22 62322 ALAN 2'YIGH7 1045.00 00063265 11/25/22 63269 JASON ROHIO 571.02 00063265 11/25/22 65233 LEE SIMPLY 965.12 000632EI 11/25/22 1;07.34 Page _ MIST? P:1a Late: Iti 22/'<2 HEMvEIA;. MtBIM C"."VIER Bi-ESEKLY 06:04 •••• Chee% Re?ieter •••• Pay PericS L'(0.','u--L/'_7j2"2 Rum 3 `.Y.064 Y '-0300001 OPERA-IS-1 - PSOSPSE171 Num. Rare CHECK .Yt4: ?WF 62322 RIM KNIGHT 1149.31- DO 11./25/22 63124 SANJUAN F. GARCIA 996.36- CO 11/25/22 63289 JASON RUBIO - 595.69- OO W25/22 65213 LEE SIMERLY 91250- DO 11/25/22 3653.56- page - ,c'r15iF TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-672.8683) E—l"ENTEREI-DIGIT TAXPAYER IDENTIFICATION NUMBER" El -,ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" E"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 15T QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" ET6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER ENTER: ### F $ 915.42 1 $ 600.04 $ 140.32 $ 175.06 CHECK S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: i:i V. J:WP-Payroll FileslPayroll Taxes%2022W24 R1 MMC TAX DEPOSIT WORKSHEET 11.17.22 R3.xls 11/22/2022 941 RECITAX DEPOSIT FOR MMC PAYROLL -E PAY PERIOD: BEGIN 111412022 y9 PAY PERIOD: END 11MV2022 PAY DATE: 11121112. 022 GROSS PAY: $ 5,519.98 DEDUCTIONS: AIR $ ADVANC BOOTS SUNLIFE CRITICAL ILLNESS $ 13.50 SUNLIFE ACCIDENT $ 5.30 SUNLIFE VISION SUNLIFE SHORT TERM DIS $ - BCBS VISION $ 24.52 CAFE-D $ 40.63 CAFE•H $ 668.62 CAFE-P CANCER CHILD $ 443.08 CLINIC $ - COMBIN S CREDUN S DENTAL $ DEP-LF SUNLIFE TERM LIFE $ 36.90 SUNLIFE HOSP INDEM 5 13.01 FED TAX S 175.06 FICA-M $ 70,16 FICA-0 S 300.02 FIRST C $ FLEX S S 38.36 FLX-FE $ GIFT S $ GRP-IN GTL HOSP-1 LEGAL $ 7.00 OTHER S - NATIONAL FARM LIFE $ - MEDSURCHARGE S - PR FIN S RELAY REPAY STONEDF $ STONE STONE 2 STUDEN TSAR S 386.40 UWIHOS 5 - TOTAL DEDUCTIONS: $ 2,112.64 S -wwuwml 5R0 In NET PAY: $ -eao 9,407.34 E TOTAL CAFE 125 PLAN: $ vkwmaSwal^ 681.01 Le'. S TAXABLE PAY: $ 4.839.97 $ 4,838,97 "CALCULATED'' From MMC R.P.R Difference FICA - MED(ER) 1s% S 70.17 FICA - MED(EE) - 1sx $ 70.17 $ 70.16 $ 0.01 FICA -SOC SEC (ER) 020N S 300.02 FICA - SOC SEC (EE) .20c S 300.02 $ 300.02 $ - FED WITHHOLDING $ 175.06 S 176.06 $ S TAX DEPOSIT: 1 915.44 S 91542 FICA -MEDICARE avn S 140.34 $140.32 FICA -SOCIAL SECURITY 120%S 600.04 $600.04 PREPARED BY: FED WITHHOLDING $ 175.06 $175.06 PREPARED DATE: TOTAL TAX: $ 915.44 $916.42 $ 0.02 S REVISED 3/f&2014 INAL CN r11 TOTALS $ S,St9.98 5 - 5 - S 13,50 5 5.38 S S - S 24.52 S 40.63 S 558.62 5 • 5 5 - 5 - $ 443.08 S - S S S S S 36.90 S 13.01 S 17S.06 S 70.16 $ 300.02 5 • $ 33.36 S S S - S S S 7.00 5 S S i S - S S S - S - S 386A0 S 2,113.64 $ 3,407.34 Exempt Amt: Employees over FICA -SS; Cap: S S - S - Psycode S - Employee Relm6.: TOTAL: $ Mayra Martinez 11122/2022 02A R1 MMC TAX DEPOSIT WORKSHEET 11.17.a R3 As. TAX MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONICTRANSFERS FOR OPERATING ACCOUNT... November 14, 2022 - November 20, 2022 21€ BAnkDascription 11/14/2022 PAY PLUSAC14TRANS 452579291201000696906365 11/14/2022 IRS USATAXPYMT 2702718504405936103601004584 11/14/2022 AMERISOURCE BERG PAYMENTS 0100007768 2100002 11/15/2022 PAY PLUS ACHTRAN5452579291101000698627826 11/15/2022 MCKESSON DRUG AUTO ACH ACH05258240 910000110 11/15/2022 EXPERTPAY EXPERTPAY 746OD3411910NO14881337 12/15/2022 TEXAS COUNTY ORS RECEIVABLE 041922000026873 11/15/2022 FDMS FDMS PYMT 052-1737276-0004100012530331 11/15/2022 FDMS FDMS PYMT 052-1743547-00041ON12530764 11/15/2022 FORTS FDMS PYMT 052-1743548-0004100012531905 11/16/2022 PAY PLUS ACHTRAN5452579291101000MG07664 1111712022'PAY PLUS ACHTRANS 452579291101000690553455 11/18/2022 STATE COMPTRLR TEXNET 07371088/22117 2100002 11/18/2022 PAY PLUS ACHTRAN54525792921010006913583n 12/18/2022 AMERISOURCE BERG PAYMENTS DIM007768 21DOOD2 Memodal Medical Center PROSPERITYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT — ESTIMATED ACHS Date Description Memorial Medical Center MMC Notes -3rd Party Payor Fee - Payroll Taxes -340B Drug Program Expense -3rd Party PaVor Fee -340B Drug Program Expense -Child Support Payment Retirement Funding -Credit Card Processing Fee - Credit Card Processing Fee -Credit Card Processing Fee - 3rd Party Favor Fee -3rd Party Payor Fee -CHIRPIGT -3rd Party Payor Fee -3408 Drug Program Expense _November 21, 2022 4 Avywv,�11 Os1.7zcC 57k F1yri6Vcd II. W.22 et, 44 pw 5.21 r+ 47.31 + 53•11 + 183. 19 + 1 dl'2•54 + £i Amount 401 rr•>u •5.21. C�f"S 132,858.254- 694,488 12 0' 0 9 47.31' 4.0.03 + 2,242.38 11 4 80,• 06 {,U,067Q 191,066.763i 120.09. 2 4 0• 18 +� 40.03 80.06 cq-yu.f PAY -13-11, 2. 5 11 i U ' 183Y.14 69,644.04 11254_ $ x 3 `f 1<-. lii 2,318.144 4B1,es7.z7 4 0 1• 3 6 24U•18 2.371 .70 + 3r 013•e4 u MARC Notes Amount 694.4c - 21,2022 191 76 69s h?. .i1,J _. 16 - 3.013,- 1 M 3s013. 24 Page 1 of 1 RECEIVED BY THE .OUNTY AUDITOR ON r/11/Zp2 VO4 CO22 11:28 MEMORIAL MEDICAL CENTER AP Open Invoice List ` 0yqqrct�o°rM%, / Dates Through: Class Pay Code 11816 ASHFORD GARDENS J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 111122 11117120 11/11/20 12/11/20 6,040.32 UHC SEPT QIPP Vendor Totals Number Name Gross 11816 ASHFORD GARDENS 6,040.32 Report Summary Grand Totals: Gross Discount 6,040.32 0.00 APPROVEDOW NOV 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS 0 ap_open invotce.template Discount No -Pay Net 0.00 0.00 6.040.32 IZ Discount No -Pay Net 0.00 0.00 0,040,32 No -Pay Net 0.00 6,040.32 file)//C JTiaers/Itrwvinn/ensi/mammP i nnsinet nnnnhiRR175/r9srtn Shinn ew5rennrt`<NA7A 11 /17/,)f17? RECEIVED BY THE COUNiTY AUDITOR ON NOV 17 2022 MEMORIAL MEDICAL CENTER 11/17f2022 i;ALH0N1 pUNTti, TEXAS AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 111122 11/17/20 11/11/20 12/11/20 1,813.76 UHC SEPT OIPP Vendor Totals Number Name Gross 11828 SOLERA WEST HOUSTON 1,813.76 Report Summary Grand Totals: Gross Discount 1,813.76 0.00 `lYil hY' Yi NOV 17 2022 BY COUMY AUDITOR CALHOUN COUNTY, TEXAS Page 1 of 1 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 1,813.76 ✓' Discount No -Pay Net 0.00 0.00 1,813.76 No -Pay Net 0.00 1,813.76 file•///C•/iicerc/Itrr�winnlrnci/mrmmaArncinatrnmhiRR175/Aata S/tmn rw4rannrtroA7n II/17/1011 Page I of I RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL MEDICAL CENTER 0 `11fn/1557`�/2022 A"I�'29 7 2022 AP Open Invoice List ap_open_i nvoice.template Dates Through: UAUlLkymYQr. at Class Pay Code /,. 11820 FORTBEND HEALTHCARE CENTER ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 111122 11 /17/20 11/11120 12/11/20 1,880.32 0.00 0.00 1,880.32 UHC SEPT OIPP ,//. Vendor TotalE Number Name Gross Discount No -Pay Net 11820 FORTBEND HEALTHCARE CENTER 11880,32 0.00 0.00 1,880.32 Report Summary Grand Totals: Gross Discount No -Pay Net 1,880.32 0.00 0.00 1,880.32 NOV 17 2022 BY COUNTY AUDROF? CA LHOUN COUNTY, TEXAS f,IPJ//f"'•/tler+rc/Itrrruinn/rnci/mPmmrHrrninetr•nmhtRR175/Hata 5/tmn ew5rennrtI5706 II/1700?.. Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON PVO�.+'I/It71202�22 MEMORIAL MEDICAL CENTER 11.28 AP Open Invoice List 'CAL HOUN COUNTY, TEX Dates Through; Vendor# Vendor ame Class Pay Cade 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 111122 11/17/2011/11/2012M 1/20 743.26 UHC SEPT OIPP Vendor Totals Number Name Gross 11832 BROADMOOR AT CREEKSIDE PARK 743.26 Report Summary Grand Totals: Gross Discount 743.26 0.00 NOV 17 2022 C CAALLHOUN COUNTY,,'TTEXAS 0 ap_openJnvolce.template Discount No -Pay Net 0.00 0.00 743.26 Discount No -Pay Net 0.00 0.00 743.26 No -Pay Net 0.00 743.26 file•///(`•/Ticarc/ltrevinnlrnci/memmerirncinetrnmh�RRl75lr1ata 5/tmn r•m9rennrt5An'; 11/17/7R'77 Page I of 1 RECEIVED BYTHE COUNTY AUDITOR ON ' 11/171901 2022 MEMORIAL MEDICAL CENTER 0 .17 AP Open Invoice List 11:23 ap_open_invoice.template P TY 7E)tA5 Dates Through: 0' Ver'fi�dy��ieln8or Name Class Pay Code // 11824 THE CRESCENT >/ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 111122 11/17120 11/11120 12/11/20 554,07 0.00 0.00 554.67 UHC SEPT OIPP 111422 11/17/20 11/14/20 12/14/20 . 2,400.00 0,00 0.00 2,400.001 TRANSFER �4'11"W,_n.u. V6KI in. ` 1000'-L ��l ' Vendor Totale Number Name /ga�ka �"Gross Discount No -Pay Net 11824 THE CRESCENT 2,954.67 0.00 0.00 2,954.67 Report Summary Grand Totals: Gross Discount No -Pay Net 2,954.67 0.00 0.00 2,954.67 PAWWRION NOV 17 2022 SY COUNTY AUDITOR CALHOUN COUNTY, TEXAS fSIP'/N"41TePrt/IiTPVInn/PnQiAnPmmPrlP.n¢lnptrnm1nRRI74/dAIn S/tmn nwirennrt16109.._. 11A7/2072 Page 1 of 1 RECEIVEDBYIHE C{IU(fRTTY AUDITOR ON NAY A012Z02Z MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 11:29 t]ALViGUN COUNT', 7EXA6 Dates Through: ap_open_invoice.template Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran DI Inv Dl Due Dt Check D Pay Gross Discount No -Pay Net 110922 11/17120 11109/20 12111/20 299,993.21 0.00 0.00 29,993.21 TRANSFER Not a1s w'u. V6k Atjwo Ik OL Irkb 1wi, (rwG ' 111122 11117120 11/11/20 12/11/20 3,025.14 0.00 0.00 3,025.14 UHC SEPT OFF , Vendor Total=.Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 33,018.35 0.00 0.00 33,018.35 Report Summary Grand Totals: Gross Discount No -Pay Net 35,018.35 0.00 0.00 33,018.35 NOV 17 2022 LN rCAOUCOUNTY, ig file•///f •/T Tearc/ltravinn/rnci/mammaA nncinat rnm/nRR175/Aata Vtmn rcxrSrrnnrt57Q7Q 11117/1)(11" Page I of I RECEIVED BY THE COUNTY AUDITOR ON ��;/C0I12 ��ZZ MEMORIAL MEDICAL CENTER AP Open Invoice List 11:30 1: Y:,OUN ^W4H TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA _ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 111122 11/17/20 11/11/20 12/11120 2,293.62 UHC SEPT OIPP Vendor Total: Number Name Gross 12696 GULF POINTE PLAZA 2,293.62 Report Summary Grand Totals: Gross Discount 2.293.62 0.00 BY COUNTY AU©ItOR CALHOUN COUNTY, TEM6 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 2,293.62 Discount No -Pay Net 0.00 0.00 2,293.62 No -Pay Net 0.00 2,293.62 files•///!'•/�icarc/Ifi•rvinn/r•.nci/memmaAcncinPtenm/nRR175/data 5/tmn ew5rennrt20151... 11/I7/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON NOV 17�202U22 MEMORIAL MEDICAL CENTER e 0 AP Open Invoice List CAIJIOUiH1l3UUNTY, TEXAS Dates Through: ap_open_invoice.lemplate Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 111122 11/17/201111112012111/20. 3577.60 0.00 0.00 3.577.60V/ UHC OIPP SEPT 111422A 11117120 11/14120 12/14/20 8,279.35 0.00 0.00 8,279.35 / TRANSFER NH InSuvI.au. pb0.1 llt{tOLn �ta IYi.{v WwW.L 111422 11117/20 11114/20 12114/20 17,861.22 0.00 0.00 17,861.22 TRANSFER " II Vendor Total: Number Name Grass Discount No -Pay Net 13004 TUSCANYVILLAGE 29,718.17 0.00 0.00 29,718.17 Report Summary Grand Totals: Gross Discount No -Pay Net 29,718.17 0.00 0.00 29,718.17 8Y COUNTY AUDITOR . CALHOUN COUNTY.1EXAS fite:///C:/Users/Itrevino/eDsi/memmed.ensinet.com/u88125/data 5/tmo ew5reDort68904... 11/17/2022 Page 1 of 1 RECEIVED 13V THE C0UNTYAUDROA ON 11/17/2o)YOV 17 2022 MEMORIAL MEDICAL CENTER 11:31 AP Open Invoice List CALHOUAt COUNT-Y.Dates Through: Vendor# Vendor NamTEAS Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross 110922 11/17120 11109/20 12110120 55,227.21 TRANSFER NW iffiLlAL(L P60 (Itpofiij infi 111122 11/17/20 11/11/20 12/11/20 2,476.50 UHS SEPT OIPP Vendor Totals Number Name Gross 12792 BETHANY SENIOR LIVING 57.703.71 Report Summary Grand Totals: Gross Discount 57,70171 0.00 NOV 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TtZMS 0 ap_open_invoice,template Discount No -Pay Net 0.00 0,00 55,227.21 v/ 0.00 0.00 2,476.50 V/ Discount No -Pay Net 0.00 0.00 57,703.71 No -Pay Net 0.00 57.703,71 , file:///C:fUsers/Itrevino/cosi/memmed-onc;netcnm/l,RR1?S/raat_� a/t. n.vC.e .rt 71G0 I111 P TUSCANY A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Date Requested: 11/21/22 AMOUNT $10,351.00 G/L NUMBER: EXPLANATION: DEVOTED PAYMENTS THAT BELONG TO TUSCANY REQUESTED BY: Mayra Martinez AUTHORIZED BY: FOR ACCT. USE ONLY Imprest Cash []A/P Check ElMail Check to Vendor Return Check to Dept NOV 2 1 2022 Memorial Medical Center Nursing Nome UPL Weekly CanteB Transfer Prosperity ACe0Unt5 11/21/2022 Prnlau. m4,W Amwm erdn,Ye Aa rMaW e.dmm�4 Amvvu NYmnamnenxunE9; NunNa Yma Hombre Ybw /TnmM1NWt /1rN,hNn YYn<v A4Ni0[d'Gr3flli:...-, 113,3T8.N 113iW�08 ✓310.N5.t6✓ 11A053.51 / 255,661dI Ynklla u iN,053.51 ✓ VaNw - t'n aw.AAM, 100.00 AINEIIIGROYPM 25p6634✓1 MaDUG0.0V95[RN40[0. ]3A0101✓ ogObttmRrert 31.41✓ NwrmnuMrc.a Oemnbn Mmnat Adiw[Ylrr,¢RnMerAm[ / 2K"L72 V / &dtdmoor 55,78.10 ✓ 55,WLW ✓40,N5.0a f ica'As is 190,747.69 ✓'' Ynb Ybnz M..58.05� VaN4n0e Yaw I4Yb0a 10AN aMMOMPQ4 B,a63.a4✓i AWRIKAMPHIMEMB[e 9.719.W✓ QMAAVMena NPwmarlann, oe[vmhnMNra A014n YIx1C4RfN)InAml IW,N)d9 µ,! 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U m'.Awnm; Ii.er ✓ NP9ambealm.rut NMIhYrlRlrtl[ Aeryrt Bala�Rr+mrttAmt 15 ucati V/ 3akba,BtWilourtp! 72A2835 ✓ 71,2WAS ✓8a42aW ✓f 16B.S2a.IT 24/,66SA9 NO YNn4. 10,530.17 ✓ WVeNYb6x IW.W ^r 4-B19J MCN 255.661-7�,' T 9 0) r 4 r 69 r 1;500% NOV 21 2022 1 AMdIG0.0UP 1 1 5) 9� 5• 8 5 + rAu,4maw D IAAIMwat 4111 j' 'By COUNTY AUprr0F# 1 5 6» 1' 4 S S T N.w .urtaran �''Af-ttCM1N p(ty, Te(4, r 1 4 i) 8 6 5 .- 0 ;'I T Dneab.we.nl Ad;uet BabnNRnm2erPmt 143,W.09✓ 005 TmAlrnwmxs71m•BBalo 866,8 4 ° '/ a WSHANDA 1IMM aO 11121(1011 P OCI.I EI.WIiL +:WH WttilYTnmlen\MNUPL1nngNSmmary\31@!\NWMIbMNNUPLimNwaYmMryav21]ltlY VNnOL W Illum4 IMlN1 111"M 2 HNB-IMOK MPM]YWM314XO ItM WN/1V)2 NNO-E[XONVIYMIM!)IeWNLLNmi))3M0 WII/N)1 UHLWMMUNVPLxC[wMPM 74I 41191mm WMjWtW=UNBm AWWN RNWNMIM!)IKQH3l91OYO xv,mmu fnbinnYMWll W.Min MAMI.(FV1014R)N M)S PNMmaI(Wm[WA3/1 ]I/M/NII YNCWMMYNNY PL ML(INMPw 1{EWM1191G'W WAMNli MIEM U WNIL M MFREEK 4111 )Wl WiAM'R UN[WMMUXT'PL HIGNMIM)n6m26LL91mtl1 WaMA)3 M[41NHYMNNVLHWMWMf1]µW){113SG2 W1s/MM AMlPNXWP WDw FAAYA]ORFWNi)lwllfOw 11/I711m2 HNd-1ur WMMMPW7 ME[2xTlll]O WUnm3 xxe. 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TMAR ABouc:a2 Wrv/fvmyt NPP/CamP2 QIPI/CBM6 NPP/foMPP64P4 OIPPT NXMRIICN 5.665.49 - 191=69 19,00.68 - km.. 4,26]5a 6)37.R 6.212.83 - Y,MLS! Y.20349 - gugm 3.1YA8 - A]n" 9,203.15 1I,95243 Ig610.4$ 10,68CA6 - 1.1mm e.110.00 - 2AW1 2,41zal • EA2 m 9,611M - W 61 - 2L863.61 . / 9ASlm ]A8286 1.0}8R &8W.2P 99S.36 AIMED 4,62L42 / - - 62A30.14 64omm' ' 2 / )6M 9db5.22 . i ".RW fi 7A L9m.R I.269.ts Ma3265 MSM6 Y6.ST4.35 MMCPORNON j�lgn Cyj3 ,?@nwra0 yP%C4mpl QMP/IXmP2 WP/Cem33 OM%p2Ma66YWa 019PT XN M=N 6•KB.m / - - 30s9im • SU3W • I],SW 2] u gnu 98804 11.050.00 M. 2nm 6,mm esnas2ku - Lmam s,gNm Msl 4ASOtt 9AMS 9A4.62 9ASL48 1,69L52 1.m096 6;16Ln lLWW - zuvo "moo 5.3mm 3130.]8 / 3a3im J518I.Y r168Ag,00 ✓ ,WUZ L fi 11650.6] ++� 4 f5s1 42.1nm SY.55L]6 , 100lAfiis3 S69l9A6 3LY2R m.Zn63 .Emm Immn 8t884.29 11/21/2022 Treasury Center t•"' vMm my as w , . Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $6,529,444.67 $6,978,055.43 $6,529,444.67 $6.231,506.8 '4551 CAL CO INDIGENT $5.893.65 $5.893.66 $5.893.65 $20,977A HEALTHCARE '3660 GULF POINTE PLAZA - $100.00 $100.00 $10100 $100.0 UACA '4454 ki-.i MEMORIAL MEDICAL I NH GOLDEN CREEK $127,516.78 $181,131.81 $127,516.78 5126,950.E; HEALTHCARE *4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.79 $536.79 $536.79 $536.7'_ 2014 P=i *4357 _. MEMORIAL MEDICAL $4,684,109.43 $4,785,596.31 $4,684.109A3 $4,560,169.01 CENTER - OPERATING Nei !137 ; MEMORIAL MEDICAL CENTER •PRIVATE $432.14 $432.14 $432.14 S432AU WAIVER CLEARING`Y1 44381 MEMORIAL MEDICAL $310,053.51 $349.947.32 $310,053.51 C`.;. S268,372.7i1 CENTER / NH ASHFORD - •4403 MEMORIAL MEDICAL CENTER/NH $209,458.25 $224.856.42 $209.468.25 $155,503.3 � BROADMOOR f e EMORIAL MEDICAL $139,491A7 $214,824.75 $139.491.47 $124,690.Et �� CENTER/NH CRESCENT =` '4446 MEMORIAL MEDICAL $175,834.11 $180,089.92 $175,834.11 $117,998.$ d CENTER/NH FORT BEND '4438 rr MEMORIAL MEDICAL CENTER /SOLERA AT $168.570.17 $323,812.32 $168,570.17 $164,675.E`-' WEST HOUSTON''- '2998 I MMC-MONEY MARKET $296,157.77 $296,157.77 $296,157.77 $296,157.71+'(.: FUND '5506 R, MMC-NH BETHANY $122,017.50 $122.017,50 $122,017.50 $120,511.E' i SENIOR LIVING,a '5441 MMC -NH GULF POINTE PLAZA - $73.022.61 $75.954.80 $73.022.61 $73,022.E' MEDICARE/MEDICAID *5433 MMC -NH GULF POINTE $45,373.22 $45,826.66 $45,373.22 $44,283.2Ri;�' PLAZA - PRIVATE PAY • MM7 C-NH TUSCANY $170,877.27 $170,877.27 $170,677.27 $157,123.E'''" VILLAGE , ' indicale:j('y Page generated on 1112112022 a1;L Copyright 2022 Prospedly Bank. https://prosperity.albanking,com/onllneMessenger 111 Memorial Medical Center Nursing Nome UPL Weakly Nexion Transfer Prosperity ACCONNts 11/21/2022 MANaua Omura NumNa Name Numhu QeldenClkek Kamm / 12],99Q.62 Narc: anNbabnca a/over $gaoewmbeev,�.ndrom.nvrnne noma. Narc7: EecM1 vicewrhvav Waebvhnrcv/$]Ob rderMMttl<parRedro openvcmunt. NOV B 1 2022 BY COUNTY AUDrMH CALHOUN COUNTY, TEXAS Rendf, TatlayY QaQlmm�g AmOYMWae TreMarredav NYMnQ ieoadtc QelamA XAme SI],916.]8 IOZM57.24 9ankaafanm 13T,Sia.]e✓� variance - leave In 9alanm 1pQ80 / SUPNUORSPTDNQFR 2a,9fi5Q a/ O[mherlmemit 1]S6 y NwemkeelmenX Oanmberlmaron f Ad1usLQalanre(rrenAerAme 102A9�].Q�a .! Averwed:�X VIGYK_� r 6 YW�Y`6�s ROS DATxOMA9,CW 11121/2022 1{NN WMlyiramlmlNx UVLTFaodcaummarySIOYSNwemaerUlN VALimMer9ummary]Lz].ssalp 11/lVAix CY311 141Vi022 HMa IV1412OU xWlNxumAxsVCxfMIBfl SMI06661M IIIW20U HMLW MxxlrnelM W8i658W35111110aW281 11/16/20]Z N1n11NNOMMISVCNtaAIMPMf1i8W0911130132 1V16/x0xx]8iy61W1Y1R =H D2PWW2788xfi8xi91 wififxuIZ 2ZxW1N Nu UIMMx djW.WMNaHi QIIZ HC L(R/z0xx W111EaurxFX�ONxWTIQIb/aGOIDFxcflFfKxc 111712 wDU tt'H/@13x4�R5fCAC90E9s156MSssei6snx i] WU HML NHUMN6 HCx IMPMiii46003g1301x2 wlazrox: xenon xuWnx 6vcxcculmvmrna6ownuossx MMa PpN11oN ' WPP/GR.p6 inn3hrvin WOP/fampl O,IYP/Wmpl (LPP/Camel bMP68 OIPPII NNPONIIgV ¢ 12B Y�mo MAIM 11Q22 va iZ70155 22 f2&8l l,J1594 i1�41L58 ;i8;w 5] ;Z0;5] ;A. .t 1132i.66 61,ill.66 3ss]v.05 - - 180.00 360.W 9,]]4.13 9.T8.13 • 666.13 $66.13 I f 62398.8iJ' ft].w.. /II35881 5,58f.88 - 2<.g115� 1p;8y]26 V 11/21/2022 Treasury Center I" cMu, Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $6,529,444.67 $6,978.055,43 $6,529,444.67 $6,231,606.8 '4551 CAL CO INDIGENT $5.893.65 $5,893.65 $5.893.66 $20,977.4 HEALTHCARE •3660 GULF POINTE PLAZA - $100.00 $100.00 $100.00 $100.0 DACA .44r5 MEMORIAL MEDICAL/ NH GOLDEN CREEK $127,516.78 $181,131.81 $127,516.78 $126,950.E.4.. HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.79 $538.79 $536.79 $5367 2014 '4357 MEMORIAL MEDICAL 54,684,109.43 $4,785,596.$l 54,684,109A3 $4,560.169.4/'� . CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.14 $432.14 $432.14 $432.1M;'. WAIVER CLEARING •4381` MEMORIAL MEDICAL $310,053.51 $349,947.32 S310,053.51 $268,372.7!- CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $209,458.25 $224.856.42 $209.458.25 $155,503.2_`" BROADMOOR = MEMORIAL MEDICAL $139,491.47 $214,824.76 $139.491.47 $124,690.0" CENTER / NH CRESCENT ,A446 MEMORIAL MEDICAL $175,834.11 $180,089.92 $175,834.11 $117,998.Ejt, CENTER/NH FORT BEND 44 MEMORIAL MEDICAL CENTER I SOLERA AT $168,670.17 $323,812.32 $168,570,17 $164,675.Ei, 3 WEST HOUSTON_.,. ,2. 998 MMC-MONEY MARKET $298,157.77 $296,167.77 $296,157.77 $296,157.7„` FUND Z�:.. 'S506 MMC-NH BETHANY $122,017.50 $122,017.50 $122.017.50 5120,511.E``� SENIOR LIVING '5441 e MMC -NH GULF POINTE PLAZA- $73.022.61 $75,954.80 $73,022.61 $73,022.V"` MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $46,373.22 $45,826.66 $45,373.22 544,283 � PLAZA -PRIVATE PAY '3407 MMC •NH TUSCANY $170,877.27 $17D,877.27 $170,877.27 5157,123.E;�: VILLAGE ' indicate:+'' Page generated on 11121/2022 alii' S Copyright 2022 Prosperity Bank,a`+% https://prosperity.olbanking.com/onitneMessenger 1/1 Memorial Medlol [enter Hunting Home UPL Weekly HMGTrander ProsperityAcrounls 11/2112022 Nurs4r Nwvn w�n�r 4Y�P IgiM1eNaa�'PVt)w10Eb1'.:_, _. nomum NUNm Nawa •••� 4wfPm'i�eVhm�MreY:�aY/A1tNbY]_. _':, Pmbm PeMry 9ewrW &nY Bahnx 63,3)3]3 V9mnm - IcawlnBahnw ]m.M annwtman rm dw wPmlAa]EPHMe6N "AI].96 M bwuu~ Las I elambarMYan NOwmba.. RUIuNBWIW(fnmhrMt 16.i9)S6.{ PmriNla Rrx d. htYiNnf PeMq Tnnd r .— aahrxa ' mk Me Ertl 6 awn ed J W h BJ a aSs)S;/ 39A36A6 / )L991Ba r' - Ti,bl]bt / 7 7 R Ae18a aankmhna flAlidl Inarcin &Nna 10Am Mrtc Puybnhxm oJmc6s.Am wPlbe wmlm,Nrb tMnrmm9lwnb. NaM]: EaAS oawnt AmnbaebwmmaJ3lmmMMMClmwllMm apnevan[ NOV 21 2022 ByCOUNTYAUMOR CAMOUN COUNTY, TEXAS hleamlMarM ]b,>] y/� NwambwlMartq b �mbmm�rM Mfen BJrwa/T hrAme )LWLY Tm'4lTMN1rE0.9 99.359.M aemaxwrxAl]Ni-,'ao I]ry/]ou a:VMwW NTrandaNVN1 unrlwmm�a+Mlmrvlw.wenWN umm�Nns��naaN ]uuxw. 11/!B/2M2 NNB-FOND H(QP1MPMf746M39114400001M515 12/17/2022 HNB-EN'HMGS MPMT74 11/17/2022 NNB-ECHO HCOAIMPMTU M342I4 21991] Walz0Z3 NX0-EGOMCQAIMPMTA6W34I340000219911 11/l7/2022 HNB-ENQHO MPMT746MMU1 VM119420 11/16/20U HNB-ENONC MPW74WM413MOM021602 11/15/1022 HNB IHSCOH Mi7460M411N004023M19 11/15/N32 XOA4WFINSCON6lAiMPMTfi149B28300005W7M 11/15/202Z HUMANACHAOISBNCCWMPMT624982420aM 11/14/2D22 MORE 11/14/1022 CR3093 ll/14/20U NNB-ECNONCCIAIMPMT7460MIUM=2738 12/14/2022 GnMne M4n48am4 ANOU654335141 l=2 RTION MMC PO 1324 BP BE QIPp/Come QIPP/W o TmnsNr.Out T..7140 OMP/COMPt 2 QIPP/COMPS RMPM QIPPTI NHPMTMN - 11.711.85 2,08947 - - 4089.BJ - 147.01 - 147.01 - 588.12 - U8.12 - M]5 - 69.75 - MOM - "so - 1,227.AS - 1.227.0 - 19050 - 19J50 - ✓ 20,402.40 - 20AO2.40 23,078111 / 9,542A9 - - - M.27 - "27 U,022.N U.BOL97 4=A2 18,01AOS ;' 2.110.01 QnIPPdnm PMO7/20" REOUTH 11/l]/1011 VAREOUTXMG SEAVICE9, LLC 11/I7/U22 MENCNAN EM WCDEPP MMT 19148 M%M0 P1 1t/1]/3M3 NEILTH NUMAN SVCNCCWMMITI]4600341130132 IV1412022 Dapask NTBANRW OEPOSQ4061T85188899fOM0l VI412OU Ov0e16 11/14/1012 MERCN4Nt BANNCO DEPQ51T 49647851BB899100001 12/14/20U NMA HUMANWCHCCWIMPMT314600941UVU2 MMCPOMION OIPP/Camp WPP/Camp4 T sftl R /' Tmndm• C PP/Campl 2 OIPp/Camp3 aum OIPPTI NNPOPMON 39A36$6/ - ;1B117 - 2,236.1) 753.0 - 153M 1.214.91 - 112 4 1 89AIBA9 - 38,4AAS l O.M 1.440.00 28,959.2-/ - 28,959.27 / r 39Aifi.Bfi � U901.88 I' J2,90188 77.76L91 USAMU I6AM.9T 6U0.02 L 9U,98 99.299.14 11/21/2022 Account Number Number of Accounts: 16 04551 CAL CO INDIGENT HEALTHCARE 13560 GULF POINTE PLAZA - OACA '4464 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE •4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 r4357 MEMORIAL MEDICAL CENTER - OPERATING *4373 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING "4381 MEMORIAL MEDICAL CENTER / NH ASHFORD MEMORIAL MEDICAL CENTER/NH BROADMOOR •4411 MEMORIAL MEDICAL CENTER! NH CRESCENT *4446 MEMORIAL MEDICAL CENTER / NH FORT BEND •4438 MEMORIAL MEDICAL CENTER /SOLERA AT WEST HOUSTON 2 MMC -MONEY MARKET FUND `5506 MMC -NH BETHANY SENIOR LIVING •5441 MMC •NH GULF POINTE PLAZA- MEDICAREIMEDICAID •5433 MMC •NH GULF POINTE PLAZA - PRIVATE PAY 13407 MMC •NH TUSCANY VILLAGE Current Balance $6,529,444.67 S5,89$.65 $100.00 $127,516.78 $536,79 $4,684.109.43 $432.14 $310.053.51 $20%458.25 $13%491.47 $175,834.11 $168,570.17 $296,157.77 $122.017.50 $73,022.61 $45,373.22 $170.877.27 Copyright 2022 Prosperity Bank. https:/Iprosperity.olbenking.romfonlinaMessonger Treasury Center Avallable Balance $6,978,056.43 $5,893.65 $100.00 $181,131.81 $536.79 $4,785,696.31 $432.14 $349.947.32 $224,856.42 $214,824.75 $180.089.92 $323.812.32 $296,157.77 $122,017.50 $75.954.80 $45.826,66 $170,877.27 Collected Balance $6.529,444.67 $5.893.65 Prior Day Balanc $6,231,506.8 $20,977.4 $100.00 $100.0 $127.516.78 $536.79 $536,7'�'. br: S4,684,109.43 $4,560.169.41 ". ! rr;<, S432.14 $310,053,51 $268,372.71�'�' $209,458.25 $155,503.3"; 23 $139,491.47 $124,890.Eo" I:; $175.834.11 $117,998.Ek' $160,570.17 $184,675.Ewa�. A $296,157,77 $296,157.7*". f, $122.017.50 $120,511.(! t $73,022.61 S73,022.64... $45,373.22 $44,283.3;;., $170.877.27 S157.123.Ej..`,' indicate:;""' Page generated on IV2112022 al i !v_ Memorial Medial Center Nursing Home UPL Weeldy Tusczny Wansfer Prospefity ABCOUMS 11/21/2022 e�al NunN[Neme Pr . xvtemAPBvrmm W omSS,[mMabewndcrNm NrnMW vRNne NYris FvrA xdwtBm P BmrpymmofSlRRNmMMCEipuRwiN epm errpunl. NOV 21 2022 BY COUNTY AUDW011 CALHOUN GOUMY, TMW AmouMNa. ttamxmam ankabnm v.da. tsarrin Bd W WBAOIIPrN MIWBBOUISFVRMBNI gdfurtBaYter/xMaIM,�f/� 1 BPPia.PeFf Dt.�6� -. rc L.ml,�.r� wxyul: ROSNMlMYNVMBg'ao 13/14/2022 CK1110 12/14/2022 Deposit 11/14/2022 KS PLAN AOMIMST HCQAIMPMT 17911100002104E 11/1412022 FINE!- ECHO HCCLAIMPMT746009411440MZ73890 11/15/2022 AMERLGROUP CORPO &PAYMENT E952464965111000 11/16/2022 AMERIGROUP CORPO E-PAYMENT E652457174111000 11/17/2022 WIRE OUT UNBAR ENTERPRISES, LLC 11/17/2022 HN8-ECHO HCCINMPMT746003411440000229922 11/17/2022 HN6-ECHO HCCLAIMPMT 746003411440000219420 11/17/2022 HN8-ECHO HCCUIMPW74EO034U 440000219934 W18/2022 CK1111 11/10/2022 HNB-ECHO HCCUIMPW745003411440000260658 - 14.28 11/10/2022 HN8-ECHOHCCUOMPMT746003411440000260541 - 15,489.50 11/18/2022 KS PLAN AOMINISTHCCLAIMPMT 27911100W270S9 - 7480,00 31/138.12 / 170,777.27 14,928.64 3.749.60 9,605.98 35,918.67 39,565.77, / 131,222.52 MMCPOR170N WPP/Cmp QIPP/Comp OIPP/Camp Transfer -Out Tratlshmn 1 OIPP/Comp2 3 4&Se @PPTI NHPORTION 12.237.05 - 63,77933 8,360.00 3,011.85 45,524.65 10,678.24 14,928.64 3,749,60 9,970.74 - 3,872.38 3,427.29 1,139.75 9,230.33 • 14.26 • 15,089.50 - 748000 63,779.33 8,360.00 - 3,01185 9,605.98 35,928.67 12,76233 22,762,33 L6,803A4 1,874.80 3,872.38 3,427.29 1,139.75 11/21/2022 Treasury Center cyc Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $6,529,444.67 $6,078,055.43 $6,529,444.67 $6,231,506.6 •4551 CAL CO INDIGENT $5.893.66 $5.893.65 $5.893.66 $20,977.4 HEALTHCARE '3660 GULF POINTE PLAZA, $100.00 $100.00 $100.00 $100.0 DACA '4454 MEMORIAL MEDICAL! NH GOLDEN CREEK $127.516.78 $181,131.81 $127,516.78 $126,950.f+ HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES §536.79 $536.78 $538.79 I 2014 14357 MEMORIAL MEDICAL $4,684,109.43 $4.785,696.31 $4,684,109.43 $4,560,169.4?'i; 1, CENTER -OPERATING P;•:'i '4373, MEMORIAL MEDICAL CENTER - PRIVATE $432.14 $432.14 $432.14 $432.1,„. WAIVER CLEARING '4381 MEMORIAL MEDICAL $310,053.51 $349.947.32 $310,053.51 $268,372.7 >p CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $209,458.25 S224,856.42 $209.468.25 S155,503.2' s - BROADMOOR MA MEMORIAL MEDICAL $139,491.47 $214.824.75 $139,491.47 $124,690.6 , CENTER/NH CRESCENT `4446 MEMORIAL MEDICAL $175,834.11 $180,089.92 $175,834.11 $117,998F,.<. CENTER / NH FORT BEND '4438 '4 �` MEMORIAL MEDICAL CENTER / SOLERA AT $168,570.17 $323,812.32 $166,570.17 $164,675.Er WEST HOUSTON '2998 MMC-MONEY MARKET $296,157.77 $296,157.77 $296,157.77 $296,157.7'1.y FUND _ 50 MMC-NH BETHANY $122,017.50 S122,017.50 $122,017.50 $120,511.E""? SENIOR LIVING S441 rr MMC -NH GULF POINTE. $73,022.61 $75,954.80 $73,022.61 $73 022 6""'� PLAZA- 3 SMMC -NH GULF POINTE PLAZA - PRIVATE PAY *3407 MMC -NH TUSCANY VILLAGE Copyright 2022 Prosperity Bank. httpsq/prosperity.olbanking.00m/onlinaMessenger $45,373.22 $45,826.66 $170,877.27 // $170,877.27 $46,373.22 544,283.2; $'170,877.27 • indicate:. Page generated on 1112112022 al , 6 111 Memorial Mediml Center Nursing Home UPL Weekly H9.nensfer ProSperity Accounds 11/21/2022 ImN9m PoiWn6 amvw[roe. 6®Ynt eg59Yy Ntrdlom Tm —dm NUMntNwv xm.w 691mm TmM � txs yv gm irfimNdr UA* „_ _,_!, 2E5I5.91✓ 293f5,97 / l]3,831.56 f IRAI7.59 111PO.66 Ban144nm III.017.59 VYHMb Wwln &6uR fC0.W ou9hmmumr a65 � Nwemhal�rc9rest o..m�srrmt9�ae adlmt w+nm r t ss w.w ✓; NINe:IM'dalaxn Nmn$SAwwitl6eriau/alNlvtlrnumna6ame .bv�wed: xgeS:fmxvmxmrMxalme6nbiuvaSlOetla[MMCdpadredbmmnrmunl. R0.iNRNeAINONLlS G➢ 11R171611 NOV 21 20Z2 BY COUNTY AUn"p CALHOUN COUNW;'i€7fA5 i:Nw9rwlNnmdmWN Wlrnmfnswm�.ruollWw.eeeN+Nvnn..unsum�..xyu:vlwa ai�nweaa,M.11.2.. _. slna/eou oevepl nam iuccsacz 11/2022 Nunn 11/1413/2022 Na Mlit I/2032 N 1U1/1413/2022 Umm li/IS1202E WMC If/29/2022 MOVIa QFWP PGNH, LLC IVIWM22 MOfiPIfA 0PID111X%2meMSXF313]22PSWi8556 11/1P/ID22 NMLMHUIMN NCNttLIMPMiI]16C-04{I13011 MMCPattION „_ TAXfhH6 mPPlaunyl aM/Cemo2 aPP/�O aPPlUMM810p# ( is3s.so GMrn XMPOMNFV �� 63,566.36 6i,484.i6 3,610.61 i,610Ai ],]03.33 - 4.0 03,9s3.31 ;196.90 4W ;19690 1]3>P.6> 1,655.R - 1A45.72 � sv.m soav M.31491� f23A1].5B / WX736 11121/2022 Account Number Number of Accounts: 16 '4551 CAL CO INDIGENT HEALTHCARE '3660 GULF POINTE PLAZA - DACA •4454 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING •4381 MEMORIAL MEDICAL CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL CENTER / NH FORT BEND •4438 MEMORIAL MEDICAL CENTER/SOLERAAT WEST HOUSTON '2998 MMC -MONEY MARKET FUND '5506 MMC -NH BETHANY SENIOR LIVING *5441 MMC NH GULF POINTE PLAZA- MEDICARE/MEDICAID `5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY 7 MMC -NH TUSCANY VILLAGE Current Balance $6,529,444.67 $5,893.65 $100.00 $127,616.78 $536.79 $4.684,109.43 $432.14 $310.053.51 $209.458.25 $139,491.47 $175,834.11 $168,570.17 $296,157.77 $122,017.50 $73,022.61 $46,373.22 $170,877.27 Copyright 2022 Prosperity Bank, https:l/prosperity.albanking.comlonlineMessenger Treasury Center Avallabie Balance $6,978,055.43 $5.893.65 $100.00 $181,131.81 $536.79 $4,785,596.31 $432.14 $349.947.32 $224,856A2 $214,824.75 $180,089.92 $323,812.32 $296,157.77 $122,017.50 $75,954A0 $45,826.66 $170,877.27 cyu, Collected Balance Prior Day Balanc ` $6,529,444.67 $6,231,506.0 $5.803,65 $20,977A $100.00 $100.0 $127,516.76 $536.79 $5363k S4,684,109A3 $4,560,169.4`'% $432,14 $432.11 S310,053.51 $268,372.7.fj $209,458.25 $155,503.3,1.'ii $139,491.47 $124,690.Et+ $175,834.11 r' S168,570.17 $164,675.Ei``I 6t;+. $298.157.77 $296,167.7'_, $122.017.50 S120,511.El'-J i $73.022.61 573,022.E rj,1 $45.373.22 S44,283.2' $170,877,27 S157.123,4,- • indicates," Page generated on 1112112022 at ii .;J r 1I1 , MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER Date Requested: 11/22/22 A Y E NOV 21 2022 E $Y COUNZYAUDI FOR ACCT. USE ONLY Imprest Cash �A/P Check DMail Check to Vendor Return Check to Dept CALHOUN COUNTY, TTEXAAS AMOUNT $54,267.38 G/LNUMBER: 10255040 EXPLANATION: AMERIGROUP Q4 AND SEPTEMBER QIPP PAYMENTS REQUESTED BY: Mayra Martinez AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER 11/21/22 Date Requested: v Y E APPROVE ON E NOV 21 2022 FOR ACCT. USE ONLY u Imprest Cash [JA/P Check ❑Mail Check to Vendor Return Check to Dept BY GOUNZY AUDITOR AMOUNT _ $18,567.34 GGALHOUNco/L U NTYNUM 10255040 EXPLANATION: AMERIGRDUP Q4 AND SEPTEMBER QIPP PAYMENTS REQUESTED BY: Mayra Martinez AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER Date Requested; A Y APPROMON E NOV 21 2022 E BY COUNTY AUDITOR CAUiOUN COUNTV,TEXAS AMOUNT $13,07B.45 EXPLANATION: AMERIGROUP Q4 AND SEPTEMBER REQUESTED BY: Mayra Martinez 11/21/22 FOR ACCT. USE ONLY FlImprest Cash [:]A/P Check Mail Check to Vendor Return Check to Dept G/L NUMBER: 10255040 PAYMENTS AUTHORIZED BY: MEMORIAL MEDICAL CENTER P MEMORIAL MEDICAL CENTER A Y E E AMOUNT _ $19,548.69 CHECI( REQUEST Date Requested: 11/21/22 NOV 21 2022 BY COUNTY AUDITOR CALHOUN COMM, TEXAS USE ONLY FiEmprest Cash FIA/P Check ❑Mail Check to Vendor Return Check to Dept G/L NUMBER: 10255040 EXPLANATION: AMERIGROUP Q4 AND SEPTEMBER QIPP PAYMENTS REQUESTED BY: Mayra Martinez AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK; REQUEST P MEMORIAL MEDICAL CENTER A Y 14 E AMOUNT $20,563,91 Date Requested: 11/21/22 APPROVED ON NOV 21 �:j_! OALHOUN COUNUNTY y�7�g FOR ACCT. USE ONLY Imprest Cash ❑A/P Check Mail Check to Vendor Return Check to Dept G/L NUMBER: 10255040 EXPLANATION: AMERIGROUP Q4 AND SEPTEMBER QIPP PAYMENTS REQUESTED BY: Mayra Martinez AUTHORIZED BY: P A Y E MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER Date Requested: 11/21/22 NOV 2 1 2022 E BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS AMOUNT $24,941.58 G/L NUMBER: EXPLANATION: SUPERIOR SEPTEMBER REQUESTED BY: Mayra Martinez AUTHORIZED BY: FOR ACCT. USE ONLY 1-1 Imprest Cash ❑A/P Check Mail Check to Vendor Return Check to Dept 10255040 MEMORIAL MEDICAL CENTER CHECK REQUEST P MEMORIAL MEDICAL CENTER Date Requested: A Y MPFIOVED ON E NOV 2 1 2022 E — ^TOS A�LNOUN COUNTY, (TEXAS AMOUNT $18,912.98 EXPLANATION: SUPERIOR SEPTEMBER 11/21/22 FOR ACCT. USE ONLY r—lImprest Cash RA/P Check Mail Check to Vendor ❑ Return Check to Dept C/L NUMBER: 10255040 REQUESTED BY: Mayra Martinez AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST 7 P MEMORIAL MEDICAL CENTER A Date Requested: 11/21/22 Y APPROVIMON E NOV 21 2022 E --aS=cOUN Y AUDITOR FOR ACCT. USE ONLY u Imprest Cash FIA/P Check Mail Check to Vendor KIIR!-Eurn Check to Dept C,ALHOUN COUNTY, TEXAS AMOUNT $39,565.77 G/L NUMBER: 10255040 EXPLANATION: AMERIGROUP Q4 AND SEPTEMBER QIPP PAYMENTS REQUESTED BY: Mayra Martinez AUTHORIZED BY: