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2022-12-07 Final PacketV All Agenda Items Properly Numbered ZAll ontracts Completed and Signed 1295's Flagged for Acceptance / (number of 1295's I } ✓ All Documents for Clerk Signature Flagged On thi 1sDD day of its/ 2022 a complete and accurate packet for l�t'►✓of 2022 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. (%4�xkl Ca noun County judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA I N0TICEOFMEETING-12/7/2022 Richard ]EE-l[. Meyer County judge David gull, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 (Joel ]Behrens, Commissioner, Precinct 3 Gary Deese, Commissioner, Precinct t NOTICE OF MEETING The Commissioners'Court of Calhoun County, Texas w111 meet on Wednesday, December 7, 22 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: AT I - / 0 c OCK-A r /Call meeting to order. DEC 0 2 ' 2Q22 i . Invocation. co o BY: DEPUTY `� Pledges of Allegiance. General Discussion of Public Matters and Public Participation. 'Consider and take necessary action to approve the contract between Calhoun County and G&W Engineers for the ARP Combined Dispatch Building and authorize the County Judge to sign the contract agreement and all necessary documents. (DEH) b. Consider and take necessary action to approve an Interlocal Agreement with Harris County Institute of Forensic Sciences for performing postmortem examinations. (RHM) Consider and take necessary action to declare December 8, 2022 as Dan Heard Day in Calhoun County. (RHM) 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) A .D 9Consider and take necessary action to approve the extension for the contract between Calhoun County and Janik Alligators LLC for the Green Lake Project Alligator Management and Nuisance Control for the contract year beginning January 1, 2023 and authorize the County Judge to sign all necessary documents. (GDR) Page 1 of 2 NOTICE"- OF MEETING - 121712022 iT-C-Onsider and take necessary action to approve the 2023 Order setting maximum salaries, making various appropriations, setting vacation policy and sick leave policy, setting policy on payment of hospitalization insurance premium, setting holiday schedule /and setting other miscellaneous policy matters. (RHM) Y Consider and take necessary action to authorize the EMS Director to complete a Credit c/Application for Austin Hardware & Supply. (RHM) i2. Accept Monthly Reports from the following County Offices: I Floodplain Administration - November 2022 I`I�'Justice of the Peace, Precinct 5 - November 2022 T3/. Consider and take necessary action on any necessary budget adjustments. (RHM) i4. Approval of bills and payroll. (RHM) i Ric and H. Meyer, County Judg Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street; Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. Foryour convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 NOTICE OF MEETING— 12/7/2022 Richard H. Meyer County judge David ]Ball, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 CA L]H OUN COUNTY COMMISSIONERS'COURT T REGULAR TERM 2022 §§ DECEMBER 7, 2022 BE IT REMEMBERED THAT ON DECEMBER 7, 2022, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Meeting was called to order at 10 a.m. by Judge Richard Meyer. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. Clarri Atkinson explained Walmart was donating a Christmas tree for the Courthouse display. 5. Consider and take necessary action to approve the contract between Calhoun County and G&W Engineers for the ARP Combined Dispatch Building and authorize the County Judge to sign the contract agreement and all necessary documents. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 3 NOTICE OF MEETING— 12/7/2022 6. Consider and take necessary action to approve an Interlocal Agreement with Harris County Institute of Forensic Sciences for performing postmortem examinations. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to declare December 8, 2022 as Dan Heard Day in Calhoun County. (RHM) Sara Rodriguez read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. 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) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve the extension for the contract between Calhoun County and Janik Alligators LLC for the Green Lake Project Alligator Management and Nuisance Control for the contract year beginning January 1, 2023 and authorize the County Judge to sign all necessary documents. (GDR) PASS 10. Consider and take necessary action to approve the 2023 Order setting maximum salaries, making various appropriations, setting vacation policy and sick leave policy, setting policy on payment of hospitalization insurance premium, setting holiday schedule and setting other miscellaneous policy matters. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 3 NOTICE OF MEETING— 12/7/2022 11. Consider and take necessary action to authorize the EMS Director to complete a Credit Application for Austin Hardware & Supply. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Accept Monthly Reports from the following County Offices: i. Floodplain Administration — November 2022 ii. Justice of the Peace, Precinct 5 — November 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. 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 14. 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: 10:16 a.m. Page 3 of 3 # 05 ' NOTICE OF MEE PING — 12/7/2022 5. Consider and take necessary action to approve the contract between Calhoun County and G&W Engineers for the ARP Combined Dispatch Building and authorize the County Judge to sign the contract agreement and all necessary documents. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 11 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for December 7th, 2022. Consider and take necessary action to approve the contract agreement between Calhoun County and G&W Engineers for the ARP Combined Dispatch Building and authorize the County Judge to sign the contract agreement and all necessary documents. S4ie . , David E. Hall DEH/apt CONTRACT FOR PROFESSIONAL SERVICES BETWEEN CALHOUN COUNTY AND G&W ENGINEERS, INC. FOR Engineering, Architectural and Surveying Services for the Combined Dispatch Building THIS CONTRACT is entered into by and between CALHOUN COUNTY, 211 South Ann Street, Suite 301. Port Lavaca, Texas 77979, hereinafter called the "COUNTY", acting herein by Richard H. Meyer, County Judge, hereunto duly authorized, and G&W ENGINEERS, INC., 205 West Live Oak, Port Lavaca, TX, 77979, hereinafter called "FIRM", acting herein by Brian P. Novian P.E., President, procured in conformance with Texas Government Code Chapter 2254, Subchapter A, "Professional Services" and 2 C.F.R. 200 regulations. WITNESSETH THAT: WHEREAS, COUNTY desires to implement an Engineer, Architectural and Surveying Services Contract in conformance with its Request for Qualification 2022.08 of October 19, 2022 for the Combined Dispatch Building; and WHEREAS, COUNTY desires to engage FIRM to render certain services in connection with the above solicitation in relation to American Rescue Plan project awarded to COUNTY. NOW THEREFORE, the parties do mutually agree as follows: 1. Scope of Services Part I, Scope of Services, is hereby incorporated by reference into this Contract. 2. Time of Performance - The services of FIRM shall commence on the date above first given for the execution of this Contract. In any event, all of the services required and performed hereunder shall be completed no later than February 01, 2023. 3. Access to Information - It is agreed that all information, data, reports and records and maps as are existing, available and necessary for the carrying out of the work outlined above shall be furnished to FIRM by COUNTY and its agencies. No charge will be made to FIRM for such information and COUNTY and its agencies will cooperate with FIRM in every way possible to facilitate the performance of the work described in the Contract. 4. Compensation and Method of Payment - The maximum amount of compensation and reimbursement to be paid hereunder shall conform to Part II of this Contract. Payment to FIRM shall be based on satisfactory completion of identified milestones in Part II - Payment Schedule of this Contract. 5. Indemnification a. FIRM agrees to indemnify, save and hold harmless COUNTY from and against all claims, demands, suits, judgements, liabilities, costs and reasonable attorney fees, to the extent caused by the negligent errors or omissions in the performance of the services provided hereunder. b. COUNTY agrees to indemnify, save and hold harmless FIRM from and against all claims, demands, suits, judgements, liabilities, costs and reasonably attorney fees, to the extent caused by the negligent errors or omissions of the COUNTY, in the performance of their services and obligations under this Contract. 6. Miscellaneous Provisions a. This Contract shall be construed under and in accord with the laws of the State of Texas, and all obligations of the parties created hereunder are performable in Calhoun County, Texas. b. This Contract shall be binding upon and inure to the benefit of the parties hereto and their respective heirs, executors, administrators, legal representatives, successors and assigns where permitted by this Contract. c. In any case one or more of the, provisions contained in this Contract shall for any reason be held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision thereof and this Contract shall not be construed as if such invalid, illegal, or unenforceable provision had never been contained herein. d. If any action at law or in equity is necessary to enforce or interpret the terms of this Contract, the prevailing party shall be entitled to reasonable attorney's fees, costs, and necessary disbursements in addition to any other relief to which such party may be entitled. e. This Contract may be amended by mutual agreement of the parties hereto and a writing to be attached to and incorporated into this Contract. 7. Local Proaram Liaison - For purposes of this Contract, the Precinct 1 Commissioner, David Hall, will serve as the Local Program Liaison and primary point of contact for FIRM. All required progress reports and communication regarding the project shall be directed to this liaison and other local personnel as appropriate. 8. Termination of Contract for Cause. If, through any cause, FIRM shall fail to fulfill in a timely and proper manner its obligations under this Contract, or if FIRM shall violate any of the covenants, agreements, or stipulations of this Contract. COUNTY shall thereupon have the right to terminate this Contract by giving written notice to FIRM of such termination and specifying the effective date thereof, at least five days before the effective date of such termination. In such event, all finished or unfinished documents, data, studies, surveys, drawings, maps, models, photographs and reports prepared by FIRM under this Contract shall, at the option of COUNTY, become its property and FIRM shall be entitled to receive just and equitable compensation for any work satisfactorily completed hereunder. Notwithstanding the above, FIRM shall not be relieved of liability to COUNTY for damages sustained by COUNTY by virtue of any breach of the Contract by FIRM, and COUNTY may withhold any payments to FIRM for the purpose of set-off until such time as the exact amount of damages due COUNTY from FIRM is determined. 9. Termination for Convenience of COUNTY. C O U N T Y may terminate this Contract at any time by giving at least ten (10) days' notice in writing to FIRM. If the Contract is terminated by COUNTY as provided herein, FIRM will be paid for the time provided and expenses incurred up to the termination date. If this Contract is terminated due to the fault of FIRM, Paragraph 8 above relative to termination shall apply. 10. Remedies. In the event of any dispute, claim, question, or disagreement arising from or relating to determining the party responsible for any disallowed costs as a result of non-compliance with federal, state, or program requirements, the parties hereto shall use their best efforts to settle the dispute, claim, question, or disagreement. To this effect, they shall consult and negotiate with each other in good faith and, recognizing their mutual interests, attempt to reach a just and equitable solution satisfactory to both parties. If they do not reach such solution within a period of 60 days, then, upon notice by either party to the other, all disputes, claims, questions, or differences shall be finally settled by arbitration administered by the American Arbitration Association in accordance with the provisions of its Commercial Arbitration Rules. 11. Chances. COUNTY may, from time to time, request changes in the scope of the services of FIRM to be performed hereunder. Such changes, including any increase or decrease in the amount of FIRM's compensation, which are mutually agreed upon by and between COUNTY and FIRM, shall be incorporated in written amendments to this Contract. 12. Personnel. a. FIRM represents that he/she has, or will secure at his own expense, all personnel required in performing the services under this Contract. Such personnel shall not be employees of or have any contractual relationship with COUNTY- b. All of the services required hereunder will be performed by FIRM or under his/her supervision and all personnel engaged in the work shall be fully qualified and shall be authorized or permitted under State and Local law to perform such services. c. None of the work or services covered by this Contract shall be subcontracted without the prior written approval of COUNTY. Any work or services subcontracted hereunder shall be specified by written contract or agreement and shall be subject to each provision of this Contract. 13. Assianability. FIRM shall not assign any interest on this Contract, and shall not transfer any interest in the same (whether by assignment or novation), without the prior written consent of COUNTY thereto: Provided, however, that claims for money by FIRM from COUNTY under this Contract may be assigned to a bank, trust company, or other financial institution without such approval. Written notice of any such assignment or transfer shall be furnished promptly to COUNTY. 14. Reports and Information. FIRM, at such times and in such forms as COUNTY may require, shall furnish COUNTY such periodic reports as it may request pertaining to the work or services undertaken pursuant to this Contract, the costs and obligations incurred or to be incurred in connection therewith, and any other matters covered by this Contract. 15. Records and Audits. Access to Records. The following access to records requirements apply to this contract: a. FIRM agrees to provide the State of Texas, the Grant Administrator, the Comptroller General of the United States, or any of their authorized representatives access to any books, documents, papers, and records of FIRM which are directly pertinent to this Contract for the purposes of making audits, examinations, excerpts, and transcriptions. b. FIRM agrees to permit any of the foregoing parties to reproduce by any means whatsoever or to copy excerpts and transcriptions as reasonably needed. c. FIRM agrees to provide the Grant Administrator or his authorized representatives access to construction or other work sites pertaining to the work being completed under the Contract. 16. Findinas Confidential. All of the reports, information, data, etc., prepared or assembled by FIRM under this Contract are confidential and FIRM agrees that they shall not be made available to any individual or organization without the prior written approval of COUNTY. 17. Copvriaht. No report, maps, or other documents produced in whole or in part under this Contract shall be the subject of an application for copyright by or on behalf of FIRM. 18. Compliance with Local Laws. FIRM shall comply with all applicable laws, ordinances and codes of the State and local governments, and FIRM shall save COUNTY harmless with respect to any damages arising from any tort done in performing any of the work embraced by this Contract. 19. Compliance with Texas Government Code Provisions. a. Verification of No Boycott Israel. As required by Chapter 2270, Texas Government Code, the FIRM hereby verifies that it does not boycott Israel and will not boycott Israel through the term of this Agreement. For purposes of this verification, "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. b. Foreign Terrorist Organizations. Pursuant to Chapter 2252, Texas Government Code, The FIRM represents and certifies that, at the time of execution of this Agreement neither the FIRM , nor any wholly owned subsidiary, majority -owned subsidiary, parent company or affiliate of the same (i) engages in business with Iran, Sudan, or any foreign terrorist organization as described in Chapter 806 and 807 of the Texas Government Code, of Subchapter F of Chapter 2252 of the Texas Government Code or (ii) is a company listed by the Texas Comptroller of Public Accounts under Sections 806.051, 807.051 or 2252.153 of the Texas Government Code. The term "foreign terrorist organization" in this paragraph has the meaning assigned to such term in Section 2252.151 of the Texas Government Code. 20. Compliance with Federal Law. Reoulations. and Executive Orders. FIRM acknowledges that funds from the American Rescue Plan will be used to fund the Contract and FIRM agrees it will comply with all applicable federal law, regulations, executive orders, and federal policies, procedures, and directives. 21. No Obligation by Federal Government. FIRM acknowledges and agrees that the Federal Government is not a party to the Contract and is not subject to any obligations or liabilities to COUNTY, Contractor, or any other party pertaining to any matter resulting from the Contract. 22. Proaram Fraud and False or Fraudulent Statements or Related Acts. FIRM acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and Statements) applies to its actions pertaining to the Contract. 23. Interest of Members of a County. No member of the governing body of COUNTY and no other public official, officer, employee, or agent of COUNTY, who exercises any functions or responsibilities in connection with the planning and carrying out of the program, shall have any personal financial interest, direct or indirect, in this Contract and COUNTY shall take appropriate steps to assure compliance. 24. Interest of FIRM and Emolovees. FIRM covenants that it presently has no interest and shall not acquire interest, director indirect, in the study area or any parcels therein or any other interest which would conflict in any manner or degree with the performance of its services hereunder. FIRM further covenants that in the performance of this Contract, no person having any such interest shall be employed. 25. Primary Contact. County contact person with FIRM shall be the Principal in Charge, Brian Novian, P.E., President, 205 West Like Oak, Port Lavaca, Texas 77979, (361)552-4509. County Contact shall be David Hall, Commissioner, 202 South Ann Street, Suite B, Port Lavaca, Texas 77979, (361) 552-9242. 26. This Contract represents the entire and integrated Contract between COUNTY and FIRM and supersedes all prior negotiations, representations or agreements, either written or oral. This Contract may be amended only by written instrument signed by authorized representatives of both COUNTY and FIRM. 27. Assurances: FIRM affirms compliance by executing this Contract with Assurances included in the COUNTY Award Letter attached as Attachment A of this Contract. IN WITNESSETH HEREOF, the parties have hereunto set their hands and seals. G&W ENGINEERING, INC. i BY: NAME: Brian P. Novian, P.E. TITLE: President DATE: ///)-s/Zp<2 COUNTY OF CALHOUN, TEXAS BY: NAME: Richard H. Meyer TITLE: County Judge DATE: PART SCOPE OF SERVICES Note, this Scope of Services is for this Contract only and may not reflect all services described in the Request for Qualifications under which these services were procured. As stated in the RFQ, other Contracts may be entered into between COUNTY and FIRM that cover additional services, or other services may be added to this Contract at a later date if amended by both parties. COUNTY intends thatthis Contract coverascope of services in its project implementation of a Combined Dispatch Building. Scope of work will include, but is not limited to, initial engineering and design support, engineering, and final design support, bid and award support, contract management and construction oversight and specialized services. Calhoun County will utilize funds from the American Rescue Plan and/or other local funding sources to support Critical Infrastructure activities in Calhoun County. FIRM shall perform the following tasks: All project -related engineering, architectural, and surveying services to Calhoun County under its Combined Dispatch Building project including, but not limited to, the following: • Initial Engineering and Design Support • Engineering and Final Design Support • Bid and Award Support • Contract Management and Construction Oversight including windstorm inspections and submissions to TDI. • Specialized Services which may include Geotechnical Investigations, Detailed Surveying, Site Specific Testing, Planning Studies, Feasibility Studies, Legal documentation for property and/or easements, and Phase I and Phase II environmental site assessments. Standard of Performance f . All services of FIRM and its independent professional associates, consultants and subcontractors will be performed in a professional, reasonable and prudent manner in accordance with generally accepted professional practice. The Firm represents that it has the required skills and capacity to perform work and services to be provided under this Contract. 2. FIRM represents that services provided under this Contract shall be performed within the limits prescribed by COUNTY in a manner consistent with that level of care and skill ordinarily exercised by other professional consultants under similar circumstances. 3. Any deficiency in FIRM's work and services performed under this Contract shall be subject to the provisions of applicable state and federal law. Any deficiency discovered shall be corrected upon notice from COUNTY and at FIRM's expense if the deficiency is due to FIRM's negligence. COUNTY shall notify FIRM in writing of any such deficiency and provide an opportunity for mutual investigation and resolution of the problem priorto pursuit of any judicial remedy. In any case, this provision shall in no way limit the judicial remedies available to COUNTY under applicable state or federal law. 4. FIRM agrees to and shall hold harmless COUNTY, its officers, employees, and agents from all claims and liability of whatsoever kind or character due to or arising solely out of the negligent acts or omissions of FIRM, its officers, agents, employees, subcontractors, and others acting for or under the direction of FIRM doing the work herein contracted for or by or in consequence of any negligence in the performance of this Contract, or by or on account of any omission in the performance of this Contract. Exclusions: a. Re -bidding of project due to economy, material prices or overbudget project bids in general out of FIRM control are not included within the scope of work. b. Re -design services if requested or required as a result of "a" above or at the Counties request are not included within the scope of work. PART II -- PAYMENT SCHEDULE The compensation paid to FIRM for the described Scope of Work is $300,000.00 and will be disbursed according to the following milestones: Initial Engineering 12.5% 37,500.00 Final Engineering Design 65% 195,000.00 Bid Phase Services 5% 15,000.00 Construction Phase Services 10% 30,000.00 Windstorm Inspections and WPI 5% 15,000.00 Contract Close Out 2.5% 7,500.00 TOTAL 100% $300,000.00 ATTACHMENT A ASSURANCES OMB Approved No. 1505-0271 Expiration Date: 11/30/2021 U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE FISCAL RECOVERY FUND Recipient name and address: DUNS Number: 087309324 Calhoun County Taxpayer Identification Number: 746001923 211 S. Ann Assistance Listing Number and Title: 21.027 Port Lavaca, Texas 77979 Sections 602(b)(2) and 603(b) of the Social Security Act (the Act) as added by section 9901 of the American Rescue Plan Act, Pub. L. No. 117-2 (March 11, 2021) authorizes the Department of the Treasury (Treasury) to make payments to certain recipients from the Coronavirus State Fiscal Recovery Fund and the Coronavirus Local Fiscal Recovery Fund. Recipients hereby agrees, as a condition to receiving such payment from Treasury, agrees to the terms attached hereto. Recipient: Authorized Representative Signature (above) Authorized Representative Name: Authorized Representative Title: Date Signed: U.S. Department of the Treasury: Authorized Representative Signature (above) Authorized Representative Name: Authorized Representative Title: Date Signed: Richard Meyer County Judge ( / PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with this collection of information is 15 minutes per response. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should he directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB. U.S. DEPARTMENT OF THE TREASURY CORONAVIRUS STATE FISCAL RECOVERY FUND AWARD TERMS AND CONDITIONS a. Recipient understands and agrees that the funds disbursed under this award may only be used in compliance with sections 602(c) and 603(c) of the Social Security Act (the Act) and Treasury's regulations implementing that section and guidance. b. Recipient will determine prior to engaging in any project using this assistance that it has the institutional, managerial, and financial capability to ensure proper planning, management, and completion of such project. 2. Period of Performance The period of performance for this award begins on the date hereof and ends on December 31, 2026. As set forth in Treasury's implementing regulations, Recipient may use award funds to cover eligible costs incurred during the period that begins on March 3, 2021 and ends on December 31, 2024. 3. Krporting, Recipient agrees to comply with any reporting obligations established by Treasury, as it relates to this award. 4 Maintenance of and Access to Records a. Recipient shall maintain records and financial documents sufficient to evidence compliance with sections 602(c) and 603(c), Treasury's regulations implementing those sections, and guidance regarding the eligible uses of funds. b. The Treasury Office of Inspector General and the Government Accountability Office, or their authorized representatives, shall have the right of access to records (electronic and otherwise) of Recipient in order to conduct audits or other investigations. c. Records shall be maintained by Recipient for a period of five (5) years after all funds have been expended or returned to Treasury, whichever is later. 5—Pre-award Costs. Pre -award costs, as defined in 2 C.F.R. § 200.458, may not be paid with funding from this award. 6. Administrativ . Costs, Recipient may use funds provided under this award to cover both direct and indirect costs. 7. Cot Sharing._ Cost sharing or matching funds are not required to be provided by Recipient. 8. Conflicts of Interest Recipient understands and agrees it must maintain a conflict of interest policy consistent with 2 C.F.R. § 200.318(c) and that such conflict of interest policy is applicable to each activity funded under this award. Recipient and subrecipients must disclose in writing to Treasury or the pass -through entity, as appropriate, any potential conflict of interest affecting the awarded funds in accordance with 2 C.F.R. § 200.112. 9. Compliance with ApWigablp Taw and Regulations a. Recipient agrees to comply with the requirements of sections 602 and 603 of the Act, regulations adopted by Treasury pursuant to sections 602(f) and 603(f) of the Act, and guidance issued by Treasury regarding the foregoing. Recipient also agrees to comply with all other applicable federal statutes, regulations, and executive orders, and Recipient shall provide for such compliance by other parties in any agreements it enters into with other parties relating to this award. b. Federal regulations applicable to this award include, without limitation, the following: i. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 C.F.R. Part 200, other than such provisions as Treasury may determine are inapplicable to this Award and subject to such exceptions as may be otherwise provided by Treasury. Subpart F — Audit Requirements of the Uniform Guidance, implementing the Single Audit Act, shall apply to this award. ii. Universal Identifier and System for Award Management (SAM), 2 C.F.R. Part 25, pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 25 is hereby incorporated by reference. iii. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part 170, pursuant to which the award tern set forth in Appendix A to 2 C.F.R. Part 170 is hereby incorporated by reference. iv. OMB Guidelines to Agencies on Govemmentwide Debarment and Suspension (Nonprocurement), 2 C.F.R. Part 180, including the requirement to include a term or condition in all lower tier covered transactions (contracts and subcontracts described in 2 C.F.R. Part 180, subpart B) that the award is subject to 2 C.F.R. Part 180 and Treasury's implementing regulation at 31 C.F.R. Part 19. v. Recipient Integrity and Performance Matters, pursuant to which the award term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated by reference. vi. Governmentwide Requirements for Drug -Free Workplace, 31 C.F.R. Part 20. vii. New Restrictions on Lobbying, 31 C.F.R. Part 21. viii. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.C. §§ 4601-4655) and implementing regulations. ix. Generally applicable federal environmental laws and regulations. c. Statutes and regulations prohibiting discrimination applicable to this award, include, without limitation, the following: i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.) and Treasury's implementing regulations at 31 C.F.R. Part 22, which prohibit discrimination on the basis of race, color, or national origin under programs or activities receiving federal financial assistance; ii. The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§ 3601 et seq.), which prohibits discrimination in housing on the basis of race, color, religion, national origin, sex, familial status, or disability; iii. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which prohibits discrimination on the basis of disability under any program or activity receiving federal financial assistance; iv. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 et seq.), and Treasury's implementing regulations at 31 C.F.R. Part 23, which prohibit discrimination on the basis of age in programs or activities receiving federal financial assistance; and v. Title II of the Americans with Disabilities Act of 1990, as amended (42 U.S.C. §§ 12101 et seq.), which prohibits discrimination on the basis of disability under programs, activities, and services provided or made available by state and local governments or instrumentalities or agencies thereto. t 0. Remedial Actions In the event of Recipient's noncompliance with sections 602 and 603 of the Act, other applicable laws, Treasury's implementing regulations, guidance, or any reporting or other program requirements, Treasury may impose additional conditions on the receipt of a subsequent tranche of future award funds, if any, or take other available remedies as set forth in 2 C.F.R. § 200.339. In the case of a violation of sections 602(c) or 603(c) of the Act regarding the use of funds, previous payments shall be subject to recoupment as provided in sections 602(e) and 603(e) of the Act. 11. Batch Act, Recipient agrees to comply, as applicable, with requirements of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328), which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federal assistance. 12. Ealsv Statements Recipient understands that making false statements or claims in connection with this award is a violation of federal law and may result in criminal, civil, or administrative sanctions, including fines, imprisonment, civil damages and penalties, debarment from participating in federal awards or contracts, and/or any other remedy available by law. 13 Publications Any publications produced with funds from this award must display the following language: "This project [is being] [was] supported, in whole or in part, by federal award number [enter project FAIN] awarded to Calhoun County by the U.S. Department of the Treasury." 14 Dehts Owed the Federal (loverrimerit a. Any funds paid to Recipient (1) in excess of the amount to which Recipient is finally determined to be authorized to retain under the terms of this award; (2) that are determined by the Treasury Office of Inspector General to have been misused; or (3) that are determined by Treasury to be subject to a repayment obligation pursuant to sections 602(e) and 603(e) of the Act and have not been repaid by Recipient shall constitute a debt to the federal government. b. Any debts determined to be owed the federal government must be paid promptly by Recipient. A debt is delinquent if it has not been paid by the date specified in Treasury's initial written demand for payment, unless other satisfactory arrangements have been made or if the Recipient knowingly or improperly retains funds that are a debt as defined in paragraph 14(a). Treasury will take any actions available to it to collect such a debt. a. The United States expressly disclaims any and all responsibility or liability to Recipient or third persons for the actions of Recipient or third persons resulting in death, bodily injury, property damages, or any other losses resulting in any way from the performance of this award or any other losses resulting in any way from the performance of this award or any contract, or subcontract under this award. b. The acceptance of this award by Recipient does not in any way establish an agency relationship between the United States and Recipient, a. In accordance with 41 U.S.C. § 4712, Recipient may not discharge, demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a federal contract (including the competition for or negotiation of a contract) or grant. b. The list of persons and entities referenced in the paragraph above includes the following: i. A member of Congress or a representative of a committee of Congress; ii. An Inspector General; iii. The Government Accountability Office; iv. A Treasury employee responsible for contract or grant oversight or management; v. An authorized official of the Department of Justice or other law enforcement agency; vi. A court or grand jury; or vii. A management official or other employee of Recipient, contractor, or subcontractor who has the responsibility to investigate, discover, or address misconduct. c. Recipient shall inform its employees in writing of the rights and remedies provided under this section, in the predominant native language of the workforce. 17 Increasing Seat Be'LTJsp in the United States. Pursuant to Executive Order 13043, 62 FR 19217 (Apr. 18, 1997), Recipient should encourage its contractors to adopt and enforce on-the-job seat belt policies and programs for their employees when operating company -owned, rented or personally owned vehicles. t R Reducing Text Messaging Rile Driving Pursuant to Executive Order 13513, 74 FR 51225 (Oct. 6, 2009), Recipient should encourage its employees, subrecipients, and contractors to adopt and enforce policies that ban text messaging while driving, and Recipient should establish workplace safety policies to decrease accidents caused by distracted drivers. OMB Approved No. 1505-0271 Expiration Date: 11/30/2021 ASSURANCE OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 As a condition of receipt of federal financial assistance from the Department of the Treasury, the Calhoun County (hereinafter referred to as "the Recipient") provides the assurances stated herein. The federal financial assistance may include federal grants, loans and contracts to provide assistance to the recipient's beneficiaries, the use or rent of Federal land or property at below market value, Federal training, a loan of Federal personnel, subsidies, and other arrangements with the intention of providing assistance. Federal financial assistance does not encompass contracts of guarantee or insurance, regulated programs, licenses, procurement contracts by the Federal government at market value, or programs that provide direct benefits. This assurance applies to all federal financial assistance from or funds made available through the Department of the Treasury, including any assistance that the Recipient may request in the future. The Civil Rights Restoration Act of 1957 provides that the provisions of this assurance apply to all of the recipient's programs, services and activities, so long as any portion of the recipient's program(s) is federally assisted in the manner proscribed above. 1. Recipient ensures its current and future compliance with Title VI of the Civil Rights Act of 1964, as amended, which prohibits exclusion from participation, denial of the benefits of, or subjection to discrimination under programs and activities receiving federal funds, of any person in the United States on the ground of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by the Department of the Treasury Title VI regulations at 31. CFR Part 22 and other pertinent executive orders such as Executive Order 13166; directives; circulars; policies; memoranda and/or guidance documents. 2. Recipient acknowledges that Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency," seeks to improve access to federally assisted programs and activities for individuals who, because of national origin, have Limited English proficiency (LEP). Recipient understands that denying a person access to its programs, services, and activities because of LEP is a form of national origin discrimination prohibited under Title VI of the Civil Rights Act of 1964 and the Department of the Treasury's implementing regulations. Accordingly, Recipient shall initiate reasonable steps, or comply with the Department of the Treasury's directives, to ensure that LEP persons have meaningful access to its programs, services, and activities. Recipient understands and agrees that meaningful access may entail providing language assistance services, including oral interpretation and written translation where necessary, to ensure effective communication in the Recipient's programs, services, and activities. 3. Recipient agrees to consider the need for language services for LEP persons during development of applicable budgets and when conducting programs, services and activities. As a resource, the Department of the Treasury has published its LEP guidance at 70 FR 6067. For more information on LEP, please visit hltp'/hvww.l m �,"y, 4. Recipient acknowledges and agrees that compliance with this assurance constitutes a condition of continued receipt of federal financial assistance and is binding upon Recipient and Recipient's successors, transferees and assignees for the period in which such assistance is provided. 5. Recipient acknowledges and agrees that it must require any sub -grantees, contractors, subcontractors, successors, transferees, and assignees to comply with assurances 1-4 above, and agrees to incorporate the following language in every contract or agreement subject to Title VI and its regulations between the Recipient and the Recipient's sub -grantees, contractors, subcontractors, successors, transferees, and assignees: The sub -grantee, contractor, subcontractor, successor, transferee, and assignee shall comply with Title V1 of the Civil Rights Act of 1964, which prohibits recipients offederal financial assistance from excludingfrom a program or activity, denying benefits of, or otherwise discriminating against a person on the basis of race, color, or national origin (42 U.S.0 § 2000d et seq.), as implemented by the Department ofthe Treasury's Title V1 regulations, 31 CFR Part 22, which are herein incorporated by reference and made a part of this contract (or agreement). Title V1 also includes protection to persons with "Limited English Proficiency" in any program or activity receiving federal financial assistance, 42 U.S.C. § 2000d et seq., as implemented by the Department of the Treasury's Title V1 regulations, 31 CFR Part 22, and herein incorporated by reference and made a part of this contract or agreement. 6. Recipient understands and agrees that if any real property or structure is provided or improved with the aid of federal financial assistance by the Department of the Treasury, this assurance obligates the Recipient, or in the case of a subsequent transfer, the transferee, for the period during which the real property or structure is used for a purpose for which the federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is provided, this assurance obligates the Recipient for the period during which it retains ownership or possession of the property; 7. Recipient shall cooperate in any enforcement or compliance review activities by the Department of the Treasury of the aforementioned obligations. Enforcement may include investigation, arbitration, mediation, litigation, and monitoring of any settlement agreements that may result from these actions. That is, the Recipient shall comply with information requests, on -site compliance reviews, and reporting requirements. 8. Recipient shall maintain a complaint log and inform the Department of the Treasury of any complaints of discrimination on the grounds of race, color, or national origin, and limited English proficiency covered by Title VI of the Civil Rights Act of 1964 and implementing regulations and provide, upon request, a list of all such reviews or proceedings based on the complaint, pending or completed, including outcome. Recipient also must inform the Department of the Treasury if Recipient has received no complaints under Title VI.. 9. Recipient must provide documentation of an administrative agency's or court's findings of non-compliance of Title VI and efforts to address the non-compliance, including any voluntary compliance or other agreements between the Recipient and the administrative agency that made the finding. If the Recipient settles a case or matter alleging such discrimination, the Recipient must provide documentation of the settlement. If Recipient has not been the subject of any court or adtninistmtive agency finding of discrimination, please so state. 10. If the Recipient makes sub -awards to other agencies or other entities, the Recipient is responsible for ensuring that sub -recipients also comply with Title VI and other applicable authorities covered in this document State agencies that make sub -awards must have in place standard grant assurances and review procedures to demonstrate that that they are effectively monitoring the civil rights compliance of sub -recipients. The United States of America has the right to seek judicial enforcement of the terms of this assurances document and nothing in this document alters or limits the federal enforcement measures that the United States may take in order to address violations of this document or applicable federal law. Under penalty of perjury, the undersigned official(s) certifies that he/she has read and understood its obligations as herein described, that any information submitted in conjunction with this assurance document is accurate and complete, and that the Recipient is in compliance with the aforementioned nondiscrimination requirements. Reci i me ��- Tlknature of Authorized O ici Date PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with this collection of information is 15 minutes per response. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB. CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2022-958568 G&W Engineers, Inc. Port Lavaca, TX United States Date Filed: 11/28/2022 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Calhoun County, Texas Date Acknowledged: g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. RFQ 2022.08 (G&W # 5310.020) Technical Services for the Combined Dispatch Building 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Novian, Brian Port Lavaca, TX United States X Sappington, Michial Port Lavaca, TX United States X Gohlke, Anthony Port Lavaca, TX United States X Danysh, Henry Port Lavaca, TX United States X Tuch, Elton Port Lavaca, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is 'j 1(41 wb Uirt^ , and my date of birth is IIZs I196e G1 l� Myaddressis 2.0� IA(. Lry�c, OA,t s4 Ior� LvGca TX , -77979 , USA (street) (city) (state) (Zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. T Executed in L AL,"U N County, State of r i KAAS , on the 28 day of Od. 20�2, (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1,eb87ef42 • 1: ' N01 ICF OF MEE iING - 12/7/2022 6. Consider and take necessary action to approve an Interlocal Agreement with Harris County Institute of Forensic Sciences for performing postmortem examinations. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern°Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 11 HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES <LaS SCIENCE. SERVICE. INTEGRITY. November 21, 2022 The Honorable Richard H. Meyer 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 Re: Interlocal Agreement of Postmortem Examinations by the Harris County Institute of Forensic Sciences Dear Judge Meyer: Luis k Sanchez, M.D. Ek2QU.1Ye OlreclOr S Chief Mvdleal Eyaw1ner The attached interlocal agreement between Hams County and Calhoun County will be presented to the Harris County Commissioners Court for approval on December 13, 2022. This agreement will cover the services to be provided by the Harris County Institute of Forensic Sciences for postmortem examination of decedent cases referred to this office, as well as related court testimony, if any for the period January 1, 2023 — December 31, 2023. The Harris County Commissioners Court approved fee schedule states the cost of an autopsy is $2,887 and an external examination cost is $1,161. This agreement allows our agency to exercise discretion in determining which type of postmortem examination is appropriate. Attached is the approved fee schedule. We are attaching a copy of the agreement via email. Please sign the agreement and scan it to my email Nick.TurnerQaifs.hctx.netand myassistant, Armis.Eiim bifs.hctx.net. Once approved by the Harris County Commissioners Court, we will return a fully executed agreement to you. Should you decide not to enter into this interlocal agreement for postmortem examinations, kindly return to my attention. If you have any questions, please contact me at (832) 927-521 I . Sine Nick Turner Assistant County Attorney Office of the Chief Medical Examiner Harris County Institute of Forensic Sciences 1861 Old Spanish Trail Houston, Texas 77054 Office: 832.927.5211 Mobile: 713.539.3961 Fax: 832.927.0230 Enclosures 1885 Old Spanish Trot( Houston Texas 77054 1 713.796-9292 1 713-796-6844 (Vt I harnscountOx unv/Ifs BY HARRIS COUNTY INSTITUTE OF FORENSIC SCIENCES THE STATE OF TEXAS COUNTY OF HARRIS THIS INTERLOCAL AGREEMENT (the "Agreement") is made pursuant to chapter 791 of the Texas Government Code (the Interlocal Cooperation Act) and chapter 49 of the Texas Code of Criminal Procedure, and entered into by and between Harris County, acting by and through its governing body, the Harris County Commissioners Court, and Calhoun County (the "Requesting County"), acting by and through its governing body, the Polk County Commissioners Court. RECITALS: Pursuant to article 49.25 of the Texas Code of Criminal Procedure, Harris County has established and maintains the Harris County Institute of Forensic Sciences which includes the Office of Medical Examiner; The Requesting County does not have a medical examiner, and a justice of the peace is required to conduct an inquest into the death of a person who dies in the county under certain circumstances; If the justice of the peace determines that a postmortem examination is necessary, the justice of the peace may order that a postmortem examination of the body be performed by a physician; and The Requesting County desires to obtain the services of the Harris County Institute of Forensic Sciences (the "Medical Examiner") to perform postmortem examinations on persons who died in the Requesting County and to provide sworn testimony in connection with any inquest by a justice of the peace or any criminal investigation or prosecution conducted by a prosecuting attorney. NOW, THEREFORE, Harris County and the Requesting County, in consideration of the mutual covenants and agreements herein contained, do mutually agree as follows: TERMS: I. TERM The term of this Agreement shall begin on January 1, 2023 and end on December 31, 2023, unless terminated in accordance with the provisions contained herein. II. SERVICES A. Postmortem Examinations. Postmortem examinations will be performed by the Medical Examiner pursuant to chapter 49 of the Texas Code of Criminal Procedure. In those cases where a complete autopsy is deemed unnecessary by the Medical Examiner to ascertain the cause and manner of death, the Medical Examiner may perform an external examination of the body, which may include taking x-rays of the body and extracting bodily fluids for laboratory analysis. 1. Written Request. When a justice of the peace in the Requesting County determines pursuant to article 49.10 of the Code of Criminal Procedure, that a postmortem examination is necessary on the body of a deceased person who died within their jurisdiction, the justice of the peace may request that the Medical Examiner perform an autopsy. Each request for a postmortem examination shall be in writing, accompanied by an order signed by the justice of the peace. However, the Medical Examiner shall have the discretion to perform an autopsy or external examination of the body based on his professional judgment. 2. Written Records. The following records shall accompany the body: (1) the completed form titled "Harris County Medical Examiner Out of County Investigator's Report" (attached hereto and incorporated herein); (2) the entire police report, including scene photographs and; (3) all relevant medical records, including hospital admission and emergency room records, if applicable. Failure to provide all necessary records may result in the Medical Examiner refusing to accept the body for a postmortem examination. 3. Body Bag. Each body transported to the Medical Examiner for a postmortem examination must be enclosed inside a zippered body bag and sealed in such a way as to insure integrity of evidence between the time of scene investigation and arrival at the Medical Examiner. The body bag shall have the deceased's name affixed to the outside. B. Laboratory Analyses. The Medical Examiner shall conduct a postmortem toxicological analysis, if appropriate, and any other tests considered necessary to assist in determining the cause and manner of death and identification. C. Testimony. Medical Examiner personnel performing services pursuant to this agreement shall appear as reasonably necessary to provide testimony in a criminal case before a district court of the Requesting County. The Requesting County agrees to use its best efforts to schedule the testimony of the Medical Examiner's personnel in such a manner to cause the least amount of disruption in their work schedule. D. Reports. Within a reasonable time after the completion of a postmortem examination, the Medical Examiner will provide a written copy of the autopsy report to the justice of the peace who requested the autopsy. 2 E. Transportation. The Requesting County shall have the sole responsibility for transporting the deceased to the Medical Examiner. Upon notification by the Medical Examiner that the autopsy has been completed, the Requesting County shall make arrangements for the deceased to be transported immediately to a funeral home. F. Training. The Medical Examiner will conduct an annual training seminar in Houston for justices of the peace, their court personnel and other criminal justice officials, including investigators. G. No Interment. Harris County shall have no responsibility for burying the remains of the deceased. Consistent with TEx. HEALTH & SAFETY CODE ANN. § 711.002(e), the Requesting County shall have sole responsibility for interment of the body. III. CONSIDERATION FOR SERVICES A. Autopsy Fees. In consideration for the services provided by the Medical Examiner, the Requesting County agrees to pay Harris County all costs and expenses associated with performing the autopsy in accordance with the following schedule: (a) Standard Autopsy Examination $2,887 per body (b) External Examination $1,161 per body B. Ancillary Tests. Ancillary tests (i.e. GSR tests) will be performed as deemed appropriate by the Medical Examiner at no additional cost. If further tests are requested by the Requesting County, but are deemed by the Medical Examiner not germane based on the circumstances of the case, the Medical Examiner may elect to decline the request, or to request that the laboratory of the HCIFS perform those tests with additional charges in accordance with the Fee Schedule, attached hereto and incorporated herein as Exhibit "A." C. Testimony. The Requesting County shall additionally pay Harris County for the time spent by the Medical Examiner's pathologists, the Chief Toxicologist, or other personnel providing sworn testimony in connection with a postmortem examination requested by the Requesting County. Testimony fee are in accordance with the Harris County Medical Examiner's Fee Schedule, attached hereto and incorporated herein as Exhibit "A." These rates shall apply also to pretrial preparation, attendance at pretrial conferences, travel time and any time spent waiting to provide testimony. D. Storage of Bodies. The Requesting County shall pay Harris County the additional sum of Forty Five Dollars ($45) per day for each body that remains at the Medical Examiner beyond three (3) days (including weekends and holidays) beginning the day after notification by the Medical Examiner that the body is ready to be released to the Requesting County. This provision shall survive termination of this Agreement and shall apply to any bodies currently remaining at the Medical Examiner. E. Invoice. Harris County shall submit an invoice to the Requesting County for post mortem services performed under this Agreement within thirty (30) days after the service is completed. The Requesting County shall pay the total amount of the invoice within thirty (30) days of the date of receipt of the invoice by the Requesting County. If the Requesting County fails to pay any invoice within sixty (60) days after receipt, the Medical Examiner may refuse to accept any additional bodies for autopsy. F. Fair Compensation. Harris County and the Requesting County agree and acknowledge that the contractual payments contemplated by this agreement are reasonable and fairly compensate Harris County for the services or functions performed under this Agreement. G. Death Certificates. The justice of the peace who requested the postmortem examination be performed shall provide the Medical Examiner with a copy of the signed Certificate of Death no later than fourteen (14) days after receipt of the autopsy report. Failure to comply with this provision may result in termination of the contract by Harris County. IV. FUNDS A. Current Funds. The Requesting County agrees and acknowledges that the contractual payments in this Agreement shall be made to Harris County from current revenues available to the Requesting County. B. Certified Availability. The Requesting County has available and has specifically allocated $8,661.00, as evidenced by a certification of funds by the Requesting County's County Auditor. In the event funds certified available by the Requesting County's County Auditor are no longer sufficient to compensate Harris County for the services provided under this Agreement, Harris County shall have no further obligation to complete the performance of any services until the Requesting County certifies sufficient additional current funds. The Requesting County agrees to immediately notify Harris County regarding any additional certification of funds for this Agreement. C. Other Statutory Liability. This Agreement is not intended to limit any statutory liability of the Requesting County to pay for services provided by Harris County when the funds certified by the Requesting County are no longer sufficient to compensate Harris County for the services provided under this Agreement. D. Overdue Payments. It is understood and agreed that chapter 2251 of the Texas Government Code applies to late payments. V. TERMINATION A. Without Notice. If the Requesting County defaults in the payment of any obligation in this Agreement, Harris County is authorized to terminate this Agreement immediately without notice. B. With Notice. It is understood and agreed that either party may terminate this Agreement prior to the expiration of the term set forth above, with or without cause, upon thirty (30) days prior written notice to the other party. By the next business day following the first ten (10) days of the E subsequent calendar month after the effective date of such termination, Harris County will submit an invoice showing the amounts due for the month in which termination occurs in the manner set out above for submitting monthly invoices. VI. NOTICE Any notice required to be given under the provisions of this Agreement shall be in writing and shall be duly served when it shall have been deposited, enclosed in a wrapper with the proper postage prepaid thereon, and duly registered or certified, return receipt requested, in a United States Post Office, addressed to the parties at the following addresses: To Harris County: Harris County Harris County Administration Building 1001 Preston, Suite 911 Houston, Texas 77002-1896 Attn: County Judge with a copy to: Harris County Institute of Forensic Sciences 1861 Old Spanish Trail Houston, Texas 77054 Attn: Chief Medical Examiner To Calhoun County: Calhoun County 211 South Ann Street Port Lavaca, Texas 77979 Attn: County Judge Either party may designate a different address by giving the other party ten days' written notice. VII. MERGER The parties agree that this Agreement contains all of the terms and conditions of the understanding of the parties relating to the subject matter hereof. All prior negotiations, discussions, correspondence and preliminary understandings between the parties and others relating hereto are superseded by this Agreement. VIII. VENUE Exclusive venue for any action arising out of or related to this Agreement shall be in Harris County, Texas. IX. MISCELLANEOUS This instrument contains the entire Agreement between the parties relating to the rights granted and the obligations assumed. Any oral or written representations or modifications concerning this instrument shall be of no force and effect excepting a subsequent modification in writing signed by both parties. This Agreement may be executed in duplicate counterparts, each having equal force and effect of an original. This Agreement shall become binding and effective only after it has been authorized and approved by both counties, as evidenced by the signature of the appropriate authority pursuant to an order of the Commissioners Court of the respective County authorizing such execution. APPROVED AS TO FORM: HARRIS COUNTY CHRISTIAN D. MENEFEE County Attorney NICK TURNER Assistant County Attorney I_\»tZI]Vll�� LUIS A. SANCHEZ, M.D. Harris County Institute of Forensic Sciences Executive Director & Chief Medical Examiner LINA HIDALGO County Judge Date Signed: CALHO UNTY t By: CHARD H. MEY County Judge Date Signed: CERTIFICATION OF FUNDS Pursuant to section 111.093 of the Texas Local Government Code, I certify that the county budget contains an ample provision for the obligations of Calhoun County under this Agreement and that funds are or will be available in the amount of $8,661.00 to pay the obligations when due. �,-, Calhoun Auditor Date Signed: 1 a — I EXHIBIT "A" HARRIS COUNTY <. INSTITUTE OF FORENSIC SCIENCES SCIENCE. SERVICE. INTECRI'(Y. HCIFS Fee Schedule — Medical Examiner Services Effective January 1, 2015 Luis A Sanchez, M.D. Escani.e olreem� m Chief Me hcol Esamm- Service Description Unit Pricing Fees Post Mortem Examinations Full Autopsy Case $2,887 External Examination Case $1,161 Decedent Storage Day $45 Records: Reports, Permits, & Photo Reprints Copy Charge per Open Records Page $0.10 Images on CD (Plus copy charge) Each $11 Notarization of Document (plus copy charge) Document $7 Photo Reprints (3 %s x 5) Print $3 Photo Reprints (8 x 10) Print $5 X-Ray Copy (per film) Film $6 Subpoena/Court Order Documents (plus copy charge) Hour $55 Professional Services Medical Examiner Expert Witness Testimony / Consultation Preparation Fees Fixed Fee $179 Medical Examiner, Travel & Witness /Consultation Hourly $139 Anthropoloff Expert Witness Testimony/ Consultation Preparation Fees Fixed Fee $81 Anthropology Travel & Witness /Consultation Hourly $70 Investigation Expert Witness Testimony / Consultation Preparation Fees Fixed Fee $39 Investigator /Entomologist, Travel & Witness /Consultation Hourly $37 Crime Laboratory Expert Witness Testimony /Consultation Preparation Fees Fixed Fee $78 Laboratory personnel, Travel & Witness /Consultation Hourly $49 Prepared by HCIFS Approved 08/26/2014 1865 Old Spanish Trail, Houston, 1"exas 77054 1713-796-9292 1713-798-6844 (IT) I hs rriscountytx gov/Ifs # 07 NOTICE OF MEETING 12/7/>022 7. Consider and take necessary action to declare December 8, 2022 as Dan Heard Day in Calhoun County. (RHM) Sara Rodriguez read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Richard Meyer, County Judge SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: I Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 11 PROCLAMATION Dan W. Heard Day December 8, 2022 WHEREAS, Dan W. Heard was elected and has served Calhoun County and its citizens for approximately thirty years, and WHEREAS, in 1979 Dan W. Heard was appointed as special County Judge; and WHEREAS, in 1980 Dan W. Heard was appointed as Criminal District Attorney of Calhoun County by Republican Governor, Bill Clements. Subsequently, he was elected to the unexpired term of Criminal District Attorney in 1980 and then was elected to a full four-year term in 1984; and WHEREAS, after many years in private practice, the citizens of Calhoun County, Texas again elected Dan W. Heard as the Criminal District Attorney of Calhoun County in 1998 and he has been reelected in 2002, 2006, 2010, 2014, and 2018; and WHEREAS, Dan W. Heard has worked for Calhoun County and its citizens for 30 years, and has decided to retire from public service at the end of his term, and WHEREAS, in addition to holding the office of Criminal District Attorney of Calhoun County, Texas, Dan W. Heard has dedicated his private time to the betterment of Calhoun County as he helped establish and support The Harbor Children s Alliance & Victim Center, was a member and President of the Chamber of Commerce, was a baseball coach and officer in Little League and The Babe Ruth League, helped organize the first Seafest, and was named "Man of the Year' by the Chamber of Commerce; and WHEREAS, this Court acknowledges the significant contributions of Dan W. Heard to the betterment of the citizens of Calhoun County, Texas over the course of his public service career and we are thankful for his service. NOW, THEREFORE, WE, THE COMMISSIONERS COURT OF CALHOUN COUNTY, TEXAS, DO HEREBY PROCLAIM and declare December 8, 2022 as DAN W. HEARD DAY In Calhoun County, Texas. We extend our best wishes to Dan W. Heard and also give our thanks and appreciation to him for his many years of service and dedication to the citizens of this community. Signed and seale - 's the 7t" day of December, 2022 1� Richard H. Meyer, Co Jndg A, David all Vern Lyssy Commissioner, Precinct 1 Commissioner, Precinct 2 cJoe1M:�B-ehrens �� Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk Deputy Clerk Gary • 1: NO FICE OF MEETING - 12/7/2022 8. 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) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: `Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall,Lyssy, Behrens, Reese Page 5 of 11 Consider and take necessary action to approve the contract renewal between Calhoun County Adult Detention Center and Southern Health Partners with the amended increased cost pool as presented. The amendment will increase the cost pool from $30k per year to $50k per year to aid in the increased cost of medical care for inmates. November S, 2022 To: Judge Meyer From: County Auditor Submitted for the Calhoun County Adult Detention Center Please place the following item on the Commissioners Court Agenda for November 16, 2022: 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. Southern Health Partners September 29, 2022 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: As we look toward beginning a new contract year, SHP would like to thank Calhoun County and the Sheriffs Office for the privilege of working together to provide Inmate health services at the Jail. We have reviewed the contract carefully and determined a 3% annual Increase on the base fee and per diem rate will be needed for the 2023 period, to account for higher operating expenses that continue to increase significantly from year to year, far -outpacing the minimal annual increases we've received historically (ex: supplies, core business insurence-not just employee health insurance, but also the professional liability, general liability, etc. --some lines by as much as 50%) and for staffing, to help us maintain high -quality nursing staff. Unfortunately, we continue to face considerable challenges in the area of staffing, even more so since the pandemic. There are many contributing factors, to name only a few, the need for more competitive pay/compensation package in a competitive market, site location, increased patient acuity leading to additional workload, increased costs of keeping the harder to staff night and weekend shifts filled, availability of attractive home -work options for nurses, current climate In the health care field and national nursing shortage. We must be•prepared for the much higher costs associated with operations and keeping the facility well - staffed in the year ahead. I have outlined the new fee description for you below, to become effective in line with the January anniversary. The difference on the base rate is $354.81 more per month. Contract Period: Januav 1, 2023, throu h December 31 2023 Base annualized fee: 1 $146.180.64 $12,181.72 per month Per diem greater than 80 Inmates: 1 $1.29 Annual outside cost pool limit: 1 $30,000.00 includes 80% pool refund rovision If you have any questions or concerns about the pricing, or would like to discuss the contract, don't hesitate to call or email me. I can be reached directly In the office at 803-802-1492. This letter is yours to keep for the contract file, and I will ask you to please return a signed copy at your earliest convenience, or by October 31, 2022. A scan to email will be fine (email carmen.hamilton(a)southernhealthcartners.coml. Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. September 29, 2022 Pagetwo We appreciate your continued business and investment in working with SHP to deliver an outstanding program of high -quality patient care services. Sincerely, Carmen Hamilton Contracts Manager kph cc: Rachel Martinez CALHOUN COUNTY, TX BY: I R'chard H. Meye Calhoun County Judge Date: December 7, 2022 CERTIFICATE OF INTERESTED PARTIES FORM 12955 lull Complete Nos.1-4 and 5 if there are interested pardes. OFFICE USE ONLY Complete Nos,1, Z 3, 5, and 5 Hthere are no interested parties. CER7IFICAl10N OF FILING Certificate Number. 2022-952481 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Southern Health Partners Chattanooga, TN United States Oate Filed: 11107f2022 Name of governmental en or state agency that Is a partyto the contract far wfi[c5 the rrrr s being aged. Calhoun County, TX bate acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identifythe contract, and provide a description of the services, goods, or other property to be provided under the contract 2023 Inmate healthcare 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X S t1NSWORN DECLARATION ,, n A [' /� My name Is i� LiLa 14c Z�t 10yY } t 1IIt� :Ge- Uf� P and my date off birth Is �,(� Myaddress bl�6 N) n P 1vds3e/�D , W. 1 •—L ,�• (street) idly) (elate) (Sp wdo) (country) I declare under penalty of perjury that the foregoing is true and correct. j� Executed In h,[%],;l'7CJVI% County, State of ,onthe �dayof�,2o2a. (month) (year) Signature ofdhWedag t of contracting business endty l0 I FORKS provided by Taxes Ethics Cnmmissinn erston V3.5.1.dlb92728 RE: Renewal Health Services Agreement January 1, 2023 through December 31, 2023 if approved Wednesday, November 16, 2022 by Commissioners Court, all documents behind this page make up the Renewal for the period January 1, 2023 through December 31, 2023. RENEWAL OF THE HEALTH SERVICES AGREEMENT FOR THE CALHOUN COUNTY ADULT DETENTION CENTER Renewal Period January 1, 2023 through December 31, 2023 Approved by Commissioners Court Wednesday, November 16, 2022 Southern Health Partners September29, 2022 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: As we look toward beginning a new contract year, SHP would like to thank Calhoun County and the Sheriffs Office for the privilege of working together to provide inmate health services at the Jail. We have reviewed the contract carefully and determined a 3% annual increase on the base fee and per diem rate will be needed for the 2023 period, to account for higher operating expenses that continue to increase significantly from year to year, far -outpacing the minimal annual Increases we've received historically (ex: supplies, core business Insurance -not just employee health insurance, but also the professional liability, general liability, etc. —some lines by as much as 50%) and for staffing, to help us maintain high-qualitynursing staff. Unfortunately, we continue to face considerable challenges in the area of staffing, even more so since the pandemic. There are many contributing factors, to name only a few, the need for more competitive pay/compensation package in a competitive market, site location, Increased patient acuity leading to additional workload, increased costs of keeping the harder to staff night and weekend shifts filled, availability of attractive home -work options for nurses, current climate in the health care field and national nursing shortage. We must be prepared for the much higher costs associated with operations and keeping the facility well - staffed in the year ahead. I have outlined the new fee description for you below, to become effective in line with the January anniversary. The difference on the base rate is $354.81 more per month. Contract Period: Janua 1, 2023, through December 31, 2023 Base annualized fee. $146.180.64 $12,181.72 permonth Per diem nreater than 80Inmates: 1 $1.29 Annual outside cost pool limit: 1 $30,000.00 Includes 60% pool refund rovision If you have any questions or concerns about the pricing, or would like to discuss the contract, don't hesitate to call or email me. 1 can be reached directly in the office at 803-802-1492. This letter is yours to keep for the contract file, and I will ask you to please return a signed copy at your earliest convenience, or by October 31, 2022. A scan to email will be fine (email carmen.hamiltongD.sputhernhealthoartners.cgrr). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. September 29, 2022 Pagetwo We appreciate your continued business and investment in working with SHP to deliver an outstanding program of high -quality patient care services. Sincerely, 021 Carmen Hamilton Contracts Manager lcph cc: Rachel Martinez CALHOUN COUNTY, TX BY: Richard H. Meyer Calhoun County Judge Date: November 16, 2022 9 I I Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2022 and Ending December 31, 2022 Southern Health Partners December 1, 2021 Sheriff Bobbie Vickery Calhoun County Sheriffs Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: This letter is for your file and reference to acknowledge renewal of the Health Services Agreement with a 1 % annual increase for the 2022 period (rather than a 2% increase as previously requested). A summary of the pricing terms is provided below based on continuation of the program at the current level of staffing and services with a 1% increase on the base fee effective January 1, 2022. Also note, as agreed, the per diem rate will be reduced to the new amount of $1.25 going forward. Contract Period: January 1 2022 through December 31, 2022 Base contract fee: $141,922.92 S11,826.91-Per month Per diem greater than 80 inmates: $1,25 Annual outside cost Pool limit: $30.000.00 includes 80% pool refundprovision) Please return a signed copy of this letter to me at your earliest convenience, either scanned to email (carmen.hamilton(W.southernhealth0artners com) or by fax (803-802-1495 direct fax). Except as noted above, or as may be amended or modified by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Feel free to reach out should you have any questions or need anything further for your records. I'll be more than happy to assist. My direct number in our NC/SC Regional Office is 803-802-1492. Again, we truly appreciate your business and look forward to continued partnership with you and Calhoun County in the year ahead. Si cerely, n ri Carmen Hamilton Contracts Manager /cph cc: Rachel Martinez CALHOOUNTY,TX BY: Richard B. MeyerI— Calhoun County Judge Date: December 15, 2021 Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement CURRENT YEAR AND PAST YEARS INFORMATION Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2021 and Ending December 31, 2021 ,s Southern Health Partners Ynur Partner In A(fortlahi� Inmate Healthcare September 30, 2020 Sheriff Bobbie Vickery Calhoun County Sheriff's Office 211 South Ann Street Port Lavaca, TX 77979 Re: Health Services Agreement Dear Sheriff Vickery: SHP values the relationship we have with Calhoun County and the Sheriff's Office. With each new contract year, we look forward to a renewed commitment of partnering to provide excellent medical care for your inmates. We want to continue to grow and offer the service and results you've come to expect of us. In order to remain competitive while still retaining our quality, it will be necessary to increase our service rates for the 2021 period, effective in line with the renewal anniversary. Below is a new rate description to keep on file. The pricing reflects a 3% annual increase as well as our increased experience, quality service and reputation within the industry. Contract Period: January 1, 2021, through December 31, 2021 Base annualized fee: $140.517.72 $11,709.81 per month Per diem grester than 80: $1.70 - Annual outside cost pool limit: 1 $30,000.00 (includes 80% pool refundprovision) Rate increases are an unavoidable part of doing business, and we thank you for understanding and supporting a superior standard for continuation of our program and services in the coming year. If you have any questions or need clarification, please don't hesitate to contact me. I'll be happy to assist. For the historical contract record, I will ask you to keep this letter and return a signed copy to me at your earliest convenience, or by October 31, 2020. A scan to email or faxed copy will be fine (803.802-1495 direct fax or email carmen llamilton0southernheallhoartners com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in full force and effect. Thank you for your continued trust and confidence in SHP. Again, please feel free to reach out if there is anything you need. Carmen Hamilton Contracts Manager lcph cc: Rachel Martinez CALHOUN COUNTY, TX BY: t it Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #4 to HEALTH SERVICES AGREEMENT Amendment #4 Beginning January 1, 2020 and Ending December 31, 2020 AMENDMENTN TO HEALTH SERVICES AGREEMENT Thls AMENDMENT#4 to Health Services Agreement dated November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "County), and Southern Health Partners, Inc., dibla SHP Vista Health Management, Inc., a Delaware Corporation, (hereinatier.referred to as "SHPI, with services commencing on January 1, 2014, is entered Into as of this Z day of Alt11. 2o10. WITNESSETH• WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19, 2013, between County and SHP. NOW THEREFORE, to consideration of fhe covenants and promises hereinafter made, the parties heretohgree as follows: Section 1.21s hereby amended and replaced In its entirety bythe following: 1.2 Soop"f-GenarsISITY1098. The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said inmate into the Jail. The health care services provided by SHP shag be for all persons committed to the custody of the Jail, except those Identified In Section 1.7. SHP shall provide andfor arrange for all professional medical, dental, mental health and related health care and administrative services for the Inmates, regularly scheduled sick call, nuraing care, regular physician care, medical specialty services, emergency medical care, emergency ambulance services when medically necessary, medical records management, pharmacy servloss management, administrative support services, and other services, all as more specifically described herein, SHP shall be financially responsible for the costs of all physician and nurse alafting, over- the-oounter medications, medical supplies, on -site clinical lab procedures, medical hazardous waste disposal, oiflce supplies, forms, folders, files, travel expenses, publications, administrative services and nursing time to train officers in the Jell on vadous medical matters. SHP's gnanclal responsibility for the noels of all emergency kits and restocking of emergency kit supplies, al) necessary Manse and permit fees, all prescription pharmaceuticals, all biological products used to prevent, diagnose or treat diseases and medical conditions (Including, but not limited to the code of PPO solution for inmate Tuberculosis testing), all x-ray procedures (Inside and outside the Jag),. all off -site lab procedures, all dental services (inside and outside the Jell) and all medical and mental health services rendered outside the Jag shall be limited by the annual cost pool described in Seatton'l.0 of this Agreement. AD pool costs in excess of the annual cost pool limit shall be the • tinmolal responsibility of the County, or shall not otherwise be the Inanclai respocolbility of SHP. Should new legislation require substantial or new medlcai directives to SHP in the provision of services under this Agreement, SHP will not be financially responsible for changes to Its piogram, rather SHP would have the ability to seek from the County any additional monies to fund such directives. Effective on or about January 1. 2020, the services of Faspsych, for 2417 video mental health consultations on demand, shall be made available to County through SHP. Should County afoot to utilize Faspsych, the coat of the services ahall be In addition to SHP's base contract fee, incurred on a peruse baste at a gat rate of $150.00 per Incident, with the costs going Into the pool accounting and subject to the annual pool limit as set forth in Section No.1.5. Section 1.5 is hereby amended and replaced in its entirely by the following: 1.5 Limitations On Costs - Cos( Pool: SHP shelf, at Its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with aft emergency kits and restocking of emergency kit supplies, all necessary license and permit fees, all prescription pharmaceuticals, all biological products used to prevent, diagnose or treat diseases and medical bondillons (including, but not limited to the coats of PPD solution for inmate Tuberculosis testing), all x-ray procedures (Inside and outside the Jag), all of -afte lab procedures, all denial services Qnaide and outside the Jell) and all medical and mental health services for Inmates rendered outside of the Jell will be limited by a pool established In the amount of $30,00D.00 in the aggregate for all inmates in each year (datlned as a twelve-month contract period) of this Agreement if the costs of all care as described in this Section 1.5 exceed the amount of $30,000.00 in any year, SNP will either pay for the additional services and submit Invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100916) of the costs in excess of $30,000.00 or, In the alternative, wilt refer all additional qualifying Invoices to County for payment directly to the provider of care. For all imroices payable to SHP as reimbursement for pool excess costs, such amounts shell be payable by County within thirty days of the SHP Invoice date. SHP will allow a grace period of up to sixty days from the dale of invoice, and will thareaffer apply a late fee of two percent (2%) on the balance each month until SHP has been reimbursed in full. For purposes of this Section 1.5, the pool amount wig be prorated for any contract period of less or more than twelve months. If the costs of all care as described in this section 1.5 are less than $30,000.00 In any year (dogged as a twelve-month contract period), SHP will repay to County eighty percent (80°%) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the end of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the new contract period begins and prior to Issuing any such refund to County for unused cost pool funds. Specifically, the cast pool cut-off will be mld•Febmary based on a contract period schedule ending In mld•Decembor each year. SHP will continua to process cost pool payments applicable to the prior contract period through mld-February and apply those amounts toward the prior year's cost pool limit Any additional coat pool charges received subsequent to the out -off date which are applicable to the prior contract period will either be rolled over into the pool for the current conlydet period or be referred to County for payment directly to the provider of care. The Intent of this Section 1.5 is to define SHP'a maximum tlnanclel liability and limitation of costs for all emergency kits and restocking of emergency kit supplies, all necessary license and permit fees, aft prescription pharmaceuticals, all biological products used to prevent, diagnose or treat diseases and medical conditions (Including, but not limited to the costs of PPD solution for Inmate Tuberculosis testing), all x-ray procedures (Inside and outside the Jail), all off -site lab procedures, ail hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. Effective on or about January 1, 2020, the services of Faspsych, for 2417 video mental health consultations on demand, shalt be made available to County through SHP. Should County elect to utilize Faspsych, the cdst of the services shall be in addition to SHP's base contract fee, Incurred on a per -use basis at a gat rate of $150.00 per incident, with the costs going Into the pool accounting and subjectto the annual pool Omit as set forth In Section No.1.5. 860110112.1 Is hereby replaced to its entirety by the following: 2.1 8112gg, SHP shall provide medical and support personnel reasonably necessary for the rendering of health care servicess to Inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will provide on-slta stalling coverage averaging thirty • (30) nursing hours per week, according to a regular schedule of six (8) hours per weekday. Staffing hours worked in excess of this contracted staffing plan, not to Include*SHP training hours, may be billed book to the County on a monthly basis, at the actual wage and benefit rate, for staffing services performed on -alto at the facility. Further. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. If any such absences exceed five (5) consecutive days, not to Include vacation time or SHP-designated holidays, SHP will refund the County the cost of the staffing hours on the next month'a base fee biting. it Is undemtood the Professional Provider may be filled by a Physician, or Md•i evel Practitioner. Either will be duly licensed to practice medicine in the State of Taxes, and will be available to our numino staff for resource, consultation and direction twenty-four (24) hours per dew, seven (7) days perwesk. The scheduling of staff shifts may be flexible and adjusted by SHP in order to malatain stability of the program and consistency with staff. Any adjustments or changes to fixed schedules would be made offer discussions with the Jail Administrator and other Involved County glclals. Professional Provider visit Vmea and dates will be coordinated with Jail Management, and may Include the use of teleheailh services. Some of the Professional Provider time may be used for phone consults with medical staff and for other admintstralive duties. Section 5.1 is hereby replaced in Its entirety by the following: 6.1 3 .M This Agreement shall commence on January 1, 2014. The renewal period of this Agreement beg►nning on January 1, 2020, shalt run for twelve (12) months ending on December 31, 2020. This Agreement shall thereafter be automatically extended for additional renewal periods of one-year each, subject to County funding availability, unless either party provides written notice to the other of Its intent to terminate, or non -renew. in accordance with the provisions of Section No. 6.2 of thisAgreemeni. Section 7.1 Is hereby replaced in its entirely by the following: 7.1 Base Compensation. Effective January 1, 2020, County will compensate SHP based on the twelve-month, annualized price of $136,425.00 during the term of this Agreefnerd, payable in monthly Installments. Monthly Installments based on the twelve-month, annualized price•of $136,426.00 will be In the amount of $11,388.75 each. SHP will bill County approximately thirty days prior to the month In which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day or any calendar month, compensation to SHP wig be prorated accordingly forthe shortened month. Section 7.2 Is hereby replaced in its entirety by the following: 72 Increases in Inmate Peculation County and SHP agree that the annual base price Is calculated based upon ah average daily lnmate population of up to so. EtteoBve January 1, 2020, if the average daily inmate population exceeds 80 inmates, the compensation payable to SHP by County shag be increased by a•per diem rate of $1.65 for each Inmate over 60. The average daily Inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, If any, wig be multiplied by the per diem rate and by the number of days in the month to arrive at the Increase in compensation payable to SHP for that month. In ag cases where adjustments become necessary, the invoice adjustment will be made on the Invoice for a subsequent month's services.' For example, 7 there is an average population for any given month of 85 Inmates, resulting In an excess of five (5) inmates, then SHP shall reot'Jve addtilonaf compensation of five (8) times the per diem rate times the number of days in that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, shod. term changes in the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any addltforia► fixed costa, such as nowNed staffing positions that might prove necessary if the inmate population grows significenfiy and Ir the population increase Is sustained. In such cases, SHP reserves the right to negotiate for an Increase 10 Us staffing'complament and its contract price In arder to continue to provide services to the Increased number of inmates and maintain the quality of care, This would be done with the full knowledge and agreement of the Jalt Administrator, Sheriff and other Involved County officials, and following appropriate notification to County. IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so. CALHOUN COUNTY, TX BY: Date: !/- z7--fg AT Date: I N HEALTH PARTNERS, INC. VISTA HEA�IH MANAGEMENT, INC. Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2019 and Ending December 31, 2019 j Southern Health (Partners YourPartnerin Affordable Inmate Healthcare September25,2018 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP appreciates the opportunity to work with Calhoun County and the Sherifi s Office in managing the Inmate medical needs at the Jail. I am writing this letter to acknowledge renewal of the Health Services Agreement for the 2019 period. Beginning in January, we will need an adjustment on our service rates to help keep pace with the current market in attracting and retaining strong, well -qualified staff in corrections and the growing costs of providing medical services. Staffing is just one area where we are experiencing increased costs with Industry -wide nursing shortages heavily impacting our site budgets, in terms of keeping consistent coverage in place and offering competitive local -area pay. Increased patient acuity has also increased our resource needs. Plus, we must account for other operating expenses which unfortunately do continue to go up each year (such as insurance/benefits, administration and travel). We are committed to keeping the contract priced reasonably white providing the highest level of quality care for the inmates. A 3% annual increase has been figured on the contract based on continuation of the program at the current level of staffing and services. This will give us a new per diem and base contract amount as follows: Contract Period: January 1, 2019, through December 31, 2019 Base annualized fee: $134.408.88 ($11,200.74 per month) Per diem greater than 80: $1.63 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, if you have any questions, concerns or needs, please feel free to tail me direct in our NC/SC Regional Office at 803-802-1492. I'll be glad to assist. For the historical record, 1 will ask you to keep this falter with your contract and return a signed copy to me by on or before October 31, 201 B. A scan to email or faxed copy will be fine (803-802-1495 direct fax or email carmen.hamiltonosouthernhealthpahners.com). Except as stated herein, or as may be amended or modified in writing by mutual agreement of the parties, all provisions of the contract will remain in fuli force and effect. Thank you in advance. We look forward to continuing a successful partnership in the new contract year. Sincerely, Nbv Carmen Hamilton Contracts Manager 1cph CALHOUN COUNTY, TX BY: Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2018 and Ending December 31, 2018 Southern Health �► Partners Your Partner In Affordable Inmate Healthcare September27, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St. Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: SHP continues to be a proud partner with Calhoun County and the Sheriffs Office in providing for the delivery of inmate health services. Our Health Services Agreement is coming up soon for renewal, and I am writing this letter to acknowledge a change in pricing terms for the 2018 period. Remember there have been a couple years in the contract history when we were able to let go without an inflationary increase. Over time, however, many of our operating expenses have continued to go up, including those related to insurance, administration and travel, plus we must allow for higher fixed costs for items such as employee benefits and nurse wages. With nurse wage rates having risen considerably, and also taking into account the aspect of nurse shortages, offering competitive local area pay is essential to attracting and keeping well -qualified nurses working for us in corrections. We want to assure the County of our commitment to provide an exemplary program of care. The pricing outlined below includes a 3% annual adjustment for the 2018 period. Keep in mind this is less than CPI increase. This will give us a new per diem and base contract amount as follows: Contract period: January 1, 2018, through December 31, 2018 Base annualized fee: $130,494.00 ($10,874.50 per month) Per diem greater than 80: $1.58 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) As always, you are welcome to give me a call with any questions. I'll be happy to assist. You can reach me direct in our NC/SC Regional Office at 803-802-1492. 1 will ask you to please keep this letter on file and return a signed copy to me by on or before October 31, 2017. A scanned email copy or faxed copy will be fine (803-802-1495 direct fax or email carmen.hamilton a)so ithernhealtnoarmers.com). Except as noted above, or as may be modified or amended by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect. Thank you in advance. We look forward to continued business with an excellent customer. Sincerely, S UTHERN HEALTH PARTNERS, INC. Carmen Hamilton Contracts Manager /cph CALHOUN COUNTY, TX BY: Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement RENEWAL Beginning January 1, 2017 and Ending December 31, 2017 Ms. Michelle Velasquez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak St Port Lavaca, TX 77979 Re: Health Services Agreement Dear Michelle: We, at SHP, are proud to be working in partnership with the Sheriffs Office as the on -site provider of inmate medical care. The Health Services Agreement is coming up soon to rollover in January, and we took forward to beginning a new year of services. SHP remains committed to providing a cost-efficlent quality program. Remember for the past two years, with approval for increasing the nurse staffing plan, we let the contract go without an annual price increase for renewal. For the new period beginning in January, however, we will need an adjustment to help us keep up with the costs of doing business and providing medical services, which continue to rise each year. We must allow for higher fixed costs for items such as employee wages and benefits, plus marry of our other operating costs have Increased over time, Including those related to insurance, administration and travel. We have planned on a 2% inflationary Increase for the 2017 contract year. This is a difference of $207.02 more per month on the base rate. Please look for the monthly billings to adjust accordingly, effective January 1, 2017. The new per diem and base contract amount are noted below for your records. Contract period: January 1, 2017, through December 31, 2017 Base annualized fee: $126,693.24 ($10,557.77 per month) Per diem greater than 80: $1,53 Annual outside cost pool limit: $30,000.00 (includes 80% OCP refund provision) Of course, should you have any questions or wish to discuss the contract, fast free to give me a call. I can be reached directly in our NCISC Regional Office at 803.802.1492. I'll be happy to assist with anything you may need. Otherwise, please keep this letter for your file and return a signed copy to me at your earliest convenience. A scanned email copy or faxed copy will be tine (803-802_1495 direct fax or email carmen hamiltonfd9southemheatthoartnerscom). Except as modified above, or as may be further amended or modified by mutual written agreement between the parties, all provisions of the contract will remain in full force and effect Thank you in advance. Calhoun County is a valued customer. We hope to have the privilege of doing business together for many years to come. SJpcsr y, CAL?H�O�U�N�COUNTY, TX Contractsts B—%���LI�H p Carmen Hamilton __������ Manager ii I Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #2 to HEALTH SERVICES AGREEMENT Amendment #2 Beginning January 1, 2016 and Ending December 31, 2016 Southern Health Partners Your Partnerin Affordable Inmate Healthcare October 8, 2015 Rachel Martinez Jail Administrator Calhoun County Adult Detention Center 302 West Live Oak Port Lavaca, TX 77979 Re: Health Services Agreement Dear Rachel: This letter serves to acknowledge SHP's request for a change in the contract staffing provided under the Health Services Agreement. We are asking for the County's support In adjusting the base price to account for an increase in the contract staffing plan at the facility to a new average schedule of thirty hours each week (covering weekdays). Again, it is our full expectation that, going forward, a full-time status 30-hour a week position will be essential to keeping a consistent staff member in place at the facility and Improving the overall stability of the program. We are requesting an increase in base contract compensation to account for the additional nursing hours. The cost we initially offered to incorporate 10 hours into the regular staffing plan, bringing the MTA position up from 20 hours to a new average of 30 hours per week, was $19,326.00 annualized. We have now agreed to reduce this amount by $3,000.00 to $16,326.00 ($1,360.50 per month) with approval of the enclosed Amendment making the rate adjustment effective January 1, 2016. The change will increase the County's annualized contract price to the new amount of $124,209.00 ($10,350.75 per month). Please review the Amendment at your earliest opportunity and contact me if you have any questions. Notice the Amendment Includes several other sections with recent updates we have made in our standard contract language. We would like to take the opportunity while amending the contract to incorporate these updates. As a part of our offer, with the County's approval of the Amendment, we will agree to continue under the same terms and pricing for another year, under the increased staffing plan, without an overall annual or inflationary price increase for the 2016 renewal period. You'ii find this covered in Section No. 7.3. Please be advised, however, without the approved change for the staffing increase, SHP will need at a minimum a 10% fee increase for 2016 to help us with operating casts over this next contract year. Otherwise, we would need to discuss the contract options with the County further, and make a determination whether it will be feasible to continue services. We hope to avoid such a circumstance and want to continue working with the County to provide a quality, efficient program of care for the inmates. Please do feel free to give me a call with any questions or concerns. I can be reached directly In our NCISC Regional Office at 803-802-1492. Thank you in advance. We appreciate your time and assistance. S cerely, e aflor Contracts Manager 1-4 AMENDMENT#2 TO HEALTH SERVICES AGREEMENT This AMENDMENT 42 to Health Services Agreement dated November 19. 2013. between Calhoun County. Texas (hereinafter referred to as "County'). and Southern Health Partners. Inc., d/b/a SHP Vista Health Management, Inc., a Dale yv� Corporation, (hereinafter referred to as `SHP'), with services commencing on January 1, VA. is entered into as of this iy day of octuter , 2015. WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19. 2013. between County and SHP, NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 2.1 is hereby replaced in its entirety by the following: 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jell as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that. effective January 1, 2016, the amount of base contract compensation to SHP shall be adjusted to account for an increase in the on -site nurse staffing plan at the facility, to a new average schedule of thirty hours per week (covering weekdays). Section 4.1 is hereby replaced in its entirety by the following: 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safely of the agents. employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County will take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. It Is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion, to the extent that if, in'SHP's sole discretion, the safety and security of SHP personnel are compromised, SHP may exercise Its right to immediately terminate services, in accordance with the provisions of Section No. 6.2(b) of this Agreement. Section 6.1 is hereby replaced in its entirety by the following; 6.1 Term This Agreement shall commence on January 1, 34t4. The term of this Agreement shall end on December 31, 2016. and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. Section 6.2 is hereby replaced in Its entirety by the following: 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: (a) Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. (b) Termination for Cause. SHP shall have the right to terminate this Agreement at any time for Cause, which may be effected immediately after establishing the facts warranting the termination, and without any further obligation to County, by giving written notice and a statement of reasons to County to the event: (i) the safety and security of SHP personnel is determined by SHP, in its sole discretion, to be compromised, either as a direct. or indirect. result of County's failure to provide adequate security services, the provision of which is a continuing precondition of SHP's obligation to perform work under this Agreement, or (it) County fails to compensate SHP for charges or fees due, either in whole. or in part, under this Agreement, according to the terms and provisions as stated herein. Cause shall not, however, include any actions or circumstances constituting Cause under (1) or (11) above if County cures such actions or circumstances within a specified period following delivery of written notice by SHP setting forth the actions or circumstances constituting Cause, during which period SHP may permit County, solely by express agreement, time to provide sufficient remedy to SHP's satisfaction. In all cases, this Agreement may be terminated immediately by SHP, without notice, if, in SHP's sole discretion, such immediate termination of services is necessary to preserve thee safety and well-being of SHP personnel. Upon such a termination for Cause, County acknowledges that, SHP shall be entitled to all compensation fees and charges due for services rendered hereunder, without penalty or liability to SHP, up through and including the last day of services, and further that, County shalt be obligated to compensate SHP accordingly for such services rendered up through and including the last day of services, consistent with the terms and provisions of this Agreement. If any costs relating to the period subsequent to such termination date have been paid by County in the case of (1) above. ,SHP shall promptly refund to County any such prepayment. (c) Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. (d) Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners Court. Notwithstanding any provision -herein to the contrary, in the event funds are not appropriated for this Agreement. County shall be entitled to immediately terminate this Agreement, without penally or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. Section 7.1 is hereby replaced in its entirety by the following: 7.1 Base Compensation. Effective January 1, 2016, County will compensate SHP based on the twelve-month annualized price of $124,209.00 during the term of this Agreement, payable in monthly installments. Monthly installments during the term of this Agreement based on the twelve-month annualized price of S124,209.00 will be in the amount of $10,350.75 each, SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. Section 7.3 Is hereby re -Inserted and replaced in Its entirety by the following: 7.3 Future Years' Compensation. The amount of compensation (t.e_ annual base price and per diem rate as defined to Sections 7.1 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2010. to account for additional nursing hours incorporated as a part of the on -site staffing plan, and that, for the twelve-month renewal period effective January 1, 2016, the parties have agreed to continue the terms of this Agreement, under the increased staffing plan of an average of 30 hours each week, at the same price as. stated In Section No. 7.1, without any further overall annual or inflationary price increase on the base contract compensation or per diem rate. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation increase requested for subsequent renewal periods effective on or after January 1, 2017. or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF, the parties have executed this Agreement In their official capacities with legal authority to do so. ATTEUS;T;�'+ti. 81: J urE d`ArnrsoN QCP u,T� NNA [ OQ MAN CALLro V.N UNiy GGE Date: rofrzJ.tord CALHOUN COUNTY, TX BY: I ell Date: �" 2 SOUTHERN HEALTH PARTNERS. INC. dlbfa SHP VISTA HEALTIH MANAGEMENT, INC. BYP .a �I Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement AMENDMENT #1 to HEALTH SERVICES AGREEMENT Amendment #1 Beginning January 1, 2015 and Ending December 31, 2015 O.P'1'ION A AMENDMENT41 TO HEALTH SERVICES AGREEMENT This AMENDMENT $1 to Health Services Agreement dated November 19, 2013, between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., dfbfa SHP Vista Health Management, Inc., a Delaware Corporation, (hereinafter referred to as "SHP"), with services commencing on January 1, 2014. is entered foto as of this _ day of , 2014. WITNESSETH: WHEREAS, County and SHP desire to amend the Health Services Agreement dated November 19, 2013, between County and SHP. NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the parties hereto agree as follows: Section 2.1 is hereby replaced In Its entirety by the following: 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. County and SHP agree that, effective January 1, 2015, the on -site nurse staffing plan will increase to a new average schedule of twenty hours per week (covering weekdays). Section 6.1 is hereby replaced in its entirely by the following: 5.1 Term. This Agreement shall commence on January 1, 2014. The term of this Agreement shall end on December 31, 2015. and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its Intent to terminate at the end of the period. Section 7.1 is hereby replaced in Its entirety by the following: 7.1 Base Comnensalion. Effective January 1, 2015, County will compensate SHP based on the twelve-month annualized price of $107,883.00 during the term of this Agreement, payable in monthly installments. Monthly Installments during the term of this Agreement based on the twelvemonth annualized price of $107,883.00 will be in the amount of $8,990.25 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth dayof the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. Section 7.3 is hereby re -Inserted and replaced in its entirety by the following: 7.3 Future Years' Comoensalien. The amount of compensation (i.e., annual base price and per diem rate as defined in Sections 7.1 and 7.2, respectively) to SHP shall be subject to annual price increase at the beginning of each contract year, with the exception of the first renewal period effective January 1, 2016. through December 31, 2015, for which there shelf be no overall renewal percentage Increase an the contract. County does hereby acknowledge that the amount of base compensation to SHP shall increase effective January 1, 2015, coinciding with an increase In ilia number of nurse staffing hours provided by SHP, to the new twelve-month annualized amount of $107,883.00. SHP shall provide written notice to County, within 90 days of renewal, of the amount of annual compensation Increase requested for subsequent renewal periods effective on or after January 1, 2016, or shall otherwise negotiate mutually agreeable terms with County prior to the beginning of each annual renewal period. IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities With legal authority to do so. ATTEST: Date:li 0S ;0t CALHO�]HOUN UN CCOUNT , TjX BY: Miebabel /J.milPfeifer Calhoun County judge Date: ) .q, ) SOUTHERN HEALTH PARTNERS, INC. dllb a-B�Vlg A HEALTH MAj�AGEMENT, INC. Jeffr A aso , Chief Executive Officer Date: I t Southern Health Partners, Inc. d/b/a SHP Vista Health Management, Inc. Health Services Agreement Beginning January 1, 2014 and Ending December 31, 2014 HEALTH SERVICES AGREEMENT THIS AGREEMENT between Calhoun County, Texas (hereinafter referred to as "County"), and Southern Health Partners, Inc., d/b/a SHP Vista Health Management, Inc., a Delaware corporation, (hereinafter referred to as "SHP"), is entered into as of the _ day of _, 201_. Services under this Agreement shall commence on Pee9mhet16;14L1UArY r a O g4 2944, and shall continue through in accordance with Section 6.1. OPrxs.laetBy zo 1� �'��-i I" � ri .13 WITNESSETH• WHEREAS, County is charged by law with the responsibility for obtaining and providing reasonably necessary medical care for inmates or detainees of the Calhoun County Adult Detention Center facility (hereinafter called "Jail") and, WHEREAS, County and Sheriff desire to provide for health care to inmates in accordance with applicable law; and, WHEREAS, the County, which provides funding as approved by the Calhoun County Commissioners' Court for the Jail, desires to enter into this Agreement with SHP to promote this objective; and, WHEREAS, SHP is in the business of providing correctional health care services under contract and desires to provide such services for County under the express terms and conditions hereof. NOW THEREFORE, in consideration of the mutual covenants and promises hereinafter made, the parties hereto agree as follows: ARTICLE I: HEALTH CARE SERVICES. 1.1 General Engagement. County hereby contracts with SHP to provide for the delivery of all medical, dental and mental health services to inmates of Jail. This care is to be delivered to individuals under the custody and control of County at the Jail, and SHP enters into this Agreement according to the terms and provisions hereof. 1.2 Scope of General Services. The responsibility of SHP for medical care of an inmate commences with the booking and physical placement of said inmate into the Jail_ The health care services provided by SHP shall be for all persons committed to the custody of the Jail, except those identified in Section 1.7. SHP shall provide and/or arrange for all professional medical, dental, mental health and related health care and administrative services for the inmates, regularly scheduled sick call, nursing care, regular physician care, medical specialty services, emergency medical care, emergency ambulance services when medically necessary, medical records management, pharmacy services management, administrative support services, and other services, all as more specifically described herein. z SHP shall be financially responsible for the costs of all physician and nurse staffing, over-the-counter medications, medical supplies, on -site clinical lab procedures, medical hazardous waste disposal, office supplies, forms, folders, files, travel expenses, publications, administrative services and nursing time to train officers in the Jail on various medical matters. SHP's financial responsibility for the costs of all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail will be limited by an annual cost pool described in Section 1.5 of this Agreement. Costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services rendered outside the Jail in excess of the annual cost pool limit shall be the financial responsibility of the County, or shall not otherwise be the financial responsibility of SHP. 1.3 Specialty Services. In addition to providing the general services described above, SHP by and through its licensed health care providers shall arrange and/or provide to inmates at the Jail specialty medical services to the extent such are determined to be medically necessary by SHP. In the event non -emergency specialty care is required and cannot be rendered at the Jail, SHP shall make arrangements with County for the transportation of the inmates in accordance with Section 1.9 of this Agreement. 1.4 Emergency Services. SHP shall arrange and/or provide emergency medical care, as medically necessary, to inmates through arrangements to be made by SHP. 1.5 Limitations On Costs - Cost Pool. SHP shall, at its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all dental services (inside and outside the Jail) and all medical and mental health services for inmates rendered outside of the Jail will be limited by a pool established in the amount of $30,000.00 in the aggregate for all inmates in each year (defined as a twelve-month contract period) of this Agreement. If the costs of all care as described in this Section 1.5 exceed the amount of $30,000.00 in any year, SHP will either pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100%) of the costs in excess of $30,000.00 or, in the alternative, will refer all additional qualifying invoices to County for payment directly to the provider of care. For all invoices payable to SHP as reimbursement for pool excess costs, such amounts shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool amount will be prorated for any contract period of less or more than twelve months. If the costs of all care as described in this Section 1.5 are less than $30,000.00 In any year (defined as a twelve-month contract period), SHP will repay to County eighty percent (60%) of the balance of unused cost pool funds up to the $30,000.00 annual limit. County acknowledges that, at the end of each contract period, the cost pool billing will remain open for approximately sixty days in order to allow reasonable time for processing of additional claims received after the new contract period begins and prior to issuing any such refund to County for unused cost pool funds. Specifically, the cost pool cut-off will be mid -February based on a contract period schedule ending in mid -December each year. SHP will continue to process cost pool payments applicable to the prior contract period through mid -February and apply those amounts toward the prior year's cost pool limit. Any additional cost pool charges received subsequent to the cut-off date which are applicable to the prior contract period will either be rolled over Into the pool for the current contract period or be referred to County for payment directly to the provider of care. The intent of this Section 1.5 is to define SHP's maximum financial liability and limitation of costs for all prescription pharmaceuticals, all x-ray procedures (inside and outside the Jail), all hospitalizations, all dental services (inside and outside the Jail) and all other medical and mental health services rendered outside the Jail. 1.6 Iniuries Incurred Prior to Incarceration: Pregnancy. SHP shall not be financially responsible for the cost of any medical treatment or health care services provided to any inmate prior to the inmate's formal booking and commitment into the Jail. Furthermore, SHP shall not be financially responsible for the cost of medical treatment or health care services provided outside the Jail to medically stabilize any inmate presented at booking with a life threatening injury or illness or in immediate need of emergency medical care. Once an inmate has been medically stabilized and committed to the Jail, SHP will, commencing at that point, then become responsible for providing and/or arranging for all medical treatment and health care services regardless of the nature of the illness or injury or whether or not the illness or injury occurred prior or subsequent to the individual's Incarceration at the Jail. An inmate shall be considered medically stabilized when the patient's medical condition no longer requires immediate emergency medical care or outside hospitalization so that the inmate can reasonably be housed inside the Jail. SHP's financial responsibility for such medical treatment and health care services shall be in accordance with, and as limited by, Sections 1.2 and 1.5 of this Agreement. It is expressly understood that SHP shall not be responsible for medical costs associated with the medical care of any infants born to inmates. SHP shall provide 4 and/or arrange for health care services to inmates up to, through, and after the birth process, but health care services provided to an infant following birth, other than those services that may be delivered in the Jail prior to transport to a hospital, shall not be the financial responsibility of SHP. In any event, SHP shall not be responsible for the costs associated with performing or furnishing of abortions of any kind. 1.7 Inmates Outside the Facilities. The health care services contracted in the Agreement are intended only for those inmates in the actual physical custody of the Jail and for inmates held under guard in outside hospitals or other medical facilities who remain in official custody of the Jail. Inmates held under guard in outside hospitals or other medical facilities are to be included in the Jail's daily population count. No other person(s), including those who are in any outside hospital who are not under guard, shall be the financial responsibility of SHP, nor shall such person(s) be included in the daily population count. Inmates on any sort of temporary release or escape, including, but not limited to inmates temporarily released for the purpose of attending funerals or other family emergencies, inmates on escape status, inmates on pass, parole or supervised custody who do not sleep in the Jail at night, shall not be included in the daily population count, and shall not be the responsibility of SHP with respect to the payment or the furnishing of their health care services. The costs of medical services rendered to inmates who become ill or who are injured while on such temporary release or work -release shall not then become the financial responsibility of SHP after their return to the Jail. This relates solely to the costs associated with treatment of a particular illness or injury incurred by an inmate while on such temporary release. In all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on -site at the Jail to the extent such care can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary. The costs of medical services associated with a particular illness or injury incurred by an inmate white on temporary release or work -release may be the personal responsibility of the Inmate, or covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses. In the absence of adequate insurance coverage, such costs may, at the election of the County, be applied toward the annual cost pool described in Section 1.5, but shall not otherwise be the financial responsibility of SHP. Persons in the physical custody of other police or other penal jurisdictions at the request of County, by Court order or otherwise, are likewise excluded from the Jail's population count and shall not be the responsibility of SHP for the furnishing or payment of health care services. 5 1.8 Elective Medical Care. SHP shall not be responsible for providing elective medical care to inmates, unless expressly contracted for by the County. For purposes of this Agreement, "elective medical care" means medical care which, if not provided, would not, in the opinion of SHP's Medical Director, cause the inmate's health to deteriorate or cause definite harm to the inmate's well-being. Any referral of inmates for elective medical care must be reviewed by County prior to provision of such services. 1.9 Transoortation Services. To the extent any inmate requires off -site non - emergency health care treatment including, but not limited to, hospitalization care and specialty services, for which care and services SHP is obligated to arrange under this Agreement, County shall, upon prior request by SHP, its agents, employees or contractors, provide transportation as reasonably available provided that such transportation is scheduled in advance. When medically necessary, SHP shall arrange all emergency ambulance transportation of inmates in accordance with Section 1.4 of this Agreement. ARTICLE II: PERSONNEL. 2.1 Staffing. SHP shall provide medical and support personnel reasonably necessary for the rendering of health care services to inmates at the Jail as described in and required by this Agreement. County acknowledges that SHP will not provide medical staff on SHP-designated holidays, and there will be an allowance for a reasonable number of absences for medical staff vacation and sick days. 2.2 Licensure. Certification and Registration of Personnel. All personnel provided or made available by SHP to render services hereunder shall be licensed, certified or registered, as appropriate, in their respective areas of expertise as required by applicable Texas law. 2.3 County's Satisfaction with Health Care Personnel. If County becomes dissatisfied with any health care personnel provided by SHP hereunder, or by any independent contractor, subcontractors or assignee, SHP, in recognition of the sensitive nature of correctional services, shall, following receipt of written notice from County of the grounds for such dissatisfaction and in consideration of the reasons therefor, exercise its best efforts to resolve the problem. If the problem is not resolved satisfactorily to County, SHP shall remove or shall cause any independent contractor, subcontractor, or assignee to remove the individual about whom County has expressed dissatisfaction. Should removal of an individual become necessary, SHP will be allowed reasonable time, prior to removal, to find an acceptable replacement, without penalty or any prejudice to the interests of SHP. 6 2.4 Use of Inmates in the Provision of Health Care Services. Inmates shall not be employed or otherwise engaged by either SHP or County in the direct rendering of any health care services. 2.5 Subcontracting and Delegation. In order to discharge its obligations hereunder, SHP shall engage certain health care professionals as independent contractors rather than as employees. County consents to such subcontracting or delegation. As the relationship between SHP and these health care professionals will be that of independent contractor, SHP shall not be considered or deemed to be engaged in the practice of medicine or other professions practiced by these professionals. SHP shall not exercise control over the manner or means by which these independent contractors perform their professional medical duties. However, SHP shalt exercise administrative supervision over such professionals necessary to insure the strict fulfillment of the obligations contained in this Agreement. For each agent and subcontractor, including all medical professionals, physicians, dentists and nurses performing duties as agents or independent contractors of SHP under this Agreement, SHP shall provide County proof, if requested, that there Is in effect a professional liability or medical malpractice insurance policy, as the case may be, in an amount of at least one million dollars ($1,000,000.00) coverage per occurrence and five million dollars ($5,000,000.00) aggregate. 2.6 Discrimination. During the performance of this Agreement, SHP, its employees, agents, subcontractors, and assignees agree as follows: a. None will discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin, except where religion, sex or national origin is a bona fide occupational qualification reasonably necessary to the normal operation of the contractor. b. In all solicitations or advertisements for employees, each will state that It is an equal opportunity employer. c. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting the requirements of this section. ARTICLE III REPORTS AND RECORDS 3.1 Medical Records. SHP shall cause and require to be maintained a complete and accurate medical record for each inmate who has received health care services. Each medical record will be maintained in accordance with applicable laws 7 and Countys policies and procedures. The medical records shall be kept separate from the inmate's confinement record. A complete legible copy of the applicable medical record shall be available, at all times, to County as custodian of the person of the patient. Medical records shall be kept confidential. Subject to applicable law regarding confidentiality of such records, SHP shall comply with Texas law and County's policy with regard to access by inmates and Jail staff to medical records. No information contained in the medical records shall be released by SHP except as provided by County's policy, by a court order, or otherwise in accordance with the applicable law. SHP shall, at its own cost, provide all medical records, forms, jackets, and other materials necessary to maintain the medical records. At the termination of this Agreement, all medical records shall be delivered to and remain with County. However, County shall provide SHP with reasonable ongoing access to all medical records even after the termination of this Agreement for the purposes of defending litigation. 3.2 Reoular Reports by SHP to County. SHP shall provide to County, on a date and in a form mutually acceptable to SHP and County, monthly statistical reports relating to services rendered under this Agreement. 3.3 Inmate Information. Subject to the applicable Texas law, in order to assist SHP in providing the best possible health care services to inmates, County shall provide SHP with information pertaining to inmates that SHP and County mutually identify as reasonable and necessary for SHP to adequately perform its obligations hereunder, 3.4 SHP Records Available to County with Limitations on Disclosure SHP shall make available to County, at County's request, records, documents and other papers relating to the direct delivery of health care services to inmates hereunder. County understands that written operating policies and procedures employed by SHP in the performance of its obligations hereunder are proprietary in nature and shall remain the property of SHP and shall not be disclosed without written consent. information concerning such may not, at any time, be used, distributed, copied or otherwise utilized by County, except in connection with the delivery of health care services hereunder, or as permitted or required by law, unless such disclosure is approved in advance writing by SHP. Proprietary information developed by SHP shall remain the property of SHP, 3.5 County Records Available to SHP with Limitations on Disclosure During the term of this Agreement and for a reasonable time thereafter, County shall provide SHP, at SHP's request, County's records relating to the provision of health care services to inmates as may be reasonably requested by SHP or as are pertinent to the investigation or defense of any claim related to SHP's conduct. Consistent with applicable law, County shall make available to SHP such inmate medical records as are maintained by County, hospitals and other outside health care providers involved in the care or treatment of inmates (to the extent County has any control over those records) as SHP may reasonably request. Any such information provided by County to SHP that County considers confidential shall be kept confidential by SHP and shall not, except as may be required by law, be distributed to any third party without the prior written approval of County. ARTICLE IV: SECURITY 4.1 General. SHP and County understand that adequate security services are essential and necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of inmates and County's staff, consistent with the correctional setting. County shall take all reasonable steps to provide sufficient security to enable SHP to safely and adequately provide the health care services described in this Agreement. it is expressly understood by County and SHP that the provision of security and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in a routine, timely, and proper fashion. 4.2 Loss of Equipment and Supplies. County shall not be liable for loss of or damage to equipment and supplies of SHP, its agents, employees or subcontractors unless such loss or damage was caused by the negligence of County or its employees. 4.3 Security During Transportation Off -Site. County shall provide prompt and timely security as medically necessary and appropriate in connection with the transportation of any inmate between the Jail and any other location for off -site services as contemplated herein. ARTICLE V: OFFICE SPACE EQUIPMENT INVENTORY AND SUPPLIES 5.1, General. County agrees to provide SHP with reasonable and adequate office and medical space, facilities, equipment, local telephone and telephone line and utilities and County will provide necessary maintenance and housekeeping of the office space and facilities. 5.2 Delivery of Possession. County will provide to SHP, beginning on the date of commencement of this Agreement, possession and control of all County medical and office equipment and supplies in place at the Jail's health care unit. At the termination of this or any subsequent Agreement, SHP will return to County's possession and control all supplies, medical and office equipment, in working order, reasonable wear and tear excepted, which were in place at the Jail's health care unit prior to the commencement of services under this Agreement. 9 5.3 Maintenance and Replenishment of Ecuipment. Except for the equipment and instruments owned by County at the inception of this Agreement, any equipment or instruments required by SHP during the term of this Agreement shall be purchased by SHP at Its own cost. At the end of this Agreement, or upon termination, County shall be entitled to purchase SHP's equipment and instruments at an amount determined by a mutually agreed depreciation schedule. 5.4 General Maintenance Services. County agrees that it is proper for SHP to provide each and every inmate receiving health care services the same services and facilities available to, and/or provided to, other inmates at the Jail. ARTICLE VI: TERM AND TERMINATION OF AGREEMENT: ad+.�K`t � za +4 6.1 Tenn. This Agreement shall commence on flecefl�f�er-�8;-3fi43. The initial term of this Agreement shall and on December "',, 2014, and shall be automatically extended for additional one-year terms, subject to County funding availability, unless either party provides written notice to the other of its intent to terminate at the end of the period. 6.2 Termination. This Agreement, or any extension thereof, may be terminated as otherwise provided in this Agreement or as follows: a. Termination by agreement. In the event that each party mutually agrees in writing, this Agreement may be terminated on the terms and date stipulated therein. b. Termination by Cancellation. This Agreement may be canceled without cause by either party upon sixty (60) days prior written notice in accordance with Section 9.3 of this Agreement. C. Annual Appropriations and Funding. This Agreement shall be subject to the annual appropriation of funds by the Calhoun County Commissioners' Court. Notwithstanding any provision herein to the contrary, in the event funds are not appropriated for this Agreement, County shall be entitled to immediately terminate this Agreement, without penalty or liability, except the payment of all contract fees due under this Agreement through and including the last day of service. 6.3 Responsibility for Inmate Health Care Upon termination of this Agreement, all responsibility for providing health care services to all inmates, including inmates receiving health care services at sites outside the Jail, shall be transferred from SHP to County. 10 ARTICLE VII. COMPENSATION. 7.1 Base Compensation. County will pay to SHP the annualized price of $98,220.00 during the initial term of this Agreement, payable in monthly installments. Monthly installments during the initial term of this Agreement will be in the amount of $8,185.00 each. SHP will bill County approximately thirty days prior to the month in which services are to be rendered. County agrees to pay SHP prior to the tenth day of the month in which services are rendered. In the event this Agreement should commence or terminate on a date other than the first or last day of any calendar month, compensation to SHP will be prorated accordingly for the shortened month. 7.2 Increases in inmate Population. County and SHP agree that the annual base price is calculated based upon an average daily inmate population of up to 80. If the average daily inmate population exceeds 80 inmates for any given month, the compensation payable to SHP by County shelf be increased by a per diem rate of $1.50 for each inmate over 80. The average daily inmate resident population shall be calculated by adding the population or head count totals taken at a consistent time each day and dividing by the number of counts taken. The excess over an average of 80, if any, will be multiplied by the per diem rate and by the number of days in the month to arrive at the increase in compensation payable to SHP for that month. 'in all cases where adjustments become necessary, the Invoice adjustment will be made on the invoice for a subsequent month's services. For example, if there is an average population for any given month of 85 inmates, resulting in an excess of five (5) inmates, then SHP shall receive additional compensation of five (5) times the per diem rate times the number of days In that month. The resulting amount will be an addition to the regular base fee and will be billed on a subsequent monthly invoice. This per diem is intended to cover additional cost in those instances where minor, short-term changes in the inmate population result in the higher utilization of routine supplies and services. However, the per diem is not intended to provide for any additional fixed costs, such as new fixed staffing positions that might prove necessary if the inmate population grows significantly and if the population increase is sustained. In such cases, SHP reserves the right to negotiate for an increase to its staffing complement and its contract price in order to continue to provide services to the increased number of inmates and maintain the quality of care. This would be done with the full knowledge and agreement of the Jail Administrator, Sheriff and other Involved County officials, and following appropriate notification to County.��((�� `` qq 7.3 FuturgYears' Compensation. T unt of com enaatto�h� (�.e., `annual base price and per diemZa s deft in Sections 7.1 and 7.2, respectively) to SHP h- shall increase at tbnfng o e h ct ear. The amount of compensation shall increase-6y two percent (2%) for the renewal peno f€ecMd December 16, 2014. W and by two perc �tt (2%) for the rerieival�eFied'effective December 16, 2015. SHP shall provide wdzenn notice to Cc tfi of the amount of compensation increase requested for renewal pe b ective on or after December 16, 2016, or shall otherwise negotiate mutual] dgre8ab a terms with County prior to the beginning of each annual renewal period. 7.4 Inmates From Other Jurisdictions. Medical care rendered within the Jail to inmates from jurisdictions outside Calhoun County, and housed in the Jail pursuant to written contracts between County and such other jurisdictions will be the responsibility of SHP, but as limited by Section 1.7. Medical care that cannot be rendered within the Jail will be arranged by SHP, but SHP shall have no financial responsibility for such services to those inmates. 7.5 Responsibility For Work Release Inmates. SHP and County agree that SHP will be responsible for providing on -site medical services as reasonable and appropriate to County inmates assigned to work release and/or release for community service work for government or nonprofit agencies upon an inmate's presentation to SHP medical staff at the Jail. Notwithstanding any other provisions of this Agreement to the contrary, SHP and County agree that County inmates assigned to work release, including work for County agencies, are themselves personally responsible for the costs of any medical services performed by providers other than SHP, when the illness or injury is caused by and results directly or indirectly from the work being performed, or when such illness or injury is treated while the inmate is on work release. The costs of medical services associated with a particular illness or injury Incurred by an inmate while on work -release may be covered by workers' compensation, medical insurance, accident insurance, or any other policy of insurance which may provide payment for medical and hospital expenses but shall not otherwise be the financial responsibility of SHP. In all cases, SHP shall be responsible for providing medical care for any inmate who, after return to the Jail, presents to SHP medical staff on -site at the Jail, including any inmate injured or infirmed while on work release or release for community service, to the extent such care can be reasonably provided on -site, or SHP shall assist with arrangements to obtain outside medical care as necessary. ARTICLE Vill: LIABILITY AND RISK MANAGEMENT. 8.1 Insurance. At all times during this Agreement, SHP shall maintain professional liability insurance covering SHP for its work at County, its employees and its officers in the minimum amount of at least one million dollars ($1,000,000.00) per occurrence and five million dollars ($5,000,000.00) in the aggregate. SHP shall provide County with a Certificate of Insurance evidencing such coverage and shall have County named as an additional insured. In the event of any expiration, termination or modification of coverage, SHP will notify County in writing. 12 8.2 Lawsuits Against Countv. In the event that any lawsuit (whether frivolous or otherwise) is filed against County, its elected officials, employees and agents based on or containing any allegations concerning SHP's medical care of inmates and the performance of SHP's employees, agents, subcontractors or assignees, the parties agree that SHP, its employees, agents, subcontractors, assignees or independent contractors, as the case may be, may be joined as parties defendant in any such lawsuit and shall be responsible for their own defense and any judgments rendered against them in a court of law. Nothing herein shall prohibit any of the parties to this Agreement from joining the remaining parties hereto as defendants in lawsuits filed by third parties. 8.3 Hold Harmless. SHP agrees to Indemnify and hold harmless the County, Its agents and employees from and against any and all claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the aforementioned program of health care services provided by SHP. This duty to indemnify shall include all attomeys' fees and litigation costs and expenses of any kind whatsoever. County or Sheriff shall promptly notify SHP of any incident, claim, or lawsuit of which County or Sheriff becomes aware and shall fully cooperate in the defense of such claim, but SHP shall retain sole control of the defense while the action Is pending, to the extent allowed by law. In no event shall this agreement to indemnify be construed to require SHP to indemnify the County, its agents and/or employees from the County's, its agents' and/or employees' own negligence and/or their own actions or inactions. SHP shall not be responsible for any claims, actions, lawsuits, damages, judgments or liabilities of any kind arising solely out of the operation of the facility and the negligence and/or action or Inaction of the Sheriff, County or their employees or agents. SHP shall promptly notify the County of any incident, claim, or lawsuit of which SHP becomes aware and shall fully cooperate in the defense of such claim, but the County shall retain sole control of the defense while the action is pending, to the extent allowed by law. In no event shall this agreement be construed to require the County to indemnify SHP, its agents and/or employees from SHP's, Its agents' and/or employees' own negligence and/or their own actions or inactions. ARTICLE IX: MISCELLANEOUS. 9.1 Independent Contractor Status. The parties acknowledge that SHP is an Independent contractor engaged to provide medical care to inmates at the Jail under the direction of SHP management. Nothing in this Agreement is intended nor shall be construed to create an agency relationship, an employer/employee relationship, or a joint venture relationship between the parties. 13 9.2 Assignment and Subcontracting. SHP shall not assign this Agreement to any other corporation without the express written consent of County which consent shall not be unreasonably withheld. Any such assignment or subcontract shall include the obligations contained in this Agreement. Any assignment or subcontract shall not relieve SHP of its independent obligation to provide the services and be bound by the requirements of this Agreement. 9.3 Notice. Unless otherwise provided herein, all notices or other communications required or permitted to be given under this Agreement shall be in writing and shall be deemed to have been duly given if delivered personally in hand or sent by certified mail, return receipt requested, postage prepaid, and addressed to the appropriate party(s) at the following address or to any other person at any other address as may be designated in writing by the parties: a. County: Calhoun County Commissioners' Court 211 South Ann Street, Suite 301 Port Lavaca, Texas 77979 b. SHP: Southern Health Partners, Inc. 2030 Hamilton Place Boulevard, Suite 140 Chattanooga, Tennessee 37421 Attn: President Notices shall be effective upon receipt regardless of the form used. 9.4 Governing Law and Disputes. This Agreement and the rights and obligations of the parties hereto shall be governed by, and construed according to, the laws of the State of Texas, except as specifically noted. Disputes between the Parties shall, first, be formally mediated by a third parry or entity agreeable to the Parties, in which case the Parties shall engage in good faith attempts to resolve any such dispute with the Mediator before any claim or suit arising out of this Agreement may be filed in a court of competent jurisdiction. 9.5 Entire Agreement. This Agreement constitutes the entire agreement of the parties and is intended as a complete and exclusive statement of the promises, representations, negotiations, discussions and agreements that have been made in connection with the subject matter hereof. No modifications or amendment to this Agreement shall be binding upon the parties unless the same is in writing and signed by the respective parties hereto. All prior negotiations, agreements and understandings with respect to the subject matter of this Agreement are superseded hereby. 14 9.6 Amendment. This Agreement may be amended or revised only in writing and signed by all parties. 9.7 Waiver of Breach. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as, or be construed to be, a waiver of any subsequent breach of the same or other provision hereof. 9.8 Other Contracts and Third -Party Beneficiaries. The parties acknowledge that SHP is neither bound by nor aware of any other existing contracts to which County is a party and which relate to the providing of medical care to inmates at the Jail. The parties agree that they have not entered into this Agreement for the benefit of any third person or persons, and it is their express intention that the Agreement is intended to be for their respective benefit only and not for the benefit of others who might otherwise be deemed to constitute third -party beneficiaries hereof. 9.9 Severability. In the event any provision of this Agreement is held to be unenforceable for any reason, the unenforceability thereof shall not affect the remainder of the Agreement which shall remain In full force and effect and enforceable in accordance with its terms. 9.10 Liaison. The Calhoun County Sheriff or his designee shall serve as the liaison with SHP. 9.11 Cooperation. On and after the date of this Agreement, each party shall, at the request of the other, make, execute and deliver or obtain and deliver all instruments and documents and shall do or cause to be done all such other things which either party may reasonably require to effectuate the provisions and intentions of this Agreement. 9.12 Time of Essence. Time is and shall be of the essence of this Agreement. 9.13 Authority. The parties signing this Agreement hereby state that they have the authority to bind the entity on whose behalf they are signing. 9.14 Binding Effect. This Agreement shall be binding upon the parties hereto, their heirs, administrators, executors, successors and assigns. 9.15 Cumulative Powers. Except as expressly limited by the terms of this Agreement, all rights, powers and privileges conferred hereunder shalt be cumulative and not restrictive of those provided at law on in equity. 15 IN WITNESS WHEREOF, the parties have executed this Agreement in their official capacities with legal authority to do so, ATTEST: < Date: //-/1-40`/3 CALHOUN COUNTY, TX BY: Date: ) t- If-9 SOUTHERN HEALTH PARTNERS, INC. d/b/a SHP VISTA HEALTH MANAGEMENT, INC. BY: tJeff asons, Chief Executive Officer Date: / 7 3 �J `1;2 ' NOTICE OF MEE(1NG — 3.2/7/2.022 9. Consider and take necessary action to approve the extension for the contract between Calhoun County and Janik Alligators LLC for the Green Lake Project Alligator Management and Nuisance Control for the contract year beginning January 1, 2023 and authorize the County Judge to sign all necessary documents. (GDR) PASS Page 6 of 11 #10 NOTICE OF MEEI-ING - 12/7/2022 10. Consider and take necessary action to approve the 2023 Order setting maximum salaries, making various appropriations, setting vacation policy and sick leave policy, setting policy on payment of hospitalization insurance premium, setting holiday schedule and setting other miscellaneous policy matters. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 11 Mae Belle Cassel From: cindy.mueller®calhouncotx.org (cindy mueller) acmdy.mueller@calhouncotx.org> Sent: Wednesday, November 30, 202212:34 PM To: MaeBelle.Cassel@calhouncotx.org Cc: clarri addroon; Richard Meyer Subject: Agenda Item Request -Annual Salary Order Attachments: SALARY ORDER-2023.pdf Please place the following item on the agenda for December 7, 2022: • Consider and take necessary action to approve 2023 Order setting maximum salaries, making various appropriations, setting vacation policy and sick leave policy, setting policy on payment of hospitalization insurance premium, setting holiday schedule and setting other miscellaneous policy matters. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy.mueller@calhouncotx.org Calhoun County Texas 2023 ORDER PASSING MANIMDM SALARIES. MAKING MOMLYAPPROPRIAIION& WHEREUPON, on motion by Commissioner Lvssv, seconded by Commissioner Reese, and unanimously carried, on the 7tb day of December. 2022, the Court ordered the following Order be adopted and entered: The various officials, supervisors, and permanent employees will be compensated for the Calendar Year 2023 not to exceed the following amounts: SEE SALARY SCHEDULE ATTACHED (Salary Schedule contains salaries for the Juvenile Probation Department. This department is administered by the Juvenile Board and is not included in the County's Budget or Financial Statements; however, the State Statutes indicate that these are employees of the County. These salaries are included for informational purposes only.) All County employees shall be paid on a bi-weekly basis (annual salary divided by the number of bi-weekly pay periods in the year). Each of the officials named herein shall fix the compensation of the employee(s) authorized for his department within the maximum amounts authorized by this Order. Each of said officials will complete and deliver the payroll forms to the County Treasurer to indicate the pertinent information for all employees covered by the Fair Labor Standards Act who were employed during the pay period; he will also see that the necessary exemption certificates and other information are furnished to the County Treasurer so that proper deductions may be made and records compiled for Federal Withholding Tax, Social Security Tax, Group Insurance, and Retirement Plan. SEE SALARY SCHEDULE ATTACHED In addition, employees are paid an overtime rate of one and one-half times the above rates. An administrative employee on call is paid an hourly rate of $1.00. A non -administrative employee on call is paid an hourly rate of minimum wage. Amounts shown in the attached Salary Schedule are for budgeting purposes only. PART-TIME OR TEMPORARY HELP The various officials/supervisors will be allowed to employ extra help at the following hourly rates ➢ Minimum - Federal Minimum Wage $ 7.25 ➢ Maximum - Skilled Help $ 15.00 ➢ License Differentials (per certification and if applicable): ➢ Pesticide/Herbicide $ 0.12 ➢ EMT Intermediate Certification $ 0.14 ➢ Vector $ 0.58 ➢ CDL $ 0.17 ➢ CDL-X (Hazmat endorsement) $ 0.26 ➢ K-9 $ 0.58 ➢ Paramedic License $ 0.58 ➢ Pesticide/Herbicide plus Vector $ 0.69 Payments may be made up to the amount authorized in each department budget, approved by the Commissioners Court in the 2023 Budget. The officials/supervisors affected by this Order will not obligate the County for the payment of any compensation in excess of the extra help allowance without prior authorization of Commissioners Court. These employees will be considered part-time or temporary employees of the County and will be subject to Federal Withholding Tax and Social Security Tax deductions. APPROPRIATIONS FOR CELL PHONE ALLOWANCE County Commissioners will be paid a bi-weekly set allowance as follows: Commissioner, Precinct No. 1 Commissioner, Precinct No. 2 Page No. 1 $69.23 Bi-Weekly $69.23 Bi-Weekly 2023 ORDER PASSING MANIMDM SALARIES. MAKING MOMITAPPROPRIATION& Commissioner, Precinct No. 3 Commissioner, Precinct No. 4 $69.23 Bi-Weekly $69.23 Bi-Weekly APPROPRIATIONS FOR TRAVEL ALLOWANCE Officers, agents or employees of the County will be reimbursed for actual traveling expenses while out of the County on official County business or in attendance at conferences relating to County government up to the amount authorized in the 2023 budget for this purpose in accordance with the County's purchasing manual. Reimbursement will be requested on the travel form available in the office of the County Treasurer and will be filed, with supporting documentation, in the County Treasurer's Office within one month after the trip has been made. Certain personnel will be reimbursed for actual traveling expenses in the County in amounts not to exceed the appropriations authorized in the 2023 budget. Mileage reimbursement for the use of personal automobiles, which have been authorized, will be computed at the current rate set by the Internal Revenue Service for tax purposes with the following exceptions which will be paid a bi-weekly set allowance as follows: County Judge $296.15 Bi-Weekly Constables $296.15 Bi-Weekly IT Coordinator $296.15 Bi-Weekly Justices of Peace $296.15 Bi-Weekly Library Director $296.15 Bi-Weekly Nuisance Enforcement Officer $296.15 Bi-Weekly APPROPRIATIONS FOR CALHOUN COUNTYAPPRAISAL DISTRICT Payable in quarterly installments from the General Fund to the Calhoun County Tax Appraisal District: Appraisal Services Collection Services HOLIDAY SCHEDULE The Court set the following holiday schedule for the calendar year 2023: Presidents' Day Good Friday Memorial Day Independence Day Labor Day Veterans' Day Thanksgiving Day Christmas Day New Year's Eve New Year's Day $82,651.00 Quarterly $31,918.50 Quarterly Monday, February 20 Friday, April 7 Monday, May 29 Tuesday, July 4 Monday, September 4 Friday, November 10 Thursday, November 23 & Friday, November 24 Monday, December 25 & Tuesday, December 26 Friday, December 29 Monday, January 1, 2024 However, it was agreed that if any of the above holidays should fall on a non -working day, the employees should be allowed to observe the nearest working day preceding or following the holiday, as shown above. POLICIES PERTAINING TO SICK LEAVE, JOB RELATED ACCIDENTS, AND VACATION WILL BE FOLLOWED AS PER EMPLOYEE POLICY AND PROCEDURES MANUAL. Page No. 2 2023 SALARY SCHEDULE DEPARTMENT: TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFIC@ll. $65,273 $0 SUPERBVTENDENT $65,273 $14,040 $79,314 3-EMPLOYEE-FULLTN4E $51365 $0 FOREMAN $51,365 $11,049 $62,414 3-EMPLOYEE-FULLTRAE $48,456 $0 TECHNICIAN $48,456 $10,423 $58,879 3-EMPLOYEE-FULL TIME $48,456 $0 TECHNICIAN $48,456 $10,423 $58,879 3�ENBLOYEE-PULL TIME $44.390 $0 CUSTODIAN $44,390 $9,548 $53,938 3-EMPLOYEE-PULL TIME $44,390 $0 CUSTODIAN $44,390 $9,548 $53938 3-EMPLOYEE-PULL TIME $44,390 $0 CUSTODIAN $44,390 $9,548 $53938 3-EMPLOYEE-FULL TIME $44,390 $0 CUSTODIAN W,390 $9,548 $53,938 S-EMPLOYEE-TEMPORARN $2,240 $0 EMPLOYEE $2,240 $222 $2,462 99-OTHER $4,223 $0 COMPENSATORY TIME PAY $4,223 $908 $5,131 99-0THER $4,183 $0 VACATION PAY ON TERMINATION $4,183 $900 $5,083 99-OTHER $562 $0 OVERTIME -PREMIUM PAY $562 Silo $672 99-OTHER $29 $0 OVERTIME -BASE PAY $29 $6 $35 Sum $402,347 $0 $402,347 $86,273 $488,621 DEPARTMENT: COMMISSIONERS COURT EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 6-EMPLOYEE-PART TIME-P $26,000 $0 GRANTADIvONISTRATOR $26,000 $5,112 $31,112 8nm $26,000 $0 $26,000 $5,112 $31,112 DEPARTMENT: CONSTABLE-PRECINCTO TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $18,173 $0 CONSTABLE $18,178 $3,059 $21939 98-OTHER-ELECTED $9,700 $0 AUTOMOBILE ALLOWANCE $9,700 $1592 $9,292 8nm $25,878 $0 $25,878 $5,351 $31,229 Monday, August 22, 2022 NOTE, EMPLOYEE MEDICAL BENEFIT ARE NOT INCLUDQ BOVE Page 1 of 21 2023 SALARY SCHEDULE DEPARTMENT: TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICW $18,178 $0 CONSTABLE $18,178 $3,059 $21,937 98-0THER-ELECTED $7,700 $0 AUTOMOBME ALLOWANCE $9,900 $1,592 $9,292 Sum $25,978 $0 $25,878 $5,351 $31 229 DEPARTMENT: CONSTABLE-PRECINCTO TOTAL SALARY SALARIRC TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $18,179 $0 CONSTABLE $18,198 $3,759 $21937 98-0THER-ELECTED $9,900 $0 AUTOMOBME ALLOWANCE $7.700 $1,592 $9,292 Sum $25,879 $0 $25,878 $5.351 $31,229 DEPARTMENT: CONSTABLE -PRECINCT## TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECEDOFRCIAL $18,179 $0 CONSTABLE $18,178 $3,759 $21,937 98-0THER-ELECTED $7,700 $0 AUTOMOBILE ALLOWANCE $7,700 $1,592 $9,292 Snm $25,878 $0 $25,878 $5,351 $31 229 DEPARTMENT: CONSTABLE -PRECINCT #5 TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $18,178 $0 CONSTABLE $18,178 $3,759 $21,937 98-0THER-ELECTED $7,900 $0 AUTOMOBILE ALLOWANCE $7,700 $1,592 $9,292 Snm $25,878 $0 S25,878 $5,351 $31 229 Monday, August 22, 2022 .................................................................................................................................................................................................... 2023 SALARY SCHEDULE ....................................... ............................................................................................................................................................a DEPARTMENT: COUNTYAUDITOR EMPLOYEE TYPE SALAR/ES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 2-APPOINTED OFFICIAL $79,373 $0 AUDITOR $79,373 $15,605 $94,917 3-EMPLOYEE-PULL TIME $62.037 $0 AUDITOR -FIRST ASSISTANT $62,037 $12,197 $74,234 3-EMPLOYEE-FULLTIME $49,248 $0 AUDITOR ASSISTANT -COMPLIANCE $49,248 $9,682 $58,930 3-EMPLOYEE-FUL1,711ME $49,248 $O AUDITOR ASSISTANT -COMPLIANCE M9,248 $9,682 $58,930 3-EMPLOYEE-FU[,LTRNH $49.248 $0 AUDITOR ASSISTANT -COMPLIANCE $49,248 99,682 $58,930 3-EMPLOYEE-FOLLTIME $49,249 $0 AUDITOR ASSISTANT-PAYROLUPURCDASING $49,248 $9,682 $58,930 99-OTHER $1 $0 VACATION PAY ON TERMINATION $1 $0 SI Sum $339,403 $0 $338,403 $66,530 $404,934 DEPARTMENT: COUNTYCLERE EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 1-EMCMD OFFICIAL $76,468 $0 COUNTY CLERK $76,469 $14,858 $91326 3-EMPLOYEE-FULL TIME 549,208 $0 DEPUTY-CI{IEF $49,208 $9,674 $58,883 3-EMPLOYEE-FULLTIME $45,194 $0 DEPUTY] $45,194 $8,885 $54,079 3-EMPLOYEE-FULLTIME $45,194 $0 DEPUTY] $45,194 $8,885 $54,079 3-EMPLOYEE-FULLTIM13 $45,194 $0 DEPUTY] $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TRvIE $43,248 $0 DEPUTY2 $43,243 $8,503 $51,751 5-EMPLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 99-OTHER $920 $0 VACATION PAY ON TERMINATION $920 $181 $1,101 99-OTHER $132 $0 COMPENSATORYTIMEPAY $132 $26 $158 99-OTHER $104 $0 OVERTIME -BASE PAY $104 $20 $124 99-OTHER $61 $0 OVERTIME -PREMIUM PAY $61 $12 $73 99-OTHER $21 $0 MEAL ALLOWANCE $21 $4 $25 Sum $305,746 $0 $305,746 $59,934 $365,680 DEPARTMENT: COUNTY COURT -AT -LAW SALARIES TSALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEETYPE SALARY LICENSES POSITION BENEFITS BENEFITS Monday, August 22, 2022 NOTE: EMPLOYEE MED/CAL BENEULjARE NOT fNCL IIDF.D ABOVE Page 3 of 21 ................................................................................................................................................................................................... 2023 SALARY SCHEDULE ................................................................................................................................................................................................... DEPARTMENT: COUNTY COURT -AT -LAW TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $195,530 $0 RIDGE $195,530 $32,918 $228,448 3-EMPLOYEE-FULL IIME $49,208 $0 COURT COORDINATOWADMIN ASST $49,208 $9,674 $58,883 4-EMPLOYEE-PART TENS $7,500 $0 RRtORS-PETIT $7,500 $1,4I5 $8,975 4-EMPLOYEE-PAJUf MfE $2,102 $0 BALE•'F-PART-TENS $2,102 $440 $2,542 4-EMPLOYEE-PART MIE $1 $0 EMPLOYEE $1 $0 $1 Sum $254,341 $0 $254,341 $44,507 $298,848 DEPARTMENT: COUNTY JUDGE TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $87,213 $0 RIDGE $87,213 $16,945 $104,158 3-EMPLOYEE-FULL TIME $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 5-EMPLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 98-0THER-ELECTED $9,900 $0 AUTOMOBILE ALLOWANCE $7,700 $1,496 $9,196 99-07fHER $1 $0 MEAL ALLOWANCE $1 $0 $1 Sum $144.123 $0 $144.123 $28,116 $172,239 DEPARTMENT: COUNTY TAX COLLECTOR TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $77,501 $0 TAX COLLECTOR $99,501 $15,058 $92,559 3-ENRLOYEE-P LLMfE $49,237 $0 DEPUTY -CHIEF $49,237 $9.680 $58,917 3-EMPLOYEE-FULLT $45,194 $0 AD41NISTRATNE DEPUTY $45,194 $8,885 $54,079 3-EWLOYEE-FULLMIE $45,194 $0 ADMB4IS7rRAT DEPUTY $45,194 $8,885 $54,079 4-EWLOYEE-PART TMIE $7,146 $0 EWLOYEE $7,146 $1,405 S8,551 5-EMPLOYEE-TESIPORAR $553 $0 EMPLOYEE $553 $45 $598 99-OTHER $1 S0 MEAL ALLOWANCE $1 $0 $1 So. $224,825 SO $224,825 S43,958 S268,783 Monday, Aogost 22, 2022 NOTE: EMPLOYEEMEUMILEENE&MiANENOTINCLIIDPD ABODE Page4 of 21 2023 SALARY SCHEDULE DEPARTMENT: COUNTY TREASURER TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS I-ELECTEDOFFICIAL $76,468 $0 TREASURER $76,468 $14,858 $91326 3-EMPLOYEE-PULL THE $48,435 $0 DEPUTY -CHIEF $48,435 $9,522 $57,958 3-EMPLOYEEFULL TIME $45,194 $0 DEPUTY $45,194 $8,885 $54,079 3-EMPLOYEE-FULLTIME $43.303 $0 DEPUTY $43,303 $8,513 $51.816 Snm $213,401 $0 $213,401 $41,779 1 $255,180 DEPARTMENT: CRIMINALDISTRICTATTORNEY TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $11,356 $0 DISTRICT ATTORNEY $11,356 $2,206 $13,562 3-EMPLOYEE-FULLTIME $108,320 $0 ATTORNEY-FESTASSISTANT $108,320 $21,296 $129,616 3-EMPLOYEE-FULLTIME $90.997 $0 ATTORNEY $90,997 $17,890 $108,987 3-EMPLOYEE-FULLTI E $89,086 $0 ATTORNEY $89,086 $17,514 $106,601 3-EMPLOYEE-FULLTIE $66,188 $0 INVESTIGATOR $66,188 $13,840 $80,028 3-EMPLOYEE-FOLLTIME $55,733 $0 VICTIMS ASSISTANCE COORDINATOR S55,733 $10,957 $66,690 3-EMPLOYEE-FUMTI E $48,432 $0 SECRETARY LEGAL $48,432 $9,522 $57,954 3-EMPL0YEE-FULLTI E $47,169 $0 SECRETARY LEGAL 1 S47,169 $9,273 $56,443 3-EMPLOYEE-FULLTIE $47,169 $0 SECRETARY LEGAL S47,169 $9,273 $56,443 3-EMPLOYEE-FULLTIE $47,169 $0 SECRETARY LEGAL $47,169 $9,203 $56,443 3-EMPLOYEE-FULLTIME $47,169 $0 SECRETARY LEGAL S49,169 $9,203 $56,443 99-0THER $9,120 $0 LONGEVITY PAY (PAID BY STATE) $9,120 $1,993 $10,913 99-0THER $1,763 $0 VACATION PAY ON TERMINATION $1763 $347 $2,110 99-OTHER $607 $0 OVERTIME-BASEPAY $609 $119 $726 99-01TER $400 $0 MEAL ALLOWANCE $400 $79 $479 99-OTHER $28 $0 COMPENSATORY TIME PAY $28 $6 $34 99-0111ER $1 $0 ADDITIONALPAY-REGGLARRATE $1 $0 $1 99-0THER $1 $0 OVERTIME -PREMIUM PAY $1 $0 $1 Sum $670,709 $0 $670,709 $132,663 $803,371 Monday, August 22, 2022 2023 SALARY SCHEDULE DEPARTMENT: EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 1-ELECTED OFFICIAL $76,468 $0 DISTRICT CLERK $76,468 $14,858 $91,326 3-EMPLOYEE-FULL ME $49,208 $0 DEPUTY-CHB?F $49,208 $9,654 $58.883 3-EMPLOYEE-FULLTMIE $45,238 $0 DEPUTY -CHILD SUPPORT $45,238 $8,894 $54.132 3-EMPLOYEE-FULLTMIE $39,964 $0 DEPUTY - CHILD SUPPORT $39,964 $7,850 $47,821 3-EMPLOYEE-FULL TIME $39,369 $0 DEPUTY $39,369 $7,543 S45,912 3-EMPLOYEE-FULLTMIE $38,369 $0 DEPUTY $38,369 $9,543 $45,912 5-EWLOYEE-TENIPORARY $5,204 $0 EMPLOYEE $5,204 $419 $5,623 99-OTHER $1,984 $0 VACATION PAY ON TERMINATION $1,784 $351 $2,135 Sum $294,605 SO $294,605 $57,139 S351,744 DEPARTMENT: DISTRICTCOORT TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 4-EMPIDYEE-PART NNE $12,511 $0 BALIFF-PART-ME $12,511 $2,619 $15,143 4-EMPLOYEE-PART ME $12.500 $0 JURORS -PETIT $12,500 $2,458 $14,958 4-EMPLOYEE-PART ME $3,950 $0 JURORS -GRAND $3,750 $730 $4,481 4-EMPLOYEE-PART ME $180 $0 JURY COMMLSSIONERS $180 $35 $215 5-EMPLOYEE-TEMPORAR $1 $0 BALIFF $1 $0 $1 99-OTHER $500 $0 MEAL ALLOWANCE $500 S98 $598 So. $29,455 $0 $29,455 $5,947 $35,402 DEPARTMENT: ELECTIONS SALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFICIAL $59,760 $0 ADMINSTRATOR $58,960 $11,552 $70,312 3-EMPLOYEE-PTJLLTM4E $42,259 $0 ELECTIONS -ASSISTANT $42,259 $8,308 $50,568 4-EMPLOYEE-PART TIME $54,250 $0 EMPLOYEE $54,250 $10.666 $64,916 4-EMELOYEE-PART ME $11,614 $0 JUDGES/CLERKS-ELECTION $11,614 $2,283 $13,897 5-ENIPLOYEE-TEMPORAR $7,153 $0 EMPLOYEE $7,153 $576 $9,729 Monday, August 22,2022 NOTE EMPLOYEEMPLOYEEMEWCAL RENE!T ARE NOTINCLUDED ABOVE Page 6 of 21 .................................................... ........................................................................... ............. ........ ........... ..... ............. ........I ... I ..... . 2023 SALARY SCHEDULE ...................................................................................................................................................................................................a DEPARTMENT: ELECTIONS TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 99-0THER $814 $0 OVHRUME-BASE PAY $814 S160 $974 99-0THER $435 $0 OVERTIME -PREMIUM PAY S435 $85 $520 99-0THER $12 $0 MEAL ALLOWANCE $12 $2 $14 Su. $175,297 $0 $105,290 $33,632 $208,930 DEPARTMENT: EMERGENCYMANAGEMENT TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPONTED OFFICIAL $57,282 $0 ADMINISTRATOR $57,282 $11,416 $68,698 3-EMPLOYEE-FULLTIME $45,480 $0 OFFICE MANAGER $45,480 $8,941 $54,421 Snm $102,761 $0 $102,761 $20,358 $123.119 DEPARTMENT: EMERGENCYMEDICAL SERVICES TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFICIAL $87,785 $0 DIRECTOR $87,785 $18,128 $105,913 3-EMPLOYEE-FULL $83,049 $0 DME-CMR-ASSISTANT $83049 $17,150 $100,198 3-EMPLOYEE-FULL UME $49,918 $1,500 SUPERVISOR $51418 $10,618 $62,036 3-EMPLOYEE-FULL UME $49,918 $1,500 SUPERVISOR $51418 $10618 $62,036 3-EMPLOYEE-FMLTIME $49,918 $1,500 SUPERVISOR $51,418 $10,618 $62,036 3-EMPLOYEE-FULLTIME $46,814 $0 ADMIMSTRATIVE ASSISTANT $46,814 $9,204 $56,018 3-EMPLOYEE-FULLUME $45,016 $1,500 CREW LEADER $46,516 $9,605 $56,121 3-EMPLOYEE-FULLUME $45,016 $1,500 CREW LEADER $46,516 $9,605 $56,121 3-EMPLOYEE-FULLTEOP M5,016 $1,500 CREW LEADER $46,516 $9,605 $56,121 3-EMPLOYEE-FULLUME $43,659 $1500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULLTIMg $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL TIME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULLTMP $43,659 $300 PARAMEDIC $43,959 $9,098 $53,037 3-EMPLOYEE-FULLT $43.659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 Monday, August 22, 2022 NOTE: EMPLOYEE MEDICAL BENEF/T.SABE NOT /NC! PDED ABOVE Page 7 of 21 2023 SALARY SCHEDULE DEPARTMENT: EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 3-EMPLOYEE-FULL 9IME $43,659 $1,500 PARAMEDIC $45,159 S9,325 $54,484 3-EMPLOYEE-FULL TIME $43659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL UME $43659 $1500 PARAMEDIC $45,159 $9,325 $54.484 3-EMPLOYEE-FULL UME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPIAYEE-FULL TIME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL TN4E $43,659 $1,500 PARAMEDIC S45,159 $9,325 S54,484 3-EMPLOYEE-FULL UME $43,659 $300 PARAMEDIC S43959 $9,078 $53,037 3-EMPLOYEE-FULL TIME $43,659 $300 PARAMEDIC $43,959 $9,098 $53,037 3-EMPLOYEE-FULL TAME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL TIME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FUU`FIKE $43,659 $300 PARAMEDIC $43,959 $9,078 $53,037 3-EMPLOYEE-FULL TIME $43,659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL TAME $43659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULL TAME $43659 $1,500 PARAMEDIC $45,159 $9,325 $54,484 3-EMPLOYEE-FULLT $43,659 $300 PARAMEDIC $43959 $9,078 $53,037 3-EMPLOYEE-FULLTLME $43,659 $1,500 PARAMEDIC S45,159 $9,325 $54,484 3-EMPLOYEE-FULLTIME $1 $0 EMERGENCY MEDICAL TECHNICIAN $1 $0 $1 4-EMPLOYEE-PART UME $1 $0 EMPLOYEE $1 $0 $1 5-EMPLOYEE-TEMPORARl $137,943 $0 EMPLOYEE $137.943 $10,967 $148,910 99-0THER $689,199 $0 OVERTIME -BASE PAY $689,199 $142,320 $831519 99-OTHER $344,597 $0 OVERTIME-PREMNM PAY $344,597 $67,162 $411,759 99-0THER $75,000 $0 EMS LONG-DISTANCE TRANSFER STPEND $75,000 $15,488 $90,488 99-0THER $63,510 $0 SALARY ON CALL $63510 $13,115 $76,625 99-0THER $45,238 $0 ADDITIONALPAY-REGULARRATE $45,238 $9,342 $54,580 99-0THER $6,760 $0 SALARY ON CAI,LADMINISTRATION $8,760 $1,809 $10,569 99-0THER $1 $0 MEAL ALLOWANCE $1 $0 $1 99-OTHER $1 $0 VACATION PAY ON TERMINAUON $1 $0 S1 Sum S2,783,539 $34.500 $2,818,039 $559,946 $3,377,985 Monday, August 22, 2022 NOTE, EMPLOYEE MEDICAL&EMEEMIARLOTIN f. CDED A&QYE Page of 21 .....us .............. ...... ......... ................................................. ................................. ...................................................................I.... Hint 2023 SALARY SCHEDULE ................................................................................................................................................................................................... DEPARTMENT: EXTENSIONSERVICE TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFICW $26,411 $0 4-H OUTH AGENT $26,411 $5,147 $31558 2-APPOWTED OFFICIAL $26,411 $0 CEAFCS AGENT $26,411 $5,147 $31,558 2-APPONTED OFFICIAL $26,411 $0 COUNTY AGENT $26,411 $5,147 $31,558 2-APPOINTED OFFICIAL $26,411 $0 MARWE AGENT $26.411 $5,147 $31,558 3-EMPLOYEE-FULL TIME $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58.883 5-EMPL0YEE-TEMP0RAR $1 $0 EMPLOYEE $1 $0 $1 99-0THER $184 $0 MEAL ALLOWANCE $184 $36 $220 Sum $155,036 $0 $155,036 $30,300 $185,336 DEPARTMENT: HUMANRESOURCES EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 2-APP01NTED OFFICIAL $56.322 $0 HUMAN RELATIONS OFFICER $56,322 $11.073 $67,395 Sum $56.322 $0 $56,322 $11,073 $67,395 DEPARTMENT: INFORMATION TECHNOLOGY TOTAL SALARY AND SALAR/ES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOWTED OFFICIAL $74,190 $0 IT COORDINATOR $74.190 $14,593 $88,783 3-EMPLOYEE-FULLTIME $45,926 $0 DATABASE ADMINISTRATOR $45,926 $9,034 $54,960 3-EMPL0YEE-FULLTIME $45,926 $0 NETWORK TECHNICIAN $45,926 $9,034 $54,960 3-EMPLOYEE-FULLTME $41,638 $0 TECHNICIAN $41,638 $8,190 $49,828 4-EMPLOYEE-PART TIME $19,483 $0 EMPLOYEE $19,483 $3,832 $23315 99-0THER $],]00 $0 AUTOMOBILE ALLOWANCE $],]00 $1515 $9,215 Sam $234,863 $0 1 $234,863 $46,197 1 $281 060 Monday, August 22, 2022 NOTE. E L BENEFIT. ARE N TIN / Page 9 of 21 2023 SALARY SCHEDULE DEPARTMENT: JAIL EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 3-EMPLOYEE-FULLTGAE $60,828 $0 ADMINISTRATOR $60,828 $12,719 $73,547 3-EMPLOYEE-FULLTIME $54,121 $0 DEPUTY LULER $54,121 $11,317 $65,438 3-EMPL0YEE-FULLTIME $54,121 $0 DEPUTY JAILER $54,121 $11,317 $65.438 3-EMPLOYEE-FULLTIIE $54,121 $0 DEPUTYhULER $54,121 $11,317 S65,438 3-EMPLOYEE-FULLTINE $54,121 $0 DEPUTYDULER $54,121 $11319 $65,438 3-EWL0YEE-FULLTIME $54,121 $0 DEPUTY JAILER $54,121 $11,317 $65,438 3-ENIPLOYEE-FULLTIME $54,073 $0 ASSISTANTIAILADMJNISTRATOR $54,073 $11,307 $65,380 3-EMPL0YEE-FULL TIME $52,960 $0 SERGEANT $52,960 $11,074 $64,034 3-EWWYEEFULL TIME $52,960 $0 SERGEANT S52,960 $11,074 $64,034 3-EMELOYEE-FULLTIME $52,960 $0 SERGEANT $52,960 $11,074 $64,034 3-ENIPLOYEE-FULLTIIE $52,960 $0 SERGEANT $52,960 $11,074 $64,034 3-ENIPLOYEE-FULL TOUE $51,400 $0 COOK-LULER LICENSE $51400 $10,748 $62,147 3-EMPLOYEE-FULLTRv¢ $51,400 SO COOK-LULER LICENSE $51.400 $10,748 $62,147 3-EMPL0YEE-FULLTIME $51,400 $0 LULER $51,400 $10,748 $62,147 3-EMPL0YEE-FULLTIME $51,400 $0 LULER $51,400 $10,748 $62,147 3-EMPLOYEE-FULL TINE $51400 $0 JAILER $51,400 S10,748 $62,147 3-EMPLOYEE-FULLTINIE $51,400 $0 JALER $51,400 S10,748 $62,147 3-EWWYEEFULL TIME $51,400 $0 JAILER S51,400 $10,748 $62,147 3-ENfPWYEEEFULL TIME $51,400 $0 JAILER $51,400 $10,748 $62,141 3-EWWYEE-FULL TIME $51,400 $0 JAILER $51400 $10,748 $62,147 3-EWWYEE-FULL TINfE $51,400 $0 JAILER $51400 $10,748 $62,147 3-EMPL0YEE-FULL UNIE $51400 $0 JAILER $51,400 $10,748 $62,147 3-EMPLOYEE-FULL TIME $51,400 $0 JAILER $51,400 $10,948 $62,147 3-EMPL0YEE-FULLTIME $51,400 $0 JAILER $51,400 $10,748 $62,147 3-ENIPL0YEEFULLTD,IE $51,400 $0 IAI.ER $51,400 $10,749 $62,147 3-ENIPLOYEEFULLTIME $51,400 $0 LULER $51,400 $10,748 $62,147 3-EMPLOYEEFULLTIIE $51400 $0 JAILER $51400 S10,948 $62,147 3-ENIPLOYEEFULLTIIE $51,400 $0 JAILER $51400 $10,748 $62,147 3-EMPLOYEE-FULLTINE $51400 $0 IALER $51,400 $10,748 $62,147 3-EMPLOYEE-FULLTMIE $51,400 $0 JAILER $51,400 S10,948 $62,147 NOTE:EMPL JYEE MEDI IT. ARE N TIN / OVE .................................................................................................................................................................................................... 2023 SALARY SCHEDULE ...................................................................................................................................................................................................a DEPARTMENT: JAIL TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 3-EMPLOYEE-FUL,`FDAE $51400 $0 JAILER $51,400 $10,748 $62,147 3-EMPLOYEE-FULLMIE $51,400 $0 ]AREA $51,400 $10,748 $62,147 3-EMPLOYEE-FULL TINE $51,400 $0 JARER $51,400 $10,748 962,147 3-EMPLOYEETELLT $51,400 $0 3ARER $51400 $10,748 $62,147 3-EMPLOYEE-PULL TIME $51,400 $0 IAR.ER $51400 $10,749 $62,147 3-EMPLOYEE-FULL TIME $1 $0 JAILER $1 $o $1 4-EMPLOYEE-PART MIE $1 $0 EMPLOYEE $1 $0 $1 5-EMPLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 99-OTHER $46,683 $0 ADDITIONAL PAY -REGULAR RATE $46,683 $9,961 $56,444 99-OTHER $9,234 $0 OVERTIME -BASE PAY $9,234 $1931 $11,165 99-OTHER $4,099 $0 OVERTENE-PREb PAY $4,079 $795 $4,874 99-OTHER $900 $0 VACATION PAY ON TER ATION $900 $188 $1,088 99-0THER $559 $0 COMPENSATORYTIMEPAY $559 S119 $676 99-0THER $81 $0 MEAL ALLOWANCE $81 $17 $98 Snm $1,892,496 $0 1 $1 892,476 $395,659 $2,288,134 DEPARTMENT: JUSTICE OFPEACE-GENERAL TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 4-EMPLOYEE-PART TIME $1,000 $0 3URORS-PETIT $1,000 $197 $1,197 Snm $1,000 $0 $1,000 $197 $1,197 DEPARTMENT: JUSTICE OFPEACE-PRECINCT#1 SALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $46,501 $0 3USIICE OF PEACE $46,501 $9,035 $55,539 3-ENBLOYEE-FULLTEOE $41,638 $0 CLERK-3PCOURT $41638 $8,186 $49,924 5-E floLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 6-EMPLOYEE-PART THOE-P $12,785 $0 CLERK-N COURT-PART-M[E $12,785 $2,514 $15,299 Monday, August 22, 2022 NOTE: EMPLOYEE MED/CAL BENEFIT.SABE NOT INCLpDED ABOVE Page 11 of 21 2023 SALARY SCHEDULE DEPARTMENT: TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 98-OTHER-ELECTED $7,700 $0 AUTOMOBILE ALLOWANCE $7,700 $1,496 $9,196 99-OTHER $36 $0 MEAL ALLOWANCE $36 $] $43 99-OTHER $5 $0 OVERTIME-BASEPAY $5 $1 $6 99-OTHER $3 $0 OVERTIME -PREMIUM PAY $3 $1 $4 Sum $108,669 $O $108,669 $21,MO $129,909 DEPARTMENT: JUSTICE OFPEACE-PRECINCT #2 TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $46,501 $0 RISTICE OF PEACE $46,501 $9,035 $55,537 3-EMPLOYEE-FULLTB $41,638 $0 CLERK -JP COURT $41,638 $8,186 $49.824 5-EMPLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 6-EMPLOYEE-PART TOOE-F $12,785 $0 CLERKJP COURT -PART-TIME $12,785 $2,514 $15,299 98-OTHER-ELECTED $7,700 $0 AUTOMOBME ALLOWANCE - $7,700 $1.496 $9,196 SO. $108,625 $0 $109,625 $21,231 $129,856 DEPARTMENT: JUSTICE 0FPF4CE-PRECINCT#3 TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICW $46,501 $0 XSDCEOFPEACE V6501 $9,035 $55,537 3-EMPLOYEE-FULL TIME $41,638 $0 CLERK-R COURT $41,638 $8,186 $49,824 98-OTHER-ELECTED $7,900 $0 AUTOMOBB.E ALLOWANCE $9,900 S1496 $9,196 Sum $95,839 $0 $95,839 $18,717 $114,556 DEPARTMENT: JUSTICE 017PEACE-PRECINCT44 SALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $46,501 $0 NSUCE OF PEACE $46,501 $9,035 $55,537 Monday, August 22, 2022 NOTE, MEDICAL BENEFITVjRLMLLXCLEMEVABQVE Page 12 of 21 2023 SALARY SCHEDULE DEPARTMENT: JUSTICE OFPEACE-PRECINCT#4 TOTAL SALARY AND SALAR/ES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 5-EMPLOYEE-TEWORARN $4,608 $0 EMPLOYEE $4,608 $371 $4,999 6-EMPL0YEE-PARTTMIE- $20,956 $0 CLERK -JP COURT-PART-TMR3 $20.956 $4,120 $25,076 9&OTHER-ELECTED $7,700 $0 AUTOMOBILE ALLOWANCE $7,700 $1,496 $9,196 Sum $79,965 $0 $79,765 $15,022 $94,788 DEPARTMENT: JUSTICEOFPEACE-PRECINCT0 TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $46,501 $0 JUSTICE OF PEACE $46,501 $9,035 $55,537 6-EMPLOYEE-PART TIME-P $16,063 $0 CLERK -JP COURT-PART-TMIE $16,063 $3,158 $19,221 98-0THER-ELECTED $9,900 $0 AUTOMOBILE ALLOWANCE $9,500 $1,496 $9,196 Sum $70,264 $0 $70,264 $13,689 $83,954 DEPARTMENT: JUVENILE CASEMANAGER FUND TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICELPOSITION SALARIES BENEFITS BENEFITS 2-APPOMTED OFFICIAL $4,001 EMANAGER $4,001 $986 $4,987 Sum $4,001 $4,001 S/86 $4,787 DEPARTMENT: JUVENILE COURT TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS i-ELECTED OFFICIAL $5,206 $0 COUNTY COURT -AT -LAW JUDGE $5,206 $1,012 $6,219 I -ELECTED OFFICIAL S5,206 $0 COUNTYIUDGE $5,206 $1,012 $6,219 1-ELECTED OFFICIAL $2,298 $0 COUNTY CLERK $2,298 $449 $2,745 Snm $12,710 $0 $12,710 $2,490 $15.180 NOTE., EMPL YEE MEDI AL RENEFI ED ABOVE Page 13 2023 SALARY SCHEDULE DEPARTMENT: TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 3-EMPLOYEE-FULLTIME $69,605 $0 PROBATION OFFICER -CHIEF $69,605 $13,872 $83,477 3-EMPLOYEE-FULLTIME $57,929 $0 PROBATION OFFICER $57,929 $11,545 $69.474 3-ElvIPLOYEE-FULLTIME $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 3-EMPLOYEE-FULL TIME $49,208 $0 PROBATION OFFICER I $49,208 $9,807 $59,015 4-EMPLOYEE-PART TARE $1 $0 EMPLOYEE $1 $0 $1 5-EMELOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 99-OTHER $1.524 $0 VACATION PAY ON TERMINATION $1,524 $304 S1828 Su. $227,476 $0 $227,476 $45,203 $272,678 DEPARTMENT: LIBRARY SALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFICIAL $55,944 $0 DIRECTOR $55,944 $10,954 $66,898 3-EMPLOYEE-FULL TAW: $49,208 $0 DIRECTOR -ASSISTANT $49,208 $9,635 S58,843 3-EMPLOYEE-FULL TIME $48,432 $0 LIBRARIAN -YOUTH REFERENCE M,432 $9,483 $57,915 3-EMPLOYEE-FULL TIME $43,393 $0 LBRARIAN- CIRCULATION $43,393 $8,496 $51,890 4-EMELOYEE-PART TIME $63,653 $0 EMPLOYEE - $63,653 $12,463 $76,116 5-EWLOYER-TEWORARN $30,454 $0 EHIPLOYEE $30,454 $2,420 $32,881 6-EMPLOYEE-PART TIME-P $22,024 $0 L®RARIAN-BRANCH $22,024 $4,312 $26,336 6-EMPLOYEE-PART TIME-P $22,024 $0 LIBRARIAN -BRANCH $22,024 $4,312 $26,336 6-EMPLOYEE-PART TIME-P $22,024 $0 LIBRARIAN -BRANCH $22,024 $4,312 $26,336 6-EMPLOYEE-PART TIME-P $1,040 $0 LBRARIAN/CUSTODIAN-TEMPORARY $1,040 $204 $1244 6-EMPLOYEE-PART TIME-P $1,040 $0 LBRARIAN/CUSTODIAN-TEMPORARY $1,040 $204 $1244 &EMPLOYEE -PART TIME-P $1,040 $0 LBRARIAN/CUSTODIAN-TEMPORARY $1040 $204 $1,244 99-0THER $7,900 $0 AUTOMOBILE ALLOWANCE $7,000 $1,508 $9,208 99-OTHER $787 $0 VACATION PAY ON TERMINATION $789 $154 $941 99-OTHER $100 $0 MEAL ALLOWANCE $100 $20 S120 99-0TIIER $1 $0 OVERTIME -BASE PAY $1 $0 $1 99-0THER $1 $0 OVERTIME-PREM PAY $1 $0 $I EMPLOYEE MEDICAL BENEFITNARE NOTINCLUDEDAITOVE .....................................................................t.............,.......,.....,.,........................ ........ ...... ........ ,..... ...... ....... I .... ............. I.......... 2023 SALARY SCHEDULE ................................... .... ............................................................................................................................................................r DEPARTMENT: LIBRARY TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS Sum $368,866 $0 $368,866 $68,688 $437,554 DEPARTMENT: MUSEUM TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOBNTED OFFICLV. $45,206 $0 DIRECTOR $45,206 $8,851 $54,057 4-EMPLOYEE-PART TIME $22,620 $0 EMPLOYEE $22,620 $4,429 $27,049 5-EWLOYEE-TEWORARN $1,108 $0 EMPLOYEE $1,108 $88 S1,196 99-OTHER $4 $0 O=INIE-BASE PAY $4 $1 $5 99-OTHER $2 $0 OVERTIME -PREMIUM PAY $2 $0 $2 Sum $68,940 $0 S68,940 $13,370 $82,309 DEPARTMENT: NUISANCE ENFORCEMENT TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 2-APPOINTED OFFICW. $61,841 $0 NUISANCE ENFORCEMENT OFFICER $61,841 $12,931 $74,772 99-OTHER $7,900 $0 AUTOMOBB,E ALLOWANCE $7,900 $1610 $9,310 99-OTHER $100 $0 MEAL ALLOWANCE $100 $21 $121 Sum $69,641 $0 $69,641 $14,562 $84,203 DEPARTMENT: PORT O'CONNOR COMMUNITY CENTER FUND TOTAL SALARY SALARIES - TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 3-EMPLOYEE-FOLLTI1,IE $1,650 $0 ADMINISTRATIVE ASSISTANT $1,650 $324 $1974 4-EMPLOYEE-PART TRvIE $1 $0 EMPLOYEE $1 $0 $1 5-EMPLOYEE-TEMPORAR $1 $0 EMPLOYEE $1 $0 $1 Sum $1,652 $0 $1,652 $325 $1,976 Monday, August 22, 2022 NOTE. EMPLOYEE MEDICAL RENEFITSARE NOTINCLUDED AE VE Page 15 of21 2023 SALARY SCHEDULE TOTAL SALARY SALARIES TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 4-EMPLOYEEEPART TM4E $1935 $0 EMPLOYEE $1,935 $380 $2,315 5-EMPWYEE-`FEMPORARN $2,126 $0 EMPLOYEE $2,126 $191 $2,297 Smo $4,061 $0 $4,061 $552 $4,613 DEPARTMENT: ROADAND TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $74,431 $0 COMMISSIONER $74,431 $14,365 $88,797 3-EMPLOYEE-FULL TMIE $56,892 $360 FOREMAN $57,252 $12,012 $69,264 3-EMPLOYEE-FULL TIME $53,888 $0 FOREMAN -ASSISTANT $53,888 $11,306 $63,194 3-EMPLOYEE-FULL TIME $52,184 $1740 EQUIPMENT OPERATOR -HEAVY $53924 $11313 $65,237 3-EMPLOYEE-FULL TIME $50,889 $0 EQUIPMENT OPERATOR -HEAVY $30,889 $10,677 $61,566 3-EMPLOYEE-FULL TIME $50,889 $0 EQUIPMENT OPERATOR -HEAVY $50,889 $10,677 SM,566 3-EMPLOYEE-FULL TMP $50,686 $0 EQUIPMENT OPERATOR -LIGHT $50,686 $10,634 $61319 3-EMPLOYEE-FULL7DMIE 549,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 4-EMPLOYEE-PART TIME 512,949 $0 EMPLOYEE $12,949 $2,719 $15,666 5-EMPLOYEE-TEMPORAR $30,747 $0 EMPLOYEE $30,747 $2,881 $33,628 98-01HER-ELECTED $1,800 $0 CELL PHONE ALLOWANCE $1,800 $347 $2,147 99-07FHER $1 $0 COMPENSATORY TMP PAY $1 $0 Si 99-OTHER $1 SO MEAL ALLOWANCE $1 $0 $1 99-0THER $1 $0 OVERTIME -BASE PAY Si $0 $1 99-OTHER $1 $0 OVERTMP-PREMIUM PAY $1 $0 $1 Sum $484,568 $2,100 $486,668 $96,603 $583,271 DEPARTMENT: ROAD AND BRIDGE -PRECINCT 92 TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $74,431 $0 COMMISSIONER $74,431 $14,365 $88,741 3-EMPLOYEE-FULL TIME $57,386 5240 FOREMAN $57,626 $12,090 $69,716 Monday, August 22, 2022 NOTE, EMPLOYLEMEDICALRENEFIT.VARENOTINCLUDEDABOVE Page 16 of 21 ................................................................................................................................................................................................... 2023 SALARY SCHEDULE ................................................................................................................................................................................................... DEPARTMENT: ROAD AND BRIDGE-PRECINCT#1 TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 3-EMPLOYEE-FOLLTIME $53,888 $360 EQUPMENTOPERATOR-HEAVY $54,248 $11381 $65,629 3-EMPLOYEE-FULL11ME $53888 $360 EQUIPMENT OPERATOR-HEAVY/ASSISTANT FOREMAN $54,MS $11381 $65,629 3-EMPLOYEETULLTIME $51290 $240 EQUIPMENT OPERATOR -HEAVY $51,530 $10,811 $62,341 3-EMPLOYEE-FULL TONE $50,686 $1,500 EQUIPMENT OPERATOR -NAVY $52,186 $10,949 $63,134 3-EMPLOYEE-FULL TOE $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 4-EMPLOYEE-PARTTIME $13,275 $0 EMPLOYEE $13,275 $2,785 $16,060 5-EMPLOYEE-TEMPORARN $17,072 $0 EMPLOYEE $17,072 $1,600 $18,672 98-OTHER-ELECTED $1,800 $0 CELLPHONEALLOWANCE $1,800 $347 $2,149 99-01HER $979 $0 COMPENSATORY TONE PAY $979 $205 $1,184 99-0THER $423 $0 VACATION PAY ON TERlANADON $423 $89 $512 99-OTHER $261 $0 OVERTIME -BASE PAY $261 $55 $316 99-OTHER $131 $0 OVERTME-PREMIUM PAY $131 $27 $158 Snm $424,718 $2,900 $427,418 $85,760 $513,179 DEPARTMENT: ROAD AND BRIDGE -PRECINCT #3 EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS TOTAL SALARY AND BENEFITS 1-ELECTEDOFFICIAL $74,431 $0 COMMISSIONER $74,431 $14,365 $88,797 3-EMPLOYEE-FULLTIME $57,747 $1,440 FOREMAN $59,187 $12,417 $71,604 3-EMPLOYEE-FULLTIME $53888 $1,740 EQUIPMENT OPERATOR-HEAVY/ASSISTANT FOREMAN $55,628 $11,6/1 $67,299 3-EMPLOYEE-FULLITME $50,686 $540 EQUIPMENT OPERATOR -HEAVY $51226 $10,747 $61,973 3-EMPLOYEE-FU11,1IME $50,686 $540 EQUAPMENTOPERATOR-HEAVY $51,226 $10,747 $61973 3-EMPLOYEE-FULLTIME $50,686 $540 EQUIPMENTOPERATOR-HEAVY $51,226 $10,747 $61,973 3-EMPLOYEE-FULLTIME $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 4-EMPLOYEE-PART TIME $11.064 $0 EMPLOYEE $110& $2,321 $13,385 5-EMPLOYEE-TEMPORAR $20.354 $0 EMPLOYEE $20,354 $1,909 $22,261 98-OTHER-ELECTED $1,800 $0 CELLPHONEALLOWANCE $1800 $347 $2,147 99-OTHER $466 $0 OVERTIME -BASE PAY $466 $98 $564 99-OTHER $243 $0 COMPENSATORY TIME PAY $243 $51 $294 ...................................................................................................................................................................................................� 2023 SALARY SCHEDULE ...................................................................................................................................................................................................a DEPARTMENT: ROAD AND BRIDGE -PRECINCT #3 TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 99-0THER $233 $0 OVERTIME -PREMIUM PAY $233 $45 $298 99-0THER $50 $0 MEAL ALLOWANCE $50 $10 $60 So. $421 541 $4,800 $426.341 $85,150 $511,491 DEPARTMENT: ROAD AND BRIDGE -PRECINCT #4 SALARIES TOTAL SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTED OFFICIAL $74,431 $0 COMMISSIONER $74,431 $14,365 $88,797 3-EMPLOYEE-FULL TIME $57,386 S360 FOREMAN $57,746 $12,115 $69,861 3-EMPLOYEE-FULL TIME $52,633 $360 EQUIPMENT OPERATOR -HEAVY $52,993 $11,118 $64,111 3-EMPLOYEE-FULLTIME $52,633 $360 EQUIPMENT OPERATOR-HEAVY/ASSISTANT FOREMAN $52,993 $11,118 $64,111 3-EMPLOYEE-FULLTN4E $50,686 $360 EQUIPMENTOPERATOR-HEAVY $51,046 $10,709 $61,755 3-EMPLOYEE-FULLTIME $50,686 $360 EQUIPMENT OPERATOR -HEAVY $51,046 $10,709 $61755 3-EMPLOYEE-FULL TIME $50,686 $360 EQUIPMENT OPERATOR -HEAVY $51,046 $10,709 $61755 3-EMPLOYEE-PULLTIME $49,382 $360 EQUIPMENT OPERATOR -LIGHT $49,742 $10,436 $60,199 3-EMPLOYEE-FULLTIME $49,382 $360 EQUIPMENT OPERATOR -LIGHT $49,742 $10,436 $60,199 3-EMPLOYEE-FULLTME $49,382 $360 EQUIPMENT OPERATOR -LIGHT $49,742 $10,436 $60,177 3-EMPLOYEE-FULLTIME $49,382 $1800 EQUIPMENT OPERATOR -LIGHT $51,182 $10,738 $61,919 3-EMPLOYEE-FULLTIME $49,382 $360 EQUIPMENT OPERATOR -LIGHT $49,742 $10,436 $60,177 3-EMPLOYEE-FULLTIME $49,382 $360 EQUIPMENT OPERATOR -LIGHT $49,742 $10,436 $60,177 3-EMPLOYEE-FULL TIME $49,382 $360 MECHANIC $49,742 $10,361 $60,103 3-EMPLOYEE-FULL TEME $49,208 $0 OFFICE MANAGER $49,208 $9,674 $58,883 4-EMPLOYEE-PART TIME $19,532 $0 EMPLOYEE $19.532 $4,098 $23,630 5-EMPLOYEE-TEMPORAR $33,185 $0 EMPLOYEE $33.185 $3,109 $36,294 98-OTHER-ELECTED $1,800 $0 CELL PHONE ALLOWANCE $1800 $349 $2,147 99-OTHER $1,053 $0 VACATION PAY ON TERMINATION $1,053 $221 $1,274 99-0THER $396 $0 COMPENSATORY TIME PAY $376 $99 $455 99-0THER $40 $0 OVERTIME -BASE PAY $40 $8 $48 99-OTHER $20 $0 OVERTIME -PREMIUM PAY $20 $4 $24 Monday, August 22, 2022 NOTE, EMPLOYEE MEDICAL BENEFITYARE NOTINCLUDED ABOVE Page 18 of 21 2023 SALARY SCHEDULE DEPARTMENT: TOTAL SALARIES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS Snm $840,025 $fi,120 $846,145 $1TI,bfi3 $1,017,809 DEPARTMENT: SHERIFF TOTAL SALAR/ES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 1-ELECTEDOFFICIAL $76,468 $0 SHERIFF $76,468 $15,814 $92,282 3-EMPLOYEE-FULL TIME $72,762 $0 DEPUTY -CHIEF $72,762 $15,215 $87,976 3-EMPLOYEE-FULL UME $63,736 $0 LIEUTENANT $63736 $13,327 $77,063 3-EMPLOYEE-FULL UNIH $58,393 $0 INVESTIGATOR $58,393 $12,210 $O0,602 3-EMPLOYEE-FULL TIME $58,393 $0 INVESTIGATOR $58,393 $12,210 $70,602 3-EMPLOYEE-FULLTTME $58,393 $0 INVESTIGATOR $58,393 $12,210 $70,602 3-EMPL0YEE-FULLTMIE $58,393 $0 INVESTIGATOR $58,393 $12,210 $70,602 3-EMPLOYEE-FULLTENE $58,393 $0 INVESTIGATOR $58,393 $12,210 $70,602 3-EMPLOYEE-FULLTIME $58,393 $0 SERGEANT $58,393 $12,210 $70.602 3-EMPLOYEE-FULL TIME $58,393 $1,200 SERGEANT $59,593 $12,461 $72,053 3-EMPLOYEE-FULL TIME $58,393 $0 SERGEANT $58,393 $12,210 $70,602 3-EMPLOYEE-FULL TIME $58,393 $0 SERGEANT $58,393 $12,210 $70,602 3-EMPLOYEE-FULLTIME $59,096 $0 DEPUTY $59,096 $11939 $69,035 3-EMPLOYEE-FULL T[ME $59,096 $0 DEPUTY $57,096 $11939 $69,035 3-EMPLOYEE-FULL TLME $57,096 $0 DEPUTY $57,096 $11.939 $69,035 3-EMPLOYEE-FULL UME $57,096 $0 DEPUTY $57,096 $11.939 $69,035 3-EMPLOYEE-FULLUME $57,096 $0 DEPUTY $57,096 $11,939 $69,035 3-EMPLOYEE-FULLTIME $57,096 $0 DEPUTY $57,096 $11,939 $69,035 3-EMPLOYEE-FULLTIME $5/,096 $0 DEPUTY $57,096 $11939 $69,035 3-EMPLOYEE-FULLTIME $57,096 $0 DEPUTY $57,096 $11,939 $69,035 3-EMPLOYEE-FULLTNg $57,096 $0 DEPUTY $57,096 $11,939 $69,035 3-EMPLOYEE-FULLTIME $57,096 51200 DEPUTY $58,296 $12,190 $70,486 3-EMPLOYEE-FULLTIME $37,096 SO DEPUTY $37,096 $11,939 $69,035 3-EMPL0YEE-FULLTIME $57,096 $0 DEPUTY $57,096 $11,939 $69,035 Monday, August 22,2022 NOTE: EMPLOYEEMEDICAL BENEFIT.SARE NOTINCLUDED ABOVE Page 19 of21 ....................................... , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , .......................... 2023 SALARY SCHEDULE ................................................................................................................................................................................................... DEPARTMENT: SHERIFF TOTAL SALARY AND SALARIES TOTAL TOTAL EMPLOYEE TYPE SALARY LICENSES POSITION SALARIES BENEFITS BENEFITS 3-EMPLOYEE-FULLTEVIE $57,096 $0 DEPUTY $57.096 $11,939 $69,035 3-EMPLOYEE-FULLTIME $57,096 $0 DEPUTY $57,096 $11,939 $69,035 3-ENMLOYEE-FULLIDNE $57,096 $O DEPUTY $57,096 $11,939 $69,035 3-EMPLOYEE-FULLTRIE $57,096 $O DEPUTY $57,096 $11939 $69,035 3-EMPLOYEE-FULLTRIE $57,096 $0 DEPUTY $57,096 $11939 $69,035 3-EMPLOYEE-FULLTAIE $46,814 $0 ADNRMSTRAT[VE ASSISTANT $46,814 $9,204 $56,019 3TEMPLOYEE-FULL TIME $46,814 $0 ADMNISTRATIVE ASSISTANT $46,814 $9,204 $56,018 3-EWLOYEE-FULL TROT $45,194 $0 DISPATCHER $45,194 $9,885 $54,079 3-EMPLOYEE-FULL TRIN $45,194 $0 DESPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULLTIME $45,194 $0 DESPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TROT $45,194 $0 DISPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TR03 $45,194 $0 DISPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TRVIN $45,194 $0 DISPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TRVIE $45,194 $0 DISPATCHER 545,194 $8,885 $54.079 3-EMPLOYEETULLT $45,194 $0 DISPATCHER $45,194 $8,885 $54,079 3-EMPLOYEE-FULL TRIE $38,731 $0 ADMINISTRATIVE CLERK $38,731 $7,615 $46,346 4-EMPLOYEE-PART TRIE $9,096 $0 EMPLOYEE $9,996 $2,048 $]I,844 5-Elv[PLOYET-TENIPORARN $8,048 $0 EMPLOYEE $8,748 $814 $9,562 99-OTHER $67,229 $0 ADDITIONAL PAY -REGULAR RATE $67,229 $14,058 $81,287 99-OTHER $31,266 $0 OVERT]NIE-BASEPAY $31,266 $6,538 $37,804 99-OTHER $14,541 $0 OVERTRH:-PREMRRI PAY $14,541 $2,834 $17,375 99-OTHER $4.538 $0 VACATION PAY ON TERNUNATION $4,538 $949 $5,489 99-OTHER $4,480 $0 COMPENSATORY TRD3 PAY $4,487 $938 55,425 99-OTHER $28 $0 MEAL ALLOWANCE S78 $16 $94 99-OTHER $1 $0 WORKERS COMP ADJUSTMENTS $1 $0 $1 Sum $2,343,726 $2,400 1 $2,346,126 $483,003 $2,829,129 Monde,, August 22,2022 NOTE, EMPLOYEEMEDICALBENEFITSARE NOTLNCL lJDEDAR VE Pags20of21 2023 SALARY SCHEDULE DEPARTMENT: EMPLOYEE TYPE SALARIES SALARY LICENSES POSITION TOTAL TOTAL SALARIES BENEFITS % TAL SALARY AND BENEFITS ]-APPOINTED OFFICIAL -PA $18000 $0 VETERANS SERVICE OFFICER/PART-T $18,000 $3,539 $21539 Snm $18,000 $0 $18,000 $3,539 $21 539 DEPARTMENT: WASTEMANAGEMENT TOTAL SLLICENSES SALARY TOTAL TOTAL AND EMPLOYEE TYPE SALA POSITION SALARIES BENEFITS BENEFITS 4-EMPLOYEE-PART TIME $19,EMPLOYEE $19,718 $4,135 $23853 5-EMPIAYEE-MWORAR $2,EMPLOYEE $2,649 $248 $2,89] $22, $22,367 $4,383 $26,750 Grand TOM 114,210,093 $52,620 $14,262,713 $2,862,032 $1],12R,]44 #11 NOTICE OF MEETING—12/7/2022 11. Consider and take necessary action to authorize the EMS Director to complete a Credit Application for Austin Hardware & Supply. (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 8 of 11 Mae Belle Cassel From: Dustin.Jenkins®calhouncotx.org (Dustin Jenkins) <Dustin.Jenkms@calhouncotx.org> Sent: Wednesday, November 30, 2022 2:34 PM To: Mae Belle Cassel Cc: Donna Hall, Lori McDowell Subject: Fwd: Austin Hardware Attachments: Credit App.pdf; W9 Form.pdf Mae Belle, Please place the Credit App approval for Austin Hardware & Supply (attached below with the W9) on the next Commissioners Court agenda for approval to sign. I have been assured they will get me the 1295 Form tomorrow... I have been trying to get a 1295 Form from them since 10/11/2022 when I sent the directions on how to complete it. So hopefully they will have it. Thanks, Dustin From: "Donna.Hall@calhouncotx.org (Donna Hall)" <Donna. Hall@cal houncotx.org > To: "Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> Date: Mon, 28 Nov 2022 10:08:16 -0600 Subject: Austin Hardware Dustin, Attached is W-9 and Credit App for Austin Hardware. I have not received a 1295 form from them. I'm not sure it you have or not. Donna Donna Hall Admin Asst Calhoun Co EMS Calhoun County Texas J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361)571-0014 Calhoun County Texas �,,.,„m,smunom msroo, o„nun„ CREDIT APPLICATION (Please Include additional documt AUSTIN HARDWARE AND SUPPLY, INC. P.O. Box 887, Lees Summit, Mo. 64063 Toll Free # 866-256.9611 / 816-246-2800 N30 Billing Information (Please print legible) Name of Business: Other names dba or aka Calhoun County EMS Street Address: Cil Slatehi code _ 705 Henry Barber Way Port Lavaca Texas 77979 v 0111ing Address: City Stalelzlp code 705 Henry Barber Way Port Lavaca, Texas 77979 361-552-1140 361-552-6552 donna. hall@calhouncotx.org� Accounts Payable Contact Title Donna Hall Admin Assistant J )orate Officers Name and Title Addmee Citv.Slate.Zin Dustin Jenkins Director 705 HenryBarber Way Port Lavaca, Texas 77979 Lori McDowell Asst Director 705 Hen Barber Way Port Lavaca, Texas 77979 Donna Hall Admin Assistant 705 Henry Barber Way Port Lavaca, Texas 77979 DO YOU REQUIRE? PO# I Invoices I X IStatements I X Credit References (MUST HAVE AT LEAST 3 REFERENCES) Name Address GtvState.Zln Phone# Fax# Bound Tree Medical, LLC 5000 Tuttle Crossing Blvd Dublin OH 43016 800-533-0523 800-257-5713 Gulf Coast Paper 3705 Houston Hwy Victoria TX 77901 361-575-6348 Smoker Medical 1901 Romence Rd Parkway Portage MI 49002 800-327-0770 866-551-2618 Bank Reference Credit Request Information Credit Limit Requested per Month $ Name of Person Requesting Credit I Dustin Jenkins Title Di We fully undwslend the credit tones extended by AHS, and some to the proper payment In consideration of extended credft. We have read and agree to AHS Tens and Candltlon of Sale. We agree to pay reasonable costs and expenses, Including any collectiontaaomey's fees. Incurred by Ausan Hardware & Supply. Inc. In collecting any pest due amount. "ALL INFORMATION ON THIS FORM IS STRICTLY CONFIDENTIAL FOR CREDIT DEPARTMENT USE ONLY. Signature Date X Check here IF you agree to COD Company Check sales until AHS has completed application process, PLEASE ALLOW 2 WEEKS FOR PROCESSING YOUR APPLICATION. A.smunomren CREDIT APPLICATION (Please Include additional documf Billing Information (Please print legible) Name of Business: Calhoun Countv EMS AUSTIN HARDWARE AND SUPPLY, INC. P.O. Box 887, Lee's Summit, Mo. 64063 Toll Free # 866-256.9611 / 816-246-2800 ARE N30 L 705 Henry Barber Way Port Lavaca, Texas 77979 Billing Address: City StateMp code 705 Henry Barber Way Port Lavaca, Texas 77979 Business Information Tale hone Number Fax Number E-Mall 361-552-1140 361-552-6552 donna. halIO-calhouncotx.ora Donna Hall Owners or Corporate Officers Name and Title Addmsa r ltv.Btntg2in Dustin Jenkins Director 705 HenryBarber Way Port Lavaca, Texas 77979 Lori McDowell Asst Director 705 HenryBarber Way Port Lavaca, Texas 77979 Donna Hall Admin Assistant 705 Henry Barber Way Port Lavaca, Texas 77979 DO YOU REQUIRE? PO# I Statements I X Credit References (MUST HAVE AT LEAST 3 REFERENCES) Name Address cilvSrate2m Phnna# Fax# Bound Tree Medical, LLC 5000 Tuttle Crossing Blvd Dublin, OH 43016 800-533-0523 800-257-5713 Gulf Coast Paper 3705 Houston Hwy Victoria TX 77901 361-575-6348 Stryker Medical 1901 Romence Rd Parkway Portage MI 49002 _ 800-327-0770 866-551-2618 Bank Reference Credit Request Information Credit Limit Requested per Month $ ,_ Name of Person Requesting Credit Dustin Jenkins Title Di We fully understand the credit terms extended by AHS, and agree to the proper payment In consideration of extended credit. We have read and agree to AHS Terms and Condltlon of Sale. We agree to pay reasonable coals and expenses, Including any wllectlonfellomeys fees, Incurred by Austin Hardware & Supply, Inc. In collecting any past due amount. "ALL INFORMATION ON THIS FORM IS STRICTLY CONFIDENTIAL FOR CREDIT DEPARTMENT USE ONLY. Si nelpre Date X Check here If you agree to COD Company Check sales until AHS has completed application process. PLEASE ALLOW 2 WEEKS FOR PROCESSING YOUR APPLICATION. Form W�9 Request for Taxpayer Give form to the IRev. January 2003) Identification Number and Certification requester. Do not Department or the Traasvey send to the IRS. Internal Revenue Service Name ca A Austin Hardware & Supply, Inc n Business name, it different from above C O d C a O 1. Individual/ ❑ ✓❑ ❑ ❑ Exempt from backup ❑withholding y Check appropriate box: Sole proprietor Corporation Partnership Other ► ....... O x Address (number, street, and apt. or suite no.) Requester's name and address (optional) S P.O. Box 887 a`S City, slate, and ZIP code n Lee's Summit, 1 64063 N w m List account number(s) here (optional) N IIUI Identification Number (TIN) Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). social security number However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer Identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note: if the account is in more than one name, see the chart on page 4 for guidelines on whose number Employer Identification number to enter. 4 13 + 0 18 18 17 15 6 13 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. person (Including a U.S. resident alien), Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (See the ogt uctions on page 4.) , Sign signature of Here I U.S. Person ► Purpose of Form A person who is required to file an information return with the IRS, must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. U.S. person. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. Note: If a requester gives you a farm other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Foreign person. If you are a foreign person, use the appropriate Form W-8 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). ✓ Dart. ► Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the recipient has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement that specifies the following five items: 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts tojustify the exemption from tax under the terms of the treaty article. Cat No. 10231x Form W-9 (Rev. 1-2003) CERTIFICATE OF INTERESTED PARTIES FORM 1295 loll Complete Nos. 1 - 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2.. 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2022-960489 Austin Hardware & Supply, Inc. Lees Summit, MO United States Date Filed: 12/01/2022 2 Name of governmental entity or state agency that is a party to the contract for which t17a form is being filed. Calhoun County (Emergency Medical Services% Date Acknowledged: g Provide the identification number used by the governmental entity or state agency to track m identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Quote 92328/Customer 750960 Ambulance cabinets 4 Name of Interested Patty City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Austin, Donald Lees Summit, MO United States X l 5 Check only h there is NO Interested Party. h t_1 b UNSWORN DECLARATION My narne is Vicki Taylorand my dais .)f binh is _private information My address is950 NW Technolooay. D`-------.___-,.__Lues Summit MO 64086 _,.USA _. Imv) islet.) (_III Cod.) y) I deciaw Under penalty Of psr ury that Un foro{j(w;g Is in ,: arld Exei;utadin Jackson crm:,.5tateuf issourl enure isi'payol December>u 22 Ad �ipnafur . of unhenr t� r .at of aintr t . g husin entity — d forms provided by Texas Ethics Commission www elh c .sta[e.N. us Version V.3.5.1eb8/ef42 AUSTIN HARDWARE AND SUPPLY, INC. ,_.., P.O. Box 887, Lee's Summit, Mo. 64063 Toll Free # 866-256-9611 / 816-246-2800 CREDIT APPLICATION tPlease Include additional documentation with the required AHS COMPLETED Application) "'AHS TERMS ARE N30 RETURN TO FAX NUMBER: 1.010-034.3100 or EMAIL Creditapp(n]Austinhardware.com Billing Information (Please pin! legible) !Jame of Bu Ine o Othw n vnr._ (dha or oIa) Calhoun County EMS tree! AdU c ss r•r� SI M4 q eo:ie [705Henry Barber Way - Port Lavaca, Texas 77979 ing Add --- - -- ,,d - 705 Henry Barber Way Port Lavaca, Texas 77979 Business Information Trin iltone Number ,- 361-552-1140 361-552-6552 -- -- — - - -- ______—____..- donna. hallacalhouncotx.org - Ar .ount, P,r rblR Con,art Tplr, Donna Hal -I., Admin_Assistant pWne/ _ _ _--__YPi r h Rl sinens t ro[Itl(tls Mgm3*fachired — Td Puyer 0 Number_.--, -__ —_— So-c propnclor,7r P partner„hl( r orpononn pale/Strrte of In.. 74-6001923 Government - Owners or Corporake Officers Narne and TI le Address I Dustin Jenkins Director 705 Henry Barber Way Port Lavaca, Texas 77979 Lori McDowell Asst Director 705 Henry Barber Way Port Lavaca, Texas 77979 Donna Hall A7�dmint Assistant 705 Henry Barber Way Port Lavaca, Texas 77979 DO YOU REQUIRES POP. 1�71r+.o¢es X Slalcn c s X Credit References (MUST HAVE AT LEAST 3 REFERENCES) --- Ner.'e _ _ Address r� ,l IIe,ZIl. -._--- Phoneu Boun d TMe dical, LLC F.n rf ree 5000 Tuttle Crossmg_Blvd DublinOH 43016 _ 800-533 0523 — 800-257 5713 Gulf Coast Paper 3705 Houston HwyVictoria, TX 77901 - ------ --- - - -- ---- -- 361-575-6348 - - -._.. - --- -- Stryker Medical 1901 Romence_Rd Parkway Portage, MI 49002 j _— _._ - _ -_ 800-327-0770 866-551-2618 Bank Reference 9,nk Address L I StrMe,71 Phoned Fax l Prosper Bank _ 1107 TX-35 Port Lavaca Texas 77979_ 361_-55 7�11__ Credit Request Information _ �tad!I Limil Requested per Month 5 Name or Person Regcestinq Cretin Dustin Jenkins _ Tin D1rEcSQC .._ ''<: o RAI unoarslpnU :Mr I,edit tonne oxonded ^y Ati S. and ogre t• n the proper paymnnl Jr, rt,nsiderahnn of Fvlendwl 7e'PI '.1'e barn, road aid o9l fl to AtlS Terms and C,,,o',00 of Sala_ iA'e -Pno to [+B'r 1,1*0oat'lo 1151, oed eVe"PS, 111w ln9 any m 1le,..banrello...e'ry 1Pro, io n, ed try Au,tln Iidtfl4VA,F b' sV[Io , ll5 Io r0froclinc Hey p '! doe. aTBpnl. '-ALL INFORMATION ON THIS FORM IS STRICTLY CONFIDENTIAL FOR CREDFr DEPARTMENT -USE 01,11 Y. Dan /2fD 14wz Check hem you agree to COD Company Check sales until AHS has completed application process. PLEASE ALLOW 2 WEEKS FOR PROCESSING YOUR APPLICATION. CERTIFICATE OF INTERESTED PARTIES FORM 1295 i OFRCE USE CALY CERT) FICA TION QP FILING eftaJ', place Col!hcale lvwllbe, Dom sm� mmy Wel. vt,- WV AchMakfwa e OUMMCWwl . vs.c 0, 11v 66411QNA N W SMI, gElQ a Own Y "Woo thi wow; wa vens a ct c! p;:::,, of -h& 56fvlueqou, & t p—, v;, 0-1 al mint W'9 Request for Taxpayer Give form to the Fie' '°""°'y `0°" Identification Number and Certification requester. Do not nop:,nrrr,•m man: n,::rx,ry send to the IRS. eneucrI ecvenur•!,• DI, ni Ni uric. o, Austin Hardware & Supply, Inc A_- n -------- all5lneS$ nPme. If ddfeenr Tram Arrive — c 0 c „ o V j avlmvle.df I.ntV k f I,rajlrlilLl' flit.(, ll% �e pinpf Plnr r Corporal __0111P1 / � r hxury t Irani I m kvp I�� WIIIM1II(Illl(I C N ado," jFIlov Pr. '.n -0, ;,III :q,L I `.uib• na I Rngtmsl" s norm. irnU d(Idll•'.•, Inpvun:d) _ n ` P.O. Box 887 toile G Lees Summit, MO 64063 w Ira acunurl rinmburl Iberc Agrirunaq w N Taxpayer Identification Number (TIN) Loler yore FIN in the approplale. box. f or inthviduals, this is your SUCial senlfily number (SSN). Social security number - However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions .� I page 3. f of other entillufi, a is your employe) idenGllcafion number (FIN). If you do onl have a number. . sec How to get a TIN on page 3. or Note: It flip. if, moot is to more than one. name, gee the I foam on page 4 for flu,delines on whose nranhor Employer idetificauon nunmee to Voter, 1 4 1 3 4 0 1 8 1 8 1 7 1 5 1 6 1 3 1 Certification Under )renallw, UI perjury, I ce.ILily that'. t. The numbee Shown on this Juror I,, my correct laxpayet ideutifivaliun number (or I am waning lot a 1ILMO el lu be ix:ued fit me), and 2. 1 am not subject to not kip Win ittoldiny because: (a) I and I,xvropl horn backup withholding, m (b) I have nut I1eeu nolilied by Lhe Imes sal Revenue Servirc (IRS) Ihal I ant subjrcr to hackup wifhheldinq as if tr,ult of a failure to lepn,t all inlPlesi of rlividendr, or (C) III(! IRS has notified rill! that I am no longer subject to backup withholding, and 3. 1 am a U.S. peu:on (iodUdIng it U.S. resident alien). Certification instructions. you roost cross out ilenh 2 above if you have been notified by the IRS that you rim cum+ntly suhjecl to backulr withholding hecause you have Failed In wpoli all ioleresl and dividends on your lax return I ur real el lale haosaclions, item 2 due. D01 apply. I -or nhongage inlemst paid, acquisition or abando[if ncuI of srcurerl properly. cancellation of dobl, contributions to an individual telimmunl arrangement (IRA) and generally, payments rdho'r Ihnn inletesl cold dividends, you are not required To sign the CerbbCannn, but You must provide your t oure 1 Full, (See (lie Dillon nuns on page 41 sign I Srgnatune of Here D.S. person ► Purpose of Form A person wife is required to file an information relent with the IRS, must obtain your correct taxpayer identification number (TIN) to report, lot example, incorne paid to you, real estate transactions. mongage interest you pain, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. U.S. person. Use Forrn W-9 only if you are a U.S. person (including a resident alien), to provide your correct [IN to the person requesting it (the requester) and, when applicable, to. 1. Certify that the TIN you are giving is correct (or you are wailing for a number to be issued), 2. Certify that you are net subject In backup withholding, Of 3. Claim exenption from backup withholding it you ore it U.S. exempt payee. Note: It a requester gives you a Forrn other than Ihnn W 9 to tequest your TIN, you must use the requester's fulfil it if is substantially simflar to this rorfn W-9. Foreign person. If you are it foreign person, use the appropriate form W-8 (see Pub. 515, Will -holding of lax on Nonresident Altens and Foreign Enuties). Date ► Nonresident alien who becomes a resident alien. Generally, only if nonresident, alien individual Dray use Ilse terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most lax treaties contain a provision known as a "saving clause." Uxceptions specified in rile saving clause may permit an exemption from tax to rnnlirwe for certain types of incorne even after the recipient has otheimse become if t1.S. nesidenl alien for tax purposes. It you die if U.S. tesident alien who is retying on an exception contained in the saving clause of if tax treaty to claim an (o engNion Irons IF S_ tax on certain types of income. you must attach a statemenL that specifies the Following live Reins: 1. The Doan, country, Generally, [[its must be the same Meaty under which you claimed exemption from tax as it nonresident alien. 2, the nealy article addressing the incorne. 3. The article number (of location) in the tax Irealy thal COMMITS the saving clause and its exceptions. 4. 1lie type and arnount of income that qualifies for the exemption from lax. 5. Sufficient facts to justify the exemption Front Iax uncle( the /emits of Ilhe Irealy anfcle. Gil Nulelll'Ix noun w-9 Rv. I Aria O W U W U W H W a 0 H W z U O c., 1 m H W O # Zz ' NOTICE OF MEETING — 12/7/2022 12. Accept Monthly Reports from the following County Offices: I. Floodplain Administration — November 2022 ii. Justice of the Peace, Precinct 5 — November 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 11 Calhoun County Floodplain Administration 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4455/Fax: 361-553-4444 e-mail: Debbie.Vickery@calhouncotx.org November 2022 Development Permits New Homes -12 Renovations/Additions - 0 Mobile Homes - 2 Boat Barns/Storage Buildings/Garages - 6 Commercial Buildings/RV Site -1 Tower Addition - 0 Fence - 0 Pool- 0 Drainage- 0 Total Fees Collected: $1260.00 7" / 2 zz-- 12-01-22;22:23 ;From:Calhoun County Pct. 5 To:13615534444 ;3619832461 # 1/ 6 FAX COVER SHEET JUDGE NANCY POMYKAL AMP-1s CCFORALL.... • :1011740 nd PORT O' CONNOR, TX,77982 (361)983-2351 - TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 DATE: DECEMBER 1, 2022 PAGES: 8 Including this cover TO: JUDGE RICHARD MEYER & COUNTY COMMISSIONERS ATT: MaeBelle FAX NUMBER(S) 361-553-4444 SUBJECT: NOVEMBER 2022 — MONEY DISTRIBUTION REPORT NOTE: MaeBelle. 1 am faxing the above report for NOVEMBER 2022 Please give me a call if you have anyguestions. Thank you, pamod THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message. This communication is intended to be and to remain confidential and may be Subject to applicable attorney/client and/orwork product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action in reliance upon the information contained in this communication or any attachments. 12-01-22;22:23 ;From:Calhoun County Pct, 5 To:13615534444 ;3619832461 # 2/ 8 Money Diotribution Report CALHOUN COUNTY PCT 5 MONTHLY REPORT NOVEMBER 2022 Reeeipt Cause/Defendant Codes\Amounts Total 277779 2022-0327 11-OS-Z022 CCC 62.00 LAP 5.00 LCCC 14.00 FINE 164.00 245,00 OSBORN, BRONSON LCE Credit Card 377771 202¢ 9367 ""' 11 912022 FINE '35 20 'LTPC 0 a.4 SIP13 06 50;00 PIISCHMAN,'; MASON HUN,TI•:R .. ... . .,:.0iedie :Card 377778 2022.0273 11.02.2022 CCC 62.00 LAP 5.00 WENT 30.00 LCCC 14.00 FINE 239.00 370.00 PINKARD, TINA JANELL JOY Jni1 Crodit 377779 Z022 0192 (, 11 02 2022 CCC .:',d2 00 LAB,`, 5 00 WRNT I, SO 00 LCCC' 14 00 :OMNR 1090 i,; 018:50' .: $KLRVIN'!FRANCTSCA LYD,kA : ..� FSNE :104 Od CSAV 7J �, �p ,; ,.:'Jail' Credit .. 2' 37778D 1611-0362 11.02.2022 TIME 25.00 OMNC 4.00 OMND 20.00 OMNO 6.00 FINE $0.00 175.50 RODRTOOGZ, LUIS RENE II CSRV 40.50 Jail Credit 3777H1 : 09'-O6 0286, ,j, 31 02 2022 JSF .:4 q0 .. ... CCC' 4000' CIIS ':3 00 LAB::: 5 010� ',WRNT 30.00 :;399 r3D I: RODRTOUCZy'.LUIS RENN:IL TV. ::I;4 o0 :, JDSF 160.:; SPAY `,...G 00 IDL 2 00. ;:; TPDF ; '2: 00 sa11i::Cred'It : oMNc i,f,.4 09 ;:.prnNa' $D 00i� OMNO' ''„fiv00'' ;DPSP� 160 .0i. ,C9Rv 377782 2022-0324 11-09-2022 PWAF 5.00 WSP 69,00 CCC G2.00 LCCC 14.00 150.00 CRUMLEY, TROY E . Credit„ Card 377.784 2022 0325, 11 1-0 2022 CCC 2 00 LTP: 5.0.6 ; LCCC .14 00 LTFG 3 00 .r STBS .: Sb:DO 1441d0 ,: B LL'. KEE:YON' HARMON '; DDC .; ' 10 00 377785 2022-0321 11.15.2022 CCC 62.00 LCCC 14.00 PWF 104.00 PWAF 5.09 185.00 BECERRA, JUAN Pereoeal Chock ...,. ., CK ,0„5070 .. .. 377j786 2Q22 012fi 11 15,2022 FINE i.72 61, CSRV 20 24!;:. %'; ., DARRRN0;''EMILY.JfATHEIiIND •'.'. ... <:: .: .. . 377787 2020.0228 11-15-2022 CSRV 76.50 . .. . . .. 76,50 HILL, RAYLEIOH Jail Credi- 377708 2812 01060 :. 11 15 2022 JSB 4 06 CCC.: 4p 00:;. CHS ',;3 V0 PWAF. 5 00' :WRNT 10'0'd00 656'. SO MORALDS ;;?7LfFREY AEITH TF :,4 00 JCSF 00 JPAX !� 00 IDP.. 2 00'TPDP 2OD Jni1 'Credit: OMNC,.,4 00 ... :OMND ., 7000'; OMNO ',600 IPWC :� 303 0005RV 'i$1; $0, JCMF . .':':5 00 ., ,.. :.. 377789 1912-01073 11.15.2022 JSF 4.00 CCC 40.00 CHS 3.OD PWAF 5.00 WRNT 190.0q 721.50 MORALES, JSPFRCY KETTR' TF 4.00 3CSF 1.00 SPAY 6.00 IDF 2.00 TPDF 2.00 Jail Credit OMNC 4.00 OMND 20.00 OMNO d.DD PwF 3S3.00 CSRV 166.50 JCMF 5.00 37T790 202 ittl5 2022 CCC :,62 DO 1'IAF" 5 00i . WRNT. 00 :DMNR 10, 00 LB.BO EMERYI JAL,YN NgRDaD :; I' : FLNC ;104 Oo CSRV, 73 ..3 Jaiz :c:9d5 t ,5,0: 377791 2022-0152 11.15.2022 CCC 62.00 LAP 5.00 WRNT 50.00 LCCC 14.00 OMNR 10.00 525.50 EMERY, JALYN NORDEL FINE 264.00 CSRV 121.50 „ Jail credit J77092 2b;22 0311,' 11 10 2027 CCC i�62 00 'LAF' S 00 N. 169 00 �� :.250.00 ''� RANGDL,,;D7+$.tlE, KiERNAN. r'�'' ,. • ' , Cred t::Caed .. 377793 2022-0312 13-16-2022 CCC 62,00 ...., LAF 5.00 ::.. LCCC 14 00 i4.0 FINE 169.00 250.00 RANGEL, DAYNB KTERNAN Credit Card 17779a ,, 2022 J8 ':. ��;:NTCOLE: 13' 1G, POR2 CCC' r�G2 00 LAP,': 5„p0; LCCC :11'4' 00. FINE` 264 DOI ::: 345100 KREES JOFUCIAr. ..,; ' .:' ' ... ,'.'I 377795 2022-0293 11-21.2022 FINE 50.00 50.00 SKALAK, KARIE LE19H Credit Card 374796 ..2023 E333 ii 11-21-2022 CCC, j6R. PO..LCCC 14 00 ";: PWf ';Y1$,; 00 ''PWA �.. 500 :: 200.00 U OWENS j;eRI01N K .: ". S,.Y; :: '. :. .. ,; ,.'I ;'; POreOnal':Chock - 377797 2022.0328 11-25-2022 CCC 62.00 LAP 5.00 LCCC 14,D0 LTFC 3.00 STPl $0.00 144,00 CLINTON, PATSY H DDC 10.00 Credit Card . ... ':: 377798, 2,022 0331 Si-28.2022 CCC,, :,. ..62 00 .... LAF' S 00 LCC h L?I 00 .. vIFC.. 3 DD' ::STF3 So. oO ... '. '14a,, 00 ROPPER'iCiNBORAH DDC',';' LO 00': .... .... .. 377799 2022.0332 11-29-2027. CPLD 20.00 .,.i .r., .. 20,00 32-01.202x Page 1 12-01-22;22:23 ;From:Calhoun County Pot. 5 To:13615534444 ;3619832461 # 3/ 8 Money Diatrlbutdon Report 22.01-2022 Page 2 12-01-22;22:23 ;From:Calhoun County Pot, 5 To:13615534444 ;3619832461 # 4/ 8 MOMOY Distribution Report CALHOUN COO= PCs 5 MONTHLY REPORT NOVEMBER 2022 Type Cefle DeecrSDtiOa Count Retained Disbursed Mon yT t 1 The following totals represent - Cash and Cheeks Collected COST CCC CONSOLIDATED COURT COSTS COST CCC CONSOLIDATED COURT COSTS COST CW$ COURTHOUSE SECURITY COST IDP INDIGENT DEFENSE FUND COST JCSF CUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S FEE COST LCCC LOCAL CONSOLIDATED COURT COST 1-1.20 COST OMNC UPS OMNI FEE - COUNTY COST OMND UPS OMNI FEE - DPS COST OMNO DPS OMNI PEE - OMNIBASE COST OMNR OMNI REIMBURSEMENT FEE (EFF. 2.1.20) COST PWAF TEXAS PARKS & WILDLIFE COST TF TECHNOLOGY FUND COST TIME TIME. PAYMENT FEE 02-20 COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST TPRF TIME PAYMENT REIMBURSEMENT FEE COST WENT WARRANT FEE FEES CSRV COLLECTION SERVICES PEE FEES DDC DRIVER SAFETY COURSE • 2020 FEES JCMF JUVENILE CASE MANAGER FEE FINE CPLD COMPLIANCE DISMISSAL FINE FINE DPSF DPS FTA FINE FINE PINE FINE FINE Io TFC LOCAL TRAFFIC FINE (SPF. 5.1.19) FINE PWP PARKS & WILDLIFE PINE FINE STFS STATE TRAFFIC FINE (EPF. 9.1,29) FINE WSF WATER SAFETY PINE 3 0 0 0 6 0 0 1 3 0 0 0 0 2 0 0 0 0 0 0 1 0 1 0 0 1 2 1 0 18.60 0.00 0.00 0.00 0.06 0.00 0.00 5.09 42.00 0.00 0.00 0.00 0.00 8.00 9.99 0.00 0.00 0.00 0.00 0.00 10.00 O.CO 20.00 0.00 0.00 3.00 33.45 2.00 0.00 167.40 0.00 0.00 0.00 0.00 0.00 0.00 9.09 0.00 0.00 0.00 0.66 0.00 2.00 0.00 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 189.55 40.00 0.99 186.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 42.00 0.00 0.00 O.DO 0.00 10.00 0100 0.00 0.00 0.00 0.00 0.00 10.00 0.D0 20.DO 0.00 0.00 1.60 223.00 50.00 0100 Money Totals 4 142.05 406.95 549.00 The 99119wing tetAlo represent - Tranufarn Collected COST CCC QDNSOLIDAT20 COURT COSTS COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST TOP INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JVDVE ➢AY RAISE FEE COST JSF JUROR SERVICE FUND COST LAP SHERIFF'S PEE COST LCCC LOCAL CONSOLIDATED COURT COST 1-1.20 COST OMNC DPS OMNI PEE - 66UNTY COST OMND DPS OMNI FEE - DPS COST OMNO DPS OMNI FEE - OMNIBASE COST OMNR OMNI REIMBURSEMENT FEE (EFF, 1.1.20) COST PWAF TEXAS PARKS & WILDLIFE COST IF TECHNOLOGY FUND COST TIME TIME PAYMENT PEE 02-20 COST TFDF TRUANCY PREVENTION & DIVERSION FEND COST TPRF TIME PAYMENT REIMBURSEMENT FEE COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES DDC DRIVER SAFETY COURSE - 2020 FEES JCMF JUVENILE CASE MANAGER FEE FINE CPLD COMPLIANCE DISMISSAL FINE FINE DPSP DPS PTA FINE FINE FINE FINE FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.19) FINE PWF PARKS & WILDLIFE FINE FINE STF1 STATE TRAFFIC FINE (EFF. 9.1.19) FINE WSP WATER SAFETY FINE 0 D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.DD D.OD O.DD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.0D D.00 0.00 9.00 0.00 0.00 0.00 D,00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 T^an8l8r Tatale 6 0.00 D.DD 0.00 The following totals reprasent - Jail Credit and Community Service 12-01-2022 12-01-22;22:23 ;From:Calhoun County Pot, 5 To:13615534444 ;3619832461 # 5/ 8 Money Distribution Report CALROUR COUNTY PCT 5 MONTHLY REPORT NOVZMr ER 2022 Type Cede neserlptian Count Retained Disbursed Money -mot I COST Coo CONSOLIDATED COURT COSTS 5 31.CO 219.00 116.66 COST CCC CONSOLIDATED COURT COSTS 3 12.00 108.00 120.00 COST CHS COURTHOUSE SECURITY 3 9.00 0.00 9.00 COST IDF 3NDIOENT DEFENSE FUND 3 9.69 5,40 6.99 COST JCSF JUSTICE COURT SECURITY FUND 3 3.GO 0.00 3.00 COST JPAY JUDGE PAY RAISE FEE 3 1.80 16.20 10.00 COST JSF JUROR SERVICE FUND 3 1.20 10.60 12.00 COST LAP SHERIFF'S FEE 6 30.00 0.00 30.00 COST LCCC LOCAL CONSOLIDATED COURT COST 1-1.20 5 70.00 0.00 70.00 COST OMNC CPS OMNI FEE - COUNTY 4 1G.00 0.00 1G.00 COST OMND IRS OMNI FEE - CPS 4 O.CO 80100 09.99 COST OMNO CPS ONNI FEE - OMNIRASE 4 0.00 24.00 24.00 COST OMNR OMNI REIMBURSEMENT FEE (EFF. 1.1.20) 1 30.00 0.00 10.00 COST PWAF TEXAS PARKS & WILDLIFE 2 0.00 2.00 10.00 COST IF TECHNOLOGY FUND 3 12.00 0.00 12.00 COST TIME TIME PAYMENT FEE 02.20 1 25.00 0.00 25.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 3 0.00 6.00 6.00 COST TPRF TIME PAYMENT REIMBURSEMENT PER D 0.00 0.00 0.00 COST HINT WARRANT FEE 7 4SO.00 0.00 450.00 FEES CSRV COLLECTION SERVICES FCC 8 79S.60 0.00 795460 FEES DOC DRIVER SAFETY COURSE . 2020 D 0.00 0.00 0.00 FEES JCMP JUVENILE CASE MANAGER FEE 2 10.00 0.00 10.00 FINE CPLD COMPLIANCE DISMISSAL FINE 0 0.00 0.00 0.00 FINE DPSF CPS FIA FINE 1 160.00 0.00 160.00 FINE FINE FINE 6 1,055.00 0.00 11955,99 FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.19) 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 2 98.40 $57,60 656.00 FINE STF1 STATE TRAFFIC FINK (EFF. 9.1,19) 0 0.00 O.OD 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 Credit Totals 10 2,818.60 1,089,00 3,907,60 The following totals represent - Credit Card Payments COST CCC CONSOLIDATED COURT COSTS 6 37.20 334.80 172.00 COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0100 0.00 COST JSF JUROR SERVICE FUND 0 0.00 ODD 0.00 COST LAF SHERIFF'S FEE 5 25.00 0.00 25,00 COST LCCC LOCAL CONSOLIDATED COURT COST 1-1-20 G 84.00 0100 E4.00 COST CMNC DPS OMNI FEE - COUNTY 0 0.00 O.OD 0.00 COST OMND DPS OMNI FEE - CPS 0 0.00 0.00 0.00 COST OMNO DES OMNI FEE - OMNIBASE D 0.00 0.00 0.00 COST OMNR OMNI REIMBURSEMENT FEE (EFF. 1.1.201 0 0.00 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 1 4.00 1.00 5.00 COST IF TECHNOLOGY FUND 0 0.00 0.00 D.00 COST TIME TIME PAYMENT FEE 02-20 0 0.00 0100 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.00 0.00 D.00 COST TPRF TIME PAYMENT REIMBURSEMENT FEE 1 15.00 0.00 COST WRNT WARRANT FRn 0 0.00 O.DD 15.00 0.00 PEES CSRV COLLECTION SERVICES PER 2 48.24 0.00 48.24 FEES DOC DRIVER SAFETY COURSE - 2020 2 20.00 0.00 20.00 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 PINE CPLD COMPLIANCE DISMISSAL FINE 0 0100 0.00 0.00 PINE DPSF CPS FTA PIKE 0 0.00 0.00 0.00 FINE FINE FINE 7 GGS.36 0.00 665.36 FINE LTFC LOCAL TRAFFIC FINE (EFF. 9.1.19) 4 7.09 0.00 7.09 PINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FIND• STFI STATE TRAFFIC FINE (EFF, 9.1 .19) 4 4.73 113.43 110.16 FINE WSF WATER SAFETY FINE 1 10.35 S0.G5 69.00 Credit Card Totals 10 920.97 507.88 1,420.05 The fallowing totals represent - C4Mbinad Money COST CCC CONSOLIDATED COURT COSTS 9 55.80 502.20 558.00 COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.99 0.09 12-01-2022 12-01-22;22:23 ;From: Calhoun County Pct. 5 To:13615534444 ;3619832461 # 6/ 8 Money Diatribution Report CALHOUN COUNTY PCT S MONTHLY REPORT NOVEMBER 2022 Type Cede Description Count Rateinad Divburoed Money-Tot.10 COST IDF INDIGENT DEFENSE FUND 0 0.06 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 9.00 0.0D 0.00 COST JSF JUROR SERVICE FUND 0 0199 9.90 0.90 COST LAP SHERIFF'S PEE 6 30.00 Oleo 30.00 COST LOCO LOCAL CONSOLIDATED COURT COST 1-1-20 9 126.00 0.00 126,00 COST OMNC CPS OMNI FEE - COUNTY 0 0.00 0.00 0.00 COST OMND UPS OMNI PER - UPS 0 0.00 Oleo Oleo COST OMNO UPS OMNI FEE - OMNISASE 0 0.00 0.00 0.00 COST OMNR OMNI REIMBURSEMENT PER (EFF. 1,1,201 0 0.00 0.00 0.00 COST PWAF TEXAS PARRS A WILDLIFS 3 12,99 3100 15,00 COST IF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 02-20 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION R DIVERSION FUND 0 0.00 0.00 0.00 COST TPRF TIME PAYMENT REIMBURSEMENT FEE 1 15.00 6.00 16.Do COST WANT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 2 48.24 0.00 48.24 FEES DDC DRIVER SAFETY COURSE - 2020 3 30.00 0.09 39109 FEES JCMF JUVENILE CASE MANAGER FEE 0 0.00 0.00 0.00 FINE CPLD COMPLIANCE DISM=SEAL FINE 1 20.00 0.00 20,00 FINE DPSF UPS FTA FINE 0 0.00 0.00 0.00 FINE FINE FINE 7 665.36 0.00 665.19 FINE LTFC LOCAL TRAFFIC FCNE (EFF. 9.1,291 5 10.09 Oleo 10.09 FINE PWF PARKS & WILDLIFE FINE 2 33.45 109.55 223.00 FINE STF1 STATE TRAFFIC FINE (EFF. 9.1.29) 5 6,73 161.43 168.16 PINE WSF WATER SAFETY FINE 1 10.25 58.65 69.00 Money Totals 14 1,063.02 914.83 The following t0talo repreoent - Combined Money and Credita COST CCC CONSOLIDATED COURT COSTS 14 06.80 781.20 868.00 COST CCC CONSOLIDATED COURT COSTS 3 22.00 100.00 120.00 COST ONE COURTHOUSE SECURITY 3 9.00 0.00 9.00 COST IDF INDIGENT DEFENSE FUND 3 0.60 5.40 6.00 COST JCSF JUSTICE COURT SECURITY FUND 3 2.00 0.00 3100 COST JPAY JUDGE PAY RAISE FEE 3 1.80 16,20 18.00 COST J$F JUROR SERVICE FUND 3 1.20 10.80 12.00 COST LAP SHERIFF'S FCC 12 60.00 0.00 60.00 COST LCCC LOCAL CONSOLIDATED COURT COST 1-1-20 14 196.00 Oleo 196.00 COST OMNC DES OMNI FEE - COUNTY 4 16.00 D,00 16.00 COST OMND UPS OMNI FEE - UPS 4 0.00 80.00 80.00 COST OMNO UPS OMNI FEE - OMNIBASS 4 0.00 24,00 24.00 COST OMNR OMNI REIMBURSEMENT PES (EFF. 1.1,20) 3 30.00 0.00 30.00 COST PWAF TEXAS PARES & WILDLIFE. 5 20.00 5.00 25.00 COST IF TECHNOLOGY FUND 3 12.00 0.00 12.00 COST TIME TIME PAYMENT FEE 02-20 1 25.00 0.00 25.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 3 0.00 6.00 6.00 COST TPRF TIME PAYMENT REIMBURSEMENT PER 1 15,00 0.00 15.00 COST WRNT WARRANT FGS 7 450.00 0.00 450.00 FEES CSRV COLLECTION SERVICES FEE 10 043.84 0.00 843.84 FEES CDC DRIVER SAFETY COURSE•. - 2020 3 30.00 0.00 30.00 PECS JCMF JUVENILE CASE MANAGER FEE 2 10.00 0.00 10.00 FINE CPLD COMPLIANCE DISMISSAL FINE 1 20.00 0.00 20.00 PINE DPSF CPS FTA FINE 1 160.00 0.00 160.00 FINE FINE FINE 13 1,720.36 0.00 1,720.36 PINE LTFC LOCAL TRAFFIC FINE (EFF, 9,1,19) 5 10,09 0.00 10.00 FINE PWF PARKS & WILDLIFE FINE 4 131.85 747.15 879.00 PINE STF1 STATE TRAFFIC FINE (EFF. 9.1.19) 5 6.73 161.43 168.1G FINE WSF WATER SAFETY FINE 1 10.35 58.65 69.00 Report Totals 24 3,001.62 2,003.83 51405.45 12-01-2022 12-01-22;22:23 ;From:Calhoun County Pot. 5 To:13615534444 ;3619832461 # 7/ 8 money Diatribetioa Report CALHM COUNTr PCT 5 mORTBLY REPORT HOVEMBER 2022 Date Payment Type Pines Court Costs Plea Bonds Restitution Otter Total 60.06.6666 Cash a Checks Collected 0.00 6.66 0.00 0.00 6.00 0.00 0.00 Jail Credit.; & Comm service 0.00 0.00 0100 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0100 0.00 0.00 0.00 0.00 Tgt9? 94 aiA 99"O"Agna 9199 9,99 9.00 9199 9190 O.OD O.DD 00-01-1991 Cash & Checke Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 D.00 0.00 0.00 MO 0100 Credit Cards & Transfers 6.60 0.60 0.66 0.00 6.60 0.00 6.00 Total of all Collections 0.00 0.00 0100 0.00 0.00 0.00 0.00 01.01.2004 Cash & Checks Collected 0.00 0.00 0.00 9,99 9199 9199 9,99 Jail Credits & Comm Service 096.00 596.00 490.60 D.OD 0.00 0.00 1,952.60 Credit Cards & Transfers 0.00 0.00 0100 0.00 0.00 0.00 0.00 Total of all Collections 899.00 506.00 460.60 O.OD 0.90 0.00 11552,60 01.01.2020 Cash & Checks Collected 29&.00 243.00 10.00 0.00 0.00 0.00 549.00 Jail Credits & Comm Service 975.00 635.00 345.00 0.00 0.00 0.00 1,955.00 Credit Cards & Transfers 859,61 501.00 60.24 0.00 0.00 0100 1,420.05 Total of all Collections 2,110.61 1,379.00 423.24 0100 D.00 0.00 3,932.05 TOTALS Cash & Checks Collected 296.00 243.00 10.00 0.00 0.00 0.00 549.0C Jail Credits & Comm Service 1,871.00 1,231.00 005.60 0.00 0.00 0.00 31907.60 Credit Cards & Transfers 8S9.G1 SC1.00 68.24 0.00 0.00 0.00 1,428.85 Total of all Collections 3,026.61 1,975.OD 883.84 0.00 0.00 0.OD 5,805.45 12.01.2022 Page 6 12-01-22;22:23 ;From:Calhoun County Pot, 5 To:13615534444 ;3619832461 # 8/ 8 Hooey Diotribution Report DeacripClOC CALHODR COONTl PCT 5 NONTHyy RgpORT NOv10.�ER 20a2 Ceuat Collected Retained Diaburged State of Texas Ounrtarly Reporting Totals State Comptroller Cost and Fees Report Section I: Report for Offenses Committed 01.01-20 Forward 04-01.04 - 12-31-19 9 555.00 5s,g0 502,20 09-01.51 - 12-31.03 0 0.00 0.00 0.00 Sail Bond Fee 0 0.00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0100 EMS Trauma Fund (EMS) a 0.00 0.00 0.00 Juvenile Probation Diversion Foes 0 0.00 0.00 0.00 State Traffic Fine (eff. 09-01-19) 0 0.00 0.00 0.00 State TrafflC Fine (prior 09.01,19) 5 16e,16 6,73 161.43 Intoxicated Driver Fine 0 0.00 0.00 O.OD Prior Mandatory Costs (JRF,IDF,JS) 0 0.00 0.00 0.00 Moving violation Pees 0 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.60 O.OD DNA Testing Fee - Comm Supvn 0 0.00 0.00 0.00 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Failure to Appear/Pay Fees D 0.00 0.00 0.00 Time Payment Fees 0 0.00 0.00 0.00 Judicial Fund - Const County Court 0 0.00 0.00 0100 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 0 0.00 0.06 0.00 Section II: As Applicable Peace Officer Fees Motor Carrier Weight Violations 3 1S.DO 12.00 3.00 Driving Record Fee 0 0100 0.00 0.00 Report Sub Total 0 0.00 0.00 0.00 17 741.16 74.S3 666.63 State Comptroller Civil Fees Report CF: Birth Certificate rea0 CF: Marriage License Foos 0 0.00 0.00 0.00 CF: Declaration Of informal Marriage a 0.00 0.00 0.00 CF; Juror Donations 0 0.00 0.00 0.00 CF: JF Consolidated Civil Fee 0 0.00 O.CO 0100 CF: Stat Prob Court Conael Civil Fee 0 0.00 0.00 0.00 CF; Stat Prob Court Filing Fee Other 0 0.00 0.00 0.00 CF: Seat Cnty Cdurt Dono01 Civil Fee 0 0.00 0100 0.00 CF; Stat Cnty Court Filing Fee Other 0 0.00 0.00 0.00 CF: chat Cnty Court G0nS01 Civil Fee 0 0.00 0.00 0.00 CF: Cnst Cnty Court Filing Fee Other 0 0.00 0.00 0.00 CPI Diet Court Coneol Civil Poe 0 0.00 0.00 0.00 CF: Dint Court piling Pee Other 0 D.00 0.00 0.00 CF1 COty Alt Dispute Resolution Fund 0 0.00 O.OD 6.60 CF: NandtDCIOsure Foes 0 0,00 O.OD 0100 Cr: Justice Court rnoig Filing Peen 0 0.00 0.00 0.00 CF: Stat Prob Court Indig Filing Fees 0 0100 0.00 0.00 CP! Stet Prob Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Stet Cnty Court indig Filing Fees a 0100 0.00 0.00 Cr! Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF; Cnat Cnty Court Sndig Filing Peas a 0.99 0.00 0.00 CF: Cnst Cnty Court Judie Filing Fees 0 0.00 0.00 0.00 CF: Diet Court Divorce & Family Law a 0.00 0100 0170 CPI Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00 Cr! Dint Court Indig Legal Services 0 0.66 0.00 0.00 CF: Judicial Support Fes D 0.00 0.00 0.00 CF; JudiCial & Court Pers. Training Fee 0 0.00 0.00 D.00 Report Sub Total 0 0.09 0.0c 0.00 a 0.00 0.00 0.00 Total DUC For This Period 17 741,16 14.53 6GG.03 THE STATE OF TEXAS before me, the undersigned authority, thio day County Of Calhoun County personally appeared Nancy ?omyhal, JUStice of the Peace, ?rOciDCt No 3, Calhoun County, Texas, who being duly sworn, deposes and SAYS that the above agq foregoing report Is true and correct, ' WitnOGS my hand this �p��Of l!p/i(�Jpj, AA J` /' • Calhoun Cori, Texas #13 NOTICE OF MEETING — _I.2/7/2022 13. 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 10 of 11 )� )a Bz =z )§ M )CL )§ z k # b 14 8 LU �®®®L ■§■®*©` §§§®a®a -■ §�saa} ° ■7mr- §�2� § I § ■ �22z2 »&2» 0000 2222 -C :§ :o :z :z :§ :L :§ � k ; Q - §■§//&- ; q §w®\®§ ■ ■ sass■ a §§ § tee; (§ _;2 §I§ §0NO ON 00 § k § 6 0 U �k )a :z :z )§ :L :§ § k 2 LL 2 U. 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BZ SW Oa. =W Q O W t0 M O O O O W M W O a0 dp W y w O (p V N O W 00 W W M CO r N 0 01 Crj �[) �t W L6 N C O N (D M O O O O aD to to O fA E9 fA O W W X p W �y fR fA to to EA fR 4H M EA M W fA N of c0 w M W N O O g a Z W C OC p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 W Ww fR fA fA fA M fA fA fA ER E9 fR fA fA fA fA W �a m 6 awo F-F-F-HHHF- F-F- F-F-HI—H z z z z z Q zQ z Q zQ Q zQ Q zQ z z z Q zQ Q zQ K K K K K K K K K K K 000000000000000 zzzzzzzzzzzzzzz e Z rnrnrnrnrnrnrnwrnrnrnrnrnrnrn rr rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn ,6 rn rn rn rn rn rn w rn rn rn rn rn rn rn rn ir z CL r ° m rc ~ w w F- d Z a z w gz Q W W a¢ N a 7 U d z a m N w 2 z W z F a w Q M, 7 o F O (p m u d O m a O D Z U_ r¢>� N �¢wwNZwwm wwww QO��Jaw2c6w 2zzm N curt=Q°wYom axxa a w» O z w° O j d Q Q Q d a (1) 0US E EJd W mew E 0 p o o h co 0 0 0 0 0 0 0 0 0 0 0 �rn�comrnrnrn �i �n�u0°i�u0i uMia a C N N�� N N N N N N N tN0 (MO (MO r H �k )a !z :z )§ )� )L :§ : ■ �2 I 16 :z � .L ; k � § � § m � 0 !@Lm § § � al § ; k E K z 0 w C-1 ;n :o :z :z :§ .L �§ 0 0 § k ■ § � uj 0 0 LLI $ � LLI IN � ■ z § § e §kN §� ;wow hm acc go ■ ■§�� §■ m § 6 � z # § � -- k| q B■§ :z a 2 � � 2 k§ CL (« )UA § § % 0 k z � ■UJ o \Z � k $ uj _« In LL _ « § § 13 2 k 7 2 / §eeQa;ia a ) §§§ —a = �a __ ) §§aaa== :z § § § :z :UA § § «§ ■ e §R ■ § 2 z& �2&G&� B a.§ 2 2gy2§ 22 w .� �s ■ L6 z \ ( Z .k § a k © \ k k B U. ( ( ,ul % ■ m © WLU 3 3 ): 3 .z & K §=»§ ) ° % k)/! f � §§\L k ) % CL o 2 §Nlot / � q „ e k � ) � :m ,0 iz iz iW i� :a :L iW iC m, =W = z }� =z =W =a =o W a a W d 0 _z to N LL J 0 z a 0 Z_ 2 a W m a 0 W a W a W W z 0 z z Lu W y � a 6 sae Sialw a 8 w a #14 NOTICE OF MEETING — 12/7/2022 14. 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: 10:16 a.m. Page 11 of 11 N 01 N M O O N. 1(1 M N b O� O 01 �If M W H W V N N H N H N a a a a a a a a a H U H a a E aU H W W W W U f9 H N aNW W W U N H a a as oWE N N N i W 0 o W a W ro N M V P4 Ad W >M W x V W Wm 0 x m m a W W HH H H E E D W W O W W [a7 O O 00 r U U H U U U H H 44 z uur H W W W W W W W P4 aaa H P" Z E ElW-I H U U a a » x a�. VA MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 07 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TOTAL TRANSFERS BETWEEN FUNDS TOTAL NURSING HOME UPL EXPENSES TOTAL INTER•GOVERNMENTTRANSFERS' $ 843,76T36 $ 1751636A6 `/ $ 1,252,23699 $ GRAND TOTAL DISBURSEMENTS APPROVED December 07,2022 $ 2,271,630.211 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---December 07 2022 PAYABLES AND PAYROLL 12/1/2022 Weekly Payables 316,825.83 12/6/2022 Capital One -supplies 367.67 12/5/2022 Sam's Club Direct -dietary, supplies 751.51 12/5/2022 McKesson-3408 Prescription Expense 7,283.16 1215/2022 Amedsource Bergen-3408 Prescdption Expense 2,893.80 12/5/2022 Payroll Liabilities -Payroll Taxes 125,54T79 121512022 Payroll 384,207.92 12/5/2022 Health Equity -Wage works employee FSA 5,363.53 Prosperity Electronic Bank Payments 11128-12022 Pay Plus -Patient Claims Processing Fee 480.65 1212/2022 Authnet Gateway Billing-3rd Party Paycr Fee 35.50 TOTALPAYABLES, PAYROLL AND,ELECTRONt,C BANK PAYMENTS $ 843,767.36 TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 12/112022 MMC Operating to Solera-correction of NH insurance payment deposited into 6,121.23 MMC Operating 12/112022 MMC Operating to Fort bend -correction of NH insurance payment deposited 4,084.50 into MMC Operating 1211/2D22 MMC Operating to Broadmoor-correction of NH insurance payment deposited 4,954.30 into MMC Operating 121t12022 MMC Operating to Crescent -correction of NH Insurance payment deposited 17,318.56 into MMC Operating in error 12A/2022 MMC Operating to Golden Creek -correction of NH insurance payment 44,731.56 deposited into MMC Operating in error 12/1/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 4,577.68 deposited into MMC Operating 12/1/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 9,924,07 deposited into MMC Operating 12112022 MMC Operating to Bethany -correction of NH insurance payment deposited into 82,521.96 MMC Operating in error TRANSFER OF FUNDS BETWEEN NURSING HOMESIMMC 12/512022 Crescent to Tuscany -correction of Tuscany insurance payment deposited into 1,402.00 Crescent in error TOTAL TRANSFERS BETWEEN FUNDS $ 175,6306 NURSING HOME UPL EXPENSES 12/512022 Nursing Home UPL-Centex Transfer 538,704.47 12/5I2022 Nursing Home UPL-Nexion Transfer 88,479,06 12/51202Z Nursing Home UPL-HMG Transfer 73,056.04 121612022 Nursing Home UPL-Tuscany Transfer 180,519,20 12/512022 Nursing Home UPL-HSL Transfer 371,478.22 TOTAL.NURSING HOME UPL EXPENSES $ 1252,236:99 TOTAL INTER -GOVERNMENT TRANSFERS GRAND TOTAL DISBURSEMENTS APPROVED December 07,2022 $ 27271,630:27 Page 1 of 8 FECEIVED BY T HE COUNTY AUDITOR ON Ui.10002P2202Z 11:53 CALHOIIN CO VenderMn9ii me 14088 AZALEA HEALTH MEMORIAL MEDICAL CENTER AP Open Invoice List Due Dales Through: 12/22/2022 Class Pay Code 0 ap_open invoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 81439 ✓11 /29/2012/01120 12/01 /20 550.00 0.00 0.00 550-00 ✓ MONTHLY PROCESSING Vender Totals Number Name Gross Discount No -Pay Net 14088 AZALEA HEALTH 550.00 0.00 0100 550.00 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE a� w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 76891280.E 11130/20 10/21/20 11/15/20 629.50 0.00 0.00 629.50, SPECTRUM 76891221 v' 11/30/20 10/21/20 11/15/20 2,367.50 0.00 0.00 2,367.50 -- SPECTRUM LEASE Vendor Totals Number Name Gross Discount No -Pay Net 81150 BAXTER HEALTHCARE 2,997.00 0.00 0.00 2,997.00 Vendor# Vendor Name Class Pay Code 51220 BECKMAN COULTER INC r.-' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 58395810 v' 1113012011/1612012/11/20 1,415.16 0.00 0.00 1,415.16 LAB SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Nei B1220 BECKMAN COULTER INC 1,415.16 0.00 0.00 1,415,16 Vendor# Vendor Name Class Pay Code 61320 BEEKLEY CORPORATION .%� M Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net INV1549994,./� 11/30/9-0 08/10/20 09110/20 305.95 0.00 0.00 305.95 SURGERY SUPPLY INV1550763✓ 11130/2008/1212009/12/20 431.95 0.00 0.00 431.95 SURGERY SUPPLY INVIS60365 v' 11/30/20. 09121/2010/21/20 131.95 0.00 0.00 131.95 RADIOLOGY MED SUPPLY Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEY CORPORATION 869.85 0.00 0.00 669.85 Vendor# Vendor Name Class Pay Code t 2324 BLUE CROSS BLUE SHIELD Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111722 11/29/20 11/17/20 12/01/20 211,142.77 0.00 0.00 211,142.77 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Not 12324 BLUE CROSS BLUE SHIELD 211,142,77 0.00 0.00 211,142.77 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, INC. ✓ w Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 800300802P �,. 11/29/20 11/05/2011/30120 167.46 0.00 0.00 167.46,- MEDICAL SUPPLIES Vendor Total -Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 167.46 0.00 0.00 167.46 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report152202... 12/1 /2022 Page 2 of 8 Vendor# Vendor Name Class Pay Code 14260 CAREFUSION SOLUTIONS, LLC ✓ Invoice# Comment Tran of Inv Of Due Dt Check D Pay Gross Discount No -Pay Net 1001983356 V 11/29/2011/10/2012/01120 1,788.00 0.00 0.00 1,788.00 MAINTENANCE 1001983357 u/ t 1/29/2011/10/2012r01/20 2.00 0.00 0.00 2.00 - CODONICS Vendor Total. -Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 11790.00 0.00 0.00 1.790.00 Vendor# Vendor Name Class Pay Cade 13028 CAVALLO ENERGY TEXAS LLC ✓ Invoice# Comment Tran Of Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 18653259 ✓ 11/29/20 11/15/20 12119/20 17.14 0.00 0.00 17.14 L,,-' ENERGY 18659258 �- 11/29/20 11/15/20 12/19/20 452,25 0.00 0.00 45225 v ENERGY ((o11-1 11�IS)Z:-1 18652553✓ 11/29/20 11/15120 12/19120 1,249,28 0.00 0.00 1,249.28 ai ENERGY Vendor Totals Number Name - Gross Discount No -Pay Net 13028 CAVALLO ENERGY TEXAS LLC 1,718.67 0.00 0.00 1.718.67 Vendor# Vendor Name Class Pay Code 11029 COASTAL REFRIGERATION V Ir lce# .Comment Tran Of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5114219 J1112912010/25/20 11/25/20. 255.00 0.00 0.00 255.00/' IT ROOFTOP I'M 644cor1 Vendor Totals Number Name Gross Discount No -Pay Net 11029 COASTAL REFRIGERATION 255.00 0.00 0.00 255.00 Vendor# Vendor Name Class Pay Code 13932 COVIDIEN SALES LLC V Invoice# Comment Tran of Inv Of Due Ot Check D Pay Gross Discount No -Pay Net 5867536354 ✓ 11/30/20 11/14/20 11/30/20 11130.00 0.00 0.00 1.14.00 ✓ CLINIC SUPPLY Vendor Totals Number Name Gross Discount No -Pay Net 13932 COVIDIEN SALES LLC 1,130.00 0.00 0.00 1,130.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON v' Invoice# , Comment Tran Dt Inv Ot Due of Check D Pay Gross Discount No -Pay Net 6998181 ✓ 11/22/2011/08/2012/03120 24.81 0.00 0.00 24.81 ✓ ,SUPPLIES 6998180 ✓ 11/30/2011/07/2012102/20 453.93 0.00 0.00 453,93 OFFICE SUPPLIES - f 7003840 r" 11/30/2011/1112012J06/20 11-82 0.00 0.00 11.82 OFFICE SUPPLIES 7005800 ✓' 11/30/2011114/2012/09/20 257.13 0.00 0.00 257.13 OFFICE SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 747.69 0.00 0.00 747.69 Vendor# Vendor Name Class Pay Code E1090 EDWARDS LIFESCIENCES M Invoice# Comment Tran Dt Inv of Due Dt Check D-Pay Gross Discount No -Pay Net 11691143 ,/ 11/1512011/02/2011115/20 133.20 0.00 0.00 133.20 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tinp_cw5report152202... 12/1/2022 Page 3 of 8 SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net E1090 EDWARDS LIFESCIENCES 133.20 0,00 0.00 133.20 Vendor# Vendor Name Class Pay Code 11264 EMERGENCY STAFFING SOLUTIONS 1/' Invoice# Comment. Tran Ot Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net 41737✓1 11130/2011/30/2012/10/20 40,062.50 0.00 0.00 40,062.50 U' PHYSICIAN SERVICES (j�_UtM\ ) Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code 02510 EVIDENT v M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net T2211161378 ✓ 11/30/20 11/16/20 12/11/20 7,681.31 0.00 0.00 7,681.31 ✓- BUSINESS SERV Vendor Totals Number Name Gross Discount No -Pay Net C2510 EVIDENT 7,681.31 0.00 0.00 7,681.31 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE d M Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8102355 v'� 11/30/2011/10/2012/05/20 112.64 0.00 0.00 112.64 LAB SUPPLIES 8138862 ✓' 11130120 11/11/20 12106/20 52.50 0.00 0.00 52.50 LAB SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 165.14 0.00 0.00 165.14 Vendor# Vendor Name Class Pay Code 12636 FUSION CLOVO SERVICES, LLC ,, Invoice# Comment Tian Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 28716286 ' 11/30/20 11/16/20 12/16/20 1,620.76 0.00 0.00 1,620.76 �/ TELEPHONE Vendor Totals Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 1,620.76 0.00 0.00 1,620.76 Vendor# Vendor Name Class Pay Code 10901 GENESIS DIAGNOSTICS v' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 53439 / 11/01/20 10/26/20 11/15/20 121.93 0.00 0.00 121.93 % SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10901 GENESIS DIAGNOSTICS 121.93 0.00 0.00 121.93 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY ✓ M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 2313505 ✓ 11/30/201110812012/08/20 724.12 0.00 0.00 724.12 ✓/ SUPPLIES 2313517 v' 11/30/20 11108120 12/08/20 111.30 0.00 0.00 111.30 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 835.42 0.00 0.00 835.42 Vendor#Vendor Name Class Pay Code 13876 WOUISEEK, LLC ✓ file:///C:/Users/Itrevino/cpsi/meinmed.cpsinct,com/u88125/data 5/tmp_cw5repoit152202... 12/1/2022 Page 4 of 8 Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 1117 ✓ 11129/2006/15/2006/15/20 450.00 0.00 0,00 450.00 2ND13RD OTR 2022 Vendor Totals Number Name Gross Discount No -Pay Net 13876 INQUISEEK, LLC 450.00 0.00 0.00 450,00 Vendor# Vendor Name Class Pay Code 14296 J & K SERVICES / Invoice* Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 004134 11 /29/20 0812=0 09/23/20 935.00 0.00 0.00 935.00 VENT CLEANING Vendor Totals Number Name Gross Discount No -Pay Net 14295 J & K SERVICES 935.00 0.00 0.00 935.00 Vendor# Vendor Name Class Pay Cade 14316 JUNXION MED STAFFING v' Invoice# Comment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net MMCWE050722 v'� 11/29120 05115120 06/30120 1,821.25 0.00 0.00 1,821.25 OESHOTEL v" Vendor Total: Number Name Gross Discount No -Pay Net 14316 JUNXION MED STAFFING 1,821.25 0.00 0.00 1.821.25 Vendor# Vendor Name Class Pay Code L1001 LANDAUER INC Y W Invoice# Comment Tran Dt Inv Dt Due Dt Check 0-Pay Gross Discount No -Pay Net 101063906 yf 11130120 11/17/20 12/17/20 1,055.10 0.00 0.00 1,055.10 U.- RADIOLOGY SERV , Vendor Totals Number Name Gross Discount No -Pay Net 1_7001 LANDAUER INC 1,055.10 0.00 0.00 1,055.10 Vendor# Vendor Name Class Pay Code 13268 LONE STAR COMMUNICATIONS, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 120615 11/30120 11/16/20 11130120 98300 0.00 0.00 983.00�.,. PM 204 CL RMA REPAIR Vendor Totals Number Name Gross Discount No -Pay Net 13268 LONE STAR COMMUNICATIONS, INC 983.00 0.00 0.00 983.00 Vendor# Vendor Name Class Pay Code 11612 MEDICAL AIR SERVICES ASSOC.,/ Involoe# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1392643 v' 11/29/2011115/2012/01120 1,535.00 0.00 0,00 1,535.00 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC, 1.535.00 0.00 0.00 1,535.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Comment Tran Dt Inv Dt Due of Check D Pay Gross Discount No -Pay Net 2232020204 V 11/01/20 10/05/20 10/30/20 160.44 0.00 0.00 160.44 MEDICAL SUPPLIES 2232967388 ✓� 11/01/2010/11/2011/05120 1,816.01 0.00 0.00 1,816.01 y- SUPPLIES 2233458851 v" 11/01/20 10/13/20 11/07/20 189.50 0.00 0.00 189,50 a% MEDICAL SUPPLIES 2234640503 11/30/20 10/20/20 11/14/20 -22.89 0.00 0.00 -22.89 CREDIT file:///C:/Users/ltrevino/epsi/menuned.cpsinet.com/u88125/data_5/tmp_cw5reporti 52202... 12/1 /2022 Page 5 of 8 2234841037 v 11/30120 10121120 11/15/20 64.36 0.00 0,00 64.36 v' Cy9 SUPPLY 2235253055 ✓ 11/30120 10124/20 11/18/20 127,14 0.00 0.00 127.14 CLINIC SUPPLY 2235420348 ,/ 11/30/20 10/25/20 11/19/20 13.82 0.00 0.00 13.82 ' LAB SUPPLY 2235340812 ,i 1 W0/20 10/25120 11/19/20 54.37 0.00 0.00 54.371 CLINIC SUPPLY 2235420347 �' 11/30/2010/2512011119/20 1,022.20 0.00 0.00 1,022.20 LAB SUPPLY 2238637748 V 11130/20 11/11120 12106/20 12.86 0.00 0.00 12.86 CS SUPPLY 2238637745 �/� 11/30/201111112012106/20 119.52 0.00 0.00 119.52 CLINIC SUPPLIES 2238637747�/ 11/30/20 11/11/20 12ID6120 358.56 0.00 0.00 358.56 ,r=' CS SUPPLY 223866529% 11130120 11111/20 12106120 -410.03 0.00 0.00 -410.03 ._ CREDIT 2238637746 11/30120 11/11/20 12/06/20 35.42 0.00 0.00 35.42 r/ 4; CS SUPPLY 2238986659 ✓ 11/30/20 11112/20 12107/20 61.77 0.00 0.00 61.77 CLINIC SUPPLY 2239247155 / 11/30/2011/1512012/10/20 188.40 0.00 0.00 188.40 CLINIC SUPPLY 2239267108 1::._ 11/30/20 11/15/20 12/10/20 2,801.73 0.00 0.00 2,801.73 LAB SUPPLY 2239267107, 11/30/20 11/15120 12/10120 191.16 0.00 0.00 191.16 CLINIC SUPPLY 2239247186 t/ 11/30120 11/15/20 12/10120 216,28 0.00 0.00 216,28 MS SUPPLY Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 7,000.62 0.00 0.00 7,000.62 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC u,' . Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8893274 ✓ 11/29/2011/16/2011/26/20 1.211.74 0.00 0.00 1,211.74 �-'- INVENTORY 889327$ 11/2912011/16/2011/26/20 400,70 0.00 0.00 400.70 INVENTORY 8890620 >' 11/29/20 11/16/20 11126120 5,621.77 0.00 6.00 5,621.771� INVENTORY 8899172 �'� 11/2912011/1712011127/20 121.41 0.00 0.00 121.41 u=' INVENTORY 8699171 ✓ 11/29/2011/17/20 11l27/20 36.51 0.00 0.00 36.51 ,INVENTORY 8897666./ 11/29/20 11/17/20 11/27/20 74.69 0.00 0.00 74.69 ✓ INVENTORY 6897665 ,i 11/29/2011/17/2011/27/20 1.56 0.00 0100 L66 4- JNVENTORY CM82417 11/29/2011/18/2011/28120 -1.610.62 0.00 0.00 -1,610.62 CREDIT file:///C:IUserslltrevinolepsi/memmed,cpsinet.com/u88125ldata_5/tmp_cw5report152202... 12/ 1/2022 Page 6 of 8 CM82419 •i 11/2912011/18/2011/28120 -9.51 0.00 0.00 -9.51 U CREDIT CM82416 ,.% 11/29/20 11/18120 11/28120 -44,39 0.00 0.00 -44.39 ✓ CREDIT CM82418 4F 11/29/2011/18/2011/28I20 -1,026.94 0.00 0.00 -1,025.94 CREDIT Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 4,777.92 0.00 0.00 4,777.92 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE 'y Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3822751 11/$0/2011/15/2012/01/20 3,633.48 0.00 0.00 3,633.48 INSURANCE Vendor Vendor Totals Number Name Gross Discount No -Pay Net 12388 NATIONAL FARM LIFE INSURANCE 3.633,48 0,00 0,00 3,633.48 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC rj M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net i.06364794," 11/30/20 11114120 12109120 599.98 0.00 0.00 599.98 Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 599.98 0.00 0.00 599.98 Vendor# Vendor Name Class Pay Code R140i REFUGIO COUNTY MEM. HOSPITAL v^ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111722 11/30/20 11/17/20 12/17/20 2,778.28 0.00 0,00 2,778.28 INVENTORY PHARM , Vendor Totals Number Name Gross Discount No -Pay Net R1401 REFUGIO COUNTY MEM. HOSPITAL 2.778,28 0.00 0100 2,778.28 Vendor# Vendor Name Class Pay Code 81405 SERVICE SUPPLY OF VICTORIA INC ,,;'� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 701159564, ' 11/30/20 11/17/20 12/17/20 103.25 0.00 0.00 103.25 L/ MAINT SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 81405 SERVICE SUPPLY OF VICTORIA INC 103.25 0.00 0.00 103.25 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC �/- M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 116293626 11/30/20 11/17/20 12/12/20 2,375.92 0.00 0.00 2,375.92 Ly,'' .. CONTRACT Vendor Total: Number Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 2,375.92 0.00 0.00 2,375.92 Vendor# Vendor Name Class Pay Code 12472 SOMETHING MORE MEDIA, INC. ✓ Invoice# Comment Tran Dt Inv Di Due DI Check D Pay Gross Discount No -Pay Net 1901 w' 11/30/2011/3012012115/20 2.525.00 0.00 0.00 2,525.00 ADVERTISING Vendor Totals Number Name Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC. 2,525.00 0.00 0.00 2,625.00 Vendor# Vendor Name Class Pay Code file:///C:/Users/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report 152202... 12/1/2022 Page 7 of 8 12288 SPBS CLINICAL EQUIPMENT SRVC � Invoice# Comment Tran Ot Inv Ot Due Ot Check D Pay Gross Discount No -Pay Net FCHRGO13214 V/ 11/29/2011/1712011/18/20 200.77 0.00 0.00 200.77 FINCANCE FEE r_- Vendor TotaleNumber Name Grass Discount No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 200.77 0.00 0.00 200.77 Vendor# Vendor Name Class Pay Code S2694 STANFORD VACUUM SERVICE .%' M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 593607 V 1112912011/22/2012/01/20 550.00 0.00 0.00 550.00 - GREASETRAP V , Vendor Total: Number Name Gross Discount No -Pay Net $2694 STANFORD VACUUM SERVICE 550.00 0.00 0.00 550.00 Ventlor# Vendor Name Class Pay Code 10845 STAPLES ADVANTAGE v' Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 3522095357t,/ 11/15120 10131/20 11/16120 60.06 0.00 0.00 60.06 SUPPLIES 3522095349 .� 11/15/20 10/31/20 11115/20 69.35 0,00 0.00 69.36 y SUPPLIES Vendor Total: Number Name Grass Discount No -Pay Net 10845 STAPLES ADVANTAGE 129.41 0.00 0.00 129.41 Ventlor# Vendor Name Class Pay Code S3940 STERIS CORPORATION M Invoice# Comment Tran Dt Inv Ot Due Dt - Check D Pay Gross Discount No -Pay Net 10581797 �.' 1113012011/08/20 12/03/20 34.00 0.00 0.00 34,00 �.- SURG SUPPLIES , 10598095 y..' 11/30/20 11/14/20 12/09/20 420.69 0.00 0.00 420.69 SURGERY SUPPLIES 10602392 U' 11/30/20 11/15/20 12/10/2O 285.15 0.00 0.00 285.15 .= - SURGERY MED SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net S3940 STERIS CORPORATION 739.84 0.00 0.00 739.84 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 112322 11/29/20 11/23/20 10/10/20 8,587.16 0100 0.00 8,587.16 INSURANCE Vendor Total; Number Name Gross Discount No -Pay Net 12476 SUN LIFE FINANCIAL 8,587.16 0.00 0.00 8,587.16 Vendor# Vendor Name Class Pay Code 1$616 TRIOSE, INC ` Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net TRI134124 �- 11/29120 10106/20 10121120 207.48 0.00 0.00 207.48-- FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 207.48 0.00 0.00 207.48 Ventlor#Vendor Name Class Pay Code - 11110 WERFEN USA LLC / Invoice# Comment Tran Ot Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 9111240392 1/ 11/3012011/08/2012103120 136.73 0,00 0.00 136.73 file./NC:/Users/Itrevino/epsi/metmned.cpsinet.com/u88125/data_5/tmp__cw5report152202... 12/ 1 /2022 Page 8 of 8 LAB SUPPLIES 9111244366 11 /30/20 11 / 15/20 12/10/20 LXB SUPPLIES Vendor Totale Number Name 11110 WERFEN USA LLC Report Summary Grand Totals: Gross Discount 3161825.83 0.00 DEC 01 2022 ev COUWY AUDITTOR CALHOUN COUNTY, TEXAS 2,296.78 0.00 0,00 2.296.78 Gross Discount No -Pay Net 2,433.51 6.00 0.00 2,433.51 No -Pay Net 0.00 316.825.83 file:!//C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5reportl52202... 12/1 /2022 Page 1 of I COUNTY AUDITOR ON DEC 0 5 2022 MEMORIAL MEDICAL CENTER 72/�6/p� OALH0'u' J GUL'j61 TEXAS AP Open Invoice List 10:11 Dates Through: Vendor# Vendor Name Class Pay Code 14064 CAPITAL ONE V _ Invoice# Comment Tran Dt Inv Dt Due Dt Check D pay Gross 1645363188 11130120. 11/1912D 12/14/20 367.67 SUPPLIES Vendor Totals Number Name Gross 14004 CAPITALONE 367.67 Report Summary Grand Totals: Gross Discount 367.67 0.00 AMOMON DEC 0 5 2022 By COUNTY AUDITOR CAW OUN COUNTY, TEXAS 0 ap_open_invoice.template Discount No -Pay Not 0.00 0.00 367.67 Discount No -Pay Net 0.00 0.00 367.67 No -Pay Net 0.00 367.67 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report7O9934... 12/5/2022 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON DEC 6 5 2022 MEMORIAL MEDICAL CENTER 12/05/2022 0 CALH��QBCOUNY""AD qp Open Invcice List ap_open invoice.template Dates Through: Vendor# Vendor Name i Class Pay Code S0900 SAM'S CLUB DIRECT j w Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 112022 11/30/20,11120120 12108/20. 751.51 0.00 0.00 751.51 DIETARY SUPPLIES- FOOD Vendor Totals Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 751.51 0.00 0.00 751.51 Report Summary Grand Totals: Grass Discount No -Pay Net 751.51 0.00 0.00 751.51 fflmoveam DEC 6 5 Z022 SY COUNTY AUDROR CALHOUN COUNTY. TEXAS file:///C:/Users/ltrevino/cpsi/Memmed.cpsinet.com/u88125/data_5/tmp_cw5report576833... 12/5/2022 MSKESSON STATEMENT At of: 12102f2O22 Page: 002 To enwm proper trade to your exeunt, detach amreturn this c mo+�r ease stub whh your ramblance DC: 8115 As c1: 12/02/2022 NO: 002 MEMORIAL MEDICAL CENTER AMT CUE REMITTED VIA ACH DEBT T.mWW: Man to: Comp: 8000 AP Statement for informalion only ANT DUE REMITTED VIA ACH DE3IT 815 N VIRGINIA STREET cudomec 632536 Statement for information only PORT IAVACA TX 77979 Dale: 12/03f2022 Cud: 632536 PLEASE CHICK ANY Date: 12/03/2022 EEIS NOT PAID (•r) Billing Ux ReoaivabJIMI.nel Account bQ636 Cash Amount P Amount P RxNveble Date Date Number Reference Description Discount (gross) F (net) F Number PF eofumn legend: P = Pan Due Item, F = Future Out Item, blank = Conrad Due Item TOTAL National Atct 632536 IMMORAL MEDICAL CENTEN Subtatals: Future Due: 0.00 If Paid By 12IO612022, Past Due: 0.00 fly This Amount: Iast Payment 2,451.97 If Paid After 12/0612022, 09/07/2017 Pay this Amount: 003 6 • i 3:0:'- a tl: .�. 744^1 t B-61 '7+283•iu •+, AMOVEUON DEC 0 5 Z022 CALONO AUDITOR , TM 7.431.82 USD Dan If Pad On Time; USD 7.283.16 7,283.16 USD Disc led K pald Into: 148.66 Due 0 Paid late: 7,431.82 USD USD 7,431.82 For AR Inquiries please contact 800-867-0333 comw , eam WALMARE 1098/MEM MED PHS MEMORIAL MEDICAL CENTER VICKY KAUSM 815 N VIRGINIA ST PORT IAVACA T% 77979 sum, Due Dale Date Customer Number 256342 11/28/2022 12106NO22 11/20/2022 12/06/2022 11/28/2022 12/06/2022 11/28/2022 12/06/2022 11128/2022 12/06/2022 11/28/2022 12/06/2022 11128/2022 12/06/2022 11129/2022 12/06/2022 11129MO22 12/06/2022 11/29/2022 12/0612022 11/29/2022 12/0612022 11/29/2022 12/00/2022 1129/2022 12/0612022 11/2912022 12/06/2022 11/30/2022 12/06/2022 11130/2022 12/06/2022 11130/2022 12/06/2022 11130/2022 121OW2022 12MI/2022 12/06/2022 12/01/2022 12A)MO22 12/01/2022 12/06/2022 12/01/2022 12/06/2022 12/02/2022 12/08/2022 1W0212022 t2106/2022 12102/2022 12/06t2022 12/02/2022 12/96/2022 STATEMENT AMT DUE ASIAITTED VIA ACH OMIT Slatement for information only As of: 12=12022 Page: 001 Da 3115 T.Otary: 400 Custome,256342 Dale: 12/03/2022 To ensure Proper credit to your amount, Mach and Imam this stub whh your rem8tanm AS of: 12/02/2022 Page: 001 Mail to. Co.,: BODO AMT DUE 'UtN m VIA ACH OMIT Statement for Information only Coat: 256342 PLEASE CHECK ANY Date: 12/03/2022 tT8A15 NOT PAID (v) ...National Account 8.9 � ikceivNa, r38 Cash Amount P Amount P Recehreble Nconc r Reference Da. Plkm Dlamunl auras) F (rml) F Number WALMART 1098/M6]4 MED 7380857778 7380057781 7380857782 7380857783 7380872082 7381088138 7381088139 7301266649 7381265651 7381411581 7381411562 7381411583 7381411584 7381620300 7381545450 7381545451 7381545452 7381545453 7381841842 7381841846 7381841848 73B1998108 7382113881 7382113882 7382113883 7302271509 MIS 54627678 1151nvoice 16.82 841.08 824.26 ✓ 73BOSS7778 54627678 1151nv0ice 0.46 23.01 22.55✓ 7380857781 54757518 1151nvoice 1.00 49.95 48.95 ✓ 7380057782 54799234 1151nvoit. 0.40 23.01 22.55 ✓'. 7300857783 54931365 1151molca 0.01 0.26 0.251, 7380872082 54805635 1951nvoic0 0.92 46.00 45.08✓ 7381098138 54633756 1951nvoice 0.92 46.00 45.08✓ 7381088139 54970285 1151nvo1ca 0.92 46.00 46.98✓ 7381265649 55030680 t1516voice 4.40 219.96 215.56 ✓ 7381265651 55OD8269 1951nvoice 2.76 138.00 135,24 v 7381411581 64976801 1951nv0ice 3.38 168.91 165.53 v 7381411582 54809256 1151nvoice 0.03 1.27 1.24 7381411583 54731205 1151nvoice 3.68 184.00 180.32✓ 7301411584 55145914 1151nvmmo 24.13 1.206.51 1.102.36 ✓ 7381520300 55133167 1151nveim 1.63 91.64 89.61 7381545450 55133167 1151nv01ce 0.03 1.27 L24 ✓ 7381545451 55203752 1Is Invoice 18.17 908.69 890.52 ✓ 7381545452 55203752 1151nvoice 16.65 832.37 815.72 ✓ 7381545463 55275180 1151nveice 22.70 1.135.15 1.112.45 ✓ 7381841842 55275180 1151nvaice 1.10 55.11 54.01 ✓ 7381841846 55346645 1151moico 2.20 109.98 107.7E ✓ 7381841848 55281994 1951m,oice 0.04 1.78 1.74 7381998108 55400455 1151nvoice 1.83 91.64 89.81 7302t13081 65400455 1151nvoice 8.81 440.49 431.6B ✓ 7382113882 55472316 1151nvoice 0.01 0.32 0.31 ✓ 7382113883 55414347 1151nvolen 0.03 1.27 1.24 ✓ 7382271509 For AR Inquiries please contact 800-967-0333 MSKESSON STATEMENT As of: 12/02/2022 Page: 002 To argue pmPar CRCR to your ac0(uM, detach and retum this cemnVv: evaa dub with your remlitarve OC: 8115 As 0: 12/02/2022 Page: 002 WALMARI 1098/MEM MED MS AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Mail to: comp: 8000 MEMORIAL MEDICAL CENTER Statement lof inlarmation only ANT DUE REMITTED VIA ACH DEBIT VICKY KALISEK Customer. 266342 Statement for information only 815 N VIRGINIA ST Date. 12/03/2022 PORT IAVACA TX ]]979 Cud: 256342 PLEASE CHOCK ANY But.: 12/03/2022 ITBdS NOT PAID (✓) Oiling Due Ndhmd A...' Ri38 Receivable cash Amount P Amount Pece(vf. Ogle Data Number Reference Description MoormanMoormanhim.)) F (rmi) FP Numberabla PF column legend: P = Pant Due Item, F = Future Due Item, blank = CmreM rue Item TOTAL Customer Number 256342 WALMARf 1098/MBA MED PHS Submlale: 6.653.67 USD Future Due: 0.00 Due It Paid On Time: If Pent By 12/06/2022, USD 6,530.36v Pad Due: 0.00 Pay This Amount: 6.630.38 USD r% 01. had K mid tale: 133.29 lad Payment 2,]]3.73-V If Pald After 12/0612022, Due It Paid Eats: I1/28/2022 Pay this Amount: 6,689.67 U6O USO 6,663.67 APPROVED ON DEC 0 5 2022 BY COUNTY AUI)tTOB , CALHOUN COUNTY. TEXAS For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT mmv�v: soon CVS PRCY 8923/MEM MC PHS AMT DUE nEarriED VIA ACH DEBIT MWORIAL MEDICAL CENTER Statement for information only VICKY KALISFI( 815 N VIMINIA ST PORT IAVACA TX 77979 As of 1210MO22 Page: 031 To enema Proper credit to your ecmunt, detach and retivn this Mob with your nmiKence DC: 8115 A. of: 12102/2022 Page: 001 Mail to: Comp: 8000 Territory: 400 ANT DUE REMITTED VIA ACH DEBIT Customer: 835434 Statement far information only Data: 12/03/2022 Cult: 835434 PLEASE CHECK ANY Date: 12/03/2022 ITEYIS NOT PAID (�) 5111119 Due Receivabil""Hand Account 9,31?6 Cash Amount P — Amount P Recelvable Dole Data Number Reference Description Discount p (gress) F QNU F Number Customer Number SSS434 CVS PRCY 8923/MM MC PNS 11/30/2022 12/06/2022 7381580760 2013067 1151nvoice 6.06 302.79 296.73✓ 7381580760 B 11/30/2022 12/06/2022 7381580761 2013067 1151nvoice 9.13 456.57 447A4s/ 7381580761 PF eolumn legend: P = Not Due from, F = Fulam Due Hem, thank = Current Due Item TOTAL Customer Number 036434 CVS PNCY 69231111W NO PHS Subtotaha: Future Due: 0.00 It Paid By 12/06/2022, Pest Due: 0.00 Pay This Amount: Led Payment 7,233.38 If PeM After 12106/2022, 11/07/2022 Pay this Amount: ArPtov®a" DEC 0 5 ?0? eY COUNW AUnrrett CAU-H)UN COUNTY, Te" 759.36 USO Due It Paid On Time: USD 744.17E / 744A7 USD OW lost 8 paid late: 15.19 Due If Paid Late: 759.36 USD USD 750.36 q For AR Inquiries please contact 800-867-0333 MSKESSON STATEMENT A. M: 12/02/2022 Paga; 001 TO eneam PmPer clecit to your account, datacir and Munn this .a rr. ea.. club wfth yam mmbtance DC: 8115 As of; 12/0212022 Page: 001 CVS PHCY 74751MW MC MS qMT DUE PB41TT� VIA ACH DEBIT Terd[ory: 400 Mall to: Comp: 8000 MEMORIAL MEDICAL CENTER Statement for information only AMT DUE REMITTED VIA ACH DEBIT KIRGINI Customer. 835438 Statement for information only 815 N 815 N IA ST Data: 12/03/2022 PORT LAVACA T% ]]9]9 AVAC Cust: 835438 PLEASE CHECK ANY Dale: 12/03/2022 HBaS NOT PAID (+) BIIIin9 Duo Heceivabl�alional AccountESyA6 Cosh Amount P Amount P Itauivablo Oats Oat. Number Warren.. Description Dlee.um (gross) F (net) F Number Customer Number 935438 CV5 PHCY 747SIMEM MC MS 11/30/2022 12/06/2022 7301 y01727 2013828 1151nvulce 0.18 8.79 8.61 r 7381761727 O PF column legend: P = Pact Due Item, F = Future Due Item, blank = Current Due Item TOTAL Customer Number 835438 CV5 PHCY 747S/MEM MC MS subtotal¢: 8.79 USD Future Due: 0.00 Du. If Paid On Tinto: If Pald By 1210=022, USD 8.61 Past Due: 0.00 Pay This Amount: e.61 USD DLY lost 0 pout taro: 0.18 Last Payment 2]]3.73 It Pald After 1210612022, Due N Palo! late: 11128/2022 Pay thls Amount: 8.79 USD USD `8.79 (i,VUJI-'Su.`C`y=�ru.�lliLVv�� AMOMOTI DEC 0 5 242' BY COUNTY AUDITOR CALHOUN COUNN, TSIAS For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number: 64202121 AmensourceBergen` Date: 12-02-2022 1 Of 1 AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340E 1001352841 D37028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGAR LAND TX 77478-6101 1302 N VIRGINIA ST • PORT LAVACA TX 77979.2509 Set -Fri Due In 7 days DEA: RA0289276 866451-9655 AMERISOURCEBERGEN PO Bob 905223 Not Yet Due: 0.00 CHARLOTTE NC 28290.5223 Currant: 2,093.80 Pan Due: 0.00 Tatal Due: 2.893.80 Aaaunl Balance: 2.893.80 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Dale Number Number Type Amount 11-28-2022 12419-2022 3113954147 168548 Invoice 102.22 0.00 102.22 11-28-2022 12-09-2022 31139MI48 168552 Invoim 83.49 0.00 83.49 ' 11-29-2022 12.09-2022 3113954149 168554 Invoice 2254 0.00 22.74 1 ' 11-28-2022 12-09.2022 3113955330 168549 Invoice 1.31 0.00 1.31, 11-28-2(1 1249.2022 3114001687 168601 Invoice 27.83 0.00 2R83 11-29-2022 12-09-2022 349600365 167981 Invoice (3,63) 0.00 (3,63) ' 11-28.2022 1b09-2022 349688366 167901 Invoice 3.78 0.00 3.78 11-29-2022 tb09.2022 3114146380 168608 Invoice 400.88 0.00 400.88 , 11-30-2022 1249-2022 3114313318 168618 Invoice 120.27 0.00 120.27 12-01-2022 12-09-2022 3114497MS 168834 Invoice 170.71 0.00 170.71 12-01-2022 12-09-2022 3114497026 16ams Invoice 5.03 0.00 5.03 12.02,2022 12-09.2022 3114662535 168650 Invoice 1,947.53 0.00 1,947.53 , ' 12-02-2022 12.09-21W 3114662536 168651 Invoice 11.64 0.00 11,64 Current 1-15 Days i6.30 Days 31.60 Days 61-90 Days 91.120 Days Over 120 Days 2,093.BOI 0.00 O.00 0.00 0.00 0.00 0.00I Thank You for Your Payment Reminders APPAOVEDON1 Date Amount Due Data Amount 12-02.2022 (1.073.92) ;' 0 DEC (� C `7 9 12.09-2022 2,093.80 L J �QG.. Total Due: 2,893.80 BYCOUNTYAUDNOfl CALHOUN COUNTY, TEXAS TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1.800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec ❑"ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" F-16-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER CALLED IN BY: CALLED IN DATE: CALLED IN TIME: a#xn ENTER: ###L----= I � J _k S41 i 13 r $ 125,54719 1 $ 63,213.90 $ 14,955.20 $ 47,378.69 6. F:1AP-Payroll FileslPayroll Taxes12022W24 R1 MMC TAX DEPOSIT WORKSHEET 11.17.22.x1s 12/6/2022 941 RECITAX DEPOSIT FOR MMC PAYROLL -e PAY PERIOD: BEGIN 111111no22. y4 PAY PERIOD: END 1211/2022 PAY DATE: 12/012022 GROSS PAY: $ 648,866.03 DEDUCTIONS: AIR 5 5-0,00 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS 5 1173.73 SUNLIFE ACCIDENT 5 733.10 SUNLIFE VISION SUNLIFE SHORT TERM DIS S 2,037.47 BCBS VISION $ 961,22 CAFE-D S 1.508.71 CAFE-H 5 22.530.32 5 CAFE-P CANCER CHILD i 602,17 CLINIC $ 325.00 COSIMN 200.87 CREDUN S DENTAL S DEP-LF SUNLIFE TERM LIFE S 947.87 SU14LIPE HOSP INDEM 5 618.69 FED TAX 5 47.378.69 FICA-M 5 7,47Z60 FICA-0 5 31.605.95 FIRST FLEX S $ 3.677.63 FLX-FE $ GIFT S S 215.69 GRP,N1 GTL HOSP.1 LEGAL 3 1,OS4,06 OTHER 5 296,10 NATIONAL FLI ARM P? S 1.700.95 MED SURCHARGE S PR FIN 5 RELAY REPAY STONEOF S 640.86 STONE STONE 2 STUDEN TSA-R 5 38:120.02 UWIHOS 3 TOTAL DEDUCTIONS, S 164.643.11 5 "8Fi4MANMG 'YfOLlel NET PAY: $ 2 384!MO7 207.92 $ �uidxd -aiaomewrmtwu R1.^ TOTAL CAFE 125 PLAN: S 33,163.04 Les S 'AXABLE PAY: $ 615,692.99 $ 509,788.22 "CALCULATED" From MMC R.nan Di erence 9CA - MED (ER) .,.,. $ 7,477.55 9CA- MED (EE) $ 7,47T55 S 7,477.60 S (0,05 71CA-SOC SEC (ER), <m.. 8 31,606.87 'ICA - SOC SEC (EE) b.w. S 31,606.87 $ 31.606.95 S (0,08 :ED WITHHOLDING S 47,378.69 $ 47,378,69 5 REVISED 3(f82014 NALCKHI TOTALS E 64%656.03 550.00 S S 1, 173.73 S 733.10 S 5 037.17 S 961.22 S 1,508.71 S 22530.32 5 - S - S - U2.77 S 325.00 200, 87 047.87 618,50 47,378,69 7.477.60 31,606.95 3.577.63 235.G3 I,054.06 296.10 1,700.95 540.86 39,420.02 9011e WttI1 PF3YMl"�a1IXge W1RlPStle1^ S S 1 $ 384,207.92 'wOUW MXTfXerlEei"^BiIOLlplµlglP6pn" Exempt Amt: Employees over FICA -SS Cap: Shanna Odonnell S 5.684.23 Roshanda Thomas S 220.54 S Paycode S -Employee Rolmh.: TAX DEPOSIT-. $ 125.5A7.53 S 12550 79 FICA -MEDICARE $ 14.955.10 $14.955.20 FICA - SOCIAL SECURITY v,n. S 63.213.74 $63,213.90 PREPARED BY: FED WITHHOLDING S 47,378.69 $47,378.69 PREPARED DATE: TOTAL TAX: $ 126,647.53 $126,947.79 S (0.26) TOTAL: $ 5.904.77 Caitlin Clevenger 12t5/2022 024 RI MMC TAX DEPOSIT WORKSHEET 1117 22.1s TAX DEPOSITWORKSHEET 12/52022 Fq hat :: A 2: Z 1: V. 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Memorial Medical Center ACH Payment Request Rom 0k7' Count: 9,363.33 DEC 0 5 2022 Im Account: Operating '4357 Canco N � bTWS Account: MUFG Union Bank Account Number; 3120004394 Routing Number: 172000496 by: Caitlin Clevenger Date: 11 28 2022 by "''�V ��71uC Date: 11/28/2022 it agizz MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT — November 28, 2022 - December 04, 2022 Data Bank Dissociation 11/2812022 PAY PLUS ACHTRANS 452579291 10100069SO51909 11/28/2022 IRS USATAKPYMT 2702732534469816103601OD3900 11/28/2022 IRS USATAKPYMT 270273203290906 6103601003893 11/29/2022 PAY PLUS ACHTRANS 452579291101000697062405 11/29/2022 MCKESSON DRUG AUTO ACH ACH05775856 910000151 11/30/2022 STATE COMPTRLR TEKNET 07380167/21129 2100002 11/30/2022 PAY PLUS ACHTRANS 452579291101000698229335 12/1/2022 PAY PLUS ACHTRAN5452579291101000699222993 12/2/2022 STATE COMPTRLR TE%NET 07411200/212012100002 12/2/2022 PAY PLUS ACHTRANS 452579291101000690224216 12/2/2D22 AMERISOURCE BERG PAYMENTS 0100007768 2100002 12/2/2022 AUTHNET GATEWAY BILLING 1261354631040000158 MMCNoteF - 3rd Party Payer Fee -Payroll Taxes -Payroll Taxes - End Parry Payer Fee -340B Drug Program Expense -RAPPS IGT - 3rd Party Payer Fee 3rd Party Payer fee OIPP IGT -3rd Parry Payer fee - 3406 Drug Program Expense ��, e11\xLs .�.�.Cib,°�i•ICaL41 ilA, December5,2022 ANDREW DELOSSANTOS `y Memorial Medical Center PROSPERITY BANK VX CL ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT - ESTIMATED ACHS �� ? LC, Date Descriptor, �Uyl!\ire„�u �_r'�.E'• i'.dwl�U�.6.�- December 5, 2022 ANDREW DE LOS SANTOS Memorial Medical Center MMCNotes P PAOVEDIM DEC 0 5 2022 BY COUNTYAUDITOB CAUfOUNCOUM TrxiS ?lIj Vlu� CPS Amount 5 3 y 5.38r 1114.4 , 129,183.33a1.x1.,V- 921.7q-*- 235. 1 L,. ' 119.43 8 '' 9 % , 2,773.73*��/ 117,013.39,&, 112. 13 2,026,476.831�,- 112.]3 35 , 5 U ' 1,073.92.V- ;2]7,959.09 4 8 LI 6 $ , 35.5u 516•I> . 'if 2•l1'...'I,y , 1<5> iL;- - _ - 921-'/c� A. 11'I •UI� Sb _ 2+02L•h7cT51 - 1- 516°15 516•15 + 516•io 0•Ult Page I of 1 RECEIVED BY THE COUNTY AUDITOR ON v 7M121A622 MEMORIAL MEDICAL CENTER 0 1'1�I ���p AP Open Invoice List CALHOUNUOUNTY TEXAS D ap_upen_invoice.tempiate ales Through. Vendor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 112222 11 /30/20 11 /22/20 12/23/20. 2,221.23 TRANSFER rvii fYISUSFrI�Lt. (�hyyi �tAii( IAh tj,,(d-i_ 112222A 11/30/2011/22/2012/'23/20 3,900.00 TRANSFER 11 Vendor Total: Number Name 11828 SOLERA WEST HOUSTON Report Summary Grand Totals; Gross Discount 6,121.23 0.00 APPROVED ON DEC 01 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Discount No -Pay 0.00 0.00 oil i) - t 0.00 '0,00 t Grass Discount No -Pay 6,121.23 0.00 0.00 No -Pay 0.00 Net 2,221.23 3,900.00 Net 6,121.23 Net 6,121.23 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report382633... 12/1 /2022 Page 1 of 1 COUPSED BY TE gDTrOR ON gik1/20222022 MEMORIAL MEDICAL CENTER AP Open Invoice List 11:06 �ALHOUNCOUNr/ 7 Dates Through: Vendor# Vendor aaa f is Class Pay Code 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 112922 11130/20 11/29/20 12129/20 4,084.5 TRANSFER W4 -1 it Su itAW vvVkl kpo0t1 t,J Ill Vendor Total: Number Name Gross 11820 FORTBEND HEALTHCARE CENTER 4,084.50 Grand Totals: � 4 2 -.. DEC 01 B22 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Report Summary Gross Discount 4,084.50 0.00 0 ap_open invoice.template Discount No -Pay 0 Net 0.00 0.00 4,084.50 o-W upL4�E-\ Discount � o-Pay Net 0.00 0.00 4,084.50 No -Pay Net 0.00 4,084,50 file:///C:/Usersfltrevinolepsilmermned. cpsinct.com/u88l 25/data_5/tmp_cw5report i 46024... 12/1 /2022 Page 1 of 1 RECEIVED By THE COwoYAUDlTOR ON DEC 0 _. 7i�7% MEMORIAL MEDICAL CENTER 12/01/2022 0 AP Open Invoice List e` 4- �1�6UAM COUNry 1 _ ENAS Dates Through: ap_open_invoice.lemplate Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 112322 11/30120 11/23120 12/23/2o 2,620.30 0.00 0.00 2,620.30 V' TRANSFER �j , 18SUVI+Rtt !'3od tal-{lUh'�c� 1�� N�WLL JGuit.,,1\ 112922 11 30/2011129/2012/29/20 2,334.00 0.00 Q/ 0.00 2,334,00 ✓ TRANSFER It 't Vendor Total: Number Name Gross Discount No -Pay Net 118$2 BROADMOOR AT CREEKSIDE PARK 4,954.30 0.00 0.00 4,954.30 Report Summary Grand Totals: Gross Discount No -Pay Net 4,954.30 0.00 0.00 4,954.30 APPROVED ON DEC 01 2022 13Y COUNTY AUDITOR CALHOUN COUNTY, TEXAS file://!C:/Users/]trevino/cpsilmemmed.cpsinct.com/u8 8125/data_5/tmp_cw5report 152331... 12/ 1 /2022 Page 1 of 1 RECEIVED BY THE COUNT/ AUDITOR ON 13t2L01f20222022 MEMORIAL MEDICAL CENTER 0 1'1:05 AP Open Invoice List Dates Through: ap_open_invoice.template c�x[An.�� 4A�aESn�bfkor tv3lne Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 112322 11/30/2011/2312012123120t. 14,618.56 0.00 0.00 14,618.561i' TRANSFER t Wi INutt KU f9t,1-I AC �Uh'ltw< In,h VK 112922 11130120 11129/20 12129/20 2,700.00 0.00 ,0,00 2,700,00 L- TRANSFER Vendor Total: Number Name Gross Discount No -Pay Net 11824 THECRESCENT 17,318.56 0.00 0.00 17,318.56 Report Summary Grand Totals: Gross Discount No -Pay Net 17,318.56 0.00 0.00 17,318.55 DEC 0 12022 CABYCOU, UNry, rrp s file:///C:/iJsers/ltrevino/cpsi/memmed, cpsinet. com/u88125/data_5/tmp_cw5report320750... 12/ 1 /2022 Page 1 of 1 RECEIVEDII COUNTY AUDITOR ON QFF0 0 1 2022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 0 �ALH CJPiCOUNTY,TE;(A5 Dates Through: ap_open_invoice.templale Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 112222 11/30/20 11/22/20 12/23/20 712.16 0.00 0.00 712.16 ✓/. TRANSFER 04 irlsu 4 ku tm{A'f f.11116y1fu: irvh IwtN. ofwk--k-)" ' 112222A 11/30/20 11/22/20 12123/20 812.46 0.00 0.00 812.46 TRANSFER It It 112222E 11/22/20 12/23/20 449.48 0,00 0.00 449.48 I11/30/20 TRANSFER M 112222C 11/30/20 11/22/20 12123/20 0.72 0.00 0.00 0.72 TRANSFER 112322A 11/30/201 i/23/2012/23/20 0.31 0.00 0.00 0.31 TRANSFER It 112322 11130/20 11/23/20 12123/20 378.75 U0 0.00 378.75 ' TRANSFER tt 11 112922 11130/20 11129/20 12129/20 8,360.21 0.00 0.00 8.360.21 TRANSFER U I , 113022 11/3012011/30/2012130/20 203.87 0.00 0.00 203.87 TRANSFER I 113022A 11/30120 11/30/20 12130/20 33,813.60 0.00 0.00 33,813.601,11_ TRANSFER u Vendor Totals Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 44,731.56 0.00 0.00 44,731.56 Report Summary Grand Totals: Gross Discount No -Pay Net 44,731.56 0.00 0.00 44,731.56 DEC 01 2022 6Y COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report511108.., 12/1/2022 Page 1 of 1 RECEIVED 13Y THE COUNTY AUDITOR ON €t,901Q07222C22 MEMORIAL MEDICAL CENTER e D 11:07 AP Open Invoice List ap_open_invoice.template OUN COUNTY, TVA Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 112122E 11130/20 11121120 12/23/20 2,657.68 0.00 0.00 2,657.68✓I TRANSFER N ip YMISUV'tiV\I.,t l Fiv,1 (bPOr'l -A Ill VKL UV 112322 11130/20 11123/20 12/23/20 1,920.00 n\ 0.00 1,920.00 ✓ TRANSFER It 11 Vendor TotalENumhar Name Gross Discount No -Pay Net 12696 GULF POINTE PLAZA 4,577.68 0.00 0.00 4,577.68 Report Summary Grand Totals: Gross Discount No -Pay Net 4,577.68 0.00 0.00 4,577.68 M. f DEC 01 2022 By COUNTY AMFOR CA LHOUN COUNTY, ERAS file:///C:/Users/ltrevino/cpsilmemined.cpsinet.com/u88125/data_5/tmp_cw5rei)ort825918... 12/1 /2022 Page 1 of 1 9ECEIVED HY THE COUNTY AUDITOR ON DEC 0 1 2022 12/01/2022 j.4LHOUlJ LffiUNTY, TEXAS Vendor# Vendor Name 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross 112222 11II1'/''3'012011/22/2012/23120 96.9110 TRANSFER N LL.1 V/ ALP04IJ 112322A 30/201�1ft KTI 3min TRANSFER It 112322 11/30/2011/23/2012123120 2,334.00 TRANSFER" 112922 11/30/2011/29/2012/29/20 1,317.00 TRANSFER it 112922A 11/30/20 11/29/20 12129/20 6,146.00 TRANSFER it Vendor Total: Number Name Gross 13004 TUSCANY VILLAGE 9,924.07 Grand Totals: DEC o 1 2022 BY COUNTY AUDITOR CA WOUN COU", TEXAS Report Summary Gross Discount 9,924.07 0.00 0 ap_open_invoice.tem plate Discount No -Pay Net 0.00 0,00 96.90 KKL 0.00 0. 30.17 v, 0.00 0.00 2,334.00 r1 0.00 0.00 1,317.00 ✓ 0.00 it 0.00 6,146,00 V' r, Discount No -Pay Net 0.00 0.00 9,924.07 No -Pay Net 0.00 9,924.07 file:///C:/Userslltrevinolepsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report5 89966.-. 12/ 1 /2022 Page 1 of 1 RECEIVED BY THE CO�yUNTY�1I1AUDITOR ON E1�0 l2022 2022 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 11;07 ap_open_invoice.template l.:A1HOUN COUNTY, TEXAB Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 112222 1 I t=20 11122/20 12/23/20 245.38 0.00 0.00 245.38v TRANSFER Vl I1k0Ykitlt Pok jwfed Ik 1 MIL Dvt,Y6L �r- 112322 11/30/20 11/23/20 12/23/20 507.60 0100 0.00 507.601i TRANSFER'` 11 112922A 11/30/20 11129/20 12/29120 417,13 0.00 0.00 417.13 v� TRANSFER 4 It 112922 11/30120 11/29/20 12129/20 138.57 0.00 0.00 138.57 V: TRANSFER 112922E 11/30/20 11/29/20 12/29/20 16,306.84 0.00 0.00 16,306.84 TRANSFER I' It 113022 11/30/20 11/30/20 12/30/20 1,039.02 0.00 0.00 1,039.02 ' TRANSFER It 113022A 11/30/20 11/30/20 12/30/20 63,867.42 0.00 0.00 63,867.42 ✓- TRANSFER b1 n Vendor TOtale Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 92,521.96 0.00 0.00 82,521.96 Report Summary Grand Totals: Gross Discount No -Pay Net 82,521.96 0.00 0.00 82,521.96 APPROVED ON DEC 01 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/Itrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report470378... 12/1 /2022 p TUSCANY A Y ,4100UNT VIEN/lOrMAL 1"01MY-AL (1111TER REQ1"JE-S-T Game Requested: -j. 12/05/22 APPROVEDom DEC 0 5 2022 13Y COUNTY AUDITOR CALHOUN COUNTY, TM8 G/ L IN L) N1 S F R: C. X P LA M'-lff! 0 1%1: DEVOTED PAYMENTS THAT BELONG TO TUSCANY FOR ACCT. USE ONLY uI m p rest Cash DA&Cfieck Mail Check Lo Vendor Return Ch,*-ck Lc Dep! -------- -- Mayra Martinez n - I - A'jjy!-"ClM7FF, Fl.y: j>Ca47- -02 Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 12/5/2022 wwpw Kcaum RwmnNJ as M,nm Nnm. 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XM"lw 6163514iKW1x L.U. 1,A1207 WIMCOMCAMfRMfHTIGPEC[MFIIC III 1 13,S4B.31 110O CU2 IIM - t0.All. - W.W.S.66.4 ml CKWT9 low..MPMT>4PL2411u�0E5W% .,WWIN%'li.V fOW61UN N[CxiMPME61p3A4pgT01l{ 16614 - UHC COMMUNIN PC NCCUIMPMT 14dbH1191® 11910 419.10 - <Mw Vl2/202f UNC COMMUNITY PINKUIMPM3316M3C1191KC0 UIWO22 I.NI.W l,t%t-0 I21}130}2 NULTNNUfMNfVC N[CUIMPM111C6MHIIYd2 ].ul.M 7413.91 Iu,s4s14✓ L%1116a - 1E1711U Y MMCPORTION u. a ^LL3ILQYl ElOIi410 OIPP(CVmpl WRIEcmpt OIPP/tnmp3 ryXIC9�np6R12p11 OIPPIi HXPoRXON HPUNIMPC lyWOn - 6125V - 89p3.p1 URC CO HaVIH114150%i4110 UHC COMMUNITY PC NCCUIMPMT T44%341191MO 19,1MV 192160] 1V21WOV UNCCOMMUNTPYPLHCCUIPMT1I4600H11910000 11120MU I<jmS4 - 15,17954 1V2VIO22 NPOVKM NCCIAIMPME690M 43WW162 - 5,3%.5< 5,11951 CHASMS 11/2V2012 NUMANACN4g 9 399.97 WCUIMPW 121340399141110] ly2SWOM OCVOT3D NELLTN P Il1140201NM11 454.00 456.00 851% MISS, wCUIMpw 11(1V20320EVOlFONGLIHPNCCUIMPME V1140301119031 6,%2.00 - 6•800 0 11/19/20U - 2,93C61 11129/20U HNG O • ECHO NCCIAIMPMTAOIV34ll 40NOAMMI I1,ll339 I'm 39 - 11,13339 HNB %3411N RHO ;OM.91 I,326,. IV2912OU HII9U2 1V29IN22 UXC COMMUNITY Pt IIC[WIMPMT 146%U11910W0 CCIAMUCCWMHCCLAI 1,9%.44 - UHC COMMUNI2tNNCCWMPMX0766%3p2192l" 3,65R42 3.M&44 3.%60] IV2912022 11/29/2023 NOVITA9IMUWNNCCWMpPW16A3 94 519.1V 569.30 13/29f%23 HEAl1N HUMAN3VC HCCUIMPM11l16CO3i113W03 Cl41l 111I91302I OEVO HMCH P 0WIN3ON 6,000.% CNow OOW UO HCCIAIMPW U1140399 U309 lyl9/2Y320EVOTtDNFALINP HCCWMPMT U1110399911009 � S,EW.GO 5.mm 5,1pp.% ,LTH _ IU3012021 WIREOUEGNIF%HULTXGRECfMfR3111 I6654466y 11/30/2031 HNBNOVITM OHCMIMPME316W36113C0%0)50111 fi,%94o 6.405,20 UIMIT3503 3234%%111 4n.SI C051tl U130/3023 HUMANSNWONCIJATION ]12/112022 HUMANACICCONCCWMIMPMT3 25,51 12/3/2022 HUMRXACHA OISTU CC PMT AM420'S001R 52,01 SI01 52,01 ILIA 4NS MO0 QU3 13/I/3021 HS PUlt1 A0MIXISi NCCUIMPMTII%SI3100W208 24,800.00 NAMPO L2/LS%2 HOMAHACNA 0151 XC0AIMpMT390W 6200%I616 2190.I6 2 3%36 166.3M.68 ✓ 110.40BO0 ✓� IMAW,%,( MMCPOMIM TnPH,!. pt TaM9u•In OIPPIORP" gI9P/L Tpl ow/CpMP3 DIPP(Wmp66Uple c,PPH NNPORTIWI tNVM13 NXX• [MUNtWOHIM931.1141KCR550f6 1,OSt66 I,HAb' lWRZ1}UN[CUMMYNMILNf[WMPMT N6009111910%] 361H.lp - 1610)330 lU}6/M32 UXCCOMMUNII']PL Nf[WMPML HYOHLL9100% - 1.112.0 - L712.Is Iy11,3031 XUVIT650NTOH NKWMPM]6156f3liNNIB2 13}61.15 13,t6&91 I921/11N1 PepaU C15933 - 6.15912 I11191M11 UN1eJNxllMare XCCUIMPMCIK%)i111M3U I.MOM ].]4PW 11,3911031 MXB-!(MO XCCUIMPMf]I(WMIICIKNMSi>1 4,295.13 4..S,. IV2912M UHCCOMMUNMPLHCCWMPMT7MCOM191WN - 9.W1]L 9,80).11 1VU/M31 H[MT0 HUH. VIC NQUIMPMT I74600MLIW63 UR." IOL67 Ct ll6(++ll NYfuioua_Gi -„ >, , . _ �. _! _ _ . _ _ c:; 4.9t 4' - ails IU3WM3) WJIFOUTGMINnCALTICM[CEM[UIII 6,555J6- I210011YnxAIMeIIMe INCWMPMl 116%x11 U.. 9511.W IW 6,355d6 ✓ 9131A59 J ]LS16,9S j IANHww.ry Tr.mNrtwmu Cv-1..e wunrM1nul:R:aaeremxnxr MnL pawnlua u-ze.nmry rz4l.zmz..N. JI 839de�B 1I11JIU2202E1 URC COM MUNUV PL KCCUUMPPM ]74WA341019 1W 122 UNCCOMMUNIWPLHMMMPM746000 I128IM22 UMANAINSCOHCCWMPMT3M9393MWS(330 1V29/222 HUMANAHCMIMPMT3O693WW303n9 1V29/M22 HUMANACHADISRNCMMPMT2206NWW 11/31/4I2 NUMANACNA OISR XCCUIMPMT39OR61tl0]W160] L1/29/N22 GoMsiI - IS/29/20 Z UHCCl I]/29/M2 HUMANAMUHNYPL NCUUMP M3$ 1421 ISM l2/$9/lpil HUMANACXi PISBNC[IAIMPMT 390161 <IW011699 11130/E01 WIREOUTGNIF}NEAI$XCMECENTERS III 351a2]o f ...._.....__.._.._..N........_...,........._.......„.. IV ... 301022 HNB-ECHOHCCIAIM➢MT]46W3431440WB25065d 30/2022 HNB-ECHO HCCWM➢MT 4341143] 1V3012013 HUB- ECHO NCOAIM➢M37=34114Q=R5W90 1202YM1MNSVC M3 04W34301 2 IVUE012 UNIWH499HCCLAIMFW14W14112l4 n/3j2n MANAGEANDNET371NT0W2lxa l 1/32021 UHCCLAIMPM➢11191W 11/2/2022 UHCCOMMUNO PMT7ASU 0 13/2/IO22 H-ECHO HAIMPUT7404116EXUGaN73 n/2zOzUNUNAgN A 620NXXB l2/2/202I HYM9NACHA.IBHCCUUMAMT351<... 32//29n NLAI¶INUMANNC NCCWMPM]ti33l12 ]Orml MMCPBRnm *nmxnm qIM/COmpl GIPP(CPmpS UIIP/CPmPS gIPP/EomplllaPx glpl Tl 0.e99.91 u,no.os I,9G9.G0 91943 995.W 1.395.00 3,5BO.Op 8,113.10 10,3M.18 309. 930.W PH'I NHPORVON B,R9591 Eo,)lp.as 9494 929.43 95 W 1,395W 3.414 9, 9 0,.H 10.33n 306 930.00 - ig34O3 - 3,8$d.03 2,OV.54 - 3,03].3e - 4.49933 - aw.53 1,. - 1.94S.W 1a0d0.00 0 - 3.3'TSO - 6,3Md0 tmoo - 3.0n.00 - $,290.W - 3,011.(A 3,911.69 - 15,R3].53 - 15,RR1.93 - 3.735W ,W500 - 8.37O.W - 8,910. S1i i9 � 553.50 az4an.]6. lu.ms.41 r 2A3.msAl.f nR,nzsz sm"As s3ozw]s ,/ 12/5/2022 t Treasury Center �✓ _ Account Number Current Balance Avallable Balance Collected Balance Prior Day Solent: Number of Accounts: 16 $7,483,653.24 $7,677,263.45 $7,483,653.24 $9,298,S10.4 '4551 CAL CO INDIGENT $5,499.90 $5,499.90 $5,499.90 $5,573.3 HEALTHCARE '3660 GULF POINTE PLAZA- $100.00 S100.00 $100.00 Simi: DACA '4454 MEMORIAL MEDICAL NH GOLDEN CREEK $113,564.94 $117,487.96 S113,564.94 $112,761.2 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.90 5536.90 5536.90 5536.E 2014 '4357 MEMORIAL MEDICAL S5,704,299.87 S5,775.866.20 $5,704,299.87 57,618,308.E CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE S432.23 S432.23 S432.23 S432.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL S153,118.35 ji $1531118.35 $153,118.35 $148,900.1 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL $127,422,60 S145,198.33 S127,422.60 $118,771.E CENTER/NH ,�� BROADMOOR '4411 MEMORIAL MEDICAL $141,963.62 �� S166,983.36 S141,963.62 $114,973.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $90,978.31 �y $94,929.61 S90,978.31 S90,978.; CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT $163,800. 49 't%- S183,330.49 S163,800.49 $132.244.4 WEST HOUSTON '2998 MMC-MONEY MARKET $296,644.60 $296,644.60 $296.644.60 S296,644.E FUND '5506 MMC-NH BETHANY $371,64218 S373,559.96 S371,642.18 $366.840.2 SENIOR LIVING '5441 MMC •NH GULF POINTE $73,195.55 $113.473.12 $73,195.55 $71.988.2 PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,268.73 S21,614.47 $20,268.73 520,072.2 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $220,184.97 $228.487.97 $220,184.97 S199,384,E VILLAGE ' mdicale: Pace generatec on i210512022: Copyright 2022 Prosperity Bank. https:/Iprosperity.olbanking,comlonlineMessenger 111 Memorial Medical Center Nursing Home UPL Weekly Nexlon Transfer Prosperity Accounts 12/5/2022 P'W..e A,,P.rt Beginning Pending TRd,'a BeUnning Aegilt to Be Tranr4erretlte Muting Ner41n Name Number ealant. ,T1- "n Uut Trani- n Be egte Been. He. / 116,008.11 SDD,965.57✓ 88,505AO�,r/ - 113,S".94 99,4T9.O6n/ Bank Balance 113,564.94 V' Moo. Net.:OnHhelm. olon<r S5,oC0 vnYlbehenaJenetl. the nursing hnmr. N.I.Z Farh orraunr bore ban balance ef$1G01he, 7AMCdepetlretl to openatmunr. FITLTI;I+ r a I DEC U 5 2022 SY COUNTY AUDROA _ CALHOUN COUNTY, IMAS Leave in Baknte 300A0 SUPERIOR SEPTEMBER E4,94"d 011? @Teberlm.nek 27.95V Rwember Interest zam, De¢mhalnt4ra AtlIutt BPlanuRranalerAmt acSD 48,474.06 l-•a ANDBEW DE W65aNT05 1 II/B(107i r:\NR Wnur Tranden\NN UPI Tramrm Summa1170231Detemeerlxx uo.Tramler%MMON 11,2e.22+1%v J�¢3 1012 CIGN/. NfCiNMPM31f8W1!%el100C01%13815 1]/29/239/i0A Oseo4t . A}/39/SOR XCPITNNUMW SVC HC<U1IMPMT ]N60W8113011 i 11J3012012 WIREOUTSFIRSTNEXFORMOEHULTH d(E/e GOLDEN 1191EEK 100,9f55) ✓ 11/30/2012TSYS $FINSTCNCOOFPSi3 5fUN9l)91 - I3/30/l01} TSYf/IWNf31NSTCRC00EPN36M3358N91191 l](10/3013 XWOPSSOlU310M NCCI]IMPMT 63[09)<]OWp1ll . IL112022nVSf NSFIMMPMfDEPW3WSI50MS17P - 12/1/}022 ]SY$1MNSFIM OR CD DEP 5836&55581691) 91 1211/2022 COWENCRFEKfTCN C00EP583698555N169DRU 12/1120226OIDENCBCFNNDLLTMUAI 0[PIR03119742 01p% ❑/1/3022 HMR NSPC WTONNCD DEP S,M)6)CW 60II L - 1]/3/3022 TSYS/EWNSF10.fTt0. CDOFP5136885558l60 V 9] - Tans MMCPORTION OIPR/CA.Pe OIPIfU6mp3 mp1 DIPP(QUP(COpp3 blipl6 DIPIT NMPORTION ]ETQe]11 36342 fi405,21 68,362.16 los.n 105.11 I,S40.59 l,sa6.se 235.15 - 336.25 30,583.59 - 1038358 1,.w 11300.00 186.0A - 11600 3,93N.11 3,93fl41 661.. 861.. 1,142.58 - 2,242.58 803]1 - 603D1 iW949.51 J' N.SMN � 49.505.80 12/5/2022 t✓ Treasury Center cyv Account Number Current Balance Available Balance Collected Balance Prior Day Balanc ` Number of Accounts: 16 $7,483,653.24 $7,677,263.45 $7,483,653.24 $9,298,5%4 '4551 CAL CO INDIGENT 56.499.90 $5,499.90 $5,499.90 $5,573.; HEALTHCARE •3660 GULF POINTE PLAZA - $100.00 5100.00 S100.00 S106S DACA '4454 MEMORIAL ME NH GOLDEN CREEKEK $113,564.94 ,� $117,487.96 $113,564.94 $112,761.2 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.90 $536,90 $536.90 S536.E 2014 '4357 MEMORIAL MEDICAL S5,704,299.87 S5,775,866.20 S5,704,299.87 S7,618,308.E CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE S432.23 $432.23 S432.23 S432.2 WAIVER CLEARING •4381 MEMORIAL MEDICAL S153,118.35 S153,118,35 $153,118.35 S148,900.' CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $12742260 S145.198.33 $127,422.60 5718,771.E BROADMOOR '4411 MEMORIAL MEDICAL $141,963.62 S166,983.36 S141,963.62 $114,973.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL 590.978.31 $94,929.61 $90,978.31 S90,978.3 CENTER/NH FORT BEND -4438 MEMORIAL SOLERA AT MEDICAL CENTER/SOLE $163,800,49 $183,330.49 S163,800.49 $132,244.4 WEST HOUSTON 2998 MMC -MONEY MARKET $296,644.60 5296,644.60 5296,644,60 5296,644.E FUND '5506 MMC -NH BETHANY $371,642.18 S373,559.96 S371.642.18 S366,840.2 SENIOR LIVING '5441 MMC NH GULF POINTE S73,195.55 S113,473.12 $73,196.55 S71,988 PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,268.73 $21,614.47 S20.268.73 $20,072.2 PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY $220,184,97 $228,487.97 S220,184.97 S199,384 c VILLAGE ' ndirate Page generated on Q1051202.2: Copyright 2022 Prosperity Dank. r https://prosperity.albanking,comlonlineMessonger ii i Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 12/5/2022 Pnvlwn 4meunl m Sc b[aum Yagndv Henaw Snnrlemdm X 610 e_ NunYe1 Llare! Anmler-0ut Tnnal<nN [Yad—d Oe odu Ted! aBe Innl BaLnre NUIM Ileme "'�,"r 1 t5,)i).N - 501.19• - 30,SH1.)3 XptlNikr NOBA... 30.3HH.)3� vari lNvHnttBaYnm 100.00 SUPERIORSEPTEMSM ]0,9119Ea 15 ..b.".rnl 3.99✓/ xmember lmemit vat �/ /� Ceaemberlmmn Laiu[[YnanV/rM31!/YA1 1S1536 nnan Pmawtlo He <[wun[ He{InNnH Pmd'n{ ]nnrlemd[o xuN xane xru. 94M n[1[ s Tnulenln ;('ANlemd Cepoaiu Tadeir BeninnircNLrxa HunW a ... ...., 11],I9MB✓ ll],0]3R✓ ]3.0]!B]] ]3,1HS55 % ]3A56,N Bank H[lan[e 73,1,5.5s vamn[e RbnY,v Nlempppn )y. G WlPtinn %nio —, mlv6 k...1.$s" merle rmna/medtomenunlnq Mme. Nett ); E.. a[munl lmr a 6me deMee of $!00 00 mmc deawiled m open o[mvnt. ' j { r DEC 5 2Q c By COUNTY AUDITOR CALHOUN COUNTY, T"AS move.. Babna ORaberinttnn I0.)3 / xmlmb<rim[nn leae ✓ Dxlmberintenn Gtllun O[lana/)aMIIRmt / AASRW p 70iYTXA45PE15 Yg)pl.tl It 1 NIDfl .t IaSSYXTOS )ZrV.. C\xx wn(kinmlmlNn utt r.... Nrsummarv\Sp)llonemberlxxuvl rnm[[r summon a)Y3).au MMCPORTIQN QIPP/C4mP QIPP/CRmP4 TrnnferOut Trander-In QIPP(ComPl 2 QIPP/C9mp3 SbW4 QIPPTI NNPORTION 1]/29/SD22 AETNA ME HCC3.11MPMT 192NO230 SIDWO19611 - 153.28 - 155,28 11/29/2022 HNS ECHO HCCIPIMPMT746WMlIM0000202371 - 15]2 - 26.21 WZ912022 IHIS ECH0 HOMAIMPMT 74LMUll 44WW2MM2 - 67.23 - 67.23 11/29/2022 HNA EMU HCCWMPMT)4WD34114400W2MMS - M21 - 28.21 . 12(?0/?bi4AaftP�4opp5 _ 2 _ _ 12/Zf2022 HNS -ECHO HMWMPMT)460UM114400CO23UeT3 - 6959 - 69.59 22/2/102i HNe-ECHO HCCWMPMT)4600341144OOW2309]3 - 226.85 - 126.85 s0xR9 J $41.29 "i - MMC PORfIDN gIPP(ComP QIpl _ t TrandervOut eMfer-In gIPP(COmP3 I Q2PP/Comp3 &up,.&lapre glpPTl NH PORTION 11/28/2022 NNB-FCNO NCCINIMPMi]4EW3n1]44WWi55091 1n,D6/.13 - ]4,867.1B6).Si 11/29/2D22 DePmlt - 48.09.07 - 48,649.07 11/X/1022 WPS-TU P CONTRAC HCMIMPMT 24010203022M - 25440 - 254.58 11/29/E02E HMTHHUMANSVCWCWMPMTI746W34113013E 3,0032 - 7,W0.92 11/30/2022 WIREDUTHMOSERVICEAICC li),W3A5 _ 112022 MERCHANT BMKCDDEMSIT40MISSIOR09910MI - . .% 98T.i) y) /212 121212022 MERIOMNT0ANKCDOEP031T49M)BS=01437578 - 1.166.18 - 141 I,NLW 32/1/20R N0RIOIAN I3A HCDLIIMRMT b]5893IZOW0143)5]B - 6fi.iB - 66.18 111.073.75 / 73A74.Bx i )30>4.62 f ix].0]3,I5 73.615.13 73.616.11 1215/2022 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,483,653.24 $7,677,263.45 $7,483,653.24 $9,298,510.4 '4551 CAL CO INDIGENT S5.490.90 S5,499.90 $5,499.90 $5,573 HEALTHCARE '3660 GULF POINTE PLAZA- $100.00 $lwo0 S100.00 S100.0 DACA '4454 MEMORIAL NCMEDICAL/ NH GOLDEN CREEK $113,564.94 $117,487.96 $113.564.94 $112,761.2 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.90 S536.90 $530.90 S536.E 2014 '4357 MEMORIAL MEDICAL S5,704,299.87 $5.775.866.20 $5,704,299.B7 S7,618,308.E CENTER -OPERATING '4373 MEMORIALMEDICAL CENTER - PRIVATE $432.23 $432.23 S432.23 S432.'c WAIVER CLEARING '4381 MEMORIAL MEDICAL S153,118.35 S153,118.35 S153,118.35 $148,900.1 CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $127,422.60 $145,198.33 $127.422.60 $118,771.E BROADMOOR '4411 MEMORIAL MEDICAL $141,963.62 5166,983.36 $141,963.62 $114,973.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $90.978.31 $94,929.61 $90,978.31 S90,978.; CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $163,800A9 S1B3,330.49 S163,800.49 S132,244.4 WEST HOUSTON '2996 MMC -MONEY MARKET $296,644.60 S296,644.60 S296,644.60 S296,644.E FUND '5506 MMC-NH BETHANY $371,642.18 S373,559.96 S371,642.18 S366,840.2 SENIOR LIVING '5441 MMC-NH GULF POINTE $73,195.55•1/ $113,473.12 $73,195.55 $71,988 PLAZA - MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE S20268.73 J $21.614.47 S20,26873 S20.072.2 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $220,184.97 S228,487.97 $220,184.97 S199,384 < VILLAGE mnicata: Page generntea on ! 2l05?2022 Copyright 2022 Prosperty Bank. , r https:l/prosperity,olbanking.com/onlineMessenger ill Memorial Medical Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 12/5/2022 A.. Nnans x9me -' R18eSXtl�R$ .fix No(e: OnlYbafwcn o/omrSS,hV wllhruorufn(MIOM[nVry169Fwne. NCtf l: FO(F a<m Vnf M101 OOP([GOIOn([ Of SIW (FN MMf deppailed la opm c([avnf. DEC b 5 2022 BY COUNTY AU©rTOA CALNOUN COUNTY, TeOS .B pitep"9.uu mn9umma. nan,3.ma rna . - - 33Y.1n1.9] 1tlpj1930 Ln90ahnp Z30,IB1.91 r Vardnce Lee,e In be)anx IOO.pO 641LR14ppU0ei a},963.33 d� wcrlftou9sEF am 10,603,111) b0futl balann/]rantln Lm pp,f19.30 e'..EiLVYtio... .��f••1.A h°-LTL'1\'ZIS/2022 ANpR[W GE IGSSRx(p5 Immomm Transfer -Out 11/2912022 HNB-ECHO HCCLAIMPMT 746003411440000255090 11/29/2022 Deposit 12/29/2022 HNB - ECHO HCCLAIMPMT 7460034114ao000ZN642 11/29/2022 NOVITAS SOLUTION HCCLAIMPMT 676201420000194 12/33_O122CS2 WIRE tU LINEAR R 3]/30/1D32 WIRE OUT UNBAR ENTERPRISES, LLC 11/30/2022 MINE- ECHO HCCIAIMPMT 7460O3411440000250454 11/30/2022 NOVITASSOLUTIONHCCIAIMPMT675201420000111 12/2/2022 NOVITAS SOLUTION HCCIAIMPMT 676201420000164 12/2/2022 KS PLAN AOMINIST HCCLAIMPMT 179113000020834 261,815 57 MMC PORTION QIPP/Camp QIPP/Comp QIPPJComp Transfer -In I QIPP/Camp2 3 4&UPS. DEPTI NH PORTION 283.00 - 283.00 126,830.07 - 116,830.07 1,721.06 - 1,721,06 32,682.55 - 32.682.55 ..will .3478` 528.38 - 528.38 7,639-33 7,639.33 2,820.03 _ - 2,820.03 12/5/2022 Treasury Center Y Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,483,653,24 S7,677,263,45 $7,483,653.24 S9,298,510.4 '4551 CAL CO INDIGENT S5,499.90 $5,499.90 $5,499.90 S5,573.2' HEALTHCARE 3660 GULF POINTE PLAZA - $100.00 5100.00 $100.00 $100.0 DACA '4454 MEMORIAL MEDICAL) NH GOLDEN CREEK $113,56C94 $117,487.96 S113,564.94 $112,761.2 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536.90 5536,90 S536.90 S538 c 2014 '4357 MEMORIAL MEDICAL $5,704,299.87 $5.775.866.20 S5,704,299.87 S7,618,308.E CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.23 $432.23 S432.23 8432.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL S153118.35 $153,118.35 $153,118.35 $148,900.1� CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $127,422.60 S145,198.33 $127.422.60 $118,771.E BROADMOOR •4411 MEMORIAL MEDICAL $141,963.52 S166,983.36 $141,963.62 $114.973.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $90,976.31 S94,929.61 $90,978.31 S90,978 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAERAATL CENTER / SOLERA AT $163,800.49 $183,330.49 $163.800.49 $132,244.4 WEST HOUSTON '2998 MMC -MONEY MARKET $296,644.60 S296,644.60 S295,644.60 $296,644.E FUND '5506 MMC -NH BETHANY S371,642.18 S373,559.96 $371,642.18 $366,840.2 SENIOR LIVING '5441 MMC-NH GULF POINTE PLAZA- $73,195.55 S113,473.12 S73,195.55 $71,988 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $20,268.73 $21,614.47 $20.268.73 $20,072.2 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $220,184-97f S228,487.97 6220.184.97 $199,384.S VILLAGE " indicate Page generateu on 1210512022: Copyright 2022 Prospedty Bank, r bttps://prosperity.olbenking.comfonlineMessenger 1;1 Memorial Medical Center Nursing Home UPL weekly HSLTransfer Prosperity AmounU 12/5/2022 PIfYEWI P.MIn( n11a B. Geeewl BeflnnlM M.dlmr Tnndamtllu XurW Noma Num6n Selma hmYUAuI Amml.nln ICI and fle n edi EBe Innln &Imu MunN Nae. _ s 1SS�6vl.lp / lII,fif.]6 � 3JyEpfAO y/,� V 3J1.6218 �)1dJa.3B .� Nhnh 3]1.61LI8 vul 0rlan Lumin Ulna IWW O[Lubellninefl Xmemb.e lnlalefi 36J6� 31.16� dm m6amuml AdiuNeaLneeRr lergml mina p;i No(eOnfybolonra ajorn 55,wwillbe 4omfmN 1.NenumlrgAwne. AOProved�' /1 i(C: �`:., •��..S i:r 1. NMR:FotM1ui<ounl Ao/a 6.16ulmu 0AM IIIo1 Mmcda' &R '. eymo¢mne gNpBFW pF Lb5 W1TOf 1]/5/1022 DEC 0 5 ZOZZ By COUWY ALIMOR CALHOUN COUNTY, TEXAS ewx wmW n.neen\xx wunmmwmmLAlmavm.m6Mrawlmmmsvmmm ux(.II.NI. MMCtipTION MEEK n$[3_,F,r .i Tontlar-I GIPPIQMPI GIPP10,MP3 wpp/o.,3 1XPp/COmP4M3P14 NPPII NXP0RXd3 INb/ID33 nMPttIIO XCCWMPMt]{WHLLNIW]E9JY gfi.56 94656 2/3022 7971.1 ],91b1 IV21/222 Depask 8.9.9 6,911.91 129/2012 IMMI, 525.45 82915. 11/39/23 "OR 4.7.92 1.IW.02 1.22 N, 1W,C1,30 ]504130 IV2912012 HOMl50LN0NNCCAIMPM6]W16$WCy1W � 19,91155 % 14.93I.55 11/30/]021 WIRE OUIPORY IpVTp NX,IIC /3155536 <$pM9119 I3/V20M NPE074 $.Ip3.9] 2,1019) 1CO431351 12/2)302]NNO�E[NO NCgpIMPMf ]460O3W{{IOpOpl3O913 HN3-ECHO HCCERI - 9.9 310,9 12/1/3021 0,49{90.91 4/g9 97 111555.26 V/371.511534 - / 3];W5.30Y 12/5/2022 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,483,653.24 $7,677,263.45 $7.483,653.24 s9,298,510.4 '4551 CAL CO INDIGENT 55,499.90 S5,499.90 $5,499.90 55,573.3 HEALTHCARE '3660 GULF POINTE PLAZA • $100.00 $100.00 5100.00 5100.0 DACA '4454 MEMORIAL MEDICAL/ NH GOLDEN CREEK $113.564.94 5117,487.96 $113,584.94 $112,761,2 HEALTHCARE *4365 MEMORIAL MEDICAL CENTER • CLINIC SERIES $535.90 $536.90 $536.90 $536.E 2014 '4357 MEMORIAL MEDICAL $5.704,299.87 S5,775,866.20 $5,704.299.87 $7,618,308.E CENTER - OPERATING *4373 MEMORIAL MEDICAL CENTER - PRIVATE $432.23 $432,23 $432.23 $432.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL $153,118.35 5153.118.35 $153,118.35 5148,900.' CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL CENTER/NH $127.422.60 5145,198.33 $127,422.60 5118,771.E BROADMOOR '4411 MEMORIAL MEDICAL $141.963.62 5166,983.36 $141,963.62 $114.973.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $90,978.31 $94,929.61 $90,978,31 590,978.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT 5163,800.49 $183,330.49 $163.800.49 S132.244.4 WEST HOUSTON -2998 MMC -MONEY MARKET $296.644.60 S296,644.60 $296,644.60 S296,644.E FUND '5506 MMC -NH BETHANY $371.642.18 $373,559.96 $371,642.18 $366,840.e SENIOR LIVING '5441 MMC-NH GULF POINTE PLAZA' $73.195.56 $113,473.12 $73,195.55 $71,988.E MEDICAREIMEDICAID '5433 MMC •NH GULF POINTE $20,268.73 $21,614.47 520,260,73 $20,072.2 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY 5220,184.97 5228,487.97 $220,184.97 5199,384.E VILLAGE indicate: Page generated on 12/0512022 ; Copyright 2022 Prosperity Sank. https:l/prosperity.olbanking.comlonlineMessenger 1/1 L. n n H r H H m Kz°Oz Hn n M ro H yroy W r w w n n z N � � H H H n n n H N nn z H H ro H H O 99 3 ro ro 0 0 r H ti H U] ro 0 P] ro 'A C L7 H C� O a0w tam ro c ro n N ano td f;C W °'9C gHg h❑❑'I � w pa � e Q SV Stl t•J O o rb O NN 'SON V�i C" ooao roro n r O W N 1 9 y m M H H 70 r I Nta y N HN0 m W �' N y N Qr0 N Al y N H n � H z d N Ul O y 0 K3 H n w H r r b b b ro ro ro ro ro z z e z y J N Uj N H H N H W W H W N r N O lD 01 N W ll� N N N N o o W N 1p N U N � J aG 9 a mg zz zo m � m 3 o � e v $ Dc Zy aG zZ-1 c _-] ac zy COc ry y m A �m yA zm 9 Nip GC r Z� Zi= r OP of r Zv dv Z v-. 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