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2023-01-18 Final PacketOn for CALH®1C N COUNTY COMMISSIONERS'COURT T PACKET COMPLETION SHEET All Agenda Items Properly lumbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's �) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner`s Court.) 2023 a complete and accurate packet ammissioners Court Regular Session was submitted from the Calhoun County Judge's office to the Calhoun County Clerk's Office. — 6A� Calhoun County Judge/Assistant C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx AGENDA NOTICE OF MEETIr1G — 1/18/2023 Rich2prd H. Meyer County judge David Flail, Commissioner, Precinct I Vern lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct f NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 18, 2023 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 C- The subject matter of such meeting is as follows: / AT 6-90 FILED o�cLOGK �„ , i. Call' meeting to order. JAN 13 zo `- Invocation. cou c s Pledges of Allegiance. cY' �E ,v 4. General Discussion of Public Matters and Public Participation. i_ Consider and take necessary action to appoint the attached list to the Calhoun County Ch9S"�Hilstorlcal Commission. (RHM) Public Hearing regarding the request to vacate and abandon a portion of unconstructed public road which includes: Tract 1— 0.110-acre tract; Tract 2 — 0.040-acre tract; and Tract 3 — 0.030-acre tract; all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. 0 � spe�n Consider and take necessary ction to vacate and abandon a portion of unconstructed public road which includes: Tract 1— 0.110-acre tract; Tract 2 — 0.040-acre tract;. and Tract 3 — 0.030-acre tract, all tracts being located in the William Arnold Survey, Abstract No, 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. (JMB) Page 1 of 3 NOTICE OF MEETING — 1./1.8/2023 '8. Consider and take necessary action to authorize a loan in the amount of $40,000 from the General Fund to Magnolia Indianola Beach Pavilions capital project fund. (RHM) Consider and take necessary action to appoint a Judge Pro-Tem of the Commissioners' Court and to be the Court's representative to Memorial Medical Center's Board of Managers monthly meetings. (RHM) 1-o Consider and take necessary action to move the February 22, 2023 meeting to March 1, 2023 to enable the Judge and Commissioners to attend the V.G. Young Institute in �College Station. (RHM) t consider and take necessary action to approve road topping material and the Easement Access Agreement with Black Mountain Energy Storage. (RHM) &2-. Consider and take necessary action to authorize the application for funds from the Local Assistance and TribalConsistency Fund through the U.S. Department of the Treasury and authorize all appropriate signatures. (DEH) 43. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Building. The only change being made is on page 2, number 2, Time of Performance: the year should be 2024 not 2G23. (DEH) r4w. Consider and take necessary action to amend the Criminal District Attorney's 2023 budget of the Forfeiture Fund in the amount of $6,893.80 for salary supplements and FICA for Arnold Hayden for FY 2023 (January 23, 2023 through December 31, 2023) and an additional $1,000 to cover expenditures such as civil citation fees in asset forfeitures. (RHM) t5. Consider and take necessary action to add Lavaca Shrine Club to the List of Exempt ��Entities for the Calhoun County Fairgrounds and Agricultural Facilities. (RHM) 1 Consider and take necessary action to accept the 2022 Racial Profiling report that wa submitted to the State to be in compliance with TCOLE requirements. (RHM) sk4 rr Z7. Consider and take necessary action to authorize a feasibility study by the Texas A & M ��AgriLife Extension Service for a proposed exposition center. (RHM) 58. Consider and take necessary action to renew the Services Agreement with Frontier Communications and authorize Commissioner Lyssy to sign all necessary documents. �(VLL) i9. Consider and take necessary action to authorize the Texas Water Safari to use the Bill Sanders Memorial Park for the finish line for the 2023 Texas Water Safari and authorize the use of park facilities and overnight camping from June 8 — June 14, 2023. Postponement dates are June 22 — 28, 2023 and July 6 — 12, 2023. (GDR) t6. Consider and take necessary action to declare as Waste the ice machines on the attached form from Precinct 4. (GDR) Page 2 of 3 l INOTICE OF MEE1lNG — 1/18/2023 t-1. Consider and take necessary action to declare as Surplus/Salvage the vehicle described won the attached form. (RHM) `22. Consider and take necessary action to transfer the items on the attached Transfer Form from the Juvenile Probation Department to the Sheriff's Office. (RHM) 23. Accept Monthly Reports from the following County Offices: tip District Clark— December 2022 Wi Justice of the Peace, Precinct 3 — December 2022 fti Tax Assessor -Collector —December 2022 it Texas Agrilife Extension Service — December 2022 t-�4-1­1 and Youth Development Agriculture and Natural Resources 3. Family and Community Health Coastal and Marine A24. Consider and take necessary action on any necessary budget adjustments. (RHM) /25. Approval of bills and payroll. (RHM) I d. m� Richard H. Meyer, County dge Calhoun County, Texas A copy of this Notice has been placed onthe outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas,.. which is readily accessible to the general public at times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.caIhouncotx ora under "Commissioners' Court Agenda" for any official court postings. Page 3 of MINUTES JANUARY 18, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order by Judge Richard Meyer at 10 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a Page 1 of 7 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 5. Consider and take necessary action to appoint the attached list to the Calhoun County Historical Commission. (RHM) Mary Bell Mitzen read the list. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 6. Public Hearing regarding the request to vacate and abandon a portion of unconstructed public road which includes: Tract 1 - 0.110-acre tract; Tract 2 - 0.040- acre tract; and Tract 3 - 0.030-acre tract, all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. Regular meeting closed: 1:03 Dennis Arriaga explained the reason for the vacate. Meeting opened: 10:05 7. Consider and take necessary action to vacate and abandon a portion of unconstructed public road which includes: Tract 1 - 0.110-acre tract; Tract 2 - 0.040-acre tract; and Tract 3 - 0.030-acre tract, all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Oct 3 SECONDER. Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to authorize a loan in the amount of $40,000 from the General Fund to Magnolia Indianola Beach Pavilions capital project fund. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER:Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 7 ZAO.COMMISSIONER COURT MINUTES ETC\2023 9. Consider and take necessary action to appoint a Judge Pro -Tern of the Commissioners' Court and to be the Court's representative to Memorial Medical Center's Board of Managers monthly meetings. (RHM) Commissioner David Hall was appointed as Judge Pro -Tern. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES:, Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to move the February 22, 2023 meeting to March 1, 2023 to enable the Judge and Commissioners to attend the V.G. Young Institute in College Station. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to approve road topping material and the Easement Access Agreement with Black Mountain Energy Storage. (RHM) Dan with Black Mountain Energy Storage explained the concern With using ,gravel instead of limestone on;a future road.•After discussion, it was agreed that limestone would be used instead of-0 ravel. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER:' Joel Behrens; Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the application for funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury and authorize all appropriate signatures. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER; Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 7 ZAO,COMMISSIONER COURT MINUTES ETC\2023 13. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Building. The only change being made is on page 2, number 2, Time of Performance: the year should be 2024 not 2023. (DEH) 14. Consider and take necessary action to amend the Criminal District Attorney's 2023 budget of the Forfeiture Fund in the amount of $6,893.80 for salary supplements and FICA for Arnold Hayden for FY 2023 (January 23, 2023 through December 31, 2023) and an additional $1,000 to cover expenditures such as civil citation fees in asset forfeitures. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Oct 2 SECONDER: David Hall, Commissioner Oct 1 . AYES: Judge Meyer, Commissioner Hall, Lyssy, I Behrens, Reese . 15. Consider and take necessary action to add Lavaca Shrine Club to the List of Exempt Entities for the Calhoun County Fairgrounds and Agricultural Facilities. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall; Commissioner P AYES: Judge Meyer, Commissioner` Hall; Lyssy, Behrens; Reese 16. Consider and take necessary action to accept the 2022 Racial Profiling report that was submitted to the State to be ir:i compliance with TCOLE requirements. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Oct 2 SECONDER Joel Behrens, Commissioner Oct 3 AYES: Judge Meyer, Comrn'issioner`Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to authorize a feasibility study by the Texas A & M Agrilife Extension Service for a proposed exposition center. (RHM) RESULT:, APPROVED [UNANIMOUS] , MOVER: Vern Lyssy, Commissioner Oct 2 SECONDER: ` Joel Behrens, CommissionerOct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 7 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 18. Consider and take necessary action to renew the Services Agreement with Frontier Communications and authorize Commissioner Lyssy to sign all necessary documents. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy," Behrens, Reese :: 19. Consider and take necessary action to authorize the Texas Water Safari to use the Bill Sanders Memorial Park for the finish line for the 2023 Texas Water Safari and authorize the use of park facilities and overnight camping from June 8 - June 14, 2023. Postponement dates are June 22 - 28, 2023 and July 6 - 12, 2023. (GDR) 20. Consider and take necessary action to declare as Waste the ice machines on the attached form from Precinct 4. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER:.• Vern Lyssy, CommissionerPct 2 SECONDER:; Joel Behrens, Commissioner Pct 3 AYES:,' Judge, Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to declare as Surplus/Salvage the vehicle described on the attached form. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: - David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner' Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to transfer the items on the attached Transfer Form from the Juvenile Probation Department to the Sheriff's Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Oct 3 AYES: Judge Meyer, CommissionerHall, Lyssy, Behrens, Reese Page 5 of 7 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 23. Accept Monthly Reports from the following County Offices: i. District Clerk - December 2022 ii. Justice of the Peace, Precinct 3 - December 2022 iii. Tax Assessor -Collector - December 2022 iv. Texas Agrilife Extension Service - December 2022 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVERi.: , Vern Lyssy; Commissioner,Pct 2 SECONDER: Joel Behrens,:Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action on any necessary budget adjustments. (RHM) Page 6 of 7 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 25. Approval of bills and payroll. (RHM) MMC Bills: RESULT11,11APPROVED [UNANIMOUS] MOVER:" David.:Hall Commissioner PceI, SECONDER: Vern Lyssy, Commissioner Pct 2 ,AYES: • Judge Meyer, Commissioner:Hall, Lyssy, Behrens; Reese County Bills 2022: .RESULT: APPROVED [UNANIMOUS] MOVER:JP David Hall; Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner;Pct 2 AYES: .. Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese° .. lilts 2023: APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1 Adjourned 10:27 a.m. Page 7 of 7 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 # 05 5. Consider and take necessary action to appoint the attached list to the Calhoun County Historical Commission. (RHM) ;II Mitzen read the list. APPROVED[UNAP Vern Lyssy, Commis )ER: David Hall, Commiss Judge Meyer, Comm IOUs] ier Pct 2 er Pet 1 ici. i I4u, "yoc Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Page 2 of 22 Mae Belle Cassel From: mmeitzen60Qgmail.com Sent: Thursday, January 12, 2023 9:17 AM To: Mae Belle Cassel Cc: rmloflin®gmail.com; Gary Ralston; John Kassner Subject: Calhoun County Historical Commission Appointees Attachments: CHC_Appointee_Roster_Template_2023_O.xlsx CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. To Commissioners Court Attached is the Appointee List who have agreed to preserve Calhoun County's historical resources for 2023-2025. Elected officers include Chairman Robert Loflin, Vice -Chair John Kassner, Secretary Mary Belle Meitzen, and treasurer Gary Ralston. Please let me know the docket date. Thank you, Mary Belle Meitzen Secretary CCHC # 06 6. Public Hearing regarding the request to vacate and abandon a portion of unconstructed public road which includes: Tract 1 - 0.110-acre tract; Tract 2 - 0.040- acre tract; and Tract 3 - 0.030-acre tract, all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. Regular meeting closed: 1 03 Dennis Arriaga explained the reason for the vacate. Meeting opened: 10:05 Page 3 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 I PUBLIC I-JEARING — 1/18/2023 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF PUBLIC HEARING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 18, 2023 at 10:00 a.m. in the Commissioners'Courtroom in the County Courthouse, 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. NOTICE IS HEREBY GIVEN that the Calhoun County Commissioners' Court will hold a Public Hearing regarding a Request to Vacate and Abandon a portion of unconstructed public road which includes: Tract I — 0.110-acre tract; Tract 2 — 0.040-acre tract; and Tract 3 — 0.030- acre tract, all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia„ more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, GaiIord H. Waggoner and Katherine L. Waggoner. The (public shall have the right to be present and participate in such hearing. " O FILED t AT O'CLOCK Ni JAN 13 2023 Richard H. Meyer, County u ge q + Calhoun County,Texas C0`, L Lt ©N "1 By a EPU 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. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.orgunder "Commissioners'Court.Agenda" for any official court postings. Page 1 of 1 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172^0livia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: icel.behrensQcalhouncotx.orc 9 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for January 18, 2023. Please Consider and Take Necessary Action on Public hearing regarding the request to vacate and abandon a portion of unconstructed public road which includes tract 1:0.110 acre tract 2: 0.040 acre tract; and tract 3 0.030 acre tract, all tracts being located in the William Arnold Survey, abstract No. 2 Calhoun County, TX and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the posted notice and application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. Sincerely, Joel Behrens Commissioner Pct. 3 STATE OF TEXAS § COUNTY OF CALHOUN § KNOW ALL MEN BY THESE PRESENTS: NOTICE OF INTENT TO ABANDON A PORTION OF PUBLIC ROAR IN OLIVIA TOWNSITE, CALHOUN COUNTY, TEXAS Attached is a petition to abandon a portion of a public road located in Olivia Townsite, Calhoun County, Texas, which application is intended to be filed with the Calhoun County Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty days after December a 1 2022, being the date that this Notice of Intent is posted at the following locations: on the portion of the public road to be abandoned, at the Precinct 3 county barn, and the Courthouse door in Calhoun County, Texas. By: D nnis Arriaga Attomey for Ro d R. Lopez, Jr., Roland R. Lopez, Thomas A. Nickelson, Gailord H. Waggoner, and Katherine L. Waggoner P.O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § APPLICATION AND PETITION TO ABANDON A PORTION OF A PUBLIC ROAD TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY: NOW COMES, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Nickelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 377, Plat Records of Calhoun County, Texas, hereby petitions Commissioner's Court to abandon the following portion of a certain designated public road in said county pursuant to Texas Transportation Code Section 251.051, to -wit: A 20-foot alley/road easement between Lots One (1), Two (2), Three (3), Four (4), Five (5), Six (6) and Seven (7), and Lots Eleven (11), Twelve (12). Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 377, Plat Records of Calhoun County, Texas. Said 20-foot alley/road easement is more fully described by metes and bounds on the attached Exhibit "A" and depicted in the survey on the attached Exhibit `B". In support hereof, the undersigned parties, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Mickelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, will show the Court that: a. There are no other property owners in said precinct whose property rights will be affected by the abandonment ofthe above -described portion of said road other than Eddie Joe Newton and Carl Bentley Newton; b. The county has never opened or maintained said portion of said road; c. Texas Transportation Code Section 251.051 and Section 251.052 provide that a county may alter an existing roadway; and d. Eddie Joe Newton and Carl Bentley Newton are adjoining landowners, being the current owners of Lots Seven (7) and Eleven (11). WHEREFORE, the undersigned parties, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Micicelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 376, Plat Records of Calhoun County, Texas, prays that after proper notice of this petition to abandon the following portion of a certain roadway in said county pursuant to Texas Transportation Code Section 251.051 & Section 251.052 has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route and on the site of the portion of the road to be abandoned as required by law, that this Honorable Commissioner's Court enter an order abandoning that portion of the road described above, to the Applicants pursuant to Texas Transportation Code Section 251.051 & Section 251.052. WITNESS OUR HANDS, this � day of December, 2022. Dennis Arriaga, Att ey for Roland R. Lopez, Jr., gland R. Lopez, Thomas A. Micicelson, Gailord H. Waggoner and Katherine L. Waggoner P. O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 2 STATE OF TEXAS COUNTY OF CALHOUN § This instrument was sworn to and acknowledged before me on this theme day of December, 2022, by Dennis Arriaga. - KATHYVICKERY Notary of Texas ....... ;( My Notary ID # 10524140 ''' ?2 E*res May 13, 2024 EXHIBIT "A" ROAD EASEMENT 0.203 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.203 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a 20-foot Road Easement of the E.B. Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.203 acre tract of land being more fully described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west line of "D" Street (a 6D-foot Right -of -Way) marking the northeast corner of Lot 17 of the aforesaid E.B. Grant Subdivision for the southeast corner of the herein described tract; THENCE, South 87°23'42" West (South 90°00'00" West), along the south line of said 20foot Road Easement, with the north line of Lots 11-17 of said E.B. Grant Subdivision, a distance of 443.13 (443.00) feet to a found 1/2" pipe marking the northwest corner of the aforesaid Lot 11 and being along the east line of Lot 9 of said E.B. Grant Subdivision for the southwest corner of the herein described tract; THENCE, North 02°38'08" West (North 00"00'00" West), along the east line of said Lot 9, a distance of 20,00 (20.00) feet to a found 1/2" pipe marking the northwest comer of said 20-foot Road Easement, same being the northeast corner of said Lot 9, and being a common corner between Lots 7 & 8 of said E.B. Grant Subdivision for the northwest corner of the herein described tract; THENCE, North 87'23'42" East (North 90°00'00" East), along the north line of said 20-foot Road Easement, with the south line of Lots 1-7 of said E.B. Grant Subdivision, a distance of 443.10 (443.00) feet to a point along the west right-of-way line of said "D" Street marking the northeast corner of said 20-foot Road Easement and being the southeast corner of the aforesaid Lot 1 for the northeast corner of the herein described tract, from which a found 5/8" steel rebar bears North 14°01'00" East, a distance of 0.47 feet; THENCE, South 02'42'45" East (South 00°00'00" East), along the west right-of-way line of said "D" Street, a distance of 20.00 (20.00) feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.203 acre tract of land, more or less. Bearings are based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00005989555965 (GE01 D12A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525586.00 I --- co X LI I ^V\ (S MCGW'E P0.' ((S �Se 5 • 2'45' E 20.0.00 1\A\IY\I Q F 5 0[xYx3' E m.W N J F O.V. E m.m) z � w Y1 aR LL2 til 'nFC N z gg 3 H ' p pUREp EOi LLYE b� GC runFn w ura: g Egli Y �i�= . 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Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.110 acre tract of land being more fully described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west line of "D" Street (a 60-foot Right -of -Way) marking the northeast corner of Lot 17 of the aforesaid E.B. Grant Subdivision for the southeast corner of the herein described tract; THENCE, South 87°23'42" West (South 90'00'00" West), along the south line of said 20-foot Road Easement, with the north line of Lots 12-17 of said E.B. Grant Subdivision, a distance of 39253 (393.00) feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking the northwest corner of the aforesaid Lot 12 and being the northeast corner of Lot 11 of said E.B. Grant Subdivision for the southwest corner Of the herein described tract; THENCE, North 04"30'25" West, over and across said Road Easement, a distance of 20.01 feet to a found 5/g" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking the southwest corner of Lot 6 of said E.B. Grant Subdivision, and the southeast comer of Lot 7 of said E.S. Grant Subdivision for the northwest comer of the herein described tract; THENCE, North 87-23'42" East(North 90°00'00" East), along the north line of said 20-foot Road Easement, With the south line of Lots 5.6 of said E.B. Grant Subdivision, a distance of 84.86 feet to a found 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the south line of said Lot for an exterior corner of the herein described tract; THENCE, South 02'36'18" East, departing the south line of said Lot 5 Into said Road Easement, a distance of 10.00 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the centerline of said Road Easement for an interior corner of the herein described tract: THENCE, North 07'2342" East, with the centerline of said Road Easement, a distance of 308.31 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west right-of- way line of said "D" Street for the northeast corner of the herein described tract; THENCE, South 02°42'45" East (South 00'00'00" East), along the west right-of-way line of said "D" Street, a distance of 10.00 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.110 acre tract of land, more or less. Bearings are based on the Texas State. Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined sale factor of 1.00005989555965 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. F`uB.hlrl�`- 01/091202: Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 515586.00— TRACT I EXHIBIT "A" # 07 7. Consider and take necessary action to vacate and abandon a portion of unconstructed public road which includes: Tract 1 - 0.110-acre tract; Tract 2 - 0.040-acre tract; and Tract 3 - 0.030-acre tract, all tracts being located in the William Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a road easement of the E.B. Grant Subdivision according to the established map or plat of Olivia, more fully described by metes and bounds in the Posted Notice and Application. Property owners are: Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall,,Lyssy, Behrens, Reese Page 4 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 VACATE AND ABANDON A PORTION OF PUBLIC ROAD IN OLIVIA TOWNSITE, CALHOUN COUNTY, TEXAS 0/2 A Motion wa by Commissioner IiQ11�Itl) and seconded by Commissioner to Vacate and Abandon a portion of a public road in Olivia Townsite, Calhoun County, Texas as shown on the following Order with exhibits attached. Commissioners__ W , W444 f wt 1 Nnn voted in favor of the motion. ORDER DECLARING CLOSURE OF A PORTION OF PUBLIC ROAD IN OLIVIA TOWNSITE, CALHOUN COUNTY, TEXAS WHEREAS, on the 18th day of January, 2023, the Commissioner's Court of Calhoun County, Texas considered the request of Roland R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner, being property owners in Precinct 3 of Calhoun County, Texas, to abandon and vacate the following portion of a public road in Olivia Townsite, Calhoun County, Texas: Tract 1: BEING a 0.110 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E. B. Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.110 acre tract of land being more fully described by metes and bounds on Exhibit "A" attached hereto and on the survey attached hereto marked Exhibit "D". Tract 2: BEING a 0.040 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E. B. Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.040 acre tract of land being more fully described by metes and bounds on Exhibit `B" attached hereto and on the survey attached hereto marked Exhibit "D". Tract 3: BEING a 0.030 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E. B. Grant Subdivision according to the established map 1 or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.030 acre tract of land being more fully described by metes and bounds on Exhibit "C" attached hereto and on the survey attached hereto marked Exhibit "D". WHEREAS, Texas Transportation Code §251.051 vest in the Commissioner's Court the authority to abandon and vacate a portion of the road; and WHEREAS, the Commissioners have not previously classified the subject road as either a first class or second class road; and WHEREAS, the Commissioner's actions to abandon or vacate the road have not been enjoined or sought to be enjoined by any party; and WHEREAS, proper notice of the petition to abandon and vacate the road has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route, being at the Precinct 3 county barn and on the property at the portion of the road to be abandoned and vacated, for at least twenty (20) days before the date the application was made to the Court; and WHEREAS, the Commissioners have voted unanimously to abandon and vacate the portion of the road described on the attached Exhibits "A", "B", "C", and "D." WHEREAS, all requirements of Texas Transportation Code §251.051 and §251.052 have been complied with in declaring said road to be abandoned and vacated. NOW, THEREFORE, ON MOTION DULY MADE BY Commissioner mA 11S and SECONDED by Commissioner and upon said Motion having been approved by the Commissioner's Court in a properly posted public meeting; F) IT IS ORDERED AND DECREED, that Calhoun County does hereby CLOSE, ABANDON and VACATE that portion of road described on the attached Exhibits "A", "B" and "C". IT IS FURTHER ORDERED AND DECREED that on the date this Order is signed, title to the portion of road closed by this Order described in Exhibit "A" is vested in Gailord H. Waggoner and Katherine L. Waggoner; title to the portion of the road closed by this Order described in Exhibit "B" is vested in Thomas A. Mickelson and Gailord H. Waggoner and title to the portion of the road closed by this Order described in Exhibit "C" is vested in Roland R. Lopez, Jr., and Roland R. Lopez, all vesting pursuant to Texas Transportation Code §251.058(b). IT IS FURTHER ORDERED AND DECREED that a copy of this Order is to be filed in the Official Records of Calhoun County, Texas and a duly filed copy of the Order shall serve as the official instrument of conveyance of the closed portion of the road, Olivia Townsite, Calhoun County, Texas from CALHOUN COUNTY to the respective owners of the abutting property as set forth hereinabove, pursuant to Texas Transportation Code §251.058(b). SIGNED THIS 18th day of January, 2023. CALHOUN COUNTY, TEXAS HO(OLBLE RICHARD ME , CALHOUN COUNTY JUDGE 3 ATTESTED TO BY: ANNA GOODMAN CALHOUN COUNTY CLERK Deputy Clerk TRACT 1 0.110 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.110 acre tract of land situated In the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E.B. Grant Subdivision according to the established map or plat thereof recorded in Volume 2, Page 377 of the Plat Records, Calhoun County, Texas, said 0.110 acre tract of land being more fully described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west line of "D" Street (a 60-foot Right -of -Way) marking the northeast corner of Lot 17 of the aforesaid E.B. Grant Subdivision for the southeast corner of the herein described tract; THENCE, South 87'23'42" West (South 90°00'00" West), along the south line of said 20-foot Road Easement, with the north line of Lots 12-17 of said E.B. Grant Subdivision, a distance of 392.53 (393.00) feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking the northwest corner of the aforesaid Lot 12 and being the northeast corner of Lot 11 of said E.B. Grant Subdivision for the southwest corner of the herein described tract; THENCE, North 04°30'25" West, over and across said Road Easement, a distance of 20.01 feet to a found 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." marking the southwest corner of Lot 6 of said E.B. Grant Subdivision, and the southeast corner of Lot 7 of said E.B. Grant Subdivision for the northwest corner of the herein described tract; THENCE, North 87"23'42" East (North 90°00'00" East), along the north line of said 20-foot Road Easement, with the south line of Lots 5-6 of said E.B. Grant Subdivision, a distance of 84.86 feet to a found 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the south line of said Lot 5 for an exterior corner of the herein described tract; THENCE, South 02°36'18" East, departing the south line of said Lot 5 into said Road Easement, a distance of 10.00 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the centerline of said Road Easementfor an Interior corner of the herein described tract: THENCE, North 87°23'42" East, with the centerline of said Road Easement, a distance of 308.31 feet to a set 5/9" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west right-of- way line of said "D" Street for the northeast corner of the herein described tract; THENCE, South 02`42'45" East (South 00°00'00" East), along the west right-of-way line of said "D" Street, a distance of 10.00 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.110 acre tract of land, more or less. Bearings are based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00005989555965 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. LaAN%LL1 O109M02 Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 y1}}gLOfrIr=1:T_T9i1 EXHIBIT "A" TRACT 2 0.040 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.040 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E.B. Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0,040 acre tract of land being more fully described by metes and hounds as follows: BEGINNING at a found 1/2" pipe along the north line of said Road Easement, marking the southeast corner of Lot 3 of the aforesaid E.B. Grant Subdivision and the southwest corner of Lot 2 of said E.B. Grant Subdivision for the northeast corner of the herein described tract, from which the southeast corner of lot 1 of said E.B. Grand Subdivision bears North 87°23'43" East (North 90°00'00" East), a distance of 132.25 (133.00)feet; THENCE, South 02°36'18" East, departing the north line of said Road Easement, a distance of 10.00 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the centerline of said Road Easement for the southeast corner of the herein described tract; THENCE, South 87°23'42" West, with the centerline of said Road Easement, a distance of 176.04 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the centerline of said Road Easement for the southwest corner of the herein described tract; THENCE, North 02°36'18" West, over and across said Road Easement, a distance of 10.00 to found 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the north line of said Road Easement and the south line of Lot 5 of said E.B. Grand Subdivision for the northwest corner of the herein described tract; THENCE, North 87°23'42" East (North 90°00'00" East), along the north line of said 20-foot Road Easement, with the south line of Lots 3-5 of said E.B. Grant Subdivision, a distance of 175.04 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.040 acre tract of land, more or less. Bearings are based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00005989555965 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision In November, 2022 and are true and correct to the best of my knowledge and belief. mr0arz0: Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525586.00—TRACT 2 EXHIBIT "B" TRACT 3 0.030ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.030 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a portion of a 20-foot Road Easement of the E.B. Grant Subdivision according to the established map or plat thereof recorded in Volume 7, Page 377 of the Plat Records, Calhoun County, Texas, said 0.030 acre tract of land being morefully described by metes and bounds as follows: BEGINNING at a point along the west line of "D" Street (60-foot Right -of -Way), being the southeast corner of Lot 1 of the aforesaid E.B. Grant Subdivision for the northeast corner of the herein described tract, from which a found 5/8" steel rebar bears North 14°01'00" East, a distance of 0.47 feet: THENCE, South 02°42'45" East (South 00°00'00" East), with the west right-of-way line of said "D" Street, a distance of 10.00 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the centerline of said Road Easement for the southeast corner of the herein described tract: THENCE, South 87°23'42" West, with the centerline of said Road Easement, a distance of 132,27 feet to a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC," along the centerline of said Road Easement for the southwest corner of the herein described tract; THENCE, North 02°36'18" West, over and across said Road Easement, a distance of 10.00 to a found 1/2" pipe along the north line of said Road Easement, marking the southeast corner of Lot 3 of said E.B. Grant Subdivision and the southwest corner of Lot 2 of said E.B. Grant Subdivision for the northwest corner of the herein described tract; THENCE, North 87°23'43" East (North 90°00'00" East), along the north line of said 20-foot Road Easement, with the south line of Lots 1 and 2 of said E.B. Grant Subdivision, a distance of 132.25 feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.030 acre tract of land, more or less. Bearings are based on the Texas State Plane Coordinate System (NAD 83), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00005989555965 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. a4L BV0ar2n23 Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6516 525586.00 —TRACT 3 EXHIBIT "C" (50 RIGHT-OF-WAY) n 8§a s (s orc 5 E ao. R:4 -4r .u� E 20.00' �, F F V ' set ¢ 05 0Y63'0.5' L(5 aVN0'0T E } F 49 ^ m ®W9 g �m 6nF m.. w U m > e8 �� m f e °� 3c5 2 4 z RZ Fo 6L+ n an runEo wr uxE Kw ssl"�e°a 3�� a� F STREET H6 3wwww RmSo�ow RSgNP K a �JJ a qg LBO PIAiIEP wr uxE a L5 m gg F � f ow p o �a jk z gin n 3a as S 8Z� ' $ TINE g � PUiIEO LOi 11NE n PUiIF➢ L0i ° $' s $O' m66 Z O� €¢ J Eo o gFgw � . F0P UZ° G•- PU,Lg IME ell C Ui20 LOi YNE ' o & ¢ 3 yF� 3 tl�y� (ga�mz UF�Q 8 n ^ ZO tgOGd d°=F� QOO6 L2 a'° = @ C.�" p@` V CI �k C ° . i�4'4P a 0in ^: paZg FI °gk-NZ6 o m j m PIPi1F➢LOi INE n lz o� o < x �U UFF O 1w T�a2:" :i _afn "::o Y\38iiP0.�'2� 'X2..W'IIII F W�No W N oWN �\ j� oo� ly:..isE✓'�P W. H -max o 6 $p s z �a0 n sFz� Li N 02'42`1.5' W 50.00 W 50.00') w Z ° (N 0000'00' rc zw_ a€°n o aoll' `oe WzWaI.,xw,x ^ 9 �a� a Nw �0K W NN6 6 0 >T 2G r� ua 9 0 STATE OF TEXAS § COUNTY OF CALHOUN § KNOW ALL MEN BY THESE PRESENTS: NOTICE OF INTENT TO ABANDON A PORTION OF PUBLIC ROAD IN OLIVIA TOWNSITE, CALHOUN COUNTY, TEXAS Attached is a petition to abandon a portion of a public road located in Olivia Townsite, Calhoun County, Texas, which application is intended to be filed with the Calhoun County Commissioner's Court and heard by the Commissioner's Court upon expiration of twenty days after December :� 1 , 2022, being the date that this Notice of Intent is posted at the following locations: on the portion of the public road to be abandoned, at the Precinct 3 county barn, and the Courthouse door in Calhoun County, Texas. By: D nnis Arriaga Attorney for Ro Pand R. Lopez, Jr., Roland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner, and Katherine L. Waggoner P.O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF CALHOUN § APPLICATION AND PETITION TO ABANDON A PORTION OF A PUBLIC ROAD TO THE HONORABLE COMMISSIONER'S COURT OF CALHOUN COUNTY: NOW COMES, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Micicelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 377, Plat Records of Calhoun County, Texas, hereby petitions Commissioner's Court to abandon the following portion of a certain designated public road in said county pursuant to Texas Transportation Code Section 251.051, to -wit: A 20-foot alley/road easement between Lots One (1), Two (2), Three (3), Four (4), Five (5), Six (6) and Seven (7), and Lots Eleven (11), Twelve (12). Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 377, Plat Records of Calhoun County, Texas. Said 20-foot alley/road easement is more fully described by metes and bounds on the attached Exhibit "A" and depicted in the survey on the attached Exhibit `B". In support hereof, the undersigned parties, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Micicelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, will show the Court that: a. There are no other property owners in said precinct whose property rights will be affected by the abandonment of the above -described portion of said road other than Eddie Joe Newton and Carl Bentley Newton; b. The county has never opened or maintained said portion of said road; c. Texas Transportation Code Section 251.051 and Section 251.052 provide that a county may alter an existing roadway; and d. Eddie Joe Newton and Carl Bentley Newton are adjoining landowners, being the current owners of Lots Seven (7) and Eleven (11). WHEREFORE, the undersigned parties, Roland R. Lopez, Jr. and Roland R. Lopez, being the owners of Lots One (1) and Two (2); Thomas A. Mickelson and Gailord H. Waggoner, being the owners of Lots Three (3), Four (4), and the east 35 feet of Lot Five (5); Gailord H. Waggoner and Katherine L. Waggoner, being the owners of Lot Six (6) and the west 35 feet of Lot Five (5); and Gailord H. Waggoner, being the owner of Lots Twelve (12), Thirteen (13), Fourteen (14), Fifteen (15), Sixteen (16), and Seventeen (17) out of the E.B. Grant Subdivision, which is a replat of Blocks Fifty (50) and Fifty -One (51), and the Closed Second and "C" Streets, Olivia Townsite, Calhoun County, Texas, according to the plat of said townsite recorded in Volume M, Page 532, Deed Records and as revised in Volume Z, Page 376, Plat Records of Calhoun County, Texas, prays that after proper notice of this petition to abandon the following portion of a certain roadway in said county pursuant to Texas Transportation Code Section 251.051 & Section 251.052 has been posted at the Courthouse door of Calhoun County, Texas and at other places in the vicinity of the affected route and on the site of the portion ofthe road to be abandoned as required by law, that this Honorable Commissioner's Court enter an order abandoning that portion of the road described above, to the Applicants pursuant to Texas Transportation Code Section 251.051 & Section 251.052. WITNESS OUR HANDS, this day of December, 2022. Den its Arriaga, Att ey or Roland R. Lopez, Jr., oland R. Lopez, Thomas A. Mickelson, Gailord H. Waggoner and Katherine L. Waggoner P. O. Box 9 Port Lavaca, Texas 77979 (361) 552-2971 .2 STATE OF TEXAS § COUNTY OF CALHOUN § This instrument was sworn to and acknowledged before me on this theaKL day of December, 2022, by Dennis Arriaga. KATHYVICKERY Notary Publi , State of Texas +; My Notary ID # 10524140 ±„oF Expires May 13, 2024 EXH I BIT "A" ROAD EASEMENT 0.203 ACRES THE STATE OF TEXAS) THE COUNTY OF CALHOUN) BEING a 0.203 acre tract of land situated in the Williams Arnold Survey, Abstract No. 2, Calhoun County, Texas and being a 20-foot Road Easement of the E.B. Grant Subdivision according to the established map or plat thereof recorded in Volume Z, Page 377 of the Plat Records, Calhoun County, Texas, said 0.203 acre tract of land being more fully described by metes and bounds as follows: BEGINNING at a set 5/8" steel rebar with yellow plastic cap stamped "URBAN SURVEYING, INC." along the west line of "D" Street (a 60-foot Right -of -Way) marking the northeast corner of Lot 17 of the aforesaid E.B. Grant Subdivision for the southeast corner of the herein described tract; THENCE, South 87'23'42" West (South 90`00'00" West), along the south line of said 20-foot Road Easement, with the north line of Lots 11-17 of said E.B. Grant Subdivision, a distance of 443.13 (443.00) feet to a found 1/2" pipe marking the northwest corner of the aforesaid Lot 11 and being along the east line of Lot 9 of said E.B. Grant Subdivision for the southwest corner of the herein described tract; THENCE, North 02°38'08" West (North 00'00'00" West), along the east line of said Lot 9, a distance of 20.00 (20.00) feet to a found 1/2" pipe marking the northwest corner of said 20-foot Road Easement, same being the northeast corner of said Lot 9, and being a common corner between Lots 7 & 8 of said E.B. Grant Subdivision for the northwest corner of the herein described tract; THENCE, North 87°23'42" East (North 90"00'00" East), along the north line of said 20-foot Road Easement, with the south line of Lots 1-7 of said E.B. Grant Subdivision, a distance of 443.10 (443.00) feet to a point along the west right-of-way line of said "D" Street marking the northeast corner of said 20-foot Road Easement and being the southeast corner of the aforesaid Lot 1 for the northeast corner of the herein described tract, from which a found 5/8" steel rebar bears North 14'01'00" East, a distance of 0.47 feet; THENCE, South 02°42'45" East (South 00°00'00" East), along the west right-of-way line of said "D" Street, a distance of 20.00 (20.00) feet to the POINT OF BEGINNING, CONTAINING within these metes and bounds a 0.203 acre tract of land, more or less. Bearings are based on the Texas State Plane Coordinate System (NAD 93), South Central Zone (4204). This survey was adjusted using a combined scale factor of 1.00005989555965 (GEOIDI2A). The foregoing legal description and accompanying survey plat were prepared from an actual survey made on the ground under my supervision in November, 2022 and are true and correct to the best of my knowledge and belief. 12J0612022 Urban Surveying, Inc. By: Michael K. Williams Registered Professional Land Surveyor Texas No. 6616 525586.00 - (60' RIGHT-OF-WAY) "2020.00' B y9' E � L , (s ovao'oo' c so aoy NSa OZ U �$ Ow PARE. IeT LINE — 8g^y �Ne m FF.a m gas m 3 z m g � o Myyg pCC F O EFgm V STREET (6G'NGW-OF-WAY j Mod F NnC 8� I a W i/o la 6 LL �^ PIALIEU lPf IIHE\ O p 1AREv LOT YXE I a Zrc �m 0 ww � v illo S. Q �� AR and o=� i0 PURE➢ LOT YXE _ PURP➢ LOi YNE O s E' m �.. �a o� 5g8 O Z nC my S O• R uSE •• wV^ •• PUREo wi Y-E O =" g w fls �`� PNREv IAi w G a €'o €, 1 ae j W_ wO i ZZ T { w o sPIAREO EOi YXE �S �w two � �yF &" 5 q W w *u z N OY42'15' W 50.00' rc � o x IM W� (x .aeo'C w 50.009 n i a i 2 3yZoZ 9��JUN r O F�Q T. Of0 02 awx ogw G N O7 B'OB'W 20.00' o E aOHO N om (x 000'oo•w xoa.'1 0 6 ��8u • 1: 8. Consider and take necessary action to authorize a loan in the amount of $40,000 from the General Fund to Magnolia Indianola Beach Pavilions capital project fund. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge, Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cmdy.mueller@calhouncotx.org> Sent: Friday, January 6, 202311:33 AM To: Mae Belle Cassel Cc: Richard Meyer Subject: Agenda Item Request Please place the following item on the agenda for January 18, 2023: Consider and take necessary action to authorize a loan in amount of $40,000 from general fund to Magnolia Indianola Beach Pavilions capital project fund. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindv.muellerCwcalhouncotx ore Calhoun County Texas # 09 9. Consider and take necessary action to appoint a Judge Pro -Tern of the Commissioners' Court and to be the Court's representative to Memorial Medical Center's Board of Managers monthly meetings. (RHM) Commissioner David Hall was appointed as Judge Pro-Tem. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3' AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 #10 10. Consider and take necessary action to move the February 22, 2023 meeting to March 1, 2023 to enable the Judge and Commissioners to attend the V.G. Young Institute in College Station. (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 7 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 #11 11. Consider and take necessary action to approve road topping material and the Easement Access Agreement with Black Mountain Energy Storage. (RHM) Dan with Black MountainEnergy Storage explained the concern with using gravel instead of limestone on a future road. After discussion, it was agreed that limestone would be used instead of gravel. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Mae Belle Cassel From: Richard.Meyer@calhouncotx.org (Richard Meyer) <Richard.Meyer@calhouncotx.org> Sent: Friday, January 13, 202310:01 AM To: Mae Belle Cassel Subject: FW: Easement Access Agreement From: Richard Meyer <Richard.Meyer@calhouncotx.org> Sent: Monday, January 9, 2023 2:39 PM To: dan.ditto@blackmtn.com Subject: Easement Access Agreement Good afternoon Dan. I just talked with Sara and we agreed that change would be ok. The Commissioners all agreed also. We would like to change the road from gravel to limestone. Other than that everything should be a go. If you would like we can get you on the agenda for the 18th for Commissioners Court. Look forward to seeing you, Judge Meyer Calhoun County Texas CL 10-12' 10-12' O� wg MAX 2%SLOPE MAX 2%SLOPE EXISTING LL Oj w� X STING GROUND CL GROUND 10-12' 10-12' ow °> o EXISTING MAX 2% SLOPE �+ MAX 2%SLOPE f� GROUND EXISTING GROUND 20-24' ACCESS ROADWAY NOTES: 1. CONTRACTOR SHALL CONSTRUCT CROSS -SLOPE ROAD SECTION WHERE ACCESS ROADS ARE CONSTRUCTED ON A SIDE SLOPE, AND WHERE OTHERWISE NOTED ON PLANS, TO ENSURE THAT ROADS AND SHOULDERS REMAIN WELL DRAINED AT ALL TIMES. 2. ROAD WIDTH SHALL BE A MINIMUM OF EITHER 24' OR 20' WITH BUMP -OUTS FOR PASSING OR AS REQUIRED BY FIRE CODE. VAwhv d TYPICAL ACCESS ROAD 01 AGGREGATE BASE; THICKNESS AND TYPE OF AGGREGATE PER CONSTRUCTION SPECIFICATIONS AND REQUIREMENTS PENDING GEOTECHNICAL RESULTS SCARIFIED AND COMPACTED SUBGRADE TO 95%COMPACTION PER ASTM D1557; THICKNESS PENDING GEOTECHNICAL RESULTS 20' ACCESS ROAD CROSS SECTION NOTES: STRUCTURAL SECTIONS SHOWN ARE PRELIMINARY. MINIMUM THICKNESS REQUIREMENTS TO BE DETERMINED BASED ON GEOTECHNICAL INVESTIGATION RESULTS AND OBSERVATIONS DURING NORMAL FIELD CONDITIONS. THE SECTIONS MAY NEED TO BE INCREASED BASED ON ACTUAL FIELD CONDITIONS AT THETIME OF CONSTRUCTION. CONDITIONS INCLUDE BUTARE NOT LIMITED TO CONSTRUCTION DURING UNUSUALLY WET PERIODS, OR IN LOW/WET AREAS. SECTIONS SHALL BE THE GREATER OF THOSE REQUIRED TO SUPPORT CONSTRUCTION ACTIVITY OR FIRE APPARATUS REQUIREMENTS. Westmw TYPICAL STRUCTURAL CROSS SECTION 7 02 NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIDE ANY OR ALL OF THE FOLLOWING INFORMATION FROM ANY INSTRUMENT THAT TRANSFERS AN INTEREST IN REAL PROPERTY BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER. STATE OF TEXAS COUNTY OF CALHOUN § ACCESS AND UTILITY EASEMENT f EASEMENT AGREEMENT (this "Agreement"). dated as of the L2 day of 2022 (the "Effective Date"), by and between the COUNTY OF CALIIOUN. a political subdivision of the STATE OF TEXAS ("Grantor"). and BLACK MOUNTAIN ENERGY STORAGE 11, LLC ("Grantee"). Recitals A. Grantor is the fee owner of certain real property located in Calhoun County. Texas, more particularly depicted on the attached Exhibit A ("Parcel A"). B. Grantee is the fee owner of certain real property consisting of a acre tract located in Calhoun County, Texas, in the vicinity of and/or adjacent to Parcel A, more particularly described by metes and bounds on Exhibit B and depicted on Exhibit A ("Project Land"), and is conducting activities related to the development, construction, ownership and operation of one or more integrated energy storage projects on said Project Land. C. Grantor is willing to grant to Grantee, and Grantee is willing to receive an access and utility easement across Parcel A for a utility easement for the transmission of electricity but also for the construction, operation, maintenance. and removal of various improvements, equipment, infrastructure and facilities related to the projects on the Project Land. The access and utility easement is over and across Parcel A and is a 70- foot-wide easement and consists of .2 68 acres of land, which is described by metes and bounds in Exhibit C and depicted on Exhibit A (the "Easement Property"). NOW, THEREFORE, for good and valuable consideration paid by Grantee to Grantor and the mutual covenants, terms, and conditions set forth herein, the receipt and sufficiency of which are hereby acknowledged. the parties agree as follows: 1. Grant of Easement. The undersigned, being the County Judge and all of the duly elected and incumbent members of the Commissioners Court of Calhoun County, Texas, acting herein io their official capacity for and oa behalf of Grantor, hereby grants to Grantee, its heirs, successors, and assigns, a perpetual, non-exclusive Access and Subsurface Utility Easement ("Easement") in, wider, upon, about, over, and through the Easemcot Property. 2. Purpose and Scone. This access and subsurface utility easement granted herein, with its rights and privileges.. shall be used only for the purpose of placing, coosuvcting, operating, inspecting, repairing, maintaining, and removing underground lines, circuits, underground cables and conduits, wires, and appurtenances on the Easement. Within this document is also a grant of access within the Easement so that Grantee may access the Project Land. This grant of access and easement includes the following rights and obligations on the Easement Property: a. The right, in coordination with Grantor, of ingress and egress, over, under, across, and upon said Easement Property for the purpose of constructing, and conduits, and the right to remove from said land all structures, obstructions, and tress, and parts thereof using generally accepted ve etation management practices, which may, in the sole Judgment of Grantee, endanger or interfere with the safe and efficient operation and maintenance of said cables, conduits, or appurtenances. b. the right to excavate for, inspect, install, replace, maintain, and use lines, circuits, underground cables and conduits, wires, subsurface utility facilities and in coordination and with the approval of Grantor, above ground appurtenances related thereto, c. the right to inspect, install, maintain, use and replace all parts, fixtures, and equipment that are reasonably necessary in connection with facilitating the ongoing use of the subsurface utility facilities: d. in coordination with and with approval from Grantor, the right to install above -ground appurtenances, such as manholes, and other facilities in a manner that does not substantially interfere with the use of the surface of the Easement Property: C. the surface of the Easement Property for the purposes described in this document f, The roadway shall be built in accordance with the standards as set forth by Calhoun County. Texas. g. The right to cut and trim trees and shrubbery that may encroach on the Easement Area along with the right to remove other obstructions which in Grantee's opinion may endanger or interfere with the safety and efficiency of said facilities; and h. Subject to the following restrictions: (i) all utilities shall be buried at a minimum depth of forty-eight (48) inches, in conduit, and shall have a red, concrete laver one foot above the minimum denth: (iii) any road construction shall comply with the subdivision requirements for Calhoun County, Texas and shall include the installation of at least two twenty-four (24") inch drainage pipes at the "w" outflow drainage ditch Grantor. 3. Use. Grantee may use the Easement for the purposes expressed or implied herein. Grantor may not use, nor permit to be used the Easement Property in any manner that would lead to Grantee being in violation of any law, rule or regulations of any governmental entity or regulatory agency. 4. Duration of Easement. The duration of the Easement shall be Perpetual 5. Temporary Access. Except in case of an emergency, or not less than three (3) days prior written notice to Grantor, Grantee shall have access over that part of Parcel A which may be reasonably required for temporary use of Grantee to perform improvements —such as, but not limited to building, repairing or replacing pipelines or fences, maintenance, and other repairs as further described herein. Grantee agrees not to unreasonably disturb Grantor's use of Parcel A, and if such interruption is necessary, such interruption shall be temporary in nature and designed to limit any interruption of access to and from the remaining lands of Grantor. 6. Termination and Release. Grantee may, at Grantee's sole discretion and at any time terminate and release all or any portion of its right title and interest in the Easement Property by executing and causing to be acknowledged and recorded in the real property records, a release describing with particularity the portion of such right title or interest recordation. Upon any such release by Grantee the Parties' respective rights and obligations hereunder shall remain in full force and effect as to any other portions of the Easement Property and any right, title, and interest of Grantee not so released 7. Assignment. Only with prior written approval of Grantor, shall Grantee have the right to grant, sell, lease, convey or assign Grantee's interest in this Agreement and the Easement to an unaffiliated third party. Grantor shall be provided with a copy of each assignment this Agreement. Any attempted assignment or delegation by Grantee to an unaffiliated third party without the Prior written consent of Grantor, which shall not be unreasonably withheld, shall be void ab initio. Notwithstanding the foregoing no assignment nor any approval thereof, shall be required to transfer the rights granted herein to a successor owner of the Project Land. Upon Grantee's assignment of its entire interest under this Agreement as to all or any Portion of the Easement or as may otherwise be provided in the applicable grant, sale, lease, conveyance or assignment document Grantor shall recognize the assignee or transferee as Grantee's proper successor, the assignee shall have under this Agreement that relate to acts or omissions which occur or accrue following the effective date of such grant sale lease conveyance or assignment. 8. Notices. Any notice required or nermitted under this agreement must be in writing. Any certified mail, return receipt requested, and addressed to the intended recipient at the address shown in this Agreement. Notice may also be given by regular mail, personal delivery, courier delivery, facsimile transmission, or other commercially reasonable means and will be effective when actually received. Any address for notice may be changed by written notice delivered as provided herein. 9. Venue. The Parties each hereby irrevocably submit in any suit, action or proceeding arising out of or related to this Agreement or any other instrument, document, or agreement executed or delivered in connection herewith and the transactions contemplated hereby and thereby, whether arising in contract, tort, equity, or otherwise, to the jurisdiction of any state or federal court located in the county of Calhoun, State of Texas. 10. Indemnity. Grantee, to the extent allowed by law, hereby binds itselff its successors and assigns, to indemnify and hold Grantor, and Grantor's heirs, personal representatives and assigns, harmless from any and all claims, demands and causes of action of any kind or character ("Claims") asserted against Grantor. and Grantor's heirs, personal representatives, and assigns to the extent that any such Claim is caused by or is the result of (il the negligent acts and/or omissions of Grantee and its agents and employees, in connection with the exercise of any right or privilege hereunder; and (ii) any condition created, maintained or suffered to exist on or about the Easement Property to the extent same is due to the negligent acts or omissions of Grantee and its agents and emplovees. This indemnity shall survive termination of this Agreement. In no event shall Grantee be responsible for defending, indemnifying or holding harmless Grantor to the extent of any Claim caused by, arising from the negligence or willful misconduct of Grantor or Grantor's employees. contractors, subcontractors, agents or representatives. 11. Reservation of Rights. Grantor reserves all right, title, and interest in and to the Easement Property that may be used and enjoyed without interfering with the rights conveyed by this Agreement; provided, however, that Grantor shall not: (a) erect or maintain any buildings that may cause damage to or interfere with the access and utility easement; or (b) develop, landscape, or beautify the Easement Area in any way that would unreasonably or materially increase the costs to Grantee of installing improvements/facilities or restoring the Easement Property after such installation. Grantor shall have the right to grant additional easement rights in the Easement Area to other individuals or entities, provided same shall not interfere with or otherwise adversely affect any of Grantee's rights herein. Grantor shall not grant any other easement rights within the Easement Area to any other individual or entity (each, an "Other Interest Holder") without first obtaining from Grantee and Other Interest Holder an indemnity agreement reasonably satisfactory to Grantee, which agreement shall be between Grantee, Grantor, and Other Interest Holder and shall provide Grantee with an indemnification from Other Interest Holder in connection with Other Interest Holder's use of the Easement Area. Grantor's use and enjoyment of the Easement Area and any other grants to individuals or entities in the Easement Property shall not interfere with or adversely affect any of Grantee's rights herein. 12. Representations and Warranties. Grantor hereby represents and warrants to Grantee that: (a) it has the full right, power, title, and interest to grant the Easement to Grantee; (b) such grant of the Easement and any rights granted under this Agreement may be fully and thoroughly enjoyed and utilized by Grantee pursuant to the covenants, terms, and conditions hereof; and (c) Grantee's easement rights hereunder shall not be defeased, impaired, or adversely affected by superior title. 13. Restrictions. This conveyance is made subject to all leases, easements, restrictions, reservations, encumbrances and other matters appearing of record in Calhoun County. Texas, to the extent (but no further) that the same are valid and subsisting as of the date hereof and affect title to the above described property. and have not otherwise been subordinated to the rights, titles and privileges herein conveyed. 14. Damaecs. Grantee shall repair any unreasonable damages to Grantor's premises that may result from its use. 15. Covenants Running with the Land. The parties to this Agreement hereby acknowledge and agree that the Easements and other rights conferred by this Agreement are intended to, and do. constitute covenants that run with the land and shall inure to the benefit of and be binding upon the parties and their respective grantees, heirs, successors, and assigns. 16. Attorneys' Fees. If any action is brought by either party against the other in connection with or arising out of this Agreement or any of the documents and instruments delivered in connection herewith or in connection with the transactions contemplated hereby, the prevailing party shall be entitled to recover from the other party its reasonable out-of-pocket costs and expenses, including without limitation reasonable attorneys' fees incurred in connection with the prosecution or defense of such action. Binding Effect. This Agreement binds and inures to the benefit of' tile Parties and their respective heirs, successors, and permitted assigns. 17. Severability. If any portion of this Agreement, or its application to any party or circumstances, shall be determined by any court of competent _jurisdiction to be invalid or unenforceable to any extent, the remainder of this Agreement or the application of such provision to such person or circumstances, other than those as to which it is so determined invalid or unenforceable, shall not be affected thereby, and each provision hereof shall be valid and shall be enforced to the fidlest extent permitted by law. The Parties to this Agreement have each had an opportunity to comment and draft the same and therefore the drafting of this Agreement shall not be construed against either Party. 18. Counterparts. This Agreement may be executed in any number of counterparts and evidenced by facsimile and/or electronic scanned signature with the same effect as if all signatory parties had signed the same document. All counterparts will be construed together and will constitute one and the same instrument. 19. Further Assurances. Each patty agrees to do such things, perform such acts, and make, execute, acknowledge, and deliver such documents as may be reasonably necessary and customary to carry out the intent and purposes of this Agreement, so long as any of the foregoing do not materially increase any parties' obligations hereunder or materially decrease any parties' rights hereunder. CALHOUN NTY,TEXAS B: County .fudge Calhoun ounty. Texas By: Commissioner, Precinct Three By: V� Commis 'oner, Precinct Four THE STATE OF TEXAS COUNTY OF CALHOUN instrument was acknowledged betore me this the I ZAk day of J 2922 by County Judge ��k "` r _ ,and yh i��i U the Calhoun County Commissioners' Court on beh, of Calhoun County. [SEAL] 14,u iicC v.a:1,L&I NOTARY PUBLIC IN AND FOR nY p;� •• • F MAE BELLE CASSEL THE STATE OF TEXAS My Notary ID N 132012524 Expires May 14, 2023 Description of Project Land BEB.'C: a 16 $4 acre Rut out of a'6 SS acre Raet as d°:cnbed w taluuee 1l t.. gage 1?S Calhoun C otmnIked Recatd:ow of the \lamxo `;an••Ixez Sw�o7' vb inact Plo 35 Callwuu Coven. Tcn., and being ftwhet deambed bq wetes and boun h a fall.-. BEGLINDIC, at a 1 inch uo"tod found for the Sowhnen comet, vine howl the Smnhtaea comet of -rid 76 SS acre nact. THENCE N 3`' l -16'W IAA i3 feet aloot the ll'est hue of ;aid 76$8 me pact to a 1 "? such uou rod farad fox the Nonh,,t cotuet.:.uw hew_e the Smobeth, most Nonhne:t cot>xt of Ltd 76 SS aae"act THENCE is i5'970p'E 550 00 feet along the :outtaeih mo:a;:mth hue of :nd 76.99 acxe nact io a 1^_ such uon tod noth aap 'CEC 1019437S" :et fot the ""Iwaet conitu TI ICE 5 3"16'r E. l +lt 0'_ feet w a 12 mch non rod with cap :et w the South hoe of said 76 SS acre tact Cat the Sonthea:t emoet TIM-WE': i s 11'l'W t10 00 feat alanl :aid South line to the POINT OF BEGRJ\TJG and cowawwg 16 S9 aae; of land. wme of le:.: Description of Easement Property BEBQG I0 00 feet Electric Fa:eum¢t being 35.00 feet etthet ;tde of ce,nrhrre_ mit of Lot 7, BIocL 1. BKCK De%dopmeut, an addmon to the tit, of Port La .caaccordmz to the plat theaeuf recorded m Shde 6_I AB. In:mtrirem No 2019-03920 of the Official Plat Record:. Calhoun Cowin Teca--.... i being fraddi w.t dcmbed b}' mete: and bound: a: follow- BEGS.^.Mlr, at a point m the South ime of a 16. 69 awe ma_ from which the Southwrt mttwa of --.d bact bear-. S. iu3" I I'i 7' W 307 60 feet. TIf NCE S ;4'5:49'E 681 71 feet to a paint for a cotrer, IIff14CE N 53'14 2i E 42' 14 feet to a pomt fin a comer. TH ENCE S 36'49'0b E W, 63 Feet to the POINT OF TERIMi ATTON and coutaunne _' 6S acre: of laud Move,] lc-- #12 12. Consider and take necessary action to authorize the application for funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury and authorize all appropriate signatures. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 David E. Hall Calhoun County Commissioner, Precinct 91 202 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 January 18th, 2023. Consider and take necessary action to allow the application for funds from the Local Assistance and Tribal Consistency Fund through the U.S. Department of the Treasury and allow all appropriate signatures. Sqerel/ r David E. Hall DEH/apt #13 13. Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Building. The only change being made is on page 2, number 2, Time of Performance: the year should be 2024 not 2023.(DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Please place the following item on the Commissioners Court Agenda for January 18, 2023: Consider and take necessary action to amend the Contract for Professional Services between Calhoun County and G&W Engineers, Inc. for Engineering, Architectural and Surveying Services for the Combined Dispatch Building. The only change being made is on page 2, number 2, Time of Performance: The year should be 2024 not 2023. AMENDED CONTRACT FOR PROFESSIONAL SERVICES BETWEEN CALHOUN COUNTY AND G&W ENGINEERS, INC. FOR Engineering, Architectural and Surveying Services for the Combined Dispatch Building Original Contract Approved December 7, 2022 Amended Contract Approved January , 2023 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, 2024. 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. 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. g. 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 FIRNfs 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. Assionability. 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. Findings 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. Copyright. 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. Reaulations 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 Obliaation 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. n 22. Program 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 Employees. 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, eitherwritten ororal. 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. BY: d ice- NAME: Brian P. Novian, P.E. TITLE: President DATE: I/ I z 17 c z. 3 COUNTY�OFF CAALHOUN, 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 that this Contract cover a scope 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 1. 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 prior to 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: 11/3012021 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 Coronavints 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 Authorized Representative Name: Richard Meyer Authorized Representative Title: County Judge l�ri vv' Date Signed: /' U.S. Department of the Treasury: Authorized Representative Signature (above) Authorized Representative Name: Authorized Representative Title: Date Signed: PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Goverament 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. 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. Reporting. 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. Administrative Costs, Recipient may use funds provided under this award to cover both direct and indirect costs. 7. Cost 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 Applicable Law 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 term 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. Govemmentwide 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. §§ 46014655) and implementing regulations. is. 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. 111 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 tmnche of future award funds, if any, or take other available remedies as set forth in 2 C.F.R. § 200.339. ht 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. Hatch 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 Stale or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federal assistance. 12. False 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, Publication 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 Debts Owed the u d] Government, a. Any funds paid to Recipient (1) in excess of the amount to which Recipient is finally determined to be authorised 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, . T. a. In accordance with 41 U.S.C. § 4712, Recipient may not discharge, demote, or otherwise discriminate against ail 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: f. 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. 12. increasing Seat B It Use in the, United Slates.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 g R d + ing T x 4 s agipg M1ile DriVinrr 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 1987 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 at 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 httn:ffWw, v lop e, 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 bends of, or otherwise discriminating against a person on the basis ofrace, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by the Department of the 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 W also includes protection to persons with "Limited English Proficiency" in any program or activity receivingfederal financial assistance, 42 U.S.0 § 2000d at 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 Vl.. 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 administrative 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 terns 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. Recl t nte' Signature of Authorize Offtca. G—,?- 7 --z,z; Date PAPERWORK REDUCTION ACT NOTICE The information collected will be used for the U.S. Govemment 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 1.295 l of l Complete Nos. S - 4.and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1„ 2, 3, 5, and .6 It there am no interested parties. CERTIFICATION OF FILING Certificate Number:: 1 Name of business.antityfiling form, and the city; state and country of the business entity's place: of business. - 2023-971,4B8'. G&W Engineers;: Inc, Port Lavaca, TX United Staten Date:Filed: CM 2 Nameofgovernmental entity or state agency. that is a-partyto.the contractforwhich the formis011121 being filed. Calhoun County; Texas Date Ackr owledgedt g Provide'the identification number used by thegovernmental entity or state agencyto track or identify the contract, and.provide a. description if the services, goods,. or other property to be providedunderthe contract; G&W # 5310:020-Amend, Contract Technical Services. for Combined Dispatch Building Nature ofinterest 4 Name-of.lnterested Party City, State, Country (place of business) '(check:appifcable)., Controlling Intermediary Noviah, Brian Port Lavaca, TX United States. X. Sappington,.Mithial Port Lavaca, TX United States- X Danysh,. Henry Port Lavaca, TX United States: X. Gohike, Anthony Port Lavaca, TX United States X Tuch, Elton .Port Lavaca-, TX United States X. 5 .:Check only N there.1s NO Interested' Party. ❑ 6 UNSWORN DECLARATIONtg (� date birth is My name is and my of My address is 28.5 I/t%, LIVE OAK_ ,. roR'T LAVA"Cpr , Tx , 717 Usti: , Wrest) (city) (state) (zip code) (coun(ry) I declare under penalty of perjury that the foregoing is true and: correct. ••� q Executed in CaLHoUN County,.. State of.. e; 9A'5 ,on the.12 day of -Ji�rN •,. 2(]L2 . (mooifi) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www,etnics.state.tx,us: version vs.o.i.sacbbDcu ORIGINAL CONTRACT Approved by Calhoun County Commissioners Court on December 7, 2022 CONTRACT FOR PROFESSIONAL SERVICES BETWEEN CALHOUN COUNTY G&W ENGINEERS, INC. FOR Engineering, Architectural and Surveying Services fiorthe Combined Dispatch Building THIS CONTRACT.Is entered into by and between CALHOUN COUNTY, 211 South Ann Street, -Suite -.301,..Part Lavaca, Texas 77979,.hereinafter called the "COUNTY", acting herein by Richard H. Meyer, CountyJudge, 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„ theparties:do mutually agree:as follows: 1. Scope of Services Part I; Scope of Services, is hereby incorporatedby reference Into this Contract 2. Time of Performance- The services of FIRM shag commence an the date above first given for the execution of, this Contract, In any event,, all of theservices 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 faclfrtate the performance of the work described in the Contract. 4. Co •e salionandMethodofPavmenf-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 If - Payment Schedule of this Contract. 5. IndemrAfication.. a. FIRM agrees to indemnify, save: and hold harmless GOUNTY from and against all claims, demands, suits, judgements, liabilities, costs and reasonable attorney fees, to the extent caused by the, negligent errors`or ofissions 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 theextentcaused' 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 hereunderare 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 ofthe•provisions contained in this Contract shall for any reason be held to be Invalid, illegal or unenforceable in any respect such Invalidity, illegality, or unenforceabillty 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 aftorney's fees; costs, and necessary disbursements in additiontoany 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. 2 7. Local Program Liaison - For purposes of this Contract, the Precinct 1 Commissioner,, David Hail, will serve as the Local Program Liaison and primary point of contact far FIRM. All required progress reports and communication regarding the project shall be directed to this Ilaison and other local personnel as appropriate. 8. Termination of Contract for Cause. If,. through any cause, FORM 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 thereaf at least five days before the effective date: of such termination. In such event, all finished or unfinished documents, data, studies, surveys, drawings; traps, 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 forany work satisfactorily completed hereunder,. Notwithstanding the: above; FIRM shall not be relieved of liability to. COUNTY for damages sustained by COUNTY by viifueofany, breach ofthe Contract by FIRM, and COUNTYmay 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 ofCOUNTY,. CO U N TY 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 Contractis terminated due to the fault of FIRM, Paragraph 8 above relative to termination shall apply:. 10. Remedies_ In the event ofanydispute,, claim, question, or disagreement:: arising from or relating to determining the party responsible: for any disallowed casts as a result of non-compliance with federal,: state, or program requirements, the parties hereto shall use their hest efforts to settle the dispute, claim, question,. or disagreement. To this effect, they shall,00nsult and negotiate with'each other in good faith and, recognizing their mutual interests, attemptto reach a just and equitable solution satisfactory toboth 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 wife 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 ther 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. Assignability. FIRM shall not assign any interest on this Contract, and shall not transfer any interest in the same (whether by assignment or.novafiori), without the priorwritten consentof 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. i 14. Reports and Information; FIRM, at such times and in such forms as COUNTY may require, shall furnish j' 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 GrantAdministrator or his authorized representatives access to construction or other work sites pertaining to the work being completed under the Contract. 16. Findings Confidential. All of the reports Information, data, etc:, prepared or assembled by FIRM under this Contract are confidential and FIRM agrees that they shall notbe made available to any individual or organization without the prior written approval of COUNTY.. 17. CopyrIgh. No report, maps; or other documents produced In whole or In part under this Contract shall -be the subject of an application for copyright.byor on behalf of FIRM. 18. Compliahce 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 veriftcatian,"boy colt 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 commerclaf 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 or the same (1), 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 (it) is a.company listed by the Texas Comptroller of Public Accounts under Sections 606.051, 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 Regulations and Executive Orders, FiRM acknowledges that funds from the American Rescue Plan will be used to fund the Contract and FIRM agrees 1t will comply with all applicable federal law, regulations, executive orders, and federal policies, procedures, and directives. 21, Np 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. Program 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 toits-actions pertaining to the . Contract,. 23, Interest of Membersof a Ccuntv...No member of the governingbodyof 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 outof the program, shall have any personal financial interest, direct or indirect, I this Contract and COUNTY shall take appropriate steps to assure compliance, 24. Interest of. FIRM and Employees -...FIRM covenants that it presently has no interest and shalt not acquire Interest, director indirect, in the study area or any parcels therein or any other interest which would conflict in any manner ordegree with the performance of its services hereunder. FIRMfurther covenants that In the performance of this Contract, no person having any such interest shall be employed. 25. Primaly Contact. County contact person with FIRM :shall be the Principal in Charge; Brian Novien, 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 ororaL This Contract maybe amended only by wrltten.instrumentsigned 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 theirhands andseals- G&W ENGINEERING, INC. BY:f�r�• �- NAME. Brian P. Novian, P.E. TITLE: President / DATE: GoCO. IJNTY OF CALHOUN, TEAS BY: NAME: Richard H. Meyer TITLE Counfii 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. COUNTYIntends 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 followings initial Ehgineedng:and Design Support. • Engineering and Final Design Support Bid and Award Support Contract ManagementandConstruction 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 l and Phased1 environmental site assessments, Standard of Performance 1. Ail 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 perform work and services to be provided under this. Contract. 2. FiR'M 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. Anydefioiency 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. COUNT '(shall notify FIRM in writing of anysuch 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 waylimit the judicial remedies available to COUNTY under applicable state or federal law.. 4. FIRM agrees to and shall hold harmless COUNTY, its officers, employee's, 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 Linder 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 projectbids in general out 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. H PART 11-- 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 En , fbeering 12.5%n 37,500,00' Final En neerin Desi n 65% 195 000.00 Bid Phase Sendces 5%a 15,000.00 Construction Phase Services 10% 30 000..00 Windstorm Inspections and WPl 5% 1:5,000,00 Contract Close Out 2.5% 7,500.00 TOTAL '100%. $300000.00 ATTACHMENT A ASSURANCES• OMB ApprovedNo. 1505-0271 .Expiration Date: 11130/202/ U.S. DEPARTMENT OF THE TREASURY CORONAVEWS 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 77,979 Seclidns 602(b)(2) and 603(6). ofthe .Social Security Act .(the Act) asadded by section 9901 of the American Rescue Plan Act, Pab. L. No. i 17-2. (March 11, 2021) authorizes the Dapartmentof the Treasury (Treasury) ta.inake payments to certain recipients from the Coronavirus..State Fiscal Recovery -Fund and thwComnavirus Local: Fiscal Recovery Fan& . Recipients hereby agrees, as a condition to receiving such'paymenitfrom Treasury, agrees to the terms attaelied hereto. .Recipient: Authorized Representative Name;- Richard Meye�/„��/ ' f Authorized.Representative Titre;. County Judge - Date Signe& _ _ /," Z;i — a0 U.S. Department of the Treasury: Avthorized,Representative Signature (above) Authorized Representative:Namer Authonized.Representative Title: Date Signed; U.S. MPARTIVIRNT OF THE. TREASURY CORONAVIRUS STATE FISCAL RECOVERY FUND AWARD.TERMS AND CONDITIONS a. Recipient understandsand agrees that the fundsdisbursed under this award may only be used in compliance with sections 602(c) and 603(c) of the Social Seowity Act (the Act) and Treasury's regulations implementing that section and guidance; b. Recipient.will determiheprior to: engaging in any project using this assistance that.ithas1kinstitutional, managerial, and financialcapability to ensure properplanning; management,and completion of such project. 2. Period of Performance: The period ofperformance for this award: begins on the date hereof and ends. on December 31, 2026. As sei.forth, in,Treasury"s implementing regulations, Recipient may use award fundsto cover eligible costs incurred dining the period that begins on March 3i 2021. and ends an. December 3:1;.2024, 3. Re on Aine. Recipieat.agrces: 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 suffefent to evidence compliance with sections 602(c) and 603(c), Treasury's regulations implementing: those sections;. and guidance regarding the eligible uses:of fonds; b. The Treasury Office of Inspector' General and the Government' Accountability Office; or their authorized: representatives, shall havethe right of seems to records (electronic and otherwise) ofRecipientin order to conductaudits orother investigations. c. Records shall be maintained by'Reoipient for a period of five.(5) years •after all funds have been expended or returned to , Treasury, whichever is later., S..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. Administrative Costs, Recipient may use funds providedunder this award to cover both direct and indict costs. 7. Cost harm: Cost sharing or matching funds are not required: to be provided by Recipient; to affecting.the' awarded Via. Recipient agrees to comply withthe requirementsof sections 602 and 603 of the pursuant to sections 602(f) and 603(f). ofthe Act,and guidance issued by'Treasm agrees to comply with. all other applicable federal statutes, regulations, and execs such compliance by other parties in any agreements it enters into with other tbarti b. Federal regulations applicable to this award include, without.limitation,'thefollowing: i. Uniform 200, otlu ry may t by Tres apply to h2 C.FA. and y Treasury Recipient also shall provide for for Federal Awards, 2 CF.R.:Part. s Award and subject to such ments of the Uniform Wdance,. iL Universal Identifier and System for Award Managament,(SAM), 2 CF.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. Ill. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part :170,pursuant to which the award term set forth in Appendix to 2 C;F,R, Part 170 is hereby incorporated by reference: iv. ONMGuidolines:toAgenciesanGovernmentwhicDebarment and Suspension.(Nonproamement) 2C.F:R.Part. 180, including the requirement to include a term or conditionin 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 at31 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 -MI to Part 200 is hereby incorporated by reference. vL GovemmentwideRcquiromentsfor Drug -Free Workplace, 31C.F;R.Part:20. vii. New Restrictions on Lobbying, 31 C.F.R, Part'21. viii. Uniform Relocation Assistance and Real.Property. Acquisitions Act of1970(42U.S.C.§§4601-4655):slid implementing regulations.. is. Generally applicable federal environmental laws and regulations. c. Statutes and regulations prohibitingdiscrimination applicable to this award, include, without limitation, the fallowing: i_ Title VI of the Civil Rights Act of 1964 (42 U.S.C, §§ 2000d at seq.) and,Treasury's implementing regulations -at31 C.F.R. Part 22, which prohibit discrimination on the basis of race, color, or national origin under pmgrarrrs :or activities receiving federal financial assistance; ii. The Pair Housing Act, Title Vlll of the Civil Rights Act of 1968`(42 U.S.C. §§ 3601 at seq.), which prohibits' ' discrimination in housing on the basis,ofrace, color,. religion, national origin,. sex, familial status, or disability,, iii. Section 504 of the Rehabilitation Actof 1973, as amended (29 U.&C: § 794), which prohibits discrimination on the basis of disability under any program or activity receiving federal financial assistance; Iv. The Age Discnminatien Act of 1975, as amended (42 U.S.C. §§ 6101 at soq.), and Treasury's implementfag regulations at 31 C.F.A. Part23, which prohibit discrimination on the;basis of age in programs or activities receiving federalfmancial assistance;- and V. Title II of the Americans with Disabilities Act of 1490, as amended (42 U.S.C.. §§ 12101 at seq.), which prohibits discrimination on the basis of disability under programs,activities, and services provided or made available by state and local governments orinstrumentalities he agencies thereto. the event e£Recipient's noncompliance with sections 602 and 603 of the Act regulations, guidance, orany reporting, or other program reouirements. Treasu In thecase of a -violation raco upment as: provided 11 Batch Act. Recipicnt agrees to comply; as applicable, with requirements ofthe Hatch Act (5 U;S.C. §§ 1501-1509 and. 7324-.7328), which limit certain political activites of State' or local government employees whose principal employment is in connection with.anactivity financed in wholeor in partby this federal:assistance. t 2 Fala�tat�r is Recipient understands that malting false statements or claims is 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 thefollowing language: "This project [is' tieing) [was] supported, in whole or in part, by federal award number [eaterproject FAIN] awarded to Caltioun-County by the U S, Department of the:Treasury," 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 thisaward, (2) thatare determined by the Treasury Office of Inspector Generalto have been misused,, or (3) that aredetermined by Treasury to be subject to a repayment obligation pursuant to sections :602(c)and 603(e). of the Act and have not beenrep aid by Recipient shall constitute a debt to the federal;goyermarrit. b. Any debtsdeterminedto 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 forpayment, 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). Treasurywill take any actions available to it to collect such.a debt. 15. Disclaimer. - a The United States expressly disclaims any and all responsibility or liability to Recipient or tha8persons for the actions of Recipient or third persons resulting in death,: bodily injury, property damages, or any other lossesresulting in any way from the performance of this award or any other losses resulting in; soy way from the performance of this award or any contract, or subcontract under this award; b. The acceptance of this awar6by Remplentidoes not.in any way establish an agency relationship. between the United States and Recipient, - Ih pmtecfinns forr'Whistl bl .• a. In.accordancewith.41U.S.C: § 4712, Recipient may not discharge, demote; or otherwise discriminate: againstan:cmpfoyee in reprisal fir disclosing to any of the list of?persons or entities:proWdedbolow, 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 relatingto 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 negotiationof a contract). or grant, b. The list ofpersons and entities referenced in the paragtaph.above includes the following,. is A member of Congress or a representative: of a committee of Congress; fi; Ankspector General, iii. The Government Accountability Office;.. iv..A Treasury emplvyeeresponsible, for contractor grant oversight or management; v.. An authorized official of the Department of Justice or other law enforcement agency;. vi: A; court or grandjury; or viz.. A management.oflicial or other employee of Recipient; contracts,or subcontractor -who -has the responsibility to. investigate,. discover, or address misconduct,. a Recipient shall Inform, its employees in writing of the rights andaemedies provided under: this suction, in the predominant native language of the. workforce. Pursuant , operating 62 FR 1.9217 (Apr. 18, 1997), Recipient programsfortheir employees when 18, Reditcin$TextMessag ng While Drivinn pomuant to Executive Older 13513, 74 FR 51225.(Oct. 6, 2009),.Recipientshot ld encourage its employees, subrecipients, and coniractors:to adoptand enforce policiesahat 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 Rate: 11i30/2021 ASSURANCE Or COMPLIANCE WITH CIVIL RIGHTS REQUIRMENTS ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 As a condition cfreceipt of federal fmancialassistance from the Department of the. Treasury,. the Calhoun County (hereinader referred to as "the RecipierV). provides theassurances stated herein. The federal financial assistance may include federalgrants, loans and contracts, toprovide assistance to the recipient's beneficiaries, the use rorrent 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. programslicenses,: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 fiends made available through the Department of the Treasury, including any assistanco that the Recipentmayrequest inthe future. . Tie Civil Rights Restoration Act of 1987 provides thatthe provisions of thisassurance apply to all of therecipient's programs, services and activities; so long as any portion ofthe recipient's program(s) is federally assisted in the manner proscribed above, I. Recipient ensuresits current and future compliance with Title Vi of die Civil Rights Act of 1964; as, amended, which probibits exclusion from participation, denial of the benefits of, or subjection to discrimination under programs and activities receiving federal funds, of any person in the UnitedStates 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 Vlreguiations at 31 CFR p&rt.22 and other pertinent executive orders such as Pxccudve Order 13166; directives; circulars; policies; memoranda and/or guidance- 2. seeks Rights Act of 1964 and Order 13I66, "Improving Access to 3. Recipient agrees to consider the neM for when conducting programs, services .and guidance at..70 FR 6067. For more iufam of national to ensure 4., Reeipientaclmowledgesand agrees that compliance with this assurance constitutes a condition of continued receipt of federal financial assistance and is bindingupon Recipient and. Recipient's successors, transferees and assignees forthe- period in which such assistance is provided 5 Recipient acknowledges:audagrees that itmustrequfreany'sub-grantees;contractors;subcontractorssuccessors, trausferees,.and assignees.to comply with assurances 1-4 above, and agrees to incorporate the following language in every contract or agreementsubject to Title VI and its. regulatians'between the Recipient and the Recipient's sub -grantees; contractors, subcontractors, successors, transferees, and assignees:, r ne.sub-grantee, contractor, subcoldraatoY successor,, transferee,and asajgnee shall comply with Tide PYof the - CfvifRightsAct ofl964 which prohibits recipienisoffederalftnancialassistancefrornexcludingframaprogram _ or activity,. denying benefits,oJ,'or otherwise discriminating against a person an the basis, of race,. color; or national origin (42 US;L; § 2000d at seg.),, as implemented by the iiepartmetrt of the, Treasury's Title Vl regulations, 31 CFR Part 22, which are herein incorporated by reference and mada apart of this contract (or agreement): Title Vralso Includesprotection to persons with "Limited English Proficiency" in any programor acfivityreceivingfederalfinancial assistance, 42 U.S.G §20o0d at seq., as implemented bytkeDepartment'ofthe Treasury's 77tle.VI regulations, 3T CAR Part 22, and heretn incorporated by reference and made apart of (his contract. or agreement: 6:. Recipient understands: and agrees that if any real property or structure is provided or:improved with theaidof 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 ofsimilar services or benefits. If any 7. Personal property is; provided, this'assurance obligates the: Recipientfor the period during which it retains ownership or possession of the property, any settl ement agreements that may result from these aetioas. on -site compliance reviews, and reporting requirements. S, Recipientsball maintain a 9. Treasury of the and monitoring of cumprarnr mg ana tntorm the'Department-:of the Treasury of any complaints of discrimination on or national origin,. and- .limited aglish proficiency covered by Title VI of the Civil Rights Act of mlations and provide, upon request, a list of all'such reviews or proceedings based on the pleted, including outcome. Recipient also must infomt the Department of the Treasury if mmntain/c mndn. T:Ae �R state, ietmenthe Recipientand such discrimination, the any court or administrative 10. If the Recipient makes sub -awards to other agencies or other.entities, the Recipient is for ensuring that sub -recipients also comply with TiVeNI. and otherapplicable::authorides covered in ibis document State agencies that make sub -awards must have in place standard grant assurances -and review procedures to demonstrate thatthat they are.effecfrvely monitoring the civlrights compliance of sub -recipients. The United States of Americahas the rightte seek judiciafenforcement of the terms ofthis 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 ofthis document or applicable federal Jaw. Under penally of perjury;:the undersigned official(a) certifies that'helshe has read and understood its obligations as herein described, that any information submitted .in-conjunotion with this assurance is accurate and complete, and that the Recipient. is in compliance. with the aforemr t!nn,d Real i nt '.- - Date v Si nature or Authorized O tells: #14 14. Consider and take necessary action to amend the Criminal District Attorney's 2023 budget of the Forfeiture Fund in the amount of $6,893.80 for salary supplements and FICA for Arnold Hayden for FY 2023 (January 23, 2023 through December 31, 2023) and an additional $1,000 to cover expenditures such as civil citation fees in asset forfeitures. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 11 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Criminal District Attorney Calhoun County, Texas RANDY R. CRIDER SARA M. RODRIGUEZ CHRISTY BROWN DUNN Investigator First Assistant Criminal District Attorney ALICIA F. GONZALES Victim Assistance Coordinator 211 South Arm Street, Suite 302 Port Lavaca, Texas 77979 Phone (361) 553-4422 • Fax (361) 553-4421 Email: da@calhomeotx.org January 9, 2023 Hon. Richard Meyer Calhoun County Judge Calhoun County Commissioners Court RE: Forfeiture Fund Dear Judge Meyer and Commissioners: W. A. (BILL) WHITE Assistant Criminal District Attorney This letter is to advise you that I am amending the 2023 budget of the Forfeiture Fund in the amount of $6,893.80 for salary supplements and FICA for Arnold Hayden for the year 2023. These supplements are for the period of January 23, 2023 through December 31, 2023. This is a supplement he Will be receiving and has been previously been approved by Commissioners Court for other salary supplements for Assistant District Attorney's. In addition, I am amending the 2023 Forfeiture Fund an additional $1,000.00. The amendment is needed to cover expenditures such as civil citation fees in asset forfeitures. I also anticipate additional funds may be needed for qualifying purposes before the end of the year. As per Chapter 59 of the Code of Criminal Procedure, I have to advise Commissioner's Court of a change in the forfeiture budget. Accordingly, please place this on the next available Commissioner's Court agenda. Thank you for your attention to this matter. Very � SARA M. RODRIGUEZ, Criminal District Attorney for Calhoun County, Texas SMR:laj #15 15. Consider and take necessary action to add Lavaca Shrine Club to the List of Exempt Entities for the Calhoun County Fairgrounds and Agricultural Facilities. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner P AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 LIST OF EXEMPT ENTITIES (As of February 18, 2019) An ended August 19, 2020 For the use of the Calhoun County Fairgrounds and Agricultural Facilities ($200 Kitchen deposit, no rent) 1. The Calhoun CountyCommissioner's Court 2. All Calhoun County Departments for department meetings or events 3. Port Lavaca Police and Fire Departments 4. Guadalupe Bianco Rivdr Authority (GBRA) S. Volunteer Firg Department in Calhoun County 6. Calhoun County Fair Association 7. Calhoun County Independent School District 8. Texas Department of Public Safety 9• Texas Parks and Wildlife Department 10. Texas General Land Office 11. Farmers Home Administration 12. U.S. Post Office 13. Future Farmers of America (FFA) 14. Calhoun County Boy Scouts of America 15. Calhoun County Girl Scouts of America 16. Boys and Girls Cub Scouts 17. 4-H meetings and activities 18. Calhoun County Extension Service 19. Calhoun County Drainage District 20. Farm Service Agency (USDA) .6 meetings a year 21. Natural Resources Conservation Service & SWCD (USDA) - 6 meetings a year 22. Shellfish Sanitation Department, Texas Dept. of State Health Services-6 meetings per year 23. Angel Food Ministries 24. Calhoun County Farm Bureau 25. Calhoun County Parks Board ($200 Kitchen & $25 Key deposits required but no rent) 1. Calhoun County Quilt Guild 2. Port Lavaca Garden Club 3. Beta Sigma Phi Sorority 4. Old -Timers Association S. Republican Party 6. Democratic Party 7. League of United Latin American Citizens (LULAC) a. GI Forum 9• Humane Society 10. YMCA 11. Calhoun County Chamber of Commerce 12.-American cancer Society 13. United Way 14• Cattlemen's Association is. Citizens Advisory Committee (CAPA) 16. Arperican Legion � page 1 of 2 � 17° c Bmeball All -Mrs I$. Calhoun County Area SoTexan ° 19. Master Naturalist a 20. Master Gardeners page 2 of 2 #16 16. Consider and take necessary action to accept the 2022 Racial Profiling report that was submitted to the State to be ir:i compliance with TCOLE requirements. (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 13 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: 2022 Racial Profiling Report DATE: JANUARY 18, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR JANUARY 18, 2023 Consider and take necessary action to accept the 2022 Racial Profiling report that was submitted to the State to be in compliance with TCOLE requirements. Sincerely, Bobbie Vickery Calhoun County Sheriff Racial Profiling Report I Full Agency Name: CALHOUN CO. SHERIFF'S OFFICE Reporting Date: 01/10/2023 TCOLE Agency Number: 057100 Chief Administrator: BOBBIE J. VICKERY Agency Contact Information: Phone: (361) 553-4646 Email: Bobbie.Vickery@calhouncotx.org Mailing Address: 211 S. ANN ST. PORT LAVACA, TX 77979-4297 This Agency filed a full report CALHOUN CO. SHERIFF'S OFFICE has adopted a detailed written policy on racial profiling. Our policy: 1) clearly defines acts constituting racial profiling; 2) strictly prohibits peace officers employed by the CALHOUN CO. SHERIFF'S OFFICE from engaging in racial profiling; 3) implements a process by which an individual may file a complaint with the CALHOUN CO. SHERIFF'S OFFICE if the individual believes that a peace officer employed by the CALHOUN CO. SHERIFF'S OFFICE has engaged in racial profiling with respect to the individual; 4) provides public education relating to the agency's complaint process; 5) requires appropriate corrective action to be taken against a peace officer employed by the CALHOUN CO. SHERIFF'S OFFICE who, after an investigation, is shown to have engaged in racial profiling in violation of the CALHOUN CO. SHERIFF'S OFFICE policy; 6) requires collection of information relating to motor vehicle stops in which a warning or citation is issued and to arrests made as a result of those stops, including information relating to: a. the race or ethnicity of the individual detained; b. whether a search was conducted and, if so, whether the individual detained consented to the search; c. whether the peace officer knew the race or ethnicity of the individual detained before detaining that individual; d. whether the peace officer used physical force that resulted in bodily injury during the stop; e. the location of the stop; f. the reason for the stop. 7) requires the chief administrator of the agency, regardless of whether the administrator is elected, employed, or appointed, to submit an annual report of the information collected under Subdivision (6) to: a. the Commission on Law Enforcement; and b. the governing body of each county or municipality served by the agency, if the agency is an agency of a county, municipality, or other political subdivision of the state. The CALHOUN CO. SHERIFF'S OFFICE has satisfied the statutory data audit requirements as prescribed in Article 1 of 9 2.133 (c), Code of Criminal Procedure during the reporting period. Executed by: JOBNNY F. KRAUSE Chief Deputy Date: 01/10/2023. IN Motor Vehicle Racial Profiling Information Total stops: 6285 Street address or approximate location of the stop City street 344 US highway 821 County road 749 State highway 4371 Private property or other 0 Was race or ethnicity known prior to stop? Yes 487 No 5798 Race / Ethnicity Alaska Native / American Indian 22 Asian / Pacific Islander 116 Black 278 White 3330 Hispanic / Latino 2539 Gender Female 1652 Alaska Native / American Indian 7 Asian / Pacific Islander 29 Black 58 White 980 Hispanic / Latino 578 Male 4633 Alaska Native / American Indian 15 Asian / Pacific Islander 87 Black 220 White 2350 Hispanic / Latino 1961 Reason for stop? Violation of law 49 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 1 White 980 3of9 Hispanic / Latino 578 Preexisting knowledge 18 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 2 White 8 Hispanic / Latino 8 Moving traffic violation 5247 Alaska Native / American Indian 19 Asian / Pacific Islander 103 Black 218 White 2797 Hispanic / Latino 2110 Vehicle traffic violation 971 Alaska Native / American Indian 3 Asian / Pacific Islander 13 Black 57 White 495 Hispanic / Latino 403 Was a search conducted? Yes 241 Alaska Native / American Indian 2 Asian / Pacific Islander 3 Black 23 White 114 Hispanic / Latino 99 No 6044 Alaska Native / American Indian 20 Asian / Pacific Islander 113 Black 255 White 3216 Hispanic / Latino 2440 Reason for Search? Consent 72 Alaska Native / American Indian 1 Asian I Pacific Islander 2 Black 6 White 32 4of9 Hispanic / Latino 31 Contraband 46 Alaska Native / American Indian 0 Asian / Pacific Islander 1 Black 3 White 23 Hispanic / Latino 19 Probable 111 Alaska Native / American Indian 1 Asian / Pacific Islander 0 Black 13 White 54 Hispanic / Latino 43 Inventory 8 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 1 White 5 Hispanic / Latino 2 Incident to arrest 4 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 4 Was Contraband discovered? Yes 161 Alaska Native / American Indian 2 Asian / Pacific Islander 2 Black 16 White 80 Hispanic / Latino 61 No 80 Alaska Native / American Indian 0 Asian / Pacific Islander 1 Black 7 White 34 Hispanic / Latino 38 Did the finding result in arrest? (total should equal previous column) Yes 0 No 2 Yes 2 No 0 Yes 4 No 12. Yes 13 No 67 Yes 13 No 48 5 of Description of contraband Drugs 100 Alaska Native / American Indian 2 Asian / Pacific Islander 0 Black 11 White 52 Hispanic / Latino 35 Weapons 4 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 1 White 1 Hispanic / Latino 2 Currency 0 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 0 Alcohol 60 Alaska Native / American Indian 0 Asian / Pacific Islander 1 Black 3 White 13 Hispanic / Latino 3 Stolen property 0 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 0 Other 19 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 3 White 13 Hispanic / Latino 3 Result of the stop Verbal warning 1691 6of9 Alaska Native / American Indian 8 Asian / Pacific Islander 35 Black 74 White 975 Hispanic / Latino 599 Written warning 3352 Alaska Native / American Indian 6 Asian / Pacific Islander 61 Black 130 White 1817 Hispanic / Latino 1338 Citation 1127 Alaska Native / American Indian 8 Asian / Pacific Islander 17 Black 61 White 490 Hispanic / Latino 551 Written warning and arrest 98 Alaska Native / American Indian 0 Asian / Pacific Islander 3 Black 11 White 43 Hispanic / Latino 41 Citation and arrest 17 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 2 White 5 Hispanic / Latino 10 Arrest 0 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 0 Arrest based on Violation of Penal Code 33 Alaska Native / American Indian 0 Asian / Pacific Islander 1 7of9 Black 3 White 16 Hispanic / Latino 13 Violation of Traffic Law 4 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 2 Hispanic / Latino 2 Violation of City Ordinance 0 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 0 Outstanding Warrant 78 Alaska Native / American Indian 0 Asian / Pacific Islander 2 Black 10 White 30 Hispanic / Latino 36 Was physical force resulting in bodily injury used during stop? Yes 0 Alaska Native / American Indian 0 Asian / Pacific Islander 0 Black 0 White 0 Hispanic / Latino 0 Resulting in Bodily Injury To: Suspect 0 Officer 0 Both 0 No 6285 Alaska Native / American Indian 22 Asian / Pacific Islander 116 Black 278 White 3330 Hispanic / Latino 2539 �>D Number of complaints of racial profiling Total 0 Resulted in disciplinary action 0 Did not result in disciplinary action 0 Comparative Analysis Use TCOLE's auto generated analysis ❑x Use Department's submitted analysis ❑ Optional Narrative N/A Submitted electronically to the The Texas Commission on Law Enforcement 9of9 Racial Profiling Analysis Report CALHOUN CO. SHERIFF'S OFFICE 01. Total Traffic 02. Location of Stop 6285 a. City Street 344 5A7% b. US Highway 821 13.06% c. County Road 749 11.92% d. State Highway 4371 69.55% e. Private Property or other 0 0.00% 03. Was Race known prior to Stop: a. NO 5798 92.25% b. YES 487 7.75% 04. Race or Ethnicity: a. Alaska/ Native American/ Indian b. Asian/ Pacific Islander c. Black d, White e. Hispanic/ Latino 05. Gen -der: a. Female i. Alaska/ Native American/ Indian ii. Asian/ Pacific Islander iii. Black iv. White v. Hispanic/ Latino 06. Reason for Stop: a. Violation of Law i. Alaska/ Native American/ Indian ii. Asian/ Pacific Islander 22 0.35% 116 1.85% 278 4.42% 3330 52.98% Y m 2539 40.40% 1652 26.28% 7 0.11% 29 0.46% 58 0.92% 980 15,59% 578 9.20% 4633 . .............. . ..... 73.72% 15 0.24% 87 1.38% 220 3.50% 2350 37.39% 1961 31.20% 49 0.78% 0 0.00% 0 0.00% 1/10/2023 1 of 7 Racial Profiling Analysis Report Black 1 2.04% -iii. iv. White va�V_ W� 980 2000.00% v. Hispanic/ Latino 578 1179.59% b. Pre -Existing Knowledge 18p 0.29% i.�Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 2 11.11% iv. White 8 44.44% v. Hispanic/ Latino 8 44.44% c. Moving Traffic Violation 5247 83.48% i. Alaska/ Native American/ Indian 19 0.36% ii. Asian/ Pacific Islander 103 1.96% iii. Black 218 4.15% iv. White 2797 53.31% v. Hispanic/ Latino 2110 40,21% d. Vehicle Traffic Violation 971 15.45% I. Alaska/ Native American/ Indian 3 0.31% u. Asian/ Pacific Islander 13 1.34% iii. Black 57 5.87% iv. White 495 50.98% v. Hispanic/ Latino 403 41.50% 07. Was a Search Conducted: a. NO 6044 96.17% i. Alaska/ Native American/ Indian 20 0.33% ii. Asian/ Pacific Islander 113 1.87% iii. Black 255 4.22% iv. White 3216 53.21% v. Hispanic/ Latino 2440 40.37% b. YES 241 3.83% i. Alaska/ Native American/ Indian 2 0,83% ii. Asian/ Pacific Islander 3 1.24% iii. Black 23 9.54% iv. White 114 47,30% v. Hispanic/ Latino 99 41.08% 08. Reason for Search: - a. Consent 72 1.15% 1/10/2023 2of7 Racial Profiling Analysis Report I. Alaska/ Native American/ Indian 1 1.39% ii. Asian/ Pacific Islander 2 2.78% iii. Black 6 8.33% iv. White 32 44.44% v. Hispanic/ Latino ---43.06% b. Contraband in Plain View 46 0.73% i. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 1 2.17% iii. Black 3 6.52% iv. White v. Hispanic/ Latino 19 41.30% c. Probable Cause ill 1.77% ii. Alaska/ Native American/ Indian 1 0.90% i. Asian/ Pacific Islander 0 0.00% iii. Black 13 11.71% iv. White 54 48.65% v. Hispanic/ Latino 43 38.74% d. Inventory 8 0.13% I. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 0 iii. Black 1 12.50% iv. White 5 62.50% v. Hispanic/ Latino 2 25.00% e. Incident to Arrest 4 0.06% i. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 0 0.00% iv. White 0 0.00% v. Hispanic/ Latino 4 100.00% 09. Was Contraband Discovered YES 161 2-56% 1. Alaska/ Native American/ Indian 2 1.24% Finding resulted in arrest - YES 0 Finding resulted in arrest - NO 2 ii. Asian/ Pacific Islander 2 124% Finding resulted in arrest - YES 2 Finding resulted in arrest - NO, 0 iii. Black 16 9.94% 1/10/2023 3 of 7 Racial Profiling Analysis Report Finding resulted in arrest - YES 4 Finding resulted in arrest - NO 12 � iv. White White S0 49.69%�_�Y�_ Finding resulted in arrest -YES Y13 Finding resulted in arrest - NO �. P p �y 66 � 67 v. Latino Hispanic/ 6737.89%0 _ n.s n_ Finding resulted in arrest - YES 13 Finding resulted in arrest - NO 48 b. NO 80 1.27% i. Alaska/ Native American/ Indian 0 0.00% i. Asian/ Pacific Islander 1 1.25% iii. Black 7 8.75% iv. White_ ryv.- ~38��._..a. 34 42.50% Hispanic/ Latino 47.50%0_. 10. Description of Contraband: a. Drugs 100 1.59% i. Alaska/ Native American/ Indian 2 2.00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 11 11.00% iv. White 52 52.00% v. Hispanic/ Latino 35 35.00% b. Currency __.__, 0 0.00% i. Alaska/ Native American/ Indian 0 ----------- _ _- ____-�._4_.. ii. Asian/ Pacific Islander 0 iii. Black 0 iv. White 0 v. Hispanic/ Latino 0 c. Weapons 4 0.06% i. Alaska/ Native American/ Indian 0 0,00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 1 25.00% iv. White 1 25.00% 1/10/2023 4 of 7 'Racial Profiling Analysis Report v. Hispanic/ Latino 3 5.00% e. Stolen Property 0 0.00% i. Alaska/ Native American/ Indian 0 ii. Asian/ Pacific Islander 0 iii. Black 0 iv. White 0 v. Hispanic/Latino 0 f. Other 19 0.30% i. Alaska/ Native American/ Indian 0 0.00% i. Asian/ Pacific Islander 0 0.00% iii- Black 3 15-79% iv. White 13 68.42% v. Hispanic/ Latino 3 15.79% 11. Result of Stop: a. Verbal Warning 1691 26.91% i. Alaska/ Native American/ Indian 8 0A7% ii, Asian/ Pacific Islander 35 2.07% iii. Black 74 4.38% iv. White 975 57.66% v. Hispanic/ Latino 599 35.42% b. Written Warning 3352 53.33% i. Alaska/ Native American/ Indian 6 0.18% ii. Asian/ Pacific Islander 61 1.82% iii. Black 130 3.88% iv. White 1817 54.21% v. Hispanic/ Latino 1338 -- - --------- - 39.92% . .... .. c. Citation 1127 17.93% i. Alaska/ Native American/ Indian 8 ...... -- ---- -- — ---- 0.71% ii. Asian/ Pacific Islander 17 1.51% iii. Black 61 5.41% — ---------- iv. White 490 43.48% v. His Latino 551 48.89% d. Written Warning and Arrest 98 1,56% i. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 3 3.06% iii. Black 11 11.22% iv. White 43 43.88% v. Hispanic/ Latino 41 41.84% 1/10/2023 5 of 7 Racial Profiling Analysis Report e. Citation and Arrest 17 0.27% i. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 2 11.76% iv. White 29.41% v. Hispanic/ Latino 10 58.82% f. Arrest 0.00% I. Alaska/ Native American/ Indian 0 ii. Asian/ Pacific Islander 0 li-i. Black 0 iv. White 0 v. Hispanic/ Latino 0 12. Arrest Based On a. Violation of Penal Code 33--- 0.53% I. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 1 3.03% iii. Black iv. White 16 48.48% v. Hispanic/ Latino 13 39.39% b. Violation of Traffic Law 4 0.06% i. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 0 0.00% iii. Black 0 0.00% iv. White 2 50.00% v. Hispanic/ Latino 2 50.00% c. Violation of City Ordinance 0 0.00% i. Alaska/ Native American/ Indian 0 ii. Asian/ Pacific Islander .......... 0 iii. Black 0 iv. White 0 v. Hispanic/ Latino 0 d. Outstanding Warrant 78 1.24% I. Alaska/ Native American/ Indian 0 0.00% ii. Asian/ Pacific Islander 2 2.56% iii. Black 10 1232% iv, White 30 38.46% v. Hispanic/ Latino 36 46.15% 1/10/2023 6 of 7 Racial Profiling Analysis Report 13. Was Physical Force Used a. NO 6285 100.00% i. Alaska/ Native American/ Indian 22 0.35% ii. Asian/ Pacific Islander 116 1.85% iii. Black 278 4.42% iv. White 3330 52.98% v. Hispanic/ Latino 2539 40.40% b. YES 0 0.00% i. Alaska/ Native American/ Indian 0 ii. Asian/ Pacific Islander iii. Black 0 iv. White ---------- 0 v. Hispanic/ Latino 0 b 1. YES: Physical Force Resulting in Bodily Injury to Suspect 0 b 2, YES: Physical Force Resulting in Bodily Injury to Officer 0 b 3. YES: Physical Force Resulting in Bodily Injury to Both 14. Total Number of Racial Profiling Complaints Received: 0 REPORT DATE COMPILED 01/10/2023 1/1012023 7 of 7 #17 17. Consider and take necessary action to authorize a feasibility study by the Texas A & M Agrilife Extension Service for a proposed exposition center. (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 14 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Texas AgriLife Extension Service Proposal for Calhoun County 11 /7/2022 TEXAS A&M IYGRMFE EXTENSION Feasibility Study for a Proposed Exposition Center in Calhoun County Principal Investigator: Dean McCorkle, PhD. Senior Extension Program Specialist —Economic Accountability, Texas A&MAgriLife Extension Service, 600 John Kimbrough Blvd., Ste. 319, 2124 TAMU, Agricultural Economics, College Station, TX 77843- 2124. E-mail: d-mccorkle@tamu.edu. Phone: 979.845-1861 Co -Investigator. - Daniel Hanselka Extension Program Specialist I, Texas A&MAgriLife Extension Service, 600 John Kimbrough Blvd., Ste. 349D, 2124 TAMU, Agricultural Economics, College Station, TX 77843-2124. E-mail: daniel.hanselka@ag.tamu.edu. Phone: 979.845-8012 Statement of Services: The Texas A&M AgriLife Extension Service Agricultural Economics team (Dr. McCorkle and Mr. Hanselka) will conduct a feasibility study to assess the feasibility of Calhoun County (Texas) building and operating an exhibition center in Port Lavaca, Texas, the county seat of Calhoun County. This proposal has been developed for the Calhoun County Commissioners Court and County Judge Richard Meyer. The development of the feasibility study will include the following action items: • Input from Stakeholders and Potential Users: The Extension Agricultural Economics team will work with the Commissioners Court, County Judge Richard Meyer, Calhoun County Extension Agents, and others identified by the Commissioners Court to identify potential users of the proposed exposition center. The Extension Agricultural Economics team will then work with Calhoun County officials to identify the potential users to solicit input from regarding their desires, needs, and potential use of the proposed facility. • Market Feasibility: The Extension Agricultural Economics team will conduct a market research assessment using existing data/secondary data to assess the following: Industry Competitiveness: Size and scope of the events hosting industry and market in the region, ease of entering the market, and trends. Analysis of Calhoun County economic and market data, to include county population and trends, demographics, number of businesses, employment base, availability of labor, and number of local hotel rooms. Population of horses and other livestock (youth and commercial) in the area that participates in horse and livestock shows to determine the size of this market of potential users. • Financial Feasibility: Determine specifications for the following parameters to assess financial feasibility: Determine facility specifications, including size, number and type of buildings, number and size of meeting and banquet rooms, office space, parking, driveways, drainage, utilities, etc. • Identify a contractor (two preferably) to provide an estimate for the full cost of construction. • Work with the Brazos Co. Expo Center and possibly other expo centers as needed to gather information on the number of events these facilities typically host monthly and annually, and facility rental rates. Estimate capital requirements for the facility, and any equipment that may be needed, and determine working capital needs. Estimate the amount of start-up capital that will be needed in the early stages until revenues reach a "normal" or full capacity operating level. Estimate any contingency capital needs that could arise due to construction delays, operating delays, or other unplanned events that could delay or interrupt operations of the facility. Also estimate any other capital needs. Work with Calhoun County officials to determine how the county would fund the construction costs, financing costs, and any capital needs following construction. • Identify alternativelcontingency capital needs, and methods to secure. • Estimate a budget for expected revenue, costs, profit margin and expected net profit for the first three years of operations, as well as pro -forma income statements, cashflow statements, and balance sheets. • Estimate the level of sales (rent income) needed for break-even. • The financial analysis will include sensitivity analysis to assess the effect of varying levels of reductions in sales revenue and the facility's ability to withstand these reductions. This is commonly referred to as evaluating "what if' scenarios, such as assessing the "worst case", "typical case", and "best case" scenarios, for example. Also, identify limitations or constraints of the financial analysis. • Economic Impact Analysis: The Extension Agricultural Economics team will use the IMPLAN input-output model to conduct economic impact analysis of a "most likely" financial analysis scenario to estimate the broader economic impact of the facility on the county using economic multipliers developed with IMPLAN. • Feasibility Study Report (Deliverable): A written report and an executive summary (1-2 pages) will be developed for the Calhoun County Commissioners Court. This could include a presentation to the commissioners court and others. Note: The development of the feasibility study does not include any type of assessment of the site (which Calhoun County already owns) for its suitability for building the facility, or for any limitations that could be related to the site. Approximate Timeline: The contract period runs from January 1, 2023 through June 30, 2023. The Extension Agricultural Economics team will deliver the feasibility study report to the Calhoun County Commissioners Court on or before June 30, 2023. Budget The budget for this project is $46,000, which reflects the cost of salaries, including salary enhancement, travel (three trips to Calhoun County), indirect costs, and a usage fee for the IMPLAN model. Calhoun County will pay the $46,000 fee on or before June 30, 2023. CONTRACTING PARTY: Receiving Party: Calhoun County Commissioners Court Contact Person(s): Richard Meyer County Judge for Calhoun County 211 S. Ann Street, Ste. 104 Port Lavaca, TX 77979 Email: richard.meyer@calhouncotx.org Tel. (361) 553-4600 # Zs 18. Consider and take necessary action to renew the Services Agreement with Frontier Communications and authorize Commissioner Lyssy to sign all necessary documents. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER`: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 �OL�F OD CP�a°Jr January 11, 2023 The Honorable Richard Meyer Calhoun County Judge 211 S. Ann Street Port Lavaca, Texas 77979 Re: Agenda Item for Next Commissioners' Court Meeting Dear Judge, (361) 552-9656 Fax (361) 553-6664 Please place the following matter on the agenda for the next meeting: "Consider and take necessary action to renew the Services Agreement with Frontier and allow Commissioner Lyssy to sign all necessary documents." Sincerely Vern Lyssy VL/Ij Encl: as stated Frontier FRONTIER SERVICES AGREEMENT COMMUNICATIONS Frontier Confidential This Frontier Services Agreement ("FSA") is effective as of January 1i0 2023 ("Effective Date"), by and between Frontier Communications of America, Inc. on behalf of itself and its affiliates which provide Equipment and Services identified in the Schedules ("Frontier"), and Commissioner PCT No. 2, whose primary address is 5812 N. FM 1090 Port Lavaca, TX 77979 ("Customer'). This document incorporates the complete Frontier Services Agreement terms and conditions at htto://www.Frontier.com/FSA as an integral part of the agreement (collectively, the "FSA"). Provision of Services and Equipment Frontier will provide and the Customer agrees to pay for the communications, installation and maintenance services (collectively "Service"), and/or purchase or lease equipment ("Equipment"), described in this FSA and Schedules issued by Frontier and executed by Customer. Customer acknowledges that certain Services may be governed by tariff or price schedule filed with the Federal Communications Commission and/or the state public utilities commission. In the event of any inconsistencies between this FSA and an applicable tariff, the tariff shall control except with respect to pricing, early termination charges or cancellation charges for which this FSA shall control. Term The term of this FSA will commence as of the date identified in the introductory paragraph above or the date the FSA is executed by both Parties, whichever is later (the "Effective Date") and will continue through the Service Term with respect to any Service or Equipment provided pursuant to this FSA. Customer will purchase the Services, or lease Equipment, identified in each Schedule for the period of time stated in the Schedule (the "Service Term"). If neither party provides the other with written notice of its intent to terminate a Service at least sixty (60) days prior to expiration, the Service Term of each Service will automatically renew for additional one-year periods, subject to the terms and conditions of this FSA and at the then applicable one-year term rate, excluding promotional rates. If the parties agree to negotiated renewal terms, such terms will not be effective unless and until documented in writing and executed by both parties. Payment Customer shall pay all charges set forth in the Schedules and in applicable tariffs during the Service Term. Frontier will invoice Customer any non- recurring charges ("NRC"), monthly recurring charges ("MRC"), and usage based charges. In addition to the applicable charges set forth in the tariffs and Schedules, Customer shall pay all applicable federal, state or local sales, use, privilege, gross receipts, utility, value added, excise or other taxes (excluding taxes based on Frontier's net income), or any charges in lieu thereof, and any applicable surcharges or fees, whether government mandated or Frontier initiated in the amounts applicable at the time of billing. Customer shall also be responsible for third party charges and penalties incurred as a result of Customer's use of the Services or Equipment. Frontier Communications of America, Inc. Signature: Printed Name: Title: Date: Contractual Notice: Frontier Communications 111 Field Street Rochester, NY 14620 Attn: Legal Department Cancellation and Early Termination Charges If Customer cancels any Service or Equipment prior to delivery of any Equipment or installation of the Service or Equipment, Customer shall pay a cancellation charge equal to the NRC and one (1) month of MRC for the Service, plus the total costs and expenditures of Frontier in connection with establishing the Service prior to Frontier's receipt of notice of cancellation, including but not limited to any Equipment restocking fees. Following installation, Customer may terminate a Service or Equipment by providing at least thirty (30) days prior written notice to Frontier. All unpaid amounts shall be due upon termination of any Service identified in a Schedule for any reason. In addition, and unless otherwise specifically provided in the applicable Schedule, if any Service or Equipment is terminated by Customer for any reason other than breach by Frontier or by Frontier due to Customer's breach, then Customer shall pay Frontier a termination charge equal to the applicable MRC and all related taxes and surcharges multiplied by the number of months remaining in the Service Term. Partial months shall be prorated. Customer agrees that Frontier's damages in the event of early termination will be difficult or impossible to ascertain, and that the charges identified in this FSA are intended to establish liquidated damages in the event of termination and are not intended as a penalty. Dispute Resolution Except as otherwise specifically provided in or permitted by this FSA, all disputes arising in connection with this FSA shall first be resolved through good faith negotiation. If, after negotiating in good faith for a period of ninety (90) calendar days, or any agreed further period, the parties are unable to resolve the dispute, then each party may seek resolution by exercising any rights or remedies available at law or in equity. Customer and Frontier agree that each may only bring claims against the other in an individual capacity and not as a plaintiff or class member in any purported class, representative, or private attorney general proceeding. Authorization and Entire Agreement Each party represents that the person executing this FSA is authorized to enter into this FSA on its behalf. This FSA, the terms and conditions, including the Limitation of liability, warranty, indemnification, breach and other terms and conditions, at htto,//www.Frontler.com/FSA, and any Schedules executed by the parties constitute the entire agreement between the parties pertaining to the subject matter herein and supersedes all prior oral and written proposals, correspondence and memoranda with respect thereto. This FSA may not be modified, amended or supplemented except by written agreement signed by an authorized representative of each party. Commissioner PCTNo.2-361 29656 Signature: Printed Name: VERN LYSSY Title: COMMISSIONER Date: JANUARY 18, 2023 Contractual Notice: address above Attn: Legal Department Ver. 2016.09 Page 1 of 1 Frontier Broadband and OneVoice Nationwide SCHEDULE Business COMMUNICATIONS Frontier Confidential This is Schedule Number 1 to the Frontier Services Agreement dated January 10, 2023 ("FSA") by and between Commissioner PCT No. 2 ("Customer') and Frontier Communications of America, Inc. on behalf of itself and its affiliates ("Frontier"). Customer orders and. Frontier agrees to provide the Services and Equipment identified in the Schedule below. Primary Service Location: 5812 N. FM 1090 Port Lavaca, TX 77979 Schedule Date: January 10, 2023 Schedule Type/Purpose: Renew existing Services (this Schedule supersedes) Service Term: One Voice Only 2 year OneVoice Nationwide renew 2 $ 95.00 $ 39.99 OneVoice Features (add $9.99 to both MRC columns if "All in" is selected below) - $ 0.00 $ • All product speeds referenced above are "up to" available speeds. Actual speeds may vary and are dependent on various issues such as network requirements, customer location and equipment. • A$9.99 processing fee will apply upon disconnection of Internet Service. ver. 032019 BIRCH Page 1 of 3 Frontier COMMUNICATIONS sic Features: included in MRC (check all that apply) ® Anonymous Call Rejection ® One Flat Rate Business Access Line (includes Extended. ® Caller ID Name and Number Community Calling, Extended Area Service and Touch Tone) ® Basic Call Forward All Calls Variable ® Hunting ® Call Forward Busy Fixed mono( Features Check individual requested additional features, or "All ln' ❑ Broadband and OneVoice Nationwide SCHEDULE Business Frontier Confidential Call Forward No Answer Fixed Voicemail — Basic included Call Waiting/ Cancel Call Waiting Call Transfer/3 way $9.99 ❑ Automatic Busy Radial ❑ Selective Call Acceptance ❑ Speed Dial 30 if 1 or more features ❑ Automatic Call Return ❑ Selective Call Forwarding ❑ VIPAlert/Priority Call are checked subject to ❑ Distinctive Ring ❑ Selective Call Rejection ❑ Voicemail- Deluxe feature availability. OneVoice SERVICE DESCRIPTION: o Main Line —business line with the following features: • Nationwide Unlimited- Unlimited domestic LD plus unlimited local (voice traffic only), Acceptable Use Policy applies. No call detail record provided for OneVoice Nationwide. o Optional All in Feature Package: Customer may choose any or all from the available feature list for an additional fee o Usage: • The following usage types WILL BE included in the plan: ✓ Domestic outbound interstate, intrastate and IntraLATA long distance usage ✓ Certain offshore outbound usage to U.S. Territories • The following usage types WILL NOT BE included in the plan: ✓ Domestic and Canadian inbound (toll free) long distance usage ✓ International usage ✓ Directory Assistance ✓ Information service calls(900) ✓ Dial -up Internet calls (will be billed at $0.10 per minute) ✓ Telesales and telemarketing applications using auto dialers Availability. OneVoice is available only for customers with a maximum of twenty-five (25) business lines. OneVoice is not available with Centrex lines, foreign exchange central office services or public telephone services and analog to digital conversion, digital PBX services or the equivalents of any such services. Acceptable Use Policy applicable on OneVoice Nationwide: OneVoice long distance minutes are only available on line(s) for commercial domestic outbound long- distance voice usage. Customers with usage inconsistent with normal commercial applications and usage patterns may be converted to an alternative voice service with charges for local and long-distance calling. Internet Acceptable Use Policy and Security. o Customer shall comply, and shall cause all Service users to comply, with Frontier's Acceptable Use Policy ("AUP"), which Frontier may modify at any time. The current AUP is available for review at the following address, subject to change: http://www.frontier.com/policies/commercial—aup/ o Customer is responsible for maintaining awareness of the current AUP and adhering to the AUP as it may be amended from time to time. Failure to comply with the AUP is grounds for immediate suspension or termination of Frontier Internet Service, notwithstanding any notice requirement provisions of the FSA. o Customer is responsible for the security of its own networks, equipment, hardware, software and software applications. Abuse that occurs as a result of Customer's systems or account being compromised or as a result of activities of third parties permitted by Customer may result in suspension of Customer's accounts or Internet access by Frontier. Customer will defend and indemnify Frontier and its affiliates with respect to claims arising from Customer's or third parties' usage of Frontier Internet access through Customer's hardware or software. Equipment. o Customer acknowledges and agrees that the Equipment and Services provided by Frontier hereunder are subject to the terms, conditions and restrictions contained in any applicable agreements (including software or other intellectual property license agreements) between Frontier and Frontier's vendors, and all applicable licenses are subject to the manufacturer's end user license terms and conditions. o Frontier retains title to leased Equipment. Frontier retains title to purchased Equipment until the Frontier is paid in full. Customer grants a security interest in the purchased Equipment to Frontier, pending full payment, and shall take all additional measures necessary to perfect such security interest at Frontier's request. o Equipment is warranted pursuant to the applicable manufacturer's standard warranty provisions, as outlined in the documentation packaged with the Equipment. This Schedule shall not be construed as granting a license with respect to any patent, copyright, trade name, trademark, service mark, trade secret or any other intellectual property, now or hereafter owned, controlled or licensable by Frontier or the third party manufacturers. Customer agrees that Frontier has not made, and that there does not exist, any warranty, express or implied, that the use by Customer of the Equipment will not give rise to a claim of infringement, misuse, or misappropriation of any intellectual property right. THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, AND FRONTIER Ver. 032019 BIRCH Page 2 of 3 Frontier COMMUNICATIONS Broadband and OneVoice Nationwide SCHEDULE Business Frontier Confidential DISCLAIMS ALL OTHER WARRANTIES INCLUDING, WITHOUT LIMITATION, ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE OR FUNCTION, TITLE OR NONINFRINGEMENT OF THIRD -PARTY RIGHTS. 0 The Equipment may contain certain software code that is developed by third parties, including software code subject to the GNU General Public License ("GPL") or GNU Less General Public License ("LGPL"). Copies of the licenses and a downloadable copy of the source code for the open source software that is used in this product are available on the following website: https://frontier com/helpcenter/categories/internet/other-services/open-source-software-portal o You may also obtain a copy of the source code used in this product via mail -in request, for a period of three years after initial date of product purchase. Mail -in requests must be sent to the following address and include the productname, a money order for$10 payable to Frontier, and your return name and address to: Frontier Communications, Attn: Legal, Open Source Requests, 401 Merritt 7, Norwalk, CT 06851. ALL OPEN SOURCE SOFTWARE IS DISTRIBUTED WITHOUT ANY WARRANTY. All such software is subject to the copyrights of the authors and to the terms of the applicable licenses included in the download. Early Termination Charge 0 Notwithstanding section 4 of the FSA, if Customer terminates the Service for any reason other than breach by Frontier or by Frontier due to Customer's breach, the Customer shall pay Frontier a termination charge equal to the following calculations: 0 For a 12 month Service Term: Customer shall pay Frontier a termination charge equal to$33.33 multiplied by the number of months remaining in the Service Term and any applicable taxes and surcharges. Partial months shall be prorated. The cancellation charge shall not exceed $400.00. o For a 24 Month Service Term: Customer shall pay Frontier a termination charge equal to525.00 multiplied by the number of months remaining in the Service Term and any applicable taxes and surcharges. Partial months shall be prorated. Customer The cancellation charge shall not exceed $600.00. o For a 36 Month Service Term: Customer shall pay Frontier a termination charge equal to$22.22 multiplied by the number of months remaining in the Service Term and any applicable taxes and surcharges. Partial months shall be prorated. The cancellation charge shall not exceed $800.00. This Schedule is not effective and pricing, dates and terms are subject to change until signed by both parties, and may not be effective until approved by the FCC and/or applicable State Commission. This Schedule and any of the provisions hereof may not be modified in any manner except by mutual written agreement. The above rates do not include any taxes, fees or surcharges applicable to the Service. This Schedule, and all terms and conditions of the FSA, is the entire agreement between the parties with respect to the Services and described herein, and supersedes any and all prior or contemporaneous agreements, representations, statements, negotiations, and undertakings written or oral with respect to the subject matter hereof. Frontier Communications of America, Inc. Signature: Printed Name: Title: Date: Commissioner PCTNNo.2--,33615529656 Signature: V t� `�/ Printed Name: V ErZ-N L L Title: GOM,MI`5UALOR- Date: jp-mujlt&�J ver. 092019 BIRCH Page 3 of 3 #19 19. Consider and take necessary action to authorize the Texas Water Safari to use the Bill Sanders Memorial Park for the finish line for the 2023 Texas Water Safari and authorize the use of park facilities and overnight camping from June 8 - June 14, 2023. Postponement dates are June 22 - 28, 2023 and July 6 - 12, 2023. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 Behrens, Reese AYES: Judge Meyer, Commissioner Hall Lyssy, Page 16 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 County Commissioner County of Calhoun Precinct 4 January 11, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners, Court Agenda for January 18, 2023. • Consider and take necessary Sanders Memorial Park for finish line for 2023 Texas Water Safari and authorize use action to authorize Texas Water Safari to use Bill Of park facilities and overnight camping from June 8 -June 14, 2023. Postponement dates are June 22 - 28, 2023 and July 6 -12, 2023. Sincerely, Gary Deese CDR/at P.O. Box 177 — Seadrift. Texas 77983 —email: Um IMICr calf ow w;.s O —(361) 785-3141 —Fax (361) 785-5602 # 20 20. Consider and take necessary action to declare as Waste the ice machines on the attached form from Precinct 4. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 17 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Gary D. Reese County Commissioner County of Calhoun Precinct 4 January 11, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: Please place the following item on the Commissioners' Court Agenda for January 18, 2023. • Consider and take necessary action to declare Waste and remove from Precinct 4 R&B inventory two ice machines, asset numbers 24-0367 and 24-0454. Sincerely, Gary D. !�\ GDP/at P.O. Box 177 - Seadrift, Texas 77983 -email: earv.reese@ilcalhouncoix.ore - (361) 785-3141 -Fax (361) 785-5602 CALHOUN COUNTY, TEXAS WASTE DECLARATION REQUEST FORM DEPARTMENT NAME: PCT 4 ROAD & BRIDGE REQUESTED BY: COMMISSIONER REESE Date INVENTORY ...MlaaaV rvVInnErt DESCRIPTION SERIAL NO. REASON FOR DECLARATION 6/21/2006 24-0367 KM630ICE MACHINE BROKEN 9/22/2014 24-0454 HOSHIZAKI ICE MACHINE BROKEN #21 21. Consider and take necessary action to declare as Surplus/Salvage the vehicle described on the attached form. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 Mae Belle Cassel From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, January 12, 2023 2:24 PM To: Mae Belle Cassel Subject: Surplus Salvage Declaration Request Form 01-12-2023 Attachments: Surplus Salvage Declaration Request Form 01-12-2023.doc CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good afternoon! Attached is the form you sent me for Surplus Salvage. Candice isn't in so that I can get the inventory number, but was able to include all other information. Please let me know if you need anything else and THANK YOU for leading me in the right direction. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work c[KAsA&,M �. i �t\tlLl AzJLS ►JCUib a 4-MOP� ZVGRMFE . _... _._.. Texas snows EXTENSION Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Extension Service Requested By: Karen Lyssy Inventory Number Description Serial No. Reason for Surplus/Salvage Declaration 2005 CHEVROLET CREW CAB 1GCHK23U85F914301 Not working up safety standards # 22 22. Consider and take necessary action to transfer the items on the attached Transfer Form from the Juvenile Probation Department to the Sheriffs Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, CommssionerPct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 22 Z:\O.COMMISSIONERCOURT MINUTES ETC\2023 Luis Leija Chief Juvenile Probation Officer January 10, 2023 CALHOUN COUNTY JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 West Austin Port Lavaca, Texas 77979 Telephone (361) 553-4670 To: Richard Meyer Calhoun County Judge From: Luis Leija /A Chief Juvenile Probation Officer Re: Commissioner's Court Agenda Please place the following item on the next Commissioner's Court Agenda. • Consider and take necessary action to transfer the items on the attached transfer form from the Juvenile Probation Department to the Sheriffs Office. Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By: Luis Leija Inventory Number Description Serial No. Transfer From/To Department 972-0077 2018 Chevrolet Tahoe 1GNLCDECOJR354233 Juvenile Probation / Sheriffs Office 972-0t178 Partition, Barrier, Window Armor Juvenile Probation / Sheriffs Ofice # 23 23. Accept Monthly Reports from the following County Offices: i. District Clerk - December 2022 ii. Justice of the Peace, Precinct 3 - December 2022 iii. Tax Assessor -Collector - December 2022 iv. Texas Agrilife Extension Service - December 2022 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 20 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 *Treasurer Receipt Numbers: F2022DEC006, 017,022,036 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/5/2023 COURT NAME: DISTRICT CLERK MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME DEBIT CREDIT 1000-001-44190 SHERIFF'S SERVICE FEES $3,114.44 1000-001-44140 JURY FEES $103.00 1000-00144045 RESTITUTION FEE $0.00 1000-00144020 DISTRICT ATTORNEY FEES $0.00 1000-00149010 REBATES -PREVIOUS EXPENSE $0.00 1000-00149030 REBATES-ATTORNEY'S FEES $952.28 1000-00144058 DISTRICT CLERK ELECTRONIC FILING FEES $0.00 1000-00144322 TIME PAYMENT REIMBURSEMENT FEES $42.76 1000-00143049 STATE REIMB- TITLE IV-D COURT COSTS $0.00 DISTRICT CLERK FEES CERTIFIED COPIES $46.00 CRIMINAL COURT $32.02 CIVIL COURT $3,990.39 STENOGRAPHER $257.50 CIV FEES DIFF $0.00 1000-00144050 DISTRICT CLERK FEES $4,325.91 1000-999-20771 FAMILY VIOLENCE FINE $0.00 1000-999-10010 CASH - AVAILABLE $8,538.39 2706-00144055 FAMILY PROTECTION FEE $0.00 2706-999-10010 CASH - AVAILABLE $0.00 2740-00145055 FINES - DISTRICT COURT $742.56 2740-999-10010 CASH - AVAILABLE $742.56 2620-00144055 APPELLATE JUDICIAL SYSTEM $51.50 2620-999-10010 CASH -AVAILABLE $51.50 2648-00144055 COURT FACILITY FEE FUND $206.00 2648-999-10010 CASH - AVAILABLE $206.00 2670-00144055 COURTHOUSE SECURITY $255.02 2670-999-10010 CASH - AVAILABLE $255.02 2673-00144055 CRT RECS PRESERVATION FUND- CO $90.00 2673-999-10010 CASH - AVAILABLE $90.00 2725-00144055 LANGUAGE ACCESS FUND $30.90 2725-999-10010 CASH -AVAILABLE $30.90 2739-00144055 RECORD MGMT/PRSV FUND - COUNTY $337.04 2739-999-10010 CASH - AVAILABLE $337.04 2737-00144055 RECORD MGMT/PRSV FUND -DIST CLRK $82.01 2737-999-10010 CASH - AVAILABLE $82.01 2731-00144055 LAW LIBRARY $360.50 2731-999-10010 CASH - AVAILABLE $360.50 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $3.21 2663-999-10010 CASH - AVAI LABL $3.21 7040-999-20740 BREATH ALCOHOL TESTING - STATE $0.00 7040-999-10010 CASH - AVAILABLE $0.00 2667-00144055 CO CHILD ABUSE PREVENTION FUND $0.45 2667-999-10010 CASH - AVAILABLE $0.45 7502-999-20740 JUDICIAL & COURT PERSONNEL TRAINING FUND -STATE $35.00 7502-999-10010 CASH-AVAILABE $35.00 7383-999-20610 DNA TESTING FEE - County $0.11 7383-999-20740 DNA TESTING FEE - STATE $1.02 7383-999-10010 CASH - AVAILABLE $1.13 7405-999-20610 EMS TRAUMA FUND - COUNTY $0.00 7405-999-20740 EMS TRAUMA FUND - STATE $0.00 7405-999-10010 CASH - AVAILABLE $0.00 7070-999-20610 CONSOL. COURT COSTS - COUNTY $15.53 7070-999-20740 CONSOL. COURT COSTS - STATE $139.75 7070-999-10010 CASH - AVAILABLE $155.28 7072-999-20610 STATE CONSOL. COURT COSTS- COUNTY $53.87 7072-999-20740 STATE CONSOL. COURT COSTS- STATE $484.87 7072-999-10010 CASH -AVAILABLE $538.74 2698-001-44030-010 DRUG CRT PROG FEE - COUNTY (PROGRAM) $6.52 2698-999-10010-010 CASH -AVAILABLE $6.52 7390-999-20610-999 DRUG COURT PROG FEE - COUNTY (SVC FEE) $1.30 7390-999-20740-999 DRUG COURT PROG FEE - STATE $5.21 7390-999-10010-999 CASH - AVAILABLE $6.51 7865-999-20610-999 CRIM - SUPP OF IND LEGAL SVCS - COUNTY $0.23 7865-999-20740-999 CRIM - SUPP OF IND LEGAL SVCS - STATE $2.05 7865-999-10010-999 CASH - AVAILABLE $2.28 7950-999-20610 TIME PAYMENT - COUNTY $10.22 7950-999-20740 TIME PAYMENT - STATE $10.21 7950-999-10010 CASH - AVAILABLE $20.43 7505-999-20610 JUDICIAL SUPPORT-CRIM - COUNTY $1.03 7505-999-20740 JUDICIAL SUPPORT-CRIM - STATE $5.82 7505-999-10010 CASH - AVAILABLE $6.85 7505-999-20740-010 JUDICIAL SALARIES -CIVIL - STATE(42) $378.00 7505-999-10010-010 CASH AVAILABLE $378.00 2740-00145050 BOND FORFEITURES $0.00 2740-999-10010 CASH - AVAILABLE $0.00 2729-00144034 PRE-TRIAL DIVERSION FUND $0.00 2729-999-10010 CASH - AVAILABLE $0.00 7857-999-20610 JURY REIMBURSEMENT FUND- COUNTY $0.50 7857-999-20740 JURY REIMBURSEMENT FUND- STATE $4.52 7857-999-10010 CASH - AVAILABLE $5.02 7860-999-20610 STATE TRAFFIC FINE- COUNTY $0.00 7860-999-20740 STATE TRAFFIC FINE- STATE $0.00 7860-999-10010 CASH - AVAILABLE $0.00 7403-999-22888 DIST CRT- ELECTRONIC FILING FEE - CIVIL $210.00 7403-999-22991 DIST CRT- ELECTRONIC FILING FEE - CRIMINAL $3.96 CASH - AVAILABLE $213.96 1000-00144050 DISTRICT CLERK FEES $116.49 1000-999-10010 CASH - AVAILABLE $116.49 2739-00144055 RECORD MGMT/PRSV FUND - COUNTY $72.81 2739-999-10010 CASH - AVAILABLE $72.81 2669-00144050 COUNTY JURY FUND $2.91 2669-999-10010 CASH - AVAILABLE $2.91 2670-00144055 COURTHOUSE SECURITY $29.12 2670-999-10010 CASH - AVAILABLE $29.12 2663-00144050 CO & DIST CRT TECHNOLOGY FUND $11.65 2663-999-10010 CASH - AVAILABLE $11.65 2676-00144050 COUNTY SPECIALTY COURT FUND $72.81 2676-999-10010 CASH -AVAILABLE $72.81 7855-999-20784-010 DIST CRT - DIVORCE & FAMILY LAW - STATE $0.00 7855-999-20657-010 DIST CRT - DIVORCE & FAMILY LAW - COUNTY $0.00 7855-999-20792-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - STATE $97.00 7855-999-20658-010 DIST CRT -OTHER THAN DIVORCE/FAMILY LAW - COUNTY $3.00 7855-999-20740-010 DIST CRT - OTHER CIVIL PROCEEDINGS - STATE $85.50 7855-999-20610-010 DIST CRT - OTHER CIVIL PROCEEDINGS - COUNTY $4.50 7855-999-20790-010 DUE TO STATE - NONDISCLOSURE FEE $0.00 7855-999-10010-010 CASH - AVAILABLE $190.00 2677-999-20740-999 COUNTY DISPUTE RESOLUTION FUND $154.50 2677-999-10010-999 CASH - AVAILABLE $154.50 7858-999-20740-999 DIST CLK - DUE TO STATE CONSOLIDATED FEE 2022 $939.10 7858-999-10010-999 CASH AVAILABLE $939.10 TOTAL (Distrib Req to Oper Acct) $13,962.48 $13,656.69 DUE TO OTHERS (Distrib Req(s) attached) ATTORNEY GENERAL (RESTITUTION) 0.00 OUT -OF -COUNTY SERVICE FEES 1,480.00 REFUND OF OVERPAYMENTS 0.00 DUE TO OTHERS 0.01 TOTAL DUE TO OTHERS $1,480.01 REPORT TOTAL - ALL FUNDS 15,136.70 PLUS AMT OF RETURNED CKS 0.00 LESS: TOTAL TREASURER'S RECEIPTS (15,136.70) Revised 01/31/20 OVER / (SHORT) $0.00 DISTRICT COURT DECEMBER STATE COURT COSTS REPORT 2022 DECEMBER SECTION I: REPORT FOR OFFENSES COMMITTED COLLECTED COUNTY STATE 01/1/20 - Present 53.87 484.87 01/01/04-12131/19 - $154,89 '' 15.48 139.33 09101/01-12/31/03 - - 09/01/99 - 08/31/01 0.05 0.42 09/01/97 - 08/31/99 - - 09/01/95 - 08/31/97 '� .`auk: - - 09/01/91-08/31/95 - - DNA TESTING FEES 1.13 0.11 1.02 EMS TRAUMA FUND - - - JUV. PROB. DIVERSION FEES JURY REIMBURSEMENT FEE $5.02 0.50 4.52 INDIGENT DEFENSE FUND $2.28 0.23 $2.05 STATE TRAFFIC FEES $0.00 - $0.00 DRUG CRT FROG FEE $13.03 $7.82 5.21 SECTION II: AS APPLICABLE STATE POLICE OFFICER FEES FAILURE TO APPEARIPAY FEES - - JUD. FUND-CONST. CO. CRT. JUD. FUND -STATUTORY CO. CRT. MOTOR CARRIER WEIGHT VIOLATIONS TIME PAYMENT FEE $20.43 10.22 10.21 DRIVING RECORD FEE JUDICIAL SUPPORT FEES $6.85 1.03 5.82 ELECTRONIC FILING FEE - CR $3.96 $3.96 TOTAL STATE COURT COSTS $746.72 $ 89.31 $ 657.41 CIVIL FEES REPORT DECEMBER COLLECTED COUNTY STATE BIRTH CERTIFICATE FEES MARRIAGE LICENSE FEES DECL. OF INFORMAL MARRIAGE ELECTRONIC FILING FEE - CV $210.00 $210.00 NONDISCLOSURE FEES ,. 0', $0.00 $0.00 JUROR DONATIONS JUSTICE CRT. INDIG FILLING FEES STAT PROS CRT INDIG FILING FEES STAT PROS CRT JUDIC FILING FEES STAT CNTY CRT INDIG FILING FEES STAT CNTY CRT JUDIC FILING FEES STAT CNTY CRT -JUDICIAL SUPPORT CONST CNTY CRT INDIG FILING FEES CNST CNTY CRT JUDIC FILING FEES DIST CRT DIV & FAMILY LAW O,I $0.00 - - DIST CRT OTHER THAN DIV/FAM LAW 6' $100.00 3.00 97.00 DIST CRT OTHER CIVIL FILINGS 14, $90.00 4.50 85.50 _ FAMILY PROTECTION FEE JUDICIAL SUPPORT FEE 9 $378.00 $378.00 JUDICIAL & COURT PERSONNEL TRANING FEE i 14:� $35.00 - $35.00 2022 STATE CONSOLIDATED FEE ..: 9 $939.10 $939.10 COUNTY DISPUTE RESOLUTION FUND 154.50 154.50 TOTAL CIVIL FEES REPORT $ 1,906.60 $ 7.50 $ 1,899.10 TOTAL BOTH REPORTS $ 2,653.32 $ 96.81 $ 2,656.51 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 420 A 44931 PAYEE Name: Calhoun County Oper. Acct. Address: City: State: Zip: Phone: PAYOR Official: Anna Kabela Title: District clerk ACCOUNT NUMBER DESCRIPTION AMOUNT 7340.999-20759-999 District Clerk Monthly Collections - Distribution $13,656.69 DECEMBER 2022 V# 967 t Signature of Official Date TOTALI 13,656.69 ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REPORT 2022 CASH SOI ADMINISTRATION FEE - A BREATH ALCOHOL TESTING - CONSOLIDATED COURT COSTS - STATE CONSOLIDATED COURT COST. LOCAL CONSOLIDATED COURT COST. `. COURTHOUSE: SECURITY - CHILD CHILD SEATREL E F CRIM- IN[ JUVENILE .IOVFNII FI JUROR SERVICE FEE LOCAL ARREST FEES PARKS & WILDLIFE ARREST FEES - I STATE ARREST (FEES ' STATE TRAFFIC TAI TE LOC TIME PAYMENT REIMI COLLECTION BE DEFENSIVE DRIN STATE CONSO LOCAL CONSO FILING F COME 'INC JUD( OUT-C ELECTR( EX E) ABSTRA LICENI PARKS OVERPAYI 'OVERPAYMEN'. TOTAL ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FEES= STATE: WARRANT FEES DUE TO OTHERS' REVISED 02/02/2021 74.19 434.00 - 98.00 7.42 0.19 25.64 20.00 3.71 5.00 7.42 15.00 29.27 30.00 7.42 215.05 12.72 21.37 3.71 242.73 434.50 126.00 198.00 11.13 225.00 150.00 1,520.03 3,917.50 AMOUNT 242.73' 50.00. RECOROON TOTAL PAGEOF HILL COUNTRY SOFTWARE MO. REPORT $192.73 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT IV WIMI -ov>o or rine on iv cases 0.00 PLEASE INCLUDE OR REQUESTING DISBURSEMENT TO DA RESTITUTION FUND 0.00: PLEID EINCLUDE OR REQUESTIN (DISBURSEMENT UND OF OVERPAYMENTS 0.00 1 PLEASEINCLUDE OR REQUESTINGDISBURSEMENT OF COUNTY SERVICE FEE 0.00 PLEASEINCLUDE DR REQUESTING DISBURSEMENT HBONDS 0.00 PLEASEINCLUDE OR REQUESTING DISBURSEMENT(IF REQUIRED) TOTAL DUE: TO OTHERS $0.00 ASURERSRECEIPTS FOR MONTH: AMOUNT H, CHECKS, M.O.s&CREDIT CARDS $3,917:50 Calculate from ACTUAL Treasurer's Receipts ' TOT AL TREAS.RECEIPTS 3917.50 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/4/2023 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2022 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 1,520.03 CR 1000-001-44190 SHERIFF'S FEES 242.60 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 0.00 CHILD SAFETY 0.00 TRAFFIC 227.77 ADMINISTRATIVE FEES 20.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 247.77 CR 1000-001-44010 CONSTABLE FEES -SERVICE 375.00 CR 1000-001-44063 JP FILING FEES 0.00 CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 CR 1000-001-44322 TIME PAYMENT REIMBURSEMENT FEE 0.00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 CR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 CR 1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 434.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $2,819.90 CR 2670-001-44063 COURTHOUSE SECURITY FUND $39.87 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $1.86 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $35.42 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 CR 2730-001-44063 LOCAL TRUANCY PREVENTION & DIVERSION FUND $35.00 CR 2669-001-44063 COUNTYJURYFUND $0.70 CR 2728-001-44063 JUSTICE COURT SUPPORT FUND $150.00 CR 2677-001-44063 COUNTY DISPUTE RESOLUTION FUND $30.00 I_ CR 2725-001-44063 LANGUAGE ACCESS FUND $18.00 STATE ARREST FEES DPS FEES 44.40 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 44.40 CR 7070-999-20610 CCC-GENERAL FUND 7.42 CR 7070-999-20740 CCC-STATE 66.77 DR 7070-999-10010 74.19 CR 7072-999-20610 STATE CCC- GENERAL FUND 43.40 CR 7072-999-20740 STATE CCC- STATE 390.60 DR 7072-999-10010 434.00 CR 7860-999-20610 STF/SUBC-GENERAL FUND 1.50 CR 7860-999-20740 STF/SUBC-STATE 28.50 DR 7860-999-10010 30.00 CR 7860-999-20610 STF- EST 9/1/2019- GENERAL FUND 0.00 CR 7860-999-20740 STF- EST 9/1/2019- STATE 0.00 DR 7860-999-10010 0.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 1/4/2023 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: DECEMBER YEAR OF REPORT: 2022 CR 7950-999-20610 TP-GENERAL FUND 10.69 CR 7950-999-20740 TP-STATE 10.68 DR 7950-999-10010 21.37 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0.00 DR 7480-999-10010 0.00 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 0.37 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 3.34 DR 7865-999-10010 3.71 CR 7970-999-20610 TL/FTA-GENERAL FUND 8.55 CR 7970-999-20740 TL/FTA-STATE 17.09 DR 7970-999-10010 25.64 CR 7505-999-20610 JPAY- GENERAL FUND 1.11 CR 7505-999-20740 JPAY-STATE 10.02 DR 7505-999-10010 11.13 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 0.74 CR 7857-999-20740 JURY REIMB. FUND -STATE 6.68 DR 7857-999-10010 7.42 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.02 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 0.17 DR 7856-999-10010 0.19 CR 7502-999-20740 JUD/CRT PERSONNEL TRAINING FUND- STATE 0.00 DR 7502-999-10010 0.00 7998-999-20740 TRUANCY PREVENT/DIV FUND - STATE 1.86 7998-999-20701 JUVENILE CASE MANAGER FUND 1.86 DR 7998-999-10010 3.71 7403-999-22889 ELECTRONIC FILING FEE - CV STATE 0.00 DR 7403-999-22889 0.00 7858-999-20740 STATE CONSOLIDATED CIVIL FEE 126.00 126.00 REVISED 02/02/2021 TOTAL (Distrib Req to Oper Acct) $3,917.50 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENT: 0.00 OUT -OF -COUNTY SERVICE FI 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 0.00 WATER SAFETY FINES 0.00 C ,��g,2oz3 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $3,917.50 LESS: TOTAL TREASUER'S RECEIPTS $3,917.50 OVER/(SHORT) $0.00 Page 2 of 2 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT DECEMBER 2022 Title Certificate Fees Title Fees Paid TXDMV Title Fees Paid County Treasurer Salary Fund Motor Vehicle Registration Collections Disabled Person Fees Postage Global Additonal Collections Paid TXDMV Paid TXDMV SP Paid County Treasurer Paid County Treasurer Salary Fund DMV CCARDTRNSFEE $ 1,302.87 GL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL In Excess/Shortage of Collections MERCH SERVICES STATEMENT Additional Postage -Vehicle Registration Paid County Treasurer - Additional Postage Motor Vehicle Sales & Use Tax Collections Paid State Treasurer Special Road/Bridge Fees Collected Paid County Treasurer- RIB Fees Texas Parks & Wildlife Collections TPW GLOBAL CC TRANSACTION FEES GLOBAL ADDITIONAL COLLECTIONS Paid Texas Parks & Wildlife Paid County Treasurer Salary Fund P&W CCARDTRNSFEE $ 101.58 GLOBAL Additonal Collections $ - GLOBAL (IBC) CredittDebit Card Fee's GLOBAL In Excess/Shortage of Collections Boat/Motor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary Fund TABC 6% CO COMMS FOR MONTH OF TABC 5% CO COMMS FOR MONTH OF Paid County Treasurer, Salary Fund County Beer & Wine Collections Paid County Treasurer, County Beer & Wine Paid County Treasurer, Salary Fund INTEREST EARNED ON OFFICE ACCOUNT Paid County Treasurer, Nay. East Paid County Treasurer, all other districts INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT Paid County Treasurer, Interest on P&W Ace INTEREST EARNED ON REFUND ACCOUNT Paid County Treasurer, Interest on Refund Ace COLLECTIONS DISBURSEMENTS 257 $ 3,341.00 $ 2,056.00 $ 1,285.00 $ 106,210.24 $ 20.00 $ 85,741.42 $ 14,612.10 $ 4,674.15 $ 1,381.87 $ (79.30) $ 370,033.68 $ 370,033.68 $ 13,840.00 $ 13,840.00 $ 1,978.00 $ 101.58 $ 1,780.20 $ 197.80 $ 134,30 $ (32.72) $ 18,402.92 $ 17,482.77 $ 920.15 $ 116.79 $ 0.07 $ 115.72 $ 4.61 $ 4.61 $ 0.05 $ 0.05 Business Personal Property - Misc. Fees Paid County Treasurer Excess Funds Paid County Treasurer Overpayments Current Tax Collections Penalty and Interest - Current Roll Discount for early payment of taxes Delinquent Tax Collections Penalty & Interest - Delinquent Roll Collections for Delinquent Tax Attorney Advance - FM & L Taxes Advance - County AdValorem Taxes Paid County Treasurer - Nev. East Paid County Treasurer - all other Districts Paid County Treasurer - Delinq Tax Ally. Fee Payment in Lieu of Taxes Paid County Treasurer - Navig. East Paid County Treasurer - All other Districts Special Farmers Fees Collected Paid State Treasurer, Farmers Fees $ 729.22 $ 729.22 $ 1,317.96 $ 1,317.96 $ 130.96 $ 1,732,439.08 $ 19,421.54 $ 46,309.13 $ 16,179.01 $ 12,329.32 $ 1,724,060.82 $ 1,099.31 $ 49,486.51 $ 12,329.32 $ 80.00 $ 80.00 Hot Check Collection Charges $ - Paid County Treasurers, Hot Check Charge $ - Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunded $ - Escheats $ Paid County Treasurer -escheats $ TOTAL COLLECTIONS $ 2,322,562.55 TOTAL DISBURSEMENTS $ 2,322,562.55 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 2,322,662.55 KERR BOYD Tax Assessor -Collector RICHARD EYER County Judge t N' t d N .rj O OG '� O •N C t c mW s y �uu N � o 0 0 0 0 0 0 0 0 0 ;C C " as 00 T C 00 00 N O In 06 to 00 kn 00 d' O =I T 0 p !0 O M ..1 CI.. 02 d a �h xz x a� UU - � U U U >X. y � � u p orvG P. z Ojp z 1 U U U Uca c N O CCo a .o 3 U 71 V z c o F w U d� u u rL. a F m a �v .. N 00 U 3 Q ¢ 00 oc 86 Ut* o w i• 1 1 1 1 w y ; N� F W "� E o Eo= to xUQ c & v W w o! o 0 o A v Y u EEC € 0 w > U w a , 4 4 A'U u U U',U U 1.0 U,, 1 cq N- N N N N N N N O � i "•' y Q N C I yi 0 O L 004 Coastal and Marine EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT December 2022 Miles traveled: County Vehicle 222 Personal Vehicle 290 Selected major activities since last report 12/5 — Red Cross — First Aid for Severe Trama Training 12/5 — TXSG / DSHS Seafood Handler Training for Texas Oyster Farmers 12/6 — Red Cross — Life -Threatening Bleeding Tourniquet Application Instructor Training 12/6 — Crab Trap Cleanup Meeting with Allan Berger 12/6 — TXSG Oyster Farm Business Plan Training 12/7 — HIM Oyster Shell Program 12/7 FlatsWorthy Meeting 12/8 TXSG Fisheries and Aquaculture Team Meeting 12/9 — Aransas Co. Marine Agent Interviews 12/12-12//14 — CCISD 8" Grade Program at Wetlands 12/16 — Calhoun Co. 4-H Sportfishing Club Fishing Trip to POC TPWD Docks 12/19 — TXSG Coastal Resilience meeting about TXGLO Project in Port Lavaca 12/20 — Ft. Worth Stock Show Meeting for Texas Seafood Booth 12/20 — Meet with David Hall about building plans at Fairgrounds 12/28 — Meet with Calhoun Co. 4-H Member about his speech for Houston and San Antonio Livestock Shows Direct Contacts by: Office: 6 E-mail/Letters: 134 Instagram Posts/Followers: 4/327 Site:5 Newsletters: 0 Phone/Texts:87 Volunteers:I Major events for next month — January 2023 115 — ASBPA Meeting 1/6 — TXGLO / TXSG Coastal Resilience Meeting on Port Lavaca/Calhoun County 1/11— Marine Advisory Committee Meeting 1/14&15 — GRTU Trout Camp with Calhoun 4-H Member 1/16 — Texas Brigade Board Meeting in New Braunfels 1/18-20 — TXGLO Adopt -a -Beach Coordinator Meeting in San Antonio 1/23-27 — Ft. Worth Stock Show — Texas Seafood Exhibit Name County Coastal and Marine Aeent December 2022 Title Date (Month -Year) Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas Family and Community Health EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT December 2022 Miles traveled: County Vehicle Personal Vehicle Selected major activities since last report ➢ Dec 1-2, 5, 7-9, 12, 14-16, Strong People Strong Bodies at Extension Office and FUMC - The participants at FUMC chose to continue working out while I was unable to attend at the end of the month. They really find this program helpful. ➢ Dec 1 Texas Extension Agent Family and Consumer Sciences District 11 Meeting in Jackson County ➢ Dec 2 Working with Emilee at Travis Middle School Students on Gardens and Healthy Eating ➢ Dec 5 Texas Extension Educators Luncheon — I hope you enjoyed it. ➢ Dec 9 & 10 Food Show and Food Challenge District Competition ➢ Dec 12-14 Formosa Tejano Wetlands Teaching 81' Graders from Calhoun County ISD ➢ Dec 14 County Lunch and Learn - Cooking Well for Healthy Blood Pressure — We missed you. Please let me know if you want the information I shared with the participants. I hope to see you at the next class. ➢ Dec 19-30 Helping Mother Recover from Knee Surgery in San Antonio Direct Contacts by: Office: 2 E-mail/Letters: 523 Facebook Page Post 19 Followers 613 Site: 0 Newsletters: 0 Facebook profile 977 friends Phone/Texts: 25 Volunteers: 1 In Person Participant Contacts - 238 Major events for next month — January 2023 ➢ January Meetings 4, 5, 10, 17, 19 & 23 Quilt Guild, Library Board, OLG School Advisory Council, LEPC- Calhoun County, United Way Board, Senior Citizen's Board & Volunteer Steering Committee ➢ Jan 4-6, 9, 11-13, 16, 18-20, 23, 25-27 & 30 Strong People Strong Bodies at Extension Office and FUMC ➢ Jan 11 Emilee and I are meeting with CHS to continue planning Adulting 101 for Calhoun Seniors ➢ Jan 17 Performance review for all Calhoun Agents with Donnie Montemayor ➢ Jan 18, 25 & Feb 1 Meeting with Parents and Staff at Seadrift Schools to teach Cooking Well for Healthy Blood Pressure ➢ Jan 24 Early Childhood Educator Training Series Begins for 2023 (10 classes on 41 Tuesdays) ➢ Jan 25 Interpretation to the Calhoun County Commissioner's Court ➢ Jan 31 Barbara Moretich Retirement in Cornus Christi Karen P. Lyssy Calhoun Name County CEA — Family and Community Health December 2022 Title Date (Month -Year) Texas A&M AgriLife Extension - Texas A&M University System • College Station, Texas Agriculture and Natural Resources EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT December 2022 Miles traveled: County Vehicle : Personal Vehicle: Selected major activities since last report December 2-4 Texas Farm Bureau Conference December 7 Oyster Christmas Ornament Decoration HJM December 9 United Ag Field Day Bull and Cattle health program in Weimer December 12-14 Wetlands December 16 Office Meeting December 21 Commissioner Court Direct Contacts by: Office: 12 E-mail: 43 Site:6 Newsletters: 1 Phone/Texts: 21 Facebook Posts/Followers: 7 posts/585 followers Instagram Posts/Followers: 0 Post/ 0 followers Major events for next month — January 2023 January 3- Office Meeting January 5 — Women in ag luncheon January 12 Master Gardener course & Livestock Meeting January 17 Performance appraisal January 18 Row Crop meeting and Auxin Training January 23 Onboarding Session January 26 Virtual CEU Victoria & Calhoun Counties Calhoun CEA — Aericulture and Natural Resources December 2022 Texas A&M AgriLife Extension - The Texas A&M University System • College Station, Texas 4-H and Youth Development EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT December 2022 Miles traveled: County Vehicle 132: Personal Vehicle 108 Selected maior activities since last report December I — YMCA Mindful Self Program December 2 — Travis Middle School Gardening Program December 6 — 4-H Livestock Judging Practice December 7 — HJM Christmas Oyster Program December 9-10 — District 11 4-H Food Show/Food Challenge contest (Cuero) December 12-14 — CCISD Wetlands Field Trip — 81' Graders December 12 — County 4-H Council Christmas Party December 16 — 4-H Sportfishing Trip to POC December 20 — YMCA 4-H Club Meeting Dl 1 4-H Photography Committee Meeting Direct Contacts by: Office: 5 E-mail: 172 Facebook Posts/Followers: 5 posts/594 followers Site: 0 Newsletters: 1 Instagram Posts/Followers: 1 posts/208 followers Phone/Texts: 21 4-H Enrollment: 178 youth; 23 adult volunteers _Major events for next month — January 2023 January 5 — Assist Hailey with Women in Ag Luncheon YMCA Mindful Self Program January 9 — Coastal Bend 4-H Sportfishing Day Planning Meeting January 10 — 4-H Livestock Judging Practice January 12 — Dl 1 4-H Photography Committee Meeting CCF Livestock Committee Meeting January 13 — Adulting 101 Program Planning Meeting January 17 — Livestock Judging Practice January 18 — Nueces County Livestock Show January 19 — YMCA 4-H Club Meeting January 24 — 4-H Livestock Judging Practice January 25 — Commissioners Court Interpretation January 30 — Calhoun 4-H Council Meeting January 31— Barbara Moretich's Retirement Partv (Corpus Christi Err CEA — 4-H and Youth Development December 2022 Texas A&M AgriLife Extension • The Texas A&M University System • College Station, Texas # 24 24. Consider and take necessary action on any necessary budget adjustments. (RHM) 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner' Hall, Lyssy, Behrens, Reese .T: APPROVED [UNANIMOUS] R: Vern Lyssy, Commissioner Pct 2 DER: Joel Behrens, Commissioner Pct 3 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 21 of 22 2:\O.COMMISSIONER COURT MINUTES ETC\2023 O 19 ofw m w L W U U j O w zw w w 6yW VWJ N N 0 0 0 0 N N 6 � �6 W I .r =� .to 000 O O O =M q lLq N N = VWJ ;Z_ -Zi ;W o O o o =W WW EA fA IA fA W di gig im i O r _W O W Oo FO =V 0 z =� j Z O H !W !z F z z W _� F Z e rn =W Z e V c rn rn � V , V s =ZLLI a Q Lu ;to W g _W W 111 O = LU O !Z O ` w =Z O a w 'Z a N g __� a W Cl)LU Y =W W m W g � Oa. Z. Z ro o = Oa. 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(RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hail, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2022:' 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 2023: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 22 of 22 Z:\O.COMMISSIONER COURT MINUTES ETC\2023 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 18 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYAbLES, PAYROLLAND ELECTRONIC BANK PAYMENTS_ $ 1,018,332.89 TOTAL °TRANSFERS BETWEEN FUNDS:. $ 78,482�46 TOTAL NURSING, HOME UPL EXPENSES $ 1,025 407.65 TOTAL INTER -GOVERNMENT TRANSFERS $ 352 918.37 GRAND TOTAL DISBURSEMENTS APPROVED January,18, 2023 $ 2;495,139.27, `� MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR —January 18, 2023 PAYABLES AND PAYROLL 1/1212023 Weekly Payables 1/17/2023 Michelle Morales -direct deposit returned 1/17/2023 Texas Department of State 1/1712023 Frontier -phone services 1/17/2023 Evident -technician support and monthly subscription 1/17/2023 Siemen's Financial Services -lease 111712023 McKesson-340B Prescription Expense Ill 712023 Amedsource Bergen-340B Prescription Expense Ill 712023 Payroll Liabilities -Payroll Taxes 111712023 Payroll 1/1712023 Payroll Liabilities for supplemental payroll -Payroll Taxes 1117/2023 Supplemental Payroll Prosperity Electronic Bank Payments 1110-1111123 Credit Card & Lease Fees 1/10/2023 Cleargage-Patient Financing Service 119-1/13123 Pay Plus -Patient Claims Processing, Fee TOTAL pAYgBLES, PAYROLL AND ELEGTRONIG BANK PAYMENTS: TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 1/12/2023 MMC Operating to Ashford -correction of NH insurance payment deposited into MMC Operating 1112/2023 MMC Operating to Broadmoor-correction of NH Insurance payment deposited into MMC Operating 1/12/2023 MMC Operating to Crescent -correction of NH insurance payment deposited into MMC Operating in error 1/12/2023 MMC Operating to Golden Creek -correction of NH insurance payment deposited into MMC Operating in error 1/1212023 MMC Operating t0 Gulf Pointe Plaza -correction of NH Insurance payment deposited into MMC Operating 1/122023 MMC Operating to Tuscany Village-correcdon of NH insurance payment deposited into MMC Operating 1/122023 MMC Operating to Bethany -correction of NH insurance payment deposited Into MMC Operating in error TRANSFER OF FUNDS BETWEEN NURSING HOMES/MMC Ill 712023 Crescent to Tuscany -correction of Tuscany insurance payment deposited into Crescent in error 1/17/2023 Ashford to Tuscany -correction of Tuscany insurance payment deposited into Ashford In error TOTAL TRANSFE,R4,BETtry,EEN FUNDS NURSING HOME UPL EXPENSES 1117/2023 Nursing Home UPL-Cantex Transfer 1/1712023 Nursing Home UPL-Nexion Transfer 1/17/2023 Nursing Home UPL-HMG Transfer 1/17/2023 Nursing Home UPL-Tuscany Transfer 1/17/2023 Nursing Home UPL-HSL Transfer NURSING HOME BANK FEES 1/13/2023 Ashford -Enhanced analysis fee QIPP CHECKS TO MMC 111712023 Ashford 1/17/2023 Broadmoor 1/172023 Crescent 1/172023 Fort Send 1/172023 Solent 1/17/2023 Tuscany TOTALNURSING110ME UPL;EXPENSES INTER -GOVERNMENT TRANSFERS 2/222023 IGT DY 12 to be paid February 22, 2023 TOTAL,�INTER•GOV,ERNMENTTRANSFERS. __.._. 438,558.12 23.29 2,545.00 1,214.92 17,612,00 4,03&24 3,196.51 1.332.57 145,266.85 419,194.99 127.56 476.95 4,563.26 168.20 114A3 $ 1,018132.89, 1,361.50 5,783.50 9,405110 2018 1,438.72 14.785.00 19.717.96 16,545.00 9,425.00 $ 78A82,411 607,029.10 83,210.47 87.637.99 91,209.82 108,145.94 89.12 17.220.46 8,383.76 4,432.79 5.383.16 5,154.05 9,510.89 $ 1;026,407.65 352,916.37 $ 362,91C37 GRAND, TOTAL DISBURSEMENTS APPROVED Janus '18, 2023 $ 2,498139;27I Page 1 of 12 RECEIVED BY 714F COUAUDFr RON J61712/2430Zi MEMORIAL MEDICAL CENTER im:37 AP Open Invoice List 0 QAUif'HJk COUk7Y, TE)(AS Due Dates Through: 01/28/2023 ap_open_invoice.template Ventlor# Vendor Name / Class Pay Code 11283 AGE HARDWARE 15521 tJ Invoice# Comment Tran Dt Inv Dt Due Dt Chock D' Pay Gross Discount No -Pay Net 123122 01111/2012/31/2001/25/20 834.85 0.00 0,00 834.85 ✓' Vendor Total. Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 834.85 0.00 0.00 834.85 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV ,/� M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 91334840201/ 01/10/2012/3012001124/20 258.00 0.00 0.00 258.00 OXYGEN 9993957705v 01110/2012/31/2001/25/20 209.91 0.00 0,00 / 209.91 OISYGEN 9133510932 v,/ 01/10/20 12/31/20 01/25/20 2,385.72 0.00 0.00 2,385.72 ✓f BULK TANK RENTAL 9993958658 ✓ 0111012012/31/2001125120 925.32 0.00 0.00 925.32 ✓- OXYGEN Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 3.778.95 0.00 0.00 3,778.95 Vendor# Vendor Name Class Pay Code A1715 ALCO SALES & SERVICE CO r/` M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 2903766-IN 01111120 01/03/20 01/23/20 224.00 0,00 0.00 224.00 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net A1715 ALCO SALES & SERVICE CO 224.00 0.00 0.00 224,00 Vendor# Vendor Name Class Pay Code / A0400 AUREUS RADIOLOGY LLC ✓ Invoice# Comment Tran Dt Inv DI Due Dt Check DPay Gross Discount No -Pay Net 2870047v// 01/11/20 12/26120 01/25120 3.400.00 0.00 0.00 3,400.00 ✓'� /LABSTAFFING (2{q-ii4tylix) ;�ybby 2877344t! 01/11120 01/02120 01128120 3,400.00 0.00 0.00 3,400.00 LABSTAFFING lt1{I4-Ib{27-I "L'r-�`;}'ti ui4y Vendor Totals Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 6,800.00 0.00 0.00 6,800.00 Vendor# Vendor Name Class Pay Code / S1150 BAXTER HEALTHCARE y W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12607581 01/11/20 12/31120 01/25/20 23.40 0.00 0.00 23.40 LATE FEE Vendor Totals Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 23.40 0.00 0.00 23.40 Vendor#Vendor Name Class Pay Code B1220 BECKMAN COULTER INC ✓� M Invoice# (Comment Tram Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5467479 ✓ 01/11/20 12125/20 01119120 1,337.05 0.00 0.00 1,337.05 ✓' LEASE file:///C:/Users/ltrevino/ct)si/memmed.ct)sinet.com/tiRR125/data 5/tmn cw5rPnnrt')QQOA0 1 Page 2 of 12 110345751 ✓ 01/1112012/28/2001/22/20 75A0 0,00 0.00 75.60 SUPPLIES 110349442 01/11/20 12/29/20 01/23/20 354.78 0.00 0.00 / 354.78 ✓ S�IPPLIES , 110350720 ✓/ 01/11/20 12/30/20 01/24/20 3,874,83 0.00 0.00 3,874.63 CONTRACT 110360702,E 01111/20 01/04/20 01/28/20 70.48 0.00 0,00 70,48 SUPPLIES Vendor Total: Number Name Grass Discount No -Pay Net B1220 BECKMAN COULTER INC 5,712.74 0.00 0.00 5,712.74 Vendor# Vendor Name Class Pay Code 10024 BECTON, DICKINSON & CO (BD) Invoice# Co ment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 9110506862 12/01120 11/02/20 01/22/20 266.75 0.00 0.00 266.75�-' SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10024 BECTON, DICKINSON & CO (BD) 266.75 0.00 0.00 266.75 Vendor# Vendor Name Class Pay Code 12740 BUILDING KID STEPS Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net DE02022 01/10/20 01/01/20 01116/20 1,052.00 0.00 0.00 / 1,052.00✓ SPEECH THERAPY DEC2022A 01/10/20 01101/20 01/16/20 63.00 0.00 0.00 ,r 63.00 ✓ SPEECH THERAPY Vendor TotalE Number Name Gross Discount No -Pay Net 12740 BUILDING KID STEPS 1,115.00 0.00 0.00 1,115.00 Vendor# Vendor Name Class Pay Code 14696 CENTRAL TEXAS REGIONAL ,./ Invoice#/ Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 378 ✓ 01IM1/200MAI/2001/28/20 835.00 0.00 0.00 835.00 AAAM AIS15 COURSE , Vendor Total: Number Name Gross Discount No -Pay Not 14696 CENTRAL TEXAS REGIONAL 835.00 0.00 0.09 835.00 Vendor# Vendor Name Class Pay Code C1600 CITIZENS MEDICAL CENTER >/ W Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3-2022./ 01112/2012I612001/18/20 35,303.27 0.00 0.00 35,303.27 Vendor Total: Number Name Grass Discount No -Pay Net C1600 CITIZENS MEDICAL CENTER 35,303.27 0.00 0.00 35,303.27 VendorN Vendor Name Class Pay Code 10368 DEWITT POTH & SON / ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 7039091 y% 01/1012012/29/2001/23120 19.60 0.00 0.00 19.60 SUPPLIES 7045400 r% 01/10/20 1PJ30/20 01/24/20 63.76 0.00 0.00 63.76 11/ SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 83,36 0.00 0.00 83,36 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp cw5report299060... 1/12/2023 Page 3 of 12 Invoice# C mmenl Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not IN200556027 01111/20 01/01/20 01/26120 31,144.58 0.00 0.00 31,144.58 f DEC BEHAV HEALTH IN20055603 ✓ 0111112001/01/2001/26/20 19,166,67 0.00 0.00 / 19,166.67 J DEC 22 CPR Vendor Totals Number Name Gross Discount No -Pay Net 11011 DIAMOND HEALTHCARE CORP 50,311.25 0.00 0.00 50,311.25 Vendor# Vendor Name Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC J/ Invoice# Cc ment Tran Dt Inv Dt Due Dt Check D' Pay Grass Discount No -Pay Net MMC123122✓ 01111/20 12/31/20 01101/20 104,669.76 0.00 0.00 104,669.76 ✓ PHYSICAN SERVICES 114 .bIjjQ V7/) Vendor Total: Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 104,669.76 0.00 0.00 104,669.76 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL v/ Invoice# / Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 141071 01/10120 12128/20 01/22120 105.00 0.00 0.00 105.00 L, PEST CONTROL 14105 01/10/20 12/28/20 01122120 505.00 0.00 0.00 505.00 PEST CONTROL Vendor Total: Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 610.00 0.00 0,00 610,00 Vendor# Vendor Name , Class Pay Cade 11284 EMERGENCY STAFFING SOLUTIONS f/ Invoice#Comment Tran Dt Inv Dt Due Ot Check D- Pay Gross Discount No -Pay Net 41827 ✓/ 01/11/20 12/31/20 01/10/20 2,040.00 0.00 0.00 2,040.00 CAPEK Vendor Total: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 2.040.00 0.00 0.00 2,040.00 Vendor# Vendor Name Class Pay Code / 14136 EPI-EDWARD PLUMBING ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Grass Discount No -Pay Net /. 65707 y/ 01/12/20 W110/2001112/20 1,893.60 0.00 0.00 1,893.60 LABOR Vendor Totals Number Name Gross Discount No -Pay Net 14136 EPI-EDWARD PLUMBING 1,893.80 0.00 0.00 1,893.60 Vendor# Vendor Name Class Pay Code 10680 FASTHEALTH CORPORATION Invoice# C`omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 01A23MMC V 01/10120 01/01120 01116120 495.00 0.00 0.00 495.00 WEBSITE Vendor Totak Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 495.00 0.00 0.00 495.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. ✓/ W Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 798502890 ,% 01110120 12/22120 01/16/20 12,04 0.00 0.00 12.04 FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 12.04 0.00 0.00 12.04 file:///C:/Users/ltrevino/cDsi/memmed.cvsinet.comlu88125/data 5/tmn cw5revort299060... 1/1212023 Page 4 of 12 Vendor# Vendor Name Class Pay Code 14336 FIRETRON, INC Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 216087 ✓ 01 /10120 12/31/20 01/28/20 165.00 0.00 0.00 165.00 YELLOW TAG REPAIR , 215458.1/ 01111/20 12/23/20 01/22/20 220,00 0.00 0.00 220.00 ✓ MISC REPAIR , Vendor TotalE Number Name Grass Discount No -Pay Net 14336 FIRETRON, INC 385.00 0.00 0.00 385.00 Vendor# Vendor Name Class Pay Code 13016 FIRST INSURANCE FUNDING V% Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 010523 01 /12/20 01/05120 01/06/20 8,760.59 0.00 0.00 8,760.89 DOWN PAYMT/INSTALLMT 1 Vendor Total=.Number Name Gross Discount No -Pay Net 13016 FIRST INSURANCE FUNDING 8,760.89 0.00 0.00 8,780.89 Vendor# Vendor Name Class Pay Code / F1400 FISHER HEALTHCARE V' M Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 9235499/ 01/1112012127/2001/21/20 205.44 0.00 0.00 205.44 rf SUPPLIES 9235497 i/r 01/11/2012/27/2001/21/20 155.66 0.00 0.00 155.66 ✓� SUPPLIES 9235498 01/11 P2012/27/2001/21120 122.80 0.00 0.00 122.80 �..f SUPPLIES 9257974 r/i 01/1112012/28/2001/22/20 371.08 0.00 0.00 371.08 SUPPLIES Vendor Totak Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 854.98 0.00 0.00 854.98 Vendor# Vendor Name class Pay Code 10599 FORVIS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6KO1706890/ 01/1212012/16/2001110/20 4,037.25 0.00 0.00 4,037.25 ✓ INTERIM RATE SHEET BKO1706895 01/12/20 12M 6/20 01/10/20 18,900.00 0.00 0.00 18,900.00 y` MEDICAID 2023 , Vendor Total; Number Name Gross Discount No -Pay Net 10599 FORVIS 22,937.25 0.00 0.00 22,937.25 Vendor# Vendor Name Class Pay Code / 13960 G & S MANAGEMENT GROUP LLC ✓ Invoice# Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 340366659✓ / OV10/2001/03/2001/13120 374.88 D.00 0.00 374.88 ✓' DISPOSAL 340385721 t / 01/12/20 08/05/20 08/15/20 260.65 0.00 0.00 260.55 JULY 22 340386719,// 01/12/20 01109120 01119120 260.55 0,00 0.00 260.55 ✓� DEC 22 Vendor Totals Number Name Gross Discount No -Pay Net 13960 G & S MANAGEMENT GROUP LLC 895.98 0.00 0.00 895.98 Vendor# Vendor Name Class Pay Code 12404 GE PRECISION HEALTHCARE, LLC / file:///C:/Users/Itrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report299060... 1 / 12/2023 Page 5 of 12 Invoice# Comment Tran Ot Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 6002302075 t/' 01110120. 01/01/2001/21120 680.00 0.00 0.00 / 680.00 li IM GING CONTRACT 6002302099 01/10120 01101/20 01/21/20 2,422.50 0.00 0.00 2,422.50 Itvu)AGING CONTRACT 6002302100 01/10120.01101/2001/21/20 61.67 0.00 0.00 61.67 ✓ IMAGING CONTRACT 6002302097r%/01/10/20 01101120 01/21/20 3,588.58 0.00 0.00 3,588.58 ✓ IM/AGING CONTRACT 6002302118 ,f 01/10120 01/01/20 01/21/20 5,665.83 0.00 0.00 5,665.83 f IMAGING CONTRACT 6002302281✓ 01110/20 01/01/20 01121/20 868.16 0.00 0.00 868.16 .% IMAGING CONTRACT 6002302098/ 01/10/20 01/01/20 01121/20 86.67 0.00 0.00 86.67 IMAGING CONTRACT . Vendor Totals Number Name Gross Discount No -Pay Net 12404 GE PRECISION HEALTHCARE, L.LC 13,373.41 0.00 0.00 13,373.41 Vendor# Vendor Name / Class Pay Code W1300 GRAINGER ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 9553424392 01111/20. 12122/2001/16/20 2,637.70 0.00 0.00 2,637,70✓` SUPPLIES 9555811315 01/11120 12127/20 01/21/20 22.30 0.00 0.00 22.30 SUPPLIES Vendor Total=_Number Name Gross Discount No -Pay Net W1300 GRAINGER 2,660.00 0.00 0.00 2,660,00 Vendor# Vendor Name Class Pay Code 12948 GREAT AMERICA FINANCIAL SVCS ,f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 32580155REV ✓/01/12/2010/31/2011/30/20 551.18 0.00 0100 551.18 ./ C7ER OVERAGE 3277838REV 01/12/20 11/07/20 11/30/20 575.32 0.00 0100 575.32 OVERAGE /COPIER 32981810 ✓ 01/12/2012106/20 12/31/20 565.75 0,00 0.00 wi.75 COPIER OVERAGE Vendor TolalE Number Name Grass Discount No -Pay Net 12948 GREAT AMERICA FINANCIAL SVCS 1,692.26 0.00 0100 1,692.25 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY,,' M Invoice# Comment Tran Dt Inv Dt Due of Check D Pay Gross Discount No -Pay Net 2332545 ,// 01/10120. 12/27/2001/26/20 125.96 0.00 0.00 125.96 ✓f SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 125.96 0.00 0.00 125.96 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES / Invoice# ;omment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 100703874 01111/20 12128/20 01128/20 4,610.52 0.00 0.00 4,610.52 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 11552 HEALTHCARE FINANCIAL SERVICES 4,610.52 0.00 0.00 4,610.52 file;///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp cw5report299060... 1/12/2023 Page 6 of 12 Vendor# Vendor Name /Class Pay Cade H0031 HEB CREDIT RECEIVABLES DEPT308 �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3699 01/11/20 12/28/20 0112512D 799.00 0.00 0.00 799.001/ Vendor Totals Number Name Gross Discount No -Pay Net H0031 HEB CREDIT RECEIVABLES DEPT308 799.00 0.00 0.00 799.00 Vendor# Vendor Name Class Pay Code 12148 HOBART SERVICES y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 35581544 v1 01/10/201 PJ1412001/10120 2,384.96 0.00 0.00 2,384.96 Lf LABOR Vendor Totals Number Name Gross Discount No -Pay Net 12148 HOBARTSERVICES 2,384.96 0.00 0,00 2,384.96 Vendor# Vendor Name / Class Pay Code 11285 ITA RESOURCES INC ✓ Invoice# Co`Inment Tran Dt Inv Dt Due Dt Check. D Pay Gross Discount No -Pay Net MMC012023 f 0 1/11/20 01/09/20 01/28/20 28,884.93 0.00 0.00 28,884.93✓ RESP PROF FEES Vendor Totals Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 28,884.93 0.00 0.00 2B,884.93 Vendor# Vendor Name Class Pay Cade 14364 JACQUELINE HERRERA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010223 01/10/20 01102120 01/15120 39.96 0.00 0.00 39.96 TRAVEL iv WT*-j(bf 0i;) ff 4VIopLit) , Vendor Totals Number Name Gross Discount No -Pay Net 14364 JACQUELINE HERRERA 39.96 0.00 0.00 39.96 Vendor# Vendor Name Class Pay Code 14540 JINDALXLLC ,// Invoice# C mment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 202223-01501/11/20 01/01/20 01125/20 91000.00 0.00 0.00 9.000.00 REVENUE CYCLE . Vendor Totals Number Name Gross Discount No -Pay Net 14540 JINDALXLLC 9,000.00 0.00 0.00 9,000.00 Vendor# Vendor Name Class Pay Code M2181 MATTHEW BENDER & CO.JNC. W Invoice# /Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 34985905 ./ 01/1 V20 12/20/20 01119/20 80.08 0.00 0.00 80.08 � PHARM LAW BOOK . Vendor Total; Number Name Gross Discount No -Pay Net M2181 MATTHEW BENDER & CO.JNC. 80.08 0.00 0.00 80.08 Vendor# Vendor Name I Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. / Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 177993 J 01/11/20 12/31/20 01/25/20 983.09 0.00 0.00 983.09 COLLECTION FEES ,{ 177994v 01/11120 12/31120 01/25/20 11083.38 0.00 0.00 1,083.38 ✓ COLLECTION FEES . Vendor Total: Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 2,066.47 0.00 0.00 2,066.47 file:///C:/Users/Itrevino/cpsi/menimed.cpsinct.com/u88125/data 5/tmp cw5report299060... 1/12/2023 Page 7 of 12 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Co ment Tram or Inv Dt Due Dt Check D Pay Gross Discount Na-Pay Net ; 2245825200 12/30120 12/28/20 01/22/20 1,850.00 0.00 0.00 1,850.00 SUPPLIES 2238002187✓ 01111/2011109/2012/04/20 79.91 0.00 0.00 79.91 ✓' / 2238002185 ✓ 01/11/20 11/09/20 12/04/20 79.91 0.00 0.00 79.91 SUPPLIES 2243634117✓/ 01/11/20. 12113/2001107120 304.27 0.00 0.00 304.27u,// SUPPLIES 2245384897V/ 01/1112012/23/2001/17/20 3.700.00 0.00 0.00 / 3,700.00 ✓ SUPPLIES 2245518442 �,/ 01/ 11/20 12123/20 01117/20 -165,11 0.00 0.00 -165.11 y� CR DIT 1245540555 0, /11120 12/24/20 01/18120 1,850.00 0.00 0.00 11850.00wl/ SUPPLIES 2245716631✓ 011111201PJ26/2001/20/20 216.85 0.00 0.00 215.85 SUPPLLES 2245716632 ✓ / 01/11/20 12P26/20 01/20/20 1.226.62 0.00 0.00 1.226.62 SUPPLIES 2245847344 � 01/11/20 12/28/20 01/22/20 2,801.73 0.00 0.00 2,801.73 ✓ SUPPLIES / 2246178390 ,/' 01/11/2012/2912001123120 -67.43 0.00 0.00 -67.43v"% CR/EDIT 2246178389 ✓" 01111120 12/29120 01/23/20 -56.16 0.00 0.00 •56.16 CREDIT 2246588037✓/ 01/11/20 12/31/20 01/25/2o 114.49 0.00 0.00 114.49 SUPPLIES 2246588035 ✓J 01/11/2012/31/2001125120 347.35 0.00 0.00 j 347.35 SUPPLIES 2246688034 / 01/11/20 12131/20 01/25120 $8,42 0.00 0.00 68.42 ✓/ SUPPLIES 2246588039/ 01/1112012/31/2001125/20 35.58 0.00 0.00 35.58 ✓� SUPPLIES 2245588041 / 01/11/20 12/31/20 01/25/20 3.332.20 0.00 0.00 3,332.20 1% SUPPLIES Vendor Tolals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 15,708,63 0.00 0.00 15,708.63 Vendor# Vendor Name % Class Pay Code 10536 MORRIS 8 DICKSON CO, LLC ✓ Invoice# /Comment Tran Dt Inv Di Due Dt Check D Pay Gross Discount No -Pay Net 9058866 / 01110/2001/02/2001/12/20 38.60 0.00 0.00 38.60 INVENTORY 9058869 01/10/20 01 /02/20 01/12/20 30.15 0.00 0.00 30.15 INVENTORY 9058867✓/ 01/10/2001/02/2001/12/20 326.23 0.00 0.00 / 326.23e/ ,INVENTORY 9060299.1/ 01/10/20 01/02/20 01/12/20 48.44 0.00 0.00 48.44 INVENTORY 9060296 ✓ 01/10/2001/02/2001/12/20 55.25 0.00 0.00 55.25 ✓i file:///C:/Users/Itrevino/cpsi/meiumed.cpsinet.com/u88125/data_5/tmp cw5report299060... 1/12/2023 Page 8 of 12 /INVENTORY 9060297✓ 01110120 01102/20 01/12/20 1.25 0.00 0.00 1.25 ✓ INVENTORY 9062782 ✓ 01/10/20 01/02/20 01/12/20 615.85 0.00 0.00 / 615.85 /INVENTORY 9060800 �/ 01/10/2001102/2001/12/20 1,641.25 0.00 0.00 1,641.25 /INVENTORY 9067621 v' 01/10/20 01/03/20 01/13/20 924.20 0.00 0.00 / 924.20 INVENTORY 9064474 V1 01/10/20 01/03/20 01/13/20 86,52 0.00 0.00 86.52 .INVENTORY 9064476� 01/10/20 01103/20 01/13/20 526.60 0.00 0.00 J 526.60 I VENTORY 9064475 01A 0/2001/0312001/13/20. 135.49 0.00 0.00 135.49 yFF /INVENTORY f 9067992 ✓ 01110120 01/03/20 01/13/20 528,42 0.00 0.00 528.421 )NVENTORY 9067620 01/10/2001/03/2001113/20 422.75 0.00 0.00 422.75 INVENTORY 9070042 v/ 01/10/20 01/04/20 01/14/20 3.39 0.00 0.00 3.39 ✓+/ INVENTORY 9070044 f 01/10/20 01 /04120 01/14/20 136.65 0.00 0.00 136.65 INVENTORY 907004001/10/20 01/04/20 01114/20 204.04 0.00 0.00 204.04 ✓'/ INVENTORY 9070046✓ 01/10/20 01/04/20 01/14/20 5,06 0.00 0.00 5.06 ✓i INVENTORY CM90678 01/10/20 01/04/20 01/14/20 -4,24 0.00 0.00 -4.24 f REDIT 9071812 01110/2001/04/2001/14120 341.47 0.00 0.00 341.47 /INVENTORY 9071811 ✓ 01/10/20 01/04/20 01114120 171.47 0.00 0.00 171.47 /INVENTORY 9077211 ✓ 01/10/20 01/05/20 01/15/20 137.42 0.00 0.00 137.42 JNVENTORY 9077393 f 0 1/10/20,01105/20 01/15/20 73.36 0.00 0.00 73.36 f INVENTORY 9077399 v/ 01/10/20 01/05/20 01/15/20 57,23 0.00 0.00 57.23 INVENTORY 9078071 ,// 01/10/20 01/05/20 01/15/20 87.65 0.00 0.00 87.65 INVENTORY 9077210✓ 01 /10/20 01/05/20 01115/20 13.13 0.00 0.00 13.13 yi INVENTORY 9084243,// 01/10/20 01/08/20 01/18120 11,05 0.00 0.00 11.05 INVENTORY . 9086607 01/10120 01/08120 01118/20 100.00 0.00 0.00 190.00 ✓� / INVENTORY 9086597✓ 01/10120 01/08/20 01118/20 1,154.58 0.00 0.00 1,154.58� ,/INVENTORY 9086598✓ 01/10/2001/08/2001/18/20 103.21 0.00 0.00 103.21 f INVENTORY file:/!/C:/Users/ltrevino/cpsi/memmed.cpsinet.corn/u88125/data_5/tmp_cw5report299060... 1 /12/2023 Page 9 of 12 90824244 „/ 0 1/10/20 01/08/20 01/18/20 432,32 0.00 0.00 432,32 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 8,498.79 0.00 0.00 B,498.79 Vendor# Vendor Name Class Pay Code 13624 NEXION HEALTH AT NAVASOTA INC y// Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 20221302 f 01/10/20 01/04/20 01110/20 1,000,00 0.00 0.00 11000,00 TELEMEDICINE DEC 22 Vendor Totals Number Name Gross Discount No -Pay Net 13624 NEXION HEALTH AT NAVASOTA INC 1,000.00 0.00 0.00 1,000.00 Vendor# Vendor Name % Class Pay Code 12544 PATRICK OCHOA 1/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 010123 0 1 /10/20 01/01120 01128120 200.00 0.00 0.00 / 200.00✓ LAWN MAINT- P oh,u 010123A 01/10120 01/01/20 01/2&20 380.00 0.00 0.00 380.0061_ � LAWN MAINT - C1twd u 010123E 01/10/20 01/01/20 01/28/20 520.00 0.00 0.00 620.00 LE LAWN MAINT- W4,,Q . Vendor Totals Number Name Gross Discount No -Pay Net 125" PATRICK OCHOA 11100.00 0100 0.00 1,100.00 Ventlor# Vendor Name Class Pay Code / P1800 PITNEY BOWES INC ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1022111882./ 01 /10/20 12/10/20 01/09/20 587.64 0.00 0.00 587.64.,-/ POSTAGE 1022221214 / 01/10/20 12/27/20 01/26/20 207.00 0.00 0.00 207.00 ✓ RENTAL MAIL MACHINE Vendor Totals Number Name Gross Discount No -Pay Net P1800 PITNEY BOWES INC 794.64 0.00 0.00 794.64 Ventlor# Vendor Name Class Pay Code 12708 POO ELECTRIC, LLC V/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3702 01111/20 01109120 01/09/20 1,895.97 0.00 0.00 1,895.97,E ER PARKING LOT REPAIR Vendor Totals Number Name Gross Discount No -Pay Net 12708 POC ELECTRIC, LLC 1,895.97 0.00 0.00 1,895.97 Ventlor# Vendor Name Class Pay Code / 11932 PRESS GANEY ASSOCIATES, INC. ,f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross IN000567215,/ / Discount No -Pay Net 01/1012012/31/20 01/28/20 2,624.74 0.00 0.00 2,624.74 SURVEYS Vendor Totals Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2,624.74 0.00 0.00 2.624.74 Ventlor# Vendor Name Class Pay Code R1401 REFUGIO COUNTY MEM. HOSPITAL W ✓!' Invoice# C/omment Tran Dt Inv Dt Due Ot Check. D Pay Gross Discount No -Pay Net 20230102B 01/10/2001/02/2001/15120 ✓ 225.00 0.00 0.00 225.00- INVVENTORY 20230102A ,/ 01/10/20 01/02120 01/16/20 24.00 0.00 0.00 / 24.00 file:///C:/Users/]trevino/cpsi/memmed.epsinet.conl/u88125/data 5/tmp_ew5report299060... 1/12/2023 Page 10 of 12 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net R1401 REFUGIO COUNTY MEM, HOSPITAL 249.00 0.00 0.00 249.00 Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIQUEZ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 010323 01/10/20 01/03/20 01/15/20 48.75 0.00 0.00 43.75 TRAVEL I 11,+WtA .IV ham' y "�,k � K \ArW, 010623 01/10/20 01/06/20 01/15/20 44.61 0.00 0.00 44.61 „i- TRAVEL 1)4 - AV4[ }v M /(,W+ 's . Vendor TotalE Number Name Gross Discount No -Pay Net 11764 ROBERT ROORIQUEZ 88.36 0.00 0.00 88.36 Ventlor# Vendor Name Class Pay Code 14692 ROXANNA MUNOZ Invoice# Comment Tran Dt Inv Dt Due Ot Check Or Pay Gross Discount No -Pay Net 011023 01/10/20 01/10/20 01/18/20 100.00 0.00 D.00 100.00 RETURNED DEPOSIT . Vendor TotalE Number Name Gross Discount No -Pay Net 14692 ROXANNA MUNOZ 100.00 0.00 0.00 100.00 Vendor# Vendor Name Class Pay Cade / 11252 FIX X WASTE SYSTEMS LLC Invoice#/ Comment Tran Dt Inv Ot Due or Check D Pay Grass Discount No -Pay Net 3909 / 01/11/20 12/01/20 12/26/20 60.00 0.00 0.00 60.00 WASTE DISPOSAL , Vendor Totals Number Name Gross Discount No -Pay Net 11252 RX WASTE SYSTEMS LLC 60.00 0.00 0.00 60.00 Vendor# Vendor Name Class Pay Code S1001 SANOFI PASTEUR INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 918585174 ✓ 0 1 /11/20 06110/20 07/10120 1,420.31 0.00 0.00 1,420,31,J'f INVENTORY 918604773 1/01/11/20 06/15/20 07/15/20 •2,437.15 0.60 0.00 , -2,437.15 r,,/ C/REDIT 918503363 ✓ 01/1112007/22/2008/22/20 1,005.50 0.00 0.00 1,005.50 ✓` INVENTORY 918973626A r/ 01/11/20 08/18/20 09/16/20 150.00 0.00 0.00 150.00 "% SHORT PAID INVOICE . 919324911 of 01111120 09120120 10120120 36,489.17 0.00 0.00 f 36,489A7 1 Vendor Totale Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR INC 36,627.83 0.00 0.00 36,627.83 Vendor# Vendor Name Class Pay Code 11360 SCRUBS ON WHEELS f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nei 010323 01/12/20 01/03120 01/16/20 1,899,55 0.00 0.00 1,899.55 �✓ PYAROLL DEDUCT Vendor TotalE Number Name Gross Discount No -Pay Net 11360 SCRUBS ON WHEELS 1,899.55 0.00 0.00 1.899.55 Vendor# Vendor Name Class Pay Code S1405 SERVICE SUPPLY OF VICTORIA INC ,// W Invoice# Comment Tran Ot Inv Dt Due Ot Check D' Pay Gross Discount No -Pay Net file:///C:/Users/Itrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report299060... 1 / I2/2023 Page 11 of 12 701159567 01/11120 11/17/20 12/17/20 27.00 0.00 0,00 27.00 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net $1405 SERVICE SUPPLY OF VICTORIA INC 27.00 0.00 0.00 27.00 Vendor# Vendor Name Class Pay Code 12472 SOMETHING MORE MEDIA, INC. ✓ Invoica#, Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1934 V/01110/2012/31/2001/15/20 2,525.00 0.00 0.00 2,525.00 WEBSITE Vendor Totals Number Name Gross Discount No -Pay Net 12472 SOMETHING MORE MEDIA, INC. 2,525.00 0.00 0.00 2,525.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN V Invoicek / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net CM8517✓ 01/10/20 12/31120 01125/20 -2,133.00 0.00 0.00 -2,133.00 C EDIT 1070276B9 0111012012/3112001/25/20 9.953.00 0.00 0.00 9,953.00✓/ BLOOD Vendor Totals Number Name Gross Discount No -Pay Net 11296 SOUTH TEXAS BLOOD & TISSUE CEN 7,820.00 0100 0.00 7.820.00 Vendor# Vendor Name Class Pay Code 12288 SPBS CLINICAL EQUIPMENT SRVC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVO19730123✓ 01/1012001/01/2001/06/20 10,238,92 0.00 0.00 10,238.92 CONTRACT Vendor Total, Number Name Gross Discount No -Pay Net 12288 SPBS CLINICAL EQUIPMENT SRVC 10,238.92 0.00 0.00 10,238.92 Vendor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC,% W Invoice# Comment Tran Dt Inv Or Due Dt Check D Pay Gross Discount No -Pay Net 757605 V% 01/10/2012/31/20 206.25 0.00 0.00 206.25 SOLUTION MONITORING 896735 f O1/10/20 12/31/20 01/21/20 6.130.42 0.00 0.00 6,130.42 ✓` PHYSICIAN TRACKING Vendor Totals Number Name Gross Discount No -Pay Net T2639 T-SYSTEM, INC 6,336.67 0.00 0.00 6.336,67 Vendor# Vendor Name Class Pay Code / T1450 TEXAS ASSOCIATION OF COUNTIES ./ W Invoice# Comment Tran Dt Inv Dt Due Of Check D Pay Gross Discount No -Pay Net 010523 0111012001/05/2001/15/20 3,984.07 0.00 0.00 3,984.07 f s TAG CONTRIBUTION Vendor Totals Number Name Gross Discount No -Pay Net T1450 TEXAS ASSOCIATION OF COUNTIES 3,964.07 0.00 0100 3,964.07 Vendor# Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO „� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1004280872,/ 01110/20 01/01/20 01/21/20 11,731.20 0.00 0.00 11,731.20 INITIAL PREMIUM Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 11.731.20 0,00 0.00 11,731.20 Vendor# Vendor Name Class Pay Code file:///C:/Users/Itrevino/cpsi/inemmed.cpsinet.coTn/u88125/data 5/tmp cw5report299060... 1/12/2023 Page 12 of 12 T2304 THA-TEXAS HOSPITAL ASSOCIATION ✓ Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay 0900140917/ 01/12/20 08/03/20 09/23/20 7.058.38 0.00 0.00 THT MEMBERSHIP DUES Vendor Totale Number Name Gross Discount No -Pay T2304 THA-TEXAS HOSPITAL ASSOCIATION 7,058.38 0.00 0100 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC ,." Invoice# Cc ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 8400411934 12/30/20 12/29/20 01/23/20 205.35 0.00 0.00 LAUNDRY f 8400411953 ✓ 12/3012D 12/29/20 01/23/20 75.08 0.00 0.00 LAA NDRY 840G411959 ✓ 12130120 12/29/20 01/23/20 2,282.16 0.00 0.00 LA/UNDRY 8400411931 f 12/30/2012/2912001/23/20 33.27 0.00 0.00 LAfUN DRY 8400411973 ✓ 12/30/20 12/29/20 01/23/20 97,71 0.00 0.00 L UNDRY 8400411935 1 2/30/20 12/29/20 01/23/20 211.73 0.00 0.00 LAUNDRY 8400411932j 12/30/2012/29/2001/23/20 191.69 0.00 0.00 LAUNDRY $400412454,/ 01111120 01105/20 01/28/20 189.63 0.00 0.00 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay U1064 UNIFIRST HOLDINGS INC 3,286.62 0.00 0.00 Vendor# Vendor Name Class Pay Code 10968 UNITED RENTALS (NORTH AMERICA) ✓� Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay 214652799001 ,/ 01/12(20 01/10/20 01/12/20 362.14 0.00 0.00 Vendor Totals Number Name Gross Discount No -Pay 10968 UNITED RENTALS (NORTH AMERICA) 362.14 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 438,558.12 0.00 0.00 PROVED ON JAN 12 2023 By CAWOUN CODA ,ITW AS Net 7,058.38 % Net ✓ 7,058.38 Net 205.35 75.08 ✓ 2,282.16 ryf 33.27 ✓ 97.71 ,% 189.63 Net 3,286.62 Net f 362.14 Net 362.14 Net 438,568.12 fife:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report299060... 1 / 12/2023 Page 1 of l RECEIVED BY THE COUMY AUDITOR ON UAN 17 2023 MEMORIAL MEDICAL CENTER Otf17/2023 p '�OUNTY.TEW AP Open Invoice List ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Coda 14700 MICHELLE MORALES Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 011323 01113/20. 01/1312001115/20, 23.29 0.00 0.00 23.29 PAYROLL Vendor Totals Number Name Gross Discount No -Pay Net 14700 MICHELLE MORALES 23.29 0.00 0.00 23.29 Report Summary Grand Totals: Gross Discount No -Pay Nei 23.29 0.00 0.00 23.29 APPAOVED ON JAN 1 7p2023 CALHOt1NU OOUNTY, I t9wg file:///C:/Users/Itrevino/cpsUrnemmed.cpsinet.com/u88125/data_S/tmp_cw5report814733... 1/17/2023 Page I of I RECwM BYTHE COUNTY AUDITOR ON JAN 17 2023 01/17/2023 MEMORIAL MEDICAL CENTER AP Open involce List Dates Through: Vendor# Vendor Name Class Pay Code 10411 TEXAS DEPARTMENT OF STATE Invoice# Comment Iran Ot 1 Dt Due Dt Check D Pay Gross 219125 Ot/18/20.06/01/2001/01120 2.545.00 RADIATION LICENSE Vendor Totals Number Name Gross 10411 TEXAS DEPARTMENT OF STATE 2,545.00 Report Summary Grand Totals: Gross Discount 2,545.00 0.00 JAN 17 2023 BY COUNTY AiJp1TpR EALNOUT! COUNTY, TEXAS 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 2,545.00 ✓ / Discount No -Pay Net 0.00 0.00 2,545,00 No -Pay Net 0.00 2,545.00 file:///C:lUserslitrevino/cpsilmemmed.cpsinet.comlu88125/data_5/tmp_cw5report627894... 1 /17/2023 RECEWEDBYTHE Pape I of COUNTY AUDITOR ON JAN 17 2023 1~sAE1i0U CO 2023 T +S MEMORIAL MEDICAL CENTER 00 0 AP Open Invoice List 09:19 ap_open_invoice.templata Dates Through: Vendor#Vendor Name Class Pay Code ' 11183 FRONTIER / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010223 01/1712001/02t2001126120 1,214.92 0.00 0.00 1,214.92 PHONE Vendor Totals Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,214.92 0.00 0.00 1.214.92 Report Summary Grand Totals: Gross Discount No -Pay Net 1,214.92 0.00 0.00 1,214.92 APPAOVM ON 'AN 17 2023 BY COUNTY A��}}DIT CALHOUN COUNTl.T S file:///C:/Users/ltrevino/cpsi/memmed.cpsinct.corn/u88125/data_5/tmp_cw5report3 65751... 1 /17/2023 Page I of I RECEIVED BY THE ;AUNTY AUDITOR ON JAN 17 2023 MEMORIAL MEDICAL CENTER 01/17/2023 0 AP Open Invoice List N9AKry,=fof ; ap_open_invoice.template S,,r,L1i0U Dates Through. Vendor# Vendor Name Class Pay Code C2510 EVIDENT M Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount A2301061378 01/17/2001/06/2001/07/20 17,512.00 0.00 MONTHLY SUBITECH SUPPOF Vendor TotalE Number Name Gross Discount 02510 EVIDENT 17,512.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 17,512.00 0.00 0.00 APPROVED ON JAppNry17 p2023 CALHOUPI GPUPYTY,tTEXAS No -Pay Net / 0.00 17,512.00 v No -Pay Net 0.00 17,512.00 Net 17,512.00 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report887379... l /17/2023 COUNTY AUDITOR oN JAN 17 2023 ;FtLL6�f7��Jz 20 3 �' t 09:18 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Vendor# Vendor Name , Class Fay Code 10936 SIEMENS FINANCIAL SERVICES I/ Involce# Commrt Tran Dt Inv Dt Due Dt Check D Pay Gross 56382300014901 v 01/1712012/26/2001/15/20 4,038.24 LEASE Vendor Totals Number Name Gross 10936 SIEMENS FINANCIAL SERVICES 4,038.24 Report Summary Grand Totals: Gross Discount 4,038.24 0.00 JAN 17 2023 UNVCAHpITEEXAS Page 1 of I 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 4,038.24 Discount No -Pay Net 0.00 0.00 4,038.24 No -Pay Net 0.00 4,038.24 file:///C:/Users/itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report653297... 1/17/2023 MSKESSONSTATEMENT Am of: 01/14/2023 Page: 002 To eneum proper credit to your accmuM. detrain am return thls comaa.a: eoao stub with your mmktance DC: 8115 Art of: 01/14/2023 Peg.: 002 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: Mall to. Comp: 8000 AP Statement for information only UREfor IntoED VIA Aion OY OMIT 815 N VIRGINIA STREET Customer: 632536 Statement PORT LAVACA Tit 77979 Date: 01/15/2023 Cued: 632536 PLEASE CHECK ANY Data: 01/15/2023 ITEMS NOT PAID (.) Nil bg Due etland Account 6 RecaNcbf �6eiT Cash Amount P Amount P Racelvable isle Dale Number Reference Descrlpthm Dlseount (games) F (rot) F Number IF column legend: P = Pant Due Item, F = Mum Due Item, Weak = Cufmnt Due Item 'OTAU Nmimnel Acet 632536 MEMORIAL MEDICAL CB4TED Subtotals: :more Due: 0.00 If Paid By 01/1712023, had Due: 6,900.78- Pay Thie Amount: aM Payment 2,451.97 If Paid After 0111712023, 18/07/2017 Pay this Amount: 270.61 5. 14e-�i '.. APPROVED ON JAN ] 7 2023 3,402.56 USED Due It Paid On Time: USD 3,196.51.� 3.196.51 USD Disc lest 11 paid late: 206.05 Due If Paid lade: 3.402-56 USD USD 3,402.56 For AR Inquiries please contact 800-867-0333 MCKESSQN crmcmv: area WALMAFT 1098/MEv1 MED pHs MEMORIAL MEDICAL CENTER VICKY KAUSE( 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT AMT DUE REM1ITTED VIA ACH DEBIT Statement for information only As of: 01/14/2023 Page: 001 DC: 8115 Territory: 400 CuetemW.. 256342 Date: 01/15/2023 To eswe proper cre6K to yam Resume, tletxh am slum this stub With your mstithmas As 01: OIJ1412023 Page: 001 Mall to: Comp: 8000 AMT DUE REMITTED VIA ACH DEBIT Statement tar information only Cunt: 256342 PLEASE CHECK ANY Date: 0111812023 ITEMS NOT PAID (r) Not e9 OMB Number Reference Account 8 Reference Description cash Amount P Amount P Recalveble riP Discount (gross) F (net) F Number amtomer Number 256342 11/09/2023 01/17/2023 11/09/2023 01/17/2023 11/09/2023 01/17/2023 11/09/2023 01/09/2023 H/09/2023 01/09/2023 11/09/2023 01/17/2023 11/09/2023 01/17/2023 )1/1012023 01117/2023 11/11/2023 O1/17/2023 11/11/2023 01/17/2023 11/11/2023 01/17/2023 11/112023 01/172023 11/11/2023 01/17/2023 11/11M023 01/11/2023 11/12/2023 01/17/2023 1111212D23 01/17/2023 11/12/2023 01/17/2023 11/122023 01/17/2023 11/12/2023 01/12/2023 11/12/2023 01/17/2023 11/132023 01/17/2023 11/13/2023 01/17/2023 31/13/2023 01/17/2023 H/13/2023 01/17/2023 11/13/2023 01/17/2023 11/1312023 01/17/2023 WALMART 1098/MEM MED PHS 73699U3860 59692425 1151nv01ce 0.16 0.16✓ 7389903862 59736093 1151nv01ce 1,32 66.95 64.63✓ 7389903063 59773599 1151nvoice 0.01 0.57 0.56✓ 7390220320 MFC PR CORR OR P4cing Cnr 4,773.45. P 4,773.45- P ✓ 7390220321 MFC PR CORR CR Pricing Car 1,591.15. P 1,591.15. P ✓ 7390220322 MM PR CORR IN Pricing Car 13.72 686.99 672.27, 7390220323 MFC PR CORR IN Pricing Cot 4.57 226.66 224.09✓" 7390437062 59923642 1951nvane 0.65 32.72 32.07✓/ 7390538910 60079068 1161nva1ce 20.20 1.009.93 989.73✓ 7390538911 60150836 1151nvoice 3.60 179.95 176.35 ✓ 7390706155 60085901 1951nvoice 0.02 0.95 0.93 �' 7390706156 60092324 1151nva1ce 26.81 1,340.42 1,313.61✓ 7390806289 MFO PR CORR IN Pricing Car 0.19 9.61 9.42 ✓ 7390806862 MFG PR CORR CR Pricing Car 339.38. P 339.38. P � 7390a42354 60223117 1151nvaice 15.89 794.45 778.56✓ 7390842356 60297156 1151nvaice 15.89 794.45 778.56 ✓ 7390842356 60297156 1151nvoice 0.01 )Zt! 0.31 ✓ 7391009495 60236787 1151nvoice 0.04 1.90 1.86 ✓ 7391377919 MFC PR CORR OR Pricing Car 196.80. P 198.80. P 7391377220 MFC PR CORR IN Ending Car 1.25 62.72 61.47✓ 7391130461 60353115 1151nvoice 33.20 1,659.96 1,626.76✓ 7391130462 60353115 1451nv91ce 43.25 2.162.60 2,119.35✓ 7391130463 60425934 1151nvolce 3.39 109.70 166.31 7391130465 60425934 11511Waice 8.30 414.99 406.69 7391130466 60441386 1151nvaice 0.01 0.61 0.60 7391314902 60331866 1951nvaice 0.21 410.60 402.39 For AR Inquiries please contact 800-867-0333 7309903860 73B9903862 7389903863 7390220320 7390220321 7390220322 7390220323 7390437062 7390538910 7390538911 7390706155 7390708156 7390806289 7890806862 7390842354 7390842365 7390842356 7391009495 7391377219 7391377220 7391130461 7391130462 7391130463 7391130465 7391130466 7391314902 MSKESSaNSTATEMENT As of: 01114/2023 Page: 002 To ensure Proper credit to your and ammo in18 fumpm 4004 dub with yaw reentrance DC: 8115 As of: 01/14/2023 Pepe: 002 MBA Mm PHS qMT DUE REMITTED VIA ACH D®li WA MARTMEMORIAL iligaMEDICAL Territory: 400 Mall to: Comp: 8000 MEMORIAL MEDICAL CENTER Statement for infam alion only AMT DUE REMITTED VIA ACH OMIT Cumomm: 25fi342 Statement for Information only Y 815VICN VIRGINKALISEK 815 N VIP.GINIA ST PORT LAVACA TX 77979 Date: 01/1512023 Cust: 256342 PLEASE CHECK ANY Date: 01/15/2023 ITEMS NOT PAID (r) I911ng Due nntt ReceWabM'atlorml Account 6 Caen ]ate Date Number Reference Deeedptlon Discount Amount P (groan) F Amount P Numberble (net) F Number IF column legend: P = Pam Due Item, F = Fmum Due Item, blank - Current Due Bern 'OTAL' Customer Number 256342 WALMARF 10981MEM MID PHS Subtotals: mture Due: hm Due: Am Payment 11/09/2023 APPROVED ON JCCANy�1 7pp21p2�13pq CA1" %9UCOSiN'TY, 7ENAE 0.00 If Pold By 0111712023, 6,900.78� Pay Thls Amount: 17,845.71 If Paid After 01117/2023, Pay IN. Amount: %126.43 USD Dun If Pald On Time: / USO 2,925.90�/ 2,925.90 USD Oleo log it paid tale: 200.53 Due If Paid Late: 3.126.43 USD USD 3,126A3 111tO123 For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT As of: 01/14/2023 Page: 001 To ensure proper cretlA to your account, detach and mean this aa�a.�y: e000 atW with your mmBtence DC: 8115 As of: 01/14/2023 Page: 001 CVS PHCY 7475IMEv1 MC ME AMT DUE REMITTED VIA ACH D®IT Territory: 400 Mall to: Comp: 8000 MEMORIAL MEDICAL CENTER Statement for Information only ANT DUE REMITTED VIA ACH DEBIT VICKY KALISIX Customer. 835938 Statement for Inlolmalian only 815 N VIRGINIA ST PORT LAVACA TX 77979 Data: 01/15/2023 CUM: 835438 PLEASE CHECK ANY Data: 01/15/2023 ITEMS NOT PAID (+) allonal Account U 6 Golan gating Dat Numberbl Ut�7T Amount P Amount P PodoWable )ate Date Number Reference Description Discount (grow) F (net) F Number 7uatom rr Number 835438 CVS PHCY 74751MEM MO PHS 11/112023 01/17/2023 7390765893 2094764 115lnvolce 5.52 276.13 270.61 ✓ 739075SB93 T column legend: P = Pest Due Item, F = Future Due Item, blank = Current Due [tam 'OTAL Customer Number 835438 CVS PHCY 7475/MEM MC PHS Subtotals. 276.13 USD Mum Due: 0.00 If Paid By 01117/2023, Due If Paid On Time: / rest Due: 0.00 Pay This Amount: 270.01 USD USD 270.61 ✓✓ DI. Lest II pold [ate: Ad Payment 17,845J1 If Paid After 01/1712023, OUB If Paid leis 5.62 11109/2023 Pay this Amount: 276.13 USD USD 276.13 1�1cp 2� €1PPROVW 8A1 LAN 17 229z3It e 6'1 PN trougw' I?-k For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number: 64437925 AmerisourceBergem Date: 01-13-2023 i or AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 3400 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER SUGARIANDTX 774786101 1302 N VIRGINIA ST • PORT IAVACATX 77979-2509 Sat -Fri Due in 1 days 278 888-051-8655 866 1-9655 AMERISOURCESERGEN PO Box 905223 Not Vet Due: 0.00 CHARLOTTE NC 2829Mn3 Current: 1,932.57 Part Due: 0.00 Trial Due: 1,332.57 Account Balance: 1,332.W Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 01-09.2023 01-20-2023 3118958133 169135 Invoice 10.14 0.00 10.19 01-09-Z023 01-20.2023 3119014677 169184 Invoice 1,292.64 0.00 1,292.64 01.09-2023 01-20.2023 350173599 188966 Invoice (56.31) 0.00 (56.31) 01.09.2023 01-20.2023 350173590 168966 Invoice 4.69 0.00 4.69 01.09-2023 01-20-2023 350173928 169039 Invoice (17.10) 0.00 (17.10) 01.09-2023 01.20-2023 350173929 169039 Invoice 5.79 9.00 5.79 01-09-2023 01-20-2023 M0175404 169047 Inuolm (54.20) 0.00 (54.20) 01-09.2023 01-20-2023 350176405 169047 Inwlce 26.54 0.00 26.54 01-10.2023 01-20-2023 3119176160 169195 IOv01ce 14.17 0.00 14.17 01-12-2023 0140.2D23 3119504190 169211 Invoice 21.98 0.00 21.98 01-13-2023 01-20.2023 3119667935 169219 Invoice 67.05 0.00 07,05 01-13.2023 01-20.2023 3502440W 1691" Invoice (860.53) 0.00 (860.53) 01-13-2023 01-20.2023 350244093 169184 Invoice 877.71 0.00 877.71 Current 1-15 Days 16.30 Days 31.60 Days 61.90 Days 91-120 Days Over 120 Dayq 1,332.57 D.00 0.00 0.00 O.Do D.00 Thank You for Your Payment Date Amount 01-13-2023 (403.82) APPROVED ON) JAN 17 20?3 raLHpunil(♦OUN7`i'. "F6XA3 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER SI-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGITTAX FILING ENDING MONTH" 15T QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) -July, Aug, Sept 4TH QTR -12 (DECEMBER) -Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" F_T6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ###E 0 0 941 # $ 145,266.85 1 $ 70,821.90 $ 16,S63.18 $ 57,881.77 CHECK 5 CALLED IN BY: CALLED IN DATE: CALLED IN TIME: F:WP-Payroll FileslPayroll TaxesQ0231112 R1 MMC TAX DEPOSIT WORKSHEET 1-12.23.xis 1/1612023 941 REC/TAX DEPOSIT FOR MMC PAYROLL "E PAY PERIOD: BEGIN 17/30/2022 y0 PAY PERIOD: END 111212023 PAY DATE: 1120/2023 GROSS PAY: $ 604,718.34 DEDUCTIONS: AIR S 436.25 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS $ 1.173.73 SUNLIFE ACCIDENT S 738.48 SUNLIFE VISION SUNLIFE SHORT TERM DIS $ 2.005.70 BCSS VISION $ 962.04 CAFE-D $ 1,497.87 CAFE-H S 23.062.15 $ CAFE-P CANCER CHILD S 602,77 CLINIC 5 210.00 COMBIN S 280.87 CP,EDUN S - DENTAL S DEP-LF SUNLIFE TERM LIFE S 940.61 SUNLIFE HOSP INDEP.1 5 618.50 FED TAX S 57.081.77 FICAA1 5 8,281-59 FICA-0 S 35.410.96 FIRST C FLEX S $ 3,494.30 FLX.FE S GIFT S S 357.02 GRP.IN GTL HOSP-1 LEGAL S 1,059.56 OTHER S 1.285.60 NATIONAL FARM LIFE S 1.792.38 MED SURCHARGE $ 460.00 PP. FIN S - RELAY REPAY STONEDF $ 940.86 STONE STONE 2 STUDEN TSA-R S 42,330.35 UWIHOS $ — TOTAL DEDUCTIONS: S 135.523.35 5 NET PAY: S ^4115MOM11tlYRaOIEt�" 419 994.99 S TOTAL CAFE 125 PLAN: S 33,575.13 - _ LE R 'AXABLE PAY: S $71,143.21 S 671.143.21 "CALCULATED" Fmm MMC Ron, n Difference 9CA - MED (ER) +uw S 8.261-58 TICA - MED (EE) u:+ S 8,281.58 5 8.281.59 S (0.01 TCA-SOC SEC (ER) eEac S $5.410.88 9CA - SOC SEC (EE) e m S 35,410.88 $ 35,410.95 S (0.07 ED WITHHOLDING S 57,081.77 S 57,881,77 $ REVISED 311812014 INALCKIIII TOTALS S 604,718.34 5 436.25 S - S $ 1, 173.73 s 73S.45 S S 2.005.70 S 962.04 $ 1.497.87 S 23,062.16 5 - S S S S 602.7', S 210.00 S 290.87 940.61 613.60 57.861.77 7.251.59 35.410.95 3.494.30 357 G2 LOS9.56 235.60 1.792.36 460.00 S40.SG 42,330.35 - _ - I S tSS,62S35 B4OtitAEM1[NPf➢OiR^ NIEAAA WICMPIEPoAI� $ S S 419.194.99 1EIdMA Wttx MegEa^!aRRD WiclExw6iE� Exempt Punt: Employees over FICA -SS Cap: Sharma Odonnell Roshanda Thomas S Paycode 6 - Employee Relmh.: TAX DEPOSIT: 1 145.26885 145.265.69 8 FICA -MEDICARE .,.,, S 16,563.16 $16.563.18 FICA - SOCIAL SECURITY ,,,,,, S 70.821.76 $70,821.90 PREPARED BY: FED WITHHOLDING $ 57.881.77 $57.881.77 PREPARED DATE: TOTAL TAX: $ 146,266.69 $146.266.85 $ (6.16` TOTAL: $ Caitlin Clevenger 1116/2023 02 R1 MMC TAX DEPOSIT WORKSHUr 1 12 23 ds- TAX DEPOSIT WORRSHEET 11=023 Run Date: 01/13/23 MEMORIAL MEDICAL CENTER Page 110 Time: 14:30 Payroll Register ( 81-Meetly I P2REG Pay Period 12/30/22 - 01/12/23 Run: 1 Final Summary '-- P a y C o d e 5 u m a a r y____________________________________________ D e d n c t i o n s S u m m a r y .............. PayCd Description Firs 1011SHIREJEOICBI Gross I Code Asoart `-__---' ........................'_"""'-_------__._•--.._----------__.---'-----..-..----._..._.---'._..-.-.-...._.-...__.___._r 1 REGULAR PAY-SI 8917.00 N N 11 193492.36 A/R 436.241RZ A/R3 1 REGULAR PAY-Sl 1644.00 N IT N N 74836.56 ADV?I;C A7MS BCBSVI 962.04V 1 REGULAR PAY-S1 190.50 11 N 'i 7228.58 SCATS CAFE E CAFE-1 1 REGULAR. PAY-S1 369.00 Y N IT 13118.93 CAFE-2 CFFE-3 CAFE-4 2 REGULAR PAY-S2 2514.50 N N N 62991.54 CAFE-5 CAFE-C FE•D 1497.81� 2 REGULAR PA'i-S2 235.50 N N Y 9545.31 CAFE-F CAFE-H 23062.15kg-I 2 REGULAR PAY-S2 182.75 Y N N iZ24.32 CAFE-L .' E'E-P CANCER 3 REGULAR PAY-53 1366.50 N 11 N 41448.04 C'AIlN 602.7 LIl7IC 210.0vo sill 260.67� 3 REGULAR PAY-S3 248.25 N N Y 11135.64 CRFDUH DO ADV DENIAL 3 REGULAR PAY-S3 113,25 Y N N 5557.06 DIP-LF DIS-Lf T / 4 CALL BACK PAY 38.00 11 1 N N Y 1516.27 EATCSH F3PTAX 57081.7711PIC4-N 8281.59y CALL BACK PAY 44.25 N 2 11 11 Y 2096.11 FICA•0 35410.9Ey6'IRSTC FLEC 5 3494.30 4 CALL BACK PAY .25 Y 1 11 N Y 8.57 FLX FE °T D FUIF 4 CALL BACK PAY .75 Y 2 N N Y 48.51 GIFT 5 357.02 GRP-111 C CALL PAY 2376.00 N l N N 4752.00 GIL HOSP-I I}1 IFT 0 DOUBLE TIME 32.00 N L 11 N 907.90 LEAF �}rG.4L 1B9.56 A 570.00v D DOUBLE TIME 14,75 IT 2 B li 458.88 PEALS 237.3C42 11S MISC D DOUBLE TINE 13.50 Y 1 D N 575.10 MrSCr KYCSHR MAIM 1792.39 D DOUBLE TINE ,25 Y 2 11 N 12,39 OTHER PHI PHI... D DOUBLE TINE 7.00 Y 3 N N 352.11 PR FIN RELAY REPAY E EXTRA WAGES N N N N 46123.29 SANS SCRUBS SIGN311 E EXTRA WAGES N 1 I1 11 N 65423,75 ST-TA STONDF 640,84TOITE F FORMAL LEAVE 52.00 1I 1 11 N 1215.60 9TOVEZ S SL711CC 738.4e✓ I INSERVICE 15.75 N L N N 515.68 SUNILL 1173.73�+�LNN10 618.50\gbML1F 946.61 J JURY LEAVE 12.00 N 1 11 N 403.20 SLNSID 200S.7413VIIS SURC4G 460.00 R BXTc"<4D8D-ILLNE95•HAIIh 714.00 N 1 N I1 17066.32 IS.-i ISA-2 TSA-C P PAID-TINE•OFP 24.86 N 11 N N 438,65 TSA-P SSA-R 42330.35 17ION P PA10-TIME-OFF 1367.96 N 1 N 11 11717.09 UNIFOR 1048.3401M65 X CALL PAY 2 144.00 N 1 N H 268,00 2 CALL PAY 3 48.00 N 1 N R 144,00 p PAID IIME OFF - PROBATION 52.00 N I 11 11 876.52 t PHONE 6 DATA N N N N 900.00 --------------------- Grand Totals: 20738.59 ------- ( Gross: 604718.34 Deductions; 185523.35 Net: 414194:99. Checks .-..-.•............................. Count:- FT 191 PT 6 Other 54 Female ........ ------------------------------- 213 Male 22 Credit OrerAnt 24 2erollet ................................... Term Total: 15E -.__.-------------- �iJ,^-J✓�ul on cats. 0116.21 P:eO:. .__ a__.n_ ._.M. _.-WEE.Z. The: 1101 •••• C.ecv Eec_c__. •.. Pay 2ericd 12 r.122--01i 12123 Rin: 1 iiTc=!IEi U.r pr,p ci pFEf :?i:iG - PHCE?EEt?Y ..c.,.. :.,.v _.. ....... a 1: .a:. 2C9H SAVF31.4 LEPTC 356.62 000632H3 HIM 2C030 UFSH.. PJ+IIEF, 392.36 061SHN 0112013 t'SC2 ..-... G0''i:._..._ _. __ 0D054 SYLViA ; MEL'WZL SA.25 _. .I:10!11 Wlli dMIT CAGF.ECH U1.0.39 DD 32120!23 00132 S17,T.He: A. KAT' 0035' SILLIE F N.CF:s i 3332.23 DD WHO DC352 S:Ctlic: T :f.EF. 1401.00 :. U1 !2C'23 AT _.._..... 1 W .... r.' __ MN i D423 non,'':' M'RiBGC 21Y.39 01r': �i'!2iJ 00462 UY, FI W I32C.30 DD 01/< /23 Da6FI --!MIA L nl'SEI113 1617.90 .. :...: RUL..._. E_ i::L LC'EL..' D. _ A 1-1 4v65? M'v C FA71, 1049119 ._ 011/20!:3 C0707 KIMBERLY F. 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O 0i /20!26 90520 F.O."U Vn 5 icC3:i5 E0%.G; Ci Cl!2i;i2'. ct_;_:I 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" 7"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-1116-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: 10 1 $ 127.56 1 $ 74.48 $ 17.42 $ 35.66 CHECK CALLED IN BY: CALLED IN DATE: CALLED IN TIME: FAAP-Payroll FilealPayroll TaxesTO M2 R1 MMC TAX DEPOSIT WORKSHEET 1.12.23.43 VIV2023 941 RECfrAX DEPOSIT FOR MMC PAYROLL PAY PERIOD: BEGIN PAY PERIOD: END PAY DATE: GROSS PAY: DEDUCTIONS: AIR ADVANC BOOTS SUNLIFE CRITICAL ILLNESS SUNLIFE ACCIDENT SUNLIFE VISION SUNLIFE SHORT TERM DIS BCBS VISION CAFE-D CAFE-H CAFE•P CANCER CHILD CLINIC CONISiN CREDUN DENTAL DEP-LF SUNLIFE TEP.M LIFE SUNLIFE HOSP INDENT FED TAX FICA-M FICA-0 FIRST C FLEX S FLX-FE GIFT S GRP•IN GTL HOSP-1 LEGAL OTHER NATIONAL FAR41 LIFE MED SURCHARGE PR FIN RELAY REPAY STONEDF STONE STONE 2 STUDEN TSA-R UWIHOS TOTAL DEDUCTIONS NET PAY: TOTAL CAFE 125 PLAN: rAXABLE PAY: S 600.60 $ 600.60 "CALCULATED" From MMC Ri,,. Difference -ICA- MED(ER) .us S 8.71 �ICA-MED(EE) usw $ 8.71 $ 8.71 S - -ICA -SOC SEC (ER) sae $ 37.24 :ICA -SOC SEC(EE) sae S 3724 $ 37.24 S - -ED WITHHOLDING $ 35.66 S 35.66 TAXDEPOSIT: S 127 M S 127 M FICA - MEDICARE zs:,. $ 17.42 $17.42 FICA - SOCIAL SECURITY-.o. $ 74.48 S74.48 PREPARED BY: FED WITHHOLDING $ 36.66 535.66 PREPARED DATE: TOTAL TAX: $ 127.66 $127.56 $ - REVISED 3(182014 TOTALS $ 600.60 i i 43.04 5 S 12355 S 476.95 Exempt Amt: Employees over FICA -SS Cap: Shanna OOanriell Roshanea Thomas S Paycoeo S - Employee RelmO.: TOTAL: $ Caillin Clevenger 111712023 x2 R1 MMC TM DEPOSIT PIORXSHEET 1 12 23 Its TAX DEPOSIT WORRSHEET 1117r023 Run Date: 01/1i/23 Mdk".IRIAL MEDICAL CENTER Page 3 Time: 08:52 Payroll Register ! Bi-Meekly 1 PZREG Pay Period 1213C122 - 0l(12i23 Fun4 2 Final Summary •-- P a y C o d e S u m m, a r y-----------------------------------------+- D e d u c t i a n e S u 1 m a r I PdyCd Description Hrs I0TI SEIIr IN C0 I Grass I Cade Aanunt I h .............. ................. .... _..-........................................................................... P 44.00 11 N N N 600.60 AIR A/R2 AIP.3 FDV?NC !XkRDS BC3STi BOOTS CAPE R CAFE-1 CAFE-2 C-`-iE-3 CAFE-4 CAFE-5 CAPE-C CAFE-D CAFE-F CAFF-B CAFE -a CAFE-L CAFE-F CANCER CHILD CLINIC COYSIN CREG01 DD AOV DENTAL DEP-LF DIS-LF FAT FATCSE FEDTAY 35.56 KCA.-4 5.11 FICA-0 31.24 FIRSTC FLEX S FL'( FE ORI C ILIA GIFT S GRANT GRP-I11 CIL EOSP-I ID T."m LEAF LEGAL W. WITS 4EP7IS RISC MISCI 44NCS.9R NATrFML OTBER PHI PHI... PR FIN RELAY REPAY SAME SCRUBS SIGNON S_,-Tx STO.DF STONES STONE2 STUDEN SUNACC SUNILL SUN 7D SIRUP SUNSTD SMIS SURCNG TSA-1 TSA-2 iSA-C ISA-P TEA-R 42.04 TUrION URI FOP. TOIROS h-------------------- Grand Totals: 14.00------- ! Gross: 600.60 Checks Count:- FT 1 PI Other Female i Male Credit :..............................................................._-_._-_.. Deductians: 123.65 Net: 06.45 werAmt ZaroNet Tern Total: 1 _________________________________________________ P.U; Date: 411:7123 MEY.i �-L R"MI—IL INTER ci-SEELY Pace --�_ GL; i1 bf• C..... ._. r.• .urn- ''ERJ.BE :1't ...C_ .n-c n....... -.7.: 70b72 NINI.Tn h FS'XLIIICS 47"0 9; CCu05255 s!i'-C`i3 MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —January 9, 2022 - January 15, 2023 Data Bank Description 1/9/2023 PAY PLUS ACHTRAN5452579291101000595623273 1/9/2023 IRS USATAKPYMT 270340905067356 6103601001025 1/1012023 PAY PLUS ACHTRAN5452579291101000696522091 1/10/2023 MCKESSON DRUG AUTO ACH ACK05328923910000148 1/10/2023 CLEARGAGE LLC CLEARGAGE, SWNFN6ELTMRVM3 242 1/10/2023 TSYS/TRANSFIRS I DISCOUNT 393UD992541616 6110 1/10/2023 TSYS/TRANSFIRST DISCOUNT 393009825899466110 1/10/2023 TSYS/TRANSFI RST DISCOUNT 413999013324196110 1/10/2023 TSYS/TRANSFIRST DISCOUNT 4139960133238E 6110 1/10/2023 TSYS/TRAN5FIRST DISCOUNT 413998013324016110 1/10/2023 TSYS/FRANSFIRST DISCOUNT 413998013928376110 1/10/2023 TSYS/TRANSFIRST DISCOUNT 413998013323936110 1/10/2023 TSYS/THANSRRST DISCOUNT 413998013683976110 1/11/2023 TRANSFIRST LLC VMC SETTLE 41399801332385 611 1/11/2023 PAY PLUS ACHTRAN545257929110ION697605419 1/11/2023 MEMORIAL MEDICAL PAYROLL 746003411113122650 1/11/2023 IRS USATAI(PYMT 270341101832127 6103501001290 1/12/2023 PAY PLUS ACHTRANS 452579291101000698448464 1/13/2023 PAY PLUS ACHTRANS 45257929110100069954,1133 1/13/2023 AMERISOURCE BERG PAYMENTS 0100007768 21GOD02 MMCNotes -3rd Parry Payer Fee Payroll Taxes - 3rd Party Payer Fee - 3408 Drug Program Expense - Patient Financing Service -Cretlit Card Processing Fee -Credit Card Processing Fee -Credit Card Processing Fee - Credit Card Processing Fee Credit Card Processing Fee -Cretlit Card Processing Fee - Credit Card Processing Fee -Credit Card Processing Fee Credit Card Processing Fee -3rtl Party Payer Fee Payroll -Payroll Taxes -3rtl Party Payer Fee 3rd Party Payer Fee 340B Drug Program Expense kpeAD, 2L&"(,A�,1 ^.I It January 16, 2023 ANDREW 0E LOS SANTOS Memorial Medical Center i4Y V..1 01-wL3 ts. PROSPERITYBANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT- ESTIMATED ACHE Date 2/22/2023 v VC BIT Description yI4 X IjY1;eWcJ- ot. o4 13 tt -UC IGT 15nn(Y.Ytn.�rL �e nl` /��Uti 1Jt1�,. January 16, 2023 ANDREW OE LOS SANTOS P Memorial Medical Center MMC Notes 4,1 VIM 4.58 + 39 u9 + 20^S4 T 4 /•'!1 1 •91 + moun �,,{Uu-C141j4+ 123,937951W 1 L, p, . , 1. • .. 39,Eg 't 17,843.714 ((II,, GL kv:, 168.20 1. 0 5 9 I t: '. 1 2 9 n u - 3 1 L14 • 4 694 1' , Si;$3'E3 54 1 1 gyp. ue. 5 60 3,615.39�- 610.351 403.82,1' I lit, QJ JS0,659.61 1 6 F - [�I 4-Sb; 11, , c4 L. _ 17U,i..u.,_� Amount Ir 152,9I6.37 t - d t' 352,916.37 Transaction Summary Transaction Complete Trace # Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total $352.91 3.37 Bank Routing and Account Number 0212023 Settlement Date UC Hospital Amount $352,916.37 Entered By Marley Moehri Page No:1 or i Run Date: 1/1312023 Run Time: os:01 na Marlev, ODonnell From: Texas Health and Human Services Commission <txhhs@public.govdelivery.com> Sent: Thursday, January 12, 2023 4:05 PM To: Marley ODonnell Subject: Uncompensated Care Program DY 12 IGT Notification — Advance Payment TEXAS 9Health and Human Services Uncompensated Care Program ®Y 12 IGT Notification - Advance Payment HHSC is providing notification of the Intergovernmental Transfers (IGT) call for the Uncompensated Care (UC) Demonstration Year (DY) 12 Advance Payment. This file has been updated today and can be found under the "UC IGT Advance Calculation Files" heading on the Provider Finance Department website. State Hospitals (except UT Southwestern), will need to submit a journal entry for the All Funds amount located in Column L of the "UC DY 12 Advanced Calculation" tab. The Journal Entry should be submitted no later than February 13, 2023. IGT transfer arFigunts for all others (including UT Southwestern) can be: found In CcIfifthilit,446i r the same "UC DY12 Advanced Calculation" tab of tFSe Suggested IGT file. The IGT must be entered into TexNet no later than close of business on February 1, 2023, with a settlement date of February 2, 2023. ,/ • This settlement date is non-negotiable. • The funds need to be placed In the "UC" Bucket. Please transfer funds through TexNet. TexNet instructions are available here. After transferring funds, please send an email with a screen shot or PDF of the confirmation/trace sheet to the Provider Finance Payments Team. An IGT allocation form designating what Service Delivery Area (SDA) the IGT is being submitted for must also be submitted with the Trace Sheet. Please submit the trace sheet and IGT allocation as two separate documents. The SDA Allocation Form can be found under the "Additional Information" heading on the UC Payments website Please email any questions regarding the calculation in general to the Provider Finance Hospital Services Team. You have subscribed to get updates about Texas Health and Human Services (HHS). For more information about HHS, please visit our webs' e. Stay Connected '( (en espanop ® SHME Subscriber Services Manage Preferences I Unsubscribe I Heir) -"his enri! was sent to n�ouonnai! rQQ nnncporiavace-com using COwmenieaticns Clo:¢i en baheii ni: '[&, s riazhn aac Hui nail ser, ms ocmmission ?C7 7th St. Suite 4co9 - -.r: cC 80232 9MDELIVERyQ Master TPl 2023 Ownership Type Rural Hospital Designation 137909111 Small Public Rural Hospital Hospital Name - Hospital County SDA by County Memorial Medical Center Calhoun Nueces a a,/Sd,atl4,3d2 $ 6,971.469,114 Active Affiliation Request Application DY 11 Total Payment Total DY11 Costs (After -- Number Check DY 12 UC Received DSH and Adiustmentei 919,925,200 . . $2,711,244,3351 66.07% 3 .93' AA=i Federal Match Rate: State Match Rate: Page 1 of I RECEIVED COUNTY AUDITOR ON ,JAN 12 2D23 01112/2023 CAI _HOt11N8;&UN7 y e64& Vendor* Vendor Name 11816 ASHFORD GARDENS MEMORIAL MEDICAL CENTER AP Open Invoice Ust Dates Through: Class Pay Code 0 ap_open_involce.template Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 010423 1,361.50 100 0.00 ,0(1/11/2001/04/20.02/04120 TRANSFER !Y q �y"UAX LE "�^^''ff�� VOKJ ,J. 441J, Ir,l KWILL Opt,0�`4*- \ Vendor Totals Number Name Gross Discount NoXy 11816 ASHFORD GARDENS 1,361.50 0.00 0.00 Grand Totals: A-PpROve) ,%ji AN 12 2023 CAL NUGOIINTYIJ., (TEXAS Net / 1,361.50 ✓ Net 1,361.50 Report Summery Gross Discount No -Pay Net 1,361.50 0.00 0.00 1,361.50 file:///C:/Users/Itrevino/CDsi/memmed.ct)sinet.com/Li88125/data 5Amp cw5report528482... 1/12/2023 RECEIVED i',LJIINTV 00 JAN 12 20Z3 0111112/20' C.9LIiQ11Z:2roj-rY,TEXA9 MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_i nvoice.template Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 010423 01111/2001/04/2002104/20 583.50 0.00 ` 0.00 TRANSFER Q 1Y1S11V1 U_ pl VLt .lerJCL IA.R W jjAL gt1�M1-`1/" 010623 01/11/2001/0612002/O6/20 5.200.00 0.00 C 00 TRANSFER it It Vendor Totals Number Name Gross Discount No -Pay 11832 BROADMOOR AT CREEKSIDE PARK 5,763.50 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 5,783.50 0.00 0.00 PPROVEt? ON iAN 12 2023 0H COUNTY Att��DITON %Af_HOUN COtja TEXAS Page 1 of 1 Net / 583.50 ✓ 5,200.00 Net 5,783.50 Net 5.783.50 file:!//C:IUsers/ltrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_ow5report9l 4501... 1 /12/2023 Page 1 of 1 RECEIVED THE COU�TY AUDrTOR N J 01/1 12d23o23 MEMORIAL MEDICAL CENTER AP Open Invoice List 0 7t22'' CALHA'a80UNTy, ap_openinvoice.template TEXAS Dates Through: Vendor# Vendor Name Class Pay Code / 11624 THE CRESCENT ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 010523 01111/20 01/06/20 02/06/20 9,405.00 0.00 0.00 9,405,00 TRANSFER WQ IriSU"IL V,Vk- dcp6Gl to lq M.K *Mi tL� . Vendor Totals Number Name rose Discount No -Pay Net 11524 THECRESCENT 9,405.00 0.00 0.00 9,405.00 Report Summary Grand Totals: Gross Discount No -Pay Net 9,405.00 0.00 0.00 9,405.00 APPROVED ON 1AN 12 2023 C.4RLHOUPI COUNTY,lT°FBAs file:///C:tUsers/Itrevino/oDsi/inemmed.cDsinet.com/u88125/data 5/tmi) cw5reuort916300... 1/12/2023 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON JAN 12 2023 01/12/2023 aALNMW COUNTY. TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 010523 01/11/20 01/05120 02/05/20 20.78 TRANSFER N"'11QUmLot. VyKl ttab? IL i&ti Vendor Total: Number Name Gross 11836 GOLDENCREEK HEALTHCARE 20.78 Report Summary Grand Totals: Gross Discount 20.78 0.00 111PPROVE]] 014 J,rm 12 2M CALHOUN GOU1� t TEX.AS 0 ap_open_invoice.tempiate Discount No -Pay Net 0.00 0.00 20.78 Discount -Pay Not 0.00 0.00 20.78 No -Pay Net 0.00 20.78 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/tt88125/data_5/tmp_cw5report129329... 1 /12/2023 Page 1 of I RECEIVEDBYTHE [AUNTY AUDITOR ON .''' Al2a2 MEMORIAL MEDICAL CENTER 0 12:31 '%:;arC�t,�tu•t>>uigi?�; AP Open Invoice List ap_open_invoice.tempiate SAS Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check C Pay Gross Discount No -Pay 010323 01/11/2001/03/2002/03/20 188.68 0.00 0.00 TRANSFER No tflww a p wq yuyo r,a 'IKh �n��-�-- 010423 01111/2001/04120 0412 418.5 0.00 0.00 TRANSFER 010523 0t/11/2001/0512002(05/20 831.47 0.00 0.00 TRANSFER Vendor Totale Number Name Gross Discount No -Pay 12696 GULF POINTE PLAZA 1,438.72 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 1,438.72 0.00 0.00 APPROVED ON .I:AN 12 2023 CABy LLHHOUN OUNTYl TEXAS Net 188.68 418.57 ✓ 831.47 ✓ Net 1,438.72 Net 1,438.72 file:///C:/Users/Itrevino/ensi/memmcd.cr)sinet.com/u88l25/data 5/tmn Cw5renort811947... 1/12/2023 Page 1 of 1 RECEIVED BY THE COUNTY AUDITOR ON lAo /44g23 12:31 Vendor# Vendor Name / 13004 TUSCANY VILLAGE ✓ MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open _invoice.tempiale Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 010323 01111/2001/03/2007J03/20. 4,750,00 0.00 0,00 TRANSFER i`L Ft IY15lAtl1.ML(!- Vy Aj r;gll(O Jck '1A h KW1L- 0'(J6W-9tCL`` 010223A 01/11/20 01/03120 02/03/?0 11980A0 0.00 V 0.00 TRANSFER 0 it 010423 01/11/20 01/04/20 02/04/20 8,075.00 0.00 0.00 TRANSFER 11 Vendor Total: Number Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 14,785.00 0.00 0,00 Grand Totals: IAN 12 2023 BY COUNTY qUDIT0 SALHnl IM COUFI . Tcnr•S Net 4,750.00 1,960.00 8,075.00 Net 14,785.00 Report Summary Gross Discount No -Pay Net 14,785.00 0.00 0.00 14,705.00 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp cw5rewrt536601... 1/12/2023 Page 1 of 1 FIECEiVED BY THE COUNTY AU)DUOgqR ON J.AN MEMORIAL MEDICAL CENTER 01272t72 0 AP Open Invoice List '-AL'tiietJ':'T ,.TEAS - Dates Through: ap_open_invoice.lemplale Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 010423A 01/11/2001104MO 02/04/20 2,139,50 0.00 0.00 TRANSFER 04 IfUWN.Ii- f"i WVp(jf(j_, j&l W-W-L t'j11Ni 010423 01/1112001/04/2002/04/20 5,187.65 0.00 00 TRANSFER" t r 010523 01 /11/20 01/05/20 02/05/20 1,776.33 0.00 0.00 TRANSFER K 14 010523E 01/11/20 01/05/20 02105/20 3,501.00 0.00 0.00 TRANSFER " 11 010523A 01/11/20 01/05/20 02/05/20 3,943.58 0.00 0.00 TRANSFER 19 I 010023 01/11/20 01/06/20 02106/20. 2,734.06 0.00 0.00 TRANSFER 91 11 010323 01/11/20 01/02/20 02/03/20 435.84 0.00 0.00 TRANSFERU rr Vendor Totals Number Name Gross Discount No -Pay 12792 BETHANY SENIOR LIVING 19,717.96 0.00 0.00 Report Summary Grand Totals: Grass Discount No -Pay 19,717.96 0.00 0.00 APPROVED 0114 IAN 12 1023 av OUNTY AWI'tOtj_ i ALHOIN COON�r TE, Net / 2,138.50 f/ 5,187.65 ✓ 1,776.33 � 3,501.00 ✓/ 3,943.58 ,/ 2.734.06 / 435.84 / Net 19,717.96 Net 19,717.96 file:///C:/Users/Itrevino/cDsi/memmed.cnsinet.com/u88125/data 5/tlnn cw5renort556339... 1/12/2023 5-I ECK REQU a i - R TUSCANY i)at=. Nequestad: 1/16/23 FOR ACCT. USE UNLY --- --- APPROVED ON FlIrnprestCash E — JAN 17 2023 ❑A/P Check pp N�} ApUU j jlvlail Check to Vendor E CADMOiMOUA"TOErAS L]Retum Check to Dept AMOUNT 16545.001 G/iflummll,: EX.PLANIAT!ON: DEVOTED PYMTS THAT BELONG TOTUI ;EpUEgTED BY: Mayra Martinez BUT WERE DEPOSITED INTO CRESCENT'S ACCT AOTHORLFD 8 �t�r�f23 MEMORIAL MEDICAL CENTER t::HEq REQUEST- R3hfu-,L r / TUSCANY✓ Date Requested: 1/16/23 C Y APPROVED ON E — JAN 17 2023 F. CABLHC URIU MUMfYDTRAS FOR ACCT. USE ONLY 01mprest Cash 11A/ P Chen: Mull Check to Vendor �Returr, Cheek Lo Dept AMOUNT _„99,425.00✓ _.. ----._ --_-- G/LNl1MBER:^____.___ -- EXPLANATION: AETNA CHECKS THAT BELONG TO TUSCANY BUT WERE DEPOSITED BY ASHFORD tttii;Uf. : EC+ BY. Mayra Martinez a HORIZF- BY: Memoriat Medical Center Nursing Horne UPL Weekly Centex Transfer Prosperity Accounts 1/16/2023 Prwbua TutlaYa Ymunt Be6lnnln8 tq3 pentllnd 89unN1 hrnun5m8a ]nnrlenNts Xdnint NYM Hamr NeNkn ylam /Tnntlrr.0ud ]noNerm 6e aha bahrce XPme 1 m.1.98 bV IS'Em10 ID&E64.39 f 208,2P 21 / / 361,533.83 f Bank BNanw 208,3]].37 Varlanw UN.. A Bdlinft BUT MONNANWQIPP y//L7,2211.06f AE3NAONIX9 ✓9,055.00 O5ta"Imam] Nevtmb rleume Dewmbmlmerm Atlryn Oalanre/]nnsrerpmt tL1.531b1 / V� / 63,35019 ✓ 63,230.19J%.BBL60✓✓f V 96A8164 / 9p,69y.B6✓ ,� Bdnk6dldme 96.9211.e4 ✓/ VMIM;Y SOvBln Xdldn[e MOUHA NW OIPP /�law i/6,3l3.]6f OmbMlnmmt N."TTIHrinter. D..bemnwrmt Adj..BNawe/Ibimrm,lm3 WA97M / S2,77820 yf 526]B.18 Z�122,527.99 ,1,, 122,627.99V 101,650.20 Bank Balanw U1.637.99 ✓/ Varima Ieavem UNIT. INTO MONxA.m Q,P DEVOTED V1.}3:.29J PYMTTHAT.U.WG TO N5GNY y9E,565.W f Omb.11bemt NmNnbmincemt DrcrmbwlncewN / / V 25,596.37 / 20]16.3] f 25,%903 f AtliuD Balamepraneiu., IIN.SSO.SOJ v 76,86911 1/ Bank Babnu 76pe9.01 71,365.61 Va,iana Ierveln Ba4nw 19000 MOONANOVWPP �6-Su,/ THIS PAYMENT SEMNGS TO COAT KENO MOUNAPYMT•VATINDEDAU Gweberintemt NaYtmbClnwrtkl Dawmb.I,uYN E A6im[ Balanw/rwmrerAmt / ✓Y166.n // 113,912.33 y'/ 114221.d3J 2%.63T39 fd! E4]332.39y f 162.0111M Oink B9anae Vananre 167.337.19 ✓ lennm I.M.T.IwcO APPROVED1 ON t_ 8 1 Y 5 3 1 " 8 1 MOUNANONQIn �s3Sl0SJ 90 T l' 'A / " j r ryj ] V . THIS PAYMENT Bf1ONG5TO50EEM MOUNAPYMT-WNHHOWAL. JAN 17 LVL.J 10 1 f 5 5 0" G'. t v nn/ merneAewa m 1 9 367' i5' i - YNwbermmek ggyy CC ryryii ppkk�� Qpp Q�PNTY1ffliT% Nevrmbermmm t-)ALMQ 1 � �� 9 U � � - h 4} Dewmberlmermt Ptlimt MunwRramrer Amt 19SA61.3t�✓f 607*029•i TOfAIiMNSifAS W1029:30 ✓� Approved:pj�Jt.Q}d�-�� xwcdrymrcnwdP/Pve.SaOHmnmuwAneeminemrua9dw.ne ANOAEW OE LOS SANTOS 1/16/2U13 NeIrL'leweimu+l n.r vrommmwryalW morMmcemountllnmm nmum I:V1X Weekly TrrnH-%HN U91 ]rwfler5unmlMl033VIN UPET-0r, Wmmrrv01.16.23.H. 1 1/9MEl Mar]KGMONftiIU MW PMM0001J a1 49/SW) YN[ WMMYXm PI NCCWMPMri(YOHIL910.W VUVIWJ NNB-ECNOXCCGIMIMr>ONXHILYWPJHJq 41M031 gmen[mup i)5[N3LWMPMi)IHYJYLIiIbA U39pWl YMCCOMMYXm IINCCWMPM!]IEW)Yl91lAb 1/fJ/1021 MDVN4MWINGFgWIP1gMMO11W112Jd�J6TI V1UWS] xx[[OMMVxmvI N[[wMMT I.AIM910W] UI3/MJ3 WME WTYN{OPOxGl1N Gq[lMIq LTO VIS/IOJI DLpvYI VWTM HGLNNUMgHSV[NCCWMPMr I]ILWH113W)1 41)/1WJ InNMXO1.1 (x 413/]OJ3 Pmart3muP lYSN<LI3IMPN}3199J)6HOI11WY Vll/mH UNCCOMMYX?f PL X(LWMVMr rq)IXHIl91[NO VU/YU VNCCOMMUNm PLHCOAW1WMMUII9IWW 4u2Wil uxcroMMuxm mxcclqu6rHTrIWDHuna000 Vl6Ml3NM-FM0M[CWMVMCHVAHH1ATlli11]99 U13AOtl �lolMAlaY]NWtNDULIioLP»owaLomo'Ir 1/11(P3l PXB�[CNO NCCU•IMPMr]NWHIEYWAJIW06 41L)pll UNC(pMMNIflm94 XCCNIMIM]]{LWHIl9I0.W UIJ/M21 WIRl OV1GNlF)M[a11NG9E C1XrtY111 VI]/lWJ NNM dCNO NLCWMPMI]CCTHll J1O]W215]Y L13/xOH DNCC0MMVNm PLXUWMPMr 11�111191OWO 4H/MD YxCCOMMUHRI ILHLCIAIMVM]>KW31Ll9IWN 4l3/]0i1 MGLMMVMANIV[HCCG1MIMr L1YWHl1YDix IM/IOE3 MAN101430Ntrlllx MHSPMMfOCIXtlmlpll6dal U9/;0;3 NNB•ECN0XCCWMPMTl46W1411MWC0;3;619 U9/Nx3 NNO•NCCWMPMi]LM'A`T M0XwS]Y9 49/x023 N[6li.HUNXUMAM SVC NCCLVMPMt I]K9141lfWfS ULMOI. HMOMNWaMn WAPH MPA0]YWY13QC3Y UIOpw] HMO- dCN0MUWMIMd)I6WH1llIWW]HYW MNV6V.MA W [QNCCWMIMrd9H6C6b%OfilY1 UW2011W1 NGITNXVMp]I IVCNIXWMIMT3r1tNH3l3Wd1 Ull(1023 U"CW WNHYFIBgr/l UNAT?AWM4I UII/M. YNCC0MMVMm PI NCCWMIMrU11.111391(PV UII/]Wl OfVW[OXLAl1N pX0.4M5PMr I211O1Y6]1.21 VITORIA OIVD20NSALMpNC[WMpMT I211W1%9YP]21 MIUN2l DIVOIEOHFALTHPHEIJAIMIMT 171IWl9Y119)I VlifINUSIA= OF"OUT TALTE p EALTRUIMT KUnmYil9J9 u V2023 WIW WrfAMFJxG1rx[AM c[XrtW N 1/I3/3033 MPWI 1/lVlw3 AW OW HEANTM P HCMN3 PMNC W1100098WI;65dt IJ142013 OFV016O HEALTH P HCMIMPMI 12110399U2Y49 V1ZtMQI DFY0IEDHGl1Hp NCCWIMIMd LUM3951Y3143 M1U202) 0(YDI6DHIAlTHPNCCGIMPMT 1211403981)2]4] ]/1V202$ OEVOTEOHFAIMPHIXUIMPMi 121110I96027I9 I/U12023 HEALTH HUMAN PLHULJMPMT]4460034 HNNIZ ]/l3/3V33 NFAL]H NVMIIH SVCN[MIMpMI't]IWDHI130Y2 UI/A31 NX9-[CNOMMIMPMTIIYWIIICW[Cpl;61W L WHO, M[YT1 MUMPNNC XRWMtME M4MtlM11YO61 CWN4MCCWMPMr IJbIEJ]Yl91mJ]1llWlli UIWJWi xfPLm xuMMl)YC x[CwMPMI n4FAMusW6x vlalw3 AAMs%Hem.nu xeewMPMr YIIWHH WYu M141013:T6013GMAI,TGq;A0ux,AA[i(wuD95oC1tlO W13 UIJ/lwl WIREDVEGME[NWMGWRONCYIII UW3W1 MMI]LLW MIAEEAHONMPMMOW.�tlW12Hll UlUWJ1 VNC [OMMYMry PINIXWMPMr IJFNH]191CGb UlJ/]W) MK[OMFWNm PLNIXWMPMTl16WH11910'M U9/t031 MAXROI.WIX0EIa1B MN1IMMpmD]QW1Y2gl 1/9/201! XXB• WI0NIXWMPMTT0WI411140000216}Y V9ryDf3 NNB-[CH0NCMIMPMT21fiW311100000li6i09 3/9ry013 unu0HU11hmNNCCUIMPMT i{600H119IWW IH/203 UHC WMMUNTTV PL NCMIMPMTYYW34I191OWD 1/9/1023 UNCCOMMUNIINP3 MNSPAIM]YYW141191WW VI012021 MAN A6GNONE]I11BMN9PMNT 14W W0I4Td9 1 11101ZD23 HNB-ECH0HCCGIMPMC19600391INWY03)O69 VIO/3w3 UNCCOMMUNIry pLMUWMPMTIOW]411910WD VIIII/3IO2S MOLINAN[AIiNCARN�U12NN1G1611WBtl 1pdOQMT DD NNB. E[HQNttWMpME166W341L0W WIY931 ULU3D13 UNCC0MMVNm PIXCCWMPMENTERS3411910W] Ul2/iOn V/IREOW GN1EN NGIINGRF[FNngf III MIv2O23 U.I.d VII/20u MA.AHONnN[THCMIN5PMNTWWOC 12*DOZ4 VIVID13 M O-(CHOHCQW PW74 M00W0000014SMW 1 NN VIV2013 HN0-[CH0MCH(X MMPW) 9HO400WH6]Y 1/IL2021A MFAPTNSi7lg MNPMr3199WHn 249 1/13/3033 MLN4DF.p WC IYIBMNSPMMD9W0W[YAOMB11l 111312OZA Nmd)MMUNSTYPLIO MPM93199116H1111W0 1/IS/10J3 UNCC0MMONQVPLNttWMIMTiV6W3a119100W 1/0/1029 UHCCOMMUNmOLNCCWMPW 1YW111191R01 TOTALS Tn^SkrAul ePa^5 ^1^I QIBP/rumPl 6.OSBW 1.1355, M3M I II - IBFIT.M) WWII /� t].1B19B y/ L.tW39 - 3.CMW / e9.li 30yV93] 0R1 QI%TI MH PDMION 6,0H0V0 1.115.55 CPO.. 119.03 1.61 91.016�)J 4131.351 ]R110.59 3,6DO.W ;g9w.3] - II.DNOI Jt,O 63,939.XB - 59,939P9.. 3z,eWn J u06O03 IT". es.Y 31473.M A 2®3039 / u 10 I6 ]91,pCP.y mmcvgxnOM II69119CQs{ lL+nl an WPI/WmPl QIPP/Pemp2 QIPP/ComP3 gIPP/CPIep11•Ia010 glMn NH PORTION ' - &850.19 T�$dN/ ;iY.66 13M.M / 6.090.J9 6.RM.]FY-F41LIQ 122M JAW 6LISO. ✓ U Bli9 _ 12,101.39 . 5JOu. - 33.mOi - 10.)9SSL 10,593.0 4414.11 tl.230.t97 . 96.06LN 5.]iB.66 1,29D39 - H X % 9p J93.P9i` MMCPQRVM L4a[h3_461 TnndM.M 419PIOM PL appiump2 gpplQmp3 ql%/UmpeaupM QIPPn NHPORTION 6.YJ.W ]10.33 U.-IT n 93.Vi ;SOLO - 1,SO1.40 - 1.130.W ZI.. tU0]13.H - 10.227.14 - 9.i10.W - 8,170,00]0.E0 - 3.34160 13RpS an4>t 29i.1i 7,147.11 i3O;A EAT 196,41 ' 16.W606 - 16A96.06 - L011Y - I,70MO - J,163W - 4.769A0 . uWm u.90O00 SI,616)d 9 RW • 34600 . ' 3.6wW 3.69OW ' x,0W.09 1,Y0.0{ 0,6W.Oo - B.fiW.W vamoo - u,no.W &6n.W 3Ar3.W - � 13.16351 13.1635) ss_W 500 _S;63ML IH,fiII.M / 1,216.R 3R.li COLA - O9 8 MMCOOROW •i!N/C4W jd2W16L QIPP/mmpl NPPfUmp2 aw/ o 0PP/Wmp16Y0N WPPTI MSPORMON HLxc - 381.16 - U.I. - 11.890.96 369.00 - 309A0 7.190.10 7,t9Bm Him HW W • T.9[LSI $WLM ;0YO32 5lfiL1F.f Si9.91 14,11631 ' "AM ' 4.9WAK 3Omm - l$9JDY 139Qff.:Q 16 TnT�^5 [�4^I QIPP/camel CHIPIONpz QIPPjiNNO OI%jfumpMil3pM COATI NM PO.ON - 2j6$W - J.36N00 - SllA9 - 511.89 L066.0I . x666.6L ' I0.9h - 166.96 - L)IGAO _ 13160 1130631 - 1,306.32 5,19750 - "mum li"L96 - ]3p9L96 37656 14.56 - 9. "k 493t.'R L03F09 �/ 'Smm :irk 4AL.I 482.62 - 11.960.6l - 1L9w.61 ❑i,U2Y r% 31.30im - 3]Amm ' 6.3W.92 6.476,82 13.676.93 - 13,6]6d2 E,939.99 - ;939.95 s1J9 - 51.11 4AGRW - 6.60$W 1/16/2023 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $8,462,144.77 $8,618,860,36 $8,462,144.77 $8,076,538.7 '4551 CAL CO INDIGENT $11,859.79 511,859.79 511,859.79 511,859.7 HEALTHCARE '3660 GULF POINTE PLAZA- $100.00 51011.00 5100.00 $100.0 DACA '4454 MEMORIALMEDICAL/ NH GOLDENNCREEK C $83,310.47 $83,310.47 $83,310.47 $83.310.4 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.01 $537.01 $537.01 5537.0 2014 '4357 MEMORIAL MEDICAL $7,099.777.11 $7,243.001.93 57,099,777.11 57,037,831.e CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.32 5432.32 5432.32 $432.1 WAIVER CLEARING . *4381 MEMORIAL MEDICAL S208,277.27 5208,277.27 $206,27T27 $95,771 Z CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $96.981.64 ✓ $104,605.90 $96,981.64 $34,121 BROADMOOR `4411 s MEMORIAL MEDICAL $122,627.99 5126,227.99 5122.627.99 5109,249.4 CENTER/NH CRESCENT '4446 ✓" MEMORIAL MEDICAL $76,849.03,/ $77,056.24 $76,849.03 $34,988.2 CENTER/NH FORT BEND '4-438 V MEMORIAL MEDICAL CENTER /SOLERA AT $167,337.39 5168,600.27 5167,337.39 $116,259.E WEST HOUSTON '2998 MMC-MONEY MARKET $297,150,11 $297,150.11 $297.150.11 $297,150.1. FUND '5506 MMC-NH BETHANY $108,245.94 5108,245.94 5108,245.94 $84.696.1 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $70,232.32 $71,028,74 $70,232.32 $53,927A MEDICAREIMEDICAID 'S433 MMC-NH GULF POINTE $17,605.67 $17.605.67 $17,605.67 $15,483.1 PLAZA -PRIVATE PAY "3407 MMC-NH TUSCANY $100.820.71 5100,820.71 $100,820.71 $100,820.7 VILLAGE - Indicate'. Page generated on 01,1612023 ; Copyright 2023 Prosperity Bank. https:!/prosperity.olbanking.com/onlinaMessenger 1!1 Memorial Medical Center Nursing Home UPI. Weekly Nexion Transfer Prosperity Accounts 1/16/2023 Peevicue Aacant BeynNnS Note. OnN5alencer clover SS•000 welae ercm/erred to tberminpnomt Note2 Each aaouOthae a Safe balenee efSIW Met MMCdepoolted to open aaoont. OPROVEO ON JAN 17 ZU23 ALNO �� COUNiYI�EXAS yaday's BeSinnlnS Amevntta Be TranNared to Norgn6 Nabn¢ Home - N3,310.ay / 83r21OA7� Nark".. N3,310A) ✓ Weanee leave in Balance 1W.0N onabalnterart NOvamberloternt Oenmber lntem[ Ae3luttBelantt/rane(erAmt e3ile,o\./y/ Ixek�tt0 Aqovruved T, p�'�l^.t11A IINONEWOEIOSSANTOS 1/16/2013 LkNH Weekly TranderANN UPe Tranger Summary\t013\NH UPtinnsler Sumwry41.16.VAU 1H/3W3 iSY1/fXV1s11A41MC00lPHpYSSSYWR91 U9/30w iSKRAY15f1A3i CA C0 DfP H]fG1f111w119{ V9]90f3 xfum xuwx rvcxcAwR]vsq n3PmYuwu: f/IWMI MREQ CAPRNUtiMRCD f QOtDE 91WfKHC W"n WRf DUIMRgNMGtNI QNp ODIDIX CRf[RNC Y33/3D39 I uRaoz3 HNS-nxe•cxo ncfulNVYA74fDD13u a.Ruonvw YYCPDA w gIPP/rom9 I TnMerAut i,,N M CIPPIOMPI WPP/COMPS OPPJMMP3 &UPW yPPil NN Mr. - foom <00.0D - zm.es - 3as.w - ISA3).H - IB.11].99 3w&w - 1,666.Y - ` 03.w9.Y R,03B.96 - Hem - sbo.00 111612023 L Treasury Center i o. Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $8,462,144.77 $8,618.860.36 $8,462,144.77 $8,076,538.7 '4551 CAL CO INDIGENT $11.859.79 $11,859.79 $11,85979 $11.859.7 HEALTHCARE '3660 GULF POINTE PLAZA- $100.c0 $100.00 $100.00 $100.0 DACA '4454 MEMORIAL MEDICAL 1 NH GOLDEN CREEK $83,310.47 i $83,310.47 $83,310.47 $83,310A HEALTHCARE r ' '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5537.01 5537.01 5537.01 5537.0 2014 '4357 MEMORIAL MEDICAL $7,099,777-11 S7,243,001.93 57,099,777.11 57,037,831.5 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $432.32 $432.32 $432.32 $432.3 WAIVER CLEARING '4381 MEMORIAL MEDICAL $208,277.27 5208,277.27 $208,277.27 $95,771.? CENTER / NH ASHFORD '4403 MEMORIAL MEDICAL CENTERiNH $95.981.64 $104,605.90 $96.981.64 $34,121 c BROADMOOR '4411 MEMORIAL MEDICAL $122,627.99 $126,227.99 S122,627.99 $109,249.4 CENTER 7 NH CRESCENT '4446 MEMORIAL MEDICAL $76.849.03 577.056.24 $76.849.03 534,988.'c CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER/SOLERA AT $167.337.39 $168,600.27 $167,337.39 $116,259.5 WEST HOUSTON ,2998 MMC-MONEY MARKET $297,150.11 $297,150.11 $297,150.11 $297.150.'. FUND '5606 MMC-NH BETHANY $108,245.94 5108,245.94 $108,245.94 $84,696.1 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- 570.232.32 $71,028.74 $70,232.32 $53,927.4 MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE $17,605.67 $17.605.67 $17,605.67 $15,483.1 PLAZA- PRIVATE PAY '3407 MMC -NH TUSCANY $100.820.71 5100,820.71 5100,820.71 5100,820.7 VILLAGE indicate: Page generated an 01/16/2023 ; Copyrlgnt 2023 Prosperity Bank. t hops:!/prosperity.olbanking.comfonlineMessenger V1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 1/16/2023 Al o xnmm xome •.....•.. BanYBuu,I. Varnn[e leaveinW4— An-11.0. Tnmenean Oatuberlmerzrt NpVfmbeflniertat Dexembn NYnrt REIurtB[Nu/TnntlerRmt 1),BOBdI/ V/ Rlrynua pmwntln Be paounf plinnlnF PenINnB Tnyrerndln xumbee bme YnmlerCut Vanrferin Clf Clan! De pa Tn6. tBe Mnfn OaNme unin mY ]I.BSItI ]1.)})g} N1,13E.3E )q}B33E BanY Oahn[I ]V,33E 3} /)0�131.32 Vifhnfc V' uivel.a.l.nm seem .WeNn ubmnpkn /y6'WlRiveNma: xwe: Dnrybebnmalavn.1.WWI.Osiceerntro6nenunne I.. xwe3: Ea[M1owaun[Bw oBn¢bRlen[vef5} W IARImmCOrowrt[OtoaGm o[[aunr. APPROVED ON JAN 17 2023 ou '-ALHOUIV, 6 ouviY fr eftebennnrnt Nmemberintwart Ovamberinnnrt /% Miun Babnn/rnnalevAme N,131.3! �V TmpLT4lItiFRF B)6l).B}. I pNORFW DE tQttRNTOt 1/f6/1813 J L1xxw.dNrmrtmpx uvnnminsanmrrv\1W>Wxuv[remJertommeryo6.t613av 9 1/9/2023 HNB- ECHO WCUUMPMT7460OUll U000DZ 6 EA 1/9/2023 HNB - ECHO HCCMIMPMT 34600341144OOOD225704 1/9/2023 HN0-E0w HCCWMPMT24WJ3411U00W222609 1/10/2023 HNB- ECHO HCCUIMPMT746003411 MOOO U4769 HAS ECHO HUTAIMPMT24I0p3131 UOOC4210402 1/11/2023 HUMANA CHA OI56 HCCMIMPMT62690242000014I2 1/12/2023 WINE OUT HMG SERVICES. UZ 2/1212023 HNB- ECHO HCCLAIMPMT 74003411440000245788 1/12/2023 HNB- ECHO HCCUIMPMT 14=3411440OW245783 V1212023 HUMANA CHA 015E HCCIAIMPMT 624982 4N5XXU281 1/13/2023 HUMANA INS CO HCCUIMPMT 624932830000598196 1/23/2021 HUMANA CHA OISB HCCIAIMPMT U49824200001520 1/9/2023 MERCHANT BANRCD DEPOSIT 496495138998100001 2/9/2023 HALTH HUMAN SVC HCCUIMPMT 1746012 1/11/2021 MERCHANT EANRCD DEPOSIT 4964785188899100W1 1/11/2023 NORIOIAN 13A HCCUIMPMT 67589240000L529752 1/12/2023 WIRE OUT HMG SERVICES, LLC 1/12/2D23 D4polit 1/13/2023 MERCHANT BANRCD DEP0SIT4964285188899100001 1/13/2023 HEALTH HUMAN SVC HCCLAIMPMT L74600341I300 2 MMC PORTION ������� QIPP/Comp QIPP/CCmP4 Tm041eP0ut TOUTfi -IN QIPP/Compl 2 QIPP/COMPS &bple QIPPTI NHPORTI0N M.5] 23,52 43.12 - 43.12 3136 - 31.36 I.W§.60 - ].WS.0 ISLES - 191.99 12.128.07 - 12,129.07 I1,T2B.11 - , 218.50 - 210.50 59.63 - 59.68 1,689.15 - 41609.35 1,170.42 - 1.170.42 • 95Z 06 - 95206 21,728.12 MMCPORTION QIPP/Comp QIPP/C0mp4 Tmmfer•Out Tnnv aln QIPP/CPmPI 2 QIPP/CPmp3 6LU,A, QIPPTI NHPORQON 7,191.99 - 7,191.99 31852.60 - 3.852.60 369.00 339.00 1.903.35 - 1.803.35 71,237.53 - - 4Q590.S5 - 40.590.55 6,532.45 - 6,832.45 93ASS.64 e),63).99 8]63]99 / 1/16/2023 l Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Selene Number of Accounts: 16 $8,462,144.77 $8,618,860.36 $8,462.144.77 $8,0761538.7 •4551 CAL CO INDIGENT $11,859.7g $11,859.79 $11.859.79 S11,859.7 HEALTHCARE '3660 GULF POINTE PLAZA - S100.00 S100.00 $100.00 $100.c DACA '4454 MEMORIAL MEDICAL NH GOLDENN CREEK $83,310.47 $83,310.47 883,310.47 $83,310.4 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.01 $537.01 S537.01 $537.0 2014 '4357 MEMORIAL MEDICAL $7,099,777.11 S7,243,001.93 S7,099,777.11 $7,037,631.2 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $432.32 $432.32 S432.32 $432.21 WAIVER CLEARING '4381 MEMORIAL MEDICAL $208,277.27 S208,277.27 S208,277.27 $95,771.: CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $96,981,64 $104,805.90 $96,981.64 $34,121 BROADMOOR '4411 MEMORIAL MEDICAL $122,627.99 $126,227.09 $122.627.99 S109,249A CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL S76,849.03 $77,056.24 $76,849.03 $34.988.2 CENTER / NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT $1671337.39 $168,600.27 S167,337.39 $116,259.: WEST HOUSTON '2998 MMC -MONEY MARKET $297,150.11 $297,150.11 $297,150.11 $297,150.1 FUND '5506 MMC -NH BETHANY $108.245.94 $108,245,94 $108,245.94 $84,696A SENIOR LIVING •5441 MMC -NH GULF POINTE $70,23232 .� $71,028.74 570,232.32 $53,927.4 PLAZA - MEDICAREIMEDICAID '5433 MMC-NH GULF POINTE $17,605.67,��% $17,605.67 S17,605.67 $15483.1 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $100,820,71 $100,820.71 S100,820.71 S100,820.7 VILLAGE • indicate: Page generated an 01,1012023 ; Copyright 2023 Prosperity Bank. hltps://prosperity,oibanking.comlonllneMessenger 1 rt Memorial Medical Center Nursing Home VPL Weekly Tuscany Transfer ProsperityAccounts 1/16/2023 auewt Xuni Home NumMr xatn: airselvn[erolwnts.Poawseensmfrcrceromemm�neawn. Ilo.a L Fa[I i attomt xo[ n eote evlma of SIM xwr MMC tlepalilld I9 eprn e[ceunl. MPROVED ON JAN 17 2023 CALLHOUh�if:c7i.1NTY rT€JFAC- vendiry Beuuhs Nmt Batantt Vatlance have In Xtltnte MOXNe N W WPP Meunl le Bt ronrcmtete xm.90 111610.19/ Z/ 4G2uXBtItM!]fnntltlNnl \_ .9�1 As9�92—/ �vroree: w drf n..r to ��rt^^IN� Mantis PNOREW XElO55RNi05 II. 1/9/2025 HNB- ECHO HCCW MPMT 746W3411 W0000226611 1/9/2023 HNB- ECHO HCCIAIMPMT 746003411440000227M 119/2023 NONITAS SOLUTION HCCLAIMPMT 67620142MOLU 1/11/1023 MOUNAHEALTHCAR MOUNMCH 0116I06042000017 1/12/2023 WIRE OUT UNBAR ENTERPRISES, LLC 1/12/2023 Deposit 1/12/2023 HNB- ECHO HCCIAIMPMT 74600341144000024S788 1/12/2023 NOVITAS SOLUTION HCCLAIMPMT 676201420000131 MMCPORTION QIPP/Comp QIPP/Comp QIPP/Comp Transfer-0ut T.W.M. 1 QIpP/Co.p2 3 4&Lapse QIPP TI NH PORTION - 8,605.28 8,605.29 • 22,917.65 - 22,917.66 - 13,692.59 - 13,692.59 - 9,USAS 9,175.31 671.15 9,520.89J 33S.57 162,362.74 - - - 20,983.01 20,983.01 - 20,652.67 20,652.67 1/16/2023 l" Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $8A62,144.77 $8,618,860.36 $8,462,144.77 $8,076,538.1 '4551 CAL CO INDIGENT $11,859.79 511,859.79 511.859.79 $11.859.7 HEALTHCARE •3660 GULF POINTE PLAZA - $100.00 5100,00 $100.00 $tOQC DACA '4454 MEMORIAL MEDICAL / NH GOLDEN CREEK $83,310.47 $83,310.47 583,310.47 $83,310A HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.01 $537.01 $537.01 5537.0 2014 '4357 MEMORIAL MEDICAL $7.090,777-11 $7.243,001.93 S7,099.777. 11 S7,037,837 2 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE 5432.32 5432.32 $432.32 $432.E WAIVER CLEARING '4381 MEMORIAL MEDICAL 5268,277.27 $208,27727 5206,277.27 595,771.E CENTER/NH ASHFORD •4403 MEMORIAL MEDICAL CENTER/NH S96,981.64 5104,605.90 596,981.64 $34,121.5 BROADMOOR '4411 MEMORIAL MEDICAL $122.627.99 $126,227.99 S122,627.99 5109,249.4 CENTER f NH CRESCENT '4446 MEMORIAL MEDICAL $76,849.03 $77,056.24 $76,849.03 $34,988.4 CENTER I NH FORT BEND -4438 MEMORIAL MEDICAL CENTER /SOLERA AT $167,337.39 5168,600.27 5167,337.39 5716,259' WEST HOUSTON '2998 MMC-MONEY MARKET $297,150.11 $297.150.11 S297.150.11 $297,150.' FUND 'S506 MMC -NH BETHANY 5108,245.94 $108,245.94 $108,245.94 $84,696.1 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA - $70,232.32 $71,028.74 $70,232.32 $53,927.4 MEDICAREIMEDICAID :'i433 MMC -NH GULF POINTE $17,605.67 $17,606.67 $17.605.67 $15,483.1 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $100,820.71 J $100,820.71 $100.820.71 5100,820.7 VILLAGE - mUicale Ppge generated on Or 116r2023: Conlaight 2023 Prosperity Rank. hflpsa(prosperity.olbanking.com/onlineMessenger 111 Memorial Medical Center Nursing Home UPI. Weekly HSLTransfer Prosperity Accounts 1/16/2023 PmrlPm Pans, Finaana>ee lu,vune BeSlnnlry Medlmre Tnlaccfm.dn, XYmhn uhnm rw4nou[ TmMNrvin ura.,na R. , .M rea .ae nnin B,hm. Nuril Xem. zzs,evo3 nzauaz f zaSsas.91 10..i.s.,4,(1 105.90� e,nxmnna 108.34S91 Variance canna Ivono IXlPberlelern[ Xvvemhnlntuut D.[amh.rintnut Naivn ul,n..Rr.1n.i.ramr y NVN:.'EaMoaovnrhamSse0. Rp it Or. rep��3Ri. .�loe�aa's(a[,/ acEoISI i<rMm do aw w Nwe1: EON v[moMFvrvbaehvfencevJSlMtMtMM[dgmrtNMvpm aRwnt RXDRFW DF1055aMDS OAM:DELOS [�•:'^•'`^ 1/I613033 JAN 17 2023 caallo°Pr�u?e °s A.I. WcwW 1e1.11I. e. YPltunrlerSmun,NUF3IVW VPL lnmlerS.—ro W.U..31.Ju MMCpgRT1IN1 n}}t_3I{rvQpj Tnnflenln glPp/Cpmpi glPp/Comp2 gIPP/(amp) gIPP/UmpNYpE! OIPPII HX P00.ZN,9 N NHB. E[NO N[CPIMPM3 MKOHIl M9 WACME , 30696 MUD 1l?/MP.UO 11S. E5,63010 ug)ga 3/13/30ES vaRI GUTp0RT1RVBG nx, Rc 115.34103 l/13/M8 p 0:t - 68,35L38 66,)5g.36 1113/3@3 Opml 33,00350 13,W3.50 3/13)N33 Uwc, � ),R59.30SAScm.30 1/13/3833 HEALTH XV.WNSVCHCCNIMPME 134g00M1]3016] � 6,6gb ,gg pgggyg 1/16/2023 Treasury Center 1� Account Number Current Balance Available Balance Number of Accounts: 16 $8,462,144.77 $8,618,860.36 '4551 CAL CO INDIGENT S11,859.79 $11,859.79 HEALTHCARE '3660 GULF POINTE PLAZA- $100,00 5100.00 DACA '4454 MEMORIAL MEDICAL I $83,310.47 $83,310.47 NH GOLDEN CREEK HEALTHCARE •4365 MEMORIAL MEDICAL $537.01 $537.01 CENTER. CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $7,099.777.11 S7,243,001.93 CENTER -OPERATING '4373 MEMORIAL MEDICAL $432.32 S432.32 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL 5208,277.27 S208,27T27 CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL $96,981.64 5104,605.90 CENTER INH BROADMOOR *4411 MEMORIAL MEDICAL $122,627.99 S126,227.99 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL $76,849.03 $77,056.24 CENTER I NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT $167,337.39 S168,600.27 WEST HOUSTON '2998 MMC-MONEY MARKET S297.150.11 $297.150,11 FUND '5506 MMC -NH BETHANY S108,245.941/ $108,245,94 SENIOR LIVING '5441 MMC-NH GULF POINTE $70.232.32 $71,028.74 PLAZA- MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $17,605.67 $17,605.67 PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $100,820.71 S100,820.71 VILLAGE Copyright 2023 Prosperity Bank, https:/Iprosperity.olbanking.comlonlineMessenger Collected Balance $8,462,144.77 $11.859.79 S100.00 S83,310.47 Prior Day Balanc S8,076,538.7 $11,85917 $100,C $83,310.4 S537.01 S537.0 S7,099,777.11 $7,037,831.2 $432,32 S432.2 S208,277.27 S95,771.P $96,981.64 $34,121.E S122.627.99 S109,249.4 $76,849.03 $34,988.2 S167,337.39 $116,259.5 $297,150.11 $297.150.' S108,245.94 $84,696.1 $70.232.32 S53,927.4 $17.605.67 $15,483.1 $100,820.71 $100,820.7 ndicale Page generated 01,0111612023 MEMORIAL MEDICAL CENTER CHFCK REQUEST P MEMORIAL MEDICAL CENTER Uati� Requested: 1/16/23 FOP, ACCT. USE ONLY Y FlImprest Cash []A/P Check E _�___ _�__ LJ Mail Check to Vendor E IlReturn Check to Dept AMOUNT $17220.461_ G/tNUMBER;—.__.._ P B_ON t:XPLANAT!OPI: MOLINA NOVEMBER QIPP .JAPE 17 Z023 JALHOUNU GOUN7'� t7EXAS Ma ra Martinez c 1 F:iiQU[[STEEi(iY: 4 .4i_�TI".Oft17.Ef?BY: � p A MEMORIAL MEDIC! L CENTER MEMORIAL MEDICAL CENTER A AMOUNT $6 383 .76-/ CHECK REQUEST 133tF Requested: 1/16/23 FOR ACCT. USE ONLY nImprest Cash nA/P Check n Mail Check to Vendor 11 Return Check Lo Dept G/L NLJ[v)BER:--. APPROVED ON AN 17 Z023 EXPLANATION: MOLINA NOVEMBER QIPP 04U4By O?mU&kW'TT2RA9 REQUESTED BY: Mayra Martinez AUTHORIZED BY: Ljvw� MEMORIAL MEDICAL CENTER 'C'HIECK REQUEST p MEMORIAL MEDICAL CENTER V Datf! Requested: 0 y E AMOUNT _$4.432.Zg,/ EXPLANATION: MOLINA NOVEMBER QIPP r RP TED BY: Mayra Martinez . .5 1/16/23 FOR .ACC?. USE ONLY Flimprest Cash L7A/P Check 0 Mail Check 10 Vendor L—LIReturn Check to Dopi: G/L NUMBER: -----AP"()V-PD ON A U;THO fdZF D BY: JAKI 17 Z0Z3 'ay '-OUP CAL.HouN �UWMAS P A V E E MEMORIAL MEDICAL CENTER CHECK REQUEST MEMORIAL MEDICAL CENTER �— Oats Requested: 1/16/23 AMOUNT _ $5�383.16_/______,. EXPLA!"•IATION: MOLINA NOVEMBER QIPP Rf_(1Uf1STEf.1 BY: Mayra Martinez FOR ACCT. USE ONLY llImprest Cash FIA/P Check lliv":ail Check to Vendor IlRetum Check Lu Dept G/L NUMBER: —IAN 17 q2� Z3 N -AUTHORIZE0 BY: � 1tb (23----.-- MEMORIAL MEDICAL CENTER CHECK REQUEST P A Y E MEMORIAL MEDICAL CENTER AMOUNT $51_54.05 EuPLANA7i0N: MOLINA NOVEMBER QIPP RFQUrSTE0 BY: Mayra Martinez Date Requested: 1/16/23 GA NUMBER: AUTHORIZED BY: FOR ACCT. USE ONLY Imprest trash E].A/PCheck Mail Check to Vendor OReturn Check io Dept APPROVED ON !AN 17 _.___.Tl(- &T23 _._ p A y E E MEMORIAL MEDICAL CENTER MEMORIAL MEDICAL CENTER CHE'X.-K REQUES1 DatF Requested: 1/16/23 AMOUNT _Lg,510.qg G/L NUMBER' EXPLANATION: F61QUFbT HI BY: FOR ACCT. 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