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2023-03-29 Final PacketNOTICE OF MEETING—:3/29/2023 March 29, 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 (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County]udge 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 am 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report Page 1 of 7 NOTICE OF MEETING 3/29/2023 6. Consider and take necessary action to proclaim April as Child Abuse Prevention Month in Calhoun County, Texas. (RHM) Maria and Jennifer from The Harbor gave some insight on the importance'of making Apiff Child Abuse Prevention Month; Judge Meyer read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER:. Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to proclaim April as Sexual Assault Awareness Month in Calhoun County, Texas. (RHM) Maria and Jennifer from The Harbor gave some insight on the importance of making April Sexual Assault Awareness Month. Judge Meyer read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to designate April as Fair Housing Month in Calhoun County, Texas and authorize the Commissioners' Court to sign the Resolution. (RHM) ead the proclamation. APPROVED [UNANIMOUS] David Hall, Commissioner Pct 1 Vern Lyssy, Commissioner Pct 2 Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) pass 10. Consider and take necessary action to approve a resolution acknowledging and accepting the Operation Stone Garden Grant for 2022 and authorize the County Judge to sign all necessary documents. (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 2 of 7 ' NOTICE OF MEETING — 3/29/2023 11. Consider and take necessary action to authorize a loan in the amount of $235,560 from the General Fund to the Grants Fund for the 2022 Operation Stone Garden — eGrant Award # 3192808. (RHM) RESULT; APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer; Commissioner Hall, Lyssy, Behrens, Reese 12. Accept the Contract Close-out documents from Clyde Kazmir Construction, Inc. and approve the payment of the final pay application(s) for the Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the construction close-out documents and any other necessary forms. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to award the bids for the Calhoun County Roof Recovers of Three Buildings: The Calhoun County Courthouse Annex II, the Calhoun County Agricultural Building and the Calhoun County Seadrift Public Library and authorize the County Judge to sign all necessary documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hail, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to approve the Specifications and Contract Documents for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Auditor and G & W Engineers, Inc. to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 in the Commissioner's Courtroom. Sealed Bids are due before 2:00:00 pm, Wednesday, May 10, 2023 in the County Judge's Office. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hail, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 7 NOTICE OF MEETING 3/29/2023 15. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related to the Calhoun County Combined Dispatch Facility Project. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens; Reese 16. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Supply Contract for Fly Ash — Road Material, Bid Number 2023.06 for the period May 10, 2023 through December 31, 2023 and authorize the County Auditor to advertise for the bids. Sealed Bids are due before 2:00:00 PM, Tuesday, April 25, 2023 in the County Judge's Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to approve the Specifications, Project Manual and Plans for the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements and authorize the County Auditor and Urban Engineering to advertise for bids. A pre -bid meeting shall be held at 10:00 AM, Monday, April 17, 2023, at the Hog Bayou Public Boat Ramp located off SH 35 in Calhoun County, Texas. Bids are due before 2:00:00 pm, Wednesday, April 26, 2023 in the County Judge's Office. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to authorize Urban Engineering to release any addenda to the bidding documents approved by Commissioner Gary Reese that is related to the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 7 NOTICE OF MEETING--:3/29/202:3 19. Consider and take necessary action to authorize CivilCorp, LLC to perform topographic, bathymetric and coastal boundary surveys at Port Alto marsh for a lump sum total of $31,400.00 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens; Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to authorize Triton Environmental Solutions, LLC to perform wetland delineation and sensitive aquatic resources surveys at Port Alto marsh for a lump sum total of $19,537.68 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to close a portion of Main Street in Port O'Connor, Texas from the intersection of 2"d Street/SH 185 and Main Street; west 150 feet on May 27, 2023 and July 8, 2023 for street dances. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER; Gary'Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to authorize Dina Sanchez, Calhoun County Library Director to sign the service agreement contract with Compass Flooring Innovations to remove and replace the flooring in the Seadrift Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 . SECONDER: David Hall, Commissioner Pct i AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. Approve the minutes of the March 22, 2023 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 7 NOTICE OF MEETING — 3/29/2023 24. Consider and take necessary action to transfer a 2000 Dodge Dakota, VIN 1B7GL22N9YS517226, inventory number 565-658 to the Sheriff's Office to be declared as Surplus/Salvage and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1', SECONDER: Gary Reese, Commissioner Pct 4 AYES: ..Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 25. Consider and take necessary action to remove a 2000 Dodge Dakota, VIN 1B7GL22N9YS517226, from the Sheriff's Office fleet. (RHM) RESULT: APPROVED -[UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall,'Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 26. Consider and take necessary action to declare the attached list of items from CCEMS as Surplus/Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER:' Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 27. Consider and take necessary action to declare the attached list of items from CCEMS as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER- David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 28. Accept Monthly Reports from the following County Offices: i. Sheriff — February 2023, corrected ii. Tax Assessor -Collector — February 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 7 ' NOTICE OF MEETING — 3/29/2023 29. Consider and take necessary action on anv necessary budget adiustments. (RHM) 2022: RESULT: APPROVED [UNANIMOUS] ' MOVER:,Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2023 RESULT: 'APPROVED [UNANIMOUS] ; MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner R 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 4n Annrnval of hillc And navrnll (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] KOVER01, 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 Adjourned 10:54 Page 7 of 7 All Agenda Items properly Numbered Contracts Completed and Signed /a All 1295's Flagged for Acceptance (number of 1295's ) ✓ All Documents for Clerk Signature Flagged On this the 2 4v day of A AA/e / 2023r the packet for the of i 2023 Commissioners Court Regular Session was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant COMMISSIONERSCOURTCHECKLIST/FORMS AGENDA NOTICE OF MEETING — 3/29/2023 Richard H. Meyer County judge ]David gall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, March 29, 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 The subject matter of such meeting is as follows: (Y.Call meeting to order. t/t/Invocation. �: Pledges of Allegiance. flLEti 0`CLOC, t MAR 2 � 2023 General Discussion of Public Matters and Public Participation. `5. Hear report from Memorial Medical Center. '6. Consider and take necessary action to proclaim April as Child Abuse. Prevention Month in Calhoun County, Texas. (RHM) 7 Consider and take necessary action to proclaim April as Sexual Assault Awareness Month /in Calhoun County, Texas. (RHM) 8. Consider and take necessary action to designate April as Fair Housing Month in Calhoun County, Texas and authorize the Commissioners' Court to sign the Resolution. (RHM) QpqrConsider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. ��(VLL) YO. Consider and take necessary action to approve a resolution acknowledging and accepting the Operation Stone Garden Grant for 2022 and authorize the County Judge to sign all necessary documents. (RHM) Page I of 3 NOFICE (DF MEETIING—3/29/)02 i1. Consider and take necessary action to authorize a loan in the amount of $235,560 from the General Fund to the Grants Fund for the 2022 Operation Stone Garden — eGrant �Award # 3192808. (RHM) k Accept the Contract Close-out documents from Clyde Kazmir Construction, Inc. and approve the payment of the final pay application(s) for the Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract. No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the construction close-out documents and any other necessary forms. (DEH) `13. Consider and take necessary action to award the bids for the Calhoun County Roof Recovers of Three Buildings: The Calhoun. County Courthouse Annex II, the Calhoun County Agricultural Building and the Calhoun County Seadrift Public Library and authorize the County Judge to sign all necessary documents. (RHM) k Consider and take necessary action to approve the Specifications and Contract Documents for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Auditor and G & W Engineers, Inc. to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 in the Commissioner's Courtroom. Sealed Bids are due before 2:00:00 pm, Wednesday, May 1�10, 2023 in the County Judge's Office. (DEH) Consider and take necessary action to authorize G & W Engineers; Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related ��to the Calhoun County Combined Dispatch Facility Project. (DEH) i6. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Supply Contract for Fly Ash — Road Material, Bid: Number 2023.06 for the period May 10, 2023 through December 31, 2023 and authorize the County Auditor to advertise for the bids. Sealed Bids are due before 2:00:00 PM, Tuesday, April 25, 2023 in the County Judge's Office. (RHM) i7. Consider and take necessary action to approve the Specifications, Project Manual and Plans for the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements and authorize the County Auditor and Urban Engineering to advertise for bids. A pre -bid meeting shall be held at 10:00 AM, Monday, April 17, 2023, at the Hog Bayou Public Boat Ramp located off SH 35 in. Calhoun County, Texas. Bids are due before 2:00:00 pm, Wednesday, April 26, 2023 in the County Judge's Office. (GDR) i8. Consider and take necessary action to authorize Urban Engineering to release any addenda to the bidding documents approved by Commissioner Gary Reese that is related to the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements. (GDR) 1_9 Consider and take necessary action to authorize CivilCorp, LLC to perform topographic, bathymetric and coastal boundary surveys at Port Alto marsh for a lump sum total of $31,400.00 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (JMB) Page 2 of 3 NO ICE OF ME [I ING — 3/29/2023 420. Consider and take necessary action to authorize Triton Environmental Solutions, LLC to perform wetland delineation and sensitive aquatic resources surveys at Port Alto marsh for a lump sum total of $19,537.6B to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (JMB) '1�1. Consider and take necessary action to close a portion of Main Street in Port O'Connor, Texas from the intersection of 2nd Street/SH 185 and Main Street; west 150 feet on May �27, 2023 and July 8, 2023 for street dances. (GDR) 22. Consider and take necessary action to authorize Dina Sanchez, Calhoun County Library Director to sign the service agreement contract with Compass Flooring Innovations to remove and replace the flooring in the Seadrift Library. (RHM) 23 Approve the minutes of the March 22, 2023 meeting. 44. Consider and take necessary action to transfer a 2000 Dodge Dakota, VIN 1B7GL22N9YS517226, inventory number 565-658 to the Sheriff's Office to be declared as Surplus/Salvage and remove from Road & Bridge,. Precinct 2's Fixed Asset inventory. �(VLL) ' Consider and take necessary action to remove a 2000 Dodge Dakota, VIN �1B7GL22N9YS517226, from the Sheriff's Office fleet. (RHM) 46. Consider and take necessary action to declare the attached list of items from. CCEMS as /Surplus/Salvage. (RHM) 627 Consider and take necessary action to declare the attached list of items from CCEMS as Waste. (RHM) r8. Accept Monthly Reports from the following County Offices: T. Sheriff— February 2023, corrected. ql.'�Tax Assessor -Collector — February 2023 Consider and take necessary action on any necessary budget adjustments. (RHM) 30. Approval of bills and payroll. (RHM) Richard H. Meyer, County ig e Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 3 of 3 # 05 NOTICE OF MEET ING -- 3/29/2023 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report' Page 2 of 27 # 06 NOTICE OP MEETING — 3/29/2023 6. Consider and take necessary action to proclaim April as Child Abuse Prevention Month in Calhoun County, Texas. (RHM) Maria and Jennifer from The Harbor gave some insight on the importance of making April Child Abuse Prevention Month. Judge` Meyer read the proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 27 Child Abuse Prevention Month Proclamation Whereas child abuse prevention is a community problem and finding solutions depends on involvement among people throughout the community; and Whereas statistics of children who are abused and neglected escalate each year; and Whereas the effects of child abuse are felt by whole communities and need to be addressed by the entire community; and Whereas effective child abuse prevention programs succeed because of partnerships created among social service agencies, schools, religious organizations, law enforcement agencies and the business community; and Whereas youth -serving prevention programs offer positive alternatives for young people and encourage youth to develop strong ties to their community; and Whereas all citizens should become more aware of child abuse and its prevention within the community, and to become involved in supporting parents to raise their children in a safe, nurturing environment; Now, therefore, we, the Commissioners' Court of Calhoun County, Texas, do hereby proclaim the month of April 2023 as Child Abuse Prevention Month in all of Calhoun County, Texas and we commend this observation to all citizens. Approved this 29th day of March 2023. Richard H. Meyer, County Judge David Ha .I Vern Lyssy Calhoun County Commissioner, Pct. 1 Joel M. Behrens Calhoun County Commissioner, Pct. 3 Attest: Anna Goodman, County Clerk i �. 1. AIIA Deputy Calhoun County Commissioner, Pct. 2 R. Gary Reese Calhoun County Commissioner, Pct. 4 # 07 NOTICE OF MEETING - 3/29/2023 7. Consider and take necessary action to proclaim April as Sexual Assault Awareness Month in Calhoun County, Texas. (RHM) Maria and Jennifer from The Harbor gave some insight on the importance of making April Sexual Assault Awareness Month. Judge Meyer read the, proclamation. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 27 Sexual Assault Awareness Month Proclamation WHEREAS sexual assault effects every person of Calhoun County, Texas, as a victim, survivor or as a family member, significant other, neighbor or coworker of a victim or of a survivor; and WHEREAS many citizens of Calhoun County, Texas are working to provide quality services and assistance to sexual assault survivors; and dedicated volunteers help staff 24-hour hotlines, respond to emergency calls and offer support, comfort and advocacy during medical exams, criminal proceedings, and throughout the healing process; and WHEREAS Calhoun County, Texas staff and volunteers of sexual assault programs are promoting prevention education by offering training to schools, churches, and civic organizations, as well as medical, mental health, law enforcement, education and criminal justice personnel regarding sexual assault issues; and WHEREAS it is vitally important that continued educational efforts to provide information about prevention and services for sexual assault be supported and enhanced; and WHEREAS it is critical to intensify public awareness of sexual assault, to educate people about the need for citizen involvement in efforts to reduce sexual violence, to increase support for agencies providing sexual assault services, and to increase awareness of the healing power of creative expression; and WHEREAS The Harbor requests public support and assistance as it continues to work toward a society where all women, children and men can live in peace, free from violence and exploitation; NOW, THEREFORE, we, the Commissioners' Court of Calhoun County, Texas do hereby proclaim the month of April as Sexual Assault Awareness Month in all of Calhoun County, Texas and we commend this observation to all citizens. Approved this 29a' day of March 2023. Commissioner, Precinct 1 oC Joel M. ehrens Commissioner, Precinct 3 Richard H. M e County Judge C./ Vern L. L sy Commissioner, Precinct 2 fA. (�. Gary D. keese Commissioner, Precinct 4 En 1: ' NOTICE OF MEETING — 3/29%J_023 8. Consider and take necessary action to designate April as Fair Housing Month in Calhoun County, Texas and authorize the Commissioners' Court to sign the Resolution. (RHM) Judge Meyer read the proclamation. 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 27 Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org March 22, 2023 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for March 29`h, 2023. "Consider and take necessary action to designate April as Fair Housing Month in Calhoun County and authorize the Commissioners' Court to sign the Resolution. Thank you, ��kllrrti.r,� LaDonna Thigpen RESOLUTION FOR Calhoun County Fair Housing Month Designation WHEREAS, April is Fair Housing Month, and marks 55 years since the passage of the federal Fair Housing Act (Title VIII of the Civil Rights Act of 1968), signed by U.S. President Lyndon Baines Johnson on April 11, 1968; WHEREAS, the Fair Housing Act provides that no person shall be subjected to discrimination because of race, color, national origin, religion, sex, disability, orfamilial status in the sale, rental, financing, or advertising of housing and charges the Secretary of the U.S. Department of Housing and Urban Development (HUD) with administering HUD programs in a mannerthat meets the requirements of the law and purposes of the Fair Housing Act; WHEREAS, the County administers HUD programs that promote the development and supply of safe, decent, affordable housing for qualifying Texans; WHEREAS, it is the policy of the County to support equal housing opportunity in the administration of all its programs and services, including encouraging compliance with Fair Housing rules and guidelines where applicable; and WHEREAS, the County and the State of Texas support equal housing opportunity and housing choice in accordance with the Fair Housing Act not only during Fair Housing Month in April, but throughout the entire year; NOW, THEREFORE, IT IS HEREBY RESOLVED, that the Commissioner's Court of Calhoun County, Texas (1) recognizes the significance of Fair Housing Month as an important time to acknowledge, better understand, and support equal housing opportunity, and encourages the continued commitment to fair housing in the State of Texas; and (2) recognizes that in the pursuit of the goal and responsibility of providing affordable housing and equal housing opportunities for all, Calhoun County does hereby celebrate April as Fair Housing Month in Texas and encourages all Texas individuals and organizations, public and private, to join and work together in this observance of the impact and importance of affordable housing and equal housing opportunity to the success of all Texans. PASSED AND APPROVED BY THE CALHOUN COUNTY COMMISSIONERS' COURT this Atfd4,-y of 2023. Richard H. Meyer, County Judge David a Vern Lyssy Calhoun County Commissioner, Pct. 1 Calhoun County Commissioner, Pct. 2 Jill 00//?) Joel Behrens Gary Rees Calhoun County Commissioner, Pct.3 Calhoun County Commissioner, Pct.4 Attest: Anna Goodman, County Clerk # 09 NOTICE OF MEET ING — 3/29/2023 9. Consider and take necessary action to update the signatures for the Federal Surplus Property Program and authorize the County Judge to sign all necessary documents. (VLL) pass Page 6 of 27 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 March 22, 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 next Commissioners' Court Agenda (361) 552-9656 Fax (361) 553-6664 • Consider and take necessary action to update signatures for the Federal Surplus Property Program and authorize Judge Meyer to sign Sincerely, Vern Lyssy VL/Ij 9 F14AMEARAL SURPLUS APPLICATION FOR ELIGIBILITY INSTRUCTIONS FOR COMPLETING THE APPLICATION TO RECEIVE FEDERAL SURPLUS PROPERTY (41 CFR 102-37) • Complete pages 2-6 and return per the instructions at the bottom of this page. • Page 6 must be signed by your organization's AUTHORIZING OFFICIAL. An "Authorizing Official" is the chief executive or financial officer for the applicant organization with authority to execute legal documents on your organization's behalf. • Some organizations must submit supporting documentation with the application. See pages 8-11 for details. • Public/government agencies are eligible. Certain nonprofit organizations, Veterans Service Organizations, Service Educational Activities, volunteer fire/EMS/search & rescue departments and small businesses may also qualify. To determine if your organization may be eligible, please refer to the categories listed on pages 2 and 8-11 or contact us. • All organizations must reapply every three (3) years. • INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. IF YOU HAVE QUESTIONS OR NEED ASSISTANCE, PLEASE CONACT US AT (512) 962-4167 OR federal. surolus(a)tfc.texas.aov. • Narrative Forms, Add/Delete Representative Forms, and all other program forms are available for download from the "Forms" section of our website: www.SurplusTexas.gov/federal. • Instructions for completing page 2: o SECTION I: Provide the full legal name of your organization and Federal Employer ID #. Provide the complete mailing address of your organization as recognized by the U.S. Postal Service. If the street address is different from the mailing address, provide that address or directions if located on a rural or remote area. Provide a phone number (required), fax number (optional) and an email address (required). E-mail addresses provided will receive notices about program updates, account status, compliance actions, and available property. o SECTION II: Check the box that best describes your organization's type or primary purpose. If you are unable to determine which box to check, please see pages 8-11 for an explanation of the eligibility requirements for each type of organization, or contact our office for assistance. o SECTION III: Check only one box. o SECTION IV: Indicate source(s) of funding for your organization. Depending on your organization type, you may need to include a description of programs/services and facilities and/or supporting documentation regarding funding source(s). Public agencies (i.e., cities, counties, state agencies, public schools) are not required to submit additional documentation forthis section. o SECTION V: Nonprofit organizations must provide a current, valid IRS Tax Exemption Letter indicating your organization is exempt under Section 501 of Internal Revenue Code. The name of the organization on the IRS letter must match the name provided in Section I of this application. If not, applicant must include sufficient evidence, such as amendments to Articles of Incorporation or Assumed Name filing certificates, to establish the connection. Public/government agencies, small businesses, Veterans Service Organizations, and VFDs are not required to submit documentation for this section. o SECTION VI: Most nonprofit organizations are required to submit evidence of current approval, accreditation or license from a nationally recognized accrediting or licensing organization. SBA 8(a) and Veteran owned small businesses must submit proof of approval from the SBA. Public/government agencies and VFDs are not required to submit additional documentation for this section. SUBMIT PAGES 2-6 OF APPLICATION TO: Applications may be emailed, faxed or mailed. TEXAS FACILITIES COMMISSION FEDERAL SURPLUS PROPERTY PROGRAM P.O. BOX 13047 AUSTIN, TX 78711-3047 TEL: (512) 962-4167 FAX: (512) 236-6173 federal. su rol usOtfc. texas. a ov For more information about the Federal Surplus Property Program and to view available inventory, please visit: www.SurplusTexas.gov/federal Pagel of 11 Re, 1N 023 F�t�OSARE.nFp �, 131)1J ItitL W 1 s• p �tY��O x� t3�-+ S�Jli�PLUS �AL ed1" APPLICATION FOR ELIGIBILITY I. ORGANIZATION NAME & INFORMATION: LEGAL NAME OF name 74-6001923 FEDERAL EMPLOYER ID (EIN) 211 S_ Ann, Suite 301 Pnrt Lavac 2X 77979 STREET ADDRESS (no P.O. Boxes) CITY STATE ZIP CODE MAILING ADDRESS (if different from above) CITY STATE ZIP CODE Calhoun (361)553-4600553-4444 COUNTY TELEPHONE# AX FISCAL YEAR END DATE: 12/31 EMAIL: richard.meyer(a)CalhounCOtX.orcI II. TYPE/PURPOSE OF ORGANIZATION: (Check the box that best describes your organization. Seepages 8-11 for requirements for specific types of organizations.) ❑ City ❑ Public School, School District or ESC ❑ Volunteer Fire Dept., EMS or Rescue Squad ® County ❑ Open -Enrollment Charter School ❑ Emergency Services District ❑ State Agency ❑ College or University ❑ Provider of Assistance to Impoverished Persons ❑ Conservation (i.e., soil, water, or ❑ Child Care Center or Preschool ❑Provider of Assistance to Homeless Persons utility district) ❑ Economic Development or COG ❑ Foster Care or Adoption Services ❑ Program Funded for Older Americans ❑ Educational Radio or TV Station ❑ Sheltered Workshop / Vocational Rehabilitation Program ❑ SBA 8(a) Business ❑ Library ❑ Residential Treatment Center ❑ Veteran Owned Small Business ❑ Museum ❑ Heath Center (clinic, hospital, etc.) ❑ Veterans' Service Organization ❑ Zoo, Planetarium or Aquarium ❑ Service Educational Activity (e.g., Scouts) ❑ Historic Light Station III, APPLICANT STATUS: (check one) O Public/Government agency (includes public schools & vol. fire depts.) ❑ Nonprofit organization []Small business IV. SOURCE(S) OF FUNDING: 0 Tax -supported ❑® Grants 0 Contributions p Other Fees fines, interest V. (For nonprofit organizations only) HAS THE ORGANIZATION BEEN DETERMINED TO BE TAX EXEMPT UNDER SECTION 501 OF THE INTERNAL REVENUE CODE OF 1986? ❑ Yes ❑ No VI. IS THE ORGANIZATION APPROVED, ACCREDITED, OR LICENSED? ❑ Yes ❑ No Required for nonprofit education or health organizations, conservation organizations, Veterans' Service Organizations, small businesses and Service Educational Activities. IF YES, BY WHAT AUTHORITY? Page 2 of 11 Rev. IW023 AUTHORIZED REPRESENTATIVES i. An "Authorized Representative" is a person authorized to sign for the release of property on your organization's behalf. An Authorized Representative must Sian in the "Signature" Provided space below to sign for the release of property. u. Persons listed below without a signature may visit our warehouses and will be included in email broadcasts from our office but will not be able to sign for the release of property. ui. All representatives listed in prior applications or account updates will be deleted from the account. iv. E-MAIL ADDRESSES PROVIDED MAY RECEIVE NOTICES ABOUT PROGRAM UPDATES, ACCOUNT STATUS, COMPLIANCE ACTIONS, AND AVAILABLE PROPERTY.: v. Valid driver's license or state issued photo ID may be required prior to entering state or federal facilities. vl. The Authorizing Official (signing on page 6 of the Application) will automatically be included as an Authorized Representative unless indicated below: a. (initial here) I, as the Authorizing Official, do NOT want to be an Authorized Representative able to sign for property. (Leave blank if the Authorizing Official should be an Authorized Representative.) IMPORTANT NOTE REGARDING SIGNATURES: Unauthenticated digital signatures, signature stamps or signature images will not be accepted. A physical signature is preferred. If a physical signature cannot be obtained, we can also accept digital signatures authenticated by a third party such as Docu-Sign or Adobe Acrobat. NAME TITLE TELEPHONE and EMAILADDRESS SIGNATURE (example) John Doe County Judge (512)123-0557 John.doe(ajgmail.com f i70� David Hall County (361) 552-9242 Commissioner david.hall@calhouncotx.org Vern Lyssy County (361) 552-9656 Commissioner vern.lyssy@calhouncotx.org Joel Behrens County (361) 893-5346 Commissioner joel.behrens@calhouncotx.org *,.-tll^ Gary Reese County (361) 785-3141 Commissioner gary.reese@calhouncotx.org Mark Stevens Pct. 1 Foreman (361) 552-9242 angela.torres@calhouncotx.org Ronald Best Pct. 2 Foreman (361) 552-9656 lesa.jurek@calhouncotx.org John Perez Pct. 3 Foreman (361) 893-5346 lyneffe.adame@calhouncotx.org Frank Gerking Pct. 4 Employee (361)-785-3141 april.townsend@calhouncotx.org NONDISCRIMINATION ASSURANCE Calhoun County the donee, agrees that the program for or in connection with (Legal Name of Applicant Organization) which any property is donated to the donee will be conducted in compliance with, and the donee will comply with and will require any other person (any legal entity) who through contractual or other arrangements with the donee is authorized to provide services or benefits under said program to comply with all requirements imposed by or pursuant to the regulations of the General Services Administration (41 CFR 101-6.2 and 101-8) issued under the provisions of Title VI of the Civil Rights Act of 1964, as amended, Section 606 of Title VI of the Federal Property and Administrative Services Act of 1949, as amended, Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972, as amended, Section 303 of the Age Discrimination Act of 1975, and the Civil Right Restoration Act of 1987, to the end that no person in the United States shall on the ground of race, color, national origin, sex, or age, or that no otherwise qualified handicapped person shall solely by reason of the handicap, be excluded from participation in, be denied benefits of, or be subjected to discrimination under any program or activity for which the donee received Federal assistance from the General Services Administration; and hereby gives assurance that it will immediately take any measures necessary to effectuate this agreement. The donee further agrees (1) that this agreement shall be subject in all respects to the provisions of said Federal statutes and regulations (2) that this agreement obligates the donee for the period during which it retains ownership or possession of the property, (3) that the United States shall have the right to seek judicial enforcement of this agreement, and (4) that this agreement shall be binding upon any successor in interest of the donee and the word "donee" as used herein includes any such successor in interest. COUNTY/COUNTIES SERVED. BY APPLICANT ORGANIZATION: Calhoun County Payment is due 30 days from the invoice date. Payment for property must be in the form of a check drawn on the account of your organization or parent/charter organization. State agencies must pay via Interagency Transaction Voucher (ITV). Our agency code is 303. If you have questions about how to submit a payment, please contact us at 512-962-4167 or federal. surplus(Atfo.texas.00v. For new accounts for nonprofit organizations, small businesses, and volunteer fire / EMS / search & rescue departments, please submit the following with your application: • A voided check or deposit slip, copy of recent bank statement or letter from bank certifying payment account name. The name on the account must match the name on your application and IRS letter (if applicable). If your organization has a "DBA" that you will be submitting payment under, and that is not listed on your IRS letter, then you must submit evidence that your "DBA" has been registered with the proper authority. • If a parent/charter organization will be submitting payment on your behalf, then you must also provide an explanation of the relationship between your organization and parent organization. For account renewals for nonprofit organizations, small businesses, and volunteer fire / EMS / search & rescue departments, please check one of the following: ❑ Our organization will continue using the same payment account in our organization's name. ❑ Our organization will have a parent organization pay on our behalf. Name of Parent Organization: Relationship: ALL applicant organizations must provide a Payment Point of Contact who will receive notices regarding overdue payments: Name: Richard H. Meyer Title: County Judge Email: richard.meyer(cDcalhouncotx org Phone: (361) 553-4600 Page 4 of 11 Ra, 18 023 DONEE CERTIFICATIONS & AGREEMENTS NOTE: "State agency' = Texas Facilities Commission; 'Donee'= yourorganization (a) THE DONEE CERTIFIES THAT: (1) It is a public agency, a nonprofit institution or organization exemptfrom taxation undersection 501 of the Internal Revenue code of 1954, a Veteran -Owned Small Business or an SBA 8(a) business; within the meaning of section 2030) of the Federal Property and Administrative Services Act of 1949, as amended, and/or the regulations of the General Services Administration (GSA), the Department of Veterans Affairs (VA) or Small Business Administration (SBA). (2) If a public agency, the property is needed and will be used by the recipientfor carrying outer promoting for the residents of a given political area one ormore public purposes, or if a nonprofit tax-exempt institution or organization, the property is needed for and will be used by the recipient for educational or public health purposes, including research for any such purpose, orfor programs for older individuals, or SEA organizations, or assistance to homeless/impoverished, orassistance to Veterans. (3) If an SBA 8(a) business or Veteran -Owned Small Business, the business is located and operated within the State, and that it will use the acquired surplus personal property in the normal conduct of its business activities. Personal or non -business use is prohibited. (4) The property is not being acquired for any other use or purpose, or for sale or other distribution; or for permanent use outside the State, except with prior approval of the State agency and GSA. (5) Funds are available to pay all costs and charges incident to donation. (6) This transaction shall be subject to the nondiscrimination regulations governing the donation of surplus personal property issued under Title Vi of the Civil Rights Act of 1964, Title VI Section 606 of the Federal Property and Administrative Services Act of 1949, as amended, and Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972, as amended, and Section 303 of the Age Discrimination Act of 1975 and the Civil Right Restoration Act of 1987. (7) In accordance with 28 C.F.R. Section 42.401-42.415, the Federal Surplus Property Program collects information related to a donees race and national origin in order to provide GSA officials, upon request, with enough information for determining compliance with applicable civil rights laws. Data is collected for those donees who; (1) are eligible to participate in the FSP Program; (2) those actually participating in the recipient's programs and activities; (3) those denied participation in the recipient's program. 18) Its SBA 8(a) business, the terms Identified In (b), (c), and (d) may not apply. SBA 8(a) businesses must follow SBA guidelines. (b) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDITIONS: (1) All items of property, shall be placed in use forthe purpose(s) for which acquired within one year of receipt. Property shall be continued in use for such purposes for at least. one year from the date the property was placed in use. Some property must be used longer than one year (see Section (c)). In the event the property is not so placed in use, or continued in use, the donee shall immediately notify the State agency, and at the donee's expense, return such property to the State agency, or otherwise make the property available for transfer or other disposal by the State agency, provided the property is still usable as determined by the State agency. (2) Such special handling or use limitations as are imposed by General Services Administration (GSA) on any items) or property. (3) In the event the property is not used or handled as required by (b)(1) and (2), title and right to the possession of such property shall at the option of GSA revert to the United States of America and upon demand the donee shall release such property to such person as GSA or its designee shall direct. (c) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDITIONS, APPLICABLE TO ITEMS WITH A UNIT ORIGINAL ACQUISITION COST OF $5,000 OR MORE AND PASSENGER MOTOR VEHICLES, REGARDLESS OF ACQUISTION COST. THE FOLLOWING CONDITIONS DO NOT APPLY TO VESSELS 50 FEET OR MORE IN LENGTH AND AIRCRAFT, FOREIGN GIFTS OR OTHER ITEMS OF PROPERTY REQUIRING SPECIAL HANDLING OR USE LIMITATIONS, REGARDLESS OF THE ACQUISTION COST OR PURPOSE FOR WHICH ACQUIRED: (1) The property shall be used only for the purposes) for which acquired and for no other purpose(s). (2) There shall be a period of restriction which will expire after such property has been used for the purpose(s) for which acquired for a period of 18 months from the dale the property is placed in use. Not applicable to Service Educational Activities (SEAS). (3) In the event the property is not used or handled as required by (b)(1) and (2) and (c)(1) and (2), title and right to the possession of such property shall at the option of GSA revert to the United States of America and upon demand the donee shall release such property to such person as GSA or its designee shall direct. (d) THE DONEE AGREES TO THE FOLLOWING TERMS, RESERVATIONS, AND RESTRICTIONS: (1) From the date it receives the property and through period(s) of time the conditions imposed by (b), (c) and (f) remain in effect, the donee shall not sell, trade, lease, lend, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it permanently, for use outside the State, without the prior approval of GSA under (b) and (f), or the State agency under (c) and (f). The proceeds from any sale, trade, lease, loan, bailment, encumbrance or other disposal of the property shall be remitted promptly by the donee to GSA or the State agency, as the case may be. SBA 8(a) businesses and Veteran -Owned Small Businesses must also obtain prior approval from SBA in addition to the State agency and GSA. (2) In the event any of the property is sold, traded leased, loaned, bailed, cannibalized, encumbered, or otherwise disposed of by the donee from the date it receives the property through the period(s) of time the conditions imposed by (b), (c) and (f) remain in effect, without prior approval of GSA or the State agency, the donee, at the option of GSA or the State agency, shall pay to GSA or the State agency, as the case may be, the proceeds of the disposal or the fair market value or the fair rental value of the property at the time of such disposal, as determined by GSA or the State agency. (3) If at any time, from the date it receives the property through the perod(s) of time the conditions imposed by (b), (c) and (f) remain in effect, any of the property is no longer suitable, usable, or further needed by the donee for the purpose(s) for which acquired, the donee shall promptly notify the State agency, and shall, as directed by the State agency, return the property to the State agency, release the property to another donee or another State agency, a department or agency of the United States, sell or otherwise dispose of the property. The proceeds from any sale shall be remitted promptly by the donee to the State agency. (4) The donee shall make reports to the State agency on the use, condition, and location of the property and on other pertinent matters as may be required time to time by the State agency. (5) At the option of the State agency, the donee may abrogate the State conditions set forth in (c) and the State terms, reservations, and restrictions pertinent thereto in (d) by payment of any amount as determined by the State agency. (e) THE DONEE AGREES TO THE FOLLOWING CONDITIONS, APPLICABLE TO ALL ITEMS OF PROPERTY: (1) The property acquired by the donee is on an 'as is, where is" basis, without warranty of any kind, and the Government of the United States of America, the State of Texas, its agencies or assigns, and employees thereof will be held harmless from any or all debts, liabilities, judgments, costs, demands, suits, actions, or claims of any nature arising from or incident to the donation of the property, its use, or final disposition. (2) Where a donee carries insurance against damages to or loss of property due to fire or other hazards and where loss of or damage to donated property with unexpired terms, conditions, reservations or restrictions occurs, GSA or the State agency, as the case may be, will be entitled to reimbursement from the donee out of the insurance proceeds, of any amount equal to the unamortized portion of the fair market value of the damaged or destroyed donated items. (f) THE DONEE AGREES TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS APPLICABLE TO THE DONATION OF AIRCRAFT AND VESSELS (50 FEET OR MORE IN LENGTH) HAVING AN ACQUISITION COST OF $5,000 OR MORE, AND FOREIGN GIFTS OR OTHER ITEMS OF PROPERTY REQUIRING SPECIAL HANDLING OR USE LIMITATIONS, REGARDLESS OF THE ACQUISITION COST OR THE PURPOSE FOR WHICH ACQUIRED: (1) The donation shall be subject to the additional special terms, conditions, reservations, and restrictions set forth in the Conditional Transfer Document or other agreements executed by the authorized donee representative. (g) THE DONEE CERTIFIES by signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 41 CFR705-68, certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (b) Where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. (h) THE DONEE UNDERSTANDS that by execution of this document, it is considered a sub recipient of federal financial assistance pursuant to the Single Audit Act of 1984 and further agrees to provide the State agency with results of the audit required by OMB Circular A-133. (1) THE DONEE UNDERSTANDS that e-mail addresses provided may receive notices about program updates and available property. Additionally, information on Property donated to your organization. including pictures and service chargelsi paid may be used by Federal Surplus Property Program for marketing and outreach purposes. - Page 5 of 11 Rae IM023 Participating organizations (referred to as "donees") are required to use the property obtained through the program for a specific amount of time before the property can be sold, transferred or otherwise disposed of. The compliance period is often determined by the "original acquisition cost" of the item. The "original acquisition cost" is defined as the amount the federal government paid when it was initially purchased. • Property must be used for the program(s) approved for participation in the Federal Surplus Property program. • All property must be placed into use within one year of the invoice date. • Property is considered "in use" as soon as it is ready and able to serve its intended purpose. • The compliance period varies according to item and donee type but is at least 12 months from date put into use. o For property valued at less than $5,000 in original acquisition cost, the compliance period is 12 months from the date put into use. o For property valued at $5,000 or more in original acquisition cost and all passenger motor vehicles, the compliance period is 18 months from the date put into use. Not applicable to Service Educational Activities. • TFC staff performs scheduled and unscheduled onsite property compliance visits to ensure the property is being used as represented. The donee agrees to make the property available for visual inspection by TFC staff in a timely manner. • If the property is not paid for in full or is not being used or handled as required, the donee will be required, at its expense, to return the property to TFC or offer for transfer to another donee, as instructed by TFC. • Property must be used and stored at the street address listed on page 2 of this Application, or at other appropriate donee -managed satellite locations in Texas (for example, county precinct barns, district fire stations, school campuses, maintenance/transportation warehouse). Property may not be removed indefinitely from an approved location, or from the State of Texas, without prior, written approval from TFC. • Property may not be stored at a personal residence, unrelated business or storage facility, or any other location that is not managed by the donee organization. Property is not for personal use; it must be readily accessible to all donee staff. • Donees are required to complete reports regarding property use as a condition of participating in the program. • During the compliance period, the donee may not sell, trade, lease, lend, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it permanently, for use outside the State, without the prior, written approval of TFC and/or GSA. SBA approval may also be required for small businesses. • If property is sold, transferred, or otherwise disposed of during the compliance period, the donee may be subject to penalties and fines, as well as possible state or federal prosecution. IMPORTANT NOTE FOR SBA 8(a) APPLICANTS: If applying as an SBA 8(a) business, I understand that the property compliance terms identified above do not apply to my business and that as an SBA 8(a) business I must follow SBA property compliance guidelines. Additionally, I understand that I may not have access to certain items — including aircraft or property with an original acquisition cost of $5,000 or more — if my business is due to graduate from the SBA 8(a) program with insufficient time to cover the entire federally required compliance period for that item. IMPORTANT NOTE FOR VETERAN OWNED SMALL BUSINESS APPLICANTS: If applying as a veteran -owned small business, I certify that the small business is unconditionally owned and controlled by one or more eligible veterans, service - disabled veterans, or surviving spouses; and the business has registered, and is in "certified" status in the SBA's VetCert program database under the procedures found in 13 CFR § 128. IMPORTANT NOTE REGARDING SIGNATURES: Unauthenticated digital signatures, signature stamps or signature images will not be accepted. A physical signature is preferred. If a physical signature cannot be obtained, we can also accept digital signatures authenticated by a third party such as Docu-Sign or Adobe Acrobat. Richard H. Meyer County Judge FIRST & LAST NAME (typed or printed) TITLE SIGNATURE OF AUTHORIZING OFFICIAL DATE (ex. Chief Executive or Financial Officer, Mayor/City Manager, County Judge, Superintendent, President, Fire Chief) Page 6 of 1 i Rev. 19 023 # Zo NOTICE OF MEETING — 3/29/2023 10. Consider and take necessary action to approve a resolution acknowledging and accepting the Operation Stone Garden Grant for 2022 and authorize the County Judge to sign all necessary documents. (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 27 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: RESOLUTION FOR OPERATION STONE GARDEN GRANT 2022 DATE: MARCH 29, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MARCH 29, 2023 * To acknowledge and accept the Resolution for Operation Stone Garden Grant for 2022 and allow Judge Meyer to sign. Sincerely, Bobbie Vickery Calhoun County Sheriff CALHOUN COUNTY RESOLUTION WHEREAS,CALHOUN COUNTY,(Governing Body) finds it in the best interest of the citizens of CALHOUN COUNTY, that the 2022 OPERATION STONE GARDEN GRANT be operated for the 2023 GRANT YEAR; and WHEREAS, CALHOUN COUNTY agrees that in the event of loss or misuse of the Office of the Governor funds, CALHOUN COUNTY assures that the funds will be returned to the Office of the Governor in full. WHEREAS, CALHOUN COUNTY designates COUNTY JUDGE Richard Meyer as the grantee's authorized official. The authorized official is given the power to apply for, accept, reject, alter or terminate the grant on behalf of the applicant agency. NOW THEREFORE,4E IT RESOLVED that CALHOUN COUNTY approves submission of the grant application forZl-�& OSG FROM 03/01/23-02/29124 to the Office of the Governor. Signed by: COUNTY JUDGE, Richard Meyer kFKP4 awK Anna Goodman, Ole* of Ins Court Calhoun County Texas gyJ!�� •� Deputy Passed and Approved this (Day) of 1 v MA ifm (Month) Year) Grant Numbed: OOG Sample Resolution Page 1 of 1 #11 NOTICE OF MEETING — 3/29/2023 11. Consider and take necessary action to authorize a loan in the amount of $235,560 from the General Fund to the Grants Fund for the 2022 Operation Stone Garden — eGrant Award # 3192808. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 27 Mae Belle Cassel From: candice.villarreal@calhouncotx.org (candice villarreap <ca ndice.vi Ila rreal @cal hou ncotx.org> Sent: Thursday, March 23, 2023 3:20 PM To: maebelle.cassel@calhouncotx.org; Richard H. Meyer, David Hall; vern lyssy; joel.behrens@calhouncotx.org; Gary Reese Cc: cindy mueller Subject: Agenda Item - Loan for OSG 2022 Attachments: OSG Grant FY 2022.pdf MaeBelle, Please place the following on the next Commissioners Court agenda: Consider and take necessary action to authorize a loan in the amount of $235,560 from the general fund to the grants fund for the 2022 Operation Stone Garden - eGrant Award # 3192808. This grant was approved in Commissioners Court 3/22/23. Thank you, O Candice `Vi 9arreal In Assistant Auditor Calhoun CountyAuditors Office 202 S. Ann Street, Suite Ira cTort Lavaca, `JX 77979 (Phone (361)553-4612 Calhoun County Texas Print This Page Agency Name: Calhoun County Graut/App 3192808; Start Date: 3/l/2023 End Date: 2/29/2024 Project Title: Calhoun-2022 OPSG Status: Application Pending Submission Budget Summary Information Budget Summary Information by Budget Category: CATEGORY DOG CASH IN -KIND GPI TOTAL �v MATCH MATCH Equipment $50,071.00 ^ m $0.00 —$0.00 $0.00 $50,071.00 Personnel $141,936.00 $0.00 $0.00 $0.00 $141,936.00 Supplies and Direct Operating _ $43,553.00 $0.00 $0.00 $0.00 $43,553.00 Expenses Budget Grand Total Information: OOG�M _ CASH ATCH IN -KIND MATC' H - GPI TOTAL F_ _$235,560.00 $0.00 $0.00 $6.00 $235,560 OOj #12 NOTICE OF MEFI ING 3/29/2023 12. Accept the Contract Close-out documents from Clyde Kazmir Construction, Inc. and approve the payment of the final pay application(s) for the Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the construction close-out documents and any other necessary forms. (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 27 Mae Belle Cassel From: David.Hall@calhouncotx.org (David Hall) <David.HaII@calhouncotx.org> Sent: Thursday, March 23, 2023 11:45 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Request for Agenda Item - Final Payment Calhoun County LCB Park - Kazmir Final Payment Attachments: Asbuilt Plans.pdf; RecPay No. 6-Final - LCB Park GLO 20-065-064-C182.pdf Importance: High From: smason@gwengineers.com [mailto:smason@gwengineers.com] Sent: Thursday, March 23, 2023 11:14 AM To:'David Hall' <David.Hall@calhouncotx.org> Cc: angela.torres@calhouncotx.org; 'Katy Sellers' <katy@ksbr-Ilc.com>; 'cindy mueller' <cindy.mueller@calhouncotx.org>; demi.cabrera@calhouncotx.org;'Glynis King' <gking@gwengineers.com>; Tadonna Thigpen'<ladonna.thigpen@calhouncotx.org> Subject: Request for Agenda Item - Final Payment Calhoun County LCB Park - Kazmir Final Payment Importance: High 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. David, • Accept the Contract Close-out documents from Clyde Kazmir Construction, Inc. and approve the payment of the final pay application(s) for the — Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas under Texas General Land Office Contract No. 20-065-064-C1g2 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 and authorize the County Judge to sign the construction close out documents and any other necessaryforms. (DH) I will send over the close out form asap. Just wanted to see about getting this agenda item. Scuff- P. Mayo-w, P.E. Lead Project Engineer G&W Engineers, Inc. Calhoun County Texas COMMUNITY DEVELOPMENT & REVITALIZATION The Texas General Land Office h. Certificate of Construction Completion Subrecipient: Calhoun Ccunty Contract#: 20.065.064•C182 Date:3/23/2023 This Is to certify that a anal inspection of the project described below was conducted on 2/6/2022 Contract was entered Into on 7/20/2022between the city/county of JCalhoun County and Clyde Kazmir Construction for the construction of Chocolate Bayou Co. Park. Park Impr, This is to further certify that: 1. The work has been completed In accordance with the plans and specifications and all addenda, change orders, and supplemental agreements thereto, with the following exceptions: 2. The sum of IZam deducted from the final payment to the Contractor is a fair and equitable settlement for the foregoing excepted work 3, The Contractor has presented on behalf of Itself and Its sureties, satisfactory evidence that he or she will repair, replace or make good any faulty workmanship and/or materials discovered in the work within a period of 112 Months from this date, as provided In the Contract, 4, Amount of Original Contract: 695,770.00 Cumulative Change Orders: 4,191.88 Final Amount of Contract: 699,961yg Less Previous Payments: 1629,965.69 Less Deductions (from #2 above):I FINAL PAYMENT (Balance): 69,996.19 5. The Final Payment In the amount above Is now due and payable. 6. Final Quantities: a - AotivltyrCbde�2lydoWn)fCm�P�ffgFpyeficeStenYie7tl) PIaJ@c(Narite r ,r s l7eepf�pf(pn (WnasyoGfACtIVit) t �pgpTy �dtnpdotYl� �' 9 • Parks and Playgrounds Park Improvements Improve Park 1 # of Public Facilities Effective June 2020 Page 1 of 2 OINI.II• 4 " r•: s,;,;�ae COMMUNITY DEVELOPMENT &REVITALIZATION The Texas General Land Office Certificate of Construction Completion IPrdlRot NPme, �CnriPtlon x tf`rom Rafformanoa standard) (�Jhet lsyogrAt l9lty7j (taEi4lty pada (dropdtswn), fr us ll r $sera duc WIN WM4 x r Certified by to meets 51 nature aontraocor'a Stgnature oucreci rents Tura Scott P. Mason, P.E., Project Engineer Kelly Kazmlr, Vice President Richard H. Meyer, County Judge Engineer's Name and Title (Printed) Contractor's Name and Title (Printed Subrecipient Name and Title (Printed) G&W Engineers, Inc. I Clyde Kazmlr Construction, Inc. I Calhoun County Firm Firm City/County of Disclaimer: The Texas General Land Office has made every effort to ensure the Information contained on thlsform Is accurate and In compliance with the mast up-to-date CDBG-DR and/or eoae-wfedeml rules and regulations, as applicable, Itshould be noted that the Texas General Land office assumes no liability or responslbl/ilyfor any error or omission on thisform that may resultfrom the Interim period between thepubllcatian of amendedand/or revised federal rules and regulations and the Texas General Land offlces standard review and update schedule. Effective June 2020 Page 2 of 2 ue .x wu n.0 •w. M <w oo. i.. Ntl d 311811tltl3AO TJO-�800-010 e ,�//�33,, g3 iai, >:m'-„'- 'a � 8 7 n ° Pue ouaVP ose-essuen ueu •••u+•-n ua ss no ouease swsuu.s umum w weoiw ., ' ALNNOO NnoHltl0 8VX81 d NYVdI'AAeE'�Mp3ll1111tl3tlNONUSMiA1 � � yyyy ygyg ygyg Pr -��. 9a 8 E §ka -y �° iE F. gyR qE g1 ;e; gG ggC J 0 i g y w Es y$ 0 N ci U 3 r C,� 5 U U Ce) VAI Tr— + co04 co U&W ENGINEERS, INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 • f: (361)552-4987 TBPE Firm Registration No. F04188 March 23, 2023 Commissioner David Hall Calhoun County Precinct No. 202 S. Ann St. Port Lavaca, Texas 77979 RE: RECOMMENDATION FOR PAYMENT NO. 6-FINAL Rebid - Infrastructure at Little Chocolate Bayou County Park for Calhoun County, TX - TX GLO Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. E-1 Dear Honorable Judge & County Conunissioners, We have reviewed Clyde Kazmir Construction, hic.'s Application No. 6 (Invoice # 10392) for the above referenced project. All work is complete and enclosed is Recommendation for Payment No. 6-FINAL for $69,996.19 for the retainage. The Contractor's Guarantee and the Contractor's Conditional Waiver and Release on Final Payment are enclosed. Please call if you have any questions. Sincerely, G & W Engineers, Inc. --Scott P. Mason, P.E. cc: Clyde Kaznrir Construction, Inc. Demi Cabrera, Calhoun County Assistant Auditor file 5310.011e Engineering Consulting Planning Surveying OWNERIs Project No. No. 6-FINAL RECOMMENDATION OF PAYMENT ENGINEER's Project No. 5310.011e Rebid - Infrastructure at Little Chocolate Bayou Comity Park Project for Calhoun County, Texas - TX GLO Contract No. 20-065-064-CI82 CONTRACTOR CLYDE KAZMIR CONSTRUCTION, INC. Rebid - Infrastructure at Little Chocolate Contract for Bayou County Park Contract Date Application Date February 20, 2023 Application Amount Period Start Date February 4, 2023 Period Ending Date To COUNTY OF CALHOUN Owner July 20,2022 $69,996.19 February 20,2023 Attached hereto is the CONTRACTOR'S Application for Payment for Work accomplished under the Contract through the date indicated above. To the extent that we have been present on the project site as outlined in our Engineering Agreement, we believe that the Application meets (lie requirements of the Contract Documents and includes the CONTRACTOR's Certificate stating that all previous payments to him under the Contract have been applied by him to discharge in full all of his obligations in connection with the Work covered by all prior Applications for Payments. In accordance with the Contract, the undersigned, subject to the limitation in the preceding paragraph, recommends payment to the CONTRACTOR of the amount due as shown below. G & W Engineers, Inc. Dated March 23 2023 By ,y �� ;;� ✓J, �. Scott P. Mason, P.E. Original Contract Price Net Change Orders (1 ) Current Contract Price Work to be Done G & W ENGINEERS, INC. 205 W. Live Oak St. Port Lavaca, Texas 77979 (361)552-4509 $ 695,770.00 $ 4,191.88 $ 699,961.88 STATEMENT OF WORK Work to Date Amount Retained Subtotal Previous Payments Recommended Amount Due This Payment $ 699,961.88 $ 699,961.88 $ (629,965.69) $ 69,996.19 P—P— Nn R-LINAI . Pmk Rwhid m 0 0 o 0 0 0 w N N 0 N N O N N M b n Z r w w w ea en w w en v) w » wJ x U 2 LL N3 4i W FR 4! (A fR F9 Ul f9 ci a s e a a e O W O O O O O O O O �j f'LL W O N O N N O C6 O N O O O N S W C7 p O uNi co m n U N W H Z O Q to fH (p f9 tlf !9 M t9 W to z t3 Tr :5 z z F w 0 wwn w O g a O N O 0 w w a a ru = F a y n z o a 0 0 0 o O w O O O ra o o rn o c; o ci O a C U l0 N N. W N M N N O n N a Zi W m m r O LL f9 fA fA Hf f9 fli t9 O O O O O O O O o 0 O W � w O O 604 O N O cs N N O N N O Cl! w n o m r n x>Q U M e9 F9 f9 fA f9 iR f9 6 C Aeeqq NCC y �i 0 O 9 m v 3 d ESE A C 6 J .� 3 N NT `ai 8 O 0 O, o't u ho 5.5 - 44 o uefi o v A aEl Itw R1 O ,dc � � % L LC �. � .� N O ym N W .N � = CO .y T � O A � 4:. y. c9 •d v � A v o o o `v 3 3 'E F � v o. � .� � 0 � c a v v v u s a e a o v °� o 'j 'E .. F Q F Z N M sT N 1p n m W O O l0 a o0 7G o w U m ow 98 0 U N z 7 O N rD W w N m O O m M M m FQ W fR to (R l9 iA = WO U i Z M LL b1 M fN M fq U e a' 2Q 3Q dQ O W O o O O amD, W N 0< OF a m>� w QZ W W N W O Ho 0 W � w w a s a ~ Y j Z O O O UmD, m ¢ O ❑ o N R ° rn ❑3 a� � M e p rn oQ w w w » ea w ❑ o 0 o m m U W QN- M OV � OMi M ai e+ w w ra E ? e 'i2 u p u v 4 2 U �,r o m _ a `o W hUnA v S E U'd'O ¢ w Z O CONTRACTOR'sGUARANTEE I, Kelly Kazmir, being Vice President of Clyde Kazmir Construction, Inc. (hereinafter called "CONTRACTOR"), do hereby make the following statements to CALHOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORT{ ORDER NO. E-1. n4 uro zIn ,'� ` Pr�NiL � Sl ©1Ya I guarantee... That all of the completed Work is fi•ee from faulty materials in every particular, That all of the completed Work is free from improper workmanship, and That no injtuy will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any. (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fitlfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the final certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials or workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To make good all damage caused to other Work or materials, due to such required replacement or re -execution. This Guarantee is in effect as of the _ A_ day of IAt7kYt�207 �+, and shall cover a period of ONE (1) FULL YEAR from said effective date. Clyde Kazmir Construction, Inc. (CONraA(TOR) Signed By: Print Name/Title; elly Kazmir, Vice President Date: 3/s12J 01700-2 CONTRACTOR's GUARANTEE I, Kelly Kazmir, being Vice President of Clyde Kazmir Construction, Inc. (hereinafter called "CONTRACTOR"), do hereby matte the following statements to CALHOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO, 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. FC,12 Ru- Bi0 I guarantee... 17EIVs That all of the completed Work is free from faulty materials in every particular, That a]I of the completed Work is free from improper workmanship, and That no injury will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any, (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fitlfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the final certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials or workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To matte good all damage caused to other Work or materials, due to such required replacement or re -execution, This Guarantee is in effect as of the I_ day of box 202Z and shall cover a period of ONE (1) FULL YEAR from said effective date, Clyde Kazmir Construction, Inc. (CONTRACTOR) Signed By: Print Name/Title: r ellly Kazmir, Vice President Date:�6�2> 01700-2 INVOICE # 10392 Rebid - Infrastructure at Little Chocolate Bayou County Park for Calhoun County, Texas TO: Calhoun County Date: February 20, 2023 211 S. Ann Street, Suite 301 Port Lavaca, TX 77979 Start of Work: February 4, 2023 FROM: CLYDE KAZMIR CONSTRUCTION, INC. Work Completed through: February 20, 2023 PO Box 554 / 1001 W. Main Street Edna, TX 7797 Phone # (361) 782-3594 Email KIMBERLY@KAZMIRCONST.COM 1. ORIGINAL CONTRACT SUM ......................................................... $695,770,00 2. Net change by Change Orders........................................................ $4,191.88 3. CONTACT SUM TO DATE, (Line 1 ±2)................................................. $699,961.88 4. TOTAL COMPLETED & STORED TO DATE (Column G from Schedule) ...................... $699,961.88 5. RETAINAGE: a. 10 % of Completed Work (Column D + E on Schedule) ...................... $0.00 b. 10 % of Stored Material (Column F from Schedule) ........................ $0.00 Total Retainage (Lines 5a + 5b) $0.00 6. TOTAL EARNED LESS RETAINAGE.................................................. $699,961.88 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT .................................... $629,965,69 B. CURRENT PAYMENTS DUE ......................................................... $69,996.19 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6)................................ $0.00 CONTRACTOR's CONDITIONAL WAIWER AND RELEASE ON FINAL PAYMENT THE STATE OF TEXAS § COUNTY OF Calhoun County § Project: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARK FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. Job No. 5310.011e On receipt by the signer of this document of a check from CALHOUN COUNTY (maker of check) in the sum of $ 69,996.19 payable to Clyde KazmIr Construction, Inc. (payee or payees oftheck) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at West Austin Street, Port Lavaca, Texas (location) to the following extent: REBID - INFRASTRUCTURE AT LITTLE CHOCOLATE BAYOU COUNTY PARI{ FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO, 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. E-1. (job description). This release covers the f'mal payment to the signer for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whorn signer contracted). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. 0I700-3 Clyde Kazmir Construction, Inc. (CONTRACTOR) Signed By: 0'ef Print Name; Kelly K zmir Title: Vice -President SUBSCRIBED AND SWORN TO BEFORE ME by kOlk . lna`Lwtir an g 0 , 20 AS, to certify which witness my hand and seal of office. .�....,,.... ., . �.n� n l.As(.1t-(A '- SMINE ELIZABETN CALUS Pu6116, SIetO of Sexes Notary Public, State of Texas ��`%{<•'`�� NotvVID 13350202 My Commission Expires: � 01700-4 #13 NOTICE OF MEETING—:3/29/2023 13. Consider and take necessary action to award the bids for the Calhoun County Roof Recovers of Three Buildings: The Calhoun County Courthouse Annex II, the Calhoun County Agricultural Building and the Calhoun County Seadrift Public Library and authorize the County Judge to sign all necessary documents. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 27 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Thursday, March 23, 2023 11:32 AM To: MaeBelle.Cassel@calhouncotx.org; 'everett wood' Subject: Agenda Item: Calhoun County Roof Recovers of Three Buildings Attachments: Calhoun County Roof Recovers of Three Buildings.pdf MaeBelle, Can you please put the following item on the agenda for court on March 29,2023: From the County Auditor's office For Everett Wood, Building Maintenance • Consider and take necessary action to award the bids for the Calhoun County Roof Recovers of Three Buildings: The Calhoun County Courthouse Annex II, the Calhoun County Agricultural Building and the Calhoun County Seadrift Public Library and authorize the County Judge to sign all necessary documents. I have attached the recommendation letter from Amtech, Bid Tabulations, and attendance sheets. I will send the Bids in a separate email. Thank you, flvmi Cabr¢ra Calhoun Counig �U i6tant -Juditor 361-553-4613 3G1-553-4•Gl4- U69) Calhoun County Texas s AMTECH SOLUTIONS March 22, 2023 Mr. Everett Wood Calhoun County 211 South Ann Street Port Lavaca, Texas 77979 SUBJECT: Contractor Recommendation for Calhoun County Roof Recovers of Three Buildings: The Calhoun County Courthouse Annex II, the Calhoun County Agricultural Building, and the Calhoun County Seadrift Public Library Dear Members of the Calhoun County Commissioners Court: Tuesday, March 21, 2023 was the bid date for the Calhoun County Roof Recovers of Three Buildings: the Calhoun County Courthouse Annex 11, the Calhoun County Agricultural Building, and the Calhoun County Seadrift Public Library. The Competitive Sealed Proposals were opened and evaluated Tuesday, March 21, 2023 with Calhoun County, G&W Engineers, and Amtech Solutions representatives present. All submitted proposals were verified to have been filled out in their entirety with acknowledgement of addendums, receipt of bid bonds, and fully executed. Evaluations took place immediately following the reading of proposals with representatives from Calhoun County, G&W Engineers, and Amtech Solutions present. In total, Calhoun County received bids from four contractors and evaluated them according to the specified criteria. Port Enterprises, Ltd. Submitted the lowest bids for the Calhoun County Courthouse Annex 11 with a proposed price of $ 125,065.00 and the Calhoun County Seadrift Public Library with a proposed price of $254,286.00. Rain King, Inc. submitted the lowest bid for the Calhoun County Agricultural Building with a proposed price of $208,144.00. Amtech recommends that the Port Enterprises, Ltd. and Rain King Inc. proposals to be the best value for the County and a contract in the amount of $379,351.00 be awarded to Port Enterprises, Ltd. for the Roof Recovers of both the Calhoun County Courthouse Annex II and the Calhoun County Seadrift Public Library, and a contract in the amount of $208,144.00 be awarded to Rain King, Inc. for the Roof Recover of the Agricultural Building. Both Port Enterprises, Ltd. and Rain King, Inc. are roofing contractors that have worked for Calhoun County in the past with minimal issues. Both contractors have over twenty years of successful projects of similar size and complexity. Historically, any issues that arise have been promptly addressed to the owner's satisfaction. Regards, rnv4mo�o James Robbins General Manager - Corpus Christi Office Amtech Solutions Inc. 4444 Corona Drive, Ste 207 Corpus Christi, TX 78411 a ------MMMMZ MMMMMMMMMM a it 4F Fr P§� Y d t N3u � yY` I 1 r 1r t.-`y 1 fvai \ a a OU r OR a {s v 3 to a a a a • a 1 • iA W � a d W O D D C Z O A O m m O m N O T 2 9 m a m o c 41 r �myz mm�y O r y Z = m MO 0, y 0Cr Cpy2 omy= c Ay� m,�� 2mg, �inmp Crc Npr= �m0 c N y m o <z v m 3 k C. - -NI y m m a c n O yC ci n C A� S W C r O Z m AF i� 2 c Z O C n } Z r A � 4 Z CD LA 6 O N� o ;� Z s Qo m w o g A ) 0 CL H n O n N N Sb 3 v 0 C- V, Yt/ 3 CD N 0) o O w O n C n :3 O �G M O r o W m w N N o m o N Ul v N CD w 21 cn m v a z m CA D a rm C i SIN= i t � A I I \Z � S L� csl I i o R w o S C n z m z O 1 f � p 0 C— Z n 3 3 CD 0 � ♦ J N OS O W � � � Q O Q O O aM CD O CC: CD CD m O N � N CD N CD w pp C _Q I 3 a orl 3 #14 ' NOTICE OF MEETING 3/29/2023 14. Consider and take necessary action to approve the Specifications and Contract Documents for the Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and authorize the County Auditor and G & W Engineers, Inc. to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 in the Commissioner's Courtroom. Sealed Bids are due before 2:00:00 pm, Wednesday, May 10, 2023 in the County Judge's Office. (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 11 of 27 Mae Belle Cassel From: David'.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Thursday, March 23, 2023 9:47 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Request for Agenda Item(s) for March 29, 2023 Commissioner's Court Meeting - Combined Dispatch Project Importance: High From: smason@gwengineers.com [mailto:smason@gwengineers.comj Sent: Thursday, March 23, 2023 9:46 AM To -'David Hall' <David.Hall@calhouncotx.org> Cc: demi.cabrera@calhouncotx.org;'cindy mueller'<cindy.mueller@calhouncotx.org>; Sara.Rodriguez@calhouncotx.org; angela.torres@calhouncotx.org; 'Glynis King' <gking@gwengineers.com>; Peggy Hail <phall@gwengineers.com>; Anthony Gohlke <anthonyg@gwengineers.com> Subject: Request for Agenda Item(s) for March 29, 2023 Commissioner's Court Meeting- Combined Dispatch Project Importance: High <:AU YION k nts etnatlC onginaten trom outside of the organization. Do not click links or open attachments unless you recognize the sender and: know the content is safe. David, We ask for the following items to be placed on the agenda for court 03/29/2023:. Consider and take necessary action to approve the Specifications and Contract Documents for Calhoun County Combined Dispatch Facility Project for Calhoun County; Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise forbids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 at the Commissioner's Courtroom. Sealed Bids are scheduled to be due before 2:00:00 pm, Wednesday, May 10, 2023 at the County Judge's Office. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related to the Calhoun County Combined Dispatch Facility Project. We will be dropping off hard copies of the spec books today and will be getting digitals to follow. Respectfully, Sco-H-P. Masow, P.E. Lead Project Engineer G&W Engineers, Inc. #15 NOTICE OF MEETING-3/29/2023 15. Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related to the Calhoun County Combined Dispatch Facility Project. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 12 of 27 Mae Belle Cassel From: David.Hall@calhouncotx.org (David Hall) <David.Hall@calhouncotx.org> Sent: Thursday, March 23, 2023 9:47 AM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Request for Agenda Item(s) for March 29, 2023 Commissioner's Court Meeting - Combined Dispatch Project Importance: High From: smason@gwengineers.com [mailto:smason@gwengineers.com] Sent: Thursday, March 23, 2023 9:46 AM To:'David Hall' <David.Hall@calhouncotx.org> Cc: demi.cabrera@calhouncotx.org;'cindy mueller' <cindy.mueller@calhouncotx.org>; Sara.Rodriguez@calhouncotx.org; angela.torres@calhouncotx.org; 'Glynis King' <gking@gwenginee rs.com>; Peggy Hall <phall@gwengineers.com>; Anthony Gohlke <anthonyg@gwengineers.com> Subject: Request for Agenda Item(s) for March 29, 2023 Commissioner's Court Meeting - Combined Dispatch Project Importance: High 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. David, We ask for the following items to be placed on the agenda for court 03/29/2023: Consider and take necessary action to approve the Specifications and Contract Documents for Calhoun County Combined Dispatch Facility Project for Calhoun County, Texas and to authorize G & W Engineers, Inc. and the County Auditor to advertise for bids. A pre -bid meeting shall be held at 10:00 am, Tuesday, April 18th, 2023 at the Commissioner's Courtroom. Sealed Bids are scheduled to be due before 2:00:00 pm, Wednesday, May 10, 2023 at the County Judge's Office. • Consider and take necessary action to authorize G & W Engineers, Inc. to release any addenda to the bidding documents approved by Commissioner David Hall that is related to the Calhoun County Combined Dispatch Facility Project. We will be dropping off hard copies of the spec books today and will be getting digitals to follow. Respectfully, Srotf-P. Masow, P.E. Lead Project Engineer G&W Engineers, Inc. #16 NOTICE OF MEETING — 3/29/2023 16. Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet for the Supply Contract for Fly Ash — Road Material, Bid Number 2023.06 for the period May 10, 2023 through December 31, 2023 and authorize the County Auditor to advertise for the bids. Sealed Bids are due before 2:00:00 PM, Tuesday, April 25, 2023 in the County Judge's Office. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese' Page 13 of 27 Mae Belle Cassel From: demi.cabrera@calhouncotx.org (demi.cabrera) <demi.cabrera@calhouncotx.org> Sent: Wednesday, March 22, 2023 2:45 PM To: MaeBelle.Cassel@calhouncotx.org Cc: David Hall Subject: Fly Ash - Road Material Invitation to Bid Good Afternoon Maebelle, Please place the following item on the Commissioners Court Agenda for March 29, 2023: • Consider and take necessary action to approve the Specifications and the Invitation to Bid Packet forthe Supply Contract for Fly Ash - Road Material, Bid Number 2023.06 for the period May 10, 2023 through December 31, 2023 and authorize the County Auditor to advertise for the bids. Bids will be due before 2:00:00 PM, Tuesday, April 25, 2023. Thank you, ft-mi CabrQra Calhoun Countg ,�16,5iastant ,�ludltor 361-553-4613 361-553-4614 (fax) Calhoun County Texas # 17 N0110E OF MEETING — :3/29/2023 17. Consider and take necessary action to approve the Specifications, Project Manual and Plans for the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements and authorize the County Auditor and Urban Engineering to advertise for bids. A pre -bid meeting shall be held at 10:00 AM, Monday, April 17, 2023, at the Hog Bayou Public Boat Ramp located off SH 35 in Calhoun County, Texas. Bids are due before 2:00:00 pm, Wednesday, April 26, 2023 in the County Judge's Office, (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 27 Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 22, 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 March 29, 2023. Consider and take necessary action to approve the Specifications, Project Manual and Plans for the Calhoun County Public Boat Ramp Bulkhead Improvements and to authorize Urban Engineering to advertise for bids. A pre - bid meeting shall be held at 10:00 AM, Monday, April 17, 2023, at the Hog Bayou Public Boat Ramp located off SH 36 in Calhoun County, Texas. Bids will be due before 2:00:00 pm, Wednesday, April 26, 2023. Sincerely, ae- �\\� Gary l5. Reese GDR/at P.O. Box 177 — Seadrift, Texas 77983 — email: earv.reesencalhouncom.om — (361) 785-3141 — Fax (361) 785-5602 # Zs NOTICE OIF MEETING--3/29/2023 18. Consider and take necessary action to authorize Urban Engineering to release any addenda to the bidding documents approved by Commissioner Gary Reese that is related to the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 27 Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 22, 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 March 29, 2023. • Consider and take necessary action to authorize Urban Engineering to release any addenda to the bidding documents approved by Commissioner Gary Reese that is related to the Calhoun County Hog Bayou Public Boat Ramp Bulkhead Improvements. Sin rely, 7), X� Gary D. Reese GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: ¢arv.reese iccalhouncou.ore — (361) 785-3141 — Fax (361) 785-5602 #19 ' NOTICE OF MEET ING - 3/29/2023 19. Consider and take necessary action to authorize CivilCorp, LLC to perform topographic, bathymetric and coastal boundary surveys at Port Alto marsh for a lump sum total of $31,400.00 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (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 16 of 27 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: loel.behrens(4calhouncotx.orR 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 March 29, 2023. Ref Port Alto Beach Project. Consider and take necessary action on CivilCorp, LLC to preform topographic, bathymetric, and coastal boundary surveys at Port Alto marsh for a lump sum total of $31,400.00 to be paid out of GOMESA and authorize Judge Meyer to sign all necessary documents. Sincerely, Joel Behrens Commissioner Pet. 3 r14-civilcorp ENGINEERS e SURVEYORS March 22, 2023 Commissioner's Court —Calhoun County, Texas 211 South Ann Street Suite 104 Port Lavaca, TX 77979 Re: Request for Surveying Services Proposal Port Alto Survey Commissioner's, CivilCorp, LLC is pleased to provide a proposal for surveying services for the above -referenced project. An exhibit showing the proposed survey limits was used to estimate the level of effort for the needed surveying services and is attached to this proposal. Scope of Work Topographic Survey (Cost Estimate: $8,200) o Includes setting and establishing project control. o Preparation of final Graphics files for 31) DTM and Bathymetric survey. LiDAR Survey (Cost Estimate: $3,700) o Unmanned Aerial Flight o Provides project photography and supplemental survey data to be merged into the DTM. Coastal Boundary Survey (Cost Estimate: $I9,500) o Performed by LSLS o Work performed will meet requirements for submittal to the GLO. Product Submittal: Survey Data will be provided with the following: o Topographic file (contours and existing features) provided in an AutoCAD format. Include an existing ground Civil 3D surface model. The topographic file shall be inclusive of the contours, features, property line and monuments, in one file. o Files will be an electronic submittal either through email, thumb drive, one drive, or ftp submittal. Files include: ASCII files of the survey, and graphics files, project imagery, field photos. The XYZ files shall be formatted as Point Number; Northing; Easting; Elevation; and Description. Fee Proposal: • The fee schedule for this project is based on a lump sum fee with an amount not to exceed of $31,400.00 as detailed in the above -described scope of work. Performance Schedule: • The performance schedule for the Topographic Survey and LiDAR Survey is estimated to be delivered four (4) weeks after Notice to Proceed. • The performance schedule for the Coastal Boundary Survey is estimated to be delivered six (6) weeks after Notice to Proceed. Pagel of2 801 Lipan 9 Corpus Christy Texas 79401 • Tel: (361) 371-5380 All work will be closely coordinated with you. Thank you for the opportunity to submit this proposal. If you are in agreement with the services and related fee contained in this proposal and wish to proceed, please sign on the space provided and return an executed copy to my attention that will serve as the Notice to Proceed. Sincerely, .� G(io�5� RpfS James Woods, RPLS Director of Surveying Services (woods@civilcorp.us Office: 361.371.5380 x303 1 Mobile: 361.815.8762 801 Lioan St. I Corpus Christie. Texas 78401 TBPE #10283 1 TBPLS #10194156 rilCivilCorp = CALHO COUNTY By: Title: (��^1 7µ4-*— Date: Page 2 of 2 Mm # zo NOTICE OF MEETING 3/29/2023 20. Consider and take necessary action to authorize Triton Environmental Solutions, LLC to perform wetland delineation and sensitive aquatic resources surveys at Port Alto marsh for a lump sum total of $19,537.68 to be paid out of GOMESA funds and authorize the County Judge to sign all necessary documents. (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 17 of 27 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 •- Fax (36I) 893-5309 F1nai1: ioel.behrens(@.calhouncotx.om 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 March 29, 2023. Ref: Port Alto Beach Project. Consider and take necessary action on Triton Environmental Solutions, LLC to perform wetland delineation and sensitive equatic resources surveys at Port Alto marsh for a lump sum total of $19,537.68 to be paid out of GOMESA and authorize Judge Meyer to sign all necessary documents. Sincerely, Joel Behrens Commissioner Pct. 3 TRITON ENVIRONMENTAL SOLUTIONS LLC Post Office Box 1755 Rockport, TX 78381 And! Binion (361)2GS-7655 abinlon@tritonenv.com Proposal for Port Alto Marsh Wetland Delineation (Approx.10-Acres) and Sensitive Aquatic Resources (Approx. 6-Acres) Surveying and Reporting Date: March 14, 2023 Port Alto Marsh, Calhoun County, Texas Customer Contact Information: ' Contact Name: Mr. Joel Behrens Entity: Calhoun County Address: 211 S. Ann Street, Suite 104 Phone (office): (361) 553-4600 Phone (celn: (361) 893-5346 Port Lavaca, TX 77979 Email Address: Joel.Behrens(&calhouncotx.or¢ Fax Number N/A Item/Job Class: Description of Services: quantity Esti(nated Cost: Triton Environmental Solutions, LLC (Triton) will analyze readily available desktop data including survey boundaries provided by the client, prior Approved Jurisdictional Determinations (AIDS) related to the survey area, U.S. Army Corps of Engineers' (USACE) AID regulations and guidance documents, existing topographic data, current and historical aerial imagery, soils data, floodplain maps, National Wetland Inventory Maps, United States Geological 1. Survey Survey benchmarks, surveyor benchmarks, Planning, Texas Parks and Wildlife published seagrass Development, and oyster data, historical tide data, and 1 $1,250.00 & Client other pertinent data. Examination of all Coordination. available desktop data will assist Triton to refine the scope of fieldwork for the wetland delineation and sensitive aquatic resources surveys and determine habitat characterization for the survey area(s). Triton will also seek direction from the client regarding access approvals. Information gathered above will allow Triton to create the wetland delineation, waters of the United States (WOOS), and aquatic sensitive resources (i.e., seagrass, live oyster) survey sampling plans, including establishment of survey area boundaries, GPS data loading, development of wetland delineation and aquatic survey transects, preliminary wetland delineation survey observation point locations, onsite access routes, and pinpoint probable areas of sensitive resources (wetlands, seagrass, oysters, etc.), hydrologic features, probable hydrologic connections, property boundary coordinates, benchmark coordinates, USACE SOP requirements for GPS use, and other components required by USACE guidance. The survey plan will be coordinated with the client for approval prior to conducting surveying activities. Triton's survey will be conducted utilizing methodologies that have been both historically and recently approved by the environmental resource agencies, including the USACE. Triton will utilize the USACE 1987 Wetland Delineation Manual and subsequent guidance to identify and delineate all wetlands/WOUS within the 10- acre tract. Triton staff will also conduct investigations necessary to determine the likely jurisdictional status of any identified wetlands/waters under USACE and Environmental Protection Agency (EPA) Rapanos and Navigable Waters Protection Rule guidance. 2. Conduct Field 1 $8,517.68 Investigation. The survey will include mapping habitats, and USACE jurisdictional areas, including wetlands and sensitive aquatic resources, the High Tide Line (HTL) and the Mean High Water (MHW) line. To determine position of various points/boundaries, Triton will utilize a sub -centimeter Trimble RTK* (for HTL/MHW) and Geo XH or7X global positioning systems. Field work will likely include: 1. Staking the HTL and MHW lines along tidal project shorelines. The HTL demarcates the upper limit of USACE jurisdiction under Triton Environmental Solutions, LLC Post Office Box 1755, Rockport, TX 78381 (361) 205-7655; abinion@tritonenv.com The MHW line demarcates the upper limit of "navigable waters" and USACE jurisdiction under Section 10 of the Rivers and Harbors Act of 1899. 2. Wetland/WOUS delineation in landward portions of survey area. 3. Detailed delineation and characterization of all on -site habitats. 4. Sensitive aquatic resources (i.e., seagrass, oyster) delineation and mapping within the aquatic survey area. Substrate, bathymetric and depth of soft sediment data will also be provided. S. Photo -documentation of field survey collections and representative habitats. Field data collected from Step 2, will be used to prepare maps and GIS files to determine 3. Field Data and quantify the location, boundaries, and Analysis. extents of any sensitive resources and 1 $3,520.00 preliminary limits of wetlands/WOUS within both wetland delineation and aquatic survey area boundaries. Triton will prepare a consolidated wetland delineation and sensitive aquatic resources report to document methods, habitat characterization, and extents of sensitive resources within the approx.l0- and 6-acre survey boundaries. The reports will include detailed maps with all vegetation communities, HTL and MHW tidal boundary delineation, and other sensitive resource boundaries. 4. Prepare The wetland delineation/WOUS and aquatic Report of resources report will include all content 1 $6,250.00 Findings. (e.g., mapping, photos, GPS files, SOP coordinate tables, boundary rationales, field data sheets, interpretation of Rapanos and Navigable Waters Protection Rule guidance for each wetland/water, and recommendation of likely jurisdictional status of any wetlands/waters on the property, etc.) that identify wetlands/waters and/or sensitive aquatic resources that could potentially be subject to USACE jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers Triton Environmental Solutions, LLC Post Office Box 1755, Rockport, TX 78381 (361) 205-7655; abinion@tritonenv.com and Harbors Act. The report will meet all current USACE specifications for wetland/WOUS delineation submittals and jurisdictional determination requests. TOTAL: $19,537.68 Payment Terms: Payment terms are net thirty (30) days from the date of invoice, subject to a 2% discount if paid within ten (10) days of the date of invoice. Any payments not made within one hundred twenty (120) days of the date of invoice shall be subject to a late payment charge of 1.5% per month (compounded) on the unpaid balance of any amount then past due. General Terms: • Any work performed at the clients request outside the scope of work outlined above will be discussed with the client for approval. • Non -Triton costs are not included in the proposal. Notes: 1. Triton understands the current scope involves a formal Waters of the U.S./wetlands delineation, including HTL and MHW delineations and sensitive aquatic resources surveying. 2. *If a RTK network tower is not within range, staff will utilize a laser level adjusted to the nearest tide gauge to collect AHT/MHW data in NAVD 88 vertical datum. 3. This proposal includes costs for environmental surveying and reporting only, as outlined above. If the client elects to seek verification from the USACE, Triton would be happy to assist with the required USACE coordination under a separate scope or an addendum to the current project scope. 4. Triton would be pleased to assist with any future components of the project such as regulatory permitting support, monitoring, and/or other permit requirements. Client Signature: Date: Triton Environmental Solutions, LLC Post Once Box 1755, Rockport, TK 78381 (361) 205-7655; abinion@tritonenv.com #21 NOTICE OF MEETING-3/29/2023 21. Consider and take necessary action to close a portion of Main Street in Port O'Connor, Texas from the intersection of 2nd Street/SH 185 and Main Street; west 150 feet on May 27, 2023 and July 8, 2023 for street dances. (GDR) RESULT: " APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 27 Gary D. Reese County Commissioner County of Calhoun Precinct 4 March 22, 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 March 29, 2023. • Consider and take necessary action to close a portion of Main Street in Port O'Connor, Texas from the intersection of tad Street/State Highway 185 & Main Street; west 150 feet on May 27, 2023 and July 8, 2023 for street dances. Sincerely, �\ ,cj'�Z-, Gary D. Reese GDR/at P.O. Box 177 - Seadrift. Texas 77983 - email: Ram.reesencalhmmcmx.ora - (361) 785-3141 - Fax (361) 785-5602 March 15, 2023 Dear Commissioner Reese, 1 am asking permission again this year to close half of 2nd Street and Main Street in Port O'Connor, Texas to have a street dance on May 27, 2023 and July 8, 2023. We would like to have an outdoor dance like we have had in past years with portions of the proceeds going to benefit the POC Volunteer Fire Department, fireworks, etc. Liability insurance will be supplied. Thank you, John Harper Client#: 1979740 KIMBEOIL ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ODNVYY) 3/22/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pclicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME:CT Danielle Osemene USI southwest PNO Ho M, 713 490.4000 AIC No: 713-490-4700 9811 Katy Freeway, Suite 500 EVpAIL , danielle.osemene(rr3usi.com Houston, TX 77024 855 874.1450 INSURERS AFFORDING COVERAGE NAIC9 INSURER A: Indian Harbor Insurance Company 36940 INSURED Kimber Oilfield Services, LLC INSURERS: Daddy Please Oilfield Services, LLC NSURERC: P.O. Box 490 NSURER D: Carrizo Springs, TX 78834 INSURER E: NSURERIF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INT9nR LL TYPE OF INSURANCE ADD SUER POLICY NUMBER P LICY P D POUCY E%P MMIO IYY Y UMRS (� X COMMERCIAL GENERAL LIABILITY OLS21981123 1/02/2022111021202 EACH OCCURRENCE $1000000 CLAIMS -MADE X OCCUR �� ENTED aacwaence S100GOO MED EXP(Anyone awn) $5000 PERSONAL a ADV INJURY $1 GOO 000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2 000,000 X POLICY JECT LOC PRODUCTS-COMP/OP Aeo $2000000 S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE UMIT Ea aaddent BODILY INJURY (Per Pareon) S ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS BODILY INJURY (Per accid oe $ PROPERTYY (Per identl AGE $ NON AUTOS ONLY AUTOS ONLY UMBRELLA UAS OCCUR EACHOCCURRENCE S AGGREGATE s EXCESS LIAR CLAIM$ -MADE DEO I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMOoPLOYEETTERpVR/LIABILITY OFFICER/MEMBERE%0.UDE01ECUTIVEE NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI s (Mandatory In NH) H yes, descibe u:Mer DESCRIPTION OF OPERATIONS IM. E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlUPnal Rarearlu Schedule, may ha attached It more.pace Is required) General Liability Policy Includes Additional Insured endorsement forms CG2010 07041 CG2037 0704 and Waiver of Subrogation endorsement form CG2404 0509, each on a blanket basis when required by written contract General Liability Policy Includes 30 Day Notice of Cancellation endorsement form SLGL417 0617 on a blanket basis when required by written contract. General Liability policy Is Primary and Noncontributory when required by written contract, subject to form CG2001 0413. General Liability policy Includes endorsement (See Attached Descriptions) Calhoun County 202 S. Ann St. Ste. B Port Lavaca, TX 77979 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESEWATWE ®1988.2015 ACORD CORPORATION. All r(ahts reserved. ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S39465602/M37991274 JXTHN DESCRIPTIONS (Continued from Page 1) 1 form SLGL624 0617 Pollution Exclusion• Exception for Extended Time Element- $1M limit and endorsement form CG2262 0509 Underground Resources & Equipment Coverage- $1M limit. 2 of 2 #539465602/M37991274 # 22 NOTICE OF MEETING — 3/29/2023 22. Consider and take necessary action to authorize Dina Sanchez, Calhoun County Library Director to sign the service agreement contract with Compass Flooring Innovations to remove and replace the flooring in the Seadrift Library. (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 19 of 27 Mae Belle Cassel From: dsanchez@cclibrary.org (Dina Sanchez) <dsanchez@cclibrary.org> Sent: Thursday, March 23, 2023 10:51 AM To: Mae Belle Cassel Subject: Commissioner's Court Agenda for March 29th meeting Attachments: CCLBScan.pdf CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless Good morning, Can you please add this to the agenda for the March 29th meeting. Consider and take necessary action to authorize Dina Sanchez, Calhoun County Library Director to sign the service agreement contract with Compass Flooring Innovations to remove and replace the flooring in the Seadrift Library. Thank you, Dina Sanchez Calhoun County Library Director (361)552-7323 Calhoun County Texas Compass Flooring Innovations 704 E Cmstwaod or Tx 77904 US eneslrakostilemall.mm INVOICE w11! Seadrift County Library MHOO Library and meeting room DATE ACTIVITY Labor Labor Labor Materials Materiels Materials Labor Labor Materials Materials SHU.' TO Seadrift County Library INVolce 1383 1"Al"E 03120/2023 171.1E DAB t 03/21/2023 DESCRIPTION QTY RATE AMOUNT MEMO Demo and disposal of 3.528 1,50 5,292.00 existing carpet tiles. Skim floor to deactivate existing adhesive. Move furniture and 1 1.200.00 1,200.00 bookcases. (Shelves to be emptied by others) Install LVP Includes high 3,774 moisture resistance transitional adhesive. Provide and install4.5' 120 cove base. Provide and Install 8 transitions. NFP 20 Mil LVP 3,774 Demo and disposal of 11880 existing VCT Prep alkali areas from waterdamage. Skim floor to deactivate existing adhesive. Install LVP flooring. 1,900 Includes high moisture resistance adhesive. Provide and install4.5" 240 cave base. Transition Pieces 4 Installed USE CONSTITUTES ACCEP"1`ANCE. ALL RFI URNS MUST HE APPROVED IN ADVANCE AND VVILL I.dE SUBJECT 10 A 2Yk RESTOCKING f 1,T. PLEASE NOTE: THAT' SPECIAL ORDER ITEMS ARE HOWND UNDABLE. rage 'I c4 2 2.50 2.75 35.00 2.50 2.00 9,435.00 330.00 280.00 9,435.00 3,760.00 2.25 4,275.00 2.75 660.00 36.00 140.00 Materials NFP 20 MI WP 1,900 2,50 4,750.00 Labor Move furniture. 1 MOD 0.00 "'112 Downpeymerd and 12 upon comple5on"' sb apprecnlo sow twamasa SUBTOTAL 39,557.00 V� o bW fwuartl to wa.kng with again soon. In.e[as are ea: a rxa.ul. TAX ONO 92 tlow.Paymen pon [em0lellar. TOTAL 39,557.00 Gustomnr aryroval via emo can be me - 4eu pnalwe - BALANCE DUE $39,557.00 # 23 ' NOTICE. OF MEETING - 3/29/2023 23. Approve the minutes of the March 22, 2023 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner`Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 20 of 27 Richard ]H . Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, March 22, 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. Attached are the true and correct minutes of the above referenced meeting. c Richard H. Meyer, C my Judge Calhoun County, Texas Anna Goodman, County Clerk eputy Clerk 3-zq_ � z3 Date 3®Zq-Z3 Date Page 1 of 1 NOTICE OF MEETING--3/22/2023 March 22, 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, Anna Goodman congratulated Calhoun Theater on their UIL competition. Page 1 of 5 NOTICF OF MEFFING — 3/2.2/2023 S. Hear the 2022 Annual Report from the Calhoun County EMS Director. (RHM) Dustin Jenkins explained the booklet and stated to let him know if there were any questions regarding the report. 6. Public Hearing regarding amending the 2022 and 2023 Calhoun County Budgets. Regular mee�mg closed: 10,04 Canc((ice Villarreal'read the Changes Meeting gpened::10:23 7. Consider.and take necessary action to amend the 2022 and 2023 Calhoun County Budgets. (RHM) RESULT APPROVM6[UNA.iM6US - MOVER, "Dawd Hall;. Commissioner Pct 1 S, CONDER• Joel Behrehs,,CoMr isslOner?Pct3 g y , ' Hall, LySsy, Behrens, Reese__ AYES. Judge Meyer Commissioner 8. Consider and take necessary action to approve Kathy Smartt with Smartt Services to prepare and submit a CEPRA application for the Port Alto Park with the GLO In the amount of $400.00 using GOMESA funds. (JMB) RESULT; APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER; Gary. Reese, C I$$Iorler'Pet �} AYES Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to authorize the County Judge to sign the Owner (Agent GDR) Designation for the Boggy Bayou Nature Park Improvements, Phase I project. ;RESULT: APPROVED [UNANIMOUS] MOVER` ` Gary. Reese, Commissioner Pct 4 SECONDER: Jbel Behrens, Commissioner Pct 3 AYES :Judge Meyer, Corrtmissioner'Hall, Lyssy,.Behrens; Reese_ 10. Consider and take necessary action to authorize the County Judge to sign Change Order No. 1 for Boggy Bayou Nature Park Improvements, Phase 1; CMP Cycle 25 GLO Contract No. 21-060-013-C673. (GDR) RESULT: .: APPROVEM[UNANIMOUS] MOVER; GaryReese, Comm. ssloner.Pct 4 SECONDER. Joel Behrens, Cornmiss.1oner Pct 3 AYES.,.Judge Meyer, Gomrrissioner Ha11,`Lyssy, Behrens, Reese;: Page 2 of 5 NOTICE OF MEETING -- 3/22/2023 11. Consider and take necessary action to authorize the County Judge to sign a copier lease with DeWitt Path & Sons for the Justice of the Peace, Precinct 4. (RHM) RESULTI `.'; APOROV 1) [UNANIMOUS.] . . MOVE, •:. =Gary. Reese, Cormmissioner Pa4 .SECONOERl Joel Behrens Commissioner. ,Pat 3 AYES. Judge Meyer, Gommis ioneraHall,7. Lyssy, Weens, Reese 12. Consider and take necessary action to authorize the County Auditor to conduct the audit of the Sheriff's Office FY 2022 Asset Forfeiture Funds as required by the Code of Criminal Procedure Article 59.06. (RHM) RESULT: APPROVED [UNANIMOUS] INOVER: Vern Lyssy, Cmm oissionee Pct:2 S.EGONDER: "Gary Reese, Comrnissloner Pdt 4 AYES: J:utlge Meyer, CommissioneeHall, Lyssy, Behrens, Reese; - 13. Consider and take necessary action to acknowledge and accept the 2022 Stone Garden Grant for FY 2023 in the amount of $240,000. The Grant number is RGVRGV-12-004 V0. (RHM) RESULT: `.` APPROVED [UNANIMOUS] MOVER: David Hail; Commissioner Pct.-1 SECONDER. Uern Liyssy, Commissioner Pct 2 AYES Judge Meyer, Commissioner. Hall, Lyssy, Behrens, Reese 14. Consider and take necessary action to authorize the Calhoun County Library Director to sign the ERATE contract from Infinium to continue to provide fiber optic Internet to the Port O'Connor Library through the ERATE program. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary. Reese, Cornmissioner Pct 4 SECONDER: Joel Behrens, Comi issio_111.ner Pc.t 3 AYES. Judge Meyer, Corn missioner'Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to authorize the Calhoun County Library Director to sign the revised DIA Schedule from Frontier. (RHM) RESULT. " APPROVED [UNANIMOUS] MOVER: `.Vern Lyssy, Commissioner ht Z . SECONDER: David Hall Commissioner.Pet l AYES Judge Meyer; Commissioner Half, LySsy, Behrens,:Reese Page 3 of 5 NOTICE OF MEETING-3/22/207.3 16. Approve the minutes of the February 15, March 1, March 8 and March 15, 2023 meetings. RESULT:- APPROVED [UNANIMO.US] ,MOVER: Yem Ly55y, Comm. issioner Pet SECONDER Gary.Reese, Commissioner. Pct 4 AYES. Judge Meyer, Comtnissioner;Hall, LysSy, Eehrens, Rees_ 17. Consider and take necessary action to declare the attached list of items from Justice of the Peace, Precinct 4 as Waste. (RHM) RESULTS APPROVED [UNANIMOUS] MOVER• , Joel Behrens, Commissioner Pot 3 SECONDER: Kern Lyssy, COMMission Pct 2 DYES' Judge Meyer,, Cammissidner7Hall, LysSy, Behrens, Reese: 18. Consider and take necessary action to declare a 2000 Dodge Dakota, VIN 1B7GL22N9YS517226, Inventory number 565-658 as Surplus/Salvage and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. This vehicle was sold at auction. (VLL) pass 19. Consider and take necessary action to accept the attached list of donations to the Calhoun County Library for the months of January and February. (RHM) RESULTa APPROVED [UNANIMOUR] Mi VERidory Reese, Commissiona P.ct A ,. SECONDER: :Joel Behrens;: Commissloner Pct 3 AYES: Judge"Meyer; Comrnissoner Hall, Lyss. Behrens, Reese 20. Consider and take necessary action to declare the attached list of items from the Calhoun County Library as Surplus/Salvage for the months of January and February. (RHM) RESULT: APPROVED [UNANIMOUS] NNOVER: Gary. Reese, Corrlmissionr Pct 4 SECONDER: David Hall, Commissloner:Pct 1. AYES Judge Meyer, Cohi lssfoner,Hall,.Lyssy, Behrens, Reese. Page 4 of 5 NOTICE OF MEETING-, 3/22/2023 21. Accept Monthly Reports from the following County Offices: I. County Clerk — February 2023 II. Texas Agrilife Extension Service — February 2023 1. 4-H and Youth Development 2. Agriculture and Natural Resources 3. Family and Community Health 4. Coastal and Marine RE..SUtT. APPROVED [UNANIMOUS] MOVERS #ern Ly§sy, Cornsissioner PCt 2 SECON,I5ER� 'Joel.'Behrens,C©rrrmissioher:Pct3 =. AYE5: Judge Meyer; Commissioner H011, Lyssy, Behrens, Reese;: 22. Consider and take necessary action on any necessary budget adjustments. (RHM) 2022: RESULT: - "APPROVED [UNANIMOUS] MOVER: :' Vern Lyssy, Commissioner Pdt 2 SEC4NPER:,- Joel Behrens, Commissioner Pct 3 AYES 7Udge Meyer, Commissioner HaRj Lyssy, Behrens, Reese' RESULT:' : APPROVED[UN11iVIMOUS] MOVER Vern Lyssy, Gon missiofter Pct 2 SECQNPER: Joel Behrelis, Commissioner Pct 3 AYES: Judge,Meyer, Coromissioner;Hell, Lyssy, Behrens, Reese 23. ADnroval of bills and navrnll. (RHM) MMC Btlls: RESULT,' APPROVED CUNANIMOUSj MOVER: David Hall, Corrimi§§lonerjPet 1 SECONDER: Vern Lyssy CbmmIssloner`Pet 2 AYES Judge:Meyer, Commissioner,Hall, Lyssy, Behrens, Reese;: Page 5 of 5 # 24 NOTICE OF V EEI ING — 3/29/2023 24. Consider and take necessary action to transfer a 2000 Dodge Dakota, VIN 167GL221\19YS517226, inventory number 565-658 to the Sheriff's Office to be declared as Surplus/Salvage and remove from Road & Bridge, Precinct 2's Fixed Asset inventory. (VLL) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner'Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 21 of 27 Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 March 22, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the next Commissioners' Court Agenda • Consider and take necessary to transfer 2000 Dodge Dakota, VIN 1 B7GL22N9YS517226 inventory # 565-658 to the Sheriffs Office to be surplus/salvaged and remove from Road & Bridge, Pct. 2's Fixed Asset inventory. Sincerely, Vern Lyssy Commissioner. Pct. 2 VL/Ij # 25 NOTICE OF MEETING — 3/29/2023 25. Consider and take necessary action to remove a 2000 Dodge Dakota, VIN 1B7GL22N9YS517226, from the Sheriff's Office fleet. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 22 of 27 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: REMOVE 2000 DODGE FROM FLEET DATE: MARCH 29, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MARCH 29, 2023 * Consider and take necessary action remove a 2000 Dodge Pk from Sheriff's Office Fleet. VIN IB7GL22N9YS517226 Sincerely, Bobbie Vickery Calhoun County Sheriff # 26 NOTICE OE MEETING -- 3/29/2023 26. Consider and take necessary action to declare the attached list of items from CCEMS as Surplus/Salvage. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 23 of 27 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Friday, March 17, 2023 11:27 AM To: Mae Belle Cassel Cc: Candice Villareal Subject: EMS Surplus/Salvage & Waste Declaration Attachments: Surplus -Salvage Declaration Request Form_EMS_2023_3_17.pdf; Waste Declaration Request Form_EMS_2023_3_17.pdf Mae Belle, Please place the attached items on the attached Surplus/Salvage & Waste Declaration Forms on the next Commissioners Court agenda for approval. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361)571-0014 Calhoun County Texas Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: EMS Requested By: J. Dustin Jenkins, Director of EMS Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration 541-0238 2010 John Deer 42" Mower 050710 Surplus- No longer used 541-0209 EZGlide Stairchair 09N-110346 Salvage- Broken/unsafe 541-0204 Ferno Stretcher 09N-110759 Salvage- Broken/unsafe 541-0205 Ferno Stretcher 08-095508 Salvage- Broken/unsafe 541-0207 Ferno Stretcher 08-102509 Salvage- Broken/unsafe # 27 NOTICE OF MEETING — 3/29/2023 27. Consider and take necessary action to declare the attached list of items from CCEMS as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 24 of 27 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Friday, March 17, 2023 11:27 AM To: Mae Belle Cassel Cc: Candice Villareal Subject: EMS Surplus/Salvage & Waste Declaration Attachments: Surplus -Salvage Declaration Request Form_EMS_2023_3_17.pdf, Waste Declaration Request Form_EMS_2023_3_17.pdf Mae Belle, Please place the attached items on the attached Surplus/Salvage & Waste Declaration Forms on the next Commissioners Court agenda for approval. Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361)571-0014 Calhoun County Texas Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: EMS Requested By: J. Dustin Jenkins, Director of EMS Inventory Number Description Serial No. Reason for Waste Declaration 541-0110 RCA Camcorder 0511674 Lost N/A 5 Computer Monitors N/A Broken/Unusable 541-0235 Camera Security System N/A Replaced 2,P/1 541-0261 Cameras Outdoor N/A Replaced Firefox https://mail.calhouncotx.org/WorldClient.dII?Session=UYGRN8X2... From: "Candice.villarreal@calhouncotx.org (Candice villarreal)" <Candice.villarreal@calhouncotx.org> To: 'Dustin Jenkins"<dustin.jenkins@calhouncotx.org> Date: 03/16/2023 03:20 PM Subject: EMS Camera System Dustin, Looks like there was a camera system put on for the new building in 2011-Asset #541-0235. Can you take this off the inventory through Commissioners Court if it is being replaced by the new one. Also, the other cameras for outside, the second item listed, were they replaced as well with the new system? If so Asset # 541-0261 can be removed as well. Thank you, Q Candice 4/iffarreaf 1'1Assiaant Auditor Cafkoun County Auditors Office 202 S. Ann Street, Suite Pori Lavaca, `ZX r 7 979 Phone (361 j553-4612 Calhoun County Texas Attachments: File: EMS Cameras.pdf Size: 272k Content Type: application/pdf I of 1 3/17/2023, 10:48 AM M m r � r M CJ m m 0 N fN VI 5 g} t I Q I M 0 0 0 O O O N N N c v Q m m rn O O K O Q r n K K q K m !A f9 lA K fA ({1 ) ) i 1 N Q M av O > O O O) Y d YJ Q M Q M Z '> �O: O cl X j Z) J �F rL M WX 00 �� m .00 �O'% OWO O I m~ ZOZ N Z � J q 0QC9 U I- . of ©q J N O J N q O ZUJ a 'n 2 N 0W.., r 2i. a0= h N O ^2 Ono N Lr O LL' N N K O Q J LL Z O 6 W t0 h dW J"Z U U UUU U i � � m N N U O U p O li d M O N O W ZJ OF �w �o Om d �O m of m O O O m m m m m m n M n M n N) O M O M O M m Q O m Q m Q O O W O O O m 3 M 0 W M 0>W> M co W w 0- W- aad w} QmQmQ �TK >� �Tfl Ow OUww 0U) Nk(5a UU w ww Nk&m 1-: Mw W UmmZ J 2mmU U Z J o SmmU U Z 0 W q�a� N W < a-P In W J gear uwmu UwmO UmaU 0. J W w w J W w N J W w m 0 0 0 w N N w of W w 0. U� C) U2i N w y W N W o w ow C)w Q Q Q # 2s ' NOTICE OF MFETING-3%29%2023 28. Accept Monthly Reports from the following County Offices: i. Sheriff — February 2023, corrected ii. Tax Assessor -Collector - February 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 25 of 27 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT FEBRUARY 2023 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 $ 1,647.75 GL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL Fees In Excess of Collections MERCH SERVICES STATEMENT Additional Postage - Vehicle Registration Paid County Treasurer - Additional Postage Motor Vehicle Sales & Use Tax Collections Paid Stale 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 $ 68.88 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL In Excess/Shortage of Collections BoaUMotor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary Fund TABC 5 % 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, Nov. East Paid County Treasurer, all other districts INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT Paid County Treasurer, Interest on PSW Ace INTEREST EARNED ON REFUND ACCOUNT Paid County Treasurer, Interest on Refund Ace COLLECTIONS DISBURSEMENTS 452 $ 5,876.00 $ 3,616.00 $ 2,260.00 $ 136,910.49 $ 25.00 $ 42,829.48 $ 18,715.65 $ 67,866.01 $ 6,887.60 $ 1,440.51 $ 207.24 $ 715,892.79 $ 19,010.00 $ 2,259.00 $ 68.88 $ 27,105.68 $ 247.53 $ 2.41 $ 0.06 $ 715,892.79 $ 19,010.00 $ 2,033.10 $ 225.90 $ 99.38 $ (30.50) $ 25,75OA0 $ 1,355.28 $ 247AO $ 0.13 $ 2.41 $ 0.05 Business Personal Property - Misc. Fees $ 195.47 Paid County Treasurer $ 195.47 Excess Funds $ - Paid County Treasurer $ - Overpayments $ 3.05 Current Tax Collections $ 406,988.36 Penalty and Interest - Current Roll $ 18,664.34 Discount for early payment of taxes $ (0.24) Delinquent Tax Collections $ 6,506.29 Penalty&Interest - Delinquent Roll $ 3,804.81 Collections for Delinquent Tax Attorney $ 1,704.77 Advance - FM & L Taxes $ 1.81 Advance- County AdValorem Taxes $ 427,866.21 Paid County Treasurer - Nay. East $ 296.42 Paid County Treasurer- all other Districts $ 6,802.64 Paid County Treasurer - Delinq Tax Atty. Fee $ 1,704.77 Payment In Lieu of Taxes $ - Paid County Treasurer - Navig. East $ - Paid County Treasurer - All other Districts $ - Special Farmers Fees Collected $ 70.00 Paid State Treasurer, Farmers Fees $ 70.00 Hot Check Collection Charges $ - Paid County Treasurers, Hot Check Charge $ - Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunded $ - VEHICLE INVENTORY TAX $ 85.46 Paid County Treasurer -Vehicle Inventory Tax $ 86.46 TOTAL COLLECTIONS $ 1,344,420.37 TOTAL DISBURSEMENTS $ 1,344,420.37 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 1,344,420.37 i l phAAv baud, KERRI BOND e Tax Assessor -Collector c RICHARD HWEYEIR County Judge SHERIFF'S OFFICE MONTHLY REPORT Feb-23 CoVQM-Q- BAIL BOND FEE $ 495.00 CIVIL FEE $ 516.10 CASH BOND $ 1,600.00 JP#1 $ 2,777.20 JP#2 $ 641.50 JP#3 $ 734.50 JP#4 JP#5 SEADRIFT MUN. PC MUN $ 2,315.60 OTHER TOTAL: $ 9,079.90 2g� # 29 ' NOTICE OE MEETING— 3/"29/2023 29. Consider and take necessary action on any necessary budget adjustments. (RHM) 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 26 of 27 M m ° a€ 3 M3 z ,l: M. m Z: y �E z Z °a m m rE 0 00 € c v n m m m n c O Fi N 2§ M\ z. mk � §III ME § a) ■. \ B ME _ z; ; g«§■ § Z; o: B �| o: m , ) 2 k 3- 2§§ m §| qm_ § »§ k %( )[ ■� � % §| M- z k k` I. ; % g c | §k§n c r �� § § | § §c zz e§ �� § § W: ME ( k : v : t : k K'L k � � § z / �) ■■ � ® _ @ � ISIIq \Bm � a § @ 0 _g m z G§ § mm § «B ; 2 _§§§ a=© c § 2 N % q 2 § § k k k u �m �z c� A _ m m n A Zz j(A T A A 5 cmn T P. F4 S c f co MOE W C T z 0 0 m ic 1 m m 1 0 a r v o 0 ME A Z z D m A T m 0 m m m J a z c 0)0T -< n A c09 mz3 m O m T ND co z z z 000 z z z 3 m v z �^ m', O T m zM. �! i 3! m Z Z z; a; m m Z O v z a a; z mE z z v: m: �o a: m: Z: Z: eo € § / m § § \B� PON m ■ z § ; ( \ O Q 0 a4 A ig O k, # 30 ' NOTICE OF MEETING -- 3/29/2023 30. Approval of bills and payroll. (RHM) MMC Bills:, 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 Adjourned 10:54 Page 27 of 27 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---March 29, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLE% PAYROLL AND.ELECTRONIC BANK PAYMENTS TOTAL TRANSFERS BETWEEN,FUNDS TOTAL NURSING_. HOME UPL EXPENSES TOTAL INTER -GOVERNMENT TRANSFERS $ 1,056,668,25_ V- $ _ 461,164.39 $i 1,778A,47;33, GRAND TOTAL DISBURSEMENTS APPROVED March 29, 2623 $ 3,294A79.9T '/ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---March 29, 2023 PAYABLES AND PAYROLL 3/23/2023 Weekly Payables 458,004.09 3/23/2023 Patient Refunds 2,207-56 31272023 Direcht-cable 423.60 3/27/2023 Calhoun Countyshell energy electricity 31,226.83 3127/2023 Sparklight-cable 12T34 3127/2023 McKesson-3408 Prescription Expense 16,582.38 3/27/2023 Amedsource Bergen-3408 Prescription Expense 2,466.42 3/2712023 Payroll Liabilities -Payroll Taxes 130,917.47 3/27/2023 Payroll 412,953.25 Prosperity Electronic Bank Payments 3/2312023 Credit Card 8 Lease Fees 560.00 3/20-312423 Pay Plus Patient Claims Processing Fee 199,31 TOTAL.-PAYABLE§'r PAYROLL AND'.ELECTRONIC BANK PAYMENTS $'- 1,059,66826' TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 323/2023 MMC Operating to Ashford -correction of NH QIPP payment deposited into MMC 72,103.46 Operating 3/23/2023 MMC Operating to Solera-correction of NH QIPP payment deposited into MMC 21,590.20 Operating 3/23/2023 MMC Operating to For[ bend -correction of NH QIPP payment deposited into 24.938,76 MMC Operating 3/23/2023 MMC Operating to Broadmoor-correction of NH QIPP payment deposited into 23,625A4 MMC Operating 3/232023 MMC Operating to Crescent -correction of NH QIPP payment deposited into 14,043.81 MMC Operating in error 3/2312023 MMC Operating to Golden Creek -correction of NH insurance and QIPP payment 68,991.50 deposited into MMC Operating In error 3/23/2023 MMC Operating to Gulf Pointe Plaza -correction of NH insurance and QIPP 41,272.78 payment deposited into MMC Operating 3/23/2023 MMC Operating to Tuscany Village -correction of NH insurance and QIPP 106.18111 payment deposited into MMC Operating 3/23/2023 MMC Operating to Bethany -correction of NH insurance and QIPP payment 74,148.73 deposited into MMC Operating TRANSFER OF FUNDS BETWEEN NURSING HOMES/MMC 3/27/2023 Crescent to Solers-correction of Solera insurance payment deposited into 14,268.00 Crescent in error TOTAL TRANSFERSiBETWEEN.FUNDS $ 461;164 39; NURSING HOME UPL EXPENSES 3272023 Nursing Home UPL-Cantex Transfer 928,583.59 3272023 Nursing Home UPL-Nexion Transfer 169,861.36 3/2712023 Nursing Home UPL-HMG Transfer 118,061.38 3/27/2023 Nursing Home UPL-Tuscany Transfer 181,181.58 3/2712023 Nursing Home UPL-HSL Transfer 206,726.15 QIPP CHECKS TO MMC 3/2712023 Ashford 35,644.29 3/27/2023 Broadmoor 12,306.74 3/27/2023 Crescent 8,140.17 3/27/2023 Fort Send 11,819.37 327/2023 Solaro 10,664.72 3127/2023 Golden Creek 31,762.41 3127/2023 Gulf Pointe 26,951.73 3/27/2023 Tuscany 20,421.48 312712023 Bethany 26,022.36 TOTAL NURSING HOME UPL EXPENSES TOTAL•INTERaGOVERNMEN7 TRANSFERS GRAND TOTAL OISBUPSEMENTS APPROVED,March 29 2023 t, 3,2940,197` Page I of 10 RECFJVED BY THE COUIyN�� TYgAUDITOR ONI MEMORIAL MEDICAL CENTER IVN%/L%3 o2923 D 11:26 AP Open Invoke List h Due Dates Through: 04/13/2023 CALHOUNCOUNPY,'TESlr$ 9 ap_open_Invoice.template Vendor# Vendor Name Class Pay Code R1200 ADTCOMMERCIAL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 149594383 ✓ 03/22/20 03/05/20 03/30/20 53.61 0.00 0.00 53.61 ✓� FIRE MONITORING Vendor Totals Number Name Gross Discount No -Pay Net R1200 ADTCOMMERCIAL 53.61 0.00 0.00 53.61 Vendor# Vendor Name Class Pay Cade 14028 AMAZON CAPITAL SERVICES ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 1NYF-YJTD-6771 1/ 03/15/20 03/08/20 04/07/20 62.00 0.00 0.00 62.00 v' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14028 AMAZON CAPITAL SERVICES 62.00 0.00 0.00 62.00 Vendor# Vendor Name Class Pay Code A1360 AMERISOURCEBERGEN DRUG CARP ✓ W Invoice# Comment Tmn Ot Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 803945299 ✓ 03/22/20 03/15/20 03/21/20 236.34 0.00 0.00 236.34 INVENTORY 3127385899 ,% 03/22/20 03/22/20 03/28/20 2,296.90 0.00 0.00 2.296.90 ✓ IVENTORY Vendor Totals Number Name Gross Discount No•Pay Net A1360 AMERISOURCEBERGEN DRUG CORP 2,533.24 0.00 0.00 2.533.24 Vendor# Vendor Name Class Pay Cade A2218 AQUA BEVERAGE COMPANY ✓� M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 252142 / 03/22/20 02/23/20 03/20/20 35.97 0.00 0.00 35.97✓" WATER Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 35.97 0.00 0.00 35.97 Vendor# Vendor Name Class Pay Code A260D AUTO PARTS & MACHINE GO., / W Invoice# Comment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net 998729 03/23/20 12/19/20 01/03/20 32,96 0.00 0.00 32.96 ,! SUPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 32.96 0.00 0.00 32.96 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 110479307 ✓ 03/22/20 03/06/20 03131 /20 84.95 0.00 0.00 84.95 ✓'- 4UPPLIES 110479517✓ 03/2212003/0612003/31/20. 4,470,76 0.00 0.00 4,470.78 �✓ CONTRACT Vendor Total: Number Name Gross Discount No -Pay Not B1220 BECKMAN COULTER INC 4,555.71 0.00 0.00 4,55531 Vendor# Vendor Name Class Pay Code 12324 BLUE CROSS BLUE SHIELD ✓� file:///C:/Users/ltrevino/cpsi/menimed.cpsinet.coln/u88125/data 5/tmp_cw5report264996... 3/23/2023 Page 2 of 10 Invoice# Comment Tran Ot Inv or Due Dt Check D Pay Gross Discount No -Pay Net 031723 03/22/20 03/17/20 04/01/20 223,441.30 0.00 0100 223,441.30 APR 23 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE SHIELD 223,441.30 0.00 0.00 223,441.30 Vendor# Vendor Name Class Pay Code 11224 CABLES AND SENSORS ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 146565 ✓� 03/15/20 03/10/20 04/09/20 168.00 0100 0.00 188.00 v' HP ADAPTER CABLE Vendor Total: Number Name Gross Discount No -Pay Net 11224 CABLES AND SENSORS 168.00 0.00 0.00 188.00 Vendor#VendorName Class Pay Code C1992 COW GOVERNMENT, INC. ✓ M Invoice# Comment Tran Dt Inv or Due DI Check D Pay Gross Discount No -Pay Net HG66502 / 03/22/20 03/08/20 04/07/20 265.33 0.00 0.00 265.33 r/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1992 COW GOVERNMENT, INC. 265.33 0.00 0.00 265.33 Vendor# Vendor Name Class Pay Code 12758 CHEMAQUA ✓/ Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Not 8152126 03/22/20 03/10/20 03/20/20 565.43 0.00 0.00 565.43 ✓' WATER TREATMENT Vendor TotalsNumber Name Gross Discount No -Pay Net 12768 CHEMAQUA 565.43 0.00 0.00 565.43 Vendor* Vendor Name Class Pay Cade 10212 CLINICAL PATHOLOGY LABS „ram ICP Invoice# - Comment Tran Dt Inv Or Due Dt Check O Pay Gross Discount No -Pay Net 17656-202302-0 Vr/ 03/22/20 DPJ28/20 03/28/20 13,202.85 0,00 0.00 13,202.85 LAB SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10212 CLINICAL PATHOLOGY LABS 13,202.85 0.00 0.00 13,202.85 Vendor# Vendor Name Class Pay Code C1156 COASTAL OFFICE SOLUTONS of W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay. Net CEOT226261 ✓r 03/22/20 03/06/20 03/16/20 143,42 0.00 0.00 143.42 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1166 COASTAL OFFICE SOLUTONS 143.42 0.00 0.00 143.42 Vendor# Vendor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVERAGES 1/ Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 345302880D9 ,�' 03/08/20 03t0=0 04/07/20 1.111.08 0.00 0.00 1,111.08 � BEVERAGES Vendor Totals Number Name Grass Discount No -Pay Net 13336 COCA COLA SOUTHWEST BEVERAGES 1,111.08 0.00 0.00 1,111,08 Vendor# Vendor Name Class Pay Code 14796 COKER GROUP HOLDINGS, LLC ✓� Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 030223 03/22/20 03/02/20 04/01/20 2,500.00 0.00 0.00 2,500,00 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report264996... 3/23/2023 Page 3 of 10 DEPOSIT -FAIRMARKET VALU Vendor Totals Number Name Gross Discount No -Pay Net 14796 COKER GROUP HOLDINGS, LLC 2,500.00 0.00 0.00 2,500.00 Vendor# Vendor Name Class Pay Code 13572 COMMUNITY INFUSION SOLUTIONS ✓` Invoice# C mment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 202303-16 0312312003/02/2003/12120 15,986.68 0.00 000 15,986.68 INFUSION SERV FEB 23 . Vendor Totals. Number Name Gross Discount No -Pay Net 13572 COMMUNITY INFUSION SOLUTIONS 15,986.68 0.00 0.00 15,986.68 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 6592086 e/ 03/1412003/09/2004/01120 132.01 0,00 0.00 132,01 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Nat C2157 COOPER SURGIGALINC 132.01 0.00 0.00 132.01 Vendor# Vendor Name Class Pay Code C1443 CYGNUS MEDICAL LLC ✓' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 406927./ 03/22/20 03/14/20 04/13/20 419.00 0.00 0.00 419.00: SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01443 CYGNUS MEDICAL LLC 419.00 0.00 0.00 419.00 Vendor# Vendor Name Class Pay Code 14292 DEARBORN LIFE INSURANCE COMPAN `Z' Invoice# Comment Tran Dt Inv Ot Due or Check DPay Gross Discount No -Pay Net 031323 03/22/20 03/13/20 04/01/20 4.581,34 0.00 0.00 4,581.34 ✓^` LIFE INSRUACNE Vendor Totals Number Name Gross Discount No -Pay Net 14292 DEARBORN LIFE INSURANCE COMPAN 4,581.34 0.00 0.00 4.581.34 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH&SON ,./' Invoice# Comment Tran Dt tnv Ot Due Dt Check D Pay Gross Discount Nc�Pay Net 7097460. 03/14/20 03101 /20 03/26/20 19.31 0.00 0.00 19.31,,.- SUPPLIES 7123381./f 03/14/20 03/13/20 04/07/20 142.99 0.00 0.00 142.99 /SUPPLIES 712338-2 ✓ 03/21/20 03/14/20 04/08/20 28.36 0.00 0.00 28.35 .! SUPPLIES 712900-0 ✓ 03/21/20 03/14/20 04/08/20 540,68 0.00 0.00 540.68 SUPPLIES 713083-1 v/ 03/21/20 03/1 W20 04/10/20 16.84 OAO 0.00 16.84 SUPPLIES 713269-0 ✓ 03/21/20 0117/20 04/11/20 207.61 0.00 0.00 207.61 ✓' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Not. 10366 DEWITT POTH & SON 955.78 0.00 0.00 955.78 Vendor# Vendor Name Class Pay Code 10769 DISCOVERY MEDICAL NETWORK INC v Invoice# Comment Tran DI Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net file:///C:lUsers/Itrevino/cpsi/memmed.cpsinet.com/n88125/data_5/tmp_cw5report264996... 3/23/2023 Page 4 of 10 MMC031523 ✓` - 03122120 03115120 03/16120 123,831.98 0.00 0.00 PHYSICIAN SERVICES NkA1) 1-157,'MS15 VentlorTotatNumber Name Gross Discount No -Pay 10789 DISCOVERY MEDICAL NETWORK INC 123,631.98 0.00 0.00 Ventlor# Vendor Name Class Pay Code 11944 EQUIFAX WORKFORCE SOLUTIONS -' Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay 2054456756E 03/15/20 03/08/20 04/07/20 10.99 0.00 0.00 CREDITREPORTING i�-ll-zi29+23� 2053602497 ✓ 03/22/20 11/0=0 12/08/20 10.99 0.00 0.00 CREDIT REPORTING JIo11 - to 131127-) Vendor Totals Number Name Gross Discount No -Pay 11944 EQUIFAX WORKFORCE SOLUTIONS 21.98 0.00 0.00 Ventlor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE ✓ M Invoice# Comment Tran IN Inv or Due Ot Check D Pay Gross Discount No -Pay 1084726 ✓ 03l22/20 03/07/20 04/01 /20 164.32 0.00 0.00 SUPPLIES 1084724 ✓ 03/22/20 03/07/20 04/01/20 -47.29 0.00 0.00 CREDIT 1084725 ✓ 03/22/20 03/07/20 04101/20 110.49 0.00 0.00 SUPPLIES 1170900 ✓' 03/22/20 03/09/20 04/03/20 328.78 0.00 0.00 SUPPLIES 1170899 ✓ 03/22/20 03/09/20 04/03/20 43.60 0.00 0.00 SUPPLIES 1170901 ..: 03/22/20 03/09/20 04/03/20 164.39 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay F1400 FISHER HEALTHCARE 764.29 0.00 0.00 Ventlor# Vendor Name Class Pay Code 10283 GE HEALTHCARE r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 202873700 / 03/15/20 03/13/20 04/07/20 47.95 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay 10283 GE HEALTHCARE 47.95 0.00 0.00 Vendor# Vendor Name Class Pay Code W1300 GRAINGER✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 9636608516 ✓ 03/22/20 03/10/20 04/04/20 94.96 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay W1300 GRAINGER 94.96 0.00 0.00 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY ✓' M Invoice# ! Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 2366356 r'` 03/21/20 03/14/20 04/13/20 538.07 0�00 0.00 SUPPLIES 2366354✓ 03/21/20 03/14/20 04/13120 35.61 0.00 0.00 SUPPLIES 123,831.98 r.�` Net 123,831.98 Net 10,99 r/ 10.99 v Net 21.98 Net 164.32 ✓Z -47.29 ✓ 110.49 ✓ 328.78 ✓! 43,60 ✓` 164.39 ✓ Net 764.29 Net 47.95 ✓ J Net 47.95 Net 94.96 V` Net 94.96 Net 538,07 ✓ 35.61 fi le:///C:/Users/Itrevino/cpsi/lnemmed.cpsinct.coin/u88125/data_5/tmp_ew5report264996... 3/23/2023 Page 5 of 10 Vendor Total:Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 573.68 0.00 0.00 573.68 Vendor# Vendor Name I Class Pay Cade 10334 HEALTH CARE LOGISTICS INC v-'r Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3088869, 1 4/' 03/21/20 03/16/20 04/10120 71.61 0.00 0.00 71.61 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10334 HEALTHCARE LOGISTICS INC 71.61 0.00 0.00 71,61 Vendor# Vendor Name class Pay Code 12868 HOLT CAT ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net PIEE0042724✓� 03/14/20 02128120 03/15/20 474.00 0.00 0.00 474.00 ✓' SUPPLIES Vendor Totafe Number Name Gross Discount No -Pay Net 12868 HOLT CAT 474.00 0,00 0,00 474.00 Vendor# Vendor Name Class Pay Code 11692 INJOY HEALTH EDUCATION Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV344179 03/22120 03113/20 04101/20 210.93 0.00 0.00 210.93 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11692 INJOY HEALTH EDUCATION 210.93 0.00 0.00 210.93 Vendor# Vendor Name Class Pay Cade J0150 J & J HEALTH CARE SYSTEMS, INC ✓ Involce# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 933187982, 03/15/20 03/09/20 04/08/20 140.48 0.00 0.00 140.48 ✓' SUPPLIES 933239414 ✓ 03/21/20 03/14/20 04/13/20 404.03 0.00 0.00 404.03 ✓ SUPPLIES Vendor Totale Number Name Gross Discount No -Pay Net J0150 J & J HEALTH CARE SYSTEMS, INC 544.51 0.00 0.00 544.51 Vendor# Vendor Name Class Pay Code D1710 KEEP-U-NEAT CLEANERS ,.r`� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 030123 03/22/2003115/2003/25/20 1.061.00 0.00 0.00 1,061,00 ✓✓ DRY CLEANING 211q-311123 Vendor Totals Number Name Gross Discount No -Pay Net 01710 KEEP-U-NEAT CLEANERS 1'061.00 0.00 0.00 1,061.00 Vendor# Vendor Name) Class Pay Code 11600 LEGAL SHIELD Invoice# Comment Tran Dt Inv Dt Due DI Check 0, Pay Gross Discount No -Pay Net 031523 03/22/20 03115120 04/01/20 345.15 0.00 0.00 345.15✓' PAYROLLDEDUCT Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 345.15 0.00 0.00 345.15 Vendor# Vendor Name Class Pay Cade 11612 MEDICAL AIR SERVICES ASSOC. / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1486466✓' 03122/2003/22/2004101t20 1,740.00 0.00 0.00 1,740.00 PAYROLL DEDUCT file:!//C:lUserslltrevino/cpsi/memmed.cpsinet. com/u88125/data_5/tmp_cw5report264996... 3/23/2023 Page 6 of 10 Vendor Totals Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC. 1,740.00 0.00 0.00 1,740.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2255928993 ✓ 03/14/20 03/01/20 03l26/20 802.31 0.00 0.00 802.31 ✓' SUPPLIES 2256911866 ✓ 03/14/20 03/08/20 04/02/20 14,798.10 0.00 0.00 14,798.10 ✓ SYPPLIES 2256726640 v 03/22/20 03/07/20 04/01/20 644.10 0.00 0.00 644.10✓ SUPPLIES 2256726639v/ 03/22120 03107/20 04/01120 31.35 0.00 0.00 31.35✓ SUPPLIES 2257097667 0$/22/20 03/08/20 04/02/20 158.97 0.00 0.00 158.97 SUPPLIES 2257103423 ✓ 03/22/20 03/09/20 04/03/20 131.02 0.00 0.00 131.02 ✓ SUPPLIES 2257103425 1/ 03/22/20 03/09/20 04/03/20 261.88 0.00 0.00 261.88 ✓ SUPPLIES 2257866922✓ 03/22/20 03/14/20 04/08/20 40.72 0.00 0.00 40.72 ✓ SUPPLIES 2257866921 -/ 00/22/20 03/14/20 04/08/20 142.91 0.00 0.00 142.91 ✓ SUPPLIES 2257866925 ✓ 03/22/20 03/14/20 04/08/20 35.84 0.00 0.00 35.84 SUPPLIES 2257866924 / 03/22/20 03/14/20 04/08/20 25.83 0.00 0.00 25.83 " SUPPLIES 2258079791 03/22/20 03/15/20 04/09/20 397.13 0.00 0.00 397.13 SUPPLIES Vendor TotalENumber Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 17,470.16 0.00 0.00 17,470.16 Vendor# Vendor Name Class Pay Code M2685 MICROTEK MEDICAL INC ✓� M Involca# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6274781578 ''� 030120 0210PJ20 03/02/20 352.08 0.00 0.00 352.08 a.." SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2685 MICROTEK MEDICAL INC 352.08 0.00 0.00 352.08 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP ,�'`- w Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 031623 03/22/20 03/16/20 03/26/20 216.16 0.00 0.00 216.16 PAYROLL DEDUCT Vendor Totals Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 216.16 0.00 0.00 216.16 Ventlor# Vendor Name Class Pay Code 10536 MORRIS & OICKSON CO, LLC ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 9348977 y1 03/22/20 03/15/20 03/25/20 10.49 0.00 0.00 10.49 4 ' INVENTORY 9346874 t,' 03/22/20 OW15120 03/25/20 107.31 0.00 0.00 107.31 file:/UC:/Users/Itrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_ew5repoTt264996... 3/23/2023 Page 7 of 10 INVENTORY 8351082 ,.'� 03/22/20 03/15/20 03/25/20 30.99 0.00 0.00 30.99 Y{, INVENTORY CM18858 ✓ 03/22/20 03/15/20 03/25/20 -666,82 0.00 0.00 -666.82 CREDIT 9348878 ,-"" 03/22/20 03/15/20 03/26/20 2.55 0.00 0.00 2.55 ✓" INVENTORY 9345739✓ 03/22/20 03/15/20 03/25/20 724.19 0.00 0.00 724.19 INVENTORY CM1805703/22120 03/15/20 03125/20 -45.36 0.00 0.00 -45.36,/ CREDIT 9345741 v' 03/22/2003/1512003/25/20 504.83 0.00 000 504.83 ✓� INVENTORY 9345738 ✓ 03/22/20 03/15/20 03/25/20 440.07 0.00 0.00 440.07 ✓ INVENTORY CM18858 f. 03/22/2003/1512003/25/20 -5.04 0.00 0.00 -5.04 CREDIT 9351083 ✓/ 03/22/20 03/15/20 03/25/20 322.23 0.00 0.00 322.23 ✓ INVENTORY 934574D ✓ 03/22/20 03/15/20 03/25/20 340.91 0.00 0.00 340.91 "f INVENTORY 0005 ✓ 03/22/20 03/16/20 03/26/20 -0.64 0.00 0.00 -0.64„-' CREDIT 9354228 „/ 03/22/20 03/16/20 03/26/20 56,59 0.00 0.00 58.59 INVENTORY 9354229,,!' 03122/20 03/16/20 03/26/20 211.99 0.00 0.00 211.99 INVENTORY 9358840 ✓ 03/22/20 03/19/20 03/29/20 40A 0 0.00 0.00 40.10 ✓`� INVENTORY 9360932✓`t 03/22/2003/19/2003/29/20 5.584.43 0.00 0,00 5,584.43 L,r' INVENTORY 9360931i,/� 03122/2003/19/2003129/20 4,463,83 0.00 0.00 4,453,83 INVENTORY 9362464 ✓ 03/22/20 03/20/20 03/30/20 226.97 U0 0.00 226.97,, INVENTORY 9364711 ,1' 03/22/20 03/20/20 03/30/20 5.50 0.00 0100 5.50 INVENTORY 9364710 J " 03/22/20 03/20/20 03/30/20 260.55 0.00 0100 260.55 INVENTORY 93677401i 03/22/2003121/2003/31/20 53.85 0.00 0.00 53.65 f INVENTORY 9370124 �"� 03/22/20 03/21/20 03/31/20 251.65 0.00 0.00 251.65 r/ INVENTORY 9370125 ,, / 03/22/20 03/21/20 03/31/20 24.34 0.00 0100 24.34 IVENTORY Vendor TotalE Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 12,935.51 0,00 0.00 12,935.51 Vendor# Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION Invoice# Comment Tran Dt Inv Ot Due Ot Check D-Pay Gross Discount No -Pay Net 8001 �" 03122120 03/21/20 03/31120 204.12 0.00 0.00 204.12 V, y'! tile:///C:/Users/ltrevino/epsi/memmed,cpsinet, com/u88125/data_5/tmp^cw5report264996... 3/23/2023 Page 8 of 10 TRANSCRIPTION SERV Vendor Total! Number Name Gross 13548 NACOGDOCHES TRANSCRIPTION 204,12 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE Invoice# Comment Than Dt Inv Dt Due Dt Check D Pay Gross 3906953 �/' 03/22/200311312004101/20 3,709.41 LIFE INS Vendor Totals Number Name Gross 12388 NATIONAL FARM LIFE INSURANCE 3.709,41 Vendor# Vendor Name Class Pay Code 13624 NEXION HEALTH AT NAVASOTA INC ✓ Invoice# omment Tran Dt Inv Ot Due Dt Check DPay Gross 20230202"1 03/22120 03106/20 04101/20 11000.00 TELEMEDICINE FEB 23 Vendor Totals Number Name Gross 13624 NEXION HEALTH AT NAVASOTA INC 1,000.00 Vendor#Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL w Invoice# Comment Tran Dt Inv Dt Owe Dt Check D Pay Gross 91132014 1= 03/21/20 03114/20 03/21/20 10.00 SUPPLIES Vendor Totals Number Name Gross 10868 NOVA BIOMEDICAL 10.00 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC v', M Invoice# Comment Tran Dt Inv Of Due Dt Check D- Pay Gross 34065977✓ 03/21120 03/07120 04/01/20 1,125.00 SERVICE AGREEMENT 3409161,V 03/21/2003113/2004107/20 303.47 SUPPLIES Discount No -Pay Net 0,00 0.00 204.12 ✓ Discount No -Pay Net 0.00 0.00 3,709.41 L,=' Discount No -Pay Net 0.00 0.00 3,709.41 Discount No -Pay Net 0.00 0.00 1,000.00 Discount No -Pay Net 0,00 0.00 1,000.00 Discount No -Pay Not 0.00 0.00 10.00 � Discount No -Pay Net 0.00 0.00 10.00 Discount No -Pay Net 0.00 0.00 1,125.00.J- 0.00 0.00 303,47 Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,428.47 0.00 0.00 1,428.47 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR ✓' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2084090861 -. 03/22/20 03/07/20 04/06/20 73.12 0.00 0.00 73.12,, SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net OM426 OWENS & MINOR 73.12 0.00 0.00 73.12 Vendor# 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 1022698886 of- 03/23120 03/10/20 04109120 253.92 0.00 0.00 253,92 POSTAGE Vendor Totals Number Name Gross Discount No -Pay Net P1800 PITNEYBOWESINC 253.92 0.00 0.00 253.92 Vendor# Vendor Name Class Pay Code R1401 REFUGIO COUNTY MEM. HOSPITAL W Y,' Invoice# Comment Tran Dt Inv DI Due Dt Cheek D Pay Gross Discount No -Pay Net 031523 03/22/20 03/15/20 04/01/20 52.00 0X0 0.00 52.00 y file:///C:/Users/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report264996... 3/23/2023 Page 9 of 10 PHARMINVENTORY Vendor Totals Number Name Gross Discount No -Pay Nei R1401 REFUGIO COUNTY MEM. HOSPITAL 52.00 0,00 0.00 52.00 Vendor# Vendor Name Class Pay Code 11252 RX WASTE SYSTEMS LLC e/, Invoice# Comment Tran Dt Inv Dt Due Ot Check DL Pay Gross Discount No -Pay Net 4024 ,%� 03/22/20 03/13/20 04/07/20 300.00 0.00 0.00 300.00 WASTE Vendor Totals Number Name Gross Discount No -Pay Net 11252 FIX WASTE SYSTEMS LLC 300.00 0.00 0.00 300.00 Vendor# Vendor Name Class Pay Code S1001 SANOFI PASTEUR INC ✓'� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount NaPay Net 920239903 03/22/20 02/16/20 03/16/20 2,389.34 0.00 0.00 2,369.34 �,,,•' Vendor Totals Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR INC 2,369,34 0.00 0.00 2,369.34 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN V / Invoice# Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Net 107029359 ,: 03/22/20 03/15/20 04/09/20 4,684.00 0.00 0.00 4,894.00 BLOOD CM907P v�l 03/22/20 03/15/20 04/09/20 -2,844.00 0.00 0100 -2,844.00 ti CREDIT Vendor Totals Number Name Gross Discount No -Pay Not 11296 SOUTH TEXAS BLOOD & TISSUE CEN 1,840.00 0.00 0.00 1,840.00 Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 031623 03/23/20 03/16/20 03/17/20 122.07 0.00 0.00 122,07�`' CABLE 031723 03/23/20 03/17/20 03/18/20 2.260.00 0.00 0.00 2,250.60 % CABLE y: Vendor Totals Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 2,372.07 0.00 0.00 2,372.07 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION M Invoice# 90mmenl Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net 10958133 % / 03/22/20 03/14/20 04/08/20 650.86 0.00 0.00 650.86 1,1 SUPPLIES 10955217 03/22/20 03/14/20 04/08/20 MSUPPLIES 26.07 0.00 0.00 25.07 Vendor Totals Number Name Gross. Discount No -Pay Net S3940 STERIS CORPORATION 675.93 0.00 0,00 675.93 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY Invoice# Comment Tran Ot Inv Ot Due Ot Check D Pay Gross Discount No -Pay Net 4658488 ✓" 03/14/20 03/08/20 04/07/20 2,224.64 0.00 0.00 2.224.64 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10736 STRYKER SUSTAINABILITY 2,224.64 0.00 0.00 2,224.64 fl le:///C:/Users/Itrevino/cpsi/memmed.epsinet.00m/u88125/data_5/tmp_cw5report264996... 3/21/2023 Page 10 of 10 Vendor# Vendor Name Class Pay Code 13168 SWINGING ON A STAR, INC" Invoice# Comment Tran Dt Inv Ot Due or Check O Pay Gross Discount No -Pay Net 6813600 v/� 03/23/2008/24/2009/23/20 104.50 0,00 0.00 104.60 BLANKET Vendor TOWN Number Name Gross Discount No -Pay Net 13166 SWINGING ON A STAR, INC 104.50 0.00 0.00 104.50 Vendor# Vendor Name Class Pay Code 12704 TEXAS BURNER & BOILER SERVICES - Involce# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 23.3237 v� 03/23/20 02/20/20 03/23/20 21019,00 0.00 0.00 2,019.00 LABOR/MILEAGE Vendor Totals Number Name Gross Discount No -Pay Net 12704 TEXAS BURNER & BOILER SERVICES 2,019.00 0.00 0.00 2,019.00 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC ,.. Invoice# Comment. Tran of Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 8400417411 ✓" 03/22/20 03/13/20 04fO7/20 2,346.99 0.00 0.00 2,346.99 LAUNDRY 8400417,991 y,✓ OW22/20 03/13/20 04107120 59.45 0.00 0.00 59.45�- LAUNDRY 8400417702 „_ 03/22/20 03/16/20 04/10/20 177.64 0100 0.00 1T7.64 LAUNDRY 8400417700 ,/ 03/22/20 03/16/20 04/10/20 33,27 0.00 0.00 33.27 LAUNDRY 8400417701 y;' 03/22/20 03/16/20 0411=0 213,0(1 0.00 0.00 213.06 ✓" LAUNDRY 8400417703 ✓f 03/22/2003116/2004/10120 220.29 0,00 0.00 220.29,.^' LAUNDRY 8400417716 .' 03/22/20 03/16/20 04/10/20 60.23 0.00 0.00 80.23 .- LAUNDRY 8400417724 / 03/22/20 03/16/20 04/10/20 1,796.23 0.00 0.00 1,796,23 LAUNDRY r 8400417737v- 03/22120 03/16120 04/10/20 112.04 0.00 0.00 112,04,,- LAUNDRY 8400417704 i/ 03/22/20 03116/20 04/10/20 223.43 0.00 0.00 223.43 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,262.63 0.00 0.00 5,262.63 Vendor# Vendor Name Class Pay Code W1040 WATERMARK GRAPHICS INC vr, M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 139066 V-- 03/21/2001/13/2002/12/20 2,583.28 0.00 0.00 2,583.25 UNIFORMS Vendor Total: Number Name Gross Discount No -Pay Net W1040 WATERMARK GRAPHICS INC 2,583.28 0.00 0.00 2,583.28 Report Summary Grand Totals: Gross Discount No -Pay Net vpnovr-o k.IN 458,004.09 0.00 0.00 458,004.09 BY COUNTY O�qq 94,)gq CALHOUN C?LI�i TE. A9 fi le:///C:/Users/Itrevino/cpsi/memmed.cpsinct.com/u88125/data_5/tmp_cw5report264996... 3/23/2023 RUN DATE3EWR iV BYTHE 14EFIORIA.L HEDICAL CENTER PAGE 1 TY3�i6W :8Au T°R ORl EDIT LIST FOR PATIENT NEWS AF.ID4001 APCOEDIT 2 3 2023 PATIEFFIMAR PAY PAT NUMBER PAYEE NAME DATE AMOUNT CODE TYPE DESCRIPTION GL 191 __vrtiaiQt7i'B �flFkbiu �c g------------------------------------------ 032223 57.50.✓ 2 REFUND FOR 032223 25. 00 ✓ 3 REFUND FOR 032223 168.99✓. 2 REFUND FOF .�� 032223 100.00 ✓ 2 REFUND FOF 032223 65.26✓ 2 REFUND FOR ' 032223 44.29 ✓ 2 REFUND FOR 032223 19.33 ✓ 2 REFUND FOR ✓ 032223 14.00 2 REFUND FOR 032223 350,00 ✓ 3 REFUND FOR ' J 032223 173.70 ✓ 2 REFUND F01 032223 20.55 ✓ 2 REFUND FOR • 032223 203.26 ✓' 2 REF@ID FOR f 032223 77. 00 /� 2 REFUND FOF 032223 100.DO ✓ 2 REFUND FOR 032223 100.00 ✓` 2 REFUND FOR 032223 50.00/, 2 REFUND FOR ' 032223 18.80 ✓F 2 REFUND FOR 012223 30.00 Vf 3 REFUND FOR r' 032223 274.16✓ 2 REFUND FO" 032223 300.00✓ , 2 REFUND F0E ------------------------------------------------------------------------------------------------------------------------------ 032223 15.64 ✓`� 2 REFUND FOR ARID=0001 TOTAL ------------------------------------------------------- .--------------------------- 2207.56 ✓ '----------------- ----------.___._-------- TOTAL 2207.56 MW 2 3 2023 i, GitloRJ4r4u� Cb`JrrQ1�F°�zas RECEIVED BY THE COUNTY AUDITOR ON MAR 2 7 2{l23 CALHOU N COUNITY,T-EW 0312712023 08:26 MEMORIAL MEDICAL CENTER AP Open Invoice List D Dates Through: ap_open invoice.template Page 1 of 1 Vendor# Vendor Name Class Pay Cade 14800 DIRECTV ENTERTAINMENT HOLDINGS Invoiceft Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No Pay Net 08886220SX230312 0312W20031161003/31120 423.60 0.00 0.00 423.60 CABLE Vendor TotalsNumher Name Gross Discount No -Pay Net 14800 DIRECTV ENTERTAINMENT HOLDINGS 423.60 0.00 0.00 423.60 Report Summary Grand Totals: Gross Discount No -Pay Net 423.60 0.00 0.00 423.60 APPROVED ON COEA14 i J tAR 27 202.". - F3Y COUNTY At1DtI3&i CALMOLIN TEXAS UN C041NTY.TEXM' S file://(C:/t3scrs/ltrevino/cpsilmemmed.cpsinet.comlu88125, data_S/tmp_cw5 report907411... 3/27/2023 RECENM BV THE COUNTY AUDROR ON MAR 2 7 2023 CALHOUN COUNTY, TEXAS 03/27/2023 MEMORIAL MEDICAL CENTER AP Open Irrvaiee list 08:28 0 Dares Through: ap_opan_invoice.template Vendor* Vendor Name Class Pay Code C1048 CALHOUN COUNTY v`r W Invoice* Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 1882506 03/27/20 0312PJ20 04/21120 31,226.83 0.00 0.00 ELECTICITY — SV,,IV C"'I Vendor Totals Number Name Gross Discount No -Pay 01048 CALHOUNCOUNTY 31,226.83 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 31.228.83 0.00 0.00 APPRONME" ON t ;.QLHC pra4 C6LkNT`/°1 j-CAS Page 1 of 1 Net 31,226.83 Net 31,226.83 Net 31,226.83 file:ll/C:lUserstitrevinolepsilmemmed.cpsinet.comlu88125/data-51tmp_cw5report877514... 3/27/2023 AVpTTpp Otd CpUC (BAR 2 2d23 Page 1 of 1 "d� CA1}1OU*t C0Ut`i1Y, 03/27/2023 MEMORIAL MEDICAL CENTER 06:26 AP Open Invoice List 0 Dates Through: ap_open_involce.template Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT w Invoice# Comment Tran Dt Inv Of Due Dt Check D Pay Gross Discount No -Pay Net 031623 03/23/2003/16/2003/17120 122.07 0.00 0.00 / 122,0"7 CABLE 0" 0ytt)i&4Lt liSi- / 031723 03/23/20 0311712U 03/18/20 2,250.00 0.00 0.00 2,251C00 CABLE Dyi avwr� Al uy 031423 03/27/20 03114120 03115120 127.34 0.00 0.00 127.34 - CABLE Vendor Total: Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT-2-,499A1 0.00 0.00 2,499.41 Report summary Grand Totals: Gross Discount No -Pay Net 2A99A1 0.00 0.00 2A99.41 APPROVED ON IN'AR 2 7 2073 BY CTUt�YTY AU�1 A ALHO ra O,JNT, 1IFX.AS tile:/!/C:[Userslltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report896873... 3/27/2023 Mq— & SO STATEMENT As of: 03t24 2023 Page: OU2 Ta enwn p open uetlk to your �� axoulrt, tloleM aIM retum this wmr+v nt+Jt^R m club with Your remittance DC: 6115 MF 11YiAlAC1?A9"SSE `LYCi1Fi1 t As of: 03/24/2023 Page: 002 Mail to: Comp: 6000 AT DUE 19BAITTED VIA ACH DEBIT Territory: AP Slalenlim for Inlormati0n only AMT DUE IIEVITTED VIA ACH DEBII' 615 N VIRGINIA STREIB Customer: 632536 Statement for information only PORT IAVACA T% 77079 pate: 03/25/2023 Cush. 632536 PLEASE CHECK ANY Dale: 03/25/2023 n9AS NOT PAID (✓) Elllim3 NaDes", Acm 1 36 Nemalsor B �ra r Amount P P Numbsor is Date Data Oate Number Ilelerenw Oasedplfon Discount Disc (grass) F (rest) (net) F Namber ll `I PP column legend: P = Pan Due ham, F = Future Due hem, blank - Current One Item TOTAL National Acot 632636 MEMOMAL MEDICAL CENTER 6ublolale: 16,920.78 USD Future Dun: 0.00 Due 11 PeIE On Tim: II Paid By 0312612023, USD I6.582.38 f Past Due: 0.00 Pay This Amount: 10,582.38 DEC, Was lost if pslul late: Ian Payment 2.451.97 If Paid Attar 0312812023, 338.40 0. If Paid late: 08/07/2017 they this Amount: 16.920.78 USD USD 16.920,78 33'7•'il _ 3f 2'IJZ_3 9 t 6, 5r,, _. .QPROVED Ohl dAAP 7 7 523 eA9V CGj 7: [if AW170aais For AR Inquit'ies please contact 800-867-0333 MSKESS®N STATEMENT As of: 03/2412023 Page: 001 To aroundproper cladd to your eccourt. "ach and return this �1++v xuuu stub wfh Vour remdtan. DC: 8115 As oft 03/24/2023 Page: 001 WALMART 1098/MEM MED PAS AM DUE REMITTED VIA ACH DEBIT Territory: 400 Mad to: Comp: 0000 MQdOWAL MEDICAL CENTER StuWaK. l for In I. matmn only AMT DUE REMITTED VIA ACH DEBIT VICKY KALISIX *' Customer. 256342 Statement for Inlormallan Only 815 N VIRGINIA Sr Date: D3/251634 2023 PORT tAVACA T% 77979 Coat: 256342 PLEASE CHECK ANY Date: 03/2512023 ITBMS NOT PAID (+) Billing Due atonal Account 53fi RecetvehlcN Q)i�er Amount P Amount P Re Nable Dale Date Number iblemnw Oascripllon DIr4:oun1 D1 (gross) F (net) F Number � CuuOmer Numbm 256342 03/20/2023 03/2912023 03/20/2023 03/2812023 0312D/2023 03/2W2023 03/20/2023 03/2012023 0312W2023 0312812023 03/20/2023 0312812023 03/20/2023 OV2812023 03/20.!2020 0312812023 03/20/2023 0312812023 03/21/2023 03/2812023 03/21/2023 03/2012023 03/2212U23 03128/2023 03/22/2023 03/28/2023 03/22/2023 OW2812023 OW22/2023 03/2812022 03/2312023 03,2812023 03/2W2023 03/28/2023 03123/2023 03/28/2023 03/2312023 0312612023 U312412023 03128/2023 03/24/2023 03/28/2023 WALMART 1098/MEN MED PHS 7405397404 740539MU5 7405397406 7405397407 74053974U8 7405397409 7405424096 7405623973 7405623974 7405778855 7406002927 7406033,122 74060d3424 T40fi086381 740629U•139 7406371117 7406371118 7406371119 7406584995 7406651566 7406662325 68046499 1151nvnmc 0.01 0.32 0.31✓ 7405397404 60105583 1151nvdice 8.20 410.03 401.83✓ 7405397405 68145586 1151nvoice 47.67 2.383.35 2,335.68✓ 7405397.106 68103112 1151nvo1ce 8.20 4R0.03 4D1.03 ✓ 7405397407 68220479 1151nvo1W 0.01 0.65 OX4 740S397408 68235696 115Mvn1cu 0.98 0.08✓ 7405397409 68200242 1151nvo1ce 0.65 32.72 32.07 ✓ 7405424095 68052735 195brvoice 0.04 1,90 1.86 ✓ 7405623973 fi81154929 195brvnicn O.D4 1.90 1.86 ✓ 7405623974 68322939 115brvo¢e 43.25 2.102, 60 2.119.35 /� 7405778855 68329044 t951nvcico 2.62 13l.21 128.59 7406002927 68481559 1151nv0ica 31.78 1, 589.00 1,557,22 ✓ 74DB083.122 68461559 1151nvama 0,01 0.32 0.31 ✓ 7406083425 68551927 1151nvoice 16.90 794.94 779.04 ✓ 7406080301 60493979 1151nvoice 0.04 2.21 2.17 ✓ 7406290439 55618181 115 hrvome 40.08 2.003.89 1.963.81 "� 7406371117 6B091067 1151nvo1ce 31.78 1,588.90 1.557.12 ✓ 7406371110 58683617 1151nvolcO 9.25 462.55 453.30 .' 7406371119 56624869 1951nvame 2.62 131,21 128.59 ✓ 7406504995 66742492 11SW.we 40.08 2.004.21 1,964.13 7406651586 68814862 1451nvoice 49A9 2.454.57 2.406.46 ✓ 7406662326 For AR fnyuirics contact 800-867-0333 m_RcOwn STATEMENT As of: 0312412023 Amid;001 Toensuleproper credhtoyour account, detach and relmn this rare+m. eeee chub with your remhtanee DC: 8115 As ad: 03/24/2023 Page: 001 WAWART 10981MISM Mm MS ANT DUE REMITTED VIA ACH DEBIT Territory: 400 Mail to: Camp: 8000 MEMORIAL MEDICAL CRJTER Slalenlml tar inlmmalian only Am DUE REMITTED VIA ACH D®IT VICKY KALISIX Customer: 0g51m256342 er: 2 634 Slalemmt (Of Witurmlion Only 845 N VIRGINIA ST Dale: 023 PORT IAVACA TX 77979 Cush: 256342 PLEASE CHIXK ANY Date: 03/2512023 ITEMS NOT PAID N) PF column legend: P = Past Due Item, � i It"i11611%36 burns = Current 0. Item 's TOTAb CUBl4mm Number 266342 WplMArff 10981MEM Mm PHS SebtelEI. 16.566.E9 USO FWure Due: 0.00 It Paid By 03120/2023, Due II Paul On Time: / Past Due: 0.00 pay This Amount: 16,235.27 US0 USD 16.235.27 ✓ Disa bat It paid late: 331,32 Last Payment 15.275.17 It Paid Alter 0312812023. Due 11 Paid late: 03120/2023 Pay this Amount: Ifi1166.59 OSO Us!) 16,566.59 APPROVED ON MR ?'24 y iKINTV For AR Inquiries please contact 800-967-0333 c:.U+ortev Ay MSKESSONSTATEMENT As at: 03/2412023 Page: O01 To an.. amps, -am to your Rwoum, delach and return this Rren stub with your mm8tarlca DC: BITS As of: 0312412023 Page: 001 CVS PHCY 8923IMETA MC PHS AMT DUE flEA41T'TED VIA ACH DEBIT TeMtory: 400 Mall to: Comp: 8000 MWORIAL MEDICAL GENTFA Slalnmenl for information only ✓ AMT DUE REMnrm VIA ACH OEa17 VICKY KALISCK Customer, 835434 &element for information only B15 N VIRGINIA ST Dale: 03/2512023 PORT tAVACA Tit 77979 Cusl: 835434 PLEASE CHECK ANY Data: 03/25/2023 ITEMS NOT PAID (�) Billing Due DMe Date atonal Account 598 (kceivab iEco Cash Number {bfererlce Da¢dptlan Discount gecand P (g as) F _ �I Amount P Numbiame III (net) F Number Customer Number 835434 CVS PHCY 8923IMEM MC PNS .III 03/2212023 03/2812023 7406075027 2244472 1151nvas:e 0.45 22.43 21.98 7406076027 03/22/2023 0312812023 7409075028 2244472 1151nvalco 6.44 322.17 31S.73240601502a PF column legend: P = Pan Due Item. F = Future Due Item, blank = Cement Due Item TOTAL Customer Number 835434 CVS PHCY 8823IMFM MC -MS Subtolals: 344.60 LIED Future Due: 0.00 Due It Paid 0. Time: 11 Paid By 0312812023, USO 337.71 Pant Due: 0.00 Pay This Amount: 337.71 USD 1 Disc lost 8 paid 4te: 6.89 Led Payment 15.275.7 11 Paid After 0312812023, Due If Paid late: 03/20/2023 Pay this Amount: 344.00 LED USO 344.60 For AR Inquiries please contact 800-867-0333 MSKESSON CVS PHCY 7475/MEM MC PHS MEMORIAL MEDICAL Ct94fEH - VICKY KALISEK 815 N VIMINIA ST PORT IAVACA TX 77979 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Slalanmul for mtennalion an[, As at: 0312412023 DC: ails Territory: 400 Customer. 835438 Date: 03/25/2023 Page: 001 To encore proper ereOK to your account, &tech and return this Mob with your reseltane As of. 03124/2023 Page: 001 NO to: Comp: 6000 AMT DUE REMITTED VIA ACH DMIT Statement for information only Cast: 635438 PLEASE CHECK ANY Date: 03125/2D23 ITEMS NOT PAID (v) etbrel Account Vr .5i8 Billing Due Numbirbl� Cash Amount P Amount P NumberbM %fur Oeta Date Number Nelerence Description Discount (greMl P (not) F Number Customer Number 835438 CVS PHCV 74751MEM MC PHS 03/22/2023 03128/2023 7406260867 2244473 1161mmre 0.19 9.59 9.40 7406200867 PF column legend: P = Past Due Item. F = Futum Due Item, blank = Current Dun Item TOTAL Customer Number 835438 CVS PHCY 7475/M EIA MC PHS Sublmals: 9.59 USD Future Due: 0.00 1t Paid By 03/28/2023, Pan Duo: 0.00 Pay This Amount: last Payment 15.275.17 It Puld Alter 03/28/2023, 63/20f2023 pay this Amount Due 0 Pad On Time: USD 9.40 0.40 USD Dlee lost N pale late: 0.19 Due N paid LAW 9.59 USD USD 9...5`9\ 3f2 1 2_ For AR Inquiries please contact 800-867-0333 EDBYTHE f q;ldergen' _ .... _..._. - Date 03-24-2023 OURCEOERGEN DRUG CORP WALGREENS 9124N NOR f'SMEMORIAL MEDICAL CENTER 1001352041037028186 AND TX 77478.6101 1302 N VIRGINIA ST fDFA: PORT I-AVACA TX 77979-2509 set Fa Oue is 7 days RA0289276 1-9655 AMERISOURCEBERGEN PO Box 905223 Not Yet Oue. 0.00 CHARLOTTENC 28290-5223 C.RII: 2A66.42 Pas( Due: Too 1a1a1 Due 2,466.42 Acc4wl RaMnce' 2,465.42 Document Due Reference Date Date Number Purchase Order Number Document Type Original Last Receipt Amount Received Balance Amount 9320-2022 0331-2023 3127062269 170077 Invoice _ i 468,00 0.00 468.00 03-20-2023 0331-2023 3127164363 1709N Invoice 1.231.10 0.00 1.231.19 0b20-2023 O 31-2023 3127184354 170080 Invoice 114.62 0.00 114.62 0320-2023 W-31-2023 3127164355 170082 Invnice 0.31 0.00 031. 03-20-2023 0331-2023 3127IM356 170081 Invoice 116.82 0.00 116.82 O120-2023 0331-2023 3127202472 170130 Invaice 389.69 0.00 369.59 � 03-21-2023 0131-2023 3127341288 170138 Invalce 57.67 0.00 57.67 03-22-2023 0331-2023 3127486833 170147 Invoice 29.51 0.00 29.54 0323.2023 0331-2023 3127635409 170156 Invaice 3.89 0.00 3.89 03-23.2023 0331-2023 312763SUO 170157 Invace 29.03 OAO 29.03 y' 0324-2023 03-31-2D23 3127792746 170166 Invalce 26.79 _ _ 0.00 25.79j Current 1.15 Days 1640 Days 31-60 Days 61-90 Days 91 120 Days Over 120 Days Z 4ss 4z a.uo ono onol Doo� 000 0.09 7flank You for Your Payment - Reminders Date Amount Due Date Amount 03-24-2023_ - (520.92)I OJ-31-2023 2,466.42 -- - T" Total Due. 2;46GA2 r'1PPRUVED ON -- _--n p - Pik}irn" 2 312-7 mac. TOLL FEE PHONE NUMBER: 1-800-SSS-3453 (EFTPS TUTORIAL SYSTEM: 1.800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" F71-ENTER YOUR 4-DIGIT PIN" F7"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" E"IF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-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 It SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #tom# ENTER: yt'i g 941 # l 1� $ 130,917.47 1 $ 67,192.48 $ 15,714.48 48,010.51 CHECK s CALLED IN BY: CALLED IN DATE: CALLED IN TIME: J:1AP-Payroll Files\Payroll TaxeS12023W R1 MMC TAX DEPOSIT WORKSHEET 3.23.23.xis 312712023 941 REC/TAX 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 COMBIN CREDUN DENTAL DEP.LF SUNUFE TERM LIFE SUNLIFE HOSP INOEAI FED TAX FICA4M5 FICA-0 FIRST C FLEX S FLX.FE GIFT S GRP-IN GTL HOSP-1 LEGAL OTHER NATIONAL FARM LIFE ACED SURCHARGE PR FIN RELAY REPAY STONEOF STONE STONE 2 STUDEN 7SA-R UWIHOS TOTAL DEDUCTIONS NET PAY: TOTAL CAFE 125 PLAN: FAXABLE PAY: $ 541,874.23 S 541,874,23 "CALCULATED" Fmm MMC R.P.n Difference :ICA - MED (ER) , aw $ 7,857.18 =ICA-MED(EE) ,se $ 7.857.18 S 7.857.24 S (0.06; zICA-SOC SEC (ER) szon S 33,596.20 =ICA -SOC SEC(EE) sxsx $ 33,596.20 $ 33,596.24 $ (0.04; FED WITHHOLDING 5 48,010.51 $ 48,010.61 REVISED 3/1&W14 TOTALS $ 541,874.23 S 928.60 S 602.77 128.75 48.010.51 7.857.24 33,595-24 116.35 316.64 S 37,663.38 S 9 129.920.9S S 412,953.25 Exempt Amt Employees over FICA -SS Cap: $ Payeode S • Employee Reimb.: TAXOEPOSR: 3 130.91727 3 M,W.47 FICA .MEDICARE x9aw $ 16.714.36 $15,714.48 FICA -SOCIAL SECURITY Iz.w. S 67.192.40 $67.192.48 PREPARED BY: FED WITHHOLDING s 48,010.61 $48.010.51 PREPARED DATE: TOTAL TAX: $ 130,917.27 $130.917.47 $ (0.20) TOTAL- It Mayra Martinez W2712023 e7 Al MMC TAX DEPOSIT WORXSHEET 323.23 .Is: TAX DEPOSIT WORHSHEET 312712023 Run Date: 03,24123 REM033AL MEDICAL CEISEH TLne: 'c5:4C Payrol. Re9lstet { Bt-Weekly 1 P67 PerCGd P3/10123 - 01,'23/21 For.,- - P a y Code Burt rzarY PayCd _.---......._ Description 3rs JOTISHjR3IEOjCBj 1 ...................... REGULAR PAY-31 ...""---..-......_..- 9707.25 4 N I1 1 REGtY AR PAY-S1 1705.25 % 4 11 N 1 REGULAR PAY-81 304.75 Y N 14 2 REGULAR PAY-S2 2674.00 N ;1 N 2 REGULAR PAY-82 L19.25 Y N N 3 REGULAR PAY-S3 1421.50 N N 11 3 REGULAR PAY-53 114,75 Y N 11 CALL .BACK PAT 51.00 N 1 3 11 Y 4 CALL 2ACK PAY 33.25 N 2 N 11 'Y 4 CALL BACK PAY 2.00 N 3 N N Y CALL BACK PAY .25 Y 2 N N Y CALL PAY 234B.00 N I N M I DOCILE TIME 7.75 N I N 11 C DOUBLE TINE 16.50 4 2 N 11 D OCUBLE TINE 64.75 N 3 N N B UDLBLE -,ME B.CO ? 2 N 11 D DOUBLE TLME 24.25 Y 3 N IT E EXX RAGES N N N N, i EZRA WAGES N I N H EF.IRA WAGES N 1 R N N FUNERAL LZ E 16.00 I1 1 N ;i 314SER7ICE 89.25 N 1 4 It _ 7USER11IC 5.75 Y 1 N N E iXTEA'Di�-I�LAESS-EA31K 23i.00 N I N IT F FAIO-TI0IB-OFF 1540.0E N I N 11 X CALL PAY 2 HAD N I N U Y YMCA/CURVES A N N N Z CALL PAY 3 96.0E N 1 N 11 Pane 106 P2P.EG ............. n e d u e t i c e s S c m n a r y------ .------ Gross I Code Amount -.....___ ................................_..........._....... 2ii954.32 AIR '.2E.60 A/A2 A/F3 90216.1E A17ARC AWARDS BCBSIT 10161.24 SCOTS CAFE I. CAFE-1 73916.52 CAB-2 CAFE-3 CAFE-4 5-:5.95 C.":" CAFE-C CAFE-D 49440.12 CAFE-F CAA, R CAFa-I 6290.22 CA.e-L CAFE-P CANCER 197IA2 HILD 602.77 CLINIC 126.75 COMBIN 1487.39 CRE7R DD AD", DEYTk, 51.07 DEP -IF DIS F EA' '_7.43 EATCSF. FEBTAX 48010.51 FICA-M 7357.24 '69E.00 FICA- 33546.24 :LP.STC FLEX S 500.19 FLY. FE FCRT D FUTA 2928.56 GIFT c 116,85 GRA21T GRP-IN 5392.07 GTL HOSP-I ID TFT 677.7E LEAF LEGAL RASA 24I6,41 M?,S 264.12 MEEUIS RISC 7713.10 RISC/ M%SHR NA:FKL 60.00 OTHER PHI PNf•�' 2233.75 PP. FIN RELAY REPAY 434.32 SANS SCRIBE SIGN%X 3365.9s ST-TE STONDF SICNE 362.94 STONEZ MEN SNACC 61I9.s6 601ILL SUNIDD SUN, If 43655.55 SUIISTD VANIS 9LBCSG _92.00 TSA-1 ?SA-2 .SA-C 61.00 TSA-P TSA-R 37663.36 TUTION 283,00 UNIFOR 52.62 L7/HOS --------------------- Grand Totals: 20102.58------- ! Gross: 511674.21 n-edu^N^^=: 12892C.98 Metz 412953.25 Checks Count:- FT 20'. IT 16 Other 43 Female 235 Male 23 Credit OnrAnt 21 2eruNeC Teri, Total: 258 ............................................................ ........... ._.----.._._-__-........_-__------ ............. ._........ �4 (_( o (? r 1-> E'a Cale: 03,1ii 2i a .:-0:C?� F' :IC.i1 :WI:iE 3i•i:EeE:.Y ee T`ce: 10:1I •••• Ceec% F.apkc=_c •... a9 ?EDISTP Pay ?er1Dd 03i13123- 0/23123 tun: 1 '3'ce=!]E' _a2BS}'Jt :?'4AiIR2 • PRCUAERTT! Ncx. Kra Acounc CHECK :T.D; DATE 20351 FAD250N NNEADE 742.0E 0005330C 33/31/23 00041 CAUL LRE KING 1208.39 DO 03/11121, 00183 SYLVIA A VARCAS 1120.94 EO 03/31123 00094 SYLVIA A MENDUA 1044.83 DD 03/11121 00113 JACLYN CRRP.EOE 1554.97 CD '3131123 00132 SANWA A RRAUN 1261.07 DG 33/71/23 00192 BRENDA D PENA 1954.82 DD 03/31121 00270 ANGEL E BURGIN ISMS O) 03/31/u %344 SAIrRA LE RUDZ!CS 3C31.03 9: 53 31h: 00387 BILLIE F MT'VORTN 409C.59 DD 03/31!23 00352 EONiCA 7 CAR.4 1535.21 DD 13j 3'.!23 0035E iT1 A J T:CER::'.'A M5,77 ??, :31:.l.:: 00401 VELM J P2NA 1500.53 OD 13131123 0417 SEEM L KING 2676.50 DD 03%31/23 CC423 M11 9 STRIEGO 243S.51 ➢D 03/3if23 00492 PAN MIX 1674.29 DO O3/31!23 00531 CYLT41; L RUSH3N0 1151.82 DD 0313-123 C,067E SHEILA CAY HEATHCCCK 2i49.E0 DO L3!31!23 00681 RILU RENE' NOW 2244.12 DD 21131M COE92 DEBO.M E KITINEBBRT 402.9E DD 33/31/23 00ES7 F'_t4CA C F.ARIAS li'.i.;. D? 6i/3'Yi 00707 KMEP.LY RESENTEZ 2313.28 DD 0313U23 C0895 W:ILIS XME NILKEY 717.5E CD CiiiiL•: ::015 SUSA11 S 5'4? ;EY 2M6.36 CD Cif 31'23 0'191 SPARON K SPAMS 996.09 DD 13/31/21 5_234 JENISE N SVE7L2K 2493.15 DD 03/31/23 C_251 NAIM FACE 226657 DO 03i31123 01367 MRILYN A BANNERS 1429.14 OD 03/31!27 L1543 JACKIE E FILIUMS 1020.93 DD 01/31/23 D:751 RADSRACAH I KOMAY 2115.90 ➢9 03/31.!23 02011 MIN R CLSVENGER 4128.9E DD 03/31121 02014 AWITA C CASTU 1251.12 DD C3131j23 :2021 ERiEA CSO?VIA-S}\CFr2 1744 :C nD 0ii?!'23 02022 AMANDA i GRIGGS 2810.08 DD 43/31!23 020E-1 .V.TA �XjRA CA.RCA 198D.55 DD C3!31123 02057 KYESE ;: GAL`!ES 1315.30 DO :....-. D2099 T.b1CI K S39EFCIK 3151,21 DD 03131I23 02112 LESLIE TRO.V-S 3256.51 DD Oi3l!S3 C2132 JAS.MTE RDIZ 697.10 DD C3131123 0213E TAkNY FSQUIVEL 218.07 DD C31311:3 02i54 JUS?IN' STRELCZYK 8%.0? DD 03131%23 :2162 KIRM, P.',LV.+A. 1777.46 DD 23i3I/23 02.168 JENSICA FNICHT 1657.24 DD 03/31/13 02193 TIKI V3NGIAR I7L9.14 D➢ 03/31/23 02271 MIT J BUBF!IIK 2423.11 ➢➢ CV--1/23 C2301 NICOI=AS ": iJSR.'NA 2491.87 ➢D C1/31/21 02302 CATEERINE 21ASIE )3CILOS 245.92 DD 01131/23 C33i3 CDN51E 6: L!lA i347.41 CD 03h_!i23 C2315 NIN.A M GRErK 2=02.44 DD OV31f23 02331 JESSICA R SIFFLE 1661.30 DO 03/31/23 C234E JEMMZ L FALC :: Z106.EE D) C3/31f13 C241E JANELLE SCMT 3011.95 DO 05/31!23 62511 MGMENA SSFULVEDA 1043.30 DD 03/31/23 Run Date: 03/27123 ARM.O.IAL tIDICAL C3M1TER SI-'WEEKLY Page 2 ;:me: N:11 •• CneC% Eaglstec •.. MIST; • Pap Perod 03!1C123--03123/23 Run: 1 Pfoe=11E" :UCPJ00: CPSRA-ING - PFOSPERIYY Nu¢. lone klxuu. CHECK 110'. SATE 52535 STEFANIE M SC1IZ 940.05 OD 03/31/23 .2552 VERONICA R,AGOS3N 2103,37 DO 47/?1!23 D2622 JESUSA PARIS VILLARREAL 419.07 DO 03/31/21 S2'.75 S.EL:SSA I!E57.C'1;EY 434.33 DO i '31i CI 0210L PUNTA DA'MME GORLEE 2498.55 DO 03/31/23 02719 D:A3134 N.CCLSLLAI'3 2391.9! DO 03131/23 52720 ELDA It LUEP.A 1050.00 D➢ 03/31/23 52735 ZANLPA A GARCIA 731.21 DD 0311//23 32763 JESSICA MARQUEE 1829.47 DD '.3,'?!!2? 02754 HEATHER L MDTG UI 2253.i1 DD 0131i23 : A\9i7 iDCY 213B4 ?2Q3 02907 MANIA F LONGORIA 1431.17 CD S3/31/23 C2927 :ICEAEL L u.INES 3329 J5 DO C2r21i2i 02963 DOR07HY J RENDON H91.21 DO Ci1?1/23 N570 D1A.N'z G A7KINSC1i 2396.39 CD C3r3171i D?dE; JA1-017-LINE R HEPAS9A liO3.d9 CO C31?1/23 ML%cl COUP.-NS D :d0RIML H74.11 CD WK/-3 ;.qMA REG3!L3 A M.•4T.INP2 2191.27 CC t./i1123 05122 MARISSA RANGEL 913.39 OD 03/31/2i C5345 E71-CA NW-N, L65011 DD C312112: 05641 A344NDA R KEY 2174.72 DD 21/31/23 C5751 SPA%09 T HUMS 2616 03 DO 0313L'3 57123 CYNTRIA GUERRA 1761.56 DO 03/31/23 071, CF.AD A VORCE 2445.13 DD S3/31j23 27075 DIAN. C SAUCGDA 1306.:5 DO .3,131i23 'I197 CATHERINE A SAENZ 3163.23 DO 03/31/23 ... MIRTNG'Y L tURROVS+1 2949.90 D➢ e; i? t- 120!L %IRHER1Y J RENIA 53E.25 DO 03i3l/23 '.:1:5 :ISA J F.!II0JISn 10P7.6a DD 12151 JUC3A tWN?ES 2257.47 DO 03/3!/Z1 2872.54 DD G;31!23 :5131 SAVANNAH HARLEY 1649.79 DD 03131/23 :5139 {.R:s:-%, IIiCOLE DA:IwD 2135.41 CD 53131 /Zi :516? RELERY FE220I0 9524.77 DD 0ii311--, 15171 JESSICA. RARRON 113i.53 DD 03/31123 :5256 MiRMY A SA .AZAR 8?7.34 D➢ iiL tl:: 15286 DAWN M NAM 2267.50 DD 03,'31,'23 'S555 STSPRACIE M;;-.Ml 173.5d ➢➢ :.._ _. -5915 33!IME J KEY 2230.35 D➢ 91,l31123 ZOIn2 MST. HAWR2:1S 1452.a4 In 2011-2 YLVA MRICA RCDRIGIPZ 744.5E DD B712J:3 20144 SOPHIE R PECSNA 721.4! DD 037i1(23 20136 ERIN ASHLEY HMON. IS?L.6C DD S3;31/21 20176 AY.Y OARCIA 1164.3a 00 03i31/23 20164 VMTSSA ZA4CRAIQ 919.2E CD C3131123 20206 YELLI 3 DUFF 214019: OD 03/31/23 2G2C7 MAMA G HARTL 3M.n CO 03(31/25 20243 MEIARI3 CORTEZ 1943.5E OD 03!31123 20272 AAGELA YEAGEER ieu.55 OD 0i111/23 .C2°.4 JESSICA D 9ALTHER 1007.05 DD C3 III,,: 20324 PATRICIA 87RIBLEY 1504.05 DO 030%,.3 20343 SAVAINAR N SGC4xLA3 666.53 DD :3; A;C3 20419 KkREN N MCEUEN 96.84 DO O3M/23 20455 S.AM A S- CS1:E a66.40 DO S3131/23 ECn Cate: 9i 27;2i }L•NDRM P_ICli SI-iFS"nli Page Iac: IO:L •"' L'tec" R4:1atet r••• 1 MISTF , Fa}' P4:_ai CJ1P'2>-•03 /23(23 Rur.: 1 TYPe=A_T :000100: OPERCT\Y: • PROSPERITI \un. Sane knum. CiiECE 2,5: OWE 20e50 JOSEPH OiZB" KAM 1236.1 BD 07(7!?2i 2p759 JAlE2? so,TTR 72i,<d DD 03231!23 20788 JAYLIN MMIREZ 174.97 DD 03!32/23 20797 3ETHW N DICGS 2130,81 DO 03131i23 20a16 JO:E : FENA 104.5a DO G3;31(23 20a96 DANTv:.A :R1ACE0 112.C2 OD 0 01!23 20977 CEEP.Y; L TESC:? !Ho. 3a DO ?3'?11Si 20990 SAVk4A L070 760.41 DD C3llli:_ K450 DIANA E LEAL 1357.44 DO 03(31I23 21629 JACOB'! R C.4ANFDRD 1793.55 DO 03131!2's 26Le6 JAOEC ORCDNO 3194.39 DO 03173123 28034 S.RIS"INA A P'VEUG3R 564.85 DD 63iOl!z3 2E120 S_'SSiCA !' S?YJEFA 1666.71 DO O3i 3i/21 29199 33LLY A SCH07? 2C4.42 DD 03731 /i3 31035 STACIS L EPLEY 2067.23 DD O7(3!/23 31054 LORA L LAN90EE 1024.00 DD 07!31/23 31099 A.RACEN Z GARCIA 2355.9B DO 61/31/23 31251 CYLT33A L SIAS 1869.76 DO 0,)!Ij23 3:323 "ATH."RiNE 131; JIMENEZ 2237.54 DO 1ii ll;2i 3:319 STACY L EARXER ISE7.3 DO 93i32[23 3.463 EDWARD E FA?UL3 3031.94 DO 1:509 RACEEL A 6GFFNER 2469.99 DO 0HIV23 3:521 EEYLA DE LA DAIWA 346,73 DD 69i3l/23 31821 TAYLS Y. ALVAREZ 1482.25 DD 03i31/'<3 3IZ32 SP_AIIE D F.RESTA 654.83 DD G3in'.:7 31859 CCDY L JUREX 1776.6E DD E3/31/23 38118 KRYSTEUA F R_SIAR 1274.OD DD CJ/31/23 Mie MEGANY. CANO 943.97 DO C3i31l23 38702 ANNA VANESSA PENNELL L56.31 DD O3!3i!2i 41112 M07ASIA L PEREZ 1021.93 DO C3/31/23 4.171 TuR4IE P. TP.EVIJI, 922.4E DO 03i31/^-3 4!205 JEA1271 6 ALVA2:100 9C7.67 ➢➢ ........ _25 'FSLIE A. CF?.ICE`I 1592.:. 4:27i EAMEIA Z !"r_VND'! 1526135 DO 01r I:l:S 41251 S.ARA YBARE0 757.09 DO 03/31/:3 41274 FARE11 CAIR4 1300.41 DO C3 31/23 52279 PAMELA R RAMON 91i.70 DO C3i31127 42347 ADR:A\'SA D ST.4AROS 967.:7 DO 03,31123 41369 ]DHM A L-AT 743.6a DO 01j31,123 4:'16 AXOiL. E :ASSEL 1C7E.31 DD 51j 31/23 41406 DOSE- "AT LOCO TOPEES 930.31 DD O3r3:123 41507 OLOA I EETANCOU&T 968,34 DO 03;'3i/23 41412 SONJA A MAJAROO 995,91 DD 03i31/27 41617 JACUKINE N NAMNEEZ 984,3E DD 05i3i/23 4289E Rc;AE HICME --- EI:SRT 904.31 DD ui131(23 4:897 iMMA KM;OZ 1273.59 DO C3131/23 425C1 J'JA1317A R :!ISLE? !359.4E M 42106 MISTY SLUM 1252.50 Do 07/71/2i 12122 SOCORRO C GONZALES 1154.4E DD 13/31/23 42122 LEI A27A CRAVANA 119i.25 DD 33/31/23 M25 LOC'! CALMA. 970.54 DD 03i31123 423P4 6IIE67 T I;OL'YEI3 2113.21 OD 03i31123 42a20 F;R:A D CHAVEZ 1377459 DD 63131j23 42e42 SHMA S C MNIT- , 3368.35 DD 0n131/C: Run Date: U127/23 r,MDRIAL MEDICAL CENTER BI.BEEELY Page 4 Tine: 1C:11. ...• Chack Reg:sae: ••.. P2 IETP Pay PeD_nd 03110!23--0312312E R'x.: 1 Type=NET 10000001 CPERA'IND - PP.OSPHRITY 4Cn. Na e A7,aunc CHECK VW 7ATE 48680 JESS[G HUSH 377.60 ➢➢ 03/31/23 5Ui9 F:ICEEi,i,E M MORALE- 1757.32 D➢ Ui31123 5OC22 REGINA A JOHNSDY 157.01, ➢D i3/3V.; 50148 PENNY GOULDEN 3270.6 DD 031311.E $0161 SR2?iMEY MICHELLE ZAMO.RA 1664.76 DD 03i31/23 5024E F.CK.ENNA ACLLEGAS 382.55 DD Oii3 !23 50282 JACOB U RAMILTOU 3062.27 CD 03/31!33 50310 JASMINE GRIGSBY 908.21 DO 03/11/23 50546 NEUNIE K SAffiCA 2233.43 00 03in'ln SHi73 DEANA R DAVIS 37E5.73 CD O1133125 50596 3S77Y S DAVIS 2279.2I OD 93/91!23 50715 DERRA K MUSTERED 2490.62 DO OD/31/23 50325 AD:U;l RlORIGrtz 1052.63 DD CSj 31i 23 5354C .iAC41".f 3 3ARCL 1362.21, DD CsiIl'v 5SW4 RONTCA A ESCA.iAF:2 lle0.18 DD 03131/23 5SO25 LEA C RESENDEZ 839A5 DD 03/31/23 H 026 IRENE B PEPE2 72i.Hi DD B3N_1123 Sall: CRYBSALT 11, CiGSEZ 1145.47 DD 03/3 !Z3 55127 APRIL N K,UBAI4 8810.08 DD Oa 131123 S'.371 BIANCA HERNANDEZ 149.80 DD 06/31/23 ES312 SP2lU7GN nclim 175C.EE DO 03/311/23 55659 _,7DAV 'J?"LEE 947.49 DO Ca1Il/25 58:15 BECKY KARIE SALINAS 994.17 OD 03131/23 5H5I0 RITA : 27o^li ! 92i.0 DO 03i31i13 51112 RDEERT A RODR-.T2Z 2355.56 DD tii31i23 60131 NORk OVALLE 7t5.51 DO 53,31121 6013E ELIJAH ESTRADA 793.05 DO 0313111i 6415E DAFISYE :4 KALISHR 1252.3; ➢D i!S 1i13 64165 TERESA A BECITEZ 1e57A7 DD p3/31;'ii 6041Z CER3STOPHER GALINDO 645.89 DO C3!31!s7 60616 DOROiHY A LONGORIA 946.14 OD 0313112E SC867 uOLPHO VA.SQUEZ 1115.23 DD O3I3i j23 62122 ALAN L201 1340.99 DD O3;ll/73 6S124 SANOUAC M GARCIA 1176.6E DO 63131/23 63289 JASON -aUBIO 1215.29 DO J3i311:i 65100 FE_!17 A BOSJZ 722.4 DD C3i 31! 65125 Y.!RTRA C(TAPSNN e78.53 DD 65136 113124 KORAIB:G 100.0e D➢ C3/311:3 651:7 BLARCAROSA PILIAP.REAL 767.3E OD C3i ill:i 6a14: F!..RTA LN:GUHZ H-72 E'C C3(31 U 6E15I ELIA OLAGIA. 1127.74 DO Ci!11f23 65162 CLAUDIA RUIZ 751,08 DD C3/31/23 65160 2403A MIRELES 156.33 DD C5i31123 65119 0L'J3Ps1 SANCHEZ 949.94 DD 63!31/23 65213 LEE SIKERLY 1135.50 DO D3!31/23 65269 NATALIE BAREFIELD 962.66 DD 63131/23 65393 R.9RONA A PEREZ 1237.29 DD C3i31/O3 Saul ARPLIA I FLORES 1258.35 OD fi/3I!23 554E3 MARIA 17'EIOZ 153.35 OD 0/31123 65486 ROSA RODRWEZ U99.30 DD 01,31115 6551E F.=_iln MORAL"S 1C2411 LL Cd:'Y;i:: 55705 DaMl=k HERRE:A 1165.9E DD 6311ll23 65715 MARIA R GOM3Z 962.6E DO 03/31/23 65865 PART.; F LEDEZMA 576.24 DD Slf31123 Rua Cate: G3 27,23 24EM.OR3AL P5DICAL CENTER 3I-SEEMLY Raga : Tire: 1C:13 „ Cheer. " Raa?ate: '... NDIST.P Pap Period 03,•10,123--03/23123 Rsr, C}pe=l1£^ 000CD00` OPE.7ATING - PRCSe6RI:t Nm. Nana CRICK NUN DATE 60556 C1.21Si„?REF. RN4FRFCRD I117.58 DO 03/31.!23 60792 NAZARIO D:AZ NZPNA140EZ 2316.28 DO 03/31/23 70 L19 SA.RA N EL£DSOE 2690.0E DD 03131/33 72727 CRRISa;DRA L1121 KO'V.zQU 68.25 OD 03/31/23 71749 SLCRIA N RRID 2E75.75 OD C3/31123 74159 CAROL VILLARREAL 1337.35 DO 03/'31/23 5519E RI£A MILLER 2114.25 DD C3'31.`23 76003 IRPA DELEON 804.51 DO N/31123 760E7 ?AIDS ZRGU.. CRA".FAN 905.93 m r3 n:t=i 76115 JENNIFER P. CARLOCR 911.25 DO 03;11/23 76120 RkCF"R CAILALES 1530.3E CO 0.:i:!2i 7613E KAREN D GARCIA 851.81 00 03/31/23 7-21C 20E VIL_L2 EAL 543.61 DD 0a/u -,3 76300 AIDA JIRENR2 944.06 DD 03/31/23 75313 ?AI?ELn L IRET01! IOC2.71 ➢O 03j'.1/i5 76403 KATRINA A PDXLUDA 1516.56 DO 03/31123 7tc47 r£cBYL A SER 1429.21 DD 03; 31i23 761CS GREGORY R PCRALES 818.23 00 03/31/23 'IE854 }LAZY PATTERS➢E ifi611 DD 0313112n 16985 V'?AE6SA TRISTAN 172.17 ➢D 07/31/23 I7E46 :WREN A GCNZALE5 1265.89 DD 03/31/2i 78020 MISTY R PASSNORE 1716.8E DO 0/31123 7805E KYxNi J POWEX 475.6E CC 63i331,3 70072 DONNA M RAWLINGS 1619.47 DO C3/31/23 70329 ALENA QJINXILLA 926.96 DO 03j33i23 701B6 ANDREA F COOK 209.02 DD C3/31/23 78237 Yni:SSA C AlA;ZAR 2094._8 OD Oii31/23 78316 JESSICA 19E2,15 DD 03/31/23 76566 MEL:SSA K G38 1033.98 DD 01/31/23 187i4 AS4LEY D 337DLEY 2228.39 DD 03/31/23 76791 G4TST?N R %ACN:CE4 1956.21 ON 03/31/23 -8797 FA.RAR I J;LV .K 2216.71 CD C'-jh/2i 70897 DR'YLE J ROBINSON 968.49 DO 03131/23 60509 ROAR D 8ESIO 3296.A DD i131/23 B0141 JEANNIE or,,.1932.77 DD O3i31/23 82227 CA:TLI) A C:Emfi._j 1208,40 DD J_;il/23 86452 M-RCY S LECGE 557.54 ➢D 53j3l/23 8,482 NEGAlI N. FAR?Z.R 918.14 DD Ij31123 88125 LISA 14 TREVINO 1146,48 ➢O 03j33/23 88321 ANDREW D6 LOS SAVTOS 2776.55 DD 03iW;'. 88808 PARLEY 3 ODOML 2133.13 DO O3j3l/23 8690, XAi7A K MARTINEZ 1E74,89 E,D 33/31/23 90320 ROSMAND.A 5 TNOMAS 6338.92 DO 02/31123 93231 A1•'DRIS 6; ?LOXES 1194.54 ED C3j v!23 98756 ADRIANNA M GALVA;V 1777,87 OD OIJ31123 412953.25 MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --- March 20, 2023 - March 26, 2023 Dale Bank Description 3/24/2023 PAY PLUS ACHTRANS 452579291101000698419227 3/24/2023 AMERISOURCE BERG PAYMENTS 01ON0226821M002 3/23/2023 TRANSFIRST LLC VMC SETTLE 41399801332385 fill 3/23/2023 PAY PLUS ACH01ANS 452579291 101000697,59631S 3/22/2023 PAY PLUS ACHTRANS 452579291101"696743385 3/21/2023 PAY PLUS ACHTRAN5452579291 101000695235242 3/2.1/2023 MCHESSON DRUG AUTO ACH ACHUS417596910000127 312012023 WEOHLE TAX PYMT DID 90217162230221000021754 3/20/2023 PAY PLUS ACHI'HANS 4525792911010006948440(W, 3/20/2023 IRS USATAXPYMT 2703479220954006103601000442 3/22/2023 WIRE OUT CHINA INCOMING SETTLEMENT ACCOLINI MMC Notes 3rd Party Payor Fee - 340B Drug Program Expense Credit Card Processing Fee 3rd Party Payor Fee 3rd Party Payor Fee 3rd Party Payor Fee - 340H Drug Program Expense Sales Tax 3rd Party Payor Pee Payroll Taxes -CiVgank Corporate Card Payment Ma thX 2023 ANDRE W OE LOS SANTOS Memorial Medical Centerp W {�+YWe�. Da'2223 LL PROSPERITY BANK 2/L W,rd B3t'S'T'b LL ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT .. ESTIMATED ACHS Date De�NOn MMC Notes March lid 2023 ANDREW DE LOS SANTOS Memorial Medical Center APPRONIM ON MAP w r] 1823 prlq N!� a Amount £i Ni •"p 4 6517: 119 , t, F� 520.92* t 91 . 56000 'BOA 2 49.18' t 4 si, 191' 15,275.12* (� C(FcAT 1,588.883u9 5 6 IT - I •. I: 2,11 114,543.88:1 4.8A.4 S Y 132,S65.58 •f h ': -• '• Page 1 of 1 HECEiVED ®Y THE COUNTY AUDITOR ON iki"-V 3 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:37 ap_open_involce.template Dates Through: STY ��q,� ;•411iOLGendotrp Venl od r Name Class Pay Code 11816 ASHFORDGARDENS Invoice# Comment Tran Dt Inv Dt Due IN Check D Pay Gross Discount No -Pay Net 032123A 03/23120 03121/20 04/21/20 6,253.06 0.00 0.00 6,253.66 UHC DEC QIPP 032123 03123120 03121/20 04/21120 65,849.80 0.00 0.00 65,849.80� UHC QTR 1 QIPP Vendor Totals Number Name Gross Discount No -Pay Net 11816 ASHFORD GARDENS 72,103.46 0.00 0.00 72,103.46 Report Summary Grand Totals: Gross Discount No -Pay Net 72,10$.46 0.00 0.00 72,103.46 s�PPROVED ON MAR NN2 3 'L'/VL3 pp CALLIFi60' CcCUNTl6f TTE, file:/l/C:/Userslltrevino/cpsi/menuned.cpsinet.comlu88125/data_5/tmp_cw5report873865... 3/23/2023 Page 1 of 1 ON Au01TOR coucNn 09AAa72023 MEMORIAL MEDICAL CENTER 0 {;.0.LHOt1N TEXAS AP Open Invoice List Dates Through: ap_open_involce.template Vendor# Vendor Name Class Pay Code / 11828 SOLERA WEST HOUSTON ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 032123A 03/23/20 03/21120 04/21/20 1,949.84 0.00 0.00 UHC DEC QIPP 032123 03/23/20 03/21120 04/21/20 19.640.36 0,00 0.00 UHC QTR 1 QIPP Vendor Totals Number Name Gross Discount No -Pay 11828 SOLERA WEST HOUSTON 21,590.20 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 21,590.20 0,00 0.00 APPROVED ON VAR 2 3 ?09 ElyOALH0U00T'le ATT YOEX,S. Net 1,949.84 t% 19,640.36 1Z Net 21,590.20 Net 21,590.20 file:/!/C:lUsers/ltrevino/cpsilmemmed.cpsinet.com/u88125/data 5/tmp_cw5reportl55619... 3/23/2023 Page 1 of 1 RECEIVED By THE .3OUJ,R'/ AUDITOR ON 2M9�'' E12 y MEMORIAL MEDICAL CENTER 3/217p 10:33 AP Open Invoice List CDUNN Tr�tA9 D at Th ap_open_invoice.lempiate •„P,LHOi71`7 - as rough. Vendor# Vendor Name Class Pay Code / 11820 FORTBEND HEALTHCARE CENTER ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount 032123 03/2312003/21/2004/21/20 22,969.92 0.00 UHC OTR 1 DIPP 032123A 03123120 03121/20 04121/20 1,968.84 0.00 UHC DEC OIPP Vendor Totals Number Name Gross Discount 11820 FORTBEND HEALTHCARE CENTER 24,938.76 0.00 Report Summary Grand Totals: Gross Discount No -Pay 24,938.76 0.00 0.00 APPROVED ON MAR 2 3 2023 tsf COUNTY PUDITC.. 3AI P.O? iN r:OU We 45 No -Pay Net 0.00 22,969.92,% 0.00 1,968.84 _,,f No -Pay Net 0.00 24,936.76 Net 24,938.76 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report 118155... 3/23/2023 Page 1 of 1 RECEIVEDRYTHE COUWY AUDITOR ON yyµlrQ*0023, MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:36 ap_open_invoice.template CALHOUN COUNT'/, TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 11832 BROADMOOR AT CREEKSIDE PARK Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount 032123 03123/2003/2Vl2004/21/20 21.298.40 0.00 UHC OTR 1 QIPP 032123A 03123/20 03/21/20 04121/20 2,327.04 0.00 UHC DEC QIPP Vendor Total -Number Name Gross Discount 11832 BROADMOOR AT CREEKSIDE PARK 23.625.44 0.00 Report Summary Grand Totals: Gross Discount No -Pay 23,625.44 0.00 0.00 APPROVED '0N MAR 2 3 '2�323 BY COWNTY AUDITp R� ::ALHOU 7ExAS No -Pay Net 0.00 21,298.40 P 0.00 2,327.04 No -Pay Net 0.00 23,625.44 Net 23,625.44 File:///C:/Users/Itrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report477703... 3/23/2023 Page 1 of 1 HECOVEDBYTHE WUarV AUDITOR ON A*1g1&I€ zi MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:36 ap_open_invoice.template Dates Through: CALHOve CdOUNiY TEXAS en or# Vendor. Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 032123A 03/23/20 03/21120 04/21/20 631.21 0.00 0.00 631.21 ✓� UHC DEC QIPP , 032123 03/23120 03/21120 04121/20 13,412.60 0.00 0.00 13,412.60 UHC QTR 1 QIPP Vendor Totale Number Name Gross Discount No -Pay Net 11824 THE CRESCENT 14,043.81 0.00 0.00 14,043.81 Report Summary Grand Totals: Gross Discount No -Pay Net 14,048.81 0.00 0.00 14,043.81 ,4PPj;0VF_D ON! `�A�BYi{*CU �4 r?lR 13�XA5 file:/!/C:/Users/]trevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report70l205... 3/23/2023 Page 1 of 1 RECIE MBVTHE '-0UNTV'AUD0TOR (M MAR 2 3 7023 MEMORIAL MEDICAL CENTER 03/23/2023 0 AP Open Invoice List :.n�443 C0LIN,Y.TEXAS ap_open_inveice.lemplace Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 031323 3,187.44 0.00 0.00 3,167.44 A03�/221200311312004115120 11 TRANSFER IV N P141t1V1tYtU_ VJKJ ag0yi f� IK� k,Wu- OVL"" ' 031423 03/22/20 03/14120 04/15120 13,170.50 0.00 0.00 13,170.50✓ TRANSFER 4 IT 031523 03/22/20 03/15/20 04/15/20 379.34 0.00 0.00 379.34 TRANSFER tt 031623 03/22/20 03/16/20 04/15/20 2,528.50 0.00 0.00 2.528.50 ✓� TRANSFER" t 031723D 03/22/20 03/17/20 04/17/20 179.40 0.00 0.00 179.40 TRANSFER it it 031723A 03122/20 03/17120 04/17120 1,526.68 0.00 0.00 11526.68 ✓ TRANSFER 11 rt 031723 03122/20 03117120 04117/20 1,213.22 0.00 0.00 1,213,22 TRANSFER It IL 031723C 03/22/2003/17/2004/17/20 2,149.20 0.00 0.00 2,149.20 TRANSFER It •r 031723E 03/22/20 03/17/20 04/17/20 6.23 0.00 0.00 6.23 TRANSFER " s` 032023 03/22/20 03/20/20 04/20/20 5,630.00 0.00 0.00 5,530.00 TRANSFER k 1` 031423A 03/23/20 03/14120 04/15120 1,200.00 0.00 0.00 1,200.00 ✓ TRANSFER N 11 032123 03/23120. 03/21/2004121/20 $4,481,48 0.00 0.00 34,481.48 UHC QTR 1 OIPP 032123A 03P23/2003/2112004/21/20 3,459.51 0.00 U0 3,459.51 UHC DEC OFF Vendor Totals Number Name Grass Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 68,991.50 0.00 0.00 68,991.50 Report Summary Grand Totals: Gross Discount No -Pay Net 68,991.50 0.00 0.00 68,99150 APPROVED nh[ VAR 2, 3 2"[i ? file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report582788... 3 /23/2023 Page t of 1 RECEIVED DYTHE COUNTY AUDITOR ON M623/2023023 10:45 ,Ai 4OUN UO0W)(. TEXA9 Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List 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 031723 03/tt22120 03/17120 04117/20 389.78 0.00 0.0 0 TRANSFER �Jji 9yjjUyMlls. P5Kj d69"j,"k itk-{ ►om-L *411 032023 03/22/20 03/20/20 04120/20 8.996.35 0.00 .66 TRANSFER k °t 032123 03/23/20 03/21/20 04121/20 29,258.97 0.00 0.00 UHC QTR 1 QIPP 032123A 03/23/20 03/21/20 04/21/20 2,628.68 0.00 0.00 UHC DEC OIPF" " Vendor ToIa4 Number Name Gross Discount No -Pay 12696 GULF POINTE PLAZA 41,272.78 0.00 0.00 Grand Totals: APPROVED 170 CA�F10r�T! 'G!1ii�.t7YDt TE�s Net 389.78 v 8,995.35 ✓ 29,258.97 2,628.68 ✓ Net 41,272.78 Report Summary Gross Discount No -Pay Not 41,272.78 0.00 0.00 41,272.78 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report218797... 3 /23/2023 Page 1 of I RECEIVED By THE COUNTY AUDITOR ON MAR X,7119a213 10:37 CALHOUN COUNTY, TEXAS Vendor# Vendor Name 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open invcice.lemplate Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 031323 03/13(20 04/16/210 742.00 0.00 0.00 ``0f3/22/20 TRANSFER N �� u �QV�W11 �v04ji�. pp'� dl� WKW {}V010- 031423A 03/22/2003/1412004/16/20 1,750.50 0.00 0.00 TRANSFER 6 it 031423 03/22/20 03/14/20 04/15/20 5.49 0.00 0.00 TRANSFER 1t 1` 031623 03/22/20 03/16/20 04/16/20 24,628.45 0.00 0.00 TRANSFER a of 031723 03/22/20 03/17/20 04/17/20 17,088.12 0.00 0.00 TRANSFER it 032023 03/22/20 03/20/20 04/20/20 21,607.02 0.00 0.00 TRANSFER I It D32123A 03/23/20 03/21/20 04/21120 3,683.23 0.00 0.00 UHC DEC OIPP 032123 03/23/20 03/21/20 04/21/20 36,676.90 0.00 0.00 UHC QTR 101PP Vendor Totals Number Name Gross Discount No -Pay 13004 TUSCANYVILLAGE 106,181.71 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 106,181.71 0.00 0.00 Pit O ))W ()N I A A R J 2 ill t SY COUPATY kUD WEER.AS CALHOUN OUrh�tY, Net 742.00 1,750.50 ✓ 5.49 1/ 24,628.45 17,088.12 21,607.02 3,683.23 ✓ 36,876.90� Net 106.181.71 Net 106,1111.71 file:///C:1Users/ltrevino/cpsi/memmed.cpsinet.com/u88125ldata 5/tmp_cw5report245251... 3/23/2023 Page I of I RECEIVED BY THE COUIM AUDITOR Ohd A a3A;j2g 23 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List _ �0@,TEXAS ap_open_invoice.template \1T'+, Dates Through: Vendorg Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount 031323 03/22/20 03/13/2004115/20 7,988p3`.10 0.00 TRANSFER Jllj lVpgtl:t. MYAJ Atpllhi�k 114 1V,WL Qp�`�� 031423 03/22/20 03/14/20 04115/20 23.21 0.00 TRANSFER it 031523 03122/20 03/16120 04/15120 1,431.01 0.00 TRANSFER it 031723 03/22/20 03/17/20 04/17/20 10,684.23 0.00 TRANSFER to 031723A 03/22/20 03/17/20 04/17/20 15,465.24 0.00 TRANSFER tt 032023 03/22/20 03/20/20 04/20/20 7,486.16 0.00 TRANSFER tt 032123A 03/23/20 03/21/20 04/21/20 2,625.74 0.00 UHC DEC QIPP 032123 03123/20 03121120 04121/20 28,250.04 0.00 UHC QTR 1 QIPP Vendor Total, Number Name Gross Discount 12792 BETHANY SENIOR LIVING 74,148.73 0.00 Report Summary Grand Totals: Gross Discount No -Pay 74,148.73 0.00 0.00 APPROVED OI1l bIAR 2 3 2023 r;ABLy G31UGOUo4TYIPAS No -Pay Net 0.00 7,983.10 ✓ 0.00 11 19.00 0.00 �1 0.00 It 0.00 11 0.00 r rr No -Pay 0.00 23.21 ✓ 1,a31.01 10,684.23 a'f 15,465.24 ✓✓ 7,486.16✓ 2,825.74 ✓ 28,250.04 ✓� Net 74,10.73 Net 74,148.73 file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.coin/u88125/data_5/tmp_cw5report740203... 3/23/2023 „L , Solera West Houston 3/27/23 *PFIOVED ON (i By CUNTY 4UDITON ! - c CALM N CCU lrY TEXAS �. ".,: • �, , ; :i. I , Er',10,1F, 11,988.00 %� Eji_ I'•iUh%Ei:,'j, 10255040 I: I CHC payment transfer from Crescent to Solera i; „. Caitlin Clevenger I Solera West Houston 3/27/23 APPR©Vr-D 1-1Ri I A By coup4ry �.ALHOUN C;UUN'i�', t $ I 2,280.00 f v „iP.: 10255040 CHC payment transfer from Crescent to Solera I' Caitlin Clevenger „ ^' _ _ _ 2--1 3 Memonal Medical Center Nursing Home UPL Weekly Centex Transfer Prosperity Accounts 3/27/2023 M+Invnl 71 MMrn+ F CmnL +m+'n1WnMknMur+m M,MX'� Nunrn N+mr MriunAf Mkn %1rw nPN�NwI. r. AN r C+Wy+ Nmm t9.]!6F I9.m3.]6 I''s )SI AI 195.9m f9 16p.108.63 'IMSAAMP 195909.9 ✓ V+n+n[e -M. Ir,vrin 4l+ncr IOOw MOLINA OPP Ql le u0 53✓ MOIINAQIIPOEC IOJfiI ]6 v/ ...... ...... 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ECHO MCCLAIla5C.0 PMiH EANIE 21.1%)6 11101 114al I35R5 3/A/]0333merifrtue ]ISCNCCIS.upnrt 3]G9piM3]I11CW I0,C90M I/13/l0A NONUSSOLUTON HCCUIMPMI 6161 19.W.39 I/13fANH MPHACHSOISV 4200325 MPMf159R]tl96113007 2.13900 HCC 1123f20A NGLT3Nufl>HHI 1.15.51 CtAIMPPMI16310133313D0]) IIJU2023NOWTAS 61631031NW135 - N,3>65S AISCLUIDNKCpIMPM1 NO�THUMM - 6.36Rdb CIA MOD ACWIIMPM162671115241001I0 lIZU2023 M] 1RU20A HUMµ>OHROIAMPNIT 4 11MISO3UW0p19 3/20/2023 NNB - ECHO NCCUIM1IPMi13EW1311 NCPo0S19I1] 9,D"bW 9,510d9 llavinle,G 03Mt31fm D4t6NIf rN. pile) MMCpWTGY ICLmPl glHfCempl qIH/CYmP] glPPffampWaPM gIPPT NXpgR110Y LS3aa3 2,iN.16. 5.61131 SMIal Ad64A 4LLN 6.C13,,1 59205 G00 w4 31 82 1.N]t]0 • 1.14)CD 9•l)6M 12.194111 39 11. 11.16439 SOW L1395D 6as 63446 SAD ,6110 C0 9.910 83 v51,61LW 125.A5.16 ✓' f.dG.A 1,A].19 i59435 1.616.16 10.661.]1 IA.091.05 TOLLS 212LMa1 I.QLUM Jim." 1,596.m 34T12J1 57.yT31 A.SA31 9f2[51.61 312712023 Quick View Select Ouick Viers Accounts Account Number I Name Account Type SenronI F All Treasury Center Select Group GroinA,:u taoop Dala repone8 as cf Mw 2'r 2023 1' Account Number Current Balance Available Balance Collected Balance Number of Accounts: 15 •4454 MEMORIAL MEDICAL, NH GOLDEN CREEK HEALTHCARE .365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER - OPERATING ._31 MEMORIAL MEDICAL CENTER • PRIVATE WAIVER CLEARING v 381 MEMORIAL MEDICAL CENTER I NH ASHFORD V/ •4403 MEMORIAL MEDICAL / CENTER rNH f BROAOMOOR •44 L1 MEMORIAL MEDICAL CENTER: NH CRESCENT V ' 446 MEMORIAL MEDICAL CENTER! NH FORT SEND '.438 MEMORIAL MEDICAL CENTER f SOLERA AT WEST HOUSTON •3660 MAIC-BETHANY SR LIVING - DACA '2998 MAIC-h;ONEY MARKET FUND 5506 MAIC -NH BETHANY SENIOR LIVING '5441 MMC •NH GULF POINTE PLAZA - I•.IEDICARE; 4:1EDICAI❑ 'S433 MMC -NH GULF POINTE PLAZA • PRIVATE PAY '34 7 MMC-NH TUSCANY ALLAGE bttps;�lprosperity. of banking.com!onlineMessenger $9,678,252.76 510,345,668.97 S191 75950 S202.289 76 $537 22 $537.22 $5.825 907.96 S5,902,033.50 5.3249 5-132.49 $195.909.89� $310.316.09 $264.704,98I ✓ 5306,866.47 S272422. 95 J 5314, 38176 $71,24415d f/ $117,45118 5223.952 23 ;f ,� 5277,686.56 S1e0.00 510000 52.05137t.54 52.051, 3715A 523295046 3465.015.74 565.602 95 570.426.76 579.453.38 581,287.08 $201,703.06 5245410.80 $9,678,252.76 5191 759 50 553722 55.825.907.96 543249 $195.09.89 $264.704.98 $272.422,95 $71,244.15 $223,952.23 5100.00 S2 051.37 1 5.1 3232,950 46 565.80295 S79 453.36 5201.703 06 Prior Day Balance $8,988,993.23 S127,76230 5537.22 $5.766,882 66 5432 49 $65.717 18 $180.765.22 5212.917.69 $11.724 13 $181,704 54 5100 oc S2 051.371.S. 5155.599 49 563.667 95 525.549.92 5143.240.90 r Vi Memorial Medical Censer Nursing Home UPL 'Meekly Nexion Transfer Prosperity Accounts 3/27/2023 Pmlaua Ikcaunt Beelnnlne PmAln6 TatlaYaea{tnnlne Mnepntto 9eTnndarcdaa Nunlne Runln Name Number Mmee 7nnalerv0ue T Tnnslenln { 0 Yla 6alanea Hare 11.P99Aa 11 636301 91.6 ;u v: 191,759 so ` 159,861.36✓ 9an49abnce 191,759.56 ✓ vavrce laaee In 9abnae 100eq 5upeder owe On, 31.76ZA1✓ 46 lanuary In::Mn 19.43 ✓ khro.'Inieran 16M Mneh Im.,*9 �97 Ndluateabnn/TnnOerpme 59565a a/ Nate: onMbaanoe.a/a.erSAcnowlxnea.=nr/enea to the nunma home ❑bn I. Evcrtvccvcnt nm v bartba lannpfS100 Mve hlMf 6epvnfel le peen vmvun:. HECEWEDBYTHE Coij, 4M AUbiiOR 01' MAR :2 7 2023 CAt H0U14C ijuM,-1 SIAS 1 J r Mi0REW0ElO95M3T05 3/n Z013 r yp weeuv 1....4rn ox uttruexn senmarv\toffWu mt Tnmxr w—m 012721.x. 3;24/2021 NOWMAS WOJ1N]IJ MCCUIBI'W11609] 4PCN139 3/20/2a3 QNme B36L315N202 23/ID23 WI6f OUT HIMN KALIII Okla COLDER CREIM NC 023O02oeomrt U1112023 R41RECHO 6CCU MIBn SBn011114oO]91 3/23/1@1 ]INB'ECXOOC<UIMrMl N6M301I M00+OJ3S02$ 3R1/2021 NON ?UflFSTCNCCUIM9M]6N-09]<20MA1125 321/2021 ]3Y3/]MH3]IBACB CBOFr H36H1358>691] 91 3/242021 XNB'ECXONCCUIMr UPM16PS 597691 91 3IM2023 "MR- ECHO C6C0aP5116H195B2691191 3/]IU2021 NNB dCNO NC[UIMVM] AbN34I1 iiOCU02193I9 mm"F l an/amr iBe__02/BF_Oly{ TPHulml avr/amrt 121rv/mmr2 aro/canr3 6Ur10 arras xx roxnai A]210 � a] 63p:4 62. 20.21933 u,rnn LL]62.61 3v6243a 11.76301 - - 56.761tlO 56 ]d1.90 v02 0 - .11202 - 1.1321102 50 - YL65 - I'mw I.000W - ow?49 6.131]B - l. Esil6,Sll]B 2.10 - ].1 111.1. 311 - 11111 W ]< 1L761A14 33]62A2 1SIAL3$ / 3/27'2023 Quick View Select Quick View Accounts ACCnLMI Number' Name Account Type Senmh All Account Number Number of Accounts: 15 '4454 MEMORIAL MEDICAL NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER - OPERATING -4373 (MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL CENTER l NH ASHFORD 'a4Q3 MEMORIAL MEDICAL CENTER,NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER/NH CRESCENT '44a6 MEMORIAL MEDICAL CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON 3860 M11R1C •BETHANY SR LIVING - DACA 2998 MMC -MONEY MARKET FUND '6506 MR1C •NH BETHANY SENIOR LIVING 'Si41 MMC -NH GULF POINTE. PLA2A- MEDICAREIMEDICAID '5433 MKIC -NH GULF POINTE PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY VILLAGE Treasury Center Select Group Groups ACn Group Current Balance Available Balance Collected Balance $9,678,252.76 S10.345,668,97 $9.678,262.76 S191.7%50 �/ S202,289.76 S191,759.50 Nips: /orosperity.olbanking.comionlineRlessenger s of Mar: i Lll2:i 71 Prior Day Balance $8.906.993.23 S127.762.30 S537.22 S537.22 5537.22 $537 22 S5,825.907.96 SS 902.033.50 S5.825.907.96 55 76e 882.66 S432.49 S432.49 5432.49 S432.49 S195.909.89 S310.37809 S195,909.89 S65.73718 S264.704.98 S306.666.47 5264.704.98 S180760 22 $272422.95 S314.381.76 S27242295 $212.917.69 S71.24415 $117451.18 S71244.15 ill724. 13 $223.95223 $277,666.56 S223.952.23 S161704.54 S100.00 5100.00 S100.00 S100,00 52,051.37L54 52.051.371.54 S2.051.371,54 $2051.371.5a S23295046 S465, 01.9 74 5232.950,46 S156,59949 $65,802 95 $70420 78 S65.302.95 $63,667 95 579453-38 S81.267.08 S79.453.36 $25,549.92 $201.70306 S245,410.80 S201.703.06 S143.240,90 1i 1 Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 3/27/2023 rYnum hMw, penenE W n9 Pamnre Wru... Leaven B,knve 3VpfhlO oo Bflp Mmu Tnmk—d'. 79.93,1E � now 3B951A ✓ knu.ry Nr.n,a 159�" hbruel9Nrne. 3.61 ✓ Mva lmma) aLlua[B+I+nn/Eramler Ynt SLIH]l +% Irnkw amwm Lq ee GLnunr &ri-ft p.n4nE Timfu-dm xunln. xcme xwnber fia.na n re ou[ ]rann.r.k ia, 0..na o. .F. Tod. '.Re knin ea+ne xunln xun:e d,19}66 6L60A10 / - 6%jams 65,iwls 0+n90+l+nn 6i6NAS5 v+rw.e .Vote: WHhalpnmp/uve59.ltlgwill6<M1vnL/medlolFenurzmq M1an<. HINN: EOrF OCNunrhW ubanMlanna/91MfFMAMROepoutM ra opm aunun! APPROVED ON ,jAO�H®#QUCOilTY i4 l 'o S IWW lamwlntnn[ I).M y' iahn,rylMeteLL )),N a. MadlnblM Miurl Ml.nm/inntlunm[ 69,GU6 �� TOM TMx)FER9 ukait E NIORFW OflM9Yl]O9 3/i]/lOI3 F:\xllwnVriru r4nlNN URL+mirr Fummrn\1031Vix VeLirmrler Sunmrn0l E)]l.h. MMCPORTION QIPP/Comp QIPP/Camp{ Tramlpr-0pt Tn_Qa4r.II pIPP/Camel 2 QIPP(DOmP3 6AN QIPPTI NHPORTION L2i/1023 C[M[MM9R4(am[ACN Opi2656335f411100003134 - 531KRA6 2QW9.93 31A3349 1km" 16.95123 312312023 WIRE OUT HMO Rgk,Pn SNF, LP{9mmCNNI- 3123/3023 HNS- ECHO HCCLAIMPMT 766003411"(1000235825 225.44 - 225.41 3/21/2023 HUMANA CNA 058 HCCNIMPMT ISOS72042000019 - 6,598,14 6.598.14 3/2012021 HN6• ECHO HCCWMPMT 746CO3C116a0 219316 10192 - 10792 3/20/2023 HUMANA IN CO HCCIAIMPMT 1563391283OO005982 32.21MOO 12.210,00 3120/2023 AETNA ASOI NCCIAIMP.T 192209279C 51WYV14095 / 16,3W80 2 r 6dm00 17,7E04 79AW.96, / • 20,469.97 33,433.41 26.951.73 ✓ 52d9323, MMCPORTION QIPP/CnmP QIPP/CCM,4 hani4r-0ut Trander-3e QIPP/Compl 2 QIPp/C9mP3 &OPIO QIPP 31 AN POSITION 3/24/2923 MERCHANT 8AN6CO DEPOSIT 49647115196399100001 2,235.00 2.135 Do 3/23/2023 9ApO,Id - 46.30 - 46.30 3/23/2023 HAS -ECHO HCCWMPMT746003211A100OT235925 1.431.73 - 1,43173 3/22/2023 MERCHANT BFN6CD DEPOSIT 496L38516989910W1 1,293.64 - 629363 312212023 NORIDIAN 13A HCCWIMPMT 6753924300001204299 80687 - 40387 3121120D WPS-SMEP CONNUC HCCIAIMPMT 240314466521000 340,69 - 3F0.63 3/21/2023 NORIOIANI3ANCCIAIMPMT67589342000010225a4 46.432.69 46.43219 3p0/2023 HEALTH HUMAN SVC NCCWMPMT 17460034113013 2 9:I1Q39 91120,39 „61AOA3D/ T / 63.609.30 17,34204 14095w26 2QW9.97 33A33A9 26,11SLY3 114.002.53 312712023 Treasury Center Quick View Select Quick View Accounts Select Group Account Number 1 Name Groups Account Type i ceerrh A.II DOA _ _.. _ - _.. __. Dala rcowdw as A IJ& 27 ?le i .1 Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 59,678,252.76 S10,345,668.97 $9,678,252.16 $8,988,993.23 '4454 MEMORIAL MEDICAL 5191.759E0 $20Z28276 $191,759.50 5127,762.30 NH GOLDEN CREEK HEALTHCARE MEMORIAL MEDICAL $537.22 $537.22 S537.22 $537.22 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL 55,825,907.96 55.902033.50 SS 825,907.96 $5.766,882,66 CENTER -OPERATING '4373 MEMORIAL MEDICAL $432,49 S432A9 543249 $432.49 CENTER - PRIVATE WAIVER CLEARING '-1381 MEMORIAL MEDICAL $195.909.89 5310,378.09 5195,909.89 $65.737.18 CENTER 1 NH ASHFORD •aa0' MEMORIAL MEDICAL $264.704.98 $306,866,47 $264.704.99 5180365.22 CENTER/NH BROADMOOR '4411 MEMORIAL MEDICAL 5272.422.95 5314,381.76 S272A22.9.5 5212.917.69 CENTER! NH CRESCENT '4446 MEMORIAL MEDICAL 571,244.15 5117.451.18 $71.244.15 S11,724.13 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL 5223 957 23 S277,686 56 $123,95223 S•6',704 54 CENTER / SOLERA AT WEST HOUSTON '3650 MhIC -BETHANY SR 5100.00 5110.00 5100.00 5100 00 LIVING - DACA '2998 MMC -MONEY MARKET 52,051.37'.5. 52051.371.54 52,051,371.54 52.051.371.54 FUND '5506 MMC -NH BETHANY S232.950.46 5465,015.74 5232.950 46 5156.599 49 SENIOR LIVING 'Sa41 MM1dC -NH GULF POINTE / $65,802 n5 $70,426.78 $65,802 95 $63.667.95 PLAZA- /� I MEDICAREMEDIC.AID ✓ 'S433 MMC -NH GULF POINTE / 579.453.36 .J 581.287 08 S79 453.38 525,549 92 PLAZA- PRIVATE PAY V '3407 MIMIC -NH TUSCANY $201.70306 5245,410.80 5201.703.06 5143.240.90 VILLAGE hops;/Iprosperity.olbanking.comlonlineMessenger tit Memorial Medial Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 3/27/2023 Purwm •nnum aeelrvYnF aName MumN, 4law* 11.921,69 Amc CM!v!v!mn.f q'evC55 p'pve!Pe,rav:mrl t>[nr-wr�grwne N>lr x: i><n P[[Ovr Pa. 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NECElYEO 91 THE COUFtiY AUOf7OR ON MAR 2 7 ?023 .^.N3iOUN CGUNTM,'[EXikS P.,afi, 4�k 4Lnte LmeNBkhnn MOtIXnp14100F(pIIP Pmwmu4 TnrlkneasJ AI 4Nw NWtN NPTI x93.xma 1f3,161,N' 1W.W xo,a1 u aalua 4ukertnn}nfr. rv,!t /� \ utuLu.f MvmrH. rl tie\}tf..fi�Tl i;:1-c )ilk'YP�uL l.r+�txila23 aHOREW of lOff4lTOf 3/14/2023 MOUNAHEALTHURMOUNMCH0117255742000016 3/241202X HNB- ECHO HCCLAIMPMT 746003411440000269246 3/24/2@3 14NB- ECHO HCCLAIMPMT 746003411440000259245 3/23/2023 WIRE OUT LINBAR ENTERPRISES, LLC 3/23/2023 Depmit 3/22/2023 HNB- ECHO HCCLAIMPMT 746003411440000201656 3/12/2023 NOVITAS SOLUTION HCCLAIMPMT 676201 420000125 3/21/2023 HNB - ECHO HCCLAINIPMT 746003411440DD0267982 3/20/2023 HNB- ECHO HCCLAIMPMT 746003411440000219078 MMCPORTION QIPP/Cemp QIPP/Comp QIPP/Camp Trans2er•0ut Transfer•in 1 3 4&Lapse QIPPTI I "PORTION 32,008.28 8,834.67 2,258.65 4,746.22 16.168.74 20,421A8 11,586.81 22,581.S0 22,581.50 3.872.38 - 3,972.38 51,827.68 - 15.455.50 - 15,455.50 17.64 - 17.64 9%720.71 - 99.720.72 S.S1044 - 5,510." 22,436.61 - 22,436.61 3127r2023 Quick View Select Quick View Accounts Account Numt.or. Name Accounl Type Search A:I Account Number Number of Accounts: 15 •4454 MEMORIAL MEDICAL I NH GOLDEN CREEK HEALTHCARE -4385 MEMORIAL MEDICAL CENTER - CLINIC SERIES 201.1 •4357 MEMORIAL MEDICAL CENTER - OPERATING '437.3 MEMORIAL MEDICAL CENTER - PRIMATE WAIVER CLEARING •4381 MEMORIAL MEDICAL CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTERINH BROADMOOR '4411 MEMORIAL MEDICAL CENTER I NH CRESCENT '444n' MEMORIAL. MEDICAL CENTER NH FORT BEND 438 MEMORIAL MEDICAL CENTER l SOLERA AT 41EST HOUSTON •3660 MMC -BETHANY SR LIVING - DACA .2998 MMC -MONEY MARKET FUND '5506 MMC -NH BETHANY SENIOR LIVING '5441 MMC •NH GULF POINTE PLAZA. MEDICAR&NIEDICAID •5433 M NIC -NH GULF POINTE PLAZA - PRIVATE PAY 3407 / MMC-NH TUSCANY./ VILLAGE Treasury Center Select Group Groups A4.:: Gunn; Data rr„r;rleu .v .,! (.L102,'1 Current Balance Available Balance Collected Balance Prior Day Balance 59,678,252.76 $191.759.50 510,345,668.97 5202.289.76 $9.678.252.76 5791.759.50 $8,988.993.23 5127.762.30 hops:"prosperity.olbanking. com� onli neM essenger 5537.22 5537.22 5537.22 5537.22 55.825.907.9; 55.902.03350 55,825,907.96 55, 766,882.96 543219 543249 5432.=9 543249 $195.909.89 5310, 378.09 5195.909.E9 565,73718 5264.704.98 $306,861347 S264.70498 SI80.765.7.. 5272.422.95 5314.38176 $272.422,95 5212.917.69 571,244. 15 S11745118 571,244.15 S11•724.13 $223,952.23 5277.686.56 5223.952 23 516/70454 5100.00 51000€ 510000 S100 r,0 52,051,371.54 $2.051,37154 $2051.371,54 $2051,37154 5232 950A6 5465.01.5 74 S232,950 46 5156.599 49 $65.802.95 $70,426.76 565,802.95 563,667.95 579453, 38 $81.287 08 $79 453.38 525,549 92 5201 703.00 J / 5245,410 80 S201,703 06 S'43.240O0 1r1 Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperity Amounts 3/27/2023 arrvwu. P.nelry am...I,. e. •naun< hpmin[ Mno— TnmferteCw Pan\y4ea ]1t95wnw SUIPM RQ111 !WW SUP[Np0.plvp pl if.PR.16✓, I.nuarylnumt 6II✓/ IaWarylnnnn Sf.l< f M[rthlnnnn ]�NrIGb(.Q{�1Run..`a1v Yn1 �<�. �1pP.1615✓ pale CcN4Nacm oivm59Cw+:r'o.ncnq.rna<aw....... rxn< axraN ll�'SIt 4:y� .�..yky<,� i'♦ Aal!}�fo[no:w.nlha.oaa[e Oo an[ear$fA]IMS.MMC ONaYN ra K+n x[o'vn< pNppEW p[Lp15l.NI09 �C� 1/I711023 RECEIVED BY THE r:OtjrSTY ADMOfl ON MAR 2 f 202" CALHOUN COUNTY. O(AS 110 11,1.I.!<nl' UIL 1,-.1,,1 ,1202IVal 1,10-0n fumm.rv.1 V11 h. MM[PO DN 33llti ijnyg }I...... OIPP/Cam I WIP/Cem i QPP/Um 3 OIPP/COmNWPV OVPII NNPOPIION 1/202 23 NPOSIT 2i•30625 - S4.IDe A i/U/i01I4n1aIs.Wni{tleaM4tl0]64Q35Ii tItOW'l10] - SZM72 Am" 35.49A9 26.0t9i 26.M 3, 1/23/2013 WINE MYPONi Vf G Nm, IIC 59.911.62 - 3123R023 01Po1.Y 49.930.18 43.9301E 3/i3/2013 X(WIIP450IV ICON MCCIAIMVMI6)WBt 4iG000125 15.39S.i4 - 25.39u10 22 M11.1 14,53601 - 14.516.1 3022/2023 Nf41i1111u1WN5VC N[[IAIM3Mtllifi0o341110162 USE 11 2.211.3$ 3/11/1023 0<Poal 37.713 45 - 31.113 45 3121,2023 01pa1•< 14,31B45 20.11.11 1/20/1023 NOC SWEEP PAC X236 )UIMS 63W11'NEEP IP - Mul 00 - low. SB.BL.63 Pll2.34L5t• f/ I6,SIS.N 326.ISJ 3127/2023 Quick View Select Quick View Accounts Account Numbers Name Accouni Type Account Number Number of Accounts: 15 4454 MEMORIAL MEDICAL) NH GOLDEN CREEK HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING '436t MEMORIAL MEDICAL CENTER / NH ASHFORD :au MEMORIAL MEDICAL CENTER'NH BROADMOOR '4411 MEMORIAL MEDICAL CENTER / NH CRESCENT '4446 MEMORIAL MEDICAL CENTER, NH FORT BEND '4439 MEMORIAL MEDICAL CENTER /SOLERA AT `NEST HOUSTON '3880 MNIC-BETHANY SR LIVING - DACA •2998 MNIC -MONEY MARKET FUND :SEz / MMC-NH BETHANY J SENIOR LIVING ✓✓✓ '5441 MNIC -NH GULF POINTE PLAZA - MEDICARE -MEDICAID '5433 MMC -NH GULF POINTE PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY VILLAGE Treasury Center Select Group Groups AaU Group riot Mar'/ 20,3'I Current Balance Available Balance Collected Balance Prior Day Balance $9,678.252.76 510,345,668.97 $9,678,252.76 $8,988,993.23 5191.759.50 5202.289.76 5191,759.50 5127762.30 hltps: 7prosperity. olba n king.co mronlinefAessenger 5537.22 $53722 5537.22 5537 22 SS.825.907 (46 S5.90Z033.50 55. 825.907.96 55.766.882.66 $43249 S•132.49 $43249 543249 5195.909.89 5310.378.09 $195,909.89 565.737.18 $264,704.98 5306.866A7 $264,704.98 5180.76522 5272.422.95 5314,381,76 5272,422.95 5212,917.69 571.24415 5117451.18 $71.244.15 $11.72413 5223.952.23 $277,686.66 $223.952.23 $181,704.54 9100.00 $100.09 5100.00 5100.00 5.05137154 $2.05137754 $2,051.37 1 54 52 i1Y.37'. 54 J 5232950.46 . J S465.01574 S2.32950.46 S156.59949 $65.80295 570.426.76 $65.802.95 ,63,667.95 579.493.38 $81.267.06 579.453.38 525.549.92 S201.703.06 5245.410 80 5201.703.06 5143.240 90 4 1/1 f%AEIMMAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 3/27/23 A E MAR 2729-73 BY COUNTY AUNIOP e CALHOUN COUNT'(. E AS A rV 0 ,j N T 35644.29 10255040 (-Xp_.ANA i 101%, Molina Dec and Q1 QIPP Q.1 E ST �� L Ca i t Un- C I -eve n,g er MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 3/27/23 FOP IQN' APPROVED C-IM MAR 2 '12023 DA,II C44s,ITPTNE urNOiAS -"e tL i, �u DC AMOUNT 12,306.74 102SS040 FXP,I, NATION. Molina Dec and Q1 QIPP —Caitlin -Clevenger 17 Ir" I Z 3 j 2:1123 p A y C E 1\41EMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 3/27/23 I FOP ACCT. L6F 'NI_'! RECEIVED BY I HE COUNNAUDITORON L I-P, MAR F7 , Dvi ail cnern uj Vendul CAUIOUN COUWY, FEWS 8,140.17/ & -.T-fVHR: 10255040 Moline Dec and Q1 QIPP FXP[.ANAT!Of%': REQU E1,7 � P Caitlin Clevenger AU -Hi RIZFl) S'( J p A y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Dar�-z Raqu,s,ed, 3/27/23 REWVEBBvTHE couirivAu ri6RbN MAR 2 7 20234 CALHOUN COUWN- TEXAS FOR 6,C,,7. USE C-NL',' �ec j ;I CIlc:: AHMO U N I 11,819.37Z 10255040 Molina Dec and Q1 QIPP Caitlin Clevenger :q'�Rj , 7F,- f0 F.Pv"ICIFOAL IfAIENLJai C-1.1\11TAyi, C C 7 Solera West Houston 3/28/23 Impret. Casii APPROVED 0" LJ A,, P (:I leck MAR 2 '12023 i K.Iil olccp tQ \'�'�ndur I ay GOW4TY M.H4'1jh1 COtj M TEXAS Li pJV'jQb',,qT 10,664.72 21400010 ------ — ------ ------- - Transfer CHC funds from Crescent to Solera Caitlin Clevenger jo bV MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 3/27/23 A y E E Alf,A)UNT 31,762.41 SUPERIOR Q1 QIPP FXPLANA 1`10N: , J 'I Bi. Caitlin Clevenger RECEIVED BY THE COUNTY AUDYTOn ON MAR 2 7 202i CAL HOUN COUNTY, TEXAS .j ,.ill I H 0 R Z L if FOR ACCT. 11H ON! .ArP. a la if Cheri to F1 d, 'T jj, J, be rZ 10255040 31 . 2-712-3 p A E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center 3/27/23 26,951.73.,Z EXPI,Af,JA T!()N SUPERIOR QI QIPP R P-,j ij% , c Caitlin Clevenger RECEIVED BY THE COUNTY AUMFOR ON MAR 2 7 2023 "AUiOUN COUNTY', TExAs ACC. USE U N IIA/P L NLV� 1 10255040 , ER, p A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Dal�: 1(�-'qu--5tpw 3/27/23 AMOUNT 20,421.48 '/ MOLINA Q1 AND DEC RE- ;1j L d Caitlin Clevenger RECEIVED BY Tit COUNTY AUDITOR oN MAR 2 7 7023 CALHOUN GOUNry., TEIG IFOR ACCT. USE ')W-1 01NeCurn b Depi 10255040 uta I Memorial Medical Center 3/27123 ~, rr',R AC:.'T. UDC GIV LY �. —�..� HECOVED BY THE COOMW AUDITOR ON i - ---- -- - MAR 2 7 ' CALHOUN COUNTY. 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